Pub Date : 2017-10-02DOI: 10.5262/TNDT.2017.1003.05
Eda Dolgun, M. V. Giersbergen, N. Ozdemir, Yasemin Aydınlı, Gulsin Ordu
OBJEcTIVE: The study was planned to investigate the interventions of patients to protect themselves at home after kidney transplantation. MATERIAL and METhODS: This descriptive study was conducted at a university hospital. The data were collected from 87 patients that came to the clinic for follow-up after having kidney transplants. After obtaining an approval from the Scientific Ethics Committee for the study, written permission was obtained from the institution where the study was going to be conducted RESULTS: The average age of the patients was 40.34±1.18 years; 55.2% were male and 73.6% were married. It was determined that 29.9% had three people living in their houses, 67.8% had their own rooms, 58.6% separated the toilette they used, 97.7% were careful about hand hygiene, 37.9% were always using masks at home, and 90.8% followed hygiene measures. cONcLUSION: It was determined that most of the patients were following the hand hygiene measures and hygiene measures while carrying out their daily living activities. kEY wORDS: Kidney transplantation, Postoperative, Nursing care Çalışma, 13 15 Ekim 2016 tarihleri arasında Konya’da gerçekleştirilen Türkiye Organ Nakli Kuruluşları Koordinasyon Derneği XI. Kongresi’nde poster bildiri olarak sunulmuştur.
目的:探讨肾移植术后患者居家自我保护的干预措施。材料和方法:本描述性研究在一所大学医院进行。数据收集自87名肾移植后到诊所随访的患者。在获得科学伦理委员会对研究的批准后，获得研究所在机构的书面许可。结果:患者的平均年龄为40.34±1.18岁;55.2%为男性，73.6%为已婚。其中，29.9%的家庭有3人同住，67.8%的家庭有自己的房间，58.6%的家庭将自己使用的盥洗用品分开使用，97.7%的家庭注意手卫生，37.9%的家庭经常使用口罩，90.8%的家庭遵循卫生措施。结论:多数患者在日常生活活动中均遵循手部卫生措施和卫生措施。关键词:肾移植，术后，护理Çalışma, 13 15 Ekim 2016 tarihleri arasında Konya 'da gerekle tirilen t rkiye器官Nakli kurulu laryi Koordinasyon DerneğiKongresi 'nde海报bildiri olarak sunulmutur。
{"title":"Investigation of the Interventions of the Patients After Kidney Transplantation to Protect Themselves at Home","authors":"Eda Dolgun, M. V. Giersbergen, N. Ozdemir, Yasemin Aydınlı, Gulsin Ordu","doi":"10.5262/TNDT.2017.1003.05","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1003.05","url":null,"abstract":"OBJEcTIVE: The study was planned to investigate the interventions of patients to protect themselves at home after kidney transplantation. MATERIAL and METhODS: This descriptive study was conducted at a university hospital. The data were collected from 87 patients that came to the clinic for follow-up after having kidney transplants. After obtaining an approval from the Scientific Ethics Committee for the study, written permission was obtained from the institution where the study was going to be conducted RESULTS: The average age of the patients was 40.34±1.18 years; 55.2% were male and 73.6% were married. It was determined that 29.9% had three people living in their houses, 67.8% had their own rooms, 58.6% separated the toilette they used, 97.7% were careful about hand hygiene, 37.9% were always using masks at home, and 90.8% followed hygiene measures. cONcLUSION: It was determined that most of the patients were following the hand hygiene measures and hygiene measures while carrying out their daily living activities. kEY wORDS: Kidney transplantation, Postoperative, Nursing care Çalışma, 13 15 Ekim 2016 tarihleri arasında Konya’da gerçekleştirilen Türkiye Organ Nakli Kuruluşları Koordinasyon Derneği XI. Kongresi’nde poster bildiri olarak sunulmuştur.","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":"271-274"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70728332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-02DOI: 10.5262/TNDT.2017.1003.18
Elif Coşkun
Pseudoaneurysms of the radial artery are extremely rare. In this article, a radial artery pseudoaneurysm that developed after the intervention for hemodialysis at the antecubital area in a 60-year-old female patient undergoing routine hemodialiysis for chronic renal failure was described. The most important causes of pseudoaneurysms in cardiovascular surgery are catheter applications and new arteriovenous shunts on the forearm. Although rare, the complication of radial artery pseudoaneurysm should be kept in mind in this patient population due to the risk of serious morbidity. key words: Pseudoaneurysm, Hemodialysis, Radial artery
{"title":"Hemodiyaliz Girişimi Sonrası Nadir Bir Komplikasyon: Radial Arter Psödoanevrizması","authors":"Elif Coşkun","doi":"10.5262/TNDT.2017.1003.18","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1003.18","url":null,"abstract":"Pseudoaneurysms of the radial artery are extremely rare. In this article, a radial artery pseudoaneurysm that developed after the intervention for hemodialysis at the antecubital area in a 60-year-old female patient undergoing routine hemodialiysis for chronic renal failure was described. The most important causes of pseudoaneurysms in cardiovascular surgery are catheter applications and new arteriovenous shunts on the forearm. Although rare, the complication of radial artery pseudoaneurysm should be kept in mind in this patient population due to the risk of serious morbidity. key words: Pseudoaneurysm, Hemodialysis, Radial artery","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":"351-353"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41463276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-02DOI: 10.5262/tndt.2017.1001.23
O. Dizdar, A. Ersoy, H. Akalın
OBJECTIVE: Pneumonia increases morbidity and mortality in kidney transplant (KT) recipients. This study aimed to investigate characteristics of pneumonias in KT recipients by focusing on clinical and radiographic findings and diagnostic methods over a long study period. MATERIAL and METHODS: The medical records of kidney transplant recipients who had a diagnosis of pneumonia from 1988 to 2011 were reviewed retrospectively. RESULTS: Among 406 consecutive KT recipients, 20% had pneumonia during the study period and total 111 episodes of pneumonia developed in these patients. Fifty-six percent of the pneumonias were community acquired and 44% nosocomial. Bacterial infections were the most common cause (20%) and 13 (12%) of the episodes were polymicrobial. Antibiotic usage in the last three months was significantly more common in fungal pneumonia episodes than others. Bronchoscopy had the highest final overall diagnostic yield. CONCLUSION: Community-acquired pneumonia was more common, but it showed a more benign clinical course. Bacterial pneumonia was the most common cause, but polymicrobial infection was present in a significant number of KT recipients. Fungi can invade KT recipients, in particular, patients in the interval of 1-6 month after transplantation and patients who have used antibiotics in the last three months. KEy wORDS: Pneumonia, Kidney transplantation, Radiography, Physical examination, Nosocomial
{"title":"Epidemiology and Clinical and Radiographic Characteristics of Pneumonia in Kidney Transplant Recipients; 24-Year Experience","authors":"O. Dizdar, A. Ersoy, H. Akalın","doi":"10.5262/tndt.2017.1001.23","DOIUrl":"https://doi.org/10.5262/tndt.2017.1001.23","url":null,"abstract":"OBJECTIVE: Pneumonia increases morbidity and mortality in kidney transplant (KT) recipients. This study aimed to investigate characteristics of pneumonias in KT recipients by focusing on clinical and radiographic findings and diagnostic methods over a long study period. MATERIAL and METHODS: The medical records of kidney transplant recipients who had a diagnosis of pneumonia from 1988 to 2011 were reviewed retrospectively. RESULTS: Among 406 consecutive KT recipients, 20% had pneumonia during the study period and total 111 episodes of pneumonia developed in these patients. Fifty-six percent of the pneumonias were community acquired and 44% nosocomial. Bacterial infections were the most common cause (20%) and 13 (12%) of the episodes were polymicrobial. Antibiotic usage in the last three months was significantly more common in fungal pneumonia episodes than others. Bronchoscopy had the highest final overall diagnostic yield. CONCLUSION: Community-acquired pneumonia was more common, but it showed a more benign clinical course. Bacterial pneumonia was the most common cause, but polymicrobial infection was present in a significant number of KT recipients. Fungi can invade KT recipients, in particular, patients in the interval of 1-6 month after transplantation and patients who have used antibiotics in the last three months. KEy wORDS: Pneumonia, Kidney transplantation, Radiography, Physical examination, Nosocomial","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":"275-284"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48936846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-02DOI: 10.5262/tndt.2017.1003.09
I. Kocyiğit, I. Dogan, C. Yazıcı, E. Eroglu, A. Unal, M. Doǧan, M. Sipahioğlu, O. Oymak, B. Tokgoz
OBJECTIVE: There is little knowledge on the differences between PD or HD initiation in terms of early and late morbidity and other complications. We aimed to compare the effect of different dialysis modalities on inflammation and other complications in a one-year prospective follow-up. MATERIAL and METHODS: The patients were divided into three groups depending on their dialysis requirements and compared in terms of inflammation and complications. Group 1: The patients who had acute dialysis indication and started urgent PD (n=23), Group 2: The patients who had acute dialysis indication and started urgent HD (n=21), Group 3: The patients with no acute dialysis indication and started dialysis two weeks after PD catheter insertion (n=20). RESULTS: HD patients had significantly lower urine levels and higher hemoglobin levels after 12 months in comparison with other groups. Complications of catheter-related infections were similar among the three groups, although catheter-related leaks were only found in the urgent PD group. There were no differences in terms of inflammatory markers among the groups. CONCLUSION: Urgent PD could be an alternative modality in end-stage renal disease patients with acute dialysis requirement. KEy wORDS: Chronic kidney disease, Inflammation, Peritoneal dialysis, Hemodialysis
{"title":"Comparison of Different Dialysis Modalities in End-Stage Renal Disease Patients with Acute Dialysis Requirement","authors":"I. Kocyiğit, I. Dogan, C. Yazıcı, E. Eroglu, A. Unal, M. Doǧan, M. Sipahioğlu, O. Oymak, B. Tokgoz","doi":"10.5262/tndt.2017.1003.09","DOIUrl":"https://doi.org/10.5262/tndt.2017.1003.09","url":null,"abstract":"OBJECTIVE: There is little knowledge on the differences between PD or HD initiation in terms of early and late morbidity and other complications. We aimed to compare the effect of different dialysis modalities on inflammation and other complications in a one-year prospective follow-up. MATERIAL and METHODS: The patients were divided into three groups depending on their dialysis requirements and compared in terms of inflammation and complications. Group 1: The patients who had acute dialysis indication and started urgent PD (n=23), Group 2: The patients who had acute dialysis indication and started urgent HD (n=21), Group 3: The patients with no acute dialysis indication and started dialysis two weeks after PD catheter insertion (n=20). RESULTS: HD patients had significantly lower urine levels and higher hemoglobin levels after 12 months in comparison with other groups. Complications of catheter-related infections were similar among the three groups, although catheter-related leaks were only found in the urgent PD group. There were no differences in terms of inflammatory markers among the groups. CONCLUSION: Urgent PD could be an alternative modality in end-stage renal disease patients with acute dialysis requirement. KEy wORDS: Chronic kidney disease, Inflammation, Peritoneal dialysis, Hemodialysis","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":"298-304"},"PeriodicalIF":0.0,"publicationDate":"2017-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41915049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-22DOI: 10.5262/TNDT.2017.1002.01
Bulent Tokgoz
{"title":"Diyabeti ve Evre 3b veya Daha İleri Derecede (tGFH < 45 mL/dk) Kronik Böbrek Hastalığı Olan Hastaların Tedavisine İlişkin Avrupa En İyi Klinik Uygulama Kılavuzu","authors":"Bulent Tokgoz","doi":"10.5262/TNDT.2017.1002.01","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.01","url":null,"abstract":"","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47571680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-22DOI: 10.5262/TNDT.2017.1002.10
C. Alparslan, O. Yavascan, H. Erdoğan, O. Kara, A. Bal, E. Öncel, N. Aksu
OBJECTIVE: Chronic kidney disease (CKD) is an important problem in children worldwide. Clinical outcomes of CKD could be improved with early referral. In this study, we aimed to emphasize changing clinical and laboratory features of stage III and advanced CKD in children in the last 15 years at our clinic. MATERIAL and METHODS: The medical data of pediatric patients who had estimated glomerular filtration rates (eGFRs) of ≤60ml/min/1.73m2 treated at our hospital from January 1995 to December 2011 were retrospectively reviewed. Data were evaluated in three separate observation periods; period 1: January1995 to December 1999, period 2: January 2000 to December 2005, period 3: January 2006 to December 2011. Statistical analysis was conducted using chi-square and t-tests as well as Pearson correlation analysis in SPSS 20.0. RESULTS: A total of 242 patients (107 females; mean age 8.56±4.74 years) were included in the study. The leading cause of CKD was urologic diseases (136 patients, 56.2%). Recognizing the CKD children in late stages decreased over time. The number of children diagnosed and managed in a pre-dialysis program significantly increased during period 3. The rate of patients who required urgent dialysis was greater in period 1 (76.5%) than in period 2 (46.1% ) and period 3 (27%),(p<0.05). CONCLUSION: Based on our results, the frequency of urological abnormalities did not change significantly overtime. On the other hand, the need for urgent dialysis significantly decreased over time. KEy wORDS: Chronic kidney disease, Pediatric, End-stage renal disease
{"title":"Decreased Rate of CKD Stage V at Admission Among Children: A Single-Center Experience from the Western Part of Turkey","authors":"C. Alparslan, O. Yavascan, H. Erdoğan, O. Kara, A. Bal, E. Öncel, N. Aksu","doi":"10.5262/TNDT.2017.1002.10","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.10","url":null,"abstract":"OBJECTIVE: Chronic kidney disease (CKD) is an important problem in children worldwide. Clinical outcomes of CKD could be improved with early referral. In this study, we aimed to emphasize changing clinical and laboratory features of stage III and advanced CKD in children in the last 15 years at our clinic. MATERIAL and METHODS: The medical data of pediatric patients who had estimated glomerular filtration rates (eGFRs) of ≤60ml/min/1.73m2 treated at our hospital from January 1995 to December 2011 were retrospectively reviewed. Data were evaluated in three separate observation periods; period 1: January1995 to December 1999, period 2: January 2000 to December 2005, period 3: January 2006 to December 2011. Statistical analysis was conducted using chi-square and t-tests as well as Pearson correlation analysis in SPSS 20.0. RESULTS: A total of 242 patients (107 females; mean age 8.56±4.74 years) were included in the study. The leading cause of CKD was urologic diseases (136 patients, 56.2%). Recognizing the CKD children in late stages decreased over time. The number of children diagnosed and managed in a pre-dialysis program significantly increased during period 3. The rate of patients who required urgent dialysis was greater in period 1 (76.5%) than in period 2 (46.1% ) and period 3 (27%),(p<0.05). CONCLUSION: Based on our results, the frequency of urological abnormalities did not change significantly overtime. On the other hand, the need for urgent dialysis significantly decreased over time. KEy wORDS: Chronic kidney disease, Pediatric, End-stage renal disease","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49123220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-22DOI: 10.5262/tndt.2017.1002.07
Dilek Barutçu Ataş, Hakki Arikan, S. Ecder, Hilmi Çiftçi
OBJEctIVE: This study was designed to compare anxiety, depression and the quality of life in hemodialysis (HD) and renal transplant (Tx) patients. MAtErIAl and MEtHODS: A total of 90 patients (50 HD, 40 Tx) were included in the study. Data was collected using the Beck Anxiety Inventory, Beck Depression Inventory and the SF-36 quality of life scale. Chi-square test, analysis of variance and independent samples t test were used for statistical analysis. rESultS: Both groups had similar socio-demographic characteristics. There was no significant difference in anxiety and depression scores between the groups (p>0,05). However, anxiety and depression scores were higher in women. There was no correlation between the duration of dialysis treatment with anxiety or depression but the post-transplant time was positively correlated with anxiety and depression. The quality of life sub-scales of physical function, physical role difficulties, role emotional distress, vitality, general health and physical component scores were found lower in the HD group (p<0.05). Quality of life scores were similar in males and females. cOncluSIOn: Anxiety and depression scores were similar in HD and renal transplantation patients whereas the quality of life was better in the Tx group.
{"title":"Hemodiyaliz ve Böbrek Nakli Hastalarında Anksiyete, Depresyon ve Yaşam Kalitesinin Karşılaştırılması","authors":"Dilek Barutçu Ataş, Hakki Arikan, S. Ecder, Hilmi Çiftçi","doi":"10.5262/tndt.2017.1002.07","DOIUrl":"https://doi.org/10.5262/tndt.2017.1002.07","url":null,"abstract":"OBJEctIVE: This study was designed to compare anxiety, depression and the quality of life in hemodialysis (HD) and renal transplant (Tx) patients. MAtErIAl and MEtHODS: A total of 90 patients (50 HD, 40 Tx) were included in the study. Data was collected using the Beck Anxiety Inventory, Beck Depression Inventory and the SF-36 quality of life scale. Chi-square test, analysis of variance and independent samples t test were used for statistical analysis. rESultS: Both groups had similar socio-demographic characteristics. There was no significant difference in anxiety and depression scores between the groups (p>0,05). However, anxiety and depression scores were higher in women. There was no correlation between the duration of dialysis treatment with anxiety or depression but the post-transplant time was positively correlated with anxiety and depression. The quality of life sub-scales of physical function, physical role difficulties, role emotional distress, vitality, general health and physical component scores were found lower in the HD group (p<0.05). Quality of life scores were similar in males and females. cOncluSIOn: Anxiety and depression scores were similar in HD and renal transplantation patients whereas the quality of life was better in the Tx group.","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42467300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-22DOI: 10.5262/TNDT.2017.1002.04
Nurhan Seyahi, Kenan Ateş, Gultekin Suleymanlar
{"title":"Türkiye’de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2015 Yılı Özet Raporu","authors":"Nurhan Seyahi, Kenan Ateş, Gultekin Suleymanlar","doi":"10.5262/TNDT.2017.1002.04","DOIUrl":"https://doi.org/10.5262/TNDT.2017.1002.04","url":null,"abstract":"","PeriodicalId":42328,"journal":{"name":"Turkish Nephrology Dialysis and Transplantation Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70727889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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