Aim: To identify the social and occupational risk factors associated with CKDu (Chronic Kidney Disease of unknown etiology) patients living in an agricultural community in Kebithigollewa, Sri Lanka.
{"title":"Identification of Social and Occupational Risk Factors Associated with CKDu (Chronic Kidney Disease of Unknown Etiology) Patients Living in an Agricultural Community in Kebithigollewa, Sri Lanka","authors":"Lowe C, Kumarasinghe N","doi":"10.16966/2380-5498.217","DOIUrl":"https://doi.org/10.16966/2380-5498.217","url":null,"abstract":"Aim: To identify the social and occupational risk factors associated with CKDu (Chronic Kidney Disease of unknown etiology) patients living in an agricultural community in Kebithigollewa, Sri Lanka.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391545","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}
Tchaou Ba, Ahoui S, Samaké Bm, Tchégnonsi Ncf, Eteka E, Ngangen Nongni Ae, Chobli M
Background: Acute renal injury during preeclampsia is a relatively common complication in intensive care and grafted with significant morbidity and mortality.
背景:子痫前期急性肾损伤是重症监护和移植手术中比较常见的并发症，发病率和死亡率都很高。
{"title":"Acute Kidney Failure during Preeclampsia at Parakou University Hospital in Benin in 2019: Diagnostic and Therapeutic Aspects","authors":"Tchaou Ba, Ahoui S, Samaké Bm, Tchégnonsi Ncf, Eteka E, Ngangen Nongni Ae, Chobli M","doi":"10.16966/2380-5498.204","DOIUrl":"https://doi.org/10.16966/2380-5498.204","url":null,"abstract":"Background: Acute renal injury during preeclampsia is a relatively common complication in intensive care and grafted with significant morbidity and mortality.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391192","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}
Patients with renal disease are at risk of fluid overload which escalates as the disease progresses. In the present study, we evaluated the increase in the intensity of the second heart sound generated by its pulmonary component (P2) and its correlation with fluid overload in such patients. To confirm its potentials and avoid interference with patients with cardiac disease; we included only those who lacked echocardiographic evidence of (a) ASD or VSD, (b) primary cardiac defects associated with high P2 viz pulmonary aneurysm, mitral stenosis and myocardial disease, (c) primary cardiac defects associated with soft P2 viz pulmonary stenosis, pulmonary atresia and tetralogy of Fallot, (d) primary cardiac defects associated with low A2 viz mitral regurgitation, aortic regurgitation, low diastolic arterial pressure, severe immobile aortic valve disease. To assess the extent of fluid overload; the clinical examination was complemented with radiological imaging as well as the echocardiographic measurement of systolic pulmonary arterial pressure. There was a significant correlation between P2 intensity and fluid changes. In conclusion; load P2 is a useful clinical clue to fluid overload and decline in its intensity correlates with the extent of fluid removal.
{"title":"Loud P2 on Cardiac Auscultation: A Useful Clinical Clue to Fluid Overload","authors":"E. K, A. S, Dashti R","doi":"10.16966/2380-5498.210","DOIUrl":"https://doi.org/10.16966/2380-5498.210","url":null,"abstract":"Patients with renal disease are at risk of fluid overload which escalates as the disease progresses. In the present study, we evaluated the increase in the intensity of the second heart sound generated by its pulmonary component (P2) and its correlation with fluid overload in such patients. To confirm its potentials and avoid interference with patients with cardiac disease; we included only those who lacked echocardiographic evidence of (a) ASD or VSD, (b) primary cardiac defects associated with high P2 viz pulmonary aneurysm, mitral stenosis and myocardial disease, (c) primary cardiac defects associated with soft P2 viz pulmonary stenosis, pulmonary atresia and tetralogy of Fallot, (d) primary cardiac defects associated with low A2 viz mitral regurgitation, aortic regurgitation, low diastolic arterial pressure, severe immobile aortic valve disease. To assess the extent of fluid overload; the clinical examination was complemented with radiological imaging as well as the echocardiographic measurement of systolic pulmonary arterial pressure. There was a significant correlation between P2 intensity and fluid changes. In conclusion; load P2 is a useful clinical clue to fluid overload and decline in its intensity correlates with the extent of fluid removal.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391295","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}
Daza Jl, Galindo Jf, Villaquiran Mr, Valenzuela Ed, Cardenas A, Daza Lj, Correcha Mc, de Jong J, Prieto Ydlc, Gutierrez G, Puello L
Background and objectives: An arteriovenous fistula is considered to be an ideal vascular access for patients receiving hemodialysis, its main limitation is its high failure rate to achieve maturation and long-term functionality loss. Multiple strategies have attempted to identify patients at risk. Bioelectrical impedance has shown to be a valuable resource in the determination of the hydration status, and the measurement of the phase angle through this method has demonstrated to be a good indicator of the nutritional state and it’s related as a general marker of survival. The objective of this study is to analyze the role of plasma albumin and phase angle measured through bioelectrical impedance as tools useful for predicting failure of arteriovenous fistulas.
{"title":"Multifrequency Bioimpedance Phase Angle as a Tool to Predict Maturation Failure of Native Fistulae for Hemodialysis","authors":"Daza Jl, Galindo Jf, Villaquiran Mr, Valenzuela Ed, Cardenas A, Daza Lj, Correcha Mc, de Jong J, Prieto Ydlc, Gutierrez G, Puello L","doi":"10.16966/2380-5498.215","DOIUrl":"https://doi.org/10.16966/2380-5498.215","url":null,"abstract":"Background and objectives: An arteriovenous fistula is considered to be an ideal vascular access for patients receiving hemodialysis, its main limitation is its high failure rate to achieve maturation and long-term functionality loss. Multiple strategies have attempted to identify patients at risk. Bioelectrical impedance has shown to be a valuable resource in the determination of the hydration status, and the measurement of the phase angle through this method has demonstrated to be a good indicator of the nutritional state and it’s related as a general marker of survival. The objective of this study is to analyze the role of plasma albumin and phase angle measured through bioelectrical impedance as tools useful for predicting failure of arteriovenous fistulas.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391422","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 : 2020-12-28DOI: 10.21203/rs.3.rs-132281/v1
Xin Huang, Bin-rong Ma, Wenhao Lin, Kun Shao, Huimin An, J. Dai, Da Xu, P. Zhou, Ju-ping Zhao
Background: Compensatory renal growth following nephrectomy is common. We try to explore the compensatory capacity of the living-related donor’s remnant kidney and recipient’s transplanted kidney in terms of the glomerular filtration rate (GFR) one month after transplantation. Methods: Clinical data of 94 patients who received living-related kidney transplantation in our hospital between June 2007 and December 2017 were reviewed retrospectively. GFR was calculated by 99mTc-DTPA detection. The GFR compensatory capacity of donor’s remnant and donated kidneys in their new milieus after transplantation was compared. The differential value (D-value) of split renal function was defined as postoperative GFR - preoperative ipsilateral GFR. The compensatory percentage (C-percentage) of split renal function was defined as (postoperative GFR - preoperative ipsilateral GFR)/preoperative ipsilateral GFR. Results: The median D-value of the donor’s remnant kidney increased by 20.8 ml/(min·1.73m2)[IQR=8.9-29.6 ml/(min·1.73m2)] with a C-percentage of 46.6% (IQR=17.0%-73.0%). The median D-value of the donated kidney increased by 30.6 ml/(min·1.73m2)[IQR=19.8-42.3 ml/(min·1.73m2)] with a C-percentage of 67.8% (IQR=39.6%-94.7%). Multivariable analysis showed that only split preoperative GFR in the donor was the independent predictor for C-percentage of the split kidney. Conclusions: Renal function could be well preserved and compensated after kidney donation in most donors and recipients in Chinese population. Healthy donors with a good GFR before operation possessed a mighty functional compensation capacity.
{"title":"Compensation Capacity of The Living-Related Donor’s Remnant Kidney and Recipient’s Transplanted Kidney","authors":"Xin Huang, Bin-rong Ma, Wenhao Lin, Kun Shao, Huimin An, J. Dai, Da Xu, P. Zhou, Ju-ping Zhao","doi":"10.21203/rs.3.rs-132281/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-132281/v1","url":null,"abstract":"\u0000 Background: Compensatory renal growth following nephrectomy is common. We try to explore the compensatory capacity of the living-related donor’s remnant kidney and recipient’s transplanted kidney in terms of the glomerular filtration rate (GFR) one month after transplantation. Methods: Clinical data of 94 patients who received living-related kidney transplantation in our hospital between June 2007 and December 2017 were reviewed retrospectively. GFR was calculated by 99mTc-DTPA detection. The GFR compensatory capacity of donor’s remnant and donated kidneys in their new milieus after transplantation was compared. The differential value (D-value) of split renal function was defined as postoperative GFR - preoperative ipsilateral GFR. The compensatory percentage (C-percentage) of split renal function was defined as (postoperative GFR - preoperative ipsilateral GFR)/preoperative ipsilateral GFR. Results: The median D-value of the donor’s remnant kidney increased by 20.8 ml/(min·1.73m2)[IQR=8.9-29.6 ml/(min·1.73m2)] with a C-percentage of 46.6% (IQR=17.0%-73.0%). The median D-value of the donated kidney increased by 30.6 ml/(min·1.73m2)[IQR=19.8-42.3 ml/(min·1.73m2)] with a C-percentage of 67.8% (IQR=39.6%-94.7%). Multivariable analysis showed that only split preoperative GFR in the donor was the independent predictor for C-percentage of the split kidney. Conclusions: Renal function could be well preserved and compensated after kidney donation in most donors and recipients in Chinese population. Healthy donors with a good GFR before operation possessed a mighty functional compensation capacity.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43359180","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}
D. Ct, Matheus We, U. Ferreira, M. Mazzali, De Lima Ml
Purpose: Adaptive changes to acute reduction in renal mass after radical nephrectomy can cause Chronic Kidney Disease (CKD) more frequently in patients with renal cancer compared to kidney donors. The aim of this study was to compare changes in Estimated Glomerular Filtration Rate (eGFR) 1-year after radical nephrectomy for cancer vs kidney donation and to identify risk factors for CKD.
{"title":"Changes in Renal Function One Year after Radical Nephrectomy for Cancer Compared to Kidney Donation","authors":"D. Ct, Matheus We, U. Ferreira, M. Mazzali, De Lima Ml","doi":"10.16966/2380-5498.185","DOIUrl":"https://doi.org/10.16966/2380-5498.185","url":null,"abstract":"Purpose: Adaptive changes to acute reduction in renal mass after radical nephrectomy can cause Chronic Kidney Disease (CKD) more frequently in patients with renal cancer compared to kidney donors. The aim of this study was to compare changes in Estimated Glomerular Filtration Rate (eGFR) 1-year after radical nephrectomy for cancer vs kidney donation and to identify risk factors for CKD.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391391","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}
Background: The burden of CKD in our environment remains high while biopsy uptake is low, making for high level of uncertainty in the morphologic characterization of renal disorders. Aim: To evaluate kidney necropsy tissues of violent death victims, asymptomatic of renal disorders, with a view to detecting lesions of clinical interest and determining the morphologic features of such lesions. Also to review the literature for silent conditions that advances the course of CKD. Materials and Methods: Prospective cohort study carried out on kidney necropsy tissues of violent death victims who in their antemortem states were asymptomatic of renal disorders. Subjects were firearm and road traffic accident victims irrespective of gender and age brought to UPTH morgue in January 2017, whose close relatives consented. Information confirming that decedents were asymptomatic of a renal disorder was obtained from deceased’s close relatives. Necropsy tissues were processed using standard operating procedures for histopathology of renal biopsies, and slides were read by the authors using light microscopy only. Results: Forty-three tissues were collected-41 males and 2 females. Mean and peak ages were 29.3 (4.9) and 21-30 years with 25/43 (58.1%). Twenty cases (46.5%) showed glomerular pathologies composed of 18.6% FSGS and 27.9% MPGN. Twenty three cases (53.5%) were devoid of histologic evidence of glomerular injury. All cases showed evidence of variable degrees of acute tubular injury with ten cases (23.3%) showing PAS positive casts. Four cases (two each from FSGS and MPGN) displayed chronic interstitial nephritis with mild fibrosis. There was thickening of the arteriolar tunica media in 12 bodies (27.9%). Conclusion: Prevalence of asymptomatic CKD is very high among the youths of our locality. Glomerular lesions constitute common pathogenetic bases unlike tubulointerstitial and vascular lesions which were uncommon. Enunciating measures that targeted the youths aimed at reducing rate of smoking and abuse of common analgesics like paracetamol as well as measures that will improve the overall socioeconomic status and encourage routine medical examinations may reverse the upward trend of asymptomatic CKD among our youths.
{"title":"Incidental Renal Disorders Found at Necropsies of Violent Death Victims","authors":"Obiorah Cc, Edi Po","doi":"10.16966/2380-5498.176","DOIUrl":"https://doi.org/10.16966/2380-5498.176","url":null,"abstract":"Background: The burden of CKD in our environment remains high while biopsy uptake is low, making for high level of uncertainty in the morphologic characterization of renal disorders. Aim: To evaluate kidney necropsy tissues of violent death victims, asymptomatic of renal disorders, with a view to detecting lesions of clinical interest and determining the morphologic features of such lesions. Also to review the literature for silent conditions that advances the course of CKD. Materials and Methods: Prospective cohort study carried out on kidney necropsy tissues of violent death victims who in their antemortem states were asymptomatic of renal disorders. Subjects were firearm and road traffic accident victims irrespective of gender and age brought to UPTH morgue in January 2017, whose close relatives consented. Information confirming that decedents were asymptomatic of a renal disorder was obtained from deceased’s close relatives. Necropsy tissues were processed using standard operating procedures for histopathology of renal biopsies, and slides were read by the authors using light microscopy only. Results: Forty-three tissues were collected-41 males and 2 females. Mean and peak ages were 29.3 (4.9) and 21-30 years with 25/43 (58.1%). Twenty cases (46.5%) showed glomerular pathologies composed of 18.6% FSGS and 27.9% MPGN. Twenty three cases (53.5%) were devoid of histologic evidence of glomerular injury. All cases showed evidence of variable degrees of acute tubular injury with ten cases (23.3%) showing PAS positive casts. Four cases (two each from FSGS and MPGN) displayed chronic interstitial nephritis with mild fibrosis. There was thickening of the arteriolar tunica media in 12 bodies (27.9%). Conclusion: Prevalence of asymptomatic CKD is very high among the youths of our locality. Glomerular lesions constitute common pathogenetic bases unlike tubulointerstitial and vascular lesions which were uncommon. Enunciating measures that targeted the youths aimed at reducing rate of smoking and abuse of common analgesics like paracetamol as well as measures that will improve the overall socioeconomic status and encourage routine medical examinations may reverse the upward trend of asymptomatic CKD among our youths.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67390968","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}
{"title":"How Does the Multi-Disciplinary Team Impact Chronic Kidney Disease Management?","authors":"H. B, F. M.","doi":"10.16966/2380-5498.177","DOIUrl":"https://doi.org/10.16966/2380-5498.177","url":null,"abstract":"","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67391009","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}
D. Tal, T Chirima, G Kinsala, D. Simelane, N. Hlatshwayo, Dlamini Na, X. Dlamini, Kunene Ts, Dlamini Sw, N Matekere
Background: Eswatini, a land-locked country in Southern Africa with a population of about 1.4 million, is one of the few countries in Africa where dialysis is available as part of the country’s health plan. This is the first study of the pattern of kidney disease amongst patients receiving acute dialysis in the country. Methods: This was a retrospective folder review of patients who were dialysed at Eswatini’s three institutions where dialysis is offered. Patients dialysed acutely from the 1st of June 2015 to the 31st of May 2016 were included. A data collection form was used to collect information on patient demographics (de-identified), co-morbidities, reason for referral for dialysis, place of referral, basic investigations, and outcome in terms of renal recovery, need for chronic dialysis and 30 day mortality. The study was approved by the National Health Research Review Board, the Ethics committee of Eswatini. A waiver of consent was granted as patient information was de-identified. Data from the data collection forms was entered into Microsoft Excel and RStudio software for analysis by the principal investigators. Preliminary Results: A total number of 219 patients received acute dialysis over the study period. Ages ranged from 9 months to 84 years. Most underwent acute haemodialysis with only 4 undergoing acute peritoneal dialysis. The majority (131) 59.8% were male. Co-morbidities included HIV in 124 (56.6%), hypertension in 118 (54.1%), diabetes in 48 (21.9%), and urinary tract obstruction in 13 (5.9%). A total of 87 (39.7%) patients had received Tenofovir Disoproxil Fumarate for treatment of HIV. Of the patients with available data, those achieving partial or full renal recovery within 30 days totaled 42 (19.2%), and 88 (40.2%) went onto chronic dialysis. There were 31 deaths (out 189 identified folders) (16.4%) within 30 days. Conclusions: Dialysis requiring patients in Eswatini include the young and old. The most notable risk factors are hypertension and HIV, as well as recent use of Tenofovir Disoproxil Fumarate. A large proportion of patients present with advanced kidney disease that requires ongoing renal replacement therapy. Improved management of the identified risk factors for acute and chronic kidney disease may reduce the number of patients requiring dialysis in Eswatini.
{"title":"The Characteristics, Management and Outcome of Patients Receiving Acute Dialysis in Swaziland (Eswatini)","authors":"D. Tal, T Chirima, G Kinsala, D. Simelane, N. Hlatshwayo, Dlamini Na, X. Dlamini, Kunene Ts, Dlamini Sw, N Matekere","doi":"10.16966/2380-5498.180","DOIUrl":"https://doi.org/10.16966/2380-5498.180","url":null,"abstract":"Background: Eswatini, a land-locked country in Southern Africa with a population of about 1.4 million, is one of the few countries in Africa where dialysis is available as part of the country’s health plan. This is the first study of the pattern of kidney disease amongst patients receiving acute dialysis in the country. Methods: This was a retrospective folder review of patients who were dialysed at Eswatini’s three institutions where dialysis is offered. Patients dialysed acutely from the 1st of June 2015 to the 31st of May 2016 were included. A data collection form was used to collect information on patient demographics (de-identified), co-morbidities, reason for referral for dialysis, place of referral, basic investigations, and outcome in terms of renal recovery, need for chronic dialysis and 30 day mortality. The study was approved by the National Health Research Review Board, the Ethics committee of Eswatini. A waiver of consent was granted as patient information was de-identified. Data from the data collection forms was entered into Microsoft Excel and RStudio software for analysis by the principal investigators. Preliminary Results: A total number of 219 patients received acute dialysis over the study period. Ages ranged from 9 months to 84 years. Most underwent acute haemodialysis with only 4 undergoing acute peritoneal dialysis. The majority (131) 59.8% were male. Co-morbidities included HIV in 124 (56.6%), hypertension in 118 (54.1%), diabetes in 48 (21.9%), and urinary tract obstruction in 13 (5.9%). A total of 87 (39.7%) patients had received Tenofovir Disoproxil Fumarate for treatment of HIV. Of the patients with available data, those achieving partial or full renal recovery within 30 days totaled 42 (19.2%), and 88 (40.2%) went onto chronic dialysis. There were 31 deaths (out 189 identified folders) (16.4%) within 30 days. Conclusions: Dialysis requiring patients in Eswatini include the young and old. The most notable risk factors are hypertension and HIV, as well as recent use of Tenofovir Disoproxil Fumarate. A large proportion of patients present with advanced kidney disease that requires ongoing renal replacement therapy. Improved management of the identified risk factors for acute and chronic kidney disease may reduce the number of patients requiring dialysis in Eswatini.","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67390627","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}
{"title":"A Review of Midodrine for the Treatment of Intradialytic Hypotension","authors":"S. V.","doi":"10.16966/2380-5498.169","DOIUrl":"https://doi.org/10.16966/2380-5498.169","url":null,"abstract":"","PeriodicalId":92052,"journal":{"name":"International journal of nephrology and kidney failure","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67390870","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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