Search results for "HEMODIALYSIS"

Inflammation is an amplifier of lung congestion by high lv filling pressure in hemodialysis patients: a longitudinal study

2019

Introduction Since infammation alters vascular permeability, including vascular permeability in the lung, we hypothesized that it can be an amplifer of lung congestion in a category of patients at high risk for pulmonary oedema like end stage kidney disease (ESKD) patients. Objective and methods We investigated the efect modifcation by systemic infammation (serum CRP) on the relationship between a surrogate of the flling pressure of the LV [left atrial volume indexed to the body surface area (LAVI)] and lung water in a series of 220 ESKD patients. Lung water was quantifed by the number of ultrasound B lines (US-B) on lung US. Six-hundred and three recordings were performed during a 2-year f…

Measurement of microalbuminuria – what the nephrologist should know

2005

Perifērās neiropātijas izmeklēšana hemodialīzes pacientiem

2018

Pamatinformācija: Hroniska nieru slimība (HNS) ir globāla veselības problēma, kuras vidējā izplatība Eiropā ir 18.4 %. Perifērā neiropātija (PN) ir visizplatītākā neiroloģiskā komplikācija (~ 60 līdz 100 %) šiem pacientiem. PN diagnoze ietver padziļinātu klīnisko izmeklēšanu, tai skaitā pacienta slimības vēstures analīzi, neiroloģisko izmeklēšanu, laboratorisko testēšanu un elektrofizioloģiskās izmeklēšanas metodes. Skrīninga metodes var palīdzēt agrīni noteikt PN HNS pacientiem un laicīgi sākt terapiju, mainot slimības attīstības gaitu. Mērķis: Noteikt perifēro neiropātiju HNS pacientiem ar Mičiganas neiropātijas skrīninga metodes (MNSI) palīdzību, kas apstiprināta un pielietota cukura dia…

Sleep Apnea and the Kidney

2020

Abstract Purpose of Review There are some uncertainties about the interactions between obstructive sleep apnea (OSA) and chronic kidney disease (CKD). We critically reviewed recent studies on this topic with a focus on experimental and clinical evidence of bidirectional influences between OSA and CKD, as well as the effects of treatment of either disease. Recent Findings Experimental intermittent hypoxia endangers the kidneys, possibly through activation of inflammatory pathways and increased blood pressure. In humans, severe OSA can independently decrease kidney function. Treatment of OSA by CPAP tends to blunt kidney function decline over time, although its effect may vary. OSA may increa…

Self-Organising Maps: A new way to screen the level of satisfaction of dialysis patients

2012

Highlights? FME as dialysis services global provider monitors patient satisfaction in its network. ? A specific questionnaire was developed and administered to the hemodialysis patients. ? To detect residual area of low satisfaction the Self-Organising Map was implemented. ? This method allows identifying niches of dissatisfaction for specific patient groups. Evaluation of patient satisfaction has become an important indicator for assessing health care quality. Fresenius Medical Care (FME) as a global provider of dialysis services through its NephroCare network has a strong interest in monitoring patient satisfaction.The aim of the paper is to test and validate a methodology for detecting a…

Evaluation of changes in salivary composition in renal failure patients before and after hemodialysis

2017

Background Saliva plays a major role in preserving the integrity of oral tissues. The oral health of renal failure patients could be negatively affected by the underlying pathology, the dialysis treatment, or an altered salivary composition. Major systemic changes occur during hemodialysis (HD), which could affect the flow rate and biochemical composition of saliva. Therefore, the aim of this study was to evaluate the effects of HD on the salivary flow rate, pH and biochemical composition before and after completion of a dialysis session. Material and methods Thirty Renal failure patients undergoing hemodialysis were selected based on the inclusion and exclusion criteria set forth for the s…

Evaluation of salivary parameters and dental status in adult hemodialysis patients in an indian population.

2018

Background Renal failure is a process that expresses a loss of functional capacity of the nephrons, independently of its etiology. The most widely used technique to combat renal failure is hemodialysis. Renal failure causes various systemic alterations including oral complications such as variations in the flow and composition of the saliva. Caries is a multifactorial disease and impaired stimulated salivary flow rate and buffering capacity are the best-known risk factors. The present study aims to evaluate the salivary pH, buffering capacity and the flow rate of saliva to the DMFT status in adult hemodialysis patients among the Indian population. Material and Methods Twenty healthy individ…

A parametric CFD study of hollow fiber membrane modules for hemodialysis

2022

Hemodialysis is a membrane-based process in which solute transport from the patient’s blood to a rinsing solution (dialysate) occurs by diffusion and ultrafiltration. Devices used in hemodialysis are cylindrical modules filled with hollow-fiber membranes which allow the removal of toxic substances and metabolic wastes from the blood, but inhibit the passage of proteins and cells to the dialysate. A predictive porous-media model of hemodialysis was developed and validated against experimental data. Unlike previous literature models, it requires only basic membrane properties (hydraulic and diffusive permeabilities and reflection coefficients) instead of relying on empirically adjusted global…

A porous media CFD model for the simulation of hemodialysis in hollow fiber membrane modules

2022

A computational model was developed to predict the performance of hollow fiber membrane hemodialyzers. Blood and dialysate were modelled as fluids flowing through two interpenetrating porous media. Concerning hydrodynamics, experimental Darcy permeabilities measured for commercial hemodialyzers were used for both compartments. Concerning mass transfer, both diffusion and ultrafiltration were simulated. On the blood side theoretical Sherwood numbers for parallel flow in pipes were adopted. On the dialysate side Sherwood numbers were derived from CFD predictions for regular hexagonal fiber bundles. Solute concentrations on the two sides were alternatively computed in an iterative way and were…

Performance Comparison of Alternative Hollow-Fiber Modules for Hemodialysis by Means of a CFD-Based Model

2022

Commercial hemodialyzers are hollow-fiber cylindrical modules with dimensions and inlet–outlet configurations dictated mostly by practice. However, alternative configurations are possible, and one may ask how they would behave in terms of performance. In principle, it would be possible to depart from the standard counter-flow design, while still keeping high clearance values, thanks to the increase in the shell-side Sherwood number (Sh) due to the cross-flow. To elucidate these aspects, a previously developed computational model was used in which blood and dialysate are treated as flowing through two interpenetrating porous media. Measured Darcy permeabilities and mass transfer coefficients…