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KIDNEY FAILURE TREATMENT OPTIONS Choosing What’S Best for You What Kidneys Do
KIDNEY FAILURE TREATMENT OPTIONS Choosing What’s Best For You What Kidneys Do The kidneys are a pair of bean shaped organs located below your ribcage near the middle of your back. Kidneys play a vital role in the body by filtering blood, removing waste and extra water, balancing electrolytes—sodium, potassium, chloride, and biacarbonate, and regulating blood pressure. As kidneys filter blood they create urine/wastes which collect in the bladder until you go to the bath- room. If your body doesn’t remove these wastes, they build up in the blood and damage the body. For most people this damage occurs slowly over many years causing Chronic Kidney Disease (CKD). CKD eventually results in End Stage Renal Disease (ESRD) which is when dialysis or a transplant becomes necessary. 2 TREATMENT OPTIONS Treatment Options This guide will cover four treatment options for your condition: l Hemodialysis (in-center & home) l Peritoneal Dialysis l Kidney Transplantation l Comfort Care Introduction When diagnosed with kidney disease, the key to feeling better is to follow the treatment plan developed by your doctor and other members of your care team including nurses, dietitians, and social workers. Following the advice of your medical professionals will help you lead the healthiest lifestyle possible. When your kidneys are unable to remove extra fluid and waste from the body, dialysis is generally recommended. Dialysis helps alleviate many of the health problems people with kidney failure experience. Dialysis can be done in a hospital, a dialysis clinic, or at home. Once you know all of your treatment options, you will make the decision of where you choose to have dialysis with the help of your doctor, other health care professionals, and your family. -
Guidelines on the Diagnosis and Management of Pericardial
European Heart Journal (2004) Ã, 1–28 ESC Guidelines Guidelines on the Diagnosis and Management of Pericardial Diseases Full Text The Task Force on the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology Task Force members, Bernhard Maisch, Chairperson* (Germany), Petar M. Seferovic (Serbia and Montenegro), Arsen D. Ristic (Serbia and Montenegro), Raimund Erbel (Germany), Reiner Rienmuller€ (Austria), Yehuda Adler (Israel), Witold Z. Tomkowski (Poland), Gaetano Thiene (Italy), Magdi H. Yacoub (UK) ESC Committee for Practice Guidelines (CPG), Silvia G. Priori (Chairperson) (Italy), Maria Angeles Alonso Garcia (Spain), Jean-Jacques Blanc (France), Andrzej Budaj (Poland), Martin Cowie (UK), Veronica Dean (France), Jaap Deckers (The Netherlands), Enrique Fernandez Burgos (Spain), John Lekakis (Greece), Bertil Lindahl (Sweden), Gianfranco Mazzotta (Italy), Joa~o Morais (Portugal), Ali Oto (Turkey), Otto A. Smiseth (Norway) Document Reviewers, Gianfranco Mazzotta, CPG Review Coordinator (Italy), Jean Acar (France), Eloisa Arbustini (Italy), Anton E. Becker (The Netherlands), Giacomo Chiaranda (Italy), Yonathan Hasin (Israel), Rolf Jenni (Switzerland), Werner Klein (Austria), Irene Lang (Austria), Thomas F. Luscher€ (Switzerland), Fausto J. Pinto (Portugal), Ralph Shabetai (USA), Maarten L. Simoons (The Netherlands), Jordi Soler Soler (Spain), David H. Spodick (USA) Table of contents Constrictive pericarditis . 9 Pericardial cysts . 13 Preamble . 2 Specific forms of pericarditis . 13 Introduction. 2 Viral pericarditis . 13 Aetiology and classification of pericardial disease. 2 Bacterial pericarditis . 14 Pericardial syndromes . ..................... 2 Tuberculous pericarditis . 14 Congenital defects of the pericardium . 2 Pericarditis in renal failure . 16 Acute pericarditis . 2 Autoreactive pericarditis and pericardial Chronic pericarditis . 6 involvement in systemic autoimmune Recurrent pericarditis . 6 diseases . 16 Pericardial effusion and cardiac tamponade . -
Computing in Cardiology
COMPUTING IN CARDIOLOGY September 13-16, 2020 Rimini, Italy Table of Contents Sponsors 3 Welcome to CinC@Rimini in 2020! 5 Board of Directors 7 Local Organizing Committee 8 Letter from the President 9 Welcome to Brno for CinC 2021 10 Maps 11 General Map of Rimini 11 Transportation, Hotels and Practical Information 14 Transportation 14 By air 14 By car 14 By train 14 Local Transportation in Rimini 15 By bus 15 By bike 15 Practical Information 16 Climate 16 Money/currency 16 Emergency phone numbers 16 Electric standards 16 Language 17 Time Zones 17 Mobile Phones 17 Safety and Security 17 COVID-19 emergency – Main general rules in Emilia - Romagna 17 COVID-19 emergency – Safety rules and procedures at Palacongressi 18 Internet Access 19 Computing in Cardiology 2020 1 Meals 20 Accompanying Persons (Guests) 20 Conference Information 21 General Information 21 Sunday Symposium 21 Programme outline 21 Conference site 22 Monday Social Program 23 Activist program 23 Passivist program 24 For Authors and Speakers 25 Oral presentations 25 IN PERSON oral presentations 25 REMOTE oral presentations 26 Q&A during oral presentations 26 Poster presentations 26 IN PERSON poster session 26 REMOTE poster session 27 Rosanna Degani Young Investigator Award 28 Clinical Needs Translational (CTA) Award 28 PhysioNet/Computing in Cardiology Challenge 2020 28 Maastricht Simulation Award (MSA) 29 Deadlines 29 Manuscripts 29 Scientific Program Details 31 Program Overview 2 Computing in Cardiology 2020 Sponsors Computing in Cardiology 2020 is supported by several institutions, companies and academic partnerships. The Local Organizing Committee would like to thank the following partners: Computing in Cardiology 2020 3 4 Computing in Cardiology 2020 Welcome to CinC@Rimini in 2020! Dear Colleagues and Friends, On behalf of the Local Organizing Committee, we warmly welcome you to Computing in Cardiology 2020. -
Clinical Guideline Experimental Or Investigational Services
Clinical Guideline Guideline Number: CG012, Ver. 6 Experimental or Investigational Services Disclaimer Clinical guidelines are developed and adopted to establish evidence-based clinical criteria for utilization management decisions. Oscar may delegate utilization management decisions of certain services to third-party delegates, who may develop and adopt their own clinical criteria. Clinical guidelines are applicable to certain plans. Clinical guidelines are applicable to members enrolled in Medicare Advantage plans only if there are no criteria established for the specified service in a Centers for Medicare & Medicaid Services (CMS) national coverage determination (NCD) or local coverage determination (LCD) on the date of a prior authorization request. Services are subject to the terms, conditions, limitations of a member’s policy and applicable state and federal law. Please reference the member’s policy documents (e.g., Certificate/Evidence of Coverage, Schedule of Benefits) or contact Oscar at 855-672-2755 to confirm coverage and benefit conditions. Summary The services referenced in this Clinical Guideline are considered experimental or investigational and are therefore not covered by Oscar. The services referenced in this Clinical Guideline may not be all- inclusive. Specific benefit plan documents (e.g., Certificate of Coverage, Schedule of Benefits) and federal or state mandated health benefits and laws take precedence over this Clinical Guideline. A service considered experimental or investigational when its safety and efficacy has been established. They may have outcomes that are inferior to standard medical treatment, for which long-term clinical utility has been established. To determine whether a service, device, treatment or procedure has proven safety and efficacy, the available reliable evidence is reviewed, which may include but is not limited to (listed in order of decreasing reliability): 1. -
Chronic Kidney Disease a Patient’S Guide
Chronic Kidney Disease A Patient’s Guide WHAT IS CHRONIC KIDNEY DISEASE (CKD)? chronic kidney disease, have heart disease or are over 60 years CKD is a preventable and treatable disease. Controlling old, you are at higher risk of CKD and should be screened for diabetes and reducing blood pressure will help you live longer this problem. and feel better. HOW IS CHRONIC KIDNEY DISEASE DIAGNOSED? The kidneys are responsible for removing liquid waste from CKD is diagnosed with (1) a blood test and (2) a urine test. the body. They are basically the body’s water filtration system. The blood test is called a glomerular filtration rate or GFR. If CKD is becoming much more common. Up to 20 million the GFR is above 60, kidney function is adequate and the risks Americans have CKD. If it is not treated early, it causes of major complications are minimal. Although not perfect, the death from heart disease, or the need for an artificial kidney easy way to remember this is that you are SAFE AT 60. machine, called dialysis. The patient may also need a kidney If the urine test shows protein, OR a GFR less than 60, then transplant. Although kidney disease cannot be cured, it can your doctor can give you a medicine called an ACE inhibi- be controlled. With some simple steps, you and your doctor tor or an ARB. These medicines will protect you from having can help to prevent heart attacks. Also, the need for dialysis or your kidney disease worsen. ACE inhibitors always end with transplant can be significantly delayed and perhaps eliminated. -
The Story of Organ Transplantation, 21 Hastings L.J
Hastings Law Journal Volume 21 | Issue 1 Article 4 1-1969 The tS ory of Organ Transplantation J. Englebert Dunphy Follow this and additional works at: https://repository.uchastings.edu/hastings_law_journal Part of the Law Commons Recommended Citation J. Englebert Dunphy, The Story of Organ Transplantation, 21 Hastings L.J. 67 (1969). Available at: https://repository.uchastings.edu/hastings_law_journal/vol21/iss1/4 This Article is brought to you for free and open access by the Law Journals at UC Hastings Scholarship Repository. It has been accepted for inclusion in Hastings Law Journal by an authorized editor of UC Hastings Scholarship Repository. The Story of Organ Transplantation By J. ENGLEBERT DUNmHY, M.D.* THE successful transplantation of a heart from one human being to another, by Dr. Christian Barnard of South Africa, hias occasioned an intense renewal of public interest in organ transplantation. The back- ground of transplantation, and its present status, with a note on certain ethical aspects are reviewed here with the interest of the lay reader in mind. History of Transplants Transplantation of tissues was performed over 5000 years ago. Both the Egyptians and Hindus transplanted skin to replace noses destroyed by syphilis. Between 53 B.C. and 210 A.D., both Celsus and Galen carried out successful transplantation of tissues from one part of the body to another. While reports of transplantation of tissues from one person to another were also recorded, accurate documentation of success was not established. John Hunter, the father of scientific surgery, practiced transplan- tation experimentally and clinically in the 1760's. Hunter, assisted by a dentist, transplanted teeth for distinguished ladies, usually taking them from their unfortunate maidservants. -
IQI 17 Acute Stroke Mortality Rate
AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2021 Inpatient Quality Indicator 17 (IQI 17) Acute Stroke Mortality Rate July 2021 Hospital-Level Indicator Type of Score: Rate Prepared by: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services www.qualityindicators.ahrq.gov DESCRIPTION In-hospital deaths per 1,000 hospital discharges with a principal diagnosis of acute stroke for patients ages 18 years and older. Includes metrics for discharges grouped by type of stroke. Excludes transfers to another hospital, cases admitted from a hospice facility, and obstetric discharges. [NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report in-hospital deaths per 1,000 hospital discharges.] Stratification of Indicator The indicator is stratified into three groups by the type of stroke: Cases are assigned to strata according to a hierarchy based on risk of mortality, with cases being assigned to the stratum with the highest mortality for which the case qualifies. In the case of Stroke Mortality the current hierarchy is as follows: Strata hierarchy (listed from highest mortality to lowest mortality): 1) Intracerebral hemorrhage 2) Subarachnoid hemorrhage 3) Ischemic stroke Strata are mutually exclusive. If a discharge qualifies for more than one stratum, it will be assigned to the stratum with the highest risk of mortality (Intracerebral hemorrhage, Subarachnoid hemorrhage, Ischemic stroke). July 2021 1 of 7 AHRQ QI™ ICD-10-CM/PCS Specification v2021 IQI 17 Acute Stroke Mortality Rate www.qualityindicators.ahrq.gov NUMERATOR Overall Number of deaths (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator. -
Closed Mitral Commissurotomy—A Cheap, Reproducible and Successful Way to Treat Mitral Stenosis
149 Editorial Closed mitral commissurotomy—a cheap, reproducible and successful way to treat mitral stenosis Manuel J. Antunes Clinic of Cardiothoracic Surgery, Faculty of Medicine, University of Coimbra, Coimbra, Portugal Correspondence to: Prof. Manuel J. Antunes. Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal. Email: [email protected]. Provenance and Peer Review: This article was commissioned by the Editorial Office, Journal of Thoracic Disease. The article did not undergo external peer review. Comment on: Xu A, Jin J, Li X, et al. Mitral valve restenosis after closed mitral commissurotomy: case discussion. J Thorac Dis 2019;11:3659-71. Submitted Oct 23, 2019. Accepted for publication Nov 29, 2019. doi: 10.21037/jtd.2019.12.118 View this article at: http://dx.doi.org/10.21037/jtd.2019.12.118 In the August issue of the Journal, Xu et al. (1), from Bayley (4,5) and then became widely accepted. Subsequently, China, discuss the case of a patient who had a successful the technique of CMC suffered several modifications, both reoperation for restenosis of the mitral valve performed in the way the mitral valve was accessed and split. Several 30 years after closed mitral commissurotomy (CMC). instruments were created to facilitate the opening of the The specific aspects of this case were most appropriately commissures, culminating with the development of the commented by several experienced surgeons from different Tubbs dilator, which became the standard instrument for parts of the world. I was now invited by the Editor of this the procedure (Figure 1). Journal to write a Comment on this paper and its subject. -
Pericardiocentesis Versus Pericardiotomy for Malignant Pericardial Effusion: a Retrospective Comparison
MALIGNANT PERICARDIAL EFFUSION, Labbé et al. ORIGINAL ARTICLE Pericardiocentesis versus pericardiotomy for malignant pericardial effusion: a retrospective comparison C. Labbé MD,* L. Tremblay MD,* and Y. Lacasse MD MSc* ABSTRACT Background Treatment of malignant pericardial effusion remains controversial, because no randomized controlled trials have been conducted to determine the best approach, and results of retrospective studies have been inconsistent. The objective of the present study was to compare pericardiocentesis and pericardiotomy with respect to efficacy for preventing recurrence, and to determine, for those two procedures, diagnostic yields, complication rates, and effects on survival. We also aimed to identify clinical and procedural factors that could predict effusion recurrence. Methods We retrospectively assessed 61 patients who underwent a procedure for treatment of a malignant pericardial effusion at the Institut universitaire de cardiologie et de pneumologie de Québec between February 2004 and September 2013. Results Pericardiocentesis was performed in 42 patients, and pericardiotomy, in 19 patients. The effusion recurrence rate was significantly higher in patients treated with pericardiocentesis than with pericardiotomy (31.0% vs. 5.3%, p = 0.046). The diagnostic yield of the procedures was not significantly different (92.9% vs. 86.7%, p = 0.6). The overall rate of complications was similar in the two groups, as was the median overall survival (2.4 months vs. 2.6 months, p = 0.5). In univariate analyses, the procedure type was the only predictor of recurrence that approached statistical significance. Age, sex, type of cancer, presence of effusion at the time of cancer diagnosis, prior chest irradiation, tamponade upon presentation, and total volume of fluid removed did not influence the recurrence rate. -
Coronary Sinus Cryoablation of Ventricular Tachycardia After Failed Radiofrequency Ablation
www.symbiosisonline.org Symbiosis www.symbiosisonlinepublishing.com Case Report Journal of Clinical Trials in Cardiology Open Access Coronary Sinus Cryoablation of Ventricular Tachycardia after Failed Radiofrequency Ablation Jiménez-Fernández M*, Macías- Ruiz R, Álvarez-López M, and Tercedor- Sánchez L Virgen de las Nieves University Hospital, Granada, Spain Received: March 11, 2014; Accepted: September 10, 2014; Published: September 25, 2014 *Corresponding author: Miriam Jiménez-Fernández, Virgen de las Nieves University Hospital, Granada, Spain, E-mail: [email protected] Abstract We present a case of Great Cardiac Vein (GCV) cryoablation in order to suppress idiopathic epicardial Ventricular Tachycardia (VT) after failed Radiofrequency (RF) ablation via the epicardium and GCV. RF ablation is the technique of choice for the treatment of Ventricular Arrhythmias (VA). However, this procedure has its limitations when delivered inside the distal cardiac veins. Cryoablation is a good alternative in patients where RF cannot be used because of risk of high impedance. Keywords: Percutaneous epicardial ablation; Ventricular tachycardia; Radiofrequency; Catheter ablation; Cryoablation; Coronary sinus; High impedance; Cryoenergy; Great cardiac vein; Mapping; Electroanatomic mapping system; 12-lead surface electrocardiogram Case Report tachycardia, but the delivery of RF had to be interrupted with a maximal energy of 15 W, as the impedance rise exceeded the A 56-year-old female patient presented in emergency room referring shortness of breath and chest pain. ECG showed we decided to change to a 6 mm tip cryoablation catheter that was sustained monomorphic VT at 160 beats per minute with right ablesafety to limit reach (>300 the programmed Ω) (Figure 1C). temperature In order to of solve -80°C this suppressing problem, bundle branch block and right inferior axis morphology (Figure the VT with no further recurrences. -
Pericardial Injury with Cardiac Tamponade from Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade
eISSN: 2508-8033 Treatment Progression in Trauma pISSN: 2508-5298 Pericardial Injury With Cardiac Tamponade From Multiple Stab Injuries of the Trunk: Incidental Release of Cardiac Tamponade Pil Young Jung1, Kwan Wook Kim2 1Department of Surgery, Yonsei university Wonju college of medicine, Wonju Severance Christian Hospital 2Trauma center, Department of Thoracic and Cardiovascular Surgery, CHA University, CHA Bundang Medical Center Traumatic hemopericardium with cardiac tamponade is a rare but life-threatening condition. We report the successful treatment of hemopericardium with cardiac tamponade caused by multiple stab injuries of the trunk. (Trauma Image Proced 2019(1):22-24) Key Words: Hemopericardium, Cardiac tamponade CASE tion of the left internal mammary vessels, which was the cause of hemopericardium (Fig. 3.). The epicardium of From a regional local hospital, a 34-year-old man the right ventricle, the greater omentum, and the spleen who had schizophrenia was transferred to our institution were injured; the diaphragmatic injury may have served with multiple stab injuries of the trunk, sustained in a as a pericardial window of injury into the abdomen suicide attempt (Fig. 1.). At admission, the patient’s vital cavity. We performed ligation of the left internal signs were unstable; cardiac arrest occurred, and return mammary vessels, splenectomy, omentectomy, and of spontaneous circulation was achieved after one cycle primary repair of the diaphragm. The patient recovered of cardiopulmonary resuscitation. The extended focused and was discharged without any complication 24 days assessment sonography in trauma revealed positive signs after admission (Fig. 4.). in the pericardium and splenorenal space. Computed tomographic scans taken at the previous hospital showed DISCUSSION hemopericardium and hemoperitoneum (Fig. -
What Is Kidney Failure?
A VIDEO SERIES living WELL with kidney failure WHAT IS KIDNEY FAILURE? Contents 2 Introduction 11 What is a kidney transplant? 3 What will I learn? 12 What role do diet and medi- cines play in transplantation? 5 Who is on my healthcare team? 12 How will I pay for treatment? 7 What is kidney failure? 14 Review 7 How will I learn to cope 15 True or False with kidney failure? 16 Words To Know 8 What treatments are 21 The People on My available for kidney failure? Healthcare Team 8 What is the best 22 Questions for My treatment for me? Healthcare Team 9 What is hemodialysis? 23 About the National 10 What is peritoneal dialysis? Kidney Foundation 10 What role do diet and medicines play in dialysis? What is Kidney Failure? 1 Introduction “Living Well with Kidney Failure” is a video series created by the National Kidney Foundation to help you understand kidney failure and its treatments. There are six videos. Each video has a companion booklet to provide more information and to help you review what you’ve learned. The six videos and booklets are: How Kidney What is Failure Kidney Peritoneal Kidney Hemodialysis Living Well Affects Your Transplant Dialysis Failure? Body This booklet talks about the treatments available for kidney failure. It also describes the professionals who make up the healthcare team in hospitals, dialysis centers, and transplant centers. But, more importantly, it focuses on the role you play in your own care. That role begins with learning all you can about kidney failure and its treatment.