A Study of Prevalence of Renal Diseases among Healthy Urban Population
T Balasubramaniyan, Hanock Unni Samuel, S Thirumavalavan, C Vasudevan, RP Senthil Kumar and V Murugesan
Article Type: Original Article | First Published: December 31, 2020
Renal disease is an important non-communicable disease in India. Lack of awareness, late diagnosis, less accessibility and higher costs for renal replacement therapy have led to increased morbidity and mortality. Though the common view of no or less awareness among rural population of India is true to some extent, awareness about renal diseases is low even in urban people. We decided to address the 'kidney health' of urban population of Chennai on the occasion of World Kidney Day 2020 the theme ...
The Effects of the Symptoms Experienced by Patients Undergoing Hemodialysis Treatment on their Comfort Levels
Rukiye Demir Dikmen and Hakime Aslan, PhD
Article Type: Original Article | First Published: December 17, 2020
This is cross-sectional study. The population of consisted of patients aged over 18 who received treatment at three hemodialysis centers in Elazig province and two in Bingol province. Sampling method was not used as it was aimed to reach the whole population. The research was carried out with 363 patients (84% of the population) meeting the research criteria. The data was collected between June-October 2019. Personal Information Form, Hemodialysis Comfort Scale (HDCS), and Dialysis Symptom Index...
Outcomes of Complex V/S Simple Vascular Anatomy Grafts Following Living Donor Renal Transplant - Experience from a Tertiary Care Center
Asuri Krishna, Umar Maqbool, Mayank Jain, Om Prakash, Subodh Kumar, V Seenu, Sandeep Mahajan, Sanjay Aggarwal and Virinder Kumar Bansal
Article Type: Original Article | First Published: December 04, 2020
Living donor renal transplant with grafts having complex vascular anatomy is technically difficult with higher complications. We herein present our experience of complex vascular anatomy living donor renal grafts as compared to grafts with simple vascular anatomy. The is a retrospective comparative analysis of a prospectively maintained database of all the patients undergoing live related renal allograft transplant from January 2015 till Dec 2019. All adult transplants with graft with complex va...
Fixing a Broken Heart: Two for the Price of One
Filipa Cardoso, Joana Marques, Tiago Pereira, Marco Mendes and Fernando Nolasco
Article Type: Case Report | First Published: September 30, 2020
Although widely recognized and with increasing incidence, cardiorenal syndrome management remains a challenging topic. We report the case of a 49-year-old man with progressive chronic heart failure of ethanolic and valvular aetiology, further complicated by kidney disease, admitted with cardiogenic shock which resulted in acute kidney injury evolving into renal replacement therapy dependency. After 3 months on dialysis, the patient was submitted to a bioprosthetic mitral valve implantation and t...
Hyponatremia in COVID-19 Infection - Possible Causal Factors and Management
Jose Carlos De La Flor Merino, MD, Alexander Marschall, MD, Belen Biscotti Rodil, MD and Miguel Rodeles del Pozo, MD
Article Type: Commentary | First Published: August 28, 2020
SARS-CoV-2 disease (COVID-19) has dramatically increased since March 2020. There is insufficient data to establish the risk of acquiring the hyponatremia in patient with COVID-19 infection. The prevalence, clinical characteristics, severity, treatment and prognosis of hyponatremia in patients with pneumonia due to COVID-19 is not yet known, although several articles on kidney injury and electrolyte abnormalities have recently been described. IV fluid replacement should be administered with cauti...
Efficacy and Safety of Thirst-Quenching Lozenges for Xerostomia in Patients Undergoing Hemodialysis: A Prospective, Single-Arm, Open-Label Study
Manisha Sahay, Alan Almeida, Syed Mujtaba Hussain Naqvi, Hariharan Venugopal, Ravindra Machhindra Kale, Pankaj Digambarrao Patil, Suyog Mehta and Amey Mane
Article Type: Clinical Trial | First Published: August 26, 2020
Xerostomia is a common symptom in patients with end-stage kidney disease (ESKD) undergoing hemodialysis and currently available treatments are of limited success. To evaluate the efficacy and safety of thirst-quenching lozenges (TQL) in patients with ESKD undergoing hemodialysis. Xerostomia is a subjective complaint of dryness of oral cavity and is frequently reported (28% to 67%) in patients with end-stage kidney disease (ESKD); including those on chronic hemodialysis. Xerostomia may be attribu...
Crescentic Glomerulonephritis with Tubercular Lymphadenitis
Amit Katyal and Rohit Tewari
Article Type: Case Report | First Published: July 29, 2020
The recognition of autoimmune manifestations during the course of an infection and the decision to add specific treatment for the secondary immunological abnormality are essential decisions which have to be taken timely. Mycobacterium tuberculosis infection is a common presentation in tropical countries. The kidney is generally involved due to haematogenous spread of infection from the primary source. Glomerular involvement presenting as a rapidly progressive glomerulonephritis (RPGN), is extrem...
Status Epilepticus Owing to Consumption of Seasonal Fruit in Dialysis: Case Report
Sneha Simon, DM, DNB, MRCP (UK) sce, Jose Thomas, DM and Vinayak Jayaram, MD, DNB
Article Type: Case Report | First Published: July 30, 2020
Star fruit (Averrhoa carambola) and Bilimbi fruit (Averrhoa bilimbi) are fruits under oxalidaceae and exhibits similar biochemical characteristics. There are several reports enumerating the harmful effects of these fruits in healthy persons leading to acute kidney injury and even chronic kidney disease requiring renal replacement therapy. There are occasional reports of neurotoxicity related to consumption of these fruits in patients with chronic kidney disease, especially those receiving mainte...