Textbook of Post-ICU Medicine: The Legacy of Critical Care

Mapping Intimacies ◽

10.1093/med/9780199653461.001.0001 ◽

2014 ◽

Cited By ~ 9

Keyword(s):

Recovery Process ◽

Public Health Issue ◽

Major Public Health Issue ◽

Psychological Issues ◽

Treatment Regimens ◽

Clinical Syndromes ◽

Stage Renal Disease ◽

End Stage

Describing the major clinical syndromes affecting ICU survivors, this resource delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such as end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This online work discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated.

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Quality of life for long-term survivors of end-stage renal disease

JAMA ◽

10.1001/jama.239.22.2343 ◽

1978 ◽

Vol 239 (22) ◽

pp. 2343-2347 ◽

Cited By ~ 16

Author(s):

E. O. Poznanski

Keyword(s):

Quality Of Life ◽

Renal Disease ◽

End Stage Renal Disease ◽

Stage Renal Disease ◽

End Stage ◽

Long Term Survivors

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Racial Equity in Kidney Transplants

Pained ◽

10.1093/oso/9780197510384.003.0055 ◽

2020 ◽

pp. 191-192

Author(s):

Michael D. Stein ◽

Sandro Galea

Keyword(s):

End Stage Renal Disease ◽

Health Care Disparities ◽

Organ Transplant ◽

Kidney Transplants ◽

Racial Equity ◽

Starting Point ◽

Stage Renal Disease ◽

End Stage

This chapter examines disparities between the health outcomes of white people and minorities in organ transplant allocation. Prior to 2015, kidney transplants went to white patients at a much higher rate. A new allocation system was devised in order to change that. The simple, yet ingenious solution attacked the structural cause of the inequity. It kept time on the donation list as the main selection criteria, but the fix by the United Network for Organ Sharing (UNOS) acknowledged that because of underlying health care disparities, black and Hispanic persons spend more time on dialysis before being put on the list. The new system places the starting point at the earliest date a patient was either put on the list for kidney transplants or started regular dialysis treatments. Work in Health Affairs shows that the new UNOS system worked as intended, and that the racial disparities in transplantation have been largely addressed. Transplants are the go-to treatment option for those with end-stage renal disease, increasing the likelihood of survival and better quality of life, while costing one third as much as long-term dialysis.

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A new approach for reducing diffuse agricultural pollution in water supply ponds

Water Practice & Technology ◽

10.2166/wpt.2013.021 ◽

2013 ◽

Vol 8 (2) ◽

pp. 190-201

Author(s):

André Berne

Keyword(s):

Water Supply ◽

Public Health Issue ◽

Raw Water ◽

High Stakes ◽

Major Public Health Issue ◽

New Approach ◽

Essential Problem ◽

Technical Measures

Preserving the quality of raw water for drinking likely to be affected by diffuse pollution in water supply ponds (WSPs) is a major public health issue. We must therefore implement efficient and sustainable technical measures that guarantee the long-term protection of this resource. Such measures can prove to be a considerable constraint for farm managers and farm owners. It is consequently absolutely necessary that the compensation provided for is in line with these constraints. High stakes and high constraints must result in high compensation. The catchment protection perimeter tool, reviewed and enlarged to encompass up to 100% of the WSP, renewed and in-depth dialogue based on solid technical and economic studies and a new compensation method established from the principle of discounted loss capitalisation over a duration equal to the lease, are all new and promising tools to solve this essential problem for sustainable development throughout the territory and to preserve the health of its population.

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Effective Management of Peritoneal Dialysis-Associated Hydrothorax in a Child: A Case Report

Case Reports in Nephrology and Dialysis ◽

10.1159/000506119 ◽

2020 ◽

Vol 10 (1) ◽

pp. 18-25 ◽

Cited By ~ 4

Author(s):

Cahyani Gita Ambarsari ◽

Evita Karianni Bermanshah ◽

Muhammad Arza Putra ◽

Farhan Haidar Fazlur Rahman ◽

Sudung Oloan Pardede

Keyword(s):

Peritoneal Dialysis ◽

Thoracoscopic Surgery ◽

Underlying Mechanism ◽

Long Term Follow Up ◽

Stage Renal Disease ◽

End Stage ◽

Video Assisted Thoracoscopic Surgery

Peritoneal dialysis (PD) confers many advantages, including a better quality of life for children with end-stage renal disease; however, the procedure is associated with several complications, including pleuroperitoneal leaks. Here, we report an unusual case of hydrothorax caused by long-term PD in a child, which was further complicated by pneumonia. A 9-year-old boy who had received CAPD for 22 months presented with dyspnea, swelling, and increased body weight. Chest tube drainage yielded 500 mL of transudative fluid. Computed tomography peritoneography revealed increased outflow from the peritoneum to the pleural cavity. PD was suspended, and hemodialysis (HD) was initiated. Video-assisted thoracoscopic surgery was performed; however, because the patient had pneumonia during hospitalization, pleural adhesions with a septated appearance occurred. This resulted in difficulties identifying pleuroperitoneal fistula (PPF). Right pleural effusion resolved following pleurodesis using bleomycin. Regular HD was performed for 10 weeks, and PD was subsequently reinitiated. There was no recurrence of hydrothorax during long-term follow-up. We suspect that the underlying mechanism of hydrothorax in our patient was associated with a PPF that formed either due to a congenital diaphragmatic defect or an acquired defect, resulting in dialysate leakage. Our case demonstrates that a temporary switch from PD to HD, accompanied by pleurodesis, may help resolve hydrothorax that occurs as a complication of long-term PD.

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Renal Transplant Unit, National Institute of Solid Organ and Tissue Transplantation, Dow University of Health Sciences, Karachi, Pakistan: On a Road to Minimize ESRD Burden

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v9i3.465 ◽

2020 ◽

Vol 9 (3) ◽

pp. 155-157

Author(s):

Rashid bin Hamid ◽

Muhammad Tassaduq Khan

Keyword(s):

Public Health ◽

End Stage Renal Disease ◽

Driving Force ◽

Health Sciences ◽

Public Health Issue ◽

Solid Organ ◽

Major Public Health Issue ◽

High Prevalence ◽

Stage Renal Disease ◽

End Stage

End Stage Renal Disease (ESRD) is clinically defined as the progressive and irrevocable impairment of kidneys to perform life-sustaining functions and represents the final stage of Chronic Kidney Disease (CKD). With bulging morbidity and mortality and rampant rise in economic burden globally, ESRD is now recognized as a major public health issue. Certainly, it goes without saying that coming decades will observe a high prevalence of ESRD, and chronic non-communicable diseases such as hypertension and diabetes mellitus, with accumulating aging population as the driving force. This prognosticated upsurge in ESRD pool has been gauged to occur mainly in the developing countries.

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Efficacy of Tai Chi on Patients With Chronic Kidney Disease

Biological Research For Nursing ◽

10.1177/10998004211047993 ◽

2021 ◽

pp. 109980042110479

Author(s):

Mei Ha ◽

Yuhui Yang ◽

Yu Shi ◽

Ya Lu ◽

Kun Chen ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Tai Chi ◽

Gene Profile ◽

Positive Effects ◽

Stage Renal Disease ◽

End Stage ◽

Esrd Patients

Previous systematic reviews elucidate the efficacy of Tai Chi on the rehabilitation and treatment for various chronic diseases. Yet, no consensus has been reached on its efficacy and safety from those with chronic kidney disease (CKD). Therefore, we conducted a systematic review to critically summarize what is already known about the prevailing benefits of Tai Chi for CKD patients. There was no evidence that Tai Chi had adverse effects on CKD patients. Long-term Tai Chi exercises could improve quality of life, cardiorespiratory fitness, and physical motor function for the end-stage renal disease (ERSD) patients undergoing dialysis. Regular Tai Chi exercises might exert modest influences in delaying CKD progression for mild–moderate CKD patients. However, there is insufficient evidence to demonstrate positive effects of Tai Chi exercises on bone health of the ESRD patients. Accordingly, rigorously designed, longer-term studies of Tai Chi are warranted to identify its efficacy on CKD patients across different stages, especially targeting potential mechanisms in terms of Tai Chi altering biological gene profile expressions.

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