Will Long-Time Diving Lead to Chronic Kidney Disease?

There is an ever increasing number of studies on the experience of pediatric patients suffering with Chronic Kidney Disease (CKD) resulting in the conclusion that chronic kidney disease affects the development of these patients, their behavior, emotions and social relations, causing a series of psychological reactions. The aim of this study was to make a review of the existing literature on psychological experience of patients with chronic kidney disease and their adjustement. The study findings are in the context of previous research and existing theories. Research was made in professional literature related to Chronic Kidney Disease in children and adolescents, selecting works published betwen years 1981 and 2014, using key terms such as children, adolescent, chronic kidney disease, in different combinations. Children starting from school age and later in their adolescence are in constant change, not only as regards their physical growth but also their emotional and sexual growth and coexistance for a long time with such a problem as kidney disease is very difficult and affects their lives in many ways. Simultaneously, CKD causes grave psychological damages. Survival to the disease is not satisfactory so deepening on desease perception, social and psychological factors affecting patients, are very important elements to improve the quality of life of these patients. Comprehension of their experiences is very important in order to decrease the effect of CKD on their lives and for them to receive the most effective treatment. Nephrologists andpsychologist can work together by helping make the connections between psychosocial and biological factors.

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Incidence of the Apparent Active Problems of Chronic Kidney Disease Patients in CKD Clinic of the Outpatient Department at Thammasat Hospital

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.02.12154 ◽

2021 ◽

Vol 104 (2) ◽

pp. 316-319

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

University Hospital ◽

Outpatient Department ◽

Common Disease ◽

Doctor Visit ◽

Long Time ◽

Observational Cohort ◽

Patient’S Information ◽

The Relationship

Background: Chronic kidney disease (CKD) is a common disease. Patients with CKD usually have many other diseases, and complications are more common than general patients. The nephrologist must deal with these problems. It may take a long time to advise these patients in CKD clinic. Objective: To identify the number of apparent problems in CKD patients, the duration of the nephrologist visits for these patients, and the relationship between the number of problems and the duration of doctor visit. Materials and Methods: The study was a descriptive observational cohort study. Patients with CKD aged 18 years and over were enrolled at the CKD clinic of Thammasat University Hospital. The patient’s information including any current active problems and the time spent during each visit were recorded by data collectors. The data was collected for a period of six months between September 1, 2015 and February 28, 2016. Results: Five hundred forty-eight patients were included. Nine physicians were observed by the data collectors in each patient visit. The average number of problems was 2.10. The three most common problems were hypoalbuminemia, proteinuria, and edema. The average time spent in each visit was 8.4 minutes, 14.56 minutes for new cases, and 7.81 minutes for old cases. Physicians spent 5.39 minutes for each visit to CKD patients with no apparent problems and spent more time for additional problems. Conclusion: CKD patients had at least two problems, and each visit lasted an average of 8.40 minutes. When the number of problems increased, the physician required longer time to solve the problems. Keywords: Active problem, Chronic kidney disease, Outpatient department, Spending time, Nephrology

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Hubungan kadar serum albumin dengan kejadian morbiditas dan mortalitas pada pasien penyakit ginjal kronik dengan hemodialisis di RS Dr. Sardjito Yogyakarta

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.17491 ◽

2006 ◽

Vol 3 (2) ◽

pp. 79

Author(s):

La Banudi ◽

Ahmad Husain Asdie ◽

Susetyowati Susetyowati

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Serum Level ◽

The Body ◽

Morbidity And Mortality ◽

Nutrition Status ◽

Cohort Design ◽

Albumin Serum Level ◽

Long Time ◽

Clearance Test

Background: Chronic kidney disease is a characterized by decreasing kidney function with creatine clearance test <15 mL/minute. At such condition toxic in the body accumulates so that dialysis is needed to eliminate it. Blood albumin serum level may indicate nutrition status and is closely related to morbidity and mortality of hemodialysis patients.Objective: To find out association between albumin serum level and occurrence of morbidity and mortality among patients of chronic kidney disease with hemodialysis.Method: The study was observational with prospective cohort design. It was conducted at Dialysis Installation of Dr. Sardjito Hospital from August 2004 to December 2005. Population were all patients of hemodialysis. Samples were purposively taken using inclusion criteria with as many as 44 minimal samples. Dependent variables were morbidity and mortality. Independent variables were albumin serum level, age and long time hemodialysis. Data analysis was done in phases, univariable, and then bivariable.Results: There was association between albumin serum level and morbidity at observation I (p=0.021), observation II (p=0.036), and observation III (p=0.012) which indicated that p<0.05. There was also association between albumin serum level and mortality at observation I (p=0.011), observation II, III and IV (p=0.000) which indicated that p<0.05.Conclusion: There was association between albumin serum level and morbidity and mortality of chronic kidney disease patients with hemodialysis.

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Development of Canine Chronic Kidney Disease Model: A Pilot Study

International Journal of Veterinary Science ◽

10.47278/journal.ijvs/2021.056 ◽

2021 ◽

Vol 10 (4) ◽

pp. 286-293

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Disease Model ◽

Staging System ◽

Experimental Manipulation ◽

Medical Intervention ◽

Interstitial Tissue ◽

Expression Of Genes ◽

Long Time ◽

The Right

Chronic kidney disease (CKD) is a worldwide health problem with a poor prognosis. The exploration of possible medical intervention requires the presence of a suitable animal model. This work aims to induce a model of canine CKD with persistent uremia. Three dogs were used to develop canine CKD models with different techniques based on the remnant kidney model. Model (1) was subjected to excision of one renal pole of the right kidney. Model (2) was subjected to the excision of two renal poles of the right kidney. Model (3) underwent ligation of two renal arterial branches of the right kidney. A contralateral nephrectomy was performed in the three models after two weeks from the first operation. Blood and 24-hour urine samples were collected weekly to determine renal function parameters. Histopathology, Immunohistochemistry of α-SMA expression, and quantitative real-time PCR for Kim-1 & NGAL gene expression were performed on kidney tissues. According to the IRIS staging system in dogs, model (1) represented stage one of CKD with less expression of genes and α-SMA in the interstitial tissue. Model (2) represented stage three of CKD with moderate expression of genes and α-SMA and moderate glomerulointerstitial nephritis. Model (3) suffered from severe uremia. It showed the highest expression of genes and α-SMA with severe glomerulointerstitial nephritis and infarction. Therefore, model (2) was considered the best technique for developing a model of canine CKD with persistent uremia. The dog in this model became uremic and remained stable for a long time which would allow experimental manipulation.

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