Adequacy of Pictorial Instructional Module on Information Regarding Lifestyle Modiৎication Among Renal Failure Patients Undergoing Haemodialysis

Renal failure is analyzed when the kidneys are done working sufficiently to keep up the ordinary procedure. This results in imbalance in fluid electrolytes, calcium level, RBC creation and diminished disposal of waste items. The main purpose of this study adequacy of pictorial instructional module on information regarding lifestyle modification among renal failure patients undergoing haemodialysis. Quantitative approach and quasi experimental design used in this study. The sample size was 60 renal failure patients undergoing haemodialysis. Organized meeting was utilized to gather demographic data regarding lifestyle modification among renal failure undergoing haemodialysis patient used pictorial instructional module. Sample includes renal failure patient undergoing haemodialysis at saveetha medical college and hospital, who fulfils the inclusion criteria were chosen non-likelihood advantageous examining strategy. The assessment of level of information about renal failure patient among haemodialysis29 (48.33%) had moderately adequate and adequate information, 2(3.34%) had inadequate, 29(48.33%) adequate information regarding lifestyle modification of renal failure patients undergoing haemodialysis. The mean score of information among renal failure patient was 22.20 with standard deviation of 3.64. The calculated paired ‘t’ test value of t=17.218 was found to be statistically highly significant at p<0.001 level. The demographic variable, sex had shown statistically significant association with post test level of information regarding lifestyle modification among renal failure patients undergoing haemodialysis at p<0.05 level. This obviously construes pictorial instructional module managed to renal disappointment patients experiencing haemodialysis brought about a huge improvement in the post test level of information.

Buttonhole Cannulation on a Femoro-Femoral Fistula: A Successful Approach in a Patient with Difficult Vascular Access

Highlights Abstract Vascular access is an essential component for a successful hemodialysis program. Cannulation technique is an important factor for dialysis access survival. For patients with exhausted upper limb vascular access, lower extremity permanent dialysis vascular access (LE-PDVA) is one of the alternatives. The buttonhole cannulation (BHC) technique for LE-PDVA has never been reported in literature. Here we report on a 57-year-old end-stage renal failure patient who had suffered multiple complications related to dialysis access and ended up with exhausted upper limb vascular access. The BHC technique was successfully used on his LE-PDVA for hemodialysis.

Emphysematous epididymo-orchitis with involvement of the prostate, seminal vesicles, and the scrotum: a case report

Emphysematous epididymo-orchitis is a rare clinical entity. Up until July 2020, only 9 cases have been reported in PubMed and Scopus platforms, one of which also had scrotal involvement. Therefore, we are reporting the second case with prostate, seminal vesicle, and scrotal involvement. The condition represents an aggressive form of infection caused by gas-forming microbes. The radiological detection of air within the organs involved in the characteristic diagnostic sign. The case we are reporting is a 47 years old diabetic, chronic renal failure patient on regular hemodialysis who had a fulminant emphysematous infection in the left testis, epididymis, spermatic cord, the prostate, seminal vesicles, and the scrotum. Emergency orchiectomy has been carried out. The most significant part of the case is the pictures showing ballooning scrotum and gas bubbles in abnormal anatomical locations.