14 documents found, page 1 of 2
Successful Treatment of Sthaphylococcus Peritonitis Using Oral Linezolid Withou...
Carvão,João; Matias,Patrícia; Mirco,Ana; Branco,PatríciaABSTRACT Peritonitis is one of the main complications of peritoneal dialysis and accounts for considerable mortality and hospitalization. It is usually treated with intraperitoneal antibiotherapy, as it is the best way to achieve high concentrations at the site of infection. We report a case of an 86-year-old female patient with end-stage renal disease under continuous ambulatory peritoneal dialysis, who was ad...
Environmental Sustainability of Portuguese Nephrology: A National Survey
Laranjinha,Ivo; Martins,Ana Cristina; Matias,Patrícia; Gil,Célia; Gonçalves,MargaridaABSTRACT Introduction: Healthcare services have a significant environmental impact (EI). The increasing prevalence of chronic kidney disease makes nephrology one of the clinical areas with higher EI. The aim of this study was to document Portuguese nephrologists’ current practice regarding environmental sustainability. Methods: Two surveys were developed: one for chiefs of departments and another for all nephro...
Incremental Hemodialysis: A Road to a Greener and Personalized Nephrology
Martins,Ana Cristina; Francisco,Diogo; Azinheira,Jorge; Laranjinha,Ivo; Matias,Patrícia; Gonçalves,MargaridaABSTRACT Introduction: Healthcare facilities are among the greatest contributors to resource consumption and waste generation. Nephrology is one of the most polluting medical areas, mostly due to hemodialysis (HD). Incremental hemodialysis (iHD) has gained attention due to several clinical advantages, by decreasing the number of sessions while the patient still has residual kidney function. Beyond these benefit...
Environmental Impact of Nephrological Activity: How to Register, Evaluate and A...
Ávila,Gonçalo; Matias,PatríciaABSTRACT While medical health professionals are trained to detect, treat, and comfort, they are not trained to consider the environmental impact of the services they provide. Healthcare contributes significantly to resource depletion and greenhouse gas emissions. Not only are healthcare institutions, whose mission is to protect and promote health, major polluters that use large amounts of energy and water, but ...
High serum bicarbonate and adverse outcomes in hemodialysis Patients
Ávila,Gonçalo; Laranjinha,Ivo; Matias,PatríciaABSTRACT Metabolic acidosis is a usual complication of progressive chronic kidney disease and is associated with morbidity and mortality. The correction of metabolic acidosis is a main goal of dialysis. In prevalent hemodialysis patients, acid-base homeostasis depends on many factors, mainly net acid production, amount of alkali given by the dialysate bath and duration of the interdialytic period. At present, t...
Are high flow arteriovenous accesses associated with worse haemodialysis?
Laranjinha,Ivo; Matias,Patrícia; Azevedo,Ana; Navarro,David; Ferreira,Carina; Amaral,Tiago; Mendes,Marco; Aires,Inês; Jorge,Cristina; Gil,CéliaABSTRACT Introduction: An arteriovenous (AV) access flow (Qa) of 400 mL/min is usually sufficient for an effective hemodialysis (HD), but some accesses continue developing and become high flow accesses (HFA). Some authors postulated that an HFA might shift a significant portion of dialyzed blood from the cardiac output, which could decrease HD efficiency and lead to volume overload. Objective: The aim of our st...
Are cranberry capsules effective and safe in preventing urinary tract infection...
Pereira,Tiago Assis; Fernandes,Ana Raquel; Mendes,Artur; Oliveira,Regina; Casqueiro,Ana; Birne,Rita; Matias,Patrícia; Jorge,Cristina; Adragão,TeresaIntroduction: Kidney transplant (KT) recipients are highly susceptible to urinary tract infections (UTIs). Few data are available regarding the effects of cranberry products in KT recipients. Subjects and methods: This was a randomized double-blind study comparing daily treatment with a cranberry capsule versus a placebo capsule for 6 months. The study protocol was conducted in accordance with the Helsinki Decl...
Pregnancy in renal transplanted patients: effects on the mother and the newborn...
Cândido,Cristina; Viegas,Márcio; Matias,Patrícia; Birne,Rita; Jorge,Cristina; Weigert,André; Adragão,Teresa; Bruges,Margarida; Machado,DomingosBackground: Chronic kidney disease causes decreased fertility. With kidney transplantation, fertility is restored within a few months. Objective: To analyse the feasibility of pregnancy with renal transplantation and its impact on renal function, complications in women and newborns. Methods: Retrospective study of pregnancies that occurred in kidney transplant recipients between 1985 and 2014 in one Transplanta...
Mineral and Bone Disease (MBD)
Birne,Rita; Adragão,Teresa; Ferreira,Aníbal; Dickson,Jorge; Silva,Rui; Casqueiro,Ana; Oliveira,Regina; Martins,Ana Rita; Torres,João; Matias,PatríciaA 50-year-old post-menopausal recipient of a kidney allograft with bone pain, osteoporosis, persistent hypercalcaemia and elevated parathormone (PTH) levels, despite a satisfactory graft function, was treated with bisphosphonates and cinacalcet starting, respectively, 5 and 6 months after renal transplantation (RT). Sixteen months after treatment, there was improvement of bone mineral density (BMD) measured by ...
Long nocturnal dialysis: A single-centre experience
Navarro,David; Ferreira,Ana Carina; Gonçalves,Carina; Jorge,Cristina; Gil,Célia; Aires,Inês; Matias,Patrícia; Mendes,Marco; Azevedo,Ana; Gomes,FernandaThe institution of intensified dialysis regimens (as long treatment time, with reduced ultrafiltration per hour) has been associated with decreased morbidity and mortality in patients with end-stage chronic kidney disease. The performance of the haemodialysis session during the night interval emerged as logical, since it is an idle period, and has been associated with better small molecule dialysis, better bl...