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Journal Cover Karger Kompass Pneumologie
  [1 followers]  Follow
   Full-text available via subscription Subscription journal
   ISSN (Print) 2296-0368 - ISSN (Online) 2296-0317
   Published by Karger Homepage  [121 journals]
  • Before and after Anorectal Surgery: Which Information Is Needed from the
           Functional Laboratory
    • Abstract:
      Visc Med
  • Diagnostic Investigations of Gastroesophageal Reflux Disease: Who and When
           to Refer and for What Test
    • Abstract:
      Visc Med
  • High-Resolution Anorectal Manometry - New Insights in the Diagnostic
           Assessment of Functional Anorectal Disorders
    • Abstract:
      Visc Med
  • Functional Diagnosis in Upper and Lower Gastrointestinal Diseases:
           Relevance for Conservative, Interdisciplinary and Surgical Therapies
    • Abstract:
      Visc Med
  • Mindfulness in Follow-Up Care After Breast Cancer: Can It Prevent
    • Abstract:
      Breast Care
  • Can Nutrition Lower the Risk of Recurrence in Breast Cancer
    • Abstract:
      Breast Care
  • Breast Cancer - a Lifestyle Disease
    • Abstract:
      Breast Care
  • The Use of Low-Calcium Hemodialysis in the Treatment of Hypercalcemic
    • Abstract: Background: We reviewed the results of low-calcium hemodialysis (LCHD; 1.25 mmol/L) in the treatment of 42 cases admitting with hypercalcemic crisis. Methods: All patients (≥18 years) who started LCHD due to hypercalcemia between 2002 and 2017 were retrospectively analyzed. Biochemical data were obtained at the beginning of the first hemodialysis and at the end of the last hemodialysis. ­“Refractory” cases were defined as patients having albumin corrected serum total calcium (SCatotal) levels above 10.2 mg/dL despite of all medical, surgical, and hemodialysis treatments. Results: By acceptance of 3 cases admitted again over 6 months as new cases, a total of 42 cases (male, 57.1%) with a mean age of 55.9 ± 14.8 years underwent urgent hemodialysis. Most of the patients (82.1%) had malignancies. The mean SCatotal level at the beginning of hemodialysis sessions was 15.89 ± 2.53 mg/dL. The mean decline of SCatotal level was 4.63 ± 2.72 mg/dL. Refractory cases received hemodialysis after admission significantly later than improved cases (48 [interquartile ranges (IQR) 24–168] vs. 24 [IQR 12–48] h, p = 0.010). Serum creatinine and SCatotal levels at the last visit were significantly more in refractory cases than improved cases (1.92 [IQR 0.81–3.41] vs. 1.30 [IQR 0.8–1.7] mg/dL, p = 0.031 and 12.43 ± 2.53 vs. 8.86 ± 0.67 mg/dL, p = 0.000 respectively). Mortality was significantly higher in refractory cases than improved cases (58.8 vs. 10.5%, p = 0.002). Overall mortality rate was 33.3%. Conclusion: Hypercalcemic crisis is a life-threatening condition and should be managed immediately.
  • Office Visit: Kidney Transplantation of a Dreamer
    • Abstract: This editorial describes a patient who was cared for by the author. The patient developed end-stage kidney disease in the United States at the age of 17 but was denied kidney transplantation due to lack of insurance because of her immigration status. With the enactment of the Deferred Action for Childhood Arrivals (DACA) program, the patient was able to obtain a job and health insurance. The patient then received a kidney transplant when she was 27 years, after undergoing peritoneal dialysis for 10 years. The editorial describes how the DACA program improves the care of undocumented immigrants to the United States who are affected by kidney disease. While many might consider kidney transplantation to be available to all individuals in the United States, this is not the case. Individuals who are not US citizens are for practical purposes unable to undergo transplantation in almost all states because of their inability to obtain health insurance. This editorial describes the history of one of my patients, and the profound impact that the DACA program (Dreamer Act) had on her care. This legislation is currently under review for continued approval in the United States legislature. I am happy to see my patient in clinic today for medical care following successful kidney transplantation.
  • Effects of Bladder Training and Pelvic Floor Muscle Training in Female
           Patients with Overactive Bladder Syndrome: A Randomized Controlled Trial
    • Abstract: Objective: The purpose of our study was to see the efficacy of 3 different modes of treatment for overactive bladder (OAB) in symptoms reduction and quality of life improvement. Methods: We conducted a 12-week single-blinded randomized controlled trial of women aged 22–65 years with clinical diagnosis of OAB. Arm A (n = 47) received bladder training, arm B (n = 50) received pelvic floor muscle training (PFMT), and arm C (n = 50) received PFMT with biofeedback. Bladder diary was used to assess the difference in urinary frequency, urgency, and leak accidents before and after treatment. Initial and final assessment was made using ­validated urogenital distress inventory short form 6 (UDI-SF6) and incontinence impact questionnaire short form 7 (IIQ-SF7). Results: UDI-SF6 scores showed significant improvement in all arms. There was a reduction in UDI-6 scores from 8.38 ± 4.3 to 4.77 ± 5.5 with a mean difference of 3.61 ± 7.4 in patients in arm A (p = 0.002), arm B (p = 0.01), and arm C (p = 0.016). All patients in arms A, B, and C reported significant improvement in quality of life as assessed by IIQ-SF7 scores with significant p values of 0.009, 0.051, and 0.001, respectively. Bladder diary results using paired t test showed the significant difference in day time urinary frequency in arm A after treatment, as well as the reduction in both leak accidents and urgency score in all 3 arms. Conclusions: All 3 arms of study showed significant results and can be used as the first line of management.
      Urol Int
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
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