Diabetic nephropathy is the number one cause of endstage renal disease in the United States. Blockade of the renin angiotensin system (RAS) is important in the treatment of diabetic nephropathy. With the reports of recently completed trials examining the role of angiotensin receptor blockers (ARBs) in type 2 diabetic nephropathy, the question has arisen as to which agents are best to block the ...

The Centers for Medicare and Medicaid Services (CMS) EndStage Renal Disease (ESRD) Program has served as a model for health care policy innovation because of several unique features: the program provides dialysis and kidney transplantation services where the alternative to renal replacement therapy is death; the program has a circumscribed, easily tracked population of patients; and the cost as...

Despite intensive treatment, steroid-resistant nephrotic syndrome (NS) often progresses to endstage renal disease. Therefore, a more accurate and quick histological diagnosis is required to properly treat such patients. The aim of this study was to introduce a novel approach to the histological diagnosis of pediatric NS by low vacuum scanning electron microscopy (LVSEM) and to describe the morp...

Nephrogenic systemic fibrosis (NSF) has been associated with the administration of gadolinium-based contrast agents in patients with severely impaired renal function (SIRF), endstage renal disease (ESRD), or acute renal failure (ARF). Since the vast majority of these patients do not get NSF, it is highly likely that patient factors play a role in its development. Although "free" or dechelated g...

absractthis study investigated a 63-day boy with end stage renal disease and abdominalcysts. the antenatal sonography detected anhydraminos, posterior urethral valve,and cystic dysplastic kidneys. voiding cystourethrogram revealed two obstructivegiant diverticula which at first looked like enlarged renal pelvis. the patient had persistenturinary tract infection and perforation of diverticula. t...

one of the complications of end-stage renal disease (esrd) is sensorineural hearing loss (snhl). despite large number of studies on adults esrd patients, there are only a few reported surveys regarding snhl in children. to determine the prevalence of snhl in children with esrd and its relationship with sex of patients, presence of hypertension, history of ototoxic drugs administration and durat...

Introduction The potent loop diuretics have an unrivalled place in the management of acute left ventricular failure (LVF). Few situations can be envisaged in which one of these agents cannot be given, although the therapeutic response may in many cases be poor (e.g. in renal failure). There seems little need for alternative agents to fulfil the role of loop diuretics, although the vasodilators ...

Methods After obtaining approval from the Ethics Committee, patients who were admitted to ICU between 01.01.2010 30.06.2014 and requiring RRT in the management of AKI were enrolled. They were divided into septic shock group or nonseptic group. Glasgow coma score (GCS), vital signs, laboratory values, vasopressor or inotropic agents requirements at initiation, 12 and 24 hours of RRT were collect...

PURPOSE To analyze the effect of maintenance hemodialysis on left ventricular diastolic function in patients with end-stage renal disease. METHODS Study population consisted of 42 patients with end-stage renal disease. Before an arteriovenous fistula was surgically created, the patients were evaluated by conventional and Doppler echocardiography and Doppler tissue imaging. Then, the patients ...

BACKGROUND AND OBJECTIVES There is a need for prediction scores that identify individuals at increased risk for developing progressive chronic kidney disease (CKD). Therefore, this study was performed to develop and validate a "renal risk score" for the general population. Design, setting, participants, & measurements For this study we used data from the PREVEND (Prevention of Renal and Vascula...