Archive for El R3

Arterial-renal Syndrome in Patients with ESRD, a New Disease Paradigm

Arterial-renal Syndrome in Patients with ESRD, a New Disease Paradigm Abstract Background Patients with end-stage renal disease (ESRD) often present with an increased risk of cardiovascular disease. Conditions of compromised cardiovascular health such as atrial fibrillation (AFIB) and peripheral arterial disease (PAD) may alter biomarker levels in a way that reflects worsening ESRD. This study […]

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The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022

The Role of the Nephrologist in Management of Poisoning and Intoxication: Core Curriculum 2022 Poisoning is a common problem in the United States. Acid-base disturbances, electrolyte derangements, or acute kidney injury result from severe poisoning from toxic alcohols, salicylates, metformin, and acetaminophen. Lithium is highly sensitive to small changes in kidney function. These poisonings and […]

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El comienzo

El comienzo Hace varias lunas, en la octava luna del año El rocío del cielo cayó Y una semilla, con la gota del rocío, su cara se lavó Sin saber que esa gota, se convertiría en esta hermosa flor El rocío siempre fue cayendo, brindando amor Brotó un botón, sin embargo, se perdió en el […]

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Nutrition in Kidney Disease: Core Curriculum 2022

Nutrition in Kidney Disease: Core Curriculum 2022  As chronic kidney disease (CKD) progresses, the requirements and utilization of different nutrients change substantially. These changes are accompanied by multiple nutritional and metabolic abnormalities that are observed in the continuum of kidney disease. To provide optimal care to patients with CKD, it is essential to have an understanding of […]

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Diagnosis and management of arrhythmias in pregnancy

Diagnosis and management of arrhythmias in pregnancy   Abstract Arrhythmias are the most common cardiac complications occurring in pregnancy. Although the majority of palpitations in pregnancy may be explained by atrial or ventricular premature complexes, the full spectrum of arrhythmias can occur. In this article, we establish a systematic approach to the evaluation and management […]

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Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program

Reevaluating the Cardiac Risk of Noncardiac Surgery Using the National Surgical Quality Improvement Program Abstract Background As surgical techniques evolve and patient outcomes improve over time, a renewed analysis of the cardiac risk of noncardiac surgeries is needed. The goal of this study was to investigate and categorize the cardiac risk of elective noncardiac surgeries. […]

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Potential effects and application prospect of angiotensin receptor-neprilysin inhibitor in diabetic kidney disease

Potential effects and application prospect of angiotensin receptor-neprilysin inhibitor in diabetic kidney disease Highlights • ARNI promotes natriuresis and reduces blood pressure, contributing to renoprotection in diabetic patients. • ARNI is promising for ameliorating inflammation, oxidative stress, renal dysfunction and histopathologic changes of kidney. • ARNI may improve insulin resistance and blood glucose regulation via […]

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Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology

Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology Abstract Non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, fever, and inflammation. Historically, NSAIDs have been categorized as traditional NSAIDs and newer cyclooxygenase (COX)-2 inhibitors (coxibs). However, traditional NSAIDs also inhibit the COX-1 and COX-2 enzyme isoforms […]

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Unexplained hemorrhagic syndrome? Consider acquired hemophilia A or B

Unexplained hemorrhagic syndrome? Consider acquired hemophilia A or B Abstract There is a dire need to develop an algorithm to improve the recognition of acquired hemophilia A and B (AHA and AHB) in clinical practice. Initial and intensive care unit (ICU) management of the disorder is particular and represents a challenge for the internist/hematologist and […]

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1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7

1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7: A non-inferiority approach Highlights • It remains uncertain that T-piece and zero PS spontaneous breathing trials led to similar rates of successful extubation. • No patient disconnection from the ventilator can facilitate monitoring, and could prevent aerosols […]

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