Remote monitoring of peritoneal dialysis: Why? Where? How?
Publication date: April 2013 Source:Hong Kong Journal of Nephrology, Volume 15, Issue 1 Author(s): Akash Nayak Karopadi , Sinoj Antony , S.V. Subhramanyam , K.S. Nayak Peritoneal dialysis as a modality can offer its patients several advantages including increased independence, no need for regular hospital or center visits, and fewer lost work hours. However some, disadvantages such as leaving the complete onus on the patient to do his own therapy and being far away from the nephrologist can lead to unwillingness or a fear of choosing PD. Over the last few years, our PD unit has developed a PD remote monitoring prot...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Acute kidney injury: Global health alert
Publication date: April 2013 Source:Hong Kong Journal of Nephrology, Volume 15, Issue 1 Author(s): Philip Kam Tao Li , Emmanuel A. Burdmann , Ravindra L. Mehta (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Handbook of nephrology Handbook of nephrology. Irfan K. Moinuddin, David J. Leehey. Philadelphia: Lippincott Williams & Wilkins; 2013. ISBN-13 978-1-4511-7547-9.
Publication date: October 2013 Source:Hong Kong Journal of Nephrology, Volume 15, Issue 2 Author(s): Terry King-Wing Ma , Cheuk Chun Szeto (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Common echocardiography findings in pretransplant dialysis patients and their associations
Conclusion Different echocardiographic abnormalities, especially LVH, are prevalent among CKD patients. Traditional risk factors, such as age, diabetes mellitus, and hypertension, and uremia-related risk factors, such as anemia and hypoalbuminemia, are associated with an increase in the prevalence of these abnormalities. 背景:心臟結構及功能異常在慢性腎病患者 (CKD) 間相當常見,本研究旨在調查 CKD 患者間心臟超音波異常表現的盛行狀況及其中的相關因子。 方法:這是伊朗設拉子醫學大學腎臟醫學與透析部的一項回溯性橫斷研究,納入 2000 至 2010 ...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Managing multiple myeloma patients with renal failure
Publication date: October 2013 Source:Hong Kong Journal of Nephrology, Volume 15, Issue 2 Author(s): Patrick Chu Renal impairment is a common and severe complication of multiple myeloma. Initial supportive treatment, especially hydration, cessation of nephrotoxic agents, avoidance of contrast for radiological studies, early treatment of infection, is often important in salvaging renal function. Bisphosphonates in patients with renal failure should be used with caution and best avoided in the initial stages, unless hypercalcemia is present. Novel criteria based on estimated Glomerular Filtration Rate (GFR) measuremen...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Peritoneal fibrosis and the putative role of decorin
Publication date: October 2013 Source:Hong Kong Journal of Nephrology, Volume 15, Issue 2 Author(s): Susan Yung , Na Jiang , Tak Mao Chan Induction of epithelial-to-mesenchymal transition (EMT) in mesothelial cells during peritoneal dialysis (PD) and peritonitis is an orchestrated process characterized by the loss of cell–cell contact, reorganization of the actin cytoskeleton, basement membrane degradation, and acquisition of a migratory and invasive phenotype. EMT contributes to peritoneal fibrosis, which can lead to the failure of PD as a treatment modality for patients with end-stage renal disease. Decorin is a...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

ISN moments—238 young Chinese nephrologists supported to learn from the World Congress of Nephrology 2013
Publication date: April 2014 Source:Hong Kong Journal of Nephrology, Volume 16, Issue 1 Author(s): Philip K.T. Li , Richard Y.H. Yu , Samuel K.S. Fung , Weixin Hu , Zhihong Liu , John Feehally The World Congress of Nephrology (WCN) provides a great opportunity for education for nephrologists, either experienced or in training, around the world. Support for nephrologists from the developing and remote regions is very important, in line with the missions of International Society of Nephrology Global Outreach programs. The collaboration with philanthropists to provide funding and the organization to have the appropr...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Observation of renal function in patients with surgical jaundice
Conclusion Each case of surgical jaundice should be considered as a potential case likely to pass in acute renal failure, and hence, a close monitoring of renal functions should be started at the very beginning and should be continued until the final outcome of the treatment. (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Oral paricalcitol for the treatment of secondary hyperparathyroidism in hemodialysis patients
Conclusion There is a substantial improvement in PTH levels by paricalcitol treatment in hemodialysis patients with secondary hyperparathyroidism, and paricalcitol is generally well tolerated. Our results suggest that patients with more advanced secondary hyperparathyroidism tend to have a less favorable response. (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Chronic kidney disease and the aging population
Publication date: April 2014 Source:Hong Kong Journal of Nephrology, Volume 16, Issue 1 Author(s): Marcello Tonelli , Miguel Riella (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

New Associate Editors of the Hong Kong Journal of Nephrology
Publication date: April 2014 Source:Hong Kong Journal of Nephrology, Volume 16, Issue 1 Author(s): Cheuk-Chun Szeto (Source: Hong Kong Journal of Nephrology)
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Renal outcome with eculizumab in two diarrhea-associated hemolytic–uremic syndrome cases with severe neurologic involvement
We report on two STEC-HUS children with severe neurologic involvement treated with eculizumab. Despite prompt resolution of initial neurologic findings upon treatment with eculizumab, proteinuria and hypertension persisted in these patients. The persistence of these two risk factors is particularly emphasized to discuss the long-term effects of eculizumab, especially on renal involvement. 產志賀毒素大腸桿菌相關溶血性尿毒症候群 (STEC-HUS) 的目標器官包括腎臟及腦部,在患者體內會出現補體替代途徑的活化。有報告指出,對於 STEC-HUS 所表現的重度神經學併發症,C5 ...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Nutritional and taste characteristics of low-potassium lettuce developed for patients with chronic kidney diseases
This study compared the potassium content, other nutritional values, and taste characteristics of LK lettuce with those of normal lettuce. The amounts of potassium and other nutrients in LK lettuce, normal leaf lettuce, and normal leaf lettuce that had been soaked in water were measured and compared. The taste characteristics of LK lettuce and normal leaf lettuce were evaluated for saltiness, bitterness, and overall preference. The LK lettuce contained a lower amount of potassium (−87%) than the normal leaf lettuce. There was no difference in the other nutritional contents between LK lettuce and normal leaf lettuce, exce...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

Treatment of chronic kidney disease patients with ketoanalogue-supplemented low-protein diet and ketoanalogue-supplemented very-low-protein diet
Conclusion The CKD patients on sLPD and sVLPD showed improvement in renal function, metabolic status, and nutrition. 方法 研究對象為 178 位 3–5 期(透析前)慢性腎病成年患者,其中 122 人接受酮類似物 (KA) 補充之低蛋白飲食 (sLPD)—含每公斤體重 0.6 g 蛋白質及每 10 公斤體重 1 顆 KA 錠;另 56 人接受 KA 補充之極低蛋白飲食 (sVLPD)—含每公斤體重 0.3 g 蛋白質及每 5 公斤體重 1 顆 KA 錠。治療期間的測量項目包括腎功能、代謝、營養學、體格等方面的變化。 結果 在各項基線臨床及化驗特徵上,sLPD 及 sVLP...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research

External validation of the Oxford classification of IgA nephropathy: A retrospective study of 70 patients from Saudi Arabia
Conclusion The Oxford classification system is a useful tool that reflects the severity of the initial clinical presentation in Arabs with IgA nephropathy. However, it did not predict long-term renal outcomes. 背景 在阿拉伯人群中,IgA 腎病變的牛津分類法尚未通過充分的驗證。本研究以經過組織學驗證為 IgA 腎病變的沙烏地阿拉伯成年患者為對象,對此分類法的效度進行了評估。 方法 是次分析所涉及的個案,是從 1998 年 5 月至 2011 年 5 月間,經切片證實為原發性 IgA 腎病變的 70 位患者,女性佔 46%,平均年齡 32.2 ± 12...
Source: Hong Kong Journal of Nephrology - November 1, 2014 Category: Urology & Nephrology Source Type: research