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Does Primary Care Matter?
Emily Friedman, Independent Health Policy and Ethics Analyst, Chicago, Illinois; Adjunct Assistant Professor, Boston University School of Medicine, Massachusetts, dissects the primary care issue.
Editorial, September 8, 2008
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A Market for Compassion: Single-Payer Health Insurance
Prajwal Ciryam, second-year MD/PhD student at Northwestern University and Co-Founding Member of Health Care for All Illinois, explains why an American single-payer system is right.
Expert Viewpoint, September 5, 2008
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Hepcidin: A New Tool in the Management of Anaemia in Patients with Chronic Kidney Disease?
Hepcidin is a newly discovered protein that plays an important role in iron metabolism. Learn more about its potential uses for anemia management in chronic kidney disease.
Journal Article, September 4, 2008
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Telmisartan is More Effective Than Losartan in Reducing Proteinuria in Patients with Diabetic Nephropathy
Diabetic nephropathy may occur concurrently with proteinuria and other comorbid conditions such as hypertension. What makes Telmisartan the best angiotensin receptor blocking agent in these cases?
Journal Article, September 2, 2008
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Hand Hygiene: How Can We Improve?
Lisa Maragakis, MD, reviews in her videoblog the serious challenges of measuring and improving hand hygiene compliance in the healthcare setting.
Expert Viewpoint, September 2, 2008
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Patients Requiring Dialysis are not at Risk of Greater Complication after Carotid Endarterectomy
Dialysis and the underlying kidney disease that accompany it can complicate surgical procedures and create greater risk. Find out why this is not the case with CEA.
Journal Article, September 2, 2008
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Cause-specific Mortality of Dialysis Patients After Coronary Revascularization: Why Don't Dialysis Patients Have Better Survival After Coronary Intervention?
Why is mortality risk after coronary intervention significantly higher for dialysis patients? Authors of this retrospective review share study results and suggest strategies to improve the problem.
Journal Article, August 29, 2008
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Electronic Personal Health Records: Should Doctors Worry?
Matthew K. Wynia, MD, MPH, FACP, Director, The Institute for Ethics, American Medical Association, Chicago, Illinois, describes many ethical twists in electronic health records.
Editorial, August 29, 2008
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Alemtuzumab Preconditioning with Tacrolimus Monotherapy After Renal Transplantation
In this video blog Ron Shapiro, MD discusses a novel approach to immunosuppression in renal transplant recipients using preconditioning and spaced immunosuppression.
Expert Viewpoint, August 28, 2008
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Oxpentifylline Versus Placebo in the Treatment of Erythropoietin-resistant Anaemia: A Randomized Controlled Trial
Anemia is a common problem in chronic kidney disease (CKD) but treatments are only marginally effective. Oxpentifylline is being studied as a new therapy for erythropoietin-resistant anaemia.
Journal Article, August 26, 2008
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Hyperphosphatemia of Chronic Kidney Disease
Hyperphosphatemia from positive phosphate balance in chronic kidney disease has a destructive pathobiology. Learn more about the effects of hyperphosphatemia in this review.
Journal Article, August 25, 2008
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Contrast Media Reactions Pose Serious Risk of Nephropathy
Iodinated contrast media perform an important function in imaging, but they also can increase the risk for morbidity and mortality due to nephropathy.
Expert Viewpoint, August 25, 2008
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Safeguarding Muscle During Weight Reduction
Ingrid Kohlstadt, MD, MPH, FACN, Associate, The Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, explains the muscle part of weight gain and loss.
Editorial, August 25, 2008
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The Risk of Acute Renal Failure in Patients with Chronic Kidney Disease
Nosocomial acute kidney failure (AKF) may be influenced by a number of known risk factors, one of which is glomerular filtration rate (GFR). This study examines the effect of GFR level on AKF onset.
Journal Article, August 22, 2008
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A Principled Partnership Between Academic Medicine and Industry
Darrell G. Kirch, MD, President and CEO, Association of American Medical Colleges, Washington, DC, tells us how medicine and industry can and cannot collaborate.
Editorial, August 22, 2008
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Antibody-Mediated Rejection of the Renal Graft After SKP Transplantation
In one of the first reports of AMR in SKPT, the authors document the clinical significance of positive C4d immunostaining in renal allograft biopsies in SKPT recipients with graft dysfunction.
Expert Viewpoint, August 21, 2008
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CME
Progressive Arm and Leg Stiffness in a Patient With Chronic Renal Impairment
Nephrogenic systemic fibrosis can promote significant disability. While medical treatment for nephrogenic systemic fibrosis is currently limited, prevention is paramount. The current article reviews the diagnosis and prevention of nephrogenic systemic fibrosis.
Journal Article, August 21, 2008
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CME
ANCA-Negative Glomerulonephritis Associated With Nonasthmatic Churg-Strauss Syndrome
Churg-Strauss syndrome can be difficult to diagnose and carries a significant risk for mortality. The current case study and review highlight the diagnosis and treatment of Churg-Strauss syndrome.
Journal Article, August 21, 2008
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Renal Allocation and the Perception of Fairness
In this video blog Ron Shapiro, MD discusses the fairness of policies in the United States that shift organ allocation from older to younger recipients.
Expert Viewpoint, August 18, 2008
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Why Should I Report an Adverse Drug Event?
Individual clinicians can play a vital role in detecting potentially serious adverse drug events -- and the safety of our drug supply depends on them.
Expert Viewpoint, August 18, 2008