Nephrology and Urology

SMJ Article | Review Article

Androgen Deprivation Therapy/Androgen Receptor Signaling Inhibitor Treatments for Prostate Cancer: Pathophysiology and Review of Effects on Cardiovascular Disease

Androgen deprivation therapy is the cornerstone of systemic management for prostate cancer but is associated with multiple adverse effects that must be considered during treatment. These effects occur because of the profound hypogonadism that is induced from lack of testosterone or due to the medications used in the treatment or...

Posted in: Prostate Disorders2

SMJ Article | Perspectives

State Advisory Council: Stakeholders’ Perspective for Shaping the Future of Chronic Kidney Disease Patients in Arkansas

The US Renal Data System (USRDS) reports that 15% of the adult US population has chronic kidney disease (CKD), whereas only 10% of those with CKD know that they have it.1 Timely interventions can prevent the debilitating effects of CKD. This perspective aims to share the experience of an innovative...

Posted in: Nephrology and Urology13 Chronic Kidney Disease2

SMJ Article | Review Article

Hypertension in Chronic Kidney Disease: An Update on Diagnosis and Management

Hypertension (HTN) and chronic kidney disease (CKD) are pathophysiologic states that are intimately related, such that long-term HTN can lead to poor kidney function, and renal function decline can lead to worsening blood pressure (BP) control. HTN in CKD is caused by an interplay of factors, including salt and water...

Posted in: Nephrology and Urology13 Chronic Kidney Disease2

SMJ Article | Original Article

Impact of Pulmonary Hypertension on Renal Functions in Obstructive Sleep Apnea Syndrome

Objectives: Pulmonary hypertension (PH) is common in obstructive sleep apnea syndrome (OSAS). This study aimed to evaluate the effect of PH on kidney functions in patients with OSAS. Methods: The data of patients who were diagnosed as having OSAS after referral to the sleep center in the Gaziantep University Medical...

Posted in: Nephrology and Urology13

SMJ Article | Original Article

Skin-to-Renal Pelvis Distance Predicts Costovertebral Angle Tenderness in Adult Patients with Acute Focal Bacterial Nephritis

Objectives: The aim of this study was to examine whether the distance between the skin and the renal pelvis affects the detection of costovertebral angle (CVA) tenderness in patients with acute focal bacterial nephritis (AFBN). Methods: We retrospectively reviewed the charts of our patients between April 2013 and June 2019...

Posted in: Nephrology and Urology13

CME Course | $25.00 | Credits: 1.0

Safety of Nonvitamin K Antagonists Compared with Warfarin in Patients with Atrial Fibrillation and End-Stage Kidney Disease

Target Audience Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the...

Posted in: Nephrology and Urology4

SMJ Article | Original Article

CME Article: Safety of Nonvitamin K Antagonists Compared with Warfarin in Patients with Atrial Fibrillation and End-Stage Kidney Disease

Objectives: This study evaluated the occurrence of major bleeding following the initiation of oral anticoagulation therapy in patients with end-stage kidney disease (ESKD) in a community teaching hospital. Methods: This was a single-center retrospective study that enrolled patients admitted to the study hospital with ESKD and who received oral anticoagulation...

Posted in: Nephrology and Urology13

SMJ Article | Original Article

CME Article: Pain after Arteriovenous Access Creation

Objectives: Dialysis access creation is a common outpatient procedure that can be completed using general, regional, or local anesthetic techniques. There are few endorsed guidelines regarding opioid-based pain control following fistula creation. The purpose of this study was to determine whether utilization of regional anesthesia (RA) is associated with the...

Posted in: Nephrology and Urology13

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