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 Urology12 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 Urology12 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 Urology12

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 Urology12

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 Urology12

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 Urology12

SMJ Article | Original Article

OPEN: Initial Institutional Experience with 18F-Fluciclovine PET-CT in Biochemical Recurrence of Prostate Cancer

Objectives: 18F-fluciclovine (fluciclovine) is an amino acid analog approved by the Food and Drug Administration for use as a radiotracer in positron emission tomography (PET) in men with biochemical recurrence of suspected prostate cancer. The purpose of this study was to investigate the initial institutional experience with 18F-fluciclovine in the...

Posted in: Nephrology and Urology12 Urologic Cancer1 Prostate Disorders1

SMJ Article | Original Article

Novel Opiate-Free Anesthetic Technique for Major Urologic Procedures

Objectives: We postulated that an opiate-free (OF) general anesthesia (GA) technique could adequately control a patient’s pain without adversely affecting recovery. We compared patients undergoing major urologic procedures with and without opiate-based GA. Methods: A propensity-matched analysis was performed comparing hospital length of stay, postoperative nausea and vomiting, ileus occurrence,...

Posted in: Nephrology and Urology12

SMJ Article | Original Article

Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium

Objectives: To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. Methods: Commonly used...

Posted in: Nephrology and Urology12 Vascular Disease1

SMJ Article | Original Article

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography

Objectives: Recent studies have questioned whether intravascular iodinated contrast remains an independent cause of acute kidney injury (AKI). We sought to assess whether iodinated contrast administered during coronary angiography is an independent cause of AKI.Methods: We identified all of the patients who underwent coronary angiography between July 1, 2015 and...

Posted in: Nephrology and Urology12

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