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Religious concerns may be an important reason why patients decline listing for a renal transplant. These issues may be equally, or even more, important when live donation is discussed. There is good reason to believe that religious concerns play a significant role much more often than clinicians and transplant teams believe. The issue is certainly further(More)
We report a case of urinary tract infection due to metallo-beta-lactamase producing Pseudomonas aeruginosa resistant to carbapenems. This report signals an ominous development. Unless curbed by judicious use of antibiotics and early detection by screening tests, spread of this plasmid-mediated resistance can render the carbapenems ineffective.
BACKGROUND Hyperphosphatemia is common in end-stage renal disease patients. Objective of this study is to compare the hypercalcaemic effect and phosphate binding power of calcium acetate and calcium carbonate in end-stage renal disease patients on maintenance haemodialysis. METHODS This randomised control trial was conducted in four phases with calcium(More)
We describe the case of a 23-year-old white woman with a long history of hypertension. She was referred to us 7 years after her initial diagnosis of hypertension when her blood pressure control worsened during pregnancy. Clinical examination showed an abdominal bruit and weak femoral pulses. Imaging showed midaortic syndrome with bilateral renal artery(More)
Luminex single antigen bead (SAB) assays have become an essential tool in monitoring the status of antibody to the Human Leucocyte Antigen (HLA) of patients both before and after transplantation. In addition SAB data is used to aid risk stratification to assess immunological risk of humoral rejection in solid organ transplantation (CTAG/BTAG guidelines)(More)
Case A 50-year-old man was seen for chronic renal failure of unknown origin. He had been diagnosed in 1981 and monitored continuously while his renal functions had deteriorated slowly; his current glomerular filtration rate was 17 ml/min. On this occasion, he was seen by a new doctor who observed that he was hard of hearing. The day was unusually bright and(More)
UNLABELLED Aimed at the practitioner in Special Care Dentistry, this is the second article in a two-part series providing guidelines on the dental management of renal patients. Dentists working in Special Care Dentistry will frequently be called upon to manage dialysis patients, whether pre- or post-transplant. The following paper deals with guidance as to(More)
UNLABELLED The number of kidney patients is increasing in all developed countries, mainly due to the increase in patients with type II diabetes. These patients may be asked by their renal physician to attend their general dental practitioner for an oral review prior to undergoing further renal treatment. Dental surgeons working in the primary care setting(More)
Fig. 1. Annual changes in urinary protein (UP, left panel), estimated glomerular filtration rate (eGFR, middle panel) and augmentation index (AI, right panel). 1. Takenaka T, Mimura T, Kanno Y et al. Qualification of arterial stiffness as a risk factor to the progression of chronic kidney diseases. Am J Nephrol 2005; 25: 417–424 2. Mimura T, Takenaka T,(More)
Simultaneous transplantation of kidney and pancreas (SKP) is an excellent treatment option for patients with type I diabetes mellitus with end-stage renal failure. The risk associated with the procedure is somewhat higher than that with transplantation of a kidney alone. This excess risk relates to a higher likelihood of rejection, necessitating on average(More)