scholarly journals Home Hemodialysis Dose: Balancing Patient Needs and Preferences

2015 ◽  
Vol 39 (1-3) ◽  
pp. 45-49
Author(s):  
Jose A. Diaz-Buxo ◽  
Corinne E. Zeller-Knuth ◽  
Kerry Anne Rambaran ◽  
Rainer Himmele
Keyword(s):  
Patient Survival ◽  
Dry Weight ◽  
Patient Needs ◽  
Relative Importance ◽  
Home Hemodialysis ◽  
Improve Patient Survival ◽  
Improve Patient ◽  
Hemodialysis Dose ◽  
Made In

Background: The aim in defining the dose of HHD is to provide sufficient dialysis required to possibly ‘normalize' all abnormalities associated with renal failure in order improve patient survival and quality of life. Much progress has been made in defining the dose required to accomplish this goal, but the evidence is still far from robust. The main limitations are incomplete understanding of uremic toxins, their relative importance in causing uremic symptoms, and our inability to comprehensively assess dry weight. Summary: This review provides guidance on realistic dosing of dialysis for the HHD patient based on the available evidence, where available, and alternative regimens that suit the individual's lifestyle and preferences. Key Messages: HHD can easily accommodate alternative, intensive HD prescriptions, including daily and nocturnal HD. HHD provides prescription flexibility to fulfill patient needs while taking their preferences into account.

scholarly journals Pediatric supratentorial high-grade gliomas

2003 ◽  
Vol 14 (2) ◽  
pp. 1-8 ◽  
Author(s):  
Mandeep S. Tamber ◽  
James T. Rutka
Keyword(s):  
Patient Survival ◽  
High Grade ◽  
The Novel ◽  
Improve Patient Survival ◽  
Molecular Alterations ◽  
Novel Approaches ◽  
Aggressive Tumors ◽  
High Grade Gliomas ◽  
Improve Patient

The purpose of this review is to highlight some of the pertinent concepts and controversies surrounding the diagnosis and treatment of pediatric supratentorial high-grade gliomas. Unlike the adult counterparts, pediatric high-grade gliomas are likely derived from distinct cytogenetic and molecular alterations. Surgery has been shown to play a role in extending patient survival. Some success is associated with the provision of chemotherapy. Radiotherapy remains an important adjunct in children older than age 3 years. The challenges involved in improving the poor prognosis of children in whom these very aggressive tumors have been diagnosed will be discussed, as well as some of the novel approaches being investigated to improve patient survival and quality of life.

Technologic Advances in Surgery for Brain Tumors: Tools of the Trade in the Modern Neurosurgical Operating Room

2005 ◽  
Vol 3 (5) ◽  
pp. 705-710 ◽  
Author(s):  
Christopher M. McPherson ◽  
Raymond Sawaya
Keyword(s):  
Quality Of Life ◽  
Brain Tumors ◽  
Patient Survival ◽  
Histologic Diagnosis ◽  
Tumor Mass ◽  
Improve Patient Survival ◽  
Oncologic Treatment ◽  
Improve Patient ◽  
Patient Survival Time

Surgery is an essential part of the oncologic treatment of patients with brain tumors. Surgery is necessary for histologic diagnosis, and the cytoreduction of tumor mass has been shown to improve patient survival time and quality of life. Ultimately, the goal of any oncologic neurosurgery is to achieve maximal safe resection. Over the years, many technologic adjuncts have been developed to assist the surgeon in achieving this goal. In this article, we review the technologic advances of modern neurosurgery that are helping to reach this goal.

scholarly journals One Case of Anti-Yo Antibody Positive Subacute Cerebellar Degenera

2020 ◽  
Vol 5 (7) ◽  
Keyword(s):  
Quality Of Life ◽  
Immune Response ◽  
Early Diagnosis ◽  
Patient Survival ◽  
Cerebellar Degeneration ◽  
Paraneoplastic Cerebellar Degeneration ◽  
Improve Patient Survival ◽  
Subacute Cerebellar Degeneration ◽  
Improve Patient

Subacute cerebellar degenera also known as paraneoplastic cerebellar degeneration, is one of the typical neurological lesions caused by paraneoplastic neurological syndrom. It is caused by changes in the immune response. A case of tumor-negative anti-Yo antibody-positive subacute cerebellar degeneration is reported to strengthen clinicians’ understanding of the disease. Early diagnosis of subacute cerebellar degeneration is essential to improve patient survival and quality of life.

scholarly journals Primary Malignant Melanoma of the Vagina without Metastasis: A Rare Case and Review of Literature

2020 ◽  
Author(s):  
Wilson Bizimana ◽  
Gloria Akimana ◽  
Arthur Semedo Insumbo ◽  
Hounayda Jerguigue ◽  
Rachida Latib ◽  
...  
Keyword(s):  
Malignant Melanoma ◽  
Patient Survival ◽  
Rare Condition ◽  
Primary Malignant Melanoma ◽  
Imaging Features ◽  
Review Of Literature ◽  
Pelvic Magnetic Resonance Imaging ◽  
Improve Patient Survival ◽  
Appropriate Treatment ◽  
Improve Patient

AbstractMalignant melanoma of vagina is a rare condition. Its histogenesis has been debated and the positive diagnosis is based on immunohistochemistry. Pelvic magnetic resonance imaging remains the gold standard for assessing locoregional extension status and post-treatment surveillance of melanoma of vagina. The observation concerned a 53-year-old woman with no specific history who presented a primary malignant melanoma of vagina without secondary locations. To date, the case is the second one reported in the literature. Early diagnosis of the malignant melanoma of vagina may improve patient survival because late diagnoses are punctuated by poor prognosis. We have presented epidemiological with etiopathogenic characteristics and described all imaging features to stage the tumor and to conduct the appropriate treatment.

scholarly journals The Quality of Life of Suburbanities: A Case Study of the Gdańsk Agglomeration

2010 ◽  
Vol 14 (14) ◽  
pp. 91-101
Author(s):  
Grzegorz Masik
Keyword(s):  
Quality Of Life ◽  
Local Government ◽  
Public Transport ◽  
Local Governments ◽  
Public Spaces ◽  
Relative Importance ◽  
Made In

The Quality of Life of Suburbanities: A Case Study of the Gdańsk Agglomeration The article explains the meaning of the concept of ‘quality of life’, placing emphasis on its subjective dimension. As the concept is more and more discussed in the literature, the author intends to examine the satisfaction within public spaces for which local government is responsible. According to research made in Canada it is worth measuring not only satisfaction as such but also the importance of its constituent dynamics. Therefore, a survey made in the suburbs of the Gdańsk agglomeration asked respondents about their satisfaction with public transport, roads, environment, etc., including questions about the relative importance of such issues. The combination of satisfaction and importance provide the overall quality of life. At the end of the paper the author considers if there is a chance to improve the quality of life through a brief analysis of local governments expenditure.

Abstract A56: Identification of a micro RNA profile to predict response to therapy and improve patient survival in ovarian cancer

2013 ◽  
Author(s):  
Marina Rigau ◽  
Blanca Majem ◽  
Tatiana Altadill ◽  
Lucia Lanau ◽  
José-Luis Sánchez-Iglesias ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Patient Survival ◽  
Response To Therapy ◽  
Micro Rna ◽  
Improve Patient Survival ◽  
Improve Patient

Regurgitant Commissure Flow Through a Closed Polymeric Heart Valve

2010 ◽  
Author(s):  
Scott C. Corbett ◽  
Hamid N.-Hashemi ◽  
Ahmet U. Coskun
Keyword(s):  
Heart Valve ◽  
Heart Valves ◽  
Structural Changes ◽  
Patient Survival ◽  
Improve Patient Survival ◽  
Flow Disturbances ◽  
Limited Life ◽  
Flow Through ◽  
Valve Prostheses ◽  
Improve Patient

While heart valve prostheses have been used successfully since 1960, outcomes are far from ideal. The underlying problem with bioprostheses is a limited life from structural changes such as calcification and leaflet wear, leading to valve failure. The underlying problem with mechanical heart valves is the presence of flow disturbances which necessitate anticoagulation. A polyurethane valve has the potential to improve upon the shortcomings of existing valves and ultimately improve patient survival.

scholarly journals Surgical Resection and Pazopanib Treatment for Recurrent Cardiac Angiosarcoma

2019 ◽  
Vol 12 ◽  
pp. 2632010X1983126
Author(s):  
Yuki Nakamura ◽  
Koichi Toda ◽  
Shigeru Miyagawa ◽  
Yasushi Yoshikawa ◽  
Hiroki Hata ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Poor Prognosis ◽  
Tumor Recurrence ◽  
Kinase Inhibitor ◽  
Patient Survival ◽  
Optimal Management ◽  
Improve Patient Survival ◽  
Cardiac Angiosarcoma ◽  
Sarcoma Treatment ◽  
Improve Patient

Cardiac sarcoma treatment is challenging for surgeons because of frequent tumor recurrence and poor prognosis. In addition, optimal management of recurrences is not well established. The multi-targeted tyrosine kinase inhibitor, pazopanib, was recently approved for soft-tissue sarcoma. Herein, we present a case involving recurrent cardiac angiosarcoma where the patient survived for 2 years with complete remission of disease after repeated surgical resection and treatment with oral pazopanib. Based on our experience, aggressive surgical resection combined with pazopanib may be a valid treatment for recurrent cardiac angiosarcoma to improve patient survival.

scholarly journals Percutaneous Management of Malignant Biliary Strictures: Current Status and Future Directions

2017 ◽  
Vol 01 (01) ◽  
pp. 036-046
Author(s):  
Mohammed Attaya ◽  
Hosam Attaya ◽  
Ashraf Thabet
Keyword(s):  
New Technologies ◽  
Current Status ◽  
Biliary Strictures ◽  
Biliary Stents ◽  
Future Directions ◽  
Improve Patient Survival ◽  
Percutaneous Interventions ◽  
Improve Patient ◽  
Transhepatic Biliary Drainage

AbstractVarious minimally invasive percutaneous interventions may be performed for the treatment and management of malignant biliary obstruction. The types of percutaneous interventions include percutaneous transhepatic biliary drainage, percutaneous cholecystostomy, and biliary stent placement. Biliary stents have undergone continued evolution in design to prolong patency, increase cost-effectiveness, improve patient survival, and quality of life. Furthermore, investigational techniques, such as radiofrequency ablation, intraluminal brachytherapy, and photodynamic therapy promise new technologies in the field of biliary intervention. This review focuses on the current status of percutaneous therapies for malignant biliary strictures and obstruction.

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