Hemodialysis International 2014; 18:i
Preface
The . . . th issue of Hemodialysis International represents the proceedings from the 34th Annual Conference on Dialysis held in Atlanta, Georgia, February 8–11, 2014. It has 6 original articles, two review articles, once case report and a short report. The first of the seven articles by Duran and Concepcion is a 54 month follow up of survivors of acute kidney injury (AKI) who required dialysis. Their data suggests that almost 80% of such survivors end up with CKD stage 3 or above. This high rate of progression to CKD calls for early and aggressive management of AKI in the acute setting and close and careful follow up of survivors in the chronic setting. In the same vein, the next article by Xie and Iqbal describes the relationship between the outpatient nephrology care and the recurrence of AKI after the initial episode of AKI. The data they provide buttresses the argument that outpatient nephrology care decreases AKI recurrence rates but also provides an insight into the determinants of such care. In the next article, Paglialonga et al describe their experience of the use of chlorhexidine for catheter exit site care in pediatric HD patients. They report that its use resulted in a lower incidence of infection when compared to Povidone-iodine. Sueki et al, in the following article describe a novel method to detect vascular steal by measuring ipsilateral skin perfusion pressure in AV fistula arm. The reduction in perfusion pressure was independent of brachial artery blood flow measurements. In the next article, describing their experience in Egyptian hemodialysis patients, Ibrahim et al report that Hepatitis C positivity in their cohort was not predictive of an enhanced infection risk as compared to Hepatitis C negative patients. The survival of Japanese patients on hemodialysis is the best in the world. Watanabe et al from Japan report a comparison of quality of life, an equally important parameter, between conventional in center and home hemodialysis patients. In their experience the home patients
reported a higher health related quality of life than their in-center hemodialysis patients. In the first of two review articles, Fischbach et al present an argument against the practice of offering three times a week hemodialysis to pediatric patients. Their article puts forth the logic that intensive dialysis can provide more ‘adequate’ dialysis in this age group. Dr. Davenport, in the following review article, describes how modifications in dialyzer design can help improve solute clearances. His article highlights the recent advancements in technology including those in the area of membrane composition as well as dialyzer’s physical characteristics. Drs. Jindal and Misra in the following case report describe their experience of a unique complication on hemodialysis i.e. severe eye pain in a patient during hemodialysis. Their paper describes how alterations in intraocular pressure during hemodialysis may lead to sever eye pain that may require surgical intervention for pressure relief. Lastly, the ISHD is pleased to announce one additional effort amongst the many that it continues to make in the field of advancing hemodialysis education. The advanced hemodialysis fellowship is a unique effort in this direction. Offered through the University of Washington and endorsed by the ISHD, this is a one of a kind opportunity to train for one additional year as a nephrology fellow in the field of hemodialysis. The article describes how this fellowship can go a long way in enhancing a more thorough understanding of hemodialysis science as well technology to the nephrology trainees. Lastly, as always, thanks are due to Claire Oser, who has been instrumental in providing the much needed administrative support to make this issue a reality.
Madhukar Misra MD President, ISHD Columbia MO
© 2014 International Society for Hemodialysis DOI:10.1111/hdi.12237
i
Copyright of Hemodialysis International is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
Preface
The . . . th issue of Hemodialysis International represents the proceedings from the 34th Annual Conference on Dialysis held in Atlanta, Georgia, February 8–11, 2014. It has 6 original articles, two review articles, once case report and a short report. The first of the seven articles by Duran and Concepcion is a 54 month follow up of survivors of acute kidney injury (AKI) who required dialysis. Their data suggests that almost 80% of such survivors end up with CKD stage 3 or above. This high rate of progression to CKD calls for early and aggressive management of AKI in the acute setting and close and careful follow up of survivors in the chronic setting. In the same vein, the next article by Xie and Iqbal describes the relationship between the outpatient nephrology care and the recurrence of AKI after the initial episode of AKI. The data they provide buttresses the argument that outpatient nephrology care decreases AKI recurrence rates but also provides an insight into the determinants of such care. In the next article, Paglialonga et al describe their experience of the use of chlorhexidine for catheter exit site care in pediatric HD patients. They report that its use resulted in a lower incidence of infection when compared to Povidone-iodine. Sueki et al, in the following article describe a novel method to detect vascular steal by measuring ipsilateral skin perfusion pressure in AV fistula arm. The reduction in perfusion pressure was independent of brachial artery blood flow measurements. In the next article, describing their experience in Egyptian hemodialysis patients, Ibrahim et al report that Hepatitis C positivity in their cohort was not predictive of an enhanced infection risk as compared to Hepatitis C negative patients. The survival of Japanese patients on hemodialysis is the best in the world. Watanabe et al from Japan report a comparison of quality of life, an equally important parameter, between conventional in center and home hemodialysis patients. In their experience the home patients
reported a higher health related quality of life than their in-center hemodialysis patients. In the first of two review articles, Fischbach et al present an argument against the practice of offering three times a week hemodialysis to pediatric patients. Their article puts forth the logic that intensive dialysis can provide more ‘adequate’ dialysis in this age group. Dr. Davenport, in the following review article, describes how modifications in dialyzer design can help improve solute clearances. His article highlights the recent advancements in technology including those in the area of membrane composition as well as dialyzer’s physical characteristics. Drs. Jindal and Misra in the following case report describe their experience of a unique complication on hemodialysis i.e. severe eye pain in a patient during hemodialysis. Their paper describes how alterations in intraocular pressure during hemodialysis may lead to sever eye pain that may require surgical intervention for pressure relief. Lastly, the ISHD is pleased to announce one additional effort amongst the many that it continues to make in the field of advancing hemodialysis education. The advanced hemodialysis fellowship is a unique effort in this direction. Offered through the University of Washington and endorsed by the ISHD, this is a one of a kind opportunity to train for one additional year as a nephrology fellow in the field of hemodialysis. The article describes how this fellowship can go a long way in enhancing a more thorough understanding of hemodialysis science as well technology to the nephrology trainees. Lastly, as always, thanks are due to Claire Oser, who has been instrumental in providing the much needed administrative support to make this issue a reality.
Madhukar Misra MD President, ISHD Columbia MO
© 2014 International Society for Hemodialysis DOI:10.1111/hdi.12237
i
Copyright of Hemodialysis International is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
