Effect of metformin use on graft and patient survival in kidney transplant recipients with type 2 diabetes: a systematic review protocol.

Introduction: Metformin is a first-line antihyperglycaemic agent for type 2 diabetes (T2DM). In addition to glycaemic control, it offers benefits related to cardiovascular health, weight neutrality and metabolic syndrome. However, its benefits in kidney transplant recipients remain unclear as metformin use is controversial in this population due to a lack of evidence and there are recommendations against its use in patients with poor kidney function.

Development and validation of impact of early integration of palliative care and oncology(IEI PCO) questionnaire: a survey for medical oncologists and nurses.

Objectives: Many associations have recently recommended early integration of oncology and palliative care for more standard cancer care and better quality of life. We aimed to create a questionnaire to assess the opinion of medical oncologists and nurses about the clinical impact of the integrated palliative care and oncology (PCO) program.

Methods: A novel semi-structured questionnaire called Impact of Early Integration of Palliative Care Oncology (IEI PCO) questionnaire was developed and tested for validity and reliability then distributed to the oncologists and nurses working in Kuwait Cancer Control Center.

Global trends in chronic kidney disease-related mortality: a systematic review protocol.

Introduction: In recent decades, all-cause mortality has increased among individuals with chronic kidney disease (CKD), influenced by factors such as aetiology, standards of care and access to kidney replacement therapies (dialysis and transplantation). The recent COVID-19 pandemic also affected mortality over the past few years. Here, we outline the protocol for a systematic review to investigate global temporal trends in all-cause mortality among patients with CKD at any stage from 1990 to current.

The impact of community-based non-pharmacological interventions on cardiovascular and kidney disease outcomes in remote dwelling Indigenous communities: A scoping review protocol.

Introduction: Indigenous people represent approximately 5% of the world's population. However, they often have a disproportionately higher burden of cardiovascular disease (CVD) risk and chronic kidney disease (CKD) than their equivalent general population. Several non-pharmacological interventions (e.

Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease-The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol.

Background: Hypertension, together with poorly controlled blood pressure (BP) are known risk factors for kidney disease and progression to kidney failure as well as increased cardiovascular (CV) morbidity and mortality. Several studies in patients without kidney disease have demonstrated the efficacy of home BP telemonitoring (HBPT) for BP control.

Objective: The primary aim of this study is to assess the mean difference in systolic BP (SBP) at 12 months, from baseline in remote dwelling patients with hypertension and chronic kidney disease (CKD) in Northern Alberta, Canada, comparing HBPT + usual care versus HBPT + a case manager.

Opioid Prescribing Patterns Before and After an Inpatient Palliative Care Consultation.

Background: To the best of our knowledge, the change in opioid prescription patterns upon referral to a palliative care team (PCT) was not previously investigated in the Middle East.

Objective: This study aimed to explore the change in the pattern of opioid prescription and the pain scores before and after referring inpatients to a PCT.

Methods: We conducted a retrospective review of patients' records including all inpatients ≥15 years newly referred to the PCT over a period of 21 months at King Faisal Specialist Hospital and Research Center, Riyadh.

Validation of an Arabic Questionnaire for Symptom Assessment.

Background: Impeccable assessment of symptoms is central to palliative care (PC) practice.

Objectives: The study objectives are (1) to test the validity of the Arabic Questionnaire for Symptom Assessment (AQSA) as a self-administered (SA) tool for assessing the severity of the listed symptoms among PC patients and (2) to test the validity of AQSA when completed by a proxy.

Methods: The AQSA is a tool for assessing the severity of 11 symptoms in addition to the overall suffering experience on a 0 to 10 numeric scale.

Synthesis, characterization, inequivalency of methylene proton and proton lability in the amino ligand of trans-[dichloro[(N-ferrocenyl methyl)amine](eta2-ethene)platinum] complexes.

A series of complexes of the type trans-[PtCl(2)(eta(2)-ethene)(N-ferrocenyl methyl)amine)] complexes, N-ferrocenylmethylamine=[(eta(5)-C(5)-H(5))Fe(eta(5)-C(5)-H(4)CH(2)NHR], R=(Me, Pr(i), Bu(s), Bu(t), CH(2)Ph, (p-OCH(3))Ph, (o-(OCH(3))Ph, (p-CH(3))Ph, (o-CH(3))Ph, (m-CH(3))Ph, (p-Cl)Ph) have been synthesized and characterized on the basis of elemental analysis, IR, 1H and 13C NMR spectroscopic methods. The CpCH(2)NHR (Cp=(eta(5)-C(5)H(5))Fe(eta(5)-C(5)H(4)), region of the 1H NMR spectrum of the complexes has been investigated and shown to contain inequivalent methylene protons, NH-CH and 195Pt-N-CH coupling take place.