Hemodialysis (HD) is a life-saving therapy for patients with end-stage renal disease. In dialyzed patients, the prevalence of multi-morbidity is rising driven by various factors, such as the population aging, the incomplete correction of uremia, and the side effects of the dialysis therapy itself. Each dialyzed patient has their own specific clinical and biochemical problems.
View Article and Find Full Text PDFAcute and chronic kidney injuries represent critical issues after liver transplantation (LTx), but whereas renal dysfunction in adult transplant patients is well documented, little is known about its prevalence in childhood. It is a challenge to accurately evaluate renal function in patients with liver disease, due to several confounding factors. Creatinine-based equations estimating glomerular filtration rate, validated in nephropathic patients without hepatic issues, are frequently inaccurate in end-stage liver disease, underestimating the real impact of renal disease.
View Article and Find Full Text PDFJ Am Acad Psychoanal Dyn Psychiatry
April 2008
It is my intention to suggest that there are several affinities between Bion's thought, in particular with such concepts as truth, absolute truth (O), the contact with O (at-one-ment), and the transformation into O, the act of faith, hallucinosis and illumination, and certain formulations referring to Zen Buddhism. These concepts can find, in turn, correspondences in the salient characteristics of the rock garden at Kyoto's Ryoan-ji temple.
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