Physical and psychosocial burden experienced by women on maintenance hemodialysis.

Background: The global prevalence of chronic kidney disease is growing at an alarming rate, and the number of patients progressing to kidney failure is increasing. A substantial number of patients are undergoing hemodialysis (HD), which improves health and lengthens life. However, it imposes multiple physical and psychological demands on the patients.

Health Education for Chronic Kidney Disease Patients Not on Dialysis Through the Pictorial Patient Information Leaflet.

Educating the patient with patient information leaflets is helpful to increase understanding and awareness about chronic kidney disease. Various educational materials are available online, but their quality is mixed. The content was found to be unreliable or incomprehensible.

Hypokalaemic quadriparesis in a patient with urinary diversion through Indiana pouch.

A man in his 20s, a patient with chronic kidney disease with a baseline estimated glomerular filtration rate of 33 mL/min/1.73 m, who had an Indiana pouch continent urinary diversion procedure done at 6 years of age for bladder exstrophy, presented to the emergency room with sudden-onset progressive quadriparesis over 6 hours with power 1/5 in all the limbs with preserved reflexes. He was fully conscious and oriented, with stable vital signs.

A Rare Cause of Nephrotic Syndrome in Adults - Collagenofibrotic Glomerulopathy.

Adult-onset nephrotic syndrome (NS) is commonly caused by minimal change disease, focal segmental glomerulosclerosis, andmembranous nephropathy. Rare causes of NS include amyloidosis, immunoglobulin deposition disease, fibronectin glomerulopathy, and Collagenofibrotic glomerulopathy (CG). CG is caused by deposition of Type 3 collagen in the mesangium and subendothelial area.

Endovascular Intervention for Central Venous Stenosis in Hemodialysis Patients: A Single-center Experience.

Central venous stenosis (CVS) refers to a significant stenosis of a large intrathoracic vein, such as the subclavian, brachiocephalic, or the superior vena cava (hemodialysis, HD). Percutaneous transluminal angioplasty (PTA) with or without stent placement has been the recommended as the preferred approach to CVS. A total of 10 consecutive HD patients with documented CVS over a 2-year time period from April 2017-April 2019 underwent percutaneous angioplasty and stent insertions under sedation.

Prevalence of use of complementary and alternative medicine in chronic kidney disease: A cross-sectional single-center study from South India.

The prevalence of chronic kidney disease (CKD) has increased substantially in India over the past two decades commensurate with the global trend and has currently emerged as a significant cause of mortality and morbidity. Use of complementary and alternative medicine (CAM), especially ayurvedic medication, is widespread in CKD although accurate data on the prevalence of use are lacking. A cross-sectional study was conducted from January to June 2017 in the nephrology outpatient clinic of a medical college hospital in Mangalore, South-West India.

Plasmapheresis: A Retrospective Audit of Procedures from a Tertiary Care Center in Southern India.

Introduction: The term plasmapheresis/plasma exchange refers to the removal of the plasma component of blood and its replacement with various fluids. Plasma Exchange (PE) has been used to treat a variety of conditions that are associated with an aberrant immune response. We undertook this retrospective study aiming to look at plasmapheresis procedures conducted in the nephrology department over a fixed time period.

Altered neural processing of the need to stop in young adults at risk for stimulant dependence.

Identification of neurocognitive predictors of substance dependence is an important step in developing approaches to prevent addiction. Given evidence of inhibitory control deficits in substance abusers (Monterosso et al., 2005; Fu et al.

The influence of emotions on cognitive control: feelings and beliefs-where do they meet?

The influence of emotion on higher-order cognitive functions, such as attention allocation, planning, and decision-making, is a growing area of research with important clinical applications. In this review, we provide a computational framework to conceptualize emotional influences on inhibitory control, an important building block of executive functioning. We first summarize current neuro-cognitive models of inhibitory control and show how Bayesian ideal observer models can help reframe inhibitory control as a dynamic decision-making process.

Bayesian prediction and evaluation in the anterior cingulate cortex.

The dorsal anterior cingulate cortex (dACC) has been implicated in a variety of cognitive control functions, among them the monitoring of conflict, error, and volatility, error anticipation, reward learning, and reward prediction errors. In this work, we used a Bayesian ideal observer model, which predicts trial-by-trial probabilistic expectation of stop trials and response errors in the stop-signal task, to differentiate these proposed functions quantitatively. We found that dACC hemodynamic response, as measured by functional magnetic resonance imaging, encodes both the absolute prediction error between stimulus expectation and outcome, and the signed prediction error related to response outcome.

Rational decision-making in inhibitory control.

An important aspect of cognitive flexibility is inhibitory control, the ability to dynamically modify or cancel planned actions in response to changes in the sensory environment or task demands. We formulate a probabilistic, rational decision-making framework for inhibitory control in the stop signal paradigm. Our model posits that subjects maintain a Bayes-optimal, continually updated representation of sensory inputs, and repeatedly assess the relative value of stopping and going on a fine temporal scale, in order to make an optimal decision on when and whether to go on each trial.

An unusual case of Henoch-Schönlein purpura.

Vasculitis has protean manifestations with etiological non-specificity of histological lesions. The natural history of Henoch-Schönlein purpura in adults is less well established. We report an adult female patient who presented with palpable skin purpura and was evaluated to have IgA nephritis who remains stable on treatment with cyclophosphamide and steroids.

Accessory thymus in posterior mediastinum.

Presence of thymus in the normal position as well as in the posterior mediastinum is an unusual phenomenon. We report here a case of posterior mediastinal mass in a 20-month old male child who presented with dysphagia and dry cough. Investigations revealed it to be a solid posterior mediastinal mass, suspected to be either lymphoma or a neuroblastoma.

Control of a humanoid robot by a noninvasive brain-computer interface in humans.

We describe a brain-computer interface for controlling a humanoid robot directly using brain signals obtained non-invasively from the scalp through electroencephalography (EEG). EEG has previously been used for tasks such as controlling a cursor and spelling a word, but it has been regarded as an unlikely candidate for more complex forms of control owing to its low signal-to-noise ratio. Here we show that by leveraging advances in robotics, an interface based on EEG can be used to command a partially autonomous humanoid robot to perform complex tasks such as walking to specific locations and picking up desired objects.

Beyond the gamma band: the role of high-frequency features in movement classification.

Electrocorticographic spectral changes during movement show a behavioral inflection in the classic gamma band (30-70 Hz). We quantify this inflection and demonstrate that it limits classification accuracy. We call for the designation of a functionally defined band above it, which we denote the chi-band.

Online electromyographic control of a robotic prosthesis.

This paper presents a two-part study investigating the use of forearm surface electromyographic (EMG) signals for real-time control of a robotic arm. In the first part of the study, we explore and extend current classification-based paradigms for myoelectric control to obtain high accuracy (92-98%) on an eight-class offline classification problem, with up to 16 classifications/s. This offline study suggested that a high degree of control could be achieved with very little training time (under 10 min).

Generalized features for electrocorticographic BCIs.

This paper studies classifiability of electrocorticographic signals (ECoG) for use in a human brain-computer interface (BCI). The results show that certain spectral features can be reliably used across several subjects to accurately classify different types of movements. Sparse and nonsparse versions of the support vector machine and regularized linear discriminant analysis linear classifiers are assessed and contrasted for the classification problem.

Real-time functional brain mapping using electrocorticography.

We demonstrate the feasibility of real-time cortical mapping from arrays of subdural electrodes using the electrocorticographic signal power in the higher spectral frequencies (76-200 Hz, or "chi-index"). Hand area was mapped offline in eight individuals using brief baseline and hand-movement measurements. In one patient, hand sensorimotor cortex was identified online during a handshake.

Towards adaptive classification for BCI.

Non-stationarities are ubiquitous in EEG signals. They are especially apparent in the use of EEG-based brain-computer interfaces (BCIs): (a) in the differences between the initial calibration measurement and the online operation of a BCI, or (b) caused by changes in the subject's brain processes during an experiment (e.g.