Expansion of home hemodialysis (HHD) provides an opportunity to improve clinical outcomes, reduce cost of care, and address the staffing challenges currently faced in caring for patients with kidney failure on replacement therapy. To increase HHD expansion, current practices and barriers to home dialysis must be examined and addressed. One such barrier is vascular access for HHD; although tunneled hemodialysis central venous catheters (CVCs) have been used for decades, physicians still hesitate to send patients home without a mature, functional arteriovenous access.
View Article and Find Full Text PDFPurpose Of Review: In this review, we discuss the timeline of innovation and technologic development in home hemodialysis (HHD) in the United States and the legislative approvals that accompanied them.
Recent Findings: The most recently FDA-approved home hemodialysis devices provide features that include on-demand and batch dialysate generation, access disconnect for venous needle dislodgement, touchscreen interface with visual and auditory prompts and animations, drop-in sterilized cartridges with prestrung tubing, hot water disinfection of tubing allowing extended-use, dialysate flow rates as high as 500 ml/min, as well as remote treatment monitoring capabilities. Furthermore, wearable/portable dialysis devices are currently under development to simplify dialysis delivery to patients with end-stage kidney disease.
The increasing demand for corrosion prevention strategies that are both effective and sustainable is part of the research the background. Nonionic surfactants offer a potential replacement for traditional corrosion inhibitors. These surfactants are well-known for their low toxicity and biodegradability.
View Article and Find Full Text PDFThe long-term mortality of patients with kidney failure remains unacceptably high. There are a multitude of reasons for the unfavorable status quo of dialysis care, such as the inadequate and suboptimal pattern of uremic toxin removal resulting in a metabolic and hemodynamic "roller coaster" induced by thrice-weekly in-center hemodialysis. Innovation in dialysis delivery systems is needed to build an adaptive and self-improving process to change the status quo of dialysis care with the aim of transforming it from being reactive to being proactive.
View Article and Find Full Text PDFAutomation has allowed clinicians to program PD treatment parameters, all while obtaining extensive individual treatment data. This data populates in a centralized online platform shortly after PD treatment completion. Individual treatment data available to providers includes patients' vital signs, alarms, bypasses, prescribed PD treatment, actual treatment length, individual cycle fill volumes, ultrafiltration volumes, as well as fill, dwell, and drain times.
View Article and Find Full Text PDFResearchers face significant challenges because of the inadequate corrosion resistance and weak adherence of epoxy (EP) coatings. We deal with these issues here by means of a novel nano-composite coating (EP/nano-CoS). In order to create a composite coating (EP/nano-CoS), CoS nanoparticles (nano-CoS) were prepared and incorporated to an epoxy (EP) resin.
View Article and Find Full Text PDFIntroduction: Most patients on peritoneal dialysis (PD) in the United States are on automated PD (APD) utilizing several liters of PD solution daily for their treatment. The ordering, delivery, and storage of PD solutions can be challenging and is an important factor that can dissuade patients from doing PD. The generation of PD solutions at home is a strategy that could potentially be used to overcome this problem.
View Article and Find Full Text PDFPhotocatalysis is a promising technique to reduce hazardous organic pollutants using semiconductors under visible light. However, previous studies have been concerned with the behavior of silver phosphate (AgPO) as n-type semiconductors, and the problem of their instability is still under investigation. Herein, 4,4'-(((oxalylbis(azanediyl)) bis(carbonothioyl)) bis(azanediyl)) dibenzoic acid is synthesized by green method and used to enhance the photocatalytic behavior for AgPO.
View Article and Find Full Text PDFIn order to protect the copper against corrosion, a novel corrosion inhibitor known as diphenyl ((2-aminoethyl) amino) (4-methoxyphenyl) methyl) phosphonate (DAMP) was developed. Acid solutions of HCl and HSO were the aggressive solutions employed in this study. Analysis using the FT-IR, H-NMR, P-NMR, C-NMR and BET confirmed that the DAMP was successfully synthesized.
View Article and Find Full Text PDFSeveral environmentally acceptable non-ionic gemini surfactants are synthesized in this work using natural sources, including polyethenoxy di-dodecanoate (GSC12), polyethenoxy di-hexadecanoate (GSC16), and polyethenoxy di-octadecenoate (GSC18). The produced surfactants are confirmed by spectrum studies using FT-IR, HNMR, and CNMR. It explored and examined how the length of the hydrocarbon chain affected essential properties like foaming and emulsifying abilities.
View Article and Find Full Text PDFCoO nanoparticles (CoO-NPs) are synthesized using the facile solvothermal method. FT-IR and XRD spectroscopic analyses verify the creation of cobalt oxide nanoparticles with an average size of 13.20 nm.
View Article and Find Full Text PDFIn this review, the importance of corrosion inhibitors in desalination plants is briefly discussed, with an emphasis on the various types for effective corrosion control techniques. The review highlighted the most significant corrosion inhibitors used in desalination plants for minimizing the corrosiveness of the source water throughout pretreatment, reverse osmosis, and post-treatment stages. Water composition, temperature and pressure, pH, dissolved oxygen, flow velocity, chloride content, fouling, and scaling are all described as factors affecting corrosion in desalinated water.
View Article and Find Full Text PDFWriting a home hemodialysis (HD) prescription is a complex, multifactorial process that requires the incorporation of patient values, preferences, and lifestyle. Knowledge of the different options available for home HD modality (conventional, nocturnal, short daily, and alternate nightly) is also important when customizing a prescription. Finally, an understanding of the different home HD machines currently approved for use at home and their different attributes and limitations helps guide providers when formulating their prescriptions.
View Article and Find Full Text PDFThe management of volume status in dialysis patients is an important determinant of the rate of decline of residual kidney function. The implementation of clinical protocols to guide volume management in the in-center hemodialysis unit resulted in comparable rates of development of anuria and decline in residual kidney function when compared with bioimpedance spectroscopy-guided volume management. Clinical judgment and experience are important drivers of patient outcomes.
View Article and Find Full Text PDFα-aminophosphonate (α-AP) is used as a novel corrosion inhibitor for carbon steel. The aggressive media applied in this study are HCl and HSO acid solutions. The findings indicate that the morphology of the α-AP compound is cubic, with particles ranging in size from 17 to 23 μm.
View Article and Find Full Text PDFKey Points: The adjustments made by the dialysis units during the peak of the pandemic were effective in maneuvering the challenges faced by our patients during the COVID-19 pandemic. Patients who remained on PD were satisfied with the quality of care, felt supported by the unit staff, and did not report feeling anxious or depressed.
Background: During the coronavirus disease 2019 (COVID-19) pandemic, adjustments were made to peritoneal dialysis (PD) practices in the outpatient units.
Aluminum-silicon alloys have become a preferred option in the automotive and aerospace industries thanks to their fault-tolerant process ability and reasonable static characteristics at relatively affordable costs. This study aimed to investigate the use of favipiravir (FAV) drug as a biocompatible and eco-friendly inhibitor to protect aluminum alloy (AlSi) surface in an aggressive acid environment (1.0 M HCl).
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