Chronic kidney disease is a major public health problem, as population studies record a prevalence of 7.2% in individuals over 30 years and is expected to increase in the future. Many of them will end up undergoing hemodialysis treatment, and vascular access is not only an essential requirement for the technique, but also a determining factor in their prognosis; for all these reasons, every nephrologist should have both theoretical and practical knowledge of vascular access; however, the practical training is generally uneven and dependent on the hospital in which you train.
View Article and Find Full Text PDFThis paper describes a stroke quality improvement (QI) project in a primary stroke centre in a 431-bed hospital serving a local population of 114 000 people. Approximately 170 acute strokes are treated each year in a seven-bed stroke unit managed by three geriatricians with a subspecialty interest in stroke. 24-hour CT radiology service is available.
View Article and Find Full Text PDFCoronavirus disease 2019 (COVID-19) continues to affect millions of people around the globe. As data emerge, it is becoming more evident that extrapulmonary organ involvement, particularly the kidneys, highly influence mortality. The incidence of acute kidney injury has been estimated to be 30% in COVID-19 non-survivors.
View Article and Find Full Text PDFJournal clubs have existed since William Osler started them in the 19th century, and serve as an important avenue for critical appraisal of medical research in academia. In the past decade, particularly the past 5 years, there has been a proliferation of online journal clubs on Twitter (Twitter Inc, San Francisco, CA). These Twitter-based journal clubs have used the conversational nature of the medium and the focus allowed by specifying a hashtag to bring critical appraisal to the wider community.
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