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The Impact of Denying Abortion Access to Patients with Chronic Kidney Disease: a cost-effectiveness analysis.
Contraception
March 2025
Oregon Health and Science University 3181 SW Sam Jackson Park Rd, Portland, OR 97239 USA. Electronic address:
Objectives: The current study focuses on how abortion access affects people who are pregnant, have chronic kidney disease (CKD), and desire an abortion. From the perspective of the pregnant patient, we will examine the outcomes and costs associated with providing or refusing in-state access to abortion for this population.
Study Design: A decision-analytic model was built to compare the outcomes and costs associated with providing abortions in-state compared to those associated with a complete statewide abortion ban.
A Case Report of Herpes Simplex Virus Associated Peritoneal Dialysis Peritonitis With Novel Use of Intraperitoneal Acyclovir.
Kidney Med
April 2025
Division of Nephrology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Viral etiologies, such as herpes simplex virus (HSV), for peritonitis can be misclassified as culture negative peritonitis because of poor accessibility of viral testing in the effluent fluid. Inaccurate diagnosis and subsequent ineffective treatment can lead to unnecessary catheter removal for presumed refractory peritonitis. Here, we report a 73-year-old woman with a history of genital HSV-2 on continuous cyclic peritoneal dialysis who presented with HSV-2 related peritonitis.
View Article and Find Full Text PDFHere we describe six kinetic modeling programs that allow quantification of removal of urea, creatinine, phosphate, and beta-2-microglobulin. They can be used with asymmetric dialysis treatment schedules ranging from one to seven times per week. Once downloaded, the programs can be run locally from a personal computer without requiring connection to the internet.
View Article and Find Full Text PDFArterialized Venous Free Flap for Hand Defect Reconstruction Due to Ischemic Steal Syndrome.
Int Med Case Rep J
March 2025
Trainee in Plastic Reconstructive and Esthetic Surgery Training Program, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Ischemic steal syndrome (ISS) occurs in hemodialysis patients. Hence, it rarely becomes gangrene or disrupts hand function. We reported a patient with an ISS and radial atherosclerosis that presented with infected ulcer.
View Article and Find Full Text PDFEthylene Glycol Poisoning Complicated by Cardiac Arrest and a Raised Lactate Gap: A Case Report.
Cureus
February 2025
Critical Care Medicine, James Cook University Hospital, NHS, Middlesbrough, GBR.
Ethylene glycol, a common component in automotive antifreeze and various household and industrial products, poses significant health risks upon ingestion, whether accidental or intentional. Characterized by severe metabolic acidosis, calcium oxalate crystal formation, and diverse end-organ damage, ethylene glycol toxicity can be fatal, with a potentially lethal dose estimated at 1500 mg/kg. The parent compound is osmotically active, leading to the production of harmful metabolites, such as glycolic and oxalic acids, which contribute to metabolic acidosis, nephrotoxicity, and cardiac toxicity.
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