[Acute interventions-dialysis shunt recanalization].

Background: An arteriovenous fistula is vital for patients who need regular hemodialysis. Continuous patency and sufficient functionality determine quality of life and associated morbidity and mortality of patients.

Problem: Following successful hemodialysis shunt creation, intimal hyperplasia and consecutive thrombosis or complete occlusion may cause different types of shunt dysfunctionality or even critical failure.

[How to Manage Polypharmacy in the Elderly].

Polypharmacy is accentuated in our fast-growing population. Polypharmacy is associated with adverse drug reactions, interactions, non-compliance, and increased risk of geriatric syndroms (falls, incontinence, malnutrition, cognitive impairment, delirium). There is a dilemma between clinical practice guidelines and pragmatism in the treatment of elderly patients in the last ten years of life.