Sample records for kidney practicum breeze



    student misbehavior as the most stressful experience of student teacher practicum experience. ... adequate support, rethinking assessment mechanism, provision of adequate fund, strengthening ..... provide regular formative feedback, have.

  2. Interaction between a wildfire and the sea-breeze front

    Deborah E. Hanley; Philip Cunningham; Scott Goodrick


    Florida experiences sea breezes, lake breezes, and bay breezes almost every day during the year, and there are frequently complex interactions between many of these breezes. Given the often-rapid changes in temperature, humidity, and wind speed that accompany these breezes, most wildfires and prescribed fires in Florida are affected in some way by their interaction...



    therefore, argued that the academic program of the teacher education should be coupled ... practicum which provides students with supervised experiences and help the student teachers to ... Lecturer, Department of Pedagogy, Eduction Faculty, Jimma University. ... teachers, different approaches to teacher .... Leadership.

  4. Interaction of the sea breeze with a river breeze in an area of complex coastal heating

    Zhong, Shiyuan; Takle, Eugene S.; Leone, John M., Jr.


    The interaction of the sea-breeze circulation with a river-breeze circulation in an area of complex coastal heating (east coast of Florida) was studied using a 3D finite-element mesoscale model. The model simulations are compared with temperature and wind fields observed on a typical fall day during the Kennedy Space Center Atmospheric Boundary Layer Experiment. The results from numerical experiments designed to isolate the effect of the river breeze indicate that the convergence in the sea-breeze front is suppressed when it passes over the cooler surface of the rivers.

  5. Rethinking the Practicum: Limitations and Possibilities

    Grudnoff, Lexie


    Teachers and policy makers often view the practicum as being the critical component of initial teacher education (ITE) programmes. While numerous studies have investigated the practicum in ITE, less attention has been given to the role practicum plays in the transition from preparation to teaching. This study investigated 12 New Zealand first-year…

  6. Sulfate accumulation in a sea breeze/land breeze circulation system

    Cass, Glen R.; Shair, Frederick H.


    An atmospheric tracer study using SF_6 was conducted on July 22, 1977, to examine the origin of the high particulate sulfate concentrations observed in coastal Los Angeles County. It was found that the sea breeze/land breeze circulation system in the Los Angeles Basin both increases the retention time for sulfate formation in the marine environment and causes individual air parcels to make multiple passes over large coastal emissions sources. Day-old sulfur oxides emissions advected out to se...

  7. Workplace-Based Practicum: Enabling Expansive Practices

    Pridham, Bruce A.; Deed, Craig; Cox, Peter


    Effective pre-service teacher education integrates theoretical and practical knowledge. One means of integration is practicum in a school workplace. In a time of variable approaches to, and models of, practicum, we outline an innovative model of school immersion as part of a teacher preparation program. We apply Fuller and Unwin's (2004) expansive…

  8. Innovative Approach to Senior Practicum Students.

    Golightly, Melissa; Kennett, Natalie; Stout, Jacqueline A


    Traditional senior practicum experiences (SPEs) are microsystem based-they allow senior nursing students the opportunity to build professional nursing competencies as they transition into practice. As health care transformation continues unabated, there is a need to work toward closing the gap between nursing academia and nursing practice. A cardiovascular service line created an innovative SPE to better prepare senior nursing students for working as professional nurses in a service line model. The Senior Practicum Immersion Experience (SPIE) proved to be beneficial to senior practicum students and offered firsthand experience of the role professional nurses play in a service line model. This model increased the number of senior practicum students accepted into the cardiac service line by 50%. The SPIE creates an innovative solution to increasing the number of senior practicum students while allowing students the ability to learn and practice in a service line model. [J Nurs Educ. 2017;56(12):745-747.]. Copyright 2017, SLACK Incorporated.

  9. Sulfate accumulation in a sea breeze/land breeze circulation system

    Cass, G.R.; Shair, F.H.


    An atmosphere tracer study using SF 6 was conducted on July 22, 1977, to examine the origin of the high particulate sulfate concentrations observed in coastal Los Angeles County. It was found that the sea breeze/land breeze circulation system in the Los Angeles Basin both increases the retention time for sulfate formation in the marine environment and causes individual air parcels to make multiple passes over large coastal emissions sources. Day-old sulfur oxides emissions advected out to sea by the land breeze at night were estimated to be the largest single contributor to 24-hour average sulfate air quality over land the next day. In contrast, 24-hour average SO 2 concentrations were dominated by fresh emissions from nearby sources. The overall rate of SO 2 transformation to form particular sulfur oxides along some trajectories that spent a considerable time over the ocean at night probably exceeds the rate that can be explained by known photochemical processes acting during the daylight portion of these trajectories. This suggests that appreciable aerosol formation may occur in a polluted marine environment at night

  10. An observational study of sea breeze characteristics over Kalpakkam Coast

    Mohan, Manju; Mishra, M.K.


    An observational study of the sea breeze characteristics has been carried out at Kalpakkam, India which lies on the East coast of Southern Indian peninsula about 700 m inland from the sea, the Bay of Bengal. There are clear and significant changes in the surface meteorological parameters at the onset and during sea-breeze phenomenon in the coastal areas. Hourly averaged measurements from a 30 m tall micrometeorological tower were used to study the sea-breeze characteristics at the above site. In this study, based on detailed analysis of the data on-set criteria of the sea breeze is characterized by increase in relative humidity at least by 5%, fall in temperature by equal or greater than 0.5 K and increase in wind speed with respect to previous hour record. The present study is also compared with the earlier studies in relation to sea breeze carried out at Chennai located approximately 80 km North from Kalpakkam and the differences between these studies are discussed. The comparison of sea breeze characteristics of the present study with those from earlier studies that were carried out more than half a century back also reflects the changes due to urbanization and other development activities as well as resulting climatic impacts. (author)

  11. The Teaching Practicum in Thailand: Three Perspectives

    Phairee, Chatpong; Sanitchon, Nalinee; Suphanangthong, Irada; Graham, Steve; Prompruang, Jidapa; de Groot, Freek Olaf; Hopkins, Dave


    This article examines the teaching practicum in Thailand as it occurs in three settings: "Rajabhats"--four-year universities which offer an additional period of teaching practice, and where the vast majority of EFL teachers are educated; regular universities; and a TESOL short course certificate program for non-Thais preparing to teach…

  12. Creative practicum leadership experiences in rural settings.

    Schoenfelder, Deborah Perry; Valde, Jill Gaffney


    Rural healthcare systems provide rich learning environments for nursing students, where strong nursing leaders manage care for people with diverse health problems across the lifespan. The authors describe the development, implementation, and evaluation of rural clinical leadership practicum, a prelicensure course that specifically focuses on the application of leadership concepts in small rural healthcare systems.

  13. Wireless Handhelds to Support Clinical Nursing Practicum

    Wu, Cheng-Chih; Lai, Chin-Yuan


    This paper reports our implementation and evaluation of a wireless handheld learning environment used to support a clinical nursing practicum course. The learning environment was designed so that nursing students could use handhelds for recording information, organizing ideas, assessing patients, and also for interaction and collaboration with…

  14. Practicum Training for Teachers of Struggling Readers

    Morris, Darrell


    Teachers who work with struggling beginning readers need a supervised training experience that leads them to understand both how reading ability develops and how to adapt instruction to meet the needs of individual children. The practicum, in which a teacher works with one struggling reader under the supervision of an experienced and expert…

  15. Simulation of the sea breeze front with a model of moist convection

    Berg, L.C.J. van de; Oerlemans, J.


    Although in general the sea breeze can be considered as a mesoscale atmospheric circulation, the sea-breeze front has a much smaller scale. Simulation of the development of a sea-breeze front should therefore be preferably done with a non-hydrostatic model, with high spatial resolution (grid

  16. Fragments on teachers' reflective practicum

    Živković Predrag Ž.


    (Schon, 1987. This presents, almost unexpectedly and suddenly, two types of reflection (1 reflection on action which occurs during the action interrupting and interfering with it, and (2 reflections in action which appears in the action as well as in the disruption and interruption, so that we think about her and about how to reshape the action that takes place in the moments of reflection. The idea of reflective practitioners (educators, adult educators, sociologists, etc., or a practitioner who thinks about his/her own practice and the practice of reflection draws on its theoretical origins that Schon develops almost like an original idea that became well-known. He assumes that the practice of practical activities (such as teaching, instruction, therapeutic work of doctors or therapists constitutes an original and very specific epistemology. Contrary to the dominant technical rationality that underpins modern professional education, Schon believes that professional knowledge and competence includes the effect of successful practitioners (educators, adult educators, teachers, etc., especially in reflection-in-action (''reflection of what we do while doing'' (Schon, 1986, which appears in problem situations. Hence, the practical education of the profession, according to the author, necessarily follows the model of learning by doing a particular kind of apprenticeship modelled on the training of musicians, artists and drama artists. In his second book (The Reflective Practitioner, Schon develops reflective practicum and confronts it with a dominant, normative curriculum, which constitutes the basis of theoretical knowledge to solve practical, instrumental problems. Practice, however, that is often characterized by uncertainty in this case does not become one solution, but the solution depends on the choice of the value of paragraph, depending on what aspect of the situation we pay more attention to. Schon distinguishes knowledge in action, what implicit knowledge is

  17. A Coastal Bay Summer Breeze Study, Part 2: High-resolution Numerical Simulation of Sea-breeze Local Influences

    Calmet, Isabelle; Mestayer, Patrice G.; van Eijk, Alexander M. J.; Herlédant, Olivier


    We complete the analysis of the data obtained during the experimental campaign around the semi circular bay of Quiberon, France, during two weeks in June 2006 (see Part 1). A reanalysis of numerical simulations performed with the Advanced Regional Prediction System model is presented. Three nested computational domains with increasing horizontal resolution down to 100 m, and a vertical resolution of 10 m at the lowest level, are used to reproduce the local-scale variations of the breeze close to the water surface of the bay. The Weather Research and Forecasting mesoscale model is used to assimilate the meteorological data. Comparisons of the simulations with the experimental data obtained at three sites reveal a good agreement of the flow over the bay and around the Quiberon peninsula during the daytime periods of sea-breeze development and weakening. In conditions of offshore synoptic flow, the simulations demonstrate that the semi-circular shape of the bay induces a corresponding circular shape in the offshore zones of stagnant flow preceding the sea-breeze onset, which move further offshore thereafter. The higher-resolution simulations are successful in reproducing the small-scale impacts of the peninsula and local coasts (breeze deviations, wakes, flow divergences), and in demonstrating the complexity of the breeze fields close to the surface over the bay. Our reanalysis also provides guidance for numerical simulation strategies for analyzing the structure and evolution of the near-surface breeze over a semi-circular bay, and for forecasting important flow details for use in upcoming sailing competitions.

  18. Urban effects of Chennai on sea breeze induced convection and ...

    gate the influence of Chennai urban land use on sea breeze initiated convection and precipitation. ... The larger surface temperature gradient along the coast due to urban effects increased onshore flow by 4.0m s. −1 ... Observational and modeling studies show the .... Explicit equations for cloud water, rainwater, ice.

  19. Numerical simulation of sea breeze characteristics observed at ...

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    observed values except during night time wherein a small difference is seen in the wind speed. 1. Introduction .... opposing the sea breeze on the chosen day. So, the study is .... 3.3 TIBL height. The formation and growth of Thermal Internal.

  20. Ocean breeze monitoring network at the Oyster Creek Nuclear Plant

    Heck, W.


    The Oyster Creek Nuclear Generating Station (OCNGS) is located in New Jersey 10 km west of the Atlantic Ocean. Routine meteorological monitoring at the station has consisted of a single meteorological tower 120 m high and instrumented at the 10-m, 46-m, and 116-m levels. An analysis of 5 yr of data from this tower showed the OCNGS is affected by an ocean breeze ∼ 1 day out of 4 during May through August. This suggested the need for meteorological monitoring in addition to the single met tower at OCNGS. As a result of the 1985 OCNGS meteorological monitoring study, GPU Nuclear established an ocean breeze monitoring network in the fall of 1986. It is a permanent part of OCNGS meteorological monitoring and consists of the same sites as used in the 1985 field study. Meteorological towers are located at the ocean site, the inland site, and at OCNGS. The ocean tower is 13 m (43 ft) high, the inland tower 10 m (33 ft), and the OCNGS tower 116 m (380 ft). Wind speed, wind direction, and temperature are measured on each tower; delta-temperature is also measured on the main tower. The instruments are calibrated in the spring, summer, and fall. The network is operated and maintained by GPU Nuclear Environmental Controls. The ocean breeze monitoring network and meteorological information system forms the basis for including the effects of the ocean breeze in OCNGS emergency off-site dose assessment

  1. Research on Teaching Practicum--A Systematic Review

    Lawson, Tony; Çakmak, Melek; Gündüz, Müge; Busher, Hugh


    The aim of the present study is to conduct a systematic review research which focuses on research studies into the school practicum. In order to identify the main issues and also to provide a contemporary picture of practicum, 114 studies published on the topic are reviewed and analysed in terms of: (i) aims, (ii) main participants, (iii)…

  2. Burning out during the Practicum: The Case of Teacher Trainees

    Kokkinos, Constantinos M.; Stavropoulos, George


    The purpose of the present study was to empirically examine the link between practicum-related stressors, perceived general practicum stress, personal variables (i.e. general and teaching self-efficacy, epistemological beliefs, conceptions about teaching and learning, and trait anxiety) and burnout dimensions in a sample of 174 Greek student…

  3. Gestalt Therapy and the Counseling Practicum: A Marriage.

    Witchel, Robert

    This paper briefly summarizes the literature relating to the counseling practicum experience, as well as reviews the development and basic principles of Gestalt therapy. A marriage between the Gestalt therapy approach and the counseling practicum is developed as follows: "Experiential learning, the here-and-now, I-and-thou, and integrating…

  4. Dialogue and Reciprocity in an International Teaching Practicum

    Parr, Graham; Faulkner, Julie; Rowe, Craig


    Many teacher education institutions across the world are now initiating and supporting international teaching practicums to better prepare their teaching graduates to teach for diversity. Recently, some of these practicums have embedded service-learning structures and discourses to further encourage pre-service teachers (PSTs) to think beyond…

  5. Improving the Quality of Practicum Learning: Self-Study of a Faculty Member's Role in Practicum Supervision

    Russell, Tom


    This self-study of activities as a practicum supervisor in several secondary schools focuses on the supervisor's contribution to the quality of a teacher candidate's professional learning in the context of a familiar tension between on-campus courses and in-school practicum experiences. Data from both formal and informal supervisory experiences…

  6. A breeze-driven current on sloped littoral waters

    Tohidi, A.; Jamali, M.


    Various natural phenomena, e. g. uniform/non-uniform solar radiation and diurnal cycles, affect water circulation patterns through aquatic canopies, that is (usually shallow) shorelines of the rivers, lakes, and lagoons. Amongst these factors is vegetation that, plays a crucial role in conserving and dispersing the nutrients, oxygen, temperature, and generally regulating the life and interactions of organisms with each other (ecology) in aquatic canopies. So far, however, very little attention has been paid to the effects of very low, breeze-like, winds over the water surface in these vegetated regions. In this exploratory study, the evolution of a breeze-driven gravity current traveling up the slope towards the shorelines is shown, experimentally. The flow is characterized using Particle Image Velocimetry (PIV) technique. In addition, a detailed dimensional analysis of the parameter space of the phenomenon is conducted. The results strongly corroborate the experimental observations.

  7. Students’ Perception on Teaching Practicum Evaluation using Video Technology

    Chee Sern, Lai; ‘Ain Helan Nor, Nurul; Foong, Lee Ming; Hassan, Razali


    Video technology has been widely used in education especially in teaching and learning. However, the use of video technology for evaluation purpose especially in teaching practicum is extremely scarce and the benefits of video technology in teaching practicum evaluation have not yet been fully discovered. For that reason, this quantitative research aimed at identifying the perceptions of trainee teachers towards teaching practicum evaluation via video technology. A total of 260 students of Teacher Certification Programme (Program Pensiswazahan Guru - PPG) from the Faculty of Technical and Vocational Education (FPTV) of Universiti Tun Hussein Onn Malaysia (UTHM) had been randomly selected as respondents. A set of questionnaire was developed to assess the suitability, effectiveness and satisfaction of using video technology for teaching practicum. Conclusively, this research showed that the trainee teachers have positive perceptions in all three aspects related teaching practicum evaluation using video technology. Apart from that, no significant racial difference was found in the measured aspects. In addition, the trainee teachers also showed an understanding of the vast importance of teaching practicum evaluation via video. These research findings suggest that video technology can be a feasible and practical means of teaching practicum evaluation especially for distance learning program.

  8. Breeze Gravity Current in a Uniform Flow of Air

    M.V. Shokurov


    Full Text Available Breeze circulation is often observed nearby the water basin coasts and usually accompanied by a background synoptic wind. One of the basic dynamically important components of the breeze circulation is gravity current. In the present paper the latter is used as the breeze simplified model. The theory of interaction of gravity current and a uniform synoptic wind are developed. The gravity current in the domain of infinite height in a stationary environment and environment with background flow was considered. To solve this problem the law of conservation of mass and universal property of the Froude number was used, which is true in the steady state. It is shown that increase of a tail-wind is followed by growth of the gravity current velocity and decrease of its height. The opposite situation is observed at increase of a head wind: the current velocity reduces and its height increases. Using a Taylor series expansion for small values of the background flow velocity a linear dependence of gravity current velocity on background flow velocity can be obtained. The factor determining the slope of the velocity of gravity current propagation on the background wind speed, which is equal 2/3, is a universal constant. The theory explains the results of numerical simulation previously obtained by numerous authors. A physical interpretation of dependence of the height and velocity of the gravity current on the background flow velocity is presented.

  9. Practicum y evaluación de competencias

    Aurelio Villa Sánchez


    Full Text Available El artículo destaca el papel del Practicum en el desarrollo de competencias que permitan la transferencia de conocimientos a situaciones de trabajo, en congruencia con el enfoque del Proceso de Convergencia Europea de Educación Superior. Señala los elementos clave de un Practicum, el sentido y significado que en él adquieren las competencias y el significado que cobra como espacio ideal para evaluarlas. En consecuencia, sugieren ideas dirigidas a orientar el modo de incorporar la evaluación de competencias en la evaluación del Practicum.

  10. Inclusion of the ocean breeze in Oyster Creek emergency off-site dose assessment

    Heck, W.


    The Oyster Creek Nuclear Generating Station (OCNGS) is located 6 mi west of the Atlantic Ocean. From spring through late summer, atmospheric transport in the vicinity of OCNGS is periodically affected by the ocean breeze. The ocean breeze produces large differences in wind direction within the OCNGS emergency planning zone during the morning to evening hours. In addition, trajectory reversals can occur near the ocean breeze front. These two characteristics of the ocean breeze must be taken into account when interpreting results from conventional atmospheric dispersion models. The purpose of the study was to determine the flow characteristics of the ocean breeze and to apply these characteristics to an emergency preparedness implementing procedure (EPIP). The EPIP would be used to determine the radiological plume impact region if an accidental release occurred during an ocean breeze

  11. Climatology of sea breezes along the Red Sea coast of Saudi Arabia

    Khan, Basit


    Long-term near-surface observations from five coastal stations, high-resolution model data from Modern Era Retrospective-Analysis for Research and Applications (MERRA) and high-resolution daily sea surface temperature (SST) from National Ocean and Atmospheric Administration (NOAA) are used to investigate the climatology of sea breezes over the eastern side of the Red Sea region. Results show existence of separate sea breeze systems along different segments of the Red Sea coastline. Based on the physical character and synoptic influences, sea breezes in the Red Sea are broadly divided into three regions: the north and the middle Red Sea (NMRS), the Red Sea convergence zone (RSCZ) and the southern Red Sea (SRS) regions. On average, sea breezes developed on 67% of days of the 10-year study period. Although sea breezes occur almost all year, this mesoscale phenomenon is most frequent from May to October (78% of the total sea breeze days). The sea breeze frequency increases from north to south (equatorwards), and sea breeze characteristics appear to vary both temporally and spatially. In addition to land-sea thermal differential, coastline shape, latitude and topography, the prevailing northwesterly at NMRS region, the convergence of northwesterly and southeasterly wind system at RSCZ region and the northeast and southwest monsoon at SRS region play an important role in defining the sea breeze characteristics over the Red Sea.

  12. Granulation of coke breeze fine for using in the sintering process

    Mohamed F.M.


    Full Text Available Coke breeze is the main fuel used in the sintering process. The value of -3+1 mm. represents the most favorable particle size for coke breeze in the sintering process. About 20% of total coke fines (-0.5 mm are produced during different steps of preparation. Introducing these fines during the sintering process proves to be very harmful for different operating parameters. Thus ,this study aims at investigating the production of granules resulting from these fines using molasses as organic binder and its application in sintering of an iron ore. The results showed that the granules having the highest mechanical properties were obtained with 14.5 wt % molasses addition. The sintering experiments were performed by using coke breeze in different shapes (-3+1 mm in size, coke breeze without sieving and coke breeze granules -3+1 mm. The reduction experiments, microscopic structure and X-ray analysis for the produced sinter were carried out. The results revealed that, all sinter properties (such as shatter test, productivity of sinter machine and blast furnace, reduction time and chemical composition for produced sinter by using coke breeze with size -3+1 mm and coke breeze granules were almost the same. The iron ore sinter which was produced by using coke breeze without sieving yielded low productivity for both sinter machine and blast furnace. Furthermore, using coke breeze without sieving in sintering of an iron ore decreases the vertical velocity of sinter machine and increases the reduction time.

  13. Meteorological and Land Surface Properties Impacting Sea Breeze Extent and Aerosol Distribution in a Dry Environment

    Igel, Adele L.; van den Heever, Susan C.; Johnson, Jill S.


    The properties of sea breeze circulations are influenced by a variety of meteorological and geophysical factors that interact with one another. These circulations can redistribute aerosol particles and pollution and therefore can play an important role in local air quality, as well as impact remote sensing. In this study, we select 11 factors that have the potential to impact either the sea breeze circulation properties and/or the spatial distribution of aerosols. Simulations are run to identify which of the 11 factors have the largest influence on the sea breeze properties and aerosol concentrations and to subsequently understand the mean response of these variables to the selected factors. All simulations are designed to be representative of conditions in coastal sub tropical environments and are thus relatively dry, as such they do not support deep convection associated with the sea breeze front. For this dry sea breeze regime, we find that the background wind speed was the most influential factor for the sea breeze propagation, with the soil saturation fraction also being important. For the spatial aerosol distribution, the most important factors were the soil moisture, sea-air temperature difference, and the initial boundary layer height. The importance of these factors seems to be strongly tied to the development of the surface-based mixed layer both ahead of and behind the sea breeze front. This study highlights potential avenues for further research regarding sea breeze dynamics and the impact of sea breeze circulations on pollution dispersion and remote sensing algorithms.

  14. Spatial-temporal Detection of Sea-breeze Penetration Over Megacities from Himawari-8

    Ferdiansyah, M. R.; Inagaki, A.; Kanda, M.


    For a coastal urban region, sea breeze is very important for air ventilation and cooling. However, most of sea-breeze monitoring is lacking and inadequate temporally and spatially. Japanese new geostationary meteorological satellite (Himawari-8) has been launched which can provide high resolution satellite imagery. This enables better monitoring of mesoscale weather phenomena such as sea breeze. In this study, we first attempt the feasibility of acquiring temporal-spatial information of sea breeze in a coastal urban region using Himawari-8. For study area, Tokyo (Japan) and Jakarta (Indonesia) area were selected as representative coastal urban regions; both cities located in very distant latitudes. Sea breeze events (Tokyo:16 cases and Jakarta:17 cases) in JAS season of 2015 and 2016 were analyzed. Convergence zones of two sea-breeze systems and delayed sea-breeze penetration were found for both Tokyo and Jakarta. Estimation of inland penetration speed and convergence area for sea breeze event, accompanied by the formation of non-precipitating cumulus type cloudline, is the primary objective. From the visible band image of Himawari-8, cumulus cloudline for each sea breeze event was extracted. The inland penetration speed was then estimated automatically from temporal evolution of these cloudlines. For the case of Tokyo, it was found that the sea breeze from Tokyo Bay had slower penetration speed than another sea breeze (Sagami Bay) coming from a less urbanized area. The average penetration speed of sea-breeze front was estimated to be 3.6 m/s and 1.3 m/s for sea breeze from Sagami Bay and Tokyo Bay, respectively. The penetration differences (from Sagami Bay and Tokyo Bay) could be attributed to the difference in urbanization levels between the coastal areas of Sagami and Tokyo Bay. For the case of Jakarta, the convergence of two sea-breeze systems were found persistent slightly east from the center of Jakarta. Interestingly, the sea-breeze delay was more pronounced

  15. Climatology of sea breezes along the Red Sea coast of Saudi Arabia

    Khan, Basit; Abualnaja, Yasser; Al-Subhi, Abdullah M.; Nellayaputhenpeedika, Mohammedali; Nellikkattu Thody, Manoj; Sturman, Andrew P.


    and Atmospheric Administration (NOAA) are used to investigate the climatology of sea breezes over the eastern side of the Red Sea region. Results show existence of separate sea breeze systems along different segments of the Red Sea coastline. Based on the physical

  16. Estimating the seaward extent of sea breeze from QuickSCAT scatterometry

    Aparna, M.; Shetye, S.R.; Shankar, D.; Shenoi, S.S.C.; Mehra, P.; Desai, R.G.P.

    An objective method for quantifying the seaward extent of the sea breeze is presented. The underlying assumption is that the offshore decay in the strength of the sea breeze results in an offshore decay of the vector correlation between the wind...

  17. Impact of sea breeze of the sea off Goa, west coast of India

    Neetu, S.; Shetye, S.R.; Chandramohan, P.

    After withdrawal of the Indian Summer Monsoon and until onset of the next monsoon, i.e. roughly during November-May, winds in the coastal region of India are dominated by sea breeze. Impact of daily cycle of the breeze on the sea near the coast can...

  18. Variability of three-dimensional sea breeze structure in southern France: observations and evaluation of empirical scaling laws

    Drobinski, P.; Bastin, S.; Dabas, A.; Delville, P.; Reitebuch, O.


    Sea-breeze dynamics in southern France is investigated using an airborne Doppler lidar, a meteorological surface station network and radiosoundings, in the framework of the ESCOMPTE experiment conducted during summer 2001 in order to evaluate the role of thermal circulations on pollutant transport and ventilation. The airborne Doppler lidar WIND contributed to three-dimensional (3-D) mapping of the sea breeze circulation in an unprecedented way. The data allow access to the onshore and offshore sea breeze extents (xsb), and to the sea breeze depth (zsb) and intensity (usb). They also show that the return flow of the sea breeze circulation is very seldom seen in this area due to (i) the presence of a systematic non zero background wind, and (ii) the 3-D structure of the sea breeze caused by the complex coastline shape and topography. A thorough analysis is conducted on the impact of the two main valleys (Rhône and Durance valleys) affecting the sea breeze circulation in the area. Finally, this dataset also allows an evaluation of the existing scaling laws used to derive the sea breeze intensity, depth and horizontal extent. The main results of this study are that (i) latitude, cumulative heating and surface friction are key parameters of the sea breeze dynamics; (ii) in presence of strong synoptic flow, all scaling laws fail in predicting the sea breeze characteristics (the sea breeze depth, however being the most accurately predicted); and (iii) the ratio zsb/usb is approximately constant in the sea breeze flow.

  19. Observations of Lake-Breeze Events During the Toronto 2015 Pan-American Games

    Mariani, Zen; Dehghan, Armin; Joe, Paul; Sills, David


    Enhanced meteorological observations were made during the 2015 Pan and Parapan American Games in Toronto in order to measure the vertical and horizontal structure of lake-breeze events. Two scanning Doppler lidars (one fixed and one mobile), a C-band radar, and a network including 53 surface meteorological stations (mesonet) provided pressure, temperature, humidity, and wind speed and direction measurements over Lake Ontario and urban areas. These observations captured the full evolution (prior, during, and after) of 27 lake-breeze events (73% of observation days) in order to characterize the convective and dynamic processes driving lake breezes at the local scale and mesoscale. The dominant signal of a passing lake-breeze front (LBF) was an increase in dew-point temperature of 2.3 ± 0.3°C, coinciding with a 180° shift in wind direction and a decrease in air temperature of 2.1 ± 0.2°C. Doppler lidar observations over the lake detected lake breezes 1 hour (on average) before detection by radar and mesonet. On days with the synoptic flow in the offshore direction, the lidars observed wedge-shaped LBFs with shallow depths, which inhibited the radar's ability to detect the lake breeze. The LBF's ground speed and inland penetration distance were found to be well-correlated (r = 0.78), with larger inland penetration distances occurring on days with non-opposing (non-offshore) synoptic flow. The observed enhanced vertical motion ({>} 1 m s^{-1}) at the LBF, observed by the lidar on 54% of lake-breeze days, was greater (at times {>} 2.5 m s^{-1}) than that observed in previous studies and longer-lasting over the lake than over land. The weaker and less pronounced lake-breeze structure over land is illustrated in two case studies highlighting the lifetime of the lake-breeze circulation and the impact of propagation distance on lake-breeze intensity.

  20. Kidney transplant

    ... always take your medicine as directed. Alternative Names Renal transplant; Transplant - kidney Patient Instructions Kidney removal - discharge Images Kidney anatomy Kidney - blood and urine flow Kidneys Kidney transplant - ...

  1. Review of MPH practicum requirements in accredited schools of public health.

    Oglesby, Willie H; Alemagno, Sonia A; Zullo, Melissa D; Hartman, Olivia; Smith, Katalin; Smith, Joseph; Buzzelli, Michael


    Accreditation criteria by the Council on Education for Public Health (CEPH) state that prior to graduation, Masters of Public Health (MPH) students must demonstrate the application of knowledge and skills through a practice experience, commonly called the "Practicum." The purpose of this research was to review those MPH Practicum requirements. Practicum guidelines from US-based schools of public health that were accredited as of October 2011 were reviewed. Data on each Practicum's level of coordination, timing, and credit and contact hours as well as information about written agreements, preceptors, and how the Practicum was graded were collected. Seventy-four Practicums in 46 accredited schools of public health were reviewed. The majority (85 %) of accredited schools controlled the Practicum at the school-level. Among the Practicums reviewed, most did not require completion of any credit hours or the MPH core courses (57 and 74 %, respectively) prior to starting the Practicum; 82 % required written agreements; 60 % had stated criteria for the approval of preceptors; and 76 % required students to submit a product for grading at the conclusion of the Practicum. The results of this research demonstrate that the majority of accredited schools of public health designed Practicum requirements that reflect some of the criteria established by CEPH; however, issues related to timing, credit and contact hours, and preceptor qualifications vary considerably. We propose that a national dialogue begin among public health faculty and administrators to address these and other findings to standardize the Practicum experience for MPH students.

  2. Interactions between the thermal internal boundary layer and sea breezes

    Steyn, D.G. [The Univ. of British Columbia, Dept. of Geography, Atmospheric Science Programme, Vancouver (Canada)


    In the absence of complex terrain, strongly curved coastline or strongly varying mean wind direction, the Thermal Internal Boundary Layer (TIBL) has well known square root behaviour with inland fetch. Existing slab modeling approaches to this phenomenon indicate no inland fetch limit at which this behaviour must cease. It is obvious however that the TIBL cannot continue to grow in depth with increasing fetch, since the typical continental Mixed Layer Depths (MLD) of 1500 to 2000 m must be reached between 100 and 200 km from the shoreline. The anticyclonic conditions with attendant strong convection and light winds which drive the TIBL, also drive daytime Sea Breeze Circulations (SBC) in the coastal zone. The onshore winds driving mesoscale advection of cool air are at the core of TIBL mechanisms, and are invariably part of a SBC. It is to be expected that TIBL and SBC be intimately linked through common mechanisms, as well as external conditions. (au)

  3. The monsoon system: Land-sea breeze or the ITCZ?

    Gadgil, Sulochana


    For well over 300 years, the monsoon has been considered to be a gigantic land-sea breeze driven by the land-ocean contrast in surface temperature. In this paper, this hypothesis and its implications for the variability of the monsoon are discussed and it is shown that the observations of monsoon variability do not support this popular theory of the monsoon. An alternative hypothesis (whose origins can be traced to Blanford's (1886) remarkably perceptive analysis) in which the basic system responsible for the Indian summer monsoon is considered to be the Intertropical Convergence Zone (ITCZ) or the equatorial trough, is then examined and shown to be consistent with the observations. The implications of considering the monsoon as a manifestation of the seasonal migration of the ITCZ for the variability of the Indian summer monsoon and for identification of the monsoonal regions of the world are briefly discussed.

  4. The seasonal characteristics of the breeze circulation at a coastal Mediterranean site in South Italy

    Federico, S.; Pasqualoni, L.; Sempreviva, Anna Maria


    We present a study on the characteristics of the sea breeze flow at a coastal site located in the centre of the Mediterranean basin at the southern tip of Italy. This study is finalized to add new data on breeze circulations over a narrow peninsula and present a unique experimental coastal site...... at about 600 m from the coastline in a flat open area at the foot of a mountain chain located in a region of complex orography. We study the seasonal behaviour of the sea-land breeze circulation by analysing two years of hourly data of wind speed and direction, temperature, radiation and relative humidity...

  5. The Impact of Facebook in Teaching Practicum: Teacher Trainees' Perspectives

    Goktalay, Sehnaz Baltaci


    Prompt feedback is one of the critical components of teacher education programs. To reap the greatest benefit from the teaching practicum process, the quality of feedback as well as its implementation by stakeholders, supervisors, cooperating teachers, and teacher trainees, takes on great importance. The purpose of this study is to examine how Web…

  6. Enhancing Practicum Supervision with Asynchronous and Synchronous Technologies

    Teo, Yiong Hwee; McNamara, Sue; Romeo, Geoff; Gronn, Donna


    Three video/web conferencing technologies (Pocket Camcorder, Skype, Adobe Connect) were used in regional schools in Australia to determine whether the technologies are appropriate for the needs of the university supervisor, trainee teachers and supervising teachers with regard to practicum teaching placements. Findings revealed that Pocket…

  7. Explicating Practicum Program Theory: A Case Example in Human Ecology

    Chandler, Kathryn M. M.; Williamson, Deanna L.


    This study explicated the theory underpinning the Human Ecology Practicum Program offered in the Department of Human Ecology at the University of Alberta. The program has operated for 40 years but never been formally evaluated. Using a document analysis, focus group and individual interviews, and a stakeholder working group, we explored…

  8. Analysis of Delayed Sea Breeze Onset for Fort Ord Prescribed Burning Operations


    DELAYED SEA BREEZE ONSET FOR FORT ORD PRESCRIBED BURNING OPERATIONS by Dustin D. Hocking December 2015 Thesis Advisor: Wendell Nuss Second...AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE ANALYSIS OF DELAYED SEA BREEZE ONSET FOR FORT ORD PRESCRIBED BURNING OPERATIONS 5...release; distribution is unlimited 12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The U.S. Army conducts prescribed burns at Fort Ord

  9. Identifying and tracking plumes affected by an ocean breeze in support of emergency preparedness

    Schwartz, P.E.


    To better support emergency preparedness, General Public Utilities (GPU) Nuclear has investigated the frequency of occurrence of the mesoscale ocean breeze at the Oyster Creek Nuclear Generating Station (OCNGS). Through the analysis of the horizontal wind direction and temperature patterns, simple identification of the ocean breeze along with a plume tracking procedure has been developed and incorporated into the site's emergency plant to better safeguard the public with sophisticated protective action measures in case of a nonroutine release. The ocean breeze will frequently produce wind trajectory fields within the plant's emergency planning zone that are different from the normal gradient wind flow. This could greatly alter proper protective action measures since most utilities employ straight-line trajectory air dispersion models. Knowledge of the existence of the ocean breeze and the location of the ocean breeze front become important in the results generated from the straight-line Gaussian dose calculation methodology and in the further development of a more complex dose assessment model. This paper describes the verification and existence of the sea breeze phenomenon and the incorporation of its effects into the OCNGS emergency plan

  10. Modelling study of sea breezes in a complex coastal environment

    Cai, X.-M.; Steyn, D. G.

    This study investigates a mesoscale modelling of sea breezes blowing from a narrow strait into the lower Fraser valley (LFV), British Columbia, Canada, during the period of 17-20 July, 1985. Without a nudging scheme in the inner grid, the CSU-RAMS model produces satisfactory wind and temperature fields during the daytime. In comparison with observation, the agreement indices for surface wind and temperature during daytime reach about 0.6 and 0.95, respectively, while the agreement indices drop to 0.4 at night. In the vertical, profiles of modelled wind and temperature generally agree with tethersonde data collected on 17 and 19 July. The study demonstrates that in late afternoon, the model does not capture the advection of an elevated warm layer which originated from land surfaces outside of the inner grid. Mixed layer depth (MLD) is calculated from model output of turbulent kinetic energy field. Comparison of MLD results with observation shows that the method generates a reliable MLD during the daytime, and that accurate estimates of MLD near the coast require the correct simulation of wind conditions over the sea. The study has shown that for a complex coast environment like the LFV, a reliable modelling study depends not only on local surface fluxes but also on elevated layers transported from remote land surfaces. This dependence is especially important when local forcings are weak, for example, during late afternoon and at night.

  11. Variability of three-dimensional sea breeze structure in southern France: observations and evaluation of empirical scaling laws

    P. Drobinski


    Full Text Available Sea-breeze dynamics in southern France is investigated using an airborne Doppler lidar, a meteorological surface station network and radiosoundings, in the framework of the ESCOMPTE experiment conducted during summer 2001 in order to evaluate the role of thermal circulations on pollutant transport and ventilation. The airborne Doppler lidar WIND contributed to three-dimensional (3-D mapping of the sea breeze circulation in an unprecedented way. The data allow access to the onshore and offshore sea breeze extents (xsb, and to the sea breeze depth (zsb and intensity (usb. They also show that the return flow of the sea breeze circulation is very seldom seen in this area due to (i the presence of a systematic non zero background wind, and (ii the 3-D structure of the sea breeze caused by the complex coastline shape and topography. A thorough analysis is conducted on the impact of the two main valleys (Rhône and Durance valleys affecting the sea breeze circulation in the area.

    Finally, this dataset also allows an evaluation of the existing scaling laws used to derive the sea breeze intensity, depth and horizontal extent. The main results of this study are that (i latitude, cumulative heating and surface friction are key parameters of the sea breeze dynamics; (ii in presence of strong synoptic flow, all scaling laws fail in predicting the sea breeze characteristics (the sea breeze depth, however being the most accurately predicted; and (iii the ratio zsb/usb is approximately constant in the sea breeze flow.

  12. Variability of three-dimensional sea breeze structure in southern France: observations and evaluation of empirical scaling laws

    P. Drobinski


    Full Text Available Sea-breeze dynamics in southern France is investigated using an airborne Doppler lidar, a meteorological surface station network and radiosoundings, in the framework of the ESCOMPTE experiment conducted during summer 2001 in order to evaluate the role of thermal circulations on pollutant transport and ventilation. The airborne Doppler lidar WIND contributed to three-dimensional (3-D mapping of the sea breeze circulation in an unprecedented way. The data allow access to the onshore and offshore sea breeze extents (xsb, and to the sea breeze depth (zsb and intensity (usb. They also show that the return flow of the sea breeze circulation is very seldom seen in this area due to (i the presence of a systematic non zero background wind, and (ii the 3-D structure of the sea breeze caused by the complex coastline shape and topography. A thorough analysis is conducted on the impact of the two main valleys (Rhône and Durance valleys affecting the sea breeze circulation in the area. Finally, this dataset also allows an evaluation of the existing scaling laws used to derive the sea breeze intensity, depth and horizontal extent. The main results of this study are that (i latitude, cumulative heating and surface friction are key parameters of the sea breeze dynamics; (ii in presence of strong synoptic flow, all scaling laws fail in predicting the sea breeze characteristics (the sea breeze depth, however being the most accurately predicted; and (iii the ratio zsb/usb is approximately constant in the sea breeze flow.

  13. Practicum of applied radioactivity and radiochemistry by Herforth and Koch

    Herforth, L.; Huebner, K.


    The more-than-thirty-year history of a textbook of the application of radionuclides is described. In many countries the book has been proved useful for teaching specialists in the field of isotope technique. Above this it is accepted as a compendium for uses of radiophysical and radiochemical methods in science and industry. For 1991 a new, completely revised edition is planned entitled HERFORTH/KOCH Praktikum der angewandten Radioaktivitaet und Radiochemie (HERFORTH/KOCH Practicum of Applied Radioactivity and Radiochemistry). (author)


    Kubiak, M. A.; Bzowski, M.; Sokół, J. M.; Swaczyna, P.; Grzedzielski, S. [Space Research Centre of the Polish Academy of Sciences, Warsaw (Poland); Alexashov, D. B.; Izmodenov, V. V. [Space Research Institute (IKI) of the Russian Academy of Sciences, Moscow (Russian Federation); Möbius, E.; Leonard, T. [Space Research Center and Department of Physics, University of New Hampshire, Durham, NH (United States); Fuselier, S. A.; McComas, D. J. [Southwest Research Institute, San Antonio, TX (United States); Wurz, P. [Physics Institute, University of Bern, Bern (Switzerland)


    We investigate the signals from neutral helium atoms observed in situ from Earth orbit in 2010 by the Interstellar Boundary Explorer (IBEX). The full helium signal observed during the 2010 observation season can be explained as a superposition of pristine neutral interstellar He gas and an additional population of neutral helium that we call the Warm Breeze. The Warm Breeze is approximately 2 times slower and 2.5 times warmer than the primary interstellar He population, and its density in front of the heliosphere is ∼7% that of the neutral interstellar helium. The inflow direction of the Warm Breeze differs by ∼19° from the inflow direction of interstellar gas. The Warm Breeze seems to be a long-term, perhaps permanent feature of the heliospheric environment. It has not been detected earlier because it is strongly ionized inside the heliosphere. This effect brings it below the threshold of detection via pickup ion and heliospheric backscatter glow observations, as well as by the direct sampling of GAS/Ulysses. We discuss possible sources for the Warm Breeze, including (1) the secondary population of interstellar helium, created via charge exchange and perhaps elastic scattering of neutral interstellar He atoms on interstellar He{sup +} ions in the outer heliosheath, or (2) a gust of interstellar He originating from a hypothetic wave train in the Local Interstellar Cloud. A secondary population is expected from models, but the characteristics of the Warm Breeze do not fully conform to modeling results. If, nevertheless, this is the explanation, IBEX-Lo observations of the Warm Breeze provide key insights into the physical state of plasma in the outer heliosheath. If the second hypothesis is true, the source is likely to be located within a few thousand AU from the Sun, which is the propagation range of possible gusts of interstellar neutral helium with the Warm Breeze characteristics against dissipation via elastic scattering in the Local Cloud. Whatever the

  15. Idealized WRF model sensitivity simulations of sea breeze types and their effects on offshore windfields

    C. J. Steele


    Full Text Available The behaviour and characteristics of the marine component of sea breeze cells have received little attention relative to their onshore counterparts. Yet there is a growing interest and dependence on the offshore wind climate from, for example, a wind energy perspective. Using idealized model experiments, we investigate the sea breeze circulation at scales which approximate to those of the southern North Sea, a region of major ongoing offshore wind farm development. We also contrast the scales and characteristics of the pure and the little known corkscrew and backdoor sea breeze types, where the type is pre-defined by the orientation of the synoptic scale flow relative to the shoreline. We find, crucially, that pure sea breezes, in contrast to corkscrew and backdoor types, can lead to substantial wind speed reductions offshore and that the addition of a second eastern coastline emphasises this effect through generation of offshore "calm zones". The offshore extent of all sea breeze types is found to be sensitive to both the influence of Coriolis acceleration and to the boundary layer scheme selected. These extents range, for example for a pure sea breeze produced in a 2 m s−1 offshore gradient wind, from 0 km to 21 km between the Mellor-Yamada-Nakanishi-Niino and the Yonsei State University schemes respectively. The corkscrew type restricts the development of a backdoor sea breeze on the opposite coast and is also capable of traversing a 100 km offshore domain even under high along-shore gradient wind speed (>15 m s−1 conditions. Realistic variations in sea surface skin temperature and initializing vertical thermodynamic profile do not significantly alter the resulting circulation, though the strengths of the simulated sea breezes are modulated if the effective land-sea thermal contrast is altered. We highlight how sea breeze impacts on circulation need to be

  16. Observations of vegetation induced breezes and their impact on convection

    Garcia-Carreras, Luis; Parker, Douglas J.; Taylor, Christopher M.; Reeves, Claire; Murphy, Jennifer


    Aircraft observations over Benin during the early afternoon of 17 August 2006 are used to look at the impact of heterogeneities in vegetation cover, primarily between crop and forest/shrub, on the thermodynamic and dynamical properties of the planetary boundary layer (PBL). Isoprene, a biogenic organic compound emitted primarily by woody vegetation species, was measured and is used to link the vegetation patterns to the PBL properties. The aircraft observations show the presence of a persistent mesoscale organization of the winds persisting over two hours, controlling the pattern of cumulus congestus cloud in the area. The mesoscale flows are closely linked to temperature anomalies that mirror the vegetation patterns at the surface. These results are consistent with the presence of higher Bowen ratios over forested areas, associated with higher evapotranspiration and isoprene emissions, producing negative PBL temperature anomalies over the forested area compared to adjacent cropland. The temperature gradients that thus arise at vegetation boundaries are then sufficient to initiate vegetation breezes. The relationships between PBL temperatures and isoprene, linking the land-surface to the PBL, and PBL temperatures and winds are very significant for length-scales above 10 and 8km respectively. The convergence zones, and therefore clouds, associated with the land-induced mesoscale flows tend to occur on the southern edge of the warm temperature anomalies. This is attributed to the presence of a northerly synoptic flow, which strengthens the southerly parts of the mesoscale flow, as well as displacing the convergence zones southward. A visible satellite climatology for the whole season shows an enhancement of cloud over the cropland during the early afternoon, consistent with the presence of land-induced flows. These results suggest that the presence of these flows have a climatological impact on the initiation of convection in the region.

  17. Investigation on the fine structure of sea-breeze during ESCOMPTE experiment

    Puygrenier, V.; Lohou, F.; Campistron, B.; Saïd, F.; Pigeon, G.; Bénech, B.; Serça, D.


    Surface and remote-sensing instruments deployed during ESCOMPTE experiment over the Marseille area, along the Mediterranean coast, were used to investigate the fine structure of the atmospheric boundary layer (ABL) during sea-breeze circulation in relation to pollutant transport and diffusion. Six sea-breeze events are analyzed with a particular focus on 25 June 2001. Advection of cool and humid marine air over land has a profound influence on the daytime ABL characteristics. This impact decreases rapidly with the inland distance from the sea. Nearby the coast (3 km inland), the mixing height Zi rises up to 750 m and falls down after 15:00 (UT) when the breeze flow reaches its maximum intensity. A more classical evolution of the ABL is observed at only 11-km inland where Zi culminates in the morning and stabilizes in the afternoon at about 1000 m height. Fine inspection of the data revealed an oscillation of the sea-breeze with a period about 2 h 47 min. This feature, clearly discernable for 3 days at least, is present in several atmospheric variables such as wind, temperature, not only at the ground but also aloft in the ABL as observed by sodar/RASS and UHF wind profilers. In particular, the mixing height Zi deduced from UHF profilers observations is affected also by the same periodicity. This pulsated sea-breeze is observed principally above Marseille and, at the northern and eastern shores of the Berre pond. In summary, the periodic intrusion over land of cool marine air modifies the structure of the ABL in the vicinity of the coast from the point of view of stability, turbulent motions and pollutants concentration. An explanation of the source of this pulsated sea-breeze is suggested.

  18. 78 FR 62300 - Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market-Based Rate Filing...


    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER14-25-000] Prairie Breeze Wind Energy LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket... Breeze Wind Energy LLC's application for market-based rate authority, with an accompanying rate schedule...

  19. When land breezes collide: Converging diurnal winds over small bodies of water

    Gille, ST; Llewellyn Smith, SG


    © 2013 Royal Meteorological Society. Over enclosed and semi-enclosed bodies of water, the land-breeze/sea-breeze circulation is expected to be modified by the presence of opposing coastlines. These effects are studied using satellite scatterometer surface wind observations from the QuikSCAT and ADEOS-2 tandem mission from April-October 2003. Winds are studied for six bodies of water: the Red Sea, the Gulf of California, the Mediterranean, the Adriatic Sea, the Black Sea and the Caspian Sea. T...

  20. Applying Kolb's Model to a Nontraditional Preservice Teaching Practicum

    Burns, Amy; Danyluk, Patricia


    This article reports on the initial findings of an ongoing study that will see six preservice teachers placed in a nontraditional practicum placement as part of their bachelor of education program. Reported here is the examination of emergent professionalism of the initial two preservice teachers during their nontraditional practicum placement on…

  1. Mathematics Practicum at St. Olaf College: Project-Based Learning through Academic Civic Engagement

    Sanft, Rebecca; Ziegler-Graham, Kathryn


    The Mathematics Practicum has been offered at St. Olaf College for over 30 years. The Practicum is a 4-week, January Interim course where three teams of five students work on consulting problems solicited from area businesses, government agencies, and non-profit organizations. These problems have significant mathematical, statistical, and…

  2. A Practicum in School Counseling: Using Reflective Journals as an Integral Component.

    Stickel, Sue A.; Waltman, Jean

    This paper contends that training in reflective process, a formal component of many teacher education programs, needs to occur also in counselor training programs, particularly in the practicum experience. A framework is proposed for reflective journaling as an integral component of the pre-service counseling practicum. The framework explains how…

  3. Unveiling Pre-Service Teachers' Attitudes toward Teaching: The Role of Pedagogical Practicums

    Morales Cortés, Yimer Andrés


    This article reports a research developed at Universidad Pedagógica y Tecnológica de Colombia with a group of pre-service teachers that was immersed in an English teaching practicum. The main purpose of this inquiry was to find out the role that practicum exerted on novice teachers' attitudes towards teaching. Data were collected through…

  4. A Database Practicum for Teaching Database Administration and Software Development at Regis University

    Mason, Robert T.


    This research paper compares a database practicum at the Regis University College for Professional Studies (CPS) with technology oriented practicums at other universities. Successful andragogy for technology courses can motivate students to develop a genuine interest in the subject, share their knowledge with peers and can inspire students to…

  5. The Effectiveness of an Embedded Approach to Practicum Experiences in Educational Leadership: Program Candidates' Perspectives

    Chandler, Mary; Chan, Tak Cheung; Jiang, Binbin


    This study examined how effective an embedded practicum experience in an educational leadership program in a Southeastern University is in serving the purpose of preparing educational leaders to meet future challenges. Findings of this study confirm practicum areas that met the educational demands and highlight areas that need improvement to…

  6. Development of an Instrument Measuring Student Teachers' Perceived Stressors about the Practicum

    Kokkinos, Constantinos M.; Stavropoulos, George; Davazoglou, Aggeliki


    The Stressors about Practicum Inventory, a self-report measure of perceived stressors about the practicum, was designed to provide those responsible for the training of primary school teachers with an informative, inexpensive and psychometrically sound tool. The present study describes the development and validation of the 94-item inventory in a…

  7. Examining the Practicum Experience to Increase Counseling Students' Self-Efficacy

    Ikonomopoulos, James; Vela, Javier Cavazos; Smith, Wayne D.; Dell'Aquila, Julia


    Counseling graduate students may begin practicum with low self-efficacy regarding their counseling abilities and skills. In the current study, we implemented a small-series (N = 11) single-case research design to assess the effectiveness of the practicum experience to increase counseling students' self-efficacy. Analysis of participants' scores on…

  8. Undergraduate student nurses' lived experiences of anxiety during their first clinical practicum: A phenomenological study.

    Sun, Fan-Ko; Long, Ann; Tseng, Yun Shan; Huang, Hui-Man; You, Jia-Hui; Chiang, Chun-Ying


    The Fundamental Nursing clinical practicum is an essential module for nursing students. Some feel stress or anxiety about attending this first placement; however, evidence demonstrates that it is rare to explore the feelings of anxiety felt by the nursing students concerning their first clinical practicum. This study was designed to explore student nurses' experiences of anxiety felt regarding their initial clinical practicum while studying for their University degree. A phenomenological approach was used. A university in Southern Taiwan. A purposive sampling of fifteen student nurses with anxiety reactions who had completed their first clinical practicum. Data were collected using a semi-structured guide and deep interview. Data were analyzed using Colaizzi's seven-step phenomenological method. Three themes surfaced in the findings. The first theme was anxiety around their first clinical practicum, which stirred up anxiety about: self-doubt, worry and fear; difficulty coping with the learning process; worry hampered establishing therapeutic relationships with patients; the progress of the patients' illness could not be predicted; and anxiety felt about lecturer-student interactions. The second theme was three phases of anxiety reactions, which included increasing anxiety before clinical practicum; exacerbated anxiety during clinical practicum, and relief of anxiety after clinical practicum. The third theme was coping behaviors. This comprised: self-reflection in preparation for clinical practicum; finding ways to release emotions; distractions from the anxiety; and, also facing their difficulties head-on. The findings could help raise the awareness of lecturers and students by understanding student nurses' anxiety experiences and facilitating a healthy preparation for their initial clinical practicum, consequently proactively helping reduce potential anxiety experiences. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. The inland boundary layer at low latitudes: II Sea-breeze influences

    Garratt, J. R.; Physick, W. L.


    Two-dimensional mesoscale model results support the claim of evening sea-breeze activity at Daly Waters, 280 km inland from the coast in northern Australia, the site of the Koorin boundary-layer experiment. The sea breeze occurs in conditions of strong onshore and alongshore geostrophic winds, not normally associated with such activity. It manifests itself at Daly Waters and in the model as a cooling in a layer 500 1000 m deep, as an associated surface pressure jump, as strong backing of the wind and, when an offshore low-level wind is present, as a collapse in the inland nocturnal jet. Both observational analysis and model results illustrate the rotational aspects of the deeply penetrating sea breeze; in our analysis this is represented in terms of a surge vector — the vector difference between the post- and pre-frontal low-level winds. There is further evidence to support earlier work that the sea breeze during the afternoon and well into the night — at least for these low-latitude experiments — behaves in many ways as an atmospheric gravity current, and that inland penetrations up to 500 km occur.

  10. A numerical study of sea breeze circulation observed at a tropical ...

    and roughness occur in the air adjacent to the coast and lead to formation of a thermal inter- nal boundary layer (TIBL) (Stull 1988). This effec- tively reduces the mixing height in the coastal regions in the daytime. Land–sea breeze circula- tion and TIBL are the two important phenomena that influence the pollution plume ...

  11. Air pollution studies in Chicago considering lake breeze events and land use

    Schmeling, M.; Treering, D. J.


    Trace elemental, ionic species and reactive trace gases were monitored and measured in Chicago air during the summers of 2002 to 2005. Weather data obtained for the same time periods provided information about major wind patterns. Sampling times and duration were selected to coincide with lake breezes, which occur with highest frequency in summer. Lake breezes were observed between 14 and 47 percent of total collection days per summer and appeared to be more frequent in the cooler summers of 2003 and 2004. Depending on the predominant wind direction on the day before, pollutants increased briefly during a lake breeze event. On days without the occurrence of a lake breeze, it was found that the highest concentrations of pollutants were transported by southerly wind currents. Some major sources, such as brick and cement manufacturing, steel industry and heavy road traffic, lay in the path of this wind current. Chicago area land use and transportation maps were analyzed using a Geographic Information System (GIS) to identify major industrial complexes, intermodal terminals, highways and railroads. We also included demographic information in the GIS maps to analyze whether certain population groups are disproportionally exposed to air pollution. Our results will not only be interesting for the science community, but also to policy makers when considering air pollutant exposure and are expected to inform decisions regarding air pollution policy in the future.

  12. Impact of sea breeze on wind-seas off Goa, west coast of India

    during November–May, winds in the coastal regions of India are dominated by sea breeze. It has an impact on the daily cycle of the sea state near the coast. The impact is quite significant when large scale winds are weak. During one such event, 1–15 April 1997, a Datawell directional waverider buoy was deployed in 23m ...

  13. Impact of Bay-Breeze Circulations on Surface Air Quality and Boundary Layer Export

    Loughner, Christopher P.; Tzortziou, Maria; Follette-Cook, Melanie; Pickering, Kenneth E.; Goldberg, Daniel; Satam, Chinmay; Weinheimer, Andrew; Crawford, James H.; Knapp, David J.; Montzka, Denise D.; hide


    Meteorological and air-quality model simulations are analyzed alongside observations to investigate the role of the Chesapeake Bay breeze on surface air quality, pollutant transport, and boundary layer venting. A case study was conducted to understand why a particular day was the only one during an 11-day ship-based field campaign on which surface ozone was not elevated in concentration over the Chesapeake Bay relative to the closest upwind site and why high ozone concentrations were observed aloft by in situ aircraft observations. Results show that southerly winds during the overnight and early-morning hours prevented the advection of air pollutants from the Washington, D.C., and Baltimore, Maryland, metropolitan areas over the surface waters of the bay. A strong and prolonged bay breeze developed during the late morning and early afternoon along the western coastline of the bay. The strength and duration of the bay breeze allowed pollutants to converge, resulting in high concentrations locally near the bay-breeze front within the Baltimore metropolitan area, where they were then lofted to the top of the planetary boundary layer (PBL). Near the top of the PBL, these pollutants were horizontally advected to a region with lower PBL heights, resulting in pollution transport out of the boundary layer and into the free troposphere. This elevated layer of air pollution aloft was transported downwind into New England by early the following morning where it likely mixed down to the surface, affecting air quality as the boundary layer grew.

  14. A characterisation of sea-breeze events in the eastern Cantabrian coast (Spain) from observational data and WRF simulations

    Arrillaga, Jon A.; Yagüe, Carlos; Sastre, Mariano; Román-Cascón, Carlos


    The behaviour of the sea breeze along the north coast of Spain is investigated using observations of two topographically contrasting sites together with simulations from the Weather Research and Forecasting (WRF) model. An objective and systematic selection method is used to detect sea-breeze days from a database of two summer months. The direction and intensity of the sea breeze are significantly affected by the topography of the area; indeed, the estimated sea-breeze intensity shows an opposite relationship with the cross-shore temperature gradient for both sites. WRF simulations reproduce the onset of the sea breeze, but some characteristics are not adequately simulated: they generally overestimate the wind speed, smooth the temperature evolution and they do not represent the correct interaction with the terrain-induced flows. Additionally, four sensitivity experiments are performed with the WRF model varying the Planetary Boundary Layer (PBL) scheme, as well as the grid analysis nudging for an anomalous case study which is incorrectly filtered. As the two simulations considering nudging reproduce an unreal (not observed) sea breeze, this day turns out to be of great interest: it allows to evaluate the influence of the passage of the sea-breeze front (SBF) in other variables mainly related to turbulence. Furthermore, the best model scores are obtained for the PBL scheme that does not use a TKE closure.

  15. Nearshore Coastal Dynamics on a Sea-Breeze Dominated Micro-Tidal Beach (NCSAL)

    Torres-Freyermuth, A.; Puleo, J. A.; Ruiz de Alegría-Arzaburu, A.; Figlus, J.; Mendoza, T.; Pintado-Patino, J. C.; Pieterse, A.; Chardon-Maldonado, P.; DiCosmo, N. R.; Wellman, N.; Garcia-Nava, H.; Palemón-Arcos, L.; Roberts, T.; López-González, J.; Bravo, M.; Ojeda, E.; Medellín, G.; Appendini, C. M.; Figueroa, B.; González-Leija, M.; Enriquez, C.; Pedrozo-Acuña, A.; Salles, P.


    A comprehensive field experiment devoted to the study of coastal processes on a micro-tidal beach was conducted from March 30th to April 12th 2014 in Sisal, Yucatán México. Wave conditions in the study area are controlled by local (i.e., sea-breezes) and meso-scale (i.e., Nortes) meteorological events. Simultaneous measurements of waves, tides, winds, currents, sediment transport, runup, and beach morphology were obtained in this experiment. Very dense nearshore instrumentation arrays allow us the study of the cross-/along- shore variability of surf/swash zone dynamics during different forcing conditions. Strong sea-breeze wind events produced a diurnal cycle with a maximum wind speed of 14 m/s. The persistent sea-breeze system forces small-amplitude (Hs1 m) Norte event, lasting 48 hours, reached the coast on April 8th generating a long-period swell (Tp>10 s) arriving from the NNW. This event induced an eastward net sediment transport across a wide surf zone. However, long-term observations of sand impoundment at a groin located near the study area suggests that the net sediment transport in the northern Yucatan peninsula is controlled by sea-breeze events and hence swash zone dynamics play an important role in the net sediment budget of this region. A comparative study of surf and swash zone dynamics during both sea-breeze and Norte events will be presented. The Institute of Engineering of UNAM, throughout an International Collaborative Project with the University of Delaware, and CONACYT (CB-167692) provided financial support. The first author acknowledges ONR Global for providing financial support throughout the Visiting Scientist Program.

  16. Bay breeze climatology at two sites along the Chesapeake bay from 1986-2010: Implications for surface ozone.

    Stauffer, Ryan M; Thompson, Anne M

    Hourly surface meteorological measurements were coupled with surface ozone (O 3 ) mixing ratio measurements at Hampton, Virginia and Baltimore, Maryland, two sites along the Chesapeake Bay in the Mid-Atlantic United States, to examine the behavior of surface O 3 during bay breeze events and quantify the impact of the bay breeze on local O 3 pollution. Analyses were performed for the months of May through September for the years 1986 to 2010. The years were split into three groups to account for increasingly stringent environmental regulations that reduced regional emissions of nitrogen oxides (NO x ): 1986-1994, 1995-2002, and 2003-2010. Each day in the 25-year record was marked either as a bay breeze day, a non-bay breeze day, or a rainy/cloudy day based on the meteorological data. Mean eight hour (8-h) averaged surface O 3 values during bay breeze events were 3 to 5 parts per billion by volume (ppbv) higher at Hampton and Baltimore than on non-bay breeze days in all year periods. Anomalies from mean surface O 3 were highest in the afternoon at both sites during bay breeze days in the 2003-2010 study period. In conjunction with an overall lowering of baseline O 3 after the 1995-2002 period, the percentage of total exceedances of the Environmental Protection Agency (EPA) 75 ppbv 8-h O 3 standard that occurred on bay breeze days increased at Hampton for 2003-2010, while remaining steady at Baltimore. These results suggest that bay breeze circulations are becoming more important to causing exceedance events at particular sites in the region, and support the hypothesis of Martins et al. (2012) that highly localized meteorology increasingly drives air quality events at Hampton.

  17. The effectiveness of separating theory and practicum as a conduit to learning physiology.

    Schuijers, Johannes A; McDonald, Stuart J; Julien, Brianna L; Lexis, Louise A; Thomas, Colleen J; Chan, Siew; Samiric, T


    Many conventional science courses contain subjects embedded with laboratory-based activities. However, research on the benefits of positioning the practicals within the theory subject or developing them distinctly from the theory is largely absent. This report compared results in a physiology theory subject among three different cohorts of students: those taking the theory subject alone, those taking it concurrent with a physiology practicum subject, and those who previously took the subject when it had practicums embedded within the one subject. The path model shows that students taking both physiology theory and physiology practicum attained a significantly higher result in online tests compared with those who took the theory subject alone (P physiology theory and the physiology practicum attained a significantly higher end-examination result compared with those who took the physiology subject in previous years when the practicums were embedded within the theory subject (P physiology theory and the physiology practicum likely performed better in the theory subject due to better problem-solving skills and a more developed understanding of theoretical content. We suggest that consideration be given in all science curricula to the separation of theory and practicum by developing two subjects with clearly defined different learning outcomes.

  18. Impact of the Rhône and Durance valleys on sea-breeze circulation in the Marseille area

    Bastin, Sophie; Drobinski, Philippe; Dabas, Alain; Delville, Patricia; Reitebuch, Oliver; Werner, Christian


    Sea-breeze dynamics in the Marseille area, in the south of France, is investigated in the framework of the ESCOMPTE experiment conducted during summer 2001 in order to evaluate the role of thermal circulations on pollutant transport and ventilation. Under particular attention in this paper is the sea-breeze channelling by the broad Rhône valley and the narrow Durance valley, both oriented nearly-north-south, i.e., perpendicular to the coastline, and its possible impact on the sea-breeze penetration, intensity and depth, which are key information for air pollution issues. One situation of slight synoptic pressure gradient leading to a northerly flow in the Rhône valley (25 June 2001) and one situation of a weak onshore prevailing synoptic wind (26 June 2001) are compared. The impact of the Rhône and Durance valleys on the sea-breeze dynamics on these two typical days is generalized to the whole ESCOMPTE observing period. The present study shows by combining simple scaling analysis with wind data from meteorological surface stations and Doppler lidars that (i) the Durance valley always affects the sea breeze by accelerating the flow. A consequence is that the Durance valley contributes to weaken the temperature gradient along the valley and thus the sea-breeze circulation. In some cases, the acceleration of the channelled flow in the Durance valley suppresses the sea-breeze flow by temperature gradient inhibition; (ii) the Rhône valley does not generally affect the sea breeze significantly. However, if the sea breeze is combined with an onshore flow, it leads to further penetration inland and intensification of the low-level southerly flow. In this situation, lateral constriction may accelerate the sea breeze. Simple scaling analysis suggests that Saint Paul (44.35°N, about 100 km from the coastline) is the lower limit where sea breeze can be affected by the Rhône valley. These conclusions have implications in air quality topics as channelled sea breeze may

  19. Practicums as part of study programmes in library and information studies

    Primož Južnič


    Full Text Available In Library and Information Science (LIS courses, practicums serve as a specific bond between theory on the one hand and practical work and the profession on the other. In seeking to prepare graduates for the profession and for professional work, LIS programmes use practicums as a model to enhance the library school curriculum. During the traditional LIS practicum, one already makes use of the many advantages online tools provide, building online portfolios or keeping student work diaries online while undertaking the practical part of one’s practicum. This enables easy and constant communication among all three stakeholders: host institutions, educational institutions, and students. Whilst it is important to engage actively with industry to provide students with opportunities to participate in ‘experiential learning’ and in building practical skills and knowledge, it is also important to ensure this is done in a systematic manner, and with a genuine desire on the part of the employers for a collaborative partnership. Striking similarities regarding practicums and placements between geographically distant countries such as Australia and Slovenia, and the opinions and attitudes that all three stakeholders – students, host institutions and educational institutions – share, indicates that traditional practicums, undertaken in a physical workplace, are still a key component of an LIS education.In Library and Information Science (LIS courses, practicums serve as a specific bond between theory onthe one hand and practical work and the profession on the other. In seeking to prepare graduates for theprofession and for professional work, LIS programmes use practicums as a model to enhance the libraryschool curriculum. During the traditional LIS practicum, one already makes use of the many advantagesonline tools provide, building online portfolios or keeping student work diaries online while undertakingthe practical part of one’s practicum. This

  20. Photovoltaic at Hollywood and Desert Breeze Recreational Centers

    Ammerman, Shane [Clark County Comprehensive Planning Department, NV (United States)


    Executive Summary Renewable Energy Initiatives for Clark County Parks and Recreation Solar Project DOE grant # DE-EE0003180 In accordance with the goals of the Department of Energy (DOE) Office of Energy Efficiency and Renewable Energy for promoting solar energy as clean, carbon-free and cost-effective, the County believed that a recreational center was an ideal place to promote solar energy technologies to the public. This project included the construction of solar electricity generation facilities (40kW) at two Clark County facility sites, Desert Breeze Recreational Center and Hollywood Recreational Center, with educational kiosks and Green Boxes for classroom instruction. The major objectives and goals of this Solar Project include demonstration of state of the art technologies for the generation of electricity from solar technology and the creation of an informative and educational tool in regards to the benefits and process of generating alternative energy. Clark County partnered with Anne Johnson (design architect/consultant), Affiliated Engineers Inc. (AEI), Desert Research Institute (DRI), and Morse Electric. The latest photovoltaic technologies were used in the project to help create the greatest expected energy savings for60443 each recreational center. This coupled with the data created from the monitoring system will help Clark County and NREL further understand the real time outputs from the system. The educational portion created with AEI and DRI incorporates material for all ages with a focus on K - 12. The AEI component is an animated story telling the fundamentals of how sunlight is turned into electricity and DRI‘s creation of Solar Green Boxes brings environmental education into the classroom. In addition to the educational component for the public, the energy that is created through the photovoltaic system also translates into saved money and health benefits for the general public. This project has helped Clark County to further add to its own

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  2. Kidney Problems

    ... our e-newsletter! Aging & Health A to Z Kidney Problems Basic Facts & Information The kidneys are two ... kidney (renal) diseases are called nephrologists . What are Kidney Diseases? For about one-third of older people, ...

  3. A Coastal Bay Summer Breeze Study, Part 1: Results of the Quiberon 2006 Experimental Campaign

    Mestayer, Patrice G.; Calmet, Isabelle; Herlédant, Olivier; Barré, Sophie; Piquet, Thibaud; Rosant, Jean-Michel


    The Quiberon 2006 experiment was launched to document the onset and development of land and sea breezes over a semi-circular coastal bay propitious to inshore sailing competitions. The measurements were taken during the 2 weeks of 16-28 June 2006. Micrometeorological variables were recorded at three shore sites around the bay using turbulence sensors on 10-30-m high masts, on four instrumented catamarans at selected sites within the bay, and at a fourth shore site with a Sodar. Synoptic data and local measurements are analyzed here from the point of view of both micrometeorologists and competition skippers, testing in particular the empirical rules of breeze veering and backing according to the wind direction with respect to the coastline orientation at the mesoscale (the quadrant theory). Our analysis focuses on the patterns of lower-altitude wind direction and speed around the bay and over the water basin, and the temporal variations during the periods of the breeze onset, establishment and thermal reinforcement. In offshore synoptic-flow conditions (quadrants 1 and 2), the clockwise rotation of the surface flow had a very large amplitude, reaching up to 360°. The breeze strength was negatively correlated to that of the synoptic wind speed. In conditions of onshore synoptic flow from the west (quadrant 3) at an angle to the mainland coast but perpendicular to the Quiberon peninsula, the rotation of the flow was backwards in the early morning and clockwise during the day with a moderate amplitude (40°-50°) around the synoptic wind direction. As the surface wind speed was much larger than the synoptic wind speed, such a case we have designated as a "synoptic breeze". The breeze onset was shown to fail several times under the influence of weak non-thermal events, e.g., the passage of an occluded front or clouds or an excess of convection. Finally, several local-scale influences of the complex coastal shape appeared in our measurements, e.g., wind fanning in the

  4. Effect of sea breeze circulation on aerosol mixing state and radiative properties in a desert setting

    Y. Derimian


    Full Text Available Chemical composition, microphysical, and optical properties of atmospheric aerosol deep inland in the Negev Desert of Israel are found to be influenced by daily occurrences of sea breeze flow from the Mediterranean Sea. Abrupt increases in aerosol volume concentration and shifts of size distributions towards larger sizes, which are associated with increase in wind speed and atmospheric water content, were systematically recorded during the summertime at a distance of at least 80 km from the coast. Chemical imaging of aerosol samples showed an increased contribution of highly hygroscopic particles during the intrusion of the sea breeze. Besides a significant fraction of marine aerosols, the amount of internally mixed marine and mineral dust particles was also increased during the sea breeze period. The number fraction of marine and internally mixed particles during the sea breeze reached up to 88 % in the PM1–2. 5 and up to 62 % in the PM2. 5–10 size range. Additionally, numerous particles with residuals of liquid coating were observed by SEM/EDX analysis. Ca-rich dust particles that had reacted with anthropogenic nitrates were evidenced by Raman microspectroscopy. The resulting hygroscopic particles can deliquesce at very low relative humidity. Our observations suggest that aerosol hygroscopic growth in the Negev Desert is induced by the daily sea breeze arrival. The varying aerosol microphysical and optical characteristics perturb the solar and thermal infrared radiations. The changes in aerosol properties induced by the sea breeze, relative to the background situation, doubled the shortwave radiative cooling at the surface (from −10 to −20.5 W m−2 and increased by almost 3 times the warming of the atmosphere (from 5 to 14 W m−2, as evaluated for a case study. Given the important value of observed liquid coating of particles, we also examined the possible influence of the particle homogeneity assumption on the

  5. The John Milner Nutrition and Cancer Prevention Research Practicum | Division of Cancer Prevention

    Attendee Testimonial Plenty of Food for Thought Served Up at the John Milner Nutrition and Cancer Prevention Research Practicum by Julia Tobacyk Media Folder: research_groupView the Testimonial (PDF, 790 KB) Date: March 12-16, 2018 |

  6. Profile of Students Uninterested in Practicum Class at Faculty of Engineering Universitas Negeri Surabaya

    Munoto; Sondang, Meini; Satriana, FMS


    This study aims to determine the characteristics of students who were uninterested in attending practicum classes. This study applied naturalistic qualitative research methods using participatory observation and interviews. The data validity was ensured by triangulation, detailed description, length of observation time, as well as details and thorough observation. The data were analyzed using domain analysis and followed by conducting taxonomic, component, and thematic analyses. The results of the study indicate that faineant students show a negative behavior while attending laboratory practicums. They have a lack of motivation, effective interaction, and attention. The cognitive abilities vary from low to high. Other causes on how the aspects of the study were low were found as well, therefore improving those aspects allows students to raise their interest in practicum classes. The impact is to create well-skilled vocational teachers in conducting practicum classes in vocational schools and to make graduates better-prepared for the workforce.

  7. Practicum projects of value: a successful strategic partnership between nurse executives and master's level academia.

    Hahn, Joyce A


    The opportunity exists for academia and the nursing executive community to collaboratively create cultures of excellence. One university formed relationships of collaborative synergy with nurse executives to provide practicum experiences of value for both the graduate nursing administration students and the health care facilities. The strategic preceptor partnerships offer graduate students the invaluable opportunity to experience the in-depth, real world perspective of nursing administration resulting in the enrichment of their academic scholarship. A final practicum work project is designed collaboratively with the preceptor and completed by the end of the second practicum semester. The resulting practicum project is an example of a mutually rewarding experience for the graduate nursing administration student and the preceptor. The collaborative synergistic model is a win-win situation for the university and the health care facility.

  8. Reducibility mill scale industrial waste via coke breeze at 850-950ºC

    Gaballah N.M.


    Full Text Available Mill scale is a very attractive industrial waste due to its elevated iron content (about = 69.33% Fe besides being suiTab. for direct recycling to the blast furnace via sintering plant. In this paper the characteristics of raw materials and the briquettes produced from this mill scale were studied by different methods of analyses. The produced briquettes were reduced with different amounts of coke breeze at varying temperatures, and the reduction kinetics was determined. The activation energy of this reaction ≈ 61.5 kJ/mole for reduction of mill scale with coke breeze in the form of briquettes with 2% molasses where the chemical reaction interface model is applicable.

  9. A climatological study of sea breeze clouds in the southeast of the Iberian Peninsula (Alicante, Spain)

    Azorin-Molina, C. [Grupo de Climatologia, Universidad de Barcelona, Barcelona, Cataluna (Spain)]. E-mail:; Sanchez-Lorenzo, A. [Grupo de Climatologia, Universidad de Barcelona, Barcelona, Cataluna (Spain); Calbo, J. [Grupo de Fisica Ambiental, Universidad de Girona, Campus Montilivi, Cataluna (Spain)


    Sea breezes blow under anticyclonic weather types, weak surface pressure gradients, intense solar radiation and relatively cloud-free skies. Generally, total cloud cover must be less than 4/8 in order to cause a thermal and pressure difference between land and sea air which allows the development of this local wind circulation. However, many numerical and observational studies have analyzed the ability of sea breezes to generate clouds in the convective internal boundary layer and in the sea breeze convergence zone. Accordingly, the aim of this study is to statistically analyze the impact of sea breezes on cloud types in the convective internal boundary layer and in the sea breeze convergence zone. The study area is located in the southeast of the Iberian Peninsula (province of Alicante, Spain) and the survey corresponds to a 6-yr study period (2000-2005). This climatological study is mainly based on surface cloud observations at the Alicante-Ciudad Jardin station (central coastal plain) and on an extensive cloud observation field campaign at the Villena-Ciudad station (Prebetic mountain ranges) over a 3-yr study period (2003-2005). The results confirm the hypothesis that the effect of sea breezes on cloud genera is to increase the frequency of low (Stratus) and convective (Cumulus) clouds. Sea breezes trigger the formation of thunderstorm clouds (Cumulonimbus) at the sea breeze convergence zone, which also have a secondary impact on high-level (Cirrus, Cirrocumulus, Cirrostratus), medium-level (Altostratus, Altocumulus) and low-level clouds (Stratus, Stratocumulus, Nimbostratus) associated with the Cumulonimbus clouds (e.g., Cumulonimbus anvil). [Spanish] Las brisas marinas soplan bajo tipos de tiempo anticiclonicos, debiles gradientes de presion atmosferica, radiacion solar intensa y cielos practicamente despejados. Por lo general, la cobertura nubosa total debe ser inferior a 4/8 para que se genere un diferencial termico y de presion entre el aire sobre las

  10. Mesoscale model response to random, surface-based perturbations — A sea-breeze experiment

    Garratt, J. R.; Pielke, R. A.; Miller, W. F.; Lee, T. J.


    The introduction into a mesoscale model of random (in space) variations in roughness length, or random (in space and time) surface perturbations of temperature and friction velocity, produces a measurable, but barely significant, response in the simulated flow dynamics of the lower atmosphere. The perturbations are an attempt to include the effects of sub-grid variability into the ensemble-mean parameterization schemes used in many numerical models. Their magnitude is set in our experiments by appeal to real-world observations of the spatial variations in roughness length and daytime surface temperature over the land on horizontal scales of one to several tens of kilometers. With sea-breeze simulations, comparisons of a number of realizations forced by roughness-length and surface-temperature perturbations with the standard simulation reveal no significant change in ensemble mean statistics, and only small changes in the sea-breeze vertical velocity. Changes in the updraft velocity for individual runs, of up to several cms-1 (compared to a mean of 14 cms-1), are directly the result of prefrontal temperature changes of 0.1 to 0.2K, produced by the random surface forcing. The correlation and magnitude of the changes are entirely consistent with a gravity-current interpretation of the sea breeze.

  11. The influence of the Atlantic Warm Pool on the Florida panhandle sea breeze

    Misra, Vasubandhu; Moeller, Lauren; Stefanova, Lydia; Chan, Steven; O'Brien, James J.; Smith, Thomas J.; Plant, Nathaniel


    In this paper we examine the variations of the boreal summer season sea breeze circulation along the Florida panhandle coast from relatively high resolution (10 km) regional climate model integrations. The 23 year climatology (1979–2001) of the multidecadal dynamically downscaled simulations forced by the National Centers for Environmental Prediction–Department of Energy (NCEP-DOE) Reanalysis II at the lateral boundaries verify quite well with the observed climatology. The variations at diurnal and interannual time scales are also well simulated with respect to the observations. We show from composite analyses made from these downscaled simulations that sea breezes in northwestern Florida are associated with changes in the size of the Atlantic Warm Pool (AWP) on interannual time scales. In large AWP years when the North Atlantic Subtropical High becomes weaker and moves further eastward relative to the small AWP years, a large part of the southeast U.S. including Florida comes under the influence of relatively strong anomalous low-level northerly flow and large-scale subsidence consistent with the theory of the Sverdrup balance. This tends to suppress the diurnal convection over the Florida panhandle coast in large AWP years. This study is also an illustration of the benefit of dynamic downscaling in understanding the low-frequency variations of the sea breeze.

  12. Modeling mesoscale diffusion and transport processes for releases within coastal zones during land/sea breezes

    Lyons, W.A.; Keen, C.S.; Schuh, J.A.


    This document discusses the impacts of coastal mesoscale regimes (CMRs) upon the transport and diffusion of potential accidental radionuclide releases from a shoreline nuclear power plant. CMRs exhibit significant spatial (horizontal and vertical) and temporal variability. Case studies illustrate land breezes, sea/lake breeze inflows and return flows, thermal internal boundary layers, fumigation, plume trapping, coastal convergence zones, thunderstorms and snow squalls. The direct application of a conventional Gaussian straight-line dose assessment model, initialized only by on-site tower data, can potentially produce highly misleading guidance as to plume impact locations. Since much is known concerning CMRs, there are many potential improvements to modularized dose assessment codes, such as by proper parameterization of TIBLs, forecasting the inland penetration of convergence zones, etc. A three-dimensional primitive equation prognostic model showed excellent agreement with detailed lake breeze field measurements, giving indications that such codes can be used in both diagnostic and prognostic studies. The use of relatively inexpensive supplemental meteorological data especially from remote sensing systems (Doppler sodar, radar, lightning strike tracking) and computerized data bases should save significantly on software development costs. Better quality assurance of emergency response codes could include systems of flags providing personnel with confidence levels as to the applicability of a code being used during any given CMR

  13. Modelling Local Sea-Breeze Flow and Associated Dispersion Patterns Over a Coastal Area in North-East Spain: A Case Study

    Soler, M. R.; Arasa, R.; Merino, M.; Olid, M.; Ortega, S.


    The structure and evolution of the sea breeze in the north-west part of the Mediterranean (Catalonia, north-east Spain) is studied both experimentally and, predominantly, using numerical models to increase understanding of sea-breeze structure and three-dimensional (3D) pollution distributions in coastal environments. Sea-breeze components are modelled and analyzed using the fifth-generation Pennsylvania State University-National Centre for Atmospheric Research Mesoscale Model (MM5). The results show that the growth and structure of the sea-breeze circulation is modulated by the synoptic flow and especially by the complex topography of the area. 3D pollution transport in a sea breeze is modelled by coupling the MM5 to the Community Multiscale Air Quality (CMAQ) model, with results indicating that topography and synoptic flow are the main factors modulating horizontal and vertical pollutant transport in sea-breeze episodes. In this way, horizontal dispersion is limited by the complex topography of the area, whilst the sea-breeze flow is intensified by anabatic upslope winds that contribute to vertical pollutant transport. The numerical model results also indicate that the sea-breeze circulation with a weak return flow at upper levels grows due to a synoptic onshore wind component. However, such a sea-breeze circulation is capable of transporting pollutants towards the coast.

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    ... the kidney (in rare cases, may require a blood transfusion) Bleeding into the muscle, which might cause soreness Infection (small risk) Alternative Names Renal biopsy; Biopsy - kidney Images Kidney anatomy ...

  15. Simple Kidney Cysts

    ... Solitary Kidney Your Kidneys & How They Work Simple Kidney Cysts What are simple kidney cysts? Simple kidney cysts are abnormal, fluid-filled ... that form in the kidneys. What are the kidneys and what do they do? The kidneys are ...

  16. Information technologies at physics practicums in a subject-oriented school

    Tishchenko Lyudmila V.


    Full Text Available The paper suggests a new method of implementing an activity approach in a physicsoriented program. Such method implies the use of a system which comprises three types of practical sessions: a laboratory practicum, a practical training aimed at analyzing physical processes on the basis of computerized modeling and a problem-solving practicum. A methodology used for holding practicums provides for an active use of information technologies. At laboratory sessions we use computerized sensors, tablets with an integrated data recorder, an electronic oscilloscope and process data in Excel tables. At practicums aimed at analyzing physical processes, we develop programs in Visual Basic and Рascal in order to visualize physical processes in the form of motion trajectories, dynamic charts; besides, we conduct computer experiments. At problem-solving practicums we use our own PowerPoint “Study Guide for an Interactive Whiteboard”, which contains a database of graphic and pictorial physics problems for students of 10–11 grades. Knowledge of information technologies facilitates students’ adaptation in modern society, improves education quality.

  17. Vertical Structure of the Urban Boundary Layer over Marseille Under Sea-Breeze Conditions

    Lemonsu, Aude; Bastin, Sophie; Masson, Valéry; Drobinski, Philippe


    During the UBL-ESCOMPTE program (June July 2001), intensive observations were performed in Marseille (France). In particular, a Doppler lidar, located in the north of the city, provided radial velocity measurements on a 6-km radius area in the lowest 3 km of the troposphere. Thus, it is well adapted to document the vertical structure of the atmosphere above complex terrain, notably in Marseille, which is bordered by the Mediterranean sea and framed by numerous massifs. The present study focuses on the last day of the intensive observation period 2 (26 June 2001), which is characterized by a weak synoptic pressure gradient favouring the development of thermal circulations. Under such conditions, a complex stratification of the atmosphere is observed. Three-dimensional numerical simulations, with the Méso-NH atmospheric model including the town energy balance (TEB) urban parameterization, are conducted over south-eastern France. A complete evaluation of the model outputs was already performed at both regional and city scales. Here, the 250-m resolution outputs describing the vertical structure of the atmosphere above the Marseille area are compared to the Doppler lidar data, for which the spatial resolution is comparable. This joint analysis underscores the consistency between the atmospheric boundary layer (ABL) observed by the Doppler lidar and that modelled by Méso-NH. The observations and simulations reveal the presence of a shallow sea breeze (SSB) superimposed on a deep sea breeze (DSB) above Marseille during daytime. Because of the step-like shape of the Marseille coastline, the SSB is organized in two branches of different directions, which converge above the city centre. The analysis of the 250-m wind fields shows evidence of the role of the local topography on the local dynamics. Indeed, the topography tends to reinforce the SSB while it weakens the DSB. The ABL is directly affected by the different sea-breeze circulations, while the urban effects appear

  18. Content Analysis of the Practicum Course in the Master of Science in Educational Leadership/Administration Program

    Norman, Scott W.


    In this study, I explored the overall efficacy of the Master of Science in Educational Leadership/ Administration (MSEL/A) program at Florida State University (FSU), by taking a closer look at the introductory course, Practicum in Educational Leadership (the Practicum), as well as the final assessment, the student e-portfolio. The MSEL/A at FSU is…

  19. Student Responses to an ICT-Based E-Assessment Application for the Teaching Practicum/Teaching Practice MODULE

    Davids, M. Noor


    Situated within the context of Initial Teacher Education (ITE) in South Africa, this study introduces the notion of an interactive Teaching Practicum E- Assessment application: e-assessment application for the teaching practicum/Teaching Practice module to replace the current model of assessment. At present students enrolled for an Initial Teacher…

  20. Atmospheric diffusion at coastal site in presence of sea-breeze

    Messaci, M.


    The coastal sites present special features so much by the dominant wind system then by the lower layers of the atmosphere. Two types of experiments were handled on a coastal site in presence of sea breeze. First, vertical atmospheric sounding by radiosounding and by throwing experimental balloons; then the discharge of tracer: the SF6. The first experiment lead us to put in a prominent position the Internal Boundary Layer and the determination of its height. Whereas the second experiment allowed us to estimate the diffusion parameters of the site as well as to obtain interesting conclusions on diffusivity of the environment studied and the influence of certain factors

  1. Nearshore circulation on a sea breeze dominated beach during intense wind events

    Torres-Freyermuth, Alec; Puleo, Jack A.; DiCosmo, Nick; Allende-Arandía, Ma. Eugenia; Chardón-Maldonado, Patricia; López, José; Figueroa-Espinoza, Bernardo; de Alegria-Arzaburu, Amaia Ruiz; Figlus, Jens; Roberts Briggs, Tiffany M.; de la Roza, Jacobo; Candela, Julio


    A field experiment was conducted on the northern Yucatan coast from April 1 to April 12, 2014 to investigate the role of intense wind events on coastal circulation from the inner shelf to the swash zone. The study area is characterized by a micro-tidal environment, low-energy wave conditions, and a wide and shallow continental shelf. Furthermore, easterly trade winds, local breezes, and synoptic-scale events, associated with the passage of cold-fronts known as Nortes, are ubiquitous in this region. Currents were measured concurrently at different cross-shore locations during both local and synoptic-scale intense wind events to investigate the influence of different forcing mechanisms (i.e., large-scale currents, winds, tides, and waves) on the nearshore circulation. Field observations revealed that nearshore circulation across the shelf is predominantly alongshore-directed (westward) during intense winds. However, the mechanisms responsible for driving instantaneous spatial and temporal current variability depend on the weather conditions and the across-shelf location. During local strong sea breeze events (W > 10 m s-1 from the NE) occurring during spring tide, westward circulation is controlled by the tides, wind, and waves at the inner-shelf, shallow waters, and inside the surf/swash zone, respectively. The nearshore circulation is relaxed during intense land breeze events (W ≈ 9 m s-1 from the SE) associated with the low atmospheric pressure system that preceded a Norte event. During the Norte event (Wmax≈ 15 m s-1 from the NNW), westward circulation dominated outside the surf zone and was correlated to the Yucatan Current, whereas wave breaking forces eastward currents inside the surf/swash zone. The latter finding implies the existence of large alongshore velocity shear at the offshore edge of the surf zone during the Norte event, which enhances mixing between the surf zone and the inner shelf. These findings suggest that both sea breezes and Nortes play

  2. Examining the eastern Amazon Basin breeze circulations, channeling and boundary layer properties using altitude controlled meteorological balloons

    Fitzjarrald, D. R.; Voss, P. B.; Silva, R. D.; Callahan, S.; Dewald, A.; do Vale, R. S.


    During the period August 24-28, 2016, in a delayed component the GO-Amazon Project, we launched nine altitude-controlled free balloons (CMET). Smaller than typical rawinsondes, CMET are equipped with altitude control, global communication via Iridium satellite, and aspirated sensors. The aims of our effort were to examine the interactions among convective boundary layer and dual river breeze circulations near the confluence of the Tapajos and Amazon Rivers in the eastern Basin. The week-long field campaign was timed to examine the reestablishment of the breeze circulations shortly after the passage of a strong instability line on August 22. Nine CMET were launched at the Curua-Una hydroelectric dam (2.8S; 54.3W), timed to encounter the Tapajos river breeze front by late afternoon. Soundings were made to establish the thickness of interface between the easterly trade and westerly Tapajos breeze circulation. Careful use of sounding strategies allowed these free balloons to track along the northerly channeled flow in the lowest 300 m above the River. Following the river encounter, balloons tracked to the west, sounding to describe the diurnal course of boundary layer in the forest west of the Tapajos River. The longest flight traveled more than 770 km over three days and twice rested overnight in the rain forest canopy. Ancillary data from surface climate and flux stations as well as the Santarem radiosonde, satellite images will be used to illustrate how the breeze circulations are seen near the surface and how they were disrupted by larger-scale events. Comparisons with HYSPLIT trajectories will illustrate how sensitive real trajectories are to the refraction that the encounter with the breeze effects.

  3. Genetic algorithm to solve the problems of lectures and practicums scheduling

    Syahputra, M. F.; Apriani, R.; Sawaluddin; Abdullah, D.; Albra, W.; Heikal, M.; Abdurrahman, A.; Khaddafi, M.


    Generally, the scheduling process is done manually. However, this method has a low accuracy level, along with possibilities that a scheduled process collides with another scheduled process. When doing theory class and practicum timetable scheduling process, there are numerous problems, such as lecturer teaching schedule collision, schedule collision with another schedule, practicum lesson schedules that collides with theory class, and the number of classrooms available. In this research, genetic algorithm is implemented to perform theory class and practicum timetable scheduling process. The algorithm will be used to process the data containing lists of lecturers, courses, and class rooms, obtained from information technology department at University of Sumatera Utara. The result of scheduling process using genetic algorithm is the most optimal timetable that conforms to available time slots, class rooms, courses, and lecturer schedules.

  4. Practicum in adapted physical activity: a Dewey-inspired action research project.

    Standal, Øyvind; Rugseth, Gro


    The purpose of this study was to investigate what adapted physical activity (APA) students learn from their practicum experiences. One cohort of APA students participated, and data were generated from an action research project that included observations, reflective journals, and a focus group interview. The theoretical framework for the study was Dewey's and Wackerhausen's theories of reflections. The findings show the objects of students' reflections, the kind of conceptual resources they draw on while reflecting, and their knowledge interests. In addition, two paradoxes are identified: the tension between reflecting from and on own values, and how practicum as a valued experience of reality can become too difficult to handle. In conclusion, we reflect on how practicum learning can be facilitated.

  5. Reducibility study of Rossetta ilmenite ore briquettes and powder with coke breeze at 800-1100°C

    Abd el Gawad Hala H.


    Full Text Available Ilmenite ore fine and coke breeze as reduced material were briquetted with different amounts of organic materials such as molasses or pitch were studied in this investigation. The produced briquettes at reasonable condition were reduced in nitrogen atmosphere at temperature range 800 - 1100oC to determine the factors controlling the reduction and to determine the controlling mechanism. Also ilmenite ore fine with coke breeze were reduced at the same temperature range in nitrogen atmosphere without briquetting process, for the sake of comparison.

  6. Effects of Flipped Learning Using Online Materials in a Surgical Nursing Practicum: A Pilot Stratified Group-Randomized Trial.

    Lee, Myung Kyung; Park, Bu Kyung


    This study examined the effect of flipped learning in comparison to traditional learning in a surgical nursing practicum. The subjects of this study were 102 nursing students in their third year of university who were scheduled to complete a clinical nursing practicum in an operating room or surgical unit. Participants were randomly assigned to either a flipped learning group (n = 51) or a traditional learning group (n = 51) for the 1-week, 45-hour clinical nursing practicum. The flipped-learning group completed independent e-learning lessons on surgical nursing and received a brief orientation prior to the commencement of the practicum, while the traditional-learning group received a face-to-face orientation and on-site instruction. After the completion of the practicum, both groups completed a case study and a conference. The student's self-efficacy, self-leadership, and problem-solving skills in clinical practice were measured both before and after the one-week surgical nursing practicum. Participants' independent goal setting and evaluation of beliefs and assumptions for the subscales of self-leadership and problem-solving skills were compared for the flipped learning group and the traditional learning group. The results showed greater improvement on these indicators for the flipped learning group in comparison to the traditional learning group. The flipped learning method might offer more effective e-learning opportunities in terms of self-leadership and problem-solving than the traditional learning method in surgical nursing practicums.

  7. Kidney Cancer

    ... kind of kidney cancer called Wilms' tumor. The incidence of kidney cancer seems to be increasing. One ... doesn't go away Loss of appetite Unexplained weight loss Tiredness Fever, which usually comes and goes ( ...

  8. Kidney Failure

    Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your ... strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful ...

  9. Identification of the Sea-Land Breeze Event and Influence to the Convective Activities on the Coast of Deli Serdang

    Saragih, I. J. A.; Putra, A. W.; Nugraheni, I. R.; Rinaldy, N.; Yonas, B. W.


    Located close to the sea indicates that there are influences of the sea-land breeze circulation on the weather condition in Deli Serdang. The purpose of this study is to simulate sea-land breeze occurrence and its influence on the convective activities in Deli Serdang. The research area covers the area of Deli Serdang Regency and the surrounding ocean region in the coordinates 02°57‧-03°16‧N & 98°33‧-99°27‧E where Kualanamu Meteorological Station is the centre of the research area at coordinate 03°34‧N & 98°44‧E and the elevation about 27MAMSL. The research time is a day with the highest rainfall in the highest peak rainy month. The raw data consist of the Himawari-8 satellite image from BMKG, FNL (Final Analysis) data from, and meteorological observation data from Kualanamu Meteorology Station. This study indicates that WRF-ARW can simulate the sea-land breeze occurrence on the coast of Deli Serdang well. The existence of the convective index cover in the convergence area proves the sea-land breeze occurred in the coast of Deli Serdang can form the convergence area as the interacted result with the wind from other directions that support convective activities.

  10. Peer Mentoring: A Way forward for Supporting Preservice EFL Teachers Psychosocially during the Practicum

    Nguyen, Hoa Thi Mai


    During the past several years, the importance of practicum as a vital proportion of the preservice teacher education program has been increasingly emphasized. There have been a number of initiatives for supporting preservice teachers. Among these, peer based relationship is increasingly emerged as an innovative strategy to provide additional…

  11. Facebook and the Final Practicum: The Impact of Online Peer Support in the Assistant Teacher Program

    Paris, Lisa F.; Boston, Julie; Morris, Julia


    Australian pre-service teachers (PST) frequently report feeling isolated and vulnerable during the high stakes Assistant Teacher Program (ATP) final practicum. Mentoring and online learning communities have been shown to offer effective support during periods in which pre-service and beginning teachers feel challenged. As social media…

  12. Footy, Gangs and Love: Using Auto-Ethnography to Problematise Practice on a Practicum

    Bellamy, Roz


    This article was written as an auto ethnography, which allowed for a complex and personal exploration of professional standards, teachers' professional identities, neoliberal reforms, and approaches to literacy and creativity. This article reflects on a practicum which involved teaching Romeo and Juliet to two year nine classes at an all boys'…

  13. Dangerous Practices: The Practicum Experiences of Non-Indigenous Pre-Service Teachers in Remote Communities

    Auld, Glenn; Dyer, Julie; Charles, Claire


    This paper seeks to explore the risks of providing preservice teachers with professional experiences in remote communities. In particular this paper focuses on the risks associated with this kind of professional experience. Twelve pre-service teachers were interviewed whilst on a three-week practicum around Katherine and in Maningrida in the…

  14. A Social Media Practicum: An Action-Learning Approach to Social Media Marketing and Analytics

    Atwong, Catherine T.


    To prepare students for the rapidly evolving field of digital marketing, which requires more and more technical skills every year, a social media practicum creates a learning environment in which students can apply marketing principles and become ready for collaborative work in social media marketing and analytics. Using student newspapers as…

  15. Mental Health Nursing Practicum: Student and Mentor Perspectives on Stress and Satisfaction

    Gelabert-Vilella, Sandra; Bonmati-Tomàs, Anna; Bosch-Farré, Cristina; Malagón-Aguilera, M. Carmen; Fuentes-Pumarola, Concepció; Ballester-Ferrando, David


    Nursing students begin to complete practicum experiences during their first year, increasing the number of applied credits as they progress toward degree completion. This contributes to integrating knowledge and skills from all of their courses and to obtaining the basic competencies of the nursing profession. It is also essential to identify the…

  16. Piloting a Web-Based Practicum Support Tool: Associate Teachers' Perceived Benefits and Drawbacks

    Petrarca, Diana


    This pilot study explored how a small group of associate teachers responded to a web-based learning tool created specifically to support them in mentoring teacher candidates during the practicum component of an initial teacher education program in Southern Ontario, Canada. The learning tool's content drew from the teacher education literature, and…

  17. Pre-Service English Teachers' Voices about the Teaching Practicum

    Castañeda-Trujillo, Jairo Enrique; Aguirre-Hernández, Ana Jackelin


    This paper shows the results of a pedagogical experience with a group of pre-service English teachers during their first semester of teaching practicum. The data were collected by means of reflection papers written by them, and then the resulting papers were analyzed under the principles of codification of grounded theory. The results show that…

  18. Applied Research Consultants (ARC): A Vertical Practicum Model of Training Applied Research

    Nadler, Joel T.; Cundiff, Nicole L.


    The demand for highly trained evaluation consultants is increasing. Furthermore, the gap between job seekers' evaluation competencies and job recruiters' expectations suggests a need for providing practical training experiences. A model using a vertical practicum (advanced students assisting in the training of newer students) is suggested as an…

  19. Experiences of Student Speech-Language Pathology Clinicians in the Initial Clinical Practicum: A Phenomenological Study

    Nelson, Lori A.


    Speech-language pathology literature is limited in describing the clinical practicum process from the student perspective. Much of the supervision literature in this field focuses on quantitative research and/or the point of view of the supervisor. Understanding the student experience serves to enhance the quality of clinical supervision. Of…

  20. The Usage of Recycle Materials for Science Practicum: Is There Any Effect on Science Process Skills?

    Prajoko, Setiyo; Amin, Mohamad; Rohman, Fatchur; Gipayana, Muhana


    This study aimed at determining the effect of recycle materials usage for science practicum on students' basic science process skills of the Open University, Surakarta. Recycle materials are the term used for the obtained materials and equipment from the students' environment by taking back the garbage or secondhand objects into goods or new…

  1. "L'arte D'arrangiarsi": Evaluation of an Innovative Practice in a Preservice Practicum

    Macy, Marisa; Squires, Jane


    Building on Opportunities for Student Teaching and Learning (BOOST) is a community-based summer preschool program developed, implemented, and coordinated by student teachers, university supervisors, and faculty. Ten preservice graduate students participated in BOOST practicum activities during the spring and summer terms of their 1-year Early…

  2. When Communities Collide: The Shared Construction and Defence of Community and Identity during a Teaching Practicum

    Trent, John


    This article describes the results of a qualitative multiple case study investigation of the experiences of preservice teachers during a teaching practicum in Hong Kong. The study uses in-depth interviews with pairs of student teachers and their school-based supporting teachers to understand how the former positioned themselves as particular types…

  3. Making the Grade: Describing Inherent Requirements for the Initial Teacher Education Practicum

    Sharplin, Elaine; Peden, Sanna; Marais, Ida


    This study explores the development, description, and illustration of inherent requirement (IR) statements to make explicit the requirements for performance on an initial teacher education (ITE) practicum. Through consultative group processes with stakeholders involved in ITE, seven IR domains were identified. From interviews with academics,…

  4. Building professional competence in dental hygiene students through a community-based practicum.

    Yoon, M N; Compton, S M


    As Canadians age, there is an increased need for oral health professionals specializing in services for this unique population. Dental hygiene students require exposure to this population to develop professional competencies. This study investigated the dimensions of professional competence that were developed through a practicum for dental hygiene students in long-term care settings while working with older adults. Nine dental hygiene students were recruited across two cohorts. All students completed reflective journals describing their practicum experiences. Five students also participated in an audio-recorded focus group and completed a pre-focus group questionnaire. Additionally, the practicum course coordinator completed an audio-recorded interview. Transcripts and journals were coded using a constant comparative approach and themes were identified. Students described developing client-focused skills, such as effective verbal and non-verbal communication with older adults with dementia. Context-based learning was also a large part of the competency development for the practicum students. Understanding the care environment within which these residents lived helped students to understand and empathize why oral health may not be prioritized. Students also developed an understanding of the work of other health professionals in the settings and improved their abilities to communicate with other healthcare providers. However, students recognized that the utility of those interprofessional skills in private practice may be limited. Dental hygiene students developed personal and ethical competencies during practicum that are highly transferrable across professional settings. Exposure of students to older adult populations in long-term care may increase the likelihood of dental hygienists working in this area. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Observed and simulated sea breeze characteristics over Rayong coastal area, Thailand

    Phan, Tung Thanh; Manomaiphiboon, Kasemsan


    This work presents the detailed characterization of sea breeze (SB) over the Rayong coastal area, one of the most rapidly developed and highly industrialized areas during the last decade in Thailand, using observation data analysis and fine-resolution (2 km) mesoscale meteorological modeling with incorporation of new land cover and satellite-derived vegetation fraction data sets. The key characteristics considered include frequency of SB occurrence, sea-breeze day (SBD) identification, degree of inland penetration, and boundary layer development. It was found that SBs occur frequently in the winter due mainly to relatively large land-sea temperature contrasts and minimally in the wet season. Monthly mean SB onset and cessation times are at around 12-15 local time (LT) and 18-21 LT, respectively, and its strength peaks during the early- to mid-afternoon. Monthly SB hodographs generally exhibit clockwise rotations, and SB inland penetration (at PCD-T tower) ranges widely with the monthly means of 25-55 km from the coast. Mesoscale MM5 modeling was performed on two selected SBDs (13 January and 16 March 2006), on which the SBs are under weak and onshore strong influences from background winds, respectively. Simulated near-surface winds and temperature were found to be in fair-to-acceptable agreement with the observations. The SB circulation along the Rayong coast is clearly defined with a return flow aloft and a front on 13 January, while it is enhanced by the onshore background winds on 16 March. Another SB along the Chonburi coast also develops separately, but their fronts merge into one in the mid-afternoon, resulting in large area coverage by the SB. Simulated planetary boundary layer height over the land area is significantly affected by a thermal internal boundary layer (TIBL) induced by an SB, which is found to be low near the coast and increases toward the front (up to 800-1,000 m along the Rayong coast).

  6. Temperature And Wind Velocity Oscillations Along a Gentle Slope During Sea-Breeze Events

    Bastin, Sophie; Drobinski, Philippe


    The flow structure on a gentle slope at Vallon d’Ol in the northern suburbs of Marseille in southern France has been documented by means of surface wind and temperature measurements collected from 7 June to 14 July 2001 during the ESCOMPTE experiment. The analysis of the time series reveals temperature and wind speed oscillations during several nights (about 60--90 min oscillation period) and several days (about 120-180 min oscillation period) during the whole observing period. Oscillating katabatic winds have been reported in the literature from theoretical, experimental and numerical studies. In the present study, the dynamics of the observed oscillating katabatic winds are in good agreement with the theory.In contrast to katabatic winds, no daytime observations of oscillating anabatic upslope flows have ever been published to our knowledge, probably because of temperature inversion break-up that inhibits upslope winds. The present paper shows that cold air advection by a sea breeze generates a mesoscale horizontal temperature gradient, and hence baroclinicity in the atmosphere, which then allows low-frequency oscillations, similar to a katabatic flow. An expression for the oscillation period is derived that accounts for the contribution of the sea-breeze induced mesoscale horizontal temperature gradient. The theoretical prediction of the oscillation period is compared to the measurements, and good agreement is found. The statistical analysis of the wind flow at Vallon d’Ol shows a dominant north-easterly to easterly flow pattern for nighttime oscillations and a dominant south-westerly flow pattern for daytime oscillations. These results are consistent with published numerical simulation results that show that the air drains off the mountain along the maximum slope direction, which in the studied case is oriented south-west to north-east.

  7. Nursing student and professor perceptions and assessments of the achievement of practicum competencies: A mixed method approach.

    Fuentes-Pumarola, Concepció; Ballester-Ferrando, David; Gelabert-Vilella, Sandra; Bosch-Farré, Cristina; Malagón-Aguilera, M Carme; Rascón-Hernán, Carolina; Bonmatí-Tomàs, Anna; Fernandez-Peña, Rosario


    Within the context of the European Higher Education Area's requirement of competency-based assessments, the objective of the present study was to evaluate the Nursing Degree Practicum experience at the University of Girona (Spain) and ascertain student and faculty perceptions of the degree of competency achieved as a result of the practicum. This cross-sectional, descriptive, study combined quantitative analysis of a questionnaire and qualitative analysis of focus group comments. In the quantitative part of the study, 163 fourth-year nursing students completed the questionnaire; the qualitative analysis was derived from a focus group of 5 students and 5 professors. On the questionnaire, overall practicum evaluation was 8.39 on a 10-point Likert scale; scores evaluating the nurse mentor/instructor and nursing professor were 8.43 and 7.98, respectively. The geriatrics practicum experience received the lowest overall score (7.81), while the surgical practicum received the lowest score on the adequacy of knowledge acquired in the classroom in previous courses (5.54). The best scores were earned by the mental health and intensive/emergency care practicum experiences (a mean of 9.05 and 8.70, respectively). Students and professors in the focus group agreed that the practicum met the Nursing degree program's competency goals, highlighting practical activity as the best methodology to evaluate competencies. Participants highlighted the importance of reflective practice and the role of the nurse mentor/instructor in student learning, and indicated that it is essential for the university and the health care centers where students take practicum courses to maintain a strong relationship and good communication. Finally, feedback from the nurse mentor/instructor and Nursing professor was very important to students, both to motivate them and to help them learn. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Taking risks with a growth mindset: long-term influence of an elementary pre-service after school science practicum

    Cartwright, T. J.; Hallar, B.


    In this study, we present the long-term influence of an after school science practicum associated with an elementary science methods course. The practicum or field experience could be considered a community-based service learning programme as it is situated both within and for the community. Study participants included eight third- and fifth-grade teachers who had participated in elementary science methods courses; four of these teachers participated in the after school teaching practicum while four participants experienced a more traditional observation-based elementary science practicum. All of these teachers were in their second or third year teaching which was 3-4 years after taking the methods course. Investigation methods included questionnaires, field observations and semi-structured, individual interviews. Teachers more regularly utilised reform-based teaching strategies and cited the after school teaching practicum as preparing them to use these strategies in their own classrooms. All teachers exhibited a growth mindset to some degree, but the after school practicum participants did demonstrate a wider use of reformed-based teaching strategies and a higher growth mindset. Elementary teachers perceive risk associated with these key aspects of instruction: (1) managing instruction and classroom management, (2) teaching science through guided inquiry, and (3) overcoming adoptions in other 'mandated' curriculum like math and reading.

  9. The influence of the summer sea breeze on thermal comfort in Funchal (Madeira). A contribution to tourism and urban planning.

    Lopes, Antonio; Lopes, Sergio; Joao Alcoforado, Maria [Univ. de Lisboa (Portugal). Centro der Estudos Geograficos; Matzarakis, Andreas [Freiburg Univ. (Germany). Meteorological Inst.


    Tourism plays a crucial role for the development of coastal areas. Despite the mildness of Madeira's climate, very hot days can occur during summer, a situation to which most tourists from northern Europe (the majority of foreign tourists) are poorly adapted. As sea breezes strongly contribute to moderate heat stress in urban environments, their influence on the thermal comfort on the island has been studied. Sea breezes occurred on 84 % of the days during the period under study (May to October 2006). They usually start around 09:30 h and end after 22:00 h, with an average duration of about 12:50 hours and a mean velocity of 2.9 m/s. Physiologically Equivalent Temperature (PET) was used to evaluate the thermal comfort of a sample of days during the summer of 2006. It was concluded that most of the sites in the city are ''slightly comfortable'' during normal days with sea breeze, but only shore sites and the highest green areas offer some comfort during hot days. Inside the city, the thermal perception is generally ''hot'' and strong heat stress can occur. As sea breezes are important to mitigate heat stress, some basic guidelines were presented: urban planners should take advantage of this wind system avoiding dense construction near the shoreline that would act as a barrier to the renewal of the air inside the city. In terms of tourism, planners and local authorities should provide solutions to mitigate the negative effects during hot periods, creating a system to warn and relocate more vulnerable tourists to places near the shore line, to the mountains, to gardens and air-conditioned buildings. In combination with other components (beauty of the island, gastronomy, cultural values and safety), climate information can be a factor of attractiveness to tourists. (orig.)

  10. Atmospheric electrical field measurements near a fresh water reservoir and the formation of the lake breeze

    Francisco Lopes


    Full Text Available In order to access the effect of the lakes in the atmospheric electrical field, measurements have been carried out near a large man-made lake in southern Portugal, the Alqueva reservoir, during the ALqueva hydro-meteorological EXperiment 2014. The purpose of these conjoint experiments was to study the impact of the Alqueva reservoir on the atmosphere, in particular on the local atmospheric electric environment by comparing measurements taken in the proximity of the lake. Two stations 10 km apart were used, as they were located up- and down-wind of the lake (Amieira and Parque Solar, respectively, in reference to the dominant northwestern wind direction. The up-wind station shows lower atmospheric electric potential gradient (PG values than the ones observed in the down-wind station between 12 and 20 UTC. The difference in the atmospheric electric PG between the up-wind and the down-wind station is ~30 V/m during the day. This differential occurs mainly during the development of a lake breeze, between 10 and 18 UTC, as a consequence of the surface temperature gradient between the surrounding land and the lake water. In the analysis presented, a correlation is found between the atmospheric electric PG differences and both wind speed and temperature gradients over the lake, thus supporting the influence of the lake breeze over the observed PG variation in the two stations. Two hypotheses are provided to explain this observation: (1 The air that flows from the lake into the land station is likely to increase the local electric conductivity through the removal of ground dust and the transport of cleaner air from higher altitudes with significant light ion concentrations. With such an increase in conductivity, it is expected to see a reduction of the atmospheric electric PG; (2 the resulting air flow over the land station carries negative ions formed by wave splashing in the lake's water surface, as a result of the so-called balloelectric effect

  11. Kidney Stones

    ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ...

  12. Kidney Cancer

    You have two kidneys. They are fist-sized organs on either side of your backbone above your waist. The tubes inside filter and ... blood, taking out waste products and making urine. Kidney cancer forms in the lining of tiny tubes ...

  13. Constructing professional identity through teaching practicum: an Indonesian case study of pre-service English teachers

    Afrianto, Afrianto


    This study investigates the complexities of a group of pre-service teachers’ (PSTs) journey to becoming novice teachers during the teaching practicum in the context of the Indonesian government’s agenda to reform national education, including reforms in the teaching profession. These reforms were a response to current concerns regarding quality education, including the perceived low standards in English Language Teaching (ELT) in Indonesia. The research project, situated in Riau Universi...

  14. Reflections on practicum experiences of non-ELT student teachers in Turkey

    Mirici, İsmail Hakkı; Ölmez-Çağlar, Funda


    In English language teacher education (hereafter ELT)programs of Turkish universities, teaching practicum has a critical value dueto its pivotal role in equipping student teachers with the necessarycompetences and preparing them for the teaching profession. Practicumexperience turns out to be of greater importance for the graduates of otherEnglish language departments (hereafter non-ELT) such as English Linguistics,English Language and Literature or American Culture and Literature who attendp...

  15. Students' approaches to learning in a clinical practicum: A psychometric evaluation based on item response theory.

    Zhao, Yue; Kuan, Hoi Kei; Chung, Joyce O K; Chan, Cecilia K Y; Li, William H C


    The investigation of learning approaches in the clinical workplace context has remained an under-researched area. Despite the validation of learning approach instruments and their applications in various clinical contexts, little is known about the extent to which an individual item, that reflects a specific learning strategy and motive, effectively contributes to characterizing students' learning approaches. This study aimed to measure nursing students' approaches to learning in a clinical practicum using the Approaches to Learning at Work Questionnaire (ALWQ). Survey research design was used in the study. A sample of year 3 nursing students (n = 208) who undertook a 6-week clinical practicum course participated in the study. Factor analyses were conducted, followed by an item response theory analysis, including model assumption evaluation (unidimensionality and local independence), item calibration and goodness-of-fit assessment. Two subscales, deep and surface, were derived. Findings suggested that: (a) items measuring the deep motive from intrinsic interest and deep strategies of relating new ideas to similar situations, and that of concept mapping served as the strongest discriminating indicators; (b) the surface strategy of memorizing facts and details without an overall picture exhibited the highest discriminating power among all surface items; and, (c) both subscales appeared to be informative in assessing a broad range of the corresponding latent trait. The 21-item ALWQ derived from this study presented an efficient, internally consistent and precise measure. Findings provided a useful psychometric evaluation of the ALWQ in the clinical practicum context, added evidence to the utility of the ALWQ for nursing education practice and research, and echoed the discussions from previous studies on the role of the contextual factors in influencing student choices of different learning strategies. They provided insights for clinical educators to measure

  16. Numerical analysis of air pollution in a combined field of land/sea breeze and mountain/valley wind

    Kitada, T.; Igarashi, K.; Owada, M.


    Air pollution in the presence of two types of local flows (i.e., land/sea breeze and mountain/valley wind) was studies by advection simulation of the cluster of hypothetical fluid particles, and transport/chemistry calculation employing a three-dimensional Eulerian model for 20 advected species and about 90 chemical reactions. Three-dimensional flow fields over the River Yahagi basin in Japan were estimated for 48 h using an objective method with routine wind observations. Those obtained showed characteristics of the combined local flows such that in the daytime sea breeze and valley wind tend to form one united flow with substantial wind velocity in the whole region and, in contrast, land breeze and mountain wind during the nighttime form two separated circulating flows with a clear weak-wind area between the two local flow regimes. The results of the advection simulation of fluid particles and the transport/chemistry calculation using those flows as inputs elucidated how the features found in the diurnally varying, complex local flows contribute to produce characteristic time-variations of the concentrations of both primary and secondary pollutants. Among others, dynamics of NO 2 , HNO 3 , PAN, O 3 , SO 2 , and SO 4 /sup =/ concentrations are discussed

  17. Investigating erosion of building materials used in an installation for pneumatic transport of coke breeze and coal

    Bandrowski, J.; Kot-Borkowska, Z.; Misztal, M.; Raczek, J.; Kaczmarzyk, G.


    This article investigates the influence of the following factors on erosion of building material used in pneumatic transport of coal and coke breeze: intensity of coal or coke breeze flow within the range of 47 to 120 kg/h for coke and 99 to 165 kg/h for coal; speed of solid material particles within the range 3.71 to 7.97 m/s for coke, and 3.30 to 7.58 m/s for coal; duration of the experiments 0.5 to 1.5 h for coke and 2.0 to 5.0 for coal; angle of inclination of the sample of building material 30 to 60 degrees for both coal and coke breeze. Three types of construction material used in pneumatic transport were tested: steel, concrete and chamotte bricks. Investigations show that concrete is characterized by the highest erosion, chamotte bricks by medium erosion and steel by the lowest erosion. As a result of mathematical processing of experimental data, empirical models of erosion of the three materials are constructed. (7 refs.)

  18. Evaluation of the atmospheric model WRF on the Qatar peninsula for a converging sea-breeze event

    Balan Sobhana, Sandeepan; Nayak, Sashikant; Panchang, Vijay


    Qatar, a narrow peninsula covering an area of 11437 sq km, extends northwards into the Arabian Gulf for about 160km and has a maximum width of 88km. The convex shape of the coast-line and narrowness of the peninsula results in the Qatar region experiencing complex wind patterns. The geometry is favorable for formation of the land-sea breeze from both coastal sides of the peninsula. This can lead to the development of sea breeze convergence zones in the middle of the country. Although circulations arising from diurnal thermal contrast of land and water are amongst most intensively studied meteorological phenomena, there is no reported study for the Qatar peninsula and very few studies are reported for the Arabian Gulf region as whole. It is necessary to characterize the wind field for applications such as assessing air pollution, renewable energy etc. A non-hydrostatic mesoscale model, Weather Research and Forecast (WRF) with a nested high resolution grid permits the investigation of such fine scale phenomena. Data from eighteen land based Automated Weather Stations (AWS) and two offshore buoys deployed and maintained by the Qatar Meteorological Department were analyzed. Based on the analysis a clear case of sea breeze convergence were seen on 18 September 2015. Model simulations were used to investigate the synoptic conditions associated with the formation of this event. The season is characterized by week ambient north westerly wind over the Arabian Gulf. The WRF model performance is validated using observed in-situ data. Model simulations show that vertical extent of sea breeze cell was up to 1 km and the converging sea breeze regions were characterized with high vertical velocities. The WRF simulation also revealed that with high resolution, the model is capable of reproducing the fine scale patterns accurately. The error of predictions in the inner domain (highest resolution) are found to be relatively lower than coarse resolution domain. The maximum wind speed

  19. Injury - kidney and ureter

    ... kidney; Ureteral injury; Pre-renal failure - injury, Post-renal failure - injury; Kidney obstruction - injury Images Kidney anatomy Kidney - blood and urine flow References Molitoris BA. Acute kidney injury. In: Goldman ...

  20. Chronic Kidney Diseases

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  1. Kidney Quiz

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  8. Effectiveness of applying flipped learning to clinical nursing practicums for nursing students in Korea: A randomized controlled trial.

    Kim, Hyun Sook; Kim, Mi Young; Cho, Mi-Kyoung; Jang, Sun Joo


    The purpose of this study was to develop flipped learning models for clinical practicums and compare their effectiveness regarding learner motivation toward learning, satisfaction, and confidence in performing core nursing skills among undergraduate nursing students in Korea. This study was a randomized clinical trial designed to compare the effectiveness of 2 flipped learning models. Data were collected for 3 days from October 21 to 23, 2015 before the clinical practicum was implemented and for 2 weeks from October 26 to December 18, 2015 during the practicum period. The confidence of the students in performing core nursing skills was likely to increase after they engaged in the clinical practicum in both study groups. However, while learner confidence and motivation were not affected by the type of flipped learning, learner satisfaction did differ between the 2 groups. The findings indicate that applying flipped learning allows students to conduct individualized learning with a diversity of clinical cases at their own level of understanding and at their own pace before they participate in real-world practicums. © 2017 John Wiley & Sons Australia, Ltd.

  9. Effectiveness of a mobile cooperation intervention during the clinical practicum of nursing students: a parallel group randomized controlled trial protocol.

    Strandell-Laine, Camilla; Saarikoski, Mikko; Löyttyniemi, Eliisa; Salminen, Leena; Suomi, Reima; Leino-Kilpi, Helena


    The aim of this study was to describe a study protocol for a study evaluating the effectiveness of a mobile cooperation intervention to improve students' competence level, self-efficacy in clinical performance and satisfaction with the clinical learning environment. Nursing student-nurse teacher cooperation during the clinical practicum has a vital role in promoting the learning of students. Despite an increasing interest in using mobile technologies to improve the clinical practicum of students, there is limited robust evidence regarding their effectiveness. A multicentre, parallel group, randomized, controlled, pragmatic, superiority trial. Second-year pre-registration nursing students who are beginning a clinical practicum will be recruited from one university of applied sciences. Eligible students will be randomly allocated to either a control group (engaging in standard cooperation) or an intervention group (engaging in mobile cooperation) for the 5-week the clinical practicum. The complex mobile cooperation intervention comprises of a mobile application-assisted, nursing student-nurse teacher cooperation and a training in the functions of the mobile application. The primary outcome is competence. The secondary outcomes include self-efficacy in clinical performance and satisfaction with the clinical learning environment. Moreover, a process evaluation will be undertaken. The ethical approval for this study was obtained in December 2014 and the study received funding in 2015. The results of this study will provide robust evidence on mobile cooperation during the clinical practicum, a research topic that has not been consistently studied to date. © 2016 John Wiley & Sons Ltd.

  10. Stretch and Studio Composition Practicum: Creating a Culture of Support and Success for Developing Writers at a Hispanic-Serving Institution

    Elder, Cristyn L.; Davila, Bethany


    This course design describes a 3-credit, two-week intensive Stretch and Studio Practicum course at the University of New Mexico (UNM). Because the Stretch and Studio composition curriculum is designed to help students who may be at greater risk of not succeeding, instructors are required to complete the practicum before teaching in the program.…

  11. Dogmatism, Locus of Control, Perceived Counselor Self-Efficacy, and the Theoretical Orientation of Students in a Master's Level Counseling Practicum

    Benesh, Andrew Christopher


    Purpose: The purpose of this study was to fill a gap in the literature by examining the relationship between dogmatism, locus of control, counselor self-efficacy, and counselor theoretical orientation in a sample of master's level practicum students. Method: A total of 45 master's practicum students completed a series of four instruments, the DOG…

  12. [Formula: see text]Official Position of the American Academy of Clinical Neuropsychology (AACN): Guidelines for Practicum Training in Clinical Neuropsychology.

    Nelson, Aaron P; Roper, Brad L; Slomine, Beth S; Morrison, Chris; Greher, Michael R; Janusz, Jennifer; Larson, Jennifer C; Meadows, Mary-Ellen; Ready, Rebecca E; Rivera Mindt, Monica; Whiteside, Doug M; Willment, Kim; Wodushek, Thomas R


    Practical experience is central to the education and training of neuropsychologists, beginning in graduate school and extending through postdoctoral fellowship. However, historically, little attention has been given to the structure and requirements of practicum training in clinical neuropsychology. A working group of senior-level neuropsychologists, as well as a current postdoctoral fellow, all from a diverse range of settings (The AACN Practicum Guidelines Workgroup), was formed to propose guidelines for practicum training in clinical neuropsychology. The Workgroup reviewed relevant literature and sought input from professional organizations involved in education and training in neuropsychology. The proposed guidelines provide a definition of practicum training in clinical neuropsychology, detail entry and exit criteria across competencies relevant to practicum training in clinical neuropsychology, and discuss the relationship between doctoral training programs and practicum training sites. The proposed guidelines also provide a methodology for competency-based evaluation of clinical neuropsychology practicum trainees and outline characteristics and features that are integral to an effective training environment. Although the guidelines discussed below may not be implemented in their entirety across all clinical neuropsychology practicum training sites, they are consistent with the latest developments in competency-based education.

  13. Uma teoria termodinâmica para brisas: teste utilizando simulações numéricas A thermodynamic theory for breezes: test using numeric simulations

    Clênia Rodrigues Alcântara


    Full Text Available O objetivo deste trabalho foi testar uma teoria termodinâmica em brisas marítimas-terrestres acopladas com brisas de vale-montanha através de simulações numéricas tridimensionais em uma região da costa leste do Nordeste Brasileiro, considerando a presença e a ausência da topografia. Embora o contraste de temperatura entre as superfícies seja importante na formação da brisa, a eficiência termodinâmica é fundamental na determinação da sua intensidade. Tem-se que a inclinação faz com que a diferença de pressão entre dois pontos fique maior durante o dia e menor durante a noite contribuindo para a formação de brisas marítimas mais intensas e de brisas terrestres menos intensas, respectivamente. A máxima queda de pressão ocorre por volta de três horas antes da máxima intensidade da brisa. Isso porque grande parte da energia disponibilizada para as circulações é gasta para vencer dissipação, principalmente, no período diurno, quando esses processos são realmente efetivos. Do ponto de vista puramente termodinâmico a inclinação da montanha atua para intensificar a brisa durante o dia e para enfraquecê-la durante a noite.In this work we test a thermodynamic theory for sea-land breeze coupled with valley-mountain breeze through tri-dimensional numeric simulations. We verify the presence of such a breeze in Northeast Brazil's east coast and perform experiments with and without the topography of the region. Although the temperature contrast between two surfaces is important in forming the breezes, the thermodynamic efficiency is a key parameter for the breeze intensity. The presence of the slope causes the pressure difference between two points to increase during the day and to decrease during the night. This contributes for more intense daytime breeze and less intense nighttime ones. The maximum pressure drop occurs about three hours prior the maximum intensity of the sea breeze. This is because most of the available

  14. Field Observations of Swash-Zone Dynamics on a Sea-Breeze Dominated Beach at the Yucatán Peninsula, México

    Chardon-Maldonado, P.; Puleo, J. A.; Torres-Freyermuth, A.


    Sea breezes can modify the nearshore processes and alter beach morphology depending on the geographical location. Prior studies have shown that surf zone wave energy intensifies during strong sea-breeze conditions (wind speeds > 10 ms-1) and the impact on the coast can be similar to a small storm. However, few research efforts have investigated the coastal dynamics on sea-breeze dominated beaches (e.g., Masselink and Pattiaratchi, 1998, Mar. Geol.; Pattiaratchi et al., 1997, Cont. Shelf Res.) and, to the authors' knowledge, only one study has focused on swash-zone processes (Sonu et al., 1973, EOS). A field study was performed on a microtidal, low wave energy, sea-breeze dominated sandy beach in order to investigate the effects of local (sea breeze) and synoptic (storm) scale meteorological events on swash-zone dynamics. In-situ measurements of swash-zone hydrodynamics and sediment transport processes were collected from March 31st to April 12th, 2014 in Sisal, Yucatán located on the northern coast of the Yucatán Peninsula. Flow velocities and suspended sediment concentrations were measured concurrently, at multiple cross-shore and alongshore locations, using Vectrino-II profiling velocimeters and optical backscatter sensors, respectively. The high resolution data allowed the quantification of bed shear stress, turbulent dissipation rate, sediment loads and sediment flux during a mesoscale frontal system (cold-front passage referred to as an El Norte) and local sea-breeze cycles. Field observations showed that strong swash-zone bed shear stresses, turbulence intensity and sediment suspension occur during energetic conditions (i.e., El Norte event). On the other hand, despite milder energy conditions during the sea-breeze events, the alongshore component of bed-shear stresses and velocities can be significant owing to the high incidence wave angle associated with the sea-breeze system in the study area. The increased forcing in the swash zone induced sediment

  15. Surface current dynamics under sea breeze conditions observed by simultaneous HF radar, ADCP and drifter measurements

    Sentchev, Alexei; Forget, Philippe; Fraunié, Philippe


    Ocean surface boundary layer dynamics off the southern coast of France in the NW Mediterranean is investigated by using velocity observations by high-frequency (HF) radars, surface drifting buoys and a downward-looking drifting acoustic Doppler current profiler (ADCP). The analysis confirms that velocities measured by HF radars correspond to those observed by an ADCP at the effective depth z f = k -1, where k is wavenumber of the radio wave emitted by the radar. The radials provided by the radars were in a very good agreement with in situ measurements, with the relative errors of 1 and 9 % and root mean square (RMS) differences of 0.02 and 0.04 m/s for monostatic and bistatic radar, respectively. The total radar-based velocities appeared to be slightly underestimated in magnitude and somewhat biased in direction. At the end of the survey period, the difference in the surface current direction, based on HF radar and ADCP data, attained 10°. It was demonstrated that the surface boundary layer dynamics cannot be reconstructed successfully without taking into the account velocity variation with depth. A significant misalignment of ˜30° caused by the sea breeze was documented between the HF radar (HFR-derived) surface current and the background current. It was also found that the ocean response to a moderate wind forcing was confined to the 4-m-thick upper layer. The respective Ekman current attained the maximum value of 0.15 m/s, and the current rotation was found to be lagging the wind by approximately 40 min, with the current vector direction being 15-20° to the left of the wind. The range of velocity variability due to wind forcing was found comparable with the magnitude of the background current variability.

  16. Changes in nearshore waves during the active sea/land breeze period off Vengurla, central west coast of India

    Amrutha, M.M.; SanilKumar, V.; Singh, J.

    zones with use of mechanized boats and this area is also extensively used for tourism-related activities. Therefore, it is important to un- derstand the changes in wave parameters during the active land/sea breeze system in the nearshore region... and interaction. The wave computations in Delft3D-wave are stable due to the fully implicit schemes that have been implemented. In the Delft3D-wave module, the governing equation of wave transformation is based on action balance spectrum, in ge- ographical space...

  17. Short range forecasting of sea breeze generated thunderstorms at the Kennedy Space Center: A real-time experiment using a primitive equation mesoscale numerical model

    Lyons, Walter A.; Schuh, Jerome A.; Moon, Dennis; Pielke, Roger A.; Cotton, William; Arritt, Raymond


    The operational efficiency of using guidance from a mesoscale numerical model to improve sea breeze thunderstorm forecasts at and around the Shuttle landing strip was assessed. The Prognostic Three-Dimensional Mesoscale (P3DM) model, developed as a sea breeze model, reveals a strong correlation between regions of mesoscale convergence and the triggering of sea breeze convection thunderstorms. The P3DM was modified to generate stability parameters familiar to the operational forecaster. In addition to the mesoscale fields of wind, vertical motion, moisture, temperature, a stability indicator, a combination of model-predicted K and Lifted Indices and the maximum grid cell vertical motion, were proposed and tested. Results of blind tests indicate that a forecaster, provided with guidance derived from model output, could improve local thunderstorm forecasts.

  18. Nephrectomy (Kidney Removal)

    ... nephrectomy is needed because of other kidney diseases. Kidney function Most people have two kidneys — fist-sized ... and the disease that prompted the surgery? Monitoring kidney function Most people can function well with only ...

  19. Kidney Stones (For Parents)

    ... Staying Safe Videos for Educators Search English Español Kidney Stones KidsHealth / For Parents / Kidney Stones What's in ... other treatments to help remove the stones. How Kidney Stones Form It's the kidneys' job to remove ...

  20. On the use of GPS tomography to investigate water vapor variability during a Mistral/sea breeze event in southeastern France

    Bastin, Sophie; Champollion, Cédric; Bock, Olivier; Drobinski, Philippe; Masson, Frédéric


    Global Positioning System (GPS) tomography analyses of water vapor, complemented by high-resolution numerical simulations are used to investigate a Mistral/sea breeze event in the region of Marseille, France, during the ESCOMPTE experiment. This is the first time GPS tomography has been used to validate the three-dimensional water vapor concentration from numerical simulation, and to analyze a small-scale meteorological event. The high spatial and temporal resolution of GPS analyses provides a unique insight into the evolution of the vertical and horizontal distribution of water vapor during the Mistral/sea-breeze transition.

  1. Kidney pain (image)

    A kidney stone is a solid piece of material that forms in a kidney. Kidney stones may be the size of sand or ... A kidney stone is a solid piece of material that forms in a kidney. Kidney stones may be the ...

  2. Interaction between turbulent flow and sea breeze front over urban-like coast in large-eddy simulation

    Jiang, Ping; Wen, Zhiping; Sha, Weiming; Chen, Guixing


    Turbulent flow and its interaction with a sea breeze front (SBF) over an urban-like coast with a regular block array were investigated using a building-resolving computational fluid dynamics model. It was found that during daytime with an offshore ambient flow, streaky turbulent structures tended to grow within the convective boundary layer (CBL) over a warm urban surface ahead of the SBF. The structures were organized as streamwise streaks at an interval of a few hundred meters, which initiated at the rooftop level with strong wind shear and strengthens in the CBL with moderate buoyancy. The streaks then interacted with the onshore-propagating SBF as it made landfall. The SBF, which was initially characterized as a shallow and quasi-linear feature over the sea, developed three-dimensional structures with intensified updrafts at an elevated frontal head after landfall. Frontal updrafts were locally enhanced at intersections where the streaks merged with the SBF, which greatly increased turbulent fluxes at the front. The frontal line was irregular because of merging, tilting, and transformation effects of vorticity associated with streaky structures. Inland penetration of the SBF was slowed by the frictional effect of urban-like surfaces and turbulent flow on land. The overall SBF intensity weakened after the interaction with turbulent flow. These findings aid understanding of local weather over coastal cities during typical sea breeze conditions.


    Debora Tri Ragawanti


    Full Text Available Classroom management is commonly believed to be the key to the success of an instruction. Many student teachers, however, might find it very challenging to handle their classrooms. It is, therefore, necessary to advance their professional practice in the context of a real classroom such as through teaching practicum and reflective practice. This study is aimed at identifying classroom management problems of student-teachers as revealed in their reflective journal entries and to demonstrate how such journal can help them develop their classroom management skills. The participants were 10 student-teachers of the English Department, Satya Wacana Christian University, Salatiga, Central Java, who underwent their teaching practicum at SMP 2 Salatiga. Through the participants’ journals, it was found that the problems lie in managing critical moments, activity, techniques, grouping and seating, authority, tools, and working with people. Further in this study, both pre- and in-service tertiary teachers, curriculum designers, and policy makers will be taken to deeply examine how reflective practice can help cultivate the pre-service’s classroom management skills and to consider the implication for pedagogical practices and innovations in curriculum development.

  4. [Selecting methods and awaiting growth: the teaching experience of fundamental nursing practicum instructors].

    Lin, Hui-Chen; Lin, Chi-Yi; Chien, Tsui-Wei; Liu, Kuei-Fen; Chen, Miao-Yen; Lin, Wen-Chuan


    A constellation of factors accounts for teaching efficacy in the fundamental nursing practicum. Teachers play a critical role in terms of designing and executing an appropriate teaching plan, choosing effective methods, and holding appropriate teaching attitudes. It is thus extremely important that clinical teachers master the core characteristics of basic nursing practice. This study aimed to illuminate the core characteristics of basic nursing practice for students for reference by clinical practicum teachers. Qualitative research was used to identify the fundamentals of nursing practice by clinical teacher. Five focus group meetings were convened during the practice period. The researchers presided over group discussions held during the normal weekly teaching schedule and lasting approximately 2-4 hours each. The content analysis was adopted to analyze the data. Three major themes were proposed, including (1) student status: "novices were stymied by problems and thus improved slowly"; (2) teacher awareness: "teachers need to be aware of student capabilities, mood, and discomfort"; and (3) teaching style: "a good choice of methods should support and encourage students. To cultivate professional nursing knowledge and self-confidence for future professional commitment, clinical teachers must first understand the characteristics and motivations of learning of their students and then select the, skills, and attitudes appropriate to provide step-by-step guidance. Communication with staffs and the preparation of atmosphere prior to nursing practice are also essential for students. Results provide insights into the technical college environment with regard to basic-level clinical nursing practice.

  5. Learning to be a midwife in the clinical environment; tasks, clinical practicum hours or midwifery relationships.

    Ebert, Lyn; Tierney, Olivia; Jones, Donovan


    Discussions continue within the midwifery profession around the number of and type of clinical experiences required to ensure competent midwifery graduates. Introduction of the three year Bachelor of Midwifery in Australia, almost two decades ago, was intended to reduce the pressure students were under to complete their academic requirements whilst ensuring students developed midwifery practice that encapsulates the philosophical values of midwifery. Currently, midwifery students are mandated to achieve a minimum number of clinical skills and Continuity of Care Experience (CCE) relationships in order to register upon completion of their degree. To achieve these experiences, universities require students to complete a number of clinical practicum hours. Furthermore students are required to demonstrate competent clinical performance of a number of clinical skills. However, there is no evidence to date that a set number of experiences or hours ensures professional competence in the clinical environment. The aim of this paper is to promote discussion regarding the mandated requirements for allocated clinical practicum hours, specified numbers of clinical-based skills and CCE relationships in the context of learning to be a midwife in Australia. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Effects of using mobile device-based academic electronic medical records for clinical practicum by undergraduate nursing students: A quasi-experimental study.

    Choi, Mona; Lee, HyeongSuk; Park, Joon Ho


    The academic electronic medical record (AEMR) system is applied with the expectation that nursing students will be able to attain competence in healthcare decision-making and nursing informatics competencies. However, there is insufficient evidence regarding the advantage of applying mobile devices to clinical practicum. This study aimed to examine the effect of an experiment that introduced a mobile AEMR application for undergraduate nursing students in their practicum. A quasi-experimental design was used. The subjects were 75 third-year nursing students enrolled in clinical practicum and were divided into an experimental (practicum with AEMR) and a control (conventional practicum) group. Nursing informatics competencies, critical thinking disposition, and satisfaction with clinical practicum were measured before and after the clinical practicum for each group. The usability of the AEMR application was also examined for the experimental group after the experiment. After the experiment, the experimental group showed a significant increase in the informatics knowledge domain of nursing informatics competencies in the post-test. The difference in critical thinking between the experimental and control groups was not statistically significant. Regarding satisfaction with the clinical practicum, the experimental group exhibited a significantly higher level of satisfaction in "preparation of a diagnostic test or laboratory test and understanding of the results" and "nursing intervention and documentation" than the control group. Students who participated in the practicum using the AEMR application considered it useful. The AEMR application was an effective educational method for practicing the immediate documentation of students' observations and interventions and was available at the patients' bedsides. To improve critical thinking, it is necessary to apply a variety of approaches when solving clinical problems. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Cross-Cultural "Distance", "Friction" and "Flow": Exploring the Experiences of Pre-Service Teachers on International Practicum

    Uusimaki, Liisa; Swirski, Teresa


    The focus of this paper is to illustrate Australian regional pre-service teachers' perceptions of an international practicum: their cross-cultural understanding, notions of privilege and teacher/professional identity development. Findings indicate that there were three overlapping dimensions of cross-cultural understanding for pre-service…

  8. German Literature and Culture under "Revue": Learner Autonomy and Creativity through the Theme-Based Theater Practicum

    Koerner, Morgan


    This article proposes a theatrically oriented, thematically structured course model for the upper level undergraduate German curriculum. The traditional focus on staging a single play in the German foreign language theater practicum neglects theater's potential to explore other literary genres and cultural texts and runs the danger of…

  9. Practicum as a Space and Time of Transformation: Self-Narrative of a Physical Education Pre-Service Teacher

    Margarida, Alves; Ana, Pereira; Amandio, Graca; Paula, Batista


    Understanding the role of the practicum in the PI (professional identity) construction and reconstruction within a pre-service teacher is crucial, since this is a remarkable moment in their initial training. This moment provides new feelings and challenges, and it represents the transition from students (pre-service teacher) to teachers…

  10. The Efficacy of Consulting Practicum in Enhancing Students' Readiness for Professional Career in Management Information Systems: An Empirical Analysis

    Akpan, Ikpe Justice


    Consulting practicum (CP) is a form of experiential learning technique to prepare students for professional careers. While CP has become a popular way to help students acquire the essential practical skills and experience to enhance career readiness and ensure a smooth transition from college to employment, there is a lack of empirical studies…

  11. Learning "Rules" of Practice within the Context of the Practicum Triad: A Case Study of Learning to Teach

    Chalies, Sebastien; Escalie, Guillaume; Stefano, Bertone; Clarke, Anthony


    This case study sought to determine the professional development circumstances in which a preservice teacher learned rules of practice (Wittgenstein, 1996) on practicum while interacting with a cooperating teacher and university supervisor. Borrowing from a theoretical conceptualization of teacher professional development based on the postulates…

  12. The Daily Events and Emotions of Master's-Level Family Therapy Trainees in Off-Campus Practicum Settings

    Edwards, Todd M.; Patterson, Jo Ellen


    The Day Reconstruction Method (DRM) was used to assess the daily events and emotions of one program's master's-level family therapy trainees in off-campus practicum settings. This study examines the DRM reports of 35 family therapy trainees in the second year of their master's program in marriage and family therapy. Four themes emerged from the…

  13. Teaching Practicum Assessment in Post-Apartheid Teacher Education: Is It Self-Serving or Serving Students?

    Davids, M. Noor


    This article investigates common understandings and practices of a group of supervisors assessing students during the Teaching Practicum in South Africa. In the light of this context and the need for a constructivist approach to develop students to be able to teach in diverse contexts, the question that the research intends to answer is as…

  14. The Practical Source of Educational Knowledge for Pre-Service Teachers in Confronting Field-Based Challenges in School Practicum

    Tsai, Hsien-Chang; Liu, Shih-Hsiung


    Educational value in teacher education courses is unquestioned; however, there are still many doubts about the practicality of the knowledge acquired from university courses and a field-based course in school practicum. The purpose of this study is to identify the practicality of the educational knowledge from the above courses for pre-service…

  15. Investigating Pre-Service EFL Teachers' Self-Concepts within the Framework of Teaching Practicum in Turkish Context

    Yilmaz, Cevdet


    The present study aimed at understanding the nature and potential dynamism of five pre-service EFL teachers' self-concepts in the domain of English as a foreign language (EFL). To this end, the effects of pre-service teachers' experiences gained alongside the practicum on their EFL self-concept development were also discussed. Data were generated…

  16. The kidneys

    Freeman, L.M.; Lutzker, L.G.


    It has unfortunately remained true that radionuclide renal imaging studies have not been so widely accepted as other types of scintigraphy, despite improvements in radiopharmaceuticals and imaging techniques. Perhaps this is because of the variety of established radiologic techniques available for the study of the kidneys and the addition of new modalities such as CT scanning and ultrasound. Clinicians may have become confused by the multiplicity of options, which has obscured the distinction between renal scintigraphy and all other methods of imaging the kidney, i.e., that renal scintigraphy provides functional information in an easily quantifiable form. It is interesting that pediatric practitioners have more easily recognized the functional importance of this modality than have the practitioners of adult medicine, who more often prefer anatomic modalities, either traditional or new

  17. Use of mobile devices in nursing student-nurse teacher cooperation during the clinical practicum: an integrative review.

    Strandell-Laine, Camilla; Stolt, Minna; Leino-Kilpi, Helena; Saarikoski, Mikko


    To identify and appraise study findings on the use of mobile devices, in particular for what purposes and how, in nursing student-nurse teacher cooperation during the clinical practicum. A systematic literature search was conducted using the PubMed/Medline, CINAHL, PsycINFO and ERIC for primary empirical studies published in English. An integrative literature review was undertaken. Quality appraisal of the included studies was conducted using design-specific standardized checklists. Studies were thematically analyzed. Based on the inclusion and exclusion criteria, eleven studies were included in the review. Weaknesses in designs, samples, questionnaires and results, compromised comparison and/or generalization of the findings of the studies. Three main themes were identified: (1) features of mobile devices (2) utility of mobile devices and (3) barriers to the use of mobile devices. Problems of connectivity were the main challenges reported in the use of mobile devices. Participants used mobile devices primarily as reference tools, but less frequently as tools for reflection, assessment or cooperation during the clinical practicum. Interest in mobile device use during the clinical practicum was reported, but training and ongoing support are needed. As only a small number of eligible primary empirical studies were found, it is not possible to draw firm conclusions on the results. In the future, rigorous primary empirical studies are needed to explore the potential of mobile devices in providing a supplementary pedagogical method in nursing student-nurse teacher cooperation during the clinical practicum. Robust study designs, including experimental ones, are clearly needed to assess the effectiveness of mobile devices in nursing student-nurse teacher cooperation during the clinical practicum. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects upon Available Fresh Water for South Florida Agricultural Planning and Management

    Cooley, Clayton; Billiot, Amanda; Lee, Lucas; McKee, Jake


    Water is in high demand for farmers regardless of where you go. Unfortunately, farmers in southern Florida have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. There is an interest by the agricultural community about the effect weather has on usable surface water, however, research into viable weather patterns during La Nina and El Nino has yet to be researched. Using rainfall accumulation data from NASA Tropical Rainfall Measurement Mission (TRMM) satellite, this project s purpose was to assess the influence of El Nino and La Nina Oscillations on sea breeze thunderstorm patterns, as well as general rainfall patterns during the summer season in South Florida. Through this research we were able to illustrate the spatial and temporal variations in rainfall accumulation for each oscillation in relation to major agricultural areas. The study period for this project is from 1998, when TRMM was first launched, to 2009. Since sea breezes in Florida typically occur in the months of May through October, these months were chosen to be the months of the study. During this time, there were five periods of El Nino and two periods of La Nina, with a neutral period separating each oscillation. In order to eliminate rainfall from systems other than sea breeze thunderstorms, only days that were conducive to the development of a sea breeze front were selected.

  19. Online learning management systems (LMS and sense of community: A pre-service practicum perspective

    Glenn Rideout


    Full Text Available This paper examines the impact of the implementation of an online learning management system (LMS on pre-service teachers during their major pre-service practicum. The LMS enabled students to remain connected to peers, professors, and supervisors while new relationships were formed with in-school personnel such as mentor teachers, principals, and students. The quantitative data analysis revealed that pre-service teachers perceived a higher sense of community when it included pre-service teachers only than when it included teaching faculty and part-time practicum supervisors. The online LMS was identified as the best predictor of a sense of community among pre-service teachers, when compared to other variables, and not a significant predictor when community included part-time practicum supervisors. The paper concludes with an examination of the perspectives of provincial Ministries of Education and Teachers Federations in relation to the role and evaluation of educational technology initiatives. Résumé: Cet article examine l’impact de l’implantation d’une plateforme eLearning (LMS sur de futurs enseignants en stage. La plateforme a permis aux étudiants de rester en contact avec leurs pairs, leur professeurs et leurs superviseurs, alors que de nouvelles relations se formaient avec la collectivité de l’école les accueillant pour leur stage (mentor, directeur d’école et élèves. L’analyse des données quantitatives a révélé que les futurs enseignants percevaient un meilleur esprit communautaire quand seuls les futurs enseignants en faisaient partie par opposition à une communauté composée des futurs enseignants, des professeurs de leur programme et les superviseurs à temps partiel de leur stage. La plateforme LMS a été identifiée comme le meilleur prédicteur de l’esprit communautaire chez les futurs enseignants par comparaison avec d’autres variables, et un prédicteur non significatif quand la communauté incluait

  20. A Development of a Knowledge Management Model of Supervision of Practicum Students in Early Childhood Education, Faculty of Education, Mahasarakham University

    Srikunyarphat Rangsriborwornkul


    Full Text Available The purpose of this study was to develop a model of knowledge management of supervision of practicum students in early childhood education. The target groups were 1 four supervisors in Early Childhood Education program, faculty of Education, Mahasarakham University and 2 thirty-three fifth-year practicum students in early childhood education practicing in professional experience at schools which located in Mahasarakham, Khonkaen, and Roi-Et provinces. The research tool was a survey form of supervision of practicum students. Content analysis was used. The research findings showed that 1 a development of the knowledge management model of supervision of practicum students in early childhood education contained 3 phases: phase I – studying need assessment, phase II – developing a model and phase III – conclusion and 2 data from the survey form of knowledge management of supervision categorized into two aspects, namely, appropriate practices and inappropriate practices.

  1. Guiding Development Based Approach Practicum Vertebrates Taxonomy Scientific Study Program for Students of Biology Education

    Arieska, M.; Syamsurizal, S.; Sumarmin, R.


    Students having difficulty in identifying and describing the vertebrate animals as well as less skilled in science process as practical. Increased expertise in scientific skills, one of which is through practical activities using practical guidance based on scientific approach. This study aims to produce practical guidance vertebrate taxonomy for biology education students PGRI STKIP West Sumatra valid. This study uses a model of Plomp development consisting of three phases: the initial investigation, floating or prototype stage, and the stage of assessment. Data collection instruments used in this study is a validation sheet guiding practicum. Data were analyzed descriptively based on data obtained from the field. The result of the development of practical guidance vertebrate taxonomic validity value of 3.22 is obtained with very valid category. Research and development has produced a practical guide based vertebrate taxonomic scientific approach very valid.

  2. Nursing students' perceptions of using smartphones in the community practicum: A qualitative study.

    Beauregard, Philippe; Arnaert, Antonia; Ponzoni, Norma


    Smartphones have the potential to revolutionize the way in which nurses practice by facilitating access to evidence-based resources, however their integration in nursing practice remain variable. Millennials tend to be more comfortable with technology, yet find themselves limited in their ability to use smartphones within the context of clinical practice. Using a qualitative descriptive design, we explored nursing students' perceptions of using smartphones in the community practicum. Individual semi-structured interviews were conducted and verbatim transcripts were subjected to data analysis. The sample consisted of 8 undergraduate and graduate nursing students. Participants were recruited using a purposive sampling strategy. Students' narratives describe unclear expectations regarding the use of smartphones that force them to adopt individualized strategies to maintain their professional image and avoid negative consequences. A cultural shift will be required at the academic and organizational levels if we are to foster acceptance of smartphones in community practice going forward. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Application of pedagogy reflective in statistical methods course and practicum statistical methods

    Julie, Hongki


    Subject Elementary Statistics, Statistical Methods and Statistical Methods Practicum aimed to equip students of Mathematics Education about descriptive statistics and inferential statistics. The students' understanding about descriptive and inferential statistics were important for students on Mathematics Education Department, especially for those who took the final task associated with quantitative research. In quantitative research, students were required to be able to present and describe the quantitative data in an appropriate manner, to make conclusions from their quantitative data, and to create relationships between independent and dependent variables were defined in their research. In fact, when students made their final project associated with quantitative research, it was not been rare still met the students making mistakes in the steps of making conclusions and error in choosing the hypothetical testing process. As a result, they got incorrect conclusions. This is a very fatal mistake for those who did the quantitative research. There were some things gained from the implementation of reflective pedagogy on teaching learning process in Statistical Methods and Statistical Methods Practicum courses, namely: 1. Twenty two students passed in this course and and one student did not pass in this course. 2. The value of the most accomplished student was A that was achieved by 18 students. 3. According all students, their critical stance could be developed by them, and they could build a caring for each other through a learning process in this course. 4. All students agreed that through a learning process that they undergo in the course, they can build a caring for each other.

  4. Acute kidney failure

    ... Renal failure - acute; ARF; Kidney injury - acute Images Kidney anatomy References Devarajan P. Biomarkers for assessment of renal function during acute kidney injury. In: Alpern RJ, Moe OW, Caplan M, ...

  5. Chronic Kidney Disease

    You have two kidneys, each about the size of your fist. Their main job is to filter your blood. They remove wastes and ... help control blood pressure, and make hormones. Chronic kidney disease (CKD) means that your kidneys are damaged ...

  6. Diabetic Kidney Problems

    ... too high. Over time, this can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste ... in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy. It ...

  7. Medullary Sponge Kidney

    ... UTI removing any kidney stones Curing an Existing Urinary Tract Infection To treat a UTI , the health care provider ... UTIs and kidney stones. Medications to Prevent Future Urinary Tract Infections and Kidney Stones Health care providers may prescribe ...

  8. Cadmium and the kidney.

    Friberg, L


    The paper is a review of certain aspects of importance of cadmium and the kidney regarding the assessment of risks and understanding of mechanisms of action. The review discusses the following topics: history and etiology of cadmium-induced kidney dysfunction and related disorders; cadmium metabolism, metallothionein and kidney dysfunction; cadmium in urine as indicator of body burden, exposure and kidney dysfunction; cadmium levels in kidney and liver as indicators of kidney dysfunction; cha...

  9. Chronic Kidney Disease and Kidney Failure

    ... death rates limited life expectancy. Some patients were lucky enough to get a kidney transplant, which greatly ... epidemic rates. Through the 1980s and 1990s, the number of patients developing end-stage kidney failure nearly ...

  10. The influence of sea- and land-breeze circulations on the diurnal variability in precipitation over a tropical island

    L. Zhu


    Full Text Available This study examines the diurnal variation in precipitation over Hainan Island in the South China Sea using gauge observations from 1951 to 2012 and Climate Prediction Center MORPHing technique (CMORPH satellite estimates from 2006 to 2015, as well as numerical simulations. The simulations are the first to use climatological mean initial and lateral boundary conditions to study the dynamic and thermodynamic processes (and the impacts of land–sea breeze circulations that control the rainfall distribution and climatology. Precipitation is most significant from April to October and exhibits a strong diurnal cycle resulting from land–sea breeze circulations. More than 60 % of the total annual precipitation over the island is attributable to the diurnal cycle with a significant monthly variability. The CMORPH and gauge datasets agree well, except that the CMORPH data underestimate precipitation and have a 1 h peak delay. The diurnal cycle of the rainfall and the related land–sea breeze circulations during May and June were well captured by convection-permitting numerical simulations with the Weather Research and Forecasting (WRF model, which were initiated from a 10-year average ERA-Interim reanalysis. The simulations have a slight overestimation of rainfall amounts and a 1 h delay in peak rainfall time. The diurnal cycle of precipitation is driven by the occurrence of moist convection around noontime owing to low-level convergence associated with the sea-breeze circulations. The precipitation intensifies rapidly thereafter and peaks in the afternoon with the collisions of sea-breeze fronts from different sides of the island. Cold pools of the convective storms contribute to the inland propagation of the sea breeze. Generally, precipitation dissipates quickly in the evening due to the cooling and stabilization of the lower troposphere and decrease of boundary layer moisture. Interestingly, the rather high island orography is not a

  11. Design of a Competency Evaluation Model for Clinical Nursing Practicum, Based on Standardized Language Systems: Psychometric Validation Study.

    Iglesias-Parra, Maria Rosa; García-Guerrero, Alfonso; García-Mayor, Silvia; Kaknani-Uttumchandani, Shakira; León-Campos, Álvaro; Morales-Asencio, José Miguel


    To develop an evaluation system of clinical competencies for the practicum of nursing students based on the Nursing Interventions Classification (NIC). Psychometric validation study: the first two phases addressed definition and content validation, and the third phase consisted of a cross-sectional study for analyzing reliability. The study population was undergraduate nursing students and clinical tutors. Through the Delphi technique, 26 competencies and 91 interventions were isolated. Cronbach's α was 0.96. Factor analysis yielded 18 factors that explained 68.82% of the variance. Overall inter-item correlation was 0.26, and total-item correlation ranged between 0.66 and 0.19. A competency system for the nursing practicum, structured on the NIC, is a reliable method for assessing and evaluating clinical competencies. Further evaluations in other contexts are needed. The availability of standardized language systems in the nursing discipline supposes an ideal framework to develop the nursing curricula. © 2015 Sigma Theta Tau International.

  12. Investigation of changes in students’ self-esteem by the experience of maternity nursing practicum and factors involved

    Tsukamoto, Yasuko; Masuda, Akemi


    A clinical training is the most effective learning method for nursing students. Students have various learning experiences through communication with patients and families. These are positive experiences for students, but their minds and bodies are also strongly and negatively influenced. The purpose of this study was to develop changes in students' self-esteem and mental health conditions by the maternity nursing practicum. They were the following results. 1) Students were generally satisfie...

  13. Reorganization of Practicum in Initial Teacher Education: A Search for Challenges in Implementation by Ex-Ante Evaluation

    Laila Niklasson


    Full Text Available The background of the study is a perceived need of increasing quality in practice during Initial Teacher Education (ITE in Sweden. In order to achieve higher quality, the government encourages reorganization towards a limited number of practice schools, competence development for supervisors and research focusing on the selected practice schools.  The aim of this study is to present and critically discuss prerequisites for implementation of the reform. The paper focuses on how a preliminary logic model and a SWOT analysis can show challenges encountered during the implementation of the reorganization. By using the logic model and the SWOT analysis an ex-ante evaluation was carried out in two steps. The results disclosed that the motivation behind reorganization, improving the quality of practicum, might meet some challenges. Indicators of higher quality being attained are not provided; the local organization is expected to construct such indicators during the process. In contrast to the challenges the results showed that the implementation was supported by earlier good relations and a common idea of developing practicum in ITE. The implication for implementation is a need to have a dialogue about indicators for quality among different stakeholders in ITE. Without such a dialogue it can be disputed whether the change in practicum was successful.

  14. Kidneys and Urinary Tract

    ... Videos for Educators Search English Español Kidneys and Urinary Tract KidsHealth / For Teens / Kidneys and Urinary Tract What's ... a sign of diabetes . What the Kidneys and Urinary Tract Do Although the two kidneys work together to ...

  15. [Acute kidney injury

    Hageman, D.; Kooman, J.P.; Lance, M.D.; van Heurn, L.W.; Snoeijs, M.G.


    - 'Acute kidney injury' is modern terminology for a sudden decline in kidney function, and is defined by the RIFLE classification (RIFLE is an acronym for Risk, Injury, Failure, Loss and End-stage kidney disease).- Acute kidney injury occurs as a result of the combination of reduced perfusion in the

  16. Ultrasonography of the Kidney

    Lindskov Hansen, Kristoffer; Nielsen, Michael Bachmann; Ewertsen, Caroline


    Ultrasonography of the kidneys is essential in the diagnosis and management of kidney-related diseases. The kidneys are easily examined, and most pathological changes in the kidneys are distinguishable with ultrasound. In this pictorial review, the most common findings in renal ultrasound...

  17. The Helium Warm Breeze in IBEX Observations As a Result of Charge-exchange Collisions in the Outer Heliosheath

    Bzowski, Maciej; Kubiak, Marzena A.; Czechowski, Andrzej; Grygorczuk, Jolanta, E-mail: [Space Research Centre PAS (CBK PAN) Bartycka 18A 00-716 Warsaw (Poland)


    We simulated the signal due to neutral He atoms, observed by the Interstellar Boundary Explorer ( IBEX ), assuming that charge-exchange collisions between neutral He atoms and He{sup +} ions operate everywhere between the heliopause and a distant source region in the local interstellar cloud, where the neutral and charged components are in thermal equilibrium. We simulated several test cases of the plasma flow within the outer heliosheath (OHS) and investigated the signal generation for plasma flows both in the absence and in the presence of the interstellar magnetic field (ISMF). We found that a signal in the portion of IBEX data identified as being due to the Warm Breeze (WB) does not arise when a homogeneous plasma flow in front of the heliopause is assumed, but it appears immediately when any reasonable disturbance in its flow due to the presence of the heliosphere is assumed. We obtained a good qualitative agreement between the data selected for comparison and the simulations for a model flow with the velocity vector of the unperturbed gas and the direction and intensity of magnetic field adopted from recent determinations. We conclude that direct-sampling observations of neutral He atoms at 1 au from the Sun are a sensitive tool for investigating the flow of interstellar matter in the OHS, that the WB is indeed the secondary population of interstellar helium, which was hypothesized earlier, and that the WB signal is consistent with the heliosphere distorted from axial symmetry by the ISMF.

  18. Study of the thermal internal boundary layer during sea-breeze events in the complex coastal area of Marseille

    Calmet, Isabelle; Mestayer, Patrice


    A revisit of two sea-breeze episodes is presented, based on higher spatial resolution large eddy simulations (LES) of the lower atmosphere over the coastal area of Marseille and measurements obtained during the June 2001 experimental campaign UBL-ESCOMPTE. The focus is on the development of thermal internal boundary layers (TIBL) over a complex topography: the dynamic and thermal mechanisms that contribute to the TIBL growth and its further degeneration into a convective mixed layer, the respective influences of the coast shape, the large-scale flow above and the local low-level slope flows. The high-resolution LES permits exploring the potential temperature and turbulent kinetic energy fields in relation with the evolution of TIBL depth and heat fluxes along representative streamlines. Several theoretical TIBL depth models are further compared to the LES-deduced inversion height and other parameters, leading to a discussion of the relationships between the values of these parameters, the respective influences of the governing physical phenomena, and the TIBL behaviour. A threshold value of 0.35 is proposed for the friction velocity to convective velocity scale ratio u */ w * between the two regimes where the TIBL is either dominated by dynamical kinetic energy production or controlled by buoyancy.

  19. Implementation of interprofessional learning activities in a professional practicum: The emerging role of technology.

    Brault, Isabelle; Therriault, Pierre-Yves; St-Denis, Louise; Lebel, Paule


    To prepare future healthcare professionals to collaborate effectively, many universities have developed interprofessional education programs (IPE). Till date, these programs have been mostly courses or clinical simulation experiences. Few attempts have been made to pursue IPE in healthcare clinical settings. This article presents the results of a pilot project in which interprofessional learning activities (ILAs) were implemented during students' professional practicum and discusses the actual and potential use of informatics in the ILA implementation. We conducted a pilot study in four healthcare settings. Our analysis is based on focus group interviews with trainees, clinical supervisors, ILA coordinators, and education managers. Overall, ILAs led to better clarification of roles and understanding of each professional's specific expertise. Informatics was helpful for developing a common language about IPE between trainees and healthcare professionals; opportunities for future application of informatics were noted. Our results support the relevance of ILAs and the value of promoting professional exchanges between students of different professions, both in academia and in the clinical setting. Informatics appears to offer opportunities for networking among students from different professions and for team members' professional development. The use of technology facilitated communication among the participants.

  20. An Internship May Not Be Enough: Enhancing Bioscience Industry Job Readiness through Practicum Experiences

    Jason M. Cramer


    Full Text Available In contrast to the narrowing of options in academic careers, the bioscience industry offers robust employment opportunities for STEM-trained workers, especially those who display both scientific and business talent. Unfortunately, traditional science programs typically lack curricular features that develop this type of worker. The North Carolina State University Master of Microbial Biotechnology (MMB program facilitates industry-specific experiential learning to fill this training gap. Similar programs often rely on a single industry internship to provide students relevant work experience, but completion of one internship might not suffice to position students for employment in a highly competitive job market. The MMB program requires students to complete an internship and three practicum projects in an industry setting, to promote development of key skills in a variety of areas, to build confidence in the ability to perform initial job duties, and to establish a more extensive work history in industry. In this Perspective we discuss an unmet need in undergraduate and graduate STEM education that can be filled by incorporating a similar set of industry-specific work experiences for students who desire to transition from academe into the life science industry.

  1. Practicum without borders: a case study of intercultural and pedagogical action and reflection



    Full Text Available Teacher training schemes of the present 21st century ask for a new contextualization of good educational practice under frameworks of planetary scale which serve as tools aimed at interpreting culture-bound formation tracks designed for prospective teachers. The present case shows some of the opportunities and challenges of an International Practicum jointly organized by the University of Salamanca and several u.k. educational institutions. Besides their direct confrontation with culture as a living experience of diversity, the numerous agents involved in this programme were engaged in a dialogue between different pedagogical perspectives which cross-fertilized processes of teaching collaboration, mutual inquiry and a thorough rethink of areas of common linguistic, pedagogical and cultural interest. We hold that this fruitful conversation crosses borders while it offers, per se, an educational model of cohesiveness for it places the intercultural dimension at the heart of life-long education that can shape the profile of today’s European teachers.

  2. The West Virginia Occupational Safety and Health Initiative: practicum training for a new marketplace.

    Meyer, J D; Becker, P E; Stockdale, T; Ducatman, A M


    Occupational medicine practice has experienced a shift from larger corporate medical departments to organizations providing services for a variety of industries. Specific training needs will accompany this shift in practice patterns; these may differ from those developed in the traditional industrial or corporate medical department setting. The West Virginia Occupational Health and Safety Initiative involves occupational medicine residents in consultation to a variety of small industries and businesses. It uses the expertise of occupational physicians, health and safety extension faculty, and faculty in engineering and industrial hygiene. Residents participate in multidisciplinary evaluations of worksites, and develop competencies in team-building, workplace health and safety evaluation, and occupational medical consulting. Specific competencies that address requirements for practicum training are used to measure the trainee's acquisition of knowledge and skills. Particular attention is paid to the acquisition of group problem-solving expertise, skills relevant to the current market in practice opportunities, and the specific career interests of the resident physician. Preliminary evaluation indicates the usefulness of training in evaluation of diverse industries and worksites. We offer this program as a training model that can prepare residents for the challenges of a changing marketplace for occupational health and safety services.

  3. Teoria para o trabalho de expansão aplicada às brisas do nordeste Brasileiro Theory for expansion work applied to breezes of Northeast of Brazil

    Clênia R. Alcântara


    Full Text Available Neste artigo investiga-se numericamente a interação entre brisas marítima-terrestre e de vale-montanha, que ocorrem no nordeste brasileiro devido à presença do Planalto da Borborema, aplicando o trabalho de expansão associado ao ramo inferior das circulações. Resultados da teoria da máquina térmica são comparados aos resultados 3D, obtidos com a versão brasileira do modelo RAMS. Os resultados indicaram que o efeito do contraste de temperatura no trabalho ligado às circulações (Wa, isoladamente, contribui para a formação de brisas marítimas mais intensas e de brisas terrestres menos intensas. Na realidade, o que se observa são brisas terrestres com intensidades iguais ou até maiores que das brisas marítimas. Assim, a contribuição da montanha para a intensidade das circulações de brisa no período noturno mostra-se extremamente não-linear. O trabalho de expansão que realmente está ligado às circulações, contribui em apenas 7% para o trabalho total. Dessa forma, a maior parte do trabalho total está associada ao trabalho de compressão que a atmosfera realiza para compensar a perda por resfriamento radiativo, e muito da energia disponibilizada para as circulações é gasta para vencer os processos dissipativos.The purpose of this work is to further understand the interactions between sea-land breeze and valley-mountain breeze that occur at the coast of Northeast Brazil due to the presence of the Borborema plateau, using the associated expansion work at the lower branch of these circulations. Results of the thermal machine theory are compared to the 3D results obtained from the Brazilian RAMS model version. The results indicate that the sole effect of temperature contrast on the work associated with circulations (Wa is more intense sea breezes and weaker land breezes. Actually, one can observe land breezes whose intensities are equal or even larger than sea breezes. Thus, the mountain contribution for the intensity of

  4. [An experience applying the teaching strategies of cooperative learning and creative thinking in a mental-health nursing practicum for undergraduates at a technical college].

    Huang, Yu-Hsien; Lin, Mei-Feng; Ho, Hsueh-Jen; Chang, Lu-Na; Chen, Shiue


    Lack of knowledge and experience is prevalent in undergraduate students who are taking their clinical practicum for mental-health nursing. This issue negatively affects the learning process. This article shares an experience of implementing a practicum-teaching program. This program was developed by the authors to facilitate the cooperative learning and clinical care competence of students. A series of multidimensional teaching activities was designed by integrating the strategies of peer cooperation and creative thinking to promote group and individual learning. Results indicate that the program successfully encouraged the students to participate more actively in the learning process. Additionally, the students demonstrated increased competence in empathetic caring toward patients, stronger friendship relationships with peers, and improved self-growth. The authors hope this teaching program provides a framework to increase the benefits for students of participating in clinical practicums and provides a teaching reference for clinical instructors.

  5. At Risk for Kidney Disease?

    ... Heart Disease Mineral & Bone Disorder Causes of Chronic Kidney Disease Diabetes and high blood pressure are the most ... blood vessels in your kidneys. Other causes of kidney disease Other causes of kidney disease include a genetic ...

  6. Kidney function tests

    Kidney function tests are common lab tests used to evaluate how well the kidneys are working. Such tests include: ... Oh MS, Briefel G. Evaluation of renal function, water, electrolytes ... and Management by Laboratory Methods . 23rd ed. Philadelphia, ...

  7. Pregnancy and Kidney Disease

    ... who has a kidney transplant have a baby? Yes. If you have a kidney transplant, you are likely to have regular menstrual periods and good general health. Therefore, getting pregnant and having a child is possible. But ...

  8. Hydronephrosis of one kidney

    Hydronephrosis; Chronic hydronephrosis; Acute hydronephrosis; Urinary obstruction; Unilateral hydronephrosis; Nephrolithiasis - hydronephrosis; Kidney stone - hydronephrosis; Renal calculi - hydronephrosis; ...

  9. The senile kidney

    Denisova Т.Р.


    Full Text Available The given work summarizes external data and self-obtained results on development and diagnostic of kidney involution modifications. Article discusses definition of "senile kidney" as a clinical and pathomorphological term. Major statements on pathophysiological causes of age-associated renal disorders and their prognosis, specifics of chronic kidney disease in elderly and senile patients have been reviewed. Phenomenon of renal "multimorbidity" in eldely maximizes worsening risk of unmodifiable kidney function.

  10. Acute arterial occlusion - kidney

    ... main artery to the kidney is called the renal artery. Reduced blood flow through the renal artery can hurt kidney function. ... need include: Duplex Doppler ultrasound exam of the renal arteries to test blood flow MRI of the kidney arteries, which can show ...

  11. Diabetes and Kidney Disease

    ... Clinical manifestations of kidney disease among US adults with diabetes. Journal of the American Medical Association. 2016;316( ... of Washington, Associate Director, Kidney Research Institute ... The National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center ...

  12. Spatial and Temporal Changes in Air Pollution Along the Gulf Coast Observed During BRACE: A Case Study of the Land-Sea Breeze

    Wellman, D.; Luke, W.; Arnold, J.; Watson, T.; Gunter, L.


    NOAA's Air Resources Laboratory conducted airborne measurements of trace gases and aerosols in the Bay Region Atmospheric Chemistry Experiment (BRACE) using the NOAA Twin Otter. The Twin Otter flew more than 90 hours in 21 flights in and around the Tampa metropolitan region in May, 2002, at altitudes of 60-3000 m MSL. Flights were conducted over rural and suburban areas, over the centers of Tampa and St. Petersburg, and over Tampa Bay and the Gulf of Mexico. One objective of the aircraft flights was to investigate the role of the sea breeze circulation in determining patterns of nutrient deposition and pollutant loads in the Tampa Bay watershed. Results will be presented from a May 8 flight designed to investigate the effect of the sea breeze recirculation upon Tampa's air quality. The Twin Otter took off at 1425 UTC and after performing a spiral ascent over the Sydney ground site, proceeded to fly north, at 200 feet above mean sea level (MSL) just off the Gulf coast, west of St. Petersburg. Back trajectory analysis suggested the dominance of a northerly rotation in the sea breeze; thus, air sampled over the Gulf passed some hours earlier to the south of the Tampa metropolitan area, in an area largely devoid of major pollution sources, before being advected eastward in the afternoon return flow. Ozone levels in this air mass ranged from 40 to 50 ppbv. Farther north the Twin Otter encountered the advected urban plume from Tampa, displaced to the north by the combination of southeasterly sea breeze flow and westerly return flow, and tracked this plume inland. Ozone levels quickly jumped to 60 ppbv, and increased to as high as 90 ppbv as photochemical processing continued in the advected plume. Nitric acid levels, which approached 4 ppbv in the aged urban air at the coast, dropped rapidly to as low as 1 ppbv inland. A final flight leg to the east of downtown Tampa encountered fresh anthropogenic pollution from the afternoon rush hour; ozone was rapidly produced in the

  13. Meteorological observations of the coastal boundary layer structure by remote measurement methods for determining the impact of meteorological conditions on the breeze circulation

    Barantiev, D.


    Continuous measurements of the characteristics of atmospheric boundary layer and the characteristics of breeze circulation were initiated at the meteorological observatory of Ahtopol on the Black Sea coast (south-east Bulgaria) under a Bulgarian-Russian collaborative programme. Research observations started in July 2008 and go on. These observations are the start of high resolution atmospheric boundary layer vertical structure climatology at a Bulgarian Black Sea coastal site. Automatic weather station «MK-15» with an acoustic anemometer (mounted at 4,5m height) and Flat Array Sodar without RASS extension «Scintec» were installed on polygon of Ahtopol. A preliminary analysis was made of the experimental data on the thermodynamic structure of the atmospheric boundary layer in the coastal zone. Vertical profiles of wind speed, direction and spatio-temporal sectional were constructed according to the sodar data. Graphs of temporal variations of the direction and modulus of wind velocity, vertical velocity, the standard deviation of the acoustic temperature and time variation of air temperature (at a height of 2m - standard synoptic measurements) were constructed according MK-15. The momentum u* = " - w-'u' and sensible heat H = w'T' surface turbulent fluxes were calculated from MK-15 raw data. Prevailing weather conditions contributing to breeze circulation in the area were investigated. Blurred pressure field of high pressure with warm air mass, clear and (or) the overcast weather was characterized for treatment cases. The average wind speed near the ground was did not exceed 3 m/s, with a ripple rate of up to 4 m/s according to MK-15. The nature of the wind changed direction during the day has been practically the same (i.e., diurnal repeats) in all cases. The breeze front location was also detected based on standard measurements in the surface layer (mean values of temperature at 2 m and wind speed and direction from MK-15). In the zone of the front the wind

  14. In Search of Teaching Quality of EFL Student Teachers through Teaching Practicum: Lessons from a Teacher Education Program

    Siti Nurul Azkiyah


    Full Text Available This study was intended to investigate the teaching quality of student teachers when they conducted their teaching practicum. Teaching quality is conceptualised based on eight classroom factors (orientation, structuring, modelling, application, questioning, building classroom as a learning environment, assessment, and time management of the dynamic model, which have previously been found to affect student outcomes. The study used a mixed-methods design: a survey on students’ perceptions of the teaching quality of their teacher (student teachers and classroom observation. The study was conducted in Tangerang Selatan, Indonesia, involving English as a Foreign Language (EFL student teachers in the English Education Program, Syarif Hidayatullah State Islamic University, Indonesia and 199 students of three different schools. The findings revealed that the student teachers did not yet practice the classroom factors of the dynamic model. Some recommendations include incorporating the classroom factors of the dynamic model in the curriculum or syllabus related to pedagogical skills to better prepare teachers in the future. It is also beneficial to study the possibility of sending student teachers to school earlier not only for the teaching practicum but also for other relevant purposes.

  15. An Examination of the Relationship between Supervision and Self-Efficacy in Early Career School Psychologists, School Psychology Interns, and Practicum Students

    Kaas, Felicia M.


    The purpose of this study is to explore the relationship between self-efficacy and supervision in early career school psychologists and school psychology graduate students who are currently completing either their practicum or internship experiences. The sample consisted of practicing early career school psychologists (ECPs) and school psychology…

  16. Pre-Service Science Teachers' Views on Their Online Argumentation about What Is Happening in Middle School Science Classrooms during Their Practicum Period

    Kaya, Osman Nafiz; Dogan, Alev; Kilic, Ziya; Ebenezer, Jazlin


    In this study, Pre-service Science Teachers' (PSTs) views about the potential benefits and existing barriers of their argumentation on the World Wide Web about what is happening in middle school science classrooms during two semesters of their practicum experiences were investigated. "Special Web Group" called the "Collaborative…

  17. The use of physics practicum to train science process skills and its effect on scientific attitude of vocational high school students

    Wiwin, E.; Kustijono, R.


    The purpose of the study is to describe the use of Physics practicum to train the science process skills and its effect on the scientific attitudes of the vocational high school students. The components of science process skills are: observing, classifying, inferring, predicting, and communicating. The established scientific attitudes are: curiosity, honesty, collaboration, responsibility, and open-mindedness. This is an experimental research with the one-shot case study design. The subjects are 30 Multimedia Program students of SMK Negeri 12 Surabaya. The data collection techniques used are observation and performance tests. The score of science process skills and scientific attitudes are taken from observational and performance instruments. Data analysis used are descriptive statistics and correlation. The results show that: 1) the physics practicum can train the science process skills and scientific attitudes in good category, 2) the relationship between the science process skills and the students' scientific attitude is good category 3) Student responses to the learning process using the practicum in the good category, The results of the research conclude that the physics practicum can train the science process skill and have a significant effect on the scientific attitude of the vocational highschool students.

  18. Understanding Legitimate Teacher Authority in a Cross-Cultural Teaching Context: Pre-Service Chinese Language Teachers Undertaking Teaching Practicum in International Schools in Hong Kong

    Lai, Chun; Gu, Mingyue; Hu, Jingjing


    Legitimate teacher authority is fundamental to effective teaching, but is often a thorny issue that teachers need to grapple with when teaching in cross-cultural teaching contexts. By interviewing 18 pre-service Chinese language teachers on their understanding of legitimate teacher authority throughout teaching practicum at international schools…

  19. Could Practicum Placements in Contrasting Contexts Support the Preparation of Pre-Service Teachers for an Envisaged Inclusive Education System? A South African Study

    Rusznyak, Lee; Walton, Elizabeth


    In contexts where inclusive education is nascent, teacher educators face the challenge of preparing pre-service teachers for a system that does not yet exist. While this might be possible through university-based coursework, difficulties arise when so few sites that model inclusive pedagogies are available for practicum placements. This article…

  20. Perceptions of Pre-Service Teachers on Mentor Teachers' Roles in Promoting Inclusive Practicum: Case Studies in U.S. Elementary School Contexts

    Maddamsetti, Jihea


    This case study examines a Chinese and Korean-Chinese pre-service teachers' perceptions of their mentor teachers' role in supporting inclusive practicum experiences in USA elementary school contexts. The findings demonstrate that a mentor teacher's open conversations and willingness to host those students bring positive influence on their learning…

  1. Utilization of Innovations and Techniques of Educational Technology in Delivering of Educational Practicum and Its Impact on Increasing Academic Achievement among Pre-Service Teachers

    Ibrahim, Hatim G.


    The current study aims to identify the utilization of innovations and techniques of educational technology in teaching of educational practicum and its impact on increasing academic achievement among pre-service teachers. The study sample consisted of (60) pre-service teachers (student teachers) randomly selected from public middle and secondary…

  2. Towards Collaborative Professional Learning in the First Year Early Childhood Teacher Education Practicum: Issues in Negotiating the Multiple Interests of Stakeholder Feedback

    Brown, Alice; Danaher, Patrick


    This paper analyses data from two sources of stakeholder feedback--first year pre-service teachers and supervising teachers/centre directors--about the issues involved in creating more collaborative approaches to the first year early childhood teacher education practicum at an Australian regional university. The collection of this feedback was…

  3. Mesoscale modeling of smoke transport over the Southeast Asian Maritime Continent: Interplay of sea breeze, trade wind, typhoon, and topography

    Wang, Jun; Ge, Cui; Yang, Zhifeng; Hyer, Edward J.; Reid, Jeffrey S.; Chew, Boon-Ning; Mahmud, Mastura; Zhang, Yongxin; Zhang, Meigen


    The online-coupled Weather Research and Forecasting model with Chemistry (WRFchem) is used to simulate the transport of smoke particles over the Southeast Asian Maritime Continent during September-October 2006. In this period, dry conditions associated with the moderate El Niño event caused the largest regional biomass burning outbreak since 1997. Smoke emission in WRFchem is specified according to the Fire Locating and Modeling of Burning Emissions (FLAMBE) database derived from Moderate Resolution Imaging Spectroradiometer (MODIS) fire products. The modeled smoke transport pathway is found to be consistent with the MODIS true color images and measured mass concentration of surface PM10 (particulate matter with diameter less than 10 μm). The interplay of sea/land breezes, typhoons and storms over the subtropical western Pacific Ocean, trade winds, and topographic effects, can be clearly seen in the model simulation. The most severe smoke events in 1-5 October 2006 are found to be associated with the meteorological responses to the typhoon Xangsane (#18) over the western subtropical Pacific Ocean, which moved smoke from Sumatra eastward in the lower troposphere (below 700 hPa), forming smoke layers mixed with and above the boundary layer clouds over Borneo. In contrast, the second largest week-long smoke transport event of 15-18 October 2006 was associated with the seasonal monsoonal transition period, during which smoke plumes were wide spread over the 5°S-5°N zone as a result of (a) the near surface divergence coupled with the 700 hPa bifurcation of wind (flowing both to the west and to the east), and (b) the near-surface southeasterly and easterly winds along the equator transporting smoke from Borneo to Sumatra and Peninsular Malaysia. Analysis of data from the Cloud-Aerosol Lidar with Orthogonal Polarisation (CALIOP) shows that smoke particles in October 2006 were primarily located within 3.5 km above the surface. Smoke particles contributed roughly half

  4. Investigation of enhanced cross-city transport and trapping of air pollutants by coastal and urban land-sea breeze circulations

    Lo, Jeff C. F.; Lau, Alexis K. H.; Fung, Jimmy C. H.; Chen, Fei


    Recent satellite observations show that a layer of haze perpetually hangs over the Pearl River Delta (PRD) region and surface observations show numerous violations of the Hong Kong Air Quality Objective. This layer of haze mostly concentrates in the Pearl River Estuary and a narrow (20 km wide) band along the shoreline, in particular during weak wind situations. Although researchers suspect the land-sea breeze (LSB) circulations "concentrate" or "trap" various pollutants in this region, the physical mechanism of the phenomenon has never been fully explained or quantified. In this paper, a mesoscale atmospheric model (MM5) coupled with the Noah land surface model (LSM), which has bulk urban land use treatments along with a detailed Pearl River Delta land use map, is used to investigate the unique feature and mechanism of this land-sea breeze effect and the temporal evolution. A three-dimensional particle trajectory model is used to understand its associated pollutant transport, trapping and accumulation. A conceptual model is then developed for the perpetual air pollution phenomenon in the region. Further sensitivity experiments are used to illustrate the impact of urbanization and large-scale winds on the pollution processes. Results show that urbanization enhances the pollutant trapping and therefore contributes to the overall poor air quality in the region.

  5. Ultrasonography of polycystic kidney

    Oh, Seung Chul; Cho, Seung Gi; Lee, Kwan Seh; Kim, Kun Sang


    Polycystic disease is defined as a heritable disorder with diffuse involvement of both kidneys. The term 'Polycystic disease' comprises at least two separate, genetically different disease-one with an onset typically in childhood (infantile polycystic disease) and the other with an onset typically in adulthood (adult polycystic disease). Adult polycystic kidney disease is the most common form of cystic kidney disease in humans. Ultrasonography is a very useful noninvasive diagnostic modality in the patient with clinically suspected renal diseases as well as screening test. 14 cases of ultrasonography in patient with polycystic kidney were reviewed. All cases show unilateral or bilateral enlarged kidneys. 7 cases reveal kidneys and liver replaced by multiple cysts of varing size. Screening ultrasonography for a familial tree is reported

  6. Epigenetics of kidney disease.

    Wanner, Nicola; Bechtel-Walz, Wibke


    DNA methylation and histone modifications determine renal programming and the development and progression of renal disease. The identification of the way in which the renal cell epigenome is altered by environmental modifiers driving the onset and progression of renal diseases has extended our understanding of the pathophysiology of kidney disease progression. In this review, we focus on current knowledge concerning the implications of epigenetic modifications during renal disease from early development to chronic kidney disease progression including renal fibrosis, diabetic nephropathy and the translational potential of identifying new biomarkers and treatments for the prevention and therapy of chronic kidney disease and end-stage kidney disease.

  7. End-stage kidney disease

    ... stage; Kidney failure - end stage; ESRD; ESKD Images Kidney anatomy References Fogarty DG, Taal MW. A stepped care approach to the management of chronic kidney disease. In: Skorecki K, Chertow GM, Marsden PA, ...

  8. Extraintestinal Complications: Kidney Disorders

    ... the ureters, bladder, and urethra for the passage, storage, and voiding of urine. Serious kidney complications associated with IBD are rare, ... Proteinuria, an elevated level of protein in the urine, is one sign of amyloidosis. A biopsy (tissue sample) of the kidney can confirm the diagnosis. Various ...

  9. Complicated Horseshoe Kidney

    Kim, K. S.; Kim, S. R.; Cha, K. S.; Park, S. S. [Chung Ang University College of Medicine, Seoul (Korea, Republic of)


    Horseshoe kidney is an important urological anomaly when it is complicated or accompanied by other diseases. Recently we have experienced four cases of horseshoe kidney which were complicated with hydronephrosis, renal stone and adrenal pheochromocytoma. With review of literatures, we emphasize the importance of detection of these complications.

  10. Complicated Horseshoe Kidney

    Kim, K. S.; Kim, S. R.; Cha, K. S.; Park, S. S.


    Horseshoe kidney is an important urological anomaly when it is complicated or accompanied by other diseases. Recently we have experienced four cases of horseshoe kidney which were complicated with hydronephrosis, renal stone and adrenal pheochromocytoma. With review of literatures, we emphasize the importance of detection of these complications.

  11. Kidney removal - slideshow

    ... this page: // Kidney removal (nephrectomy) - series—Normal anatomy To use the sharing features on this page, please enable JavaScript. Go to slide 1 out of 5 Go to slide 2 out of ... to slide 5 out of 5 Overview The kidneys are paired organs that lie posterior to the ...

  12. Kidney Stones in Children

    ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ...

  13. Kidney Infection (Pyelonephritis)

    ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ... Kidney Disease Weight Management Liver Disease Urologic Diseases Endocrine Diseases Diet & Nutrition Blood Diseases Diagnostic Tests La información ...

  14. Kidney Disease Basics

    ... disease, you can continue to live a productive life, work, spend time with friends and family, stay physically active, and do other things you enjoy. You may need to change what you eat and add healthy ... active, and enjoy life. Will my kidneys get better? Kidney disease is ...

  15. Obesity and kidney disease

    Geraldo Bezerra da Silva Junior

    Full Text Available Abstract Obesity has been pointed out as an important cause of kidney diseases. Due to its close association with diabetes and hypertension, excess weight and obesity are important risk factors for chronic kidney disease (CKD. Obesity influences CKD development, among other factors, because it predisposes to diabetic nephropathy, hypertensive nephrosclerosis and focal and segmental glomerulosclerosis. Excess weight and obesity are associated with hemodynamic, structural and histological renal changes, in addition to metabolic and biochemical alterations that lead to kidney disease. Adipose tissue is dynamic and it is involved in the production of "adipokines", such as leptin, adiponectin, tumor necrosis factor-α, monocyte chemoattractant protein-1, transforming growth factor-β and angiotensin-II. A series of events is triggered by obesity, including insulin resistance, glucose intolerance, dyslipidemia, atherosclerosis and hypertension. There is evidence that obesity itself can lead to kidney disease development. Further studies are required to better understand the association between obesity and kidney disease.

  16. Kidney Transplantation: MedlinePlus Health Topic

    ... as They Affect Physical Fitness: A Physical Therapist's Point of View (National Kidney Foundation) Solitary Kidney (National Institute of Diabetes and Digestive and Kidney Diseases) Travel Tips: A Guide for Kidney Patients (National Kidney ...

  17. [Autosomal dominant polycystic kidney].

    Jorge Adad, S; Estevão Barbosa, M; Fácio Luíz, J M; Furlan Rodrigues, M C; Iwamoto, S


    A 48-year-old male had autosomic dominant polycystic kidneys with dimensions, to the best of our knowledge, never previously reported; the right kidney weighed 15,100 g and measured 53 x 33 x 9cm and the left one 10.200 g and 46 x 21 x 7cm, with cysts measuring up to 14cm in diameter. Nephrectomy was done to control persistent hematuria and to relief disconfort caused by the large kidneys. The renal function is stable four years after transplantation.

  18. The mechanism of coking pressure generation I: Effect of high volatile matter coking coal, semi-anthracite and coke breeze on coking pressure and plastic coal layer permeability

    Seiji Nomura; Merrick Mahoney; Koichi Fukuda; Kenji Kato; Anthony Le Bas; Sid McGuire [Nippon Steel Corporation, Chiba (Japan). Environment and Process Technology Center


    One of the most important aspects of the cokemaking process is to control and restrain the coking pressure since excessive coking pressure tends to lead to operational problems and oven wall damage. Therefore, in order to understand the mechanism of coking pressure generation, the permeability of the plastic coal layer and the coking pressure for the same single coal and the same blended coal were measured and the relationship between them was investigated. Then the 'inert' (pressure modifier) effect of organic additives such as high volatile matter coking coal, semi-anthracite and coke breeze was studied. The coking pressure peak for box charging with more uniform bulk density distribution was higher than that for top charging. It was found that the coking pressure peaks measured at different institutions (NSC and BHPBilliton) by box charging are nearly the same. The addition of high volatile matter coking coal, semi-anthracite and coke breeze to a low volatile matter, high coking pressure coal greatly increased the plastic layer permeability in laboratory experiments and correspondingly decreased the coking pressure. It was found that, high volatile matter coking coal decreases the coking pressure more than semi-anthracite at the same plastic coal layer permeability, which indicates that the coking pressure depends not only on plastic coal layer permeability but also on other factors. Coking pressure is also affected by the contraction behavior of the coke layer near the oven walls and a large contraction decreases the coal bulk density in the oven center and hence the internal gas pressure in the plastic layer. The effect of contraction on coking pressure needs to be investigated further. 33 refs., 18 figs., 5 tabs.

  19. The use of fractionated fly ash of thermal power plants as binder for production of briquettes of coke breeze and dust

    Temnikova, E. Yu; Bogomolov, A. R.; Lapin, A. A.


    In this paper, we propose to use the slag and ash material of thermal power plants (TPP) operating on pulverized coal fuel. The elemental and chemical composition of fly ash of five Kuzbass thermal power plants differs insignificantly from the composition of the mineral part of coking coal because coke production uses a charge, whose composition defines the main task: obtaining coke with the required parameters for production of iron and steel. These indicators are as follows: CRI reactivity and strength of the coke residue after reaction with CO2 - CSR. The chemical composition of fly ash of thermal power plants and microsilica with bulk density of 0.3-0.6 t/m3 generated at production of ferroalloys was compared. Fly ash and microsilica are the valuable raw material for production of mineral binder in manufacturing coke breeze briquettes (fraction of 2-10 mm) and dust (0-200 μm), generated in large quantities during coking (up to 40wt%). It is shown that this binder is necessary for production of smokeless briquettes with low reactivity, high strength and cost, demanded for production of cupola iron and melting the silicate materials, basaltic rocks in low-shaft furnaces. It is determined that microsilica contains up to 90% of silicon oxide, and fly ash contains up to 60% of silicon oxide and aluminum oxide of up to 20%. On average, the rest of fly ash composition consists of basic oxides. According to calculation by the VUKHIN formula, the basicity index of briquette changes significantly, when fly ash is introduced into briquette raw material component as a binder. The technology of coke briquette production on the basis of the non-magnetic fraction of TPP fly ash in the ratio from 3.5:1 to 4.5:1 (coke breeze : coke dust) with the addition of the binder component to 10% is proposed. The produced briquettes meet the requirements by CRI and require further study on CSR requirements.

  20. Radial diffusive samplers for determination of 8-h concentration of BTEX, acetone, ethanol and ozone in ambient air during a sea breeze event

    Roukos, Joelle; Locoge, Nadine; Sacco, Paolo; Plaisance, Hervé


    The radial diffusive sampler Radiello ® filled with Carbograph 4 was evaluated for monitoring BTEX, ethanol and acetone concentrations for 8-hour exposure time. The sampling rates were first evaluated in an exposure chamber under standard conditions. Benzene and toluene showed the highest sampling rates with satisfactory standard deviations. Ethylbenzene and xylenes showed medium sampling rates but higher standard deviations that can be attributed to a low affinity of these compounds with the adsorbent medium for short sampling time. Acetone has a fair result because of the increase of its partial pressure in the vicinity of the adsorbent surface in the course of sampling. The Carbograph 4 adsorbent does not seem to be suitable for sampling ethanol, likely because of its high volatility. The influences of three environmental factors (temperature (T), relative humidity (RH) and concentration level (C)) on the sampling rates were also evaluated, following a fractional factorial design at two factor levels (low and high). Results were only investigated on benzene, toluene and acetone. Temperature and relative humidity are found to be the most important factors leading to variability of the benzene and toluene sampling rates. The applicability of the sampler for 8-hour sampling was demonstrated by the results of a measurement campaign carried out during a sea breeze event. Mapping of benzene, toluene and acetone concentrations showed the highest concentrations in the industrial zone following the wind direction coming from the North. Nevertheless, the sea breeze tends to reduce the spread of the industrial plumes. On the contrary, the ozone map presents the lowest concentrations at the same industrial area indicating a net consumption of ozone. The highest ozone concentrations were found in the southeastern zone suggesting a local ozone formation.

  1. Anemia in Chronic Kidney Disease

    ... Cysts Solitary Kidney Your Kidneys & How They Work Anemia in Chronic Kidney Disease What is anemia? Anemia is a condition in which the body ... function as well as they should. How is anemia related to chronic kidney disease? Anemia commonly occurs ...

  2. Images in kidney trauma

    Rodriguez, Jose Luis; Rodriguez, Sonia Pilar; Manzano, Ana Cristina


    A case of a 3 years old female patient, who suffered blunt lumbar trauma (horse kick) with secondary kidney trauma, is reported. Imaging findings are described. Renal trauma classification and imaging findings are reviewed

  3. About Chronic Kidney Disease

    ... detect CKD: blood pressure, urine albumin and serum creatinine. What causes CKD? The two main causes of chronic kidney disease are diabetes and high blood pressure , which are responsible for up to ...

  4. Polycystic kidney disease

    ... don't have other diseases may be good candidates for a kidney transplant. Possible Complications Health problems ... URAC's accreditation program is an independent audit to verify that A.D.A.M. ...

  5. Kidney removal - discharge

    ... Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic and robotic surgery of the kidney. In: Wein AJ, Kavoussi ... Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, ...

  6. Kidney Cancer Risk Questionnaire

    ... NCI Cancer Information A to Z Treatment Roles Cancer Types Bladder Brain/Spine Breast Cervical Colorectal Esophageal Gallbladder Head/Neck Kidney Leukemia Liver Lung Lymphoma Multiple Myeloma Ovarian Pancreatic ...

  7. American Kidney Fund

    ... that you see in the box: Spam Control Text: Please leave this field empty Submit Change ... a kidney health educator Clinical Scientist in Nephrology program Online continuing education Search clinical ...

  8. National Kidney Foundation Newsroom

    ... 11/2018 Using a Home Test Kit and Smartphone to Test for Kidney Disease - 04/10/2018 ... of millions of Americans at risk. The Better Business Bureau Wise Giving Alliance Charity Seal provides the ...

  9. Kidney compartment model

    Gullberg, G.T.


    A multiparameter kidney compartment model which quantitates the amount of iodohippurate concentration as a function of time in the blood, tissue, kidneys and bladder is developed from a system of differential equations which represent first order kinetics. The kinetic data are obtained using a gamma camera and an HP5407 computer system which allows one to delineate areas of interest for the blood and tissue, kidneys, and bladder thus separating the data into four data sets. The estimated tubular transit times have a high ratio of the signal to the variance whereas the estimates of the amount of iodohippurate in the blood, tissue and kidneys have a low ratio of the signal to the variance. Application of this model to patient data requires better statistics than available with conventional 131 I-hippurate doses; thus a true test of the efficacy awaits availability of 123 I-hippurate

  10. Testing for Kidney Disease

    ... mean for you. If you have kidney disease, measuring the albumin in your urine helps your provider ... Staff Directory Budget & Legislative Information Advisory & Coordinating Committees Strategic Plans & Reports Research Areas FAQs Jobs at NIDDK ...

  11. Acquired Cystic Kidney Disease

    ... including diabetes, high blood pressure, glomerulonephritis, and cys tic kidney diseases. Participants in clinical trials can play ... Life Options Rehabilitation Resource Center c/o Medical Education Institute, Inc. 414 D’Onofrio Drive, Suite 200 ...


    Juliana Reichert Assunção Tonelli


    Full Text Available Teaching contexts are essential to establish the relationships between theory and classroom practice. One of the stages in such process consists in observing movements that happens at schools, the actions executed by the teachers and the attitudes and behaviours of the students when contents are taught and the relationships are established. Hence, it was proposed to four pre-service teachers, after they had chosen the teaching context they most identified with and where they would develop their teaching practicum, a moment of reflexion about the role and the importance of previous observation. In this paper we aim at reflecting upon the place of that phase of the teaching practicum considering the chosen contexts: the teaching of English to kindergarteners and to students with special educational needs. Oral texts produced by the pre-service teachers were analyzed based on the theoretical and methodological assumptions of the Sociodiscursive Interactionism, which assumes that all textual production (written and/or oral is part of a socio-cultural-historical context, which determines the context of text production and its use by readers/listeners. Because it is an unexplored performance in English language teaching practicum in the English Language and Literature courses, previous observation of the context was essential for the pre-service teachers decision-making.

  13. [Chronic kidney disease and kidney transplantation].

    Thuret, R; Timsit, M O; Kleinclauss, F


    To report epidemiology and characteristics of end-stage renal disease (ESRD) patients and renal transplant candidates, and to evaluate access to waiting list and results of renal transplantation. An exhaustive systematic review of the scientific literature was performed in the Medline database ( and Embase ( using different associations of the following keywords: "chronic kidney disease, epidemiology, kidney transplantation, cost, survival, graft, brain death, cardiac arrest, access, allocation". French legal documents have been reviewed using the government portal ( Articles were selected according to methods, language of publication and relevance. The reference lists were used to identify additional historical studies of interest. Both prospective and retrospective series, in French and English, as well as review articles and recommendations were selected. In addition, French national transplant and health agencies ( and databases were screened using identical keywords. A total of 3234 articles, 6 official reports and 3 newspaper articles were identified; after careful selection 99 publications were eligible for our review. The increasing prevalence of chronic kidney disease (CKD) leads to worsen organ shortage. Renal transplantation remains the best treatment option for ESRD, providing recipients with an increased survival and quality of life, at lower costs than other renal replacement therapies. The never-ending lengthening of the waiting list raises issues regarding treatment strategies and candidates' selection, and underlines the limits of organ sharing without additional source of kidneys available for transplantation. Allocation policies aim to reduce medical or geographical disparities regarding enrollment on a waiting list or access to an allotransplant. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  14. [Paired kidneys in transplant].

    Regueiro López, Juan C; Leva Vallejo, Manuel; Prieto Castro, Rafael; Anglada Curado, Francisco; Vela Jiménez, Francisco; Ruiz García, Jesús


    Many factors affect the graft and patient survival on the renal transplant outcome. These factors depend so much of the recipient and donor. We accomplished a study trying to circumvent factors that depend on the donor. We checked the paired kidneys originating of a same donor cadaver. We examined the risk factors in the evolution and follow-up in 278 couples of kidney transplant. We describe their differences, significance, the graft and patient survival, their functionality in 3 and 5 years and the risk factors implicated in their function. We study immunogenic and no immunogenic variables, trying to explain the inferior results in the grafts that are established secondly. We regroup the paired kidneys in those that they did not show paired initial function within the same couple. The results yield a discreet deterioration in the graft and patient survival for second group establish, superior creatinina concentration, without obtaining statistical significance. The Cox regression study establishes the early rejection (inferior to three months) and DR incompatibility values like risk factors. This model of paired kidneys would be able to get close to best-suited form for risk factors analysis in kidney transplant from cadaver donors, if more patients examine themselves in the same way. The paired kidneys originating from the same donor do not show the same function in spite of sharing the same conditions of the donor and perioperative management.

  15. Kidney and innate immunity.

    Wang, Ying-Hui; Zhang, Yu-Gen


    Innate immune system is an important modulator of the inflammatory response during infection and tissue injury/repair. The kidney as a vital organ with high energy demand plays a key role in regulating the disease related metabolic process. Increasing research interest has focused on the immune pathogenesis of many kidney diseases. However, innate immune cells such as dendritic cells, macrophages, NK cells and a few innate lymphocytes, as well as the complement system are essential for renal immune homeostasis and ensure a coordinated balance between tissue injury and regeneration. The innate immune response provides the first line of host defense initiated by several classes of pattern recognition receptors (PRRs), such as membrane-bound Toll-like receptors (TLRs) and nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs), together with inflammasomes responsible for early innate immune response. Although the innate immune system is well studied, the research on the detailed relationship between innate immunity and kidney is still very limited. In this review, we will focus on the innate immune sensing system in renal immune homeostasis, as well as the corresponding pathogenesis of many kidney diseases. The pivotal roles of innate immunity in renal injury and regeneration with special emphasis on kidney disease related immunoregulatory mechanism are also discussed. Copyright © 2017 European Federation of Immunological Societies. Published by Elsevier B.V. All rights reserved.

  16. Diabetic kidney disease.

    Thomas, Merlin C; Brownlee, Michael; Susztak, Katalin; Sharma, Kumar; Jandeleit-Dahm, Karin A M; Zoungas, Sophia; Rossing, Peter; Groop, Per-Henrik; Cooper, Mark E


    The kidney is arguably the most important target of microvascular damage in diabetes. A substantial proportion of individuals with diabetes will develop kidney disease owing to their disease and/or other co-morbidity, including hypertension and ageing-related nephron loss. The presence and severity of chronic kidney disease (CKD) identify individuals who are at increased risk of adverse health outcomes and premature mortality. Consequently, preventing and managing CKD in patients with diabetes is now a key aim of their overall management. Intensive management of patients with diabetes includes controlling blood glucose levels and blood pressure as well as blockade of the renin-angiotensin-aldosterone system; these approaches will reduce the incidence of diabetic kidney disease and slow its progression. Indeed, the major decline in the incidence of diabetic kidney disease (DKD) over the past 30 years and improved patient prognosis are largely attributable to improved diabetes care. However, there remains an unmet need for innovative treatment strategies to prevent, arrest, treat and reverse DKD. In this Primer, we summarize what is now known about the molecular pathogenesis of CKD in patients with diabetes and the key pathways and targets implicated in its progression. In addition, we discuss the current evidence for the prevention and management of DKD as well as the many controversies. Finally, we explore the opportunities to develop new interventions through urgently needed investment in dedicated and focused research. For an illustrated summary of this Primer, visit:

  17. [Living kidney donation].

    Timsit, M-O; Kleinclauss, F; Mamzer Bruneel, M F; Thuret, R


    To review ethical, legal and technical aspects of living kidney donor surgery. An exhaustive systematic review of the scientific literature was performed in the Medline database ( and Embase ( using different associations of the following keywords: Donor nephrectomy; Kidney paired donation; Kidney transplantation; Laparoscopic nephrectomy; Living donor; Organs trafficking; Robotic assisted nephrectomy; Vaginal extraction. French legal documents have been reviewed using the government portal ( Articles were selected according to methods, language of publication and relevance. A total of 6421 articles were identified; after careful selection, 161 publications were considered of interest and were eligible for our review. The ethical debate focuses on organ shortage, financial incentive, organ trafficking and the recent data suggesting a small but significant increase risk for late renal disease in donor population. Legal decisions aim to increase the number of kidneys available for donation, such as kidney-paired donation that faces several obstacles in France. Laparoscopic approach became widely used, while robotic-assisted donor nephrectomy failed to demonstrate improved outcome as compared with other minimal invasive techniques. Minimally invasive living donor nephrectomy aims to limit side effects in the donor without increasing the morbidity in this specific population of healthy persons; long term surveillance to prevent the onset of renal disease in mandatory. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. Kidney recipients experiences before during and after kidney transplantation

    Nielsen, Charlotte

    Background Kidney transplantation is considered to be the best treatment for terminal renal insufficiency. Kidney transplant patients report higher quality of life because they avoid regular dialysis treatment that causes side effects, complications, restrictions and limitations in their daily...... and after the kidney transplant, through outpatient visits and during possible hospitalization, which can occur due to complications or disease progression. Objective To explore the coherence of the kidney transplant process in order to explain the lived experiences of kidney recipients before, during...... and after kidney transplantation. Method Participant observation and semi-structured individual interviews was conducted with kidney recipients before, during and after kidney transplantation. Data analysis is inspired by Ricoeur's interpretation theory on three levels: Naive reading; structural analysis...

  19. El desarrollo del Practicum de Pedagogía escolar mediante el campus virtual de la UCM

    Antonio Bautista García-Vera


    Full Text Available La introducción de las Tecnologías de la Información y de la Comunicación (TIC en la enseñanza está dejando atrás modelos de uso en torno a las aulas de informática para, a la vez, proporcionar oportunidades de innovación educativa respecto a nuevas formas de organizar y transformar elementos espaciales y temporales que intervienen en la formación de la ciudadanía y de los futuros profesionales de la sociedad del conocimiento. El reto que asumen las actuales declaraciones del EEES, así como los procesos académicos pedagógicos abiertos de convergencia europea, dibujan un escenario de máximo interés investigador y, específicamente, sobre algunas preocupaciones vigentes de carácter interdisciplinar. En la investigación que presentamos en este artículo concretamos las anteriores posibilidades de innovación organizativa e interdisciplinar con un estudio sobre las posibilidades que ofrece el campus virtual de la Universidad Complutense en el desarrollo del practicum de futuros Licenciados en Pedagogía.

  20. Connexins and the kidney

    Hanner, Fiona; Sørensen, Charlotte Mehlin; Holstein-Rathlou, Niels-Henrik


    Connexins (Cxs) are widely-expressed proteins that form gap junctions in most organs, including the kidney. In the renal vasculature, Cx37, Cx40, Cx43, and Cx45 are expressed, with predominant expression of Cx40 in the endothelial cells and Cx45 in the vascular smooth muscle cells. In the tubules......, the major function of Cxs in the kidney appears to be intercellular communication, although they may also form hemichannels that allow cellular secretion of large signaling molecules. Renal Cxs facilitate vascular conduction, juxtaglomerular apparatus calcium signaling, and tubular purinergic signaling....... Accordingly, current evidence points to roles for these Cxs in several important regulatory mechanisms in the kidney, including the renin angiotensin system, tubuloglomerular feedback, and salt and water reabsorption. At the systemic level, renal Cxs may help regulate blood pressure and may be involved...

  1. Florida Agriculture - Utilizing TRMM to Analyze Sea Breeze Thunderstorm Patterns During El Nino Southern Oscillations and Their Effects Upon Available Fresh Water for South Florida Agricultural Planning and Management

    Billiot, Amanda; Lee, Lucas; McKee, Jake; Cooley, Zachary Clayton; Mitchell, Brandie


    This project utilizes Tropical Rainfall Measuring Mission (TRMM) and Landsat satellite data to assess the impact of sea breeze precipitation upon areas of agricultural land use in southern Florida. Water is a critical resource to agriculture, and the availability of water for agricultural use in Florida continues to remain a key issue. Recent projections of statewide water use by 2020 estimate that 9.3 billion gallons of water per day will be demanded, and agriculture represents 47% of this demand (Bronson 2003). Farmers have fewer options for water supplies than public users and are often limited to using available supplies from surface and ground water sources which depend in part upon variable weather patterns. Sea breeze thunderstorms are responsible for much of the rainfall delivered to Florida during the wet season (May-October) and have been recognized as an important overall contributor of rainfall in southern Florida (Almeida 2003). TRMM satellite data was used to analyze how sea breeze-induced thunderstorms during El Nino and La Nina affected interannual patterns of precipitation in southern Florida from 1998-2009. TRMM's Precipitation Radar and Microwave Imager provide data to quantify water vapor in the atmosphere, precipitation rates and intensity, and the distribution of precipitation. Rainfall accumulation data derived from TRMM and other microwave sensors were used to analyze the temporal and spatial variations of rainfall during each phase of the El Nino Southern Oscillation (ENSO). Through the use of TRMM and Landsat, slight variations were observed, but it was determined that neither sea breeze nor total rainfall patterns in South Florida were strongly affected by ENSO during the study period. However, more research is needed to characterize the influence of ENSO on summer weather patterns in South Florida. This research will provide the basis for continued observations and study with the Global Precipitation Measurement Mission.

  2. Surf Zone Sediment Size Variation, Morphodynamics, and Hydrodynamics During Sea/Land Breeze and El-Norte Storm in Sisal, Yucatan, Mexico

    Alrushaid, T.; Figlus, J.; Torres-Freyermuth, A.; Puleo, J. A.; Dellapenna, T. M.


    Coastlines around the world are under ever-increasing pressure due to population trends, commerce, and geophysical processes like tropical storms and erosion. This multi-institutional field campaign was conducted to improve our understanding of complex nearshore processes under varying forcing conditions on a microtidal, sandy beach located in Sisal, Yucatan from 3/27 to 4/12/2014. Hydrodynamics, morphodynamics, and textural variability were investigated during: (1) a cold front event (referred to as El-Norte); (2) land breeze (LB); and (3) sea breeze (SB). The instrumentation layout included three surf/swash zone cross-shore transects where water elevation, suspended sediment concentration, bed load, and current velocities were measured, as well as several offshore ADCP for hydrodynamic measurements. TKE, τb, ɛ and were estimated using the data obtained from surf zone ADV. In addition, Hs and Tsin the surf zone were computed using measurements from ADV pressure sensors, while a separate pressure transducer was used to obtain water free-surface elevation within the swash zone. During SB cycles the study area experienced wind velocities reaching up to 12ms-1, and 15ms-1 during El-Norte. Elevated wind stress during El-Norte resulted in Hs of 1.5m and 0.6m in water depths of 10m and 0.4m, respectively. Surface sediment grab samples during SB/LB cycles showed that the swash zone had a moderately well sorted distribution with a mean grain size of 0.5mm, while poor sorting and a mean grain size of 0.7mm were found during El-Norte. Additionally, measured bathymetry data showed evidence for offshore sandbar migration during strong offshore currents (0.4ms-1) during El-Norte, while onshore sandbar migration was evident during SB/LB periods (0.3ms-1 and 0.1ms-1, respectively). This study highlights how different weather forcing conditions affect hydrodynamics, morphodynamics, and textural variability on a sandy beach. Aside from furthering our knowledge on these complex

  3. 3D Structures of the Sea-Breeze Front in Dual-Doppler Lidar Analysis and a State-of-the-Art Modeling System

    Chen, G.; Iwai, H.; Seko, H.; Saito, K. K.; Sha, W.; Iwasaki, T.


    Sea breeze occurs at coastal regions around the world, with great impacts on the weather and air quality. Observations and forecasts of the fine-scale structures and local impacts of sea-breeze front (SBF) are a challenge. Three-dimensional structures of a quasi-stationary SBF were observed by dual-Doppler lidar over Sendai Airport in June 2007. Using a state-of-the-art local prediction system in which a computational fluid dynamics model is nested to a mesoscale model with data assimilation, we perform a realistic simulation of the observed SBF structures at 10-m resolution. Numerical simulations reproduce the detailed features of the SBF, such as frontal lobes/clefts, intense updrafts, rear downdrafts, and Kelvin-Helmholtz billows, consistent with lidar observations. Several localized maxima of updrafts occur at the active SBF lobes with ascending marine air mass and adjacent windward sides, where the ambient warm flows encounter a steep front face and penetrate SBF aloft. Strong downdrafts of marine cool air dominate at the SBF rear where they trap a high concentration of air pollutants. These features are regularly activated by the arc-shaped gravity currents at a horizontal scale of several kilometers and a period of 30 minutes. They are also influenced by the coastal buildings and strongly regulate the spatio-temporal variations of local winds near surface. The findings suggest that a novel full-scale nested prediction system has potential for forecasting coastal weather and environment at high precision, which are valuable for aviation safety, marine activities, and air quality monitoring. AcknowledgmentsThis study was supported by the Strategic Programs for Innovative Research (SPIRE) funded by the Japan Ministry of Education, Culture, Sports, Science and Technology (MEXT). The numerical calculations were performed using the K computer at RIKEN Advanced Institute for Computational Science (Proposal numbers hp130012 and hp140220). The observational data were

  4. Chronic Kidney Disease.

    Webster, Angela C; Nagler, Evi V; Morton, Rachael L; Masson, Philip


    The definition and classification of chronic kidney disease (CKD) have evolved over time, but current international guidelines define this condition as decreased kidney function shown by glomerular filtration rate (GFR) of less than 60 mL/min per 1·73 m 2 , or markers of kidney damage, or both, of at least 3 months duration, regardless of the underlying cause. Diabetes and hypertension are the main causes of CKD in all high-income and middle-income countries, and also in many low-income countries. Incidence, prevalence, and progression of CKD also vary within countries by ethnicity and social determinants of health, possibly through epigenetic influence. Many people are asymptomatic or have non-specific symptoms such as lethargy, itch, or loss of appetite. Diagnosis is commonly made after chance findings from screening tests (urinary dipstick or blood tests), or when symptoms become severe. The best available indicator of overall kidney function is GFR, which is measured either via exogenous markers (eg, DTPA, iohexol), or estimated using equations. Presence of proteinuria is associated with increased risk of progression of CKD and death. Kidney biopsy samples can show definitive evidence of CKD, through common changes such as glomerular sclerosis, tubular atrophy, and interstitial fibrosis. Complications include anaemia due to reduced production of erythropoietin by the kidney; reduced red blood cell survival and iron deficiency; and mineral bone disease caused by disturbed vitamin D, calcium, and phosphate metabolism. People with CKD are five to ten times more likely to die prematurely than they are to progress to end stage kidney disease. This increased risk of death rises exponentially as kidney function worsens and is largely attributable to death from cardiovascular disease, although cancer incidence and mortality are also increased. Health-related quality of life is substantially lower for people with CKD than for the general population, and falls as GFR

  5. Screening for Chronic Kidney Disease

    Understanding Task Force Recommendations Screening for Chronic Kidney Disease The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation on Screening for Chronic Kidney Disease (CKD) . This recommendation ...

  6. Environmental pollution and kidney diseases.

    Xu, Xin; Nie, Sheng; Ding, Hanying; Hou, Fan Fan


    The burden of disease and death attributable to environmental pollution is becoming a public health challenge worldwide, especially in developing countries. The kidney is vulnerable to environmental pollutants because most environmental toxins are concentrated by the kidney during filtration. Given the high mortality and morbidity of kidney disease, environmental risk factors and their effect on kidney disease need to be identified. In this Review, we highlight epidemiological evidence for the association between kidney disease and environmental pollutants, including air pollution, heavy metal pollution and other environmental risk factors. We discuss the potential biological mechanisms that link exposure to environmental pollutants to kidney damage and emphasize the contribution of environmental pollution to kidney disease. Regulatory efforts should be made to control environmental pollution and limit individual exposure to preventable or avoidable environmental risk. Population studies with accurate quantification of environmental exposure in polluted regions, particularly in developing countries, might aid our understanding of the dose-response relationship between pollutants and kidney diseases.

  7. National Kidney Disease Education Program

    ... Living Tips About WIN NIDDK Information Clearinghouses National Kidney Disease Education Program Improving the understanding, detection, and ... Group Learn more about Working Groups Learn about Kidney Disease Find information for people with or at ...

  8. Kidney stones - self-care

    ... self-care; Nephrolithiasis and self-care; Stones and kidney - self-care; Calcium stones and self-care; Oxalate ... provider or the hospital because you have a kidney stone. You will need to take self-care ...

  9. Anemia in Chronic Kidney Disease

    ... artérielle Heart Disease Mineral & Bone Disorder Anemia in Chronic Kidney Disease What is anemia? Anemia is a condition in ... as they should. How is anemia related to chronic kidney disease? Anemia commonly occurs in people with chronic kidney ...

  10. Urological Complications in Kidney Transplantation

    I.K.B. Slagt (Inez)


    markdownabstract__Abstract__ The kidney is an essential organ that plays an crucial role in acid-base balance, sodium and potassium balance, calcium metabolism, regulation of blood pressure, red blood cell synthesis and excretion of metabolites. Kidney diseases may result in kidney

  11. Chapter 12. Kidneys

    Floyrac, R.; Sulman, C.


    The isotopic kidney check-up consists of the isotopic nephrogram with simultaneous clearance measurement. For clinicians it supplies a set of data which no other method can provide so quickly. This check-up offers many advantages. The examination is simple: after intraveinous injection of hippuran 131 I the radioactivity is followed for 20 minutes in the kidney, heart and bladder by external counting. A blood sample is taken between the 10th and 20th minutes and the urine collected at the 20th minute. The glomerular clearance may be calculated by injecting 125 I hypaque at the same time. The examination is fast: the process lasts half an hour altogether. The only preparation is an adequate hydration of the patient before the test. The examination is absolutely harmless: internal irradiation of the patient is negligible. Numerous data are obtained: pathological changes in the nephrogram: reduced affinity of a kidney for hippuran, heterogeneity of the nephrons, slowing down of transit times, intraparenchyme stases; blood concentration of hippuran and hypaque at the 10th or 20th minute, elimination in the urine at the 20th minute; total blood purification and glomerular and tubular excretion clearances, clearance of each kidney separately. No other method as simple, fast and harmless can yield such a complete set of data. Very often the nephrograms are obtained from gamma-camera recording on the dynamic mode, which allows a morphological study to be carried out at the same time [fr

  12. Drugs and the kidney

    Occasionally, strategies to prevent acute kidney insufficiency cause irreversible CKD, ... heart failure (acute or chronic), pulmonary ... wide range of pathological and physiological effects. ... and indomethacin have short half-lives, ... Tissue injury .... changed. Maintenance doses or the dosing interval may have to be adjusted.

  13. Kidneys and urinary system

    Nair, G


    Nuclear medicine studies, through primarily concerned with the functional aspects of the organ, can also provide useful information about the anatomy. An understanding of the anatomy and physiology of the kidneys and urinary system greatly helps in the interpretation of data from radionuclide studies 9 figs, 3 tabs

  14. Kidney transplantation and hyperparathyroidism

    O. N. Vetchinnikova


    Full Text Available Successful kidney transplantation eliminates endocrine and metabolic disorders that predispose to the development of hyperparathyroidism, the complication typical for the chronic kidney disease; but the process of recovery from mineral and bone disorders is slowed down. The highest incidence of post-transplant hyperparathyroidism is recorded in the first postoperative year. The risk factors for its development or persistence include the high blood levels of parathyroid hormone, calcium, phosphorus, and/or alkaline phosphatase, a prolonged dialysis therapy, severe hyperparathyroidism in the preoperative period, vitamin D deficiency, a suboptimal transplanted kidney function, and also the recipient's previous history of subtotal or incomplete parathyroidectomy. The characteristic clinical and laboratory signs of posttransplant hyperparathyroidism are bone lesions, kidney graft abnormalities, hypercalcemia, and hypophosphatemia. The diagnostic algorithm includes monitoring the markers of mineral and bone metabolism, determining the bone mineral density, and imaging of thyroid glands. Correction of post-transplant hyperparathyroidism is performed surgically or pharmacologically. The article specifies the indications to, the extent and timing of parathyroidectomy, discusses the use of native vitamin D formulations, its analogues, and calcimimetics.

  15. Hypertension after kidney transplantation

    Dobrowolski, L.C.


    Hypertension increases the cardiovascular risk in kidney transplant recipients (KTRs). In chapter 2 we found that hypertension was highly prevalent in adult (77.2%), paediatric (62.7%) and young adult (86.4%) KTRs. Transition from the paediatric to adult care did not affect hypertension and there

  16. Kidneys and urinary system

    Nair, G.


    Nuclear medicine studies, through primarily concerned with the functional aspects of the organ, can also provide useful information about the anatomy. An understanding of the anatomy and physiology of the kidneys and urinary system greatly helps in the interpretation of data from radionuclide studies

  17. Kidney injury in cirrhosis

    Møller, Søren; Krag, Aleksander; Bendtsen, Flemming


    Acute kidney injury (AKI) is frequent in patients with cirrhosis. AKI and hyponatraemia are major determinants of the poor prognosis in advanced cirrhosis. The hepatorenal syndrome (HRS) denotes a functional and potential reversible impairment of renal function. Type 1 HRS, a special type of AKI...

  18. Local scale atmospheric diffusion at a coastal site in the presence of breeze effect (Phase I and II: data collection at a coastal site and off shore)

    Cagnetti, P.; Ferrara, V.; Pellegrini, A.


    The aim of this contract is the characterization, from the thermal and anemological point of view of the lower layers of the atmosphere at a coastal site, affected by breeze circulation. Data are utilized to set up diffusion models for accidental releases of airborne materials, both of short and prolonged duration. Five inland meteorological campaigns, starting from Jan. 82 (Jan., Apr., Jul., Oct. 1982, Jan. 1983), have been carried out; an appropriate extension of the contract allowed the execution of two more campaigns in the open sea (Apr., Jul. 1983), utilizing the oceanographic ship ''Bannock'' kindly supplied by CNR. The analysis of the data showed the development of a well defined IBL during on-shore flow only in Spring and Summer, while an inversion layer was detectable aloft independently of the season (provided that an anticyclonic situation was present). According to those relevant features a simple diffusion model has been developed for short duration releases at local scale. Finally, the analysis and elaboration of the data, collected on site by a meteorological automatic station, allowed the extension of the model to prolonged releases

  19. Local scale atmospheric diffusion at a coastal site in the presence of breeze effect (phase III: data elaboration and model development). Volume 1

    Cagnetti, P.; Ferrara, V.; Pellegrini, A.


    The aim of this contract is the characterization, from the thermal and anemological point of view, of the lower layers of the atmosphere at a coastal site, affected by breeze circulation. Data are utilized to set up diffusion models for accidental releases of airborne materials, both of short and prolonged duration. Five inland meteorological campaigns, starting from Jan. 82 (Jan., Apr., Jul., Oct. 1982, Jan. 1983), have been carried out; an appropriate extension of the contract allowed the execution of two more campaigns in the open sea (Apr., Jul. 1983), utilizing the oceanographic ship ''Bannock'' kindly supplied by CNR. The analysis of the data showed the development of a well defined IBL during on-shore flow only in Spring and Summer, while an inversion layer was detectable aloft independently of the season (provided that an anticyclonic situation was present). According to those relevant features a simple diffusion model has been developed for short duration releases at local scale. Finally, the analysis and elaboration of the data, collected on site by a meteorological automatic station, allowed the extension of the model to prolonged releases

  20. Diseño e implementación de una aplicación para la gestión del Practicum en la facultad de Educación de la UAH

    Beato Álvaro, David


    El presente trabajo fin de grado tiene como objetivo el diseño, creación, desarrollo e implementación de una aplicación que gestione de forma eficiente los Practicum de la Facultad de Educación de la UAH. Para esa tarea la aplicación recibirá (en formato Excel): - Datos acerca de los centros de la comunidad de Madrid y de Guadalajara, con las plazas que oferta cada uno de los centros escolares para los Practicum y su especialidad, como Audición y lenguaje, Lengua Extranjera, Educación musical...

  1. Rhabdomyosarcoma of the kidney

    Alaa Samkari


    Full Text Available Rhabdomyosarcoma is considered the most common soft tissue sarcoma arising in patients younger than 15 years old, accounting for 5%–10% of childhood solid tumors. Sarcoma of the kidney represents 1% of all primary renal malignancies. Primary renal rhabdomyosarcoma is a very rare entity with limited number of cases reported in the literature. In this paper we present two cases of primary renal rhabdomyosarcoma in pediatric patients. The two tumors involved the renal parenchyma and occurred in 2-year-old girl and 6-year-old boy, respectively. Histopathology examination and immunohistochemistry studies confirm the diagnosis of embryonal rhabdomyosarcoma with pleomorphic component, and pleomorphic rhabdomyosarcoma, respectively. Both cases are treated with chemotherapy and show a good response with no evidence of recurrence or metastasis. The aim of this paper is to expand the differential diagnosis of primary mesenchymal kidney tumors in pediatric age group. Keywords: Rhabdomyosarcoma, Renal neoplasm, Pediatric, Oncology

  2. Kidney Transplantation in Iran

    Behzad Einollahi


    Kidney transplantation in patients with end stage renal diseaseis preferred to dialysis because transplantation provides a betterquality of life and improved survival. However, the gapbetween the supply and demand for a renal allograft is wideningand the waiting time is increasing. Iranian protocol, a controlledtransplant program supported by the government forliving unrelated donors, was initiated for solving the problemof organ shortage. Although this system might experiencechallenges, clea...

  3. Pediatric Acute Kidney Injury.

    Fragasso, Tiziana; Ricci, Zaccaria; Goldstein, Stuart L


    Acute kidney injury (AKI) in children is a serious condition with an important impact on morbidity and mortality. Onset can be insidious and it is frequently unrecognized in the early phase when the therapeutic opportunities are theoretically more effective. The present review focuses on the most recent epidemiology studies and the progress in pediatric AKI (pAKI) research. Standardization of definition (presented in the Kidney Disease: Improving Global Outcomes) and novel biomarkers have been developed to help clinicians recognize kidney injury in a timely manner, both in adult and pediatric populations. Strengths and weaknesses of these diagnostic tools are discussed and the clinical scoring system (Renal Angina Index), which aims to provide a rational context for biomarker utilization, is also presented. Even if effective treatments are not currently available for established AKI, specific preventive approaches and some promising pharmacological treatments will be detailed. Renal replacement therapy is currently considered the most effective way to manage fluid balance when severe AKI occurs. Key Messages: Great efforts in pAKI research have today led to new strategies for early AKI detection and prevention strategies. Further studies have to be conducted in the next future in order to definitely improve the outcomes of pediatric patients experiencing this deadly syndrome. © 2018 S. Karger AG, Basel.

  4. Comment: Kidney exchange to overcome financial barriers to kidney transplantation

    Baines, L.S.; Jindal, R.M.


    Rees et al. have shown the feasibility of global kidney exchange (GKE) to overcome financial cost and address the current shortage of organs for transplantation. Wiseman and Gill, question their interpretation of definition of "financial incompatibility". The authors1 do not factor in the well documented cognitive and emotional aspects of kidney transplantation. Particularly, relevant to kidney transplantation is how patients calculate risk and the emotional turmoil characterised by anxiety a...

  5. Pre-Practicum Training in Professional Psychology to Close the Research-Practice Gap: Changing Attitudes Towards Evidence-Based Practice.

    Bearman, Sarah Kate; Wadkins, Melanie; Bailin, Abby; Doctoroff, Greta


    Despite the rapid proliferation of mental health interventions with proven benefit for youth, empirically supported interventions (ESIs) are underutilized in most service settings. Treatment outcome studies in these community-based settings suggest that the majority of youth do not show improvement, underscoring the importance of addressing the gap between research and practice. Clinician attitudes toward evidence-based practice (EBP) may limit the use of ESIs, and efforts to address these attitudes with post-graduate training pose significant challenges. Pre-practicum training in EBP may address these challenges by familiarizing students with the framework of EBP as well as with the current youth treatment evidence base and the theories and strategies of well-supported interventions. We describe a required EBP course within a professional psychology doctoral program. Forty-two students in two class cohorts completed a measure of attitudes toward EBP prior to the first class and after the final class lecture. Students were predominantly Caucasian women with bachelor's degrees. As expected, over the course of the class, student attitudes became significantly more favorable toward EBP. Students who had previously received a master's degree had more favorable attitudes prior to the class, and students with a prior bachelor's degree showed the greatest change in attitude. The results support the use of pre-practicum training in EBP to improve attitudes toward EBP, which may lead to use of effective practices with clients following training.

  6. Conceptual design of modular fixture for frame welding and drilling process integration case study: Student chair in UNS industrial engineering integrated practicum

    Darmawan, Tofiq Dwiki; Priadythama, Ilham; Herdiman, Lobes


    Welding and drilling are main processes of making chair frame from metal material. Commonly, chair frame construction includes many arcs which bring difficulties for its welding and drilling process. In UNS industrial engineering integrated practicum there are welding fixtures which use to fixing frame component position for welding purpose. In order to achieve exact holes position for assembling purpose, manual drilling processes were conducted after the frame was joined. Unfortunately, after it was welded the frame material become hard and increase drilling tools wear rate as well as reduce holes position accuracy. The previous welding fixture was not equipped with clamping system and cannot accommodate drilling process. To solve this problem, our idea is to reorder the drilling process so that it can be execute before welding. Thus, this research aims to propose conceptual design of modular fixture which can integrate welding and drilling process. We used Generic Product Development Process to address the design concept. We collected design requirements from 3 source, jig and fixture theoretical concepts, user requirements, and clamping part standards. From 2 alternatives fixture tables, we propose the first which equipped with mounting slots instead of holes. We test the concept by building a full sized prototype and test its works by conducting welding and drilling of a student chair frame. Result from the welding and drilling trials showed that the holes are on precise position after welding. Based on this result, we conclude that the concept can be a consideration for application in UNS Industrial Engineering Integrated Practicum.

  7. ABO-incompatible kidney transplantation

    Schousboe, Karoline; Titlestad, Kjell; Baudier, Francois


    INTRODUCTION: Kidney transplantation is the optimal treatment for many patients with end-stage renal disease (ESRD). Due to shortage of donor kidneys in Denmark, there is a need to expand the possibilities for donation. At the Odense University Hospital (OUH), we have introduced ABO......-incompatible kidney transplantation. We used antigenspecific immunoadsorptions to remove blood group antibodies and anti-CD20 antibody (rituximab) to inhibit the antibody production. The aim of introducing the ABO-incompatible kidney transplantation at the OUH was to increase the rate of living donor kidney...... transplantation without increasing rejection or mortality rates. MATERIAL AND METHODS: Retrospective evaluation. Eleven patients received ABO-incompatible kidney transplantation. The patients were followed for 3-26 months. RESULTS: One patient had an antibody-mediated rejection, one patient suffered T...

  8. Chronic kidney disease and anticoagulation

    Sciascia, Savino; Radin, Massimo; Schreiber, Karen


    Anticoagulation in patients with impaired kidney function can be challenging since drugs' pharmacokinetics and bioavailability are altered in this setting. Patients with chronic kidney disease (CKD) treated with conventional anticoagulant agents [vitamin K antagonist (VKA), low-molecular weight...... are eliminated via the kidneys pose additional challenges. More recently, two classes of direct oral anticoagulant agents (DOACs) have been investigated for the prevention and management of venous thromboembolic events: the direct factor Xa inhibitors rivaroxaban, apixaban and edoxaban, and the direct thrombin...

  9. Immune System and Kidney Transplantation.

    Shrestha, Badri Man


    The immune system recognises a transplanted kidney as foreign body and mounts immune response through cellular and humoral mechanisms leading to acute or chronic rejection, which ultimately results in graft loss. Over the last five decades, there have been significant advances in the understanding of the immune responses to transplanted organs in both experimental and clinical transplant settings. Modulation of the immune response by using immunosuppressive agents has led to successful outcomes after kidney transplantation. The paper provides an overview of the general organisation and function of human immune system, immune response to kidney transplantation, and the current practice of immunosuppressive therapy in kidney transplantation in the United Kingdom.

  10. Marginal kidney donor

    Ganesh Gopalakrishnan


    Full Text Available Renal transplantation is the treatment of choice for a medically eligible patient with end stage renal disease. The number of renal transplants has increased rapidly over the last two decades. However, the demand for organs has increased even more. This disparity between the availability of organs and waitlisted patients for transplants has forced many transplant centers across the world to use marginal kidneys and donors. We performed a Medline search to establish the current status of marginal kidney donors in the world. Transplant programs using marginal deceased renal grafts is well established. The focus is now on efforts to improve their results. Utilization of non-heart-beating donors is still in a plateau phase and comprises a minor percentage of deceased donations. The main concern is primary non-function of the renal graft apart from legal and ethical issues. Transplants with living donors outnumbered cadaveric transplants at many centers in the last decade. There has been an increased use of marginal living kidney donors with some acceptable medical risks. Our primary concern is the safety of the living donor. There is not enough scientific data available to quantify the risks involved for such donation. The definition of marginal living donor is still not clear and there are no uniform recommendations. The decision must be tailored to each donor who in turn should be actively involved at all levels of the decision-making process. In the current circumstances, our responsibility is very crucial in making decisions for either accepting or rejecting a marginal living donor.

  11. Transplantation of Kidneys From Donors With Acute Kidney Injury: Friend or Foe?

    Boffa, C.; van de Leemkolk, F.; Curnow, E.; Homan van der Heide, J.; Gilbert, J.; Sharples, E.; Ploeg, R. J.


    The gap between supply and demand in kidney transplantation has led to increased use of marginal kidneys; however, kidneys with acute kidney injury are often declined/discarded. To determine whether this policy is justified, we analyzed outcomes of donor kidneys with acute kidney injury (AKI) in a

  12. Kidney Exchange to Overcome Financial Barriers to Kidney Transplantation.

    Rees, M A; Dunn, T B; Kuhr, C S; Marsh, C L; Rogers, J; Rees, S E; Cicero, A; Reece, L J; Roth, A E; Ekwenna, O; Fumo, D E; Krawiec, K D; Kopke, J E; Jain, S; Tan, M; Paloyo, S R


    Organ shortage is the major limitation to kidney transplantation in the developed world. Conversely, millions of patients in the developing world with end-stage renal disease die because they cannot afford renal replacement therapy-even when willing living kidney donors exist. This juxtaposition between countries with funds but no available kidneys and those with available kidneys but no funds prompts us to propose an exchange program using each nation's unique assets. Our proposal leverages the cost savings achieved through earlier transplantation over dialysis to fund the cost of kidney exchange between developed-world patient-donor pairs with immunological barriers and developing-world patient-donor pairs with financial barriers. By making developed-world health care available to impoverished patients in the developing world, we replace unethical transplant tourism with global kidney exchange-a modality equally benefitting rich and poor. We report the 1-year experience of an initial Filipino pair, whose recipient was transplanted in the United states with an American donor's kidney at no cost to him. The Filipino donor donated to an American in the United States through a kidney exchange chain. Follow-up care and medications in the Philippines were supported by funds from the United States. We show that the logistical obstacles in this approach, although considerable, are surmountable. © 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.

  13. Obesity and kidney protection.

    Chandra, Aravind; Biersmith, Michael; Tolouian, Ramin


    Obesity, both directly and indirectly, increases the risk for a variety of disease conditions including diabetes, hypertension, liver disease, and certain cancers, which in turn, decreases the overall lifespan in both men and women. Though the cardiovascular risks of obesity are widely acknowledged, less often identified is the relationship between obesity and renal function. Directory of Open Access Journals (DOAJ), Google Scholar, PubMed, EBSCO and Web of Science has been searched. The concept of the "Metabolic Syndrome" helps us to understand this close link between obesity, diabetes, hypertension, and renal dysfunction. An elevated body mass index has shown to be one of the major determinants of glomerular hyperfiltration that lead to the development of chronic kidney disease. Interestingly, weight loss can lead to attenuation of hyperfiltration in severely obese patients suggesting a possible therapeutic option to combat obesity-related hyperfiltration. Various treatment strategies had been suggested to decrease impact of obesity on kidneys. These are blood pressure controling, inhibition of the renin-angiotensinaldosterone axis, improving glycemic control, improving dyslipidemia, improving protein uriaand lifestyle modifications. Regardless of the numerous pharmacotherapies, the focus should be on the root cause: obesity.

  14. Mineral & Bone Disorder in Chronic Kidney Disease

    ... Clinical trials that are currently open and are recruiting can be viewed at . This ... about Kidney Failure and How it’s Treated Treatment Methods for Kidney Failure: Hemodialysis Treatment Methods for Kidney ...

  15. Kidney Disease: Early Detection and Treatment

    ... Bar Home Current Issue Past Issues Special Section Kidney Disease: Early Detection and Treatment Past Issues / Winter ... called a "urine albumin-to-creatinine ratio." Treating Kidney Disease Kidney disease is usually a progressive disease, ...

  16. Kidney Stones in Children and Teens

    ... Issues Listen Español Text Size Email Print Share Kidney Stones in Children and Teens Page Content Article ... teen girls having the highest incidence. Types of Kidney Stones There are many different types of kidney ...

  17. Kidney Tests: MedlinePlus Health Topic

    ... Spanish Total protein (Medical Encyclopedia) Also in Spanish Topic Image MedlinePlus Email Updates Get Kidney Tests updates ... hour volume Show More Show Less Related Health Topics Kidney Cancer Kidney Diseases National Institutes of Health ...

  18. Kidneys and How They Work

    ... Clinical Trials Anemia High Blood Pressure Heart Disease Mineral & Bone Disorder Diabetes Inspidus Glomerular Diseases Goodpasture Syndrome Henoch- ... The kidneys are important because they keep the composition, or makeup, of the blood ... blood cells bones stay strong How do the kidneys work? The ...

  19. Cancer rates after kidney transplantation

    Sodemann, Ulrik; Bistrup, Claus; Marckmann, Peter


    Previous studies demonstrated a 3-5-fold increased cancer risk in kidney allograft recipients compared with the general population. Our aim was to estimate cancer frequencies among kidney allograft recipients who were transplanted in 1997-2000 and who were immunosuppressed according to a more...

  20. Epidemiology of Kidney Cancer

    D. Pascual


    Full Text Available Some tumors are known to have a definite cause-effect etiology, but renal cell carcinoma (RCC is not one of them precisely. With regard to RCC we can only try to identify some clinical and occupational factors as well as substances related to tumorigenesis. Smoking, chemical carcinogens like asbestos or organic solvents are some of these factors that increase the risk of the RCC. Viral infections and radiation therapy have also been described as risk factors. Some drugs can increase the incidence of RCC as well as other neoplasms. Of course, genetics plays an outstanding role in the development of some cases of kidney cancer. Chronic renal failure, hypertension, and dialysis need to be considered as special situations. Diet, obesity, lifestyle, and habits can also increase the risk of RCC. The aim of this review is to summarize the well-defined causes of renal cell carcinoma.

  1. Revision de materiales y recursos utilizados en educación infantil en el idioma inglés durante el periodo del practicum

    Navarro Ansón, María


    Éste es un Trabajo de Fin de Grado en el cual se desarrolla una revisión bibliográfica sobre los materiales y recursos utilizados en Educación Infantil en la enseñanza del inglés. Además, hay aportaciones propias de la autora, tras su experiencia en el Practicum y los conocimientos adquiridos durante la realización del Grado. En el trabajo se hace una breve reseña sobre la importancia de la enseñanza de un segundo idioma extranjero en Educación Infantil. Además, se analizan los diferentes ...

  2. Keep Your Kidneys Healthy: Catch Kidney Disease Early

    ... your blood. Each kidney contains about a million tiny filters that can process around 40 gallons of fluid every day—about enough to fill a house’s hot water heater. When blood passes through the ...

  3. Diagnosis of diabetic kidney disease

    Persson, Frederik; Rossing, Peter


    Approximately 20% to 40% of patients with type 1 or type 2 diabetes mellitus develop diabetic kidney disease. This is a clinical syndrome characterized by persistent albuminuria (> 300 mg/24 h, or > 300 mg/g creatinine), a relentless decline in glomerular filtration rate (GFR), raised arterial...... sign of diabetic nephropathy, the first symptom is usually peripheral edema, which occurs at a very late stage. Regular, systematic screening for diabetic kidney disease is needed in order to identify patients at risk of or with presymptomatic diabetic kidney disease. Annual monitoring of urinary...


    D. N. Mihnovets


    Full Text Available Researches give grounds to believe in the possibility of receiving briquettes from coke waste mixed with peat dry coal and their use for smelting iron in the cupola or as a household fuel.

  5. Kidney (Renal Cell) Cancer—Patient Version

    Kidney cancer can develop in adults and children. The main types of kidney cancer are renal cell cancer, transitional cell cancer, and Wilms tumor. Certain inherited conditions increase the risk of kidney cancer. Start here to find information on kidney cancer treatment, research, and statistics.

  6. Flu Season and Your Kidneys

    ... Cares Peers Support Ask the Doctor My Food Coach Nutrition Dialysis Patient & Family Resources Emergency Resources A ... State Charity Registration Disclosures © 2017 National Kidney Foundation, Inc., 30 East 33rd Street, New York, NY 10016, ...

  7. Compensative hypertrophy of the kidney

    Raynaud, C.


    Several measurement methods are available to practitioners to reveal a compensative hypertrophy. Mensuration of the kidney has the advantage of simplicity but is in fact an unreliable and inaccurate method. Separate clearances in their traditional form have never entered into routine use because of the disadvantages of ureteral catheterism. The use of radioactive tracers avoids this drawback, but clearances calculated in this way are only valid in the absence of obstructive urinary disorders. Solutions have been proposed, but the values obtained are no longer identical with the clearances. The Hg uptake test quantifies quite accurately the function of each kidney. From the results obtained a complete compensative hypertrophy developed on a healthy kidney and an incomplete compensative hypertrophy developed on the diseased kidney have been described. In each of these situations the degree to which compensative hypertrophy develops seems to be fixed at a given level peculiar to each patient [fr

  8. Sexuality and Chronic Kidney Disease

    ... Events Advocacy Donate A to Z Health Guide Sexuality and Kidney Disease Tweet Share Print Email Can ... It's something everyone needs. Many people think that sexuality refers only to sexual intercourse. But sexuality includes ...

  9. Organoids: Modelling polycystic kidney disease

    Romagnani, Paola


    Cysts were generated from organoids in vitro and the removal of adherent cues was shown to play a key role in polycystic kidney disease progression. These cysts resembled those of diseased tissue phenotypically and were capable of remodelling their microenvironment.

  10. Kidney transplantation in the elderly.

    Singh, Neeraj; Nori, Uday; Pesavento, Todd


    Recent outcome data, ongoing organ shortage and proposed changes in allocation policies are driving the need to review current practices and possible future course of kidney transplantation in the elderly patients. A proposed new kidney allocation system based on matching donor and recipient characteristics to enable 'age-matched' kidney allocation is currently being discussed in the USA. While this system benefits younger recipients, implications for elderly recipients receiving older grafts remain a matter of debate. Despite improved outcomes, there remain significant challenges to kidney transplantation in the elderly, including organ shortage, poor transplant rate, evolving allocation policies, high wait-list mortality and nonstandardized immunosuppression. Prospective studies are needed to evaluate the strategies to meet these challenges and to study the impact of proposed new allocation system.

  11. Pain Medicines and Kidney Damage

    ... acute illnesses involving fluid loss or decreased fluid intake. Other patients in these reports had risk factors such as systemic lupus erythematosus, advanced age, chronic kidney disease, or recent heavy alcohol consumption. These cases involved a single dose in ...

  12. Imaging of a supernumerary kidney

    Koureas, A.P.; Panourgias, E.C.; Gouliamos, A.D.; Trakadas, S.J.; Vlahos, L.J.


    A 33-year-old female patient was investigated for a right lower quadrant pain. The investigation, which included an excretory urography and a computed tomography examination, revealed a normal kidney on the right side and another two normal sized, complete kidneys on the left side, which appeared to have a small parenchymal bridge. The patient was treated surgically for a cyst of the right ovary. (orig.)

  13. Imaging of a supernumerary kidney

    Koureas, A.P.; Panourgias, E.C.; Gouliamos, A.D.; Trakadas, S.J.; Vlahos, L.J. [Dept. of Radiology, Areteion Hospital, Athens (Greece)


    A 33-year-old female patient was investigated for a right lower quadrant pain. The investigation, which included an excretory urography and a computed tomography examination, revealed a normal kidney on the right side and another two normal sized, complete kidneys on the left side, which appeared to have a small parenchymal bridge. The patient was treated surgically for a cyst of the right ovary. (orig.)

  14. Radiological imaging of the kidney

    Quaia, Emilio (ed.) [Trieste Univ. Ospedale di Cattinara (Italy). Ist. Radiologia


    This book provides a unique and comprehensive analysis of the normal anatomy and pathology of the kidney and upper urinary tract from the modern diagnostic imaging point of view. The first part is dedicated to the embryology and normal radiological anatomy of the kidney and anatomic variants. The second part presents in detail all of the imaging modalities which can be employed to assess the kidney and the upper urinary tract, including ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography. Patient preparation and investigation protocols are accurately described, and the principal fields of application of each imaging modality are clearly highlighted. The entire spectrum of kidney pathologies is then presented in a series of detailed chapters. Each pathology is illustrated by high-quality images obtained with state of the art equipment and the most advanced imaging modalities, as well as by figures showing macroscopic and microscopic specimens. The latest innovations in interventional radiology, biopsy procedures, and parametric and molecular imaging are also described, as is the relationship between contrast media and kidney function. This book will be of great interest to all radiologists, oncologists, and urologists who are involved in the management of kidney pathologies in their daily clinical practice. (orig.)

  15. Radiological imaging of the kidney

    Quaia, Emilio


    This book provides a unique and comprehensive analysis of the normal anatomy and pathology of the kidney and upper urinary tract from the modern diagnostic imaging point of view. The first part is dedicated to the embryology and normal radiological anatomy of the kidney and anatomic variants. The second part presents in detail all of the imaging modalities which can be employed to assess the kidney and the upper urinary tract, including ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography. Patient preparation and investigation protocols are accurately described, and the principal fields of application of each imaging modality are clearly highlighted. The entire spectrum of kidney pathologies is then presented in a series of detailed chapters. Each pathology is illustrated by high-quality images obtained with state of the art equipment and the most advanced imaging modalities, as well as by figures showing macroscopic and microscopic specimens. The latest innovations in interventional radiology, biopsy procedures, and parametric and molecular imaging are also described, as is the relationship between contrast media and kidney function. This book will be of great interest to all radiologists, oncologists, and urologists who are involved in the management of kidney pathologies in their daily clinical practice. (orig.)

  16. The three-kidney rat

    Provoost, A.P.; Van Aken, M.


    In contrast to the numerous research into the adaption of renal function when nephons are lost, much less attention has been paid to the effects of an extra kidney. Through the availability of inbred rat strains, techniques to transplant rat kidneys, and methods to measure total and individual kidney function repeatedly in the same animal, it became possible to study the renal function in rats with three kidneys. Adult male rats of a highly inbred Wistar strain were used. Nine recipients of a third kidney (3-K) were compared with 5 sham operated control (2-K) rats. The total GFR, as measured by the plasma clearance of Cr-5l EDTA, was taken 1,3,6,9, and 15 weeks after operation. The contribution of each kidney to the total renal function was determined by a Tc-99m DTPA scan performed at weeks 10 and 16. After transplantation the total GFR of 3-K rats was, in general, not different from the value before transplantation or from that of 2-K rats. The lack of increase of the GFR of 3-K rats was not the result of a non-functioning graft

  17. Hereditary Causes of Kidney Stones and Chronic Kidney Disease

    Edvardsson, Vidar O.; Goldfarb, David S.; Lieske, John C.; Beara-Lasic, Lada; Anglani, Franca; Milliner, Dawn S.; Palsson, Runolfur


    Adenine phosphoribosyltransferase (APRT) deficiency, cystinuria, Dent disease, familial hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) and primary hyperoxaluria (PH) are rare but important causes of severe kidney stone disease and/or chronic kidney disease in children. Recurrent kidney stone disease and nephrocalcinosis, particularly in pre-pubertal children, should alert the physician to the possibility of an inborn error of metabolism as the underlying cause. Unfortunately, the lack of recognition and knowledge of the five disorders has frequently resulted in an unacceptable delay in diagnosis and treatment, sometimes with grave consequences. A high index of suspicion coupled with early diagnosis may reduce or even prevent the serious long-term complications of these diseases. In this paper, we review the epidemiology, clinical features, diagnosis, treatment and outcome of patients with APRT deficiency, cystinuria, Dent disease, FHHNC and PH with emphasis on childhood manifestations. PMID:23334384

  18. Perspectives of Older Kidney Transplant Recipients on Kidney Transplantation.

    Pinter, Jule; Hanson, Camilla S; Chapman, Jeremy R; Wong, Germaine; Craig, Jonathan C; Schell, Jane O; Tong, Allison


    Older kidney transplant recipients are susceptible to cognitive impairment, frailty, comorbidities, immunosuppression-related complications, and chronic graft failure, however, there has been limited focus on their concerns and expectations related to transplantation. This study aims to describe the perspectives of older kidney transplant recipients about their experience of kidney transplantation, self-management, and treatment goals to inform strategies and interventions that address their specific needs. Face-to-face semistructured interviews were conducted with 30 kidney transplant recipients aged 65-80 years from five renal units in Australia. Transcripts were analyzed thematically. Six themes were identified: restoring vitality of youth (with subthemes of revived mindset for resilience, embracing enjoyment in life, drive for self-actualization); persisting through prolonged recovery (yielding to aging, accepting functional limitations, pushing the limit, enduring treatment responsibilities); imposing sicknesses (combatting devastating comorbidities, painful restrictions, emerging disillusionment, anxieties about accumulating side effects, consuming treatment burden); prioritizing graft survival (privileged with a miracle, negotiating risks for longevity, enacting a moral duty, preserving the last opportunity); confronting health deterioration (vulnerability and helplessness, narrowing focus to immediate concerns, uncertainty of survival); and value of existence (purpose through autonomy, refusing the burden of futile treatment, staying alive by all means). Older kidney transplant recipients felt able to enjoy life and strived to live at their newly re-established potential and capability, which motivated them to protect their graft. However, some felt constrained by slow recuperation and overwhelmed by unexpected comorbidities, medication-related side effects, and health decline. Our findings suggest the need to prepare and support older recipients for self

  19. Giant hydronephrosis in horseshoe kidney

    Huesh, I-V. Malla; Zlatareva, D.; Milenova, V.; Krasteva, R.; Bogov, B.


    Horseshoe kidney, also known as ren arcuatus is a congenital anomaly with incidence 1 in 500 people and it is more common in males. Usually this anomaly is asymptomatic and most of the cases are undiagnosed. This condition may contribute to upper Gl tract dyspeptic syndrome, abdominal discomfort, nephrolithiasis and frequent infections of the urinary system. Horseshoe kidney may lead to complications such as renal obstruction, recurrent inflammatory conditions and malignant diseases. The authors describe the case of 58y.o. male who had suffered acute renal failure. The patient presented with pain in the lumbar area and abode the symphysis, reduction of diuresis and fever 38° C. The laboratory findings showed slight anemic syndrome and preserved renal function. The US examination revealed low positioned right kidney with enlarged sizes and numerous cysts. The left kidney was visualized as gigantic hydronephrosis. Color and Power Doppler didn't show signal from the vessels. MRT of the abdomen and pelvis was performed with intravenous application of contrast medium. The examination showed horseshoe kidney with excessive hydro-nephrosis with massive dilation of the pyelocalyceal system and reduced parenchyma

  20. Kidney Function and Plasma Copeptin Levels in Healthy Kidney Donors and Autosomal Dominant Polycystic Kidney Disease Patients

    Zittema, Debbie; van den Berg, Else; Meijer, Esther; Boertien, Wendy E.; Muller Kobold, Anneke C.; Franssen, Casper F. M.; de Jong, Paul E.; Bakker, Stephan J. L.; Navis, Gerjan; Gansevoort, Ron T.

    Background and objectives Plasma copeptin, a marker of arginine vasopressin, is elevated in patients with autosomal dominant polycystic kidney disease and predicts disease progression. It is unknown whether elevated copeptin levels result from decreased kidney clearance or as compensation for

  1. Primary Leiomyosarcoma of the Kidney

    Kusuma Venkatesh


    Full Text Available Primary leiomyosarcoma of the kidney is a rare tumor with an aggressive behaviour. A 55-year-old woman presented with a left sided abdominal mass in our outpatient department. Radiologic investigations revealed the mass to be renal in origin with colonic adhesions for which radical nephrectomy and hemicolectomy were done. The tumor completely appeared to replace the left kidney and had a whorled character focally on cut section. Microscopically, spindle cells having malignant features with cigar shaped nuclei were seen. The smooth muscle origin of the cells was confirmed by immunohistochemical positivity for smooth muscle actin. Sarcomatoid variant of the renal cell carcinoma was ruled out as the tumor was negative for cytokeratin. Tumors with spindle cell morphology in the kidney should not always be taken for a sarcomatoid variant of renal cell carcinoma and should be investigated thoroughly.

  2. Computational analysis of kidney scintigrams

    Vrincianu, D.; Puscasu, E.; Creanga, D. [University Al. I. Cuza, Faculty of Physics, 11 Blvd. Carol I, 700506, Iasi (Romania); Stefanescu, C. [University of Medicine and Pharmacy Gr. T. Popa, Iasi (Romania)


    The scintigraphic investigation of normal and pathological kidneys was carried out using specialized gamma-camera device from nuclear medicine hospital department. Technetium 90m isotope with gamma radiation emission, coupled with vector molecules for kidney tissues was introduced into the subject body, its dynamics being recorded as data source for kidney clearance capacity. Two representative data series were investigated, corresponding to healthy and pathological organs respectively. The semi-quantitative tests applied for the comparison of the two distinct medical situations were: the shape of probability distribution histogram, the power spectrum, the auto-correlation function and the Lyapunov exponent. While power spectrum led to similar results in both cases, significant differences were revealed by means of distribution probability, Lyapunov exponent and correlation time, recommending these numerical tests as possible complementary tools in clinical diagnosis.

  3. HIV and chronic kidney disease

    Naicker, Saraladevi; Rahmania, Sadaf; Kopp, Jeffrey B.


    Chronic kidney disease (CKD) is a frequent complication of HIV infection, occurring in 3.5 – 48.5%, and occurs as a complication of HIV infection, other co-morbid disease and infections and as a consequence of therapy of HIV infection and its complications. The classic involvement of the kidney by HIV infection is HIV-associated nephropathy (HIVAN), occurring typically in young adults of African ancestry with advanced HIV disease in association with APOL1 high-risk variants. HIV-immune comple...

  4. Spectrometric kidney depth measurement method

    George, P.; Soussaline, F.; Raynaud, C.


    The method proposed uses the single posterior surface measurement of the kidney radioactivity distribution. The ratio C/P of the number of scattered photons to the number of primary photons, which is a function of the tissue depth penetrated, is calculated for a given region. The parameters on which the C/P value depends are determined from studies on phantoms. On the basis of these results the kidney depth was measured on a series of 13 patients and a correlation was established between the value thus calculated and that obtained by the profile method. The reproducibility of the method is satisfactory [fr

  5. [Kidney transplantation epidemiology in France].

    Hiesse, Christian


    Kidney transplantation activity in France is among the most important worldwide: in 2011, 2976 transplants have been performed (47.5 per million population), and the number of patients living with a functional graft is estimated around 30,000, representing 44.7% of all patients (n = 67,270) treated for end-stage renal failure. However, the rate of preemptive kidney transplants remains very low, only 3.3% of incident patients starting renal replacement therapy. The analysis of demand showed a progressive increase in recent years, as demonstrated by the registration rate on the kidney transplantation waiting list, increasing by 5% yearly between 2006 and 2010, but with huge differences according to age categories and regional registration areas, reflecting discrepant appreciations in indications for kidney transplantation. The median waiting time between registration and transplantation increased progressively in recent years, reaching 22.3 months with considerable variations according to regional areas and transplantation teams. Kidney transplantation activity, while increasing continuously, is far to cover the rising demand, and inexorably patients accumulate on the waiting list (around 9000 patients were registered by January 2012). This situation is the consequence of insufficient organ procurement activity. The deceased organ procurement rate remained high: 1572 harvested donors in 2011 (24.1 per million population), but the proportion of older donors rose in recent years, to reach the rate of 26% of donors older than 65 years in 2011. The procurement activity of donors after cardiac arrest was reintroduced in 2006, but increased slowly: 65 transplants were performed in 2011 using kidney procured in non heart-beating donors. The living donor kidney transplantation activity has markedly increased recently: 302 living donor transplantations were performed in 2011, representing 10.1% of the kidney transplantations. Facing the predictable increase in the number of

  6. Epidermoid cyst in the kidney.

    Desai, Saral; Thakur, Sudeep; Menon, Santosh; Desai, Sangeeta B


    We report an extremely rare case of an epidermoid cyst in the kidney of a 74-year-old man who had presented with painless hematuria. Radiologic examination revealed a cyst in the kidney that was thought to be neoplastic. The patient underwent surgery to remove the cyst, and we received the nephrectomy specimen. A 6-cm cyst with no solid areas was seen. On histologic examination, this was an epidermoid cyst. We reviewed the published data and discuss the possible theories of origin of this rare condition. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Clinical approach to kidney disease in kidney recipients in Spain

    Josep M. Campistol


    Conclusions: Secondary markers and factors resulting in CKD progression, particularly anemia, are still frequently uncontrolled after kidney transplantation. Only about 2% of patients benefit from a therapeutic intervention based on a biopsy. Clinical perception differs from objective measures, which results in an obvious clinical inertia regarding risk factor control in such patients.

  8. Periodontal Disease and Decreased Kidney Function in Japanese Elderly

    Iwasaki, Masanori; Taylor, George W.; Nesse, Willem; Vissink, Arjan; Yoshihara, Akihiro; Miyazaki, Hideo

    Background: Early detection of decreased kidney function can help prevent the progression of kidney disease to kidney failure and cardiovascular events. Potentially significant associations between kidney function and periodontal disease have been reported in cross-sectional studies. However, no

  9. Aging changes in the kidneys and bladder

    ... affect kidney function. COMMON PROBLEMS Aging increases the risk of kidney and bladder problems such as: Bladder control issues, such as leakage or urinary incontinence (not being able to hold your urine), or ...

  10. Tailor-Made Live Kidney Donation

    K.W.J. Klop (Karel)


    markdownabstract__Abstract__ This thesis describes several aspects of live kidney donation, such as surgical techniques, cost-effectivity, cosmetics en quality of life. Kidney transplantation offer several benefits when compared to dialysis. These benefits include better recipient and graft

  11. Drugs Approved for Kidney (Renal Cell) Cancer

    ... Your Treatment Research Drugs Approved for Kidney (Renal Cell) Cancer This page lists cancer drugs approved by the ... not listed here. Drugs Approved for Kidney (Renal Cell) Cancer Afinitor (Everolimus) Aldesleukin Avastin (Bevacizumab) Axitinib Bevacizumab Cabometyx ( ...

  12. Health Literacy of Living Kidney Donors and Kidney Transplant Recipients

    Dageforde, Leigh Anne; Petersen, Alec W.; Feurer, Irene D.; Cavanaugh, Kerri L.; Harms, Kelly A.; Ehrenfeld, Jesse M.; Moore, Derek E.


    Background Health literacy (HL) may be a mediator for known socioeconomic and racial disparities in living kidney donation. Methods We evaluated the associations of patient and demographic characteristics with HL in living kidney donors (LD), living donor kidney transplant recipients (LDR), and deceased donor recipients (DDR) in a single center retrospective review of patients undergoing kidney donation or transplantation from September 2010 to July 2012. HL and demographic data were collected. HL was assessed via the Short Literacy Survey (SLS) comprising three self-reported screening questions scored using the 5-point Likert scale [low (3-8), moderate (9-14), high (15)]. Chi-square and logistic regression were used to test factors associated with lower HL. Results The sample included 360 adults (105 LD, 103 LDR, 152 DDR; 46±14 years; 70% white; 56% male; 14±3 years of education). HL scores were skewed (49% high, 41% moderate, 10% low). The distribution of HL categories differed significantly among groups (p=0.019). After controlling for age, race, gender, education and a race-education interaction term, DDR were more likely to have moderate or low HL than LDR (OR 1.911; 95%CI 1.096, 3.332; p=0.022) Conclusions Overall, living donors had high HL. The distribution of low, moderate and high HL differed significantly between LD, DDR and LDR. DDR had a higher likelihood of having low HL than LDR. Screening kidney transplant candidates and donors for lower HL may identify barriers to living donation. Future interventions addressing HL may be important to increase living donation and reduce disparities. PMID:24573114

  13. Acute Kidney Injury in the Elderly

    Abdel-Kader, Khaled; Palevsky, Paul


    Synopsis The aging kidney undergoes a number of important anatomic and physiologic changes that increase the risk of acute kidney injury (formerly acute renal failure) in the elderly. This article reviews these changes and discusses the diagnoses frequently encountered in the elderly patient with acute kidney injury. The incidence, staging, evaluation, management, and prognosis of acute kidney injury are also examined with special focus given to older adults. PMID:19765485

  14. Skin changes in chronic kidney disease

    Joanna M. Przepiórka-Kosińska


    Full Text Available Chronic kidney disease causes skin changes which may sometimes be the first sign of kidney failure. Specific skin changes include acquired perforating dermatosis, porphyria cutanea tarda, pseudoporphyria, calcinosis and nephrogenic systemic fibrosis. The majority of patients present with cutaneous manifestations which are classified as non-specific, including xerosis, pruritus, pigmentation disturbances, nail plate abnormalities, uraemic frost and gynaecomastia. Treatment improving kidney function (dialysis therapy or kidney transplantation also leads to the resolution of skin lesions.

  15. Kidney regeneration and repair after transplantation

    M. Franquesa (Marcella); M. Flaquer (Maria); J.M. Cruzado; J. Grinyo (Josep)


    textabstractPURPOSE OF REVIEW: To briefly show which are the mechanisms and cell types involved in kidney regeneration and describe some of the therapies currently under study in regenerative medicine for kidney transplantation. RECENT FINDINGS: The kidney contains cell progenitors that under

  16. Skin changes in chronic kidney disease

    Joanna M. Przepiórka-Kosińska; Katarzyna M. Chyl-Surdacka; Joanna Bartosińska; Dorota Krasowska; Grażyna Chodorowska


    Chronic kidney disease causes skin changes which may sometimes be the first sign of kidney failure. Specific skin changes include acquired perforating dermatosis, porphyria cutanea tarda, pseudoporphyria, calcinosis and nephrogenic systemic fibrosis. The majority of patients present with cutaneous manifestations which are classified as non-specific, including xerosis, pruritus, pigmentation disturbances, nail plate abnormalities, uraemic frost and gynaecomastia. Treatment improving kidney fun...

  17. Kidneys and Urinary Tract (For Parents)

    ... Videos for Educators Search English Español Kidneys and Urinary Tract KidsHealth / For Parents / Kidneys and Urinary Tract What's ... Los riñones y las vías urinarias Kidneys and Urinary Tract Basics Our bodies produce several kinds of wastes, ...


    V. B. Berdichevskiy


    Full Text Available By analyzing data from the literature and the results of own clinical the authors suggest the presence of its own physiological rhythmogenesis motility of the urinary system to ensure its functional viability after denervation in the process of donor kidney recоvery and its transplantation to the recipient. 

  19. Chronic Kidney Disease in Pregnancy.

    Koratala, Abhilash; Bhattacharya, Deepti; Kazory, Amir


    With the increasing prevalence of chronic kidney disease (CKD) worldwide, the number of pregnant women with various degrees of renal dysfunction is expected to increase. There is a bidirectional relation between CKD and pregnancy in which renal dysfunction negatively affects pregnancy outcomes, and the pregnancy can have a deleterious impact on various aspects of kidney disease. It has been shown that even mild renal dysfunction can increase considerably the risk of adverse maternal and fetal outcomes. Moreover, data suggest that a history of recovery from acute kidney injury is associated with adverse pregnancy outcomes. In addition to kidney dysfunction, maternal hypertension and proteinuria predispose women to negative outcomes and are important factors to consider in preconception counseling and the process of risk stratification. In this review, we provide an overview of the physiologic renal changes during pregnancy as well as available data regarding CKD and pregnancy outcomes. We also highlight the important management strategies in women with certain selected renal conditions that are seen commonly during the childbearing years. We call for future research on underexplored areas such as the concept of renal functional reserve to develop a potential clinical tool for prognostication and risk stratification of women at higher risk for complications during pregnancy.

  20. Attitude toward living kidney donation

    Martínez-Alarcón, L.; Ramis, G.; Gómez-Laguna, J.; Quereda, J.J.; Herrero-Medrano, J.M.; Mrowiec, A.; Mendonça, L.; López-Navas, A.; Ríos, A.


    Introduction Due to the current deficit of organs for transplantation, living kidney related donations (LKRD) should be promoted. Veterinarians often hold decision-making positions in the public health care system, and therefore can influence public opinion about organ donation. The objective was

  1. Chronic Kidney Disease and Medicines

    ... help you meet your blood pressure goals, which is good for your kidneys, and can lower your chances of having a heart attack or stroke . For tips on quitting, go to . Find healthy ways to cope with stress and depression Long-term stress can raise your ...

  2. Metformin in chronic kidney disease

    Heaf, James


    Metformin has traditionally been regarded as contraindicated in chronic kidney disease (CKD), though guidelines in recent years have been relaxed to permit therapy if the glomerular filtration rate (GFR) is > 30 mL/min. The main problem is the perceived risk of lactic acidosis (LA). Epidemiological...

  3. Collective Phenomena in Kidney Autoregulation

    Mosekilde, Erik; Sosnovtseva, Olga; Holstein-Rathlou, N.-H.


    By controling the excretion of water and salts, the kidneys play all important role ill regulating the blood pressure and maintaining a proper environment for the cells of the body. This control depends to a large extent oil mechanisms that are associated with the individual functional unit...

  4. of chronic kidney disease advancement

    Jolanta Szeliga-Król


    Full Text Available Background . Chronic kidney disease (CKD is at present a worldwide health problem. According to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI, chronic kidney disease has five stages of advancement based on the estimated glomerular filtration rate (eGFR. The formulas that are most frequently used in determining eGFR are the Cockroft–Gault (CG formula, the simplified Modification of Diet in Renal Disease (MDRD formula, and the Chronic Kidney Disease Epidemiology (CKD-EPI Collaboration formula, which is considered the most accurate formula. Objectives . The aim of our study was to compare the CG, simplified MDRD and CKD-EPI formulas for determining eGFR and thus CKD advancement. Material and methods. The study was conducted on a group of 202 patients with previously diagnosed CKD. To calculate the eGFR, the CG, simplified MDRD, and CKD-EPI formulas were used. Patients were assigned a disease stage (from 1 to 5 according to the NKF KDOQI guidelines. Results . The calculated eGFR values varied depending on the formula, which resulted different assignations of patients to CKD stages. The largest difference regarded the qualification of the patients to the first and the fifth stage. A similar number of patients were classed as stage three by all formulas. Differences were also seen in how the formulas classified patients to the second and fourth stages. Conclusions . GFR estimation remains a problematic clinical concern. The CKD stage assigned to patients varies depending on the formula used, a fact which may be particularly significant for general practitioners. Laboratories should apply the CKD-EPI formula for eGFR calculation, as it gives the least false results.

  5. CKD in diabetes: diabetic kidney disease versus nondiabetic kidney disease.

    Anders, Hans-Joachim; Huber, Tobias B; Isermann, Berend; Schiffer, Mario


    The increasing global prevalence of type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) has prompted research efforts to tackle the growing epidemic of diabetic kidney disease (DKD; also known as diabetic nephropathy). The limited success of much of this research might in part be due to the fact that not all patients diagnosed with DKD have renal dysfunction as a consequence of their diabetes mellitus. Patients who present with CKD and diabetes mellitus (type 1 or type 2) can have true DKD (wherein CKD is a direct consequence of their diabetes status), nondiabetic kidney disease (NDKD) coincident with diabetes mellitus, or a combination of both DKD and NDKD. Preclinical studies using models that more accurately mimic these three entities might improve the ability of animal models to predict clinical trial outcomes. Moreover, improved insights into the pathomechanisms that are shared by these entities - including sodium-glucose cotransporter 2 (SGLT2) and renin-angiotensin system-driven glomerular hyperfiltration and tubular hyper-reabsorption - as well as those that are unique to individual entities might lead to the identification of new treatment targets. Acknowledging that the clinical entity of CKD plus diabetes mellitus encompasses NDKD as well as DKD could help solve some of the urgent unmet medical needs of patients affected by these conditions.

  6. [ACE inhibitors and the kidney].

    Hörl, W H


    Treatment with ACE inhibitors results in kidney protection due to reduction of systemic blood pressure, intraglomerular pressure, an antiproliferative effect, reduction of proteinuria and a lipid-lowering effect in proteinuric patients (secondary due to reduction of protein excretion). Elderly patients with diabetes melitus, coronary heart disease or peripheral vascular occlusion are at risk for deterioration of kidney function due to a high frequency of renal artery stenosis in these patients. In patients with renal insufficiency dose reduction of ACE inhibitors is necessary (exception: fosinopril) but more important is the risk for development of hyperkalemia. Patients at risk for renal artery stenosis and patients pretreated with diuretics should receive a low ACE inhibitor dosage initially ("start low - go slow"). For compliance reasons once daily ACE inhibitor dosage is recommended.

  7. CT examination of the kidneys

    Handa, Youji; Ishida, Ken; Arita, Takeshi; Ishine, Kenji; Tezen, Takashi; Ohta, Nobuhiro


    Plain CT scanning of the kidney was performed in 16 patients with renal failure whose basic renal disorder had been not necessarily known beforehand. The findings of the CT examination were composed of renal atrophy of various degree (12 cases), cystic lesions (8 cases), polycystic renal disease (one case), nephrosclerosis (2 cases), hydronephrosis (2 cases), ureter and renal stones (one case), and normal CT profile (2 cases). Being based on these CT findings and other clinical informations, basic renal disorders could be either presumed or confirmed. It was concluded that plain CT scanning of the kidney was useful to decide a method of treatment and to estimate prognosis in patients with renal failure. (author)

  8. Kidney involvement in rheumatoid arthritis

    P. Lazzarini


    Full Text Available Rheumatoid Arthritis (RA is a widespread disease and its renal involvement, relatively common, is clinically significant because worsens course and mortality of the primary disease. There is still no agreement on the prevalence of renal disorders in RA: data analysis originates from different sources, as death certificates, autopsies, clinical and laboratory findings and kidney biopsies, each with its limitations. Histoimmunological studies on bioptical specimens of patients with RA and kidney damage, led to clarify prevalent pathologies. In order of frequency: glomerulonephritis and amyloidosis (60-65% and 20-30% respectively, followed by acute or chronic interstitial nephritis. Kidney injury during RA includes secondary renal amyloidosis, nephrotoxic effects of antirheumatic drugs and nephropathies as extra-articular manifestations (rheumatoid nephropathy. Amyloidosis affects survival, increases morbidity and is the main cause of end stage renal disease in patients with RA and nephropathy. Strong association between RA activity and amyloidosis needs the use of immunosuppressive and combined therapies, to prevent this complication and reduce risk of dialysis. Long-lasting and combined RA pharmacotherapy involves various renal side effects. In this review we describe NSAIDs and DMARDs (Disease-Modifying Antirheumatic Drugs nephrotoxicity, particularly by gold compounds, D-penicillamine, cyclosporine A and methotrexate. Rare cases of IgA glomerulonephritis during immunomodulating therapy with leflunomide and TNF blocking receptor (etanercept are reported; real clinical significance of this drug-related nephropathy will be established by development of RA treatment. In RA nephropathies, mesangial glomerulonephritis is the most frequent histological lesion (35-60 % out of biopsies from patients with urinary abnormalities and/or kidney impairment, followed by minimal change glomerulopathy (3-14% and p-ANCA positive necrotizing crescentic

  9. Wasting in chronic kidney disease

    Mak, RH; Ikizler, AT; Kovesdy, CP; Raj, DS; Stenvinkel, P; Kalantar-Zadeh, K


    Wasting/cachexia is prevalent among patients with chronic kidney disease (CKD). It is to be distinguished from malnutrition, which is defined as the consequence of insufficient food intake or an improper diet. Malnutrition is characterized by hunger, which is an adaptive response, whereas anorexia is prevalent in patients with wasting/cachexia. Energy expenditure decreases as a protective mechanism in malnutrition whereas it remains inappropriately high in cachexia/wasting. In malnutrition, f...

  10. Viruses & kidney disease: beyond HIV

    Waldman, Meryl; Marshall, Vickie; Whitby, Denise; Kopp, Jeffrey B.


    HIV-infected patients may acquire new viral co-infections; they may also experience the reactivation or worsening of existing viral infections, including active, smoldering, or latent infections. HIV-infected patients may be predisposed to these viral infections due to immunodeficiency or to risk factors common to HIV and other viruses. A number of these affect the kidney, either by direct infection or by deposition of immune complexes. In this review we discuss the renal manifestations and t...

  11. NAFLD and Chronic Kidney Disease.

    Marcuccilli, Morgan; Chonchol, Michel


    Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in developed countries and it is now considered a risk factor for cardiovascular disease. Evidence linking NAFLD to the development and progression of chronic kidney disease (CKD) is emerging as a popular area of scientific interest. The rise in simultaneous liver-kidney transplantation as well as the significant cost associated with the presence of chronic kidney disease in the NAFLD population make this entity a worthwhile target for screening and therapeutic intervention. While several cross-sectional and case control studies have been published to substantiate these theories, very little data exists on the underlying cause of NAFLD and CKD. In this review, we will discuss the most recent publications on the diagnosis of NAFLD as well new evidence regarding the pathophysiology of NAFLD and CKD as an inflammatory disorder. These mechanisms include the role of obesity, the renin-angiotensin system, and dysregulation of fructose metabolism and lipogenesis in the development of both disorders. Further investigation of these pathways may lead to novel therapies that aim to target the NAFLD and CKD. However, more prospective studies that include information on both renal and liver histology will be necessary in order to understand the relationship between these diseases.

  12. Functional CT of the kidney

    Tsushima, Yoshito.


    The iodinated contrast agents used for computed tomography (CT) are filtered at the glomerulus and not reabsorbed by the tubules and have pharmacokinetics comparable to inulin. They can thus measure physiological indices such as contrast clearance per unit volume, which is closely related to glomerular filtration rate per unit renal volume of kidney, after due allowance for the difference between blood and plasma clearance. In this review, we show how dynamic CT can be used to measure both regional and global blood clearance of contrast material. A single slice of kidney is scanned sequentially after bolus intravenous (i.v.) injection of contrast material. Next, time-attenuation curves are constructed and contrast clearance per unit volume is calculated using a Patlak graphical analysis. CT determination of renal volume is made and global contrast clearance can be then also calculated. In normal kidneys, clearance/volume averaged 0.49±0.11 ml min -1 ml -1 (mean ±S.D.), and these values agreed with literature data obtained using other techniques. A negative correlation between patient's age and clearance/volume was seen. A strong correlation was observed between creatinine whole blood clearance and the global contrast clearance (the product of renal volume determined by CT and contrast clearance/volume). Dynamic CT can provide quantitative renal physiological information on a regional basis non-invasively

  13. Functional CT of the kidney

    Tsushima, Yoshito. E-mail:


    The iodinated contrast agents used for computed tomography (CT) are filtered at the glomerulus and not reabsorbed by the tubules and have pharmacokinetics comparable to inulin. They can thus measure physiological indices such as contrast clearance per unit volume, which is closely related to glomerular filtration rate per unit renal volume of kidney, after due allowance for the difference between blood and plasma clearance. In this review, we show how dynamic CT can be used to measure both regional and global blood clearance of contrast material. A single slice of kidney is scanned sequentially after bolus intravenous (i.v.) injection of contrast material. Next, time-attenuation curves are constructed and contrast clearance per unit volume is calculated using a Patlak graphical analysis. CT determination of renal volume is made and global contrast clearance can be then also calculated. In normal kidneys, clearance/volume averaged 0.49{+-}0.11 ml min{sup -1} ml{sup -1} (mean {+-}S.D.), and these values agreed with literature data obtained using other techniques. A negative correlation between patient's age and clearance/volume was seen. A strong correlation was observed between creatinine whole blood clearance and the global contrast clearance (the product of renal volume determined by CT and contrast clearance/volume). Dynamic CT can provide quantitative renal physiological information on a regional basis non-invasively.

  14. Los ePortafolios en la supervisión del Practicum: Modelos pedagógicos y soportes tecnológicos

    Manuel Cebrián de la Serna


    auge en estos últimos años en paralelo al incremento en el uso de internet, y la presencia masiva de las plataformas (LMS como la solución tecnológica para la mayoría de las instituciones. Como marco de fondo se sitúan las propuestas de cambio metodológico y la nueva concepción del aprendizaje en el nuevo Espacio Europeo de Educación Superior, que solicitan mayor compromiso en los estudiantes sobre su aprendizaje, y una atención más personalizada por parte de los docentes. Para responder a estas nuevas exigencias se depositan en la metodología del portafolios todas las miradas como una solución pedagógica ideal, que unida a las ventajas evidentes de las tecnologías y los nuevos entornos virtuales, le hacen poseer a los ePortafolios (portafolios electrónicos de una respuesta a medida para la enseñanza universitaria. No obstante, la experiencia nos viene demostrando que esto no es cierto del todo; por un lado, las plataformas son soluciones pensadas en principio para una enseñanza a distancia, quedando hoy alejadas de los entornos tecnológicos más personales de los estudiantes donde las herramientas en internet evolucionan a un ritmo superior que los LMS, y en donde el valor de lo presencial necesita buscar su propias metodologías -p.e. Metodologías mixtas o eblended-, y como consecuencia se comienza a pensar que quizás la solución de los LMS sea desmedida. Por otro lado, las metodologías de los ePortafolios necesitan requerimientos - p.e. una ratio adecuada, docentes y estudiantes formados,... - que hasta la presente no se han dispuesto para todos los casos. El presente artículo muestr la evolución desde 1997 y la experiencia alcanzada por un grupo de docentes de la Universidad de Málaga en el uso de ePortafolios para la supervisión del Practicum de la Titulación de Educación Infantil, que en un principio ofrecía las condiciones ideales de enseñanza a distancia y ratio para experimentar las posibilidades metodológicas de los e

  15. Prevalence of chronic kidney disease after preeclampsia.

    Lopes van Balen, Veronica Agatha; Spaan, Julia Jeltje; Cornelis, Tom; Spaanderman, Marc Erich August


    Preeclampsia (PE), an endothelial disease that affects kidney function during pregnancy, is correlated to an increased future risk of cardiovascular and chronic kidney disease. The Kidney Disease Improving Global Outcomes (KDIGO) 2012 guideline emphasizes the combined role of glomerular filtration rate (GFR) and albuminuria in determining the frequency of monitoring of kidney function. In this study we evaluated the prevalence of CKD in women with a history of PE. We investigated how many seemingly healthy women required monitoring of kidney function according to the KDIGO guideline. We included 775 primiparous women with a history of PE. They were at least 4 months postpartum, and had no pre-existing hypertension, diabetes or kidney disease. We estimated GFR by the CKD-Epidemiology equation and urinary albumin loss by albumin creatinine ratio in a 24-h urine collection. Most women, 669 (86.3 %), had a normal GFR and absent albuminuria. Based on the KDIGO guideline, 13.7 % would require at least yearly monitoring of kidney function. Only 1.4 % were classified to be at high risk for kidney function deterioration. Monitoring of kidney function seems relevant for about one in seven women with a history of PE, mainly due to albuminuria. Albuminuria should be evaluated postpartum to identify those women that need further monitoring of kidney function.

  16. Studies on radiation injury of the kidney

    Kamiya, Akio


    According to many experimental reports on the radiation renal injuries, the influences of irradiation were observed not only in the irradiated kidney, but also in the contralateral kidney. However, its mechanism has not yet been demonstrated clearly. In order to clarify the mechanism of development of pathophysiological changes seen on the kidney of non-irradiated side, a study was made of function and pathological condition of a remaining kidney after the enucleation of ir radiated side kidney after irradiation. Twenty-eitht rabbits were divided into 4 groups. A: 14 rabbits were irradiated on their left kidney with 60 Co- gamma ray 50 Gy doses. B: 6 rabbits were nephrectomized of their left kidney on the first day after 50 Gy irradiation. C: 4 rabbits were nephrectomized of their left kidney on the eighth day after 50 Gy irradiation. D: 4 rabbits were simple nephrectomized. The results suggest that changes on the irradiated side of kidney bring about effect to the contra-lateral kidney at an early stage after the irradiation. (J.P.N.)

  17. Gender Disparity in Kidney Transplantation

    Naghibi Orode


    Full Text Available Gender discrimination in benefiting from medical treatment is a worldwide pro-blem. Kidney transplantation, as the ideal treatment for patients with end-stage renal disease (ESRD, is not an exception. Considering the unique kidney donation patterns and different family styles in the Middle East, studying this problem in Iran seemed justifiable and necessary. In addition to comparing the numbers of female and male recipients, which has been done in other similar studies, considering the critical effect of waiting time on the outcome, we assessed and compared the waiting times also. The data of age, gender, nationality, donor type and waiting time before transplantation of 1426 (61.85% male, 38.14% female recipients who underwent transplantation in Imam Reza Hospital in the northeast of Iran from 1990 to 2003, was analyzed. Recipients were categorised into three groups based on donation patterns: those receiving kidney from live unrelated, live related and cadaver donors. The number of patients in each group was 1057 (61.96% male, 38.03% female, 232 (67.24% male, 32.75% female and 137 (51.82% male, 48.17% female respectively. The mean overall waiting time was 708 days. Comparing waiting time of male and female recipients in each of these groups did not show significant difference. In all categories of donors, females were less likely than males to be recipients. Furthermore, waiting time for females was longer than males when receiving kidney from sisters and children. For spousal donations, males were recipients more frequently than females although female recipients in this group waited less than their male counterparts to receive the kidney. Generally, our results are in accordance with results of similar researches. In all three mentioned groups, males com-prised the majority while the waiting time does not show significant difference between genders. We suggest some reasons for this phenomenon, of which the two main ones are: fewer females

  18. Bilateral Supernumerary Kidney: A Very Rare Presentation

    Keskin, Suat; Batur, Abdussamet; Keskin, Zeynep; Koc, Abdulkadir; Firat Ozcan, Irfan


    To our knowledge, bilateral supernumerary kidney is a very rare renal abnormality and there are five cases presented in the literature. It is difficult to diagnose supernumerary kidney and clinicians have not detected most cases preoperatively. Laboratory and imaging studies were acquired and carefully examined. The normal laboratory tests were found. Emergency ultrasonography was performed and they revealed no signs of parenchymal abnormality in both kidneys. Serial imaging study including enhanced computed tomography (CT) was performed. An imaging study identified bilateral supernumerary kidney with expanded collecting systems. On each side, significant rotation anomaly was found. In addition, there were two different renal arteries originating from the aorta. This report presents radiological determinations of supernumerary kidney bilaterally in a young man. We think that CT commonly appears to be enough for the diagnosis of supernumerary kidneys

  19. Bilateral Supernumerary Kidney: A Very Rare Presentation

    Keskin, Suat; Batur, Abdussamet; Keskin, Zeynep; Koc, Abdulkadir; Firat Ozcan, Irfan


    To our knowledge, bilateral supernumerary kidney is a very rare renal abnormality and there are five cases presented in the literature. It is difficult to diagnose supernumerary kidney and clinicians have not detected most cases preoperatively. Laboratory and imaging studies were acquired and carefully examined. The normal laboratory tests were found. Emergency ultrasonography was performed and they revealed no signs of parenchymal abnormality in both kidneys. Serial imaging study including enhanced computed tomography (CT) was performed. An imaging study identified bilateral supernumerary kidney with expanded collecting systems. On each side, significant rotation anomaly was found. In addition, there were two different renal arteries originating from the aorta. This report presents radiological determinations of supernumerary kidney bilaterally in a young man. We think that CT commonly appears to be enough for the diagnosis of supernumerary kidneys. PMID:25780543

  20. The Metabolic Basis of Kidney Cancer

    Linehan, W. Marston; Ricketts, Christopher J.


    Kidney cancer is not a single disease; it is made up of a number of different types of cancer that occur in the kidney. Each of these different types of kidney cancer can have a different histology, have a different clinical course, can respond differently to therapy and is caused by a different gene. Kidney cancer is essentially a metabolic disease; each of the known genes for kidney cancer, VHL, MET, FLCN, TSC1, TSC2, TFE3, TFEB, MITF, fumarate hydratase (FH), succinate dehydrogenase B (SDHB), succinate dehydrogenase D (SDHD), and PTEN genes is involved in the cells ability to sense oxygen, iron, nutrients or energy. Understanding the metabolic basis of kidney cancer will hopefully provide the foundation for the development of effective forms of therapy for this disease. PMID:22705279

  1. Fetal Kidney Anomalies: Next Generation Sequencing

    Rasmussen, Maria; Sunde, Lone; Nielsen, Marlene Louise

    Aim and Introduction Identification of abnormal kidneys in the fetus may lead to termination of the pregnancy and raises questions about the underlying cause and recurrence risk in future pregnancies. In this study, we investigate the effectiveness of targeted next generation sequencing in fetuses...... with prenatally detected kidney anomalies in order to uncover genetic explanations and assess recurrence risk. Also, we aim to study the relation between genetic findings and post mortem kidney histology. Methods The study comprises fetuses diagnosed prenatally with bilateral kidney anomalies that have undergone...... postmortem examination. The approximately 110 genes included in the targeted panel were chosen on the basis of their potential involvement in embryonic kidney development, cystic kidney disease, or the renin-angiotensin system. DNA was extracted from fetal tissue samples or cultured chorion villus cells...

  2. Kidney biomimicry--a rediscovered scientific field that could provide hope to patients with kidney disease.

    Stenvinkel, Peter; Johnson, Richard J


    Most studies on kidney disease have relied on classic experimental studies in mice and rats or clinical studies in humans. From such studies much understanding of the physiology and pathophysiology of kidney disease has been obtained. However, breakthroughs in the prevention and treatment of kidney diseases have been relatively few, and new approaches to fight kidney disease are needed. Here we discuss kidney biomimicry as a new approach to understand kidney disease. Examples are given of how various animals have developed ways to prevent or respond to kidney failure, how to protect themselves from hypoxia or oxidative stress and from the scourge of hyperglycemia. We suggest that investigation of evolutionary biology and comparative physiology might provide new insights for the prevention and treatment of kidney disease. Copyright © 2013 IMSS. Published by Elsevier Inc. All rights reserved.

  3. Functional recovery in the irradiated kidney following removal of the contralateral unirradiated kidney

    Robbins, M.E.C.; Hopewell, J.W.; Golding, S.J.


    Radiation-induced damage to one kidney in the pig causes a fall in total renal function; this would be recognised and lead to a compensatory response in the unirradiated kidney. The presence of the unirradiated contralateral kidney may effectively prevent the irradiated kidney from expressing any potential for repair and/or recovery of function. If this were true then the question would obviously arise, does the irradiated kidney retain some capacity for recovery? In order to answer this question, the contralateral unirradiated kidney was removed from pigs 26 weeks after the irradiation of the other kidney. The subsequent response of the irradiated kidney to nephrectomy was assessed in terms of the changes in renal size and haemodynamics, i.e. GFR and effective renal plasma flow (ERPF). (Auth.)

  4. Wait too long to talk about kidney disease and you could be waiting for a kidney.

    ... Home Current Issue Past Issues Public Service Announcement Kidney Disease Past Issues / Summer 2006 Table of Contents ... Javascript on. Wait too long to talk about kidney disease and you could be waiting for a ...


    Bilić, Vedran; Marčinko, Darko


    This paper describes a patient who is suffering from PTSD with elements of hypochondria, panic attacks and episodes of 0depression in comorbidity with kidney stones. Kidney stones provoked egzacerbation of psychiatric symptoms. Kidney stones and frustration about them have taken part of provoking factor, the last drop, which led to regression of otherwise precarious, but compensated patient’s mental functioning which resulted in development of psychiatric symptoms.

  6. Social participation after successful kidney transplantation

    Van der Mei, Sijrike F.; Van Sonderen, Eric L. P.; Van Son, Willem J.; De Jong, Paul E.; Groothoff, Johan W.; Van den Heuvel, Wim J. A.


    Purpose. To explore and describe the degree of social participation after kidney transplantation and to examine associated factors. Method. A cross-sectional study on 239 adult patients 1-7.3 years after kidney transplantation was performed via in-home interviews on participation in obligatory activities (i.e., employment, education, household tasks) and leisure activities (avolunteer work, assisting others, recreation, sports, clubs/associations, socializing, going out). Results. Kidney tran...

  7. The metabolism of parathyroid hormone in kidney

    Hanao, Yasuhisa


    In order to investigate the mechanism and localization of parathyroid hormone (PTH), the degradation and the effects of calcium ion to PTH degradation in kidney, bovine PTH (b-PTH 1 - 84) and its synthetic N-terminal peptide (b-PTH 1 - 34) labeled with 125 I by Chloramine T methods ( 125 I-b-PTH 1 - 84 and 125 I-b-PTH 1 - 34) or labeled with horse radish peroxidase ( 125 I-POX-b-PTH 1 - 84 and 125 I-POX-bPTH 1-34) were used to study the disappearance from the blood stream and degradation and retention in the kidney after intravenous injections in male Wistar rats, weighing approximately 350 - 450 g. Degradation of PTH was studied in vitro, using isolated cells and homogenates of the kidney, and the effects of calcium ion to PTH degradation were furthermore studied, using our kidney perfusion system. PTH labeled with 125 I and POX was less degraded by the kidney than PTH labeled with 125 I alone. PTH 1 - 34 was more delayed in blood stream than PTH 1 - 84. Isolated intact kidney cells degrade PTH less efficiently than homogenates, indicating the prominance of microsomal degradative system in the kidney. The degradation of PTH in kidney was supposed to be controlled by calcium ion in our kidney perfusion system. (author)

  8. Simple ectopic kidney in three dogs.

    Choi, Jiyoung; Lee, Heechun; Lee, Youngwon; Choi, Hojung


    Simple ectopic kidney was diagnosed in three dogs by means of radiography and ultrasonography. A 2-year-old castrated male Schnauzer, a 13-year-old female Schnauzer and a 9-year-old male Jindo were referred with vomiting, hematuria and ocular discharge, respectively. In all three dogs, oval-shaped masses with soft tissue density were observed in the mid to caudal abdomen bilaterally or unilaterally, and kidney silhouettes were not identified at the proper anatomic places on abdominal radiographs. Ultrasonography confirmed the masses were malpositioned kidney. The ectopic kidneys had relatively small size, irregular shape and short ureter but showed normal function on excretory urography.

  9. Optical Coherence Tomography in Kidney Transplantation

    Andrews, Peter M.; Wierwille, Jeremiah; Chen, Yu

    End-stage renal disease (ESRD) is associated with both high mortality rates and an enormous economic burden [1]. The preferred treatment option for ESRD that can extend patients' lives and improve their quality of life is kidney transplantation. However, organ shortages continue to pose a major problem in kidney transplantation. Most kidneys for transplantation come from heart-beating cadavers. Although non-heart-beating cadavers represent a potentially large pool of donor kidneys, these kidneys are not often used due to the unknown extent of damage to the renal tubules (i.e., acute tubular necrosis or "ATN") induced by ischemia (i.e., lack of blood flow). Also, ischemic insult suffered by kidneys awaiting transplantation frequently causes ATN that leads to varying degrees of delayed graft function (DGF) after transplantation. Finally, ATN represents a significant risk for eventual graft and patient survival [2, 3] and can be difficult to discern from rejection. In present clinical practice, there is no reliable real-time test to determine the viability of donor kidneys and whether or not donor kidneys might exhibit ATN. Therefore, there is a critical need for an objective and reliable real-time test to predict ATN to use these organs safely and utilize the donor pool optimally. In this review, we provided preliminary data indicating that OCT can be used to predict the post-transplant function of kidneys used in transplantation.

  10. Therapeutic Strategies for Hereditary Kidney Cancer.

    Sidana, Abhinav; Srinivasan, Ramaprasad


    The study of hereditary forms of kidney cancer has vastly increased our understanding of metabolic and genetic pathways involved in the development of both inherited and sporadic kidney cancers. The recognition that diverse molecular events drive different forms of kidney cancers has led to the preclinical and clinical development of specific pathway-directed strategies tailored to treat distinct subgroups of kidney cancer. Here, we describe the molecular mechanisms underlying the pathogenesis of several different types of hereditary renal cancers, review their clinical characteristics, and summarize the treatment strategies for the management of these cancers.

  11. The Aging Kidney: Increased Susceptibility to Nephrotoxicity

    Wang, Xinhui; Bonventre, Joseph V.; Parrish, Alan R.


    Three decades have passed since a series of studies indicated that the aging kidney was characterized by increased susceptibility to nephrotoxic injury. Data from these experimental models is strengthened by clinical data demonstrating that the aging population has an increased incidence and severity of acute kidney injury (AKI). Since then a number of studies have focused on age-dependent alterations in pathways that predispose the kidney to acute insult. This review will focus on the mechanisms that are altered by aging in the kidney that may increase susceptibility to injury, including hemodynamics, oxidative stress, apoptosis, autophagy, inflammation and decreased repair. PMID:25257519

  12. Medicine non-adherence in kidney transplantation.

    Williams, Allison Fiona; Manias, Elizabeth; Gaskin, Cadeyrn J; Crawford, Kimberley


    The increasing prevalence of chronic kidney disease, the relative shortage of kidney donors and the economic- and health-related costs of kidney transplant rejection make the prevention of adverse outcomes following transplantation a healthcare imperative. Although strict adherence to immunosuppressant medicine regimens is key to preventing kidney rejection, evidence suggests that adherence is sub-optimal. Strategies need to be developed to help recipients of kidney transplants adhere to their prescribed medicines. This review has found that a number of factors contribute to poor adherence, for example, attitudes towards medicine taking and forgetfulness. Few investigations have been conducted, however, on strategies to enhance medicine adherence in kidney transplant recipients. Strategies that may improve adherence include pharmacist-led interventions (incorporating counselling, medicine reviews and nephrologist liaison) and nurse-led interventions (involving collaboratively working with recipients to understand their routines and offering solutions to improve adherence). Strategies that have shown to have limited effectiveness include supplying medicines free of charge and providing feedback on a participant's medicine adherence without any educational or behavioural interventions. Transplantation is the preferred treatment option for people with end-stage kidney disease. Medicine non-adherence in kidney transplantation increases the risk of rejection, kidney loss and costly treatments. Interventions are needed to help the transplant recipient take all their medicines as prescribed to improve general well-being, medicine safety and reduce healthcare costs. © 2014 European Dialysis and Transplant Nurses Association/European Renal Care Association.

  13. Fetal polycystic kidney disease: Pathological overview

    Sunita B Patil


    Full Text Available Polycystic kidney disease is a rare developmental anomaly inherited as autosomal dominant or autosomal recessive. It is characterized by cystic dilatation of the collecting ducts frequently associated with hepatic involvement and progression to renal failure. It is included in the differential diagnosis of cystic diseases of the kidney. We report a case of polycystic kidney disease, in 22 weeks fetus incidentally detected on routine antenatal ultrasonography and confirmed by fetal autopsy. This report elucidates the importance of early diagnosis and intervention in cystic kidney diseases.

  14. A case of right ectopic kidney associated with malrotation of left kidney

    Kim, Jong Kun


    The terms 'renal ectopia' describes kidneys which are congenitally located in abnormal anatomic positions. I have experienced a female patient with right ectopic kidney located in lower abdomen and pelvis associated with hydronephrosis and chronic pyelonephritis. Her left kidney showed malrotation. This case was reported with review of literatures

  15. A case of right ectopic kidney associated with malrotation of left kidney

    Kim, Jong Kun [Jeon Bug National University College of Medicine, Jeonju (Korea, Republic of)


    The terms 'renal ectopia' describes kidneys which are congenitally located in abnormal anatomic positions. I have experienced a female patient with right ectopic kidney located in lower abdomen and pelvis associated with hydronephrosis and chronic pyelonephritis. Her left kidney showed malrotation. This case was reported with review of literatures.

  16. Kidney

    Leland Melson, G.


    A thorough understanding of the ultrasound and computed tomography (CT) findings in renal infections is important to radiologists for a variety of reasons. Although in most instances urinary tract infections are successfully treated without the performance of radiologic studies, an increasing number of patients having fever, sepsis, flank pain, or hematuria-which may be manifestations of renal infection-are being referred for ultrasound or CT as their first imaging test. Radiologists must therefore be familiar with the imaging features of renal infections and consider this possibility in a variety of clinical settings. Both ultrasound and CT have had a major impact on the evaluation and treatment of patients with known renal infections at most medical centers. Appropriate utilization of these techniques is now vital to optimal patient management. Recent observations with these modalities have also added to our understanding of the pathophysiology and interrelationships of this rather complex group of conditions. This chapter reviews the ultrasound and CT features of renal infections, emphasizing correlation with clinical features, renal anatomy, and pathophysiology. This chapter also compares the relative efficacy of ultrasound and CT in diagnosing renal infections and suggests an algorithm for optimal imaging evaluation

  17. Four decades of kidney transplantation in Cuba.

    Alfonzo, Jorge P


    This article describes the background, beginnings, development, evolution and outcomes of kidney transplantation in Cuba. Nephrology as a medical specialty in Cuba began in 1962 and was formalized in 1966. Conditions were created to implement renal replacement therapy (including transplants), bring nephrology care to the entire country and train human resources who would assume this responsibility, making Cuba one of the first countries with a comprehensive program for renal patient care. After three unsuccessful cadaveric-donor kidney transplantations in 1968-69, the ensuing history of kidney transplantation can be summarized in the following three stages. 1970-1975: In January 1970, cadaveric-donor kidney transplantation began at the Nephrology Institute. That year, 17 kidney transplantations were performed; four of these patients lived with functional kidneys for 15-25 years; 10-year graft survival was 23.5% (Kaplan-Meier survival curve); HLA typing began in 1974. By December 1975, 170 grafts had been done in three hospitals. 1976-1985: Seven transplantation centers performed 893 grafts during this period. HLA-DR typing was introduced in 1976 and the National Histocompatibility Laboratory Network was founded in 1978. The first related living-donor kidney transplantation was done in 1979. 1986-2011: The National Kidney Transplantation Coordinating Center and the National Kidney Transplantation Program were created in 1986; the first combined kidney-pancreas transplantation was performed the same year. In 1990, cyclosporine and the Cuban monoclonal antibody IOR-T3 were introduced for immunosuppression to prevent rejection, as were other Cuban products (hepatitis B vaccine and recombinant human erythropoietin) for transplant patients. By December 2011, the cumulative number of transplants was 4636 (384 from related living donors). With over 40 years of experience, kidney transplantation is now well established in Cuba; it is free and universally accessible, on the

  18. [History of kidney transplantation surgery].

    Timsit, M O; Kleinclauss, F; Thuret, R


    To perform a state of the art about the history of kidney transplantation. An exhaustive systematic review of the scientific literature was performed in the Medline database ( and Embase ( using different associations of the following keywords (MESH): kidney transplantation, history, vascular anastomosis. From the first vascular ligations to the discovery of ciclosporin, the history of organ transplantation was made of surgical bets and medical discoveries, such as blood group, HLA-system, immunity, etc. The audacity of some surgeons led to the onset of renal transplantation as the treatment of choice for end stage renal disease. This article aims to describe the first surgical methods for vascular anastomosis and renal transplantation. Through a comprehensive search within the archives of the French National Library, the authors provide a precise description of the first renal transplantations performed, the technique that have been used and their authors. Copyright © 2016. Published by Elsevier Masson SAS.

  19. Isotopic scintigraphy in kidney grafting

    Renfro, Richard.


    Isotopic explorations of kidney transplants were performed on sixty-six patients. Three scintigraphic techniques were used: labelled ferrous ascorbate scintigraphy, sequential 99m technetium DTPA scintigraphy and the 131 I hippuran nephrogram. The aim of this study is to analyse the results obtained under different pathological circumstances affecting the transplant, to discuss the advantages of the techniques and to propose a working procedure. The most reliable and accurate technique is the 131 I hippuran nephrogram combined with sequential 99mTc DTPA, by which renal vascularisation may be judged labelled ferrous ascorbate on the other hand is too insensitive. Although the information supplied is mostly contained in the scintigraphic images, the nephrographic curves and the blood radioactivity decay time and rad V/rad R ratio measurements are very helpful in the early diagnosis and differential diagnosis of complications affecting the transplant. The proper use of isotopic scintigraphy in kidney grafting should provide optimum conditions for better survival of the transplant at minimum risk to the patient [fr

  20. Ultrasonic propulsion of kidney stones.

    May, Philip C; Bailey, Michael R; Harper, Jonathan D


    Ultrasonic propulsion is a novel technique that uses short bursts of focused ultrasonic pulses to reposition stones transcutaneously within the renal collecting system and ureter. The purpose of this review is to discuss the initial testing of effectiveness and safety, directions for refinement of technique and technology, and opinions on clinical application. Preclinical studies with a range of probes, interfaces, and outputs have demonstrated feasibility and consistent safety of ultrasonic propulsion with room for increased outputs and refinement toward specific applications. Ultrasonic propulsion was used painlessly and without adverse events to reposition stones in 14 of 15 human study participants without restrictions on patient size, stone size, or stone location. The initial feasibility study showed applicability in a range of clinically relevant situations, including facilitating passage of residual fragments following ureteroscopy or shock wave lithotripsy, moving a large stone at the ureteropelvic junction with relief of pain, and differentiating large stones from a collection of small fragments. Ultrasonic propulsion shows promise as an office-based system for transcutaneously repositioning kidney stones. Potential applications include facilitating expulsion of residual fragments following ureteroscopy or shock wave lithotripsy, repositioning stones prior to treatment, and repositioning obstructing ureteropelvic junction stones into the kidney to alleviate acute renal colic.

  1. Kidney Care (A Cup of Health with CDC)

    Kidney diseases are the ninth leading cause of death in the United States. Early detection is important to treat chronic kidney disease and prevent complications. In this podcast, Nilka Rios Burrows discusses the importance of maintaining healthy kidneys.

  2. Do You Have Symptoms of a Kidney Stone?

    ... Or, the stone will be removed with treatment. Dogs, Cats, and Kidney Stones Humans aren't the only ones affected by kidney and bladder stones. Dogs, cats, and other animals can also have kidney ...

  3. Renal acidification defects in medullary sponge kidney

    Osther, P J; Hansen, A B; Røhl, H F


    Thirteen patients with medullary sponge kidney underwent a short ammonium chloride loading test to investigate their renal acidification capacity. All but 1 presented with a history of recurrent renal calculi and showed bilateral widespread renal medullary calcification on X-ray examination. Nine...... of renal calculi in medullary sponge kidney, have considerable therapeutic implications....

  4. Kidney injury molecule-1 in renal disease

    Waanders, Femke; van Timmeren, Mirjan M.; Stegeman, Coen A.; Bakker, Stephan J. L.; van Goor, Harry

    Kidney injury molecule-1 (KIM-1) is a marker for renal proximal tubular damage, the hallmark of virtually all proteinuric, toxic and ischaemic kidney diseases. KIM-1 has gained increasing interest because of its possible pathophysiological role in modulating tubular damage and repair. In this

  5. [Outcome of living kidney donors for transplantation].

    Lanot, Antoine; Bouvier, Nicolas; Chatelet, Valérie; Lecouf, Angélique; Tillou, Xavier; Hurault de Ligny, Bruno


    Nowadays, several treatments exist to treat terminal chronic renal failure. Best results for the recipients are obtained with kidney transplantation concerning mortality and quality of life. Transplantation is also the cheaper option for society. Living kidney donation raises the issue of the becoming of the donor, an absolutely healthy subject who gets to a surgical procedure. The becoming of living kidney donors has been compared with the one of controls subjects in several studies. The evaluations focused on the complications of nephrectomy in the short and long-term: kidney failure, hypertension, proteinuria, possibility of pregnancy, quality of life, and mortality. The first results did not show any risk linked to kidney donation, compared to general population. However, since 2013, kidney donors were found at higher risk for kidney failure and even for mortality, compared with controls selected like donor candidates. The risk of kidney donation is nevertheless acceptable and minimal, on the condition of rigorous selection of candidates and regular follow-up. Copyright © 2017 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.

  6. Social participation after successful kidney transplantation

    Van der Mei, Sijrike F.; Van Sonderen, Eric L. P.; Van Son, Willem J.; De Jong, Paul E.; Groothoff, Johan W.; Van den Heuvel, Wim J. A.


    Purpose. To explore and describe the degree of social participation after kidney transplantation and to examine associated factors. Method. A cross-sectional study on 239 adult patients 1-7.3 years after kidney transplantation was performed via in-home interviews on participation in obligatory

  7. Computerized tomography of unipapillary kidney - case report

    Bauab Junior, T.; Crosera, P.C.; Zerati Filho, M.


    A case of unipapillary kidney which was evaluated by computed tomography is reported. A review of the literature shows 14 previously reported cases, but none evaluated by CT. The authors also emphasize the lesions that course along with the unipapillary kidney. (author)

  8. Insulin degradation products from perfused rat kidney

    Duckworth, W.C.; Hamel, F.G.; Liepnieks, J.; Peavy, D.; Frank, B.; Rabkin, R.


    The kidney is a major site for insulin metabolism, but the enzymes involved and the products generated have not been established. To examine the products, we have perfused rat kidneys with insulin specifically iodinated on either the A14 or the B26 tyrosine. Labeled material from both the perfusate and kidney extract was examined by Sephadex G50 and high-performance liquid chromatography (HPLC). In perfusate from a filtering kidney, 22% of the insulin-sized material was not intact insulin on HPLC. With the nonfiltering kidney, 10.6% was not intact insulin. Labeled material from HPLC was sulfitolyzed and reinjected on HPLC. By use of 125 I-iodo(A14)-insulin, almost all the degradation products contained an intact A-chain. By use of 125 I-iodo(B26)-insulin, several different B-chain-cleaved products were obtained. The material extracted from the perfused kidney was different from perfusate products but similar to intracellular products from hepatocytes, suggesting that cellular metabolism by kidney and liver are similar. The major intracellular product had characteristics consistent with a cleavage between the B16 and B17 amino acids. This product and several of the perfusate products are also produced by insulin protease suggesting that this enzyme is involved in the degradation of insulin by kidney

  9. Diagnostic imaging of lymphoma of the kidney

    Grzesiakowska, U.; Smorczewska, M.; Huczynska-Szubert, E.


    Purpose. The aim of this paper is to discuss both the clinical and radiological signs and the diagnostic principles of lymphomatous infiltrations of the kidney. Materials and methods. The studied group consisted of 20 patients (9 women, 11 men) aged 18-79 years. The follows-up varied from 2 to 156 months. All patients underwent CT and ultrasound investigations, while only 1 patient had an MRI examination. In 7 cases surgical treatment was performed, while the remaining 13 patients received chemotherapy. One patient died, 12 are in remission and seven are under observation and considered cured. Results. The radiological signs of kidney lymphoma may be divided into groups: a) kidney enlargement, obliteration of the cortex-core differentiation and obliteration of the outline; b) heterogenous kidney structure with undefined hypodense fociand lack of enhancement after the administration of contrasting material; c) presence of a well-defined tumor within the renal pelvis and external infiltration of the kidney, d) infiltration of the kidney originating from the retroperitoneal space encompassing the organ from the outside. Conclusions. The radiological signs of lymphoma differ in the kidney and exhibit a characteristic set of features. Radiology results combined with clinical symptoms may suggest lymphoma in the kidney and thus advocate the necessity of pathological evaluation prior to surgical treatment. (authors)

  10. Awareness of Kidney Disorders in Nigeria.

    medical/nursing workers) of the Ogun State University teaching hospitals, bank workers ... diseases. One hundred and eighty-seven (45.1%) believed that kidney diseases are associated with urinary complaints while 99(23.9%), 56(13.5%) and 3(0.7%). believed that the ... group usually affected, causes of kidney diseases ...

  11. Kidney transplant outcomes from older deceased donors

    Pippias, Maria; Jager, Kitty J; Caskey, Fergus


    As the median age of deceased kidney donors rises, updated knowledge of transplant outcomes from older deceased donors in differing donor-recipient age groups is required. Using ERA-EDTA Registry data we determined survival outcomes of kidney allografts donated from the same older deceased donor...

  12. Kidneys at Higher Risk of Discard: Expanding the Role of Dual Kidney Transplantation

    Tanriover, B.; Mohan, S.; Cohen, D. J.; Radhakrishnan, J.; Nickolas, T. L.; Stone, P. W.; Tsapepas, D. S.; Crew, R. J.; Dube, G. K.; Sandoval, P. R.; Samstein, B.; Dogan, E.; Gaston, R. S.; Tanriover, J. N.; Ratner, L. E.; Hardy, M. A.


    Half of the recovered expanded criteria donor (ECD) kidneys are discarded in the United States. A new kidney allocation system offers kidneys at higher risk of discard, Kidney Donor Profile Index (KDPI) >85%, to a wider geographic area to promote broader sharing and expedite utilization. Dual kidney transplantation (DKT) based on the KDPI is a potential option to streamline allocation of kidneys which otherwise would have been discarded. To assess the clinical utility of the KDPI in kidneys at higher risk of discard, we analyzed the OPTN/UNOS Registry that included the deceased donor kidneys recovered between 2002 and 2012. The primary outcomes were allograft survival, patient survival and discard rate based on different KDPI categories (90%). Kidneys with KDPI >90% were associated with increased odds of discard (OR = 1.99, 95% CI 1.74–2.29) compared to ones with KDPI 90% were associated with lower overall allograft failure (HR = 0.74, 95% CI 0.62–0.89) and better patient survival (HR = 0.79, 95% CI 0.64–0.98) compared to single ECD kidneys with KDPI >90%. Kidneys at higher risk of discard may be offered in the up-front allocation system as a DKT. Further modeling and simulation studies are required to determine a reasonable KDPI cutoff percentile. PMID:24472195

  13. Definition and classification of chronic kidney disease : A position statement from Kidney Disease: Improving Global Outcomes (KDIGO)

    Levey, Andrew S.; Eckardt, Kai Uwe; Tsukamoto, Yusuke; Levin, Adeera; Coresh, Josef; Rossert, Jerome; de Zeeuw, Dick; Hostetter, Thomas H.; Lameire, Norbert; Eknoyan, Garabed

    Chronic kidney disease (CKD) is a worldwide public health problem, with adverse outcomes of kidney failure, cardiovascular disease (CVD), and premature death. A simple definition and classification of kidney disease is necessary for international development and implementation of clinical practice

  14. Cyclic Nucleotide Signalling in Kidney Fibrosis

    Elisabeth Schinner


    Full Text Available Kidney fibrosis is an important factor for the progression of kidney diseases, e.g., diabetes mellitus induced kidney failure, glomerulosclerosis and nephritis resulting in chronic kidney disease or end-stage renal disease. Cyclic adenosine monophosphate (cAMP and cyclic guanosine monophosphate (cGMP were implicated to suppress several of the above mentioned renal diseases. In this review article, identified effects and mechanisms of cGMP and cAMP regarding renal fibrosis are summarized. These mechanisms include several signalling pathways of nitric oxide/ANP/guanylyl cyclases/cGMP-dependent protein kinase and cAMP/Epac/adenylyl cyclases/cAMP-dependent protein kinase. Furthermore, diverse possible drugs activating these pathways are discussed. From these diverse mechanisms it is expected that new pharmacological treatments will evolve for the therapy or even prevention of kidney failure.

  15. Dopaminergic Immunofluorescence Studies in Kidney Tissue.

    Gildea, J J; Van Sciver, R E; McGrath, H E; Kemp, B A; Jose, P A; Carey, R M; Felder, R A


    The kidney is a highly integrated system of specialized differentiated cells that are responsible for fluid and electrolyte balance in the body. While much of today's research focuses on isolated nephron segments or cells from nephron segments grown in tissue culture, an often overlooked technique that can provide a unique view of many cell types in the kidney is slice culture. Here, we describe techniques that use freshly excised kidney tissue from rats to perform a variety of experiments shortly after isolating the tissue. By slicing the rat kidney in a "bread loaf" format, multiple studies can be performed on slices from the same tissue in parallel. Cryosectioning and staining of the tissue allow for the evaluation of physiological or biochemical responses in a wide variety of specific nephron segments. The procedures described within this chapter can also be extended to human or mouse kidney tissue.

  16. Kidney injury molecule-1 and microalbuminuria levels in Zambian ...

    Kidney injury molecule-1 and microalbuminuria levels in Zambian population: biomarkers of kidney injury. Mildred Zulu, Trevor Kaile, Timothy Kantenga, Chisanga Chileshe, Panji Nkhoma, Musalula Sinkala ...

  17. Successful Dual Kidney Transplantation After Hypothermic Oxygenated Perfusion of Discarded Human Kidneys

    Ravaioli, Matteo; De Pace, Vanessa; Comai, Giorgia; Busutti, Marco; Gaudio, Massimo Del; Amaduzzi, Annalisa; Cucchetti, Alessandro; Siniscalchi, Antonio; La Manna, Gaetano; D’Errico, Antonietta A.D.; Pinna, Antonio Daniele


    Patient: Female, 58 Final Diagnosis: Nephroangiosclerosis Symptoms: Renal failure Medication: — Clinical Procedure: Resuscitation of grafts by hypothermic oxygenated perfusion Specialty: Transplantology Objective: Challenging differential diagnosis Background: The recovery of discarded human kidneys has increased in recent years and impels to use of unconventional organ preservation strategies that improve graft function. We report the first case of human kidneys histologically discarded and transplanted after hypothermic oxygenated perfusion (HOPE). Case Report: Marginal kidneys from a 78-year-old woman with brain death were declined by Italian transplant centers due to biopsy score (right kidney: 6; left kidney: 7). We recovered and preserved both kidneys through HOPE and we revaluated their use for transplantation by means of perfusion parameters. The right kidney was perfused for 1 h 20 min and the left kidney for 2 h 30 min. During organ perfusion, the renal flow increased progressively. We observed an increase of 34% for the left kidney (median flow 52 ml/min) and 50% for the right kidney (median flow 24 ml/min). Both kidneys had low perfusate’s lactate levels. We used perfusion parameters as important determinants of the organ discard. Based on our previous organ perfusion experience, the increase of renal flow and the low level of lactate following 1 h of HOPE lead us to declare both kidneys as appropriate for dual kidney transplantation (DKT). No complications were reported during the transplant and in the post-transplant hospital stay. The recipient had immediate graft function and serum creatinine value of 0.95 mg/dL at 3 months post-transplant. Conclusions: HOPE provides added information in the organ selection process and may improve graft quality of marginal kidneys. PMID:28928357

  18. An Assessment of Urinary Biomarkers in a Series of Declined Human Kidneys Measured During ex-vivo Normothermic Kidney Perfusion

    Hosgood, Sarah Anne; Nicholson, Michael Lennard


    BACKGROUND: The measurement of urinary biomarkers during ex-vivo normothermic kidney perfusion (EVKP) may aid in the assessment of a kidney prior to transplantation. This study measured levels of neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1) and endothelin-1 (ET-1) during EVKP in a series of discarded human kidneys. METHODS: Fifty six kidneys from deceased donors were recruited into the study. Each kidney underwent 60 minutes of EVKP and was scored based ...

  19. Utilisation of the binders prepared from coal tar pitch and phenolic resins for the production metallurgical quality briquettes from coke breeze and the study of their high temperature carbonization behaviour

    Benk, Ayse [University of Erciyes, Faculty of Art and Science, Department of Chemistry, 38039, Kayseri (Turkey)


    To reduce the cost of the formed coke briquettes which can be used as a substitute fuel to the metallurgical coke for the blast furnace from the coke breeze alternative binders and their blends were used. The high temperature behavior was investigated. The binders tested were: the nitrogen blown, air blown coal tar pitch and the blend of air blown coal tar pitch with the phenolic resins blends. The phenolic resin blends were prepared by mixing equal amount of resole and novalac. From the results, nitrogen blowing resulted in the weakest briquettes. The air blowing procedure should be preferred in place of nitrogen blowing for this purpose. When the air blown coal tar pitch was used alone as a binder, the briquettes must be cured at 200 C for 2 h, then carbonized at a temperature above 670 C. Since it requires higher temperature at carbonization stage, using air blown coal tar pitch alone as a binder was not economical. Therefore, the briquettes were prepared from the blended binder, containing air blown coal tar pitch and phenolic resins blend. The optimum amount of air blown coal tar pitch was found to be 50% w/w in the blended binder. Curing the briquettes at 200 C for 2 h was found to be sufficient for producing strong briquettes with a tensile strength of 50.45 MN/m{sup 2}. When these cured briquettes were carbonized at temperatures 470 C, 670 C and 950 C, their strength were increasing continuously, reaching to 71.85 MN/m{sup 2} at the carbonization temperature of 950 C. These briquettes can be used as a substitute for the metallurgical coke after curing; the process might not require un-economical high temperature carbonization stage. (author)

  20. Diuretics in acute kidney injury.

    Nigwekar, Sagar U; Waikar, Sushrut S


    Acute kidney injury (AKI) is common in hospitalized patients and is associated with significant morbidity and mortality. The incidence of AKI is increasing and despite clinical advances there has been little change in the outcomes associated with AKI. A variety of interventions, including loop diuretics, have been tested for the prevention and treatment of AKI; however, none to date have shown convincing benefits in clinical studies, and the management of AKI remains largely supportive. In this article, we review the pharmacology and experimental and clinical evidence for loop diuretics in the management of AKI. In addition, we also review evidence for other agents with diuretic and/or natriuretic properties such as thiazide diuretics, mannitol, fenoldopam, and natriuretic peptides in both the prevention and treatment of AKI. Implications for current clinical practice are outlined to guide clinical decisions in this field. Copyright © 2011 Elsevier Inc. All rights reserved.

  1. Therapeutic Plasmapheresis in Kidney Transplantation

    Zeynep Kendi Celebi


    Full Text Available In 1960's, with succesfully renal transplantations, acute rejection became to be a serious problem for graft survival. From 1965 to 2010, with the introduction of new immunosuppressant agents such as cyclosporine, mycophenolate mofetile and tacrolimus, the acute rejection rates declined from 80% to 10% . There is an ongoing gradual improvement in allograft survival. Use of Therapeutic plasma exchange (TPE is not evidence based treatment, but TPE is necessary for pre- and also post transplantation in patients with DSA. TPE is also a main treatment for antibody mediated rejection (AMR , but in clinical practice the duration and frequency of TPE and individual difference of antibody production is unclear. There is a requirement for more specific antibody elimination. Further randomised controlled studies are needed to elucidate TPE use before and after kidney transplantation. [Dis Mol Med 2013; 1(1.000: 8-10

  2. Viruses & kidney disease: beyond HIV

    Waldman, Meryl; Marshall, Vickie; Whitby, Denise; Kopp, Jeffrey B.


    HIV-infected patients may acquire new viral co-infections; they may also experience the reactivation or worsening of existing viral infections, including active, smoldering, or latent infections. HIV-infected patients may be predisposed to these viral infections due to immunodeficiency or to risk factors common to HIV and other viruses. A number of these affect the kidney, either by direct infection or by deposition of immune complexes. In this review we discuss the renal manifestations and treatment of hepatitis C virus, BK virus, adenovirus, cytomegalovirus, and parvovirus B19 in patients with HIV disease. We also discuss an approach to the identification of new viral renal pathogens, using a viral gene chip to identify viral DNA or RNA. PMID:19013331

  3. Revisiting double kidney transplantation: two kidneys provide better graft survival than one.

    Cruzado, J M; Fernandez, L; Riera, L; Bestard, O; Carrera, M; Torras, J; Gil Vernet, S; Melilli, E; Ngango, L; Grinyó, J M


    Double kidney transplantation is an accepted strategy to increase the donor pool. Regarding older donor kidneys, protocols for deciding to perform a dual or a single transplantation are mainly based on preimplantation biopsies. The aim of our study was to evaluate the long-term graft and patient survivals of our "Dual Kidney Transplant program." Patients who lost one of their grafts peritransplantation were used as controls. A total of 203 patients underwent kidney transplantation from December 1996 to January 2008 in our "old for old" renal transplantation program. We excluded 21 patients because of a nonfunctioning kidney, hyperacute rejection, or patient death with a functioning graft within the first month. Seventy-nine among 182 kidney transplantation the "old for old" program were dual kidney transplantation (DKT). Fifteen of 79 patients lost one of their kidney grafts (the uninephrectomized (UNX) UNX group). At 1 year, renal function was lower and proteinuria greater among the UNX than the DKT group. Patient survival was similar in both groups. However, death-censored graft survival was lower in UNX than DKT patients. The 5-year graft survival rate was 70% in UNX versus 93% in DKT cohorts (P = .04). In conclusion, taking into account the kidney shortage, our results may question whether the excellent transplant outcomes with DKT counter balance the reduced donor pool obviating acceptable transplant outcomes for more patients with single kidney transplantation. Copyright © 2011 Elsevier Inc. All rights reserved.

  4. Dual Kidney Transplantation: Is It Worth It?

    Snanoudj, Renaud; Timsit, Marc-Olivier; Rabant, Marion; Tinel, Claire; Lazareth, Hélène; Lamhaut, Lionel; Martinez, Frank; Legendre, Christophe


    Use of expanded criteria donor (ECD) kidneys, which are associated with a reduced graft survival rate, has become widely adopted in elderly recipients in an old-to-old allocation system. However, the results are frequently unsatisfactory, and a high proportion of these ECD kidneys are discarded. Dual kidney transplantation (DKT) is an underused way to expand the pool of ECD kidneys and to rapidly transplant elderly patients with satisfactory results because of the transplantation of double the nephronic mass. In this overview, we summarize the results of the main studies on DKT. DKT suffers from a prejudice of heaviness and is considered to be useless by transplant centers that do not perform it. The literature is often biased by the heterogeneity of the criteria leading to a DKT and the common refusal of kidneys that are judged too marginal. In fact, we show that when strictly allocated according to reliable clinical or histological scores, dual and single ECD transplantations yield similar results in terms of patient and graft survival rates despite significant differences in donors' characteristics. DKTs are not associated with a higher proportion of surgical complications, except in some studies showing thrombosis of 1 of the 2 grafts. The benefits of dual transplantation are particularly evident for kidneys coming from most ECDs. There is still a need for more studies to find the best allocation criteria that would permit transplantation to the highest number of patients with similar outcomes in recipients of single and dual ECD kidneys.

  5. Magnetic resonance imaging of the transplanted kidneys

    Matsui, Suguru; Lee, Chol-Joo; Hamashima, Takashi


    Magnetic resonance imaging (MRI) is a new noninvasive means for evaluating pathological changes of kidney transplants. Thirty kidney transplants were examined by MRI study, comparing with 12 donor kidneys as control. Imaging of well functioning grafts using inversion recovery (IR) method displayed a clear figure of corticomedullary differentiation (CMD). Kidneys under acute rejection, chronic rejection, and ciclosporin nephrotoxicity displayed poor CMD. CMD of Kidneys under ATN was poor on IR imaging, but clear on T 1 weightened imaging. T 1 values of kidney grafts were obtained as the mean value of T 1 relaxation time of three areas including upper pole, lower pole, and the middle of the cortex. T 1 value of the grafts under chronic rejection was similar to that of well functioning grafts. The value increased in case of acute rejection, ATN, and ciclosporin nephrotoxicity and decreased as the graft function was getting better. Imaging and the estimation of T 1 value of kidney transplants of MRI were effective for evaluating graft function but of no use for differentiation of causes of graft deterioration. (author)

  6. Microvascular pericytes in healthy and diseased kidneys

    Pan, Szu-Yu; Chang, Yu-Ting; Lin, Shuei-Liong


    Pericytes are interstitial mesenchymal cells found in many major organs. In the kidney, microvascular pericytes are defined anatomically as extensively branched, collagen-producing cells in close contact with endothelial cells. Although many molecular markers have been proposed, none of them can identify the pericytes with satisfactory specificity or sensitivity. The roles of microvascular pericytes in kidneys were poorly understood in the past. Recently, by using genetic lineage tracing to label collagen-producing cells or mesenchymal cells, the elusive characteristics of the pericytes have been illuminated. The purpose of this article is to review recent advances in the understanding of microvascular pericytes in the kidneys. In healthy kidney, the pericytes are found to take part in the maintenance of microvascular stability. Detachment of the pericytes from the microvasculature and loss of the close contact with endothelial cells have been observed during renal insult. Renal microvascular pericytes have been shown to be the major source of scar-forming myofibroblasts in fibrogenic kidney disease. Targeting the crosstalk between pericytes and neighboring endothelial cells or tubular epithelial cells may inhibit the pericyte–myofibroblast transition, prevent peritubular capillary rarefaction, and attenuate renal fibrosis. In addition, renal pericytes deserve attention for their potential to produce erythropoietin in healthy kidneys as pericytes stand in the front line, sensing the change of oxygenation and hemoglobin concentration. Further delineation of the mechanisms underlying the reduced erythropoietin production occurring during pericyte–myofibroblast transition may be promising for the development of new treatment strategies for anemia in chronic kidney disease. PMID:24465134

  7. Wnt Signaling in Kidney Development and Disease.

    Wang, Yongping; Zhou, Chengji J; Liu, Youhua


    Wnt signal cascade is an evolutionarily conserved, developmental pathway that regulates embryogenesis, injury repair, and pathogenesis of human diseases. It is well established that Wnt ligands transmit their signal via canonical, β-catenin-dependent and noncanonical, β-catenin-independent mechanisms. Mounting evidence has revealed that Wnt signaling plays a key role in controlling early nephrogenesis and is implicated in the development of various kidney disorders. Dysregulations of Wnt expression cause a variety of developmental abnormalities and human diseases, such as congenital anomalies of the kidney and urinary tract, cystic kidney, and renal carcinoma. Multiple Wnt ligands, their receptors, and transcriptional targets are upregulated during nephron formation, which is crucial for mediating the reciprocal interaction between primordial tissues of ureteric bud and metanephric mesenchyme. Renal cysts are also associated with disrupted Wnt signaling. In addition, Wnt components are important players in renal tumorigenesis. Activation of Wnt/β-catenin is instrumental for tubular repair and regeneration after acute kidney injury. However, sustained activation of this signal cascade is linked to chronic kidney diseases and renal fibrosis in patients and experimental animal models. Mechanistically, Wnt signaling controls a diverse array of biologic processes, such as cell cycle progression, cell polarity and migration, cilia biology, and activation of renin-angiotensin system. In this chapter, we have reviewed recent findings that implicate Wnt signaling in kidney development and diseases. Targeting this signaling may hold promise for future treatment of kidney disorders in patients. Copyright © 2018 Elsevier Inc. All rights reserved.

  8. Medullary sponge kidney on axial computed tomography

    Ginalski, J.-M.; Schnyder, Pierre; Portmann, Luc; Jaeger, Philippe


    To evaluate features of medullary sponge kidney (MSK) on computed tomography (CT), 4-mm-thick axial slices without intravenous contrast material were 1st made in 13 patients through 24 kidneys which showed images of MSK on excretory urograms. On CT, papillary calcifications were found in 11 kidneys. In 5 of these, the calcifications were not detectable on plain films. Some hyperdense papillae (attenuation value 55-70 Hounsfield units) without calcification were found in 4 other kidneys. 9 kidneys appeared normal. 10 of the 14 kidneys were reexamined by a 2nd series of 4-mm-thick axial slices, 5 min after intravenous injection of 50 ml of Urografin. Images suggesting possible ectasia of precaliceal tubules were found in only 4 kidneys. These images appear much less obvious and characteristic on CT than on excretory urogram and do nothing more than suggest the possibility of MSK. In conclusion, the sensitivity of CT in the detection of MSK is markedly lower than that of excretory urography. In the most florid cases of the disease, CT can only show images suggesting the possibility of MSK. On the other hand, CT appears much more sensitive than plain films and tomograms of excretory in the detection of papillary calcifications, the most frequent complication of MSK. (author). 13 refs.; 3 figs

  9. RLIP76 Targeted Therapy for Kidney Cancer.

    Singhal, Sharad S; Singhal, Jyotsana; Figarola, James; Horne, David; Awasthi, Sanjay


    Despite recent improvements in chemotherapeutic approaches to treating kidney cancer, this malignancy remains deadly if not found and removed at an early stage of the disease. Kidney cancer is highly drug-resistant, which may at least partially result from high expression of transporter proteins in the cell membranes of kidney cells. Although these transporter proteins can contribute to drug-resistance, targeting proteins from the ATP-binding cassette transporter family has not been effective in reversing drug-resistance in kidney cancer. Recent studies have identified RLIP76 as a key stress-defense protein that protects normal cells from damage caused by stress conditions, including heat, ultra-violet light, X-irradiation, and oxidant/electrophilic toxic chemicals, and is crucial for protecting cancer cells from apoptosis. RLIP76 is the predominant glutathione-electrophile-conjugate (GS-E) transporter in cells, and inhibiting it with antibodies or through siRNA or antisense causes apoptosis in many cancer cell types. To date, blocking of RLIP76, either alone or in combination with chemotherapeutic drugs, as a therapeutic strategy for kidney cancer has not yet been evaluated in human clinical trials, although there is considerable potential for RLIP76 to be developed as a therapeutic agent for kidney cancer. In the present review, we discuss the mechanisms underlying apoptosis caused by RLIP76 depletion, the role of RLIP76 in clathrin-dependent endocytosis deficiency, and the feasibility of RLIP76-targeted therapy for kidney cancer.

  10. Prolonged CT urography in duplex kidney.

    Gong, Honghan; Gao, Lei; Dai, Xi-Jian; Zhou, Fuqing; Zhang, Ning; Zeng, Xianjun; Jiang, Jian; He, Laichang


    Duplex kidney is a common anomaly that is frequently associated with multiple complications. Typical computed tomography urography (CTU) includes four phases (unenhanced, arterial, parenchymal and excretory) and has been suggested to considerably aid in the duplex kidney diagnosi. Unfortunately, regarding duplex kidney with prolonged dilatation, the affected parenchyma and tortuous ureters demonstrate a lack of or delayed excretory opacification. We used prolonged-delay CTU, which consists of another prolonged-delay phase (1- to 72-h delay; mean delay: 24 h) to opacify the duplicated ureters and affected parenchyma. Seventeen patients (9 males and 8 females; age range: 2.5-56 y; mean age: 40.4 y) with duplex kidney were included in this study. Unenhanced scans did not find typical characteristics of duplex kidney, except for irregular perirenal morphology. Duplex kidney could not be confirmed on typical four-phase CTU, whereas it could be easily diagnosed in axial and CT-3D reconstruction using prolonged CTU (prolonged-delay phase). Between January 2005 and October 2010, in this review board-approved study (with waived informed consent), 17 patients (9 males and 8 females; age range: 2.5 ~ 56 y; mean age: 40.4 y) with suspicious duplex kidney underwent prolonged CTU to opacify the duplicated ureters and confirm the diagnosis. Our results suggest the validity of prolonged CTU to aid in the evaluation of the function of the affected parenchyma and in the demonstration of urinary tract malformations.

  11. Setting Research Priorities for Kidney Cancer.

    Jones, Jennifer M; Bhatt, Jaimin; Avery, Jonathan; Laupacis, Andreas; Cowan, Katherine; Basappa, Naveen S; Basiuk, Joan; Canil, Christina; Al-Asaaed, Sohaib; Heng, Daniel Y C; Wood, Lori; Stacey, Dawn; Kollmannsberger, Christian; Jewett, Michael A S


    Defining disease-specific research priorities in cancer can facilitate better allocation of limited resources. Involving patients and caregivers as well as expert clinicians in this process is of value. We undertook this approach for kidney cancer as an example. The Kidney Cancer Research Network of Canada sponsored a collaborative consensus-based priority-setting partnership that identified ten research priorities in the management of kidney cancer. These are discussed in the context of current initiatives and gaps in knowledge. Copyright © 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  12. A Selection of Constitutional Perspectives on Human Kidney Sales ...

    There are thousands of desperate people globally who need a kidney for transplantation. The number of people who require a kidney transplant continues to escalate faster than the number of kidneys available for a transplant. The specific focus of this article is to determine whether the payment of kidney donors could be ...

  13. Cadmium, mercury, and lead in kidney cortex of living kidney donors: Impact of different exposure sources,

    Barregard, Lars, E-mail: [Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, P.O. Box 414, SE 405 30 Gothenburg (Sweden); Fabricius-Lagging, Elisabeth [Department of Nephrology, Sahlgrenska University Hospital and Boras Hospital (Sweden); Lundh, Thomas [Department of Occupational and Environmental Medicine, Lund University Hospital and Lund University (Sweden); Moelne, Johan [Department of Clinical Pathology, Sahlgrenska University Hospital and University of Gothenburg (Sweden); Wallin, Maria [Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, P.O. Box 414, SE 405 30 Gothenburg (Sweden); Olausson, Michael [Department of Transplantation and Liver Surgery, Sahlgrenska University Hospital and University of Gothenburg (Sweden); Modigh, Cecilia; Sallsten, Gerd [Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, P.O. Box 414, SE 405 30 Gothenburg (Sweden)


    Background: Most current knowledge on kidney concentrations of nephrotoxic metals like cadmium (Cd), mercury (Hg), or lead (Pb) comes from autopsy studies. Assessment of metal concentrations in kidney biopsies from living subjects can be combined with information about exposure sources like smoking, diet, and occupation supplied by the biopsied subjects themselves. Objectives: To determine kidney concentrations of Cd, Hg, and Pb in living kidney donors, and assess associations with common exposure sources and background factors. Methods: Metal concentrations were determined in 109 living kidney donors aged 24-70 years (median 51), using inductively coupled plasma-mass spectrometry (Cd and Pb) and cold vapor atomic fluorescence spectrometry (Hg). Smoking habits, occupation, dental amalgam, fish consumption, and iron stores were evaluated. Results: The median kidney concentrations were 12.9 {mu}g/g (wet weight) for cadmium, 0.21 {mu}g/g for mercury, and 0.08 {mu}g/g for lead. Kidney Cd increased by 3.9 {mu}g/g for a 10 year increase in age, and by 3.7 {mu}g/g for an extra 10 pack-years of smoking. Levels in non-smokers were similar to those found in the 1970s. Low iron stores (low serum ferritin) in women increased kidney Cd by 4.5 {mu}g/g. Kidney Hg increased by 6% for every additional amalgam surface, but was not associated with fish consumption. Lead was unaffected by the background factors surveyed. Conclusions: In Sweden, kidney Cd levels have decreased due to less smoking, while the impact of diet seems unchanged. Dental amalgam is the main determinant of kidney Hg. Kidney Pb levels are very low due to decreased exposure.

  14. Cadmium, mercury, and lead in kidney cortex of living kidney donors: Impact of different exposure sources,

    Barregard, Lars; Fabricius-Lagging, Elisabeth; Lundh, Thomas; Moelne, Johan; Wallin, Maria; Olausson, Michael; Modigh, Cecilia; Sallsten, Gerd


    Background: Most current knowledge on kidney concentrations of nephrotoxic metals like cadmium (Cd), mercury (Hg), or lead (Pb) comes from autopsy studies. Assessment of metal concentrations in kidney biopsies from living subjects can be combined with information about exposure sources like smoking, diet, and occupation supplied by the biopsied subjects themselves. Objectives: To determine kidney concentrations of Cd, Hg, and Pb in living kidney donors, and assess associations with common exposure sources and background factors. Methods: Metal concentrations were determined in 109 living kidney donors aged 24-70 years (median 51), using inductively coupled plasma-mass spectrometry (Cd and Pb) and cold vapor atomic fluorescence spectrometry (Hg). Smoking habits, occupation, dental amalgam, fish consumption, and iron stores were evaluated. Results: The median kidney concentrations were 12.9 μg/g (wet weight) for cadmium, 0.21 μg/g for mercury, and 0.08 μg/g for lead. Kidney Cd increased by 3.9 μg/g for a 10 year increase in age, and by 3.7 μg/g for an extra 10 pack-years of smoking. Levels in non-smokers were similar to those found in the 1970s. Low iron stores (low serum ferritin) in women increased kidney Cd by 4.5 μg/g. Kidney Hg increased by 6% for every additional amalgam surface, but was not associated with fish consumption. Lead was unaffected by the background factors surveyed. Conclusions: In Sweden, kidney Cd levels have decreased due to less smoking, while the impact of diet seems unchanged. Dental amalgam is the main determinant of kidney Hg. Kidney Pb levels are very low due to decreased exposure.

  15. Bilateral s-shaped kidneys: A rare congenital malformation

    Nikhil Ranjan


    Full Text Available A bilateral S-shaped kidney is a rare anomaly in which both the kidneys are in their normal position, in contrast to the commonly reported S-shaped fusion anomaly, in which the contralateral kidney crosses the midline to fuse with opposite kidney leaving the ipsilateral renal fossa empty. Here we present the diagnosis and management of a case of bilateral S-shaped renal anomaly with associated left pelviureteric junction obstruction and nonfunctioning kidney and right renal stones. Left kidney was managed by open nephrectomy and right kidney by PNL.

  16. Vitamins and Minerals in Kidney Disease

    ... Donate A to Z Health Guide Vitamins and Minerals in Kidney Disease Tweet Share Print Email Are ... you need to know. What are vitamins and minerals? Vitamins and minerals are substances your body needs ...

  17. Immunotherapy Combination Approved for Advanced Kidney Cancer

    FDA has approved the combination of the immunotherapy drugs nivolumab (Opdivo) and ipilimumab (Yervoy) as an initial treatment for some patients with advanced kidney cancer. The approval is expected to immediately affect patient care, as this Cancer Currents post explains.

  18. The bioengineered kidney: science or science fiction?

    Oxburgh, Leif; Carroll, Thomas J


    This article gives an overview of important new advances relating to kidney bioengineering. Directed differentiation studies have shown that proximal tubules, distal tubules, podocytes, collecting ducts, interstitium and endothelial cells can be generated from patient-derived stem cells using standardized protocols. One caveat to the interpretation of these studies is that the physiological characteristics of differentiated cells remain to be defined. Another important area of progress is scaffolding. Both decellularized organs and polymeric materials are being used as platforms for three-dimensional growth of kidney tissue, and key distinctions between these approaches are discussed. In the past 3 years, it has become clear that building kidney tissue is feasible. The laboratory-grown kidney is an attainable goal if efforts are focused on refining directed differentiation procedures to optimize cell function and on developing scaffolding strategies that ensure physiological function at the tissue level.

  19. Low Phosphorus Diet: Best for Kidney Disease?

    ... cereal, rice and pasta White bread, crackers, cereals, rice and pasta Quick breads, biscuits, cornbread, muffins, pancakes or waffles White dinner rolls, bread, bagels or English muffins Dried peas (split, black-eyed), beans (black, garbanzo, lima, kidney, navy, pinto) ...

  20. Management of patients with chronic kidney disease

    management of the complications of CKD, e.g. renal anaemia, ... ARTICLE. Management of patients with chronic kidney disease. T Gerntholtz,1 FCP (SA); G Paget,2 ..... Telmisartan, ramipril, or both in patients at high risk for vascular events.

  1. [The use of diuretics in kidney disease].

    Heramb, Lene; Hallan, Stein; Aasarød, Knut


    Diuretics are an important part of the therapy for a number of medical conditions such as heart, liver and kidney failure and hypertension. This article presents updated knowledge on the use of diuretics in kidney disease. The article is based on a literature search in PubMed, information obtained from textbooks on neurophysiology and kidney disease and on the authors' clinical experience. Kidney disease affects the pharmacokinetics and pharmacodynamics of diuretics, and this must be taken into account when selecting a drug and determining the dosage. This applies particularly to nephrotic syndrome and severe chronic renal disease (GFR diuretics is crucial to the rational use of diuretics in renal disease. Dose titration under close clinical monitoring and an optimal dosage interval make it possible to find the lowest possible effective dose and reduce the occurrence of side effects.

  2. Cabozantinib for Initial Treatment of Kidney Cancer

    FDA has approved cabozantinib (Cabometyx®) as an initial treatment for patients with advanced renal cell carcinoma. The approval adds another tyrosine kinase inhibitor to the available options for patients with advanced kidney cancer.

  3. Diagnostic approach to chronic kidney disease

    syndrome may suggest disorders such as polycystic kidney disease,. Alport syndrome, focal ... metabolic syndrome assists with the evaluation of the patient's cardiovascular risk .... found during heavy exercise, fever and stress. • Common ...

  4. Appraisal of the porcine kidney autotransplantation model

    Post, Ivo C. J. H.; Dirkes, Marcel C.; Heger, Michal; van Loon, Johannes P. A. M.; Swildens, Bas; Huijzer, Goos M.; van Gulik, Thomas M.


    Animal models are extensively used for transplantation related research, especially kidney transplantation. Porcine autotransplantation models are considered to be favorable regarding translatability to the human setting. The key determinants for translatability of the model are discussed,

  5. Common acquired kidney diseases in children

    5. Common acquired kidney diseases in children. Examination of the urine is probably the most important investigation ... result from the same streptococcal infection. .... musculoskeletal system. ... Prediction of histopathology from clinical.

  6. Travel Tips: A Guide for Kidney Patients

    ... now available, which are easy to carry on airplanes and to use in hotel rooms, campers, etc. ... for specific treatment recommendations. Print Email Read related articles Fluoride Talking to Your Friends About Kidney Disease ...

  7. Treatment Methods for Kidney Failure: Transplantation

    ... Coordinating Committees Strategic Plans & Reports Research Areas FAQs Jobs at NIDDK Visit Us Contact Us News News ... regularly. A working transplanted kidney does a better job of filtering wastes and keeping you healthy than ...

  8. [Traumatic rupture of a horseshoe kidney].

    Pascual Samaniego, M; Bravo Fernández, I; Ruiz Serrano, M; Ramos Martín, J A; Lázaro Méndez, J; García González, A


    One-third to one-half of all patients with horseshoe kidney are asymptomatic and the condition is found incidentally. This congenital renal anomaly has shown as a predisponent condition for renal injury in blunt abdominal trauma, but often the degree of injury has a nonoperative therapy. Horseshoe kidney rupture is an exceptional pathology that require a complete diagnostic study to make an adequate management when surgical therapy is indicated. We present a fifteen-year-old male with previously unsuspected horseshoe kidney that suffered an atypical right upper-pole and mesorrenal kidney rupture after low-velocity-impact blunt abdominal trauma. A correct presurgical diagnose let a deferred surgical approach with right lower pole and horseshoe renal isthmus preservation. The trauma conditions, an excesive clinic manifestation, a clinical investigation about known congenital simultaneous anomallies and typical radiological signs, can suggest this infrequent patology. Computed tomography provides the best radiological information.


    M. L. Arefjev


    Full Text Available There is well known fact that kidney transplants from Extended Criteria Donors may increase risk of De- layed Graft Function and Primary Non-Function of transplants. We have collected and tested 65 «zero» kidney biopsies from cadaver donors aged from 19 to 71 years old. In the pool of elderly donors who died from cerebrovascular accident the frequency of nephrosclerosis presentation was higher than in donors of yonger age who died from craniocephalic trauma. Nevertheless in the general donor pool the number of sclerosed glomeruli was no more than 12%. We did not meet at all in the whole volume of material any bi- opsy with the severe degree of arteriosclerosis. The «zero» biopsies of cadaver kidneys is quite usable and unexpensive tool to measure the degree of nephrosclerosis in order to exclude kidneys which are not fitable for transplantation. 

  10. Multicystic dysplastic kidney: a retrospective study.

    Sharada, Sathish; Vijayakumar, Mahalingam; Nageswaran, Prahlad; Ekambaram, Sudha; Udani, Amish


    To report the renal structural and functional anomalies in children with multicystic dysplastic kidneys. Retrospective descriptive analysis of 47 children with multicystic dysplastic kidney seen in a pediatric nephrology unit over a period of 6 years. Antenatal diagnosis of multicystic dysplastic kidney was made in 34 (72.3%) patients. On follow up of 31 children for more than 12 months, 21 (68%) had involution, 4 [13%] had non-regression, and 4 (13%) were nephrectomized. Vesico-ureteric reflux (n=13; 28%) was the commonest renal abnormality. The serum creatinine values were higher (P=0.006) in children with contralateral reflux. Sub-nephrotic proteinuria was noted in 9 (29%) and was significantly associated with complete involution (P=<0.023). None of the patients developed hypertension and 2 (6.4%) had renal failure. Close nephrological follow-up is needed in children with multicystic dysplasia of kidneys.

  11. Percutaneous Nephrolithotomy and Chronic Kidney Disease

    Sairam, Krish; Scoffone, Cesare M; Alken, Peter


    by glomerular filtration rate, including chronic kidney disease stages 0/I/II-greater than 60, stage III-30 to 59 and stages IV/V-less than 30 ml/minute/1.73 m(2). Patient characteristics, operative characteristics, outcomes and morbidity were assessed. RESULTS: Estimated glomerular filtration rate data were...... available on 5,644 patients, including 4,436 with chronic kidney disease stages 0/I/II, 994 with stage III and 214 with stages IV/V. A clinically significant minority of patients with nephrolithiasis presented with severe chronic kidney disease. A greater number of patients with stages IV/V previously...... underwent percutaneous nephrolithotomy, ureteroscopy or nephrostomy and had positive urine cultures than less severely affected patients, consistent with the higher incidence of staghorn stones in these patients. Patients with chronic kidney disease stages IV/V had statistically significantly worse...

  12. Plasma adiponectin before and after kidney transplantation

    Idorn, Thomas; Hornum, Mads; Bjerre, Mette


    The role of plasma adiponectin (ADPN) in patients with impaired kidney function and following kidney transplantation (Tx) is debated. We aimed to: (i) determine whether pretransplant ADPN level is an independent risk factor for deterioration of glucose tolerance including development of new......-onset diabetes mellitus after Tx, (ii) describe which parameters that influence the ADPN concentration before and after Tx. Fifty-seven nondiabetic kidney allograft recipients and 40 nondiabetic uraemic patients were included. The Tx group was examined at baseline and 3 and 12 months after Tx. The uraemic...... analysis, whereas an ordinal logistic regression analysis revealed no predictive characteristic of ADPN for aggravation of the glucose tolerance after Tx. In conclusion, kidney transplantation is accompanied by a significant reduction in ADPN concentration. Several factors determine the ADPN concentration...

  13. The Kidney-Vascular-Bone Axis in the Chronic Kidney Disease-Mineral Bone Disorder.

    Seifert, Michael E; Hruska, Keith A


    The last 25 years have been characterized by dramatic improvements in short-term patient and allograft survival after kidney transplantation. Long-term patient and allograft survival remains limited by cardiovascular disease and chronic allograft injury, among other factors. Cardiovascular disease remains a significant contributor to mortality in native chronic kidney disease as well as cardiovascular mortality in chronic kidney disease more than doubles that of the general population. The chronic kidney disease (CKD)-mineral bone disorder (MBD) is a syndrome recently coined to embody the biochemical, skeletal, and cardiovascular pathophysiology that results from disrupting the complex systems biology between the kidney, skeleton, and cardiovascular system in native and transplant kidney disease. The CKD-MBD is a unique kidney disease-specific syndrome containing novel cardiovascular risk factors, with an impact reaching far beyond traditional notions of renal osteodystrophy and hyperparathyroidism. This overview reviews current knowledge of the pathophysiology of the CKD-MBD, including emerging concepts surrounding the importance of circulating pathogenic factors released from the injured kidney that directly cause cardiovascular disease in native and transplant chronic kidney disease, with potential application to mechanisms of chronic allograft injury and vasculopathy.

  14. Survival of Kidney Retransplant Compared With First Kidney Transplant: A Report From Southern Iran.

    Roozbeh, Jamshid; Malekmakan, Leila; Monavarian, Mehri; Daneshian, Arghavan; Karimi, Zeynab


    Kidney retransplant is increasingly performed, but patient survival is controversial. The aim of this study was to evaluate the outcomes of patients with second kidney grafts and compare survival rates of recipients with first and second kidney transplant procedures. This was a retrospective study analyzing records from the Shiraz University of Medical Sciences transplant ward. Survival rates of retrans?lanted patients were compared with a randomly selected group of first kidney recipients. Factors related to retransplant survival were evaluated. Data were analyzed by SPSS version 16.0, and P < .05 was consi?ered as significant. This study included 200 patients with first kidney transplants and 68 patients with kidney retransplants. We found that 1-, 3-, 5-, and 7-year graft survival rates were 91.9%, 87.2% ,86.3%, and 86.3% among retransplanted patients versus 98.3%, 95.4%, 90.2%, and 88.7% among the first transplant group (P = .130). Hospital stay duration after transplant, kidney rejection rate during hospitalization, delayed graft function, and creatinine levels at discharge were significantly associated with survival in retransplanted patients (P < .05). Kidney retransplants can yield desirable outcomes and is the treatment of choice in patients who have lost their graft. Careful screening for risk factors should be consider for obtaining better results in second kidney transplant procedures.

  15. The kidneys in the Bible: what happened?

    Eknoyan, Garabed


    The kidneys, always used in the plural (kelayot), are mentioned more than 30 times in the Bible. In the Pentateuch, the kidneys are cited 11 times in the detailed instructions given for the sacrificial offering of animals at the altar. Whereas those instructions were for purification ceremonies at the Temple, sacrificial offerings were made subsequently in seeking divine intervention for the relief of medical problems. In the books of the Bible that follow the Pentateuch, mostly in Jeremiah and Psalms, the human kidneys are cited figuratively as the site of temperament, emotions, prudence, vigor, and wisdom. In five instances, they are mentioned as the organs examined by God to judge an individual. They are cited either before or after but always in conjunction with the heart as mirrors of the psyche of the person examined. There is also reference to the kidneys as the site of divine punishment for misdemeanors, committed or perceived, particularly in the book of Job, whose suffering and ailments are legendary. In the first vernacular versions of the Bible in English, the translators elected to use the term "reins" instead of kidneys in differentiating the metaphoric uses of human kidneys from that of their mention as anatomic organs of sacrificial animals burned at the altar. This initial effort at linguistic purity or gentility has progressed further in recent versions of the Bible, in which the reins are now replaced by the soul or the mind. The erosion may have begun in the centuries that followed the writing of the Bible, when recognition of the kidneys as excretory organs deprived them of the ancient aura of mysterious organs hidden deep in the body but accessible to the look of God. At approximately the same time, Greek analytical philosophy argued that the brain, which is never mentioned in the Bible, was the most divine and sacred part of the body. This argument gained ground in the past century, when the functions of the brain were elucidated, and

  16. MR imaging of adult glomerulocystic kidney disease

    Egashira, K.; Nakata, H.; Hashimoto, O.; Kaizu, K.; University of Occupational and Environmental Health School of Medicine, Kitakyushu


    A 59-year-old man with hypertension and severe renal dysfunction was diagnosed as having adult glomerulocystic kidney disease. MR imaging of the kidney showed a diffuse reduction of the intensity of the renal cortex with a loss of normal cortico-medullary differentiation of T1-weighted images. Numerous small cortical cysts were also demonstrated. These MR findings complemented the results of the biopsy and were useful for making a definitive diagnosis. (orig.)

  17. Renal cancer in recipients of kidney transplant

    Prajwal Dhakal


    Full Text Available The aim of our study is to determine characteristics and outcomes of kidney cancer in renal transplant recipients. MEDLINE ® database was searched in June 2015 to identify cases of kidney cancer in renal transplant recipients. We include also a new case. Descriptive statistics were used for analysis. Forty-eight (48 recipients reported in 25 papers met the eligibility criteria. The median age was 47 years (range 9-66; 27% were females. Chronic glomerulonephritis, cystic kidney disease and hypertension were common indications for renal transplant. Among donors 24% were females and the median age was 52.5 years (17- 73; 62% of kidney cancers were donor-derived. The median interval between transplant and cancer diagnosis was shorter for cancer of recipient versus donor origin (150 vs. 210 days. Clear cell carcinoma was diagnosed in 17%. 25% had metastasis at diagnosis. Kidney explantation or excision was done in 90% and 84% of cases with and without metastasis respectively. The median survival was 72 months. Actuarial 1-year and 5-year survival rates were 73.4% and 55.1% respectively. Among the recipients from 7 donors who subsequently developed malignancy, 57% were dead within a year. Kidney transplant recipients have a small risk of kidney cancer, which affects younger patients and occurs within a year of transplant, likely due to immunosuppression. Whether the use of older donors may increase the likelihood needs further investigation. The presence of metastasis, explantation or excision of affected kidney and development of cancer in donors predict outcomes. The results may guide patient education and informed decision-making.

  18. [Psychological specificities of living donor kidney transplantation].

    Papeloux-Heitzmann, Élodie


    For people with end-stage kidney disease, a transplant is the promise of a future without dialysis. Living donor kidney transplantation comprises many specificities and is distinct from cadaveric donor transplantation. Some psychological aspects explain these specificities. They may be subconscious and difficult to access, but it is essential to decipher them in order to adapt the support provided to these people. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  19. Acute kidney injury with hypoxic respiratory failure

    Neubert, Zachary; Hoffmann, Paul; Owshalimpur, David


    A 27-year-old Caucasian man was transferred from a remote clinic with acute kidney injury for the prior 7–10 days preceded by gastroenteritis. His kidney biopsy showed non-specific mesangiopathic glomerular changes, minimal tubulointerstitial disease without sclerosis, crescents, nor evidence of vasculitis. On his third hospital day, he developed acute hypoxic respiratory failure requiring intubation and mechanical ventilation. Pulmonary renal syndromes ranked highest on his differential diag...

  20. Kidney changes after extracorporeal shock wave lithotripsy

    Yoshioka, Hiroyasu; Shindo, Hiroshi; Mabuchi, Nobuhisa; Kawakami, Akira; Fujii, Koichi; Hamada, Tatsumi; Ishida, Osamu; Umekawa, Toru; Kohri, Kenjiro


    MRI was performed before and after extracorporeal shock wave lithotripsy (ESWL) to determine the effects of ESWL on the kidney and perinephric tissues. Of the 40 kidneys studied, 24 showed one or more changes on MRI: loss of the corticomedullary junction (n=15), subcapsular fluid (n=14), subcapsular hematoma (n=1), thickening of bridging septa (n=8), high intensity area in the muscle (n=8). These relatively subtle changes detected on MRI may not be apparent with other imaging techniques. (author)

  1. Monitoring kidney function in diabetic nephropathy

    Rossing, P; Astrup, A S; Smidt, U M


    (SD))(p kidney function ml.min-1.year-1 was 4.7 (3.3) measured and 4.8 (3.5) estimated (mean(SD)) (NS), but the 95% limits...... of decline in glomerular filtration rate are comparable, but the limits of agreement are wide, which make the Cockroft-Gault method unacceptable for clinical purposes, i.e. monitoring progression in kidney function in the individual patient.(ABSTRACT TRUNCATED AT 250 WORDS)...

  2. Fluid management in acute kidney injury

    Perner, Anders; Prowle, John; Joannidis, Michael


    Acute kidney injury (AKI) and fluids are closely linked through oliguria, which is a marker of the former and a trigger for administration of the latter. Recent progress in this field has challenged the physiological and clinical rational of using oliguria as a trigger for the administration...... of crystalloids and colloids on kidney function and the effect of various resuscitation and de-resuscitation strategies on the course and outcome of AKI....

  3. Shear wave velocity measurements using acoustic radiation force impulse in young children with normal kidneys versus hydronephrotic kidneys

    Beomseok Sohn


    Conclusion: Obtaining ARFI measurements of the kidney is feasible in young children with median SWVs of 1.75 m/sec in normal kidneys. Median SWVs increased in high-grade hydronephrotic kidneys but were not different between hydronephrotic kidneys with and without UPJO.

  4. Dengue-associated kidney disease.

    Lizarraga, Karlo J; Nayer, Ali


    A mosquito-borne viral illness highly prevalent in the tropics and subtropics, dengue is considered a major global health threat by the World Health Organization. Directory of Open Access Journals (DOAJ), Google Scholar, PubMed (NLM), LISTA (EBSCO) and Web of Science have been searched. An RNA virus from the genus Flavivirus, dengue virus is transmitted by Aedes aegypti,the yellow fever mosquito. Dengue is asymptomatic in as many as one half of infected individuals. Dengue fever is an acute febrile illness accompanied by constitutional symptoms. Dengue hemorrhagic fever and dengue shock syndrome are the severe forms of dengue infection.Dengue infection has been associated with a variety of renal disorders. Acute renal failure is a potential complication of severe dengue infection and is typically associated with hypotension, rhabdomyolysis, or hemolysis. Acute renal failure complicates severe dengue infection in 2-5% of the cases and carries a high mortality rate. Proteinuria has been detected in as high as 74% of patients with severe dengue infection. Hematuria has been reported in up to 12.5% of patients. Various types of glomerulonephritis have been reported during or shortly after dengue infection in humans and mouse models of dengue infection. Mesangial proliferation and immune complex deposition are the dominant histologic features of dengue-associated glomerulonephritis. On a rare occasion, dengue infection is associated with systemic autoimmune disorders involving the kidneys. In the vast majority of cases, dengue infection and associated renal disorders are self-limited.

  5. Acute Kidney Injury in Pregnancy.

    Jim, Belinda; Garovic, Vesna D


    Pregnancy-related acute kidney injury (AKI) has declined in incidence in the last three decades, although it remains an important cause of maternal and fetal morbidity and mortality. Pregnancy-related causes of AKI such as preeclampsia, acute fatty liver of pregnancy, HELLP (Hemolysis, Elevated Liver function tests, Low Platelets) syndrome, and the thrombotic microangiopathies (thrombotic thrombocytopenic purpura, atypical hemolytic-uremic syndrome [HUS]) exhibit overlapping features and often present as diagnostic dilemmas. Differentiating among these conditions may be difficult or impossible based on clinical criteria only. In difficult and rare cases, a renal biopsy may need to be considered for the exact diagnosis and to facilitate appropriate treatment, but the risks and benefits need to be carefully weighed. The use of eculizumab for the treatment of atypical HUS has demonstrated efficacy in early case reports. Non-pregnancy related causes such as volume depletion and pyelonephritis require early and aggressive resuscitative as well as antibiotic measures respectively. We will discuss in this review the various etiologies of AKI in pregnancy, current diagnostic approaches, and the latest treatment strategies. Given the recent trends of increasing maternal age at the time of pregnancy, and the availability of modern reproductive methods increase the risks of AKI in pregnancy in the coming years. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. [Skin and chronic kidney disease].

    Rizzo, Raffaella; Mancini, Elena; Santoro, Antonio


    Kidneys and skin are seldom considered associated, but their relationship is more closer than generally believed. In some immunological diseases (SLE...) and genetic syndromes (tuberous sclerosis, Fabrys disease...) the cutaneous manifestations are integral parts of the clinical picture. In advanced uremia, besides the well-known itching skin lesions, calciphylaxis may appear, a typical example of cutaneous involvement secondary to the metabolic complications (calcium-phosphate imbalance) of the renal disease. Nephrogenic systemic fibrosis appears only in patients with renal failure and it has a very severe prognosis due to the systemic organ involvement. Moreover, there is a heterogeneous group of metabolic diseases, with renal involvement, that may be accompanied by skin lesions, either related to the disease itself or to its complications (diabetes mellitus, porphyrias). In systemic amyloidosis, fibrils may deposit even in dermis leading to different skin lesions. In some heroin abusers, in the presence of suppurative lesions in the sites of needle insertion, renal amyloidosis should be suspected, secondary to the chronic inflammation. Atheroembolic disease is nowadays frequently observed, as a consequence of the increasing number of invasive intravascular manoeuvres. Skin manifestations like livedo reticularis or the blue toe syndrome are the most typical signs, but often renal dysfunction is also present. In all these conditions, the skin lesion may be a first sign, a warning, that should arouse the suspicion of a more complex pathology, even with renal involvement. Being aware of this relationship is fundamental to accelerate the diagnostic process.

  7. Oncologic imaging: kidney and ureter

    McClennan, B.L.; Balfe, D.M.


    Malignant cancers of the kidney and ureter account for only 2 to 3% of all neoplasms in man. However, early diagnosis and treatment can have a profound effect on patient prognosis and survival. This article seeks to amalgamate a large body of information related to the pathology of primary renal tumors and metastatic disease with current imaging strategies to assist the clinician and enhance his understanding of the wide variety of modern imaging techniques available. Current tumor staging classifications are presented and the various imaging strategies are keyed to detection, definition and treatment options for tumors of the renal parenchyma and ureter. The strengths and limitations of all available imaging modalities are reviewed. An optimal approach to the imaging workup is developed with regard to availability, evolving technology and most importantly, cost efficacy. The controversies and conflicts in imaging and treatment options are explored while constructing a step by step approach that will be both flexible and utilitarian for the clinician faced with daily oncologic management choices

  8. Genetic predisposition to kidney cancer.

    Schmidt, Laura S; Linehan, W Marston


    Kidney cancer is not a single disease but is made up of a number of different types of cancer classified by histology that are disparate in presentation, clinical course, and genetic basis. Studies of families with inherited renal cell carcinoma (RCC) have provided the basis for our understanding of the causative genes and altered metabolic pathways in renal cancer with different histologies. Von Hippel-Lindau disease was the first renal cancer disorder with a defined genetic basis. Over the next two decades, the genes responsible for a number of other inherited renal cancer syndromes including hereditary papillary renal carcinoma, Birt-Hogg-Dube´syndrome, hereditary leiomyomatosis and renal cell carcinoma, and succinate dehydrogenase-associated renal cancer were identified. Recently, renal cell carcinoma has been confirmed as part of the clinical phenotype in individuals from families with BAP1-associated tumor predisposition syndrome and MiTF-associated cancer syndrome. Here we summarize the clinical characteristics of and causative genes for these and other inherited RCC syndromes, the pathways that are dysregulated when the inherited genes are mutated, and recommended clinical management of patients with these inherited renal cancer syndromes. Published by Elsevier Inc.

  9. Automated acute kidney injury alerts.

    Kashani, Kianoush B


    Acute kidney injury (AKI) is one of the most common and probably one of the more consequential complications of critical illnesses. Recent information indicates that it is at least partially preventable; however, progress in its prevention, management, and treatment has been hindered by the scarcity of knowledge for effective interventions, inconsistencies in clinical practices, late identification of patients at risk for or with AKI, and limitations of access to best practices for prevention and management of AKI. Growing use of electronic health records has provided a platform for computer science to engage in data mining and processing, not only for early detection of AKI but also for the development of risk-stratification strategies and computer clinical decision-support (CDS) systems. Despite promising perspectives, the literature regarding the impact of AKI electronic alerts and CDS systems has been conflicting. Some studies have reported improvement in care processes and patient outcomes, whereas others have shown no effect on clinical outcomes and yet demonstrated an increase in the use of resources. These discrepancies are thought to be due to multiple factors that may be related to technology, human factors, modes of delivery of information to clinical providers, and level of expectations regarding the impact on patient outcomes. This review appraises the current body of knowledge and provides some outlines regarding research into and clinical aspects of CDS systems for AKI. Copyright © 2018 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

  10. Radiopharmaceuticals in evaluation of kidneys

    Winchell, H.S.


    The kidney may be thought of as a system which first filters low and medium molecular weight water-soluble materials from the blood and then either pumps or allows diffusion of such materials from the filtrate back into the blood after their passage through a chromatographic-like column contained within the renal tubules. Additionally, water-soluble materials in the blood may diffuse or be pumped in the opposite direction through the chromatographic column in the tubules to reach the filtrate. Materials whose renal handling is limited to filtration processes can be employed to measure glomerular filtration (e.g., radioinulin and possibly radiocations chelated by EDTA or DTPA). Materials whose renal handling is by a combination of filtration and quantitative pumping or diffusion from the blood to the filtrate, and for which retention in the chromatographic-like system of the tubules is negligible, can be employed for measuring renal plasma flow (e.g., radioiodohippurate). Materials which have prolonged retention times in the renal tubular chromatographic system can be used to evaluate renal anatomy and to infer aspects of renal physiology

  11. Epidemiology of hypertensive kidney disease.

    Udani, Suneel; Lazich, Ivana; Bakris, George L


    The prevalence of hypertension, chronic kidney disease (CKD) and end-stage renal disease (ESRD) attributable to hypertension continues to rise worldwide. Identifying the precise prevalence of CKD attributable to hypertension is difficult owing to the absence of uniform criteria to establish a diagnosis of hypertensive nephropathy. Despite the increasing prevalence of CKD-associated hypertension, awareness of hypertension among individuals with CKD remains suboptimal and rates of blood-pressure control remain poor. Targeted subgroups involved in studies of CKD seem to reach better rates of blood-pressure control, suggesting that this therapeutic goal can be achieved in patients with CKD. Elevated blood-pressure levels are associated with CKD progression. However, the optimal blood-pressure level and pharmacological agent remains unclear. Physicians treating patients with CKD must recognize the importance of maintaining optimal salt and volume balance to achieve blood-pressure goals. Furthermore, agents that modify the renin-angiotensin-aldosterone axis can be an important adjunct to therapy and physicians must monitor expected changes in serum creatinine and electrolyte levels after their administration. Hypertension remains a common factor complicating CKD. Future investigations identifying early signs of hypertension-related CKD, increasing awareness of the effects of hypertension in CKD and determining optimal therapeutic interventions might help reduce the incidence of hypertensive nephropathy.

  12. Premalignant Lesions in the Kidney

    Ziva Kirkali


    Full Text Available Renal cell carcinoma (RCC is the most malignant urologic disease. Different lesions, such as dysplasia in the tubules adjacent to RCC, atypical hyperplasia in the cyst epithelium of von Hippel-Lindau syndrome, and adenoma have been described for a number of years as possible premalignant changes or precursor lesions of RCC. In two recent papers, kidneys adjacent to RCC or removed from other causes were analyzed, and dysplastic lesions were identified and defined in detail. Currently renal intraepithelial neoplasia (RIN is the proposed term for classification. The criteria for a lesion to be defined as premalignant are (1 morphological similarity; (2 spatial association; (3 development of microinvasive carcinoma; (4 higher frequency, severity, and extent then invasive carcinoma; (5 progression to invasive cancer; and (6 similar genetic alterations. RIN resembles the neoplastic cells of RCC. There is spatial association. Progression to invasive carcinoma is described in experimental cancer models, and in some human renal tumors. Similar molecular alterations are found in some putative premalignant changes. The treatment for RCC is radical or partial nephrectomy. Preneoplastic lesions may remain in the renal remnant in patients treated by partial nephrectomy and may be the source of local recurrences. RIN seems to be a biologic precursor of some RCCs and warrants further investigation. Interpretation and reporting of these lesions would reveal important resources for the biological nature and clinical significance. The management of RIN diagnosed in a renal biopsy and partial nephrectomy needs to be answered.

  13. Dual kidney transplantation with organs from extended criteria cadaveric donors.

    D'Arcy, Frank T


    The critical shortage of kidneys available for transplantation has led to alternate strategies to expand the pool. Transplantation of the 2 kidneys into a single recipient using organs suboptimal for single kidney transplantation was suggested. We assessed results in 24 grafts allocated for dual kidney transplantation vs those in a control group of 44 designated for single kidney transplantation. Each group underwent pretransplant biopsy and recipients were age matched.

  14. New biomarkers of acute kidney injury

    Ruya Ozelsancak


    Full Text Available Acute kidney injury is a clinical syndrome which is generally defined as an abrupt decline in glomerular filtration rate causing accumulation of nitrogenous products and rapid development of fluid, electrolyte and acid-base disorders. It is an important clinical problem increasing mortality in patient with several co-morbid conditions. The frequency of acute kidney injury occurrence varies from 5% on the inpatients wards to 30-50% in patients from intensive care units. Serial measurement of creatinine and urine volume do not make it possible to diagnose acute kidney injury at early stages. Serum creatinine may be influenced by age, weight, hydration status and become apparent only when the kidneys have lost 50% of their function. For that reasons we need new markers. Here, we are reviewing the most promising new acute kidney injury markers, neutrophil gelatinase associated lipocalin, cystatin-C, kidney injury molecule-1, liver fatty acid binding proteins and IL-18. [Archives Medical Review Journal 2013; 22(2.000: 221-229


    Hu, Ming Chang; Kuro-o, Makoto; Moe, Orson W.


    Soluble Klotho (sKl) in the circulation can be generated directly by alterative splicing of the Klotho transcript or the extracellular domain of membrane Klotho can be released from membrane-anchored Klotho on the cell surface. Unlike membrane Klotho which functions as a coreceptor for fibroblast growth factor-23 (FGF23), sKl, acts as hormonal factor and plays important roles in anti-aging, anti-oxidation, modulation of ion transport, and Wnt signaling. Emerging evidence reveals that Klotho deficiency is an early biomarker for chronic kidney diseases as well as a pathogenic factor. Klotho deficiency is associated with progression and chronic complications in chronic kidney disease including vascular calcification, cardiac hypertrophy, and secondary hyperparathyroidism. In multiple experimental models, replacement of sKl, or manipulated up-regulation of endogenous Klotho protect the kidney from renal insults, preserve kidney function, and suppress renal fibrosis, in chronic kidney disease. Klotho is a highly promising candidate on the horizon as an early biomarker, and as a novel therapeutic agent for chronic kidney disease. PMID:22396167

  16. Challenging case of horseshoe kidney double fracture

    Francesco Cortese

    Full Text Available Introduction: Renal injuries occur in 10% of blunt abdominal traumas, 7% of these occur in kidneys with congenital or acquired disorders. Trauma of horseshoe kidney is an uncommon finding. Presentation of a case: We present the case of 31 year-old caucasian man with no remarkable personal records, who was brought to our Trauma Unit soon after being involved in a motorcycle collision. A Contrast Enhanced – Multi Detector Computed Tomography (ce-MDCT revealed a double disconnection of a horseshoe kidney. The patient was not aware of bearing such abnormality. Discussion: Trauma of horseshoe kidney is an uncommon finding. The abdominal ce-MDCT scan is the diagnostic tool of choice since the renal anatomy, injury grading and vascular or urinary tract abnormalities are well depicted and easily identified. The conservative management of these injuries is associated with a lower rate of nephrectomies and kidney failure while selective trans-catheter renal embolization is a challenging treatment option. However surgery can be a treatment of choice and should be aimed to preserve renal function. Conclusion: the interest in our case lies in the rarity and particular anatomical aspect of such injuries and the implication related to its management in an emergency setting. Keywords: Renal trauma, Horseshoe kidney, Renal anatomy

  17. Optical Coherence Tomography of the Aging Kidney.

    Andrews, Peter M; Wang, Hsing-Wen; Guo, Hengchang; Anderson, Erik; Falola, Reuben; Chen, Yu


    The aging kidney exhibits a progressive decline in renal function with characteristic histopathologic changes and is a risk factor for renal transplant. However, the degree to which the kidney exhibits this decline depends on several factors that vary from one individual to the next. Optical coherence tomography is an evolving noninvasive imaging technology that has recently been used to evaluate acute tubular necrosis of living-human donor kidneys before their transplant. With the increasing use of kidneys from older individuals, it is important to determine whether optical coherence tomography also can distinguish the histopathology associated with aging. In this investigation, we used Munich-Wistar rats to evaluate the ability of optical coherence tomography to detect histopathologic changes associated with aging. Optical coherence tomography observations were correlated with renal function and conventional light microscopic evaluation of these same kidneys. With the onset of severe proteinuria at 10 to 12 months of age, optical coherence tomography revealed tubular necrosis/atrophy, interstitial fibrosis, tubular dilation, and glomerulosclerosis. With a further deterioration in kidney function at 16 to 18 months of age (as indicated by rising creatinine levels), optical coherence tomography revealed more extensive interstitial fibrosis and tubular atrophy, increased tubular dilation with cyst formation and more sclerotic glomeruli. The foregoing observations suggest that optical coherence tomography can be used to detect the histopathology of progressive nephropathy associated with aging.

  18. The Global Role of Kidney Transplantation

    Guillermo Garcia Garcia


    Full Text Available World Kidney Day on March 8 th 2012 provides a chance to reflect on the success of kidney transplantation as a therapy for end stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost effectiveness. Anything that is both cheaper and better, but is not actually the dominant therapy, must have other drawbacks that prevent replacement of all dialysis treatment by transplantation. The barriers to universal transplantation as the therapy for end stage kidney disease include the economic limitations which, in some countries place transplantation, appropriately, at a lower priority than public health fundamentals such as clean water, sanitation and vaccination. Even in high income countries the technical challenges of surgery and the consequences of immunosuppression restrict the number of suitable recipients, but the major finite restrictions on kidney transplantation rates are the shortage of donated organs and the limited medical, surgical and nursing workforces with the required expertise. These problems have solutions which involve the full range of societal, professional, governmental and political environments. World Kidney Day is a call to deliver transplantation therapy to the one million people a year who have a right to benefit.

  19. Allopurinol Against Progression of Chronic Kidney Disease.

    Golmohammadi, Sima; Almasi, Afshin; Manouchehri, M; Omrani, Hamid Reza; Zandkarimi, Mohammad Reza


    Hyperuricemia is common in approximately 50% of patients with kidney failure due to decreased uric acid excretion, and it has been recently known as an independent factor in the progression of renal insufficiency. Allopurinol inhibits the production of uric acid. The aim of this study was to evaluate the effect of allopurinol on chronic kidney disease progression. In a clinical trial, patients with stages 3 and 4 of chronic kidney disease were divided into two groups to receive allopurinol, 100 mg, daily and placebo for 12 months. Patients' kidney function and serum uric acid levels were assessed at baseline and 3, 6, and 12 months after initial administration. Subgroups of patients with severe and mild glomerular filtration rate (GFR) impairment (GFR, 15 mL/min/1.73 m2 to 30 mL/min/1.73 m2 and 30 mL/min/1.73 m2 to 60 mL/min/1.73 m2, respectively), were compared between the groups. Serum uric acid levels decreased significantly during after 12 months of allopurinol administration (P = .004). In patients with severe GFR impairment, serum creatinine levels did not decrease significantly and there was no significant increase in GFR, but in those with mild GFR impairment, serum creatinine levels decreased and GFR increase significantly (P kidney disease progression and could be administered with other effective medications for controlling the kidney disease.

  20. Experiences obtaining insurance after live kidney donation.

    Boyarsky, B J; Massie, A B; Alejo, J L; Van Arendonk, K J; Wildonger, S; Garonzik-Wang, J M; Montgomery, R A; Deshpande, N A; Muzaale, A D; Segev, D L


    The impact of kidney donation on the ability to change or initiate health or life insurance following donation is unknown. To quantify this risk, we surveyed 1046 individuals who donated a kidney at our center between 1970 and 2011. Participants were asked whether they changed or initiated health or life insurance after donation, and if they had any difficulty doing so. Among 395 donors who changed or initiated health insurance after donation, 27 (7%) reported difficulty; among those who reported difficulty, 15 were denied altogether, 12 were charged a higher premium and 8 were told they had a preexisting condition because they were kidney donors. Among 186 donors who changed or initiated life insurance after donation, 46 (25%) reported difficulty; among those who reported difficulty, 23 were denied altogether, 27 were charged a higher premium and 17 were told they had a preexisting condition because they were kidney donors. In this single-center study, a high proportion of kidney donors reported difficulty changing or initiating insurance, particularly life insurance. These practices by insurers create unnecessary burden and stress for those choosing to donate and could negatively impact the likelihood of live kidney donation among those considering donation. © Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons.

  1. Chronic kidney disease, severe arterial and arteriolar sclerosis and kidney neoplasia: on the spectrum of kidney involvement in MELAS syndrome.

    Piccoli, Giorgina Barbara; Bonino, Laura Davico; Campisi, Paola; Vigotti, Federica Neve; Ferraresi, Martina; Fassio, Federica; Brocheriou, Isabelle; Porpiglia, Francesco; Restagno, Gabriella


    MELAS syndrome (MIM ID#540000), an acronym for Mitochondrial Encephalopathy, Lactic Acidosis and Stroke-like episodes, is a genetically heterogeneous mitochondrial disorder with protean manifestations and occasional kidney involvement. Interest in the latter is rising due to the identification of cases with predominant kidney involvement and to the hypothesis of a link between mitochondrial DNA and kidney neoplasia. We report the case of a 41-year-old male with full blown MELAS syndrome, with lactic acidosis and neurological impairment, affected by the "classic" 3243A > G mutation of mitochondrial DNA, with kidney cancer. After unilateral nephrectomy, he rapidly developed severe kidney functional impairment, with nephrotic proteinuria. Analysis of the kidney tissue at a distance from the two tumor lesions, sampled at the time of nephrectomy was performed in the context of normal blood pressure, recent onset of diabetes and before the appearance of proteinuria. The morphological examination revealed a widespread interstitial fibrosis with dense inflammatory infiltrate and tubular atrophy, mostly with thyroidization pattern. Vascular lesions were prominent: large vessels displayed marked intimal fibrosis and arterioles had hyaline deposits typical of hyaline arteriolosclerosis. These severe vascular lesions explained the different glomerular alterations including ischemic and obsolescent glomeruli, as is commonly observed in the so-called "benign" arteriolonephrosclerosis. Some rare glomeruli showed focal segmental glomerulosclerosis; as the patient subsequently developed nephrotic syndrome, these lesions suggest that silent ischemic changes may result in the development of focal segmental glomerulosclerosis secondary to nephron loss. Nephron loss may trigger glomerular sclerosis, at least in some cases of MELAS-related nephropathy. Thus the incidence of kidney disease in the "survivors" of MELAS syndrome may increase as the support therapy of these patients improves.

  2. Contribution of stone size to chronic kidney disease in kidney stone formers.

    Ahmadi, Farrokhlagha; Etemadi, Samira Motedayen; Lessan-Pezeshki, Mahbob; Mahdavi-Mazdeh, Mitra; Ayati, Mohsen; Mir, Alireza; Yazdi, Hadi Rokni


    To determine whether stone burden correlates with the degree of chronic kidney disease in kidney stone formers. A total of 97 extracorporeal shockwave lithotripsy candidates aged 18 years and older were included. Size, number and location of the kidney stones, along with cumulative stone size, defined as the sum of diameters of all stones) were determined. Estimated glomerular filtration rate was determined using the Chronic Kidney Disease Epidemiology Collaboration cystatin C/creatinine equation, and chronic kidney disease was defined as estimated glomerular filtration rate chronic kidney disease. The relationship persisted even after adjustment for age, sex, body mass index, C-reactive protein, fasting plasma glucose, thyroid stimulating hormone, presence of microalbuminuria, history of renal calculi, history of extracorporeal shockwave lithotripsy, number and location of the stones (odds ratio 1.24, 95% confidence interval 1.02-1.52). The same was not observed for individuals with a cumulative stone size ≥ 20 mm. In kidney stone formers with a cumulative stone size up to 20 mm, estimated glomerular filtration rate linearly declines with increasing cumulative stone size. Additionally, cumulative stone size is an independent predictor of chronic kidney disease in this group of patients. © 2014 The Japanese Urological Association.

  3. On the occasion of world kidney day 2016; work together to better protect the kidney.

    Nasri, Hamid; Rafieian-Kopaei, Mahmoud


    World kidney day is a yearly global alertness and education ceremony, held on the second Thursday in March. Directory of open access journals (DOAJ), EMBASE, Google Scholar, PubMed, EBSCO, and Web of Science have been searched. Once again we reached to March 14, the world kidney day of 2016. This is the 10th anniversary of world kidney day, a program of the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF). World kidney day first began in 2006 and the worldwide campaign highlights a specific theme each year. The theme for 2015 was to invite everybody to drink a glass of water and give one, too, to celebrate their kidneys. This is a symbolic action to memorize that kidneys are vital organs and that they might be cared. It is a manner to make individuals more conscious about their lifestyle choices. In this year, world kidney day will be celebrated on Thursday March 10, 2016. The theme for 2016 will highlight on renal disease and children.

  4. A developmentally plastic adult mouse kidney cell line spontaneously generates multiple adult kidney structures

    Webb, Carol F.; Ratliff, Michelle L.; Powell, Rebecca; Wirsig-Wiechmann, Celeste R.; Lakiza, Olga; Obara, Tomoko


    Despite exciting new possibilities for regenerative therapy posed by the ability to induce pluripotent stem cells, recapitulation of three-dimensional kidneys for repair or replacement has not been possible. ARID3a-deficient mouse tissues generated multipotent, developmentally plastic cells. Therefore, we assessed the adult mouse ARID3a−/− kidney cell line, KKPS5, which expresses renal progenitor surface markers as an alternative cell source for modeling kidney development. Remarkably, these cells spontaneously developed into multicellular nephron-like structures in vitro, and engrafted into immunocompromised medaka mesonephros, where they formed mouse nephron structures. These data implicate KKPS5 cells as a new model system for studying kidney development. - Highlights: • An ARID3a-deficient mouse kidney cell line expresses multiple progenitor markers. • This cell line spontaneously forms multiple nephron-like structures in vitro. • This cell line formed mouse kidney structures in immunocompromised medaka fish kidneys. • Our data identify a novel model system for studying kidney development

  5. A developmentally plastic adult mouse kidney cell line spontaneously generates multiple adult kidney structures

    Webb, Carol F., E-mail: [Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States); Immunobiology and Cancer Research, Oklahoma Medical Research Foundation, Oklahoma City, OK (United States); Department of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States); Ratliff, Michelle L., E-mail: [Immunobiology and Cancer Research, Oklahoma Medical Research Foundation, Oklahoma City, OK (United States); Powell, Rebecca, E-mail: [Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States); Wirsig-Wiechmann, Celeste R., E-mail: [Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States); Lakiza, Olga, E-mail: [Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States); Obara, Tomoko, E-mail: [Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, OK (United States)


    Despite exciting new possibilities for regenerative therapy posed by the ability to induce pluripotent stem cells, recapitulation of three-dimensional kidneys for repair or replacement has not been possible. ARID3a-deficient mouse tissues generated multipotent, developmentally plastic cells. Therefore, we assessed the adult mouse ARID3a−/− kidney cell line, KKPS5, which expresses renal progenitor surface markers as an alternative cell source for modeling kidney development. Remarkably, these cells spontaneously developed into multicellular nephron-like structures in vitro, and engrafted into immunocompromised medaka mesonephros, where they formed mouse nephron structures. These data implicate KKPS5 cells as a new model system for studying kidney development. - Highlights: • An ARID3a-deficient mouse kidney cell line expresses multiple progenitor markers. • This cell line spontaneously forms multiple nephron-like structures in vitro. • This cell line formed mouse kidney structures in immunocompromised medaka fish kidneys. • Our data identify a novel model system for studying kidney development.

  6. Potential Deleterious Effects of Vasopressin in Chronic Kidney Disease and Particularly Autosomal Dominant Polycystic Kidney Disease

    Meijer, E.; Boertien, W. E.; Zietse, R.; Gansevoort, R. T.


    The antidiuretic hormone vasopressin is crucial for regulating free water clearance in normal physiology. However, it has also been hypothesized that vasopressin has deleterious effects on the kidney. Vasopressin is elevated in animals and patients with chronic kidney disease. Suppression of

  7. Phosphorus Regulation in Chronic Kidney Disease.

    Suki, Wadi N; Moore, Linda W


    Serum phosphorus levels stay relatively constant through the influence of multiple factors-such as parathyroid hormone, fibroblast growth factor 23, and vitamin D-on the kidney, bone, and digestive system. Whereas normal serum phosphorus ranges between 3 mg/dL to 4.5 mg/dL, large cross-sectional studies have shown that even people with normal kidney function are sometimes found to have levels ranging between 1.6 mg/dL and 6.2 mg/dL. While this may partially be due to diet and the factors mentioned above, total understanding of these atypical ranges of serum phosphorus remains uncertain. Risks for bone disease are high in people aged 50 and older, and this group comprises a large proportion of people who also have chronic kidney disease. Consuming diets low in calcium and high in phosphorus, especially foods with phosphate additives, further exacerbates bone turnover. Existing bone disease increases the risk for high serum phosphorus, and higher serum phosphorus has been associated with increased adverse events and cardiovascular-related mortality both in people with chronic kidney disease and in those with no evidence of disease. Once kidney function has deteriorated to end-stage disease (Stage 5), maintaining normal serum phosphorus requires dietary restrictions, phosphate-binding medications, and dialysis. Even so, normal serum phosphorus remains elusive in many patients with Stage 5 kidney disease, and researchers are testing novel targets that may inhibit intestinal transport of phosphorus to achieve better phosphate control. Protecting and monitoring bone health should also aid in controlling serum phosphorus as kidney disease advances.

  8. Opportunities for Engaging Patients in Kidney Research

    Maryam N. Demian


    Full Text Available Purpose: The purpose of this review is to provide a summary of the rationale for engaging patients in research as well as to review the established and envisioned advantages and strategies for patient-researcher partnerships. The authors of this article, which include a patient and 4 researchers in kidney disease, discuss the expected benefits and opportunities for patient engagement in their respective research programs. The 4 research programs span the spectrum of kidney disease and focus on enhancing bone health, increasing living donor kidney transplants, improving medication adherence, and preventing kidney transplant rejection. Sources of Information: The sources of information for this review include published studies on the topics of patient engagement and the 4 research programs of the new investigators. Key Findings: (1 Patient, health care provider, and researcher partnerships can contribute useful insights capable of enhancing research in kidney disease. (2 Regardless of the research program, there are various strategies and opportunities for engagement of patients with lived experience across the various stages of research in kidney disease. (3 Envisioned advantages of patient-researcher partnerships include: targeting patient-identified research priorities, integrating patients’ experiential knowledge, improving study design and feasibility through patient-researcher input, facilitating dissemination of research findings to other patients, effectively responding to patient concerns about studies, and inspiring researchers to conduct their research. Limitations: The limitations of the current review include the relative scarcity of literature on patient engagement within the field of kidney disease. Implications: The findings of the current review suggest that it will be important for future studies to identify optimal strategies for patient engagement in setting research priorities, study design, participant recruitment

  9. Measurement of kidney by computed tomography

    Hamada, Tatsumi; Nakagawa, Kenichi; Tamura, Kenji; Yoshida, Akio; Fujii, Koichi


    Several measurements of normal kidney in vivo were obtained from computed tomography and were correlated with age, sex and body dimensions. Forty four males and 21 females without a history of renal disease were studied. 1. Angle between renal coronal section and body frontal (degree): The mean value (+- SD) of the angle was 44.0 +- 11.1 for right kidney and 42.3 +- 11.2 for left, with a low correlation coefficient. The angle had no significant correlation with age nor sex. 2. The largest width of kidney (cm): The mean value of the width was 4.6 +- 0.6 for male right kidney, 5.1 +- 0.6 for male left, 4.6 +- 0.7 for female right and 4.7 +- 1.0 for female left. The values correlated with age under 40 positively and over 40 negatively. 3. Renal volume (cm 3 ): Renal volume was calculated by adding together the area measurements obtained from successive 1 cm thick scans, excluding renal sinus. The mean volume was 107 +- 27 for male right kidney, 114 +- 24 for male left, 101 +- 33 for female right and 111 +- 41 for female left. The correlation coefficient of right versus left renal volume was significantly high. Total renal volume, i. e. left + right renal volume, had significant negative correlation with age over 40. 4. CT numbers of kidney: Average value of right kidney was 31.4 +- 6.0 and that of left was 30.7 +- 5.9. Though the correlation coefficient between right and left was nearly 1, no significant correlation was found with other values. (author)

  10. Native kidney reincarnation following a failed transplant

    Mansberg, R.; Roberts, J.M.


    Full text: A 51-year-old woman with end stage renal failure secondary to Haemolytic Uraemic syndrome underwent a cadaveric renal transplant. A routine post transplant DTPA scan was performed which demonstrated satisfactory renal transplant perfusion and function. Incidental note was made of tracer uptake in the pelvis in the mid-line, which was suspected to be a uterine fibroid. This was confirmed on ultrasonography and at surgery. One week post transplantation the patient became acutely unwell and at laparotomy a perforated diverticular abscess was drained. Intraoperatively the transplant kidney was examined and the surgeon thought there was a area of infarction. This was confirmed on biopsy. As the patient's creatinine was rising a repeat DTPA study was performed. Perfusion and function of the transplant kidney was virtually absent while Doppler studies showed no flow. The patient however continued to produce urine and the creatinine was stable. Subsequently a mercaptoacetyltriglycine (MAG) 3 study was performed which again confirmed absent perfusion and function by the the transplanted kidney as well as the previous noted uterine fibroid. The native kidneys however demonstrated good perfusion and function. The patient's renal function remained stable and she did not require dialysis. A necrotic infarcted transplant kidney was removed uneventfully. This case illustrates the importance of imaging the native kidneys as well as the transplant kidney when there are puzzling clinical features. The presumed cause of the recovery of native renal function was the immunosuppression given for the transplant. Copyright (2002) The Australian and New Zealand Society of Nuclear Medicine Inc

  11. Local television news reporting of kidney disease.

    Jaffery, Jonathan B; Jacobson, Lynn M; Goldstein, Kenneth M; Pribble, James M


    Local television is the primary news source for the majority of Americans. This study aims to describe how local news reports on kidney disease. Using our searchable database of health-related late local news segments from 2002, we identified stories with the key words kidney, hypertension, blood pressure, or diabetes. This database is a representative sample of the late local news on 122 stations in the 50 largest US media markets, comprising 60% of the population. The content of each identified story was reviewed to determine whether it mentioned: (1) chronic kidney disease (CKD), (2) screening for kidney disease, or (3) kidney disease as a potential complication (for blood pressure- or diabetes-related stories). Only 2 of 1,799 database news stories (0.11%) included "kidney" as a summary key word; neither referred to CKD, screening, or complications of other diseases. Of 19 stories about hypertension or blood pressure (1.06% of all stories) and the 14 stories about diabetes (0.78% of all stories), none mentioned these criteria. Despite efforts to increase public awareness of and screening for CKD, local television news (the most important news source for a majority of Americans) did little to help achieve these goals. Further work will be needed to confirm whether this paucity of coverage varies over time and determine why so little attention is given to CKD. Educating physicians and public relations personnel who advocate for kidney disease about journalists' needs may be an important step to help advance public awareness of CKD.

  12. Kidney Rehabilitation Technology by Improving Blood Flow and Nerve Activation

    Mohd Jamil Hashim


    The rehabilitation of kidney is impossible from doctors point of view. Kidney failure happens when nephron in kidney fail to filter blood and water. Two major causes of kidney failure. First is the shrinkage of kidney and the second is the blockage of kidney medulla. Kidney shrinkage is because nephron damage due to long term diabetes (Nephrology expert point of view). Whereas blockage of kidney is due to food consume which in turn build up deposit at the blood duct connecting to the medulla. Experiment specimen own body. The rehabilitation methodology is to build up your blood flow system and nerve activation. Result from the study is through analyzing blood components such as creatinine, hemoglobin, urea and potassium. Conclusion, creatinine value has lowered and kidney shrinkage has normalize to its original size. It is hopeful I regain my health 100 % when my GFR reading achieved below 100. (author)

  13. Concise Review: Kidney Generation with Human Pluripotent Stem Cells.

    Morizane, Ryuji; Miyoshi, Tomoya; Bonventre, Joseph V


    Chronic kidney disease (CKD) is a worldwide health care problem, resulting in increased cardiovascular mortality and often leading to end-stage kidney disease, where patients require kidney replacement therapies such as hemodialysis or kidney transplantation. Loss of functional nephrons contributes to the progression of CKD, which can be attenuated but not reversed due to inability to generate new nephrons in human adult kidneys. Human pluripotent stem cells (hPSCs), by virtue of their unlimited self-renewal and ability to differentiate into cells of all three embryonic germ layers, are attractive sources for kidney regenerative therapies. Recent advances in stem cell biology have identified key signals necessary to maintain stemness of human nephron progenitor cells (NPCs) in vitro, and led to establishment of protocols to generate NPCs and nephron epithelial cells from human fetal kidneys and hPSCs. Effective production of large amounts of human NPCs and kidney organoids will facilitate elucidation of developmental and pathobiological pathways, kidney disease modeling and drug screening as well as kidney regenerative therapies. We summarize the recent studies to induce NPCs and kidney cells from hPSCs, studies of NPC expansion from mouse and human embryonic kidneys, and discuss possible approaches in vivo to regenerate kidneys with cell therapies and the development of bioengineered kidneys. Stem Cells 2017;35:2209-2217. © 2017 AlphaMed Press.

  14. Averting the legacy of kidney disease – focus on childhood

    Julie R. Ingelfinger


    Full Text Available World Kidney Day 2016 focuses on kidney disease in childhood and the antecedents of adult kidney disease that can begin in earliest childhood. Chronic kidney disease in childhood differs from that in adults, as the largest diagnostic group among children includes congenital anomalies and inherited disorders, with glomerulopathies and kidney disease in the setting of diabetes being relatively uncommon. In addition, many children with acute kidney injury will ultimately develop sequelae that may lead to hypertension and chronic kidney disease in later childhood or in adult life. Children born early or who are small-for date newborns have relatively increased risk for the development of chronic kidney disease later in life. Persons with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Successful therapy is feasible for advanced chronic kidney disease in childhood; there is evidence that children fare better than adults, if they receive kidney replacement therapy including dialysis and transplantation, while only a minority of children may require this ultimate intervention. Because there are disparities in access to care, effort is needed so that those children with kidney disease, wherever they live, may be treated effectively, irrespective of their geographic or economic circumstances. Our hope is that World Kidney Day will inform the general public, policy makers and caregivers about the needs and possibilities surrounding kidney disease in childhood.

  15. Upper gastrointestinal alterations in kidney transplant candidates.

    Homse Netto, João Pedro; Pinheiro, João Pedro Sant'Anna; Ferrari, Mariana Lopes; Soares, Mirella Tizziani; Silveira, Rogério Augusto Gomes; Maioli, Mariana Espiga; Delfino, Vinicius Daher Alvares


    The incidence of gastrointestinal disorders among patients with chronic kidney disease (CKD) is high, despite the lack of a good correlation between endoscopic findings and symptoms. Many services thus perform upper gastrointestinal (UGI) endoscopy on kidney transplant candidates. This study aims to describe the alterations seen on the upper endoscopies of 96 kidney-transplant candidates seen from 2014 to 2015. Ninety-six CKD patients underwent upper endoscopic examination as part of the preparation to receive kidney grafts. The data collected from the patients' medical records were charted on Microsoft Office Excel 2016 and presented descriptively. Mean values, medians, interquartile ranges and 95% confidence intervals of the clinic and epidemiological variables were calculated. Possible associations between endoscopic findings and infection by H. pylori were studied. Males accounted for 54.17% of the 96 patients included in the study. Median age and time on dialysis were 50 years and 50 months, respectively. The most frequent upper endoscopy finding was enanthematous pangastritis (57.30%), followed by erosive esophagitis (30.20%). Gastric intestinal metaplasia and peptic ulcer were found in 8.33% and 7.30% of the patients, respectively. H. pylori tests were positive in 49 patients, and H. pylori infection was correlated only with non-erosive esophagitis (P = 0.046). Abnormal upper endoscopy findings were detected in all studied patients. This study suggested that upper endoscopy is a valid procedure for kidney transplant candidates. However, prospective studies are needed to shed more light on this matter.

  16. Bariatric Surgery and Kidney-Related Outcomes.

    Chang, Alex R; Grams, Morgan E; Navaneethan, Sankar D


    The prevalence of severe obesity in both the general and the chronic kidney disease (CKD) populations continues to rise, with more than one-fifth of CKD patients in the United States having a body mass index of ≥35 kg/m 2 . Severe obesity has significant renal consequences, including increased risk of end-stage renal disease (ESRD) and nephrolithiasis. Bariatric surgery represents an effective method for achieving sustained weight loss, and evidence from randomized controlled trials suggests that bariatric surgery is also effective in improving blood pressure, reducing hyperglycemia, and even inducing diabetes remission. There is also observational evidence suggesting that bariatric surgery may diminish the long-term risk of kidney function decline and ESRD. Bariatric surgery appears to be relatively safe in patients with CKD, with postoperative complications only slightly higher than in the general bariatric surgery population. The use of bariatric surgery in patients with CKD might help prevent progression to ESRD or enable selected ESRD patients with severe obesity to become candidates for kidney transplantation. However, there are also renal risks in bariatric surgery, namely, acute kidney injury, nephrolithiasis, and, in rare cases, oxalate nephropathy, particularly in types of surgery involving higher degrees of malabsorption. Although bariatric surgery may improve long-term kidney outcomes, this potential benefit remains unproved and must be balanced with potential adverse events.

  17. Estrogens and progression of diabetic kidney damage.

    Doublier, Sophie; Lupia, Enrico; Catanuto, Paola; Elliot, Sharon J


    It is generally accepted that estrogens affect and modulate the development and progression of chronic kidney diseases (CKD) not related to diabetes. Clinical studies have indeed demonstrated that the severity and rate of progression of renal damage tends to be greater among men, compared with women. Experimental studies also support the notion that female sex is protective and male sex permissive, for the development of CKD in non-diabetics, through the opposing actions of estrogens and testosterone. However, when we consider diabetes-induced kidney damage, in the setting of either type 1 or type 2 diabetes, the contribution of gender to the progression of renal disease is somewhat uncertain. Previous studies on the effects of estrogens in the pathogenesis of progressive kidney damage have primarily focused on mesangial cells. More recently, data on the effects of estrogens on podocytes, the cell type whose role may include initiation of progressive diabetic renal disease, became available. The aim of this review will be to summarize the main clinical and experimental data on the effects of estrogens on the progression of diabetes-induced kidney injury. In particular, we will highlight the possible biological effects of estrogens on podocytes, especially considering those critical for the pathogenesis of diabetic kidney damage.

  18. Is percutaneous nephrolithotomy in solitary kidneys safe?

    Wong, Kathie Alexina; Sahai, Arun; Patel, Amit; Thomas, Kay; Bultitude, Matthew; Glass, Jonathan


    To review our experience from a high volume stone center with a focus on efficacy, safety, and renal function. Stones requiring percutaneous nephrolithotomy (PCNL) in patients with solitary kidneys can pose significant anxiety to the urologist. Limited data are available in published reports in this setting. A comprehensive retrospective review of medical records was performed on patients who underwent PCNL and had a solitary kidney or a single functioning renal unit. Data were collected on patient demographics, stone burden, outcomes, complications, and renal function. Of 378 PCNLs performed between January 2003 and September 2011, 22 were performed in 17 patients with a single functioning kidney. Three procedures were performed in a transplanted kidney. In those with solitary calculus, the longest mean length and stone surface area were 37 mm and 825 mm(2), respectively. Stone-free rate was 59%. Auxiliary procedures were required in 6 cases, resulting in a stone-free rate of 77%. Median inpatient stay was 4 days. Serum creatinine values improved from 144 to 126 umol/L before and after the procedure and mean estimated glomerular filtration rate improved similarly from 51 to 59 mls/minute, respectively. Blood transfusion was required in 1 patient, sepsis developed in 3, and 2 patients required a stent for obstruction. PCNL in solitary kidneys is safe with an acceptable complication rate if performed in a high volume center. Outcomes are good, although auxiliary procedures may be necessary. Renal function remains stable or improves after procedure. Copyright © 2013 Elsevier Inc. All rights reserved.

  19. CDKD: a clinical database of kidney diseases

    Singh Sanjay


    Full Text Available Abstract Background The main function of the kidneys is to remove waste products and excess water from the blood. Loss of kidney function leads to various health issues, such as anemia, high blood pressure, bone disease, disorders of cholesterol. The main objective of this database system is to store the personal and laboratory investigatory details of patients with kidney disease. The emphasis is on experimental results relevant to quantitative renal physiology, with a particular focus on data relevant for evaluation of parameters in statistical models of renal function. Description Clinical database of kidney diseases (CDKD has been developed with patient confidentiality and data security as a top priority. It can make comparative analysis of one or more parameters of patient’s record and includes the information of about whole range of data including demographics, medical history, laboratory test results, vital signs, personal statistics like age and weight. Conclusions The goal of this database is to make kidney-related physiological data easily available to the scientific community and to maintain & retain patient’s record. As a Web based application it permits physician to see, edit and annotate a patient record from anywhere and anytime while maintaining the confidentiality of the personal record. It also allows statistical analysis of all data.

  20. Circulating CXCL16 in Diabetic Kidney Disease

    Usama Elewa


    Full Text Available Background/Aims: Chronic kidney disease and, specifically, diabetic kidney disease, is among the fastest increasing causes of death worldwide. A better understanding of the factors contributing to the high mortality may help design novel monitoring and therapeutic approaches. CXCL16 is both a cholesterol receptor and a chemokine with a potential role in vascular injury and inflammation. We aimed at identifying predictors of circulating CXCL16 levels in diabetic patients with chronic kidney disease. Methods: We have now studied plasma CXCL16 in 134 European patients with diabetic kidney disease with estimated glomerular filtration rate (eGFR categories G1-G4 and albuminuria categories A1-A3, in order to identify factors influencing plasma CXCL16 in this population. Results: Plasma CXCL16 levels were 4.0±0.9 ng/ml. Plasma CXCL16 increased with increasing eGFR category from G1 to G4 (that is, with decreasing eGFR values and with increasing albuminuria category. Plasma CXCL16 was higher in patients with prior cardiovascular disease (4.33±1.03 vs 3.88±0.86 ng/ml; p=0.013. In multivariate analysis, eGFR and serum albumin had an independent and significant negative correlation with plasma CXCL16. Conclusion: In diabetic kidney disease patients, GFR and serum albumin independently predicted plasma CXCL16 levels.

  1. Heart failure in patients with kidney disease.

    Tuegel, Courtney; Bansal, Nisha


    Heart failure (HF) is a leading cause of morbidity and mortality in patients with chronic kidney disease (CKD), and the population of CKD patients with concurrent HF continues to grow. The accurate diagnosis of HF is challenging in patients with CKD in part due to a lack of validated imaging and biomarkers specifically in this population. The pathophysiology between the heart and the kidneys is complex and bidirectional. Patients with CKD have greater prevalence of traditional HF risk factors as well as unique kidney-specific risk factors including malnutrition, acid-base alterations, uraemic toxins, bone mineral changes, anemia and myocardial stunning. These risk factors also contribute to the decline of kidney function seen in patients with subclinical and clinical HF. More targeted HF therapies may improve outcomes in patients with kidney disease as current HF therapies are underutilised in this population. Further work is also needed to develop novel HF therapies for the CKD population. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  2. How Kidney Cell Death Induces Renal Necroinflammation.

    Mulay, Shrikant R; Kumar, Santhosh V; Lech, Maciej; Desai, Jyaysi; Anders, Hans-Joachim


    The nephrons of the kidney are independent functional units harboring cells of a low turnover during homeostasis. As such, physiological renal cell death is a rather rare event and dead cells are flushed away rapidly with the urinary flow. Renal cell necrosis occurs in acute kidney injuries such as thrombotic microangiopathies, necrotizing glomerulonephritis, or tubular necrosis. All of these are associated with intense intrarenal inflammation, which contributes to further renal cell loss, an autoamplifying process referred to as necroinflammation. But how does renal cell necrosis trigger inflammation? Here, we discuss the role of danger-associated molecular patterns (DAMPs), mitochondrial (mito)-DAMPs, and alarmins, as well as their respective pattern recognition receptors. The capacity of DAMPs and alarmins to trigger cytokine and chemokine release initiates the recruitment of leukocytes into the kidney that further amplify necroinflammation. Infiltrating neutrophils often undergo neutrophil extracellular trap formation associated with neutrophil death or necroptosis, which implies a release of histones, which act not only as DAMPs but also elicit direct cytotoxic effects on renal cells, namely endothelial cells. Proinflammatory macrophages and eventually cytotoxic T cells further drive kidney cell death and inflammation. Dissecting the molecular mechanisms of necroinflammation may help to identify the best therapeutic targets to limit nephron loss in kidney injury. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. A fresh breeze in the Balkans

    Patterson, W.


    Since the fall of the Ceausescu dictatorship, the electric power industry in Romania has undergone radical reform. An autonomous authority, RENEL, has replaced the old Ministry control. The changes are likely to be drastic including higher electricity prices, staff reductions, and subsidy removal. Uneconomic enterprises are likely to be closed, with monopolies being broken up and government owned assets being sold off to domestic and foreign investors. These changes and their likely political consequences are described. Information on electricity production between 1994 and 1996 from various fuel sources is also given. (UK)

  4. A fresh breeze in the Balkans

    Patterson, W


    Since the fall of the Ceausescu dictatorship, the electric power industry in Romania has undergone radical reform. An autonomous authority, RENEL, has replaced the old Ministry control. The changes are likely to be drastic including higher electricity prices, staff reductions, and subsidy removal. Uneconomic enterprises are likely to be closed, with monopolies being broken up and government owned assets being sold off to domestic and foreign investors. These changes and their likely political consequences are described. Information on electricity production between 1994 and 1996 from various fuel sources is also given. (UK)

  5. Breezing ahead: the Spanish wind energy market

    Avia Aranda, Felix; Cruz, I.C.


    This article traces the rapid increase in Spain's wind generating capacity, and examines Spain's wind strategy, the assessment of wind power potential at regional level, and the guaranteeing of the market price for power generators using wind energy with yearly reviews of the price of electricity from wind power. Prices payable for electricity generated from renewable sources are listed, and the regional distribution of wind energy production is illustrated. Recent wind power installations in Spain, target levels for wind energy installations, wind farms larger than 1MW installed in 1999, and the impact of the growth of the wind energy market on the manufacturing industry and the manufacturers are discussed. Details of the wind energy capacity in the provinces of Navarra and Galicia are given, and plans for wind energy projects in the New National Plan for Scientific research, Development and Technological innovation (2000-2003) are considered

  6. Computerized tomography anatomy of the kidneys and retroperitoneal space

    Savchenko, A.P.; Mamaev, V.V.; Pkhakadze, Eh.G.


    The authors described the anatomy of the kidneys and retroperitoneal space in health on the basis of computerized tomography (CT) of 90 patients. Five typical levels in CT (ensuring all necessary data on roentgenomorphological trains of the kidneys and retroperitoneal space in the kidney area) were singled out. Some roentgenometric data on kidney cross-sections as well as the quantitative densitometric characterization of the parenchyma of the kidneys, renal sinus and adjacent tissues were presented. X-ray anatomy of the renal fiscia, pararenal space and perirenal fatty space of the kidney with different parts of the tetroperitoneal space was described

  7. Kidney Disease and the Nexus of Chronic Kidney Disease and Acute Kidney Injury: The Role of Novel Biomarkers as Early and Accurate Diagnostics.

    Yerramilli, Murthy; Farace, Giosi; Quinn, John; Yerramilli, Maha


    Chronic kidney disease (CKD) and acute kidney injury (AKI) are interconnected and the presence of one is a risk for the other. CKD is an important predictor of AKI after exposure to nephrotoxic drugs or major surgery, whereas persistent or repetitive injury could result in the progression of CKD. This brings new perspectives to the diagnosis and monitoring of kidney diseases highlighting the need for a panel of kidney-specific biomarkers that reflect functional as well as structural damage and recovery, predict potential risk and provide prognosis. This article discusses the kidney-specific biomarkers, symmetric dimethylarginine (SDMA), clusterin, cystatin B, and inosine. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. [Can man live with a pig kidney?].

    Valentin, J F; Lebranchu, Y; Nivet, H


    The transplantation of organs from one species to another introduces a question of compatibility not seen in allotransplantation, the ability of a kidney to perform its physiological function in the new host environment. It has been assumed that an allotransplanted organ will function normally if is not rejected; ample experience supports this assumption. This luxury will not exist in the field of xenotransplantation, where the issues of comparative physiology will assume great importance. From many standpoints, the pig kidney seems an ideal donor for xenotransplantation. They are of similar size and have remarkably similar internal anatomy. Even if the immunological problems could be overcome, there is almost no direct experimental evidence to answer the question of whether or not a pig kidney can function in a human body.

  9. Cholesterol Crystal Embolism and Chronic Kidney Disease.

    Li, Xuezhu; Bayliss, George; Zhuang, Shougang


    Renal disease caused by cholesterol crystal embolism (CCE) occurs when cholesterol crystals become lodged in small renal arteries after small pieces of atheromatous plaques break off from the aorta or renal arteries and shower the downstream vascular bed. CCE is a multisystemic disease but kidneys are particularly vulnerable to atheroembolic disease, which can cause an acute, subacute, or chronic decline in renal function. This life-threatening disease may be underdiagnosed and overlooked as a cause of chronic kidney disease (CKD) among patients with advanced atherosclerosis. CCE can result from vascular surgery, angiography, or administration of anticoagulants. Atheroembolic renal disease has various clinical features that resemble those found in other kidney disorders and systemic diseases. It is commonly misdiagnosed in clinic, but confirmed by characteristic renal biopsy findings. Therapeutic options are limited, and prognosis is considered to be poor. Expanding knowledge of atheroembolic renal disease due to CCE opens perspectives for recognition, diagnosis, and treatment of this cause of progressive renal insufficiency.

  10. Src family kinases in chronic kidney disease.

    Wang, Jun; Zhuang, Shougang


    Src family kinases (SFKs) belong to nonreceptor protein tyrosine kinases and have been implicated in the regulation of numerous cellular processes, including cell proliferation, differentiation, migration and invasion, and angiogenesis. The role and mechanisms of SFKs in tumorgenesis have been extensively investigated, and some SFK inhibitors are currently under clinical trials for tumor treatment. Recent studies have also demonstrated the importance of SFKs in regulating the development of various fibrosis-related chronic diseases (e.g., idiopathic pulmonary fibrosis, liver fibrosis, renal fibrosis, and systemic sclerosis). In this article, we summarize the roles of SFKs in various chronic kidney diseases, including glomerulonephritis, diabetic nephropathy, human immunodeficiency virus-associated nephropathy, autosomal dominant form of polycystic kidney disease, and obesity-associated kidney disease, and discuss the mechanisms involved. Copyright © 2017 the American Physiological Society.

  11. [Nutritional management of kidney diseases in children].

    Borovik, T E; Kutafina, E K; Tsygin, A N; Sergeeva, T V; Baranov, A A; Namazova-Baranova, L S; Voznesenskaya, T S; Zakharova, I N; Semenova, N N; Zvonkova, N G; Yatsyk, S P


    The prevalence of various kidney diseases in children remains high in recent decades. Adequate nutrition management can enhance the effectiveness of drug treatment, slow the frequency of relapses andprevent the progression of the disease. The article is devoted to modern approaches to diet therapy in various kidney diseases in children with the defeat of tubular and glomerular appa ratus. For the first time the therapeutic diets for children with various kidney diseases are presented. Particular attention is paid to diet therapy in nephrotic syndrome (steroid-responsive and steroid-refractory). Dietary approaches with modern formulas for enteral nutrition in cases of steroid therapy complications in children with renal insufficiency (in predialysis stage and on dialysis) are described. Differentiated nutritional approaches for patients with different types of crystalluria are separately presented.

  12. Antioxidant tolerance of kidney after irradiation.

    Bukan, Neslihan; Güney, Yildiz; Hiçsönmez, Ayşe; Bilgihan, Ayşe


    Different doses of irradiation were performed in which group 1 (non-irradiated), group 2 (8 Gy/single dose/whole body) and group 3 (15 Gy/single dose/whole body) were formed of guinea pigs. After 24 hr of radiation exposure the levels of lipid peroxidation product, malondialdehyde, (MDA), glutathione (GSH) and activities of superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) were measured in the whole kidney. The MDA content increased in animals irradiated with 8 and 15 Gy. And group 3 showed an increase the level of MDA. GSH contents of kidney in group 2 and 3 increased. The activity of SOD decreased markedly in group 3 when compared with control group. The activity of GSH-Px decreased significantly in group 2 and group 3 in comparison to controls. It may be concluded that a high dose of ionizing irradiation cause excessive oxidative stress in kidney.

  13. Hypoglycemia, chronic kidney disease, and diabetes mellitus.

    Alsahli, Mazen; Gerich, John E


    Hypoglycemia is a major problem associated with substantial morbidity and mortality in patients with diabetes and is often a major barrier to achieving optimal glycemic control. Chronic kidney disease not only is an independent risk factor for hypoglycemia but also augments the risk of hypoglycemia that is already present in people with diabetes. This article summarizes our current knowledge of the epidemiology, pathogenesis, and morbidity of hypoglycemia in patients with diabetes and chronic kidney disease and reviews therapeutic considerations in this situation. PubMed and MEDLINE were searched for literature published in English from January 1989 to May 2014 for diabetes mellitus, hypoglycemia, chronic kidney disease, and chronic renal insufficiency. Copyright © 2014 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  14. Incentive compatibility in kidney exchange problems.

    Villa, Silvia; Patrone, Fioravante


    The problem of kidney exchanges shares common features with the classical problem of exchange of indivisible goods studied in the mechanism design literature, while presenting additional constraints on the size of feasible exchanges. The solution of a kidney exchange problem can be summarized in a mapping from the relevant underlying characteristics of the players (patients and their donors) to the set of matchings. The goal is to select only matchings maximizing a chosen welfare function. Since the final outcome heavily depends on the private information in possess of the players, a basic requirement in order to reach efficiency is the truthful revelation of this information. We show that for the kidney exchange problem, a class of (in principle) efficient mechanisms does not enjoy the incentive compatibility property and therefore is subject to possible manipulations made by the players in order to profit of the misrepresentation of their private information.

  15. Direct renin inhibition in chronic kidney disease

    Persson, Frederik; Rossing, Peter; Parving, Hans-Henrik


    that renin inhibition could hold potential for improved treatment in patients with chronic kidney disease, with diabetic nephropathy as an obvious group of patients to investigate, as the activity of the renin-angiotensin-aldosterone system is enhanced in these patients and as there is an unmet need....... In addition, combination treatment seemed safe and effective also in patients with impaired kidney function. These initial findings formed the basis for the design of a large morbidity and mortality trial investigating aliskiren as add-on to standard treatment. The study has just concluded, but was terminated...... early as a beneficial effect was unlikely and there was an increased frequency of side effects. Also in non-diabetic kidney disease a few intervention studies have been carried out, but there is no ongoing hard outcome study. In this review we provide the current evidence for renin inhibition in chronic...

  16. Kidney Modelling for FDG Excretion with PET

    Huiting Qiao


    Full Text Available The purpose of this study was to detect the physiological process of FDG's filtration from blood to urine and to establish a mathematical model to describe the process. Dynamic positron emission tomography scan for FDG was performed on seven normal volunteers. The filtration process in kidney can be seen in the sequential images of each study. Variational distribution of FDG in kidney can be detected in dynamic data. According to the structure and function, kidney is divided into parenchyma and pelvis. A unidirectional three-compartment model is proposed to describe the renal function in FDG excretion. The time-activity curves that were picked up from the parenchyma, pelvis, and abdominal aorta were used to estimate the parameter of the model. The output of the model has fitted well with the original curve from dynamic data.

  17. A modified elliptical formula to estimate kidney collagen content in a model of chronic kidney disease.

    Nieto, Jake A; Zhu, Janice; Duan, Bin; Li, Jingsong; Zhou, Ping; Paka, Latha; Yamin, Michael A; Goldberg, Itzhak D; Narayan, Prakash


    The extent of scarring or renal interstitial collagen deposition in chronic kidney disease (CKD) can only be ascertained by highly invasive, painful and sometimes risky, tissue biopsy. Interestingly, while CKD-related abnormalities in kidney size can often be visualized using ultrasound, not only does the ellipsoid formula used today underestimate true renal size, but the calculated renal size does not inform tubulointerstitial collagen content. We used coronal kidney sections from healthy mice and mice with kidney disease to develop a new formula for estimating renal parenchymal area. While treating the kidney as an ellipse with the major axis (a) the polar distance, this technique involves extending the minor axis (b) into the renal pelvis to obtain a new minor axis, be. The calculated renal parenchymal area is remarkably similar to the true or measured area. Biochemically determined kidney collagen content revealed a strong and positive correlation with the calculated renal parenchymal area. Picrosirius red staining for tubulointerstitial collagen also correlated with calculated renal parenchymal area. The extent of renal scarring, i.e. kidney interstitial collagen content, can now be computed by making just two axial measurements which can easily be accomplished via noninvasive imaging of this organ.

  18. Kidney stone erosion by micro scale hydrodynamic cavitation and consequent kidney stone treatment.

    Perk, Osman Yavuz; Şeşen, Muhsincan; Gozuacik, Devrim; Koşar, Ali


    The objective of this study is to reveal the potential of micro scale hydrodynamic bubbly cavitation for the use of kidney stone treatment. Hydrodynamically generated cavitating bubbles were targeted to the surfaces of 18 kidney stone samples made of calcium oxalate, and their destructive effects were exploited in order to remove kidney stones in in vitro experiments. Phosphate buffered saline (PBS) solution was used as the working fluid under bubbly cavitating conditions in a 0.75 cm long micro probe of 147 μm inner diameter at 9790 kPa pressure. The surface of calcium oxalate type kidney stones were exposed to bubbly cavitation at room temperature for 5 to 30 min. The eroded kidney stones were visually analyzed with a high speed CCD camera and using SEM (scanning electron microscopy) techniques. The experiments showed that at a cavitation number of 0.017, hydrodynamic bubbly cavitation device could successfully erode stones with an erosion rate of 0.31 mg/min. It was also observed that the targeted application of the erosion with micro scale hydrodynamic cavitation may even cause the fracture of the kidney stones within a short time of 30 min. The proposed treatment method has proven to be an efficient instrument for destroying kidney stones.

  19. Biodegradable nanoparticles for improved kidney bioavailability of rhein: preparation, characterization, plasma, and kidney pharmacokinetics.

    Wei, Yinghui; Luo, Xiaoting; Guan, Jiani; Ma, Jianping; Zhong, Yicong; Luo, Jingwen; Li, Fanzhu


    The aim of this work is to develop biodegradable nanoparticles for improved kidney bioavailability of rhein (RH). RH-loaded nanoparticles were prepared using an emulsification solvent evaporation method and fully characterized by several techniques. Kidney pharmacokinetics was assessed by implanting a microdialysis probe in rat's kidney cortex. Blood samples were simultaneously collected (via femoral artery) for assessing plasma pharmacokinetics. Optimized nanoparticles were small, with a mean particle size of 132.6 ± 5.95 nm, and homogeneously dispersed. The charge on the particles was nearly zero, the encapsulation efficiency was 62.71 ± 3.02%, and the drug loading was 1.56 ± 0.15%. In vitro release of RH from the nanoparticles showed an initial burst release followed by a sustained release. Plasma and kidney pharmacokinetics showed that encapsulation of RH into nanoparticles significantly increased its kidney bioavailability (AUC kidney /AUC plasma  = 0.586 ± 0.072), clearly indicating that nanoparticles are a promising strategy for kidney drug delivery.

  20. Kidney in potassium depletion. II. K+ handling by the isolated perfused rat kidney

    Hayashi, M.; Katz, A.I.


    In a companion paper the authors reported a large increment in Na + -K + -ATPase activity and [ 3 H]ouabain binding the inner stripe of outer medullary collecting tubules from K-depleted rats. To test the hypothesis that the increased number of Na + -K + pumps in these animals may be involved in potassium reabsorption they examined the effect of ouabain on K excretion by isolated, perfused kidneys from rats fed a K-free diet for 3 wk. Kidneys from K-depleted rats retain potassium avidly, both the fractional (FE/sub K/) and absolute K excretion being approximately fivefold lower than in control kidneys. Ouabain (5 mM) increased FE/sub K/ in kidneys from each K-depleted rat; similar results were obtained when kidneys were perfused with low and high potassium concentrations. In contrast, ouabain produced a variable effect in control kidneys, that depended on the perfusate potassium concentration. In K-depleted rats amiloride did not significantly alter K excretion and did not block the ouabain-induced kaliuresis, suggesting that the latter is not due to enhanced secretion secondary to increased distal fluid delivery. These results provide evidence for ouabain-sensitive potassium reabsorption in kidneys of chronically K-depleted rats, and suggest an explanation for the increased Na + -K + -ATPase observed in such animals