The authors of the Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline for acute kidney injury (1) are often asked two important questions: “Who is the guideline for?” and “Is acute kidney injury (AKI) preventable?”
My answer to the first question is that the guideline is for physicians to aid them in the treatment of patients—but which patients and, for that matter, which physicians? These are fair points, and the KDIGO AKI Work Group spent some time debating them. In the end we decided that the guideline was meant for “front-line” physicians, not just for subspecialists. Indeed,
Improving access to, and retrieval of, your research articles is the surest way to enhance their impact. Repetition, consistency, and an awareness of the intended audience form the basis of most of the following strategies in areas related to preparation for publication, dissemination of content, and keeping track of your research.
The Journal of the American Medical Association has reported that one in nine Americans now have chronic kidney disease, and that figure is believed to be growing. At the same time many publications (among them, Kidney News) are tracking a drop in the number of nephrologists entering the field, and others have documented the strain on those already practicing as dialysis resources are stretched thin.
As awareness of kidney disease within the general population increases, so will nephrologists’ need for a safe, efficient, and Health Insurance Portability and Accountability Act (HIPAA)–compliant system for securely managing incoming
Suffering from information overload is a frustrating and all-too-common condition today. If it isn’t hard enough to clear your overflowing email inbox, there’s the stress of staying on top of the blossoming number of journals and medical blogs in your field, papers uncovered through regular PubMed or Medline searches, not to mention the pressure of keeping up-to-date with the latest must-use social media tools. And yet, a small number of people seem to stay afloat while the vast majority of us are drowning in information. What’s their secret?
Every year, the Science Online conference in North Carolina brings together some
Twitter has taken the world by storm. No one could have predicted that just 6 years after its inception Twitter would have 300 million users generating 300 million messages every day (1). If you are among the uninitiated, you should become familiar with how Twitter works and why it’s one of the most popular micro-blogging websites in the world.
Twitter is an open forum for sharing real-time information through “tweets.” A tweet is a short message of 140 characters or less that can convey absolutely anything to your “followers” (people who subscribe to your “feed” of tweets). And
Understanding the true value of a scholar’s research and output is no small feat. Although it’s fairly straightforward to track the number of publications or total dollar amount of awarded funding, it can be a greater challenge to assess the reach of scholarly efforts and determine how others are utilizing the research results. Metrics for assessing research performance, quality, and impact cover a wide range of the scholarly ecosystem and are used for a variety of purposes: individual career planning, promotion, and tenure; benchmarking to track group or institutional performance; marketing and strategic planning purposes; and reporting research outcomes to
The incidence of ESRD is increasing, with a current prevalence of over half a million patients in the United States. Most ESRD patients are treated with hemodialysis (HD) and the number of patients receiving peritoneal dialysis (PD) has steadily declined over the past several decades. According to the U.S. Renal Data System 2011 annual report, approximately 7 percent of patients were being treated with PD at the end of 2009, reflecting gross underuse of this form of therapy (1). Of the incident patients, dialysis was initiated using PD in only 6.1 percent.
Nephrologists enjoy an unusually close and extended relationship with their patients, often lasting decades through the evolution of chronic kidney disease to the eventual long-term management of ESRD. Their unique perspective on the importance of dialysis access has led to an intense interest in the field, resulting in the emergence of a distinct discipline within nephrology: interventional nephrology.
Historically, interventional nephrology began in the private practice sector. It was stimulated by a poorly functioning system that provided fragmented care, delayed treatment, and often resulted in poor vascular access care for hemodialysis patients (1). Nephrologists recognized a need for
Peripherally inserted central venous catheters (PICC lines) are being used with increasing frequency in the hospital and outpatient settings for patients who require venous access. Originally intended as a less invasive way to obtain long-term central venous access, PICC lines are now being used for a growing number of indications. Patients who require an extended course of antibiotics or other medications were often chosen to have a PICC line placed after treatment was begun with a peripheral intravenous (IV ) catheter. However, PICC lines are now often chosen as the first-line access option in patients with difficult venous access regardless
Frederic Rahbari-Oskoui and William Charles O’Neill
Over the past four decades, ultrasonography has become an indispensable tool because of its safety, availability, and low cost. Accordingly, many specialties have incorporated ultrasonography into their core training programs for visualization of relevant organs and guidance of procedures (e.g., echocardiograms in cardiovascular medicine, pelvic ultrasounds in gynecology and obstetrics, thyroid ultrasounds in endocrinology, abdominal ultrasounds in trauma and emergency medicine).
In nephrology, ultrasonography is ideally suited for visualizing the kidneys, bladder, and blood vessels and is essential for the diagnosis and treatment of patients with kidney diseases. However, formal training in ultrasonography is rarely included in nephrology training programs.