Lucknow, June 17 (IANS) In a rare medical feat, the doctors at the King George's Medical University (KGMU) in Lucknow helped a woman on dialysis, deliver a child.Though the baby did not survive after birth, the patient, Nidhi, 23, survived multiple organ failure due to a complicated pregnancy which could have killed her too.The KGMU, on Wednesday, hailed the case as a landmark achievement in obstetrics critical care.Nidhi, who belongs to Farrukhabad district, was discharged this week after a month-long ICU stay which included her being put on ventilator support.She also underwent respiratory failure, shock with acute kidney injury, severe acid imbalance and intrauterine death of baby.Prof Rekha Sachan of Queen Mary's Hospital, the gynaecology wing of KGMU, said, "A Caesarean delivery could not be performed as she had extreme acid imbalance and respiratory failure. We had to first stabilize her acid levels, get her kidney to relieve some urine, put her on dialysis and only then could perform the normal delivery to get the dead baby out."She further said, "To the best of our knowledge, it is for the first time in the state that any patient has undergone normal delivery while still on dialysis," said KGMU spokesperson Dr Sudhir Singh.The patient is now doing fine.--IANSamita/in
Toronto, March 26 (IANS) Aerobic exercise may reduce several hemodialysis-related symptoms experienced by patients with kidney failure, a new study finds.The study indicated that aerobic exercise lessened several hemodialysis-related symptoms, including restless leg syndrome, symptoms of depression, muscle cramping, and fatigue."We found that as little as 20 to 30 minutes of aerobic exercise two to three times per week seemed to improve several common symptoms in people undergoing hemodialysis and make them feel better," said researcher Clara Bohm, from the University of Manitoba in Canada."There have been very few rigorous, well-designed studies published that look at the effect of exercise on symptoms in people undergoing hemodialysis, and larger studies that use standardized measurement tools are needed to help us determine the effect of exercise on common symptoms in these patients more clearly," Bohm added.Hemodialysis is a procedure where a dialysis machine and a special filter called an artificial kidney, or a dialyzer, are used to clean blood.According to the team, undergoing hemodialysis to treat their kidney failure doesn't always reduce these symptoms, and it can sometimes make some symptoms worse.Importantly, people receiving hemodialysis have noted that finding effective treatments for hemodialysis-related symptoms should be a research priority.For the study, published in the Clinical Journal of the American Society of Nephrology, the research team searched the medical literature and analyzed all relevant studies investigating the effects of aerobic exercise on dialysis-related symptoms.The search uncovered 15 randomized controlled trials, with different studies looking at restless leg syndrome, sleep disturbance, symptoms of anxiety and depression, muscle cramping, and fatigue.The researcher said that there are many hemodialysis-related symptoms for which the effect of exercise has not been studied, and most people included in published trials were men with relatively high levels of physical function."Future studies need to include people with diverse characteristics, particularly more women, elderly individuals, and people with low functional status, to see if exercise has similar effects," Bohm said.--IANSvc/in
Bengaluru, March 11 (IANS) Marking the World Kidney Day (WKD), about 50 dialysis patients received the first dose of anti-Covid vaccine free at a private hospital in the city, an official said on Thursday."The 50 patients, undergoing dialysis at our 3 centres in the city, received the vaccination free. Of them, 36 are men and 14 women in the above 50 years age group," a Manipal Hospitals spokesman told IANS.As kidney patients face the risk of being infected by Coronavirus due to their medical condition and low immunity, they were given the jab for protection and spread awareness on the importance of getting vaccinated early.The patients did not have side-effects after the first dose."With the pandemic outbreak, kidney patients faced the fear and burden of contracting Covid-19 while balancing their treatment plans. We hope to ease their lives by taking the first step to protect them from the virus," said Manipal Hospitals chairman Sudarshan Ballal on the occasion.The 'World Kidney Day' is celebrated every year on the second Thursday of March as a health awareness campaign jointly by the International Society of Nephrology and the International Federation of Kidney Foundations.The first WKD was observed in 2006, with 66 countries participating and their number has gone up to 88 till 2020."The WKD is aimed at raising awareness about the importance of kidneys and kidney-related diseases to reduce the frequency and impact of such ailments worldwide," said the world kidney day organisation.As each year a theme is decided for the day to focus on various aspects of the organ, the theme for this year is 'Living Well with Kidney Disease'.This year's theme empowers kidney patients and their families to help them deal with the trauma.According to the National Health Portal of India, one in 10 people is affected by a kidney disease, taking their tally to 850 million the world over.Around 1.7 million people are estimated to die every year due to acute kidney injury (AKI) globally."Chronic kidney diseases are silent killers. Under the PM National Dialysis Programme, we are ensuring accessible and affordable dialysis services for everyone," tweeted Union Health Minister Harsh Vardhan.--IANSfb/ash
New Delhi, March 8 (IANS) A 101-bedded dedicated free-of-charge kidney dialysis centre is up and running at the premises of Gurudwara Bangla Sahib from Sunday onwards.The Delhi Sikh Gurudwara Management Committee (DSGMC) on Sunday inaugurated the facility, touted as the country's biggest kidney dialysis hospital.Established in the gurudwara complex, the Guru Harkishan Institute of Medical Sciences and Research Kidney Dialysis Hospital, has no cash or billing counter to ensure free treatment to the patients admitted there.In addition to the treatment, the patients along with the attendants will be provided free food during the course of the treatment. The food will be supplied from the gurudwara's 'langar', hospital authorities informed.Besides, the hospital will soon increase its capacity to 1,000 beds from the current 101 beds. For this and operational expenditure, the committee said it will raise donations from corporate giants, individual donations and also implement government schemes."All services are being provided totally free in this most technically advanced hospital. There is no billing or payment counter. The DSGMC will take services from Corporate Social Responsibility (CSR) of corporate houses and from those who are willing to contribute for such initiatives and various government schemes," DSGMC president Manjinder Singh Sirsa said.He added that the hospital is equipped with most technically advanced medical facilities and would function round-the-clock.For now the hospital will take patients who visit in person. The online registration will be started in a week once the system is in place, the authorities added.--IANSasr/kr
Toronto- People undergoing long-term dialysis are almost four times more likely to die from Covid-19 and should be prioritized for vaccination, a new study suggests.
"As the Covid-19 pandemic proceeds, focused efforts should be made to protect this population from infection including prioritizing patients on long-term dialysis and the staff treating them for SARS-CoV-2 vaccination," said researcher Peter Blake, Professor at the Western University in Canada.
For the study, published in CMAJ (Canadian Medical Association Journal), the researchers looked at data on 12,501 patients undergoing long-term dialysis, of whom 187 (1.5 per cent) were diagnosed with SARS-CoV-2 infection.
Of these, 53 people (28.3 per cent) died and 117 (62.6 per cent) were admitted to hospital, the researchers said.
By contrast, uninfected people who were receiving dialysis during that period had a death rate of 5.8 per cent and a hospitalization rate of 27 per cent.
According to the researchers, since this analysis and particularly in the last two months, the number of people on dialysis infected with the virus has risen to over 570 and the number of deaths has increased to 120.
The study also suggests that risk factors for SARS-CoV-2 infection in people on dialysis include hemodialysis at a hospital facility as compared to home dialysis.
In addition to vaccination and infection precautions, the researchers recommend educating patients about their increased risk of infection and higher mortality, including risks associated with social activities. (IANS)
New York, Aug 27 (IANS) It's widely known fact that Covid-19 can spread rapidly among residents in nursing homes and now, Johns Hopkins study shows people receiving hemodialysis for chronic kidney disease may be at even greater risk for infection from the virus.For the study, published in the journal Morbidity and Mortality Weekly Report, investigated an outbreak of Covid-19 that occurred in April 2020 in a 200-bed Maryland nursing home with an independently operated, on-site hemodialysis centre.Based on our results, we believe that nursing home residents undergoing dialysis are more likely than others in a facility to have repeated and prolonged exposures to the SARS-CoV-2 virus," said study lead author Benjamin Bigelow from Johns Hopkins University in the US."Therefore, they may be at greater risk of infection and subsequent Covid-19," Bigelow added.According to the researchers, of the 170 residents at the facility, 32 received dialysis treatment between April 16 and April 30. By the end of the study period, testing for exposure to SARS-CoV-2 was conducted on all but three of the residents (they refused and were counted as negative).The researchers reported that 15 of the 32 residents (47 per cent) on dialysis tested positive while only 22 of the other 138 residents (16 per cent) did."Our study suggests that homes and dialysis centres need to maintain clear and constant communication to improve infection prevention practices throughout the process of transporting residents to dialysis and during the dialysis itself," said researchers.Residents who undergo dialysis should be carefully monitored, and testing prioritization must account for any contact with dialysis staff who may have been exposed to SARS-CoV-2, the study authors wrote."Identifying cases early, along with aggressive infection prevention and control, are the keys to protecting those in nursing homes with chronic kidney disease and who are most at risk during the pandemic," they noted.--IANSbu/sdr