NDT-EDUCATIONAL

Editorial issue 251

Editorial issue 251st

This  251st  issue of NDT Edu contains some interesting  papers for your consideration, in this hopefully somewhat quieter summer period. In an original article published in NDT, Dubin et al. (San Francisco, USA) report in a cross-sectional study in 40 hemodialysis patients an association between myocardial wall motion abnormalities during HD sessions , and post-dialysis fatigue. This association was independent of age, depression and blood pressure changes.  In a paper recently published in Kidney International (KI), Chapman et al. report the output of a consensus meeting of the Australian and New-Zealand TP society devoted to the re-emergence of Pneumocystis jiroveci pneumonia. Pneumocystis jiroveci, formerly known as Pneumocystis carinii, has indeed made a comeback in transplant (TP) recipients, with clusters of cases in many units worldwide. This has obvious clinical implications for prophylaxis and management  

 

In another interesting KI paper, Pipili et al. (Athens, Greece) review the current treatment of hepatitis B in the various CKD populations (from CKD to dialysis, pre- and post- kidney TP). In a recent review in NDT, F.P Schena et al. (Bari, Italy) review micro RNAs: they present their main biological functions, role in the pathogenesis in some kidney diseases and potential role as biomarkers in the nephrology  area. This review is timely in an important and rapidly moving field. Finally, in a fifth paper published on Journal of Nephrology (JN) Debska-Silien et al. (Gdansk, Poland) report 4 cases of encapsulating peritoneal sclerosis presenting shortly after kidney transplantation. The authors discuss the diagnosis as well as potential therapeutic strategies of this severe complication of peritoneal dialysis.

 

In this issue of NDT-E you will also find 6 CME lectures presented at the ERA-EDTA meeting in Paris May 2012. In the first one, Professor  A. Covic (Iasi, Romania) argues that” SALT AND VOLUME MANAGEMENT IS MORE IMPORTANT THAN HIGHER UREMIC TOXIN REMOVAL IN ORDER TO IMPROVE SURVIVAL IN DIALYSIS PATIENTS”. In the second one, Ray Vanholder (Ghent, Belgium) defends the opposite view that “UREMIC TOXIN REMOVAL IS MORE IMPORTANT THAN SALT AND VOLUME MANAGEMENT IN DIALYSIS PATIENTS”. Needless to say that both are important but this elegant debate highlights some of the key points of 2 important aspects of the care of dialysis patients. The third presentation by Prof. Martin Kuhlmann (Berlin, Germany), is entitled “BIOIMPEDANCE MEASUREMENTS IN THE ASSESSMENT OF VOLUME STATUS”. The fourth one by Prof. Carmine Zoccali (Reggio di Calabria, Italy), is entitled “LUNG ULTRASOUND TO ASSESS VOLUME STATUS IN DIALYSIS PATIENTS”. Finally, the last 2 presentations deal with the high burden of cardiovascular complications in CKD patients and their pathophysiology. They were presented by Professor Ziad Massy (Amiens, France) and Professor Gerard London (Paris, France) and are entitled “THE FEATURES OF CARDIOVASCULAR DISEASE IN CKD” and “VASCULAR HEMODYNAMICS IN CKD“ respectively.

 

Enjoy NDT-E  and hopefully also some good and  relaxing time this summer

 

 

Michel Jadoul

Editor-in-Chief NDT-Educational