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  1. Article ; Online: A scoping review of pediatric transplant education.

    Burghall, Ashley / Ruhl, Michelle / Rosaasen, Nicola / Groot, Brianna / Flood, Kayla / Davis, Keefe / Minakakis, Natasha / Wichart, Jenny / Mansell, Holly

    Pediatric transplantation

    2023  Volume 27, Issue 7, Page(s) e14578

    Abstract: Background: Education is crucial for pediatric patients and caregivers throughout the transplant continuum, yet data are lacking around which interventions are effective and in what circumstances.: Methods: We undertook a scoping review with the ... ...

    Abstract Background: Education is crucial for pediatric patients and caregivers throughout the transplant continuum, yet data are lacking around which interventions are effective and in what circumstances.
    Methods: We undertook a scoping review with the objectives of (a) describing the types, effects, and outcomes of patient-focused educational interventions before and after pediatric transplant and (b) understanding the educational experiences of patients and caregivers. Five scientific databases were explored for relevant literature using the JBI methodology. Educational interventions published in English, targeting pediatric solid organ transplant patients (0-25 years) and their caregivers were included. Relevant data from eligible articles (n = 27) were extracted and summarized.
    Results: Eighteen articles describing 17 educational interventions were identified for objective A, and nine articles qualitatively assessing patient or parental learning needs were identified for objective B. Most interventions were directed toward teenage patients and their caregivers post kidney transplant, primarily focusing on medication self-management and adherence, or providing general information on transplant using multicomponent delivery formats. Most interventions achieved statistically significant improvements in knowledge (n = 8/9) and patients or caregivers expressed satisfaction with the intervention (n = 7/7) but health-related outcomes such as medication adherence (n = 2/6) or behavior change (n = 1/3) rarely achieved statistically significant results. In objective B, patients and caregivers described the transplant process as overwhelming, but indicated that social supports and education helped them cope. Participants consistently wanted more information than they received.
    Conclusion: Caregivers and pediatric patients value transplant education, but high-quality studies are limited. Since education is a fundamental part of the transplant process, future research in this area should be prioritized.
    Language English
    Publishing date 2023-08-01
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1390284-2
    ISSN 1399-3046 ; 1397-3142
    ISSN (online) 1399-3046
    ISSN 1397-3142
    DOI 10.1111/petr.14578
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Redesigning Kidney Care for the Anthropocene: A New Framework for Planetary Health in Nephrology.

    Rajan, Tasleem / Amin, Syed Obaid / Davis, Keefe / Finkle, Neil / Glick, Naomi / Kahlon, Bhavneet / Martinusen, Dan / Pederson, Kristen / Samanta, Ratna / Tarakji, Ahmad / Stigant, Caroline

    Canadian journal of kidney health and disease

    2022  Volume 9, Page(s) 20543581221116215

    Abstract: Climate change is one of the greatest threats to human health in the 21st century. The human health impacts of climate change contribute to approximately 1 in 4 deaths worldwide. Health care itself is responsible for approximately 5% of annual global ... ...

    Abstract Climate change is one of the greatest threats to human health in the 21st century. The human health impacts of climate change contribute to approximately 1 in 4 deaths worldwide. Health care itself is responsible for approximately 5% of annual global greenhouse gas (GHG) emissions. Canada is a recent signatory of the 26th United Nations Climate Change Conference (COP26) health agreement that is committed to developing low carbon and climate resilient health systems. Kidney care services have a substantial environmental impact and there is opportunity for the kidney care community to climate align clinical care. We introduce a framework of redesigned kidney care and describe examples of low carbon kidney disease management strategies to expand our duty of care to the environment which completes the triple bottom line of optimal patient outcomes and cost effectiveness in the Anthropocene.
    Language English
    Publishing date 2022-08-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2765462-X
    ISSN 2054-3581
    ISSN 2054-3581
    DOI 10.1177/20543581221116215
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium.

    Xiao, Nianzhou / Stolfi, Adrienne / Malatesta-Muncher, Rossana / Bholah, Reshma / Kogon, Amy / Eddington, Angelica / Chand, Deepa / Greenbaum, Larry A / Hanevold, Coral / Tran, Cheryl L / Chishti, Aftab / Davis, Keefe / Matloff, Robyn / Woroniecki, Robert / Klosterman, Colleen / Luckritz, Kera / Omoloja, Abiodun

    International journal of nephrology

    2019  Volume 2019, Page(s) 7828406

    Abstract: Introduction: There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any ... ...

    Abstract Introduction: There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any associations between risk behavior and patient or disease characteristics.
    Methods: After informed consent, adolescents with CKD completed an anonymous, confidential, electronic web-based questionnaire to measure risk behaviors within five domains: sex, teen driving, alcohol and tobacco consumption, illicit drug use, and depression-related risk behavior. The reference group was composed of age-, gender-, and race-matched US high school students.
    Results: When compared with controls, teens with CKD showed significantly lower prevalence of risk behaviors, except for similar use of alcohol or illicit substances during sex (22.5% vs. 20.8%,
    Conclusions: Teens with CKD showed significantly lower prevalence of risk behaviors than controls. Certain patient characteristics were associated with increased risk behaviors among the CKD group. These data are somewhat reassuring, but children with CKD still need routine assessment of and counselling about risk behaviors.
    Language English
    Publishing date 2019-12-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2573904-9
    ISSN 2090-2158 ; 2090-214X
    ISSN (online) 2090-2158
    ISSN 2090-214X
    DOI 10.1155/2019/7828406
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Genome-wide association analyses define pathogenic signaling pathways and prioritize drug targets for IgA nephropathy.

    Kiryluk, Krzysztof / Sanchez-Rodriguez, Elena / Zhou, Xu-Jie / Zanoni, Francesca / Liu, Lili / Mladkova, Nikol / Khan, Atlas / Marasa, Maddalena / Zhang, Jun Y / Balderes, Olivia / Sanna-Cherchi, Simone / Bomback, Andrew S / Canetta, Pietro A / Appel, Gerald B / Radhakrishnan, Jai / Trimarchi, Hernan / Sprangers, Ben / Cattran, Daniel C / Reich, Heather /
    Pei, York / Ravani, Pietro / Galesic, Kresimir / Maixnerova, Dita / Tesar, Vladimir / Stengel, Benedicte / Metzger, Marie / Canaud, Guillaume / Maillard, Nicolas / Berthoux, Francois / Berthelot, Laureline / Pillebout, Evangeline / Monteiro, Renato / Nelson, Raoul / Wyatt, Robert J / Smoyer, William / Mahan, John / Samhar, Al-Akash / Hidalgo, Guillermo / Quiroga, Alejandro / Weng, Patricia / Sreedharan, Raji / Selewski, David / Davis, Keefe / Kallash, Mahmoud / Vasylyeva, Tetyana L / Rheault, Michelle / Chishti, Aftab / Ranch, Daniel / Wenderfer, Scott E / Samsonov, Dmitry / Claes, Donna J / Akchurin, Oleh / Goumenos, Dimitrios / Stangou, Maria / Nagy, Judit / Kovacs, Tibor / Fiaccadori, Enrico / Amoroso, Antonio / Barlassina, Cristina / Cusi, Daniele / Del Vecchio, Lucia / Battaglia, Giovanni Giorgio / Bodria, Monica / Boer, Emanuela / Bono, Luisa / Boscutti, Giuliano / Caridi, Gianluca / Lugani, Francesca / Ghiggeri, GianMarco / Coppo, Rosanna / Peruzzi, Licia / Esposito, Vittoria / Esposito, Ciro / Feriozzi, Sandro / Polci, Rosaria / Frasca, Giovanni / Galliani, Marco / Garozzo, Maurizio / Mitrotti, Adele / Gesualdo, Loreto / Granata, Simona / Zaza, Gianluigi / Londrino, Francesco / Magistroni, Riccardo / Pisani, Isabella / Magnano, Andrea / Marcantoni, Carmelita / Messa, Piergiorgio / Mignani, Renzo / Pani, Antonello / Ponticelli, Claudio / Roccatello, Dario / Salvadori, Maurizio / Salvi, Erica / Santoro, Domenico / Gembillo, Guido / Savoldi, Silvana / Spotti, Donatella / Zamboli, Pasquale / Izzi, Claudia / Alberici, Federico / Delbarba, Elisa / Florczak, Michał / Krata, Natalia / Mucha, Krzysztof / Pączek, Leszek / Niemczyk, Stanisław / Moszczuk, Barbara / Pańczyk-Tomaszewska, Malgorzata / Mizerska-Wasiak, Malgorzata / Perkowska-Ptasińska, Agnieszka / Bączkowska, Teresa / Durlik, Magdalena / Pawlaczyk, Krzysztof / Sikora, Przemyslaw / Zaniew, Marcin / Kaminska, Dorota / Krajewska, Magdalena / Kuzmiuk-Glembin, Izabella / Heleniak, Zbigniew / Bullo-Piontecka, Barbara / Liberek, Tomasz / Dębska-Slizien, Alicja / Hryszko, Tomasz / Materna-Kiryluk, Anna / Miklaszewska, Monika / Szczepańska, Maria / Dyga, Katarzyna / Machura, Edyta / Siniewicz-Luzeńczyk, Katarzyna / Pawlak-Bratkowska, Monika / Tkaczyk, Marcin / Runowski, Dariusz / Kwella, Norbert / Drożdż, Dorota / Habura, Ireneusz / Kronenberg, Florian / Prikhodina, Larisa / van Heel, David / Fontaine, Bertrand / Cotsapas, Chris / Wijmenga, Cisca / Franke, Andre / Annese, Vito / Gregersen, Peter K / Parameswaran, Sreeja / Weirauch, Matthew / Kottyan, Leah / Harley, John B / Suzuki, Hitoshi / Narita, Ichiei / Goto, Shin / Lee, Hajeong / Kim, Dong Ki / Kim, Yon Su / Park, Jin-Ho / Cho, BeLong / Choi, Murim / Van Wijk, Ans / Huerta, Ana / Ars, Elisabet / Ballarin, Jose / Lundberg, Sigrid / Vogt, Bruno / Mani, Laila-Yasmin / Caliskan, Yasar / Barratt, Jonathan / Abeygunaratne, Thilini / Kalra, Philip A / Gale, Daniel P / Panzer, Ulf / Rauen, Thomas / Floege, Jürgen / Schlosser, Pascal / Ekici, Arif B / Eckardt, Kai-Uwe / Chen, Nan / Xie, Jingyuan / Lifton, Richard P / Loos, Ruth J F / Kenny, Eimear E / Ionita-Laza, Iuliana / Köttgen, Anna / Julian, Bruce A / Novak, Jan / Scolari, Francesco / Zhang, Hong / Gharavi, Ali G

    Nature genetics

    2023  Volume 55, Issue 7, Page(s) 1091–1105

    Abstract: IgA nephropathy (IgAN) is a progressive form of kidney disease defined by glomerular deposition of IgA. Here we performed a genome-wide association study of 10,146 kidney-biopsy-diagnosed IgAN cases and 28,751 controls across 17 international cohorts. We ...

    Abstract IgA nephropathy (IgAN) is a progressive form of kidney disease defined by glomerular deposition of IgA. Here we performed a genome-wide association study of 10,146 kidney-biopsy-diagnosed IgAN cases and 28,751 controls across 17 international cohorts. We defined 30 genome-wide significant risk loci explaining 11% of disease risk. A total of 16 loci were new, including TNFSF4/TNFSF18, REL, CD28, PF4V1, LY86, LYN, ANXA3, TNFSF8/TNFSF15, REEP3, ZMIZ1, OVOL1/RELA, ETS1, IGH, IRF8, TNFRSF13B and FCAR. The risk loci were enriched in gene orthologs causing abnormal IgA levels when genetically manipulated in mice. We also observed a positive genetic correlation between IgAN and serum IgA levels. High polygenic score for IgAN was associated with earlier onset of kidney failure. In a comprehensive functional annotation analysis of candidate causal genes, we observed convergence of biological candidates on a common set of inflammatory signaling pathways and cytokine ligand-receptor pairs, prioritizing potential new drug targets.
    MeSH term(s) Animals ; Mice ; Glomerulonephritis, IGA/drug therapy ; Glomerulonephritis, IGA/genetics ; Glomerulonephritis, IGA/diagnosis ; Genome-Wide Association Study ; Immunoglobulin A/genetics
    Chemical Substances Immunoglobulin A
    Language English
    Publishing date 2023-06-19
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1108734-1
    ISSN 1546-1718 ; 1061-4036
    ISSN (online) 1546-1718
    ISSN 1061-4036
    DOI 10.1038/s41588-023-01422-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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