347 research outputs found
sj-docx-1-cjk-10.1177_20543581231209233 – Supplemental material for Associations of Estradiol With Mortality and Health Outcomes in Patients Undergoing Hemodialysis: A Prospective Cohort Study
No full textSupplemental material, sj-docx-1-cjk-10.1177_20543581231209233 for Associations of Estradiol With Mortality and Health Outcomes in Patients Undergoing Hemodialysis: A Prospective Cohort Study by Lina Lau, Natasha Wiebe, Sharanya Ramesh, Sofia Ahmed, Scott Klarenbach, Juan-Jesus Carrero, Peter Stenvinkel, Barbara Thorand, Peter Senior, Marcello Tonelli and Aminu K. Bello in Canadian Journal of Kidney Health and Disease</p
sj-pdf-1-cjk-10.1177_20543581221106248 – Supplemental material for Impact of Home Telemonitoring and Management Support on Blood Pressure Control in Nondialysis CKD: A Systematic Review and Meta-Analysis
No full textSupplemental material, sj-pdf-1-cjk-10.1177_20543581221106248 for Impact of Home Telemonitoring and Management Support on Blood Pressure Control in Nondialysis CKD: A Systematic Review and Meta-Analysis by Shezel Muneer, Ikechi G. Okpechi, Feng Ye, Deenaz Zaidi, Mohammed M. Tinwala, Laura N. Hamonic, Anukul Ghimire, Naima Sultana, Dan Slabu, Maryam Khan, Branko Braam, Kailash Jindal, Scott Klarenbach, Raj Padwal, Jennifer Ringrose, Nairne Scott-Douglas, Soroush Shojai, Stephanie Thompson and Aminu K. Bello in Canadian Journal of Kidney Health and Disease</p
sj-pdf-1-cjk-10.1177_20543581221077500 – Supplemental material for Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease—The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol
No full textSupplemental material, sj-pdf-1-cjk-10.1177_20543581221077500 for Telemonitoring and Case Management for Hypertensive and Remote-Dwelling Patients With Chronic Kidney Disease—The Telemonitoring for Improved Kidney Outcomes Study (TIKO): A Clinical Research Protocol by Ikechi G. Okpechi, Deenaz Zaidi, Feng Ye, Miriam Fradette, Kara Schick-Makaroff, Charlotte Berendonk, Abdullah Abdulrahman, Branko Braam, Anukul Ghimire, Vinash Kumar Hariramani, Kailash Jindal, Maryam Khan, Scott Klarenbach, Shezel Muneer, Jennifer Ringrose, Nairne Scott-Douglas, Soroush Shojai, Dan Slabu, Naima Sultana, Mohammed M. Tinwala, Stephanie Thompson, Raj Padwal and Aminu K. Bello in Canadian Journal of Kidney Health and Disease</p
Population-based Studies of Epidemiology of CKD: The Burden and Impact of Microalbuminuria in the Community
No full textEThOS - Electronic Theses Online ServiceGBUnited Kingdo
Access to Kidney Care: Global implications for workforce capacity and use of electronic consultations to facilitate kidney care
Full text linkChronic kidney disease (CKD) is increasingly recognized as a global public health issue due to rising prevalence, associated adverse health outcomes and substantial economic impact. To address this problem, countries need health system strengthening, and the health workforce is considered the cornerstone of any health care system. An adequately trained and sufficiently staffed workforce is essential to reach universal health coverage. In particular, the nephrology workforce is critical to stem the tide against CKD burden. Nonetheless, there are critical gaps in the evidence on the current global nephrology workforce capacity. The overall objective of this thesis was to research access to kidney care through two separate, yet related, aspects of kidney care delivery namely global nephrology workforce capacity and role of telenephrology.
Three separate studies were conducted to achieve this objective. First, we conducted a multinational cross-sectional survey administered under the auspices of the International Society of Nephrology (ISN). The questionnaire was administered online, and all data were analyzed and presented by ISN regions and World Bank country classification. Overall, 121 countries responded to survey questions pertaining to nephrology workforce. We identified a global nephrologist density of 8.83 per million population (PMP), and we found significant variation in the global density of nephrologists between low-income and high-income countries (0.31 PMP vs. 28.52 PMP) and between ISN regions (lowest density in Africa and South Asia regions).
Secondly, we conducted a review of the literature on health information technologies looking for its potential applications to enhance global kidney care and in workforce specifically. The analysis of the literature identified that telenephrology would be an indispensable mechanism to close the identified gaps in kidney workforce, particularly in low and middle-income countries.
Finally, we leveraged a local initiative on a specific type of health information technology named electronic consultations (eConsult) to assess the barriers and facilitators to its wider adoption and implementation. We used scoping review synthesis method to identify the factors that favor or hinder eConsult adoption.
This work contributes to the knowledge of current global nephrology workforce capacity and provides potential solutions on how to address identified gaps using telenephrology and eConsult specifically. Although this study was focused on access to kidney care, the findings are potentially useful in other chronic conditions
Can Virtual Care Support the Outpatient Management of Patients Treated with Chronic Hemodialysis? Lessons from Designing and Testing a Virtual Visit Program in Alberta
No full textMany people have difficulty accessing healthcare. Virtual care allows patients and providers to interact using information and communication technologies, which may mitigate inconvenience associated with in-person appointments and potentially barriers to accessing care. Virtual appointments using videoconferencing technology (herein named virtual visits) have become a widely used form of virtual care due to its convenience and accessibility for patients. People with kidney failure receiving dialysis require frequent and ongoing care from multiple healthcare providers and there is a significant potential for virtual visits in this setting. However, the current interest among relevant stakeholders and the optimal delivery processes for outpatient virtual kidney failure management, to our knowledge, are unknown. Our program of study involved: a systematic review of studies exploring the use of virtual care in kidney failure management; interviews with patients and healthcare providers about virtual visit design; and a pilot test of the virtual visit intervention at a kidney clinic to learn about the user experience and identify workflow and resource requirements needed for delivering virtual visits. We hope this research will help inform future decision-making around virtual visit services in our kidney program. Our review found a gap in evidence related to virtual visits for outpatient kidney failure management. Interviews with patients, nurses, and nephrologists confirmed an interest in virtual visits, mainly as they are more convenient for patients and may increase access to care. Further, these stakeholders provided virtual visit recommendations that helped inform the intervention design. Our pilot study found that patients and nephrologists were highly satisfied with the virtual visit intervention. Both groups stated they would use virtual visits again and recommend them to their peers. Most patients used their own devices (computers, tablets, smartphones), but the clinic did not have sufficient hardware for virtual visits. Workflow considerations identified through our study included: using electronic medical records and coordinating with dialysis nurses to collect health information needed for the virtual visit; providing training and technical support to patients; and using a combination of in-person visits and virtual visits as appropriate. Further, clarity around medical-legal matters, platform governance, and future remuneration policies is needed. Overall, our research suggests virtual visits are appropriate for outpatient kidney failure care and warranted by patients, nurses, and nephrologists, given the right circumstances. We identified process and workflow considerations for facilitating virtual visit in outpatient kidney clinics. Lastly, we identified barriers, mainly related to information technology infrastructure and governance, that will need to be addressed to fully capitalize on the benefits of virtual care
Marriage and Divorce in Islam
Full text linkThis paper discusses the concepts of and Islamic rulings concerning various issues relating to marriage and divorce. The aim is to outline the purposes, goals and benefits of marriage; pillars and conditions of marriage; some dos and don’ts of marriage; causes of marriage breakdown and success factors in marriage; marriage discord and ways of handling it; the what, why and how of divorce; and finally suggest ways by which the institution of marriage would be safeguarded and marriage breakdown leading to widespread divorce be curbed among couples in Muslim societies.Marriage; Divorce
FIRMS SPECIFIC ATTRIBUTES AND VOLUNTARY DISCLOSURE OF QUOTED CONSUMER GOODS FIRMS IN NIGERIA
Full text linkThe research investigates the effect of corporate-specific attributes and voluntary disclosure of quoted consumer goods firms in Nigeria. The study collected its data from historical financial statement and Accounts of 15 companies under study quoted in Nigeria stock exchange for the period of 2009–2018. Ex-post factor research design was employed and multiple regressions were assigned as the techniques to examine the data. The finding communicates that company’s attributes proxied by; age of the company, and leverage recorded a significant positive effect on voluntary release information. However, size of the firm, profitability and ICT were established to be insignificantly and positively affected the voluntary disclosure of quoted firms under study. Conversely, liquidity communicates negative and insignificant effect on voluntary publication by quoted consumer goods firms in Nigeria. From the findings, it is suggested that, the management of quoted consumer goods companies in Nigeria should pay more attention on the disclosure of voluntary information as it affects share holder’s investment decision making, and reduce agency conflict resulting from information asymmetric between management and firms’ stakeholders. However, as they disclose additional information voluntarily, stakeholders will be informed and, in turn, make the right investment decisions in the companies and also retain its positive impression in mind of their existing and potentials investors and society in general
2019 World Kidney Day Editorial - burden, access, and disparities in kidney disease
No full textAbstract Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. In many settings, rates of kidney disease and the provision of its care are defined by socio-economic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight that many countries still lack access to basic diagnostics, a trained nephrology workforce, universal access to primary health care, and renal replacement therapies. We point to the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is one of the World Health Organization's Sustainable Development Goals. While universal health coverage may not include all elements of kidney care in all countries, understanding what is feasible and important for a country or region with a focus on reducing the burden and consequences of kidney disease would be an important step towards achieving kidney health equity.</div
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