273 research outputs found
Acute kidney injury: What is it and how can it be prevented?
No full text Acute kidney injury commonly starts in the community. Becky Bonfield explains how practice nurses can help to identify the condition to improve patient outcomes Acute kidney injury is a common and under-recognised disorder associated with both morbidity and mortality, which often leads to the development of chronic kidney disease ( Lewington et al, 2013 ). While acute kidney injury was previously thought to be completely reversible, with no long-term health implications for patients who recovered, there is growing evidence that even a single transient acute kidney injury can lead to permanent organ damage ( Coca et al, 2012 ). It is important for staff in primary care to be aware of acute kidney injury and its causes, as up to 65% of acute kidney injuries will start in the community setting ( Selby et al, 2012 ). Being able to understand the common risk factors for acute kidney injury can assist in early diagnosis and treatment, which can improve patient outcomes. </jats:p
Understanding the role of social networks in supporting people living with chronic kidney disease. A narrative synthesis
No full textBackground Chronic kidney disease (CKD) is a growing global health concern requiring effective self-management to mitigate progression and improve quality of life. While self-management is increasingly recognised as a socially embedded practice, the specific contributions of social network members to this process in CKD are not well understood. Objective To synthesise and interpret existing literature on how social networks support individuals living with early-stage CKD and identify gaps in understanding. Methods We conducted a narrative review. Fourteen studies involving 560 participants—including individuals living with CKD, their social network members, healthcare professionals, peer mentors, and religious leaders—were analysed to explore the role of social networks in CKD self-management. Results Four key themes emerged: (1) The burden of kidney disease uncertainty , (2) Everyday challenges of managing CKD , (3) The loneliest disease , and (4) The role of peer support . Participants frequently reported emotional distress linked to diagnostic uncertainty and inconsistent information, especially from non-specialist providers. CKD management posed significant practical and psychological burdens, particularly for caregivers, who often felt unsupported and invisible within healthcare systems. Peer support—both informal and formal—played a crucial role in reducing isolation and providing context-specific guidance, especially when tailored to individual preferences and illness trajectories. Conclusions This is the first review to explore the role of social networks in supporting the self-management of people living with CKD. The studies highlighted that early-stage CKD is shaped by diagnostic uncertainty, limited formal support, and social invisibility. People with CKD rely on diverse social networks for self-management, yet unclear care pathways and inconsistent communication hinder this support. Integrated models that combine early specialist input, peer support, and trained generalists are needed. Recognising and supporting these networks is essential to reduce isolation, improve understanding, and enable meaningful engagement with self-management across the CKD trajectory
Beyond the hospital: what is the role of social networks in acute kidney injury recovery?
No full textSocial networks are vital in providing emotional, practical and informational support that may reduce the risk of readmissions and improve recovery outcomes for patients with acute kidney injuryBackground: acute kidney injury (AKI) is a prevalent and serious condition which can lead to significant short- and long-term health risks—including mortality, readmissions and progression to chronic kidney disease.Aims: this study explored the literature around the role of social networks in self-management support for patients recovering from AKI.Methods: a systematic review was conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to examine studies that included social networks and self-management in AKI.Findings: a 3-step search strategy was used in this literature search. An initial limited search of MEDLINE (Ovid), Embase, Psycho info and AMED was undertaken to identify articles on the topic, followed by an analysis of the text words contained in the titles and abstracts of retrieved papers and of the keywords used to describe the articles. After implementing the search strategy no applicable literature was found. Literature on AKI recovery lacks insight into how informal and formal social networks supports patients in the post-AKI period.Conclusions: further research is needed to explore whether social network support can improve AKI recovery
Acute kidney injury in COVID‐19: Identification of risk factors and potential biomarkers of disease in a large UK cohort
No full textBackground: COVID‐19 is associated with increased risk of acute kidney injury (AKI). Risk factors and biomarkers linked to AKI have now been recognized by national guidelines in the United Kingdom. This analysis aims to validate and expand the comorbidities and biomarkers associated with the presence and severity of AKI in these patients.Methods: Data were extracted via structured query language for patients with COVID‐19 at University Hospital Southampton between 1 March and 10 June 2020. Demographics, comorbidities, common biomarkers and AKI stage within 48 hours of admission, peak during admission and the last measurement prior to patient outcome (discharge or death) were collected and statistically analysed.Results: Six hundred and thirty‐two COVID‐19 positive patients were admitted during this period; 34.2% had an AKI during their entire admission, 20.3% had AKI stage 1, 8.5% stage 2 and 5.4% stage 3. This was higher when compared with data from the same period in 2019. AKI carried an increased risk of death, 50.0% vs 21.1% (P = <.001). AKI stage was significantly associated with age over 65, diabetes, heart failure, peripheral vascular disease, haematological malignancy, hypertension, respiratory rate, albumin, C‐reactive protein (CRP), d‐dimer, ferritin, high‐sensitivity troponin‐I, neutrophil count, total white cell counts, National Early Warning Score‐2 (NEWS‐2), Charlson comorbidity index and alanine‐aminotransferase. COVID‐19 specific treatment, including dexamethasone, reduced discharge creatinine.Conclusion: COVID‐19 increases the risk of AKI and this kidney injury may be responsive to treatment. This analysis identified that AKI is associated with both previously described and new comorbidities and biomarkers
Becky and Steve Holman's Old School New Body Review
No full text<p><strong>Product Name:</strong> Old School New Body </p>
<p><strong>Creator Name:</strong> Becky and Steve Holman </p>
<p><strong>Bonus:</strong> Yes</p>
<p><strong><a href="http://bit.ly/olds-school-newbody">Official Website: Click Here</a></strong></p>
<p><a href="http://bit.ly/olds-school-newbody"><em><strong>Old School New Body is a training program</strong></em></a> that is designed for anyone who wants to get their dream physique in the most effective way. It is a fitness program that is designed for more seasoned adults who are over the ages of 40. If that describes you – this program will help you to get in shape quickly and safely.</p>
<p>The Old School New Body program offers a lot of advantages to older exercisers. The exercises include lower weights and there are smaller numbers of exercises, which means that it is easier on your joints and you are less likely to cause yourself injury.</p>
<p><strong>ABOUT OLD SCHOOL NEW BODY</strong></p>
<p><a href="http://bit.ly/olds-school-newbody"><strong>The Old School New Body program</strong></a> is known as the F4X workout. What does that mean? It stands for four core exercises that have been identified as being the most effective – upright rows, bent over rows, incline presses and squats. The system will focus on these very powerful and effective exercises and lays out three different workout plans. The workout routine is done three times per week and there are three different workouts – the Lean Workout, the Shape Workout and the Build Workout.</p>
<p>The Lean workout is great for beginners who haven’t been to the gym in a while. It is simple, only contains four exercises and it can be done in 30 minutes. The Shape workout is for when you have a lot more time and you want to improve the intensity – it takes around 45 minutes to complete. The Build workout is the most intense of the three. It can still be completed in less than an hour and it should be done around 4 times per week.</p>
<p><strong>ABOUT THE AUTHOR</strong></p>
<p>The authors of the Old School New Body program are the husband and wife team <a href="http://bit.ly/olds-school-newbody"><strong>Becky and Steve Holman</strong></a>. Steve has been the editor in chief of the Iron Man Magazine for over 25 years. He has written a great number of books on health, fitness, nutrition and weight training as well as many other books on healthy weight loss. He has also interviewed several of the most famous legends in the bodybuilding world such as Lee Labrada and Arnold Schwarzenegger.</p>
<p>Becky and Steve have been married for 28 years and she has gone through an incredible body transformation. She only started body-building in her 40s but she has crafted a pretty impressive physique. She also contributes regularly to the Iron Man Magazine and is highly knowledgeable about health and fitness.</p>
<p>When you see photos of Becky and Steve it is hard to believe they are in their 50s. They have beautifully strong, muscular and sculpted bodies and they look like they are about 20 years younger than they really are. It goes to show that age doesn’t really matter when it comes to fitness and that a healthy body can add years to your life.</p>
<p><strong>SUMMARY OF OLD SCHOOL NEW BODY</strong></p>
<p>The book is very well organised and easy to understand, which makes it very simple to flow. It will explain the core concepts of the program and how the workouts were formulated, before going into how to do the workouts. Also, the book contains a lot of valuable motivational info and nutritional info.</p>
<p>The book contains exercises that are designed for all experience levels and all age groups. So, you will be able to do them whether you are in your 20s, 30s, 40 or 50s – even if you are a senior. From this program you will learn a lot about working out, dieting, getting motivated, building muscle and taking supplements. The information is very detailed and informative and it will help you a lot.</p>
<p>The program gets its name because it comes from the workout routines that were used by Hollywood fitness trainers in the 60s, 70s and 80s. Steve learned about the methods because the old training materials were stored in the IM Warehouse where he was working. He decided to try them himself and see what kind of results he would get.</p>
<p>The workouts are all moderate-weight and high fatigue exercises that create great results and are safer than doing workouts with heavy weights. So, since these old school techniques were so effective in creating a new body – Steve and Becky decided to call the program Old School New Body.</p>
<p><strong>BENEFITS OF OLD SCHOOL NEW BODY</strong></p>
<p>The great thing about this book is that it is a quick and easy read. The information within is very motivating and the background info was helpful and fascinating. Also, the workout plans are excellent and you will be able to get great results while only using four exercises. You’ll be amazed by how effective four simple exercises can really be.</p>
<p>This book is excellent for older people as it is easy on your joints and it doesn’t cause joint pain. You can do these exercises several times per week and you are not as likely to have to stop because of the pain.The idea behind the exercises is that you exercise hard for a short amount of time – all of the exercises combined only take around 90 minutes per week.</p>
<p><strong>CONCLUSION</strong></p>
<p>This book is more than just an exercise and diet plan, it is a way of life. Even if you are slightly older, it will make you feel years younger and will give you a healthy body and more energy for life. You will look better and feel better and you will improve your health in a wide range of ways.</p>
<p>Plus, the ebook comes with a 100% money back guarantee so if you try it and it doesn’t work for you it’s always possible to get your money back. So, there’s really no risk to giving it a try and seeing just how much you can transform your body with this great program. Just imagine how you would look and feel with a new body – that you build in an amazingly effective old school way. <a href="http://bit.ly/olds-school-newbody"><strong>Click the “Add To Cart”</strong></a> button below and get your copy of Old School New Body now! Feel younger and energised again!</p
NARCISSISTIC PERSONALITY DISORDER OF BECKY SOMETHING IN HER SMELL FILM BY ALEX ROSS PERRY
No full textThis research aims the narcissistic personality disorder of Becky Something as the main character in Her Smell Film by Alex Ross Perry. The author uses a qualitative analysis method and descriptive analysis technique and uses himself as the instrument of the research in collecting the data to be the evidence for the analysis. This study highlights on character analysis of the main character, Becky Something and examines her behaviour in order to find the pattern of narcissistic personality disorder. The author chooses narcissistic personality disorder theory from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by the American Psychiatric Association as the leading theory, in order to analyze the symptoms. Becky indicated as a narcissist by showing five patterns of narcissistic personality disorder. The patters is a grandiose sense of self-importance, requires excessive admiration, interpersonally exploitative, lack of empathy, and envious of others. Therefore, Becky keeps maintaining her superiority by making various approach, such as manipulate and demeaning others. In conclusion, Becky Something as a leader of a punk rock band who suffer from narcissistic personality disorder always maintain her superiority by doing any means necessary and caused pain to the othersvii, 36 hlm.: ilus.; 25 c
Becky\u27s Legacy: More Lessons
No full textIn this commentary on Werth\u27s (this issue) article, the author attempts to continue the work of “meaning making” by describing 10 lessons that were evident to him, based on 25 years of experience as an end-of-life researcher and clinician. He highlights the impact of stress, the importance of communication, the idiosyncratic definition of a “good death,” the role of patient-centered care, the power of self-efficacy, the need to integrate theory and experience, the use of interdisciplinary teams, the impact of altruism and having a sense of purpose, the need to listen, and the healing effects of communicating about loss.
At the conclusion of Becky\u27s Legacy: Personal and Professional Reflections on Loss and Hope, Jim Werth lists the lessons he learned from his love—and loss—of Becky. One of these lessons, to “find or make meaning in your life,” was certainly a guiding force spurring him to assemble his reflections on loss and hope. Reflecting on these general kinds of experiences is not new to Jim Werth, an end-of-life specialist. However, perhaps new to him is carefully examining how his own intensely lived experiences correspond to the findings and conclusions of contemporary end-of-life research and theory. Werth\u27s efforts to make meaning for himself and to expand on that meaning by sharing his insights with others, are a gift to us all. He tells his and Becky\u27s story and then draws our attention to the many topics in the end-of-life arena with which the story intersects, including the nature of the “good death”; issues arising in the transition from curative to palliative care; orchestrating good pain management; implementing advance directives; weaknesses in the DSM-IV (American Psychiatric Association, 2000) treatment of grief and depression; the role of resilience, spirituality, and altruism as coping resources; and the myth of stages in dying.
In my role as commentator on this essay, I want to continue the work of “meaning making” (Neimeyer, Prigerson, & Davies, Citation2002) that Werth has begun and to highlight some other lessons that I see in his reflections on loss and hope. I will do this by connecting Jim\u27s and Becky\u27s experiences to more general issues I am concerned with as an end-of-life clinician and academician. Along the way, I will share some of my clinical experiences and the learnings I took away from them. I hope these contributions are useful additions to Jim Werth\u27s remarkable essay on love, loss, and hope
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