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January 2017 Briefing – Nephrology

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Here are what the editors at HealthDay consider to be the most important developments in Nephrology for January 2017. This roundup includes the latest...
In patients co-infected with HIV and hepatitis C virus (HCV)

Risk of Diabetes Down With HCV SVR in HIV/HCV Coinfection

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Sustained viral response linked to reduction in risk of diabetes, trend toward reduced risk of renal failure
Depression is common among kidney failure patients undergoing dialysis

Nephrologists Often Don’t Treat Depression in Dialysis Patients

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Also, many dialysis patients do not wish to receive aggressive treatment for their depression
Strategies can be employed to help physicians deal with the increasing burden of uncompensated tasks

Strategies Presented for Addressing Uncompensated Time

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Strategies include limiting tasks to those that require medical license, streamlining portal messages
A majority of primary care doctors oppose full repeal of the Affordable Care Act

Most PCPs Oppose Complete Repeal of the Affordable Care Act

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Though many would support changes, only 15 percent want law completely dismantled
Millions of Americans with a chronic illness gained health insurance coverage after the Affordable Care Act went into effect in 2010

ACA Has Increased Coverage, Access for Chronically Ill Patients

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However, nearly one in seven of those with a chronic disease still lack coverage
For pediatric patients undergoing cardiopulmonary bypass

Nadir Platelet Counts Tied to AKI in Pediatric Open-Heart Surgery

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Magnitude of nadir platelet counts tied to severity of AKI in children undergoing cardiopulmonary bypass
The most important concepts of obesity prevention and treatment are not adequately represented on the U.S. Medical Licensing Examination Step examinations

Obesity Underrepresented in Medical Licensing Exams

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Exam items primarily address diagnosis and treatment of obesity-related comorbid conditions
For patients with type 2 diabetes and chronic kidney disease

Biomarkers, Clinical Risk Improve Prediction of Renal Function

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Findings in patients with type 2 diabetes, chronic kidney disease over wide range of baseline eGFR
Serum levels of seven modified metabolites are associated with renal function decline and time to end-stage renal disease among patients with type 1 diabetes

Metabolites Linked to Renal Decline, Time to ESRD in T1DM

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Findings in patients with type 1 diabetes, proteinuria, and chronic kidney disease stage 3