Dialysis world news


Five charged after Chinese teen sells kidney to buy iPhone - Reuters

BEIJING | Fri Apr 6, 2012 9:56am EDT

BEIJING (Reuters) - Five people in southern China have been charged with intentional injury in the case of a Chinese teenager who sold a kidney so he could buy an iPhone and an iPad, the government-run Xinhua News Agency said on Friday.

The five included a surgeon who removed a kidney from a 17-year-old boy in April last year. The boy, identified only by his surname Wang, now suffers from renal deficiency, Xinhua quoted prosecutors in Chenzhou city, Hunan province as saying.

According to the Xinhua account, one of the defendants received about 220,000 yuan (about $35,000) to arrange the transplant. He paid Wang 22,000 yuan and split the rest with the surgeon, the three other defendants and other medical staff.

The report did not say who received and paid for the kidney.

The teen was from Anhui, one of China's poorest provinces, where inhabitants frequently leave to find work and a better life elsewhere. He bought an iPhone and iPad, and when asked by his mother where he got the money, admitted selling a kidney.

Apple products are hugely popular in China, but are priced beyond the reach of many Chinese. IPhones start at 3,988 yuan ($633), and iPads begin at 2,988 yuan ($474).

Wang's renal deficiency is deteriorating, Xinhua quoted prosecutors as saying.

Only a fraction of the people who need organ transplants in China are able to get them, leading to "transplant tourism" where patients travel overseas for such operations, and to a black market for human organs.

China banned the trading of human organs in 2007, Xinhua said. Several other suspects involved in the case are still being investigated.

(Reporting by Terril Yue Jones; Editing by Peter Graff)

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Women on dialysis have sexual problems - Times of India
Many female kidney failure patients on dialysis may experience sexual problems, warn researchers.

Additional studies are needed to understand how sexual dysfunction affects dialysis patients' quality of life and psychological wellbeing.

Patients on dialysis can experience symptoms-such as pain, depression, impaired sleep, and fatigue-that affect their quality of life. Sexual dysfunction may also be a problem for many.

While there is increasing awareness of erectile dysfunction in men on hemodialysis, the sexual health of female dialysis patients has been examined in only a few suboptimally designed studies.

To look at the issue more thoroughly, Giovanni Strippoli, MD, PhD (Diaverum AB and Consorzio Mario Negri Sud, in Italy) and his colleagues in the Collaborative Depression and Sexual Dysfunction in Hemodialysis Working Group examined the responses of 659 female dialysis patients in Europe and South America who completed a questionnaire called the Female Sexual Function Index.

The researchers' analysis represents the first large study to examine sexual function in female dialysis patients.

They found 84 percent of all women and 55 per cent of sexually active women in the study experienced sexual problems.

Women with a partner were less likely to report sexual dysfunction than those without a partner.

Sexual dysfunction occurred more often in women who were older, were less educated, had signs of depression, had reached menopause, had diabetes, and took diuretic therapy (which helps the body get rid of unneeded water and salt).

Nearly all of the women who were not on a waiting list for a transplant and who were living without a partner reported sexual dysfunction.

"With this study, we shed light on the highly frequent condition of female sexual dysfunction in women on dialysis; this deserves attention and further study, since specific interventions are not yet available to address it," said Dr. Strippoli.

"Clinicians should not overlook the importance of problems such sexual dysfunction in people who receive hemodialysis for renal replacement therapy," the researcher added.

The finding will appear in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN).

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Bay Area sax titan Dayna Stephens fights for his life - Vallejo Times-Herald
Several times a week, Dayna Stephens drives his van from his New Jersey apartment to New York City, navigating traffic on the George Washington Bridge -- and eyeing the dialysis bag hanging from a hook above his head: "People stare sometimes," he says. "It is what it is.

"I'd be dead in two weeks without dialysis."

At 33, the East Bay native already ranks among the best jazz saxophonists in the nation. But he's also on another list: He's one of approximately 90,000 Americans awaiting a new kidney.

Stephens added his name to the transplant list 2þÿ1/2 years ago and has undergone dialysis ever since, a worry as only about half of dialysis patients survive more than three years. Unbowed by this sword of Damocles, he keeps making albums (his new one is brightly titled "Today Is Tomorrow"), keeps gigging (this month in San Francisco and Berkeley) and keeps astonishing his friends (some of whom have launched an online fundraising campaign on his behalf).

"In October, Dayna played in my band at the Village Vanguard," says legendary pianist Kenny Barron, who has known Stephens since the mid-1990s. "He had just gotten out of the hospital -- and he was perfect, all week. I could not tell any difference. He was just Dayna: fiery, passionate and intelligent. I don't know how he does it."

The fundraising effort -- http://helpdaynastephens.org -- is to assist with Stephens' future medical expenses. Anti-rejection medications are likely to cost about $4,000 per month



if he receives a new kidney, and social workers have told him to expect a sharp reduction in his health plans' coverage at some point after a transplant. Already, finances are "rough," says Stephens, who like many musicians does not have private health insurance.

Stephens suffers from Focal Segmental Glomerulosclerosis, otherwise known as FSGS, a rare disease that shuts down the kidneys' ability to filter the body's fluids. About five times as common among African-Americans as the rest of the U.S. population, by some estimates, it causes swelling, weight gain and high blood pressure, and Stephens first was diagnosed when he was 19. Medication and diet kept the disease at bay for about a decade, until 2009, when doctors prescribed dialysis. At first, Stephens underwent hemodialysis at clinics, hooked up to blood-cleansing machines for hours, several days a week. It left him exhausted; playing music became difficult, an unacceptable

situation.

So he switched to peritoneal dialysis, a self-administered form: "I wake up hooked to the machine," he says, describing the minutiae of his days. "And I usually have about one more cycle to go, another hour or so. Then if I've got a rehearsal or a gig, I'll make some food and roll to the city with my bag for the day; doing the dialysis in the car is sort of like killing two birds with one stone."

The first year of dialysis was "really tough, psychologically," says Stephens, whose blood type is B positive. "And there are definitely times when I get fed up, because it's a monotonous and time-consuming process. But I've learned to preoccupy my mind; I'm a talk-radio junkie. And honestly, I'm a thousand times happier than I was. I accept what I have to do in order to be alive. There are a lot more people on the transplant list who die without getting a kidney. So I really am happy to be here and to be able to do what I want to do, to play music."

Bay Area connections

Stephens grew up all over the East Bay: Richmond, Dublin, Alameda, Rodeo and Oakland, at times with both parents, at times with his father alone, at times with his grandmother. His grandfather Elbert Bullock played the tenor saxophone. But it was Dayna's dad, Rodney Stephens, who got him into music: "He would make these mix tapes, from Benny Goodman to Luther Vandross and Count Basie, all on

one tape."

In 1991, when he was 12, he picked up the tenor sax for the first time, renting one from Wells Middle School in Dublin: "That's when it really hit, smashed me in the face, the music. I'll never forget the first day, bringing the instrument home from school and just holding it. I remember walking home and a car driving by and feeling the horn actually vibrating through the case."

One saxophone teacher, Dann Zinn, urged him to treat daily practice sessions as if he were an athlete training for the Olympics. Stephens did that, while taking advantage of jazz programs at UC Berkeley, the Golden Gate Library in Oakland and the Stanford Jazz Workshop, where he studied with pianist Barron. At Berkeley High School, he played in the school's big band -- great players like saxophonist Joshua Redman had preceded him in it -- and by the time of his 1997 graduation, he was starting to gig professionally, with the likes of pianist Ed Kelly and trumpeter Khalil Shaheed, local legends.

A bright future

He won a full scholarship to the Berklee College of Music in Boston, where he arrived in 1998, literally stepping off the plane to receive a phone call: "My mom said, 'You've got to see a nephrologist, immediately.' " Lab tests had shown excessive levels of protein in his urine, and Stephens, who felt fine, found himself alone in a Boston hospital, where a kidney biopsy diagnosed FSGS.

Stephens excelled during his four years at Berklee, but life changed. He had bouts of depression. He juggled medications. He went vegan and continued his music studies at the Thelonious Monk Institute, the nation's most exclusive jazz graduate studies program, then based in Boston. There he studied with his heroes: Barron, trumpeter Terence Blanchard, saxophonist Wayne Shorter and pianist Herbie Hancock, who went on the road with Stephens and others in the program.

He even performed with Stevie Wonder and Carlos Santana. Feeling strong in the spring of 2009, he took daily miles-long bicycle rides with friends, but around this time, suddenly, his energy level began "dropping like a rock," he says. "I didn't know what was happening, and I was a real mess, just getting winded walking up a few stairs. I remember teaching and having these terrible cramps; I mean, name a muscle."

In need of a kidney

He began dialysis and got on the wait lists for a new kidney in California and New Jersey. He may wait years more, he knows. He deals with nausea and struggles with sleep but continues to gig; he even flew in February to Alaska with his dialysis gear, to perform at a jazz festival there. It was "awesome," he says, and he feels his playing has grown more considered, more mature.

"He's superman, plain and simple," says pianist Taylor Eigsti, among the top players in New York and one of Stephens' best friends since they met as kids in the Bay Area.

"He just loves music so much; he would go to the ends of the Earth to play music," Eigsti says. "He's not deterred by anything, dragging those dialysis bags to Alaska. I can't imagine going through all that stuff. But he doesn't wear that stuff on his sleeve. He wears his positivity on his sleeve. That's Dayna; there's a strength within his quiet that just draws people in. It's captivating, what

Dayna does."

If you go

What: Dayna Stephens Quartet

Where: Red Poppy Art House, 2698 Folsom St., San Francisco

When: 8 p.m. April 12

Tickets: $12 to $15 (at door); details at www.redpoppyarthouse.org

Also: The Jeff Denson/Joshua White Project, featuring Dayna Stephens, 8 p.m. Thursday, Porto Franco, 953 Valencia St., San Francisco, $20 (at door); and 8 p.m. Friday, Jazzschool, 2087 Addison St., Berkeley, $15, $12 students and seniors, www.jazzschool.com

Info: daynastephenssound.com

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Spontaneously ruptured renal cell carcinoma during hemodialysis in two ... - UroToday

Spontaneously ruptured renal cell carcinoma during hemodialysis in two ...
UroToday
Spontaneously ruptured renal cell carcinoma (RCC) in end-stage kidney disease is very rare. Preoperative diagnosis is difficult because of the relatively small tumor size, associated hematoma, and surrounding acquired cysts.

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Poor mental health can lead to heart problems and death in dialysis patients - News-Medical.net

Dialysis patients whose mental health deteriorates over time have an increased risk of developing heart problems and dying prematurely, according to a study appearing in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN). Additional research should investigate whether caring for kidney disease patients' mental health may help prevent heart complications and even death.

Research indicates that poor mental health can affect heart health. Because heart disease is the leading cause of death in kidney disease patients, Ea Wha Kang, MD, PhD (Ilsan Hospital, in Gyeonggi-do, Korea), Mark Unruh, MD (University of Pittsburgh Medical Center) and their colleagues looked to see how changes in dialysis patients' mental health relate to their heart health and longevity.

The study included 1,846 dialysis patients who were enrolled in a clinical trial called the Hemodialysis Study. The investigators assessed patients' mental health at the start of the study and each year for three years through surveys and questionnaires.

Patients who had lower mental health scores over time tended to die or be hospitalized for heart problems sooner than patients with steady or rising scores. Specifically, their survival time decreased by 5.8% and their time to first hospitalization due to heart problems decreased by 7.6%.

"Our results emphasize the link between mind and body in patients with chronic illness and underscore the importance of attention to mental health for preventing cardiac complications and even death in dialysis patients," said Dr. Kang.

Source: Clinical Journal of the American Society Nephrology

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