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001-es BibID:	BIBFORM077000
Első szerző:	Fülöp Tibor (kardiológus)
Cím:	Successful Practice Transitioning Between Hemodialysis and Hemodiafiltration in Outpatient Units : ten Key Issues for Physicians to Remember / Fülöp Tibor, Tapolyai Mihály B., Zsom Lajos, Molnar Miklos Z., Abdul Salim Sohail, Újhelyi László, Becs Gergely, Balla József, Hamrahian Mehrdad
Dátum:	2018
ISSN:	0160-564X
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Artificial Organs. - 42 : 9 (2018), p. 925-932. -
További szerzők:	Tapolyai Mihály (1968-) (nefrológus) Zsom Lajos (1968-) (belgyógyász, nefrológus) Molnár Miklós Abdul Salim, Sohail Újhelyi László (1956-) (belgyógyász) Becs Gergely Balla József (1959-) (belgyógyász, nephrológus) Hamrahian, S. Mehrdad (orvos)
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001-es BibID:	BIBFORM061608
Első szerző:	Fülöp Tibor (kardiológus)
Cím:	The safety and efficacy of bedside removal of tunneled hemodialysis catheters by nephrology trainees / Fülöp Tibor, Tapolyai Mihály, Qureshi, Naseem A., Beemidi, Vikram R., Gharaibeh, Kamel A., Hamrahian, S. Mehrdad, Szarvas, Tibor, Kovesdy, Csaba P., Csongrádi, Éva
Dátum:	2013
ISSN:	0886-022X
Megjegyzések:	BACKGROUND:Some nephrologists remove tunneled hemodialysis catheters (TDC) at the bedside, but this practice has never been formally studied. Our hypothesis was that bedside removal of TDC is a safe and effective procedure affording prompt removal, including in cases of suspected infection.METHODS:We reviewed our consecutive 3-year experience (2007-2009) with bedside TDC removal at the University of Mississippi Renal Fellowship Program. Data were collected on multiple patients and procedure-related variables, success and complication rates. Association between clinical characteristics and biomarkers of inflammation and myocardial damage was examined using correlation coefficients.RESULTS:Of 55 inpatient TDC removals (90.9% from internal jugular location), 50 (90.9%) were completed without hands-on assistance from faculty. Indications at the time of removal included bacteremia, fever or clinical sepsis with hemodynamic instability or respiratory failure. All procedures were successful, with no cuff retention noted; one patient experienced prolonged bleeding which was controlled with local pressure. Peak C-reactive protein (available in 63.6% of cohort) was 12.9???8.4?mg/dL (reference range: <0.49) and median troponin-I (34% available) was 0.534?ng/mL (IQR 0.03-0.9) (reference range: <0.034) and they did not correlate with each other. Abnormal troponin-I was associated with proven bacteremia (p?<?0.05) but not with systolic and diastolic BP or clinical sepsis.CONCLUSION:Our results suggest that bedside removal of TDC remains a safe and effective procedure regardless of site or indications. Accordingly, TDC removal should be an integral part of competent Nephrology training.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Renal Failure. - 35 : 9 (2013), p. 1264-1268, -
További szerzők:	Tapolyai Mihály (1968-) (nefrológus) Qureshi, Naseem A. Beemidi, Vikram R. (orvos) Gharaibeh, Kamel A. (orvos) Hamrahian, S. Mehrdad (orvos) Szarvas Tibor (matematikus informatikus) Kovesdy Csaba P. (orvos) Csongrádi Éva (1969-) (szakorvos)
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001-es BibID:	BIBFORM061593
Első szerző:	Hamrahian, S. Mehrdad (orvos)
Cím:	Symmetrical craniofacial hypertrophy in patients with tertiary hyperparathyroidism and high-dose cinacalcet exposure / Hamrahian, S. Mehrdad, Pitman, Karen T., Csongrádi Éva, Bain, Justin H., Kanyicska Béla, Fülöp Tibor
Dátum:	2012
ISSN:	1492-7535
Megjegyzések:	We are reporting on a series of two patients with end-stage renal disease on hemodialysis,presented for surgical parathyroidectomy secondary refractory hyperparathyroidism. Both patientshad failed maximized medical managements, including higher-than-usual doses of the calcimimeticcinacalcet (270 and 180 mg/day, respectively). On physical exam, both patients had markedsymmetrical craniofacial hypertrophy with coarse distortion of facial features, similar in appearanceto past reports of Sagliker syndrome. On X-ray and computed tomographic exam, they had peculiarareas of bone absorption on the skull, imitating the radiologic appearance of multiple myeloma.Bone biopsy of the maxilla, however, did not show the expected brown tumor, but rather describedonly fibrosis and reactive bone formations. This phenotype developed while being on cinacalcet,progressed despite escalation of therapy, and improved only after parathyroidectomy. Both patientsdeveloped massive "hungry bone syndrome" after parathyroidectomy necessitating prolonged IVcalcium infusion. This pattern of severe facial distortion likely represented an adverse consequenceof severe tertiary hyperparathyroidism, along with supraphysiologic dose of cinacalcet administrationand 25-hydroxy vitamin D deficiency in sensitive individuals. The genetic base of this observationremained unexplained.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Hemodialysis International 16 : 4 (2012), p. 571-576. -
További szerzők:	Pitman, Karen T. (orvos) Csongrádi Éva (1969-) (szakorvos) Bain, Justin H. (orvos) Kanyicska Béla (tudományos segédmunkatárs) Fülöp Tibor (1957-) (kardiológus)
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