对于脏病患者的体力活动和炼计划:意大利对脏病中心的调查
Francesca Bulighin1,2, Filippo Aucella3, Vincenzo Bellizzi4
1Department of Medicine, University of Verona, 37129, Verona, VR, Italy.
Journal of nephrology
|March 6, 2024
概括
意大利脏病中心缺乏炼计划,尽管人们意识到慢性病患者的益处. 在那里,在那里,在那里,在那里.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 有限的数据存在于炼活动和意大利脏病学服务的兴趣.
- 进行了一项横截面研究,以评估意大利脏病中心体育活动和炼计划的现状.
- 此外,还审查了有关脏病运动的研究重点.
研究的目的:
- 调查意大利脏病中心体育活动和炼计划的可用性和实施情况.
- 了解科医生对慢性病患者的运动咨询和处方的态度.
- 确定阻碍实践计划实施的障碍,并探索该领域的研究优先事项.
主要方法:
- 开发了一份14项电子调查,并分发给意大利的科中心.
- 该调查包括有关运动训练,身体评估,障碍,咨询实践,感知益处和研究优先事项的问题.
- 此外,还收集了有关中心特征的数据.
主要成果:
- 收集了62个回复,显示93%的中心承认运动对CKD患者的好处.
- 尽管75%的科医生认为他们应该就体育活动提供咨询,但只有26%的中心提供炼计划,主要是针对透析患者.
- 89%的人报告了资金和机构不感兴趣等障碍,同时提出了46项研究优先事项,重点关注心血管,营养和心理社会结果.
结论:
- 意大利脏病中心显示,在临床实践中,炼计划和体育活动评估的可用性有限.
- 咨询CKD患者和实施炼干预措施存在很大的兴趣.
- 解决障碍对于将运动纳入常规脏病治疗中至关重要.
相关概念视频
01:11Renal Failure: Dose Adjustments
88
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
88
01:29Renal Regulation of Acid-Base Balance
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Metabolic reactions in the body produce nonvolatile acids, such as sulfuric acid, which generate an acid load of approximately 1 mEq of H+ per kilogram of body weight daily. Excreting H+ in the urine is essential to balance this acid load.
In the kidneys, cells within the proximal convoluted tubules (PCT) and the collecting ducts secrete hydrogen ions (H+) into the tubular fluid. Specifically, in the PCT, Na+/H+ antiporters secrete H+ while reabsorbing Na+.
However, the intercalated cells in...
In the kidneys, cells within the proximal convoluted tubules (PCT) and the collecting ducts secrete hydrogen ions (H+) into the tubular fluid. Specifically, in the PCT, Na+/H+ antiporters secrete H+ while reabsorbing Na+.
However, the intercalated cells in...
433
01:27Dialysis
309
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
309
01:15Renal Drug Excretion: Overview
157
As primary excretory organs, the kidneys maintain homeostasis by removing waste substances from the bloodstream. They comprise over a million units called nephrons, which serve as the kidney's functional units.
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
157
01:25Renal Drug Excretion: Tubular Reabsorption
171
Tubular reabsorption, a process occurring post-glomerular filtration of drugs in the renal tubule, is a critical determinant of drug half-life. During the process of renal excretion, as the glomerular filtrate progresses to the distal convoluted tubule (DCT), drugs that are highly permeable, lipophilic, and nonionized undergo passive reabsorption from the tubular fluid into the surrounding peritubular capillaries. This reabsorption process restricts their elimination through the kidneys. This...
171
01:06Renal Drug Clearance: Overview
191
Renal clearance is a crucial parameter in pharmacokinetics that quantifies the rate at which the kidneys excrete a drug. It represents a constant fraction of the central volume of distribution containing the drug that the kidney eliminates per unit of time.
Renal clearance can be calculated using different methods. One approach is to divide the urinary drug excretion rate by the plasma drug concentration. This method directly measures renal clearance, indicating the kidneys' efficiency in...
Renal clearance can be calculated using different methods. One approach is to divide the urinary drug excretion rate by the plasma drug concentration. This method directly measures renal clearance, indicating the kidneys' efficiency in...
191