Abstracts for the 17th IPNA Congress, Iguacu, Brazil, September 2016
Abstracts for the 17th IPNA Congress, Iguacu, Brazil, September 2016s for the 17th IPNA Congress, Iguacu, Brazil, September 2016 Poster Presentations 01General Nephrology, including infections PO 001 The Issue with Chronic Kidney Disease (CKD) Terminology Narrative Review S. Muhammad, S. Hussain (1) The Renal Patient Support Group (RPSG) Bristol, United Kingdom; (2) London South Bank University (LSBU) London, United Kingdom a. Objectives Background: Chronic Kidney Disease (CKD) is classified as a Long Term Condition (LTC) where reduced renal function is evident; and/ or damaged kidneys are unable to/ cannot filter blood as per normal physiology. The main causations are of cardiovascular and morbidity. Aim: To highlight contentions and provide a narrative review on terminology issues relating to the classification and identification of CKD and stages of disease. b. Methods Epidemiology: The prevalence of CKD has risen fundamentally; there are several determinants that need to be tackled particularly those carrying risk factors of Type II Diabetes, Hypertension and Obesity. CKD Classification Proposals: Earlier detection would prolong the CKD stage and therefore intervention made at an earlier stage would deliberate the progression of CKD. c. Results Ongoing Contentions: Terminology to date is interchangeable, causing confusion when providing patients advice and care, especially newly diagnosed. CKD stage 3 has two sub divisions. Having potentially 5 stages of CKD can somewhat confuse newly diagnosed patients because there is not always a 'natural' consensus amongst health professionals and coding. Terms used such as AKI, ESRD and ARF are just a few mentioned in this paper, all can be somewhat confusing with respect to stage and classification. d. Conclusions Scientists who have knowledge of clinical parameters and specialist understanding should also be involved in future discussions. There needs to be more leadership and management integrating perspectives. There is still a need to for patients to know their stage and these need to be accompanied by use of appropriate terminology, (e.g. Stage 1: Community andAwareness, Stage 2: PreScreening and Health Check, Stage 3: AKI and Monitoring, Stage 4: ADCKD and Stage 5: ESRD Stage 6: RRT preparation, and Transplant Options) PO 002 Can Social Media (SM) Reduce Discrimination and Ignorance Towards Patients with Long Term Conditions (LTCs) A Chronic Kidney Disease (CKD) Example in the UK and More Widely S.Muhammad, A. Camilleri Zahra, H. Leicester, H. Davis, S. Davis (1) The Renal Patient Support Group (RPSG) Bristol, United Kingdom; (2) National Commission Persons with Disabilities (NCPD) Malta, Malta, United Kingdom; (3) Health Informatics and Data Accessibility, One Voice Coalition for Accessible Information Communication Technology (ICT) London, United Kingdom; (4) The Kidney Disease and Renal Support (KDARS) Group for Young People with Chronic Kidney Disease (CKD) Cleethorpes, United Kingdom a. Objectives Introduction: Long Term Conditions (LTC) are increasing in prevalence and cost in Western healthcare. Patients with such conditions are often classed as "disabled" because of impacts of self care on "activities of daily life" or secondary consequences of conditions (impairments) affecting factors such as mobility, concentration and communications. Disability needs are often ignored in the design of services and treatment of individuals. It manifests as services which some find difficult to use and lack of personal respect (discrimination) often based on lack of understanding by the healthcare profession itself (ignorance) b. Methods Discrimination in the UK is more explicitly defined as distinguishing differences between treating someone as inferior based on their race, sex, health background, national origin, age or other characteristics (Sayce 2010) The importance of discrimination has been transparent for years in terms of the personal experiences of service users, having devastating effects on personal relationships, parenting and childcare, education, training, work and housing (Thornicroft, 2006) c. Results One way of improving the awareness of discrimination and ignorance for a disability or LTC for employers, service users/ providers, policy makers and health professionals is pointing them to information and resources where they can gain real experiences and understanding. Support mechanisms now emerging may go well beyond healthcare, and even beyond kidney problems. d. Conclusions Long Term Conditions are growing in prevalence and cost. Failure of healthcare systems to address these challenges is attributed, in significant ways, to the discrimination and ignorance of professionals and systems themselves, based on the stigma of consequential disability. Two examples, from CKD, have shown early evidence of genuine benefit for patients and families through the SM/ Facebook. PO 003 Comparingbetweenresults andcomplicationsofdoingvoidingcystourethrogram (VCUG) in the first week fallowing urinary tract infection and in 2 6 weeks after urinary tract infection in children referring to a teaching hospital P. Yosefichaijan, A. Pakniyat, F. Dorreh, Shahsavari Arak University of Medical Sciences, Arak, Iran a. Objectives Urinary tract infection is the most common genitourinary disease in children so about 40% of the children with urinary tract infection suffering from reflux that caused some consequences such as pyelonephritis and kidney parenchymal injury. This research was conducted to compare the timing of voiding cystourethrogram(VCUG) in children with urinary tract infection in first week and after the first week of urinary tract infection. DOI 10.1007/s00467 016 3467 5 Pediatr Nephrol (2016) 31:1765 1983
Pediatric Nephrology