Impression Management during Evaluation and Psychological Reactions Post-donation of Living Kidney Donors

Many healthcare providers have been concerned about the extent to which potential kidney donors use impression management or concealment of important information regarding their medical history, current functioning, or other circumstances that could affect whether they are accepted as donors. To date, however, there has been very little empirical examination of these questions. It is also not known whether donors\u27 use of impression management pre-donation is related to their reactions and adjustment post-donation. Methods This study surveyed 76 individuals who had donated a kidney one to six yr previously regarding their use of impression management and their concealing of information during their psychological evaluations. They were also asked about their reactions to the donation and whether they would make the same decision again. In addition, 21 of these donors participated in focus groups that explored these questions in depth. Results Many of the kidney donors reported that they possessed very strong motivation to donate and consequently used impression management in their interactions with medical professionals pre-donation. Very few donors, however, indicated that they concealed information during their pre-donation evaluations. The donors\u27 psychological reactions post-donation were generally positive, and nearly all indicated that they would make the same decision again

Averting the legacy of kidney disease: focus on childhood

World Kidney Day 2016 focuses on kidney disease in childhood and the antecedents of adult kidney disease that can begin in earliest childhood. Chronic kidney disease (CKD) in childhood differs from that in adults, as the largest diagnostic group among children includes congenital anomalies and inherited disorders, with glomerulopathies and kidney disease in the setting of diabetes being relatively uncommon. In addition, many children with acute kidney injury will ultimately develop sequelae that may lead to hypertension and CKD in later childhood or in adult life. Children born early or who are small-for date newborns have relatively increased risk for the development of CKD later in life. Persons with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Successful therapy is feasible for advanced CKD in childhood; there is evidence that children fare better than adults, if they receive kidney replacement therapy including dialysis and transplantation, while only a minority of children may require this ultimate intervention Because there are disparities in access to care, effort is needed so that those children with kidney disease, wherever they live, may be treated effectively, irrespective of their geographic or economic circumstances. Our hope is that World Kidney Day will inform the general public, policy makers and caregivers about the needs and possibilities surrounding kidney disease in childhood

Pancreatitis

The subject of my lecture requires better definition: I shall talk about pancreatitis and, chiefly, about the diagnosis of the recurrent variety of pancreatitis. How can we recognize the pain of this disease? This pain does tend to be in the upper abdomen, more often on the left than the right, and radiates to the back in about a quarter of the cases. It has, however, no characteristic quality, and the degree of the pain may range from the relatively painless to the excruciating. Most often, its severity is between these two extremes

(Les) écrivains principaux d'aujourd'hui et leurs prédecésseurs du dixneuvième siècle: une comparaison ..

Typewritten sheets in cover. Thesis (M.A.)--Boston University "Liste bibliographique": p. 82-85