106 research outputs found
From dynamical scaling to local scale-invariance: a tutorial
Dynamical scaling arises naturally in various many-body systems far from
equilibrium. After a short historical overview, the elements of possible
extensions of dynamical scaling to a local scale-invariance will be introduced.
Schr\"odinger-invariance, the most simple example of local scale-invariance,
will be introduced as a dynamical symmetry in the Edwards-Wilkinson
universality class of interface growth. The Lie algebra construction, its
representations and the Bargman superselection rules will be combined with
non-equilibrium Janssen-de Dominicis field-theory to produce explicit
predictions for responses and correlators, which can be compared to the results
of explicit model studies.
At the next level, the study of non-stationary states requires to go over,
from Schr\"odinger-invariance, to ageing-invariance. The ageing algebra admits
new representations, which acts as dynamical symmetries on more general
equations, and imply that each non-equilibrium scaling operator is
characterised by two distinct, independent scaling dimensions. Tests of
ageing-invariance are described, in the Glauber-Ising and spherical models of a
phase-ordering ferromagnet and the Arcetri model of interface growth.Comment: 1+ 23 pages, 2 figures, final for
Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference
Globally, the number of patients undergoing maintenance dialysis is increasing, yet throughout the world there is significant variability in the practice of initiating dialysis. Factors such as availability of resources, reasons for starting dialysis, timing of dialysis initiation, patient education and preparedness, dialysis modality and access, as well as varied \u201ccountry-specific\u201d factors significantly affect patient experiences and outcomes. As the burden of end-stage kidney disease (ESKD) has increased globally, there has also been a growing recognition of the importance of patient involvement in determining the goals of care and decisions regarding treatment. In January 2018, KDIGO (Kidney Disease: Improving Global Outcomes) convened a Controversies Conference focused on dialysis initiation, including modality choice, access, and prescription. Here we present a summary of the conference discussions, including identified knowledge gaps, areas of controversy, and priorities for research. A major novel theme represented during the conference was the need to move away from a \u201cone-size-fits-all\u201d approach to dialysis and provide more individualized care that incorporates patient goals and preferences while still maintaining best practices for quality and safety. Identifying and including patient-centered goals that can be validated as quality indicators in the context of diverse health care systems to achieve equity of outcomes will require alignment of goals and incentives between patients, providers, regulators, and payers that will vary across health care jurisdictions
Home dialysis: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) controversies conference
Home dialysis modalities (home hemodialysis [HD] and peritoneal dialysis [PD]) are associated with greater patient autonomy and treatment satisfaction compared with in-center modalities, yet the level of home-dialysis use worldwide is low. Reasons for limited utilization are context-dependent, informed by local resources, dialysis costs, access to healthcare, health system policies, provider bias or preferences, cultural beliefs, individual lifestyle concerns, potential care-partner time, and financial burdens. In May 2021, KDIGO (Kidney Disease: Improving Global Outcomes) convened a controversies conference on home dialysis, focusing on how modality choice and distribution are determined and strategies to expand home-dialysis use. Participants recognized that expanding use of home dialysis within a given health system requires alignment of policy, fiscal resources, organizational structure, provider incentives, and accountability. Clinical outcomes across all dialysis modalities are largely similar, but for specific clinical measures, one modality may have advantages over another. Therefore, choice among available modalities is preference-sensitive, with consideration of quality of life, life goals, clinical characteristics, family or care-partner support, and living environment. Ideally, individuals, their care-partners, and their healthcare teams will employ shared decision-making in assessing initial and subsequent kidney failure treatment options. To meet this goal, iterative, high-quality education and support for healthcare professionals, patients, and care-partners are priorities. Everyone who faces dialysis should have access to home therapy. Facilitating universal access to home dialysis and expanding utilization requires alignment of policy considerations and resources at the dialysis-center level, with clear leadership from informed and motivated clinical teams
Inguinal Abscess in a Capd Patient Secondary to Inguinal Hernia and Repeated Episodes of Peritonitis: A Case Report
Computer Simulations of Continuous Flow Peritoneal Dialysis Using the 3-Pore Model—A First Experience
Intra Peritoneal Use of Recombinant Human Erythropoietin for the Treatment of Anemia in Intermittent Peritoneal Dialysis
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