Background. Hospitalization consumes a significant portion of the end-stage renal disease (ESRD) ... more Background. Hospitalization consumes a significant portion of the end-stage renal disease (ESRD) program, which includes kidney transplant recipients. Identification of kidney transplant recipients at risk of increased resource utilization could lead to appropriate interventions to attenuate the complications related to kidney transplant, which may reduce resource utilization.
Cardiovascular disease is a leading cause of death among kidney transplant recipients. Anemia, a ... more Cardiovascular disease is a leading cause of death among kidney transplant recipients. Anemia, a risk factor for cardiovascular complications among patients with chronic kidney disease, has not been well characterized in kidney transplant recipients. We performed a retrospective cohort study of the prevalence of and factors associated with anemia among 240 patients who underwent kidney transplantation at our institution. The mean hematocrit (Hct) rose from 33% at 1 month after transplantation to 40% at 12 months after transplantation. The proportion of patients with Hct < 36% was 76% at transplantation and 21% and 36%, 1 year and 4 years after transplantation, respectively. Six months after transplantation, women had higher likelihood (OR = = 3.61) of Hct < 36%, while higher Hct at 3 months (OR = = 0.67 for 1% higher Hct) and diabetes (OR = = 0.14) were associated with a lower likelihood of Hct < 36%. Similar associations were seen 12 months after transplantation. Even among patients with Hct < 30%, only 36% had iron studies, 46% received iron supplementation and 40% received recombinant human erythropoietin. Awareness of factors associated with a lower Hct may prompt better anemia screening and management, potentially improving cardiovascular outcomes among kidney transplant recipients.
This paper argues that psychoanalysts must revisit Oedipus Rex to extract its deeper lessons. Alt... more This paper argues that psychoanalysts must revisit Oedipus Rex to extract its deeper lessons. Although Oedipus does demonstrate genuinely oedipal desires, his tragedy stems not so much from them as from a narcissistic rage over his original mutilation and abandonment by his parents. But Oedipus is not only the object of our analysis; he is a prototype of the psychoanalyst, as Freud himself recognized. Sophocles thus appears to diagnose the dangers of psychoanalysis. Whatever hope exists in the midst of these dangers is then inferred from his prophetic sequel, Oedipus at Colonus.
Background. Hospitalization consumes a significant portion of the end-stage renal disease (ESRD) ... more Background. Hospitalization consumes a significant portion of the end-stage renal disease (ESRD) program, which includes kidney transplant recipients. Identification of kidney transplant recipients at risk of increased resource utilization could lead to appropriate interventions to attenuate the complications related to kidney transplant, which may reduce resource utilization.
Cardiovascular disease is a leading cause of death among kidney transplant recipients. Anemia, a ... more Cardiovascular disease is a leading cause of death among kidney transplant recipients. Anemia, a risk factor for cardiovascular complications among patients with chronic kidney disease, has not been well characterized in kidney transplant recipients. We performed a retrospective cohort study of the prevalence of and factors associated with anemia among 240 patients who underwent kidney transplantation at our institution. The mean hematocrit (Hct) rose from 33% at 1 month after transplantation to 40% at 12 months after transplantation. The proportion of patients with Hct < 36% was 76% at transplantation and 21% and 36%, 1 year and 4 years after transplantation, respectively. Six months after transplantation, women had higher likelihood (OR = = 3.61) of Hct < 36%, while higher Hct at 3 months (OR = = 0.67 for 1% higher Hct) and diabetes (OR = = 0.14) were associated with a lower likelihood of Hct < 36%. Similar associations were seen 12 months after transplantation. Even among patients with Hct < 30%, only 36% had iron studies, 46% received iron supplementation and 40% received recombinant human erythropoietin. Awareness of factors associated with a lower Hct may prompt better anemia screening and management, potentially improving cardiovascular outcomes among kidney transplant recipients.
This paper argues that psychoanalysts must revisit Oedipus Rex to extract its deeper lessons. Alt... more This paper argues that psychoanalysts must revisit Oedipus Rex to extract its deeper lessons. Although Oedipus does demonstrate genuinely oedipal desires, his tragedy stems not so much from them as from a narcissistic rage over his original mutilation and abandonment by his parents. But Oedipus is not only the object of our analysis; he is a prototype of the psychoanalyst, as Freud himself recognized. Sophocles thus appears to diagnose the dangers of psychoanalysis. Whatever hope exists in the midst of these dangers is then inferred from his prophetic sequel, Oedipus at Colonus.
Uploads
Papers by Samina Khan