Oscar R. Reyes II
United Candelaria Doctors Hospital, Philippines
Title: Effects of Arterial Needle Placement in Arteriovenous Fistula on Dialysis Adequacy of End-Stage Renal Disease Patients Undergoing Maintenance Hemodialysis
Submitted Date: 2016-07-03
Biography
Oscar R. Reyes II has completed his Master of Science in Nursing at the age of 26 years from Sacred Heart College. He graduated Magna Cum Laude and awarded as Best in Graduate Student Research. He is the Nursing Care Coordinator of United Candelaria Doctors Hospital – Nephro Synergies Inc. Hemodialysis Center.
Abstract
The arterial needle placement in arteriovenous fistula (AVF) can either be antegrade (in the direction of blood flow or pointing towards the heart) or retrograde (against the direction of blood flow) while venous needle placement should always be in the same direction as the blood flow. This study determined the effects of arterial needle placement in the arteriovenous fistula on dialysis adequacy of End Stage Renal Disease patients undergoing maintenance hemodialysis in United Candelaria Doctors Hospital - Nephro Synergies Inc. Hemodialysis Center.rnA randomized controlled trial design was used in the study. A total of 20 non-diabetic, non-cardiac patients on maintenance hemodialysis for more than 6 months were randomized either to the intervention group (patients’ AVF were cannulated in a retrograde manner) or the control group (patients’ AVF were cannulated in an antegrade manner). Urea reduction ratio (URR) and Kt/V as well as access recirculation percentage were used to determine dialysis adequacy. Pre-dialysis, in the first 30 minutes of dialysis initiation and post-dialysis samples were obtained in each patient in 6 succeeding hemodialysis considering dialyzer reuse up to fifth reuse.rnThe findings of the study revealed that the mean URR and Kt/V of subjects cannulated in retrograde manner and antegrade manner were 69.35% and 1.45, and 74.65% and 1.70, respectively. The mean access recirculation percentage of the subjects was 4.65% in the intervention group and 3.02% in the control group. Antegrade arterial needle placement provides more adequate hemodialysis than retrograde arterial needle placement in terms of URR and Kt/V among non-diabetic, non-cardiac patients undergoing maintenance hemodialysis in 6 succeeding hemodialysis sessions. The directions of the arterial needle either retrograde and antegrade did not have significant effects on access recirculation.rn
Noemà Cuartero Monteagudo
University of Valencia, Spain
Title: Anxiety and stress coping mechanism. The mediating role of emotional intelligence.
Submitted Date: 2016-07-27
Biography
Noemà Cuartero Monteagudo currently is PhD student. She works at the Catholic University of Valencia such us nursing professor. She has tutored several students’ works at the university and has participated in other international nursing congress. Ana Tur-Porcar is currently an Associate Professor at the University of Valencia, Spain. She holds a PhD from University of Valencia. Her research is focused on emotional and cognitive processes related to protective and vulnerability personal factors in childhood, adolescence and adults. Due to this investigation, she has published more than 50 articles in both national and international journals, most of them indexed in JCR such as Personality and Individual Differences; Journal of Cross-cultural Psychology; Journal of adolescence; European Journal of Developmental Psychology, Furthermore, she as presented more than 100 presentations in national and international conferences. Julio Fernández Garrido (RN, MsN, PhD), is the Dean of the Faculty of Nursing and Podriatrics of the University of Valencia, and the President of the National Conference of Deans in Spain. After his clinical activity period (since 1988 until 2006) starts his university of Valencia docent and research activity. He put the research focus in the biomarkers for the frailty people, and the quality of life for the population.
Abstract
The present study is focused on the concept of coping approach as a mechanism for solving problems (Compass et al., 2001, Carlo et al., 2012). This coping mechanism has been identified as productive solving problems generated by stress (Hooberman et al., 2010) in opposition to the coping strategies based on avoidance based on emotion (Campbell-Sills et al., 2006, Roberts et al., 2012). In this work we analyze relationships between anxiety, emotional intelligence and coping mechanism facing stressing situations. We also show the mediating role of emotional intelligence between anxiety and coping mechanism. The variables here analyzed in this work are Anxiety, Emotional Intelligence, and Coping which have been registered from standardized tests completed by the population used as sample in this study. This study population composed by 434 students of the Nursing Degree from Valencia (Spain) is composed by age ranges of 17-54 years (M=21; SD=.320), 76% women y 24% men. The 71.7% of them are single, 23.3% with couple, 3.7% married y 1.3% divorced. Social class level: 25% high class, 16.6% middle-high, 36.2% middle-class, y 22.2% middle-low class. The variables here analyzed are evaluated with a structural equation model. The explicative model confirms the direct relationships of Trait Anxiety with Emotional Intelligence, as well as positive relation with Coping Approach and negative ones with Coping Avoidant. Discussion at this work focuses on the prediction of coping mechanisms related to the interaction of anxiety and emotional intelligence.