BackgroundPruritus is a distressing, life-limiting symptom in chronic renal failure, affecting 40% of patients. This study aimed to determine uremic pruritus prevalence and investigate the multidimensional impact on hemodialysis patients.MethodsThis descriptive study was performed between March and June 2016. The study included 181 patients undergoing hemodialysis session, who reported pruritus in the prior month. Data were collected using the 5-D Itch Scale, which assesses pruritus based on 5 dimensions, i.e., degree, duration, direction, disability, and distribution, with a total score ranging from 5 (no itching) to 25 (maximum severity).ResultsPruritus prevalence was 49.3%. Patients had a mean score of 13.97 ± 4.11 (moderate severity). The daily duration was 6–12 h (40.3%), with direction “a little bit better but still present” (38.7%) and distribution on the “back, upper arms, chest, and abdomen.” Patients sleep, social life/leisure time, housework and errand were impacted “occasionally”. The score was higher in patients aged ≥65 years, those on hemodialysis for ≥15 or more years, and those undergoing afternoon hemodialysis. The duration of itching was significantly shorter in employed patients.ConclusionAssessment and management of itching symptoms in chronic renal failure are a clinical priority both for patients and for health care professionals. The results of this study highlight the importance of multidimensional assessment and support the need for development of standardized and patient-specific symptom management.

Introduction:We performed a meta-analysis to evaluate the effect of the nonpharmacologic interventions on muscle related symptoms including cramping and restless leg syndrome in hemodialysis patients.Methods: Articles published between 2002 and 2022 were searched in six databases. The standardized mean differences were determined by the upper and lower limits of 95% confidence intervals. Publication bias was assessed by conducting the Egger test and examined visually using a funnel plot. Results: Fourteen studies were included in this meta-analysis. The types of interventions included exercise (n = 5), aromatherapy (n = 5), reflexology (n = 3), massage (n = 1), and acupressure (n = 1). The methodological quality assessment revealed 13 studies were strong quality, while only one study was moderate quality. The Egger test indicated no significant publication biases. Conclusion: Healthcare professionals can use non-pharmacological methods to manage muscle-related symptoms because of not only beneficial effects but also it is practical, well-tolerated, easy integrated into the treatment and care.

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World is changing and global warming is the most important changer. Food production and transportion affect to environment and climate change. Sustainable nutrition principles can be practise more sufficiently. Sufficient nutrition for the world population needs special effort without harming the environment and destroying natural resources. Food waste is the other problem for sustainable nutrition in addition to sustainable production systems. Sustainable agriculture studies showed that the methods applied today do not use natural resources efficiently, they have negative effects on the environment. Sustainable diets such as the Mediterranean Diet and the New Nordic Diet benefit global health and the environment through their ingredients and the way food is produced.

Objective: The current study aims to perform a retrospective analysis of fall events in a tertiarycare hospital and identify the related risk factors. Material and Methods:The research was conducted in 1160-bed-capacity tertiary-care hospital located in Ankara from June 2016-June 2017. The sample comprised 241 patient falls among 1009 fall events in the facility between 2006-2016. Data were retrospectively collected with patient preassessment forms, daily nursing documentation forms, and daily medication order protocols. Mean-standard deviation for continuous variables, frequency distribution for categorical variables, and the chi-square analysis for the correlation between two categorical variables are used.Results: Of patients with files investigated, 42.7% were aged from 18-65 years, and 59.3% were male, 74.1% had a chronic disease, 40.3% could complete daily-life activities independently, and 32% were using medication which increased fall risk. Fall events 29.5% occurred in the pediatric clinics, 29.5% in surgery, and 28.2% in internal medicine clinics, 35.2% occurred during the night shift, and 33% occurred within the first three days of admission. Additionally, 35.7% of the fall events happened due to not taking appropriate safety precautions, 20.2% not using the nurse call buttons, 64.7% were in the patient's room, and syncope (32.6%). Conclusion:It was revealed that the riskiest interval for patient falls is the first three days of admission and the night shift. While evaluating fall risk, sociodemographic, medical, environmental, and fall-related independent variables should be considered together. It is recommended that fall risk assessment tools be revised by reviewing patients' specific care needs and clinical conditions.