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Urine Microscopy in Acute Kidney Injury: Time for a Change

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This article is published in American Journal of Kidney Diseases.The article was published on 2011-05-01. It has received 10 citations till now. The article focuses on the topics: Acute kidney injury.

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Risk of Poor Outcomes with Novel and Traditional Biomarkers at Clinical AKI Diagnosis

TL;DR: On the first day of AKI, urine protein biomarkers and microscopy significantly improve upon clinical determination of prognosis, indicating their potential utility in current practice.
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AKI!Now Initiative: Recommendations for Awareness, Recognition, and Management of AKI.

TL;DR: Current efforts to improve early recognition and management involving inclusive interdisciplinary collaboration between providers, patients, and their families are described; the ongoing need to change some of the current AKI paradigms and diagnostic methods are discussed; and specific recommendations to improve AKI recognition and care are provided.
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Urinalysis and pre-renal acute kidney injury: time to move on

TL;DR: It is suggested that AKI (like all other forms of organ injury) is a continuum of injury that cannot be neatly divided into functional (pre-renal or transient) or structural (acute tubular necrosis or persistent).
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Enhancing the Detection of Dysmorphic Red Blood Cells and Renal Tubular Epithelial Cells with a Modified Urinalysis Protocol.

TL;DR: A modified urinalysis protocol with an increased relative centrifuge force and concentration factor in 20 biopsy-confirmed glomerulonephritis patients with haematuria improved the recovery ratio of dysmorphic RBCs in clinical specimens and significantly enhanced the quality of urinalsysis.
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Urinary red blood cells: not only glomerular or nonglomerular.

TL;DR: Cases reported in the literature in which such unusual urinary red blood cells have been found are described and the experience of the authors on this subject is described.
References
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Discovery of Urinary Biomarkers

TL;DR: Most large scale biomarker discovery studies reported thus far have used one of two approaches to identify proteins and peptides whose excretion in urine changes in specific disease states: 1) two-dimensional electrophoresis with mass spectrometric and/or immunochemical identification of proteins and 2) top-down mass spectrumetric methods (SELDI-TOF-MS and capillary electrophore-MS).
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Diagnostic value of urine microscopy for differential diagnosis of acute kidney injury in hospitalized patients.

TL;DR: Urine sediment examination is a valuable diagnostic tool for confirming the diagnosis of AtN and a score of > or =2 on an ATN urinary sediment scoring system is an extremely strong predictor of ATN.
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A Survey-Based Evaluation of Self-Perceived Competency after Nephrology Fellowship Training

TL;DR: Nephrology training programs are perceived as doing an excellent job training fellows in many areas and gaps in training should be addressed in fellowship training and post-training education.
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Urinary biochemistry and microscopy in septic acute renal failure: a systematic review.

TL;DR: The scientific basis for the use of urinary biochemistry, indices, and microscopy in patients with septic ARF is weak and more research is required to describe their accuracy, pattern, and time course in patients.