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Moving the clinical, research and educational aspects of AKI forward

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Items marked with a * are required unless stated otherwise.

AKINet Registration Form

*Username:

*Password:

Name of Institution:

Are you an Industry Representative? Yes - No

Primary Information:

BA-BS  - DO  - D.Eng  - D.Sc  - MBBS  - MBChB  - MD  - MD-PhD
MedStudent  - MS  - MSW  - PhD  - RD  - RN  - None  - Other

*First Name:

*Last Name:

*Email Address:

Mailing Address:

Number Address:

Street Address:

*State

ZIP Code

*Country

Postal Code

Phone number

Fax number

Main hospital

Number of beds

Type of ICU

Number of beds

Society Membership (please check all that apply)

American College of Chest Physicians
American Society of Nephrology
American Society of Pediatric Nephrologists
American Thoracic Society
Asia Pacific Association of Critical Care Medicine,
Asian Pacific Society of Nephrology
Australian and New Zealand Intensive Care Society
Chinese Society of Nephrology
European Dialysis and Transplant Society
European Society of Intensive Care Medicine
Indian Society of Nephrology
International Pediatric Nephrology Association
International Society of Nephrology
National Kidney Foundation
Sociedade Latino-Americana de Nefrologia

Area of clinical interest (check all that apply)

Nephrology
Intensive Care
Cardiology

Anesthesiology
Other

Area of research interest (check all that apply)

Basic Science
Translational Science

Clinical trials
Epidemiology

How many patients do you have access to for clinical care with possible AKI?

< 50 per year
50-100 per year
> 100 per year

How many patients do you have access to for research purposes with possible AKI?

< 50 per year
50-100 per year
> 100 per year

Location of patients: (check all that apply)

Out patient settings
Hospital settings
Critical Care settings

If Critical Care setting: (check all that apply)

Intensive Care Units
Post-Operative surgical units
Cardiac care units

Do you have any of the following research related resources available to you:
(check all that apply)

Research Coordinators
Research Infrastructure - Ethics Preparation
Research Infrastructure - Methodologists

Research Infrastructure - Statisticians
Electronic Databases
High capacity freezers for sample storage
(-80 degrees C)

Your expertise: (check all that apply)

Clinical content
Methodology - Basic
Methodology - Clinical

Critical Appraisal
Uncertain

Availability/Willingness to participate in consultations/meetings:

Very available
Somewhat
Sometimes

Rarely
Not Available

Please check all that are yes.

Do you routinely perform urine analysis (including urine chemistries) when patients develop AKI?

Do you routinely obtain a renal ultrasound when you diagnose AKI?

Would you be able to obtain limited (one page) information on ALL patients admitted to your ICU during a 2 week period of your choosing (period must be consecutive)?

Would you be able to provide hospital follow up information on all AKI cases (dialysis requirements, LOS, survival)? And obtain overall LOS and survival information for patients (mean data) for all patients treated in your ICU?

Would you be able to obtain more detailed information (limited to 5 pages total) on the risk factors and etiology of AKI as well as its treatment?

Disclaimer

Please read and click "Submit" to complete your sign-up

The information at this server is provided with the understanding that the publisher, authors, and advisors are not rendering medical or professional services. Medicine is a rapidly changing area, and efforts have been made to provide information that is medically correct at the time of initial posting. However, there may be mistakes, both typographical and in content, and subsequent findings may invalidate what is posted on this site. In portions of this site, comments are made by persons identified as physicians or allied professionals. No attempt has been made to verify the medical credentials of persons contributing to discussions or talks. Typographical errors are common in slides, and one should not rely on drug dosages listed either in the slides, transcripts, or posted abstracts without first verifying them from manufacturer-supplied product information.

The material provided should be used only as a general guide and not the ultimate source of information and should not be used to make personal or professional decisions. The authors, advisors, and publisher shall have neither liability not responsibility to any person or entity with respect to any loss or damage alleged to be caused directly or indirectly by the information presented in this journal/server.

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