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Michael Germain
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Renal & Transplant Assoc. of New England
100 Wason Avenue, Suite 200,
Springfield, MA 01107
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Research Works
Featured Works
(81)
Use of 12x/month haemoglobin monitoring with a computer algorithm reduces haemoglobin variability
(Jane Garb, Warren Ho and Michael Germain)
All Scholarly Works
(2010)
BACKGROUND: Haemoglobin variability may be associated with increased death. Frequent haemoglobin monitoring may allow earlier detection of trends in haemoglobin slopes, alerting staff to intercurrent events. The more frequent haemoglobin values may provide early evidence ...
An integrative approach to advanced kidney disease in the elderly
(Michael Germain and Lewis Cohen)
All Scholarly Works
(2010)
Chronic kidney disease (CKD) has increasingly become a "geriatric" disease, with a dramatic rise in incidence in the aging population. Patients aged >75 years have become the fastest growing population initiating dialysis. These patients have ...
Increasing hospice services for elderly patients maintained with hemodialysis
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2010)
Few dying patients undergoing dialysis receive hospice care. An intervention to facilitate hospice referral was evaluated in a longitudinal prospective cohort study. Five hemodialysis units in Massachusetts were divided into intervention sites (N = 3 ...
Predicting six-month mortality for patients who are on maintenance hemodialysis
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2010)
BACKGROUND AND OBJECTIVES: Prognostic information is rarely conveyed by nephrologists because of clinical uncertainty about accuracy. The objective of this study was to develop an integrated prognostic model of 6-mo survival for patients who receive ...
12x/month hemoglobin monitoring with a computer algorithm reduces hemoglobin variability (Hv)
(Warren Ho, Michael Germain and Jane Garb)
All Scholarly Works
(2008)
Neuropsychiatric complications and psychopharmacology of end-stage renal disease
(Adam Mirot, Michael Germain, Lewis Cohen, et al.)
All Scholarly Works
(2008)
A prospective, case-controlled study of the effect of continuous hemoglobin (Hgb) monitoring (Critline) on hemoglobin variability (Hv) and erythropoietin (Epo) dosing
(Michael Germain, Warren Ho and Jane Garb)
All Scholarly Works
(2008)
Frequent hemoglobin (Hgb) monitoring (12x/month) can inform clinical and organisational decision making
(Michael Germain, Warren Ho and Jane Garb)
All Scholarly Works
(2008)
A psychiatric perspective of dialysis discontinuation
(Lewis Cohen, Adam Mirot, Jane Garb, et al.)
All Scholarly Works
(2007)
Alkalotic diabetes ketoacidosis
(Gina Luciano, David Rose and Michael Germain)
All Scholarly Works
(2007)
Dialysis discontinuation: Quo vadis
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2007)
Withholding and withdrawal from dialysis: What we know about how our patients die
(Michael Germain and Lewis Cohen)
All Scholarly Works
(2007)
Risk factors for calcific uremic arteriolopathy (CUA): A case control study in chronic hemodialysis patients
(Gregory Braden, Jeffrey Mulhern, Penny Pekow, et al.)
All Scholarly Works
(2006)
Withdrawal from dialysis: A palliative care perspective.
(Michael Germain and Lewis Cohen)
All Scholarly Works
(2006)
A retrospective chart review was conducted in this pilot study of 35 patients who withdrew from dialysis and were followed by a palliative care team. Data included etiology of end-stage renal disease, comorbid illnesses, mode ...
Renal palliative care.
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2006)
Patients with chronic kidney disease have a shortened life expectancy and carry a high symptom burden. Clinicians need sophisticated expertise in pain and symptom management and skills in communication to meet the many needs of ...
The acute effect of aerobic exercise on brachial artery endothelial function in renal transplant recipients.
(Michael Germain)
All Scholarly Works
(2006)
This study compared the effect of a 30-minute walk on brachial artery endothelial vasodilatation in kidney transplant (KT) recipients and healthy controls (HCs). Endothelial-dependent vasodilatation was measured by ultrasound before and after exercise. Th
The psychiatric landscape of withdrawal.
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2005)
Withdrawal from dialysis is an appropriate decision for situations in which the burdens of treatment outweigh the benefits. Alternately, it can be viewed as a public health problem and suicide equivalent that contributes to the ...
Nephrology
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2005)
The family perspective of ESRD deaths.
(Lewis Cohen, Michael Germain and Adam Mirot)
All Scholarly Works
(2005)
BACKGROUND: Nephrologists need to become more aware of how patients die. METHODS: Families of patients who died after receiving dialysis at 5 New England nephrology clinics were contacted and informed about the study. Postal questionnaires ...
Measuring quality of dying in end-stage renal disease.
(Lewis Cohen and Michael Germain)
All Scholarly Works
(2004)
Palliative medicine operates under the presumption that it is possible to improve the quality of a patient's death. Nephrology has justifiably taken pride in its reliance on internal benchmarking and the use of quality targets ...
Acute renal failure and hyperkalaemia associated with cyclooxygenase-2 inhibitors.
(Michael Germain, Gregory Braden, Michael H O'Shea, et al.)
All Scholarly Works
(2004)
BACKGROUND: The renal effects of cyclooxygenase-2 (COX-2) inhibitors have been incompletely elucidated, and acute renal failure (ARF) due to COX-2 inhibitors has been reported. METHODS: In order to determine the causes of ARF and hyperkalaemia ...
Doxercalciferol safely suppresses PTH levels in patients with secondary hyperparathyroidism associated with chronic kidney disease stages 3 and 4.
(Michael Germain)
All Scholarly Works
(2004)
BACKGROUND: Calcitriol lowers parathyroid hormone (PTH) levels in patients with chronic kidney disease (CKD) stages 3 and 4, but its use is limited by a low therapeutic index and concerns regarding hypercalcemia and acceleration of ...
Palliative care.
(Michael Germain and Lewis Cohen)
All Scholarly Works
(2004)
Update on psychotropic medication use in renal disease.
(Lewis Cohen, Michael Germain and Ed Tessier)
All Scholarly Works
(2004)
Renal failure is a common medical condition, and many patients have comorbid psychiatric disorders. In this review, which is intended as a resource for consultation psychiatrists, the authors discuss pharmacokinetic considerations and provide information
Pancreatitis and duodenitis from sarcoidosis: successful therapy with mycophenolate mofetil.
(Farhad Navab, Michael Germain, Michael H O'Shea, et al.)
All Scholarly Works
(2003)
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