Giornale di Clinica Nefrologica e Dialisi https://journals.aboutscience.eu/index.php/gcnd Giornale di Clinica Nefrologica e Dialisi is a quarterly peer-reviewed journal for nephrologists, nephrology specialists, dialysis and transplant nephrology nurses, dialysis technicians and kidney dietitians. The journal publishes editorials, reviews, original articles, short communications and letters, as well as monothematic arguments, debates and nephrology-related investigations. AboutScience srl - Piazza Duca d'Aosta 12 - 20124 Milano MI (Italy) en-US Giornale di Clinica Nefrologica e Dialisi 2705-0076 2.0 Shared diagnostic-therapeutic paths in the Sardinian territory in nephrology and dialysis, Oristano, June 11-13, 2024 https://journals.aboutscience.eu/index.php/gcnd/article/view/3549 Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-05-15 2025-05-15 37 1 33 43 10.33393/gcnd.2025.3549 The application of a musical intervention in hemodialysis: patient satisfaction and appropriateness https://journals.aboutscience.eu/index.php/gcnd/article/view/3535 <p class="western" style="line-height: 200%;"><strong>Introduction:</strong> For patients, hemodialysis represents a challenge in their living conditions, characterized by suf<br />fering, anxiety, depression, and a poor quality of life. Evidence-based non-pharmacological interventions can <br />enhance the existential condition of patients. Music is an intervention with the potential to improve their psy<br />chological well-being.<br /><strong>Methods:</strong> This study aimed to evaluate the satisfaction and the appropriateness of a live music intervention dur<br />ing hemodialysis sessions. Both were measured using a 5-point Likert scale (from 1 to 5). Eleven musicians per<br />formed using instruments (guitar, flute, violin, accordion, Celtic harp, and oboe) for 30 minutes daily over six days.<br /><strong>Results:</strong> The sample included 122 participants: 89 patients and 33 healthcare providers. Among patients, <br />97.8% expressed satisfaction with the musical intervention, with an average score of 4.98 (SD = 0.447). <br />Among patients, 98.8% found music during hemodialysis appropriate, with an average score of 4.93 (SD = <br />0.447). Among healthcare providers, 93.2% were satisfied, with an average score of 4.70 (SD = 0.810), while <br />97% considered the music intervention appropriate, with an average score of 4.76 (SD = 0.502). There was a <br />significant association between satisfaction and appropriateness levels (χ² = 98.0, p &lt; 0.001). No undesir<br />able effects or disruptions to healthcare activities were observed during the musical intervention. Qualitative <br />observations revealed dynamics such as singing, hand clapping, rhythmic movements, smiles, laughter, a gen<br />eral atmosphere of well-being, and improved communication between patients and healthcare providers. <br /><strong>Conclusions:</strong> Live music during hemodialysis sessions appears to be an appropriate and satisfying intervention <br />for patients and healthcare providers.</p> Francesco Burrai Mauro Sotgia Massimino Senatore Grazia Gais Giovanna Leonarda Giaconi Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 27 32 10.33393/gcnd.2025.3535 Vivere con il rene policistico: storia di resilienza e di speranza https://journals.aboutscience.eu/index.php/gcnd/article/view/3547 Luisa Sternfeld Pavia Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 22 22 10.33393/gcnd.2025.3547 Un viaggio di speranza: la forza dell’amore di un padre https://journals.aboutscience.eu/index.php/gcnd/article/view/3546 Luisa Sternfeld Pavia Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 20 21 10.33393/gcnd.2025.3546 Non aspettare: prenditi cura di te e dei tuoi reni! https://journals.aboutscience.eu/index.php/gcnd/article/view/3545 Luisa Sternfeld Pavia Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 18 19 10.33393/gcnd.2025.3545 AIRP: 20 Anni di Impegno nella Lotta al Rene Policistico https://journals.aboutscience.eu/index.php/gcnd/article/view/3544 Luisa Sternfeld Pavia Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 17 17 10.33393/gcnd.2025.3544 Ecological transition and health: the role of physicians and healthcare https://journals.aboutscience.eu/index.php/gcnd/article/view/3528 <p>Climate change and pollution are major public health threats, contributing to the rise of chronic diseases such as cardiovascular conditions, cancer, and neurodegenerative disorders. The medical community plays a key role in raising awareness and promoting sustainable healthcare practices. The COVID-19 pandemic highlighted the risks of unsustainable resource exploitation. Pollutants like microplastics, fine particulate matter (PM2.5), and PFAS chemicals contaminate air, water, and food, posing serious health risks. Despite scientific evidence, global efforts to combat climate change remain insufficient, with international agreements struggling to limit fossil fuel use. The medical community must look beyond disease treatment and address the environmental and socioeconomic determinants of health. A sustainable future depends on reducing pollution, limiting global warming to 1.5°C, and implementing eco-friendly healthcare policies. Time is running out, and urgent action is needed.</p> Franco Bergesio Marco Lombardi Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-03 2025-04-03 37 1 5 6 10.33393/gcnd.2025.3528 In memoria di Nicola di Paolo https://journals.aboutscience.eu/index.php/gcnd/article/view/3565 Marco Lombardi Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-05-12 2025-05-12 37 1 44 44 10.33393/gcnd.2025.3565 A new chapter for GCND, the Giornale di Clinica Nefrologica e Dialisi https://journals.aboutscience.eu/index.php/gcnd/article/view/3543 Carlo Maria Alfieri Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-17 2025-04-17 37 1 16 16 10.33393/gcnd.2025.3543 A 30 year-long adventure https://journals.aboutscience.eu/index.php/gcnd/article/view/3530 Marco Lombardi Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-07 2025-04-07 37 1 7 9 10.33393/gcnd.2025.3530 World Kidney Day: a call to action for chronic kidney disease prevention and multidisciplinary care https://journals.aboutscience.eu/index.php/gcnd/article/view/3512 <p>Chronic Kidney Disease (CKD) has emerged as a major global public health challenge, affecting approximately 10% of the population worldwide. Often asymptomatic in its early stages, CKD frequently goes undiagnosed until significant renal impairment has occurred, contributing to a strong risk of cardiovascular disease, the leading cause of death in these patients. World Kidney Day is a vital opportunity to advocate for prevention, screening, and early intervention. Large-scale screening programs permit the identification of undiagnosed CKD cases, allowing timely implementation of pharmacological and lifestyle interventions to slow disease progression. Given that modifiable risk factors such as obesity, hypertension, diabetes, and metabolic syndrome play a significant role in CKD development, promoting healthy lifestyles, adequate hydration, and dietary modifications is crucial. Routine screening—including urinalysis, blood pressure monitoring, and metabolic assessments—should become standard in high-risk populations to facilitate early intervention. As CKD progresses, a multidisciplinary approach is essential. Nephrologists, nurses, and dietitians play a key role in ensuring comprehensive patient care, addressing not only renal function but also cardiovascular, metabolic, and nutritional aspects. Advances in personalized therapies have revolutionized CKD treatment, significantly reducing disease progression and cardiovascular mortality. Moreover, in advanced CKD (GFR &lt;30 mL/min), timely preparation for renal replacement therapy and preemptive kidney transplantation are critical to improving outcomes. In conclusion, CKD prevention, early detection, and multidisciplinary management must be prioritized to mitigate its growing burden. World Kidney Day is a call to action for global efforts in prevention, innovation, and patient-centered care.</p> Carlo Maria Alfieri Raffaele Consoli Silvia Soloperto Lara Caldiroli Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-03-13 2025-03-13 37 1 1 4 10.33393/gcnd.2025.3512 Prevention of Herpes Zoster in Chronic Kidney Disease https://journals.aboutscience.eu/index.php/gcnd/article/view/3548 <p>The varicella-zoster virus (VZV) is responsible for both primary varicella infection and Herpes Zoster (HZ), the latter<br />resulting from viral reactivation in immunocompromised or elderly individuals. Patients with chronic kidney<br />disease (CKD) are particularly vulnerable to HZ due to an impaired immune system, compounded by chronic<br />inflammation, uremia, and frequent use of immunosuppressive therapy in transplant recipients. HZ incidence<br />in CKD is significantly higher than in the general population, with increased risks of complications such as postherpetic neuralgia and mortality. The recombinant zoster vaccine (RZV), a non-live subunit vaccine containing<br />the VZV glycoprotein E and the AS01B adjuvant system, has demonstrated a favorable safety profile in immunocompromised populations, including dialysis and kidney transplant patients. Despite the potentially reduced vaccine efficacy in patients with chronic kidney disease (CKD) due to immunosuppression, RZV has shown strong effectiveness, eliciting robust humoral and cell-mediated immune responses, and has demonstrated clinical protection in CKD populations, including both dialysis and kidney transplant recipients. In addition to preventing HZ, recent evidence indicates that zoster vaccination may reduce the incidence of cardiovascular events. This finding is particularly relevant for CKD patients, who carry an intrinsically elevated cardiovascular risk. Integrating RZV into nephrology care pathways, including on-site vaccination during dialysis sessions, may significantly improve adherence and coverage.</p> Barbara Maresca Giulia Conforti Silvana Chicca Marco Galliani Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-30 2025-04-30 37 1 23 26 10.33393/gcnd.2025.3548 Anti-inflammatory diet or anti-inflammatory lifestyle? https://journals.aboutscience.eu/index.php/gcnd/article/view/3455 <p class="abstract">Chronic low-grade inflammation is increasingly proving to be one of the main culprits for the onset of numerous pathologies.<br />Until recently, to try to combat this insidious enemy, we mainly resorted to anti-inflammatory diets, but current scientific evidence seems to support the hypothesis that the maximum impact on health could be obtained above all by following an anti-inflammatory lifestyle.<br />Nutrition alone, however important, has proven to be insufficient to guarantee physiological homeostasis, the result of an evolution that lasted hundreds of thousands of years and occurred in symbiosis with ecosystems. Our physiological conditions, and psychosocial relationships with the emotions connected to them, together with the environment, are all elements capable of interacting with each other, decisively influencing the low-grade inflammatory process.<br />The Healthy Habits approach interprets and makes this thought concrete, and, with an integrated and interdisciplinary approach, traces a viable route.</p> David Mariani Sabrina Lucchetti Copyright (c) 2025 The authors https://creativecommons.org/licenses/by-nc/4.0 2025-04-10 2025-04-10 37 1 10 15 10.33393/gcnd.2025.3455