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AbstractBackgroundStandard reverse osmosis systems for hemodialysis operate at 60–75% recovery rates, wasting 25–40% of feed water as brine. This inefficiency poses a critical challenge in…
Published date
June 2026
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Tarrass, F., Benjelloun, O., Allah, MH., Benjelloun, M.
AbstractBackgroundWater scarcity is an escalating global challenge with growing relevance for healthcare systems. Nephrology is particularly affected, as dialysis is a life-sustaining yet highly…
Published date
June 2026
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Knoeller, S., Weber, W., Ben Hmida, M., Lucena, R., Tarrass, F., Segerer, S.
In Germany, rising heat-related mortality and hospital admissions are posing significant challenges to healthcare systems. Nurses working in inpatient care facilities are particularly vulnerable…
Published date
April 2026
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Maria Zink, Franziska Jung, Steffi G. Riedel-Heller, Katharina M.A. Gabriel
ObjectiveThis study explores organizational interventions aimed at mitigating heat-related challenges and stress for nurses in acute care settings, with a focus on adapting to the intensifying climate…
Published date
April 2026
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Maria Zink , Andrea Nakoinz , Ulrike Krol , Niels Jansen d, Franziska Jung e, Steffi G. Riedel-Heller , Katharina M.A. Gabriel
The current kidney care model-focused on late-stage disease and in-center hemodialysis-is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life.The 78th…
Published date
March 2026
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Vanholder, R., Abdellatif, D., Dos Santos Jr, ACS., Correa-Rotter, R., Gopalakrishnan, N., Wang, B., Roumeliotis, S., Balducci, A., Haris, A., Yadla, M., Hsiao, L.
Hemodialysis, hemodiafiltration, and peritoneal dialysis are among the most resource-intensive medical therapies, owing to their high energy and water consumption, heavy reliance on disposable…
Published date
February 2026
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Barraclough, K., Berman-Parks, N., Jha, V., Piccoli, G., Stigant, C., Talbot, B., Tarrass, F., Cheung, M., King, J., Grams, M., Jadoul, M., Flythe J.
IntroductionThe healthcare sector contributes over 4% of global greenhouse gas emissions. As healthcare systems pursue carbon reduction targets, sustainable innovations in clinical operations are…
Published date
November 2025
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Tsai, CL., Fehintola, A., Crooijmans, G., Vollenbroek, J., Duane, B., and Gerritsen, K.
Article Summary:Priority setting in health care is a research and practice area at the intersection of medicine, ethics, and economics, which aims to systematically and transparently evaluate the…
Published date
December 2025
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Anand Bhopal, Martin Hensher, Andrea J MacNeill, Ole F Norheim, Jodi D Sherman, Craig Mitton
BackgroundAs global temperatures continue to rise, the effects of ambient heat on acute kidney injury (AKI) are of growing concern. We used a novel nationwide electronic alert (e-alert) system to…
Published date
March 2024
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Hajat, S., Casula, A., Murage, P., Omoyeni, D., Gray, T., Plummer, Z., Steenkamp, R., Nitsch, D.