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RESEARCH POSTER PRESENTATION DESIGN © QUICK START (cont.) How to change the template color theme You can easily change the color theme of your poster by going to the DESIGN menu, click on COLORS, and choose the color theme of your choice. You can also create your own color theme. You can also manually change the color of your background by going to VIEW > SLIDE MASTER. After you finish working on the master be sure to go to VIEW > NORMAL to continue working on your poster. How to add Text The template comes with a number of pre- formatted placeholders for headers and text blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box from the HOME menu. Text size Adjust the size of your text based on how much content you have to present. The default template text offers a good starting point. Follow the conference requirements. How to add Tables To add a table from scratch go to the INSERT menu and click on TABLE. A drop-down box will help you select rows and columns. You can also copy and a paste a table from Word or another PowerPoint document. A pasted table may need to be re-formatted by RIGHT- CLICK > FORMAT SHAPE, TEXT BOX, Margins. Graphs / Charts You can simply copy and paste charts and graphs from Excel or Word. Some reformatting may be required depending on how the original document has been created. How to change the column configuration RIGHT-CLICK on the poster background and select LAYOUT to see the column options available for this template. The poster columns can also be customized on the Master. VIEW > MASTER. How to remove the info bars If you are working in PowerPoint for Windows and have finished your poster, save as PDF and the bars will not be included. You can also delete them by going to VIEW > MASTER. On the Mac adjust the Page- Setup to match the Page-Setup in PowerPoint before you create a PDF. You can also delete them from the Slide Master. Save your work Save your template as a PowerPoint document. For printing, save as PowerPoint of “Print-quality” PDF. Student discounts are available on our Facebook page. Go to PosterPresentations.com and click on the FB icon. © 2013 PosterPresentations.com 2117 Fourth Street, Unit C Berkeley CA (—THIS SIDEBAR DOES NOT PRINT—) DESIGN GUIDE This PowerPoint 2007 template produces a 36”x72” presentation poster. You can use it to create your research poster and save valuable time placing titles, subtitles, text, and graphics. We provide a series of online answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK. When you are ready to print your poster, go online to PosterPresentations.com Need assistance? Call us at QUICK START Zoom in and out As you work on your poster zoom in and out to the level that is more comfortable to you. Go to VIEW > ZOOM. Title, Authors, and Affiliations Start designing your poster by adding the title, the names of the authors, and the affiliated institutions. You can type or paste text into the provided boxes. The template will automatically adjust the size of your text to fit the title box. You can manually override this feature and change the size of your text. TIP: The font size of your title should be bigger than your name(s) and institution name(s). Adding Logos / Seals Most often, logos are added on each side of the title. You can insert a logo by dragging and dropping it from your desktop, copy and paste or by going to INSERT > PICTURES. Logos taken from web sites are likely to be low quality when printed. Zoom it at 100% to see what the logo will look like on the final poster and make any necessary adjustments. TIP: See if your company’s logo is available on our free poster templates page. Photographs / Graphics You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images proportionally by holding down the SHIFT key and dragging one of the corner handles. For a professional-looking poster, do not distort your images by enlarging them disproportionally. Image Quality Check Zoom in and look at your images at 100% magnification. If they look good they will print well. ORIGINAL DISTORTED Corner handles Good printing quality Bad printing quality Since 2008, the National Center for Chronic Kidney Disease Treatment (UNAERC) has compiled a database of 3,105 individuals enrolling in dialysis Dialysis prevalence rates (per 100,000 inhabitants) were mapped (by department and municipality) using ArcGIS software and superimposed onto maps of sugar cane plantations and seasonal temperature data Referral rates by sex were compared between south- western Guatemala and the rest of the country using chi-squared analyses Dialysis prevalence rates and 2002 HDI’s (by municipality) were compared using one-sided Speaman’s rank order correlation coefficient (Spearman’s rho [r s ]) to assess for correlation between geographic and economic indicators and referral patterns BACKGROUND CONFLICTS OF INTEREST Rates per 100,000 residents of individuals enrolled in dialysis were highest in southwestern departments bordering the Pacific Ocean (Figure 1). Locations of sugar cane plantations (Figure 1b) and higher daytime temperatures (Figure 1c) during the sugar cane harvest overlap with dialysis prevalence rates. MATERIALS AND METHODS RESULTS DISCUSSION The overlap between dialysis prevalence rates, sugar cane cultivation, daytime harvest temperatures, and the predominance of male enrollees in southwestern Guatemala argues that a similar disease process could be occurring in southwestern Guatemala as in Nicaragua and El Salvador. The linear relationship between municipal dialysis prevalence rates and municipal HDI’s in all regions of the country except the sugar cane producing departments supports the hypothesis that access to dialysis often directly correlates with wealth in parts of Guatemala. The causes and possible solution of CKD and End Stage Renal Disease in this region merits urgent research. REFERENCES Jha V, Garcia-Garcia G, Iseki K, et al. Chronic kidney disease: global dimensión and perspectives. Lancet. 2013;382(9888): Wesseling C, Crowe J, Hogstedt C, et al. Resolving the Enigma of Mesoamerican Nephropathy: A Research Workshop Summary. Am J Kidney Dis. 2014;63(3): Weiner DE, McClean MD, Kaufman JS, Brooks DR. The Central American epidemic of CKD. CJASN. 2013:8(3): Brooks DR, Ramirez-Rubio O, Amador JJ. CKD in Central America: a hot issue. Am J Kidney Dis. 2012;59(4): Correa-Rotter R, Wesseling C, Johnson RJ. CKD of Unknown Origin in Central America: The Case for a Mesoamerican Nephropathy. Am J Kidney Dis. 2014;63(3): CONTACT Timothy S. Laux, MD Phone: Cell: Address: Dr. Rothstein has worked as a consultant for Gambro Corporation and as a paid speaker for Amgen and American Regent. All other authors report no conflicts of interest. Sex distribution of all dialysis enrollees was significantly (p < 0.001) different between southwestern departments and the rest of the country (Figure 3, PD = p < 0.001, Hemodialysis p = 0.07). In the southwestern (n=6) departments, 57.3% enrollees were male (58.3% of hemodialysis and 57.1% of PD) compared to 49% in the northern (n=16) departments (49.9% and 48.6%, respectively). Municipal dialysis prevalence rates increased as municipal HDI increased: At a national level (Figure 2a, r s [n = 258] = 0.50, p < 0.001) In the 16 departments without a border along the Pacific Ocean (Figure 2b, r s [n = 170] = 0.27, p < 0.001) In the capitol region (Figure 2c, r s [n = 16] = 0.39, p = 0.07) though of a smaller magnitude. No correlation was found between municipal dialysis prevalence rates and HDI (Figure 2d) in the four leading sugar cane producing departments (r s [n = 49] = 0.07, p = 0.32). Among men, CKD is the leading cause of death in western Nicaragua (95 / per 100,000 residents) and the second leading cause of death in El Salvador. These CKD cases are clustered along the Pacific Coast at low altitudes and tend to affect younger men with agricultural work backgrounds. This CKD pattern has been termed Mesoamerican Nephropathy (MeN). MeN’s cause remains unknown. It is unknown if Guatemala has the same CKD distribution as neighboring Nicaragua and El Salvador. Timothy S. Laux, MD 1 ; Joaquín Barnoya, MD, MPH 1 ; Douglas R. Guerrero, MD 2 ; Marcos Rothstein, MD 1 1. Washington University, St. Louis MO, USA; 2. Unidad Nacional de Atención al Enfermo Renal Crónico (UNAERC), Guatemala City, Guatemala Evidence of Mesoamerican Nephropathy (MeN) in southwestern Guatemala? LIMITATIONS While UNAERC is the largest dialysis provider in Guatemala, those enrolled in dialysis elsewhere are excluded from our analysis. Individuals with End Stage Renal Disease often move to the capital (red dot in Figure 1) to better access dialysis. tal OBJECTIVES Map prevalence of dialysis referral by municipality and determine if areas of higher prevalence correspond with areas of known agricultural work / hotter climate Compare dialysis referral rates by sex and geographic location Compare dialysis referral rates by Human Development Indices (HDI’s) and geographic location
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