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Journal of dialysis最新文献

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Quality assurance in dialysis: the role of the social worker. 透析质量保证:社会工作者的作用。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809103863
J I Lowe
{"title":"Quality assurance in dialysis: the role of the social worker.","authors":"J I Lowe","doi":"10.3109/08860227809103863","DOIUrl":"https://doi.org/10.3109/08860227809103863","url":null,"abstract":"<p><p>With the need for accountability in the delivery of End-Stage Renal disease services, social workers are beginning to establish standards defining the quality and effectiveness of their practice as members of a multidisciplinary treatment team. This paper delineates minimum ways for mandated social service to be delivered and made accountable. It also explores the role of the social worker as a member of the Network Coordinating Council and Medical Review Board. Some implications for social work involvement in larger policy issues resulting from the ESRD legislation are suggested.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 1","pages":"43-53"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809103863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11842939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Equipment for control of ultrafiltration in the absence of diffusion. 在没有扩散的情况下控制超滤的设备。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809080094
D Luehmann, T McEvoy, R Shapiro, P Keshaviah
{"title":"Equipment for control of ultrafiltration in the absence of diffusion.","authors":"D Luehmann,&nbsp;T McEvoy,&nbsp;R Shapiro,&nbsp;P Keshaviah","doi":"10.3109/08860227809080094","DOIUrl":"https://doi.org/10.3109/08860227809080094","url":null,"abstract":"<p><p>Two devices have been developed for direct control of ultrafiltration during sequential dialysis therapy. Precise control of ultrafiltrate flow rates (+/- 1 ml/min) is obtained over the range of 0 - 38 ml/min.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 3","pages":"287-94"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809080094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of three dry-sterilized hollow fiber artifical kidneys. 三种干式灭菌中空纤维人工肾的评价。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809079321
A Streifel, J Ebben, C Sahr, R Meyer, J Shideman, R Lynch, C Kjellstrand
{"title":"Evaluation of three dry-sterilized hollow fiber artifical kidneys.","authors":"A Streifel,&nbsp;J Ebben,&nbsp;C Sahr,&nbsp;R Meyer,&nbsp;J Shideman,&nbsp;R Lynch,&nbsp;C Kjellstrand","doi":"10.3109/08860227809079321","DOIUrl":"https://doi.org/10.3109/08860227809079321","url":null,"abstract":"<p><p>We investigated three new dry sterilized hollow fiber artificial kidneys (HFAK) (Cordis Dow CDAK 1.3, Travenol CF 1200, Extracorporeal Tri-Ex 1). Dry sterilization makes these dialyzers more economical by shortening set-up time. Dry sterilization also eliminates iatrogenic administration of residual sterilant. Water of imbibition can significantly increase the blood compartment volume of the dialyzer during dialysis. Consequently, a corrected blood volume for each dialyzer was established; these corrected volumes varied from 13--36% greater than the volume determined before dialysate flow. With low dose heparinization of these dialyzers there was between an 18 and 45% decrease in the post dialysis volume, presumably due to fiber clotting during dialysis. This volume added to the residual blood loss measured by a colorimetric technique accounted for a possible blood loss ranging between 26.9 and 53.9 ml per dialysis for these three dialyzers. Our results suggest that a relationship between dialyzer clotting and decreased dialyzer efficiency may exist. These three capillary flow dialyzers had a much lower platelet drop (0--9% pre to post) when compared to 30--40% drop of flat plate dialyzers. These dialyzers were found to be safe and easy to use but the high fiber clotting warrants further investigation in chronic dialysis patients on high dose heparin.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 4","pages":"347-59"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Control of bleeding from cannulation sites with topical thrombin in dialyzed patients. 局部凝血酶控制透析患者插管部位出血。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809079325
N D Vaziri, M A Robinson, C Barton, R Ness
{"title":"Control of bleeding from cannulation sites with topical thrombin in dialyzed patients.","authors":"N D Vaziri,&nbsp;M A Robinson,&nbsp;C Barton,&nbsp;R Ness","doi":"10.3109/08860227809079325","DOIUrl":"https://doi.org/10.3109/08860227809079325","url":null,"abstract":"<p><p>Topical thrombin was applied to the cannulation sites during and after withdrawal of the needles. The duration of bleeding was reduced by 50% compared to the control period in patients with various internal arteriovenous communications undergoing maintenance hemodialysis treatment. Accordingly, use of topical thrombin appears effective in saving patients and staffs time, minimizing the blood loss in these anemic patients, and preventing the possible injurious effect of prolonged compression of vascular access to accomplish hemostasis.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 4","pages":"393-8"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Lymphocyte subpopulations in maintenance hemodialysis patients. 维持性血液透析患者的淋巴细胞亚群。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809103860
W E Hoy, R V Cestero, R B Freeman
{"title":"Lymphocyte subpopulations in maintenance hemodialysis patients.","authors":"W E Hoy,&nbsp;R V Cestero,&nbsp;R B Freeman","doi":"10.3109/08860227809103860","DOIUrl":"https://doi.org/10.3109/08860227809103860","url":null,"abstract":"<p><p>Lymphocyte counts and T,B and null cell proportions were analyzed in forty non-splenectomized, non-nephrectomized maintenance hemodialysis patients, and compared with those in controls. The patients were lymphopenic, but had normal T, B and null cell percentages, regardless of tehir primary renal disease. It is postulated that their lymphocyte suppression is non-selective and may be related to the state of controlled azotemia or to the dialysis procedure.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809103860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11520114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Federal legislation and agency actions concerning self-care dialysis. 有关自我护理透析的联邦立法和机构行动。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809103868
R J Wineman
{"title":"Federal legislation and agency actions concerning self-care dialysis.","authors":"R J Wineman","doi":"10.3109/08860227809103868","DOIUrl":"https://doi.org/10.3109/08860227809103868","url":null,"abstract":"<p><p>Since the passage of the renal disease provisions of the Social Security Law, the percentage of patients in the United States utilizing self-care treatment has declined from 40% to about 15%. The background and provisions of the Rostenkowski Bill, H.R. 8423, are summarized. Primary aims of the bill are to remove disincentives for use of self-dialysis, remove certain disincentives to transplatation, and to provide for peer review and goal setting for network use of various treatment modalities. Studies of the Health Standards and Quality Bureau, and activities of the Veterans Administration and the Artificial Kidney - Program of the National Institute of Arthritis, Metabolism, and Digestive Diseases relevant to self-care dialysis are briefly summarized.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 1","pages":"103-10"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809103868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11842938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Chronic renal failure in diabetes: survival with hemodialysis vs. transplantation. 糖尿病慢性肾衰竭:血液透析与移植的生存。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809103861
M A Totten, B Izenstein, R E Gleason, F J Takacs, J A Libertino, J A D'Elia
{"title":"Chronic renal failure in diabetes: survival with hemodialysis vs. transplantation.","authors":"M A Totten,&nbsp;B Izenstein,&nbsp;R E Gleason,&nbsp;F J Takacs,&nbsp;J A Libertino,&nbsp;J A D'Elia","doi":"10.3109/08860227809103861","DOIUrl":"https://doi.org/10.3109/08860227809103861","url":null,"abstract":"<p><p>Clinical observations for 49 diabetic patients who required chronic hemodialysis or renal transplantation during a four year period are presented. Twenty-seven dialysis patients had a two year cumulative survival of 74% compared to 54% for 22 transplantation patients. The cumulative survival of live-related donor recipients (77%) was similar to that of the dialysis group and significantly better than that of cadaveric allograft recipients (36%). While the incidences of cardiomegaly and of motor neuropathy were high among live-related donor recipients, dialysis patients more often demonstrated peripheral vascular disease. Causes of death in hemodialysis patients included cardipulmonary arrest and patient decision to discontinue therapy; in the transplantation group included cardiopulmonary arrest, sepsis, and stroke. Living-related transplantation remains the preferred mode of therapy because of the potential for rehabilitation. In terms of patient survival, the risks of cadaver transplantation must be weighted against the discomforts of chronic dialysis.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 1","pages":"17-32"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809103861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11556920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Psychological aspects of self-care and home dialysis. 心理方面的自我护理和家庭透析。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809079316
G H Rusk
{"title":"Psychological aspects of self-care and home dialysis.","authors":"G H Rusk","doi":"10.3109/08860227809079316","DOIUrl":"https://doi.org/10.3109/08860227809079316","url":null,"abstract":"<p><p>Self-care and home dialysis encourages the patient's active participation in his treatment which may enhance coping and adaptation to his illness. The psychological issues of dependence-independence, activity-passivity, and control and mastery are frequently referred to in the literature as being important in understanding the chronic stress of illness and treatment. The measure of successful coping should be determined by adaptive or maladaptive value of behavior rather than traditional concepts of normality or abnormality. Treatment planning and patient selection should be tailored to the psychological needs of the patient, the family and the staff. Several clinical vignettes are presented to illustrate that initial impressions of patient suitability for self-care and home dialysis may be deceiving. The medical staff plays an important role in influencing the patient's adaptation and coping.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 2","pages":"165-74"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11882589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Lipid metabolism in non-uremic and uremic dogs during and after hemodialysis with acetate. 非尿毒症和尿毒症犬在醋酸血液透析期间和之后的脂质代谢。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809079312
R J Morin, L S Guo, S J Rorke, W D Davidson
{"title":"Lipid metabolism in non-uremic and uremic dogs during and after hemodialysis with acetate.","authors":"R J Morin,&nbsp;L S Guo,&nbsp;S J Rorke,&nbsp;W D Davidson","doi":"10.3109/08860227809079312","DOIUrl":"https://doi.org/10.3109/08860227809079312","url":null,"abstract":"<p><p>Plasma triglyceride and cholesterol concentrations were elevated in dogs after nephrectomy induced uremia. Plasma triglyceride concentrations remained constant during a 4-hour period of hemodialysis of uremic and non-uremic dogs against an acetate concentration of 39.5 mM (delivering 3 mEq/Kg/hr) plus infusion of 12.5 muCi/Kg/hr of acetate-1-14C, but rose progressively following dialysis. Radioactivities in plasma phospholipids, triglycerides and cholesteryl esters increased during dialysis and continued to rise in the post dialysis period, whereas 14C activity in free fatty acids and free cholesterol increased during dialysis and decreased post-dialysis. Acetate 14-C incorporation into plasma triglycerides was similar in the uremic and non-uremic groups, but incorporation into plasma cholesterol was higher in the uremics. Liver triglyceride concentrations and radioactivities at 12 hours were higher in the uremic dogs. At this time, adipose tissue 14C incorporation was also higher in uremic dogs but no differences were observed in aorta, heart or sciatic nerve incorporation. The results suggest that acetate may contribute to the increased plasma triglyceride concentrations observed following dialysis, and that uremia further accentuates acetate incorporation into plasma cholesterol and liver triglycerides.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 2","pages":"113-29"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11882707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Augmented peritoneal mass transport with intraperitoneal nitroprusside. 硝普塞腹腔内增强腹膜肿块运输。
Journal of dialysis Pub Date : 1978-01-01 DOI: 10.3109/08860227809079313
P Hirszel, J F Maher, M Chamberlin
{"title":"Augmented peritoneal mass transport with intraperitoneal nitroprusside.","authors":"P Hirszel,&nbsp;J F Maher,&nbsp;M Chamberlin","doi":"10.3109/08860227809079313","DOIUrl":"https://doi.org/10.3109/08860227809079313","url":null,"abstract":"<p><p>Lightly restrained, alert New Zealand white rabbits underwent peritoneal dialysis by percutaneous instillation of standard dialysis solution with or without intraperitoneal nitroprusside. Corrected to a mean intraperitoneal dwell time of 36 minutes, mean clearances of creatinine and urea were 0.74 and 0.90 ml/kg/min in six rabbits. With intraperitoneal nitroprusside, 1.13 mg/kg clearances increased to 1.13 and 1.30 ml/kg/min (p less than 0.01) respectively. The 53% increment in creatinine clearance maintained the ratio clearance larger/smaller solute suggesting increased peritoneal permeability and/or area. Lower nitroprusside doses were less effective and not significantly above control. Nitroprusside also increased clearances during hypertonic peritoneal dialysis, but had no effect on osmotically induced water flux. Lavage studies demonstrated a persistent effect of nitroprusside after a single exposure and a sustained effect with repeated use.</p>","PeriodicalId":75998,"journal":{"name":"Journal of dialysis","volume":"2 2","pages":"131-42"},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860227809079313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11882708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 25
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