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Clinical and experimental dialysis and apheresis最新文献

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Psychiatric work with the medical staff of dialysis units. 与透析单位医务人员一起开展精神病学工作。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076066
A Kaplan De-Nour
{"title":"Psychiatric work with the medical staff of dialysis units.","authors":"A Kaplan De-Nour","doi":"10.3109/08860228309076066","DOIUrl":"https://doi.org/10.3109/08860228309076066","url":null,"abstract":"<p><p>The issue of psychiatric work with the medical staff has been reviewed from two points of view: a) There is some evidence that the medical staff is in psychological distress. Psychological help for the staff per se, however, is not recommended. b) There is quite a lot of evidence that staff attitudes/reactions influence the condition and adjustment of patients. It is very highly recommended to establish group work aimed at changing some staff attitudes, and by that improve patients' adjustment.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730570","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: 1
High risk ratio on mortality and characteristics of malignancies in dialysis patients. 透析患者死亡率及恶性肿瘤特征的高危比。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076051
H Inamoto, Y Ino, K Sata, R Ozaki, K Aizawa, A Osawa
{"title":"High risk ratio on mortality and characteristics of malignancies in dialysis patients.","authors":"H Inamoto,&nbsp;Y Ino,&nbsp;K Sata,&nbsp;R Ozaki,&nbsp;K Aizawa,&nbsp;A Osawa","doi":"10.3109/08860228309076051","DOIUrl":"https://doi.org/10.3109/08860228309076051","url":null,"abstract":"<p><p>A questionnaire study was done in order to clarify the risk ratios on the mortality of malignancy and the characteristics of malignancies in dialysis patients. The risk ratios were 4.2 times in males and 7.5 times in females greater than those among the age adjusted general population respectively. The average interval from the first dialysis to the clinical onset of malignant disease was 12 months. About a half of the patients died within 3 months. Frequencies of death in colon cancer, especially rectum, uterus and liver were higher in dialysis patients. Dialysis patients died of malignancies belonged to the older group of the dialysis patient population, however they were younger comparing with those died of malignancies in the general population.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17726378","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: 11
The liaison psychiatrist and the outpatient hemodialysis unit. Part II: Clinical psychiatric-liaison issues. 联络精神科医生和血液透析门诊。第二部分:临床精神病学联络问题。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076063
M Manley
{"title":"The liaison psychiatrist and the outpatient hemodialysis unit. Part II: Clinical psychiatric-liaison issues.","authors":"M Manley","doi":"10.3109/08860228309076063","DOIUrl":"https://doi.org/10.3109/08860228309076063","url":null,"abstract":"<p><p>A brief review of the literature is presented followed by a discussion of three main groups of liaison problems on a dialysis service: patient non-compliance, inter-staff disputes, and patient-staff emotional involvements. Clinical vignettes are used to illustrate the discussion and suggested guidelines for intervention are offered . Basic principles underlying a \"liaison stance\" are outlined.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730568","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
The case for cell injury in the pathogenesis of acute renal failure. 以细胞损伤为例探讨急性肾功能衰竭的发病机制。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076035
H E Eliahou
{"title":"The case for cell injury in the pathogenesis of acute renal failure.","authors":"H E Eliahou","doi":"10.3109/08860228309076035","DOIUrl":"https://doi.org/10.3109/08860228309076035","url":null,"abstract":"","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17933573","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
And what will you do for me now? An overview. 你现在要为我做什么?概述。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076054
P G Wilson
{"title":"And what will you do for me now? An overview.","authors":"P G Wilson","doi":"10.3109/08860228309076054","DOIUrl":"https://doi.org/10.3109/08860228309076054","url":null,"abstract":"","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17388330","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
Treatment decisions for patients and end-stage renal disease: psychological considerations. 终末期肾病患者的治疗决策:心理考虑。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076059
G H Rusk
{"title":"Treatment decisions for patients and end-stage renal disease: psychological considerations.","authors":"G H Rusk","doi":"10.3109/08860228309076059","DOIUrl":"https://doi.org/10.3109/08860228309076059","url":null,"abstract":"<p><p>Consideration of psychological factors can lead to more informed treatment decisions and more successful medical management of patients with end-stage renal disease. Several criteria are specified as a useful guide. 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. Treatment planning should be tailored, if possible, to the psychological needs of the patient, the family and the staff. The process of adaptation to chronic dialysis and kidney transplantation are discussed. Several clinical vignettes are presented to illustrate the importance of psychological considerations in making \"good fit\" between patient and treatment modality.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730566","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
Cis-diamminedichloroplatinum (DDP) induced acute renal failure (ARF): attempts at amelioration. 顺式二胺二氯铂(DDP)诱导的急性肾功能衰竭(ARF):改善的尝试。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076037
S Chopra, J Kaufman, W Flamenbaum
{"title":"Cis-diamminedichloroplatinum (DDP) induced acute renal failure (ARF): attempts at amelioration.","authors":"S Chopra,&nbsp;J Kaufman,&nbsp;W Flamenbaum","doi":"10.3109/08860228309076037","DOIUrl":"https://doi.org/10.3109/08860228309076037","url":null,"abstract":"<p><p>Nephrotoxicity is a dose limiting feature of cis-diamminedichloroplatinum (DDP) cancer chemotherapy. We have previously developed a model of DDP induced acute renal failure in the rat, which is characterized by non oliguric progressive azotemia. Protocols have been established in humans to prevent or diminish DDP associated renal alterations during the course of cancer chemotherapy. The present studies were designed to evaluate the effect of prior diuretic therapy, with furosemide, and enhanced solute diuresis, using dextrose and water as the sole source of drinking fluid, on DDP induced acute renal failure in the rat. As compared to water drinking controls neither the diuretic nor the enhancement of osmotic excretion effected DDP associated mortality. The courses of the acute renal failure observed in all three study groups were similar; however, there was a suggestion in the surviving animals that these maneuvers may have contributed to a more rapid return in renal function among rats not dying of DDP induced acute renal failure.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17738822","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: 1
Post transplant acute renal failure: a review. 移植后急性肾功能衰竭:综述。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076044
K V Rao, C M Kjellstrand
{"title":"Post transplant acute renal failure: a review.","authors":"K V Rao,&nbsp;C M Kjellstrand","doi":"10.3109/08860228309076044","DOIUrl":"https://doi.org/10.3109/08860228309076044","url":null,"abstract":"<p><p>Post transplant acute tubular necrosis (ATN) is responsible for approximately 90% of acute renal failure episodes occurring within the first few weeks following renal transplantation. This phenomenon is observed in 34% of cadaver transplant recipients and 9% of those with live donor kidneys. Although the exact cause of post transplant ATN remains unknown, the following factors are thought to be associated with a higher incidence of ATN: 1) donor hypotension, 2) prolonged \"warm ischemia time\", 3) increased vascular resistance with poor perfusate flow, 4) presence of \"ligandin\" or excess lactate in the renal perfusate, 5) reduced allograft blood flow, 6) cold lymphocytotoxins in the patient's serum and 7) administration of nephrotoxic drugs particularly to the hypovolemic graft recipients. Therapeutic maneuvers such as hydration of the donors and recipients, harvesting the kidneys from heart beating cadavers, donor pretreatment with massive doses of corticosteroids and alpha-adrenergic blocking agents and warming of the graft immediately after vascular anastomosis, seem to reduce the incidence of ATN. Since the management differs significantly, post transplant ATN has to be distinguished from other causes of acute renal failure such as the renal artery thrombosis, hyperacute rejection and obstruction of the urinary tract. The tests which are of use in the differential diagnosis include, 131-I Hippuran renogram, transplant ultrasound, renal angiogram, retrograde pyelogram and renal transplant biopsy. Patients with established ATN should undergo every other day dialysis, under low dose or regional heparinization, until the creatinine clearance improves to 20 ml/min. The dose of azathioprine has to be reduced to prevent bone marrow toxicity. Even though there are short term disadvantages, the post transplant ATN does not appear to exert any detrimental effects in the long run. However, this issue remains controversial in the published reports.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17410798","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: 17
The physiological surveillance of hemodialysis sessions by the continuous measurement of L.F. impedance of the circulating blood (Thomasset's method). 通过连续测量循环血液的lf阻抗对血液透析过程进行生理监测(Thomasset的方法)。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076053
A L Thomasset, J Lenoir, C Roullet, P Jenin, M Béruard, C Bernard, F Baur
{"title":"The physiological surveillance of hemodialysis sessions by the continuous measurement of L.F. impedance of the circulating blood (Thomasset's method).","authors":"A L Thomasset,&nbsp;J Lenoir,&nbsp;C Roullet,&nbsp;P Jenin,&nbsp;M Béruard,&nbsp;C Bernard,&nbsp;F Baur","doi":"10.3109/08860228309076053","DOIUrl":"https://doi.org/10.3109/08860228309076053","url":null,"abstract":"<p><p>Everybody grants as a fact that hemodialysis disturbances are produced by volemia variations. During H-D the vascular sector is the necessary transit medium to withdraw excessive interstitial water. If this withdrawing is greater than the coming back of the interstitial water into the vascular sector, the plasmatic volume will be decreasing. Thus, to measure the variations of the plasmatic volume in circulating blood it is sufficient to effect a continuous measurement of these ones in a transducer having a definite volume. So, by the mean of an impedancemeter, 5 kHz impedance is continuously measured between the two electrodes of the transducer, because it is known (Thomasset's method) that at 5 kHz current uses only the plasma in order to pass from one electrode to another.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17726380","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: 6
Diagnostic and treatment considerations in depressed dialysis patients. 抑郁透析患者的诊断和治疗注意事项。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076055
J Streltzer
{"title":"Diagnostic and treatment considerations in depressed dialysis patients.","authors":"J Streltzer","doi":"10.3109/08860228309076055","DOIUrl":"https://doi.org/10.3109/08860228309076055","url":null,"abstract":"<p><p>Depressive symptoms are common in a dialysis population. These symptoms are only infrequently part of a major depressive illness, however, and are more usually related to adjustment disorders associated with the onset of chronic dialysis treatment, or medical complications of end stage renal disease. A substantial proportion of depressive symptoms are also related to problems in living not directly associated with renal failure. Psychotherapeutic support helps the majority of patients with depressive symptomatology. Nurse-patient and physician-patient relationships are potentially powerful factors influencing patient adjustment to dialysis.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730562","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: 24
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