{"title":"Bacterial growth prevention in liquid bicarbonate concentrate.","authors":"A Stragier, D Wenderickx","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe an original Liquid Bicarbonate Concentrate (LBC) production and distribution unit, now functioning for five years. To prevent bacterial growth several measures were taken: LBC osmolarity as high as possible, fast concentrate turnover, UV irradiation of the tank and continuous circulation of LBC. Although, six and ten months elapsed before the first two positive cultures appeared after implementation of the new distribution circuit, subsequently, the interval between positive cultures became much shorter so that disinfection of the LBC unit is now required every 3 weeks. Changing the disinfecting agent from hypochlorite to peracetic acid did not succeed in increasing this interval. Our experience draws special the attention to the problem of bacterial growth in an on-line LBC production and distribution unit and defines the potential methods to control it. Continuous vigilance remains mandatory.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259681","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}
{"title":"Quality of life and coping in home haemodialysis patients.","authors":"C Hyde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Approximately 4,034 Australians are currently receiving dialysis therapy due to End Stage Renal Disease (ESRD) and of these 627 are performing haemodialysis within the home environment. Initial emphasis on the medical model, which considers bodily pathology and the technological potential to prolong life, is now expanding to incorporate a more humanistic picture of the individuals response to treatment and their quality of life (QoL). This uncertain partnership of technology and human experience has led to an increasing awareness of the need for health professionals to attain an understanding of the illness experience as it impacts on the patient's life. The importance of considering not only absolute survival time but the quality of that survival has triggered rapid growth in the areas of coping and QoL research. This paper provides a review of the literature which focuses on QoL and coping in haemodialysis patients and demonstrates the paucity of research which investigates the special concerns of home dialysis patients.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259674","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}
{"title":"Introducing assessment criteria into patient training.","authors":"J Norcott, J Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After discussion with other CAPD training centres, it became apparent that there was no formal evaluation of patients' ability to self care with CAPD before discharge. A comprehensive list of skills and knowledge was set out in a formal document. Daily assessment during training revealed that both patients and staff felt empowered with the implementation of this tool.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259802","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}
{"title":"Educational factors affecting modality selection: a National Kidney Foundation study.","authors":"K King","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient education has been found to have significant positive effects in a multitude of studies. The National Kidney Foundation undertook a study to examine the various factors that impact upon treatment modality selection, with this paper focusing specifically on the study's educational components. The majority of these respondents reported receiving an adequate amount of information, yet routinely they were not offered information on all treatments available to them. While most indicated being educated by one-to-one discussions, other methods were also employed. Those responding were most likely to receive education from nephrologists, however, nursing was involved with 46% of the participants.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259677","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}
M Cocco, M Amoruso, S Lavanna, D Mariotti, G Bertoni, N Sinelli, R Brizzolara
{"title":"Is hepatitis G virus a real risk for haemodialysis patients?","authors":"M Cocco, M Amoruso, S Lavanna, D Mariotti, G Bertoni, N Sinelli, R Brizzolara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Haemodialysis patients are at high risk of developing liver disease due to blood-borne viral agents. At present hepatitis C virus (HCV) is the most common cause of infection in these patients. A new RNA virus of the Flaviviridae family, hepatitis G virus (HGV) has recently been cloned. HGV prevalence in haemodialysis patients ranges from 3.1% to 57.5%. The aim of this study has been to detect HGV-RNA in our haemodialysis patients in order to evaluate the prevalence of HGV and to correlate the viral presence to liver disease. A total of 79 patients, on haemodialysis for a mean of 52 months, were tested. 3 patients (3.8%) were HBsAG positive and 19 patients (24%) were HCV positive. 24 of the 79 (30%) patients had been transfused. Only 2 of the 79 patients (2.5%) were HGV positive. These patients were HBsAG and anti HCV negative, both had been previously transfused and showed no signs of liver disease.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259680","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}
{"title":"Recipient and non-recipient attitudes regarding xenotransplantation.","authors":"K King","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Xenotransplantation research has occurred intermittently without success this century and is also not an area without controversy, which includes the potential health risks that could occur and the use of animals. The tremendous discrepancy between those in need of transplantation and the number of living and cadaveric donors has once again renewed interest in this field. The National Kidney Foundation undertook an opinion survey to facilitate understanding of both transplant recipients' and non-recipients' knowledge of, and attitudes toward, xenotransplantation. The majority of respondents approved of the concept and greater than 70% of both groups would consider a xenotransplant. The main concern of both groups was the ability of the animal organ to function properly.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259676","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}
{"title":"Erythropoietin, an update, and where to in the future?","authors":"S Sulková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recombinant human erythropoietin has been produced by genetic technology since 1985 and since then many clinical trials have repeatedly demonstrated its success in the correction of anaemia associated with renal failure. This paper discusses basic principles for its administration, potential side effects and strategies for non response to erythropoietin (Epo) therapy.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259678","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}
{"title":"A memorial service for renal patients.","authors":"P Ormandy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes how nurses on a renal unit offered support to bereaved relatives by organising a memorial service for relatives of patients who had died over the previous 12 months. The structure of the service came from a variety of remembrance services and consisted of verses, poems, words of comfort, a minutes silence and a roll call of the names of all the patients who had died, commemorated by the lighting of a candle. Memorial services can function as a way of saying goodbye and also acknowledge the reality of the loss for both staff and relatives (1). A remembrance service was an ideal opportunity to provide support and comfort to bereaved relatives, reinforcing the idea that patients, relatives and friends are valued by those who care for them. The service proved to be very successful, with positive feedback from both relatives and staff. An annual memorial service is planned for the future.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259675","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}
{"title":"The nutritional status of Asian end stage renal failure patients: a cross sectional study.","authors":"C Evans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nutritional status was assessed in 303 dialysis patients and the results of Asian and non Asian patients was compared. Mid Arm Muscle Circumference (MAMC) was found to be lower [22.7 +/- 2.7 v 24.2 +/- 2.9 (p = 0.008)] and TSF higher [15.9 +/- 7.2 v 13.6 +/- 7.4 (p = 0.078)] in Asians as compared to non Asians. Body Mass Index (BMI), Mid Arm Circumference (MAC) and Serum Albumin were not significantly different in the two groups. Difficulties in assessing and interpreting nutritional status in the Asian dialysis population are discussed and areas for further work are identified.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259679","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}
{"title":"Medical English for nurses. How important is it? What to consider and how to structure a course?","authors":"M I Mylaeus-Rengglí","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A common language is a precondition for a forum where scientific achievements as well as professional nursing issues can be discussed. It enables the professionals to exchange results and to create a new international terminology for future aspects. English should be the language of choice because not only is it the common language of most other members in the multidisciplinary team in nephrology, it is acknowledged world-wide as the scientific language. The aim of the project was to devise a medical English course for nurses which would enable them to participate at an international congress in English without the aid of translation and to make them aware of the available medical English literature at their facilities. The course has 20 weekly one and a half hour lessons. There is a test at the beginning for self evaluation for the students and to assist the course teacher on the grouping of the students for workshops. Didactic elements were included as well as videos, slides, workshop and games. More than 50% of the 28 nurses who attended the courses worked within in a renal setting. Evaluation of the course demonstrated that at the end they felt able to tackle English medical text and had enjoyed the course thoroughly.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259682","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}