Clinical Perspective: Activity Groups in a Renal Dialysis Unit

2010 ◽  
Vol 36 (3) ◽  
pp. 142-148
Author(s):  
Suzanne Wallace
Keyword(s):  
Renal Dialysis ◽  
Clinical Perspective ◽  
Dialysis Unit ◽  
Activity Groups

Health Care for South Lebanon's Civilian Population Following the June 1982 War

1985 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
T.H. Tulchinsky ◽  
Yakov Adler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Child Nutrition ◽  
Renal Dialysis ◽  
Nutrition Status ◽  
Local Health ◽  
Dialysis Unit ◽  
Medical Needs ◽  
South Lebanon

AbstractFollowing the June 1982 war in South Lebanon, the Israel Ministry of Health sent a medical team to assess health conditions in the area, to assist in the restoration of local health services, and to provide additional medical assistance as needed in public health and specialized medical services. For the approximately 600,000 population of the area, public health sanitary conditions were restored by local authorities, with some external assistance. Sanitation and housing for the refugee camp populations were difficult to solve because of extensive damage in the camps; but United Nations activities, supported by international and Israeli sources, were effective. Epidemic conditions did not occur. Monitoring for specific infectious diseases showed increases not exceeding usual summer conditions. Child nutrition status was satisfactory. Medical needs for specialty services, not available in South Lebanon, were arranged through screening and referral to Israeli hospitals. Renal dialysis needs were met by establishing a dialysis unit using local personnel in a damaged and non-functioning government hospital. Private medical and hospital services, the bulk of health care in the area, functioned except for minor dislocations throughout the war and post-war period. Israeli medical aid, managed by a small multidisciplinary team, was designed to assist and, where necessary, augment rather than replace local health services.

Critical appraisal of two methods for determining aluminum in blood samples

1990 ◽  
Vol 36 (8) ◽  
pp. 1466-1469 ◽  
Author(s):  
C D Hewitt ◽  
K Winborne ◽  
D Margrey ◽  
J R Nicholson ◽  
M G Savory ◽  
...  
Keyword(s):  
Critical Appraisal ◽  
Renal Dialysis ◽  
Reference Interval ◽  
Linear Calibration ◽  
Matrix Modifier ◽  
Dialysis Unit ◽  
Routine Monitoring ◽  
Analytical Recovery ◽  
Triton X ◽  
Drug Studies

Abstract We report two methods for determining aluminum concentrations in blood. Method 1, proposed for routine monitoring of patients with chronic renal failure, includes a collection procedure that can be adopted by any renal dialysis unit, with a minimum of sample contamination. Plasma samples are diluted fourfold with HNO3/Triton X-100 matrix modifier. Method 2 is proposed for determining aluminum concentrations in patients with normal renal function, e.g., in drug studies and environmental monitoring. Samples are diluted with an equal volume of Mg(NO3)2 matrix modifier and atomized from a L'vov platform. By either method, analytical recovery of aluminum added to serum ranged between 92% and 105% throughout the linear calibration range. The reference interval (mean +/- SD) for aluminum in 22 healthy subjects by method 2 was 0.044 +/- 0.030 mumol/L.

scholarly journals Seroprevalence of Leptospirosis in Suspected High Risk Sudanese Patients; A Pilot Exploratory Study

2022 ◽  
Author(s):  
Wisal Mustafa Ibrahim Mohammed ◽  
Nada Abdelghani Abdelrahim
Keyword(s):  
High Risk ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Exploratory Study ◽  
Renal Dialysis ◽  
Unknown Origin ◽  
Dialysis Unit ◽  
Igm Antibodies ◽  
Stage Renal Disease ◽  
End Stage

Abstract BackgroundThe extent of leptospirosis is unknown in Sudan and it might be mistaken for other more common febrile infectious diseases. Leptospirosis might also be associated with renal diseases that are common in Sudan. We intended to explore the existence of human leptospirosis in suspected high risk patients in Khartoum, Sudan, via sero-screening random febrile patients and those undergoing renal dialysis.MethodsThis is a pilot exploratory study that was conducted in 6 months period from April to September of 2013. Hospitals were selected conveniently following a non-random sampling approach. A total of 119 febrile patients (with or without definitive diagnosis) and patients under renal dialysis were included and their serum specimens, clinical and demographic data were collected. Sera were screened qualitatively for the existence of anti-leptospiral IgM antibodies using rapid lateral flow immunosorbent assay. Ethical clearance and official permissions were obtained.ResultsOut of the total 119 patients, 57 (47.9%) had end stage renal disease and were under dialysis at Renal Dialysis Unit in Asbab Charity Hospital in Bahri, 47 (39.5%), were febrile with unknown origin attending the Tropical Medicine Hospital in Omdurman, and 15 (12.6%) were febrile and were diagnosed as having malaria or typhoid and attended Yastabshiron Medical Centre and Bashauer Teaching Hospital. The overall prevalence of anti-leptospiral IgM antibodies among all 119 screened patients was 7%. The prevalence among the 57 with end stage renal disease was 9%, and among the 47 with fever of unknown origin was 6%. The prevalence among the 15 with fever of known origin (diagnosed as malaria or typhoid) was 0%. Almost all positive patients had recurring episodes of fever, are in close contact with livestock, were farmers and have natural untreated source for drinking water.ConclusionLeptospirosis is probably a common febrile condition and can be easily considered as one of the major causes of chronic kidney disease affecting people in this country. A national sero-screening for leptospirosis among those living in high risk geographical areas and those at occupational risk is highly recommended.

Demands for vascular access in a renal dialysis unit: Implications for a regional vascular unit

2006 ◽  
Vol 175 (1) ◽  
pp. 24-28 ◽  
Author(s):  
E. Eguare ◽  
S. Tierney ◽  
R. Maher ◽  
M. Creamer ◽  
P. Grace ◽  
...  
Keyword(s):  
Vascular Access ◽  
Renal Dialysis ◽  
Dialysis Unit

scholarly journals The effect of applying central line insertion and maintenance bundles in a renal dialysis unit – an effort to reduce CRBSI rate

2015 ◽  
Author(s):  
Mohammed Ahmed Fouad ◽  
◽  
Abdelsafi Abbas Gabbad ◽  
Mahmoud AbdelRazik ◽  
◽  
...  
Keyword(s):  
Phase 1 ◽  
Renal Dialysis ◽  
Baseline Period ◽  
Central Line ◽  
Artificial Kidney ◽  
Intervention Period ◽  
Small Hospital ◽  
Dialysis Unit ◽  
Central Line Insertion ◽  
Crbsi Rate

CRBSI rates were determined before and after the application of central line (CL) insertion and maintenance bundles by means of a prospective surveillance study conducted on patients undergoing regular catheter haemodialysis in the Artificial Kidney Unit of Al-Leith General Hospital, over a period of 12 months. During Phase 1 (baseline period), active surveillance was performed without the implementation of the infection control bundles. CRBSI rates obtained in Phase 1 were compared with CRBSI rates obtained in Phase 2 (intervention period), after implementation of the CL insertion and maintenance bundles. 2854 CL days were recorded during baseline period, 2,611 CL days were recorded during the intervention period. The CRBSI rate was 4.9 per 1,000 CL days in baseline period, and in the intervention period, the CRBSI rate decreased to 2.3 per 1,000 CL days. (Relative risk [RR] 0.48, 95% confidence interval [CI] 0.29–0.94, P = 0.02), showing a reduction of 52% in the CRBSI rate. This study shows that the implementation of CVC insertion and maintenance bundles was associated with a significant reduction in the CRBSI rates in the renal dialysis unit of a small hospital. Based on our study, we recommend that these bundles are protocol be adopted in all renal dialysis units.

scholarly journals Psychiatric morbidity among patients on haemodialysis in the Mosul district of Iraq

2007 ◽  
Vol 4 (4) ◽  
pp. 92-94
Author(s):  
Hellme Najim ◽  
Emad Al-Badrani ◽  
Khalid Omar Sultan
Keyword(s):  
Psychiatric Morbidity ◽  
Renal Dialysis ◽  
Chronic Haemodialysis ◽  
Financial Security ◽  
Relationship Problems ◽  
Dialysis Unit ◽  
Community Activities ◽  
Wide Range ◽  
The Family ◽  
Patient Relationships

Patients on chronic haemodialysis experience a wide range of physical and psychological stresses. The specific sources of stress include: loss or threatened loss of possessions; relationship problems (e.g. staff–patient relationships, changed roles within the family); restrictions related to physical health status and the dialysis regimen; loss of body function and impaired body image; increased dependency and aggression; the threat of death; impairment of vocational function and financial security; and decreased participation in leisure, social and community activities (Phipps & Turkington, 2001). A review of psychological maladjustment in patients on haemodialysis found that about 55% exhibited significant emotional distress, a prevalence three to five times that found in the general population (Aghanwa & Morakinyo, 1997). The present study aimed to ascertain the prevalence of psychiatric morbidity among patients attending a renal dialysis unit in Mosul, Iraq.

Lipid Perxidtion and Antioxidants in Continuous Ambulatory Dialysis Patients

1992 ◽  
Vol 12 (2) ◽  
pp. 252-256 ◽  
Author(s):  
J.E. Taylor ◽  
N. Scott ◽  
A. Bridges ◽  
I.S. Henderson ◽  
W.K. Stewart ◽  
...  
Keyword(s):  
Free Radical ◽  
Renal Dialysis ◽  
Indirect Evidence ◽  
Hemodialysis Patients ◽  
Red Cells ◽  
Red Cell ◽  
Dialysis Patients ◽  
Dialysis Unit ◽  
Increased Risk ◽  
Significant Difference

Objective Oxidative cell damage due to the production of free radical species has been implicated in the pathogenesis of cardiovascular disease for which dialysis patients are at increased risk. Plasma lipid peroxides (malon-dialdehyde), the antioxidants plasma albumin thiol, and red cell superoxide dismutase (SOD) were therefore measured in 18 patients undergoing continuous ambulatory peritoneal dialysis (CAPD), 20 hemodialysis patients, and 30 normal controls. Setting Renal dialysis unit. Results Malondialdehyde(MDA)concentrationswere significantly higher in dialysis patients compared to controls (p<0.001 ) and were significantly higher in CAPD patients compared to hemodialysis patients, p<0.001 (CAPD, median and range: 11.25 (8.4–15.5) nmol/mL; hemodialysis: 8.75 (7.0–12.6) nmol/mL; controls: 6.65 (5.2–9.6) nmol/mL). Plasma thiol and red cell SOD were significantly lower in dialysis patients compared to controls, but there was no significant difference between CAPD and hemodialysis patients (CAPD thiol: 333.5 (282480) μmol/L; hemodialysis thiol: 344 (203–468) μmol/L; control thiol: 421.5 (351 -504) μmol/L; CAPD SOD: 78.2 (42.4 -112.8) u//2 mL red cells; hemodialysis SOD: 89.4 (44.6–121.1) u//2 mL red cells; control SOD: 96.8 (66.8153.4) u//2 mL red cells). Red cell SOD was significantly negatively correlated with duration of dialysis in CAPD patients (r=-0.683, p<0.01 ). Conclusion In dialysis patients there is indirect evidence for increased free radical activity, which may be further influenced by the mode of dialysis.

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