scholarly journals Implementation of State Programs to Reduce Chronic Kidney Failure in Azerbaijan

2020 ◽  
Vol 6 (4) ◽  
pp. 147-152
Author(s):  
F. Babaev
Keyword(s):  
Renal Failure ◽  
Kidney Transplantation ◽  
Chronic Renal Failure ◽  
Renal Insufficiency ◽  
Kidney Transplant ◽  
Chronic Renal Insufficiency ◽  
The State ◽  
State Program ◽  
Number Of Patients

In the general structure of chronic renal failure, up to 40% is terminal chronic renal failure requiring replacement renal therapy, particularly hemodialysis, peritoneal dialysis, and kidney transplantation. Azerbaijan has an annual increase in the number of patients with chronic renal failure by 10–12 per cent. In 2006, the State Program of Measures for Chronic Renal Failure 2006–2011 was adopted to reduce the prevalence and improve the quality of treatment for chronic renal failure. The implementation of this program allowed to create a state register of patients with chronic renal failure, expand the network of hemodialysis centers, increase availability in medicines, use modern methods of early diagnosis and prevention of chronic renal failure. In order to further improve nephrological assistance, the second stage of the State Program for the Reduction of Chronic Renal Insufficiency in Azerbaijan for 2011–2016 years has been adopted. The effectiveness of Program to reduce chronic renal insufficiency in Azerbaijan has been demonstrated by the improvement of the quality of medical care, the increase in life expectancy and the reduction of mortality. It should be noted that thanks to this Program, the number of patients receiving hemodialysis per 21.0–25.0% increases annually. In 2010, the Republican Clinical Urological Hospital opened a kidney transplant center. The main objectives of the Program are to reduce mortality from chronic renal failure, Increasing hemodialysis centers according to the number of patients with chronic renal failure and kidney transplant operations. In 2016, the State Program of chronic renal failure for 2016–2020 was adopted. Some progress has been made during the implementation of the State Program. In many parts of the Azerbaijan, the population is provided with dialysis assistance free of charge from the State budget. By January 1, 2020, there are 3 kidney transplantation centers and 45 hemodialysis centers equipped with 716 dialysis devices.

scholarly journals A krónikus vesebetegek transzplantációval kapcsolatos attitűdjeinek vizsgálata

2018 ◽  
Vol 159 (46) ◽  
pp. 1898-1904
Author(s):  
Amanda Illés ◽  
Balázs Nemes ◽  
Sándor Kovács ◽  
Antal Bugán
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Kidney Transplantation ◽  
Chronic Renal Failure ◽  
Medical Diagnosis ◽  
Negative Attitudes

Abstract: The patients’ attitudes towards kidney transplantation are significantly affected by the acceptance of the treatment to have a better quality of life. Exploration of the cognitive-emotional relation in patients with chronic renal failure. Our study included 285 kidney patients. We investigated three groups of patients: predialysis, dialysis and transplantation patients. In the framework of a pre-examination we have created an attitudinal questionnaire (85 items) that can be used to describe the cognitive and emotional attitude of kidney patients towards their illness and to measure scales. Negative attitudes towards transplantation were reported in dialysis and predialysis patients. In contrast, patients who had already undergone surgery were particularly positive about kidney transplantation. Many patients refuse transplantation which correlates with attitudes towards illness and healing. Our results showed that the exploration of the patients’ cognitive emotional relation along with the medical diagnosis would have a better adherence towards the kidney substitutional treatment which ensures a better quality of life. Orv Hetil. 2018; 159(46): 1898–1904.

scholarly journals Current possibilities of improving the results of kidney transplantation in patients of the older age group, including those with an aggravated urological history

2021 ◽  
Vol 13 (2) ◽  
pp. 165-178
Author(s):  
B. Z. Khubutiya ◽  
O. N. Rzhevskaya ◽  
A. A. Lisenok
Keyword(s):  
Renal Failure ◽  
Kidney Transplantation ◽  
Chronic Renal Failure ◽  
Elderly Patients ◽  
Kidney Transplant ◽  
Older Age ◽  
Long Term Results ◽  
Kidney Graft ◽  
Age Group ◽  
The World

Introduction. All over the world and in Russia, the number of patients requiring dialysis therapy and kidney transplantation for chronic renal failure in the end-stage of the renal disease is increasing. In many countries of the world, the number of dialysis patients over 60 years of age accounts for 30 to 45% of all patients with chronic renal failure. Meantime, taking into account the improved methods for early diagnosis of chronic renal failure and the treatment methods for chronic kidney disease, including the renal replacement therapy, we can expect an increase in the number of elderly potential kidney transplant recipients. The likelihood of receiving a renal graft in elderly patients is significantly lower than in young recipients. Elderly patients are known to have a higher risk of death while waiting for a kidney transplant due to higher morbidity and lethality on dialysis. For this reason, the urgency of increasing the availability of kidney transplantation in elderly patients is growing over time. One of the solutions can be the use of kidneys from suboptimal donors with a far from ideal graft quality, but which could meet the needs for transplant care of the older age group of patients. The older age of a recipient entails a certain risk of developing a graft dysfunction due to the presence of concomitant diseases, and the potential risk increases even more with kidney transplants from expanded criteria donors. If a reduced functional reserve of kidneys removed from donors with extended criteria is identified, two-kidney transplantation is possible, which provides fairly good long-term results. To reduce the risk of a kidney graft loss, a careful selection of recipients is necessary, taking into account their co-morbidities, including the presence of urological diseases that impair the function of the upper and lower urinary tract. Their timely identification and correction makes it possible to raise the availability of kidney transplantation for elderly patients and improve its results. This review presents the results of the studies conducted in various world transplant centers, covers the mortality rates, kidney graft and recipient survival rates.The study purpose was to summarize the actual data and the results of the study on kidney transplantation in elderly patients with urological pathology.

scholarly journals Consulta de enfermagem no pré e pós-operatório de transplante renal: faz a diferença?

2009 ◽  
Vol 3 (2) ◽  
pp. 237
Author(s):  
Adriana Valongo Zani ◽  
Giovana Paz ◽  
Glaucimara Boniotti
Keyword(s):  
Renal Failure ◽  
Kidney Transplantation ◽  
Data Collection ◽  
Kidney Transplant ◽  
Professional Practice ◽  
Thematic Analysis ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Number Of Patients ◽  
Random Draw

ABSTRACTObjective: to describe the patient’s knowledge with chronic renal failure submitted to kidney transplantation on the importance of consultation with nursing for his treatment. Methodology: this is about an exploratory-descriptive study from qualitative approach. The data collection was from January to December 2007. The sample consisted of 36 patients undergoing kidney transplant from a total of 400. For the choice of the patients was a random draw simple daily. For data collection was used a questionnaire consisting of 11 questions concerning the information about the kidney transplant. For organization of the results was used thematic analysis proposed by Minayo. Results: as for nursing consultation for a significant number of patients claiming to be of importance to them, since they make them safer, take your questions and will be better targeted.  Conclusion: confirming the effectiveness of professional practice of nurses in the monitoring of renal patients who is subject to renal transplantation. Descriptors: nursing; kidney transplantation; chronic renal failure.RESUMOObjetivo: descrever o conhecimento do paciente portador de insuficiência renal crônica submetido a transplante renal referente à importância da consulta de enfermagem para seu tratamento. Metodologia: tratou-se de um estudo descritivo-exploratório com abordagem qualitativa. O período de coleta foi de janeiro a dezembro de 2007. A amostra foi constituída por 36 pacientes submetidos a transplante renal de um total de 400. Para a escolha dos pacientes foi realizado um sorteio aleatório simples diário. Para a coleta de dados foi utilizado um questionário composto por 11 perguntas referentes as informações sobre o transplante renal. Para organização dos resultados foi utilizada a análise temática proposta por Minayo. Resultados: quanto à consulta de enfermagem um número significativo de pacientes afirmam ser de importância aos mesmos, uma vez que os tornam mais seguros, tiram suas dúvidas e  serão melhor orientados. Conclusão: estes dados vêm a confirmar a eficácia da atuação profissional do enfermeiro no acompanhamento dos pacientes renais que se submeterão ao transplante renal. Descritores: enfermagem; transplante renal; insuficiência renal crônica.RESUMENObjetivo: describir el conocimiento del paciente portador de insuficiência renal crónica sometido a transplante renal, referente a la importáncia de la consulta de enfermería para su tratamiento. Metodologia: studio exploratório y descriptivo con abordaje cualitativa. El período de recogida fue de enero a diciembre de 2007. La muestra consistió de 36 pacientes sometidos a trasplante de riñón de un total de 400. Para la elección de los pacientes fue de un sorteo aleatorio simple diario. Para la recogida de datos se utilizó un cuestionario de 11 preguntas relativas a la información sobre el trasplante de riñón. Para la organización de los resultados se utilizó el análisis temático propuesto por Minayo. Resultados: cuanto a consulta de enfermeria, un número significativo de pacientes, afirma ser de importância a los mismos, una vez que los hacen mas seguros, disipan sus dudas y serán mejor orientados. Conclusión: lo que confirma la eficácia de la actuación profesional del enfermero, en el acompañamiento de los pacientes renales que se sometieron al transplante renal. Descriptores: enfermería; transplante renal; insuficiéncia renal crónica.

Simultaneous Bilateral Central Acetabular Fracture-Dislocations following an Epileptic Seizure in a Patient with Chronic Renal Failure

1998 ◽  
Vol 8 (4) ◽  
pp. 231-232 ◽  
Author(s):  
A.G. Papanikolaou ◽  
D.D. Aktipis ◽  
A.G. Giota ◽  
N.C. Antoniou
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Renal Insufficiency ◽  
Epileptic Seizure ◽  
Chronic Renal Insufficiency ◽  
Acetabular Fracture ◽  
Rare Injury ◽  
Fracture Dislocations

We report on a rare injury in a 60-year old diabetic lady suffering from chronic renal insufficiency. She sustained bilateral central acetabular fracture-dislocations following an epileptic seizure.

scholarly journals Fungsi Ginjal pada Anak dengan Keganasan di RSUP H. Adam Malik Medan

Sari Pediatri ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. 101
Author(s):  
Trie Hariweni ◽  
Bidasari Lubis ◽  
Rita Carmelia ◽  
Nelly Rosdiana ◽  
Adi Sutjipto
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Chronic Renal Failure ◽  
Renal Insufficiency ◽  
Chronic Renal Insufficiency ◽  
Impaired Renal Function ◽  
Crf Chronic Renal Failure

Berbagai keganasan hematologi dan tumor padat mampu mempengaruhi fungsi ginjal.Komplikasi pada ginjal ini dapat terjadi selama perjalanan penyakit keganasan, akibatinvasi keganasan pada ginjal, ureter, kandung kemih, akibat metabolit tumor tersebutserta akibat kemoterapi. Penelitian ini merupakan laporan pendahuluan yang bertujuanuntuk mengetahui keadaan fungsi ginjal pada anak dengan keganasan, hal tersebutdiperlukan dalam pertimbangan pemberian kemoterapi. Penelitian ini bersifat deskriptifrestropektif,data diambil dari rekam medik semua anak rawat inap yang menderitakeganasan dan belum pernah mendapat kemoterapi, di Bagian IKA RS Adam MalikMedan dalam rentang waktu Januari 1997 sampai dengan Desember 2000. Fungsi ginjaldinilai dari laju filtrasi glomerulus. Diperoleh sampel penelitian 127 pasien, usia kurangdari 5 tahun terdiri dari 22 (17%) pasien keganasan hematologi dan 42 (33%) pasientumor padat ganas, sedangkan usia lebih dari 5 tahun terdiri dari 41 (33%) pasienkeganasan hematologi dan 22 (17%) pada pasien tumor padat ganas. Dari 127 pasientersebut 63 pasien mengalami keganasan hematologi terdiri dari 43 laki-laki (34%) dan20 perempuan (16%), sedangkan 64 pasien menderita tumor padat ganas terdiri dari 29laki-laki (23%) dan 35 perempuan (27%). Keganasan hematologi dengan fungsi ginjalnormal didapatkan pada 48 (38%) anak, IRF (impaired renal function) 9 (14,3%), CRI(chronic renal insufficiency) 6 (9,5%) sedangkan pada tumor padat ganas dengan fungsiginjal normal 52 (41%), IRF 5 (7,8%), CRI 2 (3,2%), CRF (chronic renal failure) 5(8%). Terlihat bahwa pada pasien dengan keganasan hematologi dan tumor padatmengalami gangguan fungsi ginjal pada perjalanan penyakitnya.

scholarly journals Lapatinib and chronic renal insufficiency

ABOUTOPEN ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 5-7
Author(s):  
Luca Moscetti
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Renal Insufficiency ◽  
Tyrosine Kinase Inhibitor ◽  
Chronic Renal Insufficiency ◽  
Clinical Case ◽  
Kinase Inhibitor ◽  
Metastatic Breast ◽  
Her2 Positive ◽  
Breast Neoplasia

Lapatinib is an intracellular tyrosine-kinase inhibitor of both EGFR (ErbB1) and HER2 (ErbB2) receptors, which is indicated in the treatment of metastatic disease pretreated with anti-HER2 therapies. We report the clinical case of a woman with chronic renal failure in dialysis affected by HER2-positive metastatic breast neoplasia and treated with lapatinib and letrozole (Oncology).

Structural and morphological aspects of heart failure in chronic renal failure

10.12737/7377 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Артифексова ◽  
A. Artifeksova ◽  
Зубеева ◽  
G. Zubeeva ◽  
Харламова ◽  
...  
Keyword(s):  
Heart Failure ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Left Ventricle ◽  
Renal Insufficiency ◽  
Chronic Renal Insufficiency ◽  
Left Ventricular ◽  
Left Ventricular Cavity ◽  
Concentric Hypertrophy ◽  
Phase Calculation

The purpose of the study was to identify the structural and morphological characteristics of myocardium in patients with chronic renal insufficiency with clinical signs of heart failure and coronary heart disease. Surveyed 141 patients with chronic renal insufficiency 0, I, II, III stages. An eсhocardioscopiс study were held on the Vivid S6, General Electric, United States, which was of course-diastolic left ventricular cavity transverse dimension, thickness of the ventricular septal and posterior wall of the left ventricle, the length of the left ventricle in diastolic phase. Calculation is made of left ventricular myocardial mass index, index of the sphericity of the eccentricity. Determined the content of creatinine, CK-MB, troponin I and myoglobin. Morphological study on myocardial autopsic material 46 deaths of patients with chronic renal failure of varying degrees of severity. The Results. Initial displays remodeling appear in patients in the early stages of the disease. The loading phase of the disease is growing concentric hypertrophy of the left ventricle, there has been a progression of remodeling in increasing the frequency of occurrence of spherisation the cavity of the left ventricle. Dialysis reduces the severity of concentric hypertrophy of the left ventricle. As a result of the microscopic study of the heart was installed correlative dependence of structural changes in the myocardium of symptoms of chronic kidney failure.

scholarly journals MOTIVATION AND QUALITY OF LIFE AMONG PATIENTS WITH CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS IN MEDAN, INDONESIA

2019 ◽  
Vol 2 (3) ◽  
pp. 100-106
Author(s):  
Deddy Sepadha Putra Sagala ◽  
Jenny Marlindawani Purba ◽  
Nunung Febriyani Sitepu
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Questionnaire Administration ◽  
High Motivation ◽  
Spearman Test ◽  
Provide Health Education

The increasing number of patient with chronic renal failure can also increase the number of patients undergoing hemodialysis. Hemodialysis is normally undergone by the patients to maintain their life as well as to transform their lifestyle. Hence, patients need effective motivation that will affect the quality of life of patients undergoing hemodialysis. This study aimed to analyze the correlation between motivation with quality of life in patients undergoing hemodialysis. It was a correlational study using a cross-sectional approach. This study was conducted at a private hospital in Medan. The research sample was all patients with chronic renal failure undergoing hemodialysis at Imelda Pekerja Indonesia Hospital in the year 2018, with the total number of sample was 79. The data was collected through questionnaire administration. Spearman test was performed to examine the data. The result of the study showed that there was a positive correlation between motivation and quality of life among patients with chronic renal failure undergoing hemodialysis (r=0.813; p<0.05). The high motivation of patients influences their quality of life to undergo hemodialysis. This study can be used as a reference for nurses to provide health education to patients and their families. High motivation and how to improve quality of life are essential course for the patients. Keywords: Motivation, Quality of Life, Chronic Renal Failure

Sign in / Sign up

Export Citation Format

Share Document