Survey of transportation to dialysis facilities among patients in Aichi Prefecture

Abstract Aichi prefecture, Japan is predicted to be hit by Mega-earthquake. Aichi Prefectural Association of Midwives has been making efforts to improve disaster preparedness for pregnant women. This project aims to acquire area data of pregnant women for simulated studies of rescue activities. Number of women in census survey areas in Nagoya City was acquired from nationwide data of pregnant women by machine learning (Cascade-Correlation Learning Architecture). Quite high correlation coefficients between actual data and estimation data were observed. Rescue simulations have been carried out based on the data acquired by this study.

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Kidney Transplantation Referral and Waitlisting Patterns among Dialysis Facilities in Georgia

Annals of Epidemiology ◽

10.1016/j.annepidem.2017.07.049 ◽

2017 ◽

Vol 27 (8) ◽

pp. 519

Author(s):

Xingyu Zhang ◽

Jennifer Gander ◽

Laura C. Plantinga ◽

Laura McPherson ◽

Mohua Basu ◽

...

Keyword(s):

Kidney Transplantation ◽

Dialysis Facilities

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FC 135A STEP TOWARD GREEN NEPHROLOGY: APPLYING THE PASSIVE HOUSE CONCEPT TO THE CONSTRUCTION OF DIALYSIS FACILITIES

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab137.002 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Christophe Mariat ◽

Jocelyne Rey ◽

Annie Olivier ◽

Perrine Jullien

Keyword(s):

Health Care ◽

Environmental Impact ◽

Energy Savings ◽

The Body ◽

Sustainable Construction ◽

Passive House ◽

Pump System ◽

Dialysis Facility ◽

Dialysis Facilities ◽

House Standard

Abstract Background and Aims The environmental impact of dialysis is now being largely recognized. It requires from the nephrology community to actively explore novel environmentally responsible health-care practices. Among them, conception of energy-efficient facilities may be an important prerequisite for improving the environmental impact of dialysis. The Passive House concept is an internationally recognised, performance-based energy standard in construction which so far has been rarely applied to medical facilities and never to dialysis centres. We report our experience with the first passive-house certified dialysis facility in Europe. Method The Passive House concept is a sustainable construction standard for nearly zero energy buildings (the Resolution of the European Parliament of 31/01/2008 has called for its implementation by all member states by 2021). Principles and design tools of the Passive House concept are freely available for all architects. The concept combines a particularly high level of insulation with a specific system of ventilation. Geothermal energy and energy from inside the building such as the body heat from the residents or solar heat entering the building are the main energy sources. Passive House buildings allow for heating and cooling related energy savings of up to 90% compared with typical building stock and over 75% compared with average new buildings. Results The François Berthoux Center (www.artic42.fr) is a 4 400 m2 dialysis facility operated by 40 health care agents and providing care to 135 patients. It was designed following the Passive-House standard, applied for the first time to such a medical building. Several adjustments specific to the dialysis activity were necessary. The most unexpected aspect was the importance of hemodialysis machines as an energy source. Thorough thermal evaluation showed that the heat provided by different type of hemodialysis machines was systematically superior to the energy mandatory during the coldest day of the year (>10 W/m2). In practice, the center turned out to be fully operational with no external source of heating. The downside was that the geothermal pump system was not sufficient to fully regulate temperatures during the warmest period of the year. Optimal cooling was achieved by the addition of conventional AC systems in the hemodialysis rooms. Overall, as compared to a similar center, energy savings provided by the The François Berthoux Center were substantially less than what is expected from a conventional Passive House building but were over 50%. The extra-cost of the construction was estimated to 3 to 5%. Conclusion In conclusion, the concept of eco-friendly building should extend to dialysis facilities. Application of the Passive House Standard in the context of hemodialysis requires to take into account some specificities that can impact the global environmental performance of the building. However, the net result is clearly in favor of such a construction, which is both affordable and sustainable.

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MONITORING OF FLOODS ON SMALL AND MEDIUM-SIZED RIVERS BY AICHI PREFECTURE AND THE CITY OF GAMAGORI, USING SPECIALIZED WATER LEVEL MEASURING DEVICES FOR THE OBSERVATION OF FLOODS

Journal of Japan Society of Civil Engineers Ser B1 (Hydraulic Engineering) ◽

10.2208/jscejhe.77.1_92 ◽

2021 ◽

Vol 77 (1) ◽

pp. 92-97

Author(s):

Yusuke TAKAHASHI ◽

Koichiro KAWAKAMI ◽

Nobuhisa SUZUKI

Keyword(s):

Water Level ◽

Measuring Devices ◽

Aichi Prefecture ◽

The City

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NESQUEHONITE FROM YOSHIKAWA, AICHI PREFECTURE, JAPAN: OCCURRENCE AND THERMAL BEHAVIOUR

The Journal of the Japanese Association of Mineralogists Petrologists and Economic Geologists ◽

10.2465/ganko1941.69.275 ◽

1974 ◽

Vol 69 (8) ◽

pp. 275-284 ◽

Cited By ~ 8

Author(s):

JUJIN SUZUKI ◽

MASAHIRO ITO

Keyword(s):

Thermal Behaviour ◽

Aichi Prefecture

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Predictors of quality of life among patients on dialysis in southern Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802008000500002 ◽

2008 ◽

Vol 126 (5) ◽

pp. 252-256 ◽

Cited By ~ 25

Author(s):

Maristela Bohlke ◽

Diego Leite Nunes ◽

Stela Scaglioni Marini ◽

Cleison Kitamura ◽

Marcia Andrade ◽

...

Keyword(s):

Quality Of Life ◽

Peritoneal Dialysis ◽

Short Form ◽

Outcome Measurement ◽

Cross Sectional Study ◽

Southern Brazil ◽

Cross Sectional ◽

Sf 36 ◽

Dialysis Facilities

CONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This was a cross-sectional study developed in three southern Brazilian dialysis facilities. METHODS: Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression. RESULTS: A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 ± 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (β-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (β-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (β 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (β 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (β 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (β 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (β 3.9; 95% CI: 0.3-7.6). CONCLUSIONS: Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL.

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Medicare’s New Prospective Payment System on Facility Provision of Peritoneal Dialysis

Clinical Journal of the American Society of Nephrology ◽

10.2215/cjn.05680518 ◽

2018 ◽

Vol 13 (12) ◽

pp. 1833-1841 ◽

Cited By ~ 8

Author(s):

Virginia Wang ◽

Cynthia J. Coffman ◽

Linda L. Sanders ◽

Shoou-Yih D. Lee ◽

Richard A. Hirth ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Confidence Interval ◽

Market Competition ◽

Prospective Payment System ◽

Payment System ◽

Prospective Payment ◽

System Effect ◽

Number Of Patients ◽

Dialysis Facility ◽

Dialysis Facilities

Background and objectivesPeritoneal dialysis is a self-administered, home-based treatment for ESKD associated with equivalent mortality, higher quality of life, and lower costs compared with hemodialysis. In 2011, Medicare implemented a comprehensive prospective payment system that makes a single payment for all dialysis, medication, and ancillary services. We examined whether the prospective payment system increased dialysis facility provision of peritoneal dialysis services and whether changes in peritoneal dialysis provision were more common among dialysis facilities that are chain affiliated, located in nonurban areas, and in regions with high dialysis market competition.Design, setting, participants, & measurementsWe conducted a longitudinal retrospective cohort study of n=6433 United States nonfederal dialysis facilities before (2006–2010) and after (2011–2013) the prospective payment system using data from the US Renal Data System, Medicare, and Area Health Resource Files. The outcomes of interest were a dichotomous indicator of peritoneal dialysis service availability and a discrete count variable of dialysis facility peritoneal dialysis program size defined as the annual number of patients on peritoneal dialysis in a facility. We used general estimating equation models to examine changes in peritoneal dialysis service offerings and peritoneal dialysis program size by a pre– versus post-prospective payment system effect and whether changes differed by chain affiliation, urban location, facility size, or market competition, adjusting for 1-year lagged facility–, patient with ESKD–, and region-level demographic characteristics.ResultsWe found a modest increase in observed facility provision of peritoneal dialysis and peritoneal dialysis program size after the prospective payment system (36% and 5.7 patients in 2006 to 42% and 6.9 patients in 2013, respectively). There was a positive association of the prospective payment system with peritoneal dialysis provision (odds ratio, 1.20; 95% confidence interval, 1.13 to 1.18) and PD program size (incidence rate ratio, 1.27; 95% confidence interval, 1.22 to 1.33). Post-prospective payment system change in peritoneal dialysis provision was greater among nonurban (P<0.001), chain-affiliated (P=0.002), and larger-sized facilities (P<0.001), and there were higher rates of peritoneal dialysis program size growth in nonurban facilities (P<0.001).ConclusionsMedicare’s 2011 prospective payment system was associated with more facilities’ availability of peritoneal dialysis and modest growth in facility peritoneal dialysis program size.PodcastThis article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2018_11_19_CJASNPodcast_18_12_.mp3

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