INTRODUCTION The current role of nurses in the management of critically ill patients needing continuous renal replacement therapies is clearly fundamental. The care of these complex patients is typically shared by critical care and dialysis nurses: their precise duties may vary from country to country. METHODS To clarify this issue we conducted a national-level survey at a recent Italian cour...

BACKGROUND It is very challenging for resource-limited settings to introduce universal health coverage (UHC), particularly regarding the inclusion of high-cost renal dialysis as part of the UHC benefit package. This paper addresses three issues: (1) whether a setting commits to include renal dialysis in its UHC benefit package and if so, why and how; (2) how to ensure quality of renal dialysis ...

Objective. Uncertainty has arisen as to whether renal function can be recovered from after long-term regular dialysis treatment. We therefore conducted an analysis and scrutinized one patient report. Material and Methods. Swedish registry of patients with kidney disease and one patient case. Results. 39 patients (0.2%) from the Swedish registry comprising 17590 patients who commenced RRT (renal...

AIMS To measure the time between onset of symptoms and intention to treat in patients with anti-neutrophil cytoplasmic antibody (ANCA) associated glomerulonephritis; and to investigate the effect of any delay in diagnosis on disease severity at presentation and outcome. METHODS All ANCA positive patients with biopsy proven glomerulonephritis presenting in the North West Region over a consecut...

After more than a quarter century of dialysis, two factors are still present in dialysis treatment of chronic renal failure patients: inadequacy of technology (the artificial kidney acts as an artificial glomerulus) and inadequate use of technology in terms of dialysis initiation and frequency. This paper presents the results of two less unphysiological dialysis programs, introduced in Bologna ...

The study was aimed at demonstrating the effectiveness of peritoneal dialysis in the treatment of cats with severe renal insufficiency. Continued peritoneal dialysis was performed on three cats of mixed breeds, with the symptoms of renal failure. In the course of dialysis level of urea and creatinine, content of glucose and protein, level of Mg, P, Ca, and activity of liver enzymes (AST, ALT, A...

Chronic renal disease is a major health issue in various parts of the world. The number of patients with end-stage renal disease (ESRD) is increasing in both developed and developing countries, greatly expanding the need for chronic dialysis and renal transplantation. In the year 2000, approximately 205,000 and 240,000 patients with ESRD were currently maintained on chronic dialysis in Japan an...

I n the pre-dialysis stage, the nutritional management of diabetic patients with chronic renal fail ure involves mainly caloric and protein intake and control of blood sugar. These aspects are very important because severity of hyperglycemia is correlated with the rate of progression of chronic renal failure, while strict glycemic control can markedly diminish the likelihood of nephropathy and ...

OBJECTIVE End-stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. METHODS This was a retrospective cohort of pediatric patients with End-stage renal disease who underwent hemodialysis followed by kidney transplant. A...

1. Leptin is thought to be an inhibitor of appetite. As the kidney helps clear several polypeptide hormones, plasma leptin may accumulate in end-stage renal disease. 2. Plasma immunoreactive leptin was measured in four groups of subjects: haemodialysis, continuous ambulatory peritoneal dialysis and renal transplant patients and a group of healthy controls. Leptin was also measured before and af...