{"title":"Hemodialysis access site morbidity.","authors":"L C Aman, N W Levin, D W Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"277-84"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358486","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}
A potential need for more organ donors has been identified because of the improved survival rates of patients receiving kidney transplants and the reports of improving graft success rates. Because of the development of the EMS trauma program, an awareness of the potential benefit for increased organ donation could be realized by improved working relationship of the EMS trauma unit and the organ recovery agency. In the final analysis, careful planning of a regionwide program for organ recovery by the organ retrieval groups to include the EMS trauma unit should result in an increased number of cadaveric kidneys for transplantation.
{"title":"The role of the Emergency Medical Services in organ donation.","authors":"F C Whittier, D R Boyd, J Warren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A potential need for more organ donors has been identified because of the improved survival rates of patients receiving kidney transplants and the reports of improving graft success rates. Because of the development of the EMS trauma program, an awareness of the potential benefit for increased organ donation could be realized by improved working relationship of the EMS trauma unit and the organ recovery agency. In the final analysis, careful planning of a regionwide program for organ recovery by the organ retrieval groups to include the EMS trauma unit should result in an increased number of cadaveric kidneys for transplantation.</p>","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"155-9"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18098546","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":"Dialyzer reuse: a long-term study of safety and efficacy at one center.","authors":"K S Kant, V E Pollak, D Goetz, M Cathey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"35-8"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17862327","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}
P R Uldall, I Kennedy, H Craske, E Porrett, J Aid, F Woods, D Levine
A controlled, cross-over trial of bicarbonate versus acetate hemodialysis over a 24 wk period in 16 patients with end-stage renal failure has shown a significantly lower incidence of dialysis-related symptoms during dialysis with bicarbonate. The level of well-being in the intervals between dialysis was not appreciably affected by the dialysis mode. It is suggested that bicarbonate dialysis should be made available to all patients receiving regular hemodialysis for end-stage renal failure provided that this can be done reliably and safely.
{"title":"A double-blind controlled trial of acetate versus bicarbonate dialysate.","authors":"P R Uldall, I Kennedy, H Craske, E Porrett, J Aid, F Woods, D Levine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A controlled, cross-over trial of bicarbonate versus acetate hemodialysis over a 24 wk period in 16 patients with end-stage renal failure has shown a significantly lower incidence of dialysis-related symptoms during dialysis with bicarbonate. The level of well-being in the intervals between dialysis was not appreciably affected by the dialysis mode. It is suggested that bicarbonate dialysis should be made available to all patients receiving regular hemodialysis for end-stage renal failure provided that this can be done reliably and safely.</p>","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"220-3"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18097346","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}
L H Toledo-Pereyra, S Baskin, L McNichol, G Edford, J Whitten, R Allaben
In general, cadaver kidney transplantation survival remains at 40-50% for the first year after transplantation. To compare the beneficial effect of a new immunosuppressive protocol to standard therapy (azathioprine and prednisone), we have studied 30 high risk first cadaveric renal allograft recipients who were randomly selected before (Group A, n=15) and after (Group B, n=15) 10/79. At 12 mos, actuarial graft survival of Group B is 75% compared to 46% in Group A. Actuarial patient survival for Group B is 94% for one year compared to 60% in Group A. We feel that these improved results are related to basic changes in our immunosuppressive protocol. These changes consist of: 1. Low doses of azathioprine and prednisolone (less than 1 mg/kg) with rapid reduction to very low levels (less than 0.3 mg/kg); 2. ALG administration at 30 mg/kg/day for 14 times; 3. Rapid placement (one month) on alternate day steroid therapy; 4. Elimination of steroids for the treatment of rejection; 5. Use of ALG (20 mg/kg/day for 10 days) for the treatment of rejection; 6. Use of ALG combined with modified lymph node irradiation for third rejection episodes; and 7. Long-term intermittent ALG administration provided that kidney function continues to be normal. The best immunosuppressive protocol is clearly the one associated with less morbidity and improved quality of life after transplantation. Our current protocol (Group B) provides the best results.
{"title":"Improved results in high risk cadaveric kidney transplantation.","authors":"L H Toledo-Pereyra, S Baskin, L McNichol, G Edford, J Whitten, R Allaben","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In general, cadaver kidney transplantation survival remains at 40-50% for the first year after transplantation. To compare the beneficial effect of a new immunosuppressive protocol to standard therapy (azathioprine and prednisone), we have studied 30 high risk first cadaveric renal allograft recipients who were randomly selected before (Group A, n=15) and after (Group B, n=15) 10/79. At 12 mos, actuarial graft survival of Group B is 75% compared to 46% in Group A. Actuarial patient survival for Group B is 94% for one year compared to 60% in Group A. We feel that these improved results are related to basic changes in our immunosuppressive protocol. These changes consist of: 1. Low doses of azathioprine and prednisolone (less than 1 mg/kg) with rapid reduction to very low levels (less than 0.3 mg/kg); 2. ALG administration at 30 mg/kg/day for 14 times; 3. Rapid placement (one month) on alternate day steroid therapy; 4. Elimination of steroids for the treatment of rejection; 5. Use of ALG (20 mg/kg/day for 10 days) for the treatment of rejection; 6. Use of ALG combined with modified lymph node irradiation for third rejection episodes; and 7. Long-term intermittent ALG administration provided that kidney function continues to be normal. The best immunosuppressive protocol is clearly the one associated with less morbidity and improved quality of life after transplantation. Our current protocol (Group B) provides the best results.</p>","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"289-92"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18097353","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":"An analysis of factors influencing the growth of children after renal transplantation.","authors":"J K Hurley, T Greenslade, J S Chmiel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"293-5"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18097354","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}
S Hopper, N Feduska, F Vincenti, W Amend, O Salvatierra
{"title":"The organization of a successful donor-specific transfusion protocol in related recipients with high MLC.","authors":"S Hopper, N Feduska, F Vincenti, W Amend, O Salvatierra","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"272-6"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17244897","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":"Preliminary clinical results with sodium-volume modeling of hemodialysis therapy.","authors":"F A Gotch, M A Lam, M Prowitt, M Keen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"12-7"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358479","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":"Hepatitis B markers among dialysis patients without hepatitis B surface antigen or antibody.","authors":"T J Kelly, T V Sanchez, M J Patterson, G H Mayor","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"10 ","pages":"165-8"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358480","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}
S K Mahajan, A A Abbasi, A S Prasad, W A Briggs, F D McDonald
{"title":"Effect of zinc therapy on uremic hypogonadism: a double blind study.","authors":"S K Mahajan, A A Abbasi, A S Prasad, W A Briggs, F D McDonald","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76353,"journal":{"name":"Proceedings of the Clinical Dialysis and Transplant Forum","volume":"9 ","pages":"260-1"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11341487","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}
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