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Abstracts of the 32nd Conference of EDTNA/ERCA. Birmingham, United Kingdom, 20-23 September 2003. 第32届EDTNA/ERCA会议摘要。2003年9月20日至23日,英国伯明翰。
Pub Date : 2003-01-01
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引用次数: 0
Recommendations for a European framework for specialist nursing education. 欧洲专科护理教育框架建议。
Pub Date : 2003-01-01 DOI: 10.1111/j.1755-6686.2003.tb00309.x
Whereas in many countries within the EU specialist nursing practice exists requiring post-basic * nursing education that varies from one country to another, the European Network for Nurses Organisations has developed a framework for specialist nursing education, in order to harmonise post basic nursing education and to facilitate the free movement of specialist nurses.
然而,在欧盟的许多国家,专科护理实践要求不同国家的基础后护理教育,欧洲护士组织网络为专科护理教育制定了一个框架,以协调基础后护理教育,促进专科护士的自由流动。
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引用次数: 3
In our haemodialysis unit when using the Critline haemoscan, there are problems using this device when administrating transfusions. Any ideas on how to solve this? 在我们的血液透析单元中,当使用Critline血清仪时,在给药时使用该设备存在问题。对如何解决这个问题有什么想法吗?
Pub Date : 2002-10-01
Franta Lopot
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引用次数: 0
Has anyone got any information on using CCPD + one HD a week for some one who cant stand HD! How do we calculate their Kt/V? any ideas please? 有没有人有关于使用CCPD +一个高清一个星期的一些人谁不能忍受高清的任何信息!如何计算它们的Kt/V?有什么想法吗?
Pub Date : 2002-10-01
James Tattersall
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引用次数: 0
Renal replacement therapy in the intensive care unit with a single-pass batch system. 重症监护病房肾替代治疗的单批处理系统。
Pub Date : 2002-01-01
D Fliser
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引用次数: 0
Percutaneous interventions for vascular dialysis access. 经皮介入血管透析通路。
Pub Date : 2001-04-06 DOI: 10.1111/j.1755-6686.2001.tb00147.x
M. Roček, J. Peregrin
A prerequisite for the long-term patency of vascular access is early detection of a failing shunt, i.e., at the stage of stenosis. Fistulography performed to locate the lesion is followed by percutaneous transluminal angioplasty using a balloon catheter. The procedure takes 30-60 minutes to complete; the clinical success rate varies between 85% and 98%. A more serious condition of failled vascular access is its occlusion secondary to thrombosis. The high costs of hospitalisation and treatment of thrombosed shunts require effective yet less invasive outpatient procedures. Recent years have seen an explosion in the development of mechanical devices on the principle of mechanical dissolution, fragmentation, and aspiration of the clot. Post-procedural dialysis can be performed immediately thus reducing the need for a central venous catheter. The procedure, particularly in the treatment of native fistula occlusion, is more complicated and about twice as time consuming as treatment of stenosis. The clinical success rate is usually between 71% and 100%. The incidence of serious complications of percutaneous treatment is low.
血管通道长期通畅的先决条件是早期发现失败的分流,即在狭窄阶段。瘘管造影用于定位病变,然后使用球囊导管进行经皮腔内血管成形术。整个过程需要30-60分钟才能完成;临床成功率在85%到98%之间。血管阻塞继发于血栓形成是血管通路失败的更严重的情况。血栓性分流的住院和治疗费用高,需要有效且侵入性较小的门诊手术。近年来,基于机械溶解、破碎和吸血原理的机械装置发展迅猛。术后透析可立即进行,从而减少对中心静脉导管的需要。该手术,特别是治疗先天性瘘管闭塞,更为复杂,耗时约为狭窄治疗的两倍。临床成功率通常在71%到100%之间。经皮治疗的严重并发症发生率低。
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引用次数: 0
Drop-out rate during living donor selection. 活体供体选择期间的退出率。
Pub Date : 2001-04-06 DOI: 10.1111/J.1755-6686.2001.TB00148.X
R. Trevitt, C. Whittaker, E. A. Ball, L. Fitzgerald
This unit carried out 29 live donor transplants over a 3-year period. Many potential donors did not proceed to transplant. For those who had an acceptable tissue type, were blood group compatible and lymphocytotoxic crossmatch negative, we looked at the reasons for cancelling the donor work up. The reasons were impaired renal function (5 potential donors), cardiac/hypertension (4 potential donors), renovascular (1 potential donor), cancer (1 potential donor), cross-match positive at a late stage (3 potential donors), failure to attend at clinic/change of mind (6 potential donors) and hepatitis (2 potential donors). Improvements carried out following the audit include a list of tests which potential donors living away from this unit--especially those abroad--are asked to do before travelling here. An information leaflet has also been produced for potential donors.
该单位在3年内进行了29例活体供体移植。许多潜在的捐赠者没有进行移植。对于那些具有可接受的组织类型,血型相容且淋巴细胞毒性交叉配型阴性的人,我们研究了取消供体工作的原因。原因包括肾功能受损(5例潜在献血者)、心脏/高血压(4例潜在献血者)、肾血管(1例潜在献血者)、癌症(1例潜在献血者)、晚期交叉配型阳性(3例潜在献血者)、未就诊/改变主意(6例潜在献血者)和肝炎(2例潜在献血者)。审计后进行的改进包括一份清单,要求居住在本单位以外的潜在捐助者————特别是那些在国外的捐助者————在前往本单位之前进行测试。还为可能的捐助者制作了一份资料单张。
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引用次数: 12
The UK's Asian population: solving the transplant crisis. 英国的亚洲人口:解决移植危机。
Pub Date : 2001-04-06 DOI: 10.1111/J.1755-6686.2001.TB00150.X
G. Randhawa
The United Kingdom Transplant Authority has recently re-introduced a policy to identify the ethnicity of patients. This is in response to the realisation byTransplant Co-ordinators and other health professionals in the field that a number of disparities existed between Asian residents and the indigenous population. The limited data that exists highlights that the Asian population are in a disproportionately greater need of kidney transplants. The situation is clear, there needs to be a greater number of donors coming forward from the Asian communities to increase the pool of suitable organs. However, this may only be achieved if we understand the reasons for the current lack of supply. Very little empirical research has been devoted to this subject and those studies, which have been carried out, highlight the need for greater attention to this life-threatening problem.
英国移植管理局最近重新引入了一项政策,以确定患者的种族。这是对移植协调员和该领域的其他卫生专业人员认识到亚洲居民与土著居民之间存在许多差异的回应。现有的有限数据突出表明,亚洲人口对肾脏移植的需求不成比例地更大。情况很清楚,需要有更多来自亚洲社区的捐赠者来增加合适的器官库。然而,只有当我们了解目前供应不足的原因时,这才有可能实现。对这一问题进行的实证研究很少,而已经进行的这些研究突出表明需要更多地注意这一危及生命的问题。
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引用次数: 4
Rehabilitating the frail and elderly on renal replacement therapy. 以肾脏替代疗法康复体弱及长者。
Pub Date : 2001-04-06 DOI: 10.1111/J.1755-6686.2001.TB00140.X
M. Williams
The World Federation of Occupational Therapists defines Occupational Therapy as "...the treatment of physical and psychiatric conditions through specific activities in order to help people reach their maximum level of function and independence in all aspects of daily life." Occupational Therapy has long been associated with the frail and elderly, both in hospital and the community. In the United Kingdom however, it appears formal input to the renal multidisciplinary team is a relatively new development. Certainly across Europe, none of us needs reminding of the increasing incidence of older patients with renal failure. United Kingdom figures released in the Second Annual Report of the UK Renal Registry in December 1999 state that, "At the start of treatment 46% of patients were aged 65 or more" (1).
世界职业治疗师联合会将职业治疗定义为“……通过特定的活动来治疗身体和精神疾病,以帮助人们在日常生活的各个方面达到最大的功能水平和独立性。”长期以来,无论是在医院还是在社区,职业疗法都与体弱和老年人有关。然而,在英国,肾脏多学科团队的正式投入似乎是一个相对较新的发展。当然,在整个欧洲,我们都不需要提醒老年肾衰竭患者的发病率正在上升。1999年12月发布的英国肾脏登记第二份年度报告显示,“在治疗开始时,46%的患者年龄在65岁或以上”(1)。
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引用次数: 1
Clinical impact of residual renal function on patients starting dialysis treatment. 肾功能残留对开始透析治疗患者的临床影响。
Pub Date : 2001-04-06 DOI: 10.1111/J.1755-6686.2001.TB00144.X
A. Taratufolo, S. Egidi, A. Grassotti, F. Pedulla, M. Satriani, P. Galeotti, O. Carofei
We describe our clinical experience of monitoring residual renal function of patients on regular dialysis treatment as residual renal function can play an important role in the management of patients undergoing regular dialysis. With active residual renal function it is possible to delay the start of haemodialytic programmes. In managing dialysis treatments, it is important to maintain residual renal function by preventing hypotensive events. It is known that in acute renal failure intradialytic hypotension is able to reduce the recovery of renal function. Out patient follow-up plays an important role for these patients. This paper will also discuss the use of biocompatible membranes during dialysis. The outcome is that they are not associated with better maintenance of residual renal function.
我们描述了我们监测定期透析患者残余肾功能的临床经验,因为残余肾功能可以在定期透析患者的管理中发挥重要作用。活动性残余肾功能可能延迟血液透析方案的开始。在透析治疗管理中,重要的是通过预防低血压事件来维持残余肾功能。众所周知,在急性肾功能衰竭时,透析性低血压能够减少肾功能的恢复。门诊随访对这些患者起着重要的作用。本文还将讨论生物相容性膜在透析中的应用。结果是它们与更好地维持残余肾功能无关。
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引用次数: 3
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EDTNA/ERCA journal (English ed.)
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