BACKGROUND Newborns with inborn errors of metabolism often present with hyperammonaemic coma, requiring prompt diagnosis and specific medical therapy, nutritional support and efficient toxin removal. Little information regarding the efficacy and safety of continuous venovenous haemodialysis (CVVHD) as an option for extracorporal ammonia detoxification in children is available. METHODS Twenty-...

Although peritoneal dialysis (PD) has been recommended for initial dialysis therapy, a larger proportion of patients with end-stage renal disease choose hemodialysis (HD) instead. Several previous studies comparing the outcomes of these two therapies, including survival rates and cardiovascular events, have not clearly demonstrated the superiority of one over the other. Our recent study indicat...

peritoneal dialysis is an established form of renal replacement therapy used in many patients with end-stage renal disease. the key to a successful chronic peritoneal dialysis is a permanent and safe access to the peritoneal cavity. this study was conducted in order to evaluate the catheter survival and its related factors in imam khomeini hospital. a total of 80 catheters were inserted into 69...

background: chemical and microbial quality of water used in hemodialysis play key roles in a number of dialysis-related complications. in order to avoid the complications and to guarantee safety and health of patients therefore, vigorous control of water quality is essential. the objective of present study was to investigate the chemical and bacteriological characteristics of water used in dial...

conclusions dialysis with cool dialysate is a simple and cheap nondrug method, which was readily accepted by the patients. this method could significantly reduce the severity of pruritus in patients during dialysis. results before the intervention, there was no significant between-group difference in the severity of pruritus (p < 0.05). after the intervention, the severity of pruritus was signi...

BACKGROUND The Trendelenburg position has been suggested for right internal jugular vein (RIJV) catheterization. However, this position can sometimes be functionally intolerable for chronic kidney disease patients. We conducted an ultrasound study to further investigate the efficacy of the use of the Trendelenburg position during tunneled dialysis catheter insertion via the RIJV in chronic kidn...

BACKGROUND The tenet that peritoneal dialysis is capable of either normalizing or improving blood pressure control in uraemic patients is based on outdated or monocentric experiences. Therefore, we assessed the prevalence of hypertension and the efficacy of antihypertensive therapy in a large, multicentric cohort of patients on peritoneal dialysis. METHODS Twenty seven out of the 50 centres b...

Background: Dialysis adequacy is one of the most important factors in determining the survival rate and mortality of dialysis patients. Objectives: The aim of this study was to determine the dialysis adequacy of patients undergoing chronic hemodialysis at dialysis centers located in the province of Zanjan, located in northwest Iran. Methods: This descriptive cross-sectional study was performe...

This article examines the extent and manner to which evaluations of flood-related precautions are affected by an individual's motivation and perception of context. It argues that the relationship between risk perception and flood risk preparedness can be fruitfully specified in terms of vulnerability and efficacy if these concepts are put into the perspective of prevention-focused motivation. T...

background: hemodialysis is a process of removing waste and excess fluid from blood when kidneys cannot function efficiently. it often involves diverting blood to the filter of the dialysis machin to be cleared of toxic substances. fouling of pores in dialysis membrane caused by adhesion of plasma protein and other toxins will reduce the efficacy of the filtre. objective: in this study, the inf...