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Books > Medicine > Clinical & internal medicine > Renal medicine
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Prescribing Hemodialysis - A Guide to Urea Modeling (Hardcover, 1991 ed.)
Loot Price: R8,293
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Prescribing Hemodialysis - A Guide to Urea Modeling (Hardcover, 1991 ed.)
Series: Developments in Nephrology, 29
Expected to ship within 10 - 15 working days
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What regulation shall we have for the operation? Shall a man
transfuse he knows not what. to correct he knows not what. God
knows how (l)? Dr. Henry Stubbs Royal College of Physicians circa
1670 If dialysis therapy were a new phannaceutical product being
evaluated by the FDA now, it might not be approved for marketing.
The recommended dose, its potential toxicity, the side effects of
under-or over-dialysis as well as its efficacy have been the
subject of very few studies. The high mortality rate associated
with the treatment may raise a few eyebrows. That it is a
life-saving modality of treatment is undoubtedly true for more than
100,000 patients in the United States and for more than a million
patients world wide. Because dialysis has extended the lives of
many people by a variable period of time, most nephrologists have
"rested on their laurels" and did not vigorously pursue studies to
optimize these treatments. But facts have a way of intruding in all
our lives and the facts are that the overall mortality rate of
dialysis patients in the United States is rising and stands close
to 25% per year and is closer to 33% per year for patients between
the ages of 65 and 74 (2). These mortality figures are considerably
higher for age-adjusted dialysis populations in Europe and particu
larly in Japan, and certainly for the age-adjusted nonnal
population."
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