The case for continued scrutiny of catheterization-related complications.
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Cardiac Catheterization↗
Biomedical subjects
J Kron
Publications and source records attributed to J Kron.
[Prospective studies of diet compliance in the chronic hemodialysis program].
For 25 patients with terminal renal insufficiency predictions were made on their later dietic compliance under dialysis conditions and documented, before they were admitted to the chronic dialysis programme. These predictions were based exclusively on observation of the patients' behaviour during consultations with kidney specialists and during periods of hospitalization. In 18 cases the dietic compliance observed during the first two years of dialysis matched the prediction. It is thus also possible for a nephrologist to recognize early those patients who are likely to violate the fluid restrictions frequently during subsequent dialysis treatment. As long as those personality features and reaction types which cause non-compliance are known, normal consultation and hospital contact suffice.
Adult↗
[Porphyria cutanea tarda-like skin changes in chronic hemodialysis patients].
Porphyria cutanea tarda-like changes of the skin are described in two male patients undergoing chronic haemodialysis. The protoporphyrin values of the erythrocytes were somewhat higher than normal. Despite the same conditions of dialysis and the same medication in the subsequent two years of control no recidivations could be registered. The etiopathogenesis is not clarified.
Humans↗
Myocardial infarction following an acute viral illness.
A 24-year-old man was admitted to our coronary care unit with a transmural lateral wall myocardial infarction 48 hours after the onset of a viral illness. Coronary angiography two months following the patient's discharge from the hospital disclosed normal left ventricular wall motion and coronary anatomy. The pathophysiologic mechanisms of myocardial infarction in the setting of normal coronary arteries are reviewed. The possibility of a viral-induced myopericarditis is raised.
Acute Disease↗
[Psychological aspects of outfit and establishment of dialysis departments].
Psychological viewpoints are often not sufficiently regarded in the planning of institutions of public health. On the occasion of an interrogation of patients undergoing dialysis 2/3 of them said that their behaviour during the treatment is influenced by the equipment of the rooms. In accordance they were of the opinion that the equipment of a department for dialysis should possibly little remember of a hospital. In future this fact should more be taken into consideration in the equipment or reconstruction and renovation of centres for dialysis. At the practical instance is shown, how with simple remedies in rooms for dialysis could be complied with the psychic requirements of the patients.
Environment↗
[Polyarteritis nodosa under the clinical picture of terminal kidney insufficiency].
In a 24-year-old patient the diagnosis panarteritis nodosa intra vitam was made. A terminal renal insufficiency was the dominating symptom. In addition to this besides fever in the patient were clinical symptoms on the side of the lung, the musculature and the skin. The diagnosis was confirmed by means of skin-muscle-biopsy from the clinically affected area. As was shown by biopsy in the patient who died after a stay in hospital of 9 days, the case in question was a multiple affection of the organs by panarteritis. A success in therapy could not be achieved. In the discussion clinic and diagnosis of this relatively rare disease are briefly explained.
Adult↗
[Psychosocial aspects of the preparation and admission of patients with renal insufficiency into the chronic hemodialysis program].
The long-term preparation of the patients with renal insufficiency to the treatment with chronic haemodialysis has a decisive influence on the later cooperative behaviour under the conditions of dialysis. Offences against diet and a hypertension conditioned by too much water appeared significantly more rarely in 19 patients who were prepared in their own dispensary for renal diseases during a long period than in 11 patients who were transferred to treatment only in the terminal stage. The presentation of the dialysis centre already before the beginning of the treatment is recommended by nearly all patients. The transition from the conservative therapy to the treatment with dialysis should take place without interruption and in the optimum case without stay in a hospital. The necessity of a well-timed registration of the prospective patients who will have to undergo dialysis and of their long-term psychosocial care in the stage of the compensated retention is emphasized.
Humans↗
[Possibilities and limits of compliance modification in chronic hemodialysis patients].
After the introduction of a number of measures concerning care of patients and changes in the therapy regimen (systematic preparation for dialysis treatment, intensive supply of information and active involvement of the patients in their treatment, nursing, rearrangement of the dialysis rooms, carrying out of dialysis in an armchair etc.) dietary errors in the form of excessive weight increase between dialyses have been observed significantly less often. Parallel to this, the frequency of hypertonia has been reduced. the aim of therapy is to arouse in the patient a consciously responsible and active attitude to his treatment. By reducing inconveniences in treatment and in the social environment, it is possible to make chronic haemodialysis patients more cooperative and make it easier for them to get used to the new way of life. The limiting factor for the improvement of compliance is however the patient's personality.
Adult↗
[Automatic semicontinuous peritoneal dialysis with volumetric cycle control].
An automatic peritoneal dialyser constructed by the authors is presented. It works on the principle of so-called semi-continuous peritoneal dialysis. Only 200 ml of dialysate are exchanged per cycle after the peritoneum has been filled. Whereas with the time control used by Di Paolo the outflow can fluctuate considerably due to various disturbing factors, volume control makes it possible to balance inflow and outflow precisely. The advantages of this procedure of peritoneal dialysis are that it functions automatically and that it therefore requires little attention from staff.
Humans↗
[A simple method for the reinfusion of ascitic fluid in hemodialysis patients].
A simple method for the ascites reinfusion in patients undergoing chronic dialysis, which is easily to be performed using the dialysis apparatuses during the regular haemodialyses and scarcely needs expenditure. When an ascites derivation is indicated in patients undergoing haemodialysis should, in order to avoid a loss of protein, always a reinfusion of the ascites be performed.
Ascites↗
[Subclavian catheter as an occasional vascular approach for chronic hemodialysis].
It is reported on a one-year experience with the subclavian catheter as approach to vessels for the chronic haemodialytic treatment. During this period 201 chronic dialysis were performed via this way of approach and thus in 17 cases the lacking conventional connection with the vessels was temporarily substituted. Taking into consideration the necessary precautionary measures the subclavian catheter proved as an excellent possibility for the connection of the patient with the extracorporal haemodialytic circulation up to the creation of a permanent connection with the vessels. The advantages of this method are discussed. Practical references for the differentiated application of connections with vessels and dialytic techniques up to the creation of a definitive possibility of the connection for the chronic haemodialysis are given.
Catheterization↗
Designing a better place to die.
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Attitude to Death↗