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N Grefberg

Publications and source records attributed to N Grefberg.

23 records · Page 2Linked to original sources

Computed tomography, ultrasonography and gamma camera scintigraphy after renal transplantation.

In routine postoperative observations on 31 transplanted kidneys, computed tomography (CT), ultrasonography (US) and gamma scintigraphy (GS) were compared with respect to diagnosis of abscess or lymphocele in the vicinity of the transplant, rejection and outflow obstruction. The results showed that US was the most reliable procedure for detecting fluid-filled cavities. In cases of graft rejection, GS was of most value. In demonstrating outflow obstruction, there was no definite difference between the three methods.

Cysts↗

Decreasing insulin requirements in CAPD patients given intraperitoneal insulin.

In a retrospective study, insulin requirements were examined in two groups of dialyzed diabetic patients: one treated with subcutaneous insulin and the other with intraperitoneal insulin. In the first group, insulin requirements did not change with time on dialysis irrespective of whether the patients were treated with hemodialysis or continuous ambulatory peritoneal dialysis (CAPD); however, in CAPD patients using the intraperitoneal route of administration, a significant decrease in insulin requirements occurred simultaneously with improved metabolic control. This observation may indicate that intraperitoneal administration of insulin is advantageous as compared to the subcutaneous route.

Adult↗

Patient adherence in renal replacement therapy: whose problem is it? The physician's perspective.

Patient compliance is an issue sadly neglected in the literature. Out of 470 scientific papers concerning dialysis published in 1996 only 4 (< 1%) addressed the subject. Doctors have an important role in the process leading to patient adherence, as they often see the patient on an outpatient basis for years before the start of dialysis and have an opportunity to prepare the patients for the forthcoming demands. Studies have shown that patients not seeing a Nephrologist before start of dialysis have a higher mortality and morbidity rate. The doctor has also an important role when informing the patient about the consequences of non-compliance. The aim should be to make the patient feel that he or she is a valuable member of the caring team.

Humans↗