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[Forecasting the number of patients with end-stage renal disease (Model of the system)].

The authors are dealing with the renal replacement therapies in Hungary. They are on the opinion that in view fo patient flow renal replacement therapies (such as various methods of dialysis and kidney transplantation) can be considered as one system. With analysing the number of patients in the past years they can establish that end-stage renal disease puts significant burden on the health insurance fund. According to their calculations the number of patients with end-stage renal disease will increase by 14-16% in the next few years if current trends continue. If we want to operate the system efficiently, we can reduce--up to a certain extent--the economic burden of dialysis by increasing the number of kidney transplantations.

Adolescent↗

[Current spread of HPN and its forecast--especially in the dual therapy of HPN and HOT].

In 1999, Terumo's home healthcare network 'Home-Joint' managed more than 1,000 patients who underwent home parenteral nutrition (HPN). This spread of HPN led some patients to undergo another home medical treatment during the same period. This report evaluates the patients who underwent dual home therapy (HPN and HOT: home oxygen therapy) in comparison with patients who underwent HPN only. 1. Single HPN patients in 1999. Number: 1,034 (male 57%), age: 1-99 (mean 65, 43% over 70), diagnosis: cancer 52%, therapeutic periods: 1-437 days (mean 81). 2. Dual HPN-HOT patients in 1999. Number: 27 (male 70%), age: 44-94 (mean 75, 70% over 70), diagnosis: cancer 59%, therapeutic periods: HPN 1-388 days (mean 91), HOT 1-827 days (mean 99). 3. Adoption of dual HPN-HOT therapy. It is suggested that the dual HPN-HOT therapy may be adopted for at least the following two types of patients. 1) Pulmonary failure with HPN, 2) Malnutrition on HOT.

Adolescent↗

[Formation of organochlorine compounds in the chlorination of water containing industrial contaminants: Experimental assessment and forecasting].

The hazard of GSS production from commercial chemicals was evaluated during water chlorination by analyzing the results of experimental study of chlorination of chemicals from different classes. Structural fragments were found, their presence in the molecule determined the capacity of a substance to undergo intensive transformation to form GSS. The regularities that associates the structure of a substance with the rate of chlorination were detected. Some theoretical approaches to the determination of the ability of chemical to chlorinate are outlined.

Hydrocarbons, Chlorinated↗