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[Priorities in research of hemoblastosis].

https://arctichealth.org/en/permalink/ahliterature199753
Source
Vestn Ross Akad Med Nauk. 1999;(11):56-9
Publication Type
Article
Date
1999
Author
A I Vorob'ev
G A Frank
V V Kochemasov
B P Kopnin
T I Bulycheva
V G Savchenko
V O Sautina
Source
Vestn Ross Akad Med Nauk. 1999;(11):56-9
Date
1999
Language
Russian
Publication Type
Article
Keywords
Hematologic Neoplasms
Humans
Program Evaluation - trends
Research - trends
Russia
Abstract
Evidence is provided for that it is urgent to elaborate a problem of hemoblastosis and hemopoietic depressions within the framework of a special federal research and technological programme. Priorities of research lines in this areas, trends of their development till 2005 are presented.
PubMed ID
10635758 View in PubMed
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Peritoneal dialysis: an evolving understanding.

https://arctichealth.org/en/permalink/ahliterature208585
Source
Semin Nephrol. 1997 May;17(3):226-38
Publication Type
Article
Date
May-1997
Author
F X McCusker
B P Teehan
Author Affiliation
Lankenau Hospital/Medical Research Center, Wynnewood, PA, USA.
Source
Semin Nephrol. 1997 May;17(3):226-38
Date
May-1997
Language
English
Publication Type
Article
Keywords
Canada
Humans
Kidney Failure, Chronic - therapy
Peritoneal Dialysis - methods - mortality - trends
Predictive value of tests
Program Evaluation - trends
Survival Rate
Treatment Outcome
United States
Abstract
Since continuous ambulatory peritoneal dialysis (PD) was introduced in 1978 by Popovich and Moncrief, the use of peritoneal dialysis as effective renal replacement therapy has expanded on an international level. Improvements in technology and technique have lessened the incidence of infectious complications, although strategies continue to evolve to improve technical success. As technical challenges have been met, increasing attention has been turned to PD dose. Retrospective studies have strongly suggested that patient outcome is related to the amount of toxin removal. Recently, prospective data confirm that morbidity and mortality are strongly associated with dialysis adequacy. The important contribution of residual renal function to total toxin clearance is now recognized and implies a need to adjust dialysis dose to maintain adequate clearance as residual renal function declines. Reasonable, yet arbitrary, targets for dialysis clearances can now be asserted as Kt/V of 2.0 per week and weekly creatinine clearance of 60 L/wk. These current guidelines indicate a need to individualize dialysis dose to achieve target clearances and improved outcome. Current data also indicate that malnutrition is highly prevalent in the PD population and is associated with poor clinical outcomes, including decreased survival. Deterioration in nutritional status begins before the initiation of dialysis, and it seems that worse nutritional status at the start of dialysis is a strong predicator of poor outcome. These findings suggest that earlier initiation of dialysis, before a significant decline in nutritional status occurs, is warranted to maintain good nutrition and optimize outcome.
PubMed ID
9165652 View in PubMed
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Alberta's Rural Physician Action Plan: an integrated approach to education, recruitment and retention.

https://arctichealth.org/en/permalink/ahliterature206424
Source
CMAJ. 1998 Feb 10;158(3):351-5
Publication Type
Article
Date
Feb-10-1998
Author
D R Wilson
S C Woodhead-Lyons
D G Moores
Author Affiliation
Department of Public Health Sciences, University of Alberta, Edmonton.
Source
CMAJ. 1998 Feb 10;158(3):351-5
Date
Feb-10-1998
Language
English
Publication Type
Article
Keywords
Alberta
Education, Medical - organization & administration - statistics & numerical data
Health Plan Implementation - economics - organization & administration - trends
Humans
Internship and Residency - economics
Physician Incentive Plans - economics - trends
Program Evaluation - trends
Retrospective Studies
Rural Health Services - economics - organization & administration - statistics & numerical data
Abstract
This paper describes the development and characteristics of a comprehensive, integrated and sustained program for the education, recruitment and retention of physicians for rural practice in Alberta--the Rural Physician Action Plan. The participation of key stakeholders (including government, the provincial medical association, the licensing authority, faculties of medicine, practising rural physicians and regional health authorities) and a sustained program budget have been key organizational issues for success. Critical to the effectiveness of this program has been the focus on professional and lifestyle issues targeting 3 distinct groups: physicians in training, physicians in practice, and rural communities and health authorities. Substantial program funding since 1991-92 of up to $3 million per year has increased rural-based activities significantly. For example, 87% of medical students and 91% of residents in family medicine in Alberta now experience 4 weeks or more of rural practice. The authors believe that the historic issues and recent trends militating against recruitment and retention of rural physicians will continue unchecked without comprehensive and sustained approaches such as Alberta's Rural Physician Action Plan.
Notes
Cites: CMAJ. 1992 Sep 1;147(5):617-231521207
Cites: J Contin Educ Health Prof. 1990;10(3):237-4310124693
Comment In: CMAJ. 1998 May 19;158(10):1269; author reply 1269-709614816
Comment In: CMAJ. 1998 May 19;158(10):1269; author reply 1269-709614817
PubMed ID
9484262 View in PubMed
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