RSS Feeds
Chronic Hemodialysis as a Medical and Social Experiment
- CHARLES E. NORTON, M.D.
- Requests for reprints should be addressed to Charles E. Norton, M.D., University of Washington School of Medicine, Department of Medicine, Division of Kidney Diseases, Seattle, Wash. 98105.
Excerpt
Since the introduction of reliable and relatively permanent external portals into patients' arterial and venous blood systems in 1960 (1), work and experimentation with hemodialysis as a chronic and life-sustaining procedure have expanded rapidly (2-10). Numerous centers are now equipped or are equipping themselves with the required apparatus and have acquainted or are acquainting themselves with the procedures and the problems involved.
During this period of initial expansion of facilities and experimentation, a good deal of concern and anxiety has been expressed on a wide but related range of issues having to do with the feasibility of the procedure and
Summario in Interlingua
In le curso de un studio del reaction psychologic de patientes subjicite a hemodialyse chronic, il deveniva evidente que un comprension del situation medical e social in le qual tal patientes se trova es requirite a fin que un observator pote appreciar le responsas emotional del patientes al gestalt del tractamento.
Le presente communication presenta un breve revista historic del cooperation inter varie segmentos del societate effectuate in Seattle con le resultato de un ben-balanciate supporto global pro le patientes in question. Recercatores medical al Schola de Medicina esseva in le situation favorabile de poter derivar un considerabile supporto financial ab un major fundation national e ab le Institutos National de Sanitate. Illes etiam habeva le assistentia de un numero de fabricantes e venditores de equipamento. Le Departimento de Ingenieria al Universitate cooperava in elaborar le theoria e le construction del installation technic.
Le adjuta del Societate Medical del region e del Consilio de Planation Hospitalari del citate esseva obtenite in le organisation del Centro pro Renes Artificial a Seattle, e repre sentantes del population de commerciantes se provava preste a contribuer lor experientia pro le disveloppamento de un firme base organisational e financiari pro le centro.
Viste que non importa le qual de un grande numero de possibile malfunctiones o inadequatias medical, de equipamento, de personal, e financiari pote disrumper le programma e seriemente minar le moral del patientes, il es apparente que le successo de un tal programma depende del adequate maneamento de omne le mentionate eventualitates.
Article and Author Information
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From the Department of Medicine, University of Washington, Seattle, Wash.
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This study was supported by grant AM-06741-03, National Institutes of Health, Bethesda, Md., and by grants at the Seattle Artificial Kidney Center and at the University of Washington from the John A. Hartford Foundation, Inc., New York, N. Y.
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- Received December 23, 1966.
- Accepted January 11, 1967.
