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Showing 4 results for Aghakhani

Mr Einollah Molaei, Mr Mohammad Jafar Aghakhani, Mr Ali Akbar Abdollahi, Mr Alireza Shariati, Dr Ramin Taj Bakhsh,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Recirculation rate is essential for the quality of Hemodialysis . Since the treatment of patients is based on the Dialysis Adequacy, the evaluation of recirculation is especially important. This study was performed with the aim of measuring arteriovenous fistula recirculation and its relationship with some factors in Hemodialysis patients.

  Material and Methods: In this Descriptive-Analytical study, all Hemodialysis patients (n=100), in Panje Azar Hospital of Gorgan, whose vessels were accessed by arteriovenous Fistula was studied in the summer of 2009. In order to determine recirculation rate ، we used urea based classic method. The cut point of recirculation was considered 10%. The variables studied are Fistula longevity ، direction of needle insertion ، the space between needles and the place of needles fistula and KUF filteration. Data were analyzed by using descriptive statistics and logistic regression test (odds ratio and ci reported) in the SPSS software.

  Results: Patients were male (53) and female (47) with the mean age of 50.93± 17.23. The mean year of Dialysis history was 4.04 ± 5.04. Fifteen percent of patients had recirculation. Average access recirculation of all patients was 0.067 ± 0.118. Recirculation rate had significant relationship (P <0­.­05) with direction of two Arterial-Venous needle and the place of the two needles ، which may have been higher.

Conclusion: Considering the results of this study, we conclude that emphasis should be applied on instructing correct needle insertion in order to decrease recirculation
Hamid Sharifnia, Nader Aghakhani, Roghieh Nazari, Batool Nahrir,
Volume 8, Issue 2 (2-2012)
Abstract

  Background and Objective: Growing trend of chronic kidney disorders in the world represents the increased problem imposing on patients and their family, and ultimately reduce the quality of their life. ­Thus, dialysis patients are trying to ­increase their quality of lives, in addition to looking for proper treatment. ­ This study was conducted to­ compare the quality of life in hemodialysis patients ( HD) and peritoneal dialysis.­(PD)­

  Materials and Methods: ­ This cross-sectional study was performed on 166 dialysis patients (130 HD and 36 PD patients ) in teaching hospitals of Urmia University of Medical Sciences. The instrument was standard SF-36 questionnaire including demographic part and 36 questions about quality of life. To analyze the data , we used descriptive statistic and independent T- test.

  Results: Most of the participants (n=97) are female and most of HD (43.8%) and PD (50%) patients are in 26-45 and 15-25 age bracket, respectively. The mean of QOL score in HD patients in physical function, role function and mental health sections is more than the mean of PD (P<0.05).

  Conclusion:­ According to the results of the present study, QOL in HD is better than that PD. Hence, recognition of level of QOL in chronic renal failure, and research about promoting ways of QOL is necessary to step practically forward increasing QOL.


Saied Ghari, Einollah Molaie, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Maryam Khari, Robabeh Salehi,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and objective : Low blood pressure and Muscle cramps are common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the combination of sodium and ultrafiltration. The purpose of this study was to investigate the effect of of sodium and ultrafiltration profile on some of the common complications during Hemodialysis.

  Material and Methods: In this crossover clinical trial study, 22 Hemodialysis patients referred to Panje-­Azar Hospital in 2012 were divided randomly into two groups. For each group, two treatment protocols were conducted, six hemodialysis sessions. The intervention protocol was a linear sodium dialysate and linear ultrafiltration. In routine Protocol, both sodium dialysate and ultrafiltration were considered constant. Using chi-square test and relative risk, the data was analyzed (P<0.05).

  Results: The mean age is 54.73 ± 11.21 year and 59.1% of them are females. The incidence of hypotension and muscle cramps in the experimental protocol procedure is significantly decreased compared with that of control group (P<0.05), but the incidence of headache and vomiting is not significant (P<0.05).

  Conclusion: Because sodium and ultrafiltration profile is simple and cost-free and reduces the incidence of complications during dialysis, we recommend using sodium and UF profile instead of routine one.


Einollah Mollaie, Saied Ghari, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Seyyed Yaghoob Jafari, Maryam Khari, Robabeh Salehi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Hypotension and Muscle cramp are the common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the change in the concentration of sodium and ultrafiltration. The purpose of this study was to investigate the influence of sodium dialysate variation and ultrafiltration in preventing hypotension and muscle cramp during hemodialysis process.
Material and Methods: In this clinical trial study, 44 Hemodialysis patients were divided randomly into four groups. For each group, four treatment protocols (six-session Hemodialysis) were conducted. Protocol A: Sodium dialysate and ultrafiltration were constant. Protocol II: sodium was linear and ultrafiltration was constant. Protocol III: Sodium and ultrafiltration were linear. Protocol IV (routine): Sodium and ultrafiltration were constant. Using Chi-Square and relative risk, the data was analyzed (P<0.05).
Results: The incidence of hypotension, at the end of the fourth hour of dialysis in Protocol 3, was significantly decreased compared to that of routine method (P<0.05), while at the end of first, second and third hour, this difference was not significant. Muscle cramp in the routine method was more than other protocols (P=0.034). The relative risk of muscle cramp in the routine method was 2.08 times of protocol I, 1.09 of Protocol II, 2.08 of protocol III.
Conclusion: Sodium and ultrafiltration profile is simple and cost-free, and it reduces the incidence of hypotension and muscle cramp during dialysis. Thus, we recommend using sodium and UF profile instead of routine protocol to reduce these effects.


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