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Barbara G. Delano Marianna S. Markell Frieda Wolf Ejiro Ugova Eli A. Friedman Moro O. Salifu 《Hemodialysis international. International Symposium on Home Hemodialysis》2002,6(1):54-57
There is limited use of home renal replacement therapies in the U.S.A. One percent of dialysis patients are on home hemodialysis (HHD) and only 9% undergo peritoneal dialysis (PD). In an effort to better understand this, 161 satellite hemodialysis patients in 6 units in Brooklyn were surveyed. Forty‐eight percent of patients were women, 86% were black, 5% white, 8% Hispanic, and 1% other. Mean age was 49.4 years (range 22 – 69 years). Etiology of renal disease was hypertension (41%), diabetes mellitus (31%), polycystic kidney disease (3%), systemic lupus erythematosus (4%), and other or unknown (21%). Patients were queried about knowledge of and attitudes toward home therapies. Seventy‐nine percent of patients knew of home dialysis. The source of this information was the nephrologist (59%), the social worker (14%), a nurse (8%), other patients (4%), and other sources (15%). Only 10% of patients had ever considered HHD. Fifty‐four percent were afraid to do self‐care at home and 35% were not interested. Surprisingly, only 3% felt they had no reliable helper and 8% felt that their housing was not suitable. Similarly, 78% of patients had been spoken to about PD, but only 11% had considered it. Forty‐one percent were afraid of doing self‐care on PD, and 45% were not interested. We conclude that, although the majority of patients in six inner‐city dialysis units had heard of home dialysis, only a small number ever considered it. As many patients were afraid of doing home therapy, better education about the risks and benefits needs to be disseminated. 相似文献
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Zhentao Wu Irfan M.D. Hatim Benjamin F.K. Kingsbury Ejiro Gbenedio K. Li 《American Institute of Chemical Engineers》2009,55(9):2389-2398
A novel inorganic hollow fiber membrane reactor (iHFMR) has been developed and applied to the catalytic dehydrogenation of propane to propene. Alumina hollow fiber substrates, prepared by a phase inversion/sintering method, possess a unique asymmetric structure that can be characterized by a very porous inner surface from which finger-like voids extend across ∼80% of the fiber cross-section with the remaining 20% consisting of a denser sponge-like outer layer. In contrast to other existing Pd/Ag composite membranes, where an intermediate γ-Al2O3 layer is often used to bridge the Pd/Ag layer and the substrate, the Pd/Ag composite membrane prepared in this study was achieved by coating the Pd/Ag layer directly onto the outer surface of the asymmetric substrate. After depositing submicron-sized Pt (0.5 wt %)/γ-alumina catalysts in the finger-like voids of the substrates, a highly compact multifunctional iHFMR was developed. Propane conversion as high as 42% was achieved at the initial stage of the reaction at 723 K. In addition, the space-time yields of the iHFMR were ∼60 times higher than that of a fixed bed reactor, demonstrating advantages of using iHFMR for dehydrogenation reactions. © 2009 American Institute of Chemical Engineers AIChE J, 2009 相似文献
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