ASSESSING THE ADEQUACY OF HEMODIALYSIS AS RENAL REPLACEMENT THERAPY

Following the increase in incidence and prevalence of the risk factors responsible for the occurence of renal impairment is the increase of patients suffering from chronic kidney disease (CKD). As the renal function declines and the end stage of the chronic kidney disease is reached, it is necessary to start one of the following methods for substituting the renal function: renal transplantation, hemodialysis or peritoneal dialysis. The treatment of choice for most patients is hemodialysis, both in Romania and abroad in the international medical centers. According to official data, the number of patients undergoing hemodialysis is constantly growing. Hemodialysis adequacy evaluation instruments must be familiar among clinicians in order to provide a treatment that meets the quality standards

RENAL AFFECTATION IN POLYRHEUMATOID ARTHRITIS

Polyrheumatoid arthritis (PA) is a chronic systemic inflammatory condition of unknown origin and autoimmune pathogenesis. It affects several articulations, which become damaged and deformed; furthermore, multiple systemic manifestations are often encountered. Rheumatoid arthritis(RA) is an important risk factor for the occurrence of CKD and is mandatory that clinicians possess a good knowledge of the mechanisms determining renal impairment and means to prevent it