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MalaysianKidneySPA

Johor govt allocates RM1mil to haemodialysis centre

http://thestar.com.my/news/story.asp?file=/2012/11/26/nation/20121126134723&sec=nation

Abdul Ghani(centre)signing the plaque at the ground-breaking ceremony looking on were Tan Beng Tong(right)and Dr Lee (left).

SEGAMAT: A haemodialysis centre here will receive RM1mil from the Johor government to fund a portion of its expansion project to build a new building with 100 dialysis units.

Mentri Besar Datuk Abdul Ghani Othman announced the allocation for Wisma Pertubuhan Hemodialysis Muhibbah Segamat Monday at the groundbreaking ceremony for the project at Bandar Putra.

The RM8mil project, consiststing of a six-storey building, is expected to be completed by end of next year.

The new facility will be able to receive up to 300 patients per day compared with 150 patients currently, said the centre chairman Tan Sri Tan Beng Tong.

The centre, operated by non-governmental organisations in the district, was established 17 years ago with only eight machines. It now has 45 machines at its main centre in Segamat Baru and a branch in Labis.

Tan said the centre had been raising funds to build a larger centre with more machines due to the increasing number of patients with kidney diseases who needed dialysis treatment service

Extended open-carpal tunnel release in renal dialysis patients Sammy Al-Benna1, P. G. C. Nano1, Haussam El-Enin2 1 Department of Plastic Surgery, St. Bartholomew's Hospital, West Smithfield, London UK 2 Sheffield Kidney Institute, Sheffield Teaching Hospitals, Sheffield, United Kingdom,  Saudi Journal of Kidney Diseases and Tranplantation :http://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;i ssue=6;spage=1181;epage=1187;aulast=Al-Ber Abstract: Chronic hemodialysis patients are susceptible to median nerve compression. The clinical symptoms, surgical results and prognosis of chronic hemodialysis-related carpal tunnel syndrome have different results from those  of idiopathic carpal tunnel syndrome. The aim of this study was to evaluate the clinical results of extended open  carpal tunnel release in chronic hemodialysis-related carpal tunnel syndrome. A review of 31 open-extended carpal tunnel decompressions in 27 chronic dialysis patients was performed. The surgical technique is detailed  and the clinical results analyzed. There was an improvement in symptoms and strength in all patients. There were no instances of recurrence of nerve compression during the one year follow-up period. Extended open carpal tunnel decompression improves symptoms and enhances hand function in patients receiving chronic hemodialysis. Read full text here

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Gov't has no plans for now to raise dialysis subsidy

Malaysia chronicle: http://www.malaysia-chronicle.com/index.php?option=com_k2&view=item&id=42159:is-this-people-first?-govt-has-no-plans-for-now-to-raise-dialysis-subsidy&Itemid=2

KUALA LUMPUR -- The government has no plans for now to increase the subsidy for dialysis treatment as the number of government-dependent patients continues to increase each year, said Deputy Health Minister Datuk Rosnah Abdul Rashid Shirlin.

She said the ministry provided haemodialysis treatment subsidy to poor and less fortunate patients from 2001, which enabled them to undergo treatment at non-governmental organisation (NGO) dialysis centres at RM50 per session.

"A total of 29,937 patients have received the subsidy, worth RM208.70 million, so far," she said in reply to a question from Dr P. Ramasamy (DAP-Batu Kawan) in the Dewan Rakyat today.

Ramasamy had asked if the Health Ministry would increase the existing subsidy of RM50 for haemodialysis treatment to lessen the financial burden of kidney patients.

Rosnah said the ministry also provided a subsidy for erythropoietin injection from April 1, 2009, worth RM30 per shot, involving an allocation of RM31.30 million from 2009 until July this year.

-Bernama

Depression in patients on hemodialysis and their caregivers

Zeb Saeed, Aizaz M Ahmad, Abdul Shakoor, Farkhanda Ghafoor, Shumaela Kanwal
Department of Nephrology and Psychiatry, Federal Shaikh Zayed Postgraduate Medical Institute, Lahore, National Health Research Complex, Federal Shaikh Zayed Postgraduate Medical Institute, Lahore, Pakistan

Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2012 Oct 8];23:946-52. Available from: http://www.sjkdt.org/text.asp?2012/23/5/946/100869

Abstract
Depression is recognized as the most common psychiatric problem in patients with end-stage renal disease. Stress negatively affects the quality of life of not only the patients on hemodialysis but also their caregivers. The objective of this study was to measure and compare the frequency of depression in these patients and their attendants, and to assess the associated risk factors in both groups. A cross-sectional study was conducted at our hemodialysis unit from June to September 2009. A total of 180 patients and 180 caregivers were enrolled and the Beck's Depression Inventory (BDI-II) questionnaire was administered. Of the 360 respondents, 201 (55.8%) were males and 264 (73.3) were married. According to the BDI scoring, 135 (75%) of the patients and 60 (33.4%) of the attendants were found to be moderately to severely depressed. Marriage (OR 1.817), low income status (OR 1.757) and unemployment (OR 4.176) correlated with increased depression grade, while gender and education level did not. Anemia was the only co-morbidity showing positive association with depression scores in the patients' group (P = 0.023). We conclude that the majority of the patients undergoing dialysis were depressed and were twice more likely to be depressed than their caregivers. In both groups, marriage and unemployment were associated with increased depressive symptoms, while household income showed negative association with depression. Gender and education level were not related to the depression scores.

Read full text here