Nocturnal Dialysis - The 1st Australian Experience
Bibliographic record
Abstract
The first government-funded, home-based, 6 night/wk nocturnal haemodialysis (NHDx) program outside North America was begun in Australia in July 2001. 14 pts, 13M:1F, mean age 47 (range 23–67) have trained to September 2002. 10/14 home dialyse 8–9 hrs/night, 6 nights/wk, (mean 50 hrs/wk), one being transplanted at 3.5 mths. 2/14 dialyse 8–9 hrs alternate nights thus are excluded from further analysis. A further 2/14 withdrew for social reasons. There have been no deaths. All 10 NHDx pts use 1.6 or 1.8 m2 low-flux dialysers with a cross-over to high flux planned. Mean Qb is 250 ml/min and Qd is 300 ml/min. A mean UF rate < 250 ml/hr avoids intra-dialytic hypotension. Water is R/O filtered to AAMI standards. 3/14 entered from 2nd daily daytime home HDx (mean 13.3 hr/wk) and 8/14 from daytime satellite dialysis 3 × 4 – 4.5 hrs/wk. 5/10 NHDx pts have partners though 6/10 dialyse unpartnered during sleep. 5/10 now work full-time and 3/10 part-time, where previously, only 1/10 worked full-time and 3/10 part-time. To September 2002, experience totaled 348.5 pt wks (mean 31.7 wks/pt: range 3–57 wks). All ceased binders at entry. 8/10 ceased anti-hypertensives, 2/10 remaining on a single agent. No fluid or dietary restrictions apply. Potassium intake is entirely free. Dialysate must be added (Na2PO4 as Fleet® enema) to prevent hypophosphataemia. A 1.5 mmol/l calcium dialysate and calcitriol maintain a high-normal serum Ca++. Mean before (B) and after (A) dialysis biochemical data includes: Creat (B) 437: (A) 128 μmol/l; Urea (B) 10.1: (A) 1.9 mmol/l; K+(B) 4.5: (A) 3.4 mmol/l; (B) 1.5: (A) 0.77 mmol/l; Ca++(B) 2.6: (A) 2.6 mmol/l. PTH has halved and EPO dose are falling. Fe++ status is stable while the mean Hb is 119 gm/l. The mean albumin is 38 g/l All 10 report normal restorative sleep. All 5 partners report stable self-sleep patterns while noting improved sleep, mood, cognitive function, and marital relationships in their NHDx partners. None would willingly return to conventional haemodialysis.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".