الفهرس 
1. INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Hemodialysis is a therapeutic procedure that uses the extracorporeal circulation of a patient’s blood to ameliorate the azotemia, fluid, electrolyte, and acid-base abnormalities characteristic of the uremic syndrome. Hemodialysis is principally used for the management of acute and chronic renal failure that is refractory to conventional medical therapy. Additional applications include acute intoxications (eg, ethylene glycol poisoning) and preoperative conditioning of renal transplant recipients. Hemodialysis is a technically demanding procedure that requires an extensive array of sophisticated delivery equipment and specifically trained and dedicated staff to perform, monitors, and ensure the integrity and safety of the procedure in critically ill patients. The advent of neonatal dialysis delivery equipment has ensured that hemodialysis is a feasible, efficacious, safe, and indispensable therapy for dogs and cats with life-threatening renal failure. Increased awareness and acceptance of hemodialysis as an effective renal replacement therapy coupled with increased owner demand guarantee a bright future for hemodialysis as a viable therapeutic modality
This study aimed to evaluate the nutritional status for outpatients at hemodialysis in Police Hospital.
Fifty patients of hemodialysis center of Police Hospital participated in this study. Dialyzed patients were grouped into two groups; one was dialyzed on Saturday, Monday and Wednesday, while other was dialyzed on Sunday, Tuesday, and Thursday. These centers have two shifts or three shifts, dialysis take four hours for each patient.
The main results of the study revealed that:
• Mean ±SD of age was 37.7 ±10.9, 43.2 ± 6.5 and 46.2 ± 4.3years for normal weight, Overweight and obese weight patients respectively.
• Concerning of weight, the results in the table (1) showed that the mean ±SD of weight (kg) was 61.5 ± 5.3, 78.5 ± 7.7 and 92.4 ± 21.9 in normal weight, Overweight and obese patients respectively.
• On the other hand, Mean height was 169.2 ± 4.5, 170.8 ± 4.2 and 168.3 ± 4.2 in normal weight, Overweight and obese patients respectively.
• Moreover, results in the same table for duration of hemodialysis (years) was 7.1± 6.8, 6.5 ± 6.3 and 6.7 ± 6.4 in normal weight, Overweight and obese patients respectively. Finally, data about ideal body weight was 62.2 ± 2.2, 62 ± 2.1 and 61± 2.0 in normal weight, Overweight and obese patients respectively.
• from data in the table (1) it could be noticed that there was significant difference (p = 0.03 and 0.003) between all groups in age and weight, while there was no significant difference (p<0.05) between groups in height (cm) and IBW respectfully.
• no one 0% of normal patients had DM. followed by 6.25% of overweight suffered from DM. and finally 25% of obese patients had DM.
• On the other hand, the percentage of FSGS cause for kidney disease were 10%, 6.25% and 4.2% in normal weight, Overweight and obese patients respectively.
• While the percentage of HTN was 20%, 25% and 37.5% for normal weight, Overweight and obese patients respectively.
• Beside that the percentage of NSAIDs for kidney disease was 30%, 31.25% and 25% had NSAIDs abuse in normal weight, Overweight and obese patients respectively. While Polycystic kidney disease cause percentage was 6.25% and 4.2% for Overweight and obese patients respectively.
• Concerning Post streptococcal GN percentage was 6.25% had in overweight group. The percentage of SLE cause of disease was 10% and 6.25% and 4.2% had for normal weight, Overweight and obese patients respectively.
• Finally unknown reason for kidney disease the percentage was 30% and 12.5% for normal weight and Overweight patients respectively.
• There was no significant difference between 3 groups except for prevalence of DM (P value =0.027), HTN (p value = 0.012) and unknown cause of kidney disease (P value =0.04).
• Marital status (single and married), education level (high- others) occupation (working- not working) and family size (less than 4- and more than 4) results in the above table showed that the majority of subjects were married. With percentage 60%, 93.75% and 100% for normal, overweight and obese patients respectively.
• The majority of patient subject for level of education not high with percentage 81.25% and 66.67% for overweight and obese patients. While for normal weight was higher education with value 70%.
• Concerning occupation results in the above table showed that the majority of subjects were working with percentage 70%. 93.75% and 62.5% for all subjects under study.
• The family less than 4 persons for normal, overweight and obese patients with percentage was 30, 37.5 and 29.16% while family mare than 4 persons was 40%, 56.37% and 33.33% for the 3 groups respectively.