From dialysis to basic paediatric nephrology: an unorthodox project applied in Yerevan, Armenia.
Following the earthquake in December 1988, a long-term project was developed: starting from haemodialysis, it was extended to basic nephrology and urology, with a programme for schooling and psychosocial care. Medical training had first priority. The programme relied on robust and often second-hand equipment and voluntary work. The approach chosen (an inverse help programme, from sophisticated to basic medicine) strongly stimulated motivation and proved to be practicable.
University Children's Hospital, Zurich, Switzerland.
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E
Leumann
J P
JP
Bernhardt
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A
Babloyan
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A
Melikjanian
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A
Akopian
D000293:Adolescent; D000328:Adult; D001136:Armenia; D002648:Child; D002675:Child, Preschool; D004501:Education, Medical; D005260:Female; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D009398:Nephrology / Q000193:education / Q000458:organization & administration*; D016730:Program Development; D012066:Relief Work / Q000458:organization & administration*; D006435:Renal Dialysis; D012944:Social Support; D014146:Training Support