176 lines
20 KiB
PHP
176 lines
20 KiB
PHP
<?php
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$isEn = (isset($lang) && $lang === 'en') || Helper::getLang() === 'en';
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?>
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<h1><?=$isEn ? 'Services & Medical Specialties' : 'Leistungen & Behandlungsschwerpunkte'?></h1>
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<p class="lead" style="font-size: 1.1rem; color: var(--text-muted); margin-bottom: 2rem;">
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<?=$isEn ? 'Comprehensive diagnostics, preventive counseling, and modern dialysis procedures covering the full spectrum of kidney diseases.' : 'Umfassende Diagnostik, präventive Beratung und moderne Dialyseverfahren für das gesamte Spektrum nephrologischer Erkrankungen.'?>
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</p>
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<!-- Leistungsübersicht -->
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<div class="grid-2" style="margin-bottom: 2.5rem;">
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<div class="card">
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<h2 style="font-size: 1.25rem; margin-top: 0; color: var(--primary-dark); display: flex; align-items: center; gap: 0.5rem; margin-bottom: 1.25rem;">
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<svg aria-hidden="true" focusable="false" style="width: 22px; height: 22px; fill: var(--accent);" viewBox="0 0 24 24"><path d="M19 3H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm-2 10h-4v4h-2v-4H7v-2h4V7h2v4h4v2z"/></svg>
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<?=$isEn ? 'Nephrology Outpatient Clinic' : 'Nephrologische Ambulanz'?>
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</h2>
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<ul style="list-style: none; padding: 0; margin: 0;">
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? 'Comprehensive <strong>diagnostics and therapy</strong> for acute and chronic kidney diseases' : 'Umfassende <strong>Diagnostik und Therapie</strong> akuter und chronischer Nierenerkrankungen'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? 'Optimal <strong>blood pressure and blood glucose management</strong> as a core therapeutic focus' : 'Optimale <strong>Blutdruck- und Blutzuckereinstellung</strong> als wesentlicher Therapieschwerpunkt'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? 'Specialized care for <strong>diabetic patients with renal insufficiency</strong>' : 'Spezialisierte Betreuung <strong>niereninsuffizienter Diabetiker</strong>'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? '<strong>Ultrasound diagnostics (sonography)</strong> of the kidneys and abdominal organs' : '<strong>Ultraschalldiagnostik (Sonographie)</strong> der Nieren und Bauchorgane (Abdomen)'?></span>
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</li>
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</ul>
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</div>
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<div class="card">
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<h2 style="font-size: 1.25rem; margin-top: 0; color: var(--primary-dark); display: flex; align-items: center; gap: 0.5rem; margin-bottom: 1.25rem;">
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<svg aria-hidden="true" focusable="false" style="width: 22px; height: 22px; fill: var(--accent);" viewBox="0 0 24 24"><path d="M12 21.35l-1.45-1.32C5.4 15.36 2 12.28 2 8.5 2 5.42 4.42 3 7.5 3c1.74 0 3.41.81 4.5 2.09C13.09 3.81 14.76 3 16.5 3 19.58 3 22 5.42 22 8.5c0 3.78-3.4 6.86-8.55 11.54L12 21.35z"/></svg>
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<?=$isEn ? 'Dialysis & Patient Care' : 'Dialyse & Betreuung'?>
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</h2>
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<ul style="list-style: none; padding: 0; margin: 0;">
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? '<strong>Hemodialysis (HD)</strong> and <strong>hemodiafiltration (HDF / Online-HDF)</strong> with Nikkiso <strong>Haemo-Master</strong>' : '<strong>Hämodialyse (HD)</strong> und <strong>Hämodiafiltration (HDF / Online-HDF)</strong> mit Nikkiso <strong>Haemo-Master</strong>'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? '<strong>Bioelectrical fluid status measurement</strong> with the Fresenius BCM' : '<strong>Bioelektrische Messung des Flüssigkeitsstatus</strong> mit dem Fresenius BCM'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem; margin-bottom: 0.85rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? '<strong>Transplant preparation</strong> and long-term <strong>post-transplant follow-up care</strong>' : '<strong>Transplantationsvorbereitung</strong> und langfristige <strong>Nachsorge nach Nierentransplantation</strong>'?></span>
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</li>
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<li style="display: flex; align-items: flex-start; gap: 0.6rem;">
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<span aria-hidden="true" style="color: var(--accent); font-weight: bold; font-size: 1.1rem;">✓</span>
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<span><?=$isEn ? 'Individualized <strong>nutritional counseling</strong> for kidney and dialysis patients' : 'Individuelle <strong>Ernährungsberatung</strong> für Nieren- und Dialysepatienten'?></span>
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</li>
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</ul>
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</div>
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</div>
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<!-- Highlight 1: BCM Fresenius -->
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<div class="highlight-panel">
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<span class="highlight-badge"><?=$isEn ? 'Precision Diagnostics' : 'Präzise Diagnostik'?></span>
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<h2 class="highlight-panel-title" style="margin-top: 0;">
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<svg aria-hidden="true" focusable="false" style="width: 24px; height: 24px; fill: var(--accent);" viewBox="0 0 24 24"><path d="M19 3H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm-2 10h-4v4h-2v-4H7v-2h4V7h2v4h4v2z"/></svg>
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<?=$isEn ? 'Fluid Status Assessment with the Fresenius BCM (Body Composition Monitor)' : 'Bestimmung des Flüssigkeitsstatus mit dem BCM (Body Composition Monitor) von Fresenius'?>
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</h2>
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<?php if($isEn): ?>
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<p>
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Using bioimpedance spectroscopy, the <strong>Body Composition Monitor (BCM)</strong> determines the exact ratio of water, muscle, and fat mass in the body within just a few minutes, enabling reliable longitudinal monitoring.
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</p>
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<p>
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In dialysis therapy, this method supports the precise determination of each patient’s individual target weight (dry weight) in order to detect and prevent both <strong>fluid overload</strong> and <strong>dehydration</strong> at an early stage:
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</p>
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<?php else: ?>
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<p>
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Der <strong>Body Composition Monitor (BCM)</strong> ermittelt mittels Bioimpedanzspektroskopie innerhalb weniger Minuten das genaue Verhältnis von Wasser-, Muskel- und Fettmasse im Körper und ermöglicht so eine verlässliche Verlaufskontrolle.
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</p>
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<p>
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In der Dialysetherapie unterstützt das Verfahren die exakte Festlegung des individuellen Optimalgewichts (Trockengewichts), um sowohl eine <strong>Überwässerung</strong> als auch eine <strong>Unterwässerung</strong> frühzeitig zu erkennen und gezielt zu vermeiden:
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</p>
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<?php endif; ?>
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<div class="condition-grid">
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<div class="condition-card condition-warning">
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<div class="condition-title">
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<span aria-hidden="true">⚠</span> <?=$isEn ? 'Fluid Overload (Hyperhydration)' : 'Überwässerung (Hyperhydratation)'?>
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</div>
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<div><?=$isEn ? 'Can lead to high blood pressure and tissue edema up to life-threatening pulmonary edema.' : 'Kann zu Bluthochdruck und Gewebsödemen bis hin zum lebensbedrohlichen Lungenödem führen.'?></div>
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</div>
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<div class="condition-card condition-info">
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<div class="condition-title">
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<span aria-hidden="true">ℹ</span> <?=$isEn ? 'Fluid Depletion (Dehydration)' : 'Unterwässerung (Dehydratation)'?>
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</div>
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<div><?=$isEn ? 'Can cause severe drops in blood pressure, painful muscle cramps, and headaches.' : 'Kann schwere Blutdruckabfälle, schmerzhafte Muskelkrämpfe und Kopfschmerzen verursachen.'?></div>
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</div>
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</div>
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<p style="margin-bottom: 0; font-weight: 600; color: var(--primary);">
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<?php if($isEn): ?>
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<em>For our patients:</em> The measurement is completely painless and non-invasive, performed while lying down immediately prior to your dialysis session.
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<?php else: ?>
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<em>Für unsere Patienten:</em> Die Messung erfolgt völlig schmerzfrei und nicht-invasiv im Liegen unmittelbar vor der Dialysebehandlung.
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<?php endif; ?>
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</p>
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</div>
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<!-- Highlight 2: Haemo-Master Nikkiso -->
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<div class="highlight-panel">
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<span class="highlight-badge"><?=$isEn ? 'Gentle & Individualized Dialysis' : 'Schonende & Individuelle Dialyse'?></span>
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<h2 class="highlight-panel-title" style="margin-top: 0;">
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<svg aria-hidden="true" focusable="false" style="width: 24px; height: 24px; fill: var(--accent);" viewBox="0 0 24 24"><path d="M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm-1 14H9V8h2v8zm4 0h-2V8h2v8z"/></svg>
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<?=$isEn ? 'Blood Volume Monitoring & Biofeedback Control with the Nikkiso Haemo-Master' : 'Blutvolumenmonitoring & Biofeedback-Regelung mit dem Haemo-Master von Nikkiso'?>
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</h2>
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<?php if($isEn): ?>
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<p>
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Integrated into our dialysis machines (<strong>Nikkiso DBB-07 and Nikkiso DBB-EXA</strong>), the <strong>Haemo-Master</strong> is an optical blood volume monitoring and biofeedback system designed for particularly circulation-gentle dialysis. It actively helps prevent common intradialytic symptoms such as drops in blood pressure (hypotension), muscle cramps, and headaches.
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</p>
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<p>
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Using an optical sensor (near-infrared reflection on red blood cells in the arterial blood line), the blood volume monitor module (<strong>BVM</strong>) continuously tracks the patient’s relative blood volume change (<strong>dBV</strong>) and <strong>plasma refilling rate (PRR)</strong>. Based on a patient-specific target curve, the closed-loop system actively regulates both the <strong>ultrafiltration / fluid removal rate (BV-UFC)</strong> and the <strong>dialysate conductivity / sodium concentration (BV-COC)</strong>.
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</p>
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<p style="margin-bottom: 0; font-weight: 600; color: var(--primary);">
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<em>Special advantage:</em> All measurement and trend data are digitally evaluated and individually optimized for subsequent treatments – an advanced technical and clinical procedure that goes beyond standard dialysis and is offered by only a few dialysis practices.
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</p>
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<?php else: ?>
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<p>
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Der in unsere Dialysegeräte (<strong>Nikkiso DBB-07 und Nikkiso DBB-EXA</strong>) integrierte <strong>Haemo-Master</strong> ist ein optisches Blutvolumenmonitoring- und Biofeedback-System für eine besonders kreislaufschonende Dialyse. Er beugt typischen Begleiterscheinungen wie Blutdruckabfällen (Hypotonien), Muskelkrämpfen und Kopfschmerzen während der Behandlung gezielt vor.
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</p>
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<p>
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Über einen optischen Sensor (Nahinfrarotreflexion an den roten Blutkörperchen im arteriellen Blutschlauchsystem) überwacht das Blutvolumenmonitor-Modul (<strong>BVM</strong>) kontinuierlich die relative Blutvolumenänderung (<strong>dBV</strong>) sowie die <strong>Plasma-Refilling-Rate (PRR)</strong> des Patienten. Auf Basis einer patientenindividuellen Idealkurve regelt das System im geschlossenen Regelkreis aktiv sowohl die <strong>Ultrafiltrationsrate / Wasserentzugsrate (BV-UFC)</strong> als auch die <strong>Leitfähigkeit bzw. Natriumkonzentration der Dialysierflüssigkeit (BV-COC)</strong>.
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</p>
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<p style="margin-bottom: 0; font-weight: 600; color: var(--primary);">
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<em>Besonderheit:</em> Alle Mess- und Verlaufswerte werden digital ausgewertet und für nachfolgende Behandlungen individuell optimiert – ein apparativ und betreuerisch aufwendiges Verfahren, das über die Standarddialyse hinausgeht und nur von wenigen Dialysepraxen vorgehalten wird.
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</p>
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<?php endif; ?>
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</div>
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<!-- Galerie Behandlungsräume & Technik -->
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<h2 style="margin-top: 2.5rem; margin-bottom: 1rem;"><?=$isEn ? 'Treatment Rooms & Medical Technology' : 'Behandlungsräume & Medizintechnik'?></h2>
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<p style="color: var(--text-muted); margin-bottom: 1.5rem;"><?=$isEn ? 'Impressions of our modern technical equipment and patient environment.' : 'Einblicke in unsere moderne apparative Ausstattung und Patientenumgebung.'?></p>
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<div class="gallery-grid">
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<a href="/img/gallery/behandlung1.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/behandlung1.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'Individual dialysis station • Dialysis Center Berlin-Mahlsdorf' : 'Individueller Dialyseplatz • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/behandlung1_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/behandlung1_thumb.jpg')?>" alt="<?=$isEn ? 'Individual dialysis station with Nikkiso DBB-EXA' : 'Individueller Dialyseplatz mit Nikkiso DBB-EXA'?>" width="600" height="400" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'Individual dialysis station' : 'Individueller Dialyseplatz'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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<a href="/img/gallery/behandlung2.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/behandlung2.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'Dialysis station with Nikkiso technology • Dialysis Center Berlin-Mahlsdorf' : 'Dialyseplatz mit Nikkiso-Technik • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/behandlung2_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/behandlung2_thumb.jpg')?>" alt="<?=$isEn ? 'Dialysis station with Nikkiso dialysis machine' : 'Dialyseplatz mit Nikkiso Dialysegerät'?>" width="600" height="400" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'Dialysis station with Nikkiso technology' : 'Dialyseplatz mit Nikkiso-Technik'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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<a href="/img/gallery/leistung1.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung1.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'Comfort dialysis station by the window • Dialysis Center Berlin-Mahlsdorf' : 'Komfort-Dialyseplatz am Fenster • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/leistung1_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung1_thumb.jpg')?>" alt="<?=$isEn ? 'Comfort dialysis station by the window' : 'Komfort-Dialyseplatz am Fenster'?>" width="600" height="446" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'Comfort station by the window' : 'Komfort-Dialyseplatz am Fenster'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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<a href="/img/gallery/leistung2.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung2.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'View into the treatment rooms • Dialysis Center Berlin-Mahlsdorf' : 'Blick in die Behandlungsräume • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/leistung2_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung2_thumb.jpg')?>" alt="<?=$isEn ? 'View from the hallway into the bright treatment rooms' : 'Blick vom Flur in die hellen Behandlungsräume'?>" width="600" height="427" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'View into the treatment rooms' : 'Blick in die Behandlungsräume'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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<a href="/img/gallery/leistung3.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung3.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'Dialysis room with patient TV • Dialysis Center Berlin-Mahlsdorf' : 'Dialyseraum mit Patienten-TV • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/leistung3_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung3_thumb.jpg')?>" alt="<?=$isEn ? 'Dialysis room with multiple stations and patient TV' : 'Dialyseraum mit mehreren Behandlungsplätzen und TV'?>" width="600" height="425" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'Dialysis room with patient TV' : 'Dialyseraum mit Patienten-TV'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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<a href="/img/gallery/leistung4.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung4.jpg')?>" data-lightbox="services" data-title="<?=$isEn ? 'Dialysis stations overlooking the garden • Dialysis Center Berlin-Mahlsdorf' : 'Dialyseplätze mit Blick ins Grüne • Dialysezentrum Berlin-Mahlsdorf'?>" class="gallery-item">
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<img src="/img/gallery/leistung4_thumb.jpg?v=<?=filemtime(__DIR__ . '/../img/gallery/leistung4_thumb.jpg')?>" alt="<?=$isEn ? 'Dialysis stations by the bay window overlooking the garden' : 'Dialyseplätze am Erkerfenster mit Blick ins Grüne'?>" width="600" height="400" loading="lazy" decoding="async">
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<div class="gallery-overlay"><span class="gallery-caption"><?=$isEn ? 'Stations with garden view' : 'Dialyseplätze mit Blick ins Grüne'?></span></div>
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<div class="gallery-zoom-icon" aria-hidden="true"><svg aria-hidden="true" focusable="false" viewBox="0 0 24 24"><path d="M15.5 14h-.79l-.28-.27A6.471 6.471 0 0 0 16 9.5 6.5 6.5 0 1 0 9.5 16c1.61 0 3.09-.59 4.23-1.57l.27.28v.79l5 4.99L20.49 19l-4.99-5zm-6 0C7.01 14 5 11.99 5 9.5S7.01 5 9.5 5 14 7.01 14 9.5 11.99 14 9.5 14z"/></svg></div>
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</a>
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</div>
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