Preventing Peritoneal Dialysis Infections.

Preventing Peritoneal Dialysis Infections. Wounds. 2019 Jun;31(6):163-165 Authors: Bolton L Abstract Many patients with end-stage kidney disease prefer peritoneal dialysis (PD) to hemodialysis to replace kidney function1 but avoid PD due to fears of serious complications, such as peritonitis or catheter exit site and tunnel infections, which often have higher incidences than those recommended by the International Society for Peritoneal Dialysis (ISPD). Factors that increase the risk of PD-related peritonitis include patient nasal Staphylococcus aureus carriage, diabetes, advanced age, obesity, depression, cardiovascular disease, and catheter connection methods or exit site infection (ESI). A 2004 Cochrane systematic review reported 2 different significant effects of antimicrobial agents on patients receiving PD. One randomized clinical trial (RCT) on 2716 patients reported that, compared with placebo, intranasal mupirocin, bactericidal to S aureus, reduced PD catheter ESI and tunnel infections but not peritonitis rates. A meta-analysis of 4 RCTs on 335 patients revealed preoperative intravenous antibiotics reduced the incidence of early peritonitis, but it did not affect catheter ESI or tunnel infections. These results suggest peritonitis and ESI or tunnel infections are independent outcomes potentially responsive to different interventions. Herein, this Evidence Corner examines what can be learned about these 2 different PD-related infectious outcomes fr...
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research

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Publication date: Available online 16 September 2019Source: Academic RadiologyAuthor(s): Mohammad Hadi Bagheri, Holger Roth, William Kovacs, Jianhua Yao, Faraz Farhadi, Xiaobai Li, Ronald M. SummersPurposeAccurate pancreas segmentation has application in surgical planning, assessment of diabetes, and detection and analysis of pancreatic tumors. Factors that affect pancreas segmentation accuracy have not been previously reported. The purpose of this study is to identify technical and clinical factors that adversely affect the accuracy of pancreas segmentation on CT.Method and MaterialsIn this IRB and HIPAA compliant study, ...
Source: Academic Radiology - Category: Radiology Source Type: research
The objective of this study was to determine the acceptability of TMS by psychiatrists and to analyze the factors influencing it. METHOD: A sample of psychiatrists was recruited in order to complete an online quantitative acceptability study using a four variable domain model (utility, intention of use, facility, risk) allowing an acceptability score calculation. RESULT: Four hundreds and seventy-six observations were included in the analysis. Regarding the main objective, the overall TMS acceptability score was high for 47.2% of psychiatrists, average for 40.6% and low for 12.1% of them. The main factors influenci...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSION: I2/Q ratio may provide a consistent quantitative measure of a student's efficiency in assessing suicidal risk. Further research is now needed to evaluate its consistency in other clinical cases. PMID: 31522835 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
This study is a prospective, exploratory, qualitative analysis. Twenty midwives from Grenoble Alpes University Hospital who took care of one of the selected patients participated in this study. Two women had schizophrenia and one bipolar disorder. Interviews realized with a semi-structured guide were fully transcribed, anonymized and thematically analyzed. Topics have been structured according to the number of occurrences to build a thematic tree. RESULTS: Midwives felt insecure and resourceless when the postpartum care was unclear, insufficiently anticipated and in case of a danger for the women or the children. They ...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSION: A psychotic experience could be traumatic for patients and lead to complete PTSD. Although it appears as a non-consensual clinical entity, from a likely epistemological slip of the definition of "psychotrauma", the consideration of potential PTSD-PP presents an undoubted clinical relevance. Indeed, it could help practioners to precise the semiological analysis of patients recovering from an acute psychotic episode; to impact the prognosis of psychosis, thinking about impairment on the quality of life and the affective and suicidal comorbidities; and to modify the therapeutic approach in the recovery o...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
In conclusion, BHF may be a potential natural product candidate for the effective treatment of DN.Graphical abstract
Source: Journal of Functional Foods - Category: Nutrition Source Type: research
Conclusions The 13-item DBII scale is appropriately short and possesses satisfactory validity and reliability for both insulin-naive and insulin-treated patients with T2DM. Healthcare providers may use this scale as a checklist to guide clinical discussions related to insulin therapy with both insulin-naive and insulin-treated patients with T2DM across time.
Source: Journal of Nursing Research - Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research
Conclusions: These environment-related barriers may be resolved through changes in the behavior of children, parents, and teachers as well as through the continued efforts of schools, community stakeholders, and policymakers, all of whose cooperation is essential to fostering a healthy food environment for children.
Source: Journal of Nursing Research - Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research
ConclusionsEmotion dysregulation is associated with symptoms of depression and anxiety in PwMS. Given the malleability of this construct, this study underscores the importance of further investigating emotion dysregulation, and possibly adopting it as a surrogate endpoint in interventions targeting affective disorders in PwMS.
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
This week’s trend of big pharma crossing the aisle to collaborate with medtech and digital health companies continues. This time its pharmaceutical giant Bayer in a licensing agreement with One Drop, a developer of digital therapeutic solutions for diabetes and other chronic conditions. New York-based One Drop also raised $40 million in a series B round that Bayer led. The commercial licensing partnership will have One Drop's platform used in Bayer's bio-digital efforts in therapeutic areas such as oncology, cardiovascular disease, and women's health. With A.I.-powered behavioral recommendations, dedicate...
Source: MDDI - Category: Medical Devices Authors: Tags: Digital Health Source Type: news
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