Introduction: Peritoneal dialysis (PD) is the method of choice for extra-renal replacement therapy (ERT) for children with end-stage renal disease (ESRD), because of its various advantages. However, it presents different infectious and non-infectious complications, causes of important morbidity and mortality.
Aim: To determine the mechanical complications of PD in our center and to identify risk factors of their occurrence.
Aim: To identify the predictive factors for the occurrence of community-acquired urinary tract infections caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli in children.
Methods: This was a single-center prospective observational study of children and young adults with community-acquired urinary tract infections caused by Extended-Spectrum β-Lactamase-Producing Escherichia coli. The study was conducted in the pediatric nephrology department in Charles Nicolle Hospital, Tunis, Tunisia from January 1st, 2019, to December 31, 2020.
Computerized decision support systems (CDSSs) are still poorly routinely implemented in clinical practices mainly because of usability problems related to the technology interface. We previously proposed to use gauges to visualize the output of a guideline-based CDSS applied to malnutrition and pressure ulcer management in nursing homes. This interface was assessed by four focus groups including 16 healthcare professionals with expertise in geriatrics.
View Article and Find Full Text PDFObjectives: To summarize the research literature describing the outcomes of computerized decision support systems (CDSSs) implemented in nursing homes (NHs).
Design: Scoping review.
Methods: Search of relevant articles published in the English language between January 1, 2000, and February 29, 2020, in the Medline database.
Stud Health Technol Inform
November 2020
Though a preventable risk, the management of pressure ulcers (PUs) in nursing homes is not satisfactory due to inadequate prevention and complex care plans. PUs early detection and wound assessment require to know the patient condition and risk factors and to have a good knowledge of best practices. We built a guideline-based clinical decision support system (CDSS) for the prevention, the assessment, and the management of PUs.
View Article and Find Full Text PDFNursing home (NH) residents are known to be at risk of preventable adverse events due to inadequate monitoring or failure to provide necessary treatments. Missed care has been partially explained by nurses' lack of knowledge. We describe a guideline-based decision support system for the management of malnutrition in NHs.
View Article and Find Full Text PDFStud Health Technol Inform
June 2020
The world population is dramatically ageing, resulting in an increase of the prevalence of older dependent adults living in nursing homes (NHs). Because of insufficient resources in NHs, and nurses' lack of time and knowledge, adverse events, most of them being preventable, are often reported. Clinical decision support systems (CDSSs) have proven to improve the quality of care in various healthcare settings such as hospitals and primary care centers.
View Article and Find Full Text PDFManual dexterity measures can be useful for early detection of age-related functional decline and for prediction of cognitive decline. However, what aspects of sensorimotor function to assess remains unclear. Manual dexterity markers should be able to separate impairments related to cognitive decline from those related to healthy aging.
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