Publications by authors named "D Steed"

Article Synopsis
  • * A case of a 60-year-old woman is presented who developed E. rhusiopathiae bacteremia after injuring her leg in a sewer, with no clear animal contact, suggesting sewage as the source.
  • * She improved after being treated with intravenous penicillin, but due to her circumstances, she was switched to an oral antibiotic, linezolid, which was successful, highlighting the bacteria's resistance to vancomycin and limited alternatives for treatment.
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Diabetic kidney disease (DKD) poses a significant health challenge for individuals with diabetes. At its initial stages, DKD often presents asymptomatically, and the standard for non-invasive diagnosis, the albumin-creatinine ratio (ACR), employs discrete categorizations (normal, microalbuminuria, macroalbuminuria) with limitations in sensitivity and specificity across diverse population cohorts. Single biomarker reliance further restricts the predictive value in clinical settings.

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Article Synopsis
  • A study investigated the impact of multidrug-resistant organisms (MDRO) and similar antibiotic-susceptible organisms (CSO) on kidney transplant patients in the early post-transplant period (within 30 days of surgery).
  • Out of 3507 renal transplant recipients (RTRs), only 1.3% showed MDRO detection, but this was linked to significantly higher risks of both graft loss and mortality.
  • The findings suggest that routine screening and preventive measures for MDROs could improve outcomes for kidney transplant patients.
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Purpose: The objective of this study is to assess the effects of supervised, recommended levels of prenatal aerobic exercise on 1-month-old infant cardiac function.

Methods: Eligible pregnant women were randomly assigned to either an aerobic exercise group that participated in 150 min of supervised, moderate-intensity (40% to 59% V̇O 2peak , 12 to 14 on Borg rating of perceived exertion) aerobic exercise per week for 24 wk or more or a nonexercising group that consisted of 150 min·wk -1 of relaxation techniques. One-month-old infant echocardiogram was performed to assess infant cardiac function , including heart rate (HR), left-ventricular stroke volume, cardiac output, cardiac index, ejection fraction, fractional shortening, and velocity time integral at the aortic valve.

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After the emergence of the SARS-CoV-2 virus in early 2020, it quickly became clear that symptomatic or asymptomatic infection had the potential to negatively impact on an individual's fitness to dive through effects on the respiratory, cardiovascular or neurological systems. The significance of these effects in the military diving environment was initially unclear due to an absence of data concerning incidence, chronology or severity. In order to safely return divers to the water and maintain operational capability, the UK Military developed a pathway for SARS-CoV-2 positive divers that stratified risk of sequelae and extent of required clinical investigation, while minimising reliance on viral testing and hospital-based investigations.

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