The treatment of end-stage kidney disease (ESKD with peritoneal dialysis (PD) continues to increase. Timely initiation of PD is dependent on successful PD catheter placement, which can be performed using open or laparoscopic surgical or percutaneous techniques. Dialysis access surgeons who incorporate PD catheter insertion in their practice can uniquely offer comprehensive access services to their patients.
View Article and Find Full Text PDFReconstructing habitat types available to hominins and inferring how the paleo-landscape changed through time are critical steps in testing hypotheses about the selective pressures that drove the emergence of bipedalism, tool use, a change in diet, and progressive encephalization. Change in the amount and distribution of woody vegetation has been suggested as one of the important factors that shaped early hominin evolution. Previous models for reconstructing woody cover at eastern African hominin fossil sites used global-scale modern soil comparative datasets.
View Article and Find Full Text PDFLarge-scale climatic fluctuations, such as the El Niño-Southern Oscillation, can have dramatic effects on ocean ecosystem productivity. Many mobile species breeding in temperate or higher latitudes escape the extremes of seasonal climate variation through long-distance, even trans-global migration, but how they deal with, or are affected by, such longer phased climate fluctuations is less understood. To investigate how a long-lived migratory species might respond to such periodic environmental change we collected and analysed a 13 year biologging dataset for a trans-equatorial migrant, the Manx shearwater ().
View Article and Find Full Text PDFDNA-based population screening for adult-onset diseases holds promise for advancing personalized medicine and improving public health. Yet as most individuals pursuing such screening receive negative results, the return of results process must ensure that negative results and their implications are clearly understood. We explored the experiences of adults who received negative results from such screening as part of the Electronic Medical Records and Genomics consortium Phase 3 project (eMERGE-3) at Columbia University.
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