Observations from a teaching hospital in Ireland: changing from MDRD to CKD-EPI eGFR in routine practice.

Estimates of glomerular filtration rate (eGFR) help assess kidney function. Estimated GFR can be used to classify patients into one of six Chronic Kidney Disease (CKD) categories as recommended by the Kidney Disease Improving Global Outcomes clinical practice guidelines; CKD1 ≥90, CKD2 60-89, CKD3a 45-59, CKD3b 30-44, CKD4 15-29 or CKD5 ≤15 mL/min/1.73 m The Modification of Diet and Renal Disease (MDRD) study formula was widely adopted to calculate eGFR.

Getting health services right for 16-25 year-olds.

The 2019 NHS England Long Term Plan set out the ambition to work across the 0-25 age range to support children and young people as they make the transition to early adulthood. Within this broad age bracket, how do we ensure we get health services right for 16-25 year-olds including the transfer to adult services? In this paper, we explore the evidence supporting youth-friendly and developmentally appropriate healthcare approaches and what these mean in practice for young people and healthcare professionals. Examples from primary and secondary care, as well as the perspectives of a young person, illustrate the challenges and solutions.

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

Objective: The study sought to test a patient and family online reporting system for perceived ambulatory visit note inaccuracies.

Materials And Methods: We implemented a patient and family electronic reporting system at 3 U.S.

Awareness of Racial Disparities in Diabetes Among Primary Care Residents and Preparedness to Discuss Disparities with Patients.

Many healthcare providers lack the awareness of health disparities among their patients that precedes action to improve outcomes. Limited health disparities training is a probable contributor. We assessed primary care residents' awareness of racial and ethnic disparities in diabetes, their perceived preparedness to discuss health disparities with patients, and their preferences for training and resources to improve their preparedness.

Not a magic pill: a qualitative exploration of provider perspectives on antibiotic prescribing in the outpatient setting.

Background: Inappropriate prescribing of antibiotics poses an urgent public health threat. Limited research has examined factors associated with antibiotic prescribing practices in outpatient settings. The goals of this study were to explore elements influencing provider decisions to prescribe antibiotics, identify provider recommendations for interventions to reduce inappropriate antibiotic use, and inform the clinical management of patients in the outpatient environment for infections that do not require antibiotics.

Exploring Patient Awareness and Perceptions of the Appropriate Use of Antibiotics: A Mixed-Methods Study.

In the outpatient setting, estimates suggest that 30% of the antibiotics prescribed are unnecessary. This study explores patient knowledge and awareness of appropriate use of antibiotics and expectations regarding how antibiotics are used for their treatment in outpatient settings. A survey was administered to a convenience sample of patients, parents, and caregivers (n = 190) at seven primary care clinics and two urgent care locations.

Spectrophotometric Determination of the Thermodynamic K Value of Picric Acid in Water at 25 °C.

The thermodynamic K value of picric acid was determined spectrophotometrically in water containing hydrochloric acid to repress the ionization. The K value 0.33 ( ≈ 0.

Thermodynamic Constants for Association of Isomeric Chlorobenzoic and Toluic Acids With 1,3-Diphenyl-guanidine in Benzene.

This paper reports values of Δ , Δ, and Δ for the association of diphenylguanidine with the isomeric monochlorobenzoic acids and the isomeric toluic acids in benzene from spectrophotometric measurements at 25 and 30 °C, using bromophthalein magenta E (3', 5', 3″, 5″-tetrabromophenolphthalein ethyl ester) as the indicator. The results are compared with available data for other donor-acceptor associations in aprotic solvents which include the monomer-dimer equilibrium of benzoic acids, the association of tertiary amines with iodine, and the association of certain oxygen bases with phenols. The comparisons indicate that the value of the ratio Δ/298Δ is approximately constant in the following associations in aprotic solvents: (1) Association of phenolic or carboxylic acids with nitrogenous bases to form hydrogen bonded ion-pairs; (2) hydrogen bonding of weakly acidic phenols to nitrogenous bases; (3) association of tertiary amines with iodine.

Spectrophotometric Determination of the Ionization Constant of 2,4,6-Trinitro--cresol in Water at 25 °C.

The ionization constant of 2,4,6-trinitro--cresol in water at 25 °C was determined by a spectrophotometric procedure. The K value 0.81 (K ≈ 0.

Spectrophotometric Determination of the Ionization Constant of Dimethylpicric Acid (2,4,6-Trinitro-3,5-xylenol) in Water at 25 °C.

The ionization constant of dimethylpicric acid (2,4,6-trinitro-3,5-xylenol) in water at 25 °C has been determined by a spectrophotometric method. The K value 1.38 (K ≈0.

Ionization Constants of Four Dinitrophenols in Water at 25 °C.

Thermodynamic ionization constants of 2,3-, 2,5-, 3,4-, and 3,5-dinitrophenols in aqueous solution at 25° C have been determined by a spectrophotometric method. The respective values found, expressed as K, are 4.95, 5.