Encapsulating peritoneal sclerosis--a complication of peritoneal dialysis.

Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis. It often presents with non-specific symptoms, leading to a delay in diagnosis and a poor prognosis. Here we report a case of EPS in a patient treated with peritoneal dialysis and discuss the risk factors, diagnostic challenges and treatment options available.

Botox(®) to reduce drooling in a paediatric population with neurological impairments: a Phase I study.

Background: The treatment of drooling in a paediatric population with neurological impairments is clinically challenging. Surgery is considered invasive, while behaviour modification techniques, correction of situational factors and oral-motor therapy do not always produce sustained improvement. In recent years the use of Botox® to decrease drooling has been investigated.

A critical appraisal team for nurses.

Research findings are essential to the progress of the profession, but they are not always relevant or easily accessible. Literature searches can also be off-putting because of the sheer volume of material available. The critical appraisal team is a nurse-led initiative set up to tackle these problems.