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Health literacy in parents of children with Hirschsprung disease: a novel study.

Pediatr Surg Int

December 2024

Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Rikshopitalet, Postboks 4950 Nydalen, 0424, Oslo, Norway.

Article Synopsis
  • The study investigates health literacy (HL) in parents of children with Hirschsprung disease (HD) in Norway, assessing their understanding of health information and engagement levels.
  • Among 132 surveyed parents, high HL was noted in understanding health information and engaging actively, but lower scores were seen in areas like provider support and social support.
  • The findings highlight a need for targeted interventions to assist parents, particularly those who are younger, less educated, living apart from their child's other parent, or not primarily speaking Norwegian at home.
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Article Synopsis
  • Clostridium difficile infection (CDI) is an increasing healthcare problem linked to higher risks and poor outcomes, particularly in frail patients, whose impact on CDI has been insufficiently studied.
  • An analysis of over 144,000 adult CDI patients from the National Readmission Database revealed that 67.88% were frail, with frailty significantly increasing the risk of mortality, complications, and intensive care admission.
  • The findings suggest that frailty should be recognized as a key factor influencing CDI outcomes, which can help clinicians in better risk stratification and developing targeted treatment strategies for affected individuals.
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[Clostridioides difficile infections: Update and therapeutic guidelines].

Geriatr Psychol Neuropsychiatr Vieil

October 2024

CHU de Grenoble-Alpes, Président du Collège National des Enseignants de Gériatrie, France.

Article Synopsis
  • * Complications from CDI, such as pseudomembranous colitis and toxic megacolon, require prompt diagnosis through clinical evaluation, microbiological tests, and potentially imaging studies.
  • * Treatment typically involves halting harmful antibiotics and using specific antimicrobial therapies, with options like fidaxomicin, oral vancomycin, and fecal microbiota transplantation for recurrent cases.
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Background: In Sweden, surgical treatment of Hirschsprung's disease (HSCR) was centralized from four to two pediatric surgery centers 1st of July 2018. In adults, centralization of surgical care for complex or rare diseases seems to improve quality of care. There is little evidence supporting centralization of pediatric surgical care.

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Hirschprung's disease and postpartum trauma leading to fecal incontinence: Why? How?

Rev Assoc Med Bras (1992)

September 2024

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia, Laboratório de Ginecologia Estrutural e Molecular - São Paulo (SP), Brazil.

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