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Optimizing reflex urine cultures: Using a population-specific approach to diagnostic stewardship.
Infect Control Hosp Epidemiol
February 2023
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Background: Clinicians and laboratories routinely use urinalysis (UA) parameters to determine whether antimicrobial treatment and/or urine cultures are needed. Yet the performance of individual UA parameters and common thresholds for action are not well defined and may vary across different patient populations.
Methods: In this retrospective cohort study, we included all encounters with UAs ordered 24 hours prior to a urine culture between 2015 and 2020 at 3 North Carolina hospitals.
Building a job-exposure matrix for early plutonium workers at the Sellafield nuclear site, United Kingdom.
J Radiol Prot
June 2019
Centre for Radiation, Chemical and Environmental Hazards (PHE-CRCE), Public Health England, Didcot, OX11 0RQ, The United Kingdom.
The potential for adverse health effects from internal exposure to Plutonium has been recognised since its discovery in the 1940s. However, in the absence of specific information, potential risks from Plutonium exposure have always largely been controlled through knowledge of radiation exposure risks in general, much of which comes from external radiation exposures. To try to obtain more direct estimates of potential internal exposure risks, epidemiological studies of Plutonium workers need to be conducted.
View Article and Find Full Text PDFConstruction, Validation and Sensitivity Analyses of a Job Exposure Matrix for Early Plutonium Workers at the Sellafield Nuclear Site, United Kingdom.
Radiat Res
January 2019
c Centre for Occupational and Environmental Health, University of Manchester, Manchester, M13 9PL, United Kingdom.
Plutonium is a radiologically significant alpha-particle emitter. The potential for adverse health effects from internal exposures due to plutonium intakes has been recognized since the 1940s. The workforce of the Sellafield nuclear facility (Cumbria, UK), includes one of the world's most important groups of plutonium-exposed workers for studying the potential health risks of this internal exposure.
View Article and Find Full Text PDFStudy of Urine Composition of Patients With Recurrent Nephrolithiasis in Lorestan, Iran.
Iran J Kidney Dis
January 2018
Department of Nephrology, Lorestan University of Medical Sciences, Khorramabad, Iran.
Introduction: Nephrolithiasis is one of the most common urinary tract diseases. After the first episode of urinary calculus, the risk of recurrence is nearly 40% to 50% at 5 years. Nephrolithiasis is a systemic disease that is associated with some metabolic disorders.
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