In pediatric patients after liver transplantation, pediatric index mortality-3 score and abnormal serum sodium levels are correlated with acute kidney injury development, finds a study published in BMCNephrol
Baseline serum creatinine values were obtained from hospital admission laboratorial exams obtained immediately before liver transplantation. Routinely, all the patients admitted for liver transplantation in the study’s institution are submitted to a baseline laboratorial screening immediately before operation room admission for liver transplantation.
For Hazard-ratios for mortality in 28 days, the influences of baseline parameters were evaluated individually by bivariate Cox regression, including age, sex, weight, presence of hyperchloremia on PICU admission, presence of hyper or hyponatremia during PICU stay, estimated intraoperative fluid balance, baseline serum creatinine levels, PIM-3 predicted mortality, PELD/MELD scores, and type of liver donor .
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The increasing role of electronic media in headache - BMC NeurologyMost individuals with access to the internet use social media platforms. These platforms represent an excellent opportunity to disseminate knowledge about management and treatment to the benefit of patients. The International Headache Society, The European Headache Federation, and The American Headache Society have electronic media committees to promote and highlight the organizations’ expertise and disseminate research findings. A growing mistrust in science has made dealing with infodemics (i.e., sudden access to excessive unvetted information) an increasing part of clinical management. An increasing role of these committees will be to address this challenge. As an example, recent studies have demonstrated that the most popular online content on migraine management is not evidence-based and is disseminated by for-profit organizations. As healthcare professionals and members of professional headache organizations, we are obliged to prioritize knowledge dissemination. A progressive social media strategy is associated not only with increased online visibility and outreach, but also with a higher scientific interest. To identify gaps and barriers, future research should assess the range of available information on headache disorders in electronic media, characterize direct and indirect consequences on clinical management, and recognize best practice and strategies to improve our communication on internet-based communication platforms. In turn, these efforts will reduce the burden of headache disorders by facilitating improved education of both patients and providers.
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