By (Oliver Goldsmith)
Paperback 4.5" X 7" with coloured images. 15 pages yet four of them are clean. released in Albany, ny. No date given, regarded as written via Oliver Goldsmith.
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Extra info for Adventures of Goody Two Shoes Marks' Edition
Data from NAPRTCS has also shown increased peritonitis in children with single cuff catheters. 7 patient-months; see Table 9). Since 1991, all children (including infants) have been treated at TMCH with double-cuff, swan neck catheters. Catheters designed to reduce the risk of tunnel infection like the double cuff, swan neck catheter should be used in all pediatric patients, including infants. Poor linear growth and delayed development remain concerns in children treated with long-term PD. Gross motor development was consistently delayed in Japanese children who began long-term PO during infancy.
Peritoneal biopsies performed in 2 additional patients on PD for more than 5 years also showed peritoneal sclerosis with thickening. Therefore, membrane failure may be the main problem for long-term PD patients in the future, even in the absence of bacterial peritonitis. In Japan, APD was used by about two-thirds of pediatric patients at the end of 1995, a rate similar to that seen in North American children,14 Fewer than 10% of adult PD patients in Japan are treated with APD. While it has been suggested that peritonitis rates are lower in patients treated with APD, the present study found no difference in peritonitis rates in children treated with APD and CAPD.
In the other forms of renal replacement therapy 46% of deaths were due to cardiac complications, 17% of deaths to infections. Unfortunately, except for a reappraisal of the relative contribution of different forms of renal replacement therapy after first treatment for pediatric patients who commenced therapy in 7 selected Western countries in the years 1986-1991 , which can hardly be considered the best method to evaluate PD technique survival, the EDTA Registry has not published any more reports on patient and technique survival during PD in children.