Search

Your search keyword '"Christine Breen"' showing total 6 results
Start Over Author "Christine Breen"
6 results on '"Christine Breen"'

1. Acute Hypocalcemia and Metabolic Alkalosis in Children on Cation-Exchange Resin Therapy

Author

Aadil Kakajiwala, Kevin T. Barton, Elisha Rampolla, Christine Breen, and Madhura Pradhan

Subjects
Diseases of the genitourinary system. Urology, RC870-923
Abstract

Background. Sodium polystyrene sulfonate (SPS) is a chelating agent used for the treatment of hyperkalemia. SPS has a wide range of exchange capacity requiring close monitoring of serum electrolytes. We observed two patients who developed acute hypocalcemia and increased metabolic alkalosis after initiating SPS therapy. We report these cases to draw attention to the potential risk of this medication in pediatric patients. Case Diagnosis/Treatment. Two children with chronic kidney disease on dialysis were started on SPS for hyperkalemia. Within a week after initiation of the medication, both patients developed hypocalcemia on routine labs without overt clinical manifestations. The hypocalcemia was rapidly corrected with oral supplementation and discontinuation of SPS. Conclusions. Severe hypocalcemia can develop after SPS therapy. The metabolic alkalosis in these patients associated with the hypocalcemia put them at increased risk for complications. Hence, careful attention must be paid to the state of calcium metabolism in all patients receiving SPS. Often calcium supplementation is required to maintain normal calcium levels.

Published
2017
Full Text
View/download PDF

2. In Kiltumper : A Year in an Irish Garden

Author

Niall Williams, Christine Breen, Niall Williams, and Christine Breen

Abstract

From the authors of This Is Happiness and Her Name Is Rose, a memoir of life in rural Ireland and a meditation on the power, beauty, and importance of the natural world. 35 years ago, when they were in their twenties, Niall Williams and Christine Breen made the impulsive decision to leave their lives in New York City and move to Christine's ancestral home in the town of Kiltumper in rural Ireland. In the decades that followed, the pair dedicated themselves to writing, gardening, and living a life that followed the rhythms of the earth. In 2019, with Christine in the final stages of recovery from cancer and the land itself threatened by the arrival of turbines just one farm over, Niall and Christine decided to document a year of living in their garden and in their small corner of a rapidly changing world. Proceeding month-by-month through the year, and with beautiful seasonal illustrations, this is the story of a garden in all its many splendors and a couple who have made their life observing its wonders.

Published
2021

3. Implementation of standardized follow-up care significantly reduces peritonitis in children on chronic peritoneal dialysis

Author

Alicia M. Neu, Troy Richardson, John Lawlor, Jayne Stuart, Jason Newland, Nancy McAfee, Bradley A. Warady, Joshua Zaristky, Susan Kieffner, Allison Redpath Mahon, Dawn Foster, Mahima Keswani, Nancy Majkowski, Richard Blaszak, Christine Blaszak, Michael Somers, Theresa Pak, Diego Aviles, Evie Jenkins, Rachel Lestz, Alice Sanchez, Cynthia Pan, Jackie Dake, Raymond Quigley, Bradley Warady, JoLyn Grimes, Kirtida Mistry, Jennifer Carver, Rene Van De Voorde, Ellen Irvin, Samhar Al-Akash, Britt Stone, Guillermo Hidalgo, Malinda Harrington, Alicia Neu, Barbara Case, Sushil Gupta, Andrea Baker, Jack Weaver, Annabelle Chua, Cynthia Wong, Brandy Begin, Isidro Salusky, Barbara Gales, Hiren Patel, Beth Smith, Mark Joseph, Deb Haskins, David Kenagy, Beth Vogt, Coral Hanevold, Ann Beck, Meg Shea, Christine Sethna, Myung Cho, Sarah Scwartz, Helen Currier, Amy Skversky, Maureen Eisele, Madhura Pradhan, Christine Breen, Paul Brakeman, Lina Campopiano, Jennifer Jetton, Jennifer Ehrlich, Lawrence Shoemaker, and Nancy Zacharek

Subjects
Male, Chronic peritoneal dialysis, medicine.medical_specialty, Adolescent, medicine.medical_treatment, 030232 urology & nephrology, Aftercare, Peritonitis, Guidelines as Topic, Logistic regression, Peritoneal dialysis, End stage renal disease, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, Statistical significance, Odds Ratio, medicine, Humans, Child, Intensive care medicine, business.industry, Infant, Newborn, Infant, Odds ratio, medicine.disease, Quality Improvement, Confidence interval, Nephrology, Child, Preschool, Emergency medicine, Kidney Failure, Chronic, Patient Compliance, Female, Guideline Adherence, business, Peritoneal Dialysis, Patient Care Bundles, Follow-Up Studies
Abstract

The Standardizing Care to improve Outcomes in Pediatric End stage renal disease (SCOPE) Collaborative aims to reduce peritonitis rates in pediatric chronic peritoneal dialysis patients by increasing implementation of standardized care practices. To assess this, monthly care bundle compliance and annualized monthly peritonitis rates were evaluated from 24 SCOPE centers that were participating at collaborative launch and that provided peritonitis rates for the 13 months prior to launch. Changes in bundle compliance were assessed using either a logistic regression model or a generalized linear mixed model. Changes in average annualized peritonitis rates over time were illustrated using the latter model. In the first 36 months of the collaborative, 644 patients with 7977 follow-up encounters were included. The likelihood of compliance with follow-up care practices increased significantly (odds ratio 1.15, 95% confidence interval 1.10, 1.19). Mean monthly peritonitis rates significantly decreased from 0.63 episodes per patient year (95% confidence interval 0.43, 0.92) prelaunch to 0.42 (95% confidence interval 0.31, 0.57) at 36 months postlaunch. A sensitivity analysis confirmed that as mean follow-up compliance increased, peritonitis rates decreased, reaching statistical significance at 80% at which point the prelaunch rate was 42% higher than the rate in the months following achievement of 80% compliance. In its first 3 years, the SCOPE Collaborative has increased the implementation of standardized follow-up care and demonstrated a significant reduction in average monthly peritonitis rates.

Published
2016
Full Text
View/download PDF

4. 'It Can’t Be the Dialysis that Kills the Child…' Partnering Pediatric Palliative Care with Care for Children with End-Stage Renal Disease (TH366)

Author

Rachael Stover-Haney, Christine Breen, Gwenn LaRagione, Lawrence Copelovitch, Shefali Parikh, Joan 'Jody' Ramer Chrastek, Melissa Meyers, and Naomi Goloff

Subjects
medicine.medical_specialty, Anesthesiology and Pain Medicine, business.industry, medicine.medical_treatment, medicine, Neurology (clinical), Intensive care medicine, business, General Nursing, Pediatric palliative care, Dialysis, End stage renal disease
Published
2019
Full Text
View/download PDF

5. USB Drives for Communication of Medical Information in a Pediatric Dialysis Unit

Author

Cynthia Green, Kevin E.C. Meyers, Bernard S. Kaplan, Christine B. Sethna, Madhura Pradhan, and Christine Breen

Subjects
Adult, Male, Parents, Pediatric dialysis, medicine.medical_specialty, Medical Records Systems, Computerized, Attitude of Health Personnel, Information Management, Serial communication, Medical information, USB, Pediatrics, Unit (housing), law.invention, Professional-Family Relations, law, Humans, Medicine, Child, Intensive care medicine, Pediatric resident, Computer Storage Devices, Medical Errors, business.industry, Communication, Internship and Residency, medicine.disease, Hemodialysis Units, Hospital, Pediatrics, Perinatology and Child Health, Feasibility Studies, Female, Medical emergency, business, Dialysis (biochemistry), Attitude to Health, Utilization rate
Abstract

We evaluated the feasibility of using universal serial bus (USB) drives for communicating medical information between parents of children receiving dialysis and medical personnel during clinical encounters. When surveyed, parents and pediatric resident physicians supported the use of USB drives and were willing to use the devices. The utilization rate of USB drives was 57%.

Published
2009
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results