J Formos Med Assoc
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To update information about the internationally accepted standards and clinical recommendations for the detection and diagnosis of primary aldosteronism (PA). ⋯ With introduction of these new concepts to the clinicians, we expect better identification, management and treatment of PA patients.
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Mycobacterium gordonae is a ubiquitous environmental mycobacteria and has been long considered an opportunistic pathogen, causing infections only in immunocompromised hosts. Cases of M. gordonae related infections in immunocompetent host have rarely been reported, and the pathogenicity of M. gordonae remained uncertain. ⋯ Compatible with the literature reports, we demonstrate that M. gordonae could be pathogenic and causing infection not only in the immunocompromised host, but also in the otherwise healthy population. Multi-antimicrobial combination and adequate source control could have good therapeutic effect for patients with M. gordonae infections.
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Observational Study
Pharmacokinetics and dosing of vancomycin in patients undergoing sustained low efficiency daily diafiltration (SLEDD-f): A prospective study.
The pharmacokinetics of vancomycin in patients who undergo sustained low efficiency daily diafiltration (SLEDD-f) is not clear. This study aimed to determine the appropriate vancomycin dosage regimen for patients receiving SLEDD-f. ⋯ Significant amount of vancomycin removed during SLEDD-f. Despite the existence of post-dialysis rebound, a sufficient supplemental dose is necessary to maintain therapeutic range.
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To explore unmet needs for inpatient rehabilitation services and assess the relative preference of new technology versus current practice by a structured decision-making model. ⋯ The preference global weights on the needs to integrate new technologies into rehabilitation services aims to improve efficiency, safety and outcome. Further studies are needed to explore the needs from the perspective of the patients.