Renal complications of lipodystrophy: A closer look at the natural history of kidney disease

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144612/1/cen13732_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144612/2/cen13732.pd

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Masterful words : musicianship and ethics in learning the ney

Unlike in some recent anthropological writings that show the insignificance of verbal or overt instruction in the process of skill acquisition, talk is, in vital ways, constitutive of the practice of ney (reed flute) learning that I discuss here. What is it about masterful speech that makes it such a compelling vehicle for musical education? To address this question, the article presents a number of key processes that sohbet (or conversation) is designed to facilitate in learners: new skills of hearing and musical understanding; extra-musical sensibilities germane to becoming a skilled ney-player; and communal affections between those participating in the listening act. It is argued that when all of these combine, certain ethical dispositions are fostered in learners' moral selves, enabling new ways of relating to others and to the city.18 page(s

Trans-Kemalism : the politics of the Turkish state in the diaspora

In contrast to the huge amount of research on Turkish migration and migrants, the diasporic politics of the Turkish Kemalist state constitutes a neglected research subject in the scholarship on Turkish diaspora. How does the Turkish state reach out to its nationals and expatriates abroad? In what ways does the Turkish Republic seek to make Islam (as it does in Turkey) into an instrument legitimizing its politicizing and mobilizing enterprises? To explore these questions, this article investigates the long-distance Kemalism engaged in by the Turkish state to Turkify and secularize its nationals in the diaspora, using its activities in Australia as its case study. In sketching out trans-Kemalism's dimensions, the analysis directs attention to the intimate relationship between the political and religious fields of transnationalism manufactured by the state. The paper concludes that the intense political polarization in Turkey in the present makes the future of trans-Kemalism abroad somewhat uncertain.19 page(s

The Fall and rise of the ney : from the Sufi lodge to the world stage

This article traces key changes in the public life of the ney in Turkey, a musical instrument that has had a chequered history in the 90 years since the institution of the Turkish Republic in 1923. Having survived a hostile regime in the single-party period (1923-50), today the ney is in high demand both in Turkey and in the 'global ecumene.' The extraordinary interest in it takes two forms: a striking growth of ney music both live and recorded, and a hunger for ney learning in Turkey's major cities. Although many factors contribute to this interest, in this paper I attribute it to the interplay between artistic developments in the music industry and the recent reinvigoration of Sufism, within which the ney and its practitioners find themselves in a new web of meanings and relationships.20 page(s

Artists, antagonisms and the ney in the popularization of 'Sufi Music' in Turkey

Following its successful marketing as a sub-genre of 'world music' in the mid-1990s, Sufi music has become a cover term to describe and publicize a disparate variety of musical styles in the Turkish popular music industry. In this article, I explore this phenomenon through the recent history of the ney (reed-flute), an instrument that has been re-contextualized as the acoustic and visual signifier of Sufism, and utilized to evoke feelings of spirituality in listeners in affirming the authenticity of the new genre. Musicians' and recording studios' sonic strategies for signifying and communicating a Sufi sound have not only generated new musical aesthetics but garnered both a global and local audience. They have also generated intense debates among musicians concerning the very existence of a thing named 'Sufi music' and the ney's place in it.18 page(s

Musical Ethics and Islam : The Art of Playing the Ney

Setelah berdirinya Republik Turki, masyarakat sekuler Turki meremehkan ney, suling buluh Sufi yang telah lama diasosiasikan dengan Islam. Kebangkitan instrumen yang luar biasa di kota-kota saat ini telah mengilhami penciptaan situs pengajaran dan pembelajaran yang berkisar dari studio ney swasta hingga asosiasi budaya dan agama dan dari klub universitas hingga organisasi masjid. Banu Şenay mendokumentasikan pelatihan selama bertahun-tahun yang dibutuhkan untuk menjadi neyzen—pemain ney. Proses tersebut memiliki kekuatan transformatif yang mengajak siswa untuk menciptakan cara hidup baru yang melibatkan hubungan alternatif dengan diri sendiri dan orang lain, mengubah persepsi tentang kota, dan dedikasi terhadap keahlian. Şenay mengunjungi pemanen buluh dan melakukan perjalanan dari studio ke bengkel untuk mengeksplorasi proses praktis pengajaran dan pembelajaran. Dia juga menjadi magang ney-player sendiri, mengeksplorasi keinginan untuk spiritualitas yang mendorong magang dan master sama-sama mengejar musik ney dan perancah etika dan keyakinan Islam

How do the youth perceive and experience Turkish citizenship?

Citizenship is generally perceived as a political practice that falls within the historical domain of the nation-state. At least, this is the claim of many nation-states themselves, which disavow the possibility of citizenship outside of their own structures. Rather than concentrate on the organization of citizenship, this article, instead, concentrates on the experience of individual citizens. It explores a wide-ranging sample of Turkish youth's perceptions and practices of citizenship, focusing on three dimensions: citizenship as legal status; citizenship as identity; and citizenship as civic virtue. It argues that individuals' perceptions and experiences of citizenship can be mapped out according to these three dimensions, and, additionally, political affiliation or commitment is the key to young people's preference for any one of these dimensions. Thus the legal status aspect of citizenship was emphasized by liberal and republican young people; nationalist, Islamist and Kurdish youth were concerned for its identity aspects; and the civic virtue aspect was stressed by republican and leftist respondents. However the article also demonstrates that similarly to the experiences of young people themselves, these three aspects of citizenship are not clearly demarcated theoretical domains but are both deeply interrelated and conflicted with each other. The reasons for this lie in the practice and understanding of citizenship facilitated and propagated by the Turkish state.14 page(s