Kidney patients more vulnerable to COVID-19 infections

first_img MaxiVision Eye Hospitals launches “Mucormycosis Early Detection Centre” Phoenix Business Consulting invests in telehealth platform Healpha Acute kidney injuryCOVID-19George Institute for Global Health IndiahaemodialysisInternational Society of Nephrologyuremic patients News Patients with damaged kidneys are vulnerable to infection, may exhibit greater variations in clinical symptoms and infectivityThe COVID-19 pandemic is throwing up unique challenges for health systems. It presents particular challenges for patients who receive regular haemodialysis. These patients with damaged kidneys, also known as uremic patients, are particularly vulnerable to infection and may exhibit greater variations in clinical symptoms and infectivity.“Unlike other at-risk individuals, these patients do not have the ability to stay at home and not interact with others. Despite the high risk they face, they must travel to dialysis centres 2–3 times every week. This significantly increases the risk of transmission of infection to patients themselves, family members, medical staff and facility workers, and all others,” says Prof Vivekanand Jha, Executive Director, George Institute for Global Health India and President of the International Society of Nephrology. The involvement of kidney in COVID-19 infection seems to be frequent. When the infection is severe, it becomes an independent predictor of mortality.In a paper entitled ‘The Novel Coronavirus 2019 epidemic and the Kidneys,’ written by an expert group of nephrologists from around the world including China, it has been pointed out that all family members living with dialysis patients must follow the precautions and regulations given to patients to prevent person-to-person transmission of COVID-19 within the family. The precautions include body temperature measurement, good personal hygiene, hand-washing, and prompt reporting of potentially sick people. The results of the study have been published in the Journal Kidney International.The management of patients on dialysis who have been suspected to have been in contact with COVID-19 should be carried out according to strict protocols to minimise risk to other patients and healthcare personnel taking care of these patients,” said Prof Jha. These guidelines have been made available on the International Society of Nephrology website.As per earlier reports of SARS and MERS-CoV infections, acute kidney injury (AKI) had developed in 5-15 per cent cases and about 60 to 90 percent of those cases reported mortality. In the case of patients with COVID-19 infection, preliminary reports suggested a lower incidence (3-9 per cent) of AKI; but later reports indicate a higher frequency of kidney abnormalities. A study of 59 patients with COVID-19 found that about two-thirds of patients developed a massive leak of protein in urine during their stay in hospital.It is recommended that persons with potential COVID-19 risk must be given the same supportive care as given to critically ill patients. Supportive care includes bed rest, nutritional and fluid support, maintenance of blood pressure and oxygenation, prevention and treatment of complications by providing organ support, maintaining haemodynamic stability, and preventing secondary infection. Indraprastha Apollo Hospitals releases first “Comprehensive Textbook of COVID-19” Share Kidney patients more vulnerable to COVID-19 infections Related Posts The missing informal workers in India’s vaccine story Menopause to become the next game-changer in global femtech solutions industry by 2025 By Press Trust of India on March 24, 2020 Comments (0) Read Article Heartfulness group of organisations launches ‘Healthcare by Heartfulness’ COVID care app WHO tri-regional policy dialogue seeks solutions to challenges facing international mobility of health professionals Add Commentlast_img read more

Services reform is welcome, not a threat

first_imgThe draft directive does not amount to a ‘Trojan Horse’ with the intention of undermining the delicate EU collective bargaining arrangements. What underlies the protests for both firms and unions used to operating in a high-wage/ low competition environment, is a straightforward fear of competition undercutting relatively high rates of pay. The low level of intra-EU trade in services (only 20% are cross- border when compared to merchandise trade), suggests that the present arrangements are acting as a barrier to companies setting up in other member states. Yet ultimately it will be growth rates and efficiency that enable taxes to be paid to support high living standards. In a modern economy it is becoming increasingly difficult to disentangle the ‘manufactured’ from the service element in products as diverse as ABS braking in cars, satellite navigation and digital camera phones. Technological progress also means that service activities are increasingly easy to trade.It is perverse that, while European companies have participated fully in the pan-global trend towards trade in services, they appear hampered in penetrating the intra-EU service markets. Properly understood and articulated, service sector reform should not be seen as a threat to living standards. Advocating efficiency and innovation in service provision should be a positive, win-win issue to commend to European electorates as part of a growth and employment-boosting agenda. David Kernohan is senior fellow and head of the trade policy unit at the Centre for European Policy Studies, Brussels. Critics say that the new directive will undermined the posting of workers directive, which requires service workers posted abroad to abide by the standards of the country to which they are posted. The powerful implication of the ‘country of origin’ principle set out in the proposed new directive means that service providers will only have to comply with the legal standards of their home country. Is this a threat to living standards? In fact, Article 17 of the draft establishes derogations where the new provisions will not apply to industries such as postal services and energy utilities. None of these safeguards has been enough to stop alarms being raised, ostensibly on the grounds of social protection and health and safety, in countries such as Sweden where labour relations are presently consensual rather than being enshrined in legislation. In Germany, by curious contrast, where the core labour-relations aspects of the acquis also remain consensual, set out in employer/union ‘social contracts’ rather than transcribed into national law, industry generally supports the reform. Could it be that in Sweden, the archetypal knowledge-driven economy, the underlying concern might be a fear of competition?Reading between the lines of the concerns voiced, what seems to be at issue is a concern that the proposed directive, if it became law, would devolve power away from the collective bargaining process towards the courts in settling disputes where service companies feel they are being unfairly discriminated against. Trade unions, particularly in Sweden, could lose bargaining power over terms and conditions. In turn they would lose leverage in pay negotiations.For example, particular concerns exist in the Swedish construction industry, where it is the trade unions, not the government which carry out site inspections on health and safety grounds. Their privileged position is under threat, because now there are fears of lower-cost labour from the new EU member states undercutting the construction industry’s fairly high levels of pay. The Commission has made it clear that the Swedish social model should not come under threat. Suitable arrangements are being put in place to address the concerns of industries with genuine safety concerns such as construction. At stake is whether, as now, companies bidding for work in another EU state have to comply with the ‘paperwork’ in the country of posting. If companies have to go through bureaucratic hoops this could amount to covert protectionism. Companies could no longer be required to file prior declarations, nor ship the employment documents to the place of posting. The crucial point is that, under the terms of the proposed directive, the bureaucracy will not be ‘front loaded’ and will therefore no longer be able to present such a formidable barrier to market entry. The complaints have varied but the essential criticism is that the directive would undermine the delicately poised European social model of labour relations in favour of more liberal practices.The key ambition of the directive is to extend further into the services sector the EU principle of ‘mutual recognition’ which is already well understood in merchandise trade. Thanks to gradual incorporation of the acquis into national law, the EU’s core principle of free movement is now well accepted and applied across three of the so-called four freedoms – goods, workers, capital, but much less so in the fourth area, services. The free-movement principle has largely ended the ability of vested interests – often commercial but sometimes also unions – to deny consumers access to a full range of products deemed desirable in other member states. But progress in intra-EU services trade has been relatively slow when compared to that in merchandise trade. The so-called Bolkestein directive aims to do for services trade what the ‘1992’ agenda did for internal market activity in goods.last_img read more

Songa Offshore, DSME in dispute over cost overruns

first_imgSonga EquinoxSonga Offshore, an offshore drilling contractor, and South Korea’s shipbuilder Daewoo Shipbuilding and Marine Engineering Co. Ltd. (DSME) are in a dispute regarding a construction contract for the Songa Equinox drilling rig built by DSME. Songa Offshore took delivery of Songa Equinox, the first rig in a series of four Category D rigs specifically built for and contracted to Statoil, in June 2015  and the rig arrived in Norwegian waters in October.Offshore Energy Today reported in July 2015 that Songa Offshore had received notices of arbitration from DSME in respect of the construction contracts for the Cat D rigs. However, at that point DSME included no details regarding the dispute.On November 16, 2015, Songa received claim submissions from DSME related to Songa Equinox in which DSME asserts a claim of $179 million, along with a request for repayment of liquidated damages in a total amount of $22 million. Songa says the claim that is asserted relates to alleged cost overruns and additional work in relation to Songa Equinox rig due to what DSME alleges were inherent errors and omissions in the design documents (often referred to as the FEED package).“Songa Offshore has performed an initial review of the claim and does not consider that there is any substance to the claims asserted by DSME,” the company said on Tuesday.Songa also said it was confident of its position, and added it was of the view that DSME was responsible for the delays and any attempt to recover cost overruns was of no merit due to the “turn-key” nature of the construction contract.“Songa Offshore has obtained legal opinions from highly reputable law firms in the UK and Norway and from a Queen’s Counsel all of which confirm the company’s position,” the drilling contractor concluded.Offshore Energy Today Stafflast_img read more

Texas governor pledges 1,000 National Guard troops to U.S.-Mexico border

first_imgiStock/Thinkstock(HOUSTON) — Texas Gov. Greg Abbott announced he would raise the total number of Texas National Guard troops to “more than 1,000” along the U.S.-Mexico border.Across all border states, “the goal is to have at least 4,000 deployed here in about a month or two,” the Republican governor said Monday during a radio interview with KTSA.Texas will increase its number of Guardsmen by about 300 per week until “fully staffed up,” Abbott said. About 250 troops currently are near the border.Texas announced the deployment of 150 Guardsmen to support Trump’s new border-security mission on Friday night.Over the weekend, they met with officials from Customs and Border Protection and the Department of Homeland Security in five sectors along the southern border.That group of 150 individuals joined 100 Guardsmen, who had been working on a previous border-support mission.The Arizona National Guard has announced the deployment of 338 members. Arizona Gov. Doug Ducey, a Republican, was present to send off the first group of 225 on Monday.New Mexico Gov. Susana Martinez, a Republican, has expressed support for National Guard troops supporting Border Patrol agents in her state, but not deployed them.California Gov. Jerry Brown, a Democrat, is considering sending California National Guardsmen to the border, according to Lt. Col. Thomas Keegan, a Guard spokesman.Copyright © 2018, ABC Radio. All rights reserved.Powered by WPeMatico Relatedlast_img read more