Background: One in ten people in the U.S. are affected by a substance use disorder (SUD), roughly one third of whom are women. Rates of unintended pregnancy are higher in this population than in the general public. Little is understood about how women with SUD use prescription contraception and think about pregnancy. Methods: By analyzing Medicaid claims data and conducting qualitative interviews with women with SUD, this doctoral thesis seeks to: 1) compare any use of and consistent, continued coverage by prescription contraceptives between women with and without SUD; 2) determine the extent to which SUD is associated with pregnancy, abortion, and adverse feto-maternal outcomes in women who use prescription contraception; and 3) explore facilitators of and barriers to contraceptive utilization by women with SUD, using qualitative interviews. Results: Compared to women without SUD, women with SUD are less likely to use any prescription contraceptive, particularly long-acting reversible methods. Among women who do use long-acting methods, SUD is associated with less continued, consistent coverage by a prescription contraceptive. Among women who use contraception, SUD is also associated with increased odds of abortion. When interviewed, women with SUD report fatalistic attitudes towards pregnancy planning, and have difficulty conceptualizing how susceptibility to pregnancy may change over time. Women with SUD also report that pregnancy has substantial impact on their drug treatment prospects. Conclusions: This study is the first to examine contraceptive utilization by women with SUD who are enrolled in Medicaid or state-subsidized insurance. Our study may help to inform clinical practice and policy development to improve the reproductive health and wellbeing of women with SUD.

根據李郁文(2002)研究，有66%的購買決策是在店內形成，代表店內行銷活動會對消費者購買決策造成影響，進而導致品牌轉換的行為。因此，本研究將以製造商角度出發，專注探討店內行銷活動對消費者品牌轉換決策的影響。 本研究採用便利抽樣方式，抽樣對象為大台北地區在個人用品店購買臉部護膚品的20-49歲女性消費者。選擇屈臣氏及康是美，於2014年5月2日至5月18日展開問卷調查，由訪員先觀察消費者購買行為，當購物完畢後立即上前詢問其受訪意願，篩選條件為本次購買品牌與目前使用品牌不一致。經過三週訪問，總計接觸335位受訪者，回收105份有效問卷。問卷分析採用交叉分析及皮爾森卡方檢定，來瞭解兩個和兩個以上類別或等級變相之間的關係，判定變數之間是否有顯著差異。研究結果發現： 一、根據受訪者購買行為，分為非計畫購買(32%)、計畫購買品類(22%)、變更計畫品牌(37%)、購買計畫品牌(9%)。消費者有極高的比例(91%)是在店內形成購買決定，因此，店內行活動對於消費者品牌轉換決策有很大的影響。 二、店內行銷因素影響消費者購買決策前五名分別為：產品訴求符合需要(80%)、正在有折扣及促銷(76%)、試用後，覺得質地適合自己(59%)、是新品上市，所以想嘗試(36%)、店員、藥師或促銷小姐主動推薦(30%)。 三、消費者購買行為對品牌轉換決策之影響：原使用不同品牌的消費者因產品使用經驗的不同，導致其轉換理由會有所差異。品牌轉換因素的前五名是喜歡嘗試不同的產品(70%)、目前沒有促銷折扣(55%)及產品效用不如預期(50%)、產品質地不適合自己(29%)及銷售人員推薦(18%)。 四、消費者特性對品牌轉換決策之影響：年齡與收入對不同購買行為有顯著差異，而到店時間間隔則沒有顯著差別。非計畫購買者及變更購買計畫者，其年齡與收入較低；購買計畫品牌者，年齡與收入較高。

Introdução: A anticoncepção de emergência é um método contraceptivo usado após a relação sexual desprotegida. Apesar da sua alta eficácia e de estar disponível gratuitamente na rede pública de saúde, ainda é subutilizada. Objetivo: Identificar as razões e analisar os determinantes do não uso da anticoncepção de emergência quando indicada. Método: Estudo quantitativo, do tipo transversal, realizado com amostra probabilística de mulheres grávidas usuárias de 12 Unidades Básicas de Saúde da Supervisão Técnica de Saúde do Butantã, São Paulo (n=515), entre março e junho de 2013. O não uso da anticoncepção de emergência quando indicada foi considerado quando as mulheres eram classificadas como tendo gravidez não planejada ou ambivalente segundo o London Measure of Unplanned Pregnancy (n=366). No Stata 12.0, os dados foram analisados por meio de regressão logística multinomial. O grupo de mulheres que usou a anticoncepção de emergência para prevenir a gravidez em curso foi comparado com dois grupos: o de mulheres que estava usando algum método contraceptivo, mas não anticoncepção de emergência no mês em que ficou grávida, e o grupo de mulheres que não usou métodos contraceptivos nem anticoncepção de emergência nesse período. Resultados: Apesar da maioria conhecer a anticoncepção de emergência (96,7%), apenas 9,8% a usou para prevenir a gravidez em curso. A principal razão para o não uso foi pensar que não iria engravidar (47,6%). Outras razões, como querer engravidar/ter um filho no futuro e não pensar ou não se lembrar do método também foram amplamente referidas pelas mulheres. Os determinantes do não uso da anticoncepção de emergência para as mulheres que usavam métodos contraceptivos foram a não consciência do risco de engravidar [OR=3,44; IC95%: 1,48-8,03] e morar com o parceiro [OR=3,23; IC95%: 1,43-7,28]. Para aquelas que não usavam métodos contraceptivos, morar com o parceiro [OR= 3,19; IC95%: 1,40-7,27], gravidez ambivalente [OR: 3,40; IC95%: 1,56-8,54] e o não uso prévio do método [OR=3,52; IC95%: 1,38-8,97] foram associados ao não uso da anticoncepção de emergência. Conclusões: Viver com um parceiro pode fazer com que a mulher se sinta menos preocupada em evitar uma gravidez, ou seja, menos propensa a usar a anticoncepção de emergência. De toda forma, reconhecer as situações em que corre o risco de engravidar, saber por experiência própria como obter e usar o método e ter claras intenções reprodutivas podem aumentar o uso da anticoncepção de emergência quanto indicada / Introduction: Emergency contraception is a contraceptive method to be used after unprotected intercourse. Despite its high efficacy, availability both at primary health care and private pharmacies in Brazil, it is still underutilized. Objective: To identify the reasons and analyze the determinants of emergency contraception non-use when indicated. Method: Cross-sectional, quantitative study conducted with a probabilistic sample of pregnant women from 12 Primary Health Facilities at the Health Supervision of Butantã, São Paulo, Brazil (n=515), from March to June 2013. We considered an emergency contraception non-use when indicated women who were either in an unplanned or ambivalent pregnancy according to the London Measure of Unplanned Pregnancy (n=366). In Stata 12.0, we used multinomial logistic regression to analyze the data. Women who used the method to prevent the current pregnancy were the reference and were compared to two groups of women: those who did not use emergency contraception, but used another method; and those who used no method at all. Results: Although there was a high proportion of emergency contraception awareness (96.7%), only 9.8 % used it to prevent the current pregnancy. The main reason for non-use was believing that she would not become pregnant (47.6%); but wanting to become pregnant in the future and not remembering to use the method were also largely reported. Associated aspects to emergency contraception non-use among women who used a method were not being aware of pregnancy risk [OR=3,44; IC95%: 1,48-8,03] and cohabitation with a partner [OR=3,23; IC95%: 1,43-7,28]. Among women that did not use any contraception, cohabitation with a partner [OR= 3,19; IC95%: 1,40-7,27], ambivalent pregnancy [OR: 3,40; IC95%: 1,56-8,54] and no previous use of emergency contraception [OR=3,52; IC95%: 1,38-8,97] were associated with the method non-use. Conclusions: Living with a partner can make a woman feel less concerned about preventing a pregnancy, which means, less likely to use emergency contraception. Eventually, having skills to recognize pregnancy risk situations, having experience on how to use and when to obtain the pill and a clear pregnancy intention can increase the use of emergency contraception when indicated

A gestação, o parto e o puerpério são saberes especiais no universo da mulher, do parceiro, da família e de sua comunidade. A gestação pode gerar diversos sentimentos, tais como: o de surpresa, o de castigo, o de prêmio, o de motivação para continuar a viver, o de realização de um projeto antigo, o de competição em família, o de problema, o de estorvo, o de descuido ou de irresponsabilidade. Confirmada a gravidez, a mulher, o parceiro e os familiares podem vivenciar diferentes reações diante dessa novidade. A reação inicial depende do desejo e planejamento da gravidez (gestação), podendo ser desejada, planejada, ou acidental, não planejada e, até mesmo indesejada. Gravidez não planejada é toda a gestação que não foi programada pelo casal ou, pelo menos, pela mulher. A sua ocorrência tem impacto importante na oferta de cuidados de pré-natal, na orientação sobre aleitamento materno, no estado nutricional infantil e nas taxas de morbimortalidade materno-infantil. Embora pouco estudada, a gravidez não planejada representa risco aumentado de ansiedade e de depressão, sobretudo no período puerperal. Tendo em vista estes aspectos, o objetivo deste estudo foi compreender como as gestantes vivenciaram/experienciaram uma gravidez não planejada e suas consequências à vida familiar/conjugal. O estudo baseou-se na metodologia de análise de dados qualitativos, na análise destes dados, utilizou-se a abordagem metodológica do Discurso do Sujeito Coletivo (DSC), por meio do software Atlas.ti. A população em estudo foi constituída de gestantes em idade fértil, entre 18 e 49 anos de idade, pois essa faixa etária assegura maioridade às mulheres. Foi utilizada para organizar os dados verbais, entrevista semiestruturada, realizada com 11 gestantes. Partindo dos depoimentos das gestantes copiados no software, a análise dos discursos teve início com a identificação das expressões-chave, nas quais estão contidas as ideias centrais de cada discurso que foram escritas de forma breve e objetiva. Foi evidenciado que as gestantes apresentaram reações iniciais negativas com relação à descoberta da gravidez não planejada, vivenciaram conflitos, devido ao medo de enfrentar a família, o companheiro e os pais. Também ficou evidente que a gravidez não planejada tem como principal consequência a problemática nos níveis biopsicossociais. Evidenciaram altos níveis de ansiedade, estresse e depressão no decurso da gestação. Quanto aos métodos contraceptivos, a maioria estava em uso quando da descoberta da gravidez. Considera-se que este estudo ganha relevância pelo impacto que exerce sobre o bem-estar pessoal, familiar e socioeconômico das mulheres e seus companheiros, em virtude das possíveis gestações não planejadas / Pregnancy, childbirth and the postpartum period are special knowledge in the world of woman\'s partner, family and your community. Pregnancy can cause many feelings, such as: the surprise, the punishment, the premium, the motivation to continue living, the realization of an old design, the competition in the family, the problem of the hindrance, to carelessness or irresponsibility. Confirmed pregnancy, the woman, her partner and family members may experience different reactions to this news. The initial reaction depends on the planning and desire of pregnancy (gestation), and may be desired, planned or accidental, unplanned and even unwanted. Unplanned pregnancy is any pregnancy that was not planned by the couple, or at least the woman. Its occurrence has important impact on the provision of prenatal care, the guidance on breastfeeding, the nutritional status and rates of maternal and child morbidity and mortality. Although little studied, unplanned pregnancy is increased risk of anxiety and depression, especially in the postpartum period. Considering these aspects, the aim of this study was to understand how pregnant women experienced / experienced an unplanned pregnancy and its consequences for family life / marriage. The study was based on the methodology of qualitative data analysis, the analysis of these data, we used the methodological approach of the Collective Subject Discourse (CSD), using the software Atlas.ti. The study population consisted of pregnant women of childbearing age, between 18 and 49 years of age, because this age ensures age women. Was used to organize the verbal data, semi-structured interviews conducted with 11 pregnant women. Based on the testimonies of the women copied the software, discourse analysis began with the identification of key expressions, in which are contained the main ideas of a speech that was written briefly and objectively. It was shown that pregnant women had initial negative reactions regarding the discovery of unplanned pregnancy, experienced conflict due to fear of facing the family, spouse, and parents. It was also evident that unplanned pregnancy is mainly due to problematic levels biopsychosocial. Showed high levels of anxiety, stress and depression during pregnancy. As for contraception, the majority was in use when the discovery of the pregnancy. It is considered that this study becomes relevant for the impact it has on the well -being, family and socioeconomic status of women and their partners, because of possible unintended pregnancies

Title: The issue of unplanned stoppages caused by failure in medical technology equipment – A study within the hospital of Kalmar with a focus on manage-ment, security and quality Author: Anna Förster, Ambika Linder, Sandra Nyqvist Tutor: Thomas Karlsson Institution: Linnaeus School of Business and Economics - Linnaeus University Kalmar Date: 2011-01-14 Purpose: The purpose of this study was to examine unplanned stoppages caused by medical technology equipment failure in the healthcare operation within the hospital of Kalmar. Our study is based on a number of specifically selected incidents which show the consequences these disruptions cause in management, security and quality within the operation. Our intention was also to examine what role the medical technology department of the hospital plays in the care production operation during these unplanned stoppages. Method: Through a qualitative study we have generated material from a number of interviews with staff working in the hospital of Kalmar. These interviews have given us a deeper perspective of a number of cases that we have chosen to study more closely and which relate to unavailable medical technology equipment. The interviewed respondents have contributed with their knowledge about the current incidents. From a hermeneutical interpretive perspective we have based on knowledge received about the subject, connected the collected empirics with our theoretical frame of reference. Conclusion: We see that management is affected negatively in situations where medical technology equipment has been unavailable, because of an ineffective use of resources in terms of rooms, equipment and personnel. In the cases studied we consider patient security to be relatively good. Nevertheless, the quality within the hospital of Kalmar is affected negatively during these unplanned stoppages, due to service dissatisfaction among some of the patients. Finally we conclude that care staff show a good level of confidence in the medical technology department as a support function and that their availability is highly appreciated. Keywords: Medical technology equipment, unplanned stoppage, maintenance, management, security, quality

Background: To date, little information exists about contraception counselling, unplanned pregnancy counselling, and abortion services curricula in Ontario medical schools. Identifying existing curricula, including influences on whether and how curricula are delivered, is an essential starting point for evaluative processes. Purpose and Objectives: The purpose of this study was to explore contraception counselling, unplanned pregnancy counselling, and abortion services curricula in Ontario medical schools. The objectives were to 1) identify the existence of such curricula in undergraduate (preclinical, obstetrics and gynecology clerkship, and family medicine clerkship) and post-graduate (obstetrics and gynecology and family medicine) programs; and 2) explore factors influencing the existence and form of these curricula from the perspective of program directors. Design: An exploratory qualitative approach was used for this study whereby, Ontario program directors responsible for contraception counselling, unplanned pregnancy counselling, and abortion services curricula were interviewed. Results: Overall, the inclusion of routine curricula in contraception counselling, unplanned pregnancy counselling, and abortion services was limited and variable between schools, as well as within clerkship and post-graduate programs. Program directors were often uncertain about iii whether such routine curricula were present in their programs. Four factors were found to influence whether these curricula were included in a program: 1) program structure, 2) program resources, 3) the interests of residents/students, and 4) personal philosophy of the program director. A typology was developed to understand how program directors resolved uncertainty when asked about the existence of these curricula in their programs. The emergent sensemaking typology revealed strategies used by directors to either justify the current system of medical teaching (i.e., defending the status quo) or support change (i.e., responsive). Program directors were consistent across programs in terms of the factors they identified as influencing the curriculum offered. The perceived impact of these factors varied according to the sensemaking processes employed by each director. Conclusions: This study provides an outline of curriculum variability within and between medical school programs. Further, if offers a typology of the ways program directors explain their uncertainty regarding the inclusion of these curricula in their programs. In so doing, program director sensemaking as a key influence on the curriculum is revealed.

Background: To date, little information exists about contraception counselling, unplanned pregnancy counselling, and abortion services curricula in Ontario medical schools. Identifying existing curricula, including influences on whether and how curricula are delivered, is an essential starting point for evaluative processes. Purpose and Objectives: The purpose of this study was to explore contraception counselling, unplanned pregnancy counselling, and abortion services curricula in Ontario medical schools. The objectives were to 1) identify the existence of such curricula in undergraduate (preclinical, obstetrics and gynecology clerkship, and family medicine clerkship) and post-graduate (obstetrics and gynecology and family medicine) programs; and 2) explore factors influencing the existence and form of these curricula from the perspective of program directors. Design: An exploratory qualitative approach was used for this study whereby, Ontario program directors responsible for contraception counselling, unplanned pregnancy counselling, and abortion services curricula were interviewed. Results: Overall, the inclusion of routine curricula in contraception counselling, unplanned pregnancy counselling, and abortion services was limited and variable between schools, as well as within clerkship and post-graduate programs. Program directors were often uncertain about iii whether such routine curricula were present in their programs. Four factors were found to influence whether these curricula were included in a program: 1) program structure, 2) program resources, 3) the interests of residents/students, and 4) personal philosophy of the program director. A typology was developed to understand how program directors resolved uncertainty when asked about the existence of these curricula in their programs. The emergent sensemaking typology revealed strategies used by directors to either justify the current system of medical teaching (i.e., defending the status quo) or support change (i.e., responsive). Program directors were consistent across programs in terms of the factors they identified as influencing the curriculum offered. The perceived impact of these factors varied according to the sensemaking processes employed by each director. Conclusions: This study provides an outline of curriculum variability within and between medical school programs. Further, if offers a typology of the ways program directors explain their uncertainty regarding the inclusion of these curricula in their programs. In so doing, program director sensemaking as a key influence on the curriculum is revealed.

The primary aim of this investigation is to focus on the delivering of pre-abortion counselling from a social work perspective. The importance of delivery of pre abortion counselling with regard to the pregnant woman, who is considering the termination of a pregnancy, is accentuated on the one hand. On the other hand, the focus is on making social workers aware of becoming involved in abortion-related services. The thesis consists of five Sections: SECTION A This section indicates the actuality of the research, namely a study of pre-abortion counselling according to which four research questions are formulated. The overarching research aim and four research objectives are discussed in the section. This research takes on the intervention research model within the combined qualitative and quantitative research approach. The survey procedure was utilized in two different manners to wit the single-system design and mailed questionnaires. The data which was captured during thorough interviews was processed computer-wise as well as by hand. SECTION B This section was presented in the form of four articles in which the research finding were reported. AU four articles form part of the all-embracing research aims and objectives and of the entire research project. However, every article is a sub-project of the entire research project because it also acts independently - each with a distinctive problem statement, research aim and objectives, research methods and distinctive content. Section B consists of the following articles: Article 1 discusses abortion as a moral dilemma in South Africa and points out that there are still unanswered questions with regard to this acute subject that is as old as mankind. In Article 2 the living space of the pregnant woman who requests the termination of a pregnancy is discussed with the accent on the necessity for the understanding of such a woman who finds herself in a crisis situation, in order to deliver an effective social work service. The importance of pre-abortion counselling with crisis intervention as the proper model is discussed in Article 3. And as indicated that delivering pre-abortion counselling to the pregnant woman who requests the termination of a pregnancy is essential for the decision-making process but also with regard to her future. Article 4 discusses the opinion of social workers concerning the delivery of pre-abortion counselling. 'The social worker as a pre-abortion counsellor, and who forms part of the multi-professional team receives priority attention here. SECTION C In Section C, the conclusions and recommendations with regard to this research is explained. The limitations of this study are indicated, and recommendations are made with a view to its utilisation in theory and in practice as well as for training and research SECTION D AU addendum that are referred to in the thesis are contained in this section. SECTION E Although each article has its own source list, a combined source list of the entire research project is presented in this section. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2005.

The primary aim of this investigation is to focus on the delivering of pre-abortion counselling from a social work perspective. The importance of delivery of pre abortion counselling with regard to the pregnant woman, who is considering the termination of a pregnancy, is accentuated on the one hand. On the other hand, the focus is on making social workers aware of becoming involved in abortion-related services. The thesis consists of five Sections: SECTION A This section indicates the actuality of the research, namely a study of pre-abortion counselling according to which four research questions are formulated. The overarching research aim and four research objectives are discussed in the section. This research takes on the intervention research model within the combined qualitative and quantitative research approach. The survey procedure was utilized in two different manners to wit the single-system design and mailed questionnaires. The data which was captured during thorough interviews was processed computer-wise as well as by hand. SECTION B This section was presented in the form of four articles in which the research finding were reported. AU four articles form part of the all-embracing research aims and objectives and of the entire research project. However, every article is a sub-project of the entire research project because it also acts independently - each with a distinctive problem statement, research aim and objectives, research methods and distinctive content. Section B consists of the following articles: Article 1 discusses abortion as a moral dilemma in South Africa and points out that there are still unanswered questions with regard to this acute subject that is as old as mankind. In Article 2 the living space of the pregnant woman who requests the termination of a pregnancy is discussed with the accent on the necessity for the understanding of such a woman who finds herself in a crisis situation, in order to deliver an effective social work service. The importance of pre-abortion counselling with crisis intervention as the proper model is discussed in Article 3. And as indicated that delivering pre-abortion counselling to the pregnant woman who requests the termination of a pregnancy is essential for the decision-making process but also with regard to her future. Article 4 discusses the opinion of social workers concerning the delivery of pre-abortion counselling. 'The social worker as a pre-abortion counsellor, and who forms part of the multi-professional team receives priority attention here. SECTION C In Section C, the conclusions and recommendations with regard to this research is explained. The limitations of this study are indicated, and recommendations are made with a view to its utilisation in theory and in practice as well as for training and research SECTION D AU addendum that are referred to in the thesis are contained in this section. SECTION E Although each article has its own source list, a combined source list of the entire research project is presented in this section. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2005.

Orientador: Daniela Ponce / Resumo: Introdução: Poucos trabalhos avaliaram a viabilidade e os resultados entre diálise peritoneal (DP) e hemodiálise (HD) no início urgente de terapia renal substitutiva (TRS). Objetivo: Comparar DP e HD como opções de início urgente de TRS, quanto à evolução, desfechos e complicações dos pacientes. Método: Estudo quasi experimental com pacientes incidentes em DP e HD em hospital universitário brasileiro, no período de julho/2014 a dezembro/2016. Incluídos indivíduos DRC estádio final que necessitaram de TRS imediata, ou seja, HD por meio de CVC ou DP cujo cateter foi implantado por nefrologista e utilizado em 72 horas, sem treinamento prévio. Pacientes em DP foram submetidos, inicialmente, a DP de alto volume (DPAV) para compensação metabólica. Após alta hospitalar, permaneciam em DP intermitente na unidade de diálise até efetivação do treinamento. Foram comparados: complicações mecânicas e infecciosas, recuperação de função renal e sobrevida. Resultados: Foram incluídos 93 pacientes em DP (G1) e 91, em HD (G2). Os grupos G1 e G2 foram semelhantes quanto à idade (58+17 vs 60+15; p=0,49), frequência de diabetes mellitus (37,6 vs 50,5%; p=0,10), outras comorbidades (74,1 vs 71,4%; p=0,67) e parâmetros bioquímicos ao início da TRS – creatinina (9,1+4,1 vs 8,0+2,8; p=0,09), albumina sérica (3,1+0,6 vs 3,3+0,6; p=0,06) e hemoglobina (9,5+1,8 vs 9,8+2,0; p=0,44). Após seguimento mínimo de 180 dias e máximo de dois anos, não houve diferença quanto a complicações mecânicas (24,7 vs 37,4... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Background: Few studies have evaluated the feasibility and results of peritoneal dialysis (PD) and hemodialysis (HD) at the urgent-start of renal replacement therapy (RRT). Objective: We compared PD and HD as options for urgent-start of RRT regarding the evolution, complications and outcomes of patients. Method: End-stage renal disease (ESRD) patients who initiated dialysis urgently without a pre-established functional vascular acess or PD catheter were included in a period between July/2014 to December/2016, from a Brazilian single centre. In urgent-start PD, nephrologists performed the Tenckhoff catheter insertions. It was used high volume PD (HVPD) right after 72 hours PD catheter placement, and it was kept until metabolic and fluid control. After hospital discharge, patients were treated with intermittent PD on alternate days at the dialysis unit, until family training. Results: Ninety-three patients in PD (G1) and 91 in HD (G2) were included. Comparing the G1 group with G2, they were similar in age (58±17 vs 60±15; p= 0.49), frequency of diabetes mellitus (37.6 vs 50.5%; p= 0.10), others comorbidities (74.1 vs 71.4%; p= 0.67) and biochemical parameters to early RRT - creatinine (9.1+4.1 vs 8.0+2.8; p= 0.09), serum albumin (3.1+0.6 vs 3.3+0.6; p= 0.06) and hemoglobin (9.5+1.8 vs 9.8+2.0; p= 0.44). There was no difference between the groups in mechanical complications (24.7 vs 37.4%; p= 0.06) and bacteremia (15 vs 24%; p= 0.11). Exit site infection (ESI) (25.8 vs 39.5%; p ... (Complete abstract click electronic access below) / Doutor