A Case of Roseomonas gilardii Peritonitis Associated with a Flooded Peritoneal Dialysis Treatment Space.

Bacterial peritonitis is a key complication of Peritoneal Dialysis (PD) and a preventable cause of withdrawal from PD treatment. Infection generally arises from contamination with skin commensals during handling of the dialysis delivery system or from translocation of gastrointestinal organisms and more rarely from an environmental organism. Herein, we report the case of a 73-year-old admitted for PD-related peritonitis due to Roseomonas gilardii with an associated environmental exposure from a domestic plumbing issue. We describe the presentation, case, and antibiotic regimen progression from empiric therapy of ceftazidime and vancomycin IP to ciprofloxacin. We acknowledge the importance of performing laboratory sensitivities given the high antibiotic resistance of the Roseomonas genus. We offer that nephrologists should consider Roseomonas as a potential causative organism of peritonitis, especially when initial or further history reveals exposure to potentially contaminated water.

Effects of guided mindfulness meditation on anxiety and stress in a pre-healthcare college student population: a pilot study.

Objective: To identify the effects of guided mindfulness meditation on anxiety and stress in pre-healthcare college students. Participants: Students (n = 33, age 19-22 years) were tested between September and November of 2017. Methods: Students completed 5-12 minutes of meditation 6 days/week for 8 weeks. We examined differences in pre- and post-intervention stress, anxiety, mindfulness, and heart rate variability. Results: All variables significantly improved after the intervention. When broken into quartiles based on minutes of meditation, groups 1 (0-184 min, p = 0.044) and 2 (184.1-268 min, p = 0.042) significantly increased mindfulness after the intervention. Group 3 (268-350 min) significantly decreased state anxiety (p = 0.015) and increased mindfulness (p = 0.029). Group 4 (350.24-424.05 min) decreased stress (p = 0.003), state anxiety (p = 0.007), trait anxiety (p = 0.003), and increased mindfulness (p = 0.007). Conclusion: Five to twelve minutes of daily mindfulness meditation is associated with decreased stress and anxiety, and increased mindfulness with greater changes observed following more minutes of meditation.