A monthly group sees people with family living abroad come together to support each other.
Founder Veronica Downing , with Jean Hulatt , Lynne Toomey and other members of the group
A group set up to support people whose relatives have moved overseas has proved "very therapeutic", those who were left alone in the UK have said.Jean Hulatt, whose children live on "the other side of the world", joined after her husband died two years ago and said she relishes the support.Ms Downing, who has a daughter in New Zealand, a son in Ireland and a sister in Canada, said most of the group's 15 members heard about it through word of mouth.
She said she missed them "as I'm completely on my own now, having lost my husband two years ago", and though she recently returned from a six-week visit to Perth, she believed it would be her last, because of her age.Lynne Toomey's eldest son lives in Singapore."We knew it was going to be hard when Covid hit and we wouldn't be able to visit for a long time," she said.
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Non-interventional follow-up versus fluid bolus in RESPONSE to oliguria in hemodynamically stable critically ill patients: a randomized controlled pilot trial - Critical CareBackground Fluid bolus therapy is a common intervention to improve urine output. Data concerning the effect of a fluid bolus on oliguria originate mainly from observational studies and remain controversial regarding the actual benefit of such therapy. We compared the effect of a follow-up approach without fluid bolus to a 500 mL fluid bolus on urine output in hemodynamically stable critically ill patients with oliguria at least for 2 h (urine output | 0.5 mL/kg/h) in randomized setting. Methods We randomized 130 patients in 1:1 fashion to receive either (1) non-interventional follow-up (FU) for 2 h or (2) 500 mL crystalloid fluid bolus (FB) administered over 30 min. The primary outcome was the proportion of patients who doubled their urine output, defined as 2-h urine output post-randomization divided by urine output 2 h pre-randomization. The outcomes were adjusted for the stratification variables (presence of sepsis or AKI) using two-tailed regression. Obtained odds ratios were converted to risk ratios (RR) with 95% confidence intervals (CI). The between-group difference in the continuous variables was compared using mean or median regression and expressed with 95% CIs. Results Altogether 10 (15.9%) of 63 patients in the FU group and 22 (32.8%) of 67 patients in FB group doubled their urine output during the 2-h period, RR (95% CI) 0.49 (0.23–0.71), P = 0.026. Median [IQR] change in individual urine output 2 h post-randomization compared to 2 h pre-randomization was − 7 [− 19 to 17] mL in the FU group and 19[0–53] mL in the FB group, median difference (95% CI) − 23 (− 36 to − 10) mL, P = 0.001. Median [IQR] duration of oliguria in the FU group was 4 [2–8] h and in the FB group 2 [0–6] h, median difference (95%CI) 2 (0–4) h, P = 0.038. Median [IQR] cumulative fluid balance on study day was lower in the FU group compared to FB group, 678 [518–1029] mL versus 1071 [822–1505] mL, respectively, median difference (95%CI) − 387 (− 635 to − 213) mL, P | 0.001. Conclusions
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