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The information can be used alone as empowered consumers or together with healthcare professionals in an environment of patient-centred care.
Resource allocation decisions should always account for these "invisible-hands -effects invisible-hands -effectst of patinvisible-hands -effects
In the future, engineered diets that restrict deleterious components but supplement beneficial nutrients could be used to modify the luminal intestinal environment of patients with IBD; these might be used alone or in combination with immunosuppressive agents, or as salvage therapy for patients who do not respond or lose responsiveness to medical therapies.
The obesogenic living environment of patients in residential facilities may even pose an extra risk.
Evaluations of fungal exposure in the environment of patients with sarcoidosis should be considered, particularly for those with recurrent sarcoidosis.
C. difficle spores in the environment of patients with C. difficile associated disease (CDAD) are difficult to eliminate.
This is considered to simulate the cell physiological environment of patients subjected to strong oxidative stress, such as smokers.
There have been a number of evaluations of the presence and persistence of C. difficile spores in the environment of patients with CDAD.
Disinfection of surfaces in the immediate environment of patients, however, has been described to reduce acquisition of nosocomial pathogens such as VRE [ 85] or Acinetobacter baumannii [ 86].
There have been many reports [ 14, 1, 2, 18] of C. difficile spores in the environment of patients who have C. difficile-associated disease (CDAD).
Further investigations based on complementary data for the characterisation of the spatial and structural environment of patients would be necessary to formally test these hypotheses.
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