International journal of clinical practice
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Int. J. Clin. Pract. · Nov 2021
Value of shear wave elastography in predicting hepatorenal syndrome in patients with liver cirrhosis and ascites.
Early detection of renal damage in cirrhosis is critical to prevent hepatorenal syndrome (HRS). Although shear wave elastography (SWE) is useful for the assessment of kidney stiffness, no study has yet investigated the clinical feasibility of SWE for predicting HRS. ⋯ SWE can indicate renal injury in patients with cirrhosis and ascites. The combination of YM and RI has a good predictive value for the occurrence of HRS.
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Int. J. Clin. Pract. · Nov 2021
Identifying medication-related readmissions: Two students using tools versus a multidisciplinary panel.
Polypharmacy may result in medication-related readmissions (MRRs). Identifying MRRs is time consuming. Screening of readmissions by students could increase efficiency for healthcare professionals. Recently, two screening tools have been published: the Assessment Tool for identifying Hospital Admissions Related to Medications (AT-HARM10) tool and the Drug-Related Admission (DRA) adjudication guide. It is unknown whether pharmacy students could identify MRRs with these tools. ⋯ Two students have an overall agreement of 80% in comparison with the multidisciplinary panel with a moderate Cohen's kappa. Students are more often overestimated, but they may be a good option to preselect potential MRRs to save time for healthcare professionals. However, some MRRs will be missed.
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Int. J. Clin. Pract. · Nov 2021
Characteristics of Hospitalized COVID-19 Patients and Parameters Associated with Severe Pneumonia.
After the first case of coronavirus disease 2019 (COVID-19) was reported in China in December 2019, it caused a global pandemic, including Turkey. ⋯ This study, as one of the first multicentre studies about characteristics of COVID-19 in Turkey, may guide about disease-related parameters and severity of pneumonia. Age, blood pressure, complete blood count and routine biochemical tests (including CRP and LDH) would appear to be important parameters for the evaluation of the severity of COVID-19 pneumonia.
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Int. J. Clin. Pract. · Nov 2021
Effectiveness of an Educational Intervention in Improving the Patient Medication Reconciliation in the Emergency Department.
This study aimed to evaluate the effectiveness of an educational intervention in improving the patient medication reconciliation process. ⋯ Educational intervention is an effective tool in improving medication reconciliation practices in inpatient settings. The process of medication reconciliation should be conducted based on shared responsibility between healthcare providers and aimed at reducing medication errors and improving patient safety.
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Int. J. Clin. Pract. · Nov 2021
Is a Laboratory Evaluations Required in Every Case Admitting to the Pediatric Emergency Department with Epistaxis?
Epistaxis is a mostly self-limiting condition common among children and is rarely severe. In this study, it was aimed to evaluate the incidence, demographic characteristics, causes of bleeding and treatment methods of patients who presented to the pediatric emergency department (PED) with epistaxis, and to determine in which cases a laboratory test should be used. ⋯ As a result of this study, it was concluded that laboratory tests should be performed in cases with chronic disease history, bilateral bleeding, active bleeding and nontraumatic epistaxis. The situation that causes epistaxis in the childhood age group should be determined with a good history and physical examination, laboratory tests should not be used in every patient.