International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Monocyte to HDL cholesterol and lymphocyte to monocyte ratios are predictors of in-hospital and long-term mortality in patients with acute coronary syndrome.
We aimed to determine the relationship between LMR and MHR and in-hospital and long-term mortality in patients with ACS. ⋯ We have shown that high MHR and low LMR were significant and independent predictors of in-hospital and long-term mortality in patients with ACS.
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Int. J. Clin. Pract. · May 2021
Randomized Controlled TrialShort-term Effectiveness of A Theory-based Intervention to Promote Diabetes Management Behaviours Among Adults with Type 2 Diabetes in Iran: A Randomized Control trial.
Diet and physical activity are recommended for diabetes management. Evidence suggests theory-based interventions are more efficacious than non-theory approaches. This study aimed to test the short-term effectiveness of an integrated theoretical model-based intervention to encourage compliance for low-fat food consumption, carbohydrate counting and physical activity in adults with type 2 diabetes. ⋯ This intervention showed promising short-term effects for carbohydrate counting but did not show improvements for low-fat diet nor physical activity. Given the improvement in psychological measures and self-reported behaviour for carbohydrate counting, coupled with the findings for TG, future research is needed to demonstrate longer-term improvements.
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Int. J. Clin. Pract. · May 2021
Otorhinolaryngology in the COVID-19 era: there significant differences between hospital-based and private practices?
The COVID-19 disease has an incredible impact on both hospital-based and private practices in the field of otorhinolaryngology and head and neck surgery. Practical issues faced by both types of practices have not been well addressed in most studies. A national survey was conducted in April 2020 to identify the challenges faced by otorhinolaryngologists practicing in the Czech Republic. ⋯ Despite our statistical results, it was observed that private practices faced more deficits and were more financially vulnerable. They were also other issues reported by both practices that could compromise the care of patients, functioning of workplaces and support of doctors.
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Int. J. Clin. Pract. · May 2021
Prevalence and predictors of psychological response during immediate COVID-19 pandemic.
COVID-19 pandemic has created a serious psychological impact worldwide since it has been declared. This study aims to investigate the level of psychological impacts of the COVID-19 pandemic on the Turkish population and to determine related factors. ⋯ The risk factors for the psychological impact of the COVID-19 pandemic, and acknowledging these factors can help to formulate the interventions to reduce the stress levels of the population.
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Int. J. Clin. Pract. · May 2021
Optimal delivery timing for twin pregnancies: a population based retrospective cohort study.
The optimal timing of delivery for twin pregnancies remains controversial. This study examined the risks of adverse neonatal outcomes and neonatal deaths according to gestational age at delivery in order to determine the optimal gestational age of delivery for twin pregnancies. ⋯ The optimal timing for twin delivery appears to be at 38 weeks of gestation, although individual maternal, foetal, and pregnancy characteristics should be considered when determining the best timing for delivery.