International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Attitudes of physicians towards COVID-19 vaccines and reasons of vaccine hesitancy in Turkey.
The development of safe and effective vaccines against SARS-CoV-2 and successful implementation of a global vaccination programme are prerequisites for a return to normal living conditions. Despite these intensive research efforts, vaccine hesitancy and misinformation in many countries present substantial obstacles to achieving sufficient coverage and community immunity. Here, we report the findings of a survey regarding the likelihood of COVID-19 vaccine acceptance in a sample of physicians in Turkey. ⋯ Although trials tend to focus on the efficacy of vaccines, the results of this study indicated that the most important factor affecting the preference for a given vaccine among Turkish physicians is safety.
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Int. J. Clin. Pract. · May 2021
Meal-specific dietary patterns and their relation to metabolic syndrome among Iranian adults.
Evidence on the association between dietary patterns and metabolic syndrome (MetS) focused on habitual intake without considering dietary intake at specific eating meals. We aimed to examine the association between meal-based dietary patterns and metabolic syndrome and the odds of MetS in Iranian adults. ⋯ The results suggest that the meal-specific dietary patterns might be associated with decreased odds of MetS and its components.
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Int. J. Clin. Pract. · May 2021
Admissions for and Quality of Care of ST-Segment-Elevation Myocardial Infarction in the Post COVID-19 Era in China.
To evaluate changes in admission rates for and quality of care of ST-Segment-Elevation Myocardial Infarction (STEMI) during the period of the coronavirus disease 2019 (COVID-19) outbreak and post COVID-19 era. ⋯ The impact of public health restrictions in the post COVID-19 era is significant, and may lead to unexpected out-of-hospital deaths and compromised quality of STEMI care. Delay or absence in presentation in STEMI patients should be continuously considered to avoid the secondary disaster of the pandemic. System delay should be modifiable for reversing the worse clinical outcomes from the COVID-19 outbreak, by coordination measures with focus on the balance between timely PCI procedure and minimizing contamination of cardiac catheterization rooms.
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Int. J. Clin. Pract. · May 2021
Effect of single preoperative ferric carboxymaltose injection on perioperative transfusion in patients undergoing total hip arthroplasty: A retrospective analysis.
Despite ongoing efforts to reduce perioperative transfusion, there is still high chance of transfusion in total hip arthroplasty (THA). We investigated the requirement of red blood cell (RBC) transfusion according to the administration of single preoperative ferric carboxymaltose (FCM) in patients undergoing THA. ⋯ Single preoperative FCM administration without any other supplementation could reduce the requirement of RBC transfusion in patients undergoing THA. This study suggests that single preoperative FCM administration can be recommended as a simple and easy patient blood management strategy in addition to other methods for reducing the RBC transfusion in THA.
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A case of visual loss following craniomaxillofacial trauma is reported. The patient had sudden visual loss associated with fracture of the left orbital floor and medial and lateral wall of the left orbit and comminuted fracture of the left optic canal. ⋯ The role of orbital and optic decompression in the management of patients with traumatic optic neuropathy is discussed. Its indication is controversial and the procedure should be considered only within the context of the specific needs of the individual patient.