International journal of clinical practice
-
Int. J. Clin. Pract. · May 2021
The effect of adding a training device and smartphone application to traditional verbal counseling in asthmatic children.
New training devices were introduced to help in the inhaler counseling by addressing the inspiratory flow through the metered-dose inhaler (MDI), which is the most important problem of the MDI inhalation technique. This study aimed to compare the effects of MDI traditional verbal counseling and advanced counseling using training devices with a smartphone application in pediatric asthmatic patients. ⋯ The addition of training devices and smartphone applications to traditional verbal counseling of MDI inhalation technique in asthmatic children resulted in significant improvements in lung functions, and duration of inhalation, and progressive decreases in the average number of MDI inhalation techniques errors compared to the verbal counseling group.
-
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.
-
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.
-
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.
-
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.