International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Clinical manifestations of hypopharynx squamous cell carcinoma and treatment outcomes according to age at diagnosis.
The objective of this study is to assess the clinical manifestations and prognostic value of age on overall survival (OS) and cancer-specific survival (CSS) for hypopharynx squamous cell carcinoma (SCC) using the Surveillance, Epidemiology and End Results (SEER) database. ⋯ Younger patients tended to present with advanced N classification. Increasing age at diagnosis was associated with a significantly higher risk of poorer OS. However, when considering patients affected by more aggressive disease, age was not significantly associated with higher risk of dying from hypopharynx SCC. In high-risk patients, tumour characteristics rather than age should be considered when making treatment decisions.
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Int. J. Clin. Pract. · May 2021
Depression, loneliness, and factors influencing in Syrian refugee children.
About 3.5 million Syrian refugees are living within the borders of Turkey. This study examined depression, loneliness and factors influencing refugee children who live outside the camps and attend school in Turkey. ⋯ Depression and loneliness scores were relatively high in children, particularly those exposed to the devastating impacts of war. These results will make significant contributions to the planning of services to be provided for this group of children.
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Int. J. Clin. Pract. · May 2021
Sexual counselling in patients with heart failure: perceptions and current practice by healthcare providers in Flanders.
Although heart failure (HF) patients often consider sexual activity as an essential aspect of their quality of life (QoL) and are usually uncertain if it is safe to perform sexual activity, this topic is overall poorly addressed in clinical practice. ⋯ Although healthcare providers perceive it as their responsibility to discuss patients' sexual concerns, these issues are not often addressed in daily practice. Increasing knowledge in healthcare providers and specific practical training in providing information on sexual activity in HF patients are recommended. Further studies are needed to investigate how sexual counselling can be provided in agreement with HF patients' expectations and needs.
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Int. J. Clin. Pract. · May 2021
Non-systematic review: Correspondence quality and interoperability between family physicians and hospital clinicians.
Medical correspondence between physicians working in the community and in hospital is paramount to provide continuity of care, but there is no agreement on what constitutes a good quality letter, not even interest by some clinicians on this interface. Information flow could be faster electronically rather than in paper, but is content improving? What defines a good letter? ⋯ Standardised correspondence could improve continuity of care. Appropriately coded it could facilitate the information sharing and the data manipulation required to provide an adequate provision of services among primary care or family physicians and hospitals or secondary care organisations. It could also serve as a tool to assess clinicians' performance.