International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Evaluation of painkillers according to principles of rational drug use in patients registered to a family medicine unit.
We aimed to evaluate knowledge, attitudes and usage of the painkillers within the framework of rational drug use. ⋯ Demographic features and disease characteristics were the notable factors that affected painkillers selection and the level of knowledge about them.
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Int. J. Clin. Pract. · May 2021
Lipid control and its associated factors among patients with dyslipidemia in Jordan.
Lipid control represents a cornerstone in the management of atherosclerotic cardiovascular disease (ASCVD). Nevertheless, little research has explored the factors associated with poor lipid control in patients with dyslipidaemia. ⋯ Lipid profile has considerable scope for improvement in patients with dyslipidaemia in Jordan. Improving medication adherence by emphasising on medication necessity and simplifying the prescribed dosage regimen, particularly in smoking patients and those who have ASCVD, should be particularly considered in future clinical pharmacy service programmes aim at improving lipid control and health outcomes in patients with dyslipidaemia.
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Int. J. Clin. Pract. · May 2021
Thiol - Disulphide Homeostasis as a novel oxidative Stress Biomarker in Lung Tuberculosis patient.
To compare a novel oxidative stress biomarker dynamic thiol/disulphide homoeostasis between patients with lung tuberculosis and healthy controls. ⋯ Based on the results of this study, it can be said that oxidative stress is closely associated with lung tuberculosis pathogenesis. There is a need for new studies that will show the possible effects of oxidative stress on lung tuberculosis pathogenesis.
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Int. J. Clin. Pract. · May 2021
Disagreements between Emergency Patients and Physicians regarding Chief Complaint Patient Factors and Prognostic Implications.
The predictive power of chief complaints reported at presentation to the emergency department (ED) is well known. However, there is a lack of research on the coherence of patient versus physician reported chief complaints. The aim of this study was to determine the rate of disagreement between patients and physicians regarding chief complaint and its significance for the prediction of the outcomes number of resources used during ED work-up, hospitalisation, ICU admission, in-hospital mortality and hospital length of stay. ⋯ Disagreement on chief complaint between patient and physician may be an early marker for a complex work-up, requiring more resources and hospitalisations. The relevance of this finding is the newly identified signal of chief complaint replacement. It is easy to identify and should generate attention, as it affects a certain phenotype (older male patients with higher numbers of complaints).
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Int. J. Clin. Pract. · May 2021
Sex-based difference in anticoagulated patients with mechanical prosthetic heart valves and long-term mortality risk.
Vitamin K antagonists (VKAs) reduce thromboembolism in patients with mechanical prosthetic heart valves (MPHV). It is unclear whether a sex-based difference in MPHV patients regarding valve site, anticoagulation quality, and mortality risk does exist. ⋯ Female sex is independently associated with mitral/mitro-aortic MPHV. Despite a lower TiTR in women, mortality risk did not differ between the two groups.