International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Interventions supporting cost conversations between patients and clinicians: a systematic review.
Discussing cost during medical encounters may decrease the financial impact of medical care on patients and align their treatment plans with their financial capacities. We aimed to examine which interventions exist and quantify their effectiveness to support cost conversations. ⋯ The body of evidence is small and comprised of studies at high risk of bias. However, an increase in the frequency of cost conversations is consistent. Studies with higher quality are needed to ascertain the effects of these interventions on the acceptability, frequency and quality of cost conversations.
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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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Delayed revascularisation in patients with ST-segment elevation myocardial infarction (STEMI) is associated with poor prognosis. The aim of this study is to investigate how the timeline in STEMI treatment was affected during the Covid-19 outbreak. ⋯ During the Covid-19 pandemic period, prolonged prehospital time parameters were observed in STEMI patients. Therefore, additional measures may be required to prevent unfavourable delays in STEMI patients during the outbreak.
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Int. J. Clin. Pract. · May 2021
How to Rapidly Convert General Wards to ICUs during the COVID-19 Epidemic: Experience from Wuhan, China.
Critically ill patients with coronavirus disease 2019 (COVID-19) were surging and far outnumbered existing beds. ⋯ The conversion is successful and the running experience would be a reference for hospitals in other areas nationally or globally.
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Int. J. Clin. Pract. · May 2021
Observational StudyAssociation between temporomandibular disorders with clinical and sociodemographic features: observational study.
Temporomandibular disorders (TMD) are the most common orofacial impairment, but the relevance of certain clinical features in TMD is not clear. ⋯ The etiology of TMD is not clear and considering certain clinical features including dental occlusion are not justified in the evidence-based TMD practice for making irreversible occlusal treatment decisions.