International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Observational StudyEconomic costs of hospitalization and length of stay in diabetes with co-existing hypertension with correlation to laboratory investigations: where does india stand? a five years overview and ground report.
The coexistence of diabetes mellitus (DM) and hypertension (HTN) worsens clinical outcomes and contributes to increased morbidity and mortality. ⋯ The present study highlighted that diabetes coexisting hypertension poses a high-economic burden on patients. This study explored that highly significant result for BPS, BPD, FBS and HbA1 c, whereas the significant results were obtained when RBS is compared with LOS and treatment costs. Our study concluded that mean difference of 9.24 $ in patients having FBS was 261-290 mg/dL and >290 mg/dL. The LOS is increased by 6.57 days for patients with BPS between 140 and 159 mmHg compared with BPS between 180 and 209 and above mmHg, which lowers treatment costs by -21.31$.
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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
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
There is no evidence of cochlear and vestibular melanocyte damage in patients with alopecia areata.
Follicular melanocytes are known to be damaged in alopecia areata (AA). However, it is not clear whether melanocytes are the primary target of autoimmunity and whether melanocytes in the inner ear are affected. This study aimed to detect possible cochlear and/or vestibular melanocyte damage in AA patients. ⋯ AA patients did not exhibit hearing loss or balance abnormalities that would indicate cochlear and vestibular melanocyte damage. The lack of damage to the inner ear melanocytes in AA patients may indicate that follicular melanocytes are affected secondary to autoimmune damage in the hair bulb, and melanocytes are not the primary target in the pathogenesis of AA.