International journal of clinical practice
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Int. J. Clin. Pract. · Jul 2021
Detectable respiratory SARS-CoV-2 RNA is associated with low vitamin D levels and high social deprivation.
Accumulating evidence links COVID-19 incidence and outcomes with vitamin D status. We investigated if an interaction existed between vitamin D levels and social deprivation in those with and without COVID-19 infection. ⋯ In this cohort, combined low vitamin D levels and higher social deprivation were most associated with COVID-19 infection. In older age, this combination was even more significant. Our data support the recommendations for normalising vitamin D levels in those with deficient / insufficient levels and in groups at high risk for deficiency.
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Int. J. Clin. Pract. · Jul 2021
Changes in percutaneous approach to kidney stones in children: A single institute experience over 500 cases.
The aim of this study is to identify the changes in patient age and stone sizes with technological advancement over time. ⋯ Our study demonstrated that the patient's age and stone size at the time of initial diagnosis decrease over time while miniaturisation techniques increase in paediatric urology.
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Int. J. Clin. Pract. · Jul 2021
Patients undergoing assisted peritoneal dialysis show a better technique survival: a competing risk analysis.
To compare patient mortality and technique survival between patients undergoing assisted peritoneal dialysis (aPD) and self-care peritoneal dialysis (sPD). ⋯ These results found that aPD patients had higher mortality rates but lower technique failure rates than sPD patients. Higher mortality in aPD is probably related to the negative selection of the more comorbid patients. .
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Int. J. Clin. Pract. · Jul 2021
Investigation of the disease process and drug combinations in patients with suspected/confirmed Covid-19 using favipiravir.
It is aimed to investigate the disease processes and drug combinations in patients who received favipiravir treatment. ⋯ Administration of favipiravir later in the course of the disease makes it difficult to achieve the true efficacy expected from the drug and also makes it difficult for other combination drugs to contribute to survival. Favipiravir may also be effective in case of recurrence.
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Int. J. Clin. Pract. · Jul 2021
Place of cardiovascular risk prediction models in South Asians; agreement between Framingham risk score and WHO/ISH risk charts.
There are no cardiovascular risk prediction models developed in South Asian cohorts. Therefore, different risk models not validated in South Asians are being used. We aimed to compare cardiovascular risk predictions of Framingham risk score (FRS) and World Health Organization/International Society of Hypertension (WHO/ISH) charts for agreement in a sample of South Asians. ⋯ Cardiovascular risk predictions of FRS were higher than WHO/ISH charts and the agreement in risk stratification was not satisfactory in Sri Lankans. Therefore, different cardiovascular risk prediction models should not be used interchangeably in the follow-up of South Asians.