International journal of clinical practice
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Int. J. Clin. Pract. · Jul 2021
Which of Us were More Affected by the Pandemic? The Psychiatric Impacts of the COVID-19 Pandemic on Healthcare Professionals in the Province Where the First Quarantine Units were Established in Turkey.
Psychiatric problems, such as stress and anxiety disorders, are encountered amongst healthcare professionals fighting epidemics. Considering that COVID-19 suddenly became a pandemic and healthcare professionals have not had access to sufficient information, it is a fact that healthcare professionals have been affected on a large scale. Heavy workloads, insufficient equipment and anxiety over families increase this impact. We aimed to investigate the extent to which healthcare professionals have been psychologically affected by COVID-19 and related factors. ⋯ The determination of the groups most affected amongst professionals working in epidemics is important for the planning of in-service training and psychological support studies. If the fight against pandemics includes health teams with strong psychological grounding, it leads to qualified medical care for patients.
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Int. J. Clin. Pract. · Jul 2021
How fast should social restrictions be eased in England as COVID-19 vaccinations are rolled out?
Vaccination against the COVID-19 virus began in December 2020 in the UK and into Spring 2021 has been running at 5% population/week. High levels of social restrictions were implemented for the third time in January 2021 to control the second wave and resulting increases in hospitalisations and deaths. Easing those restrictions must balance multiple challenging priorities, weighing the risk of more deaths and hospitalisations against damage done to mental health, incomes and standards of living, education and provision of non-Covid-19 healthcare. ⋯ In most cases, the results favour a somewhat faster easing of restrictions in England than current policy implies.
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Int. J. Clin. Pract. · Jul 2021
The effect of ideal urine culture time on urinary infections after flexible ureteroscopy: A match-pair case-control study.
To investigate the effect of the ideal period (Δ-day), which is a period between the sterile urine culture and initiation of flexible ureteroscopy (f-URS), on postoperative urinary tract infections (UTI) in our tertiary referral centre. ⋯ The present study is the first to examine the impact of the Δ-day for f-URS on postoperative UTIs. In brief, prolonging the Δ-day, especially if Δ-day >14 days, leads to an increase in the rates of postoperative UTI. We conclude that it is preferred to either perform the f-URS in the early period after the urine culture analysis or doing the urine culture analysis shortly before the surgery.
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Int. J. Clin. Pract. · Jul 2021
Combined corrected QT interval and Growth differentiation factor-15 level has synergistic predictive value for long-term outcome of angiographically confirmed coronary artery disease.
The corrected QT interval (QTc) predicts prognosis for the general population and patients with coronary artery disease (CAD). Growth differentiation factor-15 (GDF-15) is a biomarker of myocardial fibrosis and left ventricular (LV) remodelling. The interaction between these two parameters is unknown. ⋯ In Chinese patient with angiographically confirmed CAD, a combined strategy utilising an ECG parameter (QTc) and a circulating biomarker (GDF-15) has good correlation with the severity of CAD, and improves the predictive power for total mortality.
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Int. J. Clin. Pract. · Jul 2021
Observational StudyClinical, SinoNasal, and Long-Term Smell and Taste Outcomes in Mildly Symptomatic COVID-19 Patients.
Coronavirus 2019 disease (COVID-19) has variable clinical, sinonasal, and smell/taste outcomes. ⋯ Although COVID-19 may produce severe lower airways disease, it has modest effect on nose and paranasal sinuses. Moreover, smell/taste dysfunction is a prominent symptom, but it usually recovers dramatically.