International journal of clinical practice
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Int. J. Clin. Pract. · Aug 2021
Meta AnalysisEffect of reflectance confocal microscopy compared to dermoscopy in the diagnostic accuracy of lentigo maligna: a meta-analysis.
Many concerns were raised about the sensitivity and specificity outcome of reflectance confocal microscopy compared to dermoscopy for the diagnosis of lentigo maligna. However, the reported relationships between their sensitivity and specificity were variable. Our meta-analysis was performed to clarify this relationship. ⋯ Based on this meta-analysis, the reflectance confocal microscopy compared to dermoscopy in lentigo maligna diagnosis had a significantly higher specificity and relatively higher sensitivity. This relationship forces us to recommend reflectance confocal microscopy in lentigo maligna diagnosis for better outcomes and to avoid any possible false-negative results. Further studies are required.
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Int. J. Clin. Pract. · Aug 2021
Urination behaviors of senior citizens in five Chinese cities: results of a cross-sectional survey.
To investigate the urination behaviours of senior citizens in China. ⋯ Unhealthy urination behaviours, including urinating at night and holding back urine, were common among senior citizens. This result can provide information for the prevention and control of urinary system diseases.
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Int. J. Clin. Pract. · Aug 2021
Deprescribing in older patients by early-career general practitioners: prevalence and associations.
Deprescribing is the health-professional-supervised process of withdrawal of an inappropriate medication to manage polypharmacy and improve patient outcomes. Given the harms of polypharmacy and associated inappropriate medicines, practitioners, especially general practitioners (GPs), are encouraged to take a proactive role in deprescribing in older patients. While trial evidence for benefits of deprescribing is accumulating, there is currently little epidemiologic evidence of clinicians' (including GPs') deprescribing behaviours. We aimed to establish the prevalence and explore associations of deprescribing of inappropriate medicines by early-career GPs. ⋯ These findings will have important implications for the education of GPs in deprescribing as a clinical skill.
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Int. J. Clin. Pract. · Aug 2021
Primary trauma care course: Alternative basic trauma course in developing countries. "The Need Of The Hour".
Low- and middle-income countries account for over 90% of all road traffic injury deaths. Despite this, formal training in trauma management is not widely adopted in these countries. No specific training was available in prehospital or emergency department for life support before primary trauma care (PTC) course. This study was conducted to assess the effectiveness of the PTC course in the improvement of knowledge and skills of trauma management among participant in Pakistan. ⋯ PTC workshop could be an alternative and cost-effective flexible course for gaining knowledge and clinical skills of initial trauma management and strengthening the capacity of trauma management training in developing countries with minimal resources for saving the life of trauma victims.