International journal of clinical practice
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Int. J. Clin. Pract. · Aug 2021
Use of Radiological Tests in COVID-19 Positive Child Cases: Is Chest Computed Tomography Necessary?
This study aimed to correlate the radiographic findings of the coronavirus disease 2019 (COVID-19) positive children with their clinical and laboratory findings and discuss the frequency and necessity of chest computed tomography (CT) used for the radiological imaging in paediatric patients with COVID-19 infection. ⋯ In this study, it is emphasised that chest CT should be requested by considering the underlying diseases and severity of clinical findings in paediatric patients. In this way, unnecessary chest CT could be prevented in the paediatric population.
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Int. J. Clin. Pract. · Aug 2021
Unplanned breast-conserving surgery after systemic therapy in locally advanced breast cancer: the results of level II oncoplastic techniques.
In patients with breast cancer for whom neoadjuvant chemotherapy (NAC) is planned, it is recommended to mark the primary tumour before treatment (planned surgery). However, surgeons may have to perform breast-conserving surgery on patients whose tumours are not marked (unplanned surgery). This study focused on the results obtained with planned and unplanned level II oncoplastic surgery (OPS) techniques applied to patients after NAC. ⋯ Breast conserving surgery can be applied using level II OPS techniques with the post-NAC radiological examination and marking even if primary tumour marking is not done in the pre-NAC period.
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Int. J. Clin. Pract. · Aug 2021
A Nationwide Survey on the Impact of COVID-19 Pandemic on Minimal Invasive Surgery in Urology Practice.
The beta-coronavirus (COVID-19) pandemic has changed the clinical approach of 93% of urologists worldwide, and this situation has affected the use of laparoscopic and robot-assisted laparoscopic methods, which are known as minimally invasive surgery (MIS). This study aimed to determine the effects of the COVID-19 pandemic on MIS in urology practice at national level. ⋯ Although the number of operations has decreased during the ongoing pandemic, MIS is a method that can be preferred due to its limited contamination and mortality in urology practice provided that safety measures are taken and guideline recommendations are followed.
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Int. J. Clin. Pract. · Aug 2021
Relationship between door-to-balloon time and clinical experience level of emergency department physicians.
This study aimed to investigate the relationship between the experience level of physicians initially making the clinical diagnosis of ST-segment elevation myocardial infarction in the emergency department and door-to-balloon time (DBT). ⋯ DBT decreased as the experience level of the emergency physician increased, but randomisation is required to determine the clinical benefit of this effect.
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Int. J. Clin. Pract. · Aug 2021
Evaluating the Anxiety and Depression Status of Prostate Cancer Patients whose Operations were Postponed due to the COVID-19 Pandemic.
In this study, we aimed to evaluate the anxiety and depression status of prostate cancer (PCa) patients whose planned operations in the urology clinic of our hospital, which is serving as a pandemic hospital in Turkey have been postponed because of the coronavirus disease 2019 pandemic. ⋯ Prostate cancer patients with postponed operations should be guided properly in order to manage their anxiety status especially young patients.