International journal of clinical practice
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Int. J. Clin. Pract. · Sep 2021
A prospective cohort study of two predictor models for 30-day emergency readmission in older patients.
To undertake a prospective study of the accuracy of two models (LACE and BOOST) in predicting unplanned hospital readmission in older patients (>75 years). ⋯ In this prospective study, both the BOOST and LACE scores were found to be significant yet poor, predictive models of hospital readmission. Recent hospitalisation (within the previous 6 months) was found to be the most significant contributing factor.
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Int. J. Clin. Pract. · Sep 2021
Evaluation of the use and attitudes of pregnant and postpartum women towards medicine utilization during pregnancy in the United Arab Emirates: A national cross-sectional study.
Pregnancy period is of high concern to every woman. Knowledge about medication use needs to be highlighted at such a critical stage. ⋯ During pregnancy, ladies were more moderate and doubter towards the drug, healthcare providers should know about such mentalities while encouraging pregnant ladies to take prescription.
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Int. J. Clin. Pract. · Sep 2021
Is it necessary to have a guidewire down through the ureter during mini percutaneous nephrolithotomy? Single-centre experience with 1052 cases.
In this study, it is aimed to identify the rate of successful placement of a guidewire down through the ureter during PNL and to compare the outcomes of different locations of guidewires in the collecting system following renal puncture in terms of success and complications rates. ⋯ Placement of guidewire down through the ureter could not be established in more than 60% of the cases. Location of guidewire prior to dilation did not affect the outcomes. Therefore, we suggest to proceed with tract creation even when the guidewire coils within the punctured calyx.
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Int. J. Clin. Pract. · Sep 2021
An investigation of women's pregnancy experiences during the covid-19 pandemic: A qualitative study.
The coronavirus disease 2019 (COVID-19) pandemic has adversely affected the physical and psychosocial health of pregnant women and their access to antenatal care and health services. ⋯ The study concluded that the pandemic has affected both the physical and psychosocial health of pregnant women, their social life, marital relationship and access to antenatal care services. Health professionals need to evaluate psychosocial health as well as the physical health of pregnant women, especially during the pandemic, and create a care plan accordingly. Midwives and other health professionals should improve the bio-psychosocial health of the pregnant/family via telehealth and counselling services.
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Int. J. Clin. Pract. · Sep 2021
ReviewDelayed and cancelled orthopaedic surgery; are there solutions to reduce the complex set of problems?
Unexpected cancellations of, and delays to, orthopaedic surgery have adverse effects, with a negative impact on hospital performance and undesirable patient outcomes. As cancellations and delays are common, finding measures to prevent them is a matter of urgency. ⋯ This systematic literature review has revealed important evidence to help reduce the risk of cancelled and delayed orthopaedic procedures associated with a variety of care action exposures. They include a fast-track pathway, pre-operative guidelines and telephone contact with patients prior to surgery, as well as careful consideration of additional pre-operative tests.