International journal of clinical practice
-
Int. J. Clin. Pract. · Jan 2022
Homocysteine Is a Marker of Increased Cardio-Cerebrovascular Disease Risk in Psoriatic Patients, but It Does Not Reflect the Effect of Biological Therapy in the Longitudinal Observation.
Psoriasis is linked to atherosclerosis. Homocysteine (HCYS) has been identified as a marker of increased risk of cardio-cerebrovascular diseases (CCVD) in population. ⋯ An increased CCVD risk, independent of other risk factors, is present in psoriatic patients with elevated HCYS. The HCYS level was not influenced by biological therapy in longitudinal observation. Further studies are needed to explore if elevated HCYS could serve as a marker of increased CCVD in any stage of psoriasis and if it should be included in classical screening strategies.
-
Int. J. Clin. Pract. · Jan 2022
Turkish Validity and Reliability Study of Challenge-Hindrance Demands Scale for the Nursing Profession.
This study aims to adapt "the Challenge-Hindrance Demands Scale for Nursing Professional" developed by Mahaverachartkul and Sooraksa; regarding "how nurses who are under heavy workload and stress as well as intense and tiring working hours perceive many stressful situations in the working environment as challenges or hindrances" to Turkish language and bring it to the use of national literature. In terms of method, the research was designed within the scope of the quantitative research model. Data collected from 450 nurses were used in this study. ⋯ According to the EFA findings of the Hindrance Demands Scale, when the KMO value (0.947) and the Bartlett sphericity test value (X2 (78) = 5263.056; p=0.001) were examined, it was seen that the data were suitable for analysis. When the CFA findings of the Hindrance Demands Scale were examined, it was seen that the fit indices were at an acceptable level (X2 (61) = 208.794; p=0.001; CMIN/df = 3.423; CFI = 0.972; TLI = 0.964; RMSEA = 0.073; SRMR = 0.032). In conclusion, the Challenge-Hindrance Demands Scale for Nursing Professionals with 13 items and four dimensions developed to measure the stress, hindrance, and challenge levels of nurses in their professional life in Turkey may be used in future studies.
-
Int. J. Clin. Pract. · Jan 2022
Identifying the Predictors of Short Term Weight Loss Failure after Roux-En-Y Gastric Bypass.
Gastric bypass surgery is a gold standard therapy for severe obesity. This study aimed to evaluate anthropometric predictors for short-term excess weight loss (EWL) after Roux-en-Y gastric bypass surgery (RYGB) in a sample of severely obese patients. ⋯ Reduced RMR shortly after RYGB may be due to FFM reduction. Some anthropometric and their acute changes after RYGB may predict the short-term EWL in RYGB patients.
-
Int. J. Clin. Pract. · Jan 2022
Elevated Cardiac Troponin I following Asymptomatic Intradialytic Hypotension: A Pilot Study with a 2-Year Follow-Up.
Intradialytic hypotension (IDH) has been recognized as a serious and frequent complication during hemodialysis (HD) of end-stage renal disease (ESRD) patients, but the effect of asymptomatic IDH on cardiac troponin I (cTnI) levels is not definitively elucidated. ⋯ The results of our study suggest that asymptomatic IDH affects cTnI levels. Given that cTnI is a marker of myocardial damage and a predictor of cardiovascular mortality in ESRD patients, these findings recommend that considering the asymptomatic decrease in blood pressure levels during HD is very important and critical.
-
Int. J. Clin. Pract. · Jan 2022
Circulating Inflammatory Markers May Mediate the Relationship between Healthy Plant-Based Diet and Metabolic Phenotype Obesity in Women: A Cross-Sectional Study.
It has been posited that both metabolically healthy obesity (MHO) and metabolically unhealthy obesity (MUHO) could be emergent from diet and inflammatory markers. Thus, we sought to investigate the influence of plant-based diet on MHO and MUHO phenotypes mediated by inflammatory markers in overweight and obese women. ⋯ There was a significant inverse relationship between adherence to hPDI and MUHO phenotype in overweight and obese Iranian women. This association appeared to be mediated by TGF-β1, IL-β1, and MCP1.