International journal of clinical practice
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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.
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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.
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Int. J. Clin. Pract. · Jan 2022
Awareness, Treatment, and Control of Diabetes in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey 2017/18.
The prevalence of diabetes is increasing in Bangladesh from ∼5% in 2001 to ∼13% in 2017/18 (∼8.4 million cases). The prevalence of undiagnosed diabetes was also found to be higher at 6% in 2017/18. However, very little is known about the management of diabetes assessed by diabetes awareness, treatment, and control. We aimed to estimate the age-standardised prevalence of awareness, treatment, and control of diabetes and its associated factors. ⋯ This study provides evidence of poor management of diabetes in Bangladesh, especially in men. Less than one-third of the people with diabetes were aware of their condition. Just over one-fourth of the people with diabetes were on treatment, and among those who were treated only one-fourth had controlled diabetes. Interventions targeting younger people, in particular men and those with lower education, are urgently needed. Government policies that address structural factors including the cost of diabetes care and that strengthen diabetes management programmes within primary healthcare in Bangladesh are urgently needed.
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Int. J. Clin. Pract. · Jan 2022
Awareness of Vaccination against Respiratory Tract Diseases, Including Pneumonia, Influenza, and COVID-19 in Patients with Diabetes Mellitus.
Patients with diabetes have an increased risk of severe acute respiratory infections, and vaccination is their life-saving option. This study aimed to investigate the interest and knowledge of patients about influenza, pneumonia, and COVID-19(coronavirus disease 2019) vaccines. Materials. ⋯ We examined the vaccine awareness of patients with diabetes and investigated factors affecting it. İt was determined that vaccination awareness is affected by many factors, especially comorbid diseases and educational status. The study showed that patients primarily relied on doctors as their source of information for vaccination. Doctor-centered vaccination promotion programmes can increase the rate of vaccination.
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Int. J. Clin. Pract. · Jan 2022
Free Triiodothyronine Is Associated with Poor Outcomes after Acute Ischemic Stroke.
It is unclear whether thyroid hormones are associated with functional outcomes after ischemic stroke. We aimed to investigate the impact of serum levels of thyroid hormones at admission on functional outcomes at 3 months after acute ischemic stroke. ⋯ Our study suggests that FT3 levels at admission are significantly and independently associated with a risk of poor outcomes after ischemic stroke and that lower FT3 levels can be considered as a prognostic biomarker for poor outcomes at 3 months.