International journal of clinical practice
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Int. J. Clin. Pract. · Oct 2021
A proactive remote pharmaceutical care for rural elderly population: The Houston-Apollo polypharmacy project.
To evaluate polypharmacy-related problems in the elderly people who live in rural through a proactive pharmaceutical care project under a novel remote medical service infrastructure (the Houston-Apollo polypharmacy project). ⋯ Polypharmacy was significantly associated with negative impact of medication safety among the elderly people in rural area. A persistent remote pharmaceutical care intervention was crucial for improving this problem.
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Int. J. Clin. Pract. · Oct 2021
Association between angiotensin-converting enzyme inhibitors or angiotensin receptor blockers and community acquired pneumonia: a nationwide population propensity-score matching study.
Few large-scale cohort studies have investigated the association between community-acquired pneumonia and the use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs). We aimed to study whether using ACEIs or ARBs had protective effects for community-acquired pneumonia. ⋯ Both ACEI and ARB uses were associated with decreased risk of community-acquired pneumonia infection.
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Galectin-3 is a β-galactoside-binding lectin associated with cellular proliferation, inflammation and angiogenesis, which are the major characteristics of psoriatic skin. ⋯ Elevated serum galectin-3 levels in psoriasis patients may indicate a possible role of galectin-3 in pathogenesis of psoriasis.
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Int. J. Clin. Pract. · Oct 2021
Relationship Between Acanthosis Nigricans, Acrochordon and Metabolic Syndrome in Patients with Lichen Planus.
In the literature, there are no data examining the association with lichen planus with acanthosis nigricans and acrochordon, which are skin findings of metabolic syndrome (MS). ⋯ In our study, it was found that skin findings such as AN and acrochordon increased in patients with lichen planus. This increase was also observed in lichen planus patients with metabolic syndrome. Therefore, the association of acanthosis nigricans and acrochordon may be a predictive of metabolic syndrome in patients with lichen planus admitted to the dermatology outpatient clinic.
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Int. J. Clin. Pract. · Oct 2021
In-hospital Outcomes of Transcatheter Versus Surgical Mitral Valve Repair in Patients with Chronic Liver Disease.
Mitral valve transcatheter edge-to-edge repair (TEER) using MitraClip is a treatment option for patients with moderate to severe mitral regurgitation who are not surgical candidate. Liver cirrhosis is associated with higher operative morbidity and mortality; however, it is not part of preoperative risk assessments calculators. We sought to evaluate the in-hospital outcomes in TEER and surgical mitral valve repair (SMVR) in liver cirrhosis. ⋯ TEER was associated with lower rate of in-hospital mortality, LOS, blood transfusion and prolonged mechanical ventilation in cirrhosis patients. TEER can be considered as a viable option for cirrhosis patient with severe mitral regurgitation.