International journal of clinical practice
-
Int. J. Clin. Pract. · Nov 2021
Observational StudyA practical approach for the management of small thyroid nodules referred for biopsy.
Current guidelines recommend against routine ultrasound (US) guided fine-needle aspiration biopsy (FNAB) of small (<1 cm) thyroid nodules and suggest follow-up of ≥5 mm small nodules only if they are TI-RADS-5. This study aims to determine the best suspicious ultrasound features related to cytology results in patients referred for FNAB of small thyroid nodules and construct an algorithm for declining unnecessary biopsies and selection of patients to be followed up. ⋯ The presence of cyst or iso/hyperechogenicity within a small thyroid nodule in patients already referred for invasive sampling safely allows for declining a decision of FNAB or follow-up without the concern of missing malignancy.
-
Int. J. Clin. Pract. · Nov 2021
Is endogenous carboxyhemoglobin level a useful biomarker of clinical course and prognosis in COVID-19 patients?
SARS-CoV-2 has caused nearly 4 million confirmed cases of COVID-19 worldwide in the approximately 4 months since it emerged in Wuhan, China in December 2019. Comorbidities increase morbidity and mortality in COVID-19, and many laboratory parameters have been associated with mortality. The aim of the present study was to identify the relationship between endogenous carboxyhaemoglobin (COHb) level and the clinical course and prognosis of COVID-19. ⋯ COHb level may be an easily accessible biomarker that guides early follow-up and treatment planning to avoid ARDS, MAS and mortality in COVID-19.
-
Int. J. Clin. Pract. · Nov 2021
Utilization of Healthcare Services and Drug Consumption in Fibromyalgia: A Cross-Sectional Analysis of the Clalit Health Service Database.
To investigate the health care utilisation and drug consumption of patients with fibromyalgia (FM). ⋯ Healthcare utilisation and drug use are substantially higher among patients with FM compared with controls.
-
Int. J. Clin. Pract. · Nov 2021
Effectiveness of an Educational Intervention in Improving the Patient Medication Reconciliation in the Emergency Department.
This study aimed to evaluate the effectiveness of an educational intervention in improving the patient medication reconciliation process. ⋯ Educational intervention is an effective tool in improving medication reconciliation practices in inpatient settings. The process of medication reconciliation should be conducted based on shared responsibility between healthcare providers and aimed at reducing medication errors and improving patient safety.
-
Int. J. Clin. Pract. · Nov 2021
Influencing Factors for Mental Health of General Practitioners in Hebei Province under the Outbreak of COVID-19: a Cross-Sectional Study.
This study aimed to understand the mental health status of general practitioners (GPs) in Hebei Province during the outbreak of coronavirus disease 2019, analyse influencing factors, and establish and evaluate the risk prediction model. ⋯ The government should strengthen the infrastructure construction of community institutions, equip them with sufficient epidemic protection equipment, ensure the rest time of GPs and strengthen mental health training to ensure the mental and physical health of GPs.