International journal of clinical practice
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The present study aimed to investigate the importance and prognostic value of tumour budding (TB) in Gastric Carcinoma (GC). ⋯ In the present study, Bd was statistically significantly related to characteristics such as pathologic stage, lymph node involvement, and grade. The data obtained here suggest that Bd can be applied to GC and it might contribute to the standardisation of diagnosis and prognostic factors.
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Int. J. Clin. Pract. · Dec 2021
The Profile of the Causative Organisms which Lead to Septic Arthritis of Native Joints Over the Last Two Decades in a Single Tertiary Medical Center in the East Coast of the United States.
Septic arthritis (SA) is associated with significant morbidity and mortality. Delayed or inadequate treatment may result in joint destruction, osteomyelitis and sepsis. Like other types of infection, the causative agents of SA may have changed over time. Early targeted intervention is important in cases of SA and can be achieved only by understanding the current trends in the microbiology of SA. ⋯ Although no significant trends were noted in the microbiology of SA over nearly 2 decades, we observed meaningful findings regarding shoulder SA as MRSA was the most common bacterial because of SA in this joint. Prompt joint aspiration, microbiologic testing of synovial fluid and empiric antibiotic therapy that covers MRSA may improve outcomes in SA.
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Int. J. Clin. Pract. · Dec 2021
The Relationship between CRP at Admission and Thorax CT Findings in Patients Diagnosed with COVID-19.
The current study aims to evaluate the relationship between C-reactive protein (CRP) levels, thorax CT findings and CT-SS in patients presenting to the emergency department with COVID-19. ⋯ The CRP levels of COVID-19 patients measured upon admission to the emergency room are correlated with the severity of lung involvement and are an important predictor of clinical outcomes.
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Int. J. Clin. Pract. · Dec 2021
Rapid On-Site Evaluation (ROSE) during Endobronchial Ultrasound Bronchoscopy (EBUS) in the Diagnosis of Granulomatous Diseases.
We aimed to evaluate the role of Rapid On-Site Evaluation (ROSE) in improving the diagnostic contribution of EBUS-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of granulomatous lymphadenitis. ⋯ We found a high incidence of congruence between ROSE and the final cytological diagnosis if granulomas were identified in the final cytology. Performing ROSE shortens the duration of the procedure and reduced sampling thus preventing complications that may occur due to prolongation of the procedure.
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Int. J. Clin. Pract. · Dec 2021
Observational StudySensitivity and Specificity of a quick Sequential [Sepsis-Related] Organ Failure Assessment Sepsis Screening Tool.
There is limited evidence on the diagnostic accuracy of a quick Sequential [Sepsis-Related] Organ Failure Assessment (qSOFA) sepsis screening (SS) tool in developing nation health settings. The aim of this study was to test the diagnostic accuracy of a qSOFA-based SS tool, and the predictive validity of the qSOFA score in hospital ward patients from Argentina. ⋯ The qSOFA score could reasonably discriminate patients at risk of developing sepsis; qSOFA-based screening may be valuable where no screening criteria are in place.