International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2021
Prevalence and transmission of COVID-19 in community and household levels of Bangladesh: Longini and Koopman epidemic modelling approach.
To estimate the prevalence of COVID-19 pandemic and its transmission rates among people in both community and household levels of Bangladesh. ⋯ The susceptible individuals have a higher risk of community infection than the household and the community transmission is more responsible than the household for COVID-19 pandemic in Bangladesh.
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Int. J. Clin. Pract. · Dec 2021
Diagnostic Errors: Under-appreciated, Under-reported, and Under-researched.
Diagnostic errors, were given relatively little attention, compared with the effort invested in treatment errors. However, erroneous diagnoses continue to be quite prevalent (10%-15% in every setting investigated), and are often associated with substantial patient harm including increased mortality and frequent permanent disability. ⋯ Research devoted to misdiagnosis remains difficult to perform and insufficient in scope, but the search for the optimal means to improve diagnostic accuracy continues. Newly achieved insights regarding diagnostic errors are presented, and essential system and individual approaches to improve diagnostic accuracy are proposed.
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Int. J. Clin. Pract. · Dec 2021
Management of Our Endoscopic Retrograde Cholangio Pancreatography Cases During the Pandemic Process.
Endoscopic retrograde cholangio pancreatography (ERCP) is a technique in which endoscope and radiological imaging are used in combination in the diagnosis and treatment of diseases related to the pancreaticobiliary system. Our aim in this study is to discuss all aspects of approach strategies to ERCP patients whose operation is mandatory during the pandemic period, to draw the future perspective and to summarize the measures that the surgical team should take in terms of their own health and public health. ⋯ COVID-19 pandemic has significantly affected the management and safety of ERCP units. ERCP procedures should be performed by determining the urgency of patients so that their treatment needs are not delayed. Postponing cases without planning can develop an increased workload in centers offering ERCP, and this situation can lead to further delays or negative consequences.
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Int. J. Clin. Pract. · Dec 2021
Falls in Older Persons with Type 2 Diabetes in the Malaysian Elders Longitudinal Research (MELoR) Study.
Older persons with diabetes are at an increased risk of falls leading to fractures, head injuries and disability. ⋯ The presence of osteoporosis and dizziness was associated with an increased risk of falls among older diabetics. These findings will need to be confirmed in future prospective follow-up of this cohort.