International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2021
ReviewEpidemiology and organization of care in medically unexplained symptoms: a systematic review with a focus on cultural diversity and migrants.
Since the pathophysiology of medically unexplained symptoms (MUS) remains unclear, healthcare providers often struggle with these patients, especially with a different ethnic and/or cultural background. These challenges are insufficiently addressed in their training and in the organisation of care. ⋯ The systematic review identified significant gaps and shortcomings in organisation of care. These need to be addressed in order to improve outcomes.
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Int. J. Clin. Pract. · Dec 2021
The relationship between modified Nordic diet and resting metabolic rate among overweight and obese women in Tehran, Iran: a cross sectional study.
Obesity as a worldwide phenomenon is a multifactorial condition. Healthy diets have effect on obesity-related factors like resting metabolic rate (RMR). In the present study, we investigate the association between adherence to modified Nordic diet and RMR among overweight and obese participants. ⋯ The present results indicate that adherence to modified Nordic diet is associated with lower odds of hypometabolic status in overweight and obese women. However, more studies are needed to confirm our findings.
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Int. J. Clin. Pract. · Dec 2021
Randomized Controlled TrialComparison of kinesio taping and manual therapy in treatment of patients with bruxism using shear wave ultrasonography-a randomized clinical trial.
Bruxism is significantly associated with craniofacial pain, feeling of stiffness or fatigue of the jaw and neck pain. Various physiotherapeutic strategies are used in the treatment of bruxism; however, it is not clear which method leads to greater decrease in pain. ⋯ Both MT and KTMT methods were effective in the treatment of bruxism. Kinesio Tape used in conjunction with MT has additionally decreased jaw pain and temporal region pain compared with MT intervention only. Therefore, if jaw pain is the primary complaint of a patient, our results recommend including Kinesio Tape application in the physiotherapeutic treatment program.
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Int. J. Clin. Pract. · Dec 2021
Multicenter StudyThe Impact of J-CTO Score on In-stent Chronic Total Occlusion Percutaneous Coronary Intervention.
The purpose of this study was to investigate the impact of J-CTO (Multicenter Chronic Total Occlusion Registry of Japan) score on in-stent chronic total occlusion (IS-CTO) percutaneous coronary intervention (PCI). ⋯ J-CTO score system is not a helpful tool to predict the technical success of difficult IS-CTO PCI via antegrade approach, nor does it correlate with long-term outcomes in patients undergoing IS-CTO PCI. Nevertheless, factors associated with technical failure include proximal bending of ≥30 degrees, under expansion of ≥10 mm, moderate or severe tortuosity (bending) ≥20 and poor distal target. Long-term DAPT therapy contributes significantly to decreased MACE.
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Int. J. Clin. Pract. · Dec 2021
Values of serum CA125, NSE and 24-hour urine VMA in diagnosis and prediction of treatment of pediatric neuroblastoma.
Paediatric neuroblastoma is a relatively common type of malignant tumour originating from neural crest tissues. Early diagnosis and the performance of specific therapeutic strategies can increase the survival rate and improve the prognosis of children with neuroblastoma. ⋯ In conclusion, serum CA125, NSE and 24-hour urine VMA levels before treatment could assess the condition of children with neuroblastoma and predict the effect of treatment.