International journal of clinical practice
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Int. J. Clin. Pract. · Mar 2021
Thoracic endosonography (EBUS/EUS-b) in diagnosis of different intrathoracic diseases: a 4-year experience at a single-center in Greece.
In the last decade, the advent of thoracic endosonography has revolutionised the field of diagnostic bronchoscopy. ⋯ Thoracic endosonography is an efficient, safe, minimally invasive tool yielding high sensitivity and diagnostic accuracy in patients with suspected malignancy and mediastinal lymphadenopathy. Experienced pulmonologists in EBUS-TBNA should more routinely perform EUS-b FNA to avoid unnecessary surgical interventions.
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Int. J. Clin. Pract. · Mar 2021
The significance of acute kidney injury in Clostridioides difficile infection.
Clostridioides difficile infection (CDI) may present as sepsis with acute kidney injury (AKI). Herein, we aimed to evaluate the clinical outcomes of patients with AKI complicating CDI. ⋯ CDI patients with AKI have an increased risk of mortality and further deterioration of renal function. Early renal function recovery does not infer protection from further deterioration of renal function at 3 months. Caution and nephrology follow-up should be considered after discharge for all patients who developed AKI during CDI, regardless of discharge creatinine levels.
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Int. J. Clin. Pract. · Mar 2021
Risk Factors Associated with Nocturia in Patients with Obstructive Sleep Apnea Syndrome.
To evaluate the risk factors associated with nocturia in patients with obstructive sleep apnea syndrome (OSAS). ⋯ The age and BMI score were the risk factors associated with nocturia in patients with OSAS.
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Int. J. Clin. Pract. · Mar 2021
Anti-Ro52 antibodies in clinical practice: a single center experience.
To analyse the clinical significance of anti-Ro52 autoantibodies that target TRIM21 protein and occur in a variety of connective tissue diseases (CTD), 4782 cases with blood tested positive for anti-Ro52 antibodies between January 2016 and September 2017 in Drum Tower Hospital were enrolled. ⋯ Our study shows that anti-Ro52 could occur in various clinical conditions. These antibodies may appear in the early stage of CTD with the lung an important target organ, thus their presence warrants long-term follow-up.
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Int. J. Clin. Pract. · Mar 2021
Prevalence of gastro-esophageal reflux symptoms: an Italian cross-sectional survey focusing on knowledge and attitudes towards lifestyle and nutrition.
The gastro-oesophageal reflux disease (GERD) is a public health issue for its prevalence and association with low life quality and substantial costs. Since most of Italian data refer to over a decade ago, the aim was to provide an updated estimate of GERD symptoms prevalence. Knowledge about appropriate nutrition and behaviours in presence of GERD was assessed. Predictors for symptoms presence and knowledge were explored. ⋯ A high prevalence was reported, consistently with the worldwide increasing trend. Despite overall knowledge was high, specific gaps were found. GPs should improve communication and awareness campaigns targeted to less known aspects must be planned.