International journal of clinical practice
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Int. J. Clin. Pract. · Apr 2021
Retinal nerve fiber layer thickness and choroidal thickness in psoriasis patients.
To conduct a comparative study of retinal nerve fibre layer (RNFL) thickness and choroidal thickness of psoriasis patients and healthy volunteers. ⋯ The increase in choroidal thickness was found to be significant, while with respect to RNFL thickness, a decrease was evident, a possible indicator of damage to microvascular structures in the choroid and ganglion cells, especially in patients with severe psoriasis. Therefore, choroidal and RSLT thickness measurement with OCT device can assist in the detection of damage to psoriasis.
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Int. J. Clin. Pract. · Apr 2021
Polypharmacy and excessive polypharmacy in community dwelling middle aged and aged adults between 2011-2015.
We aimed to assess the prevalence, components and evolution of polypharmacy and to evaluate risk factors associated with polypharmacy. ⋯ The prevalence of polypharmacy increased between 2011 and 2015. Polypharmacy and excessive polypharmacy patients appeared to differ based on our observations of characteristics, drug therapy and outcomes. Age, female gender, number of chronic diseases and number of general practitioner contacts were associated with polypharmacy.
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Int. J. Clin. Pract. · Apr 2021
COVID-19 patients and contacted person awareness about home quarantine instructions.
One of the keys elements to control the transmission of COVID-19 is to decrease the source of infection and transmission to the community. Following the instructions is very important to achieve that. This study aimed to evaluate awareness and practices related to the COVID-19 quarantine instructions among the home quarantine COVID-19 patients, and persons who contacted them at home quarantine. ⋯ Home quarantined COVID-19 patients and people in close contact with them in the study had a good awareness of the home quarantine instructions. They had good knowledge about the home quarantine instructions; instructions for family members of infected patients; and awareness and attitude of the efforts provided to counter COVID-19.
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Int. J. Clin. Pract. · Apr 2021
How to implement routine electronic patient-reported outcome monitoring in oncology rehabilitation.
Implemenation of patient-reported outcomes (PRO) like quality of life can add the patient's perspective to traditional clinical outcomes of cancer rehabilitation in a structured and standardized way. ⋯ Tailored changes in assessment procedures enabled the successful implementation of ePRO, which has been shown to be feasible before and after cancer rehabilitation. The continuous involvement of stakeholders paved the way for further projects initiated by medical staff as users themselves (inclusion of PRO data in the discharge letter and a comprehensive ePRO follow-up using a versatile online patient portal).
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Int. J. Clin. Pract. · Apr 2021
Role of serum albumin and proteinuria in patients with SARS-CoV-2 pneumonia.
Hypoalbuminemia is frequently observed in patients with SARS-CoV-2 infection although its underlying mechanism and relationship with the clinical outcome still need to be clarified. ⋯ In patients with COVID-19, hypoalbuminemia is common and observed in quite an early stage of pulmonary disease. It is strictly associated with inflammation markers and clinical outcome. The common finding of proteinuria, even in the absence of creatinine increase, indicates protein loss as a possible biomarker of local and systemic inflammation worthwhile to evaluate disease severity in COVID-19.