International journal of clinical practice
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Int. J. Clin. Pract. · May 2021
Randomized Controlled TrialThe effect of Oxygen application with nCPAP for the prevention of desaturation during EBUS-TBNA.
EBUS-TBNA is a frequently used diagnostic method for mediastinal/hilar lymphadenopathies and masses. This procedure is performed with intravenous sedation (IVS). During IVS, patients often develop hypoxemia and nasal oxygen delivery is insufficient in some patients. The aim of this study was to investigate the effect of oxygen application with nCPAP on hypoxemia during EBUS-TBNA. ⋯ Oxygen application by nCPAP during EBUS-TBNA under IVS, significantly reduces desaturation time. Oxygen delivery with nCPAP seems to be a better choice especially for the patients with high Mallampati index.
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Int. J. Clin. Pract. · May 2021
Evaluation of the Effect of the Covid-19 Pandemic on Smoking Addiction Levels.
This study aims to evaluate the changes in smoking addiction levels during the on-going Covid-19 pandemic. ⋯ The smoking addiction level may change based on various factors including behavioural changes. While increases in smoking addiction during the pandemic can be observed caused by behavioural changes and anxieties that may arise because of the pandemic, a decrease in addiction levels and even smoking cessation can also be observed during these times because of the more progressive course of Covid-19 in smokers. Health institutions should therefore take advantage of this period and focus more efforts on the cessation of smoking and other substance abuse issues.
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Int. J. Clin. Pract. · May 2021
Monocyte to HDL cholesterol and lymphocyte to monocyte ratios are predictors of in-hospital and long-term mortality in patients with acute coronary syndrome.
We aimed to determine the relationship between LMR and MHR and in-hospital and long-term mortality in patients with ACS. ⋯ We have shown that high MHR and low LMR were significant and independent predictors of in-hospital and long-term mortality in patients with ACS.
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Int. J. Clin. Pract. · May 2021
Randomized Controlled TrialThe Effects of Flaxseed Supplementation on Gene Expression and Inflammation in Ulcerative Colitis Patients: an open-labeled randomized controlled trial.
Inflammatory bowel disease, a chronic inflammatory disorder of the intestinal mucosa, is a clinical presentation of Crohn's disease and ulcerative colitis (UC). This study investigated the effect of grounded flaxseed (GF) and flaxseed oil (FO) on clinical biomarkers, quality of life and diseases activity in patients with UC. This research was conducted among 90 patients with UC for 12 weeks using an open-labelled randomised controlled trial design. ⋯ In conclusion, grounded flaxseed and FO attenuated systemic inflammation and improved disease severity in UC patients.
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Int. J. Clin. Pract. · May 2021
Otorhinolaryngology in the COVID-19 era: there significant differences between hospital-based and private practices?
The COVID-19 disease has an incredible impact on both hospital-based and private practices in the field of otorhinolaryngology and head and neck surgery. Practical issues faced by both types of practices have not been well addressed in most studies. A national survey was conducted in April 2020 to identify the challenges faced by otorhinolaryngologists practicing in the Czech Republic. ⋯ Despite our statistical results, it was observed that private practices faced more deficits and were more financially vulnerable. They were also other issues reported by both practices that could compromise the care of patients, functioning of workplaces and support of doctors.