International journal of clinical practice
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Int. J. Clin. Pract. · Jun 2021
Review Meta AnalysisCoffee and Type 2 Diabetes risk: Is the Association Mediated by Adiponectin, Leptin, C-reactive protein, or Interleukin-6? A systematic review and meta-analysis.
Coffee and diabetes risk association has been demonstrated in numerous studies; however, the exact mechanism has not been clarified yet. The present meta-analysis was conducted to cover the current knowledge regarding the effect of coffee on Type 2 Diabetes (T2D), in addition to the evaluation of adiponectin, leptin, C-reactive protein (CRP) and Interleukin-6 (IL-6) levels among coffee consumers as relatively possible mediators of this effect. ⋯ The present meta-analysis showed strong epidemiological evidence that coffee consumption is inversely associated with the risk of T2D. Also, adiponectin, leptin concentrations appeared to be potential mediators of the coffee effect on diabetes, while IL-6 levels did not.
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Int. J. Clin. Pract. · Jun 2021
Observational StudyThe incidence of inadvertent perioperative hypothermia in patients undergoing general anesthesia and an examination of risk factors.
Unintended perioperative hypothermia, defined as core body temperature less than 36°C, is closely related to many complications such as cardiovascular diseases, peroperative hemorrhagic diathesis and impairment of drug metabolism. Determination of the incidence of perioperative hypothermia and examination of risk factors may help to prevent hypothermia and its complications. ⋯ The incidence of perioperative hypothermia found was high. Important risk factors were found as prolonged duration of anesthesia and surgery, advanced age, overweight, high ASA scores, major surgeries, endoscopic operations and unwarmed fluid administration. High incidence may be reduced by raising awareness, considering fossible risk factors and following the recommendations of the guidelines on prevention of perioperative hypothermia.
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Int. J. Clin. Pract. · Jun 2021
Antibiotic misuse and compliance with infection control measures during COVID-19 pandemic in community pharmacies in Egypt.
Globally, antibiotics misuse by the public has been reported in the era of COVID-19, despite the discouraging instructions of the World Health Organization, especially for mild cases. ⋯ Pharmacists applied suitable sanitation and infection control protocols. Meanwhile, antibiotics were dispensed heavily during this pandemic without proper clinical indication and for long durations supporting the idea of antibiotic misuse.
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Int. J. Clin. Pract. · Jun 2021
Data Privacy and Confidentiality from the Perspectives of General Public and Health Care Providers in Jordan.
To assess knowledge, attitude, and beliefs about the right to privacy and confidentiality from the viewpoints of the general public (GP) and the health system (HS) professionals in Jordan. ⋯ The general public and health system professionals in Jordan are familiar with the patients' right to privacy and confidentiality regulations. More efforts must be put in place to inform patients about their rights to privacy and confidentiality practices when they are in professional contact with their healthcare providers. In addition, rules, laws, and legal agreements must be effectively established and monitored to prevent privacy violations.
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Int. J. Clin. Pract. · Jun 2021
Efficacy of Cervical Manual Therapy plus Conventional Physical Therapy on Clinical Outcomes in Patients with Carpal Tunnel Syndrome: A Double Blind Randomized Controlled Trial.
Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. Current physical therapy treatment options show limited effects or low-quality evidence, especially in the long-term. To date, there has been little research to look at the effects of treating the cervical spine for decreasing symptoms distally to the carpal tunnel. So the aim of this study was to compare the effects of cervical manual therapy plus conventional physical therapy with conventional physiotherapy only in Carpal Tunnel Syndrome Subjects. ⋯ The analysis of the results showed that conventional physiotherapy combined with Cervical manual therapy could be more effective in improving the pain, functional abilities, median nerve motor distal latency and median sensory nerve conduction velocity of patients with CTS compared with conventional physiotherapy only.