International journal of clinical practice
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Int. J. Clin. Pract. · Aug 2021
Evaluation of Clinical Characteristics and Outcomes of Postoperative Infections in Living Liver Donors.
To analyze developing infections after living donor hepatectomy (LDH) in living liver donors (LLDs). ⋯ Infections commonly observed infected biloma, cholangitis, and abscess arising from the biliary system and other nosocomial infections are the feared complications in LLDs. These infections should be managed multidisciplinary without delay and carefully.
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Int. J. Clin. Pract. · Aug 2021
Neck Pain in Rounded Shoulder Posture: Clinico-Radiologic Correlation by Shear Wave Elastography.
The frequency of neck pain increases in adolescents and young adults. Using smart phones and computers for a long time causes posture disorders such as rounded shoulder (RSP) and forward head postures, and these posture disorders cause neck pain. The aim of the study is to analyse the correlation between shoulder and neck angles and the stiffness of the upper trapezius and pectoralis minor muscles in patients with RSP. ⋯ The upper trapezius muscle stiffness increased in RSP. It can reveal the relationship between RSP and neck pain.
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Int. J. Clin. Pract. · Aug 2021
ReviewPast, present and future perspectives of Therapeutic Drug Monitoring in India.
Therapeutic drug monitoring (TDM) is the clinical practice of performing drug assays and interpreting results to maintain constant therapeutic concentrations in patients' bloodstream. Conventional TDM was started way back in the 1960s and served to optimise pharmacotherapy by maximising therapeutic efficacy by evaluating efficacy failure and monitoring drug compliance, while minimising adverse events, in drugs with a narrow therapeutic range. Currently, the scope of TDM has been extended to additional indications which are of importance to India. ⋯ Its utility is also challenged by cost and higher reliance on conventional prescribing practices. However, the newer indications such as antimicrobial resistance, tuberculosis and HIV, with their high prevalence in developing nations, present an opportunity for the growth of TDM in these countries. Indian clinician's awareness and buoyant demands alongside expert contributions from clinical pharmacologists could widen its scope.
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Int. J. Clin. Pract. · Aug 2021
ReviewNutrients that modulate gestational diabetes mellitus: A systematic review of cohort studies Jan2019-Jan 2020.
The role of eating habits of pregnant women in the development and treatment of gestational diabetes mellitus (GDM) is well established. ⋯ Ongoing studies support advice to adhere to a healthy balanced diet, with the addition of folic acid and a multi-vitamin suitable for pregnancy. There is new evidence suggesting probiotics and cod-liver oil supplementation may improve glycaemic control and also the important consideration of the psychological influences of eating.
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Int. J. Clin. Pract. · Aug 2021
Multicenter StudyClinical management of vesicoureteral reflux with respect to EAU Guidelines: A multicenter study.
We designed a multicenter, retrospective study to investigate the current trends in initial management of reflux with respect to European Association of Urology (EAU) Guidelines in Urology clinics of our country. ⋯ Current trends in management of reflux in our country do not yet follow the EAU guidelines on VUR in low and moderate risk groups despite these reliable and accepted guidelines were expected to influence our daily approach.