International journal of clinical practice
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Int. J. Clin. Pract. · Aug 2021
How common are Chinese patients with multimorbidity involved in decision making and having a treatment plan? a cross-sectional study.
Creating a treatment plan (TP) through shared decision-making (SDM) with healthcare professionals is of paramount importance for patients with multimorbidity (MM). This study aims to estimate the prevalence of SDM and TP in patients with MM and study the association between SDM/TP with patients' confidence to manage their diseases and hospitalization within the previous 1 year. ⋯ Ways to promote SDM in HK are needed.
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Int. J. Clin. Pract. · Aug 2021
Observational StudyAdmission blood lactate levels of patients diagnosed with cerebrovascular disease effects on short and long-term mortality risk.
Our study was carried out on patients admitted to the emergency ward with acute stroke symptoms that were subsequently diagnosed with cerebrovascular disease. We aimed to examine the relationship between these patients' admission lactate levels and their 1-, 3-, and 12-month mortality rates in order to evaluate the prognostic value of lactate levels. ⋯ Our study found that hyperlactatemia was associated with a higher risk of 1-, 3-, and 12-month mortality, suggesting that it has predictive prognostic value. In the future, we believe that prospective observational studies and/or large-scale retrospective studies will be of great value in providing more insight into this topic.
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Int. J. Clin. Pract. · Aug 2021
Adaptation of the Evidence-Based Practices Attitude Scale-15 in Turkish Family Medicine Residents.
Aim of this study is to translate and apply a cross-cultural adaptation of the Evidence-Based Practice Attitude Scale (EBPAS) in Turkish and investigate its validity and reliability. ⋯ The Turkish version of the EBPAS-15 shows mainly good validity and reliability.
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Int. J. Clin. Pract. · Aug 2021
Anti-seizure medications and risk of suicide: Re-addressing the issue.
Although suicidal behaviour in epilepsy is a complex phenomenon, evidence suggests that suicide rates are higher amongst individuals with epilepsy than the general population. Yet, it has been a decade since the Food and Drug Administration (FDA) has passed a warning with anti-seizure medications (ASMs) and risk of suicide, the scientific community is still far from a final answer to this association. Since the available data are not methodologically strong enough to support or reject the claimed increased risk of suicide using ASMs, the dilemma continues. Through this perspective, authors sought to list certain important issues that the past studies often over-looked, which play a vital role in determining the true relationship between the use of ASMs and the risk of suicide.
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Int. J. Clin. Pract. · Aug 2021
''How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?''.
With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteral calculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treated with shock-wave lithotripsy or ureterorenoscopy approaches. The aim of our study was to investigate the feasibility and safety of stentless LU in elderly patients. ⋯ The significant advances in medical technology and healthcare, lead a rising number of geriatric patients to take benefit of even complicated surgery. Although laparoscopy and its safety in the geriatric population pursues a challenge and the assessment of this procedure is hence obligatory, we think that stentless LU is safe, economical and less uncomfortable for elderly patients.