Journal of International Medical Research最新文献

HPV infection status among women of all ages in Jinshan District, Shanghai. 上海市金山区各年龄段女性的 HPV 感染情况。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241291754

Chen Shanshan, Chen Jing, Xiao Tao

{"title":"HPV infection status among women of all ages in Jinshan District, Shanghai.","authors":"Chen Shanshan, Chen Jing, Xiao Tao","doi":"10.1177/03000605241291754","DOIUrl":"10.1177/03000605241291754","url":null,"abstract":"Objective: We explored the prevalence of human papillomavirus (HPV) infection among women in Jinshan District, Shanghai.Methods: We analyzed all HPV testing samples sent from our unit between December 2023 and April 2024. We reported the HPV prevalence overall, by age, and by subtype.Results: In total, 3788 women aged 16 to 90 years had HPV test results. The prevalence of infection with any HPV subtype was 17.9%. The HPV prevalence by age group was: ≤30 years, 15.4%; 31-40 years, 14.7%; 41-50 years, 17.0%; 51-60 years, 22.4%; >60 years, 31.0%. Among HPV-positive women, 80.6% had infection with one subtype, 16.4% had dual infection, and 3.1% had three or more subtypes detected. We found 640 cases (16.9%) of infection with high-risk HPV subtypes and 139 cases (5.04%) of infection with low-risk HPV subtypes. The most common high-risk subtypes were HPV 52, 53, 58, and 16; the most common low-risk subtypes were HPV 81, 70, and 42.Conclusion: We detected ≥1 HPV subtype among most women in our study. The prevalence of HPV was lowest in younger women and highest in women age >60 years. Tailored strategies for older women are needed to prevent HPV infection and cervical cancer.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241291754"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary Sjögren's syndrome complicated by renal tubular acidosis and acute bilateral uveitis: a case report and literature review. 并发肾小管酸中毒和急性双侧葡萄膜炎的原发性斯约格伦综合征：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241275880

Jing Zhao, Haiyan He, Yuan Jia, Yanlin Zhang, Mei Tian

{"title":"Primary Sjögren's syndrome complicated by renal tubular acidosis and acute bilateral uveitis: a case report and literature review.","authors":"Jing Zhao, Haiyan He, Yuan Jia, Yanlin Zhang, Mei Tian","doi":"10.1177/03000605241275880","DOIUrl":"10.1177/03000605241275880","url":null,"abstract":"Primary Sjögren's syndrome (pSS) is an autoimmune disease that can cause gland dysfunction, leading to dry mouth and dry eyes as the main clinical manifestations. In addition, pSS may affect the gastrointestinal tract, skin, lungs, kidneys, nervous system, eyes, and other organs. We herein report a case involving a 38-year-old woman who presented with a 6-month history of dry mouth and eyes and a 10-day history of fever. She was diagnosed with pSS complicated by renal tubular acidosis, and her symptoms were alleviated after treatment with prednisone and mycophenolate. However, shortly after discontinuation of these medications outside the hospital, she experienced acute vision loss in both eyes. Bilateral uveitis secondary to pSS was diagnosed with the assistance of the Department of Ophthalmology, and the patient was treated with systemic steroids and topical ocular symptomatic therapy. After treatment, her systemic symptoms were relieved and her vision recovered. Although pSS complicated by renal tubular acidosis and uveitis is rare, it can lead to serious consequences such as abnormal renal function, visual impairment, and even blindness if not promptly treated. Steroid and immunosuppressive therapies are effective, and ophthalmology consultation should be performed if necessary for diagnosis and management.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241275880"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pseudoangiomatous stromal hyperplasia causing bilateral galactomastia with short-term recurrence after surgery: a case report. 假性血管瘤基质增生症导致双侧乳房发育不良，术后短期内复发：病例报告。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241293684

Zhouyang Lian, Xianzan Chen, Chunling Liu

引用次数: 0

Association between admission hyperglycaemia with in-hospital mortality rate in patients with hypertension and acute aortic dissection. 高血压和急性主动脉夹层患者入院时的高血糖与院内死亡率之间的关系。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241291742

Saimire Mutailifu, Qing Zhu, Xintian Cai, Mulalibieke Heizhati, Shasha Liu, Yujie Dang, Ting Wu, Jing Hong, Yue Lin, Nanfang Li

{"title":"Association between admission hyperglycaemia with in-hospital mortality rate in patients with hypertension and acute aortic dissection.","authors":"Saimire Mutailifu, Qing Zhu, Xintian Cai, Mulalibieke Heizhati, Shasha Liu, Yujie Dang, Ting Wu, Jing Hong, Yue Lin, Nanfang Li","doi":"10.1177/03000605241291742","DOIUrl":"10.1177/03000605241291742","url":null,"abstract":"Objective: Admission hyperglycaemia is recognized as a contributor to poor outcomes in patients with cardiovascular and cerebrovascular diseases. This study aimed to evaluate the association between admission hyperglycaemia and in-hospital mortality in patients with hypertension and acute aortic dissection (AAD).Methods: Patients diagnosed with hypertension and AAD between 1 January 2010 and 1 March 2023 were enrolled into this retrospective observational study, and divided into two groups based on admission blood glucose levels (BGA): normoglycemia (BGA < 7.8 mmol/L) and hyperglycaemia (BGA ≥ 7.8 mmol/L). The outcome was all-cause in-hospital mortality, which was analysed using logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (CIs).Results: In total, 1239 patients were included (comprising 954 [77%] male patients; mean age, 53.0 years; and median BGA, 6.1 mmol/L). Logistic regression analysis showed that in-hospital mortality was 2.53 times greater for patients with hyperglycaemia versus the normoglycaemia group (95% CI 1.68, 3.80). This significant association persisted after adjustments for potential confounders (adjusted OR 2.45 [95% CI 1.58, 3.85]). Restricted cubic spline analysis revealed that the relationship between BGA and mortality reached statistical significance at BGA > 6.1 mmol/L. Stratified analysis and sensitivity analysis confirmed the robustness of this relationship.Conclusion: Admission hyperglycaemia correlated with an elevated risk of in-hospital mortality in patients with hypertension and AAD, particularly BGA > 6.1 mmol/L, indicating that BGA level may be useful in identifying patients who are at an elevated risk of all-cause mortality.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241291742"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complexities of complete androgen insensitivity syndrome: insights from a case report and literature review. 完全雄激素不敏感综合征的复杂性：从病例报告和文献综述中获得的启示。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241300058

Elene Asanidze, Jenaro Kristesashvili, Aleksandre Asanidze, Ana Jibladze, Giorgi Gaphrindashvili, Besik Asanidze, Ritika Bhatia

{"title":"Complexities of complete androgen insensitivity syndrome: insights from a case report and literature review.","authors":"Elene Asanidze, Jenaro Kristesashvili, Aleksandre Asanidze, Ana Jibladze, Giorgi Gaphrindashvili, Besik Asanidze, Ritika Bhatia","doi":"10.1177/03000605241300058","DOIUrl":"https://doi.org/10.1177/03000605241300058","url":null,"abstract":"Complete androgen insensitivity syndrome (CAIS) presents significant challenges in the accurate diagnosis and personalized management of individuals with a 46, XY karyotype who exhibit a female phenotype due to complete insensitivity to androgens. This retrospective case report analyzes the clinical data, genetic testing, hormonal profiling, and imaging studies of a patient who was initially misdiagnosed during hernioplasty and later misidentified as having Mayer-Rokitansky-Küster-Hauser syndrome. The report details the establishment of the correct diagnosis and implementation of a personalized management strategy that postponed gonadectomy until post-puberty. This approach included continuous monitoring and tailored estrogen replacement therapy, which facilitated informed patient decisions and comprehensive feminization while preventing the long-term consequences of estrogen deficiency. Supported by a literature review, this case report emphasizes the necessity of a multidisciplinary approach to managing CAIS, highlighting the importance of heightened awareness, accurate diagnostics, and personalized therapeutic plans to ensure holistic, patient-centered care.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241300058"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pulmonary cement embolism: a rare complication of vertebroplasty. 肺水泥栓塞：椎体成形术的罕见并发症。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241291447

Eirik Tjønnfjord, Ai Phi Thuy Ho, Dag Ottar Sætre, Nezar Raouf

{"title":"Pulmonary cement embolism: a rare complication of vertebroplasty.","authors":"Eirik Tjønnfjord, Ai Phi Thuy Ho, Dag Ottar Sætre, Nezar Raouf","doi":"10.1177/03000605241291447","DOIUrl":"10.1177/03000605241291447","url":null,"abstract":"This comprehensive case study aimed to highlight the condition of pulmonary embolism (PE), which despite its relative obscurity, may be more common than initially assumed. PE frequently occurs in the Emergency Department. PE along with deep vein thrombosis are the two most prevalent forms of venous thromboembolism (VTE). VTE ranks as the third most common cardiovascular condition encountered in the Emergency Department, following heart attacks and strokes. Acknowledging the symptoms of VTE and acting on them early are important to prevent chronic manifestations and heart failure in some cases owing to persisting pulmonary hypertension. One of the most frequent causes of VTE is surgery, which often occurs owing to immobilization. However, in some cases, VTE is due to the procedure itself or due to what is used in the procedure or injected in the patient. We report the case of a patient who complained of dyspnea for some time before diagnostic steps were taken, such as computed tomography and echocardiography. This case report describes the complication of PE due to vertebroplasty, which is well described but underdiagnosed because it may not be considered. More focus on this complication during follow-up could help diagnose and treat patients more rapidly.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241291447"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brain abscess caused by Mycobacterium tuberculosis in an immunocompetent patient: a case report and literature review. 由结核分枝杆菌引起的免疫功能正常患者脑脓肿：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241291469

Keyin Chen, Xuan Leng, Hui Zhou

{"title":"Brain abscess caused by Mycobacterium tuberculosis in an immunocompetent patient: a case report and literature review.","authors":"Keyin Chen, Xuan Leng, Hui Zhou","doi":"10.1177/03000605241291469","DOIUrl":"10.1177/03000605241291469","url":null,"abstract":"Brain abscesses caused by Mycobacterium tuberculosis are rarely reported and are typically found in immunocompromised patients. The challenges in identifying the pathogen and the frequent delays in initiating appropriate therapy often result in a poor prognosis for patients. We herein report a rare case of a brain abscess caused by M. tuberculosis in a 63-year-old patient with a history of hypertension but no history of pulmonary tuberculosis. The patient was hospitalized twice because of worsening right upper limb weakness and speech difficulties. Both a pus culture and cerebrospinal fluid culture were negative. Ultimately, the diagnosis of M. tuberculosis infection was confirmed through next-generation sequencing and the tuberculosis-specific T-cell test (T-SPOT). The patient's symptoms improved following anti-tuberculosis treatment. This case highlights the importance of considering M. tuberculosis as a potential cause of brain abscesses, even in immunocompetent individuals, and underscores the need for early diagnosis for effective treatment.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241291469"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous rupture of broad ligament vein in twin pregnancy: a case report and literature review. 双胎妊娠宽韧带静脉自发性破裂：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241290898

Juan Zhu, Jiaoying Cheng, Huixia Yang

{"title":"Spontaneous rupture of broad ligament vein in twin pregnancy: a case report and literature review.","authors":"Juan Zhu, Jiaoying Cheng, Huixia Yang","doi":"10.1177/03000605241290898","DOIUrl":"10.1177/03000605241290898","url":null,"abstract":"Spontaneous uterine vein rupture in pregnancy is rare. This current case report presents a case of broad ligament vein rupture in spontaneous twin pregnancy that is even rarer. A female in her early 30s at the third trimester of a twin pregnancy presented with headache and left upper abdominal pain for 2 days. After admission, her blood pressure was 158/112 mmHg accompanied with increased blood lipids and proteinuria. Ultrasonography did not show any abnormalities. The main diagnoses included twin pregnancy with abdominal pain of unknown aetiology, preeclampsia and hyperlipidaemia. Her blood pressure and symptoms did not improve after administration of medications. An emergency caesarean section and laparotomy were then performed. Intraoperatively, bright red non-coagulated blood was observed within the pelvis and removed. After two healthy female babies were delivered, pelvic exploration revealed haematomas in the broad ligaments bilaterally and haemostatic sutures and clips were applied to successfully treat the ruptured vein. In cases of unexplained abdominal pain accompanied with fetal distress and haemodynamic instability, especially in twin pregnancy that can cause uterus over-expansion and broad ligament over-stretch, the possibility of spontaneous uterine vein rupture should be considered. Rapid diagnosis, immediate fluid replacement and prompt surgical intervention are essential for the safety of the mother and child.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241290898"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Type II cryoglobulinemia in a patient with chronic lymphocytic leukemia/small lymphocytic lymphoma and Sjögren's disease. 一名患有慢性淋巴细胞白血病/小淋巴细胞淋巴瘤和斯约格伦病的患者的 II 型低温球蛋白血症。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241285228

Renjie Bian, Xiaojing Yan, Chaoxu Zhang, Yuan Tao, Xiaoxue Wang

{"title":"Type II cryoglobulinemia in a patient with chronic lymphocytic leukemia/small lymphocytic lymphoma and Sjögren's disease.","authors":"Renjie Bian, Xiaojing Yan, Chaoxu Zhang, Yuan Tao, Xiaoxue Wang","doi":"10.1177/03000605241285228","DOIUrl":"10.1177/03000605241285228","url":null,"abstract":"Type II cryoglobulinemia is a rare disorder characterized by abnormal immunoglobulins (Igs) precipitating in the blood at low temperatures and redissolving upon warming. Sjogren's disease (SjD) is an autoimmune disorder involving secretory gland malfunction that leads to persistent dryness of the mouth and eyes. Here, we report the case of a 61-year-old woman with a 7-year history of SjD who was diagnosed with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). However, her complicated clinical features could not be sufficiently explained by this disease alone. Immunofixation electrophoresis revealed monoclonal IgM-κ and polyclonal IgG-κ. The presence of precipitated cryoglobulin and elevated rheumatoid factor levels confirmed a diagnosis of type II cryoglobulinemia for this patient. To the best of our knowledge, this case represents the first report of a patient with CLL/SLL, SjD, and type II cryoglobulinemia, which increased our understanding of immune system-related disorders. Because certain similar mechanisms are involved in the pathogenesis of these three diseases, a combination treatment of rituximab, ibrutinib, and dexamethasone resulted in a favorable prognosis for this patient.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241285228"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11550506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors for and short-term prognosis of intrauterine infection in preterm infants. 早产儿宫内感染的风险因素和短期预后。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-11-01 DOI: 10.1177/03000605241286728

Xuemei Zhao, Yue Song, Liqun Lu

{"title":"Risk factors for and short-term prognosis of intrauterine infection in preterm infants.","authors":"Xuemei Zhao, Yue Song, Liqun Lu","doi":"10.1177/03000605241286728","DOIUrl":"https://doi.org/10.1177/03000605241286728","url":null,"abstract":"Objective: To identify the risk factors for and short-term prognosis of intrauterine infection (IUI) in preterm infants.Methods: We retrospectively collected clinical data regarding preterm infants (28+0-36+6 weeks of gestational age) with IUI from the neonatal intensive care unit of our hospital between June 2017 and June 2022. The pathologic characteristics of the infants were classified using the Redline criteria, and the resulting groups were compared with respect to their clinical characteristics, indicators of infection, complications, and mortality rates.Results: Three hundred thirty (78.1%) of the 422 enrolled neonates showed signs of histologic IUI; 51.8% showed histologic chorioamnionitis alone, and 48.2% showed both histologic chorioamnionitis and funisitis. The independent risk factors identified for IUI were maternal prenatal invasive manipulation, premature rupture of membranes (>18 hours before labor), and prenatal C-reactive protein concentration. The infants with IUI showed higher incidences of respiratory distress syndrome, bronchopulmonary dysplasia, retinopathy of prematurity, and prolonged mechanical ventilation. Low gestational age and low birth weight of preterm infants were significantly associated with a higher incidence of histologic IUI, more severe inflammation, and a higher incidence of complications.Conclusions: Histologic IUI is associated with high complication and mortality rates in preterm infants, as is an increasing severity of inflammation.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"52 11","pages":"3000605241286728"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0