Journal of International Medical Research最新文献_第10页

Maternal mental disorders, psychotropic drugs, socioeconomic status, and offspring congenital anomalies. 母亲精神障碍、精神药物、社会经济地位与后代先天性异常。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241306902

Satu-Maarit Björkstedt, Hannu Koponen, Hannu Kautiainen, Mika Gissler M, P Pennanen, Johan G Eriksson, Merja K Laine

{"title":"Maternal mental disorders, psychotropic drugs, socioeconomic status, and offspring congenital anomalies.","authors":"Satu-Maarit Björkstedt, Hannu Koponen, Hannu Kautiainen, Mika Gissler M, P Pennanen, Johan G Eriksson, Merja K Laine","doi":"10.1177/03000605241306902","DOIUrl":"10.1177/03000605241306902","url":null,"abstract":"Objective: To evaluate whether there is an association between maternal mental health, purchase of psychotropic drugs, socioeconomic status and major congenital anomalies in offspring.Methods: A register-based cohort study of 6189 Finnish primiparous women who had a singleton delivery between 2009 and 2015. Data on pregnancy and delivery outcomes, psychiatric diagnosis, prescription drug purchases and offspring congenital anomalies were obtained from Finnish national registers.Results: Severe depressive disorders were diagnosed in 2.0% of women and severe anxiety disorders in 1.1%. During pregnancy, 9.6% of women purchased psychotropic drugs. Of these women, 5.7% delivered an offspring with a major congenital anomaly. Women who purchased psychotropic drugs in pregnancy had an increased risk of delivering a child with major congenital anomalies compared with women who did not purchase psychotropic drugs. Multivariate regression analysis showed that purchase of benzodiazepines increased the risk of major congenital anomalies (odds ratio 2.11 [95% confidence interval 1.17 to 3.81]). Pregnant women purchasing psychotropic drugs more often lived alone and smoked, had higher body mass index, and had lower annual income and educational attainment than women not purchasing psychotropic drugs.Conclusions: Benzodiazepine use, but not socioeconomic status, may be associated with major congenital abnormalities in offspring.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241306902"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006824","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

Behçet's disease: recurrent ischemic stroke as an initial presentation - a case based review.

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311446

Anwar Albasri, Wesam Gouda, Faisal Alsaqabi, Mahmoud M Magdy, Ashraf A Mostafa, Nehal El Ghobashy

{"title":"Behçet's disease: recurrent ischemic stroke as an initial presentation - a case based review.","authors":"Anwar Albasri, Wesam Gouda, Faisal Alsaqabi, Mahmoud M Magdy, Ashraf A Mostafa, Nehal El Ghobashy","doi":"10.1177/03000605241311446","DOIUrl":"10.1177/03000605241311446","url":null,"abstract":"Behçet's disease (BD) is a rare systemic vasculitis that is characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. Although neurological involvement is a known complication, ischemic stroke remains uncommon. Herein, we report a 37-year-old Kuwaiti woman who experienced recurrent ischemic stroke with no traditional risk factors. Imaging studies, including magnetic resonance imaging and angiography, confirmed the diagnosis of recurrent ischemic stroke and identified the underlying vasculitic changes. A detailed examination revealed a history of recurrent orogenital ulcers, leading to a diagnosis of BD. High-dose corticosteroids, azathioprine, and antiplatelet treatment were effectively used to manage her acute strokes and underlying vasculitis, thus preventing further thrombotic events. Our case report underscores the difficulties of diagnosing BD with ischemic stroke as the initial manifestation and emphasizes the importance of a multidisciplinary approach that involves rheumatologists, neurologists, and radiologists to create an effective treatment plan. Our findings also underscore the need for medical practitioners to be more knowledgeable about ischemic stroke in young patients without risk factors from endemic areas of BD, and to develop effective therapy plans. Our review of the English literature indicates that this is only the fifth report of stroke as the first presentation of BD.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311446"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059360","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

A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review. 绝经后妇女慢性完全性子宫内翻1例报告并文献复习。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311158

Jie Hu, Weili Yang, Fang Zhang, Chunhong Yan

{"title":"A rare case of chronic complete uterine inversion in a postmenopausal woman: a case report and literature review.","authors":"Jie Hu, Weili Yang, Fang Zhang, Chunhong Yan","doi":"10.1177/03000605241311158","DOIUrl":"10.1177/03000605241311158","url":null,"abstract":"Uterine inversion is a rare condition that refers to the collapse of the fundus into the uterine cavity and occurs in puerperal and non-puerperal conditions. Non-puerperal uterine inversion is particularly infrequent. Diagnosing non-puerperal uterine inversion is often challenging because it resembles vaginal or cervical tumors and pelvic organ prolapse. Furthermore, this condition alters the anatomical structure of pelvic organs, thereby complicating diagnosis and treatment, and potentially leading to misdiagnosis with grave consequences. We report a case of a postmenopausal woman who presented with irregular vaginal bleeding and dysuria for 2 months. Preoperative enhanced pelvic magnetic resonance imaging suggested a benign tumor combined with uterine inversion, which was subsequently confirmed during surgery. A laparoscopic attempt to reposition the uterus failed, leading to successful repositioning via an abdominal incision and subsequent total abdominal hysterectomy with bilateral salpingo-oophorectomy. A histopathological examination showed a submucosal leiomyoma, which was smaller than that typically reported in other cases. We also conducted a review of previous cases to offer empirical guidance for the diagnosis and treatment of this rare condition.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311158"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006812","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

Paraneoplastic syndrome with intestinal pseudo-obstruction in a patient with small cell lung carcinoma: a case report and literature review. 小细胞肺癌伴假肠梗阻的副肿瘤综合征1例报告并文献复习。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241245868

Xiao-Jun Ren, Zhao-Hong Shi, Ying-Xia Cheng, Yun Luo

引用次数: 0

Maternal plasma urocortin level as a biomarker of preterm birth: a prospective cohort study in Sulaimaniyah city in Iraq.

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311438

Sallama Kamel Nasir

{"title":"Maternal plasma urocortin level as a biomarker of preterm birth: a prospective cohort study in Sulaimaniyah city in Iraq.","authors":"Sallama Kamel Nasir","doi":"10.1177/03000605241311438","DOIUrl":"10.1177/03000605241311438","url":null,"abstract":"Objective: To evaluate the value of the urocortin (UCN) level to predict preterm delivery in women with threatened preterm labour.Methods: This prospective cohort study included 96 women with a singleton pregnancy between 28 and 34 weeks of gestation who were admitted with threatened preterm labour. The participants were monitored until delivery. The UCN level was compared between those with preterm and with full-term deliveries.Results: The mean UCN level was higher for preterm deliveries (96 ± 24.34 pg/mL) than for full-term deliveries (62.62 ± 23.63 pg/mL). A UCN cutoff level of 92 pg/mL had 20% sensitivity, 100% specificity, 100% positive predictive value, and 10% negative predictive value. Thus, 17.7% of women had a UCN level ≥ 92 pg/mL, and all delivered preterm. Among the 82.3% of women who had a UCN level < 92 pg/mL, 88.6% delivered preterm, and 11.4% delivered at full term. Moreover, 88.2% of women who had a UCN level ≥ 92 pg/mL delivered within 7 days and only 11.8% delivered after 7 days. However, 58.2% of women with a UCN level < 92 pg/mL delivered within 7 days and 41.8% delivered after 7 days.Conclusion: A UCN cutoff level of ≥92 pg/mL predicts preterm delivery within 7 days of admission.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311438"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033202","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

Salmonella gas-forming pyomyositis in an immunocompetent patient: a case report and review.

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311782

Jee Young Lee, Gyu Min Kong

{"title":"Salmonella gas-forming pyomyositis in an immunocompetent patient: a case report and review.","authors":"Jee Young Lee, Gyu Min Kong","doi":"10.1177/03000605241311782","DOIUrl":"10.1177/03000605241311782","url":null,"abstract":"The primary etiology of pyomyositis is predominantly Staphylococcus aureus, although Gram-negative bacteria may also be involved on rare occasions. The prognosis for pyomyositis caused by Gram-negative bacteria is more unfavorable than that of infections caused by Staphylococcus aureus. Among Gram-negative bacteria, members of the Enterobacteriaceae family, including Escherichia coli, Klebsiella species, and Salmonella species, have the capacity to produce gas. Gas-forming myositis is a rare phenomenon that primarily affects immunocompromised patients and is associated with a poor prognosis. To the best of our knowledge, no previous reports of gas-forming pyomyositis in an immunocompetent patient exist. We herein present the first documented case of Salmonella-induced gas-forming pyomyositis of the iliacus muscle in a healthy young man with no underlying diseases or comorbidities. Additionally, we reviewed cases of gas-forming pyomyositis in the literature and cases of pyomyositis caused by Gram-negative bacteria in immunocompetent patients.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311782"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052733","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

The interaction between nirmatrelvir/ritonavir and sirolimus: a case report of a kidney recipient with renal insufficiency and COVID-19. 尼马特利韦/利托那韦与西罗莫司的相互作用：一例肾功能不全合并COVID-19的肾受体报告

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241307845

Yinhua Gong, Dan Shen, Jinfang Shi, Ye Jiang, Jie Gao

引用次数: 0

Arthroscopic-assisted uniportal spinal surgery for treatment of lumbar burst fractures complicated with neurological symptoms: a case report.

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241312828

Hai-Wei Chen, Zhi-Qiang Wang, Peng-Ju Jing, Dong-Hong Ma, Wen-Bo Wang, En Song, Pei-Wu Li, Peng Cheng

{"title":"Arthroscopic-assisted uniportal spinal surgery for treatment of lumbar burst fractures complicated with neurological symptoms: a case report.","authors":"Hai-Wei Chen, Zhi-Qiang Wang, Peng-Ju Jing, Dong-Hong Ma, Wen-Bo Wang, En Song, Pei-Wu Li, Peng Cheng","doi":"10.1177/03000605241312828","DOIUrl":"10.1177/03000605241312828","url":null,"abstract":"Lumbar burst fractures account for 21% to 58% of all thoracolumbar fractures. L5 lumbar burst fractures are rare, comprising 1.2% of spinal burst fractures. This report discusses the optimal treatment for an adolescent with an L5 lumbar burst fracture and neurological symptoms caused by a high-fall injury, which involved surgical decompression and spinal fixation. Complete decompression and fixation of the L5 lumbar burst fracture, complicated by neurological symptoms, were achieved using arthroscopic-assisted uniportal spinal surgery (AUSS) combined with percutaneous pedicle screw fixation (PPSF). The AUSS approach, used alongside PPSF, significantly improved the vertebral canal occupation rate, increased the anterior edge height ratio of the damaged vertebra, and alleviated the lower back pain and nerve root symptoms postoperatively. AUSS combined with PPSF is a minimally invasive technique for treating lumbar burst fractures, effectively relieving compression of the vertebral canal and nerves caused by fracture fragments.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241312828"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065877","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

Cytomegalovirus-associated panenteritis in an immunocompetent 60-year-old woman treated with oral valganciclovir: a case report.

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311449

Kye Whon Kim, Min Cheol Kim

{"title":"Cytomegalovirus-associated panenteritis in an immunocompetent 60-year-old woman treated with oral valganciclovir: a case report.","authors":"Kye Whon Kim, Min Cheol Kim","doi":"10.1177/03000605241311449","DOIUrl":"10.1177/03000605241311449","url":null,"abstract":"Cytomegalovirus (CMV) infection typically affects immunocompromised individuals. However, CMV-associated enteritis involving the entire small intestine is rare in immunocompetent patients. We report a case of a 60-year-old immunocompetent woman with a history of diabetes mellitus who presented with diarrhea for 3 weeks. Abdominal computed tomography and stool tests revealed panenteritis accompanied by protein-losing enteropathy. Enteroscopy revealed ulcerative mucosa throughout the small intestine, and subsequent biopsies confirmed CMV-associated enteritis. Initial treatment with intravenous ganciclovir was complicated by pancytopenia, leading to its discontinuation and a switch to oral valganciclovir. This adjustment led to significant clinical improvement and symptom resolution. This case highlights the importance of considering CMV-associated enteritis in immunocompetent patients presenting with unexplained gastrointestinal symptoms and demonstrates the effectiveness of oral valganciclovir following ganciclovir-induced pancytopenia.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311449"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033042","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

Association between weight-adjusted waist index and obstructive sleep apnea among adults in the United States: data from NHANES (2005-2008 and 2015-2018). 美国成年人体重调整腰围指数与阻塞性睡眠呼吸暂停之间的关系：来自NHANES（2005-2008和2015-2018）的数据。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2025-01-01 DOI: 10.1177/03000605241311450

Qi Zhang, Yong Zhai, Jing Wang, Xu Han, Wurong Si, Yizhong Zhou

{"title":"Association between weight-adjusted waist index and obstructive sleep apnea among adults in the United States: data from NHANES (2005-2008 and 2015-2018).","authors":"Qi Zhang, Yong Zhai, Jing Wang, Xu Han, Wurong Si, Yizhong Zhou","doi":"10.1177/03000605241311450","DOIUrl":"10.1177/03000605241311450","url":null,"abstract":"Objective: We aimed to examine the relationship between the weight-adjusted waist index (WWI) and obstructive sleep apnea (OSA), a condition often caused by obesity, which remains unclear.Methods: In this cross-sectional study, we analyzed data from the National Health and Nutrition Examination Survey among adults in the United States (US) aged 20 to 65 years, covering the periods 2005 to 2008 and 2015 to 2018. The study included 8278 participants; we used multivariate logistic regression, restricted cubic splines, and subgroup analyses to explore the relationship between WWI and OSA.Results: After adjusting for all covariates, each unit increase in WWI was associated with a 30% increase in OSA prevalence (odds ratio = 1.30, 95% confidence interval: 1.20-1.40).Conclusions: These findings suggest that WWI, an index reflecting abdominal obesity, can provide important insights into OSA risk assessment. Its strong association with OSA highlights its potential utility in predicting OSA prevalence, particularly among diverse subpopulations. The WWI was associated with a higher prevalence of OSA among US adults and may serve as a valuable tool for risk assessment, early screening, and intervention strategies in clinical practice.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 1","pages":"3000605241311450"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006814","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