Journal of International Medical Research最新文献_第2页

Retrospective study of ureteral stenosis after holmium laser lithotripsy 钬激光碎石术后输尿管狭窄的回顾性研究

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-14 DOI: 10.1177/03000605241275333

Jia Wei He

{"title":"Retrospective study of ureteral stenosis after holmium laser lithotripsy","authors":"Jia Wei He","doi":"10.1177/03000605241275333","DOIUrl":"https://doi.org/10.1177/03000605241275333","url":null,"abstract":"ObjectiveTo identify the factors influencing postoperative ureteral stenosis following holmium laser lithotripsy.MethodsA retrospective study was conducted of 106 patients who underwent ureteroscopic holmium laser lithotripsy. The effects of variables including stone location, stone size, the duration of surgery, water intake, disease duration, and stone-associated polyps were investigated.ResultsLogistic regression analysis revealed significant associations of ureteral stenosis with stone location, stone size, duration of surgery, water intake, disease duration, and stone-associated polyps. Patients with proximal stones, with large stones, who underwent long surgical procedures, who drank a large amount of water, who had long-term disease, and who had stone-related polyps were more likely to develop postoperative ureteral stenosis.ConclusionSignificant perioperative complications of holmium laser lithotripsy are associated with prolonged disease, large ureteral stones, long incarceration periods, and the presence of polyps. Surgeons should consider these risk factors during the preoperative evaluation of patients and surgical planning to minimize the risk of postoperative ureteral stenosis.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269849","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

Incarcerated gravid uterus liberated by vaginal gauze packing under general anesthesia: a case report 在全身麻醉下通过阴道纱布包扎解放嵌顿妊娠子宫：病例报告

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-12 DOI: 10.1177/03000605241275006

Mingbao Li, Zhou Yang, Wanjun Yin, Yafei Ma, Rui Li, Yonghui Jiang, Yuan Liu

引用次数: 0

Medullary infarction with central facial paralysis as the only symptom: a case report 以中枢性面瘫为唯一症状的髓质梗死：一份病例报告

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-12 DOI: 10.1177/03000605241276468

Ruiqi Tian, Yingying Zhou, Wei Tang, Zhen Zhu

引用次数: 0

Distribution of mHealth applications in Germany: analysis of the FeverApp registry 德国移动医疗应用程序的分布：对 FeverApp 注册表的分析

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-10 DOI: 10.1177/03000605241274550

Moritz Gwiasda, Larisa Rathjens, David D. Martin, Ricarda Möhler, Silke Schwarz, Ekkehart Jenetzky

{"title":"Distribution of mHealth applications in Germany: analysis of the FeverApp registry","authors":"Moritz Gwiasda, Larisa Rathjens, David D. Martin, Ricarda Möhler, Silke Schwarz, Ekkehart Jenetzky","doi":"10.1177/03000605241274550","DOIUrl":"https://doi.org/10.1177/03000605241274550","url":null,"abstract":"ObjectiveIn this observational study, we determined the distribution of mHealth applications (apps) in Germany using data from the FeverApp registry.MethodsThe registry data were processed to assess general monthly trends in app distribution, and a seasonal autoregressive integrated moving average model was decomposed to investigate time series. A sample comparison was made matching data from cold-called against self-registered distributers of the FeverApp.ResultsAmong 881 pediatric and adolescent medical practices, 27,300 app users were recruited between 2019 and August 2023. The number of monthly recruited users increased steadily. A seasonal trend was observed, showing a higher distribution in winter months. Self-registered pediatric practices did not recruit significantly more app users than cold-called practices, with approximately every 25th family recruited in both groups.ConclusionsThe trend of more app sign-ups during winter is likely related to the flu season in Germany. Intrinsic and extrinsic motivational factors of the practices seem to have a large impact on the distribution. We observed a positive trend in the app distribution. Seasonal febrile infections and individual distribution methods among practices influence the distribution of the FeverApp in Germany. Family factors may have a greater influence than the motivation of distributing practices.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142198327","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

The difficulties and solutions in operationalising a hybrid operating room 运行混合手术室的困难和解决方案

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-10 DOI: 10.1177/03000605241270700

Tahmid Zaman, Aman Berry Williams, Tejas Singh, Grace Ellwood, Zoheb Williams

引用次数: 0

A few-shot learning framework for the diagnosis of osteopenia and osteoporosis using knee X-ray images. 利用膝关节 X 光图像诊断骨质增生和骨质疏松症的少量学习框架。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241274576

Hua Xie, Chenqi Gu, Wenchao Zhang, Jiacheng Zhu, Jin He, Zhou Huang, Jinzhou Zhu, Zhonghua Xu

{"title":"A few-shot learning framework for the diagnosis of osteopenia and osteoporosis using knee X-ray images.","authors":"Hua Xie, Chenqi Gu, Wenchao Zhang, Jiacheng Zhu, Jin He, Zhou Huang, Jinzhou Zhu, Zhonghua Xu","doi":"10.1177/03000605241274576","DOIUrl":"10.1177/03000605241274576","url":null,"abstract":"Objective: We developed a few-shot learning (FSL) framework for the diagnosis of osteopenia and osteoporosis in knee X-ray images.Methods: Computer vision models containing deep convolutional neural networks were fine-tuned to enable generalization from natural images (ImageNet) to chest X-ray images (normal vs. pneumonia, base images). Then, a series of automated machine learning classifiers based on the Euclidean distances of base images were developed to make predictions for novel images (normal vs. osteopenia vs. osteoporosis). The performance of the FSL framework was compared with that of junior and senior radiologists. In addition, the gradient-weighted class activation mapping algorithm was used for visual interpretation.Results: In Cohort #1, the mean accuracy (0.728) and sensitivity (0.774) of the FSL models were higher than those of the radiologists (0.512 and 0.448). A diagnostic pipeline of FSL model (first)-radiologists (second) achieved better performance (0.653 accuracy, 0.582 sensitivity, and 0.816 specificity) than radiologists alone. In Cohort #2, the diagnostic pipeline also showed improved performance.Conclusions: The FSL framework yielded practical performance with respect to the diagnosis of osteopenia and osteoporosis in comparison with radiologists. This retrospective study supports the use of promising FSL methods in computer-aided diagnosis tasks involving limited samples.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120044","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

Wernicke encephalopathy in a patient with medullary infarctions: a case report. 一名延髓梗塞患者的韦尼克脑病：病例报告。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241274570

Lu Wang, Guan-Jie Song, Hong-Jun Su

引用次数: 0

Association between interleukin-6 levels and stroke: a systematic review and meta-analysis. 白细胞介素-6 水平与中风的关系：系统综述与荟萃分析。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241274626

Xinyi Huang, Manman Zhang, Jiaojiao Wang, Fuyong Hu

{"title":"Association between interleukin-6 levels and stroke: a systematic review and meta-analysis.","authors":"Xinyi Huang, Manman Zhang, Jiaojiao Wang, Fuyong Hu","doi":"10.1177/03000605241274626","DOIUrl":"10.1177/03000605241274626","url":null,"abstract":"Objectives: We aimed to evaluate the association of interleukin-6 (IL-6) expression levels with stroke.Methods: According to the set search strategy, we systematically screened relevant studies using PubMed and extracted study results regarding IL-6 from the literature for comprehensive quantitative analysis to explore the relationship between IL-6 level and stroke risk.Results: This study included 15 publications with a total of 1696 participants, with 975 cases in the case group and 721 cases in the control group. Meta-analysis showed that IL-6 levels were significantly higher in the stroke population than those in the control group (standardized mean difference = 1.22, 95% confidence interval = 0.79-1.64). Subgroup analysis showed that there was no significant difference in heterogeneity for IL-6 detection methods between the two groups (I2 = 0, P = 0.47). The difference in heterogeneity test results regarding geographic region was statistically significant (I2 = 89.7%, P < 0.01). The results of heterogeneity testing for mean participant age were also statistically significant (I2 = 84.3%, P = 0.01).Conclusion: The present study results showed that IL-6 may be significantly associated with stroke development.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154279","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

Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions: a systematic scoping review. 影响处方者减少阿片类药物处方行为的激励策略：系统性范围综述。

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241272733

Salwan Diwan,Andreas Vilhelmsson,Axel Wolf,Pether Jildenstål

{"title":"Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions: a systematic scoping review.","authors":"Salwan Diwan,Andreas Vilhelmsson,Axel Wolf,Pether Jildenstål","doi":"10.1177/03000605241272733","DOIUrl":"https://doi.org/10.1177/03000605241272733","url":null,"abstract":"OBJECTIVEThis systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings.METHODSA systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation.RESULTSSix nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and providing feedback. Moreover, 32 studies used the electronic health record as an implementation method, and 29 reported significant results. Most of the effective interventions were multicomponent interventions (i.e., combining nudge strategies and non-nudge components).CONCLUSIONSMost nudging strategies used a passive approach, such as defaulting prescriptions to generics and requiring no action from the prescriber. Although reported as effective, this approach often operates under the prescriber's radar. Future research should explore the ethical implications of nudging strategies.INPLASY registration number: 202420082.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142198368","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

Risk factors for patients with tracheal stenosis: a systematic review and meta-analysis. 气管狭窄患者的风险因素：系统回顾和荟萃分析。

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241275884

Siqi Hong,Xiaobing Wu,Haihuan Feng,Qing Zhang,Xiaohan Wang,Minmin Chang,Xiuli Chen,Weijuan Liu

{"title":"Risk factors for patients with tracheal stenosis: a systematic review and meta-analysis.","authors":"Siqi Hong,Xiaobing Wu,Haihuan Feng,Qing Zhang,Xiaohan Wang,Minmin Chang,Xiuli Chen,Weijuan Liu","doi":"10.1177/03000605241275884","DOIUrl":"https://doi.org/10.1177/03000605241275884","url":null,"abstract":"OBJECTIVETo systematically evaluate potential risk factors for tracheal stenosis and to provide a reference for the prevention and management of patients with this condition.METHODSDatabases were searched to identify studies of the risk factors for tracheal stenosis, from their inception to October 2023, then a meta-analysis was performed. The study was registered with PROSPERO under the registration number CRD42023428906.RESULTSTen studies of a total of 2525 patients were included. The meta-analysis showed that tracheotomy, diabetes, the duration of intubation, the duration of mechanical ventilation, respiratory tract infection, a high incision, and a ratio of intratracheal tube cuff diameter (C)/transverse diameter at the level of the clavicle (T) >150% were risk factors for the development of tracheal stenosis.CONCLUSIONMeasures such as shortening the duration of mechanical ventilation and intubation, reducing and avoiding tracheotomy after prolonged intubation, early tracheotomy in patients with obesity who require prolonged mechanical ventilation, appropriate choices of incision location and catheter, the maintenance of appropriate C/T, the prevention of respiratory infection, and the control of diabetes mellitus should limit the risk of tracheal stenosis.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142198369","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