Journal of International Medical Research最新文献

{"title":"Impact of delivery method on postnatal depression in Jordanian women: Insights from a cross-sectional survey.","authors":"Asma Basha, Hala Yousef, Roaa AlJazzazi, Joanna Alfugaha, Samah Alfreihat, Dunia Jaber, Kamel Jaber","doi":"10.1177/03000605251327485","DOIUrl":"https://doi.org/10.1177/03000605251327485","url":null,"abstract":"<p><p>ObjectivePostnatal depression is a common and serious mental health problem. Despite the existence of established risk factors for postnatal depression, the role of the mode of delivery in influencing its prevalence remains a topic of debate. This study investigated the potential association between postnatal depression and the mode of delivery, specifically comparing the prevalence of postnatal depression in women who had a vaginal delivery versus those who underwent either an emergency or elective cesarean section. This study aimed to explore how different modes of delivery affect the prevalence and severity of postnatal depression among women in Jordan.MethodsA cross-sectional study was conducted at Jordan University Hospital between January and April 2024 to assess postnatal depression among women who delivered singleton fetuses 1 week after delivery. The participants completed a self-reported questionnaire, which collected demographic data and responses to the Edinburgh Postnatal Depression Scale. These responses were used to evaluate postnatal depression symptoms.ResultsA total of 267 women participated in the study. Results showed no significant association or difference in the postnatal depression scores between different modes of delivery (p = 0.459 and 0.441). Moreover, gestational age at the time of delivery and the infant feeding method after delivery showed no significant differences in the postnatal depression scores (p = 0.681 and 0.537, respectively). Results showed that the occurrence of intrapartum complications was associated with an approximately two times greater risk of developing postnatal depression (adjusted odds ratio = 1.96, p = 0.013).DiscussionThis study found no clear relationship between the mode of delivery and postnatal depression, with similar depression scores observed across vaginal and cesarean deliveries. Peripartum complications were linked to a higher risk of postnatal depression, whereas factors such as age, occupation, and infant feeding method showed inconsistent associations. The results highlight the complex, multifactorial nature of postnatal depression.ConclusionsThere was no significant association or difference in the postnatal depression scores between the modes of delivery. The results suggested that factors other than the mode of delivery played a more significant role in the development of postnatal depression among the women included in this study. Although our findings contribute to the understanding of maternal mental health, further research is needed to explore additional risk factors and interventions for postnatal depression.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251327485"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970124","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}

{"title":"Systematic review and meta-analysis of the use of micrografting technology in humans.","authors":"Rawan Almujaydil, Yumeng Yan, Sandra Kuswandani, Faisal Alotaibi, Jeanie Suvan, Linh Nguyen, Francesco D'Aiuto","doi":"10.1177/03000605251337859","DOIUrl":"10.1177/03000605251337859","url":null,"abstract":"<p><p>AimTo critically assess the evidence on micrografting technology to evaluate its effectiveness when used alone or as an adjunct to regenerative treatment in various medical and dental applications.MethodsSeven electronic databases, including Cochrane Central Register of Controlled Trials (CENTRAL), Medline Ovid, Embase Ovid, Cumulative Index to Nursing and Allied Health Literature EBSCOhost, Web of Science Core Collection, System for Information on Grey Literature in Europe, and Bielefeld Academic Search Engine, were searched until 15 July 2024. Risk of bias assessment and qualitative and quantitative (random-effect models) analyses were conducted.ResultsA total of 55 studies were identified. Most studies (n = 24) reported on burns, followed by 10 studies on ulcers/wounds, 7 on androgenetic alopecia, 3 on vitiligo, 3 on cartilage and bone defects, and 1 on coronary artery bypass graft surgery. Dental applications included sinus lift (three studies), socket preservation (two studies), and intrabody defects (two studies). A meta-analysis of four studies on the management of burns confirmed that micrografting led to reduced healing periods compared with other grafting techniques (weighted mean difference: -0.98, 95% confidence interval: -1.84 to -0.12, p = 0.03), with a high level of heterogeneity (83.57%) and risk of bias.ConclusionMicrografting technology may lead to shorter healing time and improved patient morbidity.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251337859"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136083","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}

{"title":"Prevalence of postoperative pulmonary complications in recipients of liver transplantation with abnormal preoperative spirometry.","authors":"Sunaina Khan, Alishba Zainab, Sapna Amin, Rashid Iqbal","doi":"10.1177/03000605251340538","DOIUrl":"10.1177/03000605251340538","url":null,"abstract":"<p><p>ObjectiveTo determine the incidence of postoperative pulmonary complications in liver transplantation recipients with abnormal preoperative spirometry.MethodsA retrospective observational study was conducted among 210 patients with abnormal preoperative spirometry who underwent living donor liver transplantation between April 2012 and January 2024. Liver transplantation recipients were divided into two groups based on the spirometry diagnosis of restrictive lung disease or obstructive lung disease. The incidence of postoperative pulmonary complications and impact on patient outcomes were assessed in terms of length of stay in the intensive care unit, total length of stay in the hospital, time on the ventilator, duration of surgery, noninvasive ventilator dependence, reintubation rate, hospital-acquired infection, mortality, and arterial blood gas analysis.ResultsThe incidence of postoperative pulmonary complications was approximately 91.2% in liver transplantation recipients with abnormal preoperative spirometry. The length of stay in the intensive care unit, total length of stay in the hospital, duration of surgery, noninvasive ventilator dependence, reintubation rate, mortality, and hospital-acquired infections did not notably differ between recipients with restrictive lung disease (n = 189) and obstructive lung disease (n = 21).DiscussionAbnormal spirometry resulted in an increased incidence of postoperative pulmonary complications. However, the study suggests that the effects of abnormal spirometry were similar after liver transplantation.ConclusionPreexisting restrictive and obstructive lung diseases are associated with similar risks in liver transplantation recipients. However, as our study had fewer patients with obstructive lung disease, future research should include a comparable number of patients with restrictive and obstructive lung diseases to produce robust data on postoperative complications within this group for liver transplantation.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251340538"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119935","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}

{"title":"A rare case of pulmonary fat embolism with acute respiratory distress syndrome after thigh fat circumferential extraction and hip fat autologous transplantation.","authors":"Chuyang Zhong, Yufu He, Kaidian Chen, Lizhen Liu, Jingqi Zhang, Haotian Zhong, Guiqing Zeng, Junbing He","doi":"10.1177/03000605251343547","DOIUrl":"10.1177/03000605251343547","url":null,"abstract":"<p><p>Pulmonary fat embolism is the most severe form of fat embolism syndrome and typically occurs after fractures. However, it is not commonly reported in patients who have undergone liposuction and fat transplantation. A female patient in her early 40s was admitted to the hospital with chest tightness and shortness of breath that had lasted 2 h. Liposuction and fat transplantation (thigh fat circumference, buttock fat transplantation, and filling) were performed under general anesthesia before disease onset; subsequently, she experienced chest tightness and shortness of breath and exhibited decreased oxygen saturation in the peripheral blood. Chest computed tomography combined with red oil O staining of bronchoalveolar lavage fluid samples enabled early and rapid diagnosis of pulmonary fat embolism. The patient was treated with noninvasive mechanical ventilation and short-term glucocorticoid therapy, following which she showed rapid recovery. Considering that the clinical diagnosis of pulmonary fat embolism is very challenging and this condition is commonly misdiagnosed or missed, early diagnosis and appropriate treatment are critical. We aimed to enhance clinicians' knowledge and understanding of pulmonary fat embolism to facilitate early diagnosis and treatment.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251343547"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142697","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}

{"title":"Construction and validation of a risk nomogram model for colorectal sessile serrated lesions.","authors":"Sihui Huang, Shiyu Liu, Fang Tan, Hu Chen, Guangxia Chen","doi":"10.1177/03000605251337577","DOIUrl":"10.1177/03000605251337577","url":null,"abstract":"<p><p>ObjectiveThis study aimed to explore the risk factors for colorectal sessile serrated lesions and construct a risk nomogram model.MethodsPatients were enrolled retrospectively from the Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University from January 2019 to September 2023 and randomized to the training and validation sets at a ratio of 7:3. The predictors for constructing the nomogram model were screened via univariate analysis and multivariate logistic regression analysis. Subsequently, the performance of the model was evaluated.ResultsMultivariate logistic regression analysis revealed that age, history of smoking, history of alcohol consumption, and triglyceride-glucose index were independent risk factors for colorectal sessile serrated lesions (<i>p</i> < 0.05). The area under the curve values of the nomogram model in the training and validation sets were 0.715 (95% confidence interval: 0.676-0.753) and 0.742 (95% confidence interval: 0.669-0.815), respectively. The calibration curves showed good homogeneity between the predicted and actual values. Decision curve analysis showed that this nomogram model can achieve positive clinical benefits.ConclusionsAge, history of smoking, history of alcohol consumption, and triglyceride-glucose index are independent predictors of colorectal sessile serrated lesions. This nomogram model may predict the risk of colorectal sessile serrated lesions.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251337577"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970158","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}

{"title":"Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease.","authors":"Stefania Colantuono, Francesco Menzella, Pier-Valerio Mari, Francesco Macagno, Francesco Lombardi, Ilaria Baglivo, Cristiano Caruso","doi":"10.1177/03000605251340894","DOIUrl":"10.1177/03000605251340894","url":null,"abstract":"<p><p>Over the past decades, monoclonal antibodies have been playing a pivotal role in the treatment of chronic inflammatory airway diseases. Currently, ample data are available on the efficacy and safety of biologics in asthma from randomized controlled trials and open-label trials; conversely, limited data are available on the use of biologics in chronic obstructive pulmonary disease. In this context, once the fundamental role of inhaled corticosteroid/long-acting β2-agonist/long-acting muscarinic antagonist therapy is established, clinical response and disease remission, based on clinical and functional response parameters such as oral corticosteroid need, annual exacerbation rates, and lung function, are the key factors driving the clinical and therapeutic management. This narrative review has summarized the literature data from randomized controlled trials and real-life experience on currently available biologics in asthma and chronic obstructive pulmonary disease. The role of inhaled corticosteroid, long-acting β2-agonist, and long-acting muscarinic antagonist therapy has been further investigated with a particular focus on drug-free concept.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251340894"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101948","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}

{"title":"Diffuse idiopathic skeletal hyperostosis presenting as spinal cord compression combined with intervertebral space narrowing: A case report.","authors":"Zhang Jiaqi, Xu Lichen, Xia Dongxue, Tang Wei, Wang Wei","doi":"10.1177/03000605251342673","DOIUrl":"10.1177/03000605251342673","url":null,"abstract":"<p><p>This report highlights an unusual case of a woman in her 70s who presented with diffuse idiopathic skeletal hyperostosis and an initial symptom of spinal cord compression and associated spinal degeneration. She presented with progressive thoracolumbar pain, bilateral lower limb weakness, and sensory deficits. Imaging showed continuous osteophytes in the anterior and lateral spine, multiple levels of intervertebral space narrowing, marked ligament ossification at T10/11, and severe spinal stenosis. Diffuse idiopathic skeletal hyperostosis was diagnosed and spinal cord compression was significantly reduced after laminectomy. Although diffuse idiopathic skeletal hyperostosis is relatively common in elderly patients, cases of spinal cord compression are still rare, and the combination of intervertebral space stenosis, and ossification of the ligamentum flavum may be misdiagnosed as degenerative spondylopathy. This case suggests the possibility of intervertebral stenosis and ossification of the thoracic ligamentum flavum coexisting with diffuse idiopathic skeletal hyperostosis, highlighting the importance of diagnostic imaging in the early stage of patient management.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251342673"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199388","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}

{"title":"Perceived stress and anxiety levels of patients undergoing coronary angiography.","authors":"Ayşenur Kadayıf, Hande Cengiz Açıl","doi":"10.1177/03000605251340168","DOIUrl":"10.1177/03000605251340168","url":null,"abstract":"<p><p>ObjectiveThis study aimed to evaluate the perceived stress and anxiety levels of patients undergoing coronary angiography and examine the impact of the procedure area on these psychological factors.MethodsA total of 144 patients were included, and data were collected using the Personal Information Form, State-Trait Anxiety Scale, and Perceived Stress Scale. Statistical analyses were performed using IBM SPSS Statistics 23, along with independent sample <i>t</i>-tests, one-way analysis of variance, Levene's test, post-hoc tests, Pearson correlation, and Cronbach's alpha for reliability.ResultsThe mean patient age was 54.31 ± 12.50 years; 63.2% of them were male. Overall, 58.3% of the patients underwent coronary angiography for diagnostic purposes, and 61.8% were aware of the procedure area. State anxiety, trait anxiety, and perceived stress scores were 46.78 ± 11.81, 41.35 ± 9.98, and 16.74 ± 5.32, respectively. Higher anxiety was observed among patients unaware of their diagnosis and those undergoing repeat coronary angiography. Patients who were undergoing femoral angiography had higher perceived stress than those undergoing angiography through the radial route.ConclusionUncertainty about diagnosis and the procedure increases stress and anxiety. Providing preprocedural education during coronary angiography and exploring alternative anxiety management strategies, such as mindfulness, could enhance patient experience and recovery.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251340168"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136111","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}

{"title":"Effectiveness of the Ilizarov method in treating complex nonunions of the lower limb long bones.","authors":"Ahmed Ibrahim Berzenji, Dedawan Namiq Rasul, Abdulkadr Muhammed S Alany","doi":"10.1177/03000605251337911","DOIUrl":"10.1177/03000605251337911","url":null,"abstract":"<p><p>BackgroundComplex nonunions of the lower limb long bones represent a challenging issue in orthopedics. Although the Ilizarov method is considered a successful treatment modality, its success varies with complications and patient-related factors.ObjectiveThis study aimed to evaluate the radiological and functional outcomes of the Ilizarov method in the management of complex nonunions of long bones. Specifically, we assessed bone healing, functional restoration, complication rates, and effectiveness of staged management strategies, including infection control and limb reconstruction.MethodsThis retrospective/prospective case series included 30 patients (31 nonunion cases) treated at three tertiary centers in Erbil city between 2020 and 2024. The patients underwent Ilizarov frame application following debridement and staged management for infection and bone transport. Outcomes were assessed using the Association for the Study and Application of the Method of Ilizarov criteria.ResultsThe union rate of the study cohort was 90.3%, with a mean treatment duration of 9.26 months. Functional outcomes were rated as excellent, good, and poor in 67.7%, 22.6%, and 6.5% of the cases, respectively. Common problems included pin tract infections (35.5%), limb length discrepancy (32.3%), and malalignment (9.7%).ConclusionAlthough the Ilizarov method yielded high union rates and satisfactory functional outcomes in complex nonunions, limb length discrepancies and pin tract infections remain critical issues. Optimizing rehabilitation, compliance, and surgical planning is crucial for improving long-term functional outcomes.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251337911"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040170","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}

{"title":"Assessment of the relationship between vitamin D levels and uterine fibroids in Turkish women: A retrospective case-control study.","authors":"Ferhat Çetin, Özer Birge, İlkan Kayar","doi":"10.1177/03000605251341825","DOIUrl":"10.1177/03000605251341825","url":null,"abstract":"<p><p>ObjectiveUterine fibroids are prevalent in women of reproductive age and can cause various health issues. This study aimed to explore the association between vitamin D levels and the development of uterine fibroids in Turkish women, a topic on which contradictory findings have been reported.MethodsThis retrospective case-control study was conducted at Osmaniye State Hospital, Turkey, from September 2022 to September 2023. The study group comprised women diagnosed with uterine fibroids, while the control group included women who did not have uterine fibroids. Both groups were compared based on their vitamin D levels, sociodemographic characteristics, obstetric health, clinical characteristics, and imaging findings. The primary focus of the study was on the correlation between vitamin D levels and the presence of uterine fibroids.ResultsThe study group involved 954 women with uterine fibroids, and the control group comprised 668 control women. The sociodemographic characteristics of the groups were not significantly different (p > 0.05). However, the median vitamin D level in the study group (9.9 ng/mL) was significantly lower than that in the control group (16.1 ng/mL, p < 0.001). Furthermore, patients with multiple uterine fibroids had significantly lower vitamin D levels than those with a single fibroid (p = 0.032). Women with three or more fibroids had even lower levels of vitamin D than those with fewer than three fibroids (p < 0.001).ConclusionThe findings indicate a marked association between lower vitamin D levels and the presence of uterine fibroids. Patients with a higher number of fibroids had lower vitamin D levels. These results suggest a potential link between vitamin D deficiency and the development of uterine fibroids. However, more prospective studies are required to determine the exact role of vitamin D in the development and progression of uterine fibroids.</p>","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":"53 5","pages":"3000605251341825"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101946","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}