Journal of International Medical Research最新文献_第7页

Periprosthetic bone mineral density, assessed using dual energy x-ray absorptiometry, following arthroplasty in patients with femoral neck fracture: 5-year outcomes of a randomized controlled trial 股骨颈骨折患者关节置换术后使用双能 X 射线吸收测量法评估假体周围骨矿物质密度：随机对照试验的 5 年结果

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-14 DOI: 10.1177/03000605241276491

Stein H. Ugland, Terje O. Ugland, Glenn Haugeberg, Are H. Pripp, Lars Nordsletten

{"title":"Periprosthetic bone mineral density, assessed using dual energy x-ray absorptiometry, following arthroplasty in patients with femoral neck fracture: 5-year outcomes of a randomized controlled trial","authors":"Stein H. Ugland, Terje O. Ugland, Glenn Haugeberg, Are H. Pripp, Lars Nordsletten","doi":"10.1177/03000605241276491","DOIUrl":"https://doi.org/10.1177/03000605241276491","url":null,"abstract":"ObjectiveThe relationship between the surgical approach used for hemiarthroplasty and periprosthetic bone mineral density (BMD) is not well understood. We have previously described a decrease in BMD 1 year postoperatively. Here, we assessed the medium-term changes in periprosthetic BMD.MethodsWe performed a follow-up study of patients with femoral neck fracture (FNF) who underwent uncemented hemiarthoplasty using a direct lateral or anterolateral approach. Dual-energy X-ray absorptiometry (DXA) was used to evaluate the changes in BMD in 23 patients over 5 years.ResultsA mean 6% loss of total BMD occurred over 1 year, but between 1 and 5 years, BMD was restored to the baseline value. The mean total BMD in the anterolateral group had decreased by 2% after 3 months and 3% after 12 months, and increased by 2% after 5 years, vs. decreases of 7%, 8%, and 3% for the direct lateral group. Between 1 and 5 years, BMD increased in Gruen zones 2, 3, 4, 5, and 6 in both groups. There was a significantly larger increase in zone 4 in the lateral group (4%) than the anterolateral group.ConclusionThe surgical approach affects periprosthetic BMD in patients with FNF. Furthermore, BMD is restored to the baseline value 5 years postoperatively. ClinicalTrials.gov registration number: NCT03753100.","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":"142267097","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

Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review 术前虚弱与非心脏手术后并发症：系统性综述

IF 1.6 4区医学

Journal of International Medical Research Pub Date : 2024-09-14 DOI: 10.1177/03000605241274553

Ángel Becerra-Bolaños, Yanira Hernández-Aguiar, Aurelio Rodríguez-Pérez

{"title":"Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review","authors":"Ángel Becerra-Bolaños, Yanira Hernández-Aguiar, Aurelio Rodríguez-Pérez","doi":"10.1177/03000605241274553","DOIUrl":"https://doi.org/10.1177/03000605241274553","url":null,"abstract":"ObjectiveMany tools have been used to assess frailty in the perioperative setting. However, no single scale has been shown to be the most effective in predicting postoperative complications. We evaluated the relationship between several frailty scales and the occurrence of complications following different non-cardiac surgeries.MethodsThis systematic review was registered in PROSPERO (CRD42023473401). The search strategy included PubMed, Google Scholar, and Embase, covering manuscripts published from January 2000 to July 2023. We included prospective and retrospective studies that evaluated frailty using specific scales and tracked patients postoperatively. Studies on cardiac, neurosurgical, and thoracic surgery were excluded because of the impact of underlying diseases on patients’ functional status. Narrative reviews, conference abstracts, and articles lacking a comprehensive definition of frailty were excluded.ResultsOf the 2204 articles identified, 145 were included in the review: 7 on non-cardiac surgery, 36 on general and digestive surgery, 19 on urology, 22 on vascular surgery, 36 on spinal surgery, and 25 on orthopedic/trauma surgery. The reviewed manuscripts confirmed that various frailty scales had been used to predict postoperative complications, mortality, and hospital stay across these surgical disciplines.ConclusionDespite differences among surgical populations, preoperative frailty assessment consistently predicts postoperative outcomes in non-cardiac surgeries.","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":"142269847","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

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

Efficacy and safety of tranexamic acid use in elderly patients undergoing anterior cervical discectomy and fusion: a retrospective study. 在接受颈椎椎间盘前路切除术和融合术的老年患者中使用氨甲环酸的有效性和安全性：一项回顾性研究。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241285661

Zhenqi Lou, Yi Jiang, Kanling Jiang, Jieyang Zhu, Lan Lai, Zhihai Huang, Jinyu Zhu

{"title":"Efficacy and safety of tranexamic acid use in elderly patients undergoing anterior cervical discectomy and fusion: a retrospective study.","authors":"Zhenqi Lou, Yi Jiang, Kanling Jiang, Jieyang Zhu, Lan Lai, Zhihai Huang, Jinyu Zhu","doi":"10.1177/03000605241285661","DOIUrl":"10.1177/03000605241285661","url":null,"abstract":"Objective: To evaluate the safety and efficacy of intravenous tranexamic acid (TXA) administration in anterior cervical discectomy fusion (ACDF) for the treatment of cervical spondylosis in the elderly.Methods: Data from elderly patients who underwent ACDF between January 2020 and January 2023 were retrospectively reviewed. Patients who received 1 g intravenous TXA administration before skin incision (TXA group) were compared with patients who did not receive TXA (controls). Total and hidden blood loss were calculated, and the following outcomes were recorded: haemoglobin and haematocrit drop, operation time, drainage duration, drain volume, length of hospitalization, coagulation changes, and incidence of complications.Results: A total of 114 patients were included (TXA group, n = 53 and controls, n = 61). Total blood loss, hidden blood loss, and postoperative drainage volume, haemoglobin and haematocrit drop were significantly lower in the TXA group than the control group. There were no significant differences in operation time, intraoperative blood loss, drainage duration, length of hospitalization, or coagulation function between the two groups. The incidence of complications did not differ significantly between the two groups during 3 months of follow-up.Conclusions: Intravenous TXA is effective in reducing perioperative blood loss in elderly patients undergoing ACDF without changing the coagulation function or increasing the risk of complications.","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/PMC11445765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348266","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

Pediatric Dent disease presenting with rickets and end-stage renal disease: case report and literature review. 小儿牙病伴佝偻病和终末期肾病：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-09-01 DOI: 10.1177/03000605241280048

Youying Mao, Chenxing Zhang, Zhengyu Zhou, Wei Zhou, Lei Yin

引用次数: 0