Journal of International Medical Research最新文献_第8页

Disappearance of femoral head shortly after femoral neck fracture: a case report and literature review. 股骨颈骨折后不久股骨头消失：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-08-01 DOI: 10.1177/03000605241274524

Hairui Liang, Beibei Chen, Siyu Duan, Lei Yang, Rongda Xu, He Zhang, Ming Sun, Xueting Zhou, Hanfei Liu, Hang Wen, Zhencun Cai

{"title":"Disappearance of femoral head shortly after femoral neck fracture: a case report and literature review.","authors":"Hairui Liang, Beibei Chen, Siyu Duan, Lei Yang, Rongda Xu, He Zhang, Ming Sun, Xueting Zhou, Hanfei Liu, Hang Wen, Zhencun Cai","doi":"10.1177/03000605241274524","DOIUrl":"10.1177/03000605241274524","url":null,"abstract":"This case report describes a woman in her 70s who presented with a 3-month history of hip pain and inability to walk. Upon admission, she was diagnosed with the extremely rare condition of complete femoral head disappearance. A comprehensive examination was conducted to determine the cause and devise an effective treatment strategy, taking the patient's medical history into account. Through interdisciplinary discussions, occult infection and other potential causes were ruled out. The femoral head disappearance was ultimately determined to be due to wear, ischemia, and absorption following a fracture. After informing the patient of the diagnosis and treatment plan, total hip arthroplasty was proposed. This case highlights the rarity and severity of femoral head disappearance in patients with femoral neck fractures, emphasizing the effectiveness of total hip arthroplasty and appropriate joint prostheses in managing such cases. This case has significant implications for clinical diagnosis, treatment, and complication prevention. The report also discusses the causes of acquired femoral head disappearance, relevant diagnostic assessments, and alternative treatment options.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108055","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

Pancreatic enzyme replacement therapy and resource utilization in patients with chronic pancreatitis in a US healthcare system: a retrospective study. 美国医疗系统中慢性胰腺炎患者的胰酶替代疗法和资源利用：一项回顾性研究。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241261332

Anne Rivelli, Jamie B Vora, Debra Diaz, Veronica Fitzpatrick

{"title":"Pancreatic enzyme replacement therapy and resource utilization in patients with chronic pancreatitis in a US healthcare system: a retrospective study.","authors":"Anne Rivelli, Jamie B Vora, Debra Diaz, Veronica Fitzpatrick","doi":"10.1177/03000605241261332","DOIUrl":"10.1177/03000605241261332","url":null,"abstract":"Objective: To assess the association between pancreatic enzyme replacement therapy (PERT) and resource utilization among patients with chronic pancreatitis (CP) in a large Midwestern US healthcare system.Methods: This retrospective cohort study used electronic medical record data. Eligible patients (N = 2445) were aged ≥18 years and diagnosed with non-cystic fibrosis CP between January 2005 and December 2018, with ≥6 months' follow-up; study initiation was first encounter with the healthcare system. Patients in the PERT group were prescribed PERT at ≥1 encounter; patients in the non-PERT group were not prescribed PERT at any encounter.Results: In total, 62,899 encounters were reviewed (PERT, n = 22,935; non-PERT, n = 39,964). More patients in the PERT group were younger, male, White, married/partnered and with private insurance than those in the non-PERT group. They also received longer care and had more overall encounters, fewer outpatient and day surgery/24-hour observation encounters, and more inpatient encounters. Emergency room encounters were similar between groups. Average cost by encounter was similar between groups ($225 and $213, respectively).Conclusions: Despite similar average costs per encounter, the groups had very different encounter types. More inferential research on PERT use among patients with CP is needed, particularly regarding resource utilization and long-term outcomes.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11287718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788334","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 therapeutic effect of levosimendan in patients with prolonged ventilator weaning and cardiac dysfunction. 左西孟旦对长期呼吸机断流和心功能不全患者的治疗效果。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241263166

Fang Xiong, Zongjun Hu, Chao Liu, Kexiang Zhang, Qilong Zhou, Jianguo Chen, Hua Lu, Xi Yue, Jianxin Zhao, Pengfei Pan

{"title":"The therapeutic effect of levosimendan in patients with prolonged ventilator weaning and cardiac dysfunction.","authors":"Fang Xiong, Zongjun Hu, Chao Liu, Kexiang Zhang, Qilong Zhou, Jianguo Chen, Hua Lu, Xi Yue, Jianxin Zhao, Pengfei Pan","doi":"10.1177/03000605241263166","DOIUrl":"10.1177/03000605241263166","url":null,"abstract":"Objective: To explore the therapeutic effect of levosimendan in patients with prolonged ventilator weaning and cardiac dysfunction.Method: Patients with prolonged ventilator weaning and cardiac dysfunction were randomly allocated to receive conventional treatment (control group) or intravenous infusion of levosimendan for 24 h based on conventional treatment (levosimendan group). Weaning success rates were then compared between the two groups. The study was retrospectively registered with Research Registry (ID No. researchregistry10304).Results: A total of 40 patients were included (20 per group). Within 3 days after initiation of treatment, significantly more cases were successfully weaned in the levosimendan group versus control group (eight versus four cases, respectively). Among the eight patients who underwent pulse indicator continuous cardiac output monitoring in the levosimendan group, the global ejection fraction increased 24 h after treatment, and the cardiac function index and cardiac index increased 72 h after treatment.Conclusion: For patients requiring prolonged mechanical ventilation who have concomitant cardiac dysfunction, levosimendan may be considered to increase the probability of weaning success.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855687","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

Omentum pregnancy resulting in severe hemoperitoneum: Lessons learned from a review of the literature along with a case report. 网膜妊娠导致严重腹腔积血：从文献综述和病例报告中汲取的经验教训。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241261893

Shu-Li You, Yu Wang

引用次数: 0

Lipoprotein (a) and cerebrovascular disease. 脂蛋白（a）与脑血管疾病。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241264182

Constantine E Kosmas, Maria D Bousvarou, Evangelia J Papakonstantinou, Eleni-Angeliki Zoumi, Loukianos S Rallidis

{"title":"Lipoprotein (a) and cerebrovascular disease.","authors":"Constantine E Kosmas, Maria D Bousvarou, Evangelia J Papakonstantinou, Eleni-Angeliki Zoumi, Loukianos S Rallidis","doi":"10.1177/03000605241264182","DOIUrl":"10.1177/03000605241264182","url":null,"abstract":"The role of lipoprotein (a) [Lp(a)] in cerebrovascular disease is a topic of importance. In this narrative review, pertinent studies have been leveraged to comprehensively examine this relationship from diverse perspectives.Lp(a) shares structural traits with low-density lipoprotein cholesterol. Lp(a) is synthesized by hepatocytes, and its plasma levels are genetically determined by the LPA gene, which produces apolipoprotein (a).Numerous epidemiological studies have confirmed the positive correlation between elevated serum Lp(a) levels and the occurrence or recurrence of cerebrovascular events, especially ischemic strokes, in adults. It should be noted that the correlation strength varies among studies and is marginal in Mendelian randomization studies.Regarding pediatric patients, screening is currently limited to those with a relevant medical history. Lp(a) seems to play a significant role in the pathogenesis of arterial ischemic stroke in children because environmental thrombotic and atherogenic factors are generally not present.Phase 3 trials of novel Lp(a) targeting agents, such as pelacarsen and olpasiran, are anticipated to demonstrate their efficacy in reducing the incidence of stroke. Given the richness of the literature, new guidelines regarding Lp(a) screening and management in targeted populations are warranted to provide more effective primary and secondary prevention.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855683","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 building of an institutional liver transplant registry: opportunities and challenges. 建立机构肝移植登记处：机遇与挑战。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241264232

Sebastián Marciano, Jorge Carlos Martínez Morales, Camila Juana, Martin de Santibañes, Juan Pekolj, Eduardo de Santibañes, Mariela Francisconi, Jimmy Walker Uño Tala, Leandro Daniel Burgos Pratx, Adrian Gadano, Victoria Ardiles

{"title":"The building of an institutional liver transplant registry: opportunities and challenges.","authors":"Sebastián Marciano, Jorge Carlos Martínez Morales, Camila Juana, Martin de Santibañes, Juan Pekolj, Eduardo de Santibañes, Mariela Francisconi, Jimmy Walker Uño Tala, Leandro Daniel Burgos Pratx, Adrian Gadano, Victoria Ardiles","doi":"10.1177/03000605241264232","DOIUrl":"10.1177/03000605241264232","url":null,"abstract":"To improve current data systems for institutional decision-making, the Adult Liver Transplant Registry was established at the Hospital Italiano de Buenos Aires, Argentina. This article describes its design and implementation and reports on the outcomes for patients transplanted since its January 2020 launch. A multidisciplinary team designed the registry by identifying key variables from a literature review while considering balance between data depth and feasibility. Rigorous quality control measures were enforced, including monthly audits and staff training. Benchmark indicators for post-transplant outcomes were established. As of November 2023, the registry included 136 transplants. Its implementation and maintenance were straightforward, with no significant difficulties encountered. Cirrhosis was the predominant indication (77%) for transplant. Only one living donor transplantation was performed. Post-transplant results generally aligned with benchmarks, but rates of biliary complications slightly exceeded the recommended thresholds. The one-year post-transplant survival rate was 87%. The successful registry implementation provides a robust framework for research, treatment management, and patient care enhancement within a liver transplant unit.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855686","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

Ramadan fasting and rates of admissions for renal colic due to urolithiasis: a retrospective case-control study. 斋月禁食与因尿路结石导致肾绞痛的入院率：一项回顾性病例对照研究。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241261916

Ghalib Lidawi, Muhammad Majdoub, Mohsin Asali, Yoav Avidor, Ronen Rub

{"title":"Ramadan fasting and rates of admissions for renal colic due to urolithiasis: a retrospective case-control study.","authors":"Ghalib Lidawi, Muhammad Majdoub, Mohsin Asali, Yoav Avidor, Ronen Rub","doi":"10.1177/03000605241261916","DOIUrl":"10.1177/03000605241261916","url":null,"abstract":"Objective: The impact of Ramadan fasting on the prevalence of renal colic (RC) remains controversial. This current study aimed to assess the correlation between Ramadan fasting, prevalence of RC and the rate of urgent endoscopic interventions due to urolithiasis.Methods: This retrospective case-control study enrolled adult patients with a primary diagnosis of RC secondary to urolithiasis admitted to the emergency department during the years 2009-2019. The prevalence of RC and the rate of urgent urological interventions during Ramadan were compared with the pre- and post-Ramadan months in fasting Muslims and non-fasting non-Muslim patients.Results: A total of 2781 patients with RC were included: 1014 (36.5%) were fasting Muslim and 1767 (63.5%) were non-fasting non-Muslim patients. No significant increase in RC admissions or urgent double J stent (DJS) insertions were observed between pre-Ramadan and Ramadan among fasting Muslims and non-fasting non-Muslim patients. However, fasting Muslims exhibited a significant increase of RC admissions post-Ramadan compared with Ramadan.Conclusions: There was no correlation between increased RC admissions or urgent DJS insertions when fasting Muslims were compared with non-fasting non-Muslim patients during Ramadan. There were increased RC admissions during the post-Ramadan month, which might indicate a delayed effect of fasting on RC.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11287717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788337","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

Ectopic right coronary artery arising from the pulmonary artery: a rare congenital malformation. 肺动脉异位右冠状动脉：一种罕见的先天性畸形。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241266238

Hong Yu, Fangbiao Zhang, Xiangyan Zhang, Qinghui Zeng

引用次数: 0

Diagnostic value of serum fibrin degradation complex DR-70 combined with conventional tumor biomarkers in colorectal cancer. 血清纤维蛋白降解复合物 DR-70 与传统肿瘤生物标志物相结合对结直肠癌的诊断价值。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241266236

Xiaoxia Wang, Wei Wei, Nanni Hua, Chunyan Li, Lili Yu

{"title":"Diagnostic value of serum fibrin degradation complex DR-70 combined with conventional tumor biomarkers in colorectal cancer.","authors":"Xiaoxia Wang, Wei Wei, Nanni Hua, Chunyan Li, Lili Yu","doi":"10.1177/03000605241266236","DOIUrl":"10.1177/03000605241266236","url":null,"abstract":"Objective: Most patients with colorectal cancer (CRC) show no early symptoms, and tumor markers have low sensitivity and specificity. We therefore investigated the ability of serum fibrin degradation complex DR-70 plus traditional tumor markers to diagnose CRC.Methods: We retrospectively screened patients with CRC or non-malignant colorectal diseases, as well as healthy individuals, for inclusion in this study. The individuals' clinical characteristics were recorded, and serum samples were collected. Expression levels of DR-70 and conventional tumor markers were measured by enzyme-linked immunosorbent assay and electrochemiluminescence.Results: DR-70 levels differed significantly among patients with CRC, patients with benign colorectal diseases, and healthy individuals. Receiver operating characteristic curve analysis identified DR-70 as a conventional tumor marker with the highest sensitivity and the second-highest specificity after carcinoembryonic antigen.Conclusions: This study identified DR-70 as a reliable marker for the detection, differentiation, and progression of CRC, with good sensitivity and specificity. DR-70 measurement could greatly improve the efficacy of CRC diagnosis when used together with other tumor markers.","PeriodicalId":16129,"journal":{"name":"Journal of International Medical Research","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855681","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

Spontaneously ruptured huge hepatic subcapsular hematoma associated with preeclampsia: A case report and literature review. 与先兆子痫有关的自发性巨大肝囊下血肿破裂：病例报告和文献综述。

IF 1.4 4区医学

Journal of International Medical Research Pub Date : 2024-07-01 DOI: 10.1177/03000605241264220

Hong Chen, Yunxia Li, Shengyu Yang, Xin Pan, Juan Wang, Yajun Cao, Hua Cao, Peng Chen, Ronghua Liu

引用次数: 0