QJM: An International Journal of Medicine最新文献_第10页

Chronic arsenic poisoning.

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-23 DOI: 10.1093/qjmed/hcaf021

Run Dong, Yang Jiao

引用次数: 0

An Unusual case of Traumatic Arteriovenous Malformation of Scalp.

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-22 DOI: 10.1093/qjmed/hcaf015

Arpit Shastri, Sunil Taneja

引用次数: 0

You see what you know. 你知道什么就看什么。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-15 DOI: 10.1093/qjmed/hcaf016

Ami Schattner

引用次数: 0

A Review of Falls And Injuries Of Nursing Home Residents Presenting To The Emergency Department. 到急诊科的养老院居民跌倒和受伤的回顾。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-12 DOI: 10.1093/qjmed/hcaf008

Aoife O'Connor, Claire Noonan, Aoife Fallon, Sean Kennelly

{"title":"A Review of Falls And Injuries Of Nursing Home Residents Presenting To The Emergency Department.","authors":"Aoife O'Connor, Claire Noonan, Aoife Fallon, Sean Kennelly","doi":"10.1093/qjmed/hcaf008","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf008","url":null,"abstract":"Background: Falls are frequently reported within the HSE. The Irish Longitudinal Study on Ageing(TILDA) found that 40% of over 50 s experience a fall in a two year period, with 20% requiring hospital attendance (1). It has been estimated that the cost of injuries related to falls in older people will increase exponentially over the coming years (2). There is no national database in Ireland with statistics for nursing home(NH) residents presenting with falls to our Emergency Departments(ED).Aim: To review the prevalence and risk factors for nursing home patients presenting to the Emergency Department with falls.Design: Retrospective chart review.Method: Retrospective review of all NH presentations to the ED of a university hospital over one year.Results: There were 519 ED presentations by NH residents over one year. 48.17% (n = 250), presented with a fall. One third of ED visits presented during conventional working hours. Falls patients were more likely to be admitted when not reviewed by a G.P. prior to presentation. The average length of stay for falls admissions was 10.77 days(n = 132), vs 9.56(n = 153) for admissions with no documented fall. There was no statistical difference in the falls risk medications between groups. Patients presenting with falls were more likely to have bone protection reviewed during their stay(P=.011). Patients with falls were also more likely to use mobility aids(P < 0.001).Conclusion: Rapid referral to falls prevention programmes and the use of standardised care pathways for high falls risk patients are essential for future prevention and management.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971987","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

Challenges in Accurately and Equitably Assessing Disaster-Related Mortality. 准确、公平地评估与灾害有关的死亡率所面临的挑战。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-11 DOI: 10.1093/qjmed/hcaf007

Yoshika Saito, Toyoaki Sawano, Michio Murakami, Akihiko Ozaki, Hiroaki Saito, Masaharu Tsubokura

引用次数: 0

Adjuvant effect of green tea intake on treatment of patients with acute venous thromboembolism. 摄入绿茶对治疗急性静脉血栓栓塞症患者的辅助效果。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-11 DOI: 10.1093/qjmed/hcaf012

Wei Xiong, Zhenzhong Deng, Xiaoyang Song, Yi Cheng, Qihuan Yao, Jianmin Qu, Mei Xu, Yong Luo, Xuejun Guo, Fengfeng Han

{"title":"Adjuvant effect of green tea intake on treatment of patients with acute venous thromboembolism.","authors":"Wei Xiong, Zhenzhong Deng, Xiaoyang Song, Yi Cheng, Qihuan Yao, Jianmin Qu, Mei Xu, Yong Luo, Xuejun Guo, Fengfeng Han","doi":"10.1093/qjmed/hcaf012","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf012","url":null,"abstract":"Background: Although there have been reports that green tea intake has thromboprophylactic effect, it was still unknown whether it had adjuvant effect on the basis of conventional anticoagulation for patients diagnosed with venous thromboembolism (VTE).Methods: VTE patients were retrospectively classified into green tea group and no green tea group in a 1:1 ratio using propensity score matching, based on whether they drank green tea during the 3 months' period after VTE diagnosis. Primary outcomes were VTE recurrence at 3 months after VTE diagnosis and VTE-related death during 3 months after VTE diagnosis. Secondary outcomes were all-cause death and major bleeding during 3 months after VTE diagnosis. The primary and secondary outcomes were compared between the green tea and no green tea groups, in all patients, PE patients, and patients with cancer-associated VTE, respectively.Results: The VTE recurrence at 3-month after VTE diagnosis occurred less in the green tea group (N = 1102) than in the no green tea group (N = 1102) (19 [1.7%] vs 55 [5.0%], P < 0.001). The VTE-related mortality during 3 months after VTE diagnosis occurred similarly between the two groups (13 [1.2%] vs 21 [1.9%], P = 0.187). The all-cause mortality (82 [7.4%] vs 78 [7.1%], P = 0.682) and major bleeding (55 [5.0%] vs 40 [3.6%], P = 0.142) during 3 months after VTE diagnosis both occurred similarly between the two groups. The results of VTE recurrence analysis in PE and cancer-associated VTE subgroups were both consistent with the main findings.Conclusions: Green tea intake on the basis of conventional anticoagulation can lead to a lower short-term VTE recurrence rate without safety concern, compared with isolated conventional anticoagulation.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971996","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

'Pseudokidney' And 'Donut' signs of Colon cancer on Point-of-Care Ultrasound. “假肾”和“甜甜圈”迹象结肠癌的点护理超声。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-11 DOI: 10.1093/qjmed/hcaf013

Vui Heng Chong, May Thu Hla Aye, Anand Jalihal

引用次数: 0

Recurrent basal ganglia stroke due to mineralizing lenticulostriate vasculopathy. 矿化透镜状纹状体血管病变引起的复发性基底神经节中风。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-10 DOI: 10.1093/qjmed/hcaf009

Singanamalla Bhanudeep, Bramhini Bhargavi Koneti

引用次数: 0

ALG8-CDG: Advances in Molecular and Prenatal Phenotyping Facilitate Prenatal Diagnosis and Genetic Counseling. ALG8-CDG：分子和产前表型研究进展促进产前诊断和遗传咨询。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-10 DOI: 10.1093/qjmed/hcaf006

Yanlin Huang, Lihua Yu, Juan Zhu, Yunan Wang, Rui Zhang, Jianhong Chen, Cuiqing Huang, Ling Li, Hongke Ding, Jian Lu, Yan Zhang, Li Du

{"title":"ALG8-CDG: Advances in Molecular and Prenatal Phenotyping Facilitate Prenatal Diagnosis and Genetic Counseling.","authors":"Yanlin Huang, Lihua Yu, Juan Zhu, Yunan Wang, Rui Zhang, Jianhong Chen, Cuiqing Huang, Ling Li, Hongke Ding, Jian Lu, Yan Zhang, Li Du","doi":"10.1093/qjmed/hcaf006","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf006","url":null,"abstract":"Background: ALG8-congenital disorder of glycosylation (ALG8-CDG) is a rare inherited metabolic disorder leading to severe multisystem manifestations, with no reported prenatal patients to date.Methods: We describe two fetuses from a single family with ALG8-CDG presenting with prenatal hydrops, undergoing comprehensive prenatal ultrasound, umbilical cord blood biochemistry, autopsy, placental pathology, and genetic testing.Results: Prenatal ultrasound revealed fetal hydrops, skeletal anomalies, cardiac developmental abnormalities, cataracts, echogenic kidneys and bowel, oligohydramnios, choroid plexus cysts, and intrauterine growth restriction. Umbilical cord blood biochemistry demonstrated fetal anemia, coagulation disorders, and abnormal liver and kidney function. Autopsy confirmed fetal hydrops and associated anomalies. A novel compound heterozygous mutation comprising the missense variant c.754T>C (p.Ser252Pro) and a partial exonic deletion (deletion of exons 1-2) in the ALG8 gene was identified in fetus P2.Conclusions: This study represents the first prenatal diagnosis of ALG8-CDG, comprehensively delineating the prenatal phenotypic spectrum. Prenatal ultrasound, umbilical cord blood biochemistry, and placental pathology findings aid in the assessment of prenatal manifestations, invaluable for prenatal diagnosis, genetic counseling, and potential interventions in future patients.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953990","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

"Polo mint sign" in pulmonary thromboembolism with Ig A vasculitis. 肺血栓栓塞伴iga血管炎的“Polo薄荷征”。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-01-10 DOI: 10.1093/qjmed/hcaf010

Ashish Chandwani, Sankar J, Vikas Marwah, Akhil K Ravi, Ruchira Mukherji, Ramakant Singh, Kartik Sivasami, Vivek Vasdev

引用次数: 0