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

Caring for the older adults in disasters: lessons from Japan's Aging Society. 灾害中照顾老年人：日本老龄化社会的经验教训。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf073

Makoto Kosaka, Toshiki Abe, Akihiko Ozaki, Hiroyuki Beniya, Masahiro Kami

引用次数: 0

Aortic dissection and other treatable causes of cardiogenic right-sided pulmonary oedema. 主动脉夹层和其他可治疗的心源性右侧肺水肿病因。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf059

Oscar M P Jolobe

引用次数: 0

From blue to clarity: unravelling the mystery of eccrine acrospiroma. 从蓝色到清澈：揭开汗腺顶螺旋体的神秘面纱。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf058

Ilangovane Soumiya, Ariharasudhan Varadharajan, Ramamoorthy Logamoorthy, Kaliaperumal Karthikeyan

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 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf010

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

引用次数: 0

Inflammatory polyarthritis unmasking primary hypertrophic osteoarthropathy: spotlight on compound heterozygous HPGD mutations. 揭示原发性肥厚性骨关节病的炎性多关节炎：聚焦于复合杂合型HPGD突变。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf065

Zhen He, Sheng-Ming Dai

引用次数: 0

Sex- and age-specific differences in the associations between comorbidity and incident heart failure. 合并症与心力衰竭事件之间的性别和年龄特异性差异。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf080

Weida Qiu, Anping Cai, Shiping Wu, Yanchen Zhu, He Zheng, Yingqing Feng

{"title":"Sex- and age-specific differences in the associations between comorbidity and incident heart failure.","authors":"Weida Qiu, Anping Cai, Shiping Wu, Yanchen Zhu, He Zheng, Yingqing Feng","doi":"10.1093/qjmed/hcaf080","DOIUrl":"10.1093/qjmed/hcaf080","url":null,"abstract":"Background: Little evidence exists regarding the sex- and age-specific differences in the associations of comorbidities and incident heart failure (HF).Aims: This study aims to evaluate the sex- and age-specific associations of comorbidities and incident HF, and further calculate the population attributable fractions (PAFs) of comorbid diseases for HF by sex and age.Methods: Data were from a sub-cohort of the Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project from Southern China. Participants were stratified by sex and age (<60 or ≥60). The seven comorbidities were collected at baseline, and the study outcome was HF-related hospitalization identified from the Inpatients Registry.Results: A total of 102 278 participants (mean age: 54.3 years, 60.5% were women) without prevalent HF were included. After a median follow-up of 3.5 years, 1588 participants had incident HF. Men, older age (≥60 years) and most comorbidities were significantly associated with a higher risk of HF. The associations between several comorbidities with incident HF were more prominent in women and young participants aged <60 than in men and seniors. The seven comorbidities collectively explained a significant proportion of PAF for HF (47.1%, 95% confidence interval: 41.4, 52.2), and several sex- and age-specific differences in PAFs of comorbidities for incident HF were also observed.Conclusions: In this large, prospective cohort study, several sex- and age-specific differences in the associations between common comorbidities and incident HF were found among Chinese general adults, highlighting the importance of sex- and age-specific preventive strategies for HF.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":"514-523"},"PeriodicalIF":6.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743491","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

Invisible foes: how air pollution and lifestyle conspire in the rise of colorectal cancer. 看不见的敌人：空气污染和生活方式如何共同导致结直肠癌的上升。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf074

Di Zhao, Meng Zhu

{"title":"Invisible foes: how air pollution and lifestyle conspire in the rise of colorectal cancer.","authors":"Di Zhao, Meng Zhu","doi":"10.1093/qjmed/hcaf074","DOIUrl":"10.1093/qjmed/hcaf074","url":null,"abstract":"Background: Air pollution is a recognized risk factor for colorectal cancer (CRC), but its specific impact in China, especially among older populations, remains underexplored.Methods: We used multivariable Cox models with restricted cubic splines to assess the dose-response relationship between air pollution and CRC risk. Subgroup analyses by sex, residence (urban vs. rural) and pre-existing health conditions (hypertension, diabetes) were conducted. Mediation analysis assessed the indirect effects of smoking and alcohol on CRC risk.Results: Exposure to PM2.5, NO2 and SO2 was linked to increased CRC risk. For PM2.5, the hazard ratio (HR) for the highest exposure quartile was 2.35 (95% CI: 1.85-3.03) in urban residents and 1.93 (95% CI: 1.45-2.56) in rural residents. For NO2, the HR per 10 µg/m³ increase was 1.82 (95% CI: 1.56-2.12), and for SO2, it was 1.56 (95% CI: 1.31-1.85). Smoking mediated 14.03% of the effect of PM2.5 on CRC, while alcohol consumption mediated 5.12%. Subgroup analysis showed higher susceptibility in females (HR = 3.47, 95% CI: 2.63-4.63) compared to males (HR = 2.98, 95% CI: 2.25-3.79), and individuals with hypertension (HR = 2.67, 95% CI: 1.98-3.60) or diabetes (HR = 2.10, 95% CI: 1.55-2.86) were at significantly higher risk.Conclusion: Long-term exposure to PM2.5, NO2 and SO2 significantly increases CRC risk in older Chinese adults, with smoking as a key mediator. Females, urban residents and those with hypertension or diabetes are especially vulnerable. Public health strategies should focus on reducing pollution in these high-risk groups.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":"501-513"},"PeriodicalIF":6.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992962","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

Ocular ischemic syndrome secondary to severe internal carotid stenosis. 严重颈内动脉狭窄继发的眼缺血综合征。

IF 6.4 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-07-01 DOI: 10.1093/qjmed/hcaf071

Bangtao Yao, Hongning Li, Xiaogui Zhao, Jin Qian

引用次数: 0

Regression of cutaneous xanthomata in a patient with homozygous familial hypercholesterolemia following liver transplant. 纯合子家族性高胆固醇血症患者肝移植后皮肤黄瘤的消退。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-06-27 DOI: 10.1093/qjmed/hcaf084

Eamon P Mccarron, Andrew Mcneice, Johnny Cash, Michael Heneghan, Clodagh Loughery

引用次数: 0

Two closely spaced missense PKD1 variants in cis cause autosomal dominant polycystic kidney disease in a chinese family. 在一个中国家庭中，顺式两个紧密间隔的错义PKD1变异导致常染色体显性多囊肾病。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-06-26 DOI: 10.1093/qjmed/hcaf145

Haiyu Zhang, Xinying Bi, Liuqing Yang, Xiaowei Zhao, Chunyan Jiang

引用次数: 0