QJM: An International Journal of Medicine最新文献_第7页

Pericardial effusion, a complication common both to expanded dengue syndrome and to sickle cell disease. 心包积液是扩展性登革热综合征和镰状细胞病的常见并发症。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae222

Oscar M P Jolobe

引用次数: 0

Human metapneumovirus-understanding a growing respiratory threat.

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcaf027

Vardhini Ganesh Iyer, Novonil Deb, Mubeena Javed, Vikash Jaiswal, Ranjit Sah

引用次数: 0

Severe acute respiratory failure induced by TMP-SMX in a healthy adult with HLA-B*07:02 and HLA-C*07:02 alleles. 携带HLA-B*07:02和HLA-C*07:02等位基因的健康成人经TMP-SMX诱导的严重急性呼吸衰竭

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae229

Takeshi Nishida, Jotaro Tachino, Yoshinori Yokono, Takeshi Ebihara, Hisatake Matsumoto, Hiroshi Ogura, Kansuke Kido, Koki Muto, Masako Kurashige, Jun Oda

引用次数: 0

SLE with lupus anticoagulant hypoprothrombinemia syndrome: a case report. SLE合并狼疮抗凝血低凝血原血症综合征1例报告。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae230

Alivia Nandi

引用次数: 0

Balanced crystalloid (Sterofundin) vs. normal saline for diabetic ketoacidosis: a prospective intervention trial with historical controls. 治疗糖尿病酮症酸中毒的平衡晶体液（Sterofundin）与正常生理盐水：带历史对照的前瞻性干预试验。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae169

D Bharti, S Selvam, N Sharma, P Dutta, A K Pannu

{"title":"Balanced crystalloid (Sterofundin) vs. normal saline for diabetic ketoacidosis: a prospective intervention trial with historical controls.","authors":"D Bharti, S Selvam, N Sharma, P Dutta, A K Pannu","doi":"10.1093/qjmed/hcae169","DOIUrl":"10.1093/qjmed/hcae169","url":null,"abstract":"Background: Fluid therapy with normal saline (NS) in diabetic ketoacidosis (DKA) can cause hyperchloremic acidosis and delay DKA resolution. Balanced crystalloids may address this concern, though results with Ringer lactate and Plasma-Lyte have been mixed.Aim: This study aimed to compare the effectiveness of Sterofundin (SF) vs. NS in the management of DKA.Methods: A prospective, intervention trial with historical controls was conducted at the Postgraduate Institute of Medical Education and Research, Chandigarh, India. Patients aged 13 years or older with DKA were enrolled. The primary outcome was the time taken to DKA resolution, with a predefined superiority margin of a one-fourth reduction in resolution time. Secondary outcomes included total intravenous fluid and short-acting regular insulin requirements, the need for 0.45% saline, hospital stay duration and in-hospital mortality.Results: A total of 150 patients (mean age 36.8 years, 56.7% males) were included, with 75 receiving SF (intervention group) and 75 receiving NS (historical control group). The SF group showed a significantly shorter mean time to DKA resolution (13.8 ± 6.0 h) compared to the NS group (18.1 ± 5.5 h; P < 0.001). SF patients required less total intravenous fluid (4500 vs. 6000 ml; P = 0.004), less insulin (98 units vs. 112 units; P = 0.017) and had a lower need for 0.45% saline (8% vs. 74.3%; P < 0.001). Patients receiving SF had shorter hospital stays (4 [interquartile range, IQR 3-5] days vs. 4 [IQR 4-6] days; P = 0.020). Mortality rates were similar between the groups (SF: 9.3%, NS: 8.1%; P = 0.791).Conclusion: SF may be a superior alternative to NS for fluid therapy in DKA.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":"79-86"},"PeriodicalIF":7.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047059","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

Thrombotic microangiopathy following snake envenomation in pregnancy. 妊娠期蛇咬伤后的血栓性微血管病。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae213

Sayan Mazumder, Suresh Selvam, P J Karthikashri, Pradeeth Sundar Reddy Gollamudi, Anashwara Merin Jacob, Ripudaman Sharma, Ankur Gupta, Ashok Kumar Pannu

引用次数: 0

Prevalence and influencing factors of suicidal ideation among doctors and nurses during the surge period of the COVID-19 pandemic in China: a multicenter cross-sectional study. COVID-19大流行期间中国医生和护士自杀倾向的发生率和影响因素：一项多中心横断面研究。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae190

Shu Jing, Zhenwei Dai, Xiaoyang Liu, Xin Liu, Ling Zhang, Yijin Wu, Tianrui Ren, Jiaqi Fu, Xu Chen, Wenjun Wang, Xiaofen Gu, Li Ma, Shaokai Zhang, Yanqin Yu, Li Li, Xiaoyou Su, Youlin Qiao

{"title":"Prevalence and influencing factors of suicidal ideation among doctors and nurses during the surge period of the COVID-19 pandemic in China: a multicenter cross-sectional study.","authors":"Shu Jing, Zhenwei Dai, Xiaoyang Liu, Xin Liu, Ling Zhang, Yijin Wu, Tianrui Ren, Jiaqi Fu, Xu Chen, Wenjun Wang, Xiaofen Gu, Li Ma, Shaokai Zhang, Yanqin Yu, Li Li, Xiaoyou Su, Youlin Qiao","doi":"10.1093/qjmed/hcae190","DOIUrl":"10.1093/qjmed/hcae190","url":null,"abstract":"Background: From November 2022 to February 2023, China has experienced a surge period of COVID-19 pandemic and doctors and nurses working in hospitals have suffered from serious psychological crisis because of the medical crowding, which may result in the occurrence of suicidal ideation (SI). This study aims to explore the prevalence and influencing factors of SI during this surge phase.Methods: A multicenter cross-sectional study was conducted in China from 5 January 2023 to 9 February 2023. Data were collected by online questionnaires, with SI measured by a single item. Ordinal logistic regression analysis and stratified analyses were preformed to identify influencing factors.Results: A total of 5696 doctors and nurses were retained for further analysis, with 25.28% reporting SI during the COVID-19 surge phase. Participants experiencing anxiety symptoms or supporting other departments treating COVID-19 patients were more likely to report SI. Additionally, higher levels of resilience, mindfulness, and perceived social support were protective factors against SI.Conclusion: During the COVID-19 surge phase, over a quarter of doctors and nurses in China suffered from SI, which should be of great concern. Tailored interventions should be implemented to alleviate SI among doctors and nurses when new infectious diseases outbreak in the future.","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":"97-108"},"PeriodicalIF":7.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372702","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

Darling tongue. 亲爱的舌头

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae180

Yew Toong Liew, Sakina Ghauth

引用次数: 0

The Association of Physicians of Great Britain and Ireland (AoPGBI) 118th Annual Conference at Royal College of Physicians, London: April 3rd-4th 2025.

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcaf044

Seamas C Donnelly

引用次数: 0

Identification of a novel TPO gene mutation in a Japanese patient with Hashimoto's disease. 一种新的TPO基因突变在日本桥本氏病患者的鉴定。

IF 7.3 4区医学

QJM: An International Journal of Medicine Pub Date : 2025-02-01 DOI: 10.1093/qjmed/hcae228

Tetsuji Okawa, Takashi Naka, Katsunari Handa, Junichiro Machida, Yuka Ito, Takahiko Kogai, Junji Shinoda

引用次数: 0