{"title":"Coca-Cola bottle sign in thyroid-associated ophthalmopathy.","authors":"Chun-Hsiang Chang, Chun-Chieh Lai","doi":"10.1093/qjmed/hcaf046","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf046","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415028","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}
Background: Renal colic is one of the worst types of pain in acute renal colic caused by urinary calculi (ARCUC). We previously proved that acupuncture can alleviate the pain in ARCUC patients, but its effect on suspected ARCUC remains unclear.
Objective: The objective was to evaluate the effectiveness and safety of acupuncture in patients with suspected ARCUC.
Design: This prospective, double-blind, sham acupuncture-controlled, randomized clinical trial was conducted from July 2021 to June 2024 in an emergency department in China.
Methods: The patients immediately received acupuncture treatment or sham acupuncture treatment after randomization.The primary outcome was the response rate at 10 minutes (pain relief rate) after needle manipulation.The secondary outcomes included the response rates at 0, 5, 15, 20, and 30 minutes, trends in the NRS score over time, patient satisfaction, the analgesic injection rate at 30 minutes, the surgical intervention rate, the revisit rate, and the occurrence of adverse events.
Results: This trial enrolled 84 participants with suspected ARCUC patients, who immediately received acupuncture treatment or sham treatment after randomization. The pain response rates at 10 minutes were 64.3% and 16.7% in the acupuncture group and sham group, respectively, and the difference between the groups was 47.6% (95% CI, 29.3% to 66%; P < 0.01). The response rates of acupuncture were also significantly higher than those of sham acupuncture at 0, 5, 15, 20, and 30 minutes.
Conclusions: These results suggest that acupuncture could alleviate the pain in patients with suspected ARCUC safely.
Trial registration: Chinese Clinical Trial Registry: ChiCTR2100049069.
{"title":"Early acupuncture intervention for pain relief in emergency department patients with suspected acute renal colic caused by urinary calculi: A randomized clinical trial.","authors":"Ying Cao, Zhicheng Qu, Shuwen Zhang, Yunhua Liu, Liancheng Jia, Xiaolu Pei, Xiao Wang, Dantong Zhang, Binyan Li, Haitian Lu, Maoyu Ding, Yinglu Bai, Shuang Wang, Yufei Yang, Jing Hu, Wei Peng, Wei Guo, Xiaolong Xu, Qingquan Liu","doi":"10.1093/qjmed/hcaf011","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf011","url":null,"abstract":"<p><strong>Background: </strong>Renal colic is one of the worst types of pain in acute renal colic caused by urinary calculi (ARCUC). We previously proved that acupuncture can alleviate the pain in ARCUC patients, but its effect on suspected ARCUC remains unclear.</p><p><strong>Objective: </strong>The objective was to evaluate the effectiveness and safety of acupuncture in patients with suspected ARCUC.</p><p><strong>Design: </strong>This prospective, double-blind, sham acupuncture-controlled, randomized clinical trial was conducted from July 2021 to June 2024 in an emergency department in China.</p><p><strong>Methods: </strong>The patients immediately received acupuncture treatment or sham acupuncture treatment after randomization.The primary outcome was the response rate at 10 minutes (pain relief rate) after needle manipulation.The secondary outcomes included the response rates at 0, 5, 15, 20, and 30 minutes, trends in the NRS score over time, patient satisfaction, the analgesic injection rate at 30 minutes, the surgical intervention rate, the revisit rate, and the occurrence of adverse events.</p><p><strong>Results: </strong>This trial enrolled 84 participants with suspected ARCUC patients, who immediately received acupuncture treatment or sham treatment after randomization. The pain response rates at 10 minutes were 64.3% and 16.7% in the acupuncture group and sham group, respectively, and the difference between the groups was 47.6% (95% CI, 29.3% to 66%; P < 0.01). The response rates of acupuncture were also significantly higher than those of sham acupuncture at 0, 5, 15, 20, and 30 minutes.</p><p><strong>Conclusions: </strong>These results suggest that acupuncture could alleviate the pain in patients with suspected ARCUC safely.</p><p><strong>Trial registration: </strong>Chinese Clinical Trial Registry: ChiCTR2100049069.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410167","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}
Santosha Mantha, Vikram Singh Shekhawat, Amit S Nachankar, Shilika Lalwani, Sachin Modi
{"title":"Ectopic Acromegaly due to Growth Hormone Releasing Hormone Secreting Lung Carcinoma.","authors":"Santosha Mantha, Vikram Singh Shekhawat, Amit S Nachankar, Shilika Lalwani, Sachin Modi","doi":"10.1093/qjmed/hcaf043","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf043","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410171","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}
Li Liu, Xin Pan, Xue Yan, Xi Yang, Yuanping Tang, Jingmin Yang, Xu Zhang, Yang Yang, Qingyun Zhang, Xianglan Tang, Hong Yao, Xiaojing Dong, Bo Tan
{"title":"Multiple technologies revealed complex chromosome rearrangements assembly and identified disrupted CNOT1 in fetus with ventriculomegaly.","authors":"Li Liu, Xin Pan, Xue Yan, Xi Yang, Yuanping Tang, Jingmin Yang, Xu Zhang, Yang Yang, Qingyun Zhang, Xianglan Tang, Hong Yao, Xiaojing Dong, Bo Tan","doi":"10.1093/qjmed/hcaf045","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf045","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410211","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}
{"title":"Gout shock: a case of prolonged fever, polyarticular pain, and behavioral abnormalities.","authors":"Li Liu, Hao Zhang, Liu Jishi","doi":"10.1093/qjmed/hcae226","DOIUrl":"https://doi.org/10.1093/qjmed/hcae226","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391504","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}
{"title":"Serosal nodules and orange peritoneal dialysis effluent.","authors":"Hiroki Ito, Kentaro Yano, Takefumi Mori","doi":"10.1093/qjmed/hcaf041","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf041","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399816","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}
{"title":"Tourniquet Test in Dengue Fever: How to Perform and Interpret?","authors":"Tuli A, Pannu Ak","doi":"10.1093/qjmed/hcaf042","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf042","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383091","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}
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