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17 Favism and pernicious anemia converging in a case of severe hemolytic crisis
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00026-6
GE Mahil, V Lulich, M Capella, C Fontenot, MB Bratton, S Sanne, S Vignes
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引用次数: 0
28 Pernicious anemia in a patient presenting with altered mental status and pancytopenia
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00037-0
M Case, D Morsion, D Shamburger
{"title":"28 Pernicious anemia in a patient presenting with altered mental status and pancytopenia","authors":"M Case, D Morsion, D Shamburger","doi":"10.1016/S0002-9629(25)00037-0","DOIUrl":"10.1016/S0002-9629(25)00037-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S18"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092000","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
Congenital giant pelvic arteriovenous malformation 先天性巨大骨盆动静脉畸形。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/j.amjms.2024.06.018
Leizhi Ku , Xiaojing Ma
{"title":"Congenital giant pelvic arteriovenous malformation","authors":"Leizhi Ku , Xiaojing Ma","doi":"10.1016/j.amjms.2024.06.018","DOIUrl":"10.1016/j.amjms.2024.06.018","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 2","pages":"Pages e2-e3"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443994","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
13 Parvovirus-induced multi-organ failure in hemoglobin SC disease
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00022-9
N Seraji, M Moore, T Gomes, S Sanne, D Welsh
{"title":"13 Parvovirus-induced multi-organ failure in hemoglobin SC disease","authors":"N Seraji, M Moore, T Gomes, S Sanne, D Welsh","doi":"10.1016/S0002-9629(25)00022-9","DOIUrl":"10.1016/S0002-9629(25)00022-9","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S8"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149152","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
Effect of mean heart rate on 30-day mortality in older patients with sepsis: Data from the MIMIC-IV database 平均心率对老年败血症患者 30 天死亡率的影响：来自 MIMIC-IV 数据库的数据。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/j.amjms.2024.08.006
Qiang Zhou BD , Jianing Li BD , Yuxiu Miao MD , Na Li MD

Background

Sepsis is a critical condition with a significant risk of mortality. Advanced age is one factor in increasing mortality in intensive care.

Objectives

The aim of this study is to investigate the association between mean heart rate (MHR) and 30-day mortality among older patients with sepsis in the intensive care unit (ICU).

Methods

All older patients (age 65 or older) with sepsis for first time in ICU admission in Medical Information Mart for Intensive Care-IV (MIMIC-IV) were included in this retrospective study. The effect of MHR within 24 h of ICU admission on 30-day mortality was assessed according to multivariable Cox regression models, restricted cubic splines and two-piecewise Cox regression models.

Results

The total number of participants was 6598 (mean heart rate, 83.8 ± 14.3 bpm). A total of 1295 (19.6%) patients died within 30 days after ICU admission. MHR within 24 h of admission was associated with 30-day mortality (J-shaped association) in older patients with sepsis in the ICU, with an inflection point at about 74 bpm and a minimal risk observed at 73 to 82 bpm of MHR.

Conclusions

In this retrospective cohort study, there was a J-shaped association between MHR and 30-day mortality in older patients with sepsis admitted to the ICU and a minimal risk observed at 73 to 82 bpm of MHR. If further confirmed, this association may provide a theoretical basis for formulating the target strategy of heart rate therapy for these patients.
背景：败血症是一种危重病，死亡率很高。高龄是增加重症监护死亡率的一个因素：本研究旨在调查重症监护室（ICU）中患有败血症的老年患者的平均心率（MHR）与 30 天死亡率之间的关系：这项回顾性研究纳入了重症监护医学信息市场-IV（MIMIC-IV）中所有首次入住重症监护室的老年脓毒症患者（65 岁或以上）。根据多变量 Cox 回归模型、限制性立方样条和双片式 Cox 回归模型评估了入院 24 小时内 MHR 对 30 天死亡率的影响：结果：参与研究的总人数为 6598 人（平均心率为 83.8±14.3 bpm）。共有 1295 名（19.6%）患者在入住 ICU 后 30 天内死亡。入院24小时内的MHR与重症监护室老年脓毒症患者30天内的死亡率有关（J形关联），拐点在74 bpm左右，MHR在73至82 bpm时风险最小：在这项回顾性队列研究中，入住重症监护室的老年脓毒症患者的 MHR 与 30 天死亡率呈 "J "形关联，MHR 在 73 至 82 bpm 时风险最小。如果得到进一步证实，这种关联可为制定这些患者的心率治疗目标策略提供理论依据。
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引用次数: 0
86 Unraveling pulmonic valve endocarditis disguised as pneumonia: a rare case study
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00095-3
D Nguyen, S Henin, S Iqbal, V Tran, J Walker
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引用次数: 0
90 Diagnostic dilemma: a pediatric case of suspected rheumatologic disease with cardiac involvement complicated by bacteriemia at presentation
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00099-0
BL Bourgeois, A Haydel, S Abazie, L Davis, A Dhanrajani
{"title":"90 Diagnostic dilemma: a pediatric case of suspected rheumatologic disease with cardiac involvement complicated by bacteriemia at presentation","authors":"BL Bourgeois,&nbsp;A Haydel,&nbsp;S Abazie,&nbsp;L Davis,&nbsp;A Dhanrajani","doi":"10.1016/S0002-9629(25)00099-0","DOIUrl":"10.1016/S0002-9629(25)00099-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S61-S62"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128259","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
92 Diagnosing kleine-levin syndrome in a patient with multiple psychiatric admissions because of suicidal ideations
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00101-6
N Hajjaj, Y Shah
{"title":"92 Diagnosing kleine-levin syndrome in a patient with multiple psychiatric admissions because of suicidal ideations","authors":"N Hajjaj,&nbsp;Y Shah","doi":"10.1016/S0002-9629(25)00101-6","DOIUrl":"10.1016/S0002-9629(25)00101-6","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S62-S63"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143149975","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
84 An unusual case of inflammatory abdominal aortic aneurysm complicated by inferior vena cava compression and deep vein thrombosis in a septic elderly patient
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00093-X
S Iqbal, A Aslanian, L Mirembe, S Yaqub, D Nguyen
{"title":"84 An unusual case of inflammatory abdominal aortic aneurysm complicated by inferior vena cava compression and deep vein thrombosis in a septic elderly patient","authors":"S Iqbal,&nbsp;A Aslanian,&nbsp;L Mirembe,&nbsp;S Yaqub,&nbsp;D Nguyen","doi":"10.1016/S0002-9629(25)00093-X","DOIUrl":"10.1016/S0002-9629(25)00093-X","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S57"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092013","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
6 Significant reduction in peak left ventricular global longitudinal strain in multiple myeloma patients: a pilot random awareness analysis
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00015-1
K Sawalha, S Vallurupalli, A Lopez-Candales
{"title":"6 Significant reduction in peak left ventricular global longitudinal strain in multiple myeloma patients: a pilot random awareness analysis","authors":"K Sawalha,&nbsp;S Vallurupalli,&nbsp;A Lopez-Candales","doi":"10.1016/S0002-9629(25)00015-1","DOIUrl":"10.1016/S0002-9629(25)00015-1","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S4"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092206","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
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