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Hereditary multiple exostoses with cervical spine involvement: a case report: Retraction. 受累于颈椎的遗传性多发性骨质增生:病例报告:撤回。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-06 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002651

[This retracts the article DOI: 10.1097/MS9.0000000000002452.].

[本文撤回了文章 DOI:10.1097/MS9.0000000000002452]。
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引用次数: 0
Acalvaria, rare congenital malformation in Palestine: case report and literature review: Retraction. 巴勒斯坦罕见的先天性畸形 Acalvaria:病例报告和文献综述:撤回。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-06 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002729

[This retracts the article DOI: 10.1097/MS9.0000000000002643.].

[本文撤消了文章 DOI:10.1097/MS9.0000000000002643]。
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引用次数: 0
Tuberculous meningitis leading to stroke: a case report. 结核性脑膜炎导致中风:病例报告。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-11 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002647
Egesh Aryal, Aayam Adhikari, Alisha Adhikari, Dikshita Bhattarai, Subij Shakya, Amita Paudel, Kiran Dhonju, Nived J Ranjini, Aditi Sharma, Mohit R Dahal

Introduction: Tuberculosis is a major public health issue in developing countries. Vasculitis, resulting from tubercular meningitis, can lead to stroke.

Case presentation: A 33-year-old male presented to the Emergency Department with relapsing-remitting fever with an evening rise in temperature for 1 month, personality changes (aggression and mutism) for 2 weeks, followed by difficulty in moving his lower limbs, and bowel and bladder incontinence. Neck rigidity, a positive Kernig's sign, bilateral mute plantar responses, and 0/5 power in bilateral lower limbs were noted on examinations. MRI of the brain was suggestive of tubercular meningitis and showed an infarct with hemorrhagic transformation in the relatively uncommon, right basifrontal lobe. Gene Xpert test done on cerebrospinal fluid confirmed the diagnosis.

Discussion: Tuberculous meningitis leading to infarct is a challenging diagnosis due to nonspecific symptoms and variable cerebrospinal fluid AFB staining results. Radiological imaging with MRI helps in suggesting the diagnosis and Gene Xpert confirms the diagnosis. Antitubercular therapy, steroids, physiotherapy, and supportive care are part of management.

Conclusion: This case highlights the importance of considering tubercular meningitis-related cerebral infarction despite initial negative CSF AFB stain. Radiological investigation may help in guiding the clinician towards a diagnosis of tuberculous meningitis with vasculitis.

导言:结核病是发展中国家的主要公共卫生问题。结核性脑膜炎引起的血管炎可导致中风:一名 33 岁的男性因复发性发热就诊于急诊科,发热持续 1 个月,每晚体温升高,人格改变(攻击性和缄默症)持续 2 周,随后下肢活动困难,大便和膀胱失禁。检查时发现颈部僵硬、克尼格氏征阳性、双侧足底反应迟钝、双下肢力量为 0/5。脑部核磁共振成像提示为结核性脑膜炎,并显示在相对少见的右侧额叶基底出现了出血性梗死。脑脊液基因 Xpert 检测确诊:讨论:导致脑梗塞的结核性脑膜炎是一种具有挑战性的诊断,因为它具有非特异性症状,脑脊液 AFB 染色结果也不尽相同。通过核磁共振成像进行放射学检查有助于确诊,基因 Xpert 可确诊。抗结核治疗、类固醇、物理治疗和支持性护理是治疗的一部分:本病例强调,尽管最初的 CSF AFB 染色呈阴性,但考虑结核性脑膜炎相关脑梗死的重要性。放射学检查可帮助临床医生做出结核性脑膜炎合并血管炎的诊断。
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引用次数: 0
Influence of clinical experience in detecting calcifications of the head and neck region on panoramic radiographs: an app-based evaluation. 全景 X 光片上头颈部钙化检测中临床经验的影响:基于应用程序的评估。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-11 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002638
Benedikt Schneider, Pascal Grün, Ulli Degel, Dragan Ströbele, Patrick Bandura, Florian Pfaffeneder-Mantai, Constantin von See, Dritan Turhani

Introduction: Digital panoramic radiographs (DPRs) are used in dental practice as the first diagnostic tool for the initial detection of head and neck regions soft-tissue calcifications. The aim of this study was to use a self-developed application (App) to evaluate the ability of dental students at different levels of training to examine known DPRs with different soft-tissue calcification.

Methods: A total of known 100 DPRs with (n=50) and without (n=50) calcification were independently evaluated by four groups: preclinical, first clinical and last clinical dental students, and dentists with less than or equal to 1 year of professional experience in the same time (15 min) and examination conditions. Unity software was used to develop the examination App, which allowed to mark areas with calcifications on the DPRs. The data were statistically analyzed between the groups (significance level: P<0.05) for every location, and the detection rate was calculated as a percentage of detected calcifications.

Results: Results revealed that the overall detection rate of calcifications in all groups was 29.17%. Dentists exhibited the highest detection rate (36.46%), followed by the last- (29.69%), first- (32.29%), and preclinical (15.10%) students.

Conclusion: These findings suggest that clinical experience plays a role in the correct detection of soft-tissue calcifications in DPRs. However, deficiencies in radiological training during dental education may contribute to diagnostic errors. As these can become life-threatening risks, the results highlight the need for early training in the dental curriculum to improve diagnostic performance and minimize possible diagnostic errors.

简介数字全景X光片(DPR)是牙科实践中用于初步检测头颈部软组织钙化的第一诊断工具。本研究的目的是使用自主开发的应用程序(App)来评估不同培训水平的牙科学生检查已知不同软组织钙化的 DPR 的能力:方法:在相同的时间(15 分钟)和检查条件下,由临床前、首次临床和最后一次临床的牙科学生,以及具有少于或等于 1 年专业经验的牙科医生等四组人员对已知的 100 个有钙化(n=50)和无钙化(n=50)的 DPR 进行独立评估。使用 Unity 软件开发了检查应用程序,可在 DPR 上标记钙化区域。对各组之间的数据进行了统计分析(显著性水平:P<0.05):结果结果显示,所有组别的钙化总检出率均为 29.17%。牙科医生的检出率最高(36.46%),其次是最后一名学生(29.69%)、第一名学生(32.29%)和临床前学生(15.10%):这些研究结果表明,临床经验对正确检测 DPR 中的软组织钙化起着重要作用。然而,牙科教育中放射学培训的不足可能会导致诊断错误。由于这些钙化可能会危及生命,因此研究结果强调有必要在牙科课程中进行早期培训,以提高诊断能力并尽量减少可能出现的诊断错误。
{"title":"Influence of clinical experience in detecting calcifications of the head and neck region on panoramic radiographs: an app-based evaluation.","authors":"Benedikt Schneider, Pascal Grün, Ulli Degel, Dragan Ströbele, Patrick Bandura, Florian Pfaffeneder-Mantai, Constantin von See, Dritan Turhani","doi":"10.1097/MS9.0000000000002638","DOIUrl":"https://doi.org/10.1097/MS9.0000000000002638","url":null,"abstract":"<p><strong>Introduction: </strong>Digital panoramic radiographs (DPRs) are used in dental practice as the first diagnostic tool for the initial detection of head and neck regions soft-tissue calcifications. The aim of this study was to use a self-developed application (App) to evaluate the ability of dental students at different levels of training to examine known DPRs with different soft-tissue calcification.</p><p><strong>Methods: </strong>A total of known 100 DPRs with (<i>n</i>=50) and without (<i>n</i>=50) calcification were independently evaluated by four groups: preclinical, first clinical and last clinical dental students, and dentists with less than or equal to 1 year of professional experience in the same time (15 min) and examination conditions. Unity software was used to develop the examination App, which allowed to mark areas with calcifications on the DPRs. The data were statistically analyzed between the groups (significance level: <i>P</i><0.05) for every location, and the detection rate was calculated as a percentage of detected calcifications.</p><p><strong>Results: </strong>Results revealed that the overall detection rate of calcifications in all groups was 29.17%. Dentists exhibited the highest detection rate (36.46%), followed by the last- (29.69%), first- (32.29%), and preclinical (15.10%) students.</p><p><strong>Conclusion: </strong>These findings suggest that clinical experience plays a role in the correct detection of soft-tissue calcifications in DPRs. However, deficiencies in radiological training during dental education may contribute to diagnostic errors. As these can become life-threatening risks, the results highlight the need for early training in the dental curriculum to improve diagnostic performance and minimize possible diagnostic errors.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":"86 11","pages":"6447-6454"},"PeriodicalIF":1.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Apple Vision Pro as an augmentative tool in surgery: a double-edged scalpel. 作为外科手术辅助工具的 Apple Vision Pro:一把双刃手术刀。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-11 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002645
Cheng Li
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引用次数: 0
Management of recurrent end-stage achalasia with robotic-assisted esophagectomy: a case report and literature review. 用机器人辅助食管切除术治疗复发性终末期贲门失弛缓症:病例报告和文献综述。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-11 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002640
Faizan Khalid, Sana W Augustine, Satvir Singh, Rohab Sohail, Tooba Hashmi, Mahboob Younus Shaik, Ummul Asfeen, Tamer Zahdeh, Aadil Mahmood Khan, Mansi Singh

Introduction and importance: Achalasia, an uncommon esophageal motility disorder, presents therapeutic challenges, especially in refractory cases with a history of multiple surgeries. Here, we present a complex case illustrating the dilemmas and multidisciplinary approach required in managing such patients. This case underscores the relevance of newer techniques like robotic-assisted esophagectomy in refractory achalasia management.

Case presentation: A 53-year-old male with recurrent achalasia endured persistent dysphagia, reflux, and esophageal spasms despite undergoing Heller myotomies, fundoplications, and hiatal hernia repairs. Imaging revealed severe esophageal dilation and anatomical alterations post-surgeries. Opting for a robotic-assisted thoracoabdominal esophagectomy due to relentless symptoms, the patient faced technical hurdles due to adhesions and a dilated esophagus. Post-surgery, complications like thoracic duct injury, milky pleural effusion, atrial fibrillation, and limb ischemia arose, necessitating multidisciplinary intervention.

Clinical discussion: Managing refractory achalasia poses significant challenges, particularly in extensively operated patients. Despite aggressive surgeries, debilitating symptoms persisted, emphasizing the need for a multidisciplinary approach. Complications like thoracic duct injury and atrial fibrillation further complicate management, highlighting the intricacies of such cases. Careful consideration of surgical options and the potential of newer techniques like POEM are crucial in navigating such complexities.

Conclusion: Managing refractory achalasia, especially in patients with extensive surgical histories, requires a multidisciplinary approach and careful consideration of treatment options. This case underscores the evolving landscape of achalasia management and emphasizes the potential benefits of newer techniques like POEM in select cases.

简介和重要性:Achalasia 是一种不常见的食道运动障碍疾病,给治疗带来了挑战,尤其是对于有多次手术史的难治性病例。在此,我们介绍一例复杂病例,说明治疗此类患者所面临的困境和所需的多学科方法。该病例强调了机器人辅助食管切除术等新技术在难治性贲门失弛缓症治疗中的重要性:一名 53 岁的男性,患有复发性贲门失弛缓症,尽管接受了海勒肌切开术、胃底切开术和食管裂孔疝修补术,但仍持续存在吞咽困难、反流和食管痉挛。影像学检查显示,手术后食管严重扩张,解剖结构也发生了改变。由于症状持续存在,患者选择了机器人辅助胸腹食管切除术,但由于粘连和食管扩张,患者面临着技术上的障碍。手术后,出现了胸导管损伤、乳白色胸腔积液、心房纤颤和肢体缺血等并发症,需要多学科干预:临床讨论:治疗难治性贲门失弛缓症是一项重大挑战,尤其是对于大范围手术的患者。尽管进行了积极的手术,但令人衰弱的症状依然存在,这就强调了采用多学科方法的必要性。胸导管损伤和心房颤动等并发症使治疗更加复杂,凸显了此类病例的复杂性。慎重考虑手术方案以及 POEM 等新技术的潜力,对于处理此类复杂病例至关重要:治疗难治性贲门失弛缓症,尤其是手术史丰富的患者,需要采用多学科方法并仔细考虑治疗方案。本病例凸显了贲门失弛缓症治疗的不断发展,并强调了 POEM 等新技术在特定病例中的潜在优势。
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引用次数: 0
The effect of therapeutic education program on hypertensive Tunisian patients' knowledge: a randomized controlled trial. 治疗教育计划对突尼斯高血压患者知识的影响:随机对照试验。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-11 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002628
Fatma Turki, Imen Turki, Jihen Jedidi, Houyem Said

Background: Hypertension is a prevalent non-communicable disease and unequivocally one of the most serious health threats of the twenty-first century. The prevention of both immediate and long-term consequences depends on ongoing therapeutic education.

Aims: To assess Tunisian hypertensive patients' knowledge of hypertension and then evaluate the impact of an educational program on knowledge among this population.

Methods: A randomized controlled trial was carried out among 639 hypertensive patients in Tunisia. The control group received only basic medical care, while the experimental group acquired additionally an educational program. The data collection tool was a questionnaire that included an information sheet and the Hypertension Knowledge Level Scale (HK-LS).

Results: Before to the implementation of the program, only 12.1% of the participants had a good level of knowledge about hypertension (12.8% for the experimental group, vs. 10.5% for the control group, P=0.57). Following the program's deployment, the rate of good level of knowledge became 63.6% for the experimental group vs. 11.4% for the control group, P<0.001). The results revealed that the experimental group showed a significant amelioration in the total score of the HK-LS: from 58.49 to 76.94%, P<0.0001. In contrast, no significant amelioration was noted in the control group. Concerning the six dimensions of the scale, the amelioration in the experimental group was observed in all dimensions, except the treatment dimension.

Conclusion: Overall, the findings indicated low levels of knowledge about hypertension. This kind of approach proved an effective improvement in disease-related knowledge and may be essential for hypertension management.

背景:高血压是一种常见的非传染性疾病,也是二十一世纪最严重的健康威胁之一。目的:评估突尼斯高血压患者对高血压知识的了解程度,然后评估教育计划对这一人群了解高血压知识的影响:方法:在突尼斯的 639 名高血压患者中开展了一项随机对照试验。对照组只接受基本的医疗护理,而实验组则额外接受了一项教育计划。数据收集工具是一份调查问卷,其中包括信息表和高血压知识水平量表(HK-LS):结果:计划实施前,只有 12.1%的参与者对高血压有较好的认识(实验组为 12.8%,对照组为 10.5%,P=0.57)。计划实施后,实验组对高血压的良好认知率为 63.6%,对照组为 11.4%,PPConclusion:总体而言,研究结果表明人们对高血压的了解程度较低。事实证明,这种方法能有效提高与疾病相关的知识水平,可能对高血压管理至关重要。
{"title":"The effect of therapeutic education program on hypertensive Tunisian patients' knowledge: a randomized controlled trial.","authors":"Fatma Turki, Imen Turki, Jihen Jedidi, Houyem Said","doi":"10.1097/MS9.0000000000002628","DOIUrl":"https://doi.org/10.1097/MS9.0000000000002628","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is a prevalent non-communicable disease and unequivocally one of the most serious health threats of the twenty-first century. The prevention of both immediate and long-term consequences depends on ongoing therapeutic education.</p><p><strong>Aims: </strong>To assess Tunisian hypertensive patients' knowledge of hypertension and then evaluate the impact of an educational program on knowledge among this population.</p><p><strong>Methods: </strong>A randomized controlled trial was carried out among 639 hypertensive patients in Tunisia. The control group received only basic medical care, while the experimental group acquired additionally an educational program. The data collection tool was a questionnaire that included an information sheet and the Hypertension Knowledge Level Scale (HK-LS).</p><p><strong>Results: </strong>Before to the implementation of the program, only 12.1% of the participants had a good level of knowledge about hypertension (12.8% for the experimental group, vs. 10.5% for the control group, <i>P</i>=0.57). Following the program's deployment, the rate of good level of knowledge became 63.6% for the experimental group vs. 11.4% for the control group, <i>P</i><0.001). The results revealed that the experimental group showed a significant amelioration in the total score of the HK-LS: from 58.49 to 76.94%, <i>P</i><0.0001. In contrast, no significant amelioration was noted in the control group. Concerning the six dimensions of the scale, the amelioration in the experimental group was observed in all dimensions, except the treatment dimension.</p><p><strong>Conclusion: </strong>Overall, the findings indicated low levels of knowledge about hypertension. This kind of approach proved an effective improvement in disease-related knowledge and may be essential for hypertension management.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":"86 11","pages":"6561-6567"},"PeriodicalIF":1.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge of emergency nurses and related factors toward geriatric: a cross-sectional study. 急诊护士对老年病知识的了解及相关因素:一项横断面研究。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-08 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002612
Azam Al-Sadat Asri, Mohammad Reza Yeganeh Rastekanary, Saman Maroufizadeh, Pooyan Ghorbani Vajargah, Samad Karkhah, Nazila Javadi-Pashaki

Background: This study aimed to evaluate the geriatric knowledge of emergency nurses and related factors.

Materials and methods: This cross-sectional study was conducted on nursing students at Guilan University of Medical Sciences in Iran. The objective was to assess the geriatric knowledge of nurses working in the emergency departments of educational and therapeutic centers in Rasht City. The sample was selected through a census sampling method, including all nurses employed in these departments. Data collection was carried out using a three-part questionnaire, which included sections on 'personal and occupational characteristics' and the 'Questionnaire of Awareness about the Facts of Aging (FAQ)'.

Results: A total of 190 emergency department nurses participated in this study. The mean age of the participants was 34.41 years (SD=6.37). The mean score for geriatric knowledge among the nurses was 6.58 (SD=2.24). No statistically significant associations were found between geriatric knowledge and the personal or occupational variables of the nurses. Also, the results showed that changes in nurses' geriatric knowledge are explained to a small extent through personal and occupational characteristics.

Conclusion: Overall, these results highlight the urgent need for targeted interventions to improve emergency nurses' understanding of geriatric care. Furthermore, given the lack of significant correlations with demographic and occupational variables, future research should investigate additional factors that may influence emergency nurses' knowledge in this area.

背景本研究旨在评估急诊护士的老年病知识及相关因素:这项横断面研究的对象是伊朗吉兰医科大学的护理专业学生。目的是评估在拉什特市教育和治疗中心急诊科工作的护士的老年病学知识。样本通过普查抽样法选出,包括在这些部门工作的所有护士。数据收集采用三部分组成的问卷,其中包括 "个人和职业特征 "和 "老龄化事实认知问卷(FAQ)":共有 190 名急诊科护士参与了此次研究。参与者的平均年龄为 34.41 岁(SD=6.37)。护士对老年病知识的平均得分为 6.58 分(标准差=2.24)。老年医学知识与护士的个人或职业变量之间没有统计学意义上的关联。此外,研究结果表明,护士老年医学知识的变化在很小程度上可以通过个人和职业特征来解释:总之,这些结果突显出急需采取有针对性的干预措施,以提高急诊护士对老年病护理的认识。此外,鉴于与人口统计学和职业变量之间缺乏明显的相关性,未来的研究应调查可能影响急诊护士这方面知识的其他因素。
{"title":"Knowledge of emergency nurses and related factors toward geriatric: a cross-sectional study.","authors":"Azam Al-Sadat Asri, Mohammad Reza Yeganeh Rastekanary, Saman Maroufizadeh, Pooyan Ghorbani Vajargah, Samad Karkhah, Nazila Javadi-Pashaki","doi":"10.1097/MS9.0000000000002612","DOIUrl":"https://doi.org/10.1097/MS9.0000000000002612","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the geriatric knowledge of emergency nurses and related factors.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted on nursing students at Guilan University of Medical Sciences in Iran. The objective was to assess the geriatric knowledge of nurses working in the emergency departments of educational and therapeutic centers in Rasht City. The sample was selected through a census sampling method, including all nurses employed in these departments. Data collection was carried out using a three-part questionnaire, which included sections on 'personal and occupational characteristics' and the 'Questionnaire of Awareness about the Facts of Aging (FAQ)'.</p><p><strong>Results: </strong>A total of 190 emergency department nurses participated in this study. The mean age of the participants was 34.41 years (SD=6.37). The mean score for geriatric knowledge among the nurses was 6.58 (SD=2.24). No statistically significant associations were found between geriatric knowledge and the personal or occupational variables of the nurses. Also, the results showed that changes in nurses' geriatric knowledge are explained to a small extent through personal and occupational characteristics.</p><p><strong>Conclusion: </strong>Overall, these results highlight the urgent need for targeted interventions to improve emergency nurses' understanding of geriatric care. Furthermore, given the lack of significant correlations with demographic and occupational variables, future research should investigate additional factors that may influence emergency nurses' knowledge in this area.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":"86 11","pages":"6477-6481"},"PeriodicalIF":1.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk of second primary cancers in nodal non-Hodgkin lymphoma patients by primary lymph node location: a retrospective cohort population-based study. 按原发淋巴结位置划分的结节性非霍奇金淋巴瘤患者罹患第二原发癌的风险:一项基于人群的回顾性队列研究。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-08 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002644
Ali Hemade, Souheil Hallit

Background: Non-Hodgkin lymphoma (NHL) is a diverse group of blood cancers with increasing incidence and survival rates due to advancements in treatment and early detection. However, NHL survivors are at significant risk of developing second primary cancers, which can adversely impact their long-term survival.

Methods: This retrospective population-based cohort study utilized data from the Surveillance, Epidemiology, and End Results database, covering 17 geographic areas in the United States from 2000 to 2021. The authors included patients diagnosed with nodal NHL as a first primary cancer and excluded those diagnosed at autopsy or via death certificate only. Standardized Incidence Ratios, Absolute Excess Risks, and Person-Years at Risk were calculated to evaluate the risk of developing SPCs according to the primary lymph node site and stratified by latency periods following the initial NHL diagnosis.

Results: The cohort included 54 012 NHL patients. The authors' results showed that for most SPCs, the risk of development was different for different primary NHL lymph node locations. The highest risks were observed for thyroid cancer, acute myeloid leukemia, and Hodgkin lymphoma. Notably, the risk for thyroid cancer was highest in the first year post-diagnosis, while hematological malignancies such as acute myeloid leukemia and Hodgkin lymphoma showed elevated risks in the intermediate and late latency periods.

Conclusion: NHL survivors are at an increased risk of developing SPCs, influenced by the primary lymph node site and latency period. These findings highlight the need for tailored surveillance strategies and preventive measures to mitigate the long-term risks of SPCs in NHL survivors. Further research is necessary to elucidate the underlying mechanisms and to develop targeted interventions for this high-risk population.

背景:非霍奇金淋巴瘤(NHL)是一种多种多样的血癌,由于治疗和早期检测方面的进步,其发病率和存活率不断上升。然而,非霍奇金淋巴瘤幸存者罹患第二原发性癌症的风险很大,这会对他们的长期生存产生不利影响:这项基于人群的回顾性队列研究利用了监测、流行病学和最终结果数据库中的数据,涵盖了 2000 年至 2021 年期间美国的 17 个地理区域。作者将确诊为结节性 NHL 的患者列为第一原发性癌症患者,并排除了尸检或仅通过死亡证明确诊的患者。作者计算了标准化发病率比、绝对超额风险和风险人年数,以根据原发淋巴结部位评估罹患 SPC 的风险,并按初次 NHL 诊断后的潜伏期进行分层:研究对象包括54 012名NHL患者。作者的研究结果表明,对于大多数 SPCs 而言,不同原发 NHL 淋巴结部位的发病风险不同。甲状腺癌、急性髓性白血病和霍奇金淋巴瘤的发病风险最高。值得注意的是,甲状腺癌的发病风险在确诊后的第一年最高,而急性髓性白血病和霍奇金淋巴瘤等血液恶性肿瘤的发病风险则在潜伏期的中期和晚期升高:结论:受原发淋巴结部位和潜伏期的影响,NHL幸存者罹患SPC的风险增加。这些发现突出表明,有必要制定有针对性的监测策略和预防措施,以降低 NHL 幸存者罹患 SPCs 的长期风险。有必要开展进一步研究,以阐明其潜在机制,并为这一高风险人群制定有针对性的干预措施。
{"title":"Risk of second primary cancers in nodal non-Hodgkin lymphoma patients by primary lymph node location: a retrospective cohort population-based study.","authors":"Ali Hemade, Souheil Hallit","doi":"10.1097/MS9.0000000000002644","DOIUrl":"https://doi.org/10.1097/MS9.0000000000002644","url":null,"abstract":"<p><strong>Background: </strong>Non-Hodgkin lymphoma (NHL) is a diverse group of blood cancers with increasing incidence and survival rates due to advancements in treatment and early detection. However, NHL survivors are at significant risk of developing second primary cancers, which can adversely impact their long-term survival.</p><p><strong>Methods: </strong>This retrospective population-based cohort study utilized data from the Surveillance, Epidemiology, and End Results database, covering 17 geographic areas in the United States from 2000 to 2021. The authors included patients diagnosed with nodal NHL as a first primary cancer and excluded those diagnosed at autopsy or via death certificate only. Standardized Incidence Ratios, Absolute Excess Risks, and Person-Years at Risk were calculated to evaluate the risk of developing SPCs according to the primary lymph node site and stratified by latency periods following the initial NHL diagnosis.</p><p><strong>Results: </strong>The cohort included 54 012 NHL patients. The authors' results showed that for most SPCs, the risk of development was different for different primary NHL lymph node locations. The highest risks were observed for thyroid cancer, acute myeloid leukemia, and Hodgkin lymphoma. Notably, the risk for thyroid cancer was highest in the first year post-diagnosis, while hematological malignancies such as acute myeloid leukemia and Hodgkin lymphoma showed elevated risks in the intermediate and late latency periods.</p><p><strong>Conclusion: </strong>NHL survivors are at an increased risk of developing SPCs, influenced by the primary lymph node site and latency period. These findings highlight the need for tailored surveillance strategies and preventive measures to mitigate the long-term risks of SPCs in NHL survivors. Further research is necessary to elucidate the underlying mechanisms and to develop targeted interventions for this high-risk population.</p>","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":"86 11","pages":"6455-6464"},"PeriodicalIF":1.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehending unwanted hysterectomies in developing nations: an analysis of women's decision-making processes, underlying causes, and subsequent consequences. 理解发展中国家不想要的子宫切除术:分析妇女的决策过程、根本原因和后续后果。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-08 eCollection Date: 2024-11-01 DOI: 10.1097/MS9.0000000000002642
Shreya Khandelwal
{"title":"Comprehending unwanted hysterectomies in developing nations: an analysis of women's decision-making processes, underlying causes, and subsequent consequences.","authors":"Shreya Khandelwal","doi":"10.1097/MS9.0000000000002642","DOIUrl":"https://doi.org/10.1097/MS9.0000000000002642","url":null,"abstract":"","PeriodicalId":8025,"journal":{"name":"Annals of Medicine and Surgery","volume":"86 11","pages":"6404-6406"},"PeriodicalIF":1.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11543167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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Annals of Medicine and Surgery
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