85 results match your criteria: "Chengdu Shangjin Nanfu Hospital[Affiliation]"

Currently, there is no specific treatment for diabetes-induced osteoporosis (DOP). Our study identified diabetes-induced cellular senescence, marked by elevated activity of senescence-associated β-galactosidase. Targeting senescent cells holds promise for osteoporosis treatment.

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Background: Autoimmune encephalitis (AE) is a severe neurological disease often accompanied by consciousness disturbances, severe swallowing difficulties, and gastrointestinal dysfunction, increasing the risk of malnutrition. However, the optimal caloric intake target during the acute phase of AE remains unclear.

Objective: This study aims to evaluate the impact of caloric intake on short-term clinical outcomes in AE patients, specifically focusing on the improvement in Clinical Assessment Scale for Autoimmune Encephalitis (CASE) scores, to provide recommendations for nutritional support during the acute phase.

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Background: Alzheimer's disease (AD) is a progressive neurodegenerative disorder posing challenges to patients, caregivers, and society. Accessible and accurate information is crucial for effective AD management.

Objective: This study aimed to evaluate the accuracy, comprehensibility, clarity, and usefulness of the Generative Pretrained Transformer's (GPT) answers concerning the management and caregiving of patients with AD.

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Article Synopsis
  • The study investigates the clinicopathological characteristics and prognosis of combined hepatocellular-cholangiocarcinoma (cHCC-CCA) using data from 72 cases at West China Hospital.
  • Researchers employed techniques like immunohistochemistry and fluorescence in situ hybridization to assess various tumor factors including human epidermal growth factor receptor 2 (HER2) expression and FGFR2 gene alterations.
  • Key findings indicate 49 cases were classic type cHCC-CCA, with an average survival of 18.9 months; tumor size, TNM stage, and serum AFP levels were identified as significant prognostic factors.
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Objective: In adult anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis, corticosteroids are commonly used as first-line treatment. However, the optimal oral prednisone tapering (OPT) following intravenous methylprednisolone pulse therapy remains unclear. We aim to compare the efficacy and safety of different OPT courses in anti-NMDAR encephalitis.

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Adipose tissue in older individuals: a contributing factor to sarcopenia.

Metabolism

November 2024

Department of Neurology, National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, Sichuan, China; Institute of Brain Science and Brain-inspired Technology of West China Hospital, Sichuan University, Chengdu, Sichuan, China; Department of Neurology, Chengdu Shangjin Nanfu Hospital, Chengdu, Sichuan, China. Electronic address:

Article Synopsis
  • - Sarcopenia is a serious condition in older adults that causes muscle decline and is linked to aging, chronic inflammation, and metabolic issues that may worsen health.
  • - Factors such as the buildup of senescent cells in muscle and fat, gut microbiome imbalances, and the hormonal effects of fat tissue contribute to the development of sarcopenia.
  • - The text suggests potential treatments, including special molecules and drugs that target inflammation and senescent cells, to help manage sarcopenia and promote healthier aging.
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Background: Ground-glass nodule (GGN) is the most common manifestation of lung adenocarcinoma on computed tomography (CT). Clinically, the success rate of preoperative diagnosis of GGN by puncture biopsy and other means is still low. The aim of this study is to investigate the clinical and radiomics characteristics of lung adenocarcinoma presenting as GGN on CT images using radiomics analysis methods, establish a radiomics model, and predict the classification of pathological tissue and instability of GGN type lung adenocarcinoma.

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Differentiation between viral and autoimmune limbic encephalitis: a prospective cohort study with development and validation of a diagnostic model.

J Neurol

August 2024

Department of Neurology, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, 610041, Sichuan, People's Republic of China.

Background: Distinguishing between viral encephalitis (VE) and autoimmune limbic encephalitis (ALE) presents a clinical challenge due to the overlap in symptoms. We aimed to develop and validate a diagnostic prediction model to differentiate VE and ALE.

Methods: A prospective observational multicentre cohort study, which continuously enrolled patients diagnosed with either ALE or VE from October 2011 to April 2023.

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Delayed gastric emptying after laparoscopic pancreaticoduodenectomy: a single-center experience of 827 cases.

BMC Surg

May 2024

Division of Pancreatic Surgery, Department of General Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, 610041, Sichuan Province, China.

Background: Delayed gastric emptying (DGE) commonly occurs after pancreaticoduodenectomy (PD). Risk factors for DGE have been reported in open PD but are rarely reported in laparoscopic PD (LPD). This study was designed to evaluate the perioperative risk factors for DGE and secondary DGE after LPD in a single center.

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Area Postrema Syndrome as the Initial Presentation of CNS Tuberculosis.

Neurology

June 2024

From the Department of Emergency Medicine (Z.G., B.L., Y.C.), Laboratory of Emergency Medicine (Z.G., B.L., Y.C.), Department of Neurology (K.G., Z.H.), and National Clinical Research Center of Geriatrics (K.G., Z.H.), West China Hospital, Sichuan University; and Department of Neurology (Z.H.), Chengdu Shangjin Nanfu Hospital, Sichuan, China.

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Article Synopsis
  • - Epilepsy is a common neurological disorder among older adults, often accompanied by other health issues, making social support crucial for improving quality of life in these patients.
  • - A study involving 154 older patients with epilepsy found a negative correlation between physical comorbidities and overall social support, suggesting that higher comorbidity burdens lead to less social support.
  • - The research indicates that while psychiatric comorbidities like anxiety and depression weren't linked to social support, psychotic symptoms did show a relationship, emphasizing the need for tailored care approaches by healthcare professionals.
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Genome-Wide Association Study Identifies IFIH1 and HLA-DQB1*05:02 Loci Associated With Anti-NMDAR Encephalitis.

Neurol Neuroimmunol Neuroinflamm

May 2024

From the Department of Neurology (X. Liu, F.-Y.H., D.Z., Z.H.), West China Hospital, Sichuan University, Chengdu; Department of Dermatology (X.Z., L.S.), the First Affiliated Hospital of Anhui Medical University; Key Laboratory of Dermatology (Anhui Medical University) (X.Z., L.S.), Ministry of Education; Anhui Province Laboratory of Inflammation and Immune Mediated Diseases (X.Z.); Anhui Provincial Institute of Translational Medicine (X.Z.), Hefei; Department of Neurology (Y.S., W.Q.), The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou; Genesky Biotechnologies Inc. (X.Q., C.L.), Shanghai; Department of Neurology (Q.W., X. Liu), Beijing Tiantan Hospital, Capital Medical University; Department of Neurology (J.L., B.-M.H.), Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu; Department of Neurology (Y.L.), First Affiliated Hospital of Zhengzhou University; Institute of Brain Science and Brain-Inspired Technology of West China Hospital (D.Z.), Sichuan University, Chengdu; North China University of Science and Technology Affiliated Hospital (L.S.); Health Science Center (L.S.), North China University of Science and Technology; School of Public Health (L.S.), North China University of Science and Technology, Tangshan; Inflammation and Immune Diseases Laboratory of North China University of Science and Technology (L.S.); and Department of Neurology (Z.H.), Chengdu Shangjin Nanfu Hospital, China.

Article Synopsis
  • Anti-NMDAR encephalitis is a rare autoimmune brain disorder, and this study investigates its genetic causes in the Chinese Han population.
  • Researchers conducted a genome-wide association study with 413 affected patients and 7,127 healthy controls, uncovering significant genetic associations at the IFIH1 locus and specific HLA alleles.
  • The findings suggest that variations in genes related to immunity, especially IFIH1 and certain HLA genes, play a crucial role in susceptibility to anti-NMDAR encephalitis.
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Neuromyelitis optica spectrum disorder (NMOSD) is a rare demyelinating disease of the central nervous system primarily affecting the optic nerves, spinal cord, and brainstem. Viral infection may trigger NMOSD. Here, we report the case of a 34-year-old female presenting with a range of symptoms including nausea, vomiting, dysphagia, choking, and fatigue with unsteady gait, diplopia, hearing loss, left-sided facial paralysis, breathing difficulties, and hoarseness of voice.

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Recent advances in microfluidic technology of arterial thrombosis investigations.

Platelets

December 2024

Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.

Article Synopsis
  • Microfluidic technology is transforming arterial thrombosis research by enabling the creation of artificial blood vessels and simulating blood flow dynamics, leading to better understanding of thrombus formation and platelet interactions.
  • This technology allows for precise manipulation of fluid flow, helping researchers explore how different shear forces and flow rates affect platelet behavior, which is crucial for understanding blood flow's physiological and pathological processes.
  • Despite the advancements in microfluidic systems, there is an urgent need for standardization, but the future looks promising for developing more versatile and automated solutions for antithrombotic therapies.
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The catalytic subunit telomerase reverse transcriptase (hTERT) is a prerequisite for malignant transformation of human cells. Colorectal cancer (CRC) is a common malignant tumor. The genetic association of hTERT gene rs2853669 and rs2736098 polymorphisms with CRC was surveyed in the Chinese population.

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Malignant atrophic papulosis (Degos disease) with central nervous system involvement.

Neurol Sci

April 2024

Department of Neurology, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, 610041, Sichuan, China.

Article Synopsis
  • A 49-year-old man has experienced weakness, sensory issues, bladder/bowel dysfunction, and worsening gait problems for the past two years.
  • MRI scans of his brain showed multiple lesions indicating possible damage to small blood vessels in the frontal and parietal lobes.
  • The diagnosis of Degos disease (malignant atrophic papulosis) was suggested due to distinctive skin lesions along with complications affecting his central nervous system.
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PML/RARα fusion gene (P/R) is the characteristic signature genetic variation of acute promyelocytic leukemia (APL). Here, by integrating triple-stranded DNA hybridization-triggered strand displacement amplification (tri-HT SDA) and cobalt oxyhydroxide nanosheets/quantum dots (CoOOH/QD)-based amplification, we constructed a novel biosensor of easy-operating, time-saving and high sensitivity for detecting P/R to meet clinical needs. Owing to the specific recognition and efficient amplification of tri-HT SDA as well as impressive anti-interference and considerable amplification of CoOOH/QD, this biosensor demonstrated a wide dynamic range (10 fM to 10 nM) with a low limit of detection (5.

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Intestinal dysbiosis exacerbates susceptibility to the anti-NMDA receptor encephalitis-like phenotype by changing blood brain barrier permeability and immune homeostasis.

Brain Behav Immun

February 2024

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Institute of Brain Science and Brain-inspired Technology of West China Hospital, Sichuan University, Chengdu, Sichuan, China; Department of Neurology, Chengdu Shangjin Nanfu Hospital, Chengdu, Sichuan 611730, China; National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, Sichuan, China. Electronic address:

Changes in the intestinal microbiota have been observed in patients with anti-N-methyl-D-aspartate receptor encephalitis (NMDARE). However, whether and how the intestinal microbiota is involved in the pathogenesis of NMDARE susceptibility needs to be demonstrated. Here, we first showed that germ-free (GF) mice that underwent fecal microbiota transplantation (FMT) from NMDARE patients, whose fecal microbiota exhibited low short-chain fatty acid content, decreased abundance of Lachnospiraceae, and increased abundance of Verrucomicrobiota, Akkermansia, Parabacteroides, Oscillospirales, showed significant behavioral deficits.

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Background And Purpose: The aim was to investigate the neurological complications associated with coronavirus disease 19 (COVID-19) during the 2022 Omicron wave.

Methods And Analysis: The medical records of a cohort of people admitted to neurological wards of three participating tertiary centres in Sichuan from 12 December 2022 to 12 January 2023 were reviewed. Demographics and clinical data were obtained and analysed with an interest in COVID-19-related new-onset or worse neurological symptoms.

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Inflammatory bowel disease (IBD) is a complex and multifactorial inflammatory condition, comprising Crohn's disease (CD) and ulcerative colitis (UC). While numerous studies have explored the immune response in IBD through transcriptional profiling of the enteric mucosa, the subtle distinctions in the pathogenesis of Crohn's disease and ulcerative colitis remain insufficiently understood. The intact bowel wall specimens from IBD surgical patients were divided based on their inflammatory status into inflamed Crohn's disease (iCD), inflamed ulcerative colitis (iUC) and non-inflamed (niBD) groups for RNA sequencing.

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Efficacy of immunotherapy and prognosis in anti-LGI1 encephalitis patients: A meta-analysis.

Ann Clin Transl Neurol

September 2023

Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.

Objective: To assess the efficacy and safety of immunotherapy for LGI1 antibody encephalitis, and consider the predictors of poor outcomes following immunotherapy.

Methods: We searched PubMed and Embase for articles reporting the immunotherapy data of anti-LGI1 encephalitis patients. The proportions of patients with poor outcomes (modified Rankin Scale [mRS] score > 2) at 3 months, 12 months, and the last follow-up, as well as the odds ratio [OR] of predictors were pooled.

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Introduction: The Kasabach-Merritt phenomenon (KMP) is a severe complication of kaposiform hemangioendothelioma (KHE). The risk factors for KMP need further investigation.

Methods: The medical records of patients with KHE were reviewed.

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