1,026 results match your criteria: "First People's Hospital of Lianyungang[Affiliation]"

Pre-frailty is common in patients undergoing maintenance hemodialysis (MHD). Without proper management, it can quickly worsen and progress into frailty, leading to various adverse clinical outcomes. Therefore, timely interventions for pre-frail MHD patients are crucial.

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  • - Pulmonary artery hypertension (PAH) is a serious cardiovascular condition that results in high pressure in the pulmonary arteries, leading to heart strain and potential heart failure, with current treatments not fully addressing the problem.
  • - Recent studies have identified non-coding RNAs (ncRNAs), such as lncRNAs, circRNAs, miRNAs, and piRNAs, as key players in the development of PAH, affecting disease progression without coding for proteins.
  • - The research highlights the need for more understanding of ncRNAs in PAH and suggests that they could be useful as biomarkers for diagnosis and as therapeutic targets to improve treatment options for the disease.
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  • - The study explores the connection between type 2 diabetes mellitus (T2D) and osteomyelitis (OM), both of which are major health issues, using a method called Mendelian randomization.
  • - Researchers analyzed data from a gene-wide association study, utilizing 114 single-nucleotide polymorphisms linked to T2D as tools to assess how T2D affects the risk of OM.
  • - The results showed a significant causal relationship, indicating that T2D increases the risk of developing OM, with an odds ratio of 1.317, meaning those with T2D are over 31% more likely to develop OM compared to those without it.
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β-elemene promotes miR-127-3p maturation, induces NSCLCs autophagy, and enhances macrophage M1 polarization through exosomal communication.

J Pharm Anal

September 2024

Department of Oncology, Lianyungang Integrated Traditional Chinese and Western Medicine Clinical College, Nanjing University of Chinese Medicine, Nanjing, 222002, China.

β-elemene has been observed to exert inhibitory effects on a multitude of tumors, primarily through multiple pathways such as the inhibition of cancer cell proliferation and the induction of apoptosis. The present study is designed to elucidate the role and underlying mechanisms of β-elemene in the therapeutic intervention of non-small cell lung cancer (NSCLC). Both and experimental models corroborate the inhibitory potency of β-elemene on NSCLCs.

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Background: This study aims to explore the relationship between Lower limb alignment parameters and the degree of Medial Meniscal Extrusion (MME) in patients with Knee Osteoarthritis (KOA), in hopes of providing new reference data for the prevention and treatment of KOA.

Methods: A retrospective study design was employed, analyzing 623 KOA patients treated at our hospital from 2022 to 2023, with 307 patients' information collected according to inclusion and exclusion criteria. Patients were divided into mild and severe groups based on the degree of MME, and differences in Lower limb alignment parameters between the two groups were compared.

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Objective: In this study, we aimed to establish the role of regenerating islet-derived family member 4 (Reg IV) as an independent risk factor and prognostic predictor in patients with T2-3 stage breast cancer who exhibit a non-pathological complete response (non-pCR) following neoadjuvant chemotherapy (NACT). Additionally, we examined the potential correlation and interaction between Reg IV and epidermal growth factor receptor (EGFR).

Methods: A total of 67 patients with T2-3 stage breast cancer exhibiting non-pCR after NACT between September 2019 and December 2021 were included in this study.

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  • The study aims to create a new diagnostic model that combines the 2022 ACR O-RADS subclassification with CA125 levels to enhance the assessment of malignancy risk in adnexal masses.
  • A retrospective analysis of 593 patients led to the development of a diagnostic criterion, which classifies certain lesions as benign or malignant based on their O-RADS category and CA125 levels.
  • The combined model showed improved diagnostic metrics, including higher specificity and positive predictive value compared to O-RADS alone, indicating its potential utility in clinical risk stratification for adnexal malignancies.
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Background: Kawasaki disease (KD) is a systemic vasculitis primarily affecting the coronary arteries in children. Despite growing attention to its symptoms and pathogenesis, the exact mechanisms of KD remain unclear. Mitophagy plays a critical role in inflammation regulation, however, its significance in KD has only been minimally explored.

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Objective: To establish an optimal preoperative HbA1c threshold that enhances surgical outcomes and minimises postoperative complications in diabetic patients undergoing elective total knee arthroplasty (TKA).

Study Design: Prospective cohort study. Place and Duration of the Study: Department of Orthopaedics, First People's Hospital of Lianyungang, China, from January 2021 to March 2024.

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Safety and efficacy of a novel dexmedetomidine nasal spray for pre-anesthetic sedation in children: a randomized, double-blind, placebo-controlled trial.

BMC Anesthesiol

September 2024

Department of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 South Lishi Road, Xicheng District, Beijing, 100045, China.

Background: Off-label intranasal administration of injectable dexmedetomidine has been widely applied in the pediatric sedation setting. However, the development of an improved drug delivery system that is easy to use is needed. We developed a novel dexmedetomidine nasal spray that can be administered directly without dilution or configuration for pediatric pre-anesthetic sedation.

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Ionizing radiation (IR)-induced intestinal injury remains a major limiting factor in abdominal radiation therapy, and its pathogenesis remains unclear. In this study, mouse models of IR-induced intestinal injury were established, and the effect of IR on nuclear factor erythroid 2-related factor 2 (Nrf2) was determined. More severe IR-induced intestinal damage was observed in Nrf2 knockout (KO) mice than in wild-type mice.

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To formulate a predictive model for assessing Ki-67 expression in breast cancer by integrating pre-treatment ultrasound features with non-morphological magnetic resonance imaging (MRI) parameters, encompassing functional and hemodynamic indicators. A retrospective study was conducted on 167 patients. All patients underwent a breast mass biopsy for histopathological and Ki-67 analysis prior to neoadjuvant chemotherapy (NAC) treatment.

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Background: Lymphoma is the most common secondary cause of hemophagocytic lymphohistiocytosis (HLH) in adults. Lymphoma-associated HLH (LA-HLH) in the elderly population is not rare, however, little has been reported regarding clinicopathological characteristics, prognostic factors, and outcomes of LA-HLH in the elderly population.

Methods: We retrospectively analyzed a multicenter cohort of elderly patients with LA-HLH.

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  • The study investigates the efficacy of orthopedic robot-assisted screw placement versus traditional manual methods for treating sarcopenia in patients with femoral neck fractures (FNF).
  • A retrospective analysis involved 127 patients under 65 who had surgery using cannulated screws, assessing grip strength, skeletal muscle index, and various clinical outcomes over 24-36 months.
  • Results showed that while baseline characteristics were similar, the robot-assisted group had shorter operation times and fewer intraoperative complications compared to the manual group.
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Profiling of circulating extracellular vesicle microRNAs reveals diagnostic potential and pathways in non-obstructive and obstructive azoospermia†.

Biol Reprod

December 2024

Xuzhou Engineering Research Center of Medical Genetics and Transformation, Key Laboratory of Genetic Foundation and Clinical Application, Department of Genetics, Xuzhou Medical University, Xuzhou, China.

The accurate diagnosis of non-obstructive azoospermia and obstructive azoospermia is crucial for selecting appropriate clinical treatments. This study aimed to investigate the pivotal role of microRNAs in circulating plasma extracellular vesicles in distinguishing between non-obstructive azoospermia and obstructive azoospermia, as well as uncovering the signaling pathways involved in azoospermia pathogenesis. In this study, differential expression of extracellular vesicle miR-513c-5p and miR-202-5p was observed between non-obstructive azoospermia and obstructive azoospermia patients, while the selenocompound metabolism pathway could be affected in azoospermia through Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analysis.

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The gut microbiome is an important and the largest endocrine organ linked to the microbes of the GI tract. The bacterial, viral and fungal communities are key regulators of the health and disease status in a host at hormonal, neurological, immunological, and metabolic levels. The useful microbes can compete with microbes exhibiting pathogenic behavior by maintaining resistance against their colonization, thereby maintaining eubiosis.

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Objective: The objective of this study is to assess the viability of utilizing radiomics for predicting the treatment response of lung cancer brain metastases (LCBM) to whole-brain radiotherapy (WBRT) combined with temozolomide (TMZ).

Methods: Fifty-three patients diagnosed with LCBM and undergoing WBRT combined with TMZ were enrolled. Patients were divided into responsive and non-responsive groups based on the RANO-BM criteria.

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  • Prior antibiotic exposure, particularly to carbapenems and vancomycin, is linked to a higher incidence of Ventilator-Associated Pneumonia (VAP) in children on mechanical ventilation, with VAP affecting about 21.94% of the studied population.
  • The VAP group demonstrated significantly longer hospital and PICU stays, as well as increased mechanical ventilation duration compared to the non-VAP group, along with higher mortality rates (36.07% vs. 21.82%).
  • Factors such as prolonged carbapenem use (≥7 days), repeated intubations, and tracheostomy emerge as independent risk factors for VAP occurrence, highlighting the need for further research on antibiotic regimes.
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Background: Prolonged mechanical ventilation is associated with an increased risk of mortality in these patients. However, there exists a significant clinical need for novel indicators that can complement traditional weaning evaluation methods and effectively guide ventilator weaning.

Objectives: To investigate the specific relationship between mechanical power normalized to dynamic lung compliance (Cdyn-MP) and weaning outcomes in patients on mechanical ventilation for more than 24 hours, as well as those who underwent a T-tube weaning strategy.

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Introduction: Inflammatory bowel disease (IBD) is a global health concern. Aloe-emodin (AE) has diverse pharmacological benefits, including anti-inflammatory effects. However, its role in IBD remains unclear, prompting our investigation of its regulatory effects and mechanisms in an IBD mouse model.

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The genetic architecture of age at menarche and its causal effects on other traits.

J Hum Genet

December 2024

Department of Epidemiology and Biostatistics, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, MOE Key Laboratory of Geriatric Diseases and Immunology, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, PR China.

Age at menarche (AAM) is a sign of puberty of females. It is a heritable trait associated with various adult diseases. However, the genetic mechanism that determines AAM and links it to disease risk is poorly understood.

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Background: Osteosarcoma is the most common mesenchymal cell malignancy, 10% of which is fibroblastic osteosarcoma (FOS). Due to the low incidence of osteosarcoma, the impact of many pathological factors on survival is still unclear, especially FOS. The goal of this study was to assess the latest survival rates for FOS and the risk factors affecting survival using the Surveillance, Epidemiology, and End Results (SEER) database.

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  • Synovial sarcomas (SSs) are rare malignant tumors mostly affecting teenagers and young adults, accounting for 5% to 10% of soft tissue sarcomas, and this study aimed to evaluate survival rates and risk factors for children with SS using the SEER database.
  • The analysis included various factors such as age, sex, SEER stage, and treatment methods, finding that age, male sex, lack of surgery, chemotherapy use, and advanced SEER stage correlated with worse survival outcomes.
  • The study concluded that chemotherapy and advanced SEER stage are significant indicators of poor prognosis, and a nomogram was developed to predict patient survival rates over time, showing strong alignment with actual survival data.
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  • Researchers studied how older adults deal with emotions and identified key factors and differences based on health status by analyzing data from 677 participants.
  • The main findings highlighted three core nodes: Catastrophizing, Difficulty Identifying Feelings, and Refocusing on Planning, which are crucial to emotional regulation.
  • Significant differences in network structures were found between healthy participants and those with multiple health issues, indicating that comorbidity is linked to less effective emotion regulation strategies.
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