1,336 results match your criteria: "The First Affiliated Hospital With Nanjing Medical University.[Affiliation]"

Cohort profile: the Nanjing Diabetes Cohort database - a population-based surveillance cohort.

BMJ Open

November 2024

Department of Medical Informatics, School of Biomedical Engineering and Informatics, Nanjing Medical University, Nanjing, Jiangsu, China

Purpose: To study epidemiology, complications, risk factors, clinical course and treatment patterns of diabetes, the Nanjing Diabetes Cohort (NDC) was established using anonymised electronic health records from 650 hospitals and primary care since 2020. This cohort provides valuable data for researchers and policy-makers focused on diabetes management and public health strategies.

Participants: Diabetes was defined as having inpatient or outpatient encounters with a diagnosis of diabetes International Classification of Diseases-9/10 codes, any use of insulin or oral hypoglycaemic drugs, or one encounter with haemoglobin A1C >4.

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Cardiopulmonary bypass (CPB) increases the risk of acute respiratory distress syndrome (ARDS) due to endothelial cell (EC) barrier dysfunction. However, the specific role of mitochondrial N-formyl peptides (mtNFPs) in ARDS following CPB remains unexplored. Here, we investigated the differential expression of circulating mtNFPs in patients after CPB, focusing on the novel role of FPR2 in ECs.

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Equecabtagene Autoleucel in Patients With Relapsed or Refractory Multiple Myeloma: The FUMANBA-1 Nonrandomized Clinical Trial.

JAMA Oncol

November 2024

National Clinical Research Center for Blood Diseases, State Key Laboratory of Experimental Hematology, Blood Diseases Hospital & Institute of Hematology, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.

Importance: Equecabtagene autoleucel (eque-cel), a fully human-derived B-cell maturation antigen-targeting chimeric antigen receptor (CAR) T-cell therapy, has exhibited potential for the treatment of relapsed or refractory multiple myeloma (RRMM), and further investigation in a larger cohort is necessary.

Objective: To evaluate whether eque-cel can benefit patients with RRMM and determine the overall response rate postinfusion.

Design, Setting, And Participants: The FUMANBA-1 trial was a single-arm, open-label, phase 1b/2 trial that evaluated eque-cel in adult patients with RRMM.

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Activation of the sympathetic nervous system has been attributed to the development of hypertension. Two established approaches for treating hypertension are pharmacotherapy and lifestyle changes. With an improved understanding of renal nerve anatomy and physiology, renal denervation has been proposed as an alternative treatment for hypertension.

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Targeting GPR39 in structure-based drug discovery reduces Ang II-induced hypertension.

Commun Biol

November 2024

Department of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, Jiangsu, China.

The endothelium-dependent vascular injury, a primary pathological feature of angiotensin II (Ang II)-induced hypertension. This study aimed to explore the role and underlying mechanisms of G protein-coupled receptor 39 (GPR39) in the pathogenesis of Ang II-induced hypertension. For in vivo studies, GPR39 knockout (KO) mice (C57BL/6 J, male) were generated and administered Ang II for 4 weeks.

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Aging is an intricate and gradual process characterized by tissue and cellular dysfunction. Adipose-derived mesenchymal stem cells (ADMSCs) experience a functional decline as part of systemic aging. However, the alterations in ADMSCs across various anatomical sites throughout an individual's lifespan remain unclear.

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Article Synopsis
  • * Fourteen patients participated, achieving a 42.9% objective response rate, with six showing partial response and four having stable disease, while the disease control rate was 71.4%.
  • * The median progression-free survival was 5.4 months, median overall survival was 13.5 months, and the main serious side effect noted was neutropenia in 29% of patients, indicating the treatment was both effective and tolerable.
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  • The study examines the effectiveness of combining transarterial chemoembolization (TACE) with molecular-targeted agents and immune checkpoint inhibitors (TACE-MTAs-ICIs) compared to TACE alone in patients with unresectable hepatocellular carcinoma (uHCC) that exceeds specific criteria.
  • A total of 130 patients were involved, with results showing that those treated with TACE-MTAs-ICIs had significantly longer overall survival (27.2 months) and progression-free survival (15.4 months) compared to those receiving only TACE (15.9 months and 4.8 months, respectively).
  • The TACE-MTAs-ICIs group also demonstrated a higher objective response rate
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  • The study focuses on differentiating non-lactational mastitis (NLM) from breast cancer (BC), as their symptoms can overlap, leading to misdiagnosis.
  • It involves a retrospective analysis of 108 patients suspected of having NLM, where various imaging techniques (ultrasound and MRI) were analyzed to build a diagnostic model.
  • The final model demonstrated a high accuracy (ROC area under the curve of 0.920) in distinguishing NLM from BC, using specific clinical and imaging features as key factors.
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  • * A study involved 177 patients comparing the effects of a brachial plexus block (BPB) against a control group, measuring RAS incidence during surgery.
  • * Results showed RAS occurred in only 9% of the BPB group versus 62.5% in the control, indicating BPB significantly reduces RAS during transradial access for intracranial aneurysm surgeries.
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  • The study investigated the effectiveness and safety of transarterial chemoembolization (TACE) combined with immunotherapy (atezolizumab) and antiangiogenic therapy (bevacizumab) in treating unresectable hepatocellular carcinoma (HCC) in a real-world setting.
  • A total of 92 patients were analyzed, revealing an objective response rate of 54.3%, with median overall survival and progression-free survival times of 15.9 months and 9.1 months, respectively.
  • The combination therapy was found to have acceptable therapeutic effects and manageable side effects, with 16.3% of patients experiencing serious treatment-related adverse events.
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Identification of SLC31A1 as a prognostic biomarker and a target for therapeutics in breast cancer.

Sci Rep

October 2024

Department of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, 161 Shaoshan South Road, Changsha, 410000, China.

Copper-induced cell death is regulated through protein lipoylation, which is critical for gene expression and phenotypic regulation. Neverless, the role of Cuproptosis-related genes in breast cancer (BC) remains unknown. This study aimed to construct a prognostic signature based on the expression of Cuproptosis-related genes in order to guide the diagnosis and treatment for BC.

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Chemical burns of the rectum are so rare that there are few cases reported about this situation. In fact, chemical burns of the rectum can cause severe serious consequence, such as bleeding, perforation and necrosis, even developing to persistent rectal stricture. Here we present a case report of a 12-year-old child with rectal stenosis who imitates the use of corkage and inserts rust remover into the rectum unsupervised by family members.

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The preoperative identification of neoadjuvant chemotherapy (NAC) treatment responsiveness in breast cancer (BC) patients is advantageous for tailoring treatment regimens. There is a relative scarcity in the current research exploring NAC treatment responsive biomarkers using bulk sequencing data obtained from fine-needle aspiration (FNA). Limma was employed for the selection of differentially expressed genes.

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RNA-binding protein IGF2BP1 is required for spermatogenesis in an age-dependent manner.

Commun Biol

October 2024

Department of Andrology, The Center for Men's Health, Urologic Medical Center, Shanghai Key Laboratory of Reproductive Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China.

Article Synopsis
  • Post-transcriptional regulation by RNA binding proteins is important for male germline development, with the protein IGF2BP1 specifically expressed in male gonads.
  • A study showed that knocking out Igf2bp1 in mice led to age-dependent spermatogenic defects, including fewer undifferentiated spermatogonia and increased cell death.
  • IGF2BP1 is essential for spermatogenesis, as it regulates the mRNA of Lin28a, which is crucial for the expansion of spermatogonia.
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  • Robotic-assisted proctectomy (RAP) is becoming the main surgical method for treating rectal cancer, but there is still a need for better prognostic tools to help manage patient recovery after surgery.
  • This study analyzed data from 506 RAP patients to develop a new survival prediction tool called RAP-AIscore, using advanced AI techniques to identify key survival-related factors.
  • The RAP-AIscore has shown strong potential for accurately predicting patient outcomes, providing valuable insights for treatment and follow-up care.
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  • Thyroid cancer is the most common endocrine cancer in China, and this study explores the experiences of young adults in shared decision-making (SDM) for low-risk papillary thyroid cancer (PTC).
  • Conducted through semistructured interviews with 24 patients aged 18-38, the study revealed four main themes about their SDM experiences: challenges in information sharing, reasons for seeking information, factors influencing decisions, and how they see their role in decision-making.
  • The analysis highlighted three self-positions regarding treatment choices: dependent (paternalistic), collaborative (shared decision-making), and autonomous (personal responsibility), with significant challenges including limited treatment options, use of complex medical language, and gaps in communication with healthcare
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  • The study examined the relationship between oral frailty and glycated hemoglobin (HbA1c) in older adults with type 2 diabetes (T2DM), focusing on how nutritional and physical frailty can mediate this relationship.
  • Participants over 60 years old were assessed for oral frailty, nutritional status, and physical frailty, revealing that higher oral frailty was linked to worse HbA1c levels.
  • The results indicate that improving oral health may enhance nutritional and physical status, potentially leading to better glycemic control for older adults with T2DM.*
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  • The study evaluated the safety of FURL (fiber-enabled ureteroscopic laser lithotripsy) using 365 μm fibers and Ho: YAG laser over a 16-week period, focusing on clinical outcomes and risks.
  • A total of 274 patients showed a high stone-free rate (SFR) linked to stone size and composition, with no severe complications observed post-procedure.
  • Urosepsis occurred in only 1.82% of patients, and critical infection-related lab values remained stable, indicating that kidney function was preserved throughout the follow-up period.
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WGS Analysis of Outbreak in a Neonatal Intensive Care Unit.

Infect Drug Resist

October 2024

NHC Key Laboratory of Enteric Pathogenic Microbiology, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, People's Republic of China.

Article Synopsis
  • - A study was conducted on an outbreak of an opportunistic pathogen in a neonatal intensive care unit (NICU) that resulted in multiple hospital-acquired infections (HAIs) among newborns due to environmental contamination.
  • - Researchers performed a detailed epidemiological investigation, including whole genome sequencing (WGS), which identified the source of the infection as the milk preparation workbench and confirmed that six clinical cases were linked to a single strain from this environmental source.
  • - Following the outbreak, strict infection prevention measures, such as thorough environmental disinfection and isolation of affected neonates, were implemented, effectively stopping further infections and highlighting the need for improved disinfection practices in healthcare settings.
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Article Synopsis
  • A new injectable hydrogel, TP@DNH, is developed to help prevent the recurrence of glioblastoma (GBM) after surgery by using triptolide to trigger a form of cell death called ferroptosis.
  • This hydrogel targets a specific cellular pathway that involves deactivating GPX4, which is crucial for neutralizing harmful substances in GBM cells, leading to increased levels of reactive oxygen species (ROS).
  • In tests with mice, the TP@DNH hydrogel significantly slows down the growth of recurrent GBM and improves overall survival, suggesting a promising new approach for postoperative GBM treatment.
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Development and validation of a clinic-radiomics model based on intratumoral habitat imaging for progression-free survival prediction of patients with clear cell renal cell carcinoma: A multicenter study.

Urol Oncol

January 2025

Engineering Research Center of Health Emergency, From the Medical Imaging College, Nanjing Medical University, Nanjing, China; Department of Radiology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China. Electronic address:

Article Synopsis
  • The study aimed to create and validate a model using intratumoral habitat imaging to predict progression-free survival (PFS) in patients with clear cell renal cell carcinoma (ccRCC) and to examine gene expression linked to progression.
  • It involved analyzing data from 691 ccRCC patients, using various Cox regression models to compare traditional radiomics features with those derived from habitat subregions, yielding a stronger predictive model when combining both types (Hybrid Cox).
  • The Hybrid Cox model showed better predictive performance in terms of PFS, with significant survival differences observed among patient risk groups, and identified crucial genes associated with tumor characteristics that may influence metabolism and immune response.
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Article Synopsis
  • - The study assesses the burden of gastrointestinal (GI) cancers in China's working-age population from 1990 to 2019, focusing on factors like incidence, mortality, and disability-adjusted life years (DALYs).
  • - Results indicate a decline in key cancer metrics between 1999 and 2019, though there was an increase in age-standardized incidence rates for GI cancers from 2016 to 2019, with certain cancers affecting younger individuals more.
  • - The findings highlight ongoing disparities in GI cancer burden based on age, sex, and specific cancer types, emphasizing the need for targeted prevention strategies to address the issue in this population.
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Objectives: To investigate the feasibility of synthetic magnetic resonance imaging (syMRI) in predicting the lymphatic vascular space invasion (LVSI) status of early-stage cervical cancer, and its added value to morphological MRI.

Materials And Methods: A total of 72 patients with pathology-confirmed early-stage cervical cancer were enrolled, and classified into LVSI- positive (n=41) and LVSI- negative (n=31) groups. Together with morphological parameters including gross tumor volume (GTV) and maximum tumor diameter (MTD), the T1, T2, and proton density (PD) values of the tumors were also measured and compared between two groups.

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