361 results match your criteria: "The First People's Hospital of Changde city[Affiliation]"

Relationship Between the Hemoglobin-to-Red Cell Distribution Width Ratio and in-Hospital Mortality in Patients with Chronic Heart Failure.

Vasc Health Risk Manag

December 2024

Department of Cardiovascular Medicine, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, 415003, People's Republic of China.

Purpose: Hemoglobin (Hb) levels and red cell distribution width (RDW) are standard and widely used parameters that predict clinical outcomes in patients with chronic heart failure (CHF). The Hb to RDW ratio (HRR) provides an incremental clinical prediction, as it reflects the various clinical characteristics of patients. No published data exists in the Medical Information Mart for Intensive Care (MIMIC-IV) and eICU Collaborative Research Database (eICU-CRD) databases on HRR and its association with in-hospital mortality among patients with CHF.

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Objective: This study aimed to explore the role of clinical pharmacists in guiding nutritional treatment in a multi-disciplinary team for patients with ovarian cancer (OC) and the significance of pharmaceutical nutritional intervention in overall management and drug administration.

Methods: Fifty-nine patients with OC in our gynaecological oncology ward were retrospectively investigated. The patients were divided into a conventional therapy (CT) group (n = 30) and a pharmaceutical management (PM) group (n = 29) according to different nutritional therapies received.

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Acute myeloid leukemia (AML) is a malignant blood disorder and the most common type of acute leukemia in adults. Notwithstanding the plethora of therapeutic modalities, a significant cohort of patients fail to respond to treatment and experience relapse. Anoikis, a distinct modality of programmed cell death, has been linked to cancer progression.

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Article Synopsis
  • - Research has found links between lipids, cerebrospinal fluid (CSF) metabolites, and Late-Onset Alzheimer's Disease (LOAD), but how they causally interact is still uncertain.
  • - Using statistical data from GWAS, the study examined the causal relationship between lipids and LOAD, revealing that predicted cholesterol decreases LOAD risk, while a specific type of phosphatidylcholine increases it, with a CSF metabolite identified as a potential mediator.
  • - The results emphasize the importance of CSF metabolites in understanding how lipids contribute to LOAD, suggesting they could serve as valuable biomarkers for diagnosis and prevention.
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Pulmonary arterial hypertension (PAH) is a severe cardiovascular disease characterized by elevated pulmonary vascular resistance, progressive increases in pulmonary artery pressures, ultimately leading to right-sided heart failure, and potentially mortality. Pulmonary vascular remodeling is pivotal in PAH onset and progression. While targeted drug therapies have notably ameliorated PAH prognosis, current medications primarily focus on vascular vasodilation, with limited ability to reverse pulmonary vascular remodeling fundamentally, resulting in suboptimal patient prognoses.

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  • The study aimed to explore how Dapagliflozin (Da) affects human umbilical vein endothelial cells (HUVECs) that suffer from high glucose and high fat conditions.
  • Methods included various cell treatments and assays to evaluate the function and survival of HUVECs, as well as the expression of SGLT-2.
  • Results indicated that Dapagliflozin improved cell proliferation, migration, and survival in HUVECs impaired by high glucose/high fat, suggesting its potential to counteract endothelial dysfunction via SGLT-2 inhibition.
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Objective: To evaluate the safety and efficacy of remimazolam in hysteroscopic surgery in elderly patients.

Methods: Following hysteroscopic surgery under selected general anesthesia, 60 elderly patients ASA (American Society of Anesthesiologists) class II-III, >65 years old were randomly assigned to one of two groups: the R group (remimazolam) or the C group (propofol), each with 30 patients. Sufentanil 0.

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Purpose: To investigate the correlations of spherical equivalent (SE), axial length (AL), and AL to corneal curvature radius ratio (AL/CR) with anterior segment biometrics in candidates for myopic refractive surgery.

Methods: Anterior segment biometrics of 2,478 myopic refractive surgery candidates measured by Pentacam were collected retrospectively. The anterior segment biometrics included anterior corneal curvature (ACC), posterior corneal curvature (PCC), white-to-white corneal diameter (WTW), central corneal thickness (CCT), corneal volume at 3 mm (CV), anterior corneal astigmatism (ACA), posterior corneal astigmatism (PCA), anterior corneal eccentricity (ACE), posterior corneal eccentricity (PCE), anterior corneal asphericity (ACAP), posterior corneal asphericity (PCAP), anterior chamber depth (ACD), and anterior chamber volume (ACV).

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Correlation linking illness perception, negative emotions, and the post-operative recovery effect in patients with perianal disease.

World J Psychiatry

November 2024

Department of General Surgery, The First People's Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University), Changde 415000, Hunan Province, China.

Background: Improvements in the standard of living have led to increased attention to perianal disease. Although surgical treatments are effective, the outcomes of post-operative recovery (POR) are influenced by various factors, including individual differences among patients, the characteristics of the disease itself, and the psychological state of the patient. Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.

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Article Synopsis
  • Extensive-stage small-cell lung cancer (ES-SCLC) is highly aggressive, leading to poor long-term survival despite initial chemotherapy and immunotherapy, with high recurrence rates.
  • A 54-year-old male patient achieved a complete response to a combination of immunochemotherapy (serplulimab, carboplatin, and etoposide) but developed new metastatic lesions, leading to additional targeted radiotherapy.
  • The report highlights the successful treatment approach combining local radiotherapy with immunotherapy in ES-SCLC, suggesting that this model should be explored in future clinical trials, despite some challenges in PD-L1 expression levels.
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Background: Gastrointestinal cancer is a significant cause of cancer incidence and mortality. Nevertheless, the epidemiology of the burden among adolescents and young adults (AYAs, aged 15-39 years) remains limited in the Asia-Pacific region, despite the region's significant population. This study aims to explore the gastrointestinal cancer burden among AYAs in the Asia-Pacific region for the year 2019, while also analysing trends from 1990 to 2019 and projecting future trends up to 2044.

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Research trends and foci in chondrosarcoma: A bibliometric and network analysis.

Medicine (Baltimore)

November 2024

Department of Orthopedics, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, Hunan, China.

Chondrosarcoma is 1 of the most common malignant bone tumors, with dedicated research being conducted by scientists worldwide. The purpose of this study was to guide researchers in identifying valuable scholars, institutions, and countries, provide recommendations for journal submissions, and explore research trends and hotspots in chondrosarcoma studies through literature analysis. Data for this study were collected from the Web of Science Core Collection website.

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Background: Ethical competency is important to head nurses' transformational leadership, however, few researches have explored their correlation, Additionally, most studies used variable-oriented approach to examine ethical competence, without considering it as a multidimensional concept. This study aimed to identify the latent profiles of head nurses' ethical competence and examine differences in transformational leadership across latent profiles.

Methods: Convenience sampling was used to recruit 329 head nurses from four tertiary hospitals in Changsha, Hunan province, China.

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The effect of serum glucose-to-potassium ratio (GPR) on cerebrovascular diseases has been previously validated. However, the value of the GPR in patients with severe intracerebral hemorrhage (ICH) requiring ICU admission remains unclear. This study aimed to investigate the association between the GPR and the clinical prognosis of critically ill patients with ICH.

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Objective: To explore the relationship between dietary zinc intake and stroke.

Methods: Subjects from the National Health and Nutrition Examination Survey (NHANES) database (2015 to 2020) were included. Zinc intake was determined using two 24-h dietary recall interviews, and stroke was determined using the Medical Condition Questionnaire (MCQ).

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Background: Preclinical studies have indicated that Angong Niuhuang Pills (ANP) reduce cerebral infarct and edema volumes. This study aimed to investigate whether ANP safely reduces cerebral infarct and edema volumes in patients with moderate to severe acute ischemic stroke.

Methods: This randomized, double-blind, placebo-controlled pilot trial included patients with acute ischemic stroke with National Institutes of Health Stroke Scale (NIHSS) scores ranging from 10 to 20 in 17 centers in China between April 2021 and July 2022.

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Background: The current landscape of acne therapeutics is notably lacking in targeted treatments, highlighting a critical need for the discovery of new drug targets to improve treatment outcomes.

Objectives: This study aims to investigate the connections between proteomics and genetics in relation to acne across extensive population cohorts, aspiring to identify innovative preventive and therapeutic approaches.

Methods: Employing a longitudinal cohort of 54,306 participants from the UK Biobank Pharmacological Proteomics Project (UKB-PPP), we performed an exhaustive evaluation of the associations between 2,923 serum proteins and acne risk.

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Effect of Intravenous Lidocaine on Postoperative Cognitive Dysfunction in Patients Undergoing General Anesthesia Surgery: A Systematic Review of a Randomized Controlled Trial.

Clin Ther

January 2025

Department of Anesthesiology, Changde Hospital, Xiangya School of Medicine, Central South University (Department of Anesthesiology, The First People's Hospital of Changde city), Changde 415000, China.

Article Synopsis
  • Postoperative cognitive dysfunction (POCD) is a common complication after surgery that can lead to longer hospital stays, increased complications, and even death, with intravenous lidocaine potentially offering some protection.
  • This study conducted a systematic review and meta-analysis of multiple databases to assess the impact of intravenous lidocaine on cognitive function after general anesthesia, analyzing data such as POCD prevalence and Mini-Mental State Examination (MMSE) scores.
  • A total of 25 studies were evaluated, focusing on the relationship between intravenous lidocaine administration and the incidence of POCD in surgical patients, with various time points considered for analysis.
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The prevalent histological variant within differentiated thyroid carcinoma is papillary thyroid carcinoma, also known as PTC. The study investigated the clinical performance of serum hsa_circ_0001955 in predicting the prognosis of PTC treated with radical thyroidectomy and iodine 131 nail clearance. The relative expression of serum circ_0001955 of PTC patients was detected before and after accepting radical thyroidectomy combined with 131I thyroid remnant ablation by RT-qPCR.

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Article Synopsis
  • The study aimed to explore the factors influencing Chinese oncology nurses’ ability to cope with death and how these factors are related to their attitudes towards death and educational needs.
  • Using an online survey, researchers found that the nurses had a moderate competency level in coping with death, with significant correlations identified between their death attitudes, educational needs, and coping abilities.
  • Key factors influencing coping competence included years of experience in oncology care, personal bereavement, and the need for further death education, indicating a need for tailored educational programs to enhance nurses' skills in providing end-of-life care.
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Factors affecting the syncopal episodes in pediatric vasovagal syncope.

Neurol Sci

February 2025

Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, No.139 Renmin Middle Road, Changsha, Hunan, 410011, China.

Article Synopsis
  • The study aimed to identify factors affecting syncopal episodes in children with vasovagal syncope (VVS) by analyzing data from 2,908 diagnosed cases.
  • Significant differences were found in sex, age, height, weight, and other variables among groups experiencing syncope, indicating these traits potentially influence the frequency of episodes.
  • Key findings revealed that being female, older age, higher weight, and certain VVS types increased the risk of syncope, while a specific head-up tilt test (SNHUT) appeared to reduce the frequency of episodes.
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A machine learning-based nomogram model for predicting the recurrence of cystitis glandularis.

Ther Adv Urol

October 2024

Department of Urology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Street, Changsha, Hunan 41008, China.

Article Synopsis
  • The study focuses on cystitis glandularis, a chronic urinary disease with high recurrence rates, aiming to identify factors that contribute to these relapses.
  • Machine learning techniques were used to analyze data from 252 patients, identifying key predictors such as urinary infections and serum magnesium to create a prognostic nomogram.
  • The nomogram demonstrated strong reliability in predicting recurrence, with good performance metrics indicating it could effectively assist in patient management over a 12-month follow-up.
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