428 results match your criteria: "the First People's Hospital of Changde[Affiliation]"

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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  • 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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Background: Elevated nitric oxide (NO) levels have been linked to a heightened risk of recurrence in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). However, the precise influence of NO on CRSwNP recurrence remains unclear.

Objective: This study seeks to elucidate the relationship between NO levels and the risk of CRSwNP recurrence.

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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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  • 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

October 2024

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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  • * The rise of machine algorithms, especially in deep learning and machine learning, offers new ways to analyze clinical data and improve prognostic assessments in liver cancer patients through identifying patterns.
  • * Key challenges remain in this field, such as integrating diverse clinical data, addressing ethical concerns, and ensuring the transparency of how these algorithms make decisions, which this paper aims to address through a systematic review.
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  • The study investigates the effectiveness of Natural Orifice Specimen Extraction Surgery (NOSES) compared to traditional laparoscopic surgery for treating rectal cancer, as the condition is becoming more prevalent in younger patients.
  • A retrospective analysis of 150 rectal cancer patients was conducted, where those undergoing NOSES were matched with a control group receiving standard laparoscopic surgery to evaluate various surgical and recovery indicators.
  • Results showed that the NOSES group had better outcomes, including quicker recovery times and less pain, indicating that NOSES could be a more effective and less invasive option for rectal cancer treatment.
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Metabolic and bariatric surgery for obstructive sleep apnoea syndrome: bibliometric analysis and visualisation from 1999 to 2023.

BMJ Open

October 2024

Department of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, People's Republic of China

Objectives: Metabolic and bariatric surgery (MBS) for obstructive sleep apnoea syndrome (OSAS) has garnered significant research interest. The main aim of this study was to analyse the unique characteristics of publications centred around MBS for OSAS. We aimed to provide valuable insights into the present status of the field and offer predictions regarding future trends.

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  • A study examining post-stroke anxiety (PSA) in patients after COVID-19 restrictions were lifted found a prevalence rate of 14.57%.
  • The research included 947 stroke patients from a hospital in China, and assessed various health metrics alongside anxiety levels using questionnaires.
  • Key factors associated with PSA were identified as sleep duration, hyperlipidemia, migraine, and a family history of stroke, but prior COVID-19 infection did not impact PSA rates.
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  • This study aimed to find a correlation between a specific blood gas ratio (Pcv-aCO/Ca-cvO) and optic nerve sheath diameter (ONSD) in predicting elevated intracranial pressure (ICP) in traumatic brain injury patients.
  • It involved 54 adult patients monitored for ICP, measuring ONSD and blood gases over three days to analyze relationships between these indicators and ICP levels.
  • The results showed strong correlations, with ONSD having a sensitivity of 92.8% and specificity of 80.4%, while the blood gas ratio had a sensitivity of 87.3% and specificity of 77.2%; combined, they significantly improved predictive accuracy for elevated ICP.
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Cadonilimab (PD-1/CTLA-4) in combination with lenvatinib in unresectable hepatocellular carcinoma (uHCC): A retrospective real-world study.

Heliyon

October 2024

State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China.

Article Synopsis
  • This research explored the combination of Cadonilimab, a bi-specific antibody, and Lenvatinib, a tyrosine kinase inhibitor, as a first-line treatment for patients with unresectable hepatocellular carcinoma (uHCC).
  • The study involved 29 patients and found a 37.9% objective response rate and 82.8% disease control rate, with a median progression-free survival of 8.1 months.
  • While most patients experienced adverse events, primarily mild to moderate, the results suggest this combination could be a promising new treatment option for advanced HCC.
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