2,322 results match your criteria: "the Second Hospital of Shandong University.[Affiliation]"

Epidemiological age-based differences in traumatic spinal cord injury patients: A multicenter study based on 13,334 inpatients.

J Spinal Cord Med

March 2024

Department of Orthopaedics, Qilu Hospital, Shandong University Centre for Orthopaedics, Advanced Medical Research Institute, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People's Republic of China.

Article Synopsis
  • The study examines age-based differences in traumatic spinal cord injury (TSCI) inpatients in China, noting that older patients had longer delays for surgery, a higher likelihood of incomplete injuries, and longer hospital stays compared to younger patients.
  • Researchers analyzed medical records from 13,334 TSCI patients across 30 hospitals from 2013 to 2018, finding a significant increase in the number and proportion of elderly patients (≥85 years) during this period.
  • Key findings revealed that younger patients were more likely to undergo crucial decompression surgery, while elderly patients had lower hospitalization costs, highlighting important disparities in treatment and care between age groups.
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  • The study investigated the effectiveness of thin-section CT combined with mammography for locating clustered microcalcifications that were detected via mammograms in 69 patients.
  • Results showed that CT assisted in localizing 59% of these calcifications, and all suspicious ones identified were successfully removed during surgery.
  • Findings indicated that patients in the CT group were older, had larger clusters of microcalcifications, and that the size of these clusters was a key factor in successful CT localization.
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Background: Knee osteoarthritis (KOA) characterized by degeneration of knee cartilage and subsequent bone hyperplasia is a prevalent joint condition primarily affecting aging adults. The pathophysiology of KOA remains poorly understood, as it involves complex mechanisms that result in the same outcome. Consequently, researchers are interested in studying KOA and require appropriate animal models for basic research.

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Evidence-based systematic review of removal of peripheral arterial catheter in critically ill adult patients.

BMC Anesthesiol

February 2024

Department of Cardiovascular Surgery, The Second Hospital of Shandong University, 247 Beiyuan Street, Jinan, Shangdong, 250033, China.

Objective: To evaluate and summarize literature pertaining to evidence of peripheral arterial catheterization in adults, and to provide a reference for clinical practice.

Methods: We undertook a systematic review of literature on the removal of peripheral arterial manometric catheters in adult patients from various sources such as UpToDate, BMJ, National Institute for Health and Care Excellence (NICE), Medlive, Cochrane Library, Joanna Briggs Institute (JBI) Evidence-based Health Care Center Database, CINAHL, PubMed, Wanfang Data, VIP, and other databases. The retrieval time was set as from the establishment of the database till August 30, 2021.

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Cadmium (Cd) is one of the most polluting heavy metal in the environment. Cd exposure has been elucidated to cause dysfunction of the glomerular filtration barrier (GFB). However, the underlying mechanism remains unclear.

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Background: The effectiveness of flipped classroom (FC) on puncture skills in medical education is still uncertain. This study aimed to assess the role of the FC model in puncture skills and investigate the acceptance and approval of FC among medical students and instructors.

Methods: A mixed research approach of quasi-experimental research design and descriptive qualitative research was conducted in September 2022 for one month, using an FC teaching method that combined instructional videos and group learning.

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Background: Osteosarcoma is a highly invasive bone marrow stromal tumor with limited treatment options. Oxidative stress plays a crucial role in the development and progression of tumors, but the underlying regulatory mechanisms are not fully understood. Recent studies have revealed the significant involvement of UBE2L3 in oxidative stress, but its specific role in osteosarcoma remains poorly investigated.

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  • Twenty-five percent of cervical cancers are endocervical adenocarcinomas (EACs), characterized by a diverse range of tumors, which can be difficult to classify using current histopathological methods.
  • A new deep learning tool called Silva3-AI was created to automatically analyze histopathologic images and classify Silva patterns accurately, developed from data of 202 EAC patients and later tested on an additional 161 patients from various medical centers.
  • Silva3-AI demonstrated high accuracy in pattern classification, achieving scores comparable to experienced pathologists, and also provided visualization techniques, allowing for better understanding of tumor microenvironment variation.
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A Multifunctional Bimetallic Nanoplatform for Synergic Local Hyperthermia and Chemotherapy Targeting HER2-Positive Breast Cancer.

Adv Sci (Weinh)

April 2024

Liquid-Solid Structural Evolution & Processing of Materials (Ministry of Education), School of Materials Science and Engineering, Shandong University, Jinan, Shandong, 250061, China.

Anti-HER2 (human epidermal growth factor receptor 2) therapies significantly increase the overall survival of patients with HER2-positive breast cancer. Unfortunately, a large fraction of patients may develop primary or acquired resistance. Further, a multidrug combination used to prevent this in the clinic places a significant burden on patients.

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Microbial and metabolic profiles unveil mutualistic microbe-microbe interaction in obesity-related colorectal cancer.

Cell Rep Med

March 2024

Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. Electronic address:

Obesity is a risk factor for colorectal cancer (CRC), and the involvement of gut microbiota in the pathogenesis of obesity and CRC is widely recognized. However, the landscape of fecal microbiome and metabolome distinguishing patients with obesity-related CRC from obesity remains unknown. Here, we utilize metagenomic sequencing and metabolomics from 522 patients with CRC and healthy controls to identify the characteristics of obese CRC.

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Down syndrome, a chromosomal aneuploidy genetic disorder, is primarily caused by trisomy 21 in all cells of a patient's body. In fewer cases, it can be attributed to a trisomy 21 chimera or trisomy 21 in specific cells within the body. We established an induced pluripotent stem cell (iPSC) line from the peripheral blood mononuclear cells (PBMCs) of an 8-day-old boy with Down syndrome possessing a 47, XY,+21, inv(9)(p12q21),16qh + karyotype.

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Activation of hepatic stellate cells (HSCs) has been demonstrated to play a pivotal role in the process of liver fibrogenesis. In this study, we observed a decrease in the expression of KIF18A in fibrotic liver tissues compared to healthy liver tissues, which exhibited a negative correlation with the activation of HSCs. To elucidate the molecular mechanisms underlying the involvement of KIF18A, we performed in vitro proliferation experiments and established a CCl4-induced liver fibrosis model.

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Background: To identify the anti-fibrosis effect of PRAS40 in scar, and its potential mechanism.

Methods: We constructed a rat model of hypertrophic scarthat was locally injected the PRAS40 overexpression adenoviruses, mTORC1 inhibitor MHY1485 and activator rapamycin, and further observed the pathological changes of skin tissue and the severity of fibrosis by HE, Masson and sirius red staining, and analyzed the deposition of a-SMA and collagen I by western blot and immunofluorescence test. Meanwhile, the co-localization of KLF4 with a-SMA and type I collagen was analyzed, as well as the regulatory effect of PRAS40 on KLF4.

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Endothelium-specific deletion of p62 causes organ fibrosis and cardiac dysfunction.

J Transl Med

February 2024

Key Laboratory of Cell Metabolism in Medical and Health of Shandong Provincial Health Commission, Jinan Central Hospital, Shandong University, Jinan, 250021, Shandong, China.

Background: The autophagy adapter SQSTM1/p62 is crucial for maintaining homeostasis in various organs and cells due to its protein-protein interaction domains and involvement in diverse physiological and pathological processes. Vascular endothelium cells play a unique role in vascular biology and contribute to vascular health.

Methods: Using the Cre-loxP system, we generated mice with endothelium cell-specific knockout of p62 mediated by Tek (Tek receptor tyrosine kinase)-cre to investigate the essential role of p62 in the endothelium.

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Background: Papillary thyroid cancer is an inert malignant tumor with a good response to surgical treatment, low recurrence and metastasis rate, and good prognosis. Diffuse sclerosing thyroid cancer is an invasive subtype that is more common in young people, with a higher rate of lymph node metastasis and recurrence, and a relatively poor prognosis.

Patient Concerns: A 13-year-old girl underwent radical surgery for diffuse sclerosing thyroid cancer.

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Cholesterol gallstone (CGS) is a biliary tract disorder requiring treatment in approximately 20% of patients. The efficacy of Chaihu Shugan in preventing CGS recurrence after successful treatment remains uncertain. We examined the preventive efficacy of Chaihu Shugan using a CGS mouse model and used multi-omics to study the interplay between gut microbiota, metabolism, and gene expression.

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Background: Previous observational studies have suggested a notably elevated prevalence of delirium in individuals diagnosed with Parkinson's disease (PD), thereby implying a potential increased susceptibility to delirium among PD patients. However, it is imperative to acknowledge that observational studies inherently possess limitations, rendering it arduous to establish a definitive causal or reverse causal association between delirium and PD.

Methods: To explore the relationship between delirium and PD, a bidirectional two-sample Mendelian randomization (MR) was conducted using summary statistics obtained from genome-wide association studies.

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Squamous cell carcinoma of the head and neck (SCCHN) is a commonly detected cancer worldwide. Human papillomavirus (HPV) is emerging as an important risk factor affecting SCCHN prognosis. Therefore, identification of HPV status is essential for effective therapies in SCCHN.

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Glucocorticoids increase adiposity by stimulating Krüppel-like factor 9 expression in macrophages.

Nat Commun

February 2024

Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Key Laboratory of Immune Microenvironment and Disease (Ministry of Education), Tianjin Key Laboratory of Cellular Homeostasis and Disease, Tianjin Medical University, Tianjin, China.

Article Synopsis
  • Glucocorticoids (GCs) like dexamethasone are linked to obesity, but the exact mechanisms are unclear, and macrophages play a central role in this process.
  • The study reveals that the expression of Krüppel-like factor 9 (Klf9) in macrophages is significantly increased by GCs, leading to their deactivation and promoting obesity.
  • Knocking out Klf9 in macrophages prevents obesity from chronic GC treatment by blocking inflammatory and metabolic pathways, suggesting that targeting Klf9 could be a potential therapeutic strategy for managing GC-induced obesity.
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Purpose: The objective of this study was to investigate the risk of cardiovascular toxicities related to PD-1/PD-L1 inhibitors in solid tumors.

Methods: A literature search was performed following the participants, interventions, comparisons, outcomes, and study design (PICOS) principles, and the study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data analysis was conducted using Review Manager version 5.

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Population pharmacokinetics and dose optimization of levofloxacin in elderly patients with pneumonia.

Br J Clin Pharmacol

May 2024

Department of Clinical Pharmacy, Institute of Clinical Pharmacology, Key Laboratory of Chemical Biology (Ministry of Education), NMPA Key Laboratory for Clinical Research and Evaluation of Innovative Drug, School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, China.

Article Synopsis
  • Levofloxacin, a broad-spectrum quinolone antibiotic, is commonly used to treat pneumonia in elderly patients, but its pharmacokinetics in this demographic are not well-studied.
  • This study aimed to create a population pharmacokinetic model to optimize individual dosing regimens for levofloxacin in elderly patients with pneumonia.
  • Results indicated that a once-daily dose of 750 mg is optimal, with the patient's kidney function being a key factor in the drug's clearance.
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To examine the clinicopathological characteristics and the influencing factors of the residual tumor of patients with Breast Image Report and Data System (BI-RADS) grade 3 lesions diagnosed with malignancy after minimally invasive excision. In this retrospective case-control study, clinicopathological data of 69 cases, which had been evaluated as BI-RADS 3 lesions by ultrasound (4 151 cases) diagnosed with breast cancer by minimally invasive excision pathology, were analyzed between May 2012 and June 2016 at the Department of Breast Surgery of the Second Hospital of Shandong University and Linyi People's Hospital. All patients were female, aged (43.

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[Psychological problems in breast cancer patients should be taken seriously].

Zhonghua Wai Ke Za Zhi

February 2024

Department of Breast Surgery, the Second Hospital of Shandong University; Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University; Shandong Provincial Engineering Laboratory of Translational Research on Prevention and Treatment of Breast Disease, Jinan 250033, China.

With the transformation of the biopsychosocial medical model, psychological problems and related interventions for breast cancer patients have received more and more attention. Patients often have various psychological problems, in diagnosis, treatment, and even in the state of disease-free survival, such as anxiety and depression, which not only seriously reduces the quality of life, but also affects the follow-up treatment and increases the risk of recurrence and metastasis. Therefore, physicians should perform routine psychological screening and appropriate intervention for patients.

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Multifunctional Conductive and Electrogenic Hydrogel Repaired Spinal Cord Injury via Immunoregulation and Enhancement of Neuronal Differentiation.

Adv Mater

May 2024

Department of Orthopaedics, Qilu Hospital of Shandong University, Shandong University Centre for Orthopaedics, Advanced Medical Research Institute, Shandong University, No. 107 Wenhua West Road, Lixia District, Jinan, 250012, China.

Article Synopsis
  • Spinal cord injury (SCI) is a challenging condition due to complex inflammation and limited natural healing, making recovery of neurological function difficult.
  • A new double-crosslinked conductive hydrogel (BP@Hydrogel) containing black phosphorus can generate electrical signals when placed in a rotating magnetic field, which helps simulate the spinal cord's electrical environment and aids in nerve repair.
  • The BP@Hydrogel demonstrates good compatibility with cells, reduces inflammation, and promotes the growth of new neurons in laboratory and animal studies, showing promise for enhancing recovery in SCI.
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