Chenzhou First People's Hospital

Multimodal Transformer Integrating CT and Pathology for Postoperative Risk Stratification in Stage I Non–Small Cell Lung Cancer

A biologically interpretable multimodal artificial intelligence framework outperformed guideline-based postoperative risk stratification for stage I non–small cell lung cancer and identified patients who would benefit from adjuvant therapy.

Disease‐Specific Optimal Blood Glucose Control Strategies in Critically Ill Patients: Retrospective Cohort Study and Network Meta‐analysis

ABSTRACT Background Optimal glucose targets for critically ill patients are likely to vary by underlying condition, yet a ‘one‐size‐fits‐all’ approach persists. Aim Determining disease‐specific glucose thresholds may help achieve the lowest mortality rates. Study Design This stud...

Development and validation of a nomogram for predicting disease outcomes in elderly females with lung cancer metastatic to the bone

The incidence of lung cancer in elderly women is gradually increasing and the prognosis is even more worrying. Notably, approximately one-third of these patients develop bone metastases. The main objective of this study is to develop and validate a tool to achieve accurate progno...

Land-Use Change, Ecosystem Services, and Ecological Security Pattern in a Mineral Resource-Based City: A Case Study of Chenzhou, China

Mineral resource-based cities face long-term conflicts among resource exploitation, urban expansion, and ecological conservation, making it necessary to clarify how long-term land-use change affects ecosystem services and ecological security patterns. Taking Chenzhou, China, as a...

Potential of plasma metagenomic next-generation sequencing to guide antibiotic therapy in acute necrotizing pancreatitis with early fever: a prospective multicenter cohort study

Indiscriminate antibiotic use remains common in febrile patients with acute necrotizing pancreatitis (ANP), particularly during the early phase. Metagenomic next‑generation sequencing (mNGS) has shown diagnostic utility for infected pancreatic necrosis (IPN) and may offer a means...

Rural Sustainable Development Potential Under Ecological Prerequisite Constraints: Structural Differentiation and Spatiotemporal Evolution in the Leishui River Basin, China

Villages within Key Ecological Function Zones (KEFZs) are governed by a common ecological-priority regime, yet their rural sustainable development potential (RSDP) continues to diverge. This suggests that ecological conditions are not sufficient determinants of rural development...

Surgical hip dislocation for the phosphaturic mesenchymal tumor of the femoral head and neck: a clinical outcome analysis

This retrospective study aimed to characterize the clinical, radiographic, and biochemical outcomes of surgical hip dislocation (SHD) combined with intralesional curettage and bone grafting for the treatment of phosphaturic mesenchymal tumors (PMT) of the femoral head and neck. A...