First People's Hospital of Chongqing

Regional ventilation at EIT-guided PEEP and mortality in severe ARDS: a prospective observational study

Severe acute respiratory distress syndrome (ARDS) is characterized by regional mechanical heterogeneity and systemic inflammation. Electrical impedance tomography (EIT) can individualize positive end-expiratory pressure (PEEP), but the prognostic value of EIT-derived variables me...

Evaluative performance of triglyceride-glucose-frailty index versus surrogate insulin resistance indices for advanced cardiovascular-kidney-metabolic syndrome, cardiometabolic multimorbidity, and mortality: the role of estimated glomerular filtration rate

Cardiovascular-kidney-metabolic (CKM) syndrome and cardiometabolic multimorbidity (CMM) carry substantial mortality, yet whether a composite index integrating insulin resistance and frailty shows stronger associations with advanced CKM syndrome, CMM, and mortality than convention...

SNAI2/SLUG: a key regulator of endothelial-to-mesenchymal transition and vascular remodeling in cardiovascular diseases

Snail family transcriptional repressor 2 (SNAI2), also known as SLUG, is a canonical driver of epithelial-mesenchymal transition (EMT). While its oncogenic roles are well-established, emerging evidence underscores its pivotal involvement in cardiovascular diseases (CVDs). This re...

Temporal changes in age at diagnosis and the proportion of early-onset cases among diagnosed cases of 16 selected cancers in the United States, 2000–2023

Comprehensive evaluations of long-term changes in the age composition of diagnosed cancer cases, including the proportion of early-onset cases, remain limited. We conducted a descriptive registry-based analysis of diagnosed cancer cases aged ≥ 20 years across 16 selected cancer s...

Serum neutrophil elastase as a potential non-invasive biomarker for assessing hepatic fibrosis in chronic hepatitis B patients

The role of neutrophil elastase (NE) in liver fibrosis caused by chronic hepatitis B (CHB) has not been fully clarified. This study sought to measure serum NE concentrations in individuals with CHB and to determine whether NE could serve as a noninvasive indicator for assessing C...

Exosomal hnRNPA1‐delivered miR‐27a‐3p inhibits the radiation‐induced bystander effect in cervical cancer

Abstract Purpose The radiation‐induced bystander effect (RIBE) refers to biological responses in non‐irradiated cells exposed to signals from irradiated cells and may contribute to tumor control during radiotherapy. Periodic dose heterogeneity caused by the thread effect of helic...

Deep learning-powered virtual eosin-based elastic fiber framework imaging improves objective grading and prognostic stratification of lung adenocarcinoma

Histological grading of lung adenocarcinoma is limited by interobserver variability, particularly when distinguishing noninvasive lepidic growth from invasive patterns. This distinction depends on evaluation of the alveolar elastic fiber framework, which is often insufficiently v...

A Multimodal large language model-based triage tool for osteoporotic vertebral compression fractures using posture and movement videos

Osteoporotic vertebral compression fracture (OVCF) is common yet frequently underdiagnosed due to nonspecific symptoms and limited access to definitive imaging. We developed a two-stage screening framework that integrates prompt-guided multimodal large language model (LLM) featur...

SERPINC1-mediated hereditary antithrombin deficiency with refractory pulmonary embolism: successful treatment with VA-ECMO and interventional thrombus aspiration

Venous thromboembolism (VTE) carries substantial global morbidity and mortality, with 50%–60% of disease variability attributed to genetic factors. Hereditary antithrombin deficiency (HATD), caused by pathogenic variants in the SERPINC1 gene, is an autosomal dominant thrombophili...

Pregnancy loss and prevalent cardiometabolic multimorbidity: a two-stage individual participant data analysis of CHARLS, ELSA, and HRS

Cardiovascular disease remains the leading cause of death worldwide, and cardiometabolic multimorbidity (CMM) is associated with substantially higher mortality and reduced life expectancy. Pregnancy loss is common and has been linked to later cardiovascular risk, but multinationa...

Integrative analysis of network pharmacology and machine learning suggests potential anti-colorectal cancer mechanisms of Taohong-Siwu decoction

Colorectal cancer (CRC) remains one of the most prevalent malignancies worldwide, characterized by high morbidity and poor prognosis. Although traditional Chinese herbal formulas have shown promising therapeutic potential, their multi-target mechanisms in CRC are still poorly und...