Medicine
-
Extramedullary plasmacytoma is an extremely rare malignant clonal plasmacytoma, which can occur in any tissue or organ of the body other than bone marrow hematopoietic tissue. Lesions mostly occur in the head and neck or upper respiratory tract, and rarely in the lower respiratory tract. Primary plasmacytoma of the lung, also known as primary pulmonary plasmacytoma (PPP), is rarer and is mainly diagnosed on the basis of the histopathology of biopsy tissue. In this report, we present a case of PPP. ⋯ PPP is a rare lung tumor, and diagnosis of this lesion on the basis of bronchoscopic biopsy is even rarer. With this case report, we seek to enhance the awareness and understanding of PPP. We recommend that in cases wherein chest imaging findings suggest multiple lung lesions, the possibility of pulmonary plasmacytoma should also be considered, and biopsy should be actively performed to confirm the diagnosis and guide treatment. This report provides valuable insights and guidance for clinicians in the management and diagnosis of patients with PPP.
-
In order to take full advantage of traditional Chinese medicine (TCM) and western medicine, combined with machine learning technology, to study the risk factors and better risk prediction model of diabetic retinopathy (DR), and provide basis for the screening and treatment of it. Through a retrospective study of DR cases in the real world, the electronic medical records of patients who met screening criteria were collected. Moreover, Recursive Feature Elimination with Cross-Validation (RFECV) was used for feature selection. ⋯ Through SHAP analysis, it was found that TCM syndrome types, albumin, low density lipoprotein, triglyceride, total protein, glycosylated hemoglobin were closely related to the increased risk of DR. It can be concluded that TCM syndrome type is the risk factor of DR. The GBM classifier based on grid search optimization, with relevant risk factors of TCM and western medicine as variables, can better predict the risk of DR.
-
Cardiac arrest (CA) is an acute emergency with high mortality and is closely associated with the risk of brain damage or systemic ischemia-reperfusion injury, post-traumatic stress symptoms. ⋯ Individualized targeted temperature management under the guidance of multimodal brain monitoring plays an important role in brain protection of patients with CA.
-
The objective of this study is to examine the impact of intellectual capital (IC) and its elements on private hospital performance. In addition, this study explores the moderating role of digital transformation in the relationship between IC and its elements and private hospital performance. This study selects 13 private listed hospitals from 2012 to 2022 as the sample. ⋯ The results show that IC and only one element (structural capital) have a positive impact on private hospital performance, while human and relational capitals have no significant impact. Surprisingly, digital transformation negatively moderates the relationship between IC and private hospital performance. This study underscores the pivotal role of IC in enhancing the performance of private hospitals, and hospital managers should accelerate hospital digital transformation in the digital era.