The rapid development of artificial intelligence (AI), especially generative AI (GenAI), has already brought, and will continue to bring, revolutionary changes to our daily production and life, as well as create new opportunities and challenges for diagnostic and therapeutic practices in the medical field. Haihe Hospital of Tianjin University collaborates with the National Supercomputer Center in Tianjin, Tianjin University, and other institutions to carry out research in areas such as smart healthcare, smart services, and smart management. We have conducted research and development of a full-process disease diagnosis and treatment assistance system based on GenAI in the field of smart healthcare. The development of this project is of great significance. The first goal is to upgrade and transform the hospital's information center, organically integrate it with existing information systems, and provide the necessary computing power storage support for intelligent services within the hospital. We have implemented the localized deployment of three models: Tianhe "Tianyuan", WiNGPT, and DeepSeek. The second is to create a digital avatar of the chief physician/chief physician's voice and image by integrating multimodal intelligent interaction technology. With generative intelligence as the core, this solution provides patients with a visual medical interaction solution. The third is to achieve deep adaptation between generative intelligence and the entire process of patient medical treatment. In this project, we have developed assistant tools such as intelligent inquiry, intelligent diagnosis and recognition, intelligent treatment plan generation, and intelligent assisted medical record generation to improve the safety, quality, and efficiency of the diagnosis and treatment process. This study introduces the content of a full-process disease diagnosis and treatment assistance system, aiming to provide references and insights for the digital transformation of the healthcare industry.
Artificial Intelligence ; Humans ; Delivery of Health Care ; Generative Artificial Intelligence

Osteoporosis can be induced by various factors including prolonged glucocorticoid usage, diminished estrogen levels, secondary hyperparathyroidism, and alterations in the microenvironment of bone tissue. The bone metabolism imbalance(osteogenic-lipogenic imbalance) plays a crucial role in the development of osteoporosis. This imbalance is primarily driven by an increase in the differentiation of bone marrow mesenchymal stem cells into adipocytes and a decrease in their differentiation into osteoblasts, thus forming the core of the osteogenic-lipogenic imbalance observed in osteoporosis. The bone morphogenesis protein(BMP) plays a crucial role in the regulation of the osteogenic-lipid balance in osteoporosis. This regulatory function is accomplished through both the Smad-dependent and Smad-independent pathways. This review centers on the Smad-dependent and Smad-independent pathways facilitated by BMP, offering a comprehensive overview of the potential mechanisms through which BMP-2, 4, 6, 7, and 9 contribute to the regulation of osteogenesis and lipid metabolism in osteoporosis via these pathways. In order to present novel insights for the identification of efficacious targets for clinical anti-osteoporosis medications.

Hepatic stellate cell(HSC)activation is a key link in the development of liver fibrosis.The metabolic reprogramming of activated HSC has become a hot topic in current research,especially the change of glycolysis is an important factor in regulating HSC activation.Based on the metabolic reprogramming in the process of HSC activation,this paper expounds the mechanism of regulating HSC activation and liver fibrosis through glycolysis,and reviews the research progress of traditional Chinese medicine and its active ingredients in regulating HSC glycolysis to prevent and treat liver fibrosis.Liver fibrosis is a complex pathological process involving multiple factors and pathways.From the perspective of regulating the glycolysis of activated HSC,it can provide a new idea for the development of anti-liver fibrosis drugs.

Objective To investigate the CT and MRI finding of extrapleural solitary fibrous tumor (ESFT) to improve the preoperative diagnostic ability of such tumors. Methods The clinical data and CT/MRI finding of 11 ESFT patients confirmed by pathology from January 2007 to June 2018 in Jiaxing Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medicine University were retrospectively analyzed. CT scan was performed in 9 cases and MRI scan in 4 cases. Results Of the 11 patients with ESFT, 6 cases occurred in the abdominal cavity, 3 cases in the cavitas pelvis and 2 cases in the ocular region. All the tumors were solitary, and the maximum diameter of the lesion was (8.3 ± 4.2) cm. The boundary of the tumor was clear in 7 cases, and the boundary was not clear in 4 cases. The tumor form was circular or fusiform in 6 cases and lobulated in 5 cases (some tumors had notch sign). CT scanning presented isodensity or inhomogeneous low density, including 4 cases of cystic degeneration accompanied by inner grid separation, and 3 cases of patchy calcification. The enhanced scanning mass showed 6 cases of geographic enhancement and 7 cases of earthworm drilling soil. MRI T1WI showed slightly lower signal intensity; T2WI fat-suppression sequences showed slightly higher mixed signal intensity in 2 cases and an iso-to high mixed signal intensity in 2 cases; and DWI showed uneven high signal intensity in 3 cases. The solid part of the enhanced scanning showed'fast enhancement and slow washout'. Conclusions ESFT is usually manifested as isolated mass, and its CT and MRI finding has certain characteristics, especially in the diagnosis and differential diagnosis of the disease, such as geographic enhancement and earthworm drilling soil signs.

Objective To compare clinical effects on treatment of cerebrospinal fluid leakage using various deep fascia suture techniques in lumbar posterior surgery.Methods There were 39 cases with cerebrospinal fluid leakage after lumbar posterior surgery in our hospital,in whom 22 cases were treated with deep fascia continuous suture,and 17 cases were treated with deep fascia interrupted suture.The extubation time,ambulation time,healing time and VAS scores in different times were recorded.Results The average extubation time,ambulation time,healing time of continuous suture group were better than that in interrupted suture group.The VAS scores on 1,3,7,14 d after operation in the continuous suture group was 3.55,2.64,1.18,0.36,and were 3.35,4.18,2.18,0.59 in the interrupted suture group.There were statistically significant differences in VAS scores on 3,7 d after operation between continuous suture group and interrupted suture group,while no significant differences were found in VAS scores on 1,14 d after operation.Conclusion Deep fascia continuous suture method has better effect on the treatment of cerebrospinal fluid leakage after lumbar posterior surgery.

Objective To compare clinical effects on treatment of cerebrospinal fluid leakage using various deep fascia suture techniques in lumbar posterior surgery.Methods There were 39 cases with cerebrospinal fluid leakage after lumbar posterior surgery in our hospital,in whom 22 cases were treated with deep fascia continuous suture,and 17 cases were treated with deep fascia interrupted suture.The extubation time,ambulation time,healing time and VAS scores in different times were recorded.Results The average extubation time,ambulation time,healing time of continuous suture group were better than that in interrupted suture group.The VAS scores on 1,3,7,14 d after operation in the continuous suture group was 3.55,2.64,1.18,0.36,and were 3.35,4.18,2.18,0.59 in the interrupted suture group.There were statistically significant differences in VAS scores on 3,7 d after operation between continuous suture group and interrupted suture group,while no significant differences were found in VAS scores on 1,14 d after operation.Conclusion Deep fascia continuous suture method has better effect on the treatment of cerebrospinal fluid leakage after lumbar posterior surgery.

Objective To discuss nursing of patients with esophageal cancer surgery by early feeding of homemade non-factor enteral nutrition.Methods 70 patients of esophageal cancer surgery were accepted homemade non-factor enteral nutrition.Results We got better results in nitrogen balance recovery and the enteral function in intestinal nutrition group than those in apenteric nutrition group after the operation.Conclusion The nutritional status of patients had been markedly improved by application of homemade non-factor feeding after carefully nursing of nasal feeding tube and other tubes,reasonable preparation,maintaining the pipeline opening,observation of illness,oral care,complications of observation and caring etc.The complications have been reduced the quality of life of the patients wag significantly improvad.