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Efficacy comparison of fruquintinib,regorafenib monotherapy or plus programmed death-1 inhibitors for microsatellite stable metastatic colorectal cancer

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World Journal of Gastrointestinal Oncology 2024年第6期16卷 2449-2462页

作者： Tian-Qi An Hui Qiu Quan-Bo Zhou Hong Zong Shuang Hu Yu-gui Lian Rui-Hua Zhao Department of Oncology The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450000Henan ProvinceChina Department of Hepato-Pancreato-Biliary Surgery Peking University Cancer Hospital and InstituteBeijing 100000China Department of Colorectal Surgery The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450000Henan ProvinceChina

BACKGROUND Regorafenib(R)and fruquintinib(F)are the standard third-line regimens for colorectal cancer(CRC)according to the National Comprehensive Cancer Network guidelines,but both have limited *** phase 2 trials have indicated that R or F combined with immune checkpoint inhibitors can reverse immunosuppression and achieve promising efficacy for microsatellite stable or proficient mismatch repair(MSS/pMMR)*** to the lack of studies comparing the efficacy between F,R,F plus programmed death-1(PD-1)inhibitor,and R plus PD-1 inhibitors(RP),it is still unclear whether the combination therapy is more effective than *** To provide critical evidence for selecting the appropriate drugs for MSS/pMMR metastatic CRC(mCRC)patients in clinical *** A total of 2639 CRC patients were enrolled from January 2018 to September 2022 in our hospital,and 313 MSS/pMMR mCRC patients were finally *** A total of 313 eligible patients were divided into F(n=70),R(n=67),F plus PD-1 inhibitor(FP)(n=95)and RP(n=81)*** key clinical characteristics were well balanced among the *** median progression-free survival(PFS)of the F,R,FP,and RP groups was 3.5 months,3.6 months,4.9 months,and 3.0 months,*** median overall survival(OS)was 14.6 months,15.7 months,16.7 months,and 14.1 *** FP regimen had an improved disease control rate(DCR)(P=0.044)and 6-month PFS(P=0.014)and exhibited a better trend in PFS(P=0.057)compared with F,and it was also significantly better in PFS than RP(P=0.030).RP did not confer a significant survival benefit;instead,the R group had a trend toward greater benefit with OS(P=0.080)compared with *** significant differences were observed between the R and F groups in PFS or OS(P>0.05).CONCLUSION FP is superior to F in achieving 6-month PFS and DCR,while RP is not better than *** has an improved PFS and 6-month PFS compared with RP,but F and R had similar clinical ***,FP may be a

关键词： Colorectal cancer Fruquintinib Regorafenib Programmed death-1 inhibitor Real-world

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Detecting secondary spin with extreme mass ratio inspirals in scalar-tensor theory

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Chinese Physics C 2024年第9期48卷 210-224页

作者： Hong Guo Chao Zhang Yunqi Liu Rui-Hong Yue Yun-gui Gong Bin Wang Center for Gravitation and Cosmology College of Physical Science and TechnologyYangzhou UniversityYangzhou 225009China Escola de Engenharia de Lorena Universidade de São PauloLorenaSP 12602-810Brazil Shanghai Frontier Research Center for Gravitational Wave Detection Shanghai Jiao Tong UniversitySha nghai 200240 China 4 School of Aeronautics and AstronauticsShanghai Jiao Tong UniversityShanghai 200240China School of Physics Huazhong University of Science and TechnologyWuhan 430074China Department of Physics School of Physical Science and TechnologyNingbo UniversityNingbo 315211China

In this study,we investigate the detectability of the secondary spin in an extreme mass ratio inspiral(EMRI) system within a modified gravity model coupled with a scalar *** central black hole,which reduces to a Kerr one,is circularly spiralled by a scalar-charged spinning secondary body on the equatorial *** analysis reveals that the presence of the scalar field amplifies the secondary spin effect,allowing for a lower limit of the detectability and an improved resolution of the secondary spin when the scalar charge is sufficiently *** findings suggest that secondary spin detection is more feasible when the primary mass is not large,and TianQin is the optimal choice for detection.

关键词： Gravitational wave EMRI secondary spin scalar radiation

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Traffic safety helmet wear detection based on improved YOLOv5 network

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Optoelectronics Letters 2024年

作者： gui Dongdong SUN Bo College of Software， Southeast University Quanzhou Equipment Research Centre， Haixi Institute， Chinese Academy of Sciences

Aiming at the problem that the current traffic safety helmet detection model can’t balance the accuracy of detection with the size of the model and the poor generalization of the model， a method based on improving YOLOv5 is proposed. By incorporating the lightweight GhostNet module into the YOLOv5 backbone network， we effectively reduce the model size. The addition of the Receptive Fields Block (RFB) module enhances feature extraction and improves the feature acquisition capability of the lightweight model. Subsequently， the high-performance lightweight convolution， GSConv， is integrated into the neck structure for further model size compression. Moreover， the baseline model’s loss function is substituted with EIoU， accelerating network convergence and enhancing detection precision. Experimental results corroborate the effectiveness of this improved algorithm in real-world traffic scenarios.

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Optimal extent of lymphadenectomy improves prognosis and guides adjuvant chemotherapy in esophageal cancer: A propensity scorematched analysis

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1537-1547页

作者： Ji-Ming Tang Shu-Jie Huang Qi-Bin Chen Han-Sheng Wu gui-Bin Qiao Department of Thoracic Surgery Guangdong Provincial People’s HospitalGuangzhou 510080Guangdong ProvinceChina Department of Thoracic Surgery The First Affiliated Hospital of Shantou University Medical CollegeShantou 515041Guangdong ProvinceChina

BACKGROUND The optimal extent of lymphadenectomy in esophageal squamous cell carcinoma(ESCC)patients remained *** To explore the ideal number of cleared lymph nodes in ESCC patients undergoing upfront *** In this retrospective,propensity score-matched study,we included 1042 ESCC patients who underwent esophagectomy from November 2008 and October *** who underwent neoadjuvant therapy were *** collected pa-tients’clinicopathological features and information regarding lymph nodes,in-cluding the total number of resected lymph nodes(NRLN),and pathologically diagnosed positive lymph nodes(RPLN).SPSS and R software were used for statistical *** Among the included 1042 patients,two cohorts:≤21(n=664)and>21 NRLN(n=378)were *** final prognostic model included four variables:T stage,N,venous thrombus,and the number of removed lymph *** them,NRLN>21 was determined as an independent prognosticator after surgery for esophageal cancer(hazards regression=0.66,95%confidence interval:0.50-0.87,P=0.004).A nomogram was created based on the regression coefficients of the variables in the final *** the training cohort,the predictive model dis-played an uncorrected five-year overall survival C-index of 0.659,with a bootstrap-corrected C-index of *** the subgroup analysis,adjuvant chemotherapy was beneficial in the subgroup with NRLN>21 and RPLN≤0.16 and NRLN≤21 and RPLN>*** NRLN>21 was an independent prognostic factor after ESCC *** combination of NRLN and RPLN may provide a reference for adjuvant chemotherapy use in potential beneficiaries.

关键词： Esophageal squamous cell carcinoma Lymphadenectomy Adjuvant chemotherapy Prognosis Nomogram

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Human bone marrow mesenchymal stem cell-derived exosomes loaded with gemcitabine inhibit pancreatic cancer cell proliferation by enhancing apoptosis

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World Journal of Gastrointestinal Oncology 2024年第9期16卷 4006-4013页

作者： Zu-gui Tang Tie-Mei Chen Yi Lu Zhe Wang Xi-Cheng Wang Yi Kong Department of Oncology The First Affiliated Hospital of Guangdong Pharmaceutical UniversityGuangzhou 510080Guangdong ProvinceChina Faculty of Pharmaceutical Sciences Shenzhen University of Advanced TechnologyShenzhen 518000Guangdong ProvinceChina Guangdong Pharmaceutical University Guangzhou 510006Guangdong ProvinceChina

BACKGROUND Pancreatic cancer remains one of the most lethal malignancies,and has limited effective ***(GEM),a chemotherapeutic agent,is commonly used for clinical treatment of pancreatic cancer,but it has characteristics of low drug delivery efficiency and significant side *** study tested the hypothesis that human bone marrow mesenchymal stem cell(MSC)-derived exosomes loaded with GEM(Exo-GEM)would have a higher cytotoxicity against human pancreatic cancer cells by enhancing their *** To investigate the cytotoxicity of MSC-derived Exo-GEM against pancreatic cancer cells in *** Exosomes were isolated from MSCs and characterized by transmission electron microscopy and nanoparticle tracking ***-GEM through electroporation,sonication,or incubation,and the loading efficiency was *** cytotoxicity of Exo-GEM or GEM alone against human pancreatic cancer Panc-1 and MiaPaca-2 cells was assessed by MTT and flow cytometry *** The isolated exosomes had an average size of 76.7 *** encapsulation efficacy and loading efficiency of GEM by electroporation and sonication were similar and significantly better than *** cytotoxicity of Exo-GEM against pancreatic cancer cells was stronger than free GEM and treatment with 0.02μM Exo-GEM significantly reduced the viability of both Panc-1 and MiaPaca-2 ***,Exo-GEM enhanced the frequency of GEMinduced apoptosis in both cell *** Human bone marrow MSC-derived Exo-GEM have a potent cytotoxicity against human pancreatic cancer cells by enhancing their apoptosis,offering a promising drug delivery system for improving therapeutic outcomes.

关键词： Mesenchymal stem cells Exosomes Extracellular vesicles Gemcitabine Pancreatic cancer Drug delivery

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Achieving High CO_(2)Photoreduction Activity by Conductive Crosslinks of Metal–Organic Framework

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CCS Chemistry 2024年第5期6卷 1211-1221页

作者： Ning Li gui-Qi Lai Lai-Hon Chung Fei Yu Jun He Ya-Qian Lan Department School of Chemical Engineering and Light Industry Guangdong University of TechnologyGuangzhouGuangdong 510006 School of Chemistry South China Normal UniversityGuangzhou 510006 School of Chemistry and Materials Science Nanjing Normal UniversityNanjing 210023

Fast photogenerated charge migration is crucial for the improvement of photocatalytic performance,but its deliberate modulation is *** work presents two Zr-based metal–organic framework catalysts,GDUT-8 and GDUT-8-Ox,for photocatalytic CO_(2)***,thiophene pendants in GDUT-8 were coupled covalently via Scholl reaction to give GDUT-8-Ox,a catalyst with at least two orders of magnitude(up to 6.1×10^(−3)S cm^(−1))enhanced conductivity and faster transport of photogenerated carriers during ***,from GDUT-8 to GDUT-8-Ox,stronger ligand-to-cluster charge transfer with pronounced light absorption extension was *** a result,GDUT-8-Ox exhibited the highest photocatalytic CO_(2)-to-HCOO−conversion rate(1725μmol g^(−1)h^(−1))to date,in the absence of photosensitizer,as well as turnover number,turnover frequency,and quantum efficiency much higher than *** work presents an unprecedented strategy to accelerate the photogenerated carrier transport of photocatalysts.

关键词： metal-organic framework Scholl reaction covalent crosslinks high conductivity CO_(2)photoreduction CO_(2)-to-HCOO−conversion

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Sex differences in the association between the muscle quality index and the incidence of depression: A cross-sectional study

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World Journal of Psychiatry 2024年第9期14卷 1335-1345页

作者： gui-Ping Huang Li-Ping Mai Zhi-Jie Zheng Xi-Pei Wang Guo-Dong He Institute of Medical Research Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences)Southern Medical UniversityGuangzhou 510080Guangdong ProvinceChina

BACKGROUND Depression presents significant challenges to mental health *** phy-sical activity is highly beneficial to mental and physical health,relatively few stu-dies have conducted on the relationship between *** To investigate the association between muscle quality index(MQI)and incidence of *** The data used in this cross-sectional study were obtained from the 2011-2014 National Health and Nutritional Examination Survey,which included informa-tion on MQI,depression,and confounding *** logistic regre-ssion models were employed,while taking into account the complex multi-stage sampling design.A restricted cubic spline model was utilized to investigate the non-linear relationship between the MQI and ***,subgroup analyses were performed to identify influential *** The prevalence of depression in this population was 8.44%.With the adjusted model,the MQI was associated with depression in females(odds ratio=0.68,95%confidence interval:0.49-0.95)but not in males(odds ratio=1.08,95%confidence interval:0.77-1.52).Restricted cubic spline adjustment of all covariates showed a significant negative non-linear relationship between depression and the MQI in *** observed trend indicated an 80%decrease in the risk of depression for each unit increase in MQI,until a value of ***,when the MQI exceeded 2.2,the prevalence of depression increased by 20%for every unit increase in the *** analyses further confirmed that the MQI was negatively associated with *** The MQI was inversely correlated with depression in females but not males,suggesting that females with a higher MQI might decrease the risk of depression.

关键词： Sex differences Muscle quality index Depression National Health and Nutrition Examination Survey Population-based study

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A novel complex-high-order graph convolutional network paradigm:ChyGCN

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Chinese Physics B 2024年第5期33卷 665-672页

作者：郑和翔苗书宇顾长贵 Business School University of Shanghai for Science and TechnologyShanghai 200093China Ant Group Shanghai 200000China

In recent years,there has been a growing interest in graph convolutional networks(GCN).However,existing GCN and variants are predominantly based on simple graph or hypergraph structures,which restricts their ability to handle complex data correlations in practical *** limitations stem from the difficulty in establishing multiple hierarchies and acquiring adaptive weights for each of *** address this issue,this paper introduces the latest concept of complex hypergraphs and constructs a versatile high-order multi-level data correlation *** model is realized by establishing a three-tier structure of ***,we start by establishing hyperedge clusters on a foundational network,utilizing a second-order hypergraph structure to depict potential *** this second-order structure,truncation methods are used to assess and generate a three-layer composite *** the construction of the composite structure,an adaptive learning strategy is implemented to merge correlations across different *** evaluate this model on several popular datasets and compare it with recent state-of-the-art *** comprehensive assessment results demonstrate that the proposed model surpasses the existing methods,particularly in modeling implicit data correlations(the classification accuracy of nodes on five public datasets Cora,Citeseer,Pubmed,Github Web ML,and Facebook are 86.1±0.33,79.2±0.35,83.1±0.46,83.8±0.23,and 80.1±0.37,respectively).This indicates that our approach possesses advantages in handling datasets with implicit multi-level structures.

关键词： raph convolutional network complex modeling complex hypergraph

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Effects of vitamin family members on insulin resistance and diabetes complications

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World Journal of Diabetes 2024年第3期15卷 568-571页

作者： Hong-Jin Chen Min Wang Ding-Min Zou gui-You Liang Si-Yuan Yang Division of Cardiac Surgery Guizhou Institute of Precision MedicineThe Affiliated Hospital of Guizhou Medical UniversityGuiyang 550009Guizhou ProvinceChina Translational Medicine Research Center Guizhou Medical UniversityGuiyang 550025Guizhou ProvinceChina School of Basic Medical Sciences/School of Biology and Engineering Guizhou Medical UniversityGuiyang 550025Guizhou ProvinceChina

The following letter to the editor highlights the article“Effects of vitamin D supplementation on glucose and lipid metabolism in patients with type 2 diabetes mellitus and risk factors for insulin resistance”in World J Diabetes 2023 Oct 15;14(10):*** is necessary to explore the role of vitamin family members in insulin resistance and diabetes complications.

关键词： Vitamin Insulin resistance Diabetes complications Letter

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Application of neoadjuvant chemoradiotherapy and neoadjuvant chemotherapy in curative surgery for esophageal cancer:A metaanalysis

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World Journal of Gastrointestinal Oncology 2024年第1期16卷 214-233页

作者： Mao-Xiu Yuan Qi-gui Cai Zhen-Yang Zhang Jian-Zhong Zhou Cai-Yun Lan Jiang-Bo Lin The Graduate School Fujian Medical UniversityFuzhou 350000Fujian ProvinceChina Department of Thoracic Surgery Affiliated Hospital of Jinggangshan UniversityJi’an 343000Jiangxi ProvinceChina Department of Thoracic Surgery Fujian Medical University Union HospitalFuzhou 350000Fujian ProvinceChina

BACKGROUND The effectiveness of neoadjuvant therapy in esophageal cancer(EC)treatment is still a subject of *** To compare the clinical efficacy and toxic side effects between neoadjuvant chemoradiotherapy(nCRT)and neoadjuvant chemotherapy(nCT)for locally advanced EC(LAEC).METHODS A comprehensive search was conducted using multiple databases,including PubMed,EMBASE,MEDLINE,Science Direct,The Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,Chinese Science and Technology Journal Database,and Chinese Biomedical Literature Database *** up to December 2022 comparing nCRT and nCT in patients with EC were *** The analysis revealed significant differences between nCRT and nCT in terms of disease-free *** results indicated that nCRT provided better outcomes in terms of the 3-year overall survival rate(OSR)[odds ratio(OR)=0.95],complete response rate(OR=3.15),and R0 clearance rate(CR)(OR=2.25).However,nCT demonstrated a better 5-year OSR(OR=1.02)than ***,when compared to nCRT,nCT showed reduced risks of cardiac complications(OR=1.15)and pulmonary complications(OR=1.30).CONCLUSION Overall,both nCRT and nCT were effective in terms of survival outcomes for ***,nCT exhibited better performance in terms of postoperative complications.

关键词： Esophageal cancer Neoadjuvant chemoradiotherapy Radical resection for esophageal cancer Neoadjuvant chemotherapy Meta-analysis

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