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Predicting lymph node metastasis in colorectal cancer:An analysis of influencing factors to develop a risk model

World Journal of Gastrointestinal Surgery 2023年第10期15卷 2234-2246页

作者： Yun-Peng Lei Qing-Zhi Song Shuang Liu ji-yan xie Guo-Qing Lv Department of Gastrointestinal Surgery Peking University Shenzhen HospitalShenzhen 518036Guangdong ProvinceChina Department of Gastrointestinal Surgery Shenzhen Peking University-The Hong Kong University of Science and Technology Medical CenterPeking University Shenzhen HospitalShenzhen 518036Guangdong ProvinceChina

BACKGROUND Colorectal cancer(CRC)is a significant global health issue,and lymph node metastasis(LNM)is a crucial prognostic *** prediction of LNM is essential for developing individualized treatment strategies for patients with ***,the prediction of LNM is challenging and depends on various factors such as tumor histology,clinicopathological features,and molecular *** most reliable method to detect LNM is the histopathological examination of surgically resected specimens;however,this method is invasive,time-consuming,and subject to sampling errors and interobserver *** To analyze influencing factors and develop and validate a risk prediction model for LNM in CRC based on a large patient *** This study retrospectively analyzed 300 patients who underwent CRC surgery at two Peking University Shenzhen hospitals between January and December 2021.A deep learning approach was used to extract features potentially associated with LNM from primary tumor histological images while a logistic regression model was employed to predict LNM in CRC using machine-learning-derived features and clinicopathological variables as *** The prediction model constructed for LNM in CRC was based on a logistic regression framework that incorporated machine learning-extracted features and clinicopathological *** model achieved high accuracy(0.86),sensitivity(0.81),specificity(0.87),positive predictive value(0.66),negative predictive value(0.94),area under the curve for the receiver operating characteristic(0.91),and a low Brier score(0.10).The model showed good agreement between the observed and predicted probabilities of LNM across a range of risk thresholds,indicating good calibration and clinical *** The present study successfully developed and validated a potent and effective risk-prediction model for LNM in patients with *** model utilizes machine-learning-derived features extracted from pr

关键词： Colorectal cancer Lymph node metastasis Machine learning Risk prediction model Clinicopathological factors Individualized treatment strategies

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Redo Coronary Artery Bypass Grafting: On-Pump and Off-Pump Coronary Artery Bypass Grafting Revascularization Techniques

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Chinese Medical Sciences Journal 2015年第1期30卷 28-33页

作者： Song Wu Feng Wan Zhe Zhang Hong Zhao Zhong-qi Cui ji-yan xie Department of Cardiac Surgery Peking University Third Hospital

Objective To analyze the short-term outcomes of redo coronary artery bypass grafting(CABG) using on-pump and off-pump CABG techniques. Methods From January 2003 to August 2013, non-randomized 80 patients were treated with redo CABG in the Department of Cardiac Surgery, Peking University Third Hospital. Among these patients, 40 underwent on-pump CABG technique(redo-ONCAB group) and 40 underwent off-pump CABG technique(redo-OPCAB group). Furthermore, transmyocardial laser revascularization was performed in high-risk patients who were not suitable to conventional grafting. Clinical data of the two groups were recorded and analyzed including operation time, coronary grafts, incomplete revascularization, postoperative ventilation, perioperative stroke, and low output syndrome, etc. Results There were no significantly differences in age, gender distribution, incidences of hypertension, stroke, and other clinical characteristics between redo-OPCAB group and redo-ONCAB group(all P>0.05), except for incidences of renal dysfunction and pulmonary disease(all P0.05). Conclusion Redo CABG is the safe

关键词： reoperation coronary artery bypass grafting on pump off pump transmyocardial laser revascularization

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Sternal Reconstruction of Deep Sternal Wound Infections Following Median Sternotomy by Single-stage Muscle Flaps Transposition

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Chinese Medical Sciences Journal 2014年第4期29卷 208-213页

作者： Song Wu Feng Wan Yong-shun Gao Zhe Zhang Hong Zhao Zhong-qi Cui ji-yan xie Department of Cardiac Surgery Peking University Third Hospital

Objective To assess clinical effectiveness of using bilateral pectoralis major or plus rectus abdominis muscle flaps in treating deep sternal wound infection(DSWI) following median sternotomy. Methods Between January 2009 and December 2013, 19 patients with DSWI after median sternotomy for cardiac surgery were admitted to our hospital, including 14 males(73.7%) and 5 females(26.3%), aged 55±13(18-78) years. According to the Pairolero classification of infected median sternotomies, 3(15.8%) patients were type II, and the other 16(84.2%) were type III. Surgical procedure consisted of adequate debridement of infected sternum, costal cartilage, granulation, steel wires, suture residues and other foreign substances. Sternal reconstruction used the bilateral pectoralis major or plus rectus abdominis muscle flaps to obliterate dead space. The drainage tubes were placed and connected to a negative pressure generator for adequate drainage. Results There were no intraoperative deaths. In 15 patients(78.9%), bilateral pectoral muscle flaps were mobilized sufficiently to cover and stabilize the defect created by wound debridement. 4 patients(21.0%) needed bilateral pectoral muscle flaps plus rectus abdominis muscle flaps because their pectoralis major muscle flaps could not reach the lowest portion of the wound. 2 patients(10.5%) presented with subcutaneous infection, and 3 patients(15.8%) had hematoma. They recovered following local debridement and medication. 17 patients(89.5%) were examined at follow-up 12 months later, all healed and having stable sternum. No patients showed infection recurrence during the follow-up period over 12 months. Conclusion DSWI following median sternotomy may be effectively managed with adequate debridement of infected tissues and reconstruction with bilateral pectoralis major muscle or plus rectus abdominis muscle flap transposition.

关键词： median sternotomy deep sternal wound infections sternal osteomyelitis sing-stage pectoralis major muscle flap rectus abdominis muscle flap

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白细胞介素-10调控巨噬细胞以促进眼底新生血管形成

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上海交通大学学报（医学版） 2017年第3期37卷 278-287页

作者：隋爱玲苏婷高誉硕朱艳吉谢冰上海交通大学医学院附属瑞金医院眼科上海200025

目的·研究白细胞介素-10(IL-10)对眼底新生血管(NV)的影响。方法·采用免疫荧光、RT-PCR、Western blotting等方法检测在氧诱导视网膜病变(OIR)小鼠模型及VEGF过表达(rho/VEGF)转基因小鼠模型中IL-10的表达。应用IL-10基因敲除鼠,研究I... 详细信息

目的·研究白细胞介素-10(IL-10)对眼底新生血管(NV)的影响。方法·采用免疫荧光、RT-PCR、Western blotting等方法检测在氧诱导视网膜病变(OIR)小鼠模型及VEGF过表达(rho/VEGF)转基因小鼠模型中IL-10的表达。应用IL-10基因敲除鼠,研究IL-10对视网膜、视网膜下及脉络膜新生血管的影响。结果·在OIR及rho/VEGF转基因小鼠模型中,IL-10的免疫荧光染色强度增加,IL-10的m RNA表达量也升高。与正常对照组小鼠相比,IL-10基因敲除鼠(IL-10-/-)由OIR诱导的新生血管和激光诱导脉络膜新生血管(CNV)均显著减少。并且,在IL-10基因敲除鼠中,其低氧诱导因子-1α(HIF-1α)以及血管内皮生长因子(VEGF)和血管内皮生长因子受体1(VEGFR1)的表达均减少。在IL-10基因敲除的OIR小鼠模型视网膜中,巨噬细胞受调控后数量减少。结论·IL-10通过刺激HIF-1α及VEGF、VEGFR1的表达而促进眼新生血管的形成。IL-10在视网膜缺氧时通过调控巨噬细胞,促进眼新生血管的形成。

关键词：白细胞介素-10 巨噬细胞低氧诱导因子-1α 血管内皮生长因子

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Multi-layer multi-pass friction rolling additive manufacturing of Al alloy:Toward complex large-scale high-performance components

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International Journal of Minerals,Metallurgy and Materials 2025年第2期32卷 425-438页

作者： Haibin Liu Run Hou Chenghao Wu Ruishan xie Shujun Chen College of Mechanical&Energy Engineering Beijing University of TechnologyBeijing 100124China Chongqing Research Institute of Beijing University of Technology Chongqing 401121China

At present,the emerging solid-phase friction-based additive manufacturing technology,including friction rolling additive man-ufacturing(FRAM),can only manufacture simple single-pass *** this study,multi-layer multi-pass FRAM-deposited alumin-um alloy samples were successfully prepared using a non-shoulder tool *** material flow behavior and microstructure of the over-lapped zone between adjacent layers and passes during multi-layer multi-pass FRAM deposition were studied using the hybrid 6061 and 5052 aluminum *** results showed that a mechanical interlocking structure was formed between the adjacent layers and the adja-cent passes in the overlapped center *** friction and rolling of the tool head led to different degrees of lateral flow and plastic deformation of the materials in the overlapped zone,which made the recrystallization degree in the left and right edge zones of the over-lapped zone the highest,followed by the overlapped center zone and the non-overlapped *** tensile strength of the overlapped zone exceeded 90%of that of the single-pass deposition *** is proved that although there are uneven grooves on the surface of the over-lapping area during multi-layer and multi-pass deposition,they can be filled by the flow of materials during the deposition of the next lay-er,thus ensuring the dense microstructure and excellent mechanical properties of the overlapping *** multi-layer multi-pass FRAM deposition overcomes the limitation of deposition width and lays the foundation for the future deposition of large-scale high-performance components.

关键词： aluminum alloy additive manufacturing solid-state friction stir welding multi-layer multi-pass

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Superhydrophobic and corrosion-resistant siloxane-modified MgAl-LDHs coatings on magnesium alloy prepared under mild conditions

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International Journal of Minerals,Metallurgy and Materials 2025年第2期32卷 450-463页

作者： Wenxi Zhang Zhangzelong Zhuo Dan Xu Liang Wu Zhihui xie Chemical Synthesis and Pollution Control Key Laboratory of Sichuan Province College of Chemistry and Chemical EngineeringChina West Normal UniversityNanchong 637002China College of Materials Science and Engineering/National Engineering Research Center for Magnesium Alloys Chongqing UniversityChongqing 400044China

We have developed a superhydrophobic and corrosion-resistant LDH-W/PFDTMS composite coating on the surface of Mg *** composite comprised a tungstate-intercalated(LDH-W)underlayer that was grown at low temperature(relative to hydrothermal reaction conditions)under atmospheric pressure and an outer polysiloxane layer created from a solution containing perfluorodecyltrimethoxysilane(PFDTMS)using a simple immersion *** successful intercalation of tungstate into the LDH phase and the following formation of the polysiloxane layer were confirmed through X-ray diffraction(XRD),Fourier transform infrared(FTIR)spectroscopy,and X-ray photoelectron spectroscopy(XPS).The corrosion resistance of the LDH-W film,both before and after the PFDTMS modification,was evaluated using electrochemical impedance spectroscopy(EIS),Tafel curves,and immersion *** results showed that Mg coated with LDH-W/PFDTMS exhibited significantly enhanced corrosion protection compared to the unmodified LDHW film,with no apparent signs of corrosion after exposure to 3.5wt%NaCl solution for 15 ***,the LDH-W/PFDTMS coating demonstrated superior superhydrophobicity and self-cleaning properties against water and several common beverages,as confirmed by static contact angle and water-repellency *** results offer valuable insights into preparing superhydrophobic and corrosion-resistant LDH-based composite coatings on Mg alloy surfaces under relatively mild reaction conditions.

关键词： Mg alloy corrosion coating layered double hydroxide

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Unraveling the significance of cobalt on transformation kinetics,crystallography and impact toughness in high-strength steels

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International Journal of Minerals,Metallurgy and Materials 2025年第2期32卷 380-390页

作者： Yishuang Yu jingxiao Zhao Xuelin Wang Hui Guo Zhenjia xie Chengjia Shang Collaborative Innovation Center of Steel Technology University of Science and Technology BeijingBeijing 100083China School of Materials Science and Engineering Shanghai Jiao Tong UniversityShanghai 200240China State Key Laboratory for Advanced Metals and Materials University of Science and Technology BeijingBeijing 100083China

This work reveals the significant effects of cobalt(Co)on the microstructure and impact toughness of as-quenched highstrength steels by experimental characterizations and thermo-kinetic *** results show that the Co-bearing steel exhibits finer blocks and a lower ductile-brittle transition temperature than the steel without ***,the Co-bearing steel reveals higher transformation rates at the intermediate stage with bainite volume fraction ranging from around 0.1 to *** improved impact toughness of the Co-bearing steel results from the higher dense block boundaries dominated by the V1/V2 variant ***,the addition of Co induces a larger transformation driving force and a lower bainite start temperature(BS),thereby contributing to the refinement of blocks and the increase of the V1/V2 variant *** findings would be instructive for the composition,microstructure design,and property optimization of high-strength steels.

关键词： high-strength steel cobalt transformation kinetics crystallography impact toughness

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Loss-of-function mutations of microRNA-142-3p promote ASH1L expression to induce immune evasion and hepatocellular carcinoma progression

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World Journal of Gastroenterology 2025年第1期31卷 126-145页

作者： Xing-Hui Yu yan xie jian Yu Kun-Ning Zhang Zhou-Bo Guo Di Wang Zhao-Xian Li Wei-Qi Zhang Yu-Ying Tan Li Zhang Wen-Tao jiang School of Medicine Nankai UniversityTianjin 300192China Tianjin Key Laboratory of Molecular Diagnosis and Treatment of Liver Cancer Tianjin First Center HospitalTianjin 300192China Department of Liver Transplantation Tianjin First Center HospitalTianjin 300192China First Central Clinical School Tianjin Medical UniversityTianjin 300192China

BACKGROUND Hepatocellular carcinoma(HCC)has been a pervasive malignancy throughout the world with elevated *** therapeutic targets are beneficial to treat and predict the ***,the exact molecular mechanisms leading to the progression of HCC are still *** has shown that the microRNA-142-3p level decreases in HCC,whereas bioinformatics analysis of the cancer genome atlas database shows the ASH1L expression increased among liver tumor *** this paper,we will explore the effects and mechanisms of microRNA-142-3p and ASH1L affect the prognosis of HCC patients and HCC cell bioactivity,and the association between *** To investigate the effects and mechanisms of microRNA-142-3p and ASH1L on the HCC cell bioactivity and prognosis of HCC *** In this study,we grouped HCC patients according to their immunohistochemistry results of ASH1L with pathological tissues,and retrospectively analyzed the prognosis of HCC ***,explored the roles and mechanisms of microRNA-142-3p and ASH1L by cellular and animal experiments,which involved the following experimental methods:Immunohistochemical staining,western blot,quantitative real-time-polymerase chain reaction,flow cytometric analysis,tumor xenografts in nude mice,*** statistical methods involved in this study contained t-test,one-way analysis of variance,theχ^(2)test,the Kaplan-Meier approach and the log-rank *** In this study,we found that HCC patients with high expression of ASH1L possess a more recurrence rate as well as a decreased overall survival ***1L promotes the tumorigenicity of HCC and microRNA-142-3p exhibits reduced expression in HCC tissues and interacts with ASH1L through targeting the ASH1L 3′untranslated ***,microRNA-142-3p promotes apoptosis and inhibits proliferation,invasion,and migration of HCC cell lines in vitro via *** the exploration mechanism,we found ASH1L may promote an immunosuppressive mi

关键词： Hepatocellular carcinoma MicroRNA-142-3p ASH1L Immune evasion Tumor immune microenvironment Apoptosis

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Local-contrastive-learning machine with both generalization and adversarial robustness: A statistical physics analysis

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Science China(Physics,Mechanics & Astronomy) 2025年第1期Mechanics & Astronomy) .卷 109-123页

作者： Mingshan xie Yuchen Wang Haiping Huang PMI Lab School of Physics Sun Yat-sen University Guangdong Provincial Key Laboratory of Magnetoelectric Physics and Devices Sun Yat-sen University

Distinct from human cognitive processing, deep neural networks trained by backpropagation can be easily fooled by adversarial examples. To design a semantically meaningful representation learning, we discard backpropagation, and instead, propose a local contrastive learning, where the representations for the inputs bearing the same label shrink(akin to boson) in hidden layers,while those of different labels repel(akin to fermion). This layer-wise learning is local in nature, being biologically plausible.A statistical mechanics analysis shows that the target fermion-pair-distance is a key parameter. Moreover, the application of this local contrastive learning to MNIST benchmark dataset demonstrates that the adversarial vulnerability of standard perceptron can be greatly mitigated by tuning the target distance, i.e., controlling the geometric separation of prototype manifolds.

关键词： machine learning statistical mechanics adversarial robustness neural networks

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Metallogenesis of the Baidi Au-Sb deposit, southwest Guizhou Province, China: mineralogical and geochemical evidence from sulfur-bearing minerals

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Acta Geochimica 2024年第2期43卷 199-213页

作者： Jun yan Yong Xia Qinping Tan Zhuojun xie Guosong ji State KeyLaboratory of Ore Deposit Geochemistry Institute of GeochemistryChineseAcademy of SciencesGuiyang 550081China Guizhou InstituteofTechnology Guiyang550003China No.102 GeologicalTeam Guizhou Bureau of Geologyand Mineral Exploration&DevelopmentZunyi563003China

The Baidi Au-Sb deposit, which contains 8 t of Au and 10,979 Mt of Sb, is a typical and rare paragenetic deposit located in southwestern Guizhou Province, *** studies have focused on individual ores, but have not combined them to identify their paragenetic mechanism or metallogenic regularity. Therefore, we used field investigations, microscopic observations, and in situ analyses to identify the spatial distribution, mineral paragenesis, compositional evolution, and metallogenic material sources of the ore bodies. We also determined the Au and Sb paragenetic characteristics and the metallogenesis of the deposit. The main Au-bearing minerals in the deposit were early(Apy1–2) and late(Apy3) stage arsenopyrites, as well as pre-mineralization(Py1), mineralization(Py2–5), and late mineralization(Py6–7) stage pyrites. The main Sb-bearing minerals were stibnite(Snt), skinnerite, bournonite,and valentinite. The minerals formed in the order of Py1,Py2–3 + Apy1, Py4–5 + Apy2, Snt, and Py6–7 + *** δ34S values of the arsenopyrites and pyrites ranged from-5 to 5‰, while those of stibnite were mostly less than-5‰ in the later mineralization stages. Sulfur was provided by deep magmatic hydrothermal fluids, but sedimentary sulfur was added in the later stages. Moreover,the trace elemental contents fluctuated and eventually became similar to those of the sedimentary strata. By comprehensively considering the ores along with the geological characteristics of the deposit, we determined that deep magma provided the Au during ore formation. Later tectonic changes provided Sb from the sedimentary strata,which precipitated along fault expansion areas and produced Au and Sb paragenesis.

关键词： Au-Sb mineralization Arsenopyrite Pyrite Stibnite Metallogenetic process

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