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Pathologic assessment of hepatocellular carcinoma in the era of immunotherapy:a narrative review

Hepatobiliary Surgery and Nutrition 2024年第3期13卷 472-493页

作者： Han Wang you-wen qian Hui Dong wen-Ming Cong Department of Pathology Shanghai Eastern Hepatobiliary Surgery HospitalNaval Medical UniversityShanghaiChina

Background and Objective:Immune checkpoint inhibitor(ICI)-based therapy has achieved impressive success in various cancer *** ICIs have been unprecedentedly approved as the treatment regimens for advanced hepatocellular carcinoma(HCC)in recent ***,numerous clinical trials are being performed to exploit more ICIs into initially unresectable HCC and postoperative HCC to expectantly induce adequate tumor downstaging for further resection or implement adjuvant treatment for relapse-free survival,*** this review,we aim to summarize some pragmatic histomorphologic,immunohistochemical,and molecular pathologic parameters which promisingly indicate the response of neoadjuvant/conversion ICI-related therapy and predict the efficacy of adjuvant/therapeutic ICI-related therapy for ***:We searched PubMed using the terms hepatocellular carcinoma,immunotherapy,immune checkpoint inhibitor,immune checkpoint blockade,conversion therapy,neoadjuvant therapy,adjuvant therapy,biomarker,pathologic evaluation,pathologic assessment till February *** Content and Findings:Although there is no consensus regarding the pathologic evaluation of relevant HCC specimens,it is encouraging that a few of studies have concentrated on this field,and moreover,the methods and parameters noted on other cancer types are also worthy of *** the pathologic assessment of HCC specimens underwent immunotherapy,a suitable sampling scheme,identifying immunotherapy-related pathologic response,and quantification of pathologic response rate should be *** the patients of HCC who are scheduled to receive immunotherapy,tumor-infiltrating lymphocyte,intratumoral tertiary lymphoid structure,programmed cell death ligand 1,Wnt/β-catenin,microsatellite instability and mismatch repair,tumor mutational burden and tumor neoantigen,as well as some other signaling pathways are the potential predictive biomarkers of treatment response of ***:The managem

关键词： Hepatocellular carcinoma(HCC) immune checkpoint blockade pathologic evaluation neoadjuvant therapy conversion therapy adjuvant therapy

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Postoperative adjuvant transcatheter arterial chemoembolization improves the prognosis of patients with huge hepatocellular carcinoma

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Hepatobiliary & Pancreatic Diseases International 2021年第3期20卷 232-239页

作者： Han Wang Hua Yu you-wen qian Zhen-Ying Cao Meng-Chao Wu wen-Ming Cong Department of Pathology Eastern Hepatobiliary Surgery HospitalThe Second Military Medical UniversityYangpuShanghai 200438China Department of Hepatic Surgery Eastern Hepatobiliary Surgery HospitalThe Second Military Medical UniversityShanghai 200438China

Background: Surgical resection of huge hepatocellular carcinoma(HCC, ≥ 10 cm) is potentially curative. More adjuvant treatments are needed to reduce relapses in these patients. We evaluated the influence of postoperative adjuvant transcatheter arterial chemoembolization(PA-TACE) on the prognosis of huge HCC. Methods: Data from consecutive patients who underwent curative resection for huge HCC in our center were retrospectively collected. Recurrence-free survival(RFS) and overall survival(OS) were compared between patients who did and did not undergo PA-TACE. Propensity score matching(PSM) was used. Results: Among the 255 enrolled patients, 93 underwent PA-TACE. The clinical outcomes were significantly better in the PA-TACE group than those in the non PA-TACE group(5-year RFS rate: 33.5% vs. 18.0%;5-year OS rate: 47.0% vs. 28.0%, all P<0.001). After PSM, similar results were obtained(5-year RFS rate: 28.8% vs. 17.6%, P<0.001;5-year OS rate: 42.5% vs. 25.0%, P=0.004). PA-TACE decreased the possibility of early recurrence(<2 years, crude cohort: P<0.001, PSM cohort: P<0.001) but not late recurrence( ≥ 2 years, crude cohort: P=0.692, PSM cohort: P=0.325). Multivariable Cox regression analysis suggested that PA-TACE was an independent protective factor prolonging early RFS, RFS and OS. Conclusions: PA-TACE is a safe intervention for huge HCC patients after liver resection and improves outcomes.

关键词： Postoperative transcatheter arterial chemoembolization Recurrence Prognosis

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Weakly Approximate Diagonalization of Homomorphisms into Finite von Neumann Algebras

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Acta Mathematica Sinica,English Series 2024年第9期40卷 2187-2194页

作者： wen Hua qian Jun Hao SHEN wen Ming WU School of Mathematical Sciences Chongqing Normal UniversityChongqing 401331P.R.China Department of Mathematics and Statistics University of New HampshireDurhamNH 03824USA

Let A be a unital C^(∗)-algebra and B a unital C^(∗)-algebra with a faithful traceτ.Let n be a positive *** give the definition of weakly approximate diagonalization(with respect toτ)of a unital homomorphismφ:A→Mn(B).We give an equivalent characterization of McDuff Ⅱ_(1) *** show that,if A is a unital nuclear C^(∗)-algebra and B is a type Ⅱ_(1) factor with faithful traceτ,then every unital^(∗)-homomorphism φ:A→M_(n)(B)is weakly approximately *** B is a unital simple infinite dimensional separable nuclear C^(∗)-algebra,then any finitely many elements in Mn(B)can be simultaneously weakly approximately diagonalized while the elements in the diagonals can be required to be the same.

关键词： Weakly approximately diagonalizable McDuff factors nuclear hyperfinite

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Decision and Coordination in a Closed-Loop Supply Chain with Product Recycling Under Different Low-Carbon Regulations

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Journal of the Operations Research Society of China 2024年第3期12卷 695-728页

作者： qian-Dong Dong Hai-wen Xu School of Management and Engineering Nanjing UniversityNanjing210093JiangsuChina School of Science Civil Aviation Flight University of ChinaGuanghan618307SichuanChina

The implementation of recycling activity is of great significance to closed-loop supply chain ***’environmental awareness and governmental subsidy are considered in the two-echelon closed-loop supply *** types of decision-making structures are proposed under different carbon emission *** subsidy sharing mechanism is designed to resolve the channel members’conflict caused by double *** paper provides insight into the effect of environmental awareness and government subsidy under different low-carbon regulations on the supply chain benefit and social welfare via the game *** analysis results display that the government subsidy and subsidy sharing mechanism are profitably beneficial to the whole supply chain and social ***,a noteworthy result reveals that social welfare is not always directly proportional to consumers’environmental *** welfare decreases slightly with the increase in consumers’environmental awareness when consumers’environmental awareness is ***,social welfare will be significantly improved when consumers’environmental awareness increases beyond a certain threshold.

关键词： Closed-loop supply chain Recycling Coordination Social welfare Game theory Carbon emissions

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Rhodium-Catalyzed N-Arylation Addition of Arylboronic Acids to Ketimines

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Chinese Journal of Chemistry 2024年第18期42卷 2243-2248页

作者： Xue-Wei qian Xing-wen Sun Department of Chemistry Fudan University220 Handan RoadShanghai 200433China

Herein,we report rhodium catalyzed N-arylation via addition of arylboronic acids to electron-deficientα-iminoesters which can be prepared in high efficiency by using easily accessible B-carbonyl *** reaction is highly regiospecific to achieve the N-aryl addition efficiently with up to 99%yield under mild *** corresponding product can be further efficiently converted into indoles andaseries of other important building blocks.

关键词： Rhodium catalyzed N-Arylation addition Amines Umpolung Indole C-C coupling

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Influence of laser parameters on the microstructures and surface properties in laser surface modification of biomedical magnesium alloys

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Journal of Magnesium and Alloys 2024年第1期12卷 72-97页

作者： Chee Ying Tan Cuie wen Hua qian Ang School of Engineering RMIT UniversityMelbourneVictoria 3001Australia

Biodegradable implants from magnesium(Mg)alloys have emerged in the biomedical field especially in the orthopedic and cardiovascular stent applications owing to their low density,high specific strength,excellent machinability,good biocompatibility,and *** primary shortcoming of Mg-based implants is their low corrosion resistance in the physiological environment,which results in premature mechanical integrity loss before adequate healing and the production of excessive hydrogen gas,which is harmful to the body tissues and negatively affects the biocompatibility of the *** surface modification has recently received attention because it can improve the surface properties such as surface chemistry,roughness,topography,corrosion resistance,wear resistance,hydrophilicity,and thus cell response to the surface of the *** composition and microstructures including textures and phases of laser-treated surfaces depend largely on the laser processing parameters(input laser power,laser scan velocity,frequency,pulse duration,pressure,gas circulation,working time,spot size,beam focal position,and laser track overlap)and the thermophysical properties of the substrate(solubility,melting point,and boiling point).This review investigates the impacts of various laser surface modification techniques including laser surface melting,laser surface alloying,laser cladding,laser surface texturing,and laser shock peening,and highlights their significance in improving the surface properties of biodegradable Mg alloys for implant ***,we explore how different laser process parameters affect its composition,microstructure,and surface properties in each laser surface modification technique.

关键词： Biocompatibility Biodegradability Corrosion Implant applications Laser surface modification Magnesium alloys

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Tuning heterogeneous microstructures to enhance mechanical properties of nano-TiN particle reinforced Haynes 230 composites by laser powder bed fusion

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Rare Metals 2024年第9期43卷 4548-4565页

作者： wen-Jie Liu Hui Li qian-Xing Yin He-Jun Du School of Power and Mechanical Engineering Wuhan UniversityWuhan 430072China The Institute of Technological Sciences Wuhan UniversityWuhan 430072China School of Mechanical&Aerospace Engineering Nanyang Technological UniversitySingapore 639798Singapore

Laser powder bed fusion(LPBF)is considered to be one of the most promising additive manufacturing technologies for producing components with geometries and high geometrical precision that are unattainable by traditional *** superalloy exhibits exceptional mechanical and high-temperature performances,rendering it a prime candidate for advanced aero-engine *** the high demand for LPBF-manufactured superalloys,the superalloy is one of the materials manufactured difficultly by LPBF due to their large laser absorptivity fluctuation,poor molten pool stability and sharp temperature ***,superalloys are characterized by severe pores,undesirable coarse columnar grains and poor mechanical *** this work,the effect of nano-TiN particles on defects,molten pool characteristics and microstructure and performance of the composites were *** 4.5 wt%TiN/Haynes230 samples exhibited exceptional nanohardness and elastic modulus with maximum values reaching 5.53 GPa and 240.03 GPa,*** superior mechanical properties were attributed to the combined effects of spatter and gas pore inhibition,grain refinement and duplex nanophases ***,the stability of molten pool was enhanced,and spatter was effectively suppressed by adding nano-TiN particles,while grain refinement and columnar to equiaxed transitions were ***,the matrix exhibited a high dislocation density due to a significant hindrance of dislocation movement caused by massive nano-phases(e.g.,TiN and M_(23)C_(6)),resulting in the formation of extensive dislocation tangles and *** work offers novel insights into the role of nanoparticles reinforced superalloy composites by LPBF.

关键词： Composites Laser powder bed fusion Molten pool characteristics Microstructure Mechanical properties

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Temperature trends and its elevation-dependent warming over the Qilian Mountains

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Journal of Mountain Science 2024年第2期21卷 500-510页

作者： ZHAO Peng HE Zhibin MA Dengke WANG wen qian Lihui School of Computer Science Huainan Normal UniversityHuainan 232038China Linze Inland River Basin Research Station Key Laboratory of Inland River Basin ScienceNorthwest Institute of Eco-Environment and ResourceChinese Academy of SciencesLanzhou 730000China University of Chinese Academy of Sciences Beijing 100049China

Understanding temperature variability especially elevation dependent warming(EDW)in high-elevation mountain regions is critical for assessing the impacts of climate change on water resources including glacier melt,degradation of soils,and active layer *** means that temperature is warming faster with the increase of *** this study,we used observed temperature data during 1979-2017 from 23 meteorological stations in the Qilian Mountains(QLM)to analyze temperature trend with Mann-Kendall(MK)test and Sen’s slope *** showed that the warming trends for the annual temperature followed the order of T_min>T_mean>T_max and with a shift both occurred in *** and summer temperature have a higher increasing trend than that in autumn and winter.T_mean shifts occurred in 1996 for spring and summer,in 1997 for autumn and winter.T_max shifts occurred in 1997 for spring and 1996 for summer.T_min shifts occurred in 1997 for spring,summer and winter as well as in 1999 for *** mean diurnal temperature range(DTR)shows a significant decreasing trend(-0.18°C/10a)from 1979 to *** mean DTR shows a significant decreasing trend(-0.26°C/10a)from 1979 to 2017 with a shift occurred in *** removing longitude and latitude factors,we can learn that the warming enhancement rate of average annual temperature is 0.0673°C/km/10a,indicating that the temperature warming trend is accelerating with the continuous increase of *** increase rate of elevation temperature is 0.0371°C/km/10a in spring,0.0457°C/km/10a in summer,0.0707°C/km/10a in autumn,and 0.0606°C/km/10a in winter,which indicates that there is a clear EDW in the *** main causes of warming in the Qilian Mountains are human activities,cloudiness,ice-snow feedback and El Nino phenomenon.

关键词： Climate change Qilian Mountains Warming rates DTR Elevation-dependent warming

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The combined detection of carcinoembryonic antigen,carcinogenic antigen 125,and carcinogenic antigen 19-9 in colorectal cancer patients

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World Journal of Gastrointestinal Surgery 2024年第7期16卷 2073-2079页

作者： Ling-Zhen Gong qian-wen Wang Jie-wen Zhu Department of Clinical Laboratory Huangshi Central Hospital(Affiliated Hospital of Hubei Polytechnic University)Hubei Key Laboratory of Kidney Disease Pathogenesis and InterventionHuangshi Tumor Molecular Diagnosis and Treatment Key LaboratoryHuangshi 435000Hubei ProvinceChina

BACKGROUND Hepatic metastases are common and difficult to treat after colorectal cancer(CRC)*** predictive value of carcinoembryonic antigen(CEA),cancer antigen(CA)125 and CA19-9 combined tests for liver metastasis is *** To evaluate predictive value of combined tests for CEA,CA125,and CA19-9 levels in patients with liver metastases of *** The retrospective study included patients with CRC alone(50 cases)and patients with CRC combined with liver metastases(50 cases)who were hospitalized between January 2021 and January *** CEA,CA125 and CA19-9 levels were compared between the two groups,and binary logistic regression was used to analyze the predictive value of the combination of these tumor markers in liver *** addition,we performed receiver operating characteristic(ROC)curve analysis to assess its diagnostic *** The results showed that the serum CEA,CA125 and CA19-9 levels in the CRC with liver metastasis group were significantly higher than those in the CRC alone ***,the average serum CEA level in the CRC with liver metastasis group was 162.03±810.01 ng/mL,while that in the CRC alone group was 5.71±9.76 ng/mL;the average serum CA125 levels were 43.47±83.52 U/mL *** 13.5±19.68 U/mL;the average serum CA19-9 levels were 184.46±473.13 U/mL and 26.55±43.96 U/mL *** addition,binary logistic regression analysis showed that CA125 was significant in predicting CRC liver metastasis(P<0.05).ROC curve analysis results showed that the areas under the ROC curves of CEA,CA125 and CA19-9 were 0.607,0.692 and *** These results suggest that combined detection of these tumor markers may help early detection and intervention of CRC liver metastasis,thereby improving patient prognosis.

关键词： Colorectal cancer Liver metastasis Serum markers Carcinoembryonic antigen Cancer antigen 125 Cancer antigen 19-9 Receiver operating characteristic analysis

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Clinical significance of peripheral blood immune cells in patients with gastric cancer after surgery

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2521-2527页

作者： qian-wen Wang Jie-wen Zhu Ling-Zhen Gong Department of Clinical Laboratory Huangshi Central Hospital(Affiliated Hospital of Hubei Polytechnic University)Huangshi 435000Hubei ProvinceChina Hubei Key Laboratory of Kidney Disease Pathogenesis and Intervention Huangshi 435000Hubei ProvinceChina Huangshi Tumor Molecular Diagnosis and Treatment Key Laboratory Huangshi 435000Hubei ProvinceChina

BACKGROUND Gastric cancer is one of the most common malignant tumors worldwide,and surgical resection is one of the main ways to treat gastric ***,the immune status of postoperative patients is crucial for prognosis and survival,and immune cells play an important role in this ***,it is helpful to understand the immune status of postoperative patients by evaluating the levels of peripheral blood immune cells,especially total T cells(CD3+),helper T cells(CD3+CD4+),and suppressor T cells(CD3+CD8+),and its relationship to *** To analyzed the immune cells in peripheral blood of patients with gastric cancer after surgery,detect the levels of total T cells,helper T cells and suppressor T *** A total of 58 patients with gastric cancer who received surgical treatment were included in the retrospective *** cytometry was used to detect the level of peripheral blood immune cells and analyze the correlation between total T cells,helper T cells and inhibitory T *** explore the relationship between these immune markers and patient *** The results showed that the levels of total T cells,helper T cells,and suppressor T cells changed in patients after gastric cancer *** was a significant positive correlation between total T cells,helper T cells and suppressor T cells(r=0.35,P<0.01;r=0.56,P<0.01).However,there was a negative correlation between helper T cells and suppressor T cells(r=-0.63,P<0.01).Follow-up showed that the survival rate of patients in the high-level total T cell group was significantly higher than that in the low-level group(28.87±24.98 months vs 18.42±16.21 months).The survival curve shows that the curve of patients in the high-level group is shifted to the upper right,and that of the low-level group is shifted *** was no significant difference between the levels of helper T cells and suppressor T cells and patient survival *** By detecting peripheral blood immune c

关键词： Gastric cancer surgery Peripheral blood immune cells Flow cytometry Survival analysis Immune monitoring

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