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Establishment and validation of a predictive model for peripherally inserted central catheter-related thrombosis in patients with liver cancer

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World Journal of Gastrointestinal Surgery 2024年第7期16卷 2221-2231页

作者： xiao-fei chen Hao-Jun Wu Tang Li Jia-Bin Liu Wen-Jie Zhou Qiang Guo Department of Thyroid Surgery West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina The Second Department of General Surgery Chengdu Shangjinnanfu HospitalWest China Hospital of Sichuan UniversityChengdu 611730Sichuan ProvinceChina Department of Biliary Surgery West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Hepatobiliary and Pancreatic Surgery Chengdu Shangjinnanfu HospitalWest China Hospital of Sichuan UniversityChengdu 611730Sichuan ProvinceChina Department of Vascular Surgery West China Hospital of Sichuan UniversityChengdu 610041Sichuan ProvinceChina

BACKGROUND Peripherally inserted central catheters(PICCs)are commonly used in hospitalized patients with liver cancer for the administration of chemotherapy,nutrition,and other ***,PICC-related thrombosis is a serious complication that can lead to morbidity and mortality in this patient *** risk factors have been identified for the development of PICC-related thrombosis,including cancer type,stage,comorbidities,and catheter *** these risk factors and developing a predictive model can help healthcare providers identify high-risk patients and implement preventive measures to reduce the incidence of *** To analyze the influencing factors of PICC-related thrombosis in hospitalized patients with liver cancer,construct a predictive model,and validate *** Clinical data of hospitalized patients with liver cancer admitted from January 2020 to December 2023 were ***-five cases of PICC-related thrombosis in hospitalized patients with liver cancer were collected,and 220 patients who underwent PICC placement during the same period but did not develop PICC-related thrombosis were randomly selected as controls.A total of 255 samples were collected and used as the training set,and 77 cases were collected as the validation set in a 7:3 *** patient information,case data,catheterization data,coagulation indicators,and Autar Thrombosis Risk Assessment Scale scores were *** and multivariate unconditional logistic regression analyses were performed on relevant factors,and the value of combined indicators in predicting PICC-related thrombosis in hospitalized patients with liver cancer was evaluated using receiver operating characteristic(ROC)curve *** Univariate analysis showed statistically significant differences(P<0.05)in age,sex,Karnofsky performance status score(KPS),bedridden time,activities of daily living impairment,parenteral nutrition,catheter duration,d

关键词： Liver cancer Peripherally inserted central catheters Thrombosis Model Verify

Synthesis of vanadium and chromium carbides(V_8C_7–Cr_3C_2) nanocomposite via an in situ precursor method

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Rare Metals 2015年第7期34卷 498-504页

作者： Zhi-Wei Zhao Wen-Meng Hu Hong-Juan Zheng fei-xiao chen College of Materials Science and Engineering Henan University of Technology

In situ synthesis method was used to prepare V8C7–*** vanadate, ammonium dichromate and nanometer carbon black were used as raw *** products were characterized by X-ray diffractometry(XRD), scanning electron microscopy(SEM), transmission electron microscopy(TEM), thermogravimetric and differential scanning calorimetry(TGDSC) and X-ray photoelectron spectroscopy(XPS) *** results show that V8C7–Cr3C2nanocomposite with an average crystallite size of 25.4 nm can be synthesized at 1200 °C for 1 *** synthesis temperature required by the method is at least 200 °C lower than that required by the conventional approaches for preparing vanadium and chromium *** powders show good dispersion and are mainly composed of spherical or nearly spherical particles with a mean diameter of about 30 *** weight loss ratio of the precursor throughout the reaction process reaches 58 wt%.Three exothermic peaks and four endothermic peaks occur during the *** surface of the specimen is mainly composed of V, Cr, C and O elements.

关键词： Nanocomposite Carbides Precursor In situ synthesis

Removal of the eye in a tertiary care center of China: a retrospective study on 573 cases in 20 years

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International Journal of Ophthalmology(English edition) 2015年第5期8卷 1024-1030页

作者： Ying Zhang Mao-Nian Zhang Xin Wang xiao-fei chen Department of Ophthalmology Chinese People's Liberation Army General Hospital

AIM: To investigate the original protopathy, direct indications, clinical characteristics, complications of orbit plants and visual conditions of eye enucleation/evisceration. METHODS: A retrospective study of 573 eyes removed (573 inpatients) at Ophthalmology Department in a tertiary care center of China from January 1993 to December 2012 was completed. RESULTS: Cases underwent removal of the eye accounted for 2.15% of total ophthalmology inpatients, whose annual frequency declined from 3.80% to 0.52%. There were 167 eyes (29.14%) being enucleated and 406 (70.86%) eviscerated. Annual proportion of evisceration rose from 16.67% in 1993 to 90.48% in later years. Trauma was the top one (65.62%) in original protopathies followed by neoplasm (13.44%) and ocular infections (5.76%). Phthisis bulbi (45.20%) was the most common direct indication, succeeded by malignant tumor (12.57%), loss/unreconstructed of intraocular tissues due to trauma (11.00%), untreatable inflammation (9.60%), intractable glaucoma (8.55%) and sclerocorneal staphyloma (5.24%). Exenteration was underwent in 20 (25.97%) cases (40% for recurrent carcinoma). Following evisceration, secondary prosthesis implantation was more and earlier, implant exposure occurred in less but earlier and infection and extraction/exchange of implants were more than those following enucleation. Male, phthisis bulbi, evisceration and secondary implantation meant lower risk of implant exposure; eyes removed within 24h following trauma was an independent risk factor. There were 14.37% of eyes with vision of light perception at least as been removed. In the residual contralateral eyes, low vision accounted 5.58% and blindness 3.14%. CONCLUSION: Ocular trauma, tumor and infections were great threats to eyeball preservation. Early and effective controlling of any original protopathies was vital. Generally evisceration presented more superior and safe outcomes than enucleation did. Visual conditions of the sufferers should be focus

关键词： enucleation evisceration protopathy indication complication implantation affecting factors

Ocular diseases: immunological and molecular mechanisms

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International Journal of Ophthalmology(English edition) 2016年第5期9卷 780-788页

作者： Jing Song Yi-fei Huang Wen-Jing Zhang xiao-fei chen Yu-Mian Guo Department of Ophthalmology Affiliated Hospital of Logistics University of People's Armed Police Force Department of Ophthalmology General Hospital of PLA

Many factors, such as environmental, microbial and endogenous stress, antigen localization, can trigger the immunological events that affect the ending of the diverse spectrum of ocular disorders. Significant advances in understanding of immunological and molecular mechanisms have been researched to improve the diagnosis and therapy for patients with ocular inflammatory diseases. Some kinds of ocular diseases are inadequately responsive to current medications;therefore, immunotherapy may be a potential choice as an alternative or adjunctive treatment, even in the prophylactic setting. This article first provides an overview of the immunological and molecular mechanisms concerning several typical and common ocular diseases; second, the functions of immunological roles in some of systemic autoimmunity will be discussed; third, we will provide a summary of the mechanisms that dictate immune cell trafficking to ocular local microenvironment in response to inflammation.

关键词： immunological mechanism ocular diseases systemic autoimmunity immune response chemokines

Interface characteristic and mechanical performance of TiAl/Ti_(2)AlNb diffusion bonding joint with pure Ti interlayer

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Rare Metals 2020年第12期39卷 1402-1412页

作者： Lei Zhu Bin Tang Ming-Xuan Ding Yan Liu xiao-fei chen Shao-Peng Yan Jin-Shan Li State Key Laboratory of Solidification Processing Northwestern Polytechnical UniversityXi'an 710072China Shaanxi Key Laboratory of High-Performance Precision Forming Technology and Equipment Northwestern Polytechnical UniversityXi'an 710072China

Solid-state diffusion bonding(DB)of TiAl alloy and Ti2 AlNb alloy was carried out using pure Ti as an interlayer at 1000℃under 20 MPa for 60-120 *** effects of bonding times on the interfacial microstructure and mechanical performance of the TiAl/Ti/Ti_(2)AlNb bonded joints at room temperature(RT)were investigated *** results demonstrated that the diffusion layers(DLs)mainly consisted of four characteristic layers,(Ⅰ)single coarseα_(2)phase adjacent TiAl alloy,(Ⅱ)single refinedα_(2)phase at the bonding interface,(Ⅲ)equiaxed/acicularα_(2)phase embedded inβphase adjacent Ti_(2)AtNb alloy and(IV)both equiaxedα_(2)phase and acicular O phase embedded inβphase adj acent Ti_(2)AlNb alloy,*** thickness of the four layers increased with the increasing of the bonding *** growth of DLs is controlled by diffusion and the reaction rate constant k for regionⅠ,Ⅱ,ⅢandⅣare 1.22×10^(-6),1.27×10^(-6),2.6×10^(-7)and 7.7×10^(-7)m·s^(-1/2),***,the interfaceα_(2)grain grows up without *** maximum tensile strength of 281 MPa was maintained at1000℃for 90 min under the pressure of 20 ***,the phase transformation and dynamic recrystallization behavior of the DLs were discussed.

关键词： Sputtering Bonding interface Microstructure Growth kinetics Mechanical performance

Surface Polarization Effects on Collapse Transition of Polyelectrolyte Brushes

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Chinese Journal of Polymer Science 2024年第9期42卷 1313-1320,I0006页

作者： xiao-fei Xu State Key Laboratory of Chemical Engineering and School of Chemical Engineering East China University of Science and TechnologyShanghai200237China

Polyelectrolyte brushes(PEBs)are commonly used to modify surface that have attracted great research *** dielectric permittivity of the grafted surface is typically significantly different from that of solution,which results in surface polarization(SP)effect with a jump of electric *** is thus important to study how SP alters the PEB’s structure and *** this work,the SP effects on PEB structure was studied using a statistical thermodynamic *** free energy functional to describe SP effect was constructed by using the image-charge ***,the electrostatic potential was solved from a modified Poisson-Boltzmann equation taking the ion solvation effect into *** the absence of SP,the thickness of PEB exhibited a continuous collapse transition when decreasing the solvent *** the presence of SP,the collapse became a jump-like *** energy analysis showed that the long-range Coulombic interaction dominated the transition because of the enhanced counterion condensation in the presence of *** theory provides an effective tool to study SP effect on PEBs,and the results explain the underlying physics in PEB collapse transition.

关键词： Surface polarization Polyelectrolyte brush Image charge Ion solvation Polyelectrolyte collapse transition

Large scale synthesis of FeS coated Fe nanoparticles as reusable magnetic photocatalysts

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Frontiers of Materials Science 2013年第3期7卷 308-311页

作者： He FENG Ping-Zhan SI xiao-fei xiao chen-Hao JIN Sen-Jiang YU Zheng-Fa LI Hong-Liang GE Zhejiang Key Lab of Magnetic Materials China Jiliang University Hangzhou 310018 China

The FeS coated Fe nanoparticles were prepared by using high temperature reactions between the commercial Fe nanoparticles and the S powders in a sealed quartz tube. The simple method developed in this work is effective for large scale synthesis of FeS/Fe nanoparticles with tunable shell/core structures, which can be obtained by controlling the atomic ratio of Fe to S. The structural, magnetic and photocatalytic properties of the nanoparticles were investigated systematically. The good photocatalytic performance originating from the FeS shell in degradation of methylene blue under visible light and the high saturation magnetization originating from the ferromagnetic Fe core make the FeS/Fe nanoparticles a good photocatalyst that can be collected and recycled easily with a magnet. An exchange bias up to tl mT induced in Fe by FeS was observed in the Fe/FeS nanoparticles with ferro/antiferromagnetic interfaces. The enhanced coercivi- ty up to 32 mT was ascribed to the size effect of Fe core.

关键词： magnetic photocatalyst exchange bias FeS coated Fe nanoparticle

On the Factors Influencing the High Stretch-Flangeability of a Low-Density 1180 MPa Fe-Mn-Al-C-Nbδ-QP Steel

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Acta Metallurgica Sinica(English Letters) 2024年第8期37卷 1291-1300页

作者： Dan‑Dan Cui Peng chen Peng‑fei Wang xiao‑Wu Li Department of Materials Physics and Chemistry School of Materials Science and Engineeringand Key Laboratory for Anisotropy and Texture of Materials(Ministry of Education)Northeastern UniversityShenyang 110819China State Key Laboratory of Rolling and Automation Northeastern UniversityShenyang 110819China

Low-densityδ-quenching and partitioning(δ-QP)steels with excellent strength and ductility have been recently ***,there are still rare reports on the formability of δ-QP steels,which are critical for satisfying the manufacture of structural parts during the application in automotive *** the present work,an 1180 MPa Fe–Mn–Al–C–Nbδ-QP steel with a high ductility was adopted for the stretch–flangeability ***δ-QP steel was developed by separated quenching and partitioning processes.A good hole expansion ratio(HER)of 34.9±0.9%was obtained in the quenched steel,but it has been further increased to 52.2%by the tempering *** improved stretch–flangeability was attributed to the enhanced austenite stability and deformation *** the one hand,the stability of austenite was increased by carbon partitioning during tempering,which reduced crack possibility via the suppression of the fresh martensite *** the other hand,the tempering treatment released the internal stress caused by martensitic transformation and reduced the difference in strength among different phases,resulting in an increase in the resistance to crack initiation and propagation.

关键词： Hole expansion ratio Low-densityδ-quenching and partitioning(δ-QP)steel Stretch-flangeability Austenite stability Deformation uniformity

Current landscape of preoperative neoadjuvant therapies for initial resectable colorectal cancer liver metastasis

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World Journal of Gastroenterology 2024年第7期30卷 663-672页

作者： xiao-fei cheng Feng Zhao Dong chen Fan-Long Liu Department of Colorectal Surgery The First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003Zhejiang ProvinceChina Department of Radiation Oncology The First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003Zhejiang ProvinceChina

Colorectal cancer liver metastasis(CRLM)presents a clinical challenge,and optimizing treatment strategies is crucial for improving patient *** resection,a key element in achieving prolonged survival,is often linked to a heightened risk of *** the potential benefits of preoperative neoadjuvant chemotherapy in managing resectable liver metastases,this approach has gained attention for its role in tumor downsizing,assessing biological behavior,and reducing the risk of postoperative ***,the use of neoadjuvant chemotherapy in initially resectable CRLM sparks ongoing *** balance between tumor reduction and the risk of hepatic injury,coupled with concerns about delaying surgery,necessitates a nuanced *** article explores recent research insights and draws upon the practical experiences at our center to address critical issues regarding considerations for initially resectable *** the criteria for patient selection and the judicious choice of neoadjuvant regimens are pivotal areas of *** the right balance between maximizing treatment efficacy and minimizing adverse effects is *** dynamic landscape of precision medicine is also reflected in the evolving role of gene testing,such as RAS/BRAF and PIK3CA,in tailoring neoadjuvant ***,the review emphasizes the need for a multidisciplinary approach to navigate the comp-lexities of *** technical expertise and biological insights is crucial in refining neoadjuvant *** management of progression following neoadjuvant chemotherapy requires a tailored approach,acknowledging the diverse biological behaviors that may *** conclusion,this review aims to provide a comprehensive perspective on the considerations,challenges,and advancements in the use of neoadjuvant chemotherapy for initially resectable *** combining evidencebased insights with practical experiences,we aspire to contribute

关键词： Neoadjuvant therapy Colorectal cancer liver metastasis Multidisciplinary teams Chemotherapeutic regimens Resectability criteria