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- 저자 : Jingxian Shen (검색결과 3 건)
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Yifei Wang,Kaiyu Sun,Jingxian Shen,Bin Li,Ming Kuang,Qinghua Cao,Sui Peng 대한암학회 2019 Cancer Research and Treatment Vol.51 No.4
Purpose Hepatocellular carcinoma (HCC) is an aggressive disease with high recurrence rate. However, current staging systems were lack of predictive capacity for HCC recurrence. We aimed to develop prognostic nomograms based on inflammation-related markers for HCC patients underwent hepatectomy. Materials and Methods We recruited 889 surgically treated patients from two medical centers. Independent prognostic factors were identified by cox regression analyses. Nomograms for recurrence-free survival (RFS) and overall survival (OS) were established and validated internally and externally. The performance, discrimination, and calibration of nomograms were assessed and compared with existed staging systems. Results Neutrophil to lymphocyte ratio (NLR) and gamma-glutamyl transpeptidase to platelet ratio (GPR) were the two inflammation-related factor that independently correlated with survival. NLR, GPR, international normalized ratio (INR), microvascular invasion, satellite lesions, tumor number, tumor diameter, and macrovascular invasion were used to construct nomogram for RFS while GPR, total bilirubin, INR, -fetoprotein, microvascular invasion, satellite lesions, tumor diameter, and macrovascular invasion were for OS. In the training cohort, the C-index of nomogram was 0.701 (95% confidence interval [CI], 0.669 to 0.732) for RFS and 0.761 (95% CI, 0.728 to 0.795) for OS. These results received both internal and external validation with C-index of 0.701 (95% CI, 0.647 to 0.755) and 0.707 (95% CI, 0.657 to 0.756) for RFS, and 0.706 (95% CI, 0.640 to 0.772) and 0.708 (95%CI, 0.646 to 0.771) for OS, respectively. The nomograms showed superior accuracy to conventional staging systems (p < 0.001). Conclusion The nomograms based on inflammation-related markers are of high efficacy in predicting survival of HCC patients after hepatectomy, which will be valuable in guiding postoperative interventions and follow-ups.
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Jianping Wang*,Man Shu*,Hong Peng,Shaoqiang Li,Dongming Li,Jingxian Shen,Ming Kuang,Ying Zhang,Zebin Chen 대한외과학회 2023 Annals of Surgical Treatment and Research(ASRT) Vol.104 No.5
Purpose: Reports showed that some of intrahepatic cholangiocarcinoma (ICC) patients with lymph node metastasis (LNM) may also gain survival benefit undergone resection. However, the effect of the extent of LNM on prognosis and surgical indication is barely discussed. Methods: From September 1994 to November 2018, primary ICC patients undergone initial curable surgery were enrolled. Based on the extent of LNM, we divided these patients into 4 groups, including patients with no LNM (group N0), LNM to hepatoduodenal ligament or common hepatic artery (region A, group A), LNM to gastrohepatic lymph nodes for left liver ICC and periduodenal and peripancreatic lymph node for right liver ICC (region B, group B), or LNM beyond these regions (region C, group C). Multivariable Cox regression analysis was performed to identify the prognostic factors for recurrence- free survival (RFS) and overall survival (OS) in all groups. Results: A total of 133 patients were enrolled. There were 56, 21, 17, and 39 patients in groups N0, A, B, and C, respectively. There was significant difference between groups N0 and C in RFS (P < 0.001) and OS (P = 0.002). When we compared group N0 + A + B with group C, we also found that RFS (P < 0.001) and OS (P = 0.007) were significantly different. In multivariable analysis, the extent of LNM was an independent risk factor for RFS (P < 0.050). Conclusion: ICC patients with the LNM to regions A and B could still achieve good prognosis with resection. Surgery should be carefully considered when LNM to region C.
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Minjia Lu,Pingping Jiang,Pingbo Zhang,Shan Feng,Zhixuan Cui,Qingkui Song,Yong Zhao,Jingxian Shen,Yiyi Fan,Huixian Lu 한국공업화학회 2023 Journal of Industrial and Engineering Chemistry Vol.128 No.-
A novel multifunctional plasticizer, cyclohexyl triethylene glycol oligo-lactate (CTLE) was designed by atwo-step esterification reaction using green non-toxic biomass lactic acid as raw material. Its structurewas characterized by 1H NMR, FT-IR and TOF-MS. Thermogravimetric analysis (TGA), tensile test andleaching test were used to evaluate the plasticizer effect of PVC or PLA blends. Compared with commercialplasticizers, CTLE showed more outstanding thermal stability, flexibility and migration stability. Under the same condition with the addition of 50 phr plasticizer, the CTLE plasticized PVC film hadthe lowest glass transition temperature (TgCTLE-50 = 24.6 C) and the highest initial decomposition temperature(TiCTLE-50 = 265.4 C). In PLA blends, only the CTLE plasticized PLA film could recover after fracture,and the stress relaxation test results showed that the stress value of PLA-CTLE-20 drops sharply to anon-zero value, showing elastic characteristics. We estimate that the excellent plasticity of CTLE is due toits molecular structure. Among them, a large number of polar groups form intermolecular forces withPVC chain segments to make the binding tight, and the ring structure increases the free volume betweenPVC chain segments.
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