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Immunohistochemical expression of matrix metalloproteinase-9 and 13 in oral squamous cell carcinoma and their role in predicting lymph node metastasis
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作者 Bhari Sharanesha Manjunatha Keshav T Handge +2 位作者 Vandana Sandeep Shah Yasser Eid Al-Thobaiti Deepak Gowda Sadashivappa Pateel 《World Journal of Methodology》 2025年第2期108-116,共9页
BACKGROUND One of the main characteristics of oral squamous cell carcinoma(OSCC)is that it metastasizes to cervical lymph nodes frequently with a high degree of local invasiveness.A primary feature of malignant tumors... BACKGROUND One of the main characteristics of oral squamous cell carcinoma(OSCC)is that it metastasizes to cervical lymph nodes frequently with a high degree of local invasiveness.A primary feature of malignant tumors is their penetration of neighboring tissues,such as lymphatic and blood arteries,due to the tumor cells'capacity to break down the extracellular matrix(ECM).Matrix metalloproteinases(MMPs)constitute a family of proteolytic enzymes that facilitate tissue remo-deling and the degradation of the ECM.MMP-9 and MMP-13 belong to the group of extracellular matrix degrading enzymes and their expression has been studied in OSCC because of their specific functions.MMP-13,a collagenase family member,is thought to play an essential role in the MMP activation cascade by breaking down the fibrillar collagens,whereas MMP-9 is thought to accelerate the growth of tumors.Elevated MMP-13 expression has been associated with tumor behavior and patient prognosis in a number of malignant cases.The authors wish to thank Jadhav KB for his valuable opinion during the preparation of the manuscript. 展开更多
关键词 Matrix metalloproteinases Oral squamous cell carcinoma Tumor staging IMMUNOHISTOCHEMISTRY INVASION Lymph node metastasis TNM stage
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Management of lateral pelvic lymph nodes in rectal cancer:Is it time to reach an Agreement?
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作者 Sigfredo E Romero-Zoghbi Fernando López-Campos Felipe Couñago 《World Journal of Clinical Oncology》 2024年第4期472-477,共6页
In this editorial,we proceed to comment on the article by Chua et al,addressing the management of metastatic lateral pelvic lymph nodes(mLLN)in stage II/III rectal cancer patients below the peritoneal reflection.The t... In this editorial,we proceed to comment on the article by Chua et al,addressing the management of metastatic lateral pelvic lymph nodes(mLLN)in stage II/III rectal cancer patients below the peritoneal reflection.The treatment of this nodal area sparks significant controversy due to the strategic differences followed by Eastern and Western physicians,albeit with a higher degree of convergence in recent years.The dissection of lateral pelvic lymph nodes without neoadjuvant therapy is a standard practice in Eastern countries.In contrast,in the West,preference leans towards opting for neoadjuvant therapy with chemoradiotherapy or radiotherapy,that would cover the treatment of this area without the need to add the dissection of these nodes to the total mesorectal excision.In the presence of high-risk nodal characteristics for mLLN related to radiological imaging and lack of response to neoadjuvant therapy,the risk of lateral local recurrence increases,suggesting the appropriate selection of strategies to reduce the risk of recurrence in each patient profile.Despite the heterogeneous and retrospective nature of studies addressing this area,an international consensus is necessary to approach this clinical scenario uniformly. 展开更多
关键词 Rectal cancer Lateral pelvic lymph node metastases Pelvic lymph node dissection Total neoadjuvant therapy Selective management of the lateral pelvic nodes Prophylactic management of the lateral pelvic nodes CHEMORADIOTHERAPY Total mesorectal excision
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Different lymph node staging systems for predicting the prognosis of colorectal neuroendocrine neoplasms
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作者 Yuan-Yi Zhang Yue-Wei Cai Xia Zhang 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第5期1745-1755,共11页
BACKGROUND Colorectal neuroendocrine neoplasms(NENs)are a rare malignancy that primarily arises from the diffuse distribution of neuroendocrine cells in the colon and rectum.Previous studies have pointed out that the ... BACKGROUND Colorectal neuroendocrine neoplasms(NENs)are a rare malignancy that primarily arises from the diffuse distribution of neuroendocrine cells in the colon and rectum.Previous studies have pointed out that the status of lymph node may be used to predict the prognosis.AIM To investigate the predictive values of lymph node ratio(LNR),positive lymph node(PLN),and log odds of PLNs(LODDS)staging systems on the prognosis of colorectal NENs treated surgically,and compare their predictive values.METHODS This cohort study included 895 patients with colorectal NENs treated surgically from the Surveillance,Epidemiology,and End Results database.The endpoint was mortality of patients with colorectal NENs treated surgically.X-tile software was utilized to identify most suitable thresholds for categorizing the LNR,PLN,and LODDS.Participants were selected in a random manner to form training and testing sets.The prognosis of surgically treating colorectal NENs was examined using multivariate cox analysis to assess the associations of LNR,PLN,and LODDS with the prognosis of colorectal NENs.C-index was used for assessing the predictive effectiveness.We conducted a subgroup analysis to explore the different lymph node staging systems’predictive values.RESULTS After adjusting all confounding factors,PLN,LNR and LODDS staging systems were linked with mortality in patients with colorectal NENs treated surgically(P<0.05).We found that LODDS staging had a higher prognostic value for patients with colorectal NENs treated surgically than PLN and LNR staging systems.Similar results were obtained in the different G staging subgroup analyses.Furthermore,the area under the receiver operating characteristic curve values for LODDS staging system remained consistently higher than those of PLN or LNR,even at the 1-,2-,3-,4-,5-and 6-year follow-up periods.CONCLUSION LNR,PLN,and LODDS were found to significantly predict the prognosis of patients with colorectal NENs treated surgically. 展开更多
关键词 Positive lymph node Lymph node ratio Log odds of positive lymph nodes PROGNOSIS Colorectal neuroendocrine neoplasms
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基于改进Node2vec算法的锅炉温度场分割方法研究 被引量:1
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作者 张悦 梁珊珊 《电力科学与工程》 2024年第5期72-78,共7页
针对温度场特征参数差异引发的锅炉温度场分割准确性的问题,以维持温度场特征为目标,引入图结构表达场数据,通过改进Node2vec算法进行聚类分析,进而实现锅炉温度场的最佳分割。该方法基于多维度的特征信息对锅炉温度场实现分割,能够更... 针对温度场特征参数差异引发的锅炉温度场分割准确性的问题,以维持温度场特征为目标,引入图结构表达场数据,通过改进Node2vec算法进行聚类分析,进而实现锅炉温度场的最佳分割。该方法基于多维度的特征信息对锅炉温度场实现分割,能够更准确地保留流场特征。在标准数据集上进行了实验验证,结果表明在具有多维度特征的数据集上,所提方法相比其他对比算法在分割效果方面有提升显著。最后将提出的方法用于分割电站锅炉温度场,结果表明该方法可以很好地捕捉温度场数据中的局部和全局特征,且结果具有较好的精确性。 展开更多
关键词 燃煤锅炉 温度场 流场分割 图结构 node2vec
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Feasibility and limitations of combined treatment for lateral pelvic lymph node metastases in rectal cancer 被引量:1
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作者 Ying-Zi Zheng Fang-Fang Yan Lian-Xiang Luo 《World Journal of Clinical Oncology》 2024年第5期591-593,共3页
Colorectal cancer ranks among the most commonly diagnosed cancers globally,and is associated with a high rate of pelvic recurrence after surgery.In efforts to mitigate recurrence,pelvic lymph node dissection(PLND)is c... Colorectal cancer ranks among the most commonly diagnosed cancers globally,and is associated with a high rate of pelvic recurrence after surgery.In efforts to mitigate recurrence,pelvic lymph node dissection(PLND)is commonly advocated as an adjunct to radical surgery.Neoadjuvant chemoradiotherapy(NACRT)is a therapeutic approach employed in managing locally advanced rectal cancer,and has been found to increase the survival rates.Chua et al have proposed a combination of NACRT with selective PLND for addressing lateral pelvic lymph node metastases in rectal cancer patients,with the aim of reducing recurrence and improving survival outcomes.Nevertheless,certain studies have indicated that the addition of PLND to NACRT and total mesorectal excision did not yield a significant reduction in local recurrence rates or improvement in survival.Consequently,meticulous patient selection and perioperative chemotherapy may prove indispensable in ensuring the efficacy of PLND. 展开更多
关键词 Rectal cancer Lateral pelvic lymph nodes metastases Pelvic lymph node dissection Neoadjuvant chemoradiotherapy Total mesorectal excision
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Analysis of the optimal target node to reduce seizure-like discharge in networks
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作者 闫璐瑶 张红慧 孙中奎 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第5期712-720,共9页
Network approaches have been widely accepted to guide surgical strategy and predict outcome for epilepsy treatment.This study starts with a single oscillator to explore brain activity,using a phenomenological model ca... Network approaches have been widely accepted to guide surgical strategy and predict outcome for epilepsy treatment.This study starts with a single oscillator to explore brain activity,using a phenomenological model capable of describing healthy and epileptic states.The ictal number of seizures decreases or remains unchanged with increasing the speed of oscillator excitability and in each seizure,there is an increasing tendency for ictal duration with respect to the speed.The underlying reason is that the strong excitability speed is conducive to reduce transition behaviors between two attractor basins.Moreover,the selection of the optimal removal node is estimated by an indicator proposed in this study.Results show that when the indicator is less than the threshold,removing the driving node is more possible to reduce seizures significantly,while the indicator exceeds the threshold,the epileptic node could be the removal one.Furthermore,the driving node is such a potential target that stimulating it is obviously effective in suppressing seizure-like activity compared to other nodes,and the propensity of seizures can be reduced 60%with the increased stimulus strength.Our results could provide new therapeutic ideas for epilepsy surgery and neuromodulation. 展开更多
关键词 EPILEPSY driving node epileptic node seizure regulation
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Fifty-five cases of hepatic alveolar echinococcosis combined with lymph node metastasis:A retrospective study
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作者 Yilizhati Aimaitijiang Tie-Min Jiang +1 位作者 Ying-Mei Shao Tuerganaili Aji 《World Journal of Gastroenterology》 SCIE CAS 2024年第23期2981-2990,共10页
BACKGROUND Lymph node metastasis is a specific type of metastasis in hepatic alveolar echinococcosis(AE).Currently,there is a scarcity of describing the clinical characteristics and lymph node metastasis rules of pati... BACKGROUND Lymph node metastasis is a specific type of metastasis in hepatic alveolar echinococcosis(AE).Currently,there is a scarcity of describing the clinical characteristics and lymph node metastasis rules of patients with hepatic AE combined with lymph node metastasis and its mechanism and management are still controversial.Radical hepatectomy combined with regional lymph node dissection is a better treatment.AIM To analyse the clinical features of hepatic AE combined with lymph node metastasis to explore its treatment and efficacy.METHODS A total of 623 patients with hepatic AE admitted to the First Affiliated Hospital of Xinjiang Medical University from 1 January 2012 to 1 January 2022 were retrospectively analysed.Fifty-five patients with combined lymph node metastasis were analysed for their clinical data,diagnosis and treatment methods,follow-up efficacy,and characteristics of lymph node metastasis.Finally,we comparatively analysed the lymph node metastasis rates at different sites.Categorical variables are expressed as frequencies and percentages,and the analysis of difference was performed using theχ2 test.The Bonferroni method was used for pairwise comparisons when statistical differences existed between multiple categorical variables.RESULTS A lymph node metastasis rate of 8.8%(55/623)was reported in patients with hepatic AE,with a female predilection(69.1%)and a statistically significant sex difference(χ2=8.018,P=0.005).Of the 55 patients with lymph node metastasis,72.7%had a parasite lesion,neighbouring organ invasion,and metastasis stage of P3N1M0 and above,of which 67.3%,78.2%,and 34.5%of hepatic AE lesions invaded the bile ducts,blood vessels,and distant metastases,respectively.Detection rates of lymph node metastasis of 16.4%,21.7%,and 34.2%were reported for a preoperative abdominal ultrasound,magnetic resonance imaging,and computed tomography examinations.All patients were intraoperatively suspected with enlarged lymph nodes and underwent radical hepatectomy combined with regional lymph node dissection.After surgery,a routine pathological examination was conducted on the resected lymph nodes.A total of 106 positive lymph nodes were detected in six groups at various sites,including 51 single-group metastasis cases and four multi-group metastasis cases.When the metastasis rates at different sites were statistically analysed,we observed that the metastasis rate in the para-hepatoduodenal ligament lymph nodes was significantly higher than that of the other sites(χ^(2)=128.089,P=0.000<0.05).No statistical difference was observed in the metastasis rate between the five other groups.Clavien-Dindo grade IIIa complication occurred in 14 cases,which improved after administering symptomatic treatment.Additionally,lymph node dissection-related complications were not observed.Recurrence after 2 years was observed in one patient.CONCLUSION Lymph node metastasis is a rare form of metastasis in hepatic AE,which is more frequent in women.Parahepatoduodenal ligament lymph nodes are commonly observed.Radical hepatectomy combined with regional lymph node dissection is a safe,effective,and feasible treatment for liver AE combined with lymph node metastasis. 展开更多
关键词 ECHINOCOCCOSIS Radical hepatectomy Lymph node metastasis Lymph node dissection Alveolar echinococcosis HEPATIC
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Robotic-assisted retroperitoneal lymph node dissection for stage II testicular cancer
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作者 George McClintock Ahmed S.Goolam +6 位作者 Don Perera Ryan Downey Scott Leslie Peter Grimison Henry Woo Peter Ferguson Nariman Ahmadi 《Asian Journal of Urology》 CSCD 2024年第1期121-127,共7页
Objective:To evaluate the perioperative as well as early oncological outcomes of patients undergoing robotic retroperitoneal lymph node dissection for treatment of testicular cancer.Methods:We conducted a prospective ... Objective:To evaluate the perioperative as well as early oncological outcomes of patients undergoing robotic retroperitoneal lymph node dissection for treatment of testicular cancer.Methods:We conducted a prospective consecutive case series of patients undergoing robotic assisted retroperitoneal lymph node dissection for metastatic testicular cancer between May 2018 and July 2021 at our institution.Data were collected on patient and tumour characteristics,intraoperative and postoperative parameters,and functional and oncological outcomes.Descriptive statistics are presented.Results:Nineteen patients were identified;18(94.7%)completed the procedure robotically and one was converted to open surgery;78.9%of patients had stage≥IIB and 12(63.2%)patients had undergone prior chemotherapy.The median operative time was 300(interquartile range[IQR]240-315)min.Median blood loss was 100(IQR 50-175)mL.Median length of stay was 2(range 1-11)days.All robotically completed patients commenced diet and passed flatus on Day 1 and were discharged by Day 3.The median lymph node yield was 40.5(IQR 38-51)nodes.All patients undergoing nerve-sparing procedures recovered antegrade ejaculatory function.One patient had a Clavien-Dindo III complication(chylous ascites requiring drainage).At a median follow-up of 22.3(IQR 16.3-24.9)months,one patient developed retroperitoneal recurrence,which was successfully treated with second-line chemotherapy;no other patients have had recurrences.Conclusion:Robotic retroperitoneal lymph node dissection is a safe and feasible alternative to open surgery in appropriately selected patients,offering low morbidity.Early oncological outcomes are promising.Larger cohorts and longer follow-ups are required to validate our institution's findings. 展开更多
关键词 Retroperitoneal lymph node dissection Robotic surgery Testicular cancer Retroperitoneal node dissection
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Clinical Study of Double Contrast-Enhanced Ultrasound Combined with Dye Method and Marker Placement to Identify and Locate Sentinel Lymph Nodes in Patients with Breast Cancer
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作者 Dayan Yang Lini Gao 《Advances in Breast Cancer Research》 CAS 2024年第3期49-58,共10页
Objective: To explore the value of percutaneous ultrasonography combined with transvenous ultrasonography for accurate localization of sentinel lymph nodes and diagnosis of metastatic lymph nodes in patients with brea... Objective: To explore the value of percutaneous ultrasonography combined with transvenous ultrasonography for accurate localization of sentinel lymph nodes and diagnosis of metastatic lymph nodes in patients with breast cancer. Methods: 18 cases of patients with breast cancer attending the Hainan General Hospital from May 2022 to June 2024 who were proposed to undergo axillary lymph node dissection were selected, and the ultrasonographic agent was injected subcutaneously through the areola on the 1st day before the operation, and the marker localization of the manifestation of the Sentinel lymph nodes and draw the lymphatic vessel alignment for drainage on the body surface, and record the manifestation of SLN by conventional ultrasound and dual ultrasonography. At the time of surgery, intraoperative melphalan localization was used to identify the SLN, the difference between the number of ultrasound and melphalan localization was observed, and resection was performed for pathological examination to determine whether they were metastatic or not. Results: There were 8 metastatic lymph nodes and 18 non-metastatic lymph nodes among 31 SLN. A total of 62 SLN were localized by intraoperative melphalan, of which 31 were consistent with ultrasound localization and 31 were not identified by ultrasound. The diagnostic sensitivity of SLN metastasis diagnosed by transcutaneous ultrasonography was 62.50%, specificity was 91.30%, positive predictive value was 71.43%, negative predictive value 87.50%, accuracy was 83.87%, and the AUC was 0.769;the diagnostic sensitivityof transvenous ultrasonography diagnosed was 75.00%, specificity was 75.00%, and the accuracy was 83.87%, 75.00%, specificity 91.30%, positive predictive value 75.00%, negative predictive value 91.30%, accuracy 87.10%, AUC 0.832;dual ultrasonography diagnostic sensitivity 87.50%, specificity 91.30%, positive predictive value 77.78%, negative predictive value 95.45%, accuracy 90.32%. The AUC was 0.894. Conclusion: Transcutaneous ultrasonography combined with transvenous ultrasonography can accurately localize sentinel lymph nodes and improve the sensitivity and accuracy of the diagnosis of metastatic SLN. 展开更多
关键词 Sentinel Lymph nodes Breast Cancer ULTRASOUND ULTRASONOGRAPHY Axillary Lymph nodes
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Does lymph node dissection improve the prognosis of patients with colorectal cancer?
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作者 Liang Wang Shan-Shan Liu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第12期3895-3898,共4页
The number of lymph nodes(LNs)dissected during surgery has become an interesting topic.Simple intuition always leads us to believe that dissecting more LNs will result in more accurate pathological staging and assuran... The number of lymph nodes(LNs)dissected during surgery has become an interesting topic.Simple intuition always leads us to believe that dissecting more LNs will result in more accurate pathological staging and assurance of surgical quality.However,when the number of LNs dissected reaches a certain threshold,the patient’s prognosis does not continue to improve as the number of dissected nodes increases.Instead,an increase in the number of dissected LNs may be accompanied by a higher incidence of complications.Currently,there are only less than 40%of colorectal cancer patients undergoing adequate LN evaluation.Therefore,obtaining a sufficient number of LNs in clinical practice is extremely challenging.How to further address the insufficiency of LN dissection due to various reasons,which results in concerns of surgeons about patient prognosis,is currently a critical focus. 展开更多
关键词 Number of lymph nodes Colorectal cancer Overall survival Tumor node metastasis T stage
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Colorectal cancer lymph node dissection and disease survival
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作者 Francisco J Morera-Ocon Clara Navarro-Campoy +1 位作者 John Deiver Cardona-Henao Francisco Landete-Molina 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第12期3890-3894,共5页
The debate regarding the two possible roles of lymphadenectomy in surgical oncology,prognostic or therapeutic,is still ongoing.Furthermore,the use of lymphadenectomy as a proxy for the quality of the surgical procedur... The debate regarding the two possible roles of lymphadenectomy in surgical oncology,prognostic or therapeutic,is still ongoing.Furthermore,the use of lymphadenectomy as a proxy for the quality of the surgical procedure is another feature of discussion.Nevertheless,this reckoning depends on patient conditions,aggressiveness of the tumor,the surgeon,and the pathologist,and then it is not an absolute surrogate for the surgical quality.The international guidelines recom-mend a minimum of 12 lymph nodes harvested for pathological examination in colorectal cancer(CRC)surgery.There is a growing literature on reporting better survival when the lymph node yield is high,even when these nodes are negative for malignancy.On the other hand,there are studies reporting no survival benefit with high lymph node yield in stage I-II of CRC.Herein we review the roles of the lymphadenectomy in CRC,and discuss the results of studies on lymph node harvesting. 展开更多
关键词 Lymph node yield Colorectal cancer Overall survival PROGNOSIS Tumor node metastasis staging
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Nonlinear Relationship and Its Evolutionary Trace between Node Degree and Average Path Length of China Aviation Network Based on Complex Network
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作者 Cheng Xiangjun Zhang Xiaoxuan Li Yangqi 《Journal of Traffic and Transportation Engineering》 2024年第1期11-22,共12页
In order to reveal the complex network characteristics and evolution principle of China aviation network,the relationship between the node degree and the average path length of China aviation network in 1988,1994,2001... In order to reveal the complex network characteristics and evolution principle of China aviation network,the relationship between the node degree and the average path length of China aviation network in 1988,1994,2001,2008 and 2015 was studied.According to the theory and method of complex network,the network system was constructed with the city where the airport was located as the network node and the airline as the edge of the network.On the basis of the statistical data,the node average path length of China aviation network in 1988,1994,2001,2008 and 2015 was calculated.Through regression analysis,it was found that the node degree had a logarithmic relationship with the average length of node path,and the two parameters of the logarithmic relationship had linear evolutionary trace.Key word:China aviation network,complex network,node degree,average length of node path,logarithmic relationship,evolutionary trace. 展开更多
关键词 China aviation network complex network node degree average length of node path logarithmic relationship evolutionary trace.
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Effect of the number of positive lymph nodes and lymph node ratio on prognosis of patients after resection of pancreatic adenocarcinoma 被引量:6
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作者 Zu-Qiang Liu Zhi-Wen Xiao +6 位作者 Guo-Pei Luo Liang Liu Chen Liu Jin Xu Jiang Long Quan-Xing Ni Xian-Jun Yu 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2014年第6期634-641,共8页
BACKGROUND: The prognostic factors related to lymph node involvement [lymph node status, the number of positive lymph nodes, lymph node ratio (LNR)] and the number of nodes evaluated in patients with pancreatic ade... BACKGROUND: The prognostic factors related to lymph node involvement [lymph node status, the number of positive lymph nodes, lymph node ratio (LNR)] and the number of nodes evaluated in patients with pancreatic adenocarcinoma after pancreatectomy are poorly defined. METHODS: A total of 167 patients who had undergone resection of pancreatic adenocarcinoma from February 2010 to August 2011 were included in this study. Histological examination was performed to evaluate the tumor differentiation and lymph node involvement. Univariate and multivariate analyses were made to determine the relationship between the variables related to nodal involvement and the number of nodes and survival. RESULTS: The median number of total nodes examined was 10 (range 0-44) for the entire cohort. The median number of total nodes examined in node-negative (pN0) patients was similar to that in node-positive (pN1) patients. Patients with pN1 diseases had significantly worse survival than those with pN0 ones (P=0.000). Patients with three or more positive nodes had a poorer prognosis compared with those with the negative nodes (P=0.000). The prognosis of the patients with negative nodes was similar to that of those with one to two positive nodes (P=0.114). The median survival of patients with an LNR ≥0.4 was shorter than that of patients with an LNR 〈0.4 in the pN1 cohort (P=0.014). No significance was found between the number of total nodes examined and the prognosis, regardless of the cutoff of 10 or 12 and in the entire cohort or the pN0 and pN1 groups. Based on the multivariate analysis of the entire cohort and the pN1 group, the nodal status, the number of positive nodes and the LNR were all associated with survival. CONCLUSIONS: In addition to the nodal status, the number of positive nodes and the LNR can serve as comprehensive factors for the evaluation of nodal involvement. This approach may be more effective for predicting the survival of patients with pancreatic adenocarcinoma after pancreatectomy. 展开更多
关键词 lymph node status lymph node ratio number of positive nodes number of total nodes examined pancreatic adenocarcinoma PANCREATECTOMY
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Lymph node dissection does not affect the survival of patients with tumor node metastasis stages Ⅰ and Ⅱ colorectal cancer 被引量:2
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作者 Fan He Shu-Pei Qu +1 位作者 Ye Yuan Kun Qian 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第8期2503-2510,共8页
BACKGROUND The effect of the number of lymph node dissections(LNDs)during radical resection for colorectal cancer(CRC)on overall survival(OS)remains controver-sial.AIM To investigate the association between the number... BACKGROUND The effect of the number of lymph node dissections(LNDs)during radical resection for colorectal cancer(CRC)on overall survival(OS)remains controver-sial.AIM To investigate the association between the number of LNDs and OS in patients with tumor node metastasis(TNM)stage Ⅰ–Ⅱ CRC undergoing radical resection.METHODS Patients who underwent radical resection for CRC at a single-center hospital between January 2011 and December 2021 were retrospectively analyzed.Cox regression analyses were performed to identify the independent predictors of OS at different T stages.RESULTS A total of 2850 patients who underwent laparoscopic radical resection for CRC were enrolled.At stage T1,age[P<0.01,hazard ratio(HR)=1.075,95%confidence interval(CI):1.019-1.134]and tumour size(P=0.021,HR=3.635,95%CI:1.210-10.917)were independent risk factors for OS.At stage T2,age(P<0.01,HR=1.064,95%CI:1.032-1.098)and overall complications(P=0.012,HR=2.297,95%CI:1.200-4.397)were independent risk factors for OS.At stage T3,only age(P<0.01,HR=1.047,95%CI:1.027-1.066)was an independent risk factor for OS.At stage T4,age(P<0.01,HR=1.057,95%CI:1.039-1.075)and body mass index(P=0.034,HR=0.941,95%CI:0.890-0.995)were independent risk factors for OS.However,there was no association between LNDs and OS in stages Ⅰ and Ⅱ.CONCLUSION The number of LDNs did not affect the survival of patients with TNM stages Ⅰ and Ⅱ CRC.Therefore,insufficient LNDs should not be a cause for alarm during the surgery. 展开更多
关键词 Lymph nodes Colorectal cancer T stage Overall survival Cox regression analyses
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基于Node-red的云端智能生产线控制系统设计与实现 被引量:1
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作者 陈玄烨 张鑫 +2 位作者 张景翔 文世华 李红利 《山东工业技术》 2024年第3期58-62,共5页
针对传统生产线在刚性生产过程中面临的成本过高、远程实施难、兼容性低等关键问题,基于目前中小企业的技术基础相对薄弱,无法将云计算平台、数据存储和处理等设备及技术运用到实际生产中的现状,本文利用西门子S7-1200 PLC作为核心控制... 针对传统生产线在刚性生产过程中面临的成本过高、远程实施难、兼容性低等关键问题,基于目前中小企业的技术基础相对薄弱,无法将云计算平台、数据存储和处理等设备及技术运用到实际生产中的现状,本文利用西门子S7-1200 PLC作为核心控制器,基于Node-red平台设计了成本低、兼容性高的云端智能生产线监控系统,便于实现对于生产线的监视和控制,提高生产效率与产品质量。现场运行表明,该系统运行稳定,满足智能生产线的设计要求,同时具备部署成本低、兼容性高的突出优势。 展开更多
关键词 工业物联网 node-red 智能生产线 云端控制系统
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Combining lymph node ratio to develop prognostic models for postoperative gastric neuroendocrine neoplasm patients 被引量:1
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作者 Wen Liu Hong-Yu Wu +4 位作者 Jia-Xi Lin Shu-Ting Qu Yi-Jie Gu Jin-Zhou Zhu Chun-Fang Xu 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第8期3507-3520,共14页
BACKGROUND Lymph node ratio(LNR)was demonstrated to play a crucial role in the prognosis of many tumors.However,research concerning the prognostic value of LNR in postoperative gastric neuroendocrine neoplasm(NEN)pati... BACKGROUND Lymph node ratio(LNR)was demonstrated to play a crucial role in the prognosis of many tumors.However,research concerning the prognostic value of LNR in postoperative gastric neuroendocrine neoplasm(NEN)patients was limited.AIM To explore the prognostic value of LNR in postoperative gastric NEN patients and to combine LNR to develop prognostic models.METHODS A total of 286 patients from the Surveillance,Epidemiology,and End Results database were divided into the training set and validation set at a ratio of 8:2.92 patients from the First Affiliated Hospital of Soochow University in China were designated as a test set.Cox regression analysis was used to explore the relationship between LNR and disease-specific survival(DSS)of gastric NEN patients.Random survival forest(RSF)algorithm and Cox proportional hazards(CoxPH)analysis were applied to develop models to predict DSS respectively,and compared with the 8th edition American Joint Committee on Cancer(AJCC)tumornode-metastasis(TNM)staging.RESULTS Multivariate analyses indicated that LNR was an independent prognostic factor for postoperative gastric NEN patients and a higher LNR was accompanied by a higher risk of death.The RSF model exhibited the best performance in predicting DSS,with the C-index in the test set being 0.769[95%confidence interval(CI):0.691-0.846]outperforming the CoxPH model(0.744,95%CI:0.665-0.822)and the 8th edition AJCC TNM staging(0.723,95%CI:0.613-0.833).The calibration curves and decision curve analysis(DCA)demonstrated the RSF model had good calibration and clinical benefits.Furthermore,the RSF model could perform risk stratification and individual prognosis prediction effectively.CONCLUSION A higher LNR indicated a lower DSS in postoperative gastric NEN patients.The RSF model outperformed the CoxPH model and the 8th edition AJCC TNM staging in the test set,showing potential in clinical practice. 展开更多
关键词 Gastric neuroendocrine neoplasm Lymph node ratio Disease-specific survival Random survival forest Predictive model
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"Five steps four quadrants" modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in laparoscopic pancreaticoduodenectomy 被引量:1
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作者 Xiao-Si Hu Yong Wang +5 位作者 Hong-Tao Pan Chao Zhu Shi-Lei Chen Hui-Chun Liu Qing Pang Hao Jin 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期503-510,共8页
BACKGROUND Although en bloc dissection of hepatic hilum lymph nodes has many advantages in radical tumor treatment,the feasibility and safety of this approach for laparo-scopic pancreaticoduodenectomy(LPD)require furt... BACKGROUND Although en bloc dissection of hepatic hilum lymph nodes has many advantages in radical tumor treatment,the feasibility and safety of this approach for laparo-scopic pancreaticoduodenectomy(LPD)require further clinical evaluation and investigation.AIM To explore the application value of the"five steps four quadrants"modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in LPD patients.METHODS A total of 52 patients who underwent LPD via the"five steps four quadrants"modularized en bloc dissection technique for hepatic hilum lymph nodes from April 2021 to July 2023 in our department were analyzed retrospectively.The patients'body mass index(BMI),preoperative laboratory indices,intraoperative variables and postoperative complications were recorded.The relationships between preoperative data and intraoperative lymph node dissection time and blood loss were also analyzed.RESULTS Among the 52 patients,36 were males and 16 were females,and the average age was 62.2±11.0 years.There were 26 patients with pancreatic head cancer,16 patients with periampullary cancer,and 10 patients with distal bile duct cancer.The BMI was 22.3±3.3 kg/m²,and the median total bilirubin(TBIL)concentration was 57.7(16.0-155.7)µmol/L.All patients successfully underwent the"five steps four quadrants"modularized en bloc dissection technique without lymph node clearance-related complications such as postoperative bleeding or lymphatic leakage.Correlation analysis revealed significant associations between preoperative BMI(r=0.3581,P=0.0091),TBIL level(r=0.2988,P=0.0341),prothrombin time(r=0.3018,P=0.0297)and lymph node dissection time.Moreover,dissection time was significantly correlated with intraoperative blood loss(r=0.7744,P<0.0001).Further stratified analysis demonstrated that patients with a preoperative BMI≥21.9 kg/m²and a TIBL concentration≥57.7μmol/L had significantly longer lymph node dissection times(both P<0.05).CONCLUSION The"five steps four quadrants"modularized en bloc dissection technique for accessing the hepatic hilum lymph node is safe and feasible for LPD.This technique is expected to improve the efficiency of hepatic hilum lymph node dissection and shorten the learning curve;thus,it is worthy of further clinical promotion and application. 展开更多
关键词 Five steps four quadrants Hepatic hilum lymph node Modularized en bloc clearance Laparoscopic pancreaticoduodenectomy
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基于Node.js的农业物联网应用平台设计
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作者 倪鹏程 严利 +1 位作者 陈红 陈慧琴 《信息与电脑》 2024年第3期60-63,共4页
文章的研究目的在于提出基于Node.js的物联网应用平台设计方案,解决物联网实际运行过程中数据上传存在的问题,提出并设计一种基于Node.js的农业物联网应用平台,可以实现对农业生产环境参数的监测与控制。首先介绍农业物联网的背景与需求... 文章的研究目的在于提出基于Node.js的物联网应用平台设计方案,解决物联网实际运行过程中数据上传存在的问题,提出并设计一种基于Node.js的农业物联网应用平台,可以实现对农业生产环境参数的监测与控制。首先介绍农业物联网的背景与需求,明确研究目标,其次详细描述本平台的设计思路与架构,主要应用层平台软件的设计与实现。平台的实际应用显示,本平台能够在实现物联网常见功能的同时,支持更大的数据并发处理需求,对于农业物联网的应用特点有着更好的支持作用。 展开更多
关键词 农业物联网 环境监测 node.js
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基于Node-RED的基建现场微气象监测与告警系统设计与实现 被引量:1
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作者 李瑞喜 何锐 +1 位作者 辛卫东 张博 《科学技术创新》 2024年第2期119-122,共4页
为了更好地满足输变电工程基建现场应用中对现场环境数据监测与告警的需求,本文设计实现了一种基于Node-RED的基建现场微气象监测与告警系统。该系统通过搭建基于Node-RED的监测预警服务,能够快速完成设备接入,实时监测PM2.5等各项微气... 为了更好地满足输变电工程基建现场应用中对现场环境数据监测与告警的需求,本文设计实现了一种基于Node-RED的基建现场微气象监测与告警系统。该系统通过搭建基于Node-RED的监测预警服务,能够快速完成设备接入,实时监测PM2.5等各项微气象指标,并且能够通过自动执行预设的处置策略就地进行告警或将数据推送至相关平台。该系统可以有效提升基建现场环境监测与告警的效率,在推进电力基建领域的数字化、智能化转型方面具有显著意义。 展开更多
关键词 node-RED 变电工程 基建现场 监测告警
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A Layered Energy-Efficient Multi-Node Scheduling Mechanism for Large-Scale WSN
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作者 Xue Zhao Shaojun Tao +2 位作者 Hongying Tang Jiang Wang Baoqing Li 《Computers, Materials & Continua》 SCIE EI 2024年第4期1335-1351,共17页
In recent years, target tracking has been considered one of the most important applications of wireless sensornetwork (WSN). Optimizing target tracking performance and prolonging network lifetime are two equally criti... In recent years, target tracking has been considered one of the most important applications of wireless sensornetwork (WSN). Optimizing target tracking performance and prolonging network lifetime are two equally criticalobjectives in this scenario. The existing mechanisms still have weaknesses in balancing the two demands. Theproposed heuristic multi-node collaborative scheduling mechanism (HMNCS) comprises cluster head (CH)election, pre-selection, and task set selectionmechanisms, where the latter two kinds of selections forma two-layerselection mechanism. The CH election innovatively introduces the movement trend of the target and establishesa scoring mechanism to determine the optimal CH, which can delay the CH rotation and thus reduce energyconsumption. The pre-selection mechanism adaptively filters out suitable nodes as the candidate task set to applyfor tracking tasks, which can reduce the application consumption and the overhead of the following task setselection. Finally, the task node selection is mathematically transformed into an optimization problem and thegenetic algorithm is adopted to form a final task set in the task set selection mechanism. Simulation results showthat HMNCS outperforms other compared mechanisms in the tracking accuracy and the network lifetime. 展开更多
关键词 node scheduling pre-selection target tracking WSN
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