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| 1 | Climate changes in East China since the Late-glacial inferred from high-resolution mountain peat humification records显示文摘High-resolution peat humification records were obtained from Dajiuhu of the Shennongjia Mountains and Qianmutian of the Tianmu Mountains to study climate changes in East China.The analyses of pollen,organic matters,TOC,and Rb/Sr indicate a high degree of peat humification and thus strong decomposition of organic matter when climate was dry.Conversely,when climate was humid,the degree of humification is low because peat was preserved in a waterlogged condition.Peat humification from Dajiuhu occurred not only during the Younger Dryas(about 11.4-12.6 cal ka BP),the Blling-Allerd Warm Period(12.6-15.2 cal ka BP),and the Oldest Dryas(about 15.2-16.0 cal ka BP),but also during the early Holocene(about 11.4-9.4 cal ka BP),the 8.2 cal ka BP cold event,and the Holocene Optimum(about 7.0-4.2 cal ka BP).Both peat humification records since nearly 5 ka BP are consistent,showing that mountain peatland has synchronous responses to the East Asia monsoon-induced precipitation.The LOI data confirm the above observation.The monsoon precipitation since nearly 5 ka BP recorded in these two peat profiles can be divided into three phases.During 4.9-3.5 ka BP,precipitation amount was high but fluctuated greatly.During 3.5-0.9 ka BP,precipitation amount was low.During 0.9-0 ka BP,degree of humification reduced gradually,indicating the increase of monsoon precipitation.Contrast to other high-resolution records from East China monsoon region shows that the monsoon precipitation records of the two peat profiles since nearly 16 ka BP are controlled by a common forcing mechanism of summer solar radicalization in the Northern Hemisphere. | MA ChunMei ZHU Cheng ZHENG ChaoGui YIN Qian ZHAO ZhiPing | 2009 | Science China Earth Sciences2009，52，1： | 22 |
| 2 | Current status of diagnosis and treatment of bladder cancer in China-Analyses of Chinese Bladder Cancer Consortium database显示文摘Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases from 44 CBCC centers were included.Data of diagnosis,treatment and pathology were collected.Results:The average age was 63.5 year-old and most patients were male(84.3%).The most common histologic types were urothelial carcinoma(91.4%),adenocarcinoma(1.8%),and squamous carcinoma(1.9%).According to 1973 and 2004 WHO grading system,42.0%,41.0%,and 17.0% of patients were grade 1,2,and 3,and 16.0%,48.7%,and 35.3% of patients were papillary urothelial neoplasms of low malignant potential,low,and high grade,respectively.Non-muscle invasive bladder cancer(NMIBC)and muscle invasive bladder cancer(MIBC)were 25.2% and 74.1%,respectively(0.8% not clear).Carcinoma in situ was only 2.4%.Most patients were diagnosed by white-light cystoscopy with biopsy(74.3%).Fluorescence and narrow band imaging cystoscopy had additional detection rate of 1.0% and 4.0%,respectively.Diagnostic transurethral resection(TUR)provided detection rate of 16.9%.Most NMIBCs were treated with TUR(89.2%).After initial TUR,2.6%accepted second TUR,and 45.7%,69.9%,and 58.7% accepted immediate,induced,and maintenance chemotherapy instillation,respectively.Most MIBCs were treated with radical cystectomy(RC,59.7%).Laparoscopic RCs were 35.1%,while open RC 63.4%.Extended and standard pelvic lymph node dissection were 7% and 66%,respectively.Three most common urinary diversions were orthotopic neobladder(44%),ileal conduit(31%),and ureterocutaneostomy(23%).Only 2.3% of patients accepted neo-adjuvant chemotherapy and only 18%of T3 and T4 patients accepted adjuvant chemotherapy.Conclusion:Disease characteristics are similar to international reports,while differences of diagnosis and treatment exist.This study can provide evidences for revisions of the guideline on bladder cancer in China. | Kaiwen Li Tianxin Lin 无 Wei Xue Xin Mu Enci Xu Xu Yang Fubao Chen Guangyong Li Lulin Ma Guoliang Wang Chaozhao Liang Haoqiang Shi Ming Li Mao Tang Xueyi Xue Yisong Lv Yaoliang Deng Chengyang Li Zhiwen Chen Xiaozhou Zhou Fengshuo Jin Xudong Liu Jinxin Wei Lei Shi Xin Gou Weiyang He Liqun Zhou Lin Cai Baiye Jin Guanghou Fu Xiangbo Kong Hongyan Sun Ye Tian Lang Feng Tiejun Pan Yiyi Wu Dongwen Wang Hailong Hao Benkang Shi Yaofeng Zhu Qiang Wei Ping Han Changli Wu Dawei Tian Zhangqun Ye Zheng Liu Zhiping Wang Junqiang Tian Lin Qi Minfeng Chen Wei Li Jinchun Qi Gongxian Wang Longlong Fu Zhaolin Sun Guangheng Luo Zhoujun Shen Zhaowei Zhu Jinchun Xing Zhun Wu Dong Wei Xin Chen Yanqun Na Hongfeng Guo Chunxi Wang Zhihua Lu Chuize Kong Yang Liu Jin Yang Jianyun Hu Xin Gao Jielin Li Changjun Yin Pu Li Shan Chen Zhen Du Jiongming Li Yongji Yan Xu Zhang Shuang Huang Fangjian Zhou Zhiling Zhang Yinghao Sun Shuxiong Zeng Song Cen Jiaquan Zhou Hanzhong Li Jin Wen Jian Huang | 2015 | Asian Journal of Urology2015，2，2： | 21 |
| 3 | High-resolution geochemistry records of climate changes since late-glacial from Dajiuhu peat in Shennongjia Mountains,Central China显示文摘A peat core with depths of 297 cm was obtained from the Dajiuhu Basin(31°29′27″N,109°59′45″E,1760 m)in Hubei Province,Central China.10 AMS ages provide a time control and reveal that this core spans the past about 16.0 kaBP(calibrated age)(1 4C age:13.3 kaBP).Multi-proxy indexes analysis of geochemistry shows the following character of climate and environmental changes since about 16 kaBP:(1) The climate during the late-glacial period was cold and wet as a whole,but fluctuated continually.11.4- 12.6 cal.kaBP,12.6-15.2 cal.kaBP and 15.2-16 kaBP were corresponding respectively to the Younger Drays,Bφlling-Allerφd Warm Period and the Oldest Drays.(2)Inheriting the some climate characteristics of the late-glacial,the climate during the early-Holocene was wet and temperature increased gradually,during which an obvious dry event around 10.6 cal.kaB appeared.(3)The climate during the mid-Holocene was genarally warm and wet.During 9.2-7.5 kaBP,temperature increased gradually, precipitation was less comparatively and the 8.2 kaBP cold event which might be representative in the globe was reflected markedly.Then,multi-proxy records were relatively stable during 6.7-4.2 kaBP, which shows the best water and thermal condition in the Holocene Optimum.(4)Around 4.2 kaBP,the climate and environment transform from warm and wet to cool and dry,which may result in the collapse of the Neolithic Culture and midwifery the civilization of Xia Dynasty in this region.After 0.9 kaBP,the climate turned cool and wet.Climate and environmental changes archived in Dajiuhu peat respond to the global changes since the late-glacial period and can be contrasted to the changes recorded in other high-resolution archives from the East Asia Monsoon region,which take on the variety model that the monsoon strengthened abruptly after the late-glacial,was strong during the early Holocene,subse- quently declined and became weak after the middle Holocene with dry climate.According to our analysis,the driving mechanism should be the response of solar radiation changes in the East Asia Monsoon region at middle latitudes. | MA ChunMei ZHU Cheng ZHENG ChaoGui WU ChunLin GUAN Yong ZHAO ZhiPing HUANG LinYan HUANG Run | 2008 | Chinese Science Bulletin2008，53，S1： | 19 |
| 4 | Bronchial artery embolization for hemoptysis:A systematic review and meta-analysis显示文摘Objective:To assess the safety and efficacy of bronchial artery embolization(BAE)for hemoptysis.Methods and materials:Databases with articles published in English,including Pubmed,Embase,Web of science and Chochrane library,were comprehensively searched to get accurate,up-to-date and sufficient literature about BAE for hemoptysis until March 2020.The technical success rates,immediate control rates,recurrence rates,mortality rates,and total complication rates(minor and major complication rates)extracted from the articles were pooled to estimate and assess the efficacy and safety of BAE using random-effect and fixed-effect models.Results:21 articles published between 2008 and 2019,which include a total of 2511 patients,were studied to evaluate the safety and efficacy of BAE.The technical success and immediate control rates are 99.9%(95%CI:99%-100%)and 99.5%(95%CI:97.8%-99.2%),respectively.This study showed hemoptysis recurrence in 23.7%(95%CI:18.5%-28.9%)with a mortality rate of 2%(95%CI:0-3%).Additionally,the assessment of complications revealed a total complication rate of 13.4%(95%CI:7.6-19.2%),in which 0.2%(95%CI:0.2-0.4%)were major complications and 10%(95%CI:4.7-9.6%)were minor complications.Conclusion:BAE is an effective,safe,and feasible procedure with a low complication rate for hemoptysis patients.However,recurrence of hemoptysis is still at high risk after BAE due to different underlying diseases. | Zhiyuan Zheng Zhiquan Zhuang Minjie Yang Jianjun Luo Wen Zhang Zhiping Yan Xiaolin Wang | 2021 | Journal of Interventional Medicine2021，4，4： | 7 |
| 5 | Does clopidogrel with aspirin after acute minor stroke or transient ischemic attack increase the risk of cerebral hemorrhage?显示文摘Wang et al1 recently showed that in patients with transient ischemic attack (TIA) or minor stroke that can be treated within 24 hours after the onset of symptoms,the combination of clopidogrel and aspirin was superior to aspirin alone for reducing the risk of stroke in the first 90 days,without increasing the risk of hemorrhage.We report a patient treated with this combination but suffered recurrent stroke and hemorrhage. | Zheng Haiping Chen Chunli Hu Zhiping Yang Li | 2014 | Chinese Medical Journal2014，，18： | 5 |
| 6 | Micro- and nano-mechanics in China: A brief review of recent progress and perspectives显示文摘The past three decades have witnessed the explosion of nanoscience and technology, where notable research efforts have been made in synthesizing nanomaterials and controlling nanostructures of bulk materials. The uncovered mechanical behaviors of structures and materials with reduced sizes and dimensions pose open questions to the community of mechanicians, which expand the framework of continuum mechanics by advancing the theory, as well as modeling and experimental tools. Researchers in China have been actively involved into this exciting area, making remarkable contributions to the understanding of nanoscale mechanical processes, the development of multi-scale, multi-field modeling and experimental techniques to resolve the processing-microstructures-properties relationship of materials, and the interdisciplinary studies that broaden the subjects of mechanics. This article reviews selected progress made by this community, with the aim to clarify the key concepts, methods and applications of micro-and nano-mechanics, and to outline the perspectives in this fast-evolving field. | ZhiPing Xu QuanShui Zheng | 2018 | Science China(Physics,Mechanics & Astronomy)2018，61，7： | 5 |
| 7 | High-temperature phase transition behavior and magnetocaloric effect in a sub-rapidly solidified La–Fe–Si plate produced by centrifugal casting显示文摘A sub-rapidly solidified La Fe_(11.6)Si_(1.4)plate was fabricated directly from liquid by centrifugal casting method.The phase constitution,microstructure and magnetocaloric effect were investigated using backscatter scanning electron microscopy,X-ray diffraction,differential scanning calorimetry and physical property measurement system.When the plate was annealed at 1373 K,1 phase was formed by a solid-state peritectoid reaction.A first-order magnetic phase transition occurred in the vicinity of188 K,and the effective refrigeration capacities reached 203.5 J/kg and 209.7 J/kg in plates annealed for1 h and 3 h,respectively,under a magnetic field change of 3 T.It is suggested that centrifugal casting may become a new approach to prepare high-performance La–Fe–Si magnetocaloric plates for practical applications,which could largely accelerate the formation of 1 phase during high-temperature heat-treatment process due to refined and homogeneous honeycombed microstructure. | Zhishuai Xu Yuting Dai Yue Fang Zhiping Luo Ke Han Changjiang Song Qijie Zhai Hongxing Zheng | 2018 | Journal of Materials Science & Technology2018，34，8： | 4 |
| 8 | Ultrathin lanthanide oxides nanomaterials: synthesis, properties and applications显示文摘Over the past decade, ultrathin lanthanide oxides(Ln_2O_3, Ln = La to Lu) nanomaterials have been intensively studied in the fields of rare earth materials science. This unique class of nanomaterials has shown many unprecedented properties(big surface area, high surface effect, physical and chemical activities) and is thus being explored for numerous promising applications. In this review, a brief introduction of ultrathin Ln_2O_3 nanomaterials was given and their unique advantages were highlighted. Then, the typical synthetic methodologies were summarized and compared(thermal decomposition, solvothermal, soft template, co-precipition and microwave etc.). Due to the high surface effect, some promising applications of ultrathin Ln_2O_3 nanomaterials, such as drug delivery and catalysis of CO oxidation, were reviewed. Finally, on the basis of current achievements on ultrathin Ln_2O_3 nanomaterials, personal perspectives and challenges on future research directions were proposed. | Xinyu Zhang Yongwei Wang Fenghua Cheng Zhiping Zheng Yaping Du | 2016 | Science Bulletin2016，61，18： | 3 |
| 9 | Mn–Co–Ni–O thin films prepared by sputtering with alloy target显示文摘The thin film of heat-sensitive materials has been widely concerned with the current trend of miniaturization and integration of sensors.In this work,Mn1.56 Co0.96 Ni0.48 O4(MCNO)thin films were prepared on Si O2/Si substrates by sputtering with Mn–Co–Ni alloy target and then annealing in air at different temperatures(650–900℃).The X-ray diffraction(XRD)and field emission scanning electron microscopy(FE-SEM)analysis indicated that the main crystalline phase of MCNO thin films was spinel crystal structure;the surface of the thin films was very dense and uniform.The electrical properties of the thin films were studied in the temperature range of–5–50℃.The MCNO thin film with a low room temperature resistance R25 of 71.1 kΩand a high thermosensitive constant B value of 3305 K was obtained at 750℃.X-ray photoelectron spectroscopy(XPS)analysis showed that the concentration of Mn3+and Mn4+cations in MCNO thin films is the highest when annealing temperature is 750℃.The complex impedance analysis revealed internal conduction mechanism of the MCNO thin film and the resistance of the thin film was dominated by grain boundary resistance. | Ruifeng LI Qiuyun FU Xiaohua ZOU Zhiping ZHENG Wei LUO Liang YAN | 2020 | Journal of Advanced Ceramics2020，9，1： | 3 |
| 10 | Exceptional co-catalyst free photocatalytic activities of B and Fe co-doped SrTiO3 for CO2 conversion and H2 evolution显示文摘CO2 should be converted into chemical-fuels,and to reduce H2O to H2 over SrTiO3 (STO) owing to its negative conduction band position vs.NHE.Herein a novel B and Fe co-doped SrTiO3 (B,F-STO) photocatalyst was successfully fabricated via a single-step sol-hydrothermal process.Various experiments confirmed that B and Fe are effectively doped into the STO matrix.Boron substituted oxygen anions,while Fe substituted Ti cations.UV-visible diffuse reflectance spectra (UV-vis DRS) and valence-band X-ray photoelectron spectroscopy (XPS) spectra confirmed that the band gap of STO significantly reduced from 3.4 to 1.9 eV upon co-doping with B and Fe.Hence,the B,F-STO photocatalyst exhibits more absorption (λ ≤ 650 nm) compared to pure STO (λ ≤ 360 nm).Further,from photoluminescence spectra,fluorescence spectra,and photoelectrochemical measurements,charge separation in STO is considerably enhanced by co-doping B and Fe.This resulted in the improved UV-vis light catalytic activities for CO2 conversion to CH4 and CO and H2O splitting to evolve H2.The amounts of CH4 and CO produced over B,F-STO are ~ 17.2 and 21 μmol,respectively,about 5-fold enhanced compared to that of STO (~ 3.4 μmol CH4 and 5.2 μmol CO),and the calculated quantum efficiency at λ =420 run is ~ 2.16%.Similarly,the amount of H2 produced over B,F-STO is ~ 61 μmol,about 6.7-fold enhanced compared to that over STO (9 μmol),and the calculated quantum efficiency at λ =420 nm is ~ 2.12%.This work provides feasible routes to fabricate highly efficient SrTiO3-based nanophotocatalysts for solar-fuel production. | Muhammad Humayun Lei Xu Ling Zhou Zhiping Zheng Qiuyun Fu Wei Luo | 2018 | Nano Research2018，11，12： | 3 |
| 11 | Three-dimensional image authentication using binarized images in double random phase integral imaging显示文摘We proposed a three-dimensional (3D) image authentication method using binarized phase images in double random phase integral imaging (Ini). Two-dimensional (2D) element images obtained from Ini are encoded using a double random phase encryption (DRPE) algorithm. Only part of the phase information is used in the proposed method rather than using all of the amplitude and phase information, which can make the final data sparse and beneficial to data compression, storage, and transmission. Experimental results verified the method and successfully proved the developed 3D authentication process using a nonlinear cross correlation method. | 宋维涛 程齐家 刘越 Yuanjin Zheng Zhiping Lin 王涌天 | 2019 | Chinese Optics Letters2019，17，5： | 2 |
| 12 | Changes in secretory pathway Ca^(2+)-ATPase 2 following focal cerebral ischemia/reperfusion injury显示文摘This study aimed to investigate changes in secretory pathway Ca2+-ATPase 2 expression following cerebral ischemia/reperfusion injury, and to define the role of Ca2+-ATPases in oxidative stress. A rat model of cerebral ischemia/reperfusion injury was established using the unilateral middle cerebral artery occlusion method. Immunohistochemistry and reverse transcription-PCR assay results showed that compared with the control group, the expression of secretory pathway Ca2+-ATPase 2 protein and mRNA in the cerebral cortex and hippocampus of male rats did not significantly change during the ischemic period. However, secretory pathway Ca2+-ATPase 2 protein and mRNA expression reduced gradually at 1, 3, and 24 hours during the reperfusion period. Our experimental findings indicate that levels of secretory pathway Ca2+-ATPase 2 protein and mRNA expression in brain tissue change in response to cerebral ischemia/reperfusion injury. | Tonglin Lu Zhiping Hu Liuwang Zeng Zheng Jiang | 2013 | Neural Regeneration Research2013，8，1： | 2 |
| 13 | Organic–inorganic hybrid perovskite scintillators for mixed field radiation detection显示文摘Sensitive and fast detection of neutrons and gamma rays is vital for homeland security,high-energy physics,and proton therapy.Fast-neutron detectors rely on light organic scintillators,andγ-ray detectors use heavy inorganic scintillators and semiconductors.Efficient mixed-field detection using a single material is highly challenging due to their contradictory requirements.Here we report hybrid perovskites(C_(8)H_(12)N)_(2)Pb(Br_(0.95)Cl_(0.05))_(4)that combine light organic cations and heavy inorganic skeletons at a molecular level to achieve unprecedented performance for mixed-field radiation detection.High neutron absorption due to a high density of hydrogen,strong radiative recombination within the highly confined[PbX_(6)]^(4-)layer,and sub-nanometer distance between absorption sites and radiative centers,enable a light yield of 41000 photons/MeV,detection pulse width of 2.97 ns and extraordinary linearity response toward both fast neutrons andγ-rays,outperforming commonly used fast-neutron scintillators.Neutron energy spectrum,time-of-flight based fast-neutron/γ-ray discrimination and neutron yield monitoring were all successfully achieved using(C_(8)H_(12)N)_(2)Pb(Br_(0.95)Cl_(0.05))_(4)detectors.We further demonstrate the monitoring of reaction kinetics and total power of a nuclear fusion reaction.We envision that molecular hybridized scintillators open a new avenue for mixed-field radiation detection and imaging. | Mengling Xia Guangda Niu Linyue Liu Runlong Gao Tong Jin Pengying Wan Weicheng Pan Xianpeng Zhang Zuoxiang Xie Sam Teale Zenghua Cai Jiajun Luo Shan Zhao Haodi Wu Shiyou Chen Zhiping Zheng Qingguo Xie Xiaoping Ouyang Edward HSargent Jiang Tang | 2022 | InfoMat2022，4，9： | 2 |
| 14 | An essential role for PNLDC1 in piRNA 3' end trimming and male fertility in mice显示文摘 | Yue Zhang Rui Guo Yiqiang Cui Zhiping Zhu Yingwen Zhang Hao Wu Bo Zheng Qiuling Yue Shun Bai Wentao Zeng Xuejiang Guo Zuomin Zhou Bin Shen Ke Zheng Mingxi Liu Lan Ye Jiahao Sha | 2017 | Cell Research2017，27，11： | 2 |
| 15 | Nitrous oxide and nitric oxide emissions from an irrigated cotton field in Northern China显示文摘 | Chunyan Liu Xunhua Zheng Zaixing Zhou Shenghui Han Yinghong Wang Kai Wang Wangguo Liang Ming Li Deli Chen Zhiping Yang | 2010 | 2010 (1-2)2010，，1： | 2 |
| 16 | Application of fluorescence in situ hybridization in the detection of bladder transitional-cell carcinoma: A multi-center clinical study based on Chinese population显示文摘Objective:To evaluate the diagnostic value of fluorescence in situ hybridization(FISH)in bladder cancer.Methods:We enrolled healthy volunteers and patients who were clinically suspected to have bladder cancer and conducted FISH tests and cytology examinations from August 2007 to December 2008.Receiver operating characteristic(ROC)curve analysis was performed and the area under curve(AUC)values were calculated for both the FISH and urine cytology tests.Results:A cohort of 988 healthy volunteers was enrolled to establish a reference range for the normal population.A total of 4807 patients with hematuria were prospectively,randomly enrolled for the simultaneous analysis of urine cytology,FISH testing,and a final diagnosis as determined by the pathologic findings of a biopsy or a surgically-excised specimen.Overall,the sensitivity of FISH in detecting transitional-cell carcinoma was 82.7%,while that of cytology was 33.4%(p<0.001).The sensitivity values of FISH for non-muscle invasive and muscle invasive bladder transitional-cell carcinoma were 81.7%and 89.6%,respectively(p=0.004).The sensitivity values of FISH for low and high grade bladder cancer were 82.6%and 90.1%,respectively(p=0.002).Conclusion:FISH is significantly more sensitive than voided urine cytology for detecting bladder cancer in patients evaluated for gross hematuria at all cancer grades and stages.Higher sensitivity using FISH was obtained in high grade and muscle invasive tumors. | Liqun Zhou Kaiwei Yang Xuesong Li Yi Ding Dawei Mu Hanzhong Li Yong Yan Jinyi Li Dongwen Wang Wei Li Yulong Cong Jiangping Gao Kewei Ma Yajun Xiao Sheng Zhang Hongyi Jiang Weilie Hu Qiang Wei Xunbo Jin Zhichen Guan Qingyong Liu Danfeng Xu Xin Gao Yongguang Jiang Weimin Gan Guang Sun Qing Wang Yanhui Liu Jianquan Hou Liping Xie Xishuang Song Fengshuo Jin Jiafu Feng Ming Cai Zhaozhao Liang Jie Zhang Dingwei Ye Lin Qi Lulin Ma Jianzhong Shou Yuping Dai Jianyong Shao Ye Tian Shizhe Hong Tao Xu Chuize Kong Zefeng Kang Yuexin Liu Xun Qu Benkang Shi Shaobin Zheng Yi Lin Shujie Xia Dong Wei Jianbo Wu Weiling Fu Zhiping Wang Jianbo Liang | 2019 | Asian Journal of Urology2019，6，1： | 2 |
| 17 | Apolipoprotein A-I Tryptophan Substitution Leads to Resistance to Myeloperoxidase-Mediated Loss of Function显示文摘 | Dao-Quan Peng Gregory Brubaker Zhiping Wu Lemin Zheng Belinda Willard Michael Kinter Stanley L. Hazen Jonathan D. Smith | 2008 | Arteriosclerosis, Thrombosis, and Vascular Biology2008，，11： | 1 |
| 18 | Biomarker geochemistry of crude oils from Qaidam Basin, Northwestern China显示文摘 | Duan Yi Zheng Chaoyang Wang Zhiping | 2006 | Petroleum Geology2006，29，2： | 1 |
| 19 | Changeable position of SPR peak of Ag nanoparticles embedded in mesoporous SiO2 glass by annealing treatment显示文摘 | Pan Anlian Yang Zhiping Zheng Huagui | 2003 | Applied Surface Science2003，205，14： | 1 |
| 20 | New Algorithm Rules Out Acute-on-chronic Liver Failure Development within 28 Days from Acute Decompensation of Cirrhosis显示文摘Background and Aims:Approximately 10%of patients with acute decompensated(AD)cirrhosis develop acute-on-chronic liver failure(ACLF)within 28 days.Such cases have high mortality and are difficult to predict.Therefore,we aimed to establish and validate an algorithm to identify these patients on hospitalization.Methods:Hospitalized patients with AD who developed ACLF within 28 days were considered pre-ACLF.Organ dysfunction was defined accord-ing to the chronic liver failure-sequential organ failure as-sessment(CLIF-SOFA)criteria,and proven bacterial infec-tion was taken to indicate immune system dysfunction.A retrospective multicenter cohort and prospective one were used to derive and to validate the potential algorithm,re-spectively.A miss rate of<5%was acceptable for the calcu-lating algorithm to rule out pre-ACLF.Results:In the deri-vation cohort(n=673),46 patients developed ACLF within 28 days.Serum total bilirubin,creatinine,international normalized ratio,and present proven bacterial infection at admission were associated with the development of ACLF.AD patients with≥2 organ dysfunctions had a higher risk for pre-ACLF patients[odds ratio=16.58195%confidence interval:(4.271-64.363),p<0.001].In the derivation co-hort,67.5%of patients(454/673)had≤1 organ dysfunction and two patients(0.4%)were pre-ACLF,with a miss rate of 4.3%(missed/total,2/46).In the validation cohort,65.9%of patients(914/1388)had≤1 organ dysfunction,and four(0.3%)of them were pre-ACLF,with a miss rate of 3.4%(missed/total,4/117).Conclusions:AD patients with≤1 organ dysfunction had a significantly lower risk of developing ACLF within 28 days of admission and could be safely ruled out with a pre-ACLF miss rate of<5%. | Xiaoting Tang Hai Li Guohong Deng Xin Zheng Xianbo Wang Yan Huang Yanhang Gao Zhongji Meng Zhiping Qian Feng Liu Xiaobo Lu Yu Shi Beiling Li Wenyi Gu Xiaomei Xiang Yan Xiong Yixin Hou Jun Chen Na Gao Sen Luo Liujuan Ji Jing Li Rongjiong Zheng Haotang Ren Jinjun Chen | 2023 | Journal of Clinical and Translational Hepatology2023，11，3： | 1 |
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