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Recombinant human thrombopoietin safety and efficacy in pediatric allogeneic hematopoietic stem cell transplantation:A cohort study
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作者 Xue-Guo Li Ru-Min Wang +4 位作者 Wei chen Tong Yao fen chen Yan-Fang Xu Tao Lang 《World Journal of Stem Cells》 2025年第7期121-130,共10页
BACKGROUND The safety and efficacy of recombinant human thrombopoietin(rhTPO)administered after allogeneic hematopoietic stem cell transplantation(allo-HSCT)in children(0-9 years old)and adolescents(10-17 years old)wi... BACKGROUND The safety and efficacy of recombinant human thrombopoietin(rhTPO)administered after allogeneic hematopoietic stem cell transplantation(allo-HSCT)in children(0-9 years old)and adolescents(10-17 years old)with hematological disorders remain unclear.AIM To evaluate the safety and efficacy of rhTPO administered before platelet(PLT)engraftment in pediatric patients with hematological disorders undergoing HSCT,and to investigate its effects on the incidence of graft-vs-host disease(GVHD)and other transplant-related outcomes.METHODS This study enrolled 79 pediatric patients with hematological disorders who received rhTPO after allo-HSCT.The safety and tolerability of rhTPO were evaluated and compared in children(n=36)and adolescents(n=43)with hematological disorders.We also investigated the effects of rhTPO administration on the incidence of GVHD and other transplant-related outcomes.Additionally,we examined the efficacy of rhTPO after allo-HSCT in children and adolescents.RESULTS All of the children and adolescents underwent hematopoietic reconstruction.The median time to PLT engraftment was 16 days for all patients,with 14(range,11-24)days in the 0-to 9-year-old group and 16(range,11-41)days in the 10-to 17-year-old group;the difference was statistically significant(P<0.05).The median time to neutrophil engraftment was 12 days in both groups.The median recovery times for PLT counts of≥20×10^(9)/L and≥50×10^(9)/L in the 0-to 9-year-old group were 10(range,2-20)and 11(range,2-20)days,respectively,and those for the 10-to 17-year-old group were 9(range,4-23)and 12(range,5-34)days,respectively.Children exhibited significantly shorter time to PLT engraftment(14 days vs 16 days)and shorter recovery time to PLT count≥100×10^(9)/L(16 days vs 18 days)(P<0.05)than adolescents.The incidence of acute GVHD in all patients was 53.2%,with a higher incidence in children(61.1%)than in adolescents(46.5%).The incidence of chronic GVHD showed little difference between the two age groups,with an overall incidence of 10.1%.No adverse events,other than bleeding,were observed in either age group.The incidence of bleeding was 20.3%.The median follow-up time for all survivors was 573 days(range:42-1803 days)after transplantation.At the final follow-up,3 patients in the 0-to 9-year-old group died;however,none of these deaths were attributed to allo-HSCT or the use of rhTPO.All patients survived in the 10-to 17-year-old group.CONCLUSION rhTPO was not associated with any significant safety issues and was well tolerated by pediatric and adolescent patients with hematologic diseases who underwent allo-HSCT.Our results suggested that rhTPO may benefit allo-HSCT in children and adolescents by improving PLT recovery. 展开更多
关键词 Recombinant human thrombopoietin Pediatric hematologic disorders Allogeneic hematopoietic stem cell transplantation Platelet engraftment Graft-vs-host disease
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Haploidentical Hematopoietic Stem Cell Transplantation for AML Patients with Persistent Molecular MRD
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作者 Shan Jiang Ao Zhang +5 位作者 Ya-jie Ding Ruo-wen Wei Xuan Lu fen chen Wei Shi Ling-hui Xia 《Current Medical Science》 2025年第3期513-524,共12页
Objective The combined use of quantitative real-time polymerase chain reaction(qPCR)and next-generation sequencing(NGS)to detect molecular measurable residual disease(mMRD)has been shown to have prognostic value for p... Objective The combined use of quantitative real-time polymerase chain reaction(qPCR)and next-generation sequencing(NGS)to detect molecular measurable residual disease(mMRD)has been shown to have prognostic value for patients undergoing matched-hematopoietic stem cell transplantation(HSCT).However,there have been no related studies in the context of haploidentical HSCT(haplo-HSCT).Methods We included 148 acute myeloid leukemia(AML)patients who were in first complete remission(CR1)and underwent HSCT at Union Hospital(Wuhan,China)between 2019 and 2023.Among them,28 patients were mMRD(+)before transplantation according to PCR/NGS.Then,on the basis of the 2017 European Leukemia Net(ELN)risk stratification,we randomly enrolled 56 mMRD(–)patients at a 1:2 ratio.Finally,we compared the outcomes,including overall survival(OS),cumulative incidence of relapse(CIR),leukemia-free survival(LFS),and nonrelapse mortality(NRM),between the two groups.Results Persisting mMRD predicts worse long-term clinical outcomes in AML patients who received haplo-HSCT.The 2-year OS and LFS between the mMRD(+)and mMRD(–)groups were 77.1%(95%CI 62.5–95.2)versus 92.3%(95%CI 85.3–99.9)(P=0.044)and 72.7%(95%CI 56.9–92.8)versus 90.7%(95%CI 83.2–98.8)(P=0.003),respectively.The results of multivariate analysis revealed that mMRD(+)patients had worse OS and LFS than control patients did and that the mMRD(+)score was an independent prognostic factor for OS and LFS.Conclusion Pre-HSCT mMRD has predictive value for haplo-HSCT outcomes in AML patients.Patients who are mMRD(+)before transplantation have poorer OS and LFS.For these patients,intensified myeloablative conditioning(MAC),rapid reduction in immunosuppressive agents after 30 days,and pro-donor lymphocyte infusion(DLI)can improve post-transplant outcomes. 展开更多
关键词 Acute myeloid leukemia Hematopoietic stem cell transplantation Molecular measurable residual disease Next-generation sequencing Quantitative real-time polymerase chain reaction
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Perioperative and long-term results of ultrasonography-guided single-and multiple-tract percutaneous nephrolithotomy for staghorn calculi
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作者 Rui-Xiang cheng Ni Dai +2 位作者 Yan-Min Wang Pei Qi fen chen 《World Journal of Clinical Cases》 SCIE 2024年第7期1243-1250,共8页
BACKGROUND It is possible that this condition will lead to urosepsis and progressive deterioration of renal function in the absence of surgical intervention.Several recent clinical studies have shown that multi-tract ... BACKGROUND It is possible that this condition will lead to urosepsis and progressive deterioration of renal function in the absence of surgical intervention.Several recent clinical studies have shown that multi-tract percutaneous nephrolithotomy(MPCNL)has a similar stone free rate(SFR)as standard percutaneous nephrolithotomy(S-PCNL).As a result,M-PCNL was also recommended as a treatment option for staghorn calculi.AIM To examine the perioperative and long-term results of ultrasonography-guided single-and M-PCNL.METHODS This was a retrospective cohort study.Between March 2021 and January 2022,the urology department of our hospital selected patients for the treatment of staghorn calculi using percutaneous nephrolithotomy.The primary outcomes were com plication rate and SFR,and the characteristics of patients,operative parameters,laboratory measurements were also collected.RESULTS In total,345 patients were enrolled in the study(186 in the S-PCNL group and 159 in the M-PCNL group).The SFR in the M-PCNL group was significantly higher than that in the S-PCNL group(P=0.033).Moreover,the incidence rates of hydrothorax(P=0.03)and postoperative infection(P=0.012)were higher in the M-PCNL group than in the S-PCNL group.Logistic regression analysis demonstrated that post-operative white blood cell count(OR=2.57,95%CI:1.90-3.47,P<0.001)and stone size(OR=1.59,95%CI:1.27-2.00,P<0.001)were associated with a higher overall complication rate in the S-PCNL group.Body mass index(OR=1.22,95%CI:1.06-1.40,P=0.004)and stone size(OR=1.70,95%CI:1.35-2.15,P<0.001)were associated with increased overall complications in the M-PCNL group.CONCLUSION Multiple access tracts can facilitate higher SFR while slightly increasing the incidence of acceptable complications. 展开更多
关键词 Single-tract percutaneous nephrolithotomy Multiple-tract percutaneous nephrolithotomy Staghorn calculi ULTRASONOGRAPHY
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A score model for predicting post-liver transplantation survival in HBV cirrhosis-related hepatocellular carcinoma recipients: a single center 5-year experience 被引量:4
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作者 Li-Ying Wang Shu-Sen Zheng +9 位作者 Xiao Xu Wei-Lin Wang Jian Wu Min Zhang Yan Shen Sheng Yan Hai-Yang Xie Xin-Hua chen Tian-An Jiang fen chen 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS CSCD 2015年第1期43-49,共7页
BACKGROUND: The prognostic prediction of liver transplantation(LT) guides the donor organ allocation. However, there is currently no satisfactory model to predict the recipients’ outcome, especially for the patien... BACKGROUND: The prognostic prediction of liver transplantation(LT) guides the donor organ allocation. However, there is currently no satisfactory model to predict the recipients’ outcome, especially for the patients with HBV cirrhosis-related hepatocellular carcinoma(HCC). The present study was to develop a quantitative assessment model for predicting the post-LT survival in HBV-related HCC patients.METHODS: Two hundred and thirty-eight LT recipients at the Liver Transplant Center, First Affiliated Hospital, Zhejiang University School of Medicine between 2008 and 2013 were included in this study. Their post-LT prognosis was recorded and multiple risk factors were analyzed using univariate and multivariate analyses in Cox regression.RESULTS: The score model was as follows: 0.114×(Child-Pugh score)-0.002×(positive HBV DNA detection time)+0.647×(number of tumor nodules)+0.055×(max diameter of tumor nodules)+0.231×ln AFP+0.437×(tumor differentiation grade).The receiver operating characteristic curve analysis showed that the area under the curve of the scoring model for predicting the post-LT survival was 0.887. The cut-off value was 1.27, which was associated with a sensitivity of 72.5% and a specificity of 90.7%, respectively.CONCLUSION: The quantitative score model for predicting post-LT survival proved to be sensitive and specific. 展开更多
关键词 HBV cirrhosis hepatocellular carcinoma liver transplantation Hangzhou criteria post-LT survival
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Prodrugs incorporated into nanotechnology-based drug delivery systems for possible improvement in bioavailability of ocular drugs delivery 被引量:3
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作者 Tiantian Ye Kun Yuan +6 位作者 Wenji Zhang Shuangshuang Song fen chen Xinggang Yang Shujun Wang Jianwei Bi Weisan Pan 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2013年第4期207-217,共11页
Numerous systems have been designed during the past three decades to improve bioavailability of ophthalmic drug delivery,including:ocular prodrugs and nanotechnology-based drug delivery system.The former can improve t... Numerous systems have been designed during the past three decades to improve bioavailability of ophthalmic drug delivery,including:ocular prodrugs and nanotechnology-based drug delivery system.The former can improve the efficacy of ocular drug via enhancing corneal penetration of ocular drugs,prolonging their duration of action and/or reducing the systemic side-effects,unfortunately,some characteristics of the pro-drugs,such as poorly aqueous stability,poorly aqueous solubility and severe eye irritation probably,limit their clinical practice and cannot be ignored.As we all know,nanotech-nology for ocular drug delivery can carry poorly soluble drugs,protect the encapsulated molecules from hydrolysis,control the rate of drug delivery and prolong the precorneal retention of drugs.All of these merits may solve the problems in the utilization of ocular prodrugs and increase the bioavailability of ocular drug delivery.By reviewing recent ad-vances of prodrugs and nanostructures in ocular drug delivery,this paper focus specifically on the promising prospects of nanocarriers overcoming the drawbacks of prodrugs for ophthalmic drug delivery by precorneal routes. 展开更多
关键词 Ocular/ophthalmic drug delivery PRODRUGS NANOCARRIERS Penetration Precorneal retention BIOAVAILABILITY
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Clinical and microstructural changes with different iontophoresis-assisted corneal cross-linking methods for keratoconus 被引量:1
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作者 Kai Liao Min Hu +3 位作者 fen chen Pei Li Peng Song Qing-Yan Zeng 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2019年第2期219-225,共7页
AIM: To compare the clinical and microstructural changes induced by different transepithelial iontophoresis-assisted corneal cross-linking(I-CXL) methods for keratoconus. METHODS: A total of 42 eyes of 42 patients wit... AIM: To compare the clinical and microstructural changes induced by different transepithelial iontophoresis-assisted corneal cross-linking(I-CXL) methods for keratoconus. METHODS: A total of 42 eyes of 42 patients with progressive keratoconus were divided into two groups. Group A received I-CXL for 5 min, while group B received I-CXL for 10 min. Visual acuity, optical coherence tomography(OCT), specular microscopy and confocal microscopy were evaluated preoperatively and at 1, 3, 6, and 12 mo postoperatively. RESULTS: Twelve months after the operation, uncorrected visual acuity(UCVA) and corrected distance visual acuity(CDVA) were improved in both groups, with a better outcome in the I-CXL 10 min group(P=0.025, 0.021, respectively). Kmax values decreased by 0.94±3.00 D in the I-CXL 10 min group(P=0.033) but increased by 1.87±3.29 D in the I-CXL 5 min group(P=0.012). OCT scans showed that the demarcation line was most visible and substantially deeper in the I-CXL 10 min group. Confocal microscopy showed greater anterior stromal keratocyte decreases in the I-CXL 10 min group than in the I-CXL 5 min group at 3 and 6 mo postoperatively(P<0.001); however, anterior stromal keratocytes and subbasal nerve density were not significantly different between the two groups at 12 mo postoperatively. CONCLUSION: I-CXL for 10 min more effectively halts the progression of keratoconus than I-CXL for 5 min after 12 mo of follow-up. However, long-term studies are needed to evaluate the efficacy and safety of I-CXL. 展开更多
关键词 KERATOCONUS transepithelial CORNEAL CROSSLINKING IONTOPHORESIS anterior STROMAL KERATOCYTE subbasal nerve density
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Targeting metabolism:A potential strategy for hematological cancer therapy
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作者 Xue Tang fen chen +2 位作者 Li-Chun Xie Si-Xi Liu Hui-Rong Mai 《World Journal of Clinical Cases》 SCIE 2022年第10期2990-3004,共15页
Most hematological cancer-related relapses and deaths are caused by metastasis;thus,the importance of this process as a target of therapy should be considered.Hematological cancer is a type of cancer in which metaboli... Most hematological cancer-related relapses and deaths are caused by metastasis;thus,the importance of this process as a target of therapy should be considered.Hematological cancer is a type of cancer in which metabolism plays an essential role in progression.Therefore,we are required to block fundamental metastatic processes and develop specific preclinical and clinical strategies against those biomarkers involved in the metabolic regulation of hematological cancer cells,which do not rely on primary tumor responses.To understand progress in this field,we provide a summary of recent developments in the understanding of metabolism in hematological cancer and a general understanding of biomarkers currently used and under investigation for clinical and preclinical applications involving drug development.The signaling pathways involved in cancer cell metabolism are highlighted and shed light on how we could identify novel biomarkers involved in cancer development and treatment.This review provides new insights into biomolecular carriers that could be targeted as anticancer biomarkers. 展开更多
关键词 METABOLISM METASTASIS Hematological cancer BIOMARKER CANCER ANTICANCER
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像差引导的准分子激光联合角膜胶原交联治疗早期圆锥角膜的临床观察 被引量:3
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作者 陈芬 谌丹 +4 位作者 雷晓华 陈茜 宋鹏 廖凯 曾庆延 《中华眼视光学与视觉科学杂志》 CAS CSCD 2019年第10期751-758,共8页
目的:观察像差引导的经上皮准分子激光屈光性角膜切削术(WG-TransPRK)联合快速角膜胶原交联术(A-CXL)治疗早期圆锥角膜的临床疗效和安全性。方法:回顾性系列病例研究。收集在武汉爱尔眼科医院汉口医院行WG-TransPRK同期联合A-CXL的早期... 目的:观察像差引导的经上皮准分子激光屈光性角膜切削术(WG-TransPRK)联合快速角膜胶原交联术(A-CXL)治疗早期圆锥角膜的临床疗效和安全性。方法:回顾性系列病例研究。收集在武汉爱尔眼科医院汉口医院行WG-TransPRK同期联合A-CXL的早期圆锥角膜患者7例(12眼),并于术前,术后1周、1个月、3个月、6个月、1年分别行裸眼视力(UCVA,LogMAR)、最佳矫正视力(BCVA,LogMAR)、屈光度、角膜地形图、共焦显微镜和角膜像差检查。数据采用配对t检验分析。结果:术后1年,UCVA从0.77±0.25改善到0.34±0.26(P=0.001),BCVA从0.18±0.21改善到0.05±0.09(P=0.034);角膜前表面平坦曲率(K1)、角膜前表面陡峭曲率(K2)、角膜前表面最大角膜曲率(Kmax)分别从(43.85±1.72)D、(46.64±2.36)D、(48.88±3.62)D降至(40.63±2.13)D(t=9.48,P=0.001)、(42.27±1.89)D(t=8.29,P=0.001)、(45.43±1.54)D(t=3.02,P=0.014),差异均有统计学意义(均P<0.05)。共聚焦显微镜观察上皮下神经纤维密度降低(P=0.001);浅、中层基质细胞密度降低(均P<0.05),深基质及内皮细胞密度变化差异无统计学意义。4mm直径分析区域角膜总像差与角膜球差降低,差异均有统计学意义(均P<0.05)。结论:WG-TransPRK联合A-CXL能安全有效治疗早期圆锥角膜,提升患者视力。 展开更多
关键词 准分子激光屈光性角膜切削术 角膜胶原交联术 圆锥角膜 像差
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Pollution and health risk assessment of heavy metals in soils of Guizhou,China 被引量:14
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作者 Gao Yu fen chen +1 位作者 Hongli Zhang Zuhua Wang 《Ecosystem Health and Sustainability》 SCIE 2021年第1期6-17,共12页
Mining of minerals in Guizhou,China,where it is enriched with reserves,may lead to soil contamination with heavy metals.We assessed the risk of eight typical heavy metals in Guizhou soils by collecting province-wide d... Mining of minerals in Guizhou,China,where it is enriched with reserves,may lead to soil contamination with heavy metals.We assessed the risk of eight typical heavy metals in Guizhou soils by collecting province-wide data available in the literature and using the geo-accumulation index method,the ecological risk assessment method,and the USEPA health risk assessment model.The concentrations of eight heavy metals,except for Pb and Cr,were above the background levels.Soil heavy metal pollution evaluation results showed that As,Cu,Zn,Pb,Cr,Cd,and Ni reached the pollution levels,while Hg fell into the category of moderate contamination.As,Cu,Zn,Pb,Cr,and Ni posed low potential ecological risk,while Cd and Hg demonstrated a considerable or a very high potential ecological risk.Totally,the integrated potential ecological risk was ranked“very high”.Regarding to health risk,the non-carcinogenic risks caused by heavy metals were insignificant,but the carcinogenic risk caused by As was significant.Consequently,there appeared serious soil contamination of Hg and As,with the latter also being the greatest potential risk to human health.Both Hg and As should stay at the highest priory for remediation efforts in Guizhou soils. 展开更多
关键词 Heavy metals geo-accumulation index potential ecological risk human health risk
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Numerical Solution of Steady-State Free Boundary Problems using the Singular Boundary Method 被引量:1
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作者 fen chen Bin Zheng +1 位作者 Ji Lin Wen chen 《Advances in Applied Mathematics and Mechanics》 SCIE 2021年第1期163-175,共13页
In this paper,the recently-developed singular boundary method is applied to address free boundary problems.This mesh-less numerical method is based on the use of the origin intensity factors with fundamental solutions... In this paper,the recently-developed singular boundary method is applied to address free boundary problems.This mesh-less numerical method is based on the use of the origin intensity factors with fundamental solutions.Three numerical examples and their results are compared with the results obtained using traditional methods.The comparisons indicate that the proposed scheme yields good results in determining the position of the free boundary. 展开更多
关键词 Seepage flow singular boundary method mesh-less origin intensity factors
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Copper- and Silver-Mediated Cyanation of Aryl Iodides Using DDQ as Cyanide Source
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作者 Kui Zheng Peng Yu +2 位作者 Shuyou chen fen chen Jiang cheng 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2013年第4期449-452,共4页
A new copper and silver-mediated cyanation of aryl iodides with DDQ as a cyanide source is achieved, provid- ing nitriles with good yields. This new approach represents a safe method leading to aryl nitriles.
关键词 COPPER SILVER CYANATION aryl iodides DDQ
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