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Corrigendum regarding updated Declaration of Competing Interest statements in previously published articles
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《Resources Chemicals and Materials》 2025年第3期156-156,共1页
Declaration of Competing Interest statements is updated in the published version of the following articles that appeared in issues of Resources Chemicals and Materials.The appropriate updated Declaration of Competing ... Declaration of Competing Interest statements is updated in the published version of the following articles that appeared in issues of Resources Chemicals and Materials.The appropriate updated Declaration of Competing Interest state-ments,provided by the Authors,are included below. 展开更多
关键词 declaration competing interest statements ARTICLES declaration competing interest CORRIGENDUM competing interest DECLARATION UPDATES PUBLICATIONS
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Cancer statistics: updated cancer burden in China 被引量:151
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作者 Wanqing Chen 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2015年第1期1-1,共1页
Cancer is a major public health issue in most of countries, including China. Accurate and valid information on cancer incidence, mortality, survival and relevant factors is irreplaceable for cancer prevention and cont... Cancer is a major public health issue in most of countries, including China. Accurate and valid information on cancer incidence, mortality, survival and relevant factors is irreplaceable for cancer prevention and control. Since the national program of cancer registry was launched by the Ministry of Health of China in 2008, the National Central Cancer Registry (NCCR) has been releasing the cancer incidence and mortality based on the data collected from cancer registries supported by the program. The cancer statistics provide current data from registered areas and aims to accurately reflect the cancer burden and epidemic in China. In 2014, the NCCR collected data for calendar year 2011 from 234 registries. After comprehensive quality' evaluation, data from 177 registries have been selected as sources of the reports reflecting cancer incidence and mortaliD, in the registration areas in 2011. These reports are the updated cancer statistics so far, covering much more registries and a hig population. 展开更多
关键词 Cancer statistics updated cancer burden in China
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Updated Kimura-Takemoto classification of atrophic gastritis 被引量:14
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作者 Sergey M Kotelevets Sergey A Chekh Sergey Z Chukov 《World Journal of Clinical Cases》 SCIE 2021年第13期3014-3023,共10页
BACKGROUND The Updated Sydney system for visual evaluation of gastric mucosal atrophy viaendoscopic observation is subject to sampling error and interobserver variability.The Kimura-Takemoto classification system was ... BACKGROUND The Updated Sydney system for visual evaluation of gastric mucosal atrophy viaendoscopic observation is subject to sampling error and interobserver variability.The Kimura-Takemoto classification system was developed to overcome theselimitations.AIMTo compare the morphological classification of atrophic gastritis between theKimura-Takemoto system and the Updated Sydney system.METHODSA total of 169 patients with atrophic gastritis were selected according to diagnosisby the visual endoscopic Kimura-Takemoto method. Following the UpdatedKimura-Takemoto classification system, one antrum biopsy and five gastriccorpus biopsies were taken according to the visual stages of the Kimura-Takemoto system. The Updated Kimura-Takemoto classification system was thenapplied to each and showed 165 to have histological mucosal atrophy;theremaining 4 patients had no histological evidence of atrophy in any biopsy. The Updated Kimura-Takemoto classification was verified as a referencemorphological method and applied for the diagnosis of atrophic gastritis. Addingone more biopsy from the antrum to the six biopsies according to the Updated Kimura-Takemoto classification, constitutes the updated combined Kimura-Takemoto classification and Sydney system.RESULTSThe sensitivity for degree of mucosal atrophy assessed by the Updated Sydneysystem was 25% for mild, 36% for moderate, and 42% for severe, when comparedwith the Updated Kimura-Takemoto classification of atrophic gastritis formorphological diagnosis. Four types of multifocal atrophic gastritis wereidentified: sequential uniform (type 1;in 28%), sequential non-uniform (type 2;in7%), diffuse uniform (type 3;in 23%), diffuse non-uniform (type 4;in 24%), and"alternating atrophic – non-atrophic" (type 5;in 18%). The pattern of the spread ofatrophy, sequentially from the antrum to the cardiac segment of the stomach,which was described by the Updated Kimura-Takemoto system, washistologically confirmed in 82% of cases evaluated.CONCLUSIONThe Updated Sydney system is significantly inferior to the Updated Kimura-Takemoto classification for morphological verification of atrophic gastritis. 展开更多
关键词 updated Sydney system Kimura-Takemoto classification PREVENTION Gastric cancer Atrophic gastritis Morphology
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A co-rotational updated Lagrangian formulation for a 2D beam element with consideration of the deformed curvature 被引量:1
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作者 Nian-wen ZHANG Gen-shu TONG 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2008年第11期1480-1489,共10页
A tensor-based updated Lagrangian (UL) formulation for the geometrically nonlinear analysis of 2D beam-column structures is developed by using curvilinear coordinates, which has considered the effects of the deforme... A tensor-based updated Lagrangian (UL) formulation for the geometrically nonlinear analysis of 2D beam-column structures is developed by using curvilinear coordinates, which has considered the effects of the deformed curvature. Between the known configuration C1 and the desired configuration C2, a configuration C2^* derived by rigid-body motion of C1 is introduced to eliminate the element-end transverse displacements between C2^* and C2. A stiffness matrix is obtained in C2^*; and then by a transformation defined by the element-end displacements, the stiffness matrix in C2^* is transformed into that in CI. Comparing the stiffness matrix with that in the conventional UL formulation for a 2D beam element, the initial displacement stiffness matrix emerges, which results from the deformed curvature within the element. Numerical examples have verified the accuracy and efficiency of the present formulation, and the results show that the deformed curvatures have significant effects when deformations are large. 展开更多
关键词 Deformed curvature Beam element updated Lagrangian (UL) formulation Geometrical no-linearity Finite element
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An Updated Lagrangian Particle Hydrodynamics (ULPH)-NOSBPD Coupling Approach forModeling Fluid-Structure Interaction Problem
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作者 Zhen Wang Junsong Xiong +3 位作者 Shaofan Li Xin Lai Xiang Liu Lisheng Liu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第10期491-523,共33页
A fluid-structure interaction approach is proposed in this paper based onNon-Ordinary State-Based Peridynamics(NOSB-PD)and Updated Lagrangian Particle Hydrodynamics(ULPH)to simulate the fluid-structure interaction pro... A fluid-structure interaction approach is proposed in this paper based onNon-Ordinary State-Based Peridynamics(NOSB-PD)and Updated Lagrangian Particle Hydrodynamics(ULPH)to simulate the fluid-structure interaction problem with large geometric deformation and material failure and solve the fluid-structure interaction problem of Newtonian fluid.In the coupled framework,the NOSB-PD theory describes the deformation and fracture of the solid material structure.ULPH is applied to describe the flow of Newtonian fluids due to its advantages in computational accuracy.The framework utilizes the advantages of NOSB-PD theory for solving discontinuous problems and ULPH theory for solving fluid problems,with good computational stability and robustness.A fluidstructure coupling algorithm using pressure as the transmission medium is established to deal with the fluidstructure interface.The dynamic model of solid structure and the PD-ULPH fluid-structure interaction model involving large deformation are verified by numerical simulations.The results agree with the analytical solution,the available experimental data,and other numerical results.Thus,the accuracy and effectiveness of the proposed method in solving the fluid-structure interaction problem are demonstrated.The fluid-structure interactionmodel based on ULPH and NOSB-PD established in this paper provides a new idea for the numerical solution of fluidstructure interaction and a promising approach for engineering design and experimental prediction. 展开更多
关键词 Fluid-structure interaction(FSI) updated lagrangian particle hydrodynamics PERIDYNAMICS meshfree method
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Definition of hyperparasitemia in severe falciparum malaria should be updated
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作者 Polrat Wilairatana Noppadon Tangpukdee Srivicha Krudsood 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2013年第7期586-586,共1页
Hyperparasitemia is one criterion of severe falciparum malariaby World Health Organization(WHO)for more than two decades[1].Although there is a correlation between density of parasittemiaand severity of malaria,some i... Hyperparasitemia is one criterion of severe falciparum malariaby World Health Organization(WHO)for more than two decades[1].Although there is a correlation between density of parasittemiaand severity of malaria,some individuals with high parasite countsmay not be severely ill,whereas others with low parasitemia mayhave ultimately fatal infections.Hyperparasitemia(more than 5% 展开更多
关键词 THAN MORE Definition of hyperparasitemia in severe falciparum malaria should be updated
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Updated Lagrangian Particle Hydrodynamics (ULPH)Modeling of Natural Convection Problems
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作者 Junsong Xiong Zhen Wang +3 位作者 Shaofan Li Xin Lai Lisheng Liu Xiang Liu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第10期151-169,共19页
Natural convection is a heat transfer mechanism driven by temperature or density differences,leading to fluid motion without external influence.It occurs in various natural and engineering phenomena,influencing heat t... Natural convection is a heat transfer mechanism driven by temperature or density differences,leading to fluid motion without external influence.It occurs in various natural and engineering phenomena,influencing heat transfer,climate,and fluid mixing in industrial processes.This work aims to use the Updated Lagrangian Particle Hydrodynamics(ULPH)theory to address natural convection problems.The Navier-Stokes equation is discretized using second-order nonlocal differential operators,allowing a direct solution of the Laplace operator for temperature in the energy equation.Various numerical simulations,including cases such as natural convection in square cavities and two concentric cylinders,were conducted to validate the reliability of the model.The results demonstrate that the proposed model exhibits excellent accuracy and performance,providing a promising and effective numerical approach for natural convection problems. 展开更多
关键词 updated Lagrangian particle hydrodynamics(ULPH) natural convection meshless methods higher order Laplacian model
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A Power Allocation Scheme Using Updated SLNR Value Based on Perturbation Theory
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作者 Wenwen Cao Zi Teng Jun Wu 《Communications and Network》 2013年第3期181-186,共6页
The performance of downlink multiple-input multiple-output (MIMO) cellular networks is limited by co-channel interference (CCI). In this paper, we propose a linear precoding scheme based on signal-to-leakage-and-noise... The performance of downlink multiple-input multiple-output (MIMO) cellular networks is limited by co-channel interference (CCI). In this paper, we propose a linear precoding scheme based on signal-to-leakage-and-noise ratio (SLNR) criteria which can reduce the CCI significantly. Since each user’s SLNR value is corresponding to the largest eigenvalue of the generalized matrix which indicates the channel quality that we propose a scheme to do a dynamic power allocation as an auxiliary way to improve SLNR precoding scheme. We use the perturbation theory to update each user’s SLNR value each time step in time-varying channels rather than directly decompose the channel matrix so as to reduce the amount of calculation. The simulation results show that the proposed scheme offers about 0.3 bps/Hz additional capacity gain and 0.5 dB BER gain over conventional SLNR precoding method with lower computational complexity. And it also obtains about 0.5 bps/Hz additional capacity gain and 1 dB BER gain compared to the scheme only update the preceding vectors. 展开更多
关键词 updated SLNR VALUE PERTURBATION Theory Power ALLOCATION
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Updated Digital Map of Mafic Dyke Swarms and Large Igneous Provinces in Western Australia
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作者 Michael T.D.WINGATE David Mc B.MARTIN 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2016年第S1期13-14,共2页
Since 1894,the Geological Survey of Western Australia(GSWA)has released 14 versions of the‘Geological Map of Western Australia’.The latest in this series,published in December 2015,is the first bedrock geology map
关键词 updated Digital Map of Mafic Dyke Swarms and Large Igneous Provinces in Western Australia
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Internet in China: Updated Statistics
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《China's Foreign Trade》 1999年第9期36-36,共1页
关键词 Internet in China updated Statistics
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Our Knowledge about China Entirely Updated"──Sidelights on the China Trip by the Delegation of Trade Unionists from the Austria-China Friendship Association
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《International Understanding》 2000年第3期23-24,共2页
关键词 Our Knowledge about China Entirely updated
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Satellite lithium-ion battery remaining useful life estimation with an iterative updated RVM fused with the KF algorithm 被引量:38
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作者 Yuchen SONG Datong LIU +2 位作者 Yandong HOU Jinxiang YU Yu PENG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2018年第1期31-40,共10页
Lithium-ion batteries have become the third-generation space batteries and are widely utilized in a series of spacecraft. Remaining Useful Life (RUL) estimation is essential to a spacecraft as the battery is a criti... Lithium-ion batteries have become the third-generation space batteries and are widely utilized in a series of spacecraft. Remaining Useful Life (RUL) estimation is essential to a spacecraft as the battery is a critical part and determines the lifetime and reliability. The Relevance Vector Machine (RVM) is a data-driven algorithm used to estimate a battery's RUL due to its sparse feature and uncertainty management capability. Especially, some of the regressive cases indicate that the RVM can obtain a better short-term prediction performance rather than long-term prediction. As a nonlinear kernel learning algorithm, the coefficient matrix and relevance vectors are fixed once the RVM training is conducted. Moreover, the RVM can be simply influenced by the noise with the training data. Thus, this work proposes an iterative updated approach to improve the long-term prediction performance for a battery's RUL prediction. Firstly, when a new estimator is output by the RVM, the Kalman filter is applied to optimize this estimator with a physical degradation model. Then, this optimized estimator is added into the training set as an on-line sample, the RVM model is re-trained, and the coefficient matrix and relevance vectors can be dynamically adjusted to make next iterative prediction. Experimental results with a commercial battery test data set and a satellite battery data set both indicate that the proposed method can achieve a better performance for RUL estimation. 展开更多
关键词 Iterative updating Kalman filter Lithium-ion battery Relevance vector machine Remaining useful life estimation
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Dynamically updated digital twin for prognostics and health management:Application in permanent magnet synchronous motor 被引量:3
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作者 Haoyu GUO Shaoping WANG +4 位作者 Jian SHI Tengfei MA Giorgio GUGLIERI Rujun JIA Fausto LIZZIO 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2024年第6期244-261,共18页
Current research on Digital Twin(DT)based Prognostics and Health Management(PHM)focuses on establishment of DT through integration of real-time data from various sources to facilitate comprehensive product monitoring ... Current research on Digital Twin(DT)based Prognostics and Health Management(PHM)focuses on establishment of DT through integration of real-time data from various sources to facilitate comprehensive product monitoring and health management.However,there still exist gaps in the seamless integration of DT and PHM,as well as in the development of DT multi-field coupling modeling and its dynamic update mechanism.When the product experiences long-period degradation under load spectrum,it is challenging to describe the dynamic evolution of the health status and degradation progression accurately.In addition,DT update algorithms are difficult to be integrated simultaneously by current methods.This paper proposes an innovative dual loop DT based PHM framework,in which the first loop establishes the basic dynamic DT with multi-filed coupling,and the second loop implements the PHM and the abnormal detection to provide the interaction between the dual loops through updating mechanism.The proposed method pays attention to the internal state changes with degradation and interactive mapping with dynamic parameter updating.Furthermore,the Independence Principle for the abnormal detection is proposed to refine the theory of DT.Events at the first loop focus on accurate modeling of multi-field coupling,while the events at the second loop focus on real-time occurrence of anomalies and the product degradation trend.The interaction and collaboration between different loop models are also discussed.Finally,the Permanent Magnet Synchronous Motor(PMSM)is used to verify the proposed method.The results show that the modeling method proposed can accurately track the lifecycle performance changes of the entity and carry out remaining life prediction and health management effectively. 展开更多
关键词 Digital Twin(DT) Dynamic Update Independence Principle Multi-field Coupling Permanent Magnet Synchronous Motor(PMSM) Prognostics and Health Management(PHM)
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Inference of interactions between players based on asynchronously updated evolutionary game data
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作者 曾红丽 景浡 +1 位作者 王于豪 秦绍萌 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第8期142-149,共8页
The interactions between players of the prisoner's dilemma game are inferred using observed game data.All participants play the game with their counterparts and gain corresponding rewards during each round of the ... The interactions between players of the prisoner's dilemma game are inferred using observed game data.All participants play the game with their counterparts and gain corresponding rewards during each round of the game.The strategies of each player are updated asynchronously during the game.Two inference methods of the interactions between players are derived with naive mean-field(n MF)approximation and maximum log-likelihood estimation(MLE),respectively.Two methods are tested numerically also for fully connected asymmetric Sherrington-Kirkpatrick models,varying the data length,asymmetric degree,payoff,and system noise(coupling strength).We find that the mean square error of reconstruction for the MLE method is inversely proportional to the data length and typically half(benefit from the extra information of update times)of that by n MF.Both methods are robust to the asymmetric degree but work better for large payoffs.Compared with MLE,n MF is more sensitive to the strength of couplings and prefers weak couplings. 展开更多
关键词 network reconstruction prisoner's dilemma game asynchronously update
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A Real-time Updated Model Predictive Control Strategy for Batch Processes Based on State Estimation
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作者 杨国军 李秀喜 钱宇 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2014年第3期318-329,共12页
Nonlinear model predictive control(NMPC) is an appealing control technique for improving the performance of batch processes, but its implementation in industry is not always possible due to its heavy on-line computati... Nonlinear model predictive control(NMPC) is an appealing control technique for improving the performance of batch processes, but its implementation in industry is not always possible due to its heavy on-line computation. To facilitate the implementation of NMPC in batch processes, we propose a real-time updated model predictive control method based on state estimation. The method includes two strategies: a multiple model building strategy and a real-time model updated strategy. The multiple model building strategy is to produce a series of sim-plified models to reduce the on-line computational complexity of NMPC. The real-time model updated strategy is to update the simplified models to keep the accuracy of the models describing dynamic process behavior. The me-thod is validated with a typical batch reactor. Simulation studies show that the new method is efficient and robust with respect to model mismatch and changes in process parameters. 展开更多
关键词 batch process exothermic batch reactor nonlinear model predictive control state estimation real-time model update
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System Reliability Analysis for Truss Structures Based on Automatic Updated Model
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作者 Pengyu Chen Cunbao Zhao +1 位作者 He Yao Junliang Li 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第3期2057-2071,共15页
Multiple failure modes tend to be identified in the reliability analysis of a redundant truss structure.This identification process involves updating the model for identifying the next potential failure members.Herein... Multiple failure modes tend to be identified in the reliability analysis of a redundant truss structure.This identification process involves updating the model for identifying the next potential failure members.Herein we intend to update the finite element model automatically in the identification process of failure modes and further perform the system reliability analysis efficiently.This study presents a framework that is implemented through the joint simulation of MATLAB and APDL and consists of three parts:reliability index of a single member,identification of dominant failure modes,and system-level reliability analysis for system reliability analysis of truss structures.Firstly,RSM(response surface method)combines with a constrained optimization model to calculate the reliability indices ofmembers.Then theβ-unzipping method is adopted to identify the dominant failuremodes,and the system function in MATLAB,as well as the EKILL command in APDL,is used to facilitate the automatic update of the finite element model and realize load-redistribution.Besides,the differential equivalence recursion algorithmis performed to approximate the reliability indices of failuremodes efficiently and accurately.Eventually,the PNET(probabilistic network evaluation technique)is used to calculate the joint failure probability as well as the system reliability index.Two illustrative examples demonstrate the accuracy and efficiency of the proposed system reliability analysis framework through comparison with corresponding references. 展开更多
关键词 Multiple failure modes truss structure automatic update system reliability analysis framework
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A more scientific blood lead reference value urgently needs to be updated in China:From a national and international insight
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作者 Xiaoli Duan Suzhen Cao +5 位作者 Jiacheng Guan Ligang Hu Chengye Sun Chonghuai Yan Xiaoli Zhao Fengchang Wu 《Eco-Environment & Health》 2025年第1期5-9,共5页
Although blood lead levels(BLLs)in children have significantly decreased compared to two decades ago,incidents of lead poisoning and elevated BLLs among children continue to occur frequently.This trend suggests that C... Although blood lead levels(BLLs)in children have significantly decreased compared to two decades ago,incidents of lead poisoning and elevated BLLs among children continue to occur frequently.This trend suggests that China's current hygienic regulations are not sufficiently effective in managing children's lead exposure.This study analyzed the revision processes of blood lead reference values(BLRVs)in children from various countries,the current BLLs and their changing trends in China,potential sources of lead pollution and exposure,the requirements for managing and protecting children's health,as well as the national measures and strategies for lead emission management and control.The study also explored the necessity and urgency of updating China's BLRVs in children.Based on the specific conditions in China,a proposed BLRV of 50μg/L was deemed more reasonable and was suggested for implementation,with the potential to yield substantial economic benefits through improved IQ outcomes should the updated BLRV be adopted. 展开更多
关键词 Blood lead level Blood lead reference value UPDATE Lead exposure CHILDREN
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Epidemiology and Management of Drug-induced Liver Injury: Importance of the Updated RUCAM 被引量:6
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作者 Takashi Kobayashi Michihiro Iwaki +1 位作者 Asako Nogami Masato Yoneda 《Journal of Clinical and Translational Hepatology》 SCIE 2023年第5期1239-1245,共7页
Drug-induced liver injury(DILI)is a major cause of acute liver injury,liver failure,and liver transplantation worldwide.In recent years,immune checkpoint inhibitors have become widely used.This has led to an increase ... Drug-induced liver injury(DILI)is a major cause of acute liver injury,liver failure,and liver transplantation worldwide.In recent years,immune checkpoint inhibitors have become widely used.This has led to an increase in DILI,for which pathophysiology and management methods differ significantly from the past.As the number of cases of acute liver injury and liver transplantation due to DILI is expected to increase,information about a DILI is becoming more valuable.DILI is classified into two types according to its etiology:intrinsic DILI,in which the drug or its metabolites cause liver damage that is dose-dependent and predictable;and idiosyncratic DILI,in which liver damage is also dose-independent but unpredictable.In addition,depending on the course of the disease,chronic DILI or drug-induced autoimmune hepatitis may be present.The number of DILI cases caused by antimicrobial agents is decreasing,whereas that caused by drugs for malignant tumors and health foods is increasing.The Roussel Uclaf Causality Assessment Method is widely used to assess causality in DILI.Liver injury is a type of immune-related adverse event.The pattern of hepatic injury in immune-related adverse events is mostly hepatocellular,but mixed type and bile stasis have also been reported.Sclerosing cholangitis caused by immune checkpoint inhibitors has also been reported as a unique type of injury.Treatment mainly comprises withdrawal of immune checkpoint inhibitors and steroid administration;however,mycophenolate mofetil may be considered if the disease is refractory to steroids. 展开更多
关键词 Drug-induced liver injury Immune-related adverse events Immune checkpoint inhibitor updated RUCAM
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Weighted Probability Density Estimator with Updated Bandwidths
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作者 WU Yi YU Wei +1 位作者 WANG Xuejun PRAKASA RAO B L S 《Journal of Systems Science & Complexity》 SCIE EI CSCD 2024年第2期886-906,共21页
In this paper,the authors study a class of weighted version of probability density estimator.It is shown that the weighted estimator contains some existing estimators of probability density,no matter they are recursiv... In this paper,the authors study a class of weighted version of probability density estimator.It is shown that the weighted estimator contains some existing estimators of probability density,no matter they are recursive or non-recursive.Some statistical results including weak consistency,strong consistency,rate of strong consistency,and asymptotic normality are established under some mild conditions.Moreover,the random weighted estimator is also investigated.Some numerical simulations and a real data analysis are presented to study the numerical performances of the estimators. 展开更多
关键词 Asymptotic normality CONSISTENCY numerical simulation probability density real data analysis updated bandwidths weighted estimator
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Development and Validation of a Clinical Risk Score to Predict Immune-mediated Liver Injury Caused by Sintilimab:Assessed for Causality Using Updated RUCAM
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作者 Caiyun Zheng Shunmin Huang +3 位作者 Meimei Lin Baohui Hong Hengfen Dai Jing Yang 《Journal of Clinical and Translational Hepatology》 SCIE 2023年第6期1387-1396,共10页
Background and Aims:Immune-mediated liver injury is a fatal side effect of sintilimab.This study aimed to shed light on the associated risk factors and characteristics of this adverse event.Methods:The clinical record... Background and Aims:Immune-mediated liver injury is a fatal side effect of sintilimab.This study aimed to shed light on the associated risk factors and characteristics of this adverse event.Methods:The clinical records of 772 patients treated with sintilimab were retrospectively reviewed to investigate risk factors associated with sintilimab immune-related hepatotoxicity,as well as its incidence and outcome.The Roussel Uclaf Causality Assessment Method was used o identify cases of sintilimab-induced hepatotoxicity.Furthermore,logistic regressions were performed to compare the clinical and bloodwork characteristics of patients with and without immune-mediated liver injury caused by checkpoint inhibitors.Resu/ts:Of the 585 patients included in the study,71(12.1%)developed liver injury during sintili-mab use.The median RUCAM score with interquartile range was 7(6,8).Hypoproteinemia,dyslipidemia,and the pres-ence of thyroid peroxidase antibodies were risk factors for sintilimab-related hepatotoxicity.A nomogram model was constructed for sintilimab-induced immune-mediated liver injury based on these risk factors,which had a C-index value of 0.713 and a good calibration curve.When applied o patients with grade≥3 and≥4 sintilimab-induced immune-mediated liver injury,it achieved C-index values of 0.752 and 0.811,respectively.The nomogram model also showed a good prediction potential in patients≥65 years and males.Six of the patients with sintilimab-related hepatotoxicity showed improved liver function upon treatment with steroids.Conclusions:This study demonstrated that hypoproteinemia,dyslipidemia,and the presence of thyroid peroxidase antibodies were clinically feasible prognostic biomarkers to predict liver injury in patients treated with sintilimab. 展开更多
关键词 Risk factors HEPATOTOXICITY Sintilimab Checkpoint inhibitor-related immune-mediated liver injury updated RUCAM
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