Accurate purchase prediction in e-commerce critically depends on the quality of behavioral features.This paper proposes a layered and interpretable feature engineering framework that organizes user signals into three ...Accurate purchase prediction in e-commerce critically depends on the quality of behavioral features.This paper proposes a layered and interpretable feature engineering framework that organizes user signals into three layers:Basic,Conversion&Stability(efficiency and volatility across actions),and Advanced Interactions&Activity(crossbehavior synergies and intensity).Using real Taobao(Alibaba’s primary e-commerce platform)logs(57,976 records for 10,203 users;25 November–03 December 2017),we conducted a hierarchical,layer-wise evaluation that holds data splits and hyperparameters fixed while varying only the feature set to quantify each layer’s marginal contribution.Across logistic regression(LR),decision tree,random forest,XGBoost,and CatBoost models with stratified 5-fold cross-validation,the performance improvedmonotonically fromBasic to Conversion&Stability to Advanced features.With LR,F1 increased from 0.613(Basic)to 0.962(Advanced);boosted models achieved high discrimination(0.995 AUC Score)and an F1 score up to 0.983.Calibration and precision–recall analyses indicated strong ranking quality and acknowledged potential dataset and period biases given the short(9-day)window.By making feature contributions measurable and reproducible,the framework complements model-centric advances and offers a transparent blueprint for production-grade behavioralmodeling.The code and processed artifacts are publicly available,and future work will extend the validation to longer,seasonal datasets and hybrid approaches that combine automated feature learning with domain-driven design.展开更多
BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gast...BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gastrectomy;however,post-surgical pancreatic fistula remain a serious issue.These fistulas can lead to abdominal infections,anastomotic leakage,increased costs,and pain;thus,early diagnosis and prevention are crucial for a better prognosis.Currently,C-reactive protein(CRP),procalcitonin(PCT),and total bilirubin(TBil)levels are used to predict post-operative infections and anastomotic leakage.However,their predictive value for pancreatic fistula after radical gastrectomy for gastric cancer remains unclear.The present study was conducted to determine their predictive value.AIM To determine the predictive value of CRP,PCT,and TBil levels for pancreatic fistula after gastric cancer surgery.METHODS In total,158 patients who underwent radical gastrectomy for gastric cancer at our hospital between January 2019 and January 2023 were included.The patients were assigned to a pancreatic fistula group or a non-pancreatic fistula group.Multivariate logistic analysis was conducted to assess the factors influencing development of a fistula.Receiver operating characteristic(ROC)curves were used to determine the predictive value of serum CRP,PCT,and TBil levels on day 1 postsurgery.RESULTS On day 1 post-surgery,the CRP,PCT,and TBil levels were significantly higher in the pancreatic fistula group than in the non-pancreatic fistula group(P<0.05).A higher fistula grade was associated with higher levels of the indices.Univariate analysis revealed significant differences in the presence of diabetes,hyperlipidemia,pancreatic injury,splenectomy,and the biomarker levels(P<0.05).Logistic multivariate analysis identified diabetes,hyperlipidemia,pancreatic injury,CRP level,and PCT level as independent risk factors.ROC curves yielded predictive values for CRP,PCT,and TBil levels,with the PCT level having the highest area under the curve(AUC)of 0.80[95%confidence interval(CI):0.72-0.90].Combined indicators improved the predictive value,with an AUC of 0.86(95%CI:0.78-0.93).CONCLUSION Elevated CRP,PCT,and TBil levels predict risk of pancreatic fistula post-gastrectomy for gastric cancer.展开更多
Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization...Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization treatment.Method:Bioinformatics methods,including gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis,were used to identify genes related to survival prognosis in hepatocellular carcinoma(HCC)patients.A retrospective analysis of 115 advanced liver cancer patients treated between January 2016 and October 2017 was conducted.Patients were categorized into SPP1 high-expression(n=89)and low-expression groups(n=26).Additionally,115 healthy individuals served as the control group.The relationship between SPP1 expression and clinical pathological features was analyzed.A 60-month follow-up and logistic regression analysis identified risk factors affecting survival.Results:SPP1 mRNA expression was significantly higher in liver cancer patients compared to healthy controls(P<0.05).SPP1 expression levels were significantly associated with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging(P<0.05).High SPP1 expression,along with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,were independent risk factors for survival(P<0.05).The 60-month survival rate was 17.39%,with a median survival of 40 months in the low-expression group versus 18 months in the high-expression group(P<0.05).Conclusion:SPP1 expression is significantly upregulated in advanced liver cancer patients and has predictive value for postoperative survival following hepatic artery chemoembolization treatment.SPP1,combined with clinical indicators such as tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,may serve as a prognostic biomarker for interventional treatment outcomes.展开更多
Objective:To investigate the diagnostic and predictive value of MRI features combined with clinical indicators for prostate cancer(PCa)and clinically significant prostate cancer(csPCa),and to establish a non-invasive ...Objective:To investigate the diagnostic and predictive value of MRI features combined with clinical indicators for prostate cancer(PCa)and clinically significant prostate cancer(csPCa),and to establish a non-invasive combined model.Methods:A total of 36 patients with pathologically confirmed benign lesions(44 foci)and 23 patients with PCa(49 foci),including 25 foci of csPCa and 68 foci of non-csPCa,were included.SyMRI quantitative maps and clinical indicators were collected,and 224 imaging features were extracted.The intra-and inter-group correlation coefficients(ICC)for each feature were calculated using intra-and inter-group correlation analysis,and features with an ICC>0.75 were selected as stable features that could be reproducibly extracted.Independent predictors were screened using logistic regression to construct single and combined models,and the performance was evaluated using ROC curves.Results:Age,PSAD,PD map contrast,and T2 map joint entropy were significantly higher in the PCa group compared to the benign group,while the median ADC was significantly lower(p<0.05).The above-mentioned indicators were significantly correlated with PCa and csPCa,and the diagnostic performance of the combined model was superior to that of a single MRI or clinical model.Conclusion:MRI features combined with PSAD can effectively differentiate PCa and predict csPCa,providing a non-invasive quantitative diagnostic basis for clinical practice.展开更多
BACKGROUND The incidence of esophageal cancer is high,and its prognosis is poor.Endoscopic submucosal dissection(ESD)is an important,minimally invasive treatment for early esophageal cancer,but the risk of postoperati...BACKGROUND The incidence of esophageal cancer is high,and its prognosis is poor.Endoscopic submucosal dissection(ESD)is an important,minimally invasive treatment for early esophageal cancer,but the risk of postoperative bleeding affects its efficacy.AIM To explore risk factors of bleeding after ESD and evaluate the predictive value of a gradient boosting machine(GBM)model for postoperative bleeding.METHODS The clinical data of 178 early esophageal cancer patients who underwent ESD at the Affiliated Hospital of Xuzhou Medical University from October 2019 to October 2024 were analyzed retrospectively.Patients were divided into two groups(bleeding and non-bleeding).Univariate and multivariate logistic regression analyses identified risk factors for postoperative bleeding,leading to the construction of the GBM prediction model.The receiver operating characteristic(ROC)curve evaluated the predictive efficacy of the GBM model and bleeding after ESD trend from Japan(BEST-J)score.RESULTS Among 178 patients who received ESD treatment,29 cases(16.29%)had bleeding,and 149 cases(83.71%)had no bleeding.The average BEST-J score and the proportion of high-risk and extremely high-risk patients were higher in the bleeding group than in the non-bleeding group(P<0.05).Multivariate logistic regression analysis showed that tumor size≥3 cm,surgical bleeding,and Creactive protein(CRP)were independent risk factors for bleeding after ESD in patients with early esophageal cancer(P<0.05).The ROC curve showed that the area under the curve of the GBM prediction model based on the influencing factors was greater than that of the BEST-J score(0.818 vs 0.653,P<0.05).CONCLUSION The GBM prediction model based on tumor size≥3 cm,surgical bleeding,and high CRP levels is more effective than the BEST-J score at predicting bleeding after ESD.展开更多
The need for Optimum Value benefit realization on Road Projects in developing countries has become topical. While the traditional Cost Control project management process only aligns actual costs with budgeted costs, V...The need for Optimum Value benefit realization on Road Projects in developing countries has become topical. While the traditional Cost Control project management process only aligns actual costs with budgeted costs, Value Engineering (VE) is a sustainable and systematic innovative methodology for establishing the best functional balance among desired features of a project. A Value Engineering (VE) study was conducted with the aim of examining the benefits associated with its use on Road Projects in Ghana. This study employed a two-stage research procedure: desk study and field research. The literature review identified the Optimum Value benefits associated with VE road project management technique as increased Confidence Level in Contract Compliance, reliable Implementation Level of Construction Delivery and enhanced Effectiveness Level of Project Sustainability. A quantitative survey research design based on a purposive sampling technique of selecting respondents was adopted. Employing closed-ended questions, 40 sets of questionnaires were issued to professionals in Road Infrastructure and Support Agencies (RISA) under the Ministry of Roads and Highways (MRH) in the Eastern Region of Ghana. At a response rate of 85%, descriptive statistical analysis (Means, Standard Deviations and Variances) and inferential statistical analysis of variance (ANOVA) test were used to process the data and determine whether there was any significant difference between VE benefit parameters and the groups of respondents. The results revealed that road professionals are familiar with the VE process but solely use Cost Control project management technique. Road professionals recognized the high Optimum Value benefits of professionally ethical Contract Compliance, efficient Construction Delivery and functionally viable Project Sustainability on VE road project management process.展开更多
Both in developed and in developing countries, the construction industry is regarded as an economic investment activity without forgetting its significant relationship with national economic development due to its gre...Both in developed and in developing countries, the construction industry is regarded as an economic investment activity without forgetting its significant relationship with national economic development due to its great contributions to the national gross domestic product (GDP) of the country. Concerning construction processes, both risk management (RM) and value engineering (VE) techniques have commonalities from the beginning up to the completion of the project due to enhancing the project value/quality, meeting the project deadline, and reducing overall project cost. VE includes resolving the uncertainty of project objectives and ensuring that the project is delivered in a value for money way. The key point of RM is to solve the uncertainty of the project itself and its results to ensure that the specifications are achieved within the prescribed time, cost, and quality constraints. This review work is comparatively and collectively focus</span><span style="font-family:Verdana;">ed</span><span style="font-family:Verdana;"> on assessing the role of RM and VE tools for project successful delivery. It studies the points of difference and common features of the two aspects in terms of construction project delivery. So, this study concluded that in construction RM tool cannot be the chief aim of the all parties involved in the project execution because sometimes it produces itself negative results and reduces project management success. Therefore, RM needs a strong combination with VE due to the dependence of the target in identifying and assessing risks by considering the highest performance and lowest cost. The integration of RM and VE combination in a single study would avoid duplication of work and deliver better value for money thereby leading to better project outcomes.展开更多
The ecosystem service value of Jingtaichuan electric power irrigation engineering( referred to as Jingdian engineering) was divided into internal value( the value of farmland system,shelter forest system outside of fa...The ecosystem service value of Jingtaichuan electric power irrigation engineering( referred to as Jingdian engineering) was divided into internal value( the value of farmland system,shelter forest system outside of farmland and wetland waters) and external value( the ecological service value of ecological migration to the vegetation restoration of the Qilian Mountains) firstly,and then it was analyzed by using the model method and the factor equivalent method. The results showed that the internal ecological service value of Jingdian engineering was 36. 3 ×10~8 yuan,which was 25. 0 times larger than the total annual cost. The external ecological service value was 40. 05 ×10~8 yuan,which was 27. 6 times larger than the total annual cost. Among the three functional systems,the ecological service value of farmland system was the largest. The ecological service value of farmland system was mainly reflected in waste disposal,wind prevention and sand fixation,and food production. The external ecological service value was mainly the ecological service value of migration to vegetation restoration in the Qilian Mountains. Jingdian engineering is the only highlifting project that raises water to the desert in China. It transfers water from outer basins to control desertification and provides a successful road for ecological migration and desertification control in arid areas.展开更多
With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint o...With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint of water utility providers. There is also the potential for significant energy and therefore financial savings to be realised from the adoption of more energy efficient designs approaches. Water utility providers account for a significant proportion of national electricity consumption. The purpose of this research is to determine if, over the long term, opting for a larger diameter pipe at design stage can lead to significant financial and emissions savings for water utility providers when considering pumping mains. Pumping mains are widely used throughout the water and wastewater industry where a gravity solution is not possible. 72 hypothetical water main design scenarios were analysed and the long term financial and environmental impact of each hypothetical water main was assessed. It was found across all design scenarios that larger diameter water mains were capable of delivering the same rate of flow of smaller diameter pipes at a much reduced velocity and requiring reduced pumping power. It was concluded that pumped mains of larger diameters can ultimately be more energy efficient and cost effective over the long term when selected in favour of smaller diameter pumped mains in otherwise identical design scenarios.展开更多
The current economic conditions have entailed the use of rational method and techniques and research and application of new techniques by utilizing advancements in technology in the field of production as well as in e...The current economic conditions have entailed the use of rational method and techniques and research and application of new techniques by utilizing advancements in technology in the field of production as well as in every field. Excess cost control requires to be maintained throughout the project life of building beginning from the initial stages of design. Scrutinizing the project well and considering all possible alternatives particularly in design stage are important for achieving optimum cost. In this study, how the principles of VE （value engineering） are applied in construction projects is explained, and by covering Bregana-Zagreb-Dubrovnik Motorway construction in Croatia by BECHTEL -ENKA joint venture as the sample project, practices of VE in this project are described. The satisfactory results of time and cost saving are achieved by applying value engineering principles through the VE team during the project preparation phase and project revision phase. Approximately 43,000,0005 and 12 months of time were saved in total thanks to all these VE works. This saving provided builder company with 6% financial saving and 17% work time reduction.展开更多
With the rapid development of social economy, the application field of value engineering is gradually extensive. At present, the value engineering of advanced countries such as the United States, Britain, Germany, Jap...With the rapid development of social economy, the application field of value engineering is gradually extensive. At present, the value engineering of advanced countries such as the United States, Britain, Germany, Japan and South Korea has been very mature in its application in the design stage of EPC projects, and has also obtained many successful experiences in the cost control of the construction industry. However, China is still lagging behind in this aspect. Based on this, this paper will comprehensively analyze the meaning of value engineering in EPC projects, the direction of cost control and management in the design stage of EPC projects based on value engineering, the cost control and management system in the design stage of EPC projects based on value engineering, and the cost control methods in the design stage of value engineering in EPC projects, so as to promote the good practice and sustainable development of value engineering in China's EPC projects.展开更多
With the continuous development of urban and rural construction in China, the whole process engineering consulting work has been carried out in various regions of our country. However, in the process of implementation...With the continuous development of urban and rural construction in China, the whole process engineering consulting work has been carried out in various regions of our country. However, in the process of implementation, there are still many problems. Therefore, in order to promote the smooth development of the whole process consulting service, this paper studies its related theory and value embodiment, in order to provide reliable basis for relevant personnel to carry out their work.展开更多
A combination method of optimization of the back-ground value and optimization of the initial item is proposed. The sequences of the unbiased exponential distribution are simulated and predicted through the optimizati...A combination method of optimization of the back-ground value and optimization of the initial item is proposed. The sequences of the unbiased exponential distribution are simulated and predicted through the optimization of the background value in grey differential equations. The principle of the new information priority in the grey system theory and the rationality of the initial item in the original GM（1,1） model are ful y expressed through the improvement of the initial item in the proposed time response function. A numerical example is employed to il ustrate that the proposed method is able to simulate and predict sequences of raw data with the unbiased exponential distribution and has better simulation performance and prediction precision than the original GM（1,1） model relatively.展开更多
BACKGROUND:The major issue with intraoperative cholangiography (IOC) is whether its diagnostic accuracy for common bile duct (CBD) stones matches that of other diagnostic procedures,and thus,whether it will become a r...BACKGROUND:The major issue with intraoperative cholangiography (IOC) is whether its diagnostic accuracy for common bile duct (CBD) stones matches that of other diagnostic procedures,and thus,whether it will become a routine diagnostic procedure.The current study aimed to address the main determinants of CBD stone diagnosis in IOC among an Iranian population.METHODS:In a retrospective review database-based study conducted in Taleghani Hospital in Tehran between 2006 and 2008,baseline data and perioperative information of 2060 patients (male to female ratio 542:1518,mean age 53.7 years) who were candidates for cholecystectomy and underwent concomitant IOC for confirming CBD stones were reviewed.The predictive power of this procedure for diagnosis of abnormal biliary ducts with the focus on biliary stones was determined.RESULTS:Overall mortality and morbidity following cholecystectomy in the study population were 0.6% and 2.6%,respectively.Both early mortality and morbidity due to cholecystectomy were higher in male than female.The prevalence of CBD stones in IOC was 3.4% (5.2% in male and 2.8% in female,P=0.008).Among those without gallstones,8.7% had CBD stones and only 3.1% had concomitant gallstones and CBD stones.The main predictors of stone appearance as an abnormal feature of IOC during cholecystectomy were:advanced age (OR=1.022,P=0.001),male gender (OR=1.498,P=0.050),history of abdominal surgery (OR=1.543,P=0.040) and preoperative endoscopic retrograde cholangiopancreatography (OR=5.400,P<0.001).CONCLUSIONS:IOC is a safe and accurate method for the assessment of bile duct anatomy and stones.Therefore,the routine use of IOC within cholecystectomy seems reasonable and is recommended.展开更多
Coronary artery disease is the leading cause of death in advanced countries and its prevalence is increasing among the developing countries.Cardiac computed tomography(CT) has been increasingly used in the diagnosis o...Coronary artery disease is the leading cause of death in advanced countries and its prevalence is increasing among the developing countries.Cardiac computed tomography(CT) has been increasingly used in the diagnosis of coronary artery disease due to its rapid improvements in multislice CT scanners over the last decade,and this less-invasive technique has become a potentially effective alternative to invasive coronary angiography.Quantifying the amount of coronary artery calcium with cardiac CT has been widely accepted as a reliable non-invasive technique for predicting risk of future cardiovascular events.However,the main question that remains uncertain is whether routine,widespread coronary artery calcium scoring in an individual patient will result in an overall improvement in quality of care and clinical outcomes.In this commentary,we discuss a current issue of the clinical value of coronary artery calcium scoring with regard to its value of predicting adverse cardiac events.We also discuss the applications of coronary artery calcium scores in patients with different risk groups.展开更多
Aim: To determine the predictive value of the hypo-osmotic swelling (HOS) test to identify viable, non-motile sperm. Methods: Semen samples from 20 men with severe asthenozoospermia underwent traditional seminal analy...Aim: To determine the predictive value of the hypo-osmotic swelling (HOS) test to identify viable, non-motile sperm. Methods: Semen samples from 20 men with severe asthenozoospermia underwent traditional seminal analysis, eosin-nigrosin (EN) staining and the HOS test. A further EN stain was then performed on a HOS pre-treated aliquot and a total of 2000 further sperm examined. Results: The median sperm density was 5.1 million/mL (IQR 4.3-13.1) and the median motility was 3.0 % (IQR 0-7). Seven samples showed complete asthenozoospermia. Initial EN staining showed 59 % viability (range 48-69) despite the poor standard parameters and 47 % (range 33-61) in the complete asthenozoospermia subgroup. The HOS test showed 49.9 % reacted overall (range 40-59) and 41.7 % (range 22-61) in the complete asthenozoospermia subgroup. The combined HOS/EN stain showed the positive predictive value of the HOS test to identify viable sperm was 84.2 % overall and 79.7 % in the complete asthenozoospermia subgroup. Conclusion: The HOS test can effectively predict sperm viability in patients with severe and complete asthenozoospermia.展开更多
As one of the earliest markers for predicting pregnancy outcomes, human chorionic gonadotropin(h CG) values have been inconclusive on reliability of the prediction after frozen and fresh embryo transfer(ET). In this r...As one of the earliest markers for predicting pregnancy outcomes, human chorionic gonadotropin(h CG) values have been inconclusive on reliability of the prediction after frozen and fresh embryo transfer(ET). In this retrospective study, patients with positive h CG(day 12 after transfer) were included to examine the h CG levels and their predictive value for pregnancy outcomes following 214 fresh and 1513 vitrified-warmed single-blastocyst transfer cycles. For patients who got clinical pregnancy, the mean initial h CG value was significantly higher after frozen cycles than fresh cycles, and the similar result was demonstrated for patients with live births(LB). The difference in h CG value existed even after adjusting for the potential covariates. The area under curves(AUC) and threshold values calculated by receiver operator characteristic curves were 0.944 and 213.05 m IU/m L for clinical pregnancy after fresh ET, 0.894 and 399.50 m IU/m L for clinical pregnancy after frozen ET, 0.812 and 222.86 m IU/m L for LB after fresh ET, and 0.808 and 410.80 m IU/mL for LB after frozen ET with acceptable sensitivity and specificity, respectively. In conclusion, single frozen blastocyst transfer leads to higher initial h CG values than single fresh blastocyst transfer, and the initial h CG level is a reliable predictive factor for predicting IVF outcomes.展开更多
Objective： To determine the predictive ability of biomarkers for responses to neoadjuvant endocrine therapy （NET） in postmenopausal breast cancer. Methods： Consecutive 160 postmenopausal women with T 1-3 N 0-1 M 0...Objective： To determine the predictive ability of biomarkers for responses to neoadjuvant endocrine therapy （NET） in postmenopausal breast cancer. Methods： Consecutive 160 postmenopausal women with T 1-3 N 0-1 M 0 hormone receptor （HR）-positive invasive breast cancer were treated with anastrozole for 16 weeks before surgery. New slides of tumor specimens taken before and after treatment were conducted centrally for biomarker analysis and classified using the Applied Imaging Ariol MB-8 system. The pathological response was evaluated using the Miller ＆ Payne classification. The cell cycle response was classified according to the change in the Ki67 index after treatment. Multivariable logistic regression analysis was used to calculate the combined index of the biomarkers. Receiver operating characteristic （ROC） curves were used to determine whether parameters may predict response. Results： The correlation between the pathological and cell cycle responses was low （Spearman correlation coefficient =0.241, P〈0.001; Kappa value =0.119, P=0.032）. The cell cycle response was significantly associated with pre-treatment estrogen receptor （ER） status （P=0.001）, progesterone receptor （PgR） status （P〈0.001）, human epidermal growth factor receptor 2 （Her-2） status （P=0.050） and the Ki67 index （P〈0.001）, but the pathological response was not correlated with these factors. Pre-treatment ER levels [area under the curve （AUC） =0.634, 95% confidence interval （95% CI）, 0.534-0.735, P=0.008] and combined index of pre-treatment ER and PgR levels （AUC =0.684, 95% CI, 0.591-0.776, P〈0.001） could not predict the cell cycle response, but combined index including per-treatment ER/PR/Her-2/Ki67 expression levels could （AUC =0.830, 95% CI, 0.759-0.902, P〈0.001）. Conclusions： The combined use of pre-treatment ER/PgR/Her-2/Ki67 expression levels, instead of HR expression levels, may predict the cell cycle response to NET.展开更多
This study aimed to compare the predictive value of six selected anthropometric indicators for benign prostatic hyperplasia(BPH).Males over 50 years of age who underwent health examinations at the Health Management Ce...This study aimed to compare the predictive value of six selected anthropometric indicators for benign prostatic hyperplasia(BPH).Males over 50 years of age who underwent health examinations at the Health Management Center of the Second Xiangya Hospital,Central South University(Changsha,China)from June to December 2020 were enrolled in this study.The characteristic data were collected,including basic anthropometric indices,lipid parameters,six anthropometric indicators,prostate-specific antigen,and total prostate volume.The odds ratios(ORs)with 95%confidence intervals(95%CIs)for all anthropometric parameters and BPH were calculated using binary logistic regression.To assess the diagnostic capability of each indicator for BPH and identify the appropriate cutoff values,receiver operating characteristic(ROC)curves and the related areas under the curves(AUCs)were utilized.All six indicators had diagnostic value for BPH(all P≤0.001).The visceral adiposity index(VAI;AUC:0.797,95%CI:0.759–0.834)had the highest AUC and therefore the highest diagnostic value.This was followed by the cardiometabolic index(CMI;AUC:0.792,95%CI:0.753–0.831),lipid accumulation product(LAP;AUC:0.766,95%CI:0.723–0.809),waist-to-hip ratio(WHR;AUC:0.660,95%CI:0.609–0.712),waist-to-height ratio(WHtR;AUC:0.639,95%CI:0.587–0.691),and body mass index(BMI;AUC:0.592,95%CI:0.540–0.643).The sensitivity of CMI was the highest(92.1%),and WHtR had the highest specificity of 94.1%.CMI consistently showed the highest OR in the binary logistic regression analysis.BMI,WHtR,WHR,VAI,CMI,and LAP all influence the occurrence of BPH in middle-aged and older men(all P≤0.001),and CMI is the best predictor of BPH.展开更多
BACKGROUND Melanoma is a highly malignant skin tumour, and is one of the most rapidly growing malignant tumors in recent years. According to statistics, the morbidity of cancer increases with age, accounting for 1.6% ...BACKGROUND Melanoma is a highly malignant skin tumour, and is one of the most rapidly growing malignant tumors in recent years. According to statistics, the morbidity of cancer increases with age, accounting for 1.6% of new cancer cases and 0.6% of deaths worldwide. Melanoma has a serious impact on society and families, thus it is of great significance to find biological markers related to the diagnosis and treatment of melanoma.AIM To explore the expression and predictive value of mir-489 and mir-21 in melanoma metastasis.METHODS A total of 60 patients with malignant melanoma treated at our hospital from June2017 to December 2018 were selected as a research group, while 40 healthy subjects were selected as a control group. qRT-PCR technique was used to detect miR-489 and miR-21 in serum of the two groups. ROC curve was drawn to evaluate the predictive value and diagnostic efficiency. Spearman test was used for correlation analysis. Logistic single-and multiple-factor analyses were performed to identify the risk factors related to melanoma metastasis.RESULTS The expression of miR-489 in the research group was significantly lower than that in the control group(P < 0.001). However, the expression of miR-21 in the research group was significantly higher than that in the control group(P < 0.001).The expression of miR-489 and miR-21 was related to TNM stage and metastasis(P < 0.001). In the diagnosis of melanoma patients, the sensitivity, specificity, and AUC of miR-489 alone were 75.56%, 80.00%, and 0.852, respectively. The sensitivity, specificity, and AUC of miR-21 alone were 77.78%, 82.22%, and 0.844,respectively. MiR-489 was negatively correlated with TNM stage of melanoma(r=-0.612, P < 0.001), while miR-21 was positively correlated with TNM stage(r =0.609, P < 0.001). Logistic single-and multiple-factor regression analyses showed that TNM stage, miR-489, and mir-21 were independent risk factors for malignant melanoma metastasis.CONCLUSION MiR-489 and miR-21 may participate in the process of melanoma occurrence,development, and metastasis, and can be used as potential serum biomarkers for melanoma metastasis diagnosis and disease assessment.展开更多
基金supported by the research fund of Hanyang University(HY-202500000001616).
文摘Accurate purchase prediction in e-commerce critically depends on the quality of behavioral features.This paper proposes a layered and interpretable feature engineering framework that organizes user signals into three layers:Basic,Conversion&Stability(efficiency and volatility across actions),and Advanced Interactions&Activity(crossbehavior synergies and intensity).Using real Taobao(Alibaba’s primary e-commerce platform)logs(57,976 records for 10,203 users;25 November–03 December 2017),we conducted a hierarchical,layer-wise evaluation that holds data splits and hyperparameters fixed while varying only the feature set to quantify each layer’s marginal contribution.Across logistic regression(LR),decision tree,random forest,XGBoost,and CatBoost models with stratified 5-fold cross-validation,the performance improvedmonotonically fromBasic to Conversion&Stability to Advanced features.With LR,F1 increased from 0.613(Basic)to 0.962(Advanced);boosted models achieved high discrimination(0.995 AUC Score)and an F1 score up to 0.983.Calibration and precision–recall analyses indicated strong ranking quality and acknowledged potential dataset and period biases given the short(9-day)window.By making feature contributions measurable and reproducible,the framework complements model-centric advances and offers a transparent blueprint for production-grade behavioralmodeling.The code and processed artifacts are publicly available,and future work will extend the validation to longer,seasonal datasets and hybrid approaches that combine automated feature learning with domain-driven design.
文摘BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gastrectomy;however,post-surgical pancreatic fistula remain a serious issue.These fistulas can lead to abdominal infections,anastomotic leakage,increased costs,and pain;thus,early diagnosis and prevention are crucial for a better prognosis.Currently,C-reactive protein(CRP),procalcitonin(PCT),and total bilirubin(TBil)levels are used to predict post-operative infections and anastomotic leakage.However,their predictive value for pancreatic fistula after radical gastrectomy for gastric cancer remains unclear.The present study was conducted to determine their predictive value.AIM To determine the predictive value of CRP,PCT,and TBil levels for pancreatic fistula after gastric cancer surgery.METHODS In total,158 patients who underwent radical gastrectomy for gastric cancer at our hospital between January 2019 and January 2023 were included.The patients were assigned to a pancreatic fistula group or a non-pancreatic fistula group.Multivariate logistic analysis was conducted to assess the factors influencing development of a fistula.Receiver operating characteristic(ROC)curves were used to determine the predictive value of serum CRP,PCT,and TBil levels on day 1 postsurgery.RESULTS On day 1 post-surgery,the CRP,PCT,and TBil levels were significantly higher in the pancreatic fistula group than in the non-pancreatic fistula group(P<0.05).A higher fistula grade was associated with higher levels of the indices.Univariate analysis revealed significant differences in the presence of diabetes,hyperlipidemia,pancreatic injury,splenectomy,and the biomarker levels(P<0.05).Logistic multivariate analysis identified diabetes,hyperlipidemia,pancreatic injury,CRP level,and PCT level as independent risk factors.ROC curves yielded predictive values for CRP,PCT,and TBil levels,with the PCT level having the highest area under the curve(AUC)of 0.80[95%confidence interval(CI):0.72-0.90].Combined indicators improved the predictive value,with an AUC of 0.86(95%CI:0.78-0.93).CONCLUSION Elevated CRP,PCT,and TBil levels predict risk of pancreatic fistula post-gastrectomy for gastric cancer.
基金Medical Research Project of Xi’an Science and Technology Bureau“Molecular Mechanism of miR-1305 Competitive Endogenous circRNA in the Development of Liver Cancer”(Project No.22YXYJ0134)General Project of Key Research and Development Program of Shaanxi Provincial Department of Science and Technology“Mechanism Study on the Inhibition of Liver Cancer Invasion and Metastasis by Downregulating METTL3 and Reducing the m6A Modification Level of MMP3 with Honokiol”(Project No.2023-YBSF-631)。
文摘Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization treatment.Method:Bioinformatics methods,including gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis,were used to identify genes related to survival prognosis in hepatocellular carcinoma(HCC)patients.A retrospective analysis of 115 advanced liver cancer patients treated between January 2016 and October 2017 was conducted.Patients were categorized into SPP1 high-expression(n=89)and low-expression groups(n=26).Additionally,115 healthy individuals served as the control group.The relationship between SPP1 expression and clinical pathological features was analyzed.A 60-month follow-up and logistic regression analysis identified risk factors affecting survival.Results:SPP1 mRNA expression was significantly higher in liver cancer patients compared to healthy controls(P<0.05).SPP1 expression levels were significantly associated with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging(P<0.05).High SPP1 expression,along with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,were independent risk factors for survival(P<0.05).The 60-month survival rate was 17.39%,with a median survival of 40 months in the low-expression group versus 18 months in the high-expression group(P<0.05).Conclusion:SPP1 expression is significantly upregulated in advanced liver cancer patients and has predictive value for postoperative survival following hepatic artery chemoembolization treatment.SPP1,combined with clinical indicators such as tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,may serve as a prognostic biomarker for interventional treatment outcomes.
文摘Objective:To investigate the diagnostic and predictive value of MRI features combined with clinical indicators for prostate cancer(PCa)and clinically significant prostate cancer(csPCa),and to establish a non-invasive combined model.Methods:A total of 36 patients with pathologically confirmed benign lesions(44 foci)and 23 patients with PCa(49 foci),including 25 foci of csPCa and 68 foci of non-csPCa,were included.SyMRI quantitative maps and clinical indicators were collected,and 224 imaging features were extracted.The intra-and inter-group correlation coefficients(ICC)for each feature were calculated using intra-and inter-group correlation analysis,and features with an ICC>0.75 were selected as stable features that could be reproducibly extracted.Independent predictors were screened using logistic regression to construct single and combined models,and the performance was evaluated using ROC curves.Results:Age,PSAD,PD map contrast,and T2 map joint entropy were significantly higher in the PCa group compared to the benign group,while the median ADC was significantly lower(p<0.05).The above-mentioned indicators were significantly correlated with PCa and csPCa,and the diagnostic performance of the combined model was superior to that of a single MRI or clinical model.Conclusion:MRI features combined with PSAD can effectively differentiate PCa and predict csPCa,providing a non-invasive quantitative diagnostic basis for clinical practice.
文摘BACKGROUND The incidence of esophageal cancer is high,and its prognosis is poor.Endoscopic submucosal dissection(ESD)is an important,minimally invasive treatment for early esophageal cancer,but the risk of postoperative bleeding affects its efficacy.AIM To explore risk factors of bleeding after ESD and evaluate the predictive value of a gradient boosting machine(GBM)model for postoperative bleeding.METHODS The clinical data of 178 early esophageal cancer patients who underwent ESD at the Affiliated Hospital of Xuzhou Medical University from October 2019 to October 2024 were analyzed retrospectively.Patients were divided into two groups(bleeding and non-bleeding).Univariate and multivariate logistic regression analyses identified risk factors for postoperative bleeding,leading to the construction of the GBM prediction model.The receiver operating characteristic(ROC)curve evaluated the predictive efficacy of the GBM model and bleeding after ESD trend from Japan(BEST-J)score.RESULTS Among 178 patients who received ESD treatment,29 cases(16.29%)had bleeding,and 149 cases(83.71%)had no bleeding.The average BEST-J score and the proportion of high-risk and extremely high-risk patients were higher in the bleeding group than in the non-bleeding group(P<0.05).Multivariate logistic regression analysis showed that tumor size≥3 cm,surgical bleeding,and Creactive protein(CRP)were independent risk factors for bleeding after ESD in patients with early esophageal cancer(P<0.05).The ROC curve showed that the area under the curve of the GBM prediction model based on the influencing factors was greater than that of the BEST-J score(0.818 vs 0.653,P<0.05).CONCLUSION The GBM prediction model based on tumor size≥3 cm,surgical bleeding,and high CRP levels is more effective than the BEST-J score at predicting bleeding after ESD.
文摘The need for Optimum Value benefit realization on Road Projects in developing countries has become topical. While the traditional Cost Control project management process only aligns actual costs with budgeted costs, Value Engineering (VE) is a sustainable and systematic innovative methodology for establishing the best functional balance among desired features of a project. A Value Engineering (VE) study was conducted with the aim of examining the benefits associated with its use on Road Projects in Ghana. This study employed a two-stage research procedure: desk study and field research. The literature review identified the Optimum Value benefits associated with VE road project management technique as increased Confidence Level in Contract Compliance, reliable Implementation Level of Construction Delivery and enhanced Effectiveness Level of Project Sustainability. A quantitative survey research design based on a purposive sampling technique of selecting respondents was adopted. Employing closed-ended questions, 40 sets of questionnaires were issued to professionals in Road Infrastructure and Support Agencies (RISA) under the Ministry of Roads and Highways (MRH) in the Eastern Region of Ghana. At a response rate of 85%, descriptive statistical analysis (Means, Standard Deviations and Variances) and inferential statistical analysis of variance (ANOVA) test were used to process the data and determine whether there was any significant difference between VE benefit parameters and the groups of respondents. The results revealed that road professionals are familiar with the VE process but solely use Cost Control project management technique. Road professionals recognized the high Optimum Value benefits of professionally ethical Contract Compliance, efficient Construction Delivery and functionally viable Project Sustainability on VE road project management process.
文摘Both in developed and in developing countries, the construction industry is regarded as an economic investment activity without forgetting its significant relationship with national economic development due to its great contributions to the national gross domestic product (GDP) of the country. Concerning construction processes, both risk management (RM) and value engineering (VE) techniques have commonalities from the beginning up to the completion of the project due to enhancing the project value/quality, meeting the project deadline, and reducing overall project cost. VE includes resolving the uncertainty of project objectives and ensuring that the project is delivered in a value for money way. The key point of RM is to solve the uncertainty of the project itself and its results to ensure that the specifications are achieved within the prescribed time, cost, and quality constraints. This review work is comparatively and collectively focus</span><span style="font-family:Verdana;">ed</span><span style="font-family:Verdana;"> on assessing the role of RM and VE tools for project successful delivery. It studies the points of difference and common features of the two aspects in terms of construction project delivery. So, this study concluded that in construction RM tool cannot be the chief aim of the all parties involved in the project execution because sometimes it produces itself negative results and reduces project management success. Therefore, RM needs a strong combination with VE due to the dependence of the target in identifying and assessing risks by considering the highest performance and lowest cost. The integration of RM and VE combination in a single study would avoid duplication of work and deliver better value for money thereby leading to better project outcomes.
基金Support by Key Research and Development Project of Gansu Province(18YF1FA028)
文摘The ecosystem service value of Jingtaichuan electric power irrigation engineering( referred to as Jingdian engineering) was divided into internal value( the value of farmland system,shelter forest system outside of farmland and wetland waters) and external value( the ecological service value of ecological migration to the vegetation restoration of the Qilian Mountains) firstly,and then it was analyzed by using the model method and the factor equivalent method. The results showed that the internal ecological service value of Jingdian engineering was 36. 3 ×10~8 yuan,which was 25. 0 times larger than the total annual cost. The external ecological service value was 40. 05 ×10~8 yuan,which was 27. 6 times larger than the total annual cost. Among the three functional systems,the ecological service value of farmland system was the largest. The ecological service value of farmland system was mainly reflected in waste disposal,wind prevention and sand fixation,and food production. The external ecological service value was mainly the ecological service value of migration to vegetation restoration in the Qilian Mountains. Jingdian engineering is the only highlifting project that raises water to the desert in China. It transfers water from outer basins to control desertification and provides a successful road for ecological migration and desertification control in arid areas.
文摘With net zero carbon emissions targets approaching over the next 20 to 30 years, the water industry must act now to develop energy efficient techniques and designs to reduce emissions and reduce the carbon footprint of water utility providers. There is also the potential for significant energy and therefore financial savings to be realised from the adoption of more energy efficient designs approaches. Water utility providers account for a significant proportion of national electricity consumption. The purpose of this research is to determine if, over the long term, opting for a larger diameter pipe at design stage can lead to significant financial and emissions savings for water utility providers when considering pumping mains. Pumping mains are widely used throughout the water and wastewater industry where a gravity solution is not possible. 72 hypothetical water main design scenarios were analysed and the long term financial and environmental impact of each hypothetical water main was assessed. It was found across all design scenarios that larger diameter water mains were capable of delivering the same rate of flow of smaller diameter pipes at a much reduced velocity and requiring reduced pumping power. It was concluded that pumped mains of larger diameters can ultimately be more energy efficient and cost effective over the long term when selected in favour of smaller diameter pumped mains in otherwise identical design scenarios.
文摘The current economic conditions have entailed the use of rational method and techniques and research and application of new techniques by utilizing advancements in technology in the field of production as well as in every field. Excess cost control requires to be maintained throughout the project life of building beginning from the initial stages of design. Scrutinizing the project well and considering all possible alternatives particularly in design stage are important for achieving optimum cost. In this study, how the principles of VE （value engineering） are applied in construction projects is explained, and by covering Bregana-Zagreb-Dubrovnik Motorway construction in Croatia by BECHTEL -ENKA joint venture as the sample project, practices of VE in this project are described. The satisfactory results of time and cost saving are achieved by applying value engineering principles through the VE team during the project preparation phase and project revision phase. Approximately 43,000,0005 and 12 months of time were saved in total thanks to all these VE works. This saving provided builder company with 6% financial saving and 17% work time reduction.
文摘With the rapid development of social economy, the application field of value engineering is gradually extensive. At present, the value engineering of advanced countries such as the United States, Britain, Germany, Japan and South Korea has been very mature in its application in the design stage of EPC projects, and has also obtained many successful experiences in the cost control of the construction industry. However, China is still lagging behind in this aspect. Based on this, this paper will comprehensively analyze the meaning of value engineering in EPC projects, the direction of cost control and management in the design stage of EPC projects based on value engineering, the cost control and management system in the design stage of EPC projects based on value engineering, and the cost control methods in the design stage of value engineering in EPC projects, so as to promote the good practice and sustainable development of value engineering in China's EPC projects.
文摘With the continuous development of urban and rural construction in China, the whole process engineering consulting work has been carried out in various regions of our country. However, in the process of implementation, there are still many problems. Therefore, in order to promote the smooth development of the whole process consulting service, this paper studies its related theory and value embodiment, in order to provide reliable basis for relevant personnel to carry out their work.
基金supported by the Key Project of National Social Science Foundation(12AZD111)the National Project for Education Science Planning(EFA110351)+2 种基金the Humanities and Social Science Foundation of Ministry of Education of China(12YJCZH207)the Key Project for Jiangsu Province Social Science Foundation(12DDA011)the Jiangsu College of Humanities and Social Sciences outside Campus Research Base:Chinese Development of Strategic Research Base for Internet of Things
文摘A combination method of optimization of the back-ground value and optimization of the initial item is proposed. The sequences of the unbiased exponential distribution are simulated and predicted through the optimization of the background value in grey differential equations. The principle of the new information priority in the grey system theory and the rationality of the initial item in the original GM（1,1） model are ful y expressed through the improvement of the initial item in the proposed time response function. A numerical example is employed to il ustrate that the proposed method is able to simulate and predict sequences of raw data with the unbiased exponential distribution and has better simulation performance and prediction precision than the original GM（1,1） model relatively.
文摘BACKGROUND:The major issue with intraoperative cholangiography (IOC) is whether its diagnostic accuracy for common bile duct (CBD) stones matches that of other diagnostic procedures,and thus,whether it will become a routine diagnostic procedure.The current study aimed to address the main determinants of CBD stone diagnosis in IOC among an Iranian population.METHODS:In a retrospective review database-based study conducted in Taleghani Hospital in Tehran between 2006 and 2008,baseline data and perioperative information of 2060 patients (male to female ratio 542:1518,mean age 53.7 years) who were candidates for cholecystectomy and underwent concomitant IOC for confirming CBD stones were reviewed.The predictive power of this procedure for diagnosis of abnormal biliary ducts with the focus on biliary stones was determined.RESULTS:Overall mortality and morbidity following cholecystectomy in the study population were 0.6% and 2.6%,respectively.Both early mortality and morbidity due to cholecystectomy were higher in male than female.The prevalence of CBD stones in IOC was 3.4% (5.2% in male and 2.8% in female,P=0.008).Among those without gallstones,8.7% had CBD stones and only 3.1% had concomitant gallstones and CBD stones.The main predictors of stone appearance as an abnormal feature of IOC during cholecystectomy were:advanced age (OR=1.022,P=0.001),male gender (OR=1.498,P=0.050),history of abdominal surgery (OR=1.543,P=0.040) and preoperative endoscopic retrograde cholangiopancreatography (OR=5.400,P<0.001).CONCLUSIONS:IOC is a safe and accurate method for the assessment of bile duct anatomy and stones.Therefore,the routine use of IOC within cholecystectomy seems reasonable and is recommended.
文摘Coronary artery disease is the leading cause of death in advanced countries and its prevalence is increasing among the developing countries.Cardiac computed tomography(CT) has been increasingly used in the diagnosis of coronary artery disease due to its rapid improvements in multislice CT scanners over the last decade,and this less-invasive technique has become a potentially effective alternative to invasive coronary angiography.Quantifying the amount of coronary artery calcium with cardiac CT has been widely accepted as a reliable non-invasive technique for predicting risk of future cardiovascular events.However,the main question that remains uncertain is whether routine,widespread coronary artery calcium scoring in an individual patient will result in an overall improvement in quality of care and clinical outcomes.In this commentary,we discuss a current issue of the clinical value of coronary artery calcium scoring with regard to its value of predicting adverse cardiac events.We also discuss the applications of coronary artery calcium scores in patients with different risk groups.
文摘Aim: To determine the predictive value of the hypo-osmotic swelling (HOS) test to identify viable, non-motile sperm. Methods: Semen samples from 20 men with severe asthenozoospermia underwent traditional seminal analysis, eosin-nigrosin (EN) staining and the HOS test. A further EN stain was then performed on a HOS pre-treated aliquot and a total of 2000 further sperm examined. Results: The median sperm density was 5.1 million/mL (IQR 4.3-13.1) and the median motility was 3.0 % (IQR 0-7). Seven samples showed complete asthenozoospermia. Initial EN staining showed 59 % viability (range 48-69) despite the poor standard parameters and 47 % (range 33-61) in the complete asthenozoospermia subgroup. The HOS test showed 49.9 % reacted overall (range 40-59) and 41.7 % (range 22-61) in the complete asthenozoospermia subgroup. The combined HOS/EN stain showed the positive predictive value of the HOS test to identify viable sperm was 84.2 % overall and 79.7 % in the complete asthenozoospermia subgroup. Conclusion: The HOS test can effectively predict sperm viability in patients with severe and complete asthenozoospermia.
文摘As one of the earliest markers for predicting pregnancy outcomes, human chorionic gonadotropin(h CG) values have been inconclusive on reliability of the prediction after frozen and fresh embryo transfer(ET). In this retrospective study, patients with positive h CG(day 12 after transfer) were included to examine the h CG levels and their predictive value for pregnancy outcomes following 214 fresh and 1513 vitrified-warmed single-blastocyst transfer cycles. For patients who got clinical pregnancy, the mean initial h CG value was significantly higher after frozen cycles than fresh cycles, and the similar result was demonstrated for patients with live births(LB). The difference in h CG value existed even after adjusting for the potential covariates. The area under curves(AUC) and threshold values calculated by receiver operator characteristic curves were 0.944 and 213.05 m IU/m L for clinical pregnancy after fresh ET, 0.894 and 399.50 m IU/m L for clinical pregnancy after frozen ET, 0.812 and 222.86 m IU/m L for LB after fresh ET, and 0.808 and 410.80 m IU/mL for LB after frozen ET with acceptable sensitivity and specificity, respectively. In conclusion, single frozen blastocyst transfer leads to higher initial h CG values than single fresh blastocyst transfer, and the initial h CG level is a reliable predictive factor for predicting IVF outcomes.
文摘Objective： To determine the predictive ability of biomarkers for responses to neoadjuvant endocrine therapy （NET） in postmenopausal breast cancer. Methods： Consecutive 160 postmenopausal women with T 1-3 N 0-1 M 0 hormone receptor （HR）-positive invasive breast cancer were treated with anastrozole for 16 weeks before surgery. New slides of tumor specimens taken before and after treatment were conducted centrally for biomarker analysis and classified using the Applied Imaging Ariol MB-8 system. The pathological response was evaluated using the Miller ＆ Payne classification. The cell cycle response was classified according to the change in the Ki67 index after treatment. Multivariable logistic regression analysis was used to calculate the combined index of the biomarkers. Receiver operating characteristic （ROC） curves were used to determine whether parameters may predict response. Results： The correlation between the pathological and cell cycle responses was low （Spearman correlation coefficient =0.241, P〈0.001; Kappa value =0.119, P=0.032）. The cell cycle response was significantly associated with pre-treatment estrogen receptor （ER） status （P=0.001）, progesterone receptor （PgR） status （P〈0.001）, human epidermal growth factor receptor 2 （Her-2） status （P=0.050） and the Ki67 index （P〈0.001）, but the pathological response was not correlated with these factors. Pre-treatment ER levels [area under the curve （AUC） =0.634, 95% confidence interval （95% CI）, 0.534-0.735, P=0.008] and combined index of pre-treatment ER and PgR levels （AUC =0.684, 95% CI, 0.591-0.776, P〈0.001） could not predict the cell cycle response, but combined index including per-treatment ER/PR/Her-2/Ki67 expression levels could （AUC =0.830, 95% CI, 0.759-0.902, P〈0.001）. Conclusions： The combined use of pre-treatment ER/PgR/Her-2/Ki67 expression levels, instead of HR expression levels, may predict the cell cycle response to NET.
文摘This study aimed to compare the predictive value of six selected anthropometric indicators for benign prostatic hyperplasia(BPH).Males over 50 years of age who underwent health examinations at the Health Management Center of the Second Xiangya Hospital,Central South University(Changsha,China)from June to December 2020 were enrolled in this study.The characteristic data were collected,including basic anthropometric indices,lipid parameters,six anthropometric indicators,prostate-specific antigen,and total prostate volume.The odds ratios(ORs)with 95%confidence intervals(95%CIs)for all anthropometric parameters and BPH were calculated using binary logistic regression.To assess the diagnostic capability of each indicator for BPH and identify the appropriate cutoff values,receiver operating characteristic(ROC)curves and the related areas under the curves(AUCs)were utilized.All six indicators had diagnostic value for BPH(all P≤0.001).The visceral adiposity index(VAI;AUC:0.797,95%CI:0.759–0.834)had the highest AUC and therefore the highest diagnostic value.This was followed by the cardiometabolic index(CMI;AUC:0.792,95%CI:0.753–0.831),lipid accumulation product(LAP;AUC:0.766,95%CI:0.723–0.809),waist-to-hip ratio(WHR;AUC:0.660,95%CI:0.609–0.712),waist-to-height ratio(WHtR;AUC:0.639,95%CI:0.587–0.691),and body mass index(BMI;AUC:0.592,95%CI:0.540–0.643).The sensitivity of CMI was the highest(92.1%),and WHtR had the highest specificity of 94.1%.CMI consistently showed the highest OR in the binary logistic regression analysis.BMI,WHtR,WHR,VAI,CMI,and LAP all influence the occurrence of BPH in middle-aged and older men(all P≤0.001),and CMI is the best predictor of BPH.
文摘BACKGROUND Melanoma is a highly malignant skin tumour, and is one of the most rapidly growing malignant tumors in recent years. According to statistics, the morbidity of cancer increases with age, accounting for 1.6% of new cancer cases and 0.6% of deaths worldwide. Melanoma has a serious impact on society and families, thus it is of great significance to find biological markers related to the diagnosis and treatment of melanoma.AIM To explore the expression and predictive value of mir-489 and mir-21 in melanoma metastasis.METHODS A total of 60 patients with malignant melanoma treated at our hospital from June2017 to December 2018 were selected as a research group, while 40 healthy subjects were selected as a control group. qRT-PCR technique was used to detect miR-489 and miR-21 in serum of the two groups. ROC curve was drawn to evaluate the predictive value and diagnostic efficiency. Spearman test was used for correlation analysis. Logistic single-and multiple-factor analyses were performed to identify the risk factors related to melanoma metastasis.RESULTS The expression of miR-489 in the research group was significantly lower than that in the control group(P < 0.001). However, the expression of miR-21 in the research group was significantly higher than that in the control group(P < 0.001).The expression of miR-489 and miR-21 was related to TNM stage and metastasis(P < 0.001). In the diagnosis of melanoma patients, the sensitivity, specificity, and AUC of miR-489 alone were 75.56%, 80.00%, and 0.852, respectively. The sensitivity, specificity, and AUC of miR-21 alone were 77.78%, 82.22%, and 0.844,respectively. MiR-489 was negatively correlated with TNM stage of melanoma(r=-0.612, P < 0.001), while miR-21 was positively correlated with TNM stage(r =0.609, P < 0.001). Logistic single-and multiple-factor regression analyses showed that TNM stage, miR-489, and mir-21 were independent risk factors for malignant melanoma metastasis.CONCLUSION MiR-489 and miR-21 may participate in the process of melanoma occurrence,development, and metastasis, and can be used as potential serum biomarkers for melanoma metastasis diagnosis and disease assessment.
