84 results on '"Changxian Li"'
Search Results
52. Long-term survival after anterior approach right hepatectomy combined with inferior vena cava thrombectomy using trans-diaphragmatic intrapericardial inferior vena cava occlusion: a case report and review of the literature
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Zhengshan Wu, Yaodong Zhang, Sheng Han, Xiangcheng Li, Ke Wang, and Changxian Li
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Male ,medicine.medical_specialty ,Carcinoma, Hepatocellular ,Hepatocellular carcinoma ,medicine.medical_treatment ,lcsh:Surgery ,Diaphragmatic breathing ,Vena Cava, Inferior ,Case Report ,Hepatic Veins ,Inferior Vena Cava Occlusion ,Inferior vena cava ,03 medical and health sciences ,0302 clinical medicine ,Occlusion ,Hepatectomy ,Humans ,Medicine ,Thrombectomy ,Venous Thrombosis ,business.industry ,Liver Neoplasms ,General Medicine ,lcsh:RD1-811 ,Middle Aged ,Prognosis ,medicine.disease ,Thrombosis ,Surgery ,medicine.vein ,030220 oncology & carcinogenesis ,cardiovascular system ,030211 gastroenterology & hepatology ,Anterior approach ,business ,Tumor thrombosis - Abstract
Background Presence of inferior vena cava tumor thrombosis (IVCTT) is an unfavorable factor to prognosis for patients with hepatocellular carcinoma (HCC). Case presentation Herein we report a case of HCC with IVC tumor thrombosis extending from the right hepatic vein (RHV) to the IVC, but it had not infiltrated the right atrium. Anterior approach right hepatectomy combined with IVC thrombectomy using trans-diaphragmatic IVC occlusion was performed for this patient. The patient is alive with disease-free at 32 months after treatment. A literature review was also performed. This case was demonstrated with the details and concepts of surgery. Conclusion This case suggested that surgical resection of HCC involving the IVC, but still outside the right atrium (RA), could offer satisfactory surgical outcomes in selected patients.
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- 2019
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53. Genomic landscapes reveal post-transcriptional modifier disruption in cholangiocarcinoma
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Cheng Wang, Zefa Lu, Wangjie Jiang, Sheng Han, Xuehao Wang, Xiaofeng Wu, Dong Wang, Zhibin Hu, Hongbing Shen, Yirui Wang, Xiangcheng Li, Hong Wei Wang, Zicheng Shao, Zijian Ma, Changxian Li, Jiang Chang, Chenyu Jiao, and Yaodong Zhang
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Text mining ,business.industry ,Computational biology ,Biology ,business - Abstract
Molecular variation of different geographic populations and cholangiocarcinoma (CCA) subtypes indicate CCA’s potential genomic heterogeneity and novel genomic features. We analyzed exome-sequencing data of 87 perihialr cholangiocarcinoma (pCCA) and 261 intrahepatic cholangiocarcinoma (iCCA) from 3 Asian centers (including 43 pCCAs and 24 iCCAs from our center). Patients with iCCA presented higher tumor mutation burden and copy number alteration burden (CNAB) than pCCA patients, and CNAB indicated a poorer pCCA prognosis. In our newly identified 12 significantly mutated genes and 5 focal CNA regions, post-transcriptional modification-related novel driver genes METTL14 and RBM10 are prone to occur in pCCA. We demonstrated the tumor-suppressing functional role of METTL14, a major RNA N6-adenosine methyltransferase (m6A), and its loss-of-function mutation R298H may function through m6A modification on new driver gene MACF1. Our results may be valuable for better understanding of post-transcriptional modification effects CCA development, and similarities and differences between pCCA and iCCA.
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- 2020
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54. The genomic landscape of cholangiocarcinoma reveals the disruption of post-transcriptional modifiers
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Yaodong Zhang, Zijian Ma, Changxian Li, Cheng Wang, Wangjie Jiang, Jiang Chang, Sheng Han, Zefa Lu, Zicheng Shao, Yirui Wang, Hongwei Wang, Chenyu Jiao, Dong Wang, Xiaofeng Wu, Hongbing Shen, Xuehao Wang, Zhibin Hu, and Xiangcheng Li
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Cholangiocarcinoma ,Multidisciplinary ,Bile Ducts, Intrahepatic ,Bile Duct Neoplasms ,General Physics and Astronomy ,Humans ,RNA-Binding Proteins ,Exome ,General Chemistry ,Genomics ,General Biochemistry, Genetics and Molecular Biology - Abstract
Molecular variation between geographical populations and subtypes indicate potential genomic heterogeneity and novel genomic features within CCA. Here, we analyze exome-sequencing data of 87 perihilar cholangiocarcinoma (pCCA) and 261 intrahepatic cholangiocarcinoma (iCCA) cases from 3 Asian centers (including 43 pCCAs and 24 iCCAs from our center). iCCA tumours demonstrate a higher tumor mutation burden and copy number alteration burden (CNAB) than pCCA tumours, and high CNAB indicates a poorer pCCA prognosis. We identify 12 significantly mutated genes and 5 focal CNA regions, and demonstrate common mutations in post-transcriptional modification-related potential driver genes METTL14 and RBM10 in pCCA tumours. Finally we demonstrate the tumour-suppressive role of METTL14, a major RNA N6-adenosine methyltransferase (m6A), and illustrate that its loss-of-function mutation R298H may act through m6A modification on potential driver gene MACF1. Our results may be valuable for better understanding of how post-transcriptional modification can affect CCA development, and highlight both similarities and differences between pCCA and iCCA.
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- 2020
55. Empirical Research on the Antecedents of Enterprise IS Users’ Voice Behavior Based on the Work Behavior Theory
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Manhui Huang and Changxian Li
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Extraversion and introversion ,Knowledge management ,Work behavior ,business.industry ,As is ,media_common.quotation_subject ,05 social sciences ,Usability ,02 engineering and technology ,Test (assessment) ,Empirical research ,020204 information systems ,0502 economics and business ,0202 electrical engineering, electronic engineering, information engineering ,Personality ,Enterprise information system ,business ,Psychology ,050203 business & management ,media_common - Abstract
Enterprise Information Systems (IS) have been widely applied to improve enterprise performance in the digital era. Users’ behavior is the key for IS success. However, extant research on IS users’ behavior has focused on the in-role behaviors such as IS adoption and usage, while the IS voice behavior which belongs to the extra-role behaviors has been paid little attention to. Employees’ voice is one of the sources of enterprise innovation, and is important for IS success. To fill the research gap and provide several implications for enterprise IS practice, this paper analyzes the antecedents of enterprise IS users’ voice behavior. Based on the work of behavior theory, hypotheses are proposed. Regression is conducted to test the hypotheses with the samples of 187 enterprise IS users by a survey. The results show that organizational innovation climate, positive emotion, perceived ease of use, and extroversion personality have significant positive effects on enterprise IS users’ voice behavior.
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- 2020
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56. Camrelizumab plus gemcitabine and oxaliplatin (GEMOX) in patients with advanced biliary tract cancer: a single-arm, open-label, phase II trial
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Weidong Mao, Yanhong Gu, Xiaofeng Chen, Guoqiang Wang, Yongxiang Xia, Xuehao Wang, Xiao Li, Junling Zhang, Yongqian Shu, Qianwen Shao, Jian Wang, Jun Hu, Poshita kumari Seesaha, Xiaofeng Qian, Fengjiao Zhao, Gaohua Han, Dongqin Zhu, Jing Sun, Hao Wu, Xiaofeng Wu, Changxian Li, Xiangcheng Li, Huajun Li, Yang Shao, and Fei-Peng Zhu
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Male ,0301 basic medicine ,Oncology ,Cancer Research ,medicine.medical_treatment ,Deoxycytidine ,0302 clinical medicine ,Antineoplastic Combined Chemotherapy Protocols ,Immunology and Allergy ,RC254-282 ,Clinical/Translational Cancer Immunotherapy ,phase II as topic ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Middle Aged ,Oxaliplatin ,030220 oncology & carcinogenesis ,Molecular Medicine ,Female ,immunotherapy ,Open label ,medicine.drug ,Adult ,tumor ,medicine.medical_specialty ,Adolescent ,Immunology ,GemOx ,Antibodies, Monoclonal, Humanized ,Young Adult ,03 medical and health sciences ,Internal medicine ,medicine ,Humans ,In patient ,Aged ,Pharmacology ,clinical trials ,Biliary tract cancer ,business.industry ,biomarkers ,Immunotherapy ,Gemcitabine ,Clinical trial ,030104 developmental biology ,Bile Duct Neoplasms ,business - Abstract
BackgroundImmune checkpoint inhibitors monotherapy has been studied in patients with advanced biliary tract cancer (BTC). The aim of this study was to assess the efficacy and safety of camrelizumab, plus gemcitabine and oxaliplatin (GEMOX) as first-line treatment in advanced BTC and explored the potential biomarkers associated with response.MethodsIn this single-arm, open-label, phase II study, we enrolled stage IV BTC patients. Participants received camrelizumab (3 mg/kg) plus gemcitabine (800 mg/m2) and oxaliplatin (85 mg/m2). Primary endpoints were 6-month progression-free survival (PFS) rate and safety. Secondary endpoints were objective response rate (ORR), PFS and overall survival (OS). Exploratory endpoints included association between response and tumor mutational burden (TMB), blood TMB, dynamic change of ctDNA and immune microenvironment.Results54 patients with advanced BTC were screened, of whom 38 eligible patients were enrolled. One patient withdrew informed consent before first dose treatment. Median follow-up was 11.8 months. The 6-month PFS rate was 50% (95% CI 33 to 65). Twenty (54%) out of 37 patients had an objective response. The median PFS was 6.1 months and median OS was 11.8 months. The most common treatment-related adverse events (TRAEs) were fatigue (27 (73%)) and fever (27 (73%)). The most frequent grade 3 or worse TRAEs were hypokalemia (7 (19%)) and fatigue (6 (16%)). The ORR was 80% in patients with programmed cell death ligand-1 (PD-L1) tumor proportion score (TPS) ≥1% versus 53.8% in PD-L1 TPS 0.05), except that PFS was associated with blood TMB. Patients with positive post-treatment ctDNA had shorter PFS (p=0.007; HR, 2.83; 95% CI 1.27 to 6.28).ConclusionCamrelizumab plus GEMOX showed a promising antitumor activity and acceptable safety profile as first-line treatment in advanced BTC patients. Potential biomarkers are needed to identify patients who might respond to camrelizumab plus GEMOX.Trial registration numberNCT03486678.
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- 2020
57. An updated incidence trends of soft-tissue sarcoma and cancer-specific survival of patients with primary soft-tissue sarcoma of liver: a population-based study
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Wangjie Jiang, Jiang Chang, Zhengshan Wu, Changxian Li, Xiangcheng Li, Yirui Wang, Yaodong Zhang, Jinyang Li, and Hong Wei Wang
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Oncology ,Male ,0302 clinical medicine ,Risk Factors ,Epidemiology ,Ethnicity ,Child ,Aged, 80 and over ,Soft tissue sarcoma ,Incidence (epidemiology) ,Incidence ,Liver Neoplasms ,Gastroenterology ,Sarcoma ,Middle Aged ,Prognosis ,030220 oncology & carcinogenesis ,Area Under Curve ,Child, Preschool ,Regression Analysis ,030211 gastroenterology & hepatology ,Female ,Adult ,medicine.medical_specialty ,Adolescent ,03 medical and health sciences ,Young Adult ,Sex Factors ,Internal medicine ,Clinical Decision Rules ,Incidence trends ,medicine ,Humans ,Aged ,Hepatology ,Receiver operating characteristic ,business.industry ,Proportional hazards model ,Infant, Newborn ,Infant ,Nomogram ,medicine.disease ,Survival Analysis ,United States ,Nomograms ,ROC Curve ,business ,Follow-Up Studies ,SEER Program - Abstract
Objectives: This study aimed to evaluate and update incidence trends of soft-tissue sarcoma (STS) and to develop a nomogram to predict cancer-specific survival (CSS) in patients diagnosed with primary STS of the liver. Methods: Patients with hepatic STS were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Joinpoint regression analyses were performed to assess the incidence trends of STS. A nomogram was developed based on the independent risk factors chosen by Cox regression models. The calibration curve, area under the receiver operating characteristic curve (AUC), C‐index, and decision curve analysis (DCA) were used to assess the predictive performance of the nomogram. Results: The incidence of STS increased between 1994 and 2012. There was a sudden decline in the incidence of STS from 2013. The incidence of STS was different in distinct races and genders. The nomogram for predicting the CSS of hepatic STS according to the independent factors was well calibrated and it displayed optimal discrimination power. Conclusion: This study highlights that age, sex, tumor size, quality of surgery, and histologic subtypes may contribute to the prognosis of hepatic STS, and STS may be etiologically distinct and should be considered separately in different races and genders.
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- 2020
58. Development and external validation of a nomogram for predicting the effect of tumor size on cancer-specific survival of resected gallbladder cancer: a population-based study
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Tao Zhou, Ziyi Wang, Sheng Han, Xiangcheng Li, Yaodong Zhang, Jiang Chang, Wangjie Jiang, and Changxian Li
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0301 basic medicine ,Oncology ,medicine.medical_specialty ,Tumor size ,Receiver operating characteristic ,business.industry ,Univariate ,Hematology ,General Medicine ,TNM staging system ,Nomogram ,medicine.disease ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Surgical oncology ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,Surgery ,Gallbladder cancer ,Stage (cooking) ,business - Abstract
The impact of tumor size on account of the long-term survival results in gallbladder cancer (GBC) patients has been controversial. It is urgent necessary to identify the optimal cut-off value of tumor size in resected GBC, and we attempted to integrate tumor size with other prognostic factors into a prognostic nomogram to predict the cancer-specific survival (CSS) of GBC patients. 1639 patients with resected GBC were extracted from the Surveillance, Epidemiology and End Results (SEER) database. X-tile program was used to identify the optimal cut-off value of tumor size. A nomogram including tumor size was established to predict 1-, 3- and 5-year CSS based on the independent risk factors chosen by univariate and multivariable cox analyses. The precision of the nomogram for predicting survival was validated with Harrell’s concordance index (C-index), calibration curves, and receiver operating characteristic curve (ROC) internally and externally. Patients with GBC were classified into 1–13 mm, 14–63 mm and 64 mm subgroup based on the optimal cut-off for tumor size in terms of CSS. The nomogram according to the independent factors was well calibrated and displayed better discrimination power than 7th tumor–node–metastasis (TNM) stage systems. The results demonstrated that increased tumor size is closely associated with the worse CSS. Our novel nomogram, which outperforms the conventional TNM staging system, showed satisfactory accuracy and clinically practicality for predicting the outcome of resected GBC patients.
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- 2020
59. Development and external validation of a nomogram for predicting the effect of tumor size on cancer specific survival of resected gallbladder cancer: a population-based study
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Yaodong Zhang, Tao Zhou, Sheng Han, Yirui Wang, Jiang Chang, Wangjie Jiang, Ziyi Wang, Changxian Li, and Xiangcheng Li
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Background & Aims: The impact of tumor size on account of the long-term survival results in gallbladder cancer (GBC) patients has been controversial. It is urgent necessary to identify the optimal cutoff value of tumor size in resected GBC, and we attempted to integrate tumor size with other prognostic factors into a prognostic nomogram to predict the cancer-specific survival (CSS) of GBC patients. Methods 1639 patients with resected GBC were extracted from the Surveillance, Epidemiology and End Results (SEER) database. X-tile program was used to identify the optimal cutoff value of tumor size. A nomogram including tumor size was established to predict 1-, 3- and 5-year CSS based on the independent risk factors chosen by univariate and multivariable cox analyses. The precision of the nomogram for predicting survival was validated with Harrell’s concordance index (C-index), calibration curves, and receiver operating characteristic curve (ROC) internally and externally. Results Patients with GBC were classified into 1–13 mm, 14–63 mm and 64 mm subgroup based on the optimal cutoff for tumor size in terms of CSS. The nomogram according to the independent factors was well calibrated and displayed better discrimination power than 7th Tumor-Node-Metastasis (TNM) stage systems. Conclusions The results demonstrated that increased tumor size is closely associated with the worse CSS. Our novel nomogram, which outperforms the conventional TNM staging system, showed satisfactory accuracy and clinically practicality for predicting the outcome of resected GBC patients.
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- 2020
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60. Mechanisms of hepatic ischemia reperfusion injury and tumor recurrence after liver transplantation
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Changxian Li
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- 2020
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61. Comprehensive analysis of miRNA sequencing profiles identifies novel deregulated and prognostic biomarkers in hepatocellular carcinoma
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Hui Zhang, Senmiao Ni, Changxian Li, Haoming Zhou, Jianling Bai, Xiongxiong Pan, and Zhengshan Wu
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Background: Liver cancer is the fourth most common cause of cancer-related death and rank sixth in terms of incident cases. We aim to identify a set of miRNAs and a miRNA-based signature related to tumorigenesis and prognosis in patients with hepatocellular carcinoma (HCC). Methods: We analyzed the miRNA sequencing profiles of 373 HCC patients downloaded from The Cancer Genome Atlas LIHC program. The isoform quantification profiles were transformed into 5p and 3p mature miRNA names. Differentially expressed (DE) miRNAs between tumor and adjacent normal tissues were identified by Wald test based on the negative binomial distribution. Prognostic miRNAs associated with overall survival were confirmed by multivariate Cox proportional hazards models. The miRNA-based signatures were obtained from the linear predictors of cox regression, and the prognostic performance was compared by Harrel’s C-index and revealed by the restricted mean survival (RMS) curve. Results: The selected twelve DE miRNAs showed a good performance to classify tumor tissues from normal tissues. Meanwhile, a miRNA-based prognostic signature of eight mature miRNAs was constructed, which significantly stratified patients into high- vs low-risk groups in terms of overall survival (hazard ratio, 4.11; 95% CI, 2.71-6.24; P
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- 2020
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62. Research on Power Generation Control of Asynchronous Machine as Main Generator
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Yannan Sun, Changxian Li, and Jisheng Hu
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Generator (computer programming) ,Computer science ,business.industry ,020209 energy ,020208 electrical & electronic engineering ,Control (management) ,Induction generator ,Asynchronous machines ,Electrical engineering ,Energy Engineering and Power Technology ,02 engineering and technology ,Electricity generation ,0202 electrical engineering, electronic engineering, information engineering ,business - Abstract
High-power asynchronous machine can be used as the main generator of diesel locomotive and marine power system. The standalone power system of asynchronous generator based on four-quadrant converter is proposed. The magnetic field energy required by the machine must meet the minimum requirements for power generation, and the balance between power generation and load power must be ensured. Therefore, the initial voltage and capacitance of the DC-link capacitor are first analyzed and calculated. After that, the simple and easy slip prediction control is designed, that is, the given electric frequency takes into account the influence of the slip ratio. A power generation system is designed with an asynchronous machine as the main generator to achieve a DC voltage of 750 V, with an output power of up to 520 kW. Simulate the system for different operating conditions. The stable DC voltage is maintained under full load at different speeds. When suddenly unloading or loading 50 %, it can restore stable DC voltage in 10 ms time. In the case of stepless speed regulation and stepped speed regulation of diesel engine, the generator can still generate a stable DC voltage with loads of different power levels. The simulation results show that the power generation system has good load capacity and good dynamic performance.
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- 2020
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63. Comprehensive Analysis of miRNA Sequencing Profiles Identifies Novel Deregulated and Prognostic Biomarkers in Hepatocellular Carcinoma
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Senmiao Ni, Changxian Li, Xiongxiong Pan, Hui Zhang, Haoming Zhou, and Jianling Bai
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Oncology ,medicine.medical_specialty ,Proportional hazards model ,business.industry ,Hazard ratio ,medicine.disease_cause ,medicine.disease ,Internal medicine ,Pancreatic cancer ,Hepatocellular carcinoma ,RMST ,microRNA ,medicine ,business ,Carcinogenesis ,Liver cancer - Abstract
Background: Liver cancer is the fourth most common cause of cancer-related death and rank sixth in terms of incident cases. With a 5-year survival of 18%, liver cancer is the second most lethal tumor, after pancreatic cancer. We aim to identify a set of miRNAs and a miRNA-based signature related to tumorigenesis and prognosis in patients with hepatocellular carcinoma (HCC). Methods: We analyzed the miRNA sequencing profiles of 373 HCC patients downloaded from The Cancer Genome Atlas LIHC program. The isoform quantification profiles were transformed into 5p and 3p mature miRNA names. Differentially expressed (DE) miRNAs between tumor and adjacent normal tissues were identified by Wald test based on the negative binomial distribution. Prognostic miRNAs associated with overall survival were confirmed by multivariate Cox proportional hazards models. The miRNA-based signatures were obtained from the linear predictors of cox regression, and the prognostic performance was compared by Harrel’s C-index and revealed by the restricted mean survival (RMS) curve. Findings: The selected twelve DE miRNAs showed a good performance to classify tumor tissues from normal tissues. Meanwhile, a miRNA-based prognostic signature of eight mature miRNAs was constructed, which significantly stratified patients into high- vs low-risk groups in terms of overall survival (hazard ratio, 4.11; 95% CI, 2.71-6.24; P
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- 2020
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64. High-precision motion estimation for instability space targets
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Riming Sun, 孙日明, primary, Yichen Yang, 杨苡辰, additional, Yongfeng Ma, 马永峰, additional, Xiangyu Kong, 孔祥宇, additional, and Changxian Li, 李常贤, additional
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- 2021
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65. Research Status and Trend of Organization Citizenship Behavior-Based on Knowledge map and Bibliometric Analysis
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Changxian Li
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Organizational citizenship behavior ,Frontier ,Bradford's law ,Knowledge management ,Quantitative analysis (finance) ,business.industry ,Lotka's law ,Sociology ,business ,China ,Cluster analysis ,Field (geography) - Abstract
Based on knowledge map and bibliometric analysis, this paper uses 1484 Chinese paper in the field of organizational citizenship behavior collected by China Knowledge Network database from 2000 to 2019 as samples, and uses Sati, Ucient and Citespace software for quantitative analysis. Price law, Lotka's law and Bradford's law analysis results show that the research in this field has not formed a core research author group, but a core journal group. In addition, the keyword clustering results also reflect the four main categories of research topics: antecedents, outcomes, dimensions, and behavioral types, while compulsory organizational citizenship behavior is the hot spot and frontier at present and in the future.
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- 2019
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66. Research on the Antecedents of Users' Innovative Use of IT Based on the Work Competence Theory
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Chuang Wang, Changxian Li, Ye Zhu, and Manhui Huang
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Knowledge management ,Extraversion and introversion ,business.industry ,020206 networking & telecommunications ,02 engineering and technology ,It usage ,It adoption ,Individual level ,Effect factor ,Extant taxon ,0202 electrical engineering, electronic engineering, information engineering ,Task analysis ,020201 artificial intelligence & image processing ,business ,Psychology ,Competence (human resources) - Abstract
Users' behavior is a key effect factor of successful application of IT. However, extant research has focused on the in-role behaviors such as IT adoption and routine IT usage, while the research on users' innovative use of IT which belongs to extra-role behaviors is still limited. Based on the research gap of innovative use of IT at the individual level and work competence theory, this paper analyzed the antecedents of innovative use of IT. Hypotheses are proposed and tested with the data collected by a survey of 156 ERP users. The results show that attitude towards innovation, IT application knowledge, extraversion, and management support have important effects on innovative use of IT at the individual level. Implications of the research results are discussed.
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- 2019
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67. Listeria-based hepatocellular carcinoma vaccine facilitates anti-PD-1 therapy by regulating macrophage polarization
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Yun Chen, Peipei Li, Changxian Li, Guolong Xu, Runqiu Jiang, Yao Yao, Hong Yang, Hua Sun, Dongju Feng, and Beicheng Sun
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0301 basic medicine ,Adult ,Male ,Cancer Research ,Carcinoma, Hepatocellular ,medicine.medical_treatment ,T cell ,Programmed Cell Death 1 Receptor ,Macrophage polarization ,Biology ,Cancer Vaccines ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Immune system ,Genetics ,medicine ,Autophagy ,Tumor Microenvironment ,Animals ,Humans ,Molecular Biology ,Aged ,Tumor microenvironment ,Macrophages ,Liver Neoplasms ,NF-kappa B ,Immunotherapy ,Middle Aged ,Immune checkpoint ,Toll-Like Receptor 2 ,Blockade ,030104 developmental biology ,Cytokine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Myeloid Differentiation Factor 88 ,Cancer research ,Female - Abstract
Recently, patients with advanced cancers have been benefited greatly from immune checkpoint blockade immunotherapy. However, immune checkpoint blockade is still suboptimal in HCC treatment and more immune modifications are needed to achieve an efficient therapeutic goal. Here, we investigated the combined administration of a Listeria-based HCC vaccine, Lmdd-MPFG, and the anti-PD-1 immune checkpoint blockade antibody. We found that Lmdd-MPFG promoted the expression of PD-L1 in HCC cells but resensitized the tumor local T cell to respond to the anti-PD-1 immunotherapy. Mechanistically, the Lmdd-MPFG vaccine activates the NF-κB pathway in the tumor-associated macrophages (TAMs) through the TLR2 and MyD88 pathway, and recruits p62 to activate the autophagy pathway. The overall effect is skewing the TAMs from M2-polarized TAMs into the M1-polarized TAMs. Most importantly, it skewed the cytokine profiles into antitumor one in the tumor microenvironment (TME). This change restores the T-cell reactivity to the anti-PD-1 blockade. Our results suggested that Lmdd-MPFG combined with PD-1 blockade exerted synergistic antitumor effects through modifying TAMs in the TME and removing T-cell inhibitory signals, thereby providing a new potential strategy for HCC treatment.
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- 2019
68. Sintilimab plus anlotinib as first-line therapy in patients (pts) with advanced hepatocellular carcinoma (aHCC)
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Wei Li, Xiaofeng Wu, XiaoWei Dong, Yongqian Shu, Xiangcheng Li, Jun Hu, Jianhua Rao, Yongxiang Xia, Poshita kumari Seesaha, Changxian Li, Xiao Li, Hao Wu, Qianwen Shao, Xiaofeng Qian, Deqiang Wang, Yanhong Gu, Fengjiao Zhao, Aihua Yao, and Xiaofeng Chen
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Oncology ,Cancer Research ,medicine.medical_specialty ,First line therapy ,business.industry ,Antiangiogenic agents ,Internal medicine ,Hepatocellular carcinoma ,Medicine ,In patient ,business ,medicine.disease - Abstract
e16146 Background: The synergic combination of anti-PD-1/PD-L1 and antiangiogenic agents has exhibited as an encourage treatment pattern in aHCC. Multi-targeted antiangiogenic TKIs, such as lenvatinib and sorafenib, are approved for 1st-line treatment of aHCC. Sintilimab, a novel selective anti-PD-1 monoclonal antibody, has demonstrated encouraging clinical activities in aHCC. The trial aims to explore the safety and efficacy of sintilimab plus anlotinib (a TKI against angiogenesis) in aHCC. Methods: This is a single-arm phase 2 study. Eligible Pts with aHCC, BCLC stage C or B (not amenable for surgery and chemoembolization), Child-Pugh scores≤7 and ECOG PS ≤ 1 received 1st-line treatment of sintilimab (200mg, iv, D1) plus anlotinib (12mg, po, QD, D1-14) every 3 wks until disease progression or unacceptable toxicity. Primary endpoints were safety and objective response rate (ORR, per RECIST 1.1), and secondary endpoints included disease control rate (DCR), progression free survival (PFS), duration of response (DOR) and overall survival (OS). Results: As of January 15, 2021, 20 pts were enrolled (males 18 ; median age 56 yrs [range 41-70] ; BCLCB/C: 5/15 ; Child-Pugh A/B7: 19/1 ; HBV infection 20). All pts received at least two cycles of treatments with median cycles 7.5 [range 2-22]. Median follow-up was 12 months [range 3-19]. The most common treatment-related adverse events (TRAEs) were grade 1-2 with thrombocytopenia (45.0%), hand-foot syndrome (40.0%), hypertension (35.0%), increased AST (35.0%), ALT (30.0%), decreased neutrophil count (25.0%), leukopenia (25.0%). 8 pts experienced manageable grade 3 TRAEs, and no grade 4/5. 12 pts required dose reduction of anlotinib (9 pts to 10 mg and 3 to 8 mg). No treatment withdraw caused by TRAEs. ORR was 40.0% (8/20) with 1 CR and 7 PR, 11 pts were SD, and DCR was 95.0% (19/20). Median DoR was not reached. 6m-PFS rate was 66.4% (95%CI: 47.7%-92.5%), immature median PFS was 14.65 months (95%CI: 5.06 -not reached) with 8 events. Conclusions: The combination of sintilimab and anlotinib showed promising clinical activities with manageable toxicity for first line treatment of aHCC. Clinical trial information: NCT04052152. Research Sponsor: Innovent Biologics, Inc., Chia-Tai Tianqing Pharmaceutical Group Co Ltd. Clinical trial information: NCT04052152.
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- 2021
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69. High-precision motion estimation for instability space targets
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孔祥宇 Xiangyu Kong, 孙日明 Riming Sun, 马永峰 Yongfeng Ma, 杨苡辰 Yichen Yang, and 李常贤 Changxian Li
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Physics ,Space and Planetary Science ,Motion estimation ,Mathematical analysis ,Aerospace Engineering ,Electrical and Electronic Engineering ,Space (mathematics) ,Instability ,Atomic and Molecular Physics, and Optics - Published
- 2021
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70. Biomarker exploration for SHR-1210 plus GEMOX as first-line treatment in advanced biliary tract cancer
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Yanhong Gu, Xiaofeng Wu, Yongqian Shu, Feipeng Zhu, Jian Wang, Xiangcheng Li, Fengjiao Zhao, Jing Sun, Changxian Li, Dongqin Zhu, Huajun Li, Xiaofeng Qian, Weidong Mao, Xiaofeng Chen, Qianwen Shao, Poshita kumari Seesaha, Hao Wu, Gaohua Han, Liuqing Zhu, and Yang Shao
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Oncology ,Cancer Research ,medicine.medical_specialty ,Programmed cell death ,Biliary tract cancer ,biology ,business.industry ,GemOx ,Gemcitabine ,Oxaliplatin ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Internal medicine ,medicine ,biology.protein ,Biomarker (medicine) ,Antibody ,Receptor ,business ,030215 immunology ,medicine.drug - Abstract
536 Background: We conducted a trial to evaluate the efficacy and safety of SHR-1210 (a humanized anti-programmed cell death receptor 1 antibody) plus gemcitabine and oxaliplatin (GEMOX) as in untreated patients (pts) with biliary tract cancer (BTC) (NCT03486678). This study is to explore the predictive biomarkers for efficacy. Methods: Baseline lymphocyte count and lactate dehydrogenase (LDH) level were obtained from routine tests. Gene mutation and tumor mutation burden (TMB) from baseline tissue and blood samples were tested by the next generation sequencing (NGS) with a 425-gene panel. The expressions of PD-L1 and markers for lymphocyte, natural killer cells, and macrophages in baseline tumor tissue samples were analyzed by immunohistochemistry (IHC). Results: The median progression free survival (PFS) and overall survival (OS) in this trial was 6.2m and 12.1m, respectively. Firstly, pts with normal LDH level (≤271 U/L) had a tendency for longer PFS (6.2m vs 5.0m, p = 0.053) and significantly longer OS (p = 12.6m vs 6.8m, p < 0.001) than those with elevated LDH ( > 271 U/L). Low baseline lymphocyte count (≤ 1.1×109/L) was related to worse OS (12.6m vs 6.9m, p < 0.001) and PFS (6.2m vs 3.9m, p = 0.021). Secondly, baseline tissue and ctDNA gene mutations were detected in 33 and 30 pts, respectively. Tissue analysis showed that pts with STK11 (p = 0.0254), CTNNB1 (p < 0.001) and SMARCA4 (p = 0.0181) wild type showed significantly longer PFS than those with mutations. Pts with ARID1A gene wild type showed a tendency for longer PFS (p = 0.0634) and significantly longer OS (p = 0.0149). Gene mutations from baseline ctDNA revealed that pts with wild type SMARCA4, CTNNB1, STK11, and NF1 had longer PFS than those with mutations. Lastly, IHC meant that PD-L1 positivity may be related to longer PFS (TPS > 1%, p = 0.08; IPS > 1%, p = 0.05). Besides, pts with CD68+ HLA-DR+ macrophages > 0.01%, CD68+ HLA-DR- macrophages>2.5%, and CD56bright>1.7% and CD56dim > 0.05 also got PFS benefits (all p < 0.05). TMB (cutoff = 7 muts/mbp) was not associated with PFS. Conclusions: Despite limited sample size, biomarkers from routine blood test, gene mutation and immune microenvironment can be helpful to stratify pts who are sensitive to immunotherapy in advanced BTC. Clinical trial information: NCT03486678.
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- 2020
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71. SHR-1210 combined with GEMOX as first-line treatment in patients with advanced biliary tract cancer
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Qianwen Shao, Gaohua Han, Xiangcheng Li, Huajun Li, Hao Wu, Fengjiao Zhao, Yanhong Gu, Xiaofeng Qian, Xiaofeng Chen, Jing Sun, Xiaofeng Wu, Weidong Mao, Jian Wang, Changxian Li, Yang Shao, Quanren Wang, Poshita kumari Seesaha, Yongqian Shu, and Feipeng Zhu
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Oncology ,Cancer Research ,medicine.medical_specialty ,Programmed cell death ,Biliary tract cancer ,biology ,business.industry ,GemOx ,Gemcitabine ,Oxaliplatin ,First line treatment ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Internal medicine ,biology.protein ,Medicine ,Antibody ,business ,Receptor ,030215 immunology ,medicine.drug - Abstract
535 Background: This study aimed to evaluate the efficacy and safety of SHR-1210 (a humanized anti-programmed cell death receptor 1 antibody) plus gemcitabine and oxaliplatin (GEMOX) as first line treatment in patients (pts) with biliary tract cancer (BTC). Methods: This was a single-arm, single-center, exploratory trial, which included advanced BTC pts. Pts received SHR-1210 (3mg/kg, total dose ≤200mg, ivd, D1/2W) combined with gemcitabine (800 mg/m2, ivd, D1/2W) and oxaliplatin (85mg/m2, ivd, D2/2W). Combined chemotherapy lasted for no more than 12 cycles. Once chemotherapy intolerance occurred or at end of 12-cycle combined chemotherapy, pts with stable disease or objective response would continue to take SHR-1210 as single agent until disease progression or intolerable toxicity. The primary endpoint was the 6-month progression free survival (PFS) rate. Results: From February 2018 to April 2019, 37 eligible pts were enrolled. The median age was 64 (range 41-74) years, male/female was 70.3/29.7%, and bile duct cancer/gallbladder cancer was 59.5/40.5%. All 37 pts were included in the safety analysis. The overall AE incidence rate was 97.3%. The incidence of grade ≥3 AEs was 73.0%, which mainly included increased GGT (gammaglutamyltransferase, 18.9%), hypokalemia (18.9%), and fatigue (16.2%). Particularly, the incidence of fever is 73.0%, in which 2 pts experienced grade 3/4 fever. Among 36 evaluable pts, 19 pts got partial response (PR, 52.8%), 14 pts stable disease (SD, 38.9%), and 3 pts progressive disease (PD, 8.3%) at best. The primary endpoint 6-month PFS rate was 50.0% (95% CI 32.4-65.4), which indicated that the primary endpoint of the study was reached, and mPFS was 6.2 months (95% CI 4.2-7.1). The 12-month overall survival (OS) rate was 50.5% (95% CI 30.6-67.4), and mOS was 12.1 months (95% CI 8.0-NA). Conclusions: This study has reached the pre-defined primary endpoint with a high response rate. Predictive biomarker analysis was reported in another abstract. Further study is needed to validate the efficacy of this combination. Clinical trial information: NCT03486678.
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- 2020
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72. Robust Target Detection and Estimation for Airborne STAP Radar with Arbitrary Array Errors and Target Uncertainty
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Yang Zhao, Peng Shen, Jianxin Wu, and Changxian Li
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General Computer Science ,Computational complexity theory ,Computer science ,Detector ,General Engineering ,Estimator ,law.invention ,symbols.namesake ,Target angle ,law ,symbols ,Clutter ,General Materials Science ,Radar ,Algorithm ,Doppler effect ,Subspace topology - Abstract
In the presence of arbitrary array errors and angle mismatch, performance on target detection and angle estimation will be degraded due to steering vector mismatch. Thus, a robust target detection and estimation algorithm for airborne STAP radar is developed. First, utilizing the spatial-temporal coupling property of the ground clutter, array steering vectors are well estimated by fine Doppler localization of the mainlobe clutter. Then, the robust subspace detector spanned by these estimated array steering vectors is developed, which can improve the detection performance for the targets not located in the look direction. Finally, target angle estimation using subspace coefficients, which implements the ML estimator in a reduced-dimensional version, is presented to reduce the computational complexity of the ML estimator. Numerical examples are given to demonstrate the effectiveness of the presented algorithm.
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- 2020
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73. 484 – Extended Right Hemihepatectomy with Anterior Approach for Infant Hepatoblastoma
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Li, Xiangcheng, primary, Qinchao, Feng, additional, changxian, Li, additional, and Jiao, Chenyu, additional
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- 2019
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74. Extended right hepatectomy with anterior approach for infant hepatoblastoma
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Li, Xiangcheng, primary, Qinchao, Feng, additional, Zhengshan, Wu, additional, and Changxian, Li, additional
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- 2019
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75. Liver transplantation for advanced hepatocellular carcinoma combined with portal vein tumor thrombus
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Li, Xiangcheng, primary, Qinchao, Feng, additional, Zhengshan, Wu, additional, and Changxian, Li, additional
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- 2019
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76. Left hepatectomy with portal vein reconstruction for hilar cholangiocarcinoma
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Li, Xiangcheng, primary, Qinchao, Feng, additional, Zhengshan, Wu, additional, and Changxian, Li, additional
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- 2019
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77. Study and construction of traction control system of EMUs
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Changxian Li, Tong Zhang, and Yannan Sun
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Chopper ,Engineering ,Vector control ,Traction control system ,Three-phase ,Control theory ,business.industry ,Traction substation ,Control system ,Inverter ,business ,Traction motor - Abstract
Since the introduction of Electrical Multiple Units (EMUs) to China, traction control technology has become one of the study hotspots. The traction control system of EMUs consists of a traction converter system and a Traction Control Unit (TCU). The traction converter system is composed of a transformer, a four-quadrant pulse rectifier, intermediate DC link, rheostatic chopper, a three phase half bridge inverter and an induction motor. The traction control unit is the brain of the whole system. It controls rectifier, chopper and inverter according to the signals which come from sensors and orders which come from the Center Control Unit (CCU). By reference to the voltage range of the traction system in CRH5, the traction and control system is constructed. And TCU is designed to have hierarchic structure. Then the whole system is simulated. In the system the rectifier is controlled by the theory of transient current control with SPWM (Sinusoidal Pulse Width Modulation) technology. The chopper is used to control filter voltage as a soft crowbar. In the inverter the indirect rotor flux oriented vector control theory with current hysteretic band PWM strategy is adopted. Interface which refers to driver control desk is completed with GUI (Graph User Interface) tool in Matlab. Through the interface EMUs' speed and traction effort are set and the real speed is shown. Both traction control and constant speed control of EMUs are simulated based. The results present that the system has the advantage of good dynamic and steady state performance. And the system is useful for study the performance of the whole system with various control strategies.
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- 2017
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78. An Improved Approach to Reconciling Multiple Ontology Change Sequences
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Changxian Li, Ke Zhao, and Sun Yannan
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Information retrieval ,General Computer Science ,Computer science ,computer.internet_protocol ,Ontology-based data integration ,Process ontology ,Data_MISCELLANEOUS ,Suggested Upper Merged Ontology ,Ontology (information science) ,OWL-S ,Ontology components ,Upper ontology ,ComputingMethodologies_GENERAL ,Ontology alignment ,computer - Abstract
Ontology evolution in collateral environments mainly features that multiple users modify the same ontology. All of the ontology change sequences submitted by the users may not be done to the ontology because there are conflicts between them. Unlike previous approach that some ontology change sequences must be removed, this paper focuses on the relationship between ontology changes rather than ontology change sequences. We defined a dependence relationship between two ontology changes and searched all the dependences from different ontology change sequences. We constructed a direct graph for ontology changes with the dependences set. On this basis, we proposed an algorithm based on Traveling Salesmen Problem to find a suitable evolution path. A prototype is implemented and the experiment showed that our approach could keep more ontology changing.
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- 2014
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79. Right Trisegmentectomy With Caudate Lobectomy Combined With Portal Vein Reconstrucion For Hilar Cholangiocarcinoma
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Jiawei Zhang, Xiangcheng Li, and Changxian Li
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medicine.medical_specialty ,Hepatology ,business.industry ,Gastroenterology ,Portal vein ,medicine ,Radiology ,business - Published
- 2019
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80. Research on process data communication theory in the EMU reconnection UIC gateway and Simulation
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Changxian Li, Ke Zhao, and Tong Zhang
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Engineering ,business.industry ,Node (networking) ,Process (computing) ,020302 automobile design & engineering ,02 engineering and technology ,Gateway (computer program) ,computer.software_genre ,Communication theory ,Software framework ,Marshalling ,0203 mechanical engineering ,Operating system ,Routing (electronic design automation) ,business ,computer ,Computer network ,Data transmission - Abstract
UIC gateway built on UIC556 standard can realize inauguration, process and message data effective configuration and communication between different manufacturers EMUs. With valid configuration of node monitoring database, process data can be properly transferred to the WTB (MVB) bus through filtering and operating of process data marshalling. In this paper, comprehensive and detailed analysis of communication theory and software framework of process data was given within the EMU UIC gateway. In view of the process data transmission routing, marshalling operation procedure and treatment method were studied. By semi-physical simulation platform, the theory above was simulated and functional verified.
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- 2016
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81. Study of EMU Process Data and Message Data Communication Technology in UIC Gateway and Simulation
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Haoli Ping, Tong Zhang, and Changxian Li
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Data stream ,Protocol stack ,Marshalling ,business.industry ,Computer science ,Distributed computing ,Node (networking) ,Process (computing) ,Gateway (computer program) ,Communications system ,business ,Communication theory ,Computer network - Abstract
UIC556 standard formulates the mechanism and mode of inauguration, process data and message data communication in the UIC gateway of electric multiple unit (EMU) trains detailed. The UIC Gateway is the basic component for communication in trains. As the main EMU communication data stream, process data and message data must be effectively processed and converted with the help of the node monitoring database configuration, then can be transferred to the WTB (MVB) bus correctly. In this paper, comprehensive and detailed analysis of communication theory and software architecture of process data and message data were given in the UIC gateway of EMU. Two important media of process data and message data within the gateway are process data marshalling and UIC mapping server. Process data marshalling mainly achieve filtering and calculation of data between WTB and MVB, marshalling type, operating procedures and marshalling framework were deeply researched. UIC mapping server and TCN protocol stack provide the best path and a variety of services. The transmission mechanism of message data in the gateway and the composition and function of each part of UIC mapping server were detailed analyzed. By semi-physical simulation platform, the theory above is simulated and verified.
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- 2015
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82. Construction on traction converter system of EMU
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Yannan Sun, Changxian Li, and Xiumei Li
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Engineering ,Traction control system ,business.industry ,law.invention ,Traction motor ,Control theory ,law ,Control system ,Inverter ,Torque ,business ,Transformer ,Pulse-width modulation ,Induction motor - Abstract
The traction converter system of EMU is constructed based on Matlab/Simulink. The system consists of a transformer, a rectifier, an inverter and an induction motor. The rectifier is controlled by the transient current control theory with SPWM technology. In the inverter the indirect vector control theory with current hysteretic band PWM strategy is adopted. Based on the system the traction control and constant speed control are tested. The simulation results present that the system is with good dynamic and steady state performance and fulfill the running demand of EMU.
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- 2012
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83. [Non-contrast-Enhanced MR angiography for selective evaluation of the hepatic portal vein]
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Bing, Wu, JiayU, Sun, Chenglong, Wang, Chuncao, Xia, and Changxian, Li
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Adult ,Liver Cirrhosis ,Male ,Young Adult ,Portal Vein ,Contrast Media ,Humans ,Female ,Middle Aged ,Magnetic Resonance Angiography ,Aged - Abstract
This study was aimed to compare and evaluate the diagnostic performance of non-contrast-enhanced MR angiography (NCE-MRA) with contrast-enhanced MR angiography (CE-MRA) in the anatomic assessment of hepatic portal vein. Thirty people, ten patients with hepatic cirrhosis without ascites and twenty normal physical examination donors as control group were included in the NCE-MRA and CE-MRA with the same 1.5T MR scanner. Anatomic angiographic images were reconstructed and their datasets available for analysis independently performed by two radiologists. Assessment of data quality of hepatic portal vein vessels was rated with a four-point scale. After consensus reading, a total 27 images (90%) scored more than 3 point were observed in NCE-MRA and 28 (93.3%) in CE-MRA, respectively. Segmental branch vessels were visualized on MR angiography in the majority of cases. Both NCE-MRA and CE-MRA correctly characterized the hepatic portal veins with grade 5 and without false positive cases. Only 4 false negatives with grade 6 were missed in NCE-MRA group. There were no statistically significant differences between NCE-MRA and CE-MRA for characterization of hepatic vasculature (P0.05). Kappa value was larger than 0.75 for both reviewers. A conclusion could be drawn that NCE-MRA is a non-invasive and effective method that provides a comprehensive assessment of the hepatic portal vein.
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- 2011
84. Fusion with stem cell makes the hepatocellular carcinoma cells similar to liver tumor-initiating cells.
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Ran Wang, Shuxun Chen, Changxian Li, Kevin Tak Pan Ng, Chi-wing Kong, Jinping Cheng, Shuk Han Cheng, Li, Ronald A., Chung Mau Lo, Kwan Man, and Dong Sun
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LIVER cancer ,CANCER cells ,SOMATIC hybrids ,SOMATIC cells ,PLURIPOTENT stem cells ,EMBRYONIC stem cells ,GENE expression ,NEOPLASTIC cell transformation - Abstract
Background: Cell fusion is a fast and highly efficient technique for cells to acquire new properties. The fusion of somatic cells with stem cells can reprogram somatic cells to a pluripotent state. Our research on the fusion of stem cells and cancer cells demonstrates that the fused cells can exhibit stemness and cancer cell-like characteristics. Thus, tumor-initiating cell-like cells are generated. Methods: We employed laser-induced single-cell fusion technique to fuse the hepatocellular carcinoma cells and human embryonic stem cells (hESC). Real-time RT-PCR, flow cytometry and in vivo tumorigenicity assay were adopted to identify the gene expression difference. Results: We successfully produced a fused cell line that coalesces the gene expression information of hepatocellular carcinoma cells and stem cells. Experimental results showed that the fused cells expressed cancer and stemness markers as well as exhibited increased resistance to drug treatment and enhanced tumorigenesis. Conclusions: Fusion with stem cells transforms liver cancer cells into tumor initiating-like cells. Results indicate that fusion between cancer cell and stem cell may generate tumor initiating-like cells. [ABSTRACT FROM AUTHOR]
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- 2016
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