Publications by authors named "Wen-tao Jiang"

Article Synopsis
  • This study examines the neurobiological characteristics associated with gaming disorder (GD) and how they relate to depression and impulsivity among highly involved male gamers.
  • Using fMRI, researchers investigated the brain's resting-state activity in 35 participants and found that greater GD severity correlated with changes in specific brain regions, including increased activity in Heschl's gyrus and decreased activity in the hippocampus.
  • The results suggest that the hippocampus may play a mediating role in the relationship between depression/impulsivity and GD severity, shedding light on the brain's functioning in gamers experiencing these challenges.
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Background: Liver transplantation (LT), resection (LR), and ablation (LA) are three curative-intent treatment options for patients with early hepatocellular carcinoma (HCC). We aimed to develop a prognostic calculator to compare the long-term outcomes following each of these therapies.

Methods: A total of 976 patients with HCC within the Milan criteria who underwent LT, LR, and LA between 2009 and 2019 from four institutions were evaluated.

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Background: Treatments for patients with early-stage hepatocellular carcinoma (HCC) include liver transplantation (LT), liver resection (LR), radiofrequency ablation (RFA), and microwave ablation (MWA), are critical for their long-term survival. However, a computational model predicting treatment-independent prognosis of patients with HCC, such as overall survival (OS) and recurrence-free survival (RFS), is yet to be developed, to our best knowledge. The goal of this study is to identify prognostic factors associated with OS and RFS in patients with HCC and develop nomograms to predict them, respectively.

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Background: Patients with end-stage liver disease usually have varying degrees of malnutrition, and severe malnutrition may affect the prognosis of patients after liver transplantation (LT). However, there is no recommended standard for the nutrition assessment of patients waiting for LT, and it is unknown whether malnutrition has an impact on the occurrence of postoperative complications.

Aim: The study aim was to investigate the value of the controlling nutritional status (CONUT) score and psoas muscle thickness per height (PMTH) in predicting prognosis in LT.

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Mammalian target of rapamycin (mTOR) inhibitor as an attractive drug target with promising antitumor effects has been widely investigated. High quality clinical trial has been conducted in liver transplant (LT) recipients in Western countries. However, the pertinent studies in Eastern world are paucity.

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Objectives: To evaluate the effects of antimicrobial peptide GH12 designed on the structure, morphology, and composition of a cariogenic three-species biofilm.

Methods: The cariogenic three-species biofilm consis-ted of the cariogenic () and commensal bacteria () and (). The biofilm was treated using GH12 (2, 4, and 8 mg·L), and untreated biofilm was used as the control.

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Background: The most effective treatment for advanced cirrhosis and portal hypertension is liver transplantation (LT). However, splenomegaly and hypersplenism can persist even after LT in patients with massive splenomegaly.

Aim: To examine the feasibility of performing partial splenectomy during LT in patients with advanced cirrhosis combined with severe splenomegaly and hypersplenism.

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Article Synopsis
  • This study compared liver transplantation (LT) and liver resection (LR) in patients with hepatocellular carcinoma (HCC) who had portal vein tumor thrombus (PVTT) to determine which treatment was more effective and to find factors that influence prognosis.
  • A total of 94 patients were analyzed, split evenly between the two treatment options, and their outcomes in terms of recurrence-free survival (RFS) and overall survival (OS) were assessed, particularly focusing on PVTT types I and II.
  • Results indicated that LT generally offered a better prognosis than LR for patients with PVTT type I, especially those with high alpha-fetoprotein (AFP) levels, while no significant differences were found for patients with PVTT type
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Unilateral transfemoral amputees rely heavily on non-amputated limb muscles to regulate the prosthetic gait. In this study, we compared the non-amputated limb muscle coordination of eight unilateral transfemoral amputees to eight able-bodied controls. Inverse dynamics approach was conducted via a musculoskeletal model to obtain lower limb joint moments and muscle forces.

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After half a century of development, auxiliary liver transplantation (ALT) technology gradually matured and major indications of ALT have been gradually expanded. This review summarized the history of ALT and introduced indications for ALT which including metabolic liver disease, fulminant hepatic failure, highly sensitized kidney transplantation, prevention of hepatic resection of small hepatic syndrome, etc.; at the same time, the hot issues related to ALT were discussed, including the regulation of hepatic portal blood flow of transplanted liver and residual liver, how to treat the graft liver and remaining liver on second stage.

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Background: Loss of graft function after liver transplantation (LT) inevitably requires liver retransplant. Retransplantation of the liver (ReLT) remains controversial because of inferior outcomes compared with the primary orthotopic LT (OLT). Meanwhile, if accompanied by vascular complications such as arterial and portal vein (PV) stenosis or thrombosis, it will increase difficulties of surgery.

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Phosphodiesterase 2 (PDE2) has received much attention for the potential treatment of the central nervous system (CNS) disorders. Herein, based on the existing PDE2 inhibitors and their binding modes, a series of purin-6-one derivatives were designed, synthesized and evaluated for PDE2 inhibitory activities, which led to the discovery of the best compounds 6p and 6s with significant inhibitory potency (IC: 72 and 81 nM, respectively). Docking simulation was performed to insert compound 6s into the crystal structure of PDE2 at the active site to determine the binding mode.

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Article Synopsis
  • Major depressive disorder (MDD) is characterized by symptoms like depressed mood, anxiety, and issues with learning and memory, with PDE9 inhibitors showing promise in improving cognitive function in studies with rodents.
  • The study tested a novel PDE9 inhibitor, WYQ-C36D (C36D), for its protective effects against stress-induced damage in cell cultures and its behavioral impacts in stressed mice, focusing on depression, anxiety, and memory.
  • Results indicated that C36D not only protected cells from stress but also enhanced behavior, reducing signs of depression and anxiety while improving memory, suggesting PDE9 inhibitors could be a new treatment avenue for MDD.
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The oxygen content in the arterial system plays a significant role in determining the physiological status of a human body. Understanding the oxygen concentration distribution in the arterial system is beneficial for the prevention and intervention of vascular disease. However, the oxygen concentration in the arteries could not be noninvasively monitored in clinical research.

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Simultaneous liver, pancreas-duodenum, and kidney transplantation has been rarely reported in the literature. Here we present a new and more efficient technique that combines classic orthotopic liver and pancreas-duodenum transplantation and heterotopic kidney transplantation for a male patient aged 44 years who had hepatitis B related cirrhosis, renal failure, and insulin dependent diabetes mellitus (IDDM). A quadruple immunosuppressive regimen including induction with basiliximab and maintenance therapy with tacrolimus, mycophenolate mofetil, and steroids was used in the early stage post-transplant.

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Case (description): A 52-year-old male patient presented with seizures on the 16th day post liver transplantation suggesting tacrolimus-associated posterior reversible encephalopathy syndrome (PRES). On the 18th day, the patient was diagnosed with graft-versus-host disease (GVHD). Calcineurin inhibitor (CNI) was stopped and the patient received 1 g methylprednisolone and 25 g immunoglobulin.

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Article Synopsis
  • The study explores the use of living donors older than 50 years for liver transplants, addressing the donor shortage issue in organ transplantation.
  • It compares outcomes between older donors (average age 58.5) and younger donors (average age 25) based on graft function and recipient survival, finding no significant differences in surgery times or long-term survival rates.
  • The results suggest that using older donors is safe for liver transplantation, with similar outcomes for graft function and recipient survival, indicating a viable option to reduce waiting times for patients.
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Background: Precise evaluation of the live donor's liver is the most important factor for the donor's safety and the recipient's prognosis in living donor liver transplantation (LDLT). Our study assessed the clinical value of computer-assisted three-dimensional quantitative assessment and a surgical planning tool for donor evaluation in LDLT.

Methods: Computer-assisted three-dimensional (3D) quantitative assessment was used to prospectively provide quantitative assessment of the graft volume for 123 consecutive donors of LDLT and its accuracy and efficiency were compared with that of the standard manual-traced method.

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Objective: To analyze the prognosis of hepatitis B virus (HBV) recurrence after liver transplantation.

Methods: Thirty-eight patients (37 males; 1 female) with HBV-related end-stage liver disease underwent liver transplantation at our institute between December 1998 and November 2009 and experienced HBV recurrence. Clinical data from pre-transplant and follow-up examinations were retrospectively retrieved from medical records, and included serologic indices of HBV (HBV DNA, markers of liver function) and histological findings from liver biopsy.

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Objective: To investigate the donor evaluation, surgical protocol, and the complication for the adult-to-adult living donor liver transplantation (AALDLT).

Methods: There were 94 cases of AALDLT were performed by the same surgical team from January 2007 to August 2010. Patients aged from 18 to 74 years.

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In the title compound, [Sn(C(6)H(11))(3)(C(7)H(3)Br(2)O(3))], the Sn atom is four-coordinate and possesses a distorted Sn(C(3)O) tetra-hedral geometry, with Sn-C bond lengths in the range 2.132 (6)-2.144 (6) Å and with Sn-O = 2.

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Objective: To evaluate the living donor selection, donor hepatectomy technique, and surgical complication in living donor liver transplantation.

Methods: From June 2007 to July 2008, 74 consecutive cases living donor hepatectomy were performed by the same surgical team. Seventy-four donors (64 males and 10 females) with a mean age of 29.

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Article Synopsis
  • The study focuses on a treatment algorithm for donor middle hepatic vein (MHV) in right lobe living donor liver transplantation (LDLT), assessing its impact on the safety of both donors and recipients.
  • Data from 73 LDLT cases were analyzed, comparing various factors like donor/recipient demographics, graft weights, and post-operative complications to evaluate the effectiveness of the MHV treatment algorithm.
  • Results showed no significant issues for donors, with one recipient experiencing complications, but overall, the algorithm was deemed safe for both groups.
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Background: Ischemic-type biliary lesions (ITBLs) play an extremely important role in influencing the long-term survival and quality of life of recipients after orthotopic liver transplantation (OLT). Some patients can be cured by interventional therapies, however others lose their grafts at last and receive liver retransplantation (re-OLT). The aim of this study was to analyze the data of 66 patients who had received re-OLT at our center because of ITBL and to discuss the treatment of ITBL after OLT.

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Objective: To investigate the stress distribution in three ferrule designs in a maxillary central incisor restoration using PFM crown with post, and evaluate the biomechanical mechanism of the ferrule effect in the post crown by 3D finite element dynamic analysis.

Methods: The 3D finite element model of a maxillary central incisor restored with post and PFM crown was established. By simulating three types of ferrule effect [crown wrapping dentine (A), core collar wrapping (B), and contrabevel (C)] under dynamic loading, the dentin stress was analyzed.

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