Publications by authors named "Zhiyun Zhu"

Background: The estrogen receptor (ER) serves as a pivotal indicator for assessing endocrine therapy efficacy and breast cancer prognosis. Invasive biopsy is a conventional approach for appraising ER expression levels, but it bears disadvantages due to tumor heterogeneity. To address the issue, a deep learning model leveraging mammography images was developed in this study for accurate evaluation of ER status in patients with breast cancer.

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  • - Cor triatriatum sinister (CTS) is a rare heart condition often leading to atrial fibrillation, making treatment, particularly catheter ablation, more complicated due to its unique structure.
  • - A 60-year-old male with CTS underwent catheter ablation for persistent atrial fibrillation, with advanced imaging techniques like echocardiography and cardiac CT helping navigate the complex anatomy.
  • - The case highlights the effectiveness of using advanced ablation methods and intracardiac echocardiography to better understand heart structures, suggesting that the CTS membrane might contribute to arrhythmias and needs more research.
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Background: Lymphatic leakage is one of the postoperative complications of neuroblastoma. The purpose of this study is to summarize the clinical characteristics and risk factors of lymphatic leakage and try to find effective prevention and treatment measures.

Methods: A retrospective study included 186 children with abdominal neuroblastoma, including 32 children of lymphatic leakage and 154 children of non-lymphatic leakage.

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Background And Aims: Surgery is pivotal in the management of neuroblastoma (NB), particularly in patients with Image-Defined Risk Factors (IDRFs). The International Neuroblastoma Surgical Report Form (INSRF) was introduced to enhance surgical reporting quality and analyze the defining role of extensive surgery in NB. This study reports our experience with INSRF and explores new criteria for evaluating the extent of surgical resection.

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  • Retroperitoneal neuroblastomas often invade critical organs, making surgery risky and leading to complications, particularly affecting the kidneys and surrounding vasculature.
  • A study at Beijing Children's Hospital analyzed 225 pediatric patients, revealing that 95.1% had kidney-preserving surgery, with only 11 patients undergoing nephrectomy due to tumor invasion or reduced kidney function.
  • Results indicated no significant differences in overall survival or event-free survival between those who had nephrectomy and those who preserved their kidneys, emphasizing the importance of kidney preservation in high-risk cases.
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Objective: To summarize the clinical characteristics of children with adrenocortical carcinoma (ACC) and preliminarily explore the indications for and efficacy of neoadjuvant chemotherapy in certain patients.

Methods: The data of 49 children with adrenocortical tumors (ACT) in the past 15 years were retrospectively analyzed, and after pathology assessment using Weiss system grading, 40 children diagnosed with ACC were included. Response Evaluation Criteria in Solid Tumors (RECIST) 1.

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Background: Reduced muscular strength is common in patients with heart failure (HF). The aim of the systematic review and meta-analysis was to evaluate the association between handgrip strength (HGS) and prognosis of patients with HF.

Hypothesis: Reduced HGS may be a risk factor of poor prognosis of patients with HF.

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Aim: To summarize systematically our six-year experience in the surgical treatment of postoperative bile leakage after liver tumor surgery in children, and explore its reoperation approach and treatment effect.

Methods: The clinical data of 6 patients with postoperative bile leakage cured by surgery from January 2016 to January 2022 were reviewed retrospectively.

Results: Among the six pediatric patients with postoperative bile leakage cured by surgery, four were male (67%) and two were female (33%).

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Three series of podophyllotoxin derivatives with various nitrogen-containing heterocycles were designed and synthesized. The antitumor activity of these podophyllotoxin derivatives was evaluated against a panel of human tumor cell lines. The results showed that podophyllotoxin-imidazolium salts and podophyllotoxin-1,2,4-triazolium salts exhibited excellent cytotoxic activity.

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Objective: To explore the criteria, safety and efficacy of laparoscopic surgery in pediatric neuroblastoma (NB).

Methods: A retrospective study of 87 patients with NB without image-defined risk factors (IDRFs) between December 2016 and January 2021 at Beijing Children's Hospital was conducted. Patients were divided into two groups according to the surgical procedure.

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Background: Peritoneal malignant tumors in children are rare but commonly associated with disease progression and poor outcome. The successful treatment experience of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in adult peritoneal carcinoma has been applied to pediatric peritoneal malignancy in recent years. However, patients with desmoplastic small round cell tumor (DSRCT) accounted for the majority of patients treated with CRS and HIPEC in previous studies.

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Duzhong [DZ ( Oliv.)] is regarded as a traditional Chinese medicine with a history dating back more than 2000 years. This herb is considered a nourishing herb in China and is commonly used as a tonic to strengthen muscles and bones, nourish the kidneys and liver, and soothe miscarriages.

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Objective: Hepatoblastoma (HB) tumor rupture is a high-risk criterion in the International Childhood Liver Tumors Strategy Group (SIOPEL) 3/4 protocol. However, the causes and risk factors for HB rupture are still unknown, and whether tumor rupture is an independent risk factor for HB prognosis is still controversial. The purpose of this study was to retrospectively analyze the clinical characteristics of children with HB tumor rupture and to search for clinical risk factors to conduct early prediction and intervention.

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Cardiovascular diseases are very harmful to human life and health. Reperfusion therapy is a standard method to treat cardiovascular diseases and has achieved high clinical effects. However, this treatment method is likely to cause myocardial ischemia-reperfusion injury.

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Cupronickel alloys have been broadly utilized in various fields due to their excellent properties. In this paper, electrochemical impedance spectroscopy (EIS) and potentiodynamic polarization (PDP) curves were used to study the impact of different Mn contents on the corrosion resistance of 90/10 cupronickel alloy. Surface morphology, electronic structure, and phase composition of the film formed on different Mn content 90/10 cupronickel alloy immersed in 3.

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  • Alzheimer's disease (AD) is linked to cardiovascular issues, and a study revealed that low activity of the enzyme aldehyde dehydrogenase 2 (ALDH2) correlates with cardiac dysfunction in elderly AD patients.* -
  • Researchers created a mouse model to study the effects of overexpressing ALDH2 on heart function and found that it significantly reduced cognitive deficits and cardiac abnormalities associated with AD.* -
  • The ALDH2 transgene effectively counteracted harmful processes such as lipid peroxidation and inflammation in heart cells triggered by amyloid-beta (Aβ), showcasing its potential protective role in AD-related cardiac dysfunction.*
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Background: This study is aimed at investigating whether albumin-to-fibrinogen ratio (AFR) could independently predict the prognosis in patients with peritonitis-induced sepsis.

Methods: A total of 246 eligible patients who were scheduled to undergo surgical treatment for peritonitis-induced sepsis were enrolled in this study. The primary observational endpoint was 28-day hospital mortality.

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Background: To investigate the safety, feasibility, and complications of pancreatectomies for pediatric pancreatic tumors.

Methods: The medical records of pancreatectomy patients from January 2007 to January 2018 were retrospectively analyzed for perioperative factors and complications. Patients were divided into pancreatic head (n = 43), body (n = 18) and tail (n = 43) groups.

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Background: To investigate the safety, feasibility, and complications of using duodenum-preserving pancreas head resection (DPPHR) to treat pediatric benign and low-grade malignant pancreatic head tumors.

Methods: Patients with pancreatic head tumors that underwent resection were retrospectively analyzed for perioperative factors and postoperative complications.

Results: Thirty-five patients with a median age of 10 years at diagnosis were identified.

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Background: Pancreatoblastoma is a very rare malignant pancreatic tumor in children. Pancreatoblastoma is the most common pancreatic tumor in children less than 10 years of age, accounting for 25% of the pancreatic neoplasm. There were only a few published literatures about the standardized diagnostic and management protocol for PB in the last decade.

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Background: Opsoclonus-myoclonus syndrome (OMS) is a rare neurological disorder, usually accompanied by neuroblastoma (NB). There is no targeted treatment and animal model of OMS. We aimed to investigate whether insulin-like growth factor 1 (IGF-1)/phosphoinositide 3-kinase (PI3K) signaling alleviates neuronal cytolysis in pediatric OMS.

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Background: Sepsis is a great health burden for millions of people worldwide and plays a critical role in the cause of death in intensive care units. Previous studies have revealed that programmed cell death 1 (PD-1) and programmed cell death ligand 1 (PD-L1) play critical roles in the immunosuppression phase induced by sepsis. The objective of this present study was to establish whether PD-1/PD-L1 expressions were associated with 28-day mortality of septic patients.

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Sepsis is a life-threatening condition in which an uncontrolled inflammatory host response is triggered. The exact pathogenesis of sepsis remains unclear. The aim of the present study was to identify key genes that may aid in the diagnosis and treatment of sepsis.

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Growing evidence indicates that microRNA (miRNA) play vital roles in glioma progression by directly regulating multiple targets. Here, we found that miR-105 expression was significantly decreased and inversely correlated with SOX9 mRNA expression in glioma tissues. SOX9 was identified as a direct target of miR-105.

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