Significance of the preoperative neutrophil-to-lymphocyte ratio in the prognosis of patients with gastric cancer.

AIM: To investigate the significance of the preoperative neutrophil-to-lymphocyte ratio (NLR) in the prognosis of patients with gastric cancer (GC). METHODS: The clinical data of 291 GC patients were analysed retrospectively; these patients were divided into two groups according to their preoperative NLR: a high-NLR group (NLR ≥ 3.5, 131 cases) and a low-NLR group (NLR < 3.5, 160 cases). The clinicopathological characteristics and five-year survival rates of the two groups were compared. The NLR and other clinicopathological factors were subjected to univariate and multivariate survival analysis to evaluate the effects of the NLR on the prognosis of GC patients. RESULTS: The lowest preoperative NLR among the 291 patients was 0.56, whereas the highest preoperative NLR was 74.5. The mean preoperative NLR was 5.99 ± 8.98. Age, tumour size, T staging, tumour-node-metastasis (TNM) staging and platelet count were significantly different between the high- and low-NLR groups (P < 0.05). The five-year survival rate of the high-NLR group was 17.0%, which was significantly lower than that of the low-NLR group (43.6%; 17.0% vs 43.6%, P < 0.05). The univariate analysis results showed that the five-year survival rate was related to age, tumour size, T staging, N staging, TNM staging, carcinoembryonic antigen value and NLR (P < 0.05). Multivariate analysis results showed that the NLR was an independent risk factor that likely affected the five-year survival rate of GC patients (P = 0.003, HR = 0.626, 95%CI: 0.460-0.852). CONCLUSION: The preoperative NLR could be used as a prognostic factor for GC patients; in particular, a high NLR corresponded to poor prognosis of GC patients.

Spin reorientation transitions and structures of electrodeposited Ni/Cu(100) ultrathin films with and without Pb additives.

Magnetic properties and surface structures of Ni/Cu(100) ultrathin films are studied by means of magneto-optical Kerr effect and in situ scanning tunneling microscopy in combination with cyclic voltammetry. At the initial stage of Ni deposition on a Cu(100) electrode, nickel atoms attach onto the steps and the surface shows single atomic steps corresponding to a layer-by-layer growth. For thicker Ni/Cu(100) films, nanometer-size clusters are randomly distributed on the surface showing a three-dimensional island growth. For thinner Ni layers in the coherent region, the magnetic anisotropy energy of the Cl-electrolyte/Ni interface is small. The reduction of squareness of the hysteresis loops is related to the inhomogeneous growth of the Ni layers. For thicker Ni layers in the incoherent region, the negative value of interface anisotropy for the Cl-electrolyte/Ni interface has a strong impact on perpendicular magnetic anisotropy and plays an important role on the reduction of the Ni thickness for spin reorientation transition in the electrolyte condition. By adding Pb additives, the deposition of a Pb wetting layer causes a defaceting phenomenon and the hydrogen evolution reaction is reduced. As the Ni thickness increases, the growth of Ni changes from layer-by-layer to quasi-two-dimensional islands with a flat top layer. With a Pb additive, the spin reorientation transitions of the Ni/Cu(100) system are not significantly influenced. However, due to the change of the growth mode by Pb atoms as a surfactant, the squareness of the hysteresis loops is enhanced for all the Ni thicknesses.