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In recent years, the controlling nutritional status (CONUT) score has increasingly became an effective indicator associated with tumor prognosis. This study was conducted to synthesise data on the prognostic value of CONUT score on patients with upper tract urothelial carcinoma (UTUC) or renal cell carcinoma (RCC) undergoing nephrectomy. We designed and performed a systematic analysis of studies that verified the correlation between preoperative CONUT score and prognosis for UTUC and RCC using PubMed, Web of Science and Embase. The conclusion was clarified by pooled hazard ratios (HR) and 95% confidence intervals (95% CI). Subgroup analysis were further conducted in accordance with different primary tumor. Six studies involving 3529 patients were included in this evidence synthesis, which revealed that the CONUT score had a potential role to predict the survival of UTUC and RCC patients accepting surgery. Pooled analysis showed that the overall survival (OS, HR 2·32, p < 0·0001), cancer-specific survival (CSS, HR 2·68, p < 0·0001) and disease-free survival (DFS, HR 1·62, p < 0·00001) were inferior in the high CONUT score group when compared with low score group. Subgroup analysis revealed that this result was in line with UTUC (OS: HR 1·86, p = 0·02; CSS: HR 2·24, p = 0·01; DFS: HR 1·54, p < 0·00001) and RCC (OS: HR 3·05, p < 0·00001; CSS: HR 3·47, p < 0·00001; DFS: HR 2·21, p = 0·0005) patients respectively. Consequently, the CONUT score is a valuable preoperative index to predict the survival of patients with UTUC or RCC undergoing nephrectomy.
Geochronological, elemental and isotopic data of the Dashizhuzi granites and lamprophyre dykes from the eastern Hebei – western Liaoning on the northern North China Craton (NCC) provide an insight into the nature of their magma sources and subcontinental lithospheric mantle. The Dashizhuzi granites have an emplacement age of 226 Ma. They have enriched lithospheric mantle type 1 (EM1-like) Sr–Nd isotopic compositions, and have distinctive features of high Na2O and Sr and low Y with high Sr/Y and (La/Yb)N ratios. These characteristics show that the Dashizhuzi granites originated directly from melting of mafic lower crust composed of pre-existing ancient crustal and enriched mantle-derived juvenile crustal materials at normal continental crustal depth of 33–40 km. The lamprophyre dykes are dated at 167 Ma, and can be divided into two groups. The Group 1 dykes have variable Sr–Nd isotopic compositions and mid-ocean-ridge basalt (MORB-) like Th/U, Ba/Th and Ce/Pb ratios, whereas the Group 2 dykes have enriched Sr–Nd isotopic compositions and notable high Co, Cr, MgO and low Al2O3 characteristics. These distinctive features suggest that the Group 1 dykes were derived from a relatively fertile lithospheric mantle source (garnet-facies amphibole-bearing lherzolite) which has experienced variable degrees of asthenospheric mantle-derived melt–peridotite interaction prior to melting. However, the Group 2 dykes were derived from an ancient garnet-facies phlogopite and/or amphibole-bearing lherzolite lithospheric mantle. Thinning of the Early Mesozoic lithospheric mantle beneath the northern NCC is dominantly through melt–peridotite interaction and thermo-mechanical erosion prior to Middle Jurassic time. The chemical compositions have been modified at the bottom of the lithospheric mantle through melt–peridotite interaction processes.
Zircon U–Pb ages, major and trace element geochemistry and Sr, Nd and Pb isotope compositions of diorite and diorite porphyry dykes from the Jinchanggouliang (JCGL) gold ore field on the northern margin of the North China craton (NCC) were studied to investigate their sources, petrogenesis and geodynamic significance. LA-ICP-MS zircon U–Pb dating reveals three major age groups of 2500 Ma (n = 2), 253 ± 7 Ma (n = 5) and 227 ± 1 Ma (n = 9). The inherited ages of 2500 Ma, contemporary with the Archaean NCC continental growth, imply that crustal material was involved in the magma source. The igneous zircons with a concordia age of 227 ± 1 Ma may record the emplacement age of the JCGL dykes. Both diorite and diorite porphyry exhibit a wide range of SiO2 and MgO contents and are characterized by high concentrations of Na2O+K2O and Al2O3, and low abundances of P2O5 and TiO2. They are enriched in large ion lithophile elements and light rare earth elements without significant Eu anomalies, and depleted in high-field-strength elements; all are categorized as shoshonitic rocks. All samples show a narrow range of Sr isotope compositions with initial 87Sr/86Sr ratios from 0.70394 to 0.70592, variable εNd(t) values (1.1 to −12.0) and TDM2 ages of 913–1972 Ma. Their Pb isotope compositions form continuous variation trends and plot in the fields between enriched mantle 1 (EM1) and lower continental crust (LCC). The above results suggest that the JCGL dykes studied could have been derived from mixing of lower crust, lithospheric mantle of the NCC and ascending asthenospheric melt in a post-orogenic extensional geodynamic setting. These shoshonitic dykes, together with the geochronological data of regional ENE-trending retrograded eclogites, ophiolites, continental arc magmatic belt, A-type granite, alkaline intrusions and metamorphic core complex from the northern NCC and Central Asian Orogenic Belt (CAOB) suggest that closure of the Palaeo-Asian Ocean (i.e. stage of pre-collision to collision) had completed during latest Permian to earliest Triassic time, and that the CAOB was subsequently tectonically dominated by post-orogenic extensional regimes. The involvement of asthenospheric melt in the magma source implies that the sub-continental lithospheric mantle (SCLM) of the NCC had been modified, and the onset of lithospheric destruction and thinning beneath the northern NCC may have occurred in Middle–Late Triassic time as a result of post-orogenic subducting slab detachment and lithospheric delamination.
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