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Objective: To measure the prognostic value of the lymphocyte-monocyte ratio (LMR) in patients with epithelial ovarian cancer (EOC).Methods: We retrospectively examined the LMR as a prognosticator in a cohort of 234 patients with EOC who underwent surgical resection. Patients were categorized into two different groups based on the LMR (LMR-low and LMR-high) using cut-off values determined by receiver operating characteristic (ROC) curve analysis. The objective of the study was to assess the effect of the LMR on progression-free survival (PFS) and overall survival (OS), and to validate the LMR as an independent predictor of survival.Results: Using the data collected from the whole cohort, the optimized LMR cut-off value selected on the ROC curve was 2.07 for both PFS and OS. The LMR-low and LMR-high groups included 48 (20.5%) and 186 patients (79.5%), respectively. The 5-year PFS rates in the LMR-low and LMR-high groups were 40.0 and 62.5% (P < 0.0001), respectively, and the 5-year OS rates in these two groups were 42.2 and 67.2% (P < 0.0001), respectively. On multivariate analysis, we identified age, International Federation of Gynecology and Obstetrics (FIGO) stage, and cancer antigen 125 levels to be the strongest valuable prognostic factors affecting PFS (P = 0.0421, P = 0.0012, and P = 0.0313, respectively) and age, FIGO stage, and the LMR as the most valuable prognostic factors predicting OS (P = 0.0064, P = 0.0029, and P = 0.0293, respectively).Conclusion: The LMR is an independent prognostic factor affecting the survival of patients with EOC.

Abstract:The main purpose of this study is to identify the major factors affecting groundwater quality by means of multivariate statistical analysis of the physico-chemical compositions. Cluster analysis results show that the groundwater in the study area is classified into four groups (A, B, C and D), and factor analysis indicates that groundwater composition, 81Ð9% of the total variance of 17 variables, is mainly affected by three factors: seawater intrusion, microbial activity and chemical fertilizers. These results might be related to the geographical characteristics of the study area. The main influence on groundwater in groups B, C and D, which are close to the Yellow Sea and contain reclaimed areas, is the seawater intrusion by the present seawater, the trapped seawater, and microbial activity. Group A, however, has been used for agriculture for a long time, and thus groundwater in this group has been largely affected by chemical fertilizers. As groundwater flows from group A to group D according to its path, the governing factor of the groundwater quality gradually changes from chemical fertilizers to microbial activity and seawater intrusion.