Background: The efficacy of early allograft dysfunction (EAD) definitions in predicting post-transplant graft survival in a Chinese population is still unclear.Methods: A total of 607 orthotopic liver transplants (OLT) have been included in the current study. Model accuracy was evaluated using receiver operating characteristic (ROC) analysis. Risk factors for EAD was evaluated using univariable analysis and multivariable logistic regression model. Results:The 3-, 6-, and 12-month patient/graft survival were 91.6%/91.4%, 91.1%/90%, and 87.5%/87.3%, respectively. MELDPOD5 had a superior discrimination of 3-month graft survival (C statistic, 0.83), compared with MEAF (C statistic, 0.77) and Olthoff criteria (C statistic, 0.72). Multivariate analysis of risk factors for EAD defined by MELDPOD5, showed that donor body mass index (P=0.001), donor risk index (P=0.006), intraoperative use of packed red blood cells (P=0.001), hypertension of recipient (P=0.004), and preoperative total bilirubin (P<0.001) were independent risk factors. Conclusions:The results suggest that MLEDPOD5 is a better criterion of EAD for the Chinese population, which might serve as a surrogate end-point for graft survival in clinical study.

Effect of copper compounds on the catalytic activity of n-Bu2SnO in the transesterification of dimethyl carbonate and phenol to diphenyl carbonate was investigated. The results showed that they as promoters could obviously enhance the activity of n-Bu2SnO except for Cu. The characterizations of X-ray diffraction (XRD) identified that CuO could be reduced to Cu, and Cu2O was stable. When the reaction was carried out between 150 and 180 oC, with molar ratio of n-Bu2SnO to Cu2O of 8:1, catalyst amount 0.0067, reaction time 10h, molar ratio of dimethyl carbonate to phenol of 3:1, the phenol conversion and the transesterification selectivity were 60.3% and 99.2%, respectively. In the transesterification, the acid-base synergistic effect between Cu2O as the basic promoter and n-Bu2SnO as the Lewis acid resulted in the active enhancement of n-Bu2SnO. Moreover the performance of Cu2O remained unchanged for seven times reuse.