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Septic Arthritis and Multifocal Osteomyelitis Caused by Capnocytophaga Canimorsus: A Case Report

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Infectious Diseases & Immunity 2023年第3期3卷 136-139页

作者： Saul Levy-Blitchtein Paula Salmeron Dolores Rodriguez-Pardo Pablo Corona carles Amat Mayli Lung-Suarez Microbiology Department Vall d'Hebron University HospitalBarcelonaSpain Department of Infectious Diseases Vall d'Hebron University HospitalBarcelonaSpain Orthopaedic Surgery Department Vall d'Hebron University HospitalBarcelonaSpain

Microbiological diagnosis of chronic osteoarticular infections remains a major challenge,particularly when the clinical presentation is atypical and the pathogen is *** this unique case,Capnocytophaga canimorsus,a microorganism belonging to the oral microbiota of some domestic animals,caused septic arthritis and multifocal osteomyelitis in the long bone of a 43-year-old immunocompetent *** patient was treated with two-stage surgery and local and systemic antibiotic therapy,and had a successful *** should be considered as a possible etiological agent in patients with osteoarticular pathology and a history of exposure to domestic animals.

关键词： Capnocytophaga Case report Osteomyelitis Septic arthritis Osteoarticular infection

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果蔬热烫

食品科学 1982年第3期 59-63页

作者： Liliane carles ,章村人

热烫是植物性食品进行各种贮藏加工(冷冻,冻干,杀菌,脱水)之前的热处理工序。常见的热烫工序是把蔬菜或水果浸入开水或放入 95～100℃的热蒸汽中,热烫时间视使用技术和果蔬数量而异。热烫所起的作用因贮藏方法不同相差很大。

关键词：热烫处理蔬菜园艺作物汁液流失热力学性质蒸汽热

Pre-hCG variables associated with occurrence of ascites in IVF/ICSI patients at moderate risk of developing OHSS:A pilot investigation

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Open Journal of Obstetrics and Gynecology 2013年第1期3卷 13-20页

作者： Manuel Fernández-Sánchez Per Broberg Goran Pettersson Cristiano Busso Antonio Pellicer Joan-carles Arce Instituto Valenciano de Infertilidad(IVI)Sevilla SevillaSpain Biometrics Global Clinical&Non-Clinical R&DFerring Pharmaceuticals A/SCopenhagenDenmark Reproductive Health Global Clinical&Non-Clinical R&DFerring Pharmaceuticals A/SCopenhagenDenmark International Vaccine Institute(IVI)Valencia ValenciaSpain

Objective: To identify predictors of ascites collected prior to the hCG administration in patients undergoing IVF/ICSI treatment at moderate risk of developing moderate/severe ovarian hyperstimulation syndrome (OHSS), and, based on these predictors, develop a nomogram for estimation of the probability of presence of ascites. Methods and Materials: Data were derived from 53 patients with 20 - 30 follicles ≥10 mmat end of stimulation. All patients received a single dose of hCG (250 mg) to trigger final follicular maturation when ≥2 follicles of ≥18 mmwere observed. Transvaginal ultrasound to measure ascites (total amount of peritoneal fluid ≥9 cm2inlithotomy position) was performed 2, 5 and 8 days after the hCG administration. Associations between clinical, sonographic and endocrinological variables recorded prior to the hCG administration and presence of ascites were analyzed by univariable and multivariable logistic regression. Results: Thirty-four patients (64%) had ultrasonic evidence of ascites. The multivariable analysis identified the total number of follicles [OR 1.29 (95% CI: 1.02 - 1.69, P = 0.043)], the ovarian volume [OR 1.05 (95% CI: 1.00 - 1.11, P = 0.047)] and BMI [OR 0.76 (95% CI: 0.56 - 0.99, P = 0.053)] as predictors of ascites (AUC = 0.825). A nomogram (PROFET) was designed with these three variables for individual prediction of the probability of development of ascites. Conclusions: This pilot investigation indicates that the risk of peritoneal fluid accumulation in IVF/ICSI patients at moderate risk of developing moderate/severe OHSS is influenced by the number of follicles and the ovarian volume on the day of hCG administration as well as the BMI.

关键词： Ascites IVF OHSS Ovarian Stimulation Prediction

Clinical profile and outcomes in very elderly patients with atrial fibrillation anticoagulated with rivaroxaban: data from the EMIR study

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Journal of Geriatric Cardiology 2024年第7期21卷 723-732页

作者： Francisco Marín Manuel Anguita Sánchez Iñaki Lekuona Marcelo Sanmartín Fernán-dez Vivencio Barrios Carlos Perez Muñoz Juan Cosín-Sales Alejandro IPérez Cabeza Vanesa Roldán Schilling carles Rafols Priu Esteban Orenes-Piñero María Asunción Es-teve-Pastor Department of Cardiology Hospital Clínico Universitario Virgen de la ArrixacaIMIB-ArrixacaUniversity of MurciaCIBERCVMurciaSpain Department of Cardiology Hospital Reina Sofía CórdobaIMIBICUniversity of CordobaCIBERCVCórdobaSpain Hospital Galdakao-Usansolo BizkaiaSpain Department of Cardiology Hospital Uni-versitario Ramony CajalCIBERCVMadridSpain Department of Cardiology University Hospital Ramóny CajalAl-caláUniversityMadridSpain Medical Center La Capillita Sanlúcar de Barrameda.Private cardiology clinicJerez de la FronteraSpain Department of Cardiology Hospital Arnau de VilanovaValenciaSpain Department of Car-diology Virgen de la Victoria University HospitalCIBERCV.MalagaSpain Department of Haematology Hospital Clínico Universitario Virgen de la ArrixacaUniversity of MurciaMurciaSpain Department of Medical Affairs Bayer HispaniaBarcelonaSpain Department of Biochemistry and Molecular Biology-A University of MurciaMurciaSpain

Objectives To analyze the clinical profile,adequacy of treatment with rivaroxaban and outcomes in octogenarians with atrial fibrillation(AF),taking rivaroxaban in clinical *** Observational and non-interventional study that included AF adults recruited from 79 Spanish centers,anticoagulated with rivaroxaban ≥ 6 months before being *** were analyzed according to age(≥ 80 vs.< 80 years) at *** Out of 1433 patients,453(31.6%) were octogenarians at *** to younger patients,octogenarians had more comorbidities,higher CHA2DS2-VASc(4.5 ± 1.3 vs.3.0 ± 1.4;P < 0.001) and HAS-BLED scores(2.0 ± 1.0 vs.1.4 ± 1.0;P < 0.001).Overall,the dose of rivaroxaban was adequately prescribed in 83.4% of patients,but more frequently in the younger population(71.1% vs.89.1%;P = 0.039).After a mean follow-up of 2.2 ± 0.6 years,annual rates of stroke + systemic embolism + transient ischemic attack,MACE,cardiovascular death and major bleeding were 1.03%,1.24%,1.03% and 1.75%,respectively,in octogenarian *** for progressive heart failure death and major bleeding,rates of outcomes in octogenarians were similar compared to younger *** octogenarians,the concomitant use of antiplatelet agents and non-severe dementia were independently associated with the development of ischemic stroke,whereas previous coronary revascularization and heart failure with MACE,and higher HAS-BLED score with major *** In clinical practice,around one third of patients taking rivaroxaban are *** patients have many comorbidities and a high thromboembolic *** that,rates of adverse events remain *** is adequately prescribed in the majority of octogenarians.

关键词： patients atrial bleeding

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Suitability of the South Caribbean Coast of Costa Rica for Reintroduction of the Great Green Macaw <i>Ara ambiguus</i>

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Natural Resources 2014年第11期5卷 653-665页

作者： Sara Fraixedas álvaro Fernández-Llamazares Anna Rico Albert Bach Marta Borrós carles Barriocanal Martí Boada Institut de Ciència i Tecnologia Ambientals (ICTA) Universitat Autònoma de Barcelona (UAB) Bellaterra (Cerdanyola del Vallès) Spain Institut de Ciència i Tecnologia Ambientals (ICTA) Universitat Autònoma de Barcelona (UAB) Bellaterra (Cerdanyola del Vallès) Spain La Ceiba Nature Reserve Punta Uva Puerto Viejo de Talamanca Refugio de Vida Silvestre Gandoca-Manzanillo Caribe Sur Costa Rica Institut de Ciència i Tecnologia Ambientals (ICTA) Universitat Autònoma de Barcelona (UAB) Bellaterra (Cerdanyola del Vallès) Spain La Ceiba Nature Reserve Punta Uva Puerto Viejo de Talamanca Refugio de Vida Silvestre Gandoca-Manzanillo Caribe Sur Costa Rica Metapopulation Research Group (MRG) Department of Biosciences University of Helsinki Helsinki Finland Institut de Ciència i Tecnologia Ambientals (ICTA) Universitat Autònoma de Barcelona (UAB) Bellaterra (Cerdanyola del Vallès) Spain La Ceiba Nature Reserve Punta Uva Puerto Viejo de Talamanca Refugio de Vida Silvestre Gandoca-Manzanillo Caribe Sur Costa Rica The Helsinki Lab of Ornithology (HelLO) Finnish Museum of Natural History University of Helsinki Helsinki Finland La Ceiba Nature Reserve Punta Uva Puerto Viejo de Talamanca Refugio de Vida Silvestre Gandoca-Manzanillo Caribe Sur Costa Rica

The Great Green Macaw Ara ambiguus is an endangered species whose most important food resource and nesting site in Costa Rica is the mountain almond tree Dipteryx panamensis, threatened mainly by deforestation. In this study, we analyse the suitability of reintroducing A. ambiguus in the South Caribbean Coast of Costa Rica by examining whether the ecological and socio-cultural conditions required for the reintroduction are met in the area. The methods developed in this work include biological sampling, cartographical analysis and semi-structured interviews, among others. We set La Ceiba Nature Reserve as study unit and starting point of the analysis due both to its conservation status, favouring the potential release of individuals, and its ecosystem representativeness. Our results suggest that the habitat is suitable for reintroduction, with frequent presence of D. panamensis in the region, as well as other feeding options and potential nesting sites in the study area. The cartographic study reveals that the species could rely on a forested surface of up to 7000 hectares, which would be sufficient for sustaining a viable population. As for the socio-cultural analysis, illegal logging and low protective frameworks were identified as the main potential threats for the species. Nevertheless, we perceived positive conservation attitudes among local people and a pro-active commitment of political stakeholders. We conclude that a viable South Caribbean reintroduction of A. ambiguus is possible in conjunction with a threat mitigation programme.

关键词： Psittacine Conservation Reintroduction Threatened Species Suitability Analysis

Failed medial patellofemoral ligament reconstruction:Causes and surgical strategies

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World Journal of Orthopedics 2017年第2期8卷 115-129页

作者： Vicente Sanchis-Alfonso Erik Montesinos-Berry Cristina Ramirez-Fuentes Joan Leal-Blanquet Pablo E Gelber Joan carles Monllau Department of Orthopaedic Surgery Hospital Arnau de Vilanova Valencia and Hospital 9 de Octubre Agoriaz Orthopaedic Center 1632 Riaz and Clinique CIC1815 Clarens Department of Radiology Hospital Universitario y Politécnico La Fe and GIBI230 IIS La Fe Research Group Department of Orthopaedic Surgery Hospital del MarUniversitat Autònoma de Barcelona Department of Orthopaedic Surgery Hospital de la Santa Creu i Sant PauUniversitat Autònoma de Barcelona

Patel ar instability is a common clinical problem encountered by orthopedic surgeons specializing in the knee. For patients with chronic lateral patellar instability, the standard surgical approach is to stabilize the patella through a medial patellofemoral ligament(MPFL) reconstruction. Foreseeably, an increasing number of revision surgeries of the reconstructed MPFL will be seen in upcoming years. In this paper, the causes of failed MPFL reconstruction are analyzed:(1) incorrect surgical indication or inappropriate surgical technique/patient selection;(2) a technical error; and(3) an incorrect assessment of the concomitant risk factors for instability. An understanding of the anatomy and biomechanics of the MPFL and cautiousness with the imaging techniques while favoring clinical over radiological findings and the use of common sense to determine the adequate surgical technique for each particular case, are critical to minimizing MPFL surgery failure. Additionally, our approach to dealing with failure after primary MPFL reconstruction is also presented.

关键词： Medial patellofemoral ligament Failed medial patellofemoral ligament reconstruction Trochleoplasty 3D-CT in patellofemoral surgery

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城市的田园空间

建筑实践 2012年第8期 53-57页

作者：葛辉 Mayuco Sakai Sophie carles Courtesy of MU Architecture

Fertiie House位于法国图斯的边缘位置,在卢瓦河谷一个风景秀丽的小镇上。这是个在原有建筑上翻新和扩建的项目。因为建筑的主人上了年纪,老人想要把他们的起居室换到临近街道的那边,同时还想拥有一个能感受到小镇勃勃生气的绿色休憩场... 详细信息

Fertiie House位于法国图斯的边缘位置,在卢瓦河谷一个风景秀丽的小镇上。这是个在原有建筑上翻新和扩建的项目。因为建筑的主人上了年纪,老人想要把他们的起居室换到临近街道的那边,同时还想拥有一个能感受到小镇勃勃生气的绿色休憩场所,年事已大自然希望儿孙绕膝,所以老人的最大的夙愿就是希望这所房子通过改建能够给来探望自己的儿孙提供一个可以一起休息一起分享生活的场所。这座建筑坐落在街道的拐角处,它有着与附近传统的房屋截然不同的许多特点。例如传统的房屋入口和一些窗户是面对街区内部的,同时大部分传统房屋按照通常惯例窗户都是对着街道的,而且紧邻街道一侧

关键词：窗户建筑师美术家起居室田园

COVID-19 patient experiences in prehospital pathways:a processual approach using life-events calendar method and state sequence analysis shows detrimental delays

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Family Medicine and Community Health 2024年第1期12卷 45-56页

作者： Romain Lutaud Sebastien Cortaredona Lea Delorme Patrick Peretti-watel Juliette Mirouse Manon Borg Lucie Cattaneo Didier Thery Gaetan Gentile Christian Pradier Touitou Irit Philippe Brouqui Sophie Tardieu Michel carles Stéphanie Gentile Department of General Practice Aix-Marseille UniversityMarseilleFrance ADES MarseilleFrance Institut de Recherche pour le Développement(IRD) MarseilleFrance Assistance Publique-Hôpitaux de Marseille(AP-HM) MarseilleFrance INSERM MarseilleFrance Department of Public Health Archet University HospitalNiceFrance MEPHI MarseilleFrance CEReSS-Health Service Research and Quality of life Center MarseilleFrance Department of Infectious Diseases Centre Hospitalier Universitaire de NiceNiceFrance

Objectives To our best knowledge,no study in France has comprehensively investigated the prehospital history of patients admitted for severe cases of COVID-19.‘Patients’voice is an excellent means to capture data on primary care *** aimed to identify clusters of COVID-19 hospitalised patients with similar prehospital symptom sequences,and to test whether these clusters were associated with a higher risk of poor clinical *** Cross-sectional online survey using life-event *** All patients hospitalised for COVID-19 between September 2020 and May 2021 in the Infectious Disease Departments in Nice and in Marseilles in *** 312 patients responded to the *** outcome measures From the day of symptom onset to the day of hospitalisation,we defined a symptom sequence as the time-ordered vector of the successive symptom grades(grade 1,grade 2,grade 3).State sequence analysis with optimal matching was used to identify clusters of patients with similar symptom *** logistic regressions were performed to test whether these clusters were associated with admission to intensive care unit(ICU)and COVID-19 sequelae after *** Three clusters of symptom sequences were identified among 312 complete prehospital pathways.A specific group of patients(29%)experienced extended symptoms of severe COVID-19,persisting for an average duration of 7.5 days before *** group had a significantly higher probability of being admitted to ICU(adjusted OR 2.01).They were less likely to know a loved one who was a healthcare worker,and more likely to have a lower level of ***,this group of patients,who were more likely to have previously visited the emergency room without exhibiting severe symptoms at that time,may have been inclined to postpone reassessment when their health *** relatives played a decisive role in their *** and relevance This study h

关键词： admitted likely life

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葡萄线虫病

国外农学(果树) 1986年第4期 41-42页

作者： carles L. 苏玉珍

线虫的寄主有植物和土壤。线虫体长300微米～1厘米,线虫的幼虫能适应各种土壤条件,它们是靠危害植物,用口针吸取植株的侧根来养活自己。有时,那怕是少量幼虫,其危害性也很大。寄生在葡萄上的线虫,危害途径有两个:一是线虫直接进行危害;... 详细信息

线虫的寄主有植物和土壤。线虫体长300微米～1厘米,线虫的幼虫能适应各种土壤条件,它们是靠危害植物,用口针吸取植株的侧根来养活自己。有时,那怕是少量幼虫,其危害性也很大。寄生在葡萄上的线虫,危害途径有两个:一是线虫直接进行危害;二是通过传播病毒进行危害。防治这类线虫的方法是选育抗寄生线虫的砧木、轮作和药剂处理等。

关键词：线虫病根结植株侧根葡萄口针土壤处理毒饵寄生线虫土壤消毒短体属葡萄产区药剂处理