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Neuroprotective effects of erythropoietin on neurodegenerative and ischemic brain diseases: the role of erythropoietin receptor

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Neural Regeneration Research 2017年第9期12卷 1381-1389页

作者： Carolina Castillo Hernández Carlos Felipe Burgos Angela Hidalgo Gajardo Tiare Silva-Grecchi Javiera Gavilan Jorge Roberto Toledo Jorge Fuentealba Laboratory of Screening of Neuroactive Compounds Department of Physiology School of Biological Sciences University of Concepción Laboratory of Biotechnology and Biopharmaceutical Department of Pathophysiology School of Biological Sciences University of Concepción

Erythropoietin （Epo） is a fundamental hormone in the regulation of hematopoiesis, and other secondary roles mediated by the binding of the hormone to its specific receptor （EpoR）, which leads to an activation of key signaling pathways that induce an increase in cell differentiation, apoptosis control and neuroprotection. It has been suggested that their ftmction depends on final conformation of glycosylations, related with affinity to the receptor and its half-life. The presence of EpoR has been reported in different tissues including central nervous system, where it has been demonstrated to exert a neuroprotective function against oxidative stress conditions, such as ischemic injury and neurodegenerative diseases. There is also evidence of an increase in EpoR expression in brain cell lysates of Alzheimer＇s patients with respect to healthy patients. These results are related with extensive in vitro experimental data of neuroprotection obtained from cell lines, primary cell cultures and hippocampal slices. Additionally, this data is correlated with in vivo experiments （water maze test） in mouse models of Alzheimer＇s disease where Epo treatment improved cognitive function. These stud- ies support the idea that receptor activation induces a neuroprotective effect in neurodegenerative disorders including dementias, and especially Alzheimer＇s disease. Taken together, available evidence suggests that Epo appears to be a central element for EpoR activation and neuroprotective properties in the central nervous system. In this review, we will describe the mechanisms associated with neuroprotection and its relation with the activation of EpoR in order with identify new targets to develop pharmacological strategies.

关键词： erythropoietin erythropoietin receptor neuroprotection anti-apoptosis Alzheimer＇s disease

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Computer-Aided Diagnosis for Tuberculosis Classification with Water Strider Optimization Algorithm

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Computer Systems Science & Engineering 2023年第8期46卷 1337-1353页

作者： José Escorcia-Gutierrez Roosvel Soto-Diaz Natasha Madera carlos Soto Francisco burgos-Florez Alexander Rodríguez Romany F.Mansour Department of Computational Science and Electronic Universidad de la CostaCUCBarranquilla080002Colombia Biomedical Engineering Program Universidad Simón BolívarBarranquilla080002Colombia Mechatronics Engineering Program Universidad Simón BolívarBarranquilla080002Colombia Department of Medicine Universidad del NorteBarranquilla081007Colombia Department of Mathematics Faculty of ScienceNew Valley UniversityEl-Kharga72511Egypt

Computer-aided diagnosis(CAD)models exploit artificial intelligence(AI)for chest X-ray(CXR)examination to identify the presence of tuberculosis(TB)and can improve the feasibility and performance of CXR for TB screening and triage.At the same time,CXR interpretation is a time-consuming and subjective process.Furthermore,high resemblance among the radiological patterns of TB and other lung diseases can result in misdiagnosis.Therefore,computer-aided diagnosis(CAD)models using machine learning(ML)and deep learning(DL)can be designed for screening TB accurately.With this motivation,this article develops a Water Strider Optimization with Deep Transfer Learning Enabled Tuberculosis Classification(WSODTL-TBC)model on Chest X-rays(CXR).The presented WSODTL-TBC model aims to detect and classify TB on CXR images.Primarily,the WSODTL-TBC model undergoes image filtering techniques to discard the noise content and U-Net-based image segmentation.Besides,a pre-trained residual network with a two-dimensional convolutional neural network(2D-CNN)model is applied to extract feature vectors.In addition,the WSO algorithm with long short-term memory(LSTM)model was employed for identifying and classifying TB,where the WSO algorithm is applied as a hyperparameter optimizer of the LSTM methodology,showing the novelty of the work.The performance validation of the presented WSODTL-TBC model is carried out on the benchmark dataset,and the outcomes were investigated in many aspects.The experimental development pointed out the betterment of the WSODTL-TBC model over existing algorithms.

关键词： Computer-aided diagnosis water strider optimization deep learning chest x-rays transfer learning

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Ligation or Occlusion of the Internal Iliac Arteries for the Treatment of Placenta Accreta Spectrum:Why Is This Technique Still Performed?

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Maternal-Fetal Medicine 2023年第3期5卷 131-136页

作者： Albaro José Nieto-Calvache José M.Palacios-Jaraquemada Rozi Aditya Aryananda Nicolas Basanta Juan Manuel burgos-Luna Fernando Rodriguez carlos Ordonez Daniela Sarria-Ortiz Laura Munoz-Cordoba Juan carlos Quintero Valentina Galindo-Velasco Adriana Messa-Bryon Fundación Valle del Lili Departamento de Ginecología y ObstetriciaClínica de Espectro de Acretismo PlacentarioCali 760032Colombia Latin American Group for the Study of Placenta Accreta Spectrum Departamento de Ginecología y Obstetricia Hospital Universitario CEMICBuenos Aires C1431FWOArgentina Department of Obstetrics and Gynecology Dr.Soetomo Academic General HospitalUniversitas AirlanggaSurabaya 60131Indonesia Departamento de Ginecología y Obstetricia Hospital General de Agudos Juan A FernándezBuenos Aires 7011Argentina Fundación Valle del Lili Centro de Investigaciones ClínicasCali 760032Colombia Unidad de diagnóstico prenatal Clínica ImbanacoGrupo Quirón SaludCali 760042Colombia Departamento de ginecología y obstetricia Universidad del ValleCali 760042Colombia Universidad Icesi Facultad de Ciencias de la SaludCali 760031Colombia

Introduction The major complication of placenta accreta spectrum(PAS)disorder is massive bleeding;therefore,multiple vascular interventions have been described to prevent or treat pelvic bleeding.Ligature of the internal iliac arteries(IIAs)was published more than 130 years ago,and although research relating to the physiology of this procedure has demonstrated poor vascular control over the last few decades,2-this technique has evolved into an established technique known as endovascular IIA balloon occlusion.

关键词： balloon Internal bleeding

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Diagnostic-therapeutic management of bile duct cancer

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World Journal of Clinical Cases 2019年第14期7卷 1732-1752页

作者： José María Huguet Miriam Lobo José Mir Labrador carlos Boix Cecilia Albert Luis Ferrer-Barceló Ana B Durá Patricia Suárez Isabel Iranzo Mireia Gil-Raga Celia Baez de burgos Javier Sempere Digestive Disease Department General University Hospital of ValenciaValencia 46014Spain Medical Oncology Department General University Hospital of ValenciaValencia 46014Spain Unidad Hepática Avanzada Servicio de Cirugía General y DigestivaGeneral University Hospital of ValenciaValencia 46014Spain Medical Oncology Department Hospital de RequenaRequena 46340Spain

Biliary tract cancer, or cholangiocarcinoma, comprises a heterogeneous group of malignant tumors that can emerge at any part of the biliary tree. This group is the second most common type of primary liver cancer. Diagnosis is usually based on symptoms, which may be heterogeneous, and nonspecific biomarkers in serum and biopsy specimens, as well as on imaging techniques. Endoscopy-based diagnosis is essential, since it enables biopsy specimens to be taken. In addition, it can help with locoregional staging of distal tumors. Endoscopic retrograde cholangiopancreatography is a key technique for the evaluation and treatment of malignant biliary tumors. Correct staging of cholangiocarcinoma is essential in order to be able to determine the degree of resectability and assess the results of treatment. The tumor is staged based on the TNM classification of the American Joint Committee on Cancer. The approach will depend on the classification of the tumor. Thus, some patients with early-stage disease could benefit from surgery;complete surgical resection is the cornerstone of cure. However, only a minority of patients are diagnosed in the early stages and are suitable candidates for resection. In the subset of patients diagnosed with locally advanced or metastatic disease, chemotherapy has been used to improve outcome and to delay tumor progression. The approach to biliary tract tumors should be multidisciplinary, involving experienced endoscopists, oncologists, radiologists, and surgeons.

关键词： Bile duct cancer Cholangiocarcinoma Management Diagnosis Incidence Multidisciplinary treatment

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Cost-effectiveness of endoscopic ultrasound-guided coils plus cyanoacrylate injection compared to endoscopic cyanoacrylate injection in the management of gastric varices

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World Journal of Gastrointestinal Endoscopy 2021年第1期13卷 13-23页

作者： carlos Robles-Medranda Joao Autran Nebel Miguel Puga-Tejada Roberto Oleas Jorge Baquerizo-burgos Jesenia Ospina-Arboleda Manuel Valero Hannah Pitanga-Lukashok Gastroenterology and Endoscopy Division Instituto Ecuatoriano de Enfermedades DigestivasGuayaquil 090505GuayasEcuador

BACKGROUND Cyanoacrylate(CYA)injection can be performed using a standard upper endoscopy technique or under endoscopic ultrasound(EUS)guidance alone or in combination with coils.There is little information available on the economic impact of these treatment methods.AIM To compare the cost-effectiveness of treating gastric varices by CYA injection via upper endoscopy vs coils plus CYA guided by EUS.METHODS This was an observational,descriptive,and retrospective study.Patients were allocated into two groups:A CYA group and coils plus CYA group.The baseline characteristics were compared,and a cost analysis was performed.RESULTS Overall,36 patients were included(19 in the CYA group and 17 in the coils+CYA group).All patients in the CYA group had acute bleeding.They underwent a higher mean number of procedures(1.47 vs 1,P=0.025),and the mean volume of glue used was 2.15 vs 1.65 mL,P=0.133.The coils+CYA group showed a higher technical success rate(100%vs 84.2%),with a complication rate similar to the CYA group.The majority of CYA patients required hospitalization,and although the mean total per procedure cost was lower(United States$1350.29 vs United States$2978),the mean total treatment cost was significantly different(United States$11060.89 for CYA vs United States$3007.13 for coils+CYA,P=0.03).CONCLUSION The use of EUS-guided coils plus cyanoacrylate is more cost-effective than cyanoacrylate injection when the total costs are evaluated.Larger,randomized trials are needed to validate the cost-effectiveness of the EUS-guided approach to treat gastric varices.

关键词： Cost-effectiveness Endoscopic ultrasound-guided therapy Gastric varices Gastrointestinal bleeding Hemostasis Therapy

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Endoscopic ultrasound elastography for malignant pancreatic masses and associated lymph nodes:Critical evaluation of strain ratio cutoff value

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World Journal of Gastrointestinal Endoscopy 2022年第9期14卷 524-535页

作者： Miguel Puga-Tejada Raquel Del Valle Roberto Oleas Maria Egas-Izquierdo Martha Arevalo-Mora Jorge Baquerizo-burgos Jesenia Ospina Miguel Soria-Alcivar Hannah Pitanga-Lukashok carlos Robles-Medranda Endoscopy Division Instituto Ecuatoriano de Enfermedades DigestivasGuayaquil 090505GuayasEcuador Universidad de Guayaquil Guayaquil 090505GuayasEcuador

BACKGROUND Endoscopic ultrasound(EUS)can detect small lesions throughout the digestive tract;however,it remains challenging to accurately identify malignancies with this approach.EUS elastography measures tissue hardness,by which malignant and nonmalignant pancreatic masses(PMs)and lymph nodes(LNs)can be differentiated.However,there is currently little information regarding the strain ratio(SR)cutoff in Hispanic populations.AIM To determine the diagnostic accuracy of EUS elastography for PMs and LNs with an SR cutoff value in Hispanics.METHODS A retrospective study of patients who underwent EUS elastography for PMs between December 2013 and December 2014.A qualitative(analysis of color maps)and quantitative(SR)analysis of PMs and their associated LNs was performed.The accuracy of EUS elastography in identifying malignant PMs and LNs and cutoff value for SR were analyzed.A PM and/or its associated LNs were considered malignant based on histopathological findings from fine-needle aspiration biopsy samples.RESULTS A sample of 121 patients was included,45.4%of whom were female.69(57.0%)PMs were histologically malignant,with a median SR of 50.4 vs 33.0 for malignant vs nonmalignant masses(P21.5 yielded a sensitivity of 94.2%,while a cutoff value of>121 yielded a specificity of 96.2.2%.There were significant differences in the Giovannini scores,a previously established elastic score system,between the patients grouped by their final histology results(P14.0 and>155 yielded a sensitivity of 90.9%and a specificity of 95.2%,respectively,in detecting malignancy.CONCLUSION EUS elastography is a helpful technique for the diagnosis of solid PMs and their associated LNs.The proposed SR cutoff values have a high sensiti

关键词： Ultrasound Elastography Pancreas Lymph nodes Neoplasm

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High-definition optical magnification with digital chromoendoscopy detects gastric mucosal changes in dyspeptic-patients

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World Journal of Gastrointestinal Endoscopy 2020年第1期12卷 23-32页

作者： carlos Robles-Medranda Manuel Valero Miguel Puga-Tejada Roberto Oleas Jorge Baquerizo-burgos Miguel Soria-Alcívar Haydee Alvarado-Escobar Hannah Pitanga-Lukashok Gastroenterology and Endoscopy Division Instituto Ecuatoriano de Enfermedades Digestivas(IECED)

BACKGROUND Accurate detection of gastric infection by Helicobacter pylori(H.pylori)and premalignant lesions are important for effective provision of treatment,preventing the development of gastric neoplasia.Optical enhancement systems with optical magnification improved the identification of mucosal superficial and vascular patterns in patients with dyspepsia.AIM To evaluate an optical enhancement system with high-definition magnification,for diagnosis of normal gastric mucosa,H.pylori-associated gastritis,and gastric atrophy.METHODS A cross-sectional,nonrandomized study from November 2015 to April 2016 performed in a single-tertiary academic center from Ecuador.Seventy-two consecutive patients with functional dyspepsia according to the Rome III criteria,were tested for H.pylori using a stool antigen test and were assigned to an Hp+group or an Hp−control group.Esophagogastroduodenoscopy with highdefinition optical magnification and digital chromoendoscopy was performed,and patients were classified into 4 groups,in accordance to the microvasculararchitecture pattern of the mucosa.Interobserver and intraobserver agreement among operators were calculated.RESULTS Of the 72 participants,35 were Hp+and 37 were Hp−.Among 10 patients with normal mucosal histology in biopsy samples,90%had a Type I pattern of microvascular architecture by endoscopy.Among participants with type IIa and type IIb patterns,significantly more were Hp+than Hp−(32 vs 8),and most(31 out of 40)had histological diagnoses of chronic active gastritis.Two of the three participants with a histological diagnosis of atrophy had a type III microvascular pattern.The type I pattern predicted normal mucosa,type IIa–IIb predicted H.pylori infection,and type III predicted atrophy with sensitivities of 90.0%,91.4%,and 66.7%,respectively.The intraobserver and interobserver agreements had kappa values of 0.91 and 0.89,respectively.CONCLUSION High-definition optical magnification with digital chromoendoscopy is useful for diagnosis of normal gastric mucosa and H.py

关键词： Gastritis Helicobacter pylori Gastric mucosa Atrophic Endoscopy Digestive system

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Endoscopic ultrasound-guided through-the-needle microforceps biopsy and needle-based confocal laser-endomicroscopy increase detection of potentially malignant pancreatic cystic lesions:A single-center study

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World Journal of Gastrointestinal Endoscopy 2022年第3期14卷 129-141页

作者： carlos Robles-Medranda Juan I Olmos Miguel Puga-Tejada Roberto Oleas Jorge Baquerizo-burgos Martha Arevalo-Mora Raquel Del Valle Zavala Joao Autran Nebel Daniel Calle Loffredo Hannah Pitanga-Lukashok Gastroenterology and Endoscopy Division Instituto Ecuatoriano de Enfermedades DigestivasGuayaquil 090505Ecuador

BACKGROUND Currently,there is insufficient data about the accuracy in the diagnosing of pancreatic cystic lesions(PCLs),especially with novel endoscopic techniques such as with direct intracystic micro-forceps biopsy(mFB)and needle-based confocal laser-endomicroscopy(nCLE).AIM To compare the accuracy of endoscopic ultrasound(EUS)and associated techniques for the detection of potentially malignant PCLs:EUS-guided fine needle aspiration(EUS-FNA),contrast-enhanced EUS(CE-EUS),EUS-guided fiberoptic probe cystoscopy(cystoscopy),mFB,and nCLE.METHODS This was a single-center,retrospective study.We identified patients who had undergone EUS,with or without additional diagnostic techniques,and had been diagnosed with PCLs.We determined agreement among malignancy after 24-mo follow-up findings with detection of potentially malignant PCLs via the EUSguided techniques and/or EUS-guided biopsy when available(EUS malignancy detection).RESULTS A total of 129 patients were included, with EUS performed alone in 47/129. In 82/129 patients,EUS procedures were performed with additional EUS-FNA (21/82), CE-EUS (20/82), cystoscopy(27/82), mFB (36/82), nCLE (44/82). Agreement between EUS malignancy detection and the 24-mo follow-up findings was higher when associated with additional diagnostic techniques thanEUS alone [62/82 (75.6%) vs 8/47 (17%);OR 4.35, 95%CI: 2.70-7.37;P < 0.001]. The highestmalignancy detection accuracy was reached when nCLE and direct intracystic mFB were bothperformed, with a sensitivity, specificity, positive predictive value, negative predictive value andobserved agreement of 100%, 89.4%, 77.8%, 100% and 92.3%, respectively (P < 0.001 comparedwith EUS-alone).CONCLUSIONThe combined use of EUS-guided mFB and nCLE improves detection of potentially malignantPCLs compared with EUS-alone, EUS-FNA, CE-EUS or cystoscopy.

关键词： Pancreatic cysts Endoscopic ultrasound-guided fine-needle aspiration Confocal microscopy Image-guided biopsy

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Solid-state fermentation technology and innovation for the production of agricultural and animal feed bioproducts

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Systems Microbiology and Biomanufacturing 2021年第2期1卷 142-165页

作者： Luciana P.S.Vandenberghe Ashok Pandey Julio C.Carvalho Luiz A.J.Letti Adenise L.Woiciechowski Susan G.Karp Vanete Thomaz-Soccol Walter J.Martinez-burgos Rafaela O.Penha Leonardo W.Herrmann Amanda O.Rodrigues carlos R.Soccol Department of Bioprocess Engineering and Biotechnology Centro PolitécnicoFederal University of ParanáCuritibaPR 81531-990Brazil Centre for Innovation and Translational Research CSIR-Indian Institute of Toxicology ResearchLucknow 226001India

It has now passed more than forty years since solid-state fermentation(SSF)research developments have gained importance for the scientific community.After so many years,numerous processes and equipment for SSF were studied and designed focusing on the production of different commercially relevant bioproducts such as enzymes,fermented food,such as Chinese daqu and koji,organic acids,pigments,phenolic compounds,aromas,biosorbents and so many others.However,no review paper has been focused yet specifically on agricultural and animal feed bioproducts obtained through SSF techniques.This review comprises the description of agricultural sub-products that have been employed in most important developed pro-cesses concerning the production of animal feed products and agricultural products such as spores,probiotics,biofungicides,bioinsecticides and other biopesticides,biofertilizers and plant growth hormones.Major designed SSF bioreactors are also described and the most important related cases of successful employment of the technique are reported.Finally,a summary of patents and innovations regarding SSF products and processes in this area is presented,showing that the main involved countries are China,South Korea,India and the USA.It is clear that the interest in this theme is increasing and that scientific and technological developments are still needed.

关键词： Alternative sub-products Solid-state fermentation bioreactors Animal feed Agricultural bioproducts Probiotics Patents

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Increasing rim height depth for safe femtosecond laser-assisted capsulotomy in intumescent white cataracts with liquified cortex

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International Journal of Ophthalmology(English edition) 2022年第9期15卷 1557-1559页

作者： Beatriz Vidal-Villegas JoséAntonio Gegúndez Fernández Bárbara burgos-Blasco David Diaz-Valle Ricardo Cuiña-Sardiña Rosalía Méndez-Fernández Pedro Arriola-Villalobos Mayte Ariño-Gutiérrez Jose Manuel Benítez-del-Castillo Ophthalmology Service Hospital Clínico San CarlosProfesor Martin Lagos 2Madrid 28040Spain

Dear Editor,Continuous curvilinear capsulorhexis is an essential part of modern cataract surgery,as it safely enables phacoemulsification procedures and permits a stable intraocular lens(IOL)bag implantation.Intumesce... 详细信息

关键词： white laser femtosecond

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