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Liver transplant in primary sclerosing cholangitis:Current trends and future directions

World Journal of Hepatology 2023年第8期15卷 939-953页

作者： Yash R Shah Natalia Nombera-Aznaran david guevara-lazo Ernesto Calderon-Martinez Angad Tiwari SriLakshmiDevi Kanumilli Purva Shah Bhanu Siva Mohan Pinnam Hassam Ali Dushyant Singh Dahiya Department of Internal Medicine Trinity Health OaklandPontiacMI 48341United States Faculty of Medicine Universidad Peruana Cayetano HerediaLima 15102Peru Department of Internal Medicine Universidad Nacional Autonoma de MexicoCiudad De Mexico 04510Mexico Department of Internal Medicine Maharani Laxmi Bai Medical CollegeJhansi 284001India Department of Internal Medicine GSL Medical CollegeRajamahendravaram 533296India Department of Postgraduate Education Harvard Medical SchoolBostonMA 02115United States Department of Internal Medicine John H.Stroger Hospital of Cook CountyChicagoIL 60612United States Department of Internal Medicine East Carolina University/Brody School of MedicineGreenvilleNC 27858United States Division of Gastroenterology Hepatology and MotilityThe University of Kansas School of MedicineKansas CityKS 66160United States

Primary sclerosing cholangitis(PSC)is a chronic and progressive immunemediated cholangiopathy causing biliary tree inflammation and scarring,leading to liver cirrhosis and end-stage liver *** of PSC is challenging due to its nonspecific symptoms and overlap with other liver *** the rising incidence of PSC,there is no proven medical therapy that can alter the natural history of the *** liver transplantation(LT)is the most effective approach for managing advanced liver disease caused by PSC,post-transplantation recurrence of PSC remains a ***,ongoing research aims to develop better therapies for PSC,and continued efforts are necessary to improve outcomes for patients with *** article provides an overview of PSC’s pathogenesis,clinical presentation,and management options,including LT trends and future *** also highlights the need for improved therapeutic options and ethical considerations in providing equitable access to LT for patients with ***,the impact of liver transplant on the quality of life and psychological outcomes of patients with PSC is *** research into PSC’s pathogenesis and post-transplant recurrence is crucial for improved understanding of the disease and more effective treatment options.

关键词： Primary sclerosing cholangitis Liver transplantation Management Psychosocial outcomes Pathogenesis

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Role of fecal microbiota transplant in management of hepatic encephalopathy: Current trends and future directions

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World Journal of Hepatology 2024年第1期16卷 17-32页

作者： Yash R Shah Hassam Ali Angad Tiwari david guevara-lazo Natalia Nombera-Aznaran Bhanu Siva Mohan Pinnam Manesh Kumar Gangwani Harishankar Gopakumar Amir H Sohail SriLakshmiDevi Kanumilli Ernesto Calderon-Martinez Geetha Krishnamoorthy Nimish Thakral Dushyant Singh Dahiya Department of Internal Medicine Trinity Health Oakland/Wayne State UniversityPontiacMI 48341United States Division of Gastroenterology and Hepatology East Carolina University/Brody School of MedicineGreenvilleNC 27858United States Department of Internal Medicine Maharani Laxmi Bai Medical CollegeJhansi 284001India Faculty of Medicine Universidad Peruana Cayetano HerediaLima 15102Peru Department of Internal Medicine John H.Stroger Hospital of Cook CountyChicagoIL 60612United States Department of Internal Medicine The University of ToledoToledoOH 43606United States Department of Gastroenterology and Hepatology University of Illinois College of Medicine at PeoriaPeoriaIL 61605United States Department of Surgery University of New MexicoAlbuquerqueNM 87106United States Department of Internal Medicine GSL Medical CollegeRajamahendravaram 533296India Department of Internal Medicine Universidad Nacional Autonoma de MexicoCiudad De Mexico 04510Mexico Department of Digestive Diseases and Nutrition University of KentuckyLexingtonKY 40536United States Division of Gastroenterology Hepatology&MotilityThe University of Kansas School of MedicineKansas CityKS 66160United States

Fecal microbiota transplantation(FMT)offers a potential treatment avenue for hepatic encephalopathy(HE)by leveraging beneficial bacterial displacement to restore a balanced gut *** prevalence of HE varies with liver disease severity and *** pathogenesis involves ammonia toxicity,gut-brain communication disruption,and *** aims to restore gut microbiota balance,addressing these ***'s efficacy has been explored in various conditions,including *** suggest that FMT can modulate gut microbiota,reduce ammonia levels,and alleviate *** has shown promise in alcohol-associated,hepatitis B and C-associated,and non-alcoholic fatty liver *** include improved liver function,cognitive function,and the slowing of disease ***,larger,controlled studies are needed to validate its effectiveness in these *** have shown cognitive improvements through FMT,with potential benefits in cirrhotic ***,trials have demonstrated reduced serious adverse events and cognitive enhancements in FMT arms compared to the standard of *** evidence is promising,challenges remain:Limited patient numbers,varied dosages,administration routes,and donor *** large-scale,controlled trials are essential to establish standardized guidelines and ensure FMT's clinical applications and *** FMT holds potential for HE management,ongoing research is needed to address these challenges,optimize protocols,and expand its availability as a therapeutic option for diverse hepatic conditions.

关键词： Hepatic encephalopathy Fecal microbiota transplant Cognitive impairment Liver cirrhosis Chronic liver disease

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Making bridges between preclinical and clinical insights into age-related cognitive decline

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Neural Regeneration Research 2025年第8期20卷 2321-2322页

作者： david VC Brito Clévio Nóbrega Algarve Biomedical Center-Research Institute(ABC-RI) Campus GambelasFaroPortugal Algarve Biomedical Center-(ABC) Campus GambelasFaroPortugal Faculty of Medicine and Biomedical Sciences(FMCB) University of AlgarveGambelas CampusFaroPortugal

With people living longer,the societal impact of age-related cognitive decline is becoming more pronounced(Crimmins,2015).Thus,it is increasingly important to comprehend the cognitive shifts linked to aging-whether th... 详细信息

关键词： bridges becoming insight

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Women in visual neural regeneration research

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Neural Regeneration Research 2025年第2期20卷 489-490页

作者： Tonia S.Rex david J.Calkins Vanderbilt Eye Institute Vanderbilt University Medical CenterNashvilleTNUSA

The year 2024 marks the 60^(th)anniversary of Title IX and 25 years since the New York Times revealed bias against female faculty members at the Massachusetts Institute of *** take an opportunity here to examine the state of gender bias in a relatively new yet already prominent field,neural regeneration in the visual system,for which there is a well-defined context useful for this *** National Eye Institute(NEI)provided the first round of research funding for its Audacious Goals Initiative(AGI)on visual neural regeneration in 2013 and the last round in ***,we focus on this *** sources included PubMed,the National Science Foundation(NSF),the NEI,the Blue Ridge Institute for Medical Research and data from the major professional organization for eye and vision research,the Association for Research in Vision and Ophthalmology(ARVO).

关键词： neural visual Times

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Air quality short-term control in an industrial region under adverse weather conditions

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Control Theory and Technology 2020年第3期18卷 257-268页

作者： Yuri SKIBA david PARRA-CUEVARA Center for Atmospheric Sciences National Autonomous University of MexicoCircuito ExteriorCiudad UniversitariaCDMX04510Mexico

A new short-term optimal control of air quality in an industrial region during atmospheric inversions is *** goal is to prevent violation of health standard of air quality in a few monitored *** control establishes restrictions on the emission rates of industrial sources and includes the identification of the industrial sources violating(exceeding)the emission rates set by the *** control and identification are based on using solutions to an adjoint dispersion *** that show the convergence of the emission rates,prescribed by the control,to the original emission rates of the industrial sources are given(Theorems 4 and 5).These results ensure that the new emission rates of industrial sources(established by the control)will be as close as possible to the original emission rates throughout the entire period of application of the *** creates the minimum possible restrictions on the functioning of industrial *** highlight of the new control is the possibility of selecting special weights for each pollution source in the goal function that is *** weights are mainly aimed at reducing the intensity of emissions of the main sources of *** example demonstrates the ability of the new method.A similar approach can also be used to develop methods for cleaning water zones polluted by oil(the problem of bioremediation),and to prevent excessive pollution of urban areas with automobile emissions.

关键词： Dispersion model adjoint model adjoint estimates optimal control source detection

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Planar matrices and arrays of Feynman diagrams:poles for higher k

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Communications in Theoretical Physics 2024年第4期76卷 1-13页

作者： Alfredo guevara Yong Zhang Perimeter Institute for Theoretical Physics WaterlooON N2L 2Y5Canada Department of Physics&Astronomy University of WaterlooWaterlooON N2L 3G1Canada Society of Fellows Harvard UniversityCambridgeMA 02138United States of America CAS Key Laboratory of Theoretical Physics Institute of Theoretical PhysicsChinese Academy of SciencesBeijing 100190China School of Physical Sciences University of Chinese Academy of SciencesNo.19A Yuquan RoadBejing 100049China

Planar arrays of tree diagrams were introduced as a generalization of Feynman diagrams that enable the computation of biadjoint amplitudes m_(n)(^(k))for k>*** this follow-up work,we investigate the poles of m_(n)(^(k))from the perspective of such *** general k,we characterize the underlying polytope as a Flag Complex and propose a computation of the amplitude-based solely on the knowledge of the poles,whose number is drastically less than the number of the full *** an example,we first provide all the poles for the cases(k,n)=(3,7),(3,8),(3,9),(3,10),(4,8)and(4,9)in terms of their planar arrays of degenerate Feynman *** then implement simple compatibility criteria together with an addition operation between arrays and recover the full collections/arrays for such *** the way,we implement hard and soft kinematical limits,which provide a map between the poles in kinematic space and their combinatoric *** use the operation to give a proof of a previously conjectured combinatorial duality for arrays in(k,n)and(n-k,n).We also outline the relation to boundary maps of the hypersimplex Δ_(k,n) and rays in the tropical Grassmannian Tr(k,n).

关键词： Feynman diagrams biadjoint amplitudes poles

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Potential distribution of a montane rodent (Cricetidae, Handleyomys chapmani) through time in Mexico: the importance of occurrence data

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Journal of Mountain Science 2021年第8期18卷 2024-2033页

作者： CANO Ivonne guevara Lazaro Department of Zoology Institute of BiologyNational Autonomous University of Mexico04510Mexico CityMexico

Ecological Niche Modeling uses the geographic coordinates of species presence records as the primary input to estimate potential geographic *** is little known whether carrying out rigorous data pre-processing is necessary before building niche models to be transferred to different time *** we compared the current,past,and future potential distributions projected by niche models built from two different databases,an open-access database and a database compiled ad hoc,for Handleyomys chapmani,a rodent closely associated with montane cloud forests in *** models predicted different spatial patterns of climatic suitability for the three periods *** on our current knowledge of cloud forest species in Mexico,the distributions predicted by the model built from the ad hoc database are more ecologically realistic than those obtained from the open-access *** models built using the open-access database were particularly inaccurate at the limits of the geographic range,predicting larger,more diffuse distributions for the three *** conclude that pre-processing occurrence data is crucial for mountain species,as the number of localities and even minor inaccuracies in the geographic coordinates can translate into very different climatic conditions due to abrupt altitudinal ***,the predicted shifts in the potential distribution of *** over time indicate that this species is highly susceptible to climate change.

关键词： Cloud forests Ecological Niche Modeling Handleyomys chapmani Maxent Rodentia

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Standardizing and Centralizing Datasets for Efficient Training of Agricultural Deep Learning Models

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Plant Phenomics 2023年第4期5卷 689-702页

作者： Amogh Joshi Dario guevara Mason Earles Department of Viticulture and Enology University of CaliforniaDavisDavisCAUSA Department of Biological and Agricultural Engineering University of CaliforniaDavisDavisCAUSA AI Institute for Next-Generation Food Systems(AIFS) University of CaliforniaDavisDavisCAUSA

In recent years,deep learning models have become the standard for agricultural computer *** models are typically fine-tuned to agricultural tasks using model weights that were originally fit to more general,non-agricultural *** lack of agriculture-specific fine-tuning potentially increases training time and resource use,and decreases model performance,leading to an overall decrease in data *** overcome this limitation,we collect a wide range of existing public datasets for 3 distinct tasks,standardize them,and construct standard training and evaluation pipelines,providing us with a set of benchmarks and pretrained *** then conduct a number of experiments using methods that are commonly used in deep learning tasks but unexplored in their domain-specific applications for *** experiments guide us in developing a number of approaches to improve data efficiency when training agricultural deep learning models,without large-scale modifications to existing *** results demonstrate that even slight training modifications,such as using agricultural pretrained model weights,or adopting specific spatial augmentations into data processing pipelines,can considerably boost model performance and result in shorter convergence time,saving training ***,we find that even models trained on low-quality annotations can produce comparable levels of performance to their high-quality equivalents,suggesting that datasets with poor annotations can still be used for training,expanding the pool of currently available *** methods are broadly applicable throughout agricultural deep learning and present high potential for substantial data efficiency improvements.

关键词： weights overcome shorter

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Quercetin prevents spinal motor neuron degeneration induced by chronic excitotoxic stimulus by a sirtuin 1-dependent mechanism

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Translational Neurodegeneration 2017年第1期6卷 310-323页

作者： Rafael lazo-Gomez Ricardo Tapia División de Neurociencias Instituto de Fisiología CelularUniversidad Nacional Autónoma de MéxicoCircuito exterior s/nCiudad UniversitariaCoyoacán04510 Ciudad de MéxicoMexico

Background:Excitotoxicity is a mechanism of foremost importance in the selective motor neuron degeneration characteristic of motor neuron *** therapeutic strategies are an unmet need for these ***,such as quercetin and resveratrol,are plant-derived compounds that activate sirtuins(SIRTs)and have shown promising results in some models of neuronal death,although their effects have been scarcely tested in models of motor neuron ***:In this work we investigated the effects of quercetin and resveratrol in an in vivo model of excitotoxic motor neuron death induced by the chronic infusion ofα-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid(AMPA)into the rat spinal cord *** and resveratrol were co-infused with AMPA and motor behavior and muscle strength were assessed daily for up to ten ***,animals were fixed and lumbar spinal cord tissue was analyzed by histological and immunocytological ***:We found that the chronic infusion of AMPA[1 mM]caused a progressive motor neuron degeneration,accompanied by astrogliosis and microgliosis,and motor deficits and paralysis of the rear *** infusion ameliorated AMPA-induced paralysis,rescued motor neurons,and prevented both astrogliosis and microgliosis,and these protective effects were prevented by EX527,a very selective SIRT1 *** contrast,neither resveratrol nor EX527 alone improved motor behavior deficits or reduced motor neuron degeneration,albeit both reduced ***:These results suggest that quercetin exerts its beneficial effects through a SIRT1-mediated mechanism,and thus SIRT1 plays an important role in excitotoxic neurodegeneration and therefore its pharmacological modulation might provide opportunities for therapy in motor neuron disorders.

关键词： Motor neuron disorder Quercetin Resveratrol Sirtuin Excitotoxicity

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Variational Calculus With Conformable Fractional Derivatives

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IEEE/CAA Journal of Automatica Sinica 2017年第2期4卷 340-352页

作者： Matheus J.lazo Delfim F.M.Torres Instituto de Matemática Estatística e Física-FURG Center for Research and Development in Mathematics and Applications (CIDMA) Department of MathematicsUniversity of Aveiro

Invariant conditions for conformable fractional problems of the calculus of variations under the presence of external forces in the dynamics are studied. Depending on the type of transformations considered, different necessary conditions of invariance are obtained. As particular cases, we prove fractional versions of Noether's symmetry theorem. Invariant conditions for fractional optimal control problems, using the Hamiltonian formalism, are also investigated. As an example of potential application in Physics, we show that with conformable derivatives it is possible to formulate an Action Principle for particles under frictional forces that is far simpler than the one obtained with classical fractional derivatives.

关键词： Conformable fractional derivative fractional calculus of variations fractional optimal control invariant variational conditions Noether’s theorem

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