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Pontocerebellar Progressive multifocal Leukoencephalopathy. Radiological, Clinical, Histological and Immunohistochemical Findings in a Hematological Patient

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Open Journal of Pathology 2023年第4期13卷 177-183页

作者： Javier Ortiz Juan Carlos Paniagua Isidro Cavaco Raquel Rivas Andrea Jimenez Luis Chinchilla elisa muñoz María Dolores Ludeña Departamento de Biología Celular y Patología Universidad de Salamanca (USAL) Salamanca Spain Servicio de Anatomía Patológica Hospital Universitario de Salamanca Salamanca Spain Servicio de Radiodiagnóstico Hospital Universitario de Salamanca Salamanca Spain

Objective: To describe the radiological, histological and immunohistochemical findings in a case of Progressive multifocal Leukoencephalopathy (PML) affecting the cerebellar peduncles in a patient with chronic lymphocytic leukemia. Patient and Methods: Magnetic Resonance Imaging (MRI), histological picture (H.E., Kluver-Barrera) and immunohistochemical picture (GFAP, neurofilaments, CD68, JC virus) were obtained. Results: 1) Magnetic resonance imaging: Asymmetric and progressive lesions on middle cerebellar peduncles, that were hyperintense in T2/FLAIR, extended towards the pons, had no mass effect and were unmodified after intravenous contrast. 2) Histology: Marked reactive gliosis with cytopathic changes suggesting viral infection, plus demyelination areas with axonal preservation. 3) Immunohistochemistry: Marked positivity for viral (polyoma and JC virus) markers in glial cells showing cytopathic changes. Conclusions: The importance of histological and immunohistochemical diagnosis in everyday assistance;of the collaboration between clinicians, radiologists and pathologists;and the validity of postmortem studies as a key element for research and clinical quality assessment must be stressed.

关键词： Progressive multifocal Leukoencephalopathy JC Virus Immunohistochemistry

Dysplastic Gangliocytoma: A Rare Example of Cerebellar Tumor with An Evident Genetic Profile (Cowden Syndrome)

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Open Journal of Pathology 2021年第2期11卷 33-37页

作者： Javier Ortiz Rodríguez-Parets Luis Miguel Chinchilla Tábora Enrique Montero Mateos elisa muñoz Torres María Dolores Ludeña de la Cruz Department of Pathology University Hospital of Salamanca (Spain) Salamanca Spain Department of Cell Biology and Pathology The Medical School University of Salamanca Salamanca Spain

Objective: To describe the histological and immunohistochemical findings observed when studying a dysplastic cerebellar gangliocytoma observed in a 33-year-old man with a history of Thyroid Cancer. Material and Methods: Radiological images (MRI) and histological and immunohistochemical preparations obtained from the cerebellar tissue were received in our laboratory. Results: A neoplasm constituted by aberrant-looking mature neurons was observed that showed negativity for the immunohistochemical markers of the PTEN protein, expression of the activity of the PTEN gene. Conclusions: Verify the diagnosis of a rare entity, clearly related in scientific publications with Cowden’s Syndrome.

关键词： Dysplastic Gangliocytoma Immunohistochemistry Cowden Syndrome

Gene therapy for spinal muscular atrophy:perspectives on the possibility of optimizing SMN1 delivery to correct all neurological and systemic perturbations

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Neural Regeneration Research 2025年第7期20卷 2011-2012页

作者： Sharon J.Brown Rafael J.Yáñez-muñoz Heidi R.Fuller School of Pharmacy and Bioengineering Keele UniversityKeeleUK Wolfson Center for Inherited Neuromuscular Disease TORCH BuildingRJAH Orthopaedic HospitalOswestryUK *** Center of Gene and Cell TherapyDepartment of Biological SciencesSchool of Life Sciences and the EnvironmentRoyal Holloway University of LondonEghamUK

Spinal muscular atrophy(SMA)is a genetic condition that results in selective lower motor neuron loss with concomitant muscle weakness and *** genetic cause of SMA was understood in 1995 when loss or impairment of the survival motor neuron 1(SMN1)gene was identified as the main contributing factor(Lefebvre et al.,1995).This,in combination with the discovery that humans have a“back-up”gene,SMN2,which can produce low levels(approximately 10%)of the full-length functional SMN protein,has led to the generation of SMA-specific gene *** was traditionally classified according to age of symptom onset and developmental milestones achieved,with life expectancy and severity varying between ***,SMN2 copy number is used as a proxy for the prediction of disease severity,with higher SMN2 copy number typically being associated with reduced severity of SMA,although this relationship is not absolute:some individuals with low SMN2 copy number have less severe SMA phenotypes and vice ***,the etiology of SMA is further complicated by other factors,such as non-typical nucleotide variants and SMN2-independent modifiers of disease severity.

关键词： atrophy traditionally absolute

Differential response of injured and healthy retinas to syngeneic and allogeneic transplantation of a clonal cell line of immortalized olfactory ensheathing glia:a double-edged sword

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Neural Regeneration Research 2025年第8期20卷 2395-2407页

作者： María Norte-muñoz María Portela-Lomba Paloma Sobrado-Calvo Diana Simón Johnny Di Pierdomenico Alejandro Gallego-Ortega Mar Pérez JoséMCabrera-Maqueda Javier Sierra Manuel Vidal-Sanz María Teresa Moreno-Flores Marta Agudo-Barriuso Grupo de Investigación Oftalmología Experimental Departamento de OftalmologíaOptometríaOtorrinolaringología y Anatomía PatológicaFacultad de MedicinaUniversidad de MurciaInstituto Murciano de Investigación Biosanitaria(IMIB)Campus de Ciencias de la SaludMurciaSpain Experimental Sciences Faculty Universidad Francisco de VitoriaPozuelo de AlarcónMadridSpain Anatomy Histology and Neuroscience DepartmentMedicine FacultyUniversidad Autónoma de MadridMadridSpain Center of Neuroimmunology Service of NeurologyLaboratory of Advanced Imaging in Neuroimmunological DiseasesHospital Clínic of BarcelonaInstitut d’Investigacions Biomèdiques August Pi i Sunyer(IDIBAPS)and Universitat de BarcelonaBarcelonaSpain Medicine Faculty Universidad Francisco de VitoriaPozuelo de AlarcónMadridSpain

Olfactory ensheathing glia promote axonal regeneration in the mammalian central nervous system,including retinal ganglion cell axonal growth through the injured optic ***,it is unknown whether olfactory ensheathing glia also have neuroprotective *** ensheathing glia express brain-derived neurotrophic factor,one of the best neuroprotectants for axotomized retinal ganglion ***,we aimed to investigate the neuroprotective capacity of olfactory ensheating glia after optic nerve *** ensheathing glia cells from an established rat immortalized clonal cell line,TEG3,were intravitreally injected in intact and axotomized retinas in syngeneic and allogeneic mode with or without microglial inhibition or immunosuppressive *** and gene expression analyses were *** bulb-derived primary olfactory ensheathing glia and TEG3 express major histocompatibility complex classⅡ*** and syngenically transplanted TEG3 cells survived in the vitreous for up to 21 days,forming an *** axotomized retinas,only the allogeneic TEG3 transplant rescued retinal ganglion cells at 7 days but not at 21 *** these retinas,microglial anatomical activation was higher than after optic nerve crush *** intact retinas,both transplants activated microglial cells and caused retinal ganglion cell death at 21 days,a loss that was higher after allotransplantation,triggered by pyroptosis and partially rescued by microglial inhibition or ***,neuroprotection of axotomized retinal ganglion cells did not improve with these *** different neuroprotective properties,different toxic effects,and different responses to microglial inhibitory treatments of olfactory ensheathing glia in the retina depending on the type of transplant highlight the importance of thorough preclinical studies to explore these variables.

关键词： cell therapy immune recognition major histocompatibility complex class II(MHCII) neuroprotection olfactory ensheathing glia retinal ganglion cells

Challenges and improvement strategies in the hospitalization of chronic multimorbid patients

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World Journal of Clinical Cases 2025年第3期13卷 35-41页

作者： Andres Fontalba-Navas Francisco Pozo muñoz Rogelio Garcia Cisneros Maria Jose Garcia Larrosa Maria del Mar Callejon Gil Ignacio Garcia Delgado Maria Belen Jimenez Martinez Antequera Hospital Northern Málaga Integrated Healthcare AreaAntequera 29200AndalusiaSpain Department of Public Health and Psychiatry University of MálagaMálaga 29010Spain Antequera Hospital Northern Málaga Antequera Integrated Healthcare AreaAntequera 29200MálagaSpain

BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot *** diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient *** proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid *** To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital *** The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary *** coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient *** superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of ca

关键词： High complexity unit Chronic multimorbidity Patient-centered care Integrated care Healthcare management

Precipitation kinetics of carbides during cyclical and isothermal aging of 2.25Cr–1Mo steel and its effect on mechanical properties

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Journal of Iron and Steel Research International 2021年第10期28卷 1282-1290页

作者： Maribel Leticia Saucedo-muñoz ESIQIE Instituto Politécnico NacionalMexico07300Mexico

The carbide precipitation was analyzed during aging of 2.25Cr–1Mo steel at 550℃.The as-received steel was aged in two different manners:the first treatment was an isothermal aging at 550℃ for time up to 1000 h,and the second one was carried out by a cyclical aging,which consisted of aging at 550℃ for 1 h,water quenching at room temperature and then newly heating at 550℃.This procedure was repeated up to 300 *** M_(23)C_(6) and M6C carbide precipitation took place intragranularly and intergranularly for both aging *** carbide coarsening was detected to occur with the increasing aging ***,the growth kinetics of precipitation occurred more rapidly in the case of cyclical *** specimen hardness decreased with the aging time in both cases;however,it occurred in shorter aging time for the cyclical *** testing indicated the increase in ductility with the aging time,and the cyclically aged specimens showed larger ductility than the isothermally aged specimens.

关键词： 2.25Cr-1Mo steel Precipitation Isothermal heating Cyclical heating Mechanical property

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Capsule endoscopy

World Journal of Gastroenterology 2009年第13期15卷 1584-1586页

作者： Miguel muoz-Navas Gastroenterology Department University Clinic of Navarra

Capsule endoscopy(CE) is a simple,safe,non-invasive,reliable technique,well accepted and tolerated by the patients,which allows complete exploration of the small *** advent of CE in 2000 has dramatically changed the diagnosis and management of many diseases of the small intestine,such as obscure gastrointestinal bleeding,Crohn's disease,small bowel tumors,polyposis syndromes,*** has become the gold standard for the diagnosis of most diseases of the small *** this technique has also been used for esophageal and colonic diseases.

关键词： Capsule endoscopy Small intestine Gastrointestinal hemorrhage Crohn's disease Gastro-intestinal neoplasms Intestinal polyposis

Perioperative anemia management in colorectal cancer patients:A pragmatic approach

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World Journal of Gastroenterology 2014年第8期20卷 1972-1985页

作者： Manuel muoz Susana Gómez-Ramírez elisa Martín-Montaez Michael Auerbach Transfusion Medicine School of MedicineUniversity of Málaga29071-MálagaSpain Internal Medicine University Hospital Virgen de la Victoria29071-MálagaSpain Department of Pharmacology School of MedicineUniversity of Málaga29071-MálagaSpain Georgetown University School of Medicine WashingtonDC 20057United States

Anemia,usually due to iron deficiency,is highly prevalent among patients with colorectal *** cytokines lead to iron restricted erythropoiesis further decreasing iron availability and impairing iron *** anemia predicts for decreased *** blood transfusion is widely used to correct anemia and is associated with poorer surgical outcomes,increased post-operative nosocomial infections,longer hospital stays,increased rates of cancer recurrence and perioperative venous *** are more likely to occur in those with low preoperative serum ferritin level compared to those with normal levels.A multidisciplinary,multimodal,individualized strategy,collectively termed Patient Blood Management,minimizes or eliminates allogeneic blood *** includes restrictive transfusion policy,thromboprophylaxis and anemia management to improve *** of preoperative hemoglobin levels is a World Health Organization *** repletion should be routinely ordered when *** iron is poorly tolerated with low adherence based on published *** iron is safe and effective but is frequently avoided due to misinformation and misinterpretation concerning the incidence and clinical nature of minor infusion *** adverse events with intravenous iron are extremely *** formulations allow complete replacement dosing in 15-60 min markedly facilitating *** stimulating agents may improve response rates.A multidisciplinary,multimodal,individualized strategy,collectively termed Patient Blood Management used to minimize or eliminate allogeneic blood transfusion is indicated to improve outcomes.

关键词： Colorectal cancer Anemia Allogeneic blood transfusion Intravenous iron Erythropoiesis stimulating agents Patient Blood Management

Soil and Vegetation Seasonal Changes in the Grazing Andean Mountain Grasslands

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Journal of Mountain Science 2014年第5期11卷 1123-1137页

作者： mu?oz María ángeles FAZ ángel Sustainable Use Management and Reclamation Soil and Water Research Group Agriculture and Science Technology Department Technical University of Cartagena

Andean grasslands ecosystems are fragile environments with rigorous climatologic conditions and low and variable food for the grazing. The Apolobamba area is located in the Bolivian Andean Mountains. Its high grasslands provide a natural habitat for wild and domestic camelids such as vicuna(Vicugna vicugna) and alpaca(Lama pacos). The botanical diversity plays an essential role in maintaining vital ecosystem functions. The objectives of this research were to determine the seasonal changes in soil properties, to study the vegetation changes during the wet and dry seasons and the influence of soil properties and camelid densities on the vegetation in the Apolobamba grasslands. Four zones with different vicuna populations were selected to be studied. The following soil parameters were determined: total organic carbon, total nitrogen, available phosphorous, cation exchange capacity, exchangeable cations, pH and texture. The vegetation season changes were studied through botanical identification, above-ground biomass, plant cover and species richness. Results showed that some soil properties such as C/N ratio, CEC, silt and clay percentages kept stable against the seasonal changes. Generally, soil nutrients were relatively higher during the dry season in the surface and subsurface. The results did not point out the predominant vegetation growth during the wet season. The seasonal vegetation growth depended on each species. Thegood soil fertility corresponded to the highest plant cover. Soil fertility presented no influence on the above-ground biomass of the collected species. The negative influence of camelid grazing on soil properties could not be assessed. However, overgrazing could affect some plant species. Therefore, protection is needed in order to preserve the biodiversity in the Andean mountain grasslands.

关键词： Biodiversity Camelid grazing High grasslands Plant communities Soil properties