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World Journal of Gastroenterology 2018年第23期24卷 2427-2440页

作者： esteban juan fiore Luciana María Domínguez juan Bayo Mariana Gabriela García Guillermo Daniel Mazzolini Laboratory of Gene Therapy Instituto de Investigaciones en Medicina TraslacionalCONICET-Universidad Austral

Cell-based therapies for acute and chronic liver diseases are under continuous progress. Mesenchymal stem/stromal cells(MSCs) are multipotent cells able to migrate selectively to damaged tissue and contribute to its healing and regeneration. The MSC pro-regenerative effect occurs due to their immunomodulatory capacity and their ability to produce factors that promote cell protection and survival. Likewise,it has been observed that part of their paracrine effect is mediated by MSC-derived extracellular vesicles(EVs). EVs contain proteins,lipids and nucleic acids(DNA,m RNA,mi RNA,lnc RNA) from the cell of origin,allowing for intercellular communication. Recently,different studies have demonstrated that MSC-derived EVs could reproduce,at least in part,the biological effects obtained by MSCbased therapies. Moreover,due to EVs' stability for long periods of time and easy isolation methods they have become a therapeutic option to MSCs treatments. This review summarizes the latest results achieved in clinical trials using MSCs as cell therapy for liver regeneration,the role of EVs in liver physiopathology and the potential of MSC-derived EVs as intercellular mediators and therapeutic tools in liver diseases.

关键词： Mesenchymal stem cells Extracellular vesicles Cirrhosis Liver Acute damage Regeneration

Secondary Metabolites of Entomopathogenic Fungi, Biological Alternative for the Control of Agricultural Pests and Disease: Present and Perspectives

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Advances in Enzyme Research 2024年第1期12卷 1-15页

作者： Nallely San juan-Maldonado Silvia Rodríguez-Navarro Alejandro Angel-Cuapio José Norberto Vásquez Bonilla juan esteban Barranco-Florido Departamento de Producció n Agr&#237cola y Animal Universidad Aut&#243noma Metropolitana Unidad Xochimilco Ciudad de M&#233xico M&#233xico Divisió n de Ingenier&#237a Qu&#237mica y Bioqu&#237mica Tecnol&#243gico Nacional de M&#233xico/TES de Ecatepec Ecatepec de Morelos M&#233xico Departamento de Sistemas Bioló gicos Universidad Aut&#243noma Metropolitana Unidad Xochimilco Ciudad de M&#233xico M&#233xico

The use of entomopathogenic fungi (EF) in recent years has been highly effective against the different orders of insects considered pests of agricultural importance and their conidia have been commonly applied, but it has been reported that these are sensitive to the environmental conditions. For this reason, biopesticides products have been formulated based on secondary metabolites, recently. These biomolecules participate as biological control agent, such as: cyclic depsipeptides, amino acids, polyketides, polyphenols and terpenoids, affecting their morphology, life cycle and insect behavior. The use of secondary metabolites of entomopathogenic fungi opens the possibility of application in a more efficient way for the control of agricultural pests in a compatible with the environment and human health;therefore, it is important to know, analyzing the type of molecules, their effects, and their different methods of application.

关键词： Secondary Metabolites Entomopathogenic Fungi Biological Control Agent

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(AF),taking rivaroxaban in clinical *** Out of 1433 patients,453(31.6%)were octogenarians at *** to younger patients,octogenarians had more comorbidities,higher CHA2DS2-VASc(4.5±1.3vs.3.0±1.4;P<0.001)and HAS-BLED scores(2.0±1.0vs.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 ische-mic 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 com-pared to younger *** octogenarians,the concomitant use of antiplatelet agents and non-severe dementia were independ-ently associated with the development of ischemic stroke,whereas previous coronary revascularization and heart failure with and higher HAS-BLED score with major ***,Conclusions 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 pre-scribed in the majority of octogenarians.

关键词： patients atrial bleeding

Digestive and breast cancer patients managed during the first wave of COVID-19 pandemic:Short and middle term outcomes

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World Journal of Methodology 2024年第2期14卷 107-126页

作者： Jacobo Trébol Ana Carabias-Orgaz María Carmen esteban-Velasco Asunción García-Plaza juan Ignacio González-Munoz Ana Belén Sánchez-Casado Felipe Carlos Parreno-Manchado Marta Eguía-Larrea José Antonio Alcázar-Montero Cirugía General y del Aparato Digestivo Complejo Asistencial Universitario de SalamancaSalamanca 37007SalamancaSpain Cirugía Universidad de SalamancaSalamanca 37007SalamancaSpain Oftalmología Complejo Asistencial Universitario de SalamancaSalamanca 37007SalamancaSpain

BACKGROUND The first wave of coronavirus disease 2019(COVID-19)pandemic in Spain lasted from middle March to the end of June *** population was subjected to lockdown periods and scheduled surgeries were discontinued or reduced during variable *** our centre,we managed patients previously and newly diagnosed with *** established a strategy based on limiting perioperative social contacts,preoperative screening(symptoms and reverse transcriptionpolymerase chain reaction)and creating separated in-hospital COVID-19-free pathways for non-infected *** also adopted some practice modifications(surgery in different facilities,changes in staff and guidelines,using continuously changing personal protective equipment…),that supposed new *** To analyse cancer patients with a decision for surgery managed during the first wave,focalizing on outcomes and pandemic-related *** We prospectively included adults with a confirmed diagnosis of colorectal,oesophago-gastric,liver-pancreatic or breast cancer with a decision for surgery,regardless of whether they ultimately underwent *** analysed short-term outcomes[30-d postoperative morbimortality and severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection]and outcomes after 3 years(adjuvant therapies,oncological events,death,SARS-CoV-2 infection and vaccination).We also investigated modifications to usual *** From 96 included patients,seven didn’t receive treatment that period and four never(3 due to COVID-19).Operated patients:28 colon and 21 rectal cancers;laparoscopy 53.6%/90.0%,mortality 3.57%/0%,major complications 7.04%/25.00%,anastomotic leaks 0%/5.00%,3-years disease-free survival(DFS)82.14%/52.4%and overall survival(OS)78.57%/76.2%.Six liver metastases and six pancreatic cancers:no mortality,one major complication,three grade A/B liver failures,one bile leak;3-year DFS 0%/33.3%and OS 50.0%/33.3%(liver metastases/pancreatic carcinoma).5 g

关键词： COVID-19 SARS-CoV-2 Colon cancer Rectal cancer Breast cancer Liver cancer Pancreatic cancer Gastric cancer Oesophageal cancer Surgery

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应用机器学习对外卖含糖饮料消费的研究

农业经济问题 2024年第7期 20-33页

作者：翟倩倩蒋玉张家铭胡安·埃斯特班·格瓦拉王红浙江大学中国农村发展研究院杭州310058 西南财经大学中国西部经济研究院成都611130 普渡大学农业经济系西拉法叶47907 普渡大学统计系西拉法叶47907

含糖饮料因其高热量而导致慢性疾病,引起的健康问题得到全球的关注。在外卖平台迅速发展的大背景下,本文基于中国六个城市的外卖平台的销售数据,运用机器学习方法识别外卖含糖饮料消费动态,并对价格折扣、糖税等模拟情景进行了销售变动... 详细信息

含糖饮料因其高热量而导致慢性疾病,引起的健康问题得到全球的关注。在外卖平台迅速发展的大背景下,本文基于中国六个城市的外卖平台的销售数据,运用机器学习方法识别外卖含糖饮料消费动态,并对价格折扣、糖税等模拟情景进行了销售变动分析。研究发现,第一,有监督机器学习模型中的神经网络相较于传统计量回归模型更加适用于消费趋势预测分析。第二,模型预测结果表明,当价格降低10%时,总销售额将比原始销售增加0.49%,说明含糖饮料消费富有价格弹性;此外,当价格上升10%时,总销量额将比原始销售下降0.17%,表明通过税收手段来减少含糖饮料的消费是可行策略。第三,外卖含糖饮料的销售情况存在时空差异,长三角地区外卖含糖饮料的销售量高于其他地区,周中的销售量高于周末时段,下午的销售量是一天的高峰。本文研究对于建立降低含糖饮料的过度消费的路径与机制,引导消费者健康饮食选择,推动外卖服务行业的可持续发展具有重要意义。

关键词：含糖饮料外卖机器学习神经网络

Horizontal and vertical fluxes of particulate matter during wind erosion on arable land in the province La Pampa, Argentina

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International Journal of Sediment Research 2022年第5期37卷 539-552页

作者： Nicole Siegmund Roger Funk Michael Sommer Fernando Avecilla juan esteban Panebianco Laura Antonela Iturri Daniel Eduardo Buschiazzo Leibniz Centre for Agricultural Landscape Research (ZALF) Working Group Landscape Pedology Institute of Environmental Science and Geography University of Potsdam Institute of Earth and Environmental Sciences of La Pampa (INCITAP) 4. National University of La Pampa Faculty of Agronomy (UNLPam)

A detailed analysis of horizontal and vertical particulate matter(PM) fluxes during wind erosion has been done, based on measurements of PM smaller than 10, 2.5, and 1.0 μm, at windward and leeward positions on a measuring field. The three fractions of PM measurement are differently influenced by the increasing wind and shear velocities of the wind. The measured concentrations of the coarser fractions of the fine dust, PM10, and PM2.5, increase with wind and shear velocity, whereas the PM1.0concentrations show no clear correlation to the shear velocity. The share of PM2.5on PM10depends on the measurement height and wind speed and varies between 4 and 12 m/s at the 1 m height ranging from 25% to 7%(average 10%),and at the 4 m height from 39% to 23%(average 30%). Although general relationships between wind speed, PM concentration, and horizontal and vertical fluxes could be found, the contribution of the measuring field was very low, as balances of incoming and outgoing fluxes show. Consequently, the measured PM concentrations are determined from a variety of sources, such as traffic on unpaved roads,cattle drives, tillage operations, and wind erosion, and thus, represent all components of land use and landscape structure in the near and far surroundings of the measuring field. The current results may reflect factors from the landscape scale rather than the influence of field-related variables. The measuring devices used to monitor PM concentrations showed differences of up to 20%, which led to considerable deviations when determining total balances. Differences up to 67% between the calculated fluxes prove the necessity of a previous calibration of the devices used.

关键词： PM 10 , PM 2.5 , and PM 1.0 concentrations Field measurements Horizontal flux Vertical flux PM balances

Latitudinal pattern of the thermal sensitivity of running speed in the endemic lizard Liolaemus multimaculatus

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Integrative Zoology 2022年第4期17卷 619-637页

作者： Oscar Aníbal STELLATELLI Laura EVEGA Carolina BLOCK Camila ROCCA Patricio BELLAGAMBA juan esteban DAJIL Félix Benjamín CRUZ Instituto de Investigaciones Marinas y Costeras(IIMyC) Universidad Nacional de Mar del Plata-CONICETFacultad de Ciencias Exactas y NaturalesMar del PlataArgentina Municipalidad de General Pueyrredón Mar del PlataArgentina Instituto de Investigaciones en Biodiversidad y Medioambiente(INIBIOMA) Universidad Nacional del Comahue-CONICETSan Carlos de BarilocheArgentina

Physiological performance in lizards may be affected by climate across latitudinal or altitudinal *** the coastal dune barriers in central-eastern Argentina,the annual maximum environmental temperature decreases up to 2℃ from low to high latitudes,while the mean relative humidity of the air decreases from 50%to 25%.Liolaemus multimaculatus,a lizard in the family Liolaemidae,is restricted to these coastal *** investigated the locomotor performance of the species at 6 different sites distributed throughout its range in these dune *** inquired whether locomotor performance metrics were sensitive to the thermal regime attributable to *** thermal performance breadth increased from 7%to 82%with latitude,due to a decrease in its critical thermal minimum of up to 5℃ at higher *** from high latitude sites showed a thermal optimum,that is,the body temperature at which maximum speed is achieved,up to 4℃lower than that of lizards from the low *** relatively low temperatures,the maximum running speed of high-latitude individuals was faster than that of low-latitude *** parameters of locomotor performance were labile,decreasing as a function of *** results show populations of *** adjust thermal physiology to cope with local climatic *** suggests that thermal sensitivity responds to the magnitude of latitudinal fluctuations in environmental temperature.

关键词： latitude Liolaemus reptile running speed temperature thermal sensitivity

Early life investment in antlers and body growth reflects adult performance in roe deer population under supplementary feeding conditions

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Integrative Zoology 2022年第3期17卷 396-407页

作者： Marta PELÁEZ Isabel SANUY juan Carlos PERAL JoséLuisÁlvarez esteban Santiago LAVÍN Emmanuel SERRANO Ramón PEREA Departamento de Sistemas y Recursos Naturales Universidad Politécnica de MadridMadridSpain Wildlife Ecology&Health group(WE&H)and Servei d’Ecopatologia de Fauna Salvatge(SEFaS).Facultat de Veterinària Universitat Autònoma de Barcelona(UAB)BarcelonaSpain Centro Cinegético I+D de Valsemana Junta de Castilla y LeónLa ErcinaLeónSpain

Recent research has challenged the idea that cervid antlers are such costly traits,supporting the assertion early-life antler investment is an honest signal of adult phenotypic ***,inferences were made based on antler measurements while growing(velvet)and thus,studies on fully-formed clean antlers are needed to avoid possible bias caused by the inter-individual variation in antler growth *** studied a semi-captive population of European roe deer inhabiting a sub-Mediterranean area(Valsemana research station)and living under optimal conditions(ad libitum food supply and veterinary care).Based on repeated measurements taken from 146 individuals,we assessed whether allocation to secondary sexual traits during early life affected body mass or antler development during ***,we evaluated which body measurements better predicted future male ***,using 488 individuals,we described age-class-specific variation in male body measurements and assessed the decline in antler size between adult and senescent stages(*** of senescence).Results agree with the assertion that there is no negative effect of a high investment in antler during early life on adult antler size or body mass,but we suggest the use of clean antlers as a more robust and reliable *** variables that better predicted body mass during adulthood were yearling body mass and body size at 6 *** score between 10 and 18 months resulted in the best indicator of adult antler ***,we support the idea that the magnitude of senescence in antler size is smaller in environments with higher resource availability during winter.

关键词： antler size body mass early-life investment Mediterranean environments secondary sexual traits and senescence trade-offs

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关于研究和机器人:让偶然的发现说得通

英国医学杂志中文版 2022年第10期25卷 555-556页

作者： juan Victor Ariel Franco Santiago esteban 夏鹏(译) BMJ Eridence-Based Medicine Information Management and Health Statistics Office Hospital Italiano de Buenos AiresArgentina 中国医学科学院北京协和医院

当我们解读医疗相关研究时,我们必须确保人工智能的应用带来的是帮助而非伤害。面对困惑的主人Donovan和Powel,机器人QT-1(Cutie)说道,“我,一个理性的存在,能够从先天的原因中推导出真理。而你们,尽管智慧却不理智,则需要一个存在的理... 详细信息

当我们解读医疗相关研究时,我们必须确保人工智能的应用带来的是帮助而非伤害。面对困惑的主人Donovan和Powel,机器人QT-1(Cutie)说道,“我,一个理性的存在,能够从先天的原因中推导出真理。而你们,尽管智慧却不理智,则需要一个存在的理由。”这是伊萨克·阿西莫夫经典小说《我,机器人》(I,Robot)1中的一幕。在书中,在人工智能(AI)的强大支持下,反叛的机器人控制了一个空间站,他们相信人类过于弱小,无法创造出机器人这样的高等“生物”。

关键词：机器人控制 Robot 阿西莫夫 Cut 伊萨克 QT 《我,机器人》存在的理由

Characteristics and in-hospital mortality of elderly patients with heart failure in Spanish hospitals

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Journal of Geriatric Cardiology 2023年第4期20卷 247-255页

作者： Alberto esteban-Fernández Manuel Anguita-Sánchez juan Luis Bonilla-Palomas María Anguita-Gámez María García JoséLuis Bernal Náyade Del Prado Cristina Fernández-Pérez Julián Pérez-Villacastin juan JoséGómez-Doblas Francisco Javier Elola Cardiology Department Hospital Universitario Severo OchoaMadridSpain Cardiology Department Hospital Universitario Reina SofíaCórdobaSpain Cardiology Department Hospital San Juan de la CruzÚbedaSpain Cardiology Department Hospital Clínico San CarlosMadridSpain Fundación Instituto para la Mejora de la Asistencia Sanitaria MadridSpain Management Control Department Hospital Universitario 12 de OctubreMadridSpain Department of Preventive Medicine Área Sanitaria de Santiago de Compostela y BarbanzaInstituto de Investigación de SantiagoSantiago de CompostelaSpain Cardiology Department Hospital Universitario Virgen de la VictoriaMálagaSpain

BACKGROUND The prevalence of heart failure(HF)increases with age,and it is one of the leading causes of hospitalization and death in older ***,there are little data on in-hospital mortality in patients with HF≥75 years in *** A retrospective analysis of the Spanish Minimum Basic Data Set was performed,including all HF episodes discharged from public hospitals in Spain between 2016 and *** was performed using the International Classification of Diseases,10th ***≥75 years with HF as the principal diagnosis were *** calculated:(1)the crude in-hospital mortality rate and its distribution according to age and sex;(2)the risk-standardized in-hospital mortality ratio;and(3)the association between in-hospital mortality and the availability of an intensive cardiac care unit(ICCU)in the *** We included 354,792 HF episodes of patients over 75 *** mean age was 85.2±5.5 years,and 59.2%of patients were *** most frequent comorbidities were renal failure(46.1%),diabetes mellitus(35.5%),valvular disease(33.9%),cardiorespiratory failure(29.8%),and hypertension(26.9%).In-hospital mortality was 12.7%,and increased with age[odds ratio(OR)=1.07,95%CI:1.07–1.07,P<0.001]and was lower in women(OR=0.96,95%CI:0.92–0.97,P<0.001).The main predictors of mortality were the presence of cardiogenic shock(OR=19.5,95%CI:16.8–22.7,P<0.001),stroke(OR=3.5,95%CI:3.0–4.0,P<0.001)and advanced cancer(OR=2.6,95%CI:2.5–2.8,P<0.001).In hospitals with ICCU,the in-hospital risk-adjusted mortality tended to be lower(OR=0.85,95%CI:0.72–1.00,P=0.053).CONCLUSIONS In-hospital mortality in patients with HF≥75 years between 2016 and 2019 was 12.7%,higher in males and elderly *** main predictors of mortality were cardiogenic shock,stroke,and advanced *** was a trend toward lower mortality in centers with an ICCU.

关键词： patients mortality diagnosis