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Donor hepatectomy time and liver transplantation outcomes: An opportunity that cannot be dismissed

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World Journal of Transplantation 2024年第3期14卷 5-8页

作者： francisca Gonzalez Cohens Fernando M Gonzalez Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 7500922Chile Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile

The probability of developing primary dysfunction(PD)is a function of the probability of ischemia/reperfusion(I/R)*** probability of I/R injury in turn,is a function of several donor and transplantation process variables,among which is ischemia *** et al studied the duration of a special type of warm ischemia and showed,contrary to what is known,that a longer duration is not statistically different from a shorter one in PD *** finding opens the door to the unforeseen opportunity of training fellows in performing hepatectomies,since the duration will not jeopardize liver transplant outcomes,albeit with some precautions.

关键词： Cold ischemia Warm ischemia Liver transplantation Reperfusion Primary dysfunction

Critical care specialists,the missing link in organ procurement for transplantation

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World Journal of Critical Care Medicine 2024年第2期13卷 1-6页

作者： francisca Del Rocio Gonzalez Cohens Fernando M Gonzalez Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile

The procurement process for organ donation begins with the identification of potential organ donors in emergency or critical care units(CCU),followed by their clinical evaluation,diagnostic procedures,and therapeutic interventions,mostly conducted in *** concludes with the request for organ donation and,if accepted,the retrieval of *** most interventions occurring in detection units,there has been a neglect of the strategic role played by critical care specialists(CCS)in managing and caring for brain-dead or near-brain-death *** arise:Are they willing to undertake this responsibility?Do they fully comprehend the nature of organ procurement?Are they aware of the specific interventions required to maintain possible organ donors in optimal physiological condition?Our objective is to examine the role of CCS in organ procurement and propose ways to enhance it,ultimately aiming to increase and enhance organ donation rates.

关键词： Organ procurement Transplantation Brain death Cardiac death Organ donation

Genetic and experimental evidence for the involvement of the CD6 lymphocyte receptor in psoriasis

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Cellular & Molecular Immunology 2018年第10期15卷 898-906页

作者： Marta Consuegra-Fernández Marc Julià Mario Martínez-Florensa Fernando Aranda Cristina Català Noelia Armiger-Borràs María-Teresa Arias francisca santiago Antonio Guilabert Anna Esteve Carlos Muñoz Carlos Ferrándiz José-Manuel Carrascosa Edurne Pedrosa Jorge Romaní MercèAlsina José-Manuel Mascaró-Galy Francisco Lozano Immunoreceptores del Sistema Innat i Adaptatiu Institut d'Investigacions Biomèdiques August Pi i Sunyer(IDIBAPS)Barcelona 08036Spain Servicio de Dermatologia Hospital Universitario de BasurtoBilbao 48013Spain Servei d’Immunologia Centre de Diagnòstic BiomèdicHospital Clínic de BarcelonaBarcelona 08036Spain Servei de Dermatologia Hospital General de GranollersBarcelona 08402Spain Centre d’Estudis Epidemiològics sobre les ITS i Sida de Catalunya(CEEISCAT) ASPCCIBER Epidemiologia y Salud PúblicaBadalona 08916Spain Servei de Dermatologia Hospital Universitari Germans Trias i PujolBadalona 08916Spain Laboratori d’Immunobiologia per Investigaciói Aplicacions al Diagnòstic Banc de Sang i Teixits(BST)Institut d’Investigacióen Ciències de la Salut Germans Trias i PujolDepartament de Biologia Cel·lularFisiologia i ImmunologiaUniversitat Autònoma de BarcelonaBellaterra 08193Spain Servei de Dermatologia Consorci Sanitari Parc Taulí08208 Sabadell.Universitat Autónoma de BarcelonaBellaterra 08193Spain Servei de Dermatologia Hospital Clínic de BarcelonaBarcelona 08036Spain Departament de Biomedicina Universitat de BarcelonaBarcelona 08036Spain

Psoriasis is a chronic inflammatory skin disease with a strong genetic background and is triggered by environmental *** evidence supports CD6,a lymphocyte surface receptor mostly expressed by T cells,as a putative target in ***,a humanized anti-CD6 antibody has been assayed for the treatment of certain autoimmune disorders,including ***,we present novel evidence in mice and humans for a direct involvement of CD6 in psoriasis ***,an attenuated form of imiquimod-induced psoriasis-like skin inflammation was demonstrated in CD6-deficient mice,as deduced from lower epidermal thickness and local reduced production of pro-inflammatory cytokines,namely,***,isolated CD4+CD62L+T cells from CD6-deficient mice displayed decreased in vitro T-helper type 17 ***,a statistically significant association between CD6 single-nucleotide polymorphisms(rs17824933,rs11230563 and rs12360861)and more severe forms of psoriasis was demonstrated in a cohort of 304 patients at three public hospitals from the metropolitan area of *** together,these results provide new supportive evidence of the contribution of the CD6 lymphocyte receptor in psoriasis at both experimental and clinical levels.

关键词： ALCAM CD5 CD6 lymphocyte psoriasis

Kidney transplantation outcomes: Is it possible to improve when good results are falling down?

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World Journal of Transplantation 2024年第3期14卷 1-4页

作者： Fernando M Gonzalez francisca del Rocío Gonzalez Cohens Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile

Famure et al describe that close to 50%of their patients needed early or very early hospital readmissions after their kidney *** they taught us the variables related to those outcomes,we describe eight teaching capsules that may go beyond what they describe in their *** two capsules talk about the ideal donors and recipients we should choose for avoiding the risk of an early *** third and fourth capsules tell us about the reality of cadaveric donors and recipients with comorbidities,and the way transplant physicians should choose them to maximize *** capsule shows that any mistake can result in an early readmission,and thus,in poorer *** capsule talks about economic losses of early readmissions,cost-effectiveness of tran-splantation,and how to improve outcomes and reduce costs by managing a risky *** capsule argues about knowing your risk behavior to better manage your portfolio;and Eighth capsule about the importance of the center experience in transplanting complex *** finish with some lessons of the importance of the transplantation process and the collaboration with other disciplines in order to prevent the conditions that lead to early readmissions.

关键词： Kidney tranplantation Hospitalization Prognostic factors Portfolio theory Transplant

The use of fibroblasts as a valuable strategy for studying mitochondrial impairment in neurological disorders

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Translational Neurodegeneration 2022年第1期11卷 401-425页

作者： Margrethe A.Olesen francisca Villavicencio-Tejo Rodrigo A.Quintanilla Laboratory of Neurodegenerative Diseases Facultad de Ciencias de La SaludInstituto de Ciencias BiomédicasUniversidad Autónoma de ChileSantiagoChile

Neurological disorders(NDs)are characterized by progressive neuronal dysfunction leading to synaptic failure,cognitive impairment,and motor *** these diseases,Alzheimer’s disease(AD),Parkinson’s disease(PD),Huntington’s disease(HD),and amyotrophic lateral sclerosis(ALS)have raised a significant research *** disorders present common neuropathological signs,including neuronal dysfunction,protein accumulation,oxidative damage,and mitochondrial *** this context,mitochondrial impairment is characterized by a deficiency in ATP production,excessive production of reactive oxygen species,calcium dysregulation,mitochondrial transport failure,and mitochondrial dynamics *** defects in mitochondrial health could compromise the synaptic process,leading to early cognitive dysfunction observed in these ***,skin fibroblasts from AD,PD,HD,and ALS patients have been suggested as a useful strategy to investigate and detect early mitochondrial abnormalities in these *** this context,fibroblasts are considered a viable model for studying neurodegenerative changes due to their metabolic and biochemical relationships with ***,studies of our group and others have shown impairment of mitochondrial bioenergetics in fibroblasts from patients diagnosed with sporadic and genetic forms of AD,PD,HD,and ***,these mitochondrial abnormalities have been observed in the brain tissues of patients suffering from the same ***,fibroblasts represent a novel strategy to study the genesis and progression of mitochondrial dysfunction in AD,PD,HD,and *** review discusses recent evidence that proposes fibroblasts as a potential target to study mitochondrial bioenergetics impairment in neurological disorders and consequently to search for new biomarkers of neurodegeneration.

关键词： Mitochondria Fibroblasts Cell reprogramming Alzheimer’s disease Parkinson’s disease Huntington’s disease Amyotrophic lateral sclerosis Mitochondrial dysfunction

COVID-19 and neurologic manifestations:a synthesis from the child neurologist’s corner

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World Journal of Pediatrics 2022年第6期18卷 373-382页

作者： Carolina Valderas Gastón Méndez Alejandra Echeverría Nelson Suarez Katherin Julio francisca Sandoval Department of Neurology Hospital Dr.Exequiel González CortésGran Avenida JoséMiguel Carrera 33008900085SantiagoRegión MetropolitanaChile

Background Since December 2019,the SARS-CoV-2 virus has been a global health *** main clinical presentation of this virus is a flu-like disease;however,patients with diverse neurologic manifestations have also been *** this review,we attempt to summarize,discuss and update the knowledge of the neurologic manifestations in the pediatric population affected by SARS-CoV-2 infection and the pandemic’s effects in children with neurologic *** sources This review analyzes studies found on the PubMed database using the following keywords:Neurologic manifestations COVID-19,Neurological COVID-19,coronavirus,SARS-CoV-2,pediatric COVID-19,COVID-19 in children,MIS-C,Pediatric Inflammatory Multisystem Syndrome,Guillain BarréSyndrome,Stroke,ADEM,and Anti-NMDA *** studies cited were published between 2004 and 2022,and represent the most relevant articles in the *** World Health Organization COVID-19 online dashboard was assessed to obtain updated epidemiological *** The most common neurologic symptoms in the pediatric population are headache,seizures,encephalopathy,and muscle *** can be present during COVID-19 or weeks after recovering from *** who presented with multi-system inflammatory syndrome had a higher incidence of neurologic manifestations,which conferred a greater risk of morbidity and *** neuro-pathophysiological mechanisms have been proposed,including direct virus invasion,hyper-inflammatory reactions,multi-systemic failure,prothrombotic states,and immune-mediated *** the other hand,the COVID-19 pandemic has affected patients with neurologic diseases,making it challenging to access controls,treatment,and *** Various neurologic manifestations have been associated with children’s SARS-CoV-2 *** is important to identify and give them proper and opportune treatment because they can be potentially grave and life-threatening;some can lead to long-lasting se

关键词： Coronavirus COVID-19 Neurologic Pediatric SARS-CoV-2 MIS-C

Is the near coming xenotransplantation era relieving us from needing to look for more non-living organ donors?

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World Journal of Transplantation 2022年第12期12卷 388-393页

作者： Fernando M Gonzalez francisca del Rocío Gonzalez Department of Nephrology Faculty of MedicineUniversidad de ChileSantiago 7500922Chile Web Intelligence Centre Faculty of Physics and Mathematical SciencesUniversidad de ChileSantiago 8370397Chile

Despite organ transplantation being the most successful treatment for end-stage organ dysfunction,the number of annual solid organ transplantations is much lower than that required to satisfy the demand of patients on waiting *** explanation for this phenomenon is the relative scarcity of non-living organ donors due to several factors,such as:(1)Late arrival of patients with a neurocritical condition to an emergency service;(2)lack of detection of those patients as possible organ donors by health professionals dedicated to procurement or by clinicians at emergency and intensive care units,for instance;(3)late transfer of the patient to an intensive care unit to try to recover their health and to provide hemodynamic,ventilatory,and metabolic support;(4)lack of confirmation of the physiological status of the possible donor;(5)late or incorrect positive diagnosis of the subject’s death,either due to brain or cardiac death;(6)difficulty in obtaining legal authorization,either by direct relatives or by the authority,for the extraction of organs;and(7)deficient retrieval surgery of the organs actually *** recent reports of relatively successful xenotransplants from genetically modified pigs open the possibility to fix this mismatch between supply and demand,but some technical(organ rejection and opportunistic infections),and economic issues,still remain before accepting a progressive replacement of the organ sources for *** approximate economic cost analysis suggests that the hypothetical acquisition cost of any genetically modified pig derived organ is high and would not even satisfy the solid organ demand of the wealthiest countries.

关键词： Organ donation Xenotransplantation Procurement Kidney transplantation Costs

Harmonic Analysis of Radon Filtrations for Sn and Its q-Analogue GLn（q）

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Algebra Colloquium 2015年第2期22卷 189-210页

作者： M. francisca Yanez Escuela de Pregrado Facultad de Ciencias Qufmicas y Farmaceuticas Universidad de Chile Sergio Livingston 1007 Santiago Chile

We present a unified approach to the study of Radon transforms related to the group Sn and its q-analogue GLn（q）. In both cases, in a uniform way, we define a sequence of generMized Radon transforms that are intertwining operators for natural representa- tions associated to Gel＇land spaces for our groups. This sequence and the sequence of their adjoint enable us to decompose in a recursive way these natural representations into irreducibles and to compute explicitly the associated spherical functions. Our methods and results rely then strongly on q-analogy.

关键词： Radon transform spherical function q-analogue Gel'fand space natural representation

Morphometric evaluation of wound healing in burns treated with Ulmo (Eucryphia cordifolia) honey alone and supplemented with ascorbic acid in guinea pig (Cavia porcellus)

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Burns & Trauma 2016年第4期4卷 264-272页

作者： Carolina Schencke Adriana Vasconcellos Cristian Sandoval Paulina Torres francisca Acevedo Mariano del Sol Doctoral Program in Morphological Sciences Universidad de La FronteraTemucoChile CONICYT-PCHA/National Doctorate Programme/2014-21141130 SantiagoChile Facultad de Medicina Universidad de La FronteraTemucoChile Doctoral Program in Morphological Sciences Universidad de La FronteraTemucoChile CIMA Research Group Facultad de OdontologíaUniversidad de La FronteraTemucoChile CONICYT-PCHA/Doctorado Nacional/2015-21150991 SantiagoChile Scientific and Technological Bioresource Nucleus Universidad de La FronteraTemucoChile Facultad de Medicina Universidad de La FronteraTemucoChile Centro de Excelencia en Estudios Morfológicos y Quirúrgicos(CEMyQ) Universidad de La FronteraTemucoChile Centro de Investigación en Ciencias Biomédicas Universidad Autónoma de ChileTemucoChile

Background:In the context of the search for cost-efficient treatments,Ulmo(Eurcyphia cordifolia)honey is an excellent alternative for treating burn wounds and could have a profound medical,social,and economic *** acid is an enzymatic co-factor necessary for the synthesis of collagen and the proliferation of fibroblasts and has been proposed as a coadjuvant to strengthen the healing effects of *** aim of this work was to evaluate by morphometric studies the healing wounds caused by burns treated with Ulmo honey alone and supplemented with ascorbic acid in guinea pig(Cavia porcellus).Methods:Fifteen guinea pigs were used and divided randomly into three groups:positive control(C+),experimental with unsupplemented honey(H),and experimental with supplemented honey(SH).A uniform deep burn covering 1 cm2of the back skin was *** following indices were calculated for the morphometric study:superficial contraction index of the wound,deep contraction index of the wound,wound severity index,global healing index,global contraction index,and dermal proliferation ***:The superficial contraction index of the wound,global healing index,global contraction,and dermal proliferation area values of the experimental with supplemented honey group were higher than the other groups(P<0.05).Conclusions:According to these results,the combination of honey with an antioxidant(ascorbic acid)promotes an appropriate action to support the healing *** study showed that by supplementing the Ulmo honey with ascorbic acid,the healing and contraction effects can be strengthened in burn wounds compared to unsupplemented *** results were proof of the synergy between honey and ascorbic acid in healing burn wounds.

关键词： Honey Ascorbic acid Burn Morphometry Wound healing