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Latest developments in early diagnosis and specific treatment of severe influenza infection

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Journal of Intensive Medicine 2024年第2期4卷 160-174页

作者： francisco Valenzuela-Sánchez Blanca Valenzuela-Méndez Juan francisco Rodríguez-Gutiérrez Ángel Estella Intensive care Unit University Hospital of JerezRonda de Circunvalación s/nJerez de la FronteraSpain Haematology Department University Hospital of JerezRonda de Circunvalación s/nJerez de la FronteraSpain centro de Investigación Biomédica en Red Enfermedades respiratoriasCIBERESInstituto de Salud Carlos IIIAv.de Monforte de LemosMadridSpain Department of Oncological Surgery Institut du Cancer de Montpellier(ICM)Parc Euromédecine208 Av.des ApothicairesMontpellierFrance Department of Medicine Faculty of MedicineUniversity of CádizCalle Doctor MarañónCádizSpain Instituto de Investigación e Innovación Biomédica de cádiz(InIBicA) Avenida Ana de Viya 21CádizSpain

Influenza pandemics are unpredictable recurrent events with global health,economic,and social *** objective of this review is to provide an update on the latest developments in early diagnosis and specific treatment of the disease and its complications,particularly with regard to respiratory organ *** advances in treatment,the rate of mortality in the intensive care unit remains approximately 30%.Therefore,early identification of potentially severe viral pneumonia is extremely important to optimize treatment in these *** pathogenesis of influenza virus infection depends on viral virulence and host ***,in some patients,it is associated with an excessive systemic response mediated by an authentic cytokine *** process leads to severe primary pneumonia and acute respiratory distress *** prognostication in the emergency department based on comorbidities,vital signs,and biomarkers(e.g.,procalcitonin,ferritin,human leukocyte antigen-DR,mid-regional proadrenomedullin,and lactate)is *** of these biomarkers on admission may facilitate clinical decision-making to determine early admission to the hospital or the intensive care *** decisions are reached considering pathophysiological circumstances that are associated with a poor prognosis(e.g.,bacterial co-infection,hyperinflammation,immune paralysis,severe endothelial damage,organ dysfunction,and septic shock).Moreover,early implementation is important to increase treatment *** on a limited level of evidence,all current guidelines recommend using oseltamivir in this *** possibility of drug resistance should also be *** options include other antiviral drugs and combination therapies with monoclonal ***,it is not recommended to use corticosteroids in the initial treatment of these ***,the implementation of supportive measures for respiratory failure is ***

关键词： Influenza Pandemic Respiratory failure Acute respiratory distress syndrome Intensive care unit admission

THE BAnAcH-LIE GROUP OF LIE TRIPLE AUTOMORPHISMS OF An H^＊-ALGEBRA^＊

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Acta Mathematica Scientia 2010年第4期30卷 1219-1226页

作者： A.J.calderón Martín c.Martín González Departamento de Matemáticas Universidad de Cádiz Departamento de Algebra Geometría y Topología Universidad de Málaga

We study the Banach-Lie group Ltaut（A） of Lie triple automorphisms of a complex associative H^＊-algebra A. Some consequences about its Lie algebra, the algebra of Lie triple derivations of A, Ltder（A）, are obtained. For a topologically simple A, in the infinite-dimensional case we have Ltaut（A）0 = Aut（A） implying Ltder（A） = Der（A）. In the finite-dimensional case Ltaut（A）0 is a direct product of Aut（A） and a certain subgroup of Lie derivations δ from A to its center, annihilating commutators.

关键词： Banach-Lie group Lie triple automorphism Lie triple derivation

The challenging management of malignant ureteral obstruction:Analysis of a series of 188 cases

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current Urology 2024年第1期18卷 34-42页

作者： Alberto Artiles Medina Inés Laso García Fernando González Tello Sara Álvarez Rodríguez Manuel Hevia Palacios Marina Mata Alcaraz césar Mínguez Ojeda Fernando Arias Funez Victoria Gómez Dos Santos francisco Javier Burgos Revilla Department of Urology Hospital Universitario Ramón y CajalMadridSpain Department of Radiology Hospital Universitario Ramón y CajalMadridSpain

Background:Malignant ureteral obstruction(MUO)is a common condition that complicates the course of advanced *** aims of this study are to analyze the causes,management,and survival of patients with obstructive nephropathy due to malignant ureteric obstruction and to determine prognostic ***,we studied the complications and outcomes in patients who underwent urinary *** and methods:A retrospective study was conducted on patients with computed tomography-confirmed MUO between January 2016 and november ***,clinical,radiological,laboratory,and management data were *** curves were estimated using the Kaplan-Meier method,and univariate and multivariate cox proportional hazards models were used to test the association between parameters and ***:A total of 188 patients were *** mean age was 69.01 years(SD,14.95 years),and the majority(54.8%)were *** most common mechanism leading to MUO was compression by a pelvic mass(36.9%),and the 3 most frequent tumors causing MUO were prostate(17.6%),bladder(16.5%),and rectal cancer(11.7%).Forty-seven patients(25%)underwent urinary diversion:23(48.9%)underwent double-J stenting and 21(44.7%)underwent percutaneous *** most common reason for urinary diversion was acute kidney injury(53.3%).Recovery of renal function was observed in 55.8%of the patients after urinary *** most frequently identified complications after urinary diversion were urinary tract infection(24.4%),hematuria(17.0%),and urinary sepsis(14.9%).The median survival after hydronephrosis diagnosis was 6.43 months(interquartile range,1.91-14.81 months).In patients who underwent urinary decompression,the median survival after urinary diversion was 8.67 months(interquartile range,2.99-17.28 months).In the multivariate analysis,a lower grade of hydronephrosis and cancer cachexia negatively impacted ***:cancer patients with MUO have a poor pro

关键词： Hydronephrosis Ureteral obstruction neoplasms Urinary diversion Survival Prognosis

On Integrable Roots in Split Lie Triple Systems

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Acta Mathematica Sinica,English Series 2009年第11期25卷 1759-1774页

作者： A.J.calderón MARTín Departamento de Matemáticas Universidad de Cádiz

We focus on the notion of an integrable root in the framework of split Lie triple systems T with a coherent 0-root space. As a main result, it is shown that if T has all its nonzero roots integrable, then its standard embedding is a split Lie algebra having all its nonzero roots integrable. As a consequence, a local finiteness theorem for split Lie triple systems, saying that whenever all nonzero roots of T are integrable then T is locally finite, is stated. Finally, a classification theorem for split simple Lie triple systems having all its nonzero roots integrable is given.

关键词： Lie triple system root split Lie algebra classification theory

Liver transplantation as an alternative for the treatment of perihilar cholangiocarcinoma: A critical review

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Hepatobiliary & Pancreatic Diseases International 2024年第2期23卷 139-145页

作者： Wellington Andraus francisco Tustumi Alexandre chagas Santana Rafael Soares nunes Pinheiro Daniel Reis Waisberg Liliana Ducatti Lopes Rubens Macedo Arantes Vinicius Rocha Santos Rodrigo Bronze de Martino Luiz Augusto carneiro D’Albuquerque Department of Gastroenterology Transplantation UnitUniversidade de São PauloSão PauloBrazil

Background:Perihilar cholangiocarcinoma(phccc)is a dismal *** is no consensus regard-ing the best treatment for patients with unresectable *** present review aimed to gather the current pieces of evidence for liver transplantation and liver resection as a treatment for phccc and to build better guidance for clinical *** sources:The search was conducted in PubMed,Embase,cochrane,and *** related references were searched *** criteria were:reports in English or Portuguese literature that a)patients with confirmed diagnosis of phccc;b)patients treated with a curative intent;c)patients with the outcomes of liver resection and liver *** reports,reviews,letters,editorials,conference abstracts and papers with full-text unavailability were excluded from the ***:Most of the current literature is based on observational retrospective studies with low grades of *** resection has better long-term outcomes than systemic chemotherapy or palliation ther-apy and liver transplantation is a good alternative for selected patients with unresectable *** candidates for resection or transplantation should be medically fit and free of intrahepatic or extrahep-atic *** a general rule,patients presenting with a tumor having a longitudinal size>3 cm or extending below the cystic duct,lymph node disease,confirmed extrahepatic dissemination;intraoper-atively diagnosed metastatic disease;a history of other malignancies within the last five years,and did not complete chemoradiation regimen and were medically unfit should not be considered for *** of these criteria should be individually *** transplantation or resection should only be considered in highly experienced hepatobiliary centers,and any decision-making must be based on a multidisciplinary ***:phccc is a complex condition with high *** therapies,including hepatec-tomy and liv

关键词： Liver transplantation cholangiocarcinoma Liver neoplasms

Long-term patterns in Iberian hare population dynamics in a protected area(Doñana national Park)in the southwestern Iberian Peninsula:Effects of weather conditions and plant cover

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Integrative Zoology 2017年第1期12卷 49-60页

作者： francisco cARRO Ramón c.SORIGUER Doñana Biological Station(cSIc) the Monitoring Team on Natural Resources and Processes of the Doñana Biological Station Ethology and Biodiversity conservation SevillaSpain

The Iberian hare(Lepus granatensis)is a widely distributed endemic species in the Iberian *** improve our knowledge of its population dynamics,the relative abundance and population trends of the Iberian hare were studied in the autumns of 1995-2012 in a protected area(Doñana national Park)by spotlighting in 2 different habitats:marshland and *** average relative abundance was 0.38 hare/km(SD=0.63)in the marshland and 3.6 hares/km(SD=4.09)in *** Iberian hare population exhibited local interannual fluctuations and a negative population trend during the study period(1995-2012).The results suggest that its populations are in *** flooding of parts of the marshland in June,July and October favor hare abundance in the *** abundance in the marshland increases as the flooded surface area increases in *** effects are more pronounced if the rains are early(October)and partially flood the *** contrast,when marsh grasses and graminoids are very high and thick(as measured using the aerial herbaceous biomass[biomass marshland]as a proxy),the abundance of hares decreases dramatically as does the area of the marsh that is flooded(in november).

关键词： Doñana Iberian Peninsula Lepus granatensis population dynamics trends

The emerging role of mesenchymal stem cell-derived extracellular vesicles to ameliorate hippocampal nLRP3 inflammation induced by binge-like ethanol treatment in adolescence

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neural Regeneration Research 2025年第4期20卷 1153-1163页

作者： Susana Mellado María JoséMorillo-Bargues carla Perpiñá-clérigues francisco García-García Victoria Moreno-Manzano consuelo Guerri María Pascual Department of Physiology School of Medicine and DentistryUniversity of ValenciaValenciaSpain Bioinformatics and Biostatistics Unit Príncipe Felipe Research CenterValenciaSpain neuronal and Tissue Regeneration Laboratory Príncipe Felipe Research CenterValenciaSpain

Our previous studies have reported that activation of the nLRP3(nOD-,LRR-and pyrin domain-containing protein 3)-inflammasome complex in ethanol-treated astrocytes and chronic alcohol-fed mice could be associated with neuroinflammation and brain *** stem cell-derived extracellular vesicles(MSc-EVs)have been shown to restore the neuroinflammatory response,along with myelin and synaptic structural alterations in the prefrontal cortex,and alleviate cognitive and memory dysfunctions induced by binge-like ethanol treatment in adolescent *** the therapeutic role of the molecules contained in mesenchymal stem cell-derived extracellular vesicles,the present study analyzed whether the administration of mesenchymal stem cell-derived extracellular vesicles isolated from adipose tissue,which inhibited the activation of the nLRP3 inflammasome,was capable of reducing hippocampal neuroinflammation in adolescent mice treated with binge *** demonstrated that the administration of mesenchymal stem cell-derived extracellular vesicles ameliorated the activation of the hippocampal nLRP3 inflammasome complex and other nLRs inflammasomes(e.g.,pyrin domain-containing 1,caspase recruitment domain-containing 4,and absent in melanoma 2,as well as the alterations in inflammatory genes(interleukin-1β,interleukin-18,inducible nitric oxide synthase,nuclear factor-kappa B,monocyte chemoattractant protein-1,and c–X3–c motif chemokine ligand 1)and miRnAs(miR-21a-5p,miR-146a-5p,and miR-141-5p)induced by binge-like ethanol treatment in adolescent *** analysis further revealed the involvement of miR-21a-5p and miR-146a-5p with inflammatory target genes and nOD-like receptor signaling *** together,these findings provide novel evidence of the therapeutic potential of MSc-derived EVs to ameliorate the hippocampal neuroinflammatory response associated with nLRP3 inflammasome activation induced by binge drinking in adolescence.

关键词： adolescence binge-like ethanol treatment extracellular vesicles hippocampus mesenchymal stem cells neuroinflammation nOD-,LRR-and pyrin domain-containing protein 3(nLRP3)

Early pancreatic cancer in Ig G4-related pancreatic mass:A case report

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World Journal of Gastrointestinal Surgery 2019年第12期11卷 443-448页

作者： Juan Glinka francisco calderón Martín de Santibanes Sung Ho Hyon Adrián Gadano Eduardo Mullen Melina Pol Juan Spina Eduardo de Santibanes Department of General Surgery Hepato-bilio-pancreatic UnitHospital Italiano de Buenos AiresBuenos Aires C1181ACHArgentina Department of General Surgery Image Guided Minimally Invasive Surgery UnitHospital Italiano de Buenos AiresBuenos Aires C1181ACHArgentina Hepatology Section Hospital Italiano Buenos AiresBuenos Aires C1181ACHArgentina Department of Surgical Pathology Hospital Italiano de Buenos AiresBuenos Aires C1181ACHArgentina Department of Radiology Hospital Italiano de Buenos AiresBuenos Aires C1181ACHArgentina

BAcKGROUnD IgG4-related disease can manifest diversely,including autoimmune pancreatitis and IgG4-related *** are reporting a very unusual cause of pancreatic cancer triggered in a previously unknown IgG4-related *** SUMMARY A 75-year-old man was diagnosed with a 43 mm×33 mm pancreatic head tumor after consulting for abdominal pain and jaundice.A pancreaticoduodenectomy was carried out uneventfully,and the histopathology report showed an early stage of acinar-cell pancreatic *** patient reconsulted on the 30th postoperative day with fever,jaundice and *** resonance cholangiopancreatography evidenced an extense bile duct stricture.A percutaneous biliary drainage proved to be ineffective,even after exchanging it with larger bore *** the surgical specimen,features compatible with IgG4-related disease were ***,empiric treatment with steroids was initiated achieving excellent *** IgG4-related disease may cause chronic inflammation of the pancreas and can condition pancreatic malignancies.

关键词： Autoimmune pancreatitis Pancreatic adenocarcinoma Pancreatic cancer IgG4 IgG4-related disease case report

new transcriptomic insights in two RnAi wheat lines with the gliadins strongly down-regulated by two endosperm specific promoters

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The crop Journal 2022年第1期10卷 194-203页

作者： Miriam Marín-Sanz Julio cMasaru Iehisa francisco Barro Department of Plant Breeding Institute of Sustainable Agriculture(IAS)Spanish Council for Scientific Research(CSIC)14004 CórdobaSpain Department of Biotechnology Faculty of Chemical SciencesNational University of Asunción111421 San LorenzoParaguay

The gluten proteins of wheat grain are responsible for visco-elastic properties of flour,but they also trigger the immune-response of celiac *** this work,two low-gliadin RnA interference(RnAi)wheat lines that differ for the promoter driving the silencing(D-hordein andγ-gliadin promoters for D783 and D793 lines,respectively),were characterized at transcriptomic,and protein fraction levels in the *** of gliadins provides a readjustment in the grain protein fractions that also affects to the nongluten proteins(nGP),which were increased in both RnAi *** of wheat gluten by means of the R5 monoclonal antibody also showed a strong reduction in the content of gluten in both RnAi ***,fructans,an oligosaccharide linked with the development of non-celiac wheat sensitivity(ncWS)were also significantly decreased in RnAi *** down-regulation of gliadins fractions also impacts to other metabolic processes,particularly on carbohydrate metabolism,enzyme regulator activity and response to *** and transcription factors regulated by ABA were up-regulated,which could suggest the implication of this phytohormone on the stress response observed in the RnAi lines.

关键词： celiac disease Gliadin Protein compensation RnAi lines Triticum aestivum