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Clinical,radiological and molecular diagnosis correlation in serum samples from patients with osteoarticular tuberculosis

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Asian Pacific Journal of Tropical Biomedicine 2014年第7期4卷 581-585页

作者： Guadalupe Garcia-Elorriaga Olga Martinez-Elizondo guillermo del rey-pineda Cesar Gonzalez-Bonilla Unidad de Investigacion Medica en Inmunologia e Infectologia Hospital de InfectologiaCentro Medico Nacional La Raza(CMNR).Instituto Mexicano del Seguro Social(IMSS)Mexico City.Mexico(Medical Research Unit in Immunology and Infectious DiseaseHospital for Infectious Disease"La Raza"National Medical Center(CMNR).Mexican Social Security Institute(IMSS)Mexico CityMexico) Hospital de Ortopedia "Dr.Victorio de la Fuente Narvaez" Instituto Mexicano del Seguro Social(IMSS)Mexico CityMexico(Orthopedics Hospital " Dr.Victorio de la Fuente Narvaez"Mexican Social Security Institute(IMSS)Mexico CityMexico) Banco Central de Sangre CMNRIMSSand Departamento de InfectologiaHospital Infantil de Mexico Federico Gomez.Secretaria de Salud(SSA)Mexico CityMexico(Central Blood BankCMNR.IMSS and Department of Infectious Disease "Federico Comez" Children's Hospital.Health Ministry (SSA)Mexico CityMexico)

Objective:To assess the role of polymerase chain reaction(PCR)in serum sauples,in the diagnosis of osteoarticular tuberculosis(OTB)in a setting where only clinical and imaging diagnoses determine the ***:A total of 44 consecutive serum specimens were collected from clinically suspected OTB patients,based on clinical and radiological[X-ray or magnetic resonance imagng/computecl tomography]*** were scrcened by in-house nested *** addition,a few specimens were examined by Gram stain,acid-fast bacilli stain,histand routine bacterial culture.A total of 39 specimens were collected from patients suffering from other bone diseases of nontuberculous origin and included as negative ***:of the 44 clinically suspected OTB patients,in-house nested PCR was positive in 40(91%)cases;PCR was negative in 38(97%)negative *** and specificity of our in—house nested PCR was 90.3%and 97.4%,*** PCR report was available within 48 *** was possible to standardize serum PCR technique and in positive cases,a good n was observed in terms of an adequate treatment ***:Nested PCR in serum samples is a rapid,highly sensitive and specific modality for OTB detection,PCR should be performed in addition to clinical evaluation,imaging studies,acidfast bacilli staining,culture and histopathology diagnosis,if possible.

关键词： Osteoarticular tuberculosis Molecular diagnosis Nested polymerase chain reaction Sensitivity Specificity

在有 HIV/AIDS 和怀疑或潜伏的肺结核感染的病人的干扰素

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Asian Pacific Journal of Tropical Medicine 2013年第2期6卷 157-160页

作者： Guadalupe Garcia-Elorriaga Mayte Martinez-Velazquez Veronica Gaona-Flores guillermo del rey-pineda Cesar Gonzalez-Bonilla Unidad de Investigacion en Inmunologia e Infectologia Centro Medico Nacional La Raza(CMNR)Instituto Mexicano del Seguro Social(IMSS) Mexico CityMexico Hospital de Infectologia CMNRIMSSMexico CityMexico Banco Central de Sangre CMNR.Hospital Infantil de MexicoFederico Gomez.Dpto.de Infectologia

Objective:To assess the usefulness of IGRA test(QuantiFERON? -Cell mediated immune) compared with the tuberculin skin ***:A cross-sectional study was carried out in Mexico,25 infected patients with HIV-AIDS and the suspicion or with latent tuberculous infection （LTBI） who were>18 years of age and without treatment for tuberculosis（TB）,were enrolled in the ***:Median cluster of differentiation（CD4） count was 364 cells/μL and median HIV viral load was 50 copies/***,20 patients（80%） had at least one positive diagnostic test for LTBI:four（16%） had a positive tuberculin skin test and 19（76%）,a positive QuantiFERON ? -***:No agreement is found between the two diagnostic tests:k = -0.004,95%confidence interval（-0.2219,0.2210）.Additional longitudinal studies among HIV-infected populations with high prevalence of TB are needed to further assess the usefulness of IGRAs in this patient population.

关键词： AIDS HIV IGRA Interferonγ Latent tuberculosis infection

Tuberculosis and hematopoietic stem cell transplant: Review of a difficult and often underestimated problem

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World Journal of Clinical Infectious Diseases 2013年第4期3卷 70-78页

作者： Guadalupe García-Elorriaga guillermo del rey-pineda Hospital for Infectious Disease "La Raza" National Medical Center Department of Infectious Disease and Intestinal Bacteriology Laboratory "Federico Gómez"Children’s HospitalDepartment of Health Central Blood Bank "La Raza"National Medical Center Social Security Mexican Institute

Recipients of solid organ transplants(SOT) and stem cell transplants(SCT) constitute a group of patients at risk for tuberculosis(TB) development. The prevalence of active TB in patients undergoing SOT is higher than in patients undergoing SCT, probably due to the shorter period of immunosuppression in the latter. We reviewed the importance of SCT in individuals with hematological malignancies. Most TB cases occur in transplant patients by reactivation of latent infection after immunosuppression, most often within the first year after transplant, leading to graft loss and in some cases, death. Relevant variables to assess the risk of TB infection in a transplant recipient include the donor's and recipient's medical histories, imaging results, microbiology and tuberculin skin test(TST) and interferon-gamma release assays(IGRA). TST is routinely performed in the donor and recipient before transplantation. If TST is > 5 mm in the recipient or > 10 mm in the donor, it is necessary to exclude active TB(pulmonary and renal). Chemopro-phylaxis is recommended in TST(+) recipients and in recipients with recent seroconversion, in donors with a history of untreated TB or in contact with an individual with active TB, if radiological images are suspicious and the IGRA is(+). The drug of choice is isoniazid. These topics are herewith reviewed.

关键词： Tuberculosis Prophylaxis Transplant Solid organ transplantation Hematopoietic stem cell transplantation

Woody plant taxonomic,functional,and phylogenetic diversity decrease along elevational gradients in Andean tropical montane forests:Environmental filtering and arrival of temperate taxa

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Plant Diversity 2024年第4期46卷 491-501页

作者： guillermo Bañares-de-Dios Manuel J.Macía Gabriel Arellano Íñigo Granzow-de la Cerda Julia Vega-álvarez Itziar Arnelas Carlos I.Espinosa Norma Salinas Luis Cayuela Departamento de Biología y Geología Física y Química InorgánicaUniversidad Rey Juan CarlosCalle Tulipán s/nMóstolesMadridES-28933Spain Departamento de Biología Área de BotánicaUniversidad Autónoma de MadridCalle Darwin 2MadridES-28049Spain Centro de Investigación en Biodiversidad y Cambio Global(CIBC-UAM) Universidad Autónoma de MadridCalle Darwin 2MadridES-28049Spain Ecology and Evolutionary Biology University of MichiganAnn ArborMI 48109USA Oikobit LLC ***AlbuquerqueNM87120USA Real Jardín Botánico–CSIC Plaza Murillo 2MadridES-28014Spain Departamento de Biología Animal EcologíaParasitologíaEdafología y Química AgrícolaUniversidad de SalamancaCalle Donantes de Sangre s/nSalamancaES-37007Spain Departamento de Biodiversidad Ecología y EvoluciónUniversidad Complutense de MadridCalle JoséAntonio Nováis 12Ciudad UniversitariaES-28040Spain Departamento de Ciencias Biológicas y Agropecuarias Universidad Técnica Particular de LojaA.P.11-01-608 LojaEcuador Sección Química Pontificia Universidad Católica del PerúA.P.Lima 32LimaPeru ECI School of Geography and EnvironmentUniversity of OxfordOX13QYOxfordshireUnited Kingdom Instituto de Investigación en Cambio Global(IICG-URJC) Universidad Rey Juan CarlosCalle Tulipán s/nMóstolesMadridES-28933Spain

Mountains are paramount for exploring biodiversity patterns due to the mosaic of topographies and climates encompassed over short *** research has traditionally focused on taxonomic diversity when investigating changes along elevational gradients,but other facets should be *** first time,we simultaneously assessed elevational trends in taxonomic,functional,and phylogenetic diversity of woody plants in Andean tropical montane forests and explored their underlying ecological and evolutionary *** investigation covered four transects(traversing ca.2200 m a.s.l.) encompassing 114 plots of 0.1 ha across a broad latitudinal range(ca.10°).Using Hill numbers to quantify abundance-based diversity among 37,869 individuals we observed a consistent decrease in taxonomic,functional,and phylogenetic diversity as elevation increased,although the decrease was less pronounced for higher Hill *** exception was a slight increase in phylogenetic diversity when dominant species were *** decrease in taxonomic and functional diversity might be attributed to an environmental filtering process towards highlands,where the increasingly harsher conditions exclude species and functional ***,the differences in steepness decrease between Hill orders suggest that rare species disproportionately contribute to functional *** phylogenetic diversity the shifting elevational trend between Hill orders indicates a greater than previously considered influence in central Andean highlands of tropical lowlands originated species with strong niche conservatism relative to distantly related temperate *** could be explained by a decreasing presence and abundance of temperate,extratropical taxa towards the central Andes relative to northern or southern Andes,where they are more prevalent.

关键词： Altitudinal gradients Andes Environmentalﬁltering Out of the Tropical Lowlands Functional rarity Tropical Niche Conservatism

Reference penile size measurement and correlation with other anthropometric dimensions:a prospective study in 800 men

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Asian Journal of Andrology 2022年第6期24卷 620-623页

作者： Martina Sole Ignacio Tobia Gonzalezi Martin Compagnucci Guadalupe Colucci Marcos Dalvit Bernardo Chiconi Omar A Layus guillermo Gueglio Gaston rey-Valzacchi Department of Urology at Hospital Italiano Buenos Aires C1199ABBArgentina Department of Urology at Sanatorio Allende Cordoba 5000Argentina Department of Urology at Hospital Privado de la Comunidad Mar del Plata 7600Argentina Department of Urology at Hospital Central Mendoza 5500Argentina

Virility and sexual pleasure have long been associated with penile size and this,in turn,has typically been linked to some anthropometric measurements,such as foot size or height,leading to various misconceptions from both men and *** intention is to estimate penile size parameters in Argentina and evaluate the correlation between penile size and certain anthropometric *** is a cross-sectional,descriptive,multicenter,and observational *** patients who underwent a urological procedure were included in four hospitals located in different regions of the *** anthropometric measurements were obtained:height,weight,penile circumference,flaccid and stretched length,and foot length.A total of 8o0 patients were *** left foot was 26.4 *** flaccid penile length was 11.4(95%confidence interval[CI]:8-14)cm,and mean penile circumference was 10.1(95%CI:8-12)***,mean stretched penis was 15.2(95%CI:11-18.5)*** can confirm that estimates of the average penile measurements in Argentina are flaccid penis length of 11.4 cm,penile circumference of 10.1 cm,and stretching the penis to the maximum in flaccidity of 15.2 *** between flaccid penis length,stretched out,penile circumference,height,weight,and length of the left foot were evaluated,finding low or no correlation between those mentioned,exceptforflaccidand stretched length.

关键词： anthropometric measurements micropenis penile percentile

Nestling sex ratio is unaffected by individual and population traits in the griffon vulture

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Current Zoology 2023年第3期69卷 227-235页

作者： guillermo Gomez-Lopez Felix Martinez Ana Sanz-Aguilar Martina Carrete guillermo Blanco Department of Evolutionary Ecology National Museum of Natural Sciences(MNCN)Spanish National Research Council(CSiC)Jose Gutierrez Abascal 228006 MadridSpain Escuela Internacional de Doctorado Universidad Rey Juan Carlos(URJC)Tulipan s/n28933 MostolesMadridSpain Animal Demography and Ecology Group Institut Mediterrani d'Estudis Avangats(IMEDEA)Miquel Marques 217020 EsporlesMallorcaSpain Applied Zoology and Conservation Group Universitat de les Illes Balears(UIB)Ctra.De Valldemossa km.7.507122PalmaSpain Department of Physical Chemical and Natural SystemsUniversidad Pablo de Olavide(UPO)Ctra.de Utrera km.141013 SevillaSpain

Variation in offspring sex ratios is a central topic in animal demography and population *** studies have focused on bird species with marked sexual dimorphism and multiple-nestling broods,where the offspring sex ratio is often biased due to different individual or environmental ***,biases in offspring sex ratios have been far less investigated in monomorphic and single-egg laying species,and few studies have evaluated long-term and large-scale variations in the sex ratio of nestling ***,we explore individual and environmental factors potentially affecting the secondary sex ratio of the monomorphic griffon vulture Gyps *** used information collected at three breeding nuclei from central Spain over a 30-year period(1990–2020)to analyse the effects of nestling age,parental age,breeding phenology,conspecific density,population reproductive parameters,and spatial and temporal variability on nestling *** ratio did not differ from parity either at the population or the nuclei *** significant between-year differences were detected,even under highly changing conditions of food availability associated with the mad-cow *** found that tree nesting breeders tend to have more sons than daughters,but as this nesting behavior is rare and we consequently have a small sample size,this issue would require additional *** further research is needed to assess the potential effect of breeder identity on nestling sex ratio,this study contributes to understanding the basic ecology and population dynamics of Griffon Vultures,a long-lived species with deferred maturity and low fecundity,whose minor deviations in the offspring sex ratio might imply major changes at the population level.

关键词： offspring sex ratio nestling sex Gyps fulvus monomorphism mad-cow crisis demography