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Addition of statins to the standard treatment in patients with cirrhosis:Safety and efficacy

World Journal of Gastroenterology 2021年第28期27卷 4639-4652页

作者： Alberto E Muñoz Florencia D Pollarsky Mónica Marino Mariano Cartier horacio vázquez Pablo Salgado Gustavo Romero Sección Hepatología Hospital de Gastroenterología Dr.Carlos Bonorino UdaondoFacultad de MedicinaUniversidad de Buenos AiresCiudad Autónoma de Buenos Aires 1264Argentina Instituto de Investigaciones en Salud Pública Facultad de OdontologíaUniversidad de Buenos AiresCiudad Autónoma de Buenos Aires 1122Argentina Unidad Clínica Hospital de Gastroenterología Dr.Carlos Bonorino UdaondoInvestigador Asociado del Gobierno de la Ciudad Autónoma de Buenos AiresCiudad Autónoma de Buenos Aires 1264Argentina

This review summarizes the safety and efficacy of statins in patients with *** to concerns about the safety of statins in patients with impaired liver function,they have recently been investigated as a potential treatment option in *** most clinically significant adverse event is statin-related myopathy,and this may be related to the high serum statin concentrations in the setting of severely impaired liver *** is the most serious and potentially life-threatening *** has recently been demonstrated that the recommended dose of simvastatin in patients with decompensated cirrhosis would be 20 mg/d because higher values,such as 40 mg/d,are associated with many adverse events,especially muscle ***,simvastatin should not be administered to patients with Model for End-stage Liver Disease score>12 and/or Child-Pugh class C because of the high risk of severe muscle *** to the pleiotropic effects,the focus on statins has shifted from being considered harmful to something *** these effects,statins could prevent liver-related morbidity and mortality in cirrhotic *** studies in large populations of patients with cirrhosis have shown that treatment with statins to decrease high cholesterol levels was associated with a reduced risk of hepatic decompensation,hepatocellular carcinoma development and *** few randomized controlled trials in patients with cirrhosis and portal hypertension showed that statins lower portal pressure,quite likely through a reduction in hepatic *** large randomized controlled trial in patients with variceal bleeding showed that simvastatin in addition to standard of care did not prevent rebleeding but improved survival *** these encouraging outcomes,the quality of the evidence regarding the use of statins is low or very low due to the observational characteristics of most of the studies ***,it is advisable to per

关键词： Cirrhosis Liver disease Statins Safety Efficiency

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Gluten immunogenic peptide excretion detects dietary transgressions in treated celiac disease patients

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World Journal of Gastroenterology 2019年第11期25卷 1409-1420页

作者： Ana Florencia Costa Emilia Sugai María de la Paz Temprano Sonia Isabel Niveloni horacio vázquez María Laura Moreno M.Remedios Domínguez-Flores Alba Mu?oz-Suano Edgardo Smecuol Juan Pablo Stefanolo Andrea F González Angel Cebolla-Ramirez Eduardo Mauri?o Elena F verdú Julio César Bai Small Bowel Section Department of MedicineDr.C.Bonorino Udaondo Gastroenterology HospitalBuenos Aires 1263Argentina Department of Immunology Biomedal S.L.Sevilla 41092Spain Farncombe Family Digestive Health Research Institute McMaster UniversityHamiltonON L8S4L8Canada Research Institutes Universidad del SalvadorBuenos Aires 1050Argentina

BACKGROUND Life-long removal of gluten from the diet is currently the only way to manage celiac disease(CeD). Until now, no objective test has proven useful to objectively detect ingested gluten in clinical practice. Recently, tests that determine consumption of gluten by assessing excretion of gluten immunogenic peptides(GIP) in stool and urine have been developed. Their utility, in comparison with conventional dietary and analytical follow-up strategies, has not been fully *** To assess the performance of enzyme-linked immunosorbent assay(ELISA) and point-of-care tests(PoCTs) for GIP excretion in CeD patients on gluten-free diet(GFD).METHODS We conducted an observational, prospective, cross-sectional study in patients following a GFD for at least two years. Using the Gastrointestinal Symptom Rating Scale questionnaire, patients were classified at enrollment as asymptomatic or symptomatic. Gluten consumption was assessed twice by 3-d dietary recall and GIP excretion(by ELISA in stool and PoCTs(commercial kits for stool and urine) in two consecutive samples. These samples and dietary reports were obtained 10 day apart one from the other. Patients were encouraged to follow their usual GFD during the study *** Forty-four patients were enrolled, of which 19(43.2%) were symptomatic despite being on a GFD. Overall, 83 sets of stool and/or urine samples were *** out of 44 patients(25.0%) had at least one positive GIP test. The occurrence of at least one positive test was 32% in asymptomatic patients compared with 15.8% in symptomatic patients. GIP was concordant with dietary reports in 65.9% of cases(Cohen′s kappa: 0.317). PoCT detected dietary indiscretions. Both ELISA and PoCT in stool were concordant(concomitantly positive or negative) in 67 out of 74(90.5%) samples. Excretion of GIP was detected in 7(8.4%) stool and/or urine samples from patients considered to be strictly compliant with the GFD by dietary *** GIP dete

关键词： Celiac disease Follow-up Gluten-free diet Gluten immunogenic peptide excretion Rapid tests

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Risk of fracture in celiac disease:Gender,dietary compliance,or both?

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World Journal of Gastroenterology 2011年第25期17卷 3035-3042页

作者： María Inés Pinto Sánchez Adriana Mohaidle Andrea Baistrocchi Dolores Matoso horacio vázquez Andrea González Roberto Mazure Evangelina Maffei Guillermina Ferrari Edgardo Smecuol Adriana Crivelli Juan Andrés de Paula Juan C Gómez Silvia Pedreira Eduardo Maurio Julio César Bai Small Bowel Section Department of Medicine"Dr.C.Bonorino Udaondo" Gastroenterology Hospital Department of Gastroenterology German Hospital Nutritional Support Unit and Malabsortion "San Martin" HIGA1900 La PlataArgentina Department of Gastroenterology Italian Hospital

AIM:To determine the incidence of peripheral fractures in patients with celiac disease (CD) and the effect of treatment on fracture ***:We compared the incidence and risk of peripheral fractures before and after diagnosis between a cohort of 265 patients who had been diagnosed with CD at least 5 years before study entry and a cohort of 530 age-and sex-matched controls who had been diagnosed with functional gastrointestinal *** were collected through in-person interviews with an *** overall assessment window for patients was 9843 patient-years (2815 patient-years after diagnosis).RESULTS:Compared with the control group,the CD cohort showed significantly higher incidence rate and risk of first peripheral fracture before diagnosis [adjusted hazard ratio (HR):1.78,95% CI:1.23-2.56,P ve higher prevalence of fractures in the peripheral skeleton before *** is associated with male sex and classic clinical *** fracture risk was reduced after the treatment.

关键词： Celiac disease Fracture risk Peripheralfractures Gluten-free diet Sex difference

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Celiac disease serology in patients with different pretest probabilities: Is biopsy avoidable?

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World Journal of Gastroenterology 2010年第25期16卷 3144-3152页

作者： Emilia Sugai María L Moreno Hui J Hwang Ana Cabanne Adriana Crivelli Fabio Nach-man horacio vázquez Sonia Niveloni Julio Argonz Roberto Mazure Graciela La Motta María E Caniggia Edgardo Smecuol Néstor Chopita Juan C Gómez Eduardo Maurińo Julio C Bai Small Bowel Section Department of Medicine Gastroenterology Hospital "Dr. C. Bonorino Udaondo" Caseros 2061 Ciudad de Buenos Aires Argentina Pathology Service Hospital de Gastroenter-ología "Dr. C. Bonorino Udaondo" Av. Caseros 2061 Ciudad de Buenos Aires Argentina USNMA HIGA "San Martín" La Plata B1900 Provincia de Buenos Aires Argentina Endoscopy Service Hospital de Gastroenter-ología "Dr. C. Bonorino Udaondo" Av. Caseros 2061 Ciudad de Buenos Aires Argentina Endoscopy Service HIGA "San Martín" La Plata

AIM: To establish the diagnostic performance of sev-eral serological tests, individually and in combination, for diagnosing celiac disease (CD) in patients with different pretest probabilities, and to explore potential se- rological algorithms to reduce the necessity for biopsy. METHODS: We prospectively performed duodenal biopsy and serology in 679 adults who had either high risk (n = 161) or low risk (n = 518) for CD. Blood samples were tested using six assays (enzyme-linked immunosorbent assay) that detected antibodies to tissue transglutaminase (tTG) and deamidated gliadin peptide (DGP). RESULTS: CD prevalence was 39.1% in the high-risk population and 3.3% in the low-risk group. In high-risk patients, all individual assays had a high diagnostic efficacy [area under receiving operator characteristic curves (AU ROC): 0.968 to 0.999]. In contrast, assays had a lower diagnostic efficacy (AU ROC: 0.835 to 0.972) in the low-risk group. Using assay combinations, it would be possible to reach or rule out diagnosis of CD without biopsy in 92% of cases in both pretest populations. We observed that the new DGP/tTG Screen assay resulted in a surplus compared to more conventional assays in any clinical situation. CONCLUSION: The DGP/tTG Screen assay could be considered as the best initial test for CD. Combinations of two tests, including a DGP/tTG Screen, might be able to diagnose CD accurately in different clinical scenarios making biopsy avoidable in a high proportion of subjects.

关键词： Celiac disease Serology Gliadin peptide antibodies Tissue transglutaminase Antigliadin antibodies Small bowel biopsy Diagnostic accuracy

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Numerical simulation of sedimentation processes in reservoirs as a function of outlet location

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International Journal of Sediment Research 2009年第3期24卷 339-351页

作者： horacio TONIOLO Civil and Environmental Engineering Department University of Alaska Fairbanks

This paper builds on a recently published one-dimensional moving-boundary model of the coevolution of topset, foreset and bottomset in a reservoir that captures the dynamics of the internal muddy pond typical to reservoirs. This model was modified to account for different outlet locations at the reservoir’s downstream end. This model considers a river carrying two sustained phases of sediments: coarse (sand) and fine (mud). The coarse phase deposits in the topset and delta foreset, while the fine phase forms a dilute suspension of wash load in the river. As the river enters the reservoir, the muddy water plunges on the foreset to form a Froude-supercritical (purely depositional) turbidity current. This turbidity current emplaces the bottomset. The modified numerical model was tested against five laboratory experiments previously reported by the author. The model successfully locates the muddy-water/clear-water interface. In addition, modeled and measured bed deposits are in good agreement. Results clearly indicate that the location of the internal hydraulic jump plays a key role in the final bed deposit.

关键词： Numerical model Delta Ponded turbidity currents Outlet location Reservoirs

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In Situ Tests of Multiwalled Carbon Nanotubes with Strength Close to Theoretical Predictions

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Chinese Physics Letters 2009年第1期26卷 194-197页

作者：彭倍 horacio D. Espinosa Center for Micro and Nano Electromechanical Systems University of Electronic Science and Technology of China Chengdu 610054 Micro and Nano Mechanics Laboratory Northwestern University Illinois 60208 USA

Using MEMS technology and transmission electron microscopy we show experimentally multiwalled carbon nanotubes with a mean fracture strength of larger than 100 GPa, which exceeds the earlier observations by a factor of approximately 3. These results are in excellent agreement with quantum-mechanical estimations. This performance is made possible by omitting chemical treatments from the sample preparation process, thus avoiding the formation of defects. High-resolution imaging is used to directly determine the number of fractured shells and the ehirality of the outer shell. Electron irradiation at 200kev for 10, 100 and 1800s lead to improvements of the maximum sustainable loads by factors of 2.4, 7.9 and 11.6 compared with non-irradiated samples of similar diameter. This effect is attributed to crosslinking between the shells. This procedure is a cost effective way of customizing the properties of multiwall nanotubes for many applications of interest ranging from nanocomposites to nanodevices.

关键词： field emission molybdenum dioxide enhancement factor

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Machine learning assisted design of shape-programmable 3D kirigami metamaterials

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npj Computational Materials 2022年第1期8卷 1817-1828页

作者： Nicolas A.Alderete Nibir Pathak horacio D.Espinosa Theoretical and Applied Mechanics Northwestern UniversityEvanstonIL60208USA Department of Mechanical Engineering Northwestern UniversityEvanstonIL60208USA

Kirigami-engineering has become an avenue for realizing multifunctional metamaterials that tap into the instability landscape of planar surfaces embedded with ***,it has been shown that two-dimensional Kirigami motifs can unfurl a rich space of out-of-plane deformations,which are programmable and controllable across spatial *** Kirigami’s versatility,arriving at a cut layout that yields the desired functionality remains a ***,we introduce a comprehensive machine learning framework to shed light on the Kirigami design space and to rationally guide the design and control of Kirigami-based materials from the meta-atom to the metamaterial *** employ a combination of clustering,tandem neural networks,and symbolic regression analyses to obtain Kirigami that fulfills specific design constraints and inform on their control and *** systematic approach is experimentally demonstrated by examining a variety of applications at different hierarchical levels,effectively providing a tool for the discovery of shape-shifting Kirigami metamaterials.

关键词： shape hierarchical shifting

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DISCUSSION ON “NUMERICAL SIMULATION OF SEDIMENT RELEASE FROM RESERvOIRS” (No. 1,2006) BY KHOSROWNEJAD A. AND NEISHABORI A.

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International Journal of Sediment Research 2007年第1期22卷 80-86页

作者： horacio TONIOLO Alfredo TRENTO Civil and Environmental Engineering Department University of Alaska Fairbanks Facultad de Ingenieria y Ciencias Hidricas Universidad Nacional del Litoral

Sedimentation processes in reservoirs can be studied by performing theoretical analysis, laboratory experimentation, numerical simulation, or a combination of these three methods. Available literature focused on reservoirs is abundant. For instance, the works conducted by Hotchkiss and Parker (1991), Morris and Fan (1997), and De Cesare et al.

关键词： AND NEISHABORI A BY KHOSROWNEJAD A DISCUSSION ON NUMERICAL SIMULATION OF SEDIMENT RELEASE FROM RESERvOIRS No

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Nonlinear robust H-infinity filtering for a class of uncertain systems via convex optimization

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控制理论与应用（英文版） 2012年第2期10卷 152-158页

作者： Masoud ABBASZADEH horacio J. MARQUEZ United Technologies Research Center East HartfordCT 06108U.S.A. Department of Electrical and Computer Engineering University of AlbertaEdmontonAlbertaCanada T6G 2V4

A new approach for robust H-infinity filtering for a class of Lipschitz nonlinear systems with time-varying uncertainties both in the linear and nonlinear parts of the system is proposed in an LMI framework. The admissible Lipschitz constant of the system and the disturbance attenuation level are maximized simultaneously through convex multi-objective optimization. The resulting H-infinity filter guarantees asymptotic stability of the estimation error dynamics with exponential convergence and is robust against nonlinear additive uncertainty and time-varying parametric uncertainties. Explicit bounds on the nonlinear uncertainty are derived based on norm-wise and element-wise robustness analysis.

关键词： Nonlinear uncertain systems Robust observers Nonlinear H-infinity filtering Convex optimization

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Biomass and dominance of conservative species drive above-ground biomass productivity in a mediterranean-type forest of Chile

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Forest Ecosystems 2019年第4期6卷 339-351页

作者： Ariel Isaías Ayma-Romay horacio E.Bown Facultad de Ciencias Forestales y Conservación de la Naturaleza Universidad de Chile

Background: Forest productivity has a pivotal role in human well-being. vegetation quantity, niche complementarity, mass-ratio, and soil resources are alternative/complementary ecological mechanisms driving productivity. One challenge in current forest management depends on identifying and manipulating these mechanisms to enhance productivity. This study assessed the extent to which these mechanisms control aboveground biomass productivity(AGBP) of a Chilean mediterranean-type matorral. AGBP measured as tree aboveground biomass changes over a 7-years period, was estimated for twelve 25 m × 25 m plots across a wide range of matorral compositions and structures. variables related to canopy structure, species and functional diversity, species and functional dominance, soil texture, soil water and soil nitrogen content were measured as surrogates of the four mechanisms proposed. Linear regression models were used to test the hypotheses. A multimodel inference based on the Akaike’s information criterion was used to select the best models explaining AGBP and for identifying the relative importance of each ***: vegetation quantity(tree density) and mass-ratio(relative biomass of Cryptocarya alba, a conservative species) were the strongest drivers increasing AGBP, while niche complementarity(richness species) and soil resources(sand, %) had a smaller effect either decreasing or increasing AGBP, respectively. This study provides the first assessment of alternative mechanisms driving AGBP in mediterranean forests of Chile. There is strong evidence suggesting that the vegetation quantity and mass-ratio mechanisms are key drivers of AGBP, such as in other tropical and temperate forests. However, in contrast with other studies from mediterranean-type forests, our results show a negative effect of species diversity and a small effect of soil resources on ***: AGBP in the Chilean matorral depends mainly on the vegetation quantity and mass-ratio mechanisms

关键词： Above-ground biomass productivity Diversity Niche complementarity Mass-ratio Mediterranean Soil resources

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