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Gastroenterology case report of mesalazine-induced cardiopulmonary hypersensitivity

World Journal of Gastroenterology 2015年第13期21卷 4069-4077页

作者： José Ferrusquía isabel Pérez-martínez Ricardo Gómez de la Torre María Luisa Fernández-Almira Ruth de Francisco Luis Rodrigo Sabino Riestra Department of Gastroenterology Central University Hospital of Asturias33011 OviedoAsturiasSpain Department of Internal Medicine Central University Hospital of Asturias33011 OviedoAsturiasSpain

Mesalazine is a 5-aminosalicylic acid derivative that has been widely used to treat patients with inflammatory bowel disease. Accumulating evidence indicates that mesalazine has a very low rate of adverse drug reactions and is well tolerated by patients. However, a few cases of pulmonary and cardiac disease related to mesalazine have been reported in the past, though infrequently, preventing clinicians from diagnosing the conditions early. We describe the case of a 32-yearold man with ulcerative colitis who was admitted with a two-month history of persistent fever following mesalazine treatment initiated 14 mo earlier. At the time of admission, mesalazine dose was increased from 1.5 to 3.0 g/d, and antibiotic therapy was started with no improvement. Three weeks after admission, the patient developed dyspnea, non-productive cough, and chest pain. Severe eosinophilia was detected in laboratory tests, and a computed tomography scan revealed interstitial infiltrates in both lungs, as well as a large pericardial effusion. The bronchoalveolar lavage reported a CD4/CD8 ratio of 0.5, and an increased eosinophil count. Transbronchial biopsy examination showed a severe eosinophilic infiltrate of the lung tissue. Mesalazine-induced cardiopulmonary hypersensitivity was suspected after excluding other possible etiologies. Consequently, mesalazine treatment was suspended, and corticosteroid therapy was initiated, resulting in resolution of symptoms and radiologic abnormalities. We conclude that mesalazine-induced pulmonary and cardiac hypersensitivity should always be considered in the differential diagnosis of unexplained cardiopulmonary symptoms and radiographic abnormalities in patients with inflammatory bowel disease.

关键词： Eosinophilia Mesalazine Pericardial effusion Lung

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Acceptance of living liver donation among medical students: A multicenter stratified study from Spain

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World Journal of Gastroenterology 2016年第25期22卷 5800-5813页

作者： Antonio Ríos Ana isabel López-Navas Ana isabel López-López Francisco Javier Gómez Jorge Iriarte Rafael Herruzo Gerardo Blanco Francisco Javier Llorca Angel Asunsolo Pilar Sánchez-Gallegos Pedro Ramón Gutiérrez Ana Fernández María Teresa de Jesús Laura martínez-Alarcón Alberto Lana Lorena Fuentes Juan Ramón Hernández Julio Virseda José Yelamos José Antonio Bondía Antonio Miguel Hernández Marco Antonio Ayala Pablo Ramírez Pascual Parrilla International Collaborative Donor Project ('Proyecto Colaborativo Internacional Donante' 30007 Casillas Murcia Spain Department of Surgery Paediatrics Obstetrics and Gynaecology University of Murcia Avenida de las Fuerzas Armadas 30800 Espinardo Murcia Spain Transplant Unit Surgery Service IMIB - Virgen de la Arrixaca University Hospital Carretera Madrid-Cartagena s/n 30120 El Palmar Murcia Spain Regional Transplant Centre Consejeria de Sanidad y Consumo de la Region de Murcia 30008 Ronda de Levante Murcia Spain Hospital Clinico Universitario Virgen de la Arrixaca Departamento de Cirugia General y del Aparato Digestivo Unidad de Trasplantes 30007 Casillas Murcia Spain Department of Psychology Universidad Catolica San Antonio (UCAM) Avenida de los Jeronimos 30107 Guadalupe Murcia Spain Department of Urology San Juan University Hospital of Alicante 03010 Calle Pintor Baeza Alicante Spain Universidad de Granada Avenida del Hospicio s/n 18010 Granada Spain Universidad de Navarra Campus Universitario 31080 Pamplona Navarra Spain Universidad Autonoma de Madrid Ciudad Universitaria de cantoblanco 28049 Madrid Spain Servicio de Cirugia HBP y Trasplante Hepatico Complejo Hospitalario Universitario de Badajoz Hospital Infanta Cristina Avenida Elvas s/n 06006 Badajoz Spain Universidad de Cantabria Avenida los Castros s/n 39005 Santander Cantabria Spain Departamento de Cirugia Ciencias Medicas y Sociales Facultad de Medicina y Ciencias de la Salud Universidad de Alcala Campus Cientifico-Tecnologico Plaza de San Diego s/n 28801 Alcala de Henares Madrid Spain Facultad de Medicina Universidad de Malaga 29071 Avenida de Cervantes Malaga Spain Servicio de Urologia (Complejo Hospitalario Universitario de Canarias CHUC) y Departamento de Cirugia (Universidad de La Laguna ULL) Calle Molinos de Agua s/n 38207 San Cristobal de La Laguna Santa Cruz de Tenerife Spain Departamento de Ciencias Biomedicas Basicas Facultad de Ciencias Biomedicas Universidad Europea de

AIM: To analyze the attitude of Spanish medical students toward living liver donation (LLD) and to establish which factors have an influence on this ***: Study type: A sociological, interdisciplinary, multicenter and observational study. Study population: Medical students enrolled in Spain (n = 34000) in the university academic year 2010-2011. Sample size: A sample of 9598 students stratified by geographical area and academic year. Instrument used to measure attitude: A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. Data collection procedure: Randomly selected medical schools. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis: Student´s t test, χ2 test and logistic regression ***: The completion rate was 95.7% (n = 9275). 89% (n = 8258) were in favor of related LLD, and 32% (n = 2937) supported unrelated LLD. The following variables were associated with having a more favorable attitude: (1) age (P = 0.008); (2) sex (P < 0.001); (3) academic year (P < 0.001); (4) geographical area (P = 0.013); (5) believing in the possibility of needing a transplant oneself in the future (P < 0.001); (6) attitude toward deceased donation (P < 0.001); (7) attitude toward living kidney donation (P < 0.001); (8) acceptance of a donated liver segment from a family member if one were needed (P < 0.001); (9) having discussed the subject with one’s family (P < 0.001) and friends (P < 0.001); (10) a partner’s opinion about the subject (P < 0.001); (11) carrying out activities of an altruistic nature; and (12) fear of the possible mutilation of the body after donation (P < 0.001).CONCLUSION: Spanish medical students have a favorable attitude toward LLD.

关键词： Attitude Living liver donation Medical students Transplantation Organ donation Psychosocial variables Spain

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Second-look surgery plus hyperthermic intraperitoneal chemotherapy for patients with colorectal cancer at high risk of peritoneal carcinomatosis:Does it really save lives?

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World Journal of Gastroenterology 2017年第3期23卷 377-381页

作者： Delia Cortes-Guiral Dominique Elias Pedro Antonio Cascales-Campos Alfredo Badía Yébenes Ismael Guijo Castellano Ana isabel León Carbonero JoséIgnacio martín Valadés Jesus Garcia-Foncillas Damian Garcia-Olmo Department of General Surgery(Peritoneal Surface Surgical Oncolongy) Fundación Jiménez Díaz Hospital28050 MadridSpain Department of Surgical Oncology Institut Gustave Roussy94805 VillejuifCédexFrance Department of General Surgery(Peritoneal Surface Surgical Oncolongy) Virgen de la Arrixaca30120 MurciaSpain Department of Medical Oncology Fundación Jiménez Díaz Hospital28050 MadridSpain

The treatment of peritoneal carcinomatosis (PC) of colorectal origin with cytoreductive surgery(CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) has a 5-year recurrence-free or cure rate of at least 16%, so it is no longer labeled as a fatal disease, and offers prolonged survival for patients with a low peritoneal carcinomatosis index. Metachronous PC of colorectal origin is so predictable that there is a model which has been used to successfully determine the individual risk of each patient. Patients at risk are clearly identified; those with the highest risk have small peritoneal nodules present in the first surgery (70% probability of developing PC), ovarian metastases(60%), perforated tumor onset or intraoperative tumor rupture(50%). Current clinical, biological and imaging techniques still lack sufficient sensitivity to diagnose PC in its initial stages, when CRS plus HIPEC has a greater impact and a higher cure rate. Second-look surgery with HIPEC or prophylactic HIPEC at the time of the first intervention have been proposed as means of preventing and/or anticipating clinical or radiological relapse in at-risk patients. Both techniques have shown a significant decrease in peritoneal relapses and should be considered essential weapons in the management of colorectal cancer.

关键词： Second-look surgery High-risk patients Peritoneal carcinomatosis Hyperthermic intraperitoneal chemotherapy Colo-rectal cancer

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Crystallographic Properties of the Unsupported Ni-Mo Carbides Phases

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Advances in Materials Physics and Chemistry 2013年第3期3卷 206-208页

作者： Adriana isabel Reyes de la Torre José Aarón Melo Banda Ulises Paramo García Diana Isela Sánchez Alvarado Marco Antonio Coronel García Benjamín Portales martínez Madero City Institute of Technology Madero City Mexico Madero City Institute of Technology Madero City Mexico Mexican Petroleum Institute Molecular Engineering Program Mexico City Mexico Mexican Petroleum Institute Molecular Engineering Program Mexico City Mexico

In the present work, the crystallographic properties of unsupported Ni-Mo catalyst serie were carried out. They were synthesized with a ratio of Mo from 10, 25, 50 to 75 wt%. The final catalysts were characterized by X-ray diffraction (XRD) in order to identify crystallographic phases present in the solids using DRXwinsoftware version 2.3. The crystal size was determinated by Bragg’s law. Ni-Mo catalyst model (MoC-75) structure was modeled by Carine Crystallography Software version 3.1 which was built based on its space group and atomic positions which were previous the results of XRD. Characteristical phases of Ni-Mo Carbides were identified for their typical planes (111), (200) and (311) for Ni-Mo series and the plane (101) for the a Mo-C series.

关键词： Catalysts Carbides Crystallography Ni-Mo Molybdenum Nickel

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Factors Associated to the Presence of Pneumothorax in Cystic Fibrosis Patients in the City of Madrid

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International Journal of Clinical Medicine 2011年第3期2卷 212-217页

作者： Prados Concepción Carpio Carlos martínez María Teresa Máiz Luis Girón Rosa Barrio isabel Salcedo Antonio García Hernández Gloria Gómez Carrera Luis álvarez-Sala Rodolfo Prados Sánchez Concepción Department of Pneumology La Paz University Hospital Madrid

Background: To identify risk factors associated with pneumothorax and to determine the prognosis of cystic fibrosis patients following an episode of pneumothorax in the city of Madrid. Methods: Records of 17 patients (10 males;age 24.4 ± 17.5 years) and 32 controls, and a total of 44 pneumothorax episodes were studied. We have analyzed the characteristics of the pneumothorax, the microbiology, the lung function tests (LFT) and the prognosis of patients. Two controls with cystic fibrosis and without pneumothorax matched for sex and age were selected. Results: Eight male and three female patients with pneumothorax were older than 18 years. The mean age of the first pneumothorax episode was 18.3 years (±9.6). The group with pneumothorax had a mean body mass index of 19.2(±2.42 kg/m2) and in the control group it was 26.5 (±1.98 kg/m2). Pseudomonas aeruginosa was present in fourteen patients (82%) with pneumothorax and in eleven patients (34.4%) in the control group (p = 0.002). Pneumothorax predominantly occurred in the coldest seasons. There was a significant drop in both forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) after the pneumothorax. In the same way, FEV1 and FVC were greater in the control group. Six patients (35.4%) with pneumothorax and two patients in the control group have died (p < 0.05). Conclusions: Patients with pneumothorax are more likely to have P. aeruginosa colonization. LFT drop after an episode of pneumohorax. Patients with pneumothorax have worse LFT than patients without pneumothorax. Mortality is greater in patients with pneumothorax.

关键词： Cystic Fibrosis Pleural Disease Pneumothorax

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Evaluation of habitat requirements of small rodents and effectiveness of an ecologically-based management in a hantavirus-endemic natural protected area in Argentina

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Integrative Zoology 2017年第1期12卷 77-94页

作者： María Victoria VADELL Francisco GARCÍA ERIZE isabel Elisa GÓMEZ VILLAFAÑE Department of Ecology Genetics and Evolution.Institute of EcologyGenetics and Evolution(IEGEBA-CONICET).University of Buenos AiresBuenos AiresArgentina Institute of Research and Environmental Engineering(3iA).University of San martín San MartínBuenos AiresArgentina

Hantavirus pulmonary syndrome is a severe cardio pulmonary disease transmitted to humans by sylvan rodents found in natural and rural *** transmission is closely linked to the ecology of animal reservoirs and abiotic factors such as habitat characteristics,season or climatic *** main goals of this research were:to determine the biotic and abiotic factors affecting richness and abundance of rodent species at different spatial scales,to evaluate different methodologies for studying population of small rodents,and to describe and analyze an ecologically-based rodent management experience in a highly touristic area.A 4-year study of small rodent ecology was conducted between April 2007 and August 2011 in the most relevant habitats of El Palmar National Park,*** involved a wide range of control and prevention measures,including poisoning,culling and habitat modification.A total of 172 individuals of 5 species were captured with a trapping effort of 13860 traps-nights(1.24 individuals/100 traps-nights).Five rodent species were captured,including 2 hantavirus-host species,Oligoryzomys nigripes and Akodon *** nigripes,host of a hantavirus that is pathogenic in humans,was the most abundant species and the only one found in all the studied *** results are inconsistent with the dilution effect *** present study demonstrates that sylvan rodent species,including the hantavirus-host species,have distinct local habitat selection and temporal variation patterns in abundance,which may influence the risk of human exposure to hantavirus and may have practical implications for disease transmission as well as for reservoir management.

关键词： abundance disease prevention habitat use population dynamics zoonosis

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Effect of the Substitution of Sand by Rubber of Waste Tires on the Mechanical Properties of Hydraulic Concrete and Exposure to Gamma Radiation

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Journal of Minerals and Materials Characterization and Engineering 2021年第3期9卷 245-256页

作者： Jesús M. Colín de la Cruz Carmen Gabriela Guzmán Fermín Castillo Mejía Benjamin Leal Acevedo Osvaldo Flores Cedillo isabel Gamboa de Buen Arturo Molina Ocampo Horacio martínez Valencia Facultad de Ciencias Químicas e Ingeniería Universidad Autónoma del Estado de Morelos Cuernavaca México Laboratorio de Espectroscopia Instituto de Ciencias Físicas Universidad Nacional Autónoma de México Cuernavaca México Instituto de Ciencias Nucleares Universidad Nacional Autónoma de México México City México Centro de Investigación en Ingeniería y Ciencias Aplicadas UAEM Cuernavaca México

For a long time and until now, rubber is the most used material for the manufacture of tires for motor vehicles. Unfortunately, once the tire meets its life cycle, the remaining rubber cannot be recycled, so the tires are discarded in collection centers and often in clandestine dumps. This represents a serious environmental problem because, in one case, these waste tires become breeding grounds for insects and wildlife that is harmful to humans. In the second case, the tires are burned, releasing highly damaging gases into the atmosphere. On the other hand, concrete is worldwide the construction material par excellence. It is basically composed of cement, gravel and sand. Mixing these three components in different proportions, their mechanical strength in compression can be increased. However, due to its fragile nature, concrete, once a crack is formed, it rapidly advances by fragmenting the material and producing its rapid collapse. In the present work, in order contribute to the care of the environment as well as to modify the fracture mode of the concrete, rubber particles obtained from waste tires were used as sand substitute in hydraulic concrete. In addition, rubber modified samples concrete were lately exposed to 70 kGy of gamma radiation in order to study the effects of this radiation on the mechanical deformation of concrete. The results showed a decrease in the mechanical properties of the concrete with rubber particles with respect to the traditional concrete itself. However, such decreases were offset by the fact that samples with rubber addition do not collapses as fast as the free rubber samples. The acquired data pave the way for research with great benefits, such as the use of recycled tires in concrete for its fracture mode modification in a beneficial way, as well as a possible decrease in the cost of concrete.

关键词： Hydraulic Concrete Scrap Tire Rubber Strength Gamma Radiation Mechanical Properties

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Impact of diff erent waves of COVID-19 on emergency medical services and out-of-hospital cardiopulmonary arrest in Madrid, Spain

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World Journal of Emergency Medicine 2022年第5期13卷 386-389页

作者： Jose-María Navalpotro-Pascual Diana Monge martín Manuel-José González León Fernando Neria Serrano Carlos Alonso Blas Belén Muñoz isabel Yago Muñecas Cuesta Alfredo Carrillo Moya Juan Les González Alonso Mateos Rodríguez Madrid Emergency Medical Services SUMMA 112Madrid 28045Spain School of Medicine Francisco de Vitoria UniversityMadrid 28223Spain(School of MedicineUniversidad Francisco de VitoriaMadrid 28223Spain)

Out-of-hospital cardiac arrest(OHCA)is one of the three leading causes of death in industrialized countries.[1,2]Some studies have described the impact of the first COVID-19 pandemic wave in terms of the number of cases and OHCA survival rates in various regions,[3-5]but few have addressed the relationship between the successive phases and how they affected OHCA.[6,7]The 14-d cumulative incidence peaked at more than 990 cases,with these rates remaining above 200 for an eight-month period between 15 March 2020 and 15 March 2021 in Madrid,Spain.

关键词： cardiac services successive

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Management of incidentally discovered appendiceal neuroendocrine tumors after an appendicectomy

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World Journal of Gastroenterology 2022年第13期28卷 1304-1314页

作者： JoséLuis Muñoz de Nova Jorge Hernando Miguel Sampedro Núñez Greissy Tibisay Vázquez Benítez Eva María Triviño Ibáñez María isabel del Olmo García Jorge Barriuso Jaume Capdevila Elena martín-Pérez Department of General and Digestive Surgery Hospital Universitario de La PrincesaMadrid 28006Spain Department of Surgery Universidad Autónomade MadridMadrid 28029Spain Gastrointestinal and Endocrine Tumor Unit Medical Oncology DepartmentVall d´Hebron University HospitalVall d´Hebron Institute of OncologyBarcelona 08035Spain Department of Endocrinology and Nutrition Hospital Universitario de La PrincesaMadrid 28006Spain Department of Pathology Hospital Universitario Puerta de HierroMadrid 28222Spain Department of Pathology Universidad Autónoma de MadridMadrid 28029Spain Department of Nuclear Medicine Virgen de las Nieves University HospitalGranada 18014Spain Department of Endocrinology and Nutrition Hospital Universitario i Politècnic La FeValencia 46023Spain Division of Cancer Sciences School of Medical SciencesFaculty of BiologyMedicine and HealthUniversity of ManchesterManchester M139PLUnited Kingdom Department of Medical Oncology The Christie NHS Foundation TrustManchester M204BXUnited Kingdom

Appendiceal neuroendocrine tumors(aNETs)are an uncommon neoplasm that is relatively indolent in most *** are typically diagnosed in younger patients than other neuroendocrine tumors and are often an incidental finding after an *** there are numerous clinical practice guidelines on management of a NETs,there is continues to be a dearth of evidence on optimal *** of these tumors is stratified according to risk of locoregional and distant ***,there is a lack of consensus regarding tumors that measure 1-2 *** these cases,some histopathological features such as size,tumor grade,presence of lymphovascular invasion,or mesoappendix infiltration must also be *** tomography or magnetic resonance imaging scans are recommended for evaluating the presence of additional disease,except in the case of tumors smaller than 1 cm without additional risk *** receptor scintigraphy or positron emission tomography with computed tomography should be considered in cases with suspected residual or distant *** main point of controversy is the indication for performing a completion right hemicolectomy after an initial appendectomy,based on the risk of lymph node *** main factor considered is tumor size and 2 cm is the most common threshold for indicating a *** factors such as mesoappendix infiltration,lymphovascular invasion,or tumor grade may also be *** the other hand,potential complications,and decreased quality of life after a hemicolectomy as well as the lack of evidence on benefits in terms of survival must be taken into *** this review,we present data regarding the current indications,outcomes,and benefits of a colectomy.

关键词： Neuroendocrine tumors Carcinoid tumor Appendiceal neoplasms Colectomy Neoplasm grading Treatment outcome

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两个商品PRRSV欧洲型改良式活疫苗在妊娠母猪上的使用效果

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国外畜牧学（猪与禽） 2007年第2期27卷 36-40页

作者：于古月 Mariela Scorttil Cinta Prieto Francisco J.martínez-Lobo isabel Simarro José M.Castro

1前言猪繁殖呼吸综合征（PRRS）的典型症状是仔猪呼吸窘迫和母猪繁殖失败．PRRSV属于动脉炎病毒科（Arterividae）动脉炎病毒属．是一种小体形、被囊膜包裹的单股正链RNA病毒。PRRSV是一类病度异基因的病毒．根据基因型、抗原性和致病... 详细信息

1前言猪繁殖呼吸综合征（PRRS）的典型症状是仔猪呼吸窘迫和母猪繁殖失败．PRRSV属于动脉炎病毒科（Arterividae）动脉炎病毒属．是一种小体形、被囊膜包裹的单股正链RNA病毒。PRRSV是一类病度异基因的病毒．根据基因型、抗原性和致病力，可将其划分为欧洲型和美洲型两种基因型。

关键词： PRRSV 使用效果妊娠母猪猪繁殖呼吸综合征正链RNA病毒欧洲活疫苗改良式

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