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Surgical Science 2015年第8期6卷 376-382页

作者： J.C.Martín del Olmo Luis García-Vallejo jose nunez gestal Pablo Concheiro Coello Francisco Blanco Antona Miguel Toledano Trincado Javier Sanchez Gonzalez M.Luz Martín Esteban L.Colao Carlos Vaquero Puerta Miguel Carbajo Surgery Department Medina del Campo HospitalValladolidSpain Surgery Department CHUSCalle Rua de Ramon BaltarSantiago de CompostelaSpain Radiology Department CHUSCalle Rua de Ramon BaltarSantiago de CompostelaSpain Department of General and Digestive Surgery Medina del Campo HospitalValladolidSpain Surgery Department University of ValladolidValladolidSpain CEOAD ValladolidSpain

Background and Objectives: The aim of this study is to evaluate the usefulness of Magnetic Resonance Imaging (MRI) for planning surgery and postoperative control of complex cases of abdominal wall hernia. Methods: Included in a prospective data base with more than 350 patients treated in two centers, a prospective study over ten patients with complex incisional hernias was designed. In all cases, preoperative diagnosis study and postoperative imaging control by MR Imaging were established. In the early and late follow-up controls, local and general complications were specifically noted and studied by MRI in each case. Results: The preoperative MRI was effective method for an adequate understanding of the defects and hernia sack content. In the postoperative control, the MRI was useful in the follow-up of the mesh integration, detection of complications and diagnosis of the relapsing. Conclusion: In our experience the MRI test is specially recommended in the preoperative workup of complex cases of incisional hernia.

关键词： Incisional Hernia MR Imaging Laparoscopic Eventroplasty

Task Offloading in Edge Computing Using GNNs and DQN

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Computer Modeling in Engineering & Sciences 2024年第6期139卷 2649-2671页

作者： Asier Garmendia-Orbegozo jose David nunez-Gonzalez Miguel Angel Anton Department of Applied Mathematics University of the Basque Country UPV/EHUEibar20600Spain TECNALIA Basque Research and Technology Alliance(BRTA)San Sebastian20009Spain

In a network environment composed of different types of computing centers that can be divided into different layers(clod,edge layer,and others),the interconnection between them offers the possibility of peer-to-peer task *** many resource-constrained devices,the computation of many types of tasks is not feasible because they cannot support such computations as they do not have enough available memory and processing *** this scenario,it is worth considering transferring these tasks to resource-rich platforms,such as Edge Data Centers or remote cloud *** different reasons,it is more exciting and appropriate to download various tasks to specific download destinations depending on the properties and state of the environment and the nature of the *** the same time,establishing an optimal offloading policy,which ensures that all tasks are executed within the required latency and avoids excessive workload on specific computing centers is not *** study presents two alternatives to solve the offloading decision paradigm by introducing two well-known algorithms,Graph Neural Networks(GNN)and Deep Q-Network(DQN).It applies the alternatives on a well-known Edge Computing simulator called PureEdgeSimand compares them with the two defaultmethods,Trade-Off and Round *** showed that variants offer a slight improvement in task success rate and workload *** terms of energy efficiency,they provided similar ***,the success rates of different computing centers are tested,and the lack of capacity of remote cloud servers to respond to applications in real-time is *** novel ways of finding a download strategy in a local networking environment are unique as they emulate the state and structure of the environment innovatively,considering the quality of its connections and constant *** download score defined in this research is a crucial feature for determining the quality of a download path

关键词： Edge computing edge offloading fog computing task offloading

Rethinking de novo immune hepatitis,an old concept for liver allograft rejection:relevance of glutathione S-transferase T1 mismatch

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World Journal of Gastroenterology 2018年第29期24卷 3239-3249页

作者： Isabel Aguilera Elena Aguado-Dominguez jose Manuel Sousa Antonio nunez-Roldan Department of Immunology Instituto de Biomedicina de Sevilla(IBIS)Hospital Universitario Virgen del RocíoSevilla 41013Spain Digestive and Liver Diseases Service Hospital Universitario Virgen del RocíoSevilla 41013Spain

Antibody-mediated rejection(AMR) in liver transplantation has long been underestimated. The concept of the liver as an organ susceptible to AMR has emerged in recent years, not only in the context of the major histocompatibility complex with the presence of HLA donor-specific antibodies, but also with antigens regarded as "minor", whose role in AMR has been demonstrated. Among them, antibodies against glutathione S-transferase T1 have been found in 100% of patients with de novo autoimmune hepatitis(dn AIH) when studied. In its latest update, the Banff Working Group for liver allograft pathology proposed replacing the term dn AIH with plasma cell(PC)-rich rejection. Antibodies to glutathione S-transferase T1(GSTT1) in null recipients of GSTT1 positive donors have been included as a contributory but nonessential feature of the diagnosis of PC-rich rejection. Also in this update, non-organ-specific anti-nuclear or smooth muscle autoantibodies are no longer included as diagnostic criteria. Although initially found in a proportion of patients with PC-rich rejection, the presence of autoantibodies is misleading since they are not diseasespecific and appear in many different contexts as bystanders. The cellular types and proportions of the inflammatory infiltrates in diagnostic biopsies have been studied in detail very recently. PC-rich rejection biopsies present a characteristic cellular profile with a predominance of T lymphocytes and a high proportion of PCs, close to 30%, of which 16.48% are Ig G4+. New data on the relevance of GSTT1-specific T lymphocytes to PC-rich rejection will be discussed in this review.

关键词： glutathione S-transferase T1 mismatch liver allograft rejection plasma cell-rich rejection de novo autoimmune hepatitis donor-specific antibodies newCAST cell quantification IgG4+plasma cell T lymphocytes

Overview of Multidrug-Resistant Pseudomonas aeruginosa and Novel Therapeutic Approaches

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Journal of Biomaterials and Nanobiotechnology 2012年第4期3卷 519-527页

作者： Marilyn Porras-Gomez jose Vega-Baudrit Santiago nunez-Corrales National Nanotechnology Laboratory LANOTEC National Center for Advanced Technology CeNATSan JoseCosta Rica E-Science Research Program Costa Rican Institute of TechnologyCartagoCosta Rica

Gram-negative bacilli Pseudomonas aeruginosa is an important pathogen in hospitalized patients, contributing to their morbidity and mortality due to its multiple resistance mechanisms. Therefore, as therapeutic options become restricted, the search for new agents is a priority. Latterly an accelerated increase in frequency of multidrug-resistant clinical strains has severely limited the availability of therapeutic options. Several in vitro and in vitro studies evaluating the efficacy of different antimicrobials agents and development of vaccines against P. aeruginosa have been reported as novel approaches, such as inhibition of virulence factor expression or inhibition of their metabolic pathways.

关键词： Bacilli Gram-Negative Pseudomonas aeruginosa Multidrug Resistance Pathogen Resistance Mechanisms

Evaluation of the Synergistic Effect of EDTA-Functionalized Chitosan Nanoparticles on Imipenem Delivery in Pseudomonas aeruginosa Carbapenem-Resistant Strain AG1

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Journal of Biomaterials and Nanobiotechnology 2018年第1期9卷 64-78页

作者： Marilyn Porras-Gomez jose Vega-Baudrit Fernando Garcia Santiago nunez-Corrales Sergio Madrigal-Carballo National Nanotechnology Laboratory(LANOTEC) National Center for Advanced Technology Studies(CeNAT)San JoseCosta Rica Centro de Investigaciones en Enfermedades Tropicales(CIET) Facultad de MicrobiologiaUniversidad de Costa RicaSan PedroCosta Rica National Center for Biotechnological Innovations(CENIBiot) National Center for Advanced Technology Studies(CeNAT)San JoseCosta Rica

Metallo-β-lactamases are bacterial zinc-dependent enzymes involved in the hydrolysis of β-lactamic antibiotics representing the main cause of bacterial resistance to carbapenems, drugs of last resort for treating infections caused by multiresistant bacteria. We elaborated the hypothesis that it is possible to inhibit the enzymatic activity of metallo-β-lactamases by lowering the availability of zinc in the extracellular medium using metal chelating agents such as EDTA carried on nanoparticles. Chitosan, as linear cationic polysaccharide is frequently used in biomedical and pharmaceutical applications, has been studied as a biocompatible encapsulating agent in drug delivery systems and is an ideal transport agent for bioactive molecular complexes in antibiotic applications due to its ability to associate with negatively charged substances. We developed novel nanoparticles using chitosan as a transport matrix for β-lactamic antibiotics. Nanoparticles were synthesized according to the ion gelation method using tripolyphosphate as crosslinking agent. Nanoparticles were functionalized by the adsorption of EDTA, which acts as complexifying agent for Zn2+ ions causing inhibition of metallo-β-lactamases activity. We evaluate the antimicrobial effects of EDTA-functionalized nanoparticles with an imipenem cargo on the clinical isolate P. aeruginosa AG1, a carbapenem-resistant high-risk clone ST-111 carrying both blaIMP-18 and blaVIM-2 metallo-β-lactamases genes.

关键词： Chitosan EDTA Nanoparticles Drug-Resistant Imipenem

Technical and Economic Feasibility of Using Hydrogen as Energy Storage System in Wind Farms

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材料科学与工程（中英文版） 2010年第3期4卷 17-21页

作者： Orlando Lastres Danguillecourt Geovanni Hemandez Galvez Alrel nunez Rodnguez jose Rafael Dorrego Portela jose Alberto Saldafia Juarez Miriam Guadalupe Peralta Morales Instituto de Estudios de la Energia Universidad del ISTMO Oaxaca 70760 Mexico Centro de Investigacion en Energia UNAM. Temixco Morelos 62580 Mdxico

Impact of triple antithrombotic therapy in patients with acute coronary syndrome undergoing percutaneous coronary intervention in real-world practice

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Journal of Geriatric Cardiology 2017年第11期14卷 679-687页

作者： Yan YAN Xiao WANG Jing-Yao FAN Shao-Ping NIE SerGio Raooseiras-Roubin Emad Abu-Assi jose P Simao Henriques: Fabrizio D'Ascenzo Jorge Saucedo jose R Gonzalez-Juanate Stephen B Wilton Wouter J Kikkert Ivan nunez-Gil Albert Ariza-Sole Xian-Tao SONG Dimitrios Alexopoulos Christoph Liebetrau Tetsuma Kawaji Claudio Morettil Zenon Huczek Toshiharu Fujii Luis cL Correia Masa-aki Kawashiri Sasko Kedev Beijing Anzhen Hospital Capital Medical University Beijing China University Hospital Alvaro Cunqueiro Vigo Spain University Academic Medical Center Amsterdam The Netherlands Dipartimento di Scienze Mediche Divisione di Cardiologia Cittgl della Salute e della Scienza Turin Italy NorthShore University Hospital Chicago U.S.A. University Clinical Hospital of Santiago de Compostela Spain Libin Cardiovascular Institute of Alberta Calgary Canada San Carlos Hospital Madrid Spain Bellvitge Hospital Barcelona Spain University Patras Hospital Athens Greece Kerckhoff Heart and Thorax Center Frankfurt Germany Graduate School of Medicine Kyoto University Kyoto Japan University Clinical Hospital Warsaw Poland Tokai University School of Medicine Tokyo Japan Hospital Sao Rafael Salvador Brazil Kan'azawa University Graduate School of Medicine Kanazawa Japan University Clinic of Cardiology Skopje Macedonia

Objective The optimal antithrombotic regimen for patients on oral anticoagulation （OAC） after acute coronary syndrome （ACS） and percutaneous coronary intervention （PCI） remains debated. This study sought to evaluate the efficacy and safety of OAC plus clopidogrel with or without aspirin in a real-world setting. Methods We retrospectively analyzed data from an international, multi-center registry be- tween 2003 and 2014 （n = 15,401）. Patients with ACS and receiving OAC after PCI were screened. The composite primary endpoint was 1-year all-cause death, re-infarction, or severe bleeding. Results The final analysis enrolled 642 patients including 62 patients （9.7%） with OAC and clopidogrel （dual therapy）, and 580 patients （90.3%） with the combination of aspirin, OAC and clopidogrel （triple therapy）. Pa- tients on triple therapy were more often female and were more likely to have comorbidities. There was no significant difference regarding the primary end point between dual therapy with triple therapy patients [17.74% vs. 17.24%; unadjusted hazard ratio （HR）： 1.035; 95% confi- dence interval （CI）： 0.556-1.929; adjusted HR： 1.026; 95% CI： 0.544-1.937]. However, the re-infarction rate was significantly higher in dual therapy than triple therapy patients （14.52% vs. 5.34%; unadjusted HR： 2.807; 95% CI： 1.329-5.928; adjusted HR： 2.333; 95% CI： 1.078-5.047）. In addition, there was no difference between two regimes in all-cause death and severe bleeding. Conclusions In real-life patients with ACS following PCI and with an indication of OAC, triple therapy was not associated with an increased rate of adverse out- comes compared to dual therapy. Moreover, it decreased risk of re-infarction and did not increase risk of severe bleeding.

关键词： Acute coronary syndrome Oral anticoagulation Outcome Triple antithrombotic therapy

Performance of Brooders,Fry and Growth of the Nile Tilapia(Oreochromis niloticus)Cultured in an Experimental Recirculating Aquaculture System

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Agricultural Sciences 2015年第9期6卷 1014-1022页

作者： jose Luis Arredondo-Figueroa Laura Georgina nunez-García Jesus T.Ponce-Palafox Irene de Los Angeles Barriga-Sosa Unidad Acuícola Departamento de ZootecniaUniversidad Autonoma de AguascalientesAguascalientesMéxico Planta Experimental de Produccion Acuicola Division de Ciencias Biológicas y de la SaludDepartamento de HidrobiologíaUniversidad Autónoma Metropolitana IztapalapaMéxicoD.F.México Centro de Innovación y Transferencia Tecnológica CENITT Posgrado CBAPEscuela Nacional de Ingeniería PesqueraUniversidad Autónoma de NayaritTepicMéxico

We present results of a long-term study aimed to optimize Nile tilapia O. niloticus production in a recirculating aquaculture system (RAS) in México City. Three experiments were evaluated: 1) fry production;2) production of masculinized fries;and 3) assessment of growth under three different densities (10, 30 and 75 fish/m3). The broodstock produced on average 2400 ± 600 fry every 15 days during six months, with a total production of 28,800 ± 2000. One hundred percent males were produced in 274-L raceways in an eight-week period. The obtained results in fish production in the RAS system indicated variations related to density. A daily growth rate of 3.6 g/day was registered with a density of 10 fish/m3, 0.9 g/day in 30 fish/m3 and 0.4 g/day in 75 fish/m3. This information could be useful for production purposes in this type of systems.

关键词： Tilapia Oreochromis niloticus Intensive Culture Sex Reversal Growth Densities

Synthesis and Characterization of ZnO Film on Stainless Steel Wire and Bioaerosol Antimicrobial Activity Evaluation

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Journal of Environmental Science and Engineering(A) 2015年第9期4卷 455-466页

作者： Alfonso Espitia Cabrera jose Luis Contreras Larios IlyaEspitia-Cabrera Ma-Teresa nunez Cardona Doris Neri Cortes Luis Raul Tovar Galvez Energy Department Metropolitan Autonomous University Azcapotzalco 02200 Mexico Chemical Engineering School Michoacan University of San Nicolas of Hidalgo Morelia 58030 Mexico Man and lts Environment Department Metropolitan Autonomous University Xochimilco 04960 Mexico Biochemistry Department Biological Sciences National School National Polytechnic Institute Mexico D.F. 07738 Mexico Interdisciplinary Centre of Research and Studies on Environment and Development National Polytechnic Institute Mexico D.F.07340 Mexico

ZnO thin films were prepared by electrophoretic deposition on stainless steel wire sieve, using zinc acetate as a precursor. The film was sintered and characterised by Scanning Electron Microscopy （SEM）, X-Ray Diffraction （XRD） and chemisorption of oxygen. A culture bacterial consortium composed by gram negative rod-shaped microbes was prepared in a liquid agar in a flask. It was transported by air through a reactor equipped with a UV lamp with 3 and 5 sieves of a stainless steel wire coated with ZnO film. It was exposed in continuous in five experiments to photocatalytic advanced oxidation. The experiments showed a total efficiency for colony forming unit reduction of a maximum of 99.66% for a residence time of 20 seconds with 5 stainless steel wire where exposed in continuous to UV. Also they were evaluated at 7.5 seconds, observing that the contribution of residence time and amount of catalytic for the CFU reduction was quite similar. Variance analysis showed that the efficiency was significant with the no parametric Kruskal-Wallis test with P 〈 0.05. This technology could be used to clean indoor air of closed environments such as hospitals, crowded buildings or public transportation systems where airborne bacteria has been documented.

关键词： Photocatalytic oxidation ZnO thin film antibacterial activity ZnO film on stainless steel wire. I

Effective prophylaxis with rFVIIa in young haemophiliacs with inhibitors using a schedule similar to FVIII prophylaxis in non-inhibitor patients

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Health 2013年第7期5卷 1151-1157页

作者： Maria Fernanda Lopez-Fernandez Carmen Altisent Victor Jimenez-Yuste Faustino Garcia-Candel Carmen Sedano Ana Cid Eva Mingot Ramiro nunez Maria jose Paloma Inmaculada Soto Manuel Prieto Haematology Complejo Hospitalario Universitario A CorunaA CorunaSpain Haemophilia Unit Hospital Universitario Vall d’HebronBarcelonaSpain Haemophilia Unit Hospital UniversitarioMadridSpain Haemophilia Unit Hospital Universitario Virgen de la ArreixacaMurciaSpain Haematology Complejo Hospitalario Universitario Marques de ValdecillaSantanderSpain Congenital Coagulophaties Unit Hospital Universitario La FeValenciaSpain Haematology Hospital Universitario Carlos HayaMalagaSpain Haematology Hospital Universitario Virgen del RocíoSevillaSpain Haematology Hospital Virgen del CaminoPamplonaSpain Haematology Hospital General de AsturiasOviedoSpain Haematology Hospital General YagüeBurgosSpain

Objective: To assess the role of early prophylaxis with recombinant activated factor VII (rFVIIa) in young haemophiliacs with inhibitors and to determine whether it can reduce bleeding episodes and prevent joint damage. Patients and Methods: Ten severe haemophiliacs, less of three years old, with up to four joint bleeds and inhibitors to FVIII who started early prophylaxis with rFVIIa, were included. A number of haemorrhages/year/patient and haemarthroses/ year/patient were compared before the start of prophylaxis, which include both the time before (initial period) and after inhibitor diagnosis (inhibitor period), with those during prophylaxis (prophylaxis period). Results: The mean time of inhibitor diagnosis was 15.6 months (range: 2.3-34.1). The mean time between inhibitor diagnosis and the start of prophylaxis was 7.1 months (range: 0-23.2), shorter than the time of rFVIIa prophylaxis (mean: 10.3 months;range: 4.1-32.0). Bleeding episodes for the three time periods were 45, 36 and 17, respectively, or 0.29 and 0.51 haemorrhages/year/patient in the two periods prior to prophylaxis compared to 0.17 during prophylaxis. Total haemarthroses for the three-time periods were 7, 5 and 5, respectively. The haemarthroses/year/patient in the pre-prophylaxis period were 0.032 and 0.070, compared to0.049 inthe prophylaxis period. rFVIIa schedules were either 90 μg/kg three times weekly or 90 μg/kg daily. Conclusions: Early prophylaxis with rFVIIa may be efficacious in young haemophiliacs with inhibitors, reducing joint bleeds. After the risky period of inhibitor presence, they are able to continue rFVIII prophylaxis with success assured to prevent arthropathy.

关键词： rFVIIa Haemarthroses Haemophilia Inhibitors Prophylaxis