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Pelvic exenterations for primary rectal cancer:Analysis from a 10-year national prospective database

World Journal of Gastroenterology 2018年第45期24卷 5144-5153页

作者： Gianluca Pellino Sebastiano Biondo Antonio Codina Cazador JoséMaría Enríquez-Navascues Eloy Espín-Basany jose vicente roig-vila Eduardo García-Granero Colorectal Unit Hospital Universitario y Politecnico La FeUniversity of ValenciaValencia 46026Spain Department of General and Digestive Surgery Colorectal UnitBellvitge University HospitalUniversity of Barcelona and IDIBELLL’Hospitalet de LlobregatBarcelona 08907Spain Department of General and Digestive Surgery--Colorectal Unit Josep Trueta University HospitalGirona 17001Spain General and Digestive Surgery Department Donostia University HospitalDonostia 20014Spain Department of General Surgery Colorectal Surgery UnitHospital Valle de HebronAutonomous University of BarcelonaBarcelona 08035Spain Unit of Coloproctology Hospital Vithas-Nisa 9 de OctubreValencia 46015Spain

AIM To identify short-term and oncologic outcomes of pelvic exenterations(PE) for locally advanced primary rectal cancer(LAPRC) in patients included in a national prospective *** Few studies report on PE in patients with LAPRC. For this study, we included PE for LAPRC performed between 2006 and 2017, as available, from the Rectal Cancer Registry of the Spanish Association of Surgeons [Asociación Espa?ola de Cirujanos(AEC)]. Primary endpoints included procedure-associated complications, 5-year local recurrence(LR), disease-free survival(DFS) and overall survival(OS). A propensitymatched comparison with patients who underwent non-exenterative surgery for low rectal cancers was performed as a secondary *** Eight-two patients were included. The mean age was 61.8 ± 11.5 years. More than half of the patients experienced at least one complication. Surgical site infections were the most common complication(abdominal wound 18.3%, perineal closure 19.4%). Thirty-three multivisceral resections were performed, including two hepatectomies and four metastasectomies. The long-term outcomes of the 64 patients operated on before 2013 were assessed. The five-year LR was 15.6%, the distant recurrence rate was 21.9%, and OS was 67.2%, with a mean survival of 43.8 mo. R+ve resection increased LR [hazard ratio(HR) = 5.58, 95%CI: 1.04-30.07, P = 0.04]. The quality of the mesorectum was associated with DFS. Perioperative complications were independent predictors of shorter survival(HR = 3.53, 95%CI: 1.12-10.94, P = 0.03). In the propensity-matched analysis, PE was associated with better quality of the specimen and tended to achieve lower LR with similar *** PE is an extensive procedure, justified if disease-free margins can be obtained. Further studies should define indications, accreditation policy, and quality of life in LAPRC.

关键词： Pelvic exenteration Advanced rectal cancer Colorectal surgery Complication Outcome

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Coffee Leaf Rust(Hemileia vastatrix)Disease in Coffee Plants and Perspectives by the Disease Control

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Phyton-International Journal of Experimental Botany 2024年第5期93卷 923-949页

作者： Alexis Salazar-Navarro Victor Ruiz-Valdiviezo jose Joya-Dávila Daniel Gonzalez-Mendoza Instituto de Ciencias Agrícolas de la Universidad Autónoma de Baja California(ICA-UABC) Nuevo LeónBaja California21705México Laboratorio de Biología Molecular del Instituto Tecnológico Nacional de Tuxtla Gutierrez(TecNM) Tuxtla GutierrezChiapas29050México Facultad de Ciencias Agronómicas Campus V.Universidad Autónoma de Chiapas(UNACH) VillafloresChiapas30470México

Coffee Leaf Rust(CLR)is caused by Hemileia vastatrix in Coffea *** is one of the most dangerous phytopathogens for coffee plantations in terms of coffee productivity and coffee cup *** this review,we resume the problem of CLR in Mexico and the pathogenesis of *** review abord plant-pathogen interactions which lead a compatible or incompatible interactions and result in CLR disease or resistance,*** review abord Coffea *** response pathways involved in *** ***,current measures to control *** proliferation and germination were aborded focused on phytosanitary actions,and biological and chemical ***,new trendlines to reduce the impact of CLR as nanoparticles and nanotechnology were analyzed.

关键词： Coffee leaf rust Coffea arabica pathogenesis nanoparticles biological control

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Role of endoscopic ultrasound in the diagnosis of pancreatic cancer

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World Journal of Gastrointestinal Oncology 2014年第9期6卷 360-368页

作者： Juana Gonzalo-Marin Juan jose vila Manuel Perez-Miranda Unit of Endoscopy Department of GastroenterologyQuirón Hospital Unit of Endoscopy Department of GastroenterologyComplejo Hospitalario de Navarra Department of Gastroenterology Hospital Universitario Rio Hortega

Endoscopic ultrasonography(EUS) with or without fine needle aspiration has become the main technique for evaluating pancreatobiliary disorders and has proved to have a higher diagnostic yield than positron emission tomography,computed tomography(CT) and transabdominal ultrasound for recognising early pancreatic *** a diagnostic modality for pancreatic cancer,EUS has proved rates higher than 90%,especially for lesions less than 2-3 cm in size in which it reaches a sensitivity rate of 99% vs 55% for ***,EUS has a very high negative predictive value and thus EUS can reliably exclude pancreatic *** complication rate of EUS is as low as 1.1%-3.0%.New technical developments such as elastography and the use of contrast agents have recently been applied to EUS,improving its diagnostic *** has been found to be superior to the recent multidetector CT for T stagingwith less risk of overstaying in comparison to both CT and magnetic resonance imaging,so that patients are not being ruled out of a potentially beneficial *** accuracy for N staging with EUS is 64%-82%.In unresectable cancers,EUS also plays a therapeutic role by means of treating oncological pain through celiac plexus block,biliary drainage in obstructive jaundice in patients where endoscopic retrograde cholangiopancreatography is not affordable and aiding radiotherapy and chemotherapy.

关键词： Endosonography Pancreatic neoplasms Endoscopy Diagnosis Neoplasm Staging Therapeutics

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Z-line examination by the PillCam^(TM) SB:Prospective comparison of three ingestion protocols

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World Journal of Gastroenterology 2010年第1期16卷 63-68页

作者： Ignacio Fernandez-Urien Erika Borobio Inmaculada Elizalde Rebeca Irisarri Juan jose vila Jesus Maria Urman Javier Jimenez Department of Gastroenterology Hospital of Navarra

AIM:To evaluate the Z-line visualization by the PillCamTM SB2 using three different ingestion protocols. METHODS:Ninety consecutive patients undergoing small bowel capsule endoscopy(SBCE)between January and May 2008 were included in the study. They swallowed the capsule in the standing(Group A= 30),supine(Group B=30)and right supine positions (Group C=30).Baseline patient characteristics, difficulties in capsule ingestion,esophageal transit times(ETT)and Z-line visualization were noted. RESULTS:No significant differences were found between the groups with regard to baseline patient characteristics,ingestion difficulties and complete SB examinations(P>0.05).At least 1 frame of the Z-line was detected in 15.8%,46.7%and 90%of patients in groups A,B and C,respectively(P<0.001).The average number of Z-line images was 0.21±0.53,3.23 ±6.59 and 5.53±7.55 and the mean%of the Z-linedetected was 71.3,25.1 and 8.3,in groups A,B and C, respectively(both P<0.001).ETT times were longer in the supine group followed by the right supine and the standing groups(median of 237 s vs 64 s and 39 s, respectively;P<0.001). CONCLUSION:Z-line visualization in patients undergoing SBCE can be accurately achieved in most cases when the capsule is swallowed in the right supine position.

关键词： Barrett Capsule endoscopy Esophagus Gastroesophageal reflux disease Ingestion Varices Z-line

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粮食生产技术效率及影响因素研究——来自1990—2013年中国31个省份面板数据

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农业技术经济 2016年第9期 72-83页

作者：唐建 jose vila 西南大学经济管理学院重庆400716 瓦伦西亚大学实验经济学研究室瓦伦西亚46022

本文以1990—2013年中国31个省份面板数据,采用随机前沿生产函数,运用时不变估计法测算各省份粮食生产中的技术效率及变动趋势,进而从财政政策、农户纯收入、耕地规模等社会经济特征角度考察粮食生产技术效率的影响因素,并提出相应政策... 详细信息

本文以1990—2013年中国31个省份面板数据,采用随机前沿生产函数,运用时不变估计法测算各省份粮食生产中的技术效率及变动趋势,进而从财政政策、农户纯收入、耕地规模等社会经济特征角度考察粮食生产技术效率的影响因素,并提出相应政策建议。主要研究结论:粮食产出对粮食播种面积变动十分敏感;粮食生产中技术的贡献越来越大,而经济越发达的省份,粮食生产技术效率也越高;财政支农政策对技术效率影响在各省份中存在显著性差异;家庭经济水平和劳动力受教育水平对粮食生产技术效率具有显著积极影响。

关键词：财政支农政策粮食生产技术效率随机前沿生产函数

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Human adipose-derived mesenchymal stem cells accelerate decellularized neobladder regeneration

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Regenerative Biomaterials 2020年第2期7卷 161-169页

作者： Victoria Moreno-Manzano Maravillas Mellado-Lo´pez Maria jose Morera-Esteve Ana Alastrue-Agudo Viviana Bisbal-Velasco Jero´nimo Forteza-vila A´ngel Serrano-Aroca Ce´sar David Vera-Donoso Neuronal and Tissue Regeneration Lab Centro de Investigacio´n Prı´ncipe FelipeValenciaSpain Facultad de Veterinaria y Ciencias Experimentales Universidad Cato´lica de Valencia San Vicente Ma´rtirc/Guillem de Castro 94Valencia 46001Spain Surgery Department Veterinary FacultyUniversidad CEUValenciaSpain Molecular Pathology and Translational Research in Oncology Unidad Mixta Universidad Cato´lica de Valencia y Centro de Investigacio´n Prı´ncipe FelipeSpain Department of Urology La Fe University and Polytechnic Hospital and Health Research InstituteHospital La FeValencia 46026Spain

Decellularized natural bladder matrices(neobladders)represent an exciting means to regenerate the bladder following bladder cancer-associated *** this study,we compare the evolution of decellularized matrices with recellularized matrices by seeding it with human adiposederived mesenchymal stem cells(ADSC)after implantation following partial cystectomy in *** discovered significant anatomical differences since 10 days after neobladder implantation with the ADSC-containing matrices promoting a significant recovery of mature p63-and cytokeratin 7-positive *** also discovered significantly induced expression of the vimentin mesoderm marker in the submucosal layer in ADSC-seeded ***,we found a higher expression of smooth muscle actin in transversal and longitudinal smooth muscle layers with ADSC-seeded ***,ADSC also showed increased vascularization and nerve innervation of the neobladder as determined by the distribution of CD31 and S100b reactivity,*** believe that ADSC and their paracrine-acting pro-regenerative secretome within decellularized matrices represent an efficient bladder substitution strategy;however,we require a fuller understanding of the mechanisms involved before clinical studies can begin.

关键词： mesenchymal stem cells bladder regeneration decellularized matrices neobladder

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Post-endoscopic retrograde cholangiopancreatography complications:How can they be avoided?

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World Journal of Gastrointestinal Endoscopy 2012年第6期4卷 241-246页

作者： Juan J vila Everson LA Artifon jose Pinhata Otoch Endoscopy Unit Gastroenterology DepartmentComplejo Hospitalario de NavarraPamplona 31008Spain Associate Professor of Surgery University of Sao PauloSao Paulo 04304-030Brazil

Endoscopic retrograde cholangiopancreatography(ERCP) has a significant complication rate which can be lowered by adopting technical variations of proven beneficial effect and prophylactic maneuvers such as pancreatic stenting during ERCP or periprocedural non-steroidal anti-inflammatory drug ***,adoption of these prophylactic maneuvers by endoscopists is not *** this editorial we discuss the beneficial effects of the aforementioned maneuvers.

关键词： Acute necrotizing Anti-inflammatory Agents Catheterization Cholangiopancreatography Complications Endoscopic retrograde Non-steroidal Pancreatitis Stents

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Four Cases of X-Linked Hypophosphatemic Rickets, Clinical Description and Genetic Testing

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Open Journal of Genetics 2014年第1期4卷 40-45页

作者： David vila-Pérez Sílvia Marín-del-Barrio Jordi vila-Cots jose Antonio Camacho-Díaz Marcos Morey Lourdes Loidi Department of Endocrinology Hospital Sant Joan de Déu Barcelona Spain Department of genomics Fundación Pública Galega de Medicina Xenómica Santiago de Compostela Spain Department of Nephrology Hospital Sant Joan de Déu Barcelona Spain

One of the major causes of congenital hypophosphatemic rickets is the X-linked hypophosphatemic rickets (XHR), due to a defect on PHEX gene. The XHR increases the renal elimination of phosphate, that condition leads a defective mineralization of bones and also affects the growth in children. Clinical diagnosis should be suspected in children with signs of rickets and hypophosphatemia with normal calcium levels. We describe clinical characteristics and genetic results of four patients diagnosed and treated in our Nephrology Section. All patients have a “de novo” XHR as none familiars are affected. Early diagnosis should be suspected before the bone deformities have been submitted and the growth would have been impaired.

关键词： Rickets X-Linked Hypophosphatemic Rickets XHR PHEX Gene

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Regeneration of critical-sized defects, in a goat model, using a dextrin-based hydrogel associated with granular synthetic bone substitute

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Regenerative Biomaterials 2021年第1期8卷 73-82页

作者： Isabel Pereira jose Eduardo Pereira Luis Maltez Alexandra Rodrigues Catarina Rodrigues Manuela Oliveira Dina MSilva Ana Rita Caseiro Justina Prada Ana Colette Mauricio jose Domingos Santos Miguel Gama CEB Centre of Biological EngineeingUniversity of MinhoCampus de GualtarBraga 4710-057Portugal CECAV Animal and Veterinary Research CentreUniversity of Trias-os-Montes e Alto DouroVila Real 5001-801Portugal Department of Veterinary Sciences University of Tras-os-Montes e Alto DouroVila Real 5001-801Portugal Bios ckin Molecular and Cell Therapies S.A.Laboratorio CriovidaTecMaiaRua Engenheiro Frederico Ulrich 2650Moreira da Maia 4470-605Portugal Departamento de Clinicas Veterinarias Instituto de Ciencias Biomedicas de Abel Salazar(ICBAS)Universidade do Porto(UP)Rua de Jorge Viterbo Ferreiran°228Porto 4050-313Portugal Centro de Estudos de Ciencia Animal(CECA) Instituto de CienciasTecnologias e Agroambiente da Universidade do Porto(ICETA)Rua D.Manuel IApartado 55142Porto 4051-401 Portugal Centro de Investigaqao Vasco da Gama(CIVG)/Escola Universitaria Vasco da Gama(EUVG) Avenida Jose R.Sousa Femandesn°197 LordemaoCoimbra 3020-210Portugal REQUIMTE/LAQV Departamento de Engenharia Metalurgica e MateriaisFaculdade de EngenhariaUniversidade do PortoRua Dr Roberto FriasPorto 4200-495Portugal

The development of injectable bone substitutes(IBS)have obtained great importance in the bone re-generation field,as a strategy to reach hardly accessible defects using minimally invasive techniques and able to fit to irregular *** this scenario,the association of injectable hydrogels and bone graft granules is emerging as a well-established ***,in situ forming hydrogels have arisen as a new IBS *** in situ forming and injectable dextrin-based hydrogel(HG)was developed,aiming to act as a carrier of granular bone substitutes and bioactive *** this work,the HG was associated to a granular bone substitute(Bonelike)and implanted in goat critical-sized calvarial defects(14mm)for 3,6 and *** results showed that HG improved the han-dling properties of the Bonelike granules and did not affect its osteoconductive features,neither impairing the bone regener ation *** multipotent mesenchymal stromal cells from the umbilical cord,extracellular matrix hydrolysates and the pro-angiogenic peptide LLKKK18 were also combined with the *** bioactive agents did not enhance the new bone formation significantly under the conditions tested,according to micro-computed tomography and histological analysis.

关键词： polysaccharide injec table hydrogel granular ceramics Bonelike' bone regen eration calvarial defect

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Caregiver Burden in the Management of Frail Elderly Patients with Diabetes in Internal Medicine

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Health 2018年第10期10卷 1383-1391页

作者： jose Miguel Segui Ripoll vicente Jesús Segui Llinares Miguel J.Reig Pérez Carles García Cervera Juan Manuel Núnez Cruz Pedro Esteve Atiénzar Sara Banón Escandell Alberto López Serrano María Dolores Jover Ríos Juan Méndez Mora Carmen Segui Pérez María josefa Navarro Navarro Pablo roig Rico Department of Internal Medicine University Hospital of San JuanAlicanteSpain Department of Clinical Medicine Miguel Hernández UniversityElcheSpain Institute of Design and Manufacturing Polytechnic University of ValenciaCampus of AlcoyAlicanteSpain Department of Internal Medicine Hospital La Vega Baja of OrihuelaAlicanteSpain Secondary School Marist Brothers High SchoolAlicanteSpain Primary Medicine BenillobaSpain

Aim: Advanced age and fragility often lead to dependence, making caregiver assistance necessary for performing the activities of daily living. Patients with diabetes are characterized by an elevated presence of comorbidities and subsequent frailty—a relevant consideration when making decisions regarding treatment goals. Health professionals may overlook the caregiver experience when assessing the circumstances surrounding frail elderly patients with diabetes, but this factor can have a large impact on relevant caregiver and patient outcomes. Methods: An observational, retrospective study was carried out to assess the impact of improved management in diabetes on caregiver burden. We assessed patients’ performance of activities of daily living using the Barthel scale. Our primary outcome was caregiver burden, as assessed using the Zarit scale. Results: At baseline, 81.4% of the caregivers reported severe overburden (>55 points on the Zarit scale). At three months, the proportion of caregivers reporting this level of burden had dropped to 76.7% and remained stable at six months (77.1%). In contrast, 8.5% of the caregivers reported moderate overburden (47 to 55 points) at baseline, compared to 13.3% at three months and 12.5% at six. The proportion of caregivers reporting no overburden (Conclusions: Caregiver burden remained persistently high, decreasing only slightly after six months.

关键词： Elderly Diabetes Frail Patient Overload Caregiver

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