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Leukemoid Reaction and Malignant Ascites in a Renal Carcinoma with Sarcomatoid Differentiation. Unusual Case Report and Literature Review

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Surgical Science 2019年第7期10卷 255-264页

作者： Alberto Manuel González Chávez juan antonio matus santos José de Jesús Curiel Valdés Mario Andrés González Chávez Ricardo Ray Huacuja Blanco Diego Abelardo álvarez Hernández Department of Surgery Hospital HMG Coyocán Mexico City México Department of Clinical Oncology Hospital HMG Coyocán Mexico City México Pathology Laboratory Grupo Diagnóstico Mexico City México Health Sciences Faculty Anahuac University North Campus Mexico City México

Renal cell carcinoma represents the 16th cause of death by cancer. It is one of the most frequent kidney tumors. This tumor could behave as a good mimicker, and is frequently associated with paraneoplastic syndromes. Metastases to peritoneum, mesentery or omentum are very rare. Sarcomatoid renal cell carcinoma is a high-grade undifferentiated component that can be found in any subtypes of renal cell carcinoma, and is associated with an aggressive behavior and a poor prognosis. We present the case of a 59-year-old male, diabetic patient, with nephron preserved left nephrectomy through lumbotomy seven years ago, upper pole renal carcinoma, admitted to the emergency department with indeterminate shock. He underwent a diagnostic laparoscopy and then open surgery due to findings where a greater omentum subtotal infarction. Omentum microscopic examination resulted in vaguely differentiated neoplasia, with sarcomatoid like cells, highly positive to CD10 inmunolabeling. Even though renal cell carcinomas have unusual clinical presentations, this case is unique because of the convergence of extremely rare manifestations such as the combination of malignant ascites, peritoneal carcinomatosis, and contralateral suprarenal gland metachronous metastases at the major omentum with paraneoplastic syndrome type leukemoid reaction;which have not been reported previously in literature.

关键词： Renal Cell Carcinoma Sarcomatoid Differentiation Paraneoplastic Syndrome Leukemoid Reaction Malignant Ascites

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URBAN PHOTOVOLTAIC POTENTIAL OF INCLINED ROOFING FOR BUILDINGS IN HERITAGE CENTERS IN EQUATORIAL AREAS

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Journal of Green Building 2018年第3期13卷 45-69页

作者： Esteban Zalamea-León juan Mena-Campos antonio Barragán-Escandón Diego Parra-González Pablo Méndez-santos Facultad de Arquitectura y Urbanismo Universidad de Cuenca(School of Architecture and UrbanismUniversity of Cuenca) Departamento de Ingeniería Gráfica Diseño and ProyectosUniversidad de Jaén(Department of Graphic EngineeringDesign and ProjectsUniversity of Jaén)JaénSpain.Department of Electrical EngineeringUniversidad Politécnica SalesianaCuencaEcuador Facultad de Ingeniería Universidad de Cuenca(Faculty of EngineeringUniversity of Cuenca) Departamento de Ingeniería Eléctrica Universidad Politécnica Salesiana(Department of Electrical EngineeringSalesiana Polytechnic University)

In situ renewable energy production is a favourable alternative for reducing pollu-tion and combating climate *** research area,Cuenca,Ecuador,is located in the Andes near the equator with optimal conditions for energy self-supply due to its low energy demands and low levels of irradiation *** this study,tem-porary fluctuations in consumption based on 2016 electricity consumption data are *** GIS,available roofing polygons are obtained,and the amount of usable solar radiation is estimated based on these *** available surface,orientation,and inclination information,electricity generation based on photovoltaic performance is estimated and compared for monocrystalline silica panels and pho-tovoltaic solar roof tiles,which are architectural alternatives.A potential net supply of 148%is found for monocrystalline silica photovoltaic panels in a typical format,whereas that of photovoltaic tiles is only 61%.In addition,production-demand imbalances are predicted in extreme months and average months and on extreme days due to variations in irradiation and demands.

关键词： solar energy photovoltaic on buildings photovoltaic architectural integration heritage centres energy efficiency

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Canola and Oat Forage Potential Evaluation in Four Early Planting Dates

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Phyton-International Journal of Experimental Botany 2019年第4期88卷 435-448页

作者： juan Isidro Sánchez-Duarte David Guadalupe Reta-Sánchez Joséantonio Cueto-Wong Arturo Reyes-González Esmeralda Ochoa-Martínez Campo Experimental La Laguna Instituto Nacional de Investigaciones ForestalesAgrícolas y Pecuarias(INIFAP).Blvd.JoséSantos Valdez 1200 Pte.Col.CentroMatamorosCoahuilaCP 27440México

Canola and oat forage potential may be affected by climatic conditions when sown *** objective of this study was to evaluate the forage canola and oat potential in four early sowing dates(September 11 and 25;October 9 and 23)during the 2012-2013 and 2013-2014 cycles in Matamoros,Coahuila,*** cycle duration,chemical composition,dry matter(DM),crude protein(CP),and net energy for lactation(NEL)yields were *** temperatures and long photoperiods affected crops seeded on September 11,accelerating growth and reducing canola(26.6%-31.7%)and oat(15.8%)DM *** of September 25,canola cv IMC 205 reached DM yields(7746 kg ha^(-1)-9276 kg ha^(-1))similar to those obtained by oat(8115 kg ha^(-1)-9507 kg ha^(-1)),while canola cv Hyola 401 obtained such yields only until October *** chemical composition was better than that found in oat,with higher CP,but lower acid detergent fiber(ADF)and neutral detergent fiber(NDF)*** equaled oat CP yields(972 kg ha^(-1)-1215 kg ha^(-1))in the first sowing date,while in the other three other canola sowings reached higher yields(1193 kg ha^(-1)-1889 kg ha^(-1)).As for NEL yields,no difference was observed between both *** best sowing date for canola is from September 25 on,with CP production advantages over oat.

关键词： Avena sativa L. Brassica napus L.var.oleifera chemical composition dry matter yield nutrients

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