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Muscle strength deficits are associated with low bone mineral density in young pediatric cancer survivors:The iBoneFIT project

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journal of Sport and Health Science 2024年第3期13卷 419-427页

作者： Andres Marmol-Perez jose j.gil-Cosano Esther Ubago-Guisado Francisco j.Llorente-Cantarero juan Francisco Pascual-Gázquez Kirsten K.Ness Vicente Martinez-Vizcaino jonatan R.Ruiz Luis Gracia-Marco Department of Physical Education and Sports Faculty of Sport SciencesSport and Health University Research Institute(iMUDS)University of GranadaGranada 18011Spain Department of Epidemiology and Cancer Control St.Jude Children's Research HospitalMemphisTN 38105USA Department of Communication and Education Loyola University AndalusiaSeville 41704Spain Biosanitary Research Institute ibs.GranadaGranada 18012Spain Maimonides Biomedical Research Institute of Cordoba(IMIBIC) Cordoba 14004Spain CIBEROBN Biomedical Research Networking Center for Physiopathology of Obesity and NutritionCarlos III Health InstituteMadrid 28029Spain Department of Specific Didactics Faculty of EducationUniversity of CordobaCordoba 14071Spain Pediatric and adolescent hematology and oncology service Pediatrics and Pediatric Surgery Clinical Management UnitVirgen de las Nieves University HospitalGranada 18014Spain Health and Social Research Center Universidad de Castilla-La ManchaCuenca 13001Spain

Background Pediatric cancer survivors are at increased risk of muscle weakness and low areal bone mineral density(aBMD).However,the prevalence of muscle strength deficits is not well documented,and the associations of muscle strength with aBMD are unknown in this ***,this study aimed to investigate the prevalence of upper-and lower-body muscle strength deficits and to examine the associations of upper-and lower-body muscle strength with age-,sex,and race-specific aBMD Z-scores at the total body,total hip,femoral neck,and lumbar *** This cross-sectional study included 116 pediatric cancer survivors(12.1±3.3 years old,mean±SD;42.2%female).Upper-and lower-body muscle strength were assessed by handgrip and standing long jump test,***‑energy X‑ray absorptiometry was used to measure aBMD(g/cm2).Associations between muscle strength and aBMD were evaluated in multivariable linear regression *** regression was used to evaluate the contribution of muscle strength(1-decile lower)to the odds of having low aBMD(Z-score≤1.0).All analyses were adjusted for time from treatment completion,radiotherapy exposure,and body mass *** More than one-half of survivors were within the 2 lowest deciles for upper-(56.9%)and lower-body muscle strength(60.0%)in comparison to age-and sex-specific reference *** strength deficits were associated with lower aBMD Z-scores at all sites(B=0.133–0.258,p=0.001–0.032).Each 1-decile lower in upper-body muscle strength was associated with 30%–95%higher odds of having low aBMD Z-scores at all *** 1-decile lower in lower-body muscle strength was associated with 35%–70%higher odds of having low aBMD Z-scores at total body,total hip,and femoral *** Muscle strength deficits are prevalent in young pediatric cancer survivors,and such deficits are associated with lower aBMD Z-scores at all *** results suggest that interventions designed to improve muscle strength in t

关键词： Bone health Childhood cancer DXA Lean mass Resistance training

Malignant colorectal polyps

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World journal of Gastroenterology 2010年第25期16卷 3103-3111页

作者： Luis Bujanda Angel Cosme Ines gil juan I Arenas-Mirave Department of Gastroenterology Donostia Hospital Uni-versity of Basque Country Centro de Investigación Biomédica en Enfermedades Hepáticas y Digestivas 20010 San Sebastián Guipúzcoa Spain University of Basque Country Centro de Investigación Biomédica en Enfermedades Hepáticas y Digestivas 20010 San Sebastián Guipúzcoa Spain

Nowadays, the number of cases in which malignant colorectal polyps are removed is increasing due to colorectal cancer screening programmes. Cancerous polyps are classified into non-invasive high grade neoplasia (NHGN), when the cancer has not reached the muscularis mucosa, and malignant polyps, classed as T1, when they have invaded the submucosa. NHGN is considered cured with polypectomy, while the prognosis for malignant polyps depends on various morphological and histological factors. The prognostic factors include, sessile or pedunculated morphology of the polyp, whether partial or en bloc resection is carried out, the degree of differentiation of the carcinoma, vascular or lymphatic involvement, and whether the polypectomy resection margin is tumor free. A malignant polyp at T1 is considered cured with polypectomy ifit is a pedunculated polyp (Ip of the Paris classification), it has been completely resected, it is not poorly differentiated, the resection edge is not affected by the tumor and there is no vascular or lymphatic involvement. The sessile malignant polyp (Is of the Paris classification) at T1 is considered not cured with polypectomy. Only in some cases (e.g. older people with high surgical risk) local excision(polypectomy or endoscopic submucosal dissection or conventional endoscopic mucosal resection) is considered the definitive treatment.

关键词： Favourable histology Follow-up Malignant polyps Non-invasive high grade neoplasia Treatment

Virtual globes for UAV-based data integration:Sputnik GIS and Google Earth^(TM) applications

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International journal of Digital Earth 2019年第5期12卷 583-593页

作者： Marcos Arza-Garci Mariluz gil-Docampo juan Ortiz-Sanz Santiago Martinez-Rodriguez Agroforestry Engineering Department University of Santiago de CompostelaEscuela Politecnica SuperiorLugoSpain

The integration of local measurements and monitoring via global-scale Earth observations has become a new challenge in digital Earth *** increasing accessibility and ease of use of virtual globes(VGs)represent primary advantages of this integration,and the digital Earth scientific community has adopted this technology as one of the main methods for disseminating the results of scientific *** this study,the best VG software for the dissemination and analysis of highresolution UAV(Unmanned Aerial Vehicle)data is identified for global and continuous geographic scope *** VGs Google Earth and Sputnik Geographic Information System(GIS)are selected and compared for this *** Earth is a free platform and one of the most widely used VGs,and one of its best features its ability to provide users with quality visual *** proprietary software Sputnik GIS more closely approximates the analytical capacity of a traditional GIS and provides outstanding advantages,such as DEM overlapping and visualization for its dissemination.

关键词： Virtual reality geospatial data geographic visualization multiscale DEM

Contralateral trapezius transfer to treat scapular winging: A case report and review of literature

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World journal of Orthopedics 2019年第1期10卷 33-44页

作者： juan josé gil-álvarez Pablo García-Parra Manuel Anaya-Rojas María del Pilar Martínez-Fuentes Department of Orthopedics and Traumatology Hospital Universitario Virgen del Rocío Department of Rehabilitation Hospital Universitario Virgen del Rocío

BACKGROUND No dynamic technique, such as tendon transfer, has been described for scapular winging due to levator scapulae or rhomboid major and minor palsies resulting from an isolated dorsal scapular nerve injury. Thus, we evaluated how the contralateral trapezius compound osteomuscular flap transfer would work in stabilizing lateral scapular winging, and the case is reported here. A literature review was also conducted, and articles relevant to the case are *** SUMMARY A 37-year-old male patient who had sustained an isolated dorsal scapular nerve injury underwent reconstructive surgery using the contralateral trapezius compound osteomuscular flap transfer technique to treat scapular winging and the consequent pain, and to restore function from the shoulder impairment. As a result, the involved shoulder showed an improved Constant-Murley score, from19.5% to 81.88%.CONCLUSION Contralateral trapezius osteomuscular flap transfer succeeded in stabilizing scapular winging in this case, improving shoulder function and affording pain relief.

关键词： Trapezoid muscle Osteomuscular flap Scapular winging Rhomboid muscles Nerve paralysis Dorsal scapular nerve Case report

Epstein-Barr virus is related with 5-aminosalicylic acid, tonsillectomy, and CD19^+ cells in Crohn's disease

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World journal of Gastroenterology 2015年第15期21卷 4666-4672页

作者： juan C Andreu-Ballester Rafael gil-Borrás Carlos García-Ballesteros Ignacio Catalán-Serra Victoria Amigo Virgina Fernández-Fígares Carmen Cuéllar Research Department Arnau de Vilanova Hospital Digestive Department Arnau de Vilanova Hospital Hematology Department Arnau de Vilanova Hospital Department of Parasitology Faculty of Pharmacy Complutense University

AIM: To study anti-Epstein-Barr virus(EBV) Ig G antibodies in Crohn′s disease in relation to treatment, immune cells, and prior tonsillectomy/***: This study included 36 CD patients and 36 healthy individuals(controls), and evaluated different clinical scenarios(new patient, remission and active disease), previous mucosa-associated lymphoid tissue removal(tonsillectomy and appendectomy) and therapeutic regimens(5-aminosalicylic acid, azathioprine, anti-tumor necrosis factor, antibiotics, and corticosteroids). T and B cells subsets in peripheral blood were analyzed by flow cytometry(markers included: CD45, CD4, CD8, CD3, CD19, CD56, CD2, CD3, TCRαβ and TCRγδ) to relate with the levels of anti-EBV Ig G antibodies, determined by enzyme-linked immunosorbent ***: The lowest anti-EBV Ig G levels were observed in the group of patients that were not in a specific treatment(95.4 ± 53.9 U/m L vs 131.5 ± 46.2 U/m L, P = 0.038). The patients that were treated with 5-aminosalicylic acid showed the highest anti-EBV Ig G values(144.3 U/m L vs 102.6 U/m L, P = 0.045). CD19+ cells had the largest decrease in the group of CD patients that received treatment(138.6 vs 223.9; P = 0.022). The analysis of anti-EBV Ig G with respect to the presence or absence of tonsillectomy showed the highest values in the tonsillectomy group of CD patients(169.2 ± 20.7 U/m L vs 106.1 ± 50.3 U/m L, P = 0.002). However, in the group of healthy controls, no differences were seen between those who had been tonsillectomized and subjects who had not been operated on(134.0 ± 52.5 U/m L vs 127.7 ± 48.1 U/m L, P = 0.523).CONCLUSION: High anti-EBV Ig G levels in CD are associated with 5-aminosalicylic acid treatment, tonsillectomy, and decrease of CD19+ cells.

关键词： B cells Crohn's disease Epstein-Barr virus Tonsillectomy 5-aminosalicylic acid

Prevalence of hepatocarcinoma-related hepatitis B virus mutants in patients in grey zone of treatment

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World journal of Gastroenterology 2019年第38期25卷 5883-5896页

作者： Ana Isabel gil-García Antonio Madejón Irene Francisco-Recuero Ana López-López Emiliana Villafranca Miriam Romero Araceli García Antonio Olveira Rocío Mena juan Ramón Larrubia javier García-Samaniego Hepatology Unit Hospital Universitario La PazMadrid 28046Spain Centro de Investigación Biomédica en Red Instituto de Salud Carlos IIIMadrid 28029Spain Instituto de Investigación del Hospital Universitario la Paz Madrid 28046Spain Biochemistry Department Faculty of MedicineUniversidad Autónoma de MadridMadrid 28029Spain Instituto de Genética Médica y Molecular Hospital Universitario La PazMadrid 28046Spain Translational Hepatology Unit Hospital General Universitario de GuadalajaraGuadalajara 19002Castilla-La ManchaSpain

BACKGROUND Antiviral treatment of patients with chronic hepatitis B(CHB)in the grey zone of treatment comands risk management in order to optimize the health *** this sense,the identification of HBV mutants related with an increased risk of hepatocellular carcinoma(HCC)could be useful to identify subpopulations with potential indication of antiviral *** To analyze the prevalence/persistence of hepatitis B virus(HBV)preS and basal core promoter(BCP)/precore/core variants associated to HCC development in CHB patients in the grey *** Work was designed as a longitudinal retrospective study,including 106 plasma samples from 31 patients with CHB in the grey zone of treatment:Hepatitis B e antigen negative,HBV-DNA levels between 12-20000 IU/mL,normal or discordant transaminase levels during follow up and mild/moderate necroinflammatory activity in liver biopsy or Fibroscan(up to 9.5 kPa).Serum HBVDNA was tested using the Abbott Real Time HBV Assay and the BCP/precore/core and the hepatitis B surface antigen(HBsAg)coding regions were analyzed in positive samples by PCR/bulk-sequencing to identify the HCCrelated HBV *** High-risk HCC related mutants were detected in 24(77%)patients:19(61%)in the BCP/precore/core,and 7(23%)in the HBsAg coding region(2 preS1 and 5 preS2 deletions).The prevalence of preS deletions was genotype-dependent:3/5(60%)patients with preS2 deletions and 1/2 with preS1 deletions were infected with the HBV-E *** HBV-E was the most prevalent in sub-Saharan patients,a correlation between preS deletions and ethnicity was also found:6/8(75%)sub-Saharan vs 1/19(5%)Caucasian patients had preS deletions(P=0.00016).Remarkably,this correlation was maintained in those patients infected with HBV-A,a minor genotype in sub-Saharan patients:2/2 patients infected with HBV-A from West Africa vs 0/6 of Caucasian origin had preS *** HCC related variants were the major strains and persisted over time(up to 48 mo).Pa

关键词： Hepatitis B virus Hepatocellular carcinoma PreS deletions Hepatitis B virus treatment Grey zone

How important is donor age in liver transplantation?

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World journal of Gastroenterology 2016年第21期22卷 4966-4976页

作者： Alberto Lué Estela Solanas Pedro Baptista Sara Lorente juan j Araiz Agustin Garcia-gil M Trinidad Serrano Liver Transplantation Unit Department of Gastroenterology University Hospital Lozano Blesa 50009 Zaragoza Spain Health Research Institute of Aragon (IIS) 50009 Zaragoza Spain Centro de Investigacion Biomedica en Red Enfermedades Hepaticas y Digestivas (CiberEHD) 28029 Madrid Spain Transplant Coordination University Hospital Lozano Blesa 50009 Zaragoza Spain Liver Transplant Unit Department of Surgery University Hospital Lozano Blesa 50009 Zaragoza Spain

The age of liver donors has been increasing in the past several years because of a donor shortage. In the United States, 33% of donors are age 50 years or older, as are more than 50% in some European countries. The impact of donor age on liver transplantation(LT) has been analyzed in several studies with contradictory conclusions. Nevertheless, recent analyses of the largest databases demonstrate that having an older donor is a risk factor for graft failure. Donor age is included as a risk factor in the more relevant graft survival scores, such as the Donor Risk Index, donor age and Model for End-stage Liver Disease, Survival Outcomes Following Liver Transplantation, and the Balance of Risk. The use of old donors is related to an increased rate of biliary complications and hepatitis C virus-related graft failure. Although liver function does not seem to be significantly affected by age, the incidence of several liver diseases increases with age, and the capacity of the liver to manage or overcome liver diseases or external injuries decreases. In this paper, the importance of age in LT outcomes, the role of donor age as a risk factor, and the influence of aging on liver regeneration are reviewed.

关键词： Liver transplantation Liver regeneration Graft survival Old donor Aging

Depolarizing metrics in the biomedical field:Vision enhancement and classification of biological tissues

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journal of Innovative Optical Health Sciences 2023年第5期16卷 3-19页

作者： Mónica Canabal-Carbia Albert Van Eeckhout Carla Rodríguez Emilio González-Arnay Irene Estévez joséj.gil Enrique García-Caurel Razvigor Ossikovski juan Campos Angel Lizana Grup d'Òptica Departamento de Fisica Universitat Autònoma de BarcelonaBellaterra 08193Spain ALBA Synchrotron Light Source Carrer de la Llum 2-26 08290 Cerdanyola del VallèsBarcelonaSpain Servicio deAnatomia Humana Departamento de Ciencias Médicas Básicas Universidad de La Laguna Santa Cruz de Tenerife 38200 Spain Universidad de Zaragoza Pedro Cerbuna 12 Zaragoza 50009Spain LPICM CNRSEcole Polytechnique Institut Politechnique de ParisPalaiseau 91120France

Polarimetry encompasses a collection of optical techniques broadly used in a variety of ***,such techniques have provided their suitability in the biomedical field through the study of the polarimetric response of biological samples(retardance,dichroism and depolarization)by measuring certain polarimetric *** of these features,depolarization,is mainly produced by scattering on samples,which is a predominant efiect in turbid media as biological *** turn,retardance and dichroic efiects are produced by tissue anisotropies and can lead to depolarization *** depolarization is a predominant efiect in tissue samples,we focus on studying difierent depolarization metrics for biomedical *** report the suitability of a set of depolarizing observables,the indices of polarimetric purity(IPPs),for biological tissue *** review some results where we demonstrate that IPPs lead to better performance than the depolarization index,which is a well-established and commonly used depolarization observable in the *** also provide how IPPs are able to significantly enhance contrast between difierent tissue structures and even to reveal structures hidden by using standard intensity ***,we also explore the classificatory potential of IPPs and other depolarizing observables for the discrimination of difierent tissues obtained from ex vivo chicken samples(muscle,tendon,myotendinous junction and bone),reaching accurate models for tissue classification.

关键词： Polarimetry indices of polarimetric purity organic tissues visualization artificial intelligence.

Hypertension Unusual Cause

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Pharmacology & Pharmacy 2014年第1期5卷 1-3页

作者： Ana Belen Hernandez Cascales Alicia Hernandez Torres Maria Angeles Ibanez gil Pedro Pujante Alarcon Alfonso Lopez Ruiz Maria Dolores Hellin gil juan Mayor Barrancos Endocrinology and Nutrition Service Hospital University Virgen de la ArrixacaMurciaSpain Infectious Internal Medicine Hospital University Virgen de la ArrixacaMurciaSpain Health Center Mariano Yago MurciaSpain University of Granada GranadaSpain Roman Alberca Psychiatric Hospital El PalmarSpain

We expose a case of a woman with hypertension and hypokalemia. The differential diagnosis should include primary hyperaldosteronism, diuretics or lazantes intake, secondary hyperaldosteronism. In this patient, additional tests performed show no cause of hormonal disruption and the whole picture is due to a high intake of licorice. Glycyrrhetinic acid, the active component of licorice, inhibits renal IIbeta-hydroxisteroid dehydrogenase. This allows cortisol to stimulate mineralocorticoid receptors. Licorice ingestion should be considered in the differential diagnosis of hypertension with hypokalemia.

关键词： Licorice Glycyrrhizic Acid Glycyrrhizinic Acid Induced Hypertension Hypokalemia