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From liver to hormones:The endocrine consequences of cirrhosis

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World Journal of Gastroenterology 2024年第9期30卷 1073-1095页

作者： juan Eduardo Quiroz-Aldave Elman Rolando Gamarra-Osorio María del Carmen Durand-Vásquez Luciana del Pilar Rafael-robles Jhean Gabriel Gonzáles-Yovera María Alejandra Quispe-Flores Luis Alberto Concepción-Urteaga Alejandro Román-González José Paz-Ibarra Marcio José Concepción-Zavaleta Non-communicable Diseases Endocrinology Research LineHospital de Apoyo ChepénChepén 13871Peru Department of Endocrinology Hospital Víctor Lazarte EchegarayTrujillo 13006Peru Department of Endocrinology Clínica Javier PradoLima 15046Peru Department of Gastroenterology Hospital Nacional Guillermo Almenara IrigoyénLima 15018Peru Department of Endocrinology Hospital de Emergencias GrauLima 15001Peru Internal Medicine Hospital Regional Docente de TrujilloTrujillo 13011Peru Department of Endocrinology Hospital Universitario de San Vicente FundaciónMedellin 050010Colombia Internal Medicine Universidad de AntioquiaMedellín 050010Colombia School of Medicine Universidad Nacional Mayor de San MarcosLima 15081Peru Department of Endocrinology Hospital Nacional Edgardo Rebagliati MartinsLima 15072Peru Carrera de Medicina Humana Universidad Científica del SurLima 15067Peru

Hepatocrinology explores the intricate relationship between liver function and the endocrine *** liver diseases such as liver cirrhosis can cause endocrine disorders due to toxin accumulation and protein synthesis *** its importance,assessing endocrine issues in cirrhotic patients is frequently *** article provides a comprehensive review of the epidemiology,pathophysiology,diagnosis,and treatment of endocrine disturbances in liver *** review was conducted using the PubMed/Medline,EMBASE,and Scielo databases,encompassing 172 *** cirrhosis is associated with endocrine disturbances,including diabetes,hypoglycemia,sarcopenia,thyroid dysfunction,hypogonadotropic hypogonadism,bone disease,adrenal insufficiency,growth hormone dysfunction,and secondary *** optimal tools for diagnosing diabetes and detecting hypoglycemia are the oral glucose tolerance test and continuous glucose monitoring system,*** can be assessed through imaging and functional tests,while other endocrine disorders are evaluated using hormonal assays and imaging *** options include metformin,glucagon-like peptide-1 analogs,sodium-glucose co-transporter-2 inhibitors,and insulin,which are effective and safe for diabetes *** standards are followed for managing hypoglycemia,and hormone replacement therapy is often necessary for other endocrine *** transplantation can address some of these problems.

关键词： Diabetes mellitus Hypoglycemia Thyroid diseases Hypogonadism Metabolic bone diseases Liver cirrhosis

Portal Venous Thrombosis and Splenic Hemangioma, Secondary to Acute Pancreatitis: Case Report

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Open Journal of Gastroenterology 2024年第1期14卷 11-17页

作者： Gustavo Adolfo Hernández Valdez Harvey Yair Zamora Veliz Estefany Gilberty Mendoza Verdin Quitzia Mayanim Rentería Fonseca Itzel Velázquez Viniegra Janette Alejandra Gamiño Gutierrez Diana Rita Velázquez Jimenez Florencio Favian Andrade Luis Fernando Baez Bustos Jorge Morales Rojas María Jacqueline Martínez Tejeda Graciela Gaddy robles Martínez juan Antonio Contreras Escamilla Departamento de Medicina Interna ISSSTE Tepic General Hospital APP Tepic Nayarit México General Surgery Department ISSSTE Tepic General Hospital APP Tepic Nayarit México Hospital Civil Fray Antonio Alcalde Guadalajara Jalisco México

We present an unusual case of portal vein thrombosis with a splanchnic hemangioma secondary to acute biliary pancreatitis. We report a 45-year-old patient, who has systemic arterial hypertension in treatment, was admitted for abdominal pain in the epigastrium, with irradiation to the right hypochondrium, accompanied by nausea and vomiting of 10 occasions of bile content, physical examination with pain in the right hypochondrium, Murphy positive. We have laboratory studies with a lipase of 788, so a diagnosis of pancreatitis is made with an etiology to be determined. The laboratories suggestive of acute biliary pancreatitis (lipase 788.71);an imaging study was subsequently performed (ultrasonography) with the result of stone in the common bile duct. A laparoscopy was performed with relative improvement, so he was discharged and returned 20 days after surgery due to abdominal pain of the same intensity in the left hypochondrium. Ending his hospitalization with a splenectomy for splenic hemangioma with portal vein thrombosis.

关键词： Pancreatitis Esplenic Hemangioma Esplenectomy Portal Vein Thrombosis Surgery

Optimized high performance liquid chromatography–ultraviolet detection method using core-shell particles for the therapeutic monitoring of methotrexate

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Journal of Pharmaceutical Analysis 2016年第2期6卷 103-111页

作者： milagros montemurro maría m.de zan juan c.robles Laboratorio de Control de Calidad de Medicamentos Facultad de Bioqufmica y Ciendas Biologicas Universidad Nacional del Litoral Santa Fe Argentina

Methotrexate （MTX） is an antineoplastic drug, and due to its high toxicity, the therapeutic drug mon- itoring is strictly conducted in the clinical practice. The chemometric optimization and validation of a high performance liquid chromatography （HPLC） method using core-shell particles is presented for the determination of MTX in plasma during therapeutic monitoring. Experimental design and response surface methodology （RSM） were applied for the optimization of the chromatographic system and the analyte extraction step. A Poroshel1120 EC-C18 （3.0 mm × 75 mm, 2.7 μm） column was used to obtain a fast and efficient separation in a complete run time of 4 min. The optimum conditions for the chroma- tographic system resulted in a mobile phase consisting of acetic acid/sodium acetate buffer solution （85.0 mM, pH =4.00） and 11.2% of acetonitrile at a flow rate of 0.4 mL/min. Selectivity, linearity, accuracy and precision were demonstrated in a range of 0.10-6.0 μM of MTX. The application of the optimized method required only 150μL of patient plasma and a low consumption of solvent to provide rapid re- sults.

关键词： HPLC Core-shell particles Methotrexate Drug monitoring

Plant cover as an estimator of above-ground biomass in semi-arid woody vegetation in Northeast Patagonia,Argentina

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Journal of Arid Land 2021年第9期13卷 918-933页

作者： Laura B RODRIGUEZ Silvia S TORRES robles Marcelo F ARTURI juan M ZEBERIO Andrés C H GRAND Néstor I GASPARRI National University of Río Negro Atlantic HeadquartersCenter for Environmental Studies from Norpatagonia(CEANPa)Viedma 8500Argentina National Council of Scientific and Technical Research(CONICET) Viedma 8500Argentina Ecological and Environmental Systems Research Laboratory(LISEA) National University of La PlataLa Plata 1900Argentina National Institute of Agricultural Technology(INTA) AER PatagonesCarmen de Patagones 8504Argentina Institute of Regional Ecology(IER) National University of Tucumán(UNT)-National Council of Scientific and Technical Research(CONICET)Tucumán 4000Argentina Faculty of Natural Sciences and Miguel Lillo Institute National University of Tucumán(UNT)Yerba Buena 4107Argentina

The quantification of carbon storage in vegetation biomass is a crucial factor in the estimation and mitigation of CO2 ***,arid and semi-arid regions are considered an important carbon ***,they have received limited attention and,therefore,it should be a priority to develop tools to quantify biomass at the local and regional *** plant variables,such as stem diameter and crown area,were reported to be good predictors of individual plant ***-level variables,such as plant cover and mean height,are also easy-to-measure estimators of above-ground biomass(AGB)in dry *** this study,we estimated the AGB in semi-arid woody vegetation in Northeast Patagonia,*** evaluated whether the AGB at the stand level can be estimated based on plant cover and to what extent the estimation accuracy can be improved by the inclusion of other field-measured structure *** also evaluated whether remote sensing technologies can be used to reliably estimate and map the regional mean *** this purpose,we analyzed the relationships between field-measured woody vegetation structure variables and AGB as well as LANDSAT TM-derived *** obtained a model-based ratio estimate of regional mean AGB and its standard *** plant cover allowed us to obtain a reliable estimation of local AGB,and no better fit was attained by the inclusion of other structure *** stand-level plant cover ranged between 18.7%and 95.2%and AGB between about 2.0 and 70.8 Mg/hm^(2).AGB based on total plant cover was well estimated from LANDSAT TM bands 2 and 3,which facilitated a model-based ratio estimate of the regional mean AGB(approximately 12.0 Mg/hm^(2))and its sampling error(about 30.0%).The mean AGB of woody vegetation can greatly contribute to carbon storage in semi-arid ***,plant cover estimation by remote sensing images could be used to obtain regional estimates and map biomass,as well as to assess and monitor the i

关键词： above-ground biomass shrublands ratio estimation carbon storage remote sensing Patagonia

Modeling and Simulation of Textile Supply Chain through Colored Petri Nets

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Intelligent Information Management 2012年第5期4卷 261-268页

作者： Francisca Santana-robles Joselito Medina-Marín Oscar Montano-Arango juan Carlos Seck-Tuoh-Mora Academic Area of Engineering School Higher of Sahagún CityAutonomous University of Hidalgo StatePachucaMéxico Advanced Research Center in Industrial Engineering Autonomous University of Hidalgo StatePachucaMéxico

The purpose of this paper is to describe the business process modeling and simulation of a textile supply chain using Colored Petri nets. Our model takes into account both the source process and delivery logistics that exist between any two members of supply chain;moreover, we model other activities performed by the company such as manufacturing clothing. The model has been built to acquire a better understanding about the behavior of a textile company in the fulfillment of requests from costumers. The model has been built using CPN Tools. This model was built with modules for activities of the supply chain textile, e.g. receiving orders of customers, determination of production plan, procurement raw material, transportation of raw material, production and delivering products to customers. This modularized model offers some advantages to represent complex supply chains according to their structure and requirements. Thus, we can add modules easily depending on the necessary activities.

关键词： Supply Chain Business Process Business Process Modeling Techniques Colored Petri Nets

Influence of in vitro capacitation time on structural and functional human sperm parameters

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Asian Journal of Andrology 2020年第5期22卷 447-453页

作者： Paula Saez-Espinosa Natalia Huerta-Retamal Laura robles-Gomez Manuel Aviles Jon Aizpurua Irene Velasco Alejandro Romero Maria Jose Gomez-Torres Department of Biotechnology Faculty of ScienceUniversity of AlicanteAlicante 03080Spain FISABI0-University Hospital of San juan de Alicante Service of Gynecology and ObstetricsSan Juan de Alicante 03550Spain Departm ent of Cell Biology and Histology Faculty of MedicineUniversity of Murcia and IMIB-ArrixacaMurcia 30100Spain IVF Spain Reproductive MedicineAlicante 03540Spain University Hospital of San juan de Alicante Service of Gynecology and ObstetricsSan Juan de Alicante 03550Spain Human Fertility Cathedra University of AlicanteAlicante 03080Spain.

A cascade of dramatic physiological events is linked to the sperm acrosome reaction and binding to the oocyte's zona pellucida during human sperm ***,structural and functional sperm changes during capacitation currently remain poorly ***,we performed a multibiomarker approach based on the utilization of sperm concentration,motility,viability,morphology,acrosome reaction,tyrosine phosphorylation,DNA fragmentation,and lectin-binding sites to analyze the impact caused by swim-up selection times(uncapacitated,1 h capacitated,and 4 h capacitated)on sperm function and structure in normozoospermic *** found that a 4 h swim-up capacitation increased sperm quality,because a large number of cells with normal morphology and lower DNA fragmentation rates were ***,the long-term capacitation induced a higher percentage of cells with tyrosine phosphorylation of the principal piece as well as a redistribution of lectin-binding ***,the multivariate biomarkers analyzed showed a less variable distribution on spermatozoa recovered after 4 h capacitation than that with the shorter capacitation *** findings stress the importance of capacitation time as a relevant factor in sperm quality with potential biological reproductive implications both for basic research and in assisted reproduction techniques.

关键词： acrosome reaction capacitation DNA fragmentation glycocalyx lectin-binding sites membrane integrity protein phosphorylation sperm selection

TopSTO:a 115-line code for topology optimization of structures under stationary stochastic dynamic loading

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Earthquake Engineering and Engineering Vibration 2023年第4期22卷 1081-1100页

作者： Sebastian Pozo Fernando Gomez Thomas Golecki juan Carrion Billie F.Spencer Jr. Civil and Environmental Engineering University of Illinois at Urbana-ChampaignUrbana 61801ILUSA College of Science and Engineering Universidad San Francisco de QuitoDiego de Robles y Vía InteroceanicaQuitoEcuador Skidmore Owings&MerrillLLPChicago 60604ILUSA Department of Civil Engineering University of CuencaCuencaEcuador

The use of topology optimization in structural design under dynamic excitation is becoming more prevalent in the *** many such applications utilize frequency or time domain formulations,relatively few consider stochastic dynamic *** paper presents an efficient and compact code called TopSTO for structural topology optimization considering stationary stochastic dynamic loading using a method derived from random vibration *** theory,described in conjunction with the implementation in the provided code,is illustrated for a seismically excited *** work demonstrates the efficiency of the approach in terms of both the computational resources and minimal amount of code *** code is intended to serve as a baseline for understanding the theory and implementation of this topology optimization approach and as a foundation for additional applications and developments.

关键词： topology optimization stochastic dynamics matlab python

Epidemiology of injuries in male and female youth football players:A systematic review and meta-analysis

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Journal of Sport and Health Science 2022年第6期11卷 681-695,F0003页

作者： Francisco Javier robles-Palazón Alejandro López-Valenciano Mark De Ste Croix Jon L.Oliver Alberto García-Gómez Pilar Sainz de Baranda Francisco Ayala Department of Physical Activity and Sport Faculty of Sport SciencesCampus of Excellence Mare NostrumUniversity of MurciaMurcia 30720Spain Centre for Sport Studies King Juan Carlos UniversityMadrid 28933Spain School of Sport and Exercise University of GloucestershireGloucester GL29HWUK Youth Physical Development Centre School of Sport and Health SciencesCardiff Metropolitan UniversityCardiff CF236XDUK Sport Performance Research Institute New Zealand(SPRINZ) Auckland University of TechnologyAuckland 0632New Zealand Operative Research Centre Miguel Hernández University of ElcheElche 03202Spain

Background:To conduct a systematic review and meta-analysis of epidemiological data of injuries in male and female youth football ***:Searches were performed in MEDLINE/PubMed,Web of Science,Cochrane Library,and SPORTDiscus *** were considered if they reported injury incidence rate in male and female youth(≤19 years old)football *** reviewers(FJRP and ALV)extracted data and assessed trial quality using the Strengthening the Reporting of Observational Studies in Epidemiology(STROBE)statement and the Newcastle Ottawa *** Grading of Recommendations Assessment,Development,and Evaluation approach determined the quality of *** were combined using a Poisson random effects regression ***:Forty-three studies were *** overall incidence rate was 5.70 injuries/1000 h in males and 6.77 injuries/1000 h in *** injury incidence(14.43 injuries/1000 h in males and 14.97 injuries/1000 h in females)was significantly higher than training injury incidence(2.77 injuries/1000 h in males and 2.62 injuries/1000 h in females).The lower extremity had the highest incidence rate in both *** most common type of injury was muscle/tendon for males and joint/ligament for *** injuries were the most common in both *** incidence rate of injuries increased with advances in chronological age in *** male players presented higher match injury incidence than sub-elite *** females,there was a paucity of data for comparison across age groups and levels of ***:The high injury incidence rates and sex differences identified for the most common location and type of injury reinforce the need for implementing different targeted injury-risk mitigation strategies in male and female youth football players.

关键词： Incidence Muscle injuries Severity Soccer Young athletes

Nodal involvement and p16-staining in upper alveolar ridge and hard palate cancer

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Journal of Cancer Metastasis and Treatment 2018年第1期4卷 186-198页

作者： Edgar Salas Pedro Sanchez juan Postigo Carlos A.Castaneda Miluska Castillo Valeria Villegas Luis Cano Sandro Casavilca Luis A.Bernabe Carolina Belmar Maria R.Villa-robles Raul Mantilla Henry Guerra Head&Neck Surgery Department Instituto Nacional de Enfermedades NeoplasicasLima 15038Peru Research Department Instituto Nacional de Enfermedades NeoplasicasLima 15038Peru Faculty of Medicine Universidad Peruana San Juan BautistaLima 15067Peru Pathology Department Instituto Nacional de Enfermedades NeoplasicasLima 15038Peru

Aim:Upper alveolar ridge and hard palate squamous cancer is an infrequent *** evaluated factors associated with neck involvement and with ***:Head and neck squamous-cell carcinoma(SCC)patients who went to Head and Neck Department between 1997 and 2011 were screened,and 73 resected upper alveolar ridge and 5 hard palate SCC were *** with available tissue were stained with p16 ***:Median age was 64.4 years,55.1%were female,and 73.1%were in clinical stage *** dissections were performed in 24 and pathologically confirmed node metastases were found in 19(24.3%).Cervical recurrence was found in 18 patients(23.1%)and was associated with histological grade(P=0.037).Three(7.3%)of 41 lesions were positive for p16 and tended to be younger(P=0.067).Lymphovascular invasion was associated with shorter disease-free survival(DFS)(P=0.026)and overall survival(OS)(P=0.021).Larger cT(P=0.019),perineural invasion(P=0.039)and neck dissection(P=0.010)were associated with shorter *** node involvement tended to have shorter DFS(31%vs.48.7%,P=0.278)and OS(25.1%vs.48.5%,P=0.340),and neck recurrence tended to have shorter OS(9.3%vs.52.3%,P=0.064).Conclusion:Neck involvement and recurrence are frequent in this location.P16-positive cases were present in 7.3%and tended to be associated with younger age.

关键词： P16 head neck maxilla prognosis survival