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Hepatic encephalopathy: Ever closer to its big bang

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World Journal of Gastroenterology 2016年第42期22卷 9251-9256页

作者： pablo A Souto Ariel R Marcotegui Lisandro Orbea juan Skerl juan Carlos Perazzo Department of Pathology Laboratory of Hyperammonemia and Hepatic Encephalopathy Center of Applied and Experimental Pathology Faculty of Medicine University of Buenos Aires

Hepatic encephalopathy(HE) is a neuropsychiatric disorder that commonly complicates the course of patients with liver disease. Despite the fact that the syndrome was probably first recognized hundreds of years ago, the exact pathogenesis still remains unclear. Minimal hepatic encephalopathy(MHE) is the earliest form of HE and is estimated to affect more that 75% of patients with liver cirrhosis. It is characterized by cognitive impairment predominantly attention, reactiveness and integrative function with very subtle clinical manifestations. The development of MHE is associated with worsen in driving skills, daily activities and the increase of overall mortality. Skeletal muscle has the ability to shift from ammonia producer to ammonia detoxifying organ. Due to its large size, becomes the main ammonia detoxifying organ in case of chronic liver failure and muscular glutaminesynthase becomes important due to the failing liver and brain metabolic activity. Gut is the major glutamine consumer and ammonia producer organ in the body. Hepatocellular dysfunction due to liver disease, results in an impaired clearance of ammonium and in its interorgan trafficking. Intestinal bacteria, can also represent an extra source of ammonia production and in cirrhosis, small intestinal bacterial overgrowth and symbiosis can be observed. In the study of HE, to get close to MHE is to get closer to its big bang; and from here, to travel less transited roads such as skeletal muscle and intestine, is to go even closer. The aim of this editorial is to expose this road for further and deeper work.

关键词： Ammonia Skeletal muscle Minimal hepatic encephalopathy Hyperammonemia

A Non-Destructive Time Series Model for the Estimation of Cherry Coffee Production

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Computers, Materials & Continua 2022年第3期70卷 4725-4743页

作者： Jhonn pablo Rodríguez David Griol Zoraida Callejas juan Carlos Corrales Telematics Engineering Group University of CaucaPopayán190002Colombia INRAE University of ToulouseUMR 1248 AGIRF-31326Castanet TolosanFrance Department of Software Engineering University of GranadaGranada18071Spain

Coffee plays a key role in the generation of rural employment in *** than 785,000 workers are directly employed in this activity,which represents the 26%of all jobs in the agricultural *** coffee growers estimate the production of cherry coffee with the main aim of planning the required activities,and resources(number of workers,required infrastructures),anticipating negotiations,estimating,price,and foreseeing losses of coffee production in a specific *** important processes can be affected by several factors that are not easy to predict(e.g.,weather variability,diseases,or plagues.).In this paper,we propose a non-destructive time series model,based on weather and crop management information,that estimate coffee production allowing coffee growers to improve their management of agricultural activities such as flowering calendars,harvesting seasons,definition of irrigation methods,nutrition calendars,and programming the times of concentration of production to define the amount of personnel needed for *** combination of time series and machine learning algorithms based on regression trees(XGBOOST,TR and RF)provides very positive results for the test dataset collected in real conditions for more than a *** best results were obtained by the XGBOOST model(MAE=0.03;RMSE=0.01),and a difference of approximately 0.57%absolute to the main harvest of 2018.

关键词： Cherry coffee production estimation learner approaches time series weather data crop management data

South Asian dairy smallholders: A scoping review of practices and zoonoses

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Asian Pacific Journal of Tropical Medicine 2023年第10期16卷 446-452页

作者： Emily Schembri Angus J D Campbell juan pablo Villanueva-Cabezas Melbourne School of Population and Global Health The University of MelbourneVictoriaAustralia The Nossal Institute for Global Health The University of MelbourneVictoriaAustralia The Peter Doherty Institute for Infection and Immunity The University of Melbourne and the Royal Melbourne HospitalVictoriaAustralia

Objective: To identify and discuss on-farm management practices linked to bacterial zoonosis risk in smallholder dairy farmers in South Asia. Methods: This scoping review was conducted as per the PRISMA-ScR guidelines. Five hundred and two publications were retrieved from five online databases using a comprehensive search strategy. Studies were selected if they discussed a farm management practice which impacted human health within a South Asian country. Results: Twenty-two studies were included. Seven management practices relevant to farmers, livestock and their shared environment were identified including raw milk consumption, farm hygiene management, personal protective equipment uses, animal vaccination, cleaning udders, hand washing and disposal of afterbirth materials. Preventive practices were found to be utilized at lower frequencies compared to risk increasing practices. Awareness of bacterial zoonoses is particularly low within the region. Conclusions: Based on the results of this review, it was determined that improving farmer awareness of bacterial zoonotic diseases may favor several of the presented leverage points within the South Asian smallholder dairy system. Relying on formal school education to improve this awareness may not solve this problem, instead, more focus on accessible and affordable zoonoses education and farming programs is required.

关键词： Management practices Zoonoses Dairy Smallholder system

Mutated trimeric RBD vaccines:a platform against variants of concern

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Signal Transduction and Targeted Therapy 2023年第5期8卷 2038-2040页

作者： Belén Aparicio juan J.Lasarte pablo Sarobe Programa de Inmunología e Inmunoterapia Centro de Investigación Médica Aplicada(CIMACCUN)Universidad de NavarraPamplona31008Spain Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas(CIBEREHD) Pamplona31008Spain IdiSNA Instituto de Investigación Sanitaria de NavarraPamplona31008Spain

He et *** reported in Nature Communications1 the development of a protein vaccine against SASR-CoV-2 Omicron variant consisting of a trimer of the spike protein receptor-binding domain(RBD)of the Delta variant fused to heptad-repeat sequences 1 and *** vaccine induced broad-spectrum neutralizing antibodies and fully protected mice and non-human primates against challenge with live Delta and Omicron virus.

关键词： vaccine vaccines

COVID-19 and Indirect Liver Injury:A Narrative Synthesis of the Evidence

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Journal of Clinical and Translational Hepatology 2021年第5期9卷 760-768页

作者： Francisco Idalsoaga Gustavo Ayares juan pablo Arab Luis Antonio Díaz Departamento de Gastroenterología Escuela de MedicinaPontificia Universidad Católica de ChileSantiagoChile Centro de Envejecimiento y Regeneración(CARE) Facultad de Ciencias BiológicasPontificia Universidad Católica de ChileSantiagoChile

The liver is frequently affected by severe acute respiratory syndrome-coronavirus 2(SARS-CoV-2)*** most common manifestations are mildly elevated alanine aminotransferase and aspartate aminotransferase,with a prevalence of 16-53%among *** with severe coronavirus disease 2019(COVID-19)seem to have higher rates of acute liver dysfunction,and the presence of abnormal liver tests at admission signifies a higher risk of severe disease during *** with chronic liver diseases also have a higher risk of severe disease and mortality(mainly seen in patients with metabolic-associated fatty liver disease).Several pathways of damage have been proposed in the liver involvement of COVID-19 patients;although,the end-cause is most likely *** liver tests have been attributed to the expression of angiotensin-converting enzyme 2 receptors in SARS-CoV-2 *** enzyme is expressed widely in cholangiocytes and less in *** factors attributed to liver damage include drug-induced liver injury,uncontrolled release of proinflammatory molecules(“cytokine storm”),pneumonia-associated hypoxia,and direct damage by the *** steatosis,vascular thrombosis,fibrosis,and inflammatory features(including Kupffer cell hyperplasia)are the most common liver histopathological findings in deceased COVID-19 patients,suggesting important indirect mechanisms of liver *** this translational medicinebased narrative review,we summarize the current data on the possible indirect mechanisms involved in liver damage due to COVID-19,the histopathological findings,and the impact of these mechanisms in patients with chronic liver disease.

关键词： COVID-19 SARS-CoV-2 Liver hepatitis Liver injury Novel coronavirus

Overview of the anterolateral complex of the knee

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World Journal of Clinical Cases 2022年第24期10卷 8474-8481页

作者： Ignacio Garcia-Mansilla juan pablo Zicaro Ezequiel Fernando Martinez juan Astoul Carlos Yacuzzi MatiasCosta-Paz Knee Surgery Hospital Italiano de Buenos AiresBuenos Aires 1199Argentina

In the last few years,much more information on the anterolateral complex of the knee has become *** has now been demonstrated how it works in conjunction with the anterior cruciate ligament(ACL)controlling anterolateral rotatory *** studies have shown that the anterolateral complex(ALC)has a role as a secondary stabilizer to the ACL in opposing anterior tibial translation and internal tibial *** is of utmost importance that surgeons comprehend the intricate anatomy of the entire anterolateral aspect of the *** most studies have only focused on the anterolateral ligament(ALL),the ALC of the knee consists of a functional unit formed by the layers of the iliotibial band combined with the anterolateral joint *** interest has also been given to imaging evaluation using magnetic resonance and several studies have targeted the evaluation of the ALC in the setting of ACL *** are inconsistent with a lack of association between magnetic resonance imaging evidence of injury and clinical *** ACL reconstruction may not always reestablish knee rotatory stability in patients with associated ALC *** such cases,additional procedures,such as anterolateral reconstruction or lateral tenodesis,may be *** are several techniques available for ALL *** options include the iliotibial band,gracilis or semitendinosus tendon autograft,or allograft.

关键词： Anterolateral complex Knee instability Anterolateral ligament Anterior cruciate ligament reconstruction

Shade shelters increase survival and photosynthetic performance of oak transplants at abandoned fields in semi-arid climates

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Journal of Forestry Research 2013年第1期24卷 23-28页

作者： Claudia González-Salvatierra Ernesto Iván Badano Joel Flores juan pablo Rodas División de Ciencias Ambientales Instituto Potosino de Investigación Científica y TecnológicaA.C.Camino a la Presa San José 2055C.P. 78216San Luis PotosíS.L.P.México.

Forest restorations conducted in semiarid, seasonally dry climates must deal with the intense drought stress that affects tree seedlings during the dry season. Although this water deficit is the most commonly invoked source of mortality for seedlings, several other environmental factors may also preclude survival of transplants. For instance, it has been widely reported that excessive light reduces the efficiency of the photosynthetic apparatus, hence decreasing plant survival, but most seedling transplants in deforested areas are conducted under these light conditions. This study is focused in determining whether excessive light affects the photosynthetic performance and survival of Quercus coccolobifolia, a Mexican oak species, when their seedlings are transplanted in semiarid deforested areas. Further, this study tests the possibility of using artificial shade shelters to improve the ecophysiological performance and survival of seedlings. Oak seedlings were transplanted under full sunlight conditions and beneath artificial shade shelters of two different colors： white and black. To reduce water stress, and hence isolate the effects of light treatments, a drip irrigation system was implemented at each experimental plot. Seedling survival was monitored weekly for 128 days and photosynthetic performance was assessed by measuring chlorophyll fluorescence at three opportunities during the experiment. Sun-exposed seedlings showed lower photosynthetic performance and survival rates than those beneath shelters of both colors. These results suggest that sunlight damage can reduce seedling survival when they are transplanted in exposed sites, and that shade shelters can improve the success of forest restoration programs in semiarid climates.

关键词： chlorophyll fluorescence light stress photoinhibition reforestation forest restoration

Generalized algorithms for particle motion and collision with streambeds

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International Journal of Sediment Research 2019年第4期34卷 295-306页

作者： Patricio A.Moreno-Casas Fabián A.Bombardelli juan pablo Toro Department of Civil and Environmental Engineering University of CaliforniaDavis Facultad de Ingeniería y Ciencias Aplicadas Universidad de los AndesMonse?or Alvaro del Portillo Department of Civil Engineering Universidad Andres Bello

Recent theoretical and numerical models for the motion of saltating particles close to stream beds are constituted of three sub-models: a) a set of equations describing the particle "free flight", b) a sub-model to calculate the post-collision particle velocity, and c) a mathematical representation of the bed roughness. In this paper, a comprehensive three-dimensional(3-D), theoretical/numerical model for bedload motion at large Reynolds numbers is presented. By using geometric considerations and stochastic parameters to characterize collisions with the wall, five new sub-models for representation of bed roughness are, for the first time to the best of our knowledge, proposed and implemented. The emphasis of this paper is on the particle model, for which Basset, Magnus, drag, submerged weight, virtual mass,and lift forces are included. For the range of particle sizes(sands) analyzed herein, it is found that the stream-wise contribution of the Basset force, compared to other forces, may be as large as 60%. Whereas in the wall-normal direction, the Basset force is equally important as the drag force, and it is exceeded only by the submerged weight. It is also found that the best agreement between numerical and experimental results in terms of jump length, jump height, and stream-wise particle velocity is achieved for restitution and friction coefficients of 0.65 and 0.1, respectively. Important conclusions are obtained regarding the lack of realistic prediction with available "roughness" models with small ranges of angles.

关键词： Particle saltation Particle collision Particle rotation Bed-load transport Basset force

Sending an SOS: Healing the Liver with the Bone Marrow

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Journal of Clinical and Translational Hepatology 2022年第1期10卷 1-3页

作者： Gustavo Ayares juan pablo Arab Ashwani K.Singal Departamento de Gastroenterología Escuela de MedicinaPontificia Universidad Católica de ChileSantiagoChile De-partment of Internal Medicine University of South Dakota Sanford School of MedicineSioux FallsSDUSA Division of Transplant Hepatology Avera Transplant InstituteSioux FallsSDUSA

Citation of this article:Ayares G,Arab JP,Singal *** an SOS:Healing the Liver with the Bone Marrow.J Clin Transl Hepatol 2022;10(1):***:10.14218/***,an end stage of any chronic liver disease is a form of impaired regeneration leading to progressive dif-fuse hepatic *** healthcare burden of cirrhosis is increasing,and it is currently the 13th leading cause of death *** progression of liver injury and fibrosis results in portal hypertension and hepatic insufficiency.

关键词： impaired Liver hepatic