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作者： (阿根廷) 胡利奥·科塔萨尔(julio Cortazar)

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被占的宅子

作者： (阿根廷) 胡利奥·科塔萨尔(julio Cortazar)

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几内亚比绍共和国农业生产现状

农业开发与装备 2012年第6期 227-229页

作者：卢远华朱穆君杨恒 Marcelino Waz julio Malam 四川省自贡市农牧业局植保站四川自贡643000 四川省宜宾市农业局种子管理站四川宜宾644000 西北农林科技大学林学院陕西杨凌712100 几内亚比绍全国植保总站

几内亚比绍共和国位于非洲西部，大陆部分北接塞内加尔，东、南邻几内亚，西濒大西洋。国土面积36125km2地势东北高西南低，除东南隅为平缓丘陵热带森林地带外（博埃山海拔300m，为全境最高点），其他地区均为海拔100m以下的平原。境内... 详细信息

几内亚比绍共和国位于非洲西部，大陆部分北接塞内加尔，东、南邻几内亚，西濒大西洋。国土面积36125km2地势东北高西南低，除东南隅为平缓丘陵热带森林地带外（博埃山海拔300m，为全境最高点），其他地区均为海拔100m以下的平原。境内河流纵横，湖泊众多。

关键词：农业生产现状几内亚共和国塞内加尔国土面积森林地带大西洋海拔

川麦107在墨西哥生态环境下的抗条锈病遗传研究

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西南农业学报 2007年第2期20卷 252-255页

作者：朱华忠 Ravi.Singh julio Huerta Oscar Banuelos 四川省农业科学院作物研究所国际玉米小麦改良中心墨西哥城664106600

在墨西哥（国际玉米小麦改良中心TOLUCA试验站）人工接种诱发田间条锈病的条件下,对源自中国四川的抗条锈病小麦品种川麦107与国际上条锈病研究广泛使用的感病品系Avocet-YrA杂交组合F5代的148个随机自交系（R ILs）进行抗病性鉴定分析... 详细信息

在墨西哥（国际玉米小麦改良中心TOLUCA试验站）人工接种诱发田间条锈病的条件下,对源自中国四川的抗条锈病小麦品种川麦107与国际上条锈病研究广泛使用的感病品系Avocet-YrA杂交组合F5代的148个随机自交系（R ILs）进行抗病性鉴定分析,发现川麦107具有6对独立遗传的微效抗条锈病基因,其中4~5对以上的抗病基因叠加在一起可即达到高抗—免疫水平。

关键词：抗病性条锈病遗传川麦107

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万火归一

The Influence of the Precipitation Heat Treatment Temperature on the Metallurgical, Microstructure, Thermal Properties, and Microhardness of an Alpha Brass

作者： (阿根廷)胡利奥·科塔萨尔(julio Cortazar)

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Materials Sciences and Applications 2018年第4期9卷 440-454页

作者： Ignacio Rojas-Rodríguez Alberto Lara-Guevara Mauricio Salazar-Sicacha julio Cesar Mosquera-Mosquera Minerva Robles-Agudo Cristian Ramirez-Gutierrez Mario Rodríguez-García División Industrial Universidad Tecnológica de Querétaro Querétaro México División de Posgrado Facultad de Informática Universidad Autónoma de Querétaro Querétaro México Programa de Física Universidad del Quindío Armenia Colombia Catedras Conacyt Universidad Tecnológica de Querétaro Querétaro México Posgrado en Ciencia e Ingeniería de Materiales Centro de Física Aplicada y Tecnología Avanzada Universidad Nacional Autónoma De México Campus Juriquilla Querétaro México Departamento de nanotecnología Centro de Física Aplicada y Tecnología Avanzada Universidad Nacional Autónoma de México Campus Juriquilla Querétaro México

Metals obtain optimum conditions of metallurgical and physical properties through a heat treatment. Brass is one of the copper alloys which has many applications in everyday life and in the industry. Brass is one of the copper alloys which has many applications in everyday life and the industry. In this work, the influence of the precipitation heat treatment temperature on the metallurgical microstructure, structure, thermal properties, and microhardness of an alpha brass is analyzed. Samples were heat treated by precipitation for 2 h at 300°C, 400°C, 500°C, 600°C, and 700°C. The best mechanical properties were found at 500°C of precipitation heat treatment temperature. Specimens were characterized by scanning electron microscopy, X-ray diffraction, Vickers microhardness, photothermal radiometry, and photoacoustic to study the thermal diffusivity and conductivity, as well as the heat capacity. The inverse of the full width at the half maximum analysis showed that the crystallinity decreased as the precipitation heat treatment temperature increased. Metallurgical microstructure and microhardness were correlated to the precipitation heat treatment temperatures to determine the effect on the metallurgical and mechanical properties, as well as the effect on the thermal properties of alpha brass.

关键词： Alpha Brass Kunial Brass Crystallinity Photoacoustic Precipitation Heat Treatment X Ray Diffraction

High Supracostal Percutaneous nephrolithotomy Access: Assessing Safety in Access above the Eleventh Rib after Performing Preoperative Planning with Computed Tomography

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Open Journal of Urology 2015年第4期5卷 25-33页

作者： Joel E. Abbott Anthony D. DiMatteo Elise Fazio Samuel G. Deem Ali K. Sobh Albert DePolo julio G. Davalos St John Providence Health Michigan State University Warren USA Charleston Area Medical Center West Virginia School of Osteopathic Medicine Charleston USA Chesapeake Urology Associates University of Maryland Glen Burnie USA

Objective: To determine if supracostal renal access above the 11th rib during percutaneous nephrolithotomy (PCnL) is a safe option in carefully selected patients determined by preoperative computed tomography (CT) imaging. Patients and Methods: We retrospectively isolated 142 patients who underwent access above the eleventh rib during PCnL, which we term “high supracostal renal access.” We then compared these patients to 113 individuals who underwent access below the twelfth rib. Renal access was achieved by the operative surgeon with fluoroscopic guidance in conjunction with pre-operative computed tomography (CT) scan. Outcomes were compared. Results: Overall surgical outcomes were equivalent when comparing high supracostal versus subcostal access sites. As expected due to proximity, pleural complications occurred in 4% of the high supracostal group (n = 6) compared with 0% of the control (subcostal) group (p = 0.035). Of these six complications, three were managed conservatively with observation and two required cardio-thoracic intervention with video-assisted thoracoscopic pleural repair (1%). In the remaining case, the patient was preoperatively consented for placement of a thoracostomy tube, which was placed during the procedure, due to the difficult location of her upper pole stone and closely adjacent low-lying pleura, and the planned transpleural approach. Hospital stay was not significantly pro-longed between the high supracostal access and subcostal access groups, with an average length of stay of 2.2 ± 2.1 days and 2.0 ± 1.9 days (p = 0.59) respectively. Conclusions: Careful, systematic preoperative planning based on CT and fluoroscopic imaging allows for a confident understanding of a “safety zone” in placement and dilatation of renal access points during PCnL. We have shown that planned upper pole renal access above the 11th rib is achievable with acceptable morbidity and excellent success rates.

关键词： Percutaneous nephrolithotomy Calculi Endoscopic Surgical Procedure

Post-Hospital Syndrome and Hyponatremia

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Health 2021年第8期13卷 846-856页

作者： José Bellod-Tonda julio Blázquez-Encinar María Dolores Jover-Ríos Carmen Seguí-Pérez Juan Méndez-Mora Francisco Caparrós-Hernández Álex Méndez-Jover Marc Seguí-Pérez David Baláž Leticia Espinosa del Barrio Jesús Corbacho-Redondo Carles García-Cervera Juan Manuel núñez-Cruz Isidro Hernández-Isasi Javier Guzmán-Martínez Angie Gómez-Uranga Pedro Esteve-Atiénzar Jorge Peris-García Veronica Martínez-Sempere Eliana Damonte-White Óscar Hernando Ruiz-Ariza Juan Carlos López-Corbalán Lourdes Lajara-Villar Andrea Riaño-Pérez Paloma Chazarra-Pérez María Escamilla-Espínola Maria Luisa Asensio-Tomás Miguel Ángel Auladell-Alemany Laura Serna-Torres Asunción Pérez-Fullana Amparo Gómez-Siurana Sergio Menargues-Irles José Miguel Seguí-Ripoll Internal Medicine Department University Hospital of San Juan Alicante Spain Internal Medicine Department Torrevieja University Hospital Alicante Spain Internal Medicine Department Hospital La Vega Baja of Orihuela Alicante Spain CEU Cardinal Herrera University Veterinary Hospital Valencia Spain Secondary School Marist Brothers High School Alicante Spain Department of Clinical Medicine Miguel Hernández University Elche Spain Primary Care Medicine Benilloba Spain Sub-Delegation of the Government Alicante Spain Chemical Engineering Department University of Alicante Alicante Spain

Introduction: Post-hospital syndrome (PHS) is defined as a period of vulnerability during the first 30 days after a patient is discharged from hospital, in which multiple factors come into play. Hyponatremia is the mo... 详细信息

ng>Introduction:ng> Post-hospital syndrome (PHS) is defined as a period of vulnerability during the first 30 days after a patient is discharged from hospital, in which multiple factors come into play. Hyponatremia is the most frequent hydroelectrolytic disorder in hospitalized patients and may be related to the appearance of PHS. ng>Objective: ng>The objective is to estimate the prevalence of PHS that is assessed as the rate of readmissions in the first 30 days after discharge, in patients with hyponatremia. ng>Material and Methods:ng> It is a descriptive observational study of patients with hyponatremia who were discharged from 1 September 2010 to 2 February 2020 at the Internal Medicine Service of the Hospital University of San Juan (Alicante, Spain). ng>Results:ng> Of the 25 included patients, 5 (20%) were readmitted within a month of discharge, after a mean of 11.4 days (standard deviation [SD] 5.1). The overall mortality of the study was 20% (n = 5), with one case of death in the first 30 days post-hospitalization (4%). In 12 patients (48%) the origin of the hyponatremia was undetermined. The most frequently recorded etiology for the condition was pharmacological (n = 7, 28%), and there was pronounced variability in its clinical and laboratory study. The most widely used corrective measure was drug withdrawal, in 16 patients (64%). Water intake restriction was the most common treatment after discharge (5 patients, 20%), followed by urea (2 patients, 8%), while tolvaptan was not used. ng>Conclusion: ng>Hyponatremia may be the cause of PHS, which could increase the rate of early readmission. Hyponatremia is an underdiagnosed and undertreated entity, so it is necessary to apply an appropriate system to optimize its management and, in future studies, to assess its impact on PHS.

关键词： Hospitalization Hyponatremia Patient Readmission Inappropriate ADH Syndrome

Effects of Microselective neurotomy on Focal Spasticity and Description of the Surgical Technique

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Open Journal of Modern neurosurgery 2021年第3期11卷 144-156页

作者： Sergio A. Sacchettoni Joyce Bolaños napoleon Torres Juan P. Abud Penelope Mantilla Luis Salazar Maria-Fernanda Vargas julio Rodriguez-Wulff Randy Balladares Ricardo Gomez Service of neurosurgery Hospital Vargas de Caracas Caracas Venezuela Service of neurosurgery Centro Medico Docente La Trinidad Caracas Venezuela neurological Unit “neuroQX” Centro Médico Integra Caracas Venezuela Université Grenoble Alpes Grenoble France

We studied the microselective neurotomy (MSn) and its advantages to alleviate disabling spasticity. The best indication for MSn is focal spasticity. We performed 298 MSn, 87 nerves on the upper limb, 211 nerves on the lower limb) in 68 patients. The initial causes were: stroke, cranial trauma, postoperative complications and multiple sclerosis. MSn procedures were performed on the median nerve (n = 40) for wrist and finger flexion;musculo-cutaneus nerve (n = 38) for elbow flexion;ulnaris nerve (n = 9) for cubital deviation of the hand;gastrocnemius nerve (n = 98) and soleus nerve (n = 49) for equinus foot, tibial posterior nerve (n = 45) for varus foot, and fascicles (or bundles) of the flexor digitorum for “claw” toes (n = 19). The main preoperative test to identify the responsible nerve was a neuromuscular block with local anesthesia (lidocaine or bupivacaine) injected into the site of the nerve connecting the spastic muscle. During surgery, the identified nerve was exposed and its epineurium opened. nerve bundles were teased apart into individual rootlets and a number of rootlets cut were previously planned, according to the spasticity. Follow-up was performed for up to 10 years, with a mean period of 29 months. Results demonstrated a reduction of limb spasticity of 2 to 3 points: modified Ashworth scale (MAS). Pain and clonus were also diminished in the affected limb. In some cases, voluntary movement was once again possible. MSn is a useful alternative in those cases of focal spasticity where physiotherapy and nerve block with botulinum toxin or phenol no longer produce satisfactory results.

关键词： Focal Spasticity Microselective neurotomy neurosurgery of Spasticity

Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life:Breaking the Access Gaps to Health with Teleoncology

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Journal of Cancer Therapy 2019年第8期10卷 677-691页

作者： Tatiana Vidaurre Jule Vásquez Fernando Valencia Cindy Alcarraz Luis Más nataly Poma Litol Becerra Gino Rodriguez Socorro Saldana Pepe Diaz Silvia neciosup Karina Aliaga Roxana Regalado Miriam Salazar Kavita Sarwal Simon Sutcliffe julio Abugattas Carlos Castaneda Mónica Calderón Hugo Fuentes Henry Gómez Medical Oncologist Instituto Nacional de Enfermedades Neoplasicas(INEN)LimaPeru Hospital II-E Lamas San MartinPeru Instituto nacional de Enfermedades neoplasicas(InEn) LimaPeru International Cancer Control Congress Association(ICCCA) VancouverCanada

Background: Cancer is a leading cause of death worldwide as well as in Peru. The national cancer plan includes decentralization, but one of the greatest barriers is our complicated geography. San Martin is a department located in the Peruvian jungle where there are no public services for cancer care. Our aim was to implement a “distance telemedicine-enabled” outpatient chemotherapy module, monitored by oncologists. Methods: The implementation was conducted in 3 stages: 1) Planning and Organization: working teams were formed, a chemotherapy room was developed and people were trained. 2) Execution: patients from San Martín region, aged >18 years with pathological confirmation of cancer, requiring systemic chemotherapy, ECOG nd first course of chemotherapy received at InEn without adverse reaction were selected. 3) Evaluation: adverse events, cost-user evaluation and quality of life (QoL) were assessed. Results: By november 2015, a module with a chemotherapy room with 18 chairs, a pharmacy, a hospitalization room, 1 medical office, a training room, a nutrition area, and a nursing station was implemented. 3 physicians, 3 nurses and 1 pharmacist were trained. Through March 2018, 501 sessions of teleoncology were completed to deliver 232 cycles of chemotherapy for 56 patients aged 19 - 78 years with different solid tumors, with no serious adverse event, without negatively affecting their QoL, and with an average out-of-pocket expense saving of 500 PEn. Conclusions: Using information and communication technology, a telechemotherapy module was successfully implemented in the Peruvian jungle, without adversely affecting the QoL of patients. neither patients nor family members needed to travel to Lima to receive chemotherapy. This first program can be replicated in other rural and remote regions through non-specialized personnel and facilities, providing chemotherapy services equivalent to a tertiary center through trained health care professionals, supported through tel

关键词： Telechemotherapy Module Cancer Treatment Urban Tertiary Center Teleoncology