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Achievement of high rate nitritation with aerobic granular sludge reactors enhanced by sludge recirculation events

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Frontiers of Environmental Science & Engineering 2015年第3期9卷 528-533页

作者： Zulkifly JEMAAT Josep Anton TORA Albert BARTROLI Julian CARRERA julio perez Department of Chemical Engineering School of Engineering Universitat Autbnoma de Barcelona Barcelona 08193 Spain Aeris Tecnologias Ambientales Ed. Eureka-Campus UAB Barcelona 08193 Spain Present address: Faculty of Chemical & Natural Resources Engineering Universiti Malaysia Pahang Lebuhraya Tun Razak Kuantan 26300 Malaysia

A ratio control strategy has been used to demonstrate the feasibility of this automatic control procedure for the achievement of stable full and partial nitritation. The control strategy assured constant ratio between the dissolved oxygen （DO） and the total ammonia nitrogen （TAN） concentrations in the bulk liquid of aerobic granular sludge reactors operating in continuous mode. Three different set-ups with different reactor capacities were used （3, 110, and 150L）. High strength synthetic wastewaters and reject water were tested with similar performance. Achieved nitrogen loading rates ranged between 0.4 and 6.1 kgN· m^-3·d^-1, at temperatures between 20℃ and 30℃. 1Granular sludge and nitritation were stable in the long term continuous operation of the reactors. Suitable stable effluent for Anammox has been obtained using the desired TAN setpoint （i.e. 50% of influent ammonium oxidation）. An existing biofilm model devel- oped incorporating the implemented control loops and validated in a previous publication was used to investigate the effects of the ammonium concentration of the influent and the biofilm density on the achievement of full nitritation. The model demonstrated how sludge recirculation events led to a stable and significant increase of the biomass concentration in the reactor, which in turn resulted in the achievement of high nitrogen loading rates, due to the action of the control strategy. The model predicted an enhancement of stable full nitritation at higher ammonium concentrations in the influent. Poor influence of the biofilm density in the achievement of full nitritation was predicted with the model.

关键词： partial nitrification reject water high strength ammonium wastewater closed-loop control

Immediate post-operative complications(I):Post-operative bleeding;vascular origin:Thrombosis pancreatitis

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World Journal of Transplantation 2020年第12期10卷 415-421页

作者： Jose Antonio perez Daga Rosa perez Rodriguez julio Santoyo Department of Surgery Hospital Regional de MálagaMalaga 29010Spain

Simultaneous pancreas-kidney transplantation is the treatment of choice forinsulin-dependent diabetes that associates end-stage diabetic nephropathy, sinceit achieves not only a clear improvement in the quality of life, but also provides along-term survival advantage over isolated kidney transplant. However, pancreastransplantation still has the highest rate of surgical complications among organtransplants. More than 70% of early graft losses are attributed to technical failures,that is, to a non-immunological cause. The so-called technical failures includegraft thrombosis, bleeding, infection, pancreatitis, anastomotic leak and pancreaticfistula. Pancreatic graft thrombosis leads these technical complications as the mostfrequent cause of early graft loss. Currently most recipients receive postoperativeanticoagulation with the aim of reducing the rate of thrombosis. Hemoperitoneumin the early postoperative period is a frequent cause of relaparotomy, but it is notusually associated with graft loss. The incidence of hemoperitoneum is clearlyrelated to the use of anticoagulation in the postoperative period. Post-transplantpancreatitis is another cause of early postoperative complications, less frequentthan the previous. In this review, we analyze the most common surgicalcomplications that determine pancreatic graft losses.

关键词： Pancreas transplantation Vascular graft thrombosis Postoperative hemorrhage Graft pancreatitis Reperfusion injury Tissue donors Risk factors

Prognostic utility of NT-proBNP greater than 70,000 pg/mL in patients with end stage renal disease

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Journal of Geriatric Cardiology 2018年第7期15卷 476-478页

作者： julio perez-Downes Carlos Palacio Saif Ibrahim Patrisha Shelley Alan Miller Pramod Reddy Division of General Internal Medicine University of Florida College of Medicine-Jacksonville USA Department of Interventional Cardiology University of Alabama Birmingham Birmingham AL USA Division of Cardiology Department ofMedicine University of Florida College of Medicine- Jacksonville USA

Natriuretic peptides are synthesized in ventricular myocytes and released into the circulation in response to increased myocardial wall stress, Causes of myocardial wall stress include pulmonary hypertension, ventricu... 详细信息

关键词： End stage renal disease Heart failure Heart failure reduced ejection fraction Mortality NT-proBNP

Current and novel approaches in the pharmacological treatment of hepatocellular carcinoma

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World Journal of Gastroenterology 2023年第17期29卷 2571-2599页

作者： Fernanda Villarruel-Melquiades María Eugenia Mendoza-Garrido Claudia M García-Cuellar Yesennia Sánchez-Pérez julio isael Pérez-Carreón Javier Camacho Departamento de Farmacología Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional(CINVESTAV-IPN)Mexico City 07360Mexico Departamento de Fisiología Biofísica y NeurocienciasCentro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional(CINVESTAVIPN)Mexico City 07360Mexico Subdirección de Investigación Básica Instituto Nacional de Cancerología(INCan)Mexico City 14080Mexico Instituto Nacional de Medicina Genómica Instituto Nacional de Medicina Genómica(INMEGEN)Mexico City 14610Mexico

Hepatocellular carcinoma(HCC)is one of the most lethal malignant tumours *** mortality-to-incidence ratio is up to 91.6%in many countries,representing the third leading cause of cancer-related *** drugs,including the multikinase inhibitors sorafenib and lenvatinib,are first-line drugs used in HCC ***,these therapies are ineffective in most cases due to late diagnosis and the development of tumour ***,novel pharmacological alternatives are urgently *** instance,immune checkpoint inhibitors have provided new approaches targeting cells of the immune ***,monoclonal antibodies against programmed cell death-1 have shown benefits in HCC *** addition,drug combinations,including first-line treatment and immunotherapy,as well as drug repurposing,are promising novel therapeutic ***,we review the current and novel pharmacological approaches to fight *** studies,as well as approved and ongoing clinical trials for liver cancer treatment,are *** pharmacological opportunities analysed here should lead to significant improvement in HCC therapy.

关键词： Liver cancer Systemic therapy Immunotherapy Drug repurposing Drug combinations Hepatocellular carcinoma

Atypical presentation of a ventricular papillary fibroelastoma

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Journal of Geriatric Cardiology 2017年第8期14卷 534-535页

作者： julio perez-Downes Harold Dietzius Saif Ibrahim Vasant Jayasankar Leslie Oberst Department of Medicine University of Florida College of Medicine-Jacksonville USA Department of Cardiology Memorial tIospital USA Department of Cardiology University of Florida College of Medicine-Jacksonville USA Department of Cardiothoracic Surgery Memorial Hospital USA

Papillary fibroelastoma cardiac tumor. The most is the most common valvular common non-valvular site these minors present is the left ventricle, where they usually manifest as ischemic strokes or myocardial infarction. Although these tumors also have a risk of embolization into the peripheral system, reports of such events are exceedingly rare.

关键词： Fibroelastoma Ischemia Myocardium Neoplasm Thrombosis

Risk factors and classifications of hilar cholangiocarcinoma

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World Journal of Gastrointestinal Oncology 2013年第7期5卷 132-138页

作者： Miguel Angel Suarez-Munoz Jose Luis Fernandez-Aguilar Belinda Sanchez-perez Jose Antonio perez-Daga Beatriz Garcia-Albiach Ysabel Pulido-Roa Naiara Marin-Camero julio Santoyo-Santoyo General Digestive and Transplantation Surgery Service HPB and Liver Transplant UnitUniversity Hospital Carlos Haya29010 MalagaSpain

Cholangiocarcinoma is the second most common primary malignant tumor of the *** cholangiocarcinoma or Klatskin tumor represents more than 50% of all biliary tract cholangiocarcinomas.A wide range of risk factors have been identified among patients with Perihilar cholangiocarcinoma including advanced age,male gender,primary sclerosing cholangitis,choledochal cysts,cholelithiasis,cholecystitis,parasitic infection(Opisthorchis viverrini and Clonorchis sinensis),inflammatory bowel disease,alcoholic cirrhosis,nonalcoholic cirrhosis,chronic pancreatitis and metabolic *** classifications have been used to describe the pathologic and radiologic appearance of *** three systems most commonly used to evaluate Perihilar cholangiocarcinoma are the Bismuth-Corlette(BC) system,the Memorial Sloan-Kettering Cancer Center and the TNM *** BC classification provides preoperative assessment of local *** Memorial Sloan-Kettering cancer center proposes a staging system according to three factors related to local tumor extent:the location and extent of bile duct involvement,the presence or absence of portal venous invasion,and the presence or absence of hepatic lobar *** TNM classification,besides the usual descriptors,tumor,node and metastases,provides additional information concerning the possibility for the residual tumor(R) and the histological grade(G).Recently,in 2011,a new consensus classification for the Perihilar cholangiocarcinoma had been *** consensus was organised by the European Hepato-PancreatoBiliary Association which identified the need for a new staging system for this type of *** classification includes information concerning biliary or vascular(portal or arterial) involvement,lymph node status or metastases,but also other essential aspects related to the surgical risk,such as remnant hepatic volume or the possibility of underlying disease.

关键词： Hilar cholangiocarcinoma Klatskin tumor Perihilar cholangiocarcinoma Bile duct cancer

Prefoldins 3 and 5 Play an Essential Role in Arabidopsis Tolerance to Salt Stress

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Molecular Plant 2009年第3期2卷 526-534页

作者： Miguel A. Rodriguez-Milla julio Salinas Departamento de Biologfa de Plantas Centro de Investigaciones Biologicas-CSIC Ramiro de Maeztu 9 28040 Madrid Spain

During the last years, our understanding of the mechanisms that control plant response to salt stress has been steadily progressing. Pharmacological studies have allowed the suggestion that the cytoskeleton may be involved in regulating such a response. Nevertheless, genetic evidence establishing that the cytoskeleton has a role in plant tolerance to salt stress has not been reported yet. Here, we have characterized Arabidopsis T-DNA mutants for genes encoding proteins orthologous to prefoldin （PFD） subunits 3 and 5 from yeast and mammals. In these organisms, PFD subunits, also known as Genes Involved in Microtubule biogenesis （GIM）, form a heterohexameric PFD complex implicated in tubulin and actin folding. We show that, indeed, PFD3 and PFD5 can substitute for the loss of their yeast orthologs, as they are able to complement yeast gim2Δ and gim5Δ mutants, respectively. Our results indicate that pfd3 and pfd5 mutants have reduced levels of α- and β-tubulin compared to the wild-type plants when growing under both control and salt-stress conditions. In addition, pfd3 and pfd5 mutants display alterations in their developmental patterns and microtubule organization, and, more importantly, are hypersensitive to high concentrations of NaCl but not of LiCl or mannitol. These results demonstrate that the cytoskeleton plays an essential role in plant tolerance to salt stress.

关键词： Prefoldins cytoskeleton tubulin actin microtubule salt tolerance Arabidopsis

Linear OPF-based Robust Dynamic Operating Envelopes with Uncertainties in Unbalanced Distribution Networks

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Journal of Modern Power Systems and Clean Energy 2024年第4期12卷 1320-1326页

作者： Bin Liu julio H.Braslavsky Nariman Mahdavi Energy Centre Commonwealth Scientific and Industrial Research Organisation(CSIRO)Newcastle 2300Australia the Network Planning Division TransgridSydney 2000Australia the Energy Systems Program Energy CentreCommonwealth Scientific and Industrial Research Organisation(CSIRO)Newcastle 2300Australia

Dynamic operating envelopes(DOEs),as key enablers to facilitate distributed energy resource(DER)integration,have attracted increasing attention in the past ***,uncertainties,which may come from load forecasting errors or inaccurate network parameters,have been rarely discussed in DOE calculation,leading to compromised quality of the hosting capacity allocation *** letter studies how to calculate DOEs that are immune to such uncertainties based on a linearised unbalanced three-phase optimal power flow(UTOPF)*** uncertain parameters constrained by norm balls,formulations for calculating robust DOEs(RDOEs)are presented along with discussions on their *** cases,including a 2-bus illustrative network and a representative Australian network,are tested to demonstrate the effectiveness and efficiency of the proposed approach.

关键词： Distributed energy resource(DER) dynamic operating envelope(DOE) feasible region robust optimisation uncertainty modelling unbalanced optimal power flow

New therapeutic strategy with extracorporeal membrane oxygenation for refractory hepatopulmonary syndrome after liver transplant: A case report

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World Journal of Transplantation 2024年第1期14卷 210-214页

作者： Belinda Sánchez Pérez María Pérez Reyes Jose Aranda Narvaez julio Santoyo Villalba Jose Antonio perez Daga Claudia Sanchez-Gonzalez julio Santoyo-Santoyo Hepatobiliary and Trasplantation Unit General and Digestive Surgery DepartmentUniversity Regional HospitalMalaga 29010Spain Department of General and Digestive Surgery Regional University Hospital of MalagaMalaga 29010Spain

BACKGROUND Due to the lack of published literature about treatment of refractory hepatopulmonary syndrome(HPS)after liver transplant(LT),this case adds information and experience on this issue along with a treatment with positive *** is a complication of end-stage liver disease,with a 10%-30%incidence in cirrhotic *** can reverse the physiopathology of this process and restore normal ***,in some cases,refractory hypoxemia persists,and extracorporeal membrane oxygenation(ECMO)can be used as a rescue therapy with good *** SUMMARY A 59-year-old patient with alcohol-related liver cirrhosis and portal hypertension was included in the LT waiting list for *** had good liver function(Model for End-Stage Liver Disease score 12,Child-Pugh class B7).He had pulmonary fibrosis and a mild restrictive respiratory pattern with a basal oxygen saturation of 82%.The macroaggregated albumin test result was>*** demonstrated a forced expiratory volume in one second(FEV1)of 78%,forced vital capacity(FVC)of 74%,FEV1/FVC ratio of 81%,diffusion capacity for carbon monoxide of 42%,and carbon monoxide transfer coefficient of 57%.He required domiciliary oxygen at 2 L/min(16 h/d).The patient was admitted to the intensive care unit(ICU)and extubated in the first 24 h,needing high-flow therapy and non-invasive ventilation and inhaled nitric oxide *** was needed after 72 *** to the non-response to supportive therapies,installation of ECMO was decided with progressive recovery after 9 *** was possible on the tenth day,maintaining a high-flow nasal cannula and de-escalating to conventional oxygen therapy after 48 *** was discharged from ICU on postoperative day(POD)20 with a 90%-92%oxygen *** recycling was needed twice for acute *** patient was discharged from hospital on POD 27 with no symptoms,with an 89%-90%oxygen *** Due to the favorable results observed,ECMO could bec

关键词： Liver transplantation Hepatopulmonary syndrome Refractory hypoxemia Treatment Extracorporeal membrane oxygenation Case report