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Estimation of visceral fat is useful for the diagnosis of significant fibrosis in patients with non-alcoholic fatty liver disease

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World Journal of Gastroenterology 2020年第42期26卷 6658-6668页

作者： Marta Hernández-Conde Elba Llop Carlos Fernández Carrillo Beatriz Tormo Javier Abad luis Rodriguez Christie Perelló Marta López Gomez Joséluis Martínez-Porras Natalia Fernández Puga Maria Trapero-Marugan enrique Fraga Carlos Ferre Aracil Joséluis Calleja Panero Gastroenterology and Hepatology Department IDIPHISAHospital Universitario Puerta de Hierro-MajadahondaMadrid 28222Spain Centro de Investigación Biomédica en Red en elÁrea temática de Enfermedades Hepáticas Instituto de Salud Carlos IIIMadrid 28029Spain

BACKGROUND Obesity is a risk factor for non-alcoholic fatty liver disease(NAFLD),although obese patients with NAFLD do not always develop significant *** distribution of body fat could predict the risk of NAFLD *** To investigate the role of bioelectrical impedance-estimated visceral fat(VF)in assessing NAFLD *** In this cross-sectional study,patients with biopsy-proven NAFLD were prospectively *** patients underwent anthropometric evaluation,blood tests and bioelectrical impedance *** Between 2017 and 2020,119 patients were included[66.4%male,56 years(SD 10.7),62.2%obese,61.3%with metabolic syndrome].Sixty of them(50.4%)showed significant fibrosis(≥F2)in liver ***,VF and metabolic syndrome were associated with significant fibrosis(61 years vs 52 years,16.4 vs 13.1,73.3%vs 49.2%,respectively;P<0.001 for all).In the multivariate analysis,VF and age were independently associated with significant fibrosis(VF,OR:1.11,95%CI:1.02-1.22,P=0.02;age,OR:1.08,95%CI:1.03-1.12,P<0.01).A model including these variables showed and area under the receiver operating characteristic curve(AUROC)of 0.75,which was not inferior to transient elastography or NAFLD fibrosis score *** developed a nomogram including age and VF for assessing significant fibrosis in routine *** VF is a surrogate marker of liver fibrosis in patients with *** impedance analysis is an inexpensive and simple method that can be combined with age to guide patient referral when other resources may be unavailable.

关键词： Non-alcoholic fatty liver disease Visceral fat Liver fibrosis Bioimpedanciometry Metabolic syndrome Obesity

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Fagus sylvatica and Quercus pyrenaica:Two neighbors with few things in common

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Forest Ecosystems 2023年第2期10卷 162-175页

作者： Sergio de Tomás Marín Jesús Rodríguez-Calcerrada Salvador Arenas-Castro Iván Prieto Guillermo González luis Gil enrique G.de la Riva Department of Ecology Brandenburgische Technische Universität Cottbus-SenftenbergKonrad-Wachsmann-Allee 603046CottbusGermany Forest Genetics and Ecophysiology Research Group School of Forestry EngineeringUniversidad Politécnica de MadridMadridSpain Area of Ecology Botany DepartmentEcology and Plant PhysiologyFaculty of SciencesUniversidad de CórdobaCórdobaSpain Ecology Department Faculty of Biology and Environmental SciencesUniversidad de LeónLeónSpain

Background:The Iberian Peninsula comprises one of the largest boundaries between Mediterranean and Eurosiberian vegetation,known as sub-Mediterranean *** ecotone hosts many unique plant species and communities and constitutes the low-latitude(warm)margin of numerous central European species which co-occur with Mediterranean *** of the main species found in this region are the Eurosiberian European beech(Fagus sylvatica L.)and the Mediterranean Pyrenean oak(Quercus pyrenaica Willd.).It remains unclear how the different physiological and adaptive strategies of these two species reflect their niche partitioning within a subMediterranean community and to what extent phenotypic variation(intraspecific variability)is driving niche partitioning across Eurosiberian and Mediterranean ***:We quantified functional niche partitioning,based on the n-dimensional hypervolume to nine traits related to resource acquisition strategies(leaf,stem and root)plus relative growth rate as an additional wholeplant trait,and the environmental niche similarity between Pyrenean oak and European ***,we analyzed the degree of phenotypic variation of both target species and its relationship with relative growth rates(RGR)and environmental *** recruitment was measured for both target species as a proxy for the average ***:Species’functional space was highly segregated(13.09%overlap),mainly due to differences in niche breadth(59.7%)rather than niche replacement(25.6%),and beech showed higher trait variability,i.e.,had larger functional ***,both species shared the environmental space,i.e.,environmental niches were *** plant traits were not related to abiotic variables or RGR,neither did RGR to plant ***:Both target species share similar environmental space,however,show notably different functional resource-use strategies,promoting a high complementarity that contributes to maintaining a high functiona

关键词： Environmental niche European beech Forest dynamics Functional niche Hypervolume Pyrenean oak Species coexistence Sub-Mediterranean community

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Use of new technologies for the promotion of physical activity in patients with mental illness:A systematic review

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World Journal of Psychiatry 2023年第4期13卷 182-190页

作者： Margarita Guerrero-Jiménez Marta Ruiz luis Gutiérrez-Rojas Laura Jiménez-Muñoz enrique Baca-Garcia Alejandro Porras-Segovia Department of Psychiatry Hospital Clínico San CecilioGranada 18014Spain Department of Psychiatry Hospital Rey Juan CarlosMóstoles 28933MadridSpain Department of Psychiatry Hospital Universitario Jiménez DíazMadrid 28040Spain Department of Psychiatry Fundación Jiménez DiazMadrid 28040Spain

BACKGROUND Physical exercise is an underutilized tool for the management of mental *** technologies have made a breakthrough in health care,and one of its possible applications(apps)could be that of customizing exercise programs for special populations,such as patients with mental ***,the app of the so-called e-health to mental health care is still *** To know the efficacy of apps to promote physical activity in patients with mental *** We conducted a systematic review of the PubMed and Embase databases with the aim of exploring the use of new technologies for the enhancement of physical exercise in patients with a psychiatric *** the selection process,10 articles were included in the *** The most commonly used devices in this type of intervention are wearable devices and web *** results in terms of effectiveness and acceptability were obtained in most of the *** Our findings suggest that the use of new technologies in mental health represents a feasible strategy with great potential in clinical practice.

关键词： e-health m-health Physical exercise Mobile applications Wearable device

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Non-saturation Throughput of S-ALOHA Using the Time-Scale Decomposition Technique

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Journal of Mechanics Engineering and Automation 2014年第2期4卷 116-122页

作者： luis Mauricio gutierrez-Begovich Mario Eduardo Rivero-Angeles SEPI ESCOM Mobile Computing Department National Polytechnique Institute (IPN) Mexico City 07738 Mexico Communication and Computer Network Laboratory Computing Research Center (CIC-IPN) National Polytechnique Institute(IPN) Mexico City 07738 Mexico

S-ALOHA （Slotted ALOHA） random access protocol is a widely used protocol mainly for the transmission of short packets in wireless networks. Most papers consider either an infinite population model where the impact of the backoff protocol cannot be adequately evaluated or a finite population model where the number of nodes is fixed. In this letter, a combination of both models is proposed using the time-scale decomposition technique. This methodology allows to study the system under more realistic conditions where the dynamics of users enter and leaving the system are reflected on the performance of the system as well as the impact of the backoff protocol. Also, it allows studying the system in non-saturation conditions. The proposed methodology divides the analysis in two parts： packet-level and connection-level. This analysis renders suitable results when the time scale of the packet level and connection level statistics is different. On the other hand, when these scales are similar, the proposed methodology is no longer suited.

关键词： S-ALOHA non-saturation conditions infinite and finite population model time-scale decomposition.

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Detection of circulating tumor cells in blood of pancreatic ductal adenocarcinoma patients

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Cancer Drug Resistance 2020年第1期3卷 83-97页

作者： Andrea Mayado Alberto Orfao Anouk Mentink Maria Laura gutierrez luis Muñoz-Bellvis Leon W.M.M.Terstappen Cancer Research Center(IBMCC-CSIC/USAL-IBSAL) Cytometry Service(NUCLEUS)and Department of MedicineUniversidad de SalamancaSalamanca 37007Spain Centro de Investigación Biomédica en Red de Cáncer(CIBER-ONC)CB16/12/00400 Instituto de Salud Carlos IIIMadrid 28029Spain Department of Medical Cell BioPhysics University of TwenteEnschede 7522The Netherlands Division of General and Gastrointestinal Surgery University Hospital of Salamanca(CAUSA)and Department of SurgeryUniversidad de Salamanca and IBSALSalamanca 37007Spain

Aim:Previous studies suggest that circulating tumor cells(CTC)are present at very low frequencies in blood of pancreatic cancer(PC)***,no technique has proven efficient for their detection,in part due to the lack of accurate tumor ***,we evaluated the potential utility of two marker candidates-Mucin 16(MUC16)and Tetraspanin 1(TSPAN1)-identified through a detailed review of the ***:To evaluate the pattern of expression of both markers in pancreatic tumor cells *** blood,we used cell lines derived from pancreatic cancer patients and blood from healthy ***:Antibodies against both MUC16 and TSPAN1 showed expression in three pancreatic cancer(PC)cell lines while they were absent in blood *** evaluate the efficiency of isolating tumor cells from blood,PC cell lines were spiked at different frequencies in blood,sequentially stained with biotin-conjugated TSPAN1 and MUC16 antibodies and a streptavidin ferrofluids,followed by immunomagnetic *** recovery of spiked TSPAN1+tumor cells was high with limited contamination by *** contrast,no PC cells were isolated when the biotin MUC16 reagent was used because the biotin-conjugated clone did not recognize PC ***:The combination of MUC16,TSPAN1,and epithelial cell adhesion molecule(EpCAM)antibodies will likely increase the efficiency of capturing circulating tumor cell in blood of pancreatic ductal *** further develop a protocol for isolation of circulating tumor cell in blood of PC patients,high amounts of antibodies(5-10 mg)against EpCAM,MUC16,and TSPAN1 will be needed.

关键词： Pancreatic ductal adenocarcinoma circulating biomarkers circulating tumor cells

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Influence of occult hepatitis B virus infection in chronic hepatitis C outcomes

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World Journal of Gastroenterology 2011年第12期17卷 1558-1562页

作者： Conrado M Fernandez-Rodriguez Maria luisa gutierrez Joséluis Lledó Maria luisa Casas Service of Gastroenterology Hospital Universitario Fundación AlcorcónUniversity King Juan CarlosAv Budapest-128922 AlcorcónMadridSpain Service of Biochemestry Hospital Universitario Fundación AlcorcónUniversity King Juan CarlosAv Budapest-128922 AlcorcónMadridSpain

Persistence of hepatitis B virus-DNA in the sera,peripheral blood mononuclear cells or in the liver of hepatitis B surface antigen(HBsAg) -negative patients with or without serological markers of previous exposure(antibodies to HBsAg and/or to HB-core antigen) defines the entity called occult hepatitis B infection(OBI).Co-infection with hepatitis B and hepatitis C viruses is frequent in highly endemic *** this co-infection increases the risk of liver disease progression,development of cirrhosis and hepatocellular carcinoma and also increases the rate of therapeutic failure to interferon-based treatments than either virus alone,a potentially negative effect of OBI on clinical outcomes and of therapeutic response to current antiviral regimes of patients with chronic hepatitis C remains inconclusive.

关键词： Occult hepatitis B infection Chronic hepatitis C Outcomes

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DNAzymes directed to HPV-16 E6/E7 mRNA

DNAzymes directed to HPV-16 E6/E7 mRNA

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24th International Papillomavirus Conference and Clinical Workshop

作者： Alvarez-Salas luis Reyes-gutierrez Pablo Laboratorio de Terapia Genica Departamento de Genetica y Biologia Molecular.Cinvestav Laboratorio de Terapia Genica Departamento de Genetica y Biologia Molecular.Cinvestav

＜正＞The World Health Organization（WHO）estimates that 400 million Human Papillomavirus（HPV）cases are reported worldwide per *** is a necessary cause of cervical cancer and is responsible for approximately 510,000 cases *** under- developed regions of the world,it is the most common cause of death from cancer in women,accounting for 80% of the cases reported *** Coherence Tomography（OCT）is an optical imaging technique that uses near infrared light to

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Optimization of Resource in the Industry of Construction

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Journal of Civil Engineering and Architecture 2014年第9期8卷 1145-1150页

作者： Francisco Javier gutierrez Garcia Pedro Perez Diaz Pedro Sanchez luis Department of Construction Engineering University of La Laguna Tenerife 38204 Spain

Time and cost are two of the most important factors to consider in each construction project. In order to maximize performance, both the client and the contractor will work to optimize both the duration of the project and its cost. We show a model of linear entire mixed programming to solve the considered problem. The aim is to minimize the project total time, by means of the assignment of equipments of work to the different production lines of the activities to realizing. The fundamental beginning is to support the same production （rate of production in meters/day of the activity in view of the equipment of work） for tbe different equipments to achieve the maximum efficiency in each period of time. With the limited availability of resources, the work must be continuous and the period of time between operations and final must be kept. However, this paper also presents the bibliographical study on methodologies of the optimization of construction processes in response to the two objectives： time and cost. This will consider the use of recta-heuristic techniques, such as population based algorithms.

关键词： Optimization construction process heuristics mathematical programming.

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Applications of finite element simulation in orthopedic and trauma surgery

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World Journal of Orthopedics 2012年第4期3卷 25-41页

作者： Antonio Herrera Elena Ibarz José Cego?ino Antonio Lobo-Escolar Sergio Puértolas enrique López Jesús Mateo luis Gracia Department of Orthopaedic and Trauma Surgery Miguel Servet University HospitalMedicine SchoolUniversity of Zaragoza Department of Mechanical Engineering University of Zaragoza

Research in different areas of orthopedic and trauma surgery requires a methodology that allows both a more economic approach and the ability to reproduce different situations in an easy way. Simulation models have been introduced recently in bioengineering and could become an essential tool in the study of any physiological unity, regardless of its complexity. The main problem in modeling with finite elements simulation is to achieve an accurate reproduction of the anatomy and a perfect correlation of the different structures, in any region of the human body. Authors have developed a mixed technique, joining the use of a three-dimensional laser scanner Roland Picza captured together with computed tomography(CT) and 3D CT images, to achieve a perfect reproduction of the anatomy. Finite element(FE) simulation lets us know the biomechanical changes that take place after hipprostheses or osteosynthesis implantation and biological responses of bone to biomechanical changes. The simulation models are able to predict changes in bone stress distribution around the implant, so allowing preventing future pathologies. The development of a FE model of lumbar spine is another interesting application of the simulation. The model allows research on the lumbar spine, not only in physiological conditions but also simulating different load conditions, to assess the impact on biomechanics. Different degrees of disc degeneration can also be simulated to determine the impact on adjacent anatomical elements. Finally, FE models may be useful to test different fixation systems, i.e., pedicular screws, interbody devices or rigid fixations compared with the dynamic ones. We have also developed models of lumbar spine and hip joint to predict the occurrence of osteoporotic fractures, based on densitometric determinations and specific biomechanical models, including approaches from damage and fracture mechanics. FE simulations also allow us to predict the behavior of orthopedic splints applied

关键词： Finite element simulation Hip prosthesis Lumbar spine Lumbar fixations Osteoporotic fractures Splints

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Clinical-pathological and molecular characterization of long-term survivors with advanced non-small cell lung cancer

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Cancer Biology & Medicine 2020年第2期17卷 444-457页

作者： Juan Moreno-Rubio Santiago Ponce Rosa Alvarez Maria Eugenia Olmedo Sandra Falagan Xabier Mielgo Fatima Navarro Patricia Cruz luis Cabezon-gutierrez Carlos Aguado Gonzalo Colmenarejo Marta Munoz-Fernandez de Leglaria Ana Belen Enguita Maria Cebollero Amparo Benito Isabel Alemany Carolina del Castillo Ricardo Ramos Ana Ramirez de Molina enrique Casado Maria Sereno Ana Ramirez de Molina1 Enrique Casado5Maria Sereno5 XIMDEA Food InstituteCEI UAM+CSICMadrid 28702Spain 12 de Octubre University Hospital Madrid 28041Spain Gregorio Maranon University Hospital Madrid 28009Spain Ramon y Cajal University Hospital Madrid 28034Spain Infanta Sofia University Hospital San Sebastian De Los ReyesMadrid 28702Spain Fundacion Alcorcon University Hospital AlcorconMadrid 28922Spain Prlncipe de Asturias University Hospital Alcala De HenaresMadrid 28805Spain La Paz University Hospital Madrid 28046Spain University Hospital of Torrejon Torrejon De ArdozMadrid 28850Spain Clinico San Carlos University Hospital Madrid 28040Spain Parque Cientifico de Madrid Foundation Madrid 28049Spain

Objective:Long-term survivors(LS)of non-small cell lung cancer(NSCLC)without driver alterations,displaying an overall survival(OS)of more than 3 years,comprise around 10%of cases in several series treated with *** are classical prognosis factors for these cases[stage,Eastern Cooperative Oncology Group(ECOG),etc.],but more data are required in the *** this multi-center study,we focused on LS of advanced NSCLC with OS above 36 months to perform a clinical-pathological and molecular ***:In the first step,we conducted a clinical-pathological characterization of the ***,we carried out a genetic analysis by comparing LS to a sample of short-term survivors(SS)(with an OS less than 9 months).We initially used whole-genome RNA-seq to identify differentiating profiles of LS and SS,and later confirmed these with reverse transcription-polymerase chain reaction(RT-PCR)for the rest of the ***:A total of 94 patients were included,who were mainly men,former smokers,having adenocarcinoma(AC)-type NSCLC with an ECOG of *** obtained an initial differential transcriptome expression,displaying 5 over-and 33 under-expressed genes involved in different pathways:namely,the secretin receptor,surfactant protein,trefoil factor 1(T FF1),serpin,Ca-channels,and Tolllike receptor(TLRs)***,RT-PCR analysis of 40(20 LS/20 SS)samples confirmed that four genes(surfactant proteins and SFTP)were significantly down-regulated in SS compared to LS by using an analysis of covariance(ANCOVA)model:SFTPA1(P=0.023),SFTPA2(P=0.027),SFTPB{P=0.02),and SFT PC(P=0.047).Conclusions:We present a sequential genetic analysis of a sample of NSCLCLS with no driver alterations,obtaining a differential RNA-seq/RT-PCR profile showing an abnormal expression of SF genes.

关键词： Long-term survivors non-small cell lung cancer surfactant proteins

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