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Tenofovir vs lamivudine plus adefovir in chronic hepatitis B:TENOSIMP-B study

World Journal of Gastroenterology 2017年第41期23卷 7459-7469页

作者： manuel Rodríguez Juan manuel Pascasio Enrique Fraga Javier Fuentes Martín Prieto Gloria Sánchez-Antolín Jose Luis Calleja Esther Molina María Luisa García-Buey María Angeles blanco Javier Salmerón María Lucía Bonet Jose Antonio Pons Jose manuel González Miguel Angel Casado Francisco Jorquera 无 Division of Gastroenterology and Hepatology.Hospital Universitario Central de Asturias Unit for the Clinical Management of Digestive Diseases IBISHospital Universitario Virgen del Rocío Liver Transplantation and Hepatology Unit Gastroenterology ServiceHospital Universitario Reina Sofía Digestive Medicine Service Hospital Universitario Miguel Servet Hepatology Unit Digestive Medicine ServiceHospital Universitari i Politècnic La Fe Hepatology Unit Hospital Universitario Rio Hortega Liver Unit Hospital Universitario Puerta de Hierro de MajadahondaUniversidad Autónoma de Madrid Digestive Medicine Service Hospital Clínico de Santiago de Compostela Liver Unit Hospital Universitario de La Princesa Digestive Medicine Service Hospital General Universitario Gregorio Maranon Digestive Medicine Unit Complejo Hospitalario de Granada Digestive Medicine Service Hospital Universitario Son Espases Hepatology Unit IMIB Hospital Universitario Virgen de la Arrixaca Digestive Medicine Service Hospital Clínico Universitario de Valladolid Pharmacoeconomics and Outcomes Research Iberia Division of Gastroenterology and Hepatology Complejo Asistencial Universitario de León the TENOSIMP-B Research Group

AIM To demonstrate the non-inferiority(15% non-inferiority limit) of monotherapy with tenofovir disoproxil fumarate(TDF) vs the combination of lamivudine(LAM) plus adefovir dipivoxil(ADV) in the maintenance of virologic response in patients with chronic hepatitis B(CHB) and prior failure with *** This study was a Phase IV prospective, randomized, open, controlled study with 2 parallel groups(TDF and LAM+ADV) of adult patients with hepatitis B e antigen(HBe Ag)-negative CHB, prior failure with LAM, on treatment with LAM+ADV for at least 6 mo, without prior resistance to ADV and with an undetectable viral load at the start of the study, in 14 Spanish hospitals. The follow-up time for each patient was 48 wk after randomization, with quarterly visits in which the viral load, biochemical and serological parameters, adverse effects, adherence to treatment and consumption of hospital resources were *** Forty-six patients were evaluated [median age: 55.4 years(30.2-75.2); 84.8% male], including 22 patients with TDF and 24 with LAM+ADV. During study development, hepatitis B virus DNA(HBV-DNA) remained undetectable, all patients remained HBe Ag negative, and hepatitis B surface antigen(HBs Ag) positive. Alanine aminotransferase(ALT) values at the end of the study were similar in the 2 groups(25.1± 7.65, TDF vs 24.22 ± 8.38, LAM+ADV, P = 0.646). No significant changes were observed in creatinine or serum phosphorus values in either group. No significant differences between the 2 groups were noted in the identification of adverse effects(AEs)(53.8%, TDF vs 37.5%, LAM+ADV, P = 0.170), and none of the AEs which occurred were serious. Treatment adherence was 95.5% and 83.3% in the TDF and the LAM+ADV groups, respectively(P = 0.488). The costs associated with hospital resource consumption were significantly lower with the TDF treatment than the LAM+ADV treatment(€4943 ± 1059 vs €5811 ± 1538, respectively, P < 0.001).CONCLUSION TDF monotherapy proved to be safe

关键词： Tenofovir Lamivudine+Adefovir Efficacy Safety Adherence Costs Hepatitis B

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Developments and characteristics of craft beer production processes

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Food Bioscience 2022年第1期45卷 232-248页

作者： Salvador Villacreces Carlos A.blanco Isabel Caballero Dpto de Ingeniería Agrícola Forestal ETS de Ingenierías AgrariasUniversidad de Valladolid34004Palencia.Spain

Beer is a popular drink and represents the most widely consumed alcoholic beverage in the *** recent years,there has been a significant growth of independent craft breweries,even in countries without a brewing tradition.A craft brewery is usually defined as a small,independent and traditional ***,consumers are looking for genuine,singular,different and high-quality *** beer manufacturers have responded to this with the introduction of a novel combination of raw or malted cereals and have modified the beer flavours and taste with the addition of fruit,spices,*** work presents an analysis of the different aspects related to craft *** characteristics and brewing singularities are *** quality and safety standards used are examined and future trends of craft beer are also discussed.

关键词： Craft beer Ingredients Craft beer quality By-products Microbiological safety

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Unitary fermions and Lscher's formula on a crystal

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Science China(Physics,Mechanics & Astronomy) 2016年第11期59卷 36-43页

作者： manuel Valiente Nikolaj T.Zinner SUPA Institute of Photonics and Quantum Sciences Heriot-Watt University Department of Physics & Astronomy Aarhus University

We consider the low-energy particle-particle scattering properties in a periodic simple cubic crystal. In particular, we investigate the relation between the two-body scattering length and the energy shift experienced by the lowest-lying unbound state when this is placed in a periodic finite box. We introduce a continuum model for s-wave contact interactions that respects the symmetry of the Brillouin zone in its regularisation and renormalisation procedures, and corresponds to the nae continuum limit of the Hubbard model. The energy shifts are found to be identical to those obtained in the usual spherically symmetric renormalisation scheme upon resolving an important subtlety regarding the cutoff procedure. We then particularize to the Hubbard model, and find that for large finite lattices the results are identical to those obtained in the continuum limit. The results reported here are valid in the weak,intermediate and unitary limits. These may be used to significantly ease the extraction of scattering information, and therefore effective interactions in condensed matter systems in realistic periodic potentials. This can achieved via exact diagonalisation or Monte Carlo methods, without the need to solve challenging, genuine multichannel collisional problems with very restricted symmetry simplifications.

关键词： scattering theory effective field theory lattice fermions finite-size effects

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Critical evaluation of transit policies in Lima,Peru;resilience of rail rapid transit(Metro)in a developing country

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Green Energy and Intelligent Transportation 2024年第5期3卷 23-33页

作者： manuel Jose Martinez Representante Legal Instituto de Avance del Transporte Peruano EIRLCalle Schrader 179dpto.202Lima 41San BorjaLimaPeru

This paper evaluates rail transit within the context of the transit policies implemented in Lima,*** it reviews the implementation of rapid transit,and bus ***,it evaluates the outcomes of such policies by using Total Factor Productivity for policy effectiveness,Data Envelopment Analysis for rapid transit performance,and Generalized Cost of Travel for *** paper finds that implementation failed in enforcing key requirements for rail transit regarding penetration of CBD and short transfers to bus transit;and that the basic assumptions of bus reform did not hold regarding bus oversupply,bus congestion or bus *** paper also finds that outcomes of policies failed dramatically in achieving the planning goals;however,rail transit(Metro)shows high level of resilience in serving large ridership at high *** the other hand,bus reform was associated with a disproportionate increase of motorization,well over the effect of income growth or car attractiveness,and more related to the excessive reduction of bus transit capacity ill-advised from unproved bus reform *** paper recommends expanding rail rapid transit due to its intensive use of green renewable energy and its potential of demand growth if combined with modern Intelligent Transportation services,but this opportunity can be wasted without the proposed policy constraint to achieve lower Generalized Cost of Travel at any governmental intervention for bus reform,instead of just reducing bus transit capacity as ***,this paper recommends government to government contracts to build rail transit and to enforce proper planning.

关键词： Public transportation Bus rapid transit Rail transportation Bus transit Developing countries Resilient

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Tissue-type plasminogen activator is a homeostatic regulator of synaptic function in the central nervous system

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Neural Regeneration Research 2017年第3期12卷 362-365页

作者： Valerie Jeanneret manuel Yepes Department of Neurology&Center for Neurodegenerative Disease Emory University School of MedicineAtlantaGAUSA Department of Neurology Veterans Affairs Medical CenterAtlantaGAUSA Division of Neurosciences Yerkes National Primate Research CenterAtlantaGAUSA

Membrane depolarization induces the release of the serine proteinase tissue-type plasminogen activator（t PA） from the presynaptic terminal of cerebral cortical *** in the synaptic cleft this t PA promotes the exocytosis and subsequent endocytic retrieval of glutamate-containing synaptic vesicles,and regulates the postsynaptic response to the presynaptic release of ***,t PA has a bidirectional effect on the composition of the postsynaptic density（PSD） that does not require plasmin generation or the presynaptic release of glutamate,but varies according to the baseline level of neuronal ***,in inactive neurons t PA induces phosphorylation and accumulation in the PSD of the Ca^（2＋）/calmodulin-dependent protein kinase IIα（pCa MKIIα）,followed by pCa MKIIα-induced phosphorylation and synaptic recruitment of Glu R1-containing α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid（AMPA） *** contrast,in active neurons with increased levels of pCa MKIIα in the PSD t PA induces pCa MKIIα and p Glu R1 dephosphorylation and their subsequent removal from the *** effects require active synaptic N-methyl-D-aspartate（NMDA） receptors and cyclin-dependent kinase 5（Cdk5）-induced phosphorylation of the protein phosphatase 1（PP1） at *** data indicate that t PA is a homeostatic regulator of the postsynaptic response of cerebral cortical neurons to the presynaptic release of glutamate via bidirectional regulation of the pCa MKIIα/PP1 switch in the PSD.

关键词： tissue-type plasminogen activator (tPA) homeostatic plasticity Ca^2+/calmodulin-dependent protein kinase post-synaptic density protein phosphatase 1 plasmin

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Short-term effects of post-fire mulching with straw or wood chips on soil properties of semi-arid forests

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Journal of Forestry Research 2023年第6期34卷 1777-1790页

作者： manuel Esteban Lucas Borja Demetrio Antonio Zema Department of Agroforestry Technology Science and GeneticsSchool of Advanced Agricultural and Forestry EngineeringCampus Universitario s/nCastilla La Mancha UniversityE-02071 Castilla La ManchaAlbaceteSpain Department AGRARIA “Mediterranea”University of Reggio CalabriaLocalitàFeo di VitoI-89122 Reggio CalabriaItaly

Few studies have compared the variability of soil properties using different types of mulches in semi-arid *** study evaluated the changes in physico-chemical soil properties in a semi-arid forest of Central Eastern Spain,where straw and pine wood chips were distributed as mulch three months after a *** were sampled under burned and unmulched and burned and mulched plots three and nine months after the *** data was processed using Principal Component Analysis(PCA)and Analytical Hierarchical Cluster Analysis(AHCA).Mulching with straw or wood chips did not have any significant effects on the texture and chemical properties of burned sites few months after the *** contrast,significant changes are expected over time in organic matter,nutrients and many *** were no significant differences in soil properties between the two *** low changes were confirmed by PCA coupled with AHCA,which did not show a clear distinction among the three soil ***,a noticeable and significant variability of many of these properties over time was *** study shows that mulching does not degrade of soil properties in the short-term after a wildfire and after post-fire treatments,and thus helps protect semi-arid forest ecosystems against the negative impacts of high-severity fires.

关键词： Post-fire management High-severity fire Aridisols Erosion Vegetal residues incorporation Soil degradation

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Urokinase-type plasminogen activator promotes synaptic repair in the ischemic brain

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Neural Regeneration Research 2018年第2期13卷 232-233页

作者： ariel diaz manuel yepes department of neurology and center for neurodegenerative disease emory university school of medicineAtlantaGAUSA division of neuropharmacology and neurologic diseases yerkes national primate research centerAtlantaGAUSA department of neurology veterans affairs medical centerAtlantaGAUSA

The central nervous system has a very high energy requirement. Accord- ingly, despite representing only 2% of the body＇s mass, the brain uses 20% of the total oxygen consumption. Importantly, because most of this energy is used to maintain synaptic activity, even a mild decrease in its supply to the brain has deleterious implications for synaptic function.

关键词： Urokinase-type plasminogen activator promotes synaptic repair in the ischemic brain AR TSP OGD LRP

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Variation of Parameters Formula and Gronwall Inequality for Differential Equations with a General Piecewise Constant Argument

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Acta Mathematicae Applicatae Sinica 2011年第4期27卷 561-568页

作者： Kuo-Shou CHIU manuel PINTO Departamento de Matemótica Facultad de Ciencias BósicasUniversidad Metropolitana de Ciencias de la EducacinJ.P.Alessandri 774SantiagoChile Departamento de Matemóticas Facultad de CienciasUniversidad de ChileCasilla 653SantiagoChile

A variation of parameters formula and Gronwall type integral inequality are proved for a differential equation involving general piecewise alternately advanced and retarded argument.

关键词： variation of parameters formula Gronwall integral inequality alternately advanced and retarded argument

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Development and application of an interface constitutive model for fully grouted rock-bolts and cable-bolts

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Journal of Rock Mechanics and Geotechnical Engineering 2021年第4期13卷 811-819页

作者： Emad Jahangir Laura blanco-Martin Faouzi Hadj-Hassen Michel Tijani MINES ParisTech PSL Research UniversityDepartment of Geosciences35 Rue Saint Honoré77300FontainebleauFrance

This paper proposes a new interface constitutive model for fully grouted rock-bolts and cable-bolts based on pull-out test results.A database was created combining published experimental data with in-house *** means of a comprehensive framework,a Coulomb-type failure criterion accounting for friction mobilization was *** the elastic phase,in which the interface joint is not yet created,the proposed model provides zero radial displacement,and once the interface joint is created,interface dilatancy is modeled using a non-associated plastic potential inspired from the behavior of rock *** results predicted by the proposed model are in good agreement with experimental *** model has been implemented in a finite element method(FEM)code and numerical simulations have been performed at the elementary and the structural *** results obtained provide confidence in the ability of the new model to assist in the design and optimization of bolting patterns.

关键词： Fully grouted bolts Interface constitutive model Dilatancy Pull-out tests Finite element method(FEM)modeling

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Frailty and acute coronary syndrome: does gender matter?

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Journal of Geriatric Cardiology 2019年第2期16卷 138-144页

作者： Lourdes Vicent manuel Martinez-Selles Servicio de Cardiologia Hospital General Universitario Gregorio MaraiionCIBERCVMadridSpain Universidad Europea Universidad ComplutenseMadridSpain

There are important sex-related differences in elderly patients with acute coronary syndrome(ACS).Women are older,more frequently frail,and present more comorbidities than *** symptoms at presentation are also more common in female patients,they are leaded to a delayed diagnosis and *** angiography and subsequent revascularization are frequently underused in elderly women and they tend to receive less guidelines-recommended *** prognosis in elderly frail women with ACS is poor,and it is with high mortality and readmissions *** is recurrent ischemic events in which it is more frequent in women than in *** time might be long,and a multidisciplinary approach is desirable to improve prognosis and quality of *** studies are needed in order to clarify the benefit of the different therapies in the group of frail women,and this is particularly true for revascularization,as scientific evidence in this group is very scarce.

关键词： Acute coronary syndrome Frailty The elderly Women

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