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Perceptions and emotions in postoperative recovery of patients with perianal diseases

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World Journal of Psychiatry 2025年第1期15卷 179-184页

作者： Bryan Adrian Priego-Parra Jose Maria Remes-troche Digestive Physiology and Gastrointestinal Motility Lab Instituto de Investigaciones Médico-BiológicasUniversidad VeracruzanaVeracruz 91700Mexico

This article examines the complex relationship between disease perception,negative emotions,and their impact on postoperative recovery in patients with perianal *** conditions not only cause physical discomfort,but also carry a significant emotional burden,often exacerbated by social ***-logical factors,including stress,anxiety,and depression,activate neuroendocrine pathways,such as the hypothalamic–pituitary–adrenal axis,disrupting the gut microbiota and leading to *** disruption can delay wound healing,prolong hospital stay,and intensify *** on the findings of Hou et al,our article highlights the critical role of illness perception and negative emotions in shaping recovery *** advocates for a holistic approach that integrates psychological support and gut microbiota modulation,to enhance healing and improve overall patient outcomes.

关键词： Perianal disease Illness perception Gut microbiota Post-surgical outcomes Microbiota

Bidirectional relationship between gastrointestinal cancer and depression: The key is in the microbiota-gut-brain axis

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World Journal of Gastroenterology 2024年第48期30卷 5104-5110页

作者： Bryan Adrian Priego-Parra Jose Maria Remes-troche Digestive Physiology and Gastrointestinal Motility Laboratory Instituto de Investigaciones Médico-BiológicasUniversidad VeracruzanaVeracruz 91700Mexico

In this Editorial,we review the recent publication in the World Journal of Gastroen-terology,which explores the complex relationship between depression and gastric cancer and offers *** topics discussed include the microbiota-gut-brain axis,dysbiosis,and the influence of microbial metabolites in ***,we address toxic stress caused by hypothalamic-pituitary-adrenal axis dysregulation,psychological assessments,and future research *** Editorial aims to expand the understanding of the bidirectional relationship between depression and gastrointestinal cancer.

关键词： Gastric cancer Depression Psychogastroenterology Microbiota-gut-brain axis Mood disorders Dysbiosis

微量矿物质营养调控对生产高品质禽肉影响的研究

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中国家禽 2007年第15期29卷 31-33,36页

作者： Curtis Novak Catalina troche 王强美国弗吉尼亚州理工大学

奥特奇国际饲料工业年会于1985年首次在美国召开,此后每年定期召开,现已成为全球饲料和养殖业界一年一度的科学盛会。会议面向全球的行业决策者及国际知名学者、专业人士,传递畜牧科技最新的研究成果,同时也作为与会者们讨论新理念及评... 详细信息

奥特奇国际饲料工业年会于1985年首次在美国召开,此后每年定期召开,现已成为全球饲料和养殖业界一年一度的科学盛会。会议面向全球的行业决策者及国际知名学者、专业人士,传递畜牧科技最新的研究成果,同时也作为与会者们讨论新理念及评论业界问题的平台,探讨行业发展所面临的挑战,以及不断变化的市场需求。本刊特辑第23届年会的精彩内容加以专题报道。

关键词：矿物质营养有机螯合物禽肉肉类蛋氨酸基础日粮调控调节控制

Hemoconcentration is a poor predictor of severity in acute pancreatitis

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World Journal of Gastroenterology 2005年第44期11卷 7018-7023页

作者： José M.Remes-troche Andrés Duarte-Rojo Gustavo Morales Guillermo Robles-Díaz Department of Gastroenterology

AIM： To determine whether the hematocrit （Hct） at admission or at 24 h after admission was associated with severe acute pancreatitis （AP）, organ failure （OF）, and pancreatic necrosis. METHODS： A total of 336 consecutive patients with a first AP episode were studied. Etiology, Hct values at admission and at 24 h, development of severe AP according to Atlanta＇s criteria, pancreatic necrosis, OF and mortality were recorded. Hemoconcentration was defined as Hct level 〉44% for males and 〉40% for females. The t-test and ;x^2 test were used to assess the association of hemoconcentration to the severity, necrosis and OF. Diagnostic accuracy was also determined. RESULTS： Biliary disease was the most frequent etiology （n = 148）. Mean Hct levels at admission were 41±6% for females and 46±7% for males （P〈0.01）. Seventyeight （23%） patients had severe AP, and OF developed in 45 （13%） patients. According to contrast-enhanced computed tomography scan, 36% （54/150） patients showed pancreatic necrosis. Hct levels were elevated in 58% （55/96） and 61% （33/54） patients with interstitial and necrotizing pancreatitis, respectively. Neither Hct levels at admission nor hemoconcentration at 24 h were associated with the severity, necrosis or OF. Sensitivity, specificity and positive predictive values for both determinations were very low; and negative predictive values were between 61% and 86%, being the highest value for OF. CONCLUSION： Hct is not a useful marker to predict a worse outcome in acute pancreatitis. In spite of the high negative predictive value of hemoconcentration, the prognosis gain is limited due to an already high incidence of mild disease.

关键词： Acute pancreatitis Hernatocrit Hemoconcentration Severity Necrosis

Accuracy of transnasal endoscopy with a disposable esophagoscope compared to conventional endoscopy

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World Journal of Gastrointestinal Endoscopy 2014年第4期6卷 128-136页

作者： María R Aedo Miguel  Zavala-González Arturo Meixueiro-Daza José María Remes-troche Laboratorio de Fisiología Digestiva y Motilidad Gastrointestinal Instituto de Investigaciones Médico-BiológicasUniversidad Veracruzana

AIM: To assess feasibility of unsedated esophagoscopy using a small-caliber disposable transnasal esophagosco-py and to compare its accuracy with standard ***: We prospectively included subjects who were referred for upper endoscopy. All subjects un-derwent transnasal endoscopy with E.G. Scan^(TM). The disposable probe has a 3.6 mm gauge and at its distal end there is a 6 mm optical capsule, with a viewing angle of 125°. Patients underwent conventional endos-copy after the completion of E.G. Scan^(TM). We describe the findings detected by the E.G. Scan^(TM) and calculate the diagnostic accuracy, sensitivity, specificity, positive predictive value, negative predictive value and Kappa index for esophageal ***: A total of 96 patients(54 women), mean age of 50.12 years(14 to 79), were evaluated. In all cases we were able to perform esophagoscopy with ***^(TM). The average realization time was 5 min. A total of 58 alterations were detected in the esophagus, 49 gastric abnormalities and 13 duodenal abnormalities. We found that for esophageal varices, E.G. Scan^(TM) has sensitivity, specificity and diagnostic accuracy of 95%, 97% and 97%, respectively. Kappa coefficients were 0.32 for hiatal hernia, 0.409 for erosive gastroesopha-geal reflux disease, 0.617 for Barrett's esophagus, and 0.909 for esophageal ***: Esophagoscopy with E.G. Scan? is a well-tolerated, fast and safe procedure. It has an ap-propriate diagnostic accuracy for esophageal varices when compared with conventional endoscopy.

关键词： Esophagoscopy Esophagus Transnasal Endoscopy

Maximum tolerated volume in drinking tests with water and a nutritional beverage for the diagnosis of functional dyspepsia

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World Journal of Gastroenterology 2005年第20期11卷 3122-3126页

作者： Aldo Montao-Loza Max Schmulson Sergio Zepeda-Gómez Jose Maria Remes-troche Miguel Angel Valdovinos-Diaz Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Vasco de Quiroga Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Vasco de Quiroga Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Vasco de Quiroga Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Vasco de Quiroga Department of Gastroenterology Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Vasco de Quiroga 15 Tlalpan. CP 14000 México DF

AIM: Recently, drinking load tests with water or nutritional beverages have been proposed as diagnostic tools for functional dyspepsia (FD), therefore we sought to reproduce if these tests can discriminate between FD patients and controls in a Mexican population. METHODS: Twenty FD-Rome Ⅱ patients were matched by age and gender with 20 healthy controls. All underwent both drinking tests at a 15 mL/min rate, randomly, 7 d apart. Every 5 min within each test, four symptoms were evaluated (satiety, bloating, nausea and pain) by Likert scales. Maximum tolerated volume (MTV) was defined as the ingested volume when a score of 5 was reached for any symptom or when the test had to be stopped because the patients could not tolerate more volume. Sensitivity and specificity were analyzed. RESULTS: FD patients had higher symptom scores for both tests compared to controls (water: t= 4.1, P= 0.001 ＜0.01; Nutren(R): t= 5.2, P= 0.001＜0.01). The MTV forwater and Nutren(R) were significantly lower in FD (water: 1014±288 vs 1749±275 mL; t = 7.9, P = 0.001＜0.01;Nutren(R): 652±168 vs 1278±286 mL; t= 6.7, P = 0.001＜0.01). With the volume tolerated by the controls, the percentile 10 was determined as the lower limit fortolerance. Sensitivity and specificity were 0.90, 0.95 for water and 0.95, 0.95 for Nutren(R) ***: A drinking test with water or a nutritional beverage can discriminate between FD patients and healthy subjects in Mexico, with high sensitivity and specificity. These tests could be used as objective, noninvasive, and safe diagnostic approaches for FD patients.

关键词：功能性消化不良诊断方法饮料酒精实验研究

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西德联邦铁路机车的检修

国外铁道机车与动车 1984年第6期 40-43页

作者： Horst troche 范俊华

从铁路的历史上,人们早巳认识到,有计划地检修机车,是保证可靠和无故障运行的重要条件。为了使众多的铁路管理部门行动一致,早就执行着一条法定条例,这些条例一直保留至今。本文谈及在这些条例中补充了铁路内部的“检修规程”,这是经过... 详细信息

从铁路的历史上,人们早巳认识到,有计划地检修机车,是保证可靠和无故障运行的重要条件。为了使众多的铁路管理部门行动一致,早就执行着一条法定条例,这些条例一直保留至今。本文谈及在这些条例中补充了铁路内部的“检修规程”,这是经过不断完善从实践中总结而得的。

关键词：联邦铁路标准值内燃机车走行公里机务段检修期机车车体极限值轮对检修机车机车检修计划检修西德德国

Model for end-stage liver disease-Na score or Maddrey discrimination function index, which score is best?

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World Journal of Hepatology 2015年第17期7卷 2119-2126页

作者： Mercedes Amieva-Balmori Scherezada María Isabel Mejia-Loza Roberto Ramos-González Felipe Zamarripa-Dorsey Eli García-Ruiz Nuria Pérez y López Eumir I Juárez-Valdés Adriana López-Luria José María Remes-troche Servicio de Gastroenterología Instituto de Investigaciones Médico-Biológicas de la Universidad VeracruzanaHospital Juárez de México Laboratorio de Fisiología Digestiva Instituto de Investigaciones Médico-Biológicas de la Universidad Veracruzana

AIM: To compare the ability of model for end-stage liver disease(MELD)-Na and Maddrey discrimination function index(DFI) to predict mortality at 30 and 90 d in patients with alcoholic hepatitis(AH).METHODS: We prospectively assessed 52 patients with AH. Demographic, clinical and laboratory parameters were obtained. MELD-Na and Maddrey DFI were calculated on admission. Short-term mortality was assessed at 30 and 90 d. Receiver operating characteristic curve analysis was performed. RESULTS: Thirty-day and 90-d mortality was 44% and 58%, respectively. In the univariate analysis, sodium levels was associated with mortality at 30 and 90 d(P = 0.001 and P = 0.03). Child stage, encephalopathy, ascites, or types of treatment were not associated with mortality. MELD-Na was the only predictive factor for mortality at 90 d. For 30-d mortality area under the curve(AUC) was 0.763(95%CI: 0.63-0.89) for Maddrey DFI and 0.784 for MELD-Na(95%CI: 0.65-0.91, P = 0.82). For 90-d mortality AUC was 0.685(95%CI: 0.54-0.83) for Maddrey DFI and 0.8710 for MELD-Na(95%CI: 0.76-0.97, P = 0.041). CONCLUSION: AH is associated with high shortterm mortality. Our results show that MELD-Na is a more valuable model than DFI to predict short-term mortality.

关键词： Alcoholic hepatitis Model for end-stageliver disease-Na Maddrey Mortality

Higher cardiovascular risk scores and liver fibrosis risk estimated by biomarkers in patients with metabolic-dysfunction-associated fatty liver disease

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World Journal of Hepatology 2022年第8期14卷 1633-1642页

作者： Giovanni Alejandro Salgado Alvarez Samanta Mayanin Pinto Galvez Uriel Garcia Mora Ana Delfina Cano Contreras Cristina Durán Rosas Bryan Adrián Priego-Parra Arturo Triana Romero Mercedes Amieva Balmori Federico Roesch Dietlen Sophia Eugenia Martinez Vazquez Ines Osvely Mendez Guerrero Luis Alberto Chi-Cervera Raúl Bernal Reyes Leonardo Alberto Martinez Roriguez Maria Eugenia Icaza Chavez Jose Maria Remes troche Instituto de Investigaciones Médico-biologicas Universidad VeracruzanaVeracruz 91700VeracruzMexico Department of Gastroenterología Instituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMéxico 14080MéxicoMexico Clínica de Especialidades Gastrointestinales y Hepáticas Hospital Star MedicaMerida 97133YucatanMexico Department of Gastroenterologia Sociedad Española de BeneficenciaPachuca 42000HidalgoMexico Department of Gastroenterologia Clínica de Rehabilitación Metabólica Digestiva y HepáticaMexico 14080MexicoMexico Department of Gastroenterologia Hospital Star Médica de MéridaMerida 97133YucatanMexico

BACKGROUND The definition of metabolic-dysfunction-associated fatty liver disease(MAFLD)allows identification of metabolically complicated *** risk scores are related to cardiovascular risk(CVR)scores and could be useful for the identification of patients at risk of systemic *** To evaluate the relationship between MAFLD and CVR using the Framingham risk score in a group of Mexican *** Cross-sectional,observational and descriptive study carried out in a cohort of 585 volunteers in the state of Veracruz with MAFLD *** risk of liver fibrosis was calculated with aspartate aminotransferase-to-platelet ratio index,nonalcoholic fatty liver disease score and fibrosis-4,as well as with transient hepatic elastography with Fibroscan~?.The CVR was determined by the Framingham *** One hundred and twenty-five participants(21.4%)with MAFLD criteria were evaluated,average age 54.4 years,63.2%were women,body mass index 32.3 kg/m~*** Framingham CVR was high in 43 patients(33.9%).Transient elastography was performed in 55.2%of volunteers;39.1%with high CVR and predominance in advanced fibrosis(F3–F4).The logistic regression analysis showed that liver fibrosis,diabetes and hypertension independently increased *** One of every three patients with MAFLD had a high CVR,and in those with high fibrosis risk,the CVR risk was even greater.

关键词： Fatty liver Cardiovascular risk Hepatic steatosis Fibrosis Liver disease