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Optimization of Exenatide plus Detemir Treatment for Morbid Obese Patients with Insulin Dependent Diabetes Resistant to Conventional Treatment. Effect of Exenatide on Patients with Mellitus Diabetes Type 2

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Pharmacology & Pharmacy 2014年第4期5卷 433-443页

作者： Alfonso Lopez Ruiz maria Angeles Nunez Sanchez Noelia Victoria garcia-Talavera Espin Amparo Meoro Aviles Cristina del Peso Gilsanz Ricardo Soriano Sanchez maria teresa gallego garcia Jose Soriano Palao maria Dolores Ortuno Sacramento Tomas Navarro Collaborative Groups of the Diabetes and Obesity Unit of the Hospital Reina Sofia Unidad de Diabetes y Obesidad del área VII Murcia Este Hospital General Universitario Reina Sofía de Murcia Murcia Espa&ntildea

The purpose of this study was to analyze the effects of the treatment with Exenatide joint to insulin detemir. The study was carried out with obese patients with type 2 diabetes mellitus (DM2) and deficient control, despite intensive insulin therapy combined with oral antidiabetics. A longitudinal study was made with 15 patients controlled by the Endocrinology and Nutrition Section of the Reina Sofía University Hospital, Murcia. These patients were treated with Exenatide joint to insulin during 3, 6 and 12 months. Statistically meaningful differences (p < 0.05) were observed in the reduction of HbA1c in the 3 and 6 months treatment groups (initial HbA1c: 9.55% ± 1.086%, weight: 119.94 kg, insulin requirement: 0.71 IU/kg/day;after 3 months: HbA1c: 7.77% ± 1.164%, weight: 98.13 kg, insulin requirement: 0.59 IU/kg/day;after 6 months: HbA1c: 7.21%, weight: 97.93 kg, insulin requirement: 0.55 IU/kg/day). It was observed that the association of Exenatide and insulin promotes an improvement in several indicators such as weight, body mass index (BMI), systolic pressure (SP), diastolic pressure (DP), triglycerides (TG), cLDL, cHDL and total cholesterol (TC), in patients with diabetes resistant to conventional therapy. However, these improvements were statistically no significant (p < 0.05). It is possible to talk of a reduction of cardiovascular risk factors in patients with Exenatide, being thus a suitable option for this kind of individuals. It is important to emphasize the fact that our study showed bigger body-weight reductions results after 6 and 12 months, as compared to the researches quoted.

关键词： Type 2 Diabetes Mellitus Exenatide Cardiovascular Risk Physical and Biochemical Parameters

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Exenatide Response in an Adolescent’s Morbid Obesity

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Pharmacology & Pharmacy 2014年第4期5卷 419-424页

作者： Ricardo Soriano Sanchez Alfonso Lopez Ruiz M. Angeles Nunez Sanchez Noelia Victoria garcia-Talavera Espin Amparo Meoro Aviles maria teresa gallego garcia Cristina del Peso Gilsanz Jose Soriano Palao Collaborative Groups of the Diabetes Obesity Unit of the Hospital Reina Sofia Unidad de Diabetes y Obesidad del area VII Murcia Este Hospital General Universitario Reina Sofía de MurciaMurcia Espana

Adolescent obesity is a health problem worldwide. Drug therapy for obesity in children is only acceptable if done within the framework of a comprehensive weight loss, prevention of comorbidities, including health education, changes in lifestyles, diet and exercise. These pharmacological treatments indicate that mainly young patients did not respond to standard measures and developing complications. The role of bariatric surgery, with or without the use of drugs is subject to further research to elucidate its role among the various treatment options for these patients. Currently being studied a wide range of drugs to those included gastrointestinal hormones. Scientific information regarding the use of exenatide in obese patients without diabetes is still limited. The use of exenatide in adolescents with morbid obesity may represent a therapeutic complement invaluable, effective and free of complications, and prevents future bariatric surgery.

关键词： Type 2 Diabetes Mellitus Exenatide Adolescent Obestity

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Pain assessment and management in the newborn:A systematized review

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World Journal of Clinical Cases 2021年第21期9卷 5921-5931页

作者： maria teresa garcia-Rodriguez Sergio Bujan-Bravo Rocio Seijo-Bestilleiro Cristina Gonzalez-Martin Research in Nursing and Health Care Institute of Biomedical Research of A Coruña(INIBIC)Complexo Hospitalario Universitario de A Coruña(CHUAC)SERGASAs Xubias 8415006 A Coruña Universidade da Coruña(UDC)A Coruña 15006Spain Health Sciences Complexo Hospitalario Universitario de A CoruñaA Coruña 15006Spain

BACKGROUND Neonatal pain has been underdiagnosed due to several false *** To determine the status of neonatal pain in newborns who are admitted to intensive care *** Different databases were *** reviews and research reports conducted in newborns that were written in English,Spanish,or Portuguese,published between 2010 and 2020,and having free access to the full text were selected.A total of 135 articles were found,and 18 articles were finally *** Newborns are exposed to numerous painful *** order to assess their pain levels,several scales have been used,although they are sometimes not correctly *** terms of pain management,the nursing team plays a very important role based mainly on both pharmacological and non-pharmacological *** Nursing staff members must be well trained in order to identify pain and to interpret the scales ***,they have an important role in performing non-pharmacological procedures for pain management.

关键词： Neonatal pain Intensive care unit Nursing Management Treatment Systematized review

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Repeatability of in-vitro optical quality measurements of intraocular lenses with a deflectometry technique effect of the toricity

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International Journal of Ophthalmology(English edition) 2018年第7期11卷 1139-1144页

作者： teresa Ferrer-Blasco Alberto Dominguez-Vicent Santiago garcia-Lazaro maria Amparo Diez-Ajenjo Jose F.Alfonso Jose J.Esteve-Taboada Department of Optics and Optometry and Visual Science University of Valencia Valencia 46100 Spain Clinica Optometrica Fundacio Lluis Alcanyis Universitat de Valencia Valencia 46020 Spain Surgery Department Fernandez-Vega Ophthalmological Institute Oviedo 33012 Spain School of Medicine University of Oviedo Oviedo 33006 Spain

AIM： To evaluate the repeatability of an optical device for measuring the Zernike coefficients of toric intraocular lenses（IOLs） and assess whether its toricity has any impact in its repeatability. METHODS： An experienced technician used the NIMO TR1504 to measure the Zernike coefficients 30 times for an aperture of 4.50 mm for all lenses included. The IOLs included were divided into two group： toric and nontoric ones. The cylindrical powers of the toric lenses included in the present study were 1.00, 1.50, 2.25, 3.00 and 3.75 D. Finally, the repeatability of the NIMO TR1504 was described in terms of within subject standard deviation（Sw） and repeatability limit. RESULTS： The Sw was smaller than 0.011 μm for both lens groups and all Zernike coefficients, and the difference between both groups was smaller than 0.004 μm for all Zernike coefficients. Regarding the repeatability limit, this value was smaller than 0.025 μm for the toric lens group, and smaller than 0.031 μm for the non-toric lens one for all Zernike coefficients. Furthermore, the maximum difference between both lens groups was 0.010 μm. CONCLUSION： The repeatability of the NIMO TR1504 to measure the optical quality is high and independent of the lens toricity. These results reflect that this system is robust and could be used to measure the in-vitro optical quality of either toric or non-toric IOLs.

关键词： in-vitro measurements optical quality intraocular lens repeatability

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Alcoholic cardiomyopathy

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World Journal of Cardiology 2014年第8期6卷 771-781页

作者： Gonzalo Guzzo-Merello Marta Cobo-Marcos maria gallego-Delgado Pablo garcia-Pavia Heart Failure and Inherited Cardiac Diseases Unit Department of CardiologyHospital Universitario Puerta de Hierro28222 MadridSpain

Alcohol is the most frequently consumed toxic substance in the world. Low to moderate daily intake of alcohol has been shown to have beneficial effects on the cardiovascular system. In contrast, exposure to high levels of alcohol for a long period could lead to progressive cardiac dysfunction and heart failure. Cardiac dysfunction associated with chronic and excessive alcohol intake is a specific cardiac disease known as alcoholic cardiomyopathy(ACM). In spite of its clinical importance, data on ACM and how alcohol damages the heart are limited. In this review, we evaluate available evidence linking excessive alcohol consumption with heart failure and dilated cardiomyopathy. Additionally, we discuss the clinical presentation, prognosis and treatment of ACM.

关键词： Alcohol Alcoholic cardiomyopathy Dilated cardiomyopathy Heart failure

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Oxfendazole as successful treatment of Taenia hydatigena metacestodes in naturally infected pigs

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Asian Pacific Journal of Tropical Biomedicine 2015年第11期5卷 971-973页

作者： Luis Antonio Gomez-Puerta Armando Emiliano Gonzalez Cesar Gavidia Viterbo Ayvar Hector Hugo garcia maria teresa Lopez-Urbina for the Cysticercosis Working Group in Peru School of Veterinary Medicine National University of San Marcos Cysticercosis Elimination Program and Center for Global Health Tumbes Cayetano Heredia University Department of Microbiology School of SciencesCayetano Heredia University

The efficacy of oxfendazole(OFZ) on Taenia hydatigena metacestodes, also called Cysticercus tenuicollis(C. tenuicollis), was studied in 648 raising pigs. This study was performed in Tumbes Department in Peru, an endemic area for cysticercosis. Pigs were randomized in two groups; untreated group(n = 142) did not receive any treatment and treated group(n = 506) received OFZ treatment at a single dose of 30 mg/kg body *** months after treatment, the pigs were necropsied. The prevalence of infection by C. tenuicollis among the pigs was 27.5%(39/142) and 2.0%(10/506) in untreated and treated groups, respectively. Untreated group was infested only with viable cysts, whereas treated group had no viable cysts. All the cysts found in treated group presented degeneration, with a thick membrane, and they contained milky fluid and fibrous tissue. A single dose of OFZ was effective against C. tenuicollis, thus providing an alternative drug for controlling this parasite in pigs.

关键词： Taenia hydatigena Cysticercus tenuicollis Oxfendaz

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Acquired hepatocerebral degeneration in a metastatic neuroendocrine tumor long-term survivor——an update on neuroendocrine neoplasm’s treatment:A case report

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World Journal of Hepatology 2021年第5期13卷 611-619页

作者： Oriol Mirallas Nadia Saoudi Diego Gómez-Puerto Mar Riveiro-Barciela Xavier Merino Cristina Auger Stefania Landolfi Laia Blanco Amparo garcia-Burillo Xavier Molero maria teresa Salcedo-Allende Jaume Capdevila Medical Oncology Department Vall d'Hebron University HospitalVall Hebron Institute of OncologyBarcelona 08035CatalunyaSpain Liver Unit Department of Internal MedicineCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y DigestivasHospital Universitari Vall d'HebronUniversitat Autònoma de BarcelonaBarcelona 08035CatalunyaSpain Radiodiagnostic Department Vall d’Hebron University HospitalBarcelona 08035CatalunyaSpain Pathology Department Vall d'Hebron University HospitalBarcelona 08035CatalunyaSpain Hepatobiliopancreatic Surgery and Transplantation Department Vall d'Hebron University HospitalBarcelona 08034CatalunyaSpain Nuclear Medicine Department Vall d'Hebron University HospitalBarcelona 08035CatalunyaSpain

BACKGROUND Metastatic small bowel low-grade neuroendocrine tumors(NETs)have a good *** is the only curative treatment;however,this may induce advanced liver disease,particularly in long-term survivor *** hepatocerebral degeneration or Parkinsonism in cirrhosis is characterized by rapidly progressive extrapyramidal symptoms in patients with advanced liver *** SUMMARY A 70-year-old man presented to the emergency department with diminished consciousness and disorientation,and was diagnosed with hepatic *** patient was diagnosed in 1993 with a metastatic small bowel NET,for which he twice underwent hepatic surgery,with metastatic resection in 1993 and a right hepatectomy in 2002 to remove two hepatic *** 2003,the patient started first-line chemotherapy and in 2004 started the first of three consecutive biological treatments,followed by radio-molecular therapy,achieving stable disease for 14 *** progression was identified and he underwent an endoscopic retrograde ***,in 2019 advanced liver disease was *** diagnosed the development of acquired hepatocerebral degeneration,an unusual long-term side effect after multiple hepatic *** The importance of regular and ongoing surveillance in long-term NET survivors who undergo hepatic procedures should be integrated into the therapeutic management plan,as some of these negative outcomes could be prevented.

关键词： Neuroendocrine tumors Hepatocerebral degeneration Parkinsonism Somatostatin analogues Everolimus Hepatic metastases Peptide radionuclide receptor therapy Encephalopathy Paramagnetic deposits Case report

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Efficacy of Isotonic Seawater Solution on Inflammation of the Ocular Surface in Matrix Metalloproteinase MMP-9-Positive Dry Eye Disease Patients

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Open Journal of Ophthalmology 2020年第3期10卷 221-229页

作者： Diaz-Llopis Manuel Pinazo-Duran maria Dolores Diaz-Guiñon Loreto Rahhal-Ortuño Miriam gallego-Pinazo Roberto Dolz-Marco Rosa Diaz-Guiñon teresa Diaz maria Romero Francisco Javier University of Valencia Valencia Spain Ophthalmology Unit Faculty of Medicine University of Valencia Valencia Spain Molecular Ophthalmology Unit Faculty of Medicine University of Valencia Valencia Spain Consellería de Sanitat (Valencian Regional Health Ministry) Valencian Autonomous Government Valencia IOVA-Valencia Ophthalmology Institute Valencia Spain Doctor Peset University Hospital Valencia Spain Santiago Grisolía Eye Research Laboratory FISABIO Valencia Spain Department of Ophthalmology La Fe Hospital Valencia Spain IMED Hospital Valencia Spain

Purpose: Prospective study to evaluate the anti-inflammatory efficacy of isotonic seawater solution on metalloproteinase 9 (MMP-9) levels in the tears of patients with dry eye disease (DED). Methods: A total of 50 patients were included, with the following dry eye criteria in both eyes: InflammaDry? test initially positive, ocular surface disease index (OSDI) score ≥ 12 and Results: The InflammaDry test was positive in 100% of the patients (n = 50) and in 100% (n = 100) of the eyes before treatment. In 14 (28%) patients the test became negative in both eyes, and in 15 (30%) it was negative in one of the eyes. In 43% (n = 43) of the positive eyes, MMP-9 became undetectable in the tear fluid following treatment with isotonic seawater. This change was statistically significant (p Conclusions: The washes with ophthalmic isotonic seawater solution have a significant impact on inflammation of the ocular surface in dry eye disease, with an ability to make MMP-9 levels negative in 43% of cases.

关键词： Dry Eye Inflammadry Test MMP-9 Ocular Surface Inflammation Ophthal-mic Isotonic Seawater Solution

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Ab Initio Study of Aluminum-Phosphorus Co-doped Graphene

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Journal of Physical Science and Application 2017年第1期7卷 1-7页

作者： Victor Eduardo Comparan Padilla maria teresa Romero de la Cruz Carlos Eduardo Rodriguez garcia Reyesgarcia Diaz Gregorio Hernandez Cocoletzi Facultad de Ciencias Quimicas Universidad Autonoma de Coahuila Blvd. Venustiano Carranza C.P. 25280 Saltillo CoahuilaMexico Facultada de Ciencias Fisico Matematica Universidad Autonoma de Coahuila Blvd. Venustiano Carranza C.P. 25280 SaltilloCoahuila Mexico Instituto de Fisica Luis Rivera Terrazas Benemerita Universidad Autonoma de Puebla Av. San Claudio y Blvd. 18 Sur C.P.72570 Puebla Puebla Mexico

In the present work it is studied the phosphorus-aluminum co-doping effect on the electronic and structural graphene properties using ab initio calculations in the framework of DFT （density functional theory）. The doping of graphene with substituent heteroatoms can modify the band structures as well as the electron transfer, improving the electronic performance that could enhance the sensing ability in gas sensor devices. The incorporation of heteroatoms in the graphene monolayer alters the unit cell. The alteration degree depends on the dopant concentration. Furthermore, the electronic properties were modified by opening the gap up to 0.61 eV produced by the combination of phosphorus and aluminum as dopants. The dopant concentration can be controlled, which causes different degrees of semiconductor behavior on the co-doped graphene.

关键词： Density functional theory graphene co-doping band gap aluminum phosphorus.

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CTNS Molecular Genetics Profile in a Portuguese Cystinosis Population

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Open Journal of Genetics 2018年第4期8卷 91-100页

作者： Filipa Ferreira Ines Leal David Sousa teresa Costa Conceicao Mota Ana Marta Gomes Daniela Lopes maria do Carmo Macario Isabel Tavares Helena Pinto Joao Paulo Oliveira Rita Magrico Celia Carmona Sonia Ramos Raquel Neiva Ana Marcao Laura Vilarinho Newborn Screening Metabolism and Genetics UnitHuman Genetics DepartmentNational Institute of Health Dr Ricardo JorgePortoPortugal Centro Hospitalar Lisboa Norte Hospital de Santa MariaLisboaPortugal Centro Hospitalar Universitario do Porto PortoPortugal Centro Hospitalar Vila Nova de Gaia EspinhoPortugal Centro Hospitalar Universitario de Coimbra CHUCCoimbraPortugal Servico de Genetica Medica Centro Hospitalar de Sao JoaoPortoPortugal Unidade de Genetica Faculdade de Medicina da Universidade do PortoPortoPortugal I3S—Instituto de Investigacao e Inovacao em Saude PortoPortugal Servico de Nefrologia do Hospital garcia de Orta AlmadaPortugal Research and Development Unit Department of Human GeneticsNational Institute of Health Dr Ricardo JorgePortoPortugal

Background: Cystinosis is a multisystemic autosomal recessive deficiency of the lysosomal membrane transporter protein (cystinosin) caused by mutations in CTNS gene. Objective: This study summarizes the Portuguese experience in the diagnosis and management of patients with this rare disease over the past few years and reports recurrent mutations in the CTNS gene. Methods: Unrelated patients from different pediatric and adult hospitals all over Portugal with non-nephrotic proteinuria, hypercalciuria, hypokalemia impaired proximal reabsorption of amino acids, glycosuria and hypophosphatemia, suggestive of a Fanconi syndrome and ocular problems, were studied. Intra-leukocyte cystine levels were determined and molecular analysis was performed, to determine the presence or absence of the 57-kb deletion in CTNS, followed by direct sequencing of the coding exons of CTNS. Results: From 1998 to 2017, twenty-one cystinotic patients were biochemically diagnosed. From the remaining seventeen (four deceased), eleven were studied for CTNS gene. Five out of eleven patients were homozygous for the 57-kb deletion (10/22;45.5%), and other five were compound heterozygous for this variant (15/22;68.2%). The other mutations found were p.Q128X (c.721 C>T;2/22), p.S139F (c.755 C>T;4/22) and c.18-21delGACT (p.T7FfsX7;1/22). All of these seventeen cystinotic patients are in treatment. Approximately 84% are adults, 16% are young children, and 54.5% are kidney transplant recipient. Conclusions: The authors would like to emphasize the importance of first screening for the 57-kb deletion since it is very common in our population. This genetic study is the first in our country and it could be the basis for future genetic counseling in Portuguese population.

关键词： Cystinosis CTNS Gene Mutational Spectrum Kidney Failure 57-kb Deletion

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