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Periprosthetic joint infections in femoral neck fracture patients treated with hemiarthroplasty–should we use antibiotic-loaded bone cement?

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World Journal of Orthopedics 2022年第2期13卷 150-159页

作者： Diana Crego-Vita Daniel Aedo-Martín rafael garcia-cañas Andrea Espigares-Correa Coral Sánchez-Pérez Christof Ernst Berberich Department of Orthopaedic and Trauma Surgery Hospital Central de la Defensa Gómez UllaMadrid 28047Spain Department of Orthopaedic and Trauma Surgery Hospital Universitario del HenaresUniversidad Francisco de VitoriaCoslada 28822MadridSpain Department of Orthopeadic and Trauma Surgery Hospital Central de la Defensa Gómez UllaMadrid 28047Spain Department of Orthopeadic and Trauma Surgery General University Hospital Gregorio MaranonMadrid 28007Spain Department of Medical Training Heraeus Medical GmbHWehrheim 612173HessenGermany

BACKGROUND Hemiarthroplasty is the most common treatment in elderly patients with displaced intra-capsular femoral neck fracture(FNF).Prosthetic joint infection(PJI)is one of the most feared and frequent complications post-surgery because of the frail health status of these patients and the need for fast track ***,priorities should lie in effective preventive strategies to mitigate this *** To determine how much the implementation of the routine use of antibioticloaded bone cement(ALBC)as a relatively easy-to-apply amendment to the surgical practice reduces the infection rate in our hemiarthroplasty *** We retrospectively assessed all demographic,health status and treatment-related data of our FNF patients undergoing cemented hemiarthroplasty in the period from 2011 to 2017;241 patients were further analyzed after exclusion of patients with cancer-related sequelae and those who died before the end of the 1-year observation *** PJI rate as diagnosed on basis of the Musculoskeletal Infection Society(MSIS)criteria 2011 was determined for each included patient and compared in function of the bone cement used for hip stem *** were split into a group receiving a plain bone cement in the period from January 2011 to June 2013(non-ALBC group)and into a group receiving an ALBC in the period July 2013 to December 2017(ALBC group).Data analysis was performed with statistical *** further calculated the cost-efficacy of the implementation of routine use of ALBC in the second group balancing the inhospital infection related treatment costs with the extra costs of use of *** In total 241 FNF patients who received cemented hemiarthroplasty in the period from January 2011 to January 2017 were eligible for inclusion in this retrospective *** were 8 PJI cases identified in the ALBC group among n=94 patients,whereas 28 PJI cases were observed in the non-ALBC group among n=147 *** statistical analysis

关键词： prosthetic joint infection Femoral neck fracture patients Hemiarthroplasty Antibiotic-loaded bone cement Prophylaxis Cost-efficacy

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Olfactory receptors in neural regeneration in the central nervous system

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Neural Regeneration Research 2025年第9期20卷 2480-2494页

作者： rafael Franco Claudia Garrigós Toni capó Joan Serrano-Marín rafael Rivas-Santisteban Jaume Lillo Molecular Neurobiology Laboratory Department of Biochemistry and Molecular BiomedicineFacultat de BiologiaUniversitat de BarcelonaBarcelonaSpain CiberNed Network Center for Biomedical Research in Neurodegenerative Diseases Spanish National Health Institute Carlos ⅢMadridSpain School of Chemistry Universitat de BarcelonaBarcelonaSpain Department of Biochemistry and Physiology School of Pharmacy and Food SciencesUniversitat de BarcelonaBarcelonaSpain Laboratory of Computational Medicine Biostatistics UnitFaculty of MedicineAutonomous University of BarcelonaCampus BellaterraBarcelonaSpain

Olfactory receptors are crucial for detecting odors and play a vital role in our sense of smell,influencing behaviors from food choices to emotional *** receptors also contribute to our perception of flavor and have potential applications in medical diagnostics and environmental *** ability of the olfactory system to regenerate its sensory neurons provides a unique model to study neural regeneration,a phenomenon largely absent in the central nervous *** gained from how olfactory neurons continuously replace themselves and reestablish functional connections can provide strategies to promote similar regenerative processes in the central nervous system,where damage often results in permanent *** the molecular and cellular mechanisms underpinning olfactory neuron regeneration could pave the way for developing therapeutic approaches to treat spinal co rd injuries and neurodegenerative diseases like Alzheimer's *** ctory receptors are found in almost any cell of eve ry orga n/tissue of the mammalian *** ectopic expression provides insights into the chemical structures that can activate olfactory *** addition to odors,olfactory receptors in ectopic expression may respond to endogenous compounds and molecules produced by mucosal colonizing *** analysis of the function of olfactory receptors in ectopic expression provides valuable information on the signaling pathway engaged upon receptor activation and the receptor's role in proliferation and cell differentiation *** review explo res the ectopic expression of olfa ctory receptors and the role they may play in neural regeneration within the central nervous system,with particular attention to compounds that can activate these receptors to initiate regenerative *** suggests that olfactory receptors could serve as potential therapeutic targets for enhancing neural repair and recovery following central nervous syste

关键词： adenosine receptors adrenergic receptors ectopic expression G proteincoupled receptors glia neurons

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Amyloid-beta pathology-induced nanoscale synaptic disruption:the case of the GABA_B-GIRK assembly

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Neural Regeneration Research 2025年第5期20卷 1409-1410页

作者： rafael Lujan Alejandro Martín-Belmonte Sergi Ferré Francisco Ciruela Synaptic Structure Laboratory Instituto de Biomedicina de la UCLM(IB-UCLM)Departamento de Ciencias MédicasInstituto de Investigación en Salud de Castilla-La Mancha(IDISCAM)Facultad de MedicinaUniversidad Castilla-La ManchaCampus BiosanitarioC/AlmansaAlbaceteSpain Integrative Neurobiology Section National Institute on Drug AbuseIntramural Research ProgramNational Institutes of HealthBaltimoreMDUSA Pharmacology Unit Department of Pathology and Experimental TherapeuticsSchool of Medicine and Health SciencesInstitute of NeurosciencesUniversity of BarcelonaNeuropharmacology&Pain GroupNeuroscience ProgramBellvitge Institute for Biomedical ResearchL’Hospitalet de LlobregatSpain

Alzheimer's disease (AD) is characterized by an imbalance between excitatory and inhibitory brain networks,leading to aberrant homeostatic synaptic *** has progressively been recognized as syna ptopathy and syna ptic dysfunction has been identified as a key component of its pathogenesis (Schirinzi et al.,2020).Syna ptic dysfunction is believed to precede synapse loss,a primary biological correlate of cognitive decline in AD,inevita bly associated with neuronal death.

关键词： Alzheimer pathology

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Gene therapy for spinal muscular atrophy:perspectives on the possibility of optimizing SMN1 delivery to correct all neurological and systemic perturbations

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Neural Regeneration Research 2025年第7期20卷 2011-2012页

作者： Sharon J.Brown rafael J.Yáñez-Muñoz Heidi R.Fuller School of Pharmacy and Bioengineering Keele UniversityKeeleUK Wolfson Center for Inherited Neuromuscular Disease TORCH BuildingRJAH Orthopaedic HospitalOswestryUK *** Center of Gene and Cell TherapyDepartment of Biological SciencesSchool of Life Sciences and the EnvironmentRoyal Holloway University of LondonEghamUK

Spinal muscular atrophy(SMA)is a genetic condition that results in selective lower motor neuron loss with concomitant muscle weakness and *** genetic cause of SMA was understood in 1995 when loss or impairment of the survival motor neuron 1(SMN1)gene was identified as the main contributing factor(Lefebvre et al.,1995).This,in combination with the discovery that humans have a“back-up”gene,SMN2,which can produce low levels(approximately 10%)of the full-length functional SMN protein,has led to the generation of SMA-specific gene *** was traditionally classified according to age of symptom onset and developmental milestones achieved,with life expectancy and severity varying between ***,SMN2 copy number is used as a proxy for the prediction of disease severity,with higher SMN2 copy number typically being associated with reduced severity of SMA,although this relationship is not absolute:some individuals with low SMN2 copy number have less severe SMA phenotypes and vice ***,the etiology of SMA is further complicated by other factors,such as non-typical nucleotide variants and SMN2-independent modifiers of disease severity.

关键词： atrophy traditionally absolute

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Visual analytics tool for the interpretation of hidden states in recurrent neural networks

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Visual Computing for Industry,Biomedicine,and Art 2021年第1期4卷 233-245页

作者： rafael garcia Tanja Munz Daniel Weiskopf VISUS University of Stuttgart70569 StuttgartGermany

In this paper,we introduce a visual analytics approach aimed at helping machine learning experts analyze the hidden states of layers in recurrent neural *** technique allows the user to interactively inspect how hidden states store and process information throughout the feeding of an input sequence into the *** technique can help answer questions,such as which parts of the input data have a higher impact on the prediction and how the model correlates each hidden state configuration with a certain *** visual analytics approach comprises several components:First,our input visualization shows the input sequence and how it relates to the output(using color coding).In addition,hidden states are visualized through a nonlinear projection into a 2-D visualization space using t-distributed stochastic neighbor embedding to understand the shape of the space of the hidden *** are also employed to show the details of the evolution of the hidden state ***,a time-multi-class heatmap matrix visualizes the evolution of the expected predictions for multi-class classifiers,and a histogram indicates the distances between the hidden states within the original *** different visualizations are shown simultaneously in multiple views and support brushing-and-linking to facilitate the analysis of the classifications and debugging for misclassified input *** demonstrate the capability of our approach,we discuss two typical use cases for long short-term memory models applied to two widely used natural language processing datasets.

关键词： Visual analytics Visualization Machine learning Classification Recurrent neural networks Long shortterm memory Hidden states Interpretability Natural language processing Nonlinear projection

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On the line profile changes observed during the X2.2 class flare in the active region NOAA 11158

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Research in Astronomy and Astrophysics 2014年第2期14卷 207-220页

作者： Ankala Raja Bayanna Brajesh Kumar Parameswaran Venkatakrishnan Shibu Kunchandy Mathew Belur Ravindra Savita Mathur rafael A garcia Udaipur Solar Observatory Physical Research LaboratoryDewaliBadi RoadUdaipur 313 004India Indian Institute of Astrophysics II BlockKoramanglaBangalore 560034India Space Science Institute 4750 Walnut Street Suite#205BoulderCO 80301USA Laboratoire AIM CEA/DSM-CNRSUniversit'e Paris 7 DiderotIRFU/SApCentre de Saclay91191Gif-sur-YvetteFrance

The solar active region NOAA 11158 produced a series of flares during its passage through the solar disk. The first major flare （of class X2.2） of the current solar cycle occurred in this active region on 2011 February 15 around 01：50 UT. We have analyzed the Dopplergrams and magnetograms obtained by the Helioseismic and Magnetic Imager （HMI） instrument onboard Solar Dynamics Observatory to examine the photospheric velocity and magnetic field changes associated with this flare. The HMI instrument provides high-quality Doppler and magnetic maps of the solar disk with 0.5＂ spatial scale at a cadence of 45 s along with imaging spectroscopy. We have identified five locations of velocity transients in the active region during the flare. These transient velocity signals are located in and around the flare ribbons as observed by Hinode in the ca II H wavelength and the footpoints of hard X-ray enhancement are in the energy range 12-25 keV from RHESSI. The changes in shape and width of two circular polarization states have been observed at the time of transients in three out of five locations. Forward modeling of the line profiles shows that the change in atmospheric parameters such as magnetic field strength, Doppler velocity and source function could explain the observed changes in the line profiles with respect to the pre-flare condition.

关键词： Sun: activity -- Sun: sunspot -- Sun: flares -- Sun: spectroscopy --Sun: velocity and magnetic fields

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A numerical analysis to the non-linear fin problem

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Journal of Zhejiang University-Science A(Applied Physics & Engineering) 2008年第5期9卷 648-653页

作者： rafael CORTELL Department of Applied Physics Polytechnic University of Valencia 46022 Valencia Spain

In this paper a numerical analysis is carried out to obtain the temperature distribution within a single fin. It is assumed that the heat transfer coefficient depends on the temperature. The complete highly non-linear problem is solved numerically and the variations of both, dimensionless surface temperature and dimensionless surface temperature gradient as well as heat transfer characteristics with the governing non-dimensional parameters of the problem are graphed and tabulated.

关键词： Fins Ordinary differential equations (ODEs) Numerical solution Heat transfer

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Structural Foundation and Geometry of the Material Singularity (and Its Quantum Entanglement)

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Journal of High Energy Physics, Gravitation and Cosmology 2024年第3期10卷 1095-1137页

作者： rafael cañete Mesa Independent Researcher Seville Spain

In this paper we develop and study, as the second part of one more general development, the energy transmutation equation for the material singularity, previously obtained through the symmetrisation of a wave packet, that is, we develop the correlation between the terms of this equation, which accounts for the formation of matter from a previous vibrational state, and the different possible energy species. These energetic species are ascribed, in a simplified form, to the equation E¯ω=E¯k+E¯f, which allows us, through its associated phase factor, to gain an insight into the wave character of the kinetic energy and thus to attain the basis of the matter-wave, and all sorts of related phenomenologies, including that concerning quantum entanglement. The formation of the matter was previously identified as an energetic process, analogous to the kinetic one, in which finally the inertial mass is consolidated as a mass in a different phase, now, in addition, the mass of the material singularity is identified as a volumetric density of waves of toroidal geometry created in the process of singularisation or energy transfer between species, which makes it possible to establish the real relation or correspondence between the corpuscular and photonic energy equation (E=mc2=hν), i.e. to explain through m the intimate sense of the first equivalence, which explains what νis in the second one.

关键词： Standard Model Wave-Packet Material Singularity Wave-Particle Dualism Wave Symmetrisation Matter-Wave Energetic Transmutation Quantum Entanglement

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Hepatobiliary & Pancreatic Diseases International 2012年第6期11卷 630-635页

作者： Rachid G Nagem Alcino Lázaro-da-Silva rafael Morroni de Oliveira Valter garcia Morato Division of General Surgery Ipsemg Hospital Belo Horizonte Brazil Department of Surgery Federal University of Minas Gerais School of Medicine Belo Horizonte Brazil Division of General Surgery Ipsemg Hospital Belo Horizonte Brazil

BACKGROUND: Gastric bypass is a widespread bariatric procedure that carries a high incidence of gallstone formation postoperatively. Controversy exists regarding the importance and consequences of gallstones in these patients. There are surgeons who consider gallstone-related complications after gastric bypass important enough to require routine removal of the gallbladder during gastric bypass (prophylactic cholecystectomy). However, this can lead to increased costs and risks. This study aimed to identify complications related to cholelithiasis after Roux-en-Y gastric bypass (RYGBP). METHODS: This is a prospective observational study of 40 morbidly obese patients free of gallbladder disease. The patients underwent open RYGBP at a public hospital in Brazil from February to October 2007. They were followed up clinically and ultrasonographically at 6 months and 1, 2, and 3 years after surgery. Of the patients, 38 patients were followed up for 3 years. RESULTS: Eleven patients (28.9%) developed cholelithiasis, four (10.5%) experienced biliary pain, and 2 suffered from acute biliary pancreatitis (5.3%). These patients had their gallbladders removed laparoscopically. No patient presented with acute cholecystitis, choledocholithiasis, or bile duct dilation during the follow-up period. There were no deaths. CONCLUSIONS: Gallstone-related complications after RYGBP were relatively common. Some of these complications, like acute pancreatitis, are known to have potentially severe outcomes. It seems reasonable to perform cholecystectomy during gastric bypass in the presence of cholelithiasis or after this procedure if gallstones develop.

关键词： bariatric surgery cholecystectomy cholelithiasis gallstones obesity gastric bypass

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A Numerical Tackling on Sakiadis Flow with Thermal Radiation

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Chinese Physics Letters 2008年第4期25卷 1340-1342页

作者： rafael Cortell Department of Appfied Physics Polytechnic University of Valencia 46022 Valencia Spain

Momentum and energy laminar boundary layers of an incompressible fluid with thermal radiation about a moving plate in a quiescent ambient fluid are investigated numerically. Also, it has been underlined that the analy... 详细信息

关键词： BOUNDARY-LAYER EQUATIONS FINITE-DIFFERENCE METHOD POROUS VERTIcaL PLATE NON-NEWTONIAN FLUID HEAT-TRANSFER VARIABLE VISCOSITY VISCOELASTIC FLUID MICROPOLAR FLUID BLASIUS EQUATION STRETCHING SHEET

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