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Predictive value of bleeding risk scores in elderly patients with atrial fibrillation and oral anticoagulation

Journal of Geriatric Cardiology 2023年第9期20卷 684-692页

作者： Pablo Domínguez-Erquicia Sergio Raposeiras-Roubín Emad Abu-Assi Andrea Lizancos-Castro Jose A Parada-Barcia AndréGonzález-García Ana Ledo-Piñeiro vanesa noriega-caro Carla Iglesias-Otero AndrésÍñiguez-Romo Department of Cardiology University HospitalÁlvaro CunqueiroVigoSpain Health Research Institute Galicia Sur VigoSpain

BACKGROUND The predictive value of bleeding risk scores for atrial fibrillation in older patients is not as well *** goal of this study was to evaluate the predictive value of HASBLED,ORBIT and ATRIA for major bleeding(MB)and intracranial hemorrhage(ICH)in patients≥75 years with atrial fibrillation and oral anticoagulation(OAC).METHODS A retrospective unicenter study including patients≥75 years with atrial fibrillation(AF)and OAC.A total of 7613 patients≥75 years with AF and OAC included between 2014 and 2018(registry:NCT04364516).We analyzed the discriminative value of HASBLED,ATRIA and ORBIT scores for bleeding endpoints(major bleeding as primary endpoint and intracerebral hemorrhage as secondary).Cox regression was used to predict major bleeding with each scale and also for searching other variables potentially predictor of major *** discrimination was assessed using Harrell’s *** was assessed with goodness-of-fit test proposed by Gronnesby and *** During a mean follow up of 4.0 years(IQR:2.4–5.7 years),729 patients developed MB(2.61 per 100 patients/year)and 243 patients developed ICH(0.85 per 100 patients/year).Three scores showed a low discrimination for major bleeding,being ORBIT the best(HASBLED C statistic=0.557;ATRIA C statistic=0.568;ORBIT C statistic=0.595)and also a low discrimination for ICH(HASBLED C statistic=0.509;ATRIA C statistic=0.522;ORBIT C statistic=0.526).Among the variables that are part of the scores and other baseline characteristics,after multivariable adjustment only sex(male),dementia,prior admission for bleeding,anemia and liver disease were found as a predictors of *** In older patients under oral anticoagulation with atrial fibrillation,the risk scores HASBLED,ATRIA and ORBIT showed a weak discrimination for major bleeding and intracranial ***,other better alternatives should be evaluated for this purpose.

关键词： patients bleeding fibrillation

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Seed rain and soil seed bank compensatory roles on Nassella tenuis(Phil.)Barkworth seedling recruitment in ungrazed and grazed sites

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Journal of Arid Land 2022年第5期14卷 550-560页

作者： Cintia vanesa LEDER Dianela Alejandra CALVO Guadalupe PETER Universidad Nacional de Río Negro Sede AtlánticaCentro de Estudios Ambientales desde la NorPatagonia(Center of Environmental Studies from North Patagonia(CEANPa)National University of Río Negro)Viedma 8504Argentina Universidad Nacional de Río Negro Sede AtlánticaCentro de Estudios Ambientales desde la NorPatagonia-National Council of Scientific and Technical Research(CONICET)(Center of Environmental Studies from North Patagonia(CEANPa)National University of Río Negro)Viedma 8504Argentina

In semi-arid lands,vegetation is distributed in shrub patches immersed in a less vegetated interpatch *** affects perennial grass seed bank through a decrease in seed rain and an increase in seed predation and soil ***,some species with anchorage mechanisms in their seeds might overcome this,such as Nassella tenuis(Phil.)*** is an important species in grazing paddocks because it has an intermediate palatability and its relatively tolerant to *** characteristics allow *** to increase its abundance in grazed *** objective was to assess how grazing affects the key palatable species from seeds to seedlings:i.e.,seed rain,soil seed bank,and seedling recruitment in different microsites along a windward-leeward transect across shrub *** hypothesized that:(1)the negative effects of grazing on *** fructification are reflected in its seed rain,soil seed bank,and seedling recruitment,especially in interpatches;(2)Nassella tenuis seed rain reduction,soil compaction by cattle in grazed sites,and removal of seeds by wind decrease its soil seed bank,especially in microsites exposed to the predominant wind;and(3)the decrease in *** soil seed bank and cover increase in annual species in grazed sites have negative effects on its seedling recruitment,especially in microsites exposed to predominant *** placed seed traps,collected soil samples,and monitored seedling recruitment in different locations around shrub canopy to address our ***,we established a manipulative experiment in which we sow *** seeds and followed its recruitment in different *** compared the seed rain,soil seed bank,natural seedling recruitment,and sown seeds recruitment of *** between grazed and ungrazed *** analyzed differences between microsites along a windward-leeward transect across shrubs *** rain and soil seed bank had the same density in patches and interpatches both in ungrazed a

关键词： seed rain soil seed bank seedling recruitment microsites grazing

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An Andean tectonic cycle:From crustal thickening to extension in a thin crust(34°-37°SL)

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Geoscience Frontiers 2014年第3期5卷 351-367页

作者： Victor A.Ramos vanesa D.Litvak Andrés Folguera Mauro Spagnuolo Laboratorio de Tectonica Andina del Instituto de Estudios Andinos Don Pablo GroeberCONICET-Universidad de Buenos AiresArgentina

Several orogenic cycles of mountain building and subsequent collapse associated with periods of shal- lowing and steepening of subduction zones have been recognized in recent years in the Andes. Most of them are characterized by widespread crustal delamination expressed by large calderas and rhyolitic flare-up produced by the injection of hot asthenosphere in the subduction wedge. These processes are related to the increase of the subduction angle during trench roll-back. The Payenia paleoflat-slab, in the southern Central Andes of Argentina and Chile （34° -37°S） recorded a complete cycle from crustal thickening and mountain uplift to extensional collapse and normal faulting, which are related to changes in the subduction geometry. The early stages are associated with magmatic expansion and migration, subsequent deformation and broken foreland. New ages and geochemical data show the middle to late Miocene expansion and migration of arc volcanism towards the foreland region was associated with important deformation in the Andean foothills. However, the main difference of this orogenic cycle with the previously described cycles is that the steepening of the oceanic subducted slab is linked to basaltic flooding of large areas in the retroarc under an extensional setting. Crustal delamination is concentrated only in a narrow central belt along the cordilleran axis. The striking differences between the two types of cycles are interpreted to be related to the crustal thickness when steepening the subducting slab, The crustal thickness of the Altiplano is over 60-80 km, whereas Payenia is less than 42 km in the axial part, and near 30 km in the retroarc foothills. The final extensional regime associated with the slab steepening favors the basaltic flooding of more than 8400 km3 in an area larger than 40,000 km2, through 800 central vents and large fissures. These characteristics are unique in the entire present-day Andes.

关键词： Andes Retroarc magmatism Basaltic floods Crustal delamination Flat-slab

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Better understanding of the activated sludge process combining fluorescence-based methods and flow cytometry:A case study

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Journal of Environmental Sciences 2020年第4期32卷 51-58页

作者： vanesa Benito Javier Etxebarria Felipe Goni-de-Cerio Inigo Gonzalez Pilar Brettes Ana Urkiaga GAIKER Parque TecnológicoEd.20248170ZamudioBizkaiaSpain EDAR Galindo Bilbao Bizkaia Water ConsortiumSestao 48910BizfcaiaSpain

This study aims to demonstrate the validity of fluorescence-based methods,together with flow cytometry,as a complementary tool to conventional physicochemical analyses carried out in wastewater treatment plants(WWTPs),for the control of the currently largely unknown activated sludge *** with SYTO 9,propidium iodide and 5-(and 6)-carboxy-2’,7’-difluorodihydrofluorescein diacetate(carboxy-H2 DFFDA)was used for cell viability and oxidative stress monitoring of the bacterial population forming the activated sludge of a *** the period of research,several unstable periods were detected,where the non-viable bacteria exceeded the 75%of the total bacterial population in the activated sludge,but only in one case the cells with oxidative stress grew to 9%,exceeding the typical values of2%-5%of this *** periods coincided in two cases with high values of total suspended solids(SST)and chemical oxygen demand(COD)in the effluent,and with an excess of ammonia in other case.A correlation between flow cytometric and physicochemical data was found,which enabled to clarify the possible origin of each case of instability in the biological *** experience supports the application of bacterial fluorescence staining,together with flow cytometric analysis,as a simple,rapid and reliable tool for the control and better understanding of the bacteria dynamics in a biological wastewater treatment process.

关键词： Activated sludge Wastewater treatment Cell viability Oxidative stress Fluorescent dyes Flow cytometry

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Effect of ketotifen fumarate on experimental autoimmune orchitis and torsion of the spermatic cord

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Asian Journal of Andrology 2020年第1期22卷 112-117页

作者： Diego Moreno Cristian M Sobarzo Livia Lustig Marcelo G Rodriguez Pena vanesa Anabella Guazzone National Scientific and Technical Research Council-University of Buenos Aires Institute of Biomedical Research(INBIOMEDUBA-CONICET)Buenos Aires C 1121ABGArgentina Central Militar Hospital"Cirujano Mayor Dr.Cosme Argerich" Buenos Aires C 1426BORArgentina University of Buenos Aires School of MedicineDepartment of Cellular Biology and Histology/Academic Unit IIBuenos Aires C 1121ABGArgentina Militar Hospital"Campo de Mayo" Buenos Aires 1659Argentina

The aim of this work was to study effects of ketotifen fumarate(KF)on prevention of tissue damage in testes of rats with experimental autoimmune orchitis(EAO)and on the contralateral testis in a model of prolonged testicular cord torsion(TCT).Rats with EAO or TCT were injected intraperitoneally once daily with KF or saline solution(vehicle group).Incidence and severity of testicular damage were evaluated by histopathology using an EAO score or a Johnsen *** cells(MC)were identified by histochemistry and *** EAO model,KF significantly reduced severity of histopathological testicular damage compared to rats in the vehicle *** also reduced the number of testicular MC compared to vehicle ***,in TCT model,multifocal damage of the contralateral testis was observed 30 days after testicular torsion characterized by sloughing of the germinal epithelium,seminiferous tubule atrophy,and interstitial *** signs of inflammation and fibrosis of seminiferous tubular walls were also *** contrast,sections of contralateral testis of rats injected with KF and killed 30 days after surgery showed normal histological features.A significant decrease in the number of MC was observed in rats treated with KF compared to untreated *** conclusion,we demonstrated that treatment with KF reduced testicular inflammatory process and MC infiltrates in both EAO and TCT *** results suggest a promising treatment for infertile male patients with testicular pathologies associated with inflammation and germ cell loss.

关键词： ketotifen fumarate male infertility mast cells orchitis testicular cord torsion testis

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Priority areas for watershed service conservation in the Guapi-Macacu region of Rio de Janeiro,Atlantic Forest,Brazil

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Ecological Processes 2014年第1期3卷 95-115页

作者： vanesa Rodriguez Osuna Jan Borner Udo Nehren Rachel Bardy Prado Hartmut Gaese Jurgen Heinrich Center for Development Research(ZEF) Department of Economic and Technological ChangeUniversity of BonnWalter-Flex-Str.353117 BonnGermany Institute for Technology and Resources Management in the Tropics and Subtropics(ITT) Cologne University of Applied SciencesBetzdorfer Str.250679 CologneGermany Empresa Brasileira de Pesquisa Agropecuária(EMBRAPA Soils) Brazilian Enterprise for Agricultural ResearchGeotechnologies and Environmental MonitoringRua Jardim BotanicoCEP 22460-000 Rio de JaneiroBrazil Institute for Geography Department of Physical GeographyUniversity of LeipzigJohannisallee 19a04103 LeipzigGermany

Introduction:Land use intensification and urbanisation processes are degrading hydrological ecosystem services in the Guapi-Macacu watershed of Rio de Janeiro.A proposal to pay farmers to restore natural watershed services might be an alternative to securing the water supply in the long-term for the around 2.5 million urban water users in the study *** study quantifies the costs of changing current land use patterns to enhance watershed services and compares these costs to the avoided costs associated with water treatment for public ***:We use farm-household data to estimate the opportunity costs of abandoning current land uses for the recovery of natural vegetation;a process that is very likely to improve water quality in terms of turbidity due to reduced inputs from *** cost estimates are extrapolated to the watershed scale based on remote sensing land use classifications and vulnerability analysis to identify priority zones for watershed management *** assess the potential demand for watershed services,we analyse water quality and treatment cost data from the main local water treatment ***:Changing agricultural land uses for watershed services provision generally comes at high opportunity costs in our study area near to the metropolis of Rio de *** low cost watershed conservation options do exist in the livestock production *** options have the potential to directly reduce the amount of sediments and nutrients reaching the water bodies,and in turn decrease the costs of treatment needed for drinking *** cover changes at the scale needed to improve water quality will,nonetheless,likely exceed the cost of additional investments in water ***:The state water utility company’s willingness to pay for watershed services alone will not be enough to induce provision of additional watershed *** conclude that monetary incentives conditioned on specific adjustme

关键词： Water services Drinking water treatment Water quality Incentive-based watershed management

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Endovascular treatment of paravisceral mycotic aneurysm: Chimmeny endovascular sealing the end of de road

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World Journal of Cardiology 2017年第7期9卷 629-633页

作者： Martin Rabellino Pedro N Moltini vanesa G Di caro Jose G Chas Ricardo Marenchino Ricardo D Garcia-Monaco Department of Interventional Radiology Hospital Italiano de Buenos Aires Department of Cardio-vascular Surgery Hospital Italiano de Buenos Aires

Open surgery is the elective treatment for mycotic aneurysms of the aorta. This surgery consists of resection of the aneurysm, debridement and revascularization with an in situ or extra-anatomic bypass. Even when surgery has been successful, the morbimortality is raised and the endovascular treatment has become an alternative for specific patients. When mycotic aneurysms involved the visceral arteries, more complex techniques are necessary such as fenestrated endovascular aortic repair or chimmeny endovascular aortic repair and the most frequent complications of this are endoleaks and oclussion the visceral arteries. We present a case of a pacient with a paravisceral abdominal mycotic aneurysms that was result with 2 chimney technique(in the right renal and superior mesenteric arteries) and a single Nellix EVAS(Endologix, Irvine, Calif) of 12 cm long without evidence of endoleaks in the follow-up.

关键词： Mycototic aneurysms Edovascular repair Aorta Endoleaks Para visceral aneurysms

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Analytical and technological aspects of amylose inclusion complexes for potential applications in functional foods

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Food Bioscience 2022年第3期47卷 17-31页

作者： Andrea E.Di Marco vanesa Y.Ixtaina Mabel C.Tomás Centro de Investigación y Desarrollo en Criotecnología de Alimentos CIDCA CCT La Plata CONICETFacultad de Ciencias Exactas FCE-UNLPCICPBAcalle 47 y 1161900La PlataArgentina Facultad de Ciencias Agrarias y Forestales FCAyF-UNLP calle 60 y 1191900La PlataArgentina

The linear component of starch,amylose,has the ability to interact with hydrophobic molecules forming inclusion complexes(ICs).These structures have gained a particular interest for potential food applications,either as dietary fiber or as delivery systems of bioactive *** the second case,the complexation of sensitive molecules is directed to protect them from processing,storage and stomach conditions and to guarantee a sustained release in the gastrointestinal *** present review covers the analytical and technological aspects of inclusion complexes,with focus on their potential application in the development of functional *** was addressed by first explaining the methodologies used for the analytical assessment of their structural,thermal,and functional properties,followed by the study of the functionality of ICs as carrier agents of different bioactive compounds and food ingredients,including alpha-lipoic acid,α-linolenic and linoleic fatty acids,conjugated linoleic acid,ascorbyl palmitate,phenolic compounds,and *** also covers the application of ICs in food products and the analysis of the potential industrial scalability of the formation *** analytical methodologies allowed a complete characterization of the *** structures have shown suitable functional properties as delivery systems of the bioactive compounds and flavors covered in this *** incorporation of ICs in food has led to the development of products with improved nutritional and/or functional *** successful formation of complexes using methods suitable for an industrial scale represents promising preliminary results to achieve the scalability of the ICs production in the near future.

关键词： Amylose inclusion complex Delivery system Bioactive compound V-type structure

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A single synonymous mutation determines the phosphorylation and stability of the nascent protein

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Journal of Molecular Cell Biology 2019年第3期11卷 187-199页

作者： Konstantinos Karakostis Sivakumar Vadivel Gnanasundram Ignacio Lopez Aikaterini Thermou Lixiao Wang Karin Nylander vanesa Ollvares-Iliana Robin Fahraeus Equipe Labellisee Ligue Contre le Cancer Universite Paris 7INSERM UMR 116227 Rue Juliette DoduParis 75010France Department of Medical Biosciences Umea UniversityUmea SE-90185Sweden Instituto de Ffsica Universidad Autonoma de San Luis Potosi78290 SLPMexico RECAMO Masaryk Memorial Cancer InstituteZluty kopec 7Brno 656 53Czech Republic

p53 is an intrinsically disordered protein with a large number of post-translational modifications and interacting *** hierarchical order and subcellular location of these events are still poorly *** activation of p53 during the DNA damage response(DDR)requires a switch in the activity of the E3 ubiquitin ligase MDM2 from a negative to a positive regulator of *** is mediated by the ATM kinase that regulates the binding of MDM2 to the p53 mRNA facilitating an increase in p53 *** we show that the binding of MDM2 to the p53 mRNA brings ATM to the p53 polysome where it phosphorylates the nascent p53 at serine 15 and prevents MDM2-mediated degradation of p53.A single synonymous mutation in p53 codon 22(L22L)prevents the phosphorylation of the nascent p53 protein and the stabilization of p53 following genotoxic *** ATM trafficking from the nucleus to the p53 polysome is mediated by MDM2,which requires its interaction with the ribosomal proteins RPL5 and *** results show how the ATM kinase phosphorylates the p53 protein while it is bang synthesized and offer a novel mechanism whereby a single synonymous mutation controls the stability and activity of the encoded protein.

关键词： synonymous mutations intrinsically disordered proteins cell signaling MDM2 p53 messenger RNA ATM kinase

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Influence of flooding and vegetation on carbon,nitrogen,and phosphorus dynamics in the pore water of a Spartina alterniflora salt marsh

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Journal of Environmental Sciences 2011年第2期23卷 212-221页

作者： vanesa L.Negrin Carla V.Spetter Raúl O.Asteasuain Gerardo M.E.Perillo Jorge E.Marcovecchio Argentine Institute of Oceanography (IADO CONICETCCT-Bahía Blanca)Camino La Carrindanga km 75Building E-1 CC 804Bahía Blanca 8000Argentina Department of Chemistry Southern National Institute of Chemistry (INQUISUR)Southern National University (UNS)Av Alem 1253Bahía Blanca 8000Argentina Department of Geology Southern National University (UNS)San Juan 670Bahía Blanca 8000Argentina National Technological University Regional Faculty of Bahía Blanca (UTN-FRBB)11 de Abril 461Bahía Blanca 8000Argentina University of the Fraternity of Associations Santo Toms de Aquino (FASTA) Gascón 3145Mar del Plata 7600Argentina

Four sites were selected in a salt marsh in the Bahia Blanca Estuary （Argentina）：（1） low marsh （flooded by the tide twice daily） vegetated by S. alterniflora; （2） non-vegetated low marsh; （3） high marsh （flooded only in spring tides） vegetated by S. alterniflora; （4） non-vegetated high marsh. The pH and Eh were measured in sediments, while dissolved nutrients （ammonium, nitrate, nitrite and phosphate） and particulate organic matter （POM） were determined in pore water, pH （6.2-8.7） was only affected by vegetation in low areas. Eh （from -300 to 250 mV） was lower at low sites than at high ones; in the latter, the values were higher in the non-vegetated sediments. The POM concentration was greater in the high marsh than in the low marsh, with no effect of vegetation. Ammonium was the most abundant nitrogen nutrient species in pore water, except in the non-vegetated high marsh where nitrate concentration was higher. All nitrogen nutrients were affected by both flooding and vegetation. Phosphate was always present in pore water at all sites throughout the year and its concentration varied within narrow limits, with no effect of flooding and greater values always at non-vegetated sites. Our results showed that the variability of the pore water composition within the marsh is greater than the temporal variation, meaning that both tidal flooding and vegetation are important in the dynamics of nutrients and organic matter in the sediment pore water.

关键词： organic matter nutrients flooding Spartina alterniflora

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