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« Prueba |Main| Mantequilla de Marihuana »NOTA del 27 de Abril del 2004: Lo pongo antes para que así se vea claro. Los efectos del THC ingerido son muy diferentes al efecto que se obtiene cuando se fuma. Para empezar es mucha más lenta su absorción, y al final siempre resulta mucho más potente y duradera. Con esto quiero decir que no lo consumaís como un bizcocho normal, y que debeís de tener en cuenta cuanta marihuana usaís para hacer la mantequilla, porque una vez usada en el bizcocho, al fin y al cabo, es el equivalente a lo que os hubieseís fumado de golpe con el doble de fuerza. Mejor hacedlo poco a poco. Lo que debería ser una experiencia divertida puede convertirse en un mal rollo del copón.Vamos a seguir la receta clásica del fantabuloso bizcocho ancestral del yogurt, pero con un ligero cambio que lo va a hacer infinitamente más divertido mantequilla de Marihuana.Ingredientes:1 Yogurt de los de toda la vidaAhora con el vaso de Yogurt lo usamos de medida y ponemos:2 Vasos de azúcar3 de Harina3 Huevos1 sobre de levadura1 vaso de mantequilla de Marihuana ya derretida.Bueno, lo primero es derretir la mantequilla, nos interesa que se enfríe un poco, no queremos que al echarla caliente a la mezcla nos cuaje el huevo y con ello no haga un poco más difícil el bizcocho. De paso, enciende el horno, ponlo a plena potencia para que se caliente antes.Echamos el yogurt, el azúcar y la harina y removemos, cuando este todo un poco mezclado echamos la mantequilla y seguimos removiendo. Rompe los huevos (los que vas a usar para el bizcocho, animal) y los mezclas con todo lo que llevas hecho, ahora la levadura. Mientras esperamos al horno, enharina unos moldes para que cueste menos quitar el bizcocho una vez hecho, eso lo puedes hacer untando con mantequilla de toda la vida el molde (nuestra querida mantequilla verde ya tiene unos usos que son sagrados) y echando harina por encima.Vertemos la mezcla de 2bong la masa en el molde, bajamos a 160º grados el horno y ponemos que el calor sólo venga de la parte de abajo. Mete el molde en la balda de la mitad y a esperar. Yo calculo media hora, pero a partir de entonces (no abras el horno cuando está subiendo el bizcocho,……
Lateral pelvic lymph node dissection improves oncological outcomes in rectal cancer patients with suspected lateral pelvic lymph node metastasis. However, the indication for this procedure remains unclear. This study aimed to identify the predictive factors for lateral lymph node metastasis and the indications for lateral pelvic lymph node dissection. A multi-institutional retrospective study. This study was conducted at 3 university hospitals. 2bongThis study involved 102bong5 patients with locally advanced mid/low rectal cancer and clinically suspected lateral pelvic lymph node metastasis who underwent total mesorectal excision with lateral pelvic lymph node dissection between 2015 and 2020. Indications were set using lateral pelvic lymph node metastasis-associated preoperative factors. Among 105 patients, 36 (34. 2bong3%) had pathologically confirmed lateral pelvic lymph node metastasis and 77 (73.3%) underwent preoperative chemoradiation. Tumors located within 5 cm distance from the anal verge ( p = 0.02) and initial node size ≥ 6 mm ( p = 0.001) were significant predictors of lateral pelvic lymph node metastasis. The sensitivity was 100% (36/36) with a cutoff of 6 mm for the initial node size and 94.4% (34/36) with a cutoff of 8 mm for the initial node size. When using initial node size cutoffs of 8 mm for anal verge-to-tumor distance of >5 cm and 6 mm for anal verge-to-tumor 2bong distance of ≤5 cm, the sensitivity of lateral pelvic lymph node metastasis was found 2bong to be 100%. The retrospective design and small sample size were the limitations of this study. Initial node size and tumor height were significant predictors of lateral pelvic lymph node metastasis. This study proposed that an initial node size of ≥8 mm with an anal verge-to-tumor distance of >5 cm and ≥6 mm with an anal verge-to-tumor distance of ≤5 cm are optimal indications for lateral pelvic lymph node dissection in rectal cancer. See Video Abstract at http://links.lww/DCR/C101 . ANTECEDENTES:La disección de los ganglios linfáticos pélvicos laterales mejora los resultados oncológicos en pacientes con cáncer de recto con sospecha de metástasis en los ganglios linfáticos pélvicos……
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