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Mindfulness training in medical education as a means to improve resilience,empathy,and mental health in the medical profession

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World Journal of Psychiatry 2024年第4期14卷 489-493页

作者： Edison Iglesias de oliveira Vidal Luiz Fernando Alvarenga Ribeiro Marco antonio de Carvalho-Filho Fernanda Bono Fukushima Internal Medicine department Botucatu Medical SchoolSao Paulo State University(UNESP)Botucatu 18618-687SPBrazil Wenckebach Institute for Education and Training LEARN-Lifelong LearningEducation and Assessment Research NetworkUniversity Medical Center GroningenGroningen 9713AVGroningenNetherlands Assertiva Mindfulness Botucatu 18603-970SPBrazil Surgical Specialties and Anesthesiology department Botucatu Medical SchoolSão Paulo State University(UNESP)Botucatu 18618-687SPBrazil

The high rates of depression,burnout,and increased risk of suicide among medical students,residents,and physicians in comparison with other careers signal a mental health crisis within our *** contend that this crisis coupled with the inadequate acquisition of interpersonal skills during medical education results from the interaction between a challenging environment and the mental capital of ***,we posit that mindfulness-based practices are instrumental for the development of major components of mental capital,such as resilience,flexibility of mind,and learning skills,while also serving as a pathway to enhance empathy,compassion,self-awareness,conflict resolution,and relational ***,the evidence base supporting the effectiveness of mindfulness-based interventions has been increasing over the years,and a growing number of medical schools have already integrated mindfulness into their *** we acknowledge that mindfulness is not a panacea for all educational and mental health problems in this field,we argue that there is currently an unprecedented opportunity to gather momentum,spread and study mindfulness-based programs in medical schools around the world as a way to address some longstanding shortcomings of the medical profession and the health and educational systems upon which it is rooted.

关键词： Mindfulness Medical education Mental capital Mental health Medical students Resilience

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Management Crop Production System: using Precision Farming concept for a decision making

Management Crop Production System: using Precision Farming c...

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国际农业工程大会

作者： Evandro Chartuni Mantovani Marcos Joaquim Matoso antonio carlos de oliveira Gisela de Avellar IrenilzadeAlencarNs Senior Researcher Embrapa Corn and Sorghum Sete Lagoas-MGBrazil Embrapa Corn and Sorghum Sete Lagoas-MG Brazil Embrapa Corn and Sorghum Sete Lagoas-MG Brazil Embrapa Corn and Sorghum Sete Lagoas-MG Brazil College of Agric. Eng. - UNICAMP Campinas-SP Brazil.

＜正＞ The change of data into information is the most important aspects when using precision agriculture concept, in order to understand crop yield differences in the same area of production. The objectives of this paper is to present a Management Crop Production System Methodology to help farmers make decisions of a specific intervention on the low production and unprofitable areas. This work was developed in Sete Lagoas, state of Minas

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development of a Ready-to-Use PSMA-11 Kit Formulation and Biological Evaluation of Binding Affinity

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Advances in Molecular Imaging 2024年第2期13卷 7-22页

作者： Maria Renata Valente Brandão Freire Natália Marchesan Bexiga Marco antonio Stephano João Ezequiel oliveira carlos Roberto Jorge Soares Ana Cláudia Camargo Miranda Anna Carolina de Alcântara Barbosa Marycel Figols de Barboza Laura Fernanda Garcia Luiz Felipe S. Teixeira Maria Helena Marumo Bellini Natanael Gomes da Silva Luiza Mascarenhas Balieiro Joel Mendes Elaine Bortoleti de Araújo Centro de Radiofarmcia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil departamento de Tecnologia Farmacutica Faculdade de Cincias Farmacuticas (USP) Cidade Universitria So Paulo Brasil Centro de Biotecnologia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil departamento de Medicina Nuclear do Hospital Israelita Albert Einstein So Paulo/SP Brasil

Introduction: 68Ga-PSMA-11 is considered the gold standard in detection of micro and oligometastases in advanced prostate cancer, being used for therapeutic planning, as well as, potentially, for evaluating response to treatment. The development of ready-to-use lyophilized kit of PSMA-11 adds quality and safety to the routine use of this radiopharmaceutical and represents a pharmacotechnical challenge as it must preserve the integrity and specificity of the ligand. Methods: PSMA-11 kit formulation was proposed, considering radiolabeling parameters and the preservation of the peptide during the lyophilization process, using mannitol as an excipient. Critical temperature characterization studies were carried out using DSC equipment and the freeze-drying process was developed. The direct radiolabeling conditions were evaluated and standardized using 68Ge/68Ga generator eluate from two different manufacturers (ITG and Eckert & Ziegler). The radiochemical purity was evaluated by TLC and HPLC. Biological evaluation was carried out with lyophilized PSMA-11 to demonstrate the integrity of the peptide and preservation of biological activity after the lyophilization process. Results: Based on critical temperature characterization studies, the freeze-drying cycle was designed to reach a freezing temperature of around −40˚C and primary drying at 2˚C. Using 20 mg of mannitol, an intact and elegant lyophilized cake was obtained. PSMA-11 lyophilized kit was directly labeled with 68Ga eluate from 68Ge/68Ga GMP generators (ITG and Eckert & Ziegler) resulting in % RP > 95% at pH 4.0 to 4.5. The results obtained from in vitro and in vivo biological competition studies confirmed the preservation of PSMA-11 affinity for the receptor after lyophilization. Conclusion: A lyophilized formulation (Kit) of PSMA-11 was successfully obtained, which preserved the integrity and biological activity of the peptide and guaranteed radiolabeling efficiency.

关键词： 68Ga-PSMA-11 Prostate-Specific Membrane Antigen (PSMA) Ready-to-Use Kit GMP-Grade Generators Metastatic Prostate Cancer PET Imaging

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The assessment of climatic, environmental, and socioeconomic aspects of the Brazilian Cerrado

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Ecological Processes 2023年第2期12卷 59-70页

作者： Washington Luiz Félix Correia Filho José Francisco de oliveira-Júnior Dimas de Barros Santiago Hazem Ghassan Abdo Hussein Almohamad Ahmed Abdullah Al Dughairi carlos antonio da Silva Junior Postgraduate Program in Environmentrics(PPGAmb) Institute of Mathematics Statistics and Physics(IMEF) Federal University of Rio Grande(FURG) Institute of Atmospheric Sciences(ICAT) Federal University of Alagoas(UFAL) Postgraduate Program in Biosystems Engineering(PGEB) Federal Fluminense University(UFF) Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas(UACA) Federal University of Campina Grande(UFCG) Geography department Faculty of Arts and Humanities Tartous University Geography department Faculty of Arts and Humanities Damascus University Geography department Faculty of Arts and Humanities Tishreen University department of Geography College of Arabic Language and Social Studies Qassim University departamento de Geografia State University of Mato Grosso(UNEMAT)

Background The Cerrado is the most biodiverse savanna and maintains other biomes. Aware of its significance, this paper evaluated the Brazilian Cerrado's climatic, environmental, and socioeconomic aspects using remote sensing data and spatial statistics(correlation analysis and principal components analysis—PCA). Following the measures of sample adequacy(MSA) and Kaiser–Meyer–Olkin(KMO) tests, seventeen variables were *** The MSA revealed that the dataset had a good quality(0.76), and nine variables were selected: elevation, evapotranspiration, active fires, Human development Index(HDI), land use and land cover(LULC; shrubland and cropland/rainfed), rainfall(spring and autumn), and livestock. The correlation matrix indicated a positive(negative) association between HDI and autumn rainfall(HDI and active fires) with a value of 0.77(-0.55). The PCA results determined which three principal components(PC) were adequate for extracting spatial patterns, accounting for 68.02% of the total variance with respective values of 38.59%, 16.89%, and 12.5%. Due to economic development and agribusiness, Cerrado's northern(central, western, and southern) areas had negative(positive) score HDI values, as shown in PC1. Climatic(rainfall—spring and fall) and environmental(cropland/rainfed and shrubland) aspects dominated the PC2, with negative scores in northern and western portions due to the transition zone between Amazon and Cerrado biomes caused by rainfall variability. On the other hand, environmental aspects(LULC-shrubland and elevation) influenced the PC3; areas with high altitudes(> 500 m) received a higher *** Agricultural expansion substantially affected LULC, leading to deforestation-caused suppression of native vegetation.

关键词： Environment Agribusiness Active fire Human development Index Land use and land cover

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Robotic4all project:Results of a hands-on robotic surgery training program

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Laparoscopic, Endoscopic and Robotic Surgery 2023年第1期6卷 1-8页

作者： Mario Rui Gonçalves Jose Novo de Matos antonio oliveira Ricardo Marinho Irene Cadime Palmira carlos Alves Salvador Morales-Conde Miguel Castelo-Branco Faculty of Health Sciences University of Beira InteriorCovilha 6200-506Portugal Centro Hospitalar Universitario Lisboa Central Hospital de Sao JoseLisboa 1150-199Portugal Centro Hospitalar de Tras-os-Montes e Alto Douro Vila Real 5000-508Portugal Centro Hospitalar de Leiria Hospital de Santo AndreLeiria 2410-197Portugal Centro de Investigaçao em Psicologia Escola de Psicologia-Universidade do MinhoBraga 4710-057Portugal departamento de Estudos Curriculares e Tecnologia Educativa Instituto de Educaçao-Universidade do MinhoCampus de GualtarBraga 4710-093Portugal Unit of Innovation in Minimally Invasive Surgery University Hospital Virgen del RocioUniversity of SevillaSeville 41013Spain

Objective Although robotic surgery adoption and its indications are growing worldwide,for multiple factors,including costs,there is a lack of training and *** aim was to study the impact of a robotic introduction training program on gesture performance,such as suturing,in robot-naive *** Using the DaVinci robot,a 2-hour program was based on virtual reality and anatomical model *** participants performed 3 repetitions of virtual reality exercises on the virtual simulator,and then performed and were assessed on 2 tests,ie robot and laparoscopic training *** the course,the participants were surveyed for this training *** Twenty-seven residents and surgeons were enrolled in the training *** only 2 hours of training,all of the participants were able to complete the training program,thus learning generic and specific skills in robotic *** virtual reality exercise,the scores of the 3 exercises increased significantly with every repetition(pdered robotic performance independent of laparoscopic *** Surgeons are interested and seek training in robotic *** implemented the first hands-on robotic surgery training program in Portugal and participants considered it was important and adequate for its *** participants,even without robotic experience,lear

关键词： Simulation Education Laparoscopic suture Laparoscopy Robotic surgery

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Friction ridge analysis in disaster victim identification(DVI):Brazilian case studies

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Forensic Sciences Research 2022年第2期7卷 323-329页

作者： Marco antonio de Souza Gabriel de oliveira Urtiaga Renata Cristina Grangeiro Ferreira Luciene Marques da Silva Jade Kende Gonçalves Umbelino Flávio Roberto de Melo Simone de Jesus Instituto Nacional de Identificação Polícia FederalBrasíliaBrazil Grupo de Identificação Superintendência Regional da Polícia FederalPorto AlegreBrazil departamento de Polícia Técnica Polícia Civil do Distrito FederalBrasíliaBrazil Núcleo de Identificação Superintendência Regional de Polícia FederalBelo HorizonteBrazil Instituto de Identificação Polícia CivilGoiâniaBrazil

depending on the magnitude and nature of a disaster,identifying the victims can be a complex task that requires coordinated work by disaster victim identification(DVI)teams based on pre-established ***,the analysis of fingerprints has been presented as a method to establish,when possible,the identity of the victims during the DVI *** study discusses the importance of this primary method of identification and the results obtained in four different disasters in which Brazilian DVI teams were involved:the Air France Flight AF447 plane crash in the Atlantic Ocean,floods and mudslides in the State of Rio de Janeiro,Brazil,the LaMia Flight 2933 plane crash in Colombia,and the tailings dam collapse in Brumadinho,***,we also report the use of the automatic fingerprint capture and identification system,called Alethia,developed by the Federal Police of Brazil and used in the victim identification process in the two latter events mentioned above.

关键词： Forensic sciences disaster victim identification DVI fingerprint ridgeology Alethia System

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Nanostructural Evolution of Sugarcane Rind and Pith Submitted to Hydrothermal Pretreatments

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Journal of Renewable Materials 2018年第2期6卷 152-159页

作者： Marcelo M.oliveira antonio A.S.Curvelo carlos Driemeier Brazilian Bioethanol Science and Technology Laboratory(CTBE) Brazilian Center for Research in Energy and Materials(CNPEM)Caixa Postal 619213083-970CampinasSão PauloBrasil São carlos School of Engineering(EESC) University of São Paulo(USP)Caixa Postal 78013560-970São CarlosSão PauloBrasil São carlos Institute of Chemistry(IQSC) University of São Paulo(USP)Caixa Postal 78013560-970São CarlosSão PauloBrasil

Lignocellulose conversion into cellulosic ethanol and coproducts starts with a pretreatment *** current industrial plants of cellulosic ethanol use thermochemical pretreatments under hydrothermal conditions,with or without addition of acid *** pretreatments modify biomass chemistry and morphology,particularly at the *** this work,we use X-ray diffraction,dynamic vapor sorption and calorimetric thermoporometry to investigate the biomass nanostructural changes promoted by hydrothermal *** compare and differentiate the rind and pith fractions of sugarcane stalks in order to contribute to the understanding of rind-pith contrasting ***,for both cane fractions our results point consistently to cellulose co-crystallization,lignin aggregation,and opening of nanoscale pores as the main nanostructural phenomena occurring during hydrothermal treatments.

关键词： Cellulose bagasse sugarcane cellulosic ethanol pretreatment

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The assessment of climatic, environmental,and socioeconomic aspects of the Brazilian Cerrado

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Ecological Processes 2023年 274-285页

作者： Washington Luiz Félix Correia Filho José Francisco de oliveira-Júnior Dimas de Barros Santiago Hazem Ghassan Abdo Hussein Almohamad Ahmed Abdullah Al Dughairi carlos antonio da Silva Junior Postgraduate Program in Environmentrics (PPGAmb) Institute of Mathematics Statistics and Physics (IMEF) Federal University of Rio Grande (FURG) Institute of Atmospheric Sciences (ICAT ) Federal University of Alagoas (UFAL) Postgraduate Program in Biosystems Engineering (PGEB) Federal Fluminense University (UFF) Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas (UACA) Federal University of Campina Grande (UFCG) Geography department Faculty of Arts and Humanities Tartous University Geography department Faculty of Arts and Humanities Damascus University Geography department Faculty of Arts and Humanities Tishreen University department of Geography College of Arabic Language and Social Studies Qassim University departamento de Geografia State University of Mato Grosso (UNEMAT)

Background The Cerrado is the most biodiverse savanna and maintains other biomes. Aware of its significance, this paper evaluated the Brazilian Cerrado's climatic, environmental, and socioeconomic aspects using remote sensing data and spatial statistics(correlation analysis and principal components analysis—PCA). Following the measures of sample adequacy(MSA) and Kaiser–Meyer–Olkin(KMO) tests, seventeen variables were *** The MSA revealed that the dataset had a good quality(0.76), and nine variables were selected: elevation,evapotranspiration, active fires, Human development Index(HDI), land use and land cover(LULC; shrubland and cropland/rainfed), rainfall(spring and autumn), and livestock. The correlation matrix indicated a positive(negative)association between HDI and autumn rainfall(HDI and active fires) with a value of 0.77(-0.55). The PCA results determined which three principal components(PC) were adequate for extracting spatial patterns, accounting for 68.02% of the total variance with respective values of 38.59%, 16.89%, and 12.5%. Due to economic development and agribusiness, Cerrado's northern(central, western, and southern) areas had negative(positive) score HDI values, as shown in PC1. Climatic(rainfall—spring and fall) and environmental(cropland/rainfed and shrubland) aspects dominated the PC2, with negative scores in northern and western portions due to the transition zone between Amazon and Cerrado biomes caused by rainfall variability. On the other hand, environmental aspects(LULC-shrubland and elevation)influenced the PC3; areas with high altitudes(> 500 m) received a higher *** Agricultural expansion substantially affected LULC, leading to deforestation-caused suppression of native vegetation.

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Artificial equilibrium points and bi-impulsive maneuvers to observe 243 Ida

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Chinese Journal of Aeronautics 2021年第1期34卷 410-423页

作者： Allan Kardec de ALMEIDA Jr Geraldo Magela Couto oliveira antonio Fernando Bertachini de Almeida PRADO National Institute for Space Research(INPE) Sao Jose dos Campos 12227-010Brazil Federal Center for Technological Education of Minas Gerais(CEFET-MG) Belo Horizonte 30421-169Brazil

In the restricted three-body problem,the traditional Lagrange points L1 and L2 are the only equilibrium points near the asteroid 243 *** thrust generated by a solar sail over a spacecraft enables the existence of new artificial equilibrium points,which depend on the position of the spacecraft with respect to the asteroid and the attitude of the solar *** equilibrium points generate new spots to observe the body from above or below the plane of *** points are very good observational locations due to their stationary *** work provides a preliminary analysis to observe Ida through the use of artificial equilibrium points as spots combined with transfer maneuvers between *** combination can be used to observe the asteroid from more different points of view in comparison to fixed *** analyses are made for a spacecraft equipped with a solar sail and capable of performing bi-impulsive *** solar radiation pressure is used both to maintain the equilibrium condition and to reduce the costs of the transfers and/or to create transfers with longer *** is a new aspect of the present research,because it combines the continuous thrust with initial and final small impulses,which are feasible for most of the spacecraft,because the magnitudes of the impulses are very *** combined maneuvers may reduce the transfer times of the maneuvers in most of the cases,compared with the maneuvers based only on continuous *** options involved in these transfers are shown,like to minimize the fuel spent(Dv)as a function of the transfer time or to extend the duration of the travel between the *** transfer times can be useful when observations are required during the transfers.

关键词： Artificial equilibrium points Astrodynamics Orbital transfers Solar radiation pressure Solar sail

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Evaluation of the regional distribution of the pediatric surgery workforce and surgical load in Brazil

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World Journal of Pediatric Surgery 2023年第2期6卷 85-91页

作者： Joaquim Bustorff-Silva Marcio Lopes Miranda Amanda Rosendo Ayla Gerk antonio Goncalves oliveira-filho Pediatric Surgery State University of Campinas Medical SchoolCampinasBrazilPediatric SurgeryState University of Campinas Medical SchoolCampinasBrazil Medicine Pontificia Universidad Católica ArgentinaBuenos AiresArgentina

Objective The purpose of this study is to examine the regional distribution of the pediatric surgery workforce and the expected local demand for pediatric surgical procedures in *** We collected data on the pediatric surgical workforce,surgical volume,Gross Domestic Product per capita,and mortality for gastrointestinal tract malformations(MGITM)across the different regions of Brazil for *** Data from the Federal Medical Council reported 1515 pediatric surgery registries in Brazil,corresponding to 1414 pediatric surgeons(some pediatric surgeons are registered in more than one state),or 2.4 pediatric surgeons per 100000 children 14 years of age and *** were 828 men and 586 *** mean age was 51.5±12.8 years,and the mean time from graduation was 3.4±5.7 *** is a higher concentration of pediatric surgeons in the wealthier Central-West,South,and Southeast *** surgical volume ranged from 88 to 245 operations/year(average 146 operations/year)depending on the *** these,only nine(6.1%)were high-complexity(including neonatal)*** tended to be higher in the poorer North and Northeast regions than in other regions of *** Our findings suggest significant disparities in the surgical workforce and workload across Brazil related to socioeconomic *** with an increased surgical workforce were associated with lower *** average number of complex operations performed annually by each pediatric surgeon was considerably *** investment and well-defined health policies are imperative to enhance the quality of surgical care in the different regions of Brazil.

关键词： pediatric operations distribution

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