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An Instance of Somatoform Disorder

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Open Journal of Medical Psychology 2013年第1期2卷 21-22页

作者： armando Simon Flying Phoenix Live Oak TX USA

A case study is presented of a prison inmate with Somatoform Disorder, a relatively rare type of mental illness. In this particular case symptomatology revolved around his claim that some of his teeth were rotten, resulting in great pain, in spite of several diagnoses by dentists. When said teeth were extracted, inmate would express satisfaction, whereupon several weeks later the same complaint would resurface and the cycle began anew. Of the various types of mental illnesses listed in the DSM, there are some that are infrequently seen [1,2] One of these is Somatoform Disorder, a category of mental illness for which there is a paucity of research, partly due to diagnostic difficulties and controversies [3,4] and we would like to present a case study of just such an instance.

关键词： Therapy Somatoform Disorder Prison

National trends in resection of the distal pancreas

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World Journal of Gastroenterology 2012年第32期18卷 4342-4349页

作者： armando Rosales-Velderrain Steven P Bowers Ross F Goldberg Tatyan M Clarke Mauricia A Buchanan John A Stauffer Horacio J Asbun Department of General Surgery Mayo Clinic FloridaJacksonvilleFL 32225United States

AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care ***:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal *** of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology *** SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure *** analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative ***:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,***,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the *** was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open *** complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was *** and two year sur

关键词： Laparoscopic distal pancreatectomy Trends Nationwide Inpatient Sample National Surgical Quality Improvement Project Surveillance epidemiology and end results

Idiopathic hypereosinophilic syndrome presenting with severe vasculitis successfully treated with imatinib

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World Journal of Clinical Cases 2016年第10期4卷 328-332页

作者： Paolo Fraticelli Alain Kafyeke Massimo Mattioli Giuseppe Pio Martino Marta Murri armando Gabrielli Clinica Medica Department of Internal MedicineUniversità Politecnica delle Marche

Idiopathic hypereosinophilic syndrome(HES) is a rare disorder characterized by peripheral eosinophilia exceeding 1500/mm3, a chronic course, absence of secondary causes, and signs and symptoms of eosinophil-mediated tissue injury. One of the best-characterized forms of HES is the one associated with FIP1L1-PDGFRA gene rearrangement, which was recently demonstrated as responsive to treatment with the small molecule kinase inhibitor drug, imatinib mesylate. Here, we describe the case of a 51-year-old male, whose symptoms satisfied the clinical criteria for HES with cutaneous and cardiac involvement and who also presented with vasculitic brain lesions and retroperitoneal bleeding. Molecular testing, including fluorescence in situ hybridization, of bone marrow and peripheral blood showed no evidence of PDGFR rearrangements. The patient was initially treated with high-dose steroid therapy and then with hydroxyurea, but proved unresponsive to both. Upon subsequent initiation of imatinib mesilate, the patient showed a dramatic improvement in eosinophil count and progressed rapidly through clinical recovery. Long-term follow-up confirmed the efficacy of treatment with low-dose imatinib and with no need of supplemental steroid treatment, notwithstanding the absence of PDGFR rearrangement.

关键词： Idiopathic hypereosinophilic syndrome Eosinophilia Cerebral vasculitis PDGFR molecular rearrangement Imatinib mesilate

Evaluation of anterior and posterior surfaces of the cornea using a dual Scheimpflug analyzer in keratoconus patients implanted with intrastromal corneal ring segments

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International Journal of Ophthalmology(English edition) 2016年第9期9卷 1283-1288页

作者： Leonardo Torquetti Carlos Arce Jesus Merayo-Lloves Guilherme Ferrara Paulo Ferrara Breenno Signorelli armando Signorelli Center for Excellence in Ophthalmology Para de Minas 35660-051 Brazil Arce Clinic Campinas 13106-028 Brazil Fernandez-Vega Eye Institute Oviedo 33012 Spain paulo Ferrara Eye Clinic Belo Horizonte 30110-921 Brazil Campineiro Microsurgery Eye Center Campinas 13013-161Brazil

AIM：To evaluate corneal parameters measured with a dual Scheimpflug analyzer in keratoconus patients implanted with intrastromal corneal ring segments（ICRS）.METHODS：Fifty eyes of 40 keratoconus patients had Ferrara ICRS implantation from November 2010 to *** visual acuity（UCVA）,best corrected visual acuity（BCVA）,refraction,keratometry,asphericity,elevation,pachymetry,root mean square（RMS）,spherical aberration and coma were *** patients were evaluated using a dual Scheimpflug ***：The mean follow-up time after the procedure was *** mean UCVA improved from0.82 to 0.31（P〈0.001）;the mean BCVA improved from0.42 to 0.05（P〈0.0001）,the mean spherical refraction changed from-3.06 ±3.80 D to-0.80 ±2.5 D（P〈0.0001）and the mean refraction astigmatism reduced from-4.51 ±2.08 D to-2.26±1.18 D（P〈0.0001）.The changes from preoperative to postoperative,in parameters of the anterior and posterior surface of the cornea,were statistically significant except the elevation posterior at the apex of the cornea and posterior ***：The implantation of Ferrara ICRS induces changes in both anterior and posterior surfaces of the cornea.

关键词： keratoconus intrastromal comeal ringsegments dual Scheimpflug

Genetic variation in foundation species governs the dynamics of trophic interactions

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Current Zoology 2018年第1期64卷 13-22页

作者： Leticia VALENCIA-CUEVAS Patricia MUSSALI-GALANTE Zenon CANO-SANTANA Juli PUJADE-VILLAR armando EQUIHUA-MARTINEZ Efrain TOVAR-SANCHEZ Laboratorio de Marcadores Moleculares Centro de Investigacion en Biodiversidad y Conservacion Universidad Autonoma del Estado de Morelos Av. Universidad 1001 Col. Chamilpa Cuernavaca Morelos CP 62209 Mexico Laboratorio de Investigaciones Ambientales Centro de Investigacion en Biotecnologia Universidad Autonoma del Estado de Morelos Av. Universidad 1001 Col. Chamilpa Cuernavaca Morelos CP 62209 Moxico Departamento de Ecologia y Recursos Naturales Facultad de Ciencias Universidad Nacional Autonoma de Mexico Delegacion Coyoacan DF 04510 Mexico Departamento de Biologia Animal Universitat de Barcelona Facultat de Biologla Av. Diagonal 645 Barcelona 08028 Espana Instituto de Fitosanidad Colegio de Postgraduados Montecillo Texcoco 56230 Estado de Mexico

Various studies have demonstrated that the foundation species genetic diversity can have direct effects that extend beyond the individual or population level, affecting the dependent communities. Additionally, these effects may be indirectly extended to higher trophic levels throughout the entire community. Quercus castanea is an oak species with characteristics of foundation species beyond pre- senting a wide geographical distribution and being a dominant element of Mexican temperate forests. In this study, we analyzed the influence of population （He） and individual （HL） genetic diversity of Q. castanea on its canopy endophagous insect community and associated parasitoids. Specifically, we studied the composition, richness （S） and density of leaf-mining moths （Lepidoptera： Tischeridae, Citheraniidae）, gall-forming wasps （Hymenoptera： Cynipidae）, and canopy parasitoids of Q. castanea. We sampled 120 trees belonging to six populations （20/site） through the previously recognized gradi- ent of genetic diversity. In total, 22 endophagous insect species belonging to three orders （Hymenoptera, Lepidoptera, and Diptera） and 20 parasitoid species belonging to 13 families were identified. In general, we observed that the individual genetic diversity of the host plant （HL） has a significant positive effect on the S and density of the canopy endophagous insect communities. In contrast, He has a significant negative effect on the S of endophagous insects. Additionally, indirect effects of HL were observed, affecting the S and density of parasitoid insects. Our results suggest that genetic variation in foundation species can be one of the most important factors governing the dynamics of tritrophic interactions that involve oaks, herbivores, and parasitoids.

关键词： community structure introgressive hybridization red oaks tritrophic interactions.

Utilization of online systems to promote youth participation in research:A methodological study

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World Journal of Methodology 2023年第4期13卷 210-222页

作者： Marie Salem Lance Pollack Alex zepeda Kathleen P Tebb Institute for Health Policy Studies University of California San FranciscoSan FranciscoCA 94158United States Division of Prevention Science University of California San FranciscoSan FranciscoCA 94105United States Research Los Angeles Trust for Children's HealthLos AngelesCA 90017United States Department of Pediatrics University of California San FranciscoSan FranciscoCA 94143United States

BACKGROUND Online surveys can align with youth’s increased use of the internet and can be a mechanism for expanding youth participation in *** is particularly important during the coronavirus disease 2019(COVID-19)pandemic,when inperson interactions are ***,the advantages and drawbacks of online systems used for research need to be carefully considered before utilizing such *** To describe and discuss the strengths and limitations of an online system developed to recruit adolescent girls for a sexual health research study and conduct a three-month follow up *** This methodology paper examines the use of an online system to recruit and follow participants three months after their medical visit to evaluate a mobile sexual and reproductive health application,Health-E You/Salud iTuTM,for adolescent girls attending school-based health centers(SBHCs)across the United *** staff gave adolescent girls a web link to an online eligibility and consent *** were then asked to complete two online surveys(baseline and 3-month follow-up).Surveys,reminders,and incentives to complete them were distributed through short message service(SMS)text *** completing each survey,participants were also sent an email with a link to an electronic gift card as a thank-you for their *** to implementing this system were discussed with clinicians and staff at each participating *** This online recruitment and retention system enabled participant recruitment at 26 different SBHCs in seven states across the United *** September 2021 and June 2022,415 adolescent girls were screened using the Qualtrics online survey platform,and 182 were eligible to *** those eligible,78.0%(n=142)completed the baseline *** were racially,geographically,and linguistically *** of the participants(89.4%)were non-White,and 40.8%spoke Spanish.A total of 62.0%(n=88)completed

关键词： Online recruitment Adolescents Sexual and reproductive health Mobile data Methodology paper Data security

Small intestinal bacterial overgrowth in inactive Crohn's disease:Influence of thiopurine and biological treatment

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World Journal of Gastroenterology 2014年第38期20卷 13999-14003页

作者： Cristina Sánchez-Montes Vicente Ortiz Guillermo bastida Ester Rodríguez María Yago Belén Beltrán Mariam Aguas Marisa Iborra Vicente Garrigues Julio Ponce Pilar Nos Gastroenterology Unit Hospital Universitari i Politécnic La Fe

AIM: To investigate the influence of thiopurines and biological drugs on the presence of small intestinal bacterial overgrowth (SIBO) in patients with inactive Crohn’s disease (CD).

关键词： Crohn’ s disease Bacterial overgrowth Thiopurines Biologics Inflammatory bowel disease

A Study in the Variation of G

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Journal of High Energy Physics, Gravitation and Cosmology 2022年第3期8卷 558-578页

作者： armando Vega-Colon Jeffery A. Secrest Department of Physics and Astronomy Armstrong Campus Georgia Southern University Savannah USA

There are indications that the Newtonian gravitational constant may not be a constant but may vary with respect to some other physical parameter. Various possible characterizations of Newton’s gravitational parameter as a function of the cosmic scale parameter are proposed and studied within the framework of classical Newtonian cosmology. A number of toy cosmologies with varying Newtonian gravitational parameters are developed and analyzed. The numerical solutions to the temporal evolution of the universe from the Friedmann equation are examined and discussed as well as kinematic observables. Finally, other avenues of research are addressed.

关键词： Newton’s Gravitation Constant Cosmology Fundamental Constants

Dynamics Analysis of Surface Temperature and Vegetation Index in Settlement Area around the Lokon Volcano, Tomohon, North Sulawesi

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Journal of Geoscience and Environment Protection 2021年第10期9卷 118-129页

作者： Djeli Alvi Tulandi armando Ariakta Aloanis Department of Physics Universitas Negeri Manado Tondano Indonesia

Mount Lokon is an active mountain near residential areas such as cities Tomohon, Tondano, and Manado. Along with the increasing population and population development around Mount Lokon, vegetation is decreasing due to converting land from grassland to land use for human activities. Using Landsat 8 OLI/TIRS images, this study was conducted to analyze the surface temperature and vegetation index dynamics around Mount Lokon, including the residential areas. Found that an increase in mean temperature occurred, and the peak increased dramatically in 2018 with temperatures > 26˚C. This result, of course, correlates with the decreasing vegetation area. However, the decline occurred in 2020 due to decreased human activities and land clearing for new settlements caused by activity restrictions which were the effects of the COVID-19 pandemic. Reforestation efforts must be made to increase the vegetation around Mount Lokon, including residential areas. The average surface temperature can be controlled, and living creatures can be given comfort to living things around them even after the pandemic and human activities return to normal.

关键词： Remote Sensing Technology Land Surface Temperature NDVI Dynamics