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Prognostic Factors, Incidence and Management for Acute Variceal Bleeding in the Liver Transplantation Era

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Surgical Science 2011年第4期2卷 198-203页

作者： élio Rodrigues da silva Ilka de Fátima Santana Ferreira Boin Eurípedes Soares Filho Patrícia Alexsandra Nunes Barros Rodrgiues benedito borges da silva 不详

Background: Gastroesophageal varices are the most common and clinically important part of the portosys-temic collaterals due to their tendency to rupture and cause massive gastrointestinal bleeding. Objective The aim of this work was to evaluate retrospectively the incidence and the factors of prediction for the treatment of bleeding by gastroesophageal varices in the patients attended in the Emergency Room of the Hospital State University of Campinas (Brazil) from the last ten years. Methods: The method used here consisted of a descriptive and retrospective study carried out from the analyses of the medical records of 769 patients with upper gastrointestinal bleeding of which 220 were admitted because of upper gastrointestinal bleeding caused by gastroesophageal varices during this same period. Results: The results showed that the gastroe-sophageal varices appeared in 28.6% of the patients and they were the second most common cause of upper gastrointestinal bleeding. While evaluating factors such as age, sex and the common individual records, it was proved that this disease occurs mainly among people between the third and the fifth decade of life, with the great majority of cases occurring in the fourth decade (29.2%), of which 76.8% were male. There was an association of hematemesis and melena in the admission of 57.7% of the patients and even ascites was a common diagnosis in 48.2% of them. Most of these patients (40%) were classified as Child class B at admis-sion. The early endoscopic exam was used for 96.8% of them and showed the presence of F3 varices in 38.5%, CB varices in 25.1% and RCS varices in 12.6%. Most of these varices (41.5%) were situated in the distal third of the esophagus. The most used pharmacological treatment was based on octreotide in 45.9% of the patients. They received 0.05 mg of intravenous octreotide and a maintenance dose of 1 mg per day in 98.6% of the cases, with efficacy in 74.2% of the patients. The tamponade with Sengstaken-Blakemo

关键词： Liver Transplantation Portal Vein Thrombosis Surgical Technique

Determinant variables on the isotopic values of particulate organic matter in a neotropical floodplain

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Journal of Oceanology and Limnology 2024年第4期42卷 1173-1185页

作者： Vinícius de ANDRADE URBANO Matheus MAXIMILIAN RATZ SCOARIZE Gustavo HENRIQUE ZAIA ALVES Driele DELANIRA-SANTOS Marcela da silva CAETANO Evanilde benedito Departamento de Biologia(DBI) Laboratório de Ecologia EnergéticaUniversidade Estadual de Maringá(UEM)Maringá87020-900Brasil Programa de Pós-graduação em Ecologia de Ambientes Aquáticos Continentais(PEA) Universidade Estadual de Maringá(UEM)Maringá87020-900Brasil Departamento de Biologia Geral Universidade Estadual de Ponta Grossa(UEPG)Campus UvaranasPonta Grossa 84030-900Brasil Australian Rivers Institute(ARI) Griffith UniversityNathan QLD 4111Australia

Particulate organic matter(POM)is an important energy source for aquatic consumers,understanding its origin and composition is essential for understanding the energetic dynamics of aquatic *** aim of this study was to analyze the relationship between POM and phytoplankton(isotopic values and chlorophyll concentration)and abiotic variables during dry and rainy *** was conducted in rivers and lagoons in the floodplain of the Upper Paraná*** found a greater difference in ^(δ13)C values of POM between sampling points than between seasons,indicating that the composition of regional sources influences the composition of POM more than dry and rainy *** addition,the concentration of chlorophyll during the dry season was positively correlated with ^(δ13)C values during that rainy ***,we found a relationship between factors limiting the growth of phytoplankton and ^(δ13)C values of POM,such as phosphate ions,indicating that variables that regulate phytoplankton growth tend to influence the composition of POM in river ***,maintaining the variables that regulate the phytoplankton community is of fundamental importance for the composition of POM,an important energy source in aquatic environments.

关键词： freshwater wetland stable isotopes food web subtropical environment

Verification and Validation of High-Resolution Inviscid and Viscous Conical Nozzle Flows

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Communications on Applied Mathematics and Computation 2024年第1期6卷 533-549页

作者： Luciano K.Araki Rafael B.de R.borges Nicholas Dicati P.da silva Chi-Wang Shu Department of Mechanical Engineering Federal University of ParanáCuritiba81531-980ParanáBrazil Mathematics and Statistics Institute Rio de Janeiro State UniversityRio de Janeiro20550-900Rio de JaneiroBrazil Department of Mechanical Engineering State University of MaringáMaringá87020-900ParanáBrazil Division of Applied Mathematics Brown UniversityProvidenceRI02912USA

Capturing elaborated flow structures and phenomena is required for well-solved numerical *** finite difference methods allow simple discretization of mesh and model ***,they need simpler meshes,e.g.,*** inverse Lax-Wendroff(ILW)procedure can handle complex geometries for rectangular ***-resolution and high-order methods can capture elaborated flow structures and *** also have strong mathematical and physical backgrounds,such as positivity-preserving,jump conditions,and wave propagation *** perceive an effort toward direct numerical simulation,for instance,regarding weighted essentially non-oscillatory(WENO)***,we propose to solve a challenging engineering application without turbulence *** aim to verify and validate recent high-resolution and high-order *** check the solver accuracy,we solved vortex and Couette ***,we solved inviscid and viscous nozzle flows for a conical *** employed the finite difference method,positivity-preserving Lax-Friedrichs splitting,high-resolution viscous terms discretization,fifth-order multi-resolution WENO,ILW,and third-order strong stability preserving *** showed the solver is high-order and captured elaborated flow structures and *** can see oblique shocks in both nozzle *** the viscous flow,we also captured a free-shock separation,recirculation,entrainment region,Mach disk,and the diamond-shaped pattern of nozzle flows.

关键词： High-resolution Compressible Navier-Stokes Free-shock separation Nozzle flow

Five Year Follow up after Surgical Treatment of Type 2 Diabetes with Laparoscopic Sleeve Gastrectomy Associated with a Duodenal Ileal Interposition

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Surgical Science 2024年第6期15卷 396-408页

作者： Augusto Cláudio de Almeida Tinoco Matheus Paula da silva Netto Henrique benedito Aureo Ludovico DePaula Luciana Janene El-Kadre Department of Digestive Surgery Hospital So Jos do Ava Itaperuna Brazil Department of Metabolic and Obesity Surgery Hospital So Jos do Ava Itaperuna Brazil

Introduction: Type 2 diabetes mellitus (T2D) is a chronic disease, primarily caused by a combination of defective insulin secretion and the inability of insulin-sensitive tissues to respond to insulin. Laparoscopic sleeve gastrectomy associated with duodenal ileal interposition (SGDII) has been shown to be a feasible treatment option for patients with T2D, as it provides improvement and control of glycemia, dyslipidemia and arterial hypertension. The aim of this study was to evaluate the mid and long-term results of SGDII for the treatment of diabetic patients, considering diabetic remission, weight loss and postoperative complications. Materials and Methods: Retrospective study with 96 patients with T2D submitted to SGDII, between 2010 and 2016. The glycated hemoglobin (HbA1c) value Results: Sixty-one patients (62.8%) were male, and 36 patients (37.2%) were female. The average age was 50.9 years. Median BMI was 33.43 kg/m2. The incidence of major postoperative complications in the first 30 days was 2.1%, with no mortality. Dyslipidemia control was sustained, after five years, in 62% of the patients. The five years follow-up demonstrated that 80% of patients had T2D remission at one year, 74.5% at three years and 61.8% at five years. Univariate analysis demonstrated that preoperative values of HbA1c and BMI, preoperative use of insulin, gender, and 30-day complication were not predictors of remission at all study intervals. The average duration of the disease was nine years and the mean glycated hemoglobin before surgery was 8.95%. Conclusion: SGDII resulted in good glycemic control at 5-years follow-up and represents a valid alternative for the treatment of T2D.

关键词： Diabetes Surgery Metabolic Syndrome Dyslipidemia Ileal Interposition Metabolic Surgery Bariatric Surgery Obesity

Prognostic Factors, Incidence and Management for Acute Variceal Bleeding in the Liver Transplantation Era

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Evaluation of physicochemical properties as supporting information on quality control of raw materials and veterinary pharmaceutical formulations

Surgical Science（外科学） 2011年第4期

作者： élio Rodrigues da silva Ilka de Fátima Santana Ferreira Boin Eurípedes Soares Filho Patrícia Alexsandra Nunes Barros Rodrgiues benedito borges da silva

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Journal of Pharmaceutical Analysis 2018年第3期8卷 168-175页

作者： Sara da silva Anacleto Marcella Matos Cordeiro borges Hanna Leijoto de Oliveira Andressa Reis Vicente Eduardo Costa de Figueiredo Marcone Augusto Leal de Oliveira Barbara Juliana Pinheiro borges Marcelo Antonio de Oliveira Warley de Souza borges Keyller Bastos borges Departamento de Ciencias Naturals Universidade Federal de Sao Joao del-Rei Campus Dom Bosco Praca Dora Helvecio 74 Fabricas 36301-160 Sao Joao del-Rei Minas Gerais Brazil Departamento de Quimica Universidade Federal do Espirito Santo Avenida Fernando Ferrari 514 Goiabeiras 29075-910 Vitdria Espirito Santo Brazil Laboratorio de Analise de Toxicantes e Farmacos Faculdade de Ciencias Farmaceuticas Universidade Federal de Alfenas Rua Gabriel Monteiro da Silva 700 Centro 37130-000 Alfenas Minas Gerais Brazil Departamento de Quimica Universidade Federal de Juiz de Fora Rua Jose Lourenco Kelmer s/n 36036-330 Juiz de Fora Minas Gerais Brazil Centro de Ciencias da Saude Universidade Federal do Espirito Santo Avenida Marechal Campos 1468 Maruipe 29.043-900 Vitori Espirito Santo Brazil Centro Universitario Norte do Espirito Santo Universidade Federal do Espirito Santo Br 101 Norte Km 67 Sao Mateus Espirito Santo Brazil

This study aimed to show that the physicochemical proprieties obtained by Fourier transform infrared spectroscopy （FTIR）, thermogravimetry （TG）, and scanning electronic microscopy （SEM） can be useful tools for evaluating the quality of active pharmaceutical ingredients （APIs） and pharmaceutical products. In addition, a simple, sensitive, and efficient method employing HPLC-daD was developed for simulta- neous determination of lidocaine （LID）, ciprofloxacin （CFX） and enrofloxacin （EFX） in raw materials and in veterinary pharmaceutical formulations. Compounds were separated using a Gemini Cm （250 mm×4.6 mm, 5μm） Phenomenex column, at a temperature of 25℃, with a mobile phase containing 10 mM of phosphoric acid （pH 3.29）： acetonitrile （85.7：14.3, v/v） and a flow rate of 1.5 mL/min. Physicochemical characterization by TG, FTIR, and SEM of raw materials of LID, CFX, and EFX provided information useful for the evaluation, differentiation, and qualification of raw materials. Finally, the HPLC method was proved to be useful for evaluation of raw material and finished products, besides satisfying the need for an analytical method that allows simultaneous determination of EFX, CFX, and LID, which can also be extended to other matrices and applications.

关键词： HPLC Physicochemical characterization Quality control Veterinary pharmaceutical formulation Raw material

High-throughput phenotyping of two plant-size traits of Eucalyptus species using neural networks

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Journal of Forestry Research 2022年第2期33卷 591-599页

作者： Marcus Vinicius Vieira borges Janielle de Oliveira Garcia Tays silva Batista Alexsandra Nogueira Martins silva Fabio Henrique Rojo Baio Carlos Antônio da silva Junior Gileno Brito de Azevedo Glauce Taís de Oliveira Sousa Azevedo Larissa Pereira Ribeiro Teodoro Paulo Eduardo Teodoro Federal University of Mato Grosso Do Sul(UFMS) Chapadão Do SulMato Grosso Do Sul 79560000Brazil Department of Geography State University of Mato Grosso(UNEMAT)SinopMato Grosso 78555000Brazil

In forest modeling to estimate the volume of wood,artificial intelligence has been shown to be quite effi-cient,especially using artificial neural networks(ANNs).Here we tested whether diameter at breast height(DBH)and the total plant height(Ht)of eucalyptus can be pre-dicted at the stand level using spectral bands measured by an unmanned aerial vehicle(UAV)multispectral sensor and vegetation *** do so,using the data obtained by the UAV as input variables,we tested different configurations(number of hidden layers and number of neurons in each layer)of ANNs for predicting DBH and Ht at stand level for different Eucalyptus *** experimental design was randomized blocks with four replicates,with 20 trees in each experimental *** treatments comprised five Eucalyptus species(***,***,***,***-dis,and ***)and Corymbria *** and Ht for each plot at the stand level were measured seven times in separate overflights by the UAV,so that the multispectral sensor could obtain spectral bands to calculate vegetation indices(VIs).ANNs were then constructed using spectral bands and VIs as input layers,in addition to the categorical variable (species), to predict DBH and Ht at the stand level simultaneously. This report represents one of the first appli-cations of high-throughput phenotyping for plant size traits in Eucalyptus species. In general, ANNs containing three hidden layers gave better statistical performance (higher esti-mated r, lower estimated root mean squared error-RMSE) due to their greater capacity for self-learning. Among these ANNs, the best contained eight neurons in the first layer, seven in the second, and five in the third (8 − 7 − 5). The results reported here reveal the potential of using the gener-ated models to perform accurate forest inventories based on spectral bands and VIs obtained with a UAV multispectral sensor and ANNs, reducing labor and time.

关键词： Computational intelligence Diameter at breast height Forest inventory Remote sensing Vegetation indices

Small-scale edaphic heterogeneity as a floristic-structural complexity driver in Seasonally Dry Tropical Forests tree communities

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Journal of Forestry Research 2020年第6期31卷 2347-2357页

作者： Cle´ber Rodrigo de Souza Jean daniel Morel Alisson borges Miranda Santos Wilder Bento da silva Vinı´cius Andrade Maia Polyanne Aparecida Coelho Vanessa Leite Rezende Rubens Manoel dos Santos Forest Sciences Departament Federal University of LavrasCx.P.3037Lavras 37200-000Brazil Biology Department Federal University of LavrasCx.P.3037Lavras 37200-000Brazil

Our work aimed to test the hypothesis that soil microscale heterogeneity act as a community ecological driver,increasing diversity and promoting structural shifts on the Seasonally Dry Tropical Forest(SDTF)tree *** evaluated the relationship between microscale edaphic variations and floristic–structural patterns of tree communities in a SDTF fragment located in the southern end of the Brazilian Caatinga *** and soil data were obtained through 27 sample units of 400 m2(20 m 920 m),within each one we measured and identified at species level all arboreal individuals with Circumference at the Breast Height greater or equal to 10 cm,and also collected the soil *** the data we evaluated soil variation influence on the tree community structural and floristic patterns trough generalized linear *** explained the small-scale structural and floristic variations,contributing significantly to biomass,sprouting and to floristic relationships between sample *** was also observed a possible relation of the result with the Caatinga domain biogeographic history,due the presence of Sedimentary Caatinga species,which are not expected for the study *** plays an important role in driving small-scale complexity and diversity of SDTF,but we also suggest that Caatinga biogeographic events have influence on the high heterogeneity patterns.

关键词： Caatinga domain Edaphic variables Sprouting Sedimentary Caatinga

Estimating Emission of Leaves Seedlings Forest in Different Shading Levels, at Conditions of Transition Amazon-Cerrado, Brazil

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American Journal of Plant Sciences 2014年第15期5卷 2330-2341页

作者： Emanoeli borges Monteiro Cátia Cardoso da silva Andréa Carvalho da silva Adilson Pacheco de Souza Institute of Agricultural and Environmental Sciences Federal University of Mato Grosso Sinop Brazil

This study determined the thermal requirements of forest native seedlings (Hymenolobium petraeum and Parkia pendula) and exotic seedlings (Adenanthera pavonina and Cassia fistula) all belonging to Fabaceae family, in three shading conditions (full sun, 50% and 65% of global radiation attenuation by poliefinas black screens). Also they were estimated of leaf emergence by Phyllochron and the Wang and Engel models, on climatological conditions at Sinop (Region of Transition Amazon-Cerrado), Mato Grosso State, Brazil, for winter period (between June and August of 2012). The minimum (Tb) and maximum (TB) basal temperatures and the optimum temperature (Topt) of growth of each species were estimated by regressions between relative growth rates and minimum, maximum and average temperatures, respectively. The values of the estimated Tb were 15.0°C, 16.4°C, 14.5°C and 14.6°C;to TB were 39.7°C, 37.1°C, 38.6°C and 40.1°C;and to Topt were 24.4°C, 24.9°C, 24.9°C and 25.1°C to A. pavonina, C. fistula, H. petraeum and P. pendula, respectively. The Phyllochron model showed highest efficiency in the estimation of leaf appearance when compared to Wang and Engel method.

关键词： Vegetative Growth Thermal Sum Degree-days Statistical Indicatives