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No independent associations between physical activity and clinical outcomes among hospitalized patients with moderate to severe COVID-19

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Journal of Sport and Health Science 2021年第6期10卷 690-696页

作者： Ana J.Pinto Karla F.Goessler Alan L.Fernandes Igor H.Murai Lucas P.Sales bruna z.reis Mayara Diniz Santos Hamilton Roschel Rosa M.R.Pereira Bruno Gualano Applied Physiology and Nutrition Research Group School of Physical Education and SportClinical Hospital HCFMUSPSchool of Medicine FMUSPUniversity of Sao PauloSao PauloSP 01246903Brazil Rheumatology Division Clinical Hospital HCFMUSPSchool of Medicine FMUSPUniversity of Sao PauloSao PauloSP 01246903Brazil Food Research Center University of Sao PauloSao PauloSP 05508080Brazil

Background:Regular physical activity(PA)has been postulated to improve,or at least maintain,immunity across the life ***,the link between physical(in)activity and coronavirus disease 2019(COVID-19)remains to be *** small-scale prospective cohort study is nested within a randomized controlled trial aimed to investigate the possible associations between PA levels and clinical outcomes among hospitalized patients with moderate to severe ***:Hospitalized patients with COVID-19(mean age:54.9 years)were recruited from the Clinical Hospital of the School of Medicine of the University of Sao Paulo(a quaternary referral teaching hospital)and from Ibirapuera Field Hospital,both located in Sao Paulo,*** level was assessed using the Baecke Questionnaire of Habitual Physical *** primary outcome was hospital length of *** secondary outcomes were mortality,admission to the intensive care unit(ICU),and mechanical ventilation ***:The median hospital length of stay was 7.0§4.0 days,median§IQR;3.3%of patients died,13.8%were admitted to the ICU,and 8.6%required mechanical *** linear regression models showed that PA indices were not associated with hospital length of stay(work index:b=-0.57(95%confidence interval(95%CI):-1.80 to 0.65),p=0.355;sport index:b=0.43(95%CI:-0.94 to 1.80),p=0.536;leisure-time index:b=1.18(95%CI:-0.22 to 2.59),p=0.099;and total activity index:b=0.20(95%CI:-0.48 to 0.87),p=0.563).None of the PA indices were associated with mortality,admission to the ICU,or mechanical ventilation requirement(all p>0.050).Conclusion:Among hospitalized patients with COVID-19,PA did not independently associate with hospital length of stay or any other clinically relevant *** findings should be interpreted as meaning that,among already hospitalized patients with more severe forms of COVID-19,being active is a potential protective factor likely outweighed by a cluster of comorbidities(e.

关键词： Hospital length of stay Lifestyle Physical inactivity Prognosis SARS-CoV-2

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Prevalence of sarcopenia using different methods in patients with non-alcoholic fatty liver disease

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World Journal of Hepatology 2022年第8期14卷 1643-1651页

作者： Naiade Silveira Almeida Raquel Rocha Claudineia Almeida de Souza Ana Carolina Sirelli da Cruz bruna dos reis Ribeiro Luiza Valois Vieira Carla Daltro Rafael Silva Manoel Sarno Helma Pinchemel Cotrim Programa de Pós-Graduação em Medicina e Saúde Universidade Federal da BahiaSalvador 40110-060BABrazil Departamento de Ciência da Nutrição Escola de NutriçãoUniversidade Federal da BahiaSalvador 40110-060Brazil Caliper Clínica e Escola de Imagem Salvador 41810-012Brazil

BACKGROUND Sarcopenia is a clinical condition associated with several liver diseases and it includes non-alcoholic fatty liver disease(NAFLD)in its broad spectrum as steatosis,steatohepatitis and ***,the criteria to define sarcopenia are diverse,and even those established in consensus have been discussed regarding their performance in making an accurate *** To evaluate the prevalence of sarcopenia,using different methods,in patients with NAFLD,and its association with clinical-anthropometric *** This was an observational study of outpatients with *** was defined by the European Working Group Consensus on Sarcopenia in Older People of 2010(EWGSOP1)and 2018(EWGSOP2).The skeletal muscle index was used to estimate muscle mass,handgrip strength was assessed using the dynamometer and physical performance by walking a distance of four meters at usual walking *** non-invasive fibrosis scores,fibrosis-4(FIB-4)index and Aspartate aminotransferase to platelet ratio index(APRI),were used to assess the absence and presence of *** Fifty-seven individuals with NAFLD were evaluated,the mean age(SD)was 52.7(11.3)years and 75.4%were *** assessed by FIB-4 and APRI was observed in 3.7%and 16.6%of patients with NAFLD,*** diagnosis of sarcopenia was identified only by EWGSOP1 in 3.5%of NAFLD patients,and the prevalence of probable/pre-sarcopenia was higher using the EWGSOP2 consensus at 26.3%,when compared to 1.8%with *** defined by EWGSOP1,was associated with grade I steatosis,but without overweight(P0.05).EWGSOP2 showed a greater number of patients with probable sarcopenia,and who were overweight(12(80.0%)),with a higher degree of steatosis[11(73.3%)and presence of fibrosis(1(6.7%),FIB-4 and 3(20.0%),APRI]compared to EWGSOP1[1(100%),0(0.0%),0(0.0%),FIB-4 and 0(0.0%),APRI,respectively].CONCLUSION The presen

关键词： Non-alcoholic fatty liver disease Sarcopenia Muscle strength Physical performance Liver fibrosis

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Corrosion Caused by Sulfur Dioxide in Reinforced Concrete

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Open Journal of Civil Engineering 2015年第4期5卷 379-389页

作者： Fernando B. Mainier Paulo César Fernandes Almeida bruna Nani Lisiane H Fernandes Marcone Freitas reis Escola de Engenharia Universidade Federal Fluminense Niterói Brazil

The burning of fuel oil with high sulfur content in diverse industrial segments results in the generation of oxidized sulfur compounds (SOx). These emissions, directly or indirectly, lead to the deterioration of air quality with consequences including the development of lung diseases in the surrounding population, the generation of acid rain and damage to civil constructions, such as public buildings, public squares, historic monuments, bridges, etc. This article describes the mechanisms of corrosion that occur in reinforced concrete deterioration observed in an industrial plant by the action of direct emissions of sulfur dioxide. SO2 in this case study is from the burning of fuel oil high sulfur content from chimney of an industrial boiler. The deterioration of concrete was evaluated in the laboratory showing the formation of calcium sulfate and calcium sulfate hydrate associated with aluminum oxide (Al2O3) and calcium oxide (CaO).

关键词： Corrosion Sulfur Compounds Contamination Mechanisms of Corrosion Reinforced Concrete

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Predicting Business Insolvency： The Latvian Experience

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Journal of Modern Accounting and Auditing 2011年第5期7卷 487-497页

作者： Ruta Sneidere Inta bruna University of Latvia Latvia

This paper presents investigations of bankruptcy predicting models which can be useful for external users of a financial statement. Only the methods of financial analysis for insolvency prediction, useful on the basis of financial statements, were investigated. The paper studied the influence of insolvency on the development of the Latvian Economy, including such relevant points： dynamics of number of insolvency cases in Latvia, data of the payment discipline of debts, tax liabilities of the insolvent companies, dynamics of unemployment support payments. Empirical investigations shows that only Altman＇s z＇＂ and Fulmer＇s H models demonstrate accuracy above 80% in all analyzed business sectors and they are applicable for Latvian companies. The other models are useful to some particular business sector.

关键词： insolvency bankruptcy predicting model financial report

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The Benefits of SGLT2 Inhibitors in Cardiovascular Prevention, Glycemic Control and Weight Loss, in the Treatment of Diabetes

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Open Journal of Endocrine and Metabolic Diseases 2016年第1期6卷 87-94页

作者： bruna de Souza Faustino Alberto dos reis Costa Junior Letícia Nascimento Medeiros Bortolon Larissa Bianca Paiva Cunha de Sá Denise Rosso Tenório Wanderley Rocha Alberto Krayyem Arbex Division of Endocrinology IPEMED Medical School Rio de Janeiro Brazil Visiting Scientist of the Harvard School of Public Health Harvard University Boston USA

The sodium and glucose co-transporter inhibitors type 2 (SGLT2) comprises a new class of hypoglycemic drugs to control type 2 diabetes mellitus, in an attempt to add new non-existing benefits to the so far arising classes. Regarding this new class of drugs, represented by dapaglifozin, canaglifozin and empaglifozin, it is important to highlight the benefits brought by these medications to combat hyperglycemia with insulin-independent mechanisms that are beyond glucose reduction, such as cardiovascular events prevention, reduction in HbA1c, weight loss and blood pressure lowering. Recently, a relevant study (Empa-Reg) brought hope and set the spotlight on the prevention of cardiac events among diabetic patients, which is the main cause of mortality within this group. However, despite coming out as a good treatment option, SGLT2 inhibitors are under constant clinical research and, as a new drug, it should be carefully carried out regarding the long-term effects of glycosuria and other possible side effects, such as the observed increase in the incidence of bladder, breast cancer and bone fractures, which require further studies. Therefore, these compounds might represent a landmark approach for the treatment of diabetes.

关键词： Diabetes SGLT-2 Inhibitor Glycemic Control Cardiovascular Risk Empa-Reg Side Effects Weight Loss

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Importance of Primary Health Care in Medicine: Simultaneous Analysis of Two Colleges, under the Vision of Teachers and Students

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Journal of Biosciences and Medicines 2017年第11期5卷 6-12页

作者： Sebastiao Celio Horta Coelho Filho Thiago Sande Miguel Nayrton Kalys Cruz dos Anjos Mateus de Oliveira reis bruna Sande Miguel Vinicius Sande Miguel Aline Gabriela Santos Costa Lilian Costa Brito Bruno Fonseca dos Santos Veronica Clemente Villar Martini Daniel Almeida da Costa The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil

Introduction: The involvement of undergraduate student at the beginning of their training in activities based on Primary Health Care (PHC), provides preventive and health promoting actions, and ensures the evaluation of the vulnerability of communities and people. Objectives: To analyze the opinion of students and teachers of two medicine higher education institutions on the relevance of Primary Health Care in this course. METHODS: Students and teachers should be effectively enrolled in order for the study to be conducted, being chosen in a random manner and without interferences on the part of the researchers so that the work was as reliable as possible. A cross-sectional study was conducted with interviews structured in questionnaires about what they thought about PHC. To some students and teachers of the medical course of Valen?a and Grande Rio University (UNIGRANRIO). Before receiving the questionnaire, all interviewed signed a Free and Informed Consent Term, which included the objectives and methodology of the work. Results: 310 students and 51 teachers participated in the study, where 91.43% of the students and 100% of the teachers affirmed that primary care plays a fundamental role in medical education. 94.86% of students and 97.91% of teachers, claimed that the discipline allows a greater contact between undergraduates and community. When questioned about the encouragement that teachers give to students to pursue a career in PHC, 57.87% of the students and 70.83% of the professors said they lacked in such a stimulus. Conclusion: PHC is still very neglected by governmental policies, educational institutions and by the own teachers, that often, turn they attention only to tertiary medicine and, as a consequence, a discouragement of this area occur. Therefore, a higher PHC value is necessary, allowing a more humane look at the patient, valuing their feelings, anguishes and their pathological framework.

关键词： Primary Health Care Graduation Medicine

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Implications of the New Operational Rules for Cantareira Water System: Re-Reading the 2014-2016 Water Crisis

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Journal of Water Resource and Protection 2020年第4期12卷 261-274页

作者： Karinne reis Deusdará-Leal Luz Adriana Cuartas Rong zhang Guilherme S. Mohor Luíz Valério de Castro Carvalho Carlos Afonso Nobre Eduardo Mario Mendiondo Elisangela Broedel Marcelo Enrique Seluchi Regina Célia dos Santos Alvalá Brazilian Center for Monitoring and Early Warning of Natural Disaster-Cemaden Sao José dos Campos Brazil Department of Hydrology and Water Resources Nanjing Hydraulic Research Institute (NHRI) under the Ministry of Water Resources The Ministry of Transport and National Energy Administration Nanjing China University of Potsdam Potsdam Germany Universidade de Taubaté Taubaté Brazil Institute of Advanced Studies University of Sao Paulo Sao José dos Campos Brazil Sao Carlos School of Engineering University of Sao Paulo USP Sao Carlos Brazil Center for Education & Research of Disasters of Sao Paulo CEPED Sao Paulo Brazil

During the 2014-2016 water shortage crisis, the Metropolitan Area of Sao Paulo (MASP) water supply system extracted pumping volume from the Cantareira System. Before the crisis, between 1984 and 2013, the reservoir’s average water extraction flow was 29.6 m3·s-1. During the period of pumping volume usage, the average extraction flow was 16.2 m3·s-1. Following the crisis, two new mitigation policies were implemented: a water extraction Resolution (in 2017) and a Resolution for water reallocation from another basin (in 2018). This study provides a novel investigation of the Cantareira System water crisis by assessing the mitigation policies impacts on storage level dynamics. The system storage level was evaluated using the reservoir simulation module of PDM-Cemaden hydrological model, assuming that the new policies had already been implemented prior to the crisis. A control simulation was run with observed in- and out-flow and operationally-practiced extraction flow. The storage level dynamics impacts were evaluated under 4 water mitigation policies scenarios varying the policies implementation starting date, the extraction flow range and including the water reallocation variable. Results showed that pumping volume would only need extraction during a short period (Scenarios I, III and IV), and considering the water reallocation, pumping volume extraction would not have been necessary (Scenario II). Although the pumping volume would still have been extracted during a short period, water shortage impact would have been lessened, had the policies been already implemented before the crisis. The water mitigation policies implementation supports the reservoirs storage management but does not guarantee that MASP water demand is fully met. Therefore, in order to effectively improve water security, further policies and practices to reduce water demand and enhance supply should be considered.

关键词： Cantareira System Drought Sao Paulo Brazil Dead Storage Water Crisis

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Omics analyses in citrus reveal a possible role of RNA translation pathways and Unfolded Protein Response regulators in the tolerance to combined drought, high irradiance, and heat stress

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Horticulture Research 2023年第7期10卷 165-175页

作者： Damián Balfagón Sara Izandalinas Tadeu dos reis de Oliveira Claudete Santa-Catarina Aurelio Gómez-Cadenas Departamento de Biología Bioquímica y Ciencias NaturalesAv.Sos Baynat s/n.Universitat Jaume I46520 Castellóde la PlanaSpain Laboratório de Biologia Celular e Tecidual(LBCT) Centro de Biociências E Biotecnologia(CBB)Universidade Estadual Do Norte Fluminense Darcy Ribeiro(UENF)Av.Alberto Lamego 2000Campos Dos GoytacazesRJ28013-602Brazil

Environmental changes derived from global warming and human activities increase the intensity and frequency of stressful conditions for *** abiotic factors acting simultaneously enhance stress pressure and drastically reduce plant growth,yield,and *** combination causes a specific stress situation that induces a particular plant response different to the sum of responses to the individual ***,by comparing transcriptomic and proteomic profiles to different abiotic stress combinations in two citrus genotypes,Carrizo citrange(Citrus sinensis×Poncirus trifoliata)and Cleopatra mandarin(Citrus reshni),with contrasting tolerance to different abiotic stresses,we revealed key responses to the triple combination of heat stress,high irradiance and *** specific transcriptomic response to this stress combination in Carrizo was directed to regulate RNA metabolic pathways and translation processes,potentially conferring an advantage with respect to *** addition,we found endoplasmic reticulum stress response as common to all individual and combined stress conditions in both genotypes and identified the accumulation of specific groups of heat shock proteins(HSPs),such as small HSPs and HSP70s,and regulators of the unfolded protein response,BiP2 and PDIL2-2,as possible factors involved in citrus tolerance to triple stress *** together,our findings provide new insights into the acclimation process of citrus plants to multiple stress combination,necessary for increasing crop tolerance to the changing climatic conditions.

关键词： citrus Citrus stress

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Investigation of the Effects of Glazed Balconies uponThermal Comfort in Hot Tropical Region

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Journal of Civil Engineering and Architecture 2019年第12期13卷 762-779页

作者： Érica Coelho Pagel Edna Aparecida Nico Rodrigues Cristina Engel de Alvarez Neyval Costa reis Júnior bruna Perovano Sirtuli Filipe Galina Costalonga Jordana BernabéCoelho Department of Architecture and City Universidade Vila Velha Av Comissario Jose Dantas De Mello 21Boa Vista IIVila VelhaES29102-920Brazil Department of Architecture and Urbanism Universidade Federal do Espírito SantoAv.Fernando Ferrari 514VitóriaES29060-910Brazil Department of Environmental Engineering Universidade Federal do Espírito SantoAv.Fernando Ferrari 514VitóriaES29060-910Brazil

The balcony is responsible to a series of effects on the environmental behavior of a building,mainly in relation of thermal comfort and air distribution to their indoor *** a very common practice in several metropolitan areas is the closing with retractable glass panels in balcony *** work analyzed the effects of glazed balconies upon thermal comfort in a hot tropical *** parameters were carried out in a flat alternating the conditions of retractable glass panels to *** simulations were performed considering closing or not the glass door that divides the balcony room;the building material used on the balcony sill;and the use of curtains or shading *** results show the maximum mean hourly temperatures recorded on the balcony during the period when the retractable glass panels were closed,reaching peaks between 31.7 and 39.2°C,above the comfort range recommended by ASHRAE *** situations simulated show the thermal discomfort prevails in the use of the closed glass panels reaching DhTD of 94.55°C/***,this practice of using most of the closed retractable glass panels in the balconies presents disadvantages and inefficiencies especially in hot and humid tropical climate regions.

关键词： Glazed balconies thermal comfort hot tropical region.

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Thermomechanical Behavior Modeling of a Cr-Ni-Mo-Mn-N Austenitic Stainless Steel

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Materials Sciences and Applications 2016年第12期7卷 803-822页

作者： Rafael P. Ferreira Eden S. Silva Carmem C. F. Nascimento Samuel F. Rodrigues Clodualdo Aranas Jr. Valdemar S. Leal Gedeon S. reis Graduate Program in Materials Engineering Federal Institute of Education Science and Technology of Maranh&atilde o—IFMA S&atilde o Luí s MA Brazil Engineering Coordination Universidade UNICEUMA S&atilde o Luí s MA Brazil Department of Materials Engineering McGill University Montreal Canada

The analytical approach and the thermomechanical behavior of a Cr-Ni-Mo-Mn-N austenitic stainless steel were characterized based on the parameters of work hardening (h), dynamic recovery (r) and dynamic recrystallization (n, t0.5), considering constitutive equations (σ, ε) and deformation conditions expressed according to the zener-Hollomon parameter (z). The results indicated that the curves were affected by the deformation conditions and that the stress levels increased with z under high work hardening rates. The σc/σp ratio was relatively high in the first part of the curves, indicating that softening was promoted by intense dynamic recovery (DRV). This was corroborated by the high values of r and average stacking fault energy, γsfe = 66.86 mJ/m2, which facilitated the thermally activated mechanisms, increasing the effectiveness of DRV and delaying the onset of dynamic recrystallization (DRX). The second part of the curves indicates that there was a delay in the kinetics of dynamic softening, with a higher value of t0.5 and lower values of the Avrami exponent (n) due to the competing DRV-DRX mechanisms, and steady state stress (σss) was achieved under higher rates of deformation.

关键词： Austenitic Stainless Steel Dynamic Recovery Dynamic Recrystallization

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