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Minimally Invasive Surgery for Necrotizing Pancreatitis: A case Report

Surgical Science 2024年第9期15卷 514-521页

作者： Néstor Veriel Méndez Huerta Luis Fernando Zorrilla Núñez Noelia obregón Gaxiola césar jair treviño arizmendi Gerardo Iván Muñoz Morales Marco Alejandro arizmendi Villarreal Pamela Denisse Valdez Navarro Marco Antonio Hernández Guedea Gerardo Enrique Muñoz Maldonado Service of General Surgery Hospital Universitario Dr. Jos Eleuterio Gonzlez Universidad Autnoma de Nuevo Len Monterrey Mxico

Introduction: Necrotizing pancreatitis management is complex and varies significantly among clinicians. Minimally invasive approaches like transgastric necrosectomy via laparoscopy are emerging as effective treatment options. This case report underscores the technique’s efficacy, clinical outcomes, and role in reducing complications. clinical observation: A 59-year-old male with a history of smoking and alcoholism presented with severe abdominal pain, nausea, and vomiting. over the following weeks, he developed symptoms including asthenia, weight loss, and melena. Diagnostic workup revealed severe anemia and Balthazar E necrotizing pancreatitis, with significant intra-abdominal fluid collections and signs of infection. After initial conservative management, the patient underwent transgastric necrosectomy via laparoscopy due to deteriorating clinical status. The procedure involved removing necrotic tissue and performing a cystogastroanastomosis and jejunostomy. Postoperative care included fasting, parenteral nutrition, broad-spectrum antibiotics, and enzymatic replacement. The patient recovered well, with reduced necrotic tissue on follow-up imaging, and was discharged twelve days post-surgery [1]. conclusion: Transgastric necrosectomy by laparoscopy is a valuable first-line surgical option for patients with symptomatic necrotizing pancreatitis, particularly in cases without prior interventions. This minimally invasive technique helps reduce major complications and mortality, offering a less invasive alternative to traditional open necrosectomy. The multidisciplinary approach and careful postoperative management were crucial to the patient’s favorable outcome. The case highlights the potential of transgastric necrosectomy as an effective treatment strategy in managing complex pancreatitis cases, including those with associated duodenal perforation [2].

关键词： Necrotizing Transgastric Pancreatic Necrosectomy Pancreatitis case Report

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安第斯山脉迷雾世界最长山脉是否为外星人着陆点？

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环球人文地理 2024年第5期 16-27页

作者：徐徐周巨成郭卓然 Mark.c 胡子捷森 jair Goran Maria Jesse 徐霄宇摄图网

这里有瑰丽险峻的火山、神奇壮阔的瀑布、神秘莫测的纳斯卡线条、扑朔迷离的外星人木乃伊，这里的动物们每天都经历着世界上最艰辛的生存之战……横跨七国的美洲“巨人”地理学家的参考坐标安第斯山脉是地球上最长的陆地山脉，从南到北...

这里有瑰丽险峻的火山、神奇壮阔的瀑布、神秘莫测的纳斯卡线条、扑朔迷离的外星人木乃伊，这里的动物们每天都经历着世界上最艰辛的生存之战……横跨七国的美洲“巨人”地理学家的参考坐标安第斯山脉是地球上最长的陆地山脉，从南到北贯穿整个南美大陆，纵跨67个纬度带，被称作“南美洲的脊梁”。它全长约8900千米，属于科迪勒拉山系，穿越包括委内瑞拉、哥伦比亚、厄瓜多尔、秘鲁、玻利维亚、智利和阿根廷在内的七个国家。

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Fraying around the edges:negative effects of the invasive Tradescantia zebrina *** Bosse(commelinaceae)on tree regeneration in the Atlantic Forest under different competitive and environmental conditions

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Journal of Plant Ecology 2019年第4期12卷 713-721页

作者： Wagner A.chiba de castro Rafael o.Xavier Federico H.L.Garrido jair H.c.Romero cleto K.Peres Ruberval cda Luz Instituto Latino-Americano de ciências da Vida e da Natureza Universidade Federal da Integração Latino-Americana(UNILA)Foz do IguaçuPR85867-970Brazil Departmento de Ecologia Universidade de São PauloSão PauloSP05508-090Brazil Departamento de Hidrobiologia Universidade Federal de São CarlosSão CarlosSP13565-905Brazil

Aims Invasive plants modify the structure and functioning of natural en-vironments and threat native plant *** species are often favored by human interference such as the creation of arti-ficial forest *** removal experiments may clarify if invasive plants are detrimental to native plant regeneration and how this is related to other local *** assessed the joint effect of envir-onment and competition with the invasive Tradescantia zebrina on tree species recruitment in an Atlantic Forest *** We carried out the experimental study in the Iguaçu National Park,located in southern Brazil,using 30 plots distributed across five invaded sites during 6 *** counted *** leaves and recorded the abundance and height of tree recruits over time under contrasting environmental(forest edge *** interior)and removal(all aboveground biomass,only *** removal,and control)*** analyzed the effects of environment and re-moval treatment using generalized linear mixed *** Findings The invasive species performed better at the forest edge than in the *** higher competitive pressure of *** led to higher mortality and lower height of tree *** removal favored tree recruitment,especially in the forest *** study shows that *** hampers woody species regeneration in tropical Atlantic Forests,especially at the forest edge.

关键词： plant invasion competition forest edge plant recruitment Tradescantia zebrina inch plant removal treatment

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Effects of porosity,dry unit weight,cement content and void/cement ratio on unconfined compressive strength of roof tile waste-silty soil mixtures

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Journal of Rock Mechanics and Geotechnical Engineering 2019年第2期11卷 369-378页

作者： Eclesielter Batista Moreira jair Arrieta Baldovino Juliana Lundgren Rose Ronaldo Luis dos Santos Izzo Department of civil construction Federal University of Technology e ParanaCampus Curitiba

one of the conventional ways to improve the mechanical behavior of soils is to mix them with cementing agents such as cement, lime and fly ash. Recently, introduction to alternative materials or sub-products that can be adopted to improve the soil strength is of paramount importance. Therefore, the present study aims to investigate the effects of porosity(h), dry unit weight(gd) of molding, cement content(c)and porosity/volumetric cement content ratio(h/civ) or void/cement ratio on the unconfined compressive strength(quor UcS) of silty soileroof tile waste(RT) mixtures. Soil samples are molded into four different dry unit weights(i.e. 13 kN/m^3, 13.67 kN/m^3, 14.33 kN/m^3 and 15 kN/m^3) using 3%, 6% and 9%cement and 5%, 15% and 30% RT. The results show that with the addition of cement, the strength of the RT esoil mixtures increases in a linear manner. on the other hand, the addition of RT decreases quof the samples at a constant percentage of cement, and the decrease in porosity can increase qu. A dosage equation is derived from the experimental data using the porosity/volumetric cement content ratio(h/c_(iv)) where the control variables are the moisture content, crushed tile content, cement content and porosity.

关键词： Roof tile waste (RT) Voids/cement ratio Reuse Ground improvement

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Psychophysics of the hoverfly: categorical or continuous color discrimination?

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current Zoology 2019年第4期65卷 483-492页

作者： Lea Hannah Adrian G. Dyer jair E. Garcia Alan Dorin Martin Burd School of Biological Sciences Monash University Clayton Victoria 3800 Australia Hawkesbury Institute for the Environment Western Sydney University Richmond New South Wales 2753 Australia School of Media and communication RMIT University Melbourne Victoria 3001 Australia Department of Physiology Monash University Clayton Victoria 3800 Australia Faculty of Information Technology Monash University Clayton Victoria 3800 Australia

There is increasing interest in flies as potentially important pollinators. Flies are known to have a complex visual system, in eluding 4 spectral classes of photoreceptors that con tribute to the perception of color. our current understanding of how color signals are perceived by flies is based on data for the blowfly Lucilia sp., which after being conditi oned to rewarded mono chromatic light stimuli, showed evidenee of a categorical color visual system. The resulting opponent fly color space has 4 distinct categories, and has been used to interpret how some fly pollinators may perceive flower colors. However, formal proof that flower flies (Syrphidae) only use a simple, categorical color process remains outstanding. In free-flying experiments, we tested the hoverfly Eristalis tenax, a Batesian mimic of the honeybee, that receives its nutrition by visiting flowers. Using a range of broadband similar-dissimilar color stimuli previously used to test color perception in pollinating hymenopteran species, we evaluated if there are steep changes in behavioral choices with continuously increasing color differences as might be expected by categorical color processing. our data revealed that color choices by the hoverfly are mediated by a continuous monotonic function. Thus, these flies did not use a categorical processing, but showed evidenee of a color discrimination function similar to that observed in several bee species. We therefore empirically provide data for the minimum color distanee that can be discriminated by hoverflies in fly color space, enabling an improved un derstandi ng of plant-poll in ator interactions with a non-model insect species.

关键词： chromatic signal color model floral color fly pollination plant-pollinator vision

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optimizing the evolution of strength for lime-stabilized rammed soil

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Journal of Rock Mechanics and Geotechnical Engineering 2019年第4期11卷 882-891页

作者： jair de Jesus Arrieta Baldovino Ronaldo Luis dos Santos Izzo Eclesielter Batista Moreira Juliana Lundgren Rose Department of civil construction Federal University of Technology-Parana

In the present study,unconfined compressive strength(qu)values of two lime-treated soils(soil 1 and 2)with curing times of 28 d,90 d and 360 d were *** influence of void/lime ratio was represented by the porosity/volumetric lime content ratio(η/Liv)as the main parameter.η/Liv represents the volume of void influenced by compaction effort and lime *** evolution of qu was analyzed for each soil using the coefficient of determination as the optimization *** at providing adjustments to the mechanical resistance values,the η/Liv parameter was modified to η/Livc using the adjustment exponent c(to make qu-η/Liv variation rates compatible).The results show that with the decrease of η/*** increases potentially and the optimized values of c were *** mechanical resistance data show similar trends between qu and η/Livc for the studied silty soil-ground lime mixtures,which were cured at ambient temperature(23±2)℃ with different curing times of 28-360 ***,optimized equations were presented using the normalized strengths and the proposed optimization model,which show 6% error and 95% acceptability on average.

关键词： Lime-treated soil Void/lime ratio Ground improvement

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Dynapenia in all-cause mortality and its relationship with sedentary behavior in community-dwelling older adults

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Sports Medicine and Health Science 2022年第4期4卷 253-259页

作者： Rizia Rocha Silva Lucas Lima Galvão Joilson Meneguci Douglas de Assis Teles Santos jair Sindra Virtuoso Júnior Sheilla Tribess Research center on Physical Activity Health and AgingDepartment of Sport SciencesInstitute of Health SciencesFederal University of Triângulo MineiroUberabaMinas GeraisBrazil Department of Education University do Estado da BahiaTeixeira de FreitasBahiaBrazil

The aim of the present study was to investigate the relationship of dynapenia combined with sedentary behavior(SB)on the risk of mortality in older adults living in a Brazilian community.A total of 322 participants aged60 years from the ELSIA(Longitudinal Study of Elderly Health in Alcobaça)prospective cohort were *** was diagnosed when the handgrip strength wasor men andor *** exposure time to SB was assessed considering the total time spent sitting during one day in the week and one day on the *** combined with dynapenia,we derived the construction of four groups:best behavior(absence of dynapenia and low SB),intermediate behavior(absence of dynapenia and high SB;presence of dynapenia and low SB)and worst behavior(presence of dynapenia and high SB).Mortality was assessed by the follow-up time until death and/or *** the 5-year follow-up of the study,55 participants progressed to *** the adjusted models,the dynapenia and the time spent exposed to SB were analyzed in a combined way,the older adults with worse behavior(high SB and dynapenia)had higher risk ratios for mortality(hazard ratio 2.46;95%confidence interval 1.01–5.97)than the best behavior *** adults with dynapenia are at greater risk for all-cause mortality,which is aggravated by the addition of longer exposure to SB.

关键词： Mortality Muscle strength Aging Sedentary behavior

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Effects of lime addition on geotechnical properties of sedimentary soil in curitiba,Brazil

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Journal of Rock Mechanics and Geotechnical Engineering 2018年第1期10卷 188-194页

作者： jair A.Baldovino Eclesielter B.Moreira Wagner Teixeira Ronaldo L.S.Izzo Juliana L.Rose Department of civil construction Federal University of Technology-Paraná Campus Curitiba

The soil of the Guabirotuba geological formation（Paraná Basin, Brazil） has physico-mechanical properties which are not suitable for its utilization in pavement construction, in protection of hillsides and slopes, or as shallow foundation support. Treatment of this soil by lime addition would improve its usability. The present context intends to determine the ratio between the splitting tensile strength（q;）and the unconfined compressive strength（q;） of clayey soil in the metropolitan region of curitiba city,which has been treated with different lime contents and curing times. The control parameters evaluated include lime content（L）, curing time（t）, moisture content（w）, and ratio of porosity to volumetric lime content（η/L;）. It was observed that the q;/q;ratio is between 0.17 and 0.2 in relation to the curing time,and an exponential relation exists between them. Meanwhile, the unconfined compressive strength of lime-treated soil was found to be approximately four times the initial value.

关键词： clayey soil stabilization Soil strength Lime-soil mixture curing time

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Signal or cue: the role of structural colors in flower pollination

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current Zoology 2019年第4期65卷 467-481页

作者： jair E. Garcia Mani Shrestha Scarlett R. Howard Phred Petersen Adrian G. Dyer School of Media and communication RMIT University Melbourne Victoria 3001 Australia Faculty of Information Technology Monash University Clayton Victoria 3800 Australia

Angle dependent colors, such as iridescenee, are produced by structures present on flower petals changing their visual appearanee. These colors have been proposed to act as signals for plantinsect communication. However, there is a paucity of behavioral data to allow for interpretations of how to classify these colors either as a signal or a cue when con sidering the n atural con ditions under which pollination occurs. We sampled flowers from 6 plant species across various viewpoints looking for changes in the visual appearanee of the petals. Spectral characteristics were measured with different instruments to simulate both the spectral and spatial characteristics of honeybee's vision. We show the presenee of color patches produced by angle dependent effects on the petals and the calyx of various species;however, the appearance of the angle dependent color patches significantly varies with viewpoint and would only be resolved by the insect eye at close distances. Behavior experiments with honeybees revealed that pollinators did not use angle dependent colors to drive behavior when presented with novel flower presentations. Results show that angle dependent colors do not comply with the requirements of a signal for plant-pollinator communication since the information transmitted by these colors would be unreliable for potential, free-flying pollination vectors. We thus classify angle dependent colors produced by micro- and ultra-structures as being a cue (a feature which has not evolved for communication), and observe no evidence supporting claims of these angle dependent colors having evolved as visual signal.

关键词： approach angle color flower iridescence photography pollination vision

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Smoking and Serum Lipid Profiles in Schizophrenia

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Neuroscience Bulletin 2016年第4期32卷 383-388页

作者： Hui-Mei An Yun-Long Tan Shu-ping Tan Jing Shi Zhi-Ren Wang Fu-De Yang Xu-Feng Huang jair c.Soars Thomas R.Kosten Xiang-Yang Zhang Beijing Hui Long Guan Hospital Peking University centre for Translational Neuroscience School of MedicineIllawarra Health and Medical Research InstituteUniversity of Wollongong Department of Psychiatry and Behavioral Sciences The University of Texas Health Science Center at Houston Department of Psychiatry and Behavioral Sciences Baylor College of Medicine

Schizophrenia is associated with a high preva- lence of cigarette-smoking and abnormal lipid profiles. The purpose of this study was to determine whether the profiles differ between schizophrenic smokers and non-smokers and whether the lipid profiles are related to psychopathological symptoms. Serum lipid profiles were measured in 130 male inpatients with DSM-IV-defined schizophrenia： 104 smokers and 26 non-smokers. Symptoms were assessed using the Positive and Negative Syndrome Scale （PANSS）. our results showed that positive PANSS symp- toms were fewer in smokers than in non-smokers, while the negative symptoms were fewer in those who smoked more cigarettes. Total protein and globulin levels were significantly lower in the smokers than in the non-smokers. However, there was no significant difference in total cholesterol, triglycerides, high-density lipoprotein choles terol （HDL-c）, low-density lipoprotein cholesterol, apolipoprotein A1, or apolipoprotein B between the smokers and non-smokers. However, the PANSS positive subscale had a significant negative correlation with the HDL-c levels （a protective factor） in the smokers but not in the non-smokers. our findings suggest that schizophrenic patients who smoke have fewer psychotic symptoms, but contrary to expectation, smoking does not alter lipid profile levels.

关键词： Schizophrenia Nicotine cigarettesmoking Lipid profiles Symptoms

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