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Delivery of essential pediatric congenital surgical care within Brazil’s universal health coverage system:a national survey of pediatric surgeons

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World journal of Pediatric Surgery 2023年第3期6卷 136-146页

作者： Paul R Truche Abbie E Naus Fabio Botelho julia Ferreira Alexis Bowder Luke Caddell Kathrin Zimmerman Isabella Maria de Freitas Faria Bellisa Caldas Lopes Eduardo corrêa Costa Fernanda Lage Lima Dantas Augusto j S A Cavalcante Carlos A L B Carvalho Simone Abib david P Mooney Nivaldo Alonso Program in Global Surgery and Social Change Harvard Medical SchoolBostonMassachusettsUSA Department of Surgery Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNew JerseyUSA Department of Pediatric Surgery McGill UniversityMontrealQuébecCanada Department of Surgery Medical College of WisconsinMilwaukeeWisconsinUSA Division of Otolaryngology-Head and Neck Surgery Department of SurgeryUniversity of Wisconsin-Madison School of Medicine and Public HealthMadisonWisconsinUSA School of Medicine UFMGBelo HorizonteMinas GeraisBrazil Department of Pediatric Surgery Instituto de Medicina Integral Professor Fernando FigueiraRecifeBrazil Department of Pediatric Surgery Hospital de Clinicas de Porto AlegrePorto AlegreBrazil Department of Pediatric Surgery Federal University of AcreRio BrancoBrazil Department of Pediatric Surgery Hospital Santa Casa de Belo HorizonteBelo HorizonteBrazil Department of Pediatric Surgery Federal University of Mato GrossoCuiabaBrazil Department of Pediatric Surgery UNIFESPSao PauloBrazil Department of Pediatric Surgery Boston Children's HospitalBostonMassachusettsUSA Department of Plastic Surgery University of São Paulo Institute of Biomedical SciencesSao PauloBrazil

Objective In this study,we assess the delivery of congenital pediatric surgical care under Brazil’s system of universal health coverage and evaluate differences in delivery between public and private *** A cross-sectional national survey of pediatric surgeons in Brazil was *** were asked which of 23 interventions identified through the Disease Control Priorities 3(Surgical Interventions for Congenital Anomalies)they perform and to report barriers faced while providing surgical *** were weighted by state and stratified by sector(public vs private).Results A sample of 352 responses was obtained and weighted to represent 1378 practicing pediatric surgeons registered in Brazil during the survey time.73%spend the majority of their time working in the public sector(‘SistemaÚnico de Saúde’and Foundation hospitals),and most of them also work in the private ***,Brazilian pediatric surgeons have the expertise to provide thoracic,abdominal,and urologic *** working mostly in the public sector were more likely to report a lack of access to essential medications(25%vs 9%,p<0.01)and a lack of access to hospital beds for surgical patients(52%vs 32%,p<0.01).Conclusions Brazilian pediatric surgeons routinely perform thoracic,abdominal,and urologic *** working in government-financed hospitals face barriers related to infrastructure,which may impact Brazilians who rely on Brazil’s universal health coverage *** that support pediatric surgeons working in the public sector may promote the workforce available to provide congenital pediatric surgical care.

关键词： pediatric survey Brazil

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Physical activity and emotions in a period of social distancing due to the COVID-19 pandemic

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Sports Medicine and Health Science 2022年第3期4卷 172-176页

作者： Raphaela Espanha corrêa Paulo Eduardo Neves Ferreira Velho Rafael do Prado Calazans Calvino Camargo Rute Estanislava Tolocka Postgraduate Program in Clinical Medicine Faculty of Medical SciencesUniversidade Estadual de Campinas-UNICAMPCampinasSP13083-887Brazil Department of Dermatology Faculty of Medical SciencesUniversidade Estadual de Campinas-UNICAMPCampinasSP13083-887Brazil Postgraduate Program in Human Movement Sciences Universidade Metodista de Piracicaba-UNIMEPPiracicabaSP13390-000Brazil Health Science Graduate Program Universidade Federal de Roraima-UFRRBoa VistaRR69310-000Brazil

Social distancing(SD)to prevent SARS-CoV-2(COVID-19)transmission reduced practices of physical activities(PA)and changed emotional conditions,but the relationship between PA and the emotions has to be further *** study aimed to analyze PA and the intensity of basic emotions during a period of social distancing in the State of S~ao Paulo,*** collection was performed using the snowball system and an online survey with questions about the minimum weekly frequency of 30-min moderate and/or vigorous activities(MVPA),intensity of basic emotions,and sociodemographic profile.A total of 704 volunteers participated;mean age 38.113.4 years,67.9%female,82.0%insufficiently practiced MVPA,and 37.9%of the group reported no weekly ***/fear was the emotion with the highest intensity in the study period.A significant association was observed between PA and intensity of happiness(rho=0.125;p<0.01)and a negative association between PA practice and intensity of anxiety/fear(rho=-0.090;p<0.05),sadness(rho=-0.134;p<0.01),and anger(rho?0.109;p<0.01).Also,an association was observed between anxiety/fear and social isolation(rho=0.082;p<0.05).These results suggest that public policies offering PA programs and psychological care are required to improve the quality of life of the population.

关键词： Emotions expressed Physical activity Quarantine COVID-19

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直流电压下Ar气中微空心阴极类辉光放电特性

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华北电力大学学报（自然科学版） 2021年第6期48卷 9-13,23页

作者：黄世龙朱雷刘云鹏 CORMAC corr 华北电力大学河北省输变电设备安全防御重点实验室河北保定071003 国网江苏省电力有限公司南京供电分公司江苏南京220000 Australian National University Canberra ACT 2601

为研究微空心阴极放电类辉光现象,在气压100 Torr、空心半径100μm和阴极表面施加电压-600 V条件下,建立了二维轴对称流体计算模型,包括控制方程、边界条件及化学反应,并进行了数值模拟。结果表明,在类辉光放电模式下,放电电压约为-95V... 详细信息

为研究微空心阴极放电类辉光现象,在气压100 Torr、空心半径100μm和阴极表面施加电压-600 V条件下,建立了二维轴对称流体计算模型,包括控制方程、边界条件及化学反应,并进行了数值模拟。结果表明,在类辉光放电模式下,放电电压约为-95V,在空心内阴极附近出现一个清晰的环形鞘层结构,鞘层厚度沿阴极外表面随着半径的增加而增加;带电粒子数密度约为10^(19) m^(-3),阴极鞘层和等离子体区域内电子温度近似约为10.2 eV和1.5 eV;基态电离和彭宁电离反应速率峰值约分别为1.2×10^(3)、2.7×10^(3) mol/(m^(3)·s);电子的整体净体积产生率约为2.4×10^(27) L/(m^(3)·s),主要产生在空心阴极区,同时在阴极侧孔外和平坦的外阴极区域鞘层边缘也有少量电子产生。

关键词：微空心阴极直流电压类辉光放电二维轴对称模型

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Endoscopic sinus surgery and aspirin desensitization improve otologic-specific SNOT-22 scores

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World journal of Otorhinolaryngology-Head and Neck Surgery 2020年第4期6卷 248-254页

作者： james G.Naples Andrew corr Siddhant Tripathi Morgan Berman jason A.Brant Michael j.Ruckenstein john Bosso Beth Israel Deaconess Medical Center Harvard Medical SchoolDivision of Otolaryngolosy-Hecid and Neck SurgeryOtology/Neurotology110 Francis StSuite 6EBostonMA 02215USA University of Pennsylvania Health System Departm ent of Otorhinolaryngology-Head and Neck SurgeryOtolosy/Neurotology3400 Spruce St5 SHversteinPhiladelphiaPA 19104USA University of Cincinnati School of Medicine 230 Eden AveCincinnatiOH 45267USA

Objective:There are few studies evaluating the impact of Aspirin-exacerbated respiratory disease(AERD)treatment on otologic *** aim of this study is to evaluate the effects of endoscopic sinus surgery(ESS)and aspirin desensitization(AD)on otologic symptoms in subjects with ***:Retrospective chart review of adult patients diagnosed with AERD at our tertiary Care Academic Medical Center-Otorhinolaryngology *** of adult patients diagnosed with AERD who underwent ESS and ASA desensitization at our institution’s AERD Center from 2016 to 2019 were ***-Nasal Outcomes Test 22-item survey(SNOT-22)scores were evaluated for patients at various time points including:pre-surgery,post-surgery/pre-aspirin desensitization,and various times post-desensitization up to>12 *** the SNOT-22,otologic-specific subdomain scores were evaluated at similar time *** on immunomodulatory medications other than corticosteroids were excluded from ***:SNOT-22 scores were analyzed for 121 *** was a significant improvement in overall SNOT scores from pre-surgery(44.62)to post surgery/pre-desensitization(23.34)(Pcorrelate otologic SNOT-22 scores with objective otologic data.

关键词： Aspirin exacerbated respiratory disease Otologic symptoms SNOT-22

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Evaluation of Different Levels of Addition of Souari Nut Peel (Caryocar brasiliense) on the Quality of the Mombasa Grass Silage

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journal of Agricultural Science and Technology(B) 2019年第5期9卷 356-364页

作者： Raísa Turcato de Oliveira Andréia Santos Cezário Wallacy Barbacena Rosa dos Santos jéferson corrêa Ribeiro Tiago Neves Pereira Valente Hellen Cardoso de Oliveira Departament of Animal Science Instituto Federal Goiano(IFGoiano)Campus Morrinhos75650-000Goiás StateBrasil Department of Animal Science Instituto Federal Goiano(IFGoiano)Campus Posse73900-000Goiás StateBrasil

The objective of this study was to evaluate the effects of the addition of souari nut peel on the fermentative characteristics and chemical composition of the Mombasa grass silage.A completely randomized design with five levels of addition(0%,5%,10%,15%and 20%in natural matter basis)of souari nut peel with three replicates was applied in the *** silos were opened at 55 d after starting the ensiling *** data were analyzed by means of linear/quadratic regression analysis,according to the best fit of the data and the probability values to 5%,using the Statistical Analysis System(SAS,2002).There were a linear decreasing effect on the neutral detergent fiber(NDF),ash and increasing values for the effluent in the *** effect was observed for crude protein(CP),lignin and *** the other factors dry matter(DM),acid detergent fiber(ADF)and gases there was no influence on the addition of souari nut *** 15%addition level of souari nut peel increased CP content,decreased NDF and pH,which was recommended to improve the fermentation profile of Mombasa grass silage.

关键词： Additive effluent production fermentation quality

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Descriptive Study:Congenital Malformations in Pediatric Patients of a Public Maternity Hospital of the City of Manaus,Amazonas

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journal of Pharmacy and Pharmacology 2019年第4期7卷 198-206页

作者： Cleiton Fantin Denise corrêa Benzaquem Marcelo Lasmar Santos Carlos Augusto da Silva Araújo júnior Lilian Barroso Carvalho Natanael Martins Gomes Larissa Nascimento Souza Gabriela Bentes Sousa Laboratory of Cytogenetics State University of Amazonas Manaus Amazonas Brazil

The Pan American Health Organization(PAHO)defines congenital malformation as any functional or structural anomaly in the development of the fetus,due to factors originating before birth,whether genetic,environmental or *** aim of the present study was to identify the frequency of malformations,the type of congenital malformations and to correlate this with risk factors in live-born infants,using SLB *** data were collected through consultation of the medical records of live-born infants of the Balbina Mestrinho Maternity Hospital,15,621 live births were reported,of which 248(1.58%)presented congenital *** was a higher prevalence of malformations among live-born males(49.7%),with Apgar≥7 at the first and fifth minute,gestational age ranging from 37-41 weeks,with 46%being born with appropriate weight between 3,000-4,000 *** association of two or more defects was observed in 38.7%of the total cases and isolated anomalies in 67.3%,with predominance of alterations of the digestive system(26.3%),followed by malformations of the musculoskeletal system(21.2%),nervous system(20.2%)and cleft lip/cleft palate(9.1%).The results presented here may guide strategic actions to improve care for families of people with congenital malformations.

关键词： Congenital abnormalities epidemiological inquiry prevalence newborn

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Malleostapedotomy for otosclerosis,our experience of nitinol piston on twelve patients

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journal of Otology 2020年第4期15卷 129-132页

作者： Stephane Gargula Mary Daval Nicolas Arej Mathieu Veyrat Alain corre Denis Ayache Department of Otorhinolaryngology Rothschild Foundation HospitalParisFrance Clinical Research Department Rothschild Foundation HospitalParisFrance

Objective:Malleostapedotomy allows to completely by-pass the incus in otosclerosis *** its use has been rivaled by hydroxyapatite cement for cases of mild and moderate necrosis of the ***,it remains gold standard for cases of extensive necrosis,incus dislocation,or epitympanic *** heat-crimping pistons make surgery easier and *** study focuses on our experience with this ***:Retrospective analysis of patient’s files and pre-and post-operative audiograms,for cases of surgically treated otosclerosis with ***:Twelve patients underwent malleostapedotomy for otosclerosis between 2011 and *** them there were 10 revision surgeries and 2 primary cases.75%had incus long-process necrosis,17%had epitympanic fixation and one had a history of incus *** patients(75%)had closure of air-bone gap(ABG)of<10 dB(p<0.001)and 11(92%)had a threshold of 20 dB(p<0.001).Mean pre-operative ABG was 31 dB(15 dBe55 dB),and mean post-operative ABG was 7 dB(0 dBe21 dB;p<0.001).There was no sensorineural hearing loss nor any other post-operative ***:Malleostapedotomy is a safe and reliable technique,allowing an ABG closure comparable to conventional incus to vestibule *** remains the preferred technique whenever the incus cannot be used.

关键词： Malleus Stapes Otosclerosis Conductive hearing loss Chronic otitis media Hydroxyapatite

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MRI引导聚焦超声消融治疗局限性中危前列腺癌：一项II期临床试验的早期结果

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国际医学放射学杂志 2021年第3期44卷 355-356页

作者： S.Ghai A.Finelli K.corr R.Chan S.jokhu X.Li 董龙春

摘要为了减少全腺体治疗的副作用,临床上显著的局限性前列腺癌病人可以接受MRI引导下局部治疗。目的探讨MRI引导下靶向高强度聚焦超声治疗临床显著的中危前

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Tailoring the degradation rate of magnesium through biomedical nano-porous titanate coatings

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journal of Magnesium and Alloys 2021年第1期9卷 336-350页

作者： Matthew D.Wadge jamie McGuire Benjamin V.T.Hanby Reda M.Felfel Ifty Ahmed david M.Grant Advanced Materials Research Group Faculty of EngineeringUniversity of NottinghamNG72RD United Kingdom Physics Department Faculty of ScienceMansoura UniversityMansoura 35516Egyp

A novel approach was developed to reduce the corrosion rate of magnesium(Mg)metal,utilising titanate *** sputtering was used to deposit ca.500 nm titanium(Ti)coatings onto pure Mg discs,followed by hydrothermal conversion and ion exchange reactions to produce sodium and calcium titanate *** confirmed the characteristic nanoporous structure of sodium and calcium titanate,with thicknesses ranging from ca.0.8 to 1.4μ*** analysis confirmed the presence of Ti^(4+)-O,Na-O,and Ca-O bonding,whilst Raman spectroscopy demonstrated characteristic vibrational modes(such as TiO 6 octahedral vibrations)of the sodium and calcium titanate perovskite ***,corrosion studies through potentiodynamic polarisation measurements demonstrated the NB/NH CaTC samples to be superior in reducing Mg degradation,compared to other samples tested,through an increase in E_(corr)from-1.49 to-1.33 V,and the reduction in corrosion current density,i corr,from 0.31 to 0.06 mA/cm^(2)for Mg and NB/NH CaTC samples,*** was a clear trend noted for the NB/NH samples,which showed an increase in E corr to more positive values in the following order:Mg

关键词： Magnesium degradation Titanate Biodegradable Ion exchange Electrochemical corrosion Magnetron sputtering

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High Sugar-Fat Diet Induces Metabolic-Inflammatory Disorders Independent of Obesity Development

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Food and Nutrition Sciences 2019年第6期10卷 664-677页

作者： jéssica Leite Garcia Fabiane Valentini Francisqueti Ana Paula da Costa Rodrigues Ferraz Artur junio Togneri Ferron Mariane Róvero Costa Cristina Schmitt Gregolin Dijon Henrique Salomé de Campos Klinsmann Carolo dos Santos Igor Otávio Minatel Camila Renata corrêa Medical School S&#227 o Paulo State University (UNESP) Botucatu Brazil Institute of Bioscience S&#227 o Paulo State University (UNESP) Botucatu Brazil

Background: The modern dietary habit, which is rich in refined carbohydrates and saturated fats, increases the risk of chronic diseases due to the proinflammatory effect of these nutrients. Aim: To evaluate the impact of high sugar-fat diet in the development of metabolic-inflammatory disorders in non-obese animals. Methods: Male Wistar rats were distributed into two groups according to the diet: control and high sugar-fat for 30 weeks. It was analyzed: dietary efficiency;chow, water and caloric intake;metabolic and hormonal profile in plasma and inflammatory cytokines in epididymal adipose tissue. Data were compared by Student’s t test or by Mann-Whitney U test with p Results: HSF presented lower chow intake, higher water consumption and dietary efficiency with no difference in the caloric intake. The final body weight (FBW) and weight gain (WG) were lower in the HSF group and there was no difference in the adiposity index (AI). HSF diet-induced hyperglycemia and hyperinsulinemia with no difference for Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Triglycerides, uric acid, adiponectin and leptin levels were higher in the HSF group. The HSF group showed increased interleukin-6 (IL-6) and tumoral necrosis factor-alpha (TNF-α) levels in epidydimal adipose tissue. The urinary protein-creatinine ratio and albuminuria were higher in the HSF group. Conclusion: HSF diet intake is directly involved in the development of metabolic-inflammatory disorders independent of obesity, dissociating the view that increased adiposity is the major risk factor for complications commonly found in obese individuals.

关键词： High Sugar-Fat Diet Western Diet Adipose Tissue Cytokines Metabolic Disorders

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