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Remnant gastric cancer:An ordinary primary adenocarcinoma or a tumor with its own pattern?

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World Journal of Gastrointestinal Surgery 2021年第4期13卷 366-378页

作者： Marcus Fernando Kodama Pertille ramos Marina Alessandra pereira Andre Roncon Dias Anna Carolina Batista Dantas Daniel Jose Szor Ulysses Ribeiro Jr Bruno Zilberstein Ivan Cecconello Department of Gastroenterology Instituto do CancerHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão PauloSão Paulo 01249000Brazil

BACKGROUND Remnant gastric cancer(RGC)is defined as a tumor that develops in the stomach after a previous gastrectomy and is generally associated with a worse ***,there little information available regarding RGCs and their prognostic factors and *** To evaluate the clinicopathological characteristics and prognosis of RGC after previous gastrectomy for benign *** Patients who underwent curative resection for primary gastric cancer(GC)at our institute between 2009 and 2019 were retrospectively *** RGC resections with histological diagnosis of gastric adenocarcinoma were enrolled in this *** proximal GC(PGC)who underwent total gastrectomy was selected as the comparison *** and pathological data were collected from a prospective medical *** A total of 41 patients with RGC and 120 PGC were *** age(P=0.001),lower body mass index(P=0.006),hemoglobin level(P<0.001),and number of resected lymph nodes resected(LN)(P<0.001)were associated with the RGC *** type,pathological tumor-node-metastasis,and perioperative morbimortality were similar between RGC and *** was no difference in disease-free survival(P=0.592)and overall survival(P=0.930)between *** status was the only independent factor related to *** RGC had similar clinicopathological characteristics to *** the lower number of resected LN,RGC had a similar prognosis.

关键词： Stomach neoplasms Gastric remnant Gastric cancer Remnant gastric cancer Peptic ulcer Gastric stump

Acetylcholinesterase and Cytotoxic Activity of Chemical Constituents of Clutia lanceolata Leaves and its Molecular Docking Study

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Natural Products and Bioprospecting 2016年第6期6卷 267-278页

作者： Mehtab Parveen Faheem Ahmad Ali Mohammed Malla Shaista Azaz Mahboob Alam Omer A.Basudan Manuela ramos Silva Pedro S.pereira Silva Department of Chemistry Aligarh Muslim UniversityAligarh 202002India Division of Bioscience Dongguk UniversityGyeongju 780-714Republic of Korea Pharmacognosy College of PharmacyKing Saud UniversityRiyadh 4451Saudi Arabia CFisUC Department of PhysicsUniversity of Coimbra3004-516 CoimbraPortugal

Phytochemical investigations of the ethanolic extract of leaves of Clutia lanceolata(Family:Euphorbiaceae)resulted in the isolation of four compounds viz.3,4-dihydroxy-2-methylbenzoic acid(1),2,20-dihydroxy-1,10-binaphthyl(2),1,3,8-trihydroxy-6-methylanthracene-9,10-dione(3)and 5-hydroxy-1,7-bis(4-hydroxy-3-methoxyphenyl)hepta-1,4,6-trien-3-one(4).Although all the isolated compounds were known but this was the first report from this plant *** structures were established on the basis of chemical and physical evidences *** analysis,FT-IR,1 H-NMR,13CNMR and mass spectral *** of compound 2 and 4 was further authenticated by single-crystal X-ray analysis and density functional theory *** isolated compounds(1–4)were screened for AChE enzyme inhibition assay in which compound 3 and 4 were found to be more potent AChE *** docking study of potent AChE inhibitor was performed to find the probable binding mode of the compounds into the active site of ***,the isolated compounds were also screened for in vivo cytotoxicity by brine shrimp lethality assay.

关键词： Clutia lanceolata X-ray crystallography AChE Molecular docking Cytotoxicity

Immunohistochemical expression of thymidylate synthase and prognosis in gastric cancer patients submitted to fluoropyrimidine-based chemotherapy

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Chinese Journal of Cancer Research 2018年第5期30卷 526-536页

作者： Marina Alessandra pereira Marcus Fernando Kodama Pertille ramos ANDre Roncon Dias Sheila Friedrich Faraj Cinthya dos Santos Cirqueira EvANDro Sobroza de Mello Bruno Zilberstein Venancio Avancini Ferreira Alves Ulysses Ribeiro Jr Department of Gastroenterology Cancer InstituteUniversity of Sao Paulo Medical School Department of Pathology Cancer InstituteUniversity of Sao Paulo Medical School Department of Pathology Instituto Adolfo Lutz

Objective： Adjuvant chemotherapy with 5-fluorouracil （5-FU） has been widely used in gastric cancer （GC） patients to prevent relapse after curative resection. 5-FU acts by inhibiting thymidylate synthase （TS）, and high levels of TS correlate with resistance to treatment with fluoropyfimidines. The aim of this study was to evaluate the expression of TS in GC patients, and its relation with clinicopathological characteristics and prognosis in adjuvant chemotherapy with 5-FU. Methods： We retrospectively evaluated 285 patients who underwent D2-gastrectomy with curative intent. TS expression was determined by immunohistochemistry （IHC） in tumor cells by tissue microarray （TMA）. TS level was evaluated according to the intensity and percentage of cells marked by a score system. Patients were divided in three groups according to their TS-score： negative, low and high. Results： TS expression was positive in 92.3% of GC. TS-high, TS-low and TS-negative were observed in 46.3%, 46.0% and 7.7% of patients, respectively. High-TS GC were associated with older age （P=0.007）, high neutrophil/lymphocyte ratio （P=0.048）, well/moderately differentiated histology （P=0.001）, intestinal Lauren type （P〈0.001） and absence of perineural invasion （P=0.003）. Among 285 patients, 133 stage IUIII patients （46.7%） received chemotherapy with 5-FU. In survival analysis, TS-high was associated with worse disease-free survival （DFS） in stage III GC patients who received 5-FU-based chemotherapy （P=0.007）. Multivariate analysis revealed that total gastrectomy, poorly differentiated tumors and high TS-score were associated with worse DFS in stage III GC patients. Conclusions： High TS-score in stage III GC was associated with poor DFS in patients treated with fluoropyrimidine-based chemotherapy.

关键词： Gastric cancer adjuvant therapy thymidylate synthase 5-fluorouracil-based chemotherapy

Verification of Applicability of the Polyurethane Adhesive Based on Castor Oil in the Manufacture of Glued Laminated Bamboo

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Journal of Chemistry and Chemical Engineering 2014年第9期8卷 898-905页

作者： Flavio Cardoso Ventura Bruno Perazzelli Farias ramos Marco Antonio dos Reis pereira FATEC JAHU Faculty of Technology Jahu Jahu 17212-599 Brazil School of Architecture Arts and Communication Sao Paulo State University Bauru 17033-360 Brazil Department of Mechanical Engineering Sao Paulo State University Bauru 17033-360 Brazil

The current concern with the environment promotes the development of new technologies for production with use of alternative materials, from renewable resources, and changes in production processes, having as main objective the reduction of environmental impact. One of the alternatives for cleaner production is the use of castor oil derivatives instead of non-renewable sources, such as adhesives based on PVA （polyvinyl acetate）, applied in the manufacturing process of glued laminated bamboo. Based on the versatility of the bamboo laminate and the castor oil, and from the perspective of sustainability, this study aims to contribute to the application of new materials and processes, used in the manufacturing industry, by proposing the use of the polyurethane adhesive based on castor oil for glued laminated bamboo manufacturing, which can later be used in the manufacture of several products. To verify the applicability of the polyurethane adhesive based on castor oil in the glued laminated bamboo manufacture, mechanical tests of traction and shearing of the glue sheet were performed in specimens of the said material, and the results were compared with the Cascorez 2590 and Waterbond adhesives. The results showed that the polyurethane adhesive based on castor oil, in the traction test, has superior performance than the Waterbond adhesive and slightly below than the Cascorez 2590 adhesive, but in the shear test, the polyurethane adhesive based on castor oil presented a slightly inferior performance than the other two adhesives used in the comparison.

关键词： Design castor oil glued laminated bamboo sustainable development PVA adhesives.

Female Sexual Function after Surgical Treatment of Urinary Incontinence

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Open Journal of Obstetrics and Gynecology 2018年第12期8卷 1210-1221页

作者： eliane Goldberg Rabin Janete Vettorazzi Fernanda Santos Grossi Bruno Ribeiro Bossardi Bruno Florentino Goldani José Geraldo Lopes ramos Postgraduation Program in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre Brazil Nucleus of Studies and Research in Sexuality of Rio Grande do Sul (NEPESEX) CNPq Caxias do Sul Brazil Department of Gynecology and Obstetrics Faculty of Medicine (FAMED) UFRGS Porto Alegre Brazil FAMED UFRGS Porto Alegre Brazil Service of Obstetrics and Gynecology Hospital de Clínicas de Porto Alegre (HCPA) Porto Alegre Brazil

Introduction: Urinary incontinence is a common problem that can affect the quality of life of women of all ages and can negatively influence the exercise of sexuality. Aim: The aim of this study was to compare sexual function of women before and after surgical treatment for urinary incontinence. Method: The sample consisted of 38 women with urinary incontinence and surgical treatment (Burch or Sling procedure). The Female Sexual Function Index (FSFI) was used to evaluate sexual dysfunction before and after surgical treatment. Results: The mean age of the women in the study was 48 ± 8.8 years, and 58% were 50 years old or younger. By analyzing FSFI, it was observed that the majority of subjects had an overall index of sexual dysfunction (score < 26 points) before surgery. The desire and arousal domains improved significantly after surgery for all women included in the study. It was also observed that women with higher levels of education had more positive results related to desire. Conclusions: In our sample, in general, sexual function improved after surgical treatment of urinary incontinence, regardless of technique used, particularly in the discounter and pain domain. There was a substantial improvement of the sexual function among women who had presented with cystocele. Desire and arousal improved significantly after surgery, very likely due to the improvement of self-esteem after surgery.

关键词： Female Urinary Incontinence Sexual Dysfunction Urogynecology Surgical Procedures FSFI

Additions of landscape metrics improve predictions of occurrence of species distribution models

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Journal of Forestry Research 2017年第5期28卷 963-974页

作者： rica Hasui Vinícius X.Silva Rogrio G.T.Cunha Flavio N.ramos Milton C.Ribeiro Mario Sacramento Marco T.P.Coelho Diego G.S.pereira Bruno R.Ribeiro Laboratório de Ecologia de Fragmentos Florestais(ECOFRAG) Instituto de Ciência da NaturezaUniversidade Federal de Alfenas Laboratório de Ecologia Espacial e Conservao(LEEC) Departamento de EcologiaUNESP Estao de Hidrobiologia e Piscicultura de Furnas–EHPF Programa de Pós-Graduao em Ecologia e Evoluo da Universidade Federal de Goiás Universidade Federal de Goiás Departamento de Ciências Florestais Universidade Federal de LavrasCmpus Universitário

Species distribution models are used to aid our understanding of the processes driving the spatial patterns of species’ habitats. This approach has received criticism, however, largely because it neglects landscape metrics. We examined the relative impacts of landscape predictors on the accuracy of habitat models by constructing distribution models at regional scales incorporating environmental variables (climate, topography, vegetation, and soil types) and secondary species occurrence data, and using them to predict the occurrence of 36 species in 15 forest fragments where we conducted rapid surveys. We then selected six landscape predictors at the landscape scale and ran general linear models of species presence/absence with either a single scale predictor (the probabilities of occurrence of the distribution models or landscape variables) or multiple scale predictors (distribution models + one landscape variable). Our results indicated that distribution models alone had poor predictive abilities but were improved when landscape predictors were added; the species responses were not, however, similar to the multiple scale predictors. Our study thus highlights the importance of considering landscape metrics to generate more accurate habitat suitability models.

关键词： Ecological niche model Generalized linear models Habitat suitability Landscape structure Maxent

Risk factors for blood transfusion and its prognostic implications in curative gastrectomy for gastric cancer

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World Journal of Gastrointestinal Surgery 2023年第4期15卷 643-654页

作者： Lucas Eiki Kawakami Pedro Barzan Bonomi Marina Alessandra pereira Fabrício Oliveira Carvalho Ulysses Ribeiro Jr Bruno Zilberstein Luciana Ribeiro Sampaio Luiz Augusto Carneiro-D'Albuquerque Marcus Fernando Kodama Pertille ramos Department of Gastroenterology Instituto do CancerHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloSao Paulo 01249000Brazil Blood Transfusion Unit Instituto do CancerHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de Sao PauloSao Paulo 01249000Brazil

BACKGROUND Gastric cancer(GC)is still a prevalent neoplasm around the world and its main treatment modality is surgical *** need for perioperative blood transfusions is frequent,and there is a long-lasting debate regarding its impact on *** To evaluate the factors related to the risk of receiving red blood cell(RBC)transfusion and its influence on surgical and survival outcomes of patients with *** Patients who underwent curative resection for primary gastric adenocarcinoma at our Institute between 2009 and 2021 were retrospectively *** and surgical characteristics data were *** patients were divided into transfusion and non-transfusion groups for *** A total of 718 patients were included,and 189(26.3%)patients received perioperative RBC transfusion(23 intraoperatively,133 postoperatively,and 33 in both periods).Patients in the RBC transfusions group were older(P<0.001),and had morecomorbidities(P=0.014),American Society of Anesthesiologists classification III/IV(P<0.001),and lower preoperative hemoglobin(P<0.001)and albumin levels(P<0.001).Larger tumors(P<0.001)and advanced tumor node metastasis stage(P<0.001)were also associated with the RBCtransfusion *** rates of postoperative complications(POC)and 30-d and 90-d mortalitywere significantly higher in the RBC transfusion group than in the non-transfusion *** and albumin levels,total gastrectomy,open surgery,and the occurrence of POC werefactors associated with the RBC *** analysis demonstrated that the RBCtransfusions group had worse disease-free survival(DFS)and overall survival(OS)compared withpatients who did not receive transfusion(P<0.001 for both).In multivariate analysis,RBCtransfusion,major POC,pT3/T4 category,pN+,D1 lymphadenectomy,and total gastrectomywere independent risk factors related to worse DFS and *** RBC transfusion is associated with worse clinical condition

关键词： Stomach neoplasms Blood transfusion Red blood cells Postoperative complications Survival Prognosis

Prognostic implications of tumor-infiltrating lymphocytes in association with programmed cell death ligand 1 expression in remnant gastric cancer

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Chinese Journal of Cancer Research 2022年第6期34卷 612-622页

作者： Marina Alessandra pereira Marcus Fernando Kodama Pertille ramos André Roncon Dias Leonardo Cardili Rafael Dyer Rodrigues de Moraes Renan Ribeiro E Ribeiro Venancio Avancini Ferreira Alves Bruno Zilberstein Evandro Sobroza de Mello Ulysses Ribeiro Jr Department of Gastroenterology Instituto do Cancer do Estado de Sao PauloHospital das ClinicasFaculdade de MedicinaUniversidade de Sao Paulo(ICESP-HCFMUSP)Sao PauloSP 01246-000Brazil Department of Pathology Instituto do Cancer do Estado de Sao PauloHospital das ClinicasFaculdade de MedicinaUniversidade de Sao Paulo(ICESP-HCFMUSP)Sao PauloSP 01246-000Brazil

Objective:Remnant gastric cancer(RGC)is usually associated with a worse *** they are less common and very heterogeneous tumors,new prognostic and reliable determinants are required to predict patients’clinical course for *** study aimed to investigate the tumor-infiltrating lymphocytes(TILs)and programmed cell death ligand 1(PD-L1)status as prognostic biomarkers in a cohort of patients with RGC to develop an immunerelated ***:Patients with gastric cancer(GC)who underwent curative intent gastrectomy were retrospectively *** resections with histological diagnosis of gastric adenocarcinoma were enrolled in the *** risk score based on immune parameters was developed using binary logistic regression *** were divided into high-risk(HR),intermediate-risk(IR),and low-risk(LR)groups based on their immune *** markers(CD3+,CD4+/CD8+T cells and PD-L1)were selected for their potential prognostic,therapeutic value,and evaluated by immunohistochemistry(IHC).Results:A total of 42 patients with RGC were enrolled in the *** score based on immune parameters exhibited an accuracy of 79%[the area under the receiver operating characteristic curve(AUC)=0.79,95%confidence interval(95%CI),0.63-0.94,P=0.002],and the population was divided into 3 prognostic groups:10(23.8%)patients were classified as LR,15(35.7%)as IR,and 17(40.5%)as HR *** were no differences in clinicopathological and surgical characteristics between the three *** survival analysis,HR and IR groups had worse disease-free survival and overall survival rates compared to the LR *** the multivariate analysis,lymph node metastasis and the immune score risk groups were independent factors related to worse ***:A scoring system with immune-related markers was able to distinguish prognostic groups of RGC associated with ***,tumor-infiltrating immune lymphocytes and PD-L1 status may serve as a potential prognostic bi

关键词： Stomach neoplasms gastric remnant tumor-infiltrating lymphocytes immune microenvironment

Mesophyll thickness and sclerophylly among Calotropis procera morphotypes reveal water-saved adaptation to environments

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Journal of Arid Land 2019年第6期11卷 795-810页

作者： Marcelo F POMPELLI Keila R MENDES Marcio V ramos Jose N B SANTOS Diaa T A YOUSSEF Jaqueline D pereira Laurício ENDRES Alfredo JARMA-OROZCO Rodolfo SOLANO-GOMES Betty JARMA-ARROYO Andre L J SILVA Marcos A SANTOS Werner C ANTUNES Plant Physiology Laboratory Department of BotanyFederal University of PernambucoRecife 50670901Brazil Department of Biochemistry and Molecular Biology Federal University of CearáFortaleza 60020603Brazil Department of Natural Products Faculty of PharmacyKing Abdulaziz UniversityJeddah 21589Saudi Arabia Institute of Botany Federal University of ViçosaRio Paranaíba CampusRio Paranaiba 36570900Brazil Plant Ecophysiology Laboratory Federal University of AlagoasMaceio 57072900Brazil Faculty of Agricultural Science University of CórdobaMontería 230002Colombia Instituto Politécnico Nacional Research Interdisciplinary Center for Integrated Rural DevelopmentSanta Cruz XoxocotlanOaxaca 7738Mexico Department of Biology University of MaringáMaringá87020900Brazil

Calotropis procera(Aiton)Dryand(Apocynaceae)is a native species in tropical and subtropical Africa and ***,due to its fast growing and drought-tolerant,it has become an invasive species when it was introduced into Central and South America,as well as the Caribbean ***,*** displays a wide distribution in the *** is important,in particular,because many invasive species exert a high reproductive pressure on the invaded communities or are highly productive in their new distributed *** has been suggested that a very deep root system and a high capacity to reduce stomatal conductance during water shortage could allow this species to maintain the water status required for a normal ***,the true mechanism behind the successful distribution of *** across wet and dry environments is still *** leaves were collected from 12 natural populations in Brazil,Colombia and Mexico,ranging from wet to dry environments during 2014–*** traits of morphology and anatomy from these distinct morphotypes were *** found that *** leaves had a considerable capacity to adjust their morphological,anatomical and physiological traits to different *** magnitude of acclimation responses,i.e.,plasticity,had been hypothesized to reflect the specialized adaptation of plant species to a particular ***,allometric models for leaf area(LA)estimation cannot be grouped as a single *** are narrower and thicker with low amounts of air spaces inside the leaf parenchyma in wet environments,while they are broader and thinner with a small number of palisade cell layers in dry *** on these,we argue that broader and thinner leaves of *** dissipate incident energy at the expense of a higher rate of transpiration to survive in environments in which water is the most limiting factor and to compete in favorable wet environments.

关键词： invasive plant energy budget leaf anatomy morphological trait specific leaf area