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Iron-Deficiency Anemia Management in Gynecological Surgery: A Review of Current Evidence and Best Practices

Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1223-1241页

作者： Aline Evangelista Santiago Artur lima Sendin Víctor nilo Nogueira Rogério Adão Braga Admilson Lemos Costa Filho Eduardo Batista Cândido Agnaldo Lopes silva Filho Department of Gynecology and Obstetrics Faculty of Medicine Santo Amaro University (UNISA) So Paulo Brazil Department of Gynecology and Obstetrics Federal University of Minas Gerais (UFMG) Belo Horizonte Brazil Department of Gynecology and Obstetrics Faculty of Medicine So Paulo State University (UNESP) So Paulo Brazil

Purpose: Due to the high prevalence of iron deficiency anemia in women undergoing gynecological surgeries and its association with worse postoperative results, it is necessary to identify and treat anemia preoperatively. However, although anemia and iron deficiency are significant global health problems, there are still disparities in the recognition and implementation of “Patient Blood Management” (PBM) as a comprehensive approach to mitigating the risks associated with these diseases. The purpose of the study is to review best practices for the treatment of anemia based on the Enhanced Recovery After Surgery (ERAS) protocol and PBM recommendations. Methods: This study reviewed the literature on preoperative iron deficiency anemia in patients undergoing gynecological surgery. We identified references through searches in PubMed using relevant search terms. Results: Among the various strategies used in PBM, perhaps the most important is the early detection and management of anemia. In gynecological surgery, there are several approaches to reducing perioperative blood loss, highlighting the use of gonadotropin-releasing hormone (GnRH) agonists (aGnRh) and antifibrinolytics. Oral and intravenous iron supplementation can be performed in addition to blood transfusion to treat anemia. Conclusion: Addressing preoperative and postoperative anemia through systematic correction, following the guidelines of the ERAS protocol and PBM guidelines, is essential to improving perioperative outcomes in women undergoing gynecological surgery.

关键词： Anemia Gynecological Surgery Iron Supplementation Iron Deficiency

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Can the Ucides cordatus Fishing and the Crassostrea gasar Creation on the Amazon Coast Make up the Curriculum of Rural Schools

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Journal of Fisheries Science 2021年第1期3卷 37-46页

作者： Ivaney dos Santos Cardoso Elaine Vasconcelos Bezerra Alves Leandro Lopes Rodrigues Ana Célia Barbosa Guedes LuãCaldas de Oliveira Manoel Luciano Aviz de Quadros Débora Tatyane Oliveira Xavier Altevir Signor fabricio nilo lima da silva Instituto Federal de Educação Ciência e Tecnologia do Pará(IFPA)Campus Avançado VigiaRodovia PA-140Km 55próximo ao trevo de São CaetanoVigiaPará68.780-000Brasil Universidade da Amazônia(UNAMA) Campus Alcindo Cacela.Avenida Alcindo Cacela287-UmarizalBelémPará66060-000Brasil Instituto Federal de Educação Ciência e Tecnologia do Pará(IFPA)Campus Breves.Rua Antônio Fulgêncio da Silvas/n-Bairro:Parque UniversitárioBrevesPará68.800-000Brasil Faculdade Católica Paulista.Avenida Cristo Rei n 305 17515-200MaríliaSão PauloBrasil Universidade Estadual do Oeste do Paraná(UNIOESTE) Campus Toledo.Rua da Faculdade645-Jardim La Salle85903-000ToledoParanáBrasil

The fishing and ostreiculture activities practiced in the coast of the Eastern Amazon in the state of Pará,Brazil,became important to be inserted in rural ***,this literature review aimed to realize a brief theoretical discussion about the important aspects of rural education in promoting the development of fishing and *** the accomplishment of the literary research it was sought to explain the definition in education;rural education and valorization of the rural environment;environmental education as a transversal theme;fishing and aquaculture as a teaching strategy;considerations of fishing and ostreiculture;challenges and perspectives of the teaching of fishing and aquaculture in education;and booklet as a pedagogical tool in *** conclusion,the use of fishing and ostreiculture as a strategy for rural schools through environmental education is important to foster fishing activity in communities,as well as the sustainable use of natural resources.

关键词： Fishing resources Ostreiculture Environmental education Brazil

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Identification and characterization of resistance and pathogenicity of Enterococcus *** samples of donor breast milk

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World Journal of Clinical Pediatrics 2020年第3期9卷 53-62页

作者： Luana Andrade Mendes Santana Nivea Nara Novais Andrade Lucas Santana Coelho da silva Caline Novais Teixeira Oliveira Breno Bittencourt de Brito fabricio Freire de Melo Claudio lima Souza Lucas Miranda Marques Marcio Vasconcelos Oliveira Oliveira Instituto Multidisciplinar em Saúde Universidade Federal da BahiaVitória da Conquista 45029-094BahiaBrazil

BACKGROUND Breast milk is the primary source of nutrition for *** babies frequently need nutritional support from Human Milk *** bacterial species of the genus Enterococcus are part of the microbiota of healthy donors,they may contaminate samples of pumped breast *** To identify and characterize the bacterial virulence and resistance in samples isolated from the nipple-areolar region,hands,and breast milk aliquots from donors at the Human Milk Bank of Municipal Hospital EsauMatos in the city of Vitória da Conquista,Bahia State,*** The personal hygiene and sanitation of donors were analyzed with the aim of identifying possible reasons for contamination of pumped *** samples as well as aliquots of unpasteurized and pasteurized milk from 30 participants were *** Enterococcus *** underwent a disk diffusion susceptibility test and molecular biology techniques to determine resistance and virulence *** Enterococcus *** identified in 30%of donors(n=9),and 11 specimens were *** to tetracycline was highly prevalent,being detectable in 63%of the isolates(n=7)and followed by intermediate sensitivity to ciprofloxacin,observed in 27%of the specimens(n=3).The efaA gene was found in 63%(n=7)of the isolates,while the ace gene was detected in 27%(n=3).CONCLUSION This study illustrates the importance of microbiological monitoring by Human Milk Banks and the need for alternatives to prevent the presence of Enterococcus *** hospital settings.

关键词： Enterococcus spp. Breast milk Virulence Human milk Pasteurization Antimicrobial resistanc

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Oncolytic virus therapy in cancer: A current review

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World Journal of Virology 2021年第5期10卷 229-255页

作者： Jonathan Santos Apolonio Vinicius lima de Souza Goncalves Maria Luisa Cordeiro Santos Marcel silva Luz Joao Victor silva Souza Samuel Luca Rocha Pinheiro Wedja Rafaela de Souza Matheus Sande Loureiro fabricio Freire de Melo Universidade Federal da Bahia Instituto Multidisciplinar em SaudeVitoria da Conquista 45029-094BahiaBrazil Universidade Estadual do Sudoeste da Bahia Campus Vitoria da ConquistaVitoria da Conquista 45083-900BahiaBrazil

In view of the advancement in the understanding about the most diverse types of cancer and consequently a relentless search for a cure and increased survival rates of cancer patients,finding a therapy that is able to combat the mechanism of aggression of this disease is extremely ***,oncolytic viruses(OVs)have demonstrated great benefits in the treatment of cancer because it mediates antitumor effects in several *** can be used to infect cancer cells,especially over normal cells,to present tumor-associated antigens,to activate“danger signals”that generate a less immune-tolerant tumor microenvironment,and to serve transduction vehicles for expression of inflammatory and immunomodulatory *** success of therapies using OVs was initially demonstrated by the use of the genetically modified herpes virus,talimogene laherparepvec,for the treatment of *** this time,several OVs are being studied as a potential treatment for cancer in clinical ***,it is necessary to be aware of the safety and possible adverse effects of this therapy;after all,an effective treatment for cancer should promote regression,attack the tumor,and in the meantime induce minimal systemic *** this manuscript,we will present a current review of the mechanism of action of OVs,main clinical uses,updates,and future perspectives on this treatment.

关键词： Oncolytic viruses Antitumor response Tumor lysis Tumor cells Mechanism Therapy

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Parasite Fauna of Lutjanus synagris Commercialized in the Fish Market from Bragança-PA,Brazil

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Journal of Zoological Research 2019年第3期1卷 1-4页

作者： Natalino da Costa Sousa daiana silva dos Santos Silmara Rosa silva Alexandre Vaz da silva Jucimauro de Araújo P.Junior João Vitor Antunes Miranda Pedro Rodrigo Nery de Souza Matheus Carvalho de Melo Fagner de Melo Xavier Wellington lima da silva Junior fabricio Ramos Menezes Márcia Valeria silva do Couto Federal University of Pará(UFPA) Campus BragançaAlameda Leandro RibeiroBragança68600-000PABrazil Federal University of Pará(UFPA) Campus Tucuruí-ParáBrazil Federal University of Sergipe(UFS) Departamento de Pesca e Aquicultura.Aracaju-SergipeBrazil Instituto Federal do Pará(IFPA) Campus de Cametá-ParáBrazil

Studies about the parasite fauna of marine fish highlights as an important problem for public health with zoonotic parasites or affecting the fish ***,this study evaluated the parasite fauna of Lutjanus synagris commercialized in the fish market from Braganç*** laboratory,58 fish were measured,weighted and conducted to parasitological analysis to determine parasitological indexes and relative *** parasite was fixed and identified until to the lowest taxonomic *** the parasitological analysis,it found Cymothoidae,Digenea,Cucullanus *** Procamallanus(Spirocamallanus)sp.,with total prevalence 67.24%.Digenea showed the highest prevalence and mean intensity *** nematode,Cucullanus *** the greater prevalence and relative dominance,while Procamallanus(Spirocamallanus)*** the greater mean intensity and *** showed the lowest prevalence and mean intensity *** conclusion,the parasite fauna of *** has been noted with low diversity,reporting the nematode occurrence Procamallanus(Spirocamallanus).

关键词： Cymothoidae Parasite Marine fish

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Decline in subarachnoid haemorrhage volumes associated with the first wave of the COVID- 19 pandemic

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Stroke & Vascular Neurology 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Diogo C Haussen Muhammad M Qureshi Hiroshi Yamagami Toshiyuki Fujinaka Ossama Y Mansour Mohamad Abdalkader Michael Frankel Zhongming Qiu Allan Taylor Pedro Lylyk Omer F Eker Laura Mechtouff Michel Piotin fabricio Oliveira lima Francisco Mont'Alverne Wazim Izzath Nobuyuki Sakai Mahmoud Mohammaden Alhamza R Al-Bayati Leonardo Renieri Salvatore Mangiafico david Ozretic Vanessa Chalumeau Saima Ahmad Umair Rashid Syed Irteza Hussain Seby John Emma Griffin John Thornton Jose Antonio Fiorot Rodrigo Rivera Nadia Hammami Anna M Cervantes-Arslanian Hormuzdiyar H dasenbrock Huynh Le Vu Viet Quy Nguyen Steven Hetts Romain Bourcier Romain Guile Melanie Walker Malveeka Sharma Don Frei Pascal Jabbour Nabeel Herial Fawaz Al-Mufti Atilla Ozcan Ozdemir Ozlem Aykac Dheeraj Gandhi Chandril Chugh Charles Matouk Pascale Lavoie Randall Edgell Andre Beer-Furlan Michael Chen Monika Killer-Oberpfalzer Vitor Mendes Pereira Patrick Nicholson Vikram Huded Nobuyuki Ohara daisuke Watanabe Dong Hun Shin Pedro SC Magalhaes Raghid Kikano Santiago Ortega-Gutierrez Mudassir Farooqui Amal Abou-Hamden Tatsuo Amano Ryoo Yamamoto Adrienne Weeks Elena A Cora Rotem Sivan-Hoffmann Roberto Crosa Markus Möhlenbruch Simon Nagel Hosam Al-Jehani Sunil A Sheth Victor S Lopez Rivera James E Siegler Achmad Fidaus Sani Ajit S Puri Anna Luisa Kuhn Gianmarco Bernava Paolo Machi daniel G Abud Octavio M Pontes-Neto Ajay K Wakhloo Barbara Voetsch Eytan Raz Shadi Yaghi Brijesh P Mehta Naoto Kimura Mamoru Murakami Jin Soo Lee Ji Man Hong Robert Fahed Gregory Walker Eiji Hagashi Steve M Cordina Hong Gee Roh Ken Wong Juan F Arenillas Mario Martinez-Galdamez Jordi Blasco Alejandro Rodriguez Vasquez Luisa Fonseca M Luis silva Teddy Y Wu Simon John Alex Brehm Marios Psychogios William J Mack Matthew Tenser Tatemi Todaka Miki Fujimura Roberta Novakovic Jun Deguchi Yuri Sugiura Hiroshi Tokimura Rakesh Khatri Michael Kelly Lissa Peeling Yuichi Murayama Hugh Stephen Winters Johnny Wong Mohamed Teleb Jeremy Payne Hiroki Fukuda Kosuke Miyake Junsuke Shimbo Yusuke Sug Neurology RadiologyBoston Medical CenterBostonMassachusettsUSA Neurology Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radiology Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neurology National Hospital Organization Osaka National HospitalOsakaJapan Neurosurgery National Hospital Organization Osaka National HospitalOsakaJapan Neurology Alexandria UniversityAlexandriaEgypt Radiology Boston Medical CenterBostonMassachusettsUSA Department of Neurology Xinqiao HospitalChongqingChina Neurosurgery University of Cape TownRondeboschWestern CapeSouth Africa Neurosurgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuroradiologie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional Neuroradiology Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neurology Hospital Geral de FortalezaFortalezaBrazil Interventional Neuroradiology Hospital Geral de FortalezaFortalezaBrazil Neuroradiology Nottingham University Hospitals NHS TrustNottinghamUK Department of Neurosurgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular Unit University Hospital CareggiFirenzeToscanaItaly Neuroradiology University Hospital Centre ZagrebZagrebCroatia Interventional Neuroradiology Hopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional Neuroradiology Lahore General HospitalLahorePakistan Neurological Institute Cleveland Clinic Abu DhabiAbu DhabiUAE Department of Radiology Beaumont HospitalDublinIreland Neurology Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuroradiology Instituto de Neurocirugia Dr AsengoSantiagoChile Interventional Neuroradiology Institut National de NeurologieTunisTunisia Neurology Boston Medical CenterBostonMassachusettsUSA Neurosurgery Boston Medical Center

Background During the COVID-19 pandemic,decreased volumes of stroke admissions and mechanical thrombectomy were *** study’s objective was to examine whether subarachnoid haemorrhage(SAH)hospitalisations and ruptured aneurysm coiling interventions demonstrated similar *** We conducted a cross-sectional,retrospective,observational study across 6 continents,37 countries and 140 comprehensive stroke *** with the diagnosis of SAH,aneurysmal SAH,ruptured aneurysm coiling interventions and COVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases,10th Revision,*** 3-month cumulative volume,monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before(1 year and immediately before)and during the pandemic,defined as 1 March-31 May *** prior 1-year control period(1 March-31 May 2019)was obtained to account for seasonal *** There was a significant decline in SAH hospitalisations,with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic,representing a relative decline of 22.5%(95%CI−24.3%to−20.7%,p<0.0001).Embolisation of ruptured aneurysms declined with 1170-1035 procedures,respectively,representing an 11.5%(95%CI−13.5%to−9.8%,p=0.002)relative *** analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,p<0.0001).A relative increase in ruptured aneurysm coiling was noted in low coiling volume hospitals of 41.1%(95%CI 32.3%to 50.6%,p=0.008)despite a decrease in SAH admissions in this *** There was a relative decrease in the volume of SAH hospitalisations,aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the COVID-19 *** findings in SAH are consistent with a decrease in other emergencies,such as stroke and myocardial infarction.

关键词： diagnosis representing subarachnoid

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