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Accuracy of gestalt perception of acute chest pain in predicting coronary artery disease

World Journal of Cardiology 2017年第3期9卷 241-247页

作者： Cláudio Marcelo Bittencourt das Virgens Laudenor Lemos Jr Márcia Noya-Rabelo Manuela Campelo Carvalhal Antonio Maurício dos Santos Cerqueira Junior Fernanda Oliveira de Andrade Lopes Nicole Cruz de Sá Jéssica Gonzalez Suerdieck Thiago Menezes Barbosa de Souza Vitor Calixto de Almeida Correia Gabriella Sant’Ana Sodré AndréBarcelos da Silva felipe Kalil Beirao Alexandre felipe rodrigues marques ferreira Luís Cláudio Lemos Correia Department of Cardiology Hospital Sao Rafael Department of Cardiology Hospital Português Bahiana School of Medicine and Public Health

AIM To test accuracy and reproducibility of gestalt to predict obstructive coronary artery disease(CAD)in patients with acute chest *** We studied individuals who were consecutively admitted to our Chest Pain *** admission,investigators performed a standardized interview and recorded14 chest pain *** on these features,a cardiologist who was blind to other clinical characteristics made unstructured judgment of CAD probability,both numerically and *** the reference standard for testing the accuracy of gestalt,angiography was required to rule-in CAD,while either angiography or non-invasive test could be used to *** order to assess reproducibility,a second cardiologist did the same *** In a sample of 330 patients,the prevalence of obstructive CAD was 48%.Gestalt’s numerical probability was associated with CAD,but the area under the curve of0.61(95%CI:0.55-0.67)indicated low level of ***,categorical definition of typical chest pain had a sensitivity of 48%(95%CI:40%-55%)and specificity of 66%(95%CI:59%-73%),yielding a negligible positive likelihood ratio of 1.4(95%CI:0.65-2.0)and negative likelihood ratio of 0.79(95%CI:0.62-1.02).Agreement between the two cardiologists was poor in the numerical classification(95%limits of agreement=-71%to 51%)and categorical definition of typical pain(Kappa=0.29;95%CI:0.21-0.37).CONCLUSION Clinical judgment based on a combination of chest pain features is neither accurate nor reproducible in predicting obstructive CAD in the acute setting.

关键词： Acute chest pain Clinical judgment Gestalt Coronary artery disease Acute coronary syndrome

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Diagnostic criteria for autoimmune hepatitis in children: A challenge for pediatric hepatologists

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World Journal of Gastroenterology 2012年第33期18卷 4470-4473页

作者： Priscila Menezes Ferri Alexandre rodrigues ferreira Débora marques Miranda Ana Cristina Sim■es e Silva Division of Pediatric Gastroenterology and Hepatology Department of Pediatrics School Medicine Federal University of Minas Gerais Minas Gerais 30130-100 Brazil National Institute of Science and Technology of Molecular Medicine Faculty of Medicine Federal University of Minas Gerais Minas Gerais 30130-100 Brazil

Autoimmune hepatitis (AIH) is a progressive inflammatory liver disorder that is rare in children and adolescents. AIH has a broad clinical spectrum and a quick response to treatment with corticosteroids and immunosuppressive medication. The available diagnosis criteria have limitations and should be evaluated in pediatric populations. Recently, some studies reported that the 2008 simplified diagnostic criteria for AIH could be used in children with high sensibility and specificity. In addition, the authors reported that globulin and immunoglobulin G levels can be used interchangeably for diagnostic purposes. They also demonstrated that the 2008 simplified criteria fail in identifying patients with fulminant hepatic failure. Here, we discuss the limitations of the use of these criteria in pediatric patients and the requirement of more studies to improve the diagnosis of AIH in children.

关键词： Child Autoimmune hepatitis Liver diseases Diagnosis Autoimmunity

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Autoimmune hepatitis in childhood: The role of genetic and immune factors

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World Journal of Gastroenterology 2013年第28期19卷 4455-4463页

作者： Priscila Menezes Ferri Liu Débora marques de Miranda Eleonora Druve Tavares Fagundes Alexandre rodrigues ferreira Ana Cristina Simoes e Silva Department of Pediatrics Interdisciplinary Laboratory of Medical Investigation Federal University of Minas Gerais Belo Horizonte Minas Gerais 30130-100 Brazil National Institute of Science and Technology of Molecular Medicine (INCT-MM) CNPq-FAPEMIG Federal University of Minas Gerais Belo Horizonte Minas Gerais 30130-100 Brazil

Autoimmune hepatitis (AIH) is a rare chronic inflammatory disease of the liver, which affects a group of patients who lost their immunological tolerance to antigens of the liver. It is clinically characterized by hypergammaglobulinemia, elevated liver enzymes, presence of autoantibodies and histological changes. Although being rare in children, it represents a serious cause of chronic hepatic disease that can lead to cirrhosis and hepatic failure. Clinical findings, exclusion of more common liver disorders and the detection of antibodies antinuclear antibodies, smooth muscle antibodies and anti-LKM1 are usually enough for diagnosis on clinical practice. The pathogenic mechanisms that lead to AIH remain obscure, but some research findings suggest the participation of immunologic and genetic factors. It is not yet knew the triggering factor or factors that stimulate inflammatory response. Several mechanisms proposed partially explain the immunologic findings of AIH. The knowledge of immune factors evolved might result in better markers of prognosis and response to treatment. In this review, we aim to evaluate the findings of research about genetic and immune markers and their perspectives of application in clinical practice especially in pediatric population.

关键词： Autoimmune hepatitis Genetics Clinical practice Immunophenotype

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Forest management for optimizing soil protection:a landscape-level approach

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Forest Ecosystems 2021年第4期8卷 672-684页

作者： Ana Raquel rodrigues Susete marques Brigite Botequim Marco Marto Jose G.Borges Forest Research Centre and Laboratory TERRA School of AgricultureUniversity of LisbonTapada da Ajuda1349-017 LisbonPortugal

Background:Soil erosion is still identified as the main cause of land degradation worldwide,threatening soil functions and driving several research and policy efforts to reverse *** are commonly associated to some of the most successful land-use systems to achieve soil protection goals,but the extent to which forest ecosystems reduce erosion risks can largely depend on management decisions and associated silvicultural *** tools can assist foresters in solving the complex planning problem they face,concerning the demand for different,and often conflicting,ecosystem services.A resource capability model(RCM),based on a linear programming approach,was built and solved for a forest landscape management problem in Northwest Portugal,over a 90-years planning horizon,divided in 10-years ***:Timber provision and soil erosion were found to be in *** management alternatives included in the model were proven to be sufficiently flexible to obtain the desired level of timber yield,both in volume and even distribution along the planning horizon,while ensuring lower levels of soil loss estimates(below 35 Mg·ha^(−1)·year^(−1)).However,under climate change conditions,compatible with an increasing greenhouse gases emission scenario,potential landscape soil erosion may be enhanced up to 46 Mg·ha^(−1)·year^(−1) in critical ***:Soil conservation concerns in landscape-level forest management planning can be addressed by LPbased optimization *** providing an optimal management solution at landscape level,this approach enables a comprehensive analysis of the RCM,possible trade-offs and potential changes towards uncertainties.

关键词： Ecosystem services Erosion Optimization Silvicultural practices

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Physics, chemistry, and Hirshfeld surface analyses of gamma-irradiated thalidomide to evaluate behavior under sterilization doses

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Journal of Pharmaceutical Analysis 2018年第3期8卷 194-201页

作者： Valner A.F.S.N.Mussel Max R ferreira Maria B.E marques Maria I.Yoshida Mariana R.Almeida Bernardo L.rodrigues Wagner N.Mussel Departamento de Quimica ICExUniversidade Federal de Minas Gerais-UFMGAv.Antonio Carlos 662731270-901 Belo HorizonteMGBrazil CNEN-CDTN Comissao Nacional de Energia Nuclear-Centro de Desenvolvimento da Tecnologia NuclearAv.Antonio Carlos6627 Belo HorizonteMGBrazil

Thalidomide was indicated as a sedative and antiemetic and prescribed for pregnant women. Its tragic teratogenic effects culminated in withdrawal from the market. Since the discovery of its anti-angiogenic and anti-inflammatory actions, thalidomide has been used in the treatment of leprosy and multiple myeloma, which justify studies of its stability. We investigated the effects of irradiation of thalidomide up to 100 kGy （fourfold the usual sterilizing dose for pharmaceutics）. The polymorph of thalidomide was obtained in an isothermal experiment at 270℃. All samples underwent gamma irradiation for specific times. At different doses, decomposition of the pharmaceutical was not observed up to 100 kGy. The observed effect was angle turning between the phthalimide and glutarimide rings modulated by repulsion towards the carbonyl group, leading to a stable energetic configuration, as measured by the equilibrium in the torsion angle after irradiation. The thalidomide molecule has a center of symmetry, so a full turn starting from 57.3° will lead to an identical molecule. Further irradiation will start the process again. Samples irradiated at 30 and 100 kGy have more compact unit cells and a lower volume, which leads to an increase in the intermolecular hydrogen interaction within the unit cell, resulting in higher thermal stability for polymorph α.

关键词： Thalidomide Thermal stability Polymorphs Gamma irradiation Hirshfeld

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Metal alginates for polyphenol delivery systems: Studies on crosslinking ions and easy-to-use patches for release of protective flavonoids in skin

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Bioactive Materials 2020年第3期5卷 447-457页

作者： João Silva Pavlo Vanat Dorinda marques-da-Silva Joaquim Rui rodrigues Ricardo Lagoa School of Technology and Management Polytechnic Institute of LeiriaPortugal Laboratório Associado LSRE-LCM School of Technology and ManagementPolytechnic Institute of LeiriaPortugal UCIBIO-Faculty of Science and Technology NOVA University of LisbonPortugal

Incorporation of bioactive natural compounds like polyphenols is an attractive approach for enhanced functionalities of *** particular flavonoids have important pharmacological activities,and controlled release systems may be instrumental to realize the full potential of these *** presents interesting attributes for dermal and other biomaterial applications,and studies were carried here to support the development of polyphenol-loaded alginate *** of capillary viscosity indicated that ionic medium is an effective strategy to modulate the polyelectrolyte effect and viscosity properties of *** gelation,considerable differences were observed between alginate gels produced with Ca^2+,Ba^2+,Cu^2+,Fe^2+,Fe^3+and Zn^2+as crosslinkers,especially concerning shrinkage and morphological *** assays with different polyphenols in the presence of alginate-gelling cations pointed to the choice of calcium,barium and zinc as safer ***-based films loaded with epicatechin were prepared and the kinetics of release of the flavonoid *** results with calcium,barium and zinc alginate matrices indicated that the release dynamics is dependent on film thicknesses,but also on the crosslinking metal *** these grounds,an alginate-based system of convenient use was devised,so that flavonoids can be easily loaded at simple point-of-care conditions before dermal *** epicatechin-loaded patch was tested on an ex-vivo skin model and demonstrated capacity to deliver therapeutically relevant concentrations on skin ***,the flavonoid released was not modified and retained full antioxidant *** alginate-based system proposed offers a multifunctional approach for flavonoid controllable delivery and protection of skin injured or under risk.

关键词： Topical drug delivery Intrinsic viscosity Biopolymer Epigallocatechin-gallate Antioxidant dressing

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Bioactive polysaccharides from medicinal mushrooms:A review on their isolation,structural characteristics and antitumor activity

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Food Bioscience 2022年第5期49卷 119-129页

作者： Juliana Garcia Francisca rodrigues Maria Jos´e Saavedra Fernando M.Nunes Guilhermina marques CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences University of Tr´as-os-Montes e Alto Douro5001-801Vila RealPortugal AquaValor-Centro de Valorizaç˜ao e Transferˆencia de Tecnologia da´Agua-Associaç˜ao Rua Dr.Júlio Martins n.◦15400-342ChavesPortugal REQUIMTE/LAQV-Polytechnic of Porto-School of Engineering Rua Dr.Ant´onio Bernardino de Almeida4314249-015PortoPortugal CQ-VR-Centro de Química-Vila Real Food and Wine Chemistry Lab.Chemistry DepartamentUniversity of Tr´as-os-Montes e Alto Douro5001-801Vila RealPortugal

Mushrooms either alone or in combination with conventional cancer treatment have been enhanced the efficacy of chemotherapy and radiotherapy improving the patients’quality of *** therapy effects have been attributed to polysaccharides;the most potent compounds found in the fungi *** to their wide range of biological activity and the backbone of glucose residues linked byβ-(1→3)-glycosidic bonds,often with attached side-chain glucose residues joined byβ-(1→6)linkages,the mushroom’s polysaccharides,particularly theβ-glucans,are the most versatile ***,D-fraction,and schizophyllan from Lentinula edodes,Grifola frondosa,and Schizophyllum commune,respectively are well-knownβ-glucans,however,the precise immunomodulation and anticancer mechanisms of action remain to be *** to several studies,β-glucan can interact with certain receptors on macrophages and dendritic cells,such as dectin-1 and TLRs,producing different cytokines and,in turn,indirectly activating other immune cells including T and B ***,recent findings have proved thatβ-glucans have a direct cytotoxic effect on cancer cells suppressing proliferation and enhancing apoptosis possibly via multiple pathways such as PI3K/Akt/mTOR,NF-κB-,ERK-,ERα-,caspase-and p53-dependent ***,this study intends to provide information on the lentinan,D-fraction,and schizophyllan by examining the extraction procedures,chemical composition,and immunostimulatory and antitumoral biological *** research directions should be directed toward improving the validity and reliability of randomized trials to confirm the potential role ofβ-glucans on the immune system and as anticancer therapy.

关键词： Lentinan D-fraction Schizophyllan Anticancer activity

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Ground peach pits: alternative substrate component for seedling production

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Journal of Forestry Research 2019年第5期30卷 1779-1791页

作者： Patricia Mieth Maristela Machado Araujo Maria Helena Fermino Suelen Carpenedo Aimi Daniele rodrigues Gomes Juliana de marques Vilella Department of Forest Sciences Federal University of Santa MariaSanta MariaBrazil FEPAGRO–Agricultural Research Foundation of the State of Rio Grande do Sul Porto AlegreBrazil Federal University of Rio Grande do Sul Porto AlegreBrazil

The exploitation of agro-industrial wastes is a strategy to add value to seedling production and reduce environmental *** production chain for processed peaches generates,approximately,21,000 tons of fruit worldwide,and the pits are used mainly to generate *** objective of the study was to investigate the use of different proportions of ground peach pits(GPP)as a substrate component for seedling growth of Eucalyptus dunnii in the nursery and *** proportions of GPP mixed with either commercial substrate(CS)or with brown peat(BP)were *** physical and chemical properties of the substrates,the morphological and physiological attributes of the seedlings and their correlation with substrate properties were *** GPP increased the density,aeration space and pH and reduced total porosity,liquid retention and electric conductivity of the *** use of this component resulted in hormesis,a biphasic dose–response model in which low levels of exposure to this component stimulated biological performance of plants and high levels of exposure inhibited *** improved seedling growth in the nursery and adequate post-planting development of ***,GPP with CS is recommended at 20%of the total substrate and with BP between 15 and 30%.

关键词： Organic waste Prunus persica Eucalyptus dunnii Tree species Morphological attributes

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Prognosis of forest production using machine learning techniques

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Information Processing in Agriculture 2023年第1期10卷 71-84页

作者： Jeferson Pereira Martins Silva Mayra Luiza marques da Silva Adriano Ribeiro de Mendonca Gilson Fernandes da Silva Antoˆnio Almeida de Barros Junior Evandro ferreira da Silva Marcelo Otone Aguiar Jeangelis Silva Santos Nı´vea Maria Mafra rodrigues Federal University of Espirito Santo UFESDepartment of Forestry and Wood ScienceAvenue Governor Lindemberg31629550-000 Jeroˆnimo MonteiroESBrasil b Departamento de Cieˆncias Agra´riasUniversidade Federal de Sa o Joa del-Rei Sete Lagoas CampusHighway MG 424-Km 47Sete LagoasMinas Gerais 35701-970Brazil Federal University of Para(UFPA) University Campus of AltamiraStreet Cel.Jose Porfırio2515Sa o Sebastiao68372-040 AltamiraPABrazil

Forest production and growth are obtained from statistical models that allow the generation of information at the tree or forest stand *** the use of regression models is common in forest measurement,there is a constant search for estimation procedures that provide greater ***,machine learning techniques have been used with satisfactory performance in measuring ***,methods such as Adaptive NeuroFuzzy Inference System(ANFIS)and Random Forest are relatively poorly studied for predicting the volume of wood in eucalyptus plantations in ***,it is essential to check whether these techniques can provide gains in terms of ***,this study aimed to evaluate the use of Random Forest and ANFIS techniques in the prognosis of forest *** data used come from continuous forest inventories carried out in stands of eucalyptus *** data were divided into 70%for training and 30%for *** algorithms used to generate rules in ANFIS were Subtractive Clustering and ***,training was done with the hybrid algorithm(descending gradient and least squares)with the number of seasons ranging from 1 to *** RFs were trained,varying the number of trees from 50 to 850 and the number of observations by five leaves to *** neural networks and decision trees were also trained to compare the feasibility of the *** evaluation of the estimates generated by the techniques for training and validation was calculated based on the following statistics:correlation coefficient(r),relative Bias(RB),and the relative root mean square error(RRMSE)in *** general,the techniques studied in this work showed excellent performance for the training and validation data set with RRMSE values*** RF presented inferior statistics about the ANFIS for the prognosis of forest *** Subtractive Clustering(SC)and Fuzzy-C-Means(FCM)algorithms provide accurate baseline

关键词： Artificial Intelligence Ensemble Learning Forest Measurement Forest inventory Artificial Neural Networks Regression

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Cytokines,cytokine gene polymorphisms and Helicobacter pylori infection:Friend or foe?

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World Journal of Gastroenterology 2014年第18期20卷 5235-5243页

作者： Camila A Figueiredo Cintia rodrigues marques Ryan dos Santos Costa Hugo Bernardino F da Silva Neuza M Alcantara-Neves Instituto de Ciências da Saúde Universidade Federal da BahiaSalvadorBahia 41110-100Brazil

Helicobacter pylori(***)is a flagellated,spiralshaped,microaerophilic Gram-negative bacillus that colonises the gastric mucosa of more than 50%of the human *** is a risk factor for gastritis,ulcer disease and stomach *** against *** is mainly related to Th1/Th17 skewing,and the activation of regulatory T cells is the main strategy used to limit inflammatory responses,which can result in the pathogen persistence and can lead to chronic gastrointestinal diseases,including ***,host genetic factors that affect cytokines may determine differences in the susceptibility to many *** this review,we present the cytokine profiles and the main cytokine gene polymorphisms associated with resistance/susceptibility to *** and discuss how such polymorphisms may influence infection/disease outcomes.

关键词： Helicobacter pylori Stomach cancer Immunity Cytokines Polymorphisms

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