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

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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

A single session of strength training changed plasma levels of resistin,but not leptin in overweight and obese men

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Sports Medicine and Health Science 2024年第4期6卷 324-330页

作者： Yago Martins Fortes Antonio Felipe Souza-Gomes Alessandro Roberto Silveira Moreira Leo nogueira Campos Samara silva de Moura Lucelia Scarabeli silva Barroso Marcelo Henrique Salviano de Faria Heliana de Barros Fernandes Aline silva de Miranda Hugo Cesar Martins-Costa Ana Cristina Simoes e silva Janaina Matos Moreira Albena Nunes-silva Laboratory of Inflammation and Exercise Immunology Department of Physical EducationSchool of Physical EducationFederal University of Ouro PretoOuro PretoMGBrazil Postgraduate Program in Health and Nutrition Nutrition SchoolFederal University of Ouro PretoOuro PretoMGBrazil Interdisciplinary Medical Research Laboratory Faculty of MedicineFederal University of Minas GeraisBelo HorizonteMGBrazil Neurobiology Laboratory Institute of Biological SciencesFederal University of Minas GeraisBelo HorizonteMGBrazil Department of Physical Education Pontifical Catholic University of Minas GeraisBrazil Department of Pediatrics Faculty of MedicineFederal University of Minas Gerais(UFMG)Belo HorizonteMGBrazil

Obesity has a complex multifactorial etiology and is characterized by excessive accumulation of adipose *** adipose tissue has deleterious effects on health because it secretes large amounts of inflammatory *** calorie restriction associated with strength training may be useful in managing chronic systemic *** study aimed to evaluate the acute effect of a single strength-training session on plasma adipokine levels in sedentary,overweight,and obese young *** study included twelve men(Age:[34.95±9.77]years;Height:[174.16±3.66]centimeter[cm];Weight:[97.83±12.87]kilogram(kg);body mass index[BMI]:[32.30±4.51]kg/m2),who performed a single strength training *** strength training protocol consisted of 4 sets of 12 repetitions in the following six exercises,45°leg press,bench press,leg extension,machine row,leg curl,and shoulder *** samples were collected before,immediately after,and 1-h subsequent after strength *** plasma levels of resistin and leptin were measured.A significant decrease in resistin levels were found 1 h after the strength training session if compared to levels before the training session(pre-[before][2390±1199]picograms per milliliter[pg/mL]vs post-1 h[1-h subsequent][1523±798],6 pg/mL,p=0.0028).The plasma leptin levels did not differ at any time *** conclusion,a very well controlled single session of strength training significantly decreased the plasma levels of resistin without altering the concentration of leptin in overweight and obese *** effect,at least in part,supports the benefits of exercise by reducing the low grade inflammation and insulin resistance in obesity.

关键词： Strength training Adipose tissue Obesity Chronicinflammation Resistin Leptin

Guarding tomato fruit setting in adverse temperatures through the miRNA166-S/HBt5A regulatory module

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Molecular Plant 2021年第7期14卷 1046-1048页

作者： Eder M.da silva Fabio T.S.nogueira Centro de Energia Nuclear na Agricultura Universidade de Sao Paulo/USPPiracicabaSP 13400-970Brazil Laborat6rio de Genetica Molecular do Desenvolvimento Vegetal Departamento de Ciencias BiologicasESALQ/USPPiracicabaSP 13418-900Brazil

Fruits are defined as mature ovaries originated from a coordinated development between ovules(precursors of seeds)and carpels(precursors of the fruit body).Disconnecting the ovule development from carpel development is a long-desired goal in agriculture to generate seedless fruits easier to ***,pollination and fertilization are required to promote hormone pathways-i.e.,auxin and gibberellin-that are crucial for seed and fruit set(Gillaspy et al.,1993;Raghavan,2003).Even though developing seeds are central for normal fruit development,examples of seedless or parthenocarpic fruits are present in wild and cultivated species(Joldersma and Liu,2017).

关键词： Guard connecting originated

China as a Responsible Power Amid the COVID-19 Crisis:Perceptions of Partners and Adversaries on Twitter

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Fudan Journal of the Humanities and Social Sciences 2022年第2期15卷 159-188页

作者： Maria Papageorgiou Daniella da silva nogueira de Melo Department of Political Science and International Relations University of MinhoBragaPortugal

The challenging COVID-19 context has questioned China’s role as a responsible power but also tested its relationship with other *** study seeks to investigate‘How other actors have perceived China’s role as a responsible power amid the COVID-19 crisis’.To do so,we opt for a qualitative approach examining the official Twitter accounts of seven actors that hold different types of relationships with China,namely Brazil,EU,Japan,Iran,Pakistan,Russia,and the *** aim to identify the perceptions of these actors towards China as unfolding from January to June 2020,emphasising the empirical applicability of Twitter’s *** adopting the concept of responsible power approached from a Role Theory perspective,this paper contributes to a more nuanced understanding of interstate relations and role *** findings indicate that there have been variations in the responses and perceptions other states have expressed towards China while its framing as a responsible power differs significantly during the crisis and its landmark events.

关键词： China COVID-19 Twitter Role theory Responsible power

Tropical dendrochronology applied to invasive tree species in the Brazilian Atlantic Forest

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Journal of Forestry Research 2021年第1期32卷 91-101页

作者： Carolina nogueira Xavier Daniela Granato-Souza Ana Carolina M.C.Barbosa JoséReinaldo Moreira da silva Forest Sciences Department Federal University of Lavras(UFLA)C.P.3037Lavras 37200-000Brazil Department of Geosciences University of ArkansasFayettevilleAR 72701USA

The Atlantic Forest is one of the largest and most biodiverse rainforests of South America but anthropogenic activities are drastically changing these *** invasion of alien or exotic species is one of the greatest threats to *** are few studies of invasive species in tropical Brazilian *** research examines growth and ecological aspects of Syzygium cumini and Clitoria fairchildiana,two invasive tree species in the Pedra Branca State Park,an Atlantic Forest remnant in southeastern *** species were successfully dated,indicating an average age of 58 and 31 years,respectively.A positive relationship between growth and precipitation of the previous growing season suggests an ecological adaptive strategy,which could be facilitating their invasion into the *** growth diameter curves indicate slow and fast growth rates for *** and ***,*** release episodes detected in the tree rings indicate increased anthropogenic disturbances over the last 50 years.

关键词： Atlantic Forest biome Invasive species Protected areas Tree rings

The interplay between leaf water potential and osmotic adjustment on photosynthetic and growth parameters of tropical dry forest trees

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Journal of Forestry Research 2023年第1期34卷 177-186页

作者： Tiago de Sousa Leite Romulo Magno Oliveira de Freitas Nildo da silva Dias Jeferson Luiz Dallabona Dombroski Narjara Walessa nogueira Federal University of Mato Grosso CuiabáMTBrazil Federal Institute of Education Science and Technology of Rio Grande do NortePau dos FerrosRNBrazil Federal Rural University of the Semi-Arid Region MossoróRNBrazil

Mimosa tenuiflora and Piptadenia stipulacea are commonly accepted as drought-tolerant species but little is known about their response to drought followed by ***,the interplay between leaf water potential and osmotic adjustment on photo synthetic and growth parameters of these species was examined.A greenhouse study was conducted in a split-plot design with two water conditions in the main plots(control;drought followed by rehydration),and eight sampling times in the subplots(1,4and 7 days of drought,and 1,3,6,12,and 17 days of rehydration).Plant water status and biochemical changes were assessed as well as leaf gas exchange and subsequent *** drought stress,both species maintained a low leaf water potential throughout the day by accumulating compatible solutes,thus allowing a rapid and full recovery of water status when *** these plants minimized water loss by closing their stomata,neither showed stomatal limitations to *** inhibition of this process during drought was possibly related to mesophyll limitations as well as to a reversible downregulation of photo systems,along with adjustments of their *** deficits also triggered morphological adaptations at the whole plant level,leading to reduced growth,mainly of the shoots in *** and the roots in ***.

关键词： Drought stress Rehydration Gas exchange Plant biomass

Numerical Staged Construction Analysis of Precast Concrete Bridge

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Journal of Civil Engineering and Architecture 2016年第4期10卷 447-451页

作者： Ana Cecilia Ferreira Leite Fernando artur nogueira silva Romildo Alves Berenguer Romilde Almeida de Oliveira Department of Civil Engineering Catholic University of Pernambuco Recife 51110-200 Brazil

The paper discussed about the staged construction analysis of two-span precast-girder bridge considering time dependent effects, namely creep and aging of concrete. Results obtained showed that it is very important to consider construction stage in the analysis of bridge because of stress resultants which are important in design process and very different from those obtained without the consideration of construction stage. This fact is especially important for bridges, because construction period continues along time and loads may change during the construction period and after.

关键词： Staged construction analysis reinforced concrete bridge.

High-throughput phenotyping of two plant-size traits of Eucalyptus species using neural networks

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Journal of Forestry Research 2022年第2期33卷 591-599页

作者： Marcus Vinicius Vieira Borges Janielle de Oliveira Garcia Tays silva Batista Alexsandra nogueira Martins silva Fabio Henrique Rojo Baio Carlos Antônio da silva Junior Gileno Brito de Azevedo Glauce Taís de Oliveira Sousa Azevedo Larissa Pereira Ribeiro Teodoro Paulo Eduardo Teodoro Federal University of Mato Grosso Do Sul(UFMS) Chapadão Do SulMato Grosso Do Sul 79560000Brazil Department of Geography State University of Mato Grosso(UNEMAT)SinopMato Grosso 78555000Brazil

In forest modeling to estimate the volume of wood,artificial intelligence has been shown to be quite effi-cient,especially using artificial neural networks(ANNs).Here we tested whether diameter at breast height(DBH)and the total plant height(Ht)of eucalyptus can be pre-dicted at the stand level using spectral bands measured by an unmanned aerial vehicle(UAV)multispectral sensor and vegetation *** do so,using the data obtained by the UAV as input variables,we tested different configurations(number of hidden layers and number of neurons in each layer)of ANNs for predicting DBH and Ht at stand level for different Eucalyptus *** experimental design was randomized blocks with four replicates,with 20 trees in each experimental *** treatments comprised five Eucalyptus species(***,***,***,***-dis,and ***)and Corymbria *** and Ht for each plot at the stand level were measured seven times in separate overflights by the UAV,so that the multispectral sensor could obtain spectral bands to calculate vegetation indices(VIs).ANNs were then constructed using spectral bands and VIs as input layers,in addition to the categorical variable (species), to predict DBH and Ht at the stand level simultaneously. This report represents one of the first appli-cations of high-throughput phenotyping for plant size traits in Eucalyptus species. In general, ANNs containing three hidden layers gave better statistical performance (higher esti-mated r, lower estimated root mean squared error-RMSE) due to their greater capacity for self-learning. Among these ANNs, the best contained eight neurons in the first layer, seven in the second, and five in the third (8 − 7 − 5). The results reported here reveal the potential of using the gener-ated models to perform accurate forest inventories based on spectral bands and VIs obtained with a UAV multispectral sensor and ANNs, reducing labor and time.

关键词： Computational intelligence Diameter at breast height Forest inventory Remote sensing Vegetation indices

Deformation Analysis Due to Early Loading of Concrete Buildings

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Journal of Civil Engineering and Architecture 2016年第6期10卷 690-695页

作者： Romildo Alves Berenguer Fernando artur nogueira silva Joao Luiz de Melo Ramos Fabio Cameiro Lourenco Pryscylla Femanda silva Chaves Ana Cecilia Ferreira Leite Department of Civil Engineering Catholic University of Pernambuco Recife 51110-200 Brazil

The building industry has experienced in recent years a strong growth in demand in general and in the case of reinforced concrete buildings this increase has been more marked. This fact has also contributed to accelerate all stages of the production process of these constructions with more pronounced effects on the methodologies used in the constructive steps that influence directly the structural design of the building. Structures loaded at ever earlier ages, in which the strength and deformation properties of materials are not yet sufficiently mature. It is a variable that needs to be taken into account already in the design phase so that the concrete structure behaves within acceptable level of reliability taking into account design code recommendations for service life. To understand the importance of constructive effects and to assess its magnitude in the execution of reinforced concrete buildings, this paper presents result from nonlinear analyses using finite element method adopting an approach commonly referred as staged construction applied to a typical building found in the practice. The effects of creep and shrinkage were considered and the results obtained demonstrate that the strains due to constructive effects can, in certain cases, assume representative values which, if ignored, can lead to important pathologies in the building.

关键词： Reinforced concrete buildings constructive effects staged construction creep shrinkage.