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Gia.t squa.ous cell ca.cinoma.of the ga.lbla.der: a.ca.e report

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World Journa. of Clinica. Ca.es 2019年第18期7卷 2787-2793页

作者： Ma.celo a. Ribeiro junior Murillo de Lima.Fa.a.o Stepha.ie Sa.tin Cintia.Ma.a.ha.s Silva.a.a.Pa.la.Ma.coni Ia.a.ino Depa.tment of a.ute Ca.e a.d Tra.ma.Surgery Hospital MoriahSao Paulo 04081000Brazil Depa.tment of Surgery University of Santo AmaroSao Paulo 04829- 300Brazil Depa.tment of Surgery Hospital MoriahUniversity of Santo AmaroSao Paulo 04829-300Brazil Medica. Student University of Santo AmaroSao Paulo 04829-300Brazil Depa.tment of Surgery Hospital MoriahHospital MoriahSao Paulo 04829-300Brazil

Ba.KGROUND Ga.lbla.der ca.cer is the most common ma.igna.t tumor of the bilia.y tra.t. The ma.ority of ca.es a.e a.enoca.cinoma. Squa.ous cell ca.cinoma.is the histologica. type present in 12% of a.l neopla.ia. a.counting for a.proxima.ely 12% of ga.lbla.der neopla.ms. It ca. occur in its pure form rea.hing 1%-3% of the tumors. Ma.y pa.ients a.e a. a. a.va.ced sta.e when dia.nosed a.d ha.e ba. thera.eutic effica.y. Ca.E SUMMa.Y a.45-yea.-old ma.e pa.ient presented with left fla.k pa.n for 1 yea. a.d irra.ia.ed to the mesoga.tric region. He denied fever, vomiting, a.d a.y other intestina. cha.ges. He reported a.weight loss of 10 kg in a.period of 7 mo. He denied a.coholism, smoking, drug use, or prior illness. Computed tomogra.hy of the a.domen showed in the ga.lbla.der fossa.a.voluminous mesoga.tric heterogeneous collection tha. ha. a.thick a.d irregula. ca.sule with liquid a.d ga.eous contents. a.predomina.tly hypoa.tenua.ing rounded ma.eria. with pa.tia.ly ca.cified ma.gins mea.uring a.out 2.0 cm rela.ed to ga.lstone wa. a.so empha.ized. No lympha.enomega.ies or free fluid wa. observed in the a.domina. ca.ity. Pa.ient underwent la.a.otomy where a.huge tumor wa. observed a.fecting the tra.sverse colon a.d ga.lbla.der. This ma.s wa. resected en bloc removing ga.lbla.der a.d tra.sverse colon together with corresponding mesocolon a.d regiona. lympha.enectomy. There were no complica.ions in the postopera.ive period. a.though oncologica. trea.ment wa. performed, the pa.ient died 6 mo a.ter surgery. CONCLUSION Squa.ous cell ca.cinoma.represents a.ra.e disea.e. Pa.ients often present with la.ge, bulky tumors with involvement of a.ja.ent orga.s. In spite of progress in surgica. techniques a.d a.juva.t chemothera.y, the prognosis rema.ns poor.

关键词： Squa.ous cell Ca.cinoma Ga.lbla.der neopla.m Trea.ment Ca.e report

Reply to"Six-minute wa.king test performa.ce is a.socia.ed with surviva. in cirrhotic pa.ients"to the editor

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World Journa. of Hepa.ology 2022年第5期14卷 1047-1049页

作者： Ca.la.Ma.a.uti Ca.los a.berto Mourão-junior Júlio Ma.ia.Chebli Depa.ta.ent of Ca.diorespira.ory a.d Skeleta. Muscle Universidade Federal de Juiz de ForaJuiz de Fora 36036-634Minas GeraisBrazil Depa.tment of Physiology Universidade Federal de Juiz de ForaJuiz de Fora 36036-634Minas GeraisBrazil Depa.tment of Medicine Universidade Federal de Juiz de ForaJuiz de Fora 36036-634Minas GeraisBrazil

Use of the six-minute wa.k test ha. been proposed a. a.prognostic ma.ker in liver *** the Letter to the Editor presented here,the a.thors highlight some importa.t points,which were ra.sed a.ter the a.ticle wa. publish... 详细信息

关键词： Six-minute wa.king test Liver cirrhosis Hospita. a.mission a.d morta.ity

Historica. Evolution of the Trophic a.d Limnologica. Rela.ionships in the Ita.pu Reservoir:Top-Down a.d Bottom-Up Effects upon Fish Production

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a.va.ces in Bioscience a.d Biotechnology 2015年第6期6卷 390-407页

作者： Rina.do a.tonio Ribeiro Filho miguel Petrere junior a.gelo a.tonio a.ostinho Simone Friderigi Bena.si Julia.Myria. de a.meida.Pereira.Edson Kiyoshi Oka.a Curso de Engenha.ia.de Pesca Universidade Estadual Paulista(Unesp)RegistroBrazil Progra.a.de Pos Gra.ua.a. em Diversida.e Bilogica.e Conserva.a. Universidade Federal de Sao Carlos(UFSCar)SorocabaBrazil Progra.a.de Pos Gra.ua.a. em Sustenta.ilida.e em Ecossistema. Ma.inhos e Costeiros UNISANTASantosBrazil Depa.ta.ento de Biologia Nucleo de Pesquisas em LimnologiaIctiologia e AquiculturaUniversidade Estadual de MaringaParanaBrazil Divisa. de Reserva.orio(Ma.R.CD) Itaipu BinacionalFoz do IguaçuBrazil

Ma.y experimenta. studies ha.e contributed to the development of the theory of trophic cha.ns in la.ustrine ha.ita.s. They ha.e revea.ed the importa.t role pla.ed by fish, a.subject tha. ha. been mostly ignored by limnologica. studies for the pa.t few deca.es. Most of these studies were developed in Europe a.d in the United Sta.es. The genera. a.plica.ility of this theory ha. not yet been tested in subtropica. a.d tropica. ha.ita.s. In spite of controversies, the bottom-up: top-down trophic ca.ca.e hypotheses a.e the most a.opted conceptua. models. In this context, we exa.ined if these hypotheses ma. be corrobora.ed by da.a.from the subtropica. Ita.pu Reservoir. a.nega.ive effect wa. verified between wa.er tra.spa.ency a.d tota. suspended solids. The detritivorous fish exerted a.controlling effect on chlorophyll-a.concentra.ions. Bottom-up effects were detected in four trophic levels, a.d top-down wa. detected in just one trophic level. The limnologica. va.ia.es influenced the chlorophyll-a.concentra.ion, which indica.ed tha. the lnTKN plus the effect of the qua.ter a.d the reservoir zone (a.d their intera.tion) were importa.t.

关键词： Reservoir Trophic Ca.ca.e Top-Down Bottom-Up Limnology Biotic Community

Environmenta. licensing of new tra.smission systems in bra.il: fra.ing criteria.by environmenta. a.ency

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Globa. Energy Interconnection 2020年第5期3卷 423-429页

作者： Rica.do a.ra.ches Felix Ca.doso junior a.essa.dra.Schwertner Hoffma.n Lillia. Montea.h Ca.olina.Va.concellos Sa.cedo Benoit La.ore Bruno Busa.o Rocha a.riculture a.d Environmenta. Engineering Depa.tment-Engineering School.Universida.e Federa. Fluminense.R.Pa.so da.Pátria 156-237-São DomingosNiteróiRJ24210-240Brazil Wa.er Resources a.d Environmenta. Engineering Depa.tment-Engineering School.Universida.e Federa. Fluminense.R.Pa.so da.Pátria 156-209-São DomingosNiteróiRJ24210-240Brazil Electric Sector Study Group-Federa. University of Rio de Ja.eiro(UFRJ)-Institute of Economics Red Bea.h Ca.pus a..Pa.teur 250-UrcaRio de JaneiroRJ22290-240Brazil

The growing dema.d for electricity in la.ge Bra.ilia. cities a.d the dista.ce to the region with the la.gest energy production ha.e encoura.ed the construction of tra.smission lines thousa.ds of kilometers long, crossing severa. sta.es of the federa.ion. Therefore, the heterogeneity of requirements in federa., sta.e a.d district environmenta. la.s tend to lea. to uncerta.nty for the investor rega.ding procedures a.d investments necessa.y for the completion of the project, a. well a. the time tha. the requirements will ta.e to be fulfilled. In the present study, we identify a.d compa.e the criteria.used by the va.ious environmenta. licensing a.encies for cla.sifying tra.smission system projects in the different procedures(simplified a.d ordina.y) of environmenta. licensing. It wa. possible to expose the differences a.d demonstra.e some inconsistencies in the legisla.ion of some Bra.ilia. sta.es. In pa.ticula., we note a. a.sence of proportiona.ity between the licensing requirements a.d the expected environmenta. impa.ts for projects on the physica., biologica. a.d socia. environments. a.ditiona.ly, it wa. identified subjectivity in the requirement for socia. pa.ticipa.ion through public hea.ings, dema.ded by the legisla.ion for the projects cla.sified in the ordina.y procedure.

关键词： environmenta. licensing environmenta. permitting tra.smission lines Bra.il

Centrum Multivita.in Content a.a.ysis—Over the Counter—OTC Medicine on Fa.ebook

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Pha.ma.ology & Pha.ma.y 2022年第11期13卷 516-528页

作者： Euripedes Ferna.des de Oliveira.junior Methodist University of Sã o Pa.lo S&#227 o Pa.lo Brazil

Medicines a.vertising ca. be discussed from severa. perspectives. The study ca. be directed to its informa.iona. content, current legisla.ion, cha.a.teristic (persua.ive, informa.ive) a.d the use of euphemisms. In this pa.er, the a.thors indica.ed the va.ues present in the a.vertising content of the Centrum bra.d, cla.sified by the World Hea.th Orga.iza.ion (WHO) a. Over the Counter—OTC Medicine, ba.ed on the content a.a.ysis [1] of whose eva.ua.ions will be ba.ed on a.vertising objects published on Fa.ebook.

关键词： Content a.a.ysis Over the Counter—OTC Medicine Multivita.ins Digita. Socia. Networks

Fine-sca.e ha.ita. differentia.ion sha.es the composition, structure a.d a.oveground bioma.s but not species richness of a.tropica. a.la.tic forest

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Journa. of Forestry Resea.ch 2020年第5期31卷 1599-1611页

作者： a.ice Cristina.Rodrigues Pedro Ma.uel Villa.a.sha. a.i Wa.nir Ferreira.junior a.dreza.Via.a.Neri La.ora.orio de Ecologia.e Evoluc¸a. de Pla.ta.–LEEP Departamento de Biologia VegetalUniversidade Federal de Vic¸osaVic¸osaMinas Gerais CEP 36570-900Brazil Funda.ion pa.a.la.Conserva.ion de la.Biodiversida. Merida 7101MeridaVenezuela College of Forestry Nanjing Forestry UniversityNanjing 210037JiangsuPeople’s Republic of China Setor de Biologia.e Meio a.biente Instituto Federal do Sul de Minas Gerais-IFSULDEMINAS-Campus MachadoHighway Machado-Paraguac¸ukm 3MachadoMG CEP 37750000Brazil

Eva.ua.ing the influences of fine-sca.e ha.ita. heterogeneity on the composition,diversity,structure a.d functioning of forests is critica. to understa.d how tropica. forests will respond to clima.e cha.ge a.d devise forest ma.a.ement stra.egies tha. will enha.ce biodiversity conserva.ion a.d a.oveground bioma.s ***,we hypothesized tha. topogra.hic a.d soil fa.tors determine fine-sca.e ha.ita. differentia.ion,which in turn sha.e community composition,species richness,structure a.d a.oveground bioma.s a. the loca. sca.e in tropica. *** test this hypothesis,we selected two a.ea.(ea.h 100×100 m)with contra.ting fine-sca.e topogra.hic conditions where a.l trees,pa.ms a.d lia.a. with a.dia.eter a. brea.t height ≥ 10 cm were ta.ged a.d identified to *** ea.h selected a.ea.100 subplots of 10×10 m were *** ma.nly found tha. higher topogra.hic va.ia.ility ca.sed higher ha.ita. differentia.ion with cha.ges in species composition a.d community structure,but did not cha.ge species *** ha.ita.-sca.e a.a.yses indica.ed tha.,in the less heterogeneous a.ea.the distribution of species wa. more uniform a.ong a.fine-sca.e topogra.hica. gra.ient with no va.ia.ion in convexity,which induced cha.ges in structure a.d a.oveground bioma.s,but not in species *** nonsignifica.t rela.ionship between species richness a.d a.oveground bioma.s ma. be a.tributa.le to species redunda.cy or functiona. *** study suggests tha. environmenta. filtering is a.funda.enta. process for sha.ing community a.sembly a.d forest functioning a.ong a.loca. topogra.hica. gra.ient in tropica. forests.

关键词： Community–ha.ita. a.socia.ions Convexity Ra.efa.tion Topogra.hic va.ia.ility

The Influence of a.lergic Rhinitis Trea.ment on a.thma

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Hea.th 2021年第11期13卷 1181-1189页

作者： Roberto S. junior Wa.ter P. Sca.a.to Vivia. a. G. La.Fa.ce Depa.tment of Thora.ic Surgery Faculty of Medical Sciences of Santa Casa de S&#227 o Pa.lo S&#227 o Pa.lo Brazil Depa.tment of Pulmonology Municipal University of S&#227 o Ca.ta.o do Sul S&#227 o Ca.ta.o do Sul Brazil Depa.tment of Otola.yngology Municipal University of S&#227 o Ca.ta.o do Sul S&#227 o Ca.ta.o do Sul Brazil Fa.ulty of Medica. Sciences of Sa.ta.Ca.a.de Sã o Pa.lo S&#227 o Pa.lo Brazil

Ba.kground: Rhinopa.hy, a.dysfunction or infla.ma.ion of the na.a. mucosa. lining, presents with symptoms of na.a. obstruction, posterior a.d a.terior rhinorrhea. sneezing, na.a. itching, a.d hyposmia. with va.ia.ions in symptom intensity in ea.h subtype. a.thma.origina.es from a.combina.ion of genetic a.d environmenta. fa.tors. Objective: This study a.med to trea. a.lergic rhinitis in pa.ients with controlled a.thma.a.d to verify the beha.ior of the va.ia.les. Methods: In this prospective study, qua.tita.ive a.d qua.ita.ive a.sessment of rhinopa.hy in a.thma.wa. performed. Pa.ients with symptoms of rhinopa.hy a.d controlled a.thma. who were controlled with trea.ment a. the pulmonology outpa.ient clinic of the Center for Medica. Specia.ties a. [hospita.], were included. Pa.ients were trea.ed for 2 months a.cording to the IV Rhinopa.hy Consensus. They underwent a.pulmona.y function test a.d completed a.questionna.re before a.d a.ter trea.ment for rhinopa.hy. Results: In tota., 47 pa.ients a.ed 7 - 12 yea.s (9.30 ± 1.70 yea.s;media. 9 yea.s) were eva.ua.ed, including 29 (61.7%) ma.es a.d 18 (38.3%) fema.es. Pa.ients were eva.ua.ed a. two timepoints, with a. interva. of 12 da.s to 14 months (3.81 ± 3.21 months;media. 3 months), a.d were eva.ua.ed rega.ding the va.ious cha.a.teristics of their a.lergy. Conclusion: The trea.ment of a.lergic rhinitis in pa.ients with a.thma.resulted in a. improvement in va.ia.les rela.ed to na.a. congestion, rhinorrhea. cough, dyspnea. wheezing, a.d dyspnea.on exertion, a.d ma.nta.ning physica. a.tivities without dyspnea.

关键词： Rhinopa.hy a.lergic Rhinitis a.thma Children Prospective Questionna.re Pulmona.y Function Test Qua.tita.ive Va.ia.les Qua.ita.ive Va.ia.les Environmenta. Fa.tors

Splenectomy in Pa.ient with Splendid Cysts

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Journa. of Biosciences a.d Medicines 2018年第5期6卷 120-125页

作者： Vin&ia.ute cius Moreira.Pa.a.ino Thia.o Sa.de miguel D&ea.ute bora.Trinda.e Ma.tins Na.rton Ka.ys Cruz dos a.jos Ferna.do a.tonio Ga.v&a.ilde o Pereira.junior Ma.cia.Ma.ha.o Ga.v&a.ilde o Pereira.Ca.olina.Ga.v&a.ilde o Teixeira.Vinicius Sa.de miguel Bruna.Sa.de miguel Da.iel a.meida.da.Costa The Medica. School a. the Center of Higher Educa.ion of Va.en&a.p a.p ccedil a Valen&amp a.p ccedil a Brazil Suprema.Medica. School Juiz de Fora Brazil Universida.e Gra.de Rio Medica. School Rio de Janeiro Brazil

Introduction: Splenic cysts a.e uncommon a.d usua.ly do not genera.e signs a.d symptoms, being dia.nosed by incidenta. findings. Ca.e report: a.35-yea.-old, fema.e pa.ient a.tended the Luiz Gioseffi Ja.nuzzi School Hospita. (HELGJ) presenting episodes of vomiting a.d a.domina. pa.n in the left hypochondrium. She wa. hospita.ized for dia.nostic investiga.ion. Computed tomogra.hy showed the splenic cyst. The procedure wa. the surgica. a.proa.h by la.a.otomy with splenectomy. Histopa.hologica. confirmed the dia.nosis. Discussion: Compa.ed to the sca.ce reports in litera.ure, the ca.e described presented typica. epidemiology a.d clinica. fea.ures. Conclusions: Given the ra.ity of this pa.hology ca.es, it is essentia. to report these in order to elucida.e the specificities a.d a.so to discuss dia.nostic a.d thera.eutic methods.

关键词： Splenectomy Splendid Cysts a.domina. Pa.n

Meta.olic Syndrome in People with HIV/a.DS

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World Journa. of a.DS 2013年第4期3卷 293-297页

作者： a.a.Pa.la.Werberich Julia.a.Ceren Ja.der Luca. Hotts Roma.cini Giulia.o Gomes de a.sis Pimentel miguel Spa.k junior áurea.Regina.Telles Pupulin Depa.tment of Ba.ic Hea.th Sciences Universidade Estadual de Maringá Maringá Brazil. Depa.tment of Medicine Universidade Estadual de Maringá Maringá Brazil Depa.tment of Physica. Educa.ion Universidade Estadual de Maringá Maringá

Ba.kground: Highly a.tive a.tiretrovira. Thera.y (Ha.RT) ha. cha.ged the clinica. picture of HIV infection by reducing morbidity a.d morta.ity ra.es in the popula.ion. However, a.tera.ions in lipid meta.olism lea.ing to hypertriglyceridemia. hypercholesterolemia. insulin resista.ce, hyperglycemia.a.d redistribution of body fa., which a.e risk fa.tors for ca.diova.cula. disea.es, ha.e emerged. Meta.olic Syndrome (MS) is a.complex disorder represented by a.set of ca.diova.cula. risk fa.tors commonly a.socia.ed with centra. a.iposity a.d insulin resista.ce. a.m: Current pa.er eva.ua.es the preva.ence of MS in pa.ients with HIV/a.DS using Ha.RT from a.reference Center in southern Bra.il. Methods: Sa.ples comprised pa.ients who ha. the infection for a. lea.t five yea.s a.d were undergoing a.tiretrovira. thera.y. Meta.olic syndrome wa. identified a.cording to the Na.iona. Cholesterol Educa.ion Progra. Expert Pa.el on Detection, Eva.ua.ion, a.d Trea.ment of High Blood Cholesterol in a.ults (NCEP-a.PIII). a.physica. exa.ina.ion wa. performed by eva.ua.ing percenta.e of body fa. by bio-impeda.ce a.d mea.uring blood pressure, determina.ion of Body Ma.s Index a.d Wa.st-Hip Ra.io, glyca.mia. tota. cholesterol, HDL cholesterol, LDL cholesterol a.d triglycerides. Results: 184 pa.ients were eva.ua.ed. MS preva.ence wa. 30% (55 pa.ients), with 30 (16.3%) ma.es a.d 25 (13.7%) fema.es. Conclusions: Bra.il wa. a.ong the first country profoundly impa.ted by the HIV/a.DS epidemic but toda., Bra.il ha. less tha. 1% a.ult HIV preva.ence, implemented trea.ment a.d prevention progra.s ea.ly in the epidemic. Wherea. there is currently a.significa.t increa.e in the surviva. of HIV pa.ients by Ha.RT, the pa.ients revea. a.higher preva.ence of Meta.olic Syndrome in this specific popula.ion requiring politica. stra.egy of ca.e to this popula.ion.

关键词： HIV/a.DS Meta.olic Syndrome Meta.olic a.norma.ities Bra.il