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Appropriateness of the study of iron deficiency anemia prior to referral for small bowel evaluation at a tertiary center

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World Journal of Gastroenterology 2017年第24期23卷 4444-4453页

作者： Jaime Pereira Rodrigues Rolando Pinho Joana silva Ana Ponte Mafalda Sousa joao carlos silva joao Carvalho Department of Gastroenterology Centro Hospitalar Vila Nova de Gaia/EspinhoRua Conceicao FernandesVila Nova de Gaia

To evaluate the adequacy of the study of iron deficiency anemia (IDA) in real life practice prior to referral to a gastroenterology department for small bowel evaluation. METHODSAll consecutive patients referred to a gastroenterology department for small bowel investigation due to iron deficiency anemia, between January 2013 and December 2015 were included. Both patients referred from general practitioners or directly from different hospital departments were selected. Relevant clinical information regarding prior anemia workup was retrospectively collected from medical records. An appropriate pre-referral study was considered the execution of esophagogastroduodenoscopy (EGD) with Helicobacter pylori (H. pylori) investigation, colonoscopy with quality standards (recent, total and with adequate preparation) and celiac disease (CD) screening (through serologic testing and/or histopathological investigation). RESULTSA total of 77 patients (58.4% female, mean age 67.1 ± 16.7 years) were included. Most (53.2%) patients were referred from general practitioners, 41.6% from other hospital specialties and 5.2% directly from the emergency department. The mean pre-referral hemoglobin concentration was 8.8 ± 2.0 g/dL and the majority of anemias had microcytic (71.4%) and hypochromic (72.7%) characteristics. 77.9% of patients presented with an incomplete pre-referral study: EGD in 97.4%, with H. pylori investigation in 58.3%, colonoscopy with quality criteria in 63.6%, and CD screening in 24.7%. Patients with an appropriate study at the time of referral were younger (48.7 ± 17.7 vs 72.3 ± 12.3 years, P < 0.001). Small bowel evaluation was ultimately undertaken in 72.7% of patients, with a more frequent evaluation in patients with a quality colonoscopy at referral (78.6% vs 23.8%); P < 0.001 (OR = 11.7, 95%CI: 3.6-38.6). The most common diagnosis regarded as the likely cause of IDA was small bowel angioectasia (18.2%) but additional causes were also found in the upper and lower ga

关键词： Iron deficiency anemia Colonoscopy Celiac disease Esophagogastroduodenoscopy Helicobacter pylori Small bowel

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Guiding strategies for breeding vegetable cultivars

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Agricultural Sciences 2014年第1期5卷 9-32页

作者： joao carlos da silva Dias Technical University of Lisbon Instituto Superior de Agronomia Tapada da Ajuda Lisbon Portugal

Vegetables are considered essential for well-balanced diets. The production and marketing of vegetables crops are undergoing continuous change globally. This is mainly due to the growing demands of consumers for safe and healthy vegetables, increased urbanisation of societies, and the growth in scale and influence of supermarkets chains. Horticultural science can respond to many of these challenges through research, breeding and innovation that can seek to gain more efficient methods of crop production, refined post-harvest storage and handling methods, newer and higher value vegetable cultivars and demonstration of their health benefits. Vegetable breeding has to address and satisfy the needs of both the consumer and the producer. Innovation in vegetable breeding depends on specific knowledge, the development and application of new technologies, access to genetic resources, and capital to utilise them. The driving force behind this innovation is acquiring or increasing market share. Access to technology, as well as biodiversity, is essential for the development of new vegetable cultivars. A few multinational corporations, whose vast economic power has effectively marginalized the role of public sector breeding as well as local, small/medium-scale seed companies, dominate the global vegetable seed trade. For most vegetable crops, only a few multinational seed corporations are controlling large part of the world market. This situation makes a growing part of the global vegetable supply dependent on a few seed providers. The multinational seed corporations ensued from merging some small or medium vegetable breeding programs to reduce costs. There may be fewer vegetable breeders in the future and growers will rely on seeds with a narrow genetic base. In order to meet future needs of vegetable breeders it is important that educational programs incorporate rapidly changing new technologies with classical content and methods. Active and positive connections between the pr

关键词： Vegetables Horticulture Health Benefits Marketing Trading Breeding Year-Round Production Sustainability

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Nutritional and Health Benefits of Carrots and Their Seed Extracts

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Food and Nutrition Sciences 2014年第22期5卷 2147-2156页

作者： joao carlos da silva Dias Instituto Superior de Agronomia University of LisbonLisboaPortugal

Carrot is a root vegetable with carotenoids, flavonoids, polyacetylenes, vitamins, and minerals, all of which possess numerous nutritional and health benefits. Besides lending truth to the old adage that carrots are good for eyes, carotenoids, polyphenols and vitamins present in carrot act as antioxidants, anticarcinogens, and immunoenhancers. Anti-diabetic, cholesterol and cardiovascular disease lowering, anti-hypertensive, hepatoprotective, renoprotective, and wound healing benefits of carrot have also been reported. The cardio- and hepatoprotective, anti-bacterial, anti-fungal, anti-inflammatory, and analgesic effects of carrot seed extracts are also noteworthy. All are discussed in this review article.

关键词： Daucus carota Chemical Composition Antioxidants Phytochemicals Disease Prevention

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Plant Breeding for Harmony between Modern Agriculture Production and the Environment

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Agricultural Sciences 2015年第1期6卷 87-116页

作者： joao carlos da silva Dias Instituto Superior de Agronomia University of LisbonLisbonPortugal

The world population is estimated to be 9.2 billion in 2050. To sufficiently feed these people, the total food production will have to increase 60% - 70%. Climate models predict that warmer tem-peratures and increases in the frequency and duration of drought during the present century will have negative impact on agricultural productivity. These new global challenges require a more complex integrated agricultural and breeding agenda that focuses on livelihood improvement coupled with agro-ecosystem resilience, eco-efficiency and sustainability rather than just on crop productivity gains. Intensifying sustainability agro-ecosystems by producing more food with lower inputs, adapting agriculture to climate change, conserving agro-biodiversity through its use, and making markets to work for the small farmers are needed to address the main issues of our time. Plant breeding has played a vital role in the successful development of modern agriculture. Development of new cultivars will be required while reducing the impact of agriculture on the environment and maintaining sufficient production. Conventional plant breeding will remain the backbone of crop improvement strategies. Genetic engineering has the potential to address some of the most challenging biotic constraints faced by farmers, which are not easily addressed through conventional plant breeding alone. Protective measures and laws, especially patenting, must be moderated to eliminate coverage so broad that it stifles innovation. They must be made less restrictive to encourage research and free flow of materials and information. Small farmers have an important role in conserving and using crop biodiversity. Public sector breeding must remain vigorous, especially in areas where the private sector does not function. This will often require benevolent public/private partnerships as well as government support. Active and positive connections between the private and public breeding sectors and large-scale gene banks ar

关键词： Breeding Modern Agriculture Climate Changes Biodiversity Environment Ecosystems Transgenic Crops Small Farmers

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Utility of the balloon-overtube-assisted modified over-thewire stenting technique to treat post-sleeve gastrectomy complications

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World Journal of Gastrointestinal Endoscopy 2017年第6期9卷 267-272页

作者： Ana Ponte Rolando Pinho Luísa Proenca Joana silva Jaime Rodrigues Mafalda Sousa joao carlos silva joao Carvalho Department of Gastroenterology Centro Hospitalar Vila Nova de Gaia/EspinhoVila Nova de Gaia4434-502 PortoPortugal

AIM To describe a modified technique of deployment of stents using the overtube developed for balloonassisted enteroscopy in post-sleeve gastrectomy(SG) complications. METHODS Between January 2010 and December 2015, all patients submitted to an endoscopic stenting procedure to treat a post-SG stenosis or leakage were retrospectively collected. Procedures from patients in which the stent was deployed using the balloon-overtube-assisted modified over-the-wire(OTW) stenting technique were described. The technical success, corresponding to proper placement of the stent in the stomach resulting in exclusion of the SG leak or the stenosis, was evaluated. Complications related to stenting were also *** Five procedures were included to treat 2 staple line leaks and 3 stenoses. Two types of stents were used, including a fully covered self-expandable metal stent designed for the SG anatomy(Hanarostent, ECBB-30-240-090; M.I. Tech, Co., Ltd, Seoul, SouthKorea) in 4 procedures and a biodegradable stent(BD stent 019-10A-25/20/25-080, SX-ELLA, Hradec Kralove, Czech Republic) in the remaining procedure. In all cases, an overtube was advanced with the endoscope through the SG to the duodenum. After placement of the guidewire and removal of the endoscope, the stent was easily advanced through the overtube. The overtube was pulled back and the stent was successfully deployed under fluoroscopic guidance. Technical success was achieved in all *** The adoption of a modified technique of deployment of OTW stents using an overtube may represent an effective option in the approach of SG complications.

关键词： Bariatric surgery Sleeve gastrectomy Stenosis Anastomotic leaks Balloon-overtube Stent

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Molecular and cellular mechanisms of neuroprotection by oligopeptides from snake venoms

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BIOCELL 2024年第6期48卷 897-904页

作者： carlos ALBERTO-silva BRENDA RUFINO DA silva Natural and Humanities Sciences Center Experimental Morphophysiology LaboratoryFederal University of ABC(UFABC)São Bernardo do CampoSão PauloBrazil

Venom snake-derived peptides have multiple biochemical,pharmacological,and toxicological proﬁles,allowing for the discovery of new medicinal products and therapeutic *** review speciﬁcally examines the fundamental elements of neuroprotection offered by different oligopeptides derived from snake *** also includes a brief evaluation of short peptides that are being considered as potential therapeutic ***-rich peptides and tryptophyllin family peptides isolated from the crude venom of Viperidae family snakes,speciﬁcally Bothrops atrox,Bothrops jararaca,and Bothrops moojeni,have been shown to have pro-survival properties,the ability to reduce oxidative stress,and the ability to promote cell viability and mitochondrial *** signiﬁcant mechanisms are related to the neuroprotection mediated by snake venom oligopeptides:(1)Activation of the L-arginine metabolite pathway,such as polyamines from ornithine metabolism,which reduces N-methyl-D-aspartate(NMDA)-type glutamate receptor activity;(2)Enhancement of cell viability by activating the nerve growth factor-signaling pathway;and(3)Activation of the Muscarinic acetylcholine receptor subtype M1(mAChR-M1).These small peptides show promise as neuroprotective agents against a variety of neurodegenerative disorders.

关键词： Neuroprotective peptides Neurodegenerative disease Oxidative stress Reactive oxygen species Biopeptides

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Impact of the timing of capsule endoscopy in overt obscure gastrointestinal bleeding on yield and rebleeding rate-is sooner than 14 d advisable?

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World Journal of Gastrointestinal Endoscopy 2018年第4期10卷 74-82页

作者： Catarina Gomes Rolando Pinho Adélia Rodrigues Ana Ponte Joana silva Jaime Pereira Rodrigues Mafalda Sousa joao carlos silva joao Carvalho Department of Gastroenterology Centro Hospitalar Vila Nova de Gaia/EspinhoPorto 4434502Portugal

AIM To evaluate the impact of the timing of capsule endoscopy(CE) in overt-obscure gastrointestinal bleeding(OGIB). METHODS Retrospective, single-center study, including patients submitted to CE in the setting of overt-OGIB between January 2005 and August 2017. Patients were divided into 3 groups according to the timing of CE(≤ 48 h; 48 h-14 d; ≥ 14 d). The diagnostic and therapeutic yield(DY and TY), the rebleeding rate and the time to rebleed were calculated and compared between groups. The outcomes of patients in whom CE was performed before(≤ 48 h) and after 48 h(> 48 h), and before( 48 h groups(P = 0.03).CONCLUSION Performing CE within 48 h from overt-OGIB is associated to a higher TY and a lower rebleeding rate and longer time to rebleed.

关键词： Overt-obscure gastrointestinal bleeding Capsule endoscopy Timing Diagnosis Therapeutic Rebleeding

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Yield of capsule endoscopy in obscure gastrointestinal bleeding:A comparative study between premenopausal and menopausal women

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World Journal of Gastrointestinal Endoscopy 2018年第10期10卷 301-307页

作者： joao carlos silva Rolando Pinho Adélia Rodrigues Ana Ponte Jaime Pereira Rodrigues Mafalda Sousa Catarina Gomes joao Carvalho Department of Gastroenterology Centro Hospitalar Vila Nova de Gaia/EspinhoPorto 4434-502Portugal

AIM To evaluate differences in capsule endoscopy(CE) performed in the setting of obscure gastrointestinal bleeding(OGIB) among premenopausal women(PMW) and menopausal women(MW).METHODS Retrospective, single-center study, including female patients submitted to CE in the setting of OGIB between May 2011 and December 2016. Patients were divided into 2 groups according to age, considering fertile age as ≤ 55 years and postmenopausal age as > 55 years. The diagnostic yield(DY), the rebleeding rate and the time to rebleed were evaluated and compared between groups. Rebleeding was defined as a drop of Hb > 2 g/dL or need for transfusional support or presence of melena/*** A hundred and eighty three female patients underwent CE for OGIB, of whom 30.6%(n = 56) were PMW and 69.4%(n = 127) were MW. The DY was 30.4% in PMW and 63.8% in MW. The most common findings were angiodysplasias in both groups(PMW: 21.4%, MW: 44.9%)(P = 0.003). In PMW, only 1.8% required therapeutic endoscopy. In 17.3% of MW, CE findingsled to additional endoscopic treatment. Rebleeding at 1, 3 and 5 years in PMW was 3.6%, 10.2%, 10.2% and 22.0%, 32.3% and 34.2% in MW. Postmenopausal status was significantly associated with higher DY(P < 0.001), TY(P = 0.003), rebleeding(P = 0.031) and lower time to rebleed(P = 0.001).CONCLUSION PMW with suspected OGIB are less likely to have significant findings in CE. In MW DY, need for endoscopic treatment and rebleeding were significantly higher while time to rebleed was lower.

关键词： Diagnostic yield Obscure gastrointestinal bleeding Premenopausal women Menopausal women Capsule endoscopy

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Supercritical fluid technology as a sustainable alternative method for textile dyeing:An approach on waste,energy,and CO_(2)emission reduction

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Journal of Environmental Sciences 2024年第6期140卷 123-145页

作者： carlos Rafael silva de Oliveira Patrícia Viera de Oliveira Leandro Pellenz Catia Rosana Lange de Aguiar Afonso Henrique da silva Júnior Federal University of Santa Catarina Textile Engineering Department2514 João Pessoa St.BlumenauSC89036-004Brazil Federal University of Santa Catarina Chemical Engineering DepartmentS/n Biotério Central St.FlorianópolisSC88040-900Brazil

The clothing industry is considered one of the most polluting industries on the planet due to the high consumption of water,energy,chemicals/dyes,and high generation of solid waste and *** with environmental concerns,the textile ennoblement sector is the most critical of the textile production chain,especially the traditional dyeing *** an alternative to current problems,dyeing with supercritical CO_(2)(scCO_(2))has been presented as a clean and efficient process for a sustainable textile *** fluid dyeing(SFD)has shown a growing interest due to its significant impact on environmental preservation and social,economic,and financial *** main SFD benefits include economy and reuse of non-adsorbed dyes;reduction of process time and energy expenditure;capture of atmospheric CO_(2)(greenhouse gas);use and recycling of CO_(2)in SFD;generation of carbon credits;water-free process;effluent-free process;reduction of CO_(2)emission and auxiliary *** being still a non-scalable and evolving technology,SFD is the future of *** review presented a comprehensive overview of the environmental impacts caused by traditional processes and confronted the advantages of *** SFD technique was introduced,along with its latest advances and future *** and environmental gains were also discussed.

关键词： Textile industry Supercritical dyeing Sustainable processes Water free dyeing Energy saving Cleaner production

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Rotating effects on the photoionization cross-section of a 2D quantum ring

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Communications in Theoretical Physics 2024年第10期76卷 153-159页

作者： carlos Magno O Pereira Frankbelson dos S Azevedo Luís Fernando C Pereira Edilberto O silva Departamento de Física Universidade Federal do Maranh?o

In this article, we investigate the nonrelativistic quantum motion of a charged particle within a rotating frame, taking into account the Aharonov–Bohm(AB) effect and a uniform magnetic field. Our analysis entails the derivation of the equation of motion and the corresponding radial equation to describe the system. Solving the resulting radial equation enables us to determine the eigenvalues and eigenfunctions, providing a clear expression for the energy levels. Furthermore,our numerical analysis highlights the substantial influence of rotation on both energy levels and optical properties. Specifically, we evaluate the photoionization cross-section with and without the effects of rotation. To elucidate the impact of rotation on the photoionization process of the system, we present graphics that offer an appealing visualization of the intrinsic nature of the physics involved.

关键词： Aharonov-Bohm effect photoionization cross-section quantum ring rotating effect

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