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Extrahepatic cholestasis associated with paracoccidioidomycosis:Challenges in the differential diagnosis of biliopancreatic neoplasia

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World Journal of Gastrointestinal Oncology 2024年第6期16卷 2531-2540页

作者： Jose Sebastiao dos Santos Vitor de Moura Arrais William Jose Rosseto Ferreira Ricardo Ribeiro Correa Filho Mariangela Ottoboni Brunaldi Rafael Kemp Ajith Kumar Sankanrakutty jorge Elias Junior Fernando Bellissimo-rodrigues Roberto Martinez Edson Zangiacomi Martinez Jose Celso Ardengh Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP) Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de PatologiaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Imagens MédicasHematologia e Oncologia ClínicaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Medicina SocialRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Clínica MédicaRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil and Hospital MoriahServico de Endoscopia DigestivaSao Paulo 04084-002Sao PauloBrazil

BACKGROUND Paracoccidioidomycosis(PCM)may involve the hepatic pedicle and peripan creatic lymph nodes,cause damage to the bile duct and manifest,exceptionally,in combination with extrahepatic cholestasis(EHC),making investigation and treatment *** To investigate the management of patients with visceral PCM admitted with *** All patients diagnosed with PCM treated in a public,tertiary teaching hospital between 1982 and 2020 were retrospectively *** also identified with EHC were allocated to two groups according to the treatment approach for the purpose of comparing clinical,laboratory,and imaging findings,resources used for etiological diagnosis,treatment results,and *** analyses were performed using the linear mixed-effects model(random and fixed effects),which was adjusted using the PROC MIXED procedure of the SAS®9.0 software,and Fisher’s exact *** Of 1645 patients diagnosed with PCM,40(2.4%)had *** these,20(50.0%)lived in the rural area and 29(72.5%)were men,with a mean age of 27.1 years(3-65 years).Jaundice as first symptom and weight loss of at least 10 kg were observed in 16 patients(40.0%),and a mass in the head of the pancreas was observed in 8(20.0%).The etiological diagnosis was made by tissue collection during surgery in 4 cases(10.0%)and by endoscopic methods in 3 cases(7.5%).Twenty-seven patients(67.5%)received drug treatment alone(Group 1),whereas 13(32.5%)underwent endoscopic and/or surgical procedures in combination with drug treatment(Group 2).EHC was significantly reduced in both groups(40.7% in Group 1,with a mean time of 3 months;and 38.4% in Group 2,with a mean time of 7.5 months),with no statistically significant difference between *** recurrence rates,associated mainly with treatment nonadherence,were similar in both groups:37% in Group 1 and 15.4% in Group *** mortality rate was 18.5% in Group 1 and 23% in Group 2,with survival estimates of 71.3% and 72.5%,respectively,with

关键词： Cholestasis Jaundice Obstructive Blastomycosis Paracoccidioides Diagnosis Treatment

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Experimental and Analytical Study of Torsional Vibration under Multiaxial Loading in Time Domain

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Journal of Mechanics Engineering and Automation 2016年第3期6卷 148-157页

作者： Dionisio Jose rodrigues da Costa Ladario da Silv jorge rodrigues duran Jose Flavio Feiteira Programa de Pos-graduacao em Engenharia Metalurgica (PPGEM) Escola Industrial Metalurgica de Volta Redonda (EEIMVR)Universidade Federal Fluminense (UFF) Volta Redonda 27255-125 R J Brasil Posto Regional de Policia Tecnico-Cientifica de Volta Redonda (PRPTC-VR) Volta Redonda 27180-000 R J Brasil Departamento de Fisica lnstituto de Ciencias Exatas (1CEx) UFF Volta Redonda 27213-145 RJ Brasil Departamento de Engenharia Mecdnica EEIMVR UFF Volta Redonda 27255-125 R J Brasil

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香椿的树木年轮宽度与超年生殖行为的相互关系:对树轮学研究的警示

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Journal of Plant Ecology 2024年第1期17卷 165-171页

作者： Monique Silva Costa Thaís jorge de Vasconcellos Claudio Sergio Lisi Arno Fritz Neves Brandes Mario Tomazello-Filho Cátia Henriques Callado Instituto de Aplicação Fernando rodrigues da Silveira Universidade do Estado do Rio de JaneiroRua Barão de Itapagipe96.Rio Comprido 20261-005Rio de JaneiroBrazil Laboratório de Anatomia Vegetal Universidade do Estado do Rio de JaneiroRua São Francisco Xavier524Maracanã20550-013Rio de JaneiroBrazil Departamento de Biologia Universidade Federal de SergipeAv.Marechal Rondon s/n-Rosa Elze.São Cristóvão 49100-000SergipeBrazil Departamento de Biologia Geral Universidade Federal FluminenseRua Prof.Marcos Waldemar de Freitas ReisS/N.Gragoatá24210-201Rio de JaneiroBrazil Escola Superior de Agricultura Luiz de Queiroz Universidade de São PauloAv.Pádua Dias11.Piracicaba 13418-900São PauloBrazil

资源分配到生殖过程涉及到生态和进化因素,可能会减少植物的营养生长。这种相互关系在自然界中不容易观察到,因为有许多参数可以限制生殖结构的产生或生物量的增加。我们将香椿(Cedrela odorata L.,楝科)在里约热内卢州大西洋森林中的... 详细信息

资源分配到生殖过程涉及到生态和进化因素,可能会减少植物的营养生长。这种相互关系在自然界中不容易观察到,因为有许多参数可以限制生殖结构的产生或生物量的增加。我们将香椿(Cedrela odorata L.,楝科)在里约热内卢州大西洋森林中的树木年轮宽度与超年生殖行为相关联。总体而言,生殖结构的发育发生在湿润的年份,在生长季初期没有出现水分亏缺。然而,在这些年份,树木年轮宽度较小。这些结果可能与树木年轮宽度与当地气候之间缺乏相关性有关。因此,我们强调在径向生长研究中纳入生殖数据的重要性,以扩大对热带森林生长变异性的理解。

关键词：植物生长策略树木年轮学树木生态学生殖权衡

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Qigong in the treatment of children with autism spectrum disorder:A systematic review

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Journal of Integrative Medicine 2019年第4期17卷 250-260页

作者： jorge Magalhaes rodrigues Mariana Mestre Larry Ibarra Fredes Faculty of Medicine of Oporto University (FMUP) Alameda Prof. Hemani Monteiro 4200-319 Porto Portugal Portuguese Institute of Taiji and Qigong Urbanizacao da Boufa Grande Rua E n 102 4470-765 Maia Portugal European Institute of Traditional Chinese Studies (IEETC) Rua Dom Joao IV 399 4000-302 Porto Portugal

Background: Autism spectrum disorder is a condition that affects all races, ethnic and socioeconomic groups. With a high incidenee ratio of one in every 68, it has become one of the most discussed psychiatric disorders. For this reason, the need for investigating novel treatments has been emerging. Qigong, a traditional Chinese mind-body technique, has already proven to be able to reduce symptoms of several physical and psychological illnesses. Objective: The purpose of this systematic review is to examine and categorize the current scientific evidence regarding the efficacy of Qigong on children suffering from autism spectrum disorders. Search strategy: A systematic literature search of the electronic scientific databases PubMed, Clinical ***, BioMed Central, PubMed Central and Google Scholar was performed to identify studies of Qigong in the treatment of children with autism spectrum disorder. Inclusion criteria: This review included randomized controlled trials, replication studies, retrospective studies and observational follow-up studies of Qigong on children with autism spectrum disorder. Case reports and case series were excluded. Data extraction and analysis: Two researchers independently evaluated the methodological quality of all included studies. Any discrepancies were solved by discussion until consensus was achieved. Results: Our literature search identified 157 publications, and 10 additional publications from hand search of references. After duplicate removal, 103 records remained. After the title/abstract screening, 19 publications were obtained for detailed evaluation. After detailed evaluation, 10 studies were included. Seven studies were conducted with small children with 2-6 years old employing Qigong massage, and three studies were con ducted with older children aged 7-17 years old applying both Qigong massage (one study) and Neigong (two studies). Conclusion: Studies demonstrated that Qigong has interesting and promising applicability an

关键词： Autism spectrum disorder Qigong Mind-body interventions Children

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Some remarks on the engineering application of the fatigue crack growth approach under nonzero mean loads

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Frontiers of Mechanical Engineering 2015年第3期10卷 255-262页

作者： jorge Alberto Rodriguez duran Ronney Mancebo BOLOY Rafael Raider LEONI Mechanical Engineering Department Federal Fluminense UniversityVolta Redonda 27255-125 Brazil Mechanical Engineering Department Federal Center of TechnologicalEducation Angra dos Reis 23953-030 Brazil Mechanical Engineer Structural Data Acquisition & Fatigue AnalysisEngineer Resende 27511-970 Brazil

The well-known fatigue crack growth （FCG） curves are two-parameter dependents. The range of the stress intensity factor AK and the load ratio R are the parameters normally used for describing these curves. For engineering purposes, the mathematical representation of these curves should be integrated between the initial and final crack sizes in order to obtain the safety factors for stresses and life. First of all, it is necessary to reduce the dependence of the FCG curves to only one parameter. AK is almost always selected and, in these conditions, considered as the crack driving force. Using experimental data from literature, the present paper shows how to perform multiple regression analyses using the traditional Walker approach and the more recent unified approach. The correlations so obtained are graphically analyzed in three dimensions. Numerical examples of crack growth analysis for cracks growing under nominal stresses of constant amplitude in smooth and notched geometries are performed, assuming an identical material component as that of the available experimental data. The resulting curves of crack size versus number of cycles （a vs. N） are then compared. The two models give approximately the same （a vs. N） curves in both geometries. Differences between the behaviors of the （a vs. N） curves in smooth and notched geometries are highlighted, and the reasons for these particular behaviors are discussed.

关键词： fatigue crack propagation modeling life prediction mean stress effects

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Analysis of antisym metric cross-ply laminates using high-order shear deformation theories:a meshless approach

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Acta Mechanica Sinica 2020年第5期36卷 1078-1098,I0003页

作者： D.E.S.rodrigues J.Belinha L.M.J.S.Dinis R.M.Natal jorge Institute of Science and Innovation in Mechanical and Industrial Engineering 4200-465 PortoPortugal Department of Mechanical Engineering School of EngineeringPolytechnic of Porto(ISEP)4200-072 PortoPortugal Department of Mechanical Engineering Faculty of EngineeringUniversity of Porto(FEUP)4200-465 PortoPortugal

For many years finite element method(FEM)was the chosen numerical method for the analysis of composite ***,in the last 20 years,the scientific community has witnessed the birth and development of several meshless methods,which are more flexible and equally accurate numerical *** meshless method used in this work is the natural neighbour radial point interpolation method(NNRPIM).In order to discretize the problem domain,the NNRPIM only requires an unstructured nodal ***,using the Voronoi mathematical concept,it enforces the nodal connectivity and constructs the background integration *** NNRPIM shape functions are constructed using the radial point interpolation *** this work,the displacement field of composite laminated plates is defined by high-order shear deformation *** the end,several antisymmetric cross-ply laminates were analysed and the NNRPIM solutions were compared with the *** obtained results show the efficiency and accuracy of the NNRPIM formulation.

关键词： Antisymmetric cross-ply laminates High-order shear deformation theories Meshless methods Naturalneighbour radial point interpolation method(NNRPIM)

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Comnutational Models for New Fiber Ootic Tweezers

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Photonic Sensors 2013年第1期3卷 57-60页

作者： R. S. rodrigues RIBEIRO P. A. S. jorge A. GUERREIRO INESC-TEC (coordinated bv INESC Porto) Rua do Campo Alegre 687. 4169 007 Porto Portugal Departamento de Fisica e Astronomia Faculdade de Ci&ncias Universidade do Porto Portugal

This paper discusses the calculation of the trapping forces in optical tweezers using a combination of the finite differences time domain (FDTD) method and the Lorentz force on electric dipoles. The results of 2D simu... 详细信息

关键词： l模型时域有限差分法光纤洛仑兹力电偶极子 FDTD 二维模拟圆形颗粒

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A new heparin fragment decreases liver ischemia-reperfusion injury

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Hepatobiliary & Pancreatic Diseases International 2022年第2期21卷 190-192页

作者： Enio R Vasques Estela RR Figueira Joel A Rocha-Filho Cinthia Lanchotte jorge LS Ximenes Helena B Nader Ivarne LS Tersariol Marcelo A Lima Tiago rodrigues JoséEM Cunha Eleazar Chaib Luiz AC D’Albuquerque Flávio HF Galvão Laboratorio de Investigaçao Medica 37 Departamento de GastroenterologiaHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão Paulo 01246-903Brazil Departamento de Gastroenterologia Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil Disciplina de Anestesiologia Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil Departamento de Bioquimica Universidade Federal de São PauloSão PauloBrazil Universidade Federal do ABC Santo AndreSão PauloBrazil Serviço de Transplante de Figado e Orgaos do Aparelho Digestivo Departamento de GastroenterologiaHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil

To the Editor:Ischemia-reperfusion injury following surgery and transplantation can lead to irreversible multiorgan *** calcium overload is associated to cellular death during ischemiareperfusion.A recently discovered heparin fragment (HF),trisulfated disaccharide (TD),that acts on sodium-calcium exchanger(NCX) decreasing intracellular Ca^(2+),showed effectiveness on protecting hepatocytes from ischemia-reperfusion injury [1].

关键词： irreversible heparin injury

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Perioperative challenges in management of diabetic patients undergoing non-cardiac surgery

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World Journal of Diabetes 2021年第8期12卷 1255-1266页

作者： Ursula Galway Praveen Chahar Marc T Schmidt jorge A Araujo-duran Jeevan Shivakumar Alparslan Turan Kurt Ruetzler Department of General Anesthesiology Anesthesiology InstituteCleveland ClinicClevelandOH 44195United States Department of Intensive Care and Resuscitation Anesthesiology InstituteCleveland ClinicClevelandOH 44195United States Department of Outcomes Research Anesthesiology InstituteCleveland ClinicClevelandOH 44195United States

Prediabetes and diabetes are important disease processes which have several perioperative *** one third of the United States population is considered to have *** prevalence in surgical patients is even *** is due to the associated micro and macrovascular complications of diabetes that result in the need for subsequent surgical procedures.A careful preoperative evaluation of diabetic patients and patients at risk for prediabetes is essential to reduce perioperative mortality and *** preoperative evaluation involves an optimization of preoperative *** also includes optimization of antidiabetic medication regimens,as the avoidance of unintentional hypoglycemic and hyperglycemic episodes during the perioperative period is *** focus of the perioperative management is to ensure euglycemia and thus improve postoperative ***,prolonged preoperative fasting should be avoided and close monitoring of blood glucose should be initiated and continued throughout *** can be accomplished with either analysis in blood gas samples,venous phlebotomy or point-of-care *** capillary and arterial whole blood glucose do not meet standard guidelines for glucose testing,they can still be used to guide insulin dosing in the operating *** glycemic control goals may vary slightly in different protocols but overall the guidelines suggest a glucose range in the operating room should be between 140 mg/dL to 180 mg/*** hyperglycemia is detected in the operating room,blood glucose management may be initiated with subcutaneous rapid-acting insulin,with intravenous infusion or boluses of regular *** and electrolyte management are other perioperative *** diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic state are the two most serious acute metabolic complications of diabetes that must be recognized early and treated.

关键词： Diabetes mellitus Perioperative management Insulin Hyperglycaemia Anaesthesia Surgery

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Slope Processes, Mass Movement and Soil Erosion： A Review

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Pedosphere 2017年第1期27卷 27-41页

作者： Antonio Jos Teixeira GUERRA Michael Augustine FULLEN Maria do Carmo Oliveira jorge Joss Fernando rodrigues BEZERRA Mohamed S. SHOKR Department of Geography Federal University of Rio de Janeiro Rio de Janeiro 21941-972 (Brazil) Faculty of Science and Engineering University of Wolverhampton Wolverhampton WV1 1LY (UK) Department of Geography State University of Maranhao SSo Luis 65055-970 (Brazil) Soil and Water Department Faculty of Agriculture Tanta University Tanta 31527 (Egypt)

Soil erosion and land degradation are global problems and pose major issues in many *** soil erosion and mass movement are two forms of land degradation and humans play important roles in these geomorphological *** paper reviews slope processes associated with mass movement and soil erosion and contributory factors,including physical and human *** together,these cause diverse geomorphological *** processes are illustrated by reference to case studies from Brazil and *** causes and impacts of erosion are discussed,along with appropriate remedial bioengineering methods and the potential of the measures to prevent these types of environmental *** there are several agents of erosion,water is the most important *** can promote soil erosion,due to ploughing and harvesting,which moves soil down *** erosion and mass movement data would inform the viability of soil conservation *** management of drainage basins offers a promising way forward for effective soil conservation and soil remedial bioengineering in Brazil and UK.

关键词：土壤侵蚀物质运动综述流域综合管理土地退化水土保持全球性问题地貌过程

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