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Operative Technique for Correction of Gigantomastia,Using the Superior Pedicle,with Special Care for the Nipple-Papillary Grafts:A 13-Year Retrospective Study

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Modern Plastic Surgery 2015年第3期5卷 34-46页

作者： jose humberto cardoso resende Lucilia Feliciano Marques di Carlantonio Luiz Celio Martins Freitas Teresa Tonini Nebia Maria Almeida de Figueiredo Luiz Carlos Santiago Nursing and Biosciences Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil Member of the Brazilian Society of Plastic Surgery(SBCP) Rio de JaneiroBrazil Brazilian College of Surgeons(CBC) Rio de JaneiroBrazil President of the Catheters committee of the National Cancer Institute(INCa) Rio de JaneiroBrazil Public Health from State of Rio de Janeiro University(UERJ) Rio de JaneiroBrazil Coordinator of the Post-graduate Program in Nursing and Bioscience of UNIRIO Rio de JaneiroBrazil Nursing Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil

This is a retrospective study on gigantomastia correction in obesity facing the technique of nipple-areolar grafts and its complexity. The main question is the technical-surgical care during its execution aiming to achieve reparative results that can return to these women the desire to live with better quality of life and health. Method: We performed a retrospective study of all obese patients with severe gigantomastia who underwent reduction mammaplasty with an operative technique using the superior pedicle, with special care for the nipple-papillary grafts. The study was carried out at a single institution between 2001 and 2013, in a total of 30 cases. This operative technique was presented at first time in 1980, with no changes up to now. We emphasized the perfect decortication of the areola and nipples until they were translucent after the maneuvers of Schwartzman and subsequent grafts operated in both breasts. Results: Results were considered satisfactory, from the reparative and aesthetic point of view, emphasizing the degree of improvement observed in women undergoing technique. Discussion: We can say that during all this time of aesthetic and therapeutic-restorative surgery, due to its realization in a single surgical time, there was big impact on the aesthetics of patients and on their families, even taking into account possible complications in the post-operative. Conclusion: The superior pedicle technique, performed as described here, is a safe and reliable procedure in patients with severe gigantomastia.

关键词： Mammoplasty Gigantomastia resende’s Technique Surgical Flaps Bariatric Surgery Obesity

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Patients Body Modeling:A Practical Theoretical Experience in Plastic Surgery

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Modern Plastic Surgery 2019年第3期9卷 52-58页

作者： jose humberto cardoso resende Issacar de Oliveira Costa Pedro Fernando Huertas Granobles Rolando Arturo Romero Balcazar Guilherme Bahia de Carvalho Hugo Rojas Perdomo Edmar Moreira Lisboa Mohamad Youssef Mohsen Alváro Sanchez Vargas Nebia Maria Almeida de Figueiredo UNIREDENTOR University Rio de JaneiroBrazil UNIRIO University Rio de JaneiroBrazil

This research is an active pedagogical experience with surgeons who are specialized in reconstructive plastic surgery and nursing. The guiding questions were the statements of each Surgeon’s clients and what they think about them. Modeling the imaginary bodies of the patients and identify what they built in their minds, highlighting topics and the discussion about the practice made in clay modeling. Eight bodies were modeled, with six bodies with all the senses and two incomplete bodies with only the regions of the breasts and buttocks. It was concluded that there are diverse issues emerging such as gender, ethics, care, spirituality and dream as the fulfillment of the wishes of the patients. Where in the body can these surgeons act to improve the patients’ physical and quality of life? There is an important theme when we are generally welcoming women into an anamnesis that considers their body as a whole, but what is their expectation for each patient? This paper showed the importance of the preoperative evaluation of this whole, for the indication of repairs or contraindications of procedures that aim to improve the physical of the patients, with possible bodily surgical modifications as a form of modeling through liposuction, grafting or excision with lipectomy and withdrawal of excess skin to mitigate the effects of the transformations that deform the physical and end up harming the human relationship, especially women. This is a qualitative method showing the meanings of the bodies of the women represented in the modeling by the Surgeons. However, some surgeons stand out by the look of their practice, as greater sensitivity looking at the body as a whole, spiritual and emotional. They need to use their skills as surgical art and gift, to try to achieve a means, but not an end.

关键词： Modeling Bodies Surgery Plastic Art

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Transit Bipartition with Duodeno-Ileal Anastomosis, without Duodenal Exclusion, as a First Stage of Bariatric Surgery in Severely Obese Patients: Case Report

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Surgical Science 2022年第11期13卷 497-505页

作者： Paulo Reis Esselin de Melo Thonya Cruz Braga Danilo Fossalussa Minari José humberto cardoso resende Instituto Paulo Reis Goi&#226nia Brazil UNIFAN-Centro Universitário Alfredo Nasser Aparecida de Goi&#226nia Goi&#225s Brazil

Obesity is a difficult disease to control;bariatric surgery is one of the tools used to treat obesity and its comorbidities. The present case was chosen because it concerns a very obese patient whose proposed surgery—duodenal switch—resulted in traoperatively difficult to the medical team because the esophagogastric junction could not be reached due to the presence of hepatomegaly. Due to this unfavorable condition, we decided to perform a duodeno-ileal anastomosis with gastric preservation and without duodenal exclusion. The patient has been under follow-up for 14 years. She has lost 55 kg and maintains the comorbidities controlled to date.

关键词： Bariatric Surgery Biliopancreatic Diversion Gastric Bypass Duodenal Switch

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Empty Soul Syndrome

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Journal of Behavioral and Brain Science 2018年第1期8卷 26-40页

作者： José humberto cardoso resende Alfredo Nasser College (UNIFAN) Goiania Brazil

It is a syndrome with a set of signs and symptoms distinct from depression or panic syndrome, which is not characterized by the fear of dying, but by the desire to die in the form of suicide or in another quick way. Unlike depression or panic, it occurs more frequently between 60 and 80 years of age, according to the World Health Organization (WHO) report, which puts Brazil in eighth place among the countries with the highest incidence of suicides in the age range of 70 years. The report estimates a death every 40 seconds in the world, with India ranking first among the countries surveyed, according to the United Nations agency, in the WHO 2012 registries. It can occur in any person, regardless of color, religion, social class or schooling, being more common, however, among men, in the ratio of nine men to two women. It is very common among health practitioners or the self-employed. Causes are related to the general delusion involving body and mind, focusing on the lack of care. By the description of the dictionary, soul is the union of body and spirit, which some prefer to call mind. “Empty Soul” represents the lack of the very essence of life, a total void of wills, a finding of abandonment. For these symptoms or illness, the treatment has followed the line of “antidepressants” aimed at the reuptake of serotonin, such as SSRIs, MAOIs, anxiolytics (benzodiazepines) and painless techniques that reach the brain, used in neurology and psychiatry. We suggest, as a therapeutic idea, the realization of “Healing Workshops”, with the support being given in the form of meetings with motivational orientations, through positive stimuli, daily and constant psychotherapies, which the client will attend until cure is verified. This degree of disorder has presented in alarming proportions, especially after 2015. This work is justified by to the dramaticity of the deaths, such as: knife, shot, fall of great height, hunger strikes and forced isolation in prisons or kidnappings. In

关键词： Depression Panic Suicide Soul Disillusionment

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Gastric Bypass with Long Pouch and Transit Bipartition for Endoscopic Access to the Remaining Stomach

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Surgical Science 2022年第8期13卷 353-366页

作者： Paulo Reis Esselin de Melo Marcella Giovana Gava-Brandolis Thonya Cruz Braga Danilo Fossalussa Minari Ricardo Augusto Martins Bueno da Costa jose Geraldo Moraes Sampaio Neto Louise Flores Silva José humberto cardoso resende Hospital Estadual Alberto Rassi Surgical Skills Coordinator Goi&#226nia Brazil UNIFAN Research Coordinator Aparecida de Goi&#226nia Brazil

Introduction: obesity has a complex and multifactorial etiology, difficult treatment and increasing incidence rates in recent decades. The treatment involves clinical and pharmacological approaches and, in case of lack of results, surgical interventions. Roux-en-Y gastric bypass (RYGB) is one of these surgical interventions in which the stomach is divided, creating a small pouch, and the remaining portion of the stomach become excluded and left without endoscopic access. Objective: to evaluate the results of modified RYGB with long pouch and endoscopic access to the remaining stomach. Materials and Methods: prospective clinical trial with sample selected among patients seen at the Alberto Rassi General State Hospital of Goiânia (HGG) and indicated for bariatric and metabolic surgery confirmed by the medical and multidisciplinary team. The study was conducted from January 2020 to August 2021. Clinical history and laboratory test results of the selected patients were collected through consultations with the medical and multidisciplinary team. Results: twelve participants were included in the study. Of these, 11 (91.7%) were women and the mean age was 46.3 years. The weight before surgery was 112.17 kg (92.00 - 150.00) and the Body Mass Index (BMI) was 44.89 (35.06 - 74.39). After 18 months of surgery, the mean weight was 80.77 kg (±11.92) and the mean BMI was 29.46 (±11.00), showing a significant reduction in both (p = 0.003 and p = 0.002, respectively). All patients underwent endoscopic evaluation of the pouch, remaining stomach and duodenum at 12 months postoperatively. The mean percentage of lost excess weight loss was 68.21%. Conclusion: We conclude that the proposed changes in RYGB (GBLP + GIB – Roux-en-Y gastric bypass with long pouch and gastrointestinal bipartition) did not compromise weight loss or control of type 2 diabetes and other comorbidities and proved to be a safe and effective alternative without gastroduodenal exclusion, enabling a better postop

关键词： Obesity Bariatric Surgery Metabolic Surgery Roux-En-Y Gastric Bypass

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Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

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Modern Plastic Surgery 2013年第4期3卷 123-127页

作者： José humberto cardoso resende Rossano Kepler Alvim Fiorelli General Surgery Federal University of the State of Rio de Janeiro Rio de Janeiro Brazil Plastic Surgery Federal Hospital for the Civil Servants of the State of Rio de Janeiro Rio de Janeiro Brazil

Objective: To assess the rate of mammary prosthesis extrusion after mammoplasty with prosthesis implantation, to verify the resulting shape and the degree of patient satisfaction after the use of a transverse bipediculated flap with lateral irrigations. Methods: 30 patients with a weight loss of 50 kg on average after video-assisted bariatric surgery, with ptosis and excessive volumes, who underwent mammoplasty with prosthesis placement with volumes ranging from 190 to 260 cc, using a transverse flap with the aim of anchoring the silicone prosthesis. Results: In the patients’ evaluation, the few postoperative complaints did not amount to complications. Pains were minimal and the discomfort with the prosthesis was acceptable. Conclusion: the transverse flap, in addition to acting as the best anchor among the existing flaps for implanted prostheses, provided a youthful, natural, anatomical, aesthetic and longer lasting appearance for the breasts.

关键词： Mammoplasty Mastoplasty with Prosthesis Non-Aesthetic Female Mammary Plastic Surgery Post-Bariatric Mammoplasty

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Removal and desorption of chromium in synthetic effluent by a mixed culture in a bioreactor with a magnetic field

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Journal of Environmental Sciences 2020年第5期32卷 151-159页

作者： Roseli MDias Jessica GSilva Vicelma Lcardoso Miriam Mde resende Faculty of Civil Engineering Federal University of UberlandiaMinas GeraisBrazil Faculty of Chemical Engineering Federal University of UberlandiaMinas GeraisBrazil

Two chromium removal experiments were performed in bioreactors with and without a magnetic field under the same *** release of the chromium present in the biomass was tested in two experiments one with the initial pH of the medium and one with pH *** objective was to remove Cr(Ⅵ)and total Cr from the effluent,this was carried out by placing biological treatments of synthetic effluent contaminated with 100 mg/L of Cr(Ⅵ)in a bioreactor with neodymium magnets that applied a magnetic field(intensity85.4 mT)to the mixed *** removal of Cr(Ⅵ)was approximately 100.0%for the bioreactor with a magnetic field and 93,3%for the bioreactor without a magnetic field for9 hr of recirculation of the synthetic effluent by the *** removal of total Cr was61.6%and 48.4%,with and without a magnetic field,respectively;for 24 *** desorption of Cr(VI)in the synthetic effluent was 0.05 mg/L,which is below the limit established by Brazilian legislation(0.1 mg/L)for the discharge of effluent containing Cr(Ⅵ)into bodies of *** results obtained for the removal of chromium in synthetic effluent suggested that there was no significant influence on the viable cell count of the mixed *** desorption of Cr(Ⅵ)in synthetic effluent after bioadsorption of chromium by the mixed culture in the process of removal of chromium in bioreactors with and without a magnetic field was not significant in either of the experiments with different initial pHs.

关键词： Chromium removal Mixed culture Magnetic field Desorption Effluent treatment

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Recalcitrant cell wall of Ulva lactuca seaweed is degraded by a single ulvan lyase from family 25 of polysaccharide lyases

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Animal Nutrition 2022年第2期9卷 184-192页

作者： Monica M.Costa Luís B.Pio Pedro Bule Vania A.cardoso Marlene Duarte Cristina M.Alfaia Diogo F.Coelho Joana A.Bras Carlos M.G.A.Fontes jose A.M.Prates CIISA-Centro de Investigaçao Interdisciplinar em Sanidade Animal Faculdade de Medicina Veterinari1Universidade de Lisbo1Alto da Ajud11300-477 Lisbo1Portugal NZYTech-Genes and Enzymes Estrada do Paço do LumiarCampus do LumiarEdifício E1649-038 Lisbo1Portugal

Green macroalgae,e.g.,Ulva lactuca,are valuable bioactive sources of nutrients;but algae recalcitrant cell walls,composed of a complex cross-linked matrix of polysaccharides,can compromise their utilization as feedstuffs for monogastric *** study aimed to evaluate the ability of pre-selected Carbohydrate-Active enZymes(CAZymes)and sulfatases to degrade *** cell walls and release nutritive compounds.A databank of 199 recombinant CAZymes and sulfatases was tested in vitro for their action towards *** cell wall *** enzymes were incubated with the macroalga,either alone or in combination,to release reducing sugars and decrease fluorescence intensity of Calcofluor White stained cell *** individual action of a polysaccharide lyase family 25(PL25),an ulvan lyase,was shown to be the most efficient in cell wall *** ulvan lyase treatment,in triplicate measures,promoted the release of 4.54 g/L(P0.05),proteins(P?0.861)or pigments(P>0.05)was *** results highlight the capacity of a single recombinant ulvan lyase(PL25 family)to incompletely disrupt *** cell *** enzyme could enhance the bioaccessibility of *** bioactive products with promising utilization in the feed industry.

关键词： Macroalga Ulva lactuca Carbohydrate-active enzyme Ulvan lyase Cell wall degradation

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Oral Use of an Infusion of Leaves of Solanum paniculatumL., Jacaranda brasiliensisand Sonchus oleraceusfor Treatment of Vitiligo

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Journal of Cosmetics, Dermatological Sciences and Applications 2015年第4期5卷 317-331页

作者： José humberto cardoso resende Georgia Saad Thomaz de Aquino Fábio Renato Ferreira do Nascimento Mayara Monteiro Aguiar Rossano Kepler Alvim Fiorelli Institute for Medical and Phytotherapeutic Research and UNIRIO Rio de Janeiro Brazil SBD Rio de Janeiro Brazil Institute for Medical and Phytotherapeutic Research Rio de Janeiro Brazil Volpharma Co. Rio de Janeiro Brazil UNIRIO Rio de Janeiro Brazil

Background: A healthy normal skin is essential for a person’s physical and mental well being. It is an important aspect of their sexual attractiveness, a sense of well being and a sense of self confidence. Vitiligo is an acquired depigmentation disorder of skin affecting 1% - 4% of the world population. Neither life threatening nor symptomatic (except that depigmented patches burn easily when exposed to the sun) the effects of vitiligo can be cosmetically and psychologically devastating. Because the disease is still not understood, there is a plethora of different treatments approaches, but they are largely unsatisfactory from patient’s perspective. Objective: To report the outcomes from oral use of an infusion of leaves of Solanum paniculatum L., Jacaranda brasiliensis and Sonchus oleraceus for treatment of vitiligo. Ethical issues: Study approved by the Research Ethics Committee of Hospital Federal dos Servidores do Estado do Rio de Janeiro (CAAE: 32143314.9.0000.5252). All participants confirmed the condition of volunteer by signing the Informed Consent Form. Methods: From October 2014 to October 2015 twelve subjects consumed daily four glasses (800 ml) of proposed phytotherapeutic preparation. Results: All subjects were highly satisfied about their outcomes. Total depigmentation was considered as a positive outcome because it is cosmetically acceptable. Total depigmentation was observed in presence of 80% or more of depigmenteted patches. Conclusions: The phytotherapeutic preparation proposed is effective on treatment of depigmenteted patches in vitiligo.

关键词： Solanum paniculatum L. Jacaranda brasiliensis Sonchus oleraceus Vitiligo

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含管壁搏动的超声多普勒血流信号仿真

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声学学报 2004年第3期29卷 267-271页

作者：陶倩汪源源 jose cardoso 王威琪复旦大学电子工程系上海200433 Engineering Department UTAD Vila Real 5001-911 Portugal

基于血流和血管壁的物理模型,提出了对包含血管壁搏动的超声多普勒血流信号进行计算机仿真的方法。实验中生成了不同采样容积下的超声多普勒仿真信号,通过计算仿真信号的平均频率曲线,并与给定值进行比较,证明了方法的有效性。该方法的... 详细信息

基于血流和血管壁的物理模型,提出了对包含血管壁搏动的超声多普勒血流信号进行计算机仿真的方法。实验中生成了不同采样容积下的超声多普勒仿真信号,通过计算仿真信号的平均频率曲线,并与给定值进行比较,证明了方法的有效性。该方法的提出,为进一步研究分离血流信号和管壁搏动信号的方法提供了方便有效的信号源。

关键词：血管壁超声多普勒血流信号检测信号分析信号仿真傅里叶变换

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