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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

Hydrogeochemical and isotopic assessment of the origin of NO_(3)^(−)and N-NH_(3)contents in the aquifer located in a closed lacustrine volcano-sedimentary basin in the metropolitan area of Mexico City

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Acta Geochimica 2024年第4期43卷 719-736页

作者： jose ivan Morales-Arredondo Maria Aurora Armienta Hernandez Joel Edmundo Ortega-Gutierrez Elisa Cuellar Ramirez Natural Resources Department Institute of GeophysicsNational Autonomous University of MexicoCiudad Universitaria No.3000Col.Copilco UniversidadCoyoacán Delegation04360 MexicoCDMXMexico Instituto Politecnico Nacional ***án 55La Laguna Ticoman07340 MexicoCDMXMexico Benemérita Universidad Autónoma de Puebla Ciudad Universitaria Col.San ManuelPueblaPueMexico

To explain the presence and spatial distribution of NO_(3)^(−)and N-NH_(3)in the Aquifer of the Metropolitan Area of Mexico City(AMAMC),a hydrogeochemical and isotopic analysis using^(13)C DIC(as well as the stable isotopes^(18)O and^(2)H)in groundwater was *** aquifer is located in an old closed lacustrine volcano-sedimentary basin;some wells hosted in the semi-confined zone contain high N-NH_(3)concentrations,while others present NO_(3)^(−)contents in the recharge zones(hosted in an oxidizing environment).In this study,a change in the isotopic signature(primarily in^(18)O and^(2)H)was observed from the recharge zones to the basin center in some of the wells with high NO_(3)^(−)concentrations,this behavior can be attributed to evaporation during the incorporation of recently infiltrated *** addition,the results for^(13)C(along with ^(2) H)in wells with the highest N-NH_(3)concentrations exhibited an atypically broad range of *** indicated the occurrence of hydrogeochemical and/or biochemical processes in the aquifer(in an oxidizing or reducing environment),such as organic degradation,bacterial decomposition(primarily in the ancient Lake Texcoco and which acts as a natural sink for carbon,nitrogen,sulfur,and phosphorus),besides rock weathering and dissolution,which may be responsible for a very marked isotopic modification of the^(13)C(and,to a lesser extent,2 H).Methanotrophic bacterial activity and methanogenic activity may be related to N-NH_(3)removal processes by oxidation and residual water incorporation respectively,whereas the increase in the NO_(3)^(−)content in some wells is due to the recent contribution of poor-quality water due to contamination.

关键词： 18 O and^(13)C isotopes Iron Hydrogeochemical processes Nitrate Nitrogen species

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Photoelectrochemical CO_(2) electrolyzers: From photoelectrode fabrication to reactor configuration

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Journal of Energy Chemistry 2023年第10期85卷 455-480,I0012页

作者： jose Antonio Abarca Guillermo Díaz-Sainz ivan Merino-Garcia Angel Irabien Jonathan Albo Departamento de Ingenierías Química y Biomolecular Universidad de CantabriaETSIITAvenida de los Castros s/n39005 SantanderSpain

The photoelectrochemical conversion of CO_(2) into value-added products emerges as an attractive approach to alleviate climate change. One of the main challenges in deploying this technology is, however, the development and optimization of(photo)electrodes and photoelectrolyzers. This review focuses on the fabrication processes, structure, and characterization of(photo)electrodes, covering a wide range of fabrication techniques, from rudimentary to automated fabrication processes. The work also highlights the most relevant features of(photo)electrodes, with special emphasis on how to measure and optimize them. Finally, the review analyses the integration of(photo)electrodes in different photoelectrolyzer architectures, analyzing the most recent research work that comprises photocathode, photoanode,photocathode-photoanode, and tandem photoelectrolyzer configurations to ideally achieve self-sustained CO_(2) conversion systems. Overall, comprehensive guidelines are provided for future advancements in developing effective devices for CO_(2) conversion, bridging the gap towards the use of sunlight as the unique energy input and practical applications.

关键词： Decarbonization CO_(2)photoelectroreduction (Photo)Electrodes Fabrication techniques Photoelectrolyzer configuration

Co-Simulation of an SRG Wind Turbine Control and GPRS/EGPRS Wireless Standards in Smart Grids

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IEEE/CAA Journal of Automatica Sinica 2021年第3期8卷 656-663页

作者： Andre Luiz de Oliveira Carlos Eduardo Capovilla ivan Roberto Santana Casella JoséLuis Azcue-Puma Alfeu J.Sguarezi filho University of Sao Paulo Sao Paulo 05508-010Brazil Federal University of ABC Santo Andre 09210-580Brazil

Wind energy can be considered a push-driver factor in the integration of renewable energy sources within the concept of smart *** its full deployment,it requires a modern telecommunication infrastructure for transmitting control signals around the distributed generation,in which,the wireless communication standards stand out for employing modern digital modulation and coding schemes for error correction,in order to guarantee the power plant *** some developing countries,such as Brazil,the high penetration of commercial mobile wireless standards GPRS and EGPRS(based on GSM technology)have captivated the interests of the energy sector,and they now seek to perform remote monitoring and control *** this context,this article presents a comparative performance analysis of a wireless control system for a wind SRG,when a GPRS or EGPRS data service is *** system performance is analyzed by co-simulations,including the wind generator dynamics and the wireless channel *** satisfactory results endorse the viability and robustness of the proposed system.

关键词： General packet radio service(GPRS)/enhanced GPRS(EGPRS) smart grids switched reluctance generator(SRG) wind energy wireless communications

Forest fire risk indices and zoning of hazardous areas in Sorocaba,Sao Paulo state,Brazil

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Journal of Forestry Research 2020年第2期31卷 581-590页

作者： Leonardo Guimaraes Ziccardi Claudio Roberto Thiersch Aurora Miho Yanai Philip Martin Fearnside Pedro jose Ferreira-filho Department of Environmental Dynamics National Institute for Research in Amazonia(INPA)Av.Andre AraujoNo.2936ManausAmazonasCEP 69067-375Brazil Department of Environmental Sciences Federal University of Sao Carlos(UFSCar)SorocabaSao PauloCEP 18052-780Brazil

This study compares the performance of three fire risk indices for accuracy in predicting fires in semideciduous forest fragments,creates a fire risk map by integrating historical fire occurrences in a probabilistic density surface using the Kernel density estimator(KDE)in the municipality of Sorocaba,Sao Paulo state,*** logarithmic Telicyn index,Monte Alegre formula(MAF)and enhanced Monte Alegre formula(MAF+)were employed using data for the period 1 January 2005 to 31 December *** data and numbers of fire occurrences were obtained from the National Institute of Meteorology(INMET)and the Institute for Space Research(INPE),*** performance measures were calculated:Heidke skill score(SS)and success rate(SR).The MAF+index was the most accurate,with values of SS and SR of 0.611%and 62.8%,*** fire risk map revealed two most susceptible areas with high(63 km^2)and very high(47 km^2)risk of fires in the *** of the best risk index and the generation of fire risk maps can contribute to better planning and cost reduction in preventing and fighting forest fires.

关键词： Forest fire risk maps Forest fire protection Monitoring Monte Alegre formula

Magnetic lattices for ultracold atoms and degenerate quantum gases

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Science Bulletin 2016年第14期61卷 1097-1106页

作者： Yibo Wang Prince Surendran Smitha jose Tien Tran ivan Herrera Shannon Whitlock Russell Mc Lean Andrei Sidorov Peter Hannaford Centre for Quantum and Optical Science Swinburne University of Technology Dodd-Walls Centre for Photonic and Quantum Technologies Department of Physics University of Auckland Physikalisches Institut Universitt Heidelberg

We review recent developments in the use of magnetic lattices as a complementary tool to optical lattices for trapping periodic arrays of ultracold atoms and degenerate quantum gases. Recent advances include the realisation of Bose–Einstein condensation in multiple sites of a magnetic lattice of one-dimensional microtraps, the trapping of ultracold atoms in square and triangular magnetic lattices,and the fabrication of magnetic lattice structures with submicron period suitable for quantum tunnelling ***, we describe a proposal to utilise long-range interacting Rydberg atoms in a large spacing magnetic lattice to create interactions between atoms on neighbouring sites.

关键词： Magnetic lattices Ultracold atoms Degenerate quantum gases - Quantum simulation

Quantification of the Mixture of Hydrothermal and Fresh Water in Tectonic Valleys

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Journal of Earth Science 2020年第5期31卷 1007-1015页

作者： Janete Moran-Ramirez jose ivan Morales-Arredondoc Maria Aurora Armienta-Hernandez jose Alfredo Ramos-Leal National Council of Science and Technology National Autonomous University of MexicoInstitute of GeophysicsScientific Research CircuitUniversity CityCoyoacan 04150Mexico CityMexico National Autonomous University of Mexico Institute of GeophysicsUniversity CampusMexico CityMexico Potosino Institute for Scientific and Technological Research 78216 San Luis PotosiS.L.P.Mexico

This study was conducted to identify the origin, hydrogeochemical processes and evolution of groundwater in a tectonic valley. This study was carried out with the aim of quantifying the proportions of groundwater flows contributing to the water chemistry abstracted in a zone of convergence favored by the presence of active faults. The study area is located in the Trans-Mexican Volcanic Belt. End members methodology was applied to identify the mixing of hydrothermal with fresh groundwater, where changes in the aquifer geology result in distinct groundwater chemical signatures. Ternary mixing was quantified using conservative elements. Moreover, other evolutionary processes, such as ion exchange and silicate weathering occur due to changes in the geology of the area. In ternary mixing, each of the end members is associated with the lithology through which it circulates. The local flow contributes 70% of the water to the system, the intermediate flow contributes 14%, and the regional flow contributes 16%. Three types of water are produced: Na-HCO3, due to the interaction of water with volcanic rocks of rhyolitic composition, Na-Mg-HCO3, due to the interaction of water with volcanic rocks of basaltic-andesite composition, and Ca-HCO3, due to the interaction of water with sedimentary calcareous rocks.

关键词： hydrogeochemistry ternary mixing end members conservative elements local flow Mexico

Autoregressive spatial analysis and individual tree modeling as strategies for the management of Eremanthus erythropappus

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Journal of Forestry Research 2016年第3期27卷 595-603页

作者： Henrique Ferraco Scolforo jose Roberto Soares Scolforo jose Marcio de Mello Anto nio Carlos Ferraz filho Diogo Francisco Rossoni Thiza Falqueto Altoe Antonio Donizette Oliveira Renato Ribeiro de Lima Department of Forest Science Federal University of Lavras PO Box: 3037 Lavras MG 37200-000 Brazil Department of Statistics State University of Maringa Av. Colombo 5.790 Jd. Universitario Bloco E90 Maringa PR 87020-900 Brazil Department of Statistics Federal University of Lavras PO Box: 3037 Lavras MG 37200-000 Brazil

The objectives of this study were to apply statistical techniques to discriminate fertilization treatments of Eremanthus erythropappus（DC.） Mac *** autoregressive modeling, and to develop individual tree models for diameter and crown area（CA） projection to define management strategies for candeia plantations subjected to different fertilization treatments. This is an important tree species originating from the Brazilian Atlantic Rain forest and Savannah biomes, intensively used in the cosmetic industry. Nonetheless, to date, research has not addressed the management of natural stands or plantations of the species. Our experiment was located in Baependi, Minas Gerais, Brazil, and comprised of four randomized blocks and 13 treatments. The treatments consisted of 12 different regimes of fertilization plus a control. Each sample plot was composed of 50 plants plus two border plants in a planting spacing of 2.5 9 2.0 m and undergoing pruning at 5 and 6 years of age. Starting in the second year, total tree height（H） and circumference（at 1.30 m from the ground or breast height, CBH） were measured every 6 months. Starting in the fifth year CA was measured. Tree growth varied by fertilization *** were detected by using an autoregressive approach, considering that standard statistical methods were not powerful enough to detect significant *** growth groups were formed, and maximum growth was obtained for treatment 10（NPK, 8-28-16）. Management guidelines are provided based on individual tree models for different fertilization levels.

关键词： Management strategies Candeia Fertilization level Brazil Crown area

Performance Evaluation of 800 kV Porcelain Multicone Type Insulators Under Heavy Rain

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高电压技术 2008年第12期34卷 2552-2557页

作者： Orsino Oliveira filho Darcy R. Mello jose A. Cardoso Rogerio M. de Azevedo Sylvia G. Carvalho Waldenir A. S. Cruz CEPEL Electric Power Research Center Av. Olinda s/n Adrian6polis Zip Code 26053-121 Nova Iguacu RJ Brazil FURNAS Rua Real Grandeza 219 Zip Code 22283-900 Rio de Janeiro RJ Brazil

An 800 kV electric power substation can have more than one hundred of porcelain multicone type insulators supporting busbar *** or more sections in series,having middle and end fittings,compose these *** process can cause degradation of the cement used in this type of insulator and this fact can affect its dielectric performance under heavy *** paper presents results of an investigation based on power frequency high voltage tests performed on 800 kV porcelain multicone type insulators,removed from service after having operated for more than 20 years,as well a non-used one that had been stored on site for long *** insulators were tested in different arrangements:each section at a time and the two sections assembled in series,as actually used insulator *** tests were carried out under artificial rain ranging from 1 mm/min to 5 mm/*** results have confirmed a reduction of up to 30% in the insulator power frequency flashover voltage under 5 mm/min rain conditions and gave important information to the utility about radial cracks that were observed in many insulators and about the discharge mechanisms along the insulators under rain.

关键词：叠装式瓷绝缘子性能评估大雨条件电功率