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Application of a biochemical and clinical model to predict individual survival in patients with end-stage liver disease

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World Journal of Gastroenterology 2009年第22期15卷 2768-2777页

作者： eduardo Vilar Gomez luis Calzadilla Bertot Bienvenido Gra Oramas Enrique Arus Soler Raimundo Llanio Navarro Javier Diaz Elias Oscar Villa Jiménez Maria del Rosario Abreu Vazquez department of Hepatology National Institute of Gastroenterology department of Pathology National Institute of Gastroenterology department of Gastroenterology National Institute of Gastroenterology deparment of Gastroenterology The"Calixto Garcia"Hospital department of Biostatistics National Institute of Gastroenterology

AIM:To investigate the capability of a biochemical and clinical model,BioCliM,in predicting the survival of cirrhotic ***:We prospectively evaluated the survival of 172 cirrhotic *** model was constructed using clinical(ascites,encephalopathy and variceal bleeding) and biochemical(serum creatinine and serum total bilirubin) variables that were selected from a Cox proportional hazards *** was applied to estimate 12-,52-and 104-wk *** model's calibration using the Hosmer-Lemeshow statistic was computed at 104 wk in a validation ***,the model's validity was tested among an independent set of 85 patients who were stratified into 2 risk groups(low risk≤8 and high risk>8).RESULTS:In the validation cohort,all measures of fi t,discrimination and calibration were improved when the biochemical and clinical model was *** proposed model had better predictive values(c-statistic:0.90,0.91,0.91) than the Model for End-stage Liver Disease(MELD) and Child-Pugh(CP) scores for 12-,52-and 104-wk mortality,*** addition,the Hosmer-Lemeshow(H-L) statistic revealed that the biochemical and clinical model(H-L,4.69) is better calibrated than MELD(H-L,17.06) and CP(H-L,14.23).There were no significant differences between the observed and expected survival curves in the stratified risk groups(low risk,P=0.61;high risk,P=0.77).CONCLUSION:Our data suggest that the proposed model is able to accurately predict survival in cirrhotic patients.

关键词： Liver cirrhosis Prognosis Statistical models Prognostic factors Model for end-stage liver disease score Child-Pugh score Survival

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Organomineral Phosphorus Fertilization in the Production of Corn,Soybean and Bean Cultivated in Succession

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American Journal of Plant Sciences 2017年第10期8卷 2407-2421页

作者： denize carvalho Martins Alvaro Vilela de Resende Joao Carlos Cardoso Galvao eduardo de Paula Simao José Paulo Da Costa Ferreira Gabriela de Oliveira Almeida department of Plant Science Federal University of VicosaVicosaBrazil Embrapa Maize and Sorghum Sete LagoasBrazil Federal University of Sao Joao del Rei Sete LagoasBrazil

The use of organic waste in agriculture has been used aiming at greater productivity, decrease in the cost of production and sustainable use of resources. The present study aimed at evaluating the effect of phosphate fertilization with the maintenance of organomineral fertilizers, combining poultry manure and soluble or reactive phosphate, in the production of grains in corn culture and the residual effect for subsequent crops of beans and soybeans. The experiment was conducted in Sete Lagoas, MG, in 2015, using three fertilizers with sources of different phosphorus sources (triple super phosphate—STP, organomineral with STP and organomineral with Bayovar phosphate) applied at the doses of 65, 130, 195 and 260 kg·ha¯1 of P2O5 total, and compared to the control without phosphate fertilization. We evaluated the contents of foliar P, P accumulation in the grains, yields of corn grains, beans and soy, accumulated productivity and export of accumulated P of the three cultures. The three cultures assessed presented higher productivity when compared to the average of the factorial treatments that received phosphate fertilization relative to the control. Organomineral fertilizers increased grain production, obtaining average productivity equal to or greater than those obtained with the exclusive use of STP.

关键词： Reactive Phosphate Poultry Manure New Fertilizers

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Non-saturation Throughput of S-ALOHA Using the Time-Scale decomposition Technique

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Journal of Mechanics Engineering and Automation 2014年第2期4卷 116-122页

作者： luis Mauricio Gutierrez-Begovich Mario eduardo Rivero-Angeles SEPI ESCOM Mobile Computing Department National Polytechnique Institute (IPN) Mexico City 07738 Mexico Communication and Computer Network Laboratory Computing Research Center (CIC-IPN) National Polytechnique Institute(IPN) Mexico City 07738 Mexico

S-ALOHA （Slotted ALOHA） random access protocol is a widely used protocol mainly for the transmission of short packets in wireless networks. Most papers consider either an infinite population model where the impact of the backoff protocol cannot be adequately evaluated or a finite population model where the number of nodes is fixed. In this letter, a combination of both models is proposed using the time-scale decomposition technique. This methodology allows to study the system under more realistic conditions where the dynamics of users enter and leaving the system are reflected on the performance of the system as well as the impact of the backoff protocol. Also, it allows studying the system in non-saturation conditions. The proposed methodology divides the analysis in two parts： packet-level and connection-level. This analysis renders suitable results when the time scale of the packet level and connection level statistics is different. On the other hand, when these scales are similar, the proposed methodology is no longer suited.

关键词： S-ALOHA non-saturation conditions infinite and finite population model time-scale decomposition.

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Relationship between Physical Activity Level, Hepatic Steatosis Presence, Metabolic Syndrome and the Risk of developing Type 2 Diabetes in Men

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Health 2016年第15期8卷 1778-1787页

作者： Carla Giuliano de Sá Pinto Montenegro Marcio Marega José Antonio Maluf de carvalho luis Felipe Tubagi Polito Rafael Mathias Pitta Fabio luis Ceschini Danilo Sales Bocalini Aylton José Figueira Albert Einstein Israelita Hospital S&atilde o Paulo Brazil S&atilde o Judas Tadeu University S&atilde o Paulo Brazil

Cardiovascular disease, cancer, respiratory and metabolic disease represent 63% of all deaths worldwide and are considered the major causes of morbidity and mortality. Physical inactivity is considered a case of public health, and other behavioral and metabolic risk factors, according to WHO (2011), such as smoking, increased blood pressure, increased blood glucose, hypercholesterolemia, overweight and obesity. The Nonalcoholic Fatty Liver Disease (NAFLD) is the most prevalent liver disease in adults, and can progress and be characterized as hepatic steatosis (HS) which is derived from the accumulation of lipids in hepatocytes, and histopathologic condition is more than 5% of the weight of liver. So, the purpose of this study is to identify the relationship between the physical activity level and the hepatic steatosis presence, metabolic syndrome and the risk of developing type 2 diabetes mellitus in men. We evaluated retrospectively medical records of 1399 men (40.7 ± 8.18 years old) who participated in the protocol of Preventive Health Check-up at Hospital Israelita Albert Einstein from January to October 2011. According to the results, it is concluded that there is a positive association between low physical activity level and the presence of Hepatic steatosis. The results further demonstrate that, despite the high BMI, blood levels of the subjects remained unchanged. Even without a positive association between these variables, the results showed a high risk behavior for the development of diabetes mellitus type 2.

关键词： Physical Activity Hepatic Steatosis Metabolic Syndrome Type 2 Diabetes

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Thiopurine-methyltransferase variants in inflammatory bowel disease:Prevalence and toxicity in Brazilian patients

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World Journal of Gastroenterology 2014年第12期20卷 3327-3334页

作者： Ana Teresa P carvalho Barbara C Esberard Renata S B Fróes Davy C M Rapozo Ana B Grinman Tatiana A Simo Juliana C V C Santos Antonio José V Carneiro luis Felipe Ribeiro-Pinto Heitor S P de Souza Disciplina de Gastroenterologia e Endoscopia Digestiva Universidade do Estado do Rio de Janeiro Programa de Carcinogênese Molecular Instituto Nacional de Cancer Laboratório de Toxicologia e Biologia Molecular Universidade do Estado do Rio de Janeiro Servi?o de Gastroenterologia Departamento de Clínica MédicaUniversidade Federal do Rio de Janeiro

AIM: To analyze the prevalence of thiopurine-methyltransferase (TPMT) genotypes and their association with drug toxicity in inflammatory bowel disease (IBD) patients from southeastern Brazil.

关键词： Inflammatory bowel disease Thiopurine-methyl-transferase Azathioprine Drug toxicity Pancreatitis

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Antioxidant and immunomodulatory effects of Viusid in patients with chronic hepatitis C

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World Journal of Gastroenterology 2010年第21期16卷 2638-2647页

作者： eduardo Vilar Gomez Yadina Martinez Perez Hector Vega Sanchez Gretel Riveron Forment Enrique Arus Soler luis Calzadilla Bertot Ali Yasells Garcia Maria del Rosario Abreu Vazquez Licet Gonzalez Fabian department of Hepatology National Institute of GastroenterologyHavana 10400Cuba department of Gastroenterology National Institute of GastroenterologyHavana 10400Cuba department of Immunology National Institute of GastroenterologyHavana 10400Cuba department of Oxidative Stress National Genetic CenterHavana 10400Cuba department of Biostatistics National Institute of GastroenterologyHavana 10400Cuba department of Pathology Institute of GastroenterologyHavana 10400Cuba

AIM:To investigate the efficacy of Viusid,a nutritional supplement,as an antioxidant and an immunomodulator in patients with chronic hepatitis ***:Sixty patients with chronic hepatitis C who were non-responders to standard antiviral treatment were randomly assigned to receive Viusid(3 sachets daily,n=30) or placebo(n=30) for 24 *** primary outcome was the change in serum malondialdehyde and 4-hydroxyalkenals(lipid peroxidation products).Secondary outcomes were changes in serum tumor necrosis factor-α(TNF-α),interferon-γ(IFN-γ) and interleukin-10(IL-10).RESULTS:Statistically significant reductions in serum 4-hydroxyalkenals and malondialdehyde levels were observed in both groups in comparison with pretreatment values,but the patients who received Viusid showed a more marked reduction as compared with the control group(P=0.001).TNF-α levels significantly increased from 6.9 to 16.2 pg/mL(P< 0.01) in the patients who received placebo in comparison with almost unchanged levels,from 6.6 to 7.1 pg/mL(P=0.26),in the patients treated with Viusid(P=0.001).In addition,IL-10 levels were markedly increased in the patients treated with Viusid(from 2.6 to 8.3 pg/mL,P=0.04) in contrast to the patients assigned to placebo(from 2.8 to 4.1 pg/mL,P=0.09)(P=0.01).Likewise,the administration of Viusid markedly increased mean IFN-γ levels from 1.92 to 2.89 pg/mL(P< 0.001) in comparison with a reduction in mean levels from 1.80 to 1.68 pg/mL(P=0.70) in the placebo group(P< 0.0001).Viusid administration was well ***:Our results indicate that treatment with Viusid leads to a notable improvement of oxidative stress and immunological parameters in patients with chronic hepatitis C.

关键词： Antioxidant therapy Chronic hepatitis C Cytokines Immunomodulatory therapy Nutritional supplement Oxidative stress

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Healthcare Professionals’ Adherence to Contact Precautions at a Maternal and Child Teaching Hospital

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Open Journal of Nursing 2023年第12期13卷 839-854页

作者： Lucas eduardo Luizão Marli de carvalho Jericó Angela Silveira Gagliardo Calil Viviane decicera Colombo Oliveira Alexandre Lins Werneck Ingrid de Campos Truzzi Eliana Ofelia Lapa Rodriguez Maria Rita Rodrigues Vieira Pedro Paulo de carvalho Jericó Medical School in Sã o Jose do Rio Preto S&#227o Jose do Rio Preto Brazil Federal University of Sergipe Sergipe Brazil

Background: Healthcare-associated infections affect hundreds of millions of patients worldwide. Children have greater susceptibility to healthcare-associated infections due to the immaturity of their immune system. Contact precautions aim to promote safety, protection and prevention of contamination. Thus, the objective of this study was to verify adherence to contact precaution measures, as well as compliance to the use of personal protective equipment. Methods: This cross-sectional observational study was carried out from July to October 2019 using a checklist to evaluate health professionals’ adherence to hand hygiene procedures and the use of gloves and surgical gowns when assisting children on contact precautions. Results: A total of 941 observations were carried out in a total of 300.532 hours. Hand hygiene was performed before and after contact with the patient in 58.84% and 75.09% of the cases, respectively and a surgical gown was used in 86.40% of the cases. The use of gloves was the variable most adhered to by professionals (87.57%). Intensive care unit professionals were the care workers who most complied with the regulation regarding hand hygiene after contact with the patient (p = 0.009) and the use of the surgical gown (p < 0.001). The correct hand hygiene technique was the recommendation with least adherence. Non-compliance to the hand hygiene technique was statistically significant among intensive care unit professionals (p = 0.002). Conclusions: Adherence to hand hygiene before contact with the patient and compliance with the hand hygiene technique were neglected by most professionals. However, there was good adherence to the use of surgical gloves and gowns, as well as high compliance to the techniques of removing these items. .

关键词： Hospital Infection Universal Precautions Patient Safety Pediatric Nursing Isolation of Patients Microbial Drug Resistance

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Regeneration of critical-sized defects, in a goat model, using a dextrin-based hydrogel associated with granular synthetic bone substitute

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Regenerative Biomaterials 2021年第1期8卷 73-82页

作者： Isabel Pereira Jose eduardo Pereira luis Maltez Alexandra Rodrigues Catarina Rodrigues Manuela Oliveira Dina MSilva Ana Rita Caseiro Justina Prada Ana Colette Mauricio Jose Domingos Santos Miguel Gama CEB Centre of Biological EngineeingUniversity of MinhoCampus de GualtarBraga 4710-057Portugal CECAV Animal and Veterinary Research CentreUniversity of Trias-os-Montes e Alto DouroVila Real 5001-801Portugal department of Veterinary Sciences University of Tras-os-Montes e Alto DouroVila Real 5001-801Portugal Bios ckin Molecular and Cell Therapies S.A.Laboratorio CriovidaTecMaiaRua Engenheiro Frederico Ulrich 2650Moreira da Maia 4470-605Portugal departamento de Clinicas Veterinarias Instituto de Ciencias Biomedicas de Abel Salazar(ICBAS)Universidade do Porto(UP)Rua de Jorge Viterbo Ferreiran°228Porto 4050-313Portugal Centro de Estudos de Ciencia Animal(CECA) Instituto de CienciasTecnologias e Agroambiente da Universidade do Porto(ICETA)Rua D.Manuel IApartado 55142Porto 4051-401 Portugal Centro de Investigaqao Vasco da Gama(CIVG)/Escola Universitaria Vasco da Gama(EUVG) Avenida Jose R.Sousa Femandesn°197 LordemaoCoimbra 3020-210Portugal REQUIMTE/LAQV Departamento de Engenharia Metalurgica e MateriaisFaculdade de EngenhariaUniversidade do PortoRua Dr Roberto FriasPorto 4200-495Portugal

The development of injectable bone substitutes(IBS)have obtained great importance in the bone re-generation field,as a strategy to reach hardly accessible defects using minimally invasive techniques and able to fit to irregular *** this scenario,the association of injectable hydrogels and bone graft granules is emerging as a well-established ***,in situ forming hydrogels have arisen as a new IBS *** in situ forming and injectable dextrin-based hydrogel(HG)was developed,aiming to act as a carrier of granular bone substitutes and bioactive *** this work,the HG was associated to a granular bone substitute(Bonelike)and implanted in goat critical-sized calvarial defects(14mm)for 3,6 and *** results showed that HG improved the han-dling properties of the Bonelike granules and did not affect its osteoconductive features,neither impairing the bone regener ation *** multipotent mesenchymal stromal cells from the umbilical cord,extracellular matrix hydrolysates and the pro-angiogenic peptide LLKKK18 were also combined with the *** bioactive agents did not enhance the new bone formation significantly under the conditions tested,according to micro-computed tomography and histological analysis.

关键词： polysaccharide injec table hydrogel granular ceramics Bonelike' bone regen eration calvarial defect

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Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico

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World Journal of Surgical Procedures 2024年第3期14卷 15-20页

作者： Massiel Madelin Rosario-Morel Rodrigo Soto-Solis Katia Picazo-Ferrera Miriam Idalia Torres-Ruiz JoséAlberto Estradas-Trujillo Mario Alberto Gallardo-Ramírez Gerardo Akram Darwich-del Moral luis Ariel Waller-González department of Endoscopy Centro Médico Nacional“20 de Noviembre”ISSSTEMexico City 03229Mexico department of Gastroenterology HospitalÁngeles PedregalMexico City 10700Mexico department of Endoscopy Centro Médico ABCMexico City 01120Mexico department of Endoscopy Hospital General de México“Dr.Eduardo Liceaga”Mexico City 06720Mexico

BACKGROUND Endoscopic ultrasound-guided gastroenterostomy(EUS-GE)has recently emerged as an alternative treatment for gastric outlet obstruction(GOO)in selected *** To report the initial experience of EUS-GE in patients with *** This study was a retrospective,observational,multicenter study in which the data from 10 patients who underwent EUS-GE due to GOO between September 2021 and May 2023 were *** analyzed technical success,clinical success,adverse events,and *** success was defined as adequate positioning and deployment of the *** success was defined as the patient’s ability to tolerate oral intake without vomiting 7 d after the *** adverse events were *** Eleven procedures in 10 patients with GOO were *** mean age of the patients was 67.5 years(range:56-77 years).Malignant GOO was present in 9 *** success was achieved in 9/11 procedures(82%).Among them,clinical success was achieved in 9 patients(100%).Adverse events occurred in 1 patient(9%).The median survival was 3 months(n=7;range:1-8 months).CONCLUSION EUS-GE is a feasible therapeutic option in the treatment of GOO.

关键词： Endoscopic ultrasound-guided gastroenterostomy Gastric outlet obstruction Lumen apposing metal stent Interventional endoscopic ultrasound Gastrojejunostomy Duodenal stenting

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Recovering Wood Waste to Produce Briquettes Enriched with Commercial Kraft Lignin

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Natural Resources 2021年第5期12卷 181-195页

作者： Carlos eduardo Silveira da Silva Fernando José Borges Gomes Larisse Aparecida Ribas Batalha Roberto Carlos Costa Lelis Ana Márcia Macedo Ladeira carvalho Angélica de Cássia Oliveira Carneiro Alexandre Monteiro de carvalho Federal Rural University of Rio de Janeiro Forest Products Department Rio de Janeiro Brazil Federal University of Viç osa Forest Engineer Department Vi&#231 osa Minas Gerais Brazil

Aiming to use lignocellulosic biomass as energy source, one of the process that may aggregate values is the densification process, which allows the production of bioenergy using solid fuels, mainly for reducing transportation costs. In this research, solid fuel from co-briquetting of wood residues from sawmill using commercial kraft lignin as binder was investigated. The effects of compression pressure (900, 1200 and 1500 PSI) and briquette formulation (varying wood and kraft lignin proportion) on the quality and characteristics of briquettes were evaluated. The main findings were that briquetting of wood residues with kraft lignin resulted in an improvement of bulk density, strength rupture modulus, low heating value (LHV) and high heating value (HHV). The briquettes using 4% and 6% of kraft lignin, and submitted to 1200 to 1500 PSI, presented higher bulk density and strength resistance, respectively. On the other hand, the heating values showed the highest results with the addition of 2% lignin at 900 PSI, being the legal range for additives in briquettes for many countries such as in European Union.

关键词： Hardwood Biomass densification Heating Values Solid Fuel

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