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Laparoscopic liver resection for malignancies confined to Couinaud's segment VII in the robotic surgery era

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Hepatobiliary Surgery and Nutrition 2019年第4期8卷 439-441页

作者： Maurizio Zizzo Lara Ugoletti Carolina castro Ruiz Magda Zanelli Loredana De Marco claudio Pedrazzoli Valerio Annessi Surgical Oncology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly Clinical and Experimental Medicine PhD Program University of Modena and Reggio EmiliaModenaItaly General Surgery Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaOspedale Civile di GuastallaReggio EmiliaItaly Pathology Unit Azienda UnitàSanitaria Locale-IRCCS di Reggio EmiliaArcispedale Santa Maria Nuova di Reggio EmiliaReggio EmiliaItaly

We read with pleasure papers by Cai et al. and Jia et al. published in HepatoBiliary Surgery and Nutrition, 2018, Volume 7, Issue 2 and 4, respectively (1,2). Both papers introduced comprehensive up-to-date literature reviews on indications and patient selection, surgical instruments, techniques, and outcomes of laparoscopic liver resections (LLRs) (1,2). Papers mentioned final statements by 2008 Louisville Statement and 2014 Morioka Consensus Conference (1,2). They stressed LLR non-inferiority to open procedures, in both minor and major liver resections as far as oncological and intraoperative/perioperative outcomes are concerned: reduced blood loss, lower postoperative morbidity and shorter length of hospitalization (1,2). Such results were corroborated by recent meta-analyses (3,4). Furthermore, some previous limitations for LLR look like they have been recently overcome (1-5). For example, tumor size, patient's old age and high BMI are no longer limitations for LLR, as Southampton Consensus guidelines suggested (5). Likewise, cirrhosis has been suggested as a further indication of LLR in highly selected patients with hepatocellular carcinoma and where it was performed by experienced surgeons (1-5).

关键词： Surgery overcome mentioned

Integrated risk management: a Petrobras application in offshore well construction safety to minimize critical emergency disconnections

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Petroleum Science 2018年第2期15卷 421-431页

作者： claudio Benevenuto de Campos Lima Pedro Esteves Aranha Jose Francisco Tebaldi de castro Gilson Brito Alves Lima Augusto Borella Hougaz Felipe de Souza Terra Petrobras Department of Production Engineering Federal Fluminense University

In order to avoid mistakes and to save a great deal of time in analysis, an innovative methodology was developed that can analyze the well operations and rig characteristics involved to define the best emergency disconnect sequence （EDS） available. A solution was developed based on the characteristics of the rigs and blowout preventers （BOPs）, and six variables were considered that directly affect the choice of EDS. All possible combinations of 64 scenarios were analyzed, and the priority of choice of the EDS was defined empirically. This paper presents an approach to EDS risk management and examples of exposure time （time without riser safety margin and shear capability） for the same well, which can be lowered from 13% to 0.1%. The impact of this reduction is related to the ability of the BOP to cut some of the heavy casings, in addition to improved availability of EDS modes. This implementation opened up many possibilities for the performance of risk exposure analysis, enabling comparison of several BOP configurations of contracted rigs and selection of the best options. This innovative approach allowed a better management of the rig schedules, prioritizing safety aspects and making it possible to allocate the fleet in a systematic way.

关键词： Well safety Safety barriers Emergency disconnect sequence (EDS) Well control Kick Well design

Crohn's disease in one mixed-race population in Brazil

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World Journal of Gastroenterology 2007年第33期13卷 4489-4492页

作者： Genoile Oliveira Santana luiz Guilherme Costa Lyra Tamara Celi Almeida Santana Lidiane Bianca dos Reis Jorge Carvalho Guedes Maria Betania Toralles André castro Lyra Gastrohepatology Unit Federal University of Bahia Brazil Gastrohepatology Unit Hospital San Rafael BahiaBrazil Gastrohepatology Unit Federal University of Bahia Brazil Department of Medicine Federal University of Bahia Brazil Gastrohepatology Unit Hospital San Rafael BahiaBrazil Department of Medicine Federal University of Bahia Brazil Gastrohepatology Unit Federal University of Bahia Brazil Department of Medicine Federal University of Bahia Brazil Genetic Unit Federal University of Bahia Brazil

AIM： To evaluate the classification and severity of Crohn＇s disease in different racial groups. METHODS： Patients with Crohn＇s disease from the outpatient clinic of the University Hospital Prof. Edgard Santos were enrolled in the study. This hospital is a reference centre for inflammatory bowel disease. Race was determined using self-identification. The Vienna＇s classification was applied for all subjects. The severity of Crohn＇s disease was determined according to the number of surgical procedures, hospital admissions in the last year and treatment with steroids and immunosuppressors. Statistical analysis was calculated using t test for means,χ^2 or F for proportions. A P value 〈 0.05 was considered to be significant. RESULTS： Sixty-five patients were enrolled. Non-white patients were more frequently diagnosed with Crohn＇s disease in the age less than 40 years than white patients. The behaviour of disease was similar in both groups with a high frequency of the penetrating form. There was a tendency for non-white patients to have a greater frequency of hospital admissions in the last year compared to white subjects. Non-whites also had a higher rate of colonic and upper gastrointestinal involvement, and were also more frequently on treatment with immunossupressors than white patients although this difference was not statistically significant. CONCLUSION： Non-white patients with Crohn＇s disease had an earlier diagnosis and appeared to have had a more severe disease Dresentation than white patients.

关键词： Racial group Brazil Race Inflammatory bowel disease Crohn's disease

MicroRNA expression in inflammatory bowel disease-associated colorectal cancer

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World Journal of Gastrointestinal Oncology 2021年第9期13卷 995-1016页

作者： Thais Gagno Grillo Ana Elisa Valencise Quaglio Rodrigo Fedatto Beraldo Talles Bazeia Lima Julio Pinheiro Baima luiz claudio Di Stasi Ligia Yukie Sassaki Department of Internal Medicine São Paulo State University(Unesp)Medical SchoolBotucatu 18618-686São PauloBrazil Department of Biophysics and Pharmacology São Paulo State University(Unesp)Institute of BiosciencesBotucatu 18618-689São PauloBrazil

MicroRNAs(miRNAs)are non-coding RNA molecules composed of 19–25 nucleotides that regulate gene expression and play a central role in the regulation of several immune-mediated disorders,including inflammatory bowel diseases(IBD).IBD,represented by ulcerative colitis and Crohn’s disease,is characterized by chronic intestinal inflammation associated with an increased risk of colorectal cancer(CRC).CRC is one of the most prevalent tumors in the world,and its main risk factors are obesity,physical inactivity,smoking,alcoholism,advanced age,and some eating habits,in addition to chronic intestinal inflammatory processes and the use of immunosuppressants administered to IBD *** studies have identified miRNAs associated with an increased risk of developing CRC in this *** identification of miRNAs involved in this tumorigenic process could be useful to stratify cancer risk development for patients with IBD and to monitor and assess ***,the present review aimed to summarize the role of miRNAs as biomarkers for the diagnosis and prognosis of IBD-associated *** the future,therapies based on miRNA modulation could be used both in clinical practice to achieve remission of the disease and restore the quality of life for patients with IBD,and to identify the patients with IBD at high risk for tumor development.

关键词： MicroRNA Colorectal cancer Inflammatory bowel disease Crohn's disease Ulcerative colitis Cancer Diagnosis Prognosis Targets

GIS as a Decision Support Tool in the Area of Influence of the Nuclear Complex Angra dos Reis, Brazil

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Journal of Geographic Information System 2013年第1期5卷 13-23页

作者： Corbiniano Silva luiz Landau luiz claudio Gomes Pimentel Paulo Fernando Lavalle Heilbron Filho Civil Engineering Program Alberto Luiz Coimbra Institute of Post Graduate Studies and Research Federal University of Rio de Janeiro Rio de Janeiro Brazil Mechanical Engineering Program Alberto Luiz Coimbra Institute of Post Graduate Studies and Research Federal University of Rio de Janeiro Rio de Janeiro Brazil National Commission for Nuclear Energy Rio de Janeiro Brazil

The outlook concerning the occurrence of industrial accidents has led to the implementation of response systems based on geoprocessing tools, which are widely adopted in emergency for such ventures, since they have helped and served as a support for decision making, as well as for the preparation of guidelines aimed at managing emergencies. Nuclear power plants, because they constitute types of industrial activities that present dangerous conditions and attention regarding security are characterized as hazardous, especially due to consequences that occurred from large accidents— such as Chernobyl (1986) and Fukushima (2011)—highlighting the importance to its negative impacts, since the occurrence of accidents at nuclear power plants may affect surrounding areas, thus exposing a set of elements that are part of the environmental dynamics that integrates the catchment area where this type of plant is situated. In this way, through an integrated view of the region where the nuclear complex is located in Angra dos Reis City (Rio de Janeiro State) and, also, by aggregating information that portray the geobiophysical reality of its surroundings, several elements were incorporated into a database developed in a virtual environment, in which was produced a geographic information system (GIS) that presents a complex of variables that, once considered, can enhance various analysis in order to support emergency situations and planning, as well as guidelines that help define actions from the occurrence of accidental events at the nuclear plant.

关键词： Industrial Accidents Nuclear Power GIS Planning of Emergency Response Systems

Association between Helicobacterpylori, Epstein-Barr virus, human papillomavirus and gastric adenocarcinomas

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World Journal of Gastroenterology 2018年第43期24卷 4928-4938页

作者： Carolina Rosal Teixeira de Souza Marcelli Carolini Alves Almeida Andre Salim Khayat Emerson Lucena da Silva Paulo Cardoso Soares luiz claudio Chaves Rommel Mario Rodriguez Burbano Laboratory of Human Cytogenetics Institute of Biological Sciences Federal University of Para Belem Para 66075-110 Brazil Oncology Research Center Federal University of Para Joao deBarros Barreto University Hospital Belem Para 66073-000Brazil Ophir Loyola Hospital Belem Para 66060-281 Brazil

AIM TO correlate Helicobacter pylori （H. pylorli）, EpsteinBarr virus （EBV） and human papillomavirus （HPV） with gastric cancer （GC） cases in Para State, *** Tissue samples were obtained from 302 gastric adenocarcinomas. A rapid urease test was used to detect the presence of H. pylori, and the presence of the cagA gene in the HP-positive samples was confirmed by PCR. An RNA in situ hybridization test designed to complement Eberl RNA was used to detect the presence of EBV in the samples, and the L1 region of HPV was detected using nested PCR. Positive HPV samples were genotyped and analyzed for E6 and E7 viral gene expression. Infections were also correlated with the clinical and pathological characteristics of the *** The majority of the 302 samples analyzed were obtained from men （65%） aged 55 years or older （67%） and were classified as the intestinal subtype （55%）. All three pathogens were found in the samples analyzed in the present study （H. pylori： 87%, EBV： 20%, HPV： 3%）. Overall, 78% of the H. pylori-positive （H. pylorl＋） samples were cagA＋（H. pylori-cagA＋）, and there was an association between the cytotoxic product of this gene and EBV. Coinfections of H. pylori-cagA＋ and EBV were correlated with the most advanced tumor stages. Although only 20% of the tumors were positive for EBV, infection with this virus was associated with distant metastasis. Only the HPV 16 and 18 strains were found in the samples, although no expression of the E6 and E7 oncoproteins was detected. The fundus of the stomach was the region least affected by the *** HPV was not involved in gastric tumorigenesis. Prophy- lactic and therapeutic measures against H. pylori and EBV may prevent the development of GC, especially the more aggressive forms.

关键词： Gastric cancer Gastric adenocarcinomas Microorganisms Helicobacter pylori cagA Epstein-Barr virus Human papillomavirus

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抑制碳材料氧化的表面改性一综述

新型炭材料 1991年第2期7卷 22-23,26页

作者： luiz Depine De castro 陈健

一、引言特等合金和陶瓷器只适用于1100℃和1650℃以下的温度.碳材料具备保持其机械性能稳定直至2500℃的潜力。可是,它却有一个主要缺点:温度即使低至500℃,也会迅速氧化.

关键词：碳材料氧化表面改性

Electric Vehicles Analysis inside Electric Mobility Looking for Energy Efficient and Sustainable Metropolis

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Open Journal of Energy Efficiency 2015年第1期4卷 1-14页

作者： Miguel Edgar Morales Udaeta Carolina Attas Chaud André luiz Veiga Gimenes luiz claudio Ribeiro Galvao Energy Group of the Electrical Power and Automation Engineering Department of the Polytechnic University of S&atildeo Paulo—GEPEA/EPUSP S&atildeo Paulo Brazil

This paper aims to study and evaluate electric mobility over time, focusing on the development of the electric car. Methodologically, in order to accomplish this intent, the characterization of the electric vehicle (EV) is made based on the variables which determine its performance, such as: assessment of speeds, distance traveled, analysis of facts related to the energy source (electro-chemical accumulators) and analysis of the determining system of electric mobility (the electric engine as a function of power (W) and voltage (V)). This way, to demonstrate the effects of time, this process will be analyzed from the beginning of the 20th century (1930s) to the present (the first decade of the 21st century), methodologically structured in 4 cycles that show the performance of the EV. The results show the existence of vulnerabilities and of electric mobility potential, as well as the nuances of the development of the electric vehicle along the years and along the transformations in what is considered state-of-the-art. Thus, in the case of batteries, it is evident that the lithium-ion type used nowadays reveals better results due to its higher specific efficient energy, which maximizes energy autonomy to 200 km. In the beginning, the insertion of the electric vehicle was commercially harmed by the fundamental limitations of batteries as a power source. Conclusively, on certain occasions there have been improvements in the aerodynamics, engines, weight and size of the batteries, demonstrating the maturity of EVs.

关键词： Electric Vehicle EV Development Electric Mobility Energy Analysis Metropolis Sustainability

Analysing vaccine efficacy evaluated in phase 3 clinical trials carried out during outbreaks

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Infectious Disease Modelling 2024年第4期9卷 1027-1044页

作者： Francisco Antonio Bezerra Coutinho Marcos Amaku Fernanda castro Boulos Jose Alfredo de Sousa Moreira Joao Italo DiasFranca Julio Antonio do Amaral Eliana Nogueira castro de Barros claudio Jose Struchiner Esper Jorge Kallas Eduardo Massad School of Medicine University of Sao PauloBrazil Instituto Butantan Sao PauloBrazil School of Applied Mathematics Fundacao Getulio VargasRio de JaneiroBrazil

In this paper we examine several definitions of vaccine efficacy(VE)that we found in the literature,for diseases that express themselves in outbreaks,that is,when the force of infection grows in time,reaches a maximum and then *** fact that the disease occurs in outbreaks results in several problems that we *** propose a mathematical model that allows the calculation of VE for several *** trials usually needs a large number of volunteers that must be ***,all volunteers should be enrolled in approximately the same time,but this is generally impossible for logistic reasons and they are enrolled in a fashion that can be replaced by a continuous density function(for example,a Gaussian function).The outbreak can also be replaced by a continuous density function,and the use of these density functions simplifies the ***,for example Gaussian functions,one of the problems one can immediately notice is that the peak of the two curves do not occur at the same *** model allows us to conclude:First,the calculated vaccine efficacy decreases when the force of infection increases;Second,the calculated vaccine efficacy decreases when the gap between the peak in the force of infection and the peak in the enrollment rate increases;Third,different trial protocols can be simulated with this model;different vaccine efficacy definitions can be calculated and in our simulations,all result are approximately the *** final,and perhaps most important conclusion of our model,is that vaccine efficacy calculated during outbreaks must be carefully examined and the best way we can suggest to overcome this problem is to stratify the enrolled volunteer's in a cohort-by-cohort basis and do the survival analysis for each cohort,or apply the Cox proportional hazards model for each cohort.

关键词： Vaccine efficacy Clinical trials Mathematical models Simulations Covid-19