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Endoscopic stenting for inoperable malignant biliary obstruction: A systematic review and meta-analysis

World Journal of Gastroenterology 2015年第47期21卷 13374-13385页

作者： Leonardo Zorrón Pu eduardo Guimaraes Hourneaux de Moura Wanderley Marques Bernardo Felipe Iankelevich Baracat Ernesto Quaresma Mendonca AndréKondo Gustavo Oliveira Luz Carlos Kiyoshi Furuya Júnior Everson luiz de Almeida Artifon Gastrointestinal Endoscopy Division Department of GastroenterologyHospital das Clínicas da Faculdade de Medicina da Universidade de Sao Paulo Guidelines Program Coordinator Brazilian Medical Association

AIM: To analyze through meta-analyses the benefits of two types of stents in the inoperable malignant biliary ***: A systematic review of randomized clinical trials(RCT) was conducted, with the last update on March 2015, using EMBASE, CINAHL(EBSCO), MEDLINE, LILACS/CENTRAL(BVS), SCOPUS, CAPES(Brazil), and gray literature. Information of the selected studies was extracted in sight of six outcomes: primarily regarding dysfunction, complication and reintervention rates; and secondarily costs, survival, and patency time. The data about characteristics of trial participants, inclusion and exclusion criteria and types of stents were also extracted. The bias was mainly assessed through the JADAD scale. This meta-analysis was registered in the PROSPERO database by the number CRD42014015078. The analysis of the absolute risk of the outcomes was performed using the software Rev Man, by computing risk differences(RD) of dichotomous variables and mean differences(MD) of continuous variables. Data on RD and MD for each primary outcome were calculated using the MantelHaenszel test and inconsistency was qualified and reported in χ2 and the Higgins method(I2). Sensitivity analysis was performed when heterogeneity was higher than 50%, a subsequent assay was done and other findings were compiled. Student's t-test was used for the comparison of weighted arithmetic means regarding secondary ***: Initial searching identified 3660 studies; 3539 were excluded through title, repetition, and/or abstract, while 121 studies were fully assessed and were excluded mainly because they did not compare self-expanding metal stents(SEMS) and plastic stents(PS), leading to thirteen RCT selected, with 13 articles and 1133 subjects meta-analyzed. The mean age was 69.5 years old, that were affected mostly by bile duct(proximal) and pancreatic tumors(distal). The preferred SEMS diameter used was the 10 mm(30 Fr) and the preferred PS diameter used was 10 Fr. In the metaanalysis

关键词： Biliary tract neoplasms Malignant biliaryobstruction Jaundice Palliative care Endoscopicretrograde cholangiopancreatography Stent Systematicreview Meta-analysis

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Approach by Health Professionals to the Side Effects of Antihypertensive Therapy： Strategies for Improvement of Adherence

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Journal of Pharmacy and Pharmacology 2018年第4期6卷 340-349页

作者： Grazia Maria Guerra Heno Ferreira Lopes ELizangela Oliveira Freitast Fernanda Marciano Consolim-Colombo Patricia Silva Lessa4, Dante Marcelo Artigas Giorgi luiz Aparecido Bortolloto eduardo Moacyr Krieger Hypertension Unit Heart Institute of Hospital Clinical (InCor-HC FMUSP) School of Medicine University of Sao Paulo Sao Paulo 05403-000 SP Brazil Sao Camilo University Centers Sao Paulo 05022-000 SP Brazil Institute of Cancer of Sao Paulo State Sao Paulo 01246-000 SP Brazil Department of Electronics and Systems (DES-UFPE) Federal University of Pernambuco Recife 50670-901 PE Brazil

The aim was to determine whether complaints about side effects made by stage Ill hypertensive patients undergoing antihypertensive therapy lead to adequate blood pressure control. Forty-eight patients were monitored by a nurse every 15 days over the course of 180 days. At baseline, both groups presented similar SBP （systolic blood pressure）（GA, 196 （5）） mm Hg and GB, 189 （6） mm Hg） and DBP （diastolic blood pressure）（GA, 122 （3） mm Hg and GB, 121 （4） mm Hg）. On day 165, after a progressive decline in blood pressure levels, the two groups differed significantly from each other regarding SBP （GA, -16.9 （24） mm Hg and GB, -40.8 （31） mm Hg）. At the final follow-up, the patients were allocated to two groups： without complaints （GA） and with （GB） complaints about side effects. Complaining about side effects was a decisive factor for immediate nursing intervention and improved control over BP.

关键词： Nursing hypertension patient adherence side effect ambulatory blood pressure monitoring.

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Automatic System for Failure Detection in Hydro-Power Generators

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Journal of Power and Energy Engineering 2014年第4期2卷 36-46页

作者： Luis Carlos Ribeiro Levy Ely de Lacerda de Oliveira Erik Leandro Bonaldi luiz eduardo Borges da Silva Camila Paes Salomon Jonas G. Borges da Silva Germano Lambert-Torres Itapebi-Neoenergia Power Plant Co. Salvador Brazil Institute Gnarus Itajuba Brazil Itajuba Federal University Itajuba Brazil

This paper presents an automatic system for failure detection in hydro-power generators. The main idea of this system is to detect failure using current and voltage signals acquired without any type of internal interference in the generator operation. The detected failures could be mechanical or electrical origins, such as: problems in bearings, unwanted vibrations, partial discharges, misalignment, unbalancing, among others. It is possible because the generator acts as a transducer for mechanical problems, and they appear in current and voltage signals. This automatic system based on electric signature analysis has been installed in Itapebi Power Plant generators since 2012. Some results are presented in this paper.

关键词： Automatic System On-Line Measurements Digital Signal Processing Predictive Maintenance Failure Detection

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Application of Non-Selective Herbicides in the Pre-Harvest of Wheat Damages Seed Quality

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American Journal of Plant Sciences 2018年第1期9卷 107-123页

作者： Glauber Moncon Fipke Thomas Newton Martin Ubirajara Russi Nunes Evandro Ademir Deak Jessica Deolinda Leivas Stecca Jose eduardo Minussi Winck luiz Fernando Teleken Grando Anderson da Costa Rossato Post-Graduation Program in Agronomy at Department of Plant Science Federal University of Santa MariaSanta MariaBrazil Department of Plant Science Federal University of Santa MariaSanta MariaBrazil Laboratory of Seed Research and Teaching Federal University of Santa MariaSanta MariaBrazil Field Technical Manager Sementes Lanes Ltda.Sao GabrielBrazil Federal University of Santa Maria Santa MariaBrazil

Pre-harvest desiccation in order to minimize the time of exposure to abiotic factors after physiological maturity is a practice used in the production of quality seeds. The aim of this work was to evaluate the physical, physiological and sanitary quality of wheat seeds from plants that received non-selective herbicide application at pre-harvest. For this, the treatments were applied on pre-harvest culture. A completely randomized design was applied. We use the herbicides (glufosinate-ammonium, glyphosate and paraquat), phenological stages of herbicide application (Z-83, Z-85, Z-87, Z-92) and additional treatment (without application). The routine tests that express the physical, physiological and sanitary integrity of seeds were evaluated. For herbicide treatments, there was an 8% and 26% reduction in germination under laboratory conditions for BRS Parrudo and Sinuelo, respectively. Soil emergence was 14% higher for the control treatment, not statistically different for the Z-87 and Z-92 stages and also for the herbicides glufosinate-ammonium and glyphosate for both cultivars. The application of non-selective herbicides on wheat pre-harvest impairs the physical and physiological quality and promotes faster deterioration. Vigor is reduced under stress conditions by cold test and accelerated aging. There is no influence on seed sanity.

关键词： Glufosinate-Ammonium Glyphosate Paraquat Triticum aestivum(L)

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Dental Post Based on Epoxy Resin/Zirconium Phosphate Composite Aiming Prosthetic Dentistry

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Materials Sciences and Applications 2024年第11期15卷 504-527页

作者： Bruna Maria De Carvalho Martins Enzo Erbisti Garcia Gerson Alberto Valencia Albitres Daniela De França Da Silva Freitas eduardo Moreira Da Silva João luiz Portella Duarte Luis Claudio Mendes Institute of Macromolecules Professor Eloisa Mano Federal University of Rio de Janeiro Rio de Janeiro Brazil School of Dentistry Federal Fluminense University Niterói Brazil Faculty of Odontology State University of Rio de Janeiro Rio de Janeiro Brazil

The aim of this research was to develop an intrarradicular dental post based on epoxy resin/nano zirconium phosphate composite with potential appli-cation in prosthetic dentistry. Zirconium phosphate (ZrP) nanoparticle was synthesized by a reaction between phosphoric acid (H3PO4) and zirconium (IV) oxide chloride 8-hydrate (ZrOCl2·8H2O) and applied as filler. Commer-cial epoxy resin and hardener were used as polymer matrix. The composites were prepared at different proportions of epoxy resin/hardener, filler amount, reaction time and temperature. Infrared revealed that degree of conversion decreased with amount of ZrP. Insoluble matter was upper than 97%. Thermogravimetry indicated two steps of degradation. The best values of flexural modulus and flexural strength were achieved for the post desig-nated as 1:0.25:0.25. Laser scanning confocal microscopy suggested that the morphology of the posts fractured surface varied according to epoxy-resin:hardener ratio and the ZrP amount. From atomic force micros-copy, the topographic view exposed the shape and size of ZrP particles. Field emission scanning electron microscopy and energy dispersive spectroscopy indicated good adhesion between epoxy resin matrix-ZrP and that the pres-ence of phosphate rendered brittle the fracture surface.

关键词： Epoxy Resin Zirconium Phosphate Flexural Properties Fracture Surface Adhesion

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Rainfall variability in the Brazilian northeast biomes and their interactions with meteorological systems and ENSO via CHELSA product

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Big Earth Data 2019年第4期3卷 315-337页

作者： Washington luiz Félix Correia Filho JoséFrancisco De Oliveira-Júnior Dimas De Barros Santiago Paulo Miguel De Bodas Terassi Paulo eduardo Teodoro Givanildo De Gois Claudio JoséCavalcante Blanco Pedro Henrique De Almeida Souza Micejane da Silva Costa Heliofábio Barros Gomes Paulo JoséDos Santos Institute of Atmospheric Sciences(ICAT) Federal University of Alagoas(UFAL)MaceióBrazil Postgraduate Program in Biosystems Engineering(PGEB) Federal Fluminense University(UFF)NiteróiBrazil Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas(UACA)Federal Universityof Campina Grande(UFCG)Campina GrandeBrazil Postgraduate Program in Physical Geography University of São Paulo(USP)São PauloBrazil Federal University of Mato Grosso do Sul(UFMS) Chapadão do SulBrazil fSchool of Industrial Metallurgical Engineering of Volta Redonda Technological CenterUniversidade Federal Fluminense(UFF)Volta RedondaBrazil Faculty of Sanitary and Environmental Engineering(FAESA/ITEC) Federal University of Pará(UFPA)BelémBrazil

Brazilian biomes are home to a significant portion of the world’s biodiversity,with a total of 14%of existing species and still concentrate 20%of the world’s water ***,changes in biomes have a direct impact on rainfall patterns and water *** on this,the objective was to evaluate the variability of rainfall in the four existing biomes in the Northeast Brazil(NEB)and their interaction with the ENSO climate variability mode and regional scale meteorological systems via CHELSA *** this,monthly rainfall data were used from 1979 to 2013,with a spatial resolution of 1 km×1 km of the CHELSA product,and seasonal and annual rainfall patterns were extracted via *** was found that the rainy season in the Amazon,Caatinga and Cerrado biomes occurred between January and April,with varying intensities,except for the Atlantic *** seasonality patterns are associated with the NEB meteorological systems,with emphasis on ITCZ(all Biomes),UTCV(Amazon,Caatinga and Cerrado),Frontal Systems(extreme south of Caatinga,Cerrado and Atlantic Forest)and EWD/TWD in the(Atlantic Forest).In the inter-annual scale,the remarkable influence of ENSO was verified,mainly in the years 1983,1985,1989,1993,1998,2009 and *** is noteworthy that 1985 was the wettest year of the period,with a surplus in all biomes,while the driest year differs between the Amazon(1983),Atlantic Forest and Caatinga(1993)and Cerrado(2012)*** study via orbital product in NEB showed that anthropogenic processes and natural variability interfere with the forms of rain interception in the biomes and hence in rainfall patterns and water recycling in NEB.

关键词： Phytophysiognomy rainfall inter-annual variability water recycling climate change land use and occupation

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Extramedullary plasmocytoma associated with a massive deposit of amyloid in the duodenum

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World Journal of Gastroenterology 2009年第28期15卷 3565-3568页

作者： Fabiana Pirani Carneiro Maria de Nazareth Machado Sobreira Lívia Bravo Maia Alesso Cervantes Sartorelli luiz eduardo de Almeida Prado Franceschi Mauro Brito Brando Bárbara Wosnjuk Calaca Fernando Silva Lustosa Joo Vieira Lopes Department of Pathology University Hospital of Brasília Department of Radiology University Hospital of Brasília Department of Hematology University Hospital of Brasília Department of Surgery University Hospital of Brasília

We report a rare case of extramedullary plasmocytoma associated with a massive deposit of amyloid in the duodenum. A 72-year-old Japanese man was admitted to our hospital presenting with a 3-mo history of epigastric pain, vomiting and weight loss. On computed tomography （CT） a wall thickening of the fourth part of the duodenum was observed. Multiple biopsies obtained from the lesion showed infiltration of plasma cells and lymphocytes, but they were not conclusive. The patient underwent resection of the lesion and, on histopathological examination, the lesion consisted of a dense and diffuse infiltrate of plasma cells and a few admixed lymphocytes with reactive follicles extending to the muscular propria. An extensive deposition of amyloid was also observed. Immunohistochemical stains revealed that a few plasmacytoid cells showed λ light chain staining, though most were κ： light chain positive. These cells also were positive for CD138 and CD56 but negative for CD20 and CD79. The findings were consistent with extramedullary plasmocytoma associated with a massive deposit of amyloid in duodenum. A subsequent workup for multiple myeloma was completely negative. The patient showed no signs of local recurrence or dissemination of the disease after 12 mo follow-up. Because of the association of plasmocytoma and amyloidosis, the patient must be followed up because of the possible systemic involvement of the neoplasm and amyloidosis in future.

关键词： Extramedullary plasmocytoma Amyloidosis Duodenum Plasma cell neoplasms Immunohistochemistry

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Dietary Omega-3 Fatty Acids Deficiency Affects the Glutamatergic Transport System in Rat Retina:Modulatory Effects after High Intraocular Pressure

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Food and Nutrition Sciences 2013年第9期4卷 195-201页

作者： Letícia V.Siqueira eduardo P.Rico Mário C.Bulla Luciano Bellini luiz C.L.Silveira Lúcia Vinadé Diogo O.Souza Júlia D.Moreira Biochemistry Department Basic Sciences of Health InstituteFederal University of Rio Grande do SulPorto AlegreBrazil Phy-siology Department Biological Science CenterFederal University of ParáBelémBrazil Master Graduation Program in Biological Sciences Campus Sao GabrielFederal University of Pampa—UNIPAMPASao GabrielBrazil Department of Nutrition Health Sciences CentreFederal University of Santa CatarinaCampus Universitário TrindadeFlorianópolisBrazil

Glutamate excitotoxicity has been postulated as a putative mechanism involved in the physiopathology of glaucoma, a disease that can cause retinal cell damage. Thus, the modulation of glutamatergic parameters is a putative therapeutic target to prevent excitotoxic retinal injury. Here, we investigated the effect of dietary omega-3 fatty acids (w3) in the retinal glutamate transport system in basal and ischemic conditions. Female Wistar rats were divided into two groups: w3 diet (w3 group) and w3 deficient-diet (D group). Their pups, at 60 days old, were used for the experiments. Retinal ischemia, a mechanism involved in the physiopathology of glaucoma, was induced by high intraocular pressure (HIOP, 140 180 mmHg for 45 min) to impair retinal blood flow. Analyses were performed 7 days after ischemia. The D group showed a decreased glutamate uptake in basal conditions and after HIOP when compared to the w3 group. After HIOP, there was a decrease in glutamate uptake in the D group that was not observed in the w3 group (p < 0.005). Concerning glutamate transporters, the w3 group presented higher levels of GLT-1 compared to the D group in basal and ischemic conditions. After HIOP, EAAC1 was increased in both groups, while GLT-1 increased only in the D group, compared to basal levels. GLAST and EAAT5 presented no alterations. The modulation of the glutamatergic system by dietary w3 fatty acids points to a potential mechanism by which w3 PUFAs exert beneficial effects in the retina.

关键词： N-3 PUFAs Retina Ischemia HIOP Glaucoma Glutamate Transporters

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Early Failure Detection in Power Transformers

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Journal of Power and Energy Engineering 2013年第5期1卷 30-40页

作者： luiz eduardo Borges da Silva Erik Leandro Bonaldi Levy Ely de Lacerda de Oliveira Germano Lambert-Torres Giscard F. C. Veloso Ismael Noronha Felipe dos Santos Moreira José Nielze Caminha Itajuba Federal University Itajuba Brazil 2PS Solutions Itajuba Brazil 3Termopernambuco Thermal Power Plant Recife Brazil.

This paper presents equipment for early detection of failures in the insulation of power transformers, checking existing partial discharges inside. The equipment involves hardware, control and signal acquisition software, and signal analysis software. This equipment has a set of algorithms that were made with intelligent extraction techniques and interpretation of data. The degradation diagnosis of the equipment insulation is based on digital signal processing algorithms for extraction of features and also in artificial intelligence algorithms that allies a mining involving all the data linked to the equipment throughout its operating life can make an assessment of the operating conditions of the equipment and suggest interventions and provide an estimated time so that they have to be made.

关键词： Transformers Measuring System Signal Processing Partial Discharges Predictive Maintenance

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Effects of aeration on the suspended matter from a tropical and eutrophic estuary

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Journal of Environmental Sciences 2019年第12期31卷 175-186页

作者： Natascha Krepsky Maria das Gracas S.Bispo luiz F.Fontana Frederico S.da Silva Jodo P.M.Torres Olaf Malm Cleverson G.Silva Mirian A.C.Crapez Laboratory of Marine Geology Fluminense Federal UniuersityAue.Gen.Milton Tauares de Souza s/n°-Gragoata24210-346 NiterdiRJBrazil Radioisotopes Laboratory eduardo Penna Franca Biophysics Institute Carlos Chagas FilhoFederal University of Rio de JaneiroAu.Carlos Chagas Filho373 CCS-Bl.G21941-902 Rio de JaneiroRJBrazil Marine Biology Department Fluminense Federal UniversityR.Mario Santos Bragas/nNiteroi24.020-141 NiteroiRJBrazil

A comprehensive understanding of the complex biogeochemical interactions between organic matter and persistent contaminants in the suspended matter is vital for ecoefficient estuary ***,little is known regarding aeration effects in suspended particulate ***,this study aimed to investigate the effects of aeration on the suspended matter from a Tropical and Eutrophic estuarine *** water with 60 g/L of suspended particulate matter(SPM)was collected from Guanabara Bay,Rio de Janeiro,Brazil,transferred to experimental boxes and aerated for 61 *** aggregates monitoring included abiotic variables measurements and,determination of total organic matter(TOM),biopolymers composition,bacterial activity,trace metals,and polycyclic aromatic hydrocarbons(PAHs)*** aeration enhanced dissolved oxygen(DO)concentration and the redox potential(Eh).However,from days 0 to 61 the predominant bacterial activities were denitrification and *** transport system activity increased after day 10,and aerobic activity was detected after day *** summary,aeration increased aerobic bacterial activity,lipids(LIP)and trace metal concentrations,although diminished protein/carbohydrate ratio and PAH *** metals concentration(Ni,Pb,Cu,Cr,Mn,and Fe)were the highest on day 19 when the p H was *** presented toxic values(Cu>20.0μg/g).The p H showed a strong negative correlation with Eh(r=-0.94;p<0.001).Acidic environment(p H≤5.9)in marine ecosystems with high loads of toxic trace metals is unsafe for ***,managers must be aware of the environmental and biological risks of introducing the aeration technique into a eutrophic marine environment.

关键词： Mixed-pollution Remediation Acidification Esterases enzymes Biopolymer

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