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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

On the viability of wearing evaluation by Thin Layer Activation in the presence of non-occupationally exposed individuals

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Nuclear Science and Techniques 2022年第3期33卷 103-112页

作者： michel de Almeida Franca Julio Cezar Suita Paulo Fernando Ferreira Frutuoso e melo celso marcelo Franklin Lapa Graduate Program of Nuclear Engineering COPPEFederal University of Rio de JaneiroRio de JaneiroRJ 21941914Brazil Instituto de Engenharia Nuclear(IEN-CNEN) Rio de Janeiro 21941614Brazil Comissao Nacional de Energia Nuclear(SEASE/DRS/CNEN) Rio de Janeiro 22290040Brazil

Thin Layer Activation is a nuclear technique that has key advantages over other wear measuring techniques for mechanical systems,especially for in site experiments on equipment important to safety in nuclear ***,it incurs radioactive dose and,thus,must be proved radiologically safe before use,otherwise,the utilization of this technique may be hindered *** said technique is safe previous to any operational/monetary cost is key,providing a methodology for this early assertion is the main contribution of this work—here,only non-occupationally exposed individuals are *** work offers a methodology,through a case study,to ascertain the Thin Layer Activation parameters to obtain safe levels of radioactive dose while maintaining statistically reliable *** methodology consists of using simulations,through the monte Carlo method,to obtain the floors and ceilings for the previously mentioned activation parameters based on operation and work conditions on site.

关键词： Thin Layer Activation Safety evaluation Simulation Equipment wearing

Nutritional,rheological and sensory properties of butter processed with different mixtures of cow and sheep milk cream

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Food Bioscience 2022年第2期46卷 487-497页

作者： Renata S Dias celso F.Balthazar Rodrigo N.Cavalcanti Louise A.Sobral Jessica F.Rodrigues Roberto P.CNeto maria Inˆes B.Tavares Ana Paula B.Ribeiro Renato Grimaldi celso Sant’Anna Erick A.Esmerino Tatiana C.Pimentel marcia Cristina Silva Adriano G.Cruz Instituto Federal de Educaç˜ao Ciˆencia e Tecnologia do Rio de Janeiro(IFRJ)Departamento de AlimentosRJBrazil Universidade Estadual de Campinas(UNICAmP) Faculdade de Engenharia de AlimentosCampinasSPBrazil Universidade Federal do Rio de Janeiro(UFRJ) Escola de QuimicaRJBrazil Instituto Federal of minas Gerais(IFmG) Departamento de Ciˆencias Agr´ariasBambuíMGBrazil Universidade Federal do Rio de Janeiro(UFRJ) Instituto de Macromol´eculas Professora Eloisa Mano(IMA)Rio de JaneiroBrazil Instituto Federal do Paran´a(IFPR) ParanavaíPRBrazil g Instituto Nacional de MetrologiaNormalizaç˜ao Qualidade Industrial(affnInmetro) Duque de Caxias25250-020Rio de JaneiroBrazil Universidade Federal Fluminense(UFF) Faculdade de Medicina VeterinariaNiter´oiRJBrazil

This study assessed the quality parameters and consumer perception and behavior of butter processed with different ratios of cow and sheep milk *** milk cream butter(CmCB)showed lower moisture content and higher fat content,smaller fat globules,and higher concentrations of long-chain saturated fatty acids and monounsaturated fatty acids,resulting in improved potential health *** addition,CmCB showed yellow color,little salt,and butter taste as the main sensory characteristics,resulting in grateful and good digestibility *** milk cream addition improved the rheological properties of the products(lower viscosity,consistency index,and rigidity(J0),and higher fluidity and viscoelastic behavior(J1)),mainly due to the increased concentrations of short-chain and medium-chain saturated fatty acids and polyunsaturated fatty ***,sheep milk cream butter(SmCB)was characterized by a greasy and striking aroma,with a lower perception of good digestibility and good appearance,and a higher bitter *** association of cow and sheep milk cream could be an exciting option to obtain products with improved fatty acid profiles,health indices,and yet maintain desired rheological and sensory *** formulation with 60%sheep milk cream and 40%cow milk cream would be the suggested combination.

关键词： Sheep milk Bovine milk Quality parameters Butter

Late Cryogenian-Ediacaran magmatism in southern Borborema Province,NE Brazil:Ages,sources,petrogenesis,and tectonic setting

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Geoscience Frontiers 2023年第6期14卷 70-101页

作者： Fábio Santos Pereira Herbet Conceição maria de Lourdes Silva Rosa moacyr moura marinho Colombo celso Gaeta Tassinari João marinho milhomem Neto Jean-michel Lafon Programa de Pós-Graduação em Geologia e Geoquímica(PPGG) Instituto de GeociênciasUniversidade Federal do Pará(UFPA)66075-110 BelémParáBrazil Programa de Pós-Graduação em Geociências e Análise de Bacias(PGAB) Universidade Federal de Sergipe(UFS)49100-000 São CristóvãoSergipeBrazil Instituto de Geociências Universidade Federal da Bahia(UFBA)40170-290 SalvadorBahiaBrazil Instituto de Geociências Universidade de São Paulo(USP)05508-900 São PauloBrazil Laboratório de Geologia Isotópica(Pará-Iso) IG-UFPA66075-110 BelémParáBrazil

The Sergipano Orogenic System(SOS)in southern Borborema Province(NE Brazil)hosts voluminous Neoproterozoic plutonism related to the Brasiliano/Pan-African *** paper presents comprehensive whole-rock geochemical data,titanite U-Pb ages,and the first combined zircon U-Pb and Lu-Hf isotope results for plutonic rocks from the macururéDomain to constrain their sources,petrogenesis,and tectonic *** magmatic episodes are recognized and record the evolutionary stages of the orogen.(i)Early-collisional magmatism(643–628 ma)comprises gabbros and diorites with minor tonalites characterized by well-developed tectonic foliation and evidence of solid-state *** rocks are magnesian,high-K calc-alkaline,LILE-and LREE-enriched and provide subchondriticε_(Hf)(t)values(6.5 to4.7)and Orosirian Hf-T^(C)_(Dm)model ages(1.83–1.94 Ga).Such features indicate derivation from a lithospheric mantle source metasomatized by incorporating crustal components through subduction processes prior to magma generation,possibly related to the Rhyacian Orogeny(2.20–1.96 Ga).Extensive mixing/mingling between basaltic and crust-derived magmas took place at lower crustal depths,producing coeval hybrid diorites and quartz-diorites.(ii)Syn-collisional magmatism(630–624 ma)encompasses biotite-and muscovite-bearing granodiorites and monzogranites,preserving their structures parallel to the schistosity of the country *** rocks are leucocratic,weakly metaluminous to peraluminous,and contain abundant surmicaceous *** features and geochemical composition suggest an origin related to the partial melting of graywacke protoliths with a subordinate igneous component.(iii)Late-collisional magmatism(625–600 ma)includes undeformed and isotropic monzonites and granodiorites,which truncate the regional *** rocks are consistently metaluminous and magnesian,showing affinities with the high-K calc-alkaline to shoshonite *** element modeling with su

关键词： Brasiliano/Pan-African Orogeny Western Gondwana Zircon and titanite U-Pb dating Hf isotope data magma source

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历史分析与比较政治

浙江社会科学 2008年第3期 12-19页

作者： James mahoney celso m. Villegas 美国西北大学(Northwestern University)政治学系和社会学系联合教授美国布朗大学(Brown University)社会学系教授。

本文讨论了比较政治学中历史研究的主要分析方法。第一类是因果分析法,包括横截面分析法和样本内分析法。第二类是时序分析法,包括对路径依赖和发展顺序的分析。本文认为,历史分析与众不同的分析方法使它成为比较政治研究中有力的分析... 详细信息

本文讨论了比较政治学中历史研究的主要分析方法。第一类是因果分析法,包括横截面分析法和样本内分析法。第二类是时序分析法,包括对路径依赖和发展顺序的分析。本文认为,历史分析与众不同的分析方法使它成为比较政治研究中有力的分析工具。

关键词：历史分析比较政治因果分析

Increasing analyzable steel thickness for thin layer activation experiments

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Nuclear Science and Techniques 2020年第3期31卷 35-44页

作者： Joao Francisco de Oliveira Antunes mauro Lucio Borges Lemos michel de Almeida Franca Julio Cezar Suita celso marcelo Franklin Lapa Instituto de Engenharia Nuclear Rio de Janeiro 21941-614Brazil Programa de Engenharia Nuclear-COPPE/UFRJ Riode Janeiro 21941-450Brazil

The thin layer activation technique(TLA)is very effective in wear analysis for tribological systems where disassembly is costly or *** its development in the 1970s,TLA has been applied through direct irradiation of solid targets using ionizing particle beams to obtain an activation with a specific *** profile is then used to measure wear in a variety of *** experiments rely heavily on how deep the normalized activation *** of 30μm to 50μm are obtained for constant activation by the standard method,which for many experiments is ***,many others would benefit greatly from a 300μm constant activation layer,such as high-performance engines,softer alloys(brakes),and oil transport *** this aim was the goal of this ***,we needed to find an adequate irradiation line for the TLA ***,another technique/system was developed(the Attenuation Wheel),which would bring the depth of constant activation from 50μm to 300μm.

关键词： Thin layer activation Wear Proton beam Attenuation wheel

Ultrashort pulse capability at the L2I high intensity laser facility

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High Power Laser Science and Engineering 2017年第1期5卷 7-11页

作者： Gonqalo Figueira Joana Alves Joao m.Dias marta Fajardo Nuno Gomes Victor Hariton Tayyab Imran celso P.Joao Jayanath Koliyadu Swen Kunzel Nelson C.Lopes Hugo Pires Filipe Ruao Gareth Williams GoLP/Instituto de Plasmas e Fusao Nuclear lnstituto Superior TecnieoUniversidade de LisboaLisbonPortugal Faculdade de Ciências e Tecnologia Universidade Nova de LisboaCaparicaPortugal Department of Physics&Astronomy College of ScienceKing Saud UniversityRiyadhSaudi Arabia

The Laboratory for Intense Lasers(L2I) is a research centre in optics and lasers dedicated to experimental research in high intensity laser science and technology and laser plasma interaction. Currently the laboratory is undergoing an upgrade with the goal of increasing the versatility of the laser systems available to the users, as well as increasing the pulse repetition rate. In this paper we review the current status of the laser research and development programme of this facility, namely the upgraded capability and the recent progress towards the installation of an ultrashort, diode-pumped OPCPA laser system.

关键词： diode-pumped solid-state laser and applications femtosecond laser and applications frequency conversion laser amplifiers nonlinear optics

Biomass-glycerol briquettes are not necessarily mechanically stable and energetically effective

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Waste Disposal and Sustainable Energy 2020年第4期2卷 291-303页

作者： Bruno Rafael de Almeida moreira Ronaldo da Silva Viana Samuel Dias moreira monique dos Santos Lima Anderson Chagas magalhães celso Tadao miasaki JoséClaudio Caraschi Department of Phytosanitary Rural Engineering and SoilsSchool of EngineeringSão Paulo State University(Unesp)Ilha SolteiraSão PauloBrazil Department of Plant Production College of Agricultural and Technological SciencesSão Paulo State University(Unesp)DracenaBrazil São Paulo State University(Unesp) ItapevaSão PauloBrazil

The re-use of glycerol from biodiesel industry as an alternative lubricant for making high-performance briquettes is ***,the technical performance of this agro-industrial residue is not *** study outlines,accordingly,the real risk of introducing glycerol into the co-briquetting of highly caloric by-products of *** production of hybrid briquettes consisted of pressing mixtures of residues of sugarcane and sorghum with the liquid additive at 10,20,and 30 wt.%in bench-scale hydraulic piston presser *** of the blend,briquettes containing the supplement at the highest level as part of their composition ended up being much more hygroscopic(20.10%)and less energetic(3.15 GJ m^(−3)).The explanation for the negative impact of glycerol on the thermomechanical behavior of briquettes would be overconcen-tration of additive capable of effectively defying compacting *** degree of compaction during co-briquetting has likely gone down quickly with a maximizing level of *** long as the additive is not able to lubricate the feedstock suitably,improbability of biomass particles to successfully bond together to form themselves into mechanically stable and energetically effective briquettes is *** lower density(273.80 kg m^(−3))and higher relaxation(22.75%),briquettes with glycerol at 30 wt.%generally were aesthetically ***,these products resisted no longer to handling,transportation,and *** lost their shape easily during emptying and shifting them,thus,releasing larger quanti-ties of biomass to the *** evidence of high-viscosity glycerol capable of limiting safe and effective production of high-performance briquettes for heating and power exists.

关键词： Additive Agro-residues Densification Biosolids Waste-to-energy

Valorization of semi-solid by-product from distillation of cellulosic ethanol into blends for heating and power

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Waste Disposal and Sustainable Energy 2021年第1期3卷 49-61页

作者： Bruno Rafael de Almeida moreira Victor Hugo Cruz matheus Luís Oliveira Cunha Nathaly Proença Lopes Anderson Chagas magalhães celso Tadao miasaki JoséClaudio Caraschi Ronaldo da Silva Viana Department of Phytosanitary Rural Engineering and SoilsSchool of EngineeringSão Paulo State University(Unesp)Ilha SolteiraSão PauloBrazil Department of Plant Production College of Agricultural and Technological SciencesSão Paulo State University(Unesp)DracenaSão PauloBrazil São Paulo State University(Unesp) ItapevaSão PauloBrazil

Burning down on semi-solid by-product from distillation of cellulosic ethanol to power upstream steps of its manufacturing is ***,this feedstock is homogenous in size and shape,hygroscopic and poorly *** disadvantages make its re-use in the industrial plant very *** of this agro-residue into high-performance blends for heating and power is,accordingly,the scientific point of this *** pilot-scale manufacturing of composite pellets consisted of systematically pressing the residue with sugarcane bagasse at the mass ratios of 1:4,2:4,and 3:4 on an automatic pelletizer machine at 200 mPa and 125℃.The process of compaction lasted for 90 *** and energy density,both increased significantly,from 95.85%to 99.55%and from 27.95 GJ m^(−3) to 32.20 GJ m^(−3) with blending at 3:***,the semi-solid by-product considerably improved the feeding,thus,enabling the layers of particles to go smoothly through the channel-forming die of the ***,blends became stiffer and denser than pellets purely consisting of sugarcane *** evidence of the process of pelleting capable of highly valorizing the semi-solid by-product from distillation of cellulosic bioethanol into mechanically stable and energetically effective hybrid fuel grade biosolids *** major findings of this paper should be of great relevance to ensure safe and effective transportation and storage of biomass in indoor facili-ties where the risk for the generation of dust and fines and the subsequent off-gassing and self-firing is ***,pelletization may optimize the co-generation of heat and steam at the large-scale bioethanol station.

关键词： Fuel grade biosolids Non-woody biomass Pelletization Second-generation biofuel Sustainable waste-to-energy technique