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jejunostomy in the palliative treatment of gastric cancer:A clinical prognostic score

World journal of Clinical Oncology 2021年第10期12卷 935-946页

作者： marcus Fernando Kodama Pertille Ramos Marina Alessandra Pereira Andre Roncon Dias Erica Sakamoto Ulysses Ribeiro jr Bruno Zilberstein Sergio Carlos Nahas Department of Gastroenterology Instituto do CancerHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo 01246000Brazil

BACKGROUND Clinical stage IV gastric cancer(GC)may need palliative procedures in the presence of symptoms such as *** palliative resection is not possible,jejunostomy is one of the ***,the limited survival of these patients raises doubts about who benefits from this *** To create a prognostic score based on clinical variables for 90-d mortality for GC patients after palliative *** We performed a retrospective analysis of Stage IV GC who underwent *** preoperative clinical variables were selected to define the score categories,with 90-d mortality as the main *** randomization,patients were divided equally into two groups:Development(j1)and validation(j2).The following variables were used:Age,sex,body mass index(BMI),American Society of Anesthesiologists classification(ASA),Charlson Comorbidity index(CCI),hemoglobin levels,albumin levels,neutrophil-lymphocyte ratio(NLR),tumor size,presence of ascites by computed tomography(CT),and the number of disease *** score performance metric was determined by the area under the receiver operating characteristic(ROC)curve(AUC)to define low and high-risk *** Of the 363 patients with clinical stage IVCG,80(22%)patients underwent *** were predominantly male(62.5%)with a mean age of 62.4 years *** randomization,the binary logistic regression analysis was performed and points were assigned to the clinical variables to build the *** high NLR had the highest *** ROC curve derived from these pooled parameters had an AUC of 0.712(95%CI:0.537–0.887,P=0.022)to define risk *** the validation cohort,the diagnostic accuracy for 90-d mortality based on the score had an AUC of 0.756,(95%CI:0.598–0.915,P=0.006).According to the cutoff,in the validation cohort BMI less than 18.5 kg/m2(P<0.001),CCI≥1(P=0.001),ASA III/IV(P=0.002),high NLR(P=0.012),and the presence of ascites on CT exam(P=0.004)were significantly assoc

关键词： Stomach neoplasms Gastric cancer Palliative surgery jejunostomy Gastric cancer with outlet obstruction Stage IV gastric cancer

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神秘博士珍宝书

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作者： (英)马库斯·赫恩(marcus Hearn)

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对话:文化直觉、艺术实验和合作人类学

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民族文学研究 2020年第4期38卷 166-176页

作者：庄孔韶 [美]乔治·马库斯 [美]迈克尔·费彻尔云南大学民族学与社会学学院加利福尼亚大学尔湾分校麻省理工学院

2019年11-12月,乔治·马库斯(George ***)和迈克尔·费彻尔(Michael ***)应邀访问云南大学,参加“绘画人类学的多学科实验:国际研讨会和人类学绘画展”。会展期间庄孔韶与两位学者多次交谈,其中11月28日下午(会展前)在云南民族博物馆茶... 详细信息

2019年11-12月,乔治·马库斯(George ***)和迈克尔·费彻尔(Michael ***)应邀访问云南大学,参加“绘画人类学的多学科实验:国际研讨会和人类学绘画展”。会展期间庄孔韶与两位学者多次交谈,其中11月28日下午(会展前)在云南民族博物馆茶馆的座谈就文化直觉、艺术实验与合作人类学等共同关心的学术问题深度交流。该稿根据此整理翻译。在场人士包括庄孔韶、马库斯、费彻尔、和柳、张俊龙、龚诗尧、茶艺师。本文已获庄孔韶、马库斯、费彻尔授权发表,由和柳翻译、整理。

关键词：文化直觉庄孔韶云南民族博物馆马库斯深度交流云南大学学科实验茶艺师

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名画鉴赏手册

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作者： (美)马库斯·洛德威克(marcus Lodwick)

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Expression of the Genes OsNRT1.1, OsNRT2.1, OsNRT2.2, and Kinetics of Nitrate Uptake in Genetically Contrasting Rice Varieties

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American journal of Plant Sciences 2015年第2期6卷 306-314页

作者： Osmário j. L. Araújo Milena S. Pinto marcus V. L. Sperandio Leandro A. Santos Elvia M. L. M. Stark Manlio S. Fernandes André Marques dos Santos Sonia Regina de Souza Plant Nutrition Laboratory Department of Soil Universidade Federal Rural do Rio de Janeiro Seropédica Brazil Plant Biochemistry Laboratory Department of Chemistry Universidade Federal Rural do Rio de Janeiro Seropédica Brazil

Four genetically contrasting rice varieties (IAC-47, Bico Ganga, Arroz de Revenda and Manteiga) according to Random Amplified Polymorphic DNA (RAPD) analysis were assessed regarding expression of the genes OsNRT1.1, OsNRT2.1 and OsNRT2.2 and the nitrate uptake kinetics parameters (Km and Vmax). Up to 250-fold increases in the induction of gene expression after nitrate resupply were observed for the high-affinity transporter (OsNRT2.1 and OsNRT2.2). However, no significant variations in Vmax among the varieties were obtained. The lower value of Km of the IAC-47 cultivar in relation to the Arroz de Revenda variety suggests a greater role of high-affinity transporter genes. These results indicate that closer attention should be paid to the expression levels of these genes in selecting varieties aiming to enhance nitrogen uptake efficiency.

关键词： RAPD Nitrogen Nitrogen Use Efficiency Oryza sativa L.

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认识投资

认识投资

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作者： (美)滋维·博迪(Zvi Bodie)，(美)亚历克斯·凯恩(Alex Kane)，(美)艾伦 j. 马库斯(Alan j. marcus)

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认识投资

认识投资

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作者： (美)滋维·博迪(Zvi Bodie)，(美)亚历克斯·凯恩(Alex Kane)，(美)艾伦 j. 马库斯(Alan j. marcus)

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The Professional Profile and the Physical Therapy Service in the Emergency Units in the State of São Paulo

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Open journal of Emergency Medicine 2021年第4期9卷 150-161页

作者： Mariel P. Oliveira junior Caroline C. Silva Sabrina M. Cunha Augusto G. T. Cruz Paulo E. j. Campos Gabriel G. Maia Leandro M. Azeredo marcus V. M. Pinto Eliza C. Macedo Master Student in Health and Technology in the Hospital Space Federal University of the State of Rio de Janeiro (UNIRIO) Bezerra de Araújo College (FABA) Rio de Janeiro Brazil Post-Graduate Course in Hospital Physiotherapy at Delta College IAPES and Physiotherapy Campos Campinas Brazil Physiotherapist at the State University of Rio de janeiro (UERj) Rio de Janeiro Brazil Physiotherapist at the Military Police Hospital in Rio de janeiro Rio de Janeiro Brazil Researcher and Clinician at the Celulare Institute (INSTCELULARE) Petrópolis Brazil Federal University of the State of Rio de janeiro (UNIRIO) Rio de Janeiro Brazil

The emergency room is the entrance door of hospitals for patients who are in risk of life, and the role of the physiotherapist in this area is recognized as a qualified member of the team, helping to reduce the rate and time of orotracheal intubation, judicious use of invasive mechanical ventilation (MV) and non-invasive ventilation (NIV). The objective was to know the profile and performance of physical therapists in the emergency departments of hospitals in the state of São Paulo. Conducted through a semi-structured questionnaire covering personal and professional aspects, and analyzed and described in percentage form. Thirty-six questionnaires were analyzed, and it was observed that 92% provide emergency care, but only 25% work exclusively. Among the main reasons for admission to this sector are: acute respiratory failure (44%) and decreased level of consciousness (36.1%). Regarding the physiotherapeutic resources used in the emergency department, 97.2% make use of NIV, followed by monitoring of MV parameters (94.4%) and modification of parameters (94.4%). We also found that the average time of MV in this sector is 3 to 21 days (50%), and that 33% believe there is delay between indication and installation of NIV. The physiotherapist has much to contribute in emergency units, however, he must be trained through the search for technical and scientific knowledge, thus contributing to the consolidation of this area of expertise.

关键词： Emergencies Physiotherapy Professional Practice Area

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Ocular damage secondary to lights and lasers: How to avoid and treat if necessary

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World journal of Ophthalmology 2014年第1期4卷 1-6页

作者： Mohamed S Sayed marcus j Ko Audrey C Ko Wendy W Lee Bascom Palmer Eye Institute University of Miami Miller School of Medicine Miami FL 33136 United States

An armamentarium of the latest light and laser technologies are used by physicians of different disciplines to address a variety of aesthetic challenges in the periocular region and throughout the body. If improperly used, these modalities can inflict serious ocular injury on the patient, support personnel, and operator. It is paramount that providers involved in operating these technologies be knowledgeable about the physical and clinically relevant properties of the unit being used. This involves training in the proper utilization, appropriate treatment parameters, and safety measure for each. Selection of the appropriate eye protection is particularly important for both the patient and the personnel. It is also imperative for the laser operator to understand the range of potential ocular complications associated with the cosmetic use of lasers and lights, to recognize the signs and symptoms associated with ocular damage, and to provide efficient first aid measures should damage ensue. Possible ocular complications related to the cosmetic use of lasers and lights range from mild eyelid swelling and erythema to potentially blinding macular injury. Ocular injury may also be inflicted by the improper selection or placement of eye protection.A complete ophthalmologic evaluation and timely management of potential complications is mandated when there is any concern for ocular injury.

关键词： Laser Intense pulsed light Cosmetic Laser safety eyewear Ocular complications Aesthetic

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Banana Peel for Acetylsalicylic Acid Retention

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journal of Environmental Protection 2016年第12期7卷 1850-1859页

作者： Araceli Veronica F. N. Ribeiro André Romero da Silva Tiago Pereira da Cunha Rowenna Tonani L. dos Santos jairo Pinto de Oliveira Evaldo Vitor Pereira marcus Vinicius V. j. Licinio Madson de Godoi Pereira Arnaud Victor dos Santos joselito Nardy Ribeiro Instituto Federal do Espirito Santo Campus de Vila Velha Brazil Instituto Federal do Espírito Santo Campus de Aracruz Brazil Centro de Ciências da Saúde Universidade Federal do Espírito Santo Vitória Brazil Departamento de Ciências Exatas e da Terra Universidade do Estado da Bahia Salvador Brazil

A method for adsorption involving banana peel (BP) was studied to remove the pollutant acetylsalicylic acid (ASA) in aqueous medium. The results show that bioadsorbent has satisfactory maximum adsorption capacity (2.29 mg/g) for removing this analgesic and anti-inflammatory drug in aqueous solution (pH 7.0) using the Langmuir mathematical model. The tested concentrations of this pollutant were higher than the levels commonly found in the aquatic environment. This and other results suggest the BP as an alternative to ASA removal in water contaminated with pharmaceuticals pollutants.

关键词： Adsorption Banana Peel Acetylsalicylic Acid

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