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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

Antioxidant and antitumor potential of wild and IMT-Acultivated Osmundea pinnatifida

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Journal of Oceanology and Limnology 2019年第3期37卷 825-835页

作者： SILVA J.paulo ALVES celso PINTEUS Susete SILVA Joana VALADO Ana PEDROSA Rui PEREIRA Leonel UCIBIO-REQUIMTE Department of ChemistryFaculty of Sciences and TechnologyUniversidade NOVA de LisboaCaparica 2829-516Portugal MARE-Marine and Environmental Sciences Centre School of Tourism and Maritime TechnologyPolytechnic Institute of LeiriaPeniche 2520-641Portugal Instituto Politécnico de Coimbra ESTESC-Coimbra Health SchoolBiomedical Sciences LaboratoryR.5 de OutubroS.Martinho do BispoAp.7006Coimbra 3046-854Portugal Centre of Pharmacology and Chemical Biopathology Faculty of MedicineUniversity of PortoPorto 4200-319Portugal MARE-Marine and Environmental Sciences Centre Department of Life SciencesFaculty of Sciences and TechnologyUniversity of CoimbraCoimbra 3000-456Portugal

Osmundea pinnatifida is a red edible seaweed known as pepper *** was cultivated in the farm of ALGAplus(ílhavo,Portugal).This farm is integrated with a seabream and seabass commercial aquaculture and uses the nutrient-enriched water resultant from the fish production as its cultivation medium in the integrated multi-trophic aquaculture(IMTA)*** and IMTA-cultivated samples of *** da were screened for antioxidant and antitumor *** antioxidant capacity of solvent extracts from wild and IMTA cultivated samples was assessed in two methods(2,2-diphenyl-1-picrylhydrazyl(DPPH)and oxygen radical absorbance capacity(ORAC)),and their total phenolic contents(TPC)were *** activity was evaluated in three different tumor cell lines(HepG-2,MCF-7,and SH-SY5Y)through 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT)*** the solvents used for extraction,dichloromethane was the most eff ective to extract phenolic compounds and presented higher ORAC.A significant correlation was found between TPC and ORAC,which was also sustained by the principal components analysis(PCA).Dichloromethane extracts induced a cytostatic eff ect on MCF-7 cells and showed weak cytotoxicity to SH-SY5Y cells and weak impact on cell ***,there were no statistically signifi cant differences in the biological activities shown by the wild and IMTA-cultivated ***,*** can be obtained in an economical and environmentally sustainable way through IMTA,maintaining bioactive properties in a high potential for further nutraceutical purposes.

关键词： edible seaweed bioactive compounds polyphenols cytotoxic activity antiproliferative activity

Soil properties characterization for land-use planning and soil management in watersheds under family farming

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International Soil and Water Conservation Research 2022年第1期10卷 119-128页

作者： Jose Miguel Reichert paulo Ivonir Gubiani Danilo Rheinheimer dos Santos Dalvan Jose Reinert celso Aita Sandro Jose Giacomini Soils Department Universidade Federal de Santa Maria(UFSM)Santa MariaRSBrazil

Environmental monitoring of small,rural watersheds was one of the components of the Natural Re-sources Management and Rural Poverty Alleviation Program(RS-Rural)in southern *** purpose of the monitoring was to assess the impact of promoting soil conservation and environment manage-ment practices adopted by farmers and funded by the *** four small monitored watersheds,in a total of 95 plots representing distinct land use and soil management,surface soil was collected to characterize ground-zero of the Program by determining several soil physical,chemical and microbio-logical *** component analysis(PCA)shows soil physical,chemical and biological properties were decisive in defining the agricultural soils in the rural watersheds with family *** sensitivity to chemical properties provides an opportunity to improve soil quality if soil management focuses on altering those *** management practiced by tobacco farmers leads to rapid,intense degradation of some natural soil properties,especially those related to the dynamics of soil organic matter,compared with more conservationist uses(forest,regrowth,and grassland).Thus,soil management must be reoriented to avoid the progress of degradation and recover soil physical and biological *** crops and by land-abandonment to allow natural vegetation are important management strategies for the degraded soils used for tobacco production,increasing soil organic matter,nutrients and microbial activity and thus allowing further crop *** conclusion,wa-tersheds with tobacco cropping have soils with lower quality than when under no-tillage grain pro-duction,requiring changes in land use and soil management.

关键词： Natural resources management Environmental monitoring Soil conservation Soil quality Alleviating poverty

Columnar joints in the Patino Formation sandstones, Eastern Paraguay： a dynamic interaction between dyke intrusion, quartz dissolution and cooling-induced fractures

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Episodes 2008年第3期31卷 302-308页

作者： Victor Fernandez Velazquez paulo Cesar Fonseca Giannini Claudio Riccomini Alethea Ernandes Martins Sallun Jorge Hachiro celso de Barros Gomes Eseola de Artes Ciencias e Humanidades Universidade de Sao Paulo Rua Arlindo Betio 1000 03828-080 Sao Paulo Brasil Instituto de Geociencias Universidade de Sao Paulo Rua do Lago 562 05508-080 Sao Paulo Brasil Insfituto Geolegico Secretaria do Meio Ambiente Av. Miguel Estefano 3900 04301-903 Sao Paulo Brasil.

The Patiho Formation sandstones, which crop out in Aregud neighborhood in Eastern Paraguay and show columnar joints near the contact zone with a nephelinite dyke, have as their main characteristics the high pro- portion of syntaxial quartz overgrowth and a porosity originated from different processes, initially by dissolu- tion and later by partial filling and fracturing. Features like the presence of floating grains in the syntaxial cement, the transitional interpenetrative contact between the silica-rich cement and grains as well as the intense fracture porosity are strong indications that the cement has been formed by dissolution and reprecipita- tion of quartz from the framework under the effect of thermal expansion followed by rapid contraction. The increase of the silica-rich cement towards the dyke in association with the orthogonal disposition of the columns relative to dyke walls are indicative that the igneous body may represent the main heat source for the interstitial aqueous solutions previously existing in the sediments. At macroscopic scale, the increasing of inter- nal tensions in the sandstones is responsible for the nucleation of polygons, leading to the individualization of prisms, which are interconnected by a system of joints, formed firstly on isotherm surfaces of low tem- perature and later on successive adjacent planes towards the dyke heat source.

关键词：柱状连接砂岩巴拉圭南美洲动力学

Yield of surgery in solid pseudopapillary neoplasms of the pancreas: A case series and literature review

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World Journal of Gastrointestinal Oncology 2021年第6期13卷 589-599页

作者： Flávio Silano Ricardo Bandeira de Melo Amaral Rodolfo Carvalho Santana Vanessa Costa Neves Josécelso Ardengh paulo Cezar Galvão do Amaral Digestive Surgery Hospital São Rafael/Rede D’OrSalvador 40285000BahiaBrazil Department of Surgery of the Upper Digestive System São Rafael Hospital/Rede D’Or Hospital GroupSalvador 41253-190BahiaBrazil Surgery and Anatomy Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto-Universidade de São PauloSão Paulo 04611-000São PauloBrazil Endoscopy Service Hospital 9 de JulhoSão Paulo 04611-000São PauloBrazil Imaging and Diagnosis Escola Paulista de Medicina-São Paulo Federal UniversitySão Paulo 04611-000SPBrazil

BACKGROUND Solid pseudopapillary neoplasms(SPN)of the pancreas represents approximately 2%of non-endocrine tumors of the *** is described in the literature as a rare and predominant tumor in young *** To report a case series with SPN and analyzing clinical,surgical,anatomopathological characteristics,as well as the prognosis and review of *** Retrospective analysis of patients undergoing surgery,with histological diagnosis of SPN between 1998 and 2018,using standardized and prospectively completed forms,performed at the Surgery Service of the Upper Digestive System at Hospital São Rafael/Rede D’Or in *** of literature through a database search in MEDLINE/PubMed of retrospective *** Fourteen female patients with the average age of 31.6 years(range min-max)were *** patients(85.7%)were asymptomatic,being an incidental diagnosis or due to screening for other *** patient had abdominal pain due to gastric compression and another patient had *** 14 patients were staged with computerized tomography or magnetic resonance *** had evidence of *** 8 patients(57.1%),the tumor was in the tail and *** average size was 6.7 cm(range min-18).The type of surgery was according to the anatomical location of the *** was no lymph node *** two cases,vascular resection with the use of a prosthesis was required for *** surgical margins were *** all cases,postoperative immunohistochemistry confirmed that it was a solid pseudo-papillary neoplasia of the *** has been no disease recurrence in any case so *** The tumors had a benign,indolent and histopathological behavior compatible with the *** surgery is recommended in all cases.

关键词： Frantz tumor Malignancy Solid pseudo-papillary tumor Surgical treatment Survival Pancreas

Randomized controlled trial comparing open anterograde anatomic radical retropubic prostatectomy with retrograde technique

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Asian Journal of Urology 2023年第2期10卷 151-157页

作者： Fabricio B.Carrerette Daniela B.Rodeiro Rui T.F.Filho paulo A.Santos celso C.Lara Ronaldo Damiao Department of Surgery(Urology) Pedro Ernesto University Hospital of State University of Rio de JaneiroRio de JaneiroBrazil

Objective:Radical prostatectomy is the recommended treatment for localized prostate cancer;however,it is an invasive procedure that can leave serious ***-assisted radical prostatectomy was introduced with the aim of reducing postoperative morbidity and facilitating rapid recovery compared to the traditional Walsh’s open radical retropubic ***,a protocol was developed to perform an open prostatectomy comparable to that performed by robotics,but without involving novel ***:A total of 220 patients diagnosed with localized prostate cancer underwent radical *** were divided into two groups:anterograde technique(115 patients)and the retrograde method(105 patients).The study outcomes were observed 3 months after ***:No differences were found in terms of surgical time,hospital stay,and suction ***,reduced bleeding was observed in the anterograde technique(p=0.0003),with rapid anastomosis duration(p=0.005).Among the patients,60.9% undergoing the anterograde technique were continent 3 months after surgery compared to 42.9%treated by the retrograde method(p=0.007).Additionally,fewer complications in terms of the number(p=0.007)and severity(p=0.0006)were observed in the anterograde ***:The anterograde method displayed increased efficiency in reducing complications,compared to the retrograde technique.

关键词： Prostatectomy Localized prostate cancer Vesicourethral anastomosis Continence

Increased hepatic expression of insulin-like growth factor-Ⅰreceptor in chronic hepatitis C

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World Journal of Gastroenterology 2006年第24期12卷 3821-3828页

作者： José Tadeu Stefano Maria Lúcia Corr(e|^)a-Giannella Cristiane Maria Freitas Ribeiro Ven(a|^)ncio Avancini Ferreira Alves paulo celso Bosco Massarollo Marcel Cerqueira Cesar Machado Daniel Giannella-Neto Laboratory for Cellular and Molecular Endocrinology University of Sao paulo Medical School Brazil Laboratory for Cellular and Molecular Endocrinology University of Sao paulo Medical School Diabetes UnitDivision of EndocrinologyBrazil Department of Pathology Santa Casa de Misericórdia de Sao paulo Brazil Department of Pathology University of Sao paulo Medical School Brazil Laboratory for Experimental Surgery University of Sao paulo Medical School Brazil

AIM： Although increased insulin-like growth factor-I receptor （IGF-IR） gene expression has been reported in hepatocellular carcinoma, studies assessing IGF-IR in chronic hepatitis C （CHC） and cirrhosis are scarce. We therefore aimed to evaluate IGF-IR and IGF-I rnRNA expression in liver from patient with CHC. METHODS： IGF-IR and IGF-I rnRNA content were determined by semi-quantitative RT-PCR and IGF-IR protein expression was determined by immunohistochemistry in hepatic tissue obtained from patients with CHC before （34 patients） and after （10 patients） therapy with interferon-α and ribavirin. RESULTS： An increase of IGF-IR rnRNA content was observed in hepatic tissue obtained from all CHC patients as well as from 6 cadaveric liver donors following orthopic transplantation （an attempt to evaluate normal livers） in comparison to normal liver, while no relevant modifications were detected in IGF-I mRNA content. The irnrnunohistochemical results showed that the raise in IGF-IR rnRNA content was related both to ductular reaction and to increased IGF-IR expression in hepatocytes. A decrease in IGF-IR rnRNA content was observed in patients who achieved sustained virological response after therapy, suggesting an improvement in hepatic damage. CONCLUSION： The up-regulation of IGF-IR expression in hepatocytes of patients with CHC could constitute an attempt to stimulate hepatocyte regeneration. Considering that liver is the organ with the highest levels of IGF-I, our finding of increased IGF-IR expression after both acute and chronic hepatic damage highlights the need for additional studies to elucidate the role of IGF-I in liver regeneration.

关键词： Chronic hepatitis C Insulin-like growth factorI Insulin-like growth factor I receptor Ductular reaction Hepatocyte regeneration Ischemia-reperfusion

Urban forest loss using a GIS-based approach and instruments for integrated urban planning:A case study of Jo?o Pessoa,Brazil

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Journal of Geographical Sciences 2021年第10期31卷 1529-1552页

作者： Leandro Ismael de Azevedo LACERDA JoséAugusto Ribeiro da SILVEIRA celso Augusto Guimarães SANTOS Richarde Marques da SILVA Alexandro Medeiros SILVA Thiago Victor Medeiros do NASCIMENTO Edson Leite RIBEIRO paulo Vitor Nascimento de FREITAS Federal University of Paraíba Laboratory of Urban and Built Environment-LAURBE58051-900 João PessoaParaíbaBrazil Federal University of Paraíba Department of Architecture and Urbanism58051-900 João PessoaPBBrazil Federal University of Paraíba Department of Civil and Environmental Engineering58051-900 João PessoaPBBrazil Federal University of Paraíba Department of Geosciences58051-900 João PessoaPBBrazil Ministry of Cities Setor de Autarquias SulQuadra 01Lote 01/06Bloco HEd.Telemundi II70070-010 BrasíliaDFBrazil

Urban forests play an important role in the thermal comfort and overall life of local populations in large-and medium-sized *** study analyzes urban forest loss and maps land use and land cover(LULC)changes between 1991 and 2018 by evaluating the use of urban planning instruments for the mitigation of urban forest loss in Jo?o Pessoa,*** this purpose,satellite-derived LULC images from 1991,2006,2010 and 2018 and data on urban forest loss areas obtained using the Google Earth Engine were *** addition,this paper also discusses the instruments used for integrated urban planning,which are(a)the legal sector,responsibility and nature;(b)the urban expansion process;and(c)the elements of urban *** results show a clear shift in land use in the study *** major changes in LULC classes occurred in urban areas and herbaceous vegetation,while the greatest loss was in arboreal/shrub ***,an increase in the pressure to occupy zones intended for environmental preservation could be *** results showed similar accuracies with other studies and more spatial *** characteristics of the patterns,traces,and hotspots of urban expansion and forest cover loss were *** highlighted the potential use of this proposed framework to be applied and validated in other parts of the world to help better understand and quantify various aspects of urban-related problems such as urban forest loss mapping using instruments for integrated urban planning and low-cost approaches.

关键词： integrated planning mapping thematic synthesis urban afforestation urban planning