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关于噪声加速控制高分辨3D-GrE技术在腹部MrI应用的可行性研究

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国际医学放射学杂志 2016年第1期 98-99页

作者： M.Al Obaidy M.ramalho K.K.r.Busireddy B.Liu L.M.Burke E.Altun 窦鑫 Department of radiology University of North Carolina at Chapel Hill

摘要目的评估噪声加速控制高分辨3D-GrE技术脂肪抑制T1WI序列的可行性,在影像质量、病变检出等方面与传统加速控制标准分辨3D-GrE技术进行对比。方法收集了84例进行腹部1.5 T MrI检查的病人,用CAIPIrINHAVIBE[空间分辨率,(0.76±0.04)mm... 详细信息

摘要目的评估噪声加速控制高分辨3D-GrE技术脂肪抑制T1WI序列的可行性,在影像质量、病变检出等方面与传统加速控制标准分辨3D-GrE技术进行对比。方法收集了84例进行腹部1.5 T MrI检查的病人,用CAIPIrINHAVIBE[空间分辨率,(0.76±0.04)mm]与GrAPPA-VIBE[空间分辨率,(1.17±0.14)mm]两种序列进行检查,其中男41例、女43例,年龄14～90岁,平均年龄(58.8±15.6)岁。2名阅片者分别独立地对检查影像进行评估分析,内容包括影像质量、伪影情况、病变显示、病变检出。应用Kappa检验对阅片者一

关键词：加速控制 MrI 高分辨脂肪抑制 VIBE 腹部躯干 GrE 英语水平考试噪声噪音

Oral Health and Masticatory Performance in Adults Submitted to Bariatric Surgery: A Pilot Study

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Open Journal of Stomatology 2015年第3期5卷 87-93页

作者： Paula Valeska Tavares Aline Coelho Micheline Coelho ramalho Vasconcelos Criseuda Maria Benício Barros rosa Maria Mariz Melo Sales Marmhoud Coury Armiliana Soares Nascimento Maria da Conceicao de Barros Correia Luciana de Barros Correia Fontes Fundacao de Ensino Superior de Olinda(Funeso Unesf) OlindaBrazil Instituto de Medicina Integral Professor Fernando Figueira(Imip) RecifeBrazil Universidade Estadual da Paraiba(UEPB) Campina GrandeBrazil Universidade de Pernambuco(UPE) CamaragibeBrazil Universidade Federal de Pernambuco(UFPE) RecifeBrazil

Background: Obesity has reached epidemic patterns and constitutes a serious public health problem due to comorbidities and the impact on life quality of affected individuals. Bariatric surgery appears as one of the most recommended treatments;however much has been known about the effects of this intervention on the functional performance of the organism as a whole. Objective: To characterize the oral health of adults submitted to bariatric surgery, before and after the intervention, with emphasis on the performance of masticatory function. Methods: A prospective observational cohort study conducted in a public reference service to the treatment of obesity in the city of recife, State of Pernambuco. The data were obtained during the first half of 2011, through interview, intraoral physical examination and evaluation of masticatory function. Statistical treatment adopted was a CI of 95% and the chi-square test. The collection was conducted in three stages, with initial assessment in the preoperative and follow-up at 60 and 180 days. results: The sample consisted of 20 volunteers, aged between 23 and 58 years and mean BMI of 43.2 ± 2.8. When compared the pre-operative to the control periods, there were significant differences for variables with decreased tendency towards spontaneous gingival bleeding and increased tooth hypersensitivity and tooth mobility (p regarding the masticatory function, we found significant differences for most of the variables investigated, except in the coordination of movements and breathing during this function. Conclusion: The performance of masticatory function shows differences in pre- and postoperative periods for bariatric surgery.

关键词： Obesity Bariatric Surgery Oral Health

Definition of the Portuguese frameworks with international relevance as an input for the European geological heritage characterisation

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Episodes 2005年第3期28卷 177-186页

作者： J. Brilha C. Andrade A. Azeredo F.J.A.S. Barriga M. Cachāo2 H. Couto P.P. Cunha J.A. Crispim P. Dantas L. V. Duarte M. C Freitas H.M. Granja M.H. Henriques P. Henriques L. Lopes J. Madeira J.M.X. Matos F. Noronha J. Pais J. Pifarra M.M. ramalho J.M.r.S. relvas A. ribeiro A. Santos V.F.Santos P. Terrinha University of Minho University of Lisbon National Natural History Museum University of Porto University of Coimbra Portuguese Speleological Society INETInovacāo University of évora New University of Lisbon League for Nature Protection University of Algarve

This work constitutes the first contribution for the systematisation of geological heritage knowledge in Portugal, following the international recommendations for the characterisation of geological heritage （IUGS, ProGEO）. The application of the ProGEO methodology has resulted in the creation of fourteen frameworks with international relevance, established by consensus among the Portuguese geological community. The description of each category in this paper is not exhaustive and only the most relevant scientific settings are presented. The following are the three key outcomes of this work： i） At a national level, the most important geosites are identified, indicating where geoconservation efforts should be prioritised based on scientific justification; ii） At a regional level, conditions have been developed to foster dialogue with Spanish colleagues in order to create Iberian frameworks; iii） At an international level, it is now possible to integrate Portuguese geosites into the global inventories promoted by IUGS, UNESCO, and ProGEO.

关键词：葡萄牙欧洲地质条件地质图地形特征

医联体条件下三级综合医院儿科医师岗位胜任力分析

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中国毕业后医学教育 2018年第2期2卷 135-138页

作者：高深甚高阳顾震瑶汪新何奕顾伟敏张玲周志红 Nelson Campos ramalho 蒋丽娟上海交通大学医学院附属瑞金医院北院人力资源部上海201801 葡萄牙里斯本工商管理大学上海交通大学医学院附属瑞金医院北院党务工作部上海201801 上海交通大学医学院附属瑞金医院北院群工宣传部上海201801 上海交通大学医学院附属瑞金医院北院医务部上海201801 上海交通大学医学院附属瑞金医院北院信息中心上海201801 上海交通大学医学院附属瑞金医院北院病案室上海201801 上海交通大学医学院附属瑞金医院北院科教部上海201801

自医联体明确成为政府倡导的一种区域医疗模式后,依据经济社会发展趋势及区域卫生规划要求,各地纷纷开始构建医联体建设,医联体内医疗资源、分级诊疗制度、人才培养模式成为重要的研究方向。近几年,由于儿科人才流失率较高,成为医疗服... 详细信息

自医联体明确成为政府倡导的一种区域医疗模式后,依据经济社会发展趋势及区域卫生规划要求,各地纷纷开始构建医联体建设,医联体内医疗资源、分级诊疗制度、人才培养模式成为重要的研究方向。近几年,由于儿科人才流失率较高,成为医疗服务体系的短板,急需培养新的儿科医师满足现有缺口。通过岗位胜任力分析,探索一套适合医联体内三级综合性医院儿科医师的培养模式。通过文献法提出医院现有儿科医师培养方法的局限性,同时结合医联体内的需求和特点,分别从培训设计和培训方法中探索以岗位胜任力为导向的教学模式。以岗位胜任力进行教育培训同时也需要做多层面、具体的考量,针对儿科医师的不同亚专业,通过采用多种调研方式对岗位胜任力要素进行明确,并依据医院内、外环境因素的变化,对以岗位胜任力为导向的教育培训工作不断的进行调整、完善。

关键词：医联体三级综合医院儿科医师岗位胜任力综合性医院儿科

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Comparison between endoscopic sphincterotomy vs endoscopic sphincterotomy associated with balloon dilation for removal of bile duct stones:A systematic review and meta-analysis based on randomized controlled trials

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World Journal of Gastrointestinal Endoscopy 2018年第8期10卷 130-144页

作者： Cesar Capel de Clemente Junior Wanderley Marques Bernardo Tomazo Prince Franzini Gustavo Oliveira Luz Marcos Eduardo Lera dos Santos Jonah Maxwell Cohen Diogo Turiani Hourneaux de Moura Fábio ramalho Tavares Marinho Martin Coronel Paulo Sakai Eduardo Guimaraes Hourneaux de Moura Gastrointestinal Endoscopy Unit Department of GastroenterologyUniversity of Sao Paulo Medical SchoolSao Paulo 05403-010Brazil Beth Israel Deaconess Medical Center Harvard Medical SchoolBostonMA 02215United States

AIM To compare gallstones removal rate and incidence of bleeding, pancreatitis, use of mechanical lithotripsy, cholangitis and perforation between isolated sphincterotomy vs sphincterotomy associated with balloon dilation of papilla in choledocholithiasis through the meta-analysis of randomized clinical trials. METHODS We conducted a systematic review according to the PrISMA guidelines. Literature search was restricted to randomized controlled trials(rCTs) on Med Line, Cochrane Library, LILACS, and EMBASE database platforms in July 2017. The manual search included references of retrieved articles. We extracted data focusing on outcomes: The primary endpoint was the stones removal rate; Secondary endpoints were rates of pancreatitis, bleeding, use of mechanical lithotripsy(ML), perforation and cholangitis. rESULTS Eleven rCTs with 1824 patients were included. EST was associated with more post-endoscopic retrograde cholangiopancreatography(ErCP) bleeding [FE rD-0.02, CI(-0.03,-0.00), I2 = 33%, P = 0.05] and more need of mechanical lithotripsy in general [rE rD-0.16, CI(-0.25,-0.06), I2 = 90%, P = 0.002] and in subgroup analysis of stones greater than 15 mm [rE rD-0.20, CI(-0.38,-0.02), I2 = 82%, P = 0.003]. Incidence of pancreatitis [FE rD-0.01, CI(-0.03, 0.01), I2 = 0, P = 0.36], cholangitis [FE rD-0.00, CI(-0.01, 0.01), I2 =0, P = 0.97] and perforation [FE rD-0.01, CI(-0.01, 0.00), I2 = 0, P = 0.23] was similar between the groups as well as similar stone removal rates in general [FE rD-0.01, CI(-0.01, 0.04), I2 = 0, P = 0.23] and pooled analysis of stones greater than 15 mm [FE rD-0.02, CI(-0.02, 0.07), I2 = 11%, P = 0.31]. CONCLUSION Through meta-analysis of randomized clinical trials we found that isolated sphincterotomy was associated with more post-ErCP bleeding and more need for mechanical lithotripsy. However, there was no statistical difference in the stone removal rate between isolated sphincterotomy and sphincterotomy associated with balloon dilation in the

关键词： Sphincterotomy Papillotomy Dilation Cholangiopancreatography Endoscopic retrograde Endoscopic retrograde cholangiopancreatography Cholangiography

Adaptation to Long-Term rainfall Variability for robusta Coffee Cultivation in Brazilian Southeast

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American Journal of Climate Change 2018年第4期7卷 487-504页

作者： Lima Deleon Martins Fernando Coelho Eugenio Wagner Nunes rodrigues Sebastiao Vinicius Batista Brinati Tafarel Victor Colodetti Bruno Fardim Christo Dionicio Belisario Luis Olivas Fabio Luiz Partelli Jose Francisco Teixeira do Amaral Marcelo Antonio Tomaz Jose Domingos Cochicho ramalho Alexandre rosa dos Santos Center of Agrarian Sciences and Engineering Federal University of Espirito Santo—CCAE/UFESAlegreBrazil Geotechnology Applied to Global Environment—CNPq Advanced research Group—GAGEN AlegreBrazil Federal University of Santa Maria Santa MariaBrazil Jose Faustino Sanchez Carrion National University HuachoPeru North University Center Federal University of Espirito Santo—CUNES/UFESSao MateusBrazil Plant-Environment Interactions&Biodiversity Lab(Plant Stress&Biodiversity) Linking LandscapeEnvironmentAgriculture and Food(LEAF)Dept.Recursos NaturaisAmbiente e Territorio(DRAT)Instituto Superior de Agronomia(ISA)Universidade de Lisboa(ULisboa)Quinta do MarquesOeirasPortugal

Coffee is one of the world most traded agricultural commodities. Currently, a lot of attention has been on robusta coffee (Coffea canephora Pierre ex A. Froehner) because it seems to evidence a greater tolerance to extreme climatic events than Arabica coffee (C. arabica L.). Despite this, only a few works have been developed aimed at discriminating the climatic vulnerability in regions which prioritize robust coffee production. The aim of this work was to analyze historical climatic variables in space and time for the characterization of climatic vulnerability of micro-regions, in search of mitigation and adaptation, which might support the improvement of production systems of C. canephora coffee trees. The case study was carried out for one of the largest production regions of robusta coffee of the world, in Brazil, geographically located between the 39°38' and 41°50' West longitude meridians and the 17°52' and 21°19' South latitude parallels. The vulnerability was characterized by the spatial and temporal variation of rainfall and rainfall seasonal pattern (based on 30 years of historical data), elements of climatic water balance, elevation and area planted with robusta coffee. The choice of mitigation and adaptation were based on widely validated criteria. Overall, the results show that the vulnerability of robusta coffee is related to low index of rainfall, the rainfall seasonability and the water deficiency. In the studied region, there is approximately 42% of some type of water vulnerability during the year, with a severe to medium scale;this vulnerability is very pronounced in regions farther away from the coast of the Atlantic Ocean, since for a year approximately 92% of them are water deficient. In addition, the data show that this distance from the ocean implies a reduction of 75% in the phases of water surplus not only. The strategies of greater potential for adaptation and mitigation are related to the planting of improved genotypes, utilization of polyc

关键词： Coffea canephora rainfall Climate Change Shade Irrigation

美国《共同核心州立标准》实施效果--美国纽约州立大学塔尼亚·拉马略教授与伊丽莎白·斯蒂文斯助理教授专访

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外国中小学教育 2015年第8期 1-4页

作者：塔尼亚.拉马略伊丽莎白.斯蒂文斯刘菁菁纽约州立大学Oswego分校上海师范大学国际与比较教育研究院

为了确保学生获得世界一流的优质教育,美国于2010年颁布了《共同核心州立标准》(Common Core States Standards,简称CCSS),美国宣称,在标准研制过程中汇集了专业的团队,参考了已有的优秀标准,听取了社会的反馈,保证了标准的理论有效性... 详细信息

为了确保学生获得世界一流的优质教育,美国于2010年颁布了《共同核心州立标准》(Common Core States Standards,简称CCSS),美国宣称,在标准研制过程中汇集了专业的团队,参考了已有的优秀标准,听取了社会的反馈,保证了标准的理论有效性和高质量,为美国基础教育制定了统一的课程标准,结束了各州各行其是的局面。2011年,纽约州开始采用这一新标准。但在实行过程中,一些教师提出了反对意见,认为《共同核心州立标准》过分注重学习结果和成绩,将教学材料和考核标准制定得过于死板,不考虑教育现实和学生的个体差异。2013年,纽约州公布了本州阅读和数学考试成绩,与大众期待的不同,结果显示,只有不到三分之一的学生及格,更加引发了社会公众对这一套标准的担忧。针对这一现实,笔者访谈了美国纽约州立大学Oswego分校教育学院的两位博士,听取了他们关于《共同核心州立标准》的看法。

关键词：纽约州立大学课程标准助理教授美国专访丽莎考试成绩社会公众

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Thermal Shock of Al2O3-SiC Ceramic Material Obtained by replication Method

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材料科学与工程（中英文版） 2010年第4期4卷 66-70页

作者： Wilson Acchar Wagner Lopes Torquato Antonio Carlos Costa Femando Barcelos Souza Eduardo Galvao ramalho Pos-graduation Program of Science and Materials Engineering-UFrN NataI-RN CEP：59072-970 Brazil Pos-graduation Program of Mechanical Engineering-UFrN Natal-RN CEP： 59072-970 Brazil

Polymeric sponge replication technique is the most used process to obtain ceramic foams with a cellular structure for filtration applications. The most used route to produce a closed-cell structure for filter applications is the replication of polymer foam by application of ceramic slurry [1-3]. This method consists in the impregnation of polymeric foam with ceramic slurry followed by a heating treatment that will burn out the organic elements and sintering the material, resulting of a replication of the original foam. Morphology, size of the cell and the degree of interconnectedness, permeability and mechanical properties at room and high temperatures are important parameters that influence significantly the application of these materials. In this work X-ray diffraction, scanning electron microscopy and thermal shock have been investigated for a cellular ceramic material with 10, 15 and 20 ppi (pores per linear inch). The results obtained in this work indicated that the mechanical properties show a significant dependence on the cell size and thermal shock temperature.

关键词：陶瓷材料 Al2O3 热冲击复制法 SiC 高温力学性能材料应用陶瓷浆料

Concentrations of Silver Nitrate in the In Vitro Development and Conservation of Passiflora gibertii ***

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American Journal of Plant Sciences 2017年第12期8卷 2944-2955页

作者： Gláucia Amorim Faria Lucas Menezes Felizardo Antonio Flávio Arruda Ferreira Paula Suares rocha Aline Namie Suzuki Antonio da Silva Souza Tatiana Góes Junghans Maria Angélica Pereira de Carvalho Costa Ana Patricia Bastos Peixoto Augusto ramalho de Morais Beatriz Garcia Lopes Tiago Almeida de Oliveira Departmentof Mathematics School of EngineeringSao Paulo State University(Unesp)Ilha SolteiraBrazil Department of Civil Engineering School of EngineeringSao Paulo State University(Unesp)Ilha SolteiraBrazil Laboratory of Environmental Mutagenesis Institute of BiosciencesSao Paulo State University(Unesp)Rio ClaroBrazil Embrapa Cassava and Fruticulture Cruz das AlmasBrazil Center for Agrarian Biological and Environmental SciencesFederal University of the Recôncavo of Bahia(UFRB)Cruz das AlmasBrazil Department of Statistics State University of Paraíba(UEPB)Campina GrandeBrazil Department of Exact Sciences Federal University of Lavras(UFLA)LavrasBrazil

The aim of this study was to evaluate the effects of silver nitrate in the in vitro development and conservation of passion fruit plants. Experiments were carried out at the Laboratory of Culture and Tissues, in the National Cassava and Fruits research Center (EMBrAPA), using microcuttings of Passiflora gibertii N. E. Br., previously cultivated in vitro. The microcuttings were placed in MS media supplemented with silver nitrate at concentrations of 0, 1, 2, 4 and 8 mg·L-1, and, during 30, 60 and 90 days, the following variables were identified: Shooting length (cm), number of roots, number and coloration of leaves. A completely randomized design with 30 replications in a split-plot scheme was employed. Polynomial regression equations were adjusted in analysis of variance to compare averages of treatments. The obtained results support the assumption of high sensitivity of passion fruit tissues to ethylene, which reflects in the lost of vigor and in the induction of culture senescence by its accumulation. Based on obtained results, and in order to mitigate this problem, it is possible to indicate an addition of 2 mg·L-1?of silver nitrate in culture media, for the micropropagation of passion fruit plant, allowing the controlling of the atmosphere inside the culture test tubes, during the establishment of explants and other steps of the process.

关键词： Passion Fruits Tropical Fruits Plant Propagation reduced Growth Ethylene