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Endoscopic retrograde cholangiopancreatography drainage for palliation of malignant hilar biliary obstruction——stent-in-stent or side-by-side?A systematic review and meta-analysis

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World Journal of Hepatology 2021年第5期13卷 595-610页

作者： Gabriel Mayo Vieira de souza Igor Braga Ribeiro Mateus pereira Funari Diogo Turiani Hourneaux de Moura Maria Vitória Cury Vieira Scatimburgo João Remíde Freitas Júnior Sergio A Sánchez-Luna Renato Baracat Eduardo Turiani Hourneaux de Moura Wanderley Marques Bernardo Eduardo Guimarães Hourneaux de Moura Gastrointestinal Endoscopy Unit Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo 05403-010Brazil Division of Gastroenterology Hepatology and NutritionCenter for Advanced Therapeutic EndoscopyAllegheny Health NetworkPittsburghPA 15212United States Division of Gastroenterology and Hepatology Department of Internal MedicineBasil I.Hirschowitz Endoscopic Center of ExcellenceBirminghamAL 35294United States

BACKGROUND Biliary drainage,either by the stent-in-stent(SIS)or side-by-side(SBS)technique,is often required when treating a malignant hilar biliary obstruction(MHBO).Both methods differ from each other and have distinct *** To compare both techniques regarding their efficacy and safety in achieving drainage of *** A comprehensive search of multiple electronic databases(MEDLINE,Embase,LILACS,BIREME,Cochrane)was conducted and grey literature from their inception until december 2020 with no restrictions regarding the year of publication or language,since there was at least an abstract in *** included studies compared SIS and SBS techniques through endoscopic retrograde *** analyzed included technical and clinical success,early and late adverse events(AEs),stent patency,reintervention,and procedure-related *** Four cohort studies and one randomized controlled trial evaluating a total of 250 patients(127 in the SIS group and 123 in the SBS group)were included in this *** were no statistically significant differences between the two groups concerning the evaluated outcomes,except for stent patency,which was higher in the SIS compared with the SBS technique[mean difference(d)=33.31;95%confidence interval:9.73 to 56.90,I2=45%,P=0.006].CONCLUSION The SIS method showed superior stent patency when compared to SBS for achieving bilateral drainage in *** techniques are equivalent in terms of technical success,clinical success,rates of both early and late AEs,reintervention,and procedure-related mortality.

关键词： Endoscopic retrograde cholangiopancreatography Biliary tract neoplasms Biliary Hilar Stenting Drainage

Efflux Estimate of Greenhouse Effect Gases in Three Different Forest Formations and the Influence of Soil

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Journal of Environmental Science and Engineering(A) 2014年第6期3卷 305-311页

作者： Victor Satiro de Medeiros Marcos Gervasio pereira Joao Henrique Gaia Gomes David Rodrigues da Silva Maia Claudinei de souza Guimaraes department of Biochemical Engineering School of Chemistry Rio de Janeiro Federal University Rio de Janeiro 21949-900Brazil department of Soils Institute of Agronomy Rio de Janeiro Federal Rural University Rio de Janeiro 21930-330 Brazil

In carbon global cycle, the relationship between the terrestrial ecosystem and the atmosphere where there are, among others, gases that contribute to the greenhouse effect, has become object of relevant scientific interest. The content of organic matter in soil, expressed by its supplies as well as the organic matter degree of stability, are factors that can prevent the soil from acting as a drain and at the same time contribute for it to become a source of those gases. The variations in the way land is used in Brazil are factors responsible for the increase in emission of greenhouse effect gases. Based on these facts, this study was aimed to evaluate the CO2 and CH4 efflux using a gas retention chamber, and to associate these emissions to the organic carbon content in the soil. Two different areas were selected for the study, one in Tijuca Forest National Park, in a forest area, and the other at the Rio de Janeiro Federal Rural University campus. In the latter, the area was stratified in three sub areas according to the vegetation, use and water saturation degree. Samplings were performed during 8 months between 2013 and 2014.

关键词： Effiux estimate of greenhouse effect gases influence of soil and climate carbon global cycle.

Strategic Partnership Between Private Organizations and Universities： The Search for Regional development Through Solutions for Hospital Management

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Chinese Business Review 2013年第8期12卷 583-592页

作者： Jamerson Viegas Queiroz Abner Vicente Braga Fernanda Cristina Barbosa pereira Queiroz Jessica Monyk Tiburcio de souza Renata de Oliveira Mota Universidade Federal do Rio Grande do Norte Natal Brazil

The public power and the private enterprise, the main agents of national economic and social development, when cooperating strategically, promote increased functional efficiency of their activities. In order to highlight the relevance of such partnership, this article aims to analyze the potential of actions jointly developed by private organizations and Brazilian universities. The research problem is lined in the field of health, which hosted actions developed between the Federal University of Rio Grande do Norte （UFRN） and the Hospital Maternity Guiomar Fernandes （HMGF）, located in the city of Alexandria, in Rio Grande do Norte. The study emphasizes the shortcomings of this organization, the resolving power of the university in this scenario, and performs the analysis of the effects of this cooperation. The methodology used in this research was the case study in HMGF. With emphasis on fundraising and improving the informational management system, funding sources for projects of restructuring and expansion of the hospital were sought, as well as initiatives for developing hospital management softwares for small- and medium-sized organizations. As a result, the articulation between the university and the hospital provided the elaboration of a project for software development and the production of a project for physical restructuring and technological investment, aiming to expand the supply and quality of the hospital＇s services. The implementation of information systems, associated with investments in hospital infrastructure, providing increased efficiency in public assistance to the population, bringing both local and regional benefits, besides, providing the authorities with relevant data on the development of public policies.

关键词： fundraising hospital management information system strategic cooperation

Identification of Trichosporon spp. Strains by Sequencing D1/D2 Region and Sub-typing by Sequencing Ribosomal Intergenic Spacer Region of Ribosomal DNA

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2009年第5期29卷 655-658页

作者：曾敬思 Cristina Mariade souza Motta 福岛和贵龙泽香代子 Oliane Maria Correia Magalhes Rejane pereira Neves 西村和子 department of dermatology and Venereology Union HospitalTongji Medical CollegeHuazhong University of Science and Technology Federal University of Pernambuco Av.Prof.Chavess/nCEP:50670-420RecifePernambucoBrazil Medical Mycology Research Center Chiba University

To re-identify and further group 25 isolates of Trichosporon spp. identified morphologically previously, sequences of D1/D2 region of large subunit （LSU） of ribosomal DNA （rDNA） of 25 tested strains for identification and those of ribosomal intergenic space 1 （IGS1） region of 11 strains for subgrouping were detected. The identifications of tested strains were changed except 6 strains. According to the alignment of the IGS1 region, 6 T. asahii isolates tested fell into 4 groups and 5 T. faecale isolates into 3 groups. Polymorphism of 2 T. japonicum isolates was found in 10 positions. With the alignments obtained in this research compared with the relative GenBank entries, it was found that T. asahii, T. faecale and T. japonicum species were divided into 7, 3 and 2 subtypes respectively. Morphological and biophysical methods are not sufficient for Trichosporon spp. identification. Sequencing becomes necessary for Trichosporon diagnosis. There is obvious diversity within a species.

关键词： Trichonsporon large subunit D1/D2 intergenic space 1

Application of Non-destructive Testing to Evaluate the Performance of Bridges Structures

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Journal of Civil Engineering and Architecture 2017年第1期11卷 1-7页

作者： Diego Jesus de souza Elaine souza dos Santos Eric Pianizolli Flor Gabriel pereira Marinho Giovana Costa Reus Heloise Cristine Cezario Leticia Andrade Camara department of Civil Engineering University of Ottawa Ottawa K2P0M1 Canada department of Civil Construction Universidade Federal do Parana Sao Jose dos Pinhais 83040-334 Brazil department of Civil Construction Universidade Federal do Parana Linhares 29902-190 Brazil department of Civil Construction Universidade Federal do Parana Curitiba 80630-280 Brazil department of Civil Construction Universidade Federal do Parana Campo Largo 83604-230 Brazil department of Civil Construction Universidade Federal do Parana Curitiba 80060-120 Brazil

Bridges are important elements in road system and can influence the entire economy of cities and region. Usually, these structures have high financial investments for their constructions, in this way, maintenance and conservation become so important. Inspection is a technical activity that covers several operations, including performance analysis; examination; final performance report, other operations may be necessary, such as maintenance work, recovery, strengthening and rehabilitation. Technical examination together with some test methods allows a critical and parametric judgment of the bridge performance by minimizing the subjectivity of visual evaluations, and permits a more detailed diagnosis. This paper discusses the methodology to perform tests to complement the assessment recommended by DNIT （Brazilian National department of Transport Infrastructure）, which consists only on a visual judgment. This approach provides technical basis to classify the bridges as its need and urgency of maintenance.

关键词： Non-destructive testing bridges concrete durability.

Information and Knowledge Flows in the Network of the Education through Work for Family Health Program

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Social Networking 2014年第2期3卷 119-126页

作者： Ana Aurea Alécio de Oliveira Rodrigues Claudia Ribeiro Santos Lopes Eliane Santos souza Inacio de Sousa Fadigas Hernane Borges de Barros pereira Universidade Estadual de Feira de Santana Feira de SantanaBrazil Programa de Difusao do Conhecimento DMMDC/UFBASalvadorBrazil Universidade Estadual do Sudoeste da Bahia JequiéBrazil Universidade Federal da Bahia SalvadorBrazil Universidade do Estado da Bahia SalvadorBrazil Programa de Modelagem Computacional SENAI CimatecSalvadorBrazil

The Education through Work for Family Health Program (PET Saúde, in Portuguese) created by the Ministries of Education and Health is a proposal to integrate service, learning and community. The goal of PET Saúde is to foster the formation of learning groups within the Family Health Strategy scope. While being studied at the city of Feira de Santana, the program was structured with one coordinator and eleven tutorial groups, distributed in 27 family health offices, which constituted a social network where the construction and knowledge diffusion occur. This article proposes the analysis of the information and knowledge flows of this network through the social networks analysis. This study highlights the play of PET Saúde’s coordinator in the processes of organization and articulation as central vertex of the network, and some scholars in the articulation of different tutorial groups. The results show a fragmentation in the PET Saúde network when the coordinator vertex is removed, whereas 5 components are generated where 4 tutorial groups appear isolated.

关键词： Social Networks Education-Service Interaction Health Information Knowledge

Impact of Low Back Pain on Quality of Life: Assessment by Patient Functionality Questionnaire and Treatment Results Using a Combination of Diclofenac plus B Vitamins or Diclofenac Monotherapy

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International Journal of Clinical Medicine 2016年第2期7卷 113-119页

作者： Mauro Geller Marco Antonio Mibielli Carlos pereira Nunes Adenilson de souza da Fonseca Stephanie Wrobel Goldberg Lisa Oliveira Teresópolis Medical School UNIFESO Rio de Janeiro Brazil Washington University School of Medicine St. Louis MO USA

Objective: To analyze the Patient Functionality Questionnaire (PFQ) scores of the patients treated with either Diclofenac + B vitamins (Group DB) or Diclofenac monotherapy (Group D) in order to better understand the impact of the combination of diclofenac with vitamins B1, B6, and B12 on quality of life. Research design/Methods: We performed a post-hoc analysis of tabulated data generated during the DOLOR study (Diclofenac plus B vitamins versus diclofenac monotherapy in lumbago: the DOLOR study), using the software GraphPad Prism 5 for Windows, v5.04. The absolute number or percentage of “True”/“False” respondents for each questionnaire item at each study visit, together with the absolute number and percentage of subjects with no change, improvement, or worsening of each PFQ item at each study visit, within and between treatment groups were arranged on contingency tables and analyzed with the Chi-squared or Fisher’s Exact test. Results: At pretreatment there were no statistically significant differences between treatment groups (p > 0.05 for all items). At Visit 2 in both treatment groups, there were statistically significant improvements in individual question responses in each of the 12 items of the questionnaire (p < 0.05 for all items). At Visit 2, comparing the distribution of patients in each treatment group with “improvement”, “no change”, or “worsening”, there was a statistically significant superiority among subjects of group DB in response to items 1, 6, 8, and 10. At Visit 3, both groups had statistically significant (p < 0.001) improvements in each individual item of the PFQ in relation to pretreatment values. The distribution of subjects in each treatment group presenting with “improvement”, “no change”, or “worsening” at Visit 3 varied significantly in favor of group DB in the responses to item 4. At Visit 4, the subjects remaining in treatment in both groups showed statistically significant improvement in PFQ response

关键词： Low Back Pain Quality Of Life Diclofenac Thiamine Pyridoxine Cyanocobalamin

Characterization of Pegmatoid from Dimension Stones Tailings for Application as Ceramic Raw Material

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Journal of Chemistry and Chemical Engineering 2014年第3期8卷 260-264页

作者： Jose Yvan pereira Leite Franciolli da Silva Dantas de Araujo Lana Lopes de souza Nobre Viviane da SilvaPinheiro Joao Paulo pereira da Silva Antonio de Paidua Arlindo Dantas Mineral Processing Laboratory Federal Institute of Education Science and Technology of Rio Grande do Norte CEP 59.015-000Brazil

Exploitation and processing of pegmatoids at Brazil＇s northeast （Serido region-RN State） aiming further use as dimension stone produces mass losses ranging between 30%-90%. The tailings are predominantly composed by feldspar, quartz, muscovite and other Fe-bearing silicates such as biotite and amphiboles, suitable for ceramic production. The recovery of these elements depends on mica＇s remotion to levels under 2.0%, preferentially by dry methods due the scarce amount of water prevailing at Serido region. This paper presents results from pegmatite tailings characterization from Serido region showing the potentially application as raw material for ceramic production. To do it, a new technological route must be developed to fit it as main component to white ceramic industry, considering the properties required by ceramic industries.

关键词： Tailings dimension stones technological characterisation ceramics.

Melon Seedlings Phytomass under Poultry Litter Biochar Doses

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Agricultural Sciences 2021年第3期12卷 181-197页

作者： Laysa Gabryella de souza Laurentino Lúcia Helena Garófalo Chaves Antônio Ramos Cavalcante Jean pereira Guimarães Felipe Guedes de souza Washington Benevenuto de Lima Hugo Orlando Carvallo Guerra Josely Dantas Fernandes department of Agricultural Engineering Federal University of Campina Grande (DEAG/UFCG) Campina Grande Brazil

The use of organic waste for the preparation of seedling substrates is an important environmental and economic option. In this perspective, substrates using biochar emerges as an alternative for seedling production due to their favorable physical and chemical characteristics. The present study aimed to evaluate the efficiency of doses of poultry litter biochar as a substrate constituent for the production and quality of the seedlings. The work was conducted in a semi protected environment, belonging to the Federal University of Campina Grande—UFCG. The statistical design used was completely randomized in a 6 × 2 factorial scheme, consisting of 6 doses of biochar (0, 4, 8, 12, 16 and 20 t∙ha−1) and two varieties of melon (Yellow and Hales Best Jumbo) with 4 repetitions totaling 48 experimental units. The fresh and dry plant phytomass mass (aerial, roots and total), root length and the quality of seedlings were evaluated. It was concluded that the addition of poultry litter biochar to the substrate was beneficial, promoting an increase in the analyzed seedling variables, being the ideal dose for good development of melon seedlings 12 t∙ha−1. The Yellow variety presented a better response than the Hales Best Jumbo to the charcoal application. Considering the advantages of the use of poultry litter biochar on the substrate composition, found in the present study, its utilization constitutes a viable alternative for the development of melon seedlings and for the environmental disposal of the poultry litter.

关键词： Biochar Cucumis melo L. Nutrition Alternative Substrate