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Updates in the Diagnosis of Gestational Trophoblast Disease

Health 2023年第1期15卷 48-58页

作者： Maira de Lima oliveira Mota Marcela Curvêllo Beltrão Elizabeth Bacha Eduardo Fonseca Mascarenhas Filho Maísa Mendonça de Jesus Nelson Henriky Felix Mascarenhas Tallys Leandro Barbosa da Silva Maria Fernanda Telles Pires de Souza victoria de oliveira carmo borges Séfora Maria Fragoso Braga Centro Universitário Tiradentes (UNIT) Maceió Brasil Estácio de Juazeiro do Norte (FMJ) Ceará Brasil Universidade Federal de Alagoas (UFAL) Maceió Brasil Sã o Leopoldo Mandic Campinas Brasil Hospital Regional de Arapiraca Arapiraca Brasil

GTD (Gestational Trophoblastic Disease) is a pathology that encompasses benign and malignant clinical forms, affects women of childbearing age, has a variable incidence and is more frequent in developing or underdeveloped countries, colliding with the economic barrier. The frequent absence of clear protocols and guidelines for the correct diagnosis of the pathology results in inadequate classification, imprecise treatment and failed post-therapeutic observation, increasing the risk of relapses, morbidity and mortality. The present study aims to point out updated national and international practice protocols of diagnosis of GTD, through an integrative review. Seven articles were selected and it was observed that the main international reference centers are agreed with the management suggested by the IFGO (International Federation of Gynecology and Obstetrics), being the conduct in the Hydatidiform Mole (HM): evacuation by suction and curettage under ultrasound guidance, followed by hCG monitoring every 1 - 2 weeks until normalized (usually one month for Partial Hydatidiform Mole six months for Complete Hydatidiform Mole and one year for Gestational Trophoblastic Neoplasia). Unfortunately, regarding the diagnosis of MH, the guidelines of some countries show the absence or difficulty of access to the karyotype test and ploid p57 or pelvic ultrasound accompanying the uterine curettage, contrary to what is proposed by the IFGO guideline. Establishing and complying with consistent guidelines can improve patient care, with early diagnosis of the pathology and its complications, reducing the rate of recurrence, morbidity and mortality, especially in less developed countries.

关键词： Diagnosis Gestational Trophoblastic Disease Updates

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Management of Gestational Trophoblast Disease: A Review Integrative National and International Guidelines

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Health 2022年第12期14卷 1321-1333页

作者： Marcela Curvêllo Beltrão Maira de Lima oliveira Mota Elizabeth Bacha Lusitania Maria de Barros Livia Helena Gomes de Barros Brandão Nelson Henriky Felix Mascarenhas Tallys Leandro Barbosa da Silva Maria Fernanda Telles Pires de Souza Séfora Maria Fragoso Braga victoria de oliveira carmo borges Centro Universitário Tiradentes (UNIT) Maceió Brasil Instituto de Medicina Integral Professor Fernando Figueira (IMIP) Pernambuco Brasil Estácio de Juazeiro do Norte (FMJ) Ceará Brasil Universidade Federal de Alagoas (UFAL) Maceió Brasil Sã o Leopoldo Mandic Campinas Brasil Hospital Regional de Arapiraca Arapiraca Brasil

GTD (Gestational Trophoblastic Disease) is a pathology that encompasses benign and malignant clinical forms, affects women of childbearing age, has a variable incidence and is more frequent in developing or underdeveloped countries, colliding with the economic barrier. The frequent absence of clear protocols and guidelines for the correct diagnosis and treatment of the aforementioned pathology results in inadequate risk classification, imprecise treatment and failed post-therapeutic observation, increasing the risk of relapses, morbidity and mortality. The present study aims to compare the different national and international guidelines in the management of GTD, through an integrative review. Nine articles were selected and it was observed that the main international reference centers are agreed with the management suggested by the IFGO (International Federation of Gynecology and Obstetrics), being the conduct in the Hydatidiform Mole (HM): evacuation by suction and curettage under ultrasound guidance, followed by hCG monitoring every 1 - 2 weeks until normalized;in low-risk GTN (Gestational Trophoblastic Neoplasm): chemotherapy with methotrexate or actinomycin D, in high-risk: EMA/CO protocol, in ultra-high-risk EMA/PE, methotrexate with radiotherapy for brain metastases. All medical societies recommend the registration of these patients in GTD screening centers, endorse the use of the IFGO scoring system (2000) and recommend the surgical management of placental site trophoblastic or epithelioid tumors, as chemotherapy is less effective in these cases. The controversies are in the proper follow-up after the treatment of HM, use of ultrasound to evacuate the uterus, administration of anti-D immunoglobulin, time of oxytocin infusion and rescue regimens that can be used in cases of resistant or recurrent GTN. Establishing and complying with consistent guidelines can improve patient care, with early diagnosis of the pathology and its complications, reducing the rate of

关键词： Guidelines Gestational Trophoblastic Disease Treatment

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Green Hydrogen: Perspectives and Challenges in Using the Natural Gas Network in Ceará/Brazil

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Journal of Geoscience and Environment Protection 2024年第3期12卷 70-94页

作者： Francisco Alfredo de Castro Mona Lisa Moura de oliveira Lutero carmo de Lima Daniel Silveira Serra Science and Technology Center State University of Ceará Ceará Brazil Av. Dr. Silas Munguba 1700 Fortaleza-Ceará Brazil

Climate change, mainly caused by the use of non-renewable fuels, has raised global concerns and led to the search for less polluting energy sources, making hydrogen a promising energy alternative with the potential to contribute to changes in the energy mix of various countries through the use of technologies that enable its production and use with low or zero carbon emissions. In this context, Brazil has aroused great interest from other countries in exploring its renewable resources for the production of hydrogen (green hydrogen). In this sense, the use of natural gas pipelines and the use of hydrogen in mixtures with natural gas have become the subject of studies due to their economically viable alternative for the immediate use of this energy vector. However, there are still technical and regulatory challenges regarding the integration of hydrogen into the existing natural gas pipeline network. In this context, the present study aims to address the effects of hydrogen interaction with the structure of natural gas pipeline steel and the regulatory barriers to the use of this network for the transportation of green hydrogen, particularly in the state of Ceará/Brazil. After extensive analysis of literature and regulatory documents, it was concluded that: 1) Ceará/Brazil has strong potential to meet the demand for green hydrogen through the use of solar and wind energy sources;2) there is feasibility for the adaptation or conversion of natural gas infrastructure for the transportation of green hydrogen;3) discussions regarding the regulatory competence of green hydrogen transportation and distribution through the natural gas network in Brazil are still incipient;4) the current regulation of the natural gas industry can serve as a subsidy for the regulation of green hydrogen and natural gas transportation.

关键词： decarbonization Natural Gas Green Hydrogen Pipelines

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Epidemiological, prevention and control updates of yellow fever outbreak in Brazil

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Asian Pacific Journal of Tropical Medicine 2019年第2期12卷 49-59页

作者： Marli do carmo Cupertino Rebeca Garcia Andréia Patrícia Gomes Sérgio oliveira de Paula Nicholas Mayers Rodrigo Siqueira-Batista Medical School Dinamica College of the Piranga Valley Laboratory of Epidemiological and Computational Methods in Health Department of Medicine and Nursing Federal University of Vicosa Laboratory of Immunovirology Department of General Biology Federal University of Vicosa department of Veterinary Medicine Universidade Federal de Vicosa

Yellow fever is an acute viral disease endemic to tropical countries, like Brazil, where, since the 1940 s, has no significant documented outbreaks similar to that observed between 2016/2018(2 045 confirmed cases and 677 deaths; caused by the sylvatic form).The principal manipulating factors inciting this change were absence of appropriate vaccination campaigns and increased urbanization & population growth in forest areas, with prevalence of the virus in the species inhabiting of these *** 2016/2018 outbreaks exhibited incidence in areas with historically low or no yellow fever virus activity, triggering a surge in recorded deaths-mainly in the Southeastern states of *** Brazilian government aggressively responded, reforming the countries' prophylactic measures, including vaccine implementation-as of March, 2018, switching from the former double dose regimen of the vaccine, to a single dose protocol, deemed as ***, some states appropriated the fractionated dosage(1/5 of the standard dose), in foresight of potential vaccine *** prevent the uprising of new sylvatic yellow fever cases in Brazil, it's obligatory the development of effective combative plans, including adaptation of prophylactic measures individually(use of repellents, protective clothing etc.), applicable vaccination campaigns in every endemic region, to raise awareness to locals and visitors *** these preventative strategies, the persistence of cases and the recent outbreaks in Brazil, highlight the possible ineffectiveness of combative *** on these considerations, the objective of this review was to raise more awareness of the epidemiological impact of the disease in Brazil.

关键词： Infectious disease Epidemiology Arboviruses Yellow fever Aedes aegypti

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An aqueous extract of Liu Wei Di Huang Wan alters the labeling of blood constituents with Technetium-99m

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Chinese Science Bulletin 2013年第18期58卷 2061-2065页

作者： MATOS Vernica Soares de carmo Fernanda Santos do DINIZ Claudia Leite NASCIMENTO Ana Lucia Rosa PEREIRA Márcia oliveira FERNANdeS Joelma Fonseca de oliveira SANTOS-FILHO Sebastiao David MORENO Silvana Ramos Farias BERNARDO-FILHO Mario departamento de Biofísica e Biometria Instituto de Biologia Roberto Alcantara GomesUniversidade do Estado do Rio de Janeiro

The Liu Wei Di Huang Wan is a formula of a traditional Chinese medicine that is used to treat asthma patients and has been shown to have several important properties,such as antioxidant and free radical scavenging *** influence of an extract of Liu Wei Di Huang Wan on the labeling of blood constituents with technetium-99m was *** blood(Wistar rats) was incubated with the extract,stannous chloride and technetium-99m,as sodium *** were centrifuged and aliquots of plasma and blood cells were separated and precipitated with trichloroacetic acid,to obtain soluble and insoluble fractions of the blood *** percentage of radioactivity(%ATI) in all the fractions was *** analysis of the results shows that the extract at the highest concentration used(70 mg/mL) decreased significantly(Pdertaken LWDHW,although the current findings were obtained in experimental animal models.

关键词：六味地黄丸血液成分标签水提物 Wistar大鼠氧化还原性能锝实验动物模型

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Fruiting increases total content of flavonoids and antiproliferative effects of Cereus jamacaru D.C. cladodes in sarcoma 180 cells in vitro

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Asian Pacific Journal of Tropical Biomedicine 2019年第2期9卷 66-72页

作者： Jean Carlos Vencioneck Dutra Juda Ben-Hur de oliveira Vanessa Silva dos Santos Paula Roberta Costalonga Pereira Jean Moises Ferreira Maria do carmo Pimentel Batitucci Laboratorio de Genetica Vegetal e Toxicologica Departamento de Ciencias BiologicasUniversidade Federal do Espirito Santo Laboratorio de Biologia Molecular e Expressao Genica Departamento de Ciências BiologicasUniversidade Federal de Alagoas

Objective: To evaluate the influence of fruiting phenological stage on total flavonoid content, antioxidant activity, and antiproliferative effects of Cereus jamacaru(C. jamacaru)(mandacaru) cladodes and fruit. Methods: Fruit and cladodes at vegetative and fruiting stage of C. jamacaru were collected. The fruit was dissected and bark, pulp, and seeds were separated. Vegetative and fruiting cladodes, together with bark, pulp, and seeds were used to obtain five hydroalcoholic extracts. The extracts were investigated for total flavonoid content, using AlCl3 colorimetric method, antioxidant activity by 2,2-diphenyl-1-picrylhydrazyl and 2,2′-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) radical scavenging capacity and Fe^(2+) ion chelating activity, and in vitro antiproliferative effects(sarcoma 180 cells) by 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2 H-tetrazolium bromide assay. Results: The extract of C. jamacaru cladodes at the fruiting stage showed higher flavonoid content compared to the other extracts. Seed extracts showed the highest antioxidant activity in 2,2-diphenyl-1-picrylhydrazyl and 2,2′-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) assays, and the extract of cladodes at vegetative stage showed better antioxidant activity in Fe^(2+) ion chelating activity. The extract of fruiting cladodes promoted higher antiproliferative effects compared to the other extracts. Conclusions: These findings suggest that fruiting increases the content of flavonoids and antiproliferative effects of C. jamacaru cladodes. Data reinforce the potential use of C. jamacaru cladodes and fruits as natural antioxidants and potent anticancer agent.

关键词： Mandacaru Flavonoid content DPPH ABTS Fe^(2+) ion chelating activity MTT assay Sarcoma 180 cells

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Slope Processes, Mass Movement and Soil Erosion： A Review

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Pedosphere 2017年第1期27卷 27-41页

作者： Antonio Jos Teixeira GUERRA Michael Augustine FULLEN Maria do carmo oliveira JORGE Joss Fernando Rodrigues BEZERRA Mohamed S. SHOKR department of Geography Federal University of Rio de Janeiro Rio de Janeiro 21941-972 (Brazil) Faculty of Science and Engineering University of Wolverhampton Wolverhampton WV1 1LY (UK) department of Geography State University of Maranhao SSo Luis 65055-970 (Brazil) Soil and Water department Faculty of Agriculture Tanta University Tanta 31527 (Egypt)

Soil erosion and land degradation are global problems and pose major issues in many countries. Both soil erosion and mass movement are two forms of land degradation and humans play important roles in these geomorphological processes. This paper reviews slope processes associated with mass movement and soil erosion and contributory factors, including physical and human agents. Acting together, these cause diverse geomorphological features. Slope processes are illustrated by reference to case studies from Brazil and UK. The causes and impacts of erosion are discussed, along with appropriate remedial bioengineering methods and the potential of the measures to prevent these types of environmental degradation. Although there are several agents of erosion, water is the most important one. Cultivation can promote soil erosion, due to ploughing and harvesting, which moves soil down slopes. Soil erosion and mass movement data would inform the viability of soil conservation practices. Integrated management of drainage basins offers a Dromising way forward for effective soil conservation and soil remedial bioengineering in Brazil and UK.

关键词： geomorphological feature land degradation hazards risks slope processes soil recuperation

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Optimization of an Alternative Methodology for Simultaneous Analysis of Nitrite and Nitrate in Water from Urban Stream by Capillary Electrophoresis under Direct UV detection

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American Journal of Analytical Chemistry 2012年第7期3卷 484-490页

作者： Marcone Augusto Leal de oliveira denise do carmo Soares Gláucia Soares Tostes Mara do carmo Guimaraes Fernando Antonio Simas Vaz departamento de Química Instituto de Ciencias ExatasUniversidade Federal de Juiz de ForaJuiz de ForaBrazil departamento de Biologia Universidade Federal de Juiz de ForaCidade UniversitáriaJuiz de ForaBrazil

An alternative methodology for simultaneous determination of nitrite and nitrate by capillary zone electrophoresis using direct detection UV at 210 nm under reverse electrosmotic flow is proposed. The choice of the electrolyte composition has taken account: the mobility of the anion buffer and of the solutes;the low absorbance of the buffer in 210 nm;high base line stability and analysis time. The electrolyte optimized has consisted of 100 mmol.L–1 TRIS/HCl buffer and 0.15 mmol.L–1 CTAB at pH 8.2. The proposed method was applied successfully in the analysis of nitrite and nitrate in samples from urban stream in the absence of usual sample pretreatment.

关键词： Capillary Electrophoresis Nitrite Nitrate Urban Stream

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Species richness and similarity of the flora on four lajedos in Boa Nova, Bahia, Brazil

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Journal of Mountain Science 2023年第6期20卷 1526-1539页

作者： Morgana Maria DO carmo BARBOSA Anderson FERREIRA PINTO MACHADO Andrea Karla ALMEIDA DOS SANTOS Raymundo Joséde Sá-NETO Michele MARTINS CORRêA Graduate Program in Environmental Sciences State University of Southwest BahiaUniversity Campus“Juvino Oliveira”BR 415km 0445700-000ItapetingaBahiaBrazil Secretary of Education of the State of Bahia Military Police College Eraldo TinocoBrasilia Avenue273Kadija45650-120Vitoria da ConquistaBahiaBrazil Mongoyós Herbarium Multidisciplinary Institute in HealthCampus Anísio TeixeiraFederal University of BahiaRua Hormindo Barros58Bairro Candeias45029-094Vitoria da ConquistaBahiaBrazil department of Natural Sciences State University of Southwest BahiaEstrada do Bem Querers/nBairro Candeias45083-900Vitoria da ConquistaBahiaBrazil

The municipality of Boa Nova,in northeastern Brazil,is in an ecotone zone between the Caatinga and Atlantic Forest phytogeographic *** transition phytophysiognomy is seasonal forest and known locally as mata de cipó.In these phytophysiognomies there are lajedos,which are rock outcrops colonized by vegetation welladapted to extreme microclimatic variation and vegetation diversity is affected by the vegetation types of the surrounding *** to the singularity of these environments and the relevance of floristic studies for conservation,this work aimed to identify the species richness and compare the similarity of the flora on four rock outcrops in Boa *** flora was surveyed during exploratory walks along lajedos between 2016 and *** total,162 species were identified on the Boa Nova *** flora has a composition and structure similar to semiarid outcrops,as well as endemic species that also occur in surrounding *** the proximity,a similarity index revealed there is floristic dissimilarity between the *** new occurrences were recorded for the region,five species are threatened with extinction(Aosa gilgiana,Ficus cyclophylla,Hippeastrum stigmovittatum,Pleroma caatingae and Trixis pruskii),and 43 species are common in anthropogenic *** reinforces the importance of actions to conserve these areas.

关键词： Ecotone Flora Inselberg Rock outcrops Semiarid Similarity

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Toxic Cyanobacteria in Four Brazilian Water Supply Reservoirs

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Journal of Environmental Protection 2012年第1期3卷 68-73页

作者： Viviane Piccin-Santos Maria do carmo Bittencourt-oliveira 不详

Cyanobacterial blooms have become a worldwide concern due to the production of toxins harmful to humans and animals. In Brazil and worldwide, microcystins are the most frequently found cyanotoxin in water bodies. Four important reservoirs in Brazil’s Southeast and Northeast regions were sampled to identify the cyanobacteria community and the occurrence of potential toxin-producing species in the country’s public supply reservoirs. A total of 14 taxa were identi-fied, 11 of which are known as potential toxin producers. Potentially toxic cyanobacteria were recorded at concentra-tions above 20,000 ***-1 in all samples from all four reservoirs, thus requiring microcystin monitoring in drinking water according to Brazilian legislation. Although the sample from Mundaú reservoir showed the highest concentration of microcystins in water, it had one of the lowest values of ***-1, which demonstrates the non-correspondence between these two parameters. This calls into question the existence of a minimum level of potentially toxic cyanobacteria cells to merit the monitoring of microcystins in the treated water from these sources.

关键词： Cyanotoxins Cylindrospermopsis Microcystins Microcystis Public Water Supply

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