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Early Hepatic Encephalopathy after a Transjugular Intrahepatic Portosystemic Shunt Procedure: Case Report

Open Journal of Gastroenterology 2021年第6期11卷 81-88页

作者： Miriam Viviane Baron Gabriela Di Lorenzo Garcia Scherer Michele Paula dos Santos Andres Felipe Mantilla Santamaria Cristine Brandenburg Isabel Cristina Reinheimer Marcus Vinicius de Mello Pinto Aline Ronis Sampaio alexandre Gomes Sancho alexandre Gomes Sancho Esteban Fortuny Pacheco Felice Picariello Danielle de Mello Florentino Joice Nedel Ott Carolina Gonçalves Pinheiro Nathália Ken Pereira Iketani Sonia carvalho Patrícia Froes Meyer Bartira Ercília Pinheiro da Costa Postgraduate Program in Medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Rio Grande do Sul Brazil School of Medicine of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Rio Grande do Sul Brazil Industrial University of Santander (UIS) Bucaramanga Colombia University of Vale do Acaraú (IDJ/UVA) Ceará Brazil Celulare Institute Rio de Janeiro Brazil Unigranrio Rio de Janeiro Brazil Universidad Finis Terrae Santiago Chile Università degli Studi di Napoli Federico II Napoli Italy Uniredentor University Rio de Janeiro Brazil Postgraduate Program in Health Sciences of the Faculty of Medicine of ABC (FABC) S&#227o Paulo Brazil Hospital Beneficiente Portuguesa of Belém Pará Brazil Rigshospital Copenhagen East K&#248benhavn Denmark Centro Universitário do Rio Grande do Norte Natal Brazil

Patients with decompensated hepatic cirrhosis may present systemic alterations and dysfunction of multiple organs. Ascites, portal hypertension, esophageal varices, and hepatic encephalopathy are common complications arising from cirrhosis. The aim of this paper is to report a case of a patient with liver cirrhosis and the complications of a transjugular intrahepatic portosystemic shunt. Male, elderly, and ex-alcoholic, diagnosed with liver cirrhosis, ascites, and esophageal varices. He underwent transjugular intrahepatic portosystemic shunt due to portal hypertension and returned to the hospital after 24 hours with agitation and mental confusion. He had a bowel movement stop, neurological worsening, loss of renal function, hepatic hydrothorax, hepatic encephalopathy, hypernatremia, hypocalcemia, and hypophosphatemia. He underwent a new procedure to occlude the transjugular intrahepatic portosystemic shunt, showing improvement of the mental status and ascites. However, continued with decompensation and hydro-electrolytic disorders. He evolved with worsening of the ventilatory pattern, and neurological and renal function, with a fatal outcome. Esophageal varices due to portal hypertension can be corrected with the transjugular intrahepatic portosystemic shunt. However, complications such as hypernatremia, hepatic hydrothorax, and hepatic encephalopathy may occur. Therefore, there is a need for reintervention to shunt or reduce its caliber. Thus, for patients with advanced age and decompensated cirrhosis, the potential risks and benefits of this procedure should be carefully evaluated due to the risk of complications and death.

关键词： Ascites Hypernatremia Portasystemic Shunt Transjugular Intrahepatic Hepatic Encephalopathy

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Phytochemical Analysis and Antifungal Activity of Extracts from Leaves and Fruit Residues of Brazilian Savanna Plants Aiming Its Use as Safe Fungicides

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Natural Products and Bioprospecting 2016年第4期6卷 195-204页

作者： Caroline Alves Breda Alessandra Marcon Gasperini Vera Lucia Garcia Karin Maia monteiro Giovana Anceski Bataglion Marcos Nogueira Eberlin Marta Cristina Teixeira Duarte School of Food Engineering State University of CampinasUNICAMPMonteiro Lobato Street80BaraōGeraldoCampinasSaōPaulo 13083-862Brazil Microbiology Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulı´niaSaöPaulo 13148-218Brazil Organic Chemistry and Pharmaceutical Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulíniaSaöPaulo 13148-218Brazil Pharmacology and Toxicology Division of Research Center for Chemistry Biology and Agriculture–CPQBAUniversity of CampinasUNICAMPAlexandre Cazelatto Street999BetelPaulíniaSaöPaulo 13148-218Brazil ThoMSon Mass Spectrometry Laboratory Institute of ChemistryState University of CampinasUNICAMPCampinasSaōPaulo 13084-971Brazil

The increasing demand for safe food without preservatives or pesticides residues has encouraged several studies on natural products with antifungal activity and low *** this study,ethanolic extracts from leaves and fruit residues(peel and seeds)of three Brazilian savanna species(Acrocomia aculeata,Campomanesia adamantium and Caryocar brasiliense)were evaluated against phytopathogenic ***,the most active extract was chemically characterized by ESI-MS and its oral acute toxicity was *** from ***(pequi)peel and leaves were active against Alternaria alternata,Alternaria solani and Venturia pirina with minimal inhibitory concentrations between 350 and 1000 lg/*** incorporated in solid media,these extracts extended the lag phase of *** and *** and reduced the growth rate of *** peel extract showed better antifungal activity and their ESI-MS analysis revealed the presence of substances widely reported as antifungal such as gallic acid,quinic acid,ellagic acid,glucogalin and *** oral acute toxicity was relatively low,being considered safe for use as a potential natural fungicide.

关键词： Brazilian savanna fruits Residues Natural fungicides Phytopathogens

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PillCam~ SB3 capsule: Does the increased frame rate eliminate the risk of missing lesions?

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World Journal of Gastroenterology 2016年第10期22卷 3066-3068页

作者： Sara monteiro Francisca Dias de Castro Pedro Boal carvalho Maria Joao Moreira Bruno Rosa José Cotter department of Gastroenterology Hospital Senhora da Oliveira Rua dos Cutileiros Creixomil 4835-044 Guimaraes Portugal Life and Health Sciences Research Institute (ICVS) School of Health Sciences University of Minho 4710-057 Braga Portugal ICVS/3B's PT Government Associate Laboratory 4710-057 Braga/Guimaraes Portugal

Since its emergence in 2000, small bowel capsule endoscopy(SBCE) has assumed a pivotal role as an investigation method for small bowel diseases. The PillCam SB2-ex offers 12 h of battery time, 4 more than the previous version(SB2). Rahman et al recently found that the PillCam SB2-ex has a significantly increased completion rate, although without higher diagnostic yield, compared with the SB2. We would like to discuss these somewhat surprising results and the new potentialities of the PillCam SB3 regarding the diagnostic yield of small bowel studies. PillCam SB3 offers improved image resolution and faster adaptable frame rate over previous versions of SBCE. We recently compared the major duodenal papilla detection rate obtained with PillCam SB3 and SB2 as a surrogate indicator of diagnostic yield in the proximal small bowel. The PillCam SB3 had a significantly higher major duodenal papilla detection rate than the PillCam SB2(42.7% vs 24%, P = 0.015). Thus, the most recent version of the PillCam capsule, SB3, may increase diagnostic yield, particularly in the proximal segments of the small bowel.

关键词： PillCam~ SB2 PillCam~ SB3 Capsule endoscopy Diagnostic yield Lesions Frames

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Ecology of Upland Rice Plants and Seeds Subjected to Growth Regulator

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American Journal of Plant Sciences 2018年第1期9卷 60-73页

作者： Felipe Koch Manoela Andrade monteiro Joao Roberto Pimentel Cristian Troyjack Itala Thaisa Padilha Dubal Eduardo Goncalves Borges Vinícius Jardel Szareski Gustavo Henrique demari Lanes Beatriz Acosta Jaques Ivan Ricardo carvalho Francisco Amaral Villela Tiago Pedó Tiago Zanatta Aumonde Federal University of Pelotas Capao do LeaoBrazil

The objective of this work is to verify the influence of the plant regulator trinexapac-ethyl on plant growth and physiological quality of upland rice seeds. We used an upland rice genotype, and the growth regulator was the trinexapac-ethyl. The experiment was completely randomized in a 4 × 8 factorial design related to four concentrations of the plant regulator trinexapac-ethyl [0 (without growth regulator), 0.25, 0.50, and 0.75 L c.p. ha-1] and 7 plant collection times [14, 28, 42, 56, 70, 84, 98 days after emergence (DAE)], with four replicates. To determine growth attributes, we evaluated total dry matter, dry matter production rate, relative growth rate, leaf area ratio, leaf matter, leaf area index, solar energy conversion efficiency and partition of assimilates. The physiological quality of the seeds was evaluated based on germination, first germination count, field emergence, emergence speed index and seedling dry matter. Plant growth was affected by the growth regulator. Total dry matter, dry matter production rate and solar energy conversion efficiency decreased, while leaf area index, leaf area ratio and leaf matter increased due to the effects of the growth regulator. The dry matter partition of plants changed in plants subjected to the growth regulator, with a delay in the targeting of assimilates to reproductive organs and a greater allocation to roots at the end of the cycle in plants subjected to the doses 0.50 and 0.75 L·ha-1 of growth regulator. Seed vigor was adversely affected by the growth regulator.

关键词： Oryza sativa L. Trinexapac-Ethyl Leaf Area Dry Matter Seed Vigor

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Nitrogen Fertilization on Maize Sowing:Plant Growth and Seed Vigor

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American Journal of Plant Sciences 2018年第1期9卷 83-97页

作者： Cristian Troyjack Joao Roberto Pimentel Itala Thaísa Dubal Padilha Ruddy Alvaro Veliz Escalera Lanes Beatriz Acosta Jaques Felipe Koch Manoela Andrade monteiro Gustavo Henrique demari Vinicius Jardel Szareski Ivan Ricardo carvalho Luis Osmar Braga Schuch Tiago Zanatta Aumonde Tiago Pedó Federal University of Pelotas Capao do LeaoBrazil

The management of fertilization in maize plants is a preponderant factor in the search for higher yields and obtaining quality seeds. In this sense, the study of nitrogen (N) management is predominant in improving the efficiency of its application. The objective of this study was to evaluate the growth, partition assimilation and vigor expression of maize seeds submitted at different doses of nitrogen applied at sowing. The treatments were constituted by different doses of nitrogen fertilization at sowing, being: 25%, 50%, 75% and 100% of the recommended dose for the crop, according to the recommendation of nitrogen fertilization. The plants were collected at regular intervals of 21 days after sowing until the end of the growth cycle. For the analysis of growth and partition of dry matter between the organs, the accumulation of dry matter and leaf area was measured. The experimental design was randomized blocks in a 4 × 7 factorial scheme (four N rates at sowing and seven collection times with three replications). The maize plants under the influence of nitrogen fertilization at sowing presented differential growth and distinct responses in the assimilated partition between their structures, with the intensity dependent on the dose used. Plants grown using 75% of the recommended dose of N at sowing had a higher relative growth rate, with more pronounced effects compared to the other doses. The expression of maize seed vigor increases to an increase of 82.5% N at sowing.

关键词： Emergence Speed Net Assimilation Rates Relative Growth Rates Zea mays L. Vigor

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Myostatin gene promoter:structure,conservation and importance as a target for muscle modulation

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Journal of Animal Science and Biotechnology 2019年第2期10卷 255-273页

作者： Carla Vermeulen carvalho Grade Carolina Stefano Mantovani Lúcia Elvira Alvares Universidade Federal da Integracao Latino-Americana UNILAInstituto Latino-Americano de Ciências da Vida e da NaturezaAvenida Tarquínio Joslin dos Santos1000Foz do IguacuPR CEP 85870-901Brazil departamento de Bioquímica e Biologia Tecidual Universidade Estadual de Campinas-UNICAMPRua Monteiro Lobato255CampinasSP CEP 13083-862Brazil.

Myostatin(MSTN) is one of the key factors regulating myogenesis. Because of its role as a negative regulator of muscle mass deposition, much interest has been given to its protein and, in recent years, several studies have analysed MSTN gene regulation. This review discusses the MSTN gene promoter, focusing on its structure in several animal species, both vertebrate and invertebrate. We report the important binding sites considering their degree of phylogenetic conservation and roles they play in the promoter activity. Finally, we discuss recent studies focusing on MSTN gene regulation via promoter manipulation and the potential applications they have both in medicine and agriculture.

关键词： CAAT box E-box Gene promoter Myogenesis Myostatin SNP Transcription factors TATA box

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Open abdomen in gastrointestinal surgery:Which technique is the best for temporary closure during damage control?

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World Journal of Gastrointestinal Surgery 2016年第8期8卷 590-597页

作者： Marcelo A F Ribeiro Junior Emily Alves Barros Sabrina Marques de carvalho Vinicius Pereira Nascimento José Cruvinel Neto alexandre Zanchenko Fonseca department of Surgery University of Santo Amaro

AIM To compare the 3 main techniques of temporary closure of the abdominal cavity,vacuum assisted closure(vacuum-assisted closure therapy- VAC),Bogota bag and Barker technique,in damage control *** After systematic review of the literature,33 articles were selected to compare the efficiency of the three *** such as cost,infections,capacity of reconstruction of the abdominal wall,diseases associated with the technique,among others were *** The Bogota bag and Barker techniques present as advantage the availability of material and low cost,what is not observed in the VAC *** VAC technique is the most efficient,not only because it reduces the tension on the boarders of the lesion,but also removes stagnant fluids and debris and acts at cellular level increasing cell proliferation and *** bag presents the higher rates of skin laceration and evisceration,greater need for a stent for draining fluids and wash-ups,higher rates of intestinal adhesion to the abdominal *** Barker technique presents lack of efficiency in closing the abdominal wall and difficulty on maintaining pressure on the *** VAC dressing can generate irritation and dermatitis when the drape is applied,in addition to pain,infection and bleeding,as well as toxic shock syndrome,anaerobic sepsis and *** The VAC technique,showed to be superior allowing a better control of liquid on the third space,avoiding complications such as fistula with small mortality,low infection rate,and easier capability on primary closure of the abdominal cavity.

关键词： Trauma Damage control Abdominal compartment syndrome Temporary abdominal closure

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Sample Dimension for Evaluating Characters of Yellow Mombin

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Agricultural Sciences 2019年第8期10卷 1032-1038页

作者： Omar Schmildt Vinicius de Souza Oliveira Renan Garcia Malikouski Adriel Lima Nascimento Karina Tiemi Hassuda dos Santos Hérica Chisté Gleyce Pereira Santos Marcio Paulo Czepak Rodrigo Sobreira alexandre Edilson Romais Schmildt Postgraduate Program in Tropical Agriculture Federal University of Espírito Santo S&#227 o Mateus ES Brazil departament of Agrarian and Biological Sciences Federal University of Espírito Santo S&#227 o Mateus ES Brazil departament of Forest and Wood Science Federal University of Espírito Santo Jer&#244 nimo monteiro ES Brazil

The objective of this study was to determine the sample size needed to evaluate characters of mature fruits of yellow mombin (Spondias mombin L.). 100 fruits were evaluated from plants grown under a shading system. In the laboratory, these fruits were measured by the characters: longitudinal length (mm);equatorial diameter (mm);fruit mass (g);yield of pulp (%);total soluble solids—TSS (°Brix);titratable acidity—TA (% citric acid) and ratio (TSS/TA), being calculated the measures of central tendency and dispersion, and verified normality. Next, the sample size for each character was determined. For experimental evaluation of cajámirim fruits, considering an accuracy of 10% around the mean, 40 fruits per treatment should be evaluated, considering a completely randomized experiment.

关键词： Spondias mombin L. Error of Estimation Sampling

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Sensory Profile of Fermented Arabica Coffee in the Perception of American Cupping Tasters

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Agricultural Sciences 2019年第3期10卷 321-329页

作者： Lucas Louzada Pereira Rogério carvalho Guarconi Tais Rizzo Moreira Dério Brioschi Jr. Joao Paulo Pereira Marcate Luiz Henrique Bozzi Pimenta de Sousa Aldemar Polonini Moreli Danieli Grancieri debona Carla Schwengber Ten Caten Federal Institute of Education Science and Technology of Espírito Santo Venda Nova do Imigrante CampusFood Science and Technology ProgramRua Elizabeth Minete PerimVitóriaBrazil Capixaba Institute for Technical Assistance Research and ExtensionINCAPERDepartment of StatisticsDomingos MartinsBrazil department of Forest Sciences and Wood Federal University of Espirito SantoCenter for Agrarian Sciences and EngineeringJeronimo MonteiroBrazil department of Production and Transportation Engineering Federal University of Rio Grande do SulPorto AlegreBrazil

The consumption of specialty coffees has been growing year after year, indicating that several niches and market forms according to the sensorial orientation of the consumers, as well as the cupping tasters and agents are responsible for the composition of blends, and for the physical and sensory classification of the coffees in the industry. This study presented 5 methods of spontaneous and induced fermentation to different North American cupping tasters, in order to evaluate coffee quality potential, based on the Specialty Coffee Association (SCA) protocol. During the months of May to July of 2017, 150 coffee samples were evaluated. Initial results indicate that North American cupping tasters evaluated dry fermented coffees using yeast culture as superiors, in the sensorial aspect, than the more conventional methods in Brazil. Such indication opens new discussions on the acceptance of a determined product, followed by the potential for modification of the sensory route as of the fermentation that will affect the attributes.

关键词： Arabica Coffee Fermentation Acceptance Cupping Tasters

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Health 2020年第10期12卷 1360-1370页

作者： Lucas Lima de carvalho Lucas Rodrigues Claro Amanda dos Santos Cabral Marcela Pereira da Silva Mello Bruna Liane Passos Lucas Marcelly Valadares Souza Simone Fonseca Lucas alexandre Oliveira Tellles Ravini Fernandez dos Santos Vieira dos Santos Marcia Augusta Pereira dos Santos Claudia Lima Campos Alzuguir Maria Cristina Dias da Silva Antonio Eduardo Vieira dos Santos Maria Antonieta Rubio Tyrrell Eduardo Alexander Júlio César Fonseca Lucas Anna Nery School of Nursing Federal University of Rio de Janeiro Rio de Janeiro Brazil Celso Lisboa University Center Rio de Janeiro Brazil State Secretariat of Education of Rio de Janeiro Rio de Janeiro Brazil department of Medicine in Primary Health Care Faculty of Medicine Federal University of Rio de Janeiro Rio de Janeiro Brazil department of Maternal and Child Nursing Faculty of Nursing State University of Rio de Janeiro Rio de Janeiro Brazil department of Maternal-Child Nursing Faculty of Nursing Fernandez Figueira Institute of the Oswaldo Cruz Foundation State University of Rio de Janeiro Rio de Janeiro Brazil

This documentary research aimed to describe the results of an epidemiological survey that sought to determine the prevalence of Infections Related to Health Care (IRHC) in newborns admitted to a Neonatal Intensive Care Unit (NICU) at the city of Rio de Janeiro. For methodology, the existing data in the original research database were used as the primary source. The method used was the case study in a quantitative approach. The data have been statistically arranged by odds ratio, which measured the possibility of IRHC development at the 102 newborns, by exposition at the risk factors. Results: IRHC prevalence with pneumonias, sepsis, navel’s infection and ocular infections predominance rises. Prematures are 4.10 more susceptible. Twelve hours after amniotic rupture there are 1.77 more chances of infections. Babies with more than 10 days of hospitalization are 4.70 more susceptible than those with 10 days. The registers examined were incipient at the IRHC’s characterization, beginning and duration, which make the IRHC’s diagnostic/notification difficult.

关键词： Neonatal Nursing Cross Infection Data Interpretation Statistical

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