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Management of hepatitis C in patients with chronic kidney disease

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World Journal of Gastroenterology 2015年第2期21卷 408-422页

作者： Roberto J Carvalho-filho Ana Cristina CA Feldner antonio Eduardo B Silva Maria Lucia G ferraz Division of Gastroenterology Hepatology SectionFederal University of Sao PauloSao PauloSP 04023-900Brazil

Hepatitis C virus(HCV) infection is highly prevalent among chronic kidney disease(CKD) subjects under hemodialysis and in kidney transplantation(KT) recipients, being an important cause of morbidity and mortality in these patients. The vast majority of HCV chronic infections in the hemodialysis setting are currently attributable to nosocomial transmission. Acute and chronic hepatitis C exhibits distinct clinical and laboratorial features, which can impact on managementand treatment decisions. In hemodialysis subjects, acute infections are usually asymptomatic and anicteric; since spontaneous viral clearance is very uncommon in this context, acute infections should be treated as soon as possible. In KT recipients, the occurrence of acute hepatitis C can have a more severe course, with a rapid progression of liver fibrosis. In these patients, it is recommended to use pegylated interferon(PEG-IFN) in combination with ribavirin, with doses adjusted according to estimated glomerular filtration rate. There is no evidence suggesting that chronic hepatitis C exhibits a more aggressive course in CKD subjects under conservative management. In these subjects, indication of treatment with PEG-IFN plus ribavirin relies on the CKD stage, rate of progression of renal dysfunction and the possibility of a preemptive transplant. HCV infection has been associated with both liver disease-related deaths and cardiovascular mortality in hemodialysis patients. Among those individuals, low HCV viral loads and the phenomenon of intermittent HCV viremia are often observed, and sequential HCV RNA monitoring is needed. Despite the poor tolerability and suboptimal efficacy of antiviral therapy in CKD patients, many patients can achieve sustained virological response, which improve patient and graft outcomes. Hepatitis C eradication before KT theoretically improves survival and reduces the occurrence of chronic graft nephropathy, de novo glomerulonephritis and post-transplant diabetes mellitus.

关键词： Hepatitis C virus Chronic kidney disease End-stage

Autoregressive spatial analysis and individual tree modeling as strategies for the management of Eremanthus erythropappus

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Journal of Forestry Research 2016年第3期27卷 595-603页

作者： Henrique Ferraco Scolforo Jose Roberto Soares Scolforo Jose Marcio de Mello Anto nio carlos ferraz filho Diogo Francisco Rossoni Thiza Falqueto Altoe antonio Donizette Oliveira Renato Ribeiro de Lima Department of Forest Science Federal University of Lavras PO Box: 3037 Lavras MG 37200-000 Brazil Department of Statistics State University of Maringa Av. Colombo 5.790 Jd. Universitario Bloco E90 Maringa PR 87020-900 Brazil Department of Statistics Federal University of Lavras PO Box: 3037 Lavras MG 37200-000 Brazil

The objectives of this study were to apply statistical techniques to discriminate fertilization treatments of Eremanthus erythropappus（DC.） Mac *** autoregressive modeling, and to develop individual tree models for diameter and crown area（CA） projection to define management strategies for candeia plantations subjected to different fertilization treatments. This is an important tree species originating from the Brazilian Atlantic Rain forest and Savannah biomes, intensively used in the cosmetic industry. Nonetheless, to date, research has not addressed the management of natural stands or plantations of the species. Our experiment was located in Baependi, Minas Gerais, Brazil, and comprised of four randomized blocks and 13 treatments. The treatments consisted of 12 different regimes of fertilization plus a control. Each sample plot was composed of 50 plants plus two border plants in a planting spacing of 2.5 9 2.0 m and undergoing pruning at 5 and 6 years of age. Starting in the second year, total tree height（H） and circumference（at 1.30 m from the ground or breast height, CBH） were measured every 6 months. Starting in the fifth year CA was measured. Tree growth varied by fertilization *** were detected by using an autoregressive approach, considering that standard statistical methods were not powerful enough to detect significant *** growth groups were formed, and maximum growth was obtained for treatment 10（NPK, 8-28-16）. Management guidelines are provided based on individual tree models for different fertilization levels.

关键词： Management strategies Candeia Fertilization level Brazil Crown area

Central nervous system vasculitis and polyneuropathy as first manifestations of hepatitis C

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World Journal of Gastroenterology 2012年第2期18卷 188-191页

作者： Roberto J Carvalho-filho Janaína Luz Narciso-Schiavon Luciano HL Tolentino Leonardo L Schiavon Maria Lucia G ferraz antonio Eduardo B Silva Division of Gastroenterology Hepatitis SectionFederal University of Sao Paulo04037-003 Sao PauloBrazil

Sensory or motor peripheral neuropathy may be observed in a significant proportion of hepatitis C virus (HCV)-infected ***,central nervous system (CNS) involvement is uncommon,especially in cryoglobulin-negative *** describe a case of peripheral neuropathy combined with an ischemic CNS event as primary manifestations of chronic HCV infection without *** improvement was observed after antiviral *** discuss the spectrum of neurological manifestations of HCV infection and review the literature.

关键词： Hepatitis C Central nervous system Poly-neuropathy Interferon-α

Entropy model to assess sediment resuspension probability and trap efficiency of small dams

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International Journal of Sediment Research 2022年第5期37卷 675-686页

作者： Francisco Jairo Soares Pereira antonio Viana da Silva filho José Wellington Batista Lopes José carlos de Araújo Department of Agricultural Engineering Federal University of Ceará Campus Do Pici Rural Federal University of Pernambuco Federal University of Piauí

In the Brazilian drylands, there are tens of thousands of small dams. Despite their paramount importance to the rural population, they are rarely monitored. Water demand increases with time while, simultaneously, siltation reduces reservoir water capacity and availability. Reservoir siltation models are, therefore, mandatory to manage the numerous ungauged small dams in these *** objective of the current study is to improve sediment trap efficiency(TE) modeling by including resuspension as a key probabilistic process. The Shannon entropy was used to estimate the sediment resuspension probability, which was merged with the Camp model and generated the RETSED entropy model. To validate the RETSED model, an experimental check dam(ECD, 300 m3), located in the Gilbu es desertification site, Brazil, was monitored hourly during one hydrological year(July 2018-July 2019). Measurements show that the annual volumetric decline of the check dam was 12%; and that the average trap efficiency equaled 86%. Only 9.5% of the hourly sediment concentration outflow exceeded the average plus one standard deviation, showing that the reservoir is well mixed; a fact which highlights the relevance of the resuspension process. Three empirical models failed to mimic the experimental results: Churchill(TE = 99%), Brune(TE = 75%), and Maryland(TE = 94%). According to the RETSED entropy model, the resuspension probability during the experiment was 10%and TE = 81%, a value only 6% below the measured one. The Camp model simulated TE = 89%, only 3%higher than the measured value, but confirmed the Camp model’s tendency to overestimate TE due to a disregard of resuspension. The deterministic model showed low sensitivity concerning the hydrodynamic effects, whereas the entropy formulation proved to be more consistent with physical behavior: the resuspension probability clearly increased and trap efficiency decreased with rising reservoir discharge.

关键词： Erosion Check dam Sedimentation Ungauged basins Camp model

Inositol 1,4,5-trisphosphate receptor in the liver:Expression and function

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World Journal of Gastroenterology 2019年第44期25卷 6483-6494页

作者： Fernanda de Oliveira Lemos Rodrigo M Florentino antonio carlos Melo Lima filho Marcone Loiola dos Santos M Fatima Leite Department of Physiology and Biophysics Universidade Federal de Minas GeraisBelo HorizonteMinas Gerais 31270-901Brazil Department of Cell Biology Universidade Federal de Minas GeraisBelo HorizonteMinas Gerais 31270-901Brazil

The liver is a complex organ that performs several functions to maintain *** functions are modulated by calcium,a second messenger that regulates several intracellular *** hepatocytes and cholangiocytes,which are the epithelial cell types in the liver,inositol 1,4,5-trisphosphate(InsP3)receptors(ITPR)are the only intracellular calcium release *** isoforms of the ITPR have been described,named type 1,type 2 and type *** ITPR isoforms are differentially expressed in liver cells where they regulate distinct physiological *** in the expression level of these receptors correlate with several liver diseases and hepatic *** this review,we highlight how the expression level,modulation,and localization of ITPR isoforms in hepatocytes and cholangiocytes play a role in hepatic homeostasis and liver pathology.

关键词： Inositol 1,4,5-trisphosphate receptor Liver Calcium signaling Hepatocytes and cholangiocytes

Soot combustion; Ceria; Ternary mixed oxide; Cordierite coating; Diesel particulate filter

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Journal of Environmental Sciences 2018年第11期30卷 58-68页

作者： Leandro Fontanetti Nascimento Juliana Fonseca Lima Paulo Cesar de Sousa filho Osvaldo antonio Serra Department of Chemistry FFCLRP University of Sao Paulo 14040-901 Ribeirao Preto Sao Paulo Brazil Institute of Chemistry Rio de Janeiro State University 20550-900 Rio de Janeiro Rio de Janeiro Brazil Institute of Chemistry Uniuersity of Campinas 13083-970 Campinas Silo Paulo Brazil Center of-Natural and Human Sciences Federal Uniuerty of ABC 09210-580 Santo Andre Sao Paulo Brazil

We report the application of a solid lanthanum-ceria-zinc catalyst in the catalytic regeneration of diesel particulate filters （DPF） in diesel engines. We synthesized a CeO2- ZnO-La2O3 （Ce-Zn-La） mixed oxide by a lactic acid-mediated sol-gel method, which efficiently coated cordierite substrates for soot capture and combustion. We studied the effects of La loading on the physicochemical and catalytic properties of Ce-Zn mixed oxide during lowtemperature soot combustion processes. We characterized the synthesized catalysts by X-ray diffraction （XRD）, Fourier-transform infrared spectroscopy （FTIR）, N2 adsorption, Raman spectroscopy, oxygen storage capacity （OSG）, and scanning and transmission electron microscopy （SEM and TEM）. Thermogravimetric and differential thermal analysis （TGA/DTA） confirmed that the catalysts effectively reduced the soot oxidation temperature. The ternary Ce-Zn-La mixed oxide catalyst with Ce/Zn/La atomic ratio of 2：1：0.5 had the highest catalytic activity and promoted soot oxidation at temperatures below 390℃. This indicated that the large number of oxygen vacancies in the catalyst structure generated oxygen species at low temperatures. Raman spectroscopy measurements revealed the presence of oxygen vacancies and lattice defects in Ce-Zn-La samples, which were key parameters concerning the stability and redox properties of the prepared catalysts.

关键词： Soot combustion Ceria Ternary mixed oxide Cordierite coating Diesel particulate filter

The assessment of climatic,environmental,and socioeconomic aspects of the Brazilian Cerrado

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Ecological Processes 2023年第1期12卷 274-285页

作者： Washington Luiz Félix Correia filho JoséFrancisco de Oliveira-Júnior Dimas de Barros Santiago Hazem Ghassan Abdo Hussein Almohamad Ahmed Abdullah Al Dughairi carlos antonio da Silva Junior Postgraduate Program in Environmentrics(PPGAmb) Institute of MathematicsStatisticsand Physics(IMEF)Federal University of Rio Grande(FURG)Rio GrandeRio Grande do Sul 96203-900Brazil Institute of Atmospheric Sciences(ICAT) Federal University of Alagoas(UFAL)MaceióAlagoas 57072-260Brazil Postgraduate Program in Biosystems Engineering(PGEB) Federal Fluminense University(UFF)NiteróiRio de Janeiro 24220-900Brazil Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas(UACA)Federal University of Campina Grande(UFCG)Campina GrandeParaíba 58429-140Brazil Geography Department Faculty of Arts and HumanitiesTartous UniversityTartousSyria Geography Department Faculty of Arts and HumanitiesDamascus UniversityDamascusSyria Geography Department Faculty of Arts and HumanitiesTishreen UniversityLat-takiaSyria Department of Geography College of Arabic Language and Social StudiesQassim UniversityBuraydah 51452Saudi Arabia Departamento de Geografia State University of Mato Grosso(UNEMAT)SinopMato Grosso 78555-000Brazil

Background The Cerrado is the most biodiverse savanna and maintains other *** of its significance,this paper evaluated the Brazilian Cerrado’s climatic,environmental,and socioeconomic aspects using remote sensing data and spatial statistics(correlation analysis and principal components analysis—PCA).Following the measures of sample adequacy(MSA)and Kaiser–Meyer–Olkin(KMO)tests,seventeen variables were *** The MSA revealed that the dataset had a good quality(0.76),and nine variables were selected:elevation,evapotranspiration,active fires,Human Development Index(HDI),land use and land cover(LULC;shrubland and cropland/rainfed),rainfall(spring and autumn),and *** correlation matrix indicated a positive(negative)association between HDI and autumn rainfall(HDI and active fires)with a value of 0.77(-0.55).The PCA results determined which three principal components(PC)were adequate for extracting spatial patterns,accounting for 68.02%of the total variance with respective values of 38.59%,16.89%,and 12.5%.Due to economic development and agribusiness,Cerrado’s northern(central,western,and southern)areas had negative(positive)score HDI values,as shown in ***(rainfall—spring and fall)and environmental(cropland/rainfed and shrubland)aspects dominated the PC2,with negative scores in northern and western portions due to the transition zone between Amazon and Cerrado biomes caused by rainfall *** the other hand,environmental aspects(LULC-shrubland and elevation)influenced the PC3;areas with high altitudes(>500 m)received a higher *** Agricultural expansion substantially affected LULC,leading to deforestation-caused suppression of native vegetation.

关键词： Environment Agribusiness Active fire Human Development Index Land use and land cover

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Development of lamellar gel phase emulsion containing baru oil(Dipteryx alata Vog.) as a prospective delivery system for cutaneous application

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Asian Journal of Pharmaceutical Sciences 2018年第2期13卷 183-190页

作者： Cristhianne Moraes Jorge L.V.Anjos Monica Maruno antonio Alonso Pedro Rocha-filho Department of Pharmaceutical Sciences Faculty of Pharmaceutical Sciences of Ribeirão PretoUniversidade de São PauloRibeirão Preto 14040-903SPBrazil Physics Department Universidade Federal de Goiás(UFG)Campus Catalão-Av.Dr.Lamartine Pinto de Velar1120St.Universitário75704-020Catalão-GOBrazil Pharmacy Course Coordination Centro Uni.Barão de MauáR.Ramos de Azevedo423Jardim PaulistaRibeirão PretoSP 14090-180Brazil Biophysics Laboratory Physics InstituteUniversidade Federal de Goiás(UFG)Goiânia 74.690-900GOBrazil

The rational design of emulsions requires study of the main factors that influence their formation, physicochemical properties and, consequently, stability and performance. The use of vegetable oils in the pharmaceutical and cosmetic industries has recently become attractive. Dipteryx alata Vogel(D. alata) is an oleaginous species native to Brazil. The seeds of this species contain highly unsaturated oil with significant amounts of tocopherols and phytosterols, representing an important source of agents capable of combatting oxidative processes. In this work, a lamellar gel phase emulsion using oil extracted from the seeds of D. alata(baru) was developed. The steps involved in the development of this research were as follows: 1) development of formulations and 2) in vitro assays by simulating the evaporation of the final product after application to the skin and Electron paramagnetic resonance spectroscopy(EPR) of fatty acid spin labels was used to investigate the profile of interaction of the dispersed systems with stratum corneum(SC) lipids. The results indicate that the developed system shows no signs of instability during the storage period. Moreover, EPR studies indicated that D. alata oil and especially the developed formulation were able to increase SC lipid fluidity and extract a fatty-acid spin label from the lipid domain structures of SC, demonstrating its potential to act as a drug or skin care vehicle.

关键词： Stratum corneum O/W emulsions Baru oil EPR spectroscopy

Evaluation of the regional distribution of the pediatric surgery workforce and surgical load in Brazil

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World Journal of Pediatric Surgery 2023年第2期6卷 85-91页

作者： Joaquim Bustorff-Silva Marcio Lopes Miranda Amanda Rosendo Ayla Gerk antonio Goncalves Oliveira-filho Pediatric Surgery State University of Campinas Medical SchoolCampinasBrazilPediatric SurgeryState University of Campinas Medical SchoolCampinasBrazil Medicine Pontificia Universidad Católica ArgentinaBuenos AiresArgentina

Objective The purpose of this study is to examine the regional distribution of the pediatric surgery workforce and the expected local demand for pediatric surgical procedures in *** We collected data on the pediatric surgical workforce,surgical volume,Gross Domestic Product per capita,and mortality for gastrointestinal tract malformations(MGITM)across the different regions of Brazil for *** Data from the Federal Medical Council reported 1515 pediatric surgery registries in Brazil,corresponding to 1414 pediatric surgeons(some pediatric surgeons are registered in more than one state),or 2.4 pediatric surgeons per 100000 children 14 years of age and *** were 828 men and 586 *** mean age was 51.5±12.8 years,and the mean time from graduation was 3.4±5.7 *** is a higher concentration of pediatric surgeons in the wealthier Central-West,South,and Southeast *** surgical volume ranged from 88 to 245 operations/year(average 146 operations/year)depending on the *** these,only nine(6.1%)were high-complexity(including neonatal)*** tended to be higher in the poorer North and Northeast regions than in other regions of *** Our findings suggest significant disparities in the surgical workforce and workload across Brazil related to socioeconomic *** with an increased surgical workforce were associated with lower *** average number of complex operations performed annually by each pediatric surgeon was considerably *** investment and well-defined health policies are imperative to enhance the quality of surgical care in the different regions of Brazil.

关键词： pediatric operations distribution