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Combinatorial therapies for spinal cord injury: strategies to induce regeneration

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Neural Regeneration Research 2019年第1期14卷 69-71页

作者： eduardo D.gomes Nuno A.Silva António J. Salgado Life and Health Sciences Research Institute (ICVS) School of Medicine University of Minho Campus de Gualtar ICVS/3B’s–PT Government Associate Laboratory

Spinal cord injury(SCI)is a condition without treatment,mainly characterized by the loss of motor and sensory function below the level of *** is accompanied by several complications such as cardiac and respiratory compromise,and often patients present psychological ailments associated with the drastic alteration of their normal *** pathophysiology derives from a massive damage to the spinal cord tissue,which is propagated

关键词：损害绳索新生治疗感觉功能生活方式星形细胞并发症

Ecosystem services and legal protection of private *** or solution?

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Geography and Sustainability 2020年第3期1卷 173-180页

作者： Katažyna Mikša Marius Kalinauskas Miguel Inácio eduardo gomes Paulo Pereira Environmental Management Laboratory Mykolas Romeris UniversityVilnius LT-08303Lithuania Institute of International and European Union Law Mykolas Romeris UniversityVilnius LT-08303Lithuania

Ecosystem services(ES)delivery in quantity and quality are essential to improve human ***,often a considerable part of ES provisioning depends on the use of private land(e.g.,flood retention,carbon sequestration,water purification).In this context,the operationalization and implementation of ES concept may collide with legal property ***,it is essential to find constructive mechanisms to engage and encour-age private owners to implement sustainable land uses to reduce the onsite and offsite impacts of their *** paper aims to identify if ES delivery can be constrained by legal private land and how it can be *** is undeniable that land-use changes(e.g.,urbanization,agriculture intensification,and land abandonment)affect the territory’s capacity to deliver ES in quality and *** changes,especially land abandonment,are in-creasing the tradeoffs among ES(e.g.,between carbon sequestration and water yield).Land-use planning should consider these ***,incorporating ES into spatial plans is crucial for stakeholders to understand the impacts of land-use change in the loss of ES *** information can be transmitted through maps that communicate the message in a simplified *** owners can easily perceive the ES relevance that their land can provide if an understandable message is *** this can be a good solution,conflicts can appear even with the implementation of schemes such as Payment for ES(PES).PES is not always effective and can im-pose losses to farmers,disregard their cultural traditions,or not prevent poverty *** this context,it is crucial to consider local specificities to safeguard PES’s success,create a“win-win”and transform a problem into a *** owners’active participation in implementing sustainable practices or a determined land-use in their properties is vital to achieving global targets such as sustainable development goals.

关键词： Ecosystem services Law Private land Sustainability Land-use change

Ferric carboxymaltose for anemia in Crohn’s disease patients at a tertiary center:A retrospective observational cohort study

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World Journal of Clinical Cases 2023年第12期11卷 2740-2752页

作者： Natália Souza Nunes Siqueira Livia Bitencourt Pascoal Bruno Lima Rodrigues Marina Moreira de Castro Alan Sidnei Corrêa Martins Dante Orsetti Silva Araújo Luis eduardo Miani gomes Michel Gardere Camargo Maria de Lourdes Setsuko Ayrizono Raquel Franco Leal Inflammatory Bowel Disease Research Laboratory GastrocenterColorectal Surgery UnitSchool of Medical SciencesUniversity of Campinas(Unicamp)Campinas 13083-878São PauloBrazil

BACKGROUND Although the gastrointestinal tract is the most affected by Crohn’s disease(CD),the condition triggers other consequent manifestations,and iron deficiency anemia(IDA)is one of the most ***(IV)iron replacement is currently available through several drugs,such as ferric hydroxide sucrose and ferric carboxymaltose(FCM).However,the clinical management of these conditions can be *** To elucidate the drug’s effectiveness,the present study analyzed,through medical records,the clinical and epidemiological data of a cohort of patients with active CD who received IV FCM for the IDA *** This retrospective observational study included 25 patients with active CD,severe anemia,and refractory to previous conventional *** were evaluated two times:During the last treatment with ferric hydroxide sucrose and treatment with *** After treatment with FCM,parameters of IDA assessment significantly improved,serum hemoglobin(Hb)levels increased in 93%of patients(P<0.0001),and in 44%,there was an increase of≥2 g/dL in a single *** addition,86%of the patients showed an increase in serum iron(P<0.0001)and ferritin(P=0.0008)and 50%in transferrin saturation(P=0.01).The serum iron levels at baseline showed a negative association with the ileal and colonic CD and use of biologics and a positive association with patients who developed CD later in life after the age of 40(A3)and with a stenosing(B2)and fistulizing(B3)*** values of Hb and hematocrit after ferric hydroxide sucrose treatment remained similar to those found before *** This study demonstrated that FCM is an important therapeutic strategy for treating IDA in CD patients,achieving satisfactory results in refractory cases.

关键词： Ferric carboxymaltose Iron deficiency anemia Crohn’s disease Inflammatory bowel disease Anemia Clinical management

Ecosystem services of the Baltic Sea:An assessment and mapping perspective

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Geography and Sustainability 2020年第4期1卷 256-265页

作者： Miguel Inácio Donalda Karnauskaitė EglėBaltranaitė Marius Kalinauskas Katarzyna Bogdzevič eduardo gomes Paulo Pereira Environmental Management Laboratory Mykolas Romeris UniversityVilniusLithuania Marine Research Institute Klaipeda UniversityKlaipedaLithuania

The Baltic Sea is essential for marine ecosystem services(MES)provision and the region’s socio-economic *** is considered one of the busiest and most polluted regional seas in *** recent years a collective effort in enforcing European and regional environmental policies and directives(*** Framework Direc-tive 2000/60/EC,2000;Marine Strategy Framework Directive 2008/56/EC,2008;Maritime Spatial Planning Directive 2014/89/EU,2014)has been carried *** Services assessment and mapping is integrated into these *** increasing number of scientific studies,projects,and other works were developed in this context,generating a vast body of *** all efforts to improve the Baltic Sea’s environmental status,the targets established were not *** is also important to analyze if current methodological approaches for assessing and mapping MES are robust enough to provide the needed *** perspective paper analyses the status of assessment and mapping *** results showed that most of the studies were focused on qualitative assessments,with limited validation and *** the number of robust and quantitative works is increasing,more are *** is vital to carry out quantitative assessments to inform decision-makers better and standardize MES practices across the Baltic Sea.

关键词： Collaborative effort Ecological modeling Marine ecosystem services Cultural Provisioning Regulating

Ecological implications of twentieth century reforestation programs for the urban forests of São Paulo, Brazil: a study based on litterfall and nutrient cycling

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Ecological Processes 2021年第1期10卷 367-379页

作者： Maurício Lamano Ferreira Marcelo Ferreira Barbosa eduardo Pereira Cabral gomes Ana Paula Branco do Nascimento Edgar Fernando de Luca Karina Gonçalves da Silva Ulisses Bezerra França Plínio Barbosa de Camargo Raffaele Lafortezza Master’s Program in Health Promotion Adventist University of São PauloSão PauloSPBrazil. Master’s Program in Geoenvironmental Analysis University of GuarulhosGuarulhosSPBrazil. Department of Health Faculty of Biological ScienceUniversity Nove de Julho(UNINOVE)São PauloSPBrazil. Institute of Botany(IBT/SP) São PauloSPBrazil. Department of Civil Engineering São Judas Tadeu UniversitySão PauloSPBrazil. Institute of Forestry(IF/SP) São PauloSPBrazil. Centro de Energia Nuclear na Agricultura(CENA/USP) University of São PauloPiracicabaSPBrazil. Prefeitura da cidade de São Paulo(Secretaria do Verde e Meio Ambiente) São PauloSPBrazil Department of Agricultural and Environmental Sciences University of Bari Aldo MoroBariItaly. Department of Geography The University of Hong KongCentennial CampusPokfulam RoadHong KongHong Kong.

The focus of this study was to investigate the wide use of Eucalyptus spp.,an exotic plant with high allelopathic ability,in the reforestation programs of urban parks in São Paulo City,Brazil,over the last *** understand the implications of using Eucalyptus *** the city’s parks,this study aimed to compare nutrient cycling and litter decomposition between a mixed composition of litter(i.e.,native and exotic species)and the litter of a single species(i.e.,Eucalyptus).To accomplish this,newly deciduous leaves were collected from two native and two exotic species that are commonly used in the afforestation of São Paulo as well as from Eucalyptus *** mixed composition of litter yielded a higher dry mass loss and return of macro-and micronutrients to the forest *** decomposition constant(k)values were 0.00322 and 0.00207 g g^(−1) day^(−1) for the mixed composition and Eucalyptus spp.,*** time required for decomposition of 50 and 95%of deciduous material was 215 and 931 days,respectively,and for the mixed litterfall 334 and 1449 days,respectively,for Eucalyptus ***,the mixed litter exhibited greater dry mass loss and nutrient cycling in an urban forest of São Paulo City,since dry mass losses as well as speed and amount of nutrients returned to the forest floor were relatively higher compared to Eucalyptus *** cycling via Eucalyptus *** was less efficient than mixed composition of litter,demonstrating that reforestation programs carried out in the twentieth century using only one species may have had little *** results of this work emphasize the fact that in urban reforestation programs the City of São Paulo must consider the environmental and biogeographic characteristics of the species employed and use high levels of biodiversity,since the city lies in a megadiverse biome.

关键词： Tropical forest Exotic species Nutrient dynamics Ecosystem functioning

Massive Thromboembolism from an Abdominal Aortic Aneurysm after Successful Thrombolysis for an Acute Myocardial Infarction

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Case Reports in Clinical Medicine 2015年第2期4卷 45-49页

作者： Fernando Luiz de Melo Bernardi Paulo Cury Rezende Cibele Larrosa Garzillo eduardo gomes Lima Diogo Arantes Behling Pereira da Luz Vera Demarchi Aiello Whady Hueb Department of Atherosclerosis Heart Institute of the University of Sao Paulo Sao Paulo Brazil Department of Pathology Heart Institute of the University of Sao Paulo Sao Paulo Brazil

Thrombolytic therapy is indicated to the treatment of patients with ST-elevation myocardial infarction or pulmonary embolism. Its indication should especially consider the risk of bleeding, but other complications might pose harm to patients. Although rarely reported, fibrinolysis can trigger thromboembolic phenomena from emboligenic sources such as aortic aneurysms. Clinicians should be aware of this life-threatening complication. In this case report, we present one patient admitted due to a ST-segment elevation acute myocardial infarction successfully treated with fibrinolytic treatment, but who evolved with a massive microembolism from an abdominal aortic aneurysm. Despite intensive medical care, the patient evolved with multiorganic failure due to distal microembolism to the guts and lower limbs, severe rhabdomyolysis and ultimately to death. In this challenging case, clinical, anatomical and histopathologic features are presented and discussed.

关键词： Thromboembolism Abdominal Aortic Aneurysm Fibrinolysis Myocardial Infarction

Prevalence of musculoskeletal injuries and a proposal for neuromuscular training to prevent lower limb injuries in Brazilian Army soldiers:an observational study

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Military Medical Research 2019年第1期6卷 45-52页

作者： Michele Zukauskas de Andrade gomes Carlos eduardo Pinfildi Department of Human Movement Science Federal University of Sao Paulo(UNIFESP)Campus Baixada Santista Human Movement Science and Rehabilitation Department of Human Movement ScienceFederal University of Sao Paulo-Physical TherapyCampus Baixada Santista

Background: The activities carried out by soldiers in the army involve great physical demands and require intense trainings to perform combat-specific tasks. Musculoskeletal injury is a potential threat to the health and physical integrity of the soldier. This study aimed to evaluate the prevalence of lower limb musculoskeletal injuries among soldiers and to propose a training protocol to prevent the most frequent ***: This observational(cross-sectional) study recruited a sample of 103 soldiers who required medical attention,from a total 202 new battalion soldiers. The medical records(paper and online) had a form of running text. All data collected were recorded by the registered physicians of the battalion medical post. The records were analyzed by the following variables: medical diagnosis, injury site, mechanism, type of treatment, time loss, existence of previous injury,and recurring ***: A total of 112 musculoskeletal injuries were diagnosed in 71 soldiers, and other types of diseases/injuries were diagnosed in the other soldiers. Joint pain accounted for 55.4% of the diagnoses. The knee was the most affected site, while trauma and overload were the most common mechanisms of injury. Drug treatment was used most frequently, accounting for 58% of the cases. The majority of the sample obtained a temporary leave of absence for1 to 6 days or not at all. Previous injuries and recurrence were not presented as risk factors for injury. With the data received, a protocol for the prevention of injuries to the lower limbs was ***: This study indicated that the most frequent site of injury is the knee, and joint pain is the most common diagnosis. These results may support the necessity to develop a neuromuscular training protocol to prevent lower limb injuries, which we suggest to be applied in future studies.

关键词： Physical therapy Wounds and injuries Primary prevention Lower extremity Proprioception Military personnel

Distinguishing the Regional Atmospheric Controls on Precipitation Isotopic Variability in the Central-Southeast Portion of Brazil

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Advances in Atmospheric Sciences 2022年第10期39卷 1693-1708,I0018-I0020页

作者： Vinícius dos SANTOS Peter MARSHALL FLEMING Luís HENRIQUE MANCINI Stela DALVA SANTOS COTA Graziele Beatriz de LIMA Rafaela RODRIGUES gomes Roberto eduardo KIRCHHEIM Ricardo SANCHÉZ-MURILLO Didier GASTMANS São Paulo State University(UNESP) Environmental Studies Center.Av.24ABased1515-Bela Vista13.506-900Rio Claro(SP)Brazil Center for the Development of the Nuclear Technology(CDTN-CNEN) Av.Presidente Antônio Carlos6.627Campus da UFMG-Pampulha31270-90Belo Horizonte(MG)Brazil Universidade de Brasília-UnB Instituto de GeociênciasLaboratório de Isótopos Estáveis.Campus"Darcy Ribeiro"Asa Norte70.910-900Brasília(DF)Brasil Hydrology and Territorial Management Directory(DHT) The Geological Survey of Brazil(CPRM-SGB)São Paulo(SP)Brazil University of Texas at Arlington Earth and Environmental Sciences Department500 Yates StreetArlingtonTexas76019USA Stable Isotopes Research Group and Water Resources Management Laboratory Universidad NacionalHerediaCosta Rica

Precipitation isotope ratios(O and H)record the history of water phase transitions and fractionation processes during moisture transport and rainfall ***,we evaluated the isotopic composition of precipitation over the central-southeastern region of Brazil at different *** isotopic compositions were associated with classical effects(rainfall amount,seasonality,and continentality),demonstrating the importance of vapor recirculation processes and different regional atmospheric systems(South American Convergence Zone-SACZ and Cold Fronts-CF).While moisture recycling and regional atmospheric processes may also be observed on a daily timescale,classical effects such as the amount effect were not strongly correlated(δ^(18)O-precipitation rate r≤-0.37).Daily variability revealed specific climatic features,such asδ^(18)O depleted values(~-6‰to-8‰)during the wet season were associated with strong convective activity and large moisture *** isotopic analysis revealed the role of different moisture sources and transport *** ratios combined with d-excess explain how atmospheric recirculation processes interact with convective activity during rainfall formation *** findings provide a new understanding of rainfall sampling timescales and highlight the importance of water isotopes to decipher key hydrometeorological processes in a complex spatial and temporal context in central-southeastern Brazil.

关键词： precipitation stable water isotopes d-excess moisture source and transport southern Atlantic Ocean and Amazon

Neural and Cognitive Markers and Regulation of Emotion in Depression: A Mini-Review and a Short Case Report

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Open Journal of Psychiatry 2017年第4期7卷 365-373页

作者： Goncalves eduardo Moniz Marco Pertega-gomes Alexandre Psychiatry at Centro Hospitalar Universitario do Algarve Faro Portugal Clinical Psychology at Centro Hospitalar Universitario do Algarve Faro Portugal

In the presented short clinical case of depression, the constructs of Research Domain Criteria (RDoC) of loss (negative valence systems) and cognitive control (cognitive systems) have been operationalized. It has been concluded that a normal cognitive control of emotion, requiring the functional and structural integrity of prefrontal cortex (PFC) and orbitofrontal cortex (OFC), is lacking in depression, but its amelioration can be achieved through the implementation of cognitive remediation/rehabilitation programs. A mini-review on neural and cognitive markers and regulation of emotion in depression is previously presented.

关键词： Executive Function Cognitive Control of Emotion Loss Dorsolateral Prefrontal Cortex (DLPFC) Orbitofrontal Cortex (OFC) Neural and Cognitive Markers in Depression Research Domain Criteria (RDoC)