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Bronchial Fibroepithelial Polyp: A Rare and Challenging Diagnosis

Open Journal of Medical Imaging 2017年第4期7卷 163-168页

作者： Francisco Barbosa De Araújo Neto Ana Flávia Pina Ferreira ellen caroline toledo do nascimento Ricardo Francisco Cintra Zagatti Mark Wanderley Thiana Pozzatto Rogrigues Tiago Castello Branco Lyra Vinícius Martins Valois Márcio Valente Yamada Sawamura Department of Radiology The Medical School The University of S&atilde o Paulo S&atilde o Paulo Brazil Department of Pathology The Medical School The University of S&atilde o Paulo S&atilde o Paulo Brazil Department of Radiology Hospital Heliópolis S&atilde o Paulo Brazil

Context: Bronchial fibroepithelial polyp is a very rare benign endobronchial tumor. Typically, it is a slow growing lesion, and the differential diagnosis includes other benign and malignant endobronchial tumors. Case Report: We report a case of a 75-year-old female who complained of intermittent productive cough. Computed tomography of the thorax showed a solid nodule with lobulated contours in the right main bronchus and subtotal atelectasis of the right lower lobe. Bronchoscopy with biopsy confirmed the diagnosis of a bronchial fibroepithelial polyp. Conclusion: This case is illustrative and demonstrates the importance of imaging methods and of histopathological correlation for the accurate diagnosis of this benign treatable lesion.

关键词： Tomography Bronchoscopy Bronchial Diseases Polyps

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Design Procedure for Reinforced Concrete Beams and Reinforcement Replacement by Bamboo

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Computational Water, Energy, and Environmental Engineering 2020年第3期9卷 37-47页

作者： Eduarda Noriko Tokuda Juliana de toledo Viana Guilherme Augusto nascimento Amorim Renan Dias Sherington Bigotto UNIFEV Votuporanga Brazil FEIS/UNESP Ilha Solteira Brazil

The use of non-renewable resources by the construction industry has several environmental consequences, contributing to excessive energy consumption and loss of materials. So, the construction sector is always in search of improvement and methods that innovate the existing techniques, aiming at the use of alternative and sustainable materials. Bamboo is a perennial plant with fast growth rate and low cost that has great physical and mechanical characteristics that assure its performance in the building environment. The use of beams with total or partial replacement of steel by bamboo has been well studied, due to the possibility of using the same design methods used in reinforced concrete beams, since the bamboo-reinforced beams meet the Bernoulli-Kirchoff bending theory. The objective of the work was to adapt a design procedure into an electronic spreadsheet for bamboo reinforced concrete beams subjected to four-point bending, with rectangular section, according to Brazilian Standard NBR 6118 (2014). The spreadsheet was tested based on other authors taking into consideration a steel double reinforcement. The resulting values were equivalents to those obtained by the authors, validating the efficiency of the worksheet. This methodology aims to optimize the design process of beams and enable the substitution of steel by bamboo, highlighting the validation, from the structural point of view, obtained by the authors.

关键词： Bamboo Concrete Beam Alternative Material

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Intrauterine Exposure to Chronic 22 kHz Sound Affects Inhibitory Avoidance and Serotonergic Parameters in Forebrain Areas of Dams and Rat Offspring

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Journal of Behavioral and Brain Science 2015年第2期5卷 25-39页

作者： Patrícia da Silva Oliveira Ariomester nascimento Daniel Polliana toledo Nunes Karina Abdo Costa Hani Camille Yehia Angela Maria Ribeiro Programa de Pós-Graduaç ã o em Neurociências Laboratório de Neurociências Comportamental e Molecular LaNeC Universidade Federal de Minas Gerais Belo Horizonte Brazil Departamento de Engenharia Eletrô nica Escola de Engenharia Universidade Federal de Minas Gerais Belo Horizonte Brazil Departamento de Bioquímica e Imunologia ICB and Departamento de Psicologia FaFiCH Laboratório de Neurociências Comportamental e Molecular LaNeC Universidade Federal de Minas Gerais Belo Horizonte Brazil

In the present study we evaluated the effects of chronic exposure to sounds at 22 kHz during pregnancy on the central serotonergic and behavioral parameters in Wistar rat dams after the suckling period and on their male rat offspring. In addition, we also assessed the effects of an acute 22 kHz sound, associated with the chronic intrauterine exposure, on the emotional responses of adult offspring. The primary hypothesis was that experiencing 22 kHz stimuli during an early stage of development would interfere with brain serotonergic parameters and, later, with the adult rat’s defensive responses. The corollary question was whether a 22 kHz sound exposure would differentially affect inhibitory avoidance and escape responses and central serotonergic parameters. Female rats were divided into four groups: non-pregnant control;non-pregnant chronic exposure;pregnant control;and pregnant chronic exposure. Male offspring were divided into four groups: chronic intrauterine sound exposure;acute sound exposure in adulthood;chronic intrauterine exposure with acute exposure in adulthood;and no exposure. Chronic sound exposure affected inhibitory avoidance and serotonergic parameters in female rats. For offspring, there was an interaction between chronic and acute sound exposure effects on inhibitory avoidance response but not on escape response. There were significant effects of chronic intrauterine exposure on serotonin turnover in the hippocampus and PFC of females. For offspring, the turnover was increased by chronic exposure only in PFC, and in amygdala it was increased by acute exposure. These results illuminate the potential of an early acoustic sound exposure for causing central serotonergic and emotional behavioral changes that can persist into later periods of life.

关键词： Intrauterine 22 kHz Sound Exposure Defensive Responses Serotonergic Parameters Adult Offspring

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Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review

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Open Journal of Rheumatology and Autoimmune Diseases 2021年第4期11卷 169-187页

作者： Heloisa Lima Heller Aline Rizzo Borges Luís Otávio Amarante Franco João Pedro De Oliveira Aucelio Marcos Igor Albanaz Vargas Rebeca Naoum Lorga Mirella Bastos Sales Natália Vargas do nascimento Gabriela Furlan Ribeiro Barbosa Netto Beatriz Carneiro Passos Beatriz Pires Paes Beatriz toledo Mendes Bruna De Paula Gonçalves Sousa Lyra Ciro Moisés Oliveira Vieira dos Santos Gustavo Araújo do nascimento Santos Maria Luiza Pimentel De Oliveira Matheus Macêdo Da Silva Maurício Silva De Jesus Paulo Ricardo Guimaraes Rocha Storni Tamires Martinelli De Oliveira Ferraz Viviane Cristina Uliana Peterle Ana Paula Monteiro Gomides Reis Centro Universitário de Brasília Brasília Brazil Universidade Católica de Brasília Brasília Brazil Centro Universitário Euro Americano Brasília Brazil

A literature search of articles from 2002-2019 was performed using Medline, Embase, Cochrane, LILACS, IBECS, CRD, and Epistemonikos databases, to analyze the effects of Cognitive-Behavioral Therapy (CBT) in the treatment of fibromyalgia. Twenty-seven articles were selected in which CBT was performed exclusively by specialist physicians, associated or not with conventional pharmacological treatment and/or physical exercise. In most articles, CBT worked with self-knowledge and cognitive restructuring, attempting to reduce pain perception, and it showed a general improvement in daily activities by decreasing patient’s limitations, such as morning stiffness. The literature showed significant correlations of CBT in pain processing over time. When CBT was compared to conventional pharmacological therapy, a certain superiority of CBT could be observed concerning the quality of life, catastrophizing, and acceptance of pain. However, when they were simultaneously applied, this improvement in quality of life was not observed.

关键词： Cognitive Behavioral Therapy Fibromyalgia Pain

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