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Aggressive surgical approach in patients with adrenal-only metastases from hepatocellular carcinoma enables higher survival rates than standard systemic therapy

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Hepatobiliary & Pancreatic Diseases International 2021年第1期20卷 28-33页

作者： Sorin T Alexandrescu Adina E Croitoru Razvan T Grigorie Dana R Tomescu gabriela Droc Mugur C Grasu Irinel Popescu Dan Setlacec Centre of General Surgery and Liver Transplantation Fundeni Clinical InstituteBucharest 022328Romania Carol Davila University of Medicine and Pharmacy Bucharest 020021Romania Department of Oncology Fundeni Clinical InstituteBucharest 022328Romania Faculty of Medicine Titu Maiorescu UniversityBucharest 031593Romania Dan Tulbure Centre of Anesteziology and Intensive Care Fundeni Clinical InstituteBucharest 022328Romania Department of Radiology Fundeni Clinical InstituteBucharest 022328Romania

Background:Although guidelines recommend systemic therapy even in patients with limited extrahepatic metastases from hepatocellular carcinoma(HCC),a few recent studies suggested a potential benefit for resection of extrahepatic ***,the benefit of adrenal resection(AR)for adrenal-only metastases(AOM)from HCC was not proved *** is the first study to compare long-term outcomes of AR to those of sorafenib in patients with AOM from ***:The patients with adrenal metastases(AM)from HCC were identified from the electronic records of the institution between January 2002 and December *** who presented AM and other sites of extrahepatic disease were ***,the patients with AOM who received other therapies than AR or sorafenib were ***:A total of 34 patients with AM from HCC were *** of these,22 patients had AOM,6 receiving other treatment than AR or ***,8 patients with AOM underwent AR(AR group),while 8 patients were treated with sorafenib(SOR group).The baseline characteristics of the two groups were not significantly different in terms of age,sex,number and size of the primary tumor,timing of AM diagnosis,Child-Pugh and ECOG *** a median follow-up of 15.5 months,in the AR group,the 1-,3-,and 5-year overall survival rates(85.7%,42.9%,and 0%,respectively)were significantly higher than those achieved in the SOR group(62.5%,0%and 0%at 1-,3-and 5-year,respectively)(P=0.009).The median progression-free survival after AR(14 months)was significantly longer than that after sorafenib therapy(6 months,P=0.002).Conclusions:In patients with AOM from HCC,AR was associated with significantly higher overall and progression-free survival rates than systemic therapy with *** results could represent a starting-point for future phase II/III clinical trials.

关键词： Adrenal metastases Hepatocellular carcinoma Adrenal resection Sorafenib Survival

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The Development of New Intelligence in Education: Promoting the New Type of Leader

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Management Studies 2020年第4期8卷 284-289页

作者： Ionela gabriela Solomon Bucharest University of Economic Studies BucharestRomania

Starting from the Romanian education system,where competencies acquired during formal education—for example,in case of faculty specializations—are presented within diploma supplement,the article presents the need for harmonization of the competences at European level through the EQF and also globally,by harmonizing national qualifications frameworks with those of non-EU countries such as New Zealand or *** article aims to show that behind these existing skills described in diploma supplement,are intelligences that need to be developed in the education system,as intellectual-rational intelligence,emotional intelligence and especially quantum or spiritual intelligence—as it is known in the United *** article presents a SWOT analysis of the need and urgency of immediate application of skills and competencies in Romania,EU,and non-EU countries.

关键词： competences types of intelligence formal education EQF SWOT analysis

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Particular evolution in a 72-year-old diabetic patient with acute coronary syndrome

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Journal of Geriatric Cardiology 2018年第7期15卷 523-526页

作者： gabriela S Gheorghe Ana Clobanu Ioan T Nanea Andreea S Serban Mihaela R Mititelu Department of Internal Medicine and Cardiology "Theodor Burghele" Clinical Hospital "Carol Davila " University of Medicine and Pharmacy Bucharest Romania Nuclear Medicine Department "Dr. Carol Davila " Central Emergency Military Clinical Hospital Bucharest Romania

Diabetes mellitus is an important risk factor for coronary atherosclerosis and many patients present extensive coronary stenosis at coronarography. However, in patients with diabetes, endothelial and microvascular dysfunction also participate in chronic and acute myocardial ischemia. Although the majority of diabetic patients with myocardial infarction have angiographic evidence of significant coronary artery disease.

关键词： Diabetes Elderly Myocardial infarction

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Efficient visual learning by bumble bees in virtual-reality conditions:Size does not matter

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Insect Science 2023年第6期30卷 1734-1748页

作者： Gregory Lafon Marco Paoli Benjamin HPaffhausen gabriela de Brito Sanchez Mathieu Lihoreau Aurore Avarguès-Weber Martin Giurfa Centre de Recherches sur la Cognition Animale Centre de Biologie Intégrative(CBI)University of ToulouseCNRSUPSToulouseFrance French Academy of Sciences for University Professors Institut Universitaire de France(IUF)ParisFrance

Recent developments allowed establishing virtual-reality (VR) setups to study multiple aspects of visual learning in honey bees under controlled experimental conditions. Here, we adopted a VR environment to investigate the visual learning in the buff-tailed bumble bee Bombus terrestris. Based on responses to appetitive and aversive reinforcements used for conditioning, we show that bumble bees had the proper appetitive motivation to engage in the VR experiments and that they learned efficiently elemental color discriminations. In doing so, they reduced the latency to make a choice, increased the proportion of direct paths toward the virtual stimuli and walked faster toward them. Performance in a short-term retention test showed that bumble bees chose and fixated longer on the correct stimulus in the absence of reinforcement. Body size and weight, although variable across individuals, did not affect cognitive performances and had a mild impact on motor performances. Overall, we show that bumble bees are suitable experimental subjects for experiments on visual learning under VR conditions, which opens important perspectives for invasive studies on the neural and molecular bases of such learning given the robustness of these insects and the accessibility of their brain.

关键词： Bombus terrestris bumble bees interindividual size/weight differences reinforcement responses visual learning virtual reality

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The Study of the Influence of the Froude Criterion and of the Thermal Regime upon the Quality of the Granular Frozen Products by the Process of Fluidization

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Journal of Mechanics Engineering and Automation 2020年第4期10卷 120-127页

作者： Mihaela-gabriela Chirilă Technological High School“Simion Mehedinți” The Department of Food Science and EngineeringUniversity“Dunarea de Jos”GalaţiGalați 800344Romania

In the first part of the research,it was shown that the main factors that are responsible for the quality of the granular food products frozen using the fluidization method,are the size and the shape of the product that is exposed to the freezing by fluidization process,the heat transfer coefficients,the temperature,and the speed of the fluidization *** these factors are responsible for the size and the distribution of the ice crystals that are formed during the freezing *** qualitative characteristic that is modified after the freezing by fluidization process is the structural-textural stiffness.

关键词： Quality granular products fluidization thermal regime

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Interaction between Spermatozoa and the Different Epithelia along the Female Reproductive Tract of Mustelus schmitti

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Journal of Life Sciences 2015年第3期9卷 111-119页

作者： Femanda gabriela Elias Departamento de Biologia Bioquimica y Farmacia Universidad Nacional del Sur Bahia Blanca San Juan 670-8000 Argentina

The presence of sperm was observed in different organs of the reproductive tract of M. schmitti. These were the club, baffle and terminal zone of the oviducal gland, posterior portion of the uterus and in the cervix. This fact allowed for consideration not only its storage but its interaction with the female reproductive tract epithelia as well. SEM （microscopic observation studies） detected loose and sole spermatozoa in the club and baffle zones in a pregnant female. On the other hand, histochemical techniques showed sperm storage tubules of the terminal zone, which contain bundles of sperm, do not stain AB （alcian blue） or PAS （periodic acid schiff）. Disintegration of some of the male gametes was observed in the posterior part of the uterus with TEM （transmission electron microscopy） studies which would indicate a first uterine sperm selection. The uterine epithelial cells involved in this process showed an important level of secretion vacuoles suggesting an interaction with sperm cells. Sperm in the cervix was found without the matrix that constitutes the spermatozeugmata formed in the male tract. Some heads of the sperm were uncurled while they were interacting with the cervical cells.

关键词： Sperm uterine epithelium oviducal gland chondrichthyes.

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Environmental changes affect picoplanktonic composition in Antarctic Peninsula ponds

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Advances in Polar Science 2024年第1期35卷 108-122页

作者： Micaela DÍAZ Leonardo LAGOMARSINO gabriela MATALONI Marianela BELTRÁN Marcela LIBERTELLI Paulina FERMANI Laboratorio de Ecología Acuática INTECH-UNSAM-CONICETChascomús 7130Argentina Facultad de Ciencias Naturales y de la Salud UNPSJBComodoro Rivadavia 9000Argentina Laboratorio de Biodiversidad Limnología y Biología de la Conservación3IA-UNSAM-CONICETBuenos Aires 1650Argentina Departamento de Biología de Predadores Tope Instituto Antártico ArgentinoBuenos Aires 1650Argentina Laboratorio de Microbiología Ambiental IBIOMAR/CESIMAR-CENPAT-CONICETPuerto Madryn 9120Argentina

Antarctic Peninsula is experiencing one of the largest global warming events *** water bodies generated by the melting of snow in summer are numerous,and they might act as sentinels of climate change due to their rapid response and ability to integrate catchment *** in climate can influence the structure of microbial communities which dominate these freshwaters ***,we characterize three ponds at Cierva Point(Antarctic Peninsula)by examining their physico-chemical and morphological characteristics and we explored how different factors modify the structure of the microbial *** studied the abundance and biomass of heterotrophic bacteria,picocyanobacteria and picoeukaryote algae during January and February of two consecutive summers(2017 and 2018).We found that ponds had different limnological characteristics,due to their location,geomorphological features and presence of the surrounding flora and ***-chemical parameters as well as microbial community differed between ponds,months and *** 2017,most ponds were oligo to mesotrophic *** larger accumulated rainfall(as a result of environmental changes on the Antarctic Peninsula)during 2018,particularly in February,causes nutrient runoff into water *** affects those ponds with the highest seabird circulation,such as gentoo penguin,increasing *** a result,picoplanktonic abundances were higher,and the community structure shifts to a largely heterotrophic bacteria dominated *** results suggest that these communities could act as sentinels to environmental changes,anticipating a future with mostly hypertrophic ponds.

关键词： microorganisms freshwater environments climate change Cierva Point

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Electrocardiographic measures of repolarization dispersion and their relationships with echocardiographic indices of ventricular remodeling and premature ventricular beats in hypertension

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Journal of Geriatric Cardiology 2017年第12期14卷 717-724页

作者： Ana Ciobanu Gary Tse Tong Liu Maria V Deaconu gabriela S Gheorghe Adriana M Iliesiu Ioan T Nanea Department of Internal Medicine and Cardiology Theodor Burghele Clinical Hospital Carol Davila University of Medicine and Pharmacy Bucharest Romania Department of Medicine and Therapeutics Faculty of Medicine Chinese University of Hong Kong Hong Kong China Li Ka Shing Institute of Health Sci- ences Faculty of Medicine Chinese University of Hong Kong Hong Kong China Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease Department of Cardiology Tianjin Institute of Cardiology Second Hospital of Tianjin Medical University Tianjin China

Objective To examine the relationship between Tpeak- Tend interval （Tpe） and Tpe/QT ratio with occurrence of ventricular premature beats （VPBs） and left ventricular remodeling in hypertension. Methods A total of 52 patients with mild to moderate essential hypertension were included, undergoing echocardiography and 24-hours Holter monitoring. Ventricular remodeling was assessed by left ventricular mass index （LVMI） using the Devereux formula and diastolic fimction by transmitral E and A wave velocities and E/A ratio. Tpe was measured in the precordial leads. The end of the T wave was set by the method of the tangent to the steepest descending slope of the T wave. Results Tpe and Tpe/QT in leads V2 （r = 0.33, P = 0.01; r = 0.27, P = 0.04 respectively） and V3 （r = 0.40, P = 0.002; r = 0.40, P = 0.003, respectively） correlated significantly with LVMI. A significant inverse relationship was observed between E/A ratio and QT （r = -0.33, P = 0.01）, Tpe in V3 （r = -0.39, P = 0.003） and Tpe/QT in V3 （r = -0.31, P = 0.02）. Tpe in V3, V5, mean Tpe and maximum Tpe with cut-offvalues of 60 ms, 59 ms, 62 ms and 71 ms, respectively, associated with the occurrence of ventricular premature beats. Conclusions The repolarization parameters Tpe interval and Tpe/QT ratio correlate with LVMI and indices of left ventricular diastolic function and show better predictive values than traditional parameters such as QT interval and QT dispersion. Lead V3 is the best lead for measuring Tpe and Tpe/QT. These ECG indices can therefore be used in clinical practice to monitor LV remodeling and predict occurrence of VPBs.

关键词： Hypertension Repolarization Tpeak-Tend Ventricular remodeling

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Self-concept and Marketing Strategies

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Management Studies 2014年第4期2卷 269-276页

作者： gabriela ROZVADSKY GUGOVA Dubnica Institute of Technology Dubnicanad Vaihom Slovak Republic

This contribution of this paper is devoted to the research results in the field of self-expression and self-image of the individual in the world of information processing and cognition. Marketing strategies help make decisions that will help us to bring the subject to market activities. The current trend is a knowledge-based society, skills, abilities, information, storage, and transmission. Our marketing strategy focuses on four key issues： production, respectively service, price, distribution channels, and advertising. It is important to know how to develop an individual＇s current self-image. Implementation strategies are then engaged in transforming decisions into concrete action, meaning, and the decision has to be taken with regard to flexibility and acceptance. The sample consists of 4,420 respondents, men and women in three age groups： 0-15 years, 16-40 years, and 41-60 years. All responded to one question, ＂Where is your center？＂ Respondents had to show on their body. The question was chosen very sensitive, not to predict the answer. Terms soul, psyche, personality would be very manipulative, and therefore were excluded. In line with expectations, the majority of respondents have shown to their head, chest, and abdomen, but were also unconventional answers, in accordance with the preferred self-image and values of the individual. Lessons from research outputs were analyzed by the following processes： general description, item-total correlation, exploratory factor analysis of individual areas, and correlation analysis of individual items. It was found that medium correlations between area of body abdomen and age to 15 years were significant. Mean item-total correlation for areas of body were： Head was 0.35 and chest 0.43, and abdomen 0.22. In the descriptive statistics it was found that most respondents preferred the chest, followed by the head and abdomen. As for the distribution of respondents into three age groups, we found differences between men and wome

关键词： self-image self-concept self-expression somatization cognitive science value of human life marketing strategies customer behavior

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Convective drying of yellow discarded onion (Angaco INTA): Modelling of moisture loss kinetics and effect on phenolic compounds

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Information Processing in Agriculture 2020年第2期7卷 333-341页

作者： Marıa Celia Roman Maria Paula Fabani Lorena Celina Luna gabriela Egly Feresin German Mazza Rosa Rodriguez Instituto de Ingeniera Quımica-Grupo Vinculado al PROBIEN(CONICET-UNCo) Facultad de IngenierıaUniversidad Nacional de San JuanArgentina Instituto de Biotecnologıa Facultad de IngenierıaUniversidad Nacional de San JuanArgentina Instituto de Investigacio´n y Desarrollo en Ingenierıa de Procesos Biotecnologı´a y Energı´as AlternativasCONICET-Universidad Nacional del ComahueNeuquenArgentina

The Angaco INTA onion variety is the most cultivated and its production,mostly is destined for *** to their high-quality standards of these markets,many onions are *** drying process seems to be a promising solution that not only give added value to this product,but also extend shelf *** this work,the influence of convective drying process,at 60 and 70C,on the kinetic behavior,antioxidant activity,phenolic and flavonoid contents of discarded onion slices were *** that,the Angaco INTA onion is a variety genetically developed to have shorter cultivation times in this region;the phenolic compounds content in this onion variety,the drying kinetics and its influence on this content have never been *** this study,the phenolic compounds contributions to dehydrated product quality was evaluated,observing that the convective drying increased the total soluble phenolic and flavonoid contents and antioxidant properties for both temperatures,being highest at 70*** rehydration ratios were similar to the slices dried at 60 and 70*** models were used for describing the obtained drying curve equation of onion slices,being the Midilli’s model the one that presented the best ***’s model of water diffusion fitted all experimental data with acceptable correlation *** the achieved findings,70C is the optimum temperature to produce the dehydrated Angaco INTA onion.

关键词： Drying Antioxidant activity Phenolic content Kinetic model

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