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Comparative Study on Cerebral Processing among Elderly People with Either Intellectual or Mechanical Work Activities, by Means of Electroencephalographic Techniques

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journal of Behavioral and Brain Science 2020年第8期10卷 311-322页

作者： Arisson Euclides da Silva Leonardo Coelho de mendonça Silva Lousane Leonoura Alves Santos Diêgo Lucas Ramos e Silva Paulo josé Medeiros de Souza Costa Milton Vieira Costa josé Claudio da Silva Euclides Mauricio Trindade Filho State University of Health Sciences of Alagoas Biological Science Nucleus Maceió Brasil State University of Health Sciences of Alagoas Nucleus of Maternal Child and Adolescent Health Maceió Brasil

Background: The cognitive capacity is one of the determinants of quality of life in old age. In EEG, gamma rhythm represented electrical correlates of execution of cognitive activities. Objective: To compare the cortical areas activated during executive activities through the gamma rhythm (25 - 45 Hz) and the performance in the Frontal Assessment Battery (FAB) among older people who exercised intellectual and mechanical work during their lifetime. Methods: We compared the electroencephalographic record of the gamma rhythm potential (25 - 45 Hz) in the cortical quadrants during the execution of the FAB among 13 elderly people who exercised intellectual activity and 12 elderly people who performed mechanical work. Results: In the FAB, the intellectual group obtained a better performance with a mean score of 16.2/18, while the mechanical group obtained an average score of 14.9/18. Only a significant difference between groups was observed in the similarity test, with intellectual group leadership. There was no significant difference between groups in the overall analysis of gamma rhythm potential in the brain quadrants during the tests. Conclusion: Elderly people who performed intellectual activity performed better than the elderly who exercised mechanical work in the execution of the Frontal Evaluation Battery (FAB). There was a greater quantification of gamma rhythm in the group of elderly individuals who exercised intellectual activity, compared to those who exercised mechanical activity.

关键词： Electroencephalography Aged Gamma Rhythm

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Antibiotic prophylaxis to prevent complications in endoscopic retrograde cholangiopancreatography:A systematic review and meta-analysis of randomized controlled trials

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World journal of Gastrointestinal Endoscopy 2022年第11期14卷 718-730页

作者： Maria Fernanda Shinin Merchan Diogo Turiani Hourneaux de Moura Guilherme Henrique Peixoto de Oliveira Igor mendonça Proença Epifanio Silvino do Monte junior Edson Ide Caroline Moll Sergio A Sánchez-Luna Wanderley Marques Bernardo Eduardo Guimarães Hourneaux de Moura Department of Gastroenterology Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo 05403-010Brazil Department of Internal Medicine University of Alabama at Birmingham Heersink School of MedicineBirminghamAL 35233United States

BACKGROUND The prophylactic use of antibiotics in endoscopic retrograde cholangiopancreatography(ERCP)is still *** To assess whether antibiotic prophylaxis reduces the rates of complications in patients undergoing elective *** This systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines.A comprehensive search of multiple electronic databases was *** randomized controlled trials were *** outcomes analyzed included bacteremia,cholangitis,sepsis,pancreatitis,and *** risk of bias was assessed by the Cochrane revised Risk-of-Bias tool for randomized controlled *** quality of evidence was assessed by the Grading of Recommendation Assessment,Development,and ***-analysis was performed using the Review Manager 5.4 *** Ten randomized controlled trials with a total of 1757 patients that compared the use of antibiotic and non-antibiotic prophylaxis in patients undergoing elective ERCP were *** was no significant difference between groups regarding incidence of cholangitis after ERCP[risk difference(RD)=-0.02,95%confidence interval(CI):-0.05,0.02,P=0.32,cholangitis in patients with suspected biliary obstruction(RD=0.02,95%CI:-0.08 to 0.13,P=0.66),cholangitis on intravenous antibiotic prophylaxis(RD=-0.02,95%CI:-0.05 to 0.01,P=0.25),septicemia(RD=-0.02,95%CI:-0.06 to 0.01,P=0.25),pancreatitis(RD=-0.02,95%CI:-0.06 to 0.01,P=0.19),and allcause mortality(RD=0.00,95%CI:-0.01 to 0.01,P=0.71).However,the antibiotic prophylaxis group presented a 7%risk reduction in the incidence of bacteremia(RD=-0.07,95%CI:-0.14 to-0.01,P=0.03).CONCLUSION The prophylactic use of antibiotics in patients undergoing elective ERCP reduces the risk of bacteremia but does not appear to have an impact on the rates of cholangitis,septicemia,pancreatitis,and mortality.

关键词： Endoscopy Antibiotics Endoscopic retrograde cholangiopancreatography Cholangitis Infection

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Updates in the Diagnosis of Gestational Trophoblast Disease

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Health 2023年第1期15卷 48-58页

作者： Maira de Lima Oliveira Mota Marcela Curvêllo Beltrão Elizabeth Bacha Eduardo Fonseca Mascarenhas Filho Maísa mendonça de jesus Nelson Henriky Felix Mascarenhas Tallys Leandro Barbosa da Silva Maria Fernanda Telles Pires de Souza Victoria de Oliveira Carmo Borges Séfora Maria Fragoso Braga Centro Universitário Tiradentes (UNIT) Maceió Brasil Estácio de juazeiro do Norte (FMj) Ceará Brasil Universidade Federal de Alagoas (UFAL) Maceió Brasil Sã o Leopoldo Mandic Campinas Brasil Hospital Regional de Arapiraca Arapiraca Brasil

GTD (Gestational Trophoblastic Disease) is a pathology that encompasses benign and malignant clinical forms, affects women of childbearing age, has a variable incidence and is more frequent in developing or underdeveloped countries, colliding with the economic barrier. The frequent absence of clear protocols and guidelines for the correct diagnosis of the pathology results in inadequate classification, imprecise treatment and failed post-therapeutic observation, increasing the risk of relapses, morbidity and mortality. The present study aims to point out updated national and international practice protocols of diagnosis of GTD, through an integrative review. Seven articles were selected and it was observed that the main international reference centers are agreed with the management suggested by the IFGO (International Federation of Gynecology and Obstetrics), being the conduct in the Hydatidiform Mole (HM): evacuation by suction and curettage under ultrasound guidance, followed by hCG monitoring every 1 - 2 weeks until normalized (usually one month for Partial Hydatidiform Mole six months for Complete Hydatidiform Mole and one year for Gestational Trophoblastic Neoplasia). Unfortunately, regarding the diagnosis of MH, the guidelines of some countries show the absence or difficulty of access to the karyotype test and ploid p57 or pelvic ultrasound accompanying the uterine curettage, contrary to what is proposed by the IFGO guideline. Establishing and complying with consistent guidelines can improve patient care, with early diagnosis of the pathology and its complications, reducing the rate of recurrence, morbidity and mortality, especially in less developed countries.

关键词： Diagnosis Gestational Trophoblastic Disease Updates

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Duodenal subepithelial hyperechoic lesions of the third layer: Not always a lipoma

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World journal of Gastrointestinal Endoscopy 2013年第10期5卷 514-518页

作者： Pedro C Figueiredo Pedro Pinto-Marques Evelina mendona Pedro Oliveira Maria Brito David Serra Gastroenterology Department Hospital Garcia de OrtaAvenida Torrado da Silva Pathology Department Hospital da Luz Avenida Lusíada no100 Pathology Department Hospital Garcia de OrtaAvenida Torrado da Silva Gastroenterology Department Hospital da LuzAvenida Lusíada no100

Endoscopic ultrasonography is the most accurate procedure for the evaluation of subepithelial lesions. The finding of a homogeneous, hyperechoic, well-delimited lesion, originating from the third layer of the gastrointestinal tract(submucosa) suggests a benign tumor,generally lipoma. As other differential diagnoses have not been reported, echoendoscopists might not pursue a definitive pathological diagnosis or follow-up the patient. This case series aims to broaden the spectrum of differential diagnosis for duodenal hyperechoic third layer subepithelial lesions by providing four different and relevant pathologies with this echoendoscopic pattern.

关键词： Endoscopic ultrasonography Endoscopic ultrasound-guided fine needle aspiration Duodenum Subepithelial tumor Lipoma

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“百万美元神经”MR神经成像：首次正常和病理结果

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国际医学放射学杂志 2022年第2期 246-246页

作者： j.dos Santos Silva L.F.P.de Barros R.de Freitas Souza S.M.mendon ?a F.M.Costa j.A.Landeiro 麻足里伟

摘要目的前瞻性评价MR神经成像(MRN)在确定正中神经大鱼际肌支（TMB）（又称“百万美元神经”）解剖特征中的可行性。方法对13例腕管综合征（CTS）病人和4名健康

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超加工食品与全因死亡的关联:SUN前瞻性队列研究

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英国医学杂志中文版 2020年第1期23卷 3-3页

作者： Gómez-Donoso Clara Anaïs Rico-Campà Miguel A Martínez-González Ismael Alvarez-Alvarez Raquel de Deus mendonça Carmen de la Fuente-Arrillaga Clara Gómez-Donoso Maira Bes-Rastrollo 霍永丰(译) 不详中华医学杂志编辑部

目的评估食用超加工食品与全因死亡的关联。方法前瞻性队列研究。背景西班牙Seguimiento Universidad de Navarra(SUN)大学毕业生队列,1999-2018年。参与者1999年12月-2014年2月对19899位(女性12113位,男性7786位)年龄为20~91岁的受试... 详细信息

目的评估食用超加工食品与全因死亡的关联。方法前瞻性队列研究。背景西班牙Seguimiento Universidad de Navarra(SUN)大学毕业生队列,1999-2018年。参与者1999年12月-2014年2月对19899位(女性12113位,男性7786位)年龄为20~91岁的受试者的膳食和饮品消耗情况每2年进行1次随访,根据NOVA分级标准对食品的加工程度进行分类,利用已经确证的136项食品频率问卷进行评价。主要结局测量利用多变量Cox比例风险模型评估能量校正的超加工食品食用量(分为4个水平:低、中低、中高、高)与全因死亡的关系。结果在全部200432人年的随访期间发生了335例死亡。与食用低水平超加工食品的受试者相比,食用高水平超加工食品的受试者其全因死亡的风险较高(多变量校正危险比为1.62,95%可信区间为1.13~2.33),并且具有显著剂量依赖性(趋势P=0.005)。每多吃一份超加工食品,其全因死亡的风险相比增加18%(校正危险比为1.18,95%可信区间为1.05~1.33)。结论食用较多超加工食品(每日大于4份)与全因死亡风险提高62%独立相关。而每多吃一份超加工食品,全因死亡的风险增加18%。研究注册*** NCT02669602。

关键词： Cox比例风险模型食用量消耗情况多变量校正加工程度可信区间分级标准加工食品

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经济困境中广告代理的出路

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中国广告 2009年第3期 66-66页

作者： Robert Senior Grégoire Champetier Nikki mendona Florian Lang SSF集团麦当劳 OMD Kassius(WPP) Igor Lutz

在现在全球经济衰退的情况下，我们不知道一切是否会往积极的一面发展。这个时期，人们都非常关注投资的有效性，要做出各种各样的选择，首要的是要根据顾客的需求，注重差异性。做强势品牌还是其他品牌，都必须要作出选择。

关键词：广告代理经济困境全球经济衰退强势品牌有效性差异性投资常关

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