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Extrahepatic cholestasis associated with paracoccidioidomycosis:Challenges in the differential diagnosis of biliopancreatic neoplasia

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World Journal of Gastrointestinal Oncology 2024年第6期16卷 2531-2540页

作者： Jose Sebastiao dos Santos Vitor de Moura Arrais William Jose Rosseto Ferreira Ricardo Ribeiro Correa Filho Mariangela Ottoboni Brunaldi Rafael Kemp Ajith Kumar Sankanrakutty jorge elias junior Fernando Bellissimo-Rodrigues Roberto Martinez Edson Zangiacomi Martinez Jose Celso Ardengh Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP) Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de PatologiaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Imagens MédicasHematologia e Oncologia ClínicaRibeirao Preto 14048900Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Medicina SocialRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Clínica MédicaRibeirao Preto 14015-010Sao PauloBrazil Universidade de Sao Paulo Faculdade de Medicina de Ribeirao Preto da Universidade de Sao Paulo(FMRP-USP)Departamento de Cirurgia e AnatomiaRibeirao Preto 14049-900Sao PauloBrazil and Hospital MoriahServico de Endoscopia DigestivaSao Paulo 04084-002Sao PauloBrazil

BACKGROUND Paracoccidioidomycosis(PCM)may involve the hepatic pedicle and peripan creatic lymph nodes,cause damage to the bile duct and manifest,exceptionally,in combination with extrahepatic cholestasis(EHC),making investigation and treatment *** To investigate the management of patients with visceral PCM admitted with *** All patients diagnosed with PCM treated in a public,tertiary teaching hospital between 1982 and 2020 were retrospectively *** also identified with EHC were allocated to two groups according to the treatment approach for the purpose of comparing clinical,laboratory,and imaging findings,resources used for etiological diagnosis,treatment results,and *** analyses were performed using the linear mixed-effects model(random and fixed effects),which was adjusted using the PROC MIXED procedure of the SAS®9.0 software,and Fisher’s exact *** Of 1645 patients diagnosed with PCM,40(2.4%)had *** these,20(50.0%)lived in the rural area and 29(72.5%)were men,with a mean age of 27.1 years(3-65 years).Jaundice as first symptom and weight loss of at least 10 kg were observed in 16 patients(40.0%),and a mass in the head of the pancreas was observed in 8(20.0%).The etiological diagnosis was made by tissue collection during surgery in 4 cases(10.0%)and by endoscopic methods in 3 cases(7.5%).Twenty-seven patients(67.5%)received drug treatment alone(Group 1),whereas 13(32.5%)underwent endoscopic and/or surgical procedures in combination with drug treatment(Group 2).EHC was significantly reduced in both groups(40.7% in Group 1,with a mean time of 3 months;and 38.4% in Group 2,with a mean time of 7.5 months),with no statistically significant difference between *** recurrence rates,associated mainly with treatment nonadherence,were similar in both groups:37% in Group 1 and 15.4% in Group *** mortality rate was 18.5% in Group 1 and 23% in Group 2,with survival estimates of 71.3% and 72.5%,respectively,with

关键词： Cholestasis Jaundice Obstructive Blastomycosis Paracoccidioides Diagnosis Treatment

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Low-Cost and Biodegradable Thermoelectric Devices Based on van der Waals Semiconductors on Paper Substrates

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Energy & Environmental Materials 2024年第1期7卷 201-206页

作者： Gulsum Ersu Carmen Munuera Federico J.Mompean Daniel Vaquero jorge Quereda João elias F.S.Rodrigues Jose A.Alonso Eduardo Flores Jose R.Ares Isabel J.Ferrer Abdullah M.Al-Enizi Ayman Nafady Sruthi Kuriakose Joshua O.Island Andres Castellanos-Gomez Materials Science Factory Instituto de Ciencia de Materiales de Madrid(ICMM-CSIC)Madrid E-28049Spain Nanotechnology Group USAL-NanolabUnivesidad de SalamancaSalamanca Junta de Castilla y León 37007Spain GISC Departamento de Física de MaterialesUniversidad Complutense de MadridMadrid E-28040Spain Departamento de Física Aplicada Centro de Investigación y Estudios AvanzadosMérida 97310Mexico MIRE Group Departamento de Física de MaterialesUniversidad Autónoma de MadridMadrid E-28049Spain Instituto Nicolás Cabrera Universidad Autónoma de MadridMadrid E-28049Spain Department of Chemistry College of ScienceKing Saud UniversityRiyadh 11451Saudi Arabia Department of Physics and Astronomy University of Nevada Las VegasLas Vegas NV 89154USA

We present a method to fabricate handcrafted thermoelectric devices on standard office paper *** devices are based on thin films of WS_(2),Te,and BP(P-type semiconductors)and TiS_(3)and TiS_(2)(N-type semiconductors),deposited by simply rubbing powder of these materials against *** thermoelectric properties of these semiconducting films revealed maximum Seebeck coefficients of(+1.32±0.27)mV K^(-1)and(-0.82±0.15)mV K^(-1)for WS_(2)and TiS_(3),***,Peltier elements were fabricated by interconnecting the P-and N-type films with graphite electrodes.A thermopower value up to 6.11 mV K^(-1)was obtained when the Peltier element were constructed with three *** findings of this work show proof-of-concept devices to illustrate the potential application of semiconducting van der Waals materials in future thermoelectric power generation as well as temperature sensing for low-cost disposable electronic devices.

关键词： paper-based electronics Seebeck effect semiconductors thermoelectrics van der Waals materials

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Calculations of Optical Rotation from Density Functional Theory

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Chinese Physics Letters 2007年第5期24卷 1207-1209页

作者： Antǒnio Canal Neto Francisco elias jorge Departamento de Fisica Universidade Federal do Espírito Santo 29060-900 Vitória ES Brazil

Density function theory calculations of frequency-dependent optical rotations [α]ω for three rigid chiral molecules are reported. Calculations have been carried out at the sodium D line frequency, using the ADZP basis set and a wide variety of functionals. Gauge-invariant atomic orbitals are used to guarantee origin-independent values of [ω]D. In addition, study of geometry dependence of [ω]D is reported. Using the geometries optimized at the B3LYP/ADZP level, the mean absolute deviation of B3LYP/ADZP and experimental laiD values yields 60.1°/（dm g/cm^3）. According to our knowledge, this value has not been achieved until now with any other model.

关键词： MOLECULAR WAVE-FUNCTIONS BASIS-SETS MP2 HF

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Conservative management of cholestasis with and without fever in acute biliary pancreatitis

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World Journal of Gastrointestinal Surgery 2012年第3期4卷 55-61页

作者： JoséSebastio Santos Rafael Kemp JoséCelso Ardengh jorge elias Jr Division of Digestive Surgery Department of Surgery and AnatomyFaculty of Medicine of Ribeiro PretoUniversity of So Paulo Department of Internal Medicine Faculty of Medicine of Ribeiro PretoUniversity of So Paulo

The presence of cholestasis in both mild and severe forms of acute biliary pancreatitis(ABP)does not justify,of itself,early endoscopic retrograde cholangiography(ERC)or endoscopic sphincterotomy(ES).Clinical support treatment of acute pancreatitis for one to two weeks is usually accompanied by regression of pancreatic edema,of cholestasis and by stone migration to the duodenum in 60%-88%of *** the other hand,in cases with both cholestasis and fever,a condition usually characterized as ABP associated with cholangitis,early ES is normally ***,in daily clinical practice,it is practically impossible to guarantee the coexistence of cholangitis and mild or severe acute ***,fever and cholestasis,as well as mental confusion and hypotension,may be attributed to inflammatory and necrotic events related to ABP. Under these circumstances,evaluation of the bile duct by endo-ultrasonography(EUS)or magnetic resonance cholangiography(MRC)before performing ERC and ES seems ***,it is necessary to assess the effects of the association between early and opportune access to the treatment of local and systemic inflammatory/infectious effects of ABP with cholestasis and fever, and to characterize the possible scenarios and the subsequent approaches to the common bile duct,directed by less invasive examinations such as MRC or EUS.

关键词： Biliary pancreatitis Cholestasis Endoscopic sphincterotomy Cholangitis Mortality Magnetic resonance cholangiopancreatography Endoscopic retrograde cholangiography Endoscopic ultrasonography Intensive care Health system regulation

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Size Distribution of Particulate Matter of Metals in Urban Aerosols, Comarca Lagunera, Mexico

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Journal of Environmental Science and Engineering(A) 2012年第11期1卷 1260-1266页

作者： Roman Perez Sylvia Miranda Alfredo Campos jorge Carrillo elias Ramirez Gonzalo Garcia Herrera Renewable Energy and Environmental Protection Department Research Center on Advanced Materials C.S. (CIMAV)Chihuahua 31109 Mexico Faculty of Medicine Ju6rez University of Durango State Durango 35050 M~xico

This paper has demonstrated that there is great variation in the size range and chemical composition of metalliferous PM （particulate matter） present within Comarca Lagunera, M6xico due to the physiography of the terrain together the intense vehicular traffic, unpaved roads, cement and lime plants, marble quarries, brick plants, and the largest smelter of non-ferrous material in Latin America. Cascade impactor PM samples from six size ranges：〈 0.49 μm, 0.49-0.9 μm, 0.9-1.5μm, 1.5-3.0 p.m, 3.0-7.2 μm and 7.2-10 μm were collected from inside two stacks within G6mez Palacios and Torreon cities. ICP-AES （inductively coupled plasma-atomic emission spectrometry） analysis on collected Whatman fiberglass filters demonstrates that the PM are matrices mostly constituted of carbonates and silicates with abundant fine metalliferous particles. The metals with the most concentrations averaged over all size ranges were Cu, Fe, Mn, Ni, Pb and Ti. The size distributions of metals detected in this work have been plotted as normalized histogram concentration of each size fraction, the total concentration, and the aerodynamic particle diameter, which is a useful method for comparing the contributions of coarse and fine particles to pollutant concentrations.

关键词： Size distribution cascade impactor metals Comarca Lagunera Mexico ICP-AES.

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Ecological Costs Applied in the Bleaching of Cotton： A Study for an Optimized Process

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Journal of Chemistry and Chemical Engineering 2013年第7期7卷 633-636页

作者： Rosa jorge Marcos Tambourgi elias Basile Santana Jose Carlo Curvelo Carmo Renee Simoes Argolo Arafjo Mauricio de Campos College of Chemistry Engineering State University of Campinas Sao Paulo 03008-020 Brazil Post Graduation Department College of Technology Antoine Skaf Sao Paulo 03008-202 Brazil Production Engineering Post Graduation Program Nine o f July University Sao Paulo 5001-100 Brazil Textile and Fashion Post Graduation Program Sao Paulo University S6o Paulo 03828-000 Brazil

The aim of this paper was to study three variables in hydrogen peroxide bleaching of cotton fabrics： the amount of hydrogen peroxide （H2O2）, peroxide stabilizer （Na2SiO3） and the process temperature. The factorial planning of two levels and three factors was done in order to obtain an optimized recipe for subsequent comparison with commons recipes used in industry. Were evaluated the brightness （DL）, energy consumption （dQ）, H2O2 residual （Rox）, processing time and ecological costs.

关键词： Cotton bleaching factorial planning ecological costs.

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Assessment of the Total Organic Carbon and Conductivity in Consecutive Dyeings with Reactive Dyestuffs Using Treated Effluent by UV/H202 Photocatalysis

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Journal of Chemistry and Chemical Engineering 2014年第2期8卷 139-144页

作者： Leite Adilson da SilvaI Barco Luiz Trindade Nelson Barros Araujo Mauricio de Campos Rosa jorge Marcos Tambourgi elias Basile Santana José Carlos Curvelo Chemical Textile Post Graduation Department College of Technology SENAI Antoine Skaf $6o Paulo 03008-020 Brazil Textile and Fashion Post Graduation Program S6o Paulo University S6o Paulo 03828-000 Brazil College of Chemical Engineering State University of Campinas Campinas 13083-852 Brazil Production Engineering Post Graduation Program Nove de Julho University Sao Paulo 05001-100 Brazil

The paper was monitored the conductivity （g.L＂l of NaCI）, the absorbances values （Abs） and the amount of TOC （total organic carbon）, before and after five consecutive dyeings made with reuse water, obtained from treated effluent by UV/H202 photocatalysis. All rates of decolorization were above 92%, the removal of total organic carbon was above 89% in all treatments and the economy of NaCI was from 3.10 in the first recipe, 3.17 in the second, 3.49 in the third, 3.79 in the fourth and 4.05 in the fifth recipe. The five dyeings compared with same dyeings made with deionized water presented a color deviation （AE＊） below 1. The conventional dyeings would consume 80 L/kg against 40 L/kg used in the dyeing process proposed in this study, representing a great economy of water, with no discharge of effluents.

关键词： Conductivity reactive dyestuffs reuse of water photocatalysis textile effluent.

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IMT504: A New and Potent Adjuvant for Rabies Vaccines Permitting Significant Dose Sparing

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World Journal of Vaccines 2012年第4期2卷 182-188页

作者： Alejandro D. Montaner Analia De Nichilo Juan M. Rodriguez Andres Hernando-Insua Juan Fló Ricardo A. Lopez Verónica Sierra Claudio Paolazzi Oscar Larghi David L. Horn jorge Zorzopulos Fernanda elias David Horn LLC Doylestown PA USA. Immunotech S.A. Buenos Aires Argentina Instituto de Investigaciones Biomédicas Fundación Pablo Cassará Buenos Aires Argentina Instituto San jorge Bagó Buenos Aires Argentina Instituto San jorge Bagó Buenos Aires Argentina. nstituto de Investigaciones Biomédicas Fundación Pablo Cassará Buenos Aires Argentina

Background: Rabies virus infection causes encephalitis, which is almost always fatal. Vaccination can be extremely effective at preventing disease but is prohibitively costly. Vaccine formulations allowing dose-sparing and fewer inoculations with faster antibody response would be extremely desirable. IMT504, an immunostimulatory non-CpG oligo-deoxynucleotide, is a highly potent vaccine adjuvant. Methods: Human and rat antibody measurements, and rat chal-lenge studies were performed. Results: In rats, highly effective immune responses with IMT504 were observed even after diluting vaccine up to 1/625. In highly lethal, live intracerebral rabies challenge studies, protection occurred even with extremely dilute vaccine plus IMT504. In humans, antibody titers developed faster and were significantly higher with IMT504-adjuvanted diluted vaccine vs non-adjuvanted vaccine (full strength or diluted). All five administered IMT504-adjuvanted diluted vaccine reached protective antibodies (≥0.5 IU/ml) after the second injection. After the third injection, individuals receiving IMT504-adjuvanted diluted vaccine reached levels approximately 10 times higher than controls (M ± SEM: 31.0 ± 10.9 vs 3.40 ± 0.99 IU/ml). Conclusions: These data suggest that IMT504 may allow fewer inoculations, highly significant dose-sparing of vaccine, rapid antibody production and protection from rabies. Extensive clinical studies are necessary to confirm if the use of IMT504 will permit significantly greater access to highly effective life-saving rabies vaccines.

关键词： IMT504 Adjuvant Rabies Vaccine Human Animal

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Alginate modifies the physiological impact of CeO2nanoparticles in corn seedlings cultivated in soil

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Journal of Environmental Sciences 2014年第2期26卷 382-389页

作者： Lijuan Zhao Jose R.Peralta-Videa Bo Peng Susmita Bandyopadhyay Baltazar Corral-Diaz Pedro Osuna-Avila Milka O.Montes Arturo A.Keller jorge L.Gardea-Torresdey Chemistry Department The University of Texas at El Paso 500 West University Avenue University of California Center for Environmental Implications of Nanotechnology The University of Texas at El Paso 500 West University Avenue Environmental Science and Engineering PhD program The University of Texas at El Paso 500 West University Avenue Department of Biological Sciences The University of Texas at El Paso 500 West University Avenue Universidad Aut'onoma De Ciudad Ju'arez Plutarco Elias Calles # 1210 Fovissste Chamizal. Ciudad Juarez Chihuahua 32310 Mexico Chemistry Department University of Texas of the Permian Basin Odessa Bren School of Environmental Sciences and Management 3420 Bren Hall University of California

Alginates are naturally occurring components of organic matter in natural soil whose effects on nanoparticle （NP） toxicity to plants is not well understood. In the present study, corn plants were grown for one month in soil spiked with 400 mg/kg CeO2 NPs with various alginate concentrations. After one month of growth in the NPs impacted soil, plants were harvested and analyzed for Ce and mineral element concentrations. Chlorophyll concentration and heat shock protein 70, used as biomarkers for oxidative stress, were also evaluated. Results showed that, compared to CeO2 NPs treatment, alginate at 10, 50, and 100 mg/kg increased Ce concentration in roots by approximately 46%, 38%, and 29% and by 115%, 45%, and 56% in shoots, respectively. CeO 2 NPs without alginate increased Mn accumulation in roots by 34% compared to control. CeO2 NPs with low and medium alginate increased Mn by ca. 92% respect to NPs without alginate and by ca. 155% respect to control. CeO2 NPs without/with alginate significantly increased accumulation of Fe and Al in roots. In addition, alginate at 50 mg/kg increased Zn accumulation in roots by 52% compared to control. In shoots, K increased at all NP treatments but the accumulation of other elements was not affected. Alginate enlarged the impact of CeO2 NPs to corn plants by reducing chlorophyll a content and triggering overexpression of heat shock protein 70.

关键词： CeO2 NPs alginate nutrient uptake chlorophyll heat shock protein

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Mitigation of Mycotoxins during Food Processing:Sharing Experience among Europe and South East Asia

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粮油食品科技 2021年第6期29卷 59-70页

作者： Paula Alvito Jonathan Barcelo Johan De Meester elias Rito Michele Suman Food and Nutrition Department National Institute of Health Dr.Ricardo JorgeAvenida Padre Cruz1649-016 LisboaPortugal CESAM Centre for Environmental and Marine StudiesUniversity of AveiroCampus Universitário de Santiago3810-193 AveiroPortugal School of Natural Sciences Saint Louis UniversityBonifacio StreetBaguio CityPhilippines Cargill R&D Centre Europe Havenstraat 84B-1800 VilvoordeBelgium European Association of Chemical Distributors Rue du Luxembourg16B 1000 BrusselsBelgium Barilla SpA-Advanced Research Laboratory via Mantova 166-43122 ParmaItaly

Worldwide the issue of mycotoxins results in economic losses estimated at billions of dollars and toxicological risk for both humans and *** measures also include decontamination and mitigation actions that can be carried out through food *** proposals have been tested and illustrated also in scientific papers during the last decades,however clear,easy to implement,practical suggestions and guidelines for process adaptation are much more *** and South East Asia can find synergies and complementarities moving from processing to analysis,from risk assessment to reduction strategies,from gap-analysis to communication *** from both Europe and Southeast Asia must then ensure that there is a way to ease and harmonize the regulation in the food supply chain in order to ensure food safety and at the same time facilitate trade in both regions,taking into account of the various landscapes,agrosystems and also different consumer preferences within the countries *** the example of cereals,processing steps cover primary processing(cleaning and milling operations)and secondary processing procedures(such as fermentation and thermal treatments during baking),special attention is devoted to the production of baked goods and to the estimation of processing factors for DON in wheat bread production especially in *** reference instead to the specific context of Asian producers,a case-study focuses on ochratoxin A in coffee in Southeast Asia region,combining the expertise of the farming community,coffee industry and science *** strategy to reduce mycotoxins in a farm setting poses several challenges to coffee farmers:it needs to be analyzed in the context of good agricultural practices,socioeconomic and behavioral factors of both coffee producers and *** the world becomes more globalized,food and feed supply chains also become more complexed and hence,a more comprehensive strategy to

关键词： mitigation food processing mycotoxins cereals coffee Europe South East Asia

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