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Challenges in the diagnosis and treatment of gestational trophoblastic neoplasia worldwide

World Journal of Clinical Oncology 2019年第2期10卷 28-37页

作者： Antonio Braga Paulo Mora Andréia Cristina de Melo Angélica Nogueira-Rodrigues Joffre Amim-Junior jorge rezende-filho Michael J Seckl Postgraduate Program of Medical Sciences Fluminense Federal University Department of Gynecology and Obstetrics Faculty of Medicine Rio de Janeiro Federal University Postgraduate Program of Perinatal Health Maternity School Brazilian National Cancer Hospital do Cancer 2 Department of Internal Medicine Faculty of Medicine Minas Gerais Federal University Department of Medical Oncology Charing Cross Gestational Trophoblastic Disease Centre Charing Cross Hospital Imperial College London

Gestational trophoblastic neoplasia(GTN) is a rare tumor that originates from pregnancy that includes invasive mole, choriocarcinoma(CCA), placental site trophoblastic tumor and epithelioid trophoblastic tumor(PSTT/ETT). GTN presents different degrees of proliferation, invasion and dissemination, but, if treated in reference centers, has high cure rates, even in multi-metastatic *** diagnosis of GTN following a hydatidiform molar pregnancy is made according to the International Federation of Gynecology and Obstetrics(FIGO)2000 criteria: four or more plateaued human chorionic gonadotropin(hCG)concentrations over three weeks; rise in hCG for three consecutive weekly measurements over at least a period of 2 weeks or more; and an elevated but falling hCG concentrations six or more months after molar evacuation. However,the latter reason for treatment is no longer used by many centers. In addition,GTN is diagnosed with a pathological diagnosis of CCA or PSTT/ETT. For staging after a molar pregnancy, FIGO recommends pelvic-transvaginal Doppler ultrasound and chest X-ray. In cases of pulmonary metastases with more than 1cm, the screening should be complemented with chest computed tomography and brain magnetic resonance image. Single agent chemotherapy, usually Methotrexate(MTX) or Actinomycin-D(Act-D), can cure about 70% of patients with FIGO/World Health Organization(WHO) prognosis risk score ≤ 6(low risk), reserving multiple agent chemotherapy, such as EMA/CO(Etoposide,MTX, Act-D, Cyclophosphamide and Oncovin) for cases with FIGO/WHO prognosis risk score ≥ 7(high risk) that is often metastatic. Best overall cure rates for low and high risk disease is close to 100% and > 95%, respectively. The management of PSTT/ETT differs and cure rates tend to be a bit lower. The early diagnosis of this disease and the appropriate treatment avoid maternal death,allow the healing and maintenance of the reproductive potential of these women.

关键词： Gestational trophoblastic neoplasia Chemotherapy Chorionic gonadotropin Invasive mole Choriocarcinoma Placental site trophoblastic tumor Epithelioid trophoblastic tumor

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香椿的树木年轮宽度与超年生殖行为的相互关系:对树轮学研究的警示

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Journal of Plant Ecology 2024年第1期17卷 165-171页

作者： Monique Silva Costa Thaís jorge de Vasconcellos Claudio Sergio Lisi Arno Fritz Neves Brandes Mario Tomazello-filho Cátia Henriques Callado Instituto de Aplicação Fernando Rodrigues da Silveira Universidade do Estado do Rio de JaneiroRua Barão de Itapagipe96.Rio Comprido 20261-005Rio de JaneiroBrazil Laboratório de Anatomia Vegetal Universidade do Estado do Rio de JaneiroRua São Francisco Xavier524Maracanã20550-013Rio de JaneiroBrazil Departamento de Biologia Universidade Federal de SergipeAv.Marechal Rondon s/n-Rosa Elze.São Cristóvão 49100-000SergipeBrazil Departamento de Biologia Geral Universidade Federal FluminenseRua Prof.Marcos Waldemar de Freitas ReisS/N.Gragoatá24210-201Rio de JaneiroBrazil Escola Superior de Agricultura Luiz de Queiroz Universidade de São PauloAv.Pádua Dias11.Piracicaba 13418-900São PauloBrazil

资源分配到生殖过程涉及到生态和进化因素,可能会减少植物的营养生长。这种相互关系在自然界中不容易观察到,因为有许多参数可以限制生殖结构的产生或生物量的增加。我们将香椿(Cedrela odorata L.,楝科)在里约热内卢州大西洋森林中的... 详细信息

资源分配到生殖过程涉及到生态和进化因素,可能会减少植物的营养生长。这种相互关系在自然界中不容易观察到,因为有许多参数可以限制生殖结构的产生或生物量的增加。我们将香椿(Cedrela odorata L.,楝科)在里约热内卢州大西洋森林中的树木年轮宽度与超年生殖行为相关联。总体而言,生殖结构的发育发生在湿润的年份,在生长季初期没有出现水分亏缺。然而,在这些年份,树木年轮宽度较小。这些结果可能与树木年轮宽度与当地气候之间缺乏相关性有关。因此,我们强调在径向生长研究中纳入生殖数据的重要性,以扩大对热带森林生长变异性的理解。

关键词：植物生长策略树木年轮学树木生态学生殖权衡

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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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Metamorphic disturbances of magnetite chemistry and the Sm-Nd isotopic system of reworked Archean iron formations from NE Brazil

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Geoscience Frontiers 2022年第5期13卷 227-241页

作者： Joice Dias de Moraes Pedro Cordeiro Eduardo Abrahão filho Juliana rezende Oliveira Carlos Victor Rios da Silva filho Instituto de Geociências Universidade de Brasília(UnB)70910-900 BrasíliaDFBrazil Department of Mining Engineering Pontifical Catholic University of Chile7820436 SantiagoChile

Iron formations are valuable archives of sedimentary conditions and post-depositional ***,geochemical proxies commonly used to determine genetic characteristics can be variably modified during metamorphism and deformation,hampering their use as records of regional geological *** work focuses on strongly reworked magnetite-quartz-rich rocks from the São Josédo Campestre Massif,one of the oldest fragments of preserved crust in South *** genetic classification of these magnetite-quartz-rich rocks is not straightforward because primary assemblages and textures were variably modified by granulite facies metamorphism during a regional Paleoproterozoic migmatization *** address genetic ambiguities,we analyzed their magnetite and pyroxene chemistry,wholerock geochemistry,and Sm-Nd *** chemistry indicates that pyroxene-poor iron formations(Type B)are low in trace elements such as Ti,Al,V,and Mn,suggesting a chemical similarity to iron formations *** contrast,magnetites from pyroxene-enriched Type A iron formations are rich in trace elements and more akin to magnetite crystallized from higher temperature systems,such as skarn and ***^(147)Sm/^(144)Nd of these rocks show substantial variation even at the outcrop scale,indicating a locally-controlled,highly heterogeneous mixture of Archean,Paleoproterozoic,and Neoproterozoic ***,our geochemical tools point out to heterogenous signatures of these magnetitequartz rocks and proxies compatible with both low and high-temperature conditions and age of deposition spanning sources from the Archean to the *** interpret that the studied São Josédo Campestre magnetite-quartz rocks represent Archean iron formations with original magnetite chemistry and isotopic signatures variably modified by metamorphism and by at least one deformation-related hydrothermal *** results contrast with similar examples from China and Greenland where iron formation

关键词： Metamorphic disturbances of magnetite chemistry and the Sm-Nd isotopic system of reworked Archean iron formations from NE Brazil

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An Endogenous Feedback and Entropy Analysis in Machine Learning Model for Stock’s Return Forecast

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Intelligent Automation & Soft Computing 2023年第6期36卷 3175-3190页

作者： Edson Vinicius Pontes Bastos jorge Junio Moreira Antunes Lino Guimaraes Marujo Peter Fernandes Wanke Roberto Ivo da Rocha Lima filho Instituto Alberto Luiz Coimbra de Pos-Graduação e Pesquisa de Engenharia-COPPE Universidade Federal do Rio de Janeiro(UFRJ)Rio de Janeiro21941-598Brasil Instituto de Pos-Graduacao em Administracao-Coppead Universidade Federal do Rio de Janeiro(UFRJ)21941-918Brasil

Stock markets exhibit Brownian movement with random,non-linear,uncertain,evolutionary,non-parametric,nebulous,chaotic characteristics and dynamism with a high degree of *** an algorithm to predict returns for decision-making is a challenging *** addition,the choice of vari-ables that will serve as input to the model represents a non-triviality,since it is possible to observe endogeneity problems between the predictor and the predicted ***,the goal is to analyze the endogenous origin of the stock return prediction model based on technical *** this,we structure a feed-for-ward neural *** evaluate the endogenous feedback between the pre-dicted returns and technical analysis indicators based on the generated *** is possible to predict the *** high accuracy of the model indicates that,during the test period,there is a hit rate close to 76%.Regarding endogeneity,the term of interest and the return are the variables that influence the largest number of *** results will help investors build investment strategies based on this expert system applied to forecasting.

关键词： Forecast endogeneity neural networks differential evolution stochastic optimization

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Maize heat shock proteins-prospection,validation,categorization and in silico analysis of the different ZmHSP families

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Stress Biology 2023年第1期3卷 403-423页

作者： Rubens Diogo-Jr. Edila Vilela de Resende Von Pinho Renan Terassi Pinto Lingrui Zhang jorge Alberto Condori-Apfata Paula Andrade Pereira Danielle rezende Vilela Department of Horticulture and Landscape Architecture Purdue UniversityWest LafayetteIN(47907)USA Department of Agriculture Federal University of Lavras(UFLA)LavrasMG(37200-900)Brazil Faculty of Philosophy and Sciences at Ribeirao Preto University of Sao Paulo(USP)Ribeirao PretoSP(14040-901)Brazil Faculty of Engineering and Agricultural Sciences Universidad Nacional Toribio Rodriguez de Mendoza de Amazonas(UNTRM)ChachapoyasAM(01001)Peru

Among the plant molecular mechanisms capable of effectively mitigating the effects of adverse weather conditions,the heat shock proteins(HSPs),a group of chaperones with multiple functions,stand *** a time of full progress on the omic sciences,they look very promising in the genetic engineering field,especially in order to conceive superior genotypes,potentially tolerant to abiotic stresses(AbSts).Recently,some works concerning certain families of maize HSPs(ZmHSPs)were ***,there was still a lack of a study that,with a high degree of criteria,would fully conglomerate *** distinct but complementary strategies,we have prospected as many ZmHSPs candidates as possible,gathering more than a thousand *** detailed data mining,we accounted for 182 validated ones,belonging to seven families,which were subcategorized into classes with potential for functional *** them,we identified dozens of motifs with some degree of similarity with proteins from different kingdoms,which may help explain some of their still poorly understood means of *** in silico and in vitro approaches,we compared their expression levels after controlled exposure to several AbSts’sources,applied at diverse tissues,on varied phenological *** on gene ontology concepts,we still analyzed them from different perspectives of term *** have also searched,in model plants and close species,for potentially orthologous *** all these new insights,which culminated in a plentiful supplementary material,rich in tables,we aim to constitute a fertile consultation source for those maize researchers attracted by these interesting stress proteins.

关键词： Biotechnology Genomics Corn Stress Drought Compendium

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Diurnal Cycle of Heating and Water Vapor in the Metropolitan Area of Porto in Portugal

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Journal of Geographic Information System 2022年第1期14卷 61-77页

作者： Hugo Abi Karam jorge Fernando Soares Gonçalves Augusto José Pereira filho Departamento de Meteorologia Instituto de Geociências Universidade Federal do Rio de Janeiro (IGEO-UFRJ) Rio de Janeiro Brazil IBERMETEO Coimbra Portugal Departamento de Ciências Atmosféricas Instituto de Astronomia Geofísica e Ciências Atmosféricas Universidade de S&#227 o Paulo (IAG-USP) S&#227 o Paulo Brazil

In this work, it is investigated the Urban Heat Island (UHI) using conservative thermodynamic variables observed by surface weather stations on the Metropolitan Area of Porto (Oporto) in Portugal, under adiabatic conditions at the surface. These conditions are usually present and associated with the development of a mixture layer into the diurnal Convective Boundary Layer (CBL), which residual layer in the late afternoon defines the initial state for the development of the nocturnal UHI. Both the spatial structure and temporal variation of potential temperature and specific humidity were considered, along the hours and days of the year, from a statistical point of view, resulting in hourly climatology. Details of the hourly evolution of the meteorological variables on the Oporto surface are presented and discussed. Results show a seasonal variation of the potential temperature up to 17°C throughout the year, which is associated with horizontal thermal gradients that can control and trigger mesoscale circulations such as sea-land, urban and valley-mountain breezes.

关键词： Metropolitan Area of Porto (Oporto) Climatology Urban Heat Island Development Urban Boundary Layer Mesoscale Atmospheric Circulations

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Loss of the BRCA1-PALB2 interaction accelerates p53-associated tumor development in mice

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Genes & Diseases 2022年第3期9卷 807-813页

作者： Amar H.Mahdi Yanying Huo Ying Chen Pier Selenica Anchal Sharma Elise Merritt Nicola Barnard Chang Chan Shridar Ganesan jorge S.Reis-filho Britta Weigelt Subhajyoti De Bing Xia Rutgers Cancer Institute of New Jersey New BrunswickNJ 08903USA Department of Radiation Oncology Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNJ 08903USA Department of Pathology Memorial Sloan Kettering Cancer CenterNew YorkNY 10065USA Department of Pathology and Laboratory Medicine Rutgers Robert Wood Johnson Medical SchoolNew BrunswickNJ 08901USA

The BRCA1-PALB2-BRCA2 axis,or the BRCA pathway,plays key roles in genome stability maintenance and suppression of breast and several other *** to frequent p53 mutations in human BRCA1 breast cancers and mouse mammary tumors from Brcal,Brca2 and Palb2 conditional knockout models,it is often thought that p53 inactivation accelerates BRCA1/2 and PALB2-associated ***,we studied tumor development in mice with a mutation in Palb2 that disengages the PALB2-BRCA1 interaction in different Trp53 *** than mammary tumors,Palb2 and Trp53 compound mutant mice developed,with greatly reduced latencies,lymphomas and sarcomas that are typically associated with germline Trp53 *** exome sequencing failed to identify any significant differences in genomic features between the same tumor types of Trp53 single mutant and Palb2;Trp53 compound mutant *** results suggest that loss of the BRCA pathway accelerates p53-associated tumor development,possibly without altering the fundamental tumorigenic processes.

关键词： BRCA1 BRCA2 Osteosarcoma P53 PALB2 Thymic lymphoma

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Development of lamellar gel phase emulsion containing baru oil(Dipteryx alata Vog.) as a prospective delivery system for cutaneous application

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Asian Journal of Pharmaceutical Sciences 2018年第2期13卷 183-190页

作者： Cristhianne Moraes jorge L.V.Anjos Monica Maruno Antonio Alonso Pedro Rocha-filho Department of Pharmaceutical Sciences Faculty of Pharmaceutical Sciences of Ribeirão PretoUniversidade de São PauloRibeirão Preto 14040-903SPBrazil Physics Department Universidade Federal de Goiás(UFG)Campus Catalão-Av.Dr.Lamartine Pinto de Velar1120St.Universitário75704-020Catalão-GOBrazil Pharmacy Course Coordination Centro Uni.Barão de MauáR.Ramos de Azevedo423Jardim PaulistaRibeirão PretoSP 14090-180Brazil Biophysics Laboratory Physics InstituteUniversidade Federal de Goiás(UFG)Goiânia 74.690-900GOBrazil

The rational design of emulsions requires study of the main factors that influence their formation, physicochemical properties and, consequently, stability and performance. The use of vegetable oils in the pharmaceutical and cosmetic industries has recently become attractive. Dipteryx alata Vogel(D. alata) is an oleaginous species native to Brazil. The seeds of this species contain highly unsaturated oil with significant amounts of tocopherols and phytosterols, representing an important source of agents capable of combatting oxidative processes. In this work, a lamellar gel phase emulsion using oil extracted from the seeds of D. alata(baru) was developed. The steps involved in the development of this research were as follows: 1) development of formulations and 2) in vitro assays by simulating the evaporation of the final product after application to the skin and Electron paramagnetic resonance spectroscopy(EPR) of fatty acid spin labels was used to investigate the profile of interaction of the dispersed systems with stratum corneum(SC) lipids. The results indicate that the developed system shows no signs of instability during the storage period. Moreover, EPR studies indicated that D. alata oil and especially the developed formulation were able to increase SC lipid fluidity and extract a fatty-acid spin label from the lipid domain structures of SC, demonstrating its potential to act as a drug or skin care vehicle.

关键词： Stratum corneum O/W emulsions Baru oil EPR spectroscopy

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A new heparin fragment decreases liver ischemia-reperfusion injury

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Hepatobiliary & Pancreatic Diseases International 2022年第2期21卷 190-192页

作者： Enio R Vasques Estela RR Figueira Joel A Rocha-filho Cinthia Lanchotte jorge LS Ximenes Helena B Nader Ivarne LS Tersariol Marcelo A Lima Tiago Rodrigues JoséEM Cunha Eleazar Chaib Luiz AC D’Albuquerque Flávio HF Galvão Laboratorio de Investigaçao Medica 37 Departamento de GastroenterologiaHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão Paulo 01246-903Brazil Departamento de Gastroenterologia Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil Disciplina de Anestesiologia Hospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil Departamento de Bioquimica Universidade Federal de São PauloSão PauloBrazil Universidade Federal do ABC Santo AndreSão PauloBrazil Serviço de Transplante de Figado e Orgaos do Aparelho Digestivo Departamento de GastroenterologiaHospital das Clinicas HCFMUSPFaculdade de MedicinaUniversidade de São PauloSão PauloBrazil

To the Editor:Ischemia-reperfusion injury following surgery and transplantation can lead to irreversible multiorgan *** calcium overload is associated to cellular death during ischemiareperfusion.A recently discovered heparin fragment (HF),trisulfated disaccharide (TD),that acts on sodium-calcium exchanger(NCX) decreasing intracellular Ca^(2+),showed effectiveness on protecting hepatocytes from ischemia-reperfusion injury [1].

关键词： irreversible heparin injury

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