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Gastric Bypass with Long Pouch and Transit Bipartition for Endoscopic Access to the Remaining Stomach

Surgical Science 2022年第8期13卷 353-366页

作者： Paulo Reis Esselin de Melo Marcella Giovana Gava-Brandolis Thonya Cruz Braga Danilo Fossalussa Minari Ricardo Augusto Martins Bueno da Costa jose geraldo moraes sampaio neto Louise Flores Silva José Humberto Cardoso Resende Hospital Estadual Alberto Rassi Surgical Skills Coordinator Goi&#226nia Brazil UNIFAN Research Coordinator Aparecida de Goi&#226nia Brazil

Introduction: obesity has a complex and multifactorial etiology, difficult treatment and increasing incidence rates in recent decades. The treatment involves clinical and pharmacological approaches and, in case of lack of results, surgical interventions. Roux-en-Y gastric bypass (RYGB) is one of these surgical interventions in which the stomach is divided, creating a small pouch, and the remaining portion of the stomach become excluded and left without endoscopic access. Objective: to evaluate the results of modified RYGB with long pouch and endoscopic access to the remaining stomach. Materials and Methods: prospective clinical trial with sample selected among patients seen at the Alberto Rassi General State Hospital of Goiânia (HGG) and indicated for bariatric and metabolic surgery confirmed by the medical and multidisciplinary team. The study was conducted from January 2020 to August 2021. Clinical history and laboratory test results of the selected patients were collected through consultations with the medical and multidisciplinary team. Results: twelve participants were included in the study. Of these, 11 (91.7%) were women and the mean age was 46.3 years. The weight before surgery was 112.17 kg (92.00 - 150.00) and the Body Mass Index (BMI) was 44.89 (35.06 - 74.39). After 18 months of surgery, the mean weight was 80.77 kg (±11.92) and the mean BMI was 29.46 (±11.00), showing a significant reduction in both (p = 0.003 and p = 0.002, respectively). All patients underwent endoscopic evaluation of the pouch, remaining stomach and duodenum at 12 months postoperatively. The mean percentage of lost excess weight loss was 68.21%. Conclusion: We conclude that the proposed changes in RYGB (GBLP + GIB – Roux-en-Y gastric bypass with long pouch and gastrointestinal bipartition) did not compromise weight loss or control of type 2 diabetes and other comorbidities and proved to be a safe and effective alternative without gastroduodenal exclusion, enabling a better postop

关键词： Obesity Bariatric Surgery Metabolic Surgery Roux-En-Y Gastric Bypass

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Analysis of Fatigue Fracture with Scanning Electron Microscopy of Valve Spring Steel

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Journal of Mechanics Engineering and Automation 2014年第5期4卷 422-426页

作者： Marcelo sampaio Martins Daniel Julien Barros da Silva sampaio jose geraldo Trani Brandao jose Elias Tomazini Department of Mechanical Faculty of Engineering Guaratinguet6 UNESP (Univ. Estadual Paulista Julio de Mesquita Filho)Guaratingueta/SP 12516-410 Brazil

Valve spring steel for engines, belonging to the class of super clean steel, must be supported due to their application, high numbers of cycles in fatigue and cannot suffer any type of failure, which would be catastrophic for the vehicle. From these considerations, it was tested in axial fatigue, a test that can detect possible internal defects in their structure, caused by inclusions, a class of valve spring steel, where it aimed to discover the values of their fatigue life, followed by an analysis ofmicrostructural fracture surface by SEM （scanning electron microscopy）. It was proved, after testing, the specimens tested broke up a number of cycles always compatible with the life work of a valve spring and that fractures always occurred by surface defects in the specimens.

关键词： Valve spring steel axial fatigue SEM.

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Conflicting Discourses on Wildfire Risk and the Role of Local Media in the Amazonian and Temperate Forests

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International Journal of Disaster Risk Science 2019年第4期10卷 529-543页

作者： Nathalia Thais Cosmo da Silva Urbano FraPaleo jose Ambrosio Ferreira neto Departamento de Economia Rural Universidade Federal de VicosaCampus UniversitarioEdificio Edson Potsch MagalhaesVicosaMG 36570-900Brazil School of Social Sciences and Humanities University of ExtremaduraCampus of Caceres City10071 CaceresSpain

This article examines how risk is communicated by different actors,particularly local print newspapers and actors at the community level,in two different geographical contexts that are severely affected by wildfires—the Brazilian Amazon and Atlantic *** analyzed how wildfire risk is framed in local print media and local actor discourse to elucidate how wildfire risk is interpreted and aimed to identify the main priorities of these risk governance *** main findings reveal that the presentation of wildfire as a spectacle is a serious obstacle to the promotion of coherent risk governance and social learning,which involves recognizing wildfire risk as a social,political,economic,and environmental *** risk governance should communicate the multifaceted nature of risk and stimulate dialogue and negotiation among all actors to build consensus regarding land use and the creation of risk.

关键词： Discourse analysis Framing Galicia Local media Risk communication Rondonia Wildfire risk

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Antihypertensive drugs in pregnancy

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Family Medicine and Community Health 2013年第1期1卷 37-50页

作者： ROSE GASNIER EDIMARLEI GONSALES VALERIO jose geraldo LOPES RAMOS Post Graduate Program in Medicine Universidade Federal do Rio Grande do SulHospital de Clinicas de Porto AlegreBrazil Service of Obstetrician and Gynecology Hospital de Clinicas de Porto AlegreBrazil Universidade Federal do Rio Grande do Sul Porto AlegreBrazil

Chronic hypertension complicates 3%-5% of pregnancies and gestational hypertension occurs in 6% of *** complicates 25% of the pregnancies with chronic hypertension,and approximately 15%-45% of the patients with gestational hypertension will develop preeclampsia,a dangerous condition that harms the maternal and fetal *** medication is used to treat severe hypertension to prevent serious maternal and fetal complications,but there is no consensus on when and how to treat mild-to-moderate hypertension in *** article reviews the usage,effect and safety of first,second and third line antihypertensive drugs for mild-to-moderate hypertension in pregnancy.

关键词： Gestational hypertension Mild-to-moderate hypertension Antihypertensive drugs

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Creativity and innovation:A contribution of behavioral economics

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International Journal of Innovation Studies 2019年第1期3卷 12-21页

作者： jose Chavaglia neto jose Antonio Filipe Antonio Bento Caleiro Fundacao Getulio Vargas(EESP-FGV) Itapeva StreetSao Paulo01332-000Brazil Instituto Universitario de Lisboa(ISCTE-IUL) Information SciencesTechnologies and Architecture Research Center(ISTAR-IUL)Business Research Unit-IUL(BRU-IUL)Lisbon1649-026Portugal Departamento de Economia Universidade de EvoraLargo Dos Colegiais2Evora7002-554Portugal

Innovation in products and services is seen by scholars,by specialized media in management,and by some managers as the main currency in modern *** is because it allows high average market profits,fame for innovators,or brand growth,for ***,in practice,most managers still treat innovation as a secondary issue on their *** problem results from the inability of market professionals to analyze people inside and outside their *** is not possible to develop innovative products in a systematic way without treating this point ***,in this process,creativity is a necessary,but not necessarily sufficient,condition to be fulfilled and requires behavioral *** this context,it is believed that behavioral economics can make a sufficient contribution in the form of an analytical marketing tool by offering an analysis closer to human beings'reality,and,thus,allow a better understanding of people's behavior in the process of innovation in the market.

关键词： Behavioral economics Neuroeconomics Innovation Creativity

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Vibrio *** Macrobrachium amazonicum prawn farming are inhibited by Moringa oleifera extracts

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Asian Pacific Journal of Tropical Medicine 2015年第11期8卷 899-902页

作者： Raimunda Samia Nogueira Brilhante Jamille Alencar Sales Celia Maria de Souza sampaio Francisco geraldo Barbosa Manoel de Araujo neto Paiva Glaucia Morgana de Melo Guedes Lucas Pereira de Alencar Yago Brito de Ponte Tereza de Jesus Pinheiro Gomes Bandeira jose Luciano Bezerra Moreira Debora de Souza Collares Maia Castelo-Branco Waldemiro de Aquino Pereira-neto Rossana de Aguiar Cordeiro jose Julio Costa Sidrim Marcos Fabio Gadelha Rocha Department of Pathology and Legal Medicine Postgraduate Program in Medical MicrobiologySpecialized Medical Mycology CenterFederal University of Ceara School of Veterinary Medicine Postgraduate Program in Veterinary SciencesState University of Ceara Department of Organic and Inorganic Chemistry Federal University of Ceara

Objective:To investigate the in vitro antimicrobial potential of extracts of stem,leaves,flowers,pods and seeds of Moringu okifera(***) against Vibrio *** hatchery water and the prawn Mmrobrachium ***:The ethanol extracts of stem,leaves,pods and seeds and chloroform extract of flowers of *** were tested against Vibrio cholerue(***) serogroups non-O1/non-O139(n=4).Vibrio vulnificus(n=l) and Vibrio mimicus(n=1).Escherichia coli(***)(ATCC(?) 25922) was used as quality *** species were obtained from Macmbrachium amazonicum prawns and from hatchery water from prawn *** Minimum Inhibitory Concentration(MIC) was determined by broth microdilution ***:The best result was obtained with the ethanol extract of pods,which inhibited three strains of the ***,Vibrio vulnificus,Vibrio minimis and ***(MIC range 0.312-5.000 mg/mL).The chloroform extract of flowers was effective against all *** strains and ***(MIC range 0.625-1.250 mg/mL).However,the ethanol extracts of stem and seeds showed low effectiveness in inhibiting the bacterial ***:The extracts of pods,flowers and leaves of *** have potential for the control of Vibrio *** studies are necessary to isolate the bioaetive compounds responsible for this antimicrobial activity.

关键词： Prawn Macrobrachium amazonicum Moringa oleifera Vi

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Long Range Unmanned Aircraft System for Power Line nspection of Brazilian Electrical System

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Journal of Energy and Power Engineering 2014年第2期8卷 394-398页

作者： geraldo jose Adabo Technological Institute of Aeronautics S6o Jose dos Campos Sao Paulo12228-900 Brazil

Power line inspection is an essential procedure in the power lines maintenance area, especially thinking about service availability and energy efficiency. Aerial inspection of electric power transmission lines is typically performed using human-piloted helicopters, which is a procedure that is both expensive and prone to accidents taking risks to human beings＇ lives. The work presents a solution based on UAS （unmanned aircraft system） for inspecting power lines. In this context a R ＆ D project of an unmanned aircraft system to be used for performing complete aerial inspection of overhead power lines is being executed by ITA （Instituto Tecnol6gico de Aeron^utica）（Technological Institute of Aeronautics） in Brazil. Special attention is dedicated to the communication system conception in order to comply with Remotely Piloted Aircraft System definition in the context of long endurance operations of the system. It presents a solution based on LTA （lighter than air） platform in order to extend the communication range beyond line of sight.

关键词： UAV UAS RPAS power line maintenance inspection.

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A Descriptive Research With Family Farmers＇ Beneficiaries and Non-beneficiaries of the PRONAF in the Municipality of Itapuranga, State of Goias, Brazil

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Sociology Study 2013年第4期3卷 289-299页

作者： Waltuir Batista Machado Luiz Manoel de moraes Camargo Almeida Odilon jose de Oliveira neto Faculty of Alfredo Nasser Brazil Federal University of Goias Brazil Federal University of Uberliandia Brazil

This article is a part of a descriptive survey which aims to characterize, classify, and compare the household production in the Municipality of Itapuranga, State of Goias, Brazil, considering the access to the National Program for Strengthening Family Agriculture （PRONAF） and its respective differentiation between beneficiary and non-beneficiary groups by the program. It applied the technique of group comparison analysis and frequency inquiry, taking into consideration several variables. Information about the origin, distribution and total income, food safety, land property, production diversification, expenditures and participation in social organizations were collected. The sample consisted of 70 producers, the calculation sample was defined by determined value at the confidence level of 90% whereas the sampling error of 7%. The results allowed describing, classifying, characterizing, and comparing the socio-economic and productive profile of farmers from that area and their access to PRONAF.

关键词： Agricultural funding family agriculture food safety PRONAF public policy

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Artificial equilibrium points and bi-impulsive maneuvers to observe 243 Ida

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Chinese Journal of Aeronautics 2021年第1期34卷 410-423页

作者： Allan Kardec de ALMEIDA Jr geraldo Magela Couto OLIVEIRA Antonio Fernando Bertachini de Almeida PRADO National Institute for Space Research(INPE) Sao Jose dos Campos 12227-010Brazil Federal Center for Technological Education of Minas Gerais(CEFET-MG) Belo Horizonte 30421-169Brazil

In the restricted three-body problem,the traditional Lagrange points L1 and L2 are the only equilibrium points near the asteroid 243 *** thrust generated by a solar sail over a spacecraft enables the existence of new artificial equilibrium points,which depend on the position of the spacecraft with respect to the asteroid and the attitude of the solar *** equilibrium points generate new spots to observe the body from above or below the plane of *** points are very good observational locations due to their stationary *** work provides a preliminary analysis to observe Ida through the use of artificial equilibrium points as spots combined with transfer maneuvers between *** combination can be used to observe the asteroid from more different points of view in comparison to fixed *** analyses are made for a spacecraft equipped with a solar sail and capable of performing bi-impulsive *** solar radiation pressure is used both to maintain the equilibrium condition and to reduce the costs of the transfers and/or to create transfers with longer *** is a new aspect of the present research,because it combines the continuous thrust with initial and final small impulses,which are feasible for most of the spacecraft,because the magnitudes of the impulses are very *** combined maneuvers may reduce the transfer times of the maneuvers in most of the cases,compared with the maneuvers based only on continuous *** options involved in these transfers are shown,like to minimize the fuel spent(Dv)as a function of the transfer time or to extend the duration of the travel between the *** transfer times can be useful when observations are required during the transfers.

关键词： Artificial equilibrium points Astrodynamics Orbital transfers Solar radiation pressure Solar sail

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Adjuvant Therapy on Cancer of the Lower Rectum. Evaluation of the Effects of Preoperative Radiotherapy on the Prognosis of Patients with Cancer of the Lower Rectum

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Journal of Cancer Therapy 2012年第6期3卷 912-919页

作者： jose Alfredo Reis neto jose Alfredo Reis Junior Odorino Kagohara Joaquim Simoes neto Sergio OBanci Luciane HOliveira Surgery Catholic University of CampinasCampinasBrazil Surgery Clinica Reis NetoCatholic University CampinasCampinasBrazil Coloproctology Clinica Reis NetoCatholic University CampinasCampinasBrazil.

Aims: The prognosis on treatment of the cancer of the rectum has not changed in the last fifty years. Survival rates of 50 to 55% seems immutable in several published series. The main cause for those results is the high incidence of recurrence, either local or widespread. Local recurrence is directly related to the number of undifferentiated cells and to the grade of wall invasion. Widespread recurrence depends specifically on the lymphatic and vascular spreading. So any kind of treatment that would diminish the number of undifferentiated cells and the size or the tumor wall penetration would certainly decrease the local recurrence rate, lengthening the interval free from cancer and, perhaps, modifying the long term survival rate. Between 1978 and 2009, a total of 538 patients with adenocarcinoma of the lower rectum (from the pectinate line to 10 cm above) were treated by preoperative radiotherapy. Methodology: The same protocol was used in all the patients – 400 cGy, 200 cGy/day, during 4 consecutive weeks (anterior and posterior pelvic fields) by means of a Linear Megavoltage Accelerator (25 MeV). Surgery was performed 2 months after completion of the radiotherapy. Results: Statistical analysis of the whole group showed that preoperative radiotherapy does decrease frequency of undifferentiated cells. Moreover, the incidence of local recurrence diminished after irradiation by 3.4%. Preoperative radiotherapy reduces tumor volume (ERUS) and wall invasion, as well as the mortality rate due to local recurrence (2.4%) and alters long-term survival rate (80.1%). Conclusion: Preoperative radiotherapy is really effective in reducing the number of undifferentiated cells and in diminishing the tumor volume and the carcinomatous infiltration of the rectal wall.

关键词： Rectal Cancer Cancer of the Lower Rectum Irradiation Preoperative Radiotherapy Local Recurrence Mortality Survival

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