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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

Pulse Waveform Analysis as A Bridge between Pulse Examination in Chinese Medicine and Cardiology

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Chinese Journal of Integrative Medicine 2013年第4期19卷 307-314页

作者： Arthur de Sa Ferreira Agnaldo jose lopes Postgraduation Program of Rehabilitation Science Augusto Motta University CenterRio de JaneiroRJBrazil Department of Physical Therapy Salgado de Oliveira UniversityNiteroiRJBrazil Laboratory of Respiratory Physiology University of the State of Rio de JaneiroRio de JaneiroRJBrazil

Pulse examination was probably the earliest attempt to distinguish between health and illnesses. Starting at the pre-Hippocratic era, Chinese medicine practitioners developed techniques for pulse examination and defined pulse images based on their perceptions of pulse waveforms at the radial artery. Pulse images were described using basic variables （frequency, rhythm, wideness, length, deepness, and qualities） developed under philosophical trends such as Taoism and Confucianism. Recent advances in biomedical instrumentation applied to cardiology opened possibilities to research on pulse examination based on ancient Chinese medical theories： the pulse wave analysis. Although strongly influenced by philosophy, some characteristics used to describe a pulse image are interpretable as parameters obtained by pulse waveform analysis such as pulse wave velocity and augmentation index. Those clinical parameters reflect concepts unique to Chinese medicine - such as yin- yang - while are based on wave reflection and resonance theories of fluids mechanics. Major limitations for integration of Chinese and Western pulse examination are related to quantitative description of pulse images and pattern differentiation based on pulse examination. Recent evidence suggests that wave reflection and resonance phenomena may bridge Chinese medicine and cardiologyto provide a more evidence-based medical practice.

关键词： blood circulation palpation diagnosis Chinese medicine pulse waveform

Application of Neuro-Fuzzy Estimation for Rotor Flux in Speed Vector Control of Bearingless Induction Motor

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Journal of Energy and Power Engineering 2015年第2期9卷 192-198页

作者： jose Soares Batista lopes Luciano P. dos Santos jose A. de Paiva Valci F. Victor Andre L. Maitelli Andres O. Salazar Institute of Education Science and Technology of Rio Grande do Norte RN 59200-000 Brazil Institute of Education Science and Technology of Tocantis TO 77.015-200 Brazil Department of Computer Engineering and Automation Federal University of Rio Grande do Norte Natal 59072-970 RN Brazil

The main requirement of a vector controller is knowing the magnitude and position of the rotating flow in the rotor. This feature permits to use either flow sensors or flow estimators. The solution chosen was the estimation of rotor flux with the hybrid neuro-fuzzy system. The motor characteristics are： 3.75 kW （5 HP）, two pole-pair, operate at 60 Hz and air-gap length 0.2 mm. The ANFIS （adaptive neuro-fuzzy inference system） was used to tune the membership functions in fuzzy system. The hybrid estimator aims at compensating possible parametric variations of the machine caused by agents, such as temperature or nucleus saturation. The simulated results have shown good performance.

关键词： Hybrid systems rotor flux estimation speed control ANFIS.

Correlation between Late Cord Clamping and Phototherapy and Other Neonatal Unfavorable Outcomes: A Randomized Clinical Trial

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Open Journal of Obstetrics and Gynecology 2022年第3期12卷 193-200页

作者： Janete Vettorazzi Gabriela Françoes Rostirolla Maria Alexandrina Zanatta Edimárlei Gonsales Valério Charles Francisco Ferreira jose Geraldo lopes Ramos Postgraduation Program in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brazil Department of Gynecology and Obstetrics Faculty of Medicine (FAMED) Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brazil Department of Gynecology and Obstetrics Faculty of Medicine (FAMED) Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brazil Department of Gynecology and Obstetrics Faculty of Medicine Universidade de Caxias do Sul (UCS)

Background: Recently, late umbilical cord clamping is generally recommended, which decreases neonatal anemia;however, it may also increase neonatal jaundice and some other poor outcomes. Objectives: We here attempted to determine whether late clamping actually increases the incidence of phototherapy for jaundice and other poor outcomes of the term “low-risk newborns”. Methods: With the approval of the Brazilian Registry of Clinical Trials (REBEC), a total of 357 low-risk newborns (singleton, uncomplicated pregnancy/delivery, in a Brazilian public institution) were randomized into two groups: group I (n = 114): cord clamping 1 minute (early clamping) or group II (n = 243): cord clamping between 1 - 3 minutes (late clamping). Statistics were used appropriately (i.e., measures of central tendency, dispersion for continuous variables, Shapiro-Wilk, Mann-Whitney test, or Chi-square test). Results: Phototherapy was performed in 5.3% in both groups. Also, there were no statistical differences in the occurrence of secondary outcomes, such as sepsis, neonatal ICU admission, and transient tachypnea of the newborns: i.e., 0.9%, 15.8%, and 3.5%, respectively for group I versus 1.2%, 15.6%, and 5.8%, respectively for group II. Conclusion: Late umbilical cord clamping does not increase the need for phototherapy in low-risk neonates. This result corroborates the current recommendation of late cord clamping, whenever appropriate.

关键词： Phototherapy Neonatal Anemia Neonatal Jaundice Late Cord Clamping

Characterization of Fruits in Contrasting Environments and Germination of Tamarillo Seeds at Different Temperatures

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American Journal of Plant Sciences 2018年第1期9卷 23-33页

作者： Khétrin Silva Maciel Paula Aparecida Muniz de Lima Fernando Zanotti Madalon Simone de Paiva Caetano Bucker Moraes Patrícia Alvarez Cabanez Nathália Aparecida Braganca Fávaris Allan Rocha de Freitas Nohora Vélez Carvajal Rodrigo Sobreira Alexandre jose Carlos lopes Federal University of Espírito Santo UFESAlegreBrazil

Tamarillo (Solanum betaceum Cav. Syn Cyphomandra betacea Cav.) Sendt is a small tree native to the subtropical Andean region of South America from Colombia to Chile, popularly known as arboreal tomato, belonging to the family Solanaceae. The objective of this study was to evaluate the physicochemical characteristics of fruits and the germination of tamarillo (Solanum betaceum) seeds produced in the Caparaó-ES and MG regions. The following procedures were performed: Fruit and peel biometrics;fruit weight;pulp and peel weight;thousand-seed weight, pulp and peel yield and fruit dry mass. In the physicochemical analysis, the following parameters were determined: pH;soluble solids;titratable acidity and ratio. For the analysis of the physiological quality of the seeds, different temperatures (20°C;25°C;30°C and 20°C - 30°C) were evaluated in the presence and absence of light and the following was determined: Seed moisture content;germination;germination speed index;germination mean time;shoot length;root and total seedling dry mass. Tamarillo in the region of Caparaó-ES presents greater chemical characteristics of the fruits, germination and vigor, and in the region of Caparaó-MG presents greater physical characteristics of the fruits. Tamarillo can germinate both in the presence and absence of light, although in the presence of light, it presents greater vigor.

关键词： Solanum betaceum Temperatures Brightness and Biometric

Functional and structural changes in internal pudendal arteries underlie erectile dysfunction induced by androgen deprivation

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Asian Journal of Andrology 2017年第5期19卷 526-532页

作者： Rheure Alves-lopes Karla B Neves Marcondes AB Silva Vania C Olivon Silvia G Ruginsk jose Antunes-Rodrigues Leandra NZ Ramalho Rita C Tostes Fernando Silva Carneiro Department of Pharmacology Ribeirao Preto Medical School University of Sao Paulo Ribeirao Preto SP Brazil Department of Physics and Chemistry Faculty of Pharmaceutical Sciences of Ribeirao Preto University of Sao Paulo Ribeirao Preto SP Brazil Department of Physiological Sciences Biomedical Sciences InstituteFederal University of Alfenas Alfenas MG Brazil Department of Physiology Ribeirao Preto Medical School University of Sao Paulo Ribeirao Preto SP Brazil Department of Pathology and Legal Medicine Ribeirao Preto Medical School University of Sao Paulo Ribeirao Preto SP Brazil

Androgen deficiency is strongly associated with erectile dysfunction （ED）. Inadequate penile arterial blood flow is one of the major causes of ED. The blood flow to the corpus cavernosum is mainly derived from the internal pudendal arteries （IPAs）; however, no study has evaluated the effects of androgen deprivation on IPA＇s function. We hypothesized that castration impairs IPAs reactivity and structure, contributing to ED. In our study, Wistar male rats, 8-week-old, were castrated and studied 30 days after orchiectomy. Functional and structural properties of rat IPAs were determined using wire and pressure myograph systems, respectively. Protein expression was determined by Western blot and immunohistochemistry. Plasma testosterone levels were determined using the IMMULITE 1000 Immunoassay System. Castrated rats exhibited impaired erectile function, represented by decreased intracavernosal pressure/mean arterial pressure ratio. IPAs from castrated rats exhibited decreased phenylephrine- and electrical field stimulation （EFS）-induced contraction and decreased acetylcholine- and EFS-induced vasodilatation. IPAs from castrated rats exhibited decreased internal diameter, external diameter, thickness of the arterial wall, and cross-sectional area. Castration decreased nNOS and α-actin expression and increased collagen expression, p38 （Thr180/ryr182） phosphorylation, as well as caspase 3 cleavage. In conclusion, androgen deficiency is associated with impairment of IPA reactivity and structure and increased apoptosis signaling markers. Our findings suggest that androgen deficiency-induced vascular dysfunction is an event involving hypotrophic vascular remodeling of IPAs.

关键词： androgen castration internal pudendal artery

Event-based hydrology and sedimentation in paired watersheds under commercial eucalyptus and grasslands in the Brazilian Pampa biome

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International Soil and Water Conservation Research 2021年第2期9卷 180-194页

作者： Ederson Diniz Ebling jose Miguel Reichert Jhon Jairo Zuluaga Pelaez Miriam Fernanda Rodrigues Mirian Lago Valente Rosane Barbosa lopes Cavalcante Paolo Reggiani Raghavan Srinivasan Soils Department Universidade Federal de Santa MariaAvenida Roraima1000 Bairro CamobiSanta MariaRS97105-900Brazil Corporacion Colombiana de Investigacion Agropecuaria(AGROSAVIA) Centro de Investigacion NataimaEspinalColombia CMPC Celulose Riograndense Rua Sao Geraldo1680GuaibaRS92500-000Brazil Department of Civil Engineering University of SiegenPaul Bonatz Strasse 9-11Siegen D57068Germany Department of Ecology and Conservation Biology Texas A&M University(TAMU)534 John Kimbrough Blvd.Room 305College StationTX77843-2120USA Current address:Instituto Tecnologico Vale.Rua Boaventura da Silva 955UmarizalBelemPABrazil.

Ecological and hydrological impacts are expected when watersheds are under commercial *** this study we evaluated event-based hydrology and sedimentation in paired watersheds under commercial eucalyptus and grasslands ***,suspended sediment concentration,and sediment production were measured and simulated with the Limburg Soil Erosion Model(LISEM)in paired hydrographic watersheds located in southern Brazil;one occupied with 7-years old Eucalyptus saligna plantation(forest watershed-FW;0.83 km^(2))and another Pampa biome with native and exotic grasses used for beef cattle production(grassland watershed-GW;1.10 km^(2)).The effect of rainfall on hydrological and sedimentological variables was more evident in GW compared with *** shape of the hydrograph was steepest in GW,with rapid,marked increase and decrease in flow during *** parameters changed for model calibration in FW and GW were soil saturated hydraulic conductivity,initial soil moisture,and Manning roughness coefficient,whereby the statistical performance was classified as good(NSE>0.75).Fourteen events different from those used in the calibration process were validated for FW and GW,with NSE index classified as“good”and“very good”for *** study shows limitations of LISEM in calibrating and validating the sediment yield for individual events due to the spatial variability of factors controlling soil *** validated modeling results of this study may be applied in simulating soil and crop scenarios in watersheds cultivated with commercial forest and grassland for grazing.

关键词： Southern grasslands Paired watersheds Runoff Erosion LISEM

Burden and factors associated with schistosomiasis and soil-transmitted helminth infections among school-age children in Huambo,Uige and Zaire provinces,Angola

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Infectious Diseases of Poverty 2022年第3期11卷 99-100页

作者： Adam W.Bartlett jose C.Sousa-Figueiredo Roelofje Cvan Goor Paul Monaghan Warren Lancaster Rukaaka Mugizi Elsa P.Mendes Susana Vaz Nery Sergio lopes 不详 The Mentor Initiative 4Th Floor(South Suite)Burns HouseHarlands RoadHaywards HeathR161PGUK

Background:Schistosomiasis and soil-transmitted helminths(STHs)contribute high disease burdens amongst the neglected tropical diseases(NTDs)and are public health problems in *** study reports the prevalence,intensity and risk factors for schistosomiasis and STH infection in Huambo,Uige and Zaire provinces,Angola,to inform a school-based preventive chemotherapy ***:A two-stage cluster design was used to select schools and schoolchildren to participate in parasitological and water,sanitation and hygiene(WASH)surveys across Huambo,Uige,and Zaire ***-of-care circulating cathodic antigen and urinalysis rapid diagnostic tests(RDTs)were used to determine the prevalence of Schistosoma mansoni and ***,***-Katz was used to identify and quantify STH species and quantify and compare with RDTs for *** filtration was used to quantify and compare with RDTs for *** statistics were used for prevalence and infection intensity of schistosomiasis and STH *** of RDTs was assessed through specificity and Cohen’s Kappa agreement with microscopy.A multivariate regression analysis was used to determine demographic and WASH factors associated with schistosomiasis and STH ***:A total 575 schools and 17,093 schoolchildren participated in the schistosomiasis survey,of which 121 schools and 3649 schoolchildren participated in the STH *** prevalence of *** was 21.2%(municipality range 0.9–74.8%)and *** 13.6%(range 0–31.2%),with an overall prevalence of schistosomiasis of 31.4%(range 5.9–77.3%).Overall prevalence of Ascaris lumbricoides was 25.1%(range 0–89.7%),hookworm 5.2%(range 0–42.6%),and Trichuris trichiura 3.6%(range 0–24.2%),with an overall prevalence of STH infection of 29.5%(range 0.8–89.7%).Ecological zone and ethnicity were factors associated with schistosomiasis and STH infection,with older age and female sex additional risk factors for S

关键词： Schistosomiasis Soil-transmitted helminths Circulating cathodic antigen Rapid diagnostic test Water,sanitation and hygiene

The Use of Ground Penetrating Radar in Municipal Solid Waste Landfill Geotechnical Investigation

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Journal of Civil Engineering and Architecture 2016年第7期10卷 822-827页

作者： jose Tavares Araruna Junior Patricio jose Moreira Pires Debora lopes Pilotto Domingues Tacio Mauro Pereira de Campos Department of Civil Engineering Pontifical Catholic University of Rio de Janeiro Rio de Janeiro RJ 22451-900 Brazil Department of Civil Engineering Federal University of Espirito Santo Vit6ria ES 29075-910 Brazil

The use of GPR （ground penetrating radar） as an auxiliary tool in geotechnical and environmental site investigations has increased in Brazil during the past few years. GPR has been used to delineate contamination plumes, to aid in geological modelling, to detect buried structures and in archaeological surveys. This paper describes and discusses the results ofa GPR site investigation carried out at Gramacho Municipal Solid Waste Landfill in the State of Rio de Janeiro, Brazil. A field study was conducted to detect failure surfaces in its slopes and within the waste mass. The results have shown that：（l） Slip surfaces could be indicated by small continuous voids within the waste mass since there is a good contrast between the dielectric constant of air and municipal waste; （2） Greenhouse gases pools could also be indicated by large voids within the waste mass since there is a good contrast between the dielectric constant of carbon dioxide, methane and municipal waste; （3） Leachate pools present a high electric conductivity that could be easily detected by GPR.

关键词： GPR landfill geotechnical investigation slip surface leachate greenhouse gas.