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Renal function after laparoscopic cholecystectomy and analgesia with tramadol and dipyrone or ketorolac

Health 2013年第11期5卷 35-41页

作者： Tiago Pechutti Medeiros Pedro Thadeu Galvao Vianna Leopoldo Muniz da Silva lidia raquel de carvalho Gilberto Elias Wady Leandro Gobbo Braz Yara Marcondes Machado Castiglia Graduate Program in Anesthesiology Botucatu Medical SchoolUNESP-Universidade Estadual PaulistaBotucatuBrazil department of Anesthesiology Botucatu Medical SchoolUNESP-Universidade Estadual PaulistaBotucatuBrazil Sao Luiz Hospital Sao PauloBrazil department of Biostatics Institute of BiosciencesUNESP-Universidade Estadual PaulistaBotucatuBrazil Mercy Hospital Sao CarlosBrazil

Background: Laparoscopic cholecystectomy (LC) reduces surgical trauma and hospital stay, but requires effective and safe postoperative analgesia. This prospective and double-blind study investigated the effects of analgesia with tramadol combined with either dipyrone or ketorolac on the postoperative renal function of patients submitted to LC. Methods: Pre-and post-operatively (PO), estimated glomerular filtration rates (GFR), obtained by two formulas dependent on blood Cr and one on blood cystatin C values, and tubular enzymuria—alkaline phosphatase (AP), γ-glutamiltransferase (γ-GT)— were determined in well hydrated patients who underwent LC and analgesia with tramadol combined with either dipyrone (Dipyrone, n = 63) or ketorolac (Ketorolac, n = 63). Upon discharge from the post-anesthetic care unit (PACU), pain (through Verbal Numerical Scale—VNS) and need for rescue analgesia with morphine were evaluated. Results: There was hemodilution PO, which made GFR profile analysis more difficult—those dependent on Cr increased and statistically correlated, but those dependent on cystatin C did not change. There was a significant PO increase in AP in the Dipyrone and Ketorolac groups, and in the product of the both enzymes in the Ketorolac group. Upon PACU discharge, the Dipyrone group showed signifi cantly higher VNS scores than the Ketorolac group. All patients received morphine PO, and the total dose needed for pain control differed between groups, but without statistical significance. Conclusions: The association of tramadol with dipyrone or ketorolac in well hydrated patients submitted to LC had similar analgesic effectiveness in the PACU. Postoperatively, the effect on GFR may have been masked by hemodilution, and enzymuria was discreetly enhanced when ketorolac was used.

关键词： Kidney Function Tests Pneumoperitoneum Biological Markers Cystatin C Ketorolac Analgesia

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Contribution of mechanical forces to structural synaptic plasticity:insights from 3D cellular motility mechanisms

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Neural Regeneration Research 2025年第7期20卷 1995-1996页

作者： Rita O.Teodoro Mafalda Ribeiro Ramos Lara carvalho iNOVA4Health NOVA Medical School|Faculdade de Ciências MédicasNMS|FCMUniversidade Nova de LisboaLisboaPortugal

Cells,tissues,and organs are constantly subjected to the action of mechanical forces from the extracellular environment-and the nervous system is no ***-intrinsic properties such as membrane lipid composition,abundance of mechanosensors,and cytoskeletal dynamics make cells more or less likely to sense these *** and extrinsic cues are integrated by cells and this combined information determines the rate and dynamics of membrane protrusion growth or retraction(Yamada and Sixt,2019).Cell protrusions are extensions of the plasma membrane that play crucial roles in diverse contexts such as cell migration and neuronal synapse *** the nervous system,neurons are highly dynamic cells that can change the size and number of their pre-and postsynaptic elements(called synaptic boutons and dendritic spines,respectively),in response to changes in the levels of synaptic activity through a process called *** plasticity is a hallmark of the nervous system and is present throughout our lives,being required for functions like memory formation or the learning of new motor skills(Minegishi et al.,2023;Pillai and Franze,2024).

关键词： plasticity structural mechanisms

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Calorie restriction or dietary restriction: how far they can protect the brain against neurodegenerative diseases?

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Neural Regeneration Research 2022年第8期17卷 1640-1644页

作者： Tayana Silva de carvalho Herz-und Diabeteszentrum NRW(HDZ NRW) Bad OeynhausenGermany

Finding the correct nutritional intervention is one of the biggest challenges in treating patients with neurodegenerative *** general,these patients develop strong metabolic alterations,resulting in lower treatment efficacy and higher mortality ***,there are still many open questions regarding the effectiveness of dietary interventions in *** studies have shown that a reduction in calorie intake activates key pathways that might be important for preventing or slowing down the progression of such ***,it is still unclear whether these neuroprotective effects are associated with an overall reduction in calories(hypocaloric diet)or a specific nutrient restriction(diet restriction).Therefore,here we discuss how commonly or differently hypocaloric and restricted diets modulate signaling pathways and how these changes can protect the brain against neurodegenerative diseases.

关键词： Alzheimer’s disease diet therapy dietary intervention epilepsy fasting glucose restriction hypocaloric diet multiple sclerosis Parkinson’s disease stroke

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Foot reflexology in autoimmune diseases:Effectiveness and mechanisms

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World Journal of Clinical Cases 2025年第7期13卷 1-5页

作者： Jozélio Freire de carvalho Aaron Lerner Carina Benzvi Núcleo de Pesquisa em Doenças Crônicas não Transmissíveis Federal University of BahiaSalvador 40231-300BahiaBrazil department of Research Chaim Sheba Medical CenterThe Zabludowicz Research Center for Autoimmune DiseasesRamat Gan 52621Israel

Foot reflexology(FR)is a Chinese-originated and non-invasive complementary therapy increasingly used by functional,alternative and para-medical *** attempts are made to study FR in non-functional organic *** present invited Editorial discusses the application of FR in autoimmune diseases(AD),highlighting a few successful studies demonstrating symptomatic relief and objective *** promising results,the FR domain remains under-investigated and an urgent need to confirm and understand the effect of FR in chronic diseases,including AD,is highly recommended.

关键词： Reflexology Foot reflexology Sensorineural hearing loss Autoimmune diseases Autoimmunity

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Review on the state-of-the-art and challenges in the MgB_(2)component manufacturing for superconducting applications

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Superconductivity 2024年第1期9卷 50-64页

作者： Fabiano carvalho de Castro Sene department of Industrial and Systems Engineering University of TennesseeKnoxvilleUnited States

Since the discovery of MgB_(2)as a superconductor,several research groups worldwide have studied the superconducting mechanisms due to the dual gap nature of MgB_(2),as well as attempted to produce such a compound in wires,tapes,bulks,and thin films for a plethora of *** MgB_(2)carries the promise of replacing Niobium‐based superconductors in low‐field applications,less‐than‐desirable performance and in‐operation stability has slowed down such a *** the properties and nature of the superconductivity of MgB_(2)are fairly known,the reproduction of its properties at manufacturing scales remains an unsolved ***,this manuscript presents a systematic review on fundamental properties,phase formation,growth kinetics,and superconducting properties of MgB_(2)‐based components such as multi‐and mono‐core wires,bulks,and thin ***,challenges,and shortcomings are utilized in consolidating research questions and directions pertaining to the manufacturing of MgB_(2)superconducting ***,we evaluate the technological readiness of MgB_(2)‐based devices for applications in fusion energy systems.

关键词： MgB_(2) Superconductor manufacturing Technology readiness Review Low‐Field applications

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Natural Mg silicates with different structures and morphologies: Reaction with K to produce K2MgSiO4 catalyst for biodiesel production

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International Journal of Minerals,Metallurgy and Materials 2020年第1期27卷 46-54页

作者： Fabiane carvalho Ballotin Mayra Nascimento Sara Silveira Vieira Alexandre carvalho Bertoli Ottávio Carmignano Ana Paula de carvalho Teixeira Rochel Montero Lago departamento de Química Universidade Federal de Minas GeraisBelo HorizonteBrasil Doutorado Inovação/Mineradora Pedras Congonhas Universidade Federal de Minas Gerais31270-901 Belo Horizonte-MGBrazil

In this work, different magnesium silicate mineral samples based on antigorite, lizardite, chrysotile(which have the same general formula Mg3Si2O5(OH)4), and talc(Mg3Si4O10(OH)2) were reacted with KOH to prepare catalysts for biodiesel production. Simple impregnation with 20 wt% K and treatment at 700–900°C led to a solid-state reaction to mainly form the K2MgSiO4 phase in all samples. These results indicate that the K ion can diffuse into the different Mg silicate structures and textures, likely through intercalation in the interlayer space of the different mineral samples followed by dehydroxylation and K2MgSiO4 formation. All the materials showed catalytic activity for the transesterification of soybean oil(1:6 of oil : methanol molar ratio, 5 wt% of catalyst, 60°C). However, the best results were obtained for the antigorite and chrysotile precursors, which are discussed in terms of mineral structure and the more efficient formation of the active phase K2MgSiO4.

关键词： silicate serpentinite lizardite antigorite talc chrysotile biodiesel

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Extracts of the seaweed Bifurcaria bifurcata display antifungal activity against human dermatophyte fungi

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Journal of Oceanology and Limnology 2019年第3期37卷 848-854页

作者： carvalho G.Loic SILVA raquel GONCALVES J.Maria BATISTA T.Maria PEREIRA Leonel Environmental and Biochemical Sciences Group the James Hutton InstituteDundee DD2 5DAScotlandUK Institute of Mechanical Process and Energy EngineeringSchool of Engineering and Physical SciencesHeriot Watt UniversityEdinburgh EH14 4ASScotlandUK MARE (Marine and Environmental Sciences Centre) Department of Life SciencesFaculty of Sciences and TechnologyUniversity of CoimbraCoimbra 3030-790Portugal CIEPQPF Department of Chemical EngineeringFaculty of Science and TechnologyUniversity of CoimbraCoimbra 3030-790Portugal

Bifurcaria bifurcata is a seaweed of the Order Fucales(Ochrophyta,Phaeophyceae)that can be found all year round along the Portuguese Atlantic *** it is considered edible in some countries,its biotechnological potential has not yet been assessed in detail and here we report its antimicrobial potential against human dermatophyte *** samples were harvested from Baleal Island(Peniche,Portugal)harvested in winter(BbPe);from Aguda Beach(Arcozelo,Vila Nova de Gaia,Portugal),harvested in autumn(BbAg)and a sample obtained by culturing the Aguda sample under laboratory conditions(BbLC).A broth macrodilution assay was applied to determine the MIC(minimum inhibitory concentration)and MLC(minimum lethal concentration)of the *** *** show that the BbPe MeOH extracts were the most effective and had higher antifungal activity against all the tested dermatophyte strains than the BbLC and BaAg extracts[Epidermophyton floccosum FF9(100–200μg/mL MIC;200μg/mL MLC),Microsporum canis FF1(400μg/mL MIC;≥400μg/mL MLC),Trichophyton mentagrophytes FF7(100μg/mL MIC;>800μg/mL MLC),*** CECT 2908(800μg/mL MIC;≥800μg/mL MLC),*** *** CECT 2958(800μg/mL MIC;≥800μg/mL MLC),*** CECT 2794(200μg/mL MIC;≥400μg/mL MLC)].In fact,only *** FF9 was sensitive to BbAg and BbLC MeOH *** our knowledge,this is the first report of antifungal activity of *** against human dermatophyte fungi.

关键词： seaweed Bifurcaria bifurcata bioactivity antifungal dermatophytes minimum inhibitory concentration minimum lethal concentration

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Fine-scale analysis reveals a potential influence of forest management on the spatial genetic structure of Eremanthus erythropappus

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Journal of Forestry Research 2021年第4期32卷 1567-1578页

作者： Lucas Fernandes Rocha Natália Ribeiro de Paula Dulcinéia de carvalho department of Forest Science Federal University of Lavras(UFLA)Av.Doutor Sylvio Menicucci1001 Aquental SolLavrasMinas Gerais State 37200-000Brazil department of Forest Science College of Agricultural Sciences(FCA/UNESP)São Paulo State UniversityAv.Universitária3780Altos do ParaísoBotucatuSão Paulo State 18610-034Brazil

Forest management may have significant effects on forest connectivity and natural population *** old-growth single trees may also change natural patterns of genetic variation and spatial genetic *** study evaluated the impacts of forest management using a silvicultural system of seed trees on the genetic diversity and spatial genetic structure of Eremanthus erythropappus(DC.)MacLeish.A complete survey of 275 trees on four plots was undertaken out to compare the genetic variation of a managed stand with an unmanaged *** genotyped all adult and juvenile individuals 60 months after the management and compared the genetic diversity and the spatial genetic structure *** diversity was considered high because of an efficient gene flow between *** were no genetic differences between stands and no evidence of *** clustering identified a single population(K=1),indicating no genetic differentiation between managed and unmanaged *** and juvenile individuals of the unmanaged stand were more geographically structured than individuals from the managed *** was a tendency of coancestry among juveniles at the first class of distance of the managed stand,suggesting a drift of genetic structure possibly caused by *** early responses to management on genetic diversity and stand structure is a first step to ensuring the effectiveness of conservation practices of tree *** sustainability of forest management of *** on genetic diversity,and more accurately,on spatial genetic structure needs evaluation over time to promote effective conservation of the population size and genetic variability.

关键词： Genetic diversity Microsatellite markers Gene flow Silvicultural management Brazilian Cerrado

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Duration and intensity of rainfall events with the same erosivity change sediment yield and runoff rates

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International Soil and Water Conservation Research 2021年第1期9卷 69-75页

作者： Wilk Sampaio de Almeida Steffen Seitz Luiz Fernando Coutinho de Oliveira Daniel Fonseca de carvalho Agronomy department Federal Institute of EducationScience and Technology of RondôniaCampus AriquemesRO 257km 13AriquemesRO76870-000Brazil department of Geosciences University of TübingenTübingenGermany Federal University of Lavras Department of Water Resources and Sanitation37200-000LavrasMGBrazil Federal Rural University of Rio de Janeiro Engineering DepartmentBR 465km 723897-000SeropédicaRJBrazil

The effect of different rainfall patterns on surface runoff,infiltration and thus soil losses and sediment concentrations are still in the focus of current *** most simulated rainfall experiments,pre-cipitation is applied at a fixed intensity for a fixed ***,the impact of rainfall patterns on soil erosion processes may be different varying the rainfall duration and intensity that produces an event with similar rainfall erosivity ***-five rainfall events were applied on micro-scale runoff plots in a soil covered with corn straw to evaluate the sediment yield and runoff *** different rainfall types were composed by association of duration(Dur)and intensity(IP)with the same erosivity *** Dur varied from 38 to 106 min and the IP varied from 75.0 to 44.6 mm h^(-1).The sediment yield varied from 1.89±1.26 g m^(-2) to 4.02±2.66 g m^(-2) and runoff ranged from 16.9±8.74 mm to 32.63±10.67 mm with highest rates occurring with high intensity and low *** highest rainfall intensity provides the maximum sediment yield(0.138 g m^(-2) min^(-1))and runoff rates(0.87 mm min^(-1)).The time to start surface runoff varied from 14 to 19.2 min and it was longer in treatments with longer durations and low precipitation *** difference was found in the amount of sediments applying rain with the same erosivity and different associations of duration and ***,the intensity and duration of the rain,with the same erosivity,altered the amount and time of *** rainfall experiments with con-stant intensity and fixed time,the erosion rates depend on the duration of the applied ***,the results of this study can contribute to the development of new perspectives in the design of water erosion experiments with simulated rain considering the duration,intensity and also the association of these variables to produce rainfall that delivery the same soil erosion capacity.

关键词： Simulated rainfall Rainfall pattern Water erosion Soil loss

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Stem cell therapies in cardiac diseases: Current status and future possibilities

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World Journal of Stem Cells 2021年第9期13卷 1231-1247页

作者： Tais Hanae Kasai-Brunswick Adriana Bastos carvalho Antonio Carlos Campos de carvalho National Center of Structural Biology and Bioimaging Federal University of Rio de JaneiroRio de Janeiro 21941-902RJBrazil National Institute of Science and Technology in Regenerative Medicine Federal University of Rio de JaneiroRio de Janeiro 21941-902RJBrazil Carlos Chagas Filho Institute of Biophysics Federal University of Rio de JaneiroRio de Janeiro 21941-902RJBrazil

Cardiovascular diseases represent the world’s leading cause of death. In thisheterogeneous group of diseases, ischemic cardiomyopathies are the mostdevastating and prevalent, estimated to cause 17.9 million deaths per *** all biomedical efforts, there are no effective treatments that can replacethe myocytes lost during an ischemic event or progression of the disease to heartfailure. In this context, cell therapy is an emerging therapeutic alternative to treatcardiovascular diseases by cell administration, aimed at cardiac regeneration andrepair. In this review, we will cover more than 30 years of cell therapy in cardiology,presenting the main milestones and drawbacks in the field and signalingfuture challenges and perspectives. The outcomes of cardiac cell therapies arediscussed in three distinct aspects: The search for remuscularization byreplacement of lost cells by exogenous adult cells, the endogenous stem cell era,which pursued the isolation of a progenitor with the ability to induce heart repair,and the utilization of pluripotent stem cells as a rich and reliable source ofcardiomyocytes. Acellular therapies using cell derivatives, such as microvesiclesand exosomes, are presented as a promising cell-free therapeutic alternative.

关键词： Stem cell Cell therapy Cardiac stem cell Cardiovascular diseases Progenitor cardiac cells Pluripotent stem cells

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