检索结果-南通市图书馆

Operative Technique for Correction of Gigantomastia,Using the Superior Pedicle,with Special Care for the Nipple-Papillary Grafts:A 13-Year Retrospective Study

引用

Modern Plastic Surgery 2015年第3期5卷 34-46页

作者： Jose Humberto Cardoso Resende Lucilia Feliciano Marques di Carlantonio luiz Celio Martins Freitas Teresa Tonini Nebia Maria Almeida de Figueiredo luiz carlos santiago Nursing and Biosciences Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil Member of the Brazilian Society of Plastic Surgery(SBCP) Rio de JaneiroBrazil Brazilian College of Surgeons(CBC) Rio de JaneiroBrazil President of the Catheters committee of the National Cancer Institute(INCa) Rio de JaneiroBrazil Public Health from State of Rio de Janeiro University(UERJ) Rio de JaneiroBrazil Coordinator of the Post-graduate Program in Nursing and Bioscience of UNIRIO Rio de JaneiroBrazil Nursing Federal University of Rio de Janeiro State(UNIRIO)Rio de JaneiroBrazil

This is a retrospective study on gigantomastia correction in obesity facing the technique of nipple-areolar grafts and its complexity. The main question is the technical-surgical care during its execution aiming to achieve reparative results that can return to these women the desire to live with better quality of life and health. Method: We performed a retrospective study of all obese patients with severe gigantomastia who underwent reduction mammaplasty with an operative technique using the superior pedicle, with special care for the nipple-papillary grafts. The study was carried out at a single institution between 2001 and 2013, in a total of 30 cases. This operative technique was presented at first time in 1980, with no changes up to now. We emphasized the perfect decortication of the areola and nipples until they were translucent after the maneuvers of Schwartzman and subsequent grafts operated in both breasts. Results: Results were considered satisfactory, from the reparative and aesthetic point of view, emphasizing the degree of improvement observed in women undergoing technique. Discussion: We can say that during all this time of aesthetic and therapeutic-restorative surgery, due to its realization in a single surgical time, there was big impact on the aesthetics of patients and on their families, even taking into account possible complications in the post-operative. Conclusion: The superior pedicle technique, performed as described here, is a safe and reliable procedure in patients with severe gigantomastia.

关键词： Mammoplasty Gigantomastia Resende’s Technique Surgical Flaps Bariatric Surgery Obesity

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The Body Suffering and Care Possibilities: A Reflective Look from the Health Economics

引用

Health 2016年第4期8卷 285-292页

作者： José Humberto Cardoso Resende Allan Peixoto de Assis Lucilia Feliciano Marques di Carlantônio luiz Célio Martins Freitas Teresa Tonini Nébia Maria Almeida de Figueiredo luiz carlos santiago Universidade Federal do Estado do Rio de Janeiro (UNIRIO) Rio de Janeiro Brazil

This article aimed to show ideas about the themes: body suffering, nursing and Medical care, and Health Economics. To this end, we tried to put together a kaleidoscope of references that converged on the promotion of autonomy and empowerment and, as a strategy for action, and then we can think of what to do to alleviate the suffering of patients.

关键词： Health Economics Nursing Medicine

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Deforestation in Latin America in the 2000s predominantly occurred outside of typical mature forests

引用

The Innovation 2024年第3期5卷 88-98页

作者： Zhiyu Zhang Wenjian Ni Shaun Quegan Jingming Chen Peng Gong luiz carlos Estraviz Rodriguez Huadong Guo Jiancheng Shi Liangyun Liu Zengyuan Li Yating He Qinhuo Liu Yosio Shimabukuro Guoqing Sun Key Laboratory of Remote Sensing and Digital Earth Chinese Academy of SciencesBeijing 100101China University of Chinese Academy of Sciences Shijingshan DistrictBeijing 100049China Chinal of Mathematics and Statistics University of SheffieldSheffield S37RHUK Department of Geography and Program in Planning University of TorontoTorontoON M5S 3G3Canada Department of Earth Sciences and Department of Geography University of Hong KongHong KongChina Forest Science Department Luiz de Queiroz College of AgricultureUniversity of São PauloAv.Pádua Dias11Piracicaba 13418-900Brazil National Space Science Center Chinese Academy of SciencesBeijing 100190China Institute of Forest Resource Information Techniques Chinese Academy of ForestryBeijing 100091China Research Institute of Forest Policy and Information Chinese Academy of ForestryBeijing 100091China Remote Sensing Department National Institute for Space Research(INPE)Av.dos Astronautas 1758São Josédos Campos 12227-010Brazil Department of Geographical Sciences University of MarylandCollege ParkMD 20742USA

The role of tropical forests in the global carbon budget remains controversial,as carbon emissions from deforestation are highly *** high uncertainty arises from the use of either fixed forest carbon stock density or maps generated from satellite-based optical reflectance with limited sensitivity to biomass to generate accurate estimates of emissions from *** space missions aiming to accurately map the carbon stock density rely on direct measurements of the spatial structures of forests using lidar and *** found that lost forests are special cases,and their spatial structures can be directly measured by combining archived data acquired before and after deforestation by space missions principally aimed at measuring ***,using biomass mapping,we obtained new estimates of carbon loss from deforestation ahead of forthcoming space ***,using a high-resolution map of forest loss and the synergy of radar and lidar to estimate the aboveground biomass density of forests,we found that deforestation in the 2000s in Latin America,one of the severely deforested regions,mainly occurred in forests with a significantly lower carbon stock density than typical mature forests.

关键词： forest Latin lidar

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Participatory Technique Supporting Environmental Management: A Systematic and Bibliometric Review

引用

Journal of Environmental Protection 2024年第7期15卷 781-795页

作者： Barbara Rentes Barbosa Fabiana Da Silva Soares luiz carlos De Faria Kaline De Mello Roberta Averna Valente Department of Environmental Science Federal University of Sao Carlos Sorocaba Brazil Research Institute for the Environment and Livelihoods Charles Darwin University Darwin Australia

The increasing need to manage natural resources sustainably, driven by population growth, requires the simultaneous use of Participatory Techniques (PT) and landscape planning for structured decision-making. We conducted a bibliometric and systematic review to provide an overview of PT usage, identifying evolution in scientific production. We considered the number of publications and citations, prominent journals, and highly cited articles on scientific papers published in the Web of Science database between 1993 and 2023. A total of 415 articles related to PT were identified. After content evaluation, 19 critical articles were selected that underpin the growing combined use of models and indices with PT, enhancing the robustness and credibility of decision-making processes.

关键词： Participation Landscape Planning Decision-Making Process Stakeholders Sustainable Management

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The assessment of climatic,environmental,and socioeconomic aspects of the Brazilian Cerrado

引用

Ecological Processes 2023年第1期12卷 274-285页

作者： Washington luiz Félix Correia Filho JoséFrancisco de Oliveira-Júnior Dimas de Barros santiago Hazem Ghassan Abdo Hussein Almohamad Ahmed Abdullah Al Dughairi carlos Antonio da Silva Junior Postgraduate Program in Environmentrics(PPGAmb) Institute of MathematicsStatisticsand Physics(IMEF)Federal University of Rio Grande(FURG)Rio GrandeRio Grande do Sul 96203-900Brazil Institute of Atmospheric Sciences(ICAT) Federal University of Alagoas(UFAL)MaceióAlagoas 57072-260Brazil Postgraduate Program in Biosystems Engineering(PGEB) Federal Fluminense University(UFF)NiteróiRio de Janeiro 24220-900Brazil Postgraduate Program in Meteorology Unidade Acadêmica de Ciências Atmosféricas(UACA)Federal University of Campina Grande(UFCG)Campina GrandeParaíba 58429-140Brazil Geography Department Faculty of Arts and HumanitiesTartous UniversityTartousSyria Geography Department Faculty of Arts and HumanitiesDamascus UniversityDamascusSyria Geography Department Faculty of Arts and HumanitiesTishreen UniversityLat-takiaSyria Department of Geography College of Arabic Language and Social StudiesQassim UniversityBuraydah 51452Saudi Arabia Departamento de Geografia State University of Mato Grosso(UNEMAT)SinopMato Grosso 78555-000Brazil

Background The Cerrado is the most biodiverse savanna and maintains other *** of its significance,this paper evaluated the Brazilian Cerrado’s climatic,environmental,and socioeconomic aspects using remote sensing data and spatial statistics(correlation analysis and principal components analysis—PCA).Following the measures of sample adequacy(MSA)and Kaiser–Meyer–Olkin(KMO)tests,seventeen variables were *** The MSA revealed that the dataset had a good quality(0.76),and nine variables were selected:elevation,evapotranspiration,active fires,Human Development Index(HDI),land use and land cover(LULC;shrubland and cropland/rainfed),rainfall(spring and autumn),and *** correlation matrix indicated a positive(negative)association between HDI and autumn rainfall(HDI and active fires)with a value of 0.77(-0.55).The PCA results determined which three principal components(PC)were adequate for extracting spatial patterns,accounting for 68.02%of the total variance with respective values of 38.59%,16.89%,and 12.5%.Due to economic development and agribusiness,Cerrado’s northern(central,western,and southern)areas had negative(positive)score HDI values,as shown in ***(rainfall—spring and fall)and environmental(cropland/rainfed and shrubland)aspects dominated the PC2,with negative scores in northern and western portions due to the transition zone between Amazon and Cerrado biomes caused by rainfall *** the other hand,environmental aspects(LULC-shrubland and elevation)influenced the PC3;areas with high altitudes(>500 m)received a higher *** Agricultural expansion substantially affected LULC,leading to deforestation-caused suppression of native vegetation.

关键词： Environment Agribusiness Active fire Human Development Index Land use and land cover

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Zeta potential measurement on lithium lanthanum titanate nanoceramics

引用

Particuology 2016年第1期14卷 69-72页

作者： carlos Ricardo Milian Pila Eduardo Perez Cappe Yodalgis Mosqueda Laffita Oswaldo luiz Alves Institute of Materials Science and Technology (IMRE) Havana University Havana CP 10400 Cuba Solid state Chemistry Laboratory Institute of Chemistry Campinas University Campinas CP 13083-970 SP Brazil

The zeta potential, isoelectric point, and agglomeration of ***3 （LLTO） nanoparticles dispersed in aqueous media at different ionic strengths have been studied. The zeta potential was determined from electrophoretic mobility measurements, according to Smoluchowski＇s equation, for Li0.5La0.5TiO3 suspen- sions in NaCl and KCI electrolytes with ionic strengths of 1, 10, and 100 mmol/dm3. The isoelectric point （IEP）, zeta potential （ζ）, and the agglomeration were shown to strongly depend on the ionic strength of the Li0.5La0.5TiO3 aqueous colloidal suspension in both NaCI and KCI electrolytes, which allows the deter- mination of the effects of environmental conditions for ***3 manipulation in aqueous colloidal systems. The suspensions of Li0.5La0.5TiO3 nanoparticles reach the IEP in the pH range 0f3-5. The （ of Li0.5La0.5TiO3 nanoparticles varied from positive to negative values with a pH increase, which allows for the control of the surface charge depending on the purpose. The pH range of 7-g and an ionic strength ≤1 mmol/dm3 are recommended as the most suitable conditions for both the LLTO colloidal shaping techniques application and the LLTO-based nanocomposite formation.

关键词： Titanate Nanoparticles Zeta potential Colloidal suspension

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Biliary tract reconstruction using jejunal tube:an experimental study in dogs

引用

Hepatobiliary & Pancreatic Diseases International 2009年第2期8卷 179-185页

作者： Eliane Anrain Trentini Eduardo Crema Juan carlos Llanos Mauro Masson Lerco luiz Alberto Magna luiz Sergio Leonardi State University of Campinas Faculty of Medical SciencesDepartment of Surgery Federal University of Triangulo Mineiro So Paulo State University "Júlio de Mesquita Filho" Faculty of Medicine of BotucatuDepartment of Surgery and Orthopedics

BACKGROUND:To physiologically reconstruct the biliary tract,Crema et al suggested the application of the Monti principle to the biliary tract,already used in humans for the urinary *** this technique,a jejunal segment is transversely *** study aimed to evaluate the efficacy of jejunal tube interposition between the common bile duct and duodenum in ***:Thirteen dogs underwent a laparoscopic common bile duct ligature,followed by a biliodigestive connection by jejunal tube interposition after one *** levels of glutamic-pyruvic and glutamic-oxalacetic transaminases,total bilirubins,alkaline phosphatase and gamma-glutamyltransferase were assessed before surgery and thereafter weekly until euthanasia,which was performed 6 weeks after biliodigestive ***:Data on 9 dogs were analyzed *** dogs presented with obstructive jaundice after common bile duct ligature,as confirmed by biochemical *** showed a statistically significant reduction in cholestasis after biliodigestive connection by jejunal tube interposition and were healthy until the end of the ***:A statistically significant reduction was seen in total bilirubin and canalicular enzymes(alkaline phosphatase and gamma-glutamyltransferase)in the 9 dogs 6 weeks after biliodigestive connetion by jejunal tube interposition.

关键词： biliary tract surgical procedures monti principle obstructive jaundice

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Challenges in Implementing DVI Best Practice Guidelines Due to the Brumadinho Disaster

引用

Forensic Medicine and Anatomy Research 2024年第1期12卷 1-12页

作者： Reinaldo Moreira Silva Bruno Diniz Sander Morais carlos Danilo Ruas Silva Elza Cristina Lopes de Oliveira Fernando Pereira Macedo Giovanni Vitral Pinto Guadalupe Dell’Arret Coutinho Higgor Gonçalves Dornelas João luiz Silva Moreira Laila Evangelista de Almeida Fernandes Marcia Lobão Iannini Patrícia Siqueira Valéria Rosalina Dias e Santos Sordaini Maria Caligiorne Instituto de Criminalística Polícia Civil de Minas Gerais Belo Horizonte Brazil

The broke of a tailings dam from Vale S.A. destroyed a gigantic area killing 270 persons in Brumadinho/Brazil. Organizing activities after a mass disaster is a complex process that requires the involvement of many people and resources in the laboratory. To DNA identification of the victims, a daunting work had to be made by DNA laboratory staff in a collaborative effort with many partners. Efforts to implement good practice guidelines in Disaster Victim Identification (DVI) have revealed several important aspects that need to change in the forensic DNA laboratory. This article highlights the challenges of implementing DVI best practice guidelines in resource-poor settings, but with professionals from different sectors engaged in the same goal of briefly identifying victims and helping families and society.

关键词： Disaster Victim Identification DNA Brumadinho

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Raman scattering study of the phonon dispersion in twisted bilayer graphene

引用

Nano Research 2013年第4期6卷 269-274页

作者： Jessica Campos-Delgado luiz G. Cangado carlos A. Achete Ado Jorio Jean-Pierre Raskin Institute of Information and Communication Technologies Electronics andApplied Mathematics (ICTEAM) Universite catholique de Louvain Louvain-la-Neuve 1348 Belgium Departamento de Fisica Universidade Federal de Minas Gerais Belo Hofizonte MG 30123-970 Brazil Divisao de Metrologia de Materiais Instituto Nacional de Metrologia Qua/Made e Tecnologia (INMETRO) Xerem RJ 25250-020 Brazil

Bilayer graphene with a twist angle O between the layers generates a superlattice structure known as a Moir6 pattern. This superlattice provides a O-dependent q wavevector that activates phonons in the interior of the Brillouin zone. Here we show that this superlattice-induced Raman scattering can be used to probe the phonon dispersion in twisted bilayer graphene （tBLG）. The effect reported here is different from the widely studied double-resonance in graphene-related materials in many aspects, and despite the absence of stacking order in tBLG, layer breathing vibrations （namely ZO＇ phonons） are observed.

关键词： twisted bilayer graphene Raman spectroscopy phonon branches

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Development of a Ready-to-Use PSMA-11 Kit Formulation and Biological Evaluation of Binding Affinity

引用

Advances in Molecular Imaging 2024年第2期13卷 7-22页

作者： Maria Renata Valente Brandão Freire Natália Marchesan Bexiga Marco Antonio Stephano João Ezequiel Oliveira carlos Roberto Jorge Soares Ana Cláudia Camargo Miranda Anna Carolina de Alcântara Barbosa Marycel Figols de Barboza Laura Fernanda Garcia luiz Felipe S. Teixeira Maria Helena Marumo Bellini Natanael Gomes da Silva luiza Mascarenhas Balieiro Joel Mendes Elaine Bortoleti de Araújo Centro de Radiofarmcia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil Departamento de Tecnologia Farmacutica Faculdade de Cincias Farmacuticas (USP) Cidade Universitria So Paulo Brasil Centro de Biotecnologia Instituto de Pesquisas Energticas e Nucleares (IPEN) Cidade Universitria So Paulo Brasil Departamento de Medicina Nuclear do Hospital Israelita Albert Einstein So Paulo/SP Brasil

Introduction: 68Ga-PSMA-11 is considered the gold standard in detection of micro and oligometastases in advanced prostate cancer, being used for therapeutic planning, as well as, potentially, for evaluating response to treatment. The development of ready-to-use lyophilized kit of PSMA-11 adds quality and safety to the routine use of this radiopharmaceutical and represents a pharmacotechnical challenge as it must preserve the integrity and specificity of the ligand. Methods: PSMA-11 kit formulation was proposed, considering radiolabeling parameters and the preservation of the peptide during the lyophilization process, using mannitol as an excipient. Critical temperature characterization studies were carried out using DSC equipment and the freeze-drying process was developed. The direct radiolabeling conditions were evaluated and standardized using 68Ge/68Ga generator eluate from two different manufacturers (ITG and Eckert & Ziegler). The radiochemical purity was evaluated by TLC and HPLC. Biological evaluation was carried out with lyophilized PSMA-11 to demonstrate the integrity of the peptide and preservation of biological activity after the lyophilization process. Results: Based on critical temperature characterization studies, the freeze-drying cycle was designed to reach a freezing temperature of around −40˚C and primary drying at 2˚C. Using 20 mg of mannitol, an intact and elegant lyophilized cake was obtained. PSMA-11 lyophilized kit was directly labeled with 68Ga eluate from 68Ge/68Ga GMP generators (ITG and Eckert & Ziegler) resulting in % RP > 95% at pH 4.0 to 4.5. The results obtained from in vitro and in vivo biological competition studies confirmed the preservation of PSMA-11 affinity for the receptor after lyophilization. Conclusion: A lyophilized formulation (Kit) of PSMA-11 was successfully obtained, which preserved the integrity and biological activity of the peptide and guaranteed radiolabeling efficiency.

关键词： 68Ga-PSMA-11 Prostate-Specific Membrane Antigen (PSMA) Ready-to-Use Kit GMP-Grade Generators Metastatic Prostate Cancer PET Imaging

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：