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Advanced Stage Stuck Gland Adenocarcinoma:Case report

modern research in Inflammation 2020年第1期9卷 1-7页

作者： m.riam Viviane Baron michele Paula dos Santos Gabriela Di Lorenzo Garcia Scherer Luis manuel Ley Dominguez Vitoria Pereira Itaquy Natalia Cardoso Nascimento fernanda Nerys Tais michele Werle Carolina Paz mohamad Isa Carina m.rangoni m.riana m.rtins Dantas Santos m.rcus Vinicius de mello Pinto Janine Koepp Daiana Klein Weber Carissimi Joice Nedel Ott Carolina Goncalves Pinheiro Nathália Ken Pereira Iketani Bartira Ercília Pinheiro da Costa Postgraduate Program in medicine and Health Sciences of the Pontifical Catholic University of rio Grande do Sul(PUC/rS) Porto AlegreBrazil Im.rovement of Higher Education Personnel Brazil(CAPES)Distrito FederalBrazil School of medicine of the Pontifical Catholic University of rio Grande do Sul(PUC/rS) Porto AlegreBrazil School of Health and Life Sciences of the Pontifical Catholic University of rio Grande do Sul(PUC/rS) Porto AlegreBrazil Celulare Institute PetrópolisRio de JaneiroBrazil Undergraduate Nursing Course of the University of Santa Cruz do Sul(UNISC) Santa Cruz do SulBrazil Postgraduate Program in Health Sciences of the Faculty of medicine of ABC(FmABC) Sao PauloBrazil Undergraduate Physiotherapy Course of the Vale do Salgado Faculty(FVS) CearáBrazil Physiotherapy of the Hospital Beneficiente Portuguesa of Belém ParáBrazil

Parotid gland adenocarcinoma is commonly a tum.r of low malignancy and low incidence worldwide. The reported case shows the rapid progression of this tum.r in an elderly patient and infrequent effects, such as a presentation of facial edema not commonly described in the medical literature. Patient was admitted to hospital in November 2019 with secretion and partial hearing loss in the right ear and infiltrative and stone lesion with initial skin ulceration in the right cervical region. After 42 days, he returned and was admitted to the intensive care unit with significant swelling of the face, hardened and hyperemic neck, difficulty in speech and inability to open the eye. He presented changes in the mobility of the speech and hearing organs, reduced laryngeal mobility, vocal changes, speech with altered articulation and severe oropharyngeal dysphagia with risk of bronchoaspiration. The patient was diagnosed in September 2019 with a parotid tum.r (salivary gland adenocarcinoma T4). The medical team.requested computed tomography, computed tomography angiography of the chest and cervical vessels and computed tomography of the neck, in addition to evaluation by the head and neck surgery service and general surgery. After analyzing the results, the medical team suggested a hypothesis of tum.r invasion that could result in obstruction of local lymphatic drainage, something unusual in the evolution of this type of tum.r. In addition, it was not possible to adhere to radiotherapy treatment due to the extent of the lesion and there was also no confirmation of metastases. The reported case shows us that parotid gland adenocarcinoma, when diagnosed in an advanced stage, can limit the approach to treatment. It was chosen in agreement with the family to proceed with palliative care without invasive measures. Palliative care may be the best option for cases like this, bringing some comfort to the patient and his family.

关键词： Parotid Neoplasms Cancer of the Parotid Palliative Care Critical Care

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Lasertherapy as A Strategy for Treatment Healing under Caloric restriction – Study in rats

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Journal of Pharmacy and Pharmacology 2018年第7期6卷 647-658页

作者： Leandro C. moscardi Talita P. Espíndola Amanda A. Ferreira Naiara Alves m.ria Esm.ria C. Am.ral Andréa A. Aro rodrigo A. Dalia m.rcelo A. m. Esquisatto fernanda A. S. mendonca Gláucia m. T. Santos Thiago A. m. Andrade Graduate Program in Biomedical Sciences of the Hermínio Ometto University Center UNIARARAS Araras So Paulo 13607-339 Brazilc

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Com.rehensive Left Ventricular mechanics Analysis by Speckle Tracking Echocardiography in COVID-19

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World Journal of Cardiovascular Diseases 2021年第2期11卷 113-125页

作者： Francisco J. González-ruiz Emmanuel A. Lazcano-Díaz Zuilma Y. Vásquez-Ortiz fernanda Bernal-Ceballos rodrigo Gopar-Nieto Consuelo Orihuela-Sandoval José P. Hernández-reyes Edgar García-Cruz Eduardo Bucio-reta Ángel ramos-Enríquez Luis A. Cota-Apodaca Luis Efren-Santos Blanca Estela Broca-García Daniel manzur-Sandoval Efrén melano-Carranza Fernandez de la reguera Guillermo Gustavo rojas-Velasco Francisco Baranda-Tovar Department of Cardiovascular Critical Care National Institute of Cardiology “Dr. Ignacio Chávez” México City México Department of Echocardiography National Institute of Medical Science and Nutrition “Dr. Salvador Zubirán” México City México PhD Program National University of Mexico (UNAM) México City México Cardiovascular Diseases Department National Institute of Cardiology “Dr. Ignacio Chávez” México City México

Background: Cardiac involvement and the consequences of inflammation induced by SArS-CoV2 infection could have catastrophic long-term consequences. Left ventricular mechanics could identify a specific pattern of myoc... 详细信息

rong>Background:rong> Cardiac involvement and the consequences of inflammation induced by SARS-CoV2 infection could have catastrophic long-term consequences. Left ventricular mechanics could identify a specific pattern of myocardial fiber damage in patients infected with COVID-19. To our knowledge there are no publications referring to the global description of ventricular mechanics in patients with COVID-19. Objective: To describe left ventricular mechanics in hospitalized patients with COVID-19. Methods: In this cross-sectional study, we included 40 hospitalized patients with confirmed diagnostic of COVID-19, from April 11, 2020, to September 6, 2020. Demographic and laboratory data, clinical and echocardiographic characteristics were collected, as well as events during hospitalization. Left ventricular deformation was analyzed and reported. Results: Subclinical dysfunction was observed in 82.5% (left ventricular longitudinal strain [LVGLS] -17.05% and global circumferential strain [GCS] -18.6%) of the patients, likewise, the mean twist and apical rotation were preserved, and even increased as part of the compensating mechanism to maintain the ejection fraction. Conclusion: In patients hospitalized with COVID-19, despite having a normal left ventricular ejection fraction, subclinical myocardial damage was found, manifested by a decrease in Global Longitudinal Strain (GLS) and Global Circumferential Strain (GCS). This behavior is similar to that of cardiomyopathies in the early stage of the disease, and given the pathophysiological mechanisms involved in the disease, its long-term consequences should be monitored and evaluated.

关键词： COVID-19 Speckle Tracking Echocardiography myocarditis Cardiomyopa-thy Cardiac mechanics Strain myocardial Damage Deformation Imaging myocardial Strain

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Surface Finish Evaluation of AISI P100 Steel after Grinding with mQL Technique with Different Flow rates

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Journal of mechanics Engineering and Automation 2020年第2期10卷 60-65页

作者： Bruno Souza Abrão mayara fernanda Pereira Cleudes Guim.rães Lurian Souza Vieira da Silva rodrigo deSouza ruzzi rosem.r Batista da Silva Eduardo Carlos Bianchi Alisson rocha machado School of mechanical Federal University of UberlandiaUberlandia/MGCEP 38.408-208Brazil School of Engineering São Paulo State UniversityBauru/SPCEP 17.033-360Brazil mechanical Engineering Graduate Program Pontifícia Universidade Católica do Paraná(PUC-PR)R.Imaculada Conceição1155Bairro Prado VelhoCEP 80215-901Curitiba/PRBrazil

Grinding operation is a finishing process often employed when high precision and narrow geometric tolerances are *** requirements can be achieved only if cutting conditions are properly selected,especially the cooling-lubrication *** general,grinding is performed in presence of cutting fluid,however,due to the environmental impacts and costs of the conventional coolant delivery technique(flow rates from 4 L/min to 300 L/min),alternative cooling-lubrication techniques have been developed on restriction of the coolants *** the several techniques,mQL(minimum quantity of lubricant)technique has received special attention from machining users because of its advantages in terms of surface quality of workpiece and drastic reduction in use of *** this context,this paper evaluated the performance of the mQL technique as compared to the flood coolant in peripheral surface grinding of AISI P100(VP100)steel with conventional aluminum oxide grinding wheel in relation to the surface roughness(ra and rz).Input parameters tested were equivalent chip thickness(0.09μm,0.18μm and 0.27μm)and flow rate of the cutting fluid(60 mL/h,150 mL/h and 240 mL/h)of the mQL *** showed that the grinding with mQL technique provided lower surface roughness values compared to conventional flood cooling,especially when machining under the intermediary cutting ***,with exception of heq of 0.09 m,the mQL technique resulted in lower values of rz parameter as compared to the conventional coolant technique,regardless of the flow rate tested.

关键词： Grinding AISI P100 steel mQL technique equivalent chip thickness surface roughness

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