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Variables Associated with cirrhosis Diagnosis in Patients with chronic Hepatitis c: A case-control Study

Health 2015年第12期7卷 1634-1641页

作者： Gilmar Amorim de Sousa Iris do céu clara costa Dyego Leandro Bezerra de souza Fabia Barbosa de Andrade Lívia Medeiros Soares celani Ranna Santos Pessoa marlon césar de souza filho Daniel Fernandes Mello de Oliveira Luana Lopes de Medeiros Lucila Samara Dantas de Oliveira Maria Flávia Monteiro The Integrated department of Medicine Federal University of Rio Grande do Norte UFRN Natal Brazil The Post-Graduate Program in collective Health of UFRN Natal Brazil Gastroenterology Program of the University Hospital Onofre Lopes/UFRN Natal Brazil The Medical School of UFRN Natal Brazil

The diagnosis of liver cirrhosis in patients with chronic hepatitis c has not always been easy, since the gold standard method is the liver biopsy, which is an invasive procedure with interobserver accuracy problems and there have been reports of complications including records of deaths due to hemoperitoneum. cirrhosis changes the prognosis of the subject with hepatitis c and requires a different clinical management. This study aimed to identify clinical and laboratory variables associated with the diagnosis of cirrhosis in the ultrasonography of patients infected with hepatitis c. In a case-control study, we evaluated 70 cirrhotic patients with chronic hepatitis c compared to a control group of 70 non-cirrhotic people with positive HcV. The results showed, through logistic regression analysis, that the variables blood donor and professional athlete, adjusted for alcohol consumption, showed OR 0.24 and 0.18, with p values of 0.044 and 0.035, respectively. We conclude that the diagnosis of cirrhosis in patients with chronic hepatitis c remains challenging, but the patients with the condition of blood donor or professional athlete prove to be less likely to cirrhosis in ultrasonography in the initial consultation.

关键词： cirrhosis Biomakers Fibrosis Hepatitis c Virus clinical Diagnosis Biopsy Non-Invasive Methods Scores Ultrasonography

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determining the effective elastic thickness through cross-correlation between isostatic disturbances

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Geodesy and Geodynamics 2024年第3期15卷 241-251页

作者： Nelson Ribeiro-filho cristiano Mendel Martins Raissa Moraes Baldez Ivaldevingles Rodrigues de souza Júnior Franck Eitel Kemgang Ghomsi Instituto Federal do Pará(IFPA) AltamiraParáBrazil Universidade Federal do Pará(UFPA) BelemParáBrazil Nansen-Tutu center for Marine Environmental Research Department of OceanographyUniversity of Cape TownSouth Africa Geodesy Research Laboratory National Institute of CartographyYaoundeCameroon

The elastic thickness parameter was estimated using the mobile correlation technique between the observed isostatic disturbance and the gravity disturbance calculated through direct gravimetric modeling. We computed the vertical flexure value of the crust for a specific elastic thickness using a given topographic dataset. The gravity disturbance due to the topography was determined after the calculation. A grid of values for the elastic thickness parameter was generated. Then, a moving correlation was performed between the observed gravity data(representing actual surface data) and the calculated data from the forward modeling. The optimum elastic thickness of the particular point corresponded to the highest correlation coefficient. The methodology was tested on synthetic data and showed that the synthetic depth closely matched the original depth, including the elastic thickness value. To validate the results, the described procedure was applied to a real dataset from the Barreirinhas Basin, situated in the northeastern region of Brazil. The results show that the obtained crustal depth is highly correlated with the depth from known models. Additionally, we noted that the elastic thickness behaves as expected, decreasing from the continent towards the ocean. Based on the results, this method has the potential to be employed as a direct estimate of crustal depth and elastic thickness for any region.

关键词： Isostasy Elastic thickness Isostatic disturbance Moho depth cross-correlation

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Influence of Omega 3 Fatty Acid Supplementation on Phase Angle Values of People Living with HIV/AIDS with Lipodystrophy Secondary to Antiretroviral Therapy: A Randomized clinical Trial

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Food and Nutrition Sciences 2024年第1期15卷 58-70页

作者： Thalita Bandeira Dantas Alline Peralta castro Fernando de souza Flexa Ribeiro filho Rosana Maria Feio Libonati Núcleo de Medicina Tropical do Pará Programa de Pós gradua&ccedil&atildeo em Patologia das Doen&ccedilas Tropicais Universidade Federal do Pará Pará Brasil Instituto de ciências Biológicas e da Saúde Faculdade de Medicina Universidade Federal do Pará Pará Brasil centro de ciências Biológicas e da Saúde Universidade Estadual do Pará Pará Brasil

Objective: The measurement of phase angles is an important monitoring parameter and supplementation with omega-3 could promote benefits by modulating the electrical potential of membranes and increasing body cell mass. This study aimed to evaluate the effectiveness of omega-3 fatty acid supplementation on the phase angle of people living with HIV/AIDS. Methods: In this study, 63 individuals of all genders who were undergoing outpatient follow-up and showed lipodystrophy due to highly active antiretroviral therapy were analyzed. Our sample consisted of two groups, one that received supplementation containing 2550 mg of omega-3/day (1080 mg of eicosapentaenoic acid and 720 mg of docosahexaenoic acid) for three months (n = 32) and another that underwent nutrition guidance (n = 31). Phase angle and body cell mass were assessed for both groups and compared at the beginning of research (T0) and after our intervention (T1) for each group separately. Results: Phase angle averaged 6.45° ± 1.06 SD. The comparison between T0 and T1 showed a significant increase in phase angle and body cell mass, whereas the guidance group showed a decrease in body cell mass at T1 in relation to T0, with a significant p-value. Variance in phase angle between moments showed significant values between T0 and T1 in the supplementation group for all genders. conclusion: Omega-3 positively modulated patients phase angle and body cell mass, but we emphasize the need for other studies that can solidify knowledge about supplementation dosage and intervention time.

关键词： HIV Lipodystrophy Omega-3 Phase Angle

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Resilience-Oriented Approach to the control of Ventricular Assist devices

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Journal of Biomedical Science and Engineering 2024年第8期17卷 137-156页

作者： Jônatas cerqueira Dias Jeferson cerqueira Dias Milena Victoria de Azevedo souza Diolino José dos Santos filho department of Mechatronic Engineering and Mechanical Systems Universidade de So Paulo (USP) So Paulo Brazil department of Mechatronic Engineering and Mechanical Systems Universidade de So Paulo (USP) So Paulo Brazil department of Biomedical Technology Faculdade de Tecnologia Prefeito Hirant Sanazar (FATEC OSASCO) Osasco Brazil

context: Advanced heart failure (AHF) poses a global challenge, where heart transplantation is a treatment option but limited by donor scarcity. Proposal: This study aims to enhance the performance of ventricular assist devices (VADs) in the face of adverse events (AEs) using a resilience-based approach. The objective is to develop a method for integrating resilience attributes into VAD control systems, employing dynamic risk analysis and control strategies. Results: The outcomes include a resilient control architecture enabling anticipatory, regenerative, and degenerative actions in response to AEs. A method of applied resilience (MAR) based on dynamic risk management and resilience attribute analysis was proposed. conclusion: Dynamic integration between medical and technical teams allows continuous adaptation of control systems to meet patient needs over time, improving reliability, safety, and effectiveness of VADs, with potential positive impact on the health of heart failure patients.

关键词： Heart Failure Ventricular Assist devices Resilience Dynamic control

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Resection of Intracranial Giant cavernous Malformation: case Report and Literature Review

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Surgical Science 2024年第2期15卷 28-35页

作者： Vinicios Rivelli Da Fonseca cleverson Martins Kill Mariana Alcantara Hugo Fialho Leonnan de Sa Oliveira Lucidio souza filho department of Neurosurgery Hospital Santa Rita Belo Horizonte Brazil

cerebral cavernous malformations are a rare and congenital vascular malformation that can present as a challenge in neurosurgical management. The term “giant cerebral cavernous malformations” still does not have a clear definition in the literature, with a wide variety of results. It is known, however, that there is an association between the size of the cavernoma and postoperative sequelae, especially in those with a size greater than 3 cm in its largest diameter. We present a case report of resection of a giant brain cavernoma measuring approximately 8 cm in its largest diameter, emphasizing on clinical presentation, diagnoses and postoperative evolution. Additionally, we performed a comprehensive review of the existing literature on the subject, addressing the epidemiology, pathophysiology, diagnostic methods, treatment options, and prognosis associated with this condition.

关键词： cavernous Malformation cerebral cavernous Malformation Giant cavernous Malformation cavernous Hemangioma cavernous Angioma cavernoma Giant cavernoma

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Monthly and seasonal streamflow forecasting of large dryland catchments in Brazil

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Journal of Arid Land 2021年第3期13卷 205-223页

作者： Alexandre c cOSTA Alvson B S ESTAcIO Francisco de A de souza filho Iran E LIMA NETO Institute of Engineering and Sustainable development University of International Integration of the Afro-Brazilian LusophonyRedençãoCEP 62.790-970Brazil department of Hydraulic Engineering and Environment Federal University of CearáFortalezaCEP 60.451-970Brazil

Streamflow forecasting in drylands is *** are scarce,catchments are highly humanmodified and streamflow exhibits strong nonlinear responses to *** goal of this study was to evaluate the monthly and seasonal streamflow forecasting in two large catchments in the Jaguaribe River Basin in the Brazilian semi-arid *** adopted four different lead times:one month ahead for monthly scale and two,three and four months ahead for seasonal *** gaps of the historic streamflow series were filled up by using rainfall-runoff ***,time series model techniques were applied,i.e.,the locally constant,the locally averaged,the k-nearest-neighbours algorithm(k-NN)and the autoregressive(AR)*** criterion of reliability of the validation results is that the forecast is more skillful than streamflow *** approach outperformed the streamflow climatology for all monthly *** average,the former was 25%better than the *** seasonal streamflow forecasting(SSF)was also reliable(on average,20%better than the climatology),failing slightly only for the high flow season of one catchment(6%worse than the climatology).considering an uncertainty envelope(probabilistic forecasting),which was considerably narrower than the data standard deviation,the streamflow forecasting performance increased by about 50%at both *** forecast errors were mainly driven by the streamflow intra-seasonality at monthly scale,while they were by the forecast lead time at seasonal *** best-fit and worst-fit time series model were the k-NN approach and the AR model,*** rainfall-runoff modelling outputs played an important role in improving streamflow forecasting for one streamgauge that showed 35%of data *** developed data-driven approach is mathematical and computationally very simple,demands few resources to accomplish its operational implementation and is applicable to other dryland *** findings may be part of drou

关键词： nonlinear time series analysis probabilistic streamflow forecasting reconstructed streamflow data dryland hydrology rainfall-runoff modelling stochastic dynamical systems

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Assessing the inter-annual variability of separation distances around odour sources to protect the residents from odour annoyance

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Journal of Environmental Sciences 2019年第5期31卷 11-24页

作者： marlon Brancher Martin Piringer Davide Franco Paulo Belli filho Henrique de Melo Lisboa Gunther Schauberger Postgraduate Program in Environmental Engineering (PPGEA) Federal University of Santa Catarina (UFSC) 88040900 Florianopolis Brazil.CAPES Foundation scholarship holder (main author) Brazilian Ministry of Education Brasilia Brazil WG Environmental Health Department of Biomedical Sciences University of Veterinary Medicine ViennaVeterinarplatz1 A-1210Vienna Austria central Institute for Meteorology and Geodynamics Hohe Warte 38 A-1190 Vienna Austria

In recent years, there has been a growing concern about potential impacts on public health and wellbeing due to exposure to environmental odour. Separation distances between odour-emitting sources and residential areas can be calculated using dispersion models, as a means of protecting the neighbourhood from odour annoyance. This study investigates the suitability of using one single year of meteorological input data to calculate reliable direction-dependent separation distances. Accordingly, we assessed and quantified the inter-annual variability of separation distances at two sites with different meteorological conditions, one in Brazil and the other in Austria. A 5-year dataset of hourly meteorological observations was used for each site. Two odour impact criteria set in current regulations were selected to explore their effect on the separation distances. The coefficient of variation was used as a statistical measure to characterise the amount of annual variation. Overall,for all scenarios, the separation distances had a low degree of inter-annual variability(mean coefficient of variation values from 8% to 21%). Reasonable agreements from year to year were therefore observed at the two sites under investigation, showing that one year of meteorological data is a good compromise to achieve reliable accuracy. This finding can provide a more cost-effective solution to calculate separation distances in the vicinity of odour sources.

关键词： Environmental odour Odour annoyance Impact assessment Dispersion modelling Regulatory criteria Separation distance

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Authigenic titanite in weathered basalts: Implications for paleoatmospheric reconstructions

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Geoscience Frontiers 2020年第6期11卷 2183-2196页

作者： Alexey A.Novoselov Dailto Silva carlos Roberto de souza filho Institute of Applied Economic Geology Universidad de ConcepcionConcepcionChile Institute of Geosciences University of CampinasCampinasSPBrazil

The stability of titanite is sensitive to temperature and partial pressure of *** finding of authigenic titanite grains in weathering regolith formed on Parana basalts,Brazil,under tropical climatic conditions,reveals the thermodynamically-driven conversion from calcite to titanite at elevated ambient *** unusual nowadays,this phase transition provides important implications for the understanding of silicate weathering in earlier geological *** types of secondary titanites were identified in the weathering profile of the study *** tiny grains of 10 μm are forming in the microscopic voids in the ***,large fractures filled with Fe-rich clay minerals contain bigger specimens of up to 170μ*** titanites of second type often coexist with chalcedony and *** carbonate minerals were found in the weathering *** sphene can be discriminated from other titanite types by its strong positive Eu anomaly,increased Al2 O3 content and low content of trace *** specific chemical composition and reactive transport modeling link this secondary mineral with dissolution of *** titanite precipitation is controlled by slow diffusion in poorly-aerated,highly-alkaline pore *** subaerial weathering of basaltic rocks provides a significant reservoir for atmospheric ***,the deposition of carbonate minerals is thermodynamically avoided at the stability field of *** demonstrate a complex feedback between cO2 and soil *** rise in pcO2 triggers the precipitation of calcite in the weathering regolith,but the greenhouse effect increasing the temperature can cease carbonate *** titanites were found in several paleosols and at least a part of them can be of weathering origin.

关键词： Titanite Sphene calcite Paleosols Weathering Paleoclimates

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crop residues: applications of lignocellulosic biomass in the context of a biorefinery

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Frontiers in Energy 2022年第2期16卷 224-245页

作者： Maria carolina ANDRAde caio de Oliveira GORGULHO SILVA Leonora Rios de souza MOREIRA Edivaldo Ximenes FERREIRA filho Laboratory of Enzymology Department of Cellular BiologyUniversity of BrasiliaBrasiliaDFBrazil

Interest in lignocellulosic biomass conversion technologies has increased recently because of their potential to reduce the dependency on non-renewable feedstocks. Residues from a variety of crops are the major source of lignocellulose, which is being produced in increasingly large quantities worldwide. The commercial exploitation of crop residues as feedstocks for biorefineries which could be used to produce a variety of goods such as biofuels, biochemicals, bioplastics, and enzymes is an attractive approach not only for adding value to residues but also for providing renewable products required by the expanding bioeconomy market. Moreover, the implementation of biorefineries in different regions has the potential to add value to the specific crop residues produced in the region. In this review, several aspects of crop residue application in biorefineries are discussed, including the role of crop residues in the bioeconomy and circular economy concepts, the main technical aspects of crop residue conversion in biorefineries, the main crop residues generated in different regions of the world and their availability, the potential value-added bioproducts that can be extracted or produced from each crop residue, and the major advantages and challenges associated with crop residue utilization in biorefineries. despite their potential, most biomass refining technologies are not sufficiently advanced or financially viable. Several technical obstacles, especially with regard to crop residue collection, handling, and pre-treatment, prevent the implementation of biorefineries on a commercial scale. Further research is needed to resolve these scale-up-related challenges. Increased governmental incentives and bioeconomic strategies are expected to boost the biorefinery market and the cost competitiveness of biorefinery products.

关键词： crop residue biorefinery bioproduct biomass circular bioeconomy enzyme

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Unwrapping reworked crust at the columbia supercontinent margin within central southern Amazon craton using multi-source geophysics and geochronology data synergy

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Geoscience Frontiers 2022年第3期13卷 35-52页

作者： João G.Motta P.G.Betts V.T.Meira V.G.Trevisan c.R.de souza filho Institute of Geosciences University of CampinasCampinasSão PauloBrazil camborne School of Mines University of ExeterPenryn CampusPenrynCornwallUnited Kingdom School of Earth Atmosphere and EnvironmentMonash University(Clayton Campus)ClaytonVICAustralia Anglo American Níquel Brasil Ltda. Avenida Interlândia502 QD 87LST 68 e 10GoiâniaGoiásBrazil

The geometry and evolution of pre-existing basement in accretionary belts bordering supercontinents are often *** interpretation of long-wavelength potential field satellite data can image deep crust structure,improving our understanding of lithospheric processes that formed these margins ***,we present a multidisciplinary interpretation of the lithospheric architecture of the central southern Amazon craton,a fragment of an accretionary belt at the southwestern columbia supercontinent ***-borne gravity and magnetic data,airborne magnetic data,passive seismic(V_(p)/V_(s) ratio,crustal thickness)and seismic tomography data reveals that basement terranes from the interior of the craton extend into the accretionary margin of *** demonstrate a vertically heterogeneous structure with an underlying strongly reworked pre-columbia tectonic wedge that sustained prolonged modification during the supercontinent assembly as corroborated by Nd isotope and geochronology *** isotope data suggest that the protracted orogenic wedge was influenced by subduction angle shifts over time,including addition of substantial juvenile material during slab retreat *** interplay promoted craton growth at the supercontinent margin while keeping a subtle record of the pre-existing *** findings point to the possible misrepresentation of basement extension and geometry of supercontinent margins elsewhere.

关键词： Satellite gravity Satellite magnetics columbia Accretionary belt Amazon craton Geochronology

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