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development of a recurrent pleural effusion in a patient with pulmonary arterial hypertension treated with imatinib

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Therapeutic Approach in Female Sexual Dysfunctions in an Outpatient Clinic of Sexology in the Public Health System: A Longitudinal and Prospective Study

Case Reports in Clinical Medicine（临床医学病理报告） 2012年第2期

作者： Olga M. Fortenko Lana Melendres-Groves Alice Richter Xiaobo Liao Edda Spiekerkoetter Roham Zamanian Vinicio A. de Jesus perez

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Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1803-1814页

作者： Luciana Segat Fernanda Santos Grossi Luciana Borges Chagas Amanda Vilaverde perez Vitória Ruschel Lorenzon Pedro do Valle Teichmann Bruno Bossardi Rodrigo Rossi Balbinotti Edimárlei Gonsales Valério Janete Vettorazzi Postgraduate Program in Health Sciences: Gynecology and Obstetrics Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brasil Nucleus of Studies and Research in Sexuality of Rio Grande do Sul (NEPESEX) CNPq Porto Alegre Brasil department of Gynecology and Obstetrics Faculty of Medicine (FAMED) Universidade Federal do Rio Grande do Sul Porto Alegre Brasil Service of Obstetrics and Gynecology Hospital de Clínicas de Porto Alegre Porto Alegre Brasil

INTRODUCTION: Sexuality is one of the parameters of quality of life, and it is essential to include care for sexual dysfunctions in primary health care. OBJECTIVE: To evaluate the therapeutic approach in female sexual dysfunction in a public health outpatient clinic. DESIGN: A prospective cohort of women with sexual dysfunctions in an outpatient clinic of sexology in the Public Health System. The Female Sexual Function Index (FSFI) and scored 0 - 10 their sexual satisfaction were applied at the beginning and end of the follow-up. RESULTS: Eighty-nine women were included with a median age of 45 years, 69 (77.5%) had less than 11 years of schooling and 95.5% lived with a partner. The main reasons for referral for follow-up at the outpatient clinic of sexuality were dysfunction of hypoactive sexual desire disorder in 67.4% and pain related to sexual function in 46%. The average number of consultations was five and the main therapeutic interventions were guidance and clarification on sexuality (86.5%), use of topical estrogen (56.2%), and relaxation techniques (37.1%). All FSFI-19 domains had better post-intervention rates (p

关键词： Public Health Quality of Life Treatment Female Sexual Dysfunction

形变导致的蜘蛛大壶状腺丝力学行为的记忆与变异

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材料导报 2023年第23期37卷 233-241页

作者：蒋平吕太勇吴丽华 Jose perez-Rigueiro 胡梦蕾徐丽萍黄诗怡王安萍郭聪井冈山大学生命科学学院生态环境与资源研究所江西省生物多样性与生态工程重点实验室江西吉安343009 西南医科大学附属医院核医学系四川省核医学与分子影像重点实验室四川泸州646000 井冈山大学商学院江西吉安343009 马德里理工大学生物医学与技术中心西班牙马德里28223 马德里理工大学材料科学系西班牙马德里28040 四川大学生命科学学院生物资源与生态环境教育部重点实验室成都610065

纤维材料的形变与力学行为之间的关系密切。在自然条件下蛛丝会被反复拉伸,但其被拉伸后的力学行为被搁置的时间与形变效应鲜见报道。为此,本工作采用METS电子万能试验机测试研究了反复定伸长拉伸松弛后的间隔时间与形变对蜘蛛大壶状腺... 详细信息

纤维材料的形变与力学行为之间的关系密切。在自然条件下蛛丝会被反复拉伸,但其被拉伸后的力学行为被搁置的时间与形变效应鲜见报道。为此,本工作采用METS电子万能试验机测试研究了反复定伸长拉伸松弛后的间隔时间与形变对蜘蛛大壶状腺丝的力学行为的影响。结果表明,不论天然的还是经水最大限度超收缩干燥后的大壶状腺丝被定伸长反复拉伸过屈服点和屈服区甚至拉至加强区的力学行为曲线都能很好地重叠;经长时间(≥20 min)间隔后也只需一次拉伸就能不受拉伸历史的影响重现之前的力学行为,具有良好的纵向拉伸的形状与力学行为记忆。通过增加应变值对蜘蛛大壶状腺丝进行一系列的加载-卸载循环试验,并分析这些循环中其应力-应变曲线,计算每个循环中它的弹性模量、屈服应力、吸收和耗散的能量,以评估这些力学性能参数随循环增加的微观进化与演变。研究表明,蜘蛛丝力学行为的记忆与变异可以通过不可逆和可逆两种变形微观机制及其组合来解释,其中材料的粘弹性起主导作用。这些研究对人们进行新型功能纤维材料的仿生设计具有重要的指导意义。

关键词：天然高分子材料蜘蛛大壶状腺丝形变力学行为记忆

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Jardim Edite社会性住宅综合体

新建筑 2015年第6期 90-90页

作者： Marta Moreira Milton Braga Fernando de mello Franco Eduardo Ferroni Pablo Hereú 王玺 MMBB建筑师事务所 H+F建筑师事务所华中科技大学建筑与城市规划学院

Jardim Edite社会性住宅综合体项目是受托安置圣保罗城市内一个近来显著发展的商业金融区内的贫民。为了确保能整合该住宅综合体和富裕的周边环境,该项目将住宅功能竖向地安排在建筑上层,而地面部分完全用于公共设施。公共设施既可供居... 详细信息

Jardim Edite社会性住宅综合体项目是受托安置圣保罗城市内一个近来显著发展的商业金融区内的贫民。为了确保能整合该住宅综合体和富裕的周边环境,该项目将住宅功能竖向地安排在建筑上层,而地面部分完全用于公共设施。公共设施既可供居住社区使用也可服务于周边的城市群体,给该区域的经济活动和日常生活提供了综合设施。

关键词：住宅功能综合体社会性公共设施周边环境居住社区经济活动城市

Hydrolysis—Hydrogenation of soybean oil and tallow

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Mean platelet volume as a novel predictor of systematic inflammatory response in cirrhotic patients with culturenegative neutrocytic ascites

Natural Science（自然科学期刊） 2011年第7期

作者： Gisel Chenard Díaz Rodolfo Salazar perez Neyda de la C. Om Tapanes Donato Alexandre Gomes Aranda Angel Almarales Arceo

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World Journal of Hepatology 2015年第7期7卷 1001-1006页

作者： Marisol Galvez-Martinez Alfredo I Servin-Caamano Eduardo perez-Torres Francisco Salas-Gordillo Xaira Rivera-Gutierrez Fatima Higuera-de la Tijera Gastroenterology department Hospital General de México "Dr. Eduardo Liceaga" Internal Medicine department Hospital General de México "Dr. Eduardo Liceaga" Faculty of Medicine "Universidad Veracruzana"

AIM: To identify a mean platelet volume(MPV) cutoff value which should be able to predict the presence of bacterial ***: An observational, analytic, retrospective study. We evaluated medical records of cirrhotic patients who were hospitalized from January 2012 to January 2014 at the Gastroenterology department of "Hospital General de México Dr. Eduardo Liceaga", we included 51 cirrhotic patients with ascites fluid infection(AFI), and 50 non-infected cirrhotic patients as control group. Receiver operator characteristic curves were used to identify the best cutoff value of several parameters from hematic cytometry, including MPV, to predict the presence of ascites fluid ***: Of the 51 cases with AFI, 48 patients(94.1%) had culture-negative neutrocytic ascites(CNNA), 2(3.9%) had bacterial ascites, and one(2%)had spontaneous bacterial peritonitis. Infected patients had greater count of leucocytes and polymorphonuclear cells, greater levels of MPV and cardiac frequency(P der the receiving operating characteristic > 0.80). A cutoff MPV value of 8.3 fl was the best to discriminate between cirrhotic patients with AFI and those without infection. CONCLUSION: Our results support that MPV can be an useful predictor of systemic inflammatory response syndrome in cirrhotic patients with AFI, particularly CNNA.

关键词： Mean platelet volume Cirrhosis Ascites fluid infection Culture negative neutrocytic ascites Systemic inflammatory response

Malignant cardiac metastasis from breast cancer: Imaging contribution to surgical attitude

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Case Reports in Clinical Medicine 2013年第8期2卷 450-453页

作者： Victor J. Ovejero-Gomez L. Martin-Cuesta V. Alija J. Villalba J. Rodríguez-Cabello J. perez J. M. Bajo-Arenas department of Cardiology Hospital Sierrallana de Torrelavega Torrelavega Spain department of Gynaecology Hospital Sierrallana de Torrelavega Torrelavega Spain department of Medical Oncology Hospital Sierrallana de Torrelavega Torrelavega Spain department of Radiology Hospital Sierrallana de Torrelavega Torrelavega Spain department of Surgery Hospital Sierrallana de Torrelavega Torrelavega Spain

Metastasic cardiac disease from the breast is rarely diagnosed in the lifetime. It has a poor prognosis and limited management. Both echocardiography and computerized tomography (CT) should be the first imaging studies in suspicion of this entity. Other diagnostic methods should be based on the possibilities of treatment although a histopathological analysis of the metastasic mass is needed to confirm the diagnosis. Magnetic resonance imaging (MRI) could be useful to complete a morphological and functional evaluation in case of surgical removal.

关键词： Cancer Breast Metastasis Cardiac Imaging

Phase imaging of irradiated foils at the OMEGA EP facility using phase-stepping X-ray Talbot–Lau deflectometry

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High Power Laser Science and Engineering 2023年第4期11卷 45-54页

作者： G.Pérez-Callejo V.Bouffetier L.Ceurvorst T.Goudal S.R.Klein D.Svyatskiy M.Holec P.perez-Martin K.Falk A.Casner T.E.Weber G.Kagan M.P.Valdivia departamento de Física Teórica Atómica yÓptica Universidad de ValladolidValladolidSpain Universitéde Bordeaux-CNRS-CEA Centre Lasers Intenses et Applications(CELIA)UMR 5107TalenceFrance European XFEL GmbH SchenefeldGermany Laboratory for Laser Energetics RochesterNew YorkUSA CEA-DAM DIFArpajonFrance University of Michigan Ann ArborMichiganUSA Los Alamos National Laboratory Los AlamosNew MexicoUSA Lawrence Livermore National Laboratory LivermoreCaliforniaUSA Helmholtz-Zentrum Dresden-Rossendorf DresdenGermany Technische Universität Dresden DresdenGermany Institute of Physics of the ASCR PragueCzech Republic CEA-CESTA CS 60001Le Barp CedexFrance Blackett Laboratory Imperial College LondonLondonUK department of Astrophysics and Astronomy The Johns Hopkins UniversityBaltimoreMarylandUSA Center for Energy Research University of California San DiegoSan DiegoCaliforniaUSA

Diagnosing the evolution of laser-generated high energy density(HED)systems is fundamental to develop a correct understanding of the behavior of matter under extreme ***–Lau interferometry constitutes a promising tool,since it permits simultaneous single-shot X-ray radiography and phase-contrast imaging of dense *** present the results of an experiment at OMEGA EP that aims to probe the ablation front of a laser-irradiated foil using a Talbot–Lau X-ray interferometer.A polystyrene(CH)foil was irradiated by a laser of 133 J,1 ns and probed with 8 keV laser-produced backlighter radiation from Cu foils driven by a short-pulse laser(153 J,11 ps).The ablation front interferograms were processed in combination with a set of reference images obtained ex situ using *** managed to obtain attenuation and phase-shift images of a laser-irradiated foil for electron densities above 1022 cm−*** results showcase the capabilities of Talbot–Lau X-ray diagnostic methods to diagnose HED laser-generated plasmas through high-resolution imaging.

关键词： deflectometry OMEGA EP phase-contrast imaging Talbot-Lau X-ray interferometry

Impact of Selective vs Routine Midline Episiotomy and Lacerations of the Anal Sphincter

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Open Journal of Obstetrics and Gynecology 2019年第6期9卷 794-810页

作者： Samanta Schneider Amanda Vilaverde perez Nadine Morais da Silva Charles Francisco Ferreira Fernanda Santos Grossi Mariana Sbaraini Sérgio H. Martins-Costa Janete Vettorazzi Edimárlei Gonsales Valério PostgraduationProgram in Health Sciences Gynecology and Obstetrics Faculty of Medicine (FAMED Universida de Federal do Rio Grande do Sul (UFRGS) Porto Alegre Brasil School of Medicine (FAMED) Universidade Federal do Rio Grande do Sul Porto Alegre Brasil department of Gynecology and Obstetrics Faculty of Medicine (FAMED) Universida de Federal do Rio Grande do Sul Porto Alegre Brasil

Introduction: Obstetric anal sphincter tear (OAST) is associated with anal incontinence. Episiotomy was proposed as a form of protection of the anal sphincter at delivery;however, several studies have shown that routine use of episiotomy does not reduce the risk of OAST. Objective: This study aims to analyse whether the reduction in the rate of episiotomy in a school hospital in Brazil was associated with an increase in the incidence of obstetric lacerations of the anal sphincter, in addition to associated factors. Methods: Observational, cross-sectional and retrospective study. We included all vaginal deliveries of single pregnancies, cephalic presentation, from 34 weeks of gestational age, performed in 2011-2012 (liberal episiotomy) and 2015-2016 (restricted episiotomy), and compared in relation to the rate of mediolateral episiotomy and OAST. Results: 4268 births were analysed (2043 in 2011-2012 and 2225 in 2015-2016). The episiotomy rate decreased from 59.4% to 44.2% (p ≤ 0.0001). In 2011-2012, there were 10 obstetric anal sphincter lacerations in 2043 births (0.48%), while in the period 2015-2016 there were 31 lacerations in 2225 births (1.39%). There was interaction when comparing the two periods in relation to the episiotomy and the occurrence of OAST (p ≤ 0.0001). Factors associated with OAST were labor induction and shoulder dystocia. Conclusion: There was an increase in the rate of lacerations of the anal sphincter with use of restrictive episiotomy. However, this increase occurred both in deliveries with and in deliveries without episiotomy.

关键词： Restrictive Episiotomy Third-degree Perineal Laceration Fourth-degree Perineal Laceration Obstetric Anal Sphincter Tear