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Approach to Paroxysmal Atrial Fibrillation Type Arrhythmia in a Cardiology service:A Case report

Modern research in Inflammation 2020年第2期9卷 9-17页

作者： Miriam Viviane Baron Luis Manuel Ley Dominguez Carolina Paz Mohamad Isa Gabriela Di Lorenzo Garcia scherer Michele Paula dos santos Vitoria Pereira Itaquy Talia Guimaraes dos santos Julia Braga da silveira Paulo ricardo Martins Amanda Correa dos santos Marcus Vinicius de Mello Pinto Janine Koepp Daiana Klein Weber Carissimi Joice Nedel ott Carolina Goncalves Pinheiro Nathalia Ken Pereira Iketani Gabriela Feltez 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 Improvement 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 PetrópolisBrazil 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 rehabilitation sciences of the Federal University of Health sciences of Porto Alegre Porto AlegreBrazil Postgraduate Program in Medicine and Health sciences School of Medicine of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS)Porto AlegreBrazil

Atrial fibrillation is a cardiac arrhythmia of high prevalence in the population, especially in the elderly. Its main electrical characteristics are the interval between two successive irregular r waves, absence of P waves and presence of f waves between Qrs complexes. The most common symptoms of atrial fibrillation are irregular palpitations associated with dyspnea, dizziness, feeling tired, fatigue and general malaise, but not all patients have any symptoms. The present report presents the history of an elderly patient who arrived at the hospital’s emergency department with irregular heart rhythm and palpitations. The patient’s symptoms, associated with the electrocardiogram results, indicated paroxysmal atrial fibrillation. Electrical cardioversion was performed, and after, cardiac ablation via the femoral vein at the hospital’s cardiology service. There were no complications during the procedure. As a routine imaging exam after ablation, control esophagogastroduodenoscopy was requested to verify that there was no formation of atrio-esophageal fistula developed by the invasive ablation procedure and electrocardiogram, which showed normal sinus rhythm. The patient remained in the cardiac intensive care unit for observation for 24 hours. After the electrical cardioversion and catheter ablation procedures, the patient improved his clinical picture of atrial fibrillation and was discharged after 24 hours of hospitalization. He received treatment to perform at home, to reduce acid reflux into the esophagus and to prevent thrombosis. He did not present pulmonary thromboembolism after hospital discharge. It is believed, therefore, that this form of treatment and management of paroxysmal atrial fibrillation is effective for the solution of the proposed problem and can also serve as a reference for other professionals within the cardiology service.

关键词： Atrial Fibrillation Electrical Cardioversion Catheter Ablation Hypertension Obstructive sleep Apnea syndrome

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Non-Hodgkin’s Lymphoma Associated with Metastatic Lung Cancer: Case report

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Advances in Lung Cancer 2021年第3期10卷 40-47页

作者： Miriam Viviane Baron Gabriela Di Lorenzo Garcia scherer Célia regina Martins Korzenieski Julia Braga da silveira Carolina Boeira soares Carina Marangoni Marcus Vinicius de Mello Pinto Aline ronis sampaio Alexandre Gomes sancho Esteban Fortuny Pacheco Felice Picariello Joice Nedel ott Isabel Cristina reinheimer Carolina Gonçalves Pinheiro Nathália Ken Pereira Iketani Cristine Brandenburg Danielle de Mello Florentino Patrícia Froes Meyer 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 Alegre Brazil school of Medicine of the Pontifical Catholic University of rio Grande do sul (PUC/rs) Porto Alegre Brazil school of Health and Life sciences of the Pontifical Catholic University of rio Grande do sul (PUC/rs) Porto Alegre Brazil Celulare Institute Rio de Janeiro Brazil Unigranrio Rio de Janeiro Brazil Universidad Finis Terrae Santiago Chile Università degli studi di Napoli Federico II Napoli Italy Postgraduate Program in Health sciences of the Faculty of Medicine of ABC (FMABC) S&#227 o Paulo Brazil Hospital Beneficiente Portuguesa of Belém Pará Brazil Federal University of Ceará (UFC) Fortaleza Brazil Uniredentor University Rio de Janeiro Brazil Centro Universitário do rio Grande do Norte Natal RN Brazil

Lymphomas are neoplastic transformations that affect lymphoid cells. Diffuse large B-cell non-Hodgkin’s lymphoma has a high degree of cell proliferation, accounting for 30% of all lymphomas. Lung cancer is the leading cause of death worldwide and the recommended treatment is chemotherapy. Among the main complications resulting from non-Hodgkin’s lymphoma, lung cancer and chemotherapy used in their treatment, we can mention sepsis, acute kidney injury and febrile neutropenia. Febrile neutropenia can occur by suppressing the production of neutrophils. sepsis, a widespread infection, is the main cause of acute kidney injury, which can also be caused by hydroelectrolytic complications or by nephrotoxicity. This is a report of a smoking patient with metastatic lung cancer who sought care due to progressive dysphagia, cough with chest pain, fever, and lower airways critical obstruction due to mediastinal lymphadenopathy, being diagnosed with diffuse large B-cell non-Hodgkin’s lymphoma. The patient evolved to death because of a significant worsening of the ventilatory pattern of multifactorial cause, mainly due to sepsis, acute kidney injury, and febrile neutropenia. The patient had mostly classic characteristics of her comorbidities, however, the overlapping of interrelated comorbidities led to the outcome of death. What is unusual about the present case report is that the patient’s characteristics, such as age, sex, and ethnicity, are opposite to those described as risk factors for diffuse large B-cell non-Hodgkin’s lymphoma.

关键词： Acute Kidney Injury Febrile Neutropenia sepsis Chemotherapy

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CrITICAL NATUrAL CAPITAL rEVIsITED:ECOLOGICAL rEsILIENCE AND sTrONG sUsTAINABILITY

CRITICAL NATURAL CAPITAL REVISITED:ECOLOGICAL RESILIENCE AND...

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第三世界生态高峰会

作者： F.s.Brand K.Jax Institute for Landscape Ecology Technical University Munich Germany Institute for Landscape Ecology.Technical University Munich Germany & UFZ Helmholtz Zentrum fur Umweltforschung.Leipzig Germany

A central objective of strong sustainability is the maintenance of natural capital in the long term （Daly 1996,Neumayer 2003）.From a practical perspective of environmental management,this means to identify the critical elements of natural capital for specific ecological systems,*** systems,fisheries,forests or coral reefs (ott and D（?）ring 2004).However,concerning the relevant literature within sustainability science the specification of critical natural capital remained largely elusive （*** et al.2003）.The concept of ecological resilience （Er） is one of the most important research topics in the context of achieving sustainability （Perrings et al.1995,Kates et ah 2001,Foley et al.2005）.This presentation uses the theory and concepts related to Er （*** and Holling 2002,Walker et al. 2006） in order to develop the tools for specifying critical natural capital within concrete situations facing environmental *** particular,I suggest that the critical natural capital of ecological systems corresponds to their remaining amonnt of *** identify the amount of Er of a specific ecological system,one has to be explicit about （a） what elements of the system （*** services, populations） ought to be resilient （b） to what disturbances （*** fragmentation,pollution,climate change） at （c） what spatial and temporal scale （Carpenter 2001,Bennett et al.2005,Jax 2006）. subsequently,resilience theory offers two options to examine the degree of *** first option investigates empirically the value of the slow variables of a system （*** storages,long-lived organisms） and plot it in a bifurcation diagram,as considered in Figure *** amount of Er is then measured as the distance between the current value of the slow variable and the ecological threshold point （ET）（Walker et al.2002）.The second option refers to the amount of resilience mechanisms inherent in the desirable system *** mechanisms include （a） critical f

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Early Hepatic Encephalopathy after a Transjugular Intrahepatic Portosystemic shunt Procedure: Case report

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Open Journal of Gastroenterology 2021年第6期11卷 81-88页

作者： Miriam Viviane Baron Gabriela Di Lorenzo Garcia scherer Michele Paula dos santos Andres Felipe Mantilla santamaria Cristine Brandenburg Isabel Cristina reinheimer Marcus Vinicius de Mello Pinto Aline ronis sampaio Alexandre Gomes sancho Alexandre Gomes sancho Esteban Fortuny Pacheco Felice Picariello Danielle de Mello Florentino Joice Nedel ott Carolina Gonçalves Pinheiro Nathália Ken Pereira Iketani sonia Carvalho Patrícia Froes Meyer 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 Alegre Rio Grande do Sul Brazil school of Medicine of the Pontifical Catholic University of rio Grande do sul (PUC/rs) Porto Alegre Rio Grande do Sul Brazil Industrial University of santander (UIs) Bucaramanga Colombia University of Vale do Acaraú (IDJ/UVA) Ceará Brazil Celulare Institute Rio de Janeiro Brazil Unigranrio Rio de Janeiro Brazil Universidad Finis Terrae Santiago Chile Università degli studi di Napoli Federico II Napoli Italy Uniredentor University Rio de Janeiro Brazil Postgraduate Program in Health sciences of the Faculty of Medicine of ABC (FABC) S&#227o Paulo Brazil Hospital Beneficiente Portuguesa of Belém Pará Brazil rigshospital Copenhagen East K&#248benhavn Denmark Centro Universitário do rio Grande do Norte Natal Brazil

Patients with decompensated hepatic cirrhosis may present systemic alterations and dysfunction of multiple organs. Ascites, portal hypertension, esophageal varices, and hepatic encephalopathy are common complications arising from cirrhosis. The aim of this paper is to report a case of a patient with liver cirrhosis and the complications of a transjugular intrahepatic portosystemic shunt.span> Male, elderly, and ex-alcoholic, diagnosed with liver cirrhosis, ascites, and esophageal varices. He underwent transjugular intrahepatic portosystemic shunt due to portal hypertension and returned to the hospital after 24 hours with agitation and mental confusion. He had a bowel movement stop, neurological worsening, loss of renal function, hepatic hydrothorax, hepatic encephalopathy, hypernatremia, hypocalcemia, and hypophosphatemia. He underwent a new procedure to occlude the transjugular intrahepatic portosystemic shunt, showing improvement of the mental status and ascites. However, continued with decompensation and hydro-electrolytic disorders. He evolved with worsening of the ventilatory pattern, and neurological and renal function, with a fatal outcome. span style="font-family:Verdana;">Esophageal varices due to portal hypertension can be corrected with the transjugular intrahepatic portosystemic shunt. However, complications such as hypernatremia, hepatic hydrothorax, and hepatic encephalopathy may occur. Therefore, there is a need for reintervention to shunt or reduce its caliber. Thus, for patients with advanced age and decompensated cirrhosis, the potential risks and benefits of this procedure should be carefully evaluated due to the risk of complications and death.

关键词： Ascites Hypernatremia Portasystemic shunt Transjugular Intrahepatic Hepatic Encephalopathy

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Evaluating chromosomal segregation in a family where both spouses carry an autosomal translocation

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reproductive and Developmental Medicine 2023年第3期7卷 189-192页

作者： Irina L.Puppo Ziravard N.Tonyan Alsu F.saifitdinova Julia A.Loginova Anna A.Kinunen Alisa N.Panina Julia r.Pastuhova Olga A.Leonteva Olga G.Chiryaeva Olga V.Malysheva Oleg s.Glotov Irina V.Poliakova Andrey V.Tikhonove Tatyana V.Vavilova Irina L.Menshikova Elvira V.Isakova Andrey s.Glotov Natalya K.Bichevaya International Centre for reproductive Medicine Saint-Petersburg 197350Russia Department of Laboratory Medicine and Genetics Almazov National Medical Research CentreSaint-Petersburg197341Russia Department of Genomic Medicine D.O.Ott's Institute of ObstetricsGynecologyand ReproductologySaint-Petersburg 199034Russia Department of Biology.Herzen state Pedagogical University of russia Saint-Petersburg 191186Russia DiaCarta Inc.2600 Hilltop DriveRichmondCA 94806 st.Petersburg Centre for Medical Genetics Saint Petersburg194044Russia Department of ExperimentalMedical Virology MolecularGenetics and Biobankingof Pediatric Researchand Clinical Center for Infectious DiseasesSaint-Petersburg 197022Russia Medical institute of surgut state University Surgut 628403 Russia CerbaLab Ltd. Saint-Petersburg 199106Russia

Autosomal reciprocal translocations represent exchanges of chromatin fragments between non-homologous *** are facilitated by the creation of quadrivalent structures during the first meiotic division,which are characterized by the length of the translocated and centric segments,asymmetry,and the presence of terminal breakpoints,all of which may impact segregation ***,we report a rare case of multiple reciprocal translocations within a single *** includes the evaluation of the translocations in each of the spouses and an analysis of their chromosome segregation patterns as determined by the constellation of universal characteristics in each of their *** obtained results will be of interest to fundamental biology,as they will expand the understanding of the factors affecting chromosome segregation during meiosis.

关键词： Embryo viability Genetic counseling Pre-implantation genetic testing Quadrivalent characteristics

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“实验室”效应:前瞻性比较放射科医生在临床和实验室解读乳腺钼靶片的表现和差异

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国际医学放射学杂志 2008年第A6期31卷 495-495页

作者： D.Gur A.I.Bandos C.s.Cohen C.M.Hakim L.A.Hardesty M.A.Gan-ott 范文哲 Department of radiology University of Pittsburgh School of Medicine 3362 Fifth Ave Pittsburgh Pa 15213-31803.

目的比较放射科医生在临床解读乳腺钼靶片和在实验室回顾性阅读相同照片的表现。材料和方法本研究经过学术委员会批准,豁免知情同意。

关键词：乳腺钼靶片放射科医生知情同意学术委员会散度临床环境临床诊断数据系统估计值特异度

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与历史对话里斯本德语学校改扩建工程

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室内设计与装修 2012年第7期 126-129页

作者： Joāo Luís Carrilho da Graa Vasco Melo 时颜不详

里斯本德语学校初建于1961年，当时的设计师ott0Bartning是现代建筑运动的拥趸．与德国建筑师有着广泛的交流。这所德语学校正是在建筑界现代运动大发展的背景下设计并建成的。因此，设计师在设计时，对建筑的功能性表达、空间布局与周... 详细信息

里斯本德语学校初建于1961年，当时的设计师ott0Bartning是现代建筑运动的拥趸．与德国建筑师有着广泛的交流。这所德语学校正是在建筑界现代运动大发展的背景下设计并建成的。因此，设计师在设计时，对建筑的功能性表达、空间布局与周遭环境的协调上都煞费苦心。

关键词：里斯本改扩建工程德语学校现代建筑运动对话历史设计师

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