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Complications of hip fractures: A review

World Journal of Orthopedics 2014年第4期5卷 402-411页

作者： Pedro Carpintero Jose Ramón Caeiro Rocío Carpintero Angela Morales samuel silva Manuel Mesa Department of Orthopaedic University Hospital Reina Sofía 14004 Córdoba Spain Department of Orthopaedic University Hospital Santiago de Compostela 15006 La Corua Spain Department of Anesthesia University Hospital Reina Sofia 14004 Córdoba Spain Orthopaedic Department Hospital Valle de los Pedroches 14400 Pozoblanco Spain

Nowadays, fracture surgery represents a big part of the orthopedic surgeon workload, and usually has associated major clinical and social cost implications. These fractures have several complications. Some of these are medical, and other related to the surgical treatment itself. Medical complications may affect around 20% of patients with hip fracture. Cognitive and neurological alterations, cardiopulmonary affections(alone or combined), venous thromboembolism, gastrointestinal tract bleeding, urinary tract complications, perioperative anemia, electrolytic and metabolic disorders, and pressure scars are the most important medical complications after hip surgery in terms of frequency, increase of length of stay and perioperative mortality. Complications arising from hip fracture surgery are fairly common, and vary depending on whether the fracture is intracapsular or extracapsular. The main problems in intracapsular fractures are biological: vascularization of the femoral head, and lack of periosteum-a major contributor to fracture healing- in the femoral neck. In extracapsularfractures, by contrast, the problem is mechanical, and relates to load-bearing. Early surgical fixation, the role of anti-thromboembolic and anti-infective prophylaxis, good pain control at the perioperative, detection and management of delirium, correct urinary tract management, avoidance of malnutrition, vitamin D supplementation, osteoporosis treatment and advancement of early mobilization to improve functional recovery and falls prevention are basic recommendations for an optimal maintenance of hip fractured patients.

关键词： Hip fracture Complications Morbidity Mortality Anesthesia

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Apparent soil electrical conductivity in the delineation of management zones for cocoa cultivation

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Information Processing in Agriculture 2022年第3期9卷 443-455页

作者： samuel de Assis silva Railton Oliveira dos Santos Daniel Marcal de Queiroz Juliao Soares de Souza Lima Levi Fraga Pajehua Caique Carvalho Medauar Center for Agricultural Sciences and Engineering Federal University of Espirito SantoAlegre CampusEspirito Santo 29500-000Brazil Department of Agricultural Sciences Santa Cruz State UniversityIlheusBahia 45662-900Brazil Department of Agricultural Engineering Federal University of Vic¸osaVic¸osaMinas Gerais 36570-900Brazil

Apparent electrical conductivity is an important parameter for describing the spatial vari-ability of physical and chemical attributes of the soil and for the delineation of manage-ment *** objective of this work is to outline management zones for the cocoa cultivation based on the spatial variability of the productivity and the apparent electrical conductivity(ECa)of the *** collection was performed in a regular sample grid con-taining 120 points in an area cultivated with cocoa trees,located in the municipality of Ilhe´us,state of Bahia,*** each sampling point(cocoa tree),soil samples were col-lected to determine chemical *** was measured for one year,counting,monthly,the number of fruits,which were classified into off-season cocoa,harvest and annual *** of the apparent electrical conductivity of the soil were performed at different times of the year using a portable conductivity *** data were analyzed using classical statistics and *** management zones were delin-eated using the fuzzy k-means *** ideal number of class was defined using the fuzziness performance index(FPI)and the entropy of the modified partition(MPE)*** Kappa coefficient was used to validate the management zones,assessing their agreement with the chemical attributes of the *** ECa of the soil values pre-sented moderate temporal variation,with maximum amplitude of 19.37 mS m1 and min-imum of 0.82 mS m1 between measurement periods;higher averages of the ECa coincided with the highest levels of water in the *** measurements of the ECa of the soil carried out in April and October showed greater correlation with the chemical attributes of the soil,with significant values for 11 and 8 of the 17 attributes evaluated,*** man-agement zones from the ECa measured in April showed:a)reduced number of classes;b)spatial continuity between classes,and;c)agreement from reasonable(kappa between

关键词： Theobroma cacao Precision agriculture Spatial variability Fuzzy k-means

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Alternative Method to Evaluate Performance Improvement Rate in Athletics Middle Distance Events

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Journal of Science in Sport and Exercise 2022年第2期4卷 128-134页

作者： Lucas Pinheiro Barbosa Patrick Aguiar Santos samuel silva Aguiar Herbert Gustavo Simões Pantelis Theodoros Nikolaidis Beat Knechtle Caio Victor Sousa Graduate Program in Physical Education Catholic University of BrasíliaBrasíliaDFBrazil Exercise Physiology Laboratory NikaiaGreece School of Health and Care Sciences University of West AtticaAthensGreece Medbase St.Gallen Am Vadianplatz Vadianstrasse 269001 St.GallenSwitzerland Institute of Primary Care University of ZurichZurichSwitzerland Bouve College of Health Sciences Northeastern UniversityBostonMAUSA

Purpose The aims of this study were to propose an alternative method to assess an optimal performance improvement rate(PIR)that would be used as a tool for coaches and elite athletes willing to reach their personal best,mainly those seeking for national,continental or even world record(WR)in middle-distance *** further compared the improvement rate of women *** of the top-10 ranked athletes in the IAAF running these middle-distance events Method The top 10 athletes in the IAAF ranking of 800 m,1500 m,and 3000 m events for each sex were assessed for their history of race times before achieving their personal record(PR).The difference between PR(‘actual’season)and the best race time in the last season was defined as the 1st season improvement rate(1-SIR),whereas the average improvement rate in the last and preceding seasons was the multi-season improvement rate(M-SIR).1-SIR and M-SIR were calculated for each *** There were sex differences in the 1500 m with a large effect size(d=−0.746)in 1-SIR(P=0.001)and very large(d=−2.249)in M-SIR(P=0.001).Women improved more than men before the PR/WR achievements in the 800 m and 1500 m events(P=0.001)and had similar improvement rates before performing PR/WR in 3000 m events(P=0.533).Conclusion Women improve more before PR/WR achievement in 800 m and 1500 m ***,in the 3000 m men and women have similar improvement rates in previous seasons before the PR/WR achievement.

关键词： Performance Running Track-and-field Middle-distance Athletics

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Initial Growth and Gas Exchanges of Plants of Colored Cotton Submitted to Saline Stress

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Agricultural Sciences 2018年第12期9卷 1652-1663页

作者： Hallyson Oliveira Ronaldo do Nascimento samuel silva José Alberto Ferreira Cardoso Rafaela Felix Basílio Guimaraes Elka Costa Santos Nascimento Post-Graduated of Agricultural Engineer Federal University of Campina GrandeCampina GrandeBrazil

The objective of the research was to evaluate the effects of saline stress on the initial growth and physiological parameters of three varieties of cotton plants, being two cultivars of colored fiber (BRS Topázio and BRS Verde) and one of white fiber (BRS 286). The experiment was conducted under greenhouse conditions. After chemical depletion with sulfuric acid, five seeds were seeded in polyethylene pots of 20 kg, leaving only one plant per pot after thinning. The experimental design was completely randomized, with a factorial scheme of 3 × 5, with five replications, totaling 75 plots, being three cotton varieties and five saline stress treatments—1.1;3.1;5.1;7.1;9.1 dS m−1. The evaluations occurred at 15 and 30 days after the beginning of the treatments (DAT) for growth variables (plant height, stem diameter, number of leaves and leaf area) and gas exchange (stomatal conductance, net photosynthesis rate and transpiration. The variety that was most resistant to the salt stress levels studied was BRS 286, followed by BRS Topazio and BRS Verde.

关键词： Photosynthesis Stomatal Conductance Dry Mass Resistance Cultivars

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Mixed-Species Allometric Equations to Quantify Stem Volume and Tree Biomass in Dry Afromontane Forest of Ethiopia

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Open Journal of Forestry 2022年第3期12卷 263-296页

作者： Mindaye Teshome Carlos Moreira Miquelino Eleto Torres Gudeta Weldesemayat Sileshi Patricia Povoa de Mattos Evaldo Muñoz Braz Hailemariam Temesgen samuel José silva Soares da Rocha Mehari Alebachew Departamento de Engenharia Florestal Universidade Federal de Vi&#231 osa (UFV) Vi&#231 osa MG Brazil Central Ethiopia Environment and Forest Research Centre Addis Ababa Ethiopia University of Kwazulu-Natal Pietermaritzburg South Africa Embrapa Florestas Colombo PR Brazil Department of Forest Engineering Resources and Management College of Forestry Oregon State University Corvallis USA Departamento de Ciências Florestais Universidade Federal de Lavras (UFLA) Lavras MG Brazil

Volume and biomass equations are essential tools to determine forest productivity and enable forest managers to make informed decisions. However, volume and biomass estimation equations are scarce for Afromontane forests in Africa in general and Ethiopia in particular. This limits our knowledge of the standing volume of wood, biomass, and carbon stock of the forests therein. In this study, we developed a new mixed-species volume and biomass equations for Afromontane forests and compared them with generic pantropical and local models. A total of 193 sampled trees from seven dominant tree species were used to develop the equations. Various volume and biomass equations were fitted using robust linear and nonlinear regression. Model comparison indicated that the best model to estimate stem volume was ln(v)=-9.909+ 0.954*ln(d2h), whereas the best model to estimate biomass was ln(b)=-2.983+ 0.949*ln(ρd2h) . These equations explained over 85% of the variations in the stem volume and biomass measurements. The mean density and basal area of trees in the forest with d ≥ 2 cm was 631.5 stems·ha-1 and 24.4 m2·ha-1. Based on the newly developed equations, the forest has on average 303.0 m3·ha-1 standing volume of wood and 283.8 Mg·ha-1 biomass stock. The newly developed allometric equations derived from this study can be used to accurately determine the stem volume, biomass, and carbon storage in the Afromontane forests in Ethiopia and elsewhere with similar stand characteristics and ecological conditions. By contrast, the generic pan-tropical and other local models appear to provide biased estimates and are not suitable for dry Afromontane forests in Ethiopia. The estimated stem biomass and carbon stock in the Chilimo forest are comparable with the estimates from various tropical forests and woodlands elsewhere in Africa, indicating the importance of dry Afromontane fores

关键词： Carbon Stock Site-Specific Model Robust Regression Natural Forest

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Preemptive endoluminal vacuum therapy after pancreaticoduodenectomy: A case report

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World Journal of Gastrointestinal Endoscopy 2020年第11期12卷 493-499页

作者： Flaubert Sena de Medeiros Epifanio Silvino do Monte Junior Romero de Lima França Heli Clóvis de Medeiros Neto Juliany Medeiros Santos Eligio Alves Almeida Júnior samuel Oliveira da silva Júnior Mario Herman Santos Moura Pedreira Tavares Eduardo Guimarães Hourneaux de Moura Department of Surgery Federal University of Rio Grande do NorteNatal 59012-300Rio Grande do NorteBrazil Gastrointestinal Endoscopy Unit Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloSão Paulo 05403-000Brazil Department of Surgery Hospital do CoraçãoNatal 59075-050Rio Grande do NorteBrazil Gastrointestinal Endoscopy Unit Faculty of Medicine of ABCSão Paulo 09190-615Brazil Department of Surgery Instituto Juarez AlmeidaBacabal 65700-000MaranhãoBrazil Department of Surgery Hospital Naval Marcílio DiasRio de Janeiro 20725-090Rio de JaneiroBrazil

BACKGROUND Pancreaticoduodenectomy is a technically demanding operation,with reported morbidity rates of approximately 40%-50%.A novel idea is to use endoscopic vacuum therapy(EVT)in a preemptive setting to prevent anastomotic leakage and pancreatic *** a recent case series,EVT was proven to be effective in preventing leaks in patients with anastomotic *** have been no previous reports on preemptive EVT after *** SUMMARY We describe the case of a 71-year-old woman with hypertension and diabetes who was admitted to the emergency room with jaundice,choluria,fecal acholia,abdominal pain,and *** examinations revealed leukocytosis and hyperbilirubinemia(total:13 mg/dL;conjugated:12.1 mg/dL).Abdominal ultrasound showed cholelithiasis and dilation of the common bile *** resonance imaging demonstrated a stenotic area,and a biopsy confirmed cholangiocarcinoma. Considering the high risk of leaks after pancreaticoduodenectomy,preemptive endoluminal vacuum therapy was *** system comprised a nasogastric tube,gauze,and an antimicrobial incise *** negative pressure was 125 mmHg,and no adverse events *** patient was discharged on postoperative day 5 without any *** Preemptive endoluminal vacuum therapy may be a safe and feasible technique to reduce leaks after pancreaticoduodenectomy.

关键词： Preemptive Endoluminal Vacuum Pancreaticoduodenectomy Case report

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Integrated Design Fabrication and Control of a Bioinspired Multimaterial Soft Robotic Hand

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Cyborg and Bionic Systems 2023年第1期4卷 156-165页

作者： samuel Alves Mihail Babcinschi Afonso silva Diogo Neto Diogo Fonseca Pedro Neto University of Coimbra CEMMPREARISEDepartment of Mechanical Engineering3030-788 CoimbraPortugal

Machines that mimic humans have inspired scientists for *** soft robotic hands are a good example of such an endeavor,featuring intrinsic material compliance and continuous motion to deal with uncertainty and adapt to unstructured *** research led to impactful achievements in functional designs,modeling,fabrication,and control of soft ***,the full realization of life-like movements is still challenging to achieve,often based on trial-and-error considerations from design to fabrication,consuming time and *** this study,a soft robotic hand is proposed,composed of soft actuator cores and an exoskeleton,featuring a multimaterial design aided by finite element analysis(FEA)to define the hand geometry and promote finger’s *** actuators are fabricated using molding,and the exoskeleton is 3D-printed in a single *** ON-OFF controller keeps the set fingers’inner pressures related to specific bending angles,even in the presence of *** FEA numerical results were validated by experimental tests,as well as the ability of the hand to grasp objects with different shapes,weights,and *** integrated solution will make soft robotic hands more available to people,at a reduced cost,avoiding the time-consuming design-fabrication trial-and-error processes.

关键词： consuming skeleton realization

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HEART RATE VARIABILITY DURING HIGH-INTENSITY EXERCISE

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Journal of Systems Science & Complexity 2013年第1期26卷 104-116页

作者： SARMIENTO samuel GARCIA-MANSO Juan Manuel MARTIN-GONZALEZ Juan Manuel VA-AMONDE Diana CALDERóN Javier DA silva-GRIGOLETTO Marzo Edir Department of Physical Education University of Las Palmas de Gran Canaria Spain. Physics Department University of Las Palmas de Gran Canaria Spain. Department of Morphological Sciences School of Medicine University of Cdrdoba Spain. Physical Activity Sciences Faculty Polytechnic University of Madrid Spain. Andalusian Centre of Sports Medicine Cdrdoba Spain.

The aim of this paper is to describe and analyse the behaviour of heart rate variability(HRV)during constant-load,high-intensity exercise using a time frequency analysis(Wavelet Transform).Eleven elite cyclists took part in the study(age:18.6±3.0 years;VO_(2max):4.88±0.61 litres·min^(-1)).Initially,all subjects performed an incremental cycloergometer test to determine load power in a constant load-test(379.55±36.02 W;89.0%).HRV declined dramatically from the start of testing(p<0.05).The behaviour of power spectral density within the LF band mirrored that of total energy,recording a significant decrease from the outset LF peaks fell rapidly thereafter,remaining stable until the end of the ***-VHF fell sharply in the first 20 to 30 *** relative weighting(%) of HF-VHF was inverted with the onset of fatigue,[1.6%at the start,7.1(p<0.05) at the end of the first phase,and 43.1%(p<0.05) at the end of the test].HF-VHF_(peak) displayed three phases:a moderate initial increase,followed by a slight fall,thereafter increasing to the end of the *** LF/HF-VHF ratio increased at the start,later falling progressively until the end of the first phase and remaining around minimal values until the end of the test.

关键词： Cycling heart rate variability wavelet.

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Role of non-Helicobacter pylori gastric Helicobacters in helicobacter pylori-negative gastric mucosa-associated lymphoid tissue lymphoma

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World Journal of Gastroenterology 2023年第32期29卷 4851-4859页

作者： Fabian Fellipe Bueno Lemos Marcel silva Luz samuel Luca Rocha Pinheiro Kádima Nayara Teixeira Fabrício Freire de Melo Instituto Multidisciplinar em Saúde Universidade Federal da BahiaVitória da Conquista 45029094Brazil Campus Toledo Universidade Federal do ParanáToledo 85919899Brazil

Marginal zone lymphomas rank as the third most prevalent form of non-Hodgkin B-cell lymphoma,trailing behind diffuse large B-cell lymphoma and follicular *** mucosa-associated lymphoid tissue lymphoma(GML)is a low-grade B-cell neoplasia frequently correlated with Helicobacter pylori(***)-induced chronic *** the other hand,a specific subset of individuals diagnosed with GML does not exhibit *** *** contrast to its ***-positive counterpart,it was previously believed that ***-negative GML was less likely to respond to antimicrobial *** this,surprisingly,increasing evidence supports that a considerable proportion of patients with ***-negative GML show complete histopathological remission after bacterial eradication ***,the precise mechanisms underlying this treatment responsiveness are not yet fully *** recent years,there has been growing interest in investigating the role of *** gastric helicobacters(NHPHs)in the pathogenesis of ***-negative ***,additional research is required to establish the causal relationship between NHPHs and *** this minireview,we examined the current understanding and proposed prospects on the involvement of NHPHs in ***-negative GML,as well as their potential response to bacterial eradication therapy.

关键词： Lymphoma B cell Marginal zone Gastric mucosa-associated lymphoid tissue lymphoma Helicobacter pylori Non-Helicobacter pylori gastric helicobacters Helicobacter heilmannii Helicobacter suis

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New avenues for the treatment of immunotherapy-resistant pancreatic cancer

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World Journal of Gastrointestinal Oncology 2024年第4期16卷 1134-1153页

作者： Luis Guilherme de Oliveira silva Fabian Fellipe Bueno Lemos Marcel silva Luz samuel Luca Rocha Pinheiro Mariana dos Santos Calmon Gabriel Lima Correa Santos Gabriel Reis Rocha Fabrício Freire de Melo Instituto Multidisciplinar em Saúde Universidade Federal da BahiaVitória da Conquista 45029-094BahiaBrazil

Pancreatic cancer(PC)is characterized by its extremely aggressive nature and ranks 14th in the number of new cancer cases ***,due to its complexity,it ranks 7th in the list of the most lethal cancers *** pathogenesis of PC involves several complex processes,including familial genetic factors associated with risk factors such as obesity,diabetes mellitus,chronic pancreatitis,and *** in genes such as KRAS,TP53,and SMAD4 are linked to the appearance of malignant cells that generate pancreatic lesions and,consequently,*** this context,some therapies are used for PC,one of which is immunotherapy,which is extremely promising in various other types of cancer but has shown little response in the treatment of PC due to various resistance mechanisms that contribute to a drop in immunotherapy *** is therefore clear that the tumor microenvironment(TME)has a huge impact on the resistance process,since cellular and non-cellular elements create an immunosuppressive environment,characterized by a dense desmoplastic stroma with cancerassociated fibroblasts,pancreatic stellate cells,extracellular matrix,and immunosuppressive *** to this are genetic mutations in TP53 and immunosuppressive factors that act on T cells,resulting in a shortage of CD8+T cells and limited expression of activation markers such as *** this way,finding new strategies that make it possible to manipulate resistance mechanisms is ***,techniques such as the use of TME modulators that block receptors and stromal molecules that generate resistance,the use of genetic manipulation in specific regions,such as microRNAs,the modulation of extrinsic and intrinsic factors associated with T cells,and,above all,therapeutic models that combine these modulation techniques constitute the promising future of PC ***,this study aims to elucidate the main mechanisms of resistance to immunotherapy in PC and new ways of manipulating thi

关键词： Pancreatic cancer Immunotherapy Resistance Tumor microenvironment manipulation Combined immunotherapy

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