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Comparison of Surgical Techniques Used in Treating Acromioclavicular Dislocation in Patients Participating in Sports: A Systematic Review
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作者 Walter Hugo Brandão Nascimento Paulo Renan Matos Sucupira Cunha +3 位作者 João Pedro Pimentel Abreu Lethycia Pereira Rosa Kamilly Iêda Silva Veigas Rodrigo Martins Silva Caetano 《Open Journal of Orthopedics》 2024年第1期41-52,共12页
Introduction: The acromioclavicular joint is a superficial diarthrodial joint that surrounds the medial articular facet of the acromion and the distal portion of the clavicle. Due to its anatomy and biomechanics, it i... Introduction: The acromioclavicular joint is a superficial diarthrodial joint that surrounds the medial articular facet of the acromion and the distal portion of the clavicle. Due to its anatomy and biomechanics, it is highly susceptible to trauma and in young men who play contact sports, acromioclavicular dislocation is common. This article aimed to systematically review the literature and compare the surgical techniques used in the treatment of acromioclavicular dislocation in patients who practice sports. Methods: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Eligible studies for this systematic review included articles in English or Spanish published between 2013 and 2023, which mention the occurrence of acromioclavicular dislocation during sports practices. Additionally, only studies that addressed the surgical treatment of acromion-clavicular dislocation and contained original data on the topic were included. Results: We found 144 eligible studies after searching the LILACS and PubMed databases. Based on the inclusion and exclusion criteria and the reviewers’ consensus, we selected four studies for the systematic review. 133 patients with AC joint displacement were evaluated. Mean Age: approximately 31.90 years. 81.92 of these injuries occurred during sports practice. Surgical Procedures Used: titanium plates fixation (49 patients), arthroscopy (24), single tunnel technique (30) and coracoid sling technique (30). The results of the visual analog scale and Constant-Murley scores varied between the techniques used. Twenty-two complications after surgical treatment were identified. Conclusion: A significant variability of operative techniques can be used in the surgical approach of acromioclavicular dislocation, such as arthroscopy, single tunnel, coracoid sling and titanium plates. Although it presented excellent functional results compared to the other three techniques evaluated by this review, using titaniu 展开更多
关键词 Acromioclavicular Joint Shoulder Dislocation Surgical Procedure Postoperative Complications Postoperative Care
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Some Characteristics and Impacts of the Drought and Water Crisis in Southeastern Brazil during 2014 and 2015 被引量:3
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作者 Carlos A. Nobre Jose A. Marengo +2 位作者 Marcelo E. Seluchi L. Adriana Cuartas Lincoln M. Alves 《Journal of Water Resource and Protection》 2016年第2期252-262,共11页
Since the austral summer of 2014 southeastern Brazil has been experiencing one of the most severe droughts in decades. This rainfall deficiency has generated water shortages and a water crisis that have affected popul... Since the austral summer of 2014 southeastern Brazil has been experiencing one of the most severe droughts in decades. This rainfall deficiency has generated water shortages and a water crisis that have affected population and local economies in the metropolitan region of Sao Paulo, the largest megacity in South America. By January 2015, main reservoirs had reached storage levels of only 5% of their 1.3 billion m3 capacity. The meteorological causes of the drought situation were linked to changes in the regional circulation, characterized by a mid-troposphere blocking high that lasted 45 days during the summer of 2014 over southeastern Brazil, something not seen in five decades. The water crisis was aggravated by a combination of lack of rainfall and higher temperatures, the summer of 2014 being the warmest and driest over the Cantareira reservoir system since 1951. Increasing population and water consumption increased vulnerability in the region, and while human-induced warming may not have generated the atmospheric conditions behind the 2014 and 2015 summer droughts in Southeast Brazil, it is more likely that the warm temperatures have affected the severity of the drought and exacerbated the impacts on the population. 展开更多
关键词 DROUGHT Sao Paulo Water Crisis VULNERABILITY
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Study of Nanoskin ECM-Bacterial Cellulose Wound Healing/United Arab Emirates 被引量:2
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作者 Saqer Al Mualla Raed Farahat +4 位作者 Pierre Basmaji Gabriel Molina de Olyveira Ligia Maria Manzine Costa José Domingos da Costa Oliveira Gino Bruno Francozo 《Journal of Biomaterials and Nanobiotechnology》 2016年第2期109-117,共9页
Natural extracellular matrices (ECMs) perform the tasks necessary for tissue formation, maintenance, regulation and function, providing a powerful means of controlling the biological performance of regenerative materi... Natural extracellular matrices (ECMs) perform the tasks necessary for tissue formation, maintenance, regulation and function, providing a powerful means of controlling the biological performance of regenerative materials. In addition, biomedical materials have claimed attention because of the increased interest in tissue engineering materials for wound care and regenerative medicine. Moreover, the nanostructure and morphological similarities with collagen make BC attractive for cell immobilization, cell support and Natural Extracellular Matrix (ECM) Scaffolds. In this work, we present the extracellular matrix (ECM) using the bacterial cellulose (Nanoskin<sup>®</sup>) which regulates cell behavior by influencing cell proliferation, survival, shape, migration and differentiation. Bacterial cellulose fermentation process is modified before the bacteria are inoculated for mimicking ECM to cells support and built new local material for wound healing. Chemical groups influences and thermal behavior in bacterial cellulose were analyzed using transmission infrared spectroscopy (FTIR) and thermogravimetric analysis (TGA), respectively. Besides, In vivo analysis was evaluated with clinical study at Sharjah Kuwait Hospital. 展开更多
关键词 Bacterial Cellulose (Nanoskin) Natural Nanocomposites Regenerative Medicine Stem Cells
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Designing Artemisinins with Antimalarial Potential, Combining Molecular Electrostatic Potential, Ligand-Heme Interaction and Multivariate Models
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作者 Josué de Jesus Oliveira Araújo Ricardo Morais de Miranda +10 位作者 Jeferson Stiver Oliveira de Castro Antonio Florêncio de Figueiredo Ana Cecília Barbosa Pinheiro Sílvia Simone dos Santos Morais Marcos Antonio Barros dos Santos Andréia de Lourdes Ribeiro Pinheiro Andréia de Lourdes Ribeiro Pinheiro Fábio dos Santos Gil Heriberto Rodrigues Bitencourt Gustavo Nery Ramos Alves José Ciríaco Pinheiro 《Computational Chemistry》 CAS 2023年第1期1-23,共23页
Artemisinins tested against W-2 strains of malaria falciparum are investigated with molecular electrostatic potential (MEP), in an attempt to identify key features of the compounds that are necessary for their activit... Artemisinins tested against W-2 strains of malaria falciparum are investigated with molecular electrostatic potential (MEP), in an attempt to identify key features of the compounds that are necessary for their activities, as well as to investigate likely interactions with the receptor in a biological process and to use that information to propose new molecules. In order to discover the best geometry involving the ligand-receptor complexes (heme) studied and help in the proposition of the new derivatives, molecular simulations of interactions between the most negative charged region around the peroxide and heme locates (the ones around the Fe2+ ion) were carried out. In addition, PCA (principal components analysis), HCA (hierarchical cluster analysis), SDA (stepwise discriminant analysis), and KNN (K-nearest neighbor) multivariate models were employed to investigate which descriptors are responsible for the classification between the higher and lower antimalarial activity of the compounds, and also this information was used to propose new potentially active molecules. The information accumulated in studies of MEP, molecular docking, and multivariate analysis supported the proposal of new structures with potential antimalarial activities. The multivariate models constructed were applied to the new structures and indicated numbers 19 and 20 as the most prominent for syntheses and biological assays. 展开更多
关键词 ARTEMISININS Antimalarial Potential Molecular Electrostatic Potential Ligand-Heme Interaction Multivariate Models
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Investment in Generation of Photovoltaic Solar Energy: A Fezsibility Study with Flexibility and Uncertainty
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作者 Lucimeire Cordeiro da Silva Tara Keshar Nanda Baidya 《Energy and Power Engineering》 2023年第7期241-263,共23页
The objective of this research will be to calculate the feasibility of investing in a solar energy generation project through the development of a methodology that allows the capture of environmental uncertainties by ... The objective of this research will be to calculate the feasibility of investing in a solar energy generation project through the development of a methodology that allows the capture of environmental uncertainties by improving decision making. The article presents a comparative study of the feasibility analysis of investment in a solar mini solar energy for a Shopping, considering a regime of certainty and uncertainty. The assumed stochastic variables were energy tariff and price of solar panels. The trajectories were simulated with the binomial approach that combined resulted in a quadratic diagram. The applied methodology presented the best recommendation and the option to wait was the most valuable. The exchange of the energy obtained from LIGHT by own generation of energy with solar photovoltaic source will be viable for the manager since it observes the behavior of the variables over time and follows the rules of optimal decision. 展开更多
关键词 Real Options Self-Generation Decision Making Solar Energy Feasibility of Investment
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Role of Genetic Ancestry in Oropharyngeal Squamous-Cell Carcinoma: A Cross-Sectional Study in Brazil
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作者 Chrystiano De Campos Ferreira Ricardo Ribeiro Gama +6 位作者 Ana Carolina De Carvalho Iara Santana Raiany S. Carvalho Debora S. De A. e Silva Lais M. De Jesus Rui M. Reis Rozany Dufloth 《Journal of Biosciences and Medicines》 CAS 2023年第1期150-161,共12页
Background: HPV infection represents an important etiologic factor for Oropharyngeal Squamous Cell Carcinoma (OPSCC). The different ethnic backgrounds could be related to different susceptibility to Human Papillomavir... Background: HPV infection represents an important etiologic factor for Oropharyngeal Squamous Cell Carcinoma (OPSCC). The different ethnic backgrounds could be related to different susceptibility to Human Papillomavirus (HPV). The aim of our study was to assess the whole of genetic ancestry in HPV status in OPSCC patients. Methods: We conducted a cross-sectional study on patients with OPSCC admitted to the Barretos Cancer Hospital, Brazil from 2014 to 2019. Of these, DNA extraction was performed on 40 patients and genetic ancestry was assessed using a specific panel of 46 informative ancestry markers. Results: We observed a predominance of European ancestry (63%), followed by African (18%), Amerindian (9%) and Asian (8%) both in the OPSCC HPV-positive and HPV-negative group. We did not find any statistically significant differences between the HPV-positive and HPV-negative OPSCC groups in relation to European (p = 0.499), African (p = 0.448), Asian (p = 0.275) or Amerindian (p = 0.836) ancestry. Conclusions: We found a predominance of European ancestry, both in the HPV-positive and HPV-negative groups. In our study, we did not find statistically significant differences between HPV-positive or HPV-negative groups in relation to ancestry. 展开更多
关键词 Oropharyngeal Neoplasms Genetic Ancestry HPV Head and Neck Neoplasms P16
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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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作者 Thalita Bandeira Dantas Alline Peralta Castro +1 位作者 Fernando de Souza Flexa Ribeiro Filho Rosana Maria Feio Libonati 《Food and Nutrition Sciences》 CAS 2024年第1期58-70,共13页
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... 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. 展开更多
关键词 HIV LIPODYSTROPHY Omega-3 Phase Angle
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Residual Stress and Fracture Toughness Study in A516 Gr70 Steel Joints Welded and Repaired by Arc Processes
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作者 Régis de Matos Curvelo de Barros Mauricio David Martins das Neves 《Engineering(科研)》 2023年第11期749-758,共10页
Structural components made of steel are used in several areas and require welding for assembly. In some situations, repair of the weld bead, also performed by electric arc welding, can be used to correct, and eliminat... Structural components made of steel are used in several areas and require welding for assembly. In some situations, repair of the weld bead, also performed by electric arc welding, can be used to correct, and eliminate any discontinuities. However, electric arc welding causes the presence of residual stresses in the joint, which can impair its performance and not meet specific design requirements. In this paper, welded joints made of ASTM A 516 GR 70 steel plates, with a thickness of 30.5 mm, welded by the MAG—Metal Active Gas process (20% CO<sub>2</sub>) and using a “K” groove were analysed. The joints were manufactured with seven welding passes on each side of the groove. After welding, one batch underwent repair of the bead by TIG welding (Tungsten Insert Gas) and another batch underwent two repairs by TIG welding. Were presented results of the behaviour of the residual stress profile measured by X-ray diffraction and the Vickers microhardness profile in the joints as well the fracture toughness in the conditions only welded and submitted to repairs. The results indicated that the greater number of repair passes reduced the residual compressive stress values obtained in the material manufacturing process and caused a stabilization on the Vickers hardness values. It was concluded that compressive residual stresses did not play a major role in the R-curve results. The presence of discontinuities in the welded joint caused greater influence on the behaviour of the R curve. 展开更多
关键词 Weld Repair Weld Fatigue Weld J Integral Residual Stress Microharness
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Medical School Students’ Knowledge of Pain and Palliative Care: An Observational Study
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作者 Carolina Koutras Jacob Marina Perini +3 位作者 Carlos Augusto P. Zerbini Marta H. R. Pires Camila Dos Santos Leite Oscar César Pires 《Journal of Biosciences and Medicines》 2023年第4期39-49,共11页
Background: Pain and palliative care are a reality in daily routines of medical treatment. However, the theoretical-practical curricula of traditional medical school course still unsatisfactorily contemplate pain mana... Background: Pain and palliative care are a reality in daily routines of medical treatment. However, the theoretical-practical curricula of traditional medical school course still unsatisfactorily contemplate pain management, as well as the palliative care approach. Objective: To assess the knowledge of medical students about pain and palliative care, as well as to identify their perception of teaching these topics during hospitalization. Methods: A cross-sectional observational study, with a descriptive and exploratory approach, data collection for which was carried out between August and November 2020. The target population was medical students, who responded to an online survey of a quantitative, anonymous and follow-up nature. The survey study variables concerned knowledge about pain management and palliative care. Results: An expressive majority of academics showed difficulty in understanding the pathophysiology of pain related to prescribing drugs for pain management purposes, and all of them believe that it is necessary to acquire more knowledge about pain treatment. In parallel, only 9.3% report having received sufficient information regarding palliative care during medical school. Conclusion: The results suggest a certain lack of knowledge and insecurity among medical school students with respect to pain management and care for patients receiving palliative care. The didactical approach to this theme is still deficient in the medical curriculum and requires immediate improvement and new proposals that address the training of these professionals in a more specific and effective way. 展开更多
关键词 PAIN Palliative Care Medical Students Academic Institutions
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Effects of Dexamethasone, Clonidine, Tramadol and Nalbuphine on Fentanyl-Induced Hyperalgesia in Rats 被引量:1
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作者 Camila dos Santos Leite Naira Correia Cusma Pelógia +3 位作者 Eliane Stevanato Marília Hidalgo Uchôas Marta Helena Rovani Pires Oscar César Pires 《Journal of Biosciences and Medicines》 2021年第12期87-97,共11页
Opioids are drugs used to alleviate pain. However, studies have demonstrated that these drugs can cause an increase in pain sensitivity, which is called opioid-induced hyperalgesia. The objective of this study was to ... Opioids are drugs used to alleviate pain. However, studies have demonstrated that these drugs can cause an increase in pain sensitivity, which is called opioid-induced hyperalgesia. The objective of this study was to describe the effects of dexamethasone, clonidine, tramadol and nalbuphine on fentanyl-induced hyperalgesia in rats. After obtaining approval from the Committee for the Ethical Use of Animals (CEUA), 36 male Wistar rats were divided into 6 groups: Group 1 (GCSSL) wherein the rats received 1 ml 0.9% saline solution in two injections;Group 2 (GFTSL), received fentanyl at a dose of 100 ug<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup> followed by 1 ml 0.9% saline solution via intraperitoneal;the remaining groups (3, 4, 5, 6) received fentanyl at a dose of 100 ug<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup> following doses via intraperitoneal: Group 3 (GFTDX), dexamethasone at a dose of 1.0 mg<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup>;Group 4 (GFTCL), clonidine at a dose of 20 mg<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup>;Group 5 (GFTTR), tramadol at a dose of 50 mg<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup>, and Group 6 (GFTNB), nalbuphine at a dose of 5 mg<span style="white-space:nowrap;">&middot;</span>kg<sup>-1</sup>. Under general anestesia using isoflurane, the animals were submitted to a surgical incision. Hyperalgesia was evaluated by applying Von Frey filaments at 2 hours after the incision and on the 1<sup>st</sup>, 3<sup>rd</sup> and 5<sup>th</sup> days afterward. At 2 hours after the surgical procedure, there was lower intensity of pain in the fentanyl group (GFTSL) compared to the other groups, and on the fifth day there were no significant differences for pain intensity between groups. The results suggest the presence of fentanyl-induced hyperalgesia and efficacy in its reduction by dexamethasone, clonidine, tramadol and nalbuphine. 展开更多
关键词 HYPERALGESIA FENTANYL DEXAMETHASONE CLONIDINE TRAMADOL NALBUPHINE Rats
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Relationship between Physical Activity Level, Hepatic Steatosis Presence, Metabolic Syndrome and the Risk of Developing Type 2 Diabetes in Men
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作者 Carla Giuliano de Sá Pinto Montenegro Marcio Marega +5 位作者 José Antonio Maluf de Carvalho Luis Felipe Tubagi Polito Rafael Mathias Pitta Fabio Luis Ceschini Danilo Sales Bocalini Aylton José Figueira 《Health》 CAS 2016年第15期1778-1787,共10页
Cardiovascular disease, cancer, respiratory and metabolic disease represent 63% of all deaths worldwide and are considered the major causes of morbidity and mortality. Physical inactivity is considered a case of publi... Cardiovascular disease, cancer, respiratory and metabolic disease represent 63% of all deaths worldwide and are considered the major causes of morbidity and mortality. Physical inactivity is considered a case of public health, and other behavioral and metabolic risk factors, according to WHO (2011), such as smoking, increased blood pressure, increased blood glucose, hypercholesterolemia, overweight and obesity. The Nonalcoholic Fatty Liver Disease (NAFLD) is the most prevalent liver disease in adults, and can progress and be characterized as hepatic steatosis (HS) which is derived from the accumulation of lipids in hepatocytes, and histopathologic condition is more than 5% of the weight of liver. So, the purpose of this study is to identify the relationship between the physical activity level and the hepatic steatosis presence, metabolic syndrome and the risk of developing type 2 diabetes mellitus in men. We evaluated retrospectively medical records of 1399 men (40.7 ± 8.18 years old) who participated in the protocol of Preventive Health Check-up at Hospital Israelita Albert Einstein from January to October 2011. According to the results, it is concluded that there is a positive association between low physical activity level and the presence of Hepatic steatosis. The results further demonstrate that, despite the high BMI, blood levels of the subjects remained unchanged. Even without a positive association between these variables, the results showed a high risk behavior for the development of diabetes mellitus type 2. 展开更多
关键词 Physical Activity Hepatic Steatosis Metabolic Syndrome Type 2 Diabetes
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New Dinosaur Tracks from the Lower Barremian of Portugal (Areia do Mastro Formation, Cape Espichel)
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作者 Silvério D. Figueiredo Carlos Neto de Carvalho +1 位作者 Pedro P. Cunha Ismar de Sousa Carvalho 《Journal of Geoscience and Environment Protection》 2021年第1期84-96,共13页
We present a new tracksite with multiple dinosaur tracks from the lowermost Barremian (Lower Cretaceous) of the Cape Espichel (Sesimbra, Portugal). The tracks are localized on three beds on the top carbonate beds of t... We present a new tracksite with multiple dinosaur tracks from the lowermost Barremian (Lower Cretaceous) of the Cape Espichel (Sesimbra, Portugal). The tracks are localized on three beds on the top carbonate beds of the Areia do Mastro Formation. Those bioclastic, nodular limestones were deposited in a very shallow subtidal-intertidal, restricted lagoon environment. The track surfaces are very dinoturbated, with a substantial number of tracks. Several tracks assign to sauropods, ornithopods and theropods dinosaurs were recorded. Due to heavy bioturbation and the preservation conditions, it is not possible to define trackways;some preliminary work done on the tracks could disclose some behaviours of their producers. Several species of carnivore and herbivore dinosaurs crossed that large area at different times. Herbivores may have used the lagoon margin as passage between feeding spots, while carnivores frequented the area to hunt in groups or individually. 展开更多
关键词 Trampled Surface Dinosaurs Locomotion Behavior Lower Cretaceous Cape Espichel PORTUGAL IBERIA
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Isolation of Filamentous Fungi from the Caatinga Region and Production of Amylolytic Enzymes of Great Industrial Interest
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作者 Ingrid Cristina Soares Amorim Gessica Oliveira Marinho +5 位作者 Tarcisio Michael Ferreira Soares de Oliveira Juan Pedro Bretas Roa Arlete Barbosa dos Reis David Lee Nelson Thiago Machado Pasin Vivian Machado Benassi 《Journal of Biosciences and Medicines》 2020年第11期152-164,共13页
The industrial importance and the high cost of the commercial amylase require the study of microorganisms that produce these enzymes. For this reason, the objective of this work was to isolate filamentous fungi from a... The industrial importance and the high cost of the commercial amylase require the study of microorganisms that produce these enzymes. For this reason, the objective of this work was to isolate filamentous fungi from a region of the caatinga and evaluate their potential for the production of amylase. Four soil samples were collected from a deactivated dump located in the city of Diamantina, MG, in a region of the caatinga. The analysis of amylolytic production in a submerged medium at the ideal temperature of each microorganism was performed using the saccharification method, and the reducing sugars formed were quantified by DNS. Fourteen filamentous fungi were isolated, which had different morphological aspects. Regarding amylase production, a mean activity of 0.477 U<span style="white-space:nowrap;">&middot;</span>mL<sup>-1</sup> was obtained with the isolates I 1.2.1 and I 4.4.1. These results bring important information regarding the biodiversity of the caatinga, in addition to the isolation of microorganisms that can be used as biological machinery to obtain metabolites with high biotechnological and industrial potential. 展开更多
关键词 Amylolytic Enzyme BIOPROSPECTING Filamentous Fungi Industrial Interest
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Bilateral Carotid Aneurysms Secondary to Catastrophic Antiphospholipid Syndrome in a Patient with Differential Diagnosis of Polyarteritis Nodosa
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作者 Alexandre Sacchetti Bezerra Fernanda Gonçalves Moya +1 位作者 Idalecio Souto Fonseca Filho Alexandre Cesar Fioretti 《World Journal of Cardiovascular Diseases》 2022年第1期30-37,共8页
<strong>Background:</strong><span style="white-space:normal;font-family:;" "=""> Extracranial Carotid Artery Aneurysm is considered a thera</span><span style="w... <strong>Background:</strong><span style="white-space:normal;font-family:;" "=""> Extracranial Carotid Artery Aneurysm is considered a thera</span><span style="white-space:normal;font-family:;" "="">peutic and diagnostic challenge. In an unprecedented way in the literature, we describe an aneurysm originat</span><span style="white-space:normal;font-family:;" "="">ing</span><span style="white-space:normal;font-family:;" "=""> from the Catastrophic Antiphospholipid </span><span style="white-space:normal;font-family:;" "="">Syndrome. </span><b style="white-space:normal;"><span style="font-family:;" "="">Case Presentation: </span></b><span style="white-space:normal;font-family:;" "="">A 25-year-old male patient came to the</span><span style="white-space:normal;font-family:;" "=""> Emergency Room of the ABC University Hospital in Sao Bernardo do Campo referring </span><span style="white-space:normal;font-family:;" "="">to </span><span style="white-space:normal;font-family:;" "="">bilateral neck pain for 1 month, associated with carotid aneurysms. Due to the severity and urgency of the clinical condition, immediate surgical therapy was performed without a definitive etiological diagnosis. The initial morphological analysis of the carotid artery suggested a diagnosis of Polyarteritis Nodosa. After </span><span style="white-space:normal;font-family:;" "="">anamnesis, physical examination</span><span style="white-space:normal;font-family:;" "="">, the </span><span style="white-space:normal;font-family:;" "="">use of a specific primary vasculitis </span><span style="white-space:normal;font-family:;" "="">algori</span><span style="white-space:normal;font-family:;" "="">thm, </span><span style="white-space:normal;font-family:;" "="">and </span><span style="white-space:normal;font-family:;" "="">a review of the pathological anatomy was requested, which showed bila</span><span style="white-space:normal;font-family:;" "="">teral carotid aneurysms secondary to catastrophic antiphospholipid</span><span style="white-space:normal; 展开更多
关键词 ANEURISM Anticardiolipin Antibodies Antiphospholipid Syndrome Carotid Artery THROMBOSIS
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Case Report of Cardiac Tamponade Due to Acute Chagas Disease after Misdiagnosis of Visceral Leishmaniasis Based on Serology
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作者 Valéria R. Corrê a +4 位作者 Welyda R. Lima Luis. F. D’A. e Castro Heitor F. A. Junior Marina C. Affonso Leonardo P. N. Silva 《Case Reports in Clinical Medicine》 2022年第10期435-441,共7页
Protozoan diseases such as Visceral Leishmaniasis (VL) have re-emerged in Northern Brazil and cases of Chagas Disease also occur. This VL increase leads to early therapy for the public. Confirmatory parasitological di... Protozoan diseases such as Visceral Leishmaniasis (VL) have re-emerged in Northern Brazil and cases of Chagas Disease also occur. This VL increase leads to early therapy for the public. Confirmatory parasitological diagnoses in VL are performed by bone marrow or spleen aspiration, but ELISA, IFA or immunochromatographic tests for antibody detection are easily performed and can be used in the presence of clinical signs as confirmatory for specific therapy. This approach is successful in providing therapy and prevention of death in VL, but there is a chance of confusion with the emerging disease, Chagas Disease (CD), due to cross-reacting and similar clinical pictures, as in this case. Both VL and CD presented many asymptomatic or oligosymptomatic cases, complicating the picture. Our case report emphasizes these aspects. Positive serology, with an IIF titer of 1/160, and epidemiological correlation, suggests the diagnosis of VL and imposes antimony therapy. Despite the unfavorable evolution and signs of cardiac involvement, the presence of pericarditis and cardiac tamponade confirmed by the echocardiogram suggests CD. We reassessed the profiles of a suggested CD serology, the diagnosis was corrected and treatment with CD specific benznidazole. The good evolution started with benznidazole corroborates the diagnosis of CD and discards the hypothesis of double infection. 展开更多
关键词 HEART Cardiac Tamponade Trypanosomiasis Acute SEROLOGY
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Innate Immune Response in Human Kidney Transplantation: IRF3 and IRF7 Together with Interferon-Alpha Are Significantly Up-Regulated in Acute Rejection
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作者 Paula Xavier Dias-Pinto José Gerardo G. Oliveira 《Open Journal of Nephrology》 2021年第3期379-396,共18页
<strong>Background:</strong> Ischemia-reperfusion injury of organ transplantation activates several mediators which may link the innate to the adaptive immune response. Down the cascade of TLRs, we selecte... <strong>Background:</strong> Ischemia-reperfusion injury of organ transplantation activates several mediators which may link the innate to the adaptive immune response. Down the cascade of TLRs, we selected to study the expression of Interferon Regulatory Factors (IRF)-3 and -7 inside human Kidney Transplanted (KTx) organs and the synthesis of IFN<i>α</i>, the main growth factor induced by them, in KTx aspiration biopsy cultures. Simultaneously, we tested their robustness in diagnosing Acute Rejection (AR). <strong>Methods:</strong> Fine-needle aspiration biopsies (F-nab) were performed either on day 7 or 14 post-KTx among stable patients or on the day of AR diagnosis. On Fnab cytopreparations, we studied IRF3 and IRF7 by the enzymatic avidin-biotin complex staining, and in a different group of cases we quantified IFN<i>α</i> by ELISA in 48 hours Fnab culture supernatants. <strong>Results:</strong> AR group showed a significantly up-regulated expression for IRF3 and IRF7, reaching Positive Predictive Values (PPV) of 0.824 and 0.8, respectively, as well as Negative Predictive Values (NPV) above 0.9 for both;IFN<i>α</i> presented a PPV = 1.0 and a NPV = 0.9. A variation in the results was noticed according to different immunosuppressive therapies. <strong>Conclusions:</strong> Our findings suggest that IRF3 and IRF7, and IFN<i>α</i> which they promote, may be very important players in the early days post-KTx, linking the innate with an adaptive response and triggering acute rejection. These differences were very clear-cut, lending consistency to our speculation. It would be important to scrutinize for other potential effects derived from these IRFs up-regulation which could be of clinical relevance. 展开更多
关键词 Kidney Transplants Aspiration Biopsies Innate Immunity IRF IFN-α
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The Spreading Depression Propagation: How Electrochemical Patterns Distort or Create Perception
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作者 Vera Maura Fernandes de Lima Alfredo Pereira Junior Guilherme Lima de Oliveira 《Open Journal of Biophysics》 2021年第2期133-146,共14页
At the transition from quiescence to propagating waves recorded in isolated retinas, a circular electric current closes in the extracellular matrix;this circular current creates a magnetic torus flow that, when enteri... At the transition from quiescence to propagating waves recorded in isolated retinas, a circular electric current closes in the extracellular matrix;this circular current creates a magnetic torus flow that, when entering quiescent tissue in front of the wave, recruits elements and when leaving behind, helps to build the absolute refractory state. The waving magnetic torus is the consequence of the vortex effect and explains the energy boost that drives propagation. <strong>Methods:</strong> We interpret experimental results from intrinsic and extrinsic fluorescence dyes, voltage, calcium and pH sensitive, optical signals from isolated retinas, and time series recordings using ion exchange resins: Ca, K, pH, Na, Cl recorded extracellularly at retinas, cerebellums and cortices coupled to spreading depression waves. Finally, we checked the ECoG activity, also a time series, at the transition from after discharges to spreading depression in rat hippocampus.<strong> Results:</strong> The integrated assessment of the diversified measurements led to the realization that the magnetic flow at the wavefront is a major contributor to the wave propagation mechanisms. This flow couples mass and charge flows as a swirling torus from excited to quiescent tissue.<strong> Conclusions: </strong>An alternative model of the brain is possible, apart from the classical HH and molecular biology model. Physical chemistry of charged gels and its flows explains the results. The conceptual framework uses far from equilibrium thermodynamics. 展开更多
关键词 Brain Electrochemistry Retinal Model RESONANCE Spreading Depression Functional CNS Syndromes Vortex Effect
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Is Titration as Accurate as HPLC for Determination of Vitamin C in Supplements? <br/>—Titration versus HPLC for Vitamin C Analysis
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作者 Lucile Tiemi Abe-Matsumoto Geni Rodrigues Sampaio Deborah Helena Markowicz Bastos 《American Journal of Analytical Chemistry》 2020年第7期269-279,共11页
Herein, the iodometric titration and HPLC-RP methods were compared for the determination of vitamin C in vitamin and mineral supplements. The methods were validated in terms of linearity, limits of detection (LOD), li... Herein, the iodometric titration and HPLC-RP methods were compared for the determination of vitamin C in vitamin and mineral supplements. The methods were validated in terms of linearity, limits of detection (LOD), limits of quantification (LOQ), precision, and recovery by using vitamin standards and a reference material SRM 3280 (multivitamin/multimineral tablets) obtained from the National Institute of Standards and Technology (NIST). A total of 22 samples of vitamin supplements, randomly acquired in local markets of Sao Paulo (Brazil) were evaluated for content of vitamin C by these two methodologies. The precision expressed as RSD was lower than 5% for both methods. LOD was 3.6 μg/mL for HPLC and 1.0 mg for titration, while LOQ were 12.0 μg/mL and 3.0 mg for HPLC and titration, respectively. Percent recoveries (%) of spiked samples ranged from 98.7 to 100.5 for HPLC and from 98 to 104 for titration. The contents of vitamin C in SRM 3280 (Certified value = 42.2 ± 3.7 mg/g) were 40.2 and 42.1 mg/g when determined by HPLC and titration respectively. Statistically, there was no difference in the analysed vitamin C content for half of the samples, irrespective of the method applied. HPLC was more sensitive, but the titrimetric method was faster and consumed less reagent. Although both methods were accurate in determining the vitamin C content in SRM 3280, the matrix constituents of some vitamin supplements may have interfered with the analysis. 展开更多
关键词 Vitamin C Ascorbic Acid Dietary Supplements HPLC TITRATION
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Determination of the Bromine, Manganese and Antimony in Nicotiana tabacum Solanaceae by Using the Neutron Activation Analysis Technique
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作者 Tufic Madi Filho Elson Barros Ferreira +1 位作者 José Roberto Berretta Maria da Conceição Costa Pereira 《Materials Sciences and Applications》 2022年第2期91-106,共16页
Tobacco addiction has been mentioned as a leading cause of preventable illnesses and premature disability. Smoking is the main cause of lung cancer and one of the factors that most contribute to the occurrence of hear... Tobacco addiction has been mentioned as a leading cause of preventable illnesses and premature disability. Smoking is the main cause of lung cancer and one of the factors that most contribute to the occurrence of heart diseases, among others. The herbaceous species Nicotiana tabacum is a plant of the solanaceae family used for tobacco production. Some authors have conducted research about heavy metals and the toxicity of tobacco. It is, frequently, found in low concentrations in the ground, and superficial and underground waters, even though they do not have environmental anthropogenic contributions. However, with the increase of industrial activities and mining together with the agrochemical use of contaminated organic and inorganic fertilizers, an alteration of the geochemical cycle occurs. As a consequence, the natural flow of these materials increases and is released into the biosphere, where they are often accumulated in the superior layer of the ground, accessible to the roots of the plants. During planting and plant development, fertilizers and insecticides, including organochlorines and organophosphates, are used;consequently, the smoke from cigarette smoking presents various toxic substances, such as bromine (Br), manganese (Mn) and antimony (Sb), elements studied in this work. The procedures for the preparation of the samples were carried out in our laboratories and submitted to irradiation with thermal neutrons at Nuclear and Energy Research Institute (IPEN/CNEN-SP), in the Atomic Energy Institute IEA-R1 research reactor. The irradiated material was, then, analyzed by gamma spectrometry, using a high purity germanium detector (HPGe). 展开更多
关键词 Nicotiana tabacum BROMINE MANGANESE ANTIMONY Neutron Activation Analysis
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Generation of Dose Volume Histograms Using Voxel Structure and the Monte Carlo Method in Low Dose Rate Brachytherapy
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作者 Artur F. Menezes Hidmer Laulate +3 位作者 Juraci P. Reis Junior Lucia H. Bardella Alessandro Facure Ademir X. Silva 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2016年第4期230-241,共13页
The Dose Volume Histograms are tools commonly used in medical physics, for the analysis of doses delivered to the tumors and organs at risk, during radiotherapy treatments. However, there are few studies in the litera... The Dose Volume Histograms are tools commonly used in medical physics, for the analysis of doses delivered to the tumors and organs at risk, during radiotherapy treatments. However, there are few studies in the literature showing in details the steps of its construction. This work presents the implementation and evaluation of a computational methodology, for the construction of Dose Volume histograms, generated from simulations using anthropomorphic and voxel phantoms, in conjunction with the Monte Carlo code MCNP. The methodology was evaluated considering brachytherapy planning of low dose rate, using 108 seeds of I-125 with individual activities of 0.33 mCi performed on the simulator in voxel recommended by ICRP 110. The dosimetric analysis after implantation showed that the prostate received doses ranging from 0 to 360 Gy. We found the values of 50, 145 and 160 Gy for the parameters D<sub>100</sub>, D<sub>90</sub> and D<sub>80</sub> and 28%, 90%, 92% and 95% for the parameters V<sub>200</sub>, V<sub>100</sub>, V<sub>90</sub> and V<sub>80</sub>. The rectum and bladder received maximum doses equal to 41 and 60 Gy and found the values of 39 and 22 Gy and 58 and 42 Gy to the parameters D<sub>0.1cc</sub> and D<sub>2cc</sub>, respectively. The results after dosimetric implant proved satisfactory, which validate the methodology described above. 展开更多
关键词 DVHs VOXEL ICRP 110 MCNPX
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