Porto sinusoidal vascular liver disease (PSVD) and portal vein thrombosis (PVT) are distinct vascular liver diseases characterized, respectively, by an intrahepatic and a prehepatic obstacle to the flow in the liver p...Porto sinusoidal vascular liver disease (PSVD) and portal vein thrombosis (PVT) are distinct vascular liver diseases characterized, respectively, by an intrahepatic and a prehepatic obstacle to the flow in the liver portal system. PVT may also occur as a complication of the natural history of PSVD, especially if a prothrombotic condition coexists. In other cases, it is associated to local and systemic pro-thrombotic conditions, even if its cause remains unknown in up to 25% despite an active search. In our opinion, the presence of PSVD should be suspected in patients with PVT especially in those with PVT “sine causa” and the active search of this condition should be included in their diagnostic work-out. However, sometimes the diagnosis of pre-existing PSVD is very hard. Biopsy cannot be fully discriminant as similar histological data have been described in both conditions. Liver stiffness may help as it has been shown to be higher in PSVD than in “pure” PVT, due to the presence of sclerosis in the portal venous radicles observable in PSVD patients. Nevertheless, comparing liver stiffness between PVT and PSVD has until now been restricted to very limited series of patients. In conclusion, even if it is still totally hypothetical, our point of view may have clinical consequences, especially when deciding to perform a liver biopsy in patients with a higher liver stiffness and suspending the anticoagulation in patients with PVT and no detectable prothrombotic factors.展开更多
In this work, it is investigated the Urban Heat Island (UHI) using conservative thermodynamic variables observed by surface weather stations on the Metropolitan Area of Porto (Oporto) in Portugal, under adiabatic cond...In this work, it is investigated the Urban Heat Island (UHI) using conservative thermodynamic variables observed by surface weather stations on the Metropolitan Area of Porto (Oporto) in Portugal, under adiabatic conditions at the surface. These conditions are usually present and associated with the development of a mixture layer into the diurnal Convective Boundary Layer (CBL), which residual layer in the late afternoon defines the initial state for the development of the nocturnal UHI. Both the spatial structure and temporal variation of potential temperature and specific humidity were considered, along the hours and days of the year, from a statistical point of view, resulting in hourly climatology. Details of the hourly evolution of the meteorological variables on the Oporto surface are presented and discussed. Results show a seasonal variation of the potential temperature up to 17°C throughout the year, which is associated with horizontal thermal gradients that can control and trigger mesoscale circulations such as sea-land, urban and valley-mountain breezes.展开更多
2011-2015 The World Journal of Gastrointestinal Pharmacology and Therapeutics Editorial Board consists of 411 members, representing a team of worldwide experts in surgery research.They are from 47 countries,including ...2011-2015 The World Journal of Gastrointestinal Pharmacology and Therapeutics Editorial Board consists of 411 members, representing a team of worldwide experts in surgery research.They are from 47 countries,including Argentina(3),展开更多
在一九一二年正月初间,我(原著者自称)在 San Juan’ Porto Rioo 的地方上了岸,去寻找一个教员的位置。我立刻跑到教育委员的公署里边,去要求一个位置.这位委员听了我的履历以后,他的回答是很简单:『案你所说的,我是一点也不能替你为力...在一九一二年正月初间,我(原著者自称)在 San Juan’ Porto Rioo 的地方上了岸,去寻找一个教员的位置。我立刻跑到教育委员的公署里边,去要求一个位置.这位委员听了我的履历以后,他的回答是很简单:『案你所说的,我是一点也不能替你为力。你能教手工么?』我回答他用有力的热诚说『是,先生,我在 Columbia 大学的师范科 Teachers College 里边。展开更多
Transformations in the use of urban space in contemporary cities have common features and projects in the global era take similar themes, such as requalifications of port areas and waterfronts. The main objective of t...Transformations in the use of urban space in contemporary cities have common features and projects in the global era take similar themes, such as requalifications of port areas and waterfronts. The main objective of this paper is to revisit the process of urban transformation and valorization of the port areas of Buenos Aires, Argentina, and Rio de Janeiro, Brazil, completed in 1990 and 2015, respectively. It recapitulates their historical processes from decay to recovery as tourist zones, following the implementation of the ＂Strategic Plan of Antiguo Puerto Madero＂, from 1990, in Buenos Aires, and of ＂Urban Operation Porto Maravilha＂, from 2009, in Rio de Janeiro. While planning and strategies differ as they sought distinct locations in different times, they were similar in attracting massive investment from the real estate market. Therefore, consequences of the projects for the cities and the local population are a more important issue than formal results achieved.展开更多
The specialty chemicals group LANXESS AG is building its own innovative,highly ef-ficient cogeneration plant at its Brazilian sitein Porto Feliz for the combined generation of steam
Background:Brazil has seen a great decline in malaria and the country is moving towards elimination.However,for eventual elimination,the control program needs efficient tools in order to monitor malaria exposure and t...Background:Brazil has seen a great decline in malaria and the country is moving towards elimination.However,for eventual elimination,the control program needs efficient tools in order to monitor malaria exposure and transmission.In this study,we aimed to evaluate whether seroprevalence to the circumsporozoite protein(CSP)is a good tool for monitoring the exposure to and/or evaluating the burden and distribution of Plasmodium species in the Brazilian Amazon.Methods:Cross-sectional surveys were conducted in a rural area of Porto Velho,Rondônia state.Parasite infection was detected by microscopy and polymerase chain reaction.Antibodies to the sporozoite CSP repeats of Plasmodium vivax,P.falciparum,and P.malariae(PvCS,PfCS,and PmCS)were detected using the enzyme-linked immunosorbent assay technique.Human leukocyte antigen(HLA)-DRB1 and DQB1 genes were typed using Luminex®xMAP®technology.Results:The prevalence of immunoglobulin G against P.vivax CSP peptide(62%)was higher than P.falciparum(49%)and P.malariae(46%)CSP peptide.Most of the studied individuals had antibodies to at least one of the three peptides(72%),34%had antibodies to all three peptides and 28%were non-responders.Although the majority of the population was not infected at the time of the survey,74.3%of parasite-negative individuals had antibodies to at least one of the CSPs.Importantly,among individuals carrying the haplotypes DRB1*04~DQB1*03,there was a significantly higher frequency of PfCS responders,and DRB1*16~DQB1*03 haplotype for PvCS and PfCS responders.In contrast,HLA-DRB1*01 and HLA-DQB1*05 allelic groups were associated with a lack of antibodies to P.vivax and P.falciparum CSP repeats,and the haplotype DRB1*01~DQB1*05 was also associated with non-responders,including non-responders to P.malariae.Conclusions:Our results show that in low transmission settings,naturally acquired antibody responses against the CSP repeats of P.vivax,P.falciparum,and P.malariae in a single cross-sectional study may not represent a valuable marker for monitoring展开更多
Spontaneous porto-systemic shunts(SPSS)are frequent in liver cirrhosis and their prevalence increases as liver function deteriorates,probably as a consequence of worsening portal hypertension,but without achieving an ...Spontaneous porto-systemic shunts(SPSS)are frequent in liver cirrhosis and their prevalence increases as liver function deteriorates,probably as a consequence of worsening portal hypertension,but without achieving an effective protection against cirrhosis'complications.Several types of SPSS have been described in the literature,each one associated with different clinical manifestations.In particular,recurrent or persistent hepatic encephalopathy is more frequent in patients with splenorenal shunt,while the presence of gastric varices and consequently the incidence of variceal bleeding is more common in gastrorenal shunt.In the advanced stage,the presence of large SPSS can lead to the so called“portosystemic shunt syndrome”,characterized by a progressive deterioration of hepatic function,hepatic encephalopathy and,sometimes,portal vein thrombosis.The detection of SPSS in patients with liver cirrhosis is recommended in order to prevent or treat recurrent hepatic encephalopathy or variceal bleeding.展开更多
A severe spinal cord involvement may rarely occur in patients with cirrhosis and other chronic liver diseases;this complication is usually associated with overt liver failure and surgical or spontaneous porto-systemic...A severe spinal cord involvement may rarely occur in patients with cirrhosis and other chronic liver diseases;this complication is usually associated with overt liver failure and surgical or spontaneous porto-systemic shunt.Hepatic myelopathy(HM)is characterized by progressive weakness and spasticity of the lower extremities,while sensory and sphincter disturbances have rarely been described and are usually less important.The diagnosis is assigned in the appropriate clinical setting on clinical grounds after the exclusion of other clinical entities leading to spastic paraparesis.Magnetic resonance imaging is often unremarkable;however,also intracerebral corticospinal tract abnor-malities have been reported recently.The study of motor evoked potentials may disclose central conduction abnormalities even before HM is clinically manifest.HM responds poorly to blood ammonia-lowering and other conservative medical therapy.Liver transplantation represents a potentially definitive treatment for HM in patients with decompensated cirrhosis of Child-Pugh B and C grades.Other surgical treatment options in HM include surgical ligation,shunt reduction,or occlusion by interventional procedures.展开更多
Portal biliopathy(PB) is defined as the presence of biliary abnormalities in patients with non-cirrhotic/nonneoplastic extrahepatic portal vein obstruction(EHPVO) and portal cavernoma(PC). The pathogenesis of PB is du...Portal biliopathy(PB) is defined as the presence of biliary abnormalities in patients with non-cirrhotic/nonneoplastic extrahepatic portal vein obstruction(EHPVO) and portal cavernoma(PC). The pathogenesis of PB is due to ab extrinseco compression of bile ducts by PC and/or to ischemic damage secondary to an altered biliary vascularization in EHPVO and PC. Although asymptomatic biliary abnormalities can be frequently seen by magnetic resonance cholangiopancreatography in patients with PC(77%-100%), only a part of these(5%-38%) are symptomatic. Clinical presentation includes jaundice, cholangitis, cholecystitis, abdominal pain, and cholelithiasis. In this subset of patients is required a specific treatment. Different therapeutic approaches aimed to diminish portal hypertension and treat biliary strictures are available. In order to decompress PC, surgical porto-systemic shunt or transjugular intrahepatic porto-systemic shunt can be performed, and treatment on the biliary stenosis includes endoscopic(Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy, balloon dilation, stone extraction, stent placement) and surgical(bilioenteric anastomosis, cholecystectomy) approaches. Definitive treatment of PB often requires multiple and combined interventions both on vascular and biliary system. Liver transplantation can be considered in patients with secondary biliary cirrhosis, recurrent cholangitis or unsuccessful control of portal hypertension.展开更多
文摘Porto sinusoidal vascular liver disease (PSVD) and portal vein thrombosis (PVT) are distinct vascular liver diseases characterized, respectively, by an intrahepatic and a prehepatic obstacle to the flow in the liver portal system. PVT may also occur as a complication of the natural history of PSVD, especially if a prothrombotic condition coexists. In other cases, it is associated to local and systemic pro-thrombotic conditions, even if its cause remains unknown in up to 25% despite an active search. In our opinion, the presence of PSVD should be suspected in patients with PVT especially in those with PVT “sine causa” and the active search of this condition should be included in their diagnostic work-out. However, sometimes the diagnosis of pre-existing PSVD is very hard. Biopsy cannot be fully discriminant as similar histological data have been described in both conditions. Liver stiffness may help as it has been shown to be higher in PSVD than in “pure” PVT, due to the presence of sclerosis in the portal venous radicles observable in PSVD patients. Nevertheless, comparing liver stiffness between PVT and PSVD has until now been restricted to very limited series of patients. In conclusion, even if it is still totally hypothetical, our point of view may have clinical consequences, especially when deciding to perform a liver biopsy in patients with a higher liver stiffness and suspending the anticoagulation in patients with PVT and no detectable prothrombotic factors.
文摘In this work, it is investigated the Urban Heat Island (UHI) using conservative thermodynamic variables observed by surface weather stations on the Metropolitan Area of Porto (Oporto) in Portugal, under adiabatic conditions at the surface. These conditions are usually present and associated with the development of a mixture layer into the diurnal Convective Boundary Layer (CBL), which residual layer in the late afternoon defines the initial state for the development of the nocturnal UHI. Both the spatial structure and temporal variation of potential temperature and specific humidity were considered, along the hours and days of the year, from a statistical point of view, resulting in hourly climatology. Details of the hourly evolution of the meteorological variables on the Oporto surface are presented and discussed. Results show a seasonal variation of the potential temperature up to 17°C throughout the year, which is associated with horizontal thermal gradients that can control and trigger mesoscale circulations such as sea-land, urban and valley-mountain breezes.
文摘2011-2015 The World Journal of Gastrointestinal Pharmacology and Therapeutics Editorial Board consists of 411 members, representing a team of worldwide experts in surgery research.They are from 47 countries,including Argentina(3),
文摘在一九一二年正月初间,我(原著者自称)在 San Juan’ Porto Rioo 的地方上了岸,去寻找一个教员的位置。我立刻跑到教育委员的公署里边,去要求一个位置.这位委员听了我的履历以后,他的回答是很简单:『案你所说的,我是一点也不能替你为力。你能教手工么?』我回答他用有力的热诚说『是,先生,我在 Columbia 大学的师范科 Teachers College 里边。
文摘Transformations in the use of urban space in contemporary cities have common features and projects in the global era take similar themes, such as requalifications of port areas and waterfronts. The main objective of this paper is to revisit the process of urban transformation and valorization of the port areas of Buenos Aires, Argentina, and Rio de Janeiro, Brazil, completed in 1990 and 2015, respectively. It recapitulates their historical processes from decay to recovery as tourist zones, following the implementation of the ＂Strategic Plan of Antiguo Puerto Madero＂, from 1990, in Buenos Aires, and of ＂Urban Operation Porto Maravilha＂, from 2009, in Rio de Janeiro. While planning and strategies differ as they sought distinct locations in different times, they were similar in attracting massive investment from the real estate market. Therefore, consequences of the projects for the cities and the local population are a more important issue than formal results achieved.
文摘The specialty chemicals group LANXESS AG is building its own innovative,highly ef-ficient cogeneration plant at its Brazilian sitein Porto Feliz for the combined generation of steam
基金This work was supported by grants from PRONEX Rede Malaria,Conselho Nacional de Pesquisa e Tecnologia(CNPq)(5555659/2009-7)Funda cao de AmparoàPesquisa do Rio de Janeiro(E-26/170.003/2010)+2 种基金JO-F is a recipient of research productivity fellowships from the CNPq(307659/2016-0)VAP is the recipient of a CNPq fellowship(142104/2014-0)The funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the paper.
文摘Background:Brazil has seen a great decline in malaria and the country is moving towards elimination.However,for eventual elimination,the control program needs efficient tools in order to monitor malaria exposure and transmission.In this study,we aimed to evaluate whether seroprevalence to the circumsporozoite protein(CSP)is a good tool for monitoring the exposure to and/or evaluating the burden and distribution of Plasmodium species in the Brazilian Amazon.Methods:Cross-sectional surveys were conducted in a rural area of Porto Velho,Rondônia state.Parasite infection was detected by microscopy and polymerase chain reaction.Antibodies to the sporozoite CSP repeats of Plasmodium vivax,P.falciparum,and P.malariae(PvCS,PfCS,and PmCS)were detected using the enzyme-linked immunosorbent assay technique.Human leukocyte antigen(HLA)-DRB1 and DQB1 genes were typed using Luminex®xMAP®technology.Results:The prevalence of immunoglobulin G against P.vivax CSP peptide(62%)was higher than P.falciparum(49%)and P.malariae(46%)CSP peptide.Most of the studied individuals had antibodies to at least one of the three peptides(72%),34%had antibodies to all three peptides and 28%were non-responders.Although the majority of the population was not infected at the time of the survey,74.3%of parasite-negative individuals had antibodies to at least one of the CSPs.Importantly,among individuals carrying the haplotypes DRB1*04~DQB1*03,there was a significantly higher frequency of PfCS responders,and DRB1*16~DQB1*03 haplotype for PvCS and PfCS responders.In contrast,HLA-DRB1*01 and HLA-DQB1*05 allelic groups were associated with a lack of antibodies to P.vivax and P.falciparum CSP repeats,and the haplotype DRB1*01~DQB1*05 was also associated with non-responders,including non-responders to P.malariae.Conclusions:Our results show that in low transmission settings,naturally acquired antibody responses against the CSP repeats of P.vivax,P.falciparum,and P.malariae in a single cross-sectional study may not represent a valuable marker for monitoring
文摘Spontaneous porto-systemic shunts(SPSS)are frequent in liver cirrhosis and their prevalence increases as liver function deteriorates,probably as a consequence of worsening portal hypertension,but without achieving an effective protection against cirrhosis'complications.Several types of SPSS have been described in the literature,each one associated with different clinical manifestations.In particular,recurrent or persistent hepatic encephalopathy is more frequent in patients with splenorenal shunt,while the presence of gastric varices and consequently the incidence of variceal bleeding is more common in gastrorenal shunt.In the advanced stage,the presence of large SPSS can lead to the so called“portosystemic shunt syndrome”,characterized by a progressive deterioration of hepatic function,hepatic encephalopathy and,sometimes,portal vein thrombosis.The detection of SPSS in patients with liver cirrhosis is recommended in order to prevent or treat recurrent hepatic encephalopathy or variceal bleeding.
文摘A severe spinal cord involvement may rarely occur in patients with cirrhosis and other chronic liver diseases;this complication is usually associated with overt liver failure and surgical or spontaneous porto-systemic shunt.Hepatic myelopathy(HM)is characterized by progressive weakness and spasticity of the lower extremities,while sensory and sphincter disturbances have rarely been described and are usually less important.The diagnosis is assigned in the appropriate clinical setting on clinical grounds after the exclusion of other clinical entities leading to spastic paraparesis.Magnetic resonance imaging is often unremarkable;however,also intracerebral corticospinal tract abnor-malities have been reported recently.The study of motor evoked potentials may disclose central conduction abnormalities even before HM is clinically manifest.HM responds poorly to blood ammonia-lowering and other conservative medical therapy.Liver transplantation represents a potentially definitive treatment for HM in patients with decompensated cirrhosis of Child-Pugh B and C grades.Other surgical treatment options in HM include surgical ligation,shunt reduction,or occlusion by interventional procedures.
文摘Portal biliopathy(PB) is defined as the presence of biliary abnormalities in patients with non-cirrhotic/nonneoplastic extrahepatic portal vein obstruction(EHPVO) and portal cavernoma(PC). The pathogenesis of PB is due to ab extrinseco compression of bile ducts by PC and/or to ischemic damage secondary to an altered biliary vascularization in EHPVO and PC. Although asymptomatic biliary abnormalities can be frequently seen by magnetic resonance cholangiopancreatography in patients with PC(77%-100%), only a part of these(5%-38%) are symptomatic. Clinical presentation includes jaundice, cholangitis, cholecystitis, abdominal pain, and cholelithiasis. In this subset of patients is required a specific treatment. Different therapeutic approaches aimed to diminish portal hypertension and treat biliary strictures are available. In order to decompress PC, surgical porto-systemic shunt or transjugular intrahepatic porto-systemic shunt can be performed, and treatment on the biliary stenosis includes endoscopic(Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy, balloon dilation, stone extraction, stent placement) and surgical(bilioenteric anastomosis, cholecystectomy) approaches. Definitive treatment of PB often requires multiple and combined interventions both on vascular and biliary system. Liver transplantation can be considered in patients with secondary biliary cirrhosis, recurrent cholangitis or unsuccessful control of portal hypertension.
