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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | 小型轿车用福特DIATA柴油机的设计和开发显示文摘福特汽车公司研究实验室和德国FEV发动机技术公司合作,正在开发一种崭新的高速直喷式柴油机。它是美国能源部混合动力驱动系统开发计划的一部分。这种柴油机利用多种先进技术和创新的设计思想,将配有这种柴油机的福特P2000型混合动力电动概念车能满足非常严格的排放、燃料经济性和使用性能指标。这种柴油机的设计也适应了用传统的制造和装配设施,以可接受的成本进行批量生产的要求,采用常用的材料和生产工艺。本文将讨论该柴油机设计的一些特殊细节,如机体结构、气缸盖设计、NVH(噪声、振动和行驶不平顺性)的对策、以及支承设计方案的一些分析研究和硬件试验。此外,还将报告一些初期开发试验结果。 | Gomes E D Ecker H J Schellhase T 刘巽俊 | 1999 | 国外内燃机1999，31，5： | 3 |
| 3 | Quality of life, work productivity impairment and healthcare resources in inflammatory bowel diseases in Brazil显示文摘BACKGROUND Inflammatory bowel diseases(IBD)have been associated with a low quality of life(QoL)and a negative impact on work productivity compared to the general population.Information about disease control,patient-reported outcomes(PROs),treatment patterns and use of healthcare resources is relevant to optimizing IBD management.AIM To describe QoL and work productivity and activity impairment(WPAI),treatment patterns and use of healthcare resources among IBD patients in Brazil.METHODS A multicenter cross-sectional study included adult outpatients who were previously diagnosed with moderate to severe Crohn’s disease(CD)or ulcerative colitis(UC).At enrolment,active CD and UC were defined as having a Harvey Bradshaw Index≥8 or a CD Activity Index≥220 or calprotectin>200μg/g or previous colonoscopy results suggestive of inadequate control(per investigator criteria)and a 9-point partial Mayo score≥5,respectively.The PRO assessment included the QoL questionnaires SF-36 and EQ-5D-5L,the Inflammatory Bowel Disease Questionnaire(IBDQ),and the WPAI questionnaire.Information about healthcare resources and treatment during the previous 3 years was collected from medical records.Chi-square,Fisher’s exact and Student’s t-/Mann-Whitney U tests were used to compare PROs,treatment patterns and the use of healthcare resources by disease activity(α=0.05).RESULTS Of the 407 patients in this study(CD/UC:64.9%/35.1%,mean age 42.9/45.9 years,54.2%/56.6%female,38.3%/37.1%employed),44.7%/25.2%presented moderate-to-severe CD/UC activity,respectively,at baseline.Expressed in median values for CD/UC,respectively,the SF-36 physical component was 46.6/44.7 and the mental component was 45.2/44.2,the EQ-visual analog scale score was 80.0/70.0,and the IBDQ overall score was 164.0/165.0.Moderate to severe activity,female gender,being unemployed,a lower educational level and lower income were associated with lower QoL(P<0.05).Median work productivity impairment was 20%and 5%for CD and UC patients,respectively,and activity impairment was 30%,the latter being higher among patients with moderate to severe disease activity compared to patients with mild or no disease activity(75.0%vs 10.0%,P<0.001).For CD/UC patients,respectively,25.4%/2.8%had at least one surgery,38.3%/19.6%were hospitalized,and 70.7%/77.6%changed IBD treatment at least once during the last 3 years.The most common treatments at baseline were biologics(75.3%)and immunosuppressants(70.9%)for CD patients and 5-ASA compounds(77.5%)for UC patients.CONCLUSION Moderate to severe IBD activity,especially among CD patients,is associated with a substantial impact on QoL,work productivity impairment and an increased number of IBD surgeries and hospitalizations in Brazil. | Rogerio Serafim Parra Julio MF Chebli Heda MBS Amarante Cristina Flores Jose ML Parente Odery Ramos Milene Fernandes Jose JR Rocha Marley R Feitosa Omar Feres Antonio S Scotton Rodrigo B Nones Murilo M Lima Cyrla Zaltman Carolina D Goncalves Isabella M Guimaraes Genoile O Santana Ligia Y Sassaki Rogerio S Hossne Mauro Bafutto Roberto LK Junior Mikaell AG Faria Sender J Miszputen Tarcia NF Gomes Wilson R Catapani Anderson A Faria Stella CS Souza Rosana F Caratin Juliana T Senra Maria LA Ferrari | 2019 | World Journal of Gastroenterology2019，25，38： | 2 |
| 4 | Alternative tissue engineering scaffolds based on starch: processing methodologies, morphology, degradation and mechanical properties显示文摘 | Gomes M E Godinho J S Tchalamov D | 2002 | Materials Science and Engineering2002，，19： | 2 |
| 5 | A2-exchange Heuristic for Nesting Problems显示文摘 | Gomes A M Oliveira J F | 2002 | European Journal of Operational Research2002，141，3： | 2 |
| 6 | Effect of Nb doping on the microstructure and electrical properties of the PZT ceramics显示文摘 | PEREIRA M PEIXOTO A G GOMES M J M | 2001 | J Eur Ceram Soc2001，21，： | 2 |
| 7 | Energetic-protein supplementation in the last 60 days of gestation improves performance of beef cows grazing tropical pastures显示文摘Background: Nutrition is one of the most important factors that affect animal performance, and it therefore also impacts on financial results in beef systems. In this way, finding the best strategy for feeding supplements is of paramount importance. Aiming to evaluate the effect of supplement feeding strategies for beef cows in the last third of gestation, two experiments were conducted. In Experiment 1, 35 pregnant Nellore cows were assigned to a completely randomized design with four treatments: control, which received no supplement; supplementation for the last 30 d of gestation(30-d; 3.0 kg/d); supplementation for the last 60 d of gestation(60-d; 1.5 kg/d); or supplementation for the last 90 d of gestation(90-d; 1.0 kg/d). All supplemented treatments received the same total amount of supplement throughout the experiment: 90 kg(20% of crude protein). A second experiment(Experiment 2) was delineated to evaluate the effects of the amounts offered in Experiment 1 on intake and metabolism. Four multiparous pregnant Nellore cows were assigned to a 4 × 4 Latin square design, with periods of15 d each.Results: There was a linear effect of the number of days of supplementation on calving body weight(BW; P < 0.05)and a quadratic effect on BW change from parturition to d 31 post-calving(P < 0.05), with cows on the 60-d strategy losing less BW post-calving. No difference was found in offspring birth BW(P > 0.10). A significant linear effect on interval from parturition to conception(P < 0.05) was observed, with the highest calving to conception interval being observed in the 90-d strategy. The level of supplementation did not affect forage intake or neutral detergent fiber digestibility(P > 0.10). Nitrogen excreted through urine tended to increase linearly with the level of supplementation(P < 0.10).Conclusion: Providing 1.5 kg of supplement during the last 60 d of gestation improves cow performance after calving, reducing the magnitude of BW lost, and reduces the number of days from calving to re-conception in the following breeding season compared to the usually recommended period of supplementation of 90 d pre-partum. | Aline Gomes da Silva Mário Fonseca Paulino Edenio Detmann Henrique Jorge Fernandes Lincoln da Silva Amorim Román Enrique Maza Ortega Victor Valério de Carvalho Josilaine Aparecida da Costa Lima Felipe Henrique de Moura Mariana Benevides Monteiro Jéssika Almeida Bitencourt | 2018 | Journal of Animal Science and Biotechnology2018，9，1： | 2 |
| 8 | Growth of rainbow trout fed a diet supplemented with earthworms, after chemical treatment显示文摘 | Pereira J O Gomes E F | 1995 | Aquaculture International1995，3，： | 1 |
| 9 | Chitosan microparticles as injectable scaffolds for tissue engineering 显示文摘 | CRUZ D M IVIRICO J L GOMES M M | 2008 | J Tissue Eng Regen Med2008，2，6： | 1 |
| 10 | Robust Stability of Uncertain Polytopic Linear Time-Delay Systems with Saturating Inputs: An LMI Approach显示文摘 | Tarbouriech S Garcia G Gomes J M | 2002 | Computers and Electrical Engineering2002，28，3： | 1 |
| 11 | A munn type representation for a class of E-semiadequate semigroups显示文摘 | FOUTAIN J GOMES M S G GOULD V | 1999 | Journal of Algebra1999，218，： | 1 |
| 12 | Estimation in vivo of the body and carcass chemical composition of growing lambs by real-time ultrasonography显示文摘 | SILVA S R GOMES M J MAS-DA-SILVA A | 2005 | Journal of Animal Science2005，83，： | 1 |
| 13 | Determinationof thetotal hardness in tap water using acoustic wave sen-sors显示文摘 | Verissimo MIS Oliveira J A Gomes MTS | 2007 | Sensors and Actuators B:Chemical2007，127，1： | 1 |
| 14 | The amniotic membrane in ophthalmology 显示文摘 | Dua HS Gomes JAP King A J | 2004 | Survey of Ophthalmology2004，49，1： | 1 |
| 15 | Pressure induces folding intermediates that are crucial for protrin-DNA recognition and virus assembly显示文摘 | SILVA J L OLIVEIRA A C GOMES A M | | 0，，1： | 1 |
| 16 | Comprehensive two-dimensional gas chromatography/mass spectrometric analysis of pepper voatiles显示文摘 | Cardeal Z L Gomes da Silva M D Marriott P J | 2006 | Rapid Commun Mass Spectrom2006，20，： | 1 |
| 17 | Portfolio Choice and Trading Volume with Loss- Averse Investors 显示文摘 | Gomes F J | 2005 | Journal of Business2005，78，2： | 1 |
| 18 | Reconciling Distance Functions and Level Sets显示文摘 | Gomes J Faugeras O | 2000 | Journal of Visional Communication and Image Representation2000，，： | 1 |
| 19 | Factors influencing the induction of endoxylanase by Thermoascus aurantiacus显示文摘 | Gomes D J Gomes J Steiner W | 1994 | Journal of Biotechnology1994，33，1： | 1 |
| 20 | Si3N4 and Si3N4/SiC composite rings for dynamic sealing of circulating fluids显示文摘 | Carrapichano J M Gomes J R | 2003 | Wear2003，255，： | 1 |
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