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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 | PM_(2.5) chemical composition and health risks by inhalation near a chemical complex显示文摘Particulate matter(PM_(2.5))samples were collected in the vicinity of an industrial chemical pole and analysed for organic and elemental carbon(OC and EC),47 trace elements and around 150 organic constituents.On average,OC and EC accounted for 25.2% and 11.4% of the PM_(2.5) mass,respectively.Organic compounds comprised polycyclic aromatic hydrocarbons(PAHs),alkylated PAHs,anhydrosugars,phenolics,aromatic ketones,glycerol derivatives,aliphatic alcohols,sterols,and carboxyl groups,including aromatic,carboxylic and dicarboxylic acids.Enrichment factors>100 were obtained for Pb,Cd,Zn,Cu,Sn,B,Se,Bi,Sb and Mo,showing the contribution of industrial emissions and nearby major roads.Principal component analysis revealed that vehicle,industrial and biomass burning emissions accounted for 66%,11% and 9%,respectively,of the total PM_(2.5)-bound PAHs.Some of the detected organic constituents are likely associated with plasticiser ingredients and thermal stabilisers used in the manufacture of PVC and other plastics in the industrial complex.Photooxidation products of both anthropogenic(e.g.,toluene)and biogenic(e.g.,isoprene and pinenes)precursors were also observed.It was estimated that biomass burning accounted for 13.8%of the PM_(2.5) concentrations and that secondary OC represented 37.6% of the total OC.The lifetime cancer risk from inhalation exposure to PM_(2.5)-bound PAHs was found to be negligible,but it exceeded the threshold of 10−6 for metal(loi)s,mainly due to Cr and As. | Celia Alves Margarita Evtyugina Estela Vicente Ana Vicente Ismael Casotti Rienda Ana Sanchez de la Campa Mario Tome Iola Duarte | 2023 | Journal of Environmental Sciences2023，，2： | 2 |
| 3 | Transitory activation of AMPK at reperfusion protects the ischaemic-reperfused rat myocardium against infarction显示文摘 | Paiva MA Gon alves LM Providencia LA | | 0，，01： | 1 |
| 4 | Nursing activi-ties score(NAS):a proposal for practical application in intensive care units显示文摘 | Gon(c)alves LA Padilha KG Cardoso Sousa RM | | 0，，06： | 1 |
| 5 | Impairment of breast cancer cell invasion by COX-2-specific inhibitor NS398: roles of CXCR4 and of uPA system显示文摘 | Silva HC Alves V Nogueira LA | 2011 | Med Oncol2011，，： | 1 |
| 6 | Chemical Composition, Leishmanicidal and Cytotoxic Activities of the Essential Oils from Mangifera indica L. var. Rosa and Espada显示文摘 | Eduardo H. S. Ramos Marcílio M. Moraes Laís L. de A. Nerys Silene C. Nascimento Gardênia C. G. Milit?o Regina C. B. Q. de Figueiredo Cláudio A. G. da Camara Teresinha Gon?alves Silva Silvia R. B. Uliana | 2014 | BioMed Research International2014，，： | 1 |
| 7 | Increased expression of advanced glycation end-products and their receptor,and activation of nuclear factor kappa-B in lacrimal glands of diabetic rats显示文摘 | Alves M Calegari VC Cunha DA Saad MJ Velloso LA Rocha EM | 2005 | Diabe tologia2005，48，12： | 1 |
| 8 | Performance analysis of the Flutter VRP1 under different flows and angles 显示文摘 | Alves LA Pitta F Brunetto AF | 2008 | Respir Care2008，53，3： | 1 |
| 9 | Impairment of breast can- cer cell invasion by COX-2-specific inhibitor NS398: roles of CXCR4 and of uPA system显示文摘 | Silva HC Alves V Noqueira LA | 2012 | Med Oncol2012，29，3： | 1 |
| 10 | Are second messengers cru cial for opening the pore associated with P2X7 receptor?显示文摘 | Faria RX Defarias FP Alves LA | 2005 | Am J Physiol Cell Physiol2005，288，2： | 1 |
| 11 | DNA immunisation against the CFAI fimbriae of enterotoxigenic Escherichia coli (ETEC) 显示文摘 | Alves A M B La'saro M O Almeida D F | 2001 | Vaccine2001，19，： | 1 |
| 12 | Experimental study of progressive facial hemiatrophy:effects of cervical sympathectomy in animals显示文摘 | Resende LA Dal Pai V Alves A | 1991 | Rev Neurol(Paris)1991，147，89： | 1 |
| 13 | Antibody response in mice immunized with a plasmid DNA encoding the colonization factor antigen I of enterotoxigenic Escherichia coli显示文摘 | Alves A M B La'saro M O Pyrrho A S | 1999 | Immunology and Medical Microbiology1999，23，： | 1 |
| 14 | Isolation of methicillin-resistant coagulase-negative staphylococci from patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and comparison of different molecular techniques for discriminating isolates of Staphylococcus epidermidis 显示文摘 | Mattos EM Teixeira LA Alves VM | 2003 | Diagn Microbiol Infect Dis2003，45，1： | 1 |
| 15 | Isolation of methicillin-resistant coagulase-negative staphylococci from patients undergoing continuous ambulatory peritoneal dialysis (CAPD) and comparison of different molecular techniques for discriminating isolates of Staphylococcus epidermidis显示文摘 | dé Mattos EM Teixeira LA Alves VM | 2003 | Diagn Microbiol Infect Dis2003，45，1： | 1 |
| 16 | Differences in risk factors among clinical types of oral eandidiasis in the Women' s Interagency HIV Study 显示文摘 | MacPhail LA Komaroff E Alves MEAF | 2002 | Oral Surg Oral Med Oral Pathol Oral Radiol Endod2002，93，1： | 1 |
| 17 | Isolation of methieilin-resistant coagulase-negative staphylococci from pa- tients undergoing continuous ambulatory peritoneal dialysis (CAPD) and comparison of different molecular techniques for discriminating isolates of Staphylococcus epidermidis显示文摘 | de Mattos EM Teixeira LA Alves VM etal | 2003 | Diagn Microbiol Infect Dis2003，45，1： | 1 |
| 18 | Leukocyte, platelet and endothelial activation in patients with acute renal failure treated by intermittent hemodialysis显示文摘 | Freitas LA Alves VC | 2001 | Am J Nephrol2001，21，4： | 1 |
| 19 | Physiological roles and potential therapeutic applications of the P2X7 receptor in inflammation and pain显示文摘 | Alves LA Bezerra RJ Faria RX | 2013 | Molecules2013，18，10： | 1 |
| 20 | Physiological roles and potential theraufic applications d the P2X7 receptor in inflammation and pain显示文摘 | Alves LA Bezerra RJ Faria RX | 2013 | Molecules2013，18，10： | 1 |
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