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| 1 | Acute calculous cholecystitis: Review of current best practices显示文摘Acute calculous cholecystitis(ACC) is the most frequent complication of cholelithiasis and represents one-third of all surgical emergency hospital admissions, many aspects of the disease are still a matter of debate. Knowledge of the current evidence may allow the surgical team to develop practical bedside decision-making strategies, aiming at a less demanding procedure and lower frequency of complications. In this regard, recommendations on the diagnosis supported by specific criteria and severity scores are being implemented, to prioritize patients eligible for urgency surgery. Laparoscopic cholecystectomy is the best treatment for ACC and the procedure should ideally be performed within 72h. Early surgery is associated with better results in comparison to delayed surgery. In addition, when to suspect associated common bile duct stones and how to treat them when found are still debated. The antimicrobial agents are indicated for high-risk patients and especially in the presence of gallbladder necrosis. The use of broad-spectrum antibiotics and in some cases with antifungal agents is related to better prognosis. Moreover, an emerging strategy of not converting to open, a difficult laparoscopic cholecystectomy and performing a subtotal cholecystectomy is recommended by adept surgical teams. Some authors support the use of percutaneous cholecystostomy as an alternative emergency treatment for acute Cholecystitis for patients with severe comorbidities. | Carlos Augusto Gomes Cleber Soares Junior Salomone Di Saveiro Massimo Sartelli Michel Denis Kelly Camila Couto Gomes Felipe Couto Gomes Lívia Dornellas Correa Camila Brandao Alves Samuel de Fádel Guimaraes | 2017 | World Journal of Gastrointestinal Surgery2017，9，5： | 18 |
| 2 | 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 |
| 3 | Chronic pelvic pain,psychiatric disorders and early emotional traumas:Results of a cross sectional case-control study显示文摘AIM To compare the prevalence of psychiatric disorders and early emotional traumas between women with chronic pelvic pain(CPP) and healthy women.METHODS One hundred women in reproductive age,50 of them had CPP(according to the criteria set by the International Association for Study of Pain),and 50 were considered healthy after the gynecological evaluation.The eligibility criteria were defined as follows:chronic or persistent pain perceived in the pelvis-related structures(digestive,urinary,genital,myofascial or neurological systems).Only women in reproductive age with acyclic pain for 6 mo,or more,were included in the present study.Menopause was the exclusion criterion.The participants were grouped according to age,school level and socioeconomic status and were individually assessed through DSM-IV Structured Clinical Interview(SCID-I) and Early Trauma Inventory Self-report-short form(ETISR-SF Brazilian version).Descriptive statistics,group comparison tests and multivariate logistics regression were used in the data analysis.RESULTS The early emotional traumas are highly prevalent,but their prevalence did not differ between the two groups.The current Major Depressive Disorder was more prevalent in women with CPP.The CPP was associatedwith endometriosis in 48% of the women.There was no difference in the prevalence of disorders when endometriosis was taken into account(endometriosis vs other diseases:P > 0.29).The current Major Depressive Disorder and the Bipolar Disorder had greater occurrence likelihood in the group of women with CPP(ODDS = 5.25 and 9.0).CONCLUSION The data reinforce the link between mood disorders and CPP.The preview evidences about the association between CPP and early traumas tended not to be significant after a stronger methodological control was implemented. | Flávia L Osório Ana Carolina F Carvalho Mariana F Donadon André L Moreno Omero Polli-Neto | 2016 | World Journal of Psychiatry2016，6，3： | 2 |
| 4 | DispersionCharacteristics for Plasma Resonances of Maxwellianand Kappa Distribution Plasmas and Their Compari-sons to the Image/rpi Observations显示文摘 | VIAS A F MACE R L BENSON R F | 2005 | J GeophysRes2005，110，06： | 1 |
| 5 | Antitumoral activity ofPEG-gemcitabine prodrugs targeted by folic acid显示文摘 | Pasut G Canal F Dalla Via L | 2008 | J Con-trolled Rel2008，127，： | 1 |
| 6 | Chitosan-pectin multiparticulate systems associated with enteric polymers for colonic drug delivery显示文摘 | Oliveira Giselle F Ferrari Priscileila C Carvalho Lívia Q | 2010 | Carbohydrate Polymers2010，82，： | 1 |
| 7 | Microtwin reduction in 3c-sic heteroepitaxy显示文摘 | Severino A Via F L | 2010 | Appl Phys Lett2010，97，18： | 1 |
| 8 | Riboflavin activates defense responses in tobacco and induces resistance against Phytophthora parasitica and Ralstonia solanacearum显示文摘 | Rhizoctonia solani via jasmonate-mediated priming of by activating a novel signal transduction pathway E J Liu F Wei FF Wang L | 2010 | Physiol Mol Plant P2010，74，56： | 1 |
| 9 | Antitumoral activity of PEG-gemcitabine prodrugs targeted by folic acid 显示文摘 | PASUT G CANAL F DALLA VIA L | 2008 | J Control Release2008，127，3： | 1 |
| 10 | Fast Clear-sky Solar Irradiation Computation for Very Large Digital Elevation Models显示文摘 | ROMERO L F TABIK S VIAS J M | 2008 | Computer Physics Communications2008，178，11： | 1 |
| 11 | Ability of near infraredspectroscopy to monitor air-dry density distribution and variationof wood显示文摘 | Via B K So C L Shupe T F | 2005 | Wood and Fiber Science2005，35，： | 1 |
| 12 | Antitumoral activity of PEG-gemcitabine prodrugs targeted by folic acid 显示文摘 | Pasut G Canal F Via L D | 2008 | J Controlled Release2008，127，3： | 1 |
| 13 | In vivo wound healing and antiulcer properties of white sweet potato ( Ipomoea batatas )显示文摘 | Daniele Hermes Débora N. Dudek Mariana D. Maria Lívia P. Horta Eliete N. Lima ?ngelo de Fátima Andréia C.C. Sanches Luzia V. Modolo | 2013 | Journal of Advanced Research2013，，4： | 1 |
| 14 | Genetic variantsin the UDP-glucuronosyltransferase 1 Al gene predict the risk ofsevere neutropenia of irinotecan显示文摘 | INNOCENTI F UNDE VIA SD IYER L | 2004 | J Clin Oncol2004，22，8： | 1 |
| 15 | Fast Clear-sky Solar Irradia-tion Computation for Very Large Digital Elevation Models 显示文摘 | L F Romero S Tabik J M Vias | 2008 | Computer Physics Communications2008，178，11： | 1 |
| 16 | Fast Clear-sky Solar Irradia-tion Computation for Very Large Digital Elevation Models 显示文摘 | L F Romero S Tabik J M Vias | 2008 | Computer Physics Communications2008，178，11： | 1 |
| 17 | Copeptin (C-terminal pro Arginine-Vasopressin) is an Independent Long-Term Prognostic Marker in Heart Failure with Reduced Ejection Fraction显示文摘 | Zoltán Pozsonyi Zsolt F?rhécz Tímea Gombos István Karádi Lívia Jánoskuti Zoltán Prohászka | 2014 | Heart, Lung and Circulation2014，，： | 1 |
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