20,804 research outputs found
Unclassified autoimmune pancreatitis mimicking pancreatic cancer
A 24-year-old black male presented with a 1-week obstructive jaundice and intermittent abdominal pain, with no significant weight loss and an unsuspicious abdominal exam. Blood chemistry showed a cholestatic pattern but a complete immunological and tumoral panel (anti-smooth muscle antibody, anti-mitochondrial antibody, anti-nuclear antibody, anti-neutrophil cytoplasmic antibody, anti-Smith, anti-double-stranded-DNA antibody (anti-dsDNA), complement C3/C4, carcinoembryonic antigen, CA 19-9 and IgG4) were all within normal limits. Abdominal ultrasound revealed dilatation of the intra and extra-hepatic bile ducts. CT scan showed an abnormal dilatation of the distal bile duct but no focal enlargement of the head of the pancreas. Endoscopic ultrasound suggested an inflammatory process but the magnetic resonance cholangio-pancreatography favored a neoplastic obstruction of the distal common bile duct. Fine-needle aspiration cytology was insufficient for definitive diagnosis and the patient underwent major surgery. Follow-up with mild exocrine pancreatic insufficiency treated with enzyme replacement.info:eu-repo/semantics/publishedVersio
A Amazônia e os desafios de sua ocupação.
bitstream/item/32655/1/AmazoniaDesafiosOcupacao.pdfDisponível também on-line
Características da agricultura indígena e sua influência na produção familiar da Amazônia.
bitstream/item/63507/1/Oriental-Doc105.PD
Revealing hidden symmetries and gauge invariance of the massive Carroll-Field-Jackiw model
In this paper we have analyzed the improved version of the Gauge Unfixing
(GU) formalism of the massive Carroll-Field-Jackiw model, which breaks both the
Lorentz and gauge invariances, to disclose hidden symmetries to obtain gauge
invariance, the key stone of the Standard Model. In this process, as usual, we
have converted this second-class system into a first-class one and we have
obtained two gauge invariant models. We have verified that the Poisson brackets
involving the gauge invariant variables, obtained through the GU formalism,
coincide with the Dirac brackets between the original second-class variables of
the phase space. Finally, we have obtained two gauge invariant Lagrangians
where one of them represents the Stueckelberg form.Comment: revised version. To appear in Europhysics Letter
Adubação verde e plantio direto: alternativas de manejo agroecológico para a produção agrícola familiar sustentável.
bitstream/item/62424/1/DOCUMENTOS-212-Embrapa-A-Oriental.pd
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