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检查清单和错误报告系统在提高患者安全和减少医疗差错方面的有效性:叙述性回顾

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International Journal of nursing Sciences 2024年第3期11卷 387-398页

作者： Emmanuel Aoudi Chance dia Florence Innocent Sardi Abdoul VID Specialized University BergenNorway Universite de Bertoua Cameroon Univerity of ngaoundere Cameroon

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的... 详细信息

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的有效性证据。错误报告系统提高了透明度,鼓励专业人员报告事件并识别系统漏洞。结果检查表和错误报告系统相互关联,在检查表的实施中强调跨专业合作。文章中使用的不同方法和潜在的发表偏倚可能产生局限性;此外,语言限制可能会排除有价值的非英语研究。虽然积极的影响是显而易见的,但成功取决于组织文化和资源。结论通过查阅相关文献,强调干预措施的重要性,并呼吁进一步研究检查清单和错误报告系统在不同医疗保健和文化背景下的有效性,有助于提高患者安全知识。了解这些动态变化对于医疗保健提供者优化患者安全至关重要。

关键词：患者安全医疗错误检查表错误报告系统健康状况

Profile of SARS-CoV-2 Infected Patients Hospitalized at the Epidemic Treatment Center (ETC) in Saint-Louis, Senegal during the First Two Waves

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Advances in Infectious Diseases 2024年第2期14卷 322-337页

作者： Alassane Dièye Papa Latyr Junior Diouf Bourama Diémé Moustapha Diedhiou diatou dia-Gueye Amadou Diop dia Samba niang Ibrahima Louis Martin Dieng Ameth Dieng Seynabou Lô ndéye Méry dia-Badiane Health Sciences Training and Research Unit Gaston Berger University Saint-Louis Senegal Emergency Department of Regional Hospital Center Saint-Louis Senegal Department of Infectious and Tropical Diseases of Fann Dakar Senegal

Introduction: The SARS-CoV-2 infection is a major public health emergency. Several risk factors are involved in the occurrence of respiratory distress that can lead to death despite resuscitation measures. Objectives: The aim of this study was to describe the epidemiological, clinical, paraclinical, therapeutic, and evolution profile of patients infected with SARS-CoV-2 hospitalized at the CTE of Saint-Louis (Senegal) during the first two waves. Patients and Methods: We conducted a retrospective, cross-sectional, descriptive, and analytical study that included all patients hospitalized at the ETC of Saint-Louis (Senegal) with SARS-CoV-2 infection from March 2020 to April 2021. Results: A total of 358 cases were collected, 256 (71.5%) during the first wave and 102 (28.5%) during the second wave. The mean age was 49.5 years (19.5). There was a male predominance (58.4%), with a sex ratio of 1.4. Hypertension was the main comorbidity, with 87 cases (24.3%). The most common functional signs were cough in 194 cases (54.2%), dyspnea in 143 cases (40%) and ageusia in 134 cases (37.4%). Thoracic CT scans were performed on 20 patients (5.6%), with severe involvement (50% - 75%) observed in 50% of cases. Hydroxychloroquine-azithromycin was prescribed to 351 patients (98%). Overall, 338 (94.4%) recovered and 17 (4.7%) died. In multivariate analysis, factors associated with death were male sex [OR = 2.645;95% CI: 1.530 - 4.785;p = 0.011], age 60 years [OR = 1.039;95% CI: 0.564 - 1.914;p = 0.002], the presence of comorbidities [OR = 2.171;95% CI: 0.564 - 3.429;p = 0.033], SpO2 (ambient air) 95% [OR = 2.061;95% CI: 0.616 - 3.827;p = 0.03], acute respiratory distress syndrome (ARDS) [OR = 0.635;95% CI: 0.316 - 1.275;p = 0.001], severe form [OR = 1.664;95% CI: 0.298 - 2.478;p = 0.016], occurrence of complications [OR = 0.521;95% CI: 0.287 - 0.944;p = 0.032], high creatinine levels [OR = 2.061;95% CI: 1.616 - 3.827;p = 0.026], and lymphopenia [OR = 0.485;95% CI: 0.370 - 0.636;p = 0.0

关键词： SARS-CoV-2 Saint-Louis Senegal

COVID-19/Tuberculosis Co-Infection at the Epidemic Treatment Center (ETC) of Saint-Louis (Senegal): About 9 Cases

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Advances in Infectious Diseases 2024年第1期14卷 56-66页

作者： Alassane Dièye Moustapha Diedhiou Papa Latyr Junior Diouf Mba Bambo diakhaby Demba Makalou Samba niang diatou dia-Gueye Amadou Diop dia Ibrahima Louis Martin Dieng Seynabou Lô ndéye Méry dia-Badiane Health Sciences Training and Research Unit Gaston Berger University Saint-Louis Senegal Department of Medicine Saint-Louis Regional Hospital Saint-Louis Senegal Infectious and Tropical Diseases Clinic of Fann Dakar Senegal

Introduction: COVID-19 is a global public health emergency that can cause acute respiratory distress syndrome. In countries where tuberculosis (TB) is endemic, coinfection of COVID-19 and TB is often encountered, which increases the risk of developing severe forms of COVID-19. Objectives: The aim of this study was to determine the prevalence of COVID-19/TB coinfection at the Epidemic treatment center (ETC) in Saint-Louis (Senegal) and to describe the epidemiological, clinical, paraclinical, and outcome profile of co-infected patients. Patients and Methods: This is a retrospective, cross-sectional, descriptive cohort study based on the records of COVID-19/ TB co-infected patients who were hospitalized at the ETC in Saint-Louis (Senegal) over an 18-month period from March 2020 to September 2021. Results: Out of a total of 454 hospitalizations, we collected records of 9 patients co-infected with COVID-19/TB, resulting in a prevalence of 2%. The study included patients with a median age of 34 years (range: 10-86 years), with a male predominance (7 cases) and a sex ratio of 3.5. The majority of patients (88.9%) had severe forms of COVID-19. Dyspnea and cough were reported in all patients (100%). Pulmonary TB was the most frequent localization, with 9 cases. The diagnosis of COVID-19 was confirmed by nasopharyngeal PCR in all patients (100%). Bacilloscopy was positive in 3 out of 5 cases. One patient tested positive for GeneXpert? MTB/RIF without rifampicin resistance. All patients were prescribed the hydroxychloroquine-azithromycin combination and anti-tuberculosis treatment. Out of the nine patients, four recovered (44.4%) and five died (55.5%). Conclusion: COVID-19/TB coinfection had a low prevalence in our cohort, but was associated with a high mortality due to the frequent occurrence of severe forms of the disease.

关键词： COVID-19 Tuberculosis Saint-Louis Senegal

Characteristics of Gold and Its Mineralization Style in the Boulon Djounga Eastern Perimeter of Liptako Mining Company (Central Southwestern niger)

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natural Resources 2024年第1期15卷 28-50页

作者： Gambo Ranaou noura Kamayé Tourba Karimou dia Hantchi Bouba Hassane Moussa Konaté Department of Geology Faculty of Science and Techniques Abdou Moumouni University Niamey Niger Department of Geology Faculty of Science and Techniques Dan Dicko Dankoulodo University Maradi Niger

The Boulon Djounga eastern perimeter is part of the Tiawa operating permit of the Société des Mines du Liptako (SML), located in the central southwestern part of Liptako (niger). In this study, we used field data, Reverse Circulation (RC) surveys and chemical analyzes of gold to determine the characteristics of gold and its mineralization style. The eastern perimeter of Boulon Djounga is represented by a succession of metabasalts and metasediments both intersected by intrusions of quartz and dolerite dykes, and covered by sandstone and clayey rocks. Gold is present in low contents (0.00 - 0.30 ppm) in the sedimentary cover and in medium (0.30 - 1.00 ppm) or high contents (1.00 - 4.534 ppm) in the metasediments, and in the gray quartz veins and locally in the volcanics. It exists in a disseminated state or in a concentrated state in the surrounding areas in the form of discrete grains associated with sulphurous minerals (pyrite: FeS2, chalcopyrite: CuFeS2 or arsenopyrite: FeAsS). The presence of gold in the quartz veins, and the nE-SW and nW-SE orientations of the ore bodies suggest that the eastern Boulon Djounga gold mineralization would be established during a late magmatic extensive phase.

关键词： Liptako Gold Mineralization Metasediments-Volcanics Quartz Veins Sulphurous Minerals niger

Chebyshev polynomial-based Ritz method for thermal buckling and free vibration behaviors of metal foam beams

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Applied Mathematics and Mechanics(English Edition) 2024年第5期45卷 891-910页

作者： n.D.nGUYEn T.n.nGUYEn Faculty of Civil Engineering Ho Chi Minh City University of Technology and EducationHo Chi Minh City 71309Viet Nam Faculty of Engineering and Technology Kien Giang UniversityChau Thanh 92000Viet Nam

This study presents the Chebyshev polynomials-based Ritz method to examine the thermal buckling and free vibration characteristics of metal foam *** analyses include three models for porosity distribution and two scenarios for thermal *** material properties are assessed under two conditions,i.e.,temperature dependence and temperature *** theoretical framework for the beams is based on the higher-order shear deformation theory,which incorporates shear deformations with higher-order *** governing equations are established from the Lagrange equations,and the beam displacement fields are approximated by the Chebyshev *** simulations are performed to evaluate the effects of thermal load,slenderness,boundary condition(BC),and porosity distribution on the buckling and vibration behaviors of metal foam *** findings highlight the significant influence of temperature-dependent(TD)material properties on metal foam beams'buckling and vibration responses.

关键词： Ritz method Chebyshev function buckling vibration metal foam beam higher-order beam theory(HOBT)

Compression properties of cost-efficient porous expanded clay reinforced AA7075 syntactic foams fabricated by industrial-oriented die casting technology

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China Foundry 2024年第1期21卷 60-70页

作者： İsmail Cem Akgün Çağın Bolat Ali Gökşenli Faculty of Mechanical Engineering Istanbul Technical University34437İstanbulTurkey Faculty of Engineering Samsun University55420SamsunTurkey

In today’s manufacturing industries,hard competition between rival firms makes it compulsory for researchers to design lighter and cheaper machine components due to the megatrends of cost-effectiveness and *** this point,aluminum syntactic foams(ASFs)are new-generation engineering composites and come into the upfront as a *** to their features like low density,sufficient elongation,and perfect energy absorption ability,these advanced foams have been considerably seductive for many industrial sectors *** this study,an industrial-oriented automatic die casting technology was used for the first time to manufacture the combination of AA7075/porous expanded clay(PEC).Micro evaluations(optical and FESEM)reveal that there is a homogenous particle distribution in the foam samples,and inspections are compatible with the other ASF ***,T6 aging heat treatment was operated on one half of the produced foams to explore the probable impact of aging on the compressive *** results show that PEC particles can be an alternative to expensive hollow spheres used in the previous ***,a favorable relationship is ascertained between the aging treatment and mechanical properties such as compression strength and plateau strength.

关键词： die casting porous materials metal matrix sytanctic foams expanded clay compressive deformation

Predicting effects of tunnel throttling of annular freeway vehicular flow by a continuum model

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Journal of Traffic and Transportation Engineering(English Edition) 2024年第4期11卷 733-746页

作者： Zhongmin Huang M.n.Smirnova n.n.Smirnov Zuojin Zhu Faculty of Engineering Science University of Science and Technology of ChinaHefei 230026China Institute of Plasma Physics Hefei Institutes of Physical ScienceChinese Academy of SciencesHefei 230031China Faculty of Mechanics and Mathematics Lomonosov Moscow State UniversityMoscow 119992Russia

Fluid flow throttling is common in industrial and building services *** tunnel throttling of vehicular flow is caused by the abrupt number reduction of roadway lane,as the tunnel has a lower lane number than in the roadway normal *** predict the effects of tunnel throttling of annular freeway vehicular flow,a three-lane continuum model is ***Ⅲof the tunnel is completely blocked due to the need of tunnel rehabilitation,*** exists mandatory net lane-changing rate from laneⅢto laneⅡjust upstream of the tunnel entrance,which is described by a model of random number generated through a golden section *** net-changing rate between adjacent lanes is modeled using a lane-changing time expressed explicitly in algebraic *** paper assumes that the annular freeway has a total length of 100 km,a two-lane tunnel of length 2 km with a speed limit of 80 km/*** free flow speeds on lanesⅠ,ⅡandⅢare assumed to be 110,100 and 90 km/h *** on the three-lane continuum model,numerical simulations of vehicular flows on the annular freeway with such a tunnel are conducted with a reliable numerical method of 3rd-order *** results reveal that the vehicular flow has a smaller threshold of traffic jam formation in comparison with the case without tunnel *** fuel consumption can be estimated by interpolation with time averaged grid traffic speed and an assumed curve of vehicle *** vehicle fuel consumption is lane number dependent,distributes with initial density concavely,ranging from 5.56 to 8.00 *** throttling leads to an earlier traffic jam formation in comparison with the case without tunnel throttling.

关键词： Effects of tunnel throttling Vehicle fuel consumption Travel time Threshold of traffic jam formation Continuum model

Towards defining soil quality of Mediterranean calcareous agricultural soils:Reference values and potential core indicator set

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International Soil and Water Conservation Research 2024年第1期12卷 145-155页

作者： Germán A.Durán Daniel Sacristán Edelweis Farrús Jaume Vadell Institut de Recerca i FormacióAgrària i Pesquera de les Illes Balears C/Eusebi Estada14507009PalmaSpain Plant Biology Department University of Valencia46100BurjassotValenciaSpain Soil and Environmental Quality Department Centro de Investigaciones sobre Desertificación-CIDE(CSIC-Universitat de València-Generalitat Valenciana)Carretera Moncada-Náquera km 4.546113MoncadaValenciaSpain Universitat de les Illes Balears Cra.De Valldemossakm 7507122PalmaSpain

To avoid soil degradation,adapt to climate change and comply with the Sustainable Development goals 2030(Un General Assembly),establishing the quality/fertility of the agricultural soils of the Mediterranean region and evaluate how these evolve with time is *** enables adequate management practices to be *** Mediterranean calcareous region has received little attention in this sense,in spite its soil ***,24 different representative calcareous agricultural soils of the Mediterranean region,including the main management strategies of agricultural soils(rainfed and irrigated),were sampled from the island of Mallorca;and their physical,chemical and biological properties *** values obtained for most of the soil characteristics allowed to establish an initial approach to the reference values for the type of calcareous agricultural soils considered,and to clearly distinguish the effect of rainfed or irrigation management practices on soils properties and *** enzyme activities were not stimulated by the irrigation conditions assayed or they were only in dry conditions,suggesting optimum enzyme activities could be obtained when alternating dry and humid soil *** organic carbon,calcium carbonate and active lime revealed of significant importance in the collection of ***,the results obtained clearly indicate the heterogeneity of the region and its implications on the different soil ***,this study could serve as a starting point to adequately establish the quality(fertility)for Mediterranean calcareous agricultural soils and their reference values by conducting further research in this region and including more type of soils.

关键词： Soil fertility Mediterranean agricultural soils Calcareous soils Soil enzymes Soil management

Weather influenced nestling growth of an insectivorous but not a granivorous grassland passerine in Argentina

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Avian Research 2024年第2期15卷 156-162页

作者： Martín Alejandro Colombo Adrian Jauregui Luciano n.Segura Laboratorio de Ecología de Aves.Institute“Dr.Raúl A.Ringuelet”(ILPLA)-UnLP/COnICET Boulevard 1201437La PlataB1900Buenos AiresArgentina

nestling growth of birds can be affected by weather *** general,it is expected that higher temper-atures favor growth by improving food availability and nestling metabolism,while rain hinders it by reducing foraging ***,most of these patterns have been described in insectivorous cavity-nesting birds in temperate *** tested these predictions in two neotropical grassland ground-nesting birds with contrasting nestling diets and therefore potentially different responses to *** measured nestlings of the Hellmayr’s Pipit(Anthus hellmayri,an insectivorous passerine)and the Grassland Yellow-Finch(Sicalis luteola,which feeds its nestlings exclusively with seeds)during three breeding seasons(2017-2020)in central-eastern *** took measurements of tarsus and body mass,modeled growth curves using nonlinear mixed-effects models,and evaluated the effects of minimum daily temperature and precipitation during the growth period and the 30 days prior to *** pipits(60 nestlings from 21 nests),minimum temperatures during the growth period were positively associated with tarsus and body mass ***,there was a positive association between precipitation during the pre-hatching period and tarsus ***,none of the weather variables analyzed had significant effects on nestling growth of finches(131 nestlings from 35 nests).Dietary contrast between species may explain the different *** activity and abundance can be affected by weather variations within the span of a breeding season,whereas seeds may depend on conditions from previous years,making the effects harder to *** with reduced asymptotic size can have reduced chances of ***,pipit populations could be impacted if they experience cold and dry conditions during their breeding season,which is of major relevance in the current context of climate change.

关键词： Finches Grassland birds neotropical birds Pipits Precipitation Temperature