检索结果-南通市图书馆

Sexuality after Childbirth: Analysis of the Experiences of Central African Women in Bangui

Open Journal of Obstetrics and Gynecology 2024年第10期14卷 1602-1610页

作者： Siméon Matoulou-M’bala Wa-Ngogbe Aleph Cyrille Vianney Seramandji alida koirokpi Thibaut Boris Clavaire Songo-Kette Gbekere Gertrude Rose De Lima Kogboma-Wongo Norbert Richard Ngbale Abdoulaye Sepou Department of Obstetrics and Gynaecology Community University Hospital Center Bangui Central African Republic Faculty of Health Sciences University of Bangui Bangui Central African Republic Department of Obstetrics and Gynaecology Sino-Central African Friendship University Hospital Center Bangui Central African Republic

Introduction: In many societies, sexuality is still a taboo subject. In the Central African Republic, this topic is rarely discussed outside the context of gynecological consultations and infertility, whereas the sexual life of couples is often disrupted by the arrival of a child, particularly by the ordeal of childbirth. The aim of the study is to analyze the sexual experience of Central African women after childbirth in order to contribute to improving the health of the population, in particular that of mother and child, and to facilitate harmony within the couple. Methodology: Descriptive and analytical cross-sectional study covering the period from July 1 to August 30, 2023, at the maternity ward of the Center University Hospitalier Communautaire. The study concerned only women who had given birth between the second week and the sixth month postpartum. The sampling was exhaustive. Results: A total of 303 women agreed to take part in our study, aged between 15 and 44, more than half of whom had completed secondary school. The eagerness of the women to take part in the study shows that they are ready to express themselves about their sexuality despite certain biases linked to the method of patient selection. Resumption of sexual relations was initiated by the partners within six weeks in the vast majority of cases. Conclusion: Resumption of sexual intercourse was delayed, often at the partner’s initiative. Further studies are needed to understand the cultural, religious and psychological dimensions of postpartum sexuality in the Central African context.

关键词： Sexuality Postpartum Bangui Education Nursing Staff

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Delivery of a Dicephalic Siamese Parapagus in the Community Clinic: Case Report and Review of the Literature

引用

Open Journal of Obstetrics and Gynecology 2024年第10期14卷 1571-1576页

作者： Siméon Matoulou-M’bala Wa-Ngogbe alida koirokpi Gertrude Rose De Lima Kogboma-Wongo Thibault Songo-Kette Gbekere Léila Sépou-Fashi Séphora Gay Norbert Richard Ngbale Eugene Serdouma Abdoulaye Sepou Department of Obstetrics and Gynaecology Community University Hospital Center Bangui Central African Republic Faculty of Health Sciences University of Bangui Bangui Central African Republic Department of Obstetrics and Gynaecology Sino-Central African Friendship University Hospital Center Bangui Central African Republic

Twins are one of the congenital anomalies described as phenomenal or mysterious. It is a rare and specific complication of monochorionic monoamniotic pregnancies resulting either from the late and incomplete splitting of one embryo into two distinct twins, or from the early secondary fusion of two initially separate embryos. These anomalies are often amenable to early diagnosis by ultrasound in the first trimester, which is still lacking in our community due to the uneven resources available. The aim of our clinical case study was to remind obstetric clinicians and the medical imaging sector that this very rare disease exists, hence the importance of obstetric ultrasound in the first trimester as an essential diagnostic tool to enable a management strategy to be put in place to avoid any surprises that could jeopardise the vital prognosis of the pregnant woman, particularly during parturition.

关键词： Siamese Ultrasound Central African Republic

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Fetal Macrosomia in the Maternity Ward of the Community University Hospital: Risk Factors and Maternal-Fetal Prognosis

引用

Open Journal of Obstetrics and Gynecology 2024年第10期14卷 1561-1570页

作者： Gertrude Rose Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza alida koirokpi Siméon Matoulou-M’bala Wa-Ngogbe Jean-Thimotée Hounda-Godro Norbert Richard Ngbale Abdoulaye Sepou Department of Obstetrics and Gynecology Community University Hospital Center Bangui Central African Republic Department of Obstetrics and Gynecology Sino-Central African Friendship University Hospital Center Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic

Introduction: Fetal macrosomia is a birth weight greater than or equal to 4000 grams. The aim of this study is to determine the frequency of macrosomia, to identify the risk factors, and to evaluate the maternal and perinatal prognosis in the obstetrics and gynaecology department of the Community University Hospital Centre (CHUC). Methodology: This was a retrospective case-control study over a period of 24 months in the maternity ward of the CHUC. Results: The frequency of delivery of macrosomic fetuses was 4.1%, and the average age of women with large fetuses was 29.5 years. In 65.7% of cases, they were not engaged in any income-generating activity. Most of them had at least secondary education (65.7%) and were mainly multiparous (78.8%). The risk factors found were maternal age greater than or equal to 35 years, multiparity, previous large fœtus, gestational diabetes, obesity and male sex. Maternal complications were dominated by uterine atony (52.2%), perineal tear (31.9%), and cervical tear (15.9%). In our series, macrosomic newborns were three times more likely to present with a neonatal complication than normal-weight newborns. Neonatal mortality was 2.1%. Conclusion: Reducing macrosomia requires a better understanding of the risk factors, early detection, correct management during vaginal delivery and close monitoring of labour with good control of obstetric manoeuvres.

关键词： Fetal Macrosomia Risk Factors Maternal-Fetal Prognosis CHUC

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Determinants of Maternal Mortality at the Community University Hospital of Bangui: Central African Republic

引用

Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1478-1486页

作者： Gertrude Rose De Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza Siméon Matoulou-M’bala Wa-Ngogbe alida koirokpi Sabrina Ouapou Georges Trésor Gamache Norbert Richard Ngbale Abdoulaye Sepou Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire Communautaire Bangui Central African Republic Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire de l’Amitié Sino Centrafricaine Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic

Introduction: Pregnancy is a physiological condition that can sometimes end in death. The death of a woman is a constant concern for the obstetrician and is considered a major public health problem in our developing countries. Objective: To identify the determinants that contribute to maternal morbidity and mortality in the Gynaecology and Obstetrics Department of the University Community Hospital. Methodology: We conducted a retrospective study from 1 January 2015 to 31 December 2019 (5 years) in the obstetrics and gynaecology department of the Centre Hospitalier Universitaire Communautaire (CHUC). It focused on the determinants of maternal mortality. Our study population consisted of all women who died during the period and met the World Health Organization (WHO) definition of maternal mortality (MOMA). We used non-probability sampling with the exhaustive choice technique. Results: The study revealed that the number of deaths recorded was 98, while 17,172 live births were registered during the same period. The maternal mortality ratio was 570 per 100,000 live births. The most common age group was 20 to 24, with an average age of 26. The frequency of death among primiparous women was 37.74%, pauciparous women 28.30% and multiparous women 26.42%. Direct causes were dominated by abortion complications (22.41%), followed by infections (9.30%) and haemorrhage (8.19%). Indirect causes were dominated by anaemia with a proportion of 45.16%. The majority of maternal deaths occurred in the post-partum period (34.71%). Most maternal deaths occurred after vaginal delivery, 19 cases (63.33%), while 11 deaths (36.66%) occurred after caesarean section. The occurrence of direct causes was associated with age less than or equal to 25 years, abortion complications and primiparity, with a statistically significant difference. Conclusion: At the end of this study, complications of unsafe abortion and poverty are all factors contributing to the rise in the maternal mortality rate. Emp

关键词： Maternal Mortality Determinants Community Hospital

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Factors Associated with Mother-to-Child Transmission of HIV at the Maternity Unit of the Castors Urban Health Center in Bangui

引用

Open Journal of Obstetrics and Gynecology 2023年第5期13卷 950-959页

作者： Thibaut Boris Clavaire Songo-Kette Gbekere Gilles Davy Kossa-Ko-Ouakoua Gertrude Rose De Lima Kogboma Wongo Guerengbo Rodrigue Herman Doyama-Woza Siméon Matoulou-M’bala Wa-Ngogbe alida koirokpi Sabrina Ouapou Kelly Mbano-Dede Matike-Ayamboka Josué Eezchiel Sandjima Norbert Richard Ngbale The Maternity Unit of the Centre de Santé Urbain des Castors Bangui Central African Republic Department of Gynecology and Obstetrics Centre Hospitalier Universitaire Communautaire Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic Department of Gynecology and Obstetrics Centre Hospitalier Universitaire Maman Elisabeth Domitien Bimbo Central African Republic

Introduction: In spite of significant progress towards eliminating mother-to-child transmission (MCT) of HIV by 2025, trends in vertical mother-to-child transmission are still worrying in sub-Saharan African countries. This study aims to take stock of the factors associated with HIV MCT at the level of peripheral health training. Patients and Methods: This was a descriptive and analytical retrospective study, over a five-year period from January 1st, 2017 to December 31st, 2021. The study population was represented by HIV-positive women and their cared infants in the Parent-Child Transmission Prevention Unit (PCTP) of the Castors Urban Health Center (CUHC). Results: 288 medical records were selected out of a total of 347 HIV-positive mothers followed. HIV seroprevalence in the population of women who received PreNatal Consultation (PNC) during the study period was 8.2%. The HIV MCT rate was 3.7%. HIV+ mothers followed were mostly young (average age of 28), not living in a couple (96.9%), poorly educated (58.7%) and not engaged in income-generating activity (58.4%). They had all received triple therapy and the period of initiation of antiretroviral (ARV) therapy was in the majority of cases during the first trimester. Factors associated with MCT were: primiparity (OR = 18.4 [5.55 - 61.05];Khi2 = 32.61;p 2 = 55.22;p 2 = 108.73;p 3 (OR = 14.12 [4.03 - 57.20];Khi2 = 21.68;p 1000 copies/mm3 (OR = 8.85 [2.33 - 43.20];Khi2 = 10.46;p = 0.001), prolonged labor (OR = 12.33 [3.45 - 57.25];Khi2 = 18.47;p 2 = 40.60;p 2 = 5.96;p = 0.014), and artificial or mixed breast

关键词： Factors Transmission Mother-Child HIV Bangui

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

An innovative orbital implant positioner for the proper restoration of eye-socket defects

引用

Bio-Design and Manufacturing 2023年第1期6卷 82-89页

作者： Marco Mandolini Agnese Brunzini Manila Caragiuli alida Mazzoli Mario Pagnoni Department of Industrial Engineering and Mathematical Sciences UniversitàPolitecnica Delle MarcheVia Brecce Bianche 1260131 AnconaItaly Department of Materials Environmental Sciences and Urban PlanningUniversitàPolitecnica Delle MarcheVia Brecce Bianche 1260131 AnconaItaly yourFACE Clinica Ars BiomedicaVia Luigi Bodio 5800191 RomeItaly

Fractures to the orbital walls and floor must be appropriately managed to avoid severe *** results in particularly challenging anatomical *** main issues are the implant’s proper shaping,placement,and orientation onto the eye socket.A new,customized implant-shaping mould has already been developed to shape patient-specific ***,it still does not address the implant positioning in the fractured orbital cavity.

关键词： socket orbital walls

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Treasures in insect collections:the future of the bomb-radiocarbon analysis

引用

Insect Science 2018年第6期25卷 1128-1131页

作者： Norbert Kunert alida Mercado Cárdenas Biogeochemical Processes Max-Planck-lnsUtute for BiogeochemistryHans-Knoll-Str.10JenaGermany Chair of Silviculture Universitɑt FreiburgTennenbacherstr.4FreiburgGermany

Dear Editor, Bomb-radiocarbon analysis of modern carbon has been applied in many fields of *** method allows de- terrnining the residence time of carbon in photosynthetic products and thus aU organic matter in *** atmospheric 14C signature will soon drop below the pre- bomb level due to fixation of atmospheric carbon in ter- restrial and marine ecosystems and high rates of lac-free fossil fuel ***,the time is running out for bomb-radiocarbon *** collections shelter an immense quantity of specimens stored in *** show how those specimens can be used for exploring the trophic structure of food webs by comparing their isotopic radiocarbon signature.

关键词：

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Influence of education training in patients with type 2 diabetes in the improvement of lifestyle and biochemical characteristics: a randomized controlled trial

引用

Frontiers of Nursing 2019年第4期6卷 293-299页

作者： alida Ramaj Fatjona Kamberi Universitätsklinik Köln(AöR) Gesundheits-Kranken-und KinderkrankenpflegeschuleBitburger Straße 1Köln 50935Germany Faculty of Public Health Research Center of Public HealthUniversity of Vlore“Ismail Qemali”Vlore 9400Albania

Objective: The objective of this randomized controlled trial study was to evaluate the education training in relation to lifestyle improvement in patients with type 2 diabetes through its influence in the levels of glycated hemoglobin(HbA1 c), blood pressure, triglyceride, cholesterol levels, and body mass index(BMI).Methods: The study included patients with type 2 diabetes randomly selected from 20 residential areas in Tirana, Albania where family physicians provide services. The sample size in total was 200 patients in both groups(control and intervention). The education training(four sessions) was conducted by trained nursing staff for 6 months. Patients were screened for the biochemical profile before and after the intervention. To compare the groups with respect to the interest outcomes, the t-test was used. The value of P 0.05).Conclusions: The results of this study further support that the approach for education of patients with type 2 diabetes on changing lifestyle benefit the patient in controlling diabetes. It is believed that the establishment of diabetes education classes in health centers is an important investment in improving the manageme

关键词： type 2 diabetes health education management randomized controlled trial HbA1c BMI

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Evolution and distribution of medullary bone: evidence from a new Early Cretaceous enantiornithine bird

引用

National Science Review 2020年第6期7卷 1068-1078页

作者： Min Wang Jingmai K.O'Connor alida M.Bailleul Zhiheng Li Key Laboratory of Vertebrate Evolution and Human Origins Institute of Vertebrate Paleontology and Paleoanthropology Chinese Academy of Sciences CAS Center for Excellence in Life and Paleoenvironment

Living birds are unique among vertebrates in the formation of a female-specific bone tissue called medullary bone(MB) that is strictly associated with reproductive activity. MB is a rapidly mobilized source of calcium and phosphorus for the production of eggshell. Among living taxa, its skeletal distribution can be highly extensive such that it even exists in the ribs of some species. Due to its ephemeral nature, MB is rarely fossilized and so little is understood with regard to the origin of MB and its skeletal distribution in early *** we describe a new Early Cretaceous enantiornithine bird, Mirusavis parvus, gen. et. sp. nov., indicating that skeleton-wide distribution of MB appeared early in avian evolution. We suggest that this represents the plesiomorphic condition for the Aves and that the distribution of MB observed among extant neornithines is a product of increased pneumatization in this lineage and natural selection for more efficient distribution of MB.

关键词： Aves Cretaceous medullary bone phylogeny reproduction

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Primary peritoneal carcinoma metastasizing to breast: a single case report and literature review from clinic to biology

引用

Cancer Biology & Medicine 2016年第3期13卷 389-395页

作者： Ji-Yuan Sun Wondwossen Gebre Yi-Min Dong Xiao Shaun Rachel Robbins alida Podrumar Department of Internal Medicine Nassau University Medical Center Department of Pathology Nassau University Medical Center Department of Pathology University of Arizona

Primary peritoneal carcinoma(PPC) is a type of rare malignant epithelial tumor. Metastasis from PPC to breast has been rarely reported. PPC originates de novo from the peritoneal tissues rather than invasion or metastasis from adjacent or remote *** have been implicated in many cases of carcinomas of unknown primary origin. It is similar to ovarian cancer(Ov Ca),because it shares the same common embryonic origin, the coelomic epithelium(mesodermal origin). The mechanism of oncogenesis remains elusive. In this article, we report a rare case of PPC in a patient 10 years after total abdominal hysterectomy and bilateral salpingooophorectomy for uterine leiomyoma, which was widely spread in the abdomen and metastasized to the colon, liver and distant organs including breast. The treatment is similar to that of primary ovarian cancer. We also reviewed the primary peritoneal cancer metastatic to breast and discuss the possible mechanisms and biology of primary peritoneal cancer,using experimental and animal model.

关键词： Primary peritoneal cancer breast cancer metastasis WT1 differential diagnosis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：