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Ultrasound Value in the Management of Parapneumonic Pleural Effusions in a Limited-Resource Setting: A Case Report

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Open Journal of Radiology 2023年第3期13卷 134-138页

作者： Joseph-Francis Nwatsock Ambroise-Merci Seme Engoumou Maggy Mbede Christopher Vagoda Sinbaï Christopher Vagoda Sinbaï amos Ela Bela Emilienne Guegang Goujou Department of Medical Imaging and Radiotherapy Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Department of Radiology Yaoundé General Hospital Yaoundé Cameroon Department of Thoracic and Vascular Surgery Yaoundé General Hospital Yaoundé Cameroon

Pleural effusion is a common complication of acute lung infection, with rising morbidity and mortality. If poorly treated, parapneumonic effusion evolves to the fibrino-purulent stage wherein antibiotic therapy alone becomes inadequate. Chest CT is the gold standard diagnostic imaging tool, however, in a resource-limited context, it may not be performed. Chest ultrasound can therefore be an alternative for drainage and intermittent follow-up of complicated parapneumonic pleural effusions. We report the case of a 4-year-old child who presented with cough, breathing difficulties and fever for over two weeks and in whom an initial chest X-ray revealed a left hemithorax white-out with an air-fluid level. Chest ultrasound revealed a left pleuropulmonary massive fluid collection with an encysted empyema. It also allowed ultrasound-guided pleural effusion drainage of a fibrino-purulent liquid which tested positive for Kocuria kristinae, a bacterium sensitive to gentamycin, vancomycin, norfloxacin and clindamycin. The next follow-up ultrasound checks showed improvement and the control chest X-ray performed one month later demonstrated pulmonary functional recovery. This case highlights the importance of ultrasound in the management and follow-up of this chest pathology in resource-limited settings.

关键词： Chest Ultrasound Ultrasound-Guided Pleural Puncture Parapneumonic Effusion

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莫称之为夜晚

作者： (以)阿摩司·奥兹(amos Oz)

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腔镜微创食管癌切除术的学习过程分析

中华胃肠外科杂志 2012年第9期15卷 918-921页

作者：谢绚傅剑华王军业张旭罗孔嘉杨富 amos Ela Bella 李小海华南肿瘤学国家重点实验室、中山大学肿瘤防治中心胸科广州510060

目的总结腔镜微创食管癌切除术（MIE）的学习过程。方法选取同一组医生连续完成的MIE手术100例，按手术时间顺序分为3组：第1、2组各25例行胸腔镜并常规开腹手术，第3组50例行胸腹腔镜手术．分别记录手术时间、出血量、正常结构保护及... 详细信息

目的总结腔镜微创食管癌切除术（MIE）的学习过程。方法选取同一组医生连续完成的MIE手术100例，按手术时间顺序分为3组：第1、2组各25例行胸腔镜并常规开腹手术，第3组50例行胸腹腔镜手术．分别记录手术时间、出血量、正常结构保护及并发症发生情况、术后ICU观察时间、住院时间、术后肿瘤病理及淋巴结清扫情况等临床资料，比较各组之间的差异。结果全组中96例患者顺利完成MIE，4例患者中转开胸，无中转开腹。中位手术时间310min，中位失血量200ml，中位清扫淋巴结22枚，总体并发症发生率50％。第1组与第2组比较，在保留奇静脉弓（P=0．010）、保留支气管动静脉（P=0．038）及左侧喉返神经胸段术中暴露率（P=0．048）方面的差异有统计学意义。前50例与后50例比较，在胸部手术时间（P=0．000）、失血量（P=0．025）、保留奇静脉弓（P=0．001）、保留支气管动静脉（P=0．000）、胸野淋巴结清扫（P=0．022）、左喉返神经链淋巴结清扫（P=0．000）及该神经起始部术中暴露率（P=0．002）方面的差异有统计学意义。结论MIE学习过程较长．应循序渐进。随着经验的积累和手术技巧的提升．MIE将逐渐显示其独特的优势并替代传统开胸食管癌切除术。

关键词：食管肿瘤微创外科食管切除术学习曲线

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乡村生活图景

作者： (以)阿摩司·奥兹(amos Oz)

THE WASSERMANN AND KAHN REACTIONS OF HUMAN MILK

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中华医学杂志(英文版) 1932年第2期46卷 168-174页

作者： DOROTHY HUIE WONG amos I.H.WONG Department of Bacteriology and Immunology and Department of Obstetrics and Gynecology Peiping Union Medical CollegePeiping.

In a study of the Wassermann reaction of human milk Jarcho(1)found a 95 per cent substantial and an 89 per cent exact qualita-tive and quantitative agreement in the blood and milk reaction of hiscases,and suggested that routine examination of the milk from the6th to 9th day postpartum offers a convenient means of employingthe test in maternity *** the test were as reliable as stated,it would certainly be of great value in China where the removal ofeven a small amount of blood is looked upon with *** thisreason we made a series of tests upon the blood and milk of patientsin the obstetrical service of the Peiping Union Medical College Hos-pital.

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恶意之山

作者： (以)阿摩司·奥兹(amos Oz)

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我的米海尔

作者： (以)阿摩司·奥兹(amos Oz)

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轻抚水，轻抚风

作者： (以)阿摩司·奥兹(amos Oz)

Profiles of HIV-Affected Households in Ghana

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Health 2014年第15期6卷 2004-2013页

作者： amos Laar Daniel Fiaveh Matilda Laar Sandra Boatemaa James Abugri Angela El-Adas Richard Amenyah Kyeremeh Atuahene Andrew Anthony Adjei Isabella Quakyi Centre for Gender Studies and Advocacy University of Ghana Accra Ghana Department of Applied Chemistry and Biochemistry Faculty of Applied Sciences University for Development Studies Navrongo Campus Tamale Ghana Department of Biological Environmental and Occupational Sciences School of Public Health University of Ghana Accra Department of Pathology Korle-Bu Teaching Hospital College of Health Sciences University of Ghana Accra Ghana Department of Population Family & Reproductive Health School of Public Health University of Ghana Accra Ghana Ghana AIDS Commission Accra Ghana Regional Institute for Population Studies University of Ghana Accra Ghana School of Dietetics and Human Nutrition McGill University Montreal Canada

Background: To contribute to a fuller appreciation of Ghana’s HIV epidemic, this paper presents various profiles of the Ghanaian HIV-affected household. To comprehensively tackle the HIV epidemic in Ghana, the profiles would provide stakeholders with ready information for policy formulation. Methods: We used data from a nationally representative survey that measured livelihood activities, household asset wealth, household composition, health, and nutrition variables of 1745 HIV-affected households. From these emerged various profiles. Results: About 50% of the households are headed by females. Households headed by men have an average size of three members, compared to two for female-headed households. There are far more AIDS widows than widowers. The annual death rate among the surveyed households was about 1000 per 100,000-households. Relatively more deaths occurred in male-headed households. Two-thirds of the households were asset poor. Various coping strategies were instituted by the households in reaction to threat of food insecurity. The national prevalence of chronic energy deficiency is 16%. Conclusions: Our data show that age of household head, hosting of a chronically ill member, and average size of household differed by sex of household head. The annual death rate of 1000 per 100,000 households is very high.

关键词： HIV-Affected Households Profiles HIV Ghana