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Experience on the Management of Priapism at the Yaounde Central Hospital

Open Journal of Urology 2024年第4期14卷 244-251页

作者： Philip Fernandez Owon’Abessolo Jean Cédric Fouda Armel Essomba Cécile Etobe Achille Kpanou Yellem Yvon Gerard Beling Abanda bright awondo-che Milama Steves Ndang Ngou Department of Surgery and Specialties Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Urology Service Yaound&#233 Central Hospital Yaound&#233 Cameroon Department of Surgery and Specialty Faculty of Medicine and Biomedical Sciences University of Yaound&#233 1 Yaound&#233 Cameroon Department of Urology University of Health Sciences Owendo Gabon

Introduction: Priapism is a urological emergency defined as a prolonged penile erection for more than 6 hours, painful and sustained, occurring without any sexual stimulation. The diagnosis is essentially clinical. However, the management is often late because of the delay in consultation, which is characteristic in our context. The purpose of our study is to describe the clinical and therapeutic aspects of patients who presented with priapism at the Yaoundé Central Hospital as well as to propose a present synthesis concerning the management of priapism. Methodology: We conducted a descriptive cross-sectional study with a retrospective recruitment method in the urology department of the YCH. It extended over a period of 6 months from January 2022 to June 2022. We reviewed the files of patients seen within a period spanning 10 years from January 1st, 2011 to January 31st, December 2021. The study population consisted of patients who had been hospitalized and treated for priapism. We carried out consecutive and non-exhaustive sampling. Results: During the study, we collected data from the medical files of 13 patients. The median age was 25 years, with extremes of 12 and 82 years. Most of the patients were between 20 and 30 years old (38.5%). Most of the patients were single (69.2%). Sickle cell disease was the main comorbidity encountered during the study (76.9%). The median time from onset of symptoms to consultation was 10 [6 - 20.5] hours, with extremes of 1 and 264 hours. All patients presented with painful penile erection (100%). There was concomitant multifocal pain in 38.5% of cases suggestive of vaso-occlusive crises (VOC). The symptoms occurred in a non-traumatic context in the majority of cases (92.3%). The T-shunt was the most used surgical technique (84.6%). The median duration of surgery was 36 [35 - 40] minutes with extremes of 25 and 60 minutes, the majority being operated in less than 45 minutes (84.6%). The frequency of postopera

关键词： Priapism Treatment Experience

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Precision design of Ti sites for unprecedented catalytic performance

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National Science Review 2024年第7期11卷 67-68页

作者： Haoquan Zheng Shunai che Key Laboratory of Applied Surface and Colloid chemistry Ministry of Education School of Chemistry and Chemical Engineering Shaanxi Normal University School of chemistry and chemical Engineering Shanghai Jiao Tong University

In 1983, Taramasso et al. incorporated titanium(Ti) into porous silica frameworks to endow Ti sites with catalytic oxidation ability [1]. Nowadays, catalytic oxidation reactions using titanium silicate materials have ...

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Evaluation on the state of sand filling layer and the influence on segment deformation of immersed tunnels

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Underground Space 2024年第3期16卷 224-238页

作者： Ziyao Xu Ailan che Chao Su School of Naval Architecture Ocean and Civil EngineeringShanghai Jiao Tong UniversityShanghai 200240China CCCC Second Harbor Engineering Company Ltd. Wuhan 430040China

The immersed tunnel is considered an effective solution for traffic problems across rivers and *** sand filling layer,as an important part of immersed tunnel foundation treatments,directly affects segment attitude *** to difficulties in quality control of concealed construction and the complex hydrodynamic environment,the sand filling layer is prone to compaction defects,further leading to changes in segment ***,limited by structural concealment and state complexity,most studies consider the sand filling layer part of the foundation to study its impact on settlement while neglecting its influence on segment *** research proposes an evaluation method for the sand filling layer state based on elastic wave testing and the elastic wave characteristic parameters selected come from analysis of the time domain,frequency domain and time–frequency *** classifying the elastic wave characteristic parameters through the K-means clustering method,the relationship between the state of the sand filling layer and the elastic wave characteristic parameters is *** state of the sand filling layer is divided into dense,incompact,and void.A numerical model is established based on the Guangzhou BI-UT immersed tunnel with incompact and void sand filling layer states to simulate deformation and *** results indicate that the settlement of the tunnel segment is low in the eastern region and high in the western region due to the presence of a less dense sand filling layer,with a maximum differential settlement of 0.04 *** evaluation method plays a crucial role in guiding the construction of immersed tube tunnels.

关键词： Sand filling layer state Immersed tunnel Elastic wave test Clustering algorithm

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Cell replacement with stem cell-derived retinal ganglion cells from different protocols

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Neural Regeneration Research 2024年第4期19卷 807-810页

作者： Ziming Luo Kun-che Chang Spencer Center for Vision Research Byers Eye InstituteStanford University School of Medicine Department of Ophthalmology Louis J.Fox Center for Vision RestorationUniversity of Pittsburgh School of Medicine Department of Neurobiology Center of NeuroscienceUniversity of Pittsburgh School of Medicine

Glaucoma,characterized by a degenerative loss of retinal ganglion cells,is the second leading cause of blindness *** is currently no cure for vision loss in glaucoma because retinal ganglion cells do not regenerate and are not replaced after *** stem cell-derived retinal ganglion cell transplant is a potential therapeutic strategy for retinal ganglion cell degenerative *** this review,we first discuss a 2D protocol for retinal ganglion cell differentiation from human stem cell culture,including a rapid protocol that can generate retinal ganglion cells in less than two weeks and focus on their transplantation ***,we discuss using 3D retinal organoids for retinal ganglion cell transplantation,comparing cell suspensions and *** review provides insight into current knowledge on human stem cell-derived retinal ganglion cell differentiation and transplantation,with an impact on the field of regenerative medicine and especially retinal ganglion cell degenerative diseases such as glaucoma and other optic neuropathies.

关键词： cell clumps cell suspension cell transplantation differentiation direct-induced protocol glaucoma optic neuropathy regenerative medicine retinal ganglion cell retinal organoids stem cells

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Numerical investigation of transient gas–solid heat transfer in a packed bed:Impact of intra-particle thermal diffusion

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Particuology 2024年第7期90卷 404-411页

作者： Hanqiao che Yuanhe Yue Zhaohua Jiang Duan Li School of Mechanical Engineering Guangxi UniversityNanningGuangxi530004China School of chemical Engineering University of BirminghamBirminghamB152TTUK Hebei Engineering Research Center of Advanced Energy Storage Technology and Equipment School of Energy and Environmental EngineeringHebei University of TechnologyTianjin300401China Hebei Key Laboratory of Thermal Science and Energy Clean Utilization School of Energy and Environmental EngineeringHebei University of TechnologyTianjin300401China School of Mechatronics and Vehicle Engineering Chongqing Jiaotong UniversityChongqing400074China School of Instrumentation and Opto-Electronic Engineering Beihang UniversityBeijing 100191China

The transient heat transfer behaviours in a packed bed have been studied using coupled computational fluid dynamics(CFD)and discrete element method(DEM).Intra-particle thermal diffusion,which is a crucial but rarely explored issue,is considered by introducing a one-dimensional diffusion equation in the DEM *** achieve a sufficiently long physical time of simulations,we further reduce the computational cost by applying periodic boundary condition to a small segment of the packed *** study demonstrates a shifting peak heat flow rate from the bottom to the top of the packed bed during the initial warming *** affirm that the influence of thermal diffusion within a particle is noteworthy only for particles exhibiting a high Biot number(e.g.,Bi=1.2).This insight enriches our understanding of heat transfer mechanisms in packed beds and their practical engineering applications.

关键词： Packed bed Intra-particle heat transfer CFD–DEM

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An innovative inertial parameters identification method for non-cooperative space targets based on electrostatic interaction

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Chinese Journal of Aeronautics 2024年第9期37卷 417-432页

作者： Heng JING Zixuan ZHENG Deja che Jianping YUAN National Key Laboratory of Aerospace Flight Dynamics Northwestern Polytechnical UniversityXi'an 710072China School of Astronautics Northwestern Polytechnical UniversityXi'an 710072China

Inertial characteristics of non-cooperative targets are crucial for space capture and sub-sequent on-orbit *** methods for identifying inertial parameters involve proximity operations,which are associated with the risk of collision with non-cooperative *** paper introduces a long-range,contactless method for identifying the inertial parameters of a non-cooperative target during the pre-capture ***,electrostatic interaction is used as an external excitation to alter the target's motion.A force estimation algorithm that uses measure-ments from visual and potential sensors is proposed to estimate the electrostatic interaction and eliminate the need for force ***,a recursive estimation-identification framework is presented to concurrently estimate the coupled motion state,weak electrostatic interaction,and inertial parameters of the *** simulation results show that the proposed method extends the identification distance to 170 times that of the previous method while maintaining high identifica-tion precision forall parameters.

关键词： Non-cooperative target Inertial parameters identification Electrostatic interaction Force estimation Dynamical coupling

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Multi-timescale optimization scheduling of interconnected data centers based on model predictive control

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Frontiers in Energy 2024年第1期18卷 28-41页

作者： Xiao GUO Yanbo che Zhihao ZHENG Jiulong SUN Energy Power Electrical Automation and Information EngineeringTianjin UniversityTianjin 300072China

With the promotion of“dual carbon”strategy,data center(DC)access to high-penetration renewable energy sources(RESs)has become a trend in the ***,the uncertainty of RES poses challenges to the safe and stable operation of DCs and power *** this paper,a multi-timescale optimal scheduling model is established for interconnected data centers(IDCs)based on model predictive control(MPC),including day-ahead optimization,intraday rolling optimization,and intraday real-time *** day-ahead optimization stage aims at the lowest operating cost,the rolling optimization stage aims at the lowest intraday economic cost,and the real-time correction aims at the lowest power fluctuation,eliminating the impact of prediction errors through coordinated multi-timescale *** simulation results show that the economic loss is reduced by 19.6%,and the power fluctuation is decreased by 15.23%.

关键词： model predictive control interconnected data center multi-timescale optimized scheduling distributed power supply/landscape uncertainty

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Evaluation of the Quality of Micturition in Patients Who Underwent Anastomotic Urethroplasty at the Yaounde Central Hospital, Cameroon

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Open Journal of Urology 2024年第2期14卷 115-127页

作者： Achille Aurele Mbassi Landry Oriole Mbouche Junior Mekeme Mekeme Jean Crepin Eloundou Nkolo bright che.awondo Jean Cedrik Fouda Frantz Guy Epoupa Ngalle Cyril Kamadjou Pamela Anaba Laure Pierre Joseph Fouda Fru Forbuzshi III Angwafo Higher Institute of Medical Technology Yaounde Cameroon Higher Institute of Health Sciences Bangangte Cameroon Urology and Andrology Department Yaounde Central Hospital Yaounde Cameroon Department of Surgery and Subspecialties Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Yaounde Gynecology Obstetrics and Pediatric Hospital Yaounde Cameroon

Introduction: Radiological investigation which is the gold standard to perform following anastomotic urethroplasty in order to evaluate the quality of micturition is costly. In our context, due to financial limitations, reconstructive urologists prefer to use the uroflowmetry in order to assess the micturition post-surgery. Therefore, the objective of the study was to assess the quality of micturition using the uroflowmetry after anastomotic urethroplasty. Methodology: We conducted an 11-year retrospective review (1st January 2006-31st December 2017) and a cross-sectional descriptive observational study for a period of 8 months (November 2017-June 2018) at the Urology and Andrology Department of the Yaounde Central Hospital (YCH) of patients who were diagnosed with urethral stenosis and underwent an anastomotic urethroplasty at the YCH. We excluded patients who had incomplete files, patients lost to follow-up and did not do pre-operative uroflowmetry. Quality of micturition was evaluated using a uroflowmetry. Data was analyzed using EPI info 7.0. Parametric variables were reported as means and standard deviations and percentages and counts were used to report categorical variables. Results: We had a sample of 60 patients. The mean age was 42 ± 5 years with extremes ranging from 20 to 76 years. Twenty-seven (27) patients, or 45%, had no post-operative complications, and those who did had a urinary tract infection (26.70%). In our series, we had 82% excellent results (patient satisfied with his urination with bell-shaped urinary stream and urinary flow greater than or equal to 15 ml/sec);15% good results (patient with moderate dysuria with average urinary stream and urinary flow between 10 and 14.9 ml/sec) and 3% poor results (severe dysuria with urinary flow less than 10 ml/sec, urinary retention or urinary incontinence). Based on these results we can say that the success rate in our series was 97%. 96.70% of patients were satisfied against 3.3%

关键词： Urethra Stricture Anastomotic Urethroplasty

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Electric Vehicle Charging Load Optimization Strategy Based on Dynamic Time-of-Use Tariff

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Energy Engineering 2024年第3期121卷 603-618页

作者： Shuwei Zhong Yanbo che Shangyuan Zhang Key Laboratory of Smart Grid of Education Ministry Tianjin UniversityTianjin300072China

Electric vehicle(EV)is an ideal solution to resolve the carbon emission issue and the fossil fuels scarcity problem in the ***,a large number of EVs will be concentrated on charging during the valley hours leading to new load peaks under the guidance of static time-of-use ***,this paper proposes a dynamic time-of-use tariff mechanism,which redefines the peak and valley time periods according to the predicted loads using the fuzzy C-mean(FCM)clustering algorithm,and then dynamically adjusts the peak and valley tariffs according to the actual load of each time *** on the proposed tariff mechanism,an EV charging optimization model with the lowest cost to the users and the lowest variance of the grid-side load as the objective function is ***,a weight selection principle with an equal loss rate of the two objectives is proposed to transform the multi-objective optimization problem into a single-objective optimization ***,the EV charging load optimization model under three tariff strategies is set up and solved with the mathematical solver *** results show that the EV charging load optimization strategy based on the dynamic time-of-use tariff can better balance the benefits between charging stations and users under different numbers and proportions of EVs connected to the grid,and can effectively reduce the grid load variance and improve the grid load curve.

关键词： Dynamic time-of-use tariff peak and valley time electric vehicle multi-objective optimization

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To open early or late:Decoding the mystery of diurnal floret opening time in rice

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Plant Communications 2024年第5期5卷 91-93页

作者： Jian che Xu Li Yidan Ouyang National Key Laboratory of Crop Genetic Improvement and National Center of Plant Gene Research(Wuhan) Hubei Hongshan LaboratoryHuazhong Agricultural UniversityWuhan 430070China

DIFFERENTIATED DIURNAL FLORET OPENING TIME PROMOTES PREZYGOTIC REPRODUCTIVE BARRIERS IN PLANTS As one of the most diverse groups within the plant kingdom,flowering plants have achieved tremendous success on earth and have evolved diversified flowering habits as a result of longterm adaptation to changing *** diurnal floret opening time(DFOT),which represents the time at which a flower opens each day,is a key flowering habit characterized by an internal rhythm and regular environmental cycles.

关键词： diurnal flowering earth

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