检索结果-南通市图书馆

国际纺织导报 2022年第5期50卷 19-22,32页

作者：余梦凡童文莲毕延强 E.D.Tegaw s.A.Tessema 顾彤宇丁雪梅东华大学服装与艺术设计学院(中国) 巴哈达尔大学(埃塞俄比亚)

在回顾医用口罩关键生产技术的基础上,参考中国医用口罩产品的生产线模式,对其构建成本进行预估。基于非洲国家产业链现状,对非洲国家的新冠肺炎疫情暴发期、疫情平稳期、后疫情期3个阶段的口罩产品生产线的配置提出建议。

关键词：医用口罩中非国家产业链

坦桑尼亚人颈淋巴结炎中分离出牛型分支杆菌:相关原因是什么?

在线全文

学校读者我要写书评

暂无评论

国际结核病与肺部疾病杂志 2001年第2期 93-96页

作者： R.R.Kazwala C.J.Daborn J.M.sharp D.M.Kambarage s.F.H.Jiwa N.A.Mbembati 安燕生王延莉 sokoine University of Agriculture Morogoro Tanzania Centre for Tropical Veterinary Medicine University of Edinburgh Moredun Research Institute Edinburgh UK Department of surgery University College of Health Sciences of the University of Dar es Salaam Tanzania

背景:坦桑尼亚北部和南部适于畜牧的社区。设计:观察性研究。目的:确定这些地区乡村结核病诊所结核病病例中牛型分支杆菌感染的情况。方法:以经临床证实的149例结核病病例作为样本。根据病变部位取适当的标本在含甘油或丙酮酸的两种... 详细信息

背景:坦桑尼亚北部和南部适于畜牧的社区。设计:观察性研究。目的:确定这些地区乡村结核病诊所结核病病例中牛型分支杆菌感染的情况。方法:以经临床证实的149例结核病病例作为样本。根据病变部位取适当的标本在含甘油或丙酮酸的两种罗氏培养基上进行培养。共培养分离出4株分支杆菌并进行生化分型。结果:从所有各类型结核病病人中分离的分支杆菌菌株中,有31株(70.5％)被证明为结核分支杆菌,7株(15.9％)为牛型分支杆菌,6株(13.6％)为其他分支杆菌。肺外结核中牛型分支杆菌的分离率(28.6％)显著高于肺结核(4.3％)(P<0.05)。结论:根据这些发现,应将牛型分支杆菌视为坦桑尼亚乡村居民可能的致病原。需进一步在该社区中牲畜和牲畜饲养人之间建立一个动物传染人的传染链。

关键词：牛型分支杆菌人坦桑尼亚

国际糖尿病足工作组:糖尿病足感染诊断与治疗指南——《国际糖尿病足工作组:糖尿病足防治国际指南(2019)》的一部分

在线全文

学校读者我要写书评

暂无评论

感染．炎症．修复 2019年第4期20卷 207-229页

作者： Benjamin A.Lipsky Eric senneville Zulfqarali G.Abbas Javier Aragón-sánchez Mathew Diggle John M.Embil shigeo Kono Lawrence A.Lavery Matthew Malone suzanne A.van Asten Vilma Urbancic-Rovan Edgar J.G.Peters 无徐俊(译) 许樟荣(审校) Department of Medicine University of WashingtonSeattleUSA Green Templeton College University of OxfordOxfordUK Gustave Dron Hospital TourcoingFrance Abbas Medical Centre Muhimbili University of Health and Allied SciencesDar es SalaamTanzania La Paloma Hospital Las Palmas de Gran CanariaSpain Alberta Public Laboratories University of Alberta HospitalCanada University of Manitoba WinnipegCanada WHO-collaborating Centre for Diabetes National Hospital OrganizationKyoto Medical CenterKyotoJapan Department of Plastic surgery University of Texas Southwestern Medical CenterDallasTexasUSA south West sydney Local Health District Western Sydney UniversitySchool of MedicineInfectious Diseases and MicrobiologySydneyAustralia Leiden University Medical Centre LeidenThe Netherlands University Medical Centre University of Ljubljana Faculty of MedicineLjubljanaSlovenia Amsterdam UMC Vrije Universiteit AmsterdamDepartment of Internal MedicineInfection and Immunity InstituteDe BoelelaanAmsterdamThe Netherlands International Working Group on the Diabetic Foot(IWGDF) 天津医科大学朱宪彝纪念医院天津300134 战略支援部队特色医学中心北京100101

国际糖尿病足工作组(IWGDF)从1999年开始发布糖尿病足病防治指南。本指南是有关糖尿病足感染的诊断和治疗的指南,是在2015年糖尿病足感染指南基础上更新的。糖尿病足感染指南编辑委员会基于患者-干预-比较-结局(PICO)原则,整合内部与外... 详细信息

国际糖尿病足工作组(IWGDF)从1999年开始发布糖尿病足病防治指南。本指南是有关糖尿病足感染的诊断和治疗的指南,是在2015年糖尿病足感染指南基础上更新的。糖尿病足感染指南编辑委员会基于患者-干预-比较-结局(PICO)原则,整合内部与外部专家顾问的建议,并对2016年以后有关糖尿病足感染和处治的文献进行系统评价后,提出了27条推荐要点。这些推荐要点涵盖了软组织与骨组织感染的诊断,包括感染的严重性分级。这是IWGDF15年以来第一次对这个分级表进行更新。此外,指南还评估了糖尿病足感染的微生物学,包括如何收集标本及如何识别致病菌。最后,指南讨论了治疗糖尿病足感染的方法,包括经验性抗生素的选择、软组织和骨组织感染的抗微生物治疗、何时和如何进行外科处理以及各种辅助治疗对糖尿病足感染的有效性。本版指南在原指南的基础上更新了4个表格和1个图。我们认为该指南可以为糖尿病足感染的临床诊断和治疗提供更好的帮助。

关键词：糖尿病足溃疡,足指南感染诊断骨髓炎微生物学

在线全文

学校读者我要写书评

暂无评论

小儿Meckel憩室的腹腔镜治疗

世界核心医学期刊文摘（儿科学分册） 2005年第8期1卷 46-46页

作者： shalaby R.Y. soliman s.M. FawyM. samaha A. 宁亮 dar.al-shifa Hospital PO Box 3390 Safat 13034 Kuwait

Background: Rectal bleeding, recurrent abdominal pain, nausea, and vomiting i n children could present a diagnostic as well as therapeutic challenge. Meckel s diverticulum (MD) is one of the causes. The objective of the current study wa s to evaluate the feasibility and outcome of laparoscopic management of MD. Meth ods: The clinical data of 33 children admitted with rectal bleeding and/or recur rent abdominal pain with no identifiable cause were reviewed over a period of 8 years. There were 23 boys and 10 girls with a mean age of 5.12 ± 2 years (rang e, 3- 12 years). In 21 cases, MD was an incidental finding on laparoscopic appe ndectomy and symptomatic in 12 cases. Patients with rectal bleeding were subject ed to upper gastrointestinal endoscopy; colonoscopy, and technetium Tc 99m- lab eled pertechnetate scan (Ms). All patients were subjected to routine laboratory investigations and diagnostic laparoscopy. Results: Of the 1200 appendectomies, incidental MD was found in 21 (1.9% ) patients and symptomatic in 12 cases. Upp er gastrointestinal endoscopy and colonoscopy did not show a bleeding source in 7 patients presented with bleeding per rectum. Four cases showed a positive Ms u ptake. Of these, 3 were found on laparoscopy to have an MD. Three cases showed a negative scan. Of these, 2 had an MD. In 5 cases with recurrent abdominal pain , nausea, vomiting, and abdominal distention, diagnostic laparoscopy revealed Meckel’s diverticulitis in 3 cases and intussusception secondary to MD in 1 ca se. Laparoscopic Meckel’s diverticulectomy and laparoscopic- assisted Meckel ’s diverticulectomy was done for 18 and 12 cases, respectively. Ectopic gastri c mucosa was present in 13 cases (44% ). Conclusions: Laparoscopy is safe, cost - effective, and efficient for the diagnosis and definitive treatment of MD. Co mpared with conventional laparotomy, it has the advantage of precise operative d iagnosis, less traumatic access, fewer intraoperative and postoperative complica tion

关键词：腔镜治疗 Meckel憩室复发性腹痛直肠出血异位胃黏膜阑尾切除术结肠镜检查术后并发症内窥镜检查常规化验检查

sustainable strategies for Ebola virus disease outbreak preparedness in Africa:a case study on lessons learnt in countries neighbouring the Democratic Republic of the Congo

在线全文

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2022年第6期11卷 60-69页

作者： Caroline s.Ryan Marie‑Roseline D.Belizaire Miriam Nanyunja Olushayo Oluseun Olu Yahaya Ali Ahmed Anderson Latt Matthew Tut Kol Bertrand Bamuleke Jayne Tusiime Nadia Nsabimbona Ishata Conteh shamiso Nyashanu Patrick Otim Ramadan solomon Fisseha Woldetsadik Jean‑Pierre Mulunda Nkata Jim T.Ntwari senya D.Nzeyimana Leopold Ouedraogo Georges Batona Vedaste Ndahindwa Elizabeth A.Mgamb Magdalene Armah Joseph Francis Wamala Argata Guracha Guyo Alex Yao sokemawu Freeman Alexander Chimbaru Innocent Komakech Muhau Kuku Walter M.Firmino Grace E.saguti Faraja Msemwa shikanga O‑Tipo Precious C.Kalubula Ngoy Nsenga Ambrose Otau Talisuna WHO sub-Regional Ofce for Africa NairobiKenya WHO Country Ofce BanguiCentral African Republic WHO Country Ofce JubaSouth Sudan WHO Regional Ofce for Africa BrazzavilleCongo WHO sub-Regional Ofce for Africa DakarSenegal Africa Centres for Disease Control and Prevention Addis AbabaEthiopia WHO Country Ofce BrazzavilleCongo WHO Coun‑try Ofce BujumburaBurundi WHO Country Ofce AsmaraEritrea WHO Country Ofce KigaliRwanda WHO Country Ofce KampalaUganda WHO Country Ofce LuandaAngola WHO Country Ofce Dar Es SalaamTanzania WHO Country Ofce LusakaZambia

Background: From May 2018 to september 2022, the Democratic Republic of Congo (DRC) experienced seven Ebola virus disease (EVD) outbreaks within its borders. During the 10th EVD outbreak (2018–2020), the largest experienced in the DRC and the second largest and most prolonged EVD outbreak recorded globally, a WHO risk assessment identified nine countries bordering the DRC as moderate to high risk from cross border importation. These countries implemented varying levels of Ebola virus disease preparedness interventions. This case study highlights the gains and shortfalls with the Ebola virus disease preparedness interventions within the various contexts of these countries against the background of a renewed and growing commitment for global epidemic preparedness highlighted during recent World Health Assembly *** text: several positive impacts from preparedness support to countries bordering the affected provinces in the DRC were identified, including development of sustained capacities which were leveraged upon to respond to the subsequent coronavirus disease 2019 (COVID-19) pandemic. shortfalls such as lost opportunities for operationalizing cross-border regional preparedness collaboration and better integration of multidisciplinary perspectives, vertical approaches to response pillars such as surveillance, over dependence on external support and duplication of efforts especially in areas of capacity building were also identified. A recurrent theme that emerged from this case study is the propensity towards implementing short-term interventions during active Ebola virus disease outbreaks for preparedness rather than sustainable investment into strengthening systems for improved health security in alignment with IHR obligations, the sustainable Development Goals and advocating global policy for addressing the larger structural determinants underscoring these ***: Despite several international frameworks established at the global level for e

关键词： Ebola virus disease Emergency preparedness and response Lessons learned Case study International Health Regulations Democratic Republic of the Congo

Distinct clinical characteristics and helminth co-infections in adult tuberculosis patients from urban compared to rural Tanzania

在线全文

学校读者我要写书评

暂无评论

Infectious Diseases of Poverty 2018年第1期7卷 243-254页

作者： George sikalengo Jerry Hella Francis Mhimbira Liliana K.Rutaihwa Farida Bani Robert Ndege Mohamed sasamalo Lujeko Kamwela Khadija said Grace Mhalu Yeromin Mlacha Christoph Hatz stefanie Knopp sebastien Gagneux Klaus Reither Jurg Utzinger Marcel Tanner Emilio Letang Maja Weisser Lukas Fenner Ifakara Health Institute Dar es SalaamTanzania swiss Tropical and Public Health Institute BaselSwitzerland' University of Basel BaselSwitzerland Institute of social and Preventive Medicine University of BernBernSwitzerland

Background:Differences in rural and urban settings could account for distinct characteristics in the epidemiology of tuberculosis(TB).We comparatively studied epidemiological features of TB and helminth co-infections in adult patients from rural and urban settings of ***:Adult patients(≥18 years)with microbiologically confirmed pulmonary TB were consecutively enrolled into two cohorts in dar es salaam,with~4.4 million inhabitants(urban),and Ifakara in the sparsely populated Kilombero District with~400000 inhabitants(rural).Clinical data were obtained at *** and urine samples were subjected to diagnose helminthiases using Kato-Katz,Baermann,urine filtration,and circulating cathodic antigen *** between groups were assessed byχ2,Fisher’s exact,and Wilcoxon rank sum *** regression models were used to determine ***:Between August 2015 and February 2017,668 patients were enrolled,460(68.9%)at the urban and 208(31.1%)at the rural *** patient age was 35 years(interquartile range[IQR]:27-41.5 years),and 454(68%)were *** from the rural setting were older(median age 37 years vs.34 years,P=0.003),had a lower median body mass index(17.5 kg/m2 vs.18.5 kg/m2,Pses(9%vs.1%,Ps a lower median CD4 cell counts(147 cells/μl vs.249 cells/μl,P=0.02)compared to those from urban *** was no significant difference in frequencies of HIV infection,diabetes mellitus,and haemoglobin concentration levels between the two *** overall prevalence of helminth co-infections was 22.9%(95%confidence interval[CI]:20.4-27.0%).The significantly higher prevalence of helminth infections at the urban site(25.7%vs.17.3%,P=0.018)was predominantly driven by strongyloides stercoralis(17.0%vs.4.8%,Pschistosoma mansoni infection(4.1%vs.16.4%,Ps associated with living in a rural setting(adjuste

关键词： Co-infection Helminth infection Recurrent tuberculosis schistosomiasis Tanzania Tubercu