检索结果-南通市图书馆

Prevalence and Factors Associated with Sharing of Human Immunodeficiency Seropositivity Status among Serodiscordant Couples in the City of Parakou (Benin)

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Epidemiology 2024年第1期14卷 1-18页

作者： Djossou Sègnon Eurydice Elvire Damien Georgia Barikissou Meba Bio Mamatou Tokpanoude Ignace Ahanhanzo-Glele Rhonel Ataigba Iretinethania elie Agossoukpe Benoit Kakpo-Zannou Rodrigue Kamoutchoni Corneille Aguemon Badirou Unité de santé publique de la Faculté des Sciences de la santé (FSS) Universitéd’Abomey-Calavi (UAC) Cotonou Bénin Association des Médecins Communautaires de Bénin (AMCB) Parakou Bénin Association Béninoise pour la Promotion de la Famille (ABPF) Parakou Bénin Centre d’Information de Prospective d’Ecoute et de Conseil sur les IST/VIH/Sida du Borgou et de l’Alibori (CIPEC/B-A) Parakou Bénin Institut de Formation enSoinsInfirmiers et Obstétricaux (IFSIO) Faculté de Médecine (FMP) Parakou Bénin Service de Psychiatrie Centre HospitalierUniversitaireDépartemental du BorgouAlibori (CHUD/B-A) Parakou Bénin Service de Médecine Interne H&#244pital Saint-Jean de Dieu de Boko N’Dali Bénin

Introduction: In serodiscordant couples, sharing serostatus is a crucial step in the HIV risk management process. The aim of this study was to determine the prevalence and factors associated with serostatus sharing among HIV serodiscordant couples in the city of Parakou. Setting and methods: This study was carried out in the city of Parakou, capital of northern Benin. It was a descriptive, analytical cross-sectional study with non-probability sampling for convenience. Socio-demographic data, as well as data on antecedents, behaviours, social and marital life, were collected using a questionnaire gave to the participants. Clinical and therapeutic data were collected from patients’ medical records and follow-up charts. Data were analyzed and processed using R 4.3.1 software. The significance level was set at 5%, and logistic regression was used to identify potential predictors of shared serostatus among serodiscordant couples in the city of Parakou in 2022. Results: A total of 299 participants in long-term serodiscordant relationships were included in our study. The average age of the subjects was 37.55 ± 10.25 years. Women were the infected partner in 80.27% of cases. The most common level of education was secondary (33.45%). Most respondents (230 subjects, 76.92%) were married. The average duration of the couple’s relationship was 121.68 months ± 96.32. The most frequent screening circumstances were: Prevention of mother-to-child transmission (PMTCT) (50.84%) and hospital screening (26.09%). The infected partner shared his or her serostatus with his or her spouse in 47.83% of cases. Potential predictors of serostatus sharing within the couple were: marital status (p Conclusion: The sharing of serostatus within serodiscordant couples needs to be managed in a way that takes into account the social and marital characteristics of the couple.

关键词： Serodiscordance Sharing of Serostatus HIV Partner Benin

C1C2 Wiring and Posttraumatic Atlantoaxial Dislocation: An Effective and Cheap Surgical Procedure in a Developing Country

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2024年第5期15卷 357-370页

作者： Ibrahim Dao Massimiliano Visocchi Salah Sow John Jabang Ousmane Ouattara Astride Somda Abdoulaye Sanou elie Dibloni Nassoum Arsène Tossou Narcisse Ouedraogo Frédéric Bako Massadiami Soulama Malick Diallo Patrick Wendpouiré Hamed Dakouré Department of Neurosurgery University Hospital Souro Sanou Nazi Boni University Bobo Dioulasso Burkina Faso High Institute of Health Sciences Nazi Boni University Bobo Dioulasso Burkina Faso Military Hospital Colonel Major Tanguet Ouattara Bobo Dioulasso Burkina Faso Institute of Neurosurgery Craniovertebral Junction Surgery Unit School of Medicine Catholic University Rome Italy Department of Radiology and Medical Imaging University Hospital Yalgado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Department of Neurosurgery (Unit) Edward Francis Small Teaching Hospital Banjul Gambia Department of Neurosurgery University Hospital Yalgado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Department of Neurosurgery Military Hospital Capitaine Halassane Coulibaly Ouagadougou Burkina Faso Department of Orthopedic Surgery University Hospital Souro Sanou Nazi Boni University Bobo Dioulasso Burkina Faso

Objectives: Atlantoaxial dislocation remains a rare and serious condition with a high preoperative and postoperative morbidity and mortality. Its successful surgical management is still challenging and gratifying for neurosurgeons. Several technics have been described such as wiring, trans articular screwing, C1C2 screwing with plate and screw introduced by Goel et al., and modified by insertion of polyaxially screw and rod many years later by Harms. Unavailability and expensiveness of upper cervical spine instrumentation device led us to C1C2 Wiring resulting in a good outcome. Finally, a quadriplegic patient with a more comfortable financial condition had ordered devices from abroad and benefit for Goel and Harms screwing technique and improved dramatically from ASIA A to ASIA E. Material and methods: This is a retrospective study of patients managed in our department by a same neurosurgeon from January 2019 to April 2024. Results: We defined 6 men and 1 woman with an average age of 33 years. Unrestrained driver in a rollover motor vehicle accident was most common. Only one patient was neurologically intact on admission. Neurovegetative disorders were noticed in one patient. Dislocation was associated to a fracture of the dens in two patients. Three patients have been successfully operated with remarkable outcome, mostly from ASIA A to E. Conclusion: C1C2 dislocation is a serious condition and C1C2 Wiring represents an effective and cheaper technic. Therefore, this technic should deserve consideration above all in low incomes countries when screwing devices are not available. Seatbelt should be demanded for motor vehicle drivers and passengers.

关键词： Superior Cervical Spine Dislocation Fracture Wiring Screwing Neurovegetative Disorders

Differential effects of glutamate receptor antagonists on dorsal horn neurons responding to colorectal distension in a neonatal colon irritation rat model

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2005年第41期11卷 6495-6502页

作者： Chun Lin elie D Al-Chaer Laboratory of elie D Al-Chaer(ACELAB) Center for Pain Research (CPR) University of Texas Medical Branch Galveston TX 77555-0632 United States Center for Neubiological Research Department of Physiology and Pathophysiology Fujian Medical UniversityFuzhou 350004 Fujian Province China

AIM: To investigate and compare the effects of spinal D-(-)-2-amino-7-phosphonoheptanoic acid (AP-7) and 6-cyano-7-nitroquinoxaline-2,3-dione disodium (CNQX),two glutamate receptor antagonists, on the responses of dorsal horn neurons to colorectal distension (CRD) in adult rats exposed to neonatal colon irritation (CI).METHODS: Hypersensitive SD rats were generated by CI during postnatal days 8, 10 and 12. Experiments on adult rats were performed using extracellular single-unit recording. The effects of spinal application of AP-7 (0.001,0.01, 0.1, 1 mmoL) were tested on the CRD-evoked neuronal responses in 16 controls and 17 CI rats. The effects of CNQX (0.2, 2, 5, 10 μmoL) were also tested on the CRD-evoked responses of 17 controls and 18 CI ***: (1) The average responses of lumbosacral neurons to all intensities of CRD in CI rats were significantly higher than those in control rats; (2) In control rats, AP-7 (0.01 mmoL) had no significant effect on the neuronal response to all intensities of CRD (20,40, 60, 80 mmHg); while AP-7 (0.1 mmoL) inhibited the neuronal response to 80-mmHg CRD. By contrast, in CI rats, AP-7 (0.01-1 mmoL) attenuated the CRD-evoked neuronal responses to all distention pressures in a dosedependent manner; (3) In control rats, CNQX (2 μmoL)had no significantly effect on the neuronal response to all intensities of CRD; however, CNQX (5 μmoL) significantly attenuated the responses to CRD in the 40-80 mmHg range. By contrast, CNQX (2-10 μmoL)significantly decreased the neuronal responses in CI rats to non-noxious and noxious CRD in a dose-dependent ***: Our results suggest that spinal N-methyl-D-aspartate (NMDA) and non-NMDA receptors may contribute to the processing of central sensitivity in a neonatal CI rat model, but they may play different roles in it.

关键词： Chronic visceral hypersensitivity Dorsal horn neurons Irritable bowel syndrome NMDA receptors Non-NMDA receptors

Cognitive work analysis to comprehend operations and organizations in the mining industry

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Mining Science and Technology 2017年第4期27卷 605-609页

作者： Serenay Demir elie Abou-Jaoude Mustafa Kumral Department of Mining and Materials Engineering McGill University Montreal H3A 0E8 Canada

Complex industrial systems, including mining, have a prominent challenge in understanding the interrelationship among the cognitive processes, working environment and available equipment. The concept of cognitive work analysis(CWA) transcends the traditional analytic methods of evaluating human tasks solely based on perceptual and physical traits, and rather implements the notions of behavioral and cognitive awareness indispensable for the intricacy of modern technology. In the last few decades, academic and industrial settings employ this type of analysis to set a suitable standard for a system's safety feasibility, and as a result reduce human-based errors. This research paper analyzes current CWA methods and proposes a five-level quantification model portraying the overall cognitive quality of a mining operation.

关键词： Cognitive work analysis Mining operations Cognitive awareness Work domain Human behavior Safety

New trends in colorectal surgery: Single port and natural orifice techniques

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

World Journal of Gastroenterology 2014年第48期20卷 18104-18120页

作者： Ronald Daher elie Chouillard Yves Panis Department of General and Digestive Surgery Poissy/Saint-Germain Medical Center 78300Poissy France Department of Colorectal Surgery Beaujon Hospital Assistance Publique Hopitaux de Paris University Denis Diderot (Paris VII) 75013 Clichy France

Single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) have rapidly gained pace worldwide, potentially replacing conventional laparoscopic surgery (CLS) as the preferred colorectal surgery technique. Currently available data mainly consist of retrospective series analyzed in four meta-analyses. Despite conflicting results and lack of an objective comparison, SILS appears to offer cosmetic advantages over CLS. However, due to conflicting results and marked heterogeneity, present data fail to show significant differences in terms of operative time, postoperative morbidity profiles, port-site complications rates, oncological appropriateness, duration of hospitalization or cost when comparing SILS with conventional laparoscopy for colorectal procedures. The application of “pure” NOTES in humans remains limited to case reports because of unresolved issues concerning the ideal access site, distant organ reach, spatial orientation and viscera closure. Alternatively, minilaparoscopy-assisted natural orifice surgery techniques are being developed. The transanal “down-to-up” total mesorectum excision has been derived for transanal endoscopic microsurgery (TEM) and represents the most encouraging NOTES-derived technique. Preliminary experiences demonstrate good oncological and functional short-term outcomes. Large-scale randomized controlled trials are now mandatory to confirm the long-term SILS results and validate transanal TEM for the application of NOTES in humans.

关键词： Surgery Colon Rectum Cancer Laparoscopy Single-port Natural orifice transluminal endoscopic surgery

Outpatient insulin use in type 2 diabetes mellitus and acute respiratory distress syndrome outcomes:A retrospective cohort study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第17期12卷 2966-2975页

作者： Georges Khattar Samer Asmar Laurence Aoun Fares Saliba Shaza Almardini Saif Abu Baker Catherine Hong Carolla El Chamieh Fadi Haddadin Toni Habib Omar Mourad Zeina Morcos Fatema Arafa Jonathan Mina Khalil El Gharib Mohammad Aldalahmeh Salman Khan elie Bou Sanayeh Department of Medicine Holy Spirit University of KaslikJounieh 00000Lebanon Department of Internal Medicine Staten Island University HospitalStaten IslandNY 10305United States Public Heath and Biostatistics Independent ResearchBeirut 0000Lebanon Department of Medicine Lebanese UniversityBeirut 00000Lebanon Department of Medicine University of BalamandBeirut 00000Lebanon Department of Medicine Lebanese American UniversityBeirut 00000Lebanon Department of Medicine Northwell Health Staten Island University HospitalNew YorkNY 10305United States

BACKGROUND The impact of type 2 diabetes mellitus(T2DM)on acute respiratory distress syndrome(ARDS)is debatable.T2DM was suspected to reduce the risk and complications of ***,during coronavirus disease 2019(COVID-19),T2DM predisposed patients to ARDS,especially those who were on insulin at *** evaluate the impact of outpatient insulin use in T2DM patients on non-COVID-19 ARDS *** We conducted a retrospective cohort analysis using the Nationwide Inpatient Sample *** patients diagnosed with ARDS were stratified into insulin-dependent diabetes mellitus(DM)(IDDM)and non-insulindependent DM(NIDDM)*** applying exclusion criteria and matching over 20 variables,we compared cohorts for mortality,duration of mechanical ventilation,incidence of acute kidney injury(AKI),length of stay(LOS),hospitalization costs,and other clinical *** Following 1:1 propensity score matching,the analysis included 274 patients in each ***,no statistically significant differences emerged between the IDDM and NIDDM groups in terms of mortality rates(32.8%vs 31.0%,P=0.520),median hospital LOS(10 d,P=0.537),requirement for mechanical ventilation,incidence rates of sepsis,pneumonia or AKI,median total hospitalization costs,or patient disposition upon *** Compared to alternative anti-diabetic medications,outpatient insulin treatment does not appear to exert an independent influence on in-hospital morbidity or mortality in diabetic patients with non-COVID-19 ARDS.

关键词： Acute respiratory distress syndrome Type 2 diabetes mellitus Insulin Length of stay Mortality Endotracheal intubation Acute kidney injury Coronavirus disease 2019

Positive pancreatic neck margins-a telltale sign of complex biology

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatobiliary Surgery and Nutrition 2022年第2期11卷 302-304页

作者： elie Ghabi Jin He Johns Hopkins University School of Medicine BaltimoreMDUSA

Opinions remain divided on the definition,status and prognostic role of a positive pancreatic resection *** absence of a consensus definition for an R1 resection and the lack of a standard method to assess pancreatic resection specimens contribute to the ongoing *** are some of the variables to consider when reviewing the literature on the role of resection margin status;a topic further complicated by the shifting landscape of pancreatic cancer management and the innate differences in institutional practices.

关键词： shifting landscape absence

Artificial Intelligence in Healthcare:Review and Prediction Case Studies

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Engineering 2020年第3期6卷 291-301页

作者： Guoguang Rong Arnaldo Mendez elie Bou Assi Bo Zhao Mohamad Sawan School of Engineering Westlake UniversityHangzhou 310024China Institute of Advanced Study Westlake Institute for Advanced StudyHangzhou 310024China Polystim Neurotech Laboratory Polytechnique MontréalMontréalQC H3T1J4Canada Institute of VLSI Design College of Information Science and Electronic EngineeringZhejiang UniversityHangzhou 310027China

Artificial intelligence(AI)has been developing rapidly in recent years in terms of software algorithms,hardware implementation,and applications in a vast number of *** this review,we summarize the latest developments of applications of AI in biomedicine,including disease diagnostics,living assistance,biomedical information processing,and biomedical *** aim of this review is to keep track of new scientific accomplishments,to understand the availability of technologies,to appreciate the tremendous potential of AI in biomedicine,and to provide researchers in related fields with *** can be asserted that,just like AI itself,the application of AI in biomedicine is still in its early *** progress and breakthroughs will continue to push the frontier and widen the scope of AI application,and fast developments are envisioned in the near *** case studies are provided to illustrate the prediction of epileptic seizure occurrences and the filling of a dysfunctional urinary bladder.

关键词： Artificial intelligence Machine learning Deep learning Neural network Biomedical research Healthcare applications Epileptic seizure Urinary bladder filling

Effect of Maruca vitrata （Lepidoptera： Crambidae） host plants on life-history parameters of the parasitoid Apanteles taragamae （Hymenoptera： Braconidae）

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Insect Science 2012年第4期19卷 518-528页

作者： elie A. Dannon Manuele Tamo Cvriaaue A qboton Arnold van Huis Marcel Dicke Facult des Sciences Agronomiques Universit d'Abomey-Calavi Cotonou International Institute of Tropical Agriculture (IITA) BeninStation Cotonou Benin Laboratory of Entomology Wageningen University Wageningen the Netherlands

The effect of four host plant species of the herbivore Maruca vitrata Fabri- cius （Lepidoptera： Crambidae） on development time, longevity, fecundity and sex ratio of the parasitoid Apanteles taragamae Viereck （Hymenoptera： Braconidae） was investi- gated under laboratory conditions. The larvae were parasitized when in the second instar. Maruca vitrata larvae were fed with flowers of four legumes, that is, Vigna unguiculata （cowpea）, Sesbania rostrata, Lonchocarpus sericeus and Pterocarpus santalinoides, or an artificial diet both before and after parasitization. The parasitoid did not develop in hosts feeding on L. sericeus or E unguiculata at 25℃, or on P. santalinoides at 25℃ or 29℃. Apanteles taragamae had the shortest development time on artificial diet at both 25℃ and 29℃ while the longest development time was recorded on L. sericeus at 29℃. Female wasps took longer to develop compared to males at the two temperatures, regardless of the feeding substrate of their host. The longevity of the wasps at 25℃ varied among feeding substrates, but not at 29℃. Survival rate of parasitized larvae depends on the feeding sub- strate. Moreover, infection of host larvae with Maruca vitrata multi-nucleopolyhedrovirus （MaviMNPV） killed larger proportions of parasitized larvae at 25℃ than at 29℃, which was likely caused by the difference in parasitoid developmental rate. The proportion of female parasitoids was lowest on L. sericeus. The daily fecundity showed a nonlinear trend regardless of the feeding substrate, indicating that A. taragamae is a pro-ovigenic species. The data support the slow growth-high mortality hypothesis.

关键词： Apanteles taragamae artificial diet development feeding substrates hostplants Maruca vitrata nutritional quality