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D-Dimer: Predictor of Postpartum Hemorrhage among Pre-Eclampsia at Kilimanjaro Christian Medical Centre

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Open Journal of Obstetrics and Gynecology 2024年第6期14卷 923-937页

作者： Husna Silim Ally Nyasatu G. Chamba Raziya Gaffur Nasra Batchu Glory Mangi Pendo S. Mlay Bariki Mchome Mtoro J. Mtoro Thomas J. Kakumbi Rafiki N. Mjema doris Rwenyagila Eusebius Maro fredrick Mbise Gilleard Masenga Patricia S. Swai Department of Obstetrics and Gynaecology KCMC Hospital Moshi Tanzania Department of Obstetrics and Gynaecology Kilimanjaro Christian Medical University College (KCMUCo) Moshi Tanzania

Background: Postpartum hemorrhage (PPH) is the major contributor to maternal mortality and morbidity worldwide as well as in Tanzania. Studies have shown Pre-eclampsia as a risk indicator for Postpartum hemorrhage and D-dimer tends to rise in women with pre-eclampsia. few studies that have shown the association between D-dimer and PPH have been controversial and differ according to ethnicity and lifestyle. Hence there is no suitable reference interval for D-dimer in predicting Postpartum hemorrhage among women with pre-eclampsia. Broad Objective: This study aimed to assess the association, sensitivity, and specificity of D-dimer as a laboratory predictor of postpartum hemorrhage among women with pre-eclampsia at KCMC hospital. Methodology: This was a hospital-based analytical cross-sectional study conducted at KCMC Hospital in Northern Tanzania from September 2022 to March 2023. A total of 195 women with pre-eclampsia were included in this study. Plasma D-dimer levels were taken from women with pre-eclampsia pre-delivery. Haematocrit was compared before and after delivery, and a fall of 10% was considered as Postpartum hemorrhage together with clinical assessment of the patient. Participants were divided among those who had severe features and those who did not have severe features and were further categorized into those who had PPH and those who did not have PPH. Logistic regression was used to determine the association between D-dimer and PPH adjusting for other factors. The Receiver Operating Curve (ROC) was used to evaluate the predictive value. Results: Higher median D-dimer levels were seen among women who had PPH compared to those who had no PPH. D-dimer was seen to be associated with PPH, thus for every unit increase of µg/ml of D-dimer among women who had pre-eclampsia without severe features there was a 14% significant increase in the odds of having postpartum hemorrhage and a 45% significant increase of having postpartum hemorrhage among those who had pre

关键词： D-Dimer Preeclampsia Postpartum Hemorrhage Tanzania

Letter fROM yOUR Editor

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空中英语教室（高级版．彭蒙惠英语） 2023年第9期 1-1页

作者： doris Brougham 不详

Dear friends,Happy New year!It's timefor learning new things,having new experiences,making new friends and more.I hope you are excited about the possibilities for 2023!I *** though I'm 96,there are still many things I... 详细信息

关键词： yOUR Letter things

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编辑园地

空中英语教室（高级版．彭蒙惠英语） 2019年第9期 1-1页

作者： doris Brougham 不详

Dear readers,Do you have a passion? what is it that youre really excited about and enjoy with all your heart and soul? for some,its drawing or *** others,its acting,or if youre like me,its playing the trumpet! But some people have a passion to produce something,like a *** our article '"Producing a work of Passion"(p.26),we learn about an author who poured all her energy into writing a *** the article and learn what she had to do to make the book happen.

关键词：编辑园地 Dear readers passion

Seroprevalence study of infection with influenza A(H1N1)pdm09 virus in San felipe Town, Chile

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world Journal of Cardiovascular Diseases 2013年第7期3卷 476-482页

作者： Olea Andrea fasce Rodrigo Aguilera Ximena Oliva Otavio Munoz Sergio Garcia Maritza Pedroni Elena Najera Manuel Guerrero Andrea Bustos Patricia Mora Judith Vega Jeanette Cerda Jaime Abarca Katia McCarron Meg widdowson Marc-Alain Castillo Ernesto Alvarado Sergio Quijada Sandra Gallegos doris Gonzalez Claudia Center of Epidemiology and Health Policies Department Faculty of MedicineUniversidad del DesarrolloConcepcionChile Section of Respiratory and Exanthematous viruses Sub-Department of Clinical VirologyInstitute of Public HealthMinistry of HealthSantiagoChile Center of Epidemiology and Health Policies of the Universidad del Desarrollo ConcepcionChile Panamerican Health Organization Washington DCUSA Public Health Department and Pediatrics Division Faculty of MedicinePontifical Catholic University of ChileSantiagoChile Centers for Diseases Control and Prevention AtlantaUSA Center for Micro Data Economics DepartmentUniversity of ChileSantiagoChile Epidemiology and Health Policies Department Universidad del DesarrolloConcepcionChile

Objective: To know the natural history of the first wave of pandemic influenza A(H1N1)pdm09 in the Southern hemisphere, through the detection of antibodies against influenza A(H1N1)pdm09 in a selected community, to estimate the population attack rate and its variations, the consultation rates, hospitallization and mortality rates. Methodology: A representative random sample of the population of a commune in Chile (San felipe) was interviewed and taken blood samples between January and March 2010. A study against the antibodies of the influenza A(H1N1) pdm09 virus was conducted, by the technique of the Hemaglutination Inhibition (HAI) according to standardized methodology. Subjects with antibody titers ≥1:40 were considered positive. Results: 13.5% of the population of San felipe had antibodies against influenza A(H1N1)pdm09;this percentage reached 30% of the population between 0 and 18 years and 6.1% among those over 19 years. The age variable was the only factor that evidenced significant differences in the prevalence of antibodies. There were no significant differences related to gender, vaccination history against seasonal inluenza, or comorbidity. 51% of people with positive serology showed IN-fLUENZA-LIKE SyMPTOMS. Conclusions: A relevant percentage of subclinical disease was detected in the first pandemic wave in Chile and the proportion of people with SARI and deaths was small. Data from epidemiological surveillance were useful to estimate the trend of TSI but not its magnitude.

关键词： Influenza A(H1N1)pdm09 Influenza Seroprevalence

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自动化在线检测

现代制造 2023年第12期 48-48页

作者： doris Schulz 不详

利用Ecoclean公司开发的APM(声学性能检测)解决方案可以在零件的批量生产过程中采集和记录所有的工艺过程参数。现在,在全自动浸没式清洁设备中也可以使用这种超声波测量仪进行在线监测了。在像医疗技术、精密光学、半导体供应商以及在... 详细信息

利用Ecoclean公司开发的APM(声学性能检测)解决方案可以在零件的批量生产过程中采集和记录所有的工艺过程参数。现在,在全自动浸没式清洁设备中也可以使用这种超声波测量仪进行在线监测了。在像医疗技术、精密光学、半导体供应商以及在分析技术、激光技术和真空技术等有着高洁净度要求的行业领域中。

关键词：半导体供应商真空技术激光技术精密光学清洁设备洁净度要求浸没式声学性能

加拿大安大略省注册护士协会护理实践指南的管理及启示

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中华护理教育 2017年第8期14卷 624-627页

作者：赵俊强王晋芳马睛雅李学靖刘欣娟 doris Grinspun Irmajean Bajnok 郝玉芳北京中医药大学护理学院北京中医药大学加拿大安大略省注册护士协会最佳实践指南研究中心北京市100102 加拿大安大略省注册护士协会

临床护理实践指南是将循证护理与临床护理实践连接起来的重要桥梁。安大略省注册护士协会作为国际上为数不多的临床护理实践指南开发机构,在指南制定、传播、实施和评价上有着严谨规范的流程。通过以上4个方面对安大略省注册护士协会的... 详细信息

临床护理实践指南是将循证护理与临床护理实践连接起来的重要桥梁。安大略省注册护士协会作为国际上为数不多的临床护理实践指南开发机构,在指南制定、传播、实施和评价上有着严谨规范的流程。通过以上4个方面对安大略省注册护士协会的护理实践指南的管理进行介绍,以期对我国护理实践指南的开发和应用提供借鉴。

关键词：指南护理实践加拿大

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做更好的自己

高中生（高考） 2019年第7期 65-65页

作者：丹尼尔 doris(图) 不详

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BOSCH：深化本地化建设，进军中端市场

A&S（安全&自动化） 2009年第1期 80-80页

作者： doris Grammer 秦宏博世安保亚太区副总裁博世(珠海)安保系统有限公司上海分公司安防系统销售总监

2008年的金融海啸导致全球经济市场危机四起，在大多数行业引起了轩然大波，但安防行业并没有受到太大的冲击，行业内对未来并没有失去信心。博世安防系统亚太区副总裁doris Grammer就表示，全球经济虽然下滑较快，并且对亚洲市场造成... 详细信息

2008年的金融海啸导致全球经济市场危机四起，在大多数行业引起了轩然大波，但安防行业并没有受到太大的冲击，行业内对未来并没有失去信心。博世安防系统亚太区副总裁doris Grammer就表示，全球经济虽然下滑较快，并且对亚洲市场造成了一定的影响，不过这样的影响并不大，特别是中国市场仍然有着不错的表现。而博世安防系统在中国也有着较好的发展，尽管增长在大环境影响下并没有往年那么快速。

关键词：市场危机本地化安防行业全球经济安防系统中国市场 doris 亚洲市场

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美国个人护理品市场出现复苏

化工文摘 2003年第3期 49-49页

作者： doris de Guzman

尽管2002年美国经济持续低迷,该国化妆品与个人护理产品却依然保持强劲的发展势头。美国化妆品与个人护理行业在渡过了平淡的2001年之后,2002年悄然复苏,销售额增加了2%～4%,达到230亿～240亿美元。2002年美国用于化妆品和盥洗用品的个... 详细信息

尽管2002年美国经济持续低迷,该国化妆品与个人护理产品却依然保持强劲的发展势头。美国化妆品与个人护理行业在渡过了平淡的2001年之后,2002年悄然复苏,销售额增加了2%～4%,达到230亿～240亿美元。2002年美国用于化妆品和盥洗用品的个人消费品支出增长了2.8%。

关键词：美国个人护理品市场复苏化妆品盥洗用品