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A case report on a rare case of primary tuberculous otitis media

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Journal of Otology 2024年第1期19卷 40-45页

作者： dr Yadav Sagar Shyamlal dr Shikha Gianchand dr Rahul Kurkure Dept of ENT and Head Neck Surgery 5 Air Force HospitalJorhatAssam785005India Dept of ENT and Head Neck Surgery Armed Forces Medical CollegePuneMaharashtra411040India

Although tuberculosis has become more common in recent years, it still accounts for just a small percentage of cases of chronic otitis media. Common symptoms of tuberculous otitis media(TOM) include otorrhoea, hearing loss, and multiple tympanic membrane perforations. Due to its rarity, the illness is frequently misdiagnosed. When a patient does not improve with standard antibacterial and antifungal treatment, this may be a possible diagnosis to explore. Complete healing is possible if the illness is diagnosed and treated timely to prevent consequences.

关键词： otitis healing diagnosis

Nitrate reduction capacity of the oral microbiota is impaired in periodontitis:potential implications for systemic nitric oxide availability

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International Journal of Oral Science 2024年第1期16卷 52-61页

作者： Bob T.Rosier William Johnston Miguel Carda-Diéguez annabel Simpson Elena Cabello-Yeves Krystyna Piela Robert Reilly Alejandro Artacho Chris Easton Mia Burleigh Shauna Culshaw Alex Mira Department of Genomics and Health FISABIO FoundationCenter for Advanced Research in Public HealthValenciaSpain Department of Biological and Biomedical Sciences Glasgow Caledonian UniversityGlasgowUK Oral Sciences University of Glasgow Dental SchoolSchool of MedicineDentistry and NursingCollege of MedicalVeterinary and Life SciencesUniversity of GlasgowGlasgowUK Sport and Physical Activity Research Institute University of the West of ScotlandBlantyreScotland Instituto de Biomedicina de Valencia Consejo Superior de Investigaciones Científicas(IBV-CSIC)ValenciaSpain CIBER Center for Epidemiology and Public Health MadridSpain

The reduction of nitrate to nitrite by the oral microbiota has been proposed to be important for oral health and results in nitric oxide formation that can improve cardiometabolic conditions. Studies of bacterial composition in subgingival plaque suggest that nitrate-reducing bacteria are associated with periodontal health, but the impact of periodontitis on nitrate-reducing capacity(NRC)and, therefore, nitric oxide availability has not been evaluated. The current study aimed to evaluate how periodontitis affects the NRC of the oral microbiota. First, 16S rRNA sequencing data from five different countries were analyzed, revealing that nitratereducing bacteria were significantly lower in subgingival plaque of periodontitis patients compared with healthy individuals(P < 0.05 in all five datasets with n = 20–82 samples per dataset). Secondly, subgingival plaque, saliva, and plasma samples were obtained from 42 periodontitis patients before and after periodontal treatment. The oral NRC was determined in vitro by incubating saliva with 8 mmol/L nitrate(a concentration found in saliva after nitrate-rich vegetable intake) and compared with the NRC of 15healthy individuals. Salivary NRC was found to be diminished in periodontal patients before treatment(P < 0.05) but recovered to healthy levels 90 days post-treatment. Additionally, the subgingival levels of nitrate-reducing bacteria increased after treatment and correlated negatively with periodontitis-associated bacteria(P < 0.01). No significant effect of periodontal treatment on the baseline saliva and plasma nitrate and nitrite levels was found, indicating that differences in the NRC may only be revealed after nitrate intake. Our results suggest that an impaired NRC in periodontitis could limit dietary nitrate-derived nitric oxide levels, and the effect on systemic health should be explored in future studies.

关键词： impaired intake nitrate

Evaluating pediatric ureteropelvic junction obstruction:Dynamic magnetic resonance urography vs renal scintigraphy 99mtechnetium mercaptoacetyltriglycine

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World Journal of Radiology 2024年第3期16卷 49-57页

作者： Yousuf Al-Shaqsi Matthieu Peycelon annabel Paye-Jaouen Elisabeth Carricaburu Anca Tanase Christine Grapin-Dagorno Alaa El-Ghoneimi Department of Pediatric Surgery Sultan Qaboos University HospitalMuscat 123Oman Service de Chirurgie Viscérale et Urologie Pédiatrique Hôpital Universitaire Robert-DebréAssistance-Publique Hôpitaux de ParisParis 75019France Centre de Références Maladies Rares Malformations Rares des Voies Urinaires(MARVU)Paris 97019France Facultéde Médecine Universitéde ParisParis 75006France Service d’Imagerie Pédiatrique Hôpital Universitaire Robert-DebréAssistance-Publique Hôpitaux de ParisParis 75019France UniversitéParis 13 Sorbonne Paris CitéParis 75013France

BACKGROUND Ureteropelvic junction obstruction(UPJO)is a common congenital urinary tract disorder in *** can be diagnosed as early as in utero due to the presence of hydronephrosis or later in life due to symptomatic *** To evaluate the discrepancy between dynamic contrast-enhanced magnetic resonance urography(dMRU)and scintigraphy 99m-technetium mercaptoacetyltriglycine(MAG-3)for the functional evaluation of *** Between 2016 and 2020,126 patients with UPJO underwent surgery at Robert Debré*** these,83 received a prenatal diagnosis,and 43 were diagnosed during *** of the 126 patients underwent surgery based on the clinical situation and postnatal ultrasound findings without undergoing functional imaging *** renal function was evaluated preoperatively using scintigraphy MAG-3(n=28),dMRU(n=53),or both(n=40).In this study,we included patients who underwent surgery for UPJO and scintigraphy MAG-3+dMRU but excluded those who underwent only scintigraphy MAG-3 or *** patients were divided into groups A(10%discrepancy).We examined the discrepancy in split renal function between the two modalities and investigated the possible risk *** The split renal function between the two kidneys was compared in 40 patients(28 boys and 12 girls)using scintigraphy MAG-3 and *** renal function,as determined using both modalities,showed a difference ofdren and>10%in 9 *** of the relative renal function using dMRU revealed an excellent correlation coefficient with renal scintigraphy MAG-3 for both *** Our findings demonstrated that dMRU is equivalent to scintigraphy MAG-3 for evaluating split renal function in patients with UPJO.

关键词： Uteropelvic junction obstruction Scintigraphy 99m-technetium mercaptoacetyltriglycine Magnetic resonance imaging Dynamic contrast-enhanced magnetic resonance urography

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Eclats de vert

中国与非洲（法文版） 2024年第6期16卷 32-33页

作者： dr CHRISTIAN SEKOMO BIRAME directeur général de l'Agence nationale de recherche et de développement industriels au Rwanda

Au fil des années,le continent africain a importédes véhicules d'occasionàessence et au diesel,souventâgés de plus de 10 *** véhiculesémettent du dioxyde de carbone,un gazàeffet de serre(GES)majeur responsable du changement *** Rwanda,le transport routier represente 13% desémissions de GES du pays,selon I'Autoritéde gestion environnementale du *** tant que continent en développement,I'Afrique continue de polluer l'air,en partie à cause de l'importation de voitures d'occasion en provenance des pays développés.

关键词： des continent les

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Fruitful Transition

ChinAfrica 2024年第6期16卷 32-33页

作者： dr.CHRISTIAN SEKOMO BIRAME National Industrial Research and Development Agency Rwanda

Over the years,the African continent has been importing used gasoline and diesel vehicles including ones that are 10 years *** vehicles emit carbon dioxide,which is the leading cause of greenhouse gases(GHGs)that are driving the climate *** Rwanda,for example,road transport contributes to 13 percent of the country’s greenhouse emissions,according to the Rwanda Environment Management Authority(REMA).Africa as a developing continent continues to pollute air,partly due to the use of second-hand cars from developed countries.

关键词： Authority greenhouse dioxide

Coagulopathy in liver disease:Lack of an assessment tool

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World Journal of Gastroenterology 2015年第35期21卷 10062-10071页

作者： annabel Blasi Anesthesia Department Hospital ClínicInstitut d'investigacions Biomediques Agustí Pi i Sunyer

There is a discrepancy between the information from clotting tests which have routinely been used in clinical practice and evidence regarding thrombotic and bleeding events in patients with liver disease. This discrepancy leads us to rely on other variables which have been shown to be involved in haemostasis in these patients and/or to extrapolate the behaviour of these patients to other settings in order to decide the best clinical approach. The aims of the present review are as follows:(1) to present the information provided by clotting tests in cirrhotic patients;(2) to present the factors that may influence clotting in these patients;(3) to review the clinical evidence; and(4) to put forward a clinical approach based on the first 3 points.

关键词： Cirrhosis Coagulation test Assessment Coagulopathy

An exploratory analysis of the implementation of the equity of education in middle schools in xi’an,china

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Education and Teaching Research

Education and Teaching Research 2024年第2期 72-74页

作者： Shen Qingfang dr.Rita May P.Tagalog University of San Carlos Philippines

With the development of global education,the concept of inclusive education has gradually become the mainstream trend in the field of *** on the balanced development of basic public services,this study analyzes the influence of government public service management on the allocation of educational resources,analyzes the existing problems in several ways,collects and analyzes the actual situation of basic public education services in Xi’an,and focuses on the idea of Xi’an municipal government to promote the balanced development of compulsory education,the present situation of the obvious imbalance in the allocation of compulsory education resources and the existing problems under the current *** paper studies the policy formulation and implementation under the guidance of equalization of basic public services,and how the government can alleviate the excessive competition of high-quality education resources in various regions,reduce the blind spots in the layout of educational facilities,continuously expand high-quality education resources,optimize the allocation of basic education resources,and promote the balanced development of compulsory education in various regions of Xi’an.

关键词： Educational equity Inclusive education Equalization

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惜别宗庆后

财富生活 2024年第10期 42-45页

作者： dr 不详

2月25日,娃哈哈集团发布讣告,集团创始人、董事长宗庆后因病医治无效逝世,享年79岁。外界本以为,这位一生勤奋的商业老将,在2023年卸任娃哈哈法人、总经理,仅仅保留了集团董事长一职后,会在一个适当时机体面退场,但在纵横商场37年后,宗... 详细信息

2月25日,娃哈哈集团发布讣告,集团创始人、董事长宗庆后因病医治无效逝世,享年79岁。外界本以为,这位一生勤奋的商业老将,在2023年卸任娃哈哈法人、总经理,仅仅保留了集团董事长一职后,会在一个适当时机体面退场,但在纵横商场37年后,宗庆后的猝然离去,还是让人循着他的背影,回望一个年代。

关键词：宗庆后娃哈哈集团娃哈哈

Comment on: Early recovery pathway for hepatectomy: data-driven liver resection care and recovery

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Hepatobiliary Surgery and Nutrition 2018年第1期7卷 63-64页

作者： annabel Blasi Joan Beltran Department of Anesthesia Clinic HospitalBarcelonaSpain

We read with great interest the paper"Early recovery pathway for hepatectomy:data-driven liver resection care and recovery"by Warner et al.,in which the authors review the data behind enhanced recovery pathways preceding and following *** article formulates a pathway for practice based on data and allows a rational order set for an efficient practice(1).

关键词： hepatectomy al. liver