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Outpatient Management of Sickle Cell Disease: Assessment of 13 Years Follow-Up of Pediatric Patients at the Sylvanus Olympio University Hospital

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Open Journal of Pediatrics 2022年第2期12卷 413-423页

作者： Koffi Mawuse Guedenon Djatougbe Ayaovi Elie Akolly Essohana Padaro Ounoo Elom Takassi etsè akpako Balakibawi Esso Kokou Dzata Adama Dodji Gbadoe Department of Pediatrics CHU Sylvanus Olympio University of Lomé Lomé Togo Department of Hematology CHU Campus University of Lomé LoméTogo University of Maryland Medical Systems/Midtown Campus Baltimore MD USA

Objective: To evaluate thirteen years of ambulatory follow-up of patients with major forms of sickle cell disease. Methods: This was a study of 1055 records of sickle cell patients aged 6 months to 45 years followed between 2006 and 2018. Results: Six hundred and eighty-one (64.5%) homozygous SS, 283 (26.8%) SC, 86 (8.2%) SF, 4 (0.4%) S? thalassemia and 1 (0.1%) SD sickle cell patients were followed. The majority of the patients (97.9%) were living in the capital city of Lomé and its surrounding suburbs. Most children (67.3%) were less than 5-year-old when they were diagnosed with sickle cell disease, and only 21.3% of cases were discovered before the first year birthday of the patients. Osteo-articular vaso occlusive crisis (VOC) was the principal symptom at the onset of the diagnosis, approximately 28.9% of the cases, followed by severe anemia (19%), then hand-foot syndrome in 15.6%. The systematic screening was performed in 5.4%. Twenty-six percent were G6PD deficient, 4 were HIV immunocompromised, and 29.7% were transfused. Among the degenerative complications, 2.4% had retinopathy, 1.9% osteonecrosis of the femoral head, 1.4% leg ulcers, and 0.8% cardiomyopathy. Salmonella typhi was the main cause of infection, 51.4% of the cases. The mean baseline hemoglobin level (n = 27) was 7.67 ± 1.64 g/dl. Four (0.4%) patients had a splenectomy. The mortality rate was 2.4%. The primary cause of death was anemia (28%), followed by sepsis in 20% of the cases. One case of suicide was documented as the cause of death. Conclusion: Outpatient medical follow-up of sickle cell patients is essential in sub-Saharan African countries where neonatal screening does not exist, and diagnosis is often late. The improvement in quality of life observed should be studied.

关键词： Sickle Cell Disease Outpatient Follow-Up Lomé

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TOEFL Junior考试官方指南

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2012年

作者： ets中国管理中心

本书为ets中国独家授权版本，是ets专为 TOEFL Junior考试编写的唯一一本官方备考指导用书。书中全面介绍了该考试的相关信息，提供了大量翔实的备考资料与权威指导，共分为四章内容，前三章对TOEFL Junior考试的听力理解、语言形式与... 详细信息

ISBN: (数字)9787802562523

ISBN: (纸本)9787802562523

本书为ets中国独家授权版本，是ets专为 TOEFL Junior考试编写的唯一一本官方备考指导用书。书中全面介绍了该考试的相关信息，提供了大量翔实的备考资料与权威指导，共分为四章内容，前三章对TOEFL Junior考试的听力理解、语言形式与含义和阅读理解三部分进行了介绍和指导，第四章是模拟试题，帮助考生全面了解该考试，并在考前进行自测。

关键词：自学参考资料 TOEFL

来源：畅想之星图书光盘版（南... 评论

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托业考试官方指南

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丛书名：新东方大愚英语学习丛书

2010年

作者： ets美国教育考试服务中心

本书为ets（美国教育考试服务中心，即托业考试的主办方）在中国独家授权版本，是ets专为托业考试准备的官方备考指导用书。书中全面介绍了托业考试的相关信息，提供了翔实的备考资料与权威指导，同时附有样题范例、全真试题、备考策略... 详细信息

ISBN: (数字)9787561928417

ISBN: (纸本)9787561928417

本书为ets（美国教育考试服务中心，即托业考试的主办方）在中国独家授权版本，是ets专为托业考试准备的官方备考指导用书。书中全面介绍了托业考试的相关信息，提供了翔实的备考资料与权威指导，同时附有样题范例、全真试题、备考策略、计分体制等，是托业考生必备的权威辅导书。

关键词：英语自学参考资料水平考试

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The Market Potentials of Chinese Textiles and Opportunities and Challenges Facing the Chinese Cotton Industry—An Econometric Analysis

The Market Potentials of Chinese Textiles and Opportunities ...

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入世五年的中国棉业与全球未来市场——2007'中国国际棉花会议

作者： Shangnan Shui ets/FAO (The Paper presents only personal views)

Introduction Over the past few decades,the Chinese textiles industry has expanded at a rapid but stable pace. Total mill consumption of fibers in 2005 reached 25 million tons,which was 454% and 225% more than in 1980 and 1990,*** growth has accelerated after China’s WTO admission after *** the period from 2000 to 2005,the mill consumption of cotton and

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Impact of Composts Maturity on Growth and Agronomic Parameters of Maize (<i>Zea mays</i>)

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American Journal of Analytical Chemistry 2021年第2期12卷 29-45页

作者： Mawuli Tamakloe Edem Komi Koledzi etsè Aziable Maglwa Tcha-Thom Nitale M’Balikine Krou Laboratory of Waste Management Treatment and Recovery (Laboratory GTVD) Faculty of Sciences University of Lomé Lomé Togo Laboratory of Sanitation Water Science and Environment (LSEE) Faculty of Science and Technology University of Kara Kara Togo

Several methods have been developed in the literature which allow the maturity of composts to be assessed before it is used in agriculture. The objective of this study is to assess the maturity of the composts produced at the platform of the NGO ENPRO in Lomé on the growth and agronomic parameters of maize (Zea mays L., var. IKENE). To do so, three types of compost (gargabe, fruit waste, animal litter) were made for at least 3 months. The chemical analysis, phytotoxicity and agronomic tests carried out made it possible to assess the maturity of these composts. Indeed, the evolution of the C/N ratio, of the electrical conductivity, the phytotoxicity tests and the growth parameters of the composts show that the composts N°1 and N°2 are mature at the end of the 3rd month of composting while the compost N°3 can only be considered mature at the end of the 5th month of composting. But, with a yield of 2.39 ± 0.28 t/ha and a mass of 1000 grains of 346 ± 4 g, the treatment at 5 t/ha of compost N°3, has the best agronomic parameters compared to other types of compost and treatment without organic amendment. These results also show that compost with a high electrical conductivity has an inhibitory effect on the growth of corn plants (Zea mays L., var. IKENE). Basic chemical analysis, phytotoxicity tests and height growth of maize (Zea mays L., var. IKENE) are relatively efficient methods for evaluating the maturity of composts.

关键词： Compost Phytotoxicity Agronomic Parameters Growth Maize (Zea mays L. var. IKENE)

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