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Journal of Clinical and Nursing Research 2024年第6期8卷 64-76页

作者： Wen Li Manman Sun Lihao Zheng Yibo Jiang Nan ba Department of Radiation Oncology Fifth Affiliated Hospital of Zhengzhou UniversityZhengzhou CityHenan Province 450000China

background and objective:Immediate breast reconstruction not only reduces the number of surgeries for patients after mastectomy but also decreases psychological and physical trauma,making it increasingly ***,there is currently no consensus on the integration of post-mastectomy radiotherapy(PMRT)with reconstruction *** review evaluates the impact of PMRT on complications following immediate breast reconstruction,providing guidance for clinical treatment ***:PubMed,Web of Science,Embase,and other databases were searched for studies published in the past 15 years on outcomes of implant-based breast reconstruction in the context of radiotherapy to identify articles for *** 5.4 software was used to analyze the risks of seroma,infection,wound dehiscence,flap necrosis,implant exposure,capsule contracture,and reconstruction ***:A total of 1l relevant studies were included,comprising 6323 cases of immediate breast *** was found that breasts receiving postoperative irradiation had a significantly increased risk of complications,with statistically significant differences in seroma(P=0.004),infection(Pbased *** measures may be taken in advance with the assistance of healthcare providers if necessary.

关键词： Breast cancer Immediate breast reconstruction Radiotherapy Post-mastectomy Complications

Risk Factors for Neonatal Mortality at the Institute of Nutrition and Child Health of the Donka/Guinea-Conakry National Hospital

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Open Journal of Pediatrics 2024年第2期14卷 327-337页

作者： bangoura Mmah Aminata Kolié Ouo Ouo Camara Salématou Hassimiou baldé Mariama bangoura Kaba Diop Mamadou Moustapha Camara Emmanuel Diallo fatoumata Binta Doukouré Mamadou Aliou Mamadou Mouctar Sow Bémy Pé Néabey Institut de Nutrition et de Santé de l’Enfant Conakry Guinea Service de Pédiatrie Hô pital National Donka Conakry Guinea Service de Pédiatrie Hô pital National d’Ignace Deen Conakry Guinea

Introduction: The birth of a baby is a moment of joy and celebration. However, the neonatal period is a very delicate phase of life. Neonatal mortality rates remain high in low-income countries. In Guinea, after 20 years, this rate has fallen from 34.2% in 1998 to 32% in 2018. Objective: To identify the main risk factors for neonatal mortality. Methods: This was an observational, analytical case-control study, lasting 6 months from January 1 to June 30, 2019, conducted at the Institut de Nutrition et de la Santé de l’Enfant (INSE) at Donka National Hospital. Results: We collected 242 cases and 242 controls, i.e. a total of 484 records. 748 patients were registered, with 32.35% deaths. 82.86% of deaths occurred in the early neonatal period. Statistical analysis revealed the main risk factors: prematurity (RQ 7.39 95% CI 3.27 - 16.61 p = 0.0000003), hypothermia (RQ 2.29 95% CI 1.51 - 3.46 p = 0.0001), acute fetal distress (RQ 2.13 95% CI 1.33 - 3.43 p = 0.0016), low birth weight (QR 1.91 95% CI 1.12 - 3.24 p = 0.016), home birth (QR 3.26 95% CI 1.25 - 8.46 p = 0.015). Conclusion: Neonatal mortality is a health problem in the INSE neonatology department. To reduce the mortality rate in this referral facility, it is essential to equip it and provide ongoing training for staff.

关键词： Neonatal Mortality INSE Guinea-Conakry

Interest of Cardiac Rehabilitation in Patients with Heart Disease in a Cardiology Department in Senegal

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World Journal of Cardiovascular Diseases 2024年第4期14卷 217-227页

作者： Awa ba-Diop Abdou Khadir Sow Rim Mohamed Khaled Mor Diaw Mame Saloum Coly Fulgence Abdou Faye Amadou Ndiadé bamba Gaye Abdoulaye ba Abdoulaye Samb Laboratory of Physiology and Functional Explorations Department of Medicine Alioune Diop University of Bambey Bambey Senegal IRL3189 Environment Health Societies CNRS-UCAD Dakar Senegal The African Research Network Noncommunicable Diseases Dakar Senegal Laboratory of Physiology and Functional Explorations FMPOS UCAD Dakar Senegal Laboratory of Physiology and Functional Explorations UFR Sant&#233 UAS of Thi&#232s Thi&#232s Senegal INSERM U970 Team 4 Paris France

Cardiac rehabilitation helps improve the prognosis and quality of life for patients with heart disease. To show its interest in the African context, in the management of heart disease, a prospective study was carried out. Its objective was to evaluate the effects of physical rehabilitation on cardiac function. Methods: Patients were evaluated at the beginning and at the end of cardiovascular rehabilitation by cardiovascular, biological, and echocardiographic parameters including the size of the heart chambers, the kinetics of the walls, and the systolic function of the ventricles. Results: The study involved 12 patients, 67% of whom were men. After cardiac rehabilitation, the mean hemodynamic constants had not been significantly modified. However, a significant decrease in Total-Cholesterol, LDL-Cholesterol and triglyceride levels was noted. Mean fasting blood sugar decreased from 1.25 ± 0.48 g/L to 0.92 ± 0.18 g/L and glycated hemoglobin from 7.72% ± 0.01% to 6.45% ± 0.008%. The echocardiographic parameters studied showed an improvement in the dilation of the heart chambers in 8.33% of the patients, the normalization of the ejection fraction of the left ventricle in 16% patients, the improvement of the kinetic disorders in 16% of patients and recovery of right ventricular systolic function in all patients. Conclusion: Cardiac rehabilitation as a secondary preventive measure for cardiovascular disease has contributed significantly to improving the clinico-biological parameters of the disease.

关键词： Cardiac Rehabilitation Heart Disease Cardiovascular Disease

中国式现代化道路下的粮食安全:实践历程与提升路径

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科技导报 2024年第6期42卷 35-41页

作者：巴雪真钟钰中国农业科学院农业经济与发展研究所北京100081

确保粮食安全是中国式现代化建设的基础保障和必然要求。辨析了中国式现代化与粮食安全的内在联系,即中国粮食安全是14亿多人吃饱吃好的重要基础、实现全体人民共同富裕的组成部分、满足物质文明进而追求精神文明的重要前提、人与自然... 详细信息

确保粮食安全是中国式现代化建设的基础保障和必然要求。辨析了中国式现代化与粮食安全的内在联系,即中国粮食安全是14亿多人吃饱吃好的重要基础、实现全体人民共同富裕的组成部分、满足物质文明进而追求精神文明的重要前提、人与自然和谐共生的产物以及世界和平发展的重要保障。回顾了中国式现代化道路下粮食安全的实践历程,中国实现了从“吃不饱”到“吃得好”、从“压产区”到“一盘棋”、从“粮食足”到“精神富”、从“重产出”到“强绿色”、从“被动参与”到“主动建设”的转变,走出了一条符合中国特色的粮食安全道路。提出了未来应从推进粮食安全由数量安全向质量和能力安全转变、健全种粮农民收益保障机制和主产区利益补偿机制、推动乡村实现物质文明与精神文明建设协调发展、基于大食物观加快构建多元化食物供给体系、积极参与粮食安全国际合作及全球粮食安全治理等方面努力,切实提高粮食安全保障水平。

关键词：中国式现代化粮食安全粮食生产

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中国新型消费发展水平测度与影响因素

经济问题探索 2024年第10期 102-114页

作者：郑重巴殿君吉林大学东北亚研究院长春130012

本文基于30个省(区、市)的面板数据,采用熵值法测度2012—2022年中国新型消费发展水平,并借助计量模型探究其影响因素。研究结果表明,样本期内中国新型消费发展水平整体呈现稳步上升态势;新型消费内容在中国新型消费发展水平各子系统中... 详细信息

本文基于30个省(区、市)的面板数据,采用熵值法测度2012—2022年中国新型消费发展水平,并借助计量模型探究其影响因素。研究结果表明,样本期内中国新型消费发展水平整体呈现稳步上升态势;新型消费内容在中国新型消费发展水平各子系统中位列第一,其次为新型消费环境,再次为新型消费潜力,最后为新型消费方式;各地区中国新型消费发展水平存在较大差异,呈现出东部地区>中部地区>西部地区的趋势。影响因素方面,经济发展水平、对外贸易强度、就业发展水平、科技发展水平和固定资产投资均对中国新型消费发展水平具有显著促进作用,且就业发展水平对中国新型消费发展水平的促进作用最强,而对外贸易强度的促进作用相对较弱。对此,要持续壮大新型消费发展规模、差异化推动新型消费发展、纵深推动高质量充分就业,推动中国新型消费发展。

关键词：新型消费发展水平熵值法经济发展水平就业发展水平

Epidemiological and Clinical Profile and Immediate Outcome of Neonates Transferred from the Maternity Unit to the Neonatology Unit of the CSREF in Commune V of bamako District, Mali

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Open Journal of Pediatrics 2024年第3期14卷 547-557页

作者： Maimouna Kante Ya Traoré balilé Harber Beydari Mamadou Traoré Issiaka Koné Diéneba Sacko Maimouna Haidara Korotoumou bamba Assitan Farota Abdoulaye Kassogué Mohamed Diarra Dramane Touré Abdoul Salam Diarra Leyla Maïga Dicko fatoumata Paediatric Ward CSR&#233f CV Bamako Mali Paediatric Ward of Nianankoro Fomba Hospital S&#233gou Mali Paediatric Ward of Kalaban CoroCSREF Bamako Mali Pediatric Department of the Mopti Reference Health Center Mopti Mali National Centre for Scientific and Technological Research Bamako Mali Paediatrics Department Mohamed VI Perinatal Clinic Bamako Mali Department of Paediatrics Gabriel Tour&#233 University Hospital Bamako Mali

Introduction: Neonatal mortality remains a major public health concern. According to the World Health Organisation (WHO), the number of newborns dying each year has fallen from 5 million in 1990 to 2.4 million in 2019. The aim of our study was to describe the main morbid conditions and their lethality in newborns admitted to the paediatric ward of the CSREF in Commune V. Methodology: We conducted a 12-month prospective descriptive and analytical study from August 2020 to July 2021. Results: During the 12 months of the study, out of 2654 neonates admitted to hospital, 216 met our inclusion criteria, i.e. 8%. Newborns admitted in the first few hours of life represented 99.54% of cases. Full-term newborns accounted for 65.74% of the total. Forty-eight percent of newborns had hypothermia on admission. The most common diagnosis was asphyxia in 55.56% of cases, followed by neonatal infection in 27.78% and prematurity in 10.65%. Death was recorded in 22.2% of cases. Asphyxia was the main cause of neonatal death, followed by prematurity in our context. Conclusion: Improving the prognosis of newborn babies will require a thorough understanding of neonatal pathologies and the implementation of a pre- and perinatal prevention policy.

关键词： Newborns Morbidity Mortality

Ethnobotanical and Phytochemical Study of Medicinal Plants Sold in the Markets of the City of N’Djamena

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Advances in Biological Chemistry 2024年第4期14卷 121-144页

作者： Djibrine Adoum Oumar Teissir Ibrahim Abakar hama Cissé Salomon Madjitoloum Betoloum Adama Sawadogo Jean-Ulrich Muandze Nzambe Elisée Mbayngone Abdelsalam Tidjani Aly Savadogo Natural Substances Research Laboratory (NSRL) Faculty of Exact and Applied Sciences (FEAS) University of NDjamena Chad Tchad Laboratory of Applied Biochemistry and Immunology (LABI) Joseph KI-ZERBO University Ouagadougou Burkina Faso Food Science and Nutrition Research Laboratory (FSNRL) Faculty of Human Health Sciences (FHHS) University of NDjamena Chad Tchad

The use of medicinal plants occupies an important place in traditional Chadian medicine, this study was carried out with the aim of listing the medicinal plants sold in the markets of the city of N’Djamena, and knowledge of the medicinal flora Chad, such as the leaves of Guiera senegalensis in Arabic called Khibeche, the roots of Cassia occidentalis called Am kwala-Kinkéliba in Arabic;the bark of Khaya senegalensis (Desv) A. Juss called Muraї in Arabic and the seeds of Trigonella foenum-graecum called Helbé in Arabic in order to treat the most frequently cited diseases such as malaria, the common cold, mother and newborn care, and typhoid. Ethnobotanical surveys were conducted from September to December 2022, in three markets in the city of N’Djamena, based on individual interviews using a semi-structured questionnaire, with 30 herbalists and traditional practitioners. Phytochemical screening analyses of the organs of four plants were carried out in the chemistry and biology laboratory of the Faculty of Exact and Applied Sciences (FSEA) following a standard protocol established by [1] and slightly modified by [2] [3]. The results of the surveys identified 68 species divided into fifty-five (55) genera and twenty-seven (27) families, the most represented of which were Caesalpiniaceae (10 species), Mimosaceae (5 species) and Combretaceae (4 species). The leaves were the most commonly used parts (43%), with decoction (70%) the most frequently used method of preparation. The oral route was the most popular with 73% of recipes. The phytochemical study revealed a wealth of secondary metabolites such as Trapezoidal Sterols, Alkaloids, Tannins, Flavonoids, Free Quinones, Anthocyane, Anthraquinones, Saponosides and Heterosides. These results can be considered as a source of information for scientific research in the field of phytochemistry and pharmacology.

关键词： Chad (N’Djamena) Medicinal Plants Ethnobotany Screening Phytochemistry

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MXene的红外特性及其应用研究展望

无机材料学报 2024年第2期39卷 162-170页

作者：巴坤王建禄韩美康复旦大学芯片与系统前沿技术研究院上海200433 复旦大学光电研究院和上海市智能光电与感知前沿科学研究基地上海200433

MXene是一大类二维过渡金属碳氮化合物,其丰富的组分、二维原子层结构、金属电导和活性表面等特性使其与不同波段的电磁波(可见光、红外、太赫兹、微波波段等)产生独特的相互作用,并衍生了多种电磁功能应用。在红外波段,MXene具有宽域... 详细信息

MXene是一大类二维过渡金属碳氮化合物,其丰富的组分、二维原子层结构、金属电导和活性表面等特性使其与不同波段的电磁波(可见光、红外、太赫兹、微波波段等)产生独特的相互作用,并衍生了多种电磁功能应用。在红外波段,MXene具有宽域的红外辐射特性,活性表面使其具备可调的红外吸收。近年来,MXene的上述性质引起了广泛研究兴趣。本文首先对不同MXene组分的本征红外辐射特性及调控策略进行了系统总结,并简要介绍其代表性红外应用,重点讨论MXene在这些应用中的贡献和作用机制,包括红外识别/伪装、表面等离激元、光热转换、红外光电探测等。最后,对MXene红外功能应用的未来发展方向进行了展望。

关键词： MXene 红外辐射光热转换热管理红外识别专题评述

Factors Associated with Mortality in Children Aged 1 Month to 15 Years Hospitalized in the Pediatric Ward of the Kalaban-Coro Reference Health Center: Cross-Sectional Study

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Open Journal of Pediatrics 2024年第5期14卷 800-813页

作者： Abdoul Salam Diarra Mohamed Diarra Dramane Touré Tawfiq Abu Beyadari balilé Harber Maimouna Kanté Issa Guindo Belco Maiga Karamoko Sacko Kalirou Traoré fatoumata Dicko Mamadou Togo Kalba Pélieba Mariam Sylla Mamadou Samaké hamadoun Sangho National Center for Scientific and Technological Research Bamako Mali Department of Pediatric Health Referral Center of Kalaban Coro Koulikoro Mali Pediatric Department of the Mopti Referral Health Center Mopti Mali Private Practice for Family and Emergency Medicine Casablanca Morocco Paediatric Ward of Nianankoro Fomba Hospital Segou Mali Paediatric Ward Referral Health Center of Common V Bamako Mali Administration Department Health Referral Center of Kalaban Coro Koulikoro Mali Department of Paediatrics Gabriel Toure University Hospital Bamako Mali Department of Internal Medicine CHU Gabriel Tour Bamako Mali Service dHpato-Gastro-Entrologie Gabriel Toure University Hospital Bamako Mali Department of Public Health Faculty of Medicine and Odontostomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali

Introduction: Infant and child mortality is a worldwide concern, but developing countries such as Mali are more affected. The aim of this study was to investigate morbidity and factors associated with mortality in children aged 1 month to 15 years. Methodology: This was a cross-sectional study which took place from January 1 to December 31, 2020 covering children aged 1 month to 15 years hospitalized at the Kalaban-Coro CSRéf. Data were entered into Excel and analyzed using SPSS version 20 software. Results: Five hundred children aged 1 months to 15 years were included. The age range 1 to 5 years (53.6%) and male sex (58.2%) were the most represented. Malaria (72.2%), acute respiratory infections (6.2%) and diarrhea/dehydration (3%) were the main morbidities. Mortality was estimated at 10.6%, and the two main causes of death were malaria (56.6%) and acute respiratory infections (7.54%). Univariate analysis revealed a statistically significant association between the dependent variable (death) and age (p Conclusion: This study confirms the high rate of infant and child morbidity and mortality in our health facilities. Strengthening human resources and intensifying behavior-change communication can help reverse the trend.

关键词： Children Aged 1 Months to 15 Years Morbidity Factors Associated with Mortality Morbidity

Multi-aspect analysis of ureteral access sheath usage in retrograde intrarenal surgery: A RIRSearch group study

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Asian Journal of Urology 2024年第1期11卷 80-85页

作者： Oktay Özman Hacı M.Akgül Cem başataç Önder Çınar Eyüp B.Sancak Cenk M.Yazıcı Bülent Önal Haluk Akpınar Gaziosmanpasa Training and Research Hospital Urology ClinicİstanbulTurkey TekirdağNamık Kemal University School of MedicineDepartment of UrologyTekirdağTurkey Group Florence Nightingale Hospitals Department of UrologyİstanbulTurkey Zonguldak Bulent Ecevit University School of MedicineDepartment of UrologyZonguldakTurkey Çanakkale Onsekiz Mart University School of MedicineDepartment of UrologyÇanakkaleTurkey İstanbul University-Cerrahpaşa Cerrahpaşa Medical FacultyDepartment of UrologyİstanbulTurkey

Objective:To evaluate the effect of ureteral access sheath(UAS)use and calibration change on stone-free rate and complications of retrograde intrarenal surgery(RIRS).Methods:Data from 568 patients undergoing RIRS for kidney or upper ureteral stones were retrospectively ***,patients were compared after 1:1 propensity score matching,according to UAS usage during RIRS(UAS used[+]87 and UAS non-used[−]87 patients).Then all UAS+patients(n=481)were subdivided according to UAS calibration:9.5-11.5 Fr,10-12 Fr,11-13 Fr,and 13-15 *** outcomes of the study were the success and complications of ***:Stone-free rate of UAS+patients(86.2%)was significantly higher than UAS−patients(70.1%)after propensity score matching(p=0.01).Stone-free rate increased with higher caliber UAS(9.5-11.5 Fr:66.7%;10-12 Fr:87.0%;11-13 Fr:90.6%;13-15 Fr:100%;p<0.001).Postoperative complications of UAS+patients(11.5%)were significantly lower than UAS−patients(27.6%)(p=0.01).Complications(8.7%)with 9.5-11.5 Fr UAS was lower than thicker UAS(17.2%)but was not statistically significant(p=0.09).UAS usage was an independent factor predicting stone-free status or peri-and post-operative complications(odds ratio[OR]3.654,95%confidence interval[CI]1.314-10.162;OR 4.443,95%CI 1.350-14.552;OR 4.107,95%CI 1.366-12.344,respectively).Conclusion:Use of UAS in RIRS may increase stone-free rates,which also increase with higher caliber *** usage may reduce complications;however,complications seemingly increase with higher UAS calibration.

关键词： Stone Retrograde intrarenal surgery Ureteral access sheath Urolithiasis Kidney