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Effect of the Implementation of Emonc in the Reduction of Maternal Deaths in the Department of Collines from 2018 to 2022

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Open Journal of Obstetrics and Gynecology 2024年第2期14卷 259-266页

作者： Joachim Aifa florence abraham Roger Klikpezo Edgard-Marius Ouendo Badirou Aguemon Faculty of Health Sciences of Cotonou Department of Public Health Cotonou Benin Nursing and Midwifery Training Institute University of Parakou Parakou Benin Assistant in Gynecology-Obstetrics FM-University of Parakou Parakou Benin Full Professor of Public Health and Epidemiology Ouidah Regional Institute of Public Health Ouidah Benin Full Professor of Public Health Faculty of Health Sciences of Cotonou Cotonou Benin

Background: Maternal and neonatal mortality remains a public health problem in Benin. Each year, approximately 1500 maternal deaths and more than 12,000 newborn deaths are recorded there. In order to correct the situation, strategies such as the implementation of Emergency Obstetric and Neonatal Care (EmONC) were initiated. Objective: Determine the rates of maternal deaths in EmONC centers in the Collines department from 2018 to 2022. Framework and Methods: The study took place in Benin precisely in the Collines department. This was a descriptive cross-sectional study. Data collection was carried out during the first two weeks of January 2023 and covered data from the 09 Basic Emergency Obstetric and Neonatal Care centers (BEMONC) and the Obstetric and Neonatal Care centers of Complete Emergency (CEmONC) of the Collines department from 2018 to 2022. An estimate of the ratios of maternal deaths occurring at the level of the EmONC centers of the Collines department from 2018-2022 was carried out followed by constructive suggestions. Results: During the five years (2018 to 2022), the Collines department recorded 42,582 live births with 148 maternal deaths, i.e. a ratio of 348 maternal deaths per 100,000 live births. Between 2018 and 2022, the highest maternal death ratio was recorded in 2019, i.e. 425 maternal deaths per 100,000 live births for all EmONC centers and 607 maternal deaths per 100,000 live births in EmONC centers. The highest maternal death ratio at the BEmONC center level was recorded in 2020, i.e. 129 maternal deaths per 100,000 births. Conclusion: These results suggest that despite the implementation of EmONC in the Collines department, maternal deaths have not decreased. To improve these outcomes for a reduction in maternal deaths, urgent action must be taken.

关键词： Effect BEmONC CEmONC Maternal deaths Department of Collines

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Advances in spinal cord injury:insights from non-human primates

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Neural Regeneration Research 2024年第11期19卷 2354-2364页

作者： Gaetan Poulen florence E.Perrin University of Montpellier INSERMEPHEMontpellierFrance Department of Neurosurgery Gui de Chauliac HospitalMontpellier University Medical CenterMontpellierFrance Institut Universitaire de France(IUF) ParisFrance

Spinal cord injury results in significant sensorimotor deficits,currently,there is no curative treatment for the symptoms induced by spinal cord *** and pre-clinical research on spinal cord injury relies on the development and characterization of appropriate animal *** models should replicate the symptoms observed in human,allowing for the exploration of functional deficits and investigation into various aspects of physiopathology of spinal cord ***-human primates,due to their close phylogenetic association with humans,share more neuroanatomical,genetic,and physiological similarities with humans than ***,the responses to spinal cord injury in nonhuman primates most likely resemble the responses to traumatism in *** this review,we will discuss nonhuman primate models of spinal cord injury,focusing on in vivo assessments,including behavioral tests,magnetic resonance imaging,and electrical activity recordings,as well as ex vivo histological ***,we will present therapeutic strategies developed in non-human primates and discuss the unique specificities of non-human primate models of spinal cord injury.

关键词： behavior cellular analysis non-human primates spinal cord injury tissue analysis

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Extension of Flow Behaviour and Damage Models for Cast Iron Alloys with Strain Rate Effect

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Chinese Journal of Mechanical Engineering 2024年第3期37卷 297-310页

作者： Chuang Liu Dongzhi Sun Xianfeng Zhang florence Andrieux Tobias Gersterc School of Mechanical Engineering Nanjing University of Science and TechnologyNanjing 210094China Fraunhofer Institute for Mechanics of Materials(IWM) 79108 FreiburgGermany Fraunhofer Institute for High Speed Dynamics Ernst-Mach-Institute(EMI)79104 FreiburgGermany

Cast iron alloys with low production cost and quite good mechanical properties are widely used in the automotive *** study the mechanical behavior of a typical ductile cast iron(GJS-450)with nodular graphite,uni-axial quasi-static and dynamic tensile tests at strain rates of 10^(-4),1,10,100,and 250 s^(-1)were carried *** order to investigate the influence of stress state on the deformation and fracture parameters,specimens with various geometries were used in the *** strain curves and fracture strains of the GJS-450 alloy in the strain rate range of 10^(-4)to 250 s^(-1)were obtained.A strain rate-dependent plastic flow model was proposed to describe the mechanical behavior in the corresponding strain-rate *** available damage model was extended to take the strain rate into account and calibrated based on the analysis of local fracture *** with the proposed plastic flow model and the damage model were conducted to observe the deformation and fracture *** results show that the strain rate has obviously nonlinear effects on the yield stress and fracture strain of GJS-450 *** predictions with the proposed plastic flow and damage models at various strain rates agree well with the experimental results,which illustrates that the rate-dependent plastic flow and damage models can be used to describe the mechanical behavior of cast iron alloys at elevated strain *** proposed plastic flow and damage models can be used to describe the deformation and fracture analysis of materials with similar properties.

关键词： Dynamic behavior of materials Strain rate dependency Damage model Voce model Cast iron

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In vivo astrocyte reprogramming following spinal cord injury

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Neural Regeneration Research 2024年第3期19卷 487-488页

作者： Yannick N.Gerber florence E.Perrin MMDN University of MontpellierEPHEINSERMMontpellierFrance Institut Universitaire de France(IUF) ParisFrance

Harmful and helpful roles of astrocytes in spinal cord injury(SCI):SCI induce gradable sensory,motor and autonomic impairments that correlate with the lesion severity and the rostro-caudal location of the injury *** absence of spontaneous axonal regeneration after injury results from neuron-intrinsic and neuron-extrinsic ***,not only adult neurons display limited capability to regrow axons but also the injury environment contains inhibitors to axonal regeneration and a lack of growth-promoting *** other cell populations that respond to the lesion,reactive astrocytes were first considered as only detrimental to spontaneous axonal ***,astrocytes.

关键词： injury impairment programming

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Systematic review of risk factors,prognosis,and management of colorectal signet-ring cell carcinoma

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World Journal of Gastrointestinal Oncology 2024年第5期16卷 2141-2158页

作者： Frederiek Nuytens Vincent Drubay Clarisse Eveno florence Renaud Guillaume Piessen Department of Digestive and Oncological Surgery University LilleClaude Huriez University HospitalLille 59000France Department of Digestive and Hepatobiliary/Pancreatic Surgery AZ GroeningeKortrijk 8500Belgium Cambrai Hospital Center and Sainte Marie Group of Hospitals of The Catholic Institute of LilleCambrai 59400France CNRS InsermUMR9020-U1277-CANTHER-CancerUniversity LilleCHU LilleLille 59000France

BACKGROUND Colorectal signet-ring cell carcinoma(CSRCC)is a rare clinical entity which accounts for approximately 1%of all colorectal *** multiple studies concerning this specific topic have been published in the past decades,the pathogenesis,associated risk factors,and potential implications on treatment are still poorly *** the low incidence,historically confusing histological criteria have resulted in confusing ***,the rising incidence of CSRCC along with relatively young age at presentation and associated dismal prognosis,highlight the actual interest to synthesize the known literature regarding *** To provide an updated overview of risk factors,prognosis,and management of *** A literature search in the MEDLINE/PubMed database was conducted with the following search terms used:‘Signet ring cell carcinoma’and‘colorectal’.Studies in English language,published after January 1980,were *** included in the qualitative synthesis were evaluated for content concerning epidemiology,risk factors,and clinical,diagnostic,histological,and molecular features,as well as metastatic pattern and therapeutic *** possible,presented data was extracted in order to present a more detailed overview of the *** In total,67 articles were included for qualitative analysis,of which 54 were eligible for detailed data *** has a reported incidence between 0.1%-2.4%and frequently presents with advanced disease stage at the time of *** is associated with an impaired overall survival(5-year OS:0%-46%)and a worse stagecorrected outcome compared to mucinous and not otherwise specified *** systematic use of exploratory laparoscopy to determine the presence of peritoneal metastases has been *** is the mainstay of treatment,although the rates of curative resection in CSRCC(21%-82%)are lower compared to those in other histological *** case of peritoneal

关键词： Colorectal cancer Signet-ring cell histology Poorly cohesive cells Systematic review Risk factors Prognosis Therapeutic management

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Evaluation of large language models for the classification of medical device software

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Bio-Design and Manufacturing 2024年第5期7卷 819-822页

作者： Yu Han Aaron Ceross florence Bourgeois Paulo Savaget Jeroen H.M.Bergmann Department of Engineering Science University of OxfordOld Road CampusOxford OX37QDUK Harvard-MIT Center for Regulatory Science Harvard Medical SchoolBostonMAUSA Computational Health Informatics Program(CHIP) Boston Children’s HospitalBostonMAUSA Department of Technology and Innovation The University of Southern DenmarkOdenseDenmark

Amidst the rapidly expanding integration of large language models(LLMs)across various sectors(ranging from everyday applications to specialized fields demanding stringent regulatory adherence),our investigation seeks to determine how well these models can support medical device software *** device classification functions to systematically categorize devices according to their designated use,associated risk levels,and requisite regulatory oversight,thereby providing a structured framework for ensuring safety and efficacy as mandated by regulatory authorities.

关键词： everyday demanding thereby

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Bone marrow mesenchymal stem cells in treatment of peripheral nerve injury

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World Journal of Stem Cells 2024年第8期16卷 799-810页

作者： Xiong-Fei Zou Bao-Zhong Zhang Wen-Wei Qian florence Mei Cheng Department of Orthopedic Surgery Peking Union Medical College HospitalBeijing 100730China College of Nursing The Ohio State UniversityOhioOH 43210United States

Peripheral nerve injury(PNI)is a common neurological disorder and complete functional recovery is difficult to *** recent years,bone marrow mesenchymal stem cells(BMSCs)have emerged as ideal seed cells for PNI treatment due to their strong differentiation potential and autologous trans-plantation *** review aims to summarize the molecular mechanisms by which BMSCs mediate nerve repair in *** key mechanisms discussed include the differentiation of BMSCs into multiple types of nerve cells to promote repair of nerve *** also create a microenvironment suitable for neuronal survival and regeneration through the secretion of neurotrophic factors,extracellular matrix molecules,and adhesion ***,BMSCs release pro-angiogenic factors to promote the formation of new blood *** modulate cytokine expression and regulate macrophage polarization,leading to ***,BMSCs synthesize and release proteins related to myelin sheath formation and axonal regeneration,thereby promoting neuronal repair and ***,this review explores methods of applying BMSCs in PNI treatment,including direct cell trans-plantation into the injured neural tissue,implantation of BMSCs into nerve conduits providing support,and the application of genetically modified BMSCs,among *** findings confirm the potential of BMSCs in treating ***,with the development of this field,it is crucial to address issues related to BMSC therapy,including establishing standards for extracting,identifying,and cultivating BMSCs,as well as selecting application methods for BMSCs in PNI such as direct transplantation,tissue engineering,and genetic *** these issues will help translate current preclinical research results into clinical practice,providing new and effective treatment strategies for patients with PNI.

关键词： Bone marrow mesenchymal stem cells Peripheral nerve injury Schwann cells Myelin sheath Tissue engineering

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Psychiatric outcomes in outpatients affected by long COVID:A link between mental health and persistence of olfactory complaint

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World Journal of Psychiatry 2024年第4期14卷 507-512页

作者： Victoria Metelkina-Fernandez Louise-Emilie Dumas Clair Vandersteen David Chirio Auriane Gros Arnaud Fernandez florence Askenazy Valeria Manera Department of Psychiatry Nice University HospitalNice 06000France Department of Child and Adolescent Psychiatry UniversitéCôte d’AzurNice 06200France ENT Head and Neck InstituteNice 06100France Department of Infectiology Nice University HospitalNice 06200France Department of Orthophony UniversitéCôte d’AzurNice 06100France Cobtek UniversitéCôte d’AzurNice 06100France

BACKGROUND Anosmia was one of the main symptoms of coronavirus disease 2019(COVID-19).A psychiatric history(i.e.,depression)may be an independent contributor to the risk of COVID-19 diagnosis,and COVID-19 survivors appear to have an increased risk of neuropsychiatric sequelae(bidirectional association).AIM To compare the rate of psychiatric disorder among post-COVID patients without anosmia vs patients with persistent olfactory *** We conducted a prospective case control study from March 2020 to May *** recruited at the ENT department of Nice University Hospital had a subjective olfactory complaint(visual analogue scale)for over 6 wk and a molecular or CT-proven severe acute respiratory syndrome coronavirus 2 diagnosis confirmed by ***-COVID patients without persistent olfactory disorders were recruited at the university hospital infectiology *** medical histories were collected by a psychiatrist during the *** Thirty-four patients with post-COVID-19 olfactory complaints were included in the first group of the *** percent of the patients were female(n=17).The group’s mean age was 40.5±12.9 *** control group included 32 participants,of which 34.4%were female(n=11),and had a mean age of 61.2±12.2 *** rate of psychiatric disorder among post-COVID patients with olfactory complaints was significatively higher(41.7%)than among patients without(18.8%)(χ2=5.9,P=0.015).CONCLUSION The presence of a psychiatric history may constitute a potential risk factor for the development of long COVID due to persistent *** therefore seems important to establish reinforced health monitoring after a COVID 19 infection in at-risk *** prospective,translational,and collaborative studies are needed to extrapolate these results to the general population.

关键词： COVID-19 Anosmia Psychiatry Stress Neuroplasticity Psychiatric history

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检查清单和错误报告系统在提高患者安全和减少医疗差错方面的有效性:叙述性回顾

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International Journal of Nursing Sciences 2024年第3期11卷 387-398页

作者： Emmanuel Aoudi Chance Dia florence Innocent Sardi Abdoul VID Specialized University BergenNorway Universite de Bertoua Cameroon Univerity of Ngaoundere Cameroon

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的... 详细信息

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的有效性证据。错误报告系统提高了透明度,鼓励专业人员报告事件并识别系统漏洞。结果检查表和错误报告系统相互关联,在检查表的实施中强调跨专业合作。文章中使用的不同方法和潜在的发表偏倚可能产生局限性;此外,语言限制可能会排除有价值的非英语研究。虽然积极的影响是显而易见的,但成功取决于组织文化和资源。结论通过查阅相关文献,强调干预措施的重要性,并呼吁进一步研究检查清单和错误报告系统在不同医疗保健和文化背景下的有效性,有助于提高患者安全知识。了解这些动态变化对于医疗保健提供者优化患者安全至关重要。

关键词：患者安全医疗错误检查表错误报告系统健康状况

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Development of a Low-Cost Prototype System for Pipeline Operational and Vandalism Spillage Detection and Validation Framework

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Advances in Internet of Things 2024年第2期14卷 21-35页

作者： Buloere florence Ekeu-Wei Iguniwari Thomas Ekeu-Wei School of Engineering University of Central Lancashire Preston UK Nigerian Economic Summit Group Lagos Nigeria

Crude oil spillage is a major challenge in Nigeria. It affects the environment, health, life, and livelihood of residents of the Niger Delta region, where oil is explored, processed, and transported via a network of pipelines. Oil spillage is primarily caused by vandalization/sabotage and operational issues such as corrosion, equipment failure, operation, and maintenance errors. Thus, prompt response is required to mitigate the impact of oil spills. In this study, we deployed low-cost Arduino systems, including sensors (vibration and flow), modules (GPS and Wifi) and an IoT platform (ThingSpeak) to detect spillage caused by vandalism and operational inefficiencies proactively. The results demonstrate that low-cost sensors can detect changes in the flow volume between the inflow and outflow attributable to spillage, and vibration shocks caused by vandalism can be detected and linked to the cause of the spillage and communicated in real time to inform response action. Moreover, we proposed a framework for field validation utilizing KoboToolBox (a crowdsourcing/citizen science platform). The prototype system designed and programmed showed promising results, as it could detect spillage for vandalism and operational scenarios in real-time, quantify the volume of spillage, and identify the location and time of spillage occurrence;indicators relevant for response planning to minimize the impact of oil spillage. A video demonstration of the prototype system developed is accessible via: https://***/wKa9MZvYf1w. .

关键词： Crude Oil Leakage Pipeline Vandalism Arduino Crowdsourcing Niger Delta

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