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国外畜牧学(猪与禽) 1992年第4期 42-42页

作者：戚民驹 fred benoff 美国佐治亚大学家禽推广学家

这个《质量管理》专栏问世于三年前.那时,只有极少的人意识到存在着一种更好的管理方法。这不仅在家禽行业是事实,而且在许多其他产业方面也是一样的.我要高兴地说,现在情况不再是这样了。今天有许多成功的事例表明按质进行管理对任何... 详细信息

这个《质量管理》专栏问世于三年前.那时,只有极少的人意识到存在着一种更好的管理方法。这不仅在家禽行业是事实,而且在许多其他产业方面也是一样的.我要高兴地说,现在情况不再是这样了。今天有许多成功的事例表明按质进行管理对任何机构的运作都是一条切实可行的途径. 三年来我们已经谈论了许多理论和基本原理,你

关键词：专栏

Jovian Planet Influence on the Forcing of Sunspot Cycles

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World Journal of Condensed Matter Physics 2024年第1期14卷 1-9页

作者： fred J. Cadieu Physics Department Queens College of CUNY New York USA

The history of our solar system has been greatly influenced by the fact that there is a large gas giant planet, Jupiter that has a nearly circular orbit. This has allowed relics of the early solar system formation to still be observable today. Since Jupiter orbits the Sun with a period of approximately 12 years, it has always been thought that this could be connected to the nearly 11-year periodic peak in the number of sunspots observed. In this paper, the Sun and planets are considered to be moving about a center of mass point as the different planets orbit the Sun. This is the action of gravity that holds the solar system together. The center of mass for the Jupiter-Sun system actually lies outside the Sun. The four gas giant planets dominate such effects and the four gas giant Jovian planets can be projected together to determine an effective distance from the Sun’s center. Taken together these effects do seem to function as a sunspot forcing factor with a periodicity very close to 11 years. These predictions are made without consideration of any details of what is happening in the interior of the Sun. From these estimates, sunspot cycle 25 will be expected to peak in about September-October of 2025. Sunspot cycle 26 should peak in the year March of 2037.

关键词： Sun Cycles Solar System Formation Jupiter

Factors Associated with Antiretroviral Therapy Defaulting among Adult Patients Receiving Care at Chikankata Mission Hospital, Chikankata District, Zambia

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Journal of Biosciences and Medicines 2024年第5期12卷 340-365页

作者： fred Paundi Emmanuel Musenge Namayipo Nankamba Department of Clinical Nursing Sciences School of Nursing Sciences University of Zambia Lusaka Zambia

Background: Defaulting on antiretroviral therapy has been identified as the most important factor contributing to the antiretroviral therapy failure rate. This study aimed to investigate factors associated with defaulting on antiretroviral therapy among adult patients receiving care at Chikankata Mission Hospital antiretroviral therapy clinic. Method: Cross-sectional analytical study on 385 participants selected by a computer generated random numbers technique of simple random sampling from among the patients receiving antiretroviral therapy at Chikankata Mission Hospital. Data collected were processed and analysed using Statistical Package for Social Science version 27. Univariate and backward multivariable logistic regression analysis was performed to identify factors associated with antiretroviral therapy defaulting. The level of significance was set at 5% with a confidence level of 95%. Results: Over half (58.4%) of the study participants defaulted on antiretroviral therapy. About 65.8% of study participants indicated improved health as the reason they defaulted on antiretroviral therapy. Most participants indicated that it was important to always go for antiretroviral therapy services (Adjusted Odds Ratio 1.95;95% Confidence Interval: [1.14 - 3.33], p = 0.015). Very few participants indicated poor family support for antiretroviral therapy services (Adjusted Odds Ratio 4.08;95% Confidence Interval: [2.02 - 8.23], p Conclusion: Defaulting on antiretroviral therapy continues to be a significant problem and needs to be addressed as a matter of priority. More counselling and awareness-raising programmes are required to improve knowledge and understanding on the importance of attending scheduled antiretroviral therapy clinics and services as well as the consequences of defaulting on antiretroviral therapy.

关键词： Defaulting Antiretroviral Therapy Human Immunodeficiency Virus Acquired Immune Deficiency Syndrome

Acute pancreatitis:pathogenesis and emerging therapies

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Journal of Pancreatology 2024年第1期7卷 10-20页

作者： Saif Zaman fred Gorelick Department of Internal Medicine Yale School of MedicineNew HavenCT 06511 Veteran’s Administration Healthcare System West HavenCT 06516 Department of Cell Biology Yale School of MedicineNew HavenCT 06511

Acute pancreatitis is a severe inflammatory disorder with limited treatment *** understanding of disease mechanisms has led to new and potential *** we summarize what we view as some of the most promising new therapies for treating acute pancreatitis,emphasizing the rationale of specific treatments based on disease *** pharmacologic interventions are *** explore potential treatment benefits and risks concerning reducing acute injury,minimizing complications,and improving long-term *** associated with acute pancreatitis initiation,perpetuation,and reconstitution are highlighted,along with potential therapeutic targets and how these relate to new treatments.

关键词： Acinar cell Acute pancreatitis Calcium signaling Transporters Treatment

Analysis of the Potential for Tourism Development on Semau Island(Case Study at Liman Beach)

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Economics World 2024年第3期11卷 136-144页

作者： Lukas Hattu fred Dethan Yoseba Pulinggomang Arjuna Purba Junita Cestilia Nenabu Nusa Cendana University KupangEast Nusa TenggaraIndonesia

Semau Island has enormous potential to become a tourist destination in East Nusa *** potential is a variety of resources found in a particular area that can be developed into a tourist *** potential of this island is in the form of natural potential,animal husbandry,maritime culture,and *** research aims to analyze and classify the level of potential of tourist attractions on Semau Island in improving the regional economy at tourist attractions on Semau *** data used is the result of direct interviews with respondents,namely village heads,tourist attraction managers,and local *** analytical method used is descriptive qualitative with the SWOT analysis *** research results concluded that the tourist attraction on Semau Island has the potential to be developed as a superior tourist attraction in Kupang *** or steps that can be taken by managers or local governments to increase tourism development in the form of standard tourism facilities,improving the quality of human resources,and improving infrastructure.

关键词： potential development strategy tourism SWOT

Survival Rate and Factors Influencing It in Triptorelin-Castrated Metastatic Prostate Cancer Patients

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Open Journal of Urology 2024年第3期14卷 160-172页

作者： Sossa Jean Vissoh Gilvias Yevi Dodji Magloire Inès Hodonou fred Avakoudjo Déjinnin Josué Georges Centre National Hospitalier Universitaire Hubert Koutoucou Maga Cotonou Bénin

Background: Most newly diagnosed prostate cancers in Benin are metastatic diseases and patients are reluctant to undergo orchiectomy. Still, chemical androgen deprivation therapy is not always available and not every patient can afford it. Thus, it will be interesting to evaluate the results of that therapy in the country. Objective: To analyze the survival rate and factors influencing it in metastatic prostate cancer patients who underwent triptorelin-based androgen deprivation therapy at the former Military Teaching Hospital of Cotonou from January 1, 2012, to December 31, 2022. Patients and Method: Metastatic prostate cancer patients received intragluteal injections of triptorelin 11.25 mg every 3 months. We retrospectively collected follow-up data from the patients’ medical records. By means of the software StataTM version 15, we performed a descriptive analysis of qualitative data. We used Kaplan-Meir method to estimate the overall survival rate in the whole cohort and in specific subgroups of patients. We compared survival rates by using the log-rank test. Results: 68 metastatic prostate cancer patients aged 47-86 years (mean = 69.9) with initial PSA ranging from 24.25 to 6334 ng/mL (mean = 666.1) started triptorelin-based castration. The tumor grade in 21 (33.3%), 14 (22.2%), 15 (23.8), 8 (12.7%), and 5 (7.9%) patients was respectively ISUP grade groups 5, 4, 3, 2, and 1. 15 (22.1%), 4 (5.9%), 2 (2.9%), 1 (1.5%), 11 (16.2%), and 7 (10.3%) patients respectively had hypertension, diabetes mellitus, peptic ulcer, asthma, unilateral or bilateral hydronephrosis, and paralysis. The mean nadir PSA level was 22.5 ng/mL (range: 0.01-220.25). The mean time to nadir PSA level was 8.9 months (range: 3-57). The overall survival rate was 42.6%. There was no significant survival difference between age groups (p = 0.475), relating to the presence of diabetes or hypertension (p = 0.757) or to the presence of paralysis or hydronephrosis (p = 0.090). The initial PSA level exert

关键词： Metastatic Prostate Cancer Androgen Deprivation Therapy Overall Survival PSA Nadir

Results of an Eight Year Long Practice of Saline Bipolar Transurethral Resection of Prostate

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Open Journal of Urology 2024年第4期14卷 189-196页

作者： Sossa Jean Mangoue Moube Ariane Landry Yevi Dodji Inès Magloire Hodonou fred Avakoudjo Déjinnin Josué Georges Centre National Hospitalier Universitaire Hubert Koutoucou Maga Cotonou Benin

Background: Open prostatectomy has long been the only prostatic bladder outlet obstruction’s surgery available in Benin. It is prone to postoperative bleeding and infections and is not suitable for prostate cancer-induced bladder outlet obstruction. Objective: To evaluate the first results of endoscopic surgery of prostatic bladder outlet obstruction in our environment. Patients and Method: We conducted an observational study of saline bipolar transurethral resection of prostate (B-TURP) at the former Military Teaching Hospital of Cotonou. We retrospectively collected the data from patients’ medical records from November 17, 2014, to September 7, 2022. We used Excel 2019 to make a descriptive analysis of the data. Results: Saline B-TURP was performed in 60 consecutive patients. Their mean age was 69.1 years (range: 48-85). The procedure was indicated in 22 (36.7%), 32 (53.3%), 3 (5%), and 3 (5%) patients, respectively for acute urinary retention, chronic urinary retention, obstructive renal failure, and unresponsiveness to alpha-blockers. 35 patients (58.3%) had prostate cancer (PCa). 25 patients (41.7) had benign prostate hyperplasia (BPH). No patient got a blood transfusion. The duration of postoperative hospitalization was 3 days (88.3%) to 5 days (11.7%). 5 patients (8.3%), i.e., 3 BPH and 2 prostate cancer patients got preoperative urinary tract infection. The causative bacteria were Escherichia coli in 3 patients (60%), Klebsiella pneumoniae in 2 patients (40%), and multi-resistant Acinetobacter as a metachronous infection to Escherichia coli in 1 patient (20%). All the infections were associated with indwelling Foley catheter. 7 patients (11.7%), i.e., 3 BPH and 4 prostate cancer patients, got a second resection to recover full spontaneous micturition. Prostate size was available in the medical record of 21 BPH patients and 15 prostate cancer patients. Prostate size ranged from 22 to 123 g with a mean value of 61.1 g in BPH patients, and from 34 to 180 g with

关键词： Saline B-TURP BPH Prostate Cancer

Klingsor Syndrome: An Observation in a Patient with Schizophrenia

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Open Journal of Urology 2024年第5期14卷 346-351页

作者： Mbuya Musapudi Eric Ouake Hadidjatou Michel Agounkpe Yevi Dodji Magloire Inès Hodonou fred Martin Avakoudjo Josué Georges Dejinnin Department of Urology and Andrology Hubert Koutoukou Maga National Teaching Hospital Cotonou Benin Department of Surgery University Clinics of Lubumbashi Lubumbashi Democratic Republic of the Congo

Background: Klingsor syndrome refers to genital self-mutilation in man following delusional religious beliefs. Later, Schweitzer proposed expanding the term to include all psychotic disorders, drug and alcohol abuse. Apart from the noted hemorrhagic emergency and difficult surgical operation, there is a psychosocial impact, sexual and urinary complications (stenosis, urethral fistula) which make this pathology complex. Aim: The Aim of this study is to describe the clinical case of Klingsor syndrome and evaluate its management in light of the literature. Case Presentation: We report a rare case of genital self-mutilation in a 35-year-old man, non-compliant schizophrenic, received 04 days after the trauma and whose treatment consisted of remodeling of the penis stump and follow-up by psychiatrists. Conclusion: Klingsor syndrome is a rare but serious phenomenon. Its management remains complex, but it must be early and multidisciplinary.

关键词： Klingsor Syndrome Génital Self-Mutilation Schizophrenia

The WhatsApp Application as a Teledentistry Tool in Oral and Maxillofacial Surgery in Cameroon

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Open Journal of Stomatology 2024年第8期14卷 362-372页

作者： Karl Guy Grégoire Kwedi Ruth Karen Katia Kwedi fred-Cyrille Goethe Doualla Charles Eboa Kwedi Charles Bengondo Messanga Department of Oral Maxillofacial and Periodontal Surgery Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon Department of Public Health School of Health Sciences Catholic University of Central Africa Yaound Cameroon Society & Education Technologies Yaound Cameroon Health Medical School Douala Cameroon

Introduction: Technological advances have greatly influenced the healthcare sector. The ability to transmit information and deliver services using telecommunication tools continues to transform the way healthcare is delivered around the world. The aim of this study was to highlight the epidemiological, clinical and therapeutic profile of oral and maxillofacial surgery patients consulted using the WhatsApp application. Methodology: This was a three-year descriptive study with a retrospective data collection, from 2021 to 2023, of WhatsApp communications between our team and oral and maxillofacial surgeons in Cameroon. In this study, the type/content of messages received, the epidemiological data of practitioners and patients, the various pathologies diagnosed and the procedures performed were evaluated. Results: 319 communications were received for a total of 146 cases. Written messages associated with images (photographs and/or X-rays) were the most frequently received, at 85.62%. Hospitals in urban areas were the most represented at 93.84%. Oral health professionals in the private sector sent more messages (65.75%). In terms of diagnoses, tumour and cystic pathologies were the most common (28.08%), followed by impacted/retained teeth (22.6%). Patients were referred to our hospital for treatment in 62.33% of cases. Conclusion: The WhatsApp application is an easy-to-use telecommunications tool. It facilitates exchanges between practitioners and improves patient care in oral and maxillofacial surgery.

关键词： Teledentistry WhatsApp Oral and Maxillofacial Surgery Cameroon