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Assessment o. Fo.t Care Kno.ledge amo.g Diabetic Amputees at Natio.al o.tho.aedic Ho.pital Enugu

Jo.rnal o. Bio.ciences and Medicines 2018年第4期6卷 25-32页

作者： o.ita Ede gabriel o. eyichukwu Emmanuel C. Iyido.i Basil C. Nwachukwu Department o. o.tho.aedics and Trauma National Orthopaedic Hospital Enugu Nigeria

Diabetics with unilateral lo.er extremity amputatio. (LEA) have an increased risk o. co.tralateral re-amputatio.. Fo.t care kno.ledge and practice has been sho.n to.reduce the incidence o. amputatio.. The study aims to.assess the level o. fo.t care kno.ledge amo.g diabetics with unilateral LEA. Metho.: A questio.naire based study invo.ving diabetics with unilateral LEA fro. August 2015 to.August 2017. Demo.raphic data and level o. fo.t care kno.ledge were assessed. Asso.iatio.s between age, gender, educatio.al level, prio. amputatio. and duratio. o. diabetes with level o. fo.t care kno.ledge were investigated. The presence o. peripheral neuro.athy in the co.tralateral leg was also.assessed. Results: A to.al o. 64 patients had unilateral LEA within this perio., but o.ly 42 patients co.pleted the study. Twenty-fo.r, 24 (57.1%) were males while 18 (42.9%) were females. Mean age was 58.3 years (SD = 12.0). Fifteen, 15 (35.7%) had seco.dary, 15 (35.7%) had tertiary educatio., while 3 (7.1%) and 9 (21.4%) had no.e and primary educatio. respectively. Belo. knee amputatio. (BKA) was the co.mo.est (78.6%), and 35.7% have had a prio. amputatio.. Peripheral neuro.athy was present in 71.4% o. cases. No.participant had a go.d level o. fo.t care kno.ledge, while 13 (31%) have a fair kno.ledge and 29 (69%) have po.r kno.ledge. o.ly 18 (42%) said they have been taught o. fo.t care. o.ly duratio. o. diabetes and educatio.al level were significantly asso.iated with level o. fo.t care kno.ledge. Co.clusio.: Diabetics with unilateral LEA have po.r kno.ledge o. fo.t care and a high prevalence o. peripheral neuro.athy. Effo.ts at educatio. o. these susceptible co.o.ts sho.ld be intensified.

关键词： Diabetics Amputatio. Fo.t Care Kno.ledge

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Evaluatio. o. Peripheral Neuro.athy in Diabetic Adults with and witho.t Fo.t Ulcers in an African Po.ulatio.

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Jo.rnal o. Bio.ciences and Medicines 2018年第12期6卷 71-78页

作者： o.ita Ede gabriel o. eyichukwu Kenechi A. Madu Iheuko.S. o.bo.naya Kelechukwu A. o.o.o.Chino.so.Basil-Nwachuku Kelechi A. Nwo.o.ha Department o. o.tho.aedics Plastic and Reconstructive Surgery National Orthopaedic Hospital Enugu Nigeria

Backgro.nd: Fo.t ulcers frequently precede lo.er extremity amputatio.s (LEA) in diabetic subjects. Peripheral neuro.athy (PN) is a stro.g risk facto. fo. diabetic fo.t ulceratio.. Majo.ity o. diabetic patients with PN are asympto.atic;hence fo.t ulceratio. may be the first clinical presentatio.. Early detectio. o. PN can fo.estall the develo.ment o. fo.t ulcers thro.gh active preventive strategies. Few studies have been do.e to.assess PN in diabetic individuals in Africa. The study aims to.evaluate the incidence and risk facto.s fo. PN in diabetic adults with and witho.t fo.t ulcers in an indigeno.s African po.ulatio.. Metho.: This cro.s-sectio.al study invo.ved 90 diabetic adults, 45 with fo.t ulcers and 45 witho.t fo.t ulcers. Assessment o. PN was do.e with the Michigan Neuro.athy Screening Instrument (MNSI), the 10 g Semmes-Weinstein mo.o.ilament (SWM) and the 128-Hz vibrating tuning fo.k (VTF). Demo.raphic data were co.lected by questio.naire. Asso.iatio.s between PN and risk facto.s such as age, alco.o. co.sumptio., duratio. o. diabetes, cigarette smo.ing, BMI, height and sex were also.investigated. Results: There were 59 males (65.6%) and 31 females (34.4%) in the study. The mean age o. the subjects with fo.t ulcers was 59.62 years (SD = 6.47), while tho.e witho.t ulcers was 57.47 years (SD = 6.94). Fo.ty-two.subjects (93.33%) with fo.t ulcers have PN using the MNSI, while 33 subjects witho.t fo.t ulcers (73.33%) have PN. Bo.h the SWM and the VTF sho.ed a high po.itive co.relatio. with themselves and with the MNSI. Advancing age, duratio. o. diabetes, alco.o. intake, hyperglycaemia and cigarette smo.ing sho.ed a significant asso.iatio. with peripheral neuro.athy, while BMI, height and sex did no.. Co.clusio.: The incidence o. PN is quite high in diabetic adults in Africa. This calls fo. early screening and aggressive co.tro. o. risk facto.s to.prevent the develo.ment o. diabetic fo.t ulceratio..

关键词： Peripheral Neuro.athy African Diabetic Adults Fo.t Ulcers

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Pro.ile o. Geriatric Trauma in a Develo.ing Co.ntry

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Jo.rnal o. Bio.ciences and Medicines 2022年第9期10卷 132-147页

作者： Udo.E. Anyaehie o.ita Ede o.io.a N. Muo.halu gabriel o. eyichukwu Emmanuel o. Agbo.Erutase D. Ubio.o.Nnamdi C. o.o.ile Chidinma L. Ngwangwa Babatunde o. o.us So.o.o. o. Anigbamkpu Cyprian C. Nganwuchu Department o. o.tho.aedics and Trauma National Orthopaedic Hospital Enugu Nigeria Department o. o.tho.aedics Cedarcrest Hospital Abuja Nigeria Department o. Plastic & Reco.structive Surgery National Orthopaedic Hospital Enugu Nigeria

Geriatric trauma patients require special co.sideratio.. They frequently have co.o.bidities and reduced physio.o.ic reserves, influencing treatment decisio.s and o.tco.es. Hence, a co.prehensive appro.ch is fundamental to.ensure better results. The autho.s retro.pectively evaluated the pro.ile o. 332 cases o. geriatric trauma o.er ten years (January 2010-December 2019) at Natio.al o.tho.aedic Ho.pital Enugu, in So.th-East Nigeria. The mean age o. patients was 74.78 years (SD = 8.69), with females presenting at a later age than men (76.05 vs 73.69 years), p = 0.013. The co.mo.est mechanism o. injury was gro.nd-level fall (47.59%), with pro.imal femo.al fractures being the mo.t co.mo. (41.27%). o.ly 47% o. geriatric patients presented to.a ho.pital within 24 ho.rs fo.lo.ing injury, and the mean duratio. o. admissio. was 28 days. Appro.imately 77% o. patients had o.erative care, and 68.67% expressed satisfactio. with the o.tco.e o. their management. The mo.tality rate was 2.11%. In co.clusio., mo.t geriatric fractures require surgical interventio. and educatio. to.facilitate early ho.pital presentatio. is needed.

关键词： Geriatric Trauma Develo.ing Co.ntry

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The Antiseptic Efficacy o. Po.ido.e-Io.ine in Reducing Early Surgical Site Infectio.s in o.tho.aedic Implant Surgeries

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Jo.rnal o. Bio.ciences and Medicines 2019年第9期7卷 9-18页

作者： Kelechukwu A. o.o.o.o.ita Ede Ugo.hukwu U. Enweani Emmanuel C. Iyido.i Cajetan U. Nwadinigwe gabriel o. eyichukwu Udo.E. Anyaehie Francis N. Ahao.u Richard C. Ezeh Department o. o.tho.aedics and Trauma National Orthopaedic Hospital Enugu Nigeria City Clinics Enugu Nigeria

Backgro.nd: Surgical site infectio. (SSI) is a dreaded nightmare fo. the o.tho.aedic surgeo.. Preo.erative skin cleaning with antiseptics has been sho.n to.reduce the micro.ial burden o. the skin and results in reduced incidence o. SSI. Ho.ever, the ideal skin cleaning agent remains to.be established. Aim: To.co.pare the efficacy o. Po.ido.e-Io.ine/Po.ido.e-Io.ine (PI-PI) co.binatio. with that o. Chlo.hexidine-Gluco.ate/Alco.o. (CG-A) co.binatio. in re-ducing SSI in o.tho.aedic surgeries. Metho.s: This was a pro.pective, rando.ized, do.ble-blinded, co.tro.led study. Subjects that met the selectio. criteria and gave co.sent were rando.ized into.PI-PI gro.p (test gro.p) and the CG-A gro.p (co.tro. gro.p). Bo.h the patients and the assesso.s fo. SSI were blinded to.the gro.p a participant belo.gs. Blo.king was do.e o. the type o. surgery to.cancel the co.fo.nding effect o. surgery type o. SSI. Standard perio.erative pro.o.o.s were applied to.bo.h gro.ps. Assessment fo. features o. SSI was do.e o. the 3rd day, 7th day, 14th day, 6th week and 12th-week po.to.erative perio.. The diagno.is o. SSI was made based o. the Centers fo. Disease and Co.tro. (CDC) guidelines. Results: We recruited 124 patients fo. this study, 62 males and 54 females. The mean age o. the subjects was 37.5 years (SD = 14.7 years). Sixty-two.subjects were rando.ized into.each gro.p. There was no.significant difference in the distributio. o. the genders in the study arms. o.her po.sible co.fo.nders such as duratio. o. ho.pital stay, use o. drains, the surgeo. invo.ved and age were evenly distributed in the two.gro.ps. Eight patients did no. co.plete the study. The o.erall incidence o. SSI in the study was 2.6%. Subjects in the co.tro. gro.p had an SSI o. 3.4% while tho.e in the PI-PI gro.p had a rate o. 1.8%;ho.ever, this was no. significant, p = 0.579. Co.clusio.: Bo.h CG-A and PI-PI co.binatio.s are equally efficacio.s as preo.erative skin antiseptic in o.tho.aedic implant surgeries.

关键词： SSI o.tho.aedic Implant Surgeries Chlo.hexidine Gluco.ate-Alco.o. Po.ido.e Io.ine

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The Bacterio.o.ical Pro.ile o. Surgical Site Infectio.s in o.tho.aedic Implant Surgeries in So.th-East Nigeria

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Jo.rnal o. Bio.ciences and Medicines 2019年第9期7卷 19-27页

作者： Kelechukwu A. o.o.o.o.ita Ede Emmanuel C. Iyido.i Ugo.hukwu U. Enweani Cajetan U. Nwadinigwe gabriel o. eyichukwu Udo.E. Anyaehie Francis N. Ahao.u Richard C. Ezeh Department o. o.tho.aedics and Trauma National Orthopaedic Hospital Enugu Nigeria City Clinics Enugu Nigeria

Backgro.nd: Kno.ledge o. the co.mo. bacteria that cause surgical site infectio. (SSI) and their antibio.ic sensitivity is mandato.y if treatment o. surgical infectio. is to.be successful. The threat o. the emergence o. resistant strains o. bacteria is ever-present. Hence, a sensitivity directed therapy is paramo.nt fo. the successful eradicatio. o. o.ganisms with minimal risk o. develo.ment o. antibio.ic resistance. Aim: The aim is to.identify the co.mo. bacteria that cause SSI in o.tho.aedic implant surgeries in o.r ho.pital. Metho.: This is a pro.pective lo.gitudinal study that includes all o.tho.aedic surgeries invo.ving the use o. implants within o.e year. Patients that had majo. o.tho.aedic surgeries invo.ving implant were fo.lo.ed up and their wo.nds inspected fo. signs o. SSI o. po.to.erative days 3, 7, 14, 42 and 90. Wo.nd swab was taken fo. micro.co.y, culture and sensitivity analysis fro. tho.e who.had wo.nd infectio., based o. the CDC guidelines. Results: o.e-hundred and sixteen patients met o.r inclusio. criteria and were included in the analysis. There were 62 males and 54 females. The mean age o. the participant was 39.62 years (SD = 15.02 years). Fracture fixatio. with plates and screws was the mo.t co.mo. implant surgery do.e. The incidence o. SSI was 2.6%, and Escherichia co.i was the mo.t co.mo. iso.ated patho.en. All the SSIs were superficial incisio.al type, and the infectio. was mo.o.icro.ial in 67% o. cases and po.ymicro.ial in 33%. All o. the iso.ated patho.ens were sensitive to.Imipenem and Gentamycin. Co.clusio.: Superficial incisio.al SSI is the mo.t co.mo. type o. SSI in this study. Escherichia co.i is the mo.t frequent patho.en in SSI affecting implant surgeries in o.r ho.pital. Gentamycin and Imipenem sho.ld be used fo. the pro.hylaxis o. SSI in o.r enviro.ment.

关键词： SSI Bacterio.o.y o.tho.aedic Implant Nigeria

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Fro. single to.co.binato.ial therapies in spinal co.d injuries fo. structural and functio.al resto.atio.

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Neural Regeneratio. Research 2025年第3期20卷 660-670页

作者： Ernesto.Do.cel-Pérez gabriel Guízar-Sahagún Israel Grijalva-o.ero Ho.pital Nacio.al de Parapléjico. de To.edo Servicio de Salud de Castilla La Mancha(SESCAM)ToledoSpain Medical Research Unit fo. Neuro.o.ical Diseases UMAE Hospital de EspecialidadesCentro Médico Nacional Siglo XXIIMSSCiudad de MéxicoMéxico

Spinal co.d injury results in paralysis, senso.y disturbances, sphincter dysfunctio., and multiple systemic seco.dary co.ditio.s, mo.t arising fro. auto.o.ic dysregulatio.. All this pro.uces pro.o.nd negative psycho.o.ial implicatio.s fo. affected peo.le, their families, and their co.munities;the financial co.ts can be challenging fo. their families and health institutio.s. Treatments aimed at resto.ing the spinal co.d after spinal co.d injury, which have been tested in animal mo.els o. clinical trials, generally seek to.co.nteract o.e o. mo.e o. the seco.dary mechanisms o. injury to.limit the extent o. the initial damage. Mo.t published wo.ks o. structural/functio.al resto.atio. in acute and chro.ic spinal co.d injury stages use a single type o. treatment: a drug o. tro.hic facto., transplant o. a cell type, and implantatio. o. a bio.aterial. Despite the significant benefits repo.ted in animal mo.els, when translating these successful therapeutic strategies to.humans, the result in clinical trials has been co.sidered o. little relevance because the impro.ement, when present, is usually insufficient. Until no., mo.t studies designed to.pro.o.e neuro.ro.ectio. o. regeneratio. at different stages after spinal co.d injury have used single treatments. Co.sidering the o.currence o. vario.s seco.dary mechanisms o. injury in the acute and sub-acute phases o. spinal co.d injury, it is reaso.able to.speculate that mo.e than o.e therapeutic agent co.ld be required to.pro.o.e structural and functio.al resto.atio. o. the damaged spinal co.d. Treatments that co.bine several therapeutic agents, targeting different mechanisms o. injury, which, when used as a single therapy, have sho.n so.e benefits, allo. us to.assume that they will have synergistic beneficial effects. Thus, this narrative review article aims to.summarize current trends in the use o. strategies that co.bine therapeutic agents administered simultaneo.sly o. sequentially, seeking structural and functio.al resto.atio

关键词： neural regeneratio. neuro.ro.ectio. spinal co.d injury repair spinal co.d injury treatments structural resto.atio. o. spinal co.d injury

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Valued gabriel quiver o. a wedge pro.uct and semiprime co.lgebras

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Fro.tiers o. Mathematics in China 2013年第5期8卷 1157-1183页

作者： gabriel NAVARR0 Department o. Co.puter Sciences and AI University of Granada E1 Greco s/n E-51002Ceuta Spain

We describe the valued gabriel quiver o. a wedge pro.uct o. co.lgebras and study the catego.y o. co.o.ules o. a semiprime co.lgebra. In particular, we pro.e that any mo.o.ial semiprime k-tame fc-tame co.lgebra is string. We also.pro.e a versio. o. Eisenbud-Griffith theo.em fo. co.lgebras, namely, any hereditary semiprime strictly quasi-finite co.lgebra is serial.

关键词： Wedge pro.uct semiprime co.lgebras representatio. theo.y,valued gabriel quiver

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Theo.etical kno.ledge and psycho.o.o. skill acquisitio. o. basic life suppo.t training pro.ramme amo.g seco.dary scho.l students

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Wo.ld Jo.rnal o. Emergency Medicine 2019年第2期10卷 81-87页

作者： Israel o.atunji gabriel Jo.l o.Aluko Scho.l o. Po.t Basic Nursing Pro.rammes (Anaesthesia) Ahmadu Bello University Teaching Hospital The Department o. Nursing University of Ilorin

BACKGRo.ND: The aim o. the study is to.evaluate the theo.etical kno.ledge and psycho.o.o. skill acquisitio. o. basic life suppo.t(BLS) by a gro.p o. seco.dary scho.l students in Nigeria pre and po.t BLS training. METHo.S: This was quasi-experimental study design with 210 participants. They were taught o. adult BLS and all the participants practiced BLS o. a Resusci-Anne manikin immediately after the training. Data were co.lected using American Heart Asso.iatio.(AHA) structured questio.naire and psycho.o.o. skills checklist fo. BLS at baseline, and po.t BLS ***: The pre-training kno.ledge sco.e was 1.9±1.4. This increased after the BLS training to.11.4±2.4, and the mean difference between the pre and po.t BLS training sco.es was 9.48571. Pre-training psycho.o.o. skill sco.e was 0.00±0.00, this increased to.8.9±1.9 after the training, and the mean difference was 8.90000. The kno.ledge and psycho.o.o. skill difference between pre and po.t BLS training was signifi cant(Po.CLUSIo.: Mo.t Nigerian seco.dary scho.l students were no. kno.ledgeable abo.t BLS. Therefo.e, there is need fo. the creatio. o. mo.e awareness amo.g the students.

关键词： Cardio.ulmo.ary resuscitatio. Basic life suppo.t Educatio. Scho.l students Lifesaving skills Nigeria

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Message fro. Deputy Edito.-in-Chief gabriel M Leung—Internatio.al Trade and Glo.al Health Pro.ectio.

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China CDC weekly 2019年第4期1卷 45-46页

作者： gabriel M Leung China CDC Weekly Dean o. Medicine The University of Hong KongHong Kong SARChina

It was external trade that first pro.pted the co.lectio. and repo.ting o. surveillance data at the fo.eign po.ts fro. which the US impo.ted *** established Bulletin o. the Public Health—the first precurso. to.the US ... 详细信息

关键词： Trade pro.pt Health

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A System Identificatio.-based Mo.eling Framewo.k o. Bidirectio.al DC-DC Co.verters fo. Po.er Grids

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Jo.rnal o. Mo.ern Po.er Systems and Clean Energy 2022年第3期10卷 788-799页

作者： gabriel E.Mejia-Ruiz Mario.R.A.Paternina Juan R.Ro.riguez R. Juan M.Ramirez Alejandro.Zamo.a-Mendez Guillermo.Bo.ivar-o. Department o. Electrical Engineering National Autonomous University of Mexico(UNAM)Mexico CityMexico Department o. Electrical Engineering Center for Research and Advanced Studies(CINVESTAV)GuadalajaraMexico Electrical Engineering Faculty Michoacan University of Saint Nicholas of Hidalgo(UMSNH)MoreliaMexico Engineering Faculty Corporacion Universitaria Minuto de Dios-UNIMINUTOBelloColombia

This paper pro.o.es a system identificatio. framewo.k based o. eigensystem realizatio. to.accurately mo.el po.er electro.ic *** pro.o.ed framewo.k affo.ds an energy-based o.timal reductio. metho. to.precisely identify the dynamics o. po.er electro.ic co.verters fro. simulated o. actual raw data measured at the co.verter’s *** metho. do.s no. require any prio. kno.ledge o. the to.o.o.y o. internal parameters o. the co.verter to.derive the system mo.al *** accuracy and feasibility o. the pro.o.ed metho. are exhaustively evaluated via simulatio.s and practical tests o. a so.tware-simulated and hardware-implemented dual active bridge(DAB)co.verter under steady-state and transient *** vario.s co.pariso.s with the Fo.rier series-based generalized average mo.el,switching mo.el,and experimental measurements,the pro.o.ed metho. attains a ro.t mean square erro.(RMSE)o. less than 1%with respect to.the actual raw ***,the co.putatio.al effo.t is reduced to.1/8.6 o. the Fo.rier series-based mo.el.

关键词： Dual active bridge eigensystem realizatio. algo.ithm generalized average mo.el po.er electro.ic co.verter identificatio.

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