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Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population

International Journal of Ophthalmology(English edition) 2023年第5期16卷 712-720页

作者： Nor Fariza Ngah Nor Asiah Muhamad Shelina Oli Mohamed Roslin Azni Abdul Aziz Nur Hasnah Ma’amor Nor Azita Ahmad Tarmidzi Hanizasurana Hashim Hamisah Ishak Wan Norliza Wan Muda Rosiah Muda Azian Adnan Rafidah Md Saleh Wong Hon Seng Nurfahzura Mohd Jamil Tara Mary George Adrian Koh Institute for Clinical Research National Institutes of HealthMinistry of HealthSelangor 40170Malaysia Department of Ophthalmology Shah Alam HospitalMinistry of HealthSelangor 40000Malaysia Sector for Evidence-based Healthcare National Institutes of HealthMinistry of HealthSelangor 40170Malaysia Department of Ophthalmology Kuala Lumpur HospitalMinistry of HealthFederal Territory 50586Malaysia Department of Ophthalmology Selayang HospitalMinistry of HealthSelangor 61800Malaysia Department of Ophthalmology Tengku Ampuan Afzan HospitalMinistry of HealthPahang 25100Malaysia Department of Ophthalmology Sultanah Nur Zahirah HospitalMinistry of HealthKuala Terengganu 20400Malaysia KPJ Selangor Specialist Hospital Selangor 40300Malaysia Sultan Abdul Aziz Shah Hospital Selangor 43400Malaysia Gleneagles Kuala Lumpur Federal Territory 50450Malaysia Department of Ophthalmology Sungai Buloh HospitalMinistry of HealthSelangor 47000Malaysia Sunway Medical Centre Selangor 47500Malaysia Camden Medical Centre Singapore 248649Singapore

AIM:To derive a Malaysia guideline and consensus as part of the Malaysia Retina Group's efforts for diagnosis,treatment,and best practices of diabetic macular edema(DME).The experts'panel suggests that the treatment algorithm to be divided into groups according to involvement the central *** purpose of DME therapy is to improve edema and achieve the best visual results with the least amount of treatment ***:On two different occasions,a panel of 14 retinal specialists from Malaysia,together with an external expert,responded to a questionnaire on management of DME.A consensus was sought by voting after compiling,analyzing and discussion on first-phase replies on the round table discussion.A recommendation was deemed to have attained consensus when 12 out of the 14 panellists(85%)agreed with ***:The terms target response,adequate response,nonresponse,and inadequate response were developed when the DME patients'treatment responses were first *** panelists reached agreement on a number of DME treatment-related issues,including the need to classify patients prior to treatment,firstline treatment options,the right time to switch between treatment modalities,and side effects associated with *** this agreement,recommendations were derived and a treatment algorithm was ***:A detail and comprehensive treatment algorithm by Malaysia Retina Group for the Malaysian population provides guidance for treatment allocation of patients with DME.

关键词： diabetic macular edema guidelines consensus diabetic retinopathy Malaysia

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让宝宝爱上蔬菜

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父母必读 2005年第19期 43-43页

作者： Safia amor

让宝宝吃豆角、菠菜、菜花或黄瓜,你觉得很困难?其实,只要你有足够的耐心,外加几分技巧,这个难题很容易解决。每次.当你把蔬菜放在宝宝面前时.他都会皱起眉头!没关系,只需多动一下脑筋.你就能让他除了吃面条或土豆外,还想尝尝其他东西.

关键词：调味品

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莫斯科绅士

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2018年

作者： (美)埃默·托尔斯(amor Towles)

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石化装置工业尺度管道爆轰传播实验研究

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爆炸与冲击 2021年第9期41卷 142-148页

作者：鲍磊王鹏党茜李厚达邝辰于安峰中国石油化工股份有限公司青岛安全工程研究院山东青岛266101 中国石油化工股份有限公司化学品安全控制国家重点实验室山东青岛266101 西南石油大学石油与天然气工程学院四川成都610500

针对石化装置罐区大口径、长距离管道内火焰传播缺乏系统研究的问题,设计搭建了DN50~DN500工业尺度管道火焰传播实验装置,并开展了丙烷/空气、乙烯/空气等可燃气体在不同管径下的实验研究。实验结果表明:可燃气体积分数对火焰传播及爆... 详细信息

针对石化装置罐区大口径、长距离管道内火焰传播缺乏系统研究的问题,设计搭建了DN50~DN500工业尺度管道火焰传播实验装置,并开展了丙烷/空气、乙烯/空气等可燃气体在不同管径下的实验研究。实验结果表明:可燃气体积分数对火焰传播及爆轰有一定影响,当接近化学计量浓度时,爆轰加速距离更短,更易形成稳态爆轰,而当可燃气混合气为贫燃或富燃状况时,爆轰加速距离则会增长;火焰爆轰传播速度、爆轰压力与管道管径基本无关,受可燃气种类影响更大;对应体积分数为6.6%的乙烯/空气和体积分数为4.2%的丙烷/空气混合气体,爆轰压力分别是初始压力的15.17和14.47倍,DN150以下管径内的爆轰压力远高于ISO16852标准给出的参考值。罐区连通管道阻火器选型安装时,应结合安装位置选用合适的阻火器。

关键词：爆轰火焰传播工业尺度管道

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他没胃口!

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父母必读 2004年第21期 48-48页

作者： Safia amor

无论你给孩子吃什么,他都会皱起眉头,很不高兴,于是你也开始着急……以前.你的孩子一直胃口非常好.但是最近一段时间.他开始不好好吃饭。

关键词：儿科医生

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Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

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Occupational Diseases and Environmental Medicine 2018年第3期6卷 107-117页

作者： Asma Aloui Maher Maoua houda Kalboussi Imène Kacem Sana El Guedri Aicha Brahem Olfa El Maalel Faten Debbabi Souhaiel Chatti Néjib Mrizak Department of Occupational Medicine Faculty of Medicine of Sousse University of Sousse Farhat Hached Teaching Hospital Sousse Tunisia

Background: Occupational allergic contact dermatitis (ACD) is one of the most frequent diseases on the workplace worldwide. Its national incidence and prevalence were not previously studied in Tunisia. Objective: To assess incidence of occupational allergic contact dermatitis and its occupational outcome in Tunisia. Methods: Descriptive epidemiological study of all cases of occupational allergic contact dermatitis reported from 2002 to 2012 in Tunisia and recognized by the medical commissions of the National Health Insurance Fund. Results: 315 cases of occupational ACD were collected representing an annual incidence of 31.65 cases/100.000 workers in the private sector in Tunisia. The mean age of our population was 42.70 ± 9.02 years with a male predominance (sex ratio 3.03). The most affected sectors were the clothing sector (14.3% of cases) and the cement industry (13.7% of cases). Patch tests were positive in 188 patients (59.67%). The most frequently positive allergen was potassium dichromate in 27.3% of the cases. Overall, 25.4% of patients had lost their jobs. After multiple binary logistic regression, job loss had a statistically significant relationship with localization of lesions on the face and on dominant hand. Conclusion: Occupational ACD is frequent in Tunisia and is responsible for an important rate of job loss. Preventive measures must be reinforced, especially the wearing of protective gloves.

关键词： Epidemiology Occupational Disease Allergic Contact Dermatitis Job Loss Tunisia

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