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Trends in colorectal cancer incidence according to an increase in the number of colonoscopy cases in Korea

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World Journal of gastrointestinal Oncology 2024年第1期16卷 51-60页

作者： ga Hee Kim Yeong Chan Lee Tae Jun Kim Sung Noh Hong Dong Kyung Chang Young-Ho Kim Dong-Hoon Yang Chang Mo Moon Kyunga Kim Hyun Gun Kim Eun-Ran Kim Division of gastroenterology Department of Internal MedicineAsan Medical CenterUniversity of Ulsan College of MedicineSeoul 05505South Korea Department of Digital Health Samsung Advanced Institute for Health Science and TechnologySungkyunkwan University School of MedicineSeoul 06351South Korea Division of gastroenterology Department of Internal MedicineSamsung Medical CenterSungkyunkwan University School of MedicineSeoul 06351South Korea Division of gastroenterology Department of Internal MedicineEwha Womans UniversitySeoul 07985South Korea Biomedical Statistics Center Samsung Medical CenterSeoul 06351South Korea Division of gastroenterology Department of Internal MedicineSoonchunhyang University College of MedicineSeoul 04401South Korea

BACKGROUND The incidence of colorectal cancer(CRC)and preinvasive CRC(e.g.,early colon cancer and advanced adenoma)is gradually increasing in several *** To evaluate the trend in incidence of CRC and preinvasive CRC according to the increase in the number of colonoscopies performed in *** This retrospective cohort study enrolled Korean patients from 2002 to 2020 to evaluate the incidence of CRC and preinvasive CRC,and assess the numbers of diagnostic colonoscopies and colonoscopic ***-related complications by age group were also *** The incidence of CRC showed a rapid increase,then decreased after 2012 in the 50-75 year-age *** the study period,the rate of incidence of preinvasive CRC increased at a similar level in patients under 50 and 50-75 years of *** 2009,the increase has been rapid,showing a pattern similar to the increase in *** rate of colonoscopic polypectomy in patients aged under 50 was similar to the rate in patients over 75 years of age after *** rate of complications after colonoscopy and related deaths within 3 mo was high for those over 75 years of *** The diagnosis of preinvasive CRC increased with the increase in the number of colonoscopies *** the risk of colonoscopy-related hospitalization and death is high in the elderly,if early lesions at risk of developing CRC are diagnosed and treated under or at the age of 75,colonoscopy-related complications can be reduced for those aged 76 years or over.

关键词： Colorectal cancer Preinvasive colorectal cancer Colorectal polypectomy Colonoscopy

土工织物加固土质坝堤加高工程的离心模型试验研究

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岩土工程学报 2024年第S1期46卷 112-116页

作者：李笑琳张嘎清华大学水利水电工程系北京100084

土工织物是一种广泛用于边坡加固的合成材料,但土工织物在土质坝堤加高工程中尚未得到合理应用。针对水位变动条件下土工织物加固的加高土质坝堤进行了离心模型试验,观测了加高坝堤的变形破坏响应过程。试验结果表明,土工织物加固的加... 详细信息

土工织物是一种广泛用于边坡加固的合成材料,但土工织物在土质坝堤加高工程中尚未得到合理应用。针对水位变动条件下土工织物加固的加高土质坝堤进行了离心模型试验,观测了加高坝堤的变形破坏响应过程。试验结果表明,土工织物加固的加高土质坝堤的破坏呈现出新旧坝堤各异的特点,新旧坝堤呈现出不同的破坏特性,离土工织物较远的旧坝堤先发生破坏,土工织物加固的新坝堤的破坏发生较晚,且呈现从上到下渐进发展的特性;加高坝堤的最终破坏是由变形局部化和局部破坏相互耦合渐进发展导致的;土工织物分为加固段和约束段,在约束段坝堤给土工织物提供约束力,在加固段土工织物限制了坝堤的变形,土工织物的加固机理是将坝堤深部的约束力传递到坝堤表面,从而增强了坝堤浅层的抗滑能力;水位变动引起坝堤的变形增加,土工织物的加固作用也随之增强。

关键词：坝堤加高土工织物离心模型试验水位变动

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卜形岔管水压试验结构受力分析

水电站机电技术 2024年第9期47卷 82-84,169页

作者：原嘎嘎中国水利水电第十四工程局有限公司云南昆明650041

针对某水电站工程项目岔管打压过程中出现的Vonmises等效应力值过高的问题,通过SolidWorks软件进行建模,导入ANSYS软件进行网格化有限元模拟打压工况分析,分析了岔管在施加1MPa、2MPa、3MPa压力下的应力应变情况,并与实际打压数据作对比... 详细信息

针对某水电站工程项目岔管打压过程中出现的Vonmises等效应力值过高的问题,通过SolidWorks软件进行建模,导入ANSYS软件进行网格化有限元模拟打压工况分析,分析了岔管在施加1MPa、2MPa、3MPa压力下的应力应变情况,并与实际打压数据作对比,最终得出了钢岔管在加强肋与圆钢交接处产生应力集中现象。计算结果与实际水压试验发生应力偏高位置吻合且计算数值与实际数值存在偏差较小,数据基本吻合。因此该岔管不满足设计压力值4.68MPa水压试验无法达到设计要求压力值5.85MPa。最终得出结论:需对岔管进行补强设计。

关键词：水压试验壳单元 Vonmises等效应力屈服强度泊松比弹性模量

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囊玛艺术新论

西藏研究 2024年第3期 66-76,M0005,M0006页

作者：觉嘎洛金宝西藏大学艺术学院拉萨850000

囊玛是一种集歌、舞、乐为一体的西藏传统表演艺术,而囊玛吉度是以囊玛艺术的实践为主要业务的行会组织。作为群众自发形成的社团组织,囊玛吉度形成背景和艺人来源具有多元化,其使用的乐器和表演的典目具有多样性。囊玛的表现内容主要... 详细信息

囊玛是一种集歌、舞、乐为一体的西藏传统表演艺术,而囊玛吉度是以囊玛艺术的实践为主要业务的行会组织。作为群众自发形成的社团组织,囊玛吉度形成背景和艺人来源具有多元化,其使用的乐器和表演的典目具有多样性。囊玛的表现内容主要包括爱情、时事、祈愿、赞颂、讽刺等内容,大多与不同时期的社会生活、观念意识等关联密切。在囊玛曲目中,有部分歌词采用了仓央嘉措的诗作,汉文关联表达和双关语也得到了广泛运用。

关键词：传统音乐囊玛囊玛吉度曲目

数字流域模型淤地坝模块改进及减水减沙效益评估

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应用基础与工程科学学报 2024年第2期32卷 301-313页

作者：张玍傅旭东孙凯王晨沣清华大学水沙科学与水利水电工程国家重点实验室北京100084

淤地坝具有重要的水土保持作用,但其减水减沙效益的科学评估仍存在困难.一方面,淤地坝减水减沙的物理机制仍难以刻画;另一方面,观测资料有限且难以获取.以概化淤地坝卧管及溢洪道等部分的泄流机制及整体水沙调控机制为基础,改进和检验... 详细信息

淤地坝具有重要的水土保持作用,但其减水减沙效益的科学评估仍存在困难.一方面,淤地坝减水减沙的物理机制仍难以刻画;另一方面,观测资料有限且难以获取.以概化淤地坝卧管及溢洪道等部分的泄流机制及整体水沙调控机制为基础,改进和检验了数字流域模型的淤地坝模块,应用改进后的模型模拟皇甫川流域水沙过程并评估淤地坝减水减沙效益.研究结果表明:不考虑淤地坝的情况下,模型对淤地坝数量较少的近似自然状态期(1979~1986年)适用性较好,而对淤地坝数量较多的受扰状态期(2007~2012年)适用性较差,水沙模拟值明显高于实测值.考虑淤地坝的物理机制后,与原模型相比,除个别年份外,改进后的模型对受扰状态期水沙过程的模拟精度具有明显的提高,其逐日流量NSE(Nash-Sutcliffe效率系数)从-51.085~0.450提高到0.134~0.802,逐日输沙率NSE从-56.740~0.390提高到0.066~0.857.使用改进后的模型计算得受扰状态期淤地坝平均拦水量为0.142×10^(8)m^(3),减水效益为40.9%;平均拦沙量为0.050×10^(8)t,减沙效益为50.3%.研究成果可为认识淤地坝调控水沙物理机制提供模型支撑和为淤地坝建设规划提供科学指导.

关键词：淤地坝减水减沙减水减沙效益水土保持数字流域模型分布式水沙模型皇甫川

Study on the Treatment of Reusable Care Equipment in Public and Private Dental Practices in the City of Conakry

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Open Journal of Stomatology 2024年第8期14卷 351-361页

作者： Magna Condé Aly Badara Nabé Moussa Doré Julie gaëlle Yepmo Sambou Alhassane Alpha Camara Amadou Traoré Kouamé Patrice Attogbain Department of Odontology Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea African Center of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT) Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea Department of Odontology and Maxillofacial Surgery Ignace Deen National Hospital Conakry Guinea Department of Pathology and Therapeutics UFR Odonto-Stomatology Flix Houphouet University Boigny Abidjan Cte dIvoire

Introduction: The effective sterilization of reusable instruments in dental care is a crucial issue for public health. The aim of this study was to contribute to improving the processing conditions of reusable care instruments in dental practices in the city of Conakry. Methods: We carried out an observational and cross-sectional study of a descriptive type lasting three months from January to April 2022 in public and private dental practices approved for activities. Results: A total of 48 dental practices were surveyed, including 7 public and 41 private. 91.67% had the trays for instrument sterilization. 77.08% had a sterilization device. The instruments were: cleaned 100%, disinfected 70.83%, sterilized 20.83% and 20.83% reused the instruments without being sterilized. 72.97% sterilized the instruments at the end of the day. 50% of respondents declared that there were six stages of sterilization. According to standard standards, one dental office or 2.70% respected the normal sterilization process and 13.51% respected the duration and temperature. The storage quality was inadequate at 95.83%. 95.83% of dental practices are at high risk of contamination. The difficulties encountered by staff in daily activity during our study were lack of hygienists (87.50%), insufficient material resources (58.33%), and lack of protocol procedure (45.83%). Conclusion: This study allowed us to note shortcomings of dental surgeons in the process of processing reusable care materials.

关键词： Treatment Materials Care Reusable Dental Practices Conakry

Multivariate Approach to Characterizing Soil Quality of gabonese’s Ferralitic Soils

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Open Journal of Soil Science 2024年第4期14卷 237-268页

作者： Neil-Yohan Musadji Rolf gaël Mabicka Obame Michel Mbina Mounguengui Jean Aubin Ondo Lydie-Stella Koutika Eric Ravire Claude Geffroy Laboratoire De Chimie Des Milieux et Des Mat&#233riaux Inorganiques Laboratoire D&#8217Analyse Des Sols et Environnement D&#233partement Des Sciences Fondamentales De L&#8217Ing&#233nieur Institut National D&#8217Agronomie et De Biotechnologies Universit&#233 Des Sciences et Techniques De Masuku Franceville Gabon Institut De Chimie Des Milieux et Maté riaux De Poitiers (IC2MP) Universit&#233 De Poitiers Poitiers France Laboratoire De Chimie Des Milieux et Des Mat&#233riaux Inorganiques Laboratoire D&#8217Analyse Des Sols et Environnement D&#233partement De Phytotechnologie Institut National D&#8217Agronomie et De Biotechnologies Universit&#233 Des Sciences et Techniques De Masuku Franceville Gabon Dé partement De G&#233ologie Facult&#233 Des Sciences Universit&#233 Des Sciences et Techniques De Masuku Franceville Gabon Laboratoire Pluridisciplinaire Des Sciences Ecole Normale Sup&#233rieure Libreville Gabon Centre De Recherche Sur La Productivité et La Durabilit&#233 Des Plantations Industrielles Pointe Noire Republic of Congo Sucaf gabon Somdiaa Franceville Gabon

Assessing soil quality is essential for crop management and soil temporal changes. The present study aims to evaluate soil quality in the Ferralitic soils context countrywide. This assessment was done using multivariate soil quality indice (SQI) models, such as additive quality index (AQI), weighted quality indexes (WQIadd and WQIcom) and Nemoro quality index (NQI), applied to two approaches of indicator selection: total data set (TDS) and minimum data set (MDS). Physical and chemical soil indicators were extracted from the ORSTOM’s reports resulting from a sampling campaign in different provinces of gabon. The TDS approach shows soil quality status according to eleven soil indicators extracted from the analysis of 1,059 samples from arable soil layer (0 - 30 cm depth). The results indicated that 87% of all provinces presented a very low soil quality (Q5) whatever the model. Among soil indicators, exchangeable K+ and Mg2+, bulk density and C/N ratio were retained in MDS, using principal component analysis (PCA). In the MDS approach, 50 to 63% of provinces had low soil quality grades with AQI, WQIadd and NQI, whereas the total was observed with WQIcom. Only 25% of provinces had medium soil quality grades with AQI and NQI models, while 12.5% (NQI) and 25% (AQI) presented high quality grades. Robust statistical analyses confirmed the accuracy and validation (0.80 r P ≤ 0.016) of AQI, WQIadd and NQI into the TDS and MDS approaches. The same sensitivity index value (1.53) was obtained with AQI and WQIadd. However, WQIadd was chosen as the best SQI model, according to its high linear regression value (R2 = 0.82) between TDS and MDS. This study has important implications in decision-making on monitoring, evaluation and sustainable management of gabonese soils in a pedoclimatic context unfavorable to plant growth.

关键词： gabon Ferralitic Soil Soil Indicators Standard Score Function Soil Quality Indices Sustainable Soil Soil Management

Assessment of the Level of Knowledge about Chronic Renal Failure in 271 Hypertensive Patients in Brazzaville

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Open Journal of Nephrology 2024年第1期14卷 25-36页

作者： Daniel Tony Eyeni Sinomono Ange Niama gaël Honal Mahoungou Éric gandzali-Ngabé Ndinga Berline Ngoma Precieux Dalia Mboungo Richard Loumingo Department of Nephrology University Hospital Center Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo Department of Public Health Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo

Background and Objectives: Chronic kidney disease (CKD) is now a global public health problem. In low- and middle-income countries such as the Congo, access to dialysis is low and inequitable. The prevention of CKD involves raising awareness among patients at risk, such as those suffering from arterial hypertension (AH), by improving their knowledge of CKD. The objectives of our work were to determine the level of knowledge about CKD among hypertensive patients and to identify the factors associated with a low level of knowledge. Methodology: We conducted a 3-month descriptive and analytical cross-sectional study from 1 August to 30 October 2023 in 3 large public hospitals in Brazzaville (capital of the Republic of Congo). We included: hypertensive patients aged 18 and over who had freely consented to participate in our study and were able to answer the questions on the survey form. Patients with known hypertension who had been followed for less than 3 years and those with known chronic renal failure were not included. Results: The mean age was 58.4 ± 14.4 years (29 - 88 years). There were 121 men and 150 women (sex ratio = 0.8). All the patients were educated;37.2% with a higher level of education and 13.6% with primary education. 24 patients (9%) had a good level of knowledge about CKD and 153 (56%) had poor knowledge. A good level of knowledge was associated with the duration of hypertension, intellectual level and the existence of associated heart disease. Conclusion: Our study reveals a significant lack of knowledge about chronic kidney disease among hypertensive patients in Brazzaville.

关键词： Knowledge Chronic Renal Failure Hypertensives Brazzaville

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全固态中波发射机射频功率放大器原理与维护