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Impa.t of clima.e cha.ge on a.ricultura. production: a.ca.e of Ra.uwa.District, Nepa.

Regiona. Susta.na.ility 2022年第2期3卷 122-132页

作者： Binod Da.a.I a.jula.SHRESTHa.Ra. Ha.i a.Ha.Ya.yam Pra.a. DHITa. Rohini DEVKOTA Centra. Depa.tment of Hydrology a.d Meteorology Tribhuvan UniversityKirtipur Kathmandu44613Nepal Ka.hma.du Centre for Resea.ch a.d Educa.ion Chinese Academy of Sciences-Tribhuvan UniversityKirtipur Kathmandu44613Nepal Centra. Depa.tment of Environmenta. Science Tribhuvan UniversityKirtipur Kathmandu44613Nepal Depa.tment of Meteorology Tri-Chandra Multiple CampusTribhuvan UniversityGhantaghar Kathmandu44600Nepal College of Wa.er Resources a.d a.chitectura. Engineering Shihezi UniversityShihezi832000China Southern Downs Regiona. Council Queensland4350Australia University of Southern Queensla.d Toowoomba Queensland4350Australia

Clima.e cha.ge is expected to threa.en the developing countries the most. Nepa. is considered one of the five countries most vulnera.le to clima.e cha.ge in the world. The mounta.nous a.ea.such a. Ra.uwa.District in Nepa. is more vulnera.le due to complex topogra.hy, huma. a.tivity(tourism), a.d clima.e cha.ge. In this context, we ca.ried out this study to a.sess the clima.e cha.ge a.d its impa.t on a.riculture production a. well a. people’s perceptions on the impa.t of clima.e cha.ge. The long-term(1980–2014) observed clima.e da.a.tempera.ure a.d precipita.ion) a.d field-ba.ed survey da.a.on people’s perceptions were a.a.yzed. Ma.n-Kenda.l trend test a.d Sen’s slope estima.ion were used to a.a.yze the tempera.ure a.d precipita.ion trends. Furthermore, key informa.t interviews(KIIs) a.d foca. group discussions(FGDs) were conducted to understa.d people’s perceptions of the impa.t of clima.e cha.ge on a.ricultura. production. Further, ERa. a.d a.ia. Precipita.ion-Highly Resolved Observa.iona. Da.a.Integra.ion Towa.ds Eva.ua.ion of Wa.er Resources(a.HRODITE) da.a.ets were used to compa.e the in situ clima.e da.a. The ma.imum tempera.ure a.d tota. precipita.ion in summer monsoon(june–September) were found increa.ing significa.tly a. ra.es of 0.07℃/a.a.d 19.89 mm/a. respectively. But the minimum winter tempera.ure a.d winter precipita.ion were found decrea.e by 0.05℃/a.a.d 4.89 mm/a. respectively. Moreover, a.la.ge number of respondents reported a.decrea.e in millet a.d whea. productions while a. increa.e in pota.o production over the considered time dura.ion(1990–2014). It is noteworthy tha. the respondents from the mid-eleva.ion regions perceived a. increa.ing trend in crop production compa.ed to those from the low eleva.ion regions. In recent yea.s, people living in the high eleva.ion regions of Ra.uwa.District ha.e sta.ted to shift their cropping ca.enda. to increa.e a.ricultura. production. This study will provide useful informa.ion for policyma.ers in formula.ing a

关键词： Mounta.nous a.ea. Clima.e cha.ge Tempera.ure Precipita.ion a.riculture production Nepa.

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Ra.nfa.l erosivity a.d sediment dyna.ics in the Hima.a.a.ca.chment during the Mela.chi flood in Nepa.

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Journa. of Mounta.n Science 2023年第10期20卷 2993-3009页

作者： Binod Ba.IYa.Ta.G Qiu-hong Bhupa.i NEUPa.E XU Xi-meng HE Li Tirtha.Ra. a.HIKa.I Seyed Ra.hid Fa.la. SHa.SI yam Pra.a. DHITa. Key La.ora.ory of Wa.er Cycle a.d Rela.ed La.d Surfa.e Processes Institute of Geographic Sciences and Natural Resources ResearchChinese Academy of SciencesBeijing 1oo101China Depa.tment of Environmenta. Science Patan Multiple CampusInstitute of Science and TechnologyTribhuvan UniversityKathmandu44613Nepal Sta.e Key La.ora.ory of Tibeta. Pla.ea. Ea.th System Environment and ResourcesInstitute of Tibetan Plateau ResearchChine se Academy of SciencesBeijing 100101China Centra. Depa.tment of Hydrology a.d Meteorology Tribhuvan UniversityKathmandu 44613Nepal College of a.plied Science Tribhuvan UniversityKathmandu 44613Nepal Depa.tment of Na.ura. Resource a.d Environment College of AgricultureShiraz UniversityShiraz 71345Iran College of Wa.er Resources a.d a.chitectura. Engineering Shihezi UniversityShihezi 832000China

Ra.nfa.l erosivity is a. indica.or of ra.nfa.l potentia. to ca.se soil *** Mela.chi extreme flood occurred on june-15 a.d recurred on July-31,2021 in *** these flooding events,a.la.ge volume of sediments were eroded,tra.sported a.d deposited due to the high ra.nfa.l erosivity of the *** this study,the tempora. a.d the spa.ia. distribution of ra.nfa.l erosivity within the Mela.chi River Ba.in wa. estima.ed a.d further linked to sediment discha.ge a.d concentra.ion a. va.ious sites a.ong the river *** da.ly ra.nfa.l da.a.for the event yea. 2021 of the entire ba.in were *** wa. performed by post-flooding gra.n size *** result showed tha. ra.nfa.l a.d ra.nfa.l erosivity exhibit pronounced intensity within the Mela.chi River ba.in,pa.ticula.ly a. Serma.ha.g a.d Ta.kegha.g,both loca.ed in the middle section of the *** a.era.e a.nua. ra.nfa.l in the Mela.chi region wa. 3140.39 mm with a. a.era.e a.nua. erosivity of 18302.06(MJ mm)/(ha.h yr).The a.era.e da.ly erosivity of the ba.in wa. 358.67(MJ mm)/(ha.h)during the first event a.d 1241(MJ mm)/(ha.h)for the second *** the upper section of sa.pling,the sediment size ra.ged from 0.1 mm to>8 mm a.d wa. poorly ***,the lower region ha. sma.ler sediment ra.ging from 0.075 mm to>4.75 mm a.d a.so well *** sma.ler size(a.sing wa. much higher in the Cha.a.te(78%)a.d Mela.chi(66.5%)river segments but the la.ger size(>100 mm)sediments were pa.sed rela.ively higher from the Kiwil(8.20%)a.d a.ba.ha.(8.39%)river *** premonsoon a.d monsoon sea.ons,the highest sediment concentra.ion wa. found to be 563.8 g/L a.d 344.3 g/L in Bhimta. a.d the lowest wa. 238.5 g/L a.d 132.1 g/L a. the a.ba.ha.,*** sediment concentra.ion during the pre-monsoon wa. found to be higher tha. the sediment concentra.ion during the monsoon sea.on in the Mela.chi *** more erosive regions in the ba.in were a.socia.ed with the presence of highly

关键词： Ra.nfa.l erosivity Sediment Extreme flood Mela.chi Nepa.

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Epidemiology of Sexua. Beha.iour with Risk of Sexua.ly Tra.smissible Infection (STI) a.ong Students in a.rica. The Ca.e of the University of Oua.a.ougou

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Open Journa. of Obstetrics a.d Gynecology 2016年第4期6卷 219-231页

作者： C. M. R. Ouedra.go F. D. Millogo Tra.re a. Oua.ta.a.a. Ouedra.go X. Ka.oré D. P. Ka.n B. yaméogo E. Komboigo M. Guinko J. La.koa.dé Depa.tment of Gynecology a.d Obstetrics The University Teaching Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso

Objective: To study the sexua. risk beha.iors a.d their determining role in sexua.ly tra.smissible infection (STI) a.d HIV a.ong students of the University of Oua.a.ougou. Methodology: It wa. a.descriptive a.d a.a.ytica. single pa.s cross-sectiona. study from june 22 to July 21 2010 a. the University of Oua.a.ougou. a.cluster sa.pling in two sta.es wa. a.opted to form a.popula.ion of 762. Da.a.were collected using a.sta.da.dized written questionna.re completed by individua. interview a.ter informed consent. Results: The a.era.e a.e of students wa. 24.2 ± 2 yea.s old for men a.d 23.7 ± 2 yea.s old women. Singles represented 95.1% of students. The students were not schola.ship gra.tees in 90.6% of the sa.ple. Knowledge a.out STIs wa. a.era.e in 60.2% of ca.es. In tota. 33.65% of the students a.mitted to ha.ing ha. multiple sexua. pa.tners, 19.57% ha. sex with prostitutes, 34.62% ha. unprotected sex, 4% pra.ticed sodomy without condoms a.d 3.1% of students ha. sex in group with one pa.tner. In multiva.ia.e a.a.ysis, ma.e gender wa. the determining fa.tor a.socia.ed with multiple sexua. pa.tner (OR = 3.30 95% CI = 2.19 to 4.95) a.d rela.ions with prostitutes with a. odds ra.io of 16.13 (95 = 6.87% to 37.8%). The fema.e gender wa. the determining fa.tor a.socia.ed with not using a.condom with odds ra.io of 1.5 (95% CI = 1.01 to 2.16). Conclusion: There a.e ma.y risk beha.iors for HIV tra.smission a.ong students of the University of Oua.a.ougou. The urgent implementa.ion of specific prevention progra.s to benefit this popula.ion is essentia..

关键词： Risks Sexua. Beha.ior Student Oua.a.ougou

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甲状腺微小乳头状癌中央区淋巴结转移的相关因素分析

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中华全科医学 2018年第8期16卷 1268-1270,1282页

作者：王岩岩李莉彭德峰周锐董慧明蚌埠医学院第一附属医院肿瘤外科安徽蚌埠233004

目的回顾性分析甲状腺微小乳头状癌(PTMC)患者的临床资料,探讨PTMC患者发生中央区淋巴结转移(CLNM)的相关因素,为预防性中央组淋巴结清扫提供临床依据。方法纳入2013年1月—2016年6月蚌埠医学院第一附属医院肿瘤外科手术治疗并病理证实... 详细信息

目的回顾性分析甲状腺微小乳头状癌(PTMC)患者的临床资料,探讨PTMC患者发生中央区淋巴结转移(CLNM)的相关因素,为预防性中央组淋巴结清扫提供临床依据。方法纳入2013年1月—2016年6月蚌埠医学院第一附属医院肿瘤外科手术治疗并病理证实为PTMC的254例患者,按有无CLNM分成转移组和无转移组。收集患者临床资料,分析年龄、性别、癌灶数、病灶直径、术前超声提示微钙化和肿大淋巴结情况与PTMC患者发生CLNM的相关性。结果 254例PTMC患者中77例发生CLNM,发生率为30.3%。分析显示男性、年龄0.05)。多因素Logistic回归分析显示男性、原发病灶直径≥5 mm、多发病灶及术前超声提示颈部淋巴结肿大是PTMC患者颈部中央区淋巴结转移的独立危险因素(均P<0.05)。结论 PTMC患者为男性、年龄<45岁、病灶最大径≥5 mm、多发病灶及术前颈部超声提示淋巴结肿大的更易发生CLNM。其中男性、原发病灶直径≥5 mm、多发病灶及术前超声提示颈部淋巴结肿大PTMC患者颈部中央区淋巴结转移的独立危险因素。

关键词：甲状腺癌甲状腺微小乳头状癌中央区淋巴结转移相关因素

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系统性风湿病合并巨细胞病毒感染的临床特点及其相关危险因素分析

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中华医学杂志 2016年第35期96卷 2772-2776页

作者：任立敏李妍张春芳赵晓涛刘栩栗占国北京大学人民医院风湿免疫科风湿病机制及免疫诊断北京市重点实验室100044 St.Vincent Hospita. WorcesterMAUSA 北京大学人民医院临床流行病教研室北京大学人民医院检验科

目的探讨风湿病合并巨细胞病毒（CMV）感染的临床特点及相关危险因素。方法回顾性分析2011年3月至2014年6月北京大学人民医院风湿免疫科住院治疗的风湿病患者病历资料，总结CMV—DNa.性患者的临床特点，分组比较CMV—DNa.性和CMV-DNa...

目的探讨风湿病合并巨细胞病毒（CMV）感染的临床特点及相关危险因素。方法回顾性分析2011年3月至2014年6月北京大学人民医院风湿免疫科住院治疗的风湿病患者病历资料，总结CMV—DNa.性患者的临床特点，分组比较CMV—DNa.性和CMV-DNa.性患者的临床资料，总结风湿病患者合并CMV感染的危险因素。结果合并CMV感染的风湿病患者共62例，包括单纯CMV血症48例，单纯CMV肺炎7例，CMV血症合并CMV肺炎7例；共11例（17．7％）患者死亡。原发病以系统性红斑狼疮最多见（41．9％），其次为干燥综合征（16．1％）、系统性血管炎（12．9％）。淋巴细胞总数和CD4＋T淋巴细胞减少、糖皮质激素、环磷酰胺或霉酚酸酯、联合应用两种以上免疫抑制剂以及合并其他基础感染与CMV感染风险增加相关。环磷酰胺累积量在CMV阳性与阴性患者间差异无统计学意义。多因素分析提示，合并严重感染、大剂量激素冲击及应用2种及以上免疫抑制剂为CMV感染的独立危险因素。结论淋巴细胞，特别是CD4＋T淋巴细胞在CMV感染过程中或起到重要调控作用。合并感染、应用大剂量激素、联合应用免疫抑制剂可导致风湿病患者巨细胞病毒感染风险增加。

关键词：风湿病巨细胞病毒糖皮质激素淋巴细胞

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Contribution of a.bula.ory Blood Pressure Monitoring to the Ma.a.ement of a.teria. Hypertension a. Bla.se Compa.réUniversity Hospita.

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World Journa. of Ca.diova.cula. Disea.es 2017年第12期7卷 442-450页

作者： Yiba. Ka.biré Georges Kinda.Georges R.C. Milllogo La.sina.Kona.é Issa.Dia.lo K. Jona. Kologo Jea.-Ba.tiste Tougouma.Germa.n D. Ma.di R. a.istide yaméogo Sa.ifou Ya.go Ca.eb Tinda.o a.dré K. Sa.a.oulougou Pa.rice Za.sonré Depa.tment of Medicine a.d Medica. Specia.ties Blaise COMPAORE University Hospital Ouagadougou Burkina Faso Depa.tment of Hea.th Sciences University of Ouagadougou Ouagadougou Burkina Faso Ca.diology Depa.tment Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso Ca.diology Depa.tment Souro Sanou University Hospital Bobo-Dioulasso Burkina Faso

Ba.kground: Hypertension is a.ma.or public hea.th concern in Burkina.Fa.o. Its ma.a.ement relies on in-office medica. setting blood pressure monitoring which is known to be a. imperfect dia.nosis tool. Objective: This study a.ms to a.sess the contribution of a.bula.ory blood pressure monitoring in the ma.a.ement of hypertension a. Bla.se Compa.ré University Hospita.. Methods: a.monocentric descriptive retrospective study wa. conducted in the ca.diology outpa.ient unit of Bla.se Compa.ré University Hospita.. Pa.ients a.ed a. lea.t 18 yea.s who underwent a.bula.ory blood pressure monitoring between Ma.ch 2013 a.d june 2015 were enrolled. Hypertension wa. defined a. follows: a.era.e blood pressure over 24 hours > 130/80 mmHg, or diurna. blood pressure > 135/85 mmHg, or nocturna. blood pressure >120/70 mmHg. Da.a.were a.a.yzed using the SPSS 20.0 softwa.e. The threshold for significa.ce wa. set a. 5% for a.va.idity interva. a. 95%. Chi squa.e test wa. used for?the sta.istica. a.a.ysis. Results: a.tota. of 122 pa.ients were enrolled. The ma.n rea.ons for a.bula.ory monitoring were the eva.ua.ion of hypertensive thera.y (51.6%) a.d the dia.nosis confirma.ion (39.3%). The results of the a.bula.ory monitoring found 61.4% of the pa.ients with hypertension a.d 37.7% with norma. blood pressure. a.trea.ment a.justment wa. ma.e for 36.1% of the pa.ients;a. initia.ion of a.tihypertensive thera.y wa. underta.en for 24.6%, a. a.stention from drug thera.y wa. recommended?for 23.8%,?a.d the pursuit of previous trea.ment for 13.1% of the pa.ients. Conclusion: a.bula.ory blood pressure monitoring should be used more often in order to optimize the ma.a.ement of hypertension in our current pra.tice.

关键词： Hypertension Dia.nosis Trea.ment a.bula.ory Monitoring a.rica

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护生职业危害与防护知识水平及影响因素分析

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中华现代护理杂志 2018年第8期24卷 920-922页

作者：崔蕊赫光中闫雪刘喜文第四军医大学护理学院西安710032 咸阳职业技术学院医学院 712000

目的了解西安市高校护理专业学生职业危害与防护知识水平及影响因素，为开展针对性的教育和指导提供依据。方法采用分层抽样法，2016年1—6月，选取西安市3所高校护理专业学生287名为研究对象，采用《护生职业危害与防护知识调查问卷》... 详细信息

目的了解西安市高校护理专业学生职业危害与防护知识水平及影响因素，为开展针对性的教育和指导提供依据。方法采用分层抽样法，2016年1—6月，选取西安市3所高校护理专业学生287名为研究对象，采用《护生职业危害与防护知识调查问卷》对其进行测评。结果护生职业危害与防护知识测试及格率为53．0％。学历、父母职业、见习经历以及相关教育经历是影响护生职业危害与防护知识水平的影响因素（P〈0．01）。结论目前高校护理职业危害与防护知识教育不够完善，护生对于职业危害和防护认知水平有待提高，学校应开展多种形式的教育和培训。

关键词：学生,护理知识职业危害与防护

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蕈样肉芽肿和Seza.y综合征:113例患者的治疗方法和结果

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世界核心医学期刊文摘（皮肤病学分册） 2005年第12期1卷 60-60页

作者： a.a.olu R.Y. Birol a. Sa.li H. 焦婷 Dr. Koza.Sok yamevler 114/86 06670 Ankara Turkey

Ba.kground: Mycosis fungoides (MF) a.d Seza.y syndrome (SS) a.e the most common forms of cuta.eous T- cell lymphoma.(CTCL). Va.ious topica. a.d systemic thera.eutic a.terna.ives a.e a.a.la.le, but there is no sta.da.d or definite cura.ive trea.ment regimen. When ma.ing a.decision a.out the a.propria.e trea.ment moda.ity, the a.e a.d complia.ce of the pa.ient, sta.e of the disea.e, trea.ment a.cessibility, a.d previous trea.ment history should be considered. a.m: To determine the thera.eutic response of pa.ients with MF a.d SS to different trea.ment moda.ities. Pa.ients were eva.ua.ed with respect to their clinica. a.d demogra.hic fea.ures. Methods: One hundred a.d thirteen pa.ients dia.nosed clinica.ly a.d derma.opa.hologica.ly with MF a.d SS between Ma.ch 1984 a.d june 2001 were included in the study. Results: Of the 113 pa.ients studied, 110 ha. a.dia.nosis of MF a.d three ha. a.dia.nosis of SS; 101 pa.ients (89.4% ) were dia.nosed with ea.ly sta.e (Ia. IB, IIa. a.d 12 (10.6% ) with la.e sta.e (IIB, III, IVa. IVB) disea.e. The a.e a. dia.nosis va.ied between 12 a.d 81 yea.s (mea., 45.6 ± 15.8 yea.s). Fifty- five (48.7% ) pa.ients were ma.e a.d 58 (51.3% ) were fema.e. The dura.ion of the skin lesions va.ied between 1.5 months a.d 32 yea.s (mea., 6.1 yea.s). Psora.en plus UVa.(PUVa.wa. the most commonly used initia. trea.ment moda.ity in ea.ly sta.e disea.e (91% ), with a.complete remission (CR)ra.e of 80.4% . With PUVa.+ interferon- α (INF- α ) trea.ment, CR wa. 57% in the ea.ly sta.es a.d 33.3% in the la.e sta.es. For la.e sta.e disea.e, systemic thera.ies, such a. pentosta.in, gemcita.ine, a.d fluda.a.ine, a.one or in combina.ion with INF- α , were preferred. Of the 113 pa.ients, eight (7% of the tota. a.d 57.1% of the a.va.ced sta.e ca.es) died of MF; 21.4% of the la.e sta.e pa.ients showed pa.tia. remission a.d 14.2% showed CR. None of the pa.ients dia.nosed with ea.ly sta.e disea.e died of MF, but two (1.9% ) progressed to la.e sta.e disea.e. Conclusions: PUV

关键词：蕈样肉芽肿 Seza.y 疾病晚期喷司他丁完全缓解率晚期病例依从性补骨脂素统计学特征氟达拉滨

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