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Examining the Types and Consequences of Female Genital Mutilation in Somalia: A Cross-Sectional Study on the Burden and Impact of Acute and Long-Term Complications

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1322-1334页

作者： Rahma yusuf Haji Mohamud Nur Adam Mohamed Mohamed Yaqub Hassan khadija yusuf ali Marian Muse Osman Amal Nor ali Ifrah Adan Hilowle Iftin Mohamed Osman Mohamed Farah yusuf Mohamud Department of Nursing Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia Department of Psychiatry and Behavioral Sciences Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia Department of Pediatric Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia Department of Obstetrics and Gynecology Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia Research Department National Institute of Health Mogadishu Somalia Department of Pulmonology Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia Department of Emergency Medicine Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital Mogadishu Somalia

Background: In Africa, female genital mutilation (FGM) is a widespread and harmful practice, with Somalia having the highest incidence at 98%. This practice has severe and long-lasting physical and mental health consequences. The aim of the study was to evaluate the different types of FGM;immediate and long-term complications associated with the practice, and identify factors related to its prevalence. Method: In a one-year cross-sectional hospital-based study, data were collected from females aged 18 - 50 with a history of FGM. Face-to-face semi-structured questionnaires were used for data collection. Data analysis was performed using SPSS version 26, utilizing univariate and bivariate analyses to identify correlations between variables, which were presented in tables. Results: In a study involving 255 female participants, 65.5% were between 18 and 30 years old. The majority (82.7%) were married, while 47.1% were illiterate. FGM cases were more prevalent in rural areas (61.6%). Among the participants, 45.1% were employed. Type 3 FGM was the most common (44.3%), followed by Type 2 (32.2%) and Type 1 (23.9%). In terms of short-term complications experienced by circumcised women, the most common were bleeding, reported by 29.8% of participants, followed by infection (25.1%), and urinary retention (19.2%). Among the long-term complications observed, recurrent vaginal infections were the most prevalent, affecting 29.8% of the surveyed females. This was episiotomy during delivery (22.3%) and genital scarring (10.2%). Conclusion: The study reveals that Type 3 FGM is highly prevalent among the surveyed females, contributing to an increased risk of recurrent vaginal infections, prolonged second stage of labor, higher likelihood of episiotomy during delivery, and genital scarring. These findings emphasize the urgent need for effective preventive strategies and implementation from both international and local organizations to eliminate the harmful practice of FGM.

关键词： Female Genital Mutilation Women Obstetrics and Gynecology Somalia

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Deterministic and probabilistic analysis of great-depth braced excavations:A 32 m excavation case study in Paris

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第5期16卷 1505-1521页

作者： Tingting Zhang Julien Baroth Daniel Dias khadija Nejjar Université Grenoble Alpes CNRSGrenoble INP3SRGrenoble38000France Antea Group Antony92160France School of Automotive and Transportation Engineering Hefei University of TechnologyHefei23009China Terrasol 42-52 Quai de la RapéeParis75012France

The Fort d’Issy-Vanves-Clamart(FIVC)braced excavation in France is analyzed to provide insights into the geotechnical serviceability assessment of excavations at great depth within deterministic and probabilistic *** FIVC excavation is excavated at 32 m below the ground surface in Parisian sedimentary basin and a plane-strain finite element analysis is implemented to examine the wall deflections and ground surface settlements.A stochastic finite element method based on the polynomial chaos Kriging metamodel(MSFEM)is then proposed for the probabilistic *** with field measurements and former studies are carried *** academic cases are then conducted to investigate the great-depth excavation stability regarding the maximum horizontal wall deflection and maximum ground surface *** results indicate that the proposed MSFEM is effective for probabilistic analyses and can provide useful insights for the excavation design and construction.A sensitivity analysis for seven considered random parameters is then *** soil friction angle at the excavation bottom layer is the most significant one for *** soil-wall interaction effects on the excavation stability are also given.

关键词： Braced deep excavation Soil-wall interaction Stochastic finite element method Horizontal wall deflection Settlement Failure probability

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Binding Energy, Root Mean Square Radius and Magnetic Dipole Moment of the Triton Nucleus

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Open Journal of Microphysics 2024年第2期14卷 24-39页

作者： khadija Abdelhassan Kharroube Faculty of Sciences Lebanese University Beirut Lebanon

The basis functions of the translation invariant shell model are used to construct the ground state nuclear wave functions of 3H. The used residual two-body interactions consist of central, tensor, spin orbit and quadratic spin orbit terms with Gaussian radial dependence. The parameters of these interactions are so chosen in such a way that they represent the long-range attraction and the short-range repulsion of the nucleon-nucleon interactions. These parameters are so chosen to reproduce good agreement between the calculated values of the binding energy, the root mean-square radius, the D-state probability, the magnetic dipole moment and the electric quadrupole moment of the deuteron nucleus. The variation method is then used to calculate the binding energy of triton by varying the oscillator parameter which exists in the nuclear wave function. The obtained nuclear wave functions are then used to calculate the root mean-square radius and the magnetic dipole moment of the triton.

关键词： Translation Invariant Shell Model Residual Two-Body Interactions Nucleon-Nucleon Interactions Binding Energy Nuclear Wave Functions

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Capparis spinosa L waste activated carbon as an efficient adsorbent for crystal violet toxic dye removal: Modeling, optimization by experimental design, and ecological analysis

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Chinese Journal of Chemical Engineering 2024年第7期71卷 283-302页

作者： Mohammed Benjelloun Youssef Miyah Salma Ssouni Soulaiman Iaich Mohamed El-habacha Salek Lagdali khadija Saka El Mustafa Iboustaten Abdelaziz Ait Addi Sanae Lairini Rabia Bouslamti Laboratory of Materials ProcessesCatalysisand EnvironmentHigher School of TechnologySidi Mohamed Ben Abdellah UniversityFez 30070Morocco Ministry of Health and Social Protection Higher Institute of Nursing Professions and Health TechniquesFez/Meknes 30070Morocco Laboratory of Biochemistry Faculty of MedicinePharmacy and DentistrySidi Mohamed Ben Abdellah UniversityFez 30070Morocco Laboratory of Applied Chemistry and Environment Faculty of SciencesIbnou Zohr UniversityAgadir 80322Morocco Research Team of Energy and Sustainable Development Higher School of TechnologyIbnou Zohr UniversityGuelmim 81000Morocco Organic Chemistry and Physical Chemistry Laboratory Faculty of SciencesIbnou Zohr UniversityAgadir 80322Morocco

Textile dyes are dramatic sources of pollution and non-aesthetic disturbance of aquatic life and therefore represent a potential risk of bioaccumulation that can affect living *** is imperative to reduce or eliminate these dyes from liquid effluents with innovative biomaterials and ***,this research aims to highlight the performance of Capparis spinosa L waste-activated carbon(CSLW-AC)adsorbent to remove crystal violet(CV)from an aqueous *** mechanism of CV adsorption on CSLW-AC was evaluated based on the coupling of experimental data and different characterization *** efficiency of the CSLW-AC material reflected by the equilibrium adsorption capacity of CV could reach more than 195.671 mg·g^(–1) when 0.5 g·L^(–1) of CSLW-AC(Particle size≤250μm)is introduced into the CV of initial concentration of 100 mg·L^(–1) at pH 6 and temperature 65℃ and in the presence of potassium ions after 60 min of contact time according to the one parameter at a time *** adsorption behavior of CV on CSLW-AC was found to be consistent with the pseudo-second-order kinetic model and Frumkin's linear isothermal *** thermodynamic aspects indicate that the process is physical,spontaneous,and *** optimization of the process by the Box Behnken design of experiments resulted in an adsorption capacity approaching 183.544 mg·g^(–1)([CV]=100 mg·L^(–1) and[CSLW-AC]=0.5 g·L^(–1) at 35 min).The results of the Lactuca sativa seeds germination in treated CV(70%),adsorbent solvent and thermal regeneration(more than 5 cycles),and process cost analysis(1.0484 USD·L^(–1))tests are encouraging and promising for future exploitations of the CSLW-AC material in different industrial fields.

关键词： Box Behnken Capparis spinosa L waste-activated carbon Cost analysis Isotherm Kinetic Regeneration

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Evaluating implicit gender bias at Canadian otolaryngology meetings through use of professional title

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第1期10卷 12-17页

作者： Kylen Van Osch Agnieszka Dzioba khadija Ahmed Andrew MacDonald Jamila Skinner Harley Williams Julie E.Strychowsky M.Elise Graham Department of Otolaryngology-Head&Neck Surgery Schulich School of Medicine&DentistryWestern UniversityLondonOntarioCanada Department of Otolaryngology London Health Sciences Centre Children's HospitalLondonOntarioCanada Faculty of Medicine Schulich School of Medicine&DentistryWestern UniversityLondonOntarioCanada

Objectives:Increasing numbers of women enter medical school *** number of female physicians in leadership positions has been much slower to *** are also well‐documented differences in the treatment of women as compared to men in professional *** presenters are less likely to be introduced by their professional title(“Doctor”)for grand rounds and conferences,especially with a man performing the *** study reviewed the Canadian Society of Otolaryngology–Head and Neck Surgery(CSOHNS)meetings from 2017 to 2020 to determine the proportion of presenters introduced by their professional title and whether this varied by ***:Recordings from CSOHNS meetings were reviewed and coded for introducer and presenter demographics,including leadership positions and ***‐squared tests of proportion and multivariate logistic regression was used to compare genders and identify factors associated with professional versus unprofessional forms of ***:No significant association was found between professional title use and introducer or presenter *** presenters were introduced with professional title 69.6%of the time,while male presenters were introduced with professional title 67.6%of the time(P=0.69).Residents were introduced with a professional title with the most frequency(75.8%),while attending staff were introduced with a professional title with the least frequency(63.0%)(P=0.02).Conclusions:The lack of gender bias in speaker introductions at recent CSOHNS meetings demonstrates progress in achieving gender equity in *** efforts should continue to define additional forms of unconscious bias that may be contributing to gender inequity in leadership positions.

关键词： attitude of health personnel gender identity Otolaryngology women

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A Bronchopulmonary Onset of Candidemia Revealing a Granulomatosis with Polyangiitis

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Case Reports in Clinical Medicine 2024年第5期13卷 147-154页

作者： Chaïmaâ Zeroual Mina Moudatir khadija Echchilali Leila Barakat Hassan El Kabli Department of Internal Medicine Ibn Rochd University Hospital Center Casablanca Morocco

Candidemia is defined as being a yeast infection confirmed by the presence of at least one positive Candida blood culture. It is a life threatening infection causing high mortality. The clinical signs are generally compatible with the causative agent (whether there is a deep venous catheter or not). On the other hand and according to the 2012 Revised Chapel Hill Classification, granulomatosis with polyangiitis GPA is classified as a vasculitis associated with antineutrophil cytoplasmic antibodies ANCA. It is a systemic disease characterized by the anatomopathological aspect of granuloma. We report the case of a patient who presented an atypical and a very rare revealing mode of GPA which was a bronchopulmonary candidiasis complicated by candidemia. Despite its controversy, the combination in the acute phase of antifungal treatment based on intravenous voriconazole and glucocorticoid therapy has made it possible to control candidemia and calm vasculitis.

关键词： Candidemia C. glabrata Pulmonary Candidiasis Vasculitis Immunodepression Granulomatosis with Polyangiitis Cavitary Lesions Antifungal Therapy Immunosuppressants

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Impact of the COVID-19 Pandemic on Cancer Patients: Experience of the medical oncology department of CHU HASSAN II Fez.

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Journal of Cancer Therapy 2024年第3期15卷 83-91页

作者： khadija Hinaje Oumaima Talbi Lamiae Amaadour Karima Oualla Zineb Benbrahim Samia Arifi Nawfel Mellas Department of Medical Oncology Hassan II University Hospital University Sidi Mohamed Ben Abdellah Fez Morocco

Introduction: In December 2019, COVID 19 spread worldwide, but did not officially start in MOROCCO until March 02, 2020. Since then, this pandemic has significantly impacted the health status of patients in general and cancer patients in particular. The main objective of our study is to evaluate the prognosis of patients treated for cancer and infected with COVID-19. Material and method: A descriptive study with prospective collection was carried out at the medical oncology department of CHU Hassan II in FEZ over a period of two years, from March 2020 to March 2022. Data was carried out on the software SPSS. Results: One hundred cancer patients tested positive for COVID-19 infection and were collected within our department. The average age was 56 years [22-91]. The sex ratio was 1.2. Patients with breast cancer were the most affected by this infection (34%). The clinical symptomatology was dominated by the respiratory syndrome (45%).The diagnosis was made through thoracic CT scan in 62% of cases. 76% of patients were in a metastatic stage. 96% of patients were undergoing oncological treatment. For symptomatique patients, the standard treatment approach involved using antibiotics in 76% of cases. Evolution was marked by recovery in 79% of patients, with a death rate of 12% in this cancer patient population. Conclusion: COVID-19 infection is particularly severe in cancer patients. Mortality among these patients remains high and is associated with overall patient characteristics. However, anticancer treatments have not shown deleterious effects on the course of COVID-19.

关键词： COVID-19 Cancer. SARS-CoV-2

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Impact of index admission cholecystectomy vs interval cholecystectomy on readmission rate in acute cholangitis: National Readmission Database survey

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World Journal of Gastrointestinal Endoscopy 2024年第6期16卷 350-360页

作者： Abdullah Sohail Ahmed Shehadah Ammad Chaudhary khadija Naseem Amna Iqbal Ahmad Khan Shailendra Singh Department of Internal Medicine University of Iowa Roy J and Lucille A Carver College of MedicineIowaIA 52242United States Department of Internal Medicine Rochester General HospitalRochesterNY 14621United States Department of Internal Medicine Henry Ford HospitalDetroitMI 48202United States Department of Internal Medicine Cleveland Clinic FoundationClevelandOH 44195-0001United States Department of Internal Medicine University of ToledoToledoOH 43606United States Department of Gastroenterology and Hepatology Case Western Reserve University HospitalClevelandOH 44106United States Division of Gastroenterology and Hepatology West Virginia University School of MedicineMorgantownWV 26505United States

BACKGROUND Elective cholecystectomy(CCY)is recommended for patients with gallstone-related acute cholangitis(AC)following endoscopic decompression to prevent recurrent biliary ***,the optimal timing and implications of CCY remain *** To examine the impact of same-admission CCY compared to interval CCY on patients with gallstone-related AC using the National Readmission Database(NRD).METHODS We queried the NRD to identify all gallstone-related AC hospitalizations in adult patients with and without the same admission CCY between 2016 and *** primary outcome was all-cause 30-d readmission rates,and secondary outcomes included in-hospital mortality,length of stay(LOS),and hospitalization *** Among the 124964 gallstone-related AC hospitalizations,only 14.67%underwent the same admission *** all-cause 30-d readmissions in the same admission CCY group were almost half that of the non-CCY group(5.56%vs 11.50%).Patients in the same admission CCY group had a longer mean LOS and higher hospitalization costs attrib-utable to *** the most common reason for readmission was sepsis in both groups,the second most common reason was AC in the interval CCY *** Our study suggests that patients with gallstone-related AC who do not undergo the same admission CCY have twice the risk of readmission compared to those who undergo CCY during the same *** readmis-sions can potentially be prevented by performing same-admission CCY in appropriate patients,which may reduce subsequent hospitalization costs secondary to readmissions.

关键词： Acute cholangitis Gallstone-related complications National Readmission Database 30-d readmission rates Resource utilization In-hospital mortality

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一株柠檬内生细菌Z10的分离鉴定及其抑菌活性的发酵条件优化

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微生物学通报 2024年第5期51卷 1641-1658页

作者：钱程叶景 khadija EI Galai 张琴高梦蝶杨新宇喻艳玲唐松安徽工程大学生物与食品工程学院安徽芜湖241000

【背景】近年来,从植物内生菌的发酵产物中挖掘抑菌活性成分已成为寻找新型生物活性成分的重要途径。【目的】寻找新的具有高效抗菌活性的植物内生菌,并探究其产生抗菌活性物质的最优发酵条件和抑菌机制。【方法】利用组织分离法和划线... 详细信息

【背景】近年来,从植物内生菌的发酵产物中挖掘抑菌活性成分已成为寻找新型生物活性成分的重要途径。【目的】寻找新的具有高效抗菌活性的植物内生菌,并探究其产生抗菌活性物质的最优发酵条件和抑菌机制。【方法】利用组织分离法和划线法从柠檬皮和籽核中分离内生菌株,按照滤纸片和牛津杯法筛选对病原菌具有较强抑制作用的菌株,通过形态观察和16S rRNA基因序列分析确定活性菌株的分类地位,基于微孔板法检测活性菌株发酵液提取液(B02c)的抑菌效果,以单因素试验和响应面试验设计对发酵条件进行优化,并通过碘化丙啶/SYTO-9探针标记结合流式细胞术检测B02c对检定菌细胞膜的影响。【结果】从柠檬籽核中筛选出一株对金黄色葡萄球菌(Staphylococcus aureus)具有显著抑制作用的菌株Z10,鉴定为芽孢杆菌(Bacillus sp.);菌株Z10的最佳发酵条件为柑橘皮渣添加量1.6 g/100 mL、pH 6.8、接种量10.0%、转速172 r/min、培养时间36 h,优化后B02c的抑菌率达到84.36%,较优化前提升16.36%;B02c对金黄色葡萄球菌的最低抑制浓度(minimum inhibitory concentration,MIC)为3.125 mg/mL,其能够破坏金黄色葡萄球菌细胞膜的完整性。【结论】柠檬内生菌Z10在优化发酵条件后获得的B02c对金黄色葡萄球菌具有良好的抑菌效果,在新型、高效的天然抑菌活性物质筛选及其工业化生产中具有一定应用前景。

关键词：分离鉴定芽孢杆菌内生菌抑菌机制发酵优化

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Juvenile Systemic Sclerosis: About 9 Cases

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Open Journal of Pediatrics 2024年第2期14卷 320-326页

作者： Kaoutar Danaoui Houda Nassih khadija Oujennane Rabiy El Qadiry Aicha Bourrahouat Said Amal Imane Ait Sab B Pediatric Ward Mohammed VI University Hospital Center Marrakesh Morocco Dermatology Ward Mohammed VI University Hospital Center Marrakesh Morocco

Scleroderma is a rare disease with two primary forms: localized scleroderma (LS) and systemic sclerosis (SSc). Both are chronic conditions that can manifest in various patterns (subtypes) and are linked to extracutaneous involvement in pediatric patients. Juvenile SSc poses a higher risk of morbidity and mortality, with patients facing life-threatening complications such as lung, heart, and visceral organ fibrosis, and vasculopathy. In contrast, mortality is extremely rare in juvenile LS, but patients are susceptible to significant morbidity, leading to severe disfigurement and functional impairment. Treatment for scleroderma aims to control inflammation and address specific issues. An early diagnosis significantly enhances the overall outcome. This study conducts a retrospective descriptive analysis aiming to document the clinical manifestations, management approaches, and outcomes of systemic sclerosis in a cohort of nine children receiving treatment for juvenile systemic sclerosis at Pediatric B department of Mohammed VI University, Hospital Center in Marrakech, Morocco.

关键词： Scleroderma Systemic Sclerosis Children Pediatric

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