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Informed Consent Prior to Elective Gynaecological Surgery in Two Reference Hospitals in Yaoundé, Ca.eroon: A Mixed Methods Study

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Open Journal of Obstetrics and Gynecology 2022年第9期12卷 958-978页

作者： Christiane Nsahlai Ojong Samuel Luchuo Engelbert Nseme Eric Tarkang Elvis Gouané Mathias Ombaku kingsley Foumane Pascal Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences University of Yaoundé I Cameroon Faculty of Medicine and Biomedical Sciences University of Yaoundé I Cameroon Global Health Research and Services Amsterdam The Netherlands Department of Pathology Faculty of Medicine and Biomedical Sciences University of Yaoundé I Cameroon School of Public Health University of Health and Allied Sciences Ho Ghana Yaounde Gynaeco-Obstetric and Paediatric Hospital Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences University of Yaoundé I Cameroon

Introduction: Informed consent is a process that enshrines respect for patients’ autonomy, their dignity, and their rights to determine what happens to their own bodies. We set out to describe the surgical informed consent process and evaluate its quality in patients undergoing elective gynaecological surgeries in two University Teaching Hospitals in Yaounde, Ca.eroon. Methods: This was a cross-sectional, prospective study over 9 month period, from October 1st, 2018, to June 30th, 2019 at the Yaounde Gynaeco-Obstetric and Paediatric Hospital (YGOPH) and the Yaounde Central Hospital (YCH). By administering a modified Brezis questionnaire 48 hours after surgery, we obtained data which enabled us to evaluate and score the informed consent process and obtained written reports of patients’ appreciation of key aspects of the informed consent process prior to surgery. We then called each participant 6 months after their surgery date to obtain information on the occurrence or not of post-operative complications. Results: We recruited 72 patients aged 24 to 68 years old (61 at YGOPH, 11 at YCH). The operating gynaecologist sought patient consent in 65.3% (49/72) of cases, while 61.1% (44/72) of the subjects would have loved to have more information on surgical risks;69.4% (50/72) were satisfied with the consent process;and 56.9% (41/72) could recall and repeat the information they received prior to surgery. While 37.5% (27/72) had poor quality (non-valid consent), 40.3% had good quality consent (valid). Consent administered by the gynaecologist (OR = 0.172;95% CI = 0.060 - 0.049) was a strong determinant of valid consent. Also, patients with non-valid consent significantly reported more complications (OR = 4.469;95% CI = 1.412 - 14.147) than those with valid consent. Conclusion: Informed consent prior to elective gynaecological surgeries in our study was poor. The timing of the consent process, as well as the person involved in the process affect the va

关键词： Informed Consent Elective Gynaecological Surgery Yaounde

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受到质疑的法国高速列车模式

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国外铁道机车与动车 2016年第2期 38-38,43页

作者： Nick kingsley 刘颖

法国审计法院出具的高速列车报告中对国家高铁模式提出一些质疑,文章对报告的主要观点做了介绍。

关键词：法国高速列车普通线路高速线路交通运输方式

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Quantitative Assessment of Medical Waste Management in Hamad Medical Corporation—Qatar

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Occupational Diseases and Environmental Medicine 2021年第3期9卷 112-126页

作者： Huda Al Naemi kingsley Izuka Catherine Edquibal Noof Al-Korbi Noora Al Kuwari Maryam Al Homaid Occupational Health & Safety Hamad Medical Corporation Doha Qatar Weill Cornell Medicine Doha Qatar

A proper waste management system is very important in healthcare facilities because the overall benefit outweighs the cost. In the healthcare sector, hazardous health care waste (HHCW) consists of wastes that are potentially contaminated by dangerous agents. Identification and segregation of HHCW is harbinger for its proper management. The quantitative analysis study on HHCW had not been done in Qatar government hospitals. This study quantitatively analyzed the current practice for HHCW management in Hamad Medical Corporation (HMC), Qatar. The objective of this study is to provide a first comprehensive assessment of hazardous healthcare waste managements in Qatar and offers an opportunity to improve existing practice. This is a retrospective survey study carried out on secondary data collected from the department of occupational health and safety (OHS), HMC. OHS department collects and keeps records of hazardous wastes produced by HMC. Data on the HMC hospitals’ characteristics from 2017 to 2019 were retrieved from Planning and Statistics Authority’s website. World Health Organization (WHO) formula for calculating HHCW generation rate was used to calculate the rate for HMC. Data analysis results show a steady increase in HHCW generation rate in HMC, the generation rate was 2.6 Kg/patient bed/day, 2.8 Kg/patient bed/day and 3.1 Kg/patient bed/day for the years 2017, 2018 and 2019 respectively. There were also significant variations in HHCW generation rates between hospitals. The highest generation rate was 4.64 Kg/patient bed/day recorded for AWH and the lowest was 0.2 Kg/patient bed/day recorded for mental health and both hospitals contributing 23.18% and 0.29% respectively of HHCW in HMC.

关键词： Hazardous Healthcare Waste Quantitative Analysis Generation Rate World Health Organization Hamad Medical Corporation Qatar

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The Prevalence and Pattern of Use of Alcohol among Undergraduate Students in Jos Plateau State, Nigeria

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Open Journal of Preventive Medicine 2022年第8期12卷 141-154页

作者： kingsley Chinedu Okafor John Samson Bimba Oluwatoyosi Ayobami Adekeye Adedoyin P. Obateru Lucy Ochanya Idoko Department of Community Medicine & PHC Bingham University Karu Nigeria

Introduction: Alcohol abuse is a recognized phenomenon among university students in Nigeria and harms the education and performance of students. This may include disruption of interpersonal relationships, especially within the family, criminal behaviour, academic failure, vocational failure, and a lack of commensurate achievement. Methodology: A cross-sectional descriptive study aimed at assessing the Prevalence and Pattern of Use of Alcohol Among Undergraduate Students In Jos Plateau State, Nigeria. It involved 290 Undergraduates selected using the Multistage sampling method. Results: The prevalence of current use of alcohol was 33.7% while two-thirds were not taking alcohol. There was a statistically significant association between current use of alcohol and sex (χ2 = 12.168, p ≤ 0.001), where more males than females use alcohol. Most (44.4%) undergraduates use alcohol weekly, 11.1% use it daily, and 14.3% Two times weekly. A majority (52.4%) take it after lectures and 27.0% take whenever they like. There was a statistically significant association between alcohol use and the level/year of study (χ2 = 27.258, p ≤ 0.001). More students in higher classes (5th year and 4th year) are taking alcohol when compared with new students and lower classes (1st year and 2nd year). A significant association was also found between alcohol use and respondent's Cumulative Grade Point Average-CGPA (χ2 = 22.809, p ≤ 0.001), as the majority of students using alcohol had a low CGPA (1.1 to 2.0) when compared to those with higher. Conclusion: The University and government should collaborate with students to establish peer support groups and programs that discourage the use of alcohol during school hours and while studying.

关键词： Alcohol Use Undergraduates Students

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日本直岛的前卫建筑自然与艺术就这样完美结合

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环球人文地理 2016年第5期 148-157页

作者：汪洋罗佳欣张贺 kingsley

上世纪末,一所兼具美术馆和旅馆功能的"倍乐生之家"出现在日本直岛,在接下来的20多年里,来自世界各地的艺术家纷纷踏上直岛,创造出一件又一件只属于直岛的艺术作品。众多充满艺术气息的前卫建筑,与海天一线的自然风光巧妙契合,令来到这... 详细信息

上世纪末,一所兼具美术馆和旅馆功能的"倍乐生之家"出现在日本直岛,在接下来的20多年里,来自世界各地的艺术家纷纷踏上直岛,创造出一件又一件只属于直岛的艺术作品。众多充满艺术气息的前卫建筑,与海天一线的自然风光巧妙契合,令来到这里的人情不自禁地发出赞叹……

关键词：前卫建筑安藤忠雄完美结合

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柴油发动机的前景评估

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国外铁道车辆 2020年第1期57卷 5-7页

作者： [英]Nick kingsley 周冬妍(译) 阎锋(校) 不详

概述了欧洲在铁路上运用柴油发动机的困惑,指出通过改进,使柴油发动机可以继续应用。

关键词：柴油发动机改进运用

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阿司匹林在小儿科的应用(连载之七)

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药学实践与服务 1985年第3期 17-21页

作者： kingsley Coulthard 戴诗文弗林德斯医学中心临床药师澳大利亚

根据澳大利亚统计局1977～1978年间的调查认为,30％的澳大利亚儿童经常应用多种形式的药物。对镇痛药来说,在调查的前两天内,约有170,000名5～14岁的儿童服用疼痛缓解剂,这种治疗曾经医生处方者还不到25％。阿德莱得市对406名养育6个月... 详细信息

根据澳大利亚统计局1977～1978年间的调查认为,30％的澳大利亚儿童经常应用多种形式的药物。对镇痛药来说,在调查的前两天内,约有170,000名5～14岁的儿童服用疼痛缓解剂,这种治疗曾经医生处方者还不到25％。阿德莱得市对406名养育6个月婴儿的母亲进行调查表明,约66％的婴儿在

关键词：阿司匹林扑热息痛乙酰水杨酸醋氨酚小儿科体温调节

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Attitude, Practice, and Factors Affecting Contraceptive Use among Women Attending Postnatal Care in a Tertiary Health Facility in Jos North LGA, Plateau State, Nigeria

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Open Journal of Obstetrics and Gynecology 2022年第8期12卷 814-831页

作者： kingsley Chinedu Okafor David Victor Omeiza Lucy Ochanya Idoko Effiong Anne Inyangobong Ochuma Emmanuel Unubi Amos Paul Bassi Department of Community Medicine & Primary Health Care Bingham University Karu Nigeria Community Health and Primary Health Care Bingham University Karu Nigeria

The high population growth rate has been associated with the increased level of poverty, morbidity, mortality, and decreased life expectancy. Modern contraception is an important factor in controlling fertility through prevention of unintended and unwanted pregnancies. Contraception (birth control) prevents pregnancy by interfering with the normal process of ovulation, fertilization, and implantation. Contraceptive use is still very low in Nigeria and Sub-Saharan Africa (SSA), where the levels of fertility and unmet need for family planning are high. The attitude of women toward contraception will usually affect the practice and utilization of contraceptives. The objective of this study is to assess the attitude, prevalence, and factors affecting contraceptive use among women attending Postnatal care in a tertiary health facility in Jos North L. G. A Plateau State, Nigeria. There was a descriptive cross-sectional study done between September to October 2019, with a sample size of 250 women. Respondents were determined using a multi-stage sampling method. Data collection was done using an interviewer-administered, pre-tested, structured questionnaire. The data was collected, entered, and analyzed using IBM Statistical package for social sciences (SPSS) version 20.0. Most women have a positive attitude 162 (64.8%) toward contraception while 88 (35.2%) had negative attitude toward contraception. Three quarters (75.2%) of women are willing to use contraception. The prevalence of contraceptive use among respondents was 35.6% while the prevalence of previous use of contraceptives among the respondents was 71.2%. Fifty (27.9%) used condom (barrier method), 40 (22.9%) used withdrawal method. Majority of the other respondents were spread across OCPs, injectables and implants. Major factors affecting the use of contraceptives were majorly attributed to informed choice with 60.1%, Partner’s decision (44.1%) and mild or no adverse reaction (12.8%). While major factors preventin

关键词： Attitude Contraception Postnatal Women

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回忆安南

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英语学习 2018年第12期 8-13页

作者： kingsley Moghalu 门椿林(选注) 不详

“联合国第七任秘书长科菲?安南8月18日与世长辞,享年80岁。他是公认的联合国历史上最富有改革精神的秘书长,就任后为了和平使命,在世界各地不断地穿梭访问、调停斡旋、化解危机、防止战争、呼吁和谈、谴责暴力,足迹遍布五大洲。无论是... 详细信息

“联合国第七任秘书长科菲?安南8月18日与世长辞,享年80岁。他是公认的联合国历史上最富有改革精神的秘书长,就任后为了和平使命,在世界各地不断地穿梭访问、调停斡旋、化解危机、防止战争、呼吁和谈、谴责暴力,足迹遍布五大洲。无论是在伊拉克危机、中东巴以冲突中,还是在克什米尔争端、阿富汗战争里,都可以见到安南的身影,因此他被誉为"世界上最忙碌的和平使者"。”

关键词：安南伊拉克危机阿富汗战争回忆克什米尔争端和平使者改革精神巴以冲突

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The Water Babies《水孩子》--那些立志纯洁的人终究会变得纯洁

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新东方英语·中学生 2016年第11期 42-45页

作者： Charles kingsley 张玲(译) 萱草(赏析)

查尔斯·金斯利(Charles kingsley,1819~1875)，英国作家、诗人、历史学家，代表作有历史小说《希帕蒂亚》(Hypatia)、《向西去》(Westward Ho！)等，儿童小说《如何夫人和为何小姐》(Madam How and Lady Why)、《水孩子》(The Water Ba... 详细信息

查尔斯·金斯利(Charles kingsley,1819~1875)，英国作家、诗人、历史学家，代表作有历史小说《希帕蒂亚》(Hypatia)、《向西去》(Westward Ho！)等，儿童小说《如何夫人和为何小姐》(Madam How and Lady Why)、《水孩子》(The Water Babies)等。《水孩子》讲述扫烟囱的小男孩汤姆(Tom)的成长故事。汤姆没有双亲，自小饱受师父格林姆斯(Grimes)的虐待，在一场误会之后，他逃到了旺谷。在仙女的暗中帮助下，他变成了一个水孩子，经历了种种冒险和考验之后成长为真正的男子汉。

关键词：汤姆历史学家历史小说儿童小说成长故事男子汉查尔斯作家英国烟囱仙女诗人虐待男孩冒险经历格林

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