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Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Cote d’Ivoire

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Open Journal of Nephrology 2017年第3期7卷 69-79页

作者： Delphine Amelie Lagou Albert Pessa Coulibaly Luc Nigue Weu Melanie tia Monlet Cyr Guei Mohamed Ibrahim Alex Moudachirou Kan Clement Ackoundou-N’Guessan Daze Apollinaire Gnionsahe Nephrology Department University Teaching Hospital of YopougonAbidjanCote d’Ivoire Uro-Nephrology Department Medical Science DepartmentFelix Houphouet Boigny UniversityAbidjanCote d’Ivoire Department of Public Health and Medical Informatics Medical Science DepartmentFelix Houphouët Boigny UniversityAbidjanCote d’Ivoire

Background: Kidney Transplantation is the best treatment for patients in end stage renal disease. It’s a new therapeutic approach for such patients in Cote d’Ivoire which is expected to develop. Aim: Determine the adherence factors affecting kidney transplant recipient among patients on maintenance haemodialysis in Cote d’Ivoire and point out possible obstacles to the development of this new practice in the country. Patients and Methods: This was a cross-sectional study carried out from May to June 2016 in the Haemodialysis Centres of Abidjan. Any patient aged ≥18 years, on haemodialysis for at least 6 months, who signed the inform consent were subjected to a questionnaire. None of the respondents had been transplanted. The subjects addressed in the document were sociocultural status, opinion related to kidney transplantation and willingness to be transplanted or not and the reasons. A statistical analysis was performed to determine factors associated with kidney transplantation desire. Results: We included 295 (71.53% males) patients, with a mean age of 44.53 ± 12.09 years. Among this population, 36.61% had a higher level of education, 70.85% were Christians, 66.44% lived with partners, 56.61% had no income and 74.92% were treated in Public Health Centres. The median duration on dialysis was 34 months. A total of 287 (97.29%) patients had already heard of kidney transplantation among which 149 (51.94%) for the first time after initiation of haemodialysis. There was 231 (78.31%) patients willing to be transplanted with only 91 (39.39%) of them having a potential living donors. The main motivations were the desire to stop dialysis (52.38%) and the search for a better quality of life (41.13%). Among the 64 (21.69%) patients unfavourable to renal transplantation, 45.31% raised its higher cost compared to haemodialysis. Duration on haemodialysis (>34 months) was significantly higher in patients willing to be transplanted compare to non-applicants (51.95% versus 37.50%,

关键词： Kidney Transplantation Adherence Factors Haemodialysis Cote d’Ivoire

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试析和谐文化在构建社会主义和谐社会中的价值功能

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北京交通大学学报（社会科学版） 2009年第2期8卷 73-76页

作者：孙成武钟天娥东北师范大学马克思主义研究院吉林长春130024 河北北方学院社会科学部河北张家口075000

和谐文化作为和谐社会的一个重要组成部分,在构建社会主义和谐社会中具有重要的价值功能,它为实现社会的全面、协调和可持续发展提供了各方面的条件和保障,是构建社会主义和谐社会的强大精神支柱。建设和谐文化,既是和谐社会的本质要求... 详细信息

和谐文化作为和谐社会的一个重要组成部分,在构建社会主义和谐社会中具有重要的价值功能,它为实现社会的全面、协调和可持续发展提供了各方面的条件和保障,是构建社会主义和谐社会的强大精神支柱。建设和谐文化,既是和谐社会的本质要求,也是构建社会主义和谐社会一项重要的战略任务。

关键词：和谐文化和谐社会价值功能

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慢性应激与去睾丸减少成年小鼠脑中NT-3和BDNF的蛋白表达(英文)

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中国药理学与毒理学杂志 2001年第4期15卷 245-250页

作者：连晓媛张岩周长满张均田中国医学科学院和中国协和医科大学药物研究所北京100050 中国中医研究院广安门医院制剂科北京100050 中国人民解放军北京军医学院解剖学教研室北京100071

研究了慢性应激对小鼠脑中神经营养因子蛋白表达的影响 ,并探讨了性激素降低是否参与此过程 .性成熟完整雄性小鼠和去睾丸小鼠接受慢性应激 6 0d ,完整动物海马和大脑皮层中神经营养因子3(NT 3)和脑源性神经营养因子 (BDNF)蛋白水平显... 详细信息

研究了慢性应激对小鼠脑中神经营养因子蛋白表达的影响 ,并探讨了性激素降低是否参与此过程 .性成熟完整雄性小鼠和去睾丸小鼠接受慢性应激 6 0d ,完整动物海马和大脑皮层中神经营养因子3(NT 3)和脑源性神经营养因子 (BDNF)蛋白水平显著降低 ,而且NT 3在海马齿状回的降低呈现某种程度的特异性 ,此外 ,齿状回颗粒细胞的形态退化在整个脑中也最为明显 ;去睾丸应激动物海马和大脑皮层中BDNF和NT 3蛋白水平较完整动物进一步降低 ,尤其是海马齿状回NT 3蛋白水平的降低与其他脑区相比表现出明显的特异性 ,同样 ,慢性应激引起的大脑皮层和海马特别是齿状回的神经元退化进一步被去睾丸恶化 .结果表明 ,慢性应激可抑制脑中NT 3和BDNF蛋白表达 ,去睾丸可使这种变化进一步加剧 ,海马齿状回对应激神经毒性较为敏感 ,提示 :脑中BDNF和NT 3蛋白水平降低与慢性应激过程中大脑形态退化密切相关 ;

关键词：慢性应激去睾丸脑神经营养因子脑源性神经营养因子免疫组织化学小鼠

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Acute Kidney Injury during Malaria in Togolese Children

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Open Journal of Nephrology 2018年第4期8卷 85-93页

作者： Kossi Akomola Sabi Befa Noto Kadou Kaza Eyram Yoan Makafui Amekoudi Weu Melanie tia Jacques Vigan Hamat Ibrahim Guillaume Abderhamman Mahamat Sandra Amouzou-Glikpa Edem Djadou Service de néphrologie et hémodialyse CHU SylvanusOlympio Lomé Togo Service de néphrologie et d’hémodialyse CHU de YOPOUGON Abidjan République de C&ocirc te d’Ivoire Clinique de néphrologie CNHU Cotonou. Bénin Service de néphrologie et d’hémodialyse h&ocirc pital universitaire de N’djaména Tchad Service de pédiatrie CHU SylvanusOlympio Lomé Togo

Objective: To describe clinical, biological and evolutionary profile of Acute Kidney Injury (AKI) due to Severe Malaria in the pediatric department. Methodology: This was a retrospective descriptive study that took place from January to December 2012. It has been included children aged 0 - 15 years admitted for severe malaria with positive thick drop. AKI was defined by using the modified RIFLE (Risk Injury Failure Loss End stage) classification for Pediatrics. Results: 338 children admitted for severe malaria were included. AKI was diagnosed in 24 children, a prevalence of 7.1% according to pRIFLE classification: RISK in 10 (3%), INJURY in 9 (2.6%) and FAILURE in 5 (1.5%). The average age was 8.16 ± 4.2 years. Clinical features were dominated by hemoglobinuria in 87.5%, oliguria, vomiting and fever in 75%. The biological features were dominated by severe anemia (Hb 5.5 mmol/l) was found in 2 cases. The mean parasitic density was 22,120 trophozoites. Malaria was treated primarily with artemether in 83.3% of the cases. Dialysis was indicated in 2 cases for menacing hyperkalaemia, but was not done because of lack of financial means. In one case, hyperkalaemia was successfully treated with symptomatic measures, but in the second case, these measures were not allowed to normalize kalaemia, and death occurred. Conclusion: Acute post-malarial renal failure secondary to tubular necrosis may be the dominant clinical features of severe malaria. Death may occur. Preventing malaria would be the best way to avoid it.

关键词： AKI Severe Malaria Haemoglobinuria Togo

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Broad Antibacterial Activity of Bothrops jararaca Venom against Bacterial Clinical Isolates

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Advances in Microbiology 2014年第16期4卷 1174-1187页

作者： Lucas Henrique Cendron Charise Dallazen Bertol Daiane Bopp Fuentefria Elza Maria Calegari Eliane Dallegrave Dinara Jaqueline Moura Kátia Moura Maria da Graca Marques Luciana Grazziotin Rossato Instituto de Ciências Biológicas Curso de FarmáciaUniversidade de Passo FundoPasso FundoBrasil Departamento de Farmacociências da Universidade Federal de Ciências da Saúde de Porto Alegre Porto AlegreBrasil Fundacao Estadual de Producao e Pesquisa em Saúde-Centro de Informacao Toxicológica do Rio Grande do Sul

Purpose: To evaluate the antibacterial activity of Bothrops jararaca venom against bacterial clinical isolates. Methods: Antibacterial activity of Bothrops jararaca venom was evaluated through agar diffusion method against the following bacteria: Acinetobacter baumannii, Oxacillinase-producing Acinetobacter baummanii, extended-spectrum β-lactamase-producing (ESBL) Enterobacter aerogenes, Escherichia coli, Escherichia coli ESBL, Klebsiella pneumoniae, Klebsiella pneumoniae ESBL, Proteus mirabilis, Pseudomonas aeruginosa, metallo β-lactamase-producing Pseudomonas aeruginosa, Staphylococcus aureus, oxacillin resistant Staphylococus aureus (ORSA), Staphylococcus epidermidis, and oxacillin resistant Staphylococus epidermidis.?Minimum inhibitory concentration was determined through microdilution plate protocol. Results: The venom presented antibacterial activity against all tested bacteria. More pronounced results were observed to Gram- positive bacteria, especially against ORSA. Conclusion: The present study evidenced the great antibacterial potential of Bothrops jararaca venom showing promising results even with resistant bacterial clinical isolates.

关键词： Snake Venom Antibiotic Potential Toxinology Bothrops

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Maternal Death and Potential Years of Life Lost(PYLL)in Santa Catarina,Brazil,in 2000 and 2014

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Open Journal of Nursing 2018年第11期8卷 823-834页

作者： Mara Beatriz Conceicao Carmem Regina Delziovo Maria de Lourdes de Souza Fiona Ann Lynn Kátia Cilene Godinho Bertoncello Ariane Thaise Frello Roque Sabiha Khanum Cheila Bentes State Secretariat of Health of Santa Catarina FlorianópolisBrazil Nursing Graduate Program Federal University of Santa Catarina(PEN/UFSC)and REPENSUL InstituteFlorianópolisBrazil School of Nursing and Midwifery Queen’s University BelfastBelfastNorthern Ireland Nursing Graduate Program Federal University of Santa Catarina(PEN/UFSC)FlorianópolisBrazil KMU Institute of Nursing Sciences Khyber Medical University(KMU)PeshawarPakistan DINTER PEN/UFSC/UEA FlorianópolisManausBrazil

Introduction: Indicators of maternal health are often used to evaluate the social development and overall health of a population, as well as the accessibility of health services. Among these indicators, the Potential Years of Life Lost, which is associated with maternal deaths, is useful for the definition of priorities, monitoring, evaluation, and intervention, identifying the highest risk groups. Objective: To analyze the Potential Years of Life Lost by maternal death in Santa Catarina in 2000 and 2014. Method: An Ecological study with exploratory spatial analysis was conducted with data obtained from the Information System on Mortality and Live Births. Results: In the Information System, 35 maternal deaths in the year 2000 were identified and 24 in 2014. The total estimated years of life lost were 845 years in 2000 and 780 years in 2014, dominated by direct obstetric causes. In 2000, women who died lost, on average, 39.8 years of life;and 41.5 years in 2014. Conclusion: The spatial pattern observed in 2000 highlights areas of high risk in different regions of Santa Catarina. The greatest loss of years occurred in younger women, confirming the need to prevent and control maternal mortality and review strategies for compliance with public policies in the State.

关键词： Maternal Mortality Potential Years of Life Lost Causes of Death

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PBL教学法在妇产科临床带教中的运用效果分析

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中国卫生产业 2018年第13期15卷 130-131,134页

作者：田玉姝解放军第八十八医院妇产科山东泰安271000

目的探讨以问题为基础教学法(PBL)教学法在妇产科临床带教中的应用效果。方法选择120例实习生随机分为观察组与对照组各60例,对照组给予传统基础授课法(LBL),观察组给予PBL,比较两组学生综合考核分数以及在求知欲望、学习主动性、逻辑... 详细信息

目的探讨以问题为基础教学法(PBL)教学法在妇产科临床带教中的应用效果。方法选择120例实习生随机分为观察组与对照组各60例,对照组给予传统基础授课法(LBL),观察组给予PBL,比较两组学生综合考核分数以及在求知欲望、学习主动性、逻辑思维、主动发言提问、归纳问题等方面的能力。结果观察组患者病例分析、实践操作得分均显著高于对照组(P<0.05);观察组患者求知欲望、学习主动性、逻辑思维能力、主动发言提问的勇气、归纳问题的能力方面优良率均显著高于对照组(P<0.05)。结论妇产科临床带教中应用PBL有利于提高学生的综合素质、学习的积极性与主动性,对培养学生解决实际临床问题的能力具有重要意义。

关键词： PBL教学法妇产科临床带教

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刮板输送机用防爆高速永磁电机的设计分析

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机械管理开发 2019年第10期34卷 42-43页

作者：田永庆山西宁武榆树坡煤业有限公司

针对当前永磁电机存在的问题进行分析,设计分析了一种应用于刮板输送机的防爆高速永磁电机。详细探究该永磁电机的结构及工作原理,阐述了具体的设计技术方案,并对应用效果进行了分析。

关键词：刮板输送机防爆高速永磁电机

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浅析教师幸福感的制约因素及提升途径

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武汉冶金管理干部学院学报 2009年第1期19卷 35-38页

作者：刘天娥襄樊学院教育科学与技术系湖北襄樊441053

教师的教育幸福感,不仅关系到教师本人职业生活的幸福,也关系到学生的幸福。只有当每位教师充溢着幸福的人生理念的时候,我们憧憬的幸福教育才会得以实现。当前,导致教师幸福感缺失的原因很多,主要有自身因素和外在因素,本文对教师幸福... 详细信息

教师的教育幸福感,不仅关系到教师本人职业生活的幸福,也关系到学生的幸福。只有当每位教师充溢着幸福的人生理念的时候,我们憧憬的幸福教育才会得以实现。当前,导致教师幸福感缺失的原因很多,主要有自身因素和外在因素,本文对教师幸福的制约因素及产生进行了详细的分析,并探索出一系列提升教师幸福的有效途径。

关键词：教师幸福感因素提升途径

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广东省典型湖泊叶绿素浓度垂向变化模型及影响机制

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地理研究 2019年第9期38卷 2357-2370页

作者：田建林庄大春刘永明梁业恒中山大学地理科学与规划学院广州510275 吉首大学土木工程与建筑学院张家界427000

叶绿素浓度垂向变化影响遥感反演精度和富营养化评价。湖泊水体叶绿素浓度影响因子众多,其垂向变化规律仍是当前的研究难点。以广东省3个典型湖泊的叶绿素浓度、营养盐浓度、藻种及粒径结构等数据,分析了叶绿素浓度垂向变化规律与影响机... 详细信息

叶绿素浓度垂向变化影响遥感反演精度和富营养化评价。湖泊水体叶绿素浓度影响因子众多,其垂向变化规律仍是当前的研究难点。以广东省3个典型湖泊的叶绿素浓度、营养盐浓度、藻种及粒径结构等数据,分析了叶绿素浓度垂向变化规律与影响机制,并用不同函数来拟合建模。结果表明:各水体不同时期拟合函数各异,需要分时间、分区域讨论;浅水区域(或浅水湖泊)叶绿素浓度自上而下先减后增,用傅立叶变换拟合效果佳;深水区域的规律是自上而下递减明显,用高斯函数拟合效果较好。浅水区域,光照和水温对垂向浓度的影响在本研究中体现不明显,但营养盐及底泥对其影响较明显;深水区域的垂向浓度变化是藻种、水温、营养盐等因子共同作用的结果。

关键词：湖泊叶绿素垂向浓度

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