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Endoscopic ultrasonography-guided fine needle aspiration:Relatively low sensitivity in the endosonographer population

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World Journal of Gastroenterology 2012年第19期18卷 2357-2363页

作者： Jean-marc Dumonceau Thibaud Koessler Jeanin E van Hooft Paul Fockens Division of Gastroenterology and Hepatology Geneva University Hospital1211 GenevaSwitzerland Division of General Internal Medicine Geneva University Hospital1211 GenevaSwitzerland Gastrointestinal Endoscopy Academic Medical Center University of Amsterdam1012 WXAmsterdamThe Netherlands

AIM： To assess the characteristics and quality of endoscopic ultrasonography-guided fine needle aspiration （EUS-FNA） in a large panel of endosonographers.METHODS： A survey was conducted during the 13th annual live course of endoscopic ultrasonography （EUS） held in Amsterdam, Netherlands. A 2-page question- naire was developed for the study. Content validity of the questionnaire was determined based on input by experts in the field and a review of the relevant literature. It contained 30 questions that pertained to demographics and the current practice for EUS-FNA of responders, including sampling technique, sample processing, cytopathological diagnosis and sensitivity of EUS-FNA for the diagnosis of solid mass lesions. One hundred and sixty-one endosonographers whoattended the course were asked to answer the survey. This allowed assessing the current practice of EUS-FNA as well as the self-reported sensitivity of EUS-FNA for the diagnosis of solid mass lesions. We also examined which factors were associated with a self-reported sensitivity of EUS-FNA for the diagnosis of solid mass lesions 〉 80%.RESULTS： Completed surveys were collected from 92 （57.1%） of 161 endosonographers who attended the conference. The endosonographers had been practio ing endoscopy and EUS for 22.5 4. 7.8 years and 4.8 4- 4.1 years, respectively; one third of them worked in a hospital with an annual caseload 〉 100 EUS-FNA. Endoscopy practices were located in 29 countries, in- cluding 13 countries in Western Europe that totaled 75.3% of the responses. Only one third of endosonog raphers reported a sensitivity for the diagnosis of solid mass lesions 〉 80% （interquartile range of sensitivities, 25.0%-75.0%）. Factors independently associated with a sensitivity 〉 80% were （1）〉 7 needle passes for pancreatic lesions or rapid on-site cytopathological evaluation （ROSE）（P 〈 0.0001）, （2） a high annual hospital caseload （P = 0.024） and （3） routine isolation of microcores from EUS-FNA samples （P =

关键词： Caseload Community surveys Cytopa- thology Endoscopic ultrasonography Histopathology Quality improvement

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Analysis of the Quality of Physical and Chemical Parameters of Groundwater in Three Localities in the Sub-Prefecture of Zanzra (Ivory Coast)

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Journal of Materials Science and Chemical Engineering 2024年第4期12卷 1-17页

作者： Djedjess Essoh Jules-César Meledje Bi Irié marc Gouli Drissa Ouattara Kra vanh Eric-Simon Zran Adjourma Konate Albert Trokourey Laboratoire de Chimie des Eaux (LCE) de l’ Ecole Normale Sup&#233rieure d&#8217Abidjan Abidjan C&#244te d&#8217Ivoire Laboratoire de Constitution et Ré action de la Mati&#232re (LCRM) &#224 l&#8217UFR SSMT-Universit&#233 F&#233lix Houphou&#235t-Boigny (UFHB) de Cocody Abidjan C&#244te d&#8217Ivoire

The availability of groundwater of acceptable quality has become a difficult challenge to meet in many countries, particularly Côte d’Ivoire. The State of Côte d’Ivoire and rural populations are building hydraulic infrastructure for this purpose. However, the quality of water coming from these infrastructures remains to be determined. This study therefore aims to analyze certain physicochemical parameters of the groundwater of Gloazra, Kouezra and Trahonfla. These are temperature, pH, electrical conductivity, TDS, salinity level, hardness, alkalinity, chloride content and bicarbonate. To determine the pH, electrical conductivity, temperature, TDS, and salinity rate, an electrochemical analysis was carried out. The titrimetric analysis made it possible to determine the chloride and bicarbonate content, alkalinity, and hardness. The results indicate that the studied groundwater is soft and acidic with good mineralization. This water does not present a health hazard to consumers but can affect hydraulic equipment and household containers.

关键词： Ivory Coast Gloazra Trahonfla Kouezra Physicochemical Parameters Water WHO Standards

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Multi-Scale Approach for Gold Targeting in Côte d’Ivoire Paleoproterozoic Rocks

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Open Journal of Geology 2024年第2期14卷 155-176页

作者： Martial Pohn Koffi Adingra Yao Augustin Koffi N’guessan Nestor Houssou Zié Ouattara Tokpa Kakeu Lionel-Dimitri Boya marc Ephrem Allialy Training and Research Unit in Earth Sciences and Mineral Resources Laboratory of Geology Mineral and Energy Resources University Felix HOUPHOU&#203T-BOIGNY Abidjan C&#244te d’Ivoire Training and Research Unit in Geological Sciences and Mining Department of Geology and Material Man University Man C&#244te d’Ivoire

The aim of this study is to contribute to better targeting of gold prospecting areas using geospatial information. To this end, 3 mining sites were selected for the study. They are: the Sénoufo belt (Barrick Gold mine), the Yaouré complex (Perseus Mining mine) and the South Fetêkro belt (Bonikro, Hiré and Agbaou mines). For this study, a multi-scale approach was carried out at regional, mine and microscopic levels. At the regional scale, a comparative analysis of 1:200,000 scale geological maps revealed that 3 main lithologies are regularly repeated on and around the various mining sites. These are: undifferentiated volcanics, metagranodiorites and metasiltites dominated by meta-arenites. Most of these lithologies are affected by undifferentiated faults generally oriented NE-SW, N-S, ENE-WSW and WNW-ESE. In addition, gold and manganese occurrences are present on all the sites studied. At the mine scale, radarsat-1 images processing indicate that the main mining sites are generally located near or at the intersection of lineaments-oriented NE-SW or N-S on the one hand and E-W or ENE-WSW or WNW-ESE or again NW-SE on the other. These mines are also located at the interface between zones of high and low lineament density. At the microscopic scale, petrographic studies of undifferentiated volcanic samples from the various sites indicate that they consist of andesites, meta-andesites and tuffs.

关键词： Gold Targeting Undifferentiated Volcanics Mineral Occurrences Lineaments Côte d’Ivoire

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Magma Mixing Genesis of the Mafic Enclaves and Related Granitoids in the Kan Granite-Gneiss Complex of Central Côte d’Ivoire: Evidence from Geology, Petrology and Geochemistry

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Open Journal of Geology 2024年第8期14卷 760-786页

作者： Koffi Raoul Teha Koffi Kossonou Jean-Marie Pria Koffi Joseph Brou Alain Nicaise Kouamelan marc Ephrem Allialy Souad M’Rabet Mineral and Energy Resources Laboratory (LGRME) Flix Houphout-Boigny University Abidjan Ivory Coast Environmental Sciences and Technology Laboratory Department of Earth Sciences Jean Lorougnon-Guede Daloa University Daloa Ivory Coast Laboratory of Geosciences and Environment Department of Geology Ibn Tofal University of Knitra Knitra Morocco

The mafic enclaves from Paleoproterozoic domain are considered to be the results of large-scale crust-mantle interaction and magma mixing. In this paper, petrography, mineralogy and geochemistry were jointly used to determine the origin of the mafic enclaves and their relationship with the host granitoids of the Kan granite-gneiss complex. This study also provides new information on crust-mantle interactions. The mafic enclaves of the Kan vary in shape and size and have intermediate chemical compositions. The diagrams used show a number of similarities in the major elements (and often in the trace elements) between the mafic enclaves and the host granitoids. Geochemical show that the Kan rock are metaluminous, enriched in silica, medium to high-K calc-alkaline I-type granite. The similarities reflect a mixing of basic and acid magma. Mafic enclaves have a typical magmatic structure, which is characterized by magma mixing. The genesis of these rocks is associated with the context of subduction. They result from the mixing of a mafic magma originating from the mantle and linked to subduction, and a granitic magma (type I granite) that arises from the partial melting of the crust.

关键词： Magma Mixing Mafic Microgranular Enclaves Host Granitoids Kan Granite-Gneiss Complex West Africa

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International consensus guidelines on robotic pancreatic surgery in 2023

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Hepatobiliary Surgery and Nutrition 2024年第1期13卷 89-104页

作者： Rong Liu Mohammed Abu Hilal marc G.Besselink Thilo Hackert Chinnusamy Palanivelu Yupei Zhao Jin He Ugo Boggi Jin-Young Jang Fabrizio Panaro Brian K.P.Goh Mikhail Efanov Yuichi Nagakawa Hong-Jin Kim Xiaoyu Yin Zhiming Zhao Yi-Ming Shyr Shridhar Iyer Eli Kakiashvili Ho-Seong Han Jae Hoon Lee Roland Croner marco Vito Marino Arun Prasad Wei Wang Songqing He Kehu Yang Qu Liu Zizheng Wang Mengyang Li Shuai Xu Kongyuan Wei Zhaoda Deng Yuze Jia Tess M.E.van Ramshorst Faculty of Hepatopancreatobiliary Surgery The First Medical Center of Chinese People’s Liberation Army(PLA)General HospitalBeijingChina Department of Surgery Poliambulanza Foundation HospitalBresciaItaly Department of Surgery University Hospital Southampton NHS Foundation TrustSouthamptonUK Amsterdam UMC location University of AmsterdamDepartment of SurgeryAmsterdamThe Netherlands Cancer Center Amsterdam AmsterdamThe Netherlands Department of General Visceral and Thoracic SurgeryUniversity Hospital Hamburg-EppendorfHamburgGermany Department of Minimal Invasive Hernia Surgery GEM Hospital and Research CentreChennaiTamil NaduIndia Department of General Surgery Peking Union Medical College Hospital BeijingBeijingChina Department of Surgery Johns Hopkins University School of MedicineBaltimoreMDUSA Division of General and Transplant Surgery University of PisaPisaItaly Department of Surgery Seoul National University HospitalSeoul National University College of MedicineSeoulKorea Department of Surgery/Division of HBP Surgery&Transplantation University of MontpellierMontpellierFrance Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and National Cancer Centre SingaporeSingaporeSingapore Department of Hepato-Pancreato-Biliary Surgery Moscow Clinical Scientific CenterMoscowRussia Department of Gastrointestinal and Pediatric Surgery Tokyo Medical UniversityShinjukuTokyoJapan Department of Surgery Yeungnam University College of MedicineDaeguKorea Department of Pancreato-Biliary Surgery The First Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina 18 Division of Hepatobiliary Pancreatic Surgery and Liver TransplantationNational University HospitalSingaporeSingapore Department of Surgery Galilee Medical CenterNahariyaIsrael Department of Surgery Seoul National University Bundang HospitalSeoul National University College of MedicineSeongnam-siKorea Division of Hepato-Biliary and Pancreatic Surgery Department of SurgeryAsan Medical Cente

Background:With the rapid development of robotic surgery,especially for the abdominal surgery,robotic pancreatic surgery(RPS)has been applied increasingly around the ***,evidence-based guidelines regarding its application,safety,and efficacy are still *** harvest robust evidence and comprehensive clinical practice,this study aims to develop international guidelines on the use of ***:World Health Organization(WHO)Handbook for Guideline Development,GRADE Grid method,Delphi vote,and the AGREE-II instrument were used to establish the Guideline Steering Group,Guideline Development Group,and Guideline Secretary Group,formulate 19 clinical questions,develop the recommendations,and draft the *** online meetings were held on 04/12/2020,30/11/2021,and 25/01/2022 to vote on the recommendations and get advice and suggestions from all involved *** the experts focusing on minimally invasive surgery from America,Europe and Oceania made great contributions to this consensus ***:After a systematic literature review 176 studies were included,19 questions were addressed and 14 recommendations were developed through the expert assessment and comprehensive judgment of the quality and credibility of the ***:The international RPS guidelines can guide current practice for surgeons,patients,medical societies,hospital administrators,and related social *** randomized trials are required to determine the added value of RPS as compared to open and laparoscopic surgery.

关键词： Robotic surgery guidelines pancreatectomy pancreaticoduodenectomy distal pancreatectomy(DP)

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Effect of Artemisia annua (Asteraceae) Extracts on Hemolysis in Individuals with G6PD-Deficiency

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Journal of Biosciences and Medicines 2024年第3期12卷 303-315页

作者： Jescica Bonarck Sohou Casimir Jiras Kpego Ligan Salomon Ezechiel Mahougnon Fiogbe Thierry Comlan marc Medehouenou Fifame Esperance Elvire Kougnimon Casimir Dewanou Akpovi Unité de Recherche sur les Maladies Non Transmissibles et le Cancer (UR-MNTC) Laboratoire de Recherche en Biologie Appliquée Ecole Polytechnique d’Abomey-Calavi University of Abomey-Calavi Cotonou Benin

Individuals with Glucose-6-phosphate dehydrogenase (G6PD) deficiency are susceptible to hemolytic anemia when exposed to pro-oxidant substances. This study investigates the hemolytic impact of Artemisia annua (A. annua) extracts in G6PD-deficient subjects through a mixed experimental approach. In the in vitro phase, red blood cells from G6PD-deficient individuals and rats induced with Dehydroepiandrosterone (DHEA) were exposed to various concentrations of A. annua infusion, with distilled water and physiological saline as positive and negative controls respectively. The in vivo study involved G6PD-deficient Wistar rats divided into three groups receiving A. annua infusion, quinine (positive control), and distilled water (negative control) via gavage. Blood samples were collected for biochemical and hematological analyses. Notably, at a 40% concentration of A. annua infusion, there was a significant increase in the hemolysis rate of G6PD-deficient red blood cells compared to controls (p A. annua exhibited elevated aspartate aminotransferase (129.25 ± 4.55 U/L vs. 80.09 ± 4.03 U/L;p A. annua infusion tested positive for saponins. These findings underscore the risk of hemolysis in G6PD-deficient individuals upon ingesting A. annua.

关键词： Artemisia annua Infusion Saponins G6PD Deficiency Hemolysis

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Detection of Burned Areas through Spectral Indices Analysis of Sentinel-2A Satellite Images in the Abokouamékro Wildlife Reserve (Central, Côte D’Ivoire)

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Open Journal of Applied Sciences 2024年第1期14卷 205-222页

作者： Bob Kouakou Kouadio Sié Ouattara Alain Clément Jean-marc Gala Bi Zaouri Jean-Luc Kouadio Kouassi Jean-Luc Edouard Kouakou N’guessan Laboratoire des Sciences et Technologies de la Communication et de l’Information (LSTCI) Institut National Polytechnique Houphou&#235t Boigny (INP-HB) Yamoussoukro C&#244te d’Ivoire Laboratoire des Sciences Agronomiques et Génie Rural Institut National Polytechnique Houphou&#235t Boigny (INPHB) Yamoussoukro C&#244te d’Ivoire Ecole de Géomatique et du Territoire (EGT) Abidjan C&#244te d’Ivoire LARIS SFR MATHSTIC Université d’Angers Angers France Centre Universitaire de Recherche et d’application en Télédétection (CURAT) UFR des Sciences de la Terre et des Ressources Minières Abidjan C&#244te d’Ivoire Laboratoire de Botanique UFR Biosciences Université Félix Houphou&#235t Boigny Abidjan C&#244te d’Ivoire

In Côte d’Ivoire, the recurring and unregulated use of bushfires, which cause ecological damage, presents a pressing concern for the custodians of protected areas. This study aims to enhance our comprehension of the dynamics of burnt areas within the Abokouamékro Wildlife Reserve (AWR) by employing the analysis of spectral indices derived from satellite imagery. The research methodology began with the calculation of mean indices and their corresponding spectral sub-indices, including NDVI, SAVI, NDWI, NDMI, BAI, NBR, TCW, TCG, and TCB, utilizing data from the Sentinel-2A satellite image dated January 17, 2022. Subsequently, a fuzzy classification model was applied to these various indices and sub-indices, guided by the degree of membership α, with the goal of effectively distinguishing between burned and unburned areas. Following the classification, the accuracies of the classified indices and sub-indices were validated using the coordinates of 100 data points collected within the AWR through GPS technology. The results revealed that the overall accuracy of all indices and sub-indices declines as the degree of membership α decreases from 1 to 0. Among the mean spectral indices, NDVI-mean, SAVI-mean, NDMI-mean exhibited the highest overall accuracies, achieving 97%, 95%, and 90%, respectively. These results closely mirrored those obtained by sub-indices using band 8 (NDVI-B8, SAVI-B8, and NDMI-B8), which yield respective overall accuracies of 93%, 92%, and 89%. At a degree of membership α = 1, the estimated burned areas for the most effective indices encompassed 2144.38 hectares for NDVI-mean, 1932.14 hectares for mean SAVI-mean, and 4947.13 hectares for mean NDMI-mean. A prospective approach involving the amalgamation of these three indices could have the potential to yield improved outcomes. This study could be a substantial contribution to the discrimination of bushfires in Côte d’Ivoire.

关键词： Spectral Indices Wildfire Burned Areas Abokouamékro Wildlife Reserve Côte D’Ivoire

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Ensuring progress on sustainable access to effective antibiotics at the 2024 UN General Assembly: a target-based approach

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四川生理科学杂志 2024年第5期46卷 1103-1103页

作者： marc Mendelson 不详

Rising antimicrobial resistance(AMR)is a global health crisis for countries of all economic levels,alongside the broader challenge of access to *** a result,development goals for child survival,healthy ageing,poverty reduction,and food security are at *** antimicrobial effectiveness,a global public good,requires political will,targets,accountability frameworks,and *** upcoming second high-level meeting on AMR at the UN General Assembly(UNGA)in September,2024,is evidence of political interest in addressing the problem of AMR,but action on targets,accountability,and funding,absent from the 2016 UNGA resolution,is needed.

关键词： funding approach political

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Clinical Epidemiology and Surgical Treatment of Spontaneous Perforations of the Terminal Ileum: A Multicentre Study in Cameroon

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Surgical Science 2024年第5期15卷 311-320页

作者： Eric Patrick Savom Richard II Mbele Mahamat Yannick Ekani Boukar Abdal Deudeu Cédric Paterson Atangana Fred Dikongue Dikongue Guy Aristide Bang marc Leroy Guifo Yaoundé General Hospital Yaound&#233 Cameroon Faculty of Medicine and Biomedical Sciences of the University of Yaoundé I Yaoundé Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Medicine and Biomedical Sciences of the University of Dschang Dschang Cameroon Yaoundé Teaching Hospital Yaoundé Cameroon

Background: Perforations of the terminal ileum are a frequent clinical situation and a therapeutic challenge. Surgical treatment is controversial. Several surgical modalities have been proposed and postoperative morbidity and mortality remain high. The aim of this study was to review our experience in the surgical management of perforations of the terminal ileum. Patients and methods: This is a descriptive cross-sectional study with retrospective data collection from January 1, 2017 to December 31, 2021, in five hospitals in Cameroon. Patients’ demographic, clinical presentation, surgical findings and 30-days postoperative outcomes data were collected. Results: We collected 34 files. The sex ratio was 1.4 and the average age was 20.28 years. The average consultation time was 9.1 days. Abdominal pain was present in all our patients. Peritoneal irritation was present in 46 cases (88.5%). The mean time to treatment after admission was 17.5 hours. The perforation was unique in 40 cases (76.9%) and located between 6 and 10 cm from the ileocecal valve in 29 cases (55.8%). Typhoid was the most suspected etiology intraoperatively in 38 cases (73.1%). A simple suture was performed in 18 patients (34.6%), resection with anastomosis in 11 patients (21.2%) and an ileostomy in 5 patients (9.6%). The average length of hospitalization was 21.74 days. Postoperative morbidity and mortality were 32.7% and 17.3% respectively. Conclusion: Perforations of the terminal ileum are common and affect young people. Surgical procedures are varied. Reducing consultation and care times and respecting treatment principles could improve postoperative morbidity and mortality, which remain high.

关键词： Perforation of the Terminal Ileum Simple Suture Resection Morbidity Mortality

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Histologically proven hepatic steatosis associates with lower testosterone levels in men with obesity

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Asian Journal of Andrology 2020年第3期22卷 252-257页

作者： Frederique van de Velde Marlies Bekaert Anne Hoorens Anja Geerts Guy T'Sjoen Tom Fiers Jean-marc Kaufman Yves van Nieuwenhove Bruno Lapauw department of Endocrinology Ghent University Hospital9000 GhentBelgium department of Pathology Ghent University Hospital9000 GhentBelgium Department of Hepathology Ghent University Hospital9000 GhentBelgium Department of Clinical Biology Ghent University Hospital9000 GhentBelgium Department of Gastro-Intestinal Surgery Ghent University Hospital9000 GhentBelgium.

Men with obesity often present with low testosterone(T)and sex hormone-binding globulin(SHBG)*** mechanisms for this have been proposed,but as SHBG is secreted by hepatocytes and sex steroids undergo hepatic metabolization,this study investigates whether severity and histological components of nonalcoholic fatty liver disease(NAFLD)are associated with sex steroid levels in obese *** cross-sectional study included 80 obese men(age:46±11 years;body mass index:42.2±5.5 kg m^-2).Serum levels of total T and estradiol(E.)were measured using liquid chromatography coupled with tandem mass spectroscopy(LC/MS-MS)and SHBG and gonadotropins by *** biopsies were evaluated using ***,and Fibrosis *** with steatohepatitis had similar median(1st quartile-3rd quartile)total T levels(7.6[5.0-11.0]nmol l^-1 vs 8.2[7.2-10.9]nmol l^-1;P=0.147),lower calculated free T(cFT)levels(148.9[122.9-188.8]pmol 1-1 s 199.5[157.3-237.6] pmol l^-1;P=0.006),and higher free E.T ratios(10.0[6.4-13.9]×10^-3 vs 7.1[5.7-10.7]×10^-3;P=0.026)compared to men with only nonalcoholic fatty *** the histological components of *** steatosis was independently associated with total T(r=-0.331.P=0.003)and cFT levels(r=-0.255.P=0.025).Obese men *** have even lower cFT levels compared to those without,an association mainly driven by grade of *** this reflects a subgroup of men with a more severe obesity-related phenotype or results from direct relations between hepatic steatosis and sex steroid metabolism needs further investigation.

关键词： male hypog on adism non alcoholic fatty liver disease obesity sex steroids steatosis testoster one

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