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Systematic Review: Psychological Changes in Women Diagnosed with Breast Cancer

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Open Journal of Obstetrics and Gynecology 2024年第7期14卷 1096-1109页

作者： Hamilton Dos Prazeres Tavares Augusta Josefina Marques Sachiteque Silvina Georgina Tavares Fernando Mango Saiengue Alberto Capoco Sachiteque Cezaltina Nanduva Kahuli job Monteiro Tavares Daniel Pires Capingana Suelma Beatriz Marques Prata Tavares Department of Gynecology and Obstetrics General Hospital of Huambo Huambo Angola Faculty of Medicine University Jos Eduardo dos Santos Huambo Huambo Angola Department of Gynecology and Obstetrics Hospital Municipal of Huambo Huambo Angola Department of Gynecology and Obstetrics Hospital Municipal of Bailundo Huambo Angola Department of Internal Medicine General Hospital of Huambo Huambo Angola Department of Gynecology and Obstetrics Hospital Municipal of Cala Huambo Angola

Breast cancer is considered one of the most common cancers among women, accounting for 25% - 29% of new cases worldwide each year. The diagnosis, living with the disease, as well as the different treatments can have important impacts on the Psychological and mental health of patients. Objective: To investigate the psychological aspects that women with breast cancer develop or may develop. Methodology: A systematic review using the PRISMA methodology was used. Results: 11 articles that met the inclusion and exclusion criteria were analysed. The largest flow of publications in relation to the effects of the patient with cancer, were carried out between the years 2000 and 2023. Conclusions: Psychological disorders (depression, anxiety, stress) are part of the lives of women diagnosed with breast cancer, and their prevalence varies from one woman to another.

关键词： Anxiety Depression Psychosis Sadness Cancer

Seasonal variation of Caligus rotundigenitalis infestation on the host fish Etroplus suratensis from the Cochin Backwaters,southwest coast of India

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Acta Oceanologica Sinica 2022年第6期41卷 132-136页

作者： Jemi job N A A Mohamed Hatha C K Radhakrishnan Department of Marine Biology Microbiology and BiochemistrySchool of Marine SciencesCochin University of Science and TechnologyCochin 682016India

Investigation of four edible fishes(Etroplus suratensis,Oreochromis mossambicus,Lates calcarifer,Chanos chanos)collected from a fish landing center along Cochin Backwaters has done for caligid *** these,caligids were detected only from Etroplus suratensis and was identified to be Caligus *** were attached to the inner side of operculum of host which indicates strong site *** annual observation of prevalence,mean intensity and abundance were found to be 19.21%,1.051 and 0.202 *** of prevalence with respect to the different length groups of *** has discussed in this *** of the inner side of operculum and increase in mucous production were noticed as a result of copepod attachment.

关键词： Caligidae Caligus rotundigenitalis copepod crustacean parasites Etroplus suratensis

Evaluation of Brain CT Images of Eclamptics in Portharcourt Nigeria

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Open Journal of Radiology 2023年第2期13卷 87-93页

作者： job Gogo Otokwala Emmanuel Chukuemeka Agi Intensive Care Unit Department of Anaesthesiology University of Port Harcourt Nigeria Department of Radiology University of Port Harcourt Nigeria

Eclampsia is a common complication of hypertensive disorders of pregnancy and in the puerperium with the attendant risk to both the mother and baby. Although it is a multi-systemic disorder, its manifestation that affects the brain and resulting in altered sensorium demands brain imaging to define the possible brain lesions and the implications for critical care management and outcome. We evaluated the CT brain lesions in the patients with eclampsia who were admitted in the intensive care unit, University of Port Harcourt, Port Harcourt Nigeria. Objective: To analyse the CT brain images of eclamptic parturients and the outcome following their admission in the intensive care unit. Methods: We undertook this observational study after obtaining ethical exemption from the University of Portharcourt Teaching Hospital ethical review board, and commenced the review between March 2021 to February 2023. We included all parturients that were admitted into the intensive care unit of the University of Portharcourt Teaching Hospital, a nine-bedded open intensive care unit with the clinical diagnosis of eclampsia. Every admitted parturient was required to obtain a brain computed tomography (CT) by local protocol. The brain CT images were retrieved for review from the parturients’ relatives, radiology department and the ICU. Parturients included were aged ≥ 18 years. The radiological reports of these brain images which were also reviewed by a neurosurgeon in case of any need for secondary opinion were subjected to statistical analysis. Result: Thirty-one parturients were admitted with eclampsia with a mean age of 30 years ± 5.29. Sixteen (16) parturients died representing 52%. Only twenty-four (24) CT brain images were retrieved for review (77%). The following brain lesions were identified from the brain CT and they comprised the following: intracerebral haemorrhage, including extensions into the ventricles 7 (29.17%), cerebral oedema 12 (50%), subdural hematoma 1 (4.17%) and norm

关键词： Evaluation Eclamptics Brain CT Intensive Care Unit Portharcourt

Copepod community structure during upwelling and non-upwelling seasons in coastal waters off Cochin, southwest coast of India

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Acta Oceanologica Sinica 2019年第12期38卷 111-117页

作者： Jemi job N A.A.Mohamed Hatha School of Marine Sciences Cochin University of Science and Technology

Vypeen, an island of Cochin estuarine system, acts as the spawning site of several marine and estuarine fishes. We assumed that, physical process(upwelling) make changes in hydrography and the production of chlorophyll a in coastal waters off Vypeen. These alterations can influence the zooplankton abundance and copepod community structure in that area. For justifying this hypothesis, samples were collected from Vypeen at 10 m and 30 m locations during January(pre-southwest monsoon), August(late-southwest monsoon) and November(postsouthwest monsoon) 2014. During August, subsurface water column was cool, nutrient rich and less oxygenated(signatures of upwelling) than in November and January. Maximum concentrations of nitrate and chlorophyll a were recorded during August. In the present study, 15 zooplankton groups were recorded;of which copepods were the most predominant group(73%–90%). Copepod density in the present study ranged between 527.2 ind./m^3 and 5 139.2 ind./m^3. Totally, 37 copepods species were reported in present study and copepod species richness was higher during January. The abundance of zooplankton and copepods was high in August during late-southwest monsoon. These variations were closely associated with the coastal upwelling in August and weakening of moderate upwelling in November. In SIMPER analysis, it was found that the copepods species distribution was similar within season and dissimilar between the three seasons. Moreover, the higher abundance of upwelling indicator species Temora turbinata was recorded in August, which confirms the signs of seasonal upwelling in Vypeen. The present study emphasized on the influence of hydrographical parameters associated with physical process, in governing the copepod community organization of the Vypeen Island.

关键词： copepods community multivariate analysis monsoon Temora turbinata upwelling zooplankton

A 365-Day Record of Maternal Admissions in Intensive Care Unit at the University of Port Harcourt Teaching Hospital in Nigeria

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Journal of Biosciences and Medicines 2023年第4期11卷 296-303页

作者： job Gogo Otokwala Osita Celestin John Intensive Care Unit Department of Anaesthesiology Faculty of Clinical Sciences University of Port Harcourt Port Harcourt Nigeria Department of Obstetrics and Gynaecology Faculty of Clinical Sciences University of Port Harcourt Port Harcourt Nigeria

BACKGROUND. The intensive care unit provides critically ill patients with the necessary monitoring, care and supports to optimize their organ/system functions. Parturients are often at risk of sudden deteriorations or exacerbation of chronic illnesses from direct or indirect causes and would often require admissions into the intensive care or high dependency unit. This study is aimed at looking at the trends of maternal admissions in 365 days at the intensive care unit of a tertiary teaching hospital in Southern part of Nigeria, a country that contributes significantly to the global proportion of maternal morbidity and mortality. METHODS. The study adopted a retrospective approach. All critically ill parturients admitted and requiring organ support or close monitoring in the ICU had their files and ICU documents reviewed. The review was held from January-December 2018. RESULTS. Thirty-nine (39) parturients with a mean age (years) of 33 ± 1.3 were admitted, representing 2.9% of annual deliveries. All admissions were postnatal and came predominantly from the unbooked labour ward (51%) and the time lag from maternal deteriorations to presentation to the ICU was 72 ± 10 hours. The main indications for admissions were due to postpartum haemorrhage (33.3%), complications of hypertensive disorders of pregnancy (30.9%) and sepsis (25.6%). Nineteen (48.7%) patients died from obstetric haemorrhage, complications of hypertensive disorders of pregnancy, sepsis and pulmonary embolism. CONCLUSION. The trend of maternal admissions at this specific time frame reflects the burden of maternal critical care in our environment. It highlights the need to holistically tackle the known scourge with improved care.

关键词： Maternal Admissions 365 Days ICU Portharcourt

Reawakened Sexual Interest: The Result of Surgical Correction of Concealed Penis

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Surgical Science 2023年第4期14卷 295-302页

作者： Mishack Ikechukwu Akunekwe Blessing Etukakpan job Gogo Otokwala Plastic & Reconstructive Surgery Unit Department of Surgery Federal Medical Centre Yenagoa Nigeria Department of Surgery Federal Medical Centre Yenagoa Nigeria Department of Anaesthesiology University of Port Harcourt/University of Port Harcourt Teaching Hospital Port Harcourt Nigeria

Concealed penis (CP) is a developmental anomaly in which the penis is hidden in the skin of the abdomen, thigh or scrotum. As a result of this, the penis appears shortened in length. It was first described by Keyes Jr. E.L. in 1919. It can be associated with voiding problem and in adults, sexual issues, among others. Objective: To show that surgery can reverse celibacy induced by CP and highlight the need for an interdisciplinary approach to correction of this anomaly. Patient and Method: A thirty-one-year male patient who had a surgical release of his buried penis by two surgeons in 2019 in a private hospital. The case note was reviewed, the data obtained analyzed and the results including photographs, were presented. The patient was followed up. Result: A 10 cm length of penis and a hundred percent (100%) take of sheet of split skin graft used to resurface the denuded penis were achieved using combined spinal and epidural anesthesia. The patient, his mother and the surgeons were satisfied with the outcome. Consequently, he resolved to marry a wife after all. Conclusion: Concealed penis can now be regarded as a known cause of celibacy and surgical correction can reverse the celibate state.

关键词： Reawakened Sexual Interest Concealed Penis Celibacy Surgical Correction

Effect of Intravenous Tranexamic Acid in Reducing Blood Loss during and after Elective Caesarean Section in a Third Level Health Institution: A Randomized Controlled Study

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 265-279页

作者： Darlington Omawumi Emmanuel Oranu Rosemary Ogu Ngozi Orazulike job Otokwala Department of Obstetrics and Gynaecology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria Department of Anaesthesiology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria

Background: Blood loss during caesarean section (C/S) may lead to postpartum haemorrhage, and is one of the direct causes of maternal mortality and morbidity globally. Tranexamic acid is recommended in the treatment of postpartum haemorrhage (PPH) if oxytocin and other utertonics are ineffective in controlling PPH. In this centre it is not used prophylactically to reduce blood during caesarean section. Aim: To assess the effect of prophylactic intravenous tranexamic acid on blood loss during and after elective C/S at the University of Port Harcourt Teaching Hospital (UPTH). Methods: This was a prospective, single-blind, randomized, placebo-controlled interventional study conducted at the Obstetric theatre of UPTH from July 2020 to March 2021. Eligible women were randomized into two groups;seventy-two women received intravenous tranexamic acid while seventy-one women received a placebo. Socio-demographic data and the result of the study were collected through a proforma. Data collected was analyzed using Statistical Package for Social Sciences (SPSS) Version 22.0. The results were expressed in tables and charts as frequencies, percentages and mean. Chi-square test, Fisher’s exact, and T-test were used to determine the relationship between variables. P-value ≤ 0.05 was considered statistically significant. Results: The findings showed that tranexamic acid significantly reduced mean blood loss during and after C/S (p-value post-surgery was significantly lower in the tranexamic acid group (624.88 ± 200.76 ml) in comparison to the placebo group (864.24 ± 229.09 ml), p-value = 0.001. The mean post-C/S packed cell volume (PCV) was significantly higher among the tranexamic acid group (30.68% ± 2.80%) in comparison to the placebo group (28.07% ± 3.27%), t = 5.131, p-value = 0.0001. The maternal side effects were nausea and vomiting, 9 (12.5%) and 1 (1.4%) participants respectively. Conclusion: Tranexamic acid significantly reduced blood loss during and after elective C/S. Ma

关键词： Tranexemic Acid Blood Loss Elective Caesarean Section Port Harcourt

Are models of volumetric production at the diametric distribution and total stand level mutually compatible?

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Journal of Forestry Research 2020年第5期31卷 1691-1698页

作者： Marcos Felipe de Oliveira Valeriano Eder pereira Miguel Pedro Guilherme de Andrade Vasconcelos Mauro Eloi Nappo Humberto Angelo Alba Valeria Rezende Renan Augusto Miranda Matias Leonardo job Biali Ilvan Medeiros Lustosa Junior Department of Forestry Engineering University of Brasilia(UnB)Brası´liaBrazil Federal Institute of Brasılia(IFB) BrasıliaBrazil

The objective of this work was to compare estimates generated by a diametric distribution model and a total stand model against the pre-cut *** model efficiency was also *** were evaluated from 30 permanent sample plots in a Eucalyptus urophylla stand,comprising 24 sample plots used for model fitting,and six sample plots for *** volume of wood per hectare was estimated for different productive units(sites),using 7 years as the reference *** model adjustment quality was verified by adjustment and precision statistics:the correlation between observed and predicted variables,root mean square error percentage,graphical analysis of residual distribution,and a frequency histogram for classes of relative errors and *** the two-parameter Weibull probability density function adhered to the data for tree evolution in diameter classes for the reference age(7 years)in the different productivity classes,it generated imprecise estimates of the number of ***,it produced inaccurate volumetric production *** total stand model provided reliable projections of production volumes in different productivity classes for both adjustment types,showing compatibility with the pre-cut inventory according to a Tukey *** summary,the total stand model generated estimates that were compatible with the pre-cut inventory while the diametric distribution model did not.

关键词： Clutter model Diameter class Eucalyptus Prognosis

Acoustic and velocity field over 3D cavities

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Theoretical & Applied Mechanics Letters 2013年第1期3卷 11-15页

作者： Rajarshi Das job Kurian Department of Aerospace Engineering Indian Institute of Technology

Effects of wall mounted cavity on a Mach 1.7 freestream flow over it are investigated experimentally and numerically. Three different three dimensional （3D） cavity configurations have been used in the study. The results are compared with those of a two dimensional （2D） cavity. Flow field over the cavity is observed to depend intensely on the cavity width and on the allied aerodynamic flow structure in the vicinity of the cavity. Pressure oscillations generated by presence of wall mounted cavity in supersonic freestream was also observed to affect the fluid motion over cavities. C 2013 The Chinese Society of Theoretical and Applied Mechanics. [doi：10.1063/2.1301201]

关键词： cavity supersonic flow pressure oscillations fluid motion