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Adult-Type Granulosa Cell Tumor with Similar Clinical Findings Seen during Ovarian Cystectomy Performed at the Same Time as Laparoscopic Ovarian Drilling for Polycystic Ovarian Syndrome: An Extremely Rare Case

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1197-1206页

作者： Remi Nakajima Risa Kobayashi marie Kawai Eriko Sakamoto Miho Matsuda Rieko Kanda Makoto Kawamura Department of Obstetrics and Gynecology Kohseichuo General Hospital. Tokyo Japan

Polycystic ovary syndrome (PCOS) is a major cause of anovulatory infertility. Laparoscopic ovarian drilling (LOD) is a treatment for PCOS that allows the laparoscopic identification of other intra-abdominal lesions and the provision of diagnostic treatment. This study reports a case of PCOS with an ovarian mass in which LOD was aggressively used and a granulosa cell tumor (GCT) was found. A 34-year-old woman with secondary amenorrhea and irregular menstrual cycles presented to the emergency department with abdominal pain of unknown etiology. Imaging studies revealed a 6-cm left ovarian mass with an internal appearance suggestive of a hemorrhage. The patient’s secondary amenorrhea was subsequently diagnosed as PCOS, and LOD was performed to preserve her fertility. Simultaneously, a cystectomy was performed to evaluate the tumor in the left ovary;the diagnosis was adult-type GCT. Although concomitant GCT and PCOS are extremely rare, the two conditions have similar clinical manifestations. In women of reproductive age, the impact of surgery on future fertility should be considered, and the initial surgical technique should be chosen carefully.

关键词： Polycystic Ovary Syndrome Laparoscopic Ovarian Drilling Granulosa Cell Tumor

Evaluation of Rhizobium tropici-Derived Extracellular Polymeric Substances on Selected Soil Properties, Seed Germination, and Growth of Black-Eyed Peas (Vigna unguiculata)

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Agricultural Sciences 2024年第5期15卷 548-564页

作者： Jonathan Alunge Metuge Erneste Havugimana Jean Rugandirababisha Zachary N. Senwo marie Chantal Mutimawurugo Department of Natural Resources and Environmental Sciences Alabama A & M University Normal AL USA Department of Crop Science College of Agriculture Animal Sciences and Veterinary Medicine University of Rwanda (UR-CAVM) Kigali Rwanda

Rhizobium tropici-derived extracellular polymeric substances (EPS) have been used in soils to enhance soil structures and mitigate soil erosions. However, information on their use to improve soil health and fertility indicators, and plant growth is limited. In a greenhouse study, we investigated their effects on some soil health, soil fertility indices, and the growth of black-eyed peas (Vigna unguiculate). Results showed that soils incubated with EPS significantly increased basal soil respiration, soil microbial biomass, permanganate oxidizable carbon (POC), and potentially mineralizable nitrogen (PMN). The EPS shifted microbial populations from bacteria to fungi and Gram (−ve) to Gram ( ve) bacteria. However, it had little or no effects on soil pH, soil organic matter (SOM), and cation exchange capacity (CEC). The EPS decreased soil moisture loss, increased soil aggregate stability, but delayed blacked-eyed peas germinations in the soils. At 0.1% (w/w) concentrations in soils, there was increase in plant root nodulations and vegetative growth. This study was carried out within 40 days of incubating soils with EPS or growing the black-eyed peas in a greenhouse study. The plant growth parameters were taken before flowering and fruiting. Further studies of the effects of incubating soils with the extracellular polymeric substances on plant growth. Soil microbial biomass, microbial diversities, and other soil fertility indices are deemed necessary.

关键词： Rhizobium tropici Extracellular Polymeric Substances Soil Respiration Soil Microbial Biomass Black-Eyed Peas

Levant Drought Occurrence, Lebanon Case

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Atmospheric and Climate Sciences 2024年第1期14卷 118-127页

作者： Ihab Jomaa Mariam Choker Nisrine El Haj marie Therese Abi Saab Matteo Funaro Simone Mereu Department of Irrigation and AgroMeteorology (DIAM) of the Lebanese Agriculture Research Institute (LARI) Tal Amara Lebanon Climate and Water Unit Lebanese Agricultural Research Institute Fanar Lebanon CMCC—Centro Euro-Mediterraneo sui Cambiamenti Climatici IAFES Division Sassari Italy

Rainfall data is probably one of the longest-recorded climatic parameters in Lebanon. On the central coast of Lebanon, the Beirut weather station started collecting rainfall data in 1876. However, the recorded data is not available at one data provider source. Published data is found in historical documents but it reaches the early 1970s and then appears a data gap till 1990. Still the data is available, but it might be found to be saved privately. This study investigated the SPI variability on annual time scale between the years 1876 and 2021. The SPI was computed using R-Stat software to compare every year between 1876 and 2021. The majority (about 70% of the years) of the years are near normal in the precipitation rate. The Standardized Precipitation Index (SPI) demonstrated a normal distribution of years. Dry and wet years constitute about 15% of the total 146 years (1876-2021). Extremely dry years might appear in two consecutive years between 50 to 60 years count. After 1991, there were no wet years it was only near normal and few dry years. The last 30 years showed a trend of increasing drought years without any occurrence of wet years. This study demonstrated the importance of keeping records of at least rainfall data and it must be recorded on a daily basis or intensity on time. It is highly important on a managerial basis and for water security reasons to understand the drought event occurrence and investigate the changes in rainfall rates. Climate change scenarios always forecast a decrease in rainfall rates which will not appear without such studies.

关键词： Climate Change Standardized Precipitation Index (SPI) Beirut Rainfall Gag-es

Application of Sigma Metric Analysis to Evaluate the Performance of the Biochemistry Analytical System in a Medical Biology Laboratory in Côte d’Ivoire

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Journal of Analytical Sciences, Methods and Instrumentation 2024年第1期14卷 14-21页

作者： Koffi Akissi Joelle Kouakou Francisk Kouadio Charlotte Yeo Karna Ahiboh Hugues Hauhouot-Attoungbré marie-Laure Biochemistry and Clinical Chemistry Unit CeDReS University Hospital of Treichville Abidjan Ivory Coast Department of Biochemistry Clinical Chemistry and Molecular Biology Faculty of Pharmaceutical and Biological Sciences University Felix Houphouet-Boigny Abidjan Ivory Coast

Introduction: The Six Sigma methodology is an opportunity for a better understanding of the performance of analytical methods and for a better adaptation of the quality control management policy of the medical biology laboratory. Using the sigma metric, this study assessed the performance of the Biochemistry analytical system of a medical biology laboratory in Côte d'Ivoire. Methods: Six Sigma methodology was applied to 3 analytes (alanine aminotransferase, glucose and creatinine). Performance indicators such as measurement imprecision and bias were determined based on the results of internal and external quality controls. The sigma number was calculated using the total allowable error values proposed by Ricos et al. Results: For both control levels, ALT had a sigma number greater than 6 (7.6 for normal control and 7.9 for pathological control). However, low sigma numbers, less than or equal to 2 for creatinine (1.4 for normal control and 2 for pathological control) and less than 1 for glucose were found. Conclusion: This study revealed good analytical performance of ALT from the point of view of 6 sigma analysis. However, modifications to the overall quality control procedure for glucose and creatinine are needed to improve their analytical performance. The study should be extended to the entire laboratory’s analytes in order to modify the strategies of quality control procedures based on metric analysis for an overall improvement in analytical performance.

关键词： Six Sigma Qualities Controls Bias Imprecision Total Allowable Error

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法国知识分子与中国人民抗日战争

国外理论动态 2024年第3期 160-168页

作者：玛丽·布歇姚岚(译) 法国古斯塔夫·埃菲尔大学洛林大学历史研究中心同济大学外国语学院同济大学中国特色社会主义理论研究中心

1931-1939年间,法国知识分子通过不同方式支持中国人民抗日战争。从成立“反对东北战争行动委员会”到“中国人民之友协会”,再到加入国际反侵略运动大会,部分法国左翼知识分子积极为中国人民抗日战争提供舆论支持。一方面,他们创办专... 详细信息

1931-1939年间,法国知识分子通过不同方式支持中国人民抗日战争。从成立“反对东北战争行动委员会”到“中国人民之友协会”,再到加入国际反侵略运动大会,部分法国左翼知识分子积极为中国人民抗日战争提供舆论支持。一方面,他们创办专门刊物《中国》,以文字为武器,揭露日本侵华的野蛮行径;另一方面,他们利用电影、纪录片等媒体手段,报道饱受战争之苦的中国,号召法国民众为中国筹款,但遭到法国政府的阻挠。法国汉学家是声援中国的一支特殊力量,但他们的态度不尽相同。其中,路易·拉卢瓦为声援中国投入最多,葛兰言通过法中文化交流声援中国,伯希和则对中国遭受日本侵略表现得漠不关心。大部分法国汉学家拒绝表达明确的政治承诺,更倾向于在其专业领域内采取谨慎行动。

关键词：法国知识分子中国人民抗日战争法国中国学

祖母绿与西方世界的面面观:历史、文化与象征

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中国宝石 2024年第4期 132-143页

作者： marie-Laure Cassius-Duranton L'ECOLE珠宝艺术中心

如今,对矿物种类的判定主要取决于其化学成分与原子结构。祖母绿是一种含铬和(或)钒的绿柱石。然而,在矿物学成为一门真正的学科之前,人们会使用其他方式来区分宝石,其中最重要的因素便是颜色。在西方历史和文化中,人们对祖母绿的想象... 详细信息

如今,对矿物种类的判定主要取决于其化学成分与原子结构。祖母绿是一种含铬和(或)钒的绿柱石。然而,在矿物学成为一门真正的学科之前,人们会使用其他方式来区分宝石,其中最重要的因素便是颜色。在西方历史和文化中,人们对祖母绿的想象与其颜色密切相关。尽管绿色具有丰富的象征意义,但在西方文明中,蓝色、红色等其他颜色要比绿色更为重要。

关键词：祖母绿矿物种类绿柱石矿物学原子结构化学成分西方文明宝石

Pregnancy and Obstetrical Outcomes Following Treatment for Cervical Intra-Epithelial Neoplasia (CIN) in Two Hospitals of a Low-Resource Country

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Advances in Reproductive Sciences 2024年第1期12卷 51-59页

作者： Bruno Kenfack Clovis-Achille Tanekeu Atem Bethel Ajong Zabdielle Blonde Goufack Kenfack Patrick Petignat Pierre marie Tebeu Department of Gynecology and Obstetrics Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Camer-on Institur Supérieur des Sciences de la Santé Université des Montagnes Bangangté Cameroon Kekem MD District Hospital West Region Cameroon Department of Epidemiology and Public Health Faculty of Medicine and Pharmaceutical Science University of Dschang Dschang Cameron Geneva University Hospitals Genevas Switzerland Faculty of Medicine and Biomedical Science University of Yaounde I Yaounde Cameroon

Objective: In Cameroon, more than 80% of women suffering from cervical intraepithelial neoplasia (CIN) are within the reproductive age. This study intended to analyze the pregnancy outcomes following cervical treatment in Cameroon. Methods: This was a cohort study with two years retrospective data collection involving 82 women who underwent cervical treatment for CIN in two Cameroonian hospitals from January 2015 to December 2017. Data were collected from CIN treatment to end of pregnancy where applicable. Data analysis was done using Epi Info software version 3.5.4. Results: We collected data from 82 patients aged 27 to 48 years, with a mean age of 36.5 (SD: 5.3) years. During the study period, 33 out of 82 participants became pregnant 40.2 [29.56 - 51.66]%. The factor associated with pregnancy occurrence after treatment was age less than 35 years (Odds ratio = 4.37 [1.7 - 11.2]. From the 33 pregnancies recorded, 17 (51.5%) ended in a delivery, amongst which 15 (88.2%) were vaginal. Conclusion: Pregnancy frequency over two years following cervical treatment for CIN was relatively good, and younger women (age 35 years) were significantly more like to have conceived compared to their older counterparts. Post-treatment delivery outcomes seem to be similar to those in the general population.

关键词： Cervical Intraepithelial Neoplasia Cervical Treatment Pregnancy Outcome

The Support Systems and Coping Strategies of Infertile Women Attending the Out-Patient Consultation Unit of CHRACERH Yaoundé, Cameroon: A Cross-Sectional Study

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Open Journal of Obstetrics and Gynecology 2024年第6期14卷 869-887页

作者： Emenguele Pascale Mpono Fidelia Mbi Kobenge Gabrielle Laure Mengne Etienne Belinga Jean marie Kasia Thomas Obinchemti Egbe Department of Obstetrics and Gynecology CHRACERH Yaound Yaound Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon Department of Obstetrics and Gynecology Faculty of Health Sciences University of Bamenda Bamenda Cameroon Department of Obstetrics and Gynecology Douala General Hospital Douala Cameroon Department of Obstetrics and Gynecology Faculty of Health Sciences University of Buea Buea Cameroon

Background: Infertility is a complex disorder with significant psycho-social and economic consequences. It globally affects 10% - 15% of couples. In Cameroon, little is known about what women do to overcome the psychosocial aspects of the disease. Objectives: This study aimed to identify the support systems and coping strategies of infertile women attending the outpatient consultation unit of the Gynaecological Endoscopic Surgery and Reproductive Teaching Hospital (CHRACERH), Yaoundé, Cameroon. Methods: A hospital-based cross-sectional study was conducted from the 14th of March to the 6th of April 2023 at CHRACERH Yaoundé. A total of 190 participants were recruited using a convenience sampling method. Data regarding socio-demographic characteristics, support systems and coping strategies were collected using a pretested questionnaire. Descriptive and analytic statistics were conducted using SPSS version 25. Results: The mean age of participants was 39.52 ± 7.64 years. The majority 78.9% of participants were workers (public, private sector, or traders) and were Christians 95.8%. The most common source of psychological support was from family 76.8 and husbands 72.63%. Most of the participants 89.5% resorted to prayer and getting busy 48.4% as a coping strategy. There was no statistically significant relationship between coping strategies and psychological disorders p > 0.05. Conclusion: The main support system of participants was family, husband, and friends. Prayer, getting busy and adoption were the most common coping strategies. There is a need for the Ministry of Public Health and other stakeholders to put in place other support systems and coping strategies (FELICIA) used elsewhere and provide adequate health education and infection control to prevent infertility in Cameroon.

关键词： Infertility Coping Strategies Support Systems Mental Health Women

Risk Factors Recurrence of Spontaneous Ascitic Fluid Infection (Slai) in Cirrhotic Patients

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Open Journal of Gastroenterology 2024年第8期14卷 249-260页

作者： Diallo Mamadou Sarifou Ottou Onana Christian Lionel Soro Dramane Youssouf Oumarou Yaogo Abdoulatif Lohoues-Kouacou marie Jeanne Hepato-Gastroenterology Department The Donka National Hospital Conakry Guinea Faculty of Health Sciences and Techniques Gamal Abdel Nasser University Conakry Guinea Hepato Gastroenterology Department Cocody University Hospital Abidjan Ivory Coast Community University Hospital Center of Bangui Internal Medicine Department Bangui African Hepato Gastroenterology Department Angr University Hospital Abidjan Ivory Coast

Introduction: After an episode of spontaneous infection of ascitic fluid (ISLA). The recurrence of ISLA at one year is greater than 70%. We studied the risk factors associated with the occurrence of recurrence. Patients and methods: this was a retrospective, descriptive and analytical study of patient files, hospitalized in the department for 12 months, the choice of the sample was of convenience. Results: We have 1347 patient files collected including 389 cases of cirrhosis. We had 37 files of cirrhotic patients with ISLA including 28 cures without recurrence of ISLA, 08 files of patients with recurrence of ISLA and 03 excluded, i.e. a hospital prevalence of recurrence of 0.6% and a prevalence in cirrhotic patients of 23.5%. The most common antecedents were: hospital contact recent (35.3%), the concept of iterative ascites punctures (32.3%), the presence of HCC (29.4%), hepatic encephalopathy (20.6%) and digestive hemorrhage (14.7%). In univariate analysis, recent digestive bleeding was associated with an increased risk of recurrence (OR 7.2, 95% CI 0.96 - 67.1). HBV (62.5%) is the main etiology of cirrhosis. The PNN rate at 250 - 499 mm3 (62.5%), the protein level 3 (75%). Patients on secondary prophylaxis with NORFLOXACIN were 25%. Recurrence of ISLA was treated with CEFTRIAXONE 2 g/24 hours. Conclusion: Recurrence of ISLA is serious, the predictive factors for recurrence are, hospital contact recent, the concept of iterative ascites punctures, the presence of HCC, the presence of hepatic encephalopathy and digestive bleeding.

关键词： Antibiotic Cirrhosis Risk factors Spontaneous Ascitic Fluid Infection Recurrence