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Clinical attitudes towards pain treatment post-orthopedic surgery： a multicenter study in Beijing

Chinese Medical Journal 2012年第14期125卷 2499-2504页

作者： WANG Zhi-qiang ZHAN Si-yan marlene fransen LIN Jian-hao Arthritis Institute People's Hospital Peking University Beijing100044 China School of Public Health -Peking University Health Science CenterBeijing 100044 China The George Institute for International Health Sydney Australia

Background Pain is a common post-operative complication. Incidence of pain directly affects patients＇ quality of life in terms of patient physiology, psychology, and social characteristics. This study was to understand clinical attitudes with regards to Beijing surgeons, and patients＇ attitude towards pain treatment after orthopedic surgery. Methods A hospital-based cross-sectional and cluster sample survey of 40 hospitals in Beijing was conducted, including 20 level III （tier three） and 20 level II （tier two） general hospitals. Enrolled subjects completed a specifically designed interview-questionnaire. Results The prevalence of pain 2 weeks post-orthopedic surgery was high in Beijing （96.1%）. Meanwhile, collected data indicated most subjects in Beijing suffered moderate to severe pain, 45.1% and 41.4%, respectively, post-surgery. And for the concern of patients before surgery, most subjects chose full recovery from surgery （78.6%）, as well as, the pain after operation was 39.2% ranked the third. According to the data from the study, Tramadol use was more common in Level III hospitals, where Somiton was preferred in Level II hospitals. When it came to the education of pain before and after operation, more patients get educated before operation than after it. In our study, case physicians or attending physicians enacted education before and after surgery. Related to the sense of patients, among the surgeons preferring post-operative analgesia, 67.6% considered administration when receiving complaints of moderate level pain, 50.0% indicated they will terminate analgesic treatment once pain degree scale wise decreases to benign pain. Conclusions The majority of orthopedic patients experience post-operative pain. Identification of post-operative pain will facilitate future awareness on pain treatment and nursing care in Beijing hospitals, with pain relief through regulated improvements in strategic pain management.

关键词： post-operative pain, orthopedics, prevalence, Beijing

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与膝关节疼痛相关的功能障碍及常规治疗措施的调查

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中华医学杂志 2010年第21期90卷 1477-1481页

作者：林剑浩康晓征 marlene fransen 李虎柯岩王志强 Yuqing Zhang Steve Su 北京大学人民医院骨关节病研究中心 100044 The George Institute for International Health Sydney Australia Clinical Epidemiology Unit School of Medicine Boston University Boston USA

目的调查膝关节疼痛给农民带来的功能障碍负担和当地医疗诊治情况.方法自2005年10月至12月,采用横断面研究利用扩大免疫规划整体抽样的方法,以内蒙古武川县当地50岁以上农业人口1030名为对象.参与调查者在完成已设计好的骨关节炎问卷... 详细信息

目的调查膝关节疼痛给农民带来的功能障碍负担和当地医疗诊治情况.方法自2005年10月至12月,采用横断面研究利用扩大免疫规划整体抽样的方法,以内蒙古武川县当地50岁以上农业人口1030名为对象.参与调查者在完成已设计好的骨关节炎问卷后接受双膝负重半屈曲后前位X线检查.结果在接受膝关节X线检查的1027名中,513名（50%）反映其膝关节在过去的12个月中至少有1个月出现过疼痛,其中109名（21%）患者有骨关节炎影像学表现（Kellgren/Lawrence分度≥2）.通过对年龄、性别、体重指数、受教育程度及腰疼情况的校正,可以看出膝关节疼痛与完成行走、爬10层楼、弯腰、做保洁工作和下厨等活动的困难程度关系密切.在513名有膝关节疼痛的参与者中,在影像学上是否出现疾病改变与有无无法忍受的疼痛（36%相对于59%）,是否活动受限（39%相对于64%）,是否使用过非甾体类抗炎药（78%相对于88%）以及在过去的12个月中是否就医（33%相对于59%）有着密切的联系.结论农业人口重体力劳动者的膝关节疼痛与功能障碍明显相关.有疼痛症状者十分依赖非甾体类抗炎药而较少诉求外科手术治疗.

关键词：骨关节炎,膝膝关节患病率

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Electroactivity of the magnetotactic bacteria Magnetospirillum magneticum AMB-1 and Magnetospirillum gryphiswaldense MSR-1

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Frontiers of Environmental Science & Engineering 2024年第4期18卷 103-110页

作者： Mathias Fessler Qingxian Su marlene Mark Jensen Yifeng Zhang Department of Environmental and Resource Engineering Technical University of DenmarkCopenhagenDK-2800Denmark

Magnetotactic bacteria reside in sediments and stratified water *** are named after their ability to synthesize internal magnetic particles that allow them to align and swim along the Earth’s magnetic field ***,we show that two magnetotactic species,Magnetospirillum magneticum strain AMB-1 and Magnetospirillum gryphiswaldense strain MSR-1,are *** *** and *** were able to generate current in microbial fuel cells with maximum power densities of 27 and 11μW/m^(2),*** the presence of the electron shuttle resazurin both species were able to reduce the crystalline iron oxide hematite(Fe_(2)O_(3)).In addition,*** could reduce poorly crystalline iron oxide(FeOOH).Our study adds *** and *** to the growing list of known electroactive bacteria,and implies that electroactivity might be common for bacteria within the Magnetospirillum genus.

关键词： Magnetotactic bacteria Magnetospirillum magneticum Magnetospirillum gryphiswaldense Extracellular electron transfer Microbial fuel cells

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Hepatic grooves:An observational study at laparoscopic surgery

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World Journal of Experimental Medicine 2024年第2期14卷 97-102页

作者： Shamir O Cawich Dexter A Thomas Fawwaz Mohammed Michael T Gardner marlene Craigie Shaneeta Johnson Ramnanand S Kedambady Department of Surgery University of the West IndiesSt Augustine 000000Trinidad and Tobago Department of Surgery Port of Spain General HospitalPort of Spain 000000Trinidad and Tobago Section of Anatomy Basic Medical SciencesUniversity of the West IndiesKingston 000000Jamaica Department of Radiology University of the West IndiesKingston 000000Jamaica Department of Surgery Morehouse School of MedicineAtlantaGA 30310United States Section of Anatomy Department of Basic Medical SciencesUniversity of the West IndiesKingston KIN7Jamaica

BACKGROUND In traditional descriptions,the upper surface of the liver is smooth and convex,but deep depressions are variants that are present in 5%-40%of *** sought to determine the relationship between surface depressions and the *** To use exploratory laparoscopy to determine the relationship between surface depressions and the *** An observational study was performed in all patients undergoing laparoscopic upper gastro-intestinal operations between January 1,2023 and January 20,2024.A thirty-degree laparoscope was used to inspect the liver and *** surface depressions were present,we recorded patient demographics,presence of diaphragmatic bands,rib protrusions and/or any other source of compression during *** Of 394 patients,343 had normal surface anatomy,and 51(12.9%)had prominent surface depressions on the *** was no significant relationship between the presence of surface depressions and gender nor the presence of rib ***,there was significant association between the presence of surface depressions and diaphragmatic muscular bands(P<0.001).CONCLUSION With these data,the diaphragmatic-band theory has gained increased importance over other theories for surface *** studies are warranted using cross sectional imaging to confirm relationships with intersectional planes as well as beta-catenin assays in the affected liver parenchyma.

关键词： Liver Variant Vein Hepatic Surgery

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为生活做预算——规划人员退休计划

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中国会展 2024年第8期 32-39页

作者： marlene Goldman 不详

会议和活动可以提供信息和乐趣,但在某些时候,是时候退休了。提前制定计划至关重要。对于会议策划者来说,活动管理的关键之一是要从长远的角度考虑如何在预算范围内制定解决方案。规划者在为个人生活做预算和计划时,包括为自己的退休生... 详细信息

会议和活动可以提供信息和乐趣,但在某些时候,是时候退休了。提前制定计划至关重要。对于会议策划者来说,活动管理的关键之一是要从长远的角度考虑如何在预算范围内制定解决方案。规划者在为个人生活做预算和计划时,包括为自己的退休生活做计划时,也可以利用同样的深谋远虑。可以花多少钱以及如何在预算内生活设定一个框架,这既适用于成功的会议,也适用于个人生活。

关键词：预算范围退休生活深谋远虑规划者策划者退休计划解决方案

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食品和饮料趋势简单和健康满足可持续性

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中国会展 2024年第14期 36-43页

作者： marlene Goldman 不详

提供自助餐是给与会者提供选择的一个简单方法。去年在拉斯维加斯举行的SEMA展会上,为SEMA(专业设备市场协会)理事会和网络成员举办了活动。协会策划人员面临的一个关键挑战是在活动期间跟上与会者对食品和饮料的偏好。

关键词：策划人员网络成员自助餐可持续性拉斯维加斯 SEMA 饮料食品

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混合型会议活动正在形成一种文化

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中国会展 2024年第10期 36-41页

作者： marlene Goldman 不详

在新冠疫情引发的所有趋势中,混合型会议和活动可能会在未来几年持续下去。随着2023年即将结束,许多金融和保险会议策划者很高兴地看到,大多数与会者比以往任何时候都更喜欢亲自参加会议。但是,正如活动现场与会者的活力激发了整个行业... 详细信息

在新冠疫情引发的所有趋势中,混合型会议和活动可能会在未来几年持续下去。随着2023年即将结束,许多金融和保险会议策划者很高兴地看到,大多数与会者比以往任何时候都更喜欢亲自参加会议。但是,正如活动现场与会者的活力激发了整个行业的活力一样,混合选项的灵活性也激发了虚拟人群的活力。问题是,接下来会发生什么?

关键词：策划者活力激发灵活性文化混合型虚拟人群会议

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赞助终极的社交媒体

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中国会展 2024年第18期 32-35页

作者： marlene Goldman 不详

所有类型的广告都不缺乏渠道,同样的规则也适用于赞助。从协会会议到运动队再到社区活动,赞助是一个无处不在的营销机会。一些策划者更进一步说,facebook是各种规模企业的终极社交媒体。赞助为人们提供了一个强大的平台,让人们面对面联... 详细信息

所有类型的广告都不缺乏渠道,同样的规则也适用于赞助。从协会会议到运动队再到社区活动,赞助是一个无处不在的营销机会。一些策划者更进一步说,facebook是各种规模企业的终极社交媒体。赞助为人们提供了一个强大的平台,让人们面对面联系并成为非凡活动的一部分,为策划者提供了一个独特的收入机会,以抵销活动的成本。

关键词：社交媒体营销机会社区活动赞助运动队策划者面对面终极

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Prevalence and Factors Associated with Anemia among People Living with Human Immunodeficiency Virus Followed at the Outpatient Treatment Centre of Panzi General Referral Hospital in Eastern Democratic Republic of Congo

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Journal of Biosciences and Medicines 2024年第3期12卷 259-274页

作者： marlene Abedi Zalufa Jean-Paulin Mbo Mukonkole Aline Byabene Kusinza Nicolas Vignier Dieudonné Bihehe Masemo David Willy Shamputi Omari Mukanga Lampard Marie Hatem Department of Internal Medicine Panzi General Referral Hospital Bukavu Democratic Republic of Congo Evangelical University in Africa Bukavu Democratic Republic of Congo Statistics Department Panzi General Referral Hospital Bukavu Democratic Republic of Congo International Centre for The Advanced Research and Training-ICART Panzi Foundation Bukavu Democratic Republic of Congo Faculty of Medicine University of Kisangani Kisangani Democratic Republic of Congo Service des Maladies Infectieuses et Tropicales CHU Avicenne Bobigny France Sorbonne University Paris France School of Public Health Department of Social and Preventive Medicine Université de Montréal Montréal Canada

Introduction: Anemia in people living with human immunodeficiency virus (PLHIV) is a major health problem. Although anemia often responds to combination antiretroviral therapy, many patients remain anemic despite treatment, and such persistent anemia continues to adversely affect prognosis, regardless of drug response. Scientists have identified some of the factors involved. However, the mechanisms put in place have not been effective in overcoming them. Examples include the withdrawal of zidovudine from antiretroviral treatment lines, iron and folate supplementation, etc. Anemia is still a major concern in HIV-positive patients. The aim of this study is to assess the prevalence of anemia and its associated factors among PLHIV followed up at the outpatient treatment centre (CTA) of the Panzi General Reference Hospital (HGR) in South Kivu, Democratic Republic of Congo (DRC). Method: We conducted a cross-sectional, comparative study of 276 HIV-infected adults on antiretroviral therapy (ART) followed up at the CTA of Panzi HGR. Socio-demographic and nutritional parameters were collected using a survey questionnaire, and clinical assessment and nutritional status were performed at the centre. Hemoglobin, seric albumin and viral load determinations were performed at the HGRP laboratory. We constructed univariate and multivariate logistic regression models to assess factors associated with anemia in people living with HIV/AIDS. Results: We found a prevalence of anemia of 39.4%, including 4.1% severe anemia, 17.7% moderate anemia and 17.5% mild anemia. After multivariate adjustment, the factors associated with anemia in our PLHIV were: moderate undernutrition (aOR = 1.26;95% CI: 1.50 - 4.20;p = 0.001), severe undernutrition (aOR = 115.4;95% CI: 2.04 - 164.52;p = 0.021), hypoalbuminemia (aOR = 2.11;95% CI: 1.87 - 5.10;p = 0.004) and the lower degree of dietary diversity (aOR = 1.56;95% CI: 1.10 - 4.32;p = 0.034). Conclusion: The prevalence of anemia in PLHIV on ART is high.

关键词： Anemia HIV/AIDS Undernutrition PANZI Hospital

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Sperm limitation affects sex allocation in a parasitoid wasp Nasonia vitripennis

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Insect Science 2019年第5期26卷 853-862页

作者： marlene Chirault Christophe Bressac marlene Goubault Charlotte Lecureuil Institut de Recherche sur la Biologie de I'lnsecte UMR 7261 CNRS - Universite de ToursFaculte des Sciences et TechniquesParc GrandmontToursFrance

Insect reproduction is influenced by various external factors including temperature, a well-studied constraint. We investigated to what extent different levels of sperm limitation of males exposed to different heat stresses (34 and 36℃) afFect fem ales' offspring production and sex allocation in Nasonia vitripennis. In this haplodiploid parasitoid wasp attacking different species of pest flies, we investigated the effect of the quantity of sperm females received and stored in their spermatheca on their sperm use decisions, hence sex allocation, over successive ovipositions. In particular, we compared the sex allocation of females presenting three levels of sperm limitation (i.e.,mated with control, 34 ℃ heat-stressed or 36℃heat-stressed males) on each host they parasitized. To disentangle the potential reduction of sperm quality after a heat stress exposure from that of sperm quantity, we also explored the clutch size and sex ratio produced by fem ales that were partially sperm limited after copulating with multiply mated males. Independently of their sperm numbers, all types of fem ales produced a similar total number of offspring, but the more limited ones had fewer daughters. Sperm limitation further affected the distribution of daughters' production across *** addition to constraints acting on female physiology, male fertility should therefore be considered in studies measuring reproductive outputs of insects submitted to heat stresses.

关键词： heat stress multiple mating offspring production dynamic sex ratio sperm stock sperm use

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