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Diabetic Macroangioapathy at the Internal Medicine Department of the Abass Ndao Hospital Center (About 359 Cases)

Journal of Diabetes Mellitus 2024年第1期14卷 1-12页

作者： Sow Djiby Djiba Boundia Ndour michel Assane Diedhiou Demba Dieng Mouhamed Diallo Ibrahima Mané Fall Ndiouga Gueye Khoudia Gadji Fatou Kiné Sarr Anna Diop Said Nourou Ndour Mbaye Maimouna Department of Internal Medicine and Medical Specialties H&#244pital Abass Ndao Dakar Senegal

Introduction: Macroangiopathy plays an important role, with a high prevalence of morbidity and mortality in diabetic patients. The aim was to study the epidemiological, clinical, paraclinical, therapeutic and evolutionary profile of macroangiopathy in diabetic patients in the internal medicine department of the Abass Ndao hospital. Patients and methods: This was a descriptive and analytical cross-sectional study. Our investigations were recruited over a 7-year period (January 1, 2016 to December 31, 2022). Results: Three hundred and fifty-nine (359) patients (10.22%) were enrolled. The mean age was 62.83 years, with extremes ranging from 17 to 98 years. The [60 - 69] age group was more representative (37.32%). Women accounted for 180 cases (50.1%), with a sex ratio (m/f) of 0.99. The average duration of diabetes was 11.86 years. Average consultation time was 38.07 days, with extremes ranging from 1 to 368 days. Average hospital stay was 7.65 days. Inaugural diabetes was noted in 12 cases (3.34%). Type 2 diabetes accounted for 95.82% (n = 344) of patients. Hypertension was present in 150 patients (41.8%). Patients with 2 risk factors accounted for 173 cases (48.18%). Nineteen patients had already had a stroke (5.29% of cases). Fourteen (14) patients (4.2%) were amputees. Obliterative arteriopathy of the lower limbs (AOMI) was noted in 193 patients (54%). Stroke was noted in 101 patients (28%). Ischemic heart disease (IHD) was noted in 38 patients (11%). AOMI was more common in males (110 patients, 57%) than in females (43%). Seventy-three (73) patients (20.3%) died. Predictors of death were age over 60 and the existence of more than two cardiovascular risk factors. Conclusion: Diabetic macroangiopathy is a major cause of morbidity and mortality. The development and implementation of a prevention and management program is essential.

关键词： Macroangiopathy Diabetes Risk Factors Senegal

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New Partial Geometric Difference Sets and Partial Geometric Difference Families

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Acta Mathematica Sinica,English Series 2017年第5期33卷 591-606页

作者： Jerod michel School of Mathematical Sciences Zhejiang University Hangzhou 310027 P. R. China

Using Galois rings and Galois fields, we construct several infinite classes of partial geometric difference sets, and partial geometric difference families, with new parameters. Furthermore, these partial geometric difference sets(and partial geometric difference families) correspond to new infinite families of directed strongly regular graphs. We also discuss some of the links between partially balanced designs, 2-adesigns(which were recently coined by Cunsheng Ding in "Codes from Difference Sets"(2015)), and partial geometric designs, and make an investigation into when a 2-adesign is a partial geometric design.

关键词： Partial geometric design cyclotomic class directed strongly regular graph partial geometric difference set partial geometric difference family

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Which algebraic groups are Picard varieties?

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Science China Mathematics 2015年第3期58卷 461-478页

作者： BRION michel Institut Fourier Universit'e de Grenoble

We show that every connected commutative algebraic group over an algebraically closed field of characteristic 0 is the Picard variety of some projective variety having only finitely many non-normal *** contrast,no Witt group of dimension at least 3 over a perfect field of prime characteristic is isogenous to a Picard variety obtained by this construction.

关键词： algebraic group Picard variety pinching

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On the Order of Magnitude of the Divisor Function

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Acta Mathematica Sinica,English Series 2006年第2期22卷 377-382页

作者： michel WEBER Mathmatique Universit Louis-Pasteur et G.N.R.S.7 rue Rene Descartes. 67084-Strasbourg Cedex France

Let D be an increasing sequence of positive integers, and consider the divisor functions：d（n, D） =∑d｜n,d∈D,d≤√n1, d2（n,D）=∑[d,δ]｜n,d,δ∈D,[d,δ]≤√n1,where [d,δ]=1.c.m.（d,δ）. A probabilistic argumen... 详细信息

关键词： Divisor function Prime divisors Bernoulli random walk

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New results on the hadronic vacuum polarization contribution to the muon g-2

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Chinese Physics C 2010年第6期34卷 718-727页

作者： michel Davier Laboratoire de l'Acclrateur Linaire IN2P3/CNRSUniversit Paris-Sud 11

Results on the lowest-order hadronic vacuum polarization contribution to the muon magnetic anomaly are presented. They are based on the latest published experimental data used as input to the dispersion integral. Thus recent results on τ→υτππ^0 decays from Belle and on e^＋e^- annihilation to π^＋π^- from BABAR and KLOE are included. The new data, together with improved isospin-breaking corrections for τ decays, result into a much better consistency among the different results. A discrepancy between the Standard Model prediction and the direct g- 2 measurement is found at the level of 3σ.

关键词： muon magnetic moment vacuum polarization electron-positron annihilation tau decays g-2

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Predicting 2D silicon allotropes on SnS2

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Nano Research 2017年第5期10卷 1697-1709页

作者： Emilio Scalise michel Houssa Max-Planck-lnstitut fur Eisenforschung GmbH Max-Planck-StraBe 1 40237 Dusseldorf Germany Semiconductor Physics Laboratory Department of Physics and Astronomy University of Leuven Celestijnenlaan 200 D B-3001 Leuven Belgium

A first principles study on the stability and structural and electronic properties of two-dimensional silicon allotropes on a semiconducfing layered metal-chalcogenide compound, namely SnS2, is performed. The interactions between the two- dimensional silicon layer, commonly known as silicene, and the layered SnS2 template are investigated by analyzing different configurations of silicene. The calculated thermodynamic phase diagram suggests that the most stable configuration of silicene on SnS2 belongs to a family of structures with Si atoms placed on three different planes; so-called dumbbell silicene. This particular dumbbell silicene structure preserves its atomic configuration on SnS2 even at a temperature of 500 K or as a ＂flake＂ layer （i.e., a silicene cluster terminated by H atoms）, thanks to the weak interactions between the silicene and the SnS2 layers. Remarkably, an electric field can be used to tune the band gap of the silicene layer on SnS2, eventually changing its electronic behavior from semiconducting to （semi）metallic. The stability of silicene on SnS2 is very promising for the integration of silicene onto semiconducting or insulating substrates. The tunable electronic behavior of the silicene/SnS2 van der Walls heterostructure is very important not only for its use in future nanoelectronic devices, but also as a successful approach to engineering the bang-gap of layered SnS2 paving the way for the use of this layered compound in energy harvesting applications.

关键词： silicene tin sulfide van der Waals (vdW)heterostructure dumbbell chalcogenide

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Evaluation of Colorectal Cancer Management in Eastern DR Congo. About 55 Cases Were Collected from January 2002 to December 2016 Panzi General Referral Hospital

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Journal of Cancer Therapy 2024年第4期15卷 179-189页

作者： Bafunyembaka Muka Alain Kitumaini Munyahali John Ciruza Balegana Jean-Claude Lobe Lottin michel Luhiriri Ndanda Levi Kavira Isse Somo Prisca Amisi Mangaza Emilie Alumeti Munyali Desire Ahuka Ona Longombe Albert Department of Surgery H.G.R Panzi/Universit&#233 Evang&#233liqueen Afrique Bukavu DR Congo

A retrospective study was conducted at the HGR de Panzi in eastern DR Congo to determine the profile of colorectal cancer (CRC) management based on 55 cases out of 129 digestive cancers diagnosed in the digestive surgery, endoscopy, and pathology department of the HGR de Panzi from January 2002 to December 2016. The prevalence of CRC was 42.6%. The mean age of patients was 50.8 years, with a range of 20 to 81 years. The male to female ratio was 2.2. In 69.1% of cases, the patients had a low socioeconomic status, and 52.7% had a history of hemorrhoids. Rectorrhagia revealed CCR in 49.1% of cases. The mode of discovery was predominantly emergency in 69.1% of cases, and 58.20% of CRCs were diagnosed by an initial endoscopy of the lower colon. Adenocarcinoma was found in 94.5% of cases, and 45% of cases required abdominoperineal amputation. Various postoperative complications were experienced by 54.5% of patients, and 25.5% of patients died. To decrease the occurrence of these types of cancers, it is necessary to focus on early detection in the population and enhance access to primary healthcare for everyone.

关键词： Assessment Management Colorectal Cancer

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Analytical investigation of bidirectional ductile diaphragms in multi-span bridges

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Earthquake Engineering and Engineering Vibration 2018年第2期17卷 235-250页

作者： Xiaone Wei michel Bruneau Michael Baker International ChicagoIL 60606USA Department of Civil Structuraland Environmental EngineeringUniversity at BuffaloBuffaloNY 14260USA

In the AASHTO Guide Specifications for Seismic Bridge Design Provisions,ductile diaphragms are identified as Permissible Earthquake-Resisting Elements（EREs）,designed to help resist seismic loads applied in the transverse direction of *** adding longitudinal ductile diaphragms,a bidirectional ductile diaphragm system is created that can address seismic excitations acting along both the bridge’s longitudinal and transverse *** paper investigates bidirectional ductile diaphragms with Buckling Restrained Braces（BRBs）in straight multi-span bridge with simply supported floating *** flexibility of the substructures in the transverse and longitudinal direction of the bridge is *** procedures for the bidirectional ductile diaphragms are first *** analytical model of the example bridge with bidirectional ductile diaphragms,designed based on the proposed methodology,is then built in *** and nonlinear time history analyses are performed on the bridge model,and corresponding results are *** effect of changing the longitudinal stiffness of the bidirectional ductile diaphragms in the end spans connecting to the abutment is also investigated,in order to better understand the impact on the bridge’s dynamic performance.

关键词： bidirectional ductile diaphragm seismic resistance multi-span bridge with floating spans

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Phenotypic Characterization of Extended Spectrum Beta-Lactamase, Class C Cephalosporinase and Carbapenemase-Producing Klebsiella Species Isolated from Patients Consulted at Four Yaounde-Based Hospitals

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Open Journal of Medical Microbiology 2024年第2期14卷 105-119页

作者： Emilia Enjema Lyonga Mbamyah Mangum Patience Kumcho michel Toukam Dieudonné Sedena Florence Anjabie Enyeji Aime-Caesar Teukam Modestine Djuissi Martha Tongo Mesembe George Mondinde Ikomey Agnes Bedie Eyoh Hortense Kamga Gonsu Faculty of Medicine and Biomedical Sciences The University of Yaounde 1 Yaounde Cameroon Center for the Study and Control of Communicable Diseases Faculty of Medicine and Biomedical Sciences The University of Yaounde 1 Yaounde Cameroon Department of Microbiology School of Health Sciences Catholic University of Central Africa Yaounde Cameroon Faculty of Science University of Buea Buea Cameroon Bacteriology Unit Yaounde University Teaching Hospital Yaounde Cameroon

Background: Klebsiella spp. are bacteria of medical importance for their role in opportunistic infections which are often difficult to treat because of resistance to one or several antimicrobials. The aim of this study was to determine antimicrobial resistance due to Extended Spectrum Beta-lactamase (ESBL), Class C cephalosporinase (AmpC) and carbapenemase enzymes in Klebsiella spp. isolated from patients consulted at four hospitals. Methodology: The study was cross-sectional and descriptive. A total of 4190 non-repetitive patients specimens from 13 types of clinical specimens were analysed from February to November 2020. Two hundred and twenty-five (225) Klebsiella spp isolates were identified using API 20E and antimicrobial susceptibility testing done according to the Kirby Bauer disc diffusion method. ESBL and AmpC phenotypes were determined by the combination disc method and carbapenemases by double disc synergy method, referenced by EUCAST guidelines for the resistance testing. Results: The frequency of the species was Klebsiella pneumoniae (69%, 155/255), K. oxytoca (14%, 31/255), K. ozaenae (12%, 27/225) and K. rhinoscleromatis (5%, 11/225). Isolates were most resistant to sulphomethoxazole trimethoprim (84%, 189/225), cepaholosporins (80%, 180/225), and least resistant to carbapenems (10.7%, 24/225). Two K. oxytoca and one K. pneumoniae were resistant to all antibiotics tested. Klebsiella pneumoniae had the most multidrug resistant isolates (59.4%, 134/225). Most isolates (83.6%, 188/225) expressed at least one enzyme, while 63.6% (143/225) of the isolates expressed at least two enzymes. Some isolates were ESBL (71.6%, 161/225), carbapenemase (10.7%, 24/225) and AmpC (6.6%, 15/225) producers. Three carbapenemases (Klebsiella pneumoniae carbapenemase-KPC, Metallo-Beta Lactamase-MBL and OXA-48) were detected. Conclusion: These results revealed that resistance of Klebsiella spp. to cephalosporins is high and this may be exacerbated by co-expression of AmpC and

关键词： Klebsiella Spp. Multidrug Resistance ESBL AmpC Carbapenemase

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小行星表面风化层跨尺度迁移的离散元建模

小行星表面风化层跨尺度迁移的离散元建模

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北京力学会第30届学术年会

作者：宋志军于洋 Stefania Soldini 程彬 Patrick michel

本文以小行星表面风化层颗粒的跨尺度迁移过程为背景,针对传统离散元法(DEM)在模拟这一过程所面临的困难,提出一种小行星表面风化层跨尺度迁移的离散元建模方法。模拟结果表明,该方法能够准确高效地追踪小行星表面风化层材料的连续跨尺... 详细信息

本文以小行星表面风化层颗粒的跨尺度迁移过程为背景,针对传统离散元法(DEM)在模拟这一过程所面临的困难,提出一种小行星表面风化层跨尺度迁移的离散元建模方法。模拟结果表明,该方法能够准确高效地追踪小行星表面风化层材料的连续跨尺度迁移过程。

关键词：离散元小行星风化层迁移跨尺度建模

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