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Fetal Macrosomia in the Maternity Ward of the Community University Hospital: Risk Factors and Maternal-Fetal Prognosis

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Open Journal of Obstetrics and Gynecology 2024年第10期14卷 1561-1570页

作者： gertrude Rose Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza Alida Koirokpi Siméon Matoulou-M’bala Wa-Ngogbe Jean-Thimotée Hounda-Godro Norbert Richard Ngbale Abdoulaye Sepou Department of Obstetrics and Gynecology Community University Hospital Center Bangui Central African Republic Department of Obstetrics and Gynecology Sino-Central African Friendship University Hospital Center Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic

Introduction: Fetal macrosomia is a birth weight greater than or equal to 4000 grams. The aim of this study is to determine the frequency of macrosomia, to identify the risk factors, and to evaluate the maternal and perinatal prognosis in the obstetrics and gynaecology department of the Community University Hospital Centre (CHUC). Methodology: This was a retrospective case-control study over a period of 24 months in the maternity ward of the CHUC. Results: The frequency of delivery of macrosomic fetuses was 4.1%, and the average age of women with large fetuses was 29.5 years. In 65.7% of cases, they were not engaged in any income-generating activity. Most of them had at least secondary education (65.7%) and were mainly multiparous (78.8%). The risk factors found were maternal age greater than or equal to 35 years, multiparity, previous large fœtus, gestational diabetes, obesity and male sex. Maternal complications were dominated by uterine atony (52.2%), perineal tear (31.9%), and cervical tear (15.9%). In our series, macrosomic newborns were three times more likely to present with a neonatal complication than normal-weight newborns. Neonatal mortality was 2.1%. Conclusion: Reducing macrosomia requires a better understanding of the risk factors, early detection, correct management during vaginal delivery and close monitoring of labour with good control of obstetric manoeuvres.

关键词： Fetal Macrosomia Risk Factors Maternal-Fetal Prognosis CHUC

Application of Predictive Model for Efficient Cassava (Manihot esculenta Crantz) Yield in the Face of Climate Variability in Enugu State, Nigeria

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American Journal of Climate Change 2024年第2期13卷 361-389页

作者： Emeka Bright Ogbuene Tonia Nkiru Nwobodo Obianuju gertrude Aloh Achoru Fred Emeka Josiah C. Ogbuka Vivian Amarachi Ozorme Andrew M. Oroke Obiageli Jacinta Okolo Anwara Obianuju Amara E. S. Enemuo Centre for Environmental Management and Control (CEMAC) University of Nigeria Nsukka Nigeria Department of Geography University of Nigeria Nsukka Nigeria Department of Geography and Meteorology Enugu State University of Science and Technology (ESUT) Enugu Nigeria School of Civil Engineering Newcastle University Newcastle upon Tyne UK

Climate variability as occasioned by conditions such as extreme rainfall and temperature, rainfall cessation, and irregular temperatures has considerable impact on crop yield and food security. This study develops a predictive model for cassava yield (Manihot esculenta Crantz) amidst climate variability in rainfed zone of Enugu State, Nigeria. This study utilized data of climate variables and tonnage of cassava yield spanning from 1971 to 2012;as well as information from a questionnaire and focus group discussion from farmers across two seasons in 2023 respectively. Regression analysis was employed to develop the predictive model equation for seasonal climate variability and cassava yield. The rainfall and temperature anomalies, decadal change in trend of cassava yield and opinion of farmers on changes in rainfall season were also computed in the study. The result shows the following relationship between cassava and all the climatic variables: R2 = 0.939;P = 0.00514;Cassava and key climatic variables: R2 = 0.560;P = 0.007. The result implies that seasonal rainfall, temperature, relative humidity, sunshine hours and radiation parameters are key climatic variables in cassava production. This is supported by computed rainfall and temperature anomalies which range from −478.5 to 517.8 mm as well as −1.2˚C to 2.3˚C over the years. The questionnaire and focus group identified that farmers experienced at one time or another, late onset of rain, early onset of rain or rainfall cessation over the years. The farmers are not particularly sure of rainfall and temperature characteristics at any point in time. The implication of the result of this study is that rainfall and temperature parameters determine the farming season and quantity of productivity. Hence, there is urgent need to address the situation through effective and quality weather forecasting network which will help stem food insecurity in the study area and Nigeria at large. The study made recommendations such as a

关键词： Climate Variability Cassava (Manihot esculenta Crantz) Predictive Model Yield

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守车的秘密

Retinoblastoma: The Situation in Burkina Faso over Ten Years

丛书名：大棚车丛书

2004年

作者：（美）格特鲁德·钱德勒·沃纳（gertrude Chandler Warner）彭敏等译

亨利、杰西、丽特和班尼四兄妹乘坐火车去旅行, 他们的车厢号是777。火车停下后, 一个男人听到了他们的车厢号, 便躲开了, 这引起了孩子们的注意。原来, 车厢的历史涉及了一个马戏团的小丑, 走钢丝的艺术有和一条名贵的项链。

ISBN: (纸本)7105059613

关键词：儿童文学中篇小说现代美国

来源：汇雅图书（南通市图书馆... 评论

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Open Journal of Ophthalmology 2024年第3期14卷 175-195页

作者： Amadou Ouattara Anicet Corneille Beremwidougou Paté Sankara Mariam Traore Dolo Tierinyê Armand Meda Windinmanégdé Pierre Djiguimde Rolande Kabore Chantal Gabrielle Bouda gertrude Augustine Meda Hien Jerome Sanou Jean Wenceslas Diallo Ahgbatouhabeba Zabsonre Ahnoux Ophthalmology Department Regional University Hospital of Ouahigouya Ouahigouya Burkina Faso Regional University Hospital of Ouahigouya Ouahigouya Burkina Faso National Center for the Fight against Blindness Ouagadougou Burkina Faso University Hospital of Sour Sanou Bobo-Dioulasso Burkina Faso Nouna District Hospital Nouna Burkina Faso University Hospital of Bogodogo Ouagadougou Burkina Faso University Hospital of Yalgado Ouedraogo Ouagadougou Burkina Faso

Context: In Burkina Faso, there is only one retinoblastoma treatment center located in the capital. Nowadays, the treatment of retinoblastoma has benefited from the contribution of scientific progress. Objective: The aim was to take stock of the situation of retinoblastoma in the pediatric oncology department from January 1, 2010 to December 31, 2019. Materials and Methods: This was a descriptive cross-sectional study with retrospective data collection over a 10-year period, based on records of patients admitted to pediatric oncology department of CHU-YO. Data were analysed using CS Pro version 7.2 software. Categorical variables were compared using Pearsons Chi-square test at the 5% significance level. Overall survival was estimated using the Kaplan-Meier method. Operational definitions were used for lost to follow-up, consultation and diagnosis delays. Results: We collected a total of 204 cases in 10 years, i.e. an annual average of 20.4 cases/year. The mean age at diagnosis was 37.5 months for unilateral cases and 26.4 months for bilateral cases. Male predominance was noted, with a sex ratio of 1.31. The majority of patients came from disadvantaged backgrounds (72% farming fathers and 91% housewives). Clinically, leukocoria and exophthalmos were the main presenting features. The average time to consultation was long (8.73 months) and unilateral localization was predominantly unilateral at 77%. In terms of treatment, 102 patients were eligible for curative treatment and 80 for palliative treatment. The prognosis was poor, with 41% death and numerous cases of lost to follow-up (18%). Overall survival was estimated at 32%. The factor associated with the lethality of retiniblastoma was the extension of the tumor to other organs. Conclusion: Recognition of the early clinical signs of retinoblastoma can anticipate the occurrence of this cancer. Health professionals should be encouraged to perform the Buckner test every time they come into contact with children aged 0 t

关键词： Retinoblastoma Prognosis Pediatric Oncology CHU-YO Burkina Faso

Determinants of Maternal Mortality at the Community University Hospital of Bangui: Central African Republic

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1478-1486页

作者： gertrude Rose De Lima Kogboma Wongo Thibaut Boris Clavaire Songo-Kette Gbekere Rodrigue Herman Doyama-Woza Siméon Matoulou-M’bala Wa-Ngogbe Alida Koirokpi Sabrina Ouapou Georges Trésor Gamache Norbert Richard Ngbale Abdoulaye Sepou Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire Communautaire Bangui Central African Republic Department of Gynaecology and Obstetrics Centre Hospitalier Universitaire de l’Amitié Sino Centrafricaine Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic

Introduction: Pregnancy is a physiological condition that can sometimes end in death. The death of a woman is a constant concern for the obstetrician and is considered a major public health problem in our developing countries. Objective: To identify the determinants that contribute to maternal morbidity and mortality in the Gynaecology and Obstetrics Department of the University Community Hospital. Methodology: We conducted a retrospective study from 1 January 2015 to 31 December 2019 (5 years) in the obstetrics and gynaecology department of the Centre Hospitalier Universitaire Communautaire (CHUC). It focused on the determinants of maternal mortality. Our study population consisted of all women who died during the period and met the World Health Organization (WHO) definition of maternal mortality (MOMA). We used non-probability sampling with the exhaustive choice technique. Results: The study revealed that the number of deaths recorded was 98, while 17,172 live births were registered during the same period. The maternal mortality ratio was 570 per 100,000 live births. The most common age group was 20 to 24, with an average age of 26. The frequency of death among primiparous women was 37.74%, pauciparous women 28.30% and multiparous women 26.42%. Direct causes were dominated by abortion complications (22.41%), followed by infections (9.30%) and haemorrhage (8.19%). Indirect causes were dominated by anaemia with a proportion of 45.16%. The majority of maternal deaths occurred in the post-partum period (34.71%). Most maternal deaths occurred after vaginal delivery, 19 cases (63.33%), while 11 deaths (36.66%) occurred after caesarean section. The occurrence of direct causes was associated with age less than or equal to 25 years, abortion complications and primiparity, with a statistically significant difference. Conclusion: At the end of this study, complications of unsafe abortion and poverty are all factors contributing to the rise in the maternal mortality rate. Emp

关键词： Maternal Mortality Determinants Community Hospital

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篷车少年（英文）

英语画刊(高中版) 2018年第32期 3-5页

作者：格特鲁德·钱德勒·华纳

《篷车少年》是美国女作家格特鲁德·钱德勒·华纳创作的著名儿童小说。小说讲述了亨利、杰西、维莉和班尼四兄妹的成长故事,让读者在阅读中感受到勇气、智慧和善良的力量。本文节选自该系列第一册第一章。I The Four Hungry Children1... 详细信息

《篷车少年》是美国女作家格特鲁德·钱德勒·华纳创作的著名儿童小说。小说讲述了亨利、杰西、维莉和班尼四兄妹的成长故事,让读者在阅读中感受到勇气、智慧和善良的力量。本文节选自该系列第一册第一章。I The Four Hungry Children1饥肠辘辘的四兄妹来到一家面包店橱窗外,想买一些面包。可是老板娘不喜欢孩子。她会把面包卖给他们吗?ONE WARM NIGHT four children stood in front of a bak-ery. No one knew them. No one knew where they had come

关键词：面包店

Factors Associated with Mother-to-Child Transmission of HIV at the Maternity Unit of the Castors Urban Health Center in Bangui

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Open Journal of Obstetrics and Gynecology 2023年第5期13卷 950-959页

作者： Thibaut Boris Clavaire Songo-Kette Gbekere Gilles Davy Kossa-Ko-Ouakoua gertrude Rose De Lima Kogboma Wongo Guerengbo Rodrigue Herman Doyama-Woza Siméon Matoulou-M’bala Wa-Ngogbe Alida Koirokpi Sabrina Ouapou Kelly Mbano-Dede Matike-Ayamboka Josué Eezchiel Sandjima Norbert Richard Ngbale The Maternity Unit of the Centre de Santé Urbain des Castors Bangui Central African Republic Department of Gynecology and Obstetrics Centre Hospitalier Universitaire Communautaire Bangui Central African Republic Department of Public Health Faculty of Health Sciences University of Bangui Bangui Central African Republic Department of Gynecology and Obstetrics Centre Hospitalier Universitaire Maman Elisabeth Domitien Bimbo Central African Republic

Introduction: In spite of significant progress towards eliminating mother-to-child transmission (MCT) of HIV by 2025, trends in vertical mother-to-child transmission are still worrying in sub-Saharan African countries. This study aims to take stock of the factors associated with HIV MCT at the level of peripheral health training. Patients and Methods: This was a descriptive and analytical retrospective study, over a five-year period from January 1st, 2017 to December 31st, 2021. The study population was represented by HIV-positive women and their cared infants in the Parent-Child Transmission Prevention Unit (PCTP) of the Castors Urban Health Center (CUHC). Results: 288 medical records were selected out of a total of 347 HIV-positive mothers followed. HIV seroprevalence in the population of women who received PreNatal Consultation (PNC) during the study period was 8.2%. The HIV MCT rate was 3.7%. HIV+ mothers followed were mostly young (average age of 28), not living in a couple (96.9%), poorly educated (58.7%) and not engaged in income-generating activity (58.4%). They had all received triple therapy and the period of initiation of antiretroviral (ARV) therapy was in the majority of cases during the first trimester. Factors associated with MCT were: primiparity (OR = 18.4 [5.55 - 61.05];Khi2 = 32.61;p 2 = 55.22;p 2 = 108.73;p 3 (OR = 14.12 [4.03 - 57.20];Khi2 = 21.68;p 1000 copies/mm3 (OR = 8.85 [2.33 - 43.20];Khi2 = 10.46;p = 0.001), prolonged labor (OR = 12.33 [3.45 - 57.25];Khi2 = 18.47;p 2 = 40.60;p 2 = 5.96;p = 0.014), and artificial or mixed breast

关键词： Factors Transmission Mother-Child HIV Bangui

格特鲁德·卡塞比尔:摄影大师镜头下的极致母爱

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旅游世界 2021年第7期 70-79页

作者：格特鲁德·卡塞比尔(摄影) 崔霁云不详

格特鲁德·卡塞比尔(gertrude Käsebier)是19世纪末初最伟大的摄影家画家之一,她通过结合自己对美的敏感,直言不讳的性格和优秀的商业头脑,使得她在艺术和商业上都取得了成功。自1839年摄影作为一种媒介被发明以来,女性就一直参与其中,... 详细信息

格特鲁德·卡塞比尔(gertrude Käsebier)是19世纪末初最伟大的摄影家画家之一,她通过结合自己对美的敏感,直言不讳的性格和优秀的商业头脑,使得她在艺术和商业上都取得了成功。自1839年摄影作为一种媒介被发明以来,女性就一直参与其中,不同于画家和雕塑家,成为一名摄影师并不需要专业正规的学术训练。摄影更像是写作,只需要你有天赋,耐心和好学的心,此外只要你可以负担得起摄影器材,你就有机会成为一名摄影师。

关键词：学术训练商业头脑摄影器材摄影大师卡塞摄影师雕塑家

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食肉动物或变色龙:电影研究的命运

电影理论研究（中英文） 2023年第3期5卷 84-91页

作者： [德]格特鲁格·科赫王苑媛柏林自由大学西南交通大学人文学院

本文从哲学人类学角度辨析了新媒体论争中人与技术关系的问题,主张在制造审美幻觉和构建可能世界方面,传统电影与数字媒介仍然拥有共同的基础。正如摄影影像的感性特质造就了经典电影美学,形塑了与电影装置相关的话语,数字影像独有的感... 详细信息

本文从哲学人类学角度辨析了新媒体论争中人与技术关系的问题,主张在制造审美幻觉和构建可能世界方面,传统电影与数字媒介仍然拥有共同的基础。正如摄影影像的感性特质造就了经典电影美学,形塑了与电影装置相关的话语,数字影像独有的感性特质也将赋予未来电影新的潜能。面对技术革命带来的挑战,数字时代的电影研究或将自身定位为,对不同类型、不同技术来源的运动影像进行分析的理论工作。就此而言,电影研究既可以与媒介研究结合,也可以保持其相对的独立性。

关键词：数字电影技术中介审美幻觉感性特质电影美学