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The Univariate and Bivariate Impact of HIV/AIDS on the Quality of Life:A Cross Sectional Study in the Hubei Province-Central China

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2009年第2期29卷 260-264页

作者： ommari baaliy mkangara 王重建向浩许奕华聂绍发刘丽 Saumu Tobbi MWERI Mustaafa BAPUMIIA Theresia M KOBELO Felicia Williams JACKSON Department of Epidemiology and Biostatistics School of Public HealthTongji Medical CollegeHuazhong University of Science and Technology MOE Key Laboratory of Environment and Health School of Public HealthTongji Medical CollegeHuazhong University of Science and Technology Hondros College School of Nursing Department of Pediatric Cardiovascular Disease Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Cardiovascular Disease Agakhan Hospital Department of Internal Medicine Saint Francis HospitalIfakara Medical College

This study is aimed to evaluate the quality of life （QOL） for individuals living with human immunodeficiency virus （HIV）/acquired immunodeficiency syndrome （AIDS） in Hubei province-central China by using WHOQOL-BREF instrument （Chinese version）. One hundred and thirty six respondents （HIV/AIDS individuals） attending out-patient department of Chinese Center for Disease Control and Prevention （Chinese CDC） were administered a structured questionnaire developed by investigators. QOL was evaluated by using WHOQOL-BREF instrument （Chinese version）. The results showed that the mean score of overall QOL on a scale of 0-100 was 25.8. The mean scores in 4 domains of QOL on a scale of 0-100 were 82.9 （social domain）, 27.5 （psychological domain）, 17.7 （physical domain） and 11.65 （environmental domain）. The significant difference of QOL was noted in the score of physical domain between asymptomatic （14.6） and early symptomatic individuals （12）（P=0.014）, and between patients with early symptoms （12） and those with AIDS （10.43）（P〈0.001）. QOL in psychological domain was significantly lower in early symptomatic （12.1）（P〈0.05） and AIDS patients （12.4）（P〈0.006） than in asymptomatic individuals （14.2）. The difference in QOL scores in the psychological domain was significant with respect to the income of patients （P〈0.048） and educational status （P〈0.037）. Significantly better QOL scores in the physical domain （P〈0.040） and environmental domain （P〈0.017） were noted with respect to the occupation of the patients. Patients with family support had better QOL scores in environmental domain. In our research, QOL for HIV/AIDS individuals was associated with education, occupation, income, family support and clinical categories of the patients. It was concluded that WHOQOL-BREF Chinese version was successfully used in the evaluation of QOL of HIV/AIDS individuals in Chinese population and proved to be a reliable and useful tool.

关键词： AIDS bivariate, central China, HIV, impact, univariate, WHOQOL-Bref Chinese version

Univariate Risk Factors for Prolonged Mechanical Ventilation in Patients Undergoing Prosthetic Heart Valves Replacement Surgery

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2006年第6期26卷 693-695页

作者： ommari baaliy mkangara 张凯伦杨运海 Saumu Tobbi Mweri Theresia.M.Kobelo Department of Cardiovascular Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Pediatric Cardiovascular Diseases Lugalo General Military HospitalDar-es-salaamTanzania Department of Surgery Saint Francis HospitalIfakara Medical CollegeMorogoroTanzania

Data from 736 patients undergoing prosthetic heart valve replacement surgery and concomitant surgery （combined surgery） from January 1998 to January 2004 at Union Hospital were retrospectively reviewed. Univariate logistic regression analyses were conducted to identity risk factors for prolonged mechanical ventilation. The results showed that prolonged cardiopulmonary bypass duration, prolonged aortic cross clamp time and low ejection fraction less than 50 percent （50 %） were found to be independent predictors for prolonged mechanical ventilation. Meanwhile age, weight, and preoperative hospital stay （days） were not found to be associated with prolonged mechanical ventilation. It was concluded that. for age and weight, this might be due to the lower number of old age patients （70 years and above） included in our study and genetic body structure of majority Chinese population that favor them to be in normal weight, respectively.

关键词： prolonged mechanical ventilation prosthetic heart valves replacement surgery

Evaluation of Atrial Septal Defect Using Real-time Three-dimensional Echocardiography:Comparison with Surgical Findings

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Journal of Huazhong University of Science and Technology(Medical Sciences) 2009年第2期29卷 257-259页

作者： Saumu Tobbi Mweri 邓又斌程佩萱林汉华王宏伟 ommari baaliy mkangara 夏治胡秀芬毕小军伍玉晗 Mustaafa Bapumiia 申屠伟慧刘蓉刘娅妮朱美华 Department of Pediatric Cardiovascular and Rheumatic Diseases Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Medical Ultrasound Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Epidemiology and Biostatistics Tongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of Cardiovascular Diseases Aghakhan Hospital

The present study evaluated the application of three dimensional echocardigraphy （3DE） in the diagnosis of atrial septal defect （ASD） and the measurement of its size by 3DE and compared the size with surgical findings. Two-dimensional and real-time three dimensional echocardiography （RT3DE） was performed in 26 patients with atrial septal defect, and the echocardiographic data were compared with the surgical findings. Significant correlation was found between defect diameter by RT3DE and that measured during surgery （r=0.77, P〈0.001）. The defect area changed significantly during cardiac cycle. Percentage change in defect size during cardiac cycle ranged from 6%-70%. Our study showed that the size and morphology of atrial septal defect obtained with RT3DE correlate well with surgical findings. Therefore, RT3DE is a feasible and accurate non-invasive imaging tool for assessment of atrial septal size and dynamic changes.

关键词： real-time three-dimensional echocardiography atrial septal defect two dimensional echocardiography