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Open Journal of Internal Medicine 2015年第4期5卷 92-95页

作者： Angèle Azon-Kouanou Djimon Marcel Zannou Aboudou Raimi Kpossou Kouessi Anthelme Agbodande Roberto Dossou torès Kouassi Prudencio Jean Sehonou Gaspard Gbessi Freddy Gnangnon Gabriel Ade Fabien Houngbe Internal Medicine and Medical Oncology Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin Hepato-Gastroenterology Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin Visceral surgery Department National Teaching Hospital(NTH)Hubert Koudougou Maga(HKM)CotonouBenin

The location of a primary duodenal adenocarcinoma is exceptional. Only few cases have been reported in the literature. We hereby report a case of primary adenocarcinoma of the duodenum with a 60 years old patient admitted because of chronic iron deficiency anemia. Endoscopic examination revealed a budding and ulcerated process in the second duodenum. The biopsy analysis showed primary adenocarcinoma. No other primary tumor was found. The staging directed showed cephalic pancreatic invasion. The patient died in the aftermath of a surgical management.

关键词： Chronic Iron Deficit Adenocarcinoma Duodenum Benin

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关于X射线衍射仪实验条件的综合选择

湖北大学学报(自然科学版) 1988年第2期 109-114页

作者：李湘云湖北大学实验中心

本文以日本理学D/max—C型X射线衍射仪的狭缝系统、扫描速度和时间常数等因素的选择为例,探讨衍射仪实验条件的综合选择问题。

关键词：衍射峰时间常数扫描速度衍射线射线衍射综合选择样品架衍射仪实验条件狭缝系统

Healthcare-Associated Bacteremia and Urinary Tract Infections in Wards A and B of Medicine Department, CNHU-HKM of Cotonou: Characteristics and Risk Factors

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Open Journal of Internal Medicine 2018年第1期8卷 42-53页

作者： Angèle Azon-Kouanou Kouessi Anthelme Agbodande Faridath Abèni Tatiane Massou Dissou Affolabi Roberto Dossou torès Kouassi Prudencio Carin Ahouada Komi Habada Murhula Katabana Delphin Djimon Marcel Zannou Fabien Houngbé Internal Medicine Department National Teaching Hospital Hubert Koutoukou Maga of Cotonou Bénin Bacteriology-Virology Department National Teaching Hospital Hubert Koutoukou Maga of Cotonou Bénin

Introduction: Healthcare-associated infections are involved in hospital long-stay and in the increase in inherent costs to patients care. Objectives: Objective was to describe the characteristics of healthcare-associated bacteremia and urinary tract infections in medical wards of CNHU-HKM of Cotonou, describe the distribution of germs identified according to admission wards and identify factors associated with onset of healthcare-associated infections. Materials and Methods: It was a cohort study conducted from 4th April to 16th September 2016. The study population included patients admitted in wards A and B of CNHU-HKM Medicine department for at least the past 48 hours, or readmitted in one of the medical wards less than 14 days after their discharge from hospital. Results: The study included 825 patients in total. Prevalence of healthcare-associated infections was 9.8%. Bacteremia was the most represented group (65.4%). The most often identified germs regardless of the site were respectively: K. pneumonia (38.5%), S. aureus (23.1%) and E. coli (20.0%). HIV+ status, internal medicine department, nephrology and endocrinology, duration of admission and the use of urinary catheter represent factors statistically associated with the onset of healthcare-associated infections. Conclusion: Healthcare-associated infections are a real public health issue in CNHU-HKM Medicine Department. There is pressing need to conduct a study on clinical hygiene so as to assess healthcare staff in practice.

关键词： Healthcare-Associated Infections Bacteremia Urinary Tract Infections Risk Factors

Phylogeny of Culex theileri virus flavivirus in Spain, Myanmar, Portugal and Turkey

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Asian Pacific Journal of Tropical Medicine 2019年第5期12卷 216-223页

作者： Eleonora Cella Domenico Benvenuto Daniele Donati Francesco Garilli Silvia Angeletti Stefano Pascarella Massimo Ciccozzi Unit of Medical Statistics and Molecular Epidemiology,University Campus Bio-Medico of Rome School of Nursing,Faculty of Medicine,Department of Biomedicine and Prevention,tor Vergata University Faculty of Medicine,University Campus Bio-Medico of Rome Unit of Clinical Laboratory Science,University Campus Bio-Medico of Rome Department of Biochemical Sciences'A.Rossi Fanelli',University of Rome'La Sapienza' Unit of Medical Statistics and Molecular Epidemiology University Campus Bio-Medico of Rome School of Nursing Faculty of Medicine Department of Biomedicine and Prevention Tor Vergata University Faculty of Medicine University Campus Bio-Medico of Rome Unit of Clinical Laboratory Science University Campus Bio-Medico of Rome Department of Biochemical Sciences"A.Rossi Fanelli" University of Rome "La Sapienza"

Objective: To study the genetic diversity of Culex theileri flavivirus and the spread of this virus among Spain, Portugal and ***: A database consisting of 55 sequences of the NS5/3'UTR region of Culex theileri flavivirus group downloaded from GenBank were aligned and manual edited with *** est v.3.7 was used to select the simplest evolutionary model that adequately fitted the sequence *** likelihood analysis was performed using *** phylogenetic signal of the dataset was investigated by the likelihood mapping ***: The phylogenetic tree showed three *** sequences clusterd together with Turkish sequences, Spain and Portugal strains grouped together and two Turkish sequences grouped *** pressure analysis showed a moderate percentage of sites(22.5%) under pervasive negative selection and only 1% under pervasive positive *** sites subject to selective pressure in CTFV RdRp NS5 fragments have been located onto the predicted three-dimensional ***: Phylogenetic and evolutionary analysis can be an important tool for understanding the evolutionary impact of the probable contemporary existence between nonpathogenic and pathogenic flaviviruses among these vectors.

关键词： Culex virus Flaviviridae Phylogenetic analysis Evolution

Bacteriologically Confirmed Neuromeningeal Tuberculosis at the Hubert Koutoukou Maga National Hospital and University Center in Cotonou: About Two Cases Study and a Review of the Literature

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Open Journal of Internal Medicine 2020年第2期10卷 190-197页

作者： Angèle Azon-Kouanou Kouessi Anthelme Agbodande Leoubou Roger Samuel Dodo Mahoutin Semassa Ghislain Missiho Roberto Dossou torès Kouassi Prudencio Delphin Murhula Marius Doukpo Eugénie Dansou Thomas Lokossou Djimon Marcel Zannou Fabien Fabien Internal Medicine Department of CNHU-HKM Cotonou Benin Multi-Purpose Anesthesia and Resuscitation Department of CNHU-HKM Cotonou Benin

Introduction: Tuberculosis remains a major public health problem. The damage to the central nervous system is severe. We reported here two cases. Clinical Case 1: A 37-year-old female patient, naively Human Immunodeficiency Virus1 (HIV1)-positive with antiretroviral (ARV) treatment, hospitalized in the Internal Medicine department for altered consciousness in a febrile context. The clinical examination at admission noted a meningeal syndrome. Cytological analysis of the cerebrospinal fluid (CSF) revealed lymphocytic meningitis with 98% lymphocytes for 3634 leukocytes. CSF polymerase chain reaction (PCR) detected Mycobacterium tuberculosis DNA. She was put on anti-tuberculosis treatment. The immediate course was favourable, but a secondary worsening of the clinical picture was the cause of his death. Clinical Case 2: A 34-year-old male patient, naively HIV1-positive with ARV treatment. He is hospitalized in the Multi-Purpose Anaesthesia and Resuscitation Department of the CNHU HKM for altered consciousness in a feverish context. The clinical examination noted a meningeal syndrome. The cytological analysis of the CSF noted 184 leukocytes for 99% lymphocytes. The CSF PCR identified the DNA of Mycobacterium tuberculosis. He was put on anti-tuberculosis treatment. The evolution was marked by his death. Conclusion: The neuromeningeal localization of tuberculosis is a poor prognosis. Co-infection with HIV remains a potential deadly combination.

关键词： Neuromeningeal Tuberculosis HIV Infection Death Cotonou

Septic shock 3.0 criteria application in severe COVID-19 patients:An unattended sepsis population with high mortality risk

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World Journal of Critical Care Medicine 2022年第4期11卷 246-254页

作者： JoséPedro Cidade LM Coelho Vasco Costa Rui Morais Patrícia Moniz Luís Morais Pedro Fidalgo António Tralhão Carolina Paulino David Nora Bernardino Valério Vítor Mendes Camila Tapadinhas Pedro Povoa Polyvalent Intensive Care Unit Hospital São Francisco XavierCentro Hospitalar Lisboa OcidentalLisboa 1449-005Portugal Polyvalent Intensive Care Unit Hospital Sao Francisco XavierCentro Hospitalar Lisboa OcidentalLisbon 1449-005Portugal Polyvalent Intensive Care Unit Hospital São Francisco XavierCentro Hospitalar Lisboa OcidentalLisbon 1449-005Portugal Polyvalent Intesive Care Unit Hospital São Francisco XavierCentro Hospitalar Lisboa OcidentalLisbon 1449-005Portugal Polyvalent Intens Care Unit NOVA Medical SchoolHospital Sao Francisco XavierCentro Hospitalar Lisboa OcidentalLisbon 1449-005Portugal

BACKGROUND Coronavirus disease 2019(COVID-19)can be associated with life-threatening organ dysfunction due to septic shock,frequently requiring intensive care unit(ICU)admission,respi-ratory and vasopressor ***-fore,clear clinical criteria are pivotal for early recognition of patients more likely to need prompt organ *** most patients with severe COVID-19 meet the Sepsis-3.0 criteria for septic shock,it has been increasingly recognized that hyperlactatemia is frequently absent,possibly leading to an underestimation of illness severity and mortality *** To identify the proportion of severe COVID-19 patients with vasopressor support requirements,with and without hyperlactatemia,and describe their clinical outcomes and mortality METHODS We performed a single-center prospective cohort *** adult patients admitted to the ICU with COVID-19 were included in the analysis and were further divided into three groups:Sepsis group,without both criteria;Vasoplegic Shock group,with persistent hypotension and vasopressor support without hyperlactatemia;and Septic Shock 3.0 group,with both ***-19 was diagnosed using clinical and radiologic criteria with a severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)positive RT-PCR *** 118 patients(mean age 63 years,87%males)were included in the analysis(n=51 Sepsis group,n=26 Vasoplegic Shock group,and n=41 Septic Shock 3.0 group).SOFA score at ICU admission and ICU length of stay were different between the groups(Ptor-free days and vasopressor-free days were different between the Sepsis vs Vasoplegic Shock and Septic Shock 3.0 groups(both P<0.001),and similar in the last two groups(P=0.128

关键词： COVID-19 Critical care SARS-CoV-2 Septic shock Lactate Sepsis 3.0 criteria

视听翻译新发展:语音合成在口述影像中的应用--基于针对视障人士的接受实验与调查

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东方翻译 2020年第2期 24-30页

作者：肖维青董琳娜上海外国语大学英语学院西班牙巴塞罗那自治大学上海外国语大学

口述影像(audio description)作为视听翻译的一种类型,已经为很多视障人士带去了福音,其中语音合成(text-to-speech)口述影像,作为一种高效、经济的手段,已应用于多个语言环境中,如英语、日语、波兰语、西班牙语、加泰罗尼亚语等。鉴于... 详细信息

口述影像(audio description)作为视听翻译的一种类型,已经为很多视障人士带去了福音,其中语音合成(text-to-speech)口述影像,作为一种高效、经济的手段,已应用于多个语言环境中,如英语、日语、波兰语、西班牙语、加泰罗尼亚语等。鉴于中国亟需推广口述影像服务,本研究通过一项针对上海视障人士的实验与调查,对比语音合成口述影像与真人声音口述影像,探讨了语音合成口述影像在中国的接受。研究结果表明,除了与内容理解相关的指标外,真人声音口述影像的其他指标得分均高于语音合成口述影像。由此可见,中国视障人士更喜欢真人声音口述影像。尽管如此,有超过一半的被试者认为,语音合成口述影像不但可以是一种过渡方案,甚至可能成为一种永久解决方案,他们期待语音合成口述影像能为视障用户带来更多无障碍电影。

关键词：口述影像语音合成接受研究汉语无障碍媒体

Application of De-Noising Method for Wheat Spectral Signal

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Application of De-Noising Method for Wheat Spectral Signal

Investigation on the Load/Unload Response Ratio With Coda Q-1 as Response

2009中国控制与决策会议

作者： Xu Zhe~1,Zhang Hua~1,Liu Zhuo~1,Huang Wenjiang~2 1.Beijing University of Technology,Beijing 100124 2.National Engineering Research Center tor information Technology in Agriculture,Beijing 100089,China

＜正＞A method of wavelet transform is used for spectral signal processing in portable spectrometer to eliminate noise *** adaptive threshold method is validated in choosing threshold in this *** with traditional means,this method can eliminate noise more efficiently,and the details of signal are retained *** result proves outstanding performance of this method.

关键词： spectral signal noise signal adaptive threshold

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Earthquake Research in China 1996年第4期10卷 38-45页

作者： Chen Xuezhong,Yin Xiangchu,Aki K,Ouyang H,Jin A.,Song Zhiping,and Wang YucangCenter tor Analysis and Prediction,SSB,Beijing 100036,ChinaSouthern California Eanhquake Center,University of Southern California,Los Angeles,USAInstitute of Geophysics,SSB,Beijing 100081,China

The load/unload response ratio YQ with the geophysical parameter coda Q-1 of the crust as response is denned in this *** variation in YQ-1 before and after the Northridge earthquake of January 17,1994(California)has been investigated by using the data of coda Q-1 with frequencies of 1.5,3.0,6.0,12.0,and 24.0 Hz in the Southern California from 1987 to *** can be found that YQ-1 for coda waves with all frequencies,the frequency of 12.0 Hz excluded,ascended to a certain extent prior to the occurrence of the rnainshock and returned to normality after the main shock.

关键词： Coda Q-1 Theory of the load/unload response ratio Load/unload response ratio YQ The Northridge earthquake Earthquake prediction

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组织边界管理多元化观点