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Epidemiological, Diagnostic, Therapeutic, and Prognostic Profile of Non-Tuberculous Community-Acquired Purulent Pleurisy in Children at the Bouaké University Hospital Center, 2017-2021

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Advances in Infectious Diseases 2024年第1期14卷 220-232页

作者： Yapo Thomas Aba Christian Yao Pacôme Monemo richard Azagoh-Kouadio Iburaima Akandji Noelle Gonné Jean-Marie Karidioula Vincent Achi Vincent Kouadio Asse Department of Infectious and Tropical Diseases University Hospital of Bouaké Bouaké Ivory Coast University Alassane Ouattara of Bouake Bouake Ivory Coast Department of Pediatrics University Hospital of Bouaké Bouaké Ivory Coast Department of Bacteriology & Virology University Hospital of Bouake Bouaké Ivory Coast Department of Pediatrics University Hospital of Angré Abidjan Ivory Coast Department of Pneumology University Hospital of Bouake Bouaké Ivory Coast

Introduction: In Côte d’Ivoire, there is a scarcity of data on children’s purulent pleurisies. Objective: This study aims to elucidate the epidemiological, diagnostic, therapeutic, and evolutionary facets of non-tuberculous purulent pleurisies in pediatric patients. Methods: A retrospective analysis was conducted using the medical records of children aged one month to fifteen years with purulent pleurisies at Bouaké University Hospital Center from January 2017 to December 2021. Results: The study identified 124 cases of purulent pleurisies, constituting 18% of lower respiratory tract infections and 0.8% of all hospitalizations. The majority of these cases (69%) were in children between 1 and 24 months of age. Prominent symptoms included dyspnea (85.5%), O2 saturation below 95% in room air (76.6%), respiratory distress (68.5%), cutaneous-mucosal pallor (63.7%), and fever (43.5%). Radiological findings predominantly showed right-sided pleurisy (62.1%). The pleurisy was often extensive (78.2%), accompanied by pneumothorax (37.1%), alveolo-interstitial opacities (8.1% of cases), and abscess formations (1.6%). Pleural fluid cultures were positive in 46.9% of cases, with Staphylococcus aureus (75%, methi-S) identified among 32 bacteria. Initial antibiotic treatment was empirical, favoring oxacillin (53.2%) or amoxicillin-clavulanic acid (53.2%) in dual (42%) or triple therapy (33%) with gentamicin (64.1%) and/or metronidazole (21.8%). Treatments also included pleural drainage (68.5%) or repeated evacuation punctures (33.1%), and blood transfusion (39%). The mortality rate was 18.8%. Conclusion: Non-tuberculous purulent pleurisy remains a significant concern in pediatric hospitalizations at the CHU of Bouaké, marked by high mortality rates.

关键词： Community-Acquired Purulent Pleurisies Children Mortality Bouaké

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Quantification of Lipid Content and Identification of the Main Lipid Classes Present in Microalgae Extracts Scenedesmus sp. for Obtaining Fatty Compounds for Biofuel Production

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Energy and Power Engineering 2020年第6期12卷 273-287页

作者： Carolina Vieira Viegas Leonardo Brantes Bacellar Mendes Rafael richard João Gisel Chenard Díaz Donato A. G. Aranda Yordanka Reyes Cruz GREETEC Laboratory Federal University of Rio de Janeiro (UFRJ) Rio de Janeiro Brazil CENPES/PETROBRáS—Leopoldo Américo Miguez de Mello Research Center Rio de Janeiro Brazil

Microalgae biomass has been reported in the literature as one of the most promising sources for obtaining different products of industrial interest such as lipids, fatty acids, carotenoids, proteins and fibers. The lipid fraction of microalgae comprises neutral lipids, free fatty acids and polar lipids. It is of great importance to estimate the composition of the lipid fraction to define the potential for use, either as a raw material for the production of biofuels or for use for nutraceuticals and/or food purposes. The microalgae Scenedesmus sp. cultivated in a photobioreactor, the sky open raceway type, was evaluated for lipid content, identification and quantification of lipid components obtained from different extracts. In the quantification of the lipid content, extraction methods were proposed without chemical treatment (use of solvents only) such as chloroform:methanol (2:1 v/v)—Bligh & Dyer, Ethanol, Ethyl acetate:Hexane (1:1 v/v) and others with chemical treatment such as J-Schmid-Bondzynski-Ratzlaff (acid) and saponification (basic). For the identification of the main lipid components present in the extracts, the Thin layer chromatography (TLC) technique was used. Th

关键词： Microalgae Lipids Extraction Saponifiable Compounds Biofuels

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Geological Interpretation and Identification of Albian-Aged Petroleum Prospects in Block A, San Pedro Margin (Côte d’Ivoire)

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Open Journal of Applied Sciences 2024年第10期14卷 2923-2942页

作者： N’guessan Donald Ahoure Blandine Akissi Egoran Guy richard N’dri Kouadio Crépin Michel Mobio Zéli Bruno Digbehi Marc Ephrem Allialy Laboratory of Plant Biology and Earth Sciences UFR of Sciences and Technologies Alassane Ouattara University Bouak Cte dIvoire UFR Marine Sciences San Pedro University San Pedro Cte dIvoire Geology Department PETROCI Abidjan Cte dIvoire UFR/STRM Felix Houphout Boigny University of Abidjan Abidjan Cte dIvoire

The study aims to identify Albian-age oil prospects in Block A of the San Pedro margin, Côte d’Ivoire, by conducting a detailed geological interpretation. The objective is to confirm the presence of oil reservoirs trapped by favorable geological structures, identifiable through geophysical and seismic methods. The methodological approach is based on a combined analysis of studies and seismic data. Drilling data from well PA, including well logs and end-of-well reports, were used to characterize the lithological formations encountered, particularly those of the Albian. 3D seismic profiles were interpreted to identify structures conducive to hydrocarbon accumulation. Isochrone, isovelocity, and isobath maps were developed to refine the interpretation. Sedimentological analyses revealed five sandy/gritty levels between 2610 m and 3100 m, interspersed with clay, limestone, and siltstone beds. The seismic profiles highlighted two main prospects. These prospects exhibit favorable geological structures, including normal faults and structural traps that provide oil traps.

关键词： Sedimentology 3D Seismic Prospect Albian Côte D’Ivoire

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小学生领导力萌芽与发展的实证研究

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心理科学 2015年第3期38卷 612-617页

作者：高欣羽程亚华李虹张洁丁凤姣 Kim Nguyen-Jahiel richard C.Anderson 舒华伍新春郑明璐崔彦梅北京师范大学心理学院应用实验心理北京市重点实验室北京100875 台湾大学中国台北10617 美国西肯塔基大学美国伊利诺大学香槟分校北京市丰台区芳古园小学北京100078

本研究以四年级学生为研究对象,通过话语分析,探究了八个无领导小组八次讨论过程中领导力的萌芽状况及其影响因素。结果发现,小学生可自发出现领导力行为,但只有两个小组会涌现出明显的领导者,并表现为独立领导和协同领导两种不同模式... 详细信息

本研究以四年级学生为研究对象,通过话语分析,探究了八个无领导小组八次讨论过程中领导力的萌芽状况及其影响因素。结果发现,小学生可自发出现领导力行为,但只有两个小组会涌现出明显的领导者,并表现为独立领导和协同领导两种不同模式。对学生和教师行为的综合分析显示,学生领导力的形成与教师示范、反馈及同伴互动存在密切关系,这对学生领导力的培养具有重要的启示意义。

关键词：协作推理讨论小学生领导力质性分析

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先进ATHENA^(TM)选用策略与对准功能(英文)

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电子工业专用设备 2004年第2期33卷 28-35页

作者：程天风 Jeroen Huijbregtse richard van Haren André Jeunink 阿斯麦光刻设备公司

基于先进科技对准规格的减缩,对准仪量测数据的应用也变得更为重要。不同对准策略的选择所引起的结果,对全部对准预算有很重要的影响。介绍两个主要科技研发项目:先进对准配套和对准标的设计。

关键词：对准系统多组光栅标化学机械抛光晶圆对位

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Evaluation of Tuberculosis Treatment Outcome of TB/HIV Co-Infection: A Four-Year Retrospective Cohort Study in HIV-Prevalent Setting of North Central Nigeria

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Journal of Tuberculosis Research 2016年第3期4卷 122-133页

作者： Abiodun Hassan richard Olukolade Queen Ogbuji Audu Onyemocho Lucia Okwuonye Shember-agela Igbabul Josephine Okechukwu Oluremilekun Kusimo Adewale Osho Kehinde Osinowo Oladapo Ladipo Association for Reproductive and Family Health Abuja Nigeria Department of Community Health Benue state University Makurdi Nigeria Benue state Tuberculosis and Leprosy Control Programme Ministry of Health Makurdi Nigeria FCT Tuberculosis and Leprosy Control Programme FCT Health Management Board FCT Abuja Nigeria

Background: Despite the availability of highly effective treatment for decades, Tuberculosis (TB) remains a major health problem in Nigeria due to the increasing association between HIV and TB observed over the past three decades when HIV was discovered. However, the proportion of TB and or TB/HIV co-infected patients who have successful TB treatment outcome is not well known. This study determined the treatment outcome of TB/HIV co-infected patients with HIV negative patients in two states in Nigeria. Materials and Methods: A retrospective study of secondary data from eight Directly Observed Treatment Short (DOTS) course and Anti- Retroviral Therapy (ART) service providers in Benue and Federal Capital Territory (FCT), Nigeria, was carried out. The period under review covers January, 2010 to December, 2013. Results: Out of the total 5266 TB cases reviewed, the HIV prevalence rate was 52%. They were predominantly (53.3%) male with mean age of 34.4 years (SD = 15.1 years). More than two-third (72.5%) of HIV-negative patients had successful treatment compared to 1718 (62.7%) HIV-positive patients. Of the 2334 HIV co-infected patients, 19.5% defaulted, 11.5% had died, 5.6% were transferred out and 0.7% failed treatment compared to HIV-negative patients amongst whom 18.3% defaulted, 3.6% died, 3.9% were transferred out and 1.6% failed treatment (p Conclusion: The favourable treatment outcome of HIV-negative patients is more than that of HIV-positive patients and the most probable predictable factor responsible is the CD4 count of patient;indicating that TB/HIV co-infection has remained a major public health problem in Benue state and FCT. Hence there is the need for sustained strengthening and expansion of the national TB/HIV programmes.

关键词： Tuberculosis Treatment Outcomes TB/HIV Co-Infection DOTS

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Profiles of HIV-Affected Households in Ghana

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Health 2014年第15期6卷 2004-2013页

作者： Amos Laar Daniel Fiaveh Matilda Laar Sandra Boatemaa James Abugri Angela El-Adas richard Amenyah Kyeremeh Atuahene Andrew Anthony Adjei Isabella Quakyi Centre for Gender Studies and Advocacy University of Ghana Accra Ghana Department of Applied Chemistry and Biochemistry Faculty of Applied Sciences University for Development Studies Navrongo Campus Tamale Ghana Department of Biological Environmental and Occupational Sciences School of Public Health University of Ghana Accra Department of Pathology Korle-Bu Teaching Hospital College of Health Sciences University of Ghana Accra Ghana Department of Population Family & Reproductive Health School of Public Health University of Ghana Accra Ghana Ghana AIDS Commission Accra Ghana Regional Institute for Population Studies University of Ghana Accra Ghana School of Dietetics and Human Nutrition McGill University Montreal Canada

Background: To contribute to a fuller appreciation of Ghana’s HIV epidemic, this paper presents various profiles of the Ghanaian HIV-affected household. To comprehensively tackle the HIV epidemic in Ghana, the profiles would provide stakeholders with ready information for policy formulation. Methods: We used data from a nationally representative survey that measured livelihood activities, household asset wealth, household composition, health, and nutrition variables of 1745 HIV-affected households. From these emerged various profiles. Results: About 50% of the households are headed by females. Households headed by men have an average size of three members, compared to two for female-headed households. There are far more AIDS widows than widowers. The annual death rate among the surveyed households was about 1000 per 100,000-households. Relatively more deaths occurred in male-headed households. Two-thirds of the households were asset poor. Various coping strategies were instituted by the households in reaction to threat of food insecurity. The national prevalence of chronic energy deficiency is 16%. Conclusions: Our data show that age of household head, hosting of a chronically ill member, and average size of household differed by sex of household head. The annual death rate of 1000 per 100,000 households is very high.

关键词： HIV-Affected Households Profiles HIV Ghana

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Clinical, Etiological and Progressive Aspects of Acute Tubular Necrosis of Toxic Origin at the Brazzaville University Hospital Center

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Open Journal of Nephrology 2023年第4期13卷 464-471页

作者： Daniel Tony Eyeni Sinomono Gaël Honal Mahoungou Éric Gandzali-Ngabé Berline Ndinga Précieux Ngoma Dalia Mboungou richard Loumingou Tarik Sqalli Houssaini Department of Nephrology Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of the Congo Department of Nephrology Hassan II University Hospital Center of Fes Fes Morocco

Background and Objectives: Acute tubular necrosis (ATN) is the second cause of acute kidney injury (AKI) in an intra-hospital environment. The toxic origin is avoidable. Our objectives were to determine the toxic substances at the origin of ATN at the Brazzaville University Hospital and determine the evolving aspects and the factors associated with it. Patients and Methods: We carried out a 12-month from June 20, 2022 to June 30, 2023. It was a prospective observational study in the Nephrology Department of Brazzaville University Hospital Center. The diagnosis of ATN was done in the presence of AKI occurring in the context of taking nephrotoxic substances with negative albuminuria. Cases of ATN aggravating CKD were excluded. Data analysis was done with Epi-Info 7.2 software. Results: We identified 63 cases of AKI on toxic ATN. Their average age was 47 ± 19 years with a male predominance of 60.2%. The 3 main toxicants incriminated were: herbal medicine (49.2%), Gentamycin (17.5%) and non-steroidal anti-inflammatory drugs (14.3%). An indication for hemodialysis was made in 43 patients (68.2%), the evolution was marked by a cure in 29 patients (46.1%), 10 (15.9%) became chronic kidney failure, 19 (30.1%) died, 5 (7.9%) were lost to follow-up. The main factor for non-healing is anuria (p Conclusion: The main cause of toxic ATN at Brazzaville University Hospital is herbal medicine. The death rate is high there.

关键词： Brazzaville Acute Tubular Necrosis Toxic

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钢炮启示录

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汽车与运动 2014年第5期 106-115页

作者： richard Meaden Stuart collins Dean Smith 王兴宇

自从近40年前高尔夫GTI定义了"钢炮"之后,如今这个级别的竞争从未如此激烈。我们集结了六款最热门的钢炮捉对厮杀,来看看如今的王者空间是谁我们集结了6位钢炮界的大腕,然后将它们置于我们精心设计好的测试环节中,让它们有惊无险地劈过... 详细信息

自从近40年前高尔夫GTI定义了"钢炮"之后,如今这个级别的竞争从未如此激烈。我们集结了六款最热门的钢炮捉对厮杀,来看看如今的王者空间是谁我们集结了6位钢炮界的大腕,然后将它们置于我们精心设计好的测试环节中,让它们有惊无险地劈过一个又一个弯道,

关键词：测试环限滑差速器大众集团手动变速器给你官方数据换挡杆自动变速器手动挡量产车

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睡眠正能量

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作者： (英)理查德·怀斯曼(richard Wiseman)

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