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Effect of the Implementation of Emonc in the Reduction of Maternal Deaths in the Department of Collines from 2018 to 2022

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Open Journal of Obstetrics and Gynecology 2024年第2期14卷 259-266页

作者： Joachim Aifa Florence Abraham roger Klikpezo Edgard-Marius Ouendo Badirou Aguemon Faculty of Health Sciences of Cotonou Department of Public Health Cotonou Benin Nursing and Midwifery Training Institute University of Parakou Parakou Benin Assistant in Gynecology-Obstetrics FM-University of Parakou Parakou Benin Full Professor of Public Health and Epidemiology Ouidah Regional Institute of Public Health Ouidah Benin Full Professor of Public Health Faculty of Health Sciences of Cotonou Cotonou Benin

Background: Maternal and neonatal mortality remains a public health problem in Benin. Each year, approximately 1500 maternal deaths and more than 12,000 newborn deaths are recorded there. In order to correct the situation, strategies such as the implementation of Emergency Obstetric and Neonatal Care (EmONC) were initiated. Objective: Determine the rates of maternal deaths in EmONC centers in the Collines department from 2018 to 2022. Framework and Methods: The study took place in Benin precisely in the Collines department. This was a descriptive cross-sectional study. Data collection was carried out during the first two weeks of January 2023 and covered data from the 09 Basic Emergency Obstetric and Neonatal Care centers (BEMONC) and the Obstetric and Neonatal Care centers of Complete Emergency (CEmONC) of the Collines department from 2018 to 2022. An estimate of the ratios of maternal deaths occurring at the level of the EmONC centers of the Collines department from 2018-2022 was carried out followed by constructive suggestions. Results: During the five years (2018 to 2022), the Collines department recorded 42,582 live births with 148 maternal deaths, i.e. a ratio of 348 maternal deaths per 100,000 live births. Between 2018 and 2022, the highest maternal death ratio was recorded in 2019, i.e. 425 maternal deaths per 100,000 live births for all EmONC centers and 607 maternal deaths per 100,000 live births in EmONC centers. The highest maternal death ratio at the BEmONC center level was recorded in 2020, i.e. 129 maternal deaths per 100,000 births. Conclusion: These results suggest that despite the implementation of EmONC in the Collines department, maternal deaths have not decreased. To improve these outcomes for a reduction in maternal deaths, urgent action must be taken.

关键词： Effect BEmONC CEmONC Maternal deaths Department of Collines

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Confocal laser endomicroscopy for gastric neoplasm

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World Journal of Gastrointestinal Endoscopy 2024年第9期16卷 540-544页

作者： Arkadeep Dhali Rick Maity roger B Rathna Jyotirmoy Biswas Department of Gastroenterology Sheffield Teaching Hospitals NHS Foundation TrustRoyal Hallamshire HospitalSheffield S102JFUnited Kingdom School of Medicine and Population Health University of SheffieldSheffield S102HQUnited Kingdom General Medicine Institute of Post Graduate Medical Education and ResearchKolkata 700020India Department of Internal Medicine University Hospitals Leicester NHS TrustLeicester Royal InfirmaryLeicester LE15WWUnited Kingdom General Medicine College of Medicine and Sagore Dutta HospitalKolkata 700058India

Confocal laser endomicroscopy(CLE)is a novel endoscopic modality that provides real-time histological information via high-resolution magnified view of the *** has a higher sensitivity,specificity,and diagnostic accuracy in detecting atrophic gastritis as compared to chromoendoscopy and narrow-band *** can even predict low-grade and high-grade intraepithelial neoplasia by analyzing gastric pit *** may have some advantages over the standard biopsy protocol,such as higher diagnostic yield and fewer biopsy *** diagnostic accuracy in detecting superficial gastric cancer is higher than that of white-light *** limitations,such as a narrow field of vision,can be surpassed by technological advancements and integration with other detection *** intelligence holds promise in automated analysis of histopathological ***,CLE can be helpful in screening for early gastric cancer and may help reduce the risk of complications from repeated biopsies,such as mucosal damage,bleeding,and infection.

关键词： Confocal laser endomicroscopy Gastric cancer Narrow band imaging Diagnostic yield

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Selective Impact of Dispersion and Nonlinearity on Waves and Solitary Wave in a Strongly Nonlinear and Flattened Waveguide

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Open Journal of Applied Sciences 2024年第7期14卷 1730-1753页

作者： Christian Regis Ngouo Tchinda Marcelle Nina Zambo Abou’ou Jean roger Bogning Department of Physics Faculty of Science University of Yaound I Yaound Cameroon Centre dExcellence Africain en Technologie de lInformation et de la Tlcommunication The University of Yaound I Yaound Cameroon African Optical Fiber Family Bafoussam Cameroon Department of Physics Faculty of Science University of Bamenda Bamenda Cameroon Department of Physics Higher Teacher Training College University of Bamenda Bamenda Cameroon

The waveguide which is at the center of our concerns in this work is a strongly flattened waveguide, that is to say characterized by a strong dispersion and in addition is strongly nonlinear. As this type of waveguide contains multiple dispersion coefficients according to the degrees of spatial variation within it, our work in this article is to see how these dispersions and nonlinearities each influence the wave or the signal that can propagate in the waveguide. Since the partial differential equation which governs the dynamics of propagation in such transmission medium presents several dispersion and nonlinear coefficients, we check how they contribute to the choices of the solutions that we want them to verify this nonlinear partial differential equation. This effectively requires an adequate choice of the form of solution to be constructed. Thus, this article is based on three main pillars, namely: first of all, making a good choice of the solution function to be constructed, secondly, determining the exact solutions and, if necessary, remodeling the main equation such that it is possible;then check the impact of the dispersion and nonlinear coefficients on the solutions. Finally, the reliability of the solutions obtained is tested by a study of the propagation. Another very important aspect is the use of notions of probability to select the predominant solutions.

关键词： Flattened Waveguide Solitary Wave Characteristic Coefficient Probabilities Propagation Nonlinear Dispersive Partial Differential Equation

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Epidemiology and control of monkeypox outbreak in Houston,Texas

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Global Health Journal 2024年第3期8卷 133-139页

作者： Abisola M.Oladimeji Abayomi Joseph Afe Louis Carillo Courtney Hundley Yufang Zhang Stephen Long Kirstin Short roger Sealy Janeana White David Persse Bureau of Epidemiology Houston Health DepartmentHoustonTX 77054USA

Background:In the 2022-2023 global outbreak,the United States and state of Texas recorded a total of 31,277 and 3,085 confirmed monkeypox(Mpox)cases respectively as of November *** study aims to investigate the demographic characteristics and risk factors of Mpox outbreak in Houston and document the epidemiologic control measures implemented with their ***:Houston Health Department received reports of suspected Mpox cases via electronic case reports and laboratory reports from healthcare providers within *** were then investigated and reclassified as either positive or negative using DNA polymerase chain reaction *** the reported cases received between May 2022 and January 2023 were included in this study using convenient sampling *** statistics using frequency distribution was used to analyze the sociodemographic,clinical features and travel history of the cases.A two-sided Chi-squared test was used to determine association between Mpox test results and risk factors with significant level set at P<*** infection control measures such as community engagement,health education,tracking and contact tracing,vaccination,referrals and laboratory sample logistics support were implemented by the health ***:Out of the total of 1,625 suspected persons investigated for Mpox,724(44.6%)tested *** the 724 confirmed cases,male was 700(96.7%),females 20(2.8%),transgender male 1(0.1%),transgender female 3(0.4%).Age groups 30-39 years constituted 43.6%,18-29 years 27.4%,40-49 years 18.2%,50-59 years was 8%.Race distribution of positive cases was Whites 43.4%,African American 38.7%,Asian 1.4%.Risk factors with P<0.05 included male gender,age groups 30-39 years and 40-49 years,travel history to Mpox endemic areas,recent sexual contact with known or suspected Mpox cases,human immunodeficiency virus *** as gay and bisexual were also statistically significant risk factors for Mpox inf

关键词： Monkeypox Mpox Riskfactors Control Tecovirimat Vaccination

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Petrographic, Geochemical and Metallogenical Context of the Geological Formations of the Goumere Region (North-East of Cote D’Ivoire): Implication to the Knowledge of Gold Mineralization

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International Journal of Geosciences 2024年第2期15卷 180-203页

作者： Fossou Jean-Luc Hervé Kouadio Alain Nicaise Kouamelan Topka Kakeu Lionel Boya roger Nicaise Kanga Laboratory of Geology Mineral and Energy Resources (LGRME) Faculty of Earth Science and Mineral Resources Félix Houphou&#235t Boigny University Abidjan C&#244te d’Ivoire

The Gouméré region is located in the North-East of Côte d’Ivoire and is located in the South-West of the Bui furrow. In order to highlight the geology of the area studied, 14 samples were taken for studies using petrographic, geochemical and metallogenic methods. The study of macroscopic and microscopic petrography made it possible to highlight two major lithological units: 1) a volcano-plutonic unit, formed of gabbros, basalt, volcaniclastics and rhyodacite;2) a sedimentary unit (microconglomerate). From a geochemical point of view, the results obtained indicate that the plutonites are gabbro and gabbro diorite while the volcanics have compositions of basaltic andesites, rhyolite and dacites. The sediments have a litharenitic to sublitharenitic character. The metallogenic study made it possible to highlight hydrothermal alterations and metalliferous paragenesis on the formations studied. Hydrothermal alteration is characterized by the presence of carbonation, silicification, sericitization, sulfidation and to a lesser degree chloritization. Metalliferous paragenesis consists of pyrite, chalcopyrite, hematite and magnetite.

关键词： Petrography Geochemistry Metallogeny Gouméré Côte d’Ivoire

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儒家文化与当前全球性挑战的应对

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文史哲 2024年第2期 5-8,165页

作者：安乐哲北京大学哲学系北京100871

儒家的“天下”在日常用语中意为“世界”,同时,它也是一个地缘政治术语。作为“世界秩序”,它具有更深层次的哲学与历史意义。儒家“天下观”超越了国与国之间的界限,追求“和而不同”的包容性多元主义,它能够避免绝对主义和碎片化的... 详细信息

儒家的“天下”在日常用语中意为“世界”,同时,它也是一个地缘政治术语。作为“世界秩序”,它具有更深层次的哲学与历史意义。儒家“天下观”超越了国与国之间的界限,追求“和而不同”的包容性多元主义,它能够避免绝对主义和碎片化的相对主义,重视关系的恰当性和对多样性的呈现。儒家哲学倡导家庭伦理,尤其是赋予“孝”以宇宙意义,同时将之作为一种深思熟虑的策略,以发挥人类活动的能动创造性。儒家伦理尊重差异,将人与人之间的差异升华为相互性的丰富资源。对人类生态而言,关系恰当性与多样性不能以个体主体(个体主体并不存在)的设想作为基础,而是必须作为家、国与域境的有关成员之间协作活动的作用而出现。关系恰当与呈现的多样性可以从特定人群内人与人之间的文化差异扩展到国际社会内各国文化之间的差异。如果不同文化之间具有关系恰当性,并且所有差异皆能享受包容与恰当的对待,那么不同的生活与思维方式之间便可以相互适应,而差异间的相互作用也将促生文化多样性的出现。

关键词：儒家 “天下” 全球性挑战 “和而不同” 成人之道

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Isolated Lumbar Extension Resistance Training Is Effective at Improving Extension Power and Disability in Subjects with Diagnosed Lumbar Multifidus Dysfunction

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Open Journal of Therapy and Rehabilitation 2024年第3期12卷 245-255页

作者： William roger Peters James Thomas Ernest Smith Mario Guiseppe Zotti Adam Leslie Lincoln Benjamin James Enser Faculty of Medicine & Health Sciences Bond University Queensland Australia Back Neck Clinic Bundall Queensland Australia Kieser Australia Bundall Queensland Australia

Background: Lumbar multifidus dysfunction is a prevalent cause of disability in individuals with lower back pain. Previous research highlights the benefits of isolated lumbar extension training for non-specific lower back pain, however, studies examining its efficacy in lumbar multifidus dysfunction are lacking. Objective: To evaluate the effectiveness of isolated lumbar extension resistance training on disability and strength in individuals with lumbar multifidus dysfunction. Methods: Subjects underwent a physiotherapy led structured rehabilitation program incorporating isolated lumbar extension. Sessions were conducted twice weekly targeting momentary muscular failure with time under load 90 - 120 seconds and progressions aimed at 5 - 10 lbs increments. Outcomes were assessed using the Oswestry Disability Index and lumbar extension strength testing at baseline and after 12 weeks, with statistical analysis using t-test and chi-squared 2 × 2. Results: Forty-five subjects (24 male, 21 female) with a median age of 48 completed the intervention. Improvements were noted in Oswestry Disability Index scores (median pre: 24, post: 15) and maximal lumbar extension strength (median pre: 122 lb, post: 186 lb), with p ≤ 0.05. Overall, 89% showed improvement in disability scores, 67% moved to a better disability category, and 51% saw at least a 50% increase in strength. No significant gender differences were observed. Conclusions: Isolated lumbar extension resistance training is effective at improving extension power and disability in subjects with lumbar multifidus dysfunction.

关键词： Low Back Pain Multifidus Muscle Strength Rehabilitation Resistance Training

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燃料灵活性是航运脱碳的关键——访瓦锡兰海洋业务总裁兼集团执行副总裁roger Holm

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中国船检 2024年第6期 56-60页

作者：薛龙玉 roger Holm 不详瓦锡兰

随着航运业脱碳进程加速推进,越来越多替代燃料开始在船上应用。究竟哪些燃料将成为未来的主流船舶燃料?为了帮助业界应对未来燃料选择与应用相关的各种不确定性,为船东和运营商定制最适合他们的脱碳最优解,船用和能源市场全球领先的创... 详细信息

随着航运业脱碳进程加速推进,越来越多替代燃料开始在船上应用。究竟哪些燃料将成为未来的主流船舶燃料?为了帮助业界应对未来燃料选择与应用相关的各种不确定性,为船东和运营商定制最适合他们的脱碳最优解,船用和能源市场全球领先的创新技术提供商瓦锡兰(Wärtsilä)对各类潜在未来燃料选项进行了广泛的研究和投资,开发了具有高度燃料灵活性的发动机技术和生命周期解决方案,全面赋能航运业的脱碳之旅。

关键词：航运业能源市场瓦锡兰替代燃料生命周期不确定性技术提供商船舶燃料

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Hydroxychloroquine-azithromycin,doubase C,and QTc prolongation in congolese patients with COVID-19:Myth or reality?

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World Journal of Virology 2024年第2期13卷 107-114页

作者： Brady Madioko Makanzu Jean-Robert Makulo Madone Ndona Mandina Dimosi roger Wumba Murielle Mashi Longokolo Hippolyte Situakibanza Ossam Odio Donat Sonzi Mangala Constantin Mihigo Bashengezi Benjamin Kabwe Mwilambwe Gilbert Kabanda Kurhenga Benjamin Longo-Mbenza roger Mwimba Mbungu Department of Cardiology Kinshasa University HospitalKinshasaDR CongoKinshasa University HospitalKinshasa 11Congo Nephrology Unit Kinshasa University HospitalKinshasaDemocratic Republic of the CongoKinshasa 11KinshasaCongo Department of Infectious Diseases Kinshasa University HospitalKinshasaDR CongoKinshasa 11Congo Department of Tropical Medicine University of KinshasaKinshasa 11Congo Department of Infectious Diseases University of Kinshasa HospitalKinshasa 11Congo Department of Tropical Medicine and Infectious Disease School of MedicineUniversity of KinshasaKinshasa 11Congo COVID-19 Treatment Center Kinshasa University HospitalKinshasaKinshasa 11Congo Centre de Recherche en Phytothérapie Pharmacopée Africaine et Technologie pharmaceutiqueKinshasa 11Congo Intensive Care Unit Kinshasa University HospitalKinshasa 11Congo Department of Gynecology and Obstetrics Kinshasa University HospitalKinshasa 11Congo

BACKGROUND QTc interval prolongation with an increased risk of torsade de pointes(Tsd)has been described in coronavirus disease 2019(COVID-19)patients treated with hydroxychloroquine(HCQ)and azithromycin(AZI)in Western *** the DR Congo,few studies have evaluated the safety of this association or proposed new *** To determine the incidence of QTc prolongation and Tsd in COVID-19 patients treated with HCQ-AZIs vs doubase C(new molecule).METHODS In present randomized clinical trial,we have included patients with mild or moderate COVID-19 treated with either HCQ-AZI or doubase ***(ECG)changes on day 14 of randomization were determined based on pretreatment *** QTc was defined as≥500 ms on day 14 or an increase of≥80 ms compared to pretreatment *** with cardiac disease,those undergoing other treatments likely to prolong QTc,and those with disturbed ECG tracings were excluded from the *** The study included 258 patients(mean age 41±15 years;52%men;3.4%diabetics,11.1%hypertensive).Mild and moderate COVID-19 were found in 93.5%and 6.5%of patients,*** baseline,all patients had normal sinus rhythm,a mean heart rate 78±13/min,mean PR space 170±28 ms,mean QRS 76±13 ms,and mean QTc 405±30 *** complaints suggesting cardiac involvement were reported during or after *** four patients(1.5%)experienced QTc interval prolongation beyond 500 ***,only five patients(1.9%)had an increase in the QTc interval of more than 80 *** prolongation was more significant in younger patients,those with high viral load at baseline,and those receiving HCQ-AZI(P<0.05).None of the patients developed *** QTc prolongation without Tsd was observed at a lower frequency in patients treated with HCQ-AZI vs doubase *** absence of comorbidities and concurrent use of other products that are likely to cause arrhythmia may explain our results.

关键词： QTc prolongation COVID-19 Doubase C HCQ-AZT Sub-Saharan Africa

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A Clinical Study to Assess the Effectiveness of Oral Combination Kit Therapy in Syndromic Management of Abnormal Vaginal Discharge (FEMINE Study) in Kinshasa, Democratic Republic of Congo

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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 193-208页

作者： Feruzi Michel Mangala Muela Andy Mbangama Di-Mosi-Nkoy roger Wumba Ambis Joëlle Lumaya Nkongolo Freddy Muamba Tshitadi Jean Mukendi Ndombasi Neilda Lemba Otem Christian Ndesanzim Nkashama Bienvenu Kazadi Banza Jesual Lotoy Umba Adrien Tandu Mushengezi Dieudonné Sengeyi Mwimba roger Mbungu Department of Gynecology and Obstetrics University Clinics of Kinshasa Kinshasa DR Congo Congolese Society of Gynecology and Obstetrics Kinshasa DR Congo Department of Gynecology and Obstetrics Kinshasa Provincial General Reference Hospital Kinshasa DR Congo Departement of Tropical Medicine University Clinics of Kinshasa Kinshasa DR Congo

Background: Vaginal discharge is one of most common and nagging problems that women face. About 20% - 25% of women who visit gynecology department complain of vaginal discharge and leucorrhoea. An orally administered combination kit, containing 2 g secnidazole, 1 g azithromycin and 150 mg fluconazole (Azimyn FS Kit), has been successfully evaluated in clinical trials and used in several countries for management syndromic vaginal discharge due to infections. Methods: This is a longitudinal study which aimed to verify the clinical efficacy of the combined oral kit containing secnidazole, azithromycin and fluconazole (Azimyn FS Kit®) in the syndromic treatment of abnormal vaginal discharge in patients received in outpatient consultations in Kinshasa/DR Congo from March to September 2023. Results: Majority of patients had whitish vaginal discharge (51.6%) of average abundance (56.2%), accompanied by pruritus in 72.1% of cases, and dyspareunia in 23.5% of cases and hypogastralgia in 40.2% of cases. One week after treatment with the Azimyn FS® combined kit, at the greatest majority of patients (97.3%), abnormal vaginal discharge had decreased by more than 50% (84.1%). Two weeks after treatment with the Azimyn FS® combined kit, almost all patients (97.3%) no longer had abnormal vaginal discharge which had completely disappeared. Conclusion: A single dose of secnidazole, azithromycin and fluconazole in the form of an oral combi-kit (Azimyn FS Kit) has shown excellent therapeutic effectiveness in the syndromic treatment of abnormal vaginal discharge wherein patients were treated without diagnostic confirmation.

关键词： Oral Combination Kit Therapy Syndromic Management Abnormal Vaginal Discharge

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