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越南胡志明市国家结核病规程中病人的初始不合作情况不合作程度、原因以及补救措施研究

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国际结核病与肺部疾病杂志 2003年第4期 144-149页

作者： t.n.buu K.Lnnroth H.t.Quy 何广学 Pham ngoc thach tB and Lung Disease Hospital Ho Chi Minh City Vietnam Department of Social Medicine Goteborg University Goteborg Sweden

背景:越南胡志明市目的:确定国家结核病规程(ntP)中病人的初始不合作程度、原因以及初始不合作后的求医行为和在其它医疗机构接受治疗的情况。方法:对2000年在ntP中被诊断为涂阳肺结核但未在ntP登记治疗的病人进行问卷调查。结果:初始... 详细信息

背景:越南胡志明市目的:确定国家结核病规程(ntP)中病人的初始不合作程度、原因以及初始不合作后的求医行为和在其它医疗机构接受治疗的情况。方法:对2000年在ntP中被诊断为涂阳肺结核但未在ntP登记治疗的病人进行问卷调查。结果:初始不合作率为8.3％;79％的不合作者与ntP的工作程序或治疗策略有关,17.5％则是由于病人对结核病以及/或治疗必要性的知识不足所致。65％的病人在初始不合作后到其它医疗机构接受了抗结核治疗,其中74％在全私人机构接受治疗。结论:初始不合作主要是由于一些病人对于ntP的工作程序和/或治疗策略的误解而产生的。在初始不合作后大多数病人在私人诊所接受治疗。ntP需要增进病人对治疗策略的理解,提供亲切的服务使更多病人得到治疗,减少病人在私人诊所接受不标准治疗带来的风险。

关键词：结核病规程初始不合作求医私人卫生保健

从私人药房到国家结核病控制规划的可疑结核病人转诊:越南胡志明市两个区的经验

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结核与肺部疾病杂志 2004年第3期7卷 112-118页

作者： K.Lonnroth M.Karlsson n.t.n.Lan t.n.buu t.t.n.Dieu 张本 Department of Social Medicine Goteborg UniversityGoteborgNordic School of Public HealthGoteborgSweden nordic School of Public Health GoteborgSweden Pham ngoc thach tB and Lung Disease Hospital.Ho Chi Minh City.Vietnam

背景:越南胡志明市。目的:描述药剂师对向国家结核病控制规划(ntP)转诊可疑结核病人的态度,并且评价一种新型转诊系统的可行性。方法:1)对150家私人药房进行问卷调查;2)对16名药剂师进行定性调查;3)对新转诊单的使用进行21个月的监测。... 详细信息

背景:越南胡志明市。目的:描述药剂师对向国家结核病控制规划(ntP)转诊可疑结核病人的态度,并且评价一种新型转诊系统的可行性。方法:1)对150家私人药房进行问卷调查;2)对16名药剂师进行定性调查;3)对新转诊单的使用进行21个月的监测。结果:72％的药剂师认为本简化转诊单便于使用。药剂师提出了多种与将可疑结核病人转诊到ntP有关的风险;病人可能流向另一家药房(61％的应答者);如果顾客未患结核病他们就会对药剂师提出批评(42％):由于顾客未去ntP就诊因此延误治疗(41％)。58名(39％)合格药剂师至少转诊过一个病人。至少转诊了373例可疑病人,149例接受了检查,10例患结核病。结论:让药剂师转诊可疑结核病人是可行的。由于对病例发现有重要影响,因此认识到药剂师所担心的问题,并且努力改变病人乖供方两方面对药剂师作用的期望非常重要。

关键词：转诊药剂师病人药房结核病控制对药病例发现就诊延误治疗改变

越南城市地区年轻人患结核病的增加未影响人群结核感染危险率的降低

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国际结核病与肺部疾病杂志 2010年第3期5卷 289-295页

作者： t.n.buu H.t.Quy n.C.Qui n.t.n.Lan D.n.Sy F.G.J.Cobelens 范永德王雪静 Pham ngoc thach tuberculosis and Lung Disease Hospital Ho Chi Minh CityHo Chi Minh Province national tuberculosis Program and Central tuberculosis and Lung Disease Hospital Ha Noi CityVietnam KnCV tuberculosis Foundation The Hague Centre for Poverty-related Communicable Diseases Centre for Infection and Immunity AmsterdamAcademic Medical CentreAmsterdamThe Netherlands

目的:评价越南年轻成年人的结核病登记率增加是否造成结核病在大众人群中传播的增加。方法:使用1996—2005年间县/区级结核病防治机构常规报告的数据计算出新涂阳结核登记率的趋势。对6～9岁儿童进行结核菌素调查,使用其结果计算结核年... 详细信息

目的:评价越南年轻成年人的结核病登记率增加是否造成结核病在大众人群中传播的增加。方法:使用1996—2005年间县/区级结核病防治机构常规报告的数据计算出新涂阳结核登记率的趋势。对6～9岁儿童进行结核菌素调查,使用其结果计算结核年感染危险率的趋势。结果:自1996年至2006年间,15～24岁年龄组结核病登记率的年增长率为4.3%,且城市地区的年增长率(6.7%)比农村地区(1.7%)更高。城市地区的结核年感染危险率从1992年的2.4%下降到1998年的1.2%和2005年的0.9%;摘要农村地区的结核年感染危险率从1991年的0.7%上升到1997年的1.2%,之后下降到2006年的0.9%。结论:在胡志明省,年轻成年人结核病登记率升高,但同时儿童结核年感染危险率下降。这说明年轻成年人的结核病登记率变化趋势反映了在这一年龄段从结核菌感染发展成为结核病患者的比例升高了,以及/或在这一年龄段的结核病传播增加了,但不能说结核病在全人群中的传播增加了。

关键词：结核感染率病例登记越南城市地区

Chebyshev polynomial-based Ritz method for thermal buckling and free vibration behaviors of metal foam beams

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Applied Mathematics and Mechanics(English Edition) 2024年第5期45卷 891-910页

作者： n.D.nGUYEn t.n.nGUYEn Faculty of Civil Engineering Ho Chi Minh City University of Technology and EducationHo Chi Minh City 71309Viet Nam Faculty of Engineering and technology Kien Giang UniversityChau Thanh 92000Viet Nam

this study presents the Chebyshev polynomials-based Ritz method to examine the thermal buckling and free vibration characteristics of metal foam *** analyses include three models for porosity distribution and two scenarios for thermal *** material properties are assessed under two conditions,i.e.,temperature dependence and temperature *** theoretical framework for the beams is based on the higher-order shear deformation theory,which incorporates shear deformations with higher-order *** governing equations are established from the Lagrange equations,and the beam displacement fields are approximated by the Chebyshev *** simulations are performed to evaluate the effects of thermal load,slenderness,boundary condition(BC),and porosity distribution on the buckling and vibration behaviors of metal foam *** findings highlight the significant influence of temperature-dependent(tD)material properties on metal foam beams'buckling and vibration responses.

关键词： Ritz method Chebyshev function buckling vibration metal foam beam higher-order beam theory(HOBt)

nonlinear-Optical Analogies in nuclear-Like Soliton Reactions:Selection Rules,nonlinear tunneling and Sub-Barrier Fusion–Fission

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Chinese Physics Letters 2024年第8期41卷 1-7页

作者： t.L.Belyaeva V.n.Serkin Universidad Autonoma del Estado de Mexico Av.Instituto Literario 100C.P.50000TolucaMexico Benemerita Universidad Autonoma de Puebla Av.4 Sur 104C.P.72001PueblaMexico

the main goal of our study is to reveal unexpected but intriguing analogies arising between optical solitons and nuclear physics,which still remain hidden from *** consider the main cornerstones of the concept of nonlinear optics of nuclear reactions and the well-dressed repulsive-core *** the base of this model,we reveal the most intriguing properties of the nonlinear tunneling of nucleus-like solitons and the soliton selfinduced sub-barrier transparency *** describe novel interesting and stimulating analogies between the interaction of nucleus-like solitons on the repulsive barrier and nuclear sub-barrier *** main finding of this study concerns the conservation of total number of nucleons(or the baryon number)in nuclear-like soliton *** show that inelastic interactions among well-dressed repulsive-core solitons arise only when a“cloud”of“dressing”spectral side-bands appears in the frequency spectra of the *** property of nucleus-like solitons is directly related to the nuclear density distribution described by the dimensionless small shape-squareness *** the Fourier spectra of nucleus-like solitons are similar to the nuclear form *** show that the nuclear-like reactions between well-dressed solitons are realized by“exchange”between“particle-like”side bands in their spectra.

关键词： solitons soliton nonlinear

Evaluation of slope stability through rock mass classification and kinematic analysis of some major slopes along nH-1A from Ramban to Banihal, north Western Himalayas

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Journal of Rock Mechanics and Geotechnical Engineering 2024年第1期16卷 167-182页

作者： Amit Jaiswal A.K.Verma t.n.Singh Department of Civil and Environmental Engineering Indian Institute of Technology PatnaPatna801106India

the network of Himalayan roadways and highways connects some remote regions of valleys or hill slopes,which is vital for India’s socio-economic *** to natural and artificial factors,frequency of slope instabilities along the networks has been increasing over last few *** of stability of natural and artificial slopes due to construction of these connecting road networks is significant in safely executing these roads throughout the *** rock mass classification methods are generally used to assess the strength and deformability of rock *** study assesses slope stability along the nH-1A of Ramban district of north Western *** structurally and non-structurally controlled rock mass classification systems have been applied to assess the stability conditions of 14 *** evaluating the stability of these slopes,kinematic analysis was performed along with geological strength index(GSI),rock mass rating(RMR),continuous slope mass rating(CoSMR),slope mass rating(SMR),and Q-slope in the present *** SMR gives three slopes as completely unstable while CoSMR suggests four slopes as completely *** stability of all slopes was also analyzed using a design chart under dynamic and static conditions by slope stability rating(SSR)for the factor of safety(FoS)of 1.2 and 1 respectively.Q-slope with probability of failure(PoF)1%gives two slopes as stable *** slope angle has been determined based on the Q-slope safe angle equation and SSR design chart based on the *** value ranges given by different empirical classifications were RMR(37-74),GSI(27.3-58.5),SMR(11-59),and CoSMR(3.39-74.56).Good relationship was found among RMR&SSR and RMR&GSI with correlation coefficient(R 2)value of 0.815 and 0.6866,***,a comparative stability of all these slopes based on the above classification has been performed to identify the most critical slope along this road.

关键词： Rock mass classification Kinematic analysis Slope stability Himalayan road Static and dynamic conditions

new trends in diagnosis and management of gallbladder carcinoma

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World Journal of Gastrointestinal Oncology 2024年第1期16卷 13-29页

作者： Efstathios t Pavlidis Ioannis n Galanis theodoros E Pavlidis ^(nd)Propedeutic Department of Surgery Hippokration General HospitalSchool of MedicineAristotle University of ThessalonikiThessaloniki 54642Greece

Gallbladder(GB)carcinoma,although relatively rare,is the most common biliary tree cholangiocarcinoma with aggressiveness and poor *** is closely associated with cholelithiasis and long-standing large(>3 cm)gallstones in up to 90%of *** other main predisposing factors for GB carcinoma include molecular factors such as mutated genes,GB wall calcification(porcelain)or mainly mucosal microcalcifications,and GB polyps≥1 cm in *** is made by ultrasound,computed tomography(Ct),and,more precisely,magnetic resonance imaging(MRI).Preoperative staging is of great importance in decisionmaking regarding therapeutic *** staging is based on MRI findings,the leading technique for liver metastasis imaging,enhanced three-phase Ct angiography,or magnetic resonance angiography for major vessel *** is also necessary to use positron emission tomography(PEt)-Ct or ^(18)F-FDG PEt-MRI to more accurately detect metastases and any other occult deposits with active metabolic *** laparoscopy may detect dissemination not otherwise found in 20%-28.6%of *** treatment is needed,including surgical resection,targeted therapy by biological agents according to molecular testing gene mapping,chemotherapy,radiation therapy,and *** is of great importance to understand the updated guidelines and current treatment *** extent of surgical intervention depends on the disease stage,ranging from simple cholecystectomy(t1a)to extended resections and including extended cholecystectomy(t1b),with wide lymph node resection in every case or IV-V segmentectomy(t2),hepatic trisegmentectomy or major hepatectomy accompanied by hepaticojejunostomy Roux-Y,and adjacent organ resection if necessary(t3).Laparoscopic or robotic surgery shows fewer postoperative complications and equivalent oncological outcomes when compared to open surgery,but much attention must be paid to avoiding *** addition to surgery,novel targe

关键词： Biliary tract neoplasms Extrahepatic cholangiocarcinoma Gallbladder carcinoma Gallbladder diseases Biliary tree diseases Gastrointestinal malignancies

Management of obstructed colorectal carcinoma in an emergency setting:An update

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 598-613页

作者： Efstathios t Pavlidis Ioannis n Galanis theodoros E Pavlidis 2nd Propedeutic Department of Surgery Hippokration General HospitalSchool of MedicineAristotle University of ThessalonikiThessaloniki 54642Greece

Colorectal carcinoma is common,particularly on the left *** 20%of patients,obstruction and ileus may be the first clinical manifestations of a carcinoma that has advanced(stage II,III or even IV).Diagnosis is based on clinical presentation,plain abdominal radiogram,computed tomography(Ct),Ct colonography and positron emission tomography/*** best management strategy in terms of short-term operative or interventional and long-term oncological outcomes re-mains *** the most common left-sided obstruction,the first choice should be either emergency surgery or endoscopic decompression by self-expen-dable metal stents or *** operative plan should be either one-stage or two-stage ***-stage resection with on-table bowel decompression and irrigation can be accompanied or not accompanied by proximal defunctioning stoma(colostomy or ileostomy).Primary anastomosis is more convenient but has increased risks of anastomotic leakage and ***-stage resection(Hart-mann’s procedure)is safer and the most widely used despite temporally affecting quality of *** control surgery in high-risk frail patients is less frequently performed since it can be successfully substituted with endoscopic stenting or *** the less common right-sided obstruction,one-stage surgical resection is more beneficial than endoscopic *** role of minimally invasive surgery(laparoscopic or robotic)is a subject of *** laparoscopic-assisted management is advantageous to some extent but requires much expertise due to inherent difficulties in dissecting the distended colon and the risk of rup-ture and subsequent septic *** decompressing stent as a bridge to elective surgery more substantially decreases the risks of morbidity and mortality than emergency surgery for decompression and has equivalent medium-term overall survival and disease-free survival *** combination with neoadjuvant chemotherapy or radiation may have a p

关键词： Acute abdomen Obstructive ileus Colorectal carcinoma Emergency surgery Colectomy Intraluminal metal stents

Evaluation of periglacial landforms and formation of soil properties on the Mount Honaz,SW türkiye

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Journal of Mountain Science 2024年第9期21卷 3047-3067页

作者： SERİn Soner UnCU Levent DEDE Volkan tÜRKEŞMurat Institute of Social Sciences İstanbul Universityİstanbul 34119Türkiye Department of Geography BilecikŞeyh Edebali UniversityBilecik 11234Türkiye Department of Geography Ardahan UniversityArdahan 75002Türkiye Center for Climate Change and Policy Studies Boğaziçi Universityİstanbul 34342Türkiye

the main aim of this study is to explain periglacial processes on the summits of Mount Honaz(2571 m a.s.l.),define periglacial landforms,and determine the relationships between morphometric features and topographic *** circles,stony earth circles,non sorted steps,and non sorted stripes were identified on the summits of Mount ***'s correlation coefficient(r)and linear regression analyses were performed by taking metric measurements from 125 periglacial landforms to describe their morphometric features(length,width,height)of periglacial landforms and explain the relationships between them and topographic factors(elevation,slope).to explain the relationships between periglacial landforms and soil properties,soil samples from 11 periglacial landforms were taken and *** landforms,which continue to develop on the summits of Mount Honaz today,have been evaluated with present climate *** of soil samples indicates a notable impact of parent material on the genesis of periglacial *** high ratio of organic matter in mud circle and non sorted step landforms and the high lime ratio in stony earth circle landforms prove a strong relationship between the formation mechanisms of landforms and the soil ***,it is consistent with the findings obtained from the analysis that severe periglacial processes and washing and scavenging events are experienced more on the northern slopes.

关键词： Periglacial processes and geomorphology Soil analysis Morphometric analysis Mount Honaz türkiye