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Outcomes of Early Primary Endoscopic Realignment and Delayed Reconstruction in the Management of Posterior Urethral Injury in Male

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Journal of Biosciences and Medicines 2019年第10期7卷 1-16页

作者： Mohammad Nazmul Huda Prodyut Kumar Saha A. K. M. Shahidur Rahman Mohammad Ibrahim Ali A. S. M. Humayun Kabir Munirunnessa Yeasmin Akter Md. Mostafizur Rahmen Jannate Shaina Islam Nahid kamal Department of Urology Dhaka Medical College Hospital (DMCH) Dhaka Bangladesh Department of Nephrology Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka Bangladesh Department of Gynecology and Obstetrics Sir Salimullah Medical College & Mitford Hospital (SSMC & MH) Mitford Dhaka Bangladesh Department of Gynecology and Obstetrics Combined Military Hospital (CMH) Dhaka Bangladesh Department of Urology Medical College for Women & Hospital Uttara Dhaka Bangladesh Department of Pathology National Institute of Ophthalmology & Hospital Sher-E-Bangla Nagar Dhaka Bangladesh District Hospital Sherpur Bangladesh

Background: Posterior urethral injury usually occurs in male patients with pelvic fractures. Posterior urethral injuries are associated with considerable morbidity including urinary incontinence, erectile dysfunction and urethral stricture. Objective: To compare the outcomes between early primary endoscopic realignment and delayed reconstruction in the management of male patients of posterior urethral injury. Methodology: This prospective study was conducted in the department of urology and department of casualty, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2015 to June 2017 among 50 male patients with posterior urethral injury. Fifty patients were randomly allocated into two groups;the group A consisted of 24 patients underwent early primary endoscopic realignment within 10 days after posterior urethral injury and the group B consisted of 26 patients underwent delayed reconstruction in form of anastomotic urethroplasty after 3 months. All patients were followed up at 3rd, 6th and 9th month after the procedure. Outcome variables were post-operative urethral stricture, urinary incontinence and erectile dysfunction. Data were analyzed and compared by statistical tests. Results: The mean (±SD) age of the study patients was almost similar between the groups (28.8 ± 8.4 vs. 27.4 ± 7.2 years, p = 0.486). In group A, 83.33% patients developed postoperative urethral stricture, none of them developed urinary incontinence and 20.83% developed erectile dysfunction;On the other hand, in group B, these rates were 38.46%, 23.07% and 38.46% respectively. Postoperative urethral stricture formation was significantly higher in Group A (p = 0.0012) but urinary incontinence and erectile dysfunction rates were significantly higher in Group B (p = 0.018 and p = 0.042 respectively). Conclusion: Early primary endoscopic realignment is better than delayed reconstruction in the management of male patients with posterior urethral injury. It provides less postoperative complica

关键词： Endoscopic Realignment Erectile Dysfunction Urinary Incontinence Urethral Injury Urethral Stricture

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喜马拉雅西北部印度喜马偕尔地区岩石场地的场地放大和依赖频率的衰减系数

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世界地震译丛 2012年第6期43卷 49-59页

作者： A. Harbindu kamal M. L. Sharma 杨国栋刘亚蓉(译) 吕春来(校) 不详甘肃省地震局兰州女子中专

用喜马拉雅西北部喜马偕尔地区强震台网数据的S波傅里叶振幅谱估计了场地放大和S波衰减(Qβ)。分析中使用了在震源距离R=9～48km范围13个台站记录的从M3.4到5.4震级范围的8个地震的60个三分向记录。使用时间序列的S波震相的水平与垂直(H... 详细信息

用喜马拉雅西北部喜马偕尔地区强震台网数据的S波傅里叶振幅谱估计了场地放大和S波衰减(Qβ)。分析中使用了在震源距离R=9～48km范围13个台站记录的从M3.4到5.4震级范围的8个地震的60个三分向记录。使用时间序列的S波震相的水平与垂直(H/V)傅里叶谱比分析了场地放大的特征。除了2～4Hz的窄频率范围外,平均放大系数接近于1。H/V比的总体特征与研究区的局部地质条件一致。对0.2≤f≤20Hz,S波品质因子Q(f)估计为103f0.66,其有效性得到了从新Q(f)值导出的计算路径衰减函数的检验。估算的Q(f)值也与以前对喜马拉雅地区Q值的研究结果进行了比较。

关键词：喜马拉雅地区场地放大频率范围西北部衰减系数岩石印度强震台网

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基于紫外-可见光谱的COD预测模型优化方案研究

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中国给水排水 2022年第21期38卷 113-119页

作者：杨曼孜王晓东刘长青塔哈·马哈巴青岛理工大学环境与市政工程学院山东青岛266000

水质在线监测的精确性、实时性和可靠性是制约污水处理厂提高自动化水平和实现智能化管理的瓶颈问题。将光谱仪置于青岛某污水处理厂获取污水的紫外-可见(UV-Vis)全光谱(200~737.5 nm)数据,同时在实验室化验分析对应样品的COD浓度,基于... 详细信息

水质在线监测的精确性、实时性和可靠性是制约污水处理厂提高自动化水平和实现智能化管理的瓶颈问题。将光谱仪置于青岛某污水处理厂获取污水的紫外-可见(UV-Vis)全光谱(200~737.5 nm)数据,同时在实验室化验分析对应样品的COD浓度,基于主成分回归法(PCR法)和偏最小二乘回归法(PLSR法)构建COD预测模型,并采用两次回归分析的思想选取特征波长重新建模,深入讨论采用不同方法、不同类型波长建模对提高模型预测能力的影响。结果表明:与PCR法相比,采用PLSR法构建的模型具有更优的预测能力;基于PLSR法,选取COD特征吸收波长以及硝酸盐和浊度特征吸收波段的波长用于校准,构建的COD模型获得了最优的预测能力,模型拟合优度(R~2)为0.992,预测均方根误差(RMESP)为1.979 mg/L。因此,采用COD特征吸收波长与非预测目标特征吸收波长组合建模的方式能够进一步提高模型的预测精度。

关键词：紫外-可见光谱全光谱分析化学需氧量主成分回归偏最小二乘回归模型优化

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Evaluation of Bilateral Mental Nerve Block as an Alternative to General Anesthesia for Resection of Lower Lip Tumors

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Surgical Science 2017年第8期8卷 319-325页

作者： Ashraf Khater Islam A. Elzahaby Mohamed Hamdy Mohammad Zuhdy Omar Hamdy Mohamed Ezzat Mahmoud Abdelaziz Ahmad M. Farid Mansour Elmoatasem Amr Hassan Khalid Atallah Mahmoud Mostafa Saleh Maha A. Abo-Zeid Amr Yassin Ola taha Abd Eldayem Mona Gad Department of Surgical Oncology Mansoura Oncology Center (OCMU) Faculty of Medicine Mansoura University Mansoura Egypt Anesthesia and Surgical Intensive Care Department Mansoura University Hospital Faculty of Medicine Mansoura University Mansoura Egypt

Objective: Nerve blockade is commonly used in oncosurgical procedures as an alternative to general anesthesia for older patients and those with significant medical problems. We report a single tertiary oncology center experience in performing various lip resections and reconstructive techniques using this technique. Patients and methods: sixty patients with lower lip tumors were enrolled into this study with exclusion of refusing, non-compliant and critically ill patients. A solution of 4 ml 2% Lidocaine and epinephrine was put in a 5 ml syringe. Half the solution (2 ml) was injected into each side with a 23 gauge needle and after 5 minutes the surgical resection was carried out after testing for anesthesia. Results: The mean age was 68 ± 6.2 years. The mean ASA score was 3 ± 0.75. There were 4 cases who expressed painful sensation and their operations were completed with fentanyl increments. Mean hospital stay was 1 ± 0.75 days. There were three cases of wound gaping who were treated with secondary closure in an outpatient basis. One patient expressed postoperative acute ischemic heart pain that was managed with anti-ischemic measurements. Conclusion: Bilateral mental nerve block is a safe and effective alternative to general anesthesia in lower lip tumors’ resection especially in older patients and those with poor tolerance for general anesthesia provided that there is no need for cervical nodal dissection.

关键词： Mental Nerve Block Lip Tumors Lidocaine

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Pharmacognostic and phytochemical studies as an invaluable approach for correct identification of medicinal plants:The case of Artemisia vulgaris *** for Artemisia annua *** Western Uganda

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TMR Integrative Medicine 2023年第4期7卷 1-13页

作者： Ivan Kahwa Clement Olusoji Ajayi Reenu Yadav Nagendra Singh Chauhan kamal Shah Abdelgadir Alamin Abdelgadir Efrata Ashuro Shegena Salome Daniel Timothy Omara John Baptist Asiimwe Hilda Ikiriza Shabnoor Iqbal Casim Umba Tolo Anke Weisheit Patrick Engeu Ogwang Pharm-BioTechnology and Traditional Medicine Centre Mbarara University of Science and TechnologyP.O.Box 1410MbararaUganda Department of Pharmacy Faculty of MedicineMbarara University of Science and TechnologyP.O.Box 1410MbararaUganda Department of Pharmacy IES UniversityBhopal-462044Madhya PradeshIndia Drugs Testing Laboratory Avam Anusandhan Kendra Raipur(CG)492010India Institute of Pharmaceutical Research GLA UniversityMathuraUttar Pradesh 281406India Department of Pharmacognosy Faculty of PharmacyUniversity of GeziraP.O Box 20Wad MadaniSudan Department of Pharmaceutics and Pharmacy Practice Kampala International UniversityP.O.Box 9790Dares SalaamTanzania Institute of Chemistry of Renewable Resources Department of ChemistryUniversity of Natural Resources and Life Sciences Vienna(BOKU)Konrad-Lorenz-Straße 243430Tulln an der DonauAustria Aga Khan University P.O.Box 8842KampalaUganda Department of Biology Mbarara University of Science and TechnologyP.O.Box 1410MbararaUganda Department of Zoology Government College UniversityFaisalabadPunjab 38000Pakistan

Background:Different parts of Artemisia vulgaris L.(***)are ethno-medicinally used as an emmenagogue and for the treatment of ailments such as malaria fever,ulcers,and ***,anecdotal evidence shows that the plant is often substituted for Artemisia annua L.(***)by herbalists in Western Uganda due to similarities in their *** of medicinal plants and mislabelling of herbal products have been incriminated in toxicity and adverse health outcomes in traditional medicine *** safety continues to be a major issue with the use of herbal remedies,it becomes imperative therefore that medicinal plants should be correctly ***:This study focused on investigating the macroscopic,microscopic,physicochemical characteristics and phytochemical composition of *** leaves compared to *** to ease its correct ***:The results showed that there are some colour differences between the leaves of the two species,with a close arrangement of microscopic features but different leaf *** leaves of the two Artemisia species had similar tastes,but their shapes and colours(greenish-yellow for *** and dark green for ***)can be used by the local community to distinguish between *** artemisinin content was higher in *** leaves(1.72%)than in ***(1.43%),but the reverse was observed for the total flavonoid ***:This observation could justify the change in the use of *** by the indigenous community in western *** studies should consider the pharmacognostic comparison of *** with other species in the genus Artemisia and the use of molecular techniques such as DNA barcoding.

关键词： Artemisinin traditional medicine misidentification microscopic studies

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新型胶原基质在美学区种植同期行引导骨再生术中的应用可增加组织厚度:一项可行性研究

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中国口腔医学继续教育杂志 2019年第2期22卷 65-71页

作者： Vivianne Chappuis kamal Shahi Ramona Buser Edi Koller Tim Joda Mauricio Reyes Daniel Buser 贾凌璐(译) 徐新(审) 不详山东省口腔组织再生重点实验室山东大学口腔医学院种植科山东省济南市250012

本系列病例的目的,是将一种新型可吸收胶原基质(collagen matrix,CMX)应用于美学区种植同期行引导骨再生(guided bone ***)术中.评估其在8周愈合期内增强组织厚度的安全性和可行性。使用超声波装置测定种植位点和邻牙的软组织厚度。通... 详细信息

本系列病例的目的,是将一种新型可吸收胶原基质(collagen matrix,CMX)应用于美学区种植同期行引导骨再生(guided bone ***)术中.评估其在8周愈合期内增强组织厚度的安全性和可行性。使用超声波装置测定种植位点和邻牙的软组织厚度。通过连续数字表面模型叠加牙周参数评估整体组织轮廓变化。牙周参数和患者相关结果显示无显著变化。GBR联合新型CMX使得植入部位的软组织厚度在8周后显著增加156mm.且从4周到8周软组织没有显著减少。整体组织轮廓在距粘膜边缘5mm处增加最为显著.与种植体肩部区域的组织增加相对应。8周后邻牙未见受到影响。

关键词：软组织厚度引导骨再生种植体型胶原美学基质再生术 matrix

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Effect of Diabetes Self-Management Education on Glycaemic Control in Sudanese Adults with Type 2 Diabetes

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Journal of Biosciences and Medicines 2024年第3期12卷 316-327页

作者： Sahar Moawia Balla Elnour Tayseer Abdelmotalib Ahmed taha Haiam Abdalla Wadatalla Ziryab Zainelabdin Mohamed Elmahdi Marwah Isam Abdulmajeed Mohammedahmed Rowa Abdelmonem Sidig Hamadto Nahla Yousif Osman Mohammed Saeed Omnia Mubarak Saad Abdallah Sulafa Abdelbagi Mustafa Ahmed Hanady Abdelhameed Ahmed Mohamed Sarah Khalil Fathi Khalil Family Medicine Health Gates Primary Care Riyadh SAU Family Medicine Dhaman Health Assurance Hospitals Company Kuwait KWT Family Medicine First Health Cluster Riyadh SAU Emergency Department Sheikh Khalifa Medical City Abudahbi ARE Family Medicine University of Medical Sciences and Technology Khartoum SDN Family Medicine Sudan Medical Specialization Board-Sudan Khartoum SDN Family Medicine Ultra Care Home Care Company Riyadh SAU Medicine Department Health Gates Primary Care Riyadh SAU Family Medicine Mouwasat Hospital Madinah SAU

Research Background: The high prevalence of diabetes in Sudan, estimated at 16%, highlights the importance of effective health education in diabetes management. Diabetes self-management education has been identified as a crucial tool in enhancing the knowledge, attitudes, and abilities necessary for self-management among individuals with diabetes. Aim: To assess the impact of diabetes self-management education on medication adherence and glycemic control in Sudanese adults with type 2 diabetes before and 3 months after the DSME intervention. Method: The study was conducted in Sudan between September 2022 and March 2023, it was an interventional, one-group, pre- and post-test study that aimed to assess the impact of diabetes self-management education (DSME) on medication adherence and diabetes control in Sudanese adults with type 2 diabetes. The research was conducted in primary health care centers in six cities in Sudan and involved 244 participants. The data entry and statistical analysis were conducted using the Statistical Package for Social Sciences version 27.0. A paired t test was used for analysis. Results: The study included 244 participants, 67% of whom were males. The age mean ± SD was 48.6 ± 9.3 years, and 85.3% of participants were married. Age at onset of diabetes mean ± SD was 40.60 ± 7.81 years;44.6% had diabetes for less than 5 years;and 84.1% had a positive family history of diabetes mellitus. The levels of poor, low, and partial adherence to medication decreased by 8.2%, 4%, and 20.6%, respectively, after the intervention. The levels of good and high medication regime adherence increased by 13% and 19.8%, respectively;BMI decreased by 1.1 ± 0.73 kg/m2 (p = 0.005). The fasting blood sugar decreased by 69 ± 32.9 mg/dl (p = 0.049), and the glycated hemoglobin decreased by 1.21 ± 0.28% (p = 0.001). Conclusions: The findings of this study reinforce the importance of patient education in improving glycemic control and enhancing self-management

关键词： Sudan Adherence Intervention Education Self-Management Diabetes

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印度黑颈鹤现状与分布

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Zoological Research 2014年第S1期35卷 39-50页

作者： Pankaj Chandan Afifullah Khan Jigmet Takpa Syed A.Hussain kamal Mehdi Pushpinder Singh Jamwal Rohit Rattan Nisa Khatoon Tsewang Rigzin Anupam Anand Pijush Kr.Dutta Tanveer Ahmad Partha S.Ghose Priyadarshinee Shrestha Lak Tsheden Theengh WWF-India 172-BLodi EstateNew DelhiIndia Aligarh Muslim University AligarhIndia Department of Wildlife Protection Ladakh J&KGovernmentIndia Wildlife Institute of India DehradunGovernment of IndiaIndia University of Maryland USA Tata Institute of Social Sciences Guwahati CampusIndia

为了弄清和监测印度黑颈鹤(Grus nigricollis)的现状与分布,作者于2000-2014年开展了长期研究。每年在所有已知的黑颈鹤分布点开展调查,同时探索了新的区域。基于黑颈鹤的历史分布区,包括查谟和克什米尔、锡金等的文献记载和调查,该文... 详细信息

为了弄清和监测印度黑颈鹤(Grus nigricollis)的现状与分布,作者于2000-2014年开展了长期研究。每年在所有已知的黑颈鹤分布点开展调查,同时探索了新的区域。基于黑颈鹤的历史分布区,包括查谟和克什米尔、锡金等的文献记载和调查,该文对印度黑颈鹤的现状与分布进行了综述,详细列出了黑颈鹤在印度的当前现状与分布。首次对过去15年来印度黑颈鹤种群状况进行了报道:整个研究期间,于2012年在拉达克的繁殖地最多记录到139只黑颈鹤个体,于2006年在印度东北部记录到11个越冬个体。

关键词：黑颈鹤高海拔湿地拉达克锡金

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磁性随机存储器的研究进展

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大学物理 2009年第12期28卷 36-38页

作者：卡马勒.托克达尔汗拜山.沙德克新疆大学物理科学与技术学院新疆乌鲁木齐830046

通过分析磁性随机存储器(MRAM)的基本原理,及其与现有的静态存储器(SRAM)、动态存储器(DRAM)和快闪存储器(Flash)的性能比较,探讨了MRAM作为下一代新型存储器的应用前景.

关键词：巨磁电阻隧道磁电阻磁隧道结磁性随机存储器

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脓毒症相关急性呼吸窘迫综合征患者患者临床特征与预后

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医学信息（医学与计算机应用） 2014年第13期18卷 67-69页

作者： Kafil Uddin Abbas kamal Aktar 李文元丁士芳吴大玮李琛翟茜杜斌峰李远山东大学齐鲁医院重症医学科山东济南250012 山东莘县人民医院山东莘县252400

目的研究影响脓毒症相关急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者临床特征和影响其预后的因素。方法回顾分析2008年1月~2010年12月入住综合ICU患者符合脓毒症相关ARDS患者资料,分为存活组和死亡组。结果研究... 详细信息

目的研究影响脓毒症相关急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者临床特征和影响其预后的因素。方法回顾分析2008年1月~2010年12月入住综合ICU患者符合脓毒症相关ARDS患者资料,分为存活组和死亡组。结果研究期间共有1268例患者入住综合ICU,96例患者符合脓毒症相关ARDS,其中存活组49例,死亡组47例。普遍存在入住ICU延迟和多重耐药菌导致肺部感染。与存活组比较,死亡组患者以高龄、基础疾病重、内科疾病、机械通气期间不改善氧和功能、高气道峰压,感染性休克和急性肾损伤发生率高、持续性血液滤过(CRRT)和液体正平衡为主。结论对重症医学相关指南依从性不高是导致脓毒症相关ARDS患者死亡率居高不降的重要因素APACHEⅡ评分、脓毒症严重程度、ARDS来源,是影响ARDS患者预后的独立危险因素。

关键词：脓毒症急性呼吸窘迫综合征 APACHEⅡ评分液体复苏

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