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Acute Bowel Obstructions of the Elderly in a Low African Country

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Surgical Science 2022年第3期13卷 164-173页

作者： Kouame Bernadin Kouakou Kouakou Ibrahim Anzoua Mamadou Traore Ismael Kalou Leh Bi Ahou Bernadette N’Dri Aka Gerard Kakou Serge amos Ekra Blaise amos Kouakou Inza Bamba Djahou Ezechiel Akowendo Roger Lebeau Bamourou Diane General and Digestive Surgery Department University Hospital of Bouaké Bouake Ivory Coast

Background: Acute bowel obstruction is one of the main causes of non-traumatic gastro—intestinal surgical emergencies. When they occur in elderly patients, they seem to induce higher morbi-mortality. The aim of our study was to identify the causes of these bowel obstructions in elderly patients and to expose the results of their surgical management. Patients and Methods: Retrospective and analytical study of patients aged 65 years and over, operated on between January 2013 and December 2019 for acute bowel obstruction at the University Hospital of Bouake. Demographic, diagnostic, therapeutic and evolutionary data were analysed. Results: The study involved 36 men and 23 women (sex ratio = 1.6). The mean age of these patients was 70 ± 4.6 years (65 and 90 years). A history and/or co-morbidities were found in 67.8% of them. Patients were classified as ASA I (20.3%), ASA II (42.4%), ASA III (33.9%) or ASA IV (3.4%). The average consultation time was 5.3 ± 4.1 days (2 days and 28 days). Bowel obstructions were due to colonic volvulus (38.9%), colonic cancer (22%), postoperative adhesions (18.6%), strangulated groin hernia (16.9%) or internal bowel hernia (3.3%). Volvulated or necrotic bowel and resectable cancers were resected followed by immediate anastomosis or stoma. Near upstream stomas were performed for unresectable cancers. A herniorrhaphy for groin hernias and a mesenteric breach suture for internal hernia were performed after bowel disinterment. Adhesions were released. The time to surgery was 22.3 ± 12.4 hours (2 hours and 72 hours). The post-surgery morbidity was 32.2%, marked by parietal suppurations (47.4%). The post-surgery mortality was 16.9%. Hemodynamic or septic shock, ASA score ≥ III, bowel necrosis and ICU stay were the significant risk factors. Conclusion: Acute bowel obstructions in the elderly are dominated by colonic volvulus. The high mortality is related to various factors highlighting the frailty of the elderly. A multidisciplinary management i

关键词： Acute Bowel Obstruction Elderly Etiology Morbi Mortality Surgery

ON THE EARLY SIGNS OF TOXEMIA OF PREGNANCY IN CHINESE PATIENTS

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中华医学杂志(英文版) 1932年第12期46卷 1159-1168页

作者： amos WONG ARNOLD PILLAT M.D. Department of Obs'etrics and Gyneco'oty and Department of Ophthalmology Peiping Union Medical CollegePeiping

When one speaks of a patient suffering from toxemia in pregnancy,one always has in mind a pregnant woman who bears the text bookearmarks of the *** is to say,the patient is complainingof headache,visual disturbances,lassitude,and edema;objectivelyshe has a decrease in urinary output,high blood pressure,albuminuria,together with a retention of nitrogenous products in her *** of this paper is not to deal with toxemia of pregnancy in suchan advanced stage,but to discuss the significance of two early signsof the disease;namely,the elevation of blood pressure,and the

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爱与黑暗的故事

英语学习 2015年第7期 72-75页

作者： amos Oz 蒋素华

阿摩司·奥兹（1939-）是当今以色列最富影响力的作家，著有《何去何从》（Elsewhere,Perhaps）、《我的米海尔》（MyMichae／）、《了解女人》（ToknowaWoman）等十余部长篇小说和多部中短篇小说集、杂文随笔集及儿童文学作品，而《爱... 详细信息

阿摩司·奥兹（1939-）是当今以色列最富影响力的作家，著有《何去何从》（Elsewhere,Perhaps）、《我的米海尔》（MyMichae／）、《了解女人》（ToknowaWoman）等十余部长篇小说和多部中短篇小说集、杂文随笔集及儿童文学作品，而《爱与黑暗的故事》被视为奥兹最优秀的作品。

关键词：故事儿童文学作品《我的米海尔》短篇小说集长篇小说影响力以色列随笔集

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文莱,想不到的球场

商务旅行 2012年第4期 91-93页

作者： amos 翟东风

在文莱球场里拍照和打球,我发现:碰到的每一个人都对我们抱以微笑。甚至连打球的客人在听说我们是来自中国的专业媒体后,也热情欢迎拍照。陌生的友好将我对穆斯林的距离感消磨了。这是一个富饶友善而且治安奇好的小国家。

关键词：安奇距离感高尔夫俱乐部标准杆奥古斯塔球洞双手合十马来西亚华人斯里巴加湾给你

Evaluation of coffee intercropped with rice and plantain at early stage of field establishment in Nigeria

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Agricultural Sciences 2012年第3期3卷 347-350页

作者： amos Olatunde Famaye Gerald O. Iremiren Kayode Olufemi Ayegboyin Kayode Babatunde Adejobi Cocoa Research Institute of Nigeria Ibadan Nigeria

An intercropping experiment involving coffee (sole), coffee/rice, coffee/plantain and coffee/ rice/plantain was carried out between 2007 and 2008 at the Cocoa Research Institute of Nigeria (CRIN) Uhonmora Substation, Edo State situated in a derived Guinea Savanna agro-ecological zone of Nigeria. The experiment was a Randomized Complete Block Design (RCBD) with above mentioned treatment and replicated three times. The spacing used for coffee and plantain was 3 m apart respectively while rice was sown 30 cm apart. Morphological parameters such as plant height, stem girth, leaf area and canopy score were taken on coffee monthly while the survival count were taken after two months of field establishment. Yields of the component crops were also collected at maturity. Data collected were subjected to statistical analysis of variance and LSD used to separate the means that were significant. Result obtained showed 98% survival without any significant difference among the treatments. On vegetative growth, coffee/rice and coffee/plantain were significantly higher (p < 0.05) than coffee sole and coffee/rice/plantain in plant girth and leaf area but not significantly higher in all the months. Plant height however did not follow the same trend as height in coffee sole was slightly higher than coffee/rice. However, the difference was not significant. But coffee/plantain was still significantly higher (P < 0.05) than coffee/rice/plantain. The least was recorded in coffee/rice/plantain intercrop. Grain and bunch yields from rice and plantain respectively in the intercrops compare favourable well to what obtain from coffee sole. From the result obtained, it could be concluded that there was no deleterious effect on growth when rice and plantain were intercropped with coffee. Therefore coffee/rice and coffee/plantain intercropped with better performance could be recommended to coffee farmers in Nigeria rather than sole planting of coffee.

关键词： Evaluation Coffee Rice Plantain Intercrop

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果汁产量更多,更美味

流程工业 2019年第13期 22-24页

作者： amos von Bruning Langenlonsheim的EatonTechnologies GmbH公司

果浆酶在果汁提取中的主要用途是增加果汁产量和提升色泽——本文解释了酶的运用理由以及最佳运用方法,旨在最大程度提升果汁提取结果。酶是大自然不可缺少的环节准确地说,什么是酶?酶出现在所有活的有机体当中,包括人类和其他动物。但... 详细信息

果浆酶在果汁提取中的主要用途是增加果汁产量和提升色泽——本文解释了酶的运用理由以及最佳运用方法,旨在最大程度提升果汁提取结果。酶是大自然不可缺少的环节准确地说,什么是酶?酶出现在所有活的有机体当中,包括人类和其他动物。但是酶并不是生物,只不过是生物所生成的蛋白质。酶执行生物化学反应并且负责维持生命过程,诸如生成能量和合成或分解细胞物质。随着水果成熟,水果中的酶也在这个成熟过程中发挥着重要作用。

关键词：果汁产量生物化学反应美味果浆酶生命过程成熟过程大自然

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环境科学

环境科学

An Inahbitual Etiology of Acute Intestinal Obstruction: The Giant Fecalome

1986年

作者： amos TURK Ph.D.等原作陈国成主译

来源：汇雅图书（南通市图书馆... 评论

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Surgical Science 2023年第3期14卷 225-230页

作者： Leh Bi Kalou Ismaèl Traoré Mamadou N’Dri Ahou Bernadette Ekra amos Serge Akowendo Ezéchiel Kouakou Blaise amos Bamba Inza Kouakou Kouamé Bernadin Anzoua Kouakou Ibrahim Lebeau Roger Diané Bamourou Department of General and Digestive Surgery CHU of Bouaké Bouake Ivory Coast

The authors report an observation of a 20-year-old patient, who was referred by the medical emergency department for abdominal distention. The disease would have started with the appearance of abdominal pain, a stop of materials without stopping gases appeared gradually and evolving for 4 months. The patient was chronically constipated. She administered daily enemas with homemade products to have a bowel movement. She never had rectal bleeding, there was no alteration diarrhea—constipation. Mother of 3 children alive and apparently healthy. On clinical examination the abdomen was enlarged in size, painless but of firm consistency. The hernial orifices were free. Hard and abundant stools were noted on digital rectal examination. The abdominal CT scan revealed a large endorectal fecal impaction going up into the left colon, an absence of abdominal mass. We retained the diagnosis of giant fecal impaction. The patient was hospitalized and we instituted paraffin oil therapy combined with an evacuator enema with glycerin. The evolution was marked by a resumption of transit in the form of stool and gas (3 to 4 stools per day). At Day 8 of hospitalization the abdomen had decreased in volume the transit was regular and the patient was discharged on Day 10. Reviewed 3 months later, she maintained a regular transit made of one bowel movement a day. After a setback of 3 years the transit is still preserved. The authors discuss the etiologies of fecal impaction and their respective treatments.

关键词： Intestinal Obstruction Giant Fecal Impaction

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职业飞镖运动的清醒时刻

商业周刊（中文版） 2021年第3期 60-63页

作者： amos Barshad 王湛(译) 不详

走进英国诺丁汉的莫特波恩特竞技场,我首先看到的是一名怒气冲冲的男子,他的一包森宝利(Sainsbury)黄油薄荷糖刚刚被保安没收。我最先听到的声音是一名妇女的叫骂:“噢,该死的,露西。”那是2020年2月。这里有沃尔多(Waldo)、奥柏伦柏人(... 详细信息

走进英国诺丁汉的莫特波恩特竞技场,我首先看到的是一名怒气冲冲的男子,他的一包森宝利(Sainsbury)黄油薄荷糖刚刚被保安没收。我最先听到的声音是一名妇女的叫骂:“噢,该死的,露西。”那是2020年2月。这里有沃尔多(Waldo)、奥柏伦柏人(Oompa-Loompas)、森林探险家、选美皇后和老式骑师。有玩呼啦圈的小伙子和全身穿着橙色安全锥服装的男子,还有几个看上去似乎是在看了关于夏威夷的电影之后对夏威夷念念不忘的家伙。一个年轻女子打扮成“住在鞋子里的老奶奶”,她入戏颇深,每次都弓着腰,颤巍巍地去拿啤酒。要想融入一场飞镖比赛,你需要打扮成……各种奇怪的样子。

关键词：英国诺丁汉呼啦圈夏威夷沃尔多骑师飞镖薄荷糖竞技场