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Large Painful Bursae at Abeche Hospital: Epidemiological, Clinical, Therapeutic and Evolutionary Aspects

Open Journal of Urology 2024年第5期14卷 312-316页

作者： Vadandi Valentin Mahamat Ali Mahamat Minguemadji Allah Siyangar Temga Ouang Michael Vounouzia Barthelemy Ndormadjita Allah Siyangar Abdelmahamoud Chene Konan Paul gerard Rimtebaye Kimassoum Department of Urology University Hospital Center Abeche Chad Department of Urology University Hospital of National Reference N&#8217Djamena Chad Department of Urology University Hospital of Renaissance N&#8217Djamena Chad Department of Urology University Hospital Center Abidjan Cote d’Ivoire

Introduction: Acute large bursae (ALB) are a frequent reason for emergency consultations. The aim of this study was to investigate the prevalence, clinical course, treatment and evolution of ALB at Abeche University Hospital. Patients and Method: This was a 45-month cross-sectional study from January 2020 to September 2023. Male patients of any age who had been admitted to and treated for acute large bursae at the Abeche University Hospital were included. Sociodemographic, clinical and therapeutic variables were studied. Results: Acute large bursae accounted for 7.92% of emergency admissions. The average age was 39.40 years. 60.27% of patients came from rural areas. The average consultation time was 4 days, ranging from a few hours to 18 days. The main reason for consultation was pain. Strangulated inguino-scrotal hernia was the most common, followed by acute orchi-epididymitis, accounting for 41.8% and 26% of cases respectively. Traditional treatment prior to consultation was attempted in 13.7% of cases. All patients were treated as emergencies, 41 of whom had received medical treatment. Of the patients treated surgically, orchidopexy was performed in all. Parietal suppuration and anaemia occurred in 6.2% and 4.8% of cases respectively. Conclusion: A accounts for a significant proportion of our emergency care activity. However, patients are seen with a delay, which jeopardises the functional prognosis of the testicle and intestine.

关键词： Acute Large Bursa Orchiepididymitis Torsion Spermatic Cord CHU-A

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Knowledge and Attitudes of Nursing Staff towards Obstetric Fistula at the Abeche University Hospital, Chad

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Open Journal of Urology 2024年第5期14卷 277-281页

作者： Vadandi Valentin Mahamat Ali Mahamat Temga Ouang Michael Vounouzia Barthelemy Minguemadji Allah Siyangar Ndormadjita Allah Siyangar Abdelmahamoud Chene Konan Paul gerard Rimtebaye Kimassoum Department of Urology University Hospital Center Abeche Chad Department of Urology University Hospital of National Reference N&#8217Djamena Chad Department of Urology University Hospital of Renaissance N&#8217Djamena Chad Department of Urology University Hospital Center Abidjan Cote d&#8217Ivoire

Introduction: Prevention of obstetric fistula (OF) remains a challenge in Chad where its incidence is 464 cases/year. The present study aims to determine the knowledge and attitudes of nursing staff towards obstetric fistula. Patients and Method: This was a cross-sectional, descriptive and analytical study including nursing staff at the Abéché University Hospital. The survey took place from March to May 2023 and the sampling was exhaustive. Data collection was done using a form including a questionnaire on sociodemographic parameters, knowledge and attitudes. Participation in the study was voluntary and individual. Results: Participation in the study was 76.11%. Emergency department staff were the most represented, followed by gynecology-obstetrics staff with 34.4% and 20.91% of cases respectively. Nurses represented 53.17% of participants followed by doctors (23.52%). An exact definition of obstetric fistula was reported by 7.84% of participants and it was partial in 80.39%. The level of knowledge of risk factors was considered good in 12.41%. Exact knowledge of clinical signs was reported by 74.5% of cases. Among the participants, 1.96% reported that the treatment of obstetric fistula is traditional. Knowledge about means of prevention was considered good by 13.72% (n = 21), and attitudes by 26.79%? Obstetric fistula knowledge was influenced by profession (doctor, p = 0.011) and attitudes by service (p = 0.004) and profession (doctor, p = 0.001). Conclusion: Obstetric fistula is a curable disease whose prevention remains possible and requires good knowledge of the disease and the promotion of safe motherhood. This study should serve as a basis for the establishment of the obstetric fistula module in the curriculum of healthcare personnel and the promotion of continuing training for its eradication.

关键词： Obstetric Fistula Knowledge Attitudes CHU-A Abeche Chad

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Experience on the Management of Priapism at the Yaounde Central Hospital

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Open Journal of Urology 2024年第4期14卷 244-251页

作者： Philip Fernandez Owon’Abessolo Jean Cédric Fouda Armel Essomba Cécile Etobe Achille Kpanou Yellem Yvon gerard Beling Abanda Bright Awondo-Che Milama Steves Ndang Ngou Department of Surgery and Specialties Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Urology Service Yaound&#233 Central Hospital Yaound&#233 Cameroon Department of Surgery and Specialty Faculty of Medicine and Biomedical Sciences University of Yaound&#233 1 Yaound&#233 Cameroon Department of Urology University of Health Sciences Owendo Gabon

Introduction: Priapism is a urological emergency defined as a prolonged penile erection for more than 6 hours, painful and sustained, occurring without any sexual stimulation. The diagnosis is essentially clinical. However, the management is often late because of the delay in consultation, which is characteristic in our context. The purpose of our study is to describe the clinical and therapeutic aspects of patients who presented with priapism at the Yaoundé Central Hospital as well as to propose a present synthesis concerning the management of priapism. Methodology: We conducted a descriptive cross-sectional study with a retrospective recruitment method in the urology department of the YCH. It extended over a period of 6 months from January 2022 to June 2022. We reviewed the files of patients seen within a period spanning 10 years from January 1st, 2011 to January 31st, December 2021. The study population consisted of patients who had been hospitalized and treated for priapism. We carried out consecutive and non-exhaustive sampling. Results: During the study, we collected data from the medical files of 13 patients. The median age was 25 years, with extremes of 12 and 82 years. Most of the patients were between 20 and 30 years old (38.5%). Most of the patients were single (69.2%). Sickle cell disease was the main comorbidity encountered during the study (76.9%). The median time from onset of symptoms to consultation was 10 [6 - 20.5] hours, with extremes of 1 and 264 hours. All patients presented with painful penile erection (100%). There was concomitant multifocal pain in 38.5% of cases suggestive of vaso-occlusive crises (VOC). The symptoms occurred in a non-traumatic context in the majority of cases (92.3%). The T-shunt was the most used surgical technique (84.6%). The median duration of surgery was 36 [35 - 40] minutes with extremes of 25 and 60 minutes, the majority being operated in less than 45 minutes (84.6%). The frequency of postopera

关键词： Priapism Treatment Experience

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Sexual dimorphism across 3 stages of development in polygynous Artiodactyls is not affected by maternal care

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Current Zoology 2016年第6期62卷 513-520页

作者： gerard DUBOST Museum National D'Histoire Naturelle EGB-UMR 7204 Menagerie Du Jardin Des Plantes 57 Rue Cuvier 75231 Paris Cedex 05 France

In polygynous mammals, mature males are usually much heavier than females. Competition for females is intense, and few males reproduce. Given the importance of the male＇s body size for the reproduction and social life of these species, levels of sexual dimorphism were studied in 27 species of polygynous terrestrial cetartiodactyls at the 3 most significant stages of development： birth, 6 months of age, and adulthood. Overall, there were 3 different types of changes in male-to-female （M/F） mass ratios between birth and adulthood, corresponding to the 3 categories of adult dimorphism. The change in mass ratio between birth and 6 months of age was inversely correlated to the degree of dimorphism at birth. Most adult dimorphism was acquired after weaning. On the whole, postnatal maternal care seems to have no or even an inverse effect on the evolution of dimorphism, which is apparently not consistent with the assumption of greater maternal investment in male than in female offspring among polygynous mammals.

关键词： polygynous terrestrial cetartiodactyls sexual dimorphism variations.

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Temperature Dependence of Density,Viscosity,Thermal Conductivity and Heat Capacity of Vegetable Oils for Their Use as Biofuel in Internal Combustion Engines

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Advances in Chemical Engineering and Science 2019年第1期9卷 44-64页

作者： Augustin SampawindéZongo Gilles Vaitilingom Tizane Daho Christian Caillol Jean-Francois Hoffmann Bruno Piriou Jeremy Valette bila Gérard segda Pascal Higelin LPCE Département de physiqueUniversitéOuaga 1 Pr JKZBurkina Faso Unitéde recherche BioWooEB CIRAD MontpellierBat 1673 rue JF BretonMontpellierFrance Laboratoire PRISME Universitéd’Orléans8 rue Léonard de Vinci45072 Orléans Cedex 2France Laboratoire PROMES-CNRS UPR-8521 Universitéde Perpignan Via Domitia Rambla de laThermodynamiqueTecnosudPerpignanFrance

This work gives tools to overcome the difficulty to determine experimentally physical properties for vegetable oils within the range of temperature typically observed during the injection phase in a diesel engine. Knowing vegetable oils’ physical properties to these ranges of temperature is of fundamental importance when modeling their combustion in diesel engine. However, vegetable oils’ experimental physical properties data are rare in the literature for temperature above 523 K. This paper describes experimental measurements and estimation methods for density, dynamic viscosity, thermal conductivity and heat capacity of vegetable oils for this particular range of temperature. The methodology uses several correlative methods using group contribution approach for each property and compares experimental data with predicted one to select the more accurate model. This work has shown the rapeseed and jatropha oils’ physical properties can be satisfactorily predicted as a function of temperature using group contribution approach.

关键词： Rapeseed Oil Jatropha Oil Physical Properties Group Contribution Method Energy Diesel Engine

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首尔双子星

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现代装饰 2024年第3期 184-187页

作者： Ben van Berkel(设计) gerard Loozekoot with Harlen Miller(设计) Crystal Tang and Ines Verna(设计) 不详

近期,UNStudio与奥雅纳和当地的Heerim建筑事务所联手,为新的和平公园摩天轮设计了一个愿景方案,这是首尔市政府为首尔上岩世界杯公园发起的一个地标项目。UNStudio的设计在初赛中脱颖而出,被选定与首尔住房社区公司合作,向首尔市提交... 详细信息

近期,UNStudio与奥雅纳和当地的Heerim建筑事务所联手,为新的和平公园摩天轮设计了一个愿景方案,这是首尔市政府为首尔上岩世界杯公园发起的一个地标项目。UNStudio的设计在初赛中脱颖而出,被选定与首尔住房社区公司合作,向首尔市提交设计方案。首尔市政府最近公布了UNStudio的设计方案,并暂时将其命名为“首尔双子星”。该项目是首尔市长提出的“汉江千般日落”愿景的一部分,旨在打造汉江沿岸的一千个景点,作为首尔市民的公共空间。

关键词：建筑事务所公共空间双子星摩天轮首尔市世界杯设计方案

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Integrative Oncology Meets Immunotherapy:New Prospects for Combination Therapy Grounded in Eastern Medical Knowledge

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Chinese Journal of Integrative Medicine 2012年第9期18卷 652-662页

作者： gerard Bodeker Global Initiative for Traditional Systems(GIFTS) of Health OxfordUK Nuffield Department of Medicine and Department of Primary Health Care University of OxfordUK Department of Epidemiology Mailman School of Public HealthColumbia UniversityNew YorkUSA

As cancer rates rise globally, standard care is being questioned; new approaches involving immune therapies are emerging. With this shift comes a corresponding shift in the use and potential of herbal medicines and extracts. The focus of this article, which has evolved from a presentation at the Second Beijing International Symposium on Integrative Medicine （BISIM May 19-20, 2012）, is particularly on Chinese medicine, but is generalizable to Eastern medicine morebroadly and to other herbal traditions. Until recently, herbal and related treatments have been used as adjuvants to conventional care - for reducing side-effects, enhancing cytotoxicity, and sometimes, undesirably counteracting the efficacy of chemotherapy and radiation. Now, in the context of a new class of immune-based cancer therapies, herbal and other complementary modalities are looked at asenhancers of the body＇s immunity.

关键词： Acute Myeloid Leukemia Curcumin Chinese Medicine Cancer Immunotherapy Triptolide

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A Grid-friendly Neighborhood Energy Trading Mechanism

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Journal of Modern Power Systems and Clean Energy 2022年第5期10卷 1349-1357页

作者： Anula Abeygunawardana Aaron Liu gerard Ledwich Queensl and University of Technology BrisbaneAustralia IEEE

More customers are tending to install batteries with photovoltaic(PV), so they can better control their electricity bills. In this context, customers may be tempted to go offgrid at a substantial up-front cost, leading electricity companies into a death spiral, thereby raising electricity price further on those remaining on grid. Neighborhood energy markets can promote the sharing of locally generated renewable energy and encourage prosumers to stay on grid with financial incentives. A novel neighborhood energy trading(NET) mechanism is developed using the topology of existing radial distribution network to encourage sustainable energy sharing in neighborhood and encourage prosumers to stay on grid. This mechanism considers loss, congestion management, and voltage regulation, and it is scalable with low computation and communication *** IEEE test system is used to validate the NET *** simulation shows that the price and flow results are obtained with fast computation speed(within 10 iterations) and with loss reflected, flow limit reinforced, and voltage *** study proves that the economic demand-supply-based pricing mechanism can be applied effectively in distribution networks to help encourage more renewable energy sharing in sustainable neighborhood and avoid energy network death spiral.

关键词： Direct power flow directional adjacency local energy market peer-to-peer prosumer solar community sustainable building transdisciplinary research

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Serological survey of avian influenza virus infection of unvaccinated backyard chickens in Mandlhakazi,Southern Mozambique

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Asian Pacific Journal of Tropical Biomedicine 2017年第8期7卷 686-688页

作者： Paula Taunde Ana Felicidade Lucas Abel Chilundo Rosa Costa Custodio Gabriel bila Faculty of Veterinary Medicine Eduardo Mondlane University Kyeema Foundation

To investigate serologically the presence of avian influenza virus (AIV) in backyard chickens from Mandlhakazi district, Southern *** total of 439 sera samples from unvaccinated and apparently healthy backyard chickens from 4 villages (Chidenguele, Macuacua, Chizavane, and Nwadjahane) were tested for the presence of AIV antibodies through commercial enzyme-linked immunoabsorbent assay (ELISA) kit used according to manufacturer ***-AIV antibodies were detected in all villages surveyed. The overall seroprevalence obtained was 32.6% (95% CI 28.2%-37.0%). The highest prevalence of 51.3% (95% CI 42.3%-60.2%) was recorded in Macuacua village, while the lowest prevalence of 13.0% (95% CI 6.2%-19.9%) was found in Chizavane village. The results of logistic regression analyses suggested that chicken being located in Chizavane and Macuacua villages were more unlikely for getting the virus exposure (P < 0.05).ConclusionsOur findings suggested that AIV is widespread within backyard chickens in the studied villages. Further research is needed to identify the circulating virus genotypes and determine the potential role of backyard chickens in the zoonotic transmission of AIV in Mozambique.

关键词： Avian influenza virus Serology Prevalence Backyard chicken Mozambique Africa

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Arnie Levine and the MDM2-p53 discovery:a postdoctoral fellow's perspective

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Journal of Molecular Cell Biology 2019年第7期11卷 620-623页

作者： gerard P.Zambetti Department of Pathology St. Jude Children's Research Hospital262 Danny Thomas PlaceMemphisTN 38105USA

It was early 1990 that we had gathered at Arnie Levine's home for dinner to celebrate the transition of several postdoctoral fellows to faculty positions in *** a new postdoctoral fellow in his lab,I was thrilled to have the opportunity to spend some personal time with *** were discussing the paradigm shift made by his group a year earlier that p53 is a tumour suppressor (Finlay et at.,1989) and not an on cogene,as origi nally thought for a decade after its original discovery (Lane and Crawford,1979;Linzer and Levine,1979).

关键词： dinner group time

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