检索结果-南通市图书馆

Use of Anti-Mullerian Hormone (AMH) for Testing of Ovarian Reserve: A Survey of Fifteen (15) Fertility Centres in Ghana

引用

Advances in Reproductive Sciences 2021年第1期9卷 81-96页

作者： Dickson Mawusi Michael bright Yakass Chrissie Stancie Abaidoo Frederick Kwaku Addai School of Basic and Biomedical Sciences Department of Biomedical Sciences University of Health and Allied Sciences (UHAS) Ho Ghana West African Centre for Cell Biology of Infectious Pathogens (WACCBIP) Department of Biochemistry Cell and Molecular Biology University of Ghana Accra Ghana School of Medicine and Dentistry Department of Anatomy College of Health Kwame Nkrumah University of Science and Technology Kumasi Ghana School of Biomedical and Allied Health Sciences Department of Anatomy College of Health Sciences University of Ghana Medical School Korle Bu Accra Ghana

Anti-Mullerian Hormone (AMH) is a dimeric glycoprotein with a molecular weight of 140 kD, encoded by a gene on the short arm of chromosome and a member of the transforming growth factor-beta (TGF-β) superfamily. The expression of AMH is markedly different in males and females, both in concentration and temporality. In males, Sertoli cells maintain a high concentration of AMH in utero which peaks shortly after birth and then drops precipitously at puberty. In females, granulosa cells produce very low levels of AMH in utero followed by a transient spike in the neonatal period. Concentrations of the hormone then rise steadily through adolescence to a peak in the mid-twenties and subsequently decline until becoming undetectable in menopause. The study aimed to understand how Clinicians and Clinical Embryologists used anti-mullerian hormone (AMH) test to assess ovarian reserve, direct patient selection and treatment regimens and guide in vitro fertilization (IVF) cycle management in all registered fertility hospitals in a West African country, Ghana. A web-based survey (questionnaire) using google forms was performed to solicit responses from all IVF hospitals that are registered with the Fertility Society of Ghana (FERSOG). This questionnaire consisted of fifteen (15) broader questions, ten (10) of which assessed the clinics’ use of AMH. Responses were screened for quality to verify that only one (1) survey was completed by each IVF centre. The study was conducted during May and June 2020 at the In Vitro Fertilization (IVF) Department of the Airport Women’s Hospital (AWH) in Accra, Ghana. Results are reported as the proportion of IVF cycles represented by a particular answer choice. Survey responses were completed from 15 IVF centres, representing 2504 IVF cycles performed annually. A good majority (73.3%) [1835 IVF cycles] of the respondent IVF hospitals reported to use AMH as a first line test and 93.3% reported it as the best test for evaluating ovarian rese

关键词： Anti-Mullerian Hormone Assisted Reproductive Technologies (ART) IVF Ghana Ovarian Reserve Survey

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

七城传说

引用

体育健康知识画刊 2008年第4期 94-101页

作者： bright

风格独特的居民社区,钢筋水泥组成的摩天大厦,寂静无声的孤独麦田,喧嚣嘈杂的重工厂,别具风味的当地厨艺以及城市岸边大海的咸湿气味NBA就是这样一个美国文化的集合体,而adidas特别为七座最富特色的NBA城市出了它们专属的球鞋和衣服,就... 详细信息

风格独特的居民社区,钢筋水泥组成的摩天大厦,寂静无声的孤独麦田,喧嚣嘈杂的重工厂,别具风味的当地厨艺以及城市岸边大海的咸湿气味NBA就是这样一个美国文化的集合体,而adidas特别为七座最富特色的NBA城市出了它们专属的球鞋和衣服,就让我们一起领略这鞋上的城市风光吧。

关键词：城市风光寂静无声居民社区钢筋水泥克利夫兰公路干线美国东北部公园面积里士满联合国总部

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Preoperative Laboratory Testing by Surgeons: Implication on Anaesthetic Management

引用

International Journal of Clinical Medicine 2019年第6期10卷 345-352页

作者： Akwasi Antwi-Kusi William Addison bright Ighodaro Obasuyi Philip Domoyeri Department of Anaesthesia and Intensive Care Komfo Anokye Teaching Hospital Kumasi Ghana Department of Anaesthesiology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria Koforidua Regional Hospital Koforidua Ghana

Background: Request for preoperative laboratory investigations is usually done by surgeons. On some occasions, the patient may come with laboratory investigations that have been requested by the primary physician. This occurs in situations where the primary physician saw the patient first and referred to the surgeon. There is usually no indications based on history or physical examination before these laboratory request is done but rather on speculations that the “anaesthetist may require them”. This is done in order to avoid cancellation or delay of cases. The aim of this study was to find out how tests ordered in Komfo Anokye Teaching Hospital (K.A.T.H.) by the surgeons affected the decisions of the anaesthetists in the perioperative management of the patients. Methodology: This was a prospective, cross sectional study of patients undergoing elective surgery at K.A.T.H from 1st to 31st March 2014. A quantitative technique was used to effectively quantify laboratory results that were contained in a patient’s folder before an elective surgical procedure. A close and open-ended questionnaire was developed and answered by reviewing patient’s folders during the pre-anesthesia assessment. Data were analyzed using Statistical Package of Social Sciences (SSPS) version 22. Results: The average age of patients studied was 50 years. Abnormal test results did not influence the anaesthetic management in 70.5% of cases but led to either delay or cancelation of cases or requirement for transfusion of blood or blood products in 29.5% of cases. Conclusion: Preoperative laboratory tests ordered by Surgeons in KomfoAnokye Teaching Hospital do not significantly influence the anaesthetic managements of patients.

关键词： Preoperative Laboratory Investigations Surgeons Anaesthetic Management Implication

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Non-communicable disease burden among inpatients at a rural district hospital in Malawi

引用

Global Health Research and Policy 2023年第1期8卷 522-531页

作者： Peter Olds Chiyembekezo Kachimanga George Talama bright Mailosi Enoch Ndarama Jodie Totten Nicholas Musinguzi Dickson Hangiwa Gene Bukhman Emily B.Wroe Massachusetts General Hospital BostonMAUSA Harvard Medical School BostonMAUSA Partners in Health NenoMalawi Ministry of Health and Population LilongweMalawi Department of Emergency Medicine University of WashingtonSeattleWAUSA Global Health Collaborative Mbarara University of Science and TechnologyMbararaUganda Center for Integration Science Division of Global Health EquityBrigham and Women’s HospitalBostonMAUSA Program in Global NCDs and Social Change Deparment of Global Health and Social MedicineHarvard Medical SchoolBostonMAUSA

Background The burden of non-communicable diseases(NCDs)is high in ***,resources and training for NCD care remain scarce,especially in rural *** care for NCDs in the developing world focuses on the WHO’s traditional 4×4 ***,we do not know the full burden of NCDs outside of that scope,like neurological disease,psychiatric illness,sickle cell disease,and *** goal of this study was to understand the burden of NCDs among inpatients in a rural district hospital in *** broadened our definition of NCDs beyond the traditional 4×4 set of NCDs,and included neurological disease,psychiatric illness,sickle cell disease,and *** We conducted a retrospective chart review of all inpatients who were admitted to the Neno District Hospital between January 2017 and October *** broke patients down by age,date of admission,type,and number of NCD diagnoses,and HIV status,and constructed multivariate regression models for length of stay and in-hospital *** Of 2239 total visits,27.5%were patients with *** with NCDs were older(37.6 vs 19.7 years,p<0.001)and made up 40.2%of total hospital *** also found two distinct populations of NCD *** first were patients 40 years and older with primary diagnoses of hypertension,heart failure,cancer,and *** second were patients under 40 years old with primary diagnoses of mental health conditions,burns,epilepsy,and *** also found significant trauma burden,accounting for 40%of all NCD *** multivariate analysis,carrying a medical NCD diagnosis was associated with longer length of stay(coefficient 5.2,p<0.001)and a higher risk of in-hospital mortality(OR 1.9,p=0.03).Burn patients also had significantly longer length of stay(coefficient 11.6,p<0.001).Conclusions There is a significant burden of NCDs in a rural hospital in Malawi,including those outside of the traditional 4×4 *** also found high rates of NCDs in the younger population(under 40

关键词： Malawi Non-communicable disease Burden of disease Inpatient Rural Hospital

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

新武装欧罗巴,前进!

引用

体育健康知识画刊 2008年第5期 108-113页

作者： bright

2008年6月6日,欧洲杯的号角即将再次吹响,16支劲旅齐聚阿尔卑斯山脚下,为德劳内杯的无上光荣,展开殊死搏杀。欧罗巴,前进!比世界杯更高的平均水平,让欧洲杯成为了最吸引人的大洲锦标赛。而每次欧洲杯期间,各支球队通常会推出最新款的国... 详细信息

2008年6月6日,欧洲杯的号角即将再次吹响,16支劲旅齐聚阿尔卑斯山脚下,为德劳内杯的无上光荣,展开殊死搏杀。欧罗巴,前进!比世界杯更高的平均水平,让欧洲杯成为了最吸引人的大洲锦标赛。而每次欧洲杯期间,各支球队通常会推出最新款的国家队战袍,也吸引了大批球迷的追捧。耐克为他旗下的8支球队推出了新的球衣,新的设计搭配新的技术,必将成为欧洲杯一道别样的风采。

关键词：欧洲杯德劳内荷兰队足球运动耐克世界杯足球赛决赛阶段世界杯决赛足球战术世界足坛

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Obstructive sleep apnea is associated with severity and long-term prognosis of acute coronary syndrome

引用

Journal of Geriatric Cardiology 2018年第2期15卷 146-152页

作者： Shuo JIA Yu-Jie ZHOU Yi YU Si-Jing WU Yan SUN Zhi-Jian WANG Xiao-Li LIU bright Eric King Ying-Xin ZHAO Dong-Mei SHI Yu-Yang LIU Zhi-Ming ZHOU Bejing Anzhen Hospital Capital Medical University Beijing Institute of Heart Lung and Blood Vessel Disease Beijing China

Background Obstructive sleep apnea （OSA） is a common disease in patients with acute coronary syndrome （ACS） and associated with an increased risk of fatal and nonfatal cardiovascular events. However, most patients in previous study were treated with bare metal stents and the sample sizes were relatively low. The goal of this study was to evaluate the influence of OSA on the severity and prognosis of patients admitted for ACS. Methods In this prospective cohort study, we enrolled patients with ACS who were hospitalized for coronary angiogram/percutaneous coronary intervention and undergone polysomnography. We divided the patients into two groups： moderate to severe OSA group [apnea-hypopnea index （AHI）〉 15 events/h] and control group （AHI ≤ 15 events/h）. They were followed up for up 32 months. Then, we compared the ACS severity and long-term major adverse cardiovascular events （MACE） in patients with different severity of OSA. Results Five hundred and twenty nine patients were included in the final analysis, with 76% of them being men and an average age of 59 ＋ 10 years. The overall mean AHI is 29 ± 19 events/h, 70.5% of them （373/529） being with moderate to severe OSA and 29.5% （156/529） assign into control group. Compared with controls, patients with moderate or severe OSA exhibited a higher prevalence of hypertension as well as higher body mass index, SYNTAX score, Epworth score and length of hospitalization. With a median follow-up duration of 30 months, accumulative rate of MACE was also higher in patients with moderate or severe OSA than that in the control group （8.6% vs. 3.2%, P = 0.028）. After adjusting for baseline confounders by cox regression model, moderate to severe OSA was an independent risk factor of long-term MACE （P = 0.047, HR = 1.618, 95% CI： 1.069-3.869）. Conclusions The results of this study demonstrate that moderate or severe OSA is correlated with disease severity and associated with worse long-term prognosis in ACS patients. The results rai

关键词： Coronary angiogram Coronary artery disease Obstructive sleep apnea Outcomes

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Transient Studies of Ghana Research Reactor-1 after Nineteen (19) Years of Operation Using PARET/ANL Code

引用

World Journal of Nuclear Science and Technology 2017年第4期7卷 223-231页

作者： bright Madinka Mweetwa Emmanuel Ampomah-Amoako Edward Horga Korbla Akaho National Institute for Scientific and Industrial Research Lusaka Zambia School of Nuclear and Allied Sciences University of Ghana Accra Ghana

The Program for the Analysis of Reactor Transients/Argonne National Laboratory (PARET/ANL) code was used to predict the thermal hydraulic behaviour of the Ghana Research Reactor-1 after adding 9.0 mm of beryllium to the top shim tray of the core. The core was analysed for reactivity insertions 2.1 mk, 3.0 mk, 4.0 mk, 5.0 mk and 6.7 mk, respectively. The reactor is still safe to operate in the range 2.1 mk to 4.0 mk. However, 2.1 mk would be ideal since the reactor automatic shutdown (SCRAM) is set not to exceed 120% of reactor nominal power.

关键词： Reactivity Insertion Transients Control Rod Worth Power Peaking Factor Moderator Reactivity Coefficient Neutronic Parameters

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Assessing Localized Contamination Hazard and Groundwater Quality Challenges in Water-Stressed Peri-Urban Accra, Ghana

引用

Journal of Geoscience and Environment Protection 2022年第1期10卷 13-28页

作者： Stephen Twumasi Annan bright Frimpong Collins Owusu-Fordjour Bismark Yeboah Boasu Department of Integrated Science Education Faculty of Science Education University of Education Winneba Ghana Department of Programmes Planning Monitoring and Evaluation Environmental Protection Agency Accra Ghana Department of Environment and Resource Studies SD Dombo University of Business and Integrated Development Studies Wa Ghana

The study assesses the quality of hand dug wells in relation to distance from soakaway septic tanks in three selected peri-urban communities in the Ga West Municipality near Accra, Ghana. Water quality analyses of bio-physico-chemical variables (pH, Temperature, EC, turbidity, DO, BOD, TSS, TDS, sodium, potassium, nitrate, nitrite, ammonia, sulphate, chloride, salinity, total alkalinity, total coliform, fecal coliforms and isolation of E. coli) were determined. Concentrations of the major nutrient anion sulphate, nitrate, phosphate, and chlorides in water samples at distances between 0 - 30 m radial distances from the septic tank were above the WHO permissible limit of drinking water compared to the control. All the water samples had high fecal and total coliform counts that exceeded the international standard of 0 per 100 mL of potable water with counts ranging from 0 - 143 cfu/100 ml and 53 - 463/100 ml for FC and TC respectively. High fecal coliform and detection of E. coli in most samples is an indication of fecal pollution possibly from their close proximity to soak away septic sewage. The high nutrient levels detected in samples at distances between 0 - 30 m as compared to the controls may a

关键词： Groundwater Water Quality Localized Contamination Peri-Urban

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

“重”装出击

引用

体育健康知识画刊 2008年第10期 116-117页

作者： bright

转眼就要进入深秋,瑟瑟的秋风提醒我们,冬天就要来临,该加衣服啦!Jordan Brand也适时推出了一系列秋冬季节的衣服,保证在迎接冬日的风雪时,你能够"重"装出击!

关键词： Jordan 激光裁剪梭织胸标印花图案 SPORT 压印暗纹编织图案植绒

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

圣剑传说

引用

体育健康知识画刊 2008年第11期 102-105页

作者： bright

似乎将一双网球鞋放入潮流类有些疯狂,也许它更应该在专业竞技装备里面占据一席之地。但正如30年前,没人预料到AF1和Dunk会远离球场,成为大行其道的潮流鞋一样,见证了桑天王辉煌的Air Oscillate在10年后也向潮流的方向发展,而且,第一次... 详细信息

似乎将一双网球鞋放入潮流类有些疯狂,也许它更应该在专业竞技装备里面占据一席之地。但正如30年前,没人预料到AF1和Dunk会远离球场,成为大行其道的潮流鞋一样,见证了桑天王辉煌的Air Oscillate在10年后也向潮流的方向发展,而且,第一次有模有样地秀出自己的潮流,就应用了堪称奢华的LUX版。如果说AF1狂放,Dunk简约,那么,Air Oscillate则像圣剑一样锐利,或许再过10年,我们也会在流行鞋的排行榜上,见到它的名字。

关键词：有模有样桑普拉斯双网花纹设计冠军头衔温布尔登缓震外底金属喷涂皮特

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：