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Laparoscopic Appendectomies at Brazzaville University Hospital

Surgical Science 2024年第4期15卷 183-194页

作者： Murielle Etiennette Julie Note Madzele Pierlesky Elion Ossibi Bhodeho Medi Monwongui Didace Massamba Miabaou Giresse Bienvenu Tsouassa Wa Ngono Prude Pertinie Avala Gilles Niengo Outsouta Noé Henschel Motoula Latou carmich Nzaka Moukala cédrick du bonheur alima koya Gilbert Fabrice Otiobanda Digestive Surgery Department Brazzaville University Hospital Brazzaville Republic of the Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of the Congo General Intensive care Unit Brazzaville University Hospital Brazzaville Republic of the Congo

Introduction: Acute appendicitis represents an urgent surgical condition, requiring the removal of the vermiform appendix. Laparoscopy is the standard surgical approach. This study aimed to outline the epidemiological, clinical, therapeutic, and outcome characteristics of patients undergoing laparoscopic surgery for acute appendicitis. Patients and Methods: A descriptive, retrospective analysis was carried out in the Emergency and Digestive Surgery departments of the University Hospital center of Brazzaville, spanning two years from January 1, 2021, to December 31, 2022. The study included all patients who underwent laparoscopic surgery for non-complicated acute appendicitis. Results: The study included 12 cases of non-complicated acute appendicitis treated with urgent laparoscopy. The mean age of the patients was 37 ± 8.9 years, with a sex ratio of 0.7. The predominant symptom leading to consultation was pain in the right iliac fossa, with an average time to consultation of 6.4 ± 5.7 hours. Patient histories included diabetes in one case, obesity in two cases, and one case of prior abdominoplasty. during surgery, a phlegmonous appendix was observed in nine patients. The average duration of hospital stay was 3.6 ± 1.3 days, with all patients experiencing uncomplicated recoveries. conclusion: The practice of emergency laparoscopic appendectomy is still relatively infrequent in our setting and presents an ongoing challenge.

关键词： Acute Appendicitis Appendectomy Laparoscopy Emergency

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Surgical Treatment of Hemorrhoidal Disease at Brazzaville University Hospital center

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Surgical Science 2024年第3期15卷 159-168页

作者： Murielle Etiennette Julie Note Madzele Pierlesky Elion Ossibi Rody Stéphane Ngami Didace Massamba Miabaou clausina Philestine Mikolele Ahoui Apendi Noé Henschel Motoula Latou Bhodeho Medy Monwongui Giresse Bienvenu Tsouassa Wa Ngono Prude Pertinie Avala carmich Nzaka Moukala cédrick du bonheur alima koya Blaise Irénée Atipo-Ibara Digestive Surgery Department Brazzaville University Hospital Center Brazzaville Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo Gastroenterology and Internal Medicine Department Brazzaville University Hospital Center Brazzaville Congo

Introduction: Hemorrhoidal disease is a common pathology and its surgical treatment is based, among other things, on pedicular resection after failure of medical and instrumental treatment. The aim of this study is to analyze the epidemiological, clinical, therapeutic and evolving aspects of hemorrhoidal disease at the stage of surgical treatment at the University Hospital center of Brazzaville. Patients and Methods: We conducted a retrospective and descriptive study carried out from January 2020 to December 2021, a 24 months period, in the Digestive surgery department of the University Hospital center of Brazzaville. It concerned patients who underwent a surgical procedure for hemorrhoidal disease. Results: 21 cases were collected, representing a hospital frequency of 2.3%, with a sex ratio of 4.3 in favor of men. The average age of patients was 42.2 ± 11.9 years. The symptoms were mainly proctalgia, mass sensation and rectal bleeding. We recorded five cases (19.1%) of hemorrhoidal thrombosis and 16 cases (80.9%) of hemorrhoidal prolapse including 12 cases requiring manual integration (Goligher grade III) and four irreducible permanent cases (Goligher grade IV). The Grade III prolapse was associated with a polyp in one patient and with posterior anal fissure in another patient. Out of the 21 patients, 14 underwent a tripedicular hemorrhoidectomy according to Milligan and Morgan. Two patients underwent mono- and bipedicular hemorrhoidectomy with resection of associated lesions and five patients underwent emergency thrombectomy. The outcome was favorable for all our patients. The average length of hospital stay was 1.5 ± 2.1 days. conclusion: In the event of failure of medical and instrumental treatment, the hemorrhoidal cure according to Milligan and Morgan is the surgical treatment of reference for hemorrhoidal disease at the University Hospital center of Brazzaville.

关键词： Hemorrhoidal Disease Surgery Milligan and Morgan

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培训对员工绩效的影响分析 ——以塞拉利昂公路运输公司为例（SLRTc）

培训对员工绩效的影响分析 ——以塞拉利昂公路运输公司为例（SLR...

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作者： MARIAMA alima KAMARA 河北大学

学位级别：硕士

现代企业的成功越来越取决于其人力资源的效率和有效性。支撑组织成功的一个重要因素是拥有一支蓬勃发展、有能力、能力非凡的员工队伍,他们通过自己的技能、知识和奉献精神成为成功的支柱。本研究深入探讨了塞拉利昂公路运输公司背景... 详细信息

现代企业的成功越来越取决于其人力资源的效率和有效性。支撑组织成功的一个重要因素是拥有一支蓬勃发展、有能力、能力非凡的员工队伍,他们通过自己的技能、知识和奉献精神成为成功的支柱。本研究深入探讨了塞拉利昂公路运输公司背景下人力资源开发举措与组织绩效之间的复杂关系。本文试图严格分析各种关键假设,包括广义培训计划在多个领域提高员工绩效的程度。此外,它旨在观察和量化培训实施的频率和强度对生产力成果指标的影响。这一综合分析将涉及评估在各自行业中表现最佳的组织所影响的整体绩效效率。为了实现这些研究目标,本文采用了定量方法,通过向SLRTc的员工分发结构化问卷来收集数据。这项实证调查的结果揭示了培训和发展活动与员工绩效指标之间的强烈正相关关系,突显了人力资本投资对生产力的巨大影响。该报告强调,企业,特别是物流和运输行业的企业,迫切需要为培训和专业发展活动分配足够的资源,这些活动经过精心调整,以符合其业务的具体目标。此外,该研究强调了管理决策在设计和实施有效培训计划方面的重要作用。它表明,如果没有由各级所有者、董事和管理人员带头的战略方法,组织将缺乏从这些举措中获得最佳利益所需的实际行动步骤。最终,这项研究为实地工作做出了宝贵贡献,它将培训和组织效能作为在塞拉利昂公路运输公司动态环境中运作的相互支持的合作伙伴。这些发现对人力资源管理实践具有重要意义,并突出了未来研究工作的途径。研究结果揭示了培训和发展活动、绩效改进和组织成功之间的紧密联系。它描述了商业实体的不可或缺的因素,特别是在物流和运输方面,为与其职责相近的培训项目分配足够的资源。首先,该研究支持管理者是培训项目产出的关键决定因素。本文讨论了培训与组织绩效之间的联系,提出了一个涵盖SLRTc案例研究的战略性人力资源开发模型。通过这种方式,公司可以同时处理两个方面;培训举措和组织成功率的提高将紧密结合在一起,带来高质量的工作环境和实质性的成长和发展。

关键词：培训发展组织绩效塞拉利昂公路运输公司(SLRTc) 塞拉利昂政府人力资源-人力资源公司巴士-cB

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民族地区推广医养结合养老服务的实践路径研究

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内蒙古社会科学（蒙文版） 2024年第1期44卷 110-116页

作者：阿梨玛不详

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《蒙古秘史》中的“—gda(gde)—da”形态研究

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内蒙古社会科学（蒙文版） 2024年第1期44卷 69-74页

作者：阿力玛不详

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仿作与超越:互文性视角下的《十八岁出门打工》

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内蒙古民族大学学报（哲学社会科学版） 2024年第3期50卷 80-86页

作者：阿力玛内蒙古师范大学蒙古学学院内蒙古呼和浩特010020

一种文本或明或暗隐含着多种文本的信息、范式和结构,形成互文关系。互文性表明了某种信息、范式、结构在文本之间流窜,并影响、篡改或者派生新文本。余华短篇小说《十八岁出门远行》(1986年)与海勒根那短篇小说《十八岁出门打工》(2019... 详细信息

一种文本或明或暗隐含着多种文本的信息、范式和结构,形成互文关系。互文性表明了某种信息、范式、结构在文本之间流窜,并影响、篡改或者派生新文本。余华短篇小说《十八岁出门远行》(1986年)与海勒根那短篇小说《十八岁出门打工》(2019年),在内容结构、叙事技巧和主题意蕴等诸多方面构成显著的互文关系。通过翔实对比、考察和讨论,认为后文本是前文本的派生文本。一方面,作者采用承袭、模仿、篡改和组合方式对前文本进行学习和借鉴;另一方面,将地域文化和时代精神融入小说创作中,在借鉴与创新、模仿与超越中完成了短篇小说《十八岁出门打工》。这种互文创作案例,对于当下少数民族作家文学创作如何借鉴中国现当代文学乃至西方文学经验提供了一种参考坐标。

关键词：海勒根那互文性小说:余华《十八岁出门打工》《十八岁出门远行》

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Bacteriological Profile of Infections Encountered in a Pneumology Service in a Moderate-Income country [Pneumology Department of cHU cocody (côte d’Ivoire)]

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Open Journal of Respiratory Diseases 2024年第1期14卷 1-11页

作者： Brou Jean Marcel Ahui Alitonde Eudoxie Djegbeton alima Kone Marc-Olivier Koffi Kouame clarisse Elogne Mobio Nancy Hermine Benjamin Kouraogo Erick Akouatia constante Virginie Brou-Gode Kigninlman Horo Boko Alexandre Kouassi Ngoran Koffi Pneumology Service Teaching Hospital of Cocody Abidjan C&#244te d’Ivoire Medical School of Abidjan University Félix Houphou&#235t Boigny Abidjan C&#244te d’Ivoire Pasteur Institute of cô te d’Ivoire Abidjan C&#244te d’Ivoire

Introduction: Infections represent a real public health problem aggravating the morbidity and mortality of hospitalized patients. Methods: This was a retrospective study with descriptive purposes over a period of 05 years, in the Pneumology Department of the University Hospital of cocody. Results: The average age in our population was 42 years. We observed a male predo- minance of 64.5%, with a sex ratio of 1.8. Medical history was dominated by HIV infection (23.5%), followed by tuberculosis (15.6%). concerning lifestyle, smoking was found in 38% of cases. Symptoms progressed chronically in 80% of cases. An infectious syndrome was found in 75% of cases. Microbial culture was positive in 42% of cases. Pseudomonas aeruginosa and Klebsiella pneumoniae were encountered in 26.4% of cases each, followed by Echerichia coli in 10.4% of cases. Klebsiella pneumoniae in the first three years topped the list, but gradually. Pseudomonas aeruginosa maintained its leadership over the last three years. Pseudomonas aeruginosa isolates expressed a resistance rate of 9.8% to ceftazidime and 8.1% to imipenem;to aztreonam (36%), ticarcillin (33.3%) and levofloxacin. These strains were susceptible to fosfomycin (100%), mero- penem (96.6%) and amikacin (96%). For isolated strains of Entero- bacteria- ceae, resistance was observed about ticarcillin (83.3%) and amoxicillin clavula- nic acid (71.2%). Streptococcaceae showed resistance to tetracycline (69.2%) and erythromycin (50%). Over the years there has been an increase in re- sistance to amoxicillin-clavulanic acid ceftriaxone. The death rate was 14%. conclusion: The bacterial profile of infections is dominated by germs respon- sible for nosocomial infection with significant mortality.

关键词： Bacterial Pleural Pneumonia Nosocomial Infection Sub-Saharan Africa Antibiotic Therapy

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Prevalence, Maternal and Perinatal Prognosis of Breech Delivery compared to That of the Vertex in 242 cases for 484 controls at Ségou Hospital in Malti

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1414-1421页

作者： Tidiani Traoré Famakan Kané Abdoulaye Kassogué Seydou Traoré Seydou Z. Dao Balilé Harber Sabré Koné Kassoum Sidibé Brahima Donigolo Babou Traoré Adama coulibaly Abdrhamane Diarisso alima Sidibé Mamadou Sima Augustin Théra Youssouf Traoré Ibrahima Teguété Niani Mounkoro Ministry of Health in Bamako Nianakoro Fomba Hospital Segou Mali Regional Health Department of Segou District Hospital Bla Mali Regional Health Department of Koutiala Reference Health Center Koutiala Mali Regional Health Department of Bamako Reference Health Center Commune II Bamako Mali Ministry of Health in Bamako Fousseyni Daou Hospital Kayes Mali Ministry of Health in Bamako Point G University Hospital Center Bamako Mali Ministry of Health in Bamako Gabriel Toure University Hospital Center Bamako Mali

Introduction: Breech birth has always been a subject of great interest because of its risks of perinatal morbidity and mortality. Aim: The aim of our study was to compare the maternal and perinatal prognosis of breech delivery with that of vertex delivery. Patients and Method: This was a retrospective case-control analytical study carried out in the obstetrics and gynaecology department of Ségou hospital over a 2-year period from 1 January 2020 to 31 December 2021, involving 242 breech deliveries compared with 484 top deliveries with a live single foetus without foetal malformation of gestational age ≥ 35 SA. The statistical tests used were: chi² (p Results: The frequency of breech delivery was 3.3%, with a predominance of caesarean section for breech presentation (64.88%) compared with 32.85% for vertex (P: 0.00;cI: (0.191 - 0.367). The perinatal prognosis of fetuses with breech presentations was marked by a higher rate of neonatal asphyxia (Apgar score conclusion: Breech birth is relatively rare in our department. It carries a higher risk of maternal morbidity and neonatal morbidity than breech delivery. However, the vital prognosis for the mother was identical in both groups.

关键词： Delivery Breech Vertex Prognosis Mali

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Hysterectomies for Gynaecological Pathology: 56 cases at the Segou Regional Hospital in Mali

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Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1363-1373页

作者： Tidiani Traoré Famakan Kané Abdoulaye Kassogué Seydou Traoré Seydou Z. Dao Balilé Harber Sory Diallo Kassoun Sidibé Brahima Donigolo Babou Traoré Adama coulibaly Abdrahamane Diarisso alima Sidibé Mamadou Sima Augustin Théra Youssouf Traoré Ibrahima Teguété Niani Mounkoro Ministry of Health in Bamako Nianakoro Fomba Hospital Segou Mali Regional Health Department of Segou District Hospital Bla Mali Regional Health Department of Koutiala Reference Health Center Koutiala Mali Regional Health Department of Bamako Reference Health Center Commune II Bamako Mali Ministry of Health in Bamako Fousseyni Daou Hospital Kayes Mali Ministry of Health in Bamako Point G University Hospital Center Bamako Mali Ministry of Health in Bamako Gabriel Toure University Hospital Center Bamako Mali

Introduction: Hysterectomy is a surgical procedure involving partial or total removal of the uterus. It is the most common gynaecological surgery in the world. Objective: To describe the epidemio-clinical and prognostic aspects of gynaecological hysterectomies. Patients and methods: This was an 18-month retrospective prospective descriptive study with a six-month follow-up period from 1 December 2020 to 31 May 2022 carried out in the gynaecology department of the Segou regional hospital. Results: Fifty-six (56) hysterectomies were performed out of 118 gynaecological surgical procedures (47.45%). The mean age was 47 ± 11.77 years. Large multiparous women were the most common (50%), with an average parity of 4.58. The main indications were uterine fibroids (30.4%), precancerous lesions of the cervix (17.85%) and uterine prolapse (17.85%). The abdominal route was the most commonly used surgical route (82.14%). Hysterectomy was total in 100% of cases and associated with bilateral adnexectomy in 48.2% of cases. The intra- and post-operative prognosis was satisfactory in 94.6% of cases. No deaths were recorded. The average length of stay was 3.28 days, irrespective of the surgical approach. Three cases of dyspareunia were noted among those who had resumed sexual activity.

关键词： Hysterectomy Gynaecological Pathology Mali

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医院营养代谢实验室管理的探索与实践

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中国卫生标准管理 2024年第13期15卷 65-68页

作者：李德鹏张玮阿丽玛内蒙古自治区人民医院医学工程处内蒙古呼和浩特010017 内蒙古自治区人民医院健康管理中心内蒙古呼和浩特010017 内蒙古自治区人民医院临床营养中心内蒙古呼和浩特010017

为满足建立适合我国整体医疗需求的现代化临床营养工作体系的需求,需要建立并有效运行营养代谢实验室,加强营养诊疗技术的不断改进和提升。通过调查我国医院营养学科及代谢实验室建设现状,明确目前临床营养诊疗流程的实际需求,分析目前... 详细信息

为满足建立适合我国整体医疗需求的现代化临床营养工作体系的需求,需要建立并有效运行营养代谢实验室,加强营养诊疗技术的不断改进和提升。通过调查我国医院营养学科及代谢实验室建设现状,明确目前临床营养诊疗流程的实际需求,分析目前营养代谢实验室运行中存在问题和优势。开展从实验室的人员、实验室设备管理、实验室业务开展、实验室的管理制度及实验室的场地管理等5个方面的剖析和探讨,找寻相应的具体改进措施。从实验室对临床实际业务的影响出发,有效提高实验室的创新建设和管理,完善营养诊疗路径,为持续改进医疗质量提供实践依据。

关键词：营养诊疗规范化管理实验室运行营养评估诊疗技术改进实验室管理

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