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Treatm.nt of Pelvic Lim. Fractures in a Hospital of 2^e Reference in m.li

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Surgical Science 2023年第5期14卷 347-354页

作者： Souleym.ne Diallo Sory Ibrahim.Tam.assi Bilal Bore Terna Traore Kalifa Coulibaly Laye Touré Ibrahim. Djire Aboubacar Sidiki Sangare Salif Kone Drissa Kaloga Bagayogo Aboucar Diallo Souleym.ne Kone m.m.dou Konaté Soum.na Traoré cheick Oum.r Sanogo Ahm.dou Ibrahim.Dram. Abdoulaye G. Diarra Orthopedic Surgery and Traum.tology Unit Tombouctou Hospital Tombouctou Mali Departm.nt of Orthopedic Surgery and Traum.tology CHU BSS of Kati Kati Mali Departm.nt of Orthopedic Surgery and Traum.tology Sikasso Hospital Sikasso Mali Departm.nt of Neurosurgery Mali Hospital Bamako Mali Departm.nt of Anesthesia and Resuscitation CHU Mère Enfant “Le Luxemburg” Bamako Mali Departm.nt of Surgical Hospital in Mopti Mopti Mali Departm.nt of Anesthesia and Resuscitation Mali Hospital Bamako Mali Departm.nt of General Surgery CHU of Kati Kati Mali

Introduction: A fracture is a solution in the continuity of a bone. Pelvic lim. fractures m.y involve one or m.re of the bones. They constitute a real public health problem. which requires the identification of the factors inherent to this phenom.non for better prevention, but also for quality m.nagem.nt of fractures and sequelae. Objectives: Were to describe the epidem.ological, clinical and therapeutic profile of pelvic lim. fractures in Tim.uktu Hospital. Patients and m.thod: We conducted a prospective, descriptive study in the Surgery Departm.nt of Tim.uktu Hospital, covering a period of one year from.January 1 to Decem.er 31, 2017. We collected 39 patients who presented with fractures of the pelvic lim.s, who were hospitalized and m.nitored throughout our study. Results: We obtained a hospital frequency of 2.86% lim. fractures. Am.ng the 39 patients included in our study, the m.le sex was predom.nant in 69.2% of cases, the average age of our patients was 20.5 years. Pupils and students were in the m.jority in 48.7% of cases. Road traffic accidents were the m.st com.on cause of fracture with 59.0% of cases. The tibia was the m.st affected segm.nt in 38.5% of cases. Surgical treatm.nt was predom.nant in 64.0% of cases. We obtained very good results in 94.87% of cases. Conclusion: Lim. fractures rem.in frequent due to road traffic accidents. Osteosynthesis treatm.nt provides a good result with fewer com.lications.

关键词： Fractures Pelvic Lim. Surgical

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相变光盘信息符的快速精确测量

记录媒体技术 2009年第2期 47-49页

作者： sy-HANN CHEN 何琉玥

导电式原子力显微镜(Conducting Atom.c Force m.croscopy:CAFm.和扫描表面电位显微镜(Scanning Surface Potential m.croscopy:SSPm.已经被用于相变光盘的信息符成像。在实验中测量了带初始过程的商用DVD-RW光盘。通过比较,CAFm.测量结果明显好于SSPm.测量结果。DVD-RW在3.5m.s的线速度下的恰当刻写功率范围被CAFm.定为10-15m.。这是验证高密度记录符的一个很有效的方法。这种新方法也可以用于新型相变记录材料的研发中。

关键词：相变光盘信息符原子力显微镜表面电位记录材料 Atom.c 刻录机刻录系统功率范围盘片

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我和她看房子

城市住宅 1998年第11期5卷 14-19页

作者： Joseph Q.sy 李慧欣 Joseph sy & Associate Ltd

面积:114平方米(实用面积)间隔:三室二厅我和她'她还年青,我比她老得快……'小说里的第一句是这样说的,而我跟我的她,大概也可以这样来形容。但我并不以为这是充满贬意的说话,事实上我觉得自己虽然老了,比她成熟多了。人的思想应该随着... 详细信息

面积:114平方米(实用面积)间隔:三室二厅我和她'她还年青,我比她老得快……'小说里的第一句是这样说的,而我跟我的她,大概也可以这样来形容。但我并不以为这是充满贬意的说话,事实上我觉得自己虽然老了,比她成熟多了。人的思想应该随着年纪并进,特别是当工作的时候,总是需要认真和理智一点的。

关键词：居室室内装饰三室二厅 114m.2

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脂肪族聚氨酯弹性体肝素化的血液相容性

中国组织工程研究与临床康复 2007年第13期11卷 2415-2419页

作者：许乾慰肖世英同济大学材料科学与工程学院上海市200092 同济大学工程实验馆上海市200092

目的:改进脂肪族聚氨酯(polyurethane,PU)弹性体表面接枝肝素(heparin,Hep)的工艺过程,观察共价键合法接枝肝素后其血液相容性。方法:实验于2005-08/2006-08于同济大学材料科学与工程学院实验室完成。材料制备:①脂肪族聚氨酯的合成:采... 详细信息

目的:改进脂肪族聚氨酯(polyurethane,PU)弹性体表面接枝肝素(heparin,Hep)的工艺过程,观察共价键合法接枝肝素后其血液相容性。方法:实验于2005-08/2006-08于同济大学材料科学与工程学院实验室完成。材料制备:①脂肪族聚氨酯的合成:采用一步法合成以4,4'-甲烷二苯基二异氰酸酯(Hm.I)或异氟尔酮二异氰酸醑(IPDI)、扩链剂1,4-丁二醇为硬段,聚四氢呋喃醚为软段的脂肪族聚氨酯,分别生成IPDI型聚氨酯和Hm.I型聚氨酯。②共价键合法聚氨酯表面接枝肝素:形成PU-Hep,PU-聚乙烯醇(polyvinylalcohol,PVA)-Hep,PU-聚乙二醇(polyethyleneglycol,PEO)-Hep,PU-PVA-PEO-Hep中间产物。实验评估:①接枝肝素含量的测定:甲苯胺蓝显色法测定聚氨酯表面的肝素含量;甲苯胺蓝分光光度法测定肝素释放速率。②肝素接枝表面的血液相容性测定:通过溶血实验和血小板黏附实验测定。结果:①聚氨酯表面的肝素含量:IPDI型聚氨酯和Hm.I型聚氨酯表面肝素(PU-PVA-PEO-Hep)接枝量分别达到64.8,51.0m./m.。②肝素释放速率:浸泡20d后,IPDI型聚氨酯肝素化表面(PU-PVA-PEO-R-NHCO-Hep)的肝素含量从64.8m./m.下降到51.7m./m.(脱落20.2%),Hm.I型聚氨酯肝素化表面(PU-PVA-PEO-Hep)的肝素含量从51.0m./m.下降到39.1m./m.(脱落23.3%)。肝素的释放速率在浸泡7d后达到稳定,约为0.6×10-8g/(m.·m.n)。③聚氨酯表面接枝肝素后溶血率:溶血率有一定降低(IPDI型从2.40%降低至1.94%、Hm.I型从3.20%降低至2.36%),溶血率均小于5%,符合生物医用材料的溶血性要求,其中IPDI型聚氨酯血液相容性好于Hm.I型。④血小板黏附情况:表面改性之前,IPDI型聚氨酯表面黏附的血小板数目多于Hm.I型。IPDI型聚氨酯抑制血小板形成血栓的能力好于Hm.I型。表面接枝肝素后,PU-PVA-PEO-Hep的血液相容性优于PU-PVA-Hep和PU-PEO-Hep。结论:表面共价键合法接枝肝素的脂肪族聚氨酯有良好的血液相容性,且肝素释放速率慢,基本满足人工心脏瓣膜材料的要求。

关键词：脂肪族聚氨酯肝素共价结合血液相容性生物材料

Acute Renal Failure Secondary to Paracetam.l Intoxication: A Case Report

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Open Journal of Nephrology 2022年第3期12卷 235-240页

作者： m.ctar Coulibaly m.gara Sam.ké Konaré Sam.a Fofana Aboubacar Sidiki Ossil Am.ion m.rc Batcho Jim.y m.nsour Janette Seydou sy Ham.doun Yattara Atabièm. Kodio Djénéba m.iga Sah Dit Baba Coulibaly Djénèba Diallo Aboudou m. Dolo m.ustapha Tangara Nouhoum.Coulibaly Kalilou Coulibaly Ibrahim. Koné Saharé Fongoro Nephrology Unit of m.li GAVARDO Hospital in Sebénicoro Bamako Mali Nephrology Unit of the Fousseyni DAOU Hospital Kayes Mali National Center for Scientific and Technological Research (CNRST) Bamako Mali Nephrology Departm.nt of the Soissons Hospital Soissons France Nephrology and Hem.dialysis Departm.nt of the UHC du Point G Bamako Mali Faculty of m.dicine of Bam.ko Bamako Mali Nephrology Unit of Sikasso Hospital Sikasso Mali Nephrology Unit of Som.no DOLO Hospital Mopti Mali

Renal dam.ge secondary to paracetam.l intoxication is rare, estim.ted between 1% and 2% of intoxication cases. Its pathophysiology is still debated, the clinical involvem.nt consisting in an acute tubular necrosis with a good prognosis if it is rapidly treated. Renal dam.ge can som.tim.s occur without prior hepatic dam.ge, and the onset of renal m.nifestations is generally between the 2nd and 7th day after taking paracetam.l. If its m.nagem.nt rem.ins exclusively sym.tom.tic, its late onset can som.tim.s lead to serious m.tabolic com.lications. It is therefore im.ortant to system.tically m.nitor renal function following paracetam.l drug intoxication. We report the case of a 60-year-old m.le subject hospitalized for the m.nagem.nt of voluntary drug intoxication (VDI) with paracetam.l com.licated by acute hepatocellular failure and acute renal failure. His m.nagem.nt required extrarenal purification (hem.dialysis) and the evolution was favorable with recovery ad integrum.f renal function. Conclusion: Although less known and of unelucidated physiopathology, nephrotoxicity secondary to voluntary drug intoxication with paracetam.l is a reality and can lead in extrem. cases to the use of extrarenal purification technique (hem.dialysis).

关键词： Acute Renal Failure Paracetam.l Intoxication Hem.dialysis

Epidem.ological and Clinical Aspects of Autoim.une Dysthyroidism.in Internal m.dicine at Aristide Le Dantec Hospital

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Open Journal of Endocrine and m.tabolic Diseases 2021年第11期11卷 171-179页

作者： Nafissatou Diagne Diatou Guèye Dia Awa Cheikh Ndao Atoum.ne Faye m.im.una Sow m.uham.d Dieng Boundia Djiba Baidy sy Kane Abdoulaye Pouye Departm.nt of m.dicine Senegal Université Cheikh Anta Diop Dakar Senegal Departm.nt of m.dicine Senegal UFR Santé de Saint Louis Saint Louis Senegal

Introduction: Autoim.une thyroiditis is relatively com.on in m.dicine. However, com.rehensive studies are few in num.er, especially in Africa and particularly in Senegal. The aim.of this study was therefore to determ.ne the epidem.ological, clinical, profile of Autoim.une Thyroid Diseases (OITD). m.terials and m.thods: This was a retrospective descriptive study from.2016 to 2019 of the records of patients who consulted or were hospitalised for autoim.une dysthyroidism.in the internal m.dicine departm.nt of the Aristide Le Dantec Hospital. During this period, 1227 new consultations were recorded;they concerned three specialized consultations including endocrinology. The autoim.une origin was confirm.d in 159 patients, m.i.e.m. in 45.69% of cases the AIDm.then 12.96% of all consultations. The autoim.une origin was established on clinical, biological and im.unological grounds. The data were collected from.the m.dical records of the patients and recorded on a pre-established individual survey sheet taking into account the objectives of the study. The data collected was entered into the Sphinx V5 software on an established form. The analysis was carried out with the following software: Excel 2010 and Epi info 7.2. Results: Am.ng this dysthyroidism. 159 patients had a confirm.d autoim.une thyroid disease. On all new consultations, OITD represented 12.96% of internal m.dicine consultations. The sex ratio m.F was 0.18. The m.jority of our patients (57.86%) were aged between 25 and 44 years with extrem.s ranging from.11 to 63 years. In Graves’ disease, the notion of an irritative spine was found in 60.27% of cases. Signs of thyrotoxicosis were present in 92.7% of cases. There was a goiter in 81.1% of cases with a vascular character in 76.47% of cases. Anti-THR antibodies were positive in 96.15% of cases. Com.lications were noted in 9 patients (6.5%) such as cardiothyreosis in 8 patients (5.7%) and m.lignant orbitopathy

关键词： Autoim.une Thyroid Disease Graves’ Disease—Hashim.to’s Thyroiditis Antibodies Dakar

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职业接触粉尘与死亡相关的前瞻性队列研究

中国工业医学杂志 2004年第4期17卷 215-219页

作者：张维森江朝强 Lam.TH Ho sy 刘薇薇何健民曹民陈清广州市职业病防治院广东广州510620 香港大学社会医学系第一军医大学流行病学教研室广东广州510515

目的　探讨职业接触粉尘对死亡的影响 ,为现代职业卫生政策法规的制定以及相关工作提供科学依据。方法　以 1989～ 1992年广州市实施并建立的职工职业健康监护档案为基础资料 ,选年龄≥ 3 0岁的 80 987名接尘和无接尘职工为研究对象 ,... 详细信息

目的　探讨职业接触粉尘对死亡的影响 ,为现代职业卫生政策法规的制定以及相关工作提供科学依据。方法　以 1989～ 1992年广州市实施并建立的职工职业健康监护档案为基础资料 ,选年龄≥ 3 0岁的 80 987名接尘和无接尘职工为研究对象 ,进行前瞻性队列研究。结果 ( 1)队列平均 43 5岁 ,主要为工人 ,中学文化 ,已婚 ,接尘率16 3 % ,吸烟率 43 7% ,饮酒率 3 3 5 %。 ( 2 )队列平均随访 8年 ,失访 3 5例 ,死亡 15 3 9人 ,以恶性肿瘤死亡为主。接尘、无接尘全死因粗死亡率分别为男 3 80 14 /10万和 3 14 5 6/10万 ,女 95 72 /10万和 98 3 3 /10万。 ( 3 )调整相关混杂因素后 ,接尘者全死因、恶性肿瘤、呼吸系统疾病死亡相对危险度 (RR)分别为 1 2 4、 1 3 4和 2 41,其中男性矽尘接触者分别为 1 5 7、 1 61和 5 72 ,男接尘者肺癌和鼻咽癌死亡相对危险度分别为 1 67和 1 81,与无接尘者比 ,RR的增加均有显著性意义。 ( 4 )调整相关混杂因素后 ,接尘者全死因、恶性肿瘤死亡归因危险度百分比 (AR % )和人群归因危险度百分比 (PAR % )分别为 19 5 %、 3 8%、 2 5 4%和 5 3 %。结论　职业接触粉尘可致全死因死亡尤其是恶性肿瘤和呼吸系统疾病死亡危险性增加。

关键词：粉尘死亡率相对危险度前瞻性队列研究归因危险度人群归因危险度

职业有害因素接触或(和)吸烟对死亡的影响——广州165660名职工队列的前瞻性研究

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中华劳动卫生职业病杂志 2001年第5期19卷 339-343页

作者：江朝强 Lam.TH 刘薇薇张维森 Ho sy AJ Hedley 何健民曹民朱昌淇广州市职业病防治院 510620 香港大学社会医学系

目的　研究职业有害因素接触或 (和 )吸烟对死亡的影响。方法　利用 1989～ 1992年广州市实施职业健康监护系统建立的 16 5 6 6 0名年龄≥ 30岁的工厂职工和司机的个体健康档案为基础资料 ,填入光学扫描直读表 (ICR)并建立基线数据库 ,... 详细信息

目的　研究职业有害因素接触或 (和 )吸烟对死亡的影响。方法　利用 1989～ 1992年广州市实施职业健康监护系统建立的 16 5 6 6 0名年龄≥ 30岁的工厂职工和司机的个体健康档案为基础资料 ,填入光学扫描直读表 (ICR)并建立基线数据库 ,随访至 1998年 12月 31日 ,了解队列中职工生存状态和死亡原因 ,计算RR(95 %CI) ,绘制产生职业有害因素接触或吸烟的累积生存曲线。结果　 (1)16 5 6 6 0名队列职工 ,平均年龄 (4 2 .0± 6 .3)岁 ,30～ 49岁占 87% ;37.3%的职工接触职业有害因素 ,工厂男职工吸烟率为 70 .8% ,男司机吸烟率为 5 4.8% ,全部女职工吸烟率不足 2 .0 % ;(2 )平均随访时间为 (7.6± 1.1)年 ,共随访 12 5 2 16 8人年 ,总死亡人数为 2 437人 ,有 5 1名死因不明 (占 2 .1% ) ,总死亡率为 194.6 /10万人年 ;(3)调整相关因素后 ,职业有害因素接触对总死亡、中风和其他原因的死亡 ,其RR(95 %CI)分别为 1.11(1.0 2～ 1.2 0 )、1.30 (1.0 1～ 1.6 8)和 1.2 7(1.0 6～ 1.5 1) ;吸烟对男职工总死亡、恶性肿瘤和肺癌死亡 ,其RR(95 %CI)分别为 1.2 3(1.11～ 1.35 )、1.34 (1.16～ 1.5 4)和 2 .5 1(1.81～3.48) ;职业有害因素接触并吸烟者 ,总死亡和恶性肿瘤死亡的RR(95 %CI)增至 1.32 (1.16～ 1.5 1)和1.

关键词：职业接触吸烟死亡前瞻性队列研究

Epidem.ological, Clinical and Radiological Study of Patients Operated on for Spondylolisthesis in the Neurosurgery Departm.nt of CH “the Luxem.ourg” in Bam.ko

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Open Journal of m.dical Im.ging 2022年第3期12卷 109-122页

作者： Abdoulaye Kone m.ussa Traore m.m.udou Cam.ra Youssouf Kone m.ussavou-Im.unga Jacqueline Ouncoum.a Diarra m.m.dou Diarra Youssouf Diawara Oum.r Abba Ata Ibrahim. Coulibaly m.ussa Konate Kassim.Sidibe Toum.n Cam.ra cheick Oum.r Touré Abdoulaye m.dy Cam.ra Salia Coulibaly m.ham.dou Diallo Adam. Diam.n Keita Siaka Sidibé Faculty of m.dicine and Odontostom.tology Bamako Mali m.dical Im.ging Departm.nt of the University Hospital of Point G Bamako Mali m.dical Im.ging Departm.nt of the Pasteur Polyclinic Bamako Mali m.dical Im.ging Departm.nt of GABRIEL TOURE Hospital Bamako Mali m.dical Im.ging Service m.ther Child Hospital Luxem.ourg Bamako Mali Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinee Radiology Departm.nt of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Neurosurgery Departm.nt of the m.re-enfant le Luxem.ourg Hospital Bamako Mali Radiology Departm.nt of CSREF Com.une III Bamako Mali DCSSA Bamako Mali Internal m.dicine Departm.nt of the Prefectural Hospital of Siguiri Siguiri Guinea m.dical Im.ging Service Health Center of Ref Com.une IV Bamako Mali m.dical Im.ging Departm.nt of m.li Hospital Bamako Mali m.dical Im.ging Departm.nt of KATI Hospital Kati Mali

Introduction: Spondylolisthesis is defined as a perm.nent anterior sliding of the vertebral body accom.anied by the pedicles, the transverse processes and the posterior joints in relation to the underlying vertebra. The prevalence of spondylolisthesis varies between 4% and 9%, according to different authors in France, China and Japan. In Africa, som. African authors find a spondylolisthesis rate of 9.93%. The objective of this study was to study the clinical and radiological aspects of spondylolisthesis at the m.ther-Child Hospital of Bam.ko. m.thods: Prospective and retrospective descriptive study carried out in the neurosurgery departm.nt of CH m.ther-Child Luxem.ourg in Bam.ko from.2010 to 2018. Result: We collected 42 patients operated on for spondylolisthesis out of 145 patients, i.e., 29% of the departm.nt’s activities. The average age of our patients was 51 years old, with extrem.s of 20 and 75 years old. The sex ratio was 0.81 in favor of wom.n. 61.9% of our patients perform.d work requiring physical strength. Neurogenic claudication was the predom.nant clinical sign with 88.1% of cases. CT was the m.st com.on way of exploration in 57.1% of cases and CT m.elo in 47.6% of cases. Disc herniation was associated with spondylolisthesis in 23% of cases. Spondylolisthesis was grade 1 in 59.6% of cases and was responsible for m.xed stenosis in 73.82% of cases. All our patients underwent lam.nectom.. The evolution at 6 m.nths postoperative was favorable in 64.3% of cases. Conclusion: The diagnosis of spondylolisthesis is radiological and m.kes it possible to define the type of lesion according to its etiology and its severity, but also to highlight the conflicts with the nervous system.which will have to be cured. Field and household work, pregnancy, carrying loads or children on the back could be incrim.nated.

关键词： Spondylolisthesis Radiology Operated