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Family Medicine and Community Health 2017年第3期5卷 188-192页

作者： Diane J.Madlon-Kay emily R.smith University of Minnesota Medical Center Family Medicine Residency Program 2020 E.28th StreetMinneapolisMN 55407USA North Memorial Family Medicine Residency Program 1020 W Broadway AveMinneapolisMN 55411USA

Objective:The purpose of this study is to improve vaccination rates at a clinic with a large Somali population,and many vaccine hesitant *** study evaluated the effectiveness of some new materials for vaccine hesitant ***:Educational sessions were given to providers and staff to give“talking points”and to introduce a vaccine refusal *** reviews were done for notes from 50 random well child visits per month of children less than six years old for 7 months before and after the ***:Before the intervention,44% of Somali children who needed shots did not get them at their well child ***,34% of the Somali children did not get their needed *** non-Somali children,16.8% did not get needed shots before the intervention,and 12.7% did not get needed shots after the intervention(P=0.07).The MMR was the most frequent vaccine *** the intervention,29 parents signed the vaccine refusal ***:The“talking points”and vaccine refusal form were associated with improve-ments in immunization rates in this challenging patient population that were not statistically *** form use was not well documented,so its true value requires further study.

关键词： Vaccination immunization MMR Somali

Prevalence and outcomes of pediatric surgical conditions at Connaught Hospital in Freetown:a retrospective study

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World Journal of Pediatric Surgery 2023年第1期6卷 1-7页

作者： Henang Kwasau Juliana Kamanda Aiah Lebbie Cesia Cotache-Condor Pamela Espinoza Andie Grimm Naomi Wright emily smith Department of Community Health College of Medicine and Allied Health SciencesUniversity of Sierra LeoneFreetownSierra Leone Department of Surgery Duke School of MedicineDuke UniversityDurhamNorth CarolinaUSA Duke Global Health Institute Duke UniversityDurhamNorth CarolinaUSA Duke Center for Global Surgery and Health Equity Duke UniversityDurhamNorth CarolinaUSA Department of Public Health Baylor UniversityWacoTexasUSA King’s Centre for Global Health and Health Partnerships King's College LondonLondonUK Department of Emergency Medicine Duke School of MedicineDuke UniversityDurhamNorth CarolinaUSA

Background Sub-Saharan Africa experiences a disproportionate amount of pediatric surgical disease,with 80%of children lacking access to timely,affordable,and safe surgical *** study aims to characterize the burden of disease and outcomes of pediatric surgical conditions at Connaught Hospital,the main pediatric referral hospital in Sierra *** This retrospective and hospital-based study included children up to 15 years old who were operated on between 2015 and June 2016 at Connaught Hospital in Freetown,Sierra *** and inferential statistics were used to characterize the distribution of disease and compare all variables against age category and *** A total of 215 patients were included in this study of which 72.5%(n=132)were male and 27.5%(n=50)were *** of the patients were diagnosed with congenital anomalies(60.9%;n=131).However,infection was the leading diagnosis(60.5%;n=23)among patients aged 5–10 years(n=38).Inguinal hernia was the leading condition(65.0%;n=85)among patients presenting with a congenital *** condition with the highest mortality was infections(17.0%;n=8),followed by other conditions(9.1%;n=2)and congenital anomalies(3.1%;n=4).Based on the results of this study,over 7000 children with inguinal hernias remain untreated annually in Freetown,Sierra *** This study quantifies the burden of surgical disease among children,a foundational step toward the prioritization of pediatric surgical care in national health agendas,the development of evidence-based interventions,and the strategic allocation of resources in Sierra Leone.

关键词： surgical pediatric mortality

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CRY BABY BLUES

英语学习 1995年第2期 69-73页

作者： emily smith 晏小萍

未成年母亲或背着书包的少年妈妈,在当今西方世界已经成为一个屡见不鲜而又令人揪心的社会现象。怎样才能制止这种现象的蔓延?有人求助于道德教化,有人托法于避孕套,也有人突发奇想,独辟蹊径。本文介绍的会哭叫的机器娃娃,就是美国航天... 详细信息

未成年母亲或背着书包的少年妈妈,在当今西方世界已经成为一个屡见不鲜而又令人揪心的社会现象。怎样才能制止这种现象的蔓延?有人求助于道德教化,有人托法于避孕套,也有人突发奇想,独辟蹊径。本文介绍的会哭叫的机器娃娃,就是美国航天工程师 Rick Jurmain 的一大创造。

关键词： CRY BABY BLUES

Acute chylous ascites mimicking acute appendicitis in a patient with pancreatitis

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World Journal of Gastroenterology 2009年第38期15卷 4849-4852页

作者： emily K smith Edmund Ek Daniel Croagh Lavinia A Spain Stephen Farrell Department of Surgery St Vincent's Hospital Melbournec/o St Vincent's Hospital Melbourne Department of Surgery St Vincent's Hospital Melbourne Department of Colorectal Surgery St Vincent's Hospital Melbourne

We report a case of acute chylous peritonitis mimicking acute appendicitis in a man with acute on chronic pancreatitis. Pancreatitis, both acute and chronic, causing the development of acute chylous ascites and peritonitis has rarely been reported in the English literature. This is the fourth published case of acute chylous ascites mimicking acute appendicitis in the literature.

关键词： Chylous ascites Pancreatitis

Mathematical Modelling of the COVID-19 Epidemic in Northern Ireland in 2020

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Open Journal of Modelling and Simulation 2021年第2期9卷 91-110页

作者： Peter A. Hall Gabor Kiss Tilman Kuhn Salissou Moutari Ellen Patterson emily smith Mathematical Science Research Centre School of Mathematics & Physics Queen’s University Belfast Belfast Northern Ireland United Kingdom School of Biological Sciences Queen’s University Belfast Belfast Northern Ireland United Kingdom Heidelberg Institute of Global Health (HIGH) Heidelberg University Hospital Heidelberg Germany

In this study, we investigate the dynamics of the COVID-19 epidemic in Northern Ireland from 1st March 2020 up to 25th December 2020, using several copies of a Susceptible-Exposed-Infectious-Recovered (SEIR) compartmental model, and compare it to a detailed publicly available dataset. We split the data into 10 time intervals and fit the models on the consecutive intervals to the cumulative number of confirmed positive cases on each interval. Using the fitted parameter estimates, we also provide estimates of the reproduction number. We also discuss the limitations and possible extensions of the employed model.

关键词： Pandemic Epidemic SARS-CoV-2 COVID-19 Compartmental Model SEIR Model Basic Reproduction Number Effective Reproduction Number Parameter Estimates Fitted Model

Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland

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World Journal of Pediatric Surgery 2023年第1期6卷 17-23页

作者： Shukri Dahir Cesia Cotache-Condor Andie Grimm Mubarak Mohamed Henry Rice smith Edna Adan Ismail Edna Adan University Hospital HargeisaSomaliland Department of Public Health Baylor UniversityWacoTXUSA Duke Global Health Institute Duke UniversityDurhamNCUSA Department of Surgery Duke School of MedicineDurhamNorth CarolinaUSA

Background Childhood neurosurgical conditions such as hydrocephalus and spina bifida represent a significant burden of death and disability worldwide,particularly in low and middle-income ***,there are limited data on the disease prevalence and delays in care for pediatric neurosurgical conditions in very low-resource *** study aims to characterize the delays in access to care for pediatric neurosurgical conditions in *** We performed a retrospective review of all children with congenital hydrocephalus and spina bifida admitted to the Edna University Hospital(EAUH)in Somaliland between 2011 and *** demographics were analyzed with descriptive statistics and χ^(2) test *** defined delays in care for each condition based on standard care in high-income *** and multivariate logistic regression were performed to evaluate predictors of delay in *** significance was set at p<*** A total of 344 children were admitted to EAUH with neurosurgical conditions from 2011 to *** most common condition was congenital hydrocephalus(62%).Delays in care were found for 90%of patients and were associated with the type of diagnosis and *** longest delay among children with spina bifida was 60 months,while the longest delay for children with congenital hydrocephalus was 36 *** with congenital hydrocephalus or spina bifida traveling from foreign countries had the highest waiting time to receive care,with a median delay of 8 months(IQR:5–11 months)and 4 months(IQR:3–7 months),*** We found significant delays in care for children with neurosurgical conditions in *** country has an urgent need to scale up its surgical infrastructure,workforce,and referral pathways to address the needs of children with hydrocephalus and spina bifida.

关键词： delay tertiary traveling

Estimating the Level of Asymptomatic COVID-19 Infections in Northern Ireland in 2020

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Open Journal of Modelling and Simulation 2022年第2期10卷 190-218页

作者： Peter A. Hall Gabor Kiss Tilman Kuhn Salissou Moutari Ellen Patterson emily smith Mathematical Sciences Research Centre School of Mathematics & Physics Queen’s University Belfast Belfast UK School of Biological Sciences Queen’s University Belfast Belfast UK Heidelberg Institute of Global Health (HIGH) Heidelberg University Hospital Heidelberg Germany

The identification and understanding of COVID-19 potential routes of transmission are fundamental to informing policies and strategies to successfully control the outbreak. Various studies highlighted asymptomatic infections as one of the silent drivers of the epidemic. An accurate estimation of the asymptomatic cases and the understanding of their contribution to the spread of the disease could enhance the effectiveness of current control strategies, mainly based on the symptom onset, to curb transmission. We investigate the dynamics of the COVID-19 epidemic in Northern Ireland during the period 1st March 25th to December 2020 to estimate the proportion of the asymptomatic infections in the country. We extended our previous model to include the stage of the asymptomatic infection, and we implement the corresponding deterministic model using a publicly available dataset. We partition the data into 11 sets over the period of study and fit the model parameters on the consecutive intervals using the cumulative number of confirmed positive cases for each interval. Moreover, we assess numerically the impacts of uncertainty in testing and we provide estimates of the reproduction numbers using the fitted parameters. We found that the proportion of asymptomatically infectious subpopulations, in Northern Ireland during the period of study, ranged between 5% and 25% of exposed individuals. Also, the estimate of the basic reproduction number, R0, is 3.3089. The lower and upper estimates for herd immunity are (0.6181, 0.7243) suggesting that around 70% of the population of Northern Ireland should acquire immunity via infection or vaccination, which is in line with estimates reported in other studies.

关键词： Pandemic Epidemic SARS-CoV-2 COVID-19 Compartmental Model SEIAR Model Basic Reproduction Number Effective Reproduction Number Parameter Estimates Fitted Model Testing Uncertainty Asymptomatic Infection Northern Ireland

拉丁美洲海上油气勘探形势——拉丁美洲海上油气资源丰富，勘探领域广阔，许多地区油气勘探程度仍然很低

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世界石油工业 2017年第5期24卷 26-31页

作者： emily smith Llinas 美国石油地质学家协会

近10年来，拉丁美洲深水油气勘探新增储量770亿bbl油当量，新油气田的平均储量规模5．5亿bbl油当量，大部分重大油气发现来自巴西坎波斯和桑托斯盆地盐下地层；浅海地区新增储量68亿bbl油当量，新油气田的平均储量规模0．85亿bbl油当量... 详细信息

近10年来，拉丁美洲深水油气勘探新增储量770亿bbl油当量，新油气田的平均储量规模5．5亿bbl油当量，大部分重大油气发现来自巴西坎波斯和桑托斯盆地盐下地层；浅海地区新增储量68亿bbl油当量，新油气田的平均储量规模0．85亿bbl油当量，最重要的油气发现是委内瑞拉湾的Perla油气田。2013年以前巴西深海盐下地层不断钻获特大油气发现；2014年油价暴跌使得巴西乃至整个拉美地区油气勘探活动减少，油气发现也屈指可数；然而2015年以来埃克森美孚接连在圭亚那盆地深水地区获得重要勘探发现，反映了大西洋沿岸盆地油气勘探程度仍然较低，未来还有较大的勘探潜力。除了巴西和圭亚那，未来值得重点关注的还有哥伦比亚和墨西哥的加勒比海盆地深水区。

关键词：拉丁美洲海上油气勘探活动新增储量油气发现

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感谢信：遗失的艺术

英语学习 2017年第9期 30-34页

作者： emily Esfahani smith

感谢是生活中最寻常的情感抒发，一句朴实而诚挚的谢意并非不可或缺，却是连接人与人之间珍贵情感的纽带。在当代社会，一句“谢谢”并不稀奇，但用一封感谢信来承载绵长悠远的谢意却难能可贵。

关键词：感谢信艺术遗失情感抒发谢意生活社会

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生命的意义比幸福更重要

红豆 2015年第7期 106-109页

作者： emily Esfahani smith 年糕神

1942年9月,著名犹太精神病学和神经学专家维克多·弗兰克连同他的妻子和父母一起,被纳粹逮捕并押送至集中营。3年后,当他从集中营中被解救出来时,他有孕在身的妻子和其他大部分家人都早已不在人世,但他作为119104号囚犯活了下来。1946年... 详细信息

1942年9月,著名犹太精神病学和神经学专家维克多·弗兰克连同他的妻子和父母一起,被纳粹逮捕并押送至集中营。3年后,当他从集中营中被解救出来时,他有孕在身的妻子和其他大部分家人都早已不在人世,但他作为119104号囚犯活了下来。1946年,他用了9天时间写下了他在集中营中的经历并出版。在这本名为《生命的意义》的畅销书中,他总结了生与死之间的差异:那就是

关键词：弗兰克