检索结果-南通市图书馆

Innovations in the Implementation of Polio Surveillance Enhancement Plan in Oyo State, Nigeria: Key Benefits, Lessons Learned, Challenges and Opportunities

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2022年第4期14卷 442-455页

作者： Enya Bassey Bassey Walter Kazadi Mulomb Ahmed Mohamed Ahmed Khedr Rosemary Ifeoma Onyibe Olufunmilola Olawumi Kolude Oluwadare marcus Oluwabukola Alawale Oluwatobi Adeoluwa Iyanda Omotunde Ogunlaja Taiwo Olabode Ladipo Maxwell Obeka Adeniyi Ayobami Adeniran Oluyinka Motunrayo Dania Olabumuyi Olubumi Olayide Oluwaseun Opeyemi Oni Moshood Babatunde Busari faith Ehiaghe Ugba Ayobami Desmond Olatimehin Gbenga Stanley Olayinka Abayomi Oluwasegun Ayinde Chinwe Grace Azuka Olufemi Toheeb Okuneye Ahmed Bello World Health Organization (WHO) Nigeria Country Office Abuja Nigeria Oyo State Emergency Operation Center Ministry of Health Ibadan Nigeria

Background: Nigeria attained the milestone of being certified wild poliovirus free in the year 2020. However, a drop in the key performance indicators of polio surveillance system was across various Local Government Areas (LGAs) in Oyo State. This drop highlighted the need for an innovative way of enhancing polio surveillance in Oyo State. Methods: This study was conducted in four phases and each phase utilized a cross-sectional study design and purposive sampling technique to select eligible LGAs and participants. LGAs that met at least two of the set-out criteria (had not reported at least a case of Acute flaccid Paralysis (AfP) 12 months preceding the survey, with decline in AfP case detection rate, had not met AfP key indicators, are densely populated, and has an international border) were selected. A concurrent mixed method of data collection was utilized, and quantitative data were collected with a semi-structured questionnaire administered using Computer Assisted Personal Interviews (CAPI) during community active case search, health facility retroactive case search (HfRACS). Qualitative data collection was done through focus Group Discussion (fGD). Surveillance intensification activities were conducted over eight weeks period. Data were analyzed using Microsoft Excel Software;summarization was done using frequencies and percentages while presentation was done using charts and spot maps. Results: A total of 1277, 49, 259 and 632 settlements, households and health facilities respectively were visited across 24 (73%) LGAs in Oyo State. Of the 150 suspected AfP cases identified, 45 (30%) were rejected cases, 33 (22%) were missed cases and 72 (48%) were true AfP cases. Non-Polio AfP Rate (NP-AfP rate) increased from 2.7 to 6.9 (P Conclusions: Innovative strategies implemented in AfP surveillance across Oyo State have resulted in improvement in AfP surveillance performance indicators in the State. There is therefore the need for dynamic and innovative ways of condu

关键词： Polio-Surveillance-Indicators Enhancement-Plan Innovations AfP-Case-Search

Opportunistic Infections in Late Kidney Transplantation with Death Outcome: Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Nephrology 2021年第2期11卷 171-182页

作者： Miriam Viviane Baron Carina Marangoni Michele Paula dos Santos Célia Regina Martins Korzenieski Vitória Pereira Itaquy Tais Michele Werle Gabriela Di Lorenzo Garcia Scherer Joice Nedel Ott marcus Vinicius de Mello Pinto Janine Koepp Carolina Gonçalves Pinheiro Nathália Ken Pereira Iketani Cristine Brandenburg Aline Ronis Sampaio Alexandre Sancho Danielle de Mello florentino Bartira Ercília Pinheiro da Costa Postgraduate Program in Medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil Coordination for the Improvement of Higher Education Personnel Brazilia Brazil School of Medicine of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil Schoolof Health and Life Sciences of the Pontifical Catholic University of Rio Grande do Sul (PUC/RS) Porto Alegre Brazil CelulareInstitute Rio de Janeiro Brazil University of Santa Cruz do Sul (UNISC) Santa Cruz do Sul Brazil Postgraduate Program in Health Sciences of the faculty of Medicine of ABC (fMABC) S&atilde o Paulo Brazil Hospital Beneficiente Portuguesa of Belém Pará Brazil Dom José Institute of Education and Culture/University of Vale do Acaraú (IDJ/UVA) Ceará Brazil Unigranrio University Rio de Janeiro Brazil Uniredentor University Rio de Janeiro Brazil

Cytomegalovirus (CMV) and Pneumocystis jirovecii fungus are the main opportunistic microorganisms that affect transplanted individuals. Immunosuppressive drugs administered to prevent organ rejection leave the immune system vulnerable to these infections. The present report is about a kidney transplanted patient using immunosuppressants who was diagnosed with cytomegalovirus and pneumocystosis requiring admission to the intensive care unit (ICU). female patient, 57 years old, a kidney transplanted three years ago, with comorbidities, such as systemic arterial hypertension, hypertriglyceridemia and type 2 diabetes mellitus. She was admitted to the hospital in January 2020 with a history of diarrhea, cough, malaise and weight loss of seven kg in a month. She made continuous use of the immunosuppressants tacrolimus® and mycophenolate sodium (MfS). After five days of hospitalization, she was transferred to the ICU due to refractory diarrhea, worsening renal function and respiratory pattern, requiring mechanical ventilation. Chest tomography showed changes that led to the diagnostic hypothesis of CMV pneumonia or Pneumocystis jirovecii. Treatment with Ganciclovir® and Bactrim® was started. The bronchial lavage polymerase chain reaction test confirmed the infectious condition for CMV and Pneumocystis jirovecii. Despite the drug therapy instituted, there was no improvement in the infectious condition. The patient started to present a general and progressive worsening of the clinical picture with loss of renal graft function, respiratory failure, metabolic acidosis, hemodynamic instability and severe distributive shock, evolving to death. In the present report, it was observed that after late kidney transplantation the fragility of the immune system caused by the use of immunosuppressants contributed to the development of a severe infection with CMV and Pneumocystis jirovecii. Adjusting the doses of immunos

关键词： Renal Transplantation Infections Opportunistic Immunosuppressive Agent Cytomegalovirus Pneumocystis

吸附用纺织品:从受污染的水中去除PfC的方法

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

国际纺织导报 2022年第5期50卷 23-25页

作者： A.Salma W.Ali M.Hildenbrandt J.S.Gutmann T.Mayer-Gall C.Kube f.Grüning 杨立双(译) 孟粉叶(校) 德国西北纺织研究中心(德国) 杜伊斯堡-埃森大学物理化学学院杜伊斯堡-埃森纳米集成中心(德国) 能源与环境技术研究所(德国)

传统的饮用水和废水处理技术对全氟化碳(PfCs)的去除存在一定的局限性。因此,需要一种先进的全氟化碳去除技术。以聚酯纤维(PET)为基材,采用不同的聚电解质[聚乙烯胺(PVAm)、β-环糊精改性的PVAm和季铵盐改性的PVAm]进行涂层处理,制备... 详细信息

传统的饮用水和废水处理技术对全氟化碳(PfCs)的去除存在一定的局限性。因此,需要一种先进的全氟化碳去除技术。以聚酯纤维(PET)为基材,采用不同的聚电解质[聚乙烯胺(PVAm)、β-环糊精改性的PVAm和季铵盐改性的PVAm]进行涂层处理,制备了吸附织物,用于去除地下水和工业废水中的PfCs。这种吸附用纺织品是用热轧的方法加工而得的,耐用、性能优良、成本效益可观。PVAm改性的PET对长链全氟碳化合物具有较高的吸附能力,而环糊精或季铵盐类化合物的改性,提高了PET对短链全氟碳化合物的选择性。采用1.5 m 3的中试装置对3种不同来源的受污染地下水进行现场试验。测试结果表明:来自杜塞尔多夫机场附近和在德国一家前纺织整理公司获得的受污染的地下水中的全氟化合物,分别减少了约95%的长链和85%的短链全氟化合物。此外,被短链全氟化碳高度污染的纸质污泥产生的地下水中的PfCs去除率略低。

关键词：吸附用纺织品全氟化碳聚酯纤维聚电解质涂层

中国高龄老年人的生活自理能力变化轨迹及队列差异*

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

人口学 2019年第5期

作者：张文娟 marcus W.feldman 杜鹏

文章基于中国老年人健康长寿影响因素调查(CLHLS)数据，利用混合效应的多层线性模型对1899～1908年、1909～1918年和1919～1928年3个出生队列的中国高龄老年人的生活自理能力衰退过程进行了分析，以揭示这一过程中的年龄、队列效应以及... 详细信息

文章基于中国老年人健康长寿影响因素调查(CLHLS)数据，利用混合效应的多层线性模型对1899～1908年、1909～1918年和1919～1928年3个出生队列的中国高龄老年人的生活自理能力衰退过程进行了分析，以揭示这一过程中的年龄、队列效应以及内部异质性。分析结果表明，年龄效应和队列效应同时存在于高龄老年人的生活自理能力衰退过程。不同年龄的老年人在死亡前的生活自理能力衰退过程具有趋同性，与日历年龄相比，尚余存活时间与生活自理能力变化之间的关联更为密切。高龄老年人的生活自理能力变化存在显著的队列差异，不同社会经济背景、童年经历、健康行为以及生活环境对高龄老年人的生活自理能力变化轨迹影响显著，也是造成队列差异的重要因素。

关键词：高龄老年人生活自理能力年龄效应队列效应 the oldest-old ADL age effect cohort effect

来源：人大复印报刊资料评论

在线全文

人大复印报刊资料

学校读者我要写书评

暂无评论

心脏病患者外科手术前的准备

华中科技大学学报(医学版) 1959年第4期 452-452页

作者： Emanuel marcus ,Earl n. Silber ,郭灵恩

大手术对循环系統有显著的威胁,正常心臟的代偿机能可以克服之。然而有病的心臟,代偿机能降低,則难以克服。所以了解心臟病病人存在的問題,給予适当的手术前准备,可以使多数的心臟病患者脏任外科手术。心臟病患者外科手术的危险性决定... 详细信息

大手术对循环系統有显著的威胁,正常心臟的代偿机能可以克服之。然而有病的心臟,代偿机能降低,則难以克服。所以了解心臟病病人存在的問題,給予适当的手术前准备,可以使多数的心臟病患者脏任外科手术。心臟病患者外科手术的危险性决定于手术的种类,手术的时間,心臟的功能情况和心臟病的种类。風湿性心臟病患者手术死亡率低,代偿机能佳者,与常人一样;冠状动脉硬化性心臟病患者,术后常發生栓塞、肺炎、充血性心力衰竭和反复的心肌梗塞,手术死亡率高;梅毒性心臟病未發生主动脉瓣和冠状动脉口狹窄者,手术危险性小;高血压病人沒有冠状动脉疾患,心力衰竭,或腦、腎血流不足者,能很好的

关键词：外科手术患者常人病人疾患代偿机能主动脉瓣心瓣膜心肌梗塞冠心病术前

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

社会工作研究的再研究

中国社会工作研究 2007年第1期 239-255页

作者：赵雨龙香港浸会大学社会工作系

在近代的社会工作教育议题上，鲜有学者关心到社会工作研究如何落实在基础社会工作训练及社工专业发展上。研究科目不受重视，更形成重实务轻研究的风气，将实务与研究割裂，陡实务流于经验化，实务一研究二元割裂，窒碍理论的验证、修... 详细信息

在近代的社会工作教育议题上，鲜有学者关心到社会工作研究如何落实在基础社会工作训练及社工专业发展上。研究科目不受重视，更形成重实务轻研究的风气，将实务与研究割裂，陡实务流于经验化，实务一研究二元割裂，窒碍理论的验证、修订及知识的长远增益。本文尝试解构社工研究的论述，追溯传统教育重理轻文的研究资源分配制度，国际学术期刊的主流评审标准，中学学科性别化，生源数理基础薄弱等结构性问题，并提出重新归回社会工作信念，以尊重多元，兼容批判、反省的研究态度及方法来丰富社会工作研究的内涵。

关键词：社会工作研究社会研究解构

Approach to Paroxysmal Atrial fibrillation Type Arrhythmia in a Cardiology Service:A Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Modern Research in Inflammation 2020年第2期9卷 9-17页

作者： Miriam Viviane Baron Luis Manuel Ley Dominguez Carolina Paz Mohamad Isa Gabriela Di Lorenzo Garcia Scherer Michele Paula dos Santos Vitoria Pereira Itaquy Talia Guimaraes dos Santos Julia Braga da Silveira Paulo Ricardo Martins Amanda Correa dos Santos marcus Vinicius de Mello Pinto Janine Koepp Daiana Klein Weber Carissimi Joice Nedel Ott Carolina Goncalves Pinheiro Nathalia Ken Pereira Iketani Gabriela feltez Bartira Ercília Pinheiro da Costa Postgraduate Program in Medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil Improvement of Higher Education Personnel Brazil(CAPES)Distrito FederalBrazil School of Medicine of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil School of Health and Life Sciences of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil Celulare Institute PetrópolisBrazil Undergraduate Nursing Course of the University of Santa Cruz do Sul(UNISC) Santa Cruz do SulBrazil Postgraduate Program in Health Sciences of the faculty of Medicine of ABC(fMABC) Sao PauloBrazil Undergraduate Physiotherapy Course of the Vale do Salgado faculty(fVS) CearáBrazil Physiotherapy of the Hospital Beneficiente Portuguesa of Belém ParáBrazil Rehabilitation Sciences of the federal University of Health Sciences of Porto Alegre Porto AlegreBrazil Postgraduate Program in Medicine and Health Sciences School of Medicine of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS)Porto AlegreBrazil

Atrial fibrillation is a cardiac arrhythmia of high prevalence in the population, especially in the elderly. Its main electrical characteristics are the interval between two successive irregular R waves, absence of P waves and presence of f waves between QRS complexes. The most common symptoms of atrial fibrillation are irregular palpitations associated with dyspnea, dizziness, feeling tired, fatigue and general malaise, but not all patients have any symptoms. The present report presents the history of an elderly patient who arrived at the hospital’s emergency department with irregular heart rhythm and palpitations. The patient’s symptoms, associated with the electrocardiogram results, indicated paroxysmal atrial fibrillation. Electrical cardioversion was performed, and after, cardiac ablation via the femoral vein at the hospital’s cardiology service. There were no complications during the procedure. As a routine imaging exam after ablation, control esophagogastroduodenoscopy was requested to verify that there was no formation of atrio-esophageal fistula developed by the invasive ablation procedure and electrocardiogram, which showed normal sinus rhythm. The patient remained in the cardiac intensive care unit for observation for 24 hours. After the electrical cardioversion and catheter ablation procedures, the patient improved his clinical picture of atrial fibrillation and was discharged after 24 hours of hospitalization. He received treatment to perform at home, to reduce acid reflux into the esophagus and to prevent thrombosis. He did not present pulmonary thromboembolism after hospital discharge. It is believed, therefore, that this form of treatment and management of paroxysmal atrial fibrillation is effective for the solution of the proposed problem and can also serve as a reference for other professionals within the cardiology service.

关键词： Atrial fibrillation Electrical Cardioversion Catheter Ablation Hypertension Obstructive Sleep Apnea Syndrome

Advanced Stage Stuck Gland Adenocarcinoma:Case Report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Modern Research in Inflammation 2020年第1期9卷 1-7页

作者： Miriam Viviane Baron Michele Paula dos Santos Gabriela Di Lorenzo Garcia Scherer Luis Manuel Ley Dominguez Vitoria Pereira Itaquy Natalia Cardoso Nascimento fernanda Nerys Tais Michele Werle Carolina Paz Mohamad Isa Carina Marangoni Mariana Martins Dantas Santos marcus Vinicius de Mello Pinto Janine Koepp Daiana Klein Weber Carissimi Joice Nedel Ott Carolina Goncalves Pinheiro Nathália Ken Pereira Iketani Bartira Ercília Pinheiro da Costa Postgraduate Program in Medicine and Health Sciences of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil Improvement of Higher Education Personnel Brazil(CAPES)Distrito FederalBrazil School of Medicine of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil School of Health and Life Sciences of the Pontifical Catholic University of Rio Grande do Sul(PUC/RS) Porto AlegreBrazil Celulare Institute PetrópolisRio de JaneiroBrazil Undergraduate Nursing Course of the University of Santa Cruz do Sul(UNISC) Santa Cruz do SulBrazil Postgraduate Program in Health Sciences of the faculty of Medicine of ABC(fMABC) Sao PauloBrazil Undergraduate Physiotherapy Course of the Vale do Salgado faculty(fVS) CearáBrazil Physiotherapy of the Hospital Beneficiente Portuguesa of Belém ParáBrazil

Parotid gland adenocarcinoma is commonly a tumor of low malignancy and low incidence worldwide. The reported case shows the rapid progression of this tumor in an elderly patient and infrequent effects, such as a presentation of facial edema not commonly described in the medical literature. Patient was admitted to hospital in November 2019 with secretion and partial hearing loss in the right ear and infiltrative and stone lesion with initial skin ulceration in the right cervical region. After 42 days, he returned and was admitted to the intensive care unit with significant swelling of the face, hardened and hyperemic neck, difficulty in speech and inability to open the eye. He presented changes in the mobility of the speech and hearing organs, reduced laryngeal mobility, vocal changes, speech with altered articulation and severe oropharyngeal dysphagia with risk of bronchoaspiration. The patient was diagnosed in September 2019 with a parotid tumor (salivary gland adenocarcinoma T4). The medical team requested computed tomography, computed tomography angiography of the chest and cervical vessels and computed tomography of the neck, in addition to evaluation by the head and neck surgery service and general surgery. After analyzing the results, the medical team suggested a hypothesis of tumor invasion that could result in obstruction of local lymphatic drainage, something unusual in the evolution of this type of tumor. In addition, it was not possible to adhere to radiotherapy treatment due to the extent of the lesion and there was also no confirmation of metastases. The reported case shows us that parotid gland adenocarcinoma, when diagnosed in an advanced stage, can limit the approach to treatment. It was chosen in agreement with the family to proceed with palliative care without invasive measures. Palliative care may be the best option for cases like this, bringing some comfort to the patient and his family.

关键词： Parotid Neoplasms Cancer of the Parotid Palliative Care Critical Care

Efficacy of SpyGlass^(TM)-directed biopsy compared to brush cytology in obtaining adequate tissue for diagnosis in patients with biliary strictures

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2014年第4期6卷 137-143页

作者： Johannes Wilhelm Rey Torsten Hansen Sebastian Dümcke Achim Tresch Katja Kramer Peter Robert Galle Martin Goetz marcus Schuchmann Ralf Kiesslich Arthur Hoffman Department of Internal Medicine I University Medical Center Department of Internal Medicine St. Mary’s Hospital Institute of Pathology Klinikum Lippe GmbH Max Planck-Institute for Plant Breeding Research Institute for Genetics University of Cologne Department of Internal Medicine I University Hospital of Tuebingen

AIM: To evaluate the diagnostic yield(inflammatory activity) and efficiency(size of the biopsy specimen) of SpyGlassTM-guided biopsy vs standard brush cytology in patients with and without primary sclerosing cholangitis(PSC).METHODS: At the University Medical Center Mainz, Germany, 35 consecutive patients with unclear biliarylesions(16 patients) or long-standing PSC(19 patients) were screened for the study. All patients underwent a physical examination, lab analyses, and abdominal ultrasound. Thirty-one patients with non-PSC strictures or with PSC were scheduled to undergo endoscopic retrograde cholangiography(ERC) and subsequent per-oral cholangioscopy(POC). Standard ERC was initially performed, and any lesions or strictures were localized. POC was performed later during the same session. The Boston Scientific SpyGlass SystemTM(Natick, MA, United States) was used for choledochoscopy. The biliary tree was visualized, and suspected lesions or strictures were biopsied, followed by brush cytology of the same area. The study endpoints(for both techniques) were the degree of inflammation, tissue specimen size, and the patient populations(PSC vs non-PSC). Inflammatory changes were divided into three categories: none, low activity, and high activity. The specimen quantity was rated as low, moderate, or ***: SpyGlassTM imaging and brush cytology with material retrieval were performed in 29 of 31(93.5%) patients(23 of the 29 patients were male). The median patient age was 45 years(min, 20 years; max, 76 years). Nineteen patients had known PSC, and 10 showed non-PSC strictures. No procedure-related complications were encountered. However, for both methods, tissues could only be retrieved from 29 pa-tients. In cases of inflammation of the biliary tract, the diagnostic yield of the SpyGlassTM-directed biopsies was greater than that using brush cytology. More tissue material was obtained for the biopsy method than for the brush cytology method(P = 0.021). The biop

关键词： Cholangioscopy Endoscopic retrogradecholangiopancreatography Primary sclerosing cholangitis Brush cytology Biopsy