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Open Journal of Stomatology 2023年第12期13卷 433-441页

作者： Romaric Evrard Assi Yapo Anoumon marguerite Reine Evelyne Anzouan-Kacou Beatrice Tehoua Ettien Jean Francois Regis Koffi Behibro Franck-Olivier Manoussa Seguy Emmanuel Kouadio Konan Department of Stomatology and Maxillofacial Surgery Treichville University Hospital Abidjan C&ocircte d’Ivoire Department of Surgery and Specialties Faculty of Medical Sciences Felix Houphouet-Boigny University Abidjan C&ocircte d’Ivoire

Introduction: The treatment of panfacial fractures is complex and constitutes a challenge for the maxillofacial surgeon, who, despite therapeutic progress, frequently suffers functional and aesthetic sequelae. This study aimed to describe the treatment and evaluate the functional and aesthetic sequelae of panfacial fractures in the stomatology and maxillofacial surgery department of the Treichville University Hospital. Materials and Methods: We conducted a retrospective study over a 6 years in the stomatology and maxillofacial surgery department of Treichville University Hospital. Forty-two patients with panfacial fractures were included in the study. Results: Forty-two patients were registered. The average time to osteosynthesis was 12.4 days. Nasotracheal intubation was used most often (88%), and in the majority of cases, mixed osteosynthesis combining a screwed plate and steel wire was performed (64.29%). The “Bottom-up and Outside-in” surgical sequence was the most commonly used (64.29%). All patients had at least one functional and/or cosmetic sequela after treatment. Functional sequelae were dominated by occlusal problems and aesthetic sequelae by nasal deformities. Discussion: Panfacial fractures are characterised by their complexity, presenting maxillo-facial surgeons with a therapeutic and evolutionary challenge. The quality of the initial, often multidisciplinary, management of panfacial fractures is an essential factor in both functional and aesthetic prognosis. Conclusion: The treatment of panfacial fractures, even if well managed, is sometimes a source of sequelae, requiring often complex secondary management.

关键词： Aesthetic Sequelae Functional Sequelae Management Panfacial Fracture Treatment

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琴声如诉

Aims and First Assessments of the French Hydrogen Pathways Project HyFrance3

作者： (法)玛格丽特·杜拉斯(marguerite Duras)

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Journal of Energy and Power Engineering 2012年第1期6卷 34-40页

作者： Alain Le Duigou Marie-marguerite Quemere Pierre Marion Philippe Menanteau Pascal Houel LaureSinegre Lionel Nadau Aline Rastetter Aude Cuni Philippe Mulard Loic Antoine Thierry Alleau I-Tese CEA Gif-Sur-Yvette Cedex 91191 France Departement EPI-ECUELLES EDF R＆D Moret Sur Loing Cedex 77818 France IFP Energies nouvelles 1 et 4 avenue de Bois Preau Rueil Malmaison Cedex 92852 France LEPII Universit# de Grenoble - CNRS Grenoble Cedex 9 BP 47 38040 France DRI GDF SUEZ 361 av du pdt WILSON Saint Denis La Plaine Cedex BP 33 93211 France ALPHEA EURODEV CENTER 4 rue Jules Verne Eurozone Forbach 57600 France AIR LIQUIDE 1 chemin de la porte des loges Jouy-en-Josas BP 126 78354 France TOTAL RAFFINAGE MARKETING La Defense 10 Paris la Defense Cedex 92069 France ADEME 20 avenue du Gresille Angers Cedex 01 BP 90406 49004 France AFH2 28 rue Saint Dominique Paris 75007 France

The HyFrance Group was originally formed in France to support the European project HyWays, by providing （former projects HyFrancel and HyFrance2） the French data and possible hydrogen pathways according to national specificities. HyFrance3 is a new project that focuses on the economic competitiveness of different steps of the hydrogen chain, from the production to end usage, at the time horizon of 2030 in France. The project is coordinated by CEA with the other partners being： ADEME （co-funding）, AFH2, CNRS, IFP, Air Liquide, EdF, GdF Suez, TOTAL, ALPHEA. The project is divided into 4 sub-projects, that address present and future French hydrogen industrial markets for chemical ＆ refinery uses, the analysis of the interplay between wind energy production and storage of hydrogen for different automotive requirements （refuelling stations, BtL plants, H2/NG mix）, massive hydrogen storage to balance various offer and demand characteristics, and the supply network （pipeline option competitiveness vs. trucked in supply） to distribute hydrogen in a French region for automotive applications. Technical and economical issues, as well as GHG emissions, are addressed.

关键词： HyFrance hydrogen industrial techno-economy storage wind energy infrastructure.

Assessment of Nurses’ Knowledge in the Implementation of the Principles of Asepsis in the Hospital Environment

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Open Journal of Nursing 2022年第12期12卷 842-853页

作者： Emmanuel Gasaba Vestine Niyonkuru Le Béni Bugingo Thomas Zimurinda Fabien Bimenyimana Jean Népomuscène Ntirabampa marguerite Ndikumana Bosco Ntiranyibagira Eric Manirambona Nathanaël Sindayigaya Faculty of Health Sciences Hope Africa University BI-Bujumbura Burundi

Introduction: Aseptic procedures are undertaken by nurses in the general ward. The lack of nurse’s aseptic techniques in clinical setting result to patients or healthcare expositions to hospital-acquired infections which are most of the time caused by lack of knowledge or ignorance of implementing the principles of aseptic technique. This study aims to assess nurses’ knowledge and the possible barriers in the implementation of the principles of asepsis in healthcare setting. Methods: A cross-sectional study design was used to assess the nurses’ knowledge and the possible barriers for implementing principles of asepsis in healthcare setting among. The study was carried out at Clinique Van Norm (CVN), a free Methodist Church related institution located in the north District of Bujumbura city in Burundi, from October to November, 2021 among nurses who work within three services of the clinic (Gynecology and Obstetrics, Pediatric and Operating room). A convenience sampling method was used to invite all nurses (44) working in the 3 services of CVN to participate in our study. A self-report method involving questionnaire completion with three components addressing demographic data, participants’ knowledge and barriers to implement the principles of asepsis was used to collect data which were later on analyzed by SPSS version 21. Results: Research findings show a significant participant’s poor knowledge on principles of asepsis in the hospital as for almost variables used to assess their knowledge, they scored less than 50% except for the time of using sterile gloves in which most of the participants (71.4%) said that they do use sterile gloves when indwelling urinary catheters, labor and delivery, newborn care, wound dressing or suturing, or any time handling aseptic equipment, inserting nasogastric feeding tube... In addition, participants argued that they know the principles of asepsis (57.1%), however, only 14.3% of them were able to list at least 5 of the principles o

关键词： Asepsis Principles of Asepsis Nurses Knowledge

Wedge and needle liver biopsies show discordant histopathology in morbidly obese patients undergoing Roux-en-Y gastric bypass surgery

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Gastroenterology Report 2013年第1期1卷 51-57页

作者： Sekou R.Rawlins Cynthia M.Mullen Howard M.Simon Taewan Kim Steven K.Landas marguerite S.Walser Robert A.Levine Division of Gastroenterology Department of MedicineState University of New York(SUNY)Upstate Medical UniversitySyracuseNYUSA Associates in Gastroenterology RockvilleMDUSA Department of Surgery SUNYUpstate Medical UniversitySyracuseNYUSA Department of Pathology SUNYUpstate Medical UniversitySyracuseNYUSA Section of Gastroenterology Department of MedicineBoston University School of MedicineBostonMAUSA

Background:Controversy exists over whether or not single-needle liver biopsies are sufficient to compare histological parameters in patients with non-alcoholic fatty liver ***:To identify sampling variability,we biopsied four liver specimens per patient,based on biopsy size(needle vs wedge)and location(left vs right lobe),immediately prior to bariatric Roux-en-Y gastric bypass ***:Ten prospectively enrolled,morbidly obese patients underwent 40 laparoscopy-guided biopsies;two needle and two wedge from each of 16 left and 16 right liver *** Kappa coefficient for concordance compared histological parameters from left and right lobe needle-and wedge *** biopsies were considered our‘Gold Standard’.Results:Each patient had two wedge-and two needle liver *** concordance between all needle and wedge biopsies from right and left lobes showed ***-and needle liver biopsies from contralateral lobes had higher concordance with each other,compared to ipsilateral needle/wedge biopsy *** wedge pairs had higher concordance than contralateral needle/needle *** were no biopsy ***:Wedge biopsy pairs had the best Kappa concordance but contralateral needle/needle biopsy pairs had good Kappa *** were no complications from the 40 needle-and wedge liver biopsies,confirming the safety of laporoscopic multi-biopsy in both liver lobes.

关键词： gastric bypass liver biopsy steatosis fibrosis image analysis

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遗存篇

Performance of Cardiovascular Risk Equations versus Vascular Ultrasound in Systemic Lupus Erythematosus in a Black African Population

丛书名：尤瑟纳尔文集

2002年

作者：（法）玛格丽特·尤瑟纳尔（marguerite Yourcenar）

法国外交部赞助:本书是一本文学评论集，文章包括：西斯廷教堂，历史小说中的语调与语言，宁为玉碎，皮毛兽，镜子的效果和鬼火，年节等。

ISBN: (纸本)750601615X

法国外交部赞助:本书是一本文学评论集，文章包括：西斯廷教堂，历史小说中的语调与语言，宁为玉碎，皮毛兽，镜子的效果和鬼火，年节等。

关键词：文学欧洲文学

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World Journal of Cardiovascular Diseases 2021年第11期11卷 523-532页

作者： Sow Maïmouna Kane Baïdy Sy Diouf marguerite Téning Aw Fatou Ndao Awa Cheikh Samba Abdourahmane Ndiaye Mouhamadou Bamba Ndongo Souhaibou Diao Maboury Pouye Abdoulaye Internal Medecine Department of Aristide Le Dantec Teaching Hospital of Dakar Senegal Cardiology Department of Aristide Le Dantec Teaching Hospital of Dakar Senegal Biochemial Department of Aristide Le Dantec Teaching Hospital of Dakar Senegal Internal Medecine Department of Dalal Jamm Hospital of Dakar Senegal

Introduction: Cardiovascular risk is increased in systemic lupus erythematosus. Cardiovascular events are the first cause of death in lupus after five years duration. Prevention of cardiovascular events needs a good evaluation of the risk. In this work, we tried to evaluate the performance of conventional and adjusted forms of cardiovascular risk equations to predict high risk in lupus patients, in comparison with carotid ultrasound. Method: We realized a cross-sectional study during the period from 24 August 2017 to 22 November 2018. Consenting patient meeting the 1997 American college of Rheumatology criteria of systemic lupus erythematosus were recruited. The clinical characteristics and the treatment data were informed. Traditional cardiovascular risk factors were also investigated, and the assessment of cardiovascular risk was performed by Framingham and SCORE equations and their modified forms (multiplication by a factor of 1.5). Carotid ultrasound was used to detect atherosclerosis by measuring intima media thickness and searching for carotid plaques. In last, we compared cardiovascular risk levels by equations to results of carotid ultrasound. Statistical analysis and data collection were performed using SPSS 23.0 software. Results: Forty-nine patients with a sex ratio of 0.13 and a mean age of 33.5 (±11.3) years were enrolled. More than half of patients had dyslipidemia. More than 80% of the population were at lo

关键词： Cardiovascular Risk Equations Carotid Ultrasound Systemic Lupus Erythematosus

Therapeutic Education of Heart Failure: Prospective Study in the Cardiology Department of the Dalal Jamm National Hospital Center in Dakar

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World Journal of Cardiovascular Diseases 2023年第7期13卷 415-432页

作者： Mamadou Barry marguerite Tening Diouf Mamadou Bassirou Bah Aimé Mbaye Sy Ibrahima Sory Sylla Hassatou Diallo Aissatou Tiguidanké Balde Elhadj Yaya Balde Abdoul Kane Mamadou Dadhi Balde Cardiology Department of the Ignace Deen National Hospital Conakry Guinea Cardiology Department of the Dalal Jamm National Hospital Center Dakar Senegal

Context: Heart failure (HF) is a common pathology requiring many types of treatments, including therapeutic education, which has demonstrated a major benefit in terms of reducing re-hospitalization and mortality from HF or all other causes. Objective: The aim of this study was to evaluate the contribution of therapeutic education (TPE) in patients with heart failure. Methodology: This was a single-centre, interventional, non-randomized, before-and-after type study. It focused on hospitalized heart failure patients aged 18 and over. We evaluated the effect of TPE on therapeutic compliance, knowledge, practical attitudes, patient perceptions and quality of life. Results: Our study included 41 patients prior to therapeutic education: 17 men (41%) and 24 women (59%). The mean age was 54.7 ± 16.2 years. After the TPE sessions we evaluated 32 patients: The patients with good compliance increased from 75% to 90.63%, and patients with a low level of compliance (90.6%) decreased to 34.4%. An increase in the number of patients who had an attitude adapted to not exceeding the recommended amount of salt (6 before TPE and 22 after TPE), as well as in the number of patients who had an attitude adapted to physical activity (12 before TPE and 16 after TPE). There was also an increase in the number of patients who were confident about the outcome of their disease (12 before TPE and 16 after TPE), and a decrease in those who were hopeless (8 before TPE and 5 after TPE), an improvement in the quality of life score (45.03 before TPE and 15.78 after TPE). Conclusion: This study shows the beneficial effect of therapeutic education in patients hospitalized for heart failure in improving their level of knowledge, compliance with treatment, lifestyle habits and quality of life.

关键词： Therapeutic Education Heart Failure Quality of Life

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