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Reproductive Health needs of Women Living with HIV/AIDS in Yaounde, Cameroon

World Journal of AIDS 2014年第1期4卷 8-14页

作者： Robinson E. Mbu William A. Takang Hortence J. Fouedjio Ekane Joan Flobert Y. Fouelifack Florence n. Tumasang rebecca n. Tonye Robert J. I. Leke Department of Obstetrics and Gynecology Faculty of Health Sciences University of Bamenda Bamenda Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Yaounde Cameroon Maternity Unit Central Hospital Yaounde Cameroon Maternity Unit Central Hospital Yaounde Cameroon

The population plagued with the HIV/AIDS pandemic in Cameroon is young, a generation that may desire or control fertility. For those who may become pregnant, the desire to have children may not be there. We carried out this study to look at the picture of the reproductive health needs of women living with HIV/AIDS in our setting. In this cross-sectional non-analytic design that lasted for three years, we employed both qualitative and quantitative methods to collect data from them after receiving ethical clearance (n221/CM/2009) from the national Ethics Committee. Consenting HIV infected women who were attending the “HIV Day Care” clinics and those who delivered and were in the post partum wards in four of our major hospitals in Yaounde were enrolled. Interviews were individualized. We used both CSPro version 4.1 and Statistical Package for Social Sciences (SPSS) version 19.0 softwares for data analysis. Four hundred and fifteen (415) women were enrolled;the mean age was 29 ± 7.8 years;the most represented age group was 24 -29 years. They were single (36.14%), well educated (5 out of 10 had attained university level of education), 61.20% revealed that their partners knew their HIV status, 82.4% believed that screening for cancer of the cervix was necessary for their status and 47.70% would want to be screened for some or all STIs. About 36.86% had the desire to have children, 57.1% of those who delivered did not plan to have the pregnancies out of which 82% would have wanted a modern method of contraception but did not have (82% unmet needs). Modern contraceptive use was associated with age and individual characteristics such as level of education. It was 64.34% among women who had secondary level of education and below as against 35.66% among those who had high school level of education and above. Contraceptive use was also high among women who were unmarried as against those who were married (89.64% vs 10.36%). The desire to have children decreased as age increased

关键词： Reproductive Health needs Family Planning Unmet needs Cancer of the Cervix Sexually Transmitted Infections

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Effects of gestational weight gain on the outcome of labor at the Yaounde central hospital maternity, Cameroon

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Open Journal of Obstetrics and Gynecology 2013年第9期3卷 648-652页

作者： Robinson E. Mbu Hortence J. Fouedjio Mpey Tabot Fluorbert Y. Fouelifack Florence n. Tumasang rebecca n. Tonye Robert J. I. Leke Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences University of Yaounde 1 Cameroon Maternity Unit Central Hospital Yaounde Cameroon

Obesity rates are increasing in Cameroon. Obstetric literature has recently focused on the rising incidence of complications with increases in weight gain in pregnancy. Some of these complications include gestational diabetes, hypertensive disorders, operative deliveries, genital tract lacerations and fetal birth trauma. Examining the effects of excess weight gain during the course of pregnancy could help identify weight gain limits. The Institute of Medicine (IOM) was recommended by the World Health Organization (WHO) to develop guidelines for weight gain during pregnancy and we designed this study in order to determine delivery outcomes when weight is gained above these guidelines. We also sought to know if these guidelines are applicable in our environment. In this cross-sectional analytic design, pre-pregnancy and intra-partum BMIs were calculated for all the parturients who consented. They were classified into normal weight gain and excessive weight gain based on IOM recommendations. Those in the normal weight gain group were women with BMIs that ranged between 18.5 kg/m2 and 30 kg/m2 and who gained 9 - 16 kgs. Those who gained weight above these range were considered as having gained excessive weight during pregnancy. They were all follow-up in labor using the partogram. We compared prepartum, intra-partum and post-partum outcomes in the two groups by calculating odds ratios (ORs), 95% confidence intervals and p values. One hundred and ten (110) overweight women were matched against the same number of women who had normal weight gain. There was no significant difference between social status, marital status as well as level of educational and weight gain in the two groups. Underweight (BMI p = 0.048). Women who gained weight above the recommended range suffered from preeclampsia 18.2% vs. 6.4% (OR 3.2, 95% CI 1.3 - 8.0, p = 0.014), higher cesarean section rates 27.3% vs. 10% (OR 3.3, 95% CI 1.5 - 7.1, p = 0.002), higher rates of induced labor 19.1% vs. 9.0% (O

关键词： Obesity Rate Gestational Weight Gain Pregnancy

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A Review of Arctic-Subarctic Ocean Linkages: Past Changes, Mechanisms, and Future Projections

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Ocean-Land-Atmosphere Research 2023年第1期2卷 134-172页

作者： Qiang Wang Qi Shu Shizhu Wang Agnieszka Beszczynska-Moeller Sergey Danilov Laura de Steur Thomas W.n.Haine Michael Karcher Craig M.Lee Paul G.Myers Igor V.Polyakov Christine Provost Øystein Skagseth Gunnar Spreen.rebecca Woodgate Alfred Wegener Institute Helmholtz Centre for Polar and Marine Research(AWI) BremerhavenGermany First Institute of Oceanography and Key Laboratory of Marine Science and Numerical ModelingMinistry of Natural ResourcesQingdaoPeople’s Republic of China Shandong Key Laboratory of Marine Science and numerical Modeling QingdaoPeople’s Republic of China Institute of Oceanology Polish Academy of SciencesSopotPoland Department of Mathematics and Logistics Jacobs UniversityBremenGermany norwegian Polar Institute Fram CentreTromsøNorway Earth&Planetary Sciences The Johns Hopkins UniversityBaltimoreMDUSA .8Ocean Atmosphere Systems GmbH HamburgGermany Applied Physics Laboratory University of WashingtonSeattleWAUSA. Department of Earth and Atmospheric Sciences University of AlbertaEdmontonABCanada. International Arctic Research Center and College of natural Science and Mathematics University of Alaska FairbanksFairbanksAKUSA. Finnish Meteorological Institute HelsinkiFinland. Laboratoire LOCEAn-IPSL Sorbonne Université(UPMCUniversity Paris 6)CNRSIRDMNHNParisFrance. Institute of Marine Research and Bjerknes Centre of Climate Research BergenNorway. Institute of Environmental Physics University of BremenBremenGermany

Arctic Ocean gateway fluxes play a crucial role in linking the Arctic with the global ocean and affecting climate and marine *** reviewed past studies on Arctic-Subarctic ocean linkages and examined their changes and driving *** review highlights that radical changes occurred in the inflows and outflows of the Arctic Ocean during the ***,the Pacific inflow temperature in the Bering Strait and Atlantic inflow temperature in the Fram Strait hit record highs,while the Pacific inflow salinity in the Bering Strait and Arctic outflow salinity in the Davis and Fram straits hit record *** the ocean heat convergence from lower latitudes to the Arctic and the hydrological cycle connecting the Arctic with Subarctic seas were stronger in 2000-2020 than in ***6 models project a continuing increase in poleward ocean heat convergence in the 21st century,mainly due to warming of inflow *** also predict an increase in freshwater input to the Arctic Ocean,with the largest increase in freshwater export expected to occur in the Fram Strait due to both increased ocean volume export and decreased *** Strait sea ice volume export hit a record low in the 2010s and is projected to continue to decrease along with Arctic sea ice *** quantitatively attribute the variability of the volume,heat,and freshwater transports in the Arctic gateways to forcing within and outside the Arctic based on dedicated numerical simulations and emphasize the importance of both origins in driving the variability.

关键词： Arctic ocean Strait

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Using compositional data analysis to explore accumulation of sedentary behavior,physical activity and youth health

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Journal of Sport and Health Science 2022年第2期11卷 234-243页

作者： Simone J.J.M.Verswijveren Karen E.Lamb Josep A.Martín-Fernández Elisabeth Winkler rebecca M.Leech Anna Timperio Jo Salmon Robin M.Daly Ester Cerin David W.Dunstan Rohan M.Telford Richard D.Telford Lisa S.Olive nicola D.Ridgers Institute for Physical Activity and nutrition School of Exercise and Nutrition SciencesDeakin UniversityGeelongVIC 3216Australia Melbourne School of Population and Global Health University of MelbourneParkvilleVIC 3053Australia Department of Computer Science Applied Mathematics and StatisticsUniversity of GironaGirona 17003Spain School of Public Health University of QueenslandHerstonQLD 4006Australia Mary MacKillop Institute for Health Research Australian Catholic UniversityFitzroyVIC 3065Australia School of Public Health University of Hong KongHong KongChina Baker Heart and Diabetes Institute MelbourneVIC 3004Australia Research Institute for Sport and Exercise University of CanberraBruceACT 2617Australia School of Psychology Deakin UniversityBurwoodVIC 3125Australia IMPACT Research Institute Deakin UniversityBurwoodVIC 3125Australia AnU Medical School Australian National UniversityGarranACT 2605Australia

Purpose:The study aimed to describe youth time-use compositions,focusing on time spent in shorter and longer bouts of sedentary behavior and physical activity(PA),and to examine associations of these time-use compositions with cardiometabolic ***:Accelerometer and cardiometabolic biomarker data from 2 Australian studies involving youths 7-13 years old were pooled(complete cases with accelerometry and adiposity marker data,n=782).A 9-component time-use composition was formed using compositional data analysis:time in shorter and longer bouts of sedentary behavior;time in shorter and longer bouts of light-,moderate-,or vigorous-intensity PA;and"other time"(i.e.,non-wear/sleep).Shorter and longer bouts of sedentary time were defined asn and>5 min,*** bouts of light-,moderate-,and vigorous-intensity PA were defined asn;longer bouts were defined as≥1 *** models examined associations between overall time-use composition and cardiometabolic ***,associations were derived between ratios of longer activity patterns relative to shorter activity patterns,and of each intensity level relative to the other intensity levels and"other time",and cardiometabolic ***:Confounder-adjusted models showed that the overall time-use composition was associated with adiposity,blood pressure,lipids,and the summary ***,more time in longer bouts of light-intensity PA relative to shorter bouts of light-intensity PA was significantly associated with greater body mass index z-score(zBMI)(β=1.79;SE=0.68)and waist circumference(β=18.35,SE=4.78).When each activity intensity was considered relative to all higher intensities and"other time",more time in light-and vigorous-intensity PA,and less time in sedentary behavior and moderate-intensity PA,were associated with lower waist ***:Accumulating PA,particularly light-intensity PA,in frequent short bursts may be more beneficial for limiting adi

关键词： Accumulation patterns Cardiometabolic health Children Compositional data analysis Time-use

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Revealing the kinetics of Leishmania chagasi infection in the male genital system of hamsters

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Infectious Diseases of Poverty 2016年第1期5卷 261-265页

作者： Amanda P.n.Quintal Bruna C.Borges Paula C.Brígido rebecca T.Silva Ana F.notário Marlus A.Santos Maria A.de Souza Fernanda G.O.nascimento Antônio V.Mundim Guilherme M.J.Costa André B.Vasconcelos Claudio V.da Silva Instituto de Ciências Biomédicas Universidade Federal de UberlândiaUberlândiaMinas GeraisBrasil Hospital Veterinário Universidade Federal de UberlândiaUberlândiaMinas GeraisBrasil Departamento de Ciências Biomédicas Universidade Federal de Minas GeraisBelo HorizonteBrasil Universidade de Uberaba UberabaMinas GeraisBrasil Departamento de Imunologia–Instituto de Ciências Biomédicas Universidade Federal de UberlândiaCampus UmuaramaUberlândiaMGBrasil

Background:Leishmaniasis causes alterations and lesions in the genital system,which leads to azoospermia and testicular atrophy in animals during the chronic phase of the *** aim of this study was to reveal the kinetics of Leishmania chagasi infection in the genital system of male golden hamsters(Mesocricetus auratus).Methods:Animals were intraperitoneally inoculated with amastigotes from *** different time points animals were euthanized and genital organs processed for histo-pathological,qPCR,cytokines and testosterone detection ***:Our results showed a high parasite load in testis,followed by an increase of pro-inflammatory cytokines IL1-β,TnF-αand IFn-γ,and ***,IL-4 expression was upregulated and basal parasite persistence in testis was observed using the experimental ***:Extracellular amastigotes migrated to the epididymis posing as a potential major factor of parasite persistence and venereal transmission of *** infection in hamsters.

关键词： Leishmania chagasi Extracellular amastigotes Testis Epididymis Immune response Testosterone

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Characteristics of Suicides Caused by Drug Overdose in the State of Maryland

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Journal of Forensic Science and Medicine 2015年第1期1卷 38-42页

作者： Ling Li Xinbiao Liao Guozhong Zhang Daming Sun Tiantong Yang Keming Yun.rebecca Phipps Xiang Zhang Mary G Ripple David Fowler Collaborative Innovation Center of Judicial Civilization and Institute of Evidence Science and Key Laboratory of Evidence Science China University of Political Science and LawBeijing Department and Key Laboratory of Forensic Pathology Guangdong Provincial Public Security Department of Forensic Pathology Hebei Medical UniversityShijiazhuang Center of Forensic Science East China University of Political Science and LawShanghai Department of Forensic Medicine Shanxi Medical UniversityTaiyuanChina Division of Forensic Pathology University of MarylandSchool of MedicineMarylandUSA

Suicidal drug overdose is a major public health *** the United States,every year more than 33,000 people commit *** study focused on the characteristics of suicide victims in the state of *** and methods:This study was a retrospective review of autopsy cases of all suicide deaths caused by drug(s)or drug(s)with alcohol intoxication investigated by the OCME in Maryland over a 7-year period from January 2004 to December *** deaths investigated by the OCME that require autopsy examination are subject to comprehensive toxicology testing for drugs and *** screen tests were performed using gas chromatography(GC)and radioimmunoassay *** detected drugs and/or metabolites were confirmed using GC-mass spectrometry(GC-MS).Results:From 2004 to 2011,434 deaths were certified as *** the 434 suicidal overdose deaths,84%were white,11%were African-American,and about 5%were either Hispanic or *** male and female ratio was almost *** ages ranged 15-82 *** the 434 suicidal drug overdose deaths,277 victims(63.8%)consumed a single drug type and 157(36.2%)consumed more than one type of *** the 277 single-drug overdose cases,71.1%suicides were due to prescription drugs,23.5%due to over-the-counter drugs,and 5.4%due to street/recreational *** single-type prescription drugs,analgesic(n=76),antidepressant(n=45),and neuroleptic(n=35)classes were the three leading type of drugs used in suicidal ***,morphine,quetiapine,and amitriptyline were the most common prescription drugs in suicidal *** was the leading over-the-counter *** the 157 victims who consumed more than one drug,combined prescription drugs were present in 54.1%,mixed prescription and overthe-counter drugs in 29.3%,and prescription drugs/over-the-counter drugs and street drugs in 16.6%of *** the multiple-drug overdose suicides,66.2%cases involved ***:Suicide is found in every age,

关键词： Antidepressants drug overdose epidemiology forensic autopsy forensic science suicide opioid analgesics toxicology

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HMI界面设计的四个步骤

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软件 2006年第3期27卷 68-68页

作者： rebecca haley Scott Kuehl Honeywell公司

也许这项任务听起来令人怯步．但是设计人机接口界面（HMI）实际上与创建一份文本文档或演讲稿并没有太多的不同。

关键词：界面设计 HMI 人机接口界面文本文档

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轮作草地土壤碳蓄积与矿化动态特征

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草地学报 2019年第4期27卷 1037-1043页

作者：林栋张德罡 McCulley rebecca L. 周生伟甘肃农业大学草业学院甘肃兰州730070 美国肯塔基大学植物与土壤科学系肯塔基列克星敦40546-0091 甘肃农业大学理学院甘肃兰州730070

为探明作物-草地轮作系统中草地土壤碳(Carbon,C)蓄积与矿化动态特征,本试验以温带气候区有机农牧场低投入蔬菜生产后的5年草地轮作土壤为研究对象,测定不同轮作年限和季节土壤有机碳(Soil Organic Carbon,SOC)及其颗粒有机碳(Particula... 详细信息

为探明作物-草地轮作系统中草地土壤碳(Carbon,C)蓄积与矿化动态特征,本试验以温带气候区有机农牧场低投入蔬菜生产后的5年草地轮作土壤为研究对象,测定不同轮作年限和季节土壤有机碳(Soil Organic Carbon,SOC)及其颗粒有机碳(Particulate Organic Carbon,POC)和非颗粒有机碳(non-Particulate Organic Carbon,n-POC)组分含量,并对土壤C矿化潜力进行分析。结果表明,草地轮作年限显著影响SOC含量(Pn-POC组分变化(Pn-POC含量增加17.6%,春季草地土壤n-POC含量显著高于夏季和冬季;草地轮作4年后土壤C矿化率显著升高,并接近永久性草地水平;秋季草地土壤在71 d的培养期内平均C矿化速率为5.9μg·g^-1·d^-1,显著低于其他季节。草地轮作增强了土壤C矿化潜力,提高了土壤C循环强度和有机C有效性,同时延长了SOC半衰期,对增加土壤C库容量和稳定性具有重要作用。

关键词：碳蓄积颗粒有机碳碳矿化轮作草地

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Young Child-Rearing Latina Cancer Survivors Living in the US-Mexico Border Region: A Qualitative Study

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Journal of Cancer Therapy 2021年第4期12卷 174-185页

作者： Clara L. Reyes rebecca L. Palacios Karoline Sondgeroth Ernesto A. Moralez Department of Public Health Sciences New Mexico State University Las Cruces NM USA Department of Public Health St. Lawrence University Canton NY USA

Background: Despite increasing cancer incidence among young Latinas (Objective: The purpose of this study was to explore how young, child-rearing Latinas described their challenges, strengths, and social support sourc... 详细信息

ng>Background:ng> Despite increasing cancer incidence among young Latinas (Objective: The purpose of this study was to explore how young, child-rearing Latinas described their challenges, strengths, and social support sources for coping with cancer in the US-Mexico border region. Methods: Nine Latinas that had been diagnosed with cancer, had at least one child 5 to 13 years old, and lived in one of two targeted border counties participated in audio-recorded, semi-structured focus groups (n = 6) or interviews (n = 3) in their preferred language (i.e., English or Spanish). Interview recordings were transcribed and inductively coded using methods based on grounded theory. Results: Three major themesn> emerged. First, in reporting their physical and emotional struggles with cancer as the most difficult time of their lives, participants described feeling alone as they navigated treatment side effects and continued fear of cancer. Second, they explained figuring out how to live day-by-day, reporting the negative impact of cancer on their families and on their ability to maintain their roles as mothers. Third, they highlighted factors that gave them the strength to fight and carry on, emphasizing their children and their inner strength. Conclusions: Even with a supportive family, young Latina mothers felt alone as they navigated cancer (i.e., treatment, fear, and impact on their families) and as they worked to garner the strength to overcome the stress of cancer. Intern>ventions for young Latina survivors sho

关键词： Cancer Survivorship Latinas Coping Family US-Mexico Border

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成人高血压:nICE指南更新概要

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英国医学杂志中文版 2020年第4期23卷 225-231页

作者： rebecca J Boffa Margaret Constanti Christopher n Floyd Anthony S Wierzbicki 杨靓(译) 刘靖(校) national Guideline Centre LondonUK Department of Clinical Pharmacology King's College London British Heart Foundation CentreLondonUK Biomedical Research Centre Clinical Research FacilityGuy's and St Thomas'NHS Foundation TrustLondonUK Guy’s&St Thomas'nHS Foundation Trust LondonUK 北京大学人民医院急诊科

高血压是全球发病率和死亡率的首位原因。超过25%的英国成年人患有高血压,其中有近30%患者的血压未得到控制。8月,英国国家健康与临床优选研究所(nICE)发表了更新的高血压诊疗指南。指南回顾了自2011年更新指南以来有关启动、监测及降... 详细信息

高血压是全球发病率和死亡率的首位原因。超过25%的英国成年人患有高血压,其中有近30%患者的血压未得到控制。8月,英国国家健康与临床优选研究所(nICE)发表了更新的高血压诊疗指南。指南回顾了自2011年更新指南以来有关启动、监测及降压治疗内容,选择新的随机临床试验证据。更新指南的内容有所增加,纳人了合并2型糖尿病的患者,但对合并慢性肾脏疾病、心血管疾病或妊娠期高血压未给予推荐(译者注:这些部分有专业指南)。

关键词：慢性肾脏疾病随机临床试验妊娠期高血压降压治疗心血管疾病诊疗指南成年人

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