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Oesophageal Mycosis: Epidemiological and Clinical Aspects and Risk Factors for Occurrence in the Digestive Endoscopy Unit of the Donka National Hospital, Conakry CHU

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Open Journal of Gastroenterology 2024年第2期14卷 31-40页

作者： Diallo Mamadou sarifou Youssouf Oumarou Yaogo Abdoulatif Diallo Kadiatou Diallo Djéinabou Wann Thierno Amadou Bah Mamadou Lamine Yaya Diakhaby Mamadou kanté Mamadou Aliou sylla Djibril Hepato-Gastroenterology Department of the Donka National Hospital Conakry Guinea Faculty of Health sciences and Techniques Gamal Abdel Nasser University Conakry Guinea Centre Hospitalier Universitaire Communautaire de Bangui Internal Medicine Department Bangui République Centrafricaine Hepato-Gastroenterology Department Angré University Hospital Abidjan Ivory Coast Department of Internal Medicine Donka National Hospital Conakry Guinea

Introduction: Oesophageal mycosis (OM) is one of the most common opportunistic infections in patients infected with HIV (Human Immunodeficiency Virus). However, this condition is increasingly observed in immunocompetent subjects. The aim of this study was to determine the endoscopic prevalence, clinical characteristics and risk factors for the occurrence of oesophageal mycosis in our department. Patients and Method: This was a prospective cross-sectional study of all patients who underwent oeso-gastroduodenal fibroscopy during the period from 1sup>st sup>January to 31sup>stsup> December 2022, i.e. one year, at the digestive endoscopy unit of the hepato-gastroenterology department of the Donka CHU national hospital in Conakry. All patients found to have oesophageal mycosis by FOGD were included. The endoscopy was performed using appropriate equipment: A Fujinon 4400 video endoscopy column;Three Fujinon EG 590 video gastroscopes;A hoover;Data were collected using a pre-established survey form and analysed using Epi info software version 6.0.4;Pearson’s Chi2 test as a test of independence and the exact 5% threshold ficher test. Results: Out of 1343 upper gastrointestinal endoscopies performed, 107 cases of oesophageal mycosis were found, representing a prevalence of 7.96%. The mean age was 40 years, with a male predominance of 55.42%. The sex ratio M/F was 1.24. The 45 and over age group was the most affected, with a prevalence of 40.43%, followed by the [35 - 45] age group, with a prevalence of 22.43%. Clinical symptoms were dominated by epigastralgia in 74.76% of cases, followed by odynophagia in 37.38% of cases, nausea and vomiting in 28.03% of cases, and pyrosis in 26.16% of cases. Oesophageal mycosis without oesophagitis was the most common endoscopic finding in 70% of cases. The main associated endoscopic lesions were erythemato-erosive and congestive gastropathy in 28.03% of cases, peptic oesophagitis (9.34%) and gastric ulcer (5.60%). The main risk factor

关键词： Endoscopy CHU Conakry Risk Factors Immunosuppression Oesophageal Mycosis

Evaluation of Hepatic Fibrosis and Hepatic steatosis by Pulse Elastography (FIBROsCAN/CAP) in Asymptomatic Patients about 170 Cases at the Donka CHU National Hospital in Conakry

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Open Journal of Gastroenterology 2024年第4期14卷 125-138页

作者： Mamadou sarifou Diallo Oumarou Youssouf Abdoulatif Yaogo Djenabou Diallo Kadiatou Diallo Thierno Amadou Wann Ahmed Tidiane Diallo Mamadou Lamine Yaya Bah Mamdou Diakhaby Mamadou Aliou kanté Djibril sylla Department of Hepato-Gastroenterology The Donka National Hospital Conakry Guinea Faculty of Health sciences and Techniques Gamal Abdel Nasser University Conakry Guinea Internal Medicine Department Centre Hospitalier Universitaire Communautaire de Bangui Bangui Central African Republic Department of Hepato Gastroenterology Angr&#233 University Hospital Abidjan Ivory Coast Department of Internal Medicine Donka National Hospital Conakry Guinea

Introduction: Fibroscan is a recent, non-invasive and non-irradiating diagnostic method. It is based on the principle of ultrasound, which enables liver tissue elasticity to be quantified using a probe, and fibrosis to be assessed. Fibroscan measures both elasticity correlated with hepatic fibrosis and CAP correlated with steatosis. The aim of this study was to evaluate hepatic fibrosis and steatosis using pulse elastometry (Fibroscan/CAP). Methods: This was a descriptive and analytical cross-sectional study in which 170 patients were included. It was conducted from October 1 2021 to December 31 2023, i.e. 27 months, in an outpatient clinic in the hepato-gastroenterology department of the Donka national hospital of the CHU Conakry. Results: Of the 170 patients identified, 87 were male (51%) and 83 female (49%), giving a M/F sex ratio of 1.04. The average age of our patients was 40. The 30 - 50 age group was the most affected, with a frequency of 58.23% (n = 99), followed by the 50 age group with a frequency of 29.41% (n = 50). Hepatomegaly, steatotic liver on ultrasonography, transaminase elevation and obesity were the main indications, respectively: (21.76%), (17.65%), (14.71%), and (13.53%). The examinations were requested by hepatogastroenterologists (47.06%), diabetologists (35.88%) and general practitioners (29%). Of the 170 patients, 100 patients (58.82%) had no significant fibrosis F0F1, 39 (22.94%) had moderate fibrosis F2, 20 patients (11.76%) had severe fibrosis F3 and 11 patients (6.47%) had fibrosis F4. Hepatic steatosis: 62 patients (36.47%) had no s0 steatosis;29.41% had s1 steatosis, 20% had s2 steatosis and 24 patients (14.11%) had s3 steatosis. Abdominal ultrasound revealed a normal liver in 67.05% of patients, hepatic steatosis in 29.41% and non-decompensated cirrhosis in 6 cases. Thus, 108 patients had the parameters required to calculate the Fatty Liver Index (FLI), steatosis was present in 20% of our patients, while 29.41% had an undetermined st

关键词： Cirrhosis Fibrosis Fibroscan/CAP Non-Alcoholic Hepatic steatosis steatosis CHU Conakry

Characterization of saline soil for the halophytes of largest inland saline wetland of India using geospatial technology

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Journal of Oceanology and Limnology 2023年第4期41卷 1277-1291页

作者： Naik RAJAsHREE sharma LAXMI kant singh AVINAsH Department of Environmental science School of Earth SciencesCentral University of RajasthanBandarsindriAjmer 305817India

About 23%of the surface area and 44%of the volume of all the lakes are occupied by saline lakes in the ***,agricultural diversion,illegal encroachment,pollution,and invasive species could cause these lakes to dry up completely or partially by *** saltpan encroachment is causing sambhar,India’s largest saline lake,to shrink by 4.23%every *** study aims to characterize the soil parameters where halophytes are growing.A literature survey was conducted for halophytes and soil *** study area was divided into four zones for stratified random *** sampling was conducted in February *** soil indicators for halophyte selected were pH,electrical conductivity,moisture,salinity,organic carbon,and organic *** obtained results were interpolated in the geospatial platform for soil characteristic *** is found that no research is conducted on halophytes of the *** on soil are also inconsistent and only six common parameters could be *** show that the pH ranged 9.37-7.66,electrical conductivity was 16.1-0.38,moisture 23.37%-1.2%,organic carbon 3.29%-0.15%,organic matter 5.6%-0.2%,and salinity 8.86%-0.72%.Though these results show improved condition as compared to last few years,in long term,the lake is *** the UN Decade of Ecosystem Restoration(2021-2030),if these causes are not addressed,the ecosystem may completely dry up.

关键词： halophytes inland lakes saline wetlands soil geospatial mapping interpolation

Automated Identification Algorithm Using CNN for Computer Vision in smart Refrigerators

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Computers, Materials & Continua 2022年第5期71卷 3337-3353页

作者： Pulkit Jain Paras Chawla Mehedi Masud shubham Mahajan Amit kant Pandit Chandigarh University Mohali140413India Department of Computer science College of Computers and Information TechnologyTaif UniversityTaif21944Saudi Arabia school of Electronics&Communication Engineering Shri Mata Vaishno Devi UniversityKatra182320India

Machine Learning has evolved with a variety of algorithms to enable state-of-the-art computer vision *** particular the need for automating the process of real-time food item identification,there is a huge surge of research so as to make smarter *** to a survey by the Food and Agriculture Organization of the United Nations(FAO),it has been found that 1.3 billion tons of food is wasted by consumers around the world due to either food spoilage or expiry and a large amount of food is wasted from homes and restaurants *** refrigerators have been very successful in playing a pivotal role in mitigating this problem of food *** a major issue is the high cost of available smart refrigerators and the lack of accurate design algorithms which can help achieve computer vision in any ordinary *** address these issues,this work proposes an automated identification algorithm for computer vision in smart refrigerators using InceptionV3 and MobileNet Convolutional Neural Network(CNN)*** designed module and algorithm have been elaborated in detail and are considerably evaluated for its accuracy using test images on standard fruits and vegetable datasets.A total of eight test cases are considered with accuracy and training time as the performance *** the end,real-time testing results are also presented which validates the system’s performance.

关键词： CNN computer vision Internet of Things(IoT) radio frequency identification(RFID) graphical user interface(GUI)

Drainage of pancreatic fluid collections in acute pancreatitis:A comprehensive overview

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World Journal of Clinical Cases 2022年第20期10卷 6769-6783页

作者： Akash Bansal Pankaj Gupta Anupam K singh Jimil shah Jayanta samanta Harshal s Mandavdhare Vishal sharma s.roj kant s.nha Usha Dutta Manavjit singh sandhu Rakesh Kochhar Department of Radiodiagnosis Postgraduate Institute of Medical Education and ResearchChandigarh 160012India Department of Gastroenterology Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

Moderately severe and severe acute pancreatitis is characterized by local and systemic *** complications predominate the early phase of acute pancreatitis while local complications are important in the late phase of the *** fluid collections represent the most important local *** of these collections is indicated in the setting of infection,persistent or new onset organ failure,compressive or pressure symptoms,and intraabdominal ***,endoscopic,and minimally invasive surgical drainage represents the various methods of drainage with each having its own advantages and *** methods are often *** this minireview,we discuss the indications,timing,and techniques of drainage of pancreatic fluid collections with focus on percutaneous catheter *** also discuss the novel methods and techniques to improve the outcomes of percutaneous catheter drainage.

关键词： Pancreatitis,Acute necrotizing Drainage Catheters stents Therapeutic irrigation Debridement Collections

MRMR Based Feature Vector Design for Efficient Citrus Disease Detection

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Computers, Materials & Continua 2022年第9期72卷 4771-4787页

作者： Bobbinpreet sultan Aljahdali Tripti sharma Bhawna Goyal Ayush Dogra shubham Mahajan Amit kant Pandit Department of Electronics&Communication Engineering Chandigarh UniversityMohali140413India Department of Computer science College of Computers and Information TechnologyTaif UniversityTaif21944Saudi Arabia Ronin Institute Mont ClairNJ07043USA school of Electronics&Communication Engineering Shri Mata Vaishno Devi UniversityKatra182320India

In recent times,the images and videos have emerged as one of the most important information source depicting the real time *** images nowadays serve as input for many applications and replacing the manual methods due to their capabilities of 3D scene representation in 2D *** capabilities of digital images along with utilization of machine learning methodologies are showing promising accuracies in many applications of prediction and pattern *** of the application fields pertains to detection of diseases occurring in the plants,which are destroying the widespread *** the disease detection process was done by a domain expert using manual examination and laboratory *** is a tedious and time consuming process and does not suffice the accuracy *** creates a room for the research in developing automation based methods where the images captured through sensors and cameras will be used for detection of disease and control its *** digital images captured from the field’s forms the dataset which trains the machine learning models to predict the nature of the *** accuracy of these models is greatly affected by the amount of noise and ailments present in the input images,appropriate segmentation methodology,feature vector development and the choice of machine learning *** ensure the high rated performance of the designed system the research is moving in a direction to fine tune each and every stage separately considering their dependencies on subsequent *** the most optimum solution can be obtained by considering the image processing methodologies for improving the quality of image and then applying statistical methods for feature extraction and *** training vector thus developed is capable of presenting the relationship between the feature values and the target *** this article,a highly accurate system model for detecting the diseases occurring in citrus fruits

关键词： Citrus diseases classification feature vector design plant disease detection redundancy reduction

Effectiveness of lukewarm water compress on reduction of breast pain and breast engorgement among post-cesarean section mothers

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中西医结合护理杂志(英文) 2023年第3期5卷 167-172页

作者： soni CHAUHAN Kumari NUTAN Monica AGRAWAL surya kant TIWARI Nursing Tutor Yatharth Nursing College and Paramedical InstituteChandauliUttar PradeshIndia Institute of Nursing King George’s Medical UniversityLucknowUttar PradeshIndia Professor Cum Vice-Principal M.V.P.Samaj’s Institute of Nursing EducationNashikMaharashtraIndia Department of Obstetrics and Gynecology King George’s Medical UniversityLucknowUttar PradeshIndia

Objective:The study aimed to assess the effectiveness of lukewarm water compress on breast pain and breast engorgement among post-cesarean primiparous *** and Methods:This quasi-experimental posttest-only design was conducted with 60 post-cesarean section primiparous mothers between October 2018 and January 2019.A simple random sampling technique was used to allocate 30 participants to both experimental and control *** experimental group received lukewarm water compress using a sponge cloth for 20 min twice a day on the second,third,and fourth postnatal *** control group received routine hospital *** pain and engorgement were assessed using the Visual Analog Pain scale and Breast Engorgement Assessment scale on the third,fourth,and fifth postnatal ***:significant differences were observed between the experimental and control groups on day 1 and day 3 in terms of breast pain and engorgement scores among post-cesarean section mothers(Pstatistically significant differences were found between sociodemographic and breastfeeding parameters and breast pain and engorgement(P>0.05).Conclusion:Lukewarm water compress is effective in reducing breast pain and engorgement in post-cesarean primiparous *** research can include randomized controlled trials to evaluate the effectiveness of different therapies in treating breast pain and engorgement.

关键词： Effectiveness lukewarm water compress post-cesarean section postnatal posttest only primiparous

Use of hydroxychloroquine and azithromycin combination to treat the COVID-19 infection

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World Journal of Experimental Medicine 2022年第3期12卷 44-52页

作者： Jyoti Bajpai Akshyaya Pradhan Ajay Kumar Verma surya kant Department of Respiratory Medicine King George's Medical UniversityLukcnowLucknow 226003Uttar PradeshIndia Department of Cardiology King George's Medical UniversityLukcnowLucknow 226003Uttar PradeshIndia Department of Respiratory Medicine King George Medical UniversityLucknow 226003Uttar PradeshIndia

Coronavirus disease 2019(COVID-19)infection is unequivocally the worst crisis in recent decades,which is caused by a severe acute respiratory virus ***,there is no effective therapy for the COVID-19 *** countries have different guidelines for treating COVID-19 in the absence of an approved therapy for ***,there is an imminent need to identify effective treatments,and several clinical trials have been conducted *** hydroxychloroquine[HCQs],chloroquine,and azithromycin(AZ)have been widely used for management based on in vitro studies favoring antiviral effects against the COVID-19 ***,there is evidence both in favor and against the use of hydroxychloroquine and azithromycin(HCQs+AZ)combination therapy to manage the COVID-19 *** combination of hydroxychloroquine and azithromycin was significantly associated with increased adverse ***,the inference of these findings was from observational ***,large randomized trials are imperative to show the future path for the use of HCQs+AZ combination ***,owing to the ban on HCQs use in COVID-19,this may no longer be *** review is on the pharmacology,trials,regimens,and side effects of hydroxychloroquine and azithromycin combination therapy.

关键词： Hydroxychloroquine Azithromycin Antiviral effects QT interval Randomized controlled trial

Generalized Invertibility of Operators through spectral sets

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Advances in Linear Algebra & Matrix Theory 2023年第2期13卷 21-35页

作者： E. salgado-Matias s. V. Djordjević G. kantún-Montiel Facultad de Ciencias Fí sico Matem&aacuteticas Benem&eacuterita Universidad Aut&oacutenoma de Puebla Puebla Mexico

If an operator is not invertible, we are interested if there is a subspace such that the reduction of the operator to that subspace is invertible. In this paper we give a spectral approach to generalized inverses considering the subspace determined by the range of the spectral projection associated with an operator and a spectral set containing the point 0. We compare the cases, 0 is a simple pole of the resolvent function, 0 is a pole of order n of the resolvent function, 0 is an isolated point of the spectrum, and 0 is contained in a circularly isolated spectral set.

关键词： Generalized Inverse Matrix Form Resolvent Function spectral Projection