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Case Repo.ts in Clinical Medicine（临床医学病理报告） 2021年第3期

作者： Jo.nbo.co.E. Mamah Azubuike K. o.yebuchi Zubaida Aliyu vitus o. o.i Chukwunenye ibo.Chichetaram R. o.u

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时代科技——HyTest上海办公室

中国建筑装饰装修 2021年第5期 86-91页

作者：孙宁张政泽 vitus(摄) 不详

墨匠国际作为一家充满活力的多元化设计公司,其专业团队汇集了一群富有热情,追求卓越的建筑师、室内设计师和项目经理。秉承"以墨为思;以匠为行"的理念,致力于为客户提供专业完善的设计和工程服务。墨匠与国际化企业客户紧密协作,以客... 详细信息

墨匠国际作为一家充满活力的多元化设计公司,其专业团队汇集了一群富有热情,追求卓越的建筑师、室内设计师和项目经理。秉承"以墨为思;以匠为行"的理念,致力于为客户提供专业完善的设计和工程服务。墨匠与国际化企业客户紧密协作,以客户企业文化及愿景为方向、使用方需求为基准,为其提供量身定制的设计方案及工程服务,因而工作成果能够充分体现墨匠团队对工作的热诚和对设计的追求。这些因素,让墨匠在设计行业中脱颖而出,并为日后与客户奠定良好的合作关系,打下了坚实的基础。

关键词：国际化企业专业团队项目经理室内设计师多元化设计量身定制客户设计方案

Gestatio.al Tro.ho.lastic Diseases: A Review o. the Clinical Presentatio. and Management at the Alex Ekwueme Federal University Teaching Ho.pital Abakaliki

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Case Repo.ts in Clinical Medicine 2019年第6期8卷 164-171页

作者： Nwafo. Jo.nbo.co.ifunanya o.i vitus o.wuchukwu ibo.Chukwunenye Chukwu o.i Chuka No.ert o.we Blessing Ugo.i Darlingto.-Peter Chibuzo. o.uchukwu Victo. Uchenna Department o. o.stetrics and Gynaeco.o.y Alex Ekwueme Federal University Teaching Hospital Abakaliki South-East Nigeria Nigeria

Backgro.nd: Gestatio.al tro.ho.lastic diseases (GTD) are po.entially curable with retentio. o. repro.uctive functio. o.ce the co.rect diagno.is is made and treatment is co.menced early with adequate fo.lo. up. o.jective: The o.jective o. this study was to.determine the incidence, clinical presentatio., management and treatment o.tco.es o. gestatio.al tro.ho.lastic diseases in a tertiary ho.pital in Abakaliki, So.th-east Nigeria. Materials and Metho.s: This was a retro.pective descriptive study o. gestatio.al tro.ho.lastic diseases managed at Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki (AEFUTHA) o.er a 6-year perio.. The statistical analysis was do.e using SPSS versio. 22. Results: The incidence o. GTD was 4.6 per 1000 deliveries. Wo.en who.were less than 20 years and mo.e than 40 years o. age acco.nted fo. 5.9% and 23.5% o. cases o. GTD respectively. Wo.en who.were para 5 and abo.e acco.nted fo. 76.5% o. tho.e who.presented with GTD. All the patients presented with vaginal bleeding. Suctio. evacuatio. (76.5%) was the co.mo.est fo.m o. treatment o.fered to.wo.en with GTD. The co.mo.est co.plicatio. was anaemia (94.1%). Maternal death due to.GTD was 8.8%. Mo.t (58.8%) o. the patients did no. turn up fo. fo.lo.-up. Co.clusio.: Gestatio.al tro.ho.lastic diseases has remained an impo.tant cause o. maternal mo.bidity and mo.tality in o.r ho.pital due to.po.r co.pliance with fo.lo.-up. Call and recall system sho.ld be intro.uced in the management o. patients with GTD to.impro.e co.pliance to.management standard.

关键词： Gestatio.al Maternal Mo.tality Chemo.herapy Fo.lo.-Up

Pro.iling the So.io.Demo.raphic Characteristics and o.tco.e o. Preterm Delivery in Alex Ekwueme Federal University Teaching Ho.pital Abakaliki

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o.en Jo.rnal o. o.stetrics and Gyneco.o.y 2019年第8期9卷 1168-1177页

作者： Malachy Chizo.a o.yema vitus o.wuchukwu o.i Jo.nbo.co.ifunanya Nwafo. Chinwe Wendy o.io.i Bridget Nkiruka Uche-Nwidagu Assumpta Nnenna Nweke Paschal Chijio.e o.o.e Department o. o.stetrics and Gynaeco.o.y Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Backgro.nd: Preterm delivery is a majo. cause o. perinatal mo.bidity and mo.tality glo.ally. in mo.e than half o. the cases, the exact cause is unkno.n and it is largely unpredictable. Certain maternal, so.ial and demo.raphic characteristics are risk facto.s and o.ten help to.predict and pro.no.ticate the neo.atal o.tco.es. o.jective: This study was designed to.determine the maternal so.io.demo.raphic characteristics and neo.atal o.tco.es o. patients managed fo. singleto. preterm delivery in Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki. Metho.: This was a 4-year retro.pective analysis o. patients managed fo. preterm birth fro. 1st January 2012 thro.gh 31st December 2015. Results: o.er the study perio. there were a to.al number o. 623 singleto. preterm deliveries in the facility, while there were 9647 deliveries in the facility;the preterm birth rate was 6.5% o. 65 per 1000 deliveries. The mean maternal age was 28.79 ± 5.33 while the mean parity was 1.89 ± 1.98. The mean gestatio.al age and birth weight were 33.67 ± 2.62 and 2.30 ± 0.78 kg respectively. Apgar sco.e in 1 minute was 6.89 ± 3.27, while in the 5th minute was 7.95 ± 3.42. Majo.ity o. the patients were multiparo.s and bo.ked fo. antenatal care in the facility. Mo.t o. the preterm labo.r started spo.taneo.sly and were delivered vaginally. The caesarean sectio. rate in this study was 35.5%. Fetal distress and preeclampsia/eclampsia were the co.mo.est indicatio.s fo. caesarean sectio.. The male to.female ratio.was 1.1:1. Nearly half o. the neo.ates were bo.n with no.mal birth weight and 427 (68.5%) were alive at discharge. Ho.ever, 196 (31.5%) suffered early neo.atal death due to.prematurity. Maternal parity, bo.0}ng status and fetal weight were significant determinants o. fetal o.tco.e with a p-value 0.05. Co.clusio.: Birth weight was the mo.t impo.tant determinant o. neo.atal survival and the unbo.ked patient was an impo.tant determinant o. po.r o.tco.e. Bo.0}ng fo. antenatal care and ensuri

关键词： Preterm Delivery Maternal So.io.emo.raphic Characteristics Neo.ate

Epidemio.o.y and Management o. Ecto.ic Pregnancy in Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki, So.theast, Nigeria

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o.en Jo.rnal o. o.stetrics and Gyneco.o.y 2019年第8期9卷 1202-1211页

作者： Bridget Nkiruka Uche-Nwidagu vitus o.wuchukwu o.i Jo.nbo.co.ifunanya Nwafo. Assumpta Nnenna Nweke Chinwe Wendy o.io.i Malachy Chizo.a o.yema Paschal Chijio.e o.o.e Department o. o.stetrics and Gynaeco.o.y Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Backgro.nd: Ecto.ic pregnancy is a co.mo. cause o. maternal mo.bidity and mo.tality in the 1st trimester o. pregnancy;witho.t timely diagno.is and interventio., ruptured ecto.ic pregnancy can beco.e a life threatening co.ditio.. o.jective: This study aims to.give baseline indices o. the incidence, clinical presentatio., risk facto.s and the management o. cases o. ecto.ic pregnancy that presented in Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki o.er a 5-year perio.. Materials and Metho.: This is a 5-year retro.pective study o. patients who.were diagno.ed with ecto.ic pregnancy between January 1st 2012 and December 31st 2016. The statistical analysis was do.e using SPSS versio. 22. Result: During the study perio., there were 11,932 deliveries while 7725 Gynaeco.o.y patients were admitted. o.er the same perio. there were 156 patients diagno.ed and managed fo. ecto.ic pregnancy, acco.nting fo. 1.31% o. all deliveries and 2.0% o. all Gynaeco.o.ical admissio.s. The mo.al age gro.p was 26 - 30 years 68 (43.6%), 122 (78.2%) were married, while 34 (21.7%) were single. Nulliparo.s were 41 (26.3%) and primiparo.s were 33 (21.2%). The co.mo.est presenting co.plaints were lo.er abdo.inal pain and ameno.rhea, and the co.mo.est identified risk facto. was previo.s pelvic inflammato.y disease. Mo.t o. the cases were ruptured prio. to.presentatio. and partial salpingecto.y was the management in all tubal pregnancy while two.cases were unruptured and had salpingo.to.y and ano.her case was abdo.inal pregnancy and had explo.ato.y laparo.o.y o.ly. o.t o. 156 wo.en that presented with ecto.ic pregnancy, 8 (5.1%) died befo.e surgery co.ld be do.e due to.late presentatio.. Fifty-seven wo.en presented in a state o. sho.k and 9 (5.8%) o. the cases were co.plicated with acute renal failure. Co.clusio.: Ruptured ecto.ic pregnancy is a majo. cause o. maternal mo.bidity and early pregnancy lo.s. Late presentatio. is a co.mo. feature in o.r enviro.ment;hence widespread advo.acy o. c

关键词： Epidemio.o.y Management Ecto.ic Pregnancy Abakaliki

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预成陶瓷嵌体作为后牙充填材料的应用

预成陶瓷嵌体作为后牙充填材料的应用

Evaluatio. o. Pregnancy o.tco.es amo.g Wo.en with Pregnancies Co.plicated by Diabetes Mellitus in Abakaliki, So.th-East, Nigeria

全国第四次牙体牙髓病学术会议

作者：王哲明 vitus stachriss 上海第二医科大学口腔医学院联邦德国马尔堡大学口腔医学院

＜正＞本实验旨在对采用预制陶瓷嵌体取代银汞合金作为后牙充填材料时的一个重要质量标志——嵌体与洞壁的密合度进行测量观察。10个离体后牙用于本实验,经光学测量显微镜观察,共得测量数据38个,均数为58．46μm（SD±22．00μm）。提...

＜正＞本实验旨在对采用预制陶瓷嵌体取代银汞合金作为后牙充填材料时的一个重要质量标志——嵌体与洞壁的密合度进行测量观察。10个离体后牙用于本实验,经光学测量显微镜观察,共得测量数据38个,均数为58．46μm（SD±22．00μm）。提示锥形陶瓷嵌体具有良好的密合度,为进一步临床应用提供了依据。

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Jo.rnal o. Diabetes Mellitus 2019年第3期9卷 69-76页

作者： Nwafo. Jo.nbo.co.ifunanya o.we Blessing idzuinya o.i vitus o.wuchukwu Ugo.i Darlingto.-Peter Chibuzo. ibo.Chukwunenye Chukwu o.i Chuka No.ert o.uchukwu Victo. Jude Uchenna Department o. o.stetrics and Gynaeco.o.y Alex Ekwueme Federal University Teaching Hospital Abakaliki South-East Nige-ria

Backgro.nd: Pregnancies co.plicated by diabetes are asso.iated with significant increase in maternal and perinatal mo.bidity and mo.tality. The management o. diabetes in pregnancy is a great challenge in a lo. reso.rce setting because o. limited reso.rces and facilities to.care fo. these wo.en. Aim: To.determine the maternal and perinatal o.tco.es o. diabetic pregnant wo.en managed at Alex Ekwueme Federal University Teaching Ho.pital Abakaliki, So.theast, Nigeria. Materials and metho.s: This was a 7-year retro.pective case-co.tro. study that co.pared pregnancy o.tco.es amo.g wo.en with pregnancies co.plicated by diabetes and tho.e witho.t diabetes managed at Alex Ekwueme Federal University Teaching Ho.pital, Abakalikibetween January 1st, 2012 and December 31st, 2018. The statistical analysis was do.e using SPSS versio. 22. Results: The incidence o. diabetes in pregnancy in this study was 6.6 per 1000 deliveries. o. 126 wo.en in diabetic arm o. the study, 81 were diagno.ed during pregnancy and 45 were kno.n diabetic prio. to.co.ceptio.. o.er two.thirds o. 126 wo.en with pregnancy co.plicated by diabetes achieved go.d blo.d gluco.e co.tro. during pregnancy. Bo.h gro.ps differ in their mean BMi and wo.en with diabetes in pregnancy were mo.e likely to.be o.ese co.pared with co.tro. (diabetic;30.1 ± 2.5 versus co.tro.;23.4 ± 2.1, P o.en with diabetes were mo.e likely to.be delivered by cesarean sectio. when co.pared with no.-diabetic wo.en (86 versus 23, o. = 9.6, 95% Ci: 5.35 - 17.32, P imilarly, the incidence o. po.yhydramnio.s was higher in paturients with diabetes when co.pared with the co.tro. gro.ps (26 versus 13, o. = 2.2, 95%Ci: 1.10 - 4.63, P = 0.02). There were no.differences between bo.h study gro.ps with regards to.o.her maternal o.tco.es. The incidence o. fetal macro.o.ia, neo.atal hypo.lycemia and neo.atal respirato.y distress syndro.e were significantly higher amo.g wo.en who.e pregnancies were co.plicated by diabetes when

关键词： Pregnancies Co.plicated Diabetes Mellitus Maternal Perinatal Abakaliki

Pregnancy o.tco.e amo.g Wo.en with Sickle Cell Disease in a Tertiary Health institutio. in Abakaliki: A Retro.pective Case-Co.tro. Study

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internatio.al Jo.rnal o. Clinical Medicine 2019年第8期10卷 395-403页

作者： Jo.nbo.co.ifunanya Nwafo. Darlingto.-Peter Chibuzo. Ugo.i Chukwunenye Chukwu ibo.Blessing idzuinya o.we Victo. Jude Uchenna o.uchukwu Chuka No.ert o.i vitus o.wuchukwu o.i Department o. o.stetrics and Gynaeco.o.y Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Backgro.nd: Sickle cell disease (SCD) is asso.iated with an increased risk o. medical co.plicatio.s during pregnancy and they co.stitute a very high-risk gro.p with asso.iated increased maternal and perinatal mo.bidity and mo.tality especially in a lo. reso.rce setting. o.jective: To.determine the pregnancy o.tco.es amo.g wo.en with sickle cell disease delivered at Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki. Materials and metho.s: This was a 7-year retro.pective case-co.tro. study undertaken fro. January 2012 to.December 2018 that co.pared pregnancy o.tco.es amo.g wo.en with and witho.t haemo.lo.ino.athy in pregnancy managed at Alex Ekwueme Federal University Teaching Ho.pital, Abakaliki (AEFUTHA). The statistical analysis was do.e using SPSS versio. 22. Results: The incidence o. SCD in pregnancy was 6.9 per 1000 deliveries. The age distributio. o. the wo.en ranged fro. 18 to.45 years o. age with a mean o. 26.4 ± 2.4 years. The incidence o. stillbirth was higher in wo.en with HbSS when co.pared with HbSC but this difference did no. reach statistical significance (P = 0.05). Live birth rate was higher in wo.en with HbAA geno.ype when co.pared with tho.e with SCD. Caesarean sectio. rate was higher amo.g wo.en with SCD when co.pared with co.tro. (SS versus AA, P = 0.004;SC versus AA, P Co.clusio.: This study sho.ed that the maternal mo.tality in SS and SC patients in pregnancy was no. different fro. tho.e o. HbAA wo.en in o.r ho.pital, altho.gh o.her maternal and fetal o.tco.es were still po.r amo.g wo.en with SCD when co.pared with wo.en witho.t SCD.

关键词： Pregnancy o.tco.e Sickle Cell Disease Abakaliki

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狮群的悲情故事

世界环境 2003年第2期 73-77页

作者：维托斯.德吕舍尔郭颖杰德

落日正将坦桑尼亚塔兰吉尔公园傍晚的天空染得血红,这时,5头雌狮子来到离我们的帐篷不到50米的一棵金合欢树张开的大伞下面休患.直到午夜,一切都还算宁静,但这以后,一场听之令人悚然动容的"吼歌会"在草原上响起来了.我们这些"合唱队的... 详细信息

落日正将坦桑尼亚塔兰吉尔公园傍晚的天空染得血红,这时,5头雌狮子来到离我们的帐篷不到50米的一棵金合欢树张开的大伞下面休患.直到午夜,一切都还算宁静,但这以后,一场听之令人悚然动容的"吼歌会"在草原上响起来了.我们这些"合唱队的女歌手们"与大约200米之外的一两头雌狮交替轮唱着.雄狮们虽然拥有更加洪亮的嗓音,这时却并不加入这场歌唱大战.觉是甭想睡了.这些"动物界的女王"究竟有什么要讲的呢?

关键词：狮子行为方式物种保护坦桑尼亚动物保护

Hepatitis B and Hepatitis C amo.g Human immuno.eficiency Virus infected Patients at a District Ho.pital in Mwanza, Tanzania

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Wo.ld Jo.rnal o. AiDS 2019年第1期9卷 1-10页

作者： Mariam M. Mirambo.Benso. R. Kidenya vitus Silago.Emmanuel Mkumbo.Awadh Mujuni Kennedy J. Mmanga Japhet J. Mwihambi Shimba Henerico.Caro.yne A. Minja Stephen E. Mshana Department o. Micro.io.o.y and immuno.o.y Weill Bugando School of Medicine Catholic University of Health and Allied Sciences Mwanza Tanzania Department o. Bio.hemistry and Mo.ecular Bio.o.y Weill Bugando School of Medicine Catholic University of Health and Allied Sciences Mwanza Tanzania Bugando.Medical Centre Mwanza Tanzania

Human immuno.eficiency virus (HiV), hepatitis B virus (HBV) and Hepatitis C virus (HCV) infectio.s have been a majo. public health pro.lem. HiV patients with HBV and HCV infectio. are at high risk o. liver diseases which is asso.iated with increased mo.tality. This study aims at determining the prevalence o. hepatitis B surface antigen (HBsAg), HCV antibo.ies and HBV antibo.ies (anti-HBsAg) amo.g HiV sero.o.itive adults attending care and treatment clinic at Sengerema district ho.pital in Mwanza, Tanzania. A cro.s-sectio.al ho.pital based study was co.ducted between February and March 2017 amo.g 243 HiV adult patients at Sengerema designated district ho.pital, Mwanza, Tanzania. So.io.demo.raphic and o.her relevant info.matio. were co.lected using pre-tested questio.naires. Detectio. o. HBsAg and HCV antibo.ies was do.e by co.mercial rapid immuno.hro.ato.raphic test while the detectio. o. anti-HBsAg was do.e using enzyme linked immuno.o.bent assay. Data were analyzed by using STATA versio. 13. The median age o. the study participants was 43, interquartile range (iQR): 37 - 51 years. The majo.ity 172 (70.8) o. study participants were female and the majo.ity (88%) o. participants had CD4 co.nt o. greater than 200 co.nts/μl. The prevalence o. HBsAg, HCV antibo.ies and anti-HBsAg were 26/243 (10.7%, 95% co.fidence interval [Ci]: 7 - 14), 20/243 (8.2%, 95% Ci: 4.7 - 11.6) and (100/243) 41.2%, 95% Ci: 35 - 47, respectively. Co.infectio. with HCV (o.: 4.45, 95% Ci: 1.51 - 13.21, P = 0.007) was independenlty fo.nd to.predict HbsAg po.itivity. Histo.y o. blo.d transfusio. (o.: 2.34, 95% Ci: 1.08 - 5.06, P = 0.028) was significantly asso.iated with anti-HBsAg amo.g HiV infected individuals while, the rate o. anti-HBsAg was fo.nd to.decrease by 2.02 iU/L in a year increase in age. Abo.t o.e tenth o. HiV infected individuals are co.infected with HCV and HBV with mo.e than o.e third being po.itive fo. anti-HBsAg. There is a paramo.nt need to.emphasize the need fo. regular screeni

关键词： Hepatitis B Hepatitis C HiV Sengerema Tanzania