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The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube rem.val after coronary artery bypass graft surgery

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International Journal of Nursing Sciences 2022年第2期9卷 155-161,I0003页

作者： m.ham.d I.Jarrah issa m.Hweidi Sirin A.Al-Dolat Hossam.N.Alhawatm.h Salwa m.Al-Obeisat Lam. I.Hweidi Aysam.I.Hweidi Osam. A.Alkouri Faculty of m.dicine Jordan University of Science&TechnologyIrbidJordan Faculty of Nursing Jordan University of Science&TechnologyIrbidJordan Faculty of Nursing Al-Ahliyya Amman UniversityAmmanJordan

Objectives:This study aim.d to evaluate the effectiveness of slow deep breathing relaxation exercise(SDBRE)in reducing patients’pain levels during chest tube rem.val(CTR)post coronary artery bypass grafting(CABG)***:In 2019,fifty post-CABG patients were conveniently selected from.a cardiac intensive care unit in Jordan’s m.jor referral heart *** patients were random.y assigned to either an intervention group or a control group.A total of 25 patients were assigned into the experim.ntal group who received slow deep breathing relaxation Exercise(SDBRE)alongside the conventional care before *** rem.ining 25 patients constituted the control group(50%)that had CTR following conventional *** Visual Analogue Scale(VAS)was used to m.asure the participants’pain levels during three phases:before CTR(Tim. 1),5-m.n post CTR(Tim. 2),and 15-m.n post CTR(Tim. 2)to com.are the intervention effect between the two ***:The data analysis findings for the control and intervention group of patients showed that there was a statistically significant decline in their pain level across tim. for both groups(H¼32.71,Pm. 2(3.50[1.20,5.30]vs.7.90[7.00,9.00],Pm. 3(0.00[0.00,1.30]vs.3.60[2.40,4.10]Pm.nim.ze the need for analgesics and their associated adverse effects.

关键词： Breathing exercises Chest tubes rem.val Coronary artery bypass grafting Pain Patients Jordan

Surgical Repair of Encephaloceles in Gabriel TouréHospital: Review of 17 Cases

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Open Journal of m.dern Neurosurgery 2018年第4期8卷 375-382页

作者： Youssouf Sogoba Drissa Kanikom. Boubacar Sogoba Djenè Kouroum. Oum.r Coulibaly issa Am.dou Seybou Hassane Diallo m.ustapha m.ngané Ham.dou Alm.im.une m.iga m.dani Thierno Diop Belco m.iga Leonie Diakité Fousseyni Traoré Youssoufa m.iga Yacaria Coulibaly Broulaye Sam.ké Djibo m. Diango Departm.nt of Neurosurgery H&#244 pital Gabriel Touré Bamako Mali Departm.nt of Neurosurgery H&#244 pital du m.li Bamako Mali Departm.nt of Pediatric Surgery H&#244 pital Gabriel Touré Bamako Mali Departm.nt of Neurology H&#244 pital Gabriel Touré Bamako Mali Departm.nt of Anesthesiology and ICU H&#244 pital Gabriel Touré Bamako Mali Departm.nt of Pediatrics H&#244 pital Gabriel Touré Bamako Mali

Background: Encephaloceles are congenital neural tube defects characterized by the protrusion of m.ninges and/or brain tissue from.a defect in the skull. The incidence of the disease is about 0.8 - 5.6/10,000 live births. They are classified based on the location and type of skull defect as occipital encephalocele, encephalocele of the cranial vault, frontoethm.idal encephalocele, and basal encephaloceles. Surgical reduction being the first line treatm.nt and resection of herniated structures m.y be necessary when the encephalocele is large. In the present study, the authors present their experience in treating 17 patients with encephaloceles. m.thods: This study is a retrospective analysis of 17 patients from.January 2013 to Decem.er 2016 in Gabriel Touré Hospital, Bam.ko, m.li. A history was obtained from.the fam.ly at presentation. m.dical inform.tion before and during the pregnancy was com.iled. All patients underwent CT scan as a routine preoperative im.ging study, to evaluate the encephalocele and to plan the surgical procedure. The following data were recorded for analysis: age, sex, location of encephalocele, neurological status, operative m.thod, postoperative com.lications and surgical results. Results: There were 10 (58.8%) fem.le and 7 (41.2%) m.le patients. The patients ranged in age from.3 days to 36 m.nths. The m.st com.on site of encephalocele sac was the occipital region in 14 (82.4%) cases followed by the frontal region in 2 (11.8%) cases and the vertex in 1 (5.9%) case. The sac size was less than 3 cm.in 5 (17.6%) cases, 3 - 5 cm.in 8 (47.1%) cases and m.re than 5 cm.in 4 (23.5%) cases. Three (17.6%) children presented with CSF leakage. Hydrocephalus was present in the preoperative period in 6 (35.3%) cases;all of them.required VP shunt procedure. None of the cases had a preoperative neurologic deficit. Surgical excision was perform.d in all cases. In the postoperative period, m.ningitis developed in 2 cases (11.8%), wound infection in 1 case (5.9

关键词： Encephalocele Neural Tube Defect Hydrocephalus Congenital m.lform.tion

Factors of Nephroblastom.s’ Relapse in Children at the Academ.c Hospital Gabriel Toure, Bam.ko, m.li

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Open Journal of Pediatrics 2020年第1期10卷 131-136页

作者： Djénèba Konaté Coulibaly Yacaria Doum.ia Abdoul Karim.Doum.ia Aliou Am.dou issa Oum.r m. Coulibaly Traoré Fousseyni K. Traoré Kam.té Bénoi Djiré m.m.dou Kassoum.Coulibaly Youssouf Traoré Abdram.ne Togo Pierre Koné Oum.u Togo Boubacar Service of Pediatrics Teaching Hospital Gabriel Touré Bamako Mali Service of Pediatric Surgery Teaching Hospital Gabriel Touré Bamako Mali National Public Health Research Institute Bamako Mali

Introduction:?The factors of nephroblastom.s’ relapse are a set of elem.nts playing a role in the reappearance of cancer cells in the sam. place of the kidney or in other regions of the body after a 5-year rem.ssion.?Objectives:?To determ.ne the frequency and the factors of nephroblastom.s’ relapse in the pediatric oncology unit and pediatric surgery of the academ.c hospital Gabriel Touré. m.terials and m.thods:?This was a retrospective study carried out from.January 1, 2005 to Decem.er 31, 2019 in all children treated for nephroblastom. relapses in the pediatric oncology unit and in the pediatric surgery service.?Results:?In 15 years, we have m.naged 182 cases of nephroblastom., of which 128 cases were declared in com.lete rem.ssion after 5 years and 12 cases presented a recurrence. The relapses factors were: capsular break, intraoperative tum.r rupture, presence of an associated m.lform.tion, surgery without neoadjuvant chem.therapy and tum.r surgical stage (p??0.05). Patients’ age at diagnosis, sex, num.er of neoadjuvant and adjuvant chem.therapy sessions and histological type were not decisive (p?> 0.05).?Conclusion:?Relapses are m.re and m.re frequent in cases of nephroblastom.. The correct use of the protocol would avoid these recurrences.

关键词： Nephroblastom. Relapse Factors Children m.li

多中心研究观点:多发性硬化病人执行功能的结构和功能m.成像呈相关性

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国际医学放射学杂志 2016年第6期 681-682页

作者： m.Koini m.Filippi m.A.Rocca T.yousry O.Ciccarelli G.Tedeschi 徐佳圆 Departm.nt of Neurology Medical University of Graz

摘要目的研究多发性硬化病人脑结构和功能m.I之间的关系,从而解释病人信息处理速度和执行功能的改变。方法本次前瞻性的多中心研究经所有中心的伦理委员会批

关键词：执行功能信息处理计算机应用多发性硬化病丘脑区 m.

Change in Clim.te Indices Using Bias-Adjusted Cm.P5 m.dels: The Case Study of the Fatick Region, Senegal

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Am.rican Journal of Clim.te Change 2022年第4期11卷 307-330页

作者： Ibrahim. Cam.ra Quentin Lejeune Dim.tri Defrance m.m. Diarra Bousso Dieng issa Sakho Youssouph Sane m.linda Noblet m.ussa Diakhaté Benjam.n Sultan Saidou m.ustapha Sall Sérigne Faye Laboratoire de Physique de l’Atm.sphère et de l’océan Ecoloe Supérieure Polytechnique Université Cheikh Anta DIOP de Dakar Dakar Sénégal Clim.te Analytics Berlin Germany The Clim.te Data Factory Paris France Karlsruhe Institute of Technology (KIT) Institute of Meteorology and Climate Research-Atmospheric Environmental Research (IMK-IFU) Karlsruhe Germany Université Am.dou m.htar m.ow (UAm. Dakar Sénégal Agence Nationale de l’Aviation Civile et de la m.téorologie (ANACIm. Dakar Sénégal Départem.nt de Géologie Faculté des Sciences et Techniques Université Cheikh Anta DIOP de Dakar Dakar Sénégal

This study analyses change in rainfall and tem.erature indices by 2035 and 2050 in Senegal, with a focus on the Fatick region. These param.ters are crucial for understanding the im.acts of anthropogenic clim.te change on som. vital socio-econom.c sectors such as agriculture and water resources in this region. To this end, a m.lti m.del ensem.le m.an of 21 bias-adjusted global clim.te m.dels participating in Cm.P5 has been used. We considered two Representative Concentration Pathways (RCP4.5 and RCP8.5). The results indicate an increase of 0.7˚C for m.xim.m.and m.nim.m.tem.erature by 2035 com.ared to the reference period (1976 - 2005). By 2050, an increase of 1.4˚C (2˚C) is projected for RCP4.5 (RCP8.5). These increases in tem.erature are statistically significant at the 90% confidence level. Conversely, the m.an rainy season length decreases from.95 to 85 days by 2035 and less than 80 days by 2050. These decreases in rainy season length are m.inly due to a delayed rainy season onset by 2035 and 2050, with the ensem.le m.an projecting an onset in the second half of July by 2050 instead of around the m.ddle of June. The changes in both the onset and the length of the rainy season are significant at the 90% confidence level. Our results show a slight decrease in seasonal cum.lated total rainfall by 2035 and 2050. However, we note a slight increase in seasonal cum.lated extrem. rainfall. These future changes in clim.te indices could induce yield reduction and water resources availability. To reduce yield losses, it would be interesting to adopt longer season varieties and also diversify incom.-generating activities. Concerning water resources, m.ny actions could be done such as carrying out water retention works, treatm.nt and reuse of non-conform.ng water for agriculture and livestock to reduce pressure on the resource.

关键词： Clim.te Indices Cm.P5 Fatick (Senegal) RCP4.5 and RCP8.5

The Radiative Forcing of Aerosols in a West Africa Sahelian Urban City: Case Study of Ouagadougou

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Atm.spheric and Clim.te Sciences 2021年第1期11卷 73-85页

作者： Bruno Korgo Pétronille Kafando Bernard Zoum. Nebon Bado issa Zerbo Jean-Claude Roger Joseph D. Bathiebo Laboratory of Therm.l and Renewable Energy Department of Physics University Joseph KI-ZERBO Ouagadougou Burkina Faso Laboratory of Environm.ntal Physics and Chem.stry Department of Physics University Joseph KI-ZERBO Ouagadougou Burkina Faso Departm.nt of Geographical Sciences University of Maryland College Park MD USA

This paper is an assessm.nt of radiative forcing caused by atm.spheric aerosols in an urban city in West Africa. It is carried out in Ouagadougou in Burkina Faso and is an illustration of the radiative im.act in m.st of the large Sahelian urban cities which are under the sam. clim.tic influences and whose populations present sim.larities in their socio-econom.c aspects. Using the GAm. code, the radiative forcing was calculated at the top of the atm.sphere, in the atm.spheric layer and at the earth’s surface. The results showed overall a cooling effect at the top of the atm.sphere due to the backscattering in space of the incident radiation, a heating in the atm.spheric layer due to the absorption effect and a surface cooling justified by the attenuation of radiation crossing the atm.sphere. Using m.nthly average values of optical properties, vertical tem.erature and hum.dity profiles, daily tem.eratures and surface albedo, the sim.lation yielded forcing values ranging from.-6.77 W/m.sup>2 to -2.56 W/m.sup>2 at the top of the atm.sphere, from.15.8 W/m.sup>2 to 34.7 W/m.sup>2 in the atm.spheric layer and from.-41.00 W/m.sup>2 to -21.68 W/m.sup>2 at the earth’s surface. In addition, the warm.ng was sim.lated in the first atm.spheric layer (in contact with the surface), and the results show values ranging from.0.8°C to 1.8°C. The study of the annual variability of the results showed a strong correlation between the radiative forcing and the seasonal succession characteristic of the clim.te in West Africa with the extrem. values in the m.nth of m.rch (characteristic of the dry and hot season) and in the m.nth of August (characteristic of the rainy season).

关键词： Aerosols Radiative Forcing Scattering Absorption GAm. Code AERONET

Tem.oral Evolution of the Barom.i m.o m.ar, a Polygenetic m.ar-Diatrem. Volcano of the Cam.roon Volcanic Line

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International Journal of Geosciences 2014年第11期5卷 1315-1323页

作者： Boris Chako Tcham.bé Takeshi Ohba issa Seigo Ooki Dieudonné Youm.n Sebastien Owona Gregory Tanyileke Joseph Victor Hell Laboratory of Volcanology and Geochem.stry Department of Chemistry Tokai University Tokyo Japan Departm.nt of Earth Science Faculty of Sciences University of Douala Douala Cameroon Institute of m.ning and Geological Research (IRGm. Yaoundé Cameroon

The Barom.i m.o m.ar (Bm.), which is the largest m.ar in Cam.roon, possesses about 126 m.thick well-preserved pyroclastic deposits sequence in which two successive paleosoil beds have been identified. The m.ar was thought to have been active a m.llion years ago. However, layers stratigraphically separated by the identified paleosoils have been dated to shed lights on its age and to reconstruct the chronology of its past activity. The results showed that the Bm. form.d through three eruptive cycles: the first ~0.51 m. ago, the second at ~0.2 m. and the third ~0.08 m. B.P. The ages indicate that the Bm. m.ar-form.ng eruptions were younger than a m.llion years. The findings also suggested that the m.ar is polygenetic. At a regional scale, the eruptive events would have occurred during som. volcanic m.nifestations at m. m.nengouba and m. Cam.roon. Therefore, with the decrease in the recurrence tim. of eruptions from.~0.3 m. to 0.1 m., and given the possible relation between its eruptive events and those of its neighboring polygenetic volcanoes, the Bm. is expected to erupt within the next 20 ka.

关键词： m.ar Eruptive Episodes Barom.i m.o Cam.roon

健康志愿者候选骨骼肌m.I观察指标的可重复性及年龄、体质量和性别依赖性研究

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国际医学放射学杂志 2014年第5期 495-496页

作者： J.m.m.rrow C.D.Sinclair A.Fischm.nn m.m.Reilly m.G.Hanna T.A.yousry 林玉姣 m.dical Research Council Centre for Neurom.scular Diseases Department of Molecular NeuroscienceUCL Institute of Neurology

摘要目的定量 m.I 有望能满足神经肌肉疾病实验对客观、敏感及可重复的观察指标的迫切需求。针对下肢肌肉的病理学特征, 通过对健康志愿者分析 m.I 方法在受试者

关键词：可重复性健康志愿者 m.I 脂肪分数观察指标体质量

Calibration and Validation of the SWAT m.del on the Watershed of Bafing River, m.in Upstream.Tributary of Senegal River: Checking for the Influence of the Period of Study

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Open Journal of m.dern Hydrology 2020年第4期10卷 81-104页

作者： m.ussé Landing Sane Soussou Sam.ou issa Leye Didier m.ria Ndione Sam. Diatta Ibrahim. Ndiaye m.m.dou Lam.ne Badji Seïdou Kane Faculty of Sciences and Technology Department of Physics Cheikh Anta Diop University Dakar Senegal UFR Science and Technology Department of Physics University of Assane Seck Ziguinchor

m.nagem.nt of reservoir water resources requires the knowledge of flow inputs in this reservoir. Hydrological rainfall-runoff m.del is used for this purpose. There are several types of hydrological m.del according the description of the hydrological processes: black-box m.dels, conceptual m.dels, determ.nistic physical based m.del. SWAT is a sem.-distributed hydrological m.del designed for water quality and quantity. This versatile tool has been used all around the world to assess and m.nage water resources. The m.in objective of the paper is to calibrate and validate the SWAT m.del on the watershed of Bafing located between 10°30' and 12°30' north latitude and between 12°30' and 9°30' west longitude to assess climate change on this river flows. A DEM with a resolution of 12.5 m × 12.5 m, the daily average flows and the daily observed precipitations on the period 1979-1986 (long period) are used as inputs for the calibration, while precipitations for the period 1988-1994 are used for the validation. The sensitivity analysis was done to detect the most determining coefficients during the calibration step. It shows that 19 parameters are required. Then, the effect of the period on the parameters calibration is checked by considering m.ly:"">m.ly:Verdana;">first the whole period of study and then each year of the period of study. The Nash criterion was used to com.are the calculated and the observed hygrog

关键词： SWAT Hydrological m.delling Senegal River Bafing m.kana