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External Otitis: Epidemiological, Clinical, Etiological, and Therapeutic Aspects at the Oto-Rhino-Laryngology Department of Mamou Regional Hospital

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第3期13卷 213-224页

作者： Mamadou Mouctar Ramata Diallo Sayon Kourouma Oumou Amadou Diallo Ibrahima Diallo Francine Haba Alsény Cisse Raphan Madi Kaba Keita Abdoulaye Keita Alpha Oumar Diallo ent Department Mamou Regional Hospital Mamou Guinea ent Department Conakry Military Hospital Conakry Guinea ent Department IgnaceDeen National Hospital Conakry Guinea ent Department Donka National Hospital Conakry Guinea ent Department Lab&#233 Regional Hospital Lab&#233 Guinea ent Department N&#8217Z&#233r&#233kor&#233 Regional Hospital N&#8217Z&#233r&#233kor&#233 Guinea

Introduction: External otitis (OE) is an acute or chronic inflammation or infection of the external ear resulting from an imbalance in the external auditory canal secondary to microtrauma, maceration, eczema, or a foreign body in the external auditory canal. Objective: To study cases of external otitis at the Mamou Regional Hospital. Materials and Methods: This was a prospective descriptive study conducted over a period of six (6) months from July 1st to December 31st, 2016. It included all patients admitted to the ent department of the Mamou Regional Hospital. Results: During the study period, 712 patients were admitted to the department for various pathologies, of which 103 met our selection criteria, representing a frequency of 14.46%. The mean age of the patients was 33.74 years with a range of 1 to 90 years. Males predominated in the sample, accounting for 59.22%. The vast majority of patients resided in urban areas, constituting 61.17% of the sample. In our study, all patients consulted for otalgia (100%), and over half (53.39%) for hypoacusis. We formally identified rhinitis in 66.66% of cases, while diabetes was found in only 4 patients (11.11%). Otomycosis was the most commonly identified condition (53.39%), followed by furuncles (33.98%). Ear drops containing antibiotics were administered to all patients, although 66.60% received antibiotic therapy. Conclusion: External otitis is a relatively common condition, particularly among children and the elderly. Diagnosis can be made based on pain upon traction of the pinna and pressure on the tragus.

关键词： External Otitis ent Mamou Regional Hospital

Evaluation of the Quality of Life of Patients Suffering from Chronic Rhinosinusitis in a Hospital Setting in Kinshasa

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第1期13卷 41-52页

作者： Hilaire K. Kalala Patricia K. Kakobo Honoré N. Yalombe Lievin K. Mvita Léon N. Muamba Dieudonné T. Nyembue Otorhinolaryngology Service University of Kinshasa Democratic Republic of Congo Imaging Department University of Kinshasa Democratic Republic of Congo Ophthalmology Service University of Kinshasa Democratic Republic of Congo

Background and objective: Chronic rhinosinusitis (CRS), a common disease worldwide, has a major impact on patients’ quality of life (QoL). In recent years, the measurement of health-related QoL has made it possible to assess the patient’s state of health, the severity of the CRS and the treatment. The aim of this study was to assess the QoL of patients with CRS in a hospital setting in Kinshasa. Methods: This was a cross-sectional analytical study conducted from June 2020 to May 2021 in the ent service of the Kinshasa University Hospital and the Monkole Hospital Center. The study involved 113 patients aged at least 18 years, whose QOL was compared with that of a control group consisting of 100 non-patients. QOL was assessed using the Sino-Nasal Outcome Test (SNOT-22) Questionnaire. Results: The mean age of the patients was 41.0 years (18 - 74 years) and that of the controls was 39.1 years (19 - 77 years). More than half of the participants were university graduates. The median SNOT-22 score was 44 (14 - 78) in patients and 7 (1 - 40) in controls. Compared with subjects without CRS, patients with CRS had significantly higher scores in all four domains of the SNOT-22. Around 9 out of 10 patients had a severely impaired QoL compared with 2 out of 10 controls. Considering mildly impaired QoL, we found that in the otological and sleep domains, scores were not significantly different between patients and controls. In the case of severely impaired QoL, however, only the otological domain showed a non-significant difference in scores between the two groups. Conclusion: CRS is a real public health problem in our environment and significantly alters the QoL of patients suffering from it, with repercussions on their professional productivity;hence the need for better management.

关键词： Chronic Rhinosinusitis Quality of Life SNOT-22 ent Kinshasa

Overview of the Development of the Soybean Industry in the United States,Brazil and Argentina and Its Lessons for the Development of the Soybean Industry in China

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China's Foreign Trade 2024年第1期 47-50页

作者： Guancong Deng Tian Tian Agricultural Trade Promotion Center MARA

Since the 1950s,China has gradually moved away from complete self-sufficiency in terms of soybeans to a high dependence on imports,and its annual import of soybeans accounts for about 60%of the global soybean trade.Brazil,the United States and Argentina have seen rapid growth in the soybean industry in just a few decades,and now account for about 80%of the world’s annual production.On the whole,in addition to the unique resource endowment and the continuous expansion of international market demand,the strong support of the U.S.government.

关键词： soybean ent imports

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Chemin d’avenir

中国与非洲（法文版） 2024年第1期16卷 42-43页

Le projet ferroviaire entrepris par China Railway Signal and Communication Corp.International(CRSC)promet de stimuler l’économie du Malawi en générant des centaines d'emplois.

关键词： law ferro ent

Sicien H. Chen, one of the pioneers and founders of Chinese entomology

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Protein & Cell 2022年第5期13卷 309-312页

作者： Yejing Ge Department for the History of Science and Scientific Archaeology University of Science and Technology of ChinaHefei 230026China

Sicien H.Chen(陈世骧,1905-1988)was an academician of the Chinese Academy of Sciences(CAS)and a distinguished biologist,entomologist,and evolutionary taxonomist(Fig.1).As a meticulous and diligent scientist,he discovered 76 new genera,949 new species,and contributed more than 180 publications,including articles,monographs,and conference proceedings.Sicien H.Chen has been included in the Who's Who of various countries and continues to be highly regarded by the international scientific community.

关键词： ent pioneer publications

Renforcer la solidarité alimentaire

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中国与非洲（法文版） 2024年第1期16卷 36-36页

Le deuxième Forum de coopération agricole sino africaine(FC.ASA).tenu a Santa dans la province chinoise de Halnan.du 13 au 15 novembre 2023 a marquéun tournant décisif dans la consolidation de la coopération alim... 详细信息

关键词： ent consolidation Santa

Persistent Müllerian duct syndrome in an assisted reproductive patient: a novel variant impairs the biosynthesis and secretion of anti-Müllerian hormone (AMH)

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Asian Journal of Andrology 2023年第4期25卷 534-536页

作者： Qiang Du Chuang Qiu Lu Zhang Qing-Yi Wang Kai Hong Xiao-Liang Liu Department of Reproduction Shengjing Hospital of China Medical UniversityShenyang 110004China Department of Orthopedics Shengjing Hospital of China Medical UniversityShenyang 110004China Department of Clinical Genetics Shengjing Hospital of China Medical UniversityShenyang 110004China Center for Computational and Integrative Biology Massachusetts General HospitalBostonMA 02114USA Department of Urology Peking University Third HospitalBeijing 100191China

Dear Editor,Persistent Müllerian duct syndrome(PMDS,MIM 261550)is an autosomal recessive inherent disorder of sex development in normally masculinized subjects with Müllerian duct derivatives,including the uterus,fallopian tubes,and upper part of the vagina.1 PMDS is very rare with presentations of bilateral cryptorchidism(55%),unilateral cryptorchidism with contralateral hernia(20%),or transverse testicular ectopia(25%).

关键词： uterus ent transverse

Surgical wound classification in otolaryngology:A state-of-the-art review

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第2期8卷 139-144页

作者： Jeffrey D.Bernstein David J.Bracken Shira R.Abeles Ryan K.Orosco Philip A.Weissbrod Department of Otolaryngology University of California San DiegoLa JollaCaliforniaUSA Department of Medicine Division of Infectious Disease and Global Public HealthUniversity of California San DiegoSan DiegoCaliforniaUSA Moores Cancer Center University of California San DiegoLa JollaCaliforniaUSA

Objective:To describe the issues related to the assignment of surgical wound classification as it pertains to Otolaryngology—Head&Neck surgery,and to present a simple framework by which providers can assign wound classification.Data Sources:Literature review.Conclusion:Surgical wound classification in its current state is limited in its utility.It has recently been disregarded by major risk assessment models,likely due to inaccurate and inconsistent reporting by providers and operative staff.However,if data accuracy is improved,this metric may be useful to inform the risk of surgical site infection.In an era of quality-driven care and reimbursement,surgical wound classification may become an equally important indicator of quality.

关键词： ent health care spending OHNS otolaryngology quality improvement reimbursement surgical site infection wound classification

Burnout and well-being in otolaryngology trainees:A systematic review

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2022年第2期8卷 118-125页

作者： Skye K.Lawlor Christopher M.Low Matthew L.Carlson Karthik Rajasekaran Garret Choby Department of Otolaryngology-Head and Neck Surgery Mayo ClinicRochesterMinnesotaUSA Department of Neurologic Surgery Mayo ClinicRochesterMinnesotaUSA Department of Otolaryngology-Head and Neck Surgery University of PennsylvaniaPennsylvaniaUSA

Objective:To comprehensively review the recent published literature to characterize current trends of burnout and well-being among otolaryngology trainees.Methods:Study design:systematic review and meta-analysis.A comprehensive literature review from 2000 to 2021 of studies related to otolaryngology resident burnout and well-being,as well as the general topic of well-being among surgical residents was completed.All included studies were summarized qualitatively.For the quantitative analysis,only articles reporting a Maslach burnout inventory(MBI),modified MBI or Mini-Z-Burnout assessment were included.Results:Twenty-five articles were included in the qualitative summary and nine articles in the quantitative analysis.In the qualitative summary,trainees were reported to have increased levels of distress and emotional hardening compared to attending otolaryngologists.Total hours worked per week and female gender were associated with worsened well-being.Residency program strategies to improve trainee well-being include program-sponsored wellness activities,dedicated wellness champions,and assistance with clerical burden.Implementation of protected nonclinical time has been shown to decrease burnout and increase well-being among trainees.Moreover,formal trainee mentorship programs have also been shown to reduce trainee burnout and stress.In the quantitative analysis,rates of trainee burnout ranged from 29.7%to 86%with an overall trend towards reduced rates of burnout from 2006 to 2021.Utilizing a weighted average,the overall burnout among otolaryngology residents was 58.6%.Conclusions:Rates of burnout remain high among otolaryngology trainees.Implementing formal mentorship programs and providing protected time during regular work hours appear to be effective tools to improve resident well-being.

关键词： burnout ent otolaryngology residents wellness