Epidemiology of Cardiovascular Mortality in Patients under 60 Years Old in a Cardiology Department in West Africa, Dakar-Senegal

Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors linked to mortality. Methods: We conducted a descriptive and analytical retrospective study from September 2019 to August 2022 at the General Hospital Idrissa POUYE in Dakar, we reviewed all the medical records of patients from 15 to 60 years old who died while admitted in the cardiology department. Data collected were socioeconomic status, clinical history, type of cardiovascular disaese, length of hospitalization, circumstances and timing of death. The data were analyzed with R. Studio version 2022.12.0 + 353 and Excel 2019, with a P-value Results: The study included 73 patients, indicating a specific mortality rate of 8.8% and a proportional mortality of 39%. Predominantly male (sex ratio 1.2), the average age was 44. Key cardiovascular risk factors identified were sedentarism (76.7%), hypertension (28.8%), and smoking (21.9%). The leading cause for consultation was dyspnea (72.6%). Notable findings included a majority of patients presenting with general condition deterioration (90%) and cardiovascular collapse upon admission (23.3%). Physical exam revealed signs of heart failure in 63%. Echocardiography showed left ventricular ejection fraction impairment (81%) and pulmonary hypertension (78%). Immediate causes of death were primarily cardiogenic shock (45.2%) and septic shock (37%). The analytical study indicates that the data most closely associated with mortality were age, socio-economic level, ischemic heart disease (p = 0.034), rheumatic valvulopathies, pulmonary embolism (p = 0.034), hypertension (HTA) (p = 0.009), smoking (p = 0.011), diabetes (p = 0.011), dyslipidemias, prolonged bedrest (p = 0.001), morbid obesity (p = 0.001), and COVID-19 infection (p = 0.017). Conclusion: The prevalence of ischemic heart diseases, pulmonary embolisms, and valvulopathies in premature mortality statistics underscores the need for enhanced cardiovascular prevention efforts.

Frequency of Rotavirus among under 5 Children Admitted to Wad Madani Pediatric Teaching Hospital with Diarrhea, Gezira State, Sudan (2021-2022)

Rotavirus is the leading cause of acute gastroenteritis and responsible for 20% of death in children under 5 years of age approximately 111 million episodes of gastroenteritis due to Rotavirus in under 5 children, which result in 25 million visits to clinic, 2 million hospitalization and 352,000 - 592,000 deaths. Children in the poorest countries account 82% of rotaviruses death. Diarrhea disease are major cause of death and disease among children under five years, a child on average suffers 2 to 3 attacks of diarrhea every year. Stools samples were collected from 196 children suffering from diarrhea and were tested for rotaviruses by immune chromatography test antigen (ICT-Ag), ELISA and RT PCR The data were analyzed using statistical package for the Social Sciences (SPSS). The results showed that prevalence of rotavirus was 26/196 (13.3%) by ICT Ag and ELISA and confirmed by RT-PC R. 87.8% of the children were vaccinated by Rota vaccine, 70% of their mothers not using soap for cleaning the children and thought diarrhea not infectious disease and believed it was caused by teething. In conclusion there was a decrease in prevalence of diarrhea by Rotavirus due to insertion of Rota vaccine in routine vaccination, rotavirus infection mostly occurs in poor family that not able to provide safe water and due to poor sanitation and low education of mother beside that some children suffered from malnutrition, so it recommended to incorporate ELISA as a diagnostic tool in routine diagnosis of rotavirus among children suffered from gastroenteritis.

Effect of a Nutrition Education Intervention on Food Safety Knowledge, Attitudes and Practices of Mothers of Children under 5 Years in the Peri-Urban Areas of Bobo-Dioulasso: Before and after Study

Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Dioulasso in Burkina Faso. Methods: A total of 243 mothers of children under 5 years in the peri-urban of Bobo-Dioulasso were administered the FAO questionnaire for food safety knowledge, attitudes, and practices assessment during two cross-sectional surveys, before and after the intervention, in January and October 2017. The intervention included two components consisting of a theoretical phase (counselling and discussion) and cooking demonstrations implemented for ten months. To account for the before-and-after design of the study, the McNemar’s test was used to assess the effect of the intervention on food safety KAP of mothers of children under 5 years. Results: The mean age of mothers was 29 ± 6.2 years and 50.6% of them were between 20 and 29 years old. One for knowledge (cooking thoroughly with, p-value = 0.0001) and another for attitudes (perceived benefits of reheating leftovers before eating them, p-value = 0.0001), significantly increased after the intervention. In terms of food safety practices, all the indicators (cleaning of dirty surfaces, plates and utensils and storage of perishable foods) significantly increased (all p = 0.0001 Conclusion: This study provided some evidence of an effective nutrition education intervention for improving maternal KAP on food safety for their child’s feeding.

Raw Gangue Filling Mining under Construction —A Case Study in China

In order to recover the strip pillar coal resources, reduce the amount of gangue mountain and realize remediation of the goaf environment in the old mining area, the raw gangue filling mining technology was proposed. According to the previous practical experience, the feasibility of the implementation of raw gangue filling mining technology in the coal-pressed area was analyzed. Through the filling gangue compaction test, the deformation under different loading stages was obtained. Further, a reasonable prediction of the deformation beyond the experimental limited loading load was made based on the experimental results. Through the deformation source analysis of the whole process of gangue filling, the key factors for controlling deformation before, during, and after filling were determined. Additionally, the proportion of deformation during different stages was quantified. Considering the protection of surface buildings, mining fullness of the working face and mining technology, the production parameters of 1209 and 1210 filling working faces were preliminarily determined. Through numerical simulation, the rationality of mining scheme was verified. Based on the practice of 1209 working face and the key factors to control the deformation of gangue filling, the mining system and process in 1210 working face were optimized. According to the measured surface rock movement, raw gangue filling mining technology can meet the requirements of surface building protection level. Especially, this paper provides a method to quantitatively calculate the equivalent mining height (EMH) of raw gangue filling and its mining deformation, which has reference significance for old mining areas.

公共图书馆播客品牌构建与营销策略研究——以多伦多公共图书馆Shelve Under播客品牌为例

播客是互联网时代的产物,自诞生之日起,经历了兴起、萎缩、停滞三个历史阶段,现又逐渐走入复苏时期。大数据技术的持续升级与快餐式阅读消费的广泛流行进一步突显了音频媒介可随性收听的优势,播客平台的发展迎来了新的机遇。文章详细阐述了播客的突出优势、国内发展现状及面临挑战等,对加拿大多伦多公共图书馆播客品牌Shelve Under进行深入挖掘,分析其品牌构建与营销特点,以期给国内公共图书馆创新音频服务提供参考,推动听力资源更好地融入大众的学习和生活。

The Effect of the COVID-19 Pandemic on Health Service Accessibility for Children under 5 in the Mayo-Tsanaga and Logone & Chari Departments, Far North Cameroon

Context/objectives: The COVID-19 pandemic has disrupted all programs, potentially impacting access to health services for children under 5 years old. The Far North of Cameroon is one of the northern regions with a prevalence of malnourished children ranging from 5% to 10%. Due to the barrier measures implemented to combat the pandemic, many parents are reluctant to take their children to healthcare facilities. Some of these children were benefiting from the Ambulatory Care Center (ACC) program prior to the COVID-19 outbreak. The main objective of this research is to assess the impact of COVID-19 on access to health services for children under 5 in the Mayo Tsanaga (MT) and Logone & Chari (LC) departments. The implementation of barrier measures could significantly increase the risk of malnutrition among children under 5 years old. Method: A cross-sectional analytical study was conducted in the MT and LC departments, employing both retrospective and prospective approaches. Data was collected through questionnaire, interview guide and a review of existing data prior to the pandemic (DHIS 2). Kobo Collect software was used for data collection, and R software was used for analysis. Results: Children who benefitted from the ACC program during the COVID-19 period were found to have a lower prevalence of malnutrition compared to those who did not benefit (OR: 0.09, CI {0.0 - 0.44}). Conclusion: COVID-19 has led to a decrease in the utilization of health facilities in both departments of the study, resulting in an increase in health issues such as malnutrition among children under 5 years old. Various policies have been implemented to improve attendance at health facilities.

Improving the Use of Insecticide-Treated Nets among Children under Five Years Old in Benin, West Africa

Background: In Benin, malaria represents the first cause of consultation and hospitalization (48% for children under 5 years old) in health units. It also accounts for 23.1% of deaths recorded in health facilities (MoH, 2019). Between the two main components of vector control adopted by Benin government, the mass distribution campaigns of Insecticide-Treated Nets (ITNs) remained the only proven cost-effective way to rapidly achieve high and equitable coverage (WHO, 2017). After the fourth mass distribution campaign conducted in 2017, the Demographic and Health Survey (DHS) data indicated that the percentage of children who slept under an ITN has increased from 20% in 2006 to 70% in 2011-2012 and to 76% in 2017-2018 while the incidence of malaria (tested positive) is increasing rapidly among children under 5 years old, growing from 36.5% in 2009 to 28.8% in 2012 and then to 51.4% in 2019. This study aims to understand this contrast by identifying the origin of the increase in ITN use over time among children under five years old and the factors which determine this use. Methods: Data from the Demographic and Health Survey (DHS) conducted in Benin respectively in 2006 and in 20018 were used during the analysis, which covered 13,445 children under five years old from 2006 DHS and 12,255 children from 2017-2018 DHS. Firstly, the data were analyzed using decomposition method to highlight the origin of the increase of ITN use over time among children under five years old. Secondly, the chi-square test analysis estimated the association between ITN use and some characteristics (wealth index, maternal or caregiver education level and child age). Finally, the logistic regression model was used to identify the main factors, which influence the net use over the study period. Results: This study shows that the improvement of basic conditions is the main origin of behavior change in the use of ITNs among children under five years old. This improvement of the basic conditions consists of making ITNs available in households and informing household members about the benefits of ITN use. So, the free ITN distribution campaigns, routine distribution, awareness campaigns about the benefits of ITN use are the strategies, which increase the household capacities and knowledge, allowing household members to make their children sleep under net. The analysis also shows that region of residence, wealth index of household, household size, religion, and child age continue to determine the ITN use among children under age 5 years old and MNCP will integrate the factors in malaria prevention strategies in order to achieve universal use of ITNs. Conclusions: Although, sleeping under ITN behavior has indeed spread among children under 5 years old, policymakers and other stakeholders should design strategies to maintain and improve the current level of ITN use to reach the collective protection threshold (80% according to WHO). Therefore, to address the challenges of universal use of ITN, the study recommends expanding the routine distribution system to private sector health centers;discussing issues related to health service utilization (particularly ITN use) within a consultation framework at the communal level. In addition, collecting qualitative and quantitative data in the Oueme region will allow better understanding of all aspects of the ITN use gap among children under 5 years.

The Prevalence and Risk Factors Associated with Otitis Media in Children under Five Years of Age in Mogadishu, Somalia: A Hospital-Based Cross-Sectional Study

Background: Otitis media (OM) is highly prevalent and is one of the most important causes of preventable hearing loss in developing countries and it may have long-term impacts on the children. Several hospital-based cross-sectional studies have been conducted in East African countries to assess the prevalence of OM;however, no similar studies have been conducted in Somalia. Therefore, we conducted a hospital-based cross-sectional study to identify the prevalence and the underlying risk factors of OM among children under the age of five in Mogadishu, Somalia. Methodology: A hospital-based cross-sectional study was conducted from July 2022 to November 2022 at three main hospitals in Mogadishu, Somalia. A total of 384 children aged less than 5 years were included. Parents of these children were interviewed with a questionnaire and a clinical examination was performed for each child. The Statistical Package for Social Sciences, SPSS (Version 22, IBM, Inc.), was used for the statistical analysis. Result: The prevalence of otitis media among the 384 children recruited was 31.25% (120/384). Otitis media was significantly associated with age less than one year (P = 0.006), malnutrition (P Conclusion: In summary, the present study found that otitis media was highly prevalent (31.25%) in Mogadishu, Somalia. The majority of the affected children were younger than one year. Age of the child, malnutrition, upper respiratory tract infections, feeding in lying position, and dripping something into a child’s ear were found to significantly increase the risk of developing otitis media in children. In contrast, breastfeeding for more than one year has been found to reduce the risk of developing otitis media in children.

Underwater Inhomogeneous Light Field Based on Improved Convolutional Neural Net Fish Image Recognition

In this paper, artificial intelligence image recognition technology is used to improve the recognition rate of individual domestic fish and reduce the recognition time, aiming at the problem that it is difficult to easily observe the species and growth of domestic fish in the underwater non-uniform light field environment. First, starting from the image data collected by polarizing imaging technology, this paper uses subpixel convolution reconstruction to enhance the image, uses image translation and fill technology to build the family fish database, builds the Adam-Dropout-CNN (A-D-CNN) network model, and its convolution kernel size is 3 × 3. The maximum pooling was used for downsampling, and the discarding operation was added after the full connection layer to avoid the phenomenon of network overfitting. The adaptive motion estimation algorithm was used to solve the gradient sparse problem. The experiment shows that the recognition rate of A-D-CNN is 96.97% when the model is trained under the domestic fish image database, which solves the problem of low recognition rate and slow recognition speed of domestic fish in non-uniform light field.

6LoWPAN中基于Mesh-under的中继缓存与重传机制

在基于Mesh-under路由的6Lo WPAN网络中,链路丢失的分片采用端到端的方式进行重传,从而保证数据包的可靠重组,但端到端的重传会造成较多的数据传输时延和网络能耗,降低目的端的分片重组成功率,影响网络中其他数据的有效传输。针对上述问题,提出一种基于中间节点缓存与重传分片机制,通过中间节点缓存和管理所转发分片,目的端检测到有分片丢失,则利用中间节点已缓存的分片进行重传,从而达到提高网络性能的目的。仿真结果表明,与传统的RIF_SN,RPF_SN等机制相比,该机制能耗效用值提高36.7%,网络传输时延减少28.7%,目的端重组成功率提高34.9%,明显改善网络性能。

Comparison of Undernutrition Prevalence of Children under 5 Years in China between 2002 and 2013

Objective To describe the undernutrition status of children under 5-year in China, and study the trend between 2002 and 2013. Methods The study was based on two national surveys. Undernutrition was determined against WHO＇s 2006 growth standards. The prevalence in 2013 and 2002 was weighted by China sixth National Population Census （2010）. The relationship between undernutrition and gender/age groups/different areas use weighted logistic regression. Results The results indicated the overall prevalence of stunting, underweight, and wasting of Chinese children under S-year was 8.1%, 2.4%, and 1.9% in 2013, respectively. The prevalence of stunting was higher for children aged 12-47 month, while underweight was higher for children aged 48-59 month. The prevalence of undernutrition was higher in rural areas than in urban areas, especially in poor rural areas. There was a decline of stunting, underweight, and wasting between 2002 and 2013 among the children, with greater reduction in rural areas than in urban areas. Conclusion The prevalence of undernutrition of children under 5-year remains high in rural areas especially in poor rural areas in China. It is urgent to take action to control undernutrition in the vulnerable areas and subgroups.

Localized salt accumulation: the main reason for cotton root length decrease during advanced growth stages under drip irrigation with mulch film in a saline soil

High salinity in soil can prevent root growth of most plants. To investigate soil salinity dynamics under drip irrigation with mulch film （DI） and its effects on cotton root length, we conducted field experiments in saline soil based on a monolith method using flooding irrigation with mulch film （FI） as a control at the Korla Experimental Station of the Xinjiang Academy of Agricultural Sciences, China in 2009 and 2010. The results showed that the total root length decreased 120 days after sowing （DAS） under DI, and was mainly centered in the 0-30 cm soil layer and at distances of 30-70 cm from the drip-lines. There was almost complete overlap in the area of root length decline and salt accumulation. In the soil depth of 0-30 cm and at distances of 30-70 cm from the drip-lines at 110 to 160 DAS in 2009 and 171 DAS in 2010, the electrical conductivity （EC） in all soil samples was at least 3 mS/cm and in some cases exceeded 5 mS/cm under DI treatment. However, EC barely exceeded 3 mS/cm and no reduction in root length was observed under FI treatment. Correlation analysis of soil EC and root length density indicated that the root length declined when the soil EC exceeded 2.8 mS/cm. The main reason for the decrease of root length in cotton under DI was localized accumulation of salinity.

Study on "Borrowing Scenery under the Guidance of Emotion" in Chinese Landscape Architecture

One of the main theories of "borrowing scenery" which was "borrowing scenery under the guidance of emotion" was expounded from two aspects.And the second aspect was emphasized,that is,integrating social beauty into natural beauty so as to produce artistic beauty of landscape,and layer beauty was the main content manifested in Chinese landscape garden.

从意象图式的角度分析介词under的隐喻意义

基于英国国家语料库收集到的语料,以认知语言学中的意象图式为分析工具,旨在探索under的概念意义如何得到隐喻延伸意义,结果发现介词under的意义之间相互联系,存在从空间域到抽象域的隐喻延伸。从这个角度分析介词语义,对今后的英语教学和学习大有裨益。

介词under的意象图式及其投射意义

文章旨在运用认知工具"意象图式"对介词under进行分析,在以图式表征为依据的基础上,探究under的中心图式与其说明性图式之间的关系,以及这些图式与under在抽象域的投射意义之间的联系。

Under River稠油油藏水平井水平段长度优化

针对Under River油田目前存在的水平段蒸汽干度损失大、含水率上升快和蒸汽吞吐采油量低等问题,在分析油藏储层物性和实际生产数据的基础上,综合油藏数值模拟分析和财务净现值评价方法得到了4种不同注汽方式下的水平段最优长度值。研究表明:采用不同的注汽方式,其最优水平段长度不同,采用均匀注汽方式具有最好的采油效果,趾端注汽方式的采油效果最差;根据现场数据和生产经验提出蒸汽损失率概念,回归了稠油油藏水平井水平段长度优化计算方程,该方程具有较高的精度和广泛的适用性。

英、法、汉语中的“UNDER/SOUS/下面”方位隐喻对比分析

隐喻不仅是一种语言现象,与人类语言的发展规律息息相关,而且更是一种认知现象,与人的思维方式和思维发展紧密相连。本文根据莱考夫和约翰逊的概念隐喻理论和意象图式理论,运用英、法、汉语语料,对基本隐喻概念衍导出有关空间走向的方位隐喻词语“UNDER/SOUS/下面”进行对比研究,旨在探讨中、西不同文化对该词语意义产生和拓展的理据。

Constraints on rigid zones and other distinct layers at the top of the outer core using CMB underside reflected PKKP waves

Clear PKKP, a P wave reflects off the core-mantle boundary on the core side, is recorded by the transcontinental USArray from two deep earthquakes occurred in South America and Tonga, and one intermediatedepth earthquake in the Hindu Kush region. We compare the PKKP waveforms with the direct P waves to investigate the fine structures near the core-mantle boundary, with a primary focus on the core side. We find no evidence for the existence of a sedimentary layer of lighter elements with a thickness above a few hundreds of meters beneath the reflection points of the two deep events, which are located at the Ninety-East Ridge and South Africa. On the other hand the PKKP wave duration of the Hindu Kush event is almost twice as long as that of the P wave, suggesting that multiple reflections may be occurring at the core-mantle boundary located beneath the Antarctic, which is located inside the so-called tangent cylinder of the outer core. The tangent cylinder is an imaginary cylindrical region suggested by geodynamics studies, which has different flow pattern and may have a higher concentration in lighter elements as compared to the rest of the outer core. One possible explanation of the elongated PKKP is a thin distinct layer with a thickness of a few kilometers at the top of the outer core, suggesting that precipitation of lighter elements may occur at the core-mantle boundary. Our data also indicate an extremely low Qp of 312, approximately 40% of the PREM average （N780）, within the large-scale low-velocity anomaly in the lowermost mantle beneath Pacific.

Brief Analysis on Naturalism and Realism in Desire Under the Elms

Desire Under the Elms was a drama written by Eugene O'Neill in 1924,which is called the first greatest drama in American history.Through analyzing the naturalistic features in this drama and the combination of naturalism and realism reflected in Desire Under the Elms,this article aims to help readers understand the lines and the relevant connotations better.

A Study on Bible Archetypes in Desire under the Elms

Desire under the Elms reveals a tragedy of spiritual and survival desire of human being. O'Neill creates many Bible archetypes in Desire under the Elms. The thesis analyzes and appreciates Desire under the Elms from aspect of Bible archetype to highlight the destructive power of improper desires in Desire under the Elms.