Vulvectomy: Indications and Results in the General Surgery Department of the Ignace Deen Chu Hospital in Conakry

Introduction: The aim of this study was to report the indications and evaluate the results of vulvectomy in the general surgery department of Ignace Deen Hospital, CHU Conakry. Materials and Methods: This was a retrospective descriptive study, conducted over a period of five (05) years from January 1, 2018 to December 31, 2022, in the general surgery department of Ignace Deen Hospital, CHU Conakry. We included in our study all patient records in whom vulvectomy was performed. Results: We recorded 15 cases of vulvectomy out of 453 perineal surgeries, i.e. 3.31%, with a mean age of 43.56 years and extremes of 35 and 69 years. Vulvar cancer was the most common diagnosis (46.67%), followed by Buschke-Lowenstein (33.33%) and anal canal cancer extending to the vulva (20%). Six patients had undergone biopsy (40%). Vulvectomy with lymph node dissection was performed in only 9 patients (60%), and all surgical specimens were sent to anatomical pathology (100%). Conclusion: Vulvectomy is a surgical technique most often indicated for the treatment of vulvar cancer.

Parameter calculation and result storage for phase-field simulation in α-Mg dendrite growth of Mg-5-wt% Zn alloy

Parameter calculation and result storage, as two necessary steps in phase-field simulation play an important role in ensuring the accuracy of simulation results. A strategy of parameter calculation and result storage is presented for phase-field simulation in α-Mg dendrite growth of Mg-5-wt% Zn alloy under isothermal solidification. Based on the phase diagram and empirical formulas, key parameters of the phase-field model, such as equilibrium partition coefficient k, liquidus slope m, solutal diffusion coefficient in liquid Dl, and solutal diffusion coefficient in solid Ds, can be obtained.Both structured grid method and structured point method can be used to store simulation results, but using the latter method will reduce about 60% storage space and 37.5% storage time compared with the former. Finally, convergent simulation results of α-Mg dendrite growth are obtained and they are in good agreement with the experimental results about optical micrograph, which verify the accuracy of parameters and stability of storage method.

P&T-Inf: A Result Inference Method for Context-Sensitive Tasks in Crowdsourcing

Context-Sensitive Task(CST)is a complex task type in crowdsourc-ing,such as handwriting recognition,route plan,and audio transcription.The current result inference algorithms can perform well in simple crowd-sourcing tasks,but cannot obtain high-quality inference results for CSTs.The conventional method to solve CSTs is to divide a CST into multiple independent simple subtasks for crowdsourcing,but this method ignores the context correlation among subtasks and reduces the quality of result inference.To solve this problem,we propose a result inference algorithm based on the Partially ordered set and Tree augmented naive Bayes Infer(P&T-Inf)for CSTs.Firstly,we screen the candidate results of context-sensitive tasks based on the partially ordered set.If there are parallel candidate sets,the conditional mutual information among subtasks containing context infor-mation in external knowledge(such as Google n-gram corpus,American Contemporary English corpus,etc.)will be calculated.Combined with the tree augmented naive(TAN)Bayes model,the maximum weighted spanning tree is used to model the dependencies among subtasks in each CST.We collect two crowdsourcing datasets of handwriting recognition tasks and audio transcription tasks from the real crowdsourcing platform.The experimental results show that our approach improves the quality of result inference in CSTs and reduces the time cost compared with the latest methods.

Management Results and Financial Status of Rural Collective Economy under the Background of Rural Revitalization

Based on the analysis of financial statements,the performance and problems of rural collective economic organizations in their business activities were analyzed.It is believed that rural collective economy was developing continuously in a good way,with strong debt paying ability,but the operation ability and management efficiency need to be further improved.The operation was too conservative,and the asset utilization efficiency and profitability were weak.There were many unnecessary liabilities,and they developed mainly relying on their own accumulation.Therefore,it is proposed to crack the"talent dilemma"of rural collective economic operation and management,straighten out and clarify the relationship between rural collective economic organizations and villagers self-governing organizations,correctly handle the relationship between collective accumulation and member distribution,adhere to the financial input of blood replenishment and transfusion,and make liabilities reasonable according to the management development.

Analysis of Toxicological Test Results of 580 Detergents

To evaluate the safety of detergents,the toxicological test results of 580 collected detergents were analyzed.The results showed that,in the acute oral toxicity test,94.4%and 5.6%of the samples were classified as non-toxic and toxic respectively.In skin irritation test,95.1%of the samples were mild irritation or below,and 4.9%were moderate irritation or above.In the vaginal mucosa irritation test,79.0%of the samples were very mild irritation or below,while 21.0%were mild irritation or above.In the acute inhalation toxicity test,the proportion of the samples classified as actually non-toxic and toxic were 87.9%and 12.1%respectively.In the eye irritation test,95.7%of the samples belonged to mild irritation or below,and 4.3%of the samples belonged to moderate irritation or above.The products at risk in category A,B and C products account for 6.3%,7.7%and 14.2%respectively.Of the 580 tested samples,90.9%were relatively safe,while 9.1%were at risk.These data showed that most of the tested samples meet the safety requirements for use.

Vertebroplasty and Kyphoplasty: Indications and Results, a Preliminary Senegalese Experience from the Neurosurgery Department of the CHNU of Fann

Introduction: Vertebroplasty and kyphoplasty are percutaneous techniques that consist in injecting an acrylic cement into the body of a pathological vertebra. This work aims to report the experience the of Fann’s neurosurgery department in treating certain spinal pathologies by vertebroplasty and kyphoplasty. Methods: During a 3-year period from July 1, 2019 to July 31, 2022, we conducted a retrospective, descriptive and analytical study, including patients who underwent vertebroplasty or kyphoplasty for dorsolumbar spinal pathology. Results: The mean age of the 13 patients in our study was 51.61 years. Female gender was predominant in 62% (n = 8). The context of spontaneous onset was found in six patients. Nine patients had a VAS (visual analogue scale) ≥ 8 (69.23%). On clinical examination, all patients had a syndrome without neurological deficits. 84.61% of patients had a CT scan (n = 11). The dorsolumbar hinge was most affected with 53.85% of cases. Seven patients had a vertebral compression of between 25% and. The average degree of kyphosis was 8˚ and seven patients had a degree of kyphosis ≥ 10˚. Tumour aetiology accounted for 46.15% of cases. Kyphoplasty was performed in 61.53% (n = 9) of the cases and vertebroplasty was performed in 38.47% (n = 4) of the patients. Kyphoplasty was associated with biopsy in two cases and with osteosynthesis in one patient. Vertebroplasty was always associated with a biopsy. The evolution was favourable with a significant reduction in pain and vertebral kyphosis. The mean VAS decreased from 8.15 to 0.69 three months after treatment and the mean kyphosis decreased from 8˚ to 2˚. Conclusion: Kyphoplasty and vertebroplasty as percutaneous techniques allow consolidation of the vertebral body and pain relief. Kyphoplasty alone not only reduces pain but also restores the height of the compacted vertebral body.

Results and Application of Soil and Water Conservation Monitoring in the Yellow River Basin

Since water and soil conservation monitoring in the Yellow River Basin entered a new stage at the end of the 20th century,the monitoring scope has been expanding,the monitoring accuracy has been improving,the monitoring content and indicators have been increasing,and the monitoring technology and methods have been improving.This paper mainly analyzes the status of soil and water conservation monitoring in the Yellow River Basin,as well as the construction of the monitoring system and related research,in order to provide a reference for watershed management and development and the scientific research of water and soil conservation.

GoPubMed与Web of Knowledge分析工具Analyze Results的比较研究

GoPubMed是基于本体论的生物医学文献分析工具,它可以对检索到的PubMed文献进行全方位的统计分析,Web of Knowlegde平台的Analyze Results分析功能也可对检索结果进行统计分析。对这2种文献分析工具特点进行对比分析。

ISI Web of Knowledge新增分析工具Results Analysis探讨——BIOSIS Previews检索实践

针对检索结果的信息分析和信息挖掘的分析工具Results Analysis是ISI Web of Knowledge于2004年新增的服务功能。以BIOSIS Previews为检索实例,详细探讨Results Analysis分析工具的使用方法和功能,并提出改进的建议。

ISI Web of Science的Results Analysis功能与使用

详细介绍了美国Web of Science数据库的发展以及该数据库新推出的Results Analysis功能和使用方法。

ISI Proceedings分析工具Results Analysis的功能分析及检索实践

本文以ISI Proceedings的科技版ISTP具体检索为例,探讨了ISI Proceedings个性化服务的分析工具Results Analysis的功能和使用技巧,以及检索结果的信息分析和挖掘对用户的指导意义。

尿液分析仪打印出现“Invalid Result”的原因探索

Miditrom Junior尿分析仪是定灵曼公司生产的半自动反射光电比色计,用于半定量尿液试纸条读数。它可以提供尿比重、pH、白细胞、红细胞、亚硝酸盐、葡萄糖、蛋白质、尿胆原、尿胆红素和酮体测量结果,是目前临床常规尿液筛选检查的重要仪器。

Role of Program-for-Results Financing System in Infrastructure Sector:Evidence from Egypt and Ethiopia

This study aims are two folds:First is to investigate the role of the World Bank funding through using a novel financing instrument called Program-for-Results(P for R)to strengthen the government programs and second is to assess the P for R programs adopted in countries focusing on the direct effects and the results.The Bank currently has three integral financing options to offer client countries:Investment Project Financing supports specific projects and disburses against specific expenditures and transactions,Development Policy Lending supports policy and institutional reforms and provides general budget support,and P for R Financing supports government programs and disburses against results.Results for the P for R reflect on the new level because disbursements are directly linked to the achievement of measurable and verifiable outcome.As well,the Disbursement-Linked Indicators(DLIs)are used to provide governments with incentives to achieve critical program milestones and enhance the performance of programs.This study structured based on descriptive and observed the behavior of two countries’government(Egypt and Ethiopia)for using P for R financing loan in a national project.On the ground,the field of practices was the main indicator in this stage of the investigation,then one of the P for R programs was compared to observe the effectiveness of this kind of financing system in these two countries specifically in the infrastructure sector,and classifications of DLIs were the main parameter in this comparison.The outcome and the existing literature are analyzed to develop a multibeneficial for country adopting P for R collaborative programs,as they should be applied to mitigate the same challenges and solve the institutional complications for the beneficial countries homogeneously.Furthermore,enhance the profit generated from this kind of program targeting via sustainable management tools.

全媒体融合背景下基于RESULTS模型的南京市口腔医院文化宣传与建设

目的:结合全媒体融合的时代背景,分析南京市口腔医院文化宣传与建设。方法:利用经典传播模型RESULTS模型,从Reach(到达)、Engage(互动)、Sociability(社交)、Usability(易用)、Longevity(长尾)、Transaction(交易)、Sentiment(情感)7个方面分别对南京市口腔医院文化宣传内容的传播效果进行梳理和总结。结果:在全媒体融合背景下,基于RESULTS模型的南京市口腔医院文化宣传与建设取得了一定的成就。结论:经过分析得出相关建议:丰富新媒体种类,增加医院文化传播路径;宣传医院文化理念,设置多途径患者沟通渠道;将大数据、人工智能融入新媒体,提升医院文化建设效率;建立医院文化长效机制,加深媒体融合程度和广度。

Long-term results of paclitaxel plus cisplatin with concurrent radiotherapy for loco-regional esophageal squamous cell carcinoma

AIM To evaluate the long-term effectiveness and late toxicities of paclitaxel(PTX) plus cisplatin(DDP) with concurrent radiotherapy for locally advanced esophageal squamous cancer.METHODS Between 2008 and 2011, 76 patients were enrolled in a phase Ⅱ study on the treatment of loco-regionally advanced esophageal cancer with radiotherapy(68.4 Gy/44 fractions or 61.2 Gy/34 fractions) combined with 4-cycle chemotherapy consisting of DDP(25 mg/m^2 per day for 3 d) and PTX(175 mg/m^2 for 3 h). The primary endpoints were overall survival and progression-free survival, and the secondary endpoints were toxicity and the treatment failure pattern.RESULTS A total of 76 patients were enrolled in this study, of whom 63.2% finished the whole regimen. The 5-year survival rates for the per-protocol population and intent-to-treat population were 25.4% and 26.4%, respectively, and the median survival rates were 23.7 mo and 28.5 mo, respectively. Grade 3 or 4 late toxicity was observed in only one patient(heart failure). In log-rank analysis, the pretreatment stage(stage Ⅱ + Ⅲ: 36.1 mo vs stage Ⅳ: 14.9 mo) and the completed cycle(1-3 cycles: 16.1 mo vs 4 cycles: 35.5 mo) were significant prognostic factors(P = 0.037 < 0.05 and P = 0.013 < 0.05).CONCLUSION Radiotherapy combined with chemotherapy consisting of PTX and DDP is a safe and effective definitive treatment for loco-regionally advanced esophageal squamous cancer.

Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results

AIM:To assess effectiveness, complications, recurrence rate, and recent improvements of the anterior rectopexy procedure for treatment of total rectal prolapse.METHODS:MEDLINE, Pub Med, EMBASE, and other relevant database were searched to identify studies.Randomized controlled trials, non-randomized studies and original articles in English language, with more than 10 patients who underwent laparoscopic ventral rectopexy for full-thickness rectal prolapse, with a follow-up over 3 mo were considered for the review.RESULTS:Twelve non-randomized case series studies with 574 patients were included in the review.No surgical mortality was described.Conversion was needed in 17 cases(2.9%), most often due to difficult adhesiolysis.Twenty eight patients(4.8%) presented with major complications.Seven(1.2%) mesh-related complications were reported.Most frequent complications were urinary tract infection and urinary retention.Mean recurrence rate was 4.7% with a median follow-up of 23 mo.Improvement of constipation ranged from 3%-72% of the patients and worsening or new onset occurred in 0%-20%.Incontinence improved in 31%-84% patients who presented fecal incontinence at various stages.Evaluation of functional score was disparate between studies.CONCLUSION:Based on the low long-term recurrence rate and favorable outcome data in terms of low de novo constipation rate, improvement of anal incontinence, and low complications rate, laparoscopic anterior rectopexy seems to emerge as an efficient procedure for the treatment of patients with total rectal prolapse.

NEW MAGNETOSTRATIGRAPHIC AND SEDIMENTOLOGIC RESULTS FROM TERTIARY SEDIMENTS OF THE HOH XIL BASIN, NORTHERN QINGHAI-TIBET PLATEAU: IMPLICATIONS FOR THE CENOZOIC TECTONIC HISTORY OF THE TIBET PLATEAU

To contribute to the understanding of the ages of large sedimentary basins in northern Tibet, and the Cenozoic tectonic history of Asia in general, we conducted an integrated paleomagnetic and stratigraphic study on the sedimentary sequences of the Hoh Xil basin, north of the Qinghai\|Tibet Plateau. Red sedimentary sections from the Fenghuoshan and Yaxicuo Groups have recorded a pattern of magnetic polarity reversals that correlates well with the known magnetic polarity time scale for the past 56Ma. Reliable magnetostratigraphy for the Fenghuoshan and Yaxicuo Groups suggests that the sediment ages for these two groups are about 56～29Ma and 29～25Ma, respectively.We collected more than 1000 paleomagnetic samples from 335 sites distributed in 3 sections of the Hoh Xil basin. Detailed litholostratigraphic, petrologic, and sedimentologic studies have also been carried out on these sections during the past three field sessions. Magnetic directions in these sites were obtained by progressive alternating\|field and thermal demagnetization experiments. Most samples exhibit two components of magnetization. The lower unblocking temperature component is an overprint resembling the geocentric axial dipole field direction at the sampling locality. The most stable, characteristic remanence (ChRM) appears to be an early chemical remanent magnetization residing mainly in hematite. Curie temperature determinations, acquisition of isothermal remanent magnetization (IRM) and backfield demagnetization of saturation IRM, hysteresis loop parameters, and low\|temperature demagnetization on representative samples all corroborate demagnetization behavior. The positive results of fold and reversal tests indicate that the ChRM is a record of the paleomagnetic field close to the time of formation of these sediments. Further evidence that the magnetization of these sediments was acquired close to their time of deposition is the fact that patterns of magnetic reversals have been identified, which can be matched with the established polarity time scale.

Long-term results of laparoscopic fenestration for patients with congenital liver cysts

BACKGROUND: The feasibility and immediate outcome of laparoscopic fenestration for patients with congenital liver cysts have been generally recognized. The aim of the present study was to assess the long-term results after laparoscopic fenestration. METHODS: A retrospective study was performed on 44 patients with congenital liver cysts who had undergone laparoscopic fenestration between June 1998 and December 2004. Among them, 30 were women and 14 men, aged 57 years on average (range 18-76 years). While 14 patients had solitary cysts, 20 had multiple cysts, and 10 had polycystic liver disease. The results of laparoscopic fenestration, including mortality, morbidity, mean postoperative hospital stay, and recurrences of cysts were evaluated. RESULTS: There was no perioperative death and the morbidity rate was 11% (5/44). All complications were treated conservatively. The mean postoperative hospital stay was 4 days. A mean follow-up of 57 months showed that the rates of cyst recurrence and symptom recurrence were 9% and 4.5%, respectively. CONCLUSION: Laparoscopic fenestration as a feasible and safe treatment procedure for patients with congenital liver cysts can yield very good long-term results.

THREE-DIMENSIONAL INTERACTIONS OF A HALF-PLANE CRACK IN A TRANSVERSELY ISOTROPIC PIEZOELECTRIC SPACE WITH RESULTANT SOURCES

Exact solutions in elementary functions are derived for the stress and electric displacement intensity factors of a half-plane crack in a transversely isotropic piezoelectric space interacting with various resultant sources, including force dipole, electric dipole, moment, force dilatation and rotation. Such force and charge sources may model defects like vacancies, foreign particles and dislocations. The locations and orientations of the stress and charge sources with respect to the crack are arbitrary.

Generalization of Results of Computations and Natural Experiments at Steel Parts Quenching

Complicated changes occur inside the steel parts during quenching process. A three dimensional nonlinear mathematical model for quenching process has been established and the numerical simulation on temperature field, microstructure and stress field has been realized. The alternative technique for the formation of high-strength materials has been developed on the basis of intensification of heat transfer at phase transformations. The technology for the achievement of maximum compressive residual stresses on the hard surface is introduced. It has been shown that there is an optimal depth of hard layer providing the maximum compression stresses on the surface. It has also been established that in the surface hard layer additional strengthening (superstrengthening) of the material is observed. The generalized formula for the determination of the time of reaching maximum compressive stresses on the surface has been proposed.