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Family Forest Owners’ Motivation to Control Understory Vegetation: Implications for Consulting Forestry 被引量:1
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作者 Alex C. Londeau Thomas J. Straka 《Open Journal of Forestry》 2013年第4期99-103,共5页
Forest vegetation management has evolved as a recognized component of intensive forest management practice. It involves the management of competing vegetation necessary to obtain the high yields expected in modern for... Forest vegetation management has evolved as a recognized component of intensive forest management practice. It involves the management of competing vegetation necessary to obtain the high yields expected in modern forest plantations via control of interfering plants that influence regeneration outcome, impact timber stand development, and limit native plant and wildlife diversity. It includes cultural control, fire control, mechanical control, biological control, and chemical control. The public perception of forest vegetation management, especially chemical control, is sometimes negative due to health and environmental concerns. It is an important tool in the forest management alternatives available to consulting foresters managing family forest lands (the vast majority of private forest land in the United States). We report on a study that addresses the motivations of family forest owners that implement forest vegetation management practices and the motivation of those who chose not to implement after forester recommendations to do so. For those who do implement forest vegetation management, improvement of wildlife habitat and increased timber growth was the main motivation. For those who did not, cost was the main concern. Size of forest holding plays a major role in determining who will practice intensive forestry. 展开更多
关键词 FOREST Vegetation Management Chemical CONTROL FAMILY FOREST OWNERS consulting FORESTRY
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Analysis and Related Suggestions on the Whole Process Engineering Consulting Service Mode at Home and Abroad 被引量:1
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作者 Xianbao Meng Yuehua Xiong 《Frontiers Research of Architecture and Engineering》 2021年第1期17-21,共5页
This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process e... This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process engineering consulting(international terminology full-life cycle engineering consultant).Second,discuss the government’s role in the development of engineering consulting from two aspects:service management and market access.Finally,combined with the above analysis,the specific problems faced in the implementation process of the whole process engineering consulting are compared.Provide relevant suggestions on how companies and individuals respond to industry development trends. 展开更多
关键词 Whole process engineering consulting service mode Organization model Service procurement model Charging standards Development trends and suggestions
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Cultivating global health professionals: evaluation of a training course to develop international consulting service competence in China
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作者 Pan Gao Li Guan +7 位作者 Yisi Liu Feifei Liu Wenyuan Yu Xiangyu Li Suyang Liu Yuanan Lu Hao Li Hao Xiang 《Global Health Journal》 2020年第2期51-56,共6页
Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study repo... Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study reported the detailed development and evaluation of an international consulting training for global health workforce.Methods:Based on Kirkpatrick’s model,a mixed-methods approach was used to evaluate the effectiveness of the training.Quantitative and qualitative data on participants’reaction,learning,and application of the learned knowledge and skills were collected by a training evaluation survey at the ending of training and a follow-up interview in three months after the training.Results:Thirty-six participants attended the training and 34 of them completed quantitative investigation.The training satisfaction evaluations were positive,for which participants rated the training program highly and over 90%of them agreed with the usefulness of the training.About knowledge and skills change,participants showed improved consulting knowledge and skills from pre-to post-training(P<0.001).A total of 23 participants accepted follow-up interview,and most participants applied knowledge and skills learned from the training in their daily work or study.However,only 30.4%of participants applied their learning in the consulting program.The largest barrier of application was the lack of consulting opportunities.In addition,almost all the participants reported that they would be glad to attend more training courses in the future.Conclusion:The international consulting training program was well-received,and was feasible to improve the consulting service competence of global health professionals.According to participants’feedback,it is essential to develop and expand consulting training in the field of global health. 展开更多
关键词 Training evaluation SATISFACTION Kirkpatrick’s model Global health International consulting service
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为零部件企业助力——访德国德罗雅克(Drozak Consulting)企业管理咨询公司
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《汽车与配件》 北大核心 2007年第41期50-50,共1页
  随着市场竞争的日趋激烈,零部件企业普遍面临成本和竞争的压力.如何有效控制成本、如何寻找优质供应商、如何提高企业竞争力、如何优化生产流程……企业面临越来越多的难题.   ……
关键词 德罗 中华人民共和国 雅克 企业管理咨询 Drozak consulting 零部件企业 德国 助力
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Knowledge Transfer and Management Consulting:The Effect of Consultant and Client Characteristics
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作者 Noha A.Alaa El Dine Ahmed Taher 《Management Studies》 2020年第3期215-231,共17页
Knowledge transfer(KT)from the consultant to the client is an important area that needs to be repeatedly addressed and thoroughly understood.The aim of this research was to examine the assumption that client character... Knowledge transfer(KT)from the consultant to the client is an important area that needs to be repeatedly addressed and thoroughly understood.The aim of this research was to examine the assumption that client characteristics and consultant competencies play a defining role in the effective transfer of knowledge to the client party.The authors examined the critical aspects and competencies required of the consultant,and the characteristics and attitudes required of the client,which would contribute to a successful transfer of knowledge,through unstructured in-depth interviews and concise questionnaires.Eighty consulting assignments were studied from both the client side and the consultant side.A conceptual model is presented,factor analysis was used to validate the constructs,and partial least squares were used to test the model.The findings showed that the consultants’professionalism,skills,and behavior were significant contributors to KT to the client.Surprisingly,neither the consultant knowledge nor client characteristics had any significance to the KT to the client. 展开更多
关键词 knowledge transfer(KT) antecedents and consequences consultant-client relationship management consulting
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Intelligent Mobile Platform for Patent Consulting Service
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作者 Lidan Ma 《Modern Electronic Technology》 2017年第1期16-18,共3页
Intelligent patent consulting service platform is an integrated service platform based on Android and IOS operating system. It can achieve the customized service at the mobile end and can provide intelligent search se... Intelligent patent consulting service platform is an integrated service platform based on Android and IOS operating system. It can achieve the customized service at the mobile end and can provide intelligent search service, intelligent service delivery, interactive learning and collaborative consulting and other multi-dimensional services, to meet the needs of a large number of users. This paper provides a mobile platform for the applicant side of the functional modules of the design. 展开更多
关键词 INTELLIGENT consulting PATENT MOBILE SERVICE
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Brief Introduction to China Power Engineering Consulting Corporation Ltd.
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《Electricity》 1999年第1期2-2,共1页
关键词 MVA Brief Introduction to China Power Engineering consulting Corporation Ltd
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Minimum secondary aberration fractional factorial split-plot designs in terms of consulting designs 被引量:3
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作者 Al Mingyao ZHANG Runchu 《Science China Mathematics》 SCIE 2006年第4期494-512,共19页
It is very powerful for constructing nearly saturated factorial designs to characterize fractional factorial (FF) designs through their consulting designs when the consulting designs are small. Mukerjee and Fang emplo... It is very powerful for constructing nearly saturated factorial designs to characterize fractional factorial (FF) designs through their consulting designs when the consulting designs are small. Mukerjee and Fang employed the projective geometry theory to find the secondary wordlength pattern of a regular symmetrical fractional factorial split-plot (FFSP) design in terms of its complementary subset, but not in a unified form. In this paper, based on the connection between factorial design theory and coding theory, we obtain some general and unified combinatorial identities that relate the secondary wordlength pattern of a regular symmetrical or mixed-level FFSP design to that of its consulting design. According to these identities, we further establish some general and unified rules for identifying minimum secondary aberration, symmetrical or mixed-level, FFSP designs through their consulting designs. 展开更多
关键词 coding theory consulting design minimum SECONDARY aberration fractional FACTORIAL split-plot design PROJECTIVE geometry wordlength pattern.
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Using air curtains to reduce short-range infection risk in consulting ward: A numerical investigation 被引量:3
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作者 Jin Ye Hua Qian +2 位作者 Jianchao Ma Rong Zhou Xiaohong Zheng 《Building Simulation》 SCIE EI CSCD 2021年第2期325-335,共11页
Air curtains is promising in reducing the short-range infection risk in hospitals.To quantitatively evaluate its performance,this paper explores air curtains equipped on normal consulting desk to avoid doctor’s direc... Air curtains is promising in reducing the short-range infection risk in hospitals.To quantitatively evaluate its performance,this paper explores air curtains equipped on normal consulting desk to avoid doctor’s direct exposure to the patient exhaled pollutants.A numerical investigation is conducted to evaluate the effects of supply air velocity and angle on cutting off performance.Simulation results show that the average mass fraction of exhaled pollutants decreases significantly(70%–90%)in the consulting ward,indicating satisfying performance of air curtains.Increasing supply air velocity is demonstrated to be conducive in forming full air curtains,whereas an excessively high supply air velocity may be of adverse effects by entraining exhaled flow.Besides,the supply air angle is also critical due to its coupling with supply air velocity.It is found that larger angle(0°–40°)is better where velocity is less than 3 m/s,otherwise a small angle(20°)is preferable where velocity is larger than 3 m/s.Exhaled flow could be well suppressed at the supply air angle 20°but moves over air curtains at 40°.This study can provide effective and intuitive guidance in applying air curtains in consulting wards. 展开更多
关键词 air curtains consulting ward cutting off performance numerical investigation
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基于Consultant Climate导向与斯维尔验证的烟台某售楼处节能改造研究
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作者 郑徐魁 张巍 +1 位作者 李鑫儿 胡雅琦 《节能》 2024年第4期14-16,共3页
以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理... 以烟台某售楼处节能改造项目为例,通过Consultant Climate分析帮助设计者快速找到主要能耗矛盾并进行节能改造,再利用斯维尔进行改造后的评价。结果显示:Consultant Climate能够快速找到地区气候缺陷并提出量化策略,斯维尔能够准确合理给出节能率。结合两者可以帮助设计者快速准确地找到适应气候的设计策略,提高工作效率,避免因气候调节能力不佳导致重新改造所带来的资源浪费。 展开更多
关键词 节能改造 围护结构 节能率 Consultant Climate 斯维尔
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Project management maturity in construction consulting services: Case of Expo in China 被引量:1
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作者 Yongkui LI Qing YANG +1 位作者 Beverly PASIAN Yan ZHANG 《Frontiers of Engineering Management》 2020年第3期384-395,共12页
For many years,project management maturity models(PMMM)derived from the software industry have brought immeasurable benefits.However,the adoption and investigation of PMMM in the construction field have been weak and ... For many years,project management maturity models(PMMM)derived from the software industry have brought immeasurable benefits.However,the adoption and investigation of PMMM in the construction field have been weak and insufficient,particularly in construction consulting services(CCS).Moreover,professionals have gradually realized the importance of non-process factors(e.g.,teamwork,culture,leadership)in the evaluation of PMMM.This study describes the construction of PMMM for CCS that considers non-process factors and combines them with CCS-specific process factors.To verify the effectiveness of the proposed model,we conduct a case study on the overall project management consultancy for China’s 2010 Winter Expo.The results would fill in the PMMM research gap in CCS and provide practitioners with ideas to improve their performance. 展开更多
关键词 construction consulting services project management maturity model non-process factors EXPO
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Accidental placement of venous return catheter in the superior vena cava during venovenous extracorporeal membrane oxygenation for severe pneumonia: A case report
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作者 Xiao-Qin Song Yun-Long Jiang +3 位作者 Xian-Bao Zou Shi-Chao Chen Ai-Jun Qu Ling-Ling Guo 《World Journal of Clinical Cases》 SCIE 2024年第4期782-786,共5页
BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with sev... BACKGROUND Venovenous extracorporeal membrane oxygenation(V-V ECMO)has become an important treatment for severe pneumonia,but there are various complications during the treatment.This article describes a case with severe pneumonia success-fully treated by V-V ECMO,but during treatment,the retrovenous catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.The ECMO was safely withdrawn after multidiscip-linary consultation.Our experience with this case is expected to provide a reference for colleagues who will encounter similar situations.CASE SUMMARY A 64-year-old man had severe pulmonary infection and respiratory failure.He was admitted to our hospital and was given ventilation support(fraction of inspired oxygen 100%).The respiratory failure was not improved and he was treated by V-V ECMO,during which the venous return catheter,which was supposed to be in the right internal vein,entered the superior vena cava directly in the mediastinum.There was a risk of massive mediastinal bleeding if the catheter was removed directly when the ECMO was withdrawn.Finally,the patient underwent vena cava angiography+balloon attachment+ECMO with-drawal in the operating room(prepared for conversion to thoracotomy for vascular exploration and repair at any time during surgery)after multidiscip-linary consultation.ECMO was safely withdrawn,and the patient recovered and was discharged.CONCLUSION Patients may have different vascular conditions.Multidisciplinary cooperation can ensure patient safety.Our experience will provide a reference for similar cases. 展开更多
关键词 Severe pneumonia Extracorporeal membrane oxygenation Complications Superior vena cava Multidisciplinary consultation Case report
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基于Climate Consultant的现代民居被动式优化策略分析——以豫北地区为例
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作者 夏宗俊 卢玫珺 《绿色科技》 2024年第2期216-222,260,共8页
为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏... 为改善豫北地区现代民居室内热环境状况,提高民居气候适应能力。采用Climate Consultant软件分析豫北地区的气候数据,得出了适用于该地区的被动式建筑策略组合及各策略有效时间比。结合冬夏两季现代民居室内外的热环境实测数据,针对夏季炎热和冬季寒冷问题分别提出了被动式优化策略:民居功能分区设计采用“向心性”的空间布局、冬季在一层檐廊处增设阳光间、改善围护结构保温隔热设计;夏季疏通建筑自然通风的路径、增设遮阳设施、改善庭院绿化。通过以上适宜性被动式优化策略,提高现代民居室内热舒适性,为豫北地区现代民居的建设和改造提供了重要的理论依据和有价值的参考。 展开更多
关键词 Climate Consultant软件 现代民居 热环境实测 被动式优化策略
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傣族传统民居建筑原型对气候设计策略的回应与补充研究
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作者 张涛 张宇轩 《西部人居环境学刊》 CSCD 2023年第5期153-157,共5页
随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效... 随着美丽乡村的建设与乡村振兴步伐的驱动,一些不当思潮与建设的侵袭,传统民居被大量模仿现代城市建筑的新建民居取代,简单实现了功能空间多样化的需求,却成为生态脆弱、品质较差、文化缺失的代表,民居发展面临种种困境。为了科学有效地助力传统民居传承及美丽乡村建设,如何深入挖掘潜藏于传统民居建筑原型中的绿色属性与生态经验,成为在理论研究方面人们关注的热点问题。选择云南省勐腊地区的水傣干栏式傣家竹楼传统民居为研究对象,基于被动式气候设计理论,针对傣家竹楼建筑原型,提炼民居应对湿热气候的被动式设计原型策略,比对Climate Consultant软件分析所得的被动式设计标准策略,探讨民居建筑原型的原型策略对标准策略的回应率。研究结果表明:傣家竹楼建筑原型在遮阳、防热、防雨、防潮、保温与节能等方面对标准策略的最低、最高回应率分别为67%与100%,平均回应率84.8%。受材料及技术条件的限制,部分策略的回应不足,但是通过其他的方法及措施可以得到很好的补充。傣族传统民居建筑原型的绿色特性及生态智慧,揭示了地域性传统建筑以地域自然、社会环境为约束,以建筑综合性能为核心的生态设计理论控制的科学原理。本研究的结果对湿热地区民居的设计建造及现代传承提供理论依据。 展开更多
关键词 傣家竹楼 传统民居 建筑原型 气候设计策略 Climate Consultant
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基于Climate Consultant的天水传统民居气候适应性分析
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作者 王霞丽 王天鹏 《甘肃科学学报》 2023年第2期31-38,共8页
天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得... 天水传统民居建筑由于受到自然环境以及建筑文化的影响导致施工过程中存在较大的盲目性和自主性,缺乏相应的理论支持,同时建筑设计缺乏气候数据的量化设计。采用Climate Consultant分析软件将大量气候数据转化成便于理解的图示,同时得到改善天水传统民居舒适度的被动优化策略,并结合现阶段传统民居建筑特点,对实际气候环境进行检测分析,从而针对天水地区冬季寒冷、夏季炎热的问题分别提出相对应的设计优化策略:冬季增设附加阳光间、加强外墙保温设计、优化门窗节能设计;夏季增设自然通风设计、遮阳措施设计、庭院绿化设计。通过改进传统民居的适宜性技术与设计措施,从而提高民居的热舒适性,为天水地区乃至整个西北地区传统民居的建设和更新提供了相应的理论依据和参考价值。 展开更多
关键词 天水传统民居 气候适应性 Climate Consultant分析软件 被动优化策略
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Medical consultation in ulcerative colitis:Key elements for improvement
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作者 Yago González-Lama Elena Ricart +3 位作者 Ana Cábez Pilar Fortes Susana Gómez Francesc Casellas 《World Journal of Gastroenterology》 SCIE CAS 2023年第6期917-925,共9页
Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework ... Ulcerative colitis(UC)is a chronic inflammatory disease with a high impact.In order to improve patient outcomes,the clinician-patient relationship in daily practice is critical.Clinical guidelines provide a framework for UC diagnosis and treatment.However,standard procedures and the medical content focused upon medical consultations in UC patients has not yet been defined.Moreover,UC is a complex disease,given that patient characteristics and patient needs have been proven to vary during clinical consultation since establishing the diagnosis and upon the course of the disease.In this article,we have discussed the key elements and specific objectives to consider in medical consultation,such as diagnosis,first visits,follow-up visits,active disease patients,patients on topical therapies,new treatment initiation,refractory patients,extra-intestinal manifestations,as well as challenging situations.The key elements have been mentioned to comprise effective communication techniques,motivational interviewing(MI),as well as information and educational aspects,or organizational issues.The key elements to be implemented in daily practice were reported to comprise several general principles like duly prepared consultations,in addition to honesty and empathy with patients,as well as effective communication techniques,MI,information and educational points,or organizational issues.The role of other healthcare professionals such as specialized nurses,psychologists,or the use of checklists was also discussed and commented on. 展开更多
关键词 Ulcerative colitis Patient experience Shared decision making Medical consultation Motivational interviewing Patient education
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Two surgical pathways for isolated hip fractures:A comparative study
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作者 Alexander A Fokin Joanna Wycech Knight +3 位作者 Maral Darya Ryan Stalder Ivan Puente Russell D Weisz 《World Journal of Orthopedics》 2023年第6期399-410,共12页
BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services... BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is recommended.Patients can be hospitalized for surgery through different pathways,either trauma or medicine admitting services.AIM To compare management and outcomes among patients admitted through the trauma pathway(TP)vs medical pathway(MP).METHODS This Institutional Review Board-approved retrospective study included 2094 patients with proximal femur fractures(AO/Orthopedic Trauma Association Type 31)who underwent surgery at a level 1 trauma center between 2016-2021.There were 69 patients admitted through the TP and 2025 admitted through the MP.To ensure comparability between groups,66 of the 2025 MP patients were propensity matched to 66 TP patients by age,sex,HF type,HF surgery,and American Society of Anesthesiology score.The statistical analyses included multivariable analysis,group characteristics,and bivariate correlation comparisons with theχ^(2)test and t-test.RESULTS After propensity matching,the mean age in both groups was 75-years-old,62%of both groups were females,the main HF type was intertrochanteric(TP 52%vs MP 62%),open reduction internal fixation was the most common surgery(TP 68%vs MP 71%),and the mean American Society of Anesthesiology score was 2.8 for TP and 2.7 for MP.The majority of patients in TP and MP(71%vs 74%)were geriatric(≥65-years-old).Falls were the main mechanism of injury in both groups(77%vs 97%,P=0.001).There were no significant differences in pre-surgery anticoagulation use(49%vs 41%),admission day of the week,or insurance status.The incidence of comorbidities was equal(94%for both)with cardiac comorbidities being dominant in both groups(71%vs 73%).The number of preoperative consultations was similar for TP and MP,with the most common consultation being cardiology in both(44%and 36%).HF displacement occurred more among TP patients(76%vs 39%,P=0.000).Time to surgery was not statistically different(23 h in both),but length of surgery was significantly longer for TP(59 min vs 41 min,P=0.000).Intensive care unit and hospital length of stay were not statistically different(5 d vs 8 d and 6 d for both).There were no statistical differences in discharge disposition and mortality(3%vs 0%).CONCLUSION There were no differences in outcomes of surgeries between admission through TP vs MP.The focus should be on the patient’s health condition and on prompt surgical intervention. 展开更多
关键词 Isolated hip fractures Admitting service Trauma center Time to surgery American Society of Anesthesiologists score Preoperative consultations
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Determinants of the Frequency of Prenatal Consultations among Women Giving Birth in the Maternity Wards of the Commune of Agbangnizoun (Zou), Benin
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作者 Klikpézo Roger Hounkponou Nouéssewa Fanny Maryline +8 位作者 Atadé Sèdjro Raoul Dangbemey Djima Patrice Flénon-Yévidé Aubierge Joelle Ahouingnan Yeyinou Salifou Badaryatou Enassouan Marius Joseph Flénon Ouendo Marius Salifou Kabibou 《Open Journal of Obstetrics and Gynecology》 2023年第7期1127-1132,共6页
Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal cl... Antenatal care is a safe way to prevent pregnancy-related health problems, difficult deliveries and even further to anticipate low birth weight [1]. But pregnant women, especially in Africa, do not attend antenatal clinics as recommended by the WHO. The general objective of this study was to study the norm in terms of Antenatal Consultation (ANC) frequency as well as the determinants of the frequency among women who gave birth in the maternity hospitals of Agbangnizoun. Our research was a cross-sectional, descriptive, retrospective and quantitative type, which was carried out among 335 women in Agbangnizoun, Benin from 1 February to 3 April 2020 (3 months), in order to find out the general or specific characteristics of women that we associate with the frequency of prenatal consultation. At the end of the study, we found that 60%, 68% and 15% of the surveyed population had received ANC in the first, second and third trimesters, respectively. Ethnicity, income level of spouses over the three trimesters as well as the level of their knowledge and overall practice of ANC are determinants of the frequency of prenatal consultation. 展开更多
关键词 Determinants FREQUENCY Prenatal Consultation Agbangnizoun Zou BENIN
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Quality of Antenatal Care at the Referral Health Center of the Fourth Commune of Bamako District
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作者 Amaguiré Saye Dessé Diarra +13 位作者 Sirima Diarra Brahima Dembele Abdou Guire Souleymane Dembele Yéli Dianessi Moussa Samake Seydou Mariko Seydou Fomba Diakaridia Kone Abdoul Razakou Dicko Pierre Coulibaly Daouda Camara Hamidou Toure Mama Sy Konake 《Open Journal of Obstetrics and Gynecology》 2023年第3期609-624,共16页
Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional st... Purpose: To contribute to the improvement of the quality of prenatal consultation at the reference health center of the commune IV of the district of Bamako. Patients Methods: This was a qualitative cross-sectional study to assess the quality of prenatal consultation that took place from December 1, 2017 to January 31, 2018. It included 139 pregnant women whose consultations were monitored by the investigator and then the women were interviewed upon discharge from the facility to collect their opinions on the services they received. Results: The age group of 20 to 29 years was the most represented with 60.44%. In our study, 50% of our patients were managed by midwives. Among the antecedents constituting the risk factors sought in pregnant women, scar uterus was more frequent with 33.93% followed by arterial hypertension with 14.28% and multiparity with 7.14%. Conclusion: This study shows that the evaluation of the quality of services is an absolute necessity for the improvement of services in integrated reproductive health care centers. 展开更多
关键词 QUALITY Prenatal Consultation BAMAKO MALI
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Management of the Torsion of Spermatic Cord in the Urology-Andrology Department of the Ignace Deen National Hospital in Conakry
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作者 Thierno Mamadou Oury Diallo Mamadou Bissiriou Bah +8 位作者 Mamadou Diawo Bah Boris Amougou Daouda Kanté Alimou Diallo Demba Cissé Abdoul Haqq Bah L’Imam Mamadou Dian Oury Diallo Abdoulaye Bobo Diallo Oumar Raphiou Bah 《Open Journal of Urology》 2023年第10期399-406,共8页
Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion i... Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion in the Urology Andrology Department of the Ignace Deen National Hospital in Conakry. Material and methods: This was a ten-year retrospective descriptive study from January 1, 2012 to December 31, 2021. It involved all patients admitted for torsion of the spermatic cord, confirmed at surgical exploration. Results: We identified 21 cases of torsion of the spermatic cord. The mean age of the patients was 17.9 ± 4.4 years. The average consultation time was 19.2 ± 21.4 hours with extremes of [2 h and 98 h]. Only 6 patients (28.6%) consulted before the sixth hour. All patients presented with scrotal swelling. At scrototomy, all torsions were intravaginal with two turns of spiral in 13 cases and three turns in 8 cases. Orchiectomy followed by contralateral orchidopexy was performed in 6 cases. In the other cases, bilateral orchidopexy was performed after detorsion. The average hospital stay was 4.5 days. We recorded 4 cases of testicular atrophy after orchidopexy. Conclusion: Spermatic cord torsion is an infrequent emergency in our department. The delay in consultation remains the main predictive factor of testicular necrosis. Emergency exploratory scrotomy should be the rule. 展开更多
关键词 Spermatic Cord Torsion Delay in Consultation ORCHIDOPEXY ORCHIECTOMY Testicular Atrophy
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