A Clinical Study to Assess the Effectiveness of Oral Combination Kit Therapy in Syndromic Management of Abnormal Vaginal Discharge (FEMINE Study) in Kinshasa, Democratic Republic of Congo

Background: Vaginal discharge is one of most common and nagging problems that women face. About 20% - 25% of women who visit gynecology department complain of vaginal discharge and leucorrhoea. An orally administered combination kit, containing 2 g secnidazole, 1 g azithromycin and 150 mg fluconazole (Azimyn FS Kit), has been successfully evaluated in clinical trials and used in several countries for management syndromic vaginal discharge due to infections. Methods: This is a longitudinal study which aimed to verify the clinical efficacy of the combined oral kit containing secnidazole, azithromycin and fluconazole (Azimyn FS Kit®) in the syndromic treatment of abnormal vaginal discharge in patients received in outpatient consultations in Kinshasa/DR Congo from March to September 2023. Results: Majority of patients had whitish vaginal discharge (51.6%) of average abundance (56.2%), accompanied by pruritus in 72.1% of cases, and dyspareunia in 23.5% of cases and hypogastralgia in 40.2% of cases. One week after treatment with the Azimyn FS® combined kit, at the greatest majority of patients (97.3%), abnormal vaginal discharge had decreased by more than 50% (84.1%). Two weeks after treatment with the Azimyn FS® combined kit, almost all patients (97.3%) no longer had abnormal vaginal discharge which had completely disappeared. Conclusion: A single dose of secnidazole, azithromycin and fluconazole in the form of an oral combi-kit (Azimyn FS Kit) has shown excellent therapeutic effectiveness in the syndromic treatment of abnormal vaginal discharge wherein patients were treated without diagnostic confirmation.

Coordinated Mining Procedures of Open Pit Mines Based on River Management

This paper primarily concerns the effective coordination of the procedures and methods employed in open pit mining operations under the background of river management.The central objective of this study is to identify a viable approach for ensuring rational and efficient development of open pit mineral resources while simultaneously protecting and restoring the ecological environment of the river.This approach should facilitate the realization of a harmonious symbiosis between mining and river management.The intricate mutual influence relationship between river management and open pit mining is first analyzed in depth,which provides a solid foundation for the subsequent coordination strategy development.In light of the aforementioned considerations,a set of coordination procedures for open pit mining based on river management conditions is proposed.These procedures emphasize the integration of river protection into the overall layout of mining at the planning stage.The implementation of scientific mining schemes,accompanied by rigorous control of the scope and depth of mining operations,has proven to be an effective means of reducing the impact of mining activities on river environments.This approach has also facilitated the achievement of a balance and coordination between mining and river management.

Imperative for long-term management and surveillance in Kawasaki disease

Kawasaki disease(KD)is a significant pediatric vasculitis known for its potential to cause severe coronary artery complications.Despite the effectiveness of initial treatments,such as intravenous immunoglobulin,KD patients can experience long-term cardiovascular issues,as evidenced by a recent case report of an adult who suffered a ST-segment elevation myocardial infarction due to previous KD in the World Journal of Clinical Cases.This editorial emphasizes the critical need for long-term management and regular surveillance to prevent such complications.By drawing on recent research and case studies,we advocate for a structured approach to follow-up care that includes routine cardiac evaluations and preventive measures.

Enhancing perianal disease management with integrated physical and psychological approaches

This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal diseases.The study sheds light on how illness perception,anxiety,and depression significantly influence recovery outcomes.Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery.The article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for patients.The study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases.

Revolutionizing diabetic retinopathy screening and management:The role of artificial intelligence and machine learning

Diabetic retinopathy(DR)remains a leading cause of vision impairment and blindness among individuals with diabetes,necessitating innovative approaches to screening and management.This editorial explores the transformative potential of artificial intelligence(AI)and machine learning(ML)in revolutionizing DR care.AI and ML technologies have demonstrated remarkable advancements in enhancing the accuracy,efficiency,and accessibility of DR screening,helping to overcome barriers to early detection.These technologies leverage vast datasets to identify patterns and predict disease progression with unprecedented precision,enabling clinicians to make more informed decisions.Furthermore,AI-driven solutions hold promise in personalizing management strategies for DR,incorpo-rating predictive analytics to tailor interventions and optimize treatment path-ways.By automating routine tasks,AI can reduce the burden on healthcare providers,allowing for a more focused allocation of resources towards complex patient care.This review aims to evaluate the current advancements and applic-ations of AI and ML in DR screening,and to discuss the potential of these techno-logies in developing personalized management strategies,ultimately aiming to improve patient outcomes and reduce the global burden of DR.The integration of AI and ML in DR care represents a paradigm shift,offering a glimpse into the future of ophthalmic healthcare.

Motivational interviewing in postoperative rehabilitation and chronic disease management: Current findings and future research directions

This editorial highlights a recently published study examining the effectiveness of music therapy combined with motivational interviewing(MI)in addressing an-xiety and depression among young and middle-aged patients following percuta-neous coronary intervention.It further explores existing evidence and potential future research directions for MI in postoperative rehabilitation and chronic disease management.MI aims to facilitate behavioral change and promote healthier lifestyles by fostering a trusting relationship with patients and enhan-cing intrinsic motivation.Research has demonstrated its effectiveness in posto-perative recovery for oncological surgery,stroke,organ transplants,and gastroin-testinal procedures,as well as in managing chronic conditions such as diabetes,obesity,and periodontal disease.The approach is patient-centered,adaptable,cost-effective,and easily replicable,though its limitations include reliance on the therapist’s expertise,variability in individual responses,and insufficient long-term follow-up studies.Future research could focus on developing individualized and precise intervention models,exploring applications in digital health management,and confirming long-term outcomes to provide more compre-hensive support for patient rehabilitation.

Association of the glycemic background patterns and the diabetes management efficacy in poorly controlled type 2 diabetes

BACKGROUND Inadequate glycemic control in patients with type 2 diabetes(T2DM)is a major public health problem and a significant risk factor for the progression of diabetic complications.AIM To evaluate the effects of intensive and supportive glycemic management strategies over a 12-month period in individuals with T2DM with glycated hemoglobin(HbA1c)≥10%and varying backgrounds of glycemic control.METHODS This prospective observational study investigated glycemic control in patients with poorly controlled T2DM over 12 months.Participants were categorized into four groups based on prior glycemic history:Newly diagnosed,previously well controlled with recent worsening,previously off-target but now worsening,and HbA1c consistently above 10%.HbA1c levels were monitored quarterly,and patients received medical,educational,and dietary support as needed.The analysis focused on the success rates of good glycemic control and the associated factors within each group.RESULTS The study showed significant improvements in HbA1c levels in all participants.The most significant improvement was observed in individuals newly diagnosed with diabetes:65%achieved an HbA1c target of≤7%.The results varied between participants with different glycemic control histories,followed by decreasing success rates:39%in participants with previously good glycemic control,21%in participants whose glycemic control had deteriorated compared to before,and only 10%in participants with persistently poor control,with mean HbA1c levels of 6.3%,7.7%,8.2%,and 9.7%,respectively.After one year,65.2%of the“newly diagnosed patients”,39.3%in the“previously controlled group”,21.9%in the“previously off-target but now worsened'”group and 10%in the“poorly controlled from the start”group had achieved HbA1c levels of 7 and below.CONCLUSION In poorly controlled diabetes,the rate at which treatment goals are achieved is associated with the glycemic background characteristics,emphasizing the need for tailored strategies.Therefore,different and comprehensive treatment approaches are needed for patients with persistent uncontrolled diabetes.

Solid Waste Management:A MADM Approach Using Fuzzy Parameterized Possibility Single-Valued Neutrosophic Hypersoft Expert Settings

The dramatic rise in the number of people living in cities has made many environmental and social problems worse.The search for a productive method for disposing of solid waste is the most notable of these problems.Many scholars have referred to it as a fuzzy multi-attribute or multi-criteria decision-making problem using various fuzzy set-like approaches because of the inclusion of criteria and anticipated ambiguity.The goal of the current study is to use an innovative methodology to address the expected uncertainties in the problem of solid waste site selection.The characteristics(or sub-attributes)that decision-makers select and the degree of approximation they accept for various options can both be indicators of these uncertainties.To tackle these problems,a novel mathematical structure known as the fuzzy parameterized possibility single valued neutrosophic hypersoft expert set(ρˆ-set),which is initially described,is integrated with a modified version of Sanchez’s method.Following this,an intelligent algorithm is suggested.The steps of the suggested algorithm are explained with an example that explains itself.The compatibility of solid waste management sites and systems is discussed,and rankings are established along with detailed justifications for their viability.This study’s strengths lie in its application of fuzzy parameterization and possibility grading to effectively handle the uncertainties embodied in the parameters’nature and alternative approximations,respectively.It uses specific mathematical formulations to compute the fuzzy parameterized degrees and possibility grades that are missing from the prior literature.It is simpler for the decisionmakers to look at each option separately because the decision is uncertain.Comparing the computed results,it is discovered that they are consistent and dependable because of their preferred properties.

Interest of D-dimer level,severity of COVID-19 and cost of management in Gabon

BACKGROUND Coronavirus disease 2019(COVID-19)is strongly associated with an increased risk of thrombotic events,including severe outcomes such as pulmonary embolism.Elevated D-dimer levels are a critical biomarker for assessing this risk.In Gabon,early implementation of anticoagulation therapy and D-dimer testing has been crucial in managing COVID-19.This study hypothesizes that elevated Ddimer levels are linked to increased COVID-19 severity.AIM To determine the impact of D-dimer levels on COVID-19 severity and their role in guiding clinical decisions.METHODS This retrospective study analyzed COVID-19 patients admitted to two hospitals in Gabon between March 2020 and December 2023.The study included patients with confirmed COVID-19 diagnoses and available D-dimer measurements at admission.Data on demographics,clinical outcomes,D-dimer levels,and healthcare costs were collected.COVID-19 severity was classified as non-severe(outpatients)or severe(inpatients).A multivariable logistic regression model was used to assess the relationship between D-dimer levels and disease severity,with adjusted odds ratios(OR)and 95%CI.RESULTS A total of 3004 patients were included,with a mean age of 50.17 years,and the majority were female(53.43%).Elevated D-dimer levels were found in 65.81%of patients,and 57.21%of these experienced severe COVID-19.Univariate analysis showed that patients with elevated D-dimer levels had 3.33 times higher odds of severe COVID-19(OR=3.33,95%CI:2.84-3.92,P<0.001),and this association remained significant in the multivariable analysis,adjusted for age,sex,and year of collection.The financial analysis revealed a substantial burden,particularly for uninsured patients.CONCLUSION D-dimer predicts COVID-19 severity and guides treatment,but the high cost of anticoagulant therapy highlights the need for policies ensuring affordable access in resource-limited settings like Gabon.

The Greening Construction and Technology of the Management in the Lop Nur Potash Mine

Lop Nur potash mine greening projects is located in the heart of the Lop Nur, known as the ＂green zone ban＂. The project overcomes the extreme drought, high temperature, gale and dust salt and salt, and many other adverse environmen- tal factors. Adopted the suitable salt improvement measures and management tech- nology, the artificial green has emerged in the sea of death. At the same time the greening project improved the office environment of mining area, and shaped ex- treme environment greening projects successful cases.

Heat stress management in underground mines

Heat management must be maintained within the mine working environment to minimize stress on equipment and personnel. The issue is a growing concern as mines continue to expand in size, depth and infrastructure. Heat management is a concern as it relates to both heat sensitive equipment and more importantly the health and safety of the workers found within the mine. Proper application of engineering protocols and work practice controls will have a direct impact on the health and safety of workers and increased productivity. Using continuous monitoring stations placed in strategic locations throughout the mine to capture the environmental conditions, various strategies can be used in the planning and prevention of potential hazard exposure. Economic analysis is used to select the most feasible strategy for heat stress control. This paper presents a step by step methodology that may be considered by ventilation specialists to effectively implement a heat management control system. A case study based on a detailed heat management assessment conducted for a potash mine in Saskatchewan, Canada is presented.

Application of ventilation management programs for improved mine safety

The purpose of ventilation management systems is to ensure the health and safety of underground workers by creating and incorporating structured plans, procedures and processes on the day-to-day operations of the mine ventilation system. The application of ventilation management programs consists of audit, verification, and corrective action procedures to:(1) ensure adherence to regulatory standards,or to(2) return to compliance and safety standards when an upset condition arises. This paper describes how a ventilation management program can be developed and implemented to ensure regulation compliance, to increase safety, to improve operational efficiency and to reduce the operating costs of an operating mine. Two case applications are presented in this paper. The first case is presented to demonstrate use of a ventilation management program in response to a site inspection and audit, with follow-up application of corrective actions. The second case application describes how air quality conditions has been substantially improved with the development and implementation of a ventilation management program for an operating underground hard rock mine.

Fundamentals of modern ground control management in Australian underground coal mines

Underground coal mining is inherently hazardous,with uncontrolled ground failure regarded as one of only several critical risks for multiple fatality events.Development,implementation and management of overarching systems and procedures for maintaining strata control is an important step to mitigating the impact of ground failure hazards at a mine site operational level.This paper summarised the typical pro-active ground control management system(PGCMS)implemented in various Australian underground coal mines.Australia produces approximately 100 million tonnes a year of metallurgical and thermal coal from approximately 30 of the world’s safest longwall mines operating in New South Wales and Queensland.The increased longwall productivity required to achieve both high levels of safety and profitability,places significant emphasis on the reliability of pro-active ground control management for longwall mining operations.Increased depths,adverse geological conditions,elevated variable stress regimes and weaker ground conditions,coupled with an industry wide need for increased development rates continue to make ground control management challenging.Ground control management is not only about ground support and pillar design though but also a structured process that requires a coordinated effort from all levels of the workforce to both minimise the occurrence of adverse geotechnical events and mitigate the potential risks when they do occur.The PGCMS presented in this paper is proven to provide both a safer and more productive mine environment through minimisation of unplanned delays.The critical elements of the method are presented in detail and demonstrate the utility and value of a ground control management system that has potential for implementation in underground coal mining globally.

A practical soil management to improve soil quality by applying mineral organic fertilizer

Heavy use of chemical fertilizer causes increasing soil and environmental crisis, and the use of organic fertilizer increases obvious in recent years. In this study,mineral organic fertilizer(MOF) and compound fertilizer(CF) were applied in amaranth culture to explore the effects of these two kinds of fertilizers on soil quality and the potential function for CO_2 fixation. Some soil parameters were tested, e.g. p H value, organic carbon content, microbial biomass, urease activity, and available potassium content. In addition, some parameters of soil infiltration water were also determined, such as p H and HCO_3^- concentration. Experimental results showed that MOF improved soil quality and amaranth biomass and increased possible soil carbon sink.On the contrary, the utilization of CF worsened soil quality and made the soil acidize. These results suggested that MOF can partially replace CF to improve plant growth, soil quality and possible CO_2 sink.

Risk management in open cut coal mines

There are a number of geotechnical systems used at open cut operations of Anglo American's Metallurgical Coal business unit in Australia. These systems are mainly mine site specific, based on geological information and used as hazard plans. They are qualitative and reliant upon the experienced judgement of site based engineers and the general workforce. They are not suitable for calculating the associated risks of geological structures and mining responses. A uniform risk rating system that can be used to provide an unbiased, standard and quantifiable assessment of the risk from highwall and lowwall failures is therefore developed using the experience gained with such systems in Anglo American's South African operations. This system is a semi-quantitative risk rating system and takes into account the relative differences in the importance of hazards as experienced at each mine site as a result of different combinations of geotechnical factors and mining conditions. It is based on critical geotechnical and other parameters that have been identified by site mining engineers, geologists and geotechnical engineers. The primary advantage of this risk rating system is that all open cut mines in the Anglo American's Metallurgical Coal operations use a near identical system, which enables the user to compare the risk after each blast and with other mines. The system can be adjusted to meet local mine specific requirements. The implementation of this system, a computer program that automatically calculates the risks and recommends predetermined controls, has been made as practical and as easy to use as possible. This program can be used by personnel from other mining disciplines not directly related to geotechnical engineering.

Emerging trends in information and communication technology in mine safety and disaster management

There is tremendous growth in the use of Geographic Information Systems(GIS), Global Positioning Systems (GPS), Remote Sensing, Satellite Communication, andModeling & Simulation techniques.These tools and techniques helps significantly in characterizinginfrastructure, risk area and disaster zones, planning and implementation ofhazards reduction measures etc.Communication satellites becomes vital for providingemergency communication and timely relief measures.Integration of space technologyinputs into natural disaster monitoring and mitigation mechanisms is critical for hazard reduction.This paper mainly focused on all the issues described above.Major emphasis hadbeen given to the recent developments in information & communication technology enabledtools and their applications in mining industries for safe mining operations with increasedproductivity.

Integral evaluation of operating quality and the deciding of management strategy in productive coal mines

According to overall mean square root of weighted deviation, presented an evaluation model of geology-technique-social conditions with a significant index system for the estimation of operating quality in productive coal mines. In the given example, the evaluation result is used to decide management strategy of coal mine, which plays a guiding role in the production.

Management present situation and countermeasures of coal mines safety in production

Analyzed of the present situation of Chinese coal mines safety in production and the reasons for coal mining accident,and realized the coal mines safety in production, which should increase the legal safeguards of coal mine safety in production,and safety input,established the comprehensive coal mine safety evaluation system,comprehen- sively enhance quality of coal mine workers,established and improved early warning me- chanism of safety production of coal mine.

Reduced graphene oxide modified melamine sponges filling with paraffin for efficient solar-thermal conversion and heat management

A novel type of reduced graphene oxide(rGO)modified melamine sponges(rGS)filling with paraffin(rGS-pf)is developed for efficient solar-thermal conversion and heat management.The microstructures,filling and holding capacity of paraffin in porous rGS,solar-thermal energy conversion and energy harvesting efficiency of the prepared rGS-pf have been investigated systematically.The content of rGO nanosheets coated on the skeletons of rGS-pf is only 0.11%,while the loading content of paraffin in the rGS-pf is as high as 97.53%.Based on the solar-thermal conversion property of rGO nanosheets in the rGS-pf and the heat storage ability of paraffin in the rGS-pf,the proposed rGS-pf provides excellent performance for heat management.The efficiency of solar-thermal conversion could reach up to 92.5%.The thermo-regulation provided by the proposed rGS-pf is real-time,repeatable and long-term stable.The results in this study provide valuable guidance for developing functional materials for efficient solarthermal conversion and heat management.

Reliability Study on the Risk Precontrol Management System of Coal Mines Safety

Risk precontrol management system of coal mines safety( RPMSCS) provides a set of preventive safety management strategy for high-risk coal industries, which has captured extensive attentions. Fundamentally,there are several membership systems with subsystems in the management system, and the subsystem reliability has an important influence on the management system performance. Through analyzing the structure characteristics of the management system,the phase type distribution was employed to analyze its subsystem reliability by considering repair process and three states including working,fail-abnormal,and fail-emergency states. The reliability indices of the subsystem were derived respectively,including the probabilities that the subsystem in three states,mean time to the first failure, mean time to first failemergency,mean working time to first fail-emergency,and mean maintenance time to the first fail-emergency, are derived respectively. The probabilities of the membership systems and the management system in three states were also derived. Some numerical examples were used to show the procedures. The result is important for better understanding the management system operation and improving its operational performance from the respect of system reliability.