The objectives of this work were to evaluate the surgical activities carried out in the general surgery department of the Reference Health Center of Commune I of Bamako, to describe the sociodemographic characteristic...The objectives of this work were to evaluate the surgical activities carried out in the general surgery department of the Reference Health Center of Commune I of Bamako, to describe the sociodemographic characteristics of the operated patients, to determine the main pathologies encountered and to evaluate qualitatively the result of the treatment. In order to improve performance, and the quality of care, and to identify common pathologies in the surgical department, we undertook a retrospective study on surgical activities from January 2009 to December 2010. At the end of this study, out of 474 men and 187 women (equal sex ratio 2.53);we were able to determine the frequency of surgical pathologies. Farmers, housewives and pupils/students were the most represented with 25.9% respectively;20% and 13.3%. The most frequently observed pathologies were wall hernia (44.8%), prostate adenoma (12%) and acute appendicitis (10.5%). The average length of hospitalization was 3.43 days. Infectious complications affected 25 patients (3.8% of cases) and a death rate of 0.45% (i.e. 3 patients). The average cost of care was 53,500 FCFA. Indeed, the reality of surgical practice in health centers was not the same because of the level of skills of practicing surgeons.展开更多
未婚者、新婚者或是久婚者,都能饶有兴味地读这篇文章。我们往往强调:新婚后的一段时期是夫妻双方的“磨合期”,似乎,过了这段特殊的时期,夫妻就能恩爱到老。本文从崭新的视角来观察分析这段所谓“磨合期”。调查证明,新婚后的romance(...未婚者、新婚者或是久婚者,都能饶有兴味地读这篇文章。我们往往强调:新婚后的一段时期是夫妻双方的“磨合期”,似乎,过了这段特殊的时期,夫妻就能恩爱到老。本文从崭新的视角来观察分析这段所谓“磨合期”。调查证明,新婚后的romance(注:这个词很难翻译,若译成“浪漫情调”失之肤浅,若译成“恩爱”又失之偏狭。恕暂且保留romance不译)越长,婚姻延续的时间也越长: Those couples headed for a quick divorce——in less than two years——tended to become disillusioned(幻想破灭)and negative toward one another withintwo months of being wed. Those couples most likely to be married for the long-term are those whomaintain their positive feelings for their spouse for at least the first two years.展开更多
文摘The objectives of this work were to evaluate the surgical activities carried out in the general surgery department of the Reference Health Center of Commune I of Bamako, to describe the sociodemographic characteristics of the operated patients, to determine the main pathologies encountered and to evaluate qualitatively the result of the treatment. In order to improve performance, and the quality of care, and to identify common pathologies in the surgical department, we undertook a retrospective study on surgical activities from January 2009 to December 2010. At the end of this study, out of 474 men and 187 women (equal sex ratio 2.53);we were able to determine the frequency of surgical pathologies. Farmers, housewives and pupils/students were the most represented with 25.9% respectively;20% and 13.3%. The most frequently observed pathologies were wall hernia (44.8%), prostate adenoma (12%) and acute appendicitis (10.5%). The average length of hospitalization was 3.43 days. Infectious complications affected 25 patients (3.8% of cases) and a death rate of 0.45% (i.e. 3 patients). The average cost of care was 53,500 FCFA. Indeed, the reality of surgical practice in health centers was not the same because of the level of skills of practicing surgeons.
文摘未婚者、新婚者或是久婚者,都能饶有兴味地读这篇文章。我们往往强调:新婚后的一段时期是夫妻双方的“磨合期”,似乎,过了这段特殊的时期,夫妻就能恩爱到老。本文从崭新的视角来观察分析这段所谓“磨合期”。调查证明,新婚后的romance(注:这个词很难翻译,若译成“浪漫情调”失之肤浅,若译成“恩爱”又失之偏狭。恕暂且保留romance不译)越长,婚姻延续的时间也越长: Those couples headed for a quick divorce——in less than two years——tended to become disillusioned(幻想破灭)and negative toward one another withintwo months of being wed. Those couples most likely to be married for the long-term are those whomaintain their positive feelings for their spouse for at least the first two years.