Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by...Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by this condition for both mother and newborn, studies have been carried out into the early detection of patients at risk of developing pre-eclampsia. These make it possible to introduce pregnancy-specific monitoring and preventive strategies to reduce the incidence of the condition. Objective: To establish the link between placental ultrasound characteristics and the onset of pre-eclampsia. Methodology: A multicentre prospective cohort study was conducted in two hospitals in Yaoundé, namely the Yaoundé Gynaecological Obstetrics and Paediatrics Hospital and the Nkolndongo Health and Social Animation Centre, in the gynaecology and radiology departments over a period of 11 months, from October 2022 to August 2023. It included pregnant women who had undergone obstetric ultrasound between 12 and 18 weeks’ gestation. In addition to routine obstetric ultrasound, we performed obstetric Doppler measurements in these patients. The resistance index of the left and right uterine arteries, the umbilical artery and the placental volume were the characteristics sought. At the end of this examination, two groups were formed: cases (pathological Doppler group) and controls (normal Doppler group). Blood pressure and urine dipstick were taken at each antenatal visit until delivery, then during the immediate postpartum period and finally at 7 days, 21 days and 42 days after delivery. Results: Sixty-seven (67) patients were included. Of these, 35 (47.8%) had pathological Dopplers. Sixteen patients had arterial hypertension associated with proteinuria and were therefore labelled as pre-eclampsia (PE). This gives a prevalence of 23.9%. Fifteen (42.8%) of these patients belonged to the exposed group and one to the unexposed group. The mean IR of the pre-eclampsia patients was significantly higher than that of the patients without pre-eclampsia;respectively 0.74 ± 0.096 and 0.49 ± 0.097 for the right uterine arteries and 0.71 ± 0.13 and 0.52 ± 0.089 for the left uterine arteries. We found that an increase in the uterine artery resistance index was significantly associated with the onset of pre-eclampsia, with a relative risk of 13.7 and a p value Conclusion: Abnormal Doppler ultrasound between 12 and 18 weeks of amenorrhoea had good overall sensitivity for predicting pre-eclampsia. Among the Doppler indices, the uterine artery resistance index was the only one significantly associated with pre-eclampsia.展开更多
Introduction: Hypertensive disorder in pregnancy affects 4 to 6 percent of all pregnancies and carries risks for the both baby and the mother. Only a few groups of women who are at high-risk pregnancies are received p...Introduction: Hypertensive disorder in pregnancy affects 4 to 6 percent of all pregnancies and carries risks for the both baby and the mother. Only a few groups of women who are at high-risk pregnancies are received prophylaxis Aspirin, more than 15 percent of women develop pre-eclampsia with a single minor risk factor. Methods: This descriptive cross-sectional study was conducted to compare the 1<sup>st</sup> trimester NLR value of normotensive, pregnancy induced hypertensive and pre-eclamptic pregnant women. The study was conducted with a sample of 416, antenatal patients who were admitted to ward 25, at Colombo North Teaching Hospital Ragama. Data was collected as separated three groups. NLR value was calculated separately and ANOVA test was used to analyze the 3 categorical data. Post HOC test was done to assess the multiple comparison. Results: The prevalence rates of pregnancy induced hypertension and pre-eclampsia among the pregnant women were 8.6% and 5.7%. The mean NLR values of normotensive group was 2.708, pregnancy induced hypertensive group was 2.650 and pre eclamptic group was 3.789. There was a significant difference in NLR value between pre eclamptic group and other two groups with P value of Conclusion: The 1<sup>st</sup> trimester NLR value of pre eclamptic patients significantly increased compared to normotensive women.展开更多
建筑信息模型(Building Information Modeling,BIM)技术能够优化工程流程,减少返工和浪费,降低错误率和成本,提升项目的整体性能。同时,BIM技术还促进各方协同合作,提高沟通协调效率,减少信息丢失和误解。介绍BIM技术在厂房机电安装中...建筑信息模型(Building Information Modeling,BIM)技术能够优化工程流程,减少返工和浪费,降低错误率和成本,提升项目的整体性能。同时,BIM技术还促进各方协同合作,提高沟通协调效率,减少信息丢失和误解。介绍BIM技术在厂房机电安装中的应用现状,分析了BIM技术在产业园建设项目厂房机电安装方面的优势和问题,给出了扬州新能源产业园东区建设项目中应用BIM的具体案例和实施建议。展开更多
BACKGROUND Eclampsia is a generalized tonic-clonic seizure induced by pregnancy.It contributes to a high rate of maternal and neonatal morbidity and mortality worldwide.Eclampsia is characterised by classic signs such...BACKGROUND Eclampsia is a generalized tonic-clonic seizure induced by pregnancy.It contributes to a high rate of maternal and neonatal morbidity and mortality worldwide.Eclampsia is characterised by classic signs such as elevated blood pressure,proteinuria,and seizures.However,it may occur in the absence of hypertension and/or proteinuria.The uncommon appearance of eclampsia makes it difficult to immediately assess and treat it.In addition,the occurrence of this case in a remote area makes it more challenging to handle.The objective of this case report is to increase awareness of uncommon manifestations of eclampsia,particularly in limited-resource settings.CASE SUMMARY A young primigravida experienced a generalised seizure without hypertension and/or proteinuria.Sudden hearing loss,blurred vision,and vomiting were complained about before the seizure attack.The patient was diagnosed with eclampsia.A loading dose of magnesium sulphate was administered immediately.The patient was referred from community healthcare to a hospital and discharged without any complications.CONCLUSION Atypical eclampsia may be a diagnostic challenge.However,other symptoms may be beneficial,such as awareness of eclampsia signs.展开更多
空间调制(Spatial Modulation, SM)技术和OFDM多模子载波索引调制(OFDMMulti-Mode Index Modulation, MM-OFDM-IM)技术分别在能量效率(Energy Efficiency,EE)和频谱效率(Spectral Efficiency,SE)上有着很大的优势。多维度索引调制技术...空间调制(Spatial Modulation, SM)技术和OFDM多模子载波索引调制(OFDMMulti-Mode Index Modulation, MM-OFDM-IM)技术分别在能量效率(Energy Efficiency,EE)和频谱效率(Spectral Efficiency,SE)上有着很大的优势。多维度索引调制技术相结合能够应用多种物理资源,应对无线通信系统对数据传输和系统容量的高需求,由此将SM与MMOFDM-IM系统灵活结合,构建基于空频结合的多模复合索引调制(OFDM-Multiple-Mode Space Frequency Composite Index Modulation,MM-OFDM-SFCIM)系统,保留传统子载波索引调制技术中的静默子载波,拓展新的复合系数维度,提高系统的SE和EE。针对系统的复杂特性,提出了基于符号能量及对数似然的联合检测算法(REML based on symbolic Energy and LLR,EL-REML)。仿真结果表明,MM-OFDM-SFCIM系统比传统的空频结合系统在SE上提高了约30%,并且MM-DFDM-SPCIM系统中提出的EL-REML算法比LLR算法在误码率上提高了3~4 dB,相比传统的ML算法,其计算复杂度更低。展开更多
文摘Introduction: Pre-eclampsia is a complication of pregnancy that generally occurs in the third trimester. It is associated with a maternal and foetal mortality rate of around 27%. In view of the grim picture painted by this condition for both mother and newborn, studies have been carried out into the early detection of patients at risk of developing pre-eclampsia. These make it possible to introduce pregnancy-specific monitoring and preventive strategies to reduce the incidence of the condition. Objective: To establish the link between placental ultrasound characteristics and the onset of pre-eclampsia. Methodology: A multicentre prospective cohort study was conducted in two hospitals in Yaoundé, namely the Yaoundé Gynaecological Obstetrics and Paediatrics Hospital and the Nkolndongo Health and Social Animation Centre, in the gynaecology and radiology departments over a period of 11 months, from October 2022 to August 2023. It included pregnant women who had undergone obstetric ultrasound between 12 and 18 weeks’ gestation. In addition to routine obstetric ultrasound, we performed obstetric Doppler measurements in these patients. The resistance index of the left and right uterine arteries, the umbilical artery and the placental volume were the characteristics sought. At the end of this examination, two groups were formed: cases (pathological Doppler group) and controls (normal Doppler group). Blood pressure and urine dipstick were taken at each antenatal visit until delivery, then during the immediate postpartum period and finally at 7 days, 21 days and 42 days after delivery. Results: Sixty-seven (67) patients were included. Of these, 35 (47.8%) had pathological Dopplers. Sixteen patients had arterial hypertension associated with proteinuria and were therefore labelled as pre-eclampsia (PE). This gives a prevalence of 23.9%. Fifteen (42.8%) of these patients belonged to the exposed group and one to the unexposed group. The mean IR of the pre-eclampsia patients was significantly higher than that of the patients without pre-eclampsia;respectively 0.74 ± 0.096 and 0.49 ± 0.097 for the right uterine arteries and 0.71 ± 0.13 and 0.52 ± 0.089 for the left uterine arteries. We found that an increase in the uterine artery resistance index was significantly associated with the onset of pre-eclampsia, with a relative risk of 13.7 and a p value Conclusion: Abnormal Doppler ultrasound between 12 and 18 weeks of amenorrhoea had good overall sensitivity for predicting pre-eclampsia. Among the Doppler indices, the uterine artery resistance index was the only one significantly associated with pre-eclampsia.
文摘Introduction: Hypertensive disorder in pregnancy affects 4 to 6 percent of all pregnancies and carries risks for the both baby and the mother. Only a few groups of women who are at high-risk pregnancies are received prophylaxis Aspirin, more than 15 percent of women develop pre-eclampsia with a single minor risk factor. Methods: This descriptive cross-sectional study was conducted to compare the 1<sup>st</sup> trimester NLR value of normotensive, pregnancy induced hypertensive and pre-eclamptic pregnant women. The study was conducted with a sample of 416, antenatal patients who were admitted to ward 25, at Colombo North Teaching Hospital Ragama. Data was collected as separated three groups. NLR value was calculated separately and ANOVA test was used to analyze the 3 categorical data. Post HOC test was done to assess the multiple comparison. Results: The prevalence rates of pregnancy induced hypertension and pre-eclampsia among the pregnant women were 8.6% and 5.7%. The mean NLR values of normotensive group was 2.708, pregnancy induced hypertensive group was 2.650 and pre eclamptic group was 3.789. There was a significant difference in NLR value between pre eclamptic group and other two groups with P value of Conclusion: The 1<sup>st</sup> trimester NLR value of pre eclamptic patients significantly increased compared to normotensive women.
文摘建筑信息模型(Building Information Modeling,BIM)技术能够优化工程流程,减少返工和浪费,降低错误率和成本,提升项目的整体性能。同时,BIM技术还促进各方协同合作,提高沟通协调效率,减少信息丢失和误解。介绍BIM技术在厂房机电安装中的应用现状,分析了BIM技术在产业园建设项目厂房机电安装方面的优势和问题,给出了扬州新能源产业园东区建设项目中应用BIM的具体案例和实施建议。
文摘为研究浅渍黄瓜贮藏过程中风味物质的变化规律,采用电子鼻和气相色谱-离子迁移谱技术(gas chromatography-ion mobility spectrometry,GC-IMS)分析浅渍黄瓜的挥发性化合物。电子鼻和GC-IMS分析表明,浅渍黄瓜贮藏过程中风味特征发生了显著变化。GC-IMS共定性分析出56种挥发性化合物(volatile organic compounds,VOCs),包括醇类10种、醛类30种、酮类8种、酯类5种、呋喃1种、酸类1种、烷烃类1种。随着贮藏期的延长,醛类、醇类和酮类物质的相对含量显著减少,酯类物质显著增加(P<0.05)。经相对气味活度值(relative odor activity value,ROAV)计算,筛选出9种ROAV≥1的化合物,被认为是浅渍黄瓜的关键风味化合物。进一步对不同贮藏期样品的关键风味化合物进行偏最小二乘法判别分析,筛选出6种变量重要投影值(variable important for the projection,VIP)大于1的差异标志物,分别是顺-6-壬烯醛、壬醛、1-戊烯-3-酮、异丁醛、反,顺-2,6-壬二烯醛、反-2-辛烯醛。其中反-2-辛烯醛的相对含量随着贮藏时间的延长而增加,可能是导致后期风味劣变的主要原因。本研究通过对浅渍黄瓜贮藏期间风味变化规律的分析,可为浅渍黄瓜贮藏过程的风味品质评价提供理论依据。
文摘BACKGROUND Eclampsia is a generalized tonic-clonic seizure induced by pregnancy.It contributes to a high rate of maternal and neonatal morbidity and mortality worldwide.Eclampsia is characterised by classic signs such as elevated blood pressure,proteinuria,and seizures.However,it may occur in the absence of hypertension and/or proteinuria.The uncommon appearance of eclampsia makes it difficult to immediately assess and treat it.In addition,the occurrence of this case in a remote area makes it more challenging to handle.The objective of this case report is to increase awareness of uncommon manifestations of eclampsia,particularly in limited-resource settings.CASE SUMMARY A young primigravida experienced a generalised seizure without hypertension and/or proteinuria.Sudden hearing loss,blurred vision,and vomiting were complained about before the seizure attack.The patient was diagnosed with eclampsia.A loading dose of magnesium sulphate was administered immediately.The patient was referred from community healthcare to a hospital and discharged without any complications.CONCLUSION Atypical eclampsia may be a diagnostic challenge.However,other symptoms may be beneficial,such as awareness of eclampsia signs.
文摘空间调制(Spatial Modulation, SM)技术和OFDM多模子载波索引调制(OFDMMulti-Mode Index Modulation, MM-OFDM-IM)技术分别在能量效率(Energy Efficiency,EE)和频谱效率(Spectral Efficiency,SE)上有着很大的优势。多维度索引调制技术相结合能够应用多种物理资源,应对无线通信系统对数据传输和系统容量的高需求,由此将SM与MMOFDM-IM系统灵活结合,构建基于空频结合的多模复合索引调制(OFDM-Multiple-Mode Space Frequency Composite Index Modulation,MM-OFDM-SFCIM)系统,保留传统子载波索引调制技术中的静默子载波,拓展新的复合系数维度,提高系统的SE和EE。针对系统的复杂特性,提出了基于符号能量及对数似然的联合检测算法(REML based on symbolic Energy and LLR,EL-REML)。仿真结果表明,MM-OFDM-SFCIM系统比传统的空频结合系统在SE上提高了约30%,并且MM-DFDM-SPCIM系统中提出的EL-REML算法比LLR算法在误码率上提高了3~4 dB,相比传统的ML算法,其计算复杂度更低。
