Clubfoot malformation is the most common serious congenital anomaly affecting the foot in children. Its treatment by the Ponseti method is simple, profitable and widely used in the world. Objective: The objective of t...Clubfoot malformation is the most common serious congenital anomaly affecting the foot in children. Its treatment by the Ponseti method is simple, profitable and widely used in the world. Objective: The objective of this study was to identify the factors of the failure of its treatment by the Ponseti method. Material and Method: We carried out a retrospective and descriptive study of cases of congenital equinus clubfoot varus at the Reference Health Care Center of Commune III of Bamako over 26 months from September 2020 to November 2022. Data were treated with the utmost anonymity. Result: This study was performed on 44 children seen for clubfoot: male (68%) and female (32%), with a sex ratio of 2.1. We obtained 13 cases of recidivism including 7 boys and 6 girls. We found 21 cases of unilateral and 23 bilateral;among which 9 recurrences were found against 4 in the unilateral forms. 85% of recurrences did not have good adherence to the splint and 62% did not come regularly for follow-up consultation. We obtained 33 children with idiopathic clubfeet (75%) with a recurrence of 24%, and 7 children with secondary clubfeet with 71 % recurrence. There was no recurrence in the postural type. Among the recurrences, 38.5% started treatment between 1 and 6 months, 23.1% from 0 to 1 month and 15.4% at 2 years and more. 85% of recurrences had a Pirani score between 4.5 to 6 at the start of treatment and 15% at a score of 2.5 to 4. Conclusion: The factors of the failure of the Ponseti method are mainly non-compliance with treatment, secondary clubfeet, and a high Pirani score at the start of treatment.展开更多
Through the analysis of the cultural identity in Amy Tan’s novels,this paper probes into different aspects of Chinese and American cultures,and how Chinese-Americans struggle to realize their cultural identity,and fi...Through the analysis of the cultural identity in Amy Tan’s novels,this paper probes into different aspects of Chinese and American cultures,and how Chinese-Americans struggle to realize their cultural identity,and finally get a better understanding of cross-cultural communications.展开更多
Ever since the 1970s when Chinese American writers thrived from a marginal position and integrated into the mainstream of American literature, the study on Chinese American Literature has received more and more attent...Ever since the 1970s when Chinese American writers thrived from a marginal position and integrated into the mainstream of American literature, the study on Chinese American Literature has received more and more attention from the academic circles. However, the research on this newly emerging subject in the field of translation studies has not been treated with equal attention. This thesis attempts to propose a possible strategy to translate Chinese American works, based on the theory of ＂functional equivalence＂, taking the comparison of the 2 Chinese versions of TAN＇s The Joy Luck Club as an example.展开更多
文摘Clubfoot malformation is the most common serious congenital anomaly affecting the foot in children. Its treatment by the Ponseti method is simple, profitable and widely used in the world. Objective: The objective of this study was to identify the factors of the failure of its treatment by the Ponseti method. Material and Method: We carried out a retrospective and descriptive study of cases of congenital equinus clubfoot varus at the Reference Health Care Center of Commune III of Bamako over 26 months from September 2020 to November 2022. Data were treated with the utmost anonymity. Result: This study was performed on 44 children seen for clubfoot: male (68%) and female (32%), with a sex ratio of 2.1. We obtained 13 cases of recidivism including 7 boys and 6 girls. We found 21 cases of unilateral and 23 bilateral;among which 9 recurrences were found against 4 in the unilateral forms. 85% of recurrences did not have good adherence to the splint and 62% did not come regularly for follow-up consultation. We obtained 33 children with idiopathic clubfeet (75%) with a recurrence of 24%, and 7 children with secondary clubfeet with 71 % recurrence. There was no recurrence in the postural type. Among the recurrences, 38.5% started treatment between 1 and 6 months, 23.1% from 0 to 1 month and 15.4% at 2 years and more. 85% of recurrences had a Pirani score between 4.5 to 6 at the start of treatment and 15% at a score of 2.5 to 4. Conclusion: The factors of the failure of the Ponseti method are mainly non-compliance with treatment, secondary clubfeet, and a high Pirani score at the start of treatment.
文摘Through the analysis of the cultural identity in Amy Tan’s novels,this paper probes into different aspects of Chinese and American cultures,and how Chinese-Americans struggle to realize their cultural identity,and finally get a better understanding of cross-cultural communications.
文摘Ever since the 1970s when Chinese American writers thrived from a marginal position and integrated into the mainstream of American literature, the study on Chinese American Literature has received more and more attention from the academic circles. However, the research on this newly emerging subject in the field of translation studies has not been treated with equal attention. This thesis attempts to propose a possible strategy to translate Chinese American works, based on the theory of ＂functional equivalence＂, taking the comparison of the 2 Chinese versions of TAN＇s The Joy Luck Club as an example.
