Introduction: In Cameroon, surgery remains the only approach in malignant obstructions of the common bile duct (MOCBD) even in palliative situations. The aim of this work was to describe the modalities of surgical tre...Introduction: In Cameroon, surgery remains the only approach in malignant obstructions of the common bile duct (MOCBD) even in palliative situations. The aim of this work was to describe the modalities of surgical treatment of MOCBD, evaluate the results and detect the factors associated with postoperative morbidity and mortality. Patients and Methods: We conducted an analytical observational study, with retrospective data collection from the files of patients operated upon for MOCBD. This was done in four referral hospitals in the city of Yaoundé for a 42-month period spanning from January 1, 2020 to June 30, 2023. Demographic data, clinical presentation, surgical data, and 30-day postoperative outcomes were collected. Results: We collected 71 files. The sex ratio was 1.4 and the mean age was 56 ± 11 years. Fifty-three (53) patients (74.6%) were overweight or obese and 10 patients (14.1%) were hypertensive. A clinical cholestasis syndrome was present in 69 patients (97.2%). Fifty-five (55) patients (77.5%) had a cancer of the head of the pancreas, 8 patients (11.3%) had an extra-hepatic cholangiocarcinoma and 8 patients (11.3%) had an ampullary adenocarcinoma. Eight (8) resections (11.3%) with curative intent had been carried out and in 63 cases (88.7%), surgery was palliative. Postoperative morbidity was 55.7%, influenced by advanced WHO stage (p = 0.02). Postoperative mortality was 25.7%, associated with a high ASA score (p = 0.01). Conclusion: Pancreatic head cancer is the main etiology of malignant obstructions of the common bile duct in Cameroon. Surgical treatment is most often palliative. Postoperative morbidity and mortality are high, influenced by high WHO and ASA scores.展开更多
Wood heat treatment has increased signifi- cantly in recent years and is still growing as an industrial process to improve some wood properties. We studied the change of swellingand surface roughness of common alder ...Wood heat treatment has increased signifi- cantly in recent years and is still growing as an industrial process to improve some wood properties. We studied the change of swellingand surface roughness of common alder （Alnus glutinosa （L.） Gaertn. ssp.glutinosa） and wych elm （Ulmus glabra Huds.） woods after heat treatment at two different temperatures and durations. The temperatures were 180 and 200 ℃ and the durations were 2 and 4 h. A stylus method was employed to evaluate the surface char- acteristics of the samples. Roughness measurements by the stylus method were made in the direction perpendicular to the fiber on the wood surface. Four main roughness parameters, mean arithmetic deviation of profile （Ra）, mean peak-to-valley height （Rz）, root mean square roughness （Rq）, and maximum roughness （Ry） were used to evaluate the effect of heat treatment on the surface characteristics of the specimens. Swelling and surface roughness parameters （Ra, Rz, Ry, and Rq） differed significantly for two temper- atures and two durations of heat treatment. Swelling and surface roughness values decreased with increasing treat- ment temperature and treatment times.展开更多
Common effluent treatment plants(CETPs) have been installed and are in operation at numerous industrial clusters throughout India. They serve to reduce effluent treatment cost, provide better collective treatment, and...Common effluent treatment plants(CETPs) have been installed and are in operation at numerous industrial clusters throughout India. They serve to reduce effluent treatment cost, provide better collective treatment, and reduce land cost for small-scale industrial facilities that cannot afford individual treatment plants. Optimum working conditions for treatment of effluent to be at par with discharge standards is a major mandate for any CETP. In this study, the reliability and removal efficiencies(REs) of a CETP in the industrial area of Maharashtra State in India were examined. An established methodology was adopted to determine the effectiveness of the CETP in terms of biochemical oxygen demand(BOD), chemical oxygen demand(COD), total suspended solids(TSS), and oil and grease(O&G) concentrations. The CETP's compliance with respect to design standards and its operation were studied in detail. This paper highlights the results of RE and the coefficient of determination(R2) values obtained from the CETP data, estimates the pollutants removed at the highest and lowest rates over a period of time, and highlights the reasons for problem areas along with remedial measures. It was observed that, except O&G, all the parameters(BOD, COD, and TSS)showed fluctuations in removal efficiencies and their reliabilities. This situation can be improved by releasing effluent containing hydraulic and organic loading to the CETP as per standards and optimizing treatment processes, especially primary clari-flocculators and aeration tanks, both of which are important units of any CETP.展开更多
Context: Since the discovery of toll-like receptor 3 (TLR3), no specific tools have been developed to modulate its activity in upper respiratory tract viral infections (URTIs). ContafluTM (antibodies to TLR3 cytoplasm...Context: Since the discovery of toll-like receptor 3 (TLR3), no specific tools have been developed to modulate its activity in upper respiratory tract viral infections (URTIs). ContafluTM (antibodies to TLR3 cytoplasmic fragment) is the first specific TLR3 modulator that showed efficacy in a mouse model of influenza. Objective: To evaluate the efficacy of Contaflu in URTI. Methods: A double-blind randomized placebo-controlled trial in adults with self-reported URTI (the ESTUAR trial) was conducted in 2012/2013 in Belgium. Adult outpatients started a 7-day treatment course with oral tablets of Contaflu or placebo within 36 h after onset of at least one of 4 typical symptoms of URTI. Patients were examined twice by their general practitioners, on days 2-3 and 10-14 after start of treatment. The primary endpoint was the overall severity of URTI calculated as the sum of Wisconsin Upper Respiratory Symptom Survey (WURSS-21) scores over the follow-up. Independent Student’s t test was used to compare the disease severity between groups. Results: A total of 243 patients were enrolled by 32 investigators (121 Contaflu, 122 placebo);92% of cases matched ICD codes J00 or J06. Most patients had very mild (41.8%) or mild (18.2%) URTI symptoms. In the ITT cohort, neither primary nor secondary outcome measures (duration of URTI, day-to-day and overall functional impairments) showed statistically significant differences between groups. The rate of adverse events was similar in both groups. In patients with moderate to severe URTI symptoms, Contaflu tended to reduce the overall disease severity, daily symptoms, and to improve the functional state. Due to the small size of the corresponding subgroups, Contaflu efficacy on daily scores was statistically significant (p < 0.05) only 1, 2, and 5 days after start of treatment. Conclusion: Contaflu was ineffective in mild URTI and showed efficacy in moderate to severe URTI cases.展开更多
[Objective] The paper was to investigate the differentiation and treatment of swine influenza and common cold in veterinary clinic.[Method] The clinical data of diseased pigs from May 2017 to May 2018 were analyzed re...[Objective] The paper was to investigate the differentiation and treatment of swine influenza and common cold in veterinary clinic.[Method] The clinical data of diseased pigs from May 2017 to May 2018 were analyzed retrospectively to explore the clinical treatment methods for swine influenza and common cold, and the effectiveness and accuracy of clinical diagnosis was further improved. [Result] Through in-depth analysis of test results, we obtained a comprehensive understanding of the main causes of swine influenza and common cold, and found that the causes in-cluded improper breeding management of pigs, nutrition of pigs and lack of immunity of newborn pigs. [Conclusion] Analysis of the causes of swine influenza and common cold and suggestion of targeted clinical treatment measures will reduce the incidence of swine disease, and promote the vet-erinary clinical treatment effect of swine influenza and common cold.展开更多
文摘Introduction: In Cameroon, surgery remains the only approach in malignant obstructions of the common bile duct (MOCBD) even in palliative situations. The aim of this work was to describe the modalities of surgical treatment of MOCBD, evaluate the results and detect the factors associated with postoperative morbidity and mortality. Patients and Methods: We conducted an analytical observational study, with retrospective data collection from the files of patients operated upon for MOCBD. This was done in four referral hospitals in the city of Yaoundé for a 42-month period spanning from January 1, 2020 to June 30, 2023. Demographic data, clinical presentation, surgical data, and 30-day postoperative outcomes were collected. Results: We collected 71 files. The sex ratio was 1.4 and the mean age was 56 ± 11 years. Fifty-three (53) patients (74.6%) were overweight or obese and 10 patients (14.1%) were hypertensive. A clinical cholestasis syndrome was present in 69 patients (97.2%). Fifty-five (55) patients (77.5%) had a cancer of the head of the pancreas, 8 patients (11.3%) had an extra-hepatic cholangiocarcinoma and 8 patients (11.3%) had an ampullary adenocarcinoma. Eight (8) resections (11.3%) with curative intent had been carried out and in 63 cases (88.7%), surgery was palliative. Postoperative morbidity was 55.7%, influenced by advanced WHO stage (p = 0.02). Postoperative mortality was 25.7%, associated with a high ASA score (p = 0.01). Conclusion: Pancreatic head cancer is the main etiology of malignant obstructions of the common bile duct in Cameroon. Surgical treatment is most often palliative. Postoperative morbidity and mortality are high, influenced by high WHO and ASA scores.
文摘Wood heat treatment has increased signifi- cantly in recent years and is still growing as an industrial process to improve some wood properties. We studied the change of swellingand surface roughness of common alder （Alnus glutinosa （L.） Gaertn. ssp.glutinosa） and wych elm （Ulmus glabra Huds.） woods after heat treatment at two different temperatures and durations. The temperatures were 180 and 200 ℃ and the durations were 2 and 4 h. A stylus method was employed to evaluate the surface char- acteristics of the samples. Roughness measurements by the stylus method were made in the direction perpendicular to the fiber on the wood surface. Four main roughness parameters, mean arithmetic deviation of profile （Ra）, mean peak-to-valley height （Rz）, root mean square roughness （Rq）, and maximum roughness （Ry） were used to evaluate the effect of heat treatment on the surface characteristics of the specimens. Swelling and surface roughness parameters （Ra, Rz, Ry, and Rq） differed significantly for two temper- atures and two durations of heat treatment. Swelling and surface roughness values decreased with increasing treat- ment temperature and treatment times.
文摘Common effluent treatment plants(CETPs) have been installed and are in operation at numerous industrial clusters throughout India. They serve to reduce effluent treatment cost, provide better collective treatment, and reduce land cost for small-scale industrial facilities that cannot afford individual treatment plants. Optimum working conditions for treatment of effluent to be at par with discharge standards is a major mandate for any CETP. In this study, the reliability and removal efficiencies(REs) of a CETP in the industrial area of Maharashtra State in India were examined. An established methodology was adopted to determine the effectiveness of the CETP in terms of biochemical oxygen demand(BOD), chemical oxygen demand(COD), total suspended solids(TSS), and oil and grease(O&G) concentrations. The CETP's compliance with respect to design standards and its operation were studied in detail. This paper highlights the results of RE and the coefficient of determination(R2) values obtained from the CETP data, estimates the pollutants removed at the highest and lowest rates over a period of time, and highlights the reasons for problem areas along with remedial measures. It was observed that, except O&G, all the parameters(BOD, COD, and TSS)showed fluctuations in removal efficiencies and their reliabilities. This situation can be improved by releasing effluent containing hydraulic and organic loading to the CETP as per standards and optimizing treatment processes, especially primary clari-flocculators and aeration tanks, both of which are important units of any CETP.
文摘Context: Since the discovery of toll-like receptor 3 (TLR3), no specific tools have been developed to modulate its activity in upper respiratory tract viral infections (URTIs). ContafluTM (antibodies to TLR3 cytoplasmic fragment) is the first specific TLR3 modulator that showed efficacy in a mouse model of influenza. Objective: To evaluate the efficacy of Contaflu in URTI. Methods: A double-blind randomized placebo-controlled trial in adults with self-reported URTI (the ESTUAR trial) was conducted in 2012/2013 in Belgium. Adult outpatients started a 7-day treatment course with oral tablets of Contaflu or placebo within 36 h after onset of at least one of 4 typical symptoms of URTI. Patients were examined twice by their general practitioners, on days 2-3 and 10-14 after start of treatment. The primary endpoint was the overall severity of URTI calculated as the sum of Wisconsin Upper Respiratory Symptom Survey (WURSS-21) scores over the follow-up. Independent Student’s t test was used to compare the disease severity between groups. Results: A total of 243 patients were enrolled by 32 investigators (121 Contaflu, 122 placebo);92% of cases matched ICD codes J00 or J06. Most patients had very mild (41.8%) or mild (18.2%) URTI symptoms. In the ITT cohort, neither primary nor secondary outcome measures (duration of URTI, day-to-day and overall functional impairments) showed statistically significant differences between groups. The rate of adverse events was similar in both groups. In patients with moderate to severe URTI symptoms, Contaflu tended to reduce the overall disease severity, daily symptoms, and to improve the functional state. Due to the small size of the corresponding subgroups, Contaflu efficacy on daily scores was statistically significant (p < 0.05) only 1, 2, and 5 days after start of treatment. Conclusion: Contaflu was ineffective in mild URTI and showed efficacy in moderate to severe URTI cases.
文摘[Objective] The paper was to investigate the differentiation and treatment of swine influenza and common cold in veterinary clinic.[Method] The clinical data of diseased pigs from May 2017 to May 2018 were analyzed retrospectively to explore the clinical treatment methods for swine influenza and common cold, and the effectiveness and accuracy of clinical diagnosis was further improved. [Result] Through in-depth analysis of test results, we obtained a comprehensive understanding of the main causes of swine influenza and common cold, and found that the causes in-cluded improper breeding management of pigs, nutrition of pigs and lack of immunity of newborn pigs. [Conclusion] Analysis of the causes of swine influenza and common cold and suggestion of targeted clinical treatment measures will reduce the incidence of swine disease, and promote the vet-erinary clinical treatment effect of swine influenza and common cold.
