Evaluation of Ear and Facial Indices of Ibibio and Efik Female Children of Akwa Ibom and Cross River States, Nigeria

Background: The ear and face are indispensable and distinctive features for hearing and identification. Objectives: This study was designed to generate anthropometric data of the ear and facial indices of females of Efik and Ibibio children in Cross River and Akwa Ibom States, show morphological and aesthetic differences and ethnicity. Methods: A total of 600 female children (300 Efiks and 300 Ibibios) aged 2 to 10 years that met the inclusion criteria were chosen from selected primary schools in Calabar Municipality, Calabar South of Cross River State and from Uyo, Itu of Akwa Ibom State, Nigeria. Standardized measurements of face length, face width, ear length, and ear width were taken with a spreading caliper;the facial (proscopic) and ear (auricular) indices were determined. Results: Efik subjects presented a mean face length of 8.36 ± 0.06 cm, face width of 11.04 ± 0.04 cm, ear length of 4.92 ± 0.02 cm, and ear width of 3.06 ± 0.01 cm. Ibibio subjects had mean values for face length, face width, ear length, and ear width as 8.17 ± 0.05 cm, 10.75 ± 0.05 cm, 4.77 ± 0.03 cm, and 2.94 ± 0.02 cm respectively. The mean facial index and ear index for Efik subjects were 75.68 ± 0.31 and 62.16 ± 0.27 respectively;while the mean facial and ear indices for Ibibio subjects were 74.79 ± 0.36 and 61.80 ± 0.34 respectively. Statistical analysis demonstrated significant differences in face length, ear length, ear width and facial index, with the Efik subjects having higher values than Ibibio subjects (p Conclusion: The results showed hypereuryproscopic face as the prevalent face type among females of both ethnic groups, therefore can be of importance in sex, ethnic, and racial differentiation, and in clinical practice, aesthetics and forensic medicine.

Extreme value theory applied to the auroral electrojet indices

The study of extreme weather and space events has gained paramount importance in modern society owing to rapid advances in high technology.Understanding and describing exceptional occurrences plays a crucial role in making decisive assessments of their potential impact on technical,economic,and social aspects in various fields.This research focuses on analyzing the hourly values of the auroral electrojet(AE)geomagnetic index from 1957 to 2019 by using the peak over threshold method in extreme value theory.By fitting the generalized Pareto distribution to extreme AE values,shape parameter indices were derived,revealing negative values that establish an upper bound for this time series.Consequently,it became evident that the AE values had reached a plateau,suggesting that extreme events exceeding the established upper limit are rare.As a result,although the need for diligent precautions to mitigate the consequences of such extreme events persists,surpassing the upper limit of AE values becomes increasingly challenging.It is also possible to observe an aurora in the middle-and low-latitude regions during the maximum period of the AE index.

Overweight/Obesity in University Students from Mexico: Comparison Using Different Indices

The goal was to compare body mass index (BMI), waist circumference (WC), waist to height ratio (WHtR), and relative fat mas (RFM), to identify the best predictor of overweight and obesity in university students from Mexico. This is a cross-sectional survey with 697 university students from northern and central Mexico (448 women, and 249 men aged 18 - 19 years). Data was collected during 2018. Overweight and obesity were calculated from those indices and for both, female and male students, the order of correlation between a pair of indices were WHtR vs. RFM > WHtR vs. WC > RFM vs. WC > WHtR vs. BMI > BMI vs. WC > RFM vs. BMI. It is concluded to use the WHtR and the RFM to better predict overweight and obesity in young Mexican university students.

Estimating wheat spike-leaf composite indicator(SLI)dynamics by coupling spectral indices and machine learning

The contribution of spike photosynthesis to grain yield(GY)has been overlooked in the accurate spectral prediction of yield.Thus,it’s essential to construct and estimate a yield-related phenotypic trait considering spike photosynthesis.Based on field and spectral reflectance data from 19 wheat cultivars under two nitrogen fertilization conditions in two years,our objectives were to(i)construct a yield-related phenotypic trait(spike–leaf composite indicator,SLI)accounting for the contribution of the spike to photosynthesis,(ii)develop a novel spectral index(enhanced triangle vegetation index,ETVI3)sensitive to SLI,and(iii)establish and evaluate SLI estimation models by integrating spectral indices and machine learning algorithms.The results showed that SLI was sensitive to nitrogen fertilizer and wheat cultivar variation as well as a better predictor of yield than the leaf area index.ETVI3 maintained a strong correlation with SLI throughout the growth stage,whereas the correlations of other spectral indices with SLI were poor after spike emergence.Integrating spectral indices and machine learning algorithms improved the estimation accuracy of SLI,with the most accurate estimates of SLI showing coefficient of determination,root mean square error(RMSE),and relative RMSE values of 0.71,0.047,and 26.93%,respectively.These results provide new insights into the role of fruiting organs for the accurate spectral prediction of GY.This high-throughput SLI estimation approach can be applied for wheat yield prediction at whole growth stages and may be assisted with agronomical practices and variety selection.

Comparison of different preoperative objective nutritional indices for evaluating 30-d mortality and complications after liver transplantation

BACKGROUND The nutritional status is closely related to the prognosis of liver transplant re-cipients,but few studies have reported the role of preoperative objective nutri-tional indices in predicting liver transplant outcomes.AIM To compare the predictive value of various preoperative objective nutritional indicators for determining 30-d mortality and complications following liver transplantation(LT).METHODS A retrospective analysis was conducted on 162 recipients who underwent LT at our institution from December 2019 to June 2022.RESULTS This study identified several independent risk factors associated with 30-d mor-tality,including blood loss,the prognostic nutritional index(PNI),the nutritional risk index(NRI),and the control nutritional status.The 30-d mortality rate was 8.6%.Blood loss,the NRI,and the PNI were found to be independent risk factors for the occurrence of severe postoperative complications.The NRI achieved the highest prediction values for 30-d mortality[area under the curve(AUC)=0.861,P<0.001]and severe complications(AUC=0.643,P=0.011).Compared to those in the high NRI group,the low patients in the NRI group had lower preoperative body mass index and prealbumin and albumin levels,as well as higher alanine aminotransferase and total bilirubin levels,Model for End-stage Liver Disease scores and prothrombin time(P<0.05).Furthermore,the group with a low NRI exhibited significantly greater incidences of intraabdominal bleeding,primary graft nonfunction,and mortality.CONCLUSION The NRI has good predictive value for 30-d mortality and severe complications following LT.The NRI could be an effective tool for transplant surgeons to evaluate perioperative nutritional risk and develop relevant nutritional therapy.

Analysis on characteristics of extreme precipitation indices and atmospheric circulation in Northern Shanxi

This article utilizes daily precipitation data from 28 national meteorological stations in northern Shanxi Province spanning from 1972 to 2020,and the US NCEP/NCAR monthly average reanalysis and ERA5 monthly average reanalysis data.The study employs techniques such as empirical orthogonal function(EOF)decomposition,MannKendall mutation and other methods to investigate the spatiotemporal distribution of extreme precipitation index in northern Shanxi and their correlation with atmospheric circulation.The research results show that:the absolute index,relative index,intensity index and sustained dry period index(CDD)in the continuous index appear from southwest to northeast.The spatial distribution characteristics of the central region decrease,while the continuous wet period(CWD)decreases from the central to the east and west.The three indices Rx1day,Rx5day,and CWD mutated in 1978,1975,and 1983 respectively,and other extreme precipitation indices all appeared in a sudden change from a low-value period to a high-value period occurred around 2010.In the high-value years of the summer extreme precipitation index,there is a significant negative anomaly in the height field in the mid-high latitude regions of Eurasia.Northern Shanxi is controlled by a broad low-pressure trough in the Lake Baikal area.Water vapor transported via the east,west,and south routes converges in the northern Shanxi region and encounters cold air from the north.There is a strong upward motion anomaly at 500 hPa in the troposphere,and the dynamic conditions of upper-level divergence and lower-level convergence lead to more summer extreme precipitation in the northern Shanxi region.Conversely,in the low-value years of the summer extreme precipitation index,northern Shanxi is affected by a strong high-pressure ridge north of Lake Baikal.There is a downward motion anomaly at 500 hPa,and the northern Shanxi region lacks water vapor.The cold and warm air cannot converge,and both the water vapor conditions and dynamic conditions are poor,which is not conducive to the production of extreme precipitation in northern Shanxi.

Detection of Burned Areas through Spectral Indices Analysis of Sentinel-2A Satellite Images in the Abokouamékro Wildlife Reserve (Central, Côte D’Ivoire)

In Côte d’Ivoire, the recurring and unregulated use of bushfires, which cause ecological damage, presents a pressing concern for the custodians of protected areas. This study aims to enhance our comprehension of the dynamics of burnt areas within the Abokouamékro Wildlife Reserve (AWR) by employing the analysis of spectral indices derived from satellite imagery. The research methodology began with the calculation of mean indices and their corresponding spectral sub-indices, including NDVI, SAVI, NDWI, NDMI, BAI, NBR, TCW, TCG, and TCB, utilizing data from the Sentinel-2A satellite image dated January 17, 2022. Subsequently, a fuzzy classification model was applied to these various indices and sub-indices, guided by the degree of membership α, with the goal of effectively distinguishing between burned and unburned areas. Following the classification, the accuracies of the classified indices and sub-indices were validated using the coordinates of 100 data points collected within the AWR through GPS technology. The results revealed that the overall accuracy of all indices and sub-indices declines as the degree of membership α decreases from 1 to 0. Among the mean spectral indices, NDVI-mean, SAVI-mean, NDMI-mean exhibited the highest overall accuracies, achieving 97%, 95%, and 90%, respectively. These results closely mirrored those obtained by sub-indices using band 8 (NDVI-B8, SAVI-B8, and NDMI-B8), which yield respective overall accuracies of 93%, 92%, and 89%. At a degree of membership α = 1, the estimated burned areas for the most effective indices encompassed 2144.38 hectares for NDVI-mean, 1932.14 hectares for mean SAVI-mean, and 4947.13 hectares for mean NDMI-mean. A prospective approach involving the amalgamation of these three indices could have the potential to yield improved outcomes. This study could be a substantial contribution to the discrimination of bushfires in Côte d’Ivoire.

Relative active tectonic in the metamorphic rocks of the Yaounde group: insights from geomorphic indices and topographic analysis

The Yaounde Group(YG),representing the southern edge of the North Equatorial PanAfrican Belt,consists of quartzites,schists,micaschists,amphibolites,gneisses and migmatites.Tectonism has formed a landscape characterized by the development of linear and folded valleys and ridges,fault scarps,V-shaped valleys,incised rivers and knickpoints.These landforms constitute important markers of the regional tectonic activity,which have been computed from spatial sources such as SRTM,DEM,hydrographical networks and geomorphic indices such as AF,T,Smf,Vf,Bs,Hi,U,SI and Li.The results highlighted a mature relief consisting of asymmetric basins generated by tilting and uplift phenomena.The relative index of active tectonics(RIAT)has been estimated from an average of eight geomorphic indices evaluated on 24 subbasins,in the study area.Four classes have been defined:class 1(1.38),very high active(1.0≤RIAT<1.5);class 2(1.50-1.88),high active(1.5≤RIAT<2.0);and class 3(2.00-2.13)moderate active(2.0≤RIAT<2.5).These three classes,respectively covering 10.20%(458 km2),80.10%(3595 km2)and 9.69%(435 km2)of the study area,have shown a highly active tectonic zone,and imply the existence of a neotectonic event in the YG.This tectonic unit(YG)was also affected by the dextral NW-SE strike-slip faulting,which cross-cut the Sanaga Shear Zone(SSZ)at Ebebda and the foliation oriented NW-SE.The tilting and uplift of rocks related to Moho ascending are responsible for crustal thinning in the Cameroon basement,more important to the Adamawa Plateau from the Cretaceous age and the reactivation of existing tectonic accidents.The presence of hills,fault scarps,reverse faults,knickpoints,V and U shaped valleys and rounded mountains testify to the interaction between tectonic uplift,lithology,climate,weathering and erosion.

On Some Ev-Degree and Ve-Degree Dependent Indices of Benes Network and Its Derived Classes

One of the most recent developments in the field of graph theory is the analysis of networks such as Butterfly networks,Benes networks,Interconnection networks,and David-derived networks using graph theoretic parameters.The topological indices(TIs)have been widely used as graph invariants among various graph theoretic tools.Quantitative structure activity relationships(QSAR)and quantitative structure property relationships(QSPR)need the use of TIs.Different structure-based parameters,such as the degree and distance of vertices in graphs,contribute to the determination of the values of TIs.Among other recently introduced novelties,the classes of ev-degree and ve-degree dependent TIs have been extensively explored for various graph families.The current research focuses on the development of formulae for different ev-degree and ve-degree dependent TIs for s−dimensional Benes network and certain networks derived from it.In the end,a comparison between the values of the TIs for these networks has been presented through graphical tools.

Assessing fire severity in Turkey's forest ecosystems using spectral indices from satellite images

Fire severity classifications determine fire damage and regeneration potential in post-fire areas for effective implementation of restoration applications.Since fire damage varies according to vegetation and fire characteristics,regional assessment of fire severity is crucial.The objectives of this study were:(1)to test the performance of different satellite imagery and spectral indices,and two field—measured severity indices,CBI(Composite Burn Index)and GeoCBI(Geometrically structured Composite Burn Index)to assess fire severity;(2)to calculate classification thresholds for spectral indices that performed best in the study areas;and(3)to generate fire severity maps that could be used to determine the ecological impact of forest fires.Five large fires in Pinus brutia(Turkish pine)and Pinus nigra subsp.pallasiana var.pallasiana(Anatolian black pine)—dominated forests during 2020 and 2021 were selected as study sites.The results show that GeoCBI provided more reliable estimates of field—measured fire severity than CBI.While Sentinel-2 and Landsat-8/OLI images performed similarly well,MODIS performed poorly.Fire severity classification thresholds were determined for Sentinel-2 based RdNBR,dNBR,dSAVI,dNDVI,and dNDMI and Landsat-8/OLI based dNBR,dNDVI,and dSAVI.Among several spectral indices,the highest accuracy for fire severity classification was found for Sentinel-2 based RdNBR(72.1%)and Landsat-8/OLI based dNBR(69.2%).The results can be used to assess and map fire severity in forest ecosystems similar to those in this study.

Assessment of forest dieback on the Moroccan Central Plateau using spectral vegetation indices

Cork oak forests in Morocco are rich in resources and services thanks to their great biological diversity,playing an important ecological and socioeconomic role.Considerable degradation of the forests has been accentuated in recent years by signifi cant human pressure and eff ects of climate change;hence,the health of the stands needs to be monitored.In this study,the Google Engine Earth platform was leveraged to extract the normalized diff erence vegetation index(NDVI)and soil-adjusted vegetation index,from Landsat 8 OLI/TIRS satellite images between 2015 and 2017 to assess the health of the Sibara Forest in Morocco.Our results highlight the importance of interannual variations in NDVI in forest monitoring;the variations had a signifi cantly high relationship(p<0.001)with dieback severity.NDVI was positively and negatively correlated with mean annual precipitation and mean annual temperature with respective coeffi cients of 0.49 and−0.67,highlighting its ability to predict phenotypic changes in forest species.Monthly interannual variation in NDVI between 2016 and 2017 seemed to confi rm fi eld observations of cork oak dieback in 2018,with the largest decreases in NDVI(up to−38%)in December in the most-aff ected plots.Analysis of the infl uence of ecological factors on dieback highlighted the role of substrate as a driver of dieback,with the most severely aff ected plots characterized by granite-granodiorite substrates.

Proposing a novel geo-structural model for Torbat-e-Jam-Fariman plain(Northeast of Iran),based on Geomorphic indices calculation,conjugating the field evidences

There are various faults in northern and southern margins of Torbat-e-Jam-Fariman plain which show the probability of enormous earthquake in the future.In present study the geomorphic indices contain Asymmetry Function(Af),Sinuosity of mountain front(Smf),Valley floor index(Vf),Hypsometric index(Hi),Mean Axial slope of channel index(MASC)and Drainage Basin Shape(Bs),have been utilized to determine the relative tectonic activity index(IAT)to recognize,eventually,the geo-structural model of the study area.Faults and folds control the geo-structural activities of the study area,and the geomorphic indices are being affected in consequence of their activities.The intensity of these activities is different throughout the plain.There are many geomorphic evidences,related to active transform fault which are detectable all over the study area such as deviated rivers,quaternary sediments transformation,fault traces.Therefore,recognition of geo-structural model of the study area is extremely vital.Field study,then,approved the results of geomorphic indices calculation in determining the geo-structural model of the study area.Results depicted that the geostructural model of the study area is a kind of Horsetail splay form which is in accordance to the relative tectonic activity of the study area.Based on the above mentioned results it can be predicted that the splays are the trail of Neyshabour fault.

Climatic Indices’ Analysis on Extreme Precipitation for Tanzania Synoptic Stations

Like other countries in East Africa, Tanzania has been affected by extreme precipitation incidences both socially and economically. Determining the trend and variability features of extreme precipitation in the country is crucial. This study used data from 28 meteorological stations for 1981-2020 period to give an annual and seasonal analysis of the patterns of 10 ETCCDI’s extreme precipitation indices over the regions. At annual scale, the results showed that increasing trends had high frequency percentage than the decreasing ones, collecting about 76% in total. The decreasing trend was approximately 24%, and most of the stations with increasing percentage in trend are concentrated in Northern coast, Central, West, North-eastern highlands and Lake Victoria Basin. Most of the stations depicted negative trend are concentrated over Southern region. This highlights that extreme precipitation events have increased over the country for the period 1981-2020. At seasonal scale, during October to December (OND);the patterns of extreme precipitation climatic indices except R99p, showed positive significant increasing trend over Lake Victoria Basin and some Western parts of the country. In general, spatial patterns indicate decrease of precipitation over most parts of the country during OND. The seasonal average time series depicted non-significant positive trend during March to April (MAM) season, except for Consecutive Wet Days (CWD) which showed non-significant decreasing trend. Over the highest mountain in Africa, Kilimanjaro;the study has revealed significant decrease in Annual total-wet Precipitation (PRCPTOT), the number of heavy (very heavy) days of precipitation R10 mm (R20 mm) and Consecutive Wet Days (CWD) during MAM season. While the maximum one-day precipitation amount (RX1 day) was observed to decrease significantly over the Mountain during OND season. The result is very important in risk assessment and preparedness perspective in planning climate change mitigation and adaptations for different sectors like Tourism, Agriculture, Water and Energy.

Topological Evaluation of Certain Computer Networks by Contraharmonic-Quadratic Indices

In various fields,different networks are used,most of the time not of a single kind;but rather a mix of at least two networks.These kinds of networks are called bridge networks which are utilized in interconnection networks of PC,portable networks,spine of internet,networks engaged with advanced mechanics,power generation interconnection,bio-informatics and substance intensify structures.Any number that can be entirely calculated by a graph is called graph invariants.Countless mathematical graph invariants have been portrayed and utilized for connection investigation during the latest twenty years.Nevertheless,no trustworthy evaluation has been embraced to pick,how much these invariants are associated with a network graph or subatomic graph.In this paper,it will discuss three unmistakable varieties of bridge networks with an incredible capacity of assumption in the field of computer science,chemistry,physics,drug industry,informatics and arithmetic in setting with physical and manufactured developments and networks,since Contraharmonic-quadratic invariants(CQIs)are recently presented and have different figure qualities for different varieties of bridge graphs or networks.The study settled the geography of bridge graphs/networks of three novel sorts with two kinds of CQI and Quadratic-Contraharmonic Indices(QCIs).The deduced results can be used for the modeling of the above-mentioned networks.

Estimating Construction Material Indices with ARIMA and Optimized NARNETs

Construction Industry operates relying on various key economic indicators.One of these indicators is material prices.On the other hand,cost is a key concern in all operations of the construction industry.In the uncertain conditions,reliable cost forecasts become an important source of information.Material cost is one of the key components of the overall cost of construction.In addition,cost overrun is a common problem in the construction industry,where nine out of ten construction projects face cost overrun.In order to carry out a successful cost management strategy and prevent cost overruns,it is very important to find reliable methods for the estimation of construction material prices.Material prices have a time dependent nature.In order to increase the foreseeability of the costs of construction materials,this study focuses on estimation of construction material indices through time series analysis.Two different types of analysis are implemented for estimation of the future values of construction material indices.The first method implemented was Autoregressive Integrated Moving Average(ARIMA),which is known to be successful in estimation of time series having a linear nature.The second method implementedwas Non-LinearAutoregressive Neural Network(NARNET)which is known to be successful in modeling and estimating of series with non-linear components.The results have shown that depending on the nature of the series,both these methods can successfully and accurately estimate the future values of the indices.In addition,we found out that Optimal NARNET architectures which provide better accuracy in estimation of the series can be identified/discovered as result of grid search on NARNET hyperparameters.

Evaluating Water Scarcity Indices for Cultivation Region in Sadat Al-Hindya, Babylon, Iraq: A Case Study

The study evaluated the Water Scarcity Indices for Cultivation Region in Sadat Al-Hindya, Babylon, Iraq. It calculated the reference evapotranspiration, actual evapotranspiration, and amount of precipitation with effective rainfall to estimate the droughts indicators which are the Standard Precipitation Index (SPI), the Standard Precipitation and Evaporation Rain Index (SPEI) and Reconnaissance Drought Index RDI. The study indicated that the greatest decrease in river flow occurred from 2019-2021 to 2020-2021 due to increasing temperature in summer and decreasing precipitation in winter. This research evaluated a wet and drought indicating for planning and management of water resources to face changes in climate of future. The research showed the last years were years of drought according to the three indicators. SPI ranged from 0.5 to 1.5 in the rainy years, but it was -0.5 to -1 as moderately dry because in the middle of Iraq while in the south of Iraq was severely dry or extremely dry. SPEI of the study area ranged from -1.5 to -2.5 which means severely dry. The SPEI measures are negative values meaning the months and years were drier. RDi ranged from 0 to -1 was dry and moderately dry while some months and years are positive and will be wet through rainfall for ten years (2014-2023). From indices showed that the region was a drying study area due to the impact of climate change because of the reduction of precipitation and increase in temperature which caused a rise of evapotranspiration during the last few years.

Splenectomy: Indications in the General Surgery Department of Ignace Deen Hospital

Introduction: Splenectomy is the surgical removal of the spleen. It can be performed during various pathologies, ranging from abdominal trauma to hemoglobinopathies. The progress made in the knowledge of the immune functions of the spleen and the fear of post-splenectomy infectious complications have favored the development of surgical or non-surgical splenic preservation techniques calling into question the dogma of splenectomy. The aim of this study was to determine the indications for splenectomy. Methodology: This was a retrospective, descriptive study lasting 5 years in the general surgery department of the Ignace Deen National Hospital. All files of splenectomized patients were included, our variables were clinical, therapeutic and progressive. Results: We collected 42 cases of splenectomies out of the 2478 surgical procedures performed, representing 1.7% of the department’s surgical activities. The average age was 44 years. The age group of 41 to 50 years was the most represented, i.e. 26% (n = 11) of cases. Sex ratio = 1. Abdominal pain was the reason for consultation in patients, i.e. 100% (n = 42) of cases. The antecedents were dominated by recurrent malaria with 52.3% (n = 22) of cases, then recurrent anemia in 21% (n = 9), and 16.7% (n = 7) had sickle cell disease. Splenomegaly was found in 31 patients, or 73.6%. Ultrasound was performed in all patients. The indications for splenectomy were: isolated splenomegaly with risk of rupture (38%, n = 16), hypersplenism (26%, n = 11) and trauma to the spleen (19.04%, n = 8). Total splenectomy was performed in all cases. The surgical consequences were favorable in 85.7%, (n = 36) with morbidity of 14% (n = 6) and mortality of 9.52% (n = 4). The average length of hospitalization was 10.4 days with extremes of 1 and 22 days. Conclusion: Splenectomy constitutes a relatively common surgical procedure in our context. The indications for splenectomy were isolated splenomegaly with risk of rupture, hypersplenism and trauma to the spleen and total splenectomy was the rule.

Progress in the Study of Laboratory Indicators Related to Acute Pancreatitis

Acute pancreatitis (AP) is one of the more common gastrointestinal diseases in clinics and is characterized by rapid progression, many complications, and high mortality. When it develops into severe pancreatitis, its prognosis is poor. Therefore, early assessment of the degree of inflammatory response plays a crucial role in the treatment plan and prognosis of patients. More and more studies have shown that the levels of D-dimer (D-D), angiotensin-2 (Ang-2), phosphate, heparin-binding protein (HBP), retinol-binding protein-4 (RBP4), and osteoblastic protein (OPN) are closely related to the severity of acute pan-creatitis and can be used as effective indicators for early assessment of AP. In this paper, the research progress of the above indicators in assessing the severity of AP is summarized.

Vulvectomy: Indications and Results in the General Surgery Department of the Ignace Deen Chu Hospital in Conakry

Introduction: The aim of this study was to report the indications and evaluate the results of vulvectomy in the general surgery department of Ignace Deen Hospital, CHU Conakry. Materials and Methods: This was a retrospective descriptive study, conducted over a period of five (05) years from January 1, 2018 to December 31, 2022, in the general surgery department of Ignace Deen Hospital, CHU Conakry. We included in our study all patient records in whom vulvectomy was performed. Results: We recorded 15 cases of vulvectomy out of 453 perineal surgeries, i.e. 3.31%, with a mean age of 43.56 years and extremes of 35 and 69 years. Vulvar cancer was the most common diagnosis (46.67%), followed by Buschke-Lowenstein (33.33%) and anal canal cancer extending to the vulva (20%). Six patients had undergone biopsy (40%). Vulvectomy with lymph node dissection was performed in only 9 patients (60%), and all surgical specimens were sent to anatomical pathology (100%). Conclusion: Vulvectomy is a surgical technique most often indicated for the treatment of vulvar cancer.

Evidence-Based Nursing Practice of Reducing Immune-Related Skin Toxicity of Tumor Patients Guided by Sensitive Indicators

Purpose research on nursing sensitive indicators in tumor Patients application effect in immune-related skin toxicity management. Method select our hospital April to June, 202360 cases patients with immune therapy settings as the control group. August-October, 2023 60 cases the patients treated with immune therapy were the experimental group. The control group adopted regular nursing methods, while the experimental group sensitive Indicators, evidence-based give preventive care. The social situation, psychological state, physical function, quality of life score, incidence of skin toxicity caused by immune checkpoint inhibitors, moderate and above of the two groups of patients were compared. Incidence of skin toxicity. Result: experience group SAS score, SDS score higher than the control group, the difference was statistically significant (P < 0.05);The incidence of skin toxic reactions caused by immune checkpoint inhibitors and the incidence of moderate and above skin toxic reactions in the experimental group are lower than those in the control group, and the difference is statistically significant (P < 0.05). Conclusion: sensitive indicator guidance evidence-based preventive care can reduce the degree of immune-related skin toxicity, improve the psychological state and quality of life of tumor patients treated with immune therapy and reduce the incidence of adverse reactions, improve nursing quality and patient satisfaction.