This paper describes some details and procedural steps in the equivalent resistance (E-R) method for simplifying the pier group of the Sutong Bridge, which is located on the tidal reach of the lower Yangtze River, i...This paper describes some details and procedural steps in the equivalent resistance (E-R) method for simplifying the pier group of the Sutong Bridge, which is located on the tidal reach of the lower Yangtze River, in Jiangsu Province. Using a two-dimensional tidal current numerical model, three different models were established: the non-bridge pier model, original bridge pier model, and simplified bridge pier model. The difference in hydrodynamic parameters, including water level, velocity, and diversion ratio, as well as time efficiency between these three models is discussed in detail. The results show that simplifying the pier group using the E-R method influences the water level and velocity near the piers, but has no influence on the diversion ratio of each cross-section of the Xuliujing reach located in the lower Yangtze River. Furthermore, the simplified bridge pier model takes half the calculation time that the original bridge pier model needs. Thus, it is concluded that the E-R method can be use to simplify bridge piers in tidal river section modeling reasonably and efficiently.展开更多
<strong>Background:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Quality assurance in labor and delivery is needed. The method...<strong>Background:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Quality assurance in labor and delivery is needed. The method must be simple and consistent, and be of universal value. The 10-Group Classification System is a simple method providing a common starting point for further detailed analysis within which all perinatal events and outcomes can be measured and compared. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The purpose of this study was to analyze cesarean section (CS) rates using the classification system of Robson’s ten groups and to identify the main contributors to the overall CS rate in Burkina Faso’s regional and university hospitals. </span><b><span style="font-family:Verdana;">Materials and Method:</span></b><span style="font-family:Verdana;"> A cross-sectional study with retrospective collection was carried out. All women who gave birth between July 1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University Hospital Centres (UHC) of Burkina Faso were classified according to the Robson ten-group method. The overall CS rates and in each Robson group were calculated, as well as the contribution of each group to the overall CS rate. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period. nulliparous women with single term pregnancy in cephalic presentation during spontaneous labour (group 1), multiparous women with single pregnancy in cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and multiparous women with previous CS (group 5) were the main contributors (67.7%) to the overall CS rate. In addition, we observed a variation in CS rates between different hospitals, especially among women with full-term pregnancies in cephalic presentation without previous CS (groups 1 to 4), showing large differences in emergency obstetric and neonatal care across the country. </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Women in groups 1, 3 and 5 were the most important contributors to the overall CS rate in Burkina Faso. It appears that efforts to reduce the overall rate of CS should focus on vaginal delivery on the scarred uterus, reduction of CS rates in nulliparous women with full-term pregnancy in cephalic presentation (groups 1) and proper monitoring of multiparous women with full-term pregnancy in spontaneous labour (group 3).</span></span>展开更多
<strong>Introduction:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">Caesarean section (CS) is a major reproductive hea...<strong>Introduction:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">Caesarean section (CS) is a major reproductive health intervention to improve maternal and foetal outcomes if appropriately performed. </span><span style="font-family:Verdana;">This study aimed to assess the quality of Caesarean sections (CS) in a rural</span> <span><span style="font-family:Verdana;">setting in Cameroon. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">A prospective study con</span></span><span style="font-family:Verdana;">ducted in 3 hospitals from February 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2020 to April 30</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> 2020. One hundred and twenty women who had a CS were included. Data were grouped into 5 categories: </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">1</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Sociodemographic and obstetrical characteristics, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Geographic and financial access, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Diagnostic procedures, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">4</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Operative parameters and </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">5</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Post-operative parameters. The Dujardin’s model and context-relevant</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> criteria served to construct the quality score. The scale was 0 </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> 20 and scores ≤ 15 were considered as unacceptable quality while those >15 were considered as acceptable quality CS. Logistic regressions permitted to measure associations. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> There were 538 deliveries and 120 (22.3%) CS. The mean (SD) gestational age was 38.7 (2.6) weeks with extremes of 31 and 43 weeks. Group 5 of the Robson’s classification was predominant (35.0%). Motorbikes were the mode of transport to the maternity for 72.5% (87/120) of women. No referral was made by ambulance. Only 44 (36.7%) women had paid the full cost of the CS prior to surgery. In addition, 26 (21.6%) women had a complete clinical examination on admission. The surgical team was not complete (<6 staffs) in 56 (43.3%) cases. Anaesthesia was done by nurses in all cases. CS was done by a general practitioner and by nurses in 86 (71.7%) and 14 (11.7%) cases respectively. Overall, mean (SD) quality score (QS) was 16.33 (1.60).</span><b> </b><span style="font-family:Verdana;">Sixty six of the 120 (55.3%) caesarean sections had unacceptable quality CS. Mean (SD) QS was significantly higher in faith-based hospitals than in public hospitals (18.00 (0.91) versus 15.59 (1.24);P</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.001).</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> Immediate </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">postoperative clinical monitoring was effective only in 66 (55%) of cases. Apgar score was below 7 over 10 in 17 (14.2%) cases of which 6 freshes still births. No maternal death was recorded and maternal complications were recorded in 14 (11.7%) cases. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The quality of CS is generally poor in rural settings in West-Cameroon. The quantity and quality of staffs required for Caesarean sections in the hospitals are sometimes insufficient. The poor quality of CS in this region could be addressed using the faith-based hospitals: St Vincent de Paul’s Hospital as a model.</span></span></span></span>展开更多
Introduction: Cesarean section is a surgical intervention which consists in the extraction of a fetus from the uterus after its incision. The rate of cesarean section varies depending on the country and the health fac...Introduction: Cesarean section is a surgical intervention which consists in the extraction of a fetus from the uterus after its incision. The rate of cesarean section varies depending on the country and the health facility. For this reason, in 2015, the World Health Organization (WHO) recommended the use of Robson’s classification to evaluate the practice of cesarean sections in order to identify the groups of women who had abnormally high rates. The objective of our study was to evaluate cesarean sections using the Robson’s classification in CHRACERH and in the Yaoundé Central Hospital (YCH). Methodology: We carried out a retrospective cross sectional and descriptive study in two (02) university hospitals in Yaoundé which took place from December 2017 to May 2018. We included in our study all women who gave birth over a period of two (02) years from January 2016 to December 2017 in these two health facilities. Our sampling was exhaustive over the study period. The parturients’ information was collected using an anonymous and pretested questionnaire. The Robson’s group of every parturient was determined. Descriptive parameters like mean and proportions were calculated. We compared the rates and indications of cesarean sections between the both hospitals using Chi<sup>2</sup> test. Results: Out of 330 deliveries realized in CHRACERH, we had 90 cesarean sections;hence, a rate of 27.2%. Out of 1863 deliveries carried out at the YCH, 462 were by cesarean section, hence a rate of 24.8%. The women who belonged to groups 1, 3 and 5 contributed to the highest rates of cesarean sections in both hospitals: in CHRACERH, group 5 (31.1%), group 3 (20%) and group 1 (15.6%), at YCH: group 3 (22.5%), group 1 (21.6%) and group 5 (17.3%). The indications of the cesarean sections varied depending on the Robson’s group and the hospital, the principal indication in group 1 was acute fetal distress (28.6%) in CHRACERH and cephalopelvic disproportion (36.7%) at YCH. Cephalopelvic disproportion was the predominant indication in groups 3 of CHRACERH (44.4%) and YCH (39.2%). In groups 5, CHRACERH and of YCH, a scarred uterus was the principal indication for the cesarean section at 82.4% and 78.4% respectively. At CHRACERH, the maternofetal complications were more frequent in groups 1 and 2 at the YCH, this was the case mostly in groups 1 and 3. Conclusion: The Robson’s classification is an adequate tool for the evaluation and comparison of the rates of cesarean sections. The rates of cesarean section in CHRACERH (27.2%) and at YCH (24.8%) were higher than the rates recommended by WHO. Robson’s groups 1, 3 and 5 were identified as the groups most at risk for cesarean sections in the both hospitals.展开更多
Relatively strongly magnetic fine components (<30μm, XS-4J and DS-4J) which are most environmentally sensitive were separated from layer S-{5-1} in the Xifeng and Duanjiapo loess sections and analyzed by MPV-3 for...Relatively strongly magnetic fine components (<30μm, XS-4J and DS-4J) which are most environmentally sensitive were separated from layer S-{5-1} in the Xifeng and Duanjiapo loess sections and analyzed by MPV-3 for their morphometric characteristics and reflectance, SEM-ESD for their element contents and XRD for their mineral phases, respectively. The results showed that minerals in both samples are dominated by detrial Fe-Ti oxides of aeolian origin. In sample XS-4J the reflectance and iron contents of magnetic minerals are usually high. In addition to magnetite (Fe-3O-4), maghemite (γFe-2O-3) and hematite (Fe-2O-3), some Fe-high oxide ({72.25 wt%}-{86.67 wt%}), ilmenite (FeTiO-3), and magnetite-ulvspinel were also detected. In sample DS-4J obvious negative linear correlations were found between Ti and Fe, and the contents of Mn, Si, Al and Ca are usually high and the minerals are dominated by magnetite (maghemite), goethite (FeOOH) and limonite (containing Si and OH). In addition, the signs of corrosion of magnetic minerals and newly crystallized magnetite (maghemite) were recognized. Differences in the composition and assemblage characteristics of magnetite minerals between XS and DS reflect significant differences in source rocks and preserving conditions.展开更多
Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS)...Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.展开更多
<strong>Background:</strong> Abdominoplasty is still among the most popular surgeries in the world of cosmetic surgery, as many modifications have been implemented on this surgery to improve aesthetics and...<strong>Background:</strong> Abdominoplasty is still among the most popular surgeries in the world of cosmetic surgery, as many modifications have been implemented on this surgery to improve aesthetics and reduce the ratio of complication, especially seroma. Also, the duration to drain removal increases the risk of infection, and this can be avoided by preserving the Scarpa’s fascia. <strong>Methods:</strong> The study was performed from January 2018 to December 2020. The patients were divided into two groups: group A with patients who were performed in Supra-Scarpa’s fascia abdominoplasty, and group B who were performed in traditional abdominoplasty;then group A was divided into two subgroups (A1 with caesarean history and A2 with no caesarean history) that differ in caesarean history or not, while a comparison was done between the groups regarding early outcomes. <strong>Results:</strong> A total of 40 full abdominoplasties were preformed (group A, 19 patients;group B, 21 patients);then group A was divided into two subgroups (group A1, 13 patients;A2, 6 patients);we found that the time until drain removal and its drain output in group A is less with a statistical significance, and the seroma was less to happen in group A with no statistical significance. However, the operative time in group A is higher with statistical significance. In the subgroups A1 and A2, there was no statistically significant difference in the results. <strong>Conclusion:</strong> Preservation of the Scarpa’s fascia reduces the time until drain removal, total drain output and the occurrence of seroma and the caesarean scar doesn’t affect the efficacy of preserving the Scarpa’s fascia.展开更多
[本课选自人教版义务教育课程标准实验教科书《英语》(新目标)八年级下册。]一、教材内容与分析本单元话题是健康与急救(Health and first aid).Section B是Section A主题的继续与延伸,由Section A侧重谈论疾病及不适转向对事故伤害、急...[本课选自人教版义务教育课程标准实验教科书《英语》(新目标)八年级下册。]一、教材内容与分析本单元话题是健康与急救(Health and first aid).Section B是Section A主题的继续与延伸,由Section A侧重谈论疾病及不适转向对事故伤害、急救(first aid)的讨论;语言上,巩固Section A所学重点语言内容、词汇及表达,突出对步骤顺序的表达;技能上,侧重综合性的听、读、写的训练,尤其突出阅读.展开更多
Based on the waveform data of 5,076 local earthquakes recorded at 25 stations in Xinjiang during the period from 2009 to 2014 and the observation reports provided by the Xinjiang Digital Seismic Network,a data set of ...Based on the waveform data of 5,076 local earthquakes recorded at 25 stations in Xinjiang during the period from 2009 to 2014 and the observation reports provided by the Xinjiang Digital Seismic Network,a data set of 19,140 attenuation factors t*is obtained by fitting the high-frequency attenuation of S-wave spectra with a genetic algorithm. The spatial distribution of Q_S is determined by inverting the t*data with seismic tomography. The results show that the average Q0 in eastern Tianshan is 520,and there is a significant correlation between the Q_S value distribution or attenuation characteristics it disclosed and the surface structure of the study area. The Q_S value is lower in the intersection area of the mountain basin which is located on the north and south sides of the Tianshan Mountains,and the high Q_S distribution is more concentrated inside the Tianshan orogenic belt. The M≥6. 0 earthquakes have been basically located in the Low-Q_S region since 1900. 24 high heat flow points in eastern Tianshan are located at the north and south of Tianshan Mountains where low Q_S exists,indicating a negative correlation. In addition,there is a positive correlation between the velocity structure and the attenuation structure in the study area,which reflects the consistency of the 2-D attenuation structure with the velocity structure and the two-dimensional density structure.展开更多
基金supported by the Innovation Project of Graduate Education in Jiangsu Province during 2011 (Grant No. CXZZ11_0449)the Research Plan Project of Transportation Science in Jiangsu Province (Grant No. 20100714-30HDKY001-2)
文摘This paper describes some details and procedural steps in the equivalent resistance (E-R) method for simplifying the pier group of the Sutong Bridge, which is located on the tidal reach of the lower Yangtze River, in Jiangsu Province. Using a two-dimensional tidal current numerical model, three different models were established: the non-bridge pier model, original bridge pier model, and simplified bridge pier model. The difference in hydrodynamic parameters, including water level, velocity, and diversion ratio, as well as time efficiency between these three models is discussed in detail. The results show that simplifying the pier group using the E-R method influences the water level and velocity near the piers, but has no influence on the diversion ratio of each cross-section of the Xuliujing reach located in the lower Yangtze River. Furthermore, the simplified bridge pier model takes half the calculation time that the original bridge pier model needs. Thus, it is concluded that the E-R method can be use to simplify bridge piers in tidal river section modeling reasonably and efficiently.
文摘<strong>Background:</strong><span style="font-family:;" "=""><span style="font-family:Verdana;"> Quality assurance in labor and delivery is needed. The method must be simple and consistent, and be of universal value. The 10-Group Classification System is a simple method providing a common starting point for further detailed analysis within which all perinatal events and outcomes can be measured and compared. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The purpose of this study was to analyze cesarean section (CS) rates using the classification system of Robson’s ten groups and to identify the main contributors to the overall CS rate in Burkina Faso’s regional and university hospitals. </span><b><span style="font-family:Verdana;">Materials and Method:</span></b><span style="font-family:Verdana;"> A cross-sectional study with retrospective collection was carried out. All women who gave birth between July 1, 2017 and June 30, 2018, in the Regional Hospital Centres (RHC) and University Hospital Centres (UHC) of Burkina Faso were classified according to the Robson ten-group method. The overall CS rates and in each Robson group were calculated, as well as the contribution of each group to the overall CS rate. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The CS rate was 26.5% (8543 out of 32,240 deliveries) during the study period. nulliparous women with single term pregnancy in cephalic presentation during spontaneous labour (group 1), multiparous women with single pregnancy in cephalic presentation, gestational age ≥37SA, spontaneous labour (group 3) and multiparous women with previous CS (group 5) were the main contributors (67.7%) to the overall CS rate. In addition, we observed a variation in CS rates between different hospitals, especially among women with full-term pregnancies in cephalic presentation without previous CS (groups 1 to 4), showing large differences in emergency obstetric and neonatal care across the country. </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Women in groups 1, 3 and 5 were the most important contributors to the overall CS rate in Burkina Faso. It appears that efforts to reduce the overall rate of CS should focus on vaginal delivery on the scarred uterus, reduction of CS rates in nulliparous women with full-term pregnancy in cephalic presentation (groups 1) and proper monitoring of multiparous women with full-term pregnancy in spontaneous labour (group 3).</span></span>
文摘<strong>Introduction:</strong> <span><span><span style="font-family:""><span style="font-family:Verdana;">Caesarean section (CS) is a major reproductive health intervention to improve maternal and foetal outcomes if appropriately performed. </span><span style="font-family:Verdana;">This study aimed to assess the quality of Caesarean sections (CS) in a rural</span> <span><span style="font-family:Verdana;">setting in Cameroon. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">A prospective study con</span></span><span style="font-family:Verdana;">ducted in 3 hospitals from February 1</span><sup><span style="font-family:Verdana;">st</span></sup><span style="font-family:Verdana;"> 2020 to April 30</span><sup><span style="font-family:Verdana;">th</span></sup><span style="font-family:Verdana;"> 2020. One hundred and twenty women who had a CS were included. Data were grouped into 5 categories: </span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">1</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Sociodemographic and obstetrical characteristics, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Geographic and financial access, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Diagnostic procedures, </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">4</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Operative parameters and </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">5</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">) Post-operative parameters. The Dujardin’s model and context-relevant</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> criteria served to construct the quality score. The scale was 0 </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> 20 and scores ≤ 15 were considered as unacceptable quality while those >15 were considered as acceptable quality CS. Logistic regressions permitted to measure associations. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> There were 538 deliveries and 120 (22.3%) CS. The mean (SD) gestational age was 38.7 (2.6) weeks with extremes of 31 and 43 weeks. Group 5 of the Robson’s classification was predominant (35.0%). Motorbikes were the mode of transport to the maternity for 72.5% (87/120) of women. No referral was made by ambulance. Only 44 (36.7%) women had paid the full cost of the CS prior to surgery. In addition, 26 (21.6%) women had a complete clinical examination on admission. The surgical team was not complete (<6 staffs) in 56 (43.3%) cases. Anaesthesia was done by nurses in all cases. CS was done by a general practitioner and by nurses in 86 (71.7%) and 14 (11.7%) cases respectively. Overall, mean (SD) quality score (QS) was 16.33 (1.60).</span><b> </b><span style="font-family:Verdana;">Sixty six of the 120 (55.3%) caesarean sections had unacceptable quality CS. Mean (SD) QS was significantly higher in faith-based hospitals than in public hospitals (18.00 (0.91) versus 15.59 (1.24);P</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"><</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.001).</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> Immediate </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">postoperative clinical monitoring was effective only in 66 (55%) of cases. Apgar score was below 7 over 10 in 17 (14.2%) cases of which 6 freshes still births. No maternal death was recorded and maternal complications were recorded in 14 (11.7%) cases. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">The quality of CS is generally poor in rural settings in West-Cameroon. The quantity and quality of staffs required for Caesarean sections in the hospitals are sometimes insufficient. The poor quality of CS in this region could be addressed using the faith-based hospitals: St Vincent de Paul’s Hospital as a model.</span></span></span></span>
文摘Introduction: Cesarean section is a surgical intervention which consists in the extraction of a fetus from the uterus after its incision. The rate of cesarean section varies depending on the country and the health facility. For this reason, in 2015, the World Health Organization (WHO) recommended the use of Robson’s classification to evaluate the practice of cesarean sections in order to identify the groups of women who had abnormally high rates. The objective of our study was to evaluate cesarean sections using the Robson’s classification in CHRACERH and in the Yaoundé Central Hospital (YCH). Methodology: We carried out a retrospective cross sectional and descriptive study in two (02) university hospitals in Yaoundé which took place from December 2017 to May 2018. We included in our study all women who gave birth over a period of two (02) years from January 2016 to December 2017 in these two health facilities. Our sampling was exhaustive over the study period. The parturients’ information was collected using an anonymous and pretested questionnaire. The Robson’s group of every parturient was determined. Descriptive parameters like mean and proportions were calculated. We compared the rates and indications of cesarean sections between the both hospitals using Chi<sup>2</sup> test. Results: Out of 330 deliveries realized in CHRACERH, we had 90 cesarean sections;hence, a rate of 27.2%. Out of 1863 deliveries carried out at the YCH, 462 were by cesarean section, hence a rate of 24.8%. The women who belonged to groups 1, 3 and 5 contributed to the highest rates of cesarean sections in both hospitals: in CHRACERH, group 5 (31.1%), group 3 (20%) and group 1 (15.6%), at YCH: group 3 (22.5%), group 1 (21.6%) and group 5 (17.3%). The indications of the cesarean sections varied depending on the Robson’s group and the hospital, the principal indication in group 1 was acute fetal distress (28.6%) in CHRACERH and cephalopelvic disproportion (36.7%) at YCH. Cephalopelvic disproportion was the predominant indication in groups 3 of CHRACERH (44.4%) and YCH (39.2%). In groups 5, CHRACERH and of YCH, a scarred uterus was the principal indication for the cesarean section at 82.4% and 78.4% respectively. At CHRACERH, the maternofetal complications were more frequent in groups 1 and 2 at the YCH, this was the case mostly in groups 1 and 3. Conclusion: The Robson’s classification is an adequate tool for the evaluation and comparison of the rates of cesarean sections. The rates of cesarean section in CHRACERH (27.2%) and at YCH (24.8%) were higher than the rates recommended by WHO. Robson’s groups 1, 3 and 5 were identified as the groups most at risk for cesarean sections in the both hospitals.
文摘Relatively strongly magnetic fine components (<30μm, XS-4J and DS-4J) which are most environmentally sensitive were separated from layer S-{5-1} in the Xifeng and Duanjiapo loess sections and analyzed by MPV-3 for their morphometric characteristics and reflectance, SEM-ESD for their element contents and XRD for their mineral phases, respectively. The results showed that minerals in both samples are dominated by detrial Fe-Ti oxides of aeolian origin. In sample XS-4J the reflectance and iron contents of magnetic minerals are usually high. In addition to magnetite (Fe-3O-4), maghemite (γFe-2O-3) and hematite (Fe-2O-3), some Fe-high oxide ({72.25 wt%}-{86.67 wt%}), ilmenite (FeTiO-3), and magnetite-ulvspinel were also detected. In sample DS-4J obvious negative linear correlations were found between Ti and Fe, and the contents of Mn, Si, Al and Ca are usually high and the minerals are dominated by magnetite (maghemite), goethite (FeOOH) and limonite (containing Si and OH). In addition, the signs of corrosion of magnetic minerals and newly crystallized magnetite (maghemite) were recognized. Differences in the composition and assemblage characteristics of magnetite minerals between XS and DS reflect significant differences in source rocks and preserving conditions.
文摘Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.
文摘<strong>Background:</strong> Abdominoplasty is still among the most popular surgeries in the world of cosmetic surgery, as many modifications have been implemented on this surgery to improve aesthetics and reduce the ratio of complication, especially seroma. Also, the duration to drain removal increases the risk of infection, and this can be avoided by preserving the Scarpa’s fascia. <strong>Methods:</strong> The study was performed from January 2018 to December 2020. The patients were divided into two groups: group A with patients who were performed in Supra-Scarpa’s fascia abdominoplasty, and group B who were performed in traditional abdominoplasty;then group A was divided into two subgroups (A1 with caesarean history and A2 with no caesarean history) that differ in caesarean history or not, while a comparison was done between the groups regarding early outcomes. <strong>Results:</strong> A total of 40 full abdominoplasties were preformed (group A, 19 patients;group B, 21 patients);then group A was divided into two subgroups (group A1, 13 patients;A2, 6 patients);we found that the time until drain removal and its drain output in group A is less with a statistical significance, and the seroma was less to happen in group A with no statistical significance. However, the operative time in group A is higher with statistical significance. In the subgroups A1 and A2, there was no statistically significant difference in the results. <strong>Conclusion:</strong> Preservation of the Scarpa’s fascia reduces the time until drain removal, total drain output and the occurrence of seroma and the caesarean scar doesn’t affect the efficacy of preserving the Scarpa’s fascia.
文摘[本课选自人教版义务教育课程标准实验教科书《英语》(新目标)八年级下册。]一、教材内容与分析本单元话题是健康与急救(Health and first aid).Section B是Section A主题的继续与延伸,由Section A侧重谈论疾病及不适转向对事故伤害、急救(first aid)的讨论;语言上,巩固Section A所学重点语言内容、词汇及表达,突出对步骤顺序的表达;技能上,侧重综合性的听、读、写的训练,尤其突出阅读.
基金jointly funded by the Contract Oriented Work Task for Seismic Situation in 2017(2017010104)Science for Earthquake Resilience(XH17041Y)Fund of Earthquake Agency of Xinjiang Uygur Autonomous Region(201401)
文摘Based on the waveform data of 5,076 local earthquakes recorded at 25 stations in Xinjiang during the period from 2009 to 2014 and the observation reports provided by the Xinjiang Digital Seismic Network,a data set of 19,140 attenuation factors t*is obtained by fitting the high-frequency attenuation of S-wave spectra with a genetic algorithm. The spatial distribution of Q_S is determined by inverting the t*data with seismic tomography. The results show that the average Q0 in eastern Tianshan is 520,and there is a significant correlation between the Q_S value distribution or attenuation characteristics it disclosed and the surface structure of the study area. The Q_S value is lower in the intersection area of the mountain basin which is located on the north and south sides of the Tianshan Mountains,and the high Q_S distribution is more concentrated inside the Tianshan orogenic belt. The M≥6. 0 earthquakes have been basically located in the Low-Q_S region since 1900. 24 high heat flow points in eastern Tianshan are located at the north and south of Tianshan Mountains where low Q_S exists,indicating a negative correlation. In addition,there is a positive correlation between the velocity structure and the attenuation structure in the study area,which reflects the consistency of the 2-D attenuation structure with the velocity structure and the two-dimensional density structure.