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OALib Journal期刊

ISSN: 2333-9721

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Frequency and Causes of Vaginal Hemorrhage outside Pregnancy in Women of Reproductive Age at Bonzola Hospital, Mbuji-Mayi, DRC  [PDF]
Kaya Tompa Brigitte, Ciamala Mukendi Paul, Nzembu Kabwasa Peter, Kanyiki Katala Moses, Ntumba Mukendi Kennedy, Jean Mukendi Mukendi Rene, Kolela Kolela Alain, Ilunga Bimpa Cedric, Cibangu Muana Wamuenyi Franck, Kaseka Ciswaka Jeanne, Amuli Jiwe Jean-Pierre
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104940
Abstract:
Vaginal haemorrhages outside pregnancy in women of childbearing age are a major public health problem in both developed and developing countries. The purpose of this study was to determine the frequency and causes of vaginal haemorrhage outside pregnancy. This is a descriptive study conducted in the city of Mbuji-Mayi at Bonzola General Hospital, registered from 01 to 31 December 2017; the data were collected transversally. The following observations were made during the study period; 174 women of childbearing age were registered. After analyzing the data, the incidence of vaginal haemorrhage in women of childbearing age was 15.8% and the main causes were: cervical cancer: 32.7% and uterine myoma 22.5%.
DOTS-based tuberculosis treatment and control during civil conflict and an HIV epidemic, Churachandpur District, India
Rodger Alison J.,Toole Mike,Lalnuntluangi Baby,Muana V.
Bulletin of the World Health Organization , 2002,
Abstract: OBJECTIVE: To pilot the WHO guidelines on DOTS for tuberculosis (TB) among displaced people affected by conflict in Churachandpur District, Manipur State, north-east India, which has endured an HIV epidemic, injecting drug use, civil unrest, high levels of TB, and poor TB treatment and prevention services for many years. METHODS: Prerequisites for TB control programmes were established. WHO guidelines and protocols were adapted for local use. Outreach workers were appointed from each ethnic group involved in the conflict, and training was conducted. Quality control and evaluation processes were introduced. FINDINGS: TB was diagnosed in 178 people between June and December 1998. Of the 170 with pulmonary disease, 85 were smear-positive. Successful outcomes were recorded in 91% of all patients and in 86% of smear-positive cases of pulmonary TB. The default rate and the mortality rate were low at 3% each. HIV positive serostatus was the only factor associated with a poor treatment outcome. CONCLUSION: TB treatment and control were possible in a conflict setting and WHO targets for cure were attainable. The factors associated with the success of the programme were strong local community support, the selection of outreach workers from each ethnic group to allow access to all areas and patients, the use of directly observed therapy three times a week instead of daily in the interest of increased safety, and the limiting of distances travelled by both outreach workers and patients.
Language-Trained Animals: A Window to the “Black Box”  [PDF]
Péron Franck
International Journal of Intelligence Science (IJIS) , 2012, DOI: 10.4236/ijis.2012.224020
Abstract: Animals have to process quantity of information in order to take decisions and adapt their behaviors to their physical and social environment. They have to remember previous events (learning), to cope with their internal (motivational and emotional) states and to display flexible behavioral responses. From a human point of view it is quite impossible to access all those information, not only because of the sensorial channels used that can vary but also because all the processing phase occurs in the “black box” and non-human animals are not able to express verbally what they think, feel or want. Though useful information might lie in the “collected data” (animal mind), extracting them into insightful knowledge with human-accessible form (clear meaning, no interpretation) presents a demanding and sophisticated undertaking. Several scientists decided to trained different individuals from several species (apes, dolphins, grey parrots, dogs) in order to teach them a new communicative system that they could share with us. Here, the different studies (techniques and species used) are presented, their constrains but also the main findings.
DOTS-based tuberculosis treatment and control during civil conflict and an HIV epidemic, Churachandpur District, India
Rodger,Alison J.; Toole,Mike; Lalnuntluangi,Baby; Muana,V.; Deutschmann,Peter;
Bulletin of the World Health Organization , 2002, DOI: 10.1590/S0042-96862002000600008
Abstract: objective: to pilot the who guidelines on dots for tuberculosis (tb) among displaced people affected by conflict in churachandpur district, manipur state, north-east india, which has endured an hiv epidemic, injecting drug use, civil unrest, high levels of tb, and poor tb treatment and prevention services for many years. methods: prerequisites for tb control programmes were established. who guidelines and protocols were adapted for local use. outreach workers were appointed from each ethnic group involved in the conflict, and training was conducted. quality control and evaluation processes were introduced. findings: tb was diagnosed in 178 people between june and december 1998. of the 170 with pulmonary disease, 85 were smear-positive. successful outcomes were recorded in 91% of all patients and in 86% of smear-positive cases of pulmonary tb. the default rate and the mortality rate were low at 3% each. hiv positive serostatus was the only factor associated with a poor treatment outcome. conclusion: tb treatment and control were possible in a conflict setting and who targets for cure were attainable. the factors associated with the success of the programme were strong local community support, the selection of outreach workers from each ethnic group to allow access to all areas and patients, the use of directly observed therapy three times a week instead of daily in the interest of increased safety, and the limiting of distances travelled by both outreach workers and patients.
Circulating Tumor Cells Measurements in Hepatocellular Carcinoma
Franck Chiappini
International Journal of Hepatology , 2012, DOI: 10.1155/2012/684802
Abstract: Liver cancer is the fifth most common cancer in men and the seventh in women. During the past 20 years, the incidence of HCC has tripled while the 5-year survival rate has remained below 12%. The presence of circulating tumor cells (CTC) reflects the aggressiveness nature of a tumor. Many attempts have been made to develop assays that reliably detect and enumerate the CTC during the development of the HCC. In this case, the challenges are (1) there are few markers specific to the HCC (tumor cells versus nontumor cells) and (2) they can be used to quantify the number of CTC in the bloodstream. Another technical challenge consists of finding few CTC mixed with million leukocytes and billion erythrocytes. CTC detection and identification can be used to estimate prognosis and may serve as an early marker to assess antitumor activity of treatment. CTC can also be used to predict progression-free survival and overall survival. CTC are an interesting source of biological information in order to understand dissemination, drug resistance, and treatment-induced cell death. Our aim is to review and analyze the different new methods existing to detect, enumerate, and characterize the CTC in the peripheral circulation of patients with HCC.
Pénibilité au travail : reclasser ou prévenir ? Work difficulty : reclassification or prevention ? Trabajo duro: Reclasificar o prevenir?
Franck Héas
Perspectives Interdisciplinaires sur le Travail et la Santé , 2010,
Abstract: La santé de travailleurs peut se trouver irrémédiablement et directement compromise en raison de la pénibilité de certains métiers et/ou fonctions. La réglementation de la pénibilité au travail emprunte à cet égard plusieurs voies. Un retrait du marché du travail de manière progressive ou anticipée peut tout d’abord être envisagé. L’attribution de compensations financières au salarié ayant exercé ou continuant d’être employé dans un milieu pénible est également envisageable. L’obligation légale de reclassement existant en matière d’inaptitude est par ailleurs un autre dispositif pouvant permettre l’aménagement de la relation contractuelle de travail et ce faisant, compenser les conséquences de la pénibilité. Néanmoins, au-delà de ces différentes possibilités, l’amélioration des conditions de travail fondée sur une logique de prévention appara t comme la seule alternative permettant de prendre en compte la pénibilité et donc de limiter l’impact de certains environnements de travail sur la santé des personnes. Workers’ health may be directly and irreparably compromised by the difficulty of some jobs and/or functions. The legal framework for work difficulty takes several paths. A gradual or early withdrawal from the labour market may be considered first. The awarding of financial compensation to the employee who worked or continues to be employed in a difficult environment is also possible. The existing legal obligation of reclassification in the case of incapacity is also another possibility that can adjust the contractual work relationship and thus offset the effects of work difficulty. However, beyond these different options, improvement of working conditions based on a prevention logic is the only alternative for taking the difficulty into account, and therefore limiting the impact of certain work environments on human health. La salud de los trabajadores puede encontrarse irremediablemente comprometida a causa de dureza de ciertos oficios y/o funciones. La reglamentación sobre lo duro de las condiciones de trabajo toma varias vías a este respecto. Un retiro del mercado laboral de manera progresiva o anticipada puede primeramente ser considerado. Se contempla igualmente la atribución de compensaciones financieras al asalariado, que ejerció o continúa ejerciendo un empleo en un medio en el que las condiciones de trabajo son duras. La obligación legal a la reclasificación existente en materia de incapacidad es otro dispositivo que permite ajustar la relación contractual de trabajo y compensar las consecuencias de tales condiciones. Sin embargo, más allá
L’art (approximatif) du GPS
Franck Vidal
M@ppemonde , 2012,
Abstract: Cette chronique n’annonce pas la sortie d’un manuel pratique sur l’utilisation optimale du GPS, ni des références de sites Web pour parfaire vos connaissances en matière de géolocalisation. Non, le terme d’art est ici à prendre dans son sens premier. La question est bien: peut-on faire de l’art avec un GPS? à l’heure où les artistes se transforment parfois en performeurs les techniques de positionnement par satellite et leurs reports cartographiques peuvent (peut-être) apporter leur petite pierre au fragile édifice de l’art contemporain. Ces techniques donnent visiblement l’occasion à quelques joyeux lurons qui ne tiennent pas en place de s’exprimer par la carte.
L'urbanisation à Java et dans les autres villes d'Indonésie: un fossé qui tend à se combler?
Manuelle FRANCK
Mappemonde , 1992,
Abstract: L’urbanisation creuse le fossé qui sépare Java des autres les indonésiennes. Dans ce domaine, Java est en avance par son nombre de villes comme par sa population urbaine. Pourtant, certains indicateurs tendent à montrer un rattrapage des les extérieures.
Images des changements d'un littoral: les Bas-Champs de Cayeux (Somme)
Franck DOLIQUE
Mappemonde , 1998,
Abstract: L'étude de cartes postales sur le littoral des Bas-Champs de Cayeux (Picardie) permet de préciser et d'interpréter la formation récente d'un secteur d'accumulation en cordons successifs, liée aux variations du chenal sud de la baie de Somme.
Traitement d'image de télédétection et SIG pour l'étude du comportement des chevreuils
Franck VIDAL
Mappemonde , 1993,
Abstract: Le traitement d’image est utilisé pour définir et mettre en relation des variables descriptives du milieu avec des déplacements de chevreuils afin de faciliter les échanges dans une base de données géolocalisée portant sur l’écoéthologie du chevreuil en domaine méditerranéen.
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