Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to indiv...Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.展开更多
Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,althoug...Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,although with a certain limitation.This paper tries to reveal the social history,the economic realities as well as the women's social statues of Jane Austin's day through her fictions.展开更多
In order to provide the model point accuracy of ±2 mm,an extra high accuracy industrial control net with four surveying piers with accuracy ±0.1 mm was set up around the model.Tens of orientation marks have ...In order to provide the model point accuracy of ±2 mm,an extra high accuracy industrial control net with four surveying piers with accuracy ±0.1 mm was set up around the model.Tens of orientation marks have been placed on the different parts and measured with accuracy ±0.2 mm from the above_mentioned piers.The main four stereopairs taken with the P31 camera around the model are simultaneously processed on the BC2 analytical plotter.The accuracy of absolute orientation is better than ±0.9 mm.Finally,about 300 sections construction drawings have been directly offered,and the close_range photogrammetric data has been used for the design and construction of the statue.展开更多
At the southwest border of the Tibet Autonomous Region in China, there is a famous ancient site known as Gungthang, which is situated in the territory of today’s Kyirong County in Shigatse. This ancient city dates ba...At the southwest border of the Tibet Autonomous Region in China, there is a famous ancient site known as Gungthang, which is situated in the territory of today’s Kyirong County in Shigatse. This ancient city dates back to the period of the Tubo Kingdom, by which time it served as a key link between China and Nepal. From Mt.展开更多
1．Tom and Jack are both workmates． One day,they went quarreling with each other to the police station． 2．Tom said to the detective Jerry, “Last night,I turned off the light and went to bed．Suddenly I heard someo...1．Tom and Jack are both workmates． One day,they went quarreling with each other to the police station． 2．Tom said to the detective Jerry, “Last night,I turned off the light and went to bed．Suddenly I heard someone fighting．So I jumped out of the bed and went to see what was happening．”展开更多
For English education primary school,English vocabulary teaching should be attach importance to because in the traditional class of English vocabulary teaching,teachers just fill young minds with knowledge points of e...For English education primary school,English vocabulary teaching should be attach importance to because in the traditional class of English vocabulary teaching,teachers just fill young minds with knowledge points of each word in a 35-minute class yet fail to lay emphasis of learners’meaningful learning and autonomic learning as well as their very limited attention spans.To support traditional English vocabulary teaching classes,the research proposes the theme-based English vocabulary micro-lectures designed on the basis of experiential learning theory and constructivist learning theory as well as the analyses of target users of high-level students in the primary school.After application of the micro-lectures into practice,the research assesses the effect of the micro-lectures on the learners and then makes suggestions for design principles of theme-based vocabulary micro-lectures about selection of contents and vocabulary themes,supplementary teaching activities and teacher interaction in the micro-lectures for high-level students in the primary school.Also,the designers should make multi-level English vocabulary micro-lectures according to learners’English proficiency and increase repetition rates of vocabularies in the micro-lectures.展开更多
The US Sate Department has always professed to be a "Judge of Human Rights in the World." Year upon year, it issues country-specific human rights reports, accusing more than 190 countries and regions, includ...The US Sate Department has always professed to be a "Judge of Human Rights in the World." Year upon year, it issues country-specific human rights reports, accusing more than 190 countries and regions, including China, of their human fights conditions. Yet it tums a blind eye to its own. It is just behind the "Statue of Liberty’" that hides serious infringements upon human rights.展开更多
This study determined the nutritional status of households in North western region of Cameroon using weighed food intake. Twenty–two rural and 106 urban households were randomly selected for weighed food intake Descr...This study determined the nutritional status of households in North western region of Cameroon using weighed food intake. Twenty–two rural and 106 urban households were randomly selected for weighed food intake Descriptive and inferential statistics were used to analyze collected data and significance at p < 0.05 accepted. Corn fufu with huckleberry was the most frequently consumed meal with little or no animal-source protein. Protein and B group vitamins intake of respondents in both communities were below the FAO/WHO recommended values while energy, iron, and vitamins A and C were in excess for most age groups. Adolescents 10 - 19 years and adults 20 years and above failed to meet at least 85% of RNI for calcium.展开更多
Background: Renal osteodystrophy (ROD) is a bone disorder resulting from chronic kidney disease (CKD) and related metabolic diseases. Dickkopf-related protein-1 (DKK-1) is critical in regulating bone biology. This stu...Background: Renal osteodystrophy (ROD) is a bone disorder resulting from chronic kidney disease (CKD) and related metabolic diseases. Dickkopf-related protein-1 (DKK-1) is critical in regulating bone biology. This study aimed to evaluate the serum DKK-1 level as a bone marker in children with CKD who undergo regular hemodialysis (HD). Subjects and Methods: This case-control study involved 40 children with CKD on HD and 40 healthy children as controls. The study measured serum DKK-1 levels and performed a dual-energy X-ray absorptiometry scan (DEXA) in line with routine laboratory investigations. Results: There was a significant increase in the serum level of DKK-1 in the patient group compared to the control group. The DKK-1 levels were 2540.65 (2215.4 - 2909.2) pg/ml and 1110.45 (885.45 - 1527.65) pg/ml, respectively, with a p-value of less than 0.001. In the hemodialysis group, 25 patients (62.5%) had low bone mineral density (BMD) with a Z-score of under -2.0. Eighteen of these patients had low BMD in both the neck of the femur and lumbar spines. Additionally, there was a significant increase in serum DKK-1 level in patients with low BMD (2567.35 (2303.8 - 3108.1) pg/ml) compared to patients with normal BMD (2454 (1859 - 2820) pg/ml) (p = 0.041). There was also a significant positive correlation between DKK1 level and phosphorus, alkaline phosphatase, and Parathormone serum levels. In conclusion, the study indicates a clear correlation between DKK-1 and BMD in children undergoing maintenance hemodialysis. DKK1 is a promising biomarker for CKD-MBD.展开更多
Mango tilapia, Sarotherodon galilaeus is one of the most caught fish species in the Samandeni multi-species fishing sites of which, few data on its biology and exploitation are available. The study aimed to Assess the...Mango tilapia, Sarotherodon galilaeus is one of the most caught fish species in the Samandeni multi-species fishing sites of which, few data on its biology and exploitation are available. The study aimed to Assess the stock status of S. galilaeus. Sampling was conducted from March, 2021 to February 2022 based on commercial fish catches to analyze growth parameters, first sexual maturity size and harvest status of the stock. A total of 572 specimens including 297 females and 275 males were examined. The stock assessment was performed by using the Length based Bayesian method of Biomass (LBB) and that of growth by the ELEFAN method. The growth parameters showed a seasonality of growth and females appeared to grow faster than males. On the other hand, males had a greater asymptotic length than females. Results on the estimated length of fish at first maturity showed that females firstly reached the maturity compared to males. The relative biomass (B/B<sub>0</sub>) estimated for the stock was higher than the relative biomass that produces maximum sustainable yield (B<sub>MSY</sub>/B<sub>0</sub>) indicating healthy biomass. In addition, the length at first sexual maturity was less than the length at the first catch, indicating the absence of overfishing of growth. In addition, extending the study to the various stocks of the reservoir would be important for the sustainable management of the Samandeni high economic fishing area.展开更多
Purpose: Although patient-related factors affect surgical outcomes, preoperative functional status is not measured by any cardiac risk score. Functional status can, however, be objectively measured using validated out...Purpose: Although patient-related factors affect surgical outcomes, preoperative functional status is not measured by any cardiac risk score. Functional status can, however, be objectively measured using validated outcome tools such as the Late-Life Function and Disability Instrument (LLFDI). The purpose of this study was to determine 1) if there was a change over time in functional status, as measured by the LLFDI, in patients who underwent elective cardiac surgery, and if so, 2) what specific aspect(s) of functional status changed. Methods: A prospective longitudinal study of one year was conducted on elective cardiac surgery patients (n = 43) using the self-reported LLFDI, which measures Disability Frequency (frequency of participation in social tasks), Disability Limitation (ability to participate in social tasks) and Function Total (ease in performing routine activities). Higher scores indicate increased function and decreased disability. LLFDI scores were compared at three times (preoperative, six-week and one-year postoperative) using repeated measures ANOVA. Post hoc pairwise comparison was conducted for specific interactions. Results: Both Function Total and Disability Frequency significantly changed over time (p = 0.047 and p = 0.013, respectively). Specifically, patients’ function level was significantly higher one-year postoperative compared to preoperative (M difference = +3.48, SE = 1.48, p = 0.026). Likewise, Disability Frequency scores were significantly higher (i.e. more active) at one-year postoperative versus preoperative (M difference= +5.98, SE = 2.19, p = 0.033). Disability Limitation scores were not significantly different between any time points (p > 0.05). Conclusion: By one-year postoperative, patients demonstrated increased ease in their routine physical activities and were more participatory in social life tasks. Individuals who underwent elective cardiac surgery took more than six weeks to detect notable improvement in functional status, which was expected with a sternotomy approach. This study provides support for the use of the LLFDI as an effective tool to capture functional status in the cardiac population. These findings may assist cardiac patients in recovery timeline expectations.展开更多
Introduction: Trace element deficiency is a major nutritional problem worldwide, affecting more than two billion people, or around a quarter of the world’s population. This situation is even more acute in developing ...Introduction: Trace element deficiency is a major nutritional problem worldwide, affecting more than two billion people, or around a quarter of the world’s population. This situation is even more acute in developing countries than in developed countries. In sub-Saharan Africa, research and recent data on trace elements (micronutrients) are scarce. The aim of this study was to determine the serum status of calcium (Ca+), copper (Cu), magnesium (Mg), selenium (Se) and zinc (Zn) in women of childbearing age in Kisangani. Methods: We have conducted a descriptive cross-sectional study in Kisangani, Democratic Republic of the Congo. Our sample consists of 596 women of childbearing age in apparent good health. The data collection has been prospective. Concentrations of trace elements in serum were analysed using an inductively coupled plasma mass spectrophotometer (ICP-MS Agilent 7700X). Results: The mean and median concentrations were: Calcium: 2.35 mmol/l and 2.31 mmol/l, Copper: 13.55 and 13.49 µmol/l, Magnesium: 0.85 and 0.81 mmol/l, Selenium: 0.99 and 0.76 µmol/l, and Zinc: 13.85 and 13.79 µmol/l. Respondents aged 20 - 34 had mean serum concentrations of 2.4 mmol/l for calcium, 13.7 µmol/l for copper, 0.9 mmol/l for magnesium, 1.1 µmol/l for selenium and 14.0 µmol/l for zinc. Conclusion: The trace element status of women of childbearing age in Kisangani was lower than that observed by other researchers, which suggests the need for a general nutritional intervention in our environment.展开更多
Objective: To investigate the distribution of 25-hydroxy Vitamin D level status in type 2 diabetes mellitus inpatients, as well as the differences in general conditions and clinical indicators in patients with differe...Objective: To investigate the distribution of 25-hydroxy Vitamin D level status in type 2 diabetes mellitus inpatients, as well as the differences in general conditions and clinical indicators in patients with different Vitamin D status. Methods: Retrospective analysis of 250 admitted type 2 diabetes inpatients admitted to the endocrinology department of qinghai provincial hospital of traditional chinese medicine from september 2022 to december 2023, collated and analysed the general data and laboratory indicators of the patient cases, and applied spss26.0 to process and analyse the data and explore the differences in the general conditions and commonly used clinical nutritional indicators of type 2 diabetes in patients with different 25-hydroxyVitamin D levels. The differences between the different 25-hydroxy Vitamin D levels in type 2 diabetes mellitus patients. Results: 1) A total of 250 inpatients with type 2 diabetes mellitus were included in this study, of which 56 cases (22.4%) were patients with 25 hydroxyvitamin D deficiency [25(OH)D P P P P > 0.05). 3) The distribution of some laboratory indexes among the three groups of patients was differentiated, with the average level of glycated haemoglobin in the lack group being significantly higher than that of the remaining two groups, the average level of albumin being significantly lower than that of the remaining two groups, and the average level of haemoglobin being significantly lower than that of the good group (P P > 0.05). Conclusion: The 25(OH)D level of type 2 diabetes mellitus inpatients is not optimistic. In clinical diagnosis and treatment, we should pay attention to the changes in 25 hydroxyvitamin D levels and other nutritional indexes of patients with type 2 diabetes mellitus, and focus on the control of blood glucose levels and timely supplementation of vitamins, proteins, and lipids, in order to improve the patients’ physical status, reduce the incidence of complications, and improve the clinical efficacy and the patients’ quality of life.展开更多
文摘Background: Hepatitis B virus (HBV) is a primary reason for liver cancer and continues to be a worldwide public health issue. The likelihood of contracting HBV is greater in healthcare workers (HCWs) compared to individuals who are not in healthcare professions. Medical students are classified as a high-risk demographic since, like HCWs, they often come into contact with bodily fluids and blood during their clinical training. By 2030, a greater proportion of people will have received HBV vaccinations, thereby halting the spread of new infections—The Somali Ministry of Health with the help of various agencies announced to eradicate hepatitis from Somalia. The priority actions are national hepatitis strategy, hepatitis survey, public awareness, training, and capacity building. Objectives: This study aims to assess the knowledge, attitude, and vaccination status of Hepatitis B infection among medical university students in Mogadishu, Somalia, 2024. Methods: Cross-sectional study design was used in this study and the survey was carried out among medical students enrolled in Universities from April 1, 2023 to June 30, 2023. The data was analyzed using SPSS version 26.0 software, Chi-square analysis and Logistic regression analysis to identify associations between demographic factors and HBV knowledge, attitudes, and vaccination status, as well as perspectives and immunization status concerning viral hepatitis. Results: The study achieved a response rate of (96%), with 230 participants. Most students (76.5%) were aged 26 - 30 years, and (60.8%) were male. Nearly half (48.7%) were in their third year of study, and the majority (36.1%) were from the Medicine and Surgery department. While 92.2% had heard of HBV, gaps in understanding were evident. About 37.8% erroneously believed HBV could spread via handshakes, and only 33.9% were aware HBV is treatable. Awareness of HBV’s severe complications, such as liver cirrhosis and liver cancer, was reported by 61.3%, and 83% understood that vaccination could prevent infection. Positive attitudes towards HBV vaccination were prevalent. Most participants (81.3%) supported vaccination before sexual activity, and 78.3% endorsed mandatory HBV vaccination policies for healthcare workers. However, 87.4% expressed concerns about the vaccine promoting unsafe sexual behavior, and 96.1% cited cultural resistance as a barrier to vaccination. A significant proportion (80.86%) of students had not been vaccinated against HBV. Among vaccinated students, 17.4%, 15.7%, and 47.82% had received one, two, and three doses, respectively. Barriers to vaccination included safety concerns (77.4%), lack of time (86.52%), and doubts about efficacy (42.61%). Conclusion: This study highlights gaps in knowledge and vaccination coverage among medical students, which are critical for their health and future clinical practice. Enhancing awareness and vaccination rates can empower students to advocate for preventative measures in their professional environments. Despite high awareness of HBV, knowledge gaps and cultural barriers persist, affecting attitudes and vaccination uptake among medical students. Educational interventions addressing misconceptions, cultural resistance, and vaccine safety are critical. Increased advocacy for mandatory vaccination policies in healthcare settings is also essential to improve HBV prevention methods.
文摘Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,although with a certain limitation.This paper tries to reveal the social history,the economic realities as well as the women's social statues of Jane Austin's day through her fictions.
文摘In order to provide the model point accuracy of ±2 mm,an extra high accuracy industrial control net with four surveying piers with accuracy ±0.1 mm was set up around the model.Tens of orientation marks have been placed on the different parts and measured with accuracy ±0.2 mm from the above_mentioned piers.The main four stereopairs taken with the P31 camera around the model are simultaneously processed on the BC2 analytical plotter.The accuracy of absolute orientation is better than ±0.9 mm.Finally,about 300 sections construction drawings have been directly offered,and the close_range photogrammetric data has been used for the design and construction of the statue.
文摘At the southwest border of the Tibet Autonomous Region in China, there is a famous ancient site known as Gungthang, which is situated in the territory of today’s Kyirong County in Shigatse. This ancient city dates back to the period of the Tubo Kingdom, by which time it served as a key link between China and Nepal. From Mt.
文摘1．Tom and Jack are both workmates． One day,they went quarreling with each other to the police station． 2．Tom said to the detective Jerry, “Last night,I turned off the light and went to bed．Suddenly I heard someone fighting．So I jumped out of the bed and went to see what was happening．”
文摘For English education primary school,English vocabulary teaching should be attach importance to because in the traditional class of English vocabulary teaching,teachers just fill young minds with knowledge points of each word in a 35-minute class yet fail to lay emphasis of learners’meaningful learning and autonomic learning as well as their very limited attention spans.To support traditional English vocabulary teaching classes,the research proposes the theme-based English vocabulary micro-lectures designed on the basis of experiential learning theory and constructivist learning theory as well as the analyses of target users of high-level students in the primary school.After application of the micro-lectures into practice,the research assesses the effect of the micro-lectures on the learners and then makes suggestions for design principles of theme-based vocabulary micro-lectures about selection of contents and vocabulary themes,supplementary teaching activities and teacher interaction in the micro-lectures for high-level students in the primary school.Also,the designers should make multi-level English vocabulary micro-lectures according to learners’English proficiency and increase repetition rates of vocabularies in the micro-lectures.
文摘The US Sate Department has always professed to be a "Judge of Human Rights in the World." Year upon year, it issues country-specific human rights reports, accusing more than 190 countries and regions, including China, of their human fights conditions. Yet it tums a blind eye to its own. It is just behind the "Statue of Liberty’" that hides serious infringements upon human rights.
文摘This study determined the nutritional status of households in North western region of Cameroon using weighed food intake. Twenty–two rural and 106 urban households were randomly selected for weighed food intake Descriptive and inferential statistics were used to analyze collected data and significance at p < 0.05 accepted. Corn fufu with huckleberry was the most frequently consumed meal with little or no animal-source protein. Protein and B group vitamins intake of respondents in both communities were below the FAO/WHO recommended values while energy, iron, and vitamins A and C were in excess for most age groups. Adolescents 10 - 19 years and adults 20 years and above failed to meet at least 85% of RNI for calcium.
文摘Background: Renal osteodystrophy (ROD) is a bone disorder resulting from chronic kidney disease (CKD) and related metabolic diseases. Dickkopf-related protein-1 (DKK-1) is critical in regulating bone biology. This study aimed to evaluate the serum DKK-1 level as a bone marker in children with CKD who undergo regular hemodialysis (HD). Subjects and Methods: This case-control study involved 40 children with CKD on HD and 40 healthy children as controls. The study measured serum DKK-1 levels and performed a dual-energy X-ray absorptiometry scan (DEXA) in line with routine laboratory investigations. Results: There was a significant increase in the serum level of DKK-1 in the patient group compared to the control group. The DKK-1 levels were 2540.65 (2215.4 - 2909.2) pg/ml and 1110.45 (885.45 - 1527.65) pg/ml, respectively, with a p-value of less than 0.001. In the hemodialysis group, 25 patients (62.5%) had low bone mineral density (BMD) with a Z-score of under -2.0. Eighteen of these patients had low BMD in both the neck of the femur and lumbar spines. Additionally, there was a significant increase in serum DKK-1 level in patients with low BMD (2567.35 (2303.8 - 3108.1) pg/ml) compared to patients with normal BMD (2454 (1859 - 2820) pg/ml) (p = 0.041). There was also a significant positive correlation between DKK1 level and phosphorus, alkaline phosphatase, and Parathormone serum levels. In conclusion, the study indicates a clear correlation between DKK-1 and BMD in children undergoing maintenance hemodialysis. DKK1 is a promising biomarker for CKD-MBD.
文摘Mango tilapia, Sarotherodon galilaeus is one of the most caught fish species in the Samandeni multi-species fishing sites of which, few data on its biology and exploitation are available. The study aimed to Assess the stock status of S. galilaeus. Sampling was conducted from March, 2021 to February 2022 based on commercial fish catches to analyze growth parameters, first sexual maturity size and harvest status of the stock. A total of 572 specimens including 297 females and 275 males were examined. The stock assessment was performed by using the Length based Bayesian method of Biomass (LBB) and that of growth by the ELEFAN method. The growth parameters showed a seasonality of growth and females appeared to grow faster than males. On the other hand, males had a greater asymptotic length than females. Results on the estimated length of fish at first maturity showed that females firstly reached the maturity compared to males. The relative biomass (B/B<sub>0</sub>) estimated for the stock was higher than the relative biomass that produces maximum sustainable yield (B<sub>MSY</sub>/B<sub>0</sub>) indicating healthy biomass. In addition, the length at first sexual maturity was less than the length at the first catch, indicating the absence of overfishing of growth. In addition, extending the study to the various stocks of the reservoir would be important for the sustainable management of the Samandeni high economic fishing area.
文摘Purpose: Although patient-related factors affect surgical outcomes, preoperative functional status is not measured by any cardiac risk score. Functional status can, however, be objectively measured using validated outcome tools such as the Late-Life Function and Disability Instrument (LLFDI). The purpose of this study was to determine 1) if there was a change over time in functional status, as measured by the LLFDI, in patients who underwent elective cardiac surgery, and if so, 2) what specific aspect(s) of functional status changed. Methods: A prospective longitudinal study of one year was conducted on elective cardiac surgery patients (n = 43) using the self-reported LLFDI, which measures Disability Frequency (frequency of participation in social tasks), Disability Limitation (ability to participate in social tasks) and Function Total (ease in performing routine activities). Higher scores indicate increased function and decreased disability. LLFDI scores were compared at three times (preoperative, six-week and one-year postoperative) using repeated measures ANOVA. Post hoc pairwise comparison was conducted for specific interactions. Results: Both Function Total and Disability Frequency significantly changed over time (p = 0.047 and p = 0.013, respectively). Specifically, patients’ function level was significantly higher one-year postoperative compared to preoperative (M difference = +3.48, SE = 1.48, p = 0.026). Likewise, Disability Frequency scores were significantly higher (i.e. more active) at one-year postoperative versus preoperative (M difference= +5.98, SE = 2.19, p = 0.033). Disability Limitation scores were not significantly different between any time points (p > 0.05). Conclusion: By one-year postoperative, patients demonstrated increased ease in their routine physical activities and were more participatory in social life tasks. Individuals who underwent elective cardiac surgery took more than six weeks to detect notable improvement in functional status, which was expected with a sternotomy approach. This study provides support for the use of the LLFDI as an effective tool to capture functional status in the cardiac population. These findings may assist cardiac patients in recovery timeline expectations.
文摘Introduction: Trace element deficiency is a major nutritional problem worldwide, affecting more than two billion people, or around a quarter of the world’s population. This situation is even more acute in developing countries than in developed countries. In sub-Saharan Africa, research and recent data on trace elements (micronutrients) are scarce. The aim of this study was to determine the serum status of calcium (Ca+), copper (Cu), magnesium (Mg), selenium (Se) and zinc (Zn) in women of childbearing age in Kisangani. Methods: We have conducted a descriptive cross-sectional study in Kisangani, Democratic Republic of the Congo. Our sample consists of 596 women of childbearing age in apparent good health. The data collection has been prospective. Concentrations of trace elements in serum were analysed using an inductively coupled plasma mass spectrophotometer (ICP-MS Agilent 7700X). Results: The mean and median concentrations were: Calcium: 2.35 mmol/l and 2.31 mmol/l, Copper: 13.55 and 13.49 µmol/l, Magnesium: 0.85 and 0.81 mmol/l, Selenium: 0.99 and 0.76 µmol/l, and Zinc: 13.85 and 13.79 µmol/l. Respondents aged 20 - 34 had mean serum concentrations of 2.4 mmol/l for calcium, 13.7 µmol/l for copper, 0.9 mmol/l for magnesium, 1.1 µmol/l for selenium and 14.0 µmol/l for zinc. Conclusion: The trace element status of women of childbearing age in Kisangani was lower than that observed by other researchers, which suggests the need for a general nutritional intervention in our environment.
文摘Objective: To investigate the distribution of 25-hydroxy Vitamin D level status in type 2 diabetes mellitus inpatients, as well as the differences in general conditions and clinical indicators in patients with different Vitamin D status. Methods: Retrospective analysis of 250 admitted type 2 diabetes inpatients admitted to the endocrinology department of qinghai provincial hospital of traditional chinese medicine from september 2022 to december 2023, collated and analysed the general data and laboratory indicators of the patient cases, and applied spss26.0 to process and analyse the data and explore the differences in the general conditions and commonly used clinical nutritional indicators of type 2 diabetes in patients with different 25-hydroxyVitamin D levels. The differences between the different 25-hydroxy Vitamin D levels in type 2 diabetes mellitus patients. Results: 1) A total of 250 inpatients with type 2 diabetes mellitus were included in this study, of which 56 cases (22.4%) were patients with 25 hydroxyvitamin D deficiency [25(OH)D P P P P > 0.05). 3) The distribution of some laboratory indexes among the three groups of patients was differentiated, with the average level of glycated haemoglobin in the lack group being significantly higher than that of the remaining two groups, the average level of albumin being significantly lower than that of the remaining two groups, and the average level of haemoglobin being significantly lower than that of the good group (P P > 0.05). Conclusion: The 25(OH)D level of type 2 diabetes mellitus inpatients is not optimistic. In clinical diagnosis and treatment, we should pay attention to the changes in 25 hydroxyvitamin D levels and other nutritional indexes of patients with type 2 diabetes mellitus, and focus on the control of blood glucose levels and timely supplementation of vitamins, proteins, and lipids, in order to improve the patients’ physical status, reduce the incidence of complications, and improve the clinical efficacy and the patients’ quality of life.
