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Water Service Delivery Issues and Challenges for the Urban Poor Zones in South Western Uganda 乌干达西南部城市贫困地区供水服务问题与挑战
Pub Date : 2024-03-07 DOI: 10.37284/ijar.7.1.1800
Horace Muhamya, Johnson Ocan, A. Adyanga
The article aims to examine the issues and challenges associated with providing water services to urban impoverished areas in South Western Uganda. The research methodology employed in this study involved conducting a comprehensive desktop study and literature review, systematically searching, and selecting peer-reviewed journal articles, books, and conference proceedings within a specified scope, using carefully chosen keywords and search criteria. After collating and evaluating the selected literature, a thorough synthesis was done to identify existing knowledge gaps and provide insights into the research questions under investigation. The main findings of the results highlight the need for integrated service models to expand water service delivery for the urban poor zones in southwestern Uganda. The study concludes that the problems addressed in this research and the suggestions presented provide the basis for improving water services to urban impoverished areas in South Western Uganda. This research will broaden service models for urban areas while also creating service models for locations with features of impoverished conditions. It is crucial to remember that households in urban cells were more likely to use improved water sources (including piped water on-premises), make regular payments for water, rely on shared sanitation facilities, and use manual sludge emptying services
本文旨在研究与向乌干达西南部城市贫困地区提供供水服务有关的问题和挑战。本研究采用的研究方法包括开展全面的桌面研究和文献综述,使用精心选择的关键词和搜索标准,系统地搜索和选择特定范围内的同行评审期刊文章、书籍和会议记录。在整理和评估所选文献后,进行了彻底的综合,以确定现有的知识差距,并为所调查的研究问题提供见解。研究结果的主要发现突出表明,有必要采用综合服务模式来扩大为乌干达西南部城市贫困地区提供的供水服务。研究得出结论认为,本研究解决的问题和提出的建议为改善乌干达西南部城市贫困地区的供水服务奠定了基础。这项研究将拓宽城市地区的服务模式,同时也为具有贫困条件特征的地区创建服务模式。重要的是要记住,城市小区的住户更有可能使用改良水源(包括自来水)、定期支付水费、依赖共用卫生设施以及使用人工清掏污泥服务。
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引用次数: 0
A STUDY OF COMMERCIAL REAL ESTATE DEVELOPMENT IN BIHAR 对印度比哈尔邦商业房地产开发的研究
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18313
K. Kunal, Anita Choudhary
Commercial real estate has emerged as a key driver of economic growth and urban development in India. However, most development has concentrated in major metros while Tier-2/3 cities offer huge untapped potential. Bihar is one such state witnessing early stage growth in commercial real estate. This study utilizes primary data from developer/investor interviews and secondary data from industry reports. Quantitative and qualitative analyses were conducted to assess historical trends, current status, growth drivers, challenges, and future outlook. The analysis indicates that office and retail sectors are witnessing maximum growth, driven by factors like increasing demand from IT/ITeS, organized retail, and e-commerce companies. However, challenges like nascent stage of development, infrastructure gaps, lack of financing, land acquisitions, and talent availability need to be addressed. The study provides an in-depth understanding of commercial real estate in Bihar. While immense potential exists, concerted efforts on infrastructure improvement, policy reforms, and private participation are vital to realize the full promise. Targeted recommendations are provided for stakeholders to chart the future growth trajectory.
商业地产已成为印度经济增长和城市发展的主要驱动力。然而,大多数发展都集中在主要的大城市,而二三线城市却拥有尚未开发的巨大潜力。比哈尔邦就是这样一个见证了商业地产早期发展阶段的邦。本研究采用了开发商/投资者访谈的一手数据和行业报告的二手数据。通过定量和定性分析,对历史趋势、现状、增长动力、挑战和未来前景进行了评估。分析表明,在 IT/ITeS、有组织零售和电子商务公司需求增长等因素的推动下,写字楼和零售行业的增长速度最快。然而,新兴发展阶段、基础设施缺口、资金短缺、土地收购和人才供应等挑战亟待解决。本研究对比哈尔邦的商业地产有了深入的了解。虽然比哈尔邦的商业地产潜力巨大,但要充分实现其发展前景,就必须在基础设施改善、政策改革和私人参与方面齐心协力。研究还为利益相关者提供了有针对性的建议,以规划未来的发展轨迹。
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引用次数: 0
ANTIBACTERIAL ACTIVITY OF LAWSONIAINERMISAGAINST HUMAN PATHOGENIC BACTERIA 劳森氏菌对人类致病菌的抗菌活性
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18336
Nargish Marjhan, Md Abdul Mannan
Natural medicine has been the main source of primary healthcare all over the world. Since ancient times, plants have been used as a rich source of effective and safe medicines.Lawsoniainermishas efficacy on skin disease.Leaves of Lawsoniainermis provide an important cosmetic dye. Henna leaves were extensively used for centuries in the Middle East, the Far Eastand Northern Africa as dye for nails, hands, hair and textile.Lawsoniainermis contained 2-hydroxy-1,4-naphthoquinone (lawsone).Properties of Lawsoniainermis include antimicrobial, antifungal, antitumor, antiangiogenic, larvicidal, antileishmanial,antimalarial, hepatoprotective, anti-inflammatory, analgesic, and antipyretic characteristics.In this study the antibacterial activity of the leaf extract of Lawsoniainermison Escherichia coli, Staphylococcus aureus, andStreptococcus pyogenes. Zone of Inhibition was observed.Lawsoniainermisleaves extractcontaining test disk inhibited growth of pathogenic bacteria. Test disk containing 250 µg, 500 µg and 1000 µg showed 11mm, 14mm and 18 mm zone of inhibition against E. coli. 8 mm, 11mm and 13 mm zone of inhibition against Staphylococcus aureus. 7 mm, 9mm and 12 mm zone of inhibition against Streptococcuspyogenes. Whereas 30 µg Amikacin containing standard antibiotic disk showed 14 mm, 12 mm and 10 mm zone of inhibition against E. coli, S. aureus and S. pyogenes. This research concluded that Lawsoniainermisleaves extractcontain antimicrobial properties. The formulation of Lawsoniainermis leaves extract as a natural source for the development of drugs.
天然药物一直是全世界初级保健的主要来源。自古以来,植物一直被用作有效和安全药物的丰富来源。Lawsoniainermish 对皮肤病有疗效。几个世纪以来,Henna 叶在中东、远东和北非被广泛用作指甲、手、头发和纺织品的染料。Lawsoniainermis 的特性包括抗菌、抗真菌、抗肿瘤、抗血管生成、杀幼虫剂、抗利什曼病、抗疟、保肝、消炎、镇痛和解热等。含有劳森氏菌叶提取物的测试盘可抑制病原菌的生长。含有 250 微克、500 微克和 1000 微克的测试盘对大肠杆菌的抑制区分别为 11 毫米、14 毫米和 18 毫米。对金黄色葡萄球菌的抑制面积分别为 8 毫米、11 毫米和 13 毫米。对变形链球菌的抑制面积分别为 7 毫米、9 毫米和 12 毫米。而含有 30 μg 阿米卡星的标准抗生素盘对大肠杆菌、金黄色葡萄球菌和化脓性链球菌的抑制区分别为 14 毫米、12 毫米和 10 毫米。这项研究得出结论:Lawsoniainermisleaves 提取物具有抗菌特性。劳桑子叶提取物的配方是开发药物的天然来源。
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引用次数: 0
EXPLORING FINANCING PREFERENCES AMONG INNOVATIVE ENTREPRENEURS: A STUDY ON SELECTED BUSINESS FUTURISTS 探索创新型企业家的融资偏好:对部分商业未来学家的研究
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18266
Malashree S., Ruchi Gupta
Entrepreneurial financing decisions are much of the focussed area of research by many researchers in the field of finance, where the emphasis will be mainly on various sources of finance available, but at the same time understanding the purpose of the financial requirement is a major concern, because when the decision has to be made concerning the preference on the capital structure by an entrepreneur it depends on their personal preferences in terms of risk and returns. This research delves into the critical understanding of different source of finance required in different stages of development,employing a qualitative research approach, the study engaged with 9 entrepreneurs from varised age brackets, genders and sectors within Bengaluru, India.The participants attended the interview through telephonic and video conferencing to throw light on the entrepreneur’s preferences for various sources of finance. By examining the preferred financing methods of these entrepreneurs, the study seeks to uncover patterns, challenges, and opportunities unique to their ventures. The findings aim to inform both academic discussions and practical applications in the realm of entrepreneurial finance, offering valuable implications for policymakers, investors, and aspiring entrepreneursalike.
创业融资决策是金融领域许多研究人员的重点研究领域,重点主要放在各种可用的资金来源上,但与此同时,了解资金需求的目的也是一个主要问题,因为当创业者必须就资本结构的偏好做出决定时,这取决于他们在风险和回报方面的个人偏好。本研究采用定性研究方法,对印度班加罗尔不同年龄段、性别和行业的 9 名企业家进行了访谈,通过电话和视频会议了解企业家对各种融资渠道的偏好。通过研究这些企业家偏好的融资方式,本研究试图揭示他们的企业所特有的模式、挑战和机遇。研究结果旨在为创业融资领域的学术讨论和实际应用提供信息,为政策制定者、投资者和有抱负的创业者提供有价值的启示。
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引用次数: 0
INFLUENCE DU PLASTIQUE RECYCLE DE TYPE POLYPROPYLENE SUR LES CARACTERISTIQUES DU BITUME ET DE LENROBE BITUMINEUX 再生聚丙烯塑料对沥青和沥青浆特性的影响
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18319
Passoli Abelim, Badaba Valerie Leleng Peacequeen, Banakinao Sinko, Ayite Yawovi Mawuenya Xolali Dany
Asphalt is the most widely used product in the construction of flexible pavements. The purpose of this study is to evaluate the feasibility of incorporating recycled polypropylene plastic into bitumen to obtain modified asphalt to manufacture modified asphalt mixes that offer better properties than conventional asphalt mixes. A type of asphalt mix has been studied, a semi-grained asphalt concrete (SGAC14). Conventional asphalt mixes as well as asphalt mixes containing 2% and 4% of the polypropylene dosages were manufactured. For all the tests carried out, the performance was evaluated according to five criteria: 1) improvement of the rheological properties of the bitumen (ring balls, penetrability, softening point, ductility) 2) suitability for compaction with the gyratory shear press (GCP) 3) Water resistance 4) rutting resistance and 5) the Marshall Trial. The experimental results showed, among other things: an improvement in the rheological properties of the modified bitumen for the respective polypropylene assays of 1%, 2%, 3%, 4% and 5%. For these assays, respectively, penetrability decreased by 29%, 37%, 42%, 74%, and 90% the temperature of beads and rings increased by 0.73%, 2.94%, 5.5%, 6.24% and 9.17% the springback increased by 13.82%, 21.40%, 5.69% and 4.07%. . The modified asphalt mixes with 2% and 4% polypropylene compact better than the reference asphalt at 80 gyrations with respectively 5.5% and 5.1% voids we have 6.1% voids for the reference asphalt. An increase in water resistance for polypropylene dosages at 2% and 4% respectively the latter offer a variation in simple dry compressive strength of 4.84%, 22% and a variation in compressive strength after 7 days of immersion in water of 8.53%, 19.5%. Improved rutting performance of modified asphalt mixes: The SGAC14 class 0 reference asphalt mixes are upgraded to a class 1 and class 2 SGAC0/14 for 2% and 4% polypropylene dosages respectively. Modified asphalt mixes give the best Marshall stability. Overall, the possibility of incorporating polypropylene into SGAC14 type asphalt has been proven.
沥青是柔性路面施工中使用最广泛的产品。本研究的目的是评估在沥青中加入回收聚丙烯塑料以获得改性沥青的可行性,从而生产出性能优于传统沥青混合料的改性沥青混合料。我们研究了一种沥青混合料,即半粒状沥青混凝土(SGAC14)。我们生产了传统的沥青混合料以及聚丙烯含量分别为 2% 和 4% 的沥青混合料。在进行的所有试验中,性能评估都遵循五项标准:1) 沥青流变特性(环球、渗透性、软化点、延展性)的改善 2) 使用回旋剪切压力机(GCP)压实的适宜性 3) 耐水性 4) 抗车辙性和 5) 马歇尔试验。实验结果表明:聚丙烯含量分别为 1%、2%、3%、4% 和 5%时,改性沥青的流变性能有所改善。在这些试验中,渗透性分别降低了 29%、37%、42%、74% 和 90%,珠状和环状温度分别提高了 0.73%、2.94%、5.5%、6.24% 和 9.17%,回弹率分别提高了 13.82%、21.40%、5.69% 和 4.07%。.聚丙烯含量分别为 2% 和 4% 的改性沥青混合料在 80 回旋处的压实效果优于参考沥青混合料,空隙率分别为 5.5% 和 5.1%,而参考沥青混合料的空隙率为 6.1%。聚丙烯用量分别为 2% 和 4% 时,抗水性有所提高,后者的简单干燥抗压强度变化率分别为 4.84% 和 22%,浸水 7 天后的抗压强度变化率分别为 8.53% 和 19.5%。改善改性沥青混合料的车辙性能:聚丙烯用量分别为 2% 和 4% 时,SGAC14 0 级参考沥青混合料可升级为 SGAC0/14 1 级和 2 级。改性沥青混合料的马歇尔稳定性最好。总之,在 SGAC14 型沥青中加入聚丙烯的可能性已得到证实。
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引用次数: 0
HYDATIDOSE HEPATIQUE COMPLIQUE DE CHOC ANAPHYLATIQUE EN PEROPERATOIRE 肝包虫病并发围手术期无水休克
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18330
P. Mavoungou, A. Monteiro, L. Yodi, Y.El Ouardi, M. Khallouki
Introduction: Le kyste hydatique du foie est une affection parasitaire due au developpement dechinococcus granulosus, très frequente en Afrique du Nord (1). Les accidents au cours de la chirurgie se manifestent le plus souvent par leur rapidite dinstallation, leur gravite et la difficulte du diagnostic etiologique, qui peut etre d’origine anaphylactique, hemorragique ou toxique (2,3). Le choc anaphylactique en peroperatoire, est une complication que peut-etre grave et impose un diagnostic precoce et une prise en charge adequate (2,3). Nous rapportons ici un cas dhydatidose hepatique et peritoneale complique dun choc anaphylactique en peroperatoire. Patiente et Observation: Il s’agit d’une patiente agee de 21 ans de sexe feminin, operee il y a 7 ans pour kyste hydatique du foie n’ayant pas de notion dallergie, qui a ete admise pour une recidive dhydatidose hepatique. L’examen clinique est fait des douleurs abdominales diffuses, et dune hepatomegalie evoluant depuis 1 mois et sans autres signes associes. Les examens paracliniques tel que numeration formule sanguine, ionogramme sanguin, hemostase et bilan renal sont normaux et bilan hepatique a note la presence d’une cytolyse hepatique (ASAT: 476 UI/L et ALAT: 394 UI/L) ainsi que la serologie hydatique positive. La radiographie thoracique est normale, Une echographie abdominale a ete realisee et a montre des formations kystiques hepatiques et peritoneales et confirmee par la tomodensitometrie abdominale. Lintervention est realisee sous anesthesie generale par du fentanyl (3µg/kg), propofol (2,5mg/kg) et du rocuronium (0,6mg/kg). Lentretien anesthesique est fait par disoflurane. Le peroperatoire est marque par l’apparition d’un collapsus vasculaire avec hypotension arterielle 60/30 et une Pression arterielle moyenne a 39mmHg suivi dune desaturation a 65% et sans signe cutanee associe. La prise en charge a debutee precocement par un remplissage vasculaire par du serum sale isotonique 0,9% (30ml/kg), a deux reprises et sans amelioration de letat hemodynamique faisant evoquer un choc anaphylactique, le recours a ladministration intraveineuse dun bolus dadrenaline de 100µg a trois reprises, et dune corticotherapie a base dhemisuccinate dhydrocortisone 100 mg en IVD, suivie dune perfusion continue dadrenaline a raison de 0,5µg/kg/mn a travers d’une voie veineuse centrale. Le sevrage Dadrenaline a ete fait au bout de 24 heures après la surveillance au service de la reanimation chirurgicale. Conclusion: La survenue d’une choc anaphylatique peroperatoire au cours dune hydatidose hepatique est un evenement tres rare, mais grave par sa rapidite dinstallation, sa difficulte diagnostic et sa mortalite elevee. Lefficacite de la prise en charge decoule de la rapidite diagnostic et therapeutique dont ladrenaline est le produit de reference dans cette situation.
简介肝包虫囊肿是一种由颗粒棘球蚴引起的寄生虫病,在北非非常常见(1)。手术中发生意外的特点通常是起病急、病情重、病因诊断困难,可能是过敏性、出血性或中毒性原因(2,3)。术中过敏性休克可能是一种严重的并发症,需要早期诊断和适当处理(2,3)。我们在此报告一例因术中过敏性休克而并发肝脏和腹膜包虫病的病例。患者和观察结果:这是一名 21 岁的女性患者,7 年前曾因肝包虫囊肿接受过手术,无过敏史,因肝包虫病复发入院。临床检查显示,患者出现弥漫性腹痛和肝肿大,且已持续 1 个月,无其他相关体征。血细胞计数、血离子图、止血和肾脏检查等辅助临床检查均正常,肝脏检查发现存在肝细胞溶解(ASAT:476 UI/L,ALAT:394 UI/L),以及包虫病血清学阳性。胸部 X 光检查正常,腹部超声波检查显示肝脏和腹膜囊肿,腹部 CT 扫描证实了这一点。手术在全身麻醉下进行,使用了芬太尼(3µg/kg)、异丙酚(2.5mg/kg)和罗库铵(0.6mg/kg)。二氟醚用于麻醉维持。术中出现血管塌陷,动脉压低至 60/30,平均动脉压为 39mmHg,随后出现 65% 的不饱和,但没有相关的皮肤症状。救治工作从早期开始,用 0.9% 等渗生理盐水(30 毫升/千克)进行血管灌注,但血流动力学状态没有任何改善,这表明出现了过敏性休克、三次静脉注射 100µg 的达德那林,以及 100 毫克 IVD 剂量的氢化可的松半琥珀酸盐皮质类固醇,然后通过中心静脉以 0.5µg/kg/min 的速度持续输注达德那林。在外科重症监护室的监测下,达滴那林在 24 小时后停用。结论:肝包虫病围手术期过敏性休克的发生非常罕见,但由于其发病迅速、诊断困难和死亡率高而十分严重。有效的治疗取决于快速诊断和治疗,肾上腺素是这种情况下的首选药物。
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引用次数: 0
USAGE OF HOMEOPATHIC TREATMENTS FOR PLANT PATHOGEN CONTROL, AN OVERVIEW OF THE HISTORY AND TRENDS: A COMPREHENSIVE REVIEW 使用顺势疗法控制植物病原体的历史和趋势概述:综述
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18279
K. Ashok Kumar, B. Ramadevi
The extensive use of synthetic chemical fertilizers in agriculture is causing environmental problem. In this situation it is desirable to find out suitable agents, which would increase plant growth without compromising with the quality of food and of soil. This paper represents the history and trends of homeopathic drugs utilized in the control of plant pathogens in plant pathology. This method started with the pioneering work of kolisko in 1923 on wheat germination and Junker in 1928 on growth of microorganisms. Literature search on the Homeopathic drugs in the control of plant pathogens, which have shown the anti-fungal, anti-viral, anti-bacterial properties have been reviewed in this present paper. From the literature during the present study the different homeopathic drugs were found were used in agriculture. The contents of the article cover all the scientific reports published in Agricultural sectorfrom 1966 to till dates. A total 120 papers have been reported from homeopathic treatments used in Agriculture. Amongst these Arsenicum album, Natrum muriaticum, Cina, Thujawere found as the most used compounds. The science of homeopathy has great potentials and could give a new direction that requires attention of the researchers in alternative agriculture. This review discusses the experimental evidence relating to the use of homeopathic drugs in plant pathology, with view to assess the potential of homeopathy in agriculture.
农业中合成化肥的广泛使用正在造成环境问题。在这种情况下,人们希望找到合适的药剂,在提高植物生长的同时,又不影响食物和土壤的质量。本文介绍了顺势疗法药物在植物病理学中用于控制植物病原体的历史和发展趋势。这种方法始于 1923 年科利斯科(kolisko)在小麦发芽和 1928 年容克(Junker)在微生物生长方面的开创性工作。本文对顺势疗法药物在植物病原体控制方面的文献检索进行了综述,这些药物具有抗真菌、抗病毒和抗菌特性。本研究从文献中发现了不同的顺势疗法药物在农业中的应用。文章内容涵盖了 1966 年至今在农业领域发表的所有科学报告。共有 120 篇论文报道了顺势疗法在农业中的应用。其中,砒霜、硝酸甘油、西那、蒺藜是使用最多的化合物。顺势疗法科学潜力巨大,可以为替代农业研究人员提供一个需要关注的新方向。本综述讨论了与顺势疗法药物在植物病理学中的应用有关的实验证据,以评估顺势疗法在农业中的潜力。
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引用次数: 0
FIBROTHECOMA: CLINICAL, RADIOLOGICAL AND IMMUNOHISTOCHEMICAL DATA ABOUT AN OBSERVATION 纤维瘤:有关观察结果的临床、放射学和免疫组化数据
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18328
I. Traore, S. Boudhas, K. Saoud, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani
Fbrothecomais a benigntumor of the sexcords of the ovary, from the fibrothecal group. These are rare tumorsthatgenerallyoccur in postmenopausewith a good prognosis and rare cases of fibrothecoma cancer have been reported. We report a case of fibrothecoma in a patient in genitalactivitywithouthistory in the obstetrics and gynecologydepartment CHU Hassa II Fez Morocco. The interest of this case isits occurrence in a patient withgenitalactivity.
纤维肉瘤是卵巢性腺的一种良性肿瘤,属于纤维肉瘤组。这是一种罕见的肿瘤,一般发生在绝经后,预后良好,也有罕见的纤维肉瘤癌病例报道。我们报告了摩洛哥非斯哈萨二世医院(CHU Hassa II Fez Morocco)妇产科的一例生殖器纤维肉瘤病例。本病例的意义在于它发生在一名生殖器活动患者身上。
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引用次数: 0
BREACHING THE BOUNDARIES OF FIDELITY IN THE INDIAN MARRIAGE: A STUDY OF THE PORTRAYAL OF ADULTERY AS A MEANS OF FEMALE EXPRESSION OF DESIRE 打破印度婚姻中的忠贞界限:将通奸描绘成女性表达欲望的一种手段的研究
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18286
Urvie Bhattacharya
While the feminist intentions of the film makers, or a lack thereof, may remain a subject of debate, my paper argues that the three films Kabhi Alvida Na Kehna (2006), Dil Dhadakne Do (2015), and Dolly Kitty Aur Woh Chamakte Sitare (2019) create a new space for the articulation of womens sexual desires, which seem to find fulfilment only outside the strictures of heterosexual monogamy. In the process, these films relegate questions of marriage morality to the backdrop and focus instead on the emotional and erotic needs of the female protagonists, providing a compelling narrative of women who seek fulfilment that is denied to them.
虽然电影制作者的女性主义意图或缺乏女性主义意图可能仍是一个争论的话题,但我的论文认为,三部电影《Kabhi Alvida Na Kehna》(2006年)、《Dil Dhadakne Do》(2015年)和《Dolly Kitty Aur Woh Chamakte Sitare》(2019年)为女性性欲的表达创造了一个新的空间,女性的性欲似乎只有在异性恋一夫一妻制的严格限制之外才能得到满足。在这一过程中,这些影片将婚姻道德问题置于次要地位,转而关注女主角的情感和情欲需求,为女性寻求被剥夺的满足提供了引人入胜的叙事。
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引用次数: 0
ASPECTS CLINIQUES ET EVOLUTIFS DU CHOC SEPTIQUE EN REANIMATION DU CHU ANDOHATAPENAKA 脓毒性休克的临床和演化方面的问题
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18333
Andrianiaina Rakotoarisoa Josoa, Rabenjarison Francklin, Tofotranjara Heriniaina Aldino, Rakotomavo Falihery Albertin, Raveloson Nasolotsiry Enintsoa
Introduction: Septic shock is a major problem in intensive care units because it is responsible for high mortality. We aim to describe septic shocks clinical, bacteriological, therapeutic, and outcome aspects in the Intensive Care Department of Andohatapenaka University Hospital. Methods: This is a 30-month retrospective descriptive study of patients admitted with septic shock to the intensive care unit of CHU Andohatapenaka. The parameters studied were sociodemographic data, clinical parameters, bacteriological parameters, and evolutionary outcomes. Results: The incidence of septic shock was 9.5%. The mean age was 59±15 years. Male predominance was 65.8%, with a sex ratio of 1.9. Hypertension was the main comorbidity (64.3%). Disturbed consciousness was the most common reason for admission (41.5%). Polypnoea was found in 92.7% of patients. Pulmonary infection was predominant in 78.1% of cases. In this study, 34.2% had undergone bacteriological sampling. Kochs bacillus (9.7%) and Gram-negative bacilli (12.2%) predominated among the germs found. All patients received vascular filling, vasopressors, oxygen therapy, and antibiotic treatment. In this study, 39% of patients received mechanical ventilation. The mortality rate was 73.1%. Conclusion: Septic shock is still a real public health problem. It is the leading cause of death in intensive care. A further study will be necessary to determine the predictive factors of septic shock to improve management.
简介脓毒性休克是重症监护室的一个主要问题,因为它导致了很高的死亡率。我们旨在描述安多哈达佩纳卡大学医院重症监护室脓毒性休克的临床、细菌学、治疗和结果。研究方法这是一项为期 30 个月的回顾性描述性研究,研究对象是安多哈达佩纳卡大学医院重症监护室收治的脓毒性休克患者。研究参数包括社会人口学数据、临床参数、细菌学参数和演变结果。研究结果脓毒性休克发生率为 9.5%。平均年龄为 59±15 岁。男性占 65.8%,性别比为 1.9。高血压是主要合并症(64.3%)。意识障碍是最常见的入院原因(41.5%)。92.7%的患者有多呼吸现象。78.1%的病例以肺部感染为主。在本研究中,34.2%的患者接受了细菌学采样。发现的病菌以科氏杆菌(9.7%)和革兰氏阴性杆菌(12.2%)为主。所有患者都接受了血管填充、血管加压、氧疗和抗生素治疗。在这项研究中,39%的患者接受了机械通气。死亡率为 73.1%。结论脓毒性休克仍然是一个现实的公共卫生问题。它是重症监护中死亡的主要原因。有必要开展进一步研究,确定脓毒性休克的预测因素,以改善管理。
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引用次数: 0
期刊
International Journal of Advanced Research
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