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Anterior Chamber Culture at the Conclusion of Cataract Surgery and Its Relation to Post-Cataract Surgery Endophthalmitis 白内障术后前房培养及其与术后眼内炎的关系
Pub Date : 2018-02-05 DOI: 10.11131/2018/101283
Olivia J K Fox, S. Bobba, Calum W. K. Chong, Sarah B. Wang, M. Wehrhahn, S. Irvine, I. Francis
Purpose: The purpose of this study is to reassess the pathogenesis of postoperative endophthalmitis (POE), aiming to determine the presence of bacteria in the anterior chamber at the conclusion of phacoemulsification cataract surgery, and the subsequent development of POE. Methods: A single surgeon performed all cataract procedures across the two nominated day surgical centres. Phacoemulsification surgery with intraocular lens implantation (IOL) was performed on 209 eyes. Patient demographics and POE risk factors were obtained, as well as an anterior chamber (AC) aspirate from each patient at the conclusion of the surgical procedure. The aspirate was cultured for 1 – 5 days. Fourteen eyes also underwent bacterial 16S polymerase chain reaction (PCR) analysis of the AC aspirate. Any subsequent development of POE was recorded. No intracameral antibiotics were used. Results: Of the 209 cultures, three cases (1.4%) were positive for growth (95% confidence interval). The three positive cases yielded different microorganisms. One case was positive for bacteria (Corynebacterium species) while the other two cases were positive for fungi (Candida species and a Zygomycete). Cases with positive culture growth had no statistically significant difference in the incidence of preoperative, operative and postoperative risk factors for POE, compared with patients with negative culture. No patient in this study developed POE. Conclusion: The bacterial contamination rate of the AC after phacoemulsification surgery with IOL implantation is extremely low. Strict aseptic technique and definitively closed incisions can potentially be attributed to the zero percentage incidence of POE. It is probable that POE is more likely due to postoperative factors.
目的:本研究的目的是重新评估术后眼内炎(POE)的发病机制,旨在确定超声乳化白内障手术结束时前房是否存在细菌,以及POE的后续发展情况。方法:由一名外科医生在两个指定的日间手术中心进行所有白内障手术。对209眼施行超声乳化术联合人工晶状体植入术。获得患者人口统计数据和POE危险因素,以及每位患者在手术结束时的前房(AC)抽吸。培养1 - 5天。对14只眼睛进行细菌16S聚合酶链反应(PCR)分析。POE的任何后续发展都被记录下来。未使用内窥镜抗生素。结果:209例培养物中,3例(1.4%)生长阳性(95%置信区间)。三个阳性病例产生不同的微生物。1例细菌(棒状杆菌)阳性,2例真菌(念珠菌和接合菌)阳性。与培养阴性患者相比,培养阳性患者术前、术中、术后POE危险因素的发生率均无统计学差异。本研究中没有患者发生POE。结论:超声乳化术合并人工晶状体植入术后人工晶状体细菌污染率极低。严格的无菌技术和完全闭合的切口可能是POE发生率为零的潜在原因。POE更有可能是术后因素所致。
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引用次数: 1
The Evaporation Behavior of Volatile Fission Products in FLiNaK Salt 挥发性裂变产物在FLiNaK盐中的蒸发行为
Pub Date : 2017-12-17 DOI: 10.11131/2017/101315
Masami Taira, Y. Arita, M. Yamawaki
Molten salt reactor (MSR) was suggested for the one of the nuclear power plant concepts planned for generation IV. However, little study had been done on the severe accident at MSR. The one of the severe accident at MSR is considered that the molten salt with fuel will be exposed to air and some fission products will release to environment. The molten FLiNaK salt (LiF-NaF-KF: 46.5–11.5-42 mol%) with CsI(FLiNaK- CsI: 99-1 mol%) was evaporated and released gases were measured by mass spectrometry. The evaporated gases from above sample were mainly CsI and KI. The value of vapor pressure for CsI was low about ten to the first ∼ second power of vapor pressure for pure CsI at same temperature. Therefore, it is expected that FLiNaK prevents the release of CsI. On the other hand, despite KI were not included in original sample, KI released significantly.
熔盐堆(MSR)是第四代核电站规划的概念之一,但对熔盐堆发生的严重事故的研究很少。在MSR发生的严重事故中,熔盐和燃料将暴露在空气中,一些裂变产物将释放到环境中。将熔融的FLiNaK盐(LiF-NaF-KF: 46.5-11.5-42 mol%)与CsI(FLiNaK- CsI: 99-1 mol%)蒸发,用质谱法测定释放气体。上述样品的蒸发气体主要为CsI和KI。在相同温度下,CsI的蒸气压值约为纯CsI蒸气压的1 ~ 2次方的10倍。因此,预计FLiNaK会阻止CsI的释放。另一方面,尽管KI未包含在原始样品中,但KI释放明显。
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引用次数: 10
Ameliorative Effect of Grape Seed Proanthocyanidin Extract on Argon-Laser Induced Retinal Damage 葡萄籽原花青素提取物对氩激光视网膜损伤的改善作用
Pub Date : 2017-12-12 DOI: 10.11131/2017/101307
A. Abu-Mahfouz, M. Gamal, M. A. Ali, A. Shouman, A. Kamhawy
Photocoagulation is routinely used as a major treatment method for many retinal disorders. The present study was conducted to investigate the protective effect of Grape seed extract (GSE) on reactive oxygen species produced during argon laser photocoagulation and also to explore the benefit of retinal photocoagulation over two session's argon laser compared to single session. Forty two pigmented rabbits weighted 2–2.5 Kg were used in this study. The animals were classified into three groups. The left eye for each animal was photocoagulated with 200 mW, 400 mW and 400 mw fractionated dose (FD) argon laser with and without GSE supplementation respectively. After 24 hours the retina was separated carefully, malondialdehyde level (MDA), total antioxidant capacity (TAC) and Fourier transform infrared spectroscopy (FT-IR) for retinal tissue were detected. FT-IR findings showed a positive result for GSE supplementation in reducing laser effects on the retinal tissue. Also, GSE supplementation improved the level of TAC in rabbit's retina exposed to argon laser with a concurrent decrease in MDA level. In conclusion, GSE has an extremely beneficial role in overcoming the resultant adverse biological effects of argon laser photocoagulation on retinal tissues due to its potent antioxidant properties. Results also revealed that retinal photocoagulation over two sessions was more protective for retinal tissue than single session argon laser.
光凝是许多视网膜疾病的常规主要治疗方法。本研究旨在探讨葡萄籽提取物(GSE)对氩激光光凝过程中活性氧产生的保护作用,并探讨两次氩激光光凝对视网膜的益处。实验选用体重2-2.5 Kg的色素兔42只。这些动物被分为三组。分别用添加和不添加GSE的200 mW、400 mW和400 mW分离剂量(FD)氩激光光凝左眼。24h后仔细分离视网膜,检测视网膜组织丙二醛水平(MDA)、总抗氧化能力(TAC)和傅里叶变换红外光谱(FT-IR)。FT-IR结果显示,补充GSE在减少激光对视网膜组织的影响方面具有积极作用。此外,添加GSE可以提高氩激光照射兔视网膜的TAC水平,同时降低MDA水平。综上所述,由于其强大的抗氧化特性,GSE在克服氩激光光凝对视网膜组织的不良生物效应方面具有非常有益的作用。结果还显示,两次激光治疗对视网膜组织的保护作用比单次激光治疗更强。
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引用次数: 0
Use of Remote Sensing for Population Number Determination 利用遥感技术确定人口数量
Pub Date : 2017-10-04 DOI: 10.11131/2017/101227
K. Karume, C. Schmidt, K. Kundert, M. Bagula, B. F. Safina, R. Schomacker, D. Ganza, O. Azanga, C. Nfundiko, N. Karume, G. Mushagalusa
Ideally, in a country the population censuses are held regularly (five or ten-year intervals), population surveys, called “control surveys” are then conducted during the intercensal period. The latter, as well as the registers of civil status (information on the movements of the population), help determining a representative sample, called “scale model of the population.” Random, stratified and weighted, it has the advantage of providing a good statistical database for any generalizations about the target population with relatively little risk of error. Our study area, Bukavu city, doesn't comply with the classical scheme of data collection for two main reasons: - there are more than twenty years that real demographic censuses have been carried out in the province, the records of the `civil status is poorly maintained and often incomplete—if any!—Especially during this post-conflict period. A study was conducted in Bukavu City to determine the number of people living in this city. Two GeoEye satellite images of 50 cm resolution captured in July 2012 were used. A net of 200 × 200 meters was created with ArcGIS to divide the satellite images into regular cells. In total 2772 cells were created to cover the two satellite images but only 2353 cells were considered for classification. Three classes were identified in the satellite images according to houses density: High density, medium density and low density zones. Three samples were selected and for each different density type, a point map was created covering each house of the selected sample zones received a point. Using the three different density patterns, 95 highly populated zones were identified, 307 medium density zones and 800 low density zones having each respectively a total of 30'400, 46'050, and 40'000 houses. The population of the city was obtained by taking the number of houses times an average of 8, 7 and 6 habitants per house respectively in high, medium and low density zones. A total of 805550 habitants was obtained for Bukavu city which is almost the same number of people estimated (830'000) by the Inspection Provinciale de la Sante which is the health office in charge of vaccination campaign in South-Kivu Province. This method can be used whenever there is a need to quickly estimate the number of the population in a region where there is no census data.
理想情况下,一个国家定期(每隔五年或十年)进行人口普查,然后在人口普查期间进行人口调查,称为“控制调查”。后者,以及公民身份登记册(人口流动信息),有助于确定一个代表性样本,称为“人口比例模型”。它是随机的、分层的和加权的,它的优点是为关于目标人群的任何概括提供一个良好的统计数据库,误差风险相对较小。我们的研究区域布卡武市不符合传统的数据收集方案,主要有两个原因:-该省进行了20多年的真正人口普查,“公民身份”记录保存不佳,而且经常不完整-如果有的话!-特别是在这一冲突后时期。在布卡武市进行了一项研究,以确定居住在该市的人数。使用了2012年7月拍摄的两张分辨率为50厘米的GeoEye卫星图像。利用ArcGIS创建了一张200 × 200米的网,将卫星图像划分为规则的单元。总共创建了2772个单元格来覆盖两幅卫星图像,但只有2353个单元格被考虑用于分类。根据房屋密度,将卫星影像划分为高密度区、中密度区和低密度区。选取了三个样本,针对每种不同的密度类型,创建了一个点图,覆盖所选样本区域的每个房屋,并接收到一个点。利用三种不同的密度模式,确定了95个高密度区,307个中密度区和800个低密度区,每个区分别有30'400,46'050和4万套住房。在高、中、低密度区,用房屋数乘以平均每户8人、7人、6人来计算城市人口。布卡武市总共获得了805550名居民,这与负责南基伍省疫苗接种运动的卫生检查省估计的人数(83万)几乎相同。在没有人口普查数据的地区,只要需要快速估计人口数量,就可以使用这种方法。
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引用次数: 9
Questionnaire’s and Diagnostic Tests’ Reliability on Natural Rubber Latex Allergy among Albanian Dental Students 阿尔巴尼亚牙科学生天然胶乳过敏问卷调查及诊断测试信度分析
Pub Date : 2017-10-04 DOI: 10.11131/2017/101281
A. Bakiri, S. Skenderaj, D. Kraja, E. Petrela, D. Mingomataj, E. Mingomataj
Latex allergy is a common occupational disease among healthcare workers. Self-administrated questionnaires, physical examination and allergic tests are largely used to assess data about natural history, risk factors, clinical phenotype, etc. The aim of the present study was to determine the prevalence of allergy to latex gloves among dental students and the association between questionnaire items and diagnostic tests.
乳胶过敏是医护人员常见的职业病。自我调查问卷、体格检查和过敏试验主要用于评估自然病史、危险因素、临床表型等数据。本研究的目的是确定牙科学生对乳胶手套过敏的患病率,以及问卷调查项目与诊断测试之间的关系。
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引用次数: 0
Mechanism of Randall’s Plugs Development 兰德尔塞发育机理研究
Pub Date : 2017-05-09 DOI: 10.11131/2017/101242
F. Grases, O. Söhnel, A. Costa-Bauza, T. Loučka
Mechanism of formation and development of intraluminal concretion, also called Randall's plug, extracted from a female patient forming calcium oxalate dihydrate (COD) calculi was examined. Some of these calculi were connected to the papillary tip, and had connections with the interior of the papilla with finger-like extensions in the collecting duct (CD). The intraluminal concretion consisted of inter-grown COD crystals of irregular size (30–100 μm), approximately 5% of biological hydroxyapatite (BHAP) and an organic matter. Urine of the patient was moderately supersaturated with respect to COD and amorphous calcium phosphate (ACP). Model of kidney, recently refined by Robertson, was used in calculations. Calculated Reynolds number indicated that the flow of liquid through tubules was purely laminar with parabolic velocity profile. COD crystals formed at the beginning of ascending loop of Henle by heterogeneous nucleation. Concentration of COD crystals in urine was limited and considered equal to concentration of crystals during crystaluria. The free particle and the fixed particle mechanisms were considered. The free particle mechanism assumes formation of a single crystal or agglomerate of crystals blocking the CD by virtue of size. The growth of COD crystals at concrete urinary supersaturation was too slow for a single crystal to attain size with settling velocity faster than the translation flow rate of liquid. Hydrodynamic shear caused aggregation of COD solid particles dispersed in a liquid flowing in the nephron. Number of COD crystals present in urine was not sufficient for formation of fractal agglomerate blocking the Bellini duct. Similarly, a fractal agglomerate of urinary phosphate present in the form of Posner's clusters was not large enough to obstruct the Bellini duct. The opening of the CD could not be obstructed by a single crystal of COD or fractal agglomerate composed of either COD crystals or calcium phosphate clusters, formed in urine by virtue of size. Solid objects not immobilised inside the CD were always washed out by urine flow from the CD of any orientation (also upward-draining CD). The formation and development of plug of our patient was explained by the fixed particle mechanism assuming that Randall's plug developes from crystal(s) attached directly to the tubule wall. The plug was modelled as concretion composed of successive layers of COD crystals originating on the top of underlying layer. When growth of a layer stopped, its surface was covered by organic matter that served as a substrate for nucleation of a new layer. The time of plug development was estimated as the time a COD crystal needed to reach the opposite side of the duct plus duration of interruptions of crystalline growth when plug surface was covered by a layer of organic matter and phosphatic particles were incorporated into concretion. The flux of Posner's clusters arriving to the concretion surface was estimated from theory of Brownian motion. Thes
本文研究了一名形成草酸钙二水合物(COD)结石的女性患者的腔内结石(也称为Randall's塞)的形成和发展机制。部分结石与乳突尖端相连,并与乳突内部相连,在集管内呈手指状延伸。腔内结缔组织由大小不规则(30 ~ 100 μm)的COD晶体、约5%的生物羟基磷灰石(BHAP)和有机质组成。患者尿中COD和无定形磷酸钙(ACP)中度过饱和。计算中使用了最近由Robertson改进的肾脏模型。计算得到的雷诺数表明,液体在小管中的流动为纯层流,速度分布为抛物线。在Henle上升环开始时,通过非均相成核形成COD晶体。尿中COD结晶的浓度有限,被认为与结晶尿时的结晶浓度相等。考虑了自由粒子机制和固定粒子机制。自由粒子机制假设形成单晶或晶体团块,通过大小阻挡CD。混凝土尿液过饱和时,COD结晶生长缓慢,单晶无法达到粒径,沉降速度大于液体平移流速。流体动力剪切引起分散在肾元内流动的液体中的COD固体颗粒聚集。尿液中存在的COD晶体数量不足以形成阻塞贝利尼管的分形凝聚体。同样,以波斯纳簇形式存在的分形尿磷酸盐团块也不足以阻塞贝利尼管。尿中形成的COD单晶或由COD晶体或磷酸钙团簇组成的分形团聚体不能阻塞CD的开口。未固定在CD内的固体物体总是被任何方向的CD(也向上排出的CD)的尿流冲走。我们的病人的塞的形成和发展可以用固定粒子机制来解释,假设Randall塞是由直接附着在小管壁上的晶体发展而来的。堵塞物被模拟为由源自下垫层顶部的连续的COD晶体层组成的固结物。当一个层的生长停止时,它的表面被有机物质覆盖,作为新层成核的基质。堵塞发育的时间估计为COD晶体到达管道另一侧所需的时间加上当堵塞表面被一层有机物覆盖并且磷酸盐颗粒被纳入固结时晶体生长中断的时间。根据布朗运动理论估计了到达固结表面的波斯纳团的通量。这些计算表明,在结痂核附着于管壁或乳头尖后大约4个月,患者的贝利尼管被兰德尔塞阻塞。
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引用次数: 0
Shrinkage Module of Soil Samples with Different Cement Content 不同水泥掺量土样的收缩模量
Pub Date : 2017-04-12 DOI: 10.11131/2017/101304
Mohannad Sabry, M. A. Mandalawi, Mays Sabry
The differences in soil's body mass during shrinkage over time have changes in soil physical properties which provide an important reason to check the design of underground foundations in expansive soils. In this paper, a state-of-art of the soil heat stress-strain relationship prediction methods is checked using soil engineering laboratory experiments and Matlab R2013b numerical modelling. The shrinkage of soils with different cement content of (0%, 2%, 4%, 6% and 8%) with the same water content of 20 percent in room temperature for 24 hours, are critically reviewed in terms of their predictive shrinkage along with their strengths and flexural behaviour. The review highlights the prediction methods present to determine the effect of heat stress on the shrinkage of soil samples with different cement content after classifying the soils into clay, silt and sand depending on their particle size using sieve and hydrometer experiments. The results of the soil engineering laboratory experiments showed that as the cement content increases, the shrinkage of soil decreases as a result of increased elasticity in soil. The numerical analysis using finite element method in Matlab R2013b shows that as the cement content increases the displacement in the soil sample decreases and that the soil sample with 8% cement content has more resistance to shrinkage and less displacement than the soil with 6% cement, which has less resistance to heat stresses and more displacement.
随着时间的推移,收缩过程中土体质量的差异导致了土体物理性质的变化,这是检验膨胀土地下基础设计的重要依据。本文通过土壤工程室内实验和Matlab R2013b数值模拟,对一种目前最先进的土壤热应力-应变关系预测方法进行校核。不同水泥含量(0%、2%、4%、6%和8%)、相同含水量为20%的土壤在室温下24小时的收缩,根据其预测收缩以及强度和弯曲行为进行了严格的审查。本文重点介绍了利用筛分试验和比重计试验,将不同水泥含量的土按粒径分为粘土、粉土和砂土后,热应力对不同水泥含量土试样收缩影响的预测方法。土工程室内试验结果表明,随着水泥掺量的增加,土的收缩率减小,这是由于土的弹性增加。在Matlab R2013b中采用有限元方法进行数值分析表明,随着水泥掺量的增加,土样中的位移减小,水泥掺量为8%的土样比水泥掺量为6%的土样具有更强的抗收缩性和更小的位移性,后者对热应力的阻力更小,位移更大。
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引用次数: 1
Removal of Chromium and Azo Metal-Complex Dyes Using Activated Carbon synthesized from Tannery Wastes 利用制革厂废渣合成活性炭去除铬和偶氮金属络合染料
Pub Date : 2017-03-28 DOI: 10.11131/2017/101214
F. Kebede, Alemayehu Gashaw
Leather industries are one of pollution-intensive industrial complexes generating huge volumes of liquid and high concentration of solid wastes. Tanneries use different harmful chemicals like (chromium, sulphuric acid, dyes, etc) in their processing. They could have a number of adverse impacts on the environmental eco-system as well as on the society living around. In this study, fleshed parts of tannery solid wastes were brought from Bahir Dar leather factory to synthesize an activated carbon used for effective removal of chromium, mordant black-11 and red azo dyes from the aqueous solution. Fleshed tannery waste activated carbon (FTWAC) characterized by FTIR which shows acidic properties, surface area by BET was 535.02 m2/g and different physical and chemical properties were determined. The concentration of Cr(VI) was determined by ICP-OES, but mordant black-11 and red azo dyes were determined by UV-Vis spectroscopy instrument. Freundlich isotherm model is well fitted than Langmuir model for the adsorption. Generally the results showed that the removal efficiency of FTWAC for Cr(VI) over 99%, for mordant black-11 dye over 97% and red azo dye over 93% were achieved. Therefore, using FTWAC for treatments of chromium and dyes in the effluent wastes for leather industry is economical and viable option.
皮革工业是产生大量液体和高浓度固体废物的污染密集型工业综合体之一。制革厂在加工过程中使用不同的有害化学物质,如铬、硫酸、染料等。它们可能对环境生态系统以及周围的社会产生许多不利影响。本研究从Bahir Dar制革厂的固体废物中提取肉质部分,合成活性炭,用于有效去除水溶液中的铬、媒染剂black-11和红色偶氮染料。肉质皮革厂废活性炭(FTWAC)经红外光谱(FTIR)表征为酸性,BET比表面积为535.02 m2/g,测定了不同的理化性质。铬(VI)浓度采用ICP-OES法测定,媒染剂黑-11和红色偶氮染料采用紫外可见光谱法测定。Freundlich等温线模型比Langmuir模型更适合于吸附。结果表明,FTWAC对Cr(VI)的去除率在99%以上,对媒染剂black-11染料的去除率在97%以上,对红色偶氮染料的去除率在93%以上。因此,利用FTWAC处理皮革工业废水中的铬和染料是一种经济可行的选择。
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引用次数: 14
Adsorption and Elution of Nucleic Acids: Mesoporous Materials and Methods 核酸的吸附和洗脱:介孔材料和方法
Pub Date : 2017-03-28 DOI: 10.11131/2017/101190
B. Lin, Brandy J. Johnson, B. J. Melde, Genevieve M. S. Haas, Miles K. J. McConner, Jenna R. Taft
Physical protection of nucleic acids from the environment for improved stability through encapsulation or adsorption has been reported using various materials, including liposomes, metal particles, mesoporous silica nanoparticles, and polymers. In an extension of that approach, our previous study demonstrated the potential of mesoporous silica nanoparticles with and without covalently attached stabilizing reagents, such as sugar and bovine serum albumin, for improving the stability of RNA. The goal of the current study is to evaluate the potential of silicate sorbents bearing chemical functionalities for stabilization of nucleic acid targets. Materials offering charged groups, metal chelating sites, and π-bonding sites are considered. Adsorption and elution of RNA, DNA, and single stranded DNA (ssDNA) are evaluated as is subsequent elution of the bound target. A sorbent functionalized with primary amine groups showed promising results for RNA and ssDNA stabilization. The impact of the sorbents on long term viability the targets is also evaluated. Storage of adsorbed targets at room temperature and 37∘C over a period of 200 d indicates the potential for stabilization of RNA and ssDNA using several of the functionalities. None of the sorbents improved the stability of DNA either under room temperature or 37∘C storage.
据报道,利用脂质体、金属颗粒、介孔二氧化硅纳米颗粒和聚合物等多种材料,通过封装或吸附对核酸进行物理保护,以提高其稳定性。在该方法的扩展中,我们之前的研究证明了介孔二氧化硅纳米颗粒具有或不具有共价附着稳定试剂(如糖和牛血清白蛋白)的潜力,以提高RNA的稳定性。当前研究的目的是评估具有稳定核酸目标化学功能的硅酸盐吸附剂的潜力。考虑了具有带电基团、金属螯合位和π键位的材料。对RNA, DNA和单链DNA (ssDNA)的吸附和洗脱进行评估,随后对结合目标进行洗脱。一种具有伯胺基团功能化的吸附剂在稳定RNA和ssDNA方面表现出良好的效果。还评估了吸附剂对目标长期生存能力的影响。将吸附后的靶物在室温和37°C下储存200 d,表明利用RNA和ssDNA的几种功能有稳定RNA和ssDNA的潜力。没有一种吸附剂能改善DNA在室温或37°C下的稳定性。
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引用次数: 2
Assessment of Breast Feeding Practice and Risk Factors Associated with Severe Acute Malnutrition among Children Admitted to Addis Ababa Governmental Hospitals, Ethiopia, 2014: A Cross-Sectional Facility Based Study 2014年埃塞俄比亚亚的斯亚贝巴政府医院收治儿童中与严重急性营养不良相关的母乳喂养做法和风险因素评估:一项基于设施的横断面研究
Pub Date : 2017-03-28 DOI: 10.11131/2017/101220
Gebre Gelana, Berhanu Dessalegn, Girmachew Alemu
Background: Malnutrition remains one of the most common causes of morbidity and mortality among children throughout the world. It is responsible for over 50% death of under age of 5 years children. Objective: To assess feeding practice and factors associated with severe acute malnutrition in under age of 5 year children admitted to Addis Ababa Government Hospitals, Ethiopia, 2014. Methods and Materials: A cross sectional study design was conducted on 151 under age of 5 year children admitted to Addis Ababa Governmental Hospitals from April to May 2014. The required number of sample was selected based on the registration and diagnosis. Data was collected by review of medical records and interview of the family member nearby during data collection. The data was manipulated and analyzed by using Epi.info version 3.5.4 for windows and SPSS version 16.0. Results: Out of one hundred fifty one study subjects, 124(82.1%) of them breastfed; but majority of them, 65.4% did not practice exclusive breast feeding. Maternal illiteracy had 2.46 times high risk and significant association with severe acute malnutrition (AOR = 2.46, 95% CI, 1.4-42.4). Being age younger than 11 months also showed 5.97 times high risk and statistically significant association with severe acute malnutrition (AOR = 5.97, 95% CI, 1.8-20). Children of governmental employee mother were 2.29 times high risk to be affected by marasmus (AOR = 2.29, 95% CI, 1.4–3.86). Male children were 2.28 times higher risk to be affected by the case than female children (AOR = 2.28, 95% CI, 1.1–4.9). Conclusion: Maternal illiteracy, maternal occupation, sex of the child being male and age of the child younger than 11 months have strong and statistically significant association with child severe acute malnutrition.
背景:营养不良仍然是全世界儿童发病和死亡的最常见原因之一。它造成50%以上的5岁以下儿童死亡。目的:评估2014年埃塞俄比亚亚的斯亚贝巴政府医院收治的5岁以下儿童的喂养方式及其与严重急性营养不良相关的因素。方法与材料:采用横断面研究设计,对2014年4 - 5月在亚的斯亚贝巴政府医院住院的151名5岁以下儿童进行研究。根据配准和诊断选择所需的样本数。通过查阅病历和在数据收集过程中对附近家庭成员的访谈收集数据。采用Epi.info 3.5.4 for windows和SPSS 16.0对数据进行处理和分析。结果:在151名研究对象中,124名(82.1%)母乳喂养;但其中大多数(65.4%)没有实行纯母乳喂养。产妇文盲是高危人群的2.46倍,与严重急性营养不良有显著相关性(AOR = 2.46, 95% CI, 1.4-42.4)。年龄小于11个月也为5.97倍的高风险,与严重急性营养不良有统计学意义(AOR = 5.97, 95% CI, 1.8-20)。公务员母亲的子女患消瘦的风险为2.29倍(AOR = 2.29, 95% CI, 1.4 ~ 3.86)。男童受该病例影响的风险是女童的2.28倍(AOR = 2.28, 95% CI, 1.1-4.9)。结论:产妇文盲、产妇职业、儿童性别为男、儿童年龄小于11月龄与儿童严重急性营养不良有较强的相关性,且有统计学意义。
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引用次数: 4
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Open Access Journal of Science and Technology
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