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Quantifying climatic heavy-precipitation-induced floods in West Africa using multiple precipitation indices 利用多种降水指数量化西非由气候强降水引发的洪灾
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-05 DOI: 10.1016/j.sciaf.2024.e02309

Extreme precipitation events, especially climatic heavy precipitation-induced (CHP-induced) floods, pose substantial negative impacts on a myriad of socio-economic drivers. Incidents related to extreme precipitation events result in revenue loss, thereby negatively affecting national economies, and there is a growing need to advance studies that promote early warning and rapid resilience building across West Africa. Despite the region’s vulnerability to climate change, studies on flood events have barely compared multiple indices in order to provide a true representation of meteorological floods in the region Using multiple precipitation indices (Standardized Rainfall Anomaly, Standardized Precipitation Index and Rainfall Anomaly Index), CHP-induced flood events were assessed both historically and into the far-future. The projections were estimated under three Shared Socioeconomic Pathways (SSPs; SSP1-2.6, SSP3-7.0 and SSP5-8.5) and over three demarcated zones of West Africa (Guinea Coast [GC], Savanna [SAV] and Sahel [SAH]). The findings from the study indicate an expected intensification in future flood potential, particularly in the Savanna and Sahel. Contrastingly, flood potential in the Guinea Coast is projected to remain nearly similar to the historical records. On the impacts of emissions scenarios on projected CHP-induced floods, an increase in the mean flood count and maximum flood could potentially result from rising emission concentrations. The findings of the study are useful for advancing current understanding of CHP-induced floods over West Africa, and planning effective mitigation and adaptation strategies to build resilience in the face of current to future episodes.

极端降水事件,尤其是气候性强降水(CHP)引发的洪水,对众多社会经济驱动因素造成了巨大的负面影响。与极端降水事件相关的事故会造成收入损失,从而对国民经济产生负面影响,因此越来越有必要推进相关研究,以促进整个西非地区的早期预警和快速恢复能力建设。尽管该地区很容易受到气候变化的影响,但有关洪水事件的研究却很少对多种指数进行比较,以真实反映该地区的气象洪水。这些预测是在三种共同社会经济路径(SSPs:SSP1-2.6、SSP3-7.0 和 SSP5-8.5)下,对西非的三个划定区域(几内亚海岸 [GC]、热带草原 [SAV] 和萨赫勒 [SAH])进行估算的。研究结果表明,预计未来洪水潜势将加剧,尤其是在热带草原和萨赫勒地区。与此相反,几内亚沿海地区的洪水潜力预计将与历史记录基本相似。关于排放情景对预计热电联产引发的洪水的影响,排放浓度的上升可能会导致平均洪水次数和最大洪水量的增加。这项研究的结果有助于促进目前对热电联产在西非引发的洪水的了解,并有助于规划有效的减缓和适应战略,以建立应对当前和未来洪水的复原力。
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引用次数: 0
Optimal selection and design of grid-connected hybrid renewable energy system in three selected communities of Rivers State 河流州三个选定社区并网混合可再生能源系统的优化选择和设计
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-05 DOI: 10.1016/j.sciaf.2024.e02305
Chidozie Ezekwem , Suresh Muthusamy , Peace Chiamaka Ezekwem

The pursuit of electrifying rural areas has been a multi-decade quest, emblematic of Nigeria's longstanding efforts to diversify its energy sources and reduce dependence on traditional fossil fuels. Accordingly, this study aims to evaluate the electrification status and perform a techno-economic analysis of a hybrid system to ensure electricity reliability, bill reduction and reduced grid demand for three representative rural communities in Rivers State using HOMER Pro Software. Subsequently, five hybrid system scenarios that encompassed different combinations of the grid, PV modules, wind and battery, were examined using the CRITIC-PROMETHEE II methodologies. Each community was assessed based on its own hourly electricity demand, using data obtained from the injection substation. The Aluu, Choba and Rumuekini communities experienced an average daily electricity supply of 4.6, 5.4 and 6.2 h respectively from the national grid with energy usage of 5436.4 MW for Aluu, 3375.4 MW for Choba and 1626.1 MW for Rumuekini, in 2022. The findings indicate that the grid/PV module was the optimal choice for the three communities. Moreover, the cost of energy (COE) for the proposed systems ranged from 0.0181 $/kWh to 0.0185 $/kWh, significantly lower than the grid's COE of 0.08625 $/kWh in the respective communities. This research further includes a sensitivity analysis of the optimal system, examining variations in PV cost, discount rate, inflation rate, annual scaled solar irradiance and electrical demand. The results provide a comprehensive framework to support decision-making, optimize system design and align renewable energy solutions with project goals and stakeholder priorities.

实现农村地区电气化是尼日利亚几十年来的追求,也是尼日利亚长期以来努力实现能源多样化、减少对传统化石燃料依赖的标志。因此,本研究旨在评估电气化状况,并使用 HOMER Pro 软件对混合系统进行技术经济分析,以确保河流州三个具有代表性的农村社区的电力可靠性、减少电费支出并降低电网需求。随后,使用 CRITIC-PROMETHEE II 方法对包含电网、光伏模块、风能和电池不同组合的五种混合系统方案进行了研究。利用从注入变电站获得的数据,根据每个社区每小时的电力需求对其进行了评估。2022 年,阿卢、乔巴和鲁穆埃基尼社区平均每天分别从国家电网获得 4.6、5.4 和 6.2 小时的电力供应,阿卢社区的用电量为 5436.4 兆瓦,乔巴社区为 3375.4 兆瓦,鲁穆埃基尼社区为 1626.1 兆瓦。研究结果表明,电网/光伏模块是三个社区的最佳选择。此外,拟议系统的能源成本(COE)从 0.0181 美元/千瓦时到 0.0185 美元/千瓦时不等,明显低于各社区电网的 COE(0.08625 美元/千瓦时)。这项研究还包括对最佳系统的敏感性分析,研究了光伏成本、贴现率、通货膨胀率、年比例太阳能辐照度和电力需求的变化。研究结果为支持决策、优化系统设计以及根据项目目标和利益相关者的优先事项调整可再生能源解决方案提供了一个全面的框架。
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引用次数: 0
Effect of fermented grain cereal milling by-product on the enhancement of physiological and reproductive parameters of goldfish (Carassius auratus) broodstock 发酵谷物碾磨副产品对提高金鱼(Carassius auratus)鱼苗生理和繁殖参数的影响
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-04 DOI: 10.1016/j.sciaf.2024.e02304
Mohamed M. Toutou , Rania F. Ismail , Ali A. Soliman , Mahmoud M.S. Farrag

The aim of this work was to assess the effect of feeding goldfish (Carassius auratus) broodstock with diets containing dietary fermented grain cereal milling by-product with Saccharomyces cerevisiae 5, 10, 20 g/Kg diet (FY) (a carbohydrate source) on fish growth, health, maturity, and reproductive performance. The broodstock were divided into four groups: FY0, FY5, FY10, and FY20 diet, and control (FY0) fed a basal diet for 68 days. Growth-related parameters, biochemical composition, and blood biochemical parameters were measured. For maturity progress ovarian histology, gonadotropins and sex steroid hormones (T and E2) were noticed, and to evaluate reproductive performance, fecundity and gonadosomatic index (GSI%) were evaluated. Adding FY to the experimental diets improved broodstock growth and hematological markers. Additionally, it enhanced the ovarian growth (GSI% and fecundity), which augmented significantly (p ≤ 0.05) in FY10 and. FY20 treated sets. Dietary FY significantly increased serum levels of globulin, albumin, total protein, and glucose compared with the control. In addition, gonadotropins and sex hormones were significantly elevated in a dose-dependent mode with increasing FY levels. This study demonstrated positive physiological effects with improving reproductive parameter response after FY dietary addition. The group fed FY20 exhibited the better growth performance than the other treatments. Therefore, nutritional FY management could be employed as a tactical approach to improve reproductive ability and maintain goldfish production.

本研究旨在评估用含有发酵谷物副产品和酿酒酵母 5、10、20 克/千克日粮(FY)(碳水化合物来源)的日粮饲喂金鱼(Carassius auratus)育苗对鱼类生长、健康、成熟和繁殖性能的影响。鱼苗被分为四组:FY0、FY5、FY10 和 FY20 日粮,对照组(FY0)喂食基础日粮 68 天。测量了生长相关参数、生化成分和血液生化参数。为了评估成熟度,对卵巢组织学、促性腺激素和性类固醇激素(T和E2)进行了检测;为了评估繁殖性能,对受胎率和性腺指数(GSI%)进行了评估。在实验日粮中添加 FY 可改善育雏鱼的生长和血液学指标。此外,FY10 和 FY20 处理组的卵巢生长(GSI% 和受精率)显著提高(p ≤ 0.05)。FY20 处理组。与对照组相比,饲喂 FY 能明显提高血清中球蛋白、白蛋白、总蛋白和葡萄糖的水平。此外,随着 FY 含量的增加,促性腺激素和性激素也以剂量依赖的方式明显升高。这项研究表明,添加 FY 后,生殖参数反应改善,产生了积极的生理效应。与其他处理相比,饲喂 FY20 的组表现出更好的生长性能。因此,FY 营养管理可作为提高金鱼繁殖能力和维持金鱼产量的一种战术方法。
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引用次数: 0
Protein biomarkers for diagnosis of breast cancer 诊断乳腺癌的蛋白质生物标志物
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-03 DOI: 10.1016/j.sciaf.2024.e02308
Emeka Eze Joshua Iweala , Doris Nnenna Amuji , Faith Chinasaokwu Nnaji

Breast cancer remains a major global health challenge, demanding better diagnostic tools. Traditional methods like mammography have limitations, highlighting the need for specific, non-invasive approaches. Protein biomarkers offer a promising avenue for early and accurate detection, potentially leading to improved patient outcomes and personalized treatment. This review explores key protein biomarkers, including Estrogen Receptor (ER), Progesterone Receptor (PR), Human Epidermal Growth Factor Receptor 2 (HER-2), and Cancer Antigen 27.29(CA27.29), focusing on the proteomic methodologies used in their discovery and validation. However, challenges exist, such as variability in biomarker expression and limitations in abundance, stability, and specificity, which hinder clinical use. The review discusses innovative strategies to overcome these challenges, emphasizing the importance of translating biomarker research into practical applications for personalized medicine in breast cancer diagnosis and therapy. This exploration contributes to the evolving field of breast cancer diagnostics, paving the way for future discoveries and improved patient care.

乳腺癌仍然是全球健康的一大挑战,需要更好的诊断工具。乳房 X 射线照相术等传统方法有其局限性,因此需要特定的非侵入性方法。蛋白质生物标志物为早期准确检测提供了一个前景广阔的途径,有可能改善患者的预后和个性化治疗。本综述探讨了主要的蛋白质生物标记物,包括雌激素受体(ER)、孕酮受体(PR)、人类表皮生长因子受体 2(HER-2)和癌症抗原 27.29(CA27.29),重点介绍了发现和验证这些标记物时使用的蛋白质组学方法。然而,生物标记物的表达存在变异性,丰度、稳定性和特异性也有局限性,这些都阻碍了生物标记物的临床应用。这篇综述讨论了克服这些挑战的创新策略,强调了将生物标志物研究转化为乳腺癌诊断和治疗中个性化医疗的实际应用的重要性。这一探索有助于不断发展的乳腺癌诊断领域,为未来的发现和改善患者护理铺平道路。
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引用次数: 0
Practice of COVID-19 preventive measures and its associated factors in Mekelle City, Tigray 提格雷州梅凯莱市的 COVID-19 预防措施及其相关因素
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.sciaf.2024.e02301
Aregawi Gebreyesus , Kissanet Tesfay , Adanu Belay , Yirgalem Meles

The global pandemic of COVID-19 has resulted in human health, economic, social, psychological, and political worldwide crises. Even though the countries were taking different prevention measures against COVID 19 pandemic, the infection spreads fast more than ever. This study aimed to assess the level of prevention practice measures against COVID-19 and risk factors in the Mekelle city, Tigray. We conducted a community cross-sectional study among 880 participants aged 15 and above years old in Mekelle city from July 05–28 2020. All associations have examined for statistical significance with alpha set at the 0.05 level. The findings of this study showed that the overall Practice preventive measures of COVID-19 among the Mekelle community were 36.8 % of 95 % CI of (33 % – 44 %). Regarding the factors associated with the outcome variable, being a health care worker and being resident in Hawelti, Semen, and Adi-Haki sub-cities were associated significantly with prevention measures of COVID-19. Thus, efforts should be made to improve the prevention measures.

COVID-19 在全球范围内的流行导致了人类健康、经济、社会、心理和政治方面的全球性危机。尽管各国针对 COVID-19 大流行采取了不同的预防措施,但其传播速度比以往任何时候都要快。本研究旨在评估蒂格雷省梅凯莱市针对 COVID-19 的预防措施水平和风险因素。我们于 2020 年 7 月 5 日至 28 日在梅克尔市对 880 名 15 岁及以上的参与者进行了社区横断面研究。所有关联均进行了统计学意义检验,α 设定为 0.05 水平。研究结果表明,梅克雷社区 COVID-19 预防措施的总体实践率为 36.8%,95% CI 为(33% - 44%)。至于与结果变量相关的因素,身为医护人员、居住在哈维尔蒂(Hawelti)、塞门(Semen)和阿迪-哈基(Adi-Haki)分城市与 COVID-19 的预防措施有显著关联。因此,应努力改进预防措施。
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引用次数: 0
Marginal Impact of climate variability on crop yields in Ghana 气候多变性对加纳作物产量的边际影响
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.sciaf.2024.e02314

The impacts of climate variability indicators on crop yields have attracted global attention over the years. This is particularly so because of the growing concern about the effect of climate change on sustainable food production, especially in extreme climate-risk-prone regions in sub-Saharan Africa. The aim of the present paper is to study the marginal effect of climate variables on maize yields in northern Ghana. In this paper, we apply the random forest machine learning approach, Mann-Kendall test, Sen's slope, using data from four study locations in the Upper East region of Ghana to analyze the phenomena. It was evident that maximum and minimum temperatures are the most important climate variability indicators, which have the greatest impact on maize yields. Maize yield in the Upper East region tends to decrease when temperatures exceed 32°C and increase when temperatures are around 24°C. Our results generally show that in all the studied districts, maize yield tends to be at its maximum when the temperature is around 24°C. These findings are crucial to the efforts being made in addressing the emerging challenges confronting smallholder farmers in sustainable food production due to persistent climate change as well as contributing to the achievement of Sustainable Development Goals 1, 2 and 13.

多年来,气候变异指标对作物产量的影响引起了全球关注。这尤其是因为人们日益关注气候变化对可持续粮食生产的影响,特别是在撒哈拉以南非洲的极端气候风险易发地区。本文旨在研究气候变量对加纳北部玉米产量的边际效应。本文利用加纳上东部地区四个研究地点的数据,采用随机森林机器学习法、Mann-Kendall 检验法、Sen's 斜坡法对相关现象进行了分析。结果表明,最高气温和最低气温是最重要的气候变异指标,对玉米产量的影响最大。当气温超过 32°C 时,上东部地区的玉米产量呈下降趋势,而当气温在 24°C 左右时,玉米产量呈上升趋势。我们的研究结果普遍表明,在所有研究地区,当气温在 24°C 左右时,玉米产量往往达到最高值。这些研究结果对于努力应对小农在可持续粮食生产方面因持续气候变化而面临的新挑战以及促进实现可持续发展目标 1、2 和 13 至关重要。
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引用次数: 0
Assessing financial assurance instruments for climate change mitigation and adaptation: A comparative study of Zambia and South Africa 评估减缓和适应气候变化的金融保证工具:赞比亚和南非的比较研究
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.sciaf.2024.e02303
Davies Wambwa, Jhonnah Mundike, Brian Chirambo

This analysis compares financial assurance instruments for promoting sustainable mining practices in climate change mitigation and adaptation in Zambia and South Africa. The study explores how these instruments can help reduce environmental impacts from mining and improve climate adaptation. The research follows the PRISMA methodology, which reveals obstacles such as insufficient financial provision, limited monitoring, enforcement, and inconsistent regulations. The study highlights the need to strengthen regulatory frameworks, establish adequate financial provisions, improve monitoring and enforcement, engage stakeholders, share knowledge, and promote international collaboration to address these challenges. The recommendations aim to enhance the effectiveness of financial assurance instruments and encourage responsible mining, leading to a more sustainable mining sector, less environmental degradation, and significant contributions to global climate change mitigation efforts.

本分析比较了赞比亚和南非在减缓和适应气候变化方面促进可持续采矿实践的财政保障手段。该研究探讨了这些工具如何帮助减少采矿对环境的影响并改善气候适应性。研究采用了 PRISMA 方法,揭示了一些障碍,如资金供应不足、监督和执行力度有限以及法规不一致等。研究强调,需要加强监管框架、建立充足的财政拨款、改善监测和执法、吸引利益相关者参与、分享知识并促进国际合作,以应对这些挑战。这些建议旨在提高财政保证工具的有效性,鼓励负责任的采矿,从而使采矿业更具可持续性,减少环境退化,并为全球减缓气候变化的努力做出重大贡献。
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引用次数: 0
Prevalence of β-lactamase genes and integrons among multidrug-resistant Escherichia coli and Salmonella spp recovered from food samples in Ouagadougou, Burkina Faso 布基纳法索瓦加杜古食品样本中发现的耐多药大肠埃希菌和沙门氏菌中的β-内酰胺酶基因和整合子的流行情况
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.sciaf.2024.e02302
Adama Patrice Soubeiga , Dissinviel Stéphane Kpoda , Oumar Traoré , Cheikna Zongo , Aly Savadogo

The resistance of Gram-negative bacteria to β-lactam antibiotics occurs mainly by the production of β-lactamases. The aim of this work was to evaluate the presence of β-lactamase genes and integrons in multidrug-resistant (MDR) isolates recovered from food. Susceptibility to antibiotics was determined using the agar diffusion method. Detection of β-lactam resistance genes and integrons was performed with the 53 confirmed MDR strains (42 E. coli and 11 Salmonella spp.) by PCR. High resistance rates of 92.5 %, 60.4 %, and 54.7 % against ampicillin, tetracycline, and amoxicillin/clavulanic acid were observed, respectively. Two β-lactamase genes blaTEM (37.7 %) and blaSHV (28.3) were detected among E. coli and Salmonella isolates. High rate of isolates (85 %) exhibited class 1 integrons was observed. These isolates can act as sources of antimicrobial resistance genes and promote the spread of these resistance determinants to other commensal and pathogenic bacteria. Therefore, preventive measures and clean environments are recommended to prevent food contamination with resistant microorganisms.

革兰氏阴性细菌对β-内酰胺类抗生素的耐药性主要是通过产生β-内酰胺酶产生的。这项工作的目的是评估从食品中分离出的耐多药(MDR)细菌中是否存在β-内酰胺酶基因和整合子。采用琼脂扩散法测定了对抗生素的敏感性。对 53 株确诊的 MDR 菌株(42 株大肠杆菌和 11 株沙门氏菌)采用 PCR 方法检测其抗 β-内酰胺酶基因和整合子。对氨苄西林、四环素和阿莫西林/克拉维酸的耐药率分别高达 92.5%、60.4% 和 54.7%。在大肠杆菌和沙门氏菌分离物中检测到两种β-内酰胺酶基因 blaTEM(37.7%)和 blaSHV(28.3%)。观察到高分离率(85%)的分离菌表现出 1 类整合子。这些分离物可作为抗菌药耐药性基因的来源,并促进这些耐药性决定簇向其他共生菌和致病菌传播。因此,建议采取预防措施并保持环境清洁,以防止耐药性微生物污染食物。
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引用次数: 0
Enhancing African market predictions: Integrating quantum computing with Echo State Networks 加强非洲市场预测:将量子计算与回声状态网络相结合
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-06-29 DOI: 10.1016/j.sciaf.2024.e02299
Soukaina Seddik , Hayat Routaib , Abdelali Elmounadi , Anass El Haddadi

The integration of Quantum Computing into Echo State Networks (ESN) materializes in the form of the Quantum Echo State Network (QESN), a methodological innovation that reshapes predictive analytics within the domain of artificial intelligence. This investigation harnesses the novel QESN model alongside traditional ESNs, deploying them within the dynamic and burgeoning financial market of Africa. Our focus zeroes in on the Google Stock Price dataset, which provides a rich tapestry of regional financial activity. The QESN model distinguishes itself by a complex interconnection of qubits that conduct quantum operations, offering a marked amplification of computational capability. The empirical analysis reveals that the QESN model’s predictive prowess substantially exceeds that of its ESN counterpart, achieving an unprecedentedly low Mean Squared Error (MSE) of 0.00021 in forecasting market trends. This exceptional figure redefines the standards of financial prediction models in African markets and establishes the QESN as an instrumental breakthrough, providing unparalleled accuracy in the analysis and prediction of financial data.

量子计算与回声状态网络(ESN)的整合以量子回声状态网络(QESN)的形式实现,这是一种方法创新,重塑了人工智能领域的预测分析。这项研究将新颖的 QESN 模型与传统的 ESN 结合起来,并将其应用于非洲充满活力的新兴金融市场。我们的重点是谷歌股票价格数据集,该数据集提供了丰富的地区金融活动信息。QESN 模型的与众不同之处在于,它通过复杂的量子比特互连来进行量子运算,从而显著增强了计算能力。实证分析表明,QESN 模型的预测能力大大超过 ESN 模型,在预测市场趋势方面达到了前所未有的 0.00021 平均平方误差 (MSE)。这一非凡数据重新定义了非洲市场金融预测模型的标准,并将 QESN 确立为一项工具性突破,为金融数据的分析和预测提供了无与伦比的准确性。
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引用次数: 0
Survival of type 1 diabetes mellitus patients on disease control programme 参加疾病控制计划的 1 型糖尿病患者的存活率
IF 2.7 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-06-29 DOI: 10.1016/j.sciaf.2024.e02290
Ronald Wesonga , Silver Bahendeka , Amadou Sarr

Survival among children diagnosed with T1DM in SSA has been estimated to be very poor with average duration of survival at 1 year. With care and increasing availability of insulin through philanthropic projects like the Changing Diabetes in Children (CDiC), there is improved survival of children and adolescents with T1DM in the low and medium income countries (LMICS). We aimed to investigate the survival rates of patients with type 1 diabetes mellitus (T1DM) on a national programme at specialized T1DM clinics. Furthermore, the study sought to determine the associated factors for patients with T1DM to stay on the programme. The median duration for registered patients with T1DM on the programme was 99 (μ 600, Min—Max 1—16864) days. Findings show that the hemoglobin A1C (HbA1c) poor control, body mass index (BMI), hypertension, hospital and residence were significantly associated with time in days to dropout from the programme. Of these predictors, being underweight and the centre of registration (Nsambya Hospital) had poor T1DM prognostics, while residing in the central region and being at least 15 years were associated with better T1DM control and management, hence a greater likelihood to stay on the T1DM programme.

据估计,在撒哈拉以南非洲地区,被诊断患有 T1DM 的儿童存活率非常低,平均存活时间为 1 年。通过 "改变儿童糖尿病"(CDiC)等慈善项目的护理和胰岛素供应的增加,中低收入国家(LMICS)T1DM 儿童和青少年的存活率有所提高。我们的目的是调查 1 型糖尿病(T1DM)患者在 T1DM 专科诊所的国家项目中的存活率。此外,研究还试图确定 T1DM 患者继续接受治疗的相关因素。已登记的 T1DM 患者在该项目中的中位持续时间为 99(μ≔ 600,最小-最大值≔ 1-16864)天。研究结果表明,血红蛋白 A1C (HbA1c) 控制不佳、体重指数 (BMI)、高血压、医院和居住地与退出计划的天数显著相关。在这些预测因素中,体重过轻和注册中心(Nsambya 医院)对 T1DM 的预后较差,而居住在中部地区和至少 15 岁则与较好的 T1DM 控制和管理有关,因此更有可能继续参加 T1DM 计划。
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