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    OALib Journal期刊

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    匹配条件: “Banza Mwana Bute” ,找到相关结果约21条。
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    Determinants of Motivation among Health Care Providers, Case of Four General Referral Hospitals in Lubumbashi  [PDF]
    Banza Mwana Bute, Malulu Kabwe Djaile, Kabamba Wa Kabamba Christian, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin
    Open Access Library Journal (OALib Journal) , 2020, DOI: 10.4236/oalib.1106039
    Abstract:
    Introduction: The objectives of our study were to determine providers by structure, to determine the providers by age, to make recommendations improve the motivation of the human resources and finally to determine the factors that influence the motivation of the personnel in the HGR of the city of Lubumbashi. Methodology: This is a cross-sectional analytical descriptive study of 152 care providers from four reference hospitals in Lubumbashi, sur-veyed prospectively, and based on a pre-established questionnaire. Data were analysed using SPSS 23. The statistical associations were evaluated by deter-mining the p-value whose threshold was fixed at 0.05, using the chi-square test. Results: In the majority, 27.63% of respondents were between 39 and 45 years old. The average age was 37.58 ± 10.64 years, the extremes with 21 and 69 years. There is no statistical relationship between on-the-job training and pro-vider motivation (p-value greater than 0.05). Chi2 = 3.9; p = 0.06. We noticed that 71.05% of respondents were in medical services with the majority being 15.79% in the Internal Medicine department. Conclusion: Improving working conditions is of paramount importance to improve the performance of healthcare providers and, consequently, the quality of care in our environment; thus, we believe that this should be done through the mechanization of health care providers, their provision of the risk premium and the encouragement of those who work overtime.
    Early Motherhood at the Hospital of Gecamines Kipushi: Prognosis and Profile of the Newborn  [PDF]
    Ngoie Mwana Nsapu Adelard, Ngomb Kazad Aline, Mwinkeu Kasongo Narcisse
    Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104356
    Abstract:
    The present transversal descriptive survey aims to determine the prognosis, the frequency and seeks to describe the profile of the newborn babies from the early motherhood. It was conducted on 66 new babies from 60 mothers. Early motherhood concerned the single young ladies at 65%. They developed urogenital infections at 38.3%. Their socio-economic conditions were unfavorable at 68.3%. Concerning vital prognosis of the newborn children, from early motherhood, they noticed neonatal mortality estimated at 7.6%.
    Influence of Work of Pregnant Women on Preterm Delivery: Case of Gécamines/Sud, Sendwe and Katuba Hospitals  [PDF]
    Ngoie Mwana Nsapu Adelard, Ngomb Kazad Aline, Mwinkeu Kasongo Narcisse
    Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1105029
    Abstract:
    The present study was an analytical referential case. It focused on 142 women giving birth and aimed to determine the proportion of preterm de-livery among working women as well as the risk of giving birth prematurely as a hard-working woman. The results showed that the proportion of prematurity among working women was 89% with a risk of 6.2 times more than giving birth before term. This risk was exacerbated by malaria in pregnancy, urogenital infections and gestational diabetes.
    Stratigraphy and Structure of Dhamtaur Area, District Abbottabad, Eastern Hazara, Pakistan
    Shamim Akhtar, Yasin Rahim, Bin Hu, Hinyuen Tsang, Khawaja Muhammad Ibrar, Muhammad Fahad Ullah, Saleh Ibrahim Bute
    Open Journal of Geology (OJG) , 2019, DOI: 10.4236/ojg.2019.91005
    Abstract: Pre-Cambrian to Paleocene age sedimentary rocks predominantly characterize the fold and thrust belt of eastern Hazara division. The Hazara Slate Formation is the oldest rock unit which represents the Precambrian sequence. The Permian and Triassic sequences are missing. The Jurassic sequence comprises Samana Suk Formation whereas the Cretaceous exposed is Chichali and Lumshiwal formations. The Eocene sequence consists of Nammal and Sakessar formations. The structural fabric of the area is mainly attributed to a series of northwest trending parallel to en echelon anticlines and synclines. Most of these folds are found to be asymmetric and are Northwest facing. Several thrust faults verging both to the north have been mapped that generally dissect the forelimbs of the anticlinal structures. But the following study going to be focus on surface structural features as well as subsurface projections of folds and faults. Study of such structural features has get prime importance in economic geology such as petroleum geology, mining geology and engineering geology. In our study area subsurface projection of folds and faults along the structural transects of the area suggests that these structures have formed as a result of shortening associated with ramping from a regional basal decollement. All the structures clearly demonstrate that the eastern Hazara area has been subjected to compressional deformation/stresses oriented northeast southwest. The repetition of rock units indicates, folding in the area and thrusting of Pre-Cambrian Hazara Formation over younger Paleocene Lockhart Formation, evidence of thrust fault. There are unconformable contacts between Hazara and Samana Suk, Chichali and Lumshiwal, Kawagarh and Hangu and Lockhart formations indicate fluctuation in the environment of deposition. The Bagnotar Fault, Dhamtaur syncline and Thai anticline are the major structural features identified and reported in the study area.
    Factors Involved in Selection of a Career in Surgery and Orthopedics for Medical Students in Malawi
    C Kollias, L Banza, N Mkandawire
    Malawi Medical Journal , 2010,
    Abstract: Aims There is a critical shortage of Orthopedic Surgeons in Malawi as well as all countries in sub-Saharan Africa. To date, there is no published literature that has investigated surgical or Orthopedic career selection amongst African medical trainees. With the goal of facilitating recruitment into Surgery and Orthopedics in Malawi, we explored the key aspects of Malawian Medical Students’ choice of careers in surgical disciplines. Methods An on-line survey of all students in clinical years at the College of Medicine in Blantyre, Malawi was performed. The survey was anonymous and constructed de novo by a stringent process including Item Generation, Item reduction, Survey composition, Pre-testing, Assessment of Validity by a recognized survey expert, Pilot testing in on-line format by several Malawian Medical Students, and then formal survey testing. Results Surgery was the most popular specialty choice among the medical trainees (46%). General Surgery was the popular surgical specialty (27%), followed by Neurosurgery (22%) and Orthopedics (19%). The majority of students (67%) feared occupational exposure to HIV but this did not appear to be a factor in specialty choice (p=0.9). Students with Orthopedic mentors were significantly more likely to choose Orthopedics as their first choice surgical specialty (p = 0.01). Despite limited resources and surgeons in sub-Saharan Africa, surgical specialties are desirable career choices. Conclusions This is the first evaluation of factors involved in surgical or Orthopedic career selection in any African context. Future initiatives to improve exposure and mentorship in Orthopedics are fundamental to recruitment into the specialty.
    Implementation of Discrete Wavelet Transform Processor For Image Compression
    Ms.Yamini S.Bute,R.W. Jasutkar
    International Journal of Computer Science and Network , 2012,
    Abstract: Image compression is one of the major image processingtechniques . Discrete wavelet transforms is the most populartransformation technique adopted for image compression. Thispaper presents an efficient VLSI architecture of a high speed,low power Discrete Wavelet Transform computing. There arenumber of architectures present for realizing DWT. Based onthe application and the constraints imposed, the appropriatearchitecture can be chosen. Proposed DWT architecture usesDA-DWT scheme that is suitable on FPGA. The architecturehas regular structure,simple control flow,small embeddedbuffers and low power consumption.
    Cirrose hepática revisitada: a propósito de um caso clínico Liver cirrhosis revisited
    Rita Faria,Jo?o Santos,Paulo Almeida,Maria Jesus Banza
    Jornal Português de Gastrenterologia , 2012,
    Abstract: A cirrose hepática criptogénica é um diagnóstico de exclus o. A prevalência de obesidade e diabetes mellitus é superior nos doentes com cirrose criptogénica, sendo sobreponível em doentes com esteatohepatite n o alcoólica. Actualmente, a esteatohepatite n o alcoólica surge como possível etapa precedente à cirrose criptogénica. Os autores descrevem o caso clínico de um doente obeso e diabético com pancitopénia de etiologia a esclarecer. Apurou-se o diagnóstico de cirrose hepática, cuja investiga o etiológica se revelou um desafio. Os resultados obtidos sugerem uma possível evolu o de esteatohepatite n o alcoólica a cirrose hepática. Perante a crescente prevalência do síndrome metabólico, esteatose hepática e esteatohepatite n o alcoólica, o risco de evolu o para cirrose hepática deve ser travado e deve ser promovida a educa o da popula o. Cryptogenic Cirrhosis is a diagnosis of exclusion. The prevalence of Obesity and Diabetes Mellitus is higher in patients with cryptogenic cirrhosis, being similar in patients with nonalcoholic esteatohepatitis. Currently, nonalcoholic esteatohepatitis emerges as a possible step preceding the Cryptogenic Cirrhosis. The authors describe the clinical case of a patient obese and diabetic with pancitopenia. It was diagnosed liver cirrhosis, which etiology proved to be a challenge. The results obtained suggest a possible evolution from underlying nonalcoholic esteatohepatitis to cirrhosis. Considering the increasing prevalence of metabolic syndrome, hepatic steatosis and nonalcoholic esteatohepatitis, the risk of progression to cirrhosis must be reduced and education of the population must be promoted.
    The Association of Postcardiac Surgery Acute Kidney Injury with Intraoperative Systolic Blood Pressure Hypotension
    Solomon Aronson,Barbara Phillips-Bute,Mark Stafford-Smith,Manuel Fontes,Jeffrey Gaca,Joseph P. Mathew,Mark F. Newman
    Anesthesiology Research and Practice , 2013, DOI: 10.1155/2013/174091
    Abstract: Background. Postoperative acute kidney injury (AKI) is associated with high mortality and substantial cost after aortocoronary bypass graft (CABG) surgery. We tested the hypothesis that intraoperative systolic blood pressure variation is associated with postoperative AKI. Methods. We gathered demographic, procedural, blood pressure, and renal outcome data for 7,247 CABG surgeries at a single institution between 1996 and 2005. A development/validation cohort methodology was randomly divided (66% and 33%, resp.). Peak postoperative serum creatinine rise relative to baseline (%ΔCr) was the primary AKI outcome variable. Markers reflective of intraoperative systolic blood pressure variation were derived for each patient including (1) peak and nadir values (absolute and relative to baseline) and (2) excursion episodes beyond selected thresholds (by duration, frequency, and duration × degree). Each marker of systolic blood pressure variation was then separately evaluated for association with AKI using linear regression models with adjustment for several known risk factors (age, aprotinin use, congestive heart failure, previous myocardial infarction, baseline creatinine, bypass time, diabetes, weight, concomitant valve surgery, gender, and preoperative pulse pressure). Results. An association was identified between systolic blood pressure relative to baseline and postoperative AKI ( ). Conclusions. In CABG surgery patients, intraoperative systolic blood pressure decrease relative to baseline systolic blood pressure is independently associated with postoperative AKI. 1. Introduction It is commonly purported that poor perioperative hemodynamic control during cardiac surgery leads to postoperative acute kidney injury (AKI) [1–9]. Systolic blood pressure and pulse pressure amplification are due to changes in arterial stiffness that affect wave propagation along the arterial tree. Both systolic blood pressure and pulse pressure are higher in the periphery than in the central arteries for the same mean arterial pressure (MAP) and diastolic blood pressure. Whereas MAP refers exclusively to steady pressure, vascular resistance, and small arteries, systolic blood pressure and pulse pressure refer to pulsatile pressure and are determined by stroke volume, arterial stiffness, and wave reflection. Whereas a large rise in serum creatinine (≥100%) over baseline has been shown to portend a doubling of in-hospital mortality, it has also been shown that even the small relative increases in creatinine, used as a sensitive index of AKI after aortocoronary bypass graft (CABG)
    Programme evaluation training for health professionals in francophone Africa: process, competence acquisition and use
    Valéry Ridde, Pierre Fournier, Baya Banza, Caroline Tourigny, Dieudonné Ouédraogo
    Human Resources for Health , 2009, DOI: 10.1186/1478-4491-7-3
    Abstract: The conceptual framework was adapted from Kirkpatrick's (1996) four-level evaluation model: reaction, learning, behaviour, results. Reaction was evaluated based on a standardized questionnaire for all the master's courses and lessons. Learning and behaviour competences were assessed by means of a questionnaire (pretest/post-test, one year after) adapted from the work of Stevahn L, King JA, Ghere G, Minnema J: Establishing Essential Competencies for Program Evaluators. Am J Eval 2005, 26(1):43–59. Master's programme effects were tested by comparing the difference in mean scores between times (before, after, one year after) using pretest/post-test designs. Paired sample tests were used to compare mean scores.The teaching is skills-based, interactive and participative. Students of the first cohort gave the evaluation course the highest score (4.4/5) for overall satisfaction among the 16 courses (3.4–4.4) in the master's programme. What they most appreciated was that the forms of evaluation were well adapted to the content and format of the learning activities. By the end of the master's programme, both cohorts of students considered that they had greatly improved their mastery of the 60 competences (p < 0.001). This level was maintained one year after completing the master's degree, except for reflective practice (p < 0.05). Those who had carried out an evaluation in the intervening 12 months reported a negative gap between their declared mastery and their actual application. However, this is only statistically significant for reflective practice (p < 0.05).This study shows the importance of integrating summative evaluation into the learning process. Skills-based teaching is much appreciated and well-adapted. Creating a master's programme in population and health in Africa and providing training in evaluation to high-level health professionals from many countries augurs well for scaling up the practice of evaluation in African health systems.Obtaining international fun
    Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge  [PDF]
    André Guillaume Kabongo, Dady Kalala, Jean Christophe Bukasa, Deca Blood Banza, Christine Kankologo, André Mutombo, Stany Wembonyama
    Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104564
    Abstract:
    Objective: To analyze the evolution monthly of the disastrous Caesarean and to their influence one maternal mortality and infantile in the General hospitals of reference of Kasansa and Tshilenge. Methods: Descriptive retrospective study Bi-centric related to 434 Caesareans carried out to the maternity of the general hospital of reference of Kasansa and that of Tshilenge during years 2015 and 2016. Our dated were collected in the obstetric files, registers of the maternity and the operating room. Public garden Ki square is used to compare it with the percentages and T of Student for the comparison of the averages in two maternities, and the percentage of increase gold reduction was calculated with the formulated of growth used also in economy. Results: Two maternities received respectively in 2015, 549 and 227 childbirth, among which 136 Caesareans carried out with Kasansa and 72 in Tshilenge. During the Disastrous months (from January to December), Caesareans dropped by 68.2%, (10.7% to 3.4%) in Kasansa and of 71.1% with Tshilenge (from 19.7% to 2.8%). In 2016, 702 childbirth and 109 Caesareans with Kasansa and 376 childbirth and 117 Caesareans with Tshilenge. Disastrous Caesarean dropped by 7% (from 12.8% to 11.9%) with Kasansa and raised of 143.3% with Tshilenge (from 6% to 14.6%). Perinatal mortality dropped by 69.5% in 2015 and 51.8% in 2016 and maternal mortality dropped respectively by 100% in 2015 and in 2016 of 35.9%. Conclusion: During 24 months concerned with the study (of January 2015 with December 2016), the practice of the Caesarean Knew has fell into the two structures except for maternity of Tshilenge 2016. Thus, the improvement of the maternal forecast master keys rather by year improvement of the quality of the obstetric assumption of responsibility but not by the increase amongst operational childbirth. Thesis results encourage custom to analyze the participation of the various disastrous indications in the variation of the Caesarean in this medium.
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