简介:TheAmericanGeologicalInstitute(AGI)isafederationof42professionalgeoscienceorganizationsrepresentingmorethan100,000geologists,geophysicists,andotherEarthscientists.Inaddition,12regionalsocietiesareGeoscienceAssociates,150collegesanduniversitiesareAcademicAssociates,and45companiesareCorporateAssociates.GeosciencesocietiesandorganizationsoutsideoftheUnitedStatesareinvitedtoaffiliatewithAGItobecomepartofagrowinginternationalcommunityofEarthscientistsworkinginconcerttostrengthentheglobalgeosciencecommunity.
简介:HydropowerdevelopmentinChinahasachievedgreatsuccessandbenefitsnotonlyinthegrowthofna-tionaleconomy,butalsointheimprovementofenvironment,126.4TWhhydroelectricitygeneratedin1990substitutedmorethan60milliontonsofcoalwhichwouldotherwisebeburntinthermalpowerplantswithallharmfulemissionstoatmosphere,noneedtosaythe
简介:AbstractBackground:Laryngopharyngeal reflux disease (LPRD) is a condition with nonspecific symptoms and most of times patients present late with advanced disease which may pre-dispose to malignancy. The magnitude and clinical characteristics of this condition are not well known among patients attending Otorhinolaryngology services in Tanzania.Materials and methods:This was a hospital based descriptive cross sectional study, conducted in the wards and clinics of Otorhinolaryngology department of Muhimbili National Hospital. Patients with symptoms of Laryngopharyngeal reflux disease were included in the study. Data was collected using questionnaires and clinical examination forms, were processed and analysed by using SPSS. Results presented in frequency tables, cross tabulations and figures.Results:This study recruited 256 participants among them males were 131(51.2%).The mean age was (41.38 ± 13.94) years. Prevalence of Laryngopharyngeal reflux disease was 18.4% without gender predilection. The commonest symptoms were globus sensation, hoarseness of voice and excessive urge to clear the throat with 95.7%, 88.1% and 83.0% respectively while the most observed signs were thick endolaryngeal mucus, Vocal cord oedema and partial ventricular obliteration with 90.9%, 88.6% and 72.7% respectively. Lying down less than two hours after meal and spices foods consumption were the leading risk factors. Hypertension and Diabetes Mellitus type 2 were the most prevalent co morbid conditions associated with Laryngopharyngeal reflux disease.Conclusion:The prevalence of Laryngopharyngeal reflux disease is high among patients attending Otorhinolaryngology services at Muhimbili national hospital. All patients with Laryngopharyngeal reflux disease related symptoms should get thorough evaluation for early diagnosis and treatment.
简介:摘要:目的 脓毒症休克合并急性胃肠损伤(AGI)在临床中应用免疫增强型肠内营养治疗的临床效果。方法 选择2021年4月~2022年4月本院收治的60例脓毒症休克患者为研究对象,并依据随机数表法将其分成试验组和对比组, 每组30例。两组患者在入院治疗后均送往ICU重症监护室接受治疗,并采用常规抗感染药物和机械通气治疗,试验组在以上基础上采用免疫增强型肠内营养制剂治疗,对比组实施常规肠内营养制剂给予肠内营养。对比两组患者的AGI改善情况、临床效果、治疗前后肠屏障功能指标、NLRP3通路因子改变。结果 试验组总有效率为90.0%高于对比组 63.3%(P
简介:摘要:目的 脓毒症休克合并急性胃肠损伤(AGI)在临床中应用免疫增强型肠内营养治疗的临床效果。方法 选择2021年4月~2022年4月本院收治的60例脓毒症休克患者为研究对象,并依据随机数表法将其分成试验组和对比组, 每组30例。两组患者在入院治疗后均送往ICU重症监护室接受治疗,并采用常规抗感染药物和机械通气治疗,试验组在以上基础上采用免疫增强型肠内营养制剂治疗,对比组实施常规肠内营养制剂给予肠内营养。对比两组患者的AGI改善情况、临床效果、治疗前后肠屏障功能指标、NLRP3通路因子改变。结果 试验组总有效率为90.0%高于对比组 63.3%(P
简介:你知道不莱梅吗?噢——它是一个美丽快乐的地方。不莱梅在哪儿呢?噢——有梦想的地方就有不莱梅。没错儿,不莱梅这个地方,早就存在于“很久很久以前”的童话里了……