In order to reveal the characteristics and climatic controls on the stable isotopic composition of precipitation over Arid Northwestern China, eight stations have been selected from Chinese Network of Isotopes in Prec...In order to reveal the characteristics and climatic controls on the stable isotopic composition of precipitation over Arid Northwestern China, eight stations have been selected from Chinese Network of Isotopes in Precipitation(CHNIP).During the year 2005 and 2006, monthly precipitation samples have been collected and analyzed for the composition of δD and δ18O.The established local meteoric water line δD=7.42δ18O+1.38, based on the 95 obtained monthly composite samples, could be treated as isotopic input function across the region.The deviations of slope and intercept from the Global Meteoric Water Line indicated the specific regional meteorological conditions.The monthly δ18O values were characterized by a positive correlation with surface air temperature(δ18O(‰) =0.33 T(℃)-13.12).The amount effect visualized during summer period(δ18O(‰) =-0.04P(mm)-3.44) though not appeared at a whole yearly-scale.Spatial distributions of δ18O have properly portrayed the atmospheric circulation background in each month over Arid Northwestern China.The quan-titative simulation of δ18O, which involved a Rayleigh fractionation and a kinetic fractionation, demonstrated that the latter one was the dominating function of condensation of raindrops.Furthermore, the raindrop suffered a re-evaporation during falling processes, and the precipitation vapor might have been mixed with a quantity of local recycled water vapor.Multiple linear regression equations and a δ18O-T relation have been gained by using meteorological parameters and δ18O data to evaluate physical controls on the long-term data.The established δ18O-T relation, which has been based on the present-day precipitation, could be considered as a first step of quantitatively reconstructing the historical environmental climate.展开更多
Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal care is necessary, which is not often the case in our context. Aim: To analyze the influence of antenatal surveillance on maternal and ...Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal care is necessary, which is not often the case in our context. Aim: To analyze the influence of antenatal surveillance on maternal and perinatal prognosis. Patients and Method: Preliminary longitudinal and analytical survey at the Owendo University Hospital (OHU) over 6 months. It focused on prenatal surveillance. The study population consisted of parturients who gave birth within 24 hours and we studied sociodemographic characteristics, variables related to antenatal contact, those of delivery as well as maternal and newborn outcomes. Results: 2485 deliveries were recorded and 1300 patients were retained according to the inclusion criteria. No prenatal contact (ANC0) was performed in 93 (7.15%), insufficient (ANCI) in 943 patients (72.5%), and sufficient (ANCS) in 264 patients (20.30%). Patients with low school level were significantly found when the NPC was not performed or insufficient and the same was true for the group of patients who were not employed and those who were single (p < 0.005). The caesarean section rate and perinatal mortality are high in this case. Conclusion: The quality of prenatal contact is insufficient in our context. The absence or inadequacy of the latter has a strong negative impact on maternal and perinatal morbidity and mortality.展开更多
Background: Despite persistent efforts to improve maternal health through various interventions, Guinea faces challenges in achieving adequate antenatal care coverage (ANC). This study aims to identify the key factors...Background: Despite persistent efforts to improve maternal health through various interventions, Guinea faces challenges in achieving adequate antenatal care coverage (ANC). This study aims to identify the key factors influencing prenatal consultation in Guinea. Methods: A secondary analysis was conducted on Guinea’s 2018 Demographic and Health Survey (DHS) data. The study sample comprised women aged 15 - 49 who participated in the survey. Logistic regression was employed to identify the determinants of ANC utilisation. Results: Most women in the sample (59.1%) were aged between 18 and 30, resided in rural areas (69.8%), had no formal education (71.0%), had low incomes (43.4%), were married (91.4%), relied on the radio for information (63.4%), and were employed at the time of the survey (68.0%). The study identified several factors acting as barriers to meeting the recommended four ANC visits, including low education levels, with odds ratios (OR) of 0.43 (p = 0.011) for those with no schooling and 0.48 (p = 0.046) for those with primary-level education. Lack of radio access also negatively influenced ANC utilisation with an OR of 0.72 (p = 0.012). Additionally, delayed timing of the first ANC visit in the second trimester had an OR of 0.36 (p 0.001), while in the third trimester, the OR was 0.04 (p 0.004). On the other hand, factors that facilitated achieving the recommended four ANC visits included having an average wealth quintile with an OR of 1.63 (p = 0.002) and being wealthy with an OR of 2.30 (p 0.001). Conclusion: This study underscores the negative association between low education level and poverty with ANC utilisation among pregnant women in Guinea. These findings emphasise the need for targeted interventions to address the barriers faced by vulnerable populations and improve maternal healthcare access and utilisation in the country.展开更多
基金National Natural Science Foundation of China,No.40830636 No.40671034Foundation of Isotopes in Precipitation of Chinese Ecosystem Research Network
文摘In order to reveal the characteristics and climatic controls on the stable isotopic composition of precipitation over Arid Northwestern China, eight stations have been selected from Chinese Network of Isotopes in Precipitation(CHNIP).During the year 2005 and 2006, monthly precipitation samples have been collected and analyzed for the composition of δD and δ18O.The established local meteoric water line δD=7.42δ18O+1.38, based on the 95 obtained monthly composite samples, could be treated as isotopic input function across the region.The deviations of slope and intercept from the Global Meteoric Water Line indicated the specific regional meteorological conditions.The monthly δ18O values were characterized by a positive correlation with surface air temperature(δ18O(‰) =0.33 T(℃)-13.12).The amount effect visualized during summer period(δ18O(‰) =-0.04P(mm)-3.44) though not appeared at a whole yearly-scale.Spatial distributions of δ18O have properly portrayed the atmospheric circulation background in each month over Arid Northwestern China.The quan-titative simulation of δ18O, which involved a Rayleigh fractionation and a kinetic fractionation, demonstrated that the latter one was the dominating function of condensation of raindrops.Furthermore, the raindrop suffered a re-evaporation during falling processes, and the precipitation vapor might have been mixed with a quantity of local recycled water vapor.Multiple linear regression equations and a δ18O-T relation have been gained by using meteorological parameters and δ18O data to evaluate physical controls on the long-term data.The established δ18O-T relation, which has been based on the present-day precipitation, could be considered as a first step of quantitatively reconstructing the historical environmental climate.
文摘Introduction: The occurrence of pregnancy in women is a risky situation. Prenatal care is necessary, which is not often the case in our context. Aim: To analyze the influence of antenatal surveillance on maternal and perinatal prognosis. Patients and Method: Preliminary longitudinal and analytical survey at the Owendo University Hospital (OHU) over 6 months. It focused on prenatal surveillance. The study population consisted of parturients who gave birth within 24 hours and we studied sociodemographic characteristics, variables related to antenatal contact, those of delivery as well as maternal and newborn outcomes. Results: 2485 deliveries were recorded and 1300 patients were retained according to the inclusion criteria. No prenatal contact (ANC0) was performed in 93 (7.15%), insufficient (ANCI) in 943 patients (72.5%), and sufficient (ANCS) in 264 patients (20.30%). Patients with low school level were significantly found when the NPC was not performed or insufficient and the same was true for the group of patients who were not employed and those who were single (p < 0.005). The caesarean section rate and perinatal mortality are high in this case. Conclusion: The quality of prenatal contact is insufficient in our context. The absence or inadequacy of the latter has a strong negative impact on maternal and perinatal morbidity and mortality.
文摘Background: Despite persistent efforts to improve maternal health through various interventions, Guinea faces challenges in achieving adequate antenatal care coverage (ANC). This study aims to identify the key factors influencing prenatal consultation in Guinea. Methods: A secondary analysis was conducted on Guinea’s 2018 Demographic and Health Survey (DHS) data. The study sample comprised women aged 15 - 49 who participated in the survey. Logistic regression was employed to identify the determinants of ANC utilisation. Results: Most women in the sample (59.1%) were aged between 18 and 30, resided in rural areas (69.8%), had no formal education (71.0%), had low incomes (43.4%), were married (91.4%), relied on the radio for information (63.4%), and were employed at the time of the survey (68.0%). The study identified several factors acting as barriers to meeting the recommended four ANC visits, including low education levels, with odds ratios (OR) of 0.43 (p = 0.011) for those with no schooling and 0.48 (p = 0.046) for those with primary-level education. Lack of radio access also negatively influenced ANC utilisation with an OR of 0.72 (p = 0.012). Additionally, delayed timing of the first ANC visit in the second trimester had an OR of 0.36 (p 0.001), while in the third trimester, the OR was 0.04 (p 0.004). On the other hand, factors that facilitated achieving the recommended four ANC visits included having an average wealth quintile with an OR of 1.63 (p = 0.002) and being wealthy with an OR of 2.30 (p 0.001). Conclusion: This study underscores the negative association between low education level and poverty with ANC utilisation among pregnant women in Guinea. These findings emphasise the need for targeted interventions to address the barriers faced by vulnerable populations and improve maternal healthcare access and utilisation in the country.
