Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objectiv...Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.展开更多
Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised ever...Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.展开更多
Optimal partitioning theory （OPT） suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomas...Optimal partitioning theory （OPT） suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory （APT） asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis （SMA） to analyze the allometric rela- tionship （slope） and intercept between biomass traits （root, stem, leaf and total biomass） of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was ＇true＇ in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained uncha展开更多
针对现有卫星网络资源受限、用户请求过多约束下的服务组合,未考虑到服务的服务质量(Quality of Service, QoS)和服务优先级匹配度低等问题,定义了服务执行优先级逆序数,建立了以服务组合序列的平均服务质量最大和服务执行优先级逆序数...针对现有卫星网络资源受限、用户请求过多约束下的服务组合,未考虑到服务的服务质量(Quality of Service, QoS)和服务优先级匹配度低等问题,定义了服务执行优先级逆序数,建立了以服务组合序列的平均服务质量最大和服务执行优先级逆序数最小为约束条件的服务组合模型,提出了一种自调整遗传算法(Self-Adjusting Genetic Algorithm, SAGA)并对模型进行求解。该算法给出了一种自调整更新变异交叉算子,利用精英保留策略和轮盘赌策略相结合的思想改进了原有的轮盘赌策略求解选择算子的思想,有效解决了遗传算法易陷入局部最优、易导致最优解丢失的缺陷。对模型进行了仿真,在服务组合的平均服务质量上提高了13.461%,在服务执行优先级逆序数上降低了26.77%,有效解决了卫星网络中资源受限、多用户请求约束下的服务组合问题。展开更多
文摘Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.
文摘Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.
基金funded by grants from the National Basic Research Program of China(2009CB421303)the National Science&Technology Pillar Program(2011BAC07B02)the National Natural Science Foundation of China(40871004)
文摘Optimal partitioning theory （OPT） suggests that plants should allocate relatively more biomass to the organs that acquire the most limited resources. The assumption of this theory is that plants trade off the biomass allocation between leaves, stems and roots. However, variations in biomass allocation among plant parts can also occur as a plant grows in size. As an alternative approach, allometric biomass partitioning theory （APT） asserts that plants should trade off their biomass between roots, stems and leaves. This approach can minimize bias when comparing biomass allocation patterns by accounting for plant size in the analysis. We analyzed the biomass allo- cation strategy of perennial Pennisetum centrasiaticum Tzvel in the Horqin Sand Land of northern China by treating samples with different availabilities of soil nutrients and water, adding snow in winter and water in summer. We hypothesized that P. centrasiaticum alters its pattern of biomass allocation strategy in response to different levels of soil water content and soil nitrogen content. We used standardized major axis （SMA） to analyze the allometric rela- tionship （slope） and intercept between biomass traits （root, stem, leaf and total biomass） of nitrogen/water treat- ments. Taking plant size into consideration, no allometric relationships between different organs were significantly affected by differing soil water and soil nitrogen levels, while the biomass allocation strategy of P. centrasiaticum was affected by soil water levels, but not by soil nitrogen levels. The plasticity of roots, leaves and root/shoot ratios was ＇true＇ in response to fluctuations in soil water content, but the plasticity of stems was consistent for trade-offs between the effects of water and plant size. Plants allocated relatively more biomass to roots and less to leaves when snow was added in winter. A similar trend was observed when water was added in summer. The plasticity of roots, stems and leaves was a function of plant size, and remained uncha
