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Marc TB, Michel TP, Florence M, Tousaint M, Serge K, Chadrack B, Roly K, Gédéon D, Brady MM, Erick KN. "Hospital survival of patients with pulmonary embolism in a country with limited resources case of the city of Kinshasa". BMC Cardiovasc Disord 2023; 23:439. [PMID: 37667172 PMCID: PMC10476371 DOI: 10.1186/s12872-023-03467-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 08/22/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Pulmonary embolism is a frequent cause of intra-hospital mortality. The survival of patients depends not only on the speed of diagnosis but also on the treatment initiated. OBJECTIVE to evaluate the intra-hospital survival of patients with pulmonary embolism in the city of Kinshasa. METHODOLOGY analytical cross-sectional study based on non-probability convenience sampling carried out in the city of Kinshasa; three hospitals selected for convenience on the basis of their technical platforms. The patients were judged to have had a pulmonary embolism after a chest CT angiography proved it. The data recorded on the Kobocollect site were exported in Excel format and analyzed with SPSS software version 23. The comparison of the means was made using the Student test and that frequencies with the Yates Chi-square test. The association was attributed by the calculation of the odds ratio and the survival presented according to the Cox regression. RESULTS Eighty-nine cases or 63 women and 26 men were analyzed, the mean age was 64.4 ± 15.6 years. Individuals over 65 died more (ß=0.043 and p-Value of 0.01) the female sex multiplied by 1.38 the risk of death (DNS, p-Value = 0.478). Approximately 80% of patients were classified as PESI stage II or III. Starting Rivaroxaban from the outset does not show any difference with enoxaparin in terms of intra-hospital survival. CONCLUSION Pulmonary embolism is a real problem in our environment, the age of more than 65 years and the female sex are factors of poor prognosis and predicted survival.
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Affiliation(s)
- Tshilanda Balekelayi Marc
- Department of Internal Medicine, Faculty of Medicine, Notre-Dame du Kasayi University, Kananga, Congo.
- Department of Internal Medicine, Center Hospitalier Mère-Enfant Monkole, Kinshasa, Congo.
- Department of Internal Medicine, Faculty of Medicine, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, Congo.
| | - Tshiasuma Pipo Michel
- Department of Internal Medicine, Faculty of Medicine, Notre-Dame du Kasayi University, Kananga, Congo
| | - Mpembe Florence
- Department of Internal Medicine, Faculty of Medicine, Notre-Dame du Kasayi University, Kananga, Congo
| | - Mujijo Tousaint
- Department of Internal Medicine, Faculty of Medicine, Simon-Kimbangu University, Kinshasa, Congo
| | - Kazadi Serge
- Department of Internal Medicine, Faculty of Medicine, Notre-Dame du Kasayi University, Kananga, Congo
| | - Bosenedje Chadrack
- Department of Internal Medicine, Center Hospitalier Mère-Enfant Monkole, Kinshasa, Congo
| | - Kokusa Roly
- Department of Internal Medicine, Faculty of Medicine, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, Congo
| | - Dizolele Gédéon
- Department of Internal Medicine, Faculty of Medicine, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, Congo
| | - Makanzu Madioko Brady
- Department of Internal Medicine, Faculty of Medicine, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, Congo
| | - Kamangu Ntambue Erick
- Department of Basic Sciences, Faculty of Medicine, University of Kinshasa, Kinshasa, Congo
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Calvin N, Elit L, Domgue J, Florence M. 14P Clinical outcomes of women who attend the Cameroon Baptist Convention Health Services (CBCHS) with cervical cancer. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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Lopes RMC, Malaska MJ, Schoenfeld AM, Solomonidou A, Birch SPD, Florence M, Hayes AG, Williams DA, Radebaugh J, Verlander T, Turtle EP, Le Gall A, Wall S. A Global Geomorphologic Map of Saturn's Moon Titan. Nat Astron 2020; 4:228-233. [PMID: 32500095 PMCID: PMC7271969 DOI: 10.1038/s41550-019-0917-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 09/13/2019] [Indexed: 06/11/2023]
Abstract
Titan has an active methane-based hydrologic cycle1 that has shaped a complex geologic landscape2, making its surface one of most geologically diverse in the solar system. Despite the different materials, temperatures, and gravity fields between Earth and Titan, many surface features are similar between the two worlds and can be interpreted as products of the same geologic processes3. However, Titan's thick and hazy atmosphere has hindered the identification of geologic features at visible wavelengths and the study of surface composition4. Here we identify and map the major geologic units on Titan's surface using radar and infrared data from the Cassini orbiter spacecraft. Correlations between datasets enabled us to produce a global map even where data sets were incomplete. The spatial and superposition relations between major geologic units reveals the likely temporal evolution of the landscape and gives insight into the interacting processes driving its evolution. We extract the relative dating of the various geological units by observing their spatial superposition in order to get information on the temporal evolution of the landscape. Dunes and lakes are relatively young, while hummocky/mountainous terrains are the oldest on Titan. Our results also show that Titan's surface is dominated by sedimentary/depositional processes with significant latitudinal variation, with dunes at the equator, plains at mid-latitudes and labyrinth terrains and lakes at the poles.
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Affiliation(s)
- R M C Lopes
- Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109, USA
| | - M J Malaska
- Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109, USA
| | - A M Schoenfeld
- UCLA Department of Earth, Planetary, and Space Sciences595 Charles E Young Dr, E Los Angeles, CA, 90095, USA
| | | | - S P D Birch
- Department of Astronomy, Cornell University, 14853 Ithaca NY, USA
| | - M Florence
- Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109, USA
| | - A G Hayes
- Department of Astronomy, Cornell University, 14853 Ithaca NY, USA
| | | | - J Radebaugh
- Department of Geological Sciences, Brigham Young University, Provo, UT 84602, USA
| | - T Verlander
- University of Oklahoma, School of Civil Engineering and Environmental Science, Norman, Oklahoma, USA
| | - E P Turtle
- JHU Applied Physics Lab, Laurel, MD 20723, USA
| | - A Le Gall
- LATMOS/IPSL, UVSQ Université Paris-Saclay, UPMC Univ. Paris 06, CNRS, Guyancourt, France
| | - S Wall
- Jet Propulsion Laboratory, California Institute of Technology, 4800 Oak Grove Drive, Pasadena, CA 91109, USA
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Florence M, Fung KCK, Jegathesan T, Mistry N, Bonifacio HJ, Sgro MD, Baker JM. EXPLORING MODELS OF CARE WITH A TEXT MESSAGE-BASED INTERVENTION FOR ADOLESCENTS AND YOUNG ADULTS WITH BENIGN HEMATOLOGICAL DISEASE. Paediatr Child Health 2017. [DOI: 10.1093/pch/pxx086.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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