Introduction: Premier niveau de référence de la pyramide sanitaire du Bénin, les hôpitaux de zone sanitaire s’acquittent de leurs missions dans un contexte difficile. L’objectif de la présente étude a été d’évaluer la performance de l’hôpital de la zone sanitaire de Comè en 2013. Méthodes: L’étude était transversale, descriptive et évaluative. Les services retenus ont été sélectionnés par choix...

Abstract A 27-year-old woman of Pakistani heritage with a background type 2 diabetes, hypertension, hypothyroidism, infertility and Achilles tendinopathy was referred to the dermatology department for diffuse hair loss. She had greying scalp from age 20 years and, on examination, there were signs fragility thinning. Biopsies showed female pattern Topical minoxidil 5% twice daily advised. At con...

This paper analyzes the performance of a large population composed of several classes of long lived TCP flows experiencing packet losses due to random transmission errors and to congestion created by the sharing of a common tail-drop or AQM bottleneck router. Each class has a different transmission error rate. This setting is used to analyze the competition between wired and wireless users in a...

The rising number of wireless users and terminals has pushed the deployment of many applications over wireless networks. Video multicasting is one of them. Wireless multicast has a great benefit in terms of resource utilization. Due to wireless nature of the media, a packet that is sent only once can reach all recipients. However, multicasting lacks in feed back mechanism. This makes it hard to...

Chairman Terblanche: Most of the discussion time will be spent reviewing the long-term management of patients after a variceal bleed. In the last 10 minutes we will attempt to place the role of prophylactic therapy in perspective. In my view there are some end-stage patients who should not be subjected to either emergency or definitive treatment. Unfortunately they are frequently difficult to i...

Catastrophic bleeding from gastric varices rupture is a life-threatening emergency. In many instances a SengstakenBlakemore balloon tube cannot stop the bleeding and this area is also beyond the field of sclerotherapy. Surgery seems the only definite therapy, which may offer chances for survival, no recurrent bleeding and no hepatic encephalopathy [1]. Herein we present a 67-year-old patient wi...

Considered is a mobile ad hoc network consisting of three types of nodes (source, destination and relay nodes) and using the two-hop relay routing protocol. Packets at relay nodes are assumed to have a limited lifetime in the network. All nodes are moving inside a bounded region according to some random mobility model. Both closed-form expressions, and asymptotic results when the number of node...

INTRODUCTION Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide. The prevalence of hepatitis B (HBV) and C (HCV) in Russia was 7.6 and 5.4 per 100,000, respectively. The aim of this study was to assess the proportion of HCV and HBV infection among HCC patients, to evaluate associations between HCV, HBV and stage of HCC and to compare survival of HCC patients by their HBV...

Energy efficiency is a key issue in wireless ad hoc and sensor networks. In order to maximize network lifetime, several directions have been explored, among them energy efficient routing. In this report, we show how to extend the standardized OLSR routing protocol, in order to make it energy efficient. To take into account residual node energy, the native selection of multipoint relays of OLSR ...