Background: Pacemaker implantation is a very old activity which has revolutionized the cardiology practice throughout the world. This activity is effective at the Haute Correze Hospital Center since more than 20 years...Background: Pacemaker implantation is a very old activity which has revolutionized the cardiology practice throughout the world. This activity is effective at the Haute Correze Hospital Center since more than 20 years. Due to progress in this area, and the increasing request within this center located at the outskirts of town, we set out to evaluate our pacemaker activity in general and more specifically to assess the post-procedural complications in our series patients. Methodology: This was a retrospective longitudinal study. Data were recorded for period of 90 months from 27/05/2016 to 19/11/2023. This data collection was possible via a specific register completed by computerized patient data from the SillageTM software. All files of patients implanted with single or dual chamber pacemakers were included, generator replacements, upgrading procedures and addition of leads were excluded. The sampling was non-probabilistic, consecutive and non-exhaustive. Statistical analysis was carried out using the Excel 2019 spreadsheet and SPSS version 23 software. The quantitative variables were presented as mean ± standard deviation, the qualitative data as proportions. Results: A total of 303 first-time pacemaker’s implantations were carried out during the study period (rate of 40 per year). The average age in the population was 79.7 ± 9.4 years (44 - 99 years) with a male predominance of 63.7% (n = 193). Atrioventricular block (2nd and 3rd degree) was the main indication for pacemaker implantation in 42.9% of cases (n = 130). Patients were most often implanted with a dual-chamber pacemaker (57.7%, n = 175). The approach was most often cephalic in 72.6% of cases (n = 220), followed by the subclavian access in 27.4% of cases (n = 84). The average fluoroscopy time was 7.9 min ± 2.4 (1 - 43). The average irradiation dose in gray/cm2 was 12.4 ± 9.3 (0.22 - 117.5). The average length of hospitalization was 7 ± 4 (2 - 26) days. The overall complication rate at one year was 12.9% (n = 39). These complications are distributed as follows: Leads dislodgement in 8.2% (n = 25), hematoma 3.6% (n = 11) all without clinical consequences, pneumothorax 0.7% (n = 2), both cases of pneumothorax did not require specific care, infection (superficial) in 0.3% (n = 1). Leads dislodgement occurred after a median time of 18 days (IQR: 3 - 36). The earliest dislodgement was observed on D0 and the latest on D207. No serious complications were recorded. The average atrial threshold at implantation/first control/last follow-up was 0.7/1.3/0.8 V, respectively. The average ventricular threshold at implantation/first control/last follow-up was 0.5/1.08/0.87 V, respectively. The average atrial detection at implantation/first control/last follow-up was 3.2/2.3/ 2.05 mv, respectively. The average ventricular detection at implantation/first control/last follow-up was 10.3/11.03/10.8 mv. The average atrial impedance at implantation/first control/last follow-up was 610/457/457 ohms. The average ventricular impedance at implantation/first control/last follow-up was 754/547/563 ohms. Conclusion: Pacemaker implantation is safe at the Haute Correze Hospital Center with a relatively low rate of complications, in this case an almost zero major infection and no serious hematoma. The peripheral hospital should remain a focal point of this activity in order to respond more quickly to the needs of the populations.展开更多
对下刚果盆地Haute Mer A区块X-1井3个原油样品及X-1井、M-1井上白垩统、古近系共14个岩屑样品进行详细的分析研究,其结果表明X-1井原油生物标志化合物组合特征与南大西洋典型湖相烃源岩具有明显区别。X-1井原油(1982.1~1989.2m)Pr/Ph...对下刚果盆地Haute Mer A区块X-1井3个原油样品及X-1井、M-1井上白垩统、古近系共14个岩屑样品进行详细的分析研究,其结果表明X-1井原油生物标志化合物组合特征与南大西洋典型湖相烃源岩具有明显区别。X-1井原油(1982.1~1989.2m)Pr/Ph比值低(0.97),Pr/n C_(17)和Ph/n C18分别为0.85和0.96,C_(26)/C_(25)三环萜烷小于1.0,C_(30)四环聚异戊二烯烷烃/C_(27)重排甾烷比值低(0.55),具有海相烃源岩特征。原油中奥利烷丰度高,指示其来自上白垩统或以上的烃源岩。油源对比表明X-1井原油与上白垩统—始新统Madingo组烃源岩具有成因上的联系。盆地模拟研究进一步证明中新统Paloukou组烃源岩局部成熟,供烃能力有限;而Madingo组烃源岩目前正处于生、排烃高峰期,沉积中心则处于高—过成熟阶段,X-1井紧临Madingo组生烃洼陷,有利于油气聚集成藏。因此,推断Madingo组烃源岩为X-1井原油的主要贡献者。展开更多
The history of surname can be traced back to 12th century.People divided surnames into four categories:occupational names,nicknames,names of relationship and local names.This study tries to clarify a small number of s...The history of surname can be traced back to 12th century.People divided surnames into four categories:occupational names,nicknames,names of relationship and local names.This study tries to clarify a small number of surnames in Terre Haute,to describe their meanings and origins,and to discover the variation of the same surname,and discuss the significance of it.We can conclude from the study that local names took the largest account of all surnames in Terre Haute,USA.展开更多
Founded in 1993, the Beijing Major Kind Couture Co. Ltd. is a Sino-foreign clothing-making and selling joint venture, combining production and design and marketing. With its modern workshops and advanced automatic pro...Founded in 1993, the Beijing Major Kind Couture Co. Ltd. is a Sino-foreign clothing-making and selling joint venture, combining production and design and marketing. With its modern workshops and advanced automatic production equipment and qualified and skilled workers, the corporation has the capacity to produce one million garments every year.展开更多
On the Qinghai-Tibet Plateau,a place so remote where natural resources are scarce at best, producing anything is more than just a chore. As a result, the local food culture is like nothing seen anywhere else.
Alex Rotiii, the main designer of the Chanel Haute Couture Designer Group. Selim Gouaned, the main de-signer of Yoxeone, and the cutting-edge designer Dgena Mouclier from Paris presented three romantic and beau-tiful ...Alex Rotiii, the main designer of the Chanel Haute Couture Designer Group. Selim Gouaned, the main de-signer of Yoxeone, and the cutting-edge designer Dgena Mouclier from Paris presented three romantic and beau-tiful international fashion feasts witjii 45 sets of Chinese- style garments.展开更多
Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its ...Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.展开更多
法国新的卫生评估机构Haute Autorite de Sante(HAS)即将于1月1日正式运作。HAS将负责评估药物产品用于补偿目的的医学利益。它也宣布已指定曾任国家卫生评估局ANAES总主任的Alain Conlomb为其主任。这一机构是HAS的一部分，与委员会一...法国新的卫生评估机构Haute Autorite de Sante(HAS)即将于1月1日正式运作。HAS将负责评估药物产品用于补偿目的的医学利益。它也宣布已指定曾任国家卫生评估局ANAES总主任的Alain Conlomb为其主任。这一机构是HAS的一部分，与委员会一起进行医学利益评估。展开更多
爱沙尼亚Haut.AI公司推出AI技术重塑防晒体验爱沙尼亚美妆科技公司Haut.AI近期在防晒领域推出两项颠覆性人工智能技术—SPF Truth Booth与SPF Protection Power List,通过AI驱动的创新体验与科学测评体系,重新定义防晒产品的体验与选择...爱沙尼亚Haut.AI公司推出AI技术重塑防晒体验爱沙尼亚美妆科技公司Haut.AI近期在防晒领域推出两项颠覆性人工智能技术—SPF Truth Booth与SPF Protection Power List,通过AI驱动的创新体验与科学测评体系,重新定义防晒产品的体验与选择逻辑。展开更多
文摘Background: Pacemaker implantation is a very old activity which has revolutionized the cardiology practice throughout the world. This activity is effective at the Haute Correze Hospital Center since more than 20 years. Due to progress in this area, and the increasing request within this center located at the outskirts of town, we set out to evaluate our pacemaker activity in general and more specifically to assess the post-procedural complications in our series patients. Methodology: This was a retrospective longitudinal study. Data were recorded for period of 90 months from 27/05/2016 to 19/11/2023. This data collection was possible via a specific register completed by computerized patient data from the SillageTM software. All files of patients implanted with single or dual chamber pacemakers were included, generator replacements, upgrading procedures and addition of leads were excluded. The sampling was non-probabilistic, consecutive and non-exhaustive. Statistical analysis was carried out using the Excel 2019 spreadsheet and SPSS version 23 software. The quantitative variables were presented as mean ± standard deviation, the qualitative data as proportions. Results: A total of 303 first-time pacemaker’s implantations were carried out during the study period (rate of 40 per year). The average age in the population was 79.7 ± 9.4 years (44 - 99 years) with a male predominance of 63.7% (n = 193). Atrioventricular block (2nd and 3rd degree) was the main indication for pacemaker implantation in 42.9% of cases (n = 130). Patients were most often implanted with a dual-chamber pacemaker (57.7%, n = 175). The approach was most often cephalic in 72.6% of cases (n = 220), followed by the subclavian access in 27.4% of cases (n = 84). The average fluoroscopy time was 7.9 min ± 2.4 (1 - 43). The average irradiation dose in gray/cm2 was 12.4 ± 9.3 (0.22 - 117.5). The average length of hospitalization was 7 ± 4 (2 - 26) days. The overall complication rate at one year was 12.9% (n = 39). These complications are distributed as follows: Leads dislodgement in 8.2% (n = 25), hematoma 3.6% (n = 11) all without clinical consequences, pneumothorax 0.7% (n = 2), both cases of pneumothorax did not require specific care, infection (superficial) in 0.3% (n = 1). Leads dislodgement occurred after a median time of 18 days (IQR: 3 - 36). The earliest dislodgement was observed on D0 and the latest on D207. No serious complications were recorded. The average atrial threshold at implantation/first control/last follow-up was 0.7/1.3/0.8 V, respectively. The average ventricular threshold at implantation/first control/last follow-up was 0.5/1.08/0.87 V, respectively. The average atrial detection at implantation/first control/last follow-up was 3.2/2.3/ 2.05 mv, respectively. The average ventricular detection at implantation/first control/last follow-up was 10.3/11.03/10.8 mv. The average atrial impedance at implantation/first control/last follow-up was 610/457/457 ohms. The average ventricular impedance at implantation/first control/last follow-up was 754/547/563 ohms. Conclusion: Pacemaker implantation is safe at the Haute Correze Hospital Center with a relatively low rate of complications, in this case an almost zero major infection and no serious hematoma. The peripheral hospital should remain a focal point of this activity in order to respond more quickly to the needs of the populations.
文摘对下刚果盆地Haute Mer A区块X-1井3个原油样品及X-1井、M-1井上白垩统、古近系共14个岩屑样品进行详细的分析研究,其结果表明X-1井原油生物标志化合物组合特征与南大西洋典型湖相烃源岩具有明显区别。X-1井原油(1982.1~1989.2m)Pr/Ph比值低(0.97),Pr/n C_(17)和Ph/n C18分别为0.85和0.96,C_(26)/C_(25)三环萜烷小于1.0,C_(30)四环聚异戊二烯烷烃/C_(27)重排甾烷比值低(0.55),具有海相烃源岩特征。原油中奥利烷丰度高,指示其来自上白垩统或以上的烃源岩。油源对比表明X-1井原油与上白垩统—始新统Madingo组烃源岩具有成因上的联系。盆地模拟研究进一步证明中新统Paloukou组烃源岩局部成熟,供烃能力有限;而Madingo组烃源岩目前正处于生、排烃高峰期,沉积中心则处于高—过成熟阶段,X-1井紧临Madingo组生烃洼陷,有利于油气聚集成藏。因此,推断Madingo组烃源岩为X-1井原油的主要贡献者。
文摘The history of surname can be traced back to 12th century.People divided surnames into four categories:occupational names,nicknames,names of relationship and local names.This study tries to clarify a small number of surnames in Terre Haute,to describe their meanings and origins,and to discover the variation of the same surname,and discuss the significance of it.We can conclude from the study that local names took the largest account of all surnames in Terre Haute,USA.
文摘Founded in 1993, the Beijing Major Kind Couture Co. Ltd. is a Sino-foreign clothing-making and selling joint venture, combining production and design and marketing. With its modern workshops and advanced automatic production equipment and qualified and skilled workers, the corporation has the capacity to produce one million garments every year.
文摘On the Qinghai-Tibet Plateau,a place so remote where natural resources are scarce at best, producing anything is more than just a chore. As a result, the local food culture is like nothing seen anywhere else.
文摘Alex Rotiii, the main designer of the Chanel Haute Couture Designer Group. Selim Gouaned, the main de-signer of Yoxeone, and the cutting-edge designer Dgena Mouclier from Paris presented three romantic and beau-tiful international fashion feasts witjii 45 sets of Chinese- style garments.
文摘Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.
