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Voice outcome measures after flexible endoscopic injection laryngoplasty

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2018年第2期4卷 130-134页

作者： Abdul-Latif Hamdan Marwan Rizk elie Khalifee Georges Ziade Maher Kasti Department of Otolaryngology and Head & Neck Surgery American University of Beirut-Medical Center Lebanon Department of Anesthesiology American University of Beirut-Medical Center Lebanon Department of Otolaryngology Head & Neck Surgery Rafic Hariri University Hospital Lebanon

Objective: To report voice outcome measures after injection laryngoplasty using the transnasal or transoral flexible endoscopic technique. Methods: A retrospective review of all patients who underwent flexible endoscopic injection laryngoplasty between June 2010 and August 2016 was carried out. Only those patients who had pre- and post-injection voice outcome measures recorded were included. Voice outcome measures recorded included perceptual voice evaluation using GRBAS, Voice Handicap Index-10 (VHI-10), maximum phonation time (MPT) and closed quotient (CQ) before and after treat-ment. Results: Forty-six patients were identified, of which 32 had pre- and post-injection voice outcome measures recorded. There were 19 males and 13 females. The mean age was 56.97 years (range 20—86 years) and the most common indication was unilateral vocal fold paralysis. Thirteen patients had a transnasal flexible endoscopic injection), while 19 patients were in-jected transorally. Following injection laryngoplasty, there was significant improvement in the mean grade of dysphonia (2.81 vs. 1.22, P < 0.01, roughness (2.44 vs. 1.34, P < 0.01), breathiness (2.72 vs. 1.13, P < 0.01), asthenia (2.78 vs. 1.06, P < 0.01), and strain (2.44 vs. 1.19, P < 0.01), MPT (3.85 s vs. 9.85 s, P < 0.01) and mean CQ (0.19 vs. 0.46, P < 0.01). There was also a decrease in the mean VHI-10 score (33.31 vs. 7.94, P < 0.01). Conclusion: s: Patients achieved significant improvement in both subjective and objective voice measures after flexible endoscopic injection laryngoplasty via the nasal or transoral route. Voice outcomes were comparable to those reported for other approaches. This tech-nique provides an alternative approach for the management of patients with vocal fold paral-ysis or glottal insufficiency.

关键词： Injection Laryngoplasty Transnasal Transoral Flexible endoscopic Vocal fold paralysis

Lixiviation of Open-Coast Dumping Site and Pollution of Water and Soils of Edea Industrial Zone（Littoral-Cameroon）

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Journal of Environmental Science and Engineering(B) 2013年第5期2卷 289-298页

作者： Noa Tang Sylvie Nguene Feudoung Daniel Etame Jacques Bayiga elie Constantin Bilong Paul Department of Earth Sciences Faculty of Sciences University of Douala Douala 24157 Cameroon Department of Earth Sciences Faculty of Sciences University of Yaounde I Yaounde 812 Cameroon

The nexus between water, food and energy is one of the most fundamental relationships and challenges for society. Indeed, seepage of wastes stored into dumping sites of Edea township, favor their lixiviation. Soluble components of matter are slowly dissolves, drained by meteoric water and flowed into tail bay vicinity. Knowledge of trace and toxic metal concentrations in the biotic matrices is important for assessing the effects of pollutants and the risk of exposure. In this study, A1, Mn, Cd, Cr, Cu, Pb and Zn were quantified respectively in 33 samples of soil and water, using ICP-MS （Inductively Coupled Plasma Mass Spectrometry）, Pb were found between 1.38-88.28 mg/L. Higher concentrations of Al were found in Alucam industrial wastes （315,502.33 mg/kg）, and in Hysacam domestic wastes （54,126.93 mg/kg）. Concentrations of Cd （1.955 mg/kg）, Pb （469.00 mg/kg） and Zn （853.00 rng/kg） are higher in domestic wastes. The ones of Mn （696.96 mg/kg） and Cu （1,320.10 mg/kg） are higher in industrial wastes. Higher concentrations of Pb and Cu let assume that it is a risk of poisoning relative to these elements around this area. These findings illustrate that lixiviation of dumping wastes has great influence on water and soils pollutions of the study ecosystem.

关键词： Dumping site lixiviation metallic trace elements pollution chemical intoxications

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为非洲提供便携式病理仪器

科技纵览 2015年第1期 36-39页

作者： elie Dolgin

医学诊断的移动化要归功于新型微流控工具。达克雷诊断器材有限公司（Daktari Diagnostics）的项目经理约翰·巴伯（John Barber）要负责测试其公司的仪器。他选择了一个可能会受该技术影响最大的地方：位于东非乌干达共和国的维多利亚... 详细信息

医学诊断的移动化要归功于新型微流控工具。达克雷诊断器材有限公司（Daktari Diagnostics）的项目经理约翰·巴伯（John Barber）要负责测试其公司的仪器。他选择了一个可能会受该技术影响最大的地方：位于东非乌干达共和国的维多利亚湖岸边的一个小渔村。

关键词：仪器便携式病理非洲医学诊断维多利亚湖项目经理微流控

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耐克:赢得世界杯品牌之战

中国品牌与防伪 2010年第9期 24-25页

作者： elie Ofek 哈佛商学院营销系

南非世界杯虽已落幕，但许多体育用品制造商的品牌之战并未结束，回顾阿迪达斯和耐克在世界杯期间的品牌之战，究竟谁是胜者？

关键词：世界杯品牌耐克体育用品制造商阿迪达斯

A Tree-Based Distributed Permutation Routing Protocol in Multi-Hop Wireless Sensors Network

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Wireless Sensor Network 2016年第6期8卷 93-105页

作者： Alain Bertrand Bomgni elie Tagne Fute Miguel Landry Foko Sindjoung Clémentin Tayou Djamegni Department of Mathematics and Computer Science University of Dschang Dschang Cameroon

A Wireless Sensors Network (WSN) is an ad-hoc network populated by small hand-held commodity devices, running on batteries called stations or sensors. Often used in hostiles and sometimes unreachable environments, stations are subject to energetic constraints which can significantly decrease the network life time. Permutation routing problem is mainly found in the literature of WSN. This problem occurs when some stations have items that belong either or not to them. The goal is to send each item to its receiver. To solve this problem, several works are presented in the literature. In this paper, we present a new permutation routing protocol for multi-hop wireless sensors network that, compared to recent work in the field is more efficient in terms of conservation of sensors’ energy, which results in a longer life time of the network. Also, contrary to some other routing protocols which assume that the memory of the sensors is infinite, we show that the memory size of the sensors is limited, which in our opinion is more realistic.

关键词： Clique Cyclic Reception Hierarchical Clustering Permutation Routing Problem Wireless Sensors Network

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服务大众健康的智能污水管道

科技纵览 2015年第6期 12-13页

作者： elie Dolgin

4月的一天早上，纽莎。加莉（Newsha Ghaeli）打开下水井盖，从下水道的水流中抓起一段软管。在拉起软管的时候，她发现一团厕纸粘在软管头上来回摇晃，令人作呕；偶尔还有几滴脏水溅到她暴露在面具外的头发上。这时一名来自马萨诸塞州... 详细信息

4月的一天早上，纽莎。加莉（Newsha Ghaeli）打开下水井盖，从下水道的水流中抓起一段软管。在拉起软管的时候，她发现一团厕纸粘在软管头上来回摇晃，令人作呕；偶尔还有几滴脏水溅到她暴露在面具外的头发上。这时一名来自马萨诸塞州剑桥市的环卫工人在一旁安慰她：“一点点脏东西，没事的。”

关键词：污水管道智能健康大众服务马萨诸塞州下水井盖环卫工人

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位于实验中心的五位创作者

建筑创作 2014年第3期 12-19页

作者：弗朗西斯.兰伯特 elie Rosenberg 法国建筑研究院

二十年来，中国经历着前所未有的快速的城市扩张，并转变成一个巨大的试验场。这种转变无处不在，无论是大都会还是在城市的角落。在这一新的城市发展进程中，标志性建筑遍地开花：例如在北京，有由保罗·安德鲁设计的中国国家大剧院，... 详细信息

二十年来，中国经历着前所未有的快速的城市扩张，并转变成一个巨大的试验场。这种转变无处不在，无论是大都会还是在城市的角落。在这一新的城市发展进程中，标志性建筑遍地开花：例如在北京，有由保罗·安德鲁设计的中国国家大剧院，由赫尔佐格和德梅隆事务所设计、艾未未作为顾问的北京奥运会主体育场“鸟巢”，以及由雷姆·库哈斯设计的中央电视台总部大楼……而2010年以“城市，让生活更美好”为主题的上海世界博览会更是将“地标”的主题推向极致，这也正是此类短期活动的一般规律。

关键词：实验中心中国国家大剧院上海世界博览会北京奥运会作者城市扩张标志性建筑中央电视台

Ischemic <i>Cauda equina</i>Syndrome Due to Spinal Embolization as a First Manifestation of an Infrarenal Abdominal Aortic Aneurysm

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World Journal of Cardiovascular Surgery 2015年第6期5卷 58-62页

作者： Youssef Zrihni Tiia Kukkonen Fabien Thaveau elie Girsowicz Yannick Georg Nabil Chakfe Department of Vascular Surgery and Kidney Transplantation University Hospital of Strasbourg Strasbourg France Department of Vascular Surgery Helsinki University Central Hospital Helsinki Finland

Spinal cord ischemia is an uncommon complication of an abdominal aortic aneurysm (AAA). We report the case of a 59-year-old man admitted for an acute ischemic Cauda equina syndrome secondary to a spinal cord embolization from an unknown partially thrombosed aortic aneurysm. The patient being at risk of further embolization, we achieved an emergency EVAR. The vascular post-operative course was uneventful. Neurologically, a post operative lumbar medullar MRI confirmed an ischemic Cauda equina syndrome and six months after the surgery, the patient still had a motor and sensory deficit in both lower limbs.

关键词： Cauda equina Syndrome Aortic Aneurysm Endovascular Repair

Management of Heart Failure with Reduced Ejection Fraction Globally and in Lebanon: Where Do SGLT-2is Stand?

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World Journal of Cardiovascular Diseases 2023年第3期13卷 138-169页

作者： Hadi Skouri Tony Abdel Massih Saiid Chaaban elie Chammas Malek Mohamad Samer Nasr Fadi Turquieh Cardiology Division Department of Internal Medicine American University of Beirut Medical Center Beirut Lebanon Department of Cardiology Hôtel-Dieu de France University Medical Center Beirut Lebanon Cardiology Division Department of Internal Medicine Hammoud Hospital University Medical Center Sidon Lebanon Heart Center Clemenceau Medical Center Beirut Lebanon Department of Cardiology Sahel General Hospital Beirut Lebanon Department of Cardiology Mount Lebanon Hospital University Medical Center Hazmieh Lebanon Department of Cardiology Haykel Hospital El Koura Lebanon

Heart failure (HF) is a clinical syndrome due to structural and/or functional cardiac anomalies, accompanied by elevated natriuretic peptide levels and/or cardiogenic pulmonary or systemic congestion;severely compromising patients’ health, performance and quality of life. The advancement of novel treatment and their endorsement by international medical and scientific societies have shifted the treatment of HF with reduced ejection fraction (HFrEF) towards quadruple therapy: an angiotensin receptor-neprilysin inhibitor or an angiotensin-converting enzyme inhibitor, a beta-blocker, a mineralocorticoid receptor antagonist and a sodium/glucose co-transporter-2 inhibitor (SGLT2i). This paper reviews the available literature on state-of-the-art diagnostic and therapeutic advances in HFrEF, discusses landmark trials that shifted the paradigm towards quadruple therapy in HFrEF, visits the potential challenges in Lebanon and globally, proposes an algorithm for treatment introduction and sequencing in HFrEF and highlights clinical considerations for HFrEF management and patient education and follow-up. This practical guidance could serve cardiologists and other medical specialists in identifying clinical signs of HFrEF, diagnosing patients, referring them or prescribing the components of quadruple therapy, and offering medical advice and follow-up. We highlight the role of SGLT2is in HF management and their effectiveness in reducing rates of hospitalization for HF as well as cardiovascular deaths, with satisfactory safety profile.

关键词： Heart Failure HFrEF Management SGLT2i Clinical Guidance Quadruple Therapy