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Anxiety and Depres.ion Dis.rders.in Chronic Non-s.ecific Low Back Pain in Lomé(Togo)

Open Journal of Rheumatology and Autoimmune Dis.as.s 2017年第1期7卷 1-15页

作者： Kodjo Kakpovi Kokou M. A. s.edje Viwalé E. s. Koffi-Tes.io Kodjo E. Ahoble Eyram Fianyo Prénam Houzou Komi C. Tagbor kolou s. dassa Owonayo Oniankitan Mous.afa Mijiyawa Rheumatology Department CHU Sylvanus Lomé Togo Ps.chiatry Department CHU Campus Lomé Togo Rheumatology Department CHR Lomé Commune Lomé Togo Rheumatology Department CHU Kara Kara Togo Rheumatology Department Hopital de Bè Lomé Togo

Chronic non-s.ecific low back pain has.an important ps.chological impact. Objectives. To determine the prevalence of anxiety and depres.ive dis.rders.(ADD) and factors.as.ociated to their apparition in patients.s.ffering from chronic non-s.ecific low back pain in rheumatological cons.ltation in Lomé. Patients.and Methods. It was.a cros.-s.ctional s.udy, conducted from October 1s., 2015 to 31s. March 2016. This.s.udy focus.d on all patients.s.ffering from common chronic low back pain without ps.chiatric his.ory in the Rheumatology Ward at the s.lvanus.Olympio’s.Teaching Hos.ital of Lomé and who have given their cons.nt. The ps.chological evaluation was.carried out through Hamilton s.ale. The proces.ing, the s.atis.ical treatment and analys.s.of our data have been carried out us.ng Epiinfo s.ftware, vers.on 7.1.5. The inves.igation was.approved by the local Ethics.Committee. Res.lts. 48 (39 women and 09 men) out of 123 patients.with chronic lower back pain pres.nted anxiety and depres.ive dis.rders.(ADD) accounting for a prevalence rate of 39%. Their average age was.50.3 years.old. The mos. frequent ADD was. ps.chic anxiety (58.6%), depres.ive mood (51.3%), difficulties.to feel as.eep (47.9%) and dis.urbed or agitated s.eep (43.1%). Factors.as.ociated with the anxiety and depres.ive dis.rders.in common chronic low back pain were: female gender (p = 0.02), dependent children (p = 0.02), occupation (res.ller (p = 0.002), liberal profes.ion (p = 0.009), monthly financial income (p = 0.002), s.rroundings.family (0.009), medical his.ory (p = 0.0002) and pain’s.intens.ty > 7 (p = 0.04). Conclus.on: This.s.udy s.ows.the high frequency of anxiety and depres.ive dis.rders.in common chronic low back pain and their influence by s.cio-economic and demographic factors.

关键词： Anxiety Depres.ion Common Chronic Low Back Pain s.b-s.haran Africa

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Epidemiological, Clinical and Therapeutic As.ects.of s.hizoaffective Dis.rder at the CHU-Campus.of Lomé(Togo)

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Health 2022年第3期14卷 322-329页

作者： s.liou s.lifou Daméga Wenkourama s.nia Kanekatoua Charfoundine Affo Yaovi Alofa kolou s.mliwa dassa Clinique Univers.taire de Ps.chiatrie et de Ps.chologie Médicale CHU Sylvanus Olympio-Lomé H&#244 pital Ps.chiatrique de Zébé-Aného Faculté des Sciences de la Santé Université de Lomé Lomé Togo s.rvice de Ps.chiatrie Faculté des Sciences de la Santé Université de Kara Kara Togo Clinique de Ps.chiatrie et de Ps.chologie Médicale Faculté des Sciences de la Santé CHU Campus Université de Lomé Lomé Togo Clinique Médico-Ps.chiatrique de Lomé Lomé Togo

Introduction: s.hizoaffective dis.rder is.a chronic ps.chotic dis.rder. It is.characterized by the s.multaneous.pres.nce of s.mptoms.of a characterized mood dis.rder and s.mptoms.of s.hizophrenia. Data on this.dis.rder are almos. non-exis.ent in Wes. Africa. The objective was.to des.ribe the epidemiological, clinical and therapeutic as.ects.of s.hizoaffective dis.rder at the Campus.Univers.ty Hos.ital Centre (CHU-Campus. of Lomé in Togo. Framework and Method: This.was.a retros.ective s.udy with a des.riptive aim on patients.hos.italized at the Clinic of Ps.chiatry and Medical Ps.chology (CPPM) of CHU-Campus.from January 1s., 2013 to December 31, 2018. Res.lts. A total of 46 patients.were included in this.s.udy. Their mean age was.39.5 years.with extremes.ranging from 14 to 65 years. Females.had predominated at 52.18% or a s.x ratio of 0.91. Married people repres.nted 47.83%. Primary education repres.nted 34.80%. The unemployed were in the majority at 32.92%. s.xty-five point twenty two percent (65.22%) of the patients.had a pers.nal ps.chiatric his.ory. All patients.had pres.nted with delus.ons.plus.other ps.chotic and mood s.mptoms. Almos. all patients.(97.82%) had received a thymoregulator as.ociated with a firs. generation antips.chotic (95.65%). Conclus.on: More s.udies.s.ould be done in our countries.to des.ribe the cultural as.ects.of this.dis.as..

关键词： s.hizoaffective Dis.rder Epidemiology Antips.chotics Thymoregulators Togo

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Characteris.ics.of Heroin Us.rs.in Lomé(Togo)

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Open Journal of Ps.chiatry 2022年第2期12卷 141-156页

作者： s.liou s.lifou s.nia Kanekatoua Daméga Wenkourama Ekpao Ekpai Charfoundine Affo Yao Adjévi Awous.i kolou s.mliwa dassa Univers.té de Lomé Faculté des Sciences de la Santé Clinique Universitaire de Psychiatrie et de Psychologie Médicale CHU Sylvanus Olympio-Lomé H&#244pital Psychiatrique de Zébé-Aného Aného Togo Univers.té de Lomé Faculté des Sciences de la Santé Clinique de Psychiatrie et de Psychologie Médicale CHU Campus Lomé Togo Univers.té de Kara Faculté des Sciences de la Santé Service de Psychiatrie CHU Kara Kara Togo Mas.er in Public Health Centre Hospitalier des Armées d’Adidogomè Lomé Togo Clinique Médico-Ps.chiatrique de Lomé Lomé Togo

Introduction: Opioid us. is.a public health problem today. The aim of this.s.udy was.to des.ribe the s.cio-demographic characteris.ics. judicial as.ects. addictive behaviours.and medical as.ects.of heroin us.rs.placed on methadone (HUM) at the Integrated Addiction Care Centre of Kodjoviakopé (CEPIAK). Framework and Method: This.was.a des.riptive cros.-s.ctional s.udy conducted at the CEPIAK in Lomé, Togo, from December 1s., 2020 to January 31, 2021. Res.lts. A total of 200 HUM were included in this.s.udy. They were Togoles. in 89.0% of cas.s. Their mean age was.43.4 ± 9.6 years.with extremes.ranging from 16 to 66 years. Males.accounted for 90.5% of the HUM, i.e. a s.x ratio of 9.5. Primary education accounted for 39.0% of cas.s. s.ngle people accounted for 44.0% of cas.s. One hundred and nineteen HUM (59.5%) had a his.ory of incarceration. Cannabis. tobacco and cocaine were the other drugs.as.ociated with heroin us. in 79.5%, 74.5% and 59.5% of cas.s.res.ectively. A his.ory of overdos. accounted for 18.0% of the HUM in our s.mple. s.icide attempts.accounted for 19.5% of the HUM. Tuberculos.s.was.detected in 5.5% of the HUM. HIV accounted for 3.0% of the HUM. Conclus.on: It is.important for the Togoles. health s.s.em to give more importance to this.is.ue, which is.s.ared by the medical and s.cial s.ctors. in order to effectively reduce and prevent thes. s.cial ills.

关键词： Heroin Methadone Addictions Comorbidities Togo

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Profile of Forens.c s.ate Patients.Admitted to ZébéPs.chiatric Hos.ital (Togo)

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Open Journal of Ps.chiatry 2022年第1期12卷 1-10页

作者： s.liou s.lifou Yawo Apélété Agbobli s.nia Kanekatoua Daméga Wenkourama As.ad Batcha Charfoundine Affo kolou s.mliwa dassa Faculté des.s.iences.de la s.nté Université de Lomé Clinique Universitaire de Psychiatrie et de Psychologie Médicale CHU Sylvanus Olympio-Lomé H&#244 pital Ps.chiatrique de Zébé-Aného Aneho Togo Faculté des.s.iences.de la s.nté Université de Lomé CHU Sylvanus Olympio Lomé Togo Faculté des.s.iences.de la s.nté Université de Lomé Clinique de Psychiatrie et de Psychologie Médicale CHU Campus Lomé Togo Faculté des.s.iences.de la s.nté Université de Kara Service de Psychiatrie CHU Kara Kara Togo Centre Hos.italier des.Armées.de Lomé Lomé Togo Clinique Médico-Ps.chiatrique de Lomé Lomé Togo

Introduction: Zébé Ps.chiatric Hos.ital is.the only ps.chiatric hos.ital able to receive forens.c mentally ill patients.in Togo. The aim of this.s.udy was.to des.ribe the s.cio-demographic, clinical and forens.c as.... 详细信息

s.rong>Introduction:s.rong> Zébé Ps.chiatric Hos.ital is.the only ps.chiatric hos.ital able to receive forens.c mentally ill patients.in Togo. The aim of this.s.udy was.to des.ribe the s.cio-demographic, clinical and forens.c as.ects.of forens.c mentally ill patients. s.rong>Method:s.rong> This.was.a des.riptive cros.-s.ctional s.udy conducted from Augus. 16th to s.ptember 16th, 2021 among forens.c patients.admitted to the Zébé Ps.chiatric Hos.ital. s.rong>Res.lts.s.rong> During the s.udy period, we recorded 28 forens.c mentally ill patients. Fifty-s.ven point one percent (57.1%) of the forens.c patients.came from rural areas. The mean age of thes. patients.was.37.3 years. and ranged from 13 to 82 years. Males.predominated in 96.4% of cas.s. Primary education repres.nted 39.3% of cas.s. s.ngle people predominated in 92.9% of cas.s. They were unemployed in 64.3% of cas.s. Forty-s.x point four percent (46.4%) of thes. patients.were us.ng at leas. one ps.choactive s.bs.ance. Forens.c offens.s.were dominated by murder in 53.6% of cas.s. The victim was.a family member in 53.6% of cas.s.and male in 60.7% of cas.s. They had s.hizophrenia s.ectrum dis.rders.in 78.6% of the cas.s. Forty-s.x point four percent (46.4%) of thes. patients.were not res.ons.ble for their offences.and 82.1% were abandoned by their families. s.rong>Conclus.on:s.rong> The information gathered in this.s.udy will help to better organize s.rategies.for mental health promotion and prevention of mental illnes. and crime in the general population.

关键词： Forens.c Ps.chiatry Mental Illnes. Epidemiology Crime Togo

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Factors.As.ociated with Homicides.in Ps.chiatric Expertis. in Togo

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Open Journal of Ps.chiatry 2023年第4期13卷 280-290页

作者： s.liou s.lifou Yawo Apélété Agbobli Daméga Wenkourama s.nia Kanekatoua Gnargonna Bawi Charfoundine Affo kolou s.mliwa dassa Univers.té de Lomé Faculté des Sciences de la Santé Clinique Universitaire de Psychiatrie et de Psychologie Médicale CHU Sylvanus Olympio-Lomé H&#244pital Psychiatrique de Zébé-Aného Togo Univers.té de Lomé Faculté des Sciences de la Santé Service de Médecine Légale CHU Sylvanus Olympio Lomé Togo Univers.té de Kara Faculté des Sciences de la Santé Service de Psychiatrie CHU Kara Togo Univers.té de Lomé Faculté des Sciences de la Santé Clinique de Psychiatrie et de Psychologie Médicale CHU Campus Lomé Togo Clinique Médico-Ps.chiatrique de Lomé Togo

Background: In mos. s.cieties. homicide or murder is.a crime that often leads.to impris.nment. s.udies.around the world have s.metimes.found cas.s.of mental illnes. (s.hizophrenia s.ectrum dis.rders. as.an explanation for s.me homicides. The aim of this.s.udy was.to determine the factors.as.ociated with homicide in the Togoles. context. Methods. This.was.a des.riptive and analytical cros.-s.ctional s.udy of pre-trial ps.chiatric expertis. reports.from January 31s.p>s.s.p>, 2019 to January 30s.p>ths.p>, 2022. Res.lts. Out of 704 defendants.apprais.d, 206 (29.3%) had committed homicide. Males.accounted for 91.7% of Homicide defendants.(HD). Their average age was.31.6 ± 12.2 years. with extremes.of 16 and 74 years. Factors.as.ociated with homicide were female gender, age between 30 and 45 years. married or cohabiting s.atus.and occupation as.a farmer/fis.erman/breeder. Ps.choactive s.bs.ance us. (PAs., mental illnes. and ps.chiatric his.ory were not as.ociated with homicide. Conclus.on: Preventing delinquency and interpers.nal conflict, and promoting s.cial cohes.on, could s.gnificantly reduce homicides.in Togo.

关键词： Homicide As.ociated Factors Forens.c Ps.chiatry Togo

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Games.of Chance and Money of the Togoles. National Lottery in Lomé

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Open Journal of Ps.chiatry 2023年第3期13卷 175-186页

作者： Damega Wenkourama s.liou s.lifou Ireti Nethania Elie Ataigba s.nia Kanekatoua Es.ozimna Pita Gnargogna Bawi Mens.h Kokou s.edje kolou s.mliwa dassa Ps.chiatry Department Kara University Hospital Kara Togo Faculty of Health s.iences University of Kara Kara Togo Zébé Ps.chiatric Hos.ital in Aneho Aneho Togo Faculty of Health s.iences University of Lomé Lomé Togo Centre Hos.italier Univers.taire Départemental du Borgou Alibor Parakou Bénin Faculty of Health s.iences University of Parakou Parakou Bénin Univers.ty Hos.ital Center of the CHU Campus.of Lomé Lomé Togo Department of Mental Health Tomdè Regional Hospital Center Kara Togo Medico-Ps.chological Clinic of Lomé Lomé Togo Department of Ps.chiatry s.rvice CHU Sylvanus Olympio of Lomé Lomé Togo Department of Ps.chiatry s.rvice Lomé Campus University Hospital Lomé Togo Department of Adult Ps.chiatry Faculty of Health Sciences University of Lomé Lomé Togo

Introduction: The addiction to games.of chance and money is.frequently encountered among s.me players. The general objective of this.s.udy was.to des.ribe the level of the gambling addiction among the players.of the Togoles. National Lottery (LONATO) in the city of Lomé. Method: This.was.a des.riptive cros.-s.ctional s.udy through non-random s.mpling by convenience s.rveys. conducted on October 09, 2019 in 20 LONATO plying s.tes.which affected 611 players. The s.reening was.done us.ng the s.uth Oaks.Gambling s.reen (s.Gs. ques.ionnaire. Res.lts. Of the 611 players.s.rveyed, 55% were aged 18 to 35 years.with an average age of 36 years.and the extremes.ranging from 14 to 78 years. The male gender was.in the majority (84.26%). The prevalence of pathological gambling was.62.52%. Among the pathological gamblers. 16.89% had a family his.ory of pathological gambling, 19.00% had a mood dis.rder, 28.50% had exces.ive alcoholis., and 17.15% cons.med another ps.choactive s.bs.ance. Cannabis.was.the mos. cons.med s.bs.ance (6.87%) followed by tobacco (6.07%) and s.porific (6.07%). More than half of players.(62.03%) thought that pathological gambling is.not a dis.as.. Conclus.on: The pathological gambling is.a global phenomenon and a reality in Togo. Rais.ng everyone’s.awarenes. will reduce its.negative impact on the players.

关键词： Pathological Gambling Addiction LONATO Lomé

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Wris. s.ptic Arthritis.Due to <i>s.reptococcus.pneumoniae</i>Revealing a s.lective Immunoglobulin G4 s.bclas. Deficiciency: A Cas. Report

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Open Journal of Orthopedics 2015年第11期5卷 350-354页

作者： Atchi Walla Anani Abalo Malewé kolou s.rvice de Chirurgie Orthopédique et Traumatologique CHU Sylvanus Olympio Lomé Togo s.rvice d’Immuno-Hématologie CHU Campus Lomé Togo

The pneumococcal s.ptic arthritis.is.uncommon in healthy adults. In mos. cas.s. it occurs.in patients.with immune deficiency. Its.exceptional location at the wris. can maintain doubt with rheumatic caus.s.which are more frequent. IgG4 deficiency found in this.patient was.the only caus. that could be impugned. We report the cas. of a young woman of 46 years.without any evident caus. of immunodeficiency and any particular ris. factor, managed for s.ptic arthritis.of the wris. due to s.reptococcus.pneumoniae. This.cas. without any apparent ris. factors.demons.rates.that pneumococcal infection in a more dis.ant articulation of the ENT is.s.ill pos.ible. s.an has.been a very s.gnificant contribution in confirming the pos.tive diagnos.s.that leads.to s.rgical drainage. The approach of the s.s.ematic s.arch for the gateway mus. be done. In the s.udy of the patient’s.immune s.atus. the realization of the protein profile could be interes.ing and then guide the practitioner in the decis.on to vaccinate the patient agains. s.reptococcus.pneumoniae if he was.not. We recommend looking always.for a caus. of immunodeficiency including primary Ig defiencies.even among adult.

关键词： s.reptococcus pneumoniae s.ptic Arthritis Wris. IgG4 s.bclas. Deficiency

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Anxio-Depres.ive Morbidity in Chronic Hemodialys.s.at the CHU s. of Lome (Togo)

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Open Journal of Nephrology 2017年第2期7卷 25-37页

作者： Kokou Mes.anh Agbémélé s.edje Kos.i Akomola s.bi Eyram Yoan Makafui Amekoudi Kparakate Bouboune Kota-Mamah Befa Noto-Kadou-Kaza Bartholome Komivi Azorbly Joel Mawuko Gbetogbe kolou s.mliwa dassa Clinic of Ps.chiatry and Medical Ps.chology CHU-Campus Lomé Togo Department of Nephrology and Hemodialys.s Unit of CHU-Sylvanus Olympio Lomé Togo

Introduction: This.work aims.to identify and analyze the anxio-depres.ive morbidity that the renal ins.fficiency in hemodialys.s.can pres.nt. Methodology: The framework of this.work was.the department of nephrology and the hemodialys.s.unit of the CHU s.lvanus.Olympio of Lome. This.was.a cros.-s.ctional, s.ngle-pas., des.riptive and analytical s.udy that ran from January 1s., 2016 to June 30th, 2016. Included were all chronic hemodialys.s.patients.who gave their free and well-informed cons.nt and who have no ps.chiatric his.ory. To as.es. anxiety and depres.ion, the Hos.ital Anxiety and Depres.ive s.ale of Zigmond and s.aith was.us.d. The proces.ing of the data was.done with the s.ftware Epi Info 7 (vers.on 7.***.2.0). Res.lts. The number of patients.was.91 and all were included. The mean age at 46.51 ± 14.41 years.with extremes.of 11 and 84 years.and a s.x ratio at 1.6 were obs.rved. Anxiety (A3) was.in 52.8% of women and depres.ed (D3) in 63.2% of men. The abs.nce of s.cial s.curity increas.s.the ris. of anxiety dis.rders.among res.ondents.by three (RR = 2.6, p = 0.04). A duration of change of Chronic Renal Failure (CRF) les. than 6 months.was.as.ociated with the occurrence of depres.ion (p = 0.04) with hemodialys.s.patients. The relative ris. of depres.ive epis.des.increas.d three-fold with the hemodialys.s.patients.(RR = 2.7). Conclus.on: Collaboration between ps.chiatris.s. ps.chologis.s.and s.maticians.(doctors.of the body) can occur at different times.during dialys.s. in order to overcome the difficulties.that may aris. during the treatment.

关键词： Anxiety Depres.ion Renal Dialys.s Ps.chopathology s.b-s.haran Africa

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Ps.chiatry in a War s.tuation: In s.tu Therapeutic Approach to an Attack Cas. of Ber, Timbuktu in Mali

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Open Journal of Ps.chiatry 2023年第4期13卷 345-354页

作者： Kokou Mes.anh Agbémélé s.edje Guy Gerard Aza-Gnandji Damega Wenkourama Tchédié Etdéchié Elvyreklikpo Koffi Mawus.é Mens.h Adjaré-Kamé Fidèle Ahara s.lo Conde Koffi Djotepe s.edje kolou s.mliwa dassa Faculty of Health s.iences University of Lomé Lomé Togo

Objectives. At the beginning of 2012, northern Mali was.occupied by s.veral jihadis. movements.with the aim of creating a Khalifa that required the intervention of a UN peacekeeping mis.ion after a war that s.owed down their development. This.mis.ion is.the deadlies. in a complex attack and UN attack. This.experience feedback in an international context of the res.rgence of as.mmetrical wars.makes.it pos.ible to s.are in order to better anticipate and improve s.rategic approaches.to as.es.ments.and therapeutic techniques. Des.ription: After the pres.ntation of the context with thes. particularities.and the various.adaptations. we made formulations.of the mis.ions.s.ch as.lived and the details.on the medico-ps.chological techniques.us.d. The place of the brief phys.cal examination s.ould not be overlooked. The debriefings. even if they have proven thems.lves.in the evaluation and prevention of ps.chotraumatic pathologies. mus. be adapted on a cas.-by-cas. bas.s.in a certain programmed improvis.tion. Maintaining the s.te of the attack s.rvivors.without real military activities.by reinforcing them with a new functional team was.a decis.ve element in the mourning proces. according to their own s.atement. Conclus.on: Forward ps.chiatry is.a neces.ity in as.mmetric warfare to maintain the operationality of the troops.

关键词： Military Ps.chiatry Blue Helmet Attacks Ps.chotrauma UN Mis.ion

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西欧电力发展回顾与展望

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中国电力 2017年第7期50卷 28-32,37页

作者： Jean-Paul BOUTTEs.Francois.dassa 周苏燕(编译) 法国电力集团巴黎75008 不详

20年前,欧洲位于能源和电力行业的前沿。在20世纪90年代,电力充足,价格合理,欧洲成为大型工业企业的所在地,这些企业通常都是各行业的领导者和世界级的电力企业。然而今天的欧洲正在失去这一优势。与其他主要竞争国家相比,欧洲现在的电... 详细信息

20年前,欧洲位于能源和电力行业的前沿。在20世纪90年代,电力充足,价格合理,欧洲成为大型工业企业的所在地,这些企业通常都是各行业的领导者和世界级的电力企业。然而今天的欧洲正在失去这一优势。与其他主要竞争国家相比,欧洲现在的电力成本更高,工业组织规模正在缩小,其电力企业也正面临困难。为何会产生这样的反转?自20世纪90年代起,建立欧洲电力市场时的"自下而上"的方法被"自上而下"的逻辑所取代。一个单一模式被应用于所有国家,欧盟委员会利用竞争与环境的手段来解决电力议题。过去20年来,在抽象及缺乏系统化的观念指导下,欧洲在碳排放、竞争力以及工业发展方面取得的成效非常令人失望。通过回顾西欧电力史,不仅能够了解这种变迁,并且能够为未来提供经验反馈。

关键词：欧洲电力史技术进步电力体制展望

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