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Age-Dependency of Clinical Characteristics of Patients Participating Cardiovascular Rehabilitation Results from the German

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Open Journal of Therapy and Rehabilitation 2014年第4期2卷 207-216页

作者： Roland Nebel Michael Marx Michael Geier brigitte buran-kilian Taoufik Ouarrak Manju Guha Gregor Sauer Gerd Bonner Harry Hahmann Ralf Jordan Michaela Julia Engelhard Bernhard Rauch Birna Bjarnason-Wehrens Medicos.Osnabrück GmbH OsnabruckGermany Zentrum fur Gefaßmedizin Bonn KaRO GmbH WaldbrolBonnGermany Ambulante Rehabilitation für Herzpatienten Evangelisches Krankenhaus Bergisch GladbachBergisch GladbachGermany SchwerpunktReha Ambulante kardiologische RehabilitationBonnGermany Stiftung Institut fur Herzinfarktforschung LudwigshafenGermany Reha-Klinik am Sendesaal BremenGermany Helios Rhein Klinik DuisburgGermany Freiburg im Breisgau Germany Klinik Schwabenland IsnyGermany 1 Kardiologische Gemeinschaftspraxis an der Rheinklinik DuisburgGermany 1 Deutsche Sporthochschule Koln CologneGermany

Background: Cardiovascular rehabilitation in Germany traditionally is offered as inpatient service often located far from patient’s residence, and ambulatory rehabilitation still represents a minority. The German Registry of Ambulatory Cardiac Rehabilitation (KARREE) was designed to contribute to rehabilitation quality assurance and to evaluate clinical characteristics of patients participating in ambulatory rehabilitation centers. Methods: In four ambulatory rehabilitation centers 2989 patients were consecutively registered from 2008 to 2011 and evaluated with respect to social status, cardiovascular diagnoses and risk factors, psychological status, medication and short term clinical and social outcome. Results: Most patients referred to the ambulatory cardiac rehabilitation had an acute cardiovascular event, with patients after acute coronary syndrome representing the majority (59.9%). Female were strongly underrepresented (16.7%). Patient’s clinical characteristics varied with the age groups evaluated ( 70 years). Whereas the reported physical inactivity, overweight and cigarette smoking was declining with age, diabetes and hypertension significantly increased. Furthermore the reported and evaluated psychosocial stress was declining with age. Regarding the group of patients still employed, 43.5 % were estimated as fit for work directly at the end of the rehabilitation program, whereas a stepwise reintegration into employment was performed in 16.7%. The majority of patients were transferred to ambulatory heart groups or other forms of after care for stabilizing regular physical activity. Conclusions: The large variation of the characteristics of patients participating cardiac rehabilitation underscore the need of an individualized approach for a successful implementation of secondary prevention and reintegration of these patients into their social life.

关键词： Ambulatory Cardiac Rehabilitation Cardiovascular Risk Factors Acute Coronary Syndrome

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How Can Practitioners Support Citizen Volunteers in Disaster Risk Reduction? Insight from “Good and Ready” in Aotearoa New Zealand

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International Journal of Disaster Risk Science 2024年第03期15卷 374-387页

作者： Lo?c Le Dé Steve Ronoh Ei Mon Thinn Kyu brigitte Rive School of Public Health and Interdisciplinary Studies Auckland University of Technology Pacific Health Research Centre Auckland University of Technology New Zealand Red Cross

Global and national policy frameworks emphasize the importance of people's participation and volunteers' role in disaster risk reduction. While research has extensively focused on volunteers in disaster response and recovery, less attention has been paid on how organizations involved in disaster risk management can support volunteers in leading and coordinating communitybased disaster risk reduction. In 2019, the New Zealand Red Cross piloted the Good and Ready initiative in Auckland,Aotearoa New Zealand, with the objective to empower local people in resilience building with a focus on volunteers and community participation. This research examined the positive and negative outcomes of Good and Ready and investigated volunteers' experiences in the disaster resilience initiative. It involved the codesign of a questionnaire-based survey using participatory methods with Good and Ready volunteers, the dissemination of the survey to gather volunteers' viewpoints, and a focus group discussion with participatory activities with Red Cross volunteers. The findings highlight that a key challenge lies in finding a balance between a program that provides flexibility to address contextual issues and fosters communities' ownership, versus a prescriptive and standardized approach that leaves little room for creativity and self-initiative. It pinpoints that supporting volunteers with technical training is critical but that soft skills training such as coordinating, communicating,or facilitating activities at the local level are needed. It concludes that the sustainability of Good and Ready requires understanding and meeting volunteers' motivations and expectations and that enhancing partnerships with local emergency management agencies would strengthen the program.

关键词： Community-based approach Disaster risk reduction New Zealand Participation Volunteers

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Structural effects of reedbed grazing and its cessation on reed-nesting songbird densities

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Avian Research 2024年第2期15卷 238-248页

作者： Thomas Pagnon Clemence Pechinot Lea Sgro Jeremie Demay Remi Jullian Regis Gallais brigitte Poulin Cyril Marmoex Theria Ecologie 6 avenue des martyrs05400VeynesFrance UMR 6249 Chrono-Environnement CNRSUniversite de Franche-Comte16 route de Gray25000BesanconFrance Conservatoire d’Espaces Naturels d’Occitanie 26 alle de Mycenes34000MontpellierFrance Office Français de la Biodiversite 12 cours Lumiere94300VincennesFrance Tour du Valat Research Institute for the Conservation of Mediterranean Wetlands Le Sambuc13200ArlesFrance

Reedbeds are crucial breeding habitats for vulnerable songbird *** of their protection status,these habitats may be threatened by organic matter accumulation,progressively leading to structural homoge-nization and habitat succession towards *** prevent excessive litter build-up with various in-terventions opening-up the reedbeds,such as grazing,which may be detrimental or suitable for some reed bird *** assessed the effects of extensive grazing by horses and its cessation in the medium and long terms on reedbed structure,and the consequences on reed-nesting songbird densities in Estagnol Nature Reserve,a pro-tected wetland near the French Mediterranean *** compared reedbed structural features between grazed,newly ungrazed and old-ungrazed *** nine years,we censused four songbird species in spring and collected water level data in the same survey *** reduced reedbed extent,rejuvenated the vegetation with more short green stems on a thinner litter,and produced higher structural heterogeneity and discontinuity compared to long-lasting non *** ungrazed plot showed intermediate *** surveyed songbird total densities were similar among plots while species numbers and densities *** reedbed was more attractive to Moustached Warblers(Acrocephalus melanopogon)and Great Reed Warblers(Acrocephalus arundi-naceus),likely due to the large edges and the high vegetation structural ***,Moustached Warblers were more negatively affected by higher water level in grazed reedbed,presumably because flooding prevents litter *** newly ungrazed reedbed was not preferred by any *** warbler species were found under low density in the old-ungrazed reedbed,where Reed Buntings(Emberiza schoeniclus)were exclu-sively *** availability related to thick litter layer may explain this *** Reed Warblers(Acrocephalus scirpaceus)were found everywhere in similar

关键词： Bird conservation Edge complexity Fragmentation Habitat management Horse grazing Phragmites australis Reed passerine

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Long-term follow-up of intravesical abobotulinumtoxinA (Dysport®) injections in women with idiopathic detrusor overactivity

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Asian Journal of Urology 2024年第1期11卷 93-98页

作者： Mohammad Sajjad Rahnama'i Amin Bagheri Elham Jahantabi Hanieh Salehi-Pourmehr Hadi Mostafaei brigitte Schurch Aida Javan Balegh Marand Sakineh Hajebrahimi Department of Urology St.Elisabeth-Tweesteden Hospital Tilburgthe Netherlands Research Center for Evidence-based Medicine Iranian EBM Centre:A Joanna Briggs Institute(JBI)Center of ExcellenceTabriz University of Medical SciencesTabrizIran Urology Department Faculty of MedicineTabriz University of Medical SciencesTabrizIran Department of Urology Comprehensive Cancer CenterMedical University of ViennaViennaAustria Service de Neuroréhabilitation CHUVLausanneSwitzerland Society of Urological Research and Education(SURE) Heerlenthe Netherlands

Objective:Only a few numbers of studies have been published on the use of abobotulinumtoxinA(Dysport®)in idiopathic detrusor overactivity(IDO).This study reported the long-term follow-up of women with IDO who were treated with intravesical Dysport®***:Two hundred and thirty-six patients with IDO who had failed first-line conservative and antimuscarinic therapy received 500-900 units of Dysport®between April 2014 and July *** patients were followed up for 5 years after their initial injection and interviewed on the ***:A total of 236 women with IDO aged from 18 years to 84 years(mean±standard deviation:49.6±15.9 years)were included in our *** median follow-up time for patients was 36.5(range:10-70)months,and the median recovery time after injection was 18.5(range:0-70)months.A total of 83(35.2%)patients stated that they had subjective improvement of their symptoms whereas 84(35.6%)patients did not report any improvement in *** initial International Consultation on Incontinence Questionnaire Overactive Bladder mean score was 6.9(standard deviation 3.4).There was a positive association between the median recovery time and the components of the International Consultation on Incontinence Questionnaire Overactive Bladder ***:In a sub-population of overactive bladder patients with IDO who have failed first-line therapy,a single intravesical Dysport®injection can resolve patient symptoms completely or reduce the symptoms to an acceptable level that can be controlled with antimuscarinics or re-injection on demands.

关键词： AbobotulinumtoxinA Dysport Intravesical ldiopathic Detrusor overactivity

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Spatio-Temporal Trend and Geographic Disparity of Infertility Prevalence in Burkina Faso, 2011 to 2020

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1288-1302页

作者： Oumarou Nabi René Tokira Poubouré Yabré Pratibha Shrestha Aoua Sangaré Jérémie Sawadogo Miézan brigitte Aka Smaila Ouédraogo Min Lian Division of General Medical Sciences Department of Medicine Washington University School of Medicine St. Louis Missouri United States of America Division of Public Health Department of Public Health CHU Yalagado Ouedraogo Joseph Ki-Zerbo University Ouagadougou Burkina Faso Division of Public Health Sciences Department of Surgery Washington University School of Medicine St. Louis Missouri United States of America Research Group on Communication Issues Grenoble Alpes University Grenoble France Alvin J. Siteman Cancer Center Washington University School of Medicine St. Louis Missouri United States of America

Background: Infertility affected 10% to 25% of couples globally, and about half of the infertility cases were reported in sub-Saharan Africa. Infertility poses significant social, cultural, and health challenges, particularly for women who often face stigmatization. However, comprehensive and nationally representative data, including prevalence, temporal trends, and risk factors, are lacking, prompting a study in Burkina Faso to address the need for informed policies and programs in infertility care and management. Objectives: This study aims to better understand the spatiotemporal trend of infertility prevalence in Burkina Faso. Methodology: This is a retrospective population-based study of women infertility from healthcare facilities in Burkina Faso, during January 2011 to December 2020. We calculated the prevalence rates of infertility and two disparity measures, and examined the spatiotemporal trend of infertility. Results: Over the 10-year period (2011 to 2020), 143,421 infertility cases were recorded in Burkina Faso healthcare facilities, resulting of a mean prevalence rate of 3.61‰ among childbearing age women and 17.87‰ among women who consulted healthcare facilities for reproductive issues (except contraception). The findings revealed a significant increase of infertility, with the prevalence rate varied from 2.75‰ in 2011 to 4.62‰ in 2020 among childbearing age women and from 13.38‰ in 2011 to 26.28‰ in 2020 among women who consulted healthcare facilities for reproductive issues, corresponding to an estimate annual percentage change of 8.31% and 9.80% respectively. There were significant temporal and geographic variations in the prevalence of infertility. While relative geographic disparity decreased, absolute geographic disparity showed an increasing trend over time. Conclusion: The study highlights an increasing trend of infertility prevalence and significant geographic variation in Burkina Faso, underscoring the urgent necessity for etiologic research o

关键词： Infertility Prevalence Temporal Trend Geography Disparity

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First ovules integument: what roles?

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National Science Review 2022年第4期9卷 21-22页

作者： brigitte Meyer-Berthaud AMAP Universit ?e de MontpellierCNRSCIRADINRAEIRD

The Famennian is a period of increased taxonomic diversity for the first representatives of the major plant groups,especially the spermatophytes (*** seed plants) that,today,represent the most abundant and diversified plant group on Earth [1,2].Early spermatophytes evolved a unique ovule-centered reproductive syndrome that allowed them to germinate and grow rapidly in disturbed habitats and,secondarily,to colonize dry habitats unfavorable to the reproduction of their free-sporing predecessors [3,4](Fig.1).In these ovulate organisms,the female gametophyte grows and produces gametes inside the indehiscent megasporangium (nucellus) that differentiates a pollen chamber retaining the pollen grains in its apical *** integument encloses the *** the Runcaria protovule that preceded them by 20 million years,Famennian ovules were all surrounded by a cupule,except perhaps Spermolithus and Warsteinia [5-7].

关键词： DEVONIAN SEED PLANT

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煮字人生——林青霞、黄心村二人谈

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扬子江文学评论 2024年第4期 48-54页

作者：林青霞黄心村张真瑞(整理) 宋宝平(整理) 不详香港大学比较文学系中国

二○二三年二月十日,中国香港大学文学院和比较文学系合办的“煮字人生:林青霞、黄心村二人谈”讲座,在中国香港大学百周年校园李兆基会议中心大会堂(The Grand Hall)隆重举行,场内超过八百位的听众、坐满三个直播室的观众以及场外众多... 详细信息

二○二三年二月十日,中国香港大学文学院和比较文学系合办的“煮字人生:林青霞、黄心村二人谈”讲座,在中国香港大学百周年校园李兆基会议中心大会堂(The Grand Hall)隆重举行,场内超过八百位的听众、坐满三个直播室的观众以及场外众多的等候观众,将现场挤得水泄不通。对谈伊始,黄心村播放了一段珍贵录像,记录了1998年林青霞和张国荣走上港大比较文学系的讲堂,与当年比较文学系系主任阿巴斯(Ackbar Abbas)对谈的盛况。时隔25年之后,林青霞再次应黄心村之邀来到了港大的讲坛,所以黄心村说“青霞和港大文学院的因缘是前定的,25年前就定下的,然后我和她认识只是一个时间的问题,是命中注定要认识的”,由此开始了她们的对谈。

关键词：林青霞挤得水泄不通李兆基张国荣阿巴斯直播室香港大学比较文学系

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Perturbation and delayed recovery of the reed invertebrate assemblage in Camargue marshes sprayed with Bacillus thuringiensis israelensis

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Insect Science 2018年第4期25卷 542-548页

作者： brigitte Poulin Gaetan Lefebvre Tour du Valat Research Institute Le Sambuc Aries France

Bacillus thuringiensis var. israelensis （Bti） is the most commonly used larvicide to control mosquitoes worldwide. Considered as nontoxic to most organisms, Bti can nevertheless cause trophic perturbations to natural communities by reducing the abundance of Chironomidae, which are a key element of wetland food webs. Since August 2006, up to 8400 of the 33 000 ha of mosquito larval biotopes in the Camargue （Rh6ne delta, in southern France）, are monitored by a public agency and Bti-sprayed （aqueous solution of VectoBac 12AS at 2.5 L/ha） whenever mosquito larvae （Ochlerotatus easpius and Oc. detritus） appeared in water bodies. This resulted in 30-50 aerial treatments/year, in addition to ground spraying of unknown frequency. The sprayed habitats include Phragmites australis reedbeds, which support a specific avifauna of conservation concern. We compared the abundance of invertebrate prey available to passerine birds at treated and control sites relative to the predicted values based on hydrology over a 9-year period. Food available to reed passerines was significantly reduced at treated areas, translating into a 34% decrease in breeding birds based on predictive modeling. The most affected arthropods were Diptera, Aranaea, Coleoptera, and Hymenoptera. No cumulative effects were observed over time, but the recovery of the invertebrate assemblage after the cessation of mosquito control was delayed due to Bti spore persistence and proliferation in the sediments. While hydrology remains a prime factor influencing primary and secondary productivity of the Camargue reed marshes, Bti spraying had significant negative effects on animal communities at several trophic levels.

关键词： Camargue insecticide impact mosquito control Phragmites australis marsh trophic interactions wetland conservation

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Analyzing the Reliability of Degradable Networks

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Journal of Computer Science & Technology 1993年第1期8卷 77-86页

作者：史维更 brigitte Servatius Thinking Machines Corporation 245 First StreetCombridgeMA 02142-1264U.S.A. Departrnent of Mathematical Sciences Worcester Polytechnic InstituteWorcesterMA 01609U.S.A.

The reachability of a strongly connected network may be destroyed after link *** many networds have directed links with the potential for reversal,the reachabilty may be restored by reversing the direction of *** this... 详细信息

关键词： Network reliability degradable network network reconfiguradon fault tolerant system fault tolerant network strongly connected network

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Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 135-148页

作者： Ibrahima Diallo Aboubacar Gouéta Alseny Camara Assoumi Anatou Biga Mama brigitte Ouoba Edi Emmanuel Martial Nao Moustapha Sérémé Bertin Priva Ouédraogo Yvette Marie Chantal Gyébré Abdoulaye Keita Alpha Oumar Diallo ENT and HNS Department Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Bogodogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Tengandogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Conakry University Hospital Conakry Guinea

Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado Ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012-2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%). The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.

关键词： Foreign Bodies Esophagus Vulnerable Management Sequelae

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