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发掘我们的身体

网球大师 2013年第9期 54-55页

作者： romain deffet Eden 王克

当我们谈到体能训练时,很多人直接就会想到高强度的肌肉训练或疯狂的跑步安排。而我的训练方法是更为复杂的。以一种适当的方式,体能训练可以在球员很小的时候就展开,并能帮助他们发育得更加合理。而根据球员年龄和打法的不同,训练方式... 详细信息

当我们谈到体能训练时,很多人直接就会想到高强度的肌肉训练或疯狂的跑步安排。而我的训练方法是更为复杂的。以一种适当的方式,体能训练可以在球员很小的时候就展开,并能帮助他们发育得更加合理。而根据球员年龄和打法的不同,训练方式也会有很大的不同。

关键词：体能训练训练方法训练方式职业球员职业运动员

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罗曼的热身法则(上)

网球大师 2013年第6期 68-69页

作者： romain deffet Novak 王克

从正要准备大满贯决赛的世界第一到正要参加自己第一次网球课的孩童,热身都是训练中最重要的一环。就像早上开车时要热车一会几以保护爱车一样,我们的身体也需要慢慢的启动。热身的内容根据水平,年龄及有针对性的训练运动员的不同可以... 详细信息

从正要准备大满贯决赛的世界第一到正要参加自己第一次网球课的孩童,热身都是训练中最重要的一环。就像早上开车时要热车一会几以保护爱车一样,我们的身体也需要慢慢的启动。热身的内容根据水平,年龄及有针对性的训练运动员的不同可以有很大的调整,但总的来说目的都是一致的。事实上,好的热身训练能显著提升你的身体表现。1肌肉群:体温的升高能提高机体的化学反应,也能更好地将你的能量(碳水化合物,脂肪)转化为机械能(动力)。2关节:体温的升高促使关节产生及逐渐稀释关节液以润滑关节。

关键词：罗曼肌肉群网球课网球运动神经机能呼吸频率训练强度血液流动动态拉伸针对性训练

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冷却

网球大师 2013年第8期 94-96页

作者： romain deffet Novak 王克

既然知道了热身的重要和怎样做一个好的热身。这期我们就要谈谈练习/训练课结束后身体的冷却。冷却由热身结束后的一段轻量训练活动构成。冷却的目的是为了帮助你的身体回到训练前的状态。包括降低你的心率,呼吸频率和身体的核心温度。... 详细信息

既然知道了热身的重要和怎样做一个好的热身。这期我们就要谈谈练习/训练课结束后身体的冷却。冷却由热身结束后的一段轻量训练活动构成。冷却的目的是为了帮助你的身体回到训练前的状态。包括降低你的心率,呼吸频率和身体的核心温度。在网球运动中,冷却活动包括在底线匀速对拉,一小段慢跑,最后是一些拉伸训练。冷却和热身有一样的重要性,但是很多球员会忘记或者直接忽略冷却活动。

关键词：肌肉群网球运动李娜职业球员延迟性肌肉酸痛核心温度血液流动最大心率无氧酵解呼吸频率

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学习如何训练

网球大师 2013年第10期 104-105页

作者： romain deffet Eden 王克

罗曼的训练哲这体系大体分为五步,9月刊中,他详细讲解了如何去发掘我们自身的潜能。这一期中,他则会教大家如何学习去训练。

关键词：职业球员罗曼训练方法体能训练李娜循环训练轮体休息时间

Obstacles to the Integrated Care of Children Aged 6 to 59 Months Suffering from Acute and Severe Malnutrition at the Chu-Me and HATC of N’Djamena/Chad

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Open Journal of Nursing 2024年第4期14卷 127-138页

作者： Madjiadoumbeye romain Imar Djibrine Soudy Ministè re de la Sant&#233 Publique et de la Pr&#233vention (Tchad) N&#8217Djamena Tchad Laboratoire de Recherche en Sciences des Aliments et Nutrition Facult&#233 des Sciences de la Sant&#233 Humaine (FSSH) Universit&#233 de N&#8217Djamena N&#8217Djamena Tchad

Introduction: the problem of Severe Acute Malnutrition (SAM) and its consequences concern and challenge all social actors worldwide. The objective of the study was to identify the real obstacles that actors face in the integrated management of children aged 6 - 59 months suffering from SAM at the University Hospital of Mother and Child (CHUME) and the Chad-China Friendship Hospital (HATC) of N’Djamena. Methodology: this is a cross-sectional descriptive and interpretative study conducted from January to October 2023 at the CHUME and HATC of N’Djamena. It is based on questionnaires and direct observation of two hundred and thirty-six (236) parents or guardians of malnourished children admitted to these health facilities. All 236 agreed to participate freely in this study. Results: it appears from this study that the obstacles to the integrated management of malnourished children were: poor care-care relationship (26.7%) permanent product breaks (22.9%), the direct costs of services ranged from 30,000 to 60,000 FCFA (41.53%), drugs used for the treatment of patients came from the street (66.10%), malaria and anemia occupy an important place (27.5%), 57.2% respondents had monthly income below 60,000 CFAF. Conclusion: the present study carried out has identified the real bottlenecks to the integrated management of children suffering from SAM in the therapeutic nutritional units of the city of N’Djamena. .

关键词： Integrated Management Child 6 - 59 Months SAM

Comparative Study of the Widal Test against Stool Culture in the Diagnosis of Suspected Cases of Typhoid Fever in Some Low Income Communities in the Adamawa Region of Cameroon

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Journal of Biosciences and Medicines 2024年第6期12卷 178-190页

作者： Mariane Lucie Ngueguim Bernard Viban Tangwa Victor Ngu Ngwa Jules romain Ngueguim Abdoulmoumini Mamoudou School of Veterinary Medicine and Sciences University of Ngaoundere Ngaoundere Cameroon Department of Veterinary Medicine University of Buea Buea Cameroon Institute de Recherhe Agricole pour le Development (IRAD) Ngaoundere Cameroun

Introduction: Infectious diseases constitute a major concern of public health in developing countries. Facilities and well trained staff have been shown to be one of the major obstacles in the rapid and quality diagnosis of these diseases. As such, we carried out an analysis to compare the Widal test and stool culture to identify febrile patients with Salmonella infection. Method: A cross sectional study was conducted to diagnose salmonella infection with out-patients who demonstrated signs of salmonella infection. Serum was harvested from blood collected from 368 (Vina = 234, Mayo Banyo 65, and Djerem = 69) patients accompanied by stool, Widal test was conducted on the spot and stool was taken to a reference laboratory for culture using standard microbiological methods, sociological set up was calculated in percentages, prevalence was calculated using excel while statistical difference was calculated using SPSS. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated to compare the Widal test against stool culture. Results: A total of 368 (50.8% females and 49.2% males) participants took part in the survey. Salmonella prevalence (66.24%) in stool culture in the Vina division was significantly different (p 0.05). The sensitivity,specificity, PPV, and NPV of slide agglutination test against stool culture varied from different areas (Vina: 51.6%, 73.62%, 79.21% and 43.61%;Mayo Banyo: 60.53%, 77.78%, 79.31% and 58.33%;Djerem: 53.18%, 83.73% 73.91% and 67.39%) respectively. Slide agglutination test has a fair agreement with the stool culture (kappa, Vina = 0.202;Mayo Banyo = 0.37 and Djerem = 0.38). Conclusion: Generally, in the three areas of study, the Widal test had a fair correlation with the stool culture;This means the Widal test should not be used alone but in combination with stool culture in the detection of salmonella infections.

关键词： Salmonella Infections Stool Culture Widal Test Adamawa Region Cameroon

Noninvasive Respiratory Strategies in Patients with Acute Hypoxemic Respiratory Failure and COVID-19 in Gabon: A Prospective Observational Study

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Open Journal of Emergency Medicine 2024年第1期12卷 18-27页

作者： Ghislain Edjo Nkilly Raphael Okoue Ondo Fernande Manga Stéphane Oliveira Jean Marcel Mandji-Lawson romain Tchoua Department of Emergency Anesthesia Resuscitation Omar Bongo Ondimba Army Training Hospital Libreville Gabon Department of Anesthesia and Resuscitation Libreville University Hospital Center Libreville Gabon Department of Anesthesia and Resuscitation Akanda Army Training Hospital Libreville Gabon

Importance: The best respiratory support technique to reduce intubation and mortality in patients with respiratory failure due to COVID-19 is controversial. Objective: To determine the respiratory support technique that could reduce the need for tracheal intubation and mortality in patients with respiratory failure due to COVID-19 admitted to intensive care units (ICUs) of Military’s Hospital (HIAOBO) in Gabon. Design, Setting, and Participants-Methodology: Prospective observational study over 10 months (January 2021-October 2021). We included patients admitted to intensive care for SARS Cov2 pneumonia who had benefited from available ventilatory support: high concentration face mask, High Flow Nasal cannula (HFNC), NIV (Non Invasive Ventilation), Continuous Positive Airway Pressure (CPAP). The choice was guided by the clinical condition, and the choice of the prescribing physicians. Recourse to mechanical ventilation was decided when faced with a Glasgow score of less than 13, an SpO2/FiO2 ratio ≤ 300, a FR ≥ 35/min, the impossibility of drainage of secretions. Main Outcomes and Measures: The primary outcome was the proportion of patients requiring intubation. The secondary outcomes were mortality in ICU. Results: The sample included 97 patients, the average age was55.6 years, hypertension was the main comorbidity (51.1%). Mean respiratory rate (RR) was 30.8 cycles/min, admission SpO2 was 83%, respiratory alkalosis was present in 63% of patients, mean CT involvement was 51%.Respiratory support was NIV (56.7%), CPAP (21.65%), high concentration face mask (18.55%). Sixteen percent (16%) of patients were intubated, 93% of them following failure of NIV. Mortality was 30%, mechanical ventilation was an independent risk factor for mortality. Conclusions: Non Invasive Ventilation, CPAP, and high-concentration face mask were frequently used in patients with COVID-related acute respiratory failure. The CPAP has reduced the need for intubation. Mechanic

关键词： Respiratory Failure COVID 19-Intensive Care Units Military Hospital Gabon

Cameroon Climate Predictions Using the SARIMA-LSTM Machine Learning Model: Adjustment of a Climate Model for the Sudano-Sahelian Zone of Cameroon

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Open Journal of Statistics 2024年第3期14卷 394-411页

作者： Joseph Armathé Amougou Isidore Séraphin Ngongo Patrick Forghab Mbomba romain Armand Soleil Batha Paul Ghislain Poum Bimbar Dpartement de Gographie Universit de Yaound 1 Yaound Cameroon Observatoire National sur les Changements Climatiques (ONACC) Yaound Cameroon Laboratoire dAnalyse et Modlisation Multidisciplinaire Statistique (SAMM) Universit de Paris 1 Panthon Sorbonne Paris France Ecole Nationale Suprieure Polytechnique de Yaound 1 Yaound Cameroon Dpartement de Mathmatiques Ecole Normale Suprieure de Yaound Yaound Cameroon Dpartement dInformatique Universit de Yaound 1 Yaound Cameroon

It is acknowledged today within the scientific community that two types of actions must be considered to limit global warming: mitigation actions by reducing GHG emissions, to contain the rate of global warming, and adaptation actions to adapt societies to Climate Change, to limit losses and damages [1] [2]. As far as adaptation actions are concerned, numerical simulation, due to its results, its costs which require less investment than tests carried out on complex mechanical structures, and its implementation facilities, appears to be a major step in the design and prediction of complex mechanical systems. However, despite the quality of the results obtained, biases and inaccuracies related to the structure of the models do exist. Therefore, there is a need to validate the results of this SARIMA-LSTM-digital learning model adjusted by a matching approach, “calculating-test”, in order to assess the quality of the results and the performance of the model. The methodology consists of exploiting two climatic databases (temperature and precipitation), one of which is in-situ and the other spatial, all derived from grid points. Data from the dot grids are processed and stored in specific formats and, through machine learning approaches, complex mathematical equations are worked out and interconnections within the climate system established. Through this mathematical approach, it is possible to predict the future climate of the Sudano-Sahelian zone of Cameroon and to propose adaptation strategies.

关键词： Adjustment Calibration Climate Sudano-Sahelian Zone Numerical Model

Postoperative Analgesia and Cesarean Section under General Anesthesia: Multicenter Study

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Open Journal of Anesthesiology 2024年第1期14卷 1-12页

作者： Ghislain Edjo Nkilly Raphael Okoue Ondo Pascal Christian Nze Obiang Stéphane Oliveira Jean-Marcel Mandji-Lawson romain Tchoua Department of Anesthesia and Intensive Care Omar Bongo Ondimba Army Training Hospital (HIAOBO) Libreville Gabon Department of Anesthesia and Intensive Care Jeanne Ebori Fondation Libreville Gabon Department of Anesthesia and Intensive Care Akanda Army Training Hospital Libreville Gabon

Background: Neuraxial anesthesia with intrathecal morphine is the reference technique in cesarean section anesthesia for the management of postoperative analgesia. If there is a contraindication to this, general anesthesia is required. The objective of the study was to evaluate the analgesic effectiveness of 4 analgesic techniques performed during cesarean section under general anesthesia in two centers with different anesthetic practices (North Franche Comté Hospital and Omar Bongo Ondimba Army Training Hospital). Method: This is a retrospective and descriptive study over 2 years, from January 1, 2019 to December 31, 2020. It involved evaluating the analgesic effectiveness and tolerance of morphine in the epidural catheter, wound infiltration, intravenous analgesia and Transversus Abdominous Plane block (TAP block) from the post-anesthesia care unit (PACU) until the 4th post-operative day. Results: Of the 354 cesarean sections performed, 84 (11.14%) received general anesthesia. The average age was 32.27 years. Acute fetal distress was the first indication for cesarean section (45.2%), followed by hemorrhagic placenta previa (10.7%) and prolapse of the cord (8.33%). Morphine in the epidural catheter was the most used (47.6%) followed by parietal infiltration (36.9%), intravenous analgesia (13.1%) and TAP block (2.38%). The analgesic effectiveness was comparable between the techniques from postoperative day 0 to day 4. No difference in side effects. Postoperative morphine consumption was significantly reduced (p = 0.011) in the infiltration (9 mg) and TAP block (9mg) groups compared to the epidural catheter (16 mg) and intravenous analgesia (17 mg). No difference in 02 rehabilitation criteria (ambulation, first bowel movement). No difference in the occurrence of chronic pain. Conclusion: In the event of a cesarean section under general anesthesia, there are effective and well-tolerated alternatives to neuraxial anesthesia, particularly regional anesthesia

关键词： Cesarean General Anesthesia Morphine Parietal Infiltration Epidural Catheter Transversus Abdominis Plane Block Intravenous Analgesia