检索结果-南通市图书馆

设计 2012年第12期25卷 100-105页

作者： Emma Yves Marchand romain meffre Chartier-Corbasson Architectes

法国亚暖BQUCTOT-VAGNIEZ镇市政厅扩建项目容纳了“皮卡第地区商业和行业协会”，它坐落在一个绿色的基座上，这个基座将旧建筑、新建筑和旁边的花园连接在一起。

关键词：旧建筑行业协会扩建项目市政厅新建筑基座花园

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

穿过底特律的废都灰烬

中国国家旅游 2014年第9期 38-41页

作者：瞎猫 Yves Marchand romain meffre

底特律的升起与陨落底特律是美国密歇根州最大的城市。1701年，法国人卡迪拉克在底特律河畔搽起了第一座木屋，底特律诞生。1896年，亨利·福特在底特律制造了第一台福特汽车，底特律开启了“镀金时代”。20世纪初，底特律因为汽车工业... 详细信息

底特律的升起与陨落底特律是美国密歇根州最大的城市。1701年，法国人卡迪拉克在底特律河畔搽起了第一座木屋，底特律诞生。1896年，亨利·福特在底特律制造了第一台福特汽车，底特律开启了“镀金时代”。20世纪初，底特律因为汽车工业获得了飞速发展，50年代人口激增到200万，跃居美国第四大城市，成为美国式梦幻城市的象征。1967年，底特律发生“第十二街骚乱”，人口的外逃拉开了衰落的序幕。后来，越来越多的白人中产阶级从城市中逃离，企业和工厂开始关闭或搬离，高楼大厦林立的商业区逐渐蜕变成一具具空壳。2013年，底特律宣布破产，一代人的“美国梦”就此销强，底特律成为废城。

关键词：底特律灰烬福特汽车大城市美国式密歇根州卡迪拉克汽车工业

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

马尔尚&梅弗尔衰败与重生被遗忘的电影宫殿

摄影之友 2022年第11期 114-125页

作者：健一伊夫·马尔尚(图) 罗曼·梅弗尔(图) 不详

20世纪初,随着娱乐业的发展,北美各地建起了数百家影院。这些影院大多由大型娱乐公司和电影公司委托专业建筑师建造,它们极尽宏伟奢华,如宫殿般华丽。但从60年代开始,电视机、多厅影院和城市改造开始影响影院的上座率。很明显,它们过时... 详细信息

20世纪初,随着娱乐业的发展,北美各地建起了数百家影院。这些影院大多由大型娱乐公司和电影公司委托专业建筑师建造,它们极尽宏伟奢华,如宫殿般华丽。但从60年代开始,电视机、多厅影院和城市改造开始影响影院的上座率。很明显,它们过时了。在接下来的几十年里,这些影院要么进行了现代化改造,要么相继关闭,其中许多被简单粗暴地拆除了。

关键词：现代化改造多厅影院简单粗暴娱乐业上座率被遗忘马尔尚

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

屋顶上的绿茵场

建筑实践 2010年第11期 62-65页

作者：张森 Philippe Ruault Yves Marchand romain meffre

尽管2010年南非世界杯上法国队表现欠佳,但这并没动摇法国的体育文化、没有冲淡法国培养足球新将的热情。应Métropole酒店的邀请,建筑师Chartier Corbasson为国内足球新人建造了一个只属于足球人士的集中营,以满足球员集中管理为宗旨... 详细信息

尽管2010年南非世界杯上法国队表现欠佳,但这并没动摇法国的体育文化、没有冲淡法国培养足球新将的热情。应Métropole酒店的邀请,建筑师Chartier Corbasson为国内足球新人建造了一个只属于足球人士的集中营,以满足球员集中管理为宗旨。建筑师在接手训练中心项目之时因其独特的水纹地貌,建造了一间看似厂房的2层"仓库",在钢筋水泥的龙骨之下,给学员们的住宿、医疗、培训、办公等方面提供了可能性。

关键词：屋顶水纹建筑师美术家足球场人工草地足球训练训练中心

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

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

“FISH VERTEBRA” about 3 Sickle Cell Patients Followed at Laquintinie Hospital, Douala

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Rheumatology and Autoimmune Diseases 2024年第1期14卷 20-25页

作者： Same Bebey Francine Mbono Betoko Ritha Eloundou Onomo Paul Mantho Fopa Pauline Eposse Ekoube Charlotte Megne Tamo Estelle Ebene Mbende romain Singwe Ngandeu Madeleine Rheumatology Unit Laquintinie Hospital Douala Douala Cameroon Paediatric Unit Laquintinie Hospital Douala Douala Cameroon La Cite Verte Hospital Yaounde Yaounde Cameroon Paediatric Surgery Unit Laquintinie Hospital Douala Douala Cameroon La Cite des palmiers Hospital Douala Douala Cameroon Rheumatology Unit Central Hospital Yaounde Yaounde Cameroon

Vertebral involvement in particular is common in sickle cell patients. We report 3 cases of “fish vertebra” fractures in sickle cell patients aged 16, 18, and 24 years old respectively at Laquintinie Hospital, Douala. When the vertebral fractures were diagnosed, the 3 patients had back pain and kyphosis deformities of the dorsal spine. Treatment with an infusion of biphosphonates (zoledronic acid at a dose of 0.5 mg·per·kg) was offered to all three patients. Two out of three patients received treatment with biphosphonates with a successful outcome. Profound vitamin D deficiency is associated with increased bone remodeling and a history of fractures. In sickle cell anemia, vertebral fractures may also result from bone fragility, which is often overlooked as aseptic osteonecrosis and osteomyelitis, which are very often suspected.

关键词： Vertebral Fractures Sickle Cell Anemia Vertebral Bone Fragility