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Hypertension and intracerebral hemorrhage in Brazzaville

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World Journal of Cardiovascular Diseases 2013年第9期3卷 523-528页

作者： Thierry Raoul Gombet Paul Macaire Ossou-Nguiet thibaut Naibe Gankama Bertrand Fikahem Ellenga-Mbolla Gilbert Fabrice Otiobanda Karen Obondzo-Aloba Benjamin Longo-Mbenza Department of Medicine Faculty of Health Sciences of Brazzaville Brazzaville Congo Service of Emergency University Hospital of Brazzaville Brazzaville Congo Department of Medicine Faculty of Health Sciences of Brazzaville Brazzaville CongoService of Cardiology University Hospital of Brazzaville Brazzaville Congo Department of Medicine Faculty of Health Sciences of Brazzaville Brazzaville CongoService of Neurology University Hospital of Brazzaville Brazzaville Congo Faculty of Health Sciences Walter Sisulu University Mthatha South Africa Service of Cardiology University Hospital of Brazzaville Brazzaville Congo Service of Neurology University Hospital of Brazzaville Brazzaville Congo Service of Reanimation University Hospital of Brazzaville Brazzaville Congo

Hypertension is not only an important risk factor, but also an important cause of spontaneous intracerebral hemorrhage. Its high prevalence in Africa reflects a high incidence of cerebral hemorrhage ranging from 30% to 60% against 10% to 20% in industrialized countries. The aim of our study was to determine the role of hypertension before the onset of intracerebral hemorrhage and its variations during the first three months. This was a longitudinal study conducted at the University Hospital of Brazzaville from 1st January to 31st August 2012 with all patients admitted for intracerebral hemorrhage. Patients with subarachnoid or pure intraventricular hemorrhage were excluded. The study variables were: history of hypertension, knowledge of its history, treatment, blood pressure on admission and during the first 3 months and the relationship between blood pressure and evolution. Statistical analysis was performed using the software SPSSS 16.1. The significance level was set at p < 0.05. During the study 261 patients were hospitalized for stroke, of which 82 (31.42%) were for intracerebral hemorrhage. The mean age was 55 ± 11 years and sex ratio of 2 men:1 woman. Hypertension was found in 80.5% of cases, of which 65.2% had known hypertension, but 82.6% had discontinued treatment. The mean systolic blood pressure was 194 ± 41 mm Hg and diastolic 104 ± 20 mm Hg. The location was deep in 85.71%. The normalization of blood pressure was obtained from the second week. After adjusting for confounders using logistic analysis, only uncontrolled hypertension was associated significantly and independently associated with a higher mortality rate (p = 0.042).

关键词： Hypertension Cerebral Hemorrhage Brazzaville

Outcome of Patients with Lower Limbs Deep Vein Thrombosis at the University Hospital of Brazzaville (The Republic of the Congo)

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World Journal of Cardiovascular Diseases 2023年第12期13卷 845-853页

作者： Stéphane Méo Ikama Eric Gibrel Kimbally Kaky Jospin Makani Fresnel Ngoma Mabondzo thibaut Naïbe Gankama Bijou Moualengue Suzy Gisèle Kimbally Kaky Department of Cardiologye University Hospital Center of Brazzaville Brazzaville Congo Faculty of Health Sciences Marien NGOUABI University of Brazzaville Brazzaville Congo Department of Radiology University Hospital Center of Brazzaville Brazzaville Congo

The aim of this study was to describe the characteristics of patients with deep vein thrombosis (DVT) of the pelvic limbs at the time of diagnosis, and their course after hospitalization, in order to improve the management of DVT in our context. This was a descriptive longitudinal study, based on cases of deep vein thrombosis recorded between 1 January 2015 and 30 September 2018, in the cardiology and internal medicine department of the Brazzaville University Hospital Centre. During the study period, 4678 patients were hospitalized, including 52 with DVT. Thirty-three were reassessed. The frequency of DVT was 1.1% and the average hospitalization rate was 13.9 cases/year. The 33 patients were divided into 20 women and 13 men (sex ratio: 0.65). The mean age of the patients was 51.4 ± 17.8 years (extremes: 16 and 85 years). The main aetiological factors were cancer (19.1%), sickle cell disease (3%) and HIV immunosuppression (3%). The predominant risk factors were: prolonged immobilization (42.9%), pregnancy, long travel and obesity in the same number of cases (n = 3, i.e. 14.2%). The DVT involved the left pelvic limb in 75.8% of cases. Anticoagulants were administered in all patients, and compression stockings were worn in 97% of cases. The mean time to re-evaluation was 10.9 ± 9.4 months (extremes: three and 35 months). The mean measurements of the limb where the thrombosis had occurred at diagnosis and reassessment showed a significant difference. Venous Doppler showed compressible veins (60.6%), varicosities (36.3%), incompressible veins (30.3%) and thrombus (21.2%). Complications were: post-phlebitic disease (42.4%), death (21.2%), pulmonary embolism (18.2%), recurrence (18.2%). The DVT remains relatively rare, and its conventional therapeutic management is satisfactory. Systematic venous Doppler ultrasound reassessment should enable patients at risk of recurrence to be identified.

关键词： Deep Vein Thrombosis Reassessment Complications Congo

斜线与几何法国Théodore Gouvy剧场

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室内设计与装修 2018年第5期 86-93页

作者：无麦子(编译) Eugeni Pons(摄影) David Romero-Uzeda(摄影) thibaut Muller(摄影) dominique coulon&associés 法国不详

弗雷曼-梅尔勒巴克小镇坐落于法国东部的洛林，兴盛于19世纪的煤炭工业到了20世纪90年代，煤矿的关闭导致了这个地区的失业率激增，而文化产业的兴起便成为缓解该地区社会和经济困境的渠道之一。

关键词：法国几何斜线剧场煤炭工业文化产业失业率经济

Repeated stimulation of the posterior parietal cortex in patients in minimally conscious state:a sham-controlled randomized clinical trial

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Repeated stimulation of the posterior parietal cortex in pat...

作者： Wangshan Huang Aurore thibaut Sarah Wannez Felipe Fregni Xiaohua Hu Shan Jing Geraldine Martens Minhui He Haibo Di Steven Laureys Hangzhou Normal University International Vegetative State and Consciousness Science Institute University of Liege and University Hospital of LiegeCyclotron Research Center and Neurology DepartmentComa Science Group Spaulding Rehabilitation Hospital/Harvard Medical School Spaulding Neuro--modulation Center Hangzhou Wujing Hospital Department of Rehabilitation

Objective:We assessed the effects of transcranial direct current stimulation(tDCS) targeted to posterior parietal cortex in patients in minimally conscious state(MCS).Methods:In a randomized double-blind sham-controlled crossover study,MCS patients at least 1 month after traumatic or nontraumatic insult received one sham and one real tDCS session(2 mAduring 20 minutes once a day for five days) in a randomized order separated by five days of washout over the posterior parietal *** Recovery Scale-Revised(CRS-R) assessments were performed directly on enrollment,before the first session and after each real and sham tDCS as well as five days ***-up outcome data were acquired 1,3,6,12 months after inclusion using the ***:33 MCS patients were enrolled(mean age:57±11 years;interval 6±5 months;20 traumatic).Atreatment effect(p=0.012;effect size:0.31) was observed after real tDCS session but did not last for 5 days after the end of the session(p=0.135).We identified 9(27%)tDCS-responders(i.e.,showing new sign(s) of consciousness that was never observed before,lasting at least 5 days after the end of the stimulation).Conclusion:Five days of tDCS over the posterior parietal cortex has a small and short-lasted beneficial effect on consciousness in MCS.

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论制定一部德意志统一民法典之必要性

比较法研究 2008年第3期22卷 144-160页

作者： A·F·J·蒂堡[德] 傅广宇(译) 德国海德堡大学图宾根大学法律系博士生

在不久前发表的一篇评论文章（《海德堡年鉴》1814年卷，第1—32页）中，本人曾就制定德意志统一民法典之必要性附带发表了一些拙见。这让一些值得尊敬的人士敦促我专文对这一重要问题予以更细致的阐述。我并不愿意在一堆很容易就会过... 详细信息

在不久前发表的一篇评论文章（《海德堡年鉴》1814年卷，第1—32页）中，本人曾就制定德意志统一民法典之必要性附带发表了一些拙见。这让一些值得尊敬的人士敦促我专文对这一重要问题予以更细致的阐述。我并不愿意在一堆很容易就会过时的小册子里看到自己的一本，我也没有什么理由相信会有人对我的声音予以特别的关注。

关键词：民法典德意志评论文章海德堡本人

Epidemiological, Clinical and Etiological Profile of Rhythmic Emergencies at the University Hospital of Brazzaville, Republic of Congo

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World Journal of Cardiovascular Diseases 2022年第6期12卷 342-352页

作者： Suzy Gisèle Kimbally-Kaky thibaut Naïbe Gankama Eric Gibrel Kimbally-Kaky Jospin Karel Makani Bijou Moualengue Stéphane Méo Ikama Soodougoua Baragou Thierry Raoul Alexis Gombet Department of Cardiology and Internal Medicine University Hospital of Brazzaville Brazzaville Republic of Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of Congo Sylvanus Olympio University Hospital Lomé Togo Faculty of Health Sciences Lomé Togo Department of Emergency University Hospital of Brazzaville Brazzaville Republic of Congo

Objectives: To describe the epidemiological, clinical and etiological aspects of rhythmic emergencies at the University Hospital of Brazzaville. Patients and Methods: This was a retrospective descriptive study conducted in the cardiology and internal medicine department of the University Hospital of Brazzaville from January 1, 2014 to June 30, 2016. Were included, all patients admitted for a severe rhythm disorder diagnosed on the surface electrocardiogram. Rhythmic emergency was defined as a severe rhythm disorder of abrupt onset and required rapid management. Data entry and analysis were performed with Epi Info software version 3.5.1. Results: During the study period, 2269 patients were hospitalized, including 138 for a rhythmic emergency. The frequency of rhythmic emergencies was 6.1%. The patients were divided into 76 women and 62 men (sex ratio = 0.81). The mean age of the patients was 63.1 ± 16.9 years (extremes: 17 and 91 years). The socio-economic level was low for 103 patients (74.6%), medium for 26 (17.7%), and high for nine (6.6%). The average time to consultation was 13.7 ± 12.3 days. On admission, the signs were: heart failure (103 cases;74.6%) including 22 acute cases;dyspnea (94 cases;68%);palpitations (38 cases;27.5%);functional impotence (13 cases;9.4%);collapse (nine cases;6.5%);chest pain (two cases;1.4%). The type of rhythmic emergency was: rapid atrial fibrillation (103 cases;74.6%), ventricular tachycardia (14 cases;10.1%), junctional tachycardia (10 cases;7.2%), rapid atrial flutter (10 cases;7.2%), tachysystole (one case;0.7%). The context of occurrence was: hypokalemia (8 cases;5.8%), drunkenness (two cases;1.4%), acute gastroenteritis (one case;0.7%). Cardiovascular risk factors were: hypertension (62 cases;45.2%), smoking (17 cases;12.1%), dyslipidemia (12 cases;8.7%), diabetes (11 cases;8%), obesity (10 cases;7.2%). Underlying heart disease was: dilated cardiomyopathy (40 cases;29%), hypertensive cardiomyopathy (26 cases;18.8%), valvulopa

关键词： Cardiac Rhythm Disorders Atrial Fibrillation Dilated Cardiomyopathy Brazzaville

Primary Post-Partum Haemorrhage Following Vaginal Deliveries at the Douala General Hospital: Prevalence, Causes and Risk Factors

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Open Journal of Obstetrics and Gynecology 2021年第6期11卷 742-752页

作者： Théophile Njamen Nana Robert Tchounzou Fulbert Nkwele Mangala Henri Essome Javorez thibaut Demgne Fidelia Mbi Kobenge Bongoe Adamo Thomas Obinchemti Egbe Charlotte Tchente Nguefack Gregory Ekane Halle Department of Obstetrics and Gynecology Douala General Hospital Douala Cameroon Department of Obstetrics and Gynecology Faculty of Health Sciences University of Buea Buea Cameroon Department of Surgery and Specialities Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Came-roon Institut Supérieur des Sciences de la Santé Université des Montagnes Bangangte Cameroun

Background: Postpartum haemorrhage is one of the leading causes of maternal morbidity and mortality worldwide. It occurs predominantly in developing countries due to poorly developed infrastructures and lack of skilled birth attendants. Objective: To identify the prevalence, causes and risk factors of primary postpartum haemorrhage following vaginal deliveries in a referral hospital (Douala General Hospital-Cameroon). Methods: This was a descriptive and analytical study carried in the Douala General Hospital (DGH) for which socio-demographic, clinical, obstetric and post-partum data were collected using a pre-tested questionnaire. Descriptive statistics, multivariate analysis and logistic regression allowed us to present and discuss our results, with a 95% confidence interval (CI) and p value 0.05.

关键词： Primary Postpartum Haemorrhage Prevalence Causes Risk Factors

Impact of Education on the Quality of Life of Asthmatics:Evaluative Study of 100 Cases in Pneumophtisiology Department of the Fann National University Hospital Center(FNUHC),Senegal

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Occupational Diseases and Environmental Medicine 2019年第1期7卷 1-12页

作者： Cheikh Tacko Diop Khady Thiam Fatimata Binetou Rassoule Mbaye Maimouna Fafa Cisse El Hadj Mamadou Ndiaye Samba Niang thibaut Houssou Yacine Dia Kane Ansoumana Diatta Nafissatou Oumar Toure Direction of FNUHC DakarSenegal Pneumophtisiology Department FNUHCDakarSenegal Pneumology Department Regional Hospital Center of Saint-LouisSaint-LouisSenegal Department of Pneumology Peace HospitalZiguinchorSenegal

Introduction: Therapeutic patient education is a continuous, integrated, patient-centered process. A study was conducted in the Asthma School in the pneumophtisiology department of Senegal. Overall goal was to determine the influence of therapeutic education on the quality of life of asthmatics. Method: Transverse study, descriptive and evaluative therapeutic education provided in the school of asthma on quality of life for asthma patients. Data were analyzed through IBM SPSS (Statistical Package for Social Science) version 20. Results: 100 asthmatic patients were included with a sex ratio of 0.37. The average age of the patients was 36.76 years old. The majority (81.3%) (n = 39) being new participants. The average scores for symptoms, exposure to stimuli, emotions and limiting activities stay higher for adherent patients as well as the score overall quality of life. Conclusion: The school of asthma, associated with the therapeutic management, can improve the control of the disease and the quality of life of the patient.

关键词： School of Asthma Chronic Disease Patient Cooperation Non-Medicated Treatment of Asthma

High-finesse Fabry-Perot cavities with bidimensional Si_(3)N_(4) photonic-crystal slabs

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Light(Science & Applications) 2016年第1期5卷 320-327页

作者： Xu Chen Clément Chardin Kevin Makles Charles Caër Sheon Chua Rémy Braive Isabelle Robert-Philip Tristan Briant Pierre-François Cohadon Antoine Heidmann thibaut Jacqmin Samuel Deléglise Laboratoire Kastler Brossel UPMC-Sorbonne UniversitésCNRSENS-PSL Research UniversityCollège de France4 place JussieuCase 74F75252 ParisFrance Current address:IBM Research-Zürich Säumerstrasse 48803 RüschlikonSwitzerland Laboratoire de Photonique et de Nanostructures LPN-CNRS/CNRS Route de Nozay91460 MarcoussisFrance UniversitéParis Diderot Sorbonne Paris Cité75207 ParisFrance

Light scattering by a two-dimensional photonic-crystal slab(PCS)can result in marked interference effects associated with Fano *** devices offer appealing alternatives to distributed Bragg reflectors and filters for various applications,such as optical wavelength and polarization filters,reflectors,semiconductor lasers,photodetectors,bio-sensors and non-linear optical *** PCS also have natural applications in the field of optomechanics,where the mechanical modes of a suspended slab interact via radiation pressure with the optical field of a high-finesse *** reflectivity and transmission properties of a defect-free suspended PCS around normal incidence can be used to couple out-of-plane mechanical modes to an optical field by integrating it in a free-space *** we demonstrate the successful implementation of a PCS reflector on a high-tensile stress Si_(3)N_(4) *** illustrate the physical process underlying the high reflectivity by measuring the photonic-crystal band ***,we introduce a clear theoretical description of the membrane scattering properties in the presence of optical *** embedding the PCS inside a high-finesse cavity,we fully characterize its optical *** spectrally,angular-and polarization-resolved measurements demonstrate the wide tunability of the membrane’s reflectivity,from nearly 0 to 99.9470±0.0025%,and show that material absorption is not the main source of optical ***,the cavity storage time demonstrated in this work exceeds the mechanical period of low-order mechanical drum *** so-called resolved-sideband condition is a prerequisite to achieve quantum control of the mechanical resonator with light.

关键词： Fano resonance high-reflectivity membrane low-loss optical reflector nanomembrane resonator photonic-crystal slab quantum optomechanics