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Sample records for cardioverter-defibrillators current situation

  1. Implantable Cardioverter Defibrillator

    Science.gov (United States)

    ... NHLBI on Twitter. What Is an Implantable Cardioverter Defibrillator? An implantable cardioverter defibrillator (ICD) is a small ... pacemakers and defibrillators. Comparison of an Implantable Cardioverter Defibrillator and a Pacemaker The image compares an ICD ...

  2. Implantable cardioverter defibrillator - discharge

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000108.htm Implantable cardioverter defibrillator - discharge To use the sharing features on this ... chest wall. A device called an implantable cardioverter-defibrillator (ICD) was inserted under your skin and muscle. ...

  3. Implantable cardioverter-defibrillator

    Science.gov (United States)

    ... medlineplus.gov/ency/article/007370.htm Implantable cardioverter-defibrillator To use the sharing features on this page, please enable JavaScript. An implantable cardioverter-defibrillator (ICD) is a device that detects any life- ...

  4. Cardioverter-Defibrillator: A Treatment for Arrhythmia

    Science.gov (United States)

    MENU Return to Web version Arrhythmia | Cardioverter-Defibrillator: A Treatment for Arrhythmia What is an implantable cardioverter-defibrillator? An implantable cardioverter-defibrillator (often called an ICD) is a device that keeps ...

  5. How Will Having an Implantable Cardioverter Defibrillator Affect My Lifestyle?

    Science.gov (United States)

    ... NHLBI on Twitter. How Will an Implantable Cardioverter Defibrillator Affect My Lifestyle? The low-energy electrical pulses ... short time. Devices That Can Disrupt Implantable Cardioverter Defibrillator Functions Once you have an ICD, you have ...

  6. [The implantable cardioverter-defibrillator: sometimes necessary

    NARCIS (Netherlands)

    Smeets, J.L.R.M.

    2004-01-01

    The implantable cardioverter-defibrillator (ICD) is used in patients who are at risk for ventricular fibrillation after having suffered from a myocardial infarction. Initially, patient selection was limited to survivors of impending sudden death with coronary artery disease. Later, ICD implantation

  7. An entirely subcutaneous implantable cardioverter-defibrillator

    NARCIS (Netherlands)

    G.H. Bardy (Gust); W.M. Smith (Warren); A.M. Hood (Margaret); I.G. Crozier (Ian); I.C. Melton (Iain Craig); L.J.L.M. Jordaens (Luc); D.A.M.J. Theuns (Dominic); E. Park (Robert); D.J. Wright (David Justin); D.T. Connelly (Derek); S.P. Fynn (Simon Patrick); F.D. Murgatroyd (Francis); J. Sperzel (Johannes); J. Neuzner (Jörg); S.G. Spitzer (Stefan); A.V. Ardashev (Andrey); A. Oduro (Amo); L. Boersma (Lucas); A.H. Maass (Alexander); I.C. van Gelder (Isabelle); A.A.M. Wilde (Arthur); P.F.H.M. van Pascal; R.E. Knops (Reinoud); C.S. Barr (Craig); P. Lupo (Pierpaolo); R. Cappato (Riccardo); A.A. Grace (Andrew)

    2010-01-01

    textabstractBACKGROUND: Implantable cardioverter-defibrillators (ICDs) prevent sudden death from cardiac causes in selected patients but require the use of transvenous lead systems. To eliminate the need for venous access, we designed and tested an entirely subcutaneous ICD system. METHODS: First, w

  8. Concerns about the implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; van Domburg, Ron T; Theuns, Dominic A M J;

    2005-01-01

    Patients with an implantable cardioverter defibrillator (ICD) are at increased risk of anxiety disorders. In turn, anxiety has been identified as a precipitant of ventricular arrhythmias. Anxiety may in part be attributed to concerns about the ICD firing, but the relationship between ICD concerns...

  9. The mismatch between patient life expectancy and the service life of implantable devices in current cardioverter-defibrillator therapy: a call for larger device batteries.

    Science.gov (United States)

    Neuzner, Jörg

    2015-06-01

    In 2005, Bob Hauser published a paper in the Journal of the American College of Cardiology entitled "The growing mismatch between patient longevity and the service life of Implantable Cardioverter-Defibrillators". Now, nearly a decade later, I would like to perform a second look on the problem of a mismatching between ICD device service life and the survival of ICD recipients. Since 2005, the demographics of the ICD population has changed significantly. Primary prevention has become the dominant indication in defibrillator therapy and device implantation is indicated more and more in earlier stages of cardiac diseases. In former larger scale ICD trials, the patient average 5-year survival probability was in a range of 68-71%; in newer CRT-D trials in a range of 72-88%. Due to a progressively widened ICD indication and implantation preferentially performed in patients with better life expectancy, the problem of inadequate device service life is of growing importance. The early days of defibrillator therapy started with a generator volume of 145 ccm and a device service life service life were similar challenges for the technicians. Today, we have reached a formerly unexpected extent of device miniaturization. However, technologic improvements were often preferentially translated in further device miniaturization and not in prolonging device service life. In his analysis, Bob Hauser reported a prolonged device service life of 2.3 years in ICD models with a larger battery capacity of 0.54 up to 0.69 Ah. Between 2008 and 2014, several studies had been published on the problem of ICD longevity in clinical scenarios. These analyses included "older" and currently used single chamber, dual chamber and CRT devices. The reported average 5-year device service life ranged from 0 to 75%. Assuming today technology, larger battery capacities will only result in minimal increase in device volume. Selected ICD patients may further benefit from device miniaturization-but the vast

  10. Living with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S; Knudsen, Charlotte; Dilling, Karen;

    2016-01-01

    AIMS: The clinical management and care of patients with an implantable cardioverter defibrillator (ICD) has shifted from face-to-face in-clinic visits to remote monitoring. Reduced interactions between patients and healthcare professionals may impede patients' transition to adapting post......-implant. We examined patients' needs and preferences for information provision and care options and overall satisfaction with treatment. METHODS AND RESULTS: Patients implanted with a first-time ICD or defibrillator with cardiac resynchronization therapy (n = 389) within the last 2 years at Odense University...

  11. Gender differences in anxiety and concerns about the cardioverter defibrillator

    DEFF Research Database (Denmark)

    Spindler, Helle; Johansen, Jens B; Andersen, Kirsten Krogh;

    2009-01-01

    Little is known about gender differences in the response to implantable cardioverter defibrillator (ICD) therapy. We compared female and male ICD patients on anxiety, depression, health-related quality of life (HRQL), ICD concerns, and ICD acceptance.......Little is known about gender differences in the response to implantable cardioverter defibrillator (ICD) therapy. We compared female and male ICD patients on anxiety, depression, health-related quality of life (HRQL), ICD concerns, and ICD acceptance....

  12. The automatic implantable cardioverter-defibrillator.

    Science.gov (United States)

    Mirowski, M; Reid, P R; Mower, M M; Watkins, L; Platia, E V; Griffith, L S; Juanteguy, J M

    1984-05-01

    The automatic implantable cardioverter-defibrillator is an electronic device designed to monitor the heart continuously, to identify malignant ventricular tachyarrhythmias, and then to deliver effective countershock to restore normal rhythm. There are two defibrillating electrodes which are also used for waveform analysis; one is located in the superior vena cava, the other is placed over the cardiac apex. A third bipolar right ventricular electrode serves for rate counting and R-wave synchronization. When ventricular fibrillation occurs, a 25 joule pulse is delivered; when ventricular tachycardia faster than a preset rate is detected, the discharge is R-wave synchronized. The device can recycle three times if required. Special batteries can deliver over 100 shocks or provide a 3-year monitoring life. Implantation of the device is made either through a thoracotomy or by a subxiphoid approach. Thus far, the device has been implanted in 160 patients with a follow-up of 42 months. Acceleration of ventricular tachycardia to a faster rhythm or to ventricular fibrillation occurred only rarely and is dealt with most successfully through recycling. Actuarial analysis of the initial 52 patients has indicated 22.9% one-year total mortality, a 52% decrease from the 48% mortality that would be expected in the same group of patients without the device; the mortality attributed to arrhythmias was only 8.5%. In conclusion, the automatic cardioverter-defibrillator can reliably identify and correct potentially lethal ventricular tachyarrhythmias, leading to a substantial increase in survival in properly selected high-risk patients. PMID:6204311

  13. Driving restrictions after implantable cardioverter defibrillator implantation: an evidence-based approach

    OpenAIRE

    Thijssen, Joep; Borleffs, C. Jan Willem; van Rees, Johannes B.; de Bie, Mihály K; van der Velde, Enno T.; Van Erven, Lieselot; Bax, Jeroen J; Cannegieter, Suzanne C.; Schalij, Martin J

    2011-01-01

    Aims Little evidence is available regarding restrictions from driving following implantable cardioverter defibrillator (ICD) implantation or following first appropriate or inappropriate shock. The purpose of the current analysis was to provide evidence for driving restrictions based on real-world incidences of shocks (appropriate and inappropriate). Methods and results A total of 2786 primary and secondary prevention ICD patients were included. The occurrence of shocks was noted during a medi...

  14. The dilemma of implantable cardioverter-defibrillator therapy in the geriatric population

    Institute of Scientific and Technical Information of China (English)

    Diana Revenco; James P Morgan; Lana Tsao

    2011-01-01

    Current guidelines for implantable cardioverter-defibrillator(ICD)therapy in heart failure patients were established by multiple device trials;however,very few geriatric patients(patients≥65 years old)were included in these studies.This article explores the controversies of ICD implantation in the geriatric population,management of delivered ICD therapy in this age group,and the end of life care in patients with ICD.

  15. [Implantable cardioverter-defibrillator at the end of life].

    Science.gov (United States)

    Pfeiffer, D; Hagendorff, A; Kühne, C; Reinhardt, S; Klein, N

    2015-06-01

    Brady- and tachyarrhythmias at the end of life are common observations. Implantable cardioverter-defibrillators answer with antibrady and antitachycardia pacing, which will not be associated with any complaints of the dying patient. In contrast, defibrillation and cardioversion shocks are extremely painful. Therefore shocks should be inactivated at the end of life. Family doctors, internists, emergency physicians and paramedics are unable to inactivate shocks. Deactivation of shocks at the end of life is not comparable to euthanasia or assisted suicide, but allow the patient to die at the end of an uncurable endstage disease. Deactivation of shocks should be discussed with the patient before initial implantation of the devices. The precise moment of the inactivation at the end of life should be discussed with patients and relatives. There is no common recommendation for the time schedule of this decision; therefore it should be based on the individual situation of the patient. Emergency health care physicians need magnets and sufficient information to inactivate defibrillators. The wishes of the patient have priority in the decision process and should be written in the patient's advance directive, which must be available in the final situation. However the physician must not necessarily follow every wish of the patient. As long as the laws in the European Union are not uniform, German recommendations are needed. PMID:26001358

  16. Implantable cardioverter defibrillator specific rehabilitation improves health cost outcomes

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Zwisler, Ann-Dorthe; Koch, Mette Bjerrum;

    2015-01-01

    ) were randomized (1:1) to comprehensive cardiac rehabilitation or usual care. Outcomes were measured by implantable cardioverter defibrillator therapy history from patient records and national register follow-up on mortality, hospital admissions and costs. RESULTS: No significant differences were found...... was -6,789 USD/-5,593 Euro in favour of rehabilitation. CONCLUSION: No long-term health outcome benefits were found for the rehabilitation programme. However, the rehabilitation programme resulted in a reduction in total attributable direct costs.......OBJECTIVE: The Copenhagen Outpatient ProgrammE - implantable cardioverter defibrillator (COPE-ICD) trial included patients with implantable cardioverter defibrillators in a randomized controlled trial of rehabilitation. After 6-12 months significant differences were found in favour...

  17. Cost effectiveness of the implantable cardioverter defibrillator: a preliminary analysis

    OpenAIRE

    O'Brien, Bernie J; Buxton, Martin J; Rushby, Julia A

    1992-01-01

    Background—An implantable cardioverter defibrillator (ICD) may be effective in reducing the risk of sudden cardiac death. The high cost of ICD treatment, however, compared with alternatives raises the question of whether this new technology is an efficient use of scarce health care resources.

  18. Phantom shocks in patients with implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Moons, Philip; Zwisler, Ann-Dorthe;

    2013-01-01

    The aim of this trial was to assess a combined rehabilitation intervention including an exercise training component and a psycho-educational component in patients treated with implantable cardioverter defibrillator (ICD). The hypothesis was that the intervention would reduce the occurrence of...

  19. Pacemakers and implantable cardioverter defibrillators - general and anesthetic considerations

    Directory of Open Access Journals (Sweden)

    Amy G. Rapsang

    2014-06-01

    Full Text Available A pacemaking system consists of an impulse generator and lead or leads to carry the electrical impulse to the patient's heart. Pacemaker and implantable cardioverter defibrillator codes were made to describe the type of pacemaker or implantable cardioverter defibrillator implanted. Indications for pacing and implantable cardioverter defibrillator implantation were given by the American College of Cardiologists. Certain pacemakers have magnet-operated reed switches incorporated; however, magnet application can have serious adverse effects; hence, devices should be considered programmable unless known otherwise. When a device patient undergoes any procedure (with or without anesthesia, special precautions have to be observed including a focused history/physical examination, interrogation of pacemaker before and after the procedure, emergency drugs/temporary pacing and defibrillation, reprogramming of pacemaker and disabling certain pacemaker functions if required, monitoring of electrolyte and metabolic disturbance and avoiding certain drugs and equipments that can interfere with pacemaker function. If unanticipated device interactions are found, consider discontinuation of the procedure until the source of interference can be eliminated or managed and all corrective measures should be taken to ensure proper pacemaker function should be done. Post procedure, the cardiac rate and rhythm should be monitored continuously and emergency drugs and equipments should be kept ready and consultation with a cardiologist or a pacemaker-implantable cardioverter defibrillator service may be necessary.

  20. Behavioral interventions in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Habibović, Mirela; Burg, Matthew M; Pedersen, Susanne S.

    2013-01-01

    The implantable cardioverter defibrillator (ICD) is the first-line treatment for primary and secondary prevention of sudden cardiac death. A subgroup of patients experience psychological distress postimplant, and no clear evidence base exists regarding how best to address patients' needs. The aim...... of this critical review is to provide an overview of behavioral interventions in ICD patients to date, and to delineate directions for future research using lessons learned from the ongoing RISTA and WEBCARE trials....

  1. Implantable cardioverter-defibrillators in congenital heart disease

    OpenAIRE

    Chubb, H; Rosenthal, E

    2016-01-01

    Implantable cardioverter-defibrillators (ICD) have an important role in reducing sudden cardiac death in patients with congenital heart disease (CHD); however, the benefit of ICDs needs to be weighed up against both short-term and long-term adverse effects, which are difficult to evaluate in the heterogeneous CHD population. A tailored approach, taking into account risk stratification and patient-specific factors, is needed to select the most appropriate strategy. This review discusses primar...

  2. The occupational routine of patients implanted with cardioverter-defibrillator

    Directory of Open Access Journals (Sweden)

    Juliana Mannini

    2015-03-01

    Full Text Available Implantable cardioverter-defibrillators (ICD have become a reference as to the standard of care for patients with potentially lethal ventricular arrhythmias. The ICD treats the symptoms of the disease with no impact on its cause; however, the electrical discharge originating from the operating mechanism of this device has been the source of many studies addressing the quality of life of this population. The specific literature points to limitations of patients implanted with cardioverter-defibrillators regarding activities such as working and driving, but little has been discussed whether other areas of occupational performance are also limited. The purpose of this prospective exploratory research, which uses a case study design of quantitative nature, is to know the routine of patients implanted with cardioverter-defibrillator. Fifteen subjects with ICD participated in the study; they were outpatients in the arrhythmia sector of the ‘Clementino Fraga Filho’ University Hospital - HUCFF. The instruments for data collection included an initial interview, SF36 inventory, Role Checklist, and an open question. The results showed interference in the routine occupational performance and occupational roles evaluated, as well as in the fields of mental health and vitality, with greater focus on influences arising from the pathology than the mechanism of the device.

  3. Patient perceptions of implantable cardioverter-defibrillator deactivation discussions: A qualitative study

    Directory of Open Access Journals (Sweden)

    Jane MacIver

    2016-04-01

    Full Text Available Background: There is a class I recommendation for implantable cardioverter-defibrillator deactivation discussions to occur between physicians and heart failure patients. Few studies have reported the patient’s perspective on the timing of implantable cardioverter-defibrillator deactivation discussions. Aim: To determine patient awareness, preferences and timing of implantable cardioverter-defibrillator deactivation discussions. Design: Grounded theory was used to collect and analyze interview data from 25 heart failure patients with an implantable cardioverter-defibrillator. Setting and participants: Patients with an implantable cardioverter-defibrillator, from the Heart Function Clinic at University Health Network (Toronto, Canada. Results: The sample (n = 25 was predominately male (76% with an average age of 62 years. Patients identified three stages where they felt implantable cardioverter-defibrillator deactivation should be discussed: (1 prior to implantation, (2 with any significant deterioration but while they were of sound mind to engage in and communicate their preferences and (3 at end of life, where patients wished further review of their previously established preferences and decisions about implantable cardioverter-defibrillator deactivation. Most patients (n = 17, 68% said they would consider deactivation, six (24% were undecided and two (8% were adamant they would never turn it off. Conclusion: The patient preferences identified in this study support the need to include information on implantable cardioverter-defibrillator deactivation at implant, with change in clinical status and within broader discussions about end-of-life treatment preferences. Using this process to help patients determine and communicate their implantable cardioverter-defibrillator deactivation preferences may reduce the number of patients experiencing distressing implantable cardioverter-defibrillator shocks at end of life.

  4. Pre-implantation implantable cardioverter defibrillator concerns and Type D personality increase the risk of mortality in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; van den Broek, Krista C; Erdman, Ruud A M;

    2010-01-01

    Little is known about the influence of psychological factors on prognosis in implantable cardioverter defibrillator (ICD) patients. We examined the influence of the distressed personality (Type D) and pre-implantation device concerns on short-term mortality in ICD patients.......Little is known about the influence of psychological factors on prognosis in implantable cardioverter defibrillator (ICD) patients. We examined the influence of the distressed personality (Type D) and pre-implantation device concerns on short-term mortality in ICD patients....

  5. Prevention of sudden cardiac death by the implantable cardioverter defibrilator

    Directory of Open Access Journals (Sweden)

    Kovačević Dragan V.

    2011-01-01

    Full Text Available Introduction. Sudden cardiac death or, as it is also called, a modern man’s killer occurs a few hours after the beginning of the disease. Sudden death is the one that happens within an hour from the onset of the subjective discomforts regardless of the existence of any previous disease. According to modern statistics, 450.000 people die suddenly in the USA and 150,000 in Germany. Causes of sudden death. The most frequent causes of sudden death are cardiologic or, in other words, a heart rhythm disorder such as ventricular tachycardia, ventricular fibrillation and bradycardiac rhythm disorder. All these reasons can be efficiently prevented by the implantation of the cardioverter defibrillators. Implantable cardioverter defibrillator. In comparison with the already known medications, the defibrillator seems to be the most efficient in prevention of sudden cardiac death. This fact has been confirmed by large multicentre studies. The implantation itself is a routine procedure. It lasts about an hour and it often passes without any complications. The patient leaves the hospital a few days after the procedure. About 150 of these procedures are performed per year at the Institute of Cardiovascular Diseases Vojvodina. The Social Insurance Fund bears medical costs and the patient only pays the participation fee, which is symbolical if compared to the value and use of the device. Owing to this fact, this device is available to every patient thus making the efficient sudden cardiac death prevention possible.

  6. Somatosensory amplification mediates sex differences in psychological distress among cardioverter-defibrillator patients

    DEFF Research Database (Denmark)

    Versteeg, Henneke; Baumert, Jens; Kolb, Christof;

    2010-01-01

    The present study examined whether female patients with an implantable cardioverter defibrillator (ICD) report more psychological distress than male patients, and whether somatosensory amplification mediates this relationship. Design: Consecutive ICD patients (N = 241; 33% women) participating in...

  7. Prognostic importance of distressed (Type D) personality and shocks in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Denollet, Johan; Tekle, Fetene B; Pedersen, Susanne S.;

    2013-01-01

    Clinical trials have shown the benefit of implantable cardioverter defibrillator (ICD) treatment. In this study, we examined the importance of chronic psychological distress and device shocks among ICD patients seen in clinical practice....

  8. Monitoring device acceptance in implantable cardioverter defibrillator patients using the Florida Patient Acceptance Survey

    DEFF Research Database (Denmark)

    Versteeg, Henneke; Starrenburg, Annemieke; Denollet, Johan;

    2012-01-01

    Patient device acceptance might be essential in identifying patients at risk for adverse patient-reported outcomes following implantation of an implantable cardioverter defibrillator (ICD). We examined the validity and reliability of the Florida Patient Acceptance Scale (FPAS) and identified...

  9. Cognitive behavioral therapy (CBT in a Patient with Implantable Cardioverter Defibrillator (ICD and Posttraumatic stress disorder(PTSD.

    Directory of Open Access Journals (Sweden)

    Sahar Ansari

    2014-09-01

    Full Text Available The implantable cardioverter defibrillator (ICD has currently become the standard treatment for preventing sudden cardiac death. There are some psychological consequences in patients with ICD such as posttraumatic stress disorder (PTSD after the shocks induced by ICD. This report aimed to present the case of a 54-year-old man with ICD who had developed PTSD; his PTSD was treated, using cognitive-behavioral psychotherapy consisting of relaxation, mindfulness and problem solving techniques. In patients with ICD who are experiencing PTSD using cognitive behavioral interventions may be helpful to reduce their psychological sufferings.

  10. Cognitive behavioral therapy (CBT) in a Patient with Implantable Cardioverter Defibrillator (ICD) and Posttraumatic stress disorder(PTSD).

    Science.gov (United States)

    Ansari, Sahar; Arbabi, Mohammad

    2014-07-01

    The implantable cardioverter defibrillator (ICD) has currently become the standard treatment for preventing sudden cardiac death. There are some psychological consequences in patients with ICD such as posttraumatic stress disorder (PTSD) after the shocks induced by ICD. This report aimed to present the case of a 54-year-old man with ICD who had developed PTSD; his PTSD was treated, using cognitive-behavioral psychotherapy consisting of relaxation, mindfulness and problem solving techniques. In patients with ICD who are experiencing PTSD using cognitive behavioral interventions may be helpful to reduce their psychological sufferings.

  11. Anxiety and risk of ventricular arrhythmias or mortality in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Habibović, Mirela; Pedersen, Susanne S.; van den Broek, Krista C;

    2013-01-01

    A subgroup of patients with an implantable cardioverter defibrillator (ICD) experiences anxiety after device implantation. The purpose of the present study was to evaluate whether anxiety is predictive of ventricular arrhythmias and all-cause mortality 1 year post ICD implantation.......A subgroup of patients with an implantable cardioverter defibrillator (ICD) experiences anxiety after device implantation. The purpose of the present study was to evaluate whether anxiety is predictive of ventricular arrhythmias and all-cause mortality 1 year post ICD implantation....

  12. Impact of carvedilol and metoprolol on inappropriate implantable cardioverter-defibrillator therapy

    DEFF Research Database (Denmark)

    Ruwald, Martin H; Abu-Zeitone, Abeer; Jons, Christian;

    2013-01-01

    The goal of this study was to evaluate the effects of carvedilol and metoprolol on the endpoint of inappropriate implantable cardioverter-defibrillator therapy in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation With Cardiac Resynchronization Therapy) study.......The goal of this study was to evaluate the effects of carvedilol and metoprolol on the endpoint of inappropriate implantable cardioverter-defibrillator therapy in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation With Cardiac Resynchronization Therapy) study....

  13. Making post-mortem implantable cardioverter defibrillator explantation safe

    DEFF Research Database (Denmark)

    Räder, Sune B E W; Zeijlemaker, Volkert; Pehrson, Steen;

    2009-01-01

    that the resting voltage over the operating person would not exceed 50 V. CONCLUSION: The use of intact medical gloves made of latex, neoprene, or plastic eliminates the potential electrical risk during explantation of an ICD. Two gloves on each hand offer sufficient protection. We will recommend the use......AIMS: The aim of this study is to investigate whether protection with rubber or plastic gloves during post-mortem explantation of an implantable cardioverter defibrillator (ICD) offers enough protection for the explanting operator during a worst-case scenario (i.e. ICD shock). METHODS AND RESULTS......: We investigated the insulating properties of rubber and plastic gloves (double layer) within the first 60 min exposure (mimicking the maximum time of an explantation procedure) to saline (simulating the effects of body fluids on the gloves). For latex gloves, we measured an increase in voltage up...

  14. Economic evaluations of implantable cardioverter defibrillators: a systematic review.

    Science.gov (United States)

    García-Pérez, Lidia; Pinilla-Domínguez, Pilar; García-Quintana, Antonio; Caballero-Dorta, Eduardo; García-García, F Javier; Linertová, Renata; Imaz-Iglesia, Iñaki

    2015-11-01

    The aim of this paper was to review the cost-effectiveness studies of implantable cardioverter defibrillators (ICD) for primary or secondary prevention of sudden cardiac death (SCD). A systematic review of the literature published in English or Spanish was performed by electronically searching MEDLINE and MEDLINE in process, EMBASE, NHS-EED, and EconLit. Some keywords were implantable cardioverter defibrillator, heart failure, heart arrest, myocardial infarction, arrhythmias, syncope, sudden death. Selection criteria were the following: (1) full economic evaluations published after 1995, model-based studies or alongside clinical trials (2) that explored the cost-effectiveness of ICD with or without associated treatment compared with placebo or best medical treatment, (3) in adult patients for primary or secondary prevention of SCD because of ventricular arrhythmias. Studies that fulfilled these criteria were reviewed and data were extracted by two reviewers. The methodological quality of the studies was assessed and a narrative synthesis was prepared. In total, 24 studies were included: seven studies on secondary prevention and 18 studies on primary prevention. Seven studies were performed in Europe. For secondary prevention, the results showed that the ICD is considered cost-effective in patients with more risk. For primary prevention, the cost-effectiveness of ICD has been widely studied, but uncertainty about its cost-effectiveness remains. The cost-effectiveness ratios vary between studies depending on the patient characteristics, methodology, perspective, and national settings. Among the European studies, the conclusions are varied, where the ICD is considered cost-effective or not dependent on the study. PMID:25323413

  15. Assessment of a remote monitoring system for implantable cardioverter defibrillators.

    Science.gov (United States)

    Masella, Cristina; Zanaboni, Paolo; Di Stasi, Francesca; Gilardi, Serena; Ponzi, Patrizia; Valsecchi, Sergio

    2008-01-01

    We conducted a multicentre study in five Italian hospitals to assess the feasibility of a remote monitoring service for the follow-up of implanted cardiac devices. The system was designed to monitor device performance as well as physiological aspects of the patient's condition. Sixty-seven patients (mean age 64 years) affected by chronic heart failure and with a biventricular implantable cardioverter defibrillator for cardiac re-synchronization therapy (CRT-D) were enrolled for a three-month observation period. A total of 267 device recordings were transmitted through the ordinary telephone network, with a success rate of 99%. The telemonitoring service was more efficient than conventional face-to-face follow-up in terms of the time savings: both for physicians (4.7 minutes versus 15 minutes for remote and conventional monitoring) and for patients (6.6 minutes versus 116.3 minutes). In addition, a total of 23 clinical events occurred during the study, but only two cases required a clinic visit, thus reducing inappropriate hospital admissions. Finally, the service was well accepted by all the users. PMID:18776073

  16. Implantable cardioverter-defibrillator oversensing due to electric shock

    Directory of Open Access Journals (Sweden)

    Jurčević Ružica

    2010-01-01

    Full Text Available Introduction. We described the first case of oversensing due to electric shock in Serbia, in a 54-year-old man who had implantable cardioverter-defibrillator (ICD. Case Outline. In July 2002, the patient had acute anteroseptal myocardial infarction and ventricular fibrillation (VF which was terminated with six defibrillation shocks of 360 J. Coronary angiography revealed 30% stenosis of circumflex artery, the left anterior descending coronary artery was recanalized and the right coronary artery was without stenosis. Left ventricular ejection fraction was 20%. In December 2003, an electrophysiology study was performed and ventricular tachycardia (VT was induced and terminated with 200 J defibrillation shock. Single chamber ICD Medtronic Gem III VR was implanted in January 2004 and defibrillation threshold was 12 J. The patient was followed up during three years every three months and there were no VT/VF episodes and VT/VF therapies. In December 2007, the patient experienced electric shock through the fork while he was making barbecue on the electric grill. ICD recognized this event in VF zone (oversensing and delivered defibrillation shock of 18 J. The electrogram of the episode showed ventricular sensing - intrinsic sinus rhythm with electric shock potentials which were misidentified as VF. After charge time of 3.16 seconds, ICD delivered defibrillation shock and sinus rhythm was still present. Conclusion. Oversensing of ICD has different aetiology and the most common cause is supraventricular tachyarrhythmia.

  17. Radiotherapy in patients with pacemakers and implantable cardioverter defibrillators: a literature review.

    Science.gov (United States)

    Zaremba, Tomas; Jakobsen, Annette Ross; Søgaard, Mette; Thøgersen, Anna Margrethe; Riahi, Sam

    2016-04-01

    An increasing number of patients with implantable cardiac rhythm devices undergo radiotherapy (RT) for cancer and are thereby exposed to the risk of device failure. Current safety recommendations seem to have limitations by not accounting for the risk of pacemakers and implantable cardioverter defibrillators malfunctioning at low radiation doses. Besides scant knowledge about optimal safety measures, only little is known about the exact prevalence of patients with devices undergoing RT. In this review, we provide a short overview of the principles of RT and present the current evidence on the predictors and mechanisms of device malfunctions during RT. We also summarize practical recommendations from recent publications and from the industry. Strongly associated with beam energy of photon RT, device malfunctions occur at ∼3% of RT courses, posing a substantial issue in clinical practice. Malfunctions described in the literature typically consist of transient software disturbances and only seldom manifest as a permanent damage of the device. Through close cooperation between cardiologists and oncologists, a tailored individualized approach might be necessary in this patient group in waiting time for updated international guidelines in the field. PMID:26041870

  18. Automatic implantable cardioverter/defibrillator discharges and acute myocardial injury

    Energy Technology Data Exchange (ETDEWEB)

    Avitall, B.; Port, S.; Gal, R.; McKinnie, J.; Tchou, P.; Jazayeri, M.; Troup, P.; Akhtar, M. (Univ. of Wisconsin-Milwaukee Clinical Campus (USA))

    1990-05-01

    Multiple defibrillations by the automatic implantable cardioverter/defibrillator (AICD) have been reported to result in localized epicardial damage. No data exist, however, regarding whether this damage can be detected in the clinical setting or whether it interferes with the detection of true myocardial infarction. Forty-nine patients who received defibrillations by patch electrodes were studied prospectively. We attempted to document the presence of myocardial injury with the following three commonly used modalities for the detection of myocardial infarction: serial electrocardiographic changes, serial creatine phosphokinase (CPK) and CPK-MB release, and technetium 99m pyrophosphate scanning. Fifteen patients received defibrillations by AICD patches at the time of AICD generator replacement. Nine patients received defibrillations at the time of new AICD lead placement. The average total energy delivered was 85 +/- 29 J. None of these patients had detectable myocardial injury. Ten patients had defibrillations by the AICD patches at the time of bypass operation. One patient in this group developed acute myocardial infarction in the inferior wall after posterior descending coronary bypass operation, as detected by electrocardiogram, 99mTc pyrophosphate scanning, and CPK-MB analysis. Fifteen patients were evaluated for spontaneous AICD discharges. Thirteen had a maximum of five consecutive shocks, and cumulative energy delivered was not greater than 330 J. None of these patients had detectable injury. Two patients had CPK-MB release of 15.3% and 7.5%, respectively. One of these patients had a positive 99mTc pyrophosphate scan. These two patients received 12 and 17 rapid and consecutive AICD discharges, respectively, with cumulative delivered energy of 360 and 510 J, respectively.

  19. Arrhythmia Management in the Elderly-Implanted Cardioverter Defibrillators and Prevention of Sudden Death.

    Science.gov (United States)

    Manian, Usha; Gula, Lorne J

    2016-09-01

    We present an overview of arrhythmia management in elderly patients as it pertains to implantable cardioverter defibrillator (ICD) therapy and prevention of sudden death. Treatment of arrhythmia in elderly patients is fraught with challenges pertaining to goals of care and patient frailty. With an ever increasing amount of technology available, realistic expectations of therapy need to balance quality and quantity of life. The ICD is an important treatment option for selected patients at risk of ventricular arrhythmia and sudden cardiac death. However, the incidence of sudden death as a percentage of all-cause mortality decreases with age. Studies have reported that 20% of elderly patients might die within 1 year of an episode of life-threatening ventricular arrhythmia, but most because of nonarrhythmic causes. This illustrates the 'sudden cardiac death paradox,' with a great proportion of death in elderly patients, even those at risk for ventricular arrhythmias, attributable to medical conditions that cannot be addressed by an ICD. We discuss current practices in ICD therapy in elderly patients, existing evidence from registries and clinical trials, approaches to risk stratification, and important ethical considerations. Although the decision on whether ICD insertion is appropriate in the elderly population remains an area of uncertainty from an evidence-based and ethical perspective, we offer insight on potential clinical and research strategies for this growing population. PMID:27568872

  20. E-Health to Manage Distress in Patients With an Implantable Cardioverter-Defibrillator

    DEFF Research Database (Denmark)

    Habibović, Mirela; Denollet, Johan; Cuijpers, Pim;

    2014-01-01

    UNLABELLED: The Web-based distress management program for patients with an implantable cardioverter-defibrillator (ICD; WEBCARE) was developed to mitigate distress and enhance health-related quality of life in ICD patients. This study investigated the treatment effectiveness at 3-month follow-up ...

  1. Gender disparities in anxiety and quality of life in patients with an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Habibović, Mirela; van den Broek, Krista C; Theuns, Dominic A M J;

    2011-01-01

    A paucity of studies in implantable cardioverter-defibrillator (ICD) patients has examined gender disparities in patient-reported outcomes, such as anxiety and quality of life (QoL). We investigated (i) gender disparities in anxiety and QoL and (ii) the magnitude of the effect of gender vs. New...

  2. Emotional distress in partners of patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Van Den Broek, Krista C; Habibović, Mirela; Pedersen, Susanne S.

    2010-01-01

    Both patients with an implantable cardioverter defibrillator (ICD) and their partners face challenges when adapting to the ICD. Distress is a burden on its own for partners but may also affect well being and health of patients. This review provides a systematic overview of the literature on psych...

  3. Shock as a determinant of poor patient-centered outcomes in implantable cardioverter defibrillator patients

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Van Den Broek, Krista C; Van Den Berg, Martha;

    2010-01-01

    The medical benefits of the implantable cardioverter defibrillator (ICD) are well established, but ICD shocks are known to influence patient-centered outcomes. In this viewpoint, we examine the strength of the evidence as found in primary and secondary prevention trials that used quality of life ...

  4. Undertreatment of anxiety and depression in patients with an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Kupper, Nina; Theuns, Dominic A M J;

    2012-01-01

    Twenty-five to 33% of patients with an implantable cardioverter-defibrillator (ICD) experience anxiety and depression, but it is not known whether their symptoms are adequately treated. We investigated (a) whether patients with clinically relevant symptoms of distress received appropriate treatment...

  5. Psychological vulnerability, ventricular tachyarrhythmias and mortality in implantable cardioverter defibrillator patients

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Brouwers, Corline; Versteeg, Henneke

    2012-01-01

    Implantable cardioverter defibrillator (ICD) therapy is the first-line treatment for the prevention of sudden cardiac death. Despite the demonstrated survival benefits of the ICD, predicting which patients will die from a ventricular tachyarrhythmia remains a major challenge. So far, psychological...

  6. Non-pharmacological treatment of heart failure: Implantable cardioverter defibrillator (ICD) and cardiac resynchronisation therapy

    NARCIS (Netherlands)

    Van Gelder, I.C.; Smit, M.D.; Nieuwland, W; Van Veldhuisen, D.J.

    2006-01-01

    The non-pharmacological therapy of heart failure, in particular an implantable cardioverter defibrillator (ICD) and cardiac resynchronisation therapy or biventricular stimulation, improves symptoms and survival in patients with heart failure. - An ICD is indicated in many patients with heart failure

  7. SUDDEN CARDIAC DEATH AND THE USE OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS IN PEDIATRIC-PATIENTS

    NARCIS (Netherlands)

    SILKA, MJ; KRON, J; DUNNIGAN, A; DICK, M; BINKBOELKENS, M; ERICKSON, CC; JEDEIKIN, R; WETZEL, GT; VANHARE, GF; CAMPBELL, R; WALSH, E; SAUL, JP; SCHAFFER, MS; KARPAWICH, P; VOGEL, RL; BENSON, DW; DEAL, B; SCAGLIOTTI, D; STERBA, R; HORDOF, AJ; KRONGRAD, E; KANTER, RJ; EPSTEIN, M; COHEN, M; BEDER, S; HAMILTON, R; FOURNIER, A; HUBBARD, J; CHRISTIANSEN, JL; JENNINGS, J; VILLAFANE, J; PORTER, CBJ; CASE, C; GILLETTE, PC; BELAND, M; KUGLER, JD; OCONNOR, BK; ALLENDER, H; HERNDON, SP; SMITH, RT; BURTON, D; KURER, CC; BYRUM, C; GUAM, WE; FRIEDMAN, R; PERRY, JC; SCOTT, W; MEHTA, AV; PICKHOFF, AS; FISH, F; YEAGER, S; KAWABORI, [No Value; TRIPPLE, M; ROSENFELD, LE

    1993-01-01

    Background. During the past decade. the implantable cardioverter-defibrillator (ICD) has emerged as the primary therapeutic option for survivors of sudden cardiac death (SCD). Investigation of the clinical efficacy of these devices has primarily assessed outcome in adults with coronary artery diseas

  8. Psychosocial impact of implantable cardioverter defibrillators (ICD) in young adults with Tetralogy of Fallot.

    NARCIS (Netherlands)

    Opic, P.; Utens, E.M.; Moons, P.; Theuns, D.A.; Dijk, A.P.J. van; Hoendermis, E.S.; Vliegen, H.W.; Groot, N.M. de; Witsenburg, M.; Schalij, M.; Roos-Hesselink, J.W.

    2012-01-01

    OBJECTIVE: To investigate the psychosocial impact of having an implantable cardioverter defibrillator (ICD) in adults with Tetralogy of Fallot (ToF). METHODS: Included were 26 ToF-patients with an ICD (age 44 +/- 12 years), and two control groups consisting of 28 ToF-patients without an ICD (age 40

  9. Psychosocial impact of implantable cardioverter defibrillators (ICD) in young adults with Tetralogy of Fallot

    NARCIS (Netherlands)

    Opic, Petra; Utens, Elisabeth M. W. J.; Moons, Philip; Theuns, Dominic A. M. J.; van Dijk, Arie P. J.; Hoendermis, Elke S.; Vliegen, Hubert W.; de Groot, Natasja M. S.; Witsenburg, Maarten; Schalij, Martin; Roos-Hesselink, Jolien W.

    2012-01-01

    To investigate the psychosocial impact of having an implantable cardioverter defibrillator (ICD) in adults with Tetralogy of Fallot (ToF). Included were 26 ToF-patients with an ICD (age 44 +/- A 12 years), and two control groups consisting of 28 ToF-patients without an ICD (age 40 +/- A 10 years) an

  10. Psychosocial impact of implantable cardioverter defibrillators (ICD) in young adults with Tetralogy of Fallot

    NARCIS (Netherlands)

    P. Opic (Petra); E.M.W.J. Utens (Elisabeth); P. Moons (Philip); D.A.M.J. Theuns (Dominic); A.P.J. van Dijk (Arie); E.S. Hoendermis (Elke); H.W. Vliegen (Hubert); N. de Groot (Natasja); M. Witsenburg (Maarten); M.J. Schalij (Martin Jan); J.W. Roos-Hesselink (Jolien)

    2012-01-01

    textabstractObjective To investigate the psychosocial impact of having an implantable cardioverter defibrillator (ICD) in adults with Tetralogy of Fallot (ToF). Methods Included were 26 ToF-patients with an ICD (age 44 ± 12 years), and two control groups consisting of 28 ToF-patients without an ICD

  11. Increased anxiety in partners of patients with a cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; VAN DEN Berg, Martha; Erdman, Ruud A M;

    2009-01-01

    The partner of the implantable cardioverter-defibrillator (ICD) patient serves as an important source of support for the patient, which may be hampered if the partner experiences increased distress. We examined (1) potential differences in anxiety and depressive symptoms in ICD patients compared...

  12. Experiences of patients with implantable cardioverter defibrillator in Turkey: A qualitative study

    Directory of Open Access Journals (Sweden)

    Özgür Aslan

    2012-01-01

    Full Text Available Background. There has been an increase in the number of patients with implantable cardioverter defibrillator (ICD. It isimportant to understand ICD patients’ experiences with it.Aim. The aim of this study was to describe experiences of patients with implantable cardioverter defibrillator (ICD.Methodology. A qualitative approach was used. Focus group interviews were used to obtain data from 19 patients whowere implanted cardioverter defibrillator at two centers in Izmir, Turkey. The patients were assigned into four groups. Thedata was analyzed using qualitative content analysis.Results. The analysis revealed six main themes: activities of daily living, social life, familial relationships, emotionalchanges, implantable cardioverter defibrillator shocks and experiences with receiving information and counselling fromhealth care providers.Conclusions. It can be concluded that patients with ICD experience physical and psychological problems and are not offeredthe education they need. To reduce the fears of the patients and their families and to prepare them for possible life stylechanges, comprehensive training programs that start in the pre-implantation period and continue into the post-implantationperiod should be organized.

  13. Relation of statin therapy to psychological functioning in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Theuns, Dominic A M J; Kupper, Nina;

    2013-01-01

    patients, in general, and patients with an implantable cardioverter defibrillator (ICD), in particular. We investigated the association between statin therapy and symptoms of anxiety and depression and patients' health status during the 12 months after implantation, reckoning with statin type and dosage...

  14. Ventricular Tachyarrhythmias and Mortality in Patients With an Implantable Cardioverter Defibrillator

    DEFF Research Database (Denmark)

    Mastenbroek, Mirjam H; Versteeg, Henneke; Jordaens, Luc;

    2014-01-01

    Objective We examined whether depression is independently associated with implantable cardioverter defibrillator (ICD) therapy for ventricular tachyarrhythmias and mortality. Methods A cohort of 430 consecutive patients with a first-time ICD (79% men; mean [standard deviation] age = 57.8 [12...

  15. Dual-chamber implantable cardioverter-defibrillator. Is it useful in patient with permanent atrial fibrillation?

    Science.gov (United States)

    Porres-Aracama, José M; Cerezuela, José Luis; García-Urra, Francisco; Luque-Lezcano, Oscar; Herrero, Vicente

    2016-08-01

    In patients with permanent atrial fibrillation (AF) and implantable cardioverter-defibrillator (ICD) implant indication, a single-chamber device is the choice because AF does not provide interesting information for the treatment. It is very unusual to find patients with permanent AF that coexist with atrial tachycardia with various degree of Atrioventricular block. PMID:27525075

  16. Long-Term Performance of the Riata/ST Implantable Cardioverter-Defibrillator Lead.

    Science.gov (United States)

    Ströker, Erwin; de Asmundis, Carlo; Vanduynhoven, Philippe; De Vadder, Katrien; De Vusser, Philip; Mullens, Wilfried; Chierchia, Gian-Battista; Brugada, Pedro; Czapla, Jens; La Meir, Mark; Wellens, Francis; Van Herendael, Hugo; Rivero-Ayerza, Maximo

    2016-03-01

    Riata and Riata ST implantable cardioverter-defibrillator leads are prone to structural and electrical failure (EF). Our objective was to evaluate Riata/ST lead performance over a long-term follow-up. Of 184 patients having undergone Riata/ST and Riata ST Optim lead implantation from September 2003 to June 2008, 154 patients were evaluated for EF and radiographic conductor externalization (CE). Survival analysis for EF was performed for Riata/ST leads, both for failure-free lead survival and cumulative hazard. Subanalysis on 7Fr leads was performed to evaluate EF and CE rates both for different Riata ST lead management (monitoring vs proactive) and between Riata ST and Riata ST Optim leads. During a mean follow-up of 7 years, Riata/ST lead EF rate was 13% overall. Similar failure-free survival rate was noted for 7Fr as for 8Fr leads (log-rank, p = 0.63). Of all failed leads, 64% failed only after 5 years of follow-up. Compared with the absolute failure rate of 1.84% per device year, cumulative hazard analysis for leads surviving past 5 years revealed an estimated failure rate of 7% per year. No clinical or procedural predictors for EF were found. The subanalysis on 7Fr leads showed an excellent outcome both for a proactive lead management approach as for Optim leads. In conclusion, long-term survival of the Riata/ST lead is impaired with an accelerating EF risk over time. An initial exponential trend was followed by a linear lead failure pattern for leads surviving past 5 years, corresponding to an estimated 7% annual EF rate. These findings may have repercussions on the lead management strategy in patients currently surviving with a Riata/ST lead to prevent significant clinical events like inappropriate shocks or failed device interventions. PMID:26762730

  17. Clinical effects and implications of cardiac rehabilitation for implantable cardioverter defibrillator patients

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Moons, Philip; Christensen, Anne Vingaard;

    2015-01-01

    BACKGROUND:: The Copenhagen Outpatient ProgrammE-Implantable Cardioverter Defibrillator trial was a randomized clinical trial that compared a complex rehabilitation intervention including exercise training and psychoeducational interventions with usual care. A significant difference between...... rehabilitation and usual care was found in physical capacity and general and mental health. However, the clinical effect sizes of these findings were not investigated, and the findings from the quantitative and qualitative analyses were not triangulated to address the issue of whether the qualitative results......-time implantable cardioverter defibrillator implantation were randomized (1:1) to comprehensive cardiac rehabilitation (12 weeks of exercise training and 1 year of psychoeducational follow-up) versus treatment as usual. Two primary outcomes, perceived health (Short Form-36) and peak oxygen uptake, were used. Cohen...

  18. Spinal cord stimulation for refractory angina in patients implanted with cardioverter defibrillators: five case reports

    DEFF Research Database (Denmark)

    Enggaard, Thomas P; Andersen, Claus; Scherer, Christian

    2010-01-01

    Patients implanted with a cardioverter defibrillator (ICD) who are suffering from refractory angina pectoris could benefit from spinal cord stimulation (SCS) due to the well-documented pain relieving effect. However, the combined treatment remains controversial. The aim of the study is to report...... tolerable level of stimulation was carried out to exclude inference with the ICD. The following treatment with SCS has in all cases been successful, with significant pain relief and improved quality of life. There were no incidences of inappropriate defibrillator shocks. Spinal cord stimulation...... successful long-term treatment with SCS in five patients implanted with cardioverter defibrillators. The combined treatments with ICD and thoracic epidural electrical stimulation were used in five patients with refractory angina pectoris. During the procedure of the implantation, testing with the maximal...

  19. Initial Experiences of Implantable Cardioverter-Defibrillator Treatment in Patients with Ventricular Tachyarrhythmias

    OpenAIRE

    CHINUSHI, Masaomi; Aizawa, Yoshifusa; Abe, Akira; Shiba, Masami; Washizuka, Takashi; Tamura, Makoto; Igarashi, Yutaka; Kusano, Yoriko; Niwano, Shinichi; Shibata, Akira; Watanabe, Hiroshi; Eguchi, Shoji

    1996-01-01

    Implantable cardioverter-defibrillators (ICD) were implanted in 11 patients with drug refractory ventricular tachyarrhythmias. Both ventricular fibrillation (VF) and sustained ventricular tachycardia (VT) were documented in 4 of the 11 patients, and VF or VT was observed in the other 4 and 3 patients, respectively. The mean left ventricular ejection fraction of the 11 patients was 40±22%; underlying heart diseases were observed in 9 patients, old myocardial infarction in 4 patients, and dilat...

  20. Spiritual well-being may buffer psychological distress in patients with implantable cardioverter defibrillators (ICD)

    OpenAIRE

    Salmoirago-Blotcher, Elena; Crawford, Sybil; Tran, Chau; Goldberg, Robert; Rosenthal, Lawrence; Ockene, Ira

    2012-01-01

    Psychological distress is common in patients with implantable cardioverter defibrillators (ICDs) and has been associated with a worse prognosis. The authors examined whether spiritual wellbeing is associated with reduced psychological distress in patients with ICDs. The Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing (FACIT-SWB) questionnare and the Hospital Anxiety and Depression Scale (HADS) were used to measure spiritual wellbeing and overall psychological distress. Mu...

  1. The Medtronic Sprint Fidelis Lead Advisory Notification has no adverse impact on patient reported outcomes in Danish implantable cardioverter defibrillator patients

    DEFF Research Database (Denmark)

    Pedersen, Susanne Møller; Versteeg, Henneke; Nielsen, Jens C.;

    The Medtronic Sprint Fidelis Lead Advisory Notification has no adverse impact on patient reported outcomes in Danish implantable cardioverter defibrillator patients.......The Medtronic Sprint Fidelis Lead Advisory Notification has no adverse impact on patient reported outcomes in Danish implantable cardioverter defibrillator patients....

  2. The Medtronic Sprint Fidelis Lead Advisory Notification Has No Adverse Impact on Patient Reported Outcomes in Danish Implantable Cardioverter Defibrillator Patients

    DEFF Research Database (Denmark)

    Pedersen, Susanne Møller; Versteeg, Henneke; Nielsen, Jens C.;

    The Medtronic Sprint Fidelis Lead Advisory Notification Has No Adverse Impact on Patient Reported Outcomes in Danish Implantable Cardioverter Defibrillator Patients.......The Medtronic Sprint Fidelis Lead Advisory Notification Has No Adverse Impact on Patient Reported Outcomes in Danish Implantable Cardioverter Defibrillator Patients....

  3. Beam Profile Disturbances from Implantable Pacemakers or Implantable Cardioverter-Defibrillator Interactions

    Energy Technology Data Exchange (ETDEWEB)

    Gossman, Michael S., E-mail: mgossman@tsrcc.com [Tri-State Regional Cancer Center, Medical Physics Section, Ashland, KY (United States); Comprehensive Heart and Vascular Associates, Heart and Vascular Center, Ashland, KY (United States); Medtronic, Inc., External Research Program, Mounds View, MN (United States); Nagra, Bipinpreet; Graves-Calhoun, Alison; Wilkinson, Jeffrey [Tri-State Regional Cancer Center, Medical Physics Section, Ashland, KY (United States); Comprehensive Heart and Vascular Associates, Heart and Vascular Center, Ashland, KY (United States); Medtronic, Inc., External Research Program, Mounds View, MN (United States)

    2011-01-01

    The medical community is advocating for progressive improvement in the design of implantable cardioverter-defibrillators and implantable pacemakers to accommodate elevations in dose limitation criteria. With advancement already made for magnetic resonance imaging compatibility in some, a greater need is present to inform the radiation oncologist and medical physicist regarding treatment planning beam profile changes when such devices are in the field of a therapeutic radiation beam. Treatment plan modeling was conducted to simulate effects induced by Medtronic, Inc.-manufactured devices on therapeutic radiation beams. As a continuation of grant-supported research, we show that radial and transverse open beam profiles of a medical accelerator were altered when compared with profiles resulting when implantable pacemakers and cardioverter-defibrillators are placed directly in the beam. Results are markedly different between the 2 devices in the axial plane and the sagittal planes. Vast differences are also presented for the therapeutic beams at 6-MV and 18-MV x-ray energies. Maximum changes in percentage depth dose are observed for the implantable cardioverter-defibrillator as 9.3% at 6 MV and 10.1% at 18 MV, with worst distance to agreement of isodose lines at 2.3 cm and 1.3 cm, respectively. For the implantable pacemaker, the maximum changes in percentage depth dose were observed as 10.7% at 6 MV and 6.9% at 18 MV, with worst distance to agreement of isodose lines at 2.5 cm and 1.9 cm, respectively. No differences were discernible for the defibrillation leads and the pacing lead.

  4. Intra-operative defibrillation testing and clinical shock efficacy in patients with implantable cardioverter-defibrillators

    DEFF Research Database (Denmark)

    Bänsch, Dietmar; Bonnemeier, Hendrik; Brandt, Johan;

    2015-01-01

    AIMS: This trial was designed to test the hypothesis that shock efficacy during follow-up is not impaired in patients implanted without defibrillation (DF) testing during first implantable cardioverter-defibrillator (ICD) implantation. METHODS AND RESULTS: Between February 2011 and July 2013, 1077...... within 30 days in 94 patients (17.6%) tested compared with 89 events in 74 patients (13.9%) not tested (P = 0.095). CONCLUSION: Defibrillation efficacy during follow-up is not inferior in patients with a 40 J ICD implanted without DF testing. Defibrillation testing during first time ICD implantation...

  5. Investigation of Pt, Ti, TiN, and nano-porous carbon electrodes for implantable cardioverter-defibrillator applications

    Energy Technology Data Exchange (ETDEWEB)

    Norlin, A.; Pan, J.; Leygraf, C

    2004-09-15

    The electrochemical behavior and stability of Pt, Ti, TiN, and nano-porous carbon for implantable cardioverter-defibrillator (ICD) electrode application were investigated in a phosphate buffered saline solution. The electrochemical interfacial properties were examined by electrochemical impedance spectroscopy, and the potential and current response during ICD shock pulses were recorded by a digital oscilloscope. Changes in surface composition and structure were investigated using X-ray photoelectron spectroscopy and environmental scanning electron microscopy. When exposed to anodic 700 V shock pulses with duration of 10 ms, only Pt was stable, nano-porous carbon electrode was slightly attacked, whereas Ti and TiN electrodes suffered severe degradation. Upon cathodic shock pulsing, all the materials were stable, but Ti and TiN electrodes with a smooth surface showed evidence of hydrogen adsorption. Porous and rough electrodes produced less gas evolution compared to a smooth surfaces, due to a higher amount of charge transferred through non-Faradaic processes. The reason for this could be higher interfacial capacity due to the large surface area.

  6. 12. Physicians’ knowledge and attitudes in Saudi Arabia regarding implantable cardioverter-defibrillators and cardiac resynchronization therapy

    Directory of Open Access Journals (Sweden)

    A. Aljasser

    2016-07-01

    Full Text Available Information is limited regarding the knowledge and attitudes of physicians in Saudi Arabia involved in the referral of patients for implantable cardioverter-defibrillator (ICD and cardiac resynchronization and defibrillation therapy (CRT-D devices implantation. As such knowledge is the key to provide the patient with an important treatment, we aimed for its assessment. We conducted personal interviews with physicians involved in treating patients with heart failure. We included all hospitals in Riyadh region that has no cardiac electrophysiology service. Every participant was met in person and received an oral questionnaire that aims to assess basic knowledge about ICD and CRT.63 physicians were met from 13 hospitals (14 consultants and 49 specialist. 41% of participants use ⩽35% as the LVEF criterion for ICD referral in patients with cardiomyopathy. 30% of participants use ⩽35% as the LVEF criterion for CRT referral. 24% of participants were not aware about CRT as a therapy for patients with heart failure. 50% of the consultants use ⩽35% for ICD and CRT referral. 70% of the participants think that ICD may improve heart failure symptoms. 45% of participants who were about CRT do not think that CRT-D may prevent sudden death due to arrhythmia.There is a lack of knowledge with current clinical guidelines regarding ICD and CRT implantation. This finding highlights the need to improve the dissemination of guidelines to practitioners involved in managing patients with heart failure in an effort to improve ICD and CRT utilization.

  7. Use of the Wearable Cardioverter Defibrillator in High-Risk Populations.

    Science.gov (United States)

    Lamichhane, Madhab; Safadi, Abdul; Surapaneni, Phani; Salehi, Negar; Thakur, Ranjan K

    2016-08-01

    The United States Food and Drug Administration has approved the wearable cardioverter defibrillator (WCD) for use in patients who are at high risk for sudden cardiac arrest (SCA) and who do not yet have an established indication for an implantation cardioverter defibrillator (ICD) or have contraindications for device implantation for various reasons. The WCD is typically used for primary prevention in (1) high-risk patients with reduced left ventricular ejection fraction (LVEF) ≤35 % after recent acute myocardial infarction (MI) during the 40-day ICD waiting period, (2) before and after coronary artery bypass graft or percutaneous coronary intervention during the 90-day ICD waiting period, (3) after recently diagnosed nonischemic dilated cardiomyopathy (NICM) during the 3- to 9-month medical therapy optimization period, or (4) for those with inherited proarrhythmic conditions such as long QT syndrome or hypertrophic cardiomyopathy. Unlike the automatic external defibrillator, the WCD does not require assistance from bystanders for therapy and conscious patients can delay or avert therapy with the use of response buttons. The WCD exhibits a small risk of inappropriate shock, mostly due to supraventricular tachycardia and/or electrical noise. Multiple non-randomized observational studies have shown high efficacy in detection and appropriate shock therapy for sustained ventricular tachyarrhythmias. This paper discusses the use of the WCD for prevention of SCA in patients with various cardiac substrates. PMID:27319008

  8. Experience With the Wearable Cardioverter-Defibrillator in Patients at High Risk for Sudden Cardiac Death

    Science.gov (United States)

    Günther, Michael; Quick, Silvio; Pfluecke, Christian; Rottstädt, Fabian; Szymkiewicz, Steven J.; Ringquist, Steven; Strasser, Ruth H.; Speiser, Uwe

    2016-01-01

    Background: This study evaluated the wearable cardioverter-defibrillator (WCD) for use and effectiveness in preventing sudden death caused by ventricular tachyarrhythmia or fibrillation. Methods: From April 2010 through October 2013, 6043 German WCD patients (median age, 57 years; male, 78.5%) were recruited from 404 German centers. Deidentified German patient data were used for a retrospective, nonrandomized analysis. Results: Ninety-four patients (1.6%) were treated by the WCD in response to ventricular tachyarrhythmia/fibrillation. The incidence rate was 8.4 (95% confidence interval, 6.8–10.2) per 100 patient-years. Patients with implantable cardioverter-defibrillator explantation had an incidence rate of 19.3 (95% confidence interval, 12.2–29.0) per 100 patient-years. In contrast, an incidence rate of 8.2 (95% confidence interval, 6.4–10.3) was observed in the remaining cardiac diagnosis groups, including dilated cardiomyopathy, myocarditis, and ischemic and nonischemic cardiomyopathies. Among 120 shocked patients, 112 (93%) survived 24 hours after treatment, whereas asystole was observed in 2 patients (0.03%) with 1 resulting death. ConclusionS: This large cohort represents the first nationwide evaluation of WCD use in patients outside the US healthcare system and confirms the overall value of the WCD in German treatment pathways. PMID:27458236

  9. Shock and patient preimplantation type D personality are associated with poor health status in patients with implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Tekle, Fetene B; Hoogwegt, Madelein T;

    2012-01-01

    Implantable cardioverter-defibrillator (ICD) shock is a critical event to patients associated with well-being after implantation, although other factors may play an equally important role. We compared the association of shock and the patient's preimplantation personality with health status, using...

  10. Patient-reported outcomes in Danish implantable cardioverter defibrillator patients with a Sprint Fidelis lead advisory notification

    DEFF Research Database (Denmark)

    Pedersen, Susanne S; Versteeg, Henneke; Nielsen, Jens Cosedis;

    2011-01-01

    Few studies have investigated the association between implantable cardioverter defibrillators (ICDs) and lead advisory notifications and patient-reported outcomes (PROs). We examined (i) whether the mode used to inform patients about a device advisory is associated with PROs, and (ii) whether pat...

  11. Postoperative infection with the automatic implantable cardioverter defibrillator: clinical presentation and use of the gallium scan in diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, P.A.; Wallace, S.; Tucker, B.; Hurvitz, R.J.; Ilvento, J.; Mirabel, G.S.; Cannom, D.S.

    1988-08-01

    This report describes three patients with infection involving an automatic implantable cardioverter defibrillator. All three patients presented with fever, fluid in the pulse generator pocket, leukocytosis and an elevated erythrocyte sedimentation rate. A gallium scan, together with aspiration and culture of the fluid from the pocket, confirmed the diagnosis in each case.

  12. Monitoring treatment expectations in patients with an implantable cardioverter-defibrillator using the EXPECT-ICD scale

    DEFF Research Database (Denmark)

    Habibovic, Mirela; Pedersen, Susanne S.; van den Broek, Krista C;

    2014-01-01

    AIMS: Patient treatment expectations may affect cardiac outcomes; however, till date, no validated instruments have been developed to monitor treatment expectations in patients with an implantable cardioverter-defibrillator (ICD). This study evaluates the predictive value of the newly developed 10...

  13. Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partners

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; van Domburg, Ron T; Theuns, Dominic A M J;

    2014-01-01

    We investigated the prevalence of anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator (ICD) and their partners, and the role of personality factors and social support as determinants of distress.......We investigated the prevalence of anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator (ICD) and their partners, and the role of personality factors and social support as determinants of distress....

  14. Radiotherapy in patients with pacemakers and implantable cardioverter defibrillators

    DEFF Research Database (Denmark)

    Zaremba, Tomas; Jakobsen, Annette Ross; Søgaard, Mette;

    2016-01-01

    defibrillators malfunctioning at low radiation doses. Besides scant knowledge about optimal safety measures, only little is known about the exact prevalence of patients with devices undergoing RT. In this review, we provide a short overview of the principles of RT and present the current evidence on the...

  15. Silicone Breast Implant and Automatic Implantable Cardioverter Defibrillator: Can They Coexist? A Case Report

    Science.gov (United States)

    Arik, Zaretski

    2016-01-01

    Summary: We present a case of a silicone breast implant rupture after insertion of an automatic implantable cardioverter defibrillator (AICD). A 51-year-old woman presented to our plastic surgery clinic to exchange her silicone breast implants. The patient underwent cosmetic mastopexy and breast augmentation in 2008. Because of recurrent myocardial infarctions and chronic heart failure, she underwent an insertion of an AICD in 2014 in which the left breast implant was hit. In this report, we discuss the first case of an AICD insertion, disrupting a breast implant. This case report illustrates the rare but real possibility of breast implant rupture after even minor surgical manipulation of the breast area. PMID:27622117

  16. Gender disparities in psychological distress and quality of life among patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Brouwers, Corline; van den Broek, Krista C; Denollet, Johan;

    2011-01-01

    A subset of patients with an implantable cardioverter defibrillator (ICD) reports psychological distress and poor quality of life (QoL). Gender is one of the factors that has been proposed to explain individual differences in these outcomes. In this viewpoint, we (1) review the evidence for gender...... disparities in psychological distress and QoL in ICD patients by means of a systematic review, and (2) provide recommendations for future research and clinical implications. A systematic search of the literature identified 18 studies with a sample size ≥ 100 that examined gender disparities in anxiety....../depression and QoL in ICD patients (mean prevalence of women = 21%; mean age = 62 years). Our review shows that there is insufficient evidence to conclude that gender per se is a major autonomous predictor for disparities in psychological distress and QoL in ICD patients. Women had a higher prevalence of anxiety...

  17. Intensity of primary emotions in patients after implantation of an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Stoier, Louise; Pedersen, Preben Ulrich; Berg, Selina Kikkenborg

    2013-01-01

    the support needed for coping. Living with an Implantable Cardi- overter Defibrillator can lead to anxiety and depression. Focus on the intensity of the primary emotions might be a potential to prevent development of these psychological states. Objectives: The aim of this paper are 1) to describe......-test. Results: One hundred and ninety-six patients were invited to fill in the questionnaire. It was completed by 182, a response rate of 93 %. Patients with a newly implanted Implantable Cardioverter Defibrillator experienced an increased intensity of joy, sadness, disgust, anticipation, anger, fear...... and surprise. No difference was found regarding the intensity of the primary emotions when the group of patients was divided according to occupation or age. A significant increase in the negative emotions sadness, disgust, anger and surprise was observed in women and in patients who receive the Implantable...

  18. Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Chaitsing, Rismy; Szili-Torok, Tamas;

    2013-01-01

    for information; and the prevalence and correlates of a favorable attitude toward deactivation. Three cohorts of ICD patients (n = 440) extracted from our institutional database were asked to complete a survey that included a vignette about deactivation near the end of life. Of the 440 patients approached, 294......Recent guidelines have emphasized the importance of discussing the issue of deactivation near the end of life with patients with an implantable cardioverter-defibrillator (ICD). Few studies have examined the patient perspective and patients' wishes. We examined patients' knowledge and wishes...... (67%) completed the survey. Most patients (68%) were aware that it is possible to turn the ICD off, and 95% believed it is important to inform patients about the possibility. Of the patients completing the survey, 84% indicated a choice for or against deactivation. Psychological morbidity...

  19. Relation between emotional distress and heart rate variability in patients with an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Pedersen, Susanne S.; Theuns, Dominic A M J;

    2014-01-01

    We investigated the relationship between Type D personality, depression, and anxiety, and heart rate variability (HRV) in 64 patients with an implantable cardioverter-defibrillator (ICD). HRV was obtained via 24-h Holter monitoring, and 24-h, 30-min daytime rest and 30-min nighttime sleep HRV were...... for depression (lower RMSSD: p = .10; lower pNN50: p = .09). During daytime rest, similar results were found for anxiety and depression. During sleep, only noteworthy adjusted associations were found for depression (lower root mean square of successive differences in NN intervals [RMSSD]: p = .06; lower pNN50: p...... = .043). A Benjamini-Hochberg correction for multiple testing led to reduction of the number of significant relationships, but there was still support for lower autonomic control patients with Type D personality and depression. Future research with larger sample sizes is warranted....

  20. Attitudes towards implantable cardioverter-defibrillator therapy: a national survey in Danish health-care professionals

    DEFF Research Database (Denmark)

    Johansen, Jens B; Mortensen, Peter T; Videbæk, Regitze;

    2011-01-01

    Aims The aim of this study was to examine health-care professionals attitudes towards implantable cardioverter-defibrillator (ICD) therapy and issues discussed with patients. Methods and results Survey of 209 health-care professionals providing specialized treatment and care of ICD patients at the......-physicians. Physicians were less likely to believe that their personal attitude towards ICD treatment has no influence on how they deal professionally with patients (27.8 vs. 43.6%; P = 0.04). Physicians and non-physicians were equally positive towards ICD therapy as primary prophylaxis in ischaemic cardiomyopathy (87...... discussing ICD treatment with candidate patients. At the same time, physicians are more aware that their attitude towards ICD treatment may influence how they deal professionally with patients compared with non-physicians....

  1. Comprehensive cardiac rehabilitation improves outcome for patients with implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Pedersen, Preben Ulrich; Zwisler, Ann-Dorthe;

    2015-01-01

    Aims:The aim of this randomised clinical trial was to assess a comprehensive cardiac rehabilitation intervention including exercise training and psycho-education vs 'treatment as usual' in patients treated with an implantable cardioverter defibrillator (ICD).Methods:In this study 196 patients...... with first time ICD implantation (mean age 57.2 (standard deviation (SD)=13.2); 79% men) were randomised (1:1) to comprehensive cardiac rehabilitation vs 'treatment as usual'. Altogether 144 participants completed the 12 month follow-up. The intervention consisted of twelve weeks of exercise training and one...... rehabilitation significantly increased VO2 uptake after exercise training to 23.0 (95% confidence interval (CI) 20.9-22.7) vs 20.8 (95% CI 18.9-22.7) ml/min/kg in the control group (p=0.004 (multiplicity p=0.015)). Comprehensive cardiac rehabilitation significantly increased general health; at three months (mean...

  2. Genome-wide association of implantable cardioverter-defibrillator activation with life-threatening arrhythmias.

    Directory of Open Access Journals (Sweden)

    Sarah S Murray

    Full Text Available OBJECTIVES: To identify genetic factors that would be predictive of individuals who require an implantable cardioverter-defibrillator (ICD, we conducted a genome-wide association study among individuals with an ICD who experienced a life-threatening arrhythmia (LTA; cases vs. those who did not over at least a 3-year period (controls. BACKGROUND: Most individuals that receive implantable cardioverter-defibrillators never experience a life-threatening arrhythmia. Genetic factors may help identify who is most at risk. METHODS: Patients with an ICD and extended follow-up were recruited from 34 clinical sites with the goal of oversampling those who had experienced LTA, with a cumulative 607 cases and 297 controls included in the analysis. A total of 1,006 Caucasian patients were enrolled during a time period of 13 months. Arrhythmia status of 904 patients could be confirmed and their genomic data were included in the analysis. In this cohort, there were 704 males, 200 females, and the average age was 73.3 years. We genotyped DNA samples using the Illumina Human660 W Genotyping BeadChip and tested for association between genotype at common variants and the phenotype of having an LTA. RESULTS AND CONCLUSIONS: We did not find any associations reaching genome-wide significance, with the strongest association at chromosome 13, rs11856574 at P = 5×10⁻⁶. Loci previously implicated in phenotypes such as QT interval (measure of the time between the start of the Q wave and the end of the T wave as measured by electrocardiogram were not found to be significantly associated with having an LTA. Although powered to detect such associations, we did not find common genetic variants of large effect associated with having a LTA in those of European descent. This indicates that common gene variants cannot be used at this time to guide ICD risk-stratification. TRIAL REGISTRATION: ClinicalTrials.gov NCT00664807.

  3. General anaesthesia for insertion of an automated implantable cardioverter defibrillator in a child with Brugada and autism

    Directory of Open Access Journals (Sweden)

    Shwetal Goraksha

    2010-01-01

    Full Text Available A 14-year-old autistic boy presented with acute gastroenteritis and hypotension. The electrocardiogram showed a ventricular fibrillation rhythm - he went into cardiorespiratory arrest and was immediately resuscitated. On investigation, the electrocardiogram showed a partial right bundle branch block with a "coved" pattern of ST elevation in leads v 1 -v 3 . A provisional diagnosis of Brugada syndrome was made, for which an automated implantable cardioverter defibrillator (AICD implantation was advised. Although the automated implantable cardioverter defibrillator implantation is usually performed under sedation, because this was an autistic child, he needed general anaesthesia. We performed the procedure uneventfully under general anaesthesia and he was discharged after a short hospital stay.

  4. Cost Effectiveness of Implantable Cardioverter Defibrillator Therapy versus Drug Therapy for Patients at High Risk of Sudden Cardiac Death

    OpenAIRE

    Spath, Marian A.; Bernie J. O'Brien

    2002-01-01

    The implantable cardioverter defibrillator (ICD) is a therapy for patients at risk of sudden cardiac death due to ventricular tachycardia (VT) or ventricular fibrillation (VF). But the apparent high cost of ICD therapy relative to antiarrhythmic drugs such as amiodarone has raised questions about the cost effectiveness of ICD therapy versus drug therapy. To inform this debate we reviewed the literature on ICD cost effectiveness. An electronic and manual search was conducted for articles publi...

  5. Clinical Course After Cardioverter-Defibrillator Implantation: Chagasic Versus Ischemic Patients

    Science.gov (United States)

    Pereira, Francisca Tatiana Moreira; Rocha, Eduardo Arrais; Monteiro, Marcelo de Paula Martins; Lima, Neiberg de Alcantara; Rodrigues Sobrinho, Carlos Roberto Martins; Pires Neto, Roberto da Justa

    2016-01-01

    Background: The outcome of Chagas disease patients after receiving implantable cardioverter defibrillator (ICD) is still controversial. Objective: To compare clinical outcomes after ICD implantation in patients with chronic Chagas cardiomyopathy (CCC) and ischemic heart disease (IHD). Methods: Prospective study of a population of 153 patients receiving ICD (65 with CCC and 88 with IHD). The devices were implanted between 2003 and 2011. Survival rates and event-free survival were compared. Results: The groups were similar regarding sex, functional class and ejection fraction. Ischemic patients were, on average, 10 years older than CCC patients (p < 0.05). Patients with CCC had lower schooling and monthly income than IHD patients (p < 0.05). The number of appropriate therapies was 2.07 higher in CCC patients, who had a greater incidence of appropriate shock (p < 0.05). Annual mortality rate and electrical storm incidence were similar in both groups. There was no sudden death in CCC patients, and only one in IHD patients. Neither survival time (p = 0.720) nor event-free survival (p = 0.143) significantly differed between the groups. Conclusion: CCC doubles the risk of receiving appropriate therapies as compared to IHD, showing the greater complexity of arrhythmias in Chagas patients. PMID:27411097

  6. Remote monitoring of implantable cardioverter-defibrillators. Problems and implications using a telemonitoring system.

    Science.gov (United States)

    Siebermair, J; Clauss, S; Martens, E; Schuessler, F; Oversohl, N; Haserueck, N; Estner, H L; Kääb, S; Wakili, R

    2015-04-01

    The rising number of implantable devices has led to an increase in device-related workload, e.g., regular interrogation follow-up visits. Telemonitoring systems for implantable cardioverter-defibrillators (ICDs) seem to be a promising tool for reducing workload and costs, and they have the potential of optimizing patient care. However, issues such as practical functionality of ICD telemonitoring in daily routine may affect its broad implementation. The objective of this study was to evaluate potential problems during the implementation of a telemonitoring system, Medtronic CareLink™ (CL™) with respect to the installation and data transmission process. A total of 159 patients with ICDs who were equipped with the CL™ system were evaluated and followed up for 16 months regarding the success rate of the first data transmission via the telemonitoring system. In this cohort, a high rate of nontransmission of 23.9 % was observed after the 16-month follow-up. A detailed interview of these patients (no transmission) revealed that the main reasons for failed transmissions were due to the patients' loss of interest in the concept (approximately 50 %) as well as technical problems (approximately 25 %) with setting up the system. These results indicate that telemonitoring systems bear potential problems and that the evaluation of patient motivation and technical support options seems to play an important role in establishing the functionality of these systems. PMID:24848864

  7. Surgical techniques for implanting implantable cardioverter defibrillators in children and infants.

    Science.gov (United States)

    Suzuki, Shoji; Motohashi, Shinya; Matsumoto, Masahiko

    2014-10-01

    Implantable cardioverter defibrillators (ICDs) are now being used in children. ICDs can be used to prevent sudden cardiac death caused by not only congenital heart defects, but also various non-structural diseases, such as long QT syndrome. However, a standard implantation technique for children, especially infants, has not yet been established. As the surgical implantation in infants is not amenable to transvenous lead placement, it was necessary to choose from epicardial, subcutaneous and pericardial ICD systems. However, many of these systems are associated with high rates of late complications. Lead fracture, insulation breakage, migration, buckling or crinkling of the patch lead and constrictive pericarditis have been reported as the most common lead-related complications. An increase in the defibrillation threshold is another issue that must be considered when using an ICD in a child or infant. Further studies on the outcomes, psychosomatic impact and other specific complications in the pediatric population need to be considered. The clinical use of ICDs in infants is still limited. Therefore, it is important to have many surgical options available so that the treatment can be custom-tailored to suit individual patients. PMID:24154922

  8. Sleep, Psychosocial Functioning, and Device-Specific Adjustment in Patients with Implantable Cardioverter Defibrillators (ICDs).

    Science.gov (United States)

    McCrae, Christina S; Roth, Alicia J; Ford, Jessica; Crew, Earl C; Conti, Jamie B; Berry, Richard B; Sears, Samuel F

    2016-01-01

    Rates of sleep disorders and associated adjustment were examined in patients with implantable cardioverter defibrillators (ICDs; n = 42; Mage = 61.57, SD = 12.60). One night of ambulatory polysomnography, 14 days of sleep diaries, and questionnaires (mood, sleepiness, fatigue, device acceptance) were administered. Controlling for ischemia, MANCOVA examined adjustment by sleep diagnosis. Apnea was most common (28.6%), followed by Insomnia (16.7%) and Comorbid Insomnia/Apnea (11.9%). Patients with insomnia reported poorer mood, greater sleepiness, and lower device acceptance than good sleepers; they also demonstrated poorer mood and less ICD device acceptance than patients with sleep apnea. Patients with comorbid insomnia/apnea also exhibited poorer mood and less ICD device acceptance than good sleepers; however, comorbid patients did not significantly differ from insomnia or apnea patients on any measure. Those with disordered sleep (regardless of type) reported greater fatigue than good sleepers. Assessment (and treatment) of difficulties with sleep, mood, fatigue, and device acceptance may be important for the comprehensive clinical management of ICD patients. Further research appears warranted. PMID:25174823

  9. A trial design for evaluation of empiric programming of implantable cardioverter defibrillators to improve patient management

    Directory of Open Access Journals (Sweden)

    Morgan John M

    2004-11-01

    Full Text Available Abstract The delivery of implantable cardioverter defibrillator (ICD therapy is sophisticated and requires the programming of over 100 settings. Physicians tailor these settings with the intention of optimizing ICD therapeutic efficacy, but the usefulness of this approach has not been studied and is unknown. Empiric programming of settings such as anti-tachycardia pacing (ATP has been demonstrated to be effective, but an empiric approach to programming all VT/VF detection and therapy settings has not been studied. A single standardized empiric programming regimen was developed based on key strategies with the intention of restricting shock delivery to circumstances when it is the only effective and appropriate therapy. The EMPIRIC trial is a worldwide, multi-center, prospective, one-to-one randomized comparison of empiric to physician tailored programming for VT/VF detection and therapy in a broad group of about 900 dual chamber ICD patients. The trial will provide a better understanding of how particular programming strategies impact the quantity of shocks delivered and facilitate optimization of complex ICD programming.

  10. Arrhythmia detection in single- and dual-chamber implantable cardioverter defibrillators: the more leads, the better?

    Science.gov (United States)

    Francia, Pietro; Balla, Cristina; Uccellini, Arianna; Cappato, Riccardo

    2009-09-01

    The implantable cardioverter defibrillator (ICD) offers life-saving therapies for primary and secondary prevention of sudden cardiac death in high-risk patients. However, ICD detection algorithms consistently misclassify a substantial proportion of supraventricular rhythms, thus carrying the risk for inappropriate therapies. Although single-chamber ICD (Sc-ICD) discrimination tools have been reported to provide high specificity in rejecting sinus tachycardia and atrial fibrillation with a relatively low ventricular rate, accurate recognition of atrial fibrillation with faster ventricular rates, atrial tachycardias, atrial flutter, and some reentrant tachycardias is still an issue. Dual-chamber ICDs (Dc-ICDs) are supposed to overcome specificity issues by enhancing detection algorithms with information derived from the atrial and ventricular timing relationship. The initial promise of Dc-ICDs was to improve detection specificity without compromising sensitivity, and to translate this advantage over Sc-ICDs in a more selective use of aggressive therapies. Despite this solid background, superiority of Dc- over Sc-ICDs has never been convincingly demonstrated. The present review focuses on the efficacy of contemporary ICD arrhythmia discrimination tools and appraises the so far reported evidence supporting the superiority of Dc-ICDs in preventing inappropriate therapies.

  11. Successful use of wearable cardioverter defibrillator in a patient with dextrocardia and persistent left superior vena cava.

    Science.gov (United States)

    Wan, Chingping; Oren, Jess W; Szymkiewicz, Steven J

    2013-09-01

    Congenital disorders, such as dextrocardia and persistent left superior vena cava, are rare. However, their presence is often associated with other cardiac anomalies, and may lead to lethal ventricular tachyarrhythmias, which result in sudden cardiac death. Treating patients with these disorders can present a challenge to clinicians, as it may cause technical difficulties during interventional procedures, and more often, altered defibrillation techniques in a setting of prehospital sudden cardiac arrest. This report describes the first case of successful defibrillation therapy delivered by the wearable cardioverter defibrillator to a patient with dextrocardia and persistent left superior vena cava during a ventricular tachycardia arrest.

  12. Appropriate evaluation and treatment of heart failure patients after implantable cardioverter-defibrillator discharge: time to go beyond the initial shock.

    Science.gov (United States)

    Mishkin, Joseph D; Saxonhouse, Sherry J; Woo, Gregory W; Burkart, Thomas A; Miles, William M; Conti, Jamie B; Schofield, Richard S; Sears, Samuel F; Aranda, Juan M

    2009-11-24

    Multiple clinical trials support the use of implantable cardioverter-defibrillators (ICDs) for prevention of sudden cardiac death in patients with heart failure (HF). Unfortunately, several complicating issues have arisen from the universal use of ICDs in HF patients. An estimated 20% to 35% of HF patients who receive an ICD for primary prevention will experience an appropriate shock within 1 to 3 years of implant, and one-third of patients will experience an inappropriate shock. An ICD shock is associated with a 2- to 5-fold increase in mortality, with the most common cause being progressive HF. The median time from initial ICD shock to death ranges from 168 to 294 days depending on HF etiology and the appropriateness of the ICD therapy. Despite this prognosis, current guidelines do not provide a clear stepwise approach to managing these high-risk patients. An ICD shock increases HF event risk and should trigger a thorough evaluation to determine the etiology of the shock and guide subsequent therapeutic interventions. Several combinations of pharmacologic and device-based interventions such as adding amiodarone to baseline beta-blocker therapy, adjusting ICD sensitivity, and employing antitachycardia pacing may reduce future appropriate and inappropriate shocks. Aggressive HF surveillance and management is required after an ICD shock, as the risk of sudden cardiac death is transformed to an increased HF event risk. PMID:19926003

  13. Comorbidity burden is associated with poor psychological well-being and physical health status in patients with an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Kupper, Nina; Jordaens, Luc;

    2013-01-01

    Comorbidity burden has been linked to survival in patients with an implantable cardioverter-defibrillator (ICD), but no study has examined the influence on psychological well-being and health status. We examined the relationship between comorbidity burden and anxiety, depression, and health status...

  14. Long-term follow-up of prophylactic implantable cardioverter-defibrillator- only therapy: Comparison of ischemic and nonischemic heart disease

    NARCIS (Netherlands)

    T. Smith (Tim); D.A.M.J. Theuns (Dominic); K. Caliskan (Kadir); L.J.L.M. Jordaens (Luc)

    2011-01-01

    textabstractBackground: The benefits of primary prophylactic implantable cardioverter-defibrillators (ICDs) are actually debated, as some drawbacks become more apparent and as the natural history of cardiac disease seems to improve. Therefore, contemporary follow-up data of non-trial populations tre

  15. The distressed (Type D) personality in both patients and partners enhances the risk of emotional distress in patients with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    van den Broek, Krista C; Versteeg, Henneke; Erdman, Ruud A M;

    2011-01-01

    A subgroup of patients with an implantable cardioverter defibrillator (ICD) experiences emotional distress. This may be related to partner factors. We examined the impact of the personality of the partner (i.e., the distressed (Type D) personality) in combination with that of the patient on anxiety...

  16. The effect of intermittent atrial tachyarrhythmia on heart failure or death in cardiac resynchronization therapy with defibrillator versus implantable cardioverter-defibrillator patients

    DEFF Research Database (Denmark)

    Ruwald, Anne-Christine; Pietrasik, Grzegorz; Goldenberg, Ilan;

    2014-01-01

    OBJECTIVES: This study aimed to investigate the effect of both history of intermittent atrial tachyarrhythmias (IAT) and in-trial IAT on the risk of heart failure (HF) or death comparing cardiac resynchronization therapy with defibrillator (CRT-D) to implantable cardioverter-defibrillator (ICD) t...

  17. Longitudinal changes in intracardiac repolarization lability in patients with implantable cardioverter-defibrillator

    Directory of Open Access Journals (Sweden)

    Abhilash eGuduru

    2013-08-01

    Full Text Available Background─While it is known that elevated baseline intracardiac repolarization lability is associated with the risk of fast ventricular tachycardia (FVT /ventricular fibrillation (VF, the effect of its longitudinal changes on the risk of FVT/VF is unknown. Methods and Results─Near-field (NF right ventricular (RV intracardiac electrograms (EGMs were recorded every 3-6 months at rest in 248 patients with structural heart disease (mean age 61.2±13.3; 185[75%] male; 162[65.3%] ischemic cardiomyopathy and implanted cardioverter-defibrillator (ICD or cardiac resynchronization therapy defibrillator (CRT-D [201 (81% primary prevention]. Intracardiac beat-to-beat QT variability index (QTVINF was measured on NF RV EGM. During the first study phase (median 18 months, participants made on average 2.4 visits. Then remote follow-up was continued for an additional median period of 3 years. Average QTVINF did not change during the first year after ICD implantation (-0.342±0.603 at baseline vs. -0.262±0.552 at 6 months vs. -0.334±0.603 at 12 months; however, it decreased thereafter (-0.510±0.603 at 18 months; P=0.042. Adjusted population-averaged GEE model showed that the odds of developing FVT/VF increased by 75% for each 1 unit increase in QTVINF. (OR 1.75 [95%CI 1.05-2.92]; P=0.031. However, individual patient–specific QTVINF trends (increasing, decreasing, flat varied from patient to patient. For a given patient, the odds of developing FVT/VF were not associated with increasing or decreasing QTVINF over time (OR 1.27; [95%CI 0.05–30.10]; P = 0.881.Conclusion─While on average the odds of FVT/VF increased with an increase in QTVINF, patient-specific longitudinal trends in QTVINF did not affect the odds of FVT/VF.

  18. Influence of diabetes mellitus on inappropriate and appropriate implantable cardioverter-defibrillator therapy and mortality in the Multicenter Automatic Defibrillator Implantation Trial-Reduce Inappropriate Therapy (MADIT-RIT) Trial

    DEFF Research Database (Denmark)

    Ruwald, Martin H.; Zareba, Wojciech; Jons, Christian;

    2013-01-01

    The relationship between diabetes mellitus and risk of inappropriate or appropriate therapy in patients receiving an implantable cardioverter-defibrillator (ICD) and resynchronization therapy has not been investigated thoroughly. The effect of innovative ICD programming on therapy delivery in the...

  19. Implantable Cardioverter-Defibrillators at End of Battery Life: Opportunities for Risk (Re)-Stratification in ICD Recipients.

    Science.gov (United States)

    Merchant, Faisal M; Quest, Tammie; Leon, Angel R; El-Chami, Mikhael F

    2016-02-01

    Although implantable cardioverter-defibrillators (ICDs) are frequently viewed as a lifelong commitment in that patients are routinely scheduled for generator exchange (GE) at end of battery life, several considerations should prompt a reevaluation of risks and benefits before GE. Compared with initial ICD implant, patients receiving replacement devices are older, and have more comorbidities and shorter life expectancy, all of which may limit the benefit of ICD therapy following GE. Additionally, GE is associated with significant complications, including infection, which may increase the risk of mortality. In this paper, we review recent data regarding opportunities for risk stratification before GE, with a particular focus on those with improved left ventricular function and those who have not experienced ICD therapies during the first battery life. We also provide a broader perspective on ICD therapy, focusing on how decisions regarding GE may affect goals of care at the end of life. PMID:26821633

  20. Embodied Revelation: A Classic Grounded Theory of Heart Failure Patient Decision Making Surrounding Primary Prevention Implantable Cardioverter Defibrillator Therapy

    Directory of Open Access Journals (Sweden)

    Vera Barton-Caro Ph.D.,

    2015-12-01

    Full Text Available The purpose of this classic grounded theory study was to explain the complex decision making process of heart failure (HF patients considering primary prevention implantable cardioverter defibrillator (ICD therapy. Sudden cardiac death (SCD is the leading cause of death for people with HF as well as the primary cause of death in the United States (US. ICDs represent the standard of care as the only effective therapy for primary prevention of SCD. However, a significant proportion of qualifying HF patients declines this invasive, yet life-saving device. The grounded theory is of Embodied revelation. The threat of SCD for ICD candidates consists of four stages: living in conscious denial, heightening of awareness, sanctioning ICD therapy, and living in new assurance. The first stage ends abruptly with the critical juncture of grasping the threat of SCD. This grounded theory has implications for research, nursing and medical practice, as well as bioethical considerations.

  1. Cost-Effectiveness of Adding Cardiac Resynchronization Therapy to an Implantable Cardioverter-Defibrillator Among Patients With Mild Heart Failure

    DEFF Research Database (Denmark)

    Woo, Christopher Y; Strandberg, Erika J; Schmiegelow, Michelle D;

    2015-01-01

    . INTERVENTION: CRT-D or ICD alone. OUTCOME MEASURES: Life-years, quality-adjusted life-years (QALYs), costs, and incremental cost-effectiveness ratios (ICERs). RESULTS OF BASE-CASE ANALYSIS: Use of CRT-D increased life expectancy (9.8 years versus 8.8 years), QALYs (8.6 years versus 7.6 years), and costs ($286......, shorter CRT-D battery life, and older age also made the cost-effectiveness of CRT-D less favorable. LIMITATIONS: The estimated mortality reduction for CRT-D was largely based on a single trial. Data on patients with NYHA class I symptoms were limited. The cost-effectiveness of CRT-D in patients with NYHA......BACKGROUND: Cardiac resynchronization therapy (CRT) reduces mortality and heart failure hospitalizations in patients with mild heart failure. OBJECTIVE: To estimate the cost-effectiveness of adding CRT to an implantable cardioverter-defibrillator (CRT-D) compared with implantable cardioverter...

  2. Beta-blocker therapy is not associated with symptoms of depression and anxiety in patients receiving an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Kupper, Nina; Theuns, Dominic A M J;

    2012-01-01

    Beta-blockers are frequently prescribed to implantable cardioverter-defibrillator (ICD) patients. Beta-blocker therapy has been proposed to induce emotional distress such as depression and anxiety, but a paucity of studies has examined the relationship between beta-blockers and distress. We...... investigated the association between beta-blocker therapy, including type and dosage, and symptoms of anxiety and depression in a consecutive cohort of patients receiving an ICD....

  3. Results of ENHANCED Implantable Cardioverter Defibrillator Programming to Reduce Therapies and Improve Quality of Life (from the ENHANCED-ICD Study)

    DEFF Research Database (Denmark)

    Mastenbroek, Mirjam H.; Pedersen, Susanne S.; van der Tweel, Ingeborg;

    2016-01-01

    -reported outcomes. The "ENHANCED Implantable Cardioverter Defibrillator programming to reduce therapies and improve quality of life" study (ENHANCED-ICD study) was a prospective, safety-monitoring study enrolling 60 primary and secondary prevention patients at the University Medical Center Utrecht. Patients...... during follow-up. In conclusion, the ENHANCED-ICD study demonstrates that programming a NID 60/80 for VT/VF detection is safe for ICD patients and does not negatively impact their quality of life....

  4. No Electromagnetic Interference Occurred in a Patient with a HeartMate II Left Ventricular Assist System and a Subcutaneous Implantable Cardioverter-Defibrillator

    OpenAIRE

    Raman, Ajay Sundara; Shabari, Farshad Raissi; Kar, Biswajit; Loyalka, Pranav; Hariharan, Ramesh

    2016-01-01

    The use of subcutaneous implantable cardioverter-defibrillators is a novel option for preventing arrhythmia-mediated cardiac death in patients who are at risk of endovascular-device infection or in whom venous access is difficult. However, the potential for electromagnetic interference between subcutaneous defibrillators and left ventricular assist devices is largely unknown. We report the case of a 24-year-old man in whom we observed no electromagnetic interference between a subcutaneous imp...

  5. 可嵌入心电震发生器的电击系统方案%A Shocking System Solution for Implantable Cardioverter Defibrillators

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@ 可嵌入心电震发生器(Implantable Cardioverter Defibrillators-ICD)已通用几年了.ICD在连接到心脏的两个电极之间施加高压脉冲,它随时检测心脏纤维性颤动.此脉冲可高达800V,在几毫秒期间电流达几十安培.

  6. A pilot study of a mindfulness based stress reduction program in adolescents with implantable cardioverter defibrillators or pacemakers.

    Science.gov (United States)

    Freedenberg, Vicki A; Thomas, Sue A; Friedmann, Erika

    2015-04-01

    Adolescents with implantable cardioverter defibrillators (ICDs) or pacemakers (PMs) face unique challenges that can cause psychosocial distress. Psychosocial interventions are effective for adults with cardiac devices and could potentially impact adolescents' adjustment to these devices. Mindfulness Based Stress Reduction (MBSR) is a structured psycho-educational program that includes meditation, yoga, and group support and has been studied extensively among adults. This study examined the feasibility of the MBSR program for adolescents with ICDs/PMs, a population previously unexamined in the research literature. The participants completed measures of anxiety and depression (Hospital Anxiety and Depression Scale) and coping (Responses to Stress Questionnaire) at baseline and after the six-session MBSR intervention. Mean age of the cohort (n = 10) was 15 ± 3 years, 6 were male, 6 had a PM, and 4 had an ICD. Feasibility was demonstrated by successful recruitment of 10 participants, 100 % participation and completion. Anxiety decreased significantly following the intervention, with a large effect size, t[9] = 3.67, p MBSR interventions in adolescents with high-risk cardiac diagnoses.

  7. Characteristics associated with low treatment satisfaction in patients with implanted cardioverter defibrillators: results from the LICAD study.

    Science.gov (United States)

    Ladwig, Karl-Heinz; Deisenhofer, Isabelle; Simon, Heidi; Schmitt, Claus; Baumert, Jens J

    2005-06-01

    The evaluation of low treatment satisfaction (LTS) with an implanted cardioverter defibrillator (ICD) remains a neglected area of clinical research. However, a trustful attitude toward an ICD is crucial. Within the scope of ICD health technology assessment, we searched for predictors of LTS. Of 195 ICD patients enrolled (mean 59.8 years, standard deviation 12.6), 163 (83.6%) were men and 26 (16.4%) were women. We measured anxiety, helplessness, and depression with standardized instruments and LTS with 11 dichotomous items concerning a mistrustful attitude, a negative body image, and low appraisal. A total of 47 (24.1%) patients were considered as LTS patients. Multivariate logistic regression was used for assessment of LTS. Adjusted for age and survey, LTS was significantly more prevalent in depressed, anxious, and phobic patients. Multivariate logistic regression including medical and psychological covariates revealed the experience of > or =5 shocks with an odds ratio (OR) of 10.17 (95% CI 3.57-29.00, P effect on LTS. Age, educational status, and depression were not significant. LTS patients required more support for living with the ICD (P < or = 0.001). Thus, LTS serves as surrogate measure for deteriorated psychic health. Clinicians should be advised to identify LTS patients and to consider psychotherapeutic counseling for them. PMID:15955182

  8. A pilot study of a mindfulness based stress reduction program in adolescents with implantable cardioverter defibrillators or pacemakers.

    Science.gov (United States)

    Freedenberg, Vicki A; Thomas, Sue A; Friedmann, Erika

    2015-04-01

    Adolescents with implantable cardioverter defibrillators (ICDs) or pacemakers (PMs) face unique challenges that can cause psychosocial distress. Psychosocial interventions are effective for adults with cardiac devices and could potentially impact adolescents' adjustment to these devices. Mindfulness Based Stress Reduction (MBSR) is a structured psycho-educational program that includes meditation, yoga, and group support and has been studied extensively among adults. This study examined the feasibility of the MBSR program for adolescents with ICDs/PMs, a population previously unexamined in the research literature. The participants completed measures of anxiety and depression (Hospital Anxiety and Depression Scale) and coping (Responses to Stress Questionnaire) at baseline and after the six-session MBSR intervention. Mean age of the cohort (n = 10) was 15 ± 3 years, 6 were male, 6 had a PM, and 4 had an ICD. Feasibility was demonstrated by successful recruitment of 10 participants, 100 % participation and completion. Anxiety decreased significantly following the intervention, with a large effect size, t[9] = 3.67, p depression (r = -.88, p = .001). Post-intervention, the group independently formed their own Facebook group and requested to continue meeting monthly. Although generalizability is limited due to the small sample size, this successful pilot study paves the way for larger studies to examine the efficacy of MBSR interventions in adolescents with high-risk cardiac diagnoses. PMID:25519914

  9. Predictors of appropriate therapy in patients with implantable cardioverter-defibrillator for primary prevention of sudden cardiac death

    Directory of Open Access Journals (Sweden)

    Dennis W. Zhu

    2010-02-01

    Full Text Available The purpose of this study was to evaluate predictors of appropriate therapy in patients with implantable cardioverter-defibrillators (ICD for primary prevention of sudden cardiac death. A retrospective cohort of 321 patients with systolic heart failure undergoing ICD placement for primary prevention of sudden cardiac death was queried with a mean follow-up period of 2.6 years. Appropriate ICD therapy was defined as therapy delivered for termination of a ventricular tachyarrhythmia. Appropriate ICD therapy was delivered in 142 (44% of the patients. In a multivariate model, body mass index ≥28.8 kg/m2 , chronic kidney disease, left ventricular ejection fraction ≤20% and metabolic syndrome were found to be independent predictors of appropriate ICD therapy. Appropriate ICD therapy was associated with higher cardiovascular mortality. These findings show the importance of identification of risk factors, especially metabolic syndrome, in patients following ICD implantation as aggressive treatment of these co-morbidities may decrease appropriate ICD therapy and cardiovascular mortality.

  10. Wrong detection of ventricular fibrillation in an implantable cardioverter defibrillator caused by the movement near the MRI scanner bore.

    Science.gov (United States)

    Mattei, Eugenio; Censi, Federica; Triventi, Michele; Mancini, Matteo; Napolitano, Antonio; Genovese, Elisabetta; Cannata, Vittorio; Falsaperla, Rosaria; Calcagnini, Giovanni

    2015-01-01

    The static magnetic field generated by MRI systems is highly non-homogenous and rapidly decreases when moving away from the bore of the scanner. Consequently, the movement around the MRI scanner is equivalent to an exposure to a time-varying magnetic field at very low frequency (few Hz). For patients with an implanted cardiac stimulators, such as an implantable cardioverter/defibrillator (ICD), the movements inside the MRI environment may thus induce voltages on the loop formed by the leads of the device, with the potential to affect the behavior of the stimulator. In particular, the ICD's detection algorithms may be affected by the induced voltage and may cause inappropriate sensing, arrhythmia detections, and eventually inappropriate ICD therapy.We performed in-vitro measurements on a saline-filled humanshaped phantom (male, 170 cm height), equipped with an MRconditional ICD able to transmit in real-time the detected cardiac activity (electrograms). A biventricular implant was reproduced and the ICD was programmed in standard operating conditions, but with the shock delivery disabled. The electrograms recorded in the atrial, left and right ventricle channels were monitored during rotational movements along the vertical axis, in close proximity of the bore. The phantom was also equipped with an accelerometer and a magnetic field probe to measure the angular velocity and the magnetic field variation during the experiment. Pacing inhibition, inappropriate detection of tachyarrhythmias and of ventricular fibrillation were observed. Pacing inhibition began at an angular velocity of about 7 rad/s, (dB/dt of about 2 T/s). Inappropriate detection of ventricular fibrillation occurred at about 8 rad/s (dB/dt of about 3 T/s). These findings highlight the need for a specific risk assessment of workers with MR-conditional ICDs, which takes into account also effects that are generally not considered relevant for patients, such as the movement around the scanner bore. PMID

  11. Cognitive-Behavioral Treatment of Posttraumatic Stress in Patients With Implantable Cardioverter Defibrillators: Results From a Randomized Controlled Trial.

    Science.gov (United States)

    Ford, Jessica; Rosman, Lindsey; Wuensch, Karl; Irvine, Jane; Sears, Samuel F

    2016-08-01

    Approximately 20% of patients with implantable cardioverter defibrillators (ICDs) suffer from posttraumatic stress disorder (PTSD) due to a history of cardiac arrest, device implantation, and ICD shock. There has been very little examination of treatment of PTSD symptoms in these patients. This study evaluated the effect of a specific cognitive-behavioral therapy (CBT) intervention for ICD patients with high levels of PTSD symptoms: a manualized program consisting of 8 telephone sessions with a trained counselor, a patient education book, and a stress management procedure on compact disc. Participants were 193 ICD patients, who were randomized to CBT or usual cardiac care (UCC) who completed self-report surveys at the time of recruitment and 6 and 12 months after initial measurement. Previous publication on the primary research evaluation questions reported that the CBT condition resulted in greater improvement on PTSD and depression symptoms than the UCC for the general population of ICD patients, but did not evaluate the effect on those with elevated symptoms of PTSD. The authors conducted secondary analyses of the effect of treatment on high and low PTSD symptom groups based on a cutoff for the Impact of Event Scale-Revised (Weiss & Marmar, 1997). Participants in the CBT group who had high symptoms experienced significantly greater symptom reduction from baseline to 12 months (d = 2.44, p = .021) than the UCC group (d = 1.12). Participants with low symptoms had small reductions regardless of group assignment (d = 0.16, p = .031). ICD-focused CBT was sufficient to produce a large, statistically significant reduction in PTSD symptoms in ICD patients with indications for treatment.

  12. Efficacy of cognitive behavioral therapy in reducing psychiatric symptoms in patients with implantable cardioverter defibrillator: an integrative review

    Directory of Open Access Journals (Sweden)

    A.C.C.O. Maia

    2014-04-01

    Full Text Available This article is a systematic review of the available literature on the benefits that cognitive behavioral therapy (CBT offers patients with implanted cardioverter defibrillators (ICDs and confirms its effectiveness. After receiving the device, some patients fear that it will malfunction, or they remain in a constant state of tension due to sudden electrical discharges and develop symptoms of anxiety and depression. A search with the key words “anxiety”, “depression”, “implantable cardioverter”, “cognitive behavioral therapy” and “psychotherapy” was carried out. The search was conducted in early January 2013. Sources for the search were ISI Web of Knowledge, PubMed, and PsycINFO. A total of 224 articles were retrieved: 155 from PubMed, 69 from ISI Web of Knowledge. Of these, 16 were written in a foreign language and 47 were duplicates, leaving 161 references for analysis of the abstracts. A total of 19 articles were eliminated after analysis of the abstracts, 13 were eliminated after full-text reading, and 11 articles were selected for the review. The collection of articles for literature review covered studies conducted over a period of 13 years (1998-2011, and, according to methodological design, there were 1 cross-sectional study, 1 prospective observational study, 2 clinical trials, 4 case-control studies, and 3 case studies. The criterion used for selection of the 11 articles was the effectiveness of the intervention of CBT to decrease anxiety and depression in patients with ICD, expressed as a ratio. The research indicated that CBT has been effective in the treatment of ICD patients with depressive and anxiety symptoms. Research also showed that young women represented a risk group, for which further study is needed. Because the number of references on this theme was small, further studies should be carried out.

  13. Cognitive-Behavioral Treatment of Posttraumatic Stress in Patients With Implantable Cardioverter Defibrillators: Results From a Randomized Controlled Trial.

    Science.gov (United States)

    Ford, Jessica; Rosman, Lindsey; Wuensch, Karl; Irvine, Jane; Sears, Samuel F

    2016-08-01

    Approximately 20% of patients with implantable cardioverter defibrillators (ICDs) suffer from posttraumatic stress disorder (PTSD) due to a history of cardiac arrest, device implantation, and ICD shock. There has been very little examination of treatment of PTSD symptoms in these patients. This study evaluated the effect of a specific cognitive-behavioral therapy (CBT) intervention for ICD patients with high levels of PTSD symptoms: a manualized program consisting of 8 telephone sessions with a trained counselor, a patient education book, and a stress management procedure on compact disc. Participants were 193 ICD patients, who were randomized to CBT or usual cardiac care (UCC) who completed self-report surveys at the time of recruitment and 6 and 12 months after initial measurement. Previous publication on the primary research evaluation questions reported that the CBT condition resulted in greater improvement on PTSD and depression symptoms than the UCC for the general population of ICD patients, but did not evaluate the effect on those with elevated symptoms of PTSD. The authors conducted secondary analyses of the effect of treatment on high and low PTSD symptom groups based on a cutoff for the Impact of Event Scale-Revised (Weiss & Marmar, 1997). Participants in the CBT group who had high symptoms experienced significantly greater symptom reduction from baseline to 12 months (d = 2.44, p = .021) than the UCC group (d = 1.12). Participants with low symptoms had small reductions regardless of group assignment (d = 0.16, p = .031). ICD-focused CBT was sufficient to produce a large, statistically significant reduction in PTSD symptoms in ICD patients with indications for treatment. PMID:27415850

  14. A meta-analysis of mortality in end-stage renal disease patients receiving implantable cardioverter defibrillators (ICDs.

    Directory of Open Access Journals (Sweden)

    Tien-Hsing Chen

    Full Text Available Data on the effectiveness of implantable implantable cardioverter defibrillators (ICDs with respect to reducing mortality in patients with chronic kidney disease (CKD and end-stage renal disease (ESRD are lacking. The purpose of this meta-analysis was to compare the mortality of patients with ESRD who have received and not received an ICD. A search was conducted on January 31, 2013 of Medline, Cochrane, EMBASE, and Google Scholar. Studies were selected for inclusion based on the following criteria. 1 Randomized controlled trial. 2 ESRD patients with heart failure. 3 Device therapy (ICD, CRT-defibrillator [CRT-D] used to treat heart failure. 4 Primary outcome is survival analysis. 5 Retrospective study if survival analysis was performed. The primary outcome was overall survival (OS, and the secondary outcome was 2-year survival. Odds ratios (ORs with 95% confidence intervals (CI were calculated, and a χ2-based test of homogeneity was performed. Three studies were included in the analysis. The combined OR for OS was 2.245 (95% CI 1.871 to 2.685, P<0.001, indicating that patients with an ICD had a significantly higher OS than those without an ICD. The combined OR for 2-year survival was 2.312 (95% CI 1.921 to 2.784, P<0.001, indicating that patients with an ICD had a significantly higher 2-year survival rate than those without an ICD. The use of ICD in patients with ESRD is associated with an increase in the OS and the 2-year survival rate.

  15. Implantable cardioverter defibrillator therapy in pediatric and congenital heart disease patients: a single tertiary center experience in Korea

    Directory of Open Access Journals (Sweden)

    Bo Kyung Jin

    2013-03-01

    Full Text Available Purpose: The use of implantable cardioverter defibrillators (ICDs to prevent sudden cardiac death is increasing in children and adolescents. This study investigated the use of ICDs in children with congenital heart disease. Methods: This retrospective study was conducted on the clinical characteristics and effectiveness of ICD implantation at the department of pediatrics of a single tertiary center between 2007 and 2011. Results: Fifteen patients underwent ICD implantation. Their mean age at the time of implantation was 14.5±5.4 years (range, 2 to 22 years. The follow-up duration was 28.9±20.4 months. The cause of ICD implantation was cardiac arrest in 7, sustained ventricular tachycardia in 6, and syncope in 2 patients. The underlying disorders were as follows: ionic channelopathy in 6 patients (long QT type 3 in 4, catecholaminergic polymorphic ventricular tachycardia [CPVT] in 1, and J wave syndrome in 1, cardiomyopathy in 5 patients, and postoperative congenital heart disease in 4 patients. ICD coils were implanted in the pericardial space in 2 children (ages 2 and 6 years. Five patients received appropriate ICD shock therapy, and 2 patients received inappropriate shocks due to supraventricular tachycardia.During follow-up, 2 patients required lead dysfunction-related revision. One patient with CPVT suffered from an ICD storm that was resolved using sympathetic denervation surgery. Conclusion: The overall ICD outcome was acceptable in most pediatric patients. Early diagnosis and timely ICD implantation are recommended for preventing sudden death in high-risk children and patients with congenital heart disease.

  16. Management of radiation oncology patients with implanted cardiac pacemakers or implant able cardioverter defibrilators; Tratamiento de pacientes en radioterapia con marcapasos o desfibriladores automaticos implantables

    Energy Technology Data Exchange (ETDEWEB)

    Martin Martin, G.

    2012-07-01

    The increase in life expectancy along with the technological development in the last decades has resulted in an increase in the number of patients requiring pacemaker implants or implantable cardioverter defibrillators worldwide. An increase in the number of patients with implanted cardiac devices in radiotherapy is also expected due to the risk factors in common between heart disease and cancer. In 1994 the American Association of Physicists in Medicine (AAPM) released a report about the management of radiation oncology patients with implanted cardiac pacemakers. The addition of new technologies, both in radiotherapy units and in the manufacturing process of heart devices, has shown the need for an updated protocol for the management of these patients. In this work, the most important articles published after the report of the AAPM have been compiled, in order to analyze the effects not previously studied such as dose rate, scattered radiation, electromagnetic interference or random failures produced by neutrons and protons. Additionally, the latest recommendations given by the manufacturers have been analyzed and, finally, some indications are given as an updated guide for the management of radiation oncology patients with pacemakers or cardioverter defibrillators implanted. (Author)

  17. Methodological limitations of psychosocial interventions in patients with an implantable cardioverter-defibrillator (ICD A systematic review

    Directory of Open Access Journals (Sweden)

    Ockene Ira S

    2009-12-01

    Full Text Available Abstract Background Despite the potentially life-saving benefits of the implantable cardioverter-defibrillator (ICD, a significant group of patients experiences emotional distress after ICD implantation. Different psychosocial interventions have been employed to improve this condition, but previous reviews have suggested that methodological issues may limit the validity of such interventions. Aim: To review the methodology of previously published studies of psychosocial interventions in ICD patients, according to CONSORT statement guidelines for non-pharmacological interventions, and provide recommendations for future research. Methods We electronically searched the PubMed, PsycInfo and Cochrane databases. To be included, studies needed to be published in a peer-reviewed journal between 1980 and 2008, to involve a human population aged 18+ years and to have an experimental design. Results Twelve studies met the eligibility criteria. Samples were generally small. Interventions were very heterogeneous; most studies used cognitive behavioural therapy (CBT and exercise programs either as unique interventions or as part of a multi-component program. Overall, studies showed a favourable effect on anxiety (6/9 and depression (4/8. CBT appeared to be the most effective intervention. There was no effect on the number of shocks and arrhythmic events, probably because studies were not powered to detect such an effect. Physical functioning improved in the three studies evaluating this outcome. Lack of information about the indication for ICD implantation (primary vs. secondary prevention, limited or no information regarding use of anti-arrhythmic (9/12 and psychotropic (10/12 treatment, lack of assessments of providers' treatment fidelity (12/12 and patients' adherence to the intervention (11/12 were the most common methodological limitations. Conclusions Overall, this review supports preliminary evidence of a positive effect of psychosocial interventions

  18. Nurse- and peer-led self-management programme for patients with an implantable cardioverter defibrillator; a feasibility study

    Directory of Open Access Journals (Sweden)

    van Eijk Jacques

    2007-09-01

    Full Text Available Abstract Background The prevalence of cardiovascular disease is increasing. Improved treatment options increase survival after an acute myocardial infarction or sudden cardiac arrest, although patients often have difficulty adjusting and regaining control in daily life. In particular, patients who received an implantable cardioverter defibrillator (ICD experience physical and psychological problems. Interventions to enhance perceived control and acceptance of the device are therefore necessary. This paper describes a small-scale study to explore the feasibility and the possible benefits of a structured nurse- and peer-led self-management programme ('Chronic Disease Self-Management Program' – CDSMP among ICD patients. Methods Ten male ICD patients (mean age = 65.5 years participated in a group programme, consisting of six sessions, led by a team consisting of a nurse specialist and a patient with cardiovascular disease. Programme feasibility was evaluated among patients and leaders by measuring performance of the intervention according to protocol, attendance and adherence of the participating ICD patients, and patients' and leaders' opinions about the programme. In addition, before and directly after attending the intervention, programme benefits (e.g. perceived control, symptoms of anxiety and depression, and quality of life were assessed. Results The programme was conducted largely according to protocol. Eight patients attended at least four sessions, and adherence ranged from good to very good. On average, the patients reported to have benefited very much from the programme, which they gave an overall report mark of 8.4. The leaders considered the programme feasible as well. Furthermore, improvements were identified for general self-efficacy expectancies, symptoms of anxiety, physical functioning, social functioning, role limitations due to physical problems, and pain. Conclusion This study suggests that a self-management programme led by a

  19. Physical Activity in Primary Versus Secondary Prevention Indication Implantable Cardioverter Defibrillator Recipients 6–12 Months After Implantation – A Cross-Sectional Study With Register Follow Up

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Thygesen, Lau Caspar; Svendsen, Jesper Hastrup;

    2015-01-01

    OBJECTIVES: To describe physical activity status among patients with implantable cardioverter defibrillators (ICDs) according to the indication for ICD implant compared with international guidelines and compared with a matched healthy reference population to detect potential for improved physical...... outcomes; to describe patients' beliefs regarding participation in physical exercise by ICD indication; to describe factors predicting low physical activity; and to describe physical activity as a predictor of mortality. DESIGN: National survey with register follow-up. Comparisons were made to a matched...... healthy reference population, and patients were followed in registers for 15 months. SETTING: Patients are identified from national registers and questionnaires are distributed by postal mail. PARTICIPANTS: All diagnostic profiles and indications were included as were both single-chamber ICD...

  20. Implantable cardioverter-defibrillator therapy in a 34-year-old patient with eating disorders and after the third sudden cardiac arrest.

    Science.gov (United States)

    Piotrowicz, Ewa; Orzechowski, Piotr; Bilinska, Maria; Przybylski, Andrzej; Szumowski, Lukasz; Piotrowicz, Ryszard

    2015-03-01

    Eating disorders (ED) such as anorexia nervosa and bulimia are psychiatric diseases associated with the highest mortality rate of any other psychiatric disorders. More recently, long-term outcome studies with follow-up of over 20 years report a mortality of between 15% and 18% (Casiero and Frishman, Cardiol Rev 14(5), 227, 2006). The sudden death secondary to arrhythmias is often the cause of death in these patients (Casiero and Frishman, Cardiol Rev 14(5), 227, 2006). A case of life-threatening ventricular arrhythmia (VA) in a patient with ED is presented. Clinical records (cardiologic, psychiatric), electrocardiograms, echocardiogram, coronary angiogram, cardiac magnetic resonance, and endocrine diagnostics were performed. Finally a cardioverter-defibrillator (ICD) was implanted in the patient after her third cardiac arrest. An optimal approach to antiarrhythmic therapy in such patients is a real challenge for a cardiologist.

  1. Gender differences in appropriate shocks and mortality among patients with primary prophylactic implantable cardioverter-defibrillators: Systematic review and meta-analysis

    CERN Document Server

    Conen, David; Röver, Christian; Bergau, Leonard; Muñoz, Pascal; Wijers, Sofieke; Sticherling, Christian; Zabel, Markus; Friede, Tim

    2016-01-01

    BACKGROUND: Some but not all prior studies have shown that women receiving a primary prophylactic implantable cardioverter defibrillator (ICD) have a lower risk of death and appropriate shocks than men. PURPOSE: To evaluate the effect of gender on the risk of appropriate shock, all-cause mortality and inappropriate shock in contemporary studies of patients receiving a primary prophylactic ICD. DATA SOURCE: PubMed, LIVIVO, Cochrane CENTRAL between 2010 and 2016. STUDY SELECTION: Studies providing at least 1 gender-specific risk estimate for the outcomes of interest. DATA EXTRACTION: Abstracts were screened independently for potentially eligible studies for inclusion. Thereby each abstract was reviewed by at least two authors. DATA SYNTHESIS: Out of 680 abstracts retained by our search strategy, 20 studies including 46'657 patients had gender-specific information on at least one of the relevant endpoints. Mean age across the individual studies varied between 58 and 69 years. The proportion of women enrolled ran...

  2. Primary Prevention of Sudden Cardiac Death in Adults with Transposition of the Great Arteries: A Review of Implantable Cardioverter-Defibrillator Placement.

    Science.gov (United States)

    Sodhi, Sandeep S; Cedars, Ari M

    2015-08-01

    Transposition of the great arteries encompasses a set of structural congenital cardiac lesions that has in common ventriculoarterial discordance. Primarily because of advances in medical and surgical care, an increasing number of children born with this anomaly are surviving into adulthood. Depending upon the subtype of lesion or the particular corrective surgery that the patient might have undergone, this group of adult congenital heart disease patients constitutes a relatively new population with unique medical sequelae. Among the more common and difficult to manage are cardiac arrhythmias and other sequelae that can lead to sudden cardiac death. To date, the question of whether implantable cardioverter-defibrillators should be placed in this cohort as a preventive measure to abort sudden death has largely gone unanswered. Therefore, we review the available literature surrounding this issue. PMID:26413012

  3. Implante de cardio-desfibrilador em gestantes com cardiomiopatia hipertrófica Implantable cardioverter-defibrillator in pregnant women with hypertrophic cardiomyopathy

    Directory of Open Access Journals (Sweden)

    Leonardo Jorge Cordeiro de Paula

    2010-09-01

    Full Text Available Descrevemos os casos de duas gestantes portadoras de cardiomiopatia hipertrófica com alto risco de morte súbita arrítmica, que foram submetidas a implante de cardioversor-desfibrilador automático (CDI no intercurso da gestação. O momento para a realização do procedimento e os cuidados necessários para o implante do CDI durante a gestação são discutidos e foram os principais objetivos deste relato.We describe the successful implantation of a cardioverter-defibrillator (ICD in two pregnant women with hypertrophic cardiomyopathy at high risk. The indication of ICD and the necessary care for ICD implantation during pregnancy are discussed and were the main objectives of this case report.

  4. Results of ENHANCED Implantable Cardioverter Defibrillator Programming to Reduce Therapies and Improve Quality of Life (from the ENHANCED-ICD Study).

    Science.gov (United States)

    Mastenbroek, Mirjam H; Pedersen, Susanne S; van der Tweel, Ingeborg; Doevendans, Pieter A; Meine, Mathias

    2016-02-15

    Novel implantable cardioverter defibrillator (ICD) discrimination algorithms and programming strategies have significantly reduced the incidence of inappropriate shocks, but there are still gains to be made with respect to reducing appropriate but unnecessary antitachycardia pacing (ATP) and shocks. We examined whether programming a number of intervals to detect (NID) of 60/80 for ventricular tachyarrhythmia (VT)/ventricular fibrillation (VF) detection was safe and the impact of this strategy on (1) adverse events related to ICD shocks and syncopal events; (2) ATPs/shocks; and (3) patient-reported outcomes. The "ENHANCED Implantable Cardioverter Defibrillator programming to reduce therapies and improve quality of life" study (ENHANCED-ICD study) was a prospective, safety-monitoring study enrolling 60 primary and secondary prevention patients at the University Medical Center Utrecht. Patients implanted with any type of ICD with SmartShock technology and aged 18 to 80 years were eligible to participate. In all patients, a prolonged NID 60/80 was programmed. The cycle length for VT/fast VT/VF was 360/330/240 ms, respectively. Programming a NID 60/80 proved safe for ICD patients. Because of the new programming strategy, unnecessary ICD therapy was prevented in 10% of ENHANCED-ICD patients during a median follow-up period of 1.3 years. With respect to patient-reported outcomes, levels of distress were highest and perceived health status lowest at the time of implantation, which both gradually improved during follow-up. In conclusion, the ENHANCED-ICD study demonstrates that programming a NID 60/80 for VT/VF detection is safe for ICD patients and does not negatively impact their quality of life.

  5. Desfibrilador cardioversor automático implantável: experiência inicial Implantable cardioverter defibrillator: initial experience

    Directory of Open Access Journals (Sweden)

    Victor BAUER JÚNIOR

    1999-04-01

    Full Text Available Este estudo tem por objetivo demonstrar o protocolo de implante, técnica utilizada, avaliação dos parâmetros iniciais do implante de desfibrilador cardioversor automático implantável (DCAI e seguimento precoce dos 15 pacientes operados em nosso Serviço. O implante transvenoso nessa série de pacientes obteve sucesso em 14 casos. O limiar de desfibrilação teve média de 8,05 ± 4,60 Joules, onda R 16,00 ± 4,32 mV, "slew rate" 1,25 ± 0,29 V/s, limiar de comando de 0,65 ± 0,80 Volts e resistência de 620,00 ± 102,77 Ohms. O tempo médio de implante foi de 164,17 ± 71,15 minutos. Não ocorreu morte operatória, nem episódios de rejeição ou infecção. A média de seguimento foi de 18,79 ± 13,81 meses sendo que 9 pacientes receberam choques apropriados com reversão das arritmias. Choques inapropriados ocorreram em uma paciente devido à perda do limiar de sensibilidade do cardioversor. Observamos a facilidade técnica do implante utilizando o modelo Phylax 06 na região infraclavicular esquerda com eletrodo único, sendo o DCAI capaz de reconhecer e realizar a terapia de cardioversão ou desfibrilação com sucesso, sugerindo ser um método importante e eficaz para o tratamento dos pacientes que desenvolvem arritmias com alto risco de mortalidade em ambulatório.The implantable cardioverter-defibrillator (ICD is gaining increasing significance in therapy of life-threatening ventricular arrhythmias. Mirowski started to develop experimental automatic implantable defibrillators in the seventies. In 1980, the first human implant of an automatic implantable defibrillator was done by the team of Mirowski in Baltimore, USA. The purpose of this report is to examine 15 implantation at our Institution. Adequate defibrillation thresholds with were obrtained mean 8.0 Joules, slew rate 1.25 V/s and impedance of 620 Ohms. All implants were performed with non-thoracotomy lead, two abdominal implantations and three left pectoral implantations

  6. 起搏器和植入性心律转复除颤器的召回和安全警示%Recalls and Safety Alerts Involving Pacemakers and Implantable Cardioverter-Defibrillator Generators

    Institute of Scientific and Technical Information of China (English)

    William H.Maisel; Maisel O. Sweeney; William G.Stevenson; Kristin E.Ellison; Laurence M. Epstein

    2002-01-01

    @@ 背景:起搏器和植入性心律转复除颤器(implantable cardioverter-defibrillator,ICD)常常发生出乎预料的故障,需由美国食品与药物管理局(FDA)召回(recall).尽管起搏器和ICD植入日益增多,但对它们的召回和安全警示(报告)知之甚少.

  7. Temporal Influence of Heart Failure Hospitalizations Prior to Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy With Defibrillator on Subsequent Outcome in Mild Heart Failure Patients (from MADIT-CRT)

    DEFF Research Database (Denmark)

    Lee, Andy Y; Moss, Arthur J; Ruwald, Martin H;

    2015-01-01

    effects on subsequent outcomes and benefit from cardiac resynchronization therapy with a defibrillator (CRT-D). Multivariate Cox models were used to determine the temporal influence of previous HF hospitalization on the end point of HF or death within all left bundle branch block implantable cardioverter-defibrillator...... (ICD) and CRT-D patients enrolled in the Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy (MADIT-CRT) trial (n = 1,250) and to evaluate the clinical benefit of CRT-D implantation, comparing CRT-D patients with ICD patients within each previous HF hospitalization...

  8. Electrical Storm after Implantation of Implantable Cardioverter Defibrillator and Its treatment%植入型心律转复除颤器植入术后电风暴发生及其治疗进展

    Institute of Scientific and Technical Information of China (English)

    茅魁; 蔡鑫

    2013-01-01

    近年来,植入型心律转复除颤器治疗恶性心律失常的疗效明确,但术后电风暴诱发因素的治疗进展和预后愈来愈受到临床重视,现就近年的研究进展进行综述.%In recent years, the efficacy of implantable cardioverter defibrillator has been proved definite in treatment of nausea arrhythmia, and the treatment of postoperative electrical storm and its prognosis have been attached more and more importance to. This paper reviews its recent research progress.

  9. Is metal artefact reduction mandatory in cardiac PET/CT imaging in the presence of pacemaker and implantable cardioverter defibrillator leads?

    Energy Technology Data Exchange (ETDEWEB)

    Ghafarian, Pardis [Shahid Beheshti University, Department of Radiation Medicine, Tehran (Iran, Islamic Republic of); Geneva University Hospital, Division of Nuclear Medicine, Geneva 4 (Switzerland); Tehran University of Medical Sciences, Research Center for Science and Technology in Medicine, Tehran (Iran, Islamic Republic of); Aghamiri, S.M.R. [Shahid Beheshti University, Department of Radiation Medicine, Tehran (Iran, Islamic Republic of); Ay, Mohammad R. [Tehran University of Medical Sciences, Research Center for Science and Technology in Medicine, Tehran (Iran, Islamic Republic of); Tehran University of Medical Sciences, Department of Medical Physics and Biomedical Engineering, Tehran (Iran, Islamic Republic of); Tehran University of Medical Sciences, Research Institute for Nuclear Medicine, Tehran (Iran, Islamic Republic of); Rahmim, Arman [Johns Hopkins University, Department of Radiology, Baltimore, MD (United States); Schindler, Thomas H. [Geneva University, Cardiovascular Center, Nuclear Cardiology, Geneva (Switzerland); Ratib, Osman [Geneva University Hospital, Division of Nuclear Medicine, Geneva 4 (Switzerland); Zaidi, Habib [Geneva University Hospital, Division of Nuclear Medicine, Geneva 4 (Switzerland); Geneva University, Geneva Neuroscience Center, Geneva (Switzerland)

    2011-02-15

    Cardiac PET/CT imaging is often performed in patients with pacemakers and implantable cardioverter defibrillator (ICD) leads. However, metallic implants usually produce artefacts on CT images which might propagate to CT-based attenuation-corrected (CTAC) PET images. The impact of metal artefact reduction (MAR) for CTAC of cardiac PET/CT images in the presence of pacemaker, ICD and ECG leads was investigated using both qualitative and quantitative analysis in phantom and clinical studies. The study included 14 patients with various leads undergoing perfusion and viability examinations using dedicated cardiac PET/CT protocols. The PET data were corrected for attenuation using both artefactual CT images and CT images corrected using the MAR algorithm. The severity and magnitude of metallic artefacts arising from these leads were assessed on both linear attenuation coefficient maps ({mu}-maps) and attenuation-corrected PET images. CT and PET emission data were obtained using an anthropomorphic thorax phantom and a dedicated heart phantom made in-house incorporating pacemaker and ICD leads attached at the right ventricle of the heart. Volume of interest-based analysis and regression plots were performed for regions related to the lead locations. Bull's eye view analysis was also performed on PET images corrected for attenuation with and without the MAR algorithm. In clinical studies, the visual assessment of PET images by experienced physicians and quantitative analysis did not reveal erroneous interpretation of the tracer distribution or significant differences when PET images were corrected for attenuation with and without MAR. In phantom studies, the mean differences between tracer uptake obtained without and with MAR were 10.16{+-}2.1% and 6.86{+-}2.1% in the segments of the heart in the vicinity of metallic ICD or pacemaker leads, and were 4.43{+-}0.5% and 2.98{+-}0.5% in segments far from the leads. Although the MAR algorithm was able to effectively improve

  10. Prediction of Appropriate Shocks Using 24-Hour Holter Variables and T-Wave Alternans After First Implantable Cardioverter-Defibrillator Implantation in Patients With Ischemic or Nonischemic Cardiomyopathy.

    Science.gov (United States)

    Seegers, Joachim; Bergau, Leonard; Expósito, Pascal Muñoz; Bauer, Axel; Fischer, Thomas H; Lüthje, Lars; Hasenfuß, Gerd; Friede, Tim; Zabel, Markus

    2016-07-01

    In patients treated with implantable cardioverter defibrillator (ICD), prediction of both overall survival and occurrence of shocks is important if improved patient selection is desired. We prospectively studied the predictive value of biomarkers and indexes of cardiac and renal function and spectral microvolt T-wave alternans testing and 24-hour Holter variables in a population who underwent first ICD implantation. Consecutive patients in sinus rhythm with ischemic or dilated cardiomyopathy scheduled for primary or secondary prophylactic ICD implantation were enrolled. Exercise microvolt T-wave alternans and 24-hour Holter for number of ventricular premature contractions (VPCs), deceleration capacity, heart rate variability, and heart rate turbulence were done. Death of any cause and first appropriate ICD shock were defined as end points. Over 33 ± 15 months of follow-up, 36 of 253 patients (14%) received appropriate shocks and 39 of 253 patients (15%) died. Only 3 of 253 patients (1%) died after receiving at least 1 appropriate shock. In univariate analyses, New York Heart Association class, ejection fraction, N-terminal pro brain-type natriuretic peptide (NT-proBNP), renal function, ICD indication, deceleration capacity, heart rate variability, and heart rate turbulence were predictive of all-cause mortality and VPC number and deceleration capacity predicted first appropriate shock. NT-proBNP (≥1,600 pg/ml) was identified as the only independent predictor of all-cause mortality (hazard ratio 3.0, confidence interval 1.3 to 7.3, p = 0.014). In contrast, VPC number predicted appropriate shocks (hazard ratio 2.3, confidence interval 1.0 to 5.5, p = 0.047) as the only independent risk marker. In conclusion, NT-proBNP is a strong independent predictor of mortality in a typical prospective cohort of newly implanted patients with ICD, among many electrocardiographic and clinical variables studied. Number of VPCs was identified as a predictor of appropriate shocks

  11. Is metal artefact reduction mandatory in cardiac PET/CT imaging in the presence of pacemaker and implantable cardioverter defibrillator leads?

    International Nuclear Information System (INIS)

    Cardiac PET/CT imaging is often performed in patients with pacemakers and implantable cardioverter defibrillator (ICD) leads. However, metallic implants usually produce artefacts on CT images which might propagate to CT-based attenuation-corrected (CTAC) PET images. The impact of metal artefact reduction (MAR) for CTAC of cardiac PET/CT images in the presence of pacemaker, ICD and ECG leads was investigated using both qualitative and quantitative analysis in phantom and clinical studies. The study included 14 patients with various leads undergoing perfusion and viability examinations using dedicated cardiac PET/CT protocols. The PET data were corrected for attenuation using both artefactual CT images and CT images corrected using the MAR algorithm. The severity and magnitude of metallic artefacts arising from these leads were assessed on both linear attenuation coefficient maps (μ-maps) and attenuation-corrected PET images. CT and PET emission data were obtained using an anthropomorphic thorax phantom and a dedicated heart phantom made in-house incorporating pacemaker and ICD leads attached at the right ventricle of the heart. Volume of interest-based analysis and regression plots were performed for regions related to the lead locations. Bull's eye view analysis was also performed on PET images corrected for attenuation with and without the MAR algorithm. In clinical studies, the visual assessment of PET images by experienced physicians and quantitative analysis did not reveal erroneous interpretation of the tracer distribution or significant differences when PET images were corrected for attenuation with and without MAR. In phantom studies, the mean differences between tracer uptake obtained without and with MAR were 10.16±2.1% and 6.86±2.1% in the segments of the heart in the vicinity of metallic ICD or pacemaker leads, and were 4.43±0.5% and 2.98±0.5% in segments far from the leads. Although the MAR algorithm was able to effectively improve the quality of

  12. Estimating dose to implantable cardioverter-defibrillator outside the treatment fields using a skin QED diode, optically stimulated luminescent dosimeters, and LiF thermoluminescent dosimeters

    Energy Technology Data Exchange (ETDEWEB)

    Chan, Maria F., E-mail: chanm@mskcc.org [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, NY (United States); Song, Yulin; Dauer, Lawrence T.; Li Jingdong; Huang, David; Burman, Chandra [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, NY (United States)

    2012-10-01

    The purpose of this work was to determine the relative sensitivity of skin QED diodes, optically stimulated luminescent dosimeters (OSLDs) (microStar Trade-Mark-Sign DOT, Landauer), and LiF thermoluminescent dosimeters (TLDs) as a function of distance from a photon beam field edge when applied to measure dose at out-of-field points. These detectors have been used to estimate radiation dose to patients' implantable cardioverter-defibrillators (ICDs) located outside the treatment field. The ICDs have a thin outer case made of 0.4- to 0.6-mm-thick titanium ({approx}2.4-mm tissue equivalent). A 5-mm bolus, being the equivalent depth of the devices under the patient's skin, was placed over the ICDs. Response per unit absorbed dose-to-water was measured for each of the dosimeters with and without bolus on the beam central axis (CAX) and at a distance up to 20 cm from the CAX. Doses were measured with an ionization chamber at various depths for 6- and 15-MV x-rays on a Varian Clinac-iX linear accelerator. Relative sensitivity of the detectors was determined as the ratio of the sensitivity at each off-axis distance to that at the CAX. The detector sensitivity as a function of the distance from the field edge changed by {+-} 3% (1-11%) for LiF TLD-700, decreased by 10% (5-21%) for OSLD, and increased by 16% (11-19%) for the skin QED diode (Sun Nuclear Corp.) at the equivalent depth of 5 mm for 6- or 15-MV photon energies. Our results showed that the use of bolus with proper thickness (i.e., {approx}d{sub max} of the photon energy) on the top of the ICD would reduce the scattered dose to a lower level. Dosimeters should be calibrated out-of-field and preferably with bolus equal in thickness to the depth of interest. This can be readily performed in clinic.

  13. Attrition and Adherence in a Web-Based Distress Management Program for Implantable Cardioverter Defibrillator Patients (WEBCARE): Randomized Controlled Trial

    DEFF Research Database (Denmark)

    Habibovic, M.; Cuijpers, P.; Alings, M.;

    2014-01-01

    . Conclusions: Current findings underline the importance of focusing on adherence and dropout, as this remains a significant problem in behavioral Web-based trials. Examining possibilities to address barriers indicated by patients might enhance treatment engagement and improve patient outcomes....

  14. Rationale and design of a prospective study of the efficacy of a remote monitoring system used in implantable cardioverter defibrillator follow-up: the Lumos-T Reduces Routine Office Device Follow-Up Study (TRUST) study.

    Science.gov (United States)

    Varma, Niraj

    2007-12-01

    Increased implantable cardioverter defibrillator (ICD) implant volumes (and product advisories/recalls) pose management challenges. Most device interrogations at 3- to 6-month routine follow-up visits are "nonactionable," that is, require no clinically significant reprogramming, lead revision, or initiation or up-titration of antiarrhythmic medications. Conversely, implanted devices collect important diagnostic data (eg, atrial fibrillation onset, system integrity) that remain concealed between device interrogations. Remote monitoring may resolve some of these challenges, but has not been studied in a large-scale clinical trial. Home Monitoring (HM) uses automatic (without patient intervention) data and electrogram transmissions with rapid (automatically occur between periodic checks for compromised system integrity (battery, lead parameters, high-voltage circuitry) or arrhythmia occurrence (eg, atrial fibrillation, ventricular arrhythmia). All study patients will have a final office visit 15 months after implant. The results of TRUST may confirm the role of remote monitoring as an intensive surveillance mechanism for device management. PMID:18035071

  15. Rationale, design, and baseline characteristics of the DANish randomized, controlled, multicenter study to assess the efficacy of Implantable cardioverter defibrillators in patients with non-ischemic Systolic Heart failure on mortality (DANISH)

    DEFF Research Database (Denmark)

    Thune, Jens Jakob; Pehrson, Steen; Nielsen, Jens Cosedis;

    2016-01-01

    BACKGROUND: The effect of an implantable cardioverter defibrillator (ICD) in patients with symptomatic systolic heart failure (HF) caused by coronary artery disease is well documented. However, the effect of primary prophylactic ICDs in patients with systolic HF not due to coronary artery disease...... by coronary artery disease have been randomized to receive an ICD or not, in addition to contemporary standard therapy. The primary outcome of the trial is time to all-cause death. Follow-up will continue until June 2016 with a median follow-up period of 5 years. Baseline characteristics show that enrolled...... (range, 21-84 years) at baseline, and 28% were women. CONCLUSION: DANISH will provide pertinent information about the effect on all-cause mortality of a primary prophylactic ICD in patients with symptomatic systolic HF not caused by coronary artery disease on contemporary standard therapy including CRT....

  16. Nursing Experience on Electrical Storm of Implantable Cardioverter Defibrillator%植入型心脏转复除颤器患者发生电风暴的护理体会

    Institute of Scientific and Technical Information of China (English)

    丁恒

    2010-01-01

    心脏性猝死(sudden cardiac death,SCD)通常是致命性室性心律失常的最终结局.预防室性心律失常所致心源性猝死惟一有效的方法是植入植入型心脏转复除颤器(implantable cardioverter defibrillator,ICD)以减少心脏性猝死的发生[1].ICD已经从对室性心动过速(简称室速)、心室颤动(简称室颤)进行二级预防,扩展到对低射血分数的一级预防.

  17. Nursing care of patients receiving implantable cardioverter defibrillator implantation//%心脏转复除颤器植入术患者的护理

    Institute of Scientific and Technical Information of China (English)

    李燕林; 丁莉; 陈琴

    2011-01-01

    Objective To summarize the main nursing measures of implantable cardioverter defibrillator (ICD) implantation and to highlight the maneuvers of commonly seen complications. Methods Seven cases were successfully resuscitated after sudden cardiac death. They received ICD implantation. Before the procedure, patients were closely monitored with ECG and observed; after the procedure, patients had ECG and blood pressure monitoring, and the changes in heart rates and rhythm were closely observed.Nurses instructed patients to have good rest, gave diet guidance, helped them handle pain, and kept close eyes on vital signs and delivered health education. Nurses also handled complications and accidents timely. Results The 7 patients had a hospital stay of 1430 d. All patients were symptomatic in New York Heart Association Functional Class Ⅱ or Ⅲ at discharge. Patients were followed up 2-52 months. One cases died from lung infection and pump failure. The other six patients experienced 4 times of ICD shock delivery, 3 ventricular tachycardia, 1 supraventricular tachycardia. The quick-beating heart turned into sinus rhythm after shock delivery. One case developed hallucinations of electric shock; one case had effusion of the pouch. Both the above cases received symptomatic treatment. Conclusion The complications of ICD implantation be reduced by strengthening observation of vital signs of patients, giving scrupulous fundamental nursing and psychological nursing, and taking preventive precautions, which also lengthens the service life of the ICD system.%目的 总结植入型心脏转复除颤器(1CD)植入术的护理要点和常见并发症的处理方法.方法 对收治的心源性猝死抢救成功的7例患者行ICD植入术,术前加强心电监护及病情观察;术后持续心电、血压监测,尤其注意观察心率、心律的变化,做好休息与饮食、疼痛及生命体征护理和健康教育,及时处理常见并发症和意外.结果 7例患者住院14

  18. Analysis of implantable cardioverter-defibrillator lead failures%植入型心律转复除颤器导线故障分析

    Institute of Scientific and Technical Information of China (English)

    陈太波; 程康安; 程中伟; 范静波; 姜秀春; 方全

    2011-01-01

    目的 总结分析我院植入型心律转复除颤器( ICD)起搏除颤导线故障病例特点。方法 对2005年10月至2009年12月62例在我院新植入ICD导线患者进行随访分析,所有导线植入均以锁骨下静脉作为入路。随访中出现以下1项或多项异常考虑导线故障:(1)起搏阻抗永久性或间歇性>2000 Ω或<250 Ω;(2)除颤高压阻抗>200 Ω;(3)心内电图证实除颤导线感知非生理性高频噪声导致误放电。结果 中位数随访时间28(10 ~46)个月,4例患者(6.5%)诊断ICD导线故障,导线寿命18~38个月;临床均以ICD误放电至医院就诊,同时程控发现ICD导线起搏阻抗异常。其中l例患者放电前闻及ICD导线阻抗报警,4例患者均重新植入新的起搏感知导线。结论 ICD导线故障是一个值得重视的临床问题。ICD导线阻抗报警功能可能有助于早期发现导线故障。如程控发现仅仅除颤导线起搏阻抗异常,植入新的起搏感知导线可以作为首选的故障处理方法。%Objective The aim of the present study was to analyze the characteristics of patients with defibrillation lead failures after implantable cardioverter-defibrillator( ICD)implantation. Methods From Oct. 2005 to Dec 2009 we implanted a new defibrillation lead for 62 consecutive cases, among which all leads were implanted by puncture of the subclavian vein. A lead failure was diagnosed if one or more of the following criteria were met: ( 1 ) permanent or temporary pacing impedance increased to more than 2000 ohms or decreased to less than 200 to 250 ohms; ( 2 ) permanent or temporary high voltage impedance increased to more than 200ohms ; (3) inappropriate shock due to oversensing non-physiologic high frequence noises was documented by intracardiac electrogram. Results During the median follow-up of 28 months ( between 10 and 46 months after implantation) 4 (6. 5% )defibrillation leads failed and the leads survival time ranged

  19. Subcutaneous Implantable Cardioverter-Defibrillator

    Science.gov (United States)

    ... LIBRARY Hello, Guest! My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Cover Doodle → Blip the Doodle Go Red For Women's Issue Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  20. Clinical observation and nursing of implantable cardioverter-defibrillator patients with oral anticoagulants in the peroperative period%ICD围术期未停口服抗凝药的临床观察和护理

    Institute of Scientific and Technical Information of China (English)

    孙丽; 冯婕; 陆敬平; 徐冬梅

    2012-01-01

    目的 探讨植入型心律转复除颤器(ICD)围术期未停口服抗凝药的临床观察和护理.方法 回顾ICD植入术35例患者,其中围术期未停抗凝药15例,总结护理要点和并发症的处理方法.结果 35例行ICD植入术患者均痊愈出院,随访患者无不良反应和并发症.结论 术前全面评估患者围术期是否停用或替代抗凝剂,同时做好患者教育及凝血监测工作,术后严密观察术区情况,发现异常及时处理.%Objective To explore the clinical manifestations and nursing of implantable car-dioverter- defibrillator (ICD) patients with oral anticoagulants in the peroperative period. Methods The clinical data of 35 ICD patients were reviewed. Among them, 15 patients continued the oral anticoagulants. The nursing highlights and the ways to deal with complications have been summarized. Results All patients were discharged from hospital with good recovery. Follow-up showed that there were no adverse reactions and complications. Conclusion Comprehensive assessment should be done to identify whether patients has discontinued oral anticoagulants or other substitutes in the perioperative period before surgery. Meanwhile, health education and coagulation should be properly managed. The progression of disease should be closely observed after surgery in case of e-mergencies.

  1. Painless Implanted Cardioverter Defibrillator Therapy: Have We Taken It Seriously?%植入式心脏复律除颤器的无痛性治疗:我们重视了吗?

    Institute of Scientific and Technical Information of China (English)

    宿燕岗

    2011-01-01

    Shocking therapy of implanted cardioverter defibrillator (ICD) has been criticized for its causing myocardium damage and inducing electrical storm. Instead the anti-tachycardia pacing (ATP) function has been introduced as the main pain-free therapy of ICD, which could terminate about 3/4 ventricular tachycardia ( VT) events, without raising the risk of syncope or accelerated VT. The main concerns of ATP include differential identification of supraventricular tachycardia, re-confirmation of charging, settings of fast VT zone, strategies for optimization, and ATP while or before charging etc. , and the parameters should be adjusted individually during follow up. More concern should be paid to pain-free ICD therapy in clinical practice.%电击治疗可导致包括心肌损伤及诱发植入式心脏复律除颤器电风暴等弊端.植入式心脏复律除颤器的无痛性治疗主要是指其抗心动过速起搏功能.抗心动过速起搏能成功终止约3/4的室性心动过速事件,不增加晕厥或加速室性心动过速.无痛性治疗的主要策略包括室上性心动过速的鉴别程序、充电时的再确认、设定快速室性心动过速区、抗心动过速起搏策略优化、充电中和充电前抗心动过速起搏等.这些参数设置应个体化并在随访中进行调整.应重视植入式心脏复律除颤器无痛性治疗在临床上的应用.

  2. 埋藏式心脏转复除颤器植入术中除颤阈值测试的管理%Management of defibrillation threshold test in the implantation of implantable cardioverter defibrillator

    Institute of Scientific and Technical Information of China (English)

    周燕; 王玉如; 翟大玲; 徐金凤; 胡玉芳; 陈桂花; 何英; 殷雪梅

    2013-01-01

    目的 探讨埋藏式心脏转复除颤器(ICD)植入术中除颤阈值(DFT)测试过程中的监护与管理要点,降低测试过程中的并发症发生率.方法 回顾性分析50例植入ICD患者术中DFT测试与管理的过程,观察在规范化监护和管理下并发症的发生率.结果 50例患者植入手术过程顺利.1例患者在测试中首次除颤未成功,第2次予最大能量除颤成功;1例在行DFT测试后出现持续低血压和低血氧状态,通过及时应用升压药和增大给氧流量后恢复;1例患者诱发室颤未成功,放弃DFT测试,给予经验性能量设置.术后所有患者生命体征平稳,无手术相关重大并发症发生.结论 ICD除颤阈值测试的过程中,有出现持续低血压、低血氧和除颤阈值偏高等情况的可能,全面、有效的监护管理能显著降低DFT测试中的风险.%Objective To explore the guardianship and management points of defibrillation threshold test(DFT) in the implantation of implantable cardioverter defibrillator (ICD). Methods Test and management procedures of DFT in 50 patients with ICD implantation were analyzed retrospectively. Incidence rate of complications was observed under the standardized guardianship and management. Results All the patients had successful operations. One patient failed in the first defibrillation, and then had successful defibrillation with a maximum energy in second time. One patient had persistent hypotension and hypoxemia after DFT, which were corrected after application of pressor agent and increasing of oxygen flow. One patient received empirical energy setting instead of DFT because of ventricular fibrillation. After the operation, all the patients'vital signs were stable, and no one had severe operation- related complications. Conclusion Persistent hypotension, hypoxemia and high defibrillation threshold may occur in process of DFT, and comprehensive and effective management and guardianship can significantly reduce the

  3. AUTOMATIC IMPLANTABLE CARDIOVERTER DEFIBRILLATOR - COST-EFFECTIVENESS

    NARCIS (Netherlands)

    HAUER, RNW; WEVER, EFD; CRIJNS, HJGM

    1993-01-01

    Unexpected out-of-hospital cardiac arrest is in most cases due to ventricular fibrillation or rapid ventricular tachycardia. The usual therapeutic strategy in survivors starts with drug treatment, in case of failure followed by nonpharmacological therapy, which may include catheter ablation, ablativ

  4. [Current malaria situation in Turkmenistan].

    Science.gov (United States)

    Amangel'diev, K A

    2001-01-01

    Malaria is one of the main health problems facing most developing countries having a hot climate. It is a problem in Turkmenistan. The country is situated in Central Asia, north of the Kopetdag mountains, between the Caspian Sea to the west and the Amu-Darya river to the east. Turkmenistan stretches for a distance of 1,100 km from west to east and 650 km from north to south. It borders Kazakhstan in the north, Uzbekistan in the east and north-east, Iran in the south, and Afghanistan in the south-east. Seven malaria vector species are found in Turkmenistan, the main ones being Anopheles superpictus, An. pulcherrimus, and An. martinius. The potentially endemic area consists of the floodplains of the Tejen and Murgab rivers, with a long chain of reservoirs built along them. In 1980 most cases of imported malaria were recorded in military personnel who had returned from service in Afghanistan. In the past years, only tertian (Plasmodium vivax) malaria has been recorded and there have been no death from malaria over that period. In the Serkhetabad (Gushgi) district there are currently 5 active foci of malaria infection, with a population of 22,000 people. In 1999, forty nine cases of P. vivax malaria were recorded in Turkmenistan. Of them, 36 cases, including 4 children under 14 years were diagnosed for the first time while 13 were relapses. There were 88 fewer cases than those in the previous year (by a factor of 2.8). There were 17 more cases of imported malaria than those in 1998 (by a factor of 1.7), most of which occurred in the foci of malaria infection (Serkhetabad, Tagtabazar, and Kerki districts), in the city of Ashkhabat and in Lebap, Dashkhovuz and Akhal Regions. The emergence of indigenous malaria in the border areas was due to the importation of the disease at intervals by infected mosquitoes flying in from neighbouring countries (e.g. Afghanistan), the lack of drugs to treat the first cases and the lack of alternative insecticides. Most patients suffer

  5. Custo-efetividade de cardiodesfibriladores implantáveis no Brasil nos setores público e privado Cost-effectiveness of implantable cardioverter defibrillators in Brazil in the public and private sectors

    Directory of Open Access Journals (Sweden)

    Rodrigo Antonini Ribeiro

    2010-10-01

    Full Text Available FUNDAMENTO: Vários ensaios clínicos randomizados demonstraram a efetividade do cardiodesfibrilador implantável (CDI na redução de morte de pacientes com insuficiência cardíaca congestiva (ICC. Estudos de países desenvolvidos já avaliaram a custo-efetividade do CDI, porém as informações não são transferíveis para o Brasil. OBJETIVO: Avaliar a custo-efetividade do CDI em pacientes com ICC sob duas perspectivas: pública e saúde suplementar. MÉTODOS: Um modelo de Markov foi criado para analisar a relação de custo-efetividade incremental (RCEI do CDI, comparado à terapia convencional, em pacientes com ICC. Efetividade foi medida em anos de vida ajustados para qualidade (QALY. Na literatura, buscaram-se dados de efetividade e complicações. Custos foram extraídos das tabelas do SUS e de valores praticados pelos convênios, assim como médias de internações hospitalares. Análises de sensibilidade univariadas foram feitas em todas as variáveis do modelo. RESULTADOS: A RCEI foi de R$ 68.318/QALY no cenário público e R$ 90.942/QALY no privado. Esses valores são superiores aos sugeridos como pontos de corte pela Organização Mundial da Saúde, de três vezes o PIB per capita (R$ 40.545 no Brasil. Variáveis mais influentes na análise de sensibilidade foram: custo do CDI, intervalo de troca do gerador e efetividade do CDI. Em simulação de cenário semelhante ao MADIT-I, as relações foram de R$ 23.739/QALY no cenário público e R$ 33.592/QALY no privado. CONCLUSÃO: Para a população em geral com ICC, a relação de RCEI do CDI, tanto na perspectiva pública como na privada, é elevada. Resultados mais favoráveis ocorrem em pacientes com alto risco de morte súbita.BACKGROUND: Many randomized clinical trials have demonstrated the effectiveness of the implantable cardioverter-defibrillator (ICDs in death reduction of chronic heart failure (CHF patients. Some developed countries studies have evaluated its cost

  6. [Current malaria situation in Turkey].

    Science.gov (United States)

    Gockchinar, T; Kalipsi, S

    2001-01-01

    Geographically, Turkey is situated in an area where malaria is very risky. The climatic conditions in the region are suitable for the malaria vector to proliferate. Due to agricultural infrastructural changes, GAP and other similar projects, insufficient environmental conditions, urbanization, national and international population moves, are a key to manage malaria control activities. It is estimated that malaria will be a potential danger for Turkey in the forthcoming years. The disease is located largely in south-eastern Anatolia. The Diyarbakir, Batman, Sanliurfa, Siirt, and Mardin districts are the most affected areas. In western districts, like Aydin and Manisa, an increase in the number of indigenous cases can be observed from time to time. This is due to workers moving from malaria districts to western parts to final work. Since these workers cannot be controlled, the population living in these regions get infected from indigenous cases. There were 84,345 malaria cases in 1994 and 82,096 in 1995, they decreased to 60,884 in 1996 and numbered 35,456 in 1997. They accounted for 36,842 and 20,963 in 1998 and 1999, respectively. In Turkey there are almost all cases of P. vivax malaria. There are also P. vivax and P. falciparum malaria cases coming from other countries: There were 321 P. vivax cases, including 2 P. falciparum ones, arriving to Turkey from Iraq in 1995. The P. vivax malaria cases accounted for 229 in 1996, and 67, cases P. vivax including 12 P. falciparum cases, in 1997, and 4 P. vivax cases in 1998 that came from that country. One P. vivax case entered Turkey from Georgia in 1998. The cause of higher incidence of P. vivax cases in 1995, it decreasing in 1999, is the lack of border controls over workers coming to Turkey. The other internationally imported cases are from Syria, Sudan, Pakistan, Afghanistan, Nigeria, India, Azerbaijan, Malaysia, Ghana, Indonesia, Yemen. Our examinations have shown that none of these internationally imported cases

  7. Amateur Astronomy in Armenia: Current Situation

    Science.gov (United States)

    Buniatyan, Rouben; Melikyan, Gagik

    2015-07-01

    This report describes the current situation about the amateur astronomy in Armenia and briefly outlines the activities of "Goodricke John" amateur astronomers NGO in 2013 and 2014. Particular attention is paid to the project supported by Ministry of Education for organization of open classes on astronomy and practical stargazing exercises in schools. Similarly, the report highlights the projects developed with and funded by the RA Ministry of Defense, which enabled organization of stargazing exercises in several military units in Armenia in August 2014.

  8. 除颤电极导线故障判断与植入起搏感知电极的处理效果%Efficacy Analysis of Pace/Sense Lead Implantation in Management of Cardioverter-Defibrillator Lead Malfunction

    Institute of Scientific and Technical Information of China (English)

    于海波; 王冬梅; 梁延春; 许国卿; 刘荣; 王祖禄; 韩雅玲

    2015-01-01

    目的:评价植入起搏感知电极处理埋藏式心律转复除颤器( implantable cardioverter defibrillator, ICD)电极导线功能故障的效果。方法回顾性分析4例植入ICD患者发生除颤电极导线功能故障的原因及处理方法。结果4例均因右心室除颤电极导线功能故障出现ICD误感知及误电击,高压阻抗均在正常范围,其中3例有术侧不适当用力情况。分析故障原因,3例为起搏感知电极断裂,1例为除颤电极早期磨损。4例均经腋静脉入路重新植入一根起搏感知电极,其中电池耗竭1例术中更换ICD。随访观察7~70个月,均未再出现ICD误感知及误电击事件,导线参数变化均在正常范围。结论术侧过度用力可能是除颤电极导线功能故障发生的主要原因,在除颤功能正常的情况下,植入起搏感知电极可解决该故障。%Objective To evaluate the efficacy and safety of pace/sense lead implantation in management of implant-able cardioverter defibrillator ( ICD) lead failure. Methods 4 patients were implanted with pace/sense lead to manage defib-rillation lead malfunction. Cause of the lead failure was analyzed, and the efficacy and safety of pace/sense lead replacement were evaluated. Results 4 patients with defibrillation lead malfunction in the right ventricle underwent inappropriate detec-tion and shocks. Among them, the high voltage impedance of defibrillation leads of all the patients were in the normal range. 3 cases experienced inappropriate force on the operation side. The cause of lead malfunction might be fraction of pace/sense lead in 3 patients and early abrasion of pace/sense in 1 patient. An additional pace/sense lead was implanted through trans-axillary venous for 4 patients, and the patients were then followed up for 7-70 months and no more inappropriate sense and shocks recurred, and all the changes of lead parameters were within the normal range. Conclusion A possible main cause for lead malfunction

  9. Biosimilars in Dermatology: Current Situation (Part I).

    Science.gov (United States)

    Puig, L; Carretero, G; Daudén, E; Ferrándiz, C; Marrón, S E; Martorell, A; Pérez-Suárez, B; Rodriguez-Cerdeira, C; Ruiz-Villaverde, R; Sánchez-Carazo, J L; Velasco, M

    2015-09-01

    The first biosimilar version of a biologic agent used to treat psoriasis (infliximab) entered the Spanish market on February 16 of this year, and more biosimilars can be expected to follow in the coming months and years. Logically, this new situation will have economic repercussions and alter prescribing patterns among dermatologists. In this article, we review regulatory issues related to the approval of biosimilars, with a particular focus on the situation in the European Union. We will examine analytical characterization studies and special considerations for clinical trials with biosimilars, and also look at several somewhat contentious issues, such as the extrapolation of indications, interchangeability, and automatic substitution. Finally, we will review the biosimilars with indications for psoriasis currently in the clinical development pipeline and assess their potential to offer comparable efficacy and safety to the reference product while contributing to the sustainability of the public health care system. PMID:25987472

  10. Prevención primaria y secundaria de muerte súbita en un hospital de la Seguridad Social de Costa Rica: reporte del registro de pacientes con desfibrilador automático implantable, 2007-2011 Primary and secondary prevention of sudden cardiac death in a hospital of the social security system in Costa Rica: report from the registry of patients with implantable cardioverter-defibrillators, 2007-2011

    Directory of Open Access Journals (Sweden)

    Hugo Arguedas-Jiménez

    2013-03-01

    Full Text Available Justificación y objetivo: diversos estudios han demostrado la eficacia de los desfibriladores automáticos implantables en la prevención de la muerte súbita cardiaca. La aplicación de dicha evidencia debe ser evaluada mediante registros. El objetivo de este estudio fue describir las principales características epidemiológicas y clínicas y las complicaciones de los pacientes a quienes se les implanta un desfibrilador automático implantable en un hospital de tercer nivel en Costa Rica. Métodos: estudio observacional de cohorte, retrospectivo, que incluyó la totalidad de pacientes a quienes se les implantó un desfibrilador automático implantable en el hospital “Dr. Rafael Ángel Calderón Guardia” entre 2007 y 2011. Resultados: se incluyó 23 pacientes. La edad media fue de 55 ± 18 años. La cardiopatía isquémica fue la etiología más frecuente (10 pacientes. Veinte pacientes estaban en clase funcional I o II; la fracción de eyección media fue 0,38 ± 0,17. En los 18 pacientes el desfibrilador automático se implantó por prevención secundaria. Cinco pacientes presentaron una complicación temprana, todos ellos con dispositivos bicamerales: 2 hematomas menores, una disección del seno coronario, un desplazamiento del electrodo atrial derecho y un ictus cardioembólico. Hubo un total de 101 terapias (en 8 pacientes, de las cuales 94 fueron apropiadas (en 5 pacientes y 7 inapropiadas (en 3 pacientes; dos de estos últimos habían tenido episodios previos de fibrilación atrial. Conclusión: este registro muestra que la mayoría de los implantes de desfibriladores automáticos se realizan por prevención secundaria, con una alta tasa de terapias adecuadas y una baja tasa de terapias inadecuadas y de complicaciones; además, permite evaluar las indicaciones y las complicaciones asociadas con esta terapia.Aim: Several studies have demonstrated the efficacy of implantable cardioverter-defibrillators in the prevention of sudden

  11. Biosimilars in Dermatology: Current Situation (Part II).

    Science.gov (United States)

    Puig, L; Carretero, G; Daudén, E; Ferrándiz, C; Marrón, S E; Martorell, A; Pérez-Suárez, B; Rodriguez-Cerdeira, C; Ruiz-Villaverde, R; Sánchez-Carazo, J L; Velasco, M

    2015-09-01

    The first biosimilar version of a biologic agent used to treat psoriasis (infliximab) entered the Spanish market on February 16 of this year, and more biosimilars can be expected to follow in the coming months and years. Logically, this new situation will have economic repercussions and alter prescribing patterns among dermatologists. In this second part of the review, we will look at several somewhat contentious issues, such as the extrapolation of indications, interchangeability, and automatic substitution. We will also review the biosimilars with indications for psoriasis currently in the clinical development pipeline and assess their potential to offer comparable efficacy and safety to the reference product while contributing to the sustainability of the public health care system. PMID:26049964

  12. Energy access. Current situation, challenges and outlook

    International Nuclear Information System (INIS)

    Globally over 1.3 billion people do not have access to electricity and 2.6 billion people rely on the traditional use of biomass for cooking. Energy access is one of the major challenges of the 21. century as it is a lever for both economic and human development, at individual and national level. Moreover, energy access represents a high-potential market and offers a lot of opportunities for private companies and industrials. In this publication, ENEA lays out the current situation of energy access (actors, actual and future needs, existing technological solutions, markets). The publication addresses the main issues energy access has to face: energy price, equipment financing, distribution, scale-up, and environmental performances

  13. Current Economic Situation in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Goran Mirascic

    2011-11-01

    Full Text Available This article provides an overview of the current economic situation in Bosnia and Herzegovina. Beginning in the second half of 2008, macroeconomic conditions in B&H began precipitating a decline in economic activity. While the global financial crisis was among the factors contributing to this decline, it was far from the only factor. Problematic macroeconomic conditions were also a result of B&H’s own structural and political problems, caused largely by the shortcomings of a political entity comprising two autonomous entities. Due to such problems, the governments of B&H turned to the International Monetary Fund for assistance. This article analyzes the effects of the first two “stand by” arrangements made between the IMF and B&H and discusses implications for further, ongoing stand by arrangements made between the IMF and B&H. This paper also examines the lack of unified economic space between The Federation of Bosnia and Herzegovina and The Republic of Srpska, which has resulted not only in ineffective monetary policy but also in different fiscal and taxation systems between the two entities. While various existing analyses claim that B&H has little hope of resolving its economic woes due to its current political and economic structure, this article offers solutions and measures that, if successfully implemented, would lead to more efficient recovery and self-sustainable economic growth.

  14. Current Situation of Edible Snails in Indonesia

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    Schneider, K.

    1999-01-01

    Full Text Available From March 7, 1995 to April 16, 1995 du ring the rainy season the utilisation of edible snails was investigated in Indonesia. To assess the current situation, the focus was put to answer the following questions : - Is it feasible under the present circumstances to domesticate these snails with the aim to conserve the natural resources ? - Could any individual or private initiative be enhanced or utilized ? - Would local disadvantaged groups (traditional animal farmers, women oryouths be benefitted through domestication of these snails ? - Is there any existing private organisation or NGO, which already gathers and trades the snails or would be interested to do this in the future ? Snails gatherers, -dealers and -farmers were visited and interviewed on the following topics using standardised questionnaires : Spreading and ecology ways of marketing, consumption habits, breeding and rearing. Diotopes were also visited and investigated. Results Spreading and ecology : Achatina fulica, Pomacea canaliculata, Pila ampullacea and Bellamia javanica are eaten. The snails can be found ail overJava. Ways of marketing : The snails gathered in the biotope are either marketed directly or through various marketing paths. A. fulica is exported in large quantifies. The population is therefore endangered. Consumption habits : Snails are not eaten regularly. Snail meat is known to be healthy. The consumption depends on the consumer's ethnie background. Breeding and rearing experience : with simple breeding systems for A. fulica and P. canaliculata are seldom found. The breeding of P. canaliculata is forbidden in Indonesia. There is no interest in breeding P. ampullacea or B. javanica. The breeding of A. fulica can ben-efit disadvantaged groups financially and help to conserving the natural snail population.

  15. Modulatory effects of cognitive behavior therapy on depression and anxiety in patients with implantable cardioverter defibrillator%认知行为疗法对心律转复除颤器植入患者抑郁焦虑症状的调节作用

    Institute of Scientific and Technical Information of China (English)

    祁述善; 方臻飞; 刘启明; 周胜华

    2005-01-01

    BACKGROUND: 60% of the patients receiving implantable cardioverter defibrillator(ICD) believe their quality of life has been improved. However,about 30% to 50% of the patients suffer from postoperative depression and anxiety; especially those patients receive electroconvulsive therapy (ECT).OBJECTIVE: To probe into the modulatory effects of cognitive behavior therapy(CBT) on depression and anxiety in patients with ICD.DESIGN: A retrospective case analysis based on ICD patients SETTING: Room of Cardiac Catheterization, Department of Cardiology, Xiangya Second Hospital PARTICIPANTS: The study was conducted in the Room of Cardiac Catheterization of the Department of Cardiology, Xiangya Second Hospital,Central South University from October 2000 to August 2001. Inclusive criteria: ICD patients that had ineffective medicine therapy for paroxysmal ventricular tachycardia and/or ventricular fibrillation complicated with cardiac syncope. Exclusive criteria: incoorperative patients or patients who unable to receive periodical follow up. A total of 6 patients were involved including 4 male and 2 female patients aged from 45 to 71 years old with an average age of (57.3 ± 2.4) years old. All of the patients received Micro Jewell Ⅱ 7223 ICD made by Medtronic Company. Diagnoses of basic disease:2 cases of coronary heart disease, 2 cases of right ventricular myocardial disease, 1 case of paroxysmal ventricular tachycardia due to unknown reason,and 1 case of Brugada syndrome.METHODS: "Morita therapy" technique was used. Patients were asked to transfer their spirit energies into feasible objectives of their real life, which would be helpful to the rapid improvement of their symptoms. symptom checklist-90(SCL-90) scale was used to evaluate the psychological symptoms before and after the therapy.MAIN OUTCOME MEASURES: Comparison of the scores gained in SCL-90 between before and after CBT.RESULTS: There were significant differences in the items of somatization,compulsion, sensitive

  16. CURRENT SITUATION OF MEDICINE III AND CHALLENGES

    Directory of Open Access Journals (Sweden)

    Lydia Masako Ferreira

    2015-01-01

    Full Text Available Objective: Describe the current situation of the area Medicine III of CAPES and detect challenges for the next four years of evaluation. Methods: The area's documents and reports of meetings were read from 2004 to 2013 Medicine III Capes as well as reports and evaluation form of each Postgraduate Program (PPG of the area and the sub-page of the area from the Capes website. The data relating to the evaluation process, the assessment form and faculty, student and scientific production data of all of Post-Graduate Programs of Medicine III were computed and analyzed. From these data were detected the challenges of the area for the next four years (2013-2016. Results: Among the 3,806 PPG, Medicine III had 41 PPG during last triennial evaluation and progressed from 18% to 43% of PPG very good or more concept (triennium 2001-2003 and 2010-2012. Most PPG were located in the South-East region (32, three in the South and two in the North-East. There was no PPG in North or Central-West regions. In 2013 and 2014 there were four approved Professional Master Degree Programs and one Master (M and Doctorate (PhD. The average of permanent professors was 558 teachers with about three students/professor. The number of PhD graduates has increased as well as the reason PhD/MD. The proportion of in high impact periodicals (A1, A2, B1 and B2 jumped from 30% to 50% demonstrating positive community response to the policy area. The challenges identified were: decrease regional asymmetry, increase the number of masters and doctors of excellence, reassessment of Brazilian journals, stimulate and set internationalization indicators, including post-doctors and definition of its indicators, the PPG nucleation analysis, PPG 3x3, include primary and secondary education, professional master and indicators of technological scientific production and solidarity. Conclusion: Medicine III has been scientifically consolidated and their scientific researchers demonstrated maturity

  17. Unusual Cause of Inappropriate Implantable Cardioverter Defibrillators’ Shock: Tremor

    Directory of Open Access Journals (Sweden)

    Mustafa Oylumlu

    2013-08-01

    Full Text Available Implantable cardioverter defibrillators are widely used for primary and secondary prevention from sudden death. These devices terminate attacks of ventricular tachycardia and ventricular fibrillation by applying direct current shock, if it necessary. Despite these benefical effects, inappropriate shocks are important side effects of implantable cardioverter defibrillators. Inappropriate implantable cardioverter defibrillator shocks impair life quality by causing pain and psychological side-effects, and even induce new arrhytmias. In this paper we present a case of inappropriate implantable cardioverter defibrillator shock due to tremor.

  18. Renal infarction due to atrial fibrillation after implantation of implantable cardioverter-defibrillator:a case report and review of literature%心房颤动患者植入植入式心脏复律除颤器术后肾梗死1例及文献复习

    Institute of Scientific and Technical Information of China (English)

    黄樱硕; 孙颖; 邢云利; 王翠英; 黄蔚; 李清清; 吴永全; 马清

    2014-01-01

    1例合并阵发性心房颤动(AF)的老年女性因室性心动过速(VT)而植入植入式心脏复律除颤器(ICD),围术期为避免出血风险,未予抗凝治疗,术后7d出现发热、腹痛,完善检查后诊断为肾梗死,立即开始规律抗凝治疗。目前针对AF患者植入心脏节律装置(CRD)围术期不同抗凝策略的安全性及有效性仍有争议。AF患者合并肾梗死相对少见,且该患者临床表现不典型,增加了早期诊断的难度。该病例带给我们的启示是:(1)对于卒中高危的AF患者,在植入CRD的围术期,抗凝治疗是必要的,但是采用何种抗凝策略尚有争议;(2)对于卒中高危的AF患者,在无抗凝的情况下,出现急腹症等表现时,应考虑腹腔脏器急性栓塞梗死的可能性。%We reported an elderly female (76 years old) accompanied with paroxysmal atrial fibrillation (AF) who underwent the implantation of implantable cardioverter-defibrillator (ICD) due to ventricular tachycardia (VT) in our department. No peri-operative anticoagulation was given to her in consideration of risk for hemorrhage. The patient was found to have fever and abdominal pain at the 7th day after surgery, and then right renal infarction was confirmed after diagnosis. Then the patient was given standard anticoagulant therapy. In present, it is a controversial issue on the efficacy and safety of anticoagulation strategy during perioperation of implantation of cardiac rhythm device (CRD). Renal infarction due to AF is relatively rare and the atypical clinical manifestations make early diagnosis for this patient more difficult. The revelation of this case includes:for patients with AF and high risk of stroke, anticoagulation therapy is necessary, but the strategy of anticoagulation remains controversial;for patients with AF and moderate risk of stroke, acute embolic infarction of abdominal organs should be taken into account when acute abdominal

  19. 置入型心律转复除颤器52例术中除颤阈值的测定及术后随访%Safety and efficacy of intraoperative defibrillation threshold measured by defibrillation safety margin n 52 patients with implantable cardioverter defibrillator

    Institute of Scientific and Technical Information of China (English)

    张宇; 袁宽道; 汤宝鹏; 马依彤; 张燕一; 王疆; 李晋新; 张疆华; 许国军

    2010-01-01

    Objective To observe the safety and efficacy of implantable cardioverter defibrillator (ICD) intraoperative defibrillation threshold (DFT) measured by defibrillation safety margin (DSM).Methods Fifty-two patients underwent ICD implantation were enrolled in this study (25 single chamber ICD, 23 double chamber ICD, 4 three chamber ICD). DFT was measured by DSM method. All patients were followuped regularly. Results DFT was ( 13.27 ± 2. 95 ) J and DSM was ( 17. 40 ± 2. 89 ) J in this patient cohort. There were no serious intraoperative complications. Malignant ventricular arrhythmia occurred in 38 patients post ICD, 469 episodes of nonsustained ventricular tachycardia (VT) were spontaneously terminated, 265 episodes were sustained VT and 245 (92. 5% ) episodes were successfully terminated by 1 antitachycardia pace treatment (ATP), 13(4. 89% ) episodes successfully terminated by 2 ATP, and ATP failed to terminate VT in 7 (2. 64% ) episodes and VTs were terminated by low energy cardioversion. All 141 episodes of ventricular fibrillation (VF) were successfully identified, and 14 episodes spontaneously terminated before discharging, 127 VF episodes (91.34%) were terminated by 1 energy shock,defibrillation energy was ( 12. 84 ±3. 18)J, 11 ( 12.2% ) VF episodes were terminated by 2 energy shocks,defibrillation energy was ( 16. 36 ± 2. 34)J. Conclusion It is safe and feasible to use defibrillation threshold measured by DSM for patients receiving ICD implantation.%目的 探讨置入型心律转复除颤器(ICD)置入术中除颤阈值(DFT)的测定方法并观察术后随访结果.方法 52例置入ICD患者,其中单腔ICD 25例(48.08%),双腔ICD 23例(44.23%),三腔ICD 4例(7.69%).置入术中用测定除颤安全范围(DSM)方法进行DFT测定,并对患者进行定期随访.结果 52例ICD置入术中,测得DFT为(13.27±2.95)J,DSM为(17.40±2.89)J,手术中无严重并发症发生.52例中,38例出现恶性室性心律失常,其中469次为非持续性(可自行终

  20. Current situation and industrialization of Taiwan nanotechnology

    International Nuclear Information System (INIS)

    Nanotechnology is projected to be a very promising field, and the impact of nanotechnology on society is increasingly significant as the research funding and manufactured goods increase exponentially. A clearer picture of Taiwan's current and future nanotechnology industry is an essential component for future planning. Therefore, this investigation studies the progress of industrializing nanotechnology in Taiwan by surveying 150 companies. Along with understanding Taiwan's current nanotechnology industrialization, this paper also suggests ways to promote Taiwan's nanotechnology. The survey results are summarized and serve as the basis for planning a nanotechnology industrialization strategy

  1. Agriculture Communication in Malaysia: The Current Situation

    Directory of Open Access Journals (Sweden)

    Md. S. Hassan

    2010-01-01

    Full Text Available Problem statement: Without doubt, it is important to expose and educate farmers with the current and updated agriculture information. To implement this, the related agriculture agencies in Malaysia should consider the best channels for them in spreading the needed valuable agriculture information to the farmers. The question that can be raised now, can the mass media be the right channel for agriculture information dissemination and is the mass media has been utilized in disseminating the agriculture information to the farmers. Approach: This is a conceptual study discussing the usage of mass media in disseminating agriculture information. The data of this study are gained through literature analysis and document analysis. The data is presented descriptively. Results: Based on the analyses done, it was found that majority of Malaysian nowadays can afford to own their own mass media such as television, radio and internet. The number of available television channels, radio channels and newspapers either free or paid are encouraging. Currently, there are three television agriculture programs aired on RTM, while currently there are five agriculture radio programs aired on local radio stations, one program aired on Klasik National FM and the other four programs aired on four different states FM. For newspapers, there are two daily newspapers that provide agriculture information to their readers namely Utusan Malaysia and Berita Harian. Based on the data gained, usage of internet especially on website surfing must be encouraged among the farmers. Mobile web system initiated by five agriculture agencies in Malaysia is seen as a wise step for information dissemination and information sharing. Conclusion: Even though mass media in Malaysia has played its role in disseminating agriculture information, the number of programs and spaces produced and provided can be doubled, hence it is recommended that local giant agriculture based companies can play their

  2. Phantom shocks in patients with implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Moons, Philip; Zwisler, Ann-Dorthe;

    2013-01-01

    of phantom shocks.METHODS AND RESULTS: The design was secondary explorative analyses of data from a randomized controlled trial. One hundred and ninety-six patients with first-time ICD implantation (79% male, mean age 58 years) were randomized (1 : 1) to either combined rehabilitation or a control group...

  3. Sexual Health for Patients with an Implantable Cardioverter Defibrillator

    Science.gov (United States)

    ... LIBRARY Hello, Guest! My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Cover Doodle → Blip the Doodle Go Red For Women's Issue Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  4. How to Respond to an Implantable Cardioverter-Defibrillator Recall

    Science.gov (United States)

    ... LIBRARY Hello, Guest! My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Cover Doodle → Blip the Doodle Go Red For Women's Issue Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  5. Updated care guidelines for patients with automatic implantable cardioverter defibrillators.

    Science.gov (United States)

    Moser, S A; Crawford, D; Thomas, A

    1993-04-01

    Since its clinical introduction, AICD therapy has gained significant acceptance. Some physicians consider it the "gold standard" in treating malignant tachyarrhythmias associated with sudden cardiac death. As the technology and therapy application have grown, nursing responsibilities have evolved as well. And, with the forthcoming combinations of technology such as AICDs with antitachycardia pacing and bradycardia pacing, the sophistication of the therapy is expected to increase. However, the most critical role for nurses in AICD patient care remains education. Increased utilization has made AICD implants more common, but many patients still lack the initial information and acceptance needed for therapeutic success. Health-care professionals who continue to update and share their understanding of this life-saving technology make invaluable contributions to the care of these patients who have received a second chance at life.

  6. Prevention of sudden cardiac death by the implantable cardioverter defibrilator

    OpenAIRE

    Kovačević Dragan V.; Stojišić-Milosavljević Anastazija; Topalov Vasilije; Mihajlović Bogoljub; Sakač Dejan; Kozlovački Živa

    2011-01-01

    Introduction. Sudden cardiac death or, as it is also called, a modern man’s killer occurs a few hours after the beginning of the disease. Sudden death is the one that happens within an hour from the onset of the subjective discomforts regardless of the existence of any previous disease. According to modern statistics, 450.000 people die suddenly in the USA and 150,000 in Germany. Causes of sudden death. The most frequent causes of sudden death are cardiologic or, in other words, a heart...

  7. Venous thromboembolism in patients with implantable cardioverter-defibrillators

    DEFF Research Database (Denmark)

    Pedersen, Susanne Bendesgaard; Hjortshøj, Søren Pihlkjær; Bøtker, Hans Erik;

    2016-01-01

    , overall and according to gender, age, Charlson Comorbidity Index score (no, moderate, or severe comorbidity), prior pacemaker or cardiac resynchronization therapy (CRT-D) implantation, and ICD type (single-chamber, dual-chamber, or CRT-D). We computed the risk of VTE within 3 months and 5 years...

  8. Technetium radiopharmaceuticals, current situation and perspectives

    International Nuclear Information System (INIS)

    Full text: and is still maintaining this privileged position in most departments, although the situation might change in the coming years. It owes this favourable role to its continuous availability, the convenient half-life of 6.02 h, its low radiation dose to patients and manipulators, the efficient and high resolution detection of this gamma radiation by conventional gamma cameras and the possibility to incorporate it as a transition metal in a wide variety of complexes. Most of the first-generation 99mTc-radiopharmaceuticals are structurally not well characterized (e.g. complexes of 99mTc with diphosphonates, DTPA, soluble and denatured albumin, ...) but they survive on the basis of a proven clinical usefulness. However, due to more stringent requirements with respect to manufacturing methods of labelling kits (GMP) and quality of starting matials, a tendency of discontinuation of some of these preparations has started, especially for products of biological origin or with a limited volume of sale. In the eighties and the nineties, an intensive search for new 99mTc-radiopharmaceuticals based on a rational approach (e.g. cationic complexes for myocardial perfusion agents, neutral lipophilic compounds for brain perfusion tracers, ...) and a steadily growing knowledge of Tc-complexation chemistry has resulted in efficient tracer agents for measurement of kidney function (99mTc-mertiatide), myocardial perfusion (99mTc-sestamibi, 99mTc-tetrofosmin) and brain perfusion (99mTc-exametazime, 99mTc-bicisate). In the case of the heart agents, however, the designed rational approach appeared not the correct starting idea and the successful development of the tracers was more a lucky shot. On the other hand, several similar tracer agents with appropriate characteristics for clinical use did not reach commercial availability (99mTc-ethylene dicysteine, 99mTc-NOET, 99mTc-furifosmin, 99mTc-HL-91) or were discontinued (99mTc-BATOs), mainly for reasons of economics. The intensive

  9. Current situation and prospects of development of chosen hotel

    OpenAIRE

    Kozová, Petra

    2010-01-01

    My bachelor thesis is focused on analyzing of the situation in the chosen hotel, which is called hotel LUNA *** and situated in Martin, Slovakia. The aim of the thesis is to analyze this hotel, to evaluate its current situation and then to propose possible solutions and prospects of its future development. The theoretical part involves marketing facts and the organization of hotel establishments, the Slovak legislation and the condition in which the accommodation facilities in Slovakia are. T...

  10. Cause analysis of imappropriate detection or treatment episodes of im-plantable cardioverter defibrillator%埋藏式心脏转复除颤器不适当识别或治疗事件原因分析及处理

    Institute of Scientific and Technical Information of China (English)

    何冉; 韩战营; 张杰; 卢文杰; 宋红星; 陈晓杰; 邱春光; 刘怀霖

    2014-01-01

    Aim:To analyze the causes of imappropriate detection or treatment of implantable cardioverter defibrillator (ICD).Methods:Since 2008 to 2013,42 patients were implanted ICD,clinic materials of 9 patients who subjected imap-propriate detection or treatment were reviewed .Results:Nine(26.5%) patients happened in 41 imappropriate detection or treatment episodes,the average follow-up time was (18.5 ±11.7) months.Twelve imappropriate detections in 4 patients and 29 imappropriate discharges in 7 patients occurred(2 patient was double counted ).Among the total,there are 14 imap-propriate discharge events in 4 patients for sustain VT/FVT with stable hemodynamics ,11 imappropriate discharges and 2 imappropriate detections in one patient for T wave oversensing ,3 imappropriate discharges in one patient for P/R wave double count ,1 imappropriate discharge for electromagnetic interference ,1 imappropriate detection for electromagnetic inter-ference and 1 imappropriate detection for sinus tachycardia .Conclusion:After ICD was implanted ,the incidence of imap-propriate detection or treatment episode is higher , it is necessary to strengthen programing follow-up for prompt abnormal discovery ,therapeutic change and sufficient ATP treatment without pain under a safe condition ,it will profit to reduce imap-propriate discharge and improve the quality of life .%目的:分析埋藏式心脏转复除颤器( ICD)不适当识别或治疗事件的原因。方法:回顾2008年至2013年42例ICD植入患者发生不适当识别或治疗的临床资料。结果:34例随访(18.5±11.7)个月,9例(26.5%)共发生41次不适当识别或治疗事件(其中单腔ICD 2台,双腔ICD 1台,CRT-D 6台)。4例发生不适当识别12次,7例发生不适当治疗29次,其中2例不适当识别或治疗共存。1例发生3次血流动力学稳定的室性心动过速( VT )事件,经抗心动过速起搏(ATP)失败后给予电击治疗6次;3例发生

  11. Impacto da parada cardíaca induzida nas funções cognitivas após o implante de cardiodesfibrilador Impacto de la parada cardíaca inducida en las funciones cognitivas después del implante de desfibrilador cardiaco Impact of induced cardiac arrest on cognitive function after implantation of a cardioverter-defibrillator

    Directory of Open Access Journals (Sweden)

    Mauro Prado da Silva

    2009-02-01

    1980 y se considera el tratamiento estándar para individuos bajo el riesgo de desarrollar arritmias ventriculares fatales. Con el interés de garantizar el funcionamiento adecuado del desfibrilador cardiaco, la energía necesaria para el término de la taquicardia ventricular o de la fibrilación ventricular, debe ser determinada durante el implante, siendo este procedimiento llamado test del límite de desfibrilación. Para la realización del test es necesario que se haga la inducción de la fibrilación ventricular, para que el aparato pueda identificar el ritmo cardíaco y tratarlo. El objetivo de este estudio fue verificar la incidencia de disfunción cognitiva 24 horas después del implante del desfibrilador cardiaco. MÉTODO: Se seleccionó una muestra consecutiva de 30 pacientes con indicación de colocación de desfibrilador cardiaco implantable (DCI y 30 pacientes con indicación de implante de marca-paso (MP. Los pacientes fueron evaluados en los siguientes momentos: 24 horas antes de la colocación del DCI o MP con ficha de evaluación preanestésica, Mini-Examen del Estado Mental (MEEM y Confusion Assessment Method (CAM. Durante el implante del DCI o MP fueron medidas las variables: número de paradas cardíacas y tiempo total de parada cardíaca. Veinte y cuatro horas después de la colocación del DCI o MP, se evaluaron las variables: MEEM y CAM. RESULTADOS: El test de Fisher mostró que no había diferencia de la frecuencia de puntuaciones alteradas del MEEM y del CAM entre los grupos antes y después de los implantes. El tiempo promedio de PCR 7,06, con máximos y mínimos de 15,1 y 4,7 segundos. CONCLUSIONES: La inducción de parada cardíaca durante el test del límite de desfibrilación, no conllevó a la disfunción cognitiva veinte y cuatro horas después del implante del desfibrilador cardiaco.BACKGROUND AND OBJECTIVES: Implantable cardioverter-defibrillators (ICD were introduced in clinical practice in 1980 and they are considered the standard

  12. Waste management in Greenland: current situation and challenges

    DEFF Research Database (Denmark)

    Eisted, Rasmus; Christensen, Thomas Højlund

    2011-01-01

    is basically lacking. The scattered small towns and settlements, the climate and the long transport distances between towns and also to recycling industries abroad constitute a complex situation with respect to waste management. The landfills have no collection of gas and leachate and the incinerators...... are small and equipped with only moderate flue gas cleaning technology. This report summarizes the current waste management situation in Greenland and identifies important challenges in improving the waste management....

  13. Educational Research in Mainland China: Current Situation and Developmental Trends

    Science.gov (United States)

    Sun, Miantao

    2011-01-01

    The influence of Confucian culture in Chinese Mainland China is reflected in the current situation and contextual trends of educational research content of educational thought of Confucianism, educational issues grounded on theoretical views of Confucianism, and the influence of the inclusiveness of Confucianism. In terms of research method, the…

  14. Current Situations and Developing Tendency of China Post's Logistic Technology

    Institute of Scientific and Technical Information of China (English)

    XU Ru-wei; LI Xue-ping

    2004-01-01

    This paper briefly introduces the construction of China Post's physical network and information network and offers some general ideas about how to develop modern postal logistics. It dwells on the sortation technology, the Chinese Character Recognition Technology and the current situations and tendencies of the Research and Development (R&D) of the Logistic Information Management System.

  15. Computer Informational Retrieval in China: Current Situation and Future Trends.

    Science.gov (United States)

    Bing, Wang

    1988-01-01

    Discusses the background and the current situation of computer information retrieval systems in China. Problem areas considered include: (1) lack of coordination of activities; (2) lack of data on user demand; and (3) shortages of personnel in computer science, mathematics, and systems engineering. An agenda for the future is outlined. (MES)

  16. Energy Policy of the European Union - Current Situation and Outlook

    OpenAIRE

    Pospíšilová, Zuzana

    2009-01-01

    The first chapter is dealing with the question, what is the contemporary condition of the European governance of the energy sector and what are the causes of the current situation. A comparison with the USA and China can be found here, too. In the second part, there is a decription of the current and future role of the European Union concerning the energy sources, in particular concerning coal, natural gas, oil, nuclear energy, renewables and energy efficiency as well. The last chapter analys...

  17. The Current Situation of Informatics Education in Mongolia

    OpenAIRE

    Sambuu UYANGA

    2006-01-01

    Mongolia started using Information and Communication Technology (ICT) in secondary education relatively late. The computer training and informatics has been included as a subject in the secondary school curriculum in Mongolia since 1988 and in the university curriculum since 1982. This paper presents current situation of informatics education in Mongolia. SWOT (Strength, Weakness, Opportunity, and Threat) analysis of Informatics Education in Mongolia, conclusions and future recommendations ar...

  18. Current situation by product advertising on the czech market

    OpenAIRE

    Jitka Červencová

    1998-01-01

    Advertising represents for producers the least expensive admission to an ample market and it enables to consumers to orient at the market. All advertising means serve to intensifying of the product sale or image of firm. The article describes current situation in the area of exquisite instruments of advertising and next a firm's deciding if it hires an advertising agency or if carries out advertising on their own - what advantages and risks result from the cooperation of the firm and the agen...

  19. Current situation and development of solar heating technology in China

    Institute of Scientific and Technical Information of China (English)

    Zheng Ruicheng

    2009-01-01

    It is introduced the current situation and development for solar heating technology including passive solar heat-ing and solar heating combisystems in China in this paper. Combined with the engineering application projects, the au-thor gave the technical and economic analysis of the passive solar and solar heating combisystems in China and summa-rized the developing obstacle and the spreading tactics for raising marketing of the solar heating in China.

  20. Ultrahigh Energy Cosmic Rays: Review of the Current Situation

    CERN Document Server

    Stanev, Todor

    2012-01-01

    We describe the current situation of the data on the highest energy particles in the Universe - the ultrahigh energy cosmic rays. The new results in the field come from the Telescope Array experiment in Utah, U.S.A. For this reason we concentrate on the results from this experiments and compare them to the measurements of the other two recent experiments, the High Resolution Fly's Eye and the Southern Auger Observatory

  1. Suggestions for New Socialist Countryside Construction Based on Current Situations

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    According to our field survey,we analyzed current situations and existing problems in the new socialist countryside construction of Hebei Province. Based on these,we put forward our suggestions: put the government and farmers in correct place; improve farmers’ quality and educational level; implement the new socialist countryside construction under the guidance of overall rural plan and combining natural and economic conditions of rural areas; and ensure continuous and long-term work.

  2. EXTERNAL DEBT SITUATION UNDER GLOBALIZATION: CURRENT STATE AND MAIN TRENDS

    Directory of Open Access Journals (Sweden)

    Y. Subbotovych

    2014-01-01

    Full Text Available The paper analyses current state and structure of external debt in countries with different levels of income per capita and the specifics of the debt situation in Ukraine under globalization after the first wave of the global financial crisis. Key factors of external debt growth, including factors related to unsolved problems of international finance and the rapid spread of the next cyclical decline in the international economy are outlined.

  3. The Current Situation of Informatics Education in Mongolia

    Directory of Open Access Journals (Sweden)

    Sambuu UYANGA

    2006-04-01

    Full Text Available Mongolia started using Information and Communication Technology (ICT in secondary education relatively late. The computer training and informatics has been included as a subject in the secondary school curriculum in Mongolia since 1988 and in the university curriculum since 1982. This paper presents current situation of informatics education in Mongolia. SWOT (Strength, Weakness, Opportunity, and Threat analysis of Informatics Education in Mongolia, conclusions and future recommendations are also presented.

  4. Chinese Cuisine Culture and Current Situation of its Translation

    Institute of Scientific and Technical Information of China (English)

    WU Yi-dan

    2013-01-01

    Chinese cuisine is the main reflection of our country’s cuisine culture. It contains profound historical and cultural background. Besides, it permeates folk-custom taste and local manners. Since the name of a cuisine is the first impression given to a dining person, undoubtedly, its translation is very important in cultural dissemination and communication. But actually, there are many problems exist in Chinese cuisine translation at present. This paper is based on a massive collection of Chinese cuisine ’s translation, classification, analysis. Besides, it has found out cultural connotation, current situation and the causes from the cultural angle;discussed the basic requirements of translating Chinese cuisine.

  5. Current Development Situation and Prospects of Blueberry in Guangdong Province

    Institute of Scientific and Technical Information of China (English)

    Lixia; GAO; Hualan; XIAO; Sen; LI; Fengmin; LIU; Aiqiong; MO

    2015-01-01

    With high nutrition and health value,blueberry receives much concern in recent years. Blueberry experts in the world are cultivating new blueberry varieties. They have come up with constructive theoretical support and planting technology researches and are constantly devoted to expanding blueberry planting latitudes. This paper elaborated researches of blueberry at home and abroad,current development situation of blueberry in China and Guangdong Province,analyzed strengths of planting blueberry in Guangdong. Besides,it came up with recommendations for development of blueberry industry. Finally,it discussed development prospects of blueberry planting in Guangdong.

  6. [First-aid in France. Current situation and future perspectives].

    Science.gov (United States)

    Larcan, Alain; Julien, Henri

    2010-06-01

    First-aid--treatment aimed at enabling a victim to survive pending the arrival of qualified medical support--is less well developed in France than in many other industrialized countries, especially among the general public. The current status of first-aid in France is paradoxical: schooling is free and obligatory, the ambulance service and emergency services are of the highest quality, but the general public are too often passive and unknowledgeable when faced with an emergency situation. This situation is due to several factors, including the complexity of first-aid training and regulations, the involvement of too many public bodies, the legal liability of the first-aider, and a lack of ongoing training. The French National Academy of Medicine recommends 8 measures to improve this situation: Provide a legal definition of first-aid: "a set of recognized measures aimed, in an emergency setting, at preserving the physical and psychological integrity of the victim of an accident or illness, notably pending the arrival of professional medical assistance". Waive, as in many other countries, civil and legal responsibility for the non professional first-aider, except in case of clear negligence. Reinforce the organization of first-aid in France in order to monitor the number and quality of first-aiders, and to ensure theoretical and pedagogic research; create a communications department capable of supporting and promoting first-aid. Improve access to first-aid training by increasing the number of situations in which it is obligatory (driving tuition, school and university examinations, group responsibility, at-risk practices), by providing financial assistance for certain groups, and by ensuring routine training at school, in the armed forces, and in the workplace. Create a progressive and integrated citizen first-aid training course with individual modules, ensuring that first-aiders update and perfect their knowledge throughout life. Soften pedagogic rules and shorten

  7. Global panorama of energy access: Current situation, challenges and outlook

    Energy Technology Data Exchange (ETDEWEB)

    Galichon, Ines; Lacroix, Olivier; Wiedmer, Damien

    2014-07-15

    Globally 1.3 billion people do not have access to electricity. If this figure is projected to decline 1 billion by 2030, the global population who relies on the traditional use of biomass for cooking is expected to substantially increase, from 2.6 billion to 2.7 billion people. In its commitment to energy access, ENEA published a synthesis on the current situation and the further development perspectives of energy access worldwide, a crucial issue of human and economic development and an opportunity for the private sector. This synthesis present the ecosystem of the actors involved in the improvement of energy access and the technical solutions that serve the needs of this high-potential market. The five main challenges energy access has to address are presented in this publication: energy prices, equipment financing, distribution, change of scale and environmental performances.

  8. The Current Situation of Wind Energy in Turkey

    Directory of Open Access Journals (Sweden)

    Raşit Ata

    2013-01-01

    Full Text Available Wind energy applications and turbine installations at different scales have increased since the beginning of this century. As wind energy is an alternative clean energy source compared to the fossil fuels that pollute the atmosphere, systems that convert wind energy to electricity have developed rapidly. Turkey’s domestic fossil fuel resources are extremely limited. In addition, Turkey’s geographical location has several advantages for extensive use of wind power. In this context, renewable energy resources appear to be one of the most efficient and effective solutions for sustainable energy development and environmental pollution prevention in Turkey. Among the renewable sources, Turkey has very high wind energy potential. According to the Organization for Economic Cooperation and Development (OECD Turkey theoretically has 166 TWh a year of wind potential. However the installed wind power capacity is approximately 14% of total economical wind potential. In this study, Turkey’s installed electric power capacity and electric energy production are investigated and also the current situation of wind energy in Turkey is examined. The wind data used in this study were taken from Turkish Wind Energy Association (TUREB for the year 2012. This paper reviews the assessment of wind energy in Turkey as of the end of July 2012 including wind energy applications.

  9. Briquetting biomass: Current situation of the Spanish market

    Energy Technology Data Exchange (ETDEWEB)

    Ortiz, L.; Miguez, J.L. [Escuela de Ingenieria Tecnia Forestal, Pontevedra (Spain); Granada, E. [Escuela Tecnica Superior Ingenleros Industrales, Pontavedra (Spain)

    1996-12-31

    One of the most important problems of wood industries is avoiding environmental damage by wood residues. The great volume of these residues creates storage and management problems. An interesting way to solve this is to density the wastes for marketing as a high-quality fuel. This paper analysis the evolution from 1990 to 1995, and the current situation, of Spanish wood residue densification, beginning with distribution and source of the residues. It is based on data from visits to all wood densification factories in Spain. Also an analysis of Spanish manufacturers, commercial units, and installed units, densification technology, power and remarks about the evolution of densification technology are included. The characterization of Spanish briquettes analyzed by the authors allows their classification as a fuel and comparison of their price/energy ratio with competing conventional fuels. The chemical-physical-energetic properties and the market distribution determine which area are suitable. The study of the industry production guides the optimum size in a sector where supply of residues and distribution of briquettes is a problem.

  10. Educating teachers in Switzerland – reform and current situation

    Directory of Open Access Journals (Sweden)

    Barbara Wiśniewska-Paź

    2011-11-01

    Full Text Available Educating teachers in the scope of higher (non-academic education sector has been a relatively new phenomenon in Switzerland. Until the end of the 90's, when Higher Pedagogical Schools were established, teachers had been educated at teaching seminars.Establishment of Higher Pedagogical Schools gave rise to a thorough reform in educating teachers in Switzerland, which aimed at improving the quality of work and professionalism of the teachers through science-oriented education (similar to the university education, and at establishing international and all-Swiss system of acknowledging diplomas received in particular canton institutions of higher education. This system makes it possible for the graduates to commence work at schools/ kindergarten departments not only in a canton of their choice, but also in a country chosen by them. At present, 12 000 students study in higher pedagogical schools, which constitutes 7% of all students in both (academic and non-academic sectors of higher education. This article describes current situation of this type of universities in Switzerland, their location, specializations, availability issues, duration of the studies and also the number of students (including percentage of foreigners, as well as the issues of prestige of the profession of a teacher, average age of the personnel in relation to education levels, degree of feminization of the profession and the demands.

  11. Current Situations and Countermeasures of Organic Tobacco Development

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Current situations of organic tobacco development at both home and abroad,indicating that organic tobacco is one of the innovation directions for sustainable,healthy,environmental protection and low carbon development of modern tobacco industry.On the basis of foreign cultivation technical system for organic agriculture,the cultivation technical system for organic tobacco is summed up as follows:first,keep the diversity and continuity of space and time;second,ensure closeness of nutrient cycle;third,improve self-regulatory system and protection ability of crops.Then,the development trend of organic tobacco is analyzed and corresponding measures are put forward:establish production base and assessment system for organic tobacco;establish technical system for production of organic tobacco;establish and perfect evaluation system for management,production and supervision of organic tobacco;strengthen popularization of production and concept of organic tobacco;improve management of organic tobacco purchase,industry commerce handover,and redrying.

  12. Current Situation in Vocational Schools: Issues and Some Suggested Solutions

    Directory of Open Access Journals (Sweden)

    Reha Metin ALKAN

    2014-12-01

    Full Text Available Vocational Schools which have undertaken various missions throughout history were established in order to train intermediate staff s with suff icient knowledge and skills in their fields, in accordance with the requirements of trade, industry and services sectors and they are the most important components of ‘vocational and technical education system' today. Analyzing the education given in the vocational schools in accordance with the national and international requirements, developing technologies and the needs of business world and making the necessary arrangements in line with these will contribute to the employability and preferability of graduates of these schools in an eff icient way. Many industrialists/businessmen in our country stated that they experienced serious problems in the supply of qualified staff with suff icient knowledge and skills needed in sectors. Although much progress has been achieved in this subject, it is a fact that there are still a lot of work to be done. In this study, current situation and main troubles in vocational schools are discussed in the light of the experiences gained at Hitit University Vocational School which was established about 40 years ago in Çorum and which is one of the first high schools in Turkey and some solutions are suggested in accordance with the problems mentioned.

  13. Current situation of the Social Pedagogy in Uruguay

    Directory of Open Access Journals (Sweden)

    Jorge Camors

    2015-12-01

    Full Text Available This paper shows a documentary research on the national educational reality and the development of education and Social Pedagogy at the Facultad de Humanidades y Ciencias de la Educación of the University of the Republic, in Uruguay.A conception of education in a comprehensive and deep sense, based on the theoretical developments arising in the Faure Report (1972 later expanded at the Delors Report (1996 and the concepts of educa- tion for everybody throughout life, that we consider social education’s contributions as relevant and also the perspective of the social pedagogy to rethink and deepen into education and pedagogy.According to the information and documentation relieved and analysed so far, we have produced three axes of different dimension, that could help us when establishing our object of study; Social Pedagogy in Uru- guay.The “educative” component of the professional work of the Social Workers or Social Assistants is the first axis.The second axis is the formal education, more precisely at schools.The third axis is related to developments in social policies’ educational conception, particularly during childhood and adolescence, and specifically in the creation of the professional role of the Social Educator in Uruguay (1989.This work explores the current situation and stops at the Social Pedagogy’s consolidation point; what happens around the social work educator and the theoretical and methodological developments coming from the Studies and Training Centre when the fist stage of training began from 1989 to 2011.The paper finishes with reflections and conclusions related to Social Pedagogy in Uruguay, opening up new questions for research and tracking the development of the social educators’ training in Social Pedagogy, but mainly that contribute to social change’s process and the education’s role on it.

  14. Current situation of Peste des petits ruminants (PPR) in Sudan

    International Nuclear Information System (INIS)

    The current situation of Peste des petits ruminants (PPR) in Sudan was investigated. A total of 1198 serum samples were collected from camels (392), sheep (500) and goats (306) at different areas in Sudan (Khartoum, Gezira, River Nile, Kordofan, White Nile, Gedarif, Kassala, Blue Nile, Tambool, Port Sudan, Halfa ElGadida). A total of 61 tissue samples were also collected from various PPR suspected outbreaks in sheep and goats in 2008. Collected sera were examined for PPR antibodies using cELISA. Collected tissue samples were tested for PPR antigen using IcELISA. Both tests were done according to the product manual of the kits manufacturer (CIRAD EMVT, Montpellier, France 2005), distributed by BDSL. A total of 336 sheep, 170 goat samples were found to be positive. Only one camel serum was positive. The PPR antigen was detected in 26 out of 61 samples. The PPR antibody and antigen detection results are summarized. The results showed that PPR exists in Sudan in different localities. The overall detected seroprevalence of PPR was 62.8%, which is higher than that previously reported (50%) in Sudan. Sheep were noticed to have higher percentage of seropositivity than goats (67.7 vs. 55.6%, respectively) in agreement with the results of Intisar et al. The highest seroprevalence of PPR (95%) was noticed in Kassala samples from Eastern Sudan followed by 83.3% in Blue Nile region (Eastern to South Sudan) and Gedarif (73.8%). PPR antibodies were found to be prevalent in sheep samples in Khartoum State (93.8%), then Gedarif (88.6%), Blue Nile (83.6%) and Gezira (73.6%). PPR antigen detection was carried out using IcELISA; the overall detected samples were 42.6% of 61 tested samples. Highest prevalence of the disease was noticed in River Nile, Gedarif and Kassala (100%) however only one sample was tested from each locality; Samples collected from Kordofan area showed 63.6% positivity while those of Gezira State were 27%. The number of collected samples for antigen detection was

  15. Psychological intervention following implantation of an implantable defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; van den Broek, Krista C; Sears, Samuel F

    2007-01-01

    The medical benefits of the implantable cardioverter defibrillator (ICD) are unequivocal, but a subgroup of patients experiences emotional difficulties following implantation. For this subgroup, some form of psychological intervention may be warranted. This review provides an overview of current...

  16. Current Situation and Countermeasures for Green Electricity in Shanghai

    Institute of Scientific and Technical Information of China (English)

    Zhang Rui; Gao Yang

    2007-01-01

    @@ The present situation of the green electricity in Shanghai is briefly introduced. The author analyzes various advantages in natural environment, market environment and social environment as well as various disadvantages in the respects of cost, price, economy for Shanghai to develop green electricity. It is pointed out that governments, non-government organizations, consumers and enterprises shall jointly make efforts to promote the green electricity in Shanghai. Finally,concrete countermeasures and suggestions are put forward.

  17. Current experimental situation in heavy-ion reactions

    International Nuclear Information System (INIS)

    A detailed survey of the present experimental situation in heavy-ion physics is presented. The discussion begins by considering the simple excitation of discrete states in elastic scattering, transfer, and compound-nucleus reactions; it then turns to more drastic perturbations of the nucleus high in the continuum through fusion, fission, and deeply inelastic scattering, and concludes with the (possibly) limiting asymptotic phenomena of relativistic heavy-ion collisions. 138 figures, 5 tables, 451 references

  18. Current experimental situation in heavy-ion reactions

    Energy Technology Data Exchange (ETDEWEB)

    Scott, D.K.

    1978-06-01

    A detailed survey of the present experimental situation in heavy-ion physics is presented. The discussion begins by considering the simple excitation of discrete states in elastic scattering, transfer, and compound-nucleus reactions; it then turns to more drastic perturbations of the nucleus high in the continuum through fusion, fission, and deeply inelastic scattering, and concludes with the (possibly) limiting asymptotic phenomena of relativistic heavy-ion collisions. 138 figures, 5 tables, 451 references. (RWR)

  19. Current Situation and Progress in Integrative Medicine in China

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In the past 50 years,integration of traditional Chinese medicine and Western medicine,known as the Chinese version of integrative medicine (IM),has achieved significant developments.In this article,the present situation and progress in IM development in China are summarized from the aspects of IM application,policy making,scientific research,education,academic exchanges,and its future development.With continuous support from the Chinese government and successful scientific achievements in the past 50 years,the authors believe that IM will be moving forwards to a full globalization.

  20. The Current Situation of Female Scientists in Argentina

    Science.gov (United States)

    Llois, Ana María; Dawson, Silvina Ponce

    2009-04-01

    We report the changes that have taken place recently regarding the situation of female scientists in Argentina. We comment on the rules for maternity leave that have been passed recently for research scholars doing their PhDs and on the number of women scientists that occupy decision making-positions in science. We also present some evidence that seems to indicate that, among young scientists, women are more willing to occupy leadership positions and that the Argentinean society is more accepting of this new role.

  1. Epidemiology of Dengue in Singapore-Current Situation

    OpenAIRE

    Chan, Yow-Cheong; Goh, Kee-Tai; Heng, Bee-Hoon; Tan, Boon-Teng

    1994-01-01

    There has been a resurgence of dengue fever/dengue haemorrhagic fever (DF/DHF) cases in Singapore in recent years. Following the large outreak in 1973 with 1,187 cases and 27 deaths, the incidence of DF/DHF declined with minor bi-annual outbreaks occurring in 1978, 1980 and 1982. Beginning from 1986, however, the DF/DHF situation changed for the worse when outbreaks of increasing size occurred almost annually. In the past 3 years, there were 1,733 cases in 1990, 2,179 cases in 1991 and 2,878 ...

  2. Current Situations and Development Ideas of Buckwheat Tea Industry in Liangshan Prefecture

    Institute of Scientific and Technical Information of China (English)

    Fayong; GONG; Shiming; XIAO; Jing; LI

    2013-01-01

    This paper firstly introduces current situations of buckwheat tea industry in Liangshan Prefecture,current situations of intellectual property right of buckwheat tea in whole China,and total flavonoid content in buckwheat tea. On the basis of these current situations,it analyzes drawbacks of buckwheat tea sold in the market. Finally,it presents development ideas of buckwheat tea industry in Liangshan Prefecture.

  3. Current situation and discussion of acquisition work in professional libraries

    International Nuclear Information System (INIS)

    The acquisition work in professional libraries is an important part of library work, and faces enormous challenges at this stage. For the status quo of the acquisition work in professional libraries, we should develop effective acquisition principles to ensure the integrity of our professional library's collection and systematic literature, and to provide more effective protection for relevant research work. We need reasonable arrangements for the procurement of books with limited funding to avoid the waste of funds. We should use the network, to actively develop the procurement channels, and to establish accurate and reliable systematic network of information resources for the reader. We need to consciously cultivate and improve the professional competence of acquisition staff, to meet the requirement of the acquisition staff in the new situation. We should carry out knowledge management in professional library, to form a competitive 'knowledge resources'. For information research, technical personnel, and scientific researchers, we provide effective information services in time, and carry out personalized services. (authors)

  4. [The clinical practice guidelines of the Sociedad Española de Cardiología on the automatic implantable defibrillator].

    Science.gov (United States)

    Pérez-Villacastín, J; Carmona Salinas, J R; Hernández Madrid, A; Marín Huerta, E; Merino Llorens, J L; Ormaetxe Merodio, J; Moya i Mitjans, A

    1999-12-01

    Since the first implantation in man in 1980 implantable cardioverter defibrillator technology has greatly improved and the number of devices implanted has increased considerably every year. Non thoracotomy lead systems and biphasic shocks are now the approach of choice, offering an almost 100% success rate. This document reviews the recommendations for qualification of personnel and for the centres implanting and carrying out follow-ups on defibrillators. The current indications for the implantation of implantable cardioverter defibrillator are also addressed.

  5. Dental laboratory technology education in China: current situation and challenges.

    Science.gov (United States)

    Zheng, Liwei; Yue, Li; Zhou, Min; Yu, Haiyang

    2013-03-01

    Modern dentistry and dental education in China were first introduced from abroad by Dr. Lindsay in 1907. However, advancements in the field of dental laboratory technology did not occur to the same degree in specialties such as prosthodontics and orthodontics. Since the 1990s, orders from abroad demanding dental appliances surged as the image of China as the "world's factory" strengthened. The assembly line model, in which technicians work like simple procedure workers, was rapidly applied to denture production, while the traditional education system and apprenticeship systems demonstrated little progress in these years. The lack of advancement in dental laboratory technology education caused insufficient development in China's dental technology industry. In order to alter the situation, a four-year dental laboratory technology undergraduate educational program was established in 2005 by West China School of Stomatology, Sichuan University (WCSS, SCU). This program was based on SCU's undergraduate education and WCSS's junior college education systems. The program introduced scientific methods in relevant subjects into laboratory technicians' training and made many improvements in the availability of trained faculty, textbooks, laboratory facilities, and curriculum.

  6. [Environmental health in Mexico: current situation and future prospects].

    Science.gov (United States)

    Riojas-Rodríguez, Horacio; Schilmann, Astrid; López-Carrillo, Lizbeth; Finkelman, Jacobo

    2013-12-01

    Environmental health has been established in Mexico as a discipline since the early nineties resuming the sanitarian tradition developed over the past century and incorporating new knowledge generated by environmental toxicology and epidemiology. During the last decade there has been some progress in reviewing and updating the regulations, designing programs and policies to reduce exposure to pollutants and consolidating research groups and teaching in the area. However, the most prevalent problems previously diagnosed still remain and new risks have emerged due to environmental degradation (air pollution, toxics exposure and climate change among others) have been incorporated. If this trend persists, the environmental risks will continue to increase and multiply. The environmental health governance in Mexico has to be redesigned involving a transectoral approach. Future proposals might include: establishment of a National Environmental Health Program, update the situational diagnosis at national and regional level, strengthening teaching and graduate programs in environmental health as well as increase support for research in the area and development of an integrated environmental health surveillance system. PMID:24715017

  7. The Current Situation on Farmland Values and Ownership

    OpenAIRE

    Duffy, Michael D.

    2011-01-01

    Robust farm incomes have spurred farmland values to their strongest levels since the 1970s. Despite strong farmer and investor demand, most land owners, especially aging farmers are reluctant to sell farmland. Generally, current land economic fundamentals are strong and highly volatile market conditions will influence farmland values and farm ownership trends.

  8. Current Situation and Market Prospect of Chinese EPDM Industry

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    I. Current Production Status and R&D Progress of EPDM at Home and Abroad EP(D)M, generally called ethylene-propylene elastomer, is the third major SR after SBR and BR. At present the production capacity of EPDM accounts for about 10% of the total production capacity of SR in the world. With the rapid development of EPDM,

  9. Current Situation of International Nuclear Arms Control and Nuclear Disarmament

    Institute of Scientific and Technical Information of China (English)

    Gong; Xianfu

    2014-01-01

    <正>Currently,international nuclear arms control and nuclear disarmament process is showing both encouraging and frustrating signs,with a stress on the latter.The following is a general picture:First,the new U.S.-Russian nuclear disarmament process faces challenges and prospect of a new round of nuclear disarmament negotiation is grim.As a result of implementing the New START signed in February 2011,as of March 1,2014,the United States has 1585

  10. Under the new situation and the current situation of our English education and reform development prospects

    Institute of Scientific and Technical Information of China (English)

    Ji Ruan

    2015-01-01

    Since the reform and opening up, China has achieved a certain degree of English education development. However, with the global trend of strengthening economic integration in the new era background, English education is gradually showing some difficult problems. Therefore, strengthening English education reform has become a hot topic of concern. The author based on the status quo of China' s English education, focusing on analysis of the content of the current English education reform.

  11. [The management evolution for vestibular schwannoma: history and current situation].

    Science.gov (United States)

    Hu, L Y; Wang, Z Y; Hua, Q Q

    2016-06-01

    It has been over 200 years since the acoustic neuroma(AN) was firstly reported. From simply describing its symptoms to the decline of surgical mortality, the protection of facial and acoustic nerve function, as well as the improvement of the patients' quality of life. Physicians made efforts on evolving the diagnostic techniques and treatment strategies, and a better understanding of AN's development. The current major managements of AN are microsurgery, stereotactic radiosurgery, and follow-up. We reviewed the AN's history and prospected its future managements. PMID:27345891

  12. Eradication of malaria through genetic engineering:the current situation

    Institute of Scientific and Technical Information of China (English)

    Wing-Chui Chong; Rusliza Basir; Yam Mun Fei

    2013-01-01

    Malaria is an intra-cellular parasitic protozoon responsible for millions of deaths annually.Host and parasite genetic factors are crucial in affecting susceptibility to malaria and progression of the disease.Recent increased deployment of vector controls and new artemisinin combination therapies have dramatically reduced the mortality and morbidity of malaria worldwide.However, the gradual emergence of parasite and mosquito resistance has raised alarm regarding the effectiveness of current artemisinin-based therapies.In this review, mechanisms of anti-malarial drug resistance in thePlasmodium parasite and new genetically engineered tools of research priorities are discussed.The complexity of the parasite lifecycle demands novel interventions to achieve global eradication.However, turning laboratory discovered transgenic interventions into functional products entails multiple experimental phases in addition to ethical and safety hurdles.Uncertainty over the regulatory status and public acceptance further discourage the implementation of genetically modified organisms.

  13. Nuclear energy: current situation and prospects to 2020.

    Science.gov (United States)

    Ion, Sue

    2007-04-15

    For close to half a century nuclear fission has been providing reliable supplies of electricity to the UK, with virtually no emissions of carbon dioxide. Over that period, the UK nuclear industry has avoided the emission of over one and a half billion tonnes of CO2. Yet no nuclear plant has been built in the UK for over two decades even though many of the stations in our current fleet are now within a decade or so of the end of their lifetime. Without new plants being ordered soon, the UK's nuclear capacity will decline dramatically, from 23% today to 3% post-2020--just as considerations of supply security and climate change are becoming increasingly important. Elsewhere in the world, many countries such as China, India, Japan, South Korea, Finland and France are building new stations. Other countries such as the USA, South Africa, and some nations that currently do not have nuclear stations (such as Indonesia and Poland) are making preparations for future nuclear stations. Globally capacity factors for nuclear plants are higher than they have ever been, averaging around 85% and with the best stations achieving well over 90%. Lifetime can be 60 years. That the economics of such stations compete well with other technologies is well founded and easily verifiable--especially in the face of rising fossil fuel prices and the pricing in of costs for CO2 emissions--both of which stand to improve the economics of nuclear energy still further. Waste volumes arising from modern plants are just a fraction of those of some earlier stations, and the technologies are in place to deal with them safely and effectively. Following recent reviews and international developments, there is growing confidence that internationally available competitive designs of nuclear plant will provide part of the solution to the UK's long-term energy needs.

  14. Current situation and development of wind power in China

    Institute of Scientific and Technical Information of China (English)

    BAO Nengsheng; NI Weidou

    2007-01-01

    The current development of wind power in China was presented in this paper.Many regions such as Xinjiang Uygur Autonomous Region,Inner Mongolia Autonomous Region and southeast coastal region,etc.in China have abundant wind energy resource.At the same time,the utilization of wind power in China has been developing quickly and its prospect is promising in spite of many some obstacles.With the implementation of the Renewable Energy Law,some previous obstacles have been or are being eliminated.Much investment and many enterprises start to enter this field.In spite of this,there still exist some financial and technological obstacles.One of the technological obstacles is the stability of local power grid owing to the increasing proportion of the wind power capacity.Because the centralized development mode of wind power was adopted,the quick fluctuation of wind speed will influence the voltage and frequency stability of local power grid.In addition,large wind farm has little dispatching ability because of the uncontrollability,randomness and fluctuation of natural incoming wind.To erase these obstacles,a novel hybrid power system combining wind farm and small gas turbine power plants is discussed.

  15. Sentinel Node Mapping for Breast Cancer: Current Situation

    Directory of Open Access Journals (Sweden)

    Sergi Vidal-Sicart

    2012-01-01

    Full Text Available Axillary node status is a major prognostic factor in early-stage disease. Traditional staging needs levels I and II axillary lymph node dissection. Axillary involvement is found in 10%–30% of patients with T1 (<2 cm tumours. Sentinel lymph node biopsy is a minimal invasive method of checking the potential nodal involvement. It is based on the assumption of an orderly progression of lymph node invasion by metastatic cells from tumour site. Thus, when sentinel node is free of metastases the remaining nodes are free, too (with a false negative rate lesser than 5%. Moreover, Randomized trials demonstrated a marked reduction of complications associated with the sentinel lymph node biopsy when compared with axillary lymph node dissection. Currently, the sentinel node biopsy procedure is recognized as the standard treatment for stages I and II. In these stages, this approach has a positive node rate similar to those observed after lymphadenectomy, a significant decrease in morbidity and similar nodal relapse rates at 5 years. In this review, the indications and contraindications of the sentinel node biopsy are summarized and the methodological aspects discussed. Finally, the new technologic and histologic developments allow to develop a more accurate and refinate technique that can achieve virtually the identification of 100% of sentinel nodes and reduce the false negative rate.

  16. Current situation of geoengineering and its impact on biodiversity

    Directory of Open Access Journals (Sweden)

    Senlu Yin

    2013-05-01

    Full Text Available Interests in the process of geoengineering have grown and geoengineering is a focus for the Convention on Biological Diversity now. Geoengineering programs and experiments have been carried out tovarying extent globally and are of significance to Chinese interests. This paper originates from a review of a conference discussion and of relevant literatures. It introduces the concept of geoengineering, describes the current status of its development and discusses the potential impacts geoengineering may have on biodiversity. Arguments about geoengineering in the Convention on Biological Diversity are also discussed. Researches show that geoengineering programs mainly affect biodiversity by changing the local or regional climate and environment. Large scale geoengineering programs may be prohibited in future due to uncertainty over their potential impacts on biodiversity. However, the necessity for energy saving and obligationsto reduce emissions will drive the progress of geoenginering. The future development of geoengineering is also examined. It is concluded that the techniques involved need to be of a high standard, highly efficient, low in cost and environmentally safe. Precautionary measures should be taken in the implementation of geoenginering related activities, and mechanisms for monitoring their effects should be thoroughly explored.

  17. [Current malaria situation in the Republic of Uzbekistan].

    Science.gov (United States)

    Razakov, Sh A; Shakhgunova, G Sh

    2001-01-01

    Malaria was once one of the most common diseases in Uzbekistan. There were massive epidemics with high mortality rates, wherein 140,000 to 700,000 cases of malaria were recorded. Following large-scale malaria control measures, the disease was eradicated in Uzbekistan in 1961 and the epidemiological situation is still favorable. The natural and climatic conditions that prevail in the Republic of Uzbekistan mean that the country is very susceptible to malaria. There are large water areas varying in type and origin, which provide a habitat for a number of epidemiologically dangerous species of malaria-transmitting mosquitoes in a single area. These are Anopheles maculipennis, An. pulcherrimus and An. superpictus. The prevailing temperatures promote rapid growth of vector mosquitoes and parasites and the malaria transmission season is over 5 months long. Seven malaria-transmitting mosquito species have been recently recorded in the Republic. DDT resistance has been so far noted in Anopheles maculipennis, An. hyrcanus and An. bifurcatus. An. superpictus is sensitive to all insecticides used in clinical practice (organophosphorus and organochlorine compounds, HOS, carbamates, pyrethroids). The most dangerous areas for transmitting malaria by importation are the flood plains of the country's main rivers, such as Syrdarya, Amudarya, Chirchik, Surkhana, etc., and rice-growing areas (an area of about 150,000 ha was under rice cultivation in 1999). The Republic is still very subjected to large-scale importations of malaria particularly in the towns and areas along the border with Tajikistan. There has been recently an increase in the incidence of infections imported into the Republic: 27 cases in 1995, 51 in 1996, 52 in 1997, 74 in 1998, and 78 in 1999. Eight regions of Uzbekistan border Tajikistan, their population is over 5.6 million people. In addition, close family ties between the populations of the frontier towns and regions further increase the risk for malaria to be

  18. Infection control in implantation of cardiac implantable electronic devices: current evidence, controversial points, and unresolved issues.

    Science.gov (United States)

    Korantzopoulos, Panagiotis; Sideris, Skevos; Dilaveris, Polychronis; Gatzoulis, Konstantinos; Goudevenos, John A

    2016-04-01

    A significant increase in the implantation of cardiac implantable electronic devices (CIEDs) is evident over the past years, while there is evidence for a disproportionate increase in CIED-related infections. The cumulative probability of device infection seems to be higher in implantable cardioverter defibrillator and in cardiac resynchronization therapy patients compared with permanent pacemaker patients. Given that more than a half of CIED infections are possibly related to the operative procedure, there is a need for effective periprocedural infection control. However, many of the current recommendations are empirical and not evidence-based, while questions, unresolved issues, and conflicting evidence arise. The perioperative systemic use of antibiotics confers significant benefit in prevention of CIED infections. However, there are no conclusive data regarding the specific value of each agent in different clinical settings, the value of post-operative antibiotic treatment as well as the optimal duration of therapy. The merit of local pocket irrigation with antibiotic and/or antiseptic agents remains unproved. Of note, recent evidence indicates that the application of antibacterial envelopes into the device pocket markedly decreases the infection risk. In addition, limited reports on strict integrated infection control protocols show a dramatic reduction in infection rates in this setting and therefore deserve further attention. Finally, the relative impact of particular factors on the infection risk, including the type of the CIED, patients' individual characteristics and comorbidities, should be further examined since it may facilitate the development of tailored prophylactic interventions for each patient. PMID:26516219

  19. Current Situation Analysis for Oral English Learning of Vocational College Students

    Institute of Scientific and Technical Information of China (English)

    王晶

    2013-01-01

    Through the questionnaire, this paper makes survey and analysis on the current oral English learning situation of the vocational college students, and explores the methods and approaches to improve the vocational college students ’oral English communication ability.

  20. Current Situations and Countermeasures of Development of Kiwifruit Industry in Guizhou Province

    Institute of Scientific and Technical Information of China (English)

    HUANG Wei; WAN Ming-chang; YANG Sheng-jun; ZHANG Xue; QIAO Rong

    2012-01-01

    On the basis of current development situations of planting, scientific research and processing of kiwifruit industry in Guizhou Province, the paper analyzes main factors restricting development of kiwifruit industry, including lack of unified planning, standardized planting specifications, and backward management of kiwifruit orchard. In accordance with current development situations and restricting factors, the paper presents some countermeasures for development of kiwifruit industry in Guizhou Province, including scientific planning, optimizing variety structure, management of cultivation technology, training of kiwifruit farmers, as well as marketing.

  1. Preventing tomorrow's sudden cardiac death today: part I: Current data on risk stratification for sudden cardiac death.

    Science.gov (United States)

    Al-Khatib, Sana M; Sanders, Gillian D; Bigger, J Thomas; Buxton, Alfred E; Califf, Robert M; Carlson, Mark; Curtis, Anne; Curtis, Jeptha; Fain, Eric; Gersh, Bernard J; Gold, Michael R; Haghighi-Mood, Ali; Hammill, Stephen C; Healey, Jeff; Hlatky, Mark; Hohnloser, Stefan; Kim, Raymond J; Lee, Kerry; Mark, Daniel; Mianulli, Marcus; Mitchell, Brent; Prystowsky, Eric N; Smith, Joseph; Steinhaus, David; Zareba, Wojciech

    2007-06-01

    Accurate and timely prediction of sudden cardiac death (SCD) is a necessary prerequisite for effective prevention and therapy. Although the largest number of SCD events occurs in patients without overt heart disease, there are currently no tests that are of proven predictive value in this population. Efforts in risk stratification for SCD have focused primarily on predicting SCD in patients with known structural heart disease. Despite the ubiquity of tests that have been purported to predict SCD vulnerability in such patients, there is little consensus on which test, in addition to the left ventricular ejection fraction, should be used to determine which patients will benefit from an implantable cardioverter defibrillator. On July 20 and 21, 2006, a group of experts representing clinical cardiology, cardiac electrophysiology, biostatistics, economics, and health policy were joined by representatives of the US Food and Drug administration, Centers for Medicare Services, Agency for Health Research and Quality, the Heart Rhythm Society, and the device and pharmaceutical industry for a round table meeting to review current data on strategies of risk stratification for SCD, to explore methods to translate these strategies into practice and policy, and to identify areas that need to be addressed by future research studies. The meeting was organized by the Duke Center for the Prevention of SCD at the Duke Clinical Research Institute and was funded by industry participants. This article summarizes the presentations and discussions that occurred at that meeting.

  2. Current situation and prospects of development of chosen hotel in Prague

    OpenAIRE

    Zábská, Eliška

    2012-01-01

    The aim of the thesis is to analyze the current situation of chosen design hotel in Prague, compare the facilities and offered services with chosen competitive hotels and using this suggest improvements that would improve it's situation and competitiveness. The theoretical part includes characterization of the hotel industry and hotel establishment with emphasis on marketing. The practical part is focused on analysis of chosen hotel, it's marketing mix and chosen performance indexes and compa...

  3. How to Improve Current Situation of the Communicative Approach in High School EFL Teaching

    Institute of Scientific and Technical Information of China (English)

    张丽芳

    2009-01-01

    The Communicative Approach has been used in EFL teaching of China for years; but still there are some problems centers around it when it is applied in high school English teaching. This paper explores the current situation of the Communicative Approach in Chinese high school EFL teaching by first looking at a simple case study, and then some suggestions are given as to how to improve this situation.

  4. Clinical and psychological impact of prophylactic implantable cardioverter-defibrillators in a community heart failure population.

    LENUS (Irish Health Repository)

    Arnous, S

    2012-02-01

    AIMS: ICD implantation for primary prevention of sudden cardiac death in patients with left ventricular systolic dysfunction (ejection fraction <\\/= 35%) has increased since the publication of the SCD-HEFT and MADIT-II data. The aim of this study is to examine the effectiveness and safety of prophylactic ICD use in a community heart failure population and to assess the impact on patient\\'s quality of life. METHODS AND RESULTS: Seventy-one ICDs were inserted between the years 2002 and 2006. The mean follow-up from time of insertion was 24 +\\/- 11 months. Eighteen patients (25%) had potentially life-saving therapy. Seven (10%) patients received inappropriate shocks. Complications were encountered in five patients (7%). CONCLUSION: In a community heart failure population, prophylactic ICD implantation is associated with a high incidence of life-saving therapy, a low complication rate and a high level of tolerability. These data indicate translation of clinical trial benefits to the general heart failure population.

  5. Trajectories of Patient-Reported Health Status in Patients With an Implantable Cardioverter Defibrillator

    DEFF Research Database (Denmark)

    Mastenbroek, Mirjam H; Denollet, Johan; Versteeg, Henneke;

    2015-01-01

    failure, ICD shock, psychotropic medication, negative affectivity, and type D personality were identified as independent determinants of poorer physical health status. For mental health status, 6 trajectories were identified. Younger age, low educational level, symptomatic heart failure, renal failure......, no use of ACE inhibitors, psychotropic medication, negative affectivity, and type D personality were identified as independent determinants of poorer mental health status. In conclusion, the population with an ICD seems to be heterogeneous in terms of patient-reported physical and mental health status....... Patients with an ICD who present with poor health status and a distressed personality profile should be timely identified and monitored as they may benefit from cardiac rehabilitation in combination with behavioral intervention....

  6. Long-term mortality risk in patients with an implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Hoogwegt, Madelein T; Theuns, Dominic A M J; Pedersen, Susanne S.;

    2014-01-01

    .9)). The impact of heart rate and QRS duration on time to all-cause mortality was separately assessed with Cox proportional hazard regression analysis, adjusting for clinical factors and symptoms of depression and anxiety. RESULTS: Mean (SD) heart rate was 68.0 ± 13.3 bpm and mean QRS duration was 130.9 ± 36.9 ms....... Heart rate of ≥80 bpm was associated with increased risk of mortality (HR=1.86; 95% CI=1.15-3.00; p=.011) in unadjusted analysis. In adjusted analyses, this relationship remained significant both with depression (HR=1.86, 95% CI=1.12-3.09; p=.017) and anxiety (HR=1.82, 95% CI=1.10-3.03; p=.021...

  7. Coping with Trauma and Stressful Events As a Patient with an Implantable Cardioverter-Defibrillator

    Science.gov (United States)

    ... LIBRARY Hello, Guest! My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Cover Doodle → Blip the Doodle Go Red For Women's Issue Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  8. Programming implantable cardioverter-defibrillators in primary prevention: higher or later.

    Science.gov (United States)

    Clementy, Nicolas; Pierre, Bertrand; Simeon, Edouard; Lallemand, Bénédicte; Fauchier, Laurent; Babuty, Dominique

    2014-05-01

    Defibrillator shocks, appropriate or not, are associated with significant morbidity, as they decrease quality of life, can be involved in depression and anxiety, and are known to be proarrhythmic. Most recent data have even shown an association between shocks and overall mortality. As opposed to other defibrillator-related complications, the rate of inappropriate and unnecessary shocks can (and should) be decreased with adequate programming. This review focuses on the different programming strategies and tips available to reduce the rate of shocks in primary prevention patients with left ventricular dysfunction implanted with a defibrillator, as well as some of the manufacturers' device specificities.

  9. Pacemakers and implantable cardioverter defibrillators, unknown to chest radiography: Review, complications and systematic reading

    Energy Technology Data Exchange (ETDEWEB)

    Alandete Germán, Salvador Pascual, E-mail: salaiger@gmail.com; Isarria Vidal, Santiago, E-mail: isarria@comv.es; Domingo Montañana, María Luisa, E-mail: domingo.luimon@gmail.com; De la vía Oraá, Esperanza, E-mail: esviao82@gmail.com; Vilar Samper, José, E-mail: vilarsamper@gmail.com

    2015-03-15

    Highlights: •Radiologists have an important function in the evaluation of these devices. •We revise their radiological appearances and possible complications. •The knowledge in normal aspects and complications is important for radiologist. •To ensure an accurate reading of the chest x-ray, we present a systematic approach. -- Abstract: Chest X-ray is the imaging technique of choice for an initial study of pacemakers and implantable cardio-defibrillators (ICD). Radiologists have an important role in the evaluation of its initial placement and in the assessment during its follow-up. For this reason, it is necessary to know not only the different existing devices and its components but also the reasons of malfunction or possible complications. The purpose of this article is to do a systematic review of the different types of pacemakers and ICD. We review their usual radiological appearances, the possible complications which might take place and its causes of malfunctioning.

  10. The NO Regular Defibrillation testing In Cardioverter Defibrillator Implantation (NORDIC ICD) trial

    DEFF Research Database (Denmark)

    Bänsch, Dietmar; Bonnemeier, Hendrik; Brandt, Johan;

    2015-01-01

    was standardized across all participating centres. After inducing a fast ventricular tachycardia (VT) with a heart rate ≥240 b.p.m. or ventricular fibrillation (VF) with a low-energy T-wave shock, DF was attempted with an initial 15 J shock. If the shock reversed the VT or VF, DF testing was considered successful...

  11. Poor perceived social support in implantable cardioverter defibrillator (ICD) patients and their partners

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Spinder, Helle; Erdman, Ruud A M;

    2009-01-01

    Social support is a known buffer of psychological distress and has also been shown to influence adverse medical outcomes.......Social support is a known buffer of psychological distress and has also been shown to influence adverse medical outcomes....

  12. Effects of an alert system on implantable cardioverter defibrillator-related anxiety

    DEFF Research Database (Denmark)

    Duru, Firat; Dorian, Paul; Favale, Stefano;

    2010-01-01

    failing to receive needed therapy for the same reason. New devices include programmable vibrating patient notifiers (PN), which, by warning patients of a possible device dysfunction, might lower device-related anxiety. PAtient NOtifier feature for Reduction of Anxiety: a Multicentre ICD study (PANORAMIC......) is a multicentre, randomized, clinical trial designed to examine the effects of the awareness of an active vibrating alert system on device-related anxiety....

  13. The gulf implantable cardioverter-defibrillator registry: Rationale, methodology, and implementation

    Directory of Open Access Journals (Sweden)

    Alawi A Alsheikh-Ali

    2015-01-01

    Conclusions: Gulf ICD is the first prospective, observational, multi-center, and multinational study of the characteristics and, the outcomes of patients receiving ICDs in the Arab Gulf region. The study will provide valuable insights into the utilization of and outcomes related to ICD therapy in the Gulf region.

  14. My Child Needs or Has an Implantable Cardioverter-Defibrillator: What Should I Do?

    Science.gov (United States)

    ... it is important to provide open, honest, and age-appropriate information to provide the tools for adaptation. You can ... 502 Boston, MA 02118 email: circ@circulationjournal.org Information for: Advertisers Subscribers Subscriber ... National Center 7272 Greenville Ave. Dallas, TX 75231 Customer Service 1-800-AHA-USA-1 1-800- ...

  15. Prophylactic use of implantable cardioverter-defibrillators in the elderly population

    Institute of Scientific and Technical Information of China (English)

    Yuchuan LIU; Hue-Teh Shih

    2005-01-01

    @@ Introduction Sudden cardiac death (SCD) accounts for approximately 300,000 deaths each year in the United States. Ventricular fibrillation, as the initial event, had been reported in 65%-85% of these patients.1 An implantable cardioverterdefibrillator (ICD) is the single most effective life saving device to date. The advances in medicine and technology have led to wide spread utilization of defibrillators in developed countries.

  16. Late Development of a Bronchocutaneous Fistula due to an Epicardial Cardioverter-Defibrillator Lead

    Directory of Open Access Journals (Sweden)

    Vasileios Patris

    2015-10-01

    Full Text Available Cutaneous complications caused by a pacemaker or defibrillator are widely documented, but the development of a bronchocutaneous fistula has never been described before. We report the case of a 79-year-old man who was admitted to our hospital because of a seemingly superficial cutaneous infection, externalized defibrillator leads, and hemoptysis. Bronchoscopical investigation proved the existence of the fistula, which connected the epicardium, the left main bronchus, and the aforementioned site of skin infection. The patient refused an operation for the complete removal of the epicardial defibrillator and was treated conservatively. This case demonstrated that the long-term presence of foreign bodies in the epicardium may cause serious complications

  17. Low disease prevalence and inappropriate implantable cardioverter defibrillator shock rate in Brugada syndrome

    DEFF Research Database (Denmark)

    Holst, Anders Gaarsdal; Jensen, Henrik Kjærulf; Eschen, Ole;

    2012-01-01

    Brugada syndrome (BrS) is an inherited channelopathy that predisposes to malignant ventricular arrhythmias and thereby syncope and sudden cardiac death. Prior studies characterizing BrS patients have used highly selected referral populations from tertiary centres and prevalence estimates have bee...

  18. Pacemakers and implantable cardioverter defibrillators, unknown to chest radiography: Review, complications and systematic reading

    International Nuclear Information System (INIS)

    Highlights: •Radiologists have an important function in the evaluation of these devices. •We revise their radiological appearances and possible complications. •The knowledge in normal aspects and complications is important for radiologist. •To ensure an accurate reading of the chest x-ray, we present a systematic approach. -- Abstract: Chest X-ray is the imaging technique of choice for an initial study of pacemakers and implantable cardio-defibrillators (ICD). Radiologists have an important role in the evaluation of its initial placement and in the assessment during its follow-up. For this reason, it is necessary to know not only the different existing devices and its components but also the reasons of malfunction or possible complications. The purpose of this article is to do a systematic review of the different types of pacemakers and ICD. We review their usual radiological appearances, the possible complications which might take place and its causes of malfunctioning

  19. A study on current situations of college students' foreign language anxiety

    Institute of Scientific and Technical Information of China (English)

    Bi Ran

    2015-01-01

    An empirical study on current situations of college students' foreign language anxiety is concerned with in this paper. The author adopted Horwitz's Foreign Language Classroom Anxiety Scale (FLCAS) to measure the level of foreign language anxiety of 325 participants and then the conclusions are drawn.

  20. Situating the Challenges in Current Languages Education Policy in Australia -- Unlearning Monolingualism

    Science.gov (United States)

    Scarino, Angela

    2014-01-01

    In situating the challenges in languages education policy in Australia in current times, I give an account of policy and curriculum development for the learning of languages in school education. In so doing, I highlight (1) the integral relationship between languages education, literacy and multiculturalism policies; (2) the meaning and…

  1. Analysis of the Mechanism and the Current Situation of the Plasma Purification Technology for Diesel Exhaust

    OpenAIRE

    Xiuli Guo

    2013-01-01

    In this study, the mechanism and the current situation of the plasma purification technology for diesel exhaust is introduced. Research indicates that cleaning the diesel exhaust with the plasma produced by corona discharge or dielectric barrier discharge has too high energy consumption to direct use without catalyst. To solve this problem, the study gives some new ways about cleaning diesel exhaust with arc discharge.

  2. Current Situation and Countermeasures of Agricultural Information Construction in Jiamusi Area

    OpenAIRE

    Shao, Dongwei; Wang, Junfa; Jiang, Donghua; Liu, Qisheng

    2010-01-01

    International audience Beginning with the current situation of agricultural information construction in Jiamusi area, the achievements obtained from agricultural information construction are clearly known by discussing current work conditions. On the basis of thorough investigation, the existing problems of agricultural information construction are found. The reasons of these problems are analyzed in detail, and then the general idea of agricultural information construction is laid out in ...

  3. The Main Features of and Response to The Current Asian Security Situation

    Institute of Scientific and Technical Information of China (English)

    Hu; Shisheng

    2015-01-01

    I.The Main Features of the Current Asian Security Situation The strategic game between China and the United States becomes the most powerful driving force to change the Asian traditional security situation.The United States has tried its best to delay China’s rising pace or"to standardize"China’s rising path by using its huge military advantage and forward military deployment and strengthening its security network of alliance and friends,so as to maintain its dominant position in

  4. Research on the Vegetable Trade Current Situation and Its Trade Competitiveness in China

    OpenAIRE

    LI Shasha

    2013-01-01

    International audience This paper analyzed the Current situation and status of China in the world vegetable trade, measured and analyzed main export varieties of vegetables trade competitiveness in China by using international market share(IMS) and trade competitiveness index(TCI). The conclusion is that: China’s vegetable export scale expands gradually, frozen vegetables, dehydrated vegetables, and dried vegetables have significant comparative advantages and hold high stability in the int...

  5. Current Situation and Demand of Rural Endowment Security in Shaanxi Province

    OpenAIRE

    Liu, Chunmei; Li, Lutang

    2013-01-01

    With intensification of population aging and rise in elderly dependency ratio, the demand for endowment security becomes higher and higher, particularly in rural areas. Taking Shaanxi Province as an example, the authors selected people older than 65 in 18 natural villages in north Shaanxi, south Shaanxi and Guanzhong. With the aid of survey data and related official statistical data, they made an evaluation of current situation of the rural endowment security in Shaanxi Province. Results indi...

  6. Hospital based ethics, current situation in France: between "Espaces" and committees.

    Science.gov (United States)

    Guerrier, M

    2006-09-01

    Unlike research ethics committees, which were created in 1988, the number of functioning hospital based ethical organisations in France, such as clinical ethics committees, is unknown. The objectives of such structures are diverse. A recent law created regional ethical forums, the objectives of which are education, debate, and research in relation to healthcare ethics. This paper discusses the current situation in France and the possible evolution and conflicts induced by this law. The creation of official healthcare ethics structures raises several issues.

  7. Analysis of the Mechanism and the Current Situation of the Plasma Purification Technology for Diesel Exhaust

    Directory of Open Access Journals (Sweden)

    Xiuli Guo

    2013-06-01

    Full Text Available In this study, the mechanism and the current situation of the plasma purification technology for diesel exhaust is introduced. Research indicates that cleaning the diesel exhaust with the plasma produced by corona discharge or dielectric barrier discharge has too high energy consumption to direct use without catalyst. To solve this problem, the study gives some new ways about cleaning diesel exhaust with arc discharge.

  8. Research on Current Situation and Strategy of E-Marketing Applications in Chinese SMEs

    OpenAIRE

    Li Baoling

    2014-01-01

    E-marketing has brought unprecedented opportunities for small and medium sized enterprises to compete with the large enterprises in China. Though they have started their online business actively with building their own websites and implementing e-marketing, the effect they have achieved is not as expected. The paper first discusses the definition and the competitive advantages e-marketing brings to small and medium-sized enterprises. Then, the paper examines the current situation of e-marketi...

  9. Current situation for cultivating reflective thinking in English reading instruction--The influence of teaching models

    Institute of Scientific and Technical Information of China (English)

    Meng Qinglan

    2013-01-01

    Reflective thinking plays an essential role in cultivating students’creative ability. It’s essential to cultivate this ability in the process of reading instruction,while the present traditional English teaching models hinder its development. This paper tries to analyze the current situation in cultivating students’reflective thinking in English reading instruction from the traditional teaching models,in the hope of refreshing the teachers’consciousness on their teaching methods.

  10. Transformed Institutions - Transformed Citizenship Education? Remarks on the current situation in Spain

    OpenAIRE

    Concepción Naval; Gonzalo Jover

    2008-01-01

    Educational systems are placing great emphasis on the need to generate a sense of citizenship. In this article, we treat this question within the concrete framework of the recent history of Spain (from 1990 to current day). We make reference to three points: (1) The institutional framework of citizenship education; (2) The concepts of citizenship present in the school curriculum and the public debate; (3) The state of research into citizenship education. Based on our analysis of the situation...

  11. The generation system in Germany. Current situation and prospects within the framework of sustainable development

    International Nuclear Information System (INIS)

    Germany's Federal Government has committed itself internationally to climate protection and has therefore also stepped up the implementation of the model of sustainable development in its energy and environment policy. The contribution starts out with an analysis of fossil fuel reserves and the current situation of the German generation system is analysed and a projection is made of power plant capacity to be replaced by 2020. (orig.)

  12. Are Real Effects of Credit Supply Overestimated? Bias from Firms' Current Situation and Future Expectations

    OpenAIRE

    Kleemann, Michael; Wiegand, Manuel

    2014-01-01

    This paper advocates for incorporating timely measures of firms' current situation and future expectations when disentangling real effects of credit supply from demand-side factors. Identification of supply-side effects in firm-level analyses often relies on balance sheet variables to control for firm heterogeneity. While balance sheets mirror past business, bias from contemporaneous and forward-looking firm-side factors may persist.Using German firm-level survey data from 2003 to 2011, we sh...

  13. Plagiarism: A Shared Responsibility of All, Current Situation, and Future Actions in Yemen.

    Science.gov (United States)

    Muthanna, Abdulghani

    2016-01-01

    As combating plagiarism is a shared responsibility of all, this article focuses on presenting the current situation of higher education in Yemen. The critical review of four implementable policy documents and interviews revealed the absence of research ethics code, research misconduct policy, and institutional policies in the country. This led to the presence of several acts of research dishonesty. The article concludes with an initiative for necessary future actions in the nation. PMID:26890365

  14. Bhutan Human Development Indicators : Analysis of Current Situation using the BLSS

    OpenAIRE

    World Bank

    2005-01-01

    This report lays out the challenge of human development in Bhutan. It is based on the first nationally-representative household survey, the Bhutan Living Standard Survey (BLSS), collected between April 2003 and June 2003. The report's primary objective is to inform the Bank of the current situation regarding some human development indicators. The report is partly filling in the knowledge gap on key human development indicators in Bhutan and will hopefully guide future policy directions. Some ...

  15. Current situation of Chinese forestry tactics and strategy of sustainable development

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Based on the analysis of the current situation of Chinese forestry and aseries of ecological, environmental, economic, and social problems, this paper emphasized on the importance of forests in social and economic development in China The author pointed out that sustainable development, particularly the sustainable development of forestry, is the inevitable choice to solve the problems of ecological environment and social economics. The objectives, criteria, and strategies of sustaining forestry were also demonstrated and expounded, from the viewpoints of ecology, economics, and sociology.

  16. Current Situation and Suggestions of Decorative Fishery Development in Hainan Province

    OpenAIRE

    Zhang, Xi; Yang, Ning; Huang, Hai

    2013-01-01

    Decorative fishery is an important part of recreational fisheries, Hainan has the potential to develop decorative fishery. In this paper, on the basis of the deep-going survey on the current situation of decorative fishery development in Hainan, the main questions of decorative fish cultivation and market were discussed. At the same time, many suggestions were brought up, such as exploiting the biological resources of Hainan Island, strengthening scientific research efforts, introducing new v...

  17. Current Development Situations of Ziziphus Jujuba Industry in South Xinjiang and Recommendations

    Institute of Scientific and Technical Information of China (English)

    Xinwen; JIN; Xuedong; YAO; Chengjiang; LIU; Hai; LIN; Zheng; LOU; Zhenjiang; GAO

    2015-01-01

    Through surveying current development situations and existing problems of planting and processing of Ziziphus jujuba in south Xinjiang,this paper discussed planting,processing mode of Ziziphus Jujuba in south Xinjiang and development direction of enterprises in Ziziphus Jujuba production. It is expected to ensure and increase quality and sales volume of Ziziphus Jujuba and promote sound and sustainable development of Ziziphus Jujuba industrial chain in south Xinjiang.

  18. Publishing in Psychology: A description of the current situation in Germany

    OpenAIRE

    ANDREAS FREY; PHILIPP YORCK HERZBERG

    2009-01-01

    This paper reviews the current publication situation in the German field of psychology from an author’s viewpoint and examines the authors’ acceptance regarding open access journals. The review is based on the answers of 28 authors to a questionnaire on official statistics about psychological journals and on information obtained from journal editors. The results show that accessibility to journals does not pose problems to authors in Germany. The authors are clearly oriented towards the Anglo...

  19. Current Situation of Land Use in Three-gorges Reservoir Region in 2010

    Institute of Scientific and Technical Information of China (English)

    Fuhai; WANG; Qigang; ZHOU; Fei; YANG; Pengwu; YANG; Yao; WANG

    2014-01-01

    Land is rare natural resource.Production and construction of all sectors in a region must be based on land.Thus,overall research and analysis on current situation of land use can reveal scope,depth and reasonableness of land use,is helpful for analyzing internal mechanism land use change,and can reflect production scale,level and characteristics,and also can provide basis for optimization and adjustment of land use structure.Based on RS and GIS technologies,with the aid of TM image data of the Three-gorges Reservoir Region in 2010,the data of current situation of land use in Three-gorges Reservoir Region was obtained,and current land use situation was analyzed using geographimetrics and landscape ecology methods.Results show that since natural,social and economic conditions are different,land type diversity,combination type and location index of counties in the Three-gorges Reservoir Region are varied.In the land use diversity index,Xingshan County has the most single land use type(mainly forest land); in land use degree,Yuzhong District has the highest land use degree; in the integrated index of land use,Changshou District has the lowest integrated index of land use.This study is expected to provide reference and basis for formulating policies of protecting ecological environment of the Three-gorges Reservoir Region.

  20. The current situation and prospect of oil steel pipe in China

    Institute of Scientific and Technical Information of China (English)

    LI; He-lin; JI; Ling-kang; XIE; Li-hua

    2005-01-01

    The oil steel pipe in the petroleum industry is very important for its high price, large consumption volume and great effect on thedevelopment of petroleum industry. The oil steel pipe mainly includes oil well pipe (drill pipe, drill collar, casing and tubing etc. ) and oil-gas transportation pipe. This paper is an attempt to make a comprehensive review on the current situation and prospect of the oil steel pipe in China, presenting the past , today and future of the China oil pipe.The first section is a historical review of the China oil pipe. The developing course and progress of the oil steel pipe products are presented. The second section is about the current situation of the China oil pipe. The general situation of the China's steel pipe corporation and their products types,capability, etc. is introduced. The third section is about the prospect of the China oil pipe. This part mainly describes the new product research and development in China steel pipe corporations,which are facing more and more strict technical requirements of the petroleum industry in oil pipe,and reveals the prosperity of China's steel pipe corporations.

  1. Analysis on Current Situation of Xinjiang Photography Current Situation Analysis and Development Ponders%新疆摄影现状简析与发展之思辩

    Institute of Scientific and Technical Information of China (English)

    李太保

    2011-01-01

    This article discusses the current situation of Xinjiang photography, and focuses on the analysis of two viewpoints, which are "The scenery photography hindered Xinjiang photography's all-round development" and "Xinjiang shotfld develop the scenery photography primarily". The author thinks that, both views are biased, only emphasized the side, and ignored the other side. In the history new starting point of Xin- jiang leapfrog development, Xinjiang photography is necessary to make great efforts to foster the develop- ment of Xinjiang documentary photography, but also insists on the development of Xinjiang's landscape photography, h is necessary to advocate diversity, but also should pay attention to features and brand.%文章简析了当前新疆的摄影现状,并重点对“风光摄影阻碍了新疆摄影的全面发展”和“新疆应该以发展风光摄影为主”的观点进行了剖析。在新疆跨越式发展的历史新起点上,新疆摄影界既要下大力培育发展新疆的纪实摄影,又要坚持发展新疆的风光摄影;既要大力倡导多元化,又要抓特色、闯品牌。

  2. Current situation of depression healthcare in Spain: results of a psychiatrists' survey

    Directory of Open Access Journals (Sweden)

    Belén Martín-Águeda

    2006-12-01

    Full Text Available Objective: To analyze the current situation of healthcare for depression in Spain, according to psychiatrists opinion, and how it has evolved over the last 20 years, comparativily with the results reported in previous studies of our group. Methods: Throughout 2002, we recorded the opinions of 101 specialists in psychiatry after asking them to fill out structured questionnaires in which they rated care, clinical, therapeutic and care quality. Results: The presence of depressive disorders in healthcare is substantial, despite the high figures for "concealed epidemiology", with an increase in these last 20 years of disorders comorbid with anxiety. Currently, most patients arrive at the psychiatrist having been referred by their general practitioners (GP, as there is now less reluctance in depressive patients to such referral. In the last years there has been an increase in pharmacological treatment, with adverse effects of the drugs representing the major obstacle to non-adherence to such treatment. Selective serotonin reuptake inhibitors (SSRIs constitute the pharmacological group of choice, and are the drugs most commonly used in the treatment of depression, together with venlafaxine. Areas where there is a need for improvement are time devoted to consultation, coordination between GPs and psychiatrists, waiting lists, and resources available to Mental Health Units. Conclusions: Current situation of depression healthcare in Spain has substantially changed in recent years, improving in some aspects, thanks, in part, to the attitudes of GPs with this disorder and to evolution of pharmacological treatment.

  3. Analysis of the status’current situation and reflection on the development of circular economy

    Institute of Scientific and Technical Information of China (English)

    翟程

    2013-01-01

    It is the mainstream of the times building a moderately prosperous society, build a harmonious home, guiding eco-nomic development with scientific Outlook on Development. It is the objective requirements of social development, current more and more prominent, ecological construction and environmental protection increasingly grim situation along with Chi-na's rapid economic growth and increasing population, water, land, mineral, etc. like this it is particularly important and urgent. According to the scientific development concept, vigorously develop the circular economy;accelerate the establishment of a resource-saving society.

  4. Current Development Situations and Countermeasures for Tobacco Farmers’ Specialized Cooperatives in Hunan Province

    Institute of Scientific and Technical Information of China (English)

    Xinbin; LUO; Jianqiang; XU

    2013-01-01

    This paper firstly introduces development history of China’s farmers’ specialized cooperatives and connotation and mechanism of tobacco farmers’ specialized cooperatives. Then, it analyzes current development situations of tobacco farmers’ specialized cooperatives in Hunan Province. On the basis of analysis, it puts forward development countermeasures, including realizing circulation of tobacco land, strengthening propaganda of laws on tobacco farmers’ specialized cooperatives, increasing operation effect of tobacco farmers’ specialized cooperatives, enhancing guidance and supervision of tobacco farmers’ specialized cooperatives, as well as improving specialized service level.

  5. Current Situation of Introduction and Use of African Crop Germplasm Resources and Recommendations

    Institute of Scientific and Technical Information of China (English)

    Zili; DING; Minghua; YAO; Chunhai; JIAO

    2015-01-01

    Africa is the origin center of many crops. It is rich in original ecological resources,especially special resources which are excellent materials for breeding research. With acceleration of commercial seeds in agriculture of African countries,some original ecological resources are disappearing. Through experience of introduction of African varieties in recent years,it analyzed current situation of introduction and use of African crop germplasm resources. Finally,it came up with recommendations for rescuing and taking full advantage of excellent African resources,solving difficult problem restricting crop breeding,enriching China’s crop germplasm bank,and improving China’s and African crop breeding level and innovation ability.

  6. Current Situations of Agricultural Sci-tech Innovation and Development Path in Nantong

    Institute of Scientific and Technical Information of China (English)

    YUAN Chun-xin; SUN Qing-shan; QIU Hai-rong; ZHU Hai-yan; TANG Ming-xia; XUE Chen-xia

    2012-01-01

    Nantong is a typical region of large population and little land.The conflict between resources and environment is growing.Thus,the improvement of independent innovation ability based on current situations,oriented towards the future and relying on scientific and technological force directly decides the effect of strong economic city construction.Through analysis on achievements of agricultural sci-tech innovation works,existing problems and demand for developing modern agriculture in Nantong,we present development ideas,target orientation and basic principles of agricultural sci-tech innovation works in Nantong,and put forward eight paths.

  7. An Analysis of Current Situation of Industrial Land Use in Chizhou Economic and Technological Development Zone

    Institute of Scientific and Technical Information of China (English)

    Xiangdong; ZHU; Zhongxiang; YU

    2015-01-01

    This paper analyzes the current situation of industrial land supply,use and structure and industry pattern in Chizhou Economic and Technological Development Zone,and selects 83 typical enterprises which can reflect the comprehensive industrial land utilization within this zone and the problems in economical and intensive utilization,to carry out the evaluation of economical and intensive utilization of industrial land. Based on the evaluation results,we find the problems in industrial land use and set forth corresponding recommendations in order to provide a reference for the future sustained land use in the development zone.

  8. Analysis on Current Situations of Endangered P.intermedius S.Y.Chen

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    We carried out a general survey of current situations of P.intermedius S.Y.Chen.Results show that P.intermedius S.Y.Chen is distributed in Dongkeng Township,Jingnan Township and Yanxi Township.It covers an area of 262.51 hm2.The distribution areas are narrow and limited.What’s worse,it suffers from serious destruction and has been withered in large areas.Besides,according to current introduction test,it is difficult to survive in other places.In accordance with Exploring the Criteria for Endangered Categories of Bamboo Species from China put forward by Ma Naixun et al from the Research Institute of Subtropical Forestry of Chinese Academy of Forestry(RISFCAF),we propose incorporating P.intermedius S.Y.Chen into vulnerable species for protection.

  9. Traditional Medicine in Madagascar - Current Situation and the Institutional Context of Promotion

    Directory of Open Access Journals (Sweden)

    C. Pierlovisi

    2014-12-01

    Full Text Available Following WHO recommandations and in order to improve medical coverage, Madagascar officially recognized in 2007 its traditional medicine as a legitimate practice.UNESCO, to sustain traditional healers in the Indian Ocean, wanted to use anthropological tools to explore the current situation in Madagascar.Despit a plurality of practices, data collected for three months in the Southeast of the Island, allowed us to identify some fundamental aspects of Malagasy traditional medicine, such as the omnipresence of symbolism or the complexity of healers’ roles at the crossroads of social, sacred and therapeutic registries.The study shows that the national policy on traditional medicine improves gradually the promotion of these practices too often undervalued. Nevertheless, the institutional context exposes weaknesses which might explain the difficulty encountered by some tradipractitioners to find their place in this new regulation. Indeed, regarding the current context, a reducing process of the healers' practices is likely to emerge.

  10. Current situations in the Middle East; Genzai, Chuto de okotteiru koto

    Energy Technology Data Exchange (ETDEWEB)

    Ishii, Y. [Japan National Oil Corp., Tokyo (Japan)

    1997-12-01

    Invasion by Iraq on the Kurdish district in September 1997 enforced the US armed forces stationed at the Gulf to take a tight security measure. This paper describes the current situations in the Middle East as of November 1997, which were tense as a result of the Iraqi invasion, as reported by the employees posted to the site. A proposal of sanctions by USA and UK against Iraq, which is uncooperative with the inspections by UN, was not adopted because of abstentions by France, Russia and China. These countries are involved in oil development projects in Iraq. In addition to incompatibility of the permanent Security Council members, the Arab countries are very cold to USA, contrary to the atmospheres prevailing during the Gulf War, and the situations are changing every hour. Iraq is now desperately negotiating with many countries for oil development. It is necessary for Japan, attractive for the oil-producing countries because she has `no military force,` to draw and implement wise strategies with a large crude consumption reaching beyond 4 million b/d

  11. Aspects of the Current Fiscal - Budgetary Situation in Some Euro Area Countries. Implications for Romania

    Directory of Open Access Journals (Sweden)

    Adina Criste

    2010-07-01

    Full Text Available The financial and economic global crisis has exacerbated some of the imbalances existent in all EU Member States, in particular the fiscal-budgetary imbalances. For some countries whose currency is euro, the fiscal and budgetary challenges seem to threaten even the stability of the euro area. Thus, in the context of financial and economic global crisis, this article aims at identifying a number of negative aspects of the fiscal-budgetary situation of some euro area countries, more seriously affected (Greece, Italy, Portugal, Ireland, Spain and at revealing a series of possible implications of this phenomenon for Romania, thus giving originality of the conducted analysis. A fulcrum in this approach is the economic literature and the authors’ research work in the field of European integration. Through a comparative approach, the authors have identified some weaknesses of the Romanian economy generated by the current situation of some euro area countries. Given the place of the theme within the frame of present interest researches, the article’s results will be of interest for both academics and practitioners.

  12. The Current Situation of Quality Supervision and Production Safety of Aquatic Products in Nanjing City

    Institute of Scientific and Technical Information of China (English)

    Guoqin; ZHOU; Wenjie; LI

    2013-01-01

    In recent years, the work of quality supervision and production safety of aquatic products in Nanjing City has been carried out rapidly, and the system of "origin exit, market access, sign traceability, real-time monitoring" has been basically formed, initially realizing the whole-process monitoring on the quality safety of aquatic products from "pond to table". We take the current situation of quality supervision and production safety of aquatic products in Nanjing City as the study object, take the basic work of supervision on aquatic products in Nanjing City and advancing both in scope and in depth as breakthrough point, to sum up the results achieved in the work of quality supervision and production safety of aquatic products in Nanjing City in recent years; make initial exploration and research, in order to consolidate the existing achievements, and further enhance the level of supervision on quality safety of aquatic products in Nanjing City.

  13. The current situation and mid-term prospects for European electricity markets

    International Nuclear Information System (INIS)

    This analysis of the current situation and mid-term prospects for European electricity markets presents: the objectives of energy policy, the historical legacy, the attempts at European integration and the Internal Energy Market (IEM), the coming of the Climate Change Package, the impact of the world economic and Euro-zone crises, the impact of shale gas and the new world of fossil fuel abundance, the impact of renewables on emissions, the impact of renewables on electricity markets, the EU emissions trading system (EU ETS) and the renewables and the electricity markets, the coming of capacity crunch in some cases, the capacity markets, the return of central buyers and national energy policies, and what is to be done for the world electricity markets

  14. Characteristics of gifted and talented student: the current situation in Portugal

    Directory of Open Access Journals (Sweden)

    Leandro Almeida

    2010-04-01

    Full Text Available This article presents the current situation in Portugal with regard to high capability and talented students, focusing on the authors’ experience in the National Association for Study and Intervention in Giftedness (ANEIS. In a sequential argument, we focus on the concept of giftedness, the most specific characteristics of high ability students, and the procedures used in their initial identification and assessment. Also, the most frequent educational responses to these students are described. Finally, we underline some studies conducted as a result of the collaboration between ANEIS and several Portuguese universities. These studies refer to the instruments and procedures used for the assessment of giftedness and talent, and the impact of the implemented educational measures.

  15. Science communication in Brazil: A historical review and considerations about the current situation.

    Science.gov (United States)

    Massarani, Luisa; Moreira, Ildeu DE Castro

    2016-09-01

    In this paper, we present a historical overview of the science communication activities in Brazil since the nineteenth century and we analyze the current situation and its main concerns. The principal scopes and tools for science communication discussed here are the following: science centers and museums, mass media and large public events for communicating science and technology (S&T). In recent years, such activities have had a significant breakthrough in Brazil. Yet, there is still a long way to go in order to deliver a quality and extensive science and technology communication to the Brazilians as well as to achieve a suitable level of social appropriation of knowledge on S&T by the Brazilian society. Some of the main challenges that we are facing are discussed herein. PMID:27556221

  16. Current situation and development tendency of thermal spraying materials in China

    Institute of Scientific and Technical Information of China (English)

    YU; Yue-guang

    2005-01-01

    The current situations of thermal spraying materials in China are described in this paper.The thermal spraying technology in China has a great progress over tens of years. More than one hundred varieties of material products serve thermal spraying producing now. They belong to three kinds, powders,wires and rods. Technologies for producing alloy, ceramic and composite powders, alloy and cored wires,and oxide ceramic rods are applied to large-scale production. Many research and development works on advanced materials for thermal spraying are carrying out recent years. They show that the general tendencies of thermal spraying materials in China are composite or low-impurity component, ultrafine or nanosized microstructure, high properties, and specialized and systematized applications. Thermal spraying materials have great prospects with the development of saving society in China.

  17. Publishing in Psychology: A description of the current situation in Germany

    Directory of Open Access Journals (Sweden)

    ANDREAS FREY

    2009-06-01

    Full Text Available This paper reviews the current publication situation in the German field of psychology from an author’s viewpoint and examines the authors’ acceptance regarding open access journals. The review is based on the answers of 28 authors to a questionnaire on official statistics about psychological journals and on information obtained from journal editors. The results show that accessibility to journals does not pose problems to authors in Germany. The authors are clearly oriented towards the Anglo-American branch of scientific psychology, writing mostly in the English language and submitting their manuscripts to international journals. The whole publication process takes rather long but could be substantially quicker if the publication lag was abbreviated. Most of the authors appreciate the general idea of open access journals but see serious challenges that need to be overcome when a new journal is to be established. The circumstances under which a new psychological open access journal could be successful are briefly discussed.

  18. Current Situation and Demand of Rural Endowment Security in Shaanxi Province

    Institute of Scientific and Technical Information of China (English)

    Chunmei; LIU; Lutang; LI

    2013-01-01

    With intensification of population aging and rise in elderly dependency ratio,the demand for endowment security becomes higher and higher,particularly in rural areas.Taking Shaanxi Province as an example,the authors selected people older than 65 in 18 natural villages in north Shaanxi,south Shaanxi and Guanzhong.With the aid of survey data and related official statistical data,they made an evaluation of current situation of the rural endowment security in Shaanxi Province.Results indicate that home-based endowment is the major endowment method of rural elderly,but such method is influenced by family’s economic support ability and children’s support willingness,thus facing big demand gap.On the basis of analyzing gap problem,the authors recommended that government should increase financial and policy supports,optimize management and monitoring,actively develop non-government organizations,and promote socialization of rural endowment service.

  19. Goals and priorities of socio-economic reforms with consideration of the current economic situation

    Directory of Open Access Journals (Sweden)

    Dykha Mariya V.

    2013-03-01

    Full Text Available The article defines goals and priorities of reforms in Ukraine with consideration of the current situation in economy and social sphere. It marks the necessity of changing strategic goals and giving realistic orientation to the process of reformation. The author marks the necessity of development of institutional grounds of state management, activation of internal reserves of development of socio-economic processes, development of science intensive technologies and innovation activity, development of the weighted socio-economic policy, refusal from the paternalistic model and consequent establishment of conditions for activation of possibilities of the population to solve their social problems independently. The article provides a strategic contour of participation of the state in achievement of goals of socio-economic development, which includes a strategic analysis and identification of goals, strategic and tactical levels of goal-setting, strategic control and regulation of socio-economic development.

  20. Science communication in Brazil: A historical review and considerations about the current situation.

    Science.gov (United States)

    Massarani, Luisa; Moreira, Ildeu DE Castro

    2016-09-01

    In this paper, we present a historical overview of the science communication activities in Brazil since the nineteenth century and we analyze the current situation and its main concerns. The principal scopes and tools for science communication discussed here are the following: science centers and museums, mass media and large public events for communicating science and technology (S&T). In recent years, such activities have had a significant breakthrough in Brazil. Yet, there is still a long way to go in order to deliver a quality and extensive science and technology communication to the Brazilians as well as to achieve a suitable level of social appropriation of knowledge on S&T by the Brazilian society. Some of the main challenges that we are facing are discussed herein.

  1. Current situation of interventional treatment for non-small cell lung cancer

    International Nuclear Information System (INIS)

    Primary bronchogenic carcinoma, which referred to as lung cancer, is one of the most common malignant tumors in china. The 2010 China Health Statistical Yearbook indicates that in 2005 the mortality of lung cancer was at the first place of all cancers. Non-small-cell lung cancer (NSCLC) accounts for 8.5% of all the lung cancers, most of the patents are diagnosed in their late stages and have lost the chance of operation resection, and the 5-year survival rate is only about 15%. Being of technical simplicity, mild side reaction, satisfactory local effect and reliable reproducibility, interventional therapy has become an important and non-surgical method for advanced NSCLC, and has been widely applied in clinical practice. This paper aims to make a review about the current situation of interventional treatment for non-small cell lung cancer. (authors)

  2. Current Situation and Suggestions of Decorative Fishery Development in Hainan Province

    Institute of Scientific and Technical Information of China (English)

    Xi; ZHANG; Ning; YANG; Hai; HUANG

    2013-01-01

    Decorative fishery is an important part of recreational fisheries,Hainan has the potential to develop decorative fishery.In this paper,on the basis of the deep-going survey on the current situation of decorative fishery development in Hainan,the main questions of decorative fish cultivation and market were discussed.At the same time,many suggestions were brought up,such as exploiting the biological resources of Hainan Island,strengthening scientific research efforts,introducing new varieties of ornamental species,strengthening industrial guidance and market management,etc.,which will benefit the rational utilization of tropical biological resources and increase the whole competitive advantage of decorative fishery in Hainan Province.

  3. Children in clinical trials: survey on the current situation in paediatric university clinics in Germany

    Directory of Open Access Journals (Sweden)

    Hundt, Ferdinand

    2008-03-01

    Full Text Available Many prescribed treatments for children have not been adequately tested in children, sometimes resulting in harmful treatments being given and beneficial treatments being withheld. In the absence of specific trial-based data in children, results of studies in adults are extrapolated, which is often inappropriate because children have different range of diseases and metabolize medications differently. Trials in children are more challenging than those in adults and the pool of eligible children entering trials is often small. Children must have at last the same rights as adults in relation to receiving treatment with medicinal products that have been fully tested. The need for more studies to obtain paediatric information for medicines used in children is now a matter of consensus on a global basis and is considered a public health priority. Therfore a survey was performed in university hospitals in Germany targeting the current and future situation of children in clinical trials. The questionnaire of this survey was sent to 68 paediatric departments in 31 university clinics in Germany with a respond rate of 27% with respect to 18 returned questionnaires. With regard to new laws, guidelines and strong governmental support and funding an increasing number of clinical trials is expected. Surprisingly, the number of trials in the paediatric population remains unchanged within a period of 4 years (2005-2008. Added to the surveys performed within the pharmaceutical industry from Heinrich and Hark the number of trials in children remains unchanged even within a period of 9 years (2000-2008. The efforts undertaken by the government regarding funding and supporting KKS (Coordinating Centers for Clinical Trials and affiliated PAED-Net (Pediatric Network on Medication Development and Testing in Children and Adolescents at KKS appear to be insufficient. Beginning of this year the legal framework with the urgent expected “Paediatric Regulation” was

  4. Study on the Current Situation and Protection Countermeasures of Wild Plant Resources in Xishuangbanna National Nature Reserve

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    [Objective] The aim was to study the current situation and protection countermeasures of wild plant resources in Xishuangbanna National Nature Reserve. [Method] The current situation of wild plant resources in Xishuangbanna National Nature Reserve was researched by means of route survey, sample plot survey and literature survey, and then the main impact factors of wild plant resources were analyzed by using participatory rural appraisal and problem tree analysis, finally protection countermeasures were put ...

  5. Veterinary medicinal products for the bees - the current situation and future strategies - an important topic discussed at European level

    Directory of Open Access Journals (Sweden)

    Alina Karina Draghici,

    2010-12-01

    Full Text Available To analyze the current situation and future issues relating to health and treatment options bees, bee breeders in Europe, agencies and drug manufacturers in Europe have held several meetings. One of thesetook place last year in December at the EMEA (European Medicines Agency in London, United Kingdom. The purpose of this meeting was to consider the current situation of pathology in bees to identify the most common diseases found in this species, identification and lack of treatment options for some diseases, and identifying solutions to improve the situation.

  6. Cystic Echinococcosis in Spain: Current Situation and Relevance for Other Endemic Areas in Europe

    Science.gov (United States)

    Rojo-Vazquez, Francisco A.; Pardo-Lledias, Javier; Francos-Von Hunefeld, Marcelo; Cordero-Sanchez, Miguel; Alamo-Sanz, Rufino; Hernandez-Gonzalez, Ana; Brunetti, Enrico; Siles-Lucas, Mar

    2011-01-01

    Cystic echinococcosis (CE) remains an important health problem in many regions of the world, both where no control measures have been implemented, and where control programs have been incompletely successful with ensuing re-emergence of the disease. In Spain, official data on CE show an increase in the proportion of intermediate hosts with CE during the last few years, and autochthonous pediatric patients have been reported, a sign of active local transmission of disease. A similar picture emerges from data reported to the European Food Safety Authority by other European countries. Nevertheless, several crucial aspects related to CE that would help better understand and control the disease have not been tackled appropriately, in particular the emergence of infection in specific geographical areas. In this respect, while some data are missing, other data are conflicting because they come from different databases. We review the current situation of CE in Spain compared with areas in which similar problems in the CE field exist, and offer recommendations on how to overcome those limitations. Specifically, we believe that the introduction of national registries for CE with online data entry, following the example set by the European Registry for Alveolar Echinococcosis, would help streamline data collection on CE by eliminating the need for evaluating and integrating data from multiple regions, by avoiding duplication of data from patients who access several different health facilities over time, and by providing much needed clinical and epidemiological data that are currently accessible only to clinicians. PMID:21283615

  7. WNV infection - an emergent vector borne viral infection in Serbia: Current situation

    Directory of Open Access Journals (Sweden)

    Petrović Tamaš

    2015-01-01

    Full Text Available West Nile virus (WNV is a neurovirulent mosquito-borne Flavivirus with zoonotic potential. Virus is maintained in nature in an enzootic transmission cycle between avian hosts and mosquito vectors, but occasionally infects other vertebrates. The infection in horses and humans can be asymptomatic or it can have different clinical manifestations ranging from light febrile diseases to fatal meningoencephalitis. Recently, the number, frequency and severity of outbreaks with neurological consequences for birds, humans and horses have increased dramatically throughout central and south Europe, including Serbia, posing a serious veterinary and public health problem. The emergency of WNV infections in Serbia is described through the current epidemiology situation based on recent data on the incidence of WNV infection among virus natural hosts and vectors; sentinel (horses and other animal species, and in human population. The results of the WNV serology studies conducted on horse blood samples collected in different occasions during the last six years, and the results of the serology studies conducted among other animal species like pigs, wild boars, roe deer and dogs in Serbia are presented and discussed. Also, the results of the first studies on WNV presence in mosquito vectors and in wild birds as virus natural hosts in Serbia are presented and analyzed. In addition, the data on the WNV serology studies conducted in human population in Serbia in the last few years, and the existing data of WNV outbreaks in 2012 and 2013 are included. Regarding the existing knowledge on WNV epidemiology situation, the crucial role of veterinary service in early detection of WNV presence and ongoing national program of WNV surveillance in sentinel animals, mosquitoes and wild birds are discussed.

  8. The current economic situation in China and its impact on the Czech Republic

    Directory of Open Access Journals (Sweden)

    Hana Stverkova

    2016-03-01

    Full Text Available Nowadays, many companies try to enter to the international sector and to extend here their activity. Their international cooperation is an integral part of the action; it is necessary to know the cultural differences. Therefore it is important to understand the social development including the Social Progress Index and the secondary analysis of an economic situation in China; and its subsequent impact on the economy not only in the Czech Republic based on evaluation of Czech-Chinese business relations. China was in the last five years the male rotor of the world economic growth and became a significant importer of commodities. Last year, the Chinese economic growth rate slowed down, which could have negative consequences on other economies. This is also the possible reason for some Czech companies leaving the Chinese market; they transfer their production parts back to Europe or India. A presumption of high living standard, which all countries of the world and their inhabitants want to achieve, is according to the current paradigm of economic science the economic growth. The economy does not take pace in a vertical line, but at the horizontal level as the meaning of sharing in the net among the individuals. And the cooperation does not take place in the horizontal line but in the vertical line, which essentially changes the way of people's working.

  9. Current Situations of the Integration of RTIs Prevention and Treatment into Routine FP Program

    Institute of Scientific and Technical Information of China (English)

    Li-xia DOU; Wei YUAN; Meng-ye PENG; Er-sheng GAO

    2007-01-01

    Objective To understand the current situation of the integration of reproductive tract infections (RTIs) prevention and treatment into routine Family planning (FP) program. Methods Literature review, in depth interview and focus group discussion were employed to collect the related information. Questionnaire survey was conducted in 59 county level FP facilities. Results Both central and local governments provide policy supports to RTIs prevention and treatment. Nearly 98.3% of local FP facilities had integrated this work into their routine FP program. A comprehensive network system of family planning has been established in China and there were plenty of FP human resources. The existing FP resource should be effectively used, which could produce great social benefit if RTIs prevention and treatment be integrated into routine FP program. However, some problems still need to be solved in the integrated program, such as insufficient finance support, low quality of service, lack of co-operations between different sectors, etc. Conclusion It is possible and feasible to develop RTIs controlling projects in the family planning system. However, intensive training and close co-operation need to be applied respectively into FP staffs and relative departments.

  10. Current situation of high-dose-rate brachytherapy for cervical cancer in Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Rogerio Matias Vidal da; Souza, Divanizia do Nascimento, E-mail: rmv.fisica@gmail.com [Universidade Federal de Sergipe (UFS), Sao Cristovao, SE (Brazil); Pinezi, Juliana Castro Dourado [Pontificia Universidade Catolica de Goias (PUC-Goias), Goiania, GO (Brazil); Macedo, Luiz Eduardo Andrade [Hospital Chama, Arapiraca, AL (Brazil)

    2014-05-15

    To assess the current situation of high-dose-rate (HDR) brachytherapy for cancer of the cervix in Brazil, regarding apparatuses, planning methods, prescription, fractionation schedule and evaluation of dose in organs at risk. Materials and methods: in the period between March/2012 and May/2013, a multiple choice questionnaire was developed and sent to 89 Brazilian hospitals which perform HDR brachytherapy. Results: sixty-one services answered the questionnaire. All regions of the country experienced a sharp increase in the number of HDR brachytherapy services in the period from 2001 to 2013. As regards planning, although a three-dimensional planning software was available in 91% of the centers, conventional radiography was mentioned by 92% of the respondents as their routine imaging method for such a purpose. Approximately 35% of respondents said that brachytherapy sessions are performed after teletherapy. The scheme of four 7 Gy intracavitary insertions was mentioned as the most frequently practiced. Conclusion: the authors observed that professionals have difficulty accessing adjuvant three-dimensional planning tools such as computed tomography and magnetic resonance imaging. (author)

  11. Heat supply from municipal solid waste incineration plants in Japan: Current situation and future challenges.

    Science.gov (United States)

    Tabata, Tomohiro; Tsai, Peii

    2016-02-01

    The use of waste-to-energy technology as part of a municipal solid waste management strategy could reduce the use of fossil fuels and contribute to prevention of global warming. In this study, we examined current heat and electricity production by incineration plants in Japan for external use. Herein, we discuss specific challenges to the promotion of heat utilisation and future municipal solid waste management strategies. We conducted a questionnaire survey to determine the actual conditions of heat production by incineration plants. From the survey results, information of about 498 incineration plants was extracted. When we investigated the relationship between heat production for external use and population density where incineration plants were located, we found that regions with a population density energy for factories, markets, and related use, was noted in cities with a population density of 2000 to 4000 persons (km(2))(-1). Several incineration plants have poor performance for heat production because there are few facilities near them to provide demand for the energy. This is the result of redundant capacity, and is reflected in the heat production performance. Given these results, we discussed future challenges to creating energy demand around incineration plants where there is presently none. We also examined the challenges involved in increasing heat supply beyond the present situation. PMID:26628053

  12. [Current situation and measures to promote anti-doping activities in Japan].

    Science.gov (United States)

    Asakawa, Shin

    2011-01-01

    After the Ministry of Edcation, Culture, Sports, Science and Technology of Japan has ratified the UNESCO "International Convention Fight against Doping in Sport" in December 2006, the government increased its support to Anti-Doping activities. About 5 years ago, the total number of doping control samples a year in Japan was around 2000, and this number was not enough to demonstrate Japanese athletes' cleanness to the rest of the world. However, after the government's ratification of the UNESCO international convention, the government increased its support both financially and politically. By receiving the increased support from the government, testing number has increased and reached 5000 samples a year. 5 years ago, our target athletes range was only international level athletes who compete in the Olympics or international events. As we expanded our testing numbers, the target range of the athletes was also expanded and national level athletes also became our targets. As a result, athletes without having adequate knowledge about anti-doping regulations became our target. This situation caused inadvertent anti-doping rule violation cases. Most of those anti-doping rule violations were the result of taking over-the-counter medicines, etc. In order to cope with those inadvertent anti-doping rule violation problems, we, Japan Anti-Doping Agency launched "Sport Pharmacist Project" in cooperation with Japan Pharmaceutical Association. In this project, we provide anti-doping information/regulation to the pharmacists and make those pharmacists knowledgeable about the current anti-doping rules and regulations.

  13. Water quality, agriculture and food safety in China:Current situation, trends, interdependencies, and management

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xiao-nan; GUO Qiu-ping; SHEN Xiao-xue; YU Sheng-wen; QIU Guo-yu

    2015-01-01

    Water quality in China is becoming a severe chalenge for agriculture and food safety, and it might also impact health of populationvia agriculture and food. Thus, it is causing widespread concern. Based on extensive literatures review and data mining, current situation of water polution in China and its effects on food safety were analyzed.The 2nd National Water Resource Survey in China show that the surface water al over the country was under slight polution and about 60% of groundwater is poluted. Drinking water quality is basicaly guaranteed in urban area but it is worrisome in rural areas. In addition, China is the largest consumer of fertilizer and pesticide in the world and the amounts of application stil show increasing trends. Fertilizers and pesticides are the most important sources of polution, which affect human health as persistent organic polutants and environmental endocrine disruptors. Eutrophication of surface water and nitrate polution of groundwater are serious threats to drinking water safety. Sewage irrigation is becoming a polution source to China’s water and land because of lacking of effective regulations. Although, with the advance in technology and management level, control of nitrogen and phosphorus emissions and reducing water polution is stil a major chalenge for China.

  14. Prevention of unsafe abortion: analysis of the current situation and the task ahead.

    Science.gov (United States)

    Faúndes, Anibal; Zaidi, Shahida

    2010-07-01

    An evaluation of the current situation regarding implementation of the plans of action for the prevention of unsafe abortion shows that more than half of the countries selected for the initiative have progressed as planned or have surpassed expectations. The greatest barriers to faster progress have been insufficient resources or infrastructure and the sensitivity of the subject matter, as well as lack of a more active commitment from the societies of obstetrics and gynecology and their members. The most frequently mentioned facilitating factors were the strength of the project/FIGO leadership, the commitment of the collaborating agencies, and incorporation of the activities of the plans of action into the agenda of the Ministry of Health. The commitment of the societies of obstetrics and gynecology and a good relationship between these societies and their Ministry of Health were also mentioned as being important facilitating factors. On the operational side, the monitoring visits and the regional workshops were seen as facilitators by over three-quarters and two-thirds of the countries, respectively. FIGO is committed to continue providing technical and political support to the societies involved in this initiative, promoting strategies to overcome the barriers while taking full advantage of the facilitating factors. PMID:20451197

  15. The Current Situation and Financial Performance Analyses of Rice Farmers Associations

    Directory of Open Access Journals (Sweden)

    Faruk Adıgüzel

    2015-09-01

    Full Text Available The aim of this study is to determine the current situation and to analyze financial performance of rice farmers associations. The data obtained with the questionnaire method from a single rice farmers association selected as purposeful constitute material of the research. First, a general assessment of the association was conducted, and then, the financial performance of the association was analyzed using Financial Statement Analysis, Percentage Method, Trend Analysis and Ratio Analysis techniques with the aid of financial statement and income chart for the period of 2011-2013. As a result, it is determined association was founded in 2006, have a total of 220 active members and 10 women members in district and 18 villages and two university graduate staff. In addition, management and audit committee members are men, middle-aged, and primary or secondary graduated. The participation rate of members in general assembly is high. The important problems of the association are lack of solidarity among members and irregular payment of membership’s fee. In the period under investigation, decreased use of external resource, strengthening equity and increased profitability in the association were determined. It is possible to develop association as financial statue with positive relationships between association and members and activation of association in terms of marketing.

  16. Water Utility Management Strategies in Turkey: The current situation and the challenges

    Science.gov (United States)

    Alp, E.; Aksoy, M. N.; Koçer, B.

    2013-12-01

    As the effects of climate change becomes more prominent, current challenges related to water and wastewater management is becoming more serious. Providing water that satisfies environmental and safety standards in terms of quantity and quality is needed to maintain human life without compromising the need of future generations. Besides providing safe and affordable water, necessary treatment should be achieved according to several important factors such as receiving body standards, discharge standards, water reuse options. Therefore, management of water becomes more crucial than ever that states have to provide accessibility of safe water with affordable cost to its citizens with the means of effective utility management, including water treatment facilities, wastewater treatment facilities, water supply facilities and water distribution systems. Water utilities encounter with several challenges related to cost, infrastructure, population, legislation, workforce and resource. This study aims to determine the current situation and the necessary strategies to improve utility management in Turkish municipalities in a sustainable manner. US Environment Protection Agency (EPA) has formed a tool on effective utility management that assists utilities to provide a solution for both current and future challenges. In this study, we used EPA's guidelines and developed a survey consists of 60 questions under 10 sub-topics (Product Quality, Employee & Leadership Development, Stakeholder Understanding & Support, Operational Optimization, Infrastructure Stability, Financial Viability, Community Sustainability, Customer Satisfaction, Operational Resiliency, and Water Resource Adequacy). This survey was sent to the managers of 25 metropolitan municipalities in Turkey to assess the current condition of municipalities. After the evaluation of the survey results for each topic, including the importance given by managers, facilities were rated according to their level of achievement

  17. An Investigation on the Current Situation of Management Information Systems Discipline in Turkey

    Directory of Open Access Journals (Sweden)

    Serdar YARLIKAŞ

    2015-09-01

    Full Text Available The purpose of this research is to investigate the development of management information systems field by evaluating the theses conducted at universities in Turkey in the departments of management information systems and science of management information systems. First, this study aims to determine the distribution of the theses in terms of years, subjects and the research methods used. Another purpose of this study was to determine which of the related disciplines of management information systems are used most in the theses. In addition, as a result of the study, the compatibility degree between the theses written and the courses taught in the graduate programs of management information systems were determined. In this research, content analysis method is used. Through this method, each of the theses was evaluated with a 10-question ‘thesis evaluation question set' constructed towards the purpose of the study. Through this evaluation, the current situation of the field was determined. It was observed that the number of doctoral theses associated with the field was less. Using the combination of qualitative and quantitative techniques most in the theses denoted that the interdisciplinary approaches were adopted in the theses associated with management information systems. It was observed that the literature analysis and survey techniques were the most studied research methods in the theses. Besides, statistical techniques were used highly in the theses. As a result of this study, it was concluded that out of the associated disciplines of management information systems, management science, computer science and statistics disciplines were more associated with the investigated theses. When the study results were evaluated as a whole, it was seen that significant progress was made in the discipline of management information systems compared to the early 2000s.

  18. Classification of radiation effects for dose limitation purposes. History, current situation and future prospects

    International Nuclear Information System (INIS)

    Radiation exposure causes cancer and non-cancer health effects, each of which differs greatly in the shape of the dose–response curve, latency, persistency, recurrence, curability, fatality and impact on quality of life. In recent decades, for dose limitation purposes, the International Commission on Radiological Protection has divided such diverse effects into tissue reactions (formerly termed non-stochastic and deterministic effects) and stochastic effects. On the one hand, effective dose limits aim to reduce the risks of stochastic effects (cancer/heritable effects) and are based on the detriment-adjusted nominal risk coefficients, assuming a linear-non-threshold dose response and a dose and dose rate effectiveness factor of 2. On the other hand, equivalent dose limits aim to avoid tissue reactions (vision-impairing cataracts and cosmetically unacceptable non-cancer skin changes) and are based on a threshold dose. However, the boundary between these two categories is becoming vague. Thus, we review the changes in radiation effect classification, dose limitation concepts, and the definition of detriment and threshold. Then, the current situation is overviewed focusing on (1) stochastic effects with a threshold, (2) tissue reactions without a threshold, (3) target organs/tissues for circulatory disease, (4) dose levels for limitation of cancer risks vs prevention of non-life-threatening tissue reactions vs prevention of life-threatening tissue reactions, (5) mortality or incidence of thyroid cancer, and (6) the detriment for tissue reactions. For future discussion, one approach is suggested that classifies radiation effects according to whether effects are life threatening, and radiobiological research needs are also briefly discussed. (author)

  19. TBLT IN CHINA (2001-2011: THE CURRENT SITUATION, PREDICAMENT AND FUTURE

    Directory of Open Access Journals (Sweden)

    Luo Shaoqian

    2013-01-01

    Full Text Available Abstract: With the reform of English education in China since 2001, a communicative and task-based language teaching has emerged into Chinese English classroom. To understand task-based language teaching (TBLT practice in China, a synthesis study was conducted to analyze the current situation and predicament of TBLT in China over the last ten years based on the published TBLT articles (2001-2011 in Chinese journals and educational newspapers. The study shows that there is questioning and criticism on the effectiveness of TBLT in the forein languagae teaching classes despite the amazing growth of research in TBLT in China. It is also found that the predicament of TBLT may be attributable to a variety of factors such as no professional and systematic training TBLT for teachers, little knowledge of the latest development of TBLT, differences in student English proficiency, gap between local educational levels, no enough educational funds as well as misunderstanding and mispractice of TBLT. Thus, how to appropriately adapt and localize TBLT in China has become the major concern of researchers and educators as well as teachers. To solve the problem, this paper puts forward some suggestions to localize TBLT in the Chinese context, which is concerned with (1 task design; (2 integrating target tasks and pedagogical tasks; (3 balance between meaning and form; (4 tasks for big classes; (5 developing school based textbooks and (6 combining tasks and other teaching principles. Such a context-based approach to TBLT could provide a reference for other contexts similar to China.

  20. Current situation of the facilities, equipments and human resources in nuclear medicine in Argentina

    International Nuclear Information System (INIS)

    The current situation of nuclear medicine in Argentina, taking into account the facilities, their equipment and human resources available is presented in this paper. A review and analysis of the equipment, including technical characteristics and a survey of the professionals and technicians of the area, was carried out. In Argentina, there are 266 centers of nuclear medicine distributed all over the country. The operating licenses are granted by the Nuclear Regulatory Authority (Autoridad Regulatoria Nuclear - ARN). Forty four percent of the installed equipment are SPECT of 1 or 2 heads and 39,4 % are gamma camera. Besides, there are eleven PET operating in Argentina. There are 416 nuclear medicine physicians with individual permit for diagnostic purposes and 50% of them has also individual permit for treatment purposes. With the purpose of analyzing the regional distribution of the available resources in nuclear medicine, the country was divided into 7 geographical regions: City of Buenos Aires, Province of Buenos Aires, Pampa, Cuyo, Northeast, Northwest and Patagonia. From the analysis of the gathered information it is possible to conclude that the nuclear medicine equipment as well as the personnel present an irregular distribution, with a major concentration in the City of Buenos Aires and Province of Buenos Aires. The Northeast region presents the lowest number of Nuclear Medicine centers and the Patagonia region has the lowest number of medicine nuclear physicians with individual permits. The number of SPECT and gamma cameras is 7,3 per million of inhabitants. The information about the available resources in nuclear medicine presented in this paper and its comparison with the international information available provide elements for a better planning of the future activities in the area not only for the operators but also from the regulatory point of view. (author)

  1. Preparing future teachers for inclusive education in Serbia: Current situation and needs

    Directory of Open Access Journals (Sweden)

    Macura-Milovanović Sunčica

    2011-01-01

    Full Text Available The paper presents one part of the research for Serbia Country Report, conducted within the regional project of the European Training Foundation. The research was aimed at analyzing the current situation in initial education of teachers, i.e. preparation of teachers for inclusive education (IE, as well as the need for introducing changes in the initial education curricula, leading towards a more efficient development of competences for working with all students needing additional support for learning and social participation. Qualitative research methodology was used. Data were collected via: analysis of documents comprising curricula of basic studies of five educational/teacher education faculties in Serbia with respect to IE preparation; three focus groups with teachers; and thirty-one interviews with other participants in the education system - principals of primary schools, school psychologists, university educators, decision-makers in education, NGO representatives and moderators of in-service teacher training programmes. Analysis of initial education curricula indicated that these do not contribute to the development of competences and preparation of teachers for inclusive education. The basic obstacles to preparation for IE perceived by research participants include inadequate curricula, dysfunctional professional practice and negative attitudes of university educators towards IE. The concluding part points out that the key factors for changes in initial education comprise sufficient motivation of university educators, awareness about the responsibility of the faculty to teach in accordance with the IE concept, as well as the support to these faculties through wide social action. The implications for enhancement of initial education of teachers refer to introducing changes into study programmes and implementing the strategies identified in practice, leading towards more effective preparation of teachers for IE.

  2. Current situation of pests targeted by Bt crops in Latin America.

    Science.gov (United States)

    Blanco, C A; Chiaravalle, W; Dalla-Rizza, M; Farias, J R; García-Degano, M F; Gastaminza, G; Mota-Sánchez, D; Murúa, M G; Omoto, C; Pieralisi, B K; Rodríguez, J; Rodríguez-Maciel, J C; Terán-Santofimio, H; Terán-Vargas, A P; Valencia, S J; Willink, E

    2016-06-01

    Transgenic crops producing Bacillus thuringiensis- (Bt) insecticidal proteins (Bt crops) have provided useful pest management tools to growers for the past 20 years. Planting Bt crops has reduced the use of synthetic insecticides on cotton, maize and soybean fields in 11 countries throughout Latin America. One of the threats that could jeopardize the sustainability of Bt crops is the development of resistance by targeted pests. Governments of many countries require vigilance in measuring changes in Bt-susceptibility in order to proactively implement corrective measures before Bt-resistance is widespread, thus prolonging the usefulness of Bt crops. A pragmatic approach to obtain information on the effectiveness of Bt-crops is directly asking growers, crop consultants and academics about Bt-resistance problems in agricultural fields, first-hand information that not necessarily relies on susceptibility screens performed in laboratories. This type of information is presented in this report. Problematic pests of cotton and soybeans in five Latin American countries currently are effectively controlled by Bt crops. Growers that plant conventional (non-Bt) cotton or soybeans have to spray synthetic insecticides against multiple pests that otherwise are controlled by these Bt crops. A similar situation has been observed in six Latin American countries where Bt maize is planted. No synthetic insecticide applications are used to control corn pests because they are controlled by Bt maize, with the exception of Spodoptera frugiperda. While this insect in some countries is still effectively controlled by Bt maize, in others resistance has evolved and necessitates supplemental insecticide applications and/or the use of Bt maize cultivars that express multiple Bt proteins. Partial control of S. frugiperda in certain countries is due to its natural tolerance to the Bt bacterium. Of the 31 pests targeted and controlled by Bt crops in Latin America, only S. frugiperda has shown

  3. 肉类食品的现状%The Current Situation of Meat Products

    Institute of Scientific and Technical Information of China (English)

    王盼盼

    2009-01-01

    Meat products are indispensable food resource in human life. The safety of meat products has great influential in human body health. This article reviewed the present situation, problem and countermeasure of meat product's safety system.

  4. Current situation on the reporting quality of randomized controlled trials in 5 leading Chinese medical journals

    Institute of Scientific and Technical Information of China (English)

    Xu Wei; Li Tiejun; Wu Cheng

    2009-01-01

    Objective: The Consolidated Standards for Reporting of Trials (CONSORT) statement has already proved to be an efficient standard for reporting quality of randomized controlled trials (RCTs). However, most of the Chinese medical journals have not endorsed the CONSORT statement. The current situation about the reporting quality of RCTs in Chinese medical journals is still unclear. The purpose of the study was to evaluate the reporting quality of RCTs on papers published in 5 leading Chinese medical journals. Methods: We evaluated 232 original RCT papers using a reporting quality scale based on CONSORT statement from 2001 to 2006 in 5 Chinese medical journals (Journal type 1) without adoption of CONSORT and Chinese Journal of Evidence-based Medicine (Journal type 2) which adopted CONSORT in 2004. We measured the inclusion of 26 items for the reporting quality scale and 6 core items of each RCT report, gave score to each item and calculated the total score obtained in each report and the proportion of reports including individual items. The reporting quality of RCT trials from 2001 to 2003 (pre-adoption period) was compared with that from 2004 to 2006 (post-adoption period). Results: The average reporting quality of RCTs was moderate (mean score, 15.18), and the mean score of the 6 core items was low (mean score, 1.09)in 5 leading journals. The difference in the total score and the score of the 6 core items between pre-adoption period (2001-2003) and post-adoption period (2004-2006) was statistically significant (P=0.003; P=0.000). Interaction between journal type and period was not significant (F=0.76; P=0.383). We concluded that the change tendency of reporting quality between Journal type 1 and 2 was not different. But as to the core items of sequence concealment and intention-to-treat analysis,the increases were greater for Journal type 2 when evaluated against Journal type 1 (P=0.038; P=0.016). Conclusion: The reporting quality of RCT trials in 5 leading Chinese

  5. Foot-and-mouth disease control in Zambia: A review of the current situation

    Directory of Open Access Journals (Sweden)

    Yona Sinkala

    2012-06-01

    . Presented with the current poverty levels failure to institute result oriented control measures will exacerbate the already life-threatening situation.

  6. Current situation and regional characteristics of groundwater quality in central part of the Kanto Plain, Japan

    Science.gov (United States)

    Hachinohe, S.; Hamamoto, H.; Ishiyama, T.; Hayashi, T.; Miyakoshi, A.; Yasuhara, M.

    2012-12-01

    The Kanto Plain is known as the largest plain in Japan, where a lot of huge cities are located and about 30% of population of Japan is concentrated. In the inland part of the Kanto Plain, dependence on groundwater for water requirements is relatively high; in particular around 40% of the municipal water supply is dependent on groundwater. On the other hand, various kinds of controlled substances such as arsenic, nitrate and nitrite-nitrogen, volatile organic compounds are detected in groundwater in excess of the Japanese environmental standards. Therefore, in order to evaluate current situation and regional characteristics of groundwater quality in the central part of the Kanto Plain, we investigated around 500 wells. These wells are distributed throughout the plain area of Saitama Prefecture, stretching about 80 kilometers from east to west and about 60 kilometers from north to south. Depths of these wells range from 5m to 200m. We analyzed heavy metals and metalloids such as Fe, Mn, Al, As, Pb, using the ICP/AES and ICP/MS and also analyzed major dissolved ions such as Na+, K+, Mg2+, Ca2+, Cl-, SO42-, using the ion chromatograph. As a result of investigation, rate of samples exceeded the Japanese environmental standards of arsenic (0.01 mg/l) in groundwater was about 1%, and the maximum concentration was about 10 times of the environmental standards. Groundwater with a high arsenic concentration was detected in the specific area, such as in the lowlands located upstream from the former shoreline at the Holocene glacial retreat. Taking the land use of surrounding area, well depth and groundwater condition of aquifers into account, detected arsenic is considered to be of natural origin and mainly originate from natural layers. According to the previous studies, the release mechanisms of natural arsenic are summarized in some ways and in case of this research area, it was explained that natural arsenic is released with dissolution of the iron oxide in the reduction

  7. Cerâmicas odontológicas: o estado atual Ceramic in dentistry: current situation

    Directory of Open Access Journals (Sweden)

    E. A. Gomes

    2008-09-01

    Full Text Available As cerâmicas dentais são conhecidas pela sua excelência em reproduzir artificialmente os dentes naturais. No século XVIII foi empregada pela primeira vez na Odontologia como dente artificial para próteses totais. A partir do século XX passou a ser utilizada para a confecção de restaurações metalocerâmicas e mais recentemente, com o aprimoramento da tecnologia cerâmica, surgiram as restaurações livres de metal. As cerâmicas têm apresentado rápida evolução em âmbito científico com o intuito de melhorar suas propriedades físicas e mecânicas para suprir as necessidades estéticas que são cada vez mais exigidas pela sociedade moderna. Nesse contexto, é preciso conhecer cada sistema cerâmico disponível atualmente no mercado, desde suas principais características até suas limitações, para saber indicá-lo de modo correto em cada situação clínica específica.Dental ceramics are known for their excellence in artificially reproduce natural teeth. In the XVIII century they were employed for the first time in Dentistry as artificial tooth for complete dentures. Since the XX century they were used to fabricate metal ceramic restorations and, nowadays, all-ceramic restorations are obtained as a result of ceramic technology improvement. Ceramics present a fast progress in the scientific field in order to improve their physical and mechanical properties to provide for aesthetic needs so required by modern society. In this context, it is important to know each ceramic system currently available on the market, regarding not only its main features but also its limitations, to an accurate indication for each specific clinical situation.

  8. Current Situation of Job Burnout of Junior High School Teachers in Shangqiu Urban Areas and Its Relationship with Social Support

    Science.gov (United States)

    Song, Zhongying

    2008-01-01

    This study surveyed the current situation of teacher burnout in a sample of 400 teachers from urban junior high school in Shangqiu of Henan Province with scales, and examined the relationship between dimensions of teacher burnout and sources and types of social support they received. The results show that Shangqiu urban junior high school…

  9. Incidence of ineffective safety margin testing (J) and efficacy of routine subcutaneous array insertion during implantable cardioverter defibrillator implantation.

    Science.gov (United States)

    Ohlow, Marc-Alexander; Roos, Marcus; Lauer, Bernward; Geller, J Christoph

    2016-01-01

    The purpose of this study was to assess (1) the incidence of safety margin testing J (SMT) and (2) the efficacy/safety of routinely adding a subcutaneous array (SQA) (Medtronic 6996SQ) for these patients. Patients with SMT smaller than a 10-J safety margin from maximum output were considered to have very high readings and underwent SQA insertion. These patients were compared with the rest of the patients who had acceptable SMT (≥10 J). A total of 616 patients underwent ICD implantation during the analysis period. Of those, 16 (2.6%) had SMT J. By univariate analysis, younger age, and non-ischemic cardiomyopathy, were all significant predictors of SMT J (p J; p J occur in about 2.6% of patients undergoing ICD implantation. SQA insertion corrects this problem without procedural/mid-term complications.

  10. Relation of symptomatic heart failure and psychological status to persistent depression in patients with implantable cardioverter-defibrillator

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Hoogwegt, Madelein T; Jordaens, Luc;

    2011-01-01

    months after implantation. Information on ICD therapies was obtained by device interrogation. At 3 months after implantation, 52 (14%) of the 386 patients had persistent depression (HADS cutoff ≥8 before and 3 months after implantation). Heart failure (odds ratio [OR] 2.29; 95% confidence interval [CI] 1...

  11. Small bowel capsule endoscopy in patients with cardiac pacemakers and implantable cardioverter defibrillators: Outcome analysis using telemetry review

    OpenAIRE

    2012-01-01

    AIM: To determine if there were any interactions between cardiac devices and small bowel capsules secondary to electromagnetic interference (EMI) in patients who have undergone small bowel capsule endoscopy (SBCE).

  12. Combined etiology of anaphylactic cardiogenic shock: Amiodarone, epinephrine, cardioverter defibrillator, left ventricular assist devices and the Kounis syndrome

    Directory of Open Access Journals (Sweden)

    Nicholas G Kounis

    2015-01-01

    Full Text Available Anaphylactic shock is a life-threatening condition which needs detailed and mediculous clinical assessment and thoughtful treatment. Several causes can join forces in order to degranulate mast cells. Amiodarone which is an iodine-containing highly lipophilic benzofuran can induce allergic reactions and anaphylactic shock in sensitized patients. Epinephrine is a life saving drug, but in sulfite allergic patients it should be given with caution due its metabisulfite preservative. Metals covering cardiac defibrillators and pacemakers can act as antigens attached to serum proteins and induce allergic reactions. In anaphylactic shock, myocardial involvement due to vasospasm-induced coronary blood flow reduction manifesting as Kounis syndrome should be always considered. Clinically, combined treatment targeting the primary cause of anaphylaxis together with protection of cardiac tissue seems to be of paramount importance.

  13. Risk of pacemaker or implantable cardioverter defibrillator after radiotherapy for early-stage breast cancer in Denmark, 1982-2005

    DEFF Research Database (Denmark)

    Rehammar, Jens Christian; Johansen, Jens Brock; Jensen, Maj-Britt;

    2016-01-01

    (RT). MATERIAL AND METHODS: All women treated for early-stage BC in Denmark from 1982 to 2005 were identified from the Danish Breast Cancer Cooperative Group. By record linkage to the Danish Pacemaker and ICD Registry information was retrieved on CIED implants subsequent to RT. Standardized incidence...

  14. Current Situation of English Major Students’ Web-based Autonomous English Learning

    Institute of Scientific and Technical Information of China (English)

    李新华

    2015-01-01

    Through an interview of three English major students and a field observation, the study explores English major students’ web-based autonomous English learning situation and the problems on their way. The findings show that web-based English materials are most helpful to speaking and listening, and that students’ insufficient information retrieval skill is the main problem on their way.

  15. The current situation of personal dose monitoring in Chinese medicine radiation and undamaged detection

    International Nuclear Information System (INIS)

    The situation of personal dose monitoring in γ(X) external exposure in China is mainly outlined. Thermoluminescent dosimetry (TLD) was adopted for personal dose measurement of the radiation workers. The computer software and data base for the work have been developed and applied. National intercomparison of TLD, monitoring control of personal dose monitoring in field, and technical training were carried out for quality control. In China, the dominant occupational exposures is X-ray diagnosis and it increases year by year, the highest values is about 22.6%. The highest values of annual collective dose and annual average of individual dose (AAID) are 272.8 man·Sv and 3.21 mSv respectively. This work shows that the fraction of the population receiving high dose is decreased with time rapidly. The situation for whole occupational exposures is also described. (3 tabs.)

  16. Politics and strategies for radioactive waste management: current situation and perspective for Latin America

    International Nuclear Information System (INIS)

    In some countries of the Latin America Region, policy and national strategy are well established and documented, while in others there is not an explicit formal declaration, although they may be implicit in the content of the laws, regulations and existing guides; but they are not consolidated in a single document, making it difficult to put into practice by the Government institutions, the organisms responsible for the regulation and those responsible for the safe management of waste. For practical reasons, the work concentrates the situation in the Region with the waste from medical, industrial practices, research and production, which generate a common problem in the region. This document also contains some recommendations to improve the situation in this topic in the Region

  17. The Current Situation of Sports Culture Construction in Five Universities of Baoding

    OpenAIRE

    Zhang Yuanhui; Cao Shen

    2015-01-01

    It has very important significance of university sports culture on the construction of colleges and universities to carry out quality education, which is the impact of the objective conditions on the construction of university sports culture. This article uses the literature method, questionnaire survey method to investigate the situation of sports culture construction of 5 universities in Baoding, analyzes the problems and causes, and provides feasible suggestions to further promote the cons...

  18. On Certain Aspects of the Current Situation in Russian Humanitarian Education

    OpenAIRE

    Aleksandr Chubar'jan

    2006-01-01

    Ideological polarization is among fundamental problems of Russian humanities. It concentrates round three disciplineshistory, political studies and sociology. It is top priority in the situation to provide every condition for a qualitative change of humanitarian education. The necessary change must start with the Academy of Sciences. Academic humanitarian knowledge has come through radical transformations. Its modernization is successfully going on to put an end to a crisis and get on a par w...

  19. Current Situation and Future Perspectives of Chinese Popular Music in Global Arena

    OpenAIRE

    Qian, Kun

    2012-01-01

    Music industry, as a rising star of cultural industries, is playing an increasingly important role in globalization of international economy. Nowadays western music has cornered most of the modern music market for a long time while Korea and Japan’s modern music developed quickly these last 20 years which gave Chinese music market huge pressure. Under the background the author aims to observe and analyze present market situation and future perspective of Chinese popular music in this study. ...

  20. Current Situation of English Major Students’ Web-based Autonomous English Learning

    Institute of Scientific and Technical Information of China (English)

    李新华

    2015-01-01

    Through an interview of three English major students and a fi eld observation,the study explores English major students’web-based autonomous English learning situation and the problems on their way.The findings show that web-based English materials are most helpful to speaking and listening,and that students’insufficient information retrieval skill is the main problem on their way.

  1. The current economic situation in China and its impact on the Czech Republic

    OpenAIRE

    Hana Stverkova

    2016-01-01

    Nowadays, many companies try to enter to the international sector and to extend here their activity. Their international cooperation is an integral part of the action; it is necessary to know the cultural differences. Therefore it is important to understand the social development including the Social Progress Index and the secondary analysis of an economic situation in China; and its subsequent impact on the economy not only in the Czech Republic based on evaluation of Czech-Chinese business ...

  2. Current situation of hospital-based endocrinology and clinical nutrition in Spain.

    Science.gov (United States)

    Angeles Gálvez Moreno, M

    2008-01-01

    In 2006, the Healthcare Commission of Spanish Society of Endocrinology and Nutrition did a survey in order to know the actual situation of endocrinology and clinical nutrition healthcare in Public Sanitary Systems in Spain. The survey has been more extensive than the last and it has taken up number and geographical distribution of specialists in Spain in addition to data about clinical assistance. The mean of public hospitals with endocrinologist participation has been 50%.

  3. Current Measures on Radioactive Contamination in Japan: A Policy Situation Analysis.

    Directory of Open Access Journals (Sweden)

    Stuart Gilmour

    Full Text Available The Great East Japan Earthquake on 11th March 2011 and the subsequent Fukushima Dai-ichi nuclear power plant disaster caused radioactive contamination in the surrounding environment. In the immediate aftermath of the accident the Government of Japan placed strict measures on radio-contamination of food, and enhanced radio-contamination monitoring activities. Japan is a pilot country in the WHO Foodborne Disease Burden Epidemiology Reference Group (FERG, and through this initiative has an opportunity to report on policy affecting chemicals and toxins in the food distribution network. Nuclear accidents are extremely rare, and a policy situation analysis of the Japanese government's response to the Fukushima Dai-ichi nuclear accident is a responsibility of Japanese scientists. This study aims to assess Japan government policies to reduce radio-contamination risk and to identify strategies to strengthen food policies to ensure the best possible response to possible future radiation accidents.We conducted a hand search of all publicly available policy documents issued by the Cabinet Office, the Food Safety Commission, the Ministry of Health, Labor and Welfare (MHLW, the Ministry of Agriculture, Forestry and Fishery (MAFF and prefectural governments concerning food safety standards and changes to radiation and contamination standards since March 11th, 2011. We extracted information on food shipment and sales restrictions, allowable radio-contamination limits, monitoring activities and monitoring results. The standard for allowable radioactive cesium (Cs-134 and Cs-137 of 100 Bq/Kg in general food, 50 Bq/Kg in infant formula and all milk products, and 10 Bq/Kg in drinking water was enforced from April 2012 under the Food Sanitation Law, although a provisional standard on radio-contamination had been applied since the nuclear accident. Restrictions on the commercial sale and distribution of specific meat, vegetable and fish products were released for

  4. Does electrophysiological testing have any role in risk stratification for sudden cardiac death?

    Institute of Scientific and Technical Information of China (English)

    Fei Lü; Wei Hua

    2010-01-01

    @@ Introduction Implantation of implantable cardioverter defibrillators (ICD) has widely been accepted for secondary prevention of sudden cardiac death (SCD) in cardiac arrest survivors.1 Currently there are increasing interests in primary prevention of SCD in selected high risk patients who have not experienced cardiac arrest.1

  5. [The current situation and strategies of snake antivenomimmunoglobulins research and development].

    Science.gov (United States)

    Tian, Jing; Fan, Quan-shui; Zheng, Ying

    2015-12-01

    Snake antivenomimmunoglobulins are considered to be the most efficient drugs in snake envenomings. Most snake antivenomimmunoglobulins all over the world are still prepared by fragmentation of polyclonal antibodies isolated from hyper-immunized horse serum till now. In this review, we retrospect the history of snake antivenomimmunoglobulins, analysis the present situation and pay the close attention on the key technological links in the process of research and manufacturing, such as properties of IgG and its fragments, selection and preparation of immunogen, optimization of immunization schedule and protein isolation and purification, which can be available for the reference in the research and development of snake antivenom. PMID:27169279

  6. Current situation and consideration of training base hospitals for residents of neurosurgical specialization in China

    Directory of Open Access Journals (Sweden)

    Feng-zeng JIAN

    2015-07-01

    Full Text Available Resident training of neurosurgical specialization will be tried and carried out in all over China. From the point of view of training base hospitals, a majority of 3A level hospitals have sufficient patients and good equipments which will ensure the success of training process; however, division of subspecialty, teaching motivation and teaching method still have a great potential to improve. In order to establish and improve training bases for residents of specialization, supervision from national administrative department should be strengthened; professional society also plays an important role in standardizing and controlling the training quality. Considering our nation's situation, integration of postgraduate education and resident training is worth of discussion. DOI: 10.3969/j.issn.1672-6731.2015.07.015

  7. Current Situation and Prospect of White Carbon Black Industry in China

    Institute of Scientific and Technical Information of China (English)

    Zhu Chunyu

    2011-01-01

    1.Analysis of Market Operation in 2010 Year 2010 is the ending year of the "11th Five-Year Plan".Under the effect of a series of central government policies including coping with the international financial crisis,accelerating the transformation of economic development pattern and economic restructuring,and promoting steady and rapid development of economy,the situation is basically established that industrial economy operation changes from turnaround to steady growth,and industrial economy develops steadily and rapidly.This can be shown in the white carbon black industry,through the whole year,white carbon black industry maintains steady and rapid development,and the output of which has grown greatly compared with last year.

  8. Sonographer registration in the United Kingdom - a review of the current situation.

    Science.gov (United States)

    Thomson, Nigel; Paterson, Audrey

    2014-02-01

    There is no statutory registration as a sonographer available in the United Kingdom (UK) and the titles of 'sonographer' and 'ultrasonographer' are not legally protected. The majority of sonographers are statutorily registered with the Health and Care Professions Council or Nursing and Midwifery Council as they have a professional background as a radiographer, clinical scientist, nurse, physiotherapist or midwife that allows this, but this registration is not as a sonographer. For otherwise well-qualified and experienced sonographers, statutory registration is impossible to achieve at the present time and they have no statutory regulatory home. This can lead to problems for the sonographers themselves, for the patients and public in terms of protection and for employers when selecting staff. This paper discusses the complex registration situation for sonographers in the UK and includes reference to the alternative voluntary registers and their possible accreditation by the Professional Standards Authority. PMID:27433193

  9. [School escorts in inclusive education- the current situation in the state of Baden-Wurttemberg].

    Science.gov (United States)

    Henn, Katharina; Thurn, Leonore; Besier, Tanja; Künster, Anne K; Fegert, Jörg M; Ziegenhain, Ute

    2014-11-01

    In the context of inclusive education, so-called «Schulbegleiter» (school escorts) have been installed to assist children with special needs. However, adequate conceptions of their role are lacking, and no provisions exist describing the exact tasks and duties of these school escorts. This article presents data on a statewide empirical study and provides information on the professional background, qualifications, and assignments of such escorts as well as the nature of the assisted children in the German state of Baden-Württemberg. The data were collected in nearly 50 % of all schools providing general education in Baden-Württemberg, and a total of 526 school escorts completed a questionnaire on their work. Children with special needs who received such assistance were aged 6 to 19 years (M = 10.4) and had a mental disorder in nearly three-fourths of all cases, with autism spectrum disorders being most common (59.4 %). The most frequent assignments of the escorts were providing practical assistance during classes and mobilizing the child as well as providing direct support in emotionally challenging situations. Such escorts can make a significant contribution to the inclusive education of disabled children. They do, however, need an adequate qualification and practical competences to meet the diverse challenges of children with special needs. Child and adolescent psychiatrists are supposed to stay involved in the process, not only by planning interventions, but also during the course of inclusive education itself. Thus, the emotional situation and adjustment of included children with mental disorders over time must be monitored adequately. PMID:25335518

  10. Current situation and future potential of further integration between UK and EU

    OpenAIRE

    Vovchenko Natalia Gennadievna; Epifanova Tatiana Vladimirovna; Pogorelenko Nikita Sergeevich

    2015-01-01

    The article analyses potential consequences of Brexit as well as the current costs and benefits of UK’s membership in the EU, furthermore focusing on alternative agreements that may result between the members.

  11. [The current situation with amendments to the scale of remuneration for physicians].

    Science.gov (United States)

    Rulf, W

    2012-08-01

    The regulation for the scale of remuneration for physicians (GÖA) is a Federal act which must be approved by the Federal Council. The structure and specification of the services in the current scales are out of date. The current performance ratings should be replaced by a strict economic analysis calculation model. This is the only way the Medical Council (BÄK) can foresee that higher performance ratings for services can be enforced against the health insurance companies.

  12. Current situation and challenges in implementing Malaria control strategies in Pakistan.

    Science.gov (United States)

    Ghanchi, N K; Shakoor, S; Thaver, A M; Khan, M S; Janjua, A; Beg, M A

    2016-08-01

    Malaria transmission is unstable in Pakistan with the highest number of cases reported during the monsoon season. Despite its high incidence, malaria is still a poorly resourced, poorly funded and an uncontrolled disease especially in far-flung areas. Pakistan's National Malaria Control Program (NMCP), although operational since its inception in 1947, has suffered due to the unstable political, socioeconomic and financial situation prevalent in the country. In Pakistan, more than 300 000 cases of malaria are reported every year with 68% of the cases caused by Plasmodium vivax. It is estimated that about 70-80% of the population accesses the private sector for treatment. As the private sector does not routinely report data to the government, the actual malaria burden could be 4-5 times higher than reported. P. vivax now accounts for more than 85% of all cases requiring hospital admission compared to 54% in 2000. In this review, we have described the saga of poor control of malaria in Pakistan over several years in context of restructuring of the Malaria Control Program, challenges to improvement, and way forward. PMID:25358057

  13. The public debt of the Republic of Serbia: The current situation and perspectives

    Directory of Open Access Journals (Sweden)

    Bošnjak Marinko

    2005-01-01

    Full Text Available The paper deals with the internal and external debt situation of the Republic of Serbia based on the data relating to 2000 and 2004, issued by the Ministry of Finance, as well as the basic macroeconomic assumptions for the regular servicing of debts. The general results of this research indicate that the key institutional assumptions for the strengthening of annuity payment ability are consistent reforms and economic policies, and the key economic assumptions for debt repayment are economics growth, stability and reduction in the volume and changing the structure of government consumption. Investment and export growth which provides for growth in gross domestic product and income in foreign currency, which should be sufficient for debts repayment in the next five years, expressed in time periods as well as annuity payments per year, are the key significance for servicing of debts. Increase in economy efficiency, as well as the efficient use of resources obtained by credit facilities, are guaranties of maintaining the balance between volume and repayment capabilities of debts.

  14. Funding of Ukrainian universities: Current situation and possible ways of its solution

    Directory of Open Access Journals (Sweden)

    Nataliia Konstantiuk

    2015-11-01

    Full Text Available The article provides a comparative analysis of Ukrainian education funding and funding education of some developed countries. The relationship between the financing of education and GDP is shown in article. It proved the importance of higher education in economic development of the country. However, despite the importance of higher education, Ukrainian universities have significant difficulties. Three groups of the challenges are discovered that are faced today Ukrainian universities. All groups of problems mentioned above, which the higher educational institutions deal with, cause the worsening of their financial situation and result in the disadvantage of the national science and education. Expenditures on education and science are offered viewed as an investment in human capital and the country's economy. Such investments in the sphere of education have proved to be correct, because the reversible effect is seen. These are those countries, which are the leaders in the amount of GDP in the world. That is, the investments in education are justified for both the country and the individual. So, the system of higher education is very important for future economic development of Ukraine. But it doesn't have enough financial resources for successful existence. All this results in looking for the intensive means of financial support of the higher educational institutions, the most important of which can be financial diversification and broadening of the institution autonomy.

  15. Current Situation of Household Income as a Factor, Having Impact on Mortgage Lending in Mongolia

    Directory of Open Access Journals (Sweden)

    Khuselchimeg Batbileg

    2012-04-01

    Full Text Available Amount of household income is the most important factor for housing loan. The article studies mortgage lending in Ulaanbaatar in 2007–2009, the factor, having great impact on the current economy of Mongolia, carries out the comparative analysis of capital’s medium and low income households and presents methods, which will help to solve these problems.

  16. The Chinese "Learning in a Regular Classroom": History, Current Situation, and Prospects

    Science.gov (United States)

    Fei, Xiao

    2007-01-01

    "Learning in a regular classroom" (LRC) is an educational policy adopted by the Chinese government for solving the problem of enrollment for children with disabilities in general education schools. Better educational services are currently being provided in regular classrooms for students with disabilities as this policy initiative progresses.…

  17. Is the US Plan to Improve Its Current Situation in Science, Mathematics, and Technology Achievable?

    Science.gov (United States)

    Hossain, Md. Mokter; Robinson, Michael

    2011-01-01

    Despite being the inventing country of the Internet, the US is not satisfied with its current state in Internet speed and broadband adoption. Although, more students, teachers and researchers in the US use Internet than any other country in the world, it is not satisfactory for the US educators and legislators to maintain US competitiveness in the…

  18. Fish farming of native species in Colombia: current situation and perspectives

    DEFF Research Database (Denmark)

    Cruz-Casallas, P. E.; Medina-Robles, V. M.; Velasco-Santamaria, Y. M.

    2011-01-01

    . The Colombian pisciculture is based on red Tilapia Oreochromis sp. (Linnaeus), Rainbow trout Oncorhynchus mykiss (Walbaum) and cachama blanca Piaractus brachypomus (Cuvier), which currently represent around 96% of the total national production. The remaining 4% comes from other farmed species such as bocachico...

  19. Azgir Test Site: Retrospective and current situation. perspectives of further researches of test site

    International Nuclear Information System (INIS)

    Full text: Natural and historical information about Azgir test site in Atyrau region and retrospective data about underground nuclear explosions (UNE) and their consequences is presented. The NNC RK Institute of Nuclear Physics led researches of the radiological situation by the system complex monitoring Program developed for Azgir test site and settlements (2001) and according to the Regulations about the system of monitoring of Azgir test site (2006). Inventory of contaminated area of test site is carried out, including adherent territories and spots of radioactive contamination of soil, radioactive contamination of scrap-metal. Concentrations of 90Sr, 137Cs, 239+240Pu and 241Am in a superficial soil layer and in superficial and ground waters from territory and in drinking-waters from the wells of settlements did not exceed the Level of Interference under Radiation Safety - 99 Regulation. In all tests of drinking-water, precipitation of dry remain and, in most tests, precipitation of Fe2, Cl, Mg, Mn, Ba and Sr exceeded the values of Norms of quality of drinking- water (limit of indexes), that confirms uselessness of the indicated superficial and well waters for drink. Contaminations of soil and radioactive scrap-metal are liquidated in accordance with Regulations on liquidation of radioactive contamination on territory of Azgir test site (2001 and 2007) worked out in the INP. The failures of daily surface are removed near-by grounds, as a result of processes of formation karsts because atmospheric fall outs and flood waters and violations of the solid state of geological environment, as remote consequences of UNE. The questions of fitness in the economic use of earth of ground and taking are considered to their users after taking away of positive conclusion of state ecological examination about the actual radioecology state of objects of environment in the area of Azgir test site. In future the complex monitoring of possible migration of radioactive nuclides is

  20. Current Situation and Characteristics Analysis on Cerebral Palsy Rehabilitation in China

    Institute of Scientific and Technical Information of China (English)

    王琴玉

    2007-01-01

    Objective: To investigate the therapeutic characteristics and patterns of cerebral palsy rehabilitation in China. Method: To elaborate the specific acupuncture methods and action mechanism of cerebral palsy in China by combining analysis on the therapeutic situation of cerebral palsy from both home and abroad with research literatures. Conclusion: Acupuncture has great potential in social and economic benefits in the treatment of cerebral palsy. It is necessary to develop prospective, multi-center and randomly controlled trials on acupuncture treatment of cerebral palsy with exact and feasible therapeutic plans and establish acupuncture-centered cerebral palsy rehabilitation system with Chinese characteristics.%目的:探讨中国脑性瘫痪的康复治疗特点及模式.方法:分析国内外脑性瘫痪治疗现状,结合文献详细阐述国内采用针灸治疗脑瘫的具体方法及其机理研究.结论:针灸治疗脑瘫有着极大的潜在社会效益和经济效益.宜开展针灸治疗小儿脑瘫的前瞻性、多中心、随机对照试验,探索出疗效确切、可行性强的针灸治疗方案,建立以针灸为中心的有中国特色的脑性瘫痪康复体系.

  1. The Current Situation on Major Depressive Disorder in China: Research on Mechanisms and Clinical Practice.

    Science.gov (United States)

    Hou, Zhenghua; Jiang, Wenhao; Yin, Yingying; Zhang, Zhijun; Yuan, Yonggui

    2016-08-01

    Depression is the most disabling disorder worldwide that accounts for the highest proportion of global burden attributable to mental disorders. Major depressive disorder (MDD) is characterized by deep sadness, reduced energy, vegetative nervous system dysregulation, cognitive dysfunction, and even a high suicidal tendency. Although other treatment choices are available, antidepressant medication is the front-line treatment option for MDD. Regarding clinical efficacy, only ~50% of patients respond to frontline antidepressants, and <33% obtain remission. Currently, objective indexes to guide clinical decisions are still lacking. Furthermore, knowledge about the neurobiological mechanisms underlying discrepant antidepressant outcomes is still also fragmentary. In the present review, we discuss the current research progress and clinical opinions on MDD in China. PMID:27237579

  2. Municipalities in the Federal Republic of Germany – Progress and Current Situation

    OpenAIRE

    Pitrová, Miroslava

    2008-01-01

    Researching the organization and functioning of public administration, especially self-government, is currently not a key topic of interest among most political scientists. This is why we will try to describe the public administration system in the Federal Republic of Germany in the following article. It will consider the principles on which the German public administration is based and how its second subsystem – municipal authorities – function in relation to the national state administratio...

  3. Corporate social responsibility in catering business in Hong Kong : current situation and the way forward

    OpenAIRE

    Guan, Zhiliang; 关芝良

    2013-01-01

    The development of catering business in Hong Kong is facing a wide range of challenges and issues, including the increase in operating costs, growing pressure from public prospection about healthier diets, food safety as well as environmental protection, etc. Corporate Social Responsibility (CSR), acting a brand new corporate strategy can be adopted to upgrade catering business industry structure and achieve long term sustainability. The aim of this study is to investigate the current per...

  4. THE KNOWLEDGE SOCIETY AND THE INFORMATION SOCIETY. THE CURRENT SITUATION IN ROMANIA

    OpenAIRE

    STELIAC Nela; POP Ciprian-Viorel; Diana-Aderina MOISUC

    2012-01-01

    Currently, human societies are experiencing a new type of economy: the knowledge economy which is founded on a knowledge society. The main driver of social and economic growth is knowledge itself. The new economy requires a rethinking of the production theory in that traditional factors change into secondary factors, while knowledge becomes the main, essential, production factor. An information society is a prerequisite stage towards a knowledge society; hence it needs to be implemented first...

  5. The Analysis of Current Situation of Cultural Self-Confidence of College Students

    Institute of Scientific and Technical Information of China (English)

    薛玉成; 黄秋生

    2013-01-01

    The high level of the cultural confidence is essential to instruct college students to integrate individual dream into Chinese dream, which is also the spirit source to transmit positive social energy. However,the current part of college students lack of cultural self-confidence,the loss display mainly that they are cognitive deficiencies on the national traditional culture,they blind recognition of western culture,they do not pay attention to contemporary Chinese advanced culture.

  6. Current situation of Leishmania infantum infection in shelter dogs in northern Spain

    Directory of Open Access Journals (Sweden)

    Miró Guadalupe

    2012-03-01

    Full Text Available Abstract Background Canine leishmaniosis (CanL caused by Leishmania infantum is a widespread endemic disease in the Mediterranean basin, though, so far, the north of Spain has been considered a non-endemic area. The aim of the present study was to determine the prevalence of specific antibodies to L. infantum among stray dogs living in shelters in this area, and to evaluate the clinical status (both clinical signs and clinico-pathological abnormalities of seropositive dogs. Besides L. infantum infection, the epidemiological role of variables like sex, breed and age was also assessed. Methods Over the year 2011 a cross-sectional study was conducted on a total of 418 stray dogs. A preliminary entomological survey was carried out using CDC-light traps. The chi-squared test was used to examine relationships between L. infantum seroprevalence and the remaining variables. Results The overall seroprevalence of L. infantum infection detected was 3% in the Cantabrian coast. In Orense the seroprevalence was 35.6%. In this latter region, the presence of sand fly, Phlebotomus perniciosus was also detected. In general, seropositivity for L. infantum was related to size (large breed dogs versus small and age, with a significantly higher seroprevalence recorded in younger (0-3 years and older dogs (> 7 years than adult dogs. Clinical signs of CanL were observed in 41.3% of the seropositive dogs. The seropositivity for L. infantum infection associated with the presence of clinical signs and/or abnormal laboratory findings shows a prevalence of 4.5%. Conclusion Our data provide new insight into the prevalence of CanL across northern Spain. The situation observed in Orense seems to be worsening compared to the few reports available, with figures being similar to those cited for known endemic areas of Spain. Besides, the presence of P. perniciosus in Orense points out to a risk of the spread of this zoonotic disease in this geographical area. These findings

  7. Ecotourism in nature reserves in China: current situation,problems and solutions

    Institute of Scientific and Technical Information of China (English)

    LUO Ju-chun; ZHENG Jing-ming

    2008-01-01

    Our presentation focuses on some important issues associated with ecotourism in nature reserves in mainland China. Conducting ecotourism in certain areas in nature reserves is important for its protection. However, some problems do exist because of special conditions in our society and in the current projects of nature reserves themselves, such as water and air pollution, unplanned construction of roads and facilities, damage of core zones and buffer zones, and confused ownership of nature reserves. These problems are discussed and solutions are proposed in detail, and we emphasize the participation of local communities in order to help residents fight against poverty.

  8. Current situations and technical development of energy-savings in China refrigeration industries

    International Nuclear Information System (INIS)

    The promotion of Energy Efficiency Standards and the implementation of Energy Labels have greatly improved energy efficiencies of Chinese refrigeration products in recent years. These products are now moving towards multiple heat sources and multiple functions, to obtain further energy-savings. Some typical products, such as solar energy refrigerators and air conditioning-water heater system are introduced. The current energy efficiencies of Chinese refrigeration products are also introduced in this paper. Some recommendations are given to make the standards accommodate these changes

  9. Current Situation,Problems and Countermeasures of World Heritage Protection in China

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    The development of World Heritage protection in China can be characterized by four facts,which are the increasing number,the domination of cultural heritages,the uneven spatial distribution,and the abundant candidate reserve for nomination.Currently,the problems of the dislocation of understanding,the absence of planning,the disorder of management,the lack of relevant institutions still exist in the field of World Heritage protection,aiming at which,the author puts forward some countermeasures,such as completing legislation system,carrying out scientific planning,implementing hierarchical and assorted administration,strengthening supervision,increasing investments,and enhancing propaganda and education.

  10. Current Situation and Evaluation of Clinical Studies on Acupuncture and Moxibustion Treatment of Peripheral Facial Paralysis at Selected Stages

    Institute of Scientific and Technical Information of China (English)

    LI Ying; WU Xi; HU Ka-ming; CHEN Xiao-qin

    2010-01-01

    @@ Peripheral facial paralysis is a frequently encountered disease with a high incidence, and it is one of the most common diseases in acupuncture and moxibustion treatment. Because there are rich literatures in clinical studies on acupuncture and moxibustion treatment for this disease, and clinically, it is divided into different stages, in the present paper the current situation of clinical studies about acupuncture and moxibustion treatment for peripheral facial paralysis according to different stages in resent years are analyzed and evaluated including the stage division,the optimal time for treatment, location of injured nerves and assessment of the therapeutic effect, etc.

  11. The Current Situation of ICT Development in the Middle East and ICT Support Policies. The Case of Syrian Arab Republic.

    Directory of Open Access Journals (Sweden)

    Tatsuya Yamamoto

    2004-04-01

    Full Text Available The purpose of this paper is to examine how ICT development is progressing and what kind of political and social effects have been occurring (or could occur in the near future in Middle Eastern Arabic countries. To examine this theme, this paper will adopt the Syrian Arab Republic as a case. To understand the Syrian government's policy toward the ICT development, it is necessary to examine the domestic political situation, since they are closely related. Under the Bashar Al- Asad's regime, we can confirm several reasons why they have to move forward on their ICT development policy and why it has become a crucial issue, which they cannot evade, as they had done under the previous regime, Hafez Al- Asad's regime. The situation that the Syrian government is facing right now is known by the term, "Dictator's Dilemma". This paper tries to provide bases in order to examine and explore this dilemma in Syria. Also, when we examine ICT development in Syria, it is important to consider the ICT support policies, which are mainly conducted by OECD countries and international organizations and stem from the issue of "Digital Divide". This is why international assistances could have great effect on ICT development in Syria. As a provisional conclusion of this paper, I will summarize how we can understand the current situation of ICT development in Syria, and I will also comment on the future prospect of the dilemma that the Syrian government is facing at the present time.

  12. Municipal solid waste energy recovery in Italy: Current situation and prospects

    International Nuclear Information System (INIS)

    Currently, waste derived installed electrical power in Italy is estimated to be about 30 MW; but with full development of Italy's capacity, based on an annual production of 20 million tonnes of solid municipal wastes, up to 300 MW could be produced. This paper briefly reviews the innovative technologies which can now be applied in Italy to accomplish this task. These range from advanced systems for the mechanical separation of the different waste fractions; methane extraction and utilization; methane production through anaerobic digestion; refuse derived fuel fabrication and fluidized-bed combustion. The Italian Government, through Laws 308182, and 9 and 10/91, has established incentives to encourage the construction of waste energy recovery systems in several municipalities which together can yield, on a national basis, potential savings of up to 2 million tonnes petroleum equivalent

  13. Analysis of the Current Situation in North Africa & the Middle East

    Institute of Scientific and Technical Information of China (English)

    Lin Hongyu; Li Xiaosan

    2011-01-01

    After the upsurge of domestic turmoil in Tunis last December, unrest spread rapidly through North Africa and the Middle East, having a profound effect on current international relations. It will continue to affect relations between the major powers and the international system as a whole for some time to come. The regional turmoil of North Africa and the Middle East is of particular interest to International Political Economy (IPE) studies. It seems to embody a geostrategic conflict between the US and the EU in contending for leadership in North Africa and the Middle East. It is also an expression of the competition for dominance of the global financial structure between the major powers during a period of transition in the international system. Lastly, it is a manifestation of America's struggle to maintain its global economic hegemony.

  14. [Current research situation of H2S selective catalytic oxidation technologies and catalysts].

    Science.gov (United States)

    Hao, Zheng-ping; Dou, Guang-yu; Zhang, Xin; Qu, Si-qiu

    2012-08-01

    This review summarizes and discusses different selective catalytic oxidation technologies and various catalysts for removing H2S, the undesirable byproduct of the fluid catalytic cracking (FCC) processing. Currently the selective oxidation technologies used include Superclaus, Euroclaus, Clinsulf-Do, BSR/Hi-Activity, Selectox and Modop techniques, which have various characteristics and application areas. Catalysts for H2S selective oxidation mainly contain the following systems: carbon, supported SiC, zeolite, oxide, and pillared clay. Former studies focused on carbon and oxide systems. The research interest on zeolite system decreased in recent years, while SiC is regarded as a typical support with great potential for this reaction and continues to be attractive. Pillared clay system is at the preliminary research stage, and is still far from practical application.

  15. Current Situation for Management of Disused Sealed Radioactive Sources in Japan - 13025

    Energy Technology Data Exchange (ETDEWEB)

    Kusama, Keiji; Miyamoto, Yoichi [Japan Radioisotope Association, Radiopharmaceutical and Radioisotope Supply Business Promotion Department (Japan)

    2013-07-01

    As for the Sealed Radioactive Source currently used in Japan, many of them are imported from overseas. The U.S., Canada, Germany, the Netherlands, Belgium and Czech Republic are the main exporting States. Many of disused sealed radioactive sources are being returned to exporting States. The sealed radioactive sources which cannot be returned to exporting States are appropriately kept in the domestic storage facility. So, there are not main problem on the long term management of disused sealed radioactive sources in Japan. However, there are some difficulties on repatriate. One is reservation of a means of transport. The sea mail which conveys radioactive sources owing to reduction of movement of international cargo is decreasing in number. And there is a denial of shipment. Other one is that the manufacturer has already resigned from the work and cannot return disused sealed radioactive sources, or a manufacturer cannot specify and disused sources cannot be returned. The disused sealed radioactive source which cannot be repatriated is a little in term of radioactivity. As for the establishment of national measure of final disposal facility for disused sealed radioactive sources, in Japan, it is not yet installed with difficulty. Since there are many countries for which installation of a final disposal facility for disused sealed radioactive sources is difficult, the source manufacture country should respond positively to return the source which was manufactured and sold in the past. (authors)

  16. THE ASSESSMENT OF ENTREPRENEURIAL PERSONALITY: THE CURRENT SITUATION AND FUTURE DIRECTIONS

    Directory of Open Access Journals (Sweden)

    Javier Suárez-Álvarez

    2016-01-01

    Full Text Available Entrepreneurship is fundamental in modern society because it represents an important source of innovation, employment, productivity, and growth. While the first theoretical models arose from economic and sociological approaches, psychology provides models that integrate different aspects such as cognitions, attitudes and personality, which allow a more detailed study. The purpose of this paper is to show the main contributions of psychology to the assessment of the enterprising personality. For this purpose, the main models and instruments developed to date were reviewed. The results confirm that the enterprising personality has a multidimensional structure and eight personality traits can be highlighted: achievement motivation, risk-taking, autonomy, self-efficacy, stress tolerance, innovativeness, internal locus of control, and optimism. From a methodological point of view, Item Response Theory and Computerised Adaptive Tests represent the most advanced and modern methods for assessing enterprising personality. There are currently several measurement instruments available. Future areas of research should be directed at the construction of multidimensional models as well as providing alternatives that facilitate a reduction in social desirability and other biases inherent in self-reports.

  17. [Nursing education in Taiwan: the current situation and prospects for the future].

    Science.gov (United States)

    Lu, Meei-Shiow

    2004-08-01

    Two factors which have a close bearing on nursing education are social and technological change. How nursing education meets social needs and how nursing students are best equipped with professional knowledge, attitudes, and skills in a rapidly changing society have become important issues. The purposes of this paper are to describe the current state of nursing education and to identify problems that need to be solved, including the complexity of the educational system, the quality and quantity of nursing manpower, the degree of compatibility between the aims of education and future social needs, the quality of nursing educators, courses and course delivery, and the clinical competence of nursing graduates. Based on the paradigm shifts of International Medical Care and higher education described by McBride, several suggestions for future educational reform are proposed, including simplifying the educational system, improving the development of both the quality and quantity of nursing manpower, matching educational aims with future social needs, bridging the gap between theory and clinical practice, promoting both instructional and clinical skills among nursing educators and enhancing the ability of graduates to deal with a contingency strain. It is expected that in order to meet the challenges presented by a rapidly changing society, nursing educators will have to develop a mixed role including clinical proficiency, outstanding research skills, and excellent leadership skills.

  18. Human resources for mental health care: current situation and strategies for action.

    Science.gov (United States)

    Kakuma, Ritsuko; Minas, Harry; van Ginneken, Nadja; Dal Poz, Mario R; Desiraju, Keshav; Morris, Jodi E; Saxena, Shekhar; Scheffler, Richard M

    2011-11-01

    A challenge faced by many countries is to provide adequate human resources for delivery of essential mental health interventions. The overwhelming worldwide shortage of human resources for mental health, particularly in low-income and middle-income countries, is well established. Here, we review the current state of human resources for mental health, needs, and strategies for action. At present, human resources for mental health in countries of low and middle income show a serious shortfall that is likely to grow unless effective steps are taken. Evidence suggests that mental health care can be delivered effectively in primary health-care settings, through community-based programmes and task-shifting approaches. Non-specialist health professionals, lay workers, affected individuals, and caregivers with brief training and appropriate supervision by mental health specialists are able to detect, diagnose, treat, and monitor individuals with mental disorders and reduce caregiver burden. We also discuss scale-up costs, human resources management, and leadership for mental health, particularly within the context of low-income and middle-income countries.

  19. Current hepatitis B virus infection situation in Indonesia and its genetic diversity

    Science.gov (United States)

    Lusida, Maria Inge; Juniastuti; Yano, Yoshihiko

    2016-01-01

    Indonesia has a moderate to high endemicity of hepatitis B virus (HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B (HepB) vaccination of newborns has been fully integrated into the National Immunization Program. Although HBV infection has been reduced by the universal newborn HepB immunization program, it continues to occur in Indonesia. The low birth dose coverage and the presence of vaccine escape mutants might contribute to this endemicity among children. Although limited information is available for an analysis of occult HBV infection (OBI), several variations and substitutions in the pre-S/S region have been detected in Indonesian HBV strains. Additionally, persistent infection and disease progression of chronic hepatitis B are related to not only viral factors but also the host genome. Indonesia is one of the most ethnically heterogeneous nations, with Javanese and Sundanese as the two highest ethnic groups. This multi-ethnicity makes genomic research in Indonesia difficult. In this article, we focused on and reviewed the following aspects: the current hepatitis B immunization program and its efficacy, OBI, HBV infection among high-risk patients, such as hemodialysis patients, and research regarding the host genome in Indonesia. PMID:27621573

  20. [Nursing education in Taiwan: the current situation and prospects for the future].

    Science.gov (United States)

    Lu, Meei-Shiow

    2004-08-01

    Two factors which have a close bearing on nursing education are social and technological change. How nursing education meets social needs and how nursing students are best equipped with professional knowledge, attitudes, and skills in a rapidly changing society have become important issues. The purposes of this paper are to describe the current state of nursing education and to identify problems that need to be solved, including the complexity of the educational system, the quality and quantity of nursing manpower, the degree of compatibility between the aims of education and future social needs, the quality of nursing educators, courses and course delivery, and the clinical competence of nursing graduates. Based on the paradigm shifts of International Medical Care and higher education described by McBride, several suggestions for future educational reform are proposed, including simplifying the educational system, improving the development of both the quality and quantity of nursing manpower, matching educational aims with future social needs, bridging the gap between theory and clinical practice, promoting both instructional and clinical skills among nursing educators and enhancing the ability of graduates to deal with a contingency strain. It is expected that in order to meet the challenges presented by a rapidly changing society, nursing educators will have to develop a mixed role including clinical proficiency, outstanding research skills, and excellent leadership skills. PMID:15290636

  1. Current hepatitis B virus infection situation in Indonesia and its genetic diversity.

    Science.gov (United States)

    Lusida, Maria Inge; Juniastuti; Yano, Yoshihiko

    2016-08-28

    Indonesia has a moderate to high endemicity of hepatitis B virus (HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B (HepB) vaccination of newborns has been fully integrated into the National Immunization Program. Although HBV infection has been reduced by the universal newborn HepB immunization program, it continues to occur in Indonesia. The low birth dose coverage and the presence of vaccine escape mutants might contribute to this endemicity among children. Although limited information is available for an analysis of occult HBV infection (OBI), several variations and substitutions in the pre-S/S region have been detected in Indonesian HBV strains. Additionally, persistent infection and disease progression of chronic hepatitis B are related to not only viral factors but also the host genome. Indonesia is one of the most ethnically heterogeneous nations, with Javanese and Sundanese as the two highest ethnic groups. This multi-ethnicity makes genomic research in Indonesia difficult. In this article, we focused on and reviewed the following aspects: the current hepatitis B immunization program and its efficacy, OBI, HBV infection among high-risk patients, such as hemodialysis patients, and research regarding the host genome in Indonesia. PMID:27621573

  2. Psychiatric Reform in Rio de Janeiro: the current situation and future perspectives.

    Science.gov (United States)

    Fagundes Júnior, Hugo Marques; Desviat, Manuel; Silva, Paulo Roberto Fagundes da

    2016-05-01

    This article analyzes the mental health network in the city of Rio de Janeiro. It provides a report on the current status of the implementation of psychiatric reform and identifies progress, limitations and challenges in this area. Documentary research was carried out by examining official documents, ordinances, SUS databases, information that was available at the Superintendency of Mental Health of the city of Rio de Janeiro, and a literature review of Brazilian and international scientific articles. The results point to important advances in the de-institutionalization of care, with a substantial reduction in the numbers of psychiatric beds, and increased community facilities. However, the following significant challenges remain: the need for increased coverage by psychosocial care centers; the implementation of psychiatric beds in general hospitals; the integration of mental health with primary health care; the de-institutionalization of people who remain in hospitals for long periods; the expansion of the number of residential facilities; and an increase in the provision of specific services for people using alcohol and other drugs. PMID:27166894

  3. Use and treatment of olive mill wastewater: current situation and prospects in Spain

    Directory of Open Access Journals (Sweden)

    Fiestas Ros de Ursinos, J. A.

    1992-04-01

    Full Text Available The characteristics of olive mill wastewater are set out the viewpoint of their pollutant capacity and the problems arising from their tipping in olive-growing areas. The national administration's solutions for preventing pollutions of surface waters are also stated. Special detail is given to the action taken within a research and development program financed by the Spanish Government and the EEC through the Commission MEDSPA 89 for the technical-economic evaluation of different systems for eliminating and treating olive mill wastewater, in order to determine the feasibility of their introduction at industrial level. At the same time the systems currently under evaluation are described: - Intensification of natural evaporation from olive mill wastewater stored in ponds (two systems. - Physical processes using forced evaporation to eliminate the olive mill wastewater, followed by aerobic biological processes or systems of ultrafiltration and inverse osmosis for final treatment of the condensate (two systems. - Application of physico-chemical processes to eliminate the greater part of the organic components of the olive mill wastewaters and the use of aerobic biological processes or systems of ultrafiltration and inverse osmosis for final treatment of the clarified fraction (three systems. - Biological process for the complete treatment of the olive mill wastewaters by the successive application of processes: bioconversion, biomethanisation, aerobic treatment, and physico-chemical treatment. Treatment yields of the order of 99,6% are achieved, at the same time obtaining by-products of commercial interest (one system.

    Las características de los alpechines se establecen desde el punto de vista de su capacidad contaminante y de los problemas típicos que surgen en las zonas de cultivo del olivo. También están descritas las soluciones de la administración del Estado para la prevención de la contaminación de aguas de superficie

  4. Positron emission tomography and related technology in Latin-America: Current situation, prospects, and needs

    International Nuclear Information System (INIS)

    Introduction: The World Health Organization estimates that about 84 million people will die of cancer in the next 10 years if the current trend is maintained. More than 70% of all these deaths occur in low and middle income countries, where resources available for prevention, diagnosis and treatment are sometimes very limited. Cancer is one of Latin America's major killers, and many of its victims are dying unnecessarily because the disease is not addressed comprehensively. Many patients could be treated and even cured with early detection, accurate staging, appropriate selection of treatment modalities, and objective treatment evaluation. Properly trained human resources and cost-effective technologies are needed to fight cancer, with PET being one such technology. In spite of the high costs involved, the number of PET, PET/CT and cyclotron installations has been increasing in Latin America during the past few years, making these important tools more available for the general population. The aim of this study was to present updated information about the status of PET and related technologies (PET/CT, cyclotron) in the Latin-American region. Methods: We performed a survey using a simple spreadsheet containing the requested items to be filled in (instrument, institution/city, manufacturer/model, year of installation). Information was also requested on advanced projects for the next 5 years. The form was sent by e-mail to previously identified key persons according to their professional standing in the following countries: Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Uruguay, and Venezuela. In some cases such as Argentina, Brazil and Mexico, the survey material was sent to more than one person due to the size of the country and the expected difficulties for gathering complete data. A 5-point score to express training and educational needs

  5. Control of zoonoses in emergency situations: lessons learned during recent outbreaks (gaps and weaknesses of current zoonoses control programmes

    Directory of Open Access Journals (Sweden)

    Darem Tabbaa

    2008-12-01

    Full Text Available In emergency situations, domestic animals and wildlife are, like people, exposed to infectious diseases and environmental contaminants in the air, soil, water and food. They can suffer from acute and/or chronic diseases from such exposure. Often animals serve as disease reservoirs or early warning systems for the community in regard to the spread of zoonotic diseases. Over 100 years of experience have shown that animal and human health are closely related. During the past few years, emergent disease episodes have increased; nearly all have involved zoonotic agents. As there is no way to predict when or where the next important new zoonotic pathogen will emerge or what its ultimate importance might be, investigation at the first sign of emergence of a new zoonotic disease is particularly important. Today, in many emerging situations, different activities involving zoonotic disease control are at risk because of failed investigative infrastructures or financial constraints. Considering that zoonotic diseases have their own characteristics, their prevention and control require unique strategies, based more on fundamental and applied research than on traditional approaches. Such strategies require cooperation and coordination between animal and public health sectors and the involvement of other disciplines and experts such as epidemiologists, entomologists, environmentalists and climatologists. Lessons learned from the avian influenza pandemic threat, the Crimean-Congo haemorrhagic fever and rabies outbreaks are presented and the gaps and weakness of current control programmes are discussed.

  6. Brief Analysis on Causes and Current Situations of Desertification: A Case Study of Tongyu County in Jilin Province

    Institute of Scientific and Technical Information of China (English)

    Jing; WANG; Yuqun; SU; Changlong; XUE

    2013-01-01

    Land desertification is a complex concept which refers to land degradation in the arid region, semi-arid region and sub-humid arid region caused by various factors including climate variability and human activities. It is not only an environmental problem, but also a social and economic one[1]. Land desertification will reduce the biological and economic production potential of the land and even exacerbate the trend of land desertification, leaving serious impact on the economic, social development and national lives of Jilin. In addition, it will result in ecological environment deterioration, microclimate variability, an increase in natural disaster and high frequency of sand blowing. Taking the special geographic area in western Jilin (especially the Tongyu County) as an example, this paper discusses the natural and social factors for the forming of desertification in the microcosmic level, analyzes the current situations and provides reasonable recommendations.

  7. 糖尿病足介入治疗现状%Current Situation Concerning Interventional Therapy of Diabetic Foot

    Institute of Scientific and Technical Information of China (English)

    张秀军; 郭志

    2012-01-01

    我国糖尿病发病率逐年增高,糖尿病足是其严重并发症之一.糖尿病足的治疗方法主要包括药物治疗、外科手术和介入治疗等,近年来介入治疗已成为首选方法.现综述目前糖尿病足介入治疗的现状.%The incidence of diabetes has been increasing with each passing year and diabetic foot has become one of the serious complications. The clinical therapies commonly employed for diabetic foot include medication, surgical procedure, interventional management, etc. Interventional management has become the treatment of first choice in dealing with diabetic foot in recent years. This paper aims to make a comprehensive review of the current situation concerning interventional therapy of diabetic foot.

  8. Current Situation of Venison Processing and Utilization%鹿肉的加工及利用现状

    Institute of Scientific and Technical Information of China (English)

    闫晓侠; 刘芳; 马进喜; 张铁华; 秦凤贤; 胡铁军; 孙尧; 刘晶; 王朝晖; 张凤宽; 尤丽新; 于研

    2014-01-01

    鹿全身都是宝,鹿茸、鹿托盘、鹿血等都是经过研究具有很高的营养价值。目前,鹿肉的利用还不是很多,本文主要介绍了鹿肉的国内外发展现状、鹿肉的相关产品、鹿肉的未来发展前景和对鹿肉未来市场的展望。%In China, deer is an important economic animal. No part of deer goes to waste; the antler, antler base and blood have been demonstrated to have high nutritional value. However, to date venison has been utilized scarcely. This review focuses on the current situation of deer meat processing and related products as well as future development and market prospects.

  9. Large-scale integration of renewable and distributed generation of electricity in Spain: Current situation and future needs

    International Nuclear Information System (INIS)

    Similar to other European countries, mechanisms for the promotion of electricity generation from renewable energy sources (RESs) and combined heat and power (CHP) production have caused a significant growth in distributed generation (DG) in Spain. Low DG/RES penetration levels do not have a major impact on electricity systems. However, several problems arise as DG shares increase. Smarter distribution grids are deemed necessary to facilitate DG/RES integration. This involves modifying the way distribution networks are currently planned and operated. Furthermore, DG and demand should also adopt a more active role. This paper reviews the current situation of DG/RES in Spain including penetration rates, support payments for DG/RES, level of market integration, economic regulation of Distribution System Operators (DSOs), smart metering implementation, grid operation and planning, and incentives for DSO innovation. This paper identifies several improvements that could be made to the treatment of DG/RES. Key aspects of an efficient DG/RES integration are identified and several regulatory changes specific to the Spanish situation are recommended. - Highlights: ► Substantial DG/RES penetration levels are foreseen for the coming years in Spain. ► Integrating such amount of DG/RES in electricity markets and networks is challenging. ► We review key regulatory aspects that may affect DG/RES integration in Spain. ► Several recommendations aimed at easing DG/RES integration in Spain are provided. ► Market integration and the transition towards smarter grids are deemed key issues.

  10. The Current Situation and Trend in South China Sea%当前南海形势及走向

    Institute of Scientific and Technical Information of China (English)

    吴士存

    2015-01-01

    南海问题的实质是南沙岛礁主权和海域管辖权争议,涉及“五国六方”。近年来,受美国全球战略调整等多重因素的影响,南海问题持续升温,有关争端国不断加大权益声索和实际管控力度,地区局势愈演愈烈。南海是我国国防安全海上屏障、发展制海权的重要战略出海口、经济和能源安全的海上运输要道及未来的能源和资源基地。新阶段,南海局势将继续保持升温态势,因此我国需要从国家总体发展战略全局出发,把握并延长战略机遇期,通盘考虑国际和国内影响因素,长远谋划妥善处理南海问题战略和战术决策,有效化解面临的巨大挑战,确保整体利益最大化。%The essence of the South China Sea issue is the dispute among five states and Chinese Taiwan over the sovereignty of Nansha Islands and jurisdiction of maritime zones in the South China Sea. In recent years,relevant disputants have been intensifying the attempts to bolster their claims and actual control. Regional situation has been moving towards greater tensions. The South China Sea acts as a maritime shield for China to strengthen na_tional defense,an important sea outlet for China to gain sea power,significant sea lanes for China to safeguard e_conomic and energy security,and a base for China to secure energy and other resources in the future. Therefore, it is imperative for China to maintain the maritime rights. In a new historical period when the South China Sea situation continue to intensify,we should approach the South China Sea issue from the standpoint of overall na_tional development strategy,seek important opportunities for strategic development,take international and domes_tic factors into account,develop long_term strategic and tactical countermeasures to alleviate the current situa_tion and maximize China′s interests.

  11. 糖尿病足介入治疗现状%Current situation concerning the interventional therapy of diabetic foot

    Institute of Scientific and Technical Information of China (English)

    张秀军; 郭志

    2012-01-01

    我国糖尿病发病率逐年增高,糖尿病足是其严重并发症之一.糖尿病足的治疗方法主要包括药物治疗,外科手术和介入治疗等.近年来介入治疗已经成为首选治疗方法.本文综述了目前糖尿病下肢血管病变的临床特点及治疗,介入治疗的进展及存在的问题等现状.%The incidence of diabetes has been increasing with each passing year and diabetic foot has become one of the serious complications. The clinical therapies commonly employed for diabetic foot include medication, surgical procedure, interventional management, etc. Interventional management has become the treatment of first choice in dealing with diabetic foot in the recent years. This paper aims to make a comprehensive review of the current situation concerning interventional therapy of diabetic foot.

  12. 膨胀型阻燃剂的研究现状%Current Research Situation of Intumescent Fire Retardants

    Institute of Scientific and Technical Information of China (English)

    梁基照; 冯金清

    2011-01-01

    The classification, history and recent development of intumescent fire-retardant were reviewed. The performances, advantages and disadvantages, and current research situation of mixed-type intumesceent flame retardant as well as single-component intumesceent flame retardant was introduced. The effects of several flame retardant synergist, such as montmorillonite, silica, zeolite, and metal compounds etc, on intumescent flame retardant system were introduced. Besides, three treatment techniques of intumescent fire-retardant, such as the nanominiaturization, surface modification and microencapsulation, were also briefly introduced.%概述了膨胀型阻燃剂的分类、发展历史和近况.介绍了混合型膨胀阻燃剂和单组分膨胀阻燃剂的性能、优缺点及研究现状.罗列了蒙脱土、二氧化硅、沸石以及金属化合物等多种膨胀协同阻燃助剂在膨胀阻燃体系中的作用.简单介绍了纳米化、表面改性以及微胶囊化三种膨胀型阻燃剂的处理技术.

  13. Current situation with the centralized storage facilities for non-power radioactive wastes in Latin American countries

    International Nuclear Information System (INIS)

    Full text: Several Latin American (LA) countries have been firmly committed to the peaceful applications of ionizing radiations in medicine, industry, agriculture and research in order to achieve socioeconomic development in diverse sectors. Consequently the use of radioactive materials and radiation sources as well as the production of radioisotopes and labeled compounds may always produce radioactive wastes which require adequate management and, in the end, disposal. However, there are countries in the Latin American region whose radioactive waste volumes do not easily justify a national repository. Moreover, such facilities are extremely expensive to develop. It is unlikely that such an option will become available in the foreseeable future for most of these countries, which do not have nuclear industries. Storage has long been incorporated as a step in the management of radioactive wastes. In the recent years, there have been developments that have led some countries to consider whether the roles of storage might be expanded to provide longer-term care of long-live radioactive wastes The aim of this paper is to discuss the current situation with the storage facilities/conditions for the radioactive wastes and disused sealed radioactive sources in Latin-American countries. In some cases a brief description of the existing facilities for certain countries are provided. In other cases, when no centralized facility exists, general information on the radioactive inventories and disused sealed sources is given. (author)

  14. Current Situations and Problems of Logistics for Guangxi Fresh Agricultural Products in the New Period and Recommendations

    Institute of Scientific and Technical Information of China (English)

    Shixiong; ZHU

    2015-01-01

    In recent years,Guangxi realized consecutive bumper harvests in fresh agricultural products,leading increase of logistics demand;logistics infrastructure begins to take shape,and logistics of fresh agricultural products takes on diversified development form with wholesale market as main form. However,traditional fresh agricultural products are not selling well and it lacks construction of supply chain; the construction of logistics information system for fresh agricultural products lags behind; organizational level of production and operation of fresh agricultural products is low. Through analyzing current situations and existing problems of logistics of Guangxi fresh agricultural products in the new period( 21 st century),this paper came up with recommendations for developing logistics of fresh agricultural products of Guangxi. Government should increase policy and financial support,build and manage supply chain of fresh agricultural products,accelerate construction of logistics information system for agricultural products,and improve organizational level of logistics of fresh agricultural products,to ensure healthy development of logistics of fresh agricultural products in Guangxi.

  15. Current Situation of World Clean Energy%世界清洁能源发展现状

    Institute of Scientific and Technical Information of China (English)

    黄海峰; 李鲜

    2012-01-01

    21世纪人类面临严重的资源、环境考验,因此发展清洁能源、实现经济社会可持续发展已成为当今世界的主流,各国政府竞相争夺未来清洁能源市场,从政策导向到资金支持方面都对清洁能源市场给予厚爱.文章主要依托美国皮尤慈善基金会发布的《谁将赢得世界清洁能源之赛2010》的报告来分析G-20国家清洁能源发展现状和投融资情况.%In the twenty-first Century, human being faces with serious problems of resources and environment, therefore, the development of clean energy, achieving economics and society sustainable development have become the mainstream of the world, governments compete for future clean energy market, from the policy guidance to the capital investment to support the clean energy market. This paper mainly relies on "Who's Winning the Clean Energy Race! 2010 Edition: G-20 Investment Powering Forward" released by the United States Pew Charitable Trusts to analyze the clean energy development and investment in current situation among G-20.

  16. The current situation of long - distance nursing education%远程护理教育的发展现状

    Institute of Scientific and Technical Information of China (English)

    杨培常; 翟军亚; 陈勤; 李丽红

    2012-01-01

    远程教育是以学习者为主体,以教师为主导,以先进的教育技术为手段,以终身教育理念为宗旨的现代教育形式.通过对国内外远程护理教育的现状的描述,以发现我国远程护理教育的不足,借鉴他国先进的远程教育管理模式,为我国远程护理教育管理体制和运行机制的完善提供依据.%The long - distance education is a modern education mode,which is based on learners as the main body,teachers as the leader,advanced education technology as the method and taking lifelong education as the purpose.In order to help our country's educators to find deficiencies and to learn foreign advanced education management pattern,this paper reviewed the current situation of domestic and international long -distance nursing education,which will promote the development of domestic long- distance nursing education.

  17. Sensitivity of runoff behaviour of Alpine catchments to system conditions - looking at the current and future situation

    Science.gov (United States)

    Meißl, Gertraud; Klebinder, Klaus; Kerl, Florian; Dobler, Christian; Geitner, Clemens; Schöberl, Friedrich; Kohl, Bernhard; Markart, Gerhard; Sotier, Bernadette; Formayer, Herbert; Goler, Robert; Gorgas, Theresa; Bürger, Gerd; Bronstert, Axel

    2014-05-01

    Alpine settlements are often situated on alluvial fans at the outlet of small catchments. Thus they are - due to the short response time - exposed to a high risk in case of flash floods. Within the project "Sensitivity of the runoff characteristics of small Alpine catchments to climate change" we aim at identifying the critical combinations of event characteristics (intensity and duration of rain) and system conditions (soil moisture, state of vegetation and land use, snow cover) producing flash floods in order to improve the predictability of such events. We have investigated three Alpine catchments in western Austria with different altitudes and precipitation regimes. On the plot scale, field measurements, especially irrigation experiments, revealed that the rainfall-runoff reaction of slopes producing a high or low amount of surface runoff is relatively independent of the actual soil moisture content. However, plots producing a medium amount of surface runoff at dry conditions may generate significantly increased surface runoff volumes at moist conditions. Intensive grazing raises the amount of surface runoff with the duration of pasture season. Event analysis and mapping of the catchment inventories showed that the catchments with low (Ruggbachtal, 400 - 1000 m a.s.l, Vorarlberg) and medium altitude (Brixenbachtal, 800 - 2000 m a.s.l., Tyrol) tend to be sensitive to antecedent precipitation. Due to the high amount of pastured areas, the Brixenbach catchment shows a seasonal variation of runoff behaviour with a maximum of surface runoff in the late summer. The highly situated catchment (Längental, 2000 - 3000 m a.s.l., Tyrol) may show an increased runoff response at rain-on-snow-events. Because of its high portion of rock and talus slopes the runoff reaction of the catchment is quite insensitive to antecedent soil moisture content and grazing intensity. Currently ongoing hydrological modelling will show how seasonal system conditions (duration of snow cover

  18. Institutional and legal arrangements in the Nile river basin: suggestions to improve the current situation toward adaptive integrated water resources management.

    Science.gov (United States)

    Abdalla, Khalid Mohamed El Hassan

    2008-01-01

    A comparative study was conducted in this work in order to investigate the current situation in the Nile river basin (NRB) regarding the institutional and legal arrangements needed to support the adaptive integrated water resources management (AIWRM) strategy. Two similar river basins were selected to achieve this comparison and to introduce suggestions to reform the current situation in the basin. Before that, the ideal situation is investigated to be as a yardstick for the desired situation. The study indicated that the necessary AIWRM criteria may include regulatory as well as implementation organizations that support shared-vision reaching with its all necessary features (cooperation, stakeholders' participation, subsidiarity, and information and knowledge exchange). Thus the main features of the desired situations regarding AIWRM in river basins are stakeholders' participation, learning-driven ability, quick response to risks and uncertainties, and finally a legal framework that could support these criteria. Although the AIWRM criteria seem to be satisfied in NRB, the basin lacks the necessary regulatory institutions as well as the legal framework. According to this, this study recommends to reform the current situation in NRB by creating regulator institutions (policy and decision making level) as well a legal framework to legitimate them.

  19. 糖尿病的研究现状及进展%Current Situation and Progress of Study on Diabetes

    Institute of Scientific and Technical Information of China (English)

    钱虹(综述); 陆锐明(审校)

    2015-01-01

    At present,many studies reported that diabetes is the result of interactions of genetic factors , autoimmune factors and environmental factors , and the research about the treatment of diabetes mellitus mainly focuses on diet therapy,exercise therapy and drug therapy,and new breakthroughs have been achieved in gene therapy,insulin sensitizing effect and insulin three-dimensional structure,comprehensive prevention and treatment of diabetes and surgery,and stem cell therapy.Here summarizes the reports about diabetes research at home and abroad in recent years ,analyzing the current situation of diabetes from aspects of patho-genesis,diagnosis and treatment.%目前众多研究报道,糖尿病是遗传因素、自身免疫系统因素以及环境因素共同作用的结果,而关于糖尿病治疗的研究主要集中在饮食疗法、运动疗法及药物疗法等方面,并在转基因治疗、胰岛素增敏效、胰岛素三维结构、糖尿病综合防治体系及外科手术、干细胞治疗等方面取得了新突破。文通过总结和归纳近年来国内外关于糖尿病研究的报道,从发病机制、诊断及治疗等方面分析糖尿病的研究现状。

  20. 糖尿病的研究现状及进展%Current Situation and Progress of Study on Diabetes

    Institute of Scientific and Technical Information of China (English)

    钱虹(综述); 陆锐明(审校)

    2015-01-01

    目前众多研究报道,糖尿病是遗传因素、自身免疫系统因素以及环境因素共同作用的结果,而关于糖尿病治疗的研究主要集中在饮食疗法、运动疗法及药物疗法等方面,并在转基因治疗、胰岛素增敏效、胰岛素三维结构、糖尿病综合防治体系及外科手术、干细胞治疗等方面取得了新突破。文通过总结和归纳近年来国内外关于糖尿病研究的报道,从发病机制、诊断及治疗等方面分析糖尿病的研究现状。%At present,many studies reported that diabetes is the result of interactions of genetic factors , autoimmune factors and environmental factors , and the research about the treatment of diabetes mellitus mainly focuses on diet therapy,exercise therapy and drug therapy,and new breakthroughs have been achieved in gene therapy,insulin sensitizing effect and insulin three-dimensional structure,comprehensive prevention and treatment of diabetes and surgery,and stem cell therapy.Here summarizes the reports about diabetes research at home and abroad in recent years ,analyzing the current situation of diabetes from aspects of patho-genesis,diagnosis and treatment.

  1. Intern doctors’ views on the current and future antibiotic resistance situation of Chattagram Maa O Shishu Hospital Medical College, Bangladesh

    Directory of Open Access Journals (Sweden)

    Hoque R

    2015-08-01

    Full Text Available Rozina Hoque,1 Asma Mostafa,2 Mainul Haque3 1Department of Pharmacology, 2Department of Anatomy, Chattagram Maa O Shishu Hospital Medical College, Agrabad, Chittagong, Bangladesh; 3Unit of Pharmacology, Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia Background: Bacterial resistance due to antibiotic misuse is reported every day. Such threat calls for a consensus to develop new strategies to prevent the development of antibiotic resistance of bacteria. Medical doctors must play a pivotal role to control and prevent the misuse of antibiotics. There were complaints that prescribers are lacking behind in updates and advancement in the field. To address such knowledge gap, a study was conducted to know the views of interns on the current antibiotic resistance situation in a teaching hospital in Bangladesh. Methods: This study was a cross-sectional, randomized, and questionnaire-based survey. Interns of the medicine, gynecology, and surgery departments of Chattagram Maa O Shishu Hospital Medical College were the study population. Results: Out of 50 respondents, 98% would like more education on antibiotic selection. All respondents believed that prescribing inappropriate or unnecessary antibiotics was professionally unethical. Ninety percent of the participants were confident in making an accurate diagnosis of infection. Eighty-four percent of them were confident about dosage schedule. In all, 98% participants thought that antibiotic resistance is a national problem and 64% of the respondents thought that same problem also existed in their hospital. Study participants were of the view that 41%–60% of antibiotic usages are irrational in Bangladesh. Fifty-eight percent of the study population thought that antimicrobial resistance (AR would be a greater problem in the future. Conclusion: The interns believe that there is a knowledge gap on AR. More emphasis should be given to AR and its implications in the undergraduate

  2. Poly- and perfluoroalkyl substances (PFASs) in raw and drinking water - current situation in Sweden, Denmark and Germany

    Science.gov (United States)

    Banzhaf, Stefan; Bester, Kai; Filipovic, Marko; Lewis, Jeffrey; Licha, Tobias; Sparrenbom, Charlotte; Barthel, Roland

    2016-04-01

    Poly- and perfluoroalkyl substances (PFASs) are a group of anthropogenic environmental pollutants which have been used and produced for more than 60 years. PFASs are used for multiple industrial purposes, e.g. as water repellent on clothing, leather, and paper and as firefighting foam. The most well studied PFASs subgroup are perfluoroalkyl acids (PFAA). Two PFAAs of particular interest are perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA). These are the most studied homologues which are ubiquitously detected in the aquatic environment, wildlife and humans. Some PFASs are recognized as being potentially toxic for both animals and humans (e.g. PFOS), whereas the majority has not been thoroughly studied yet regarding their toxicity. PFAAs are highly mobile once present in the aquatic environment. Currently, they are not eliminated during conventional wastewater or drinking water treatment and therefore pose a severe threat for drinking water supply. We reviewed the current occurrence of PFAAs in the surface and groundwater and legal situation of PFAAs in Sweden, Denmark and Germany. Although first detections of PFAAs were reported in the early 2000s, PFASs only recently attracted huge media attention raising public concern. In Sweden, for instance, several public waterworks needed to cease operation due to high PFASs concentrations in drinking water. Moreover, threshold values for drinking water are under discussion and a first preliminary guiding value for PFOS was recently presented as a first step (Pettersson et al., 2015). Germany only defined a guiding value for the sum of PFOS and PFOA in drinking water so far (Dieter, 2011). Limits of 0.3 μg/L PFOA and 0.1 μg/L PFOS and PFOSA each have been suggested in Denmark (MST, 2015). In summary, none of the three countries has defined a clear threshold value for any PFAS compound in drinking water so far. This is of huge concern as PFASs are detected at increasing rates while it remains unclear when

  3. Current situation regarding the co-combustion of waste materials in power plants; Aktuelle Situation der Mitverbrennung von Abfallstoffen in Kraftwerken

    Energy Technology Data Exchange (ETDEWEB)

    Schirmer, U.; Krueger, H.; Puch, K.H. [VGB Technische Vereinigung der Grosskraftwerksbetreiber e.V., Essen (Germany)

    1998-09-01

    In view of the wholly insufficient capacity, relative to current arisings, of waste incineration plants, residue processing plants and plants for the utilisation of other combustible materials we are inevitably faced with the question whether power plant furnaces might not be suited for the thermal treatment and utilisation of wastes and residues. This possibility has been studied by many VGB member companies and seriously investigated for its practicability in several cases. The investigations were premised on the following fundamental positions. The VGB members are prepared to contribute to the solution of the above problems as long as this is possible without detriment to their duties as energy suppliers. They can only assume this responsibility if the requirements of the licensing laws are observed. This concerns the quality and arising quantities of wastes to be taken in, emissions, and the disposal of combustion residues. Power plants typically make more or less complete use of their own process residues, a feature which as far as possible should not be impaired by the co-combustion process. The technical problems posed by the co-combustion of suitable residues and wastes are usually solvable. Co-combustion offers an alternative and a supplement to dedicated waste utilisation plants or plants for the utilisation of suitable residues. Beyond this some companies are interested in profiting from the fees that will be due to them for utilising wastes. From 1990 to 1992 a VGB working group studied the option of co-combustion on the basis of the above premises. The material elaborated by the group now in turn serves as a basis for the following deliberations. [Deutsch] Da die Kapazitaet der Abfallverbrennungsanlagen, der Anlagen zur Reststoffverwertung und der Anlagen zur Nutzung sonstiger brennbaren Stoffe fuer das vorhandene Angebot bei weitem nicht ausreicht, ergibt sich die Frage der Eignung von Kraftwerksfeuerungen zur thermischen Behandlung und Verwertung von

  4. Analysis on Current Situation of English Teaching in Rural Primary Schools-Take Tai gu County in Shan Xi Province as an example

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hui

    2014-01-01

    Nowadays, English education in rural areas draws more attention in the society. However, the current situation of Eng-lish teaching is worrying. Visit and investigated Limeizhuang primary school in Taigu County, Shanxi province and found some problems, so as to promote English teaching in rural primary schools.

  5. 我国农业保险现状的统计分析%The Statistical Analysis of Current Situation of Agricultural Insurance of China

    Institute of Scientific and Technical Information of China (English)

    刘蓉

    2004-01-01

    The guarantee of insurance is crucial to the development of modern agriculture. The current development of agricultural insurance is not satisfactory. The developing level and pace of agriculture is far from the need. The paper analyses the developing situation, institutional background of agricultural insurance by looking at the statistics, demonstrates the urgence to develop agricultural insurance and agricultural insurance statistics of China.

  6. R 22 substitutes - points to be observed. Pt. 1. Current situation and material considerations; Ersatz von R 22 - Was ist zu beachten? T. 1. Ausgangssituation und stoffliche Ueberlegungen

    Energy Technology Data Exchange (ETDEWEB)

    Eckhoff, W. [GHC Gerling, Holz und Co. Handels GmbH, Hamburg (Germany); Flohr, F. [Solvay Fluor GmbH, Hannover (Germany); Puhl, C. [Fuchs Europe Schmierstoffe GmbH, Mannheim (Germany); Selmer, K. [Arctos Industriekaelte AG, Soerup (Germany)

    2008-09-15

    The EU-wide impending ban on using new R22 for maintenance purposes from 1 January 2010 has livened up the discussion over finding an optimal substitute to R22 in its many and varied applications. This is the first part of a two-article series in which the subject is discussed both from the view of a refrigerant and oil producer and of a wholesale supplier and plant constructor. The first part starts by discussing the legal boundary conditions, the current situation, and the refrigerant and machine oil situation. (orig.)

  7. Decommissioning and dismantling of nuclear facilities. An assessment of the current legal situation relating to standard setting and licensing

    International Nuclear Information System (INIS)

    The introductory survey presents the framework conditions set by the nuclear technical codes, the law, and the nuclear licensing provisions. The first contribution (by A.Kurz) analyses the legal position referring to the points of law and to the problems encountered in connection with activities for the decommissioning and dismantling of nuclear facilities. The second contribution (by W.H. Junker) shows the regulatory situation by presenting a synopsis of licences, discussing their legal background and in particular their effects in practice. (HP)

  8. Current situation of the wind energy use and investigation of wind resources in the coastal region of the Baltic Sea in Lithuania

    Energy Technology Data Exchange (ETDEWEB)

    Katinas, Vladislovas; Marciukaitis, Mantas; Markevicius, Antanas [Lithuanian Energy Institute, Laboratory of Renewable Energy, Breslaujos street 3, LT-44403 Kaunas (Lithuania)

    2009-01-15

    In this paper current situation and future prospects of the use of wind energy and wind power resource assessment experience in Lithuania are reviewed. Installed wind power capacity has increased from 6.4 to 54.84 MW in Lithuania in 2006. During last five years wind power resource assessment was carried out, wind measurements were generalized and on the basis of obtained results Lithuanian wind resources map was developed. Measurements have shown that the most suitable region for building WT of big capacity is the 10 km wide coastal strip in Lithuania. The suitability of several existing WT sites was evaluated by the power output coefficient, which describes the efficiency of installed WT. The aim of this work is to present the current situation of wind energy development and the results of the investigation of wind climate conditions in the coastal region of the Baltic Sea in Lithuania. (author)

  9. Disclosure of weather risks of European Utilities : Assessment of the current situation of listed utilities domiciled in Germany, France, Austria, United Kingdom and Switzerland

    OpenAIRE

    Leibfried, Peter; Schuchter, Alexander

    2010-01-01

    With regards to the scientific fact about climate change, weather risk is of increased importance to companies in weather dependent industries. Increasing volatility in temperatures and precipitation as well as unseasonal weather result in increased financial risk to weather dependent companies. This white paper assesses the current situation disclosure of weather dependency and weather risks of European exchange listed companies with the aim to promote transparency in risk reporting to ...

  10. Adding the implantable cardioverter-defibrillator to cardiac resynchronization therapy is associated with improved long-term survival in ischaemic, but not in non-ischaemic cardiomyopathy

    DEFF Research Database (Denmark)

    Witt, Christoffer Tobias; Kronborg, Mads Brix; Nohr, Ellen Aagaard;

    2015-01-01

    Hospital, Denmark from 2000 to 2010 were included. Baseline characteristics were retrieved from patient files and survival data were obtained from the Danish Civil Registration System. The primary outcome was all-cause mortality. The effect of ICD backup was estimated using Cox proportional hazards model...... to ischaemic cardiomyopathy (ICM) or non-ischaemic cardiomyopathy (NICM) treated with a CRT device with or without defibrillator backup. METHODS AND RESULTS: In this observational study, consecutive patients with an ejection fraction ≤35% and QRS width ≥120 ms receiving a CRT device at Aarhus University...

  11. A comparison of the health status and psychological distress of partners of patients with a left ventricular assist device versus an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Brouwers, Corline; Caliskan, Kadir; de Jonge, Nicolaas;

    2014-01-01

    therefore an important aspect in the care of LVAD and ICD patients. METHODS: Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years). RESULTS: LVAD partners reported better physical...

  12. Effect of Fish Oil on Ventricular Tachyarrhythmia and Death in Patients With Implantable Cardioverter Defibrillators: The Study on Omega-3 Fatty Acids and Ventricular Arrhythmia (SOFA) Randomized Trial

    NARCIS (Netherlands)

    Brouwer, I.A.; Zock, P.L.; Camm, A.J.; Bocker, D.; Hauer, R.N.W.; Wever, E.F.D.; Dullemeijer, C.; Ronden, J.E.; Katan, M.B.; Lubinski, A.; Buschler, H.; Schouten, E.G.

    2006-01-01

    Context Very-long-chain n-3 polyunsaturated fatty acids (omega-3 PUFAs) from fish are thought to reduce risk of sudden death, possibly by reducing susceptibility to cardiac arrhythmia. Objective To study the effect of supplemental fish oil vs placebo on ventricular tachyarrhythmia or death. Design,

  13. The CopenHeartSF trial—comprehensive sexual rehabilitation programme for male patients with implantable cardioverter defibrillator or ischaemic heart disease and impaired sexual function

    DEFF Research Database (Denmark)

    Johansen, Pernille Palm; Zwisler, Ann-Dorthe; Svendsen, Jesper Hastrup;

    2013-01-01

    Sexuality is an important part of people's physical and mental health. Patients with heart disease often suffer from sexual dysfunction. Sexual dysfunction has a negative impact on quality of life and well-being in persons with heart disease, and sexual dysfunction is associated with anxiety...

  14. The association between biventricular pacing and cardiac resynchronization therapy-defibrillator efficacy when compared with implantable cardioverter defibrillator on outcomes and reverse remodelling

    DEFF Research Database (Denmark)

    Ruwald, Anne-Christine; Kutyifa, Valentina; Ruwald, Martin H;

    2015-01-01

    : Using Kaplan-Meier plots, we estimated the threshold of BIV pacing percentage needed for CRT-D to be superior to ICD on the end-point of heart failure (HF) or death in 1219 left bundle branch block (LBBB) patients in the MADIT-CRT trial. Patients were censored at the time of crossover. In multivariable...

  15. Potential demographic and baselines variables for risk stratification of high-risk post-myocardial infarction patients in the era of implantable cardioverter-defibrillator - a prognostic indicator

    DEFF Research Database (Denmark)

    Yap, Yee Guan; Duong, Trinh; Bland, Martin;

    2008-01-01

    BACKGROUND: Risk stratification after myocardial infarction (MI) remains expensive and disappointing. We designed a prognostic indicator using demographic information to select patients at risk of dying after MI. METHOD AND RESULTS: We combined individual patient data from the placebo arms of EMIAT...... containing only significant variables. The prognostic index was the sum of the individual contribution from the risk factors. 2707 patients were pooled (age: 66 (23-92) years, 78.8% M) with 480 deaths at 2-years (44% arrhythmic and 35.6% non-arrhythmic cardiac deaths). Variables predicting mortality were age...

  16. Mental Health Care in Nepal : Current Situation and Challenges for Development of a District Mental Health Care Plan

    NARCIS (Netherlands)

    Luitel, N.P., Jordans, M.J.D., Adhikari, Al, Upadhaya, N.P., Hanlon, C., Lund, C. & Komproe, I.H.

    2015-01-01

    Background Globally mental health problems are a serious public health concern. Currently four out of five people with severe mental illness in Low and Middle Income Countries (LMIC) receive no effective treatment. There is an urgent need to address this enormous treatment gap. Changing the focus of

  17. 大学生自尊现状调查分析%College Students' Current Situation of Self-esteem

    Institute of Scientific and Technical Information of China (English)

    范敏

    2012-01-01

    Objective To analyze the present situation of self-esteem of college students,so as to provide help to enhance their self-esteem level. Methods A total of 494 students of several colleges and universities were chosen as research population. The Self-esteem Scale(SES,also known as Rosenberg Scale)was delivered to college students. Results There were no significant differences in the dimensions of gender,student nationalities,family structure and grades. While,the self-esteem levels of college students had statistical significance in the dimension of whether being cadres(t = 3. 745,P<0. 01). Conclusion The self-esteem level has no significant correlation with gender,student nationalities,family structure and grades. Cadres have higher self-esteem level than the students who are not cadres.%目的 了解大学生自尊现状,为提高大学生自尊水平提供帮助.方法 选取湖南多所高校494名大学生,采用自尊量表(SES又称Rosenberg量表)进行问卷调查.结果 在性别、生源地、家庭结构、不同年级维度上自尊水平未表现出统计学差异,而在是否是学生干部的维度上自尊水平表现出统计学差异(t=3.745,P>0.01).结论 大学生的自尊受性别、生源地、是否是独生子女、不同年级的影响不大;而学生干部的自尊水平高于非学生干部.

  18. Current situation of sexual and reproductive health of men deprived of liberty in the Institutional Care Center of San Jose

    OpenAIRE

    Dorita Rivas Fonseca; Adriana Ortiz Obando

    2013-01-01

    The objective of this research was to determine the current status of the issue of sexual and reproductive health ofthe prisoners Institutional Care Center (CAI) of San Jose. It is a descriptive study. Through a strategic samplingdetermined the participation of 102 men. The information was obtained by applying a self-administeredquestionnaire with closed and open questions. As a result relevant to your socio-demographic profile, it appearsthat deprived of their liberty is a very heterogeneous...

  19. Current situation of China rare earth industry and outlook for "2011-2015" period (continued)

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    There are some problems existing in China rare earth industry currently, including weak development of new rare earth application technologies, slow industrialization of research achievements, insufficient investment in R & D of rare earth high technologies & applications, weak innovative capabilities and lack of middle and high-end products. Rare earth enterprises are mainly concentrated in the upstream and middle stream of the industrial chain. Overall strengths of rare earth processing and application enterprises are not strong, Most rare earth products are low grade primary or intermediate products with low added value.

  20. Industrial property as competitiveness factor, current situation and prospects; Propiedad industrial como factor de competitividad situacion actual y perspectivas

    Energy Technology Data Exchange (ETDEWEB)

    Casado Cervino, A.

    2011-07-01

    Throughout this paper, we analyze what is the status of IP in national and international levels and the number and origin of IP applications. This analysis allows to state that our country needs a change in the current economic model in which IP rights must be central. Moreover, this is the purpose of PI Plan 2010-2012: Plan for the Promotion of Industrial Property in Spain, an initiative of the Ministry of Industry, Tourism and Trade approved by the Council of Ministers on March 9, 2010- designed to strengthen the IP in the Spanish economy. (Author) 35 refs.

  1. 随机控制理论的现状和展望%Current Situation & Prospects of the Stochastic Control Theory

    Institute of Scientific and Technical Information of China (English)

    孙世良; 赵新有

    2001-01-01

    Two controlled states on the stochastic control theory are introduced, namely the development of the current situation of the impulse stochastic control and the singularity stochastic coutrol and their features. The prospects of the stochastic control theory in the future are described.%介绍了随机控制理论的两种受控状态,即脉冲型随机控制和奇异型随机控制的发展现状和特点,并对随机控制理论的未来作了评述和展望。

  2. 软木复合材料研究现状与发展趋势%Current Research Situation and Development Trend of Cork-based Composite

    Institute of Scientific and Technical Information of China (English)

    宋孝周; 傅峰; 雷亚芳

    2011-01-01

    The definition and classification of cork-based composite are introduced briefly.Current research situations of cork-based composite were discussed in detail.The development trend of cork-based composite was analyzed and discussed.%简要介绍了软木复合材料的定义和分类,详细论述了软木复合材料的研究现状,对软木复合材料的发展趋势进行了分析和讨论,并提出了几点看法.

  3. 保康县核桃产业现状分析及发展对策%Current Situation and Development Countermeasures of Walnut Industry in Baokang County

    Institute of Scientific and Technical Information of China (English)

    张英杰; 何宗念; 赵翠荣

    2013-01-01

    通过调查,分析了保康核桃(Juglans regia L.)种植区域的发展现状,找出了制约核桃产业发展的主要因素,提出了相应的对策,旨在为保康核桃产业规划提供参考.%In order to provide a reference for walnut industry plan in Baokang,the current situation of walnut industry in Baokang county of Hubei was analyzed,and the corresponding countermeasures were proposed for reference.

  4. Current Situation and Future Trends of Meat Consumption in China%我国肉类消费现状与未来发展趋势

    Institute of Scientific and Technical Information of China (English)

    陈琼; 王济民

    2013-01-01

    Through the comprehensive analysis on the changes of urban and rural resident's meat consumption quantity and structure,taking into account the current situation of China's economic development,the future trends of our country's meat consumption were analyzed and prospected.%本文通过对我国城乡居民肉类消费水平和消费结构变动特征的全面分析,综合考虑当前经济发展形势,对我国未来肉类消费趋势进行了分析和展望.

  5. CONSUMO DE CALCIO: EVOLUCIÓN Y SITUACIÓN ACTUAL The evolution and current situation of calcium consumption

    Directory of Open Access Journals (Sweden)

    María del Pilar Barrera P

    2012-03-01

    usually determined its consumption in different groups of the population, inadequate intake being found in most of them, covering less than 50% of the recommended intake, regardless of economic development. Nutritional situation surveys (Encuestas de la Situación Nutricional in Colombia (2005, 2010 have reported a deficit in dairy product consumption, especially in low socioeconomic strata and people living in Colombia's Pacific, Amazonian and Orinoquia regions. The Institute of Medicine (IOM has recently established the recommended daily calcium intake for covering the population's physiological needs; this measure is needed bearing in mind that the scientific evidence has revealed a strong association between low intake and reduced bone mineral density with increased osteoporosis and associated fractures. The IOM has also established maximum tolerable levels (UL for avoiding excess- and supplement useassociated problems. Dietary guidelines in all countries are aimed at promoting healthy eating habits; disclosing/ disseminating such instrument is thus the responsibility of all health professionals, especially nutritionists. Research must be strengthened and strategies developed involving different sectors to improve the population's calcium intake and bone health.

  6. Current Situation and Prospects of Mine Auxiliary Transportation%矿井辅助运输现状及展望

    Institute of Scientific and Technical Information of China (English)

    张永

    2013-01-01

    equipment quality is not very stable. In particular, the reliability should be enhanced. Under the contemporary situation, except for a few number of mines, many coal mines can't achieve direct transport from the ground to the horizontal plane, and the transportation always includes many stages. The underground materials must be transferred many times. So the transport efficiency is particularly low, likely to cause accidents. Not only that, it needs more staff and more resources, especially in the transport process, some of the key equipments is very easy to go wrong, and the maintenance costs are also relatively high.

  7. Impact of the current supply/demand and price situation on uranium exploration: consequences and future trends

    International Nuclear Information System (INIS)

    The purpose of this paper is: (1) to analyse the present trend in exploration programmes and expenditure, and to investigate past trends and their possible significance; (2) to determine whether current market projections imply the need for the timely discovery and development of further new deposits and production capacity; (3) to discuss some factors of risk and uncertainty which affect the interpretation of the global mathematics of supply and demand; this will be limited to the effect of the regional distribution of resources and markets, and the future role of developing countries in exploration; (4) to examine the strategies which have been, or might be, developed by the industry to maintain its flexibility and potential in terms of responding to various levels of possible demand in an everchanging economic and political environment. (author)

  8. Current situation of health care in India and corporation in emerging economies--what is the way forward?

    Science.gov (United States)

    Surendra, Kumar; Amit, Sengupta; Kumar, Agarwal Vishnu

    2012-01-01

    In this study, we examine the management and operational problems faced by different categories of health care delivery platforms such as corporate hospitals, medium level private hospitals and public hospitals in Mumbai. Some suggestions are made and we believe many of the short falls or limitations that exist in the current set up can be removed and a way forward can be made in alleviating the suffering of vast majority of humankind living in our mega cities. Three major issues emerged as far as a public health system is concerned--that is shifting of trained health manpower from the public system to private or corporate hospitals, severe strain on the public health system's infrastructure and support services compounded by lack of accountability as far as management and governance are concerned. PMID:23342758

  9. Current Situation of Information Demand of Farmers in Taihang Mountain Area: A Case Study of Pingshan County in Hebei Province

    Institute of Scientific and Technical Information of China (English)

    Lipeng; GUO; Haiyan; CAI

    2014-01-01

    Since the reform and opening-up,economy of mountain areas in China has realized considerable development.However,due to such factors as terrain,traffic,and individual differences,compared with plain and coastal areas,mountain areas still lag far behind.In recent years,informationization construction of China develops rapidly,but it nearly stagnates in mountain rural areas.Information has become an essential factor restricting economic development of rural areas.Based on the survey of current information demand of farmers carried out in Pingshan County in Hebei Province in 2010,this study came up with relevant recommendations,in order to speed up development of rural economic in mountain areas,narrow the regional gap,improve living condition of farmers in mountain areas,and increase income level of farmers in mountain areas.

  10. 通信网的现状及发展趋势%CURRENT SITUATION AND DEVELOPMENT TREND OF COMMUNICATION NETWORK

    Institute of Scientific and Technical Information of China (English)

    毕永军; 尹传平; 林孝康

    2001-01-01

    The current status of the computer network, cable TV network andpublic switched telephone network is analyzed. The integration of the three kinds of networks has become an inevitable trend along with the development of the computer network. Several solutions to that network integration are discussed. Some suggestions are also given about using ATM core network to construct the next generation electric power communication network as a better solution and implementing the IP service by multiple protocol label switching (MPLS) technique.%分析了计算机网、有线电视网、电话网的现状,指出三网融合是通信网发展的必然趋势;分析了三网融合的几种方案;对于电力通信网提出了建设ATM核心骨干网,以MPLS实现IP业务的建议。

  11. Current situation of health care in India and corporation in emerging economies--what is the way forward?

    Science.gov (United States)

    Surendra, Kumar; Amit, Sengupta; Kumar, Agarwal Vishnu

    2012-01-01

    In this study, we examine the management and operational problems faced by different categories of health care delivery platforms such as corporate hospitals, medium level private hospitals and public hospitals in Mumbai. Some suggestions are made and we believe many of the short falls or limitations that exist in the current set up can be removed and a way forward can be made in alleviating the suffering of vast majority of humankind living in our mega cities. Three major issues emerged as far as a public health system is concerned--that is shifting of trained health manpower from the public system to private or corporate hospitals, severe strain on the public health system's infrastructure and support services compounded by lack of accountability as far as management and governance are concerned.

  12. Current situation of sexual and reproductive health of men deprived of liberty in the Institutional Care Center of San Jose

    Directory of Open Access Journals (Sweden)

    Dorita Rivas Fonseca

    2013-10-01

    Full Text Available The objective of this research was to determine the current status of the issue of sexual and reproductive health ofthe prisoners Institutional Care Center (CAI of San Jose. It is a descriptive study. Through a strategic samplingdetermined the participation of 102 men. The information was obtained by applying a self-administeredquestionnaire with closed and open questions. As a result relevant to your socio-demographic profile, it appearsthat deprived of their liberty is a very heterogeneous group. As regards sexual and reproductive health, the firstconcept they relate to the prevention of disease and the second reproductive aspects, this shows limitations inknowledge on the topics, something that affects the daily life activities and self-care. It is concluded that researchby nurses Gyneco-obstetric in the deprived of liberty is almost null not only in the country but in the world,especially if it comes with the male population. In the case of CAI Prison, health care is not enough for thenumber of inmates who inhabit (overpopulation of almost 50%, this implies a deterioration in health and physicalcondition of these people, as well as sexual and reproductive health

  13. Drug-related HIV epidemic in Pakistan: a review of current situation and response and the way forward beyond 2015.

    Science.gov (United States)

    Bergenstrom, Anne; Achakzai, Baseer; Furqan, Sofia; ul Haq, Manzoor; Khan, Rajwal; Saba, Marc

    2015-01-01

    Pakistan is among four countries in Asia where the estimated number of new HIV infections has been increasing year by year ever since 1990. The Asian Epidemic Modelling (AEM), conducted in 2015, reconfirmed that the use of contaminated injection equipment among people who inject drugs (PWID) remains the main mode of HIV transmission in the country. The estimated number of PWID ranges from 104,804 to 420,000 PWID. HIV prevalence in this population is above 40 % in several cities, including Faisalabad (52.5 %), D.G. Khan (49.6 %), Gujrat (46.2 %), Karachi (42.2 %) and Sargodha (40.6 %), respectively. Harm reduction service delivery is being implemented through a public-private partnership led by the National and Provincial AIDS Control Programmes and Nai Zindagi with funding support from the Global Fund. Current programmatic coverage of the needle and syringe programme, HIV testing and counselling and antiretroviral treatment among PWID remain insufficient to control ongoing transmission of HIV in the country. While opioid substitution therapy (OST) is yet to be introduced, significant progress and coordination among various ministries have taken place recently to register buprenorphine in the dosage required for treatment of opioid dependence, and possible introduction of OST will greatly facilitate adherence to antiretroviral treatment among PWID living with HIV. PMID:26471874

  14. Current situation of treatment of premature ejaculation%早泄治疗的研究现状

    Institute of Scientific and Technical Information of China (English)

    谢江平; 李峰; 肖根发; 范翔宇

    2015-01-01

    早泄是一种患病率很高的男性性功能障碍疾病,其中75%的男性有过早泄问题[1].它是一种由主诉和疾病组成综合征,疾病占2%~5%,其他为主诉.近几年来,医学界对早泄的认识和研究不断的深入,很大程度上促进了临床上对于早泄的治疗.文章围绕当前医学界对于早泄的定义、治疗等方面进行综述.%Premature ejaculation is a high prevalence of male sexual dysfunction disease, of which 75% of men have had premature ejaculation problems [1]. It is a kind of disease and syndrome by the chief composition, disease accounted for 2% to 5%, other complaints. In recent years, the medical field of the understanding and research of premature ejaculation, and to a large extent, promote the clinical treatment for premature ejaculation. In this paper, the current medical community for the definition of premature ejaculation, treatment, etc..

  15. Opening up mental health service delivery to cultural diversity: current situation, development and examples from three northern European countries.

    Science.gov (United States)

    Bäärnhielm, Sofie; Jávo, Cecilie; Mösko, Mike-Oliver

    2013-01-01

    There are inequalities in health among migrants and local populations in Europe. Due to migration, Germany, Norway and Sweden have become ethnic culturally diverse nations. There are barriers to mental health care access for refugees, migrants and minorities, and problems with quality of culturally sensitive care in the three countries. This is despite tax-funded health care systems based on equity in service provision. There is a need to develop culturally sensitive mental health services that respond to the increasing diversity of the populations. In this chapter, we will take a closer look at cultural diversity in the countries in question, discuss challenges and give examples of current work to open up mental health services to cultural diversity. The German example will focus on the movement of Interkulturelle Öffnung (cross-cultural opening of the health care system) and work on creating national guidelines and quality standards. From Norway, the work of the National Centre for Mental Health for the indigenous Sámi population will be presented. The Swedish example will focus on the work carried out by the Transcultural Centre. The latter is a competence centre supporting development of culturally sensitive care as an integrated part of the regional health and mental health care system in Stockholm. Finally, the relevance of mental health care for a culturally diverse population, as a part of the larger social project of building tolerant multicultural societies, will be discussed. PMID:23816862

  16. Future trials of endovascular mechanical recanalisation therapy in acute ischemic stroke patients: a position paper endorsed by ESMINT and ESNR. Pt. 1. Current situation and major research questions

    Energy Technology Data Exchange (ETDEWEB)

    Fiehler, Jens [University Medical Centre Hamburg-Eppendorf, Department of Neuroradiology, Hamburg (Germany); Soederman, Michael [Karolinska University Hospital, Department of Neuroradiology, Stockholm (Sweden); Turjman, Francis [Hopital Neurologique, Centre de Neurosciences Cognitives, Department of Neuroradiology, Lyon (France); White, Philip M. [Western General Hospital, University of Edinburgh, Department of Clinical Neurosciences, Edinburgh (United Kingdom); Bakke, Soeren Jacob [Oslo University Hospital, Rikshospitalet, Department of Neuroradiology, Oslo (Norway); Mangiafico, Salvatore [University Hospital Careggi, Interventional Neuroradiology Unit, Florence (Italy); Kummer, Ruediger von [University of Dresden, Department of Neuroradiology, Dresden (Germany); Muto, Mario [University of Naples, Department of Neuroradiology, Naples (Italy); Cognard, Christophe [Hopital Purpan, Service de Neuroradiologie, Toulouse (France); Gralla, Jan [Inselspital Bern, Department of Neuroradiology, Bern (Switzerland)

    2012-12-15

    A new era of stroke treatment may have begun with mechanical thrombectomy (MT) by fully deployed closed-cell self-expanding stents (stent-triever). Multiple case series and the first randomised controlled trials (RCTs) have now been published. More studies are under way involving large numbers of patients, which in turn has resulted in less strict ''pragmatic'' study protocols. Problems with current trials include a lack of standardisation in the conduct of the recanalisation procedure, the definition of primary endpoints such as the grade of arterial recanalisation and tissue reperfusion, and the post-surgical care provided. In Part 1 of this two part series, we outline the current situation and the major research questions. (orig.)

  17. 浅析我国食品安全现状%Current situation of food safety in China

    Institute of Scientific and Technical Information of China (English)

    张一萍

    2013-01-01

      At present, consumers for the quality of the food requirements and attention gradually increases, from the previously reported cases, China's food safety events have entered a multiple period, which closely relates to the current rapid development of the economy, social development level. In other words, the improvement of people's living standard and income rose to promote food production and processing industry developed rapidly, but the food safety supervision and consumer protection system is lagging behind, be amplified the contradiction between the two in the media and the public spotlight, which causes the public have great dissatisfaction and disappointment on food safety.%  目前,消费者对于食品质量的要求和关注逐渐提高,从过去报道的案例来看,我国食品安全事件确实进入一个多发期,这与当前飞速发展的经济、社会发展水平密不可分。换句话说,人民生活水平的提高和收入上升推动了食品生产和加工业迅速发展,但食品安全监管和消费者保护制度却相对滞后,两者之间的矛盾在媒体和社会大众的聚光灯下被放大,从而引起了社会大众对食品安全产生了巨大的不满和失望。

  18. Current Situation of Cancer Immunotherapy%肿瘤免疫治疗的研究现状

    Institute of Scientific and Technical Information of China (English)

    王旻钰; 单风平

    2015-01-01

    The occurrence of malignant tumor is elevating recently and it has been the main threatening factors to hu-man health. Cancer immunotherapy is a newly developing scenario,but it has guided the break through of carcinoma therapy. The scenario adopts complex immune regulation of target-oriented mechanisms to attack tumor cells and pre-vent it from relapse. Therefore,many research institutions make the cancer immunotherapy as their main study direc-tion conduct investigation in deep going way. Recently many studies have put forward a series of components possess-ing novel immunologic role and found a combination of application of the therapy scenario could optimize the effects of carcinoma therapy. The current studies on cancer immunotherapy were summarized in this paper.%恶性肿瘤的发病率近年持续走高并已成为威胁人类健康的主要因素。肿瘤免疫治疗是肿瘤治疗领域的新兴方案,引领了肿瘤治疗的重大突破。该方案通过复杂的免疫调节机制靶向攻击肿瘤细胞并防止肿瘤复发,因此众多研究机构以肿瘤免疫治疗为主要研究方向进行深入探讨。近年来多项研究提出了一系列具有肿瘤免疫作用的新型免疫组分且发现治疗方案的联合应用可优化肿瘤治疗效果。本文将就肿瘤免疫治疗的研究现状做一综述。

  19. Situação atual e perspectivas do etanol The current situation and prospects for ethanol

    Directory of Open Access Journals (Sweden)

    Isaias C. Macedo

    2007-04-01

    Full Text Available Nos últimos trinta anos, a produção de etanol da cana-de-açúcar no Brasil avançou para 17 milhões de metros cúbicos, com perspectivas de atingir 35,7 milhões de metros cúbicos em 2012-2013. Esse crescimento ocorreu com grande aporte de tecnologia, por meio de geração, importação, adaptação e transferência interna. Uma análise das diferentes fases desse desenvolvimento é apresentada, com a evolução dos parâmetros tecnológicos e a grande competitividade atingida. A visão atual é que o setor poderá continuar a evoluir com melhorias contínuas ainda de modo importante, mas grandes "saltos" tecnológicos são possíveis mediante o desenvolvimento de tecnologias para o melhor uso da biomassa residual da cana (cerca de dois terços da biomassa total. Os estudos em curso indicam que a contribuição da cana para o suprimento de energia poderá ser muito superior (e diversificada que a atual, e poderá ocorrer em paralelo com o desenvolvimento de biorrefinarias, levando a produtos de maior valor agregado.In the last 30 years, the production of ethanol from sugar cane in Brazil reached 17 million cubic meters and it is expected to achieve 35.7 million cubic meters by 2012-2013. This growth has taken place due to great technological support by means of production, imports, adaptations and internal transferences. An analysis of the different phases of this development, with the evolution of its technological parameters and the great competition of the sector, is presented in the article. Nowadays, foresights state that the sector may keep evolving with continuous improvements, but sudden technological boosts are also possible through the development of technologies directed towards a better use of the residual biomass of sugar cane (which represents about two thirds of the total biomass. Studies in progress indicate that the sugar cane contribution to energy supply may be superior and more diversified than the current one. They

  20. Report on the current situation with regard to nuclear fuel and the operations of Svensk Kaernbraenslefoersoerjning AB

    International Nuclear Information System (INIS)

    The cost of supplying nuclear fuel, including the reserve stockpile, has averaged about SEK 0.033/kWhe during the report period. Within the sea transportation system, the ship m/s Sigyn was delivered during the month of October. The temporary storage facility for spent fuel, CLAB, is scheduled to be completed at Simpevarp at the beginning of 1985. Licensing applications have been submitted to the appropriate authorities for the construction of a final repository for reactor waste (SFR) in an underground facility to be built in the rock adjacent to the Forsmark nuclear power station. The first outbound shipment from Ringhals under the reprocessing contract between SKBF and COGEMA of France is planned to take place around the start of 1983. Reprocessing will commence in 1985 at the earliest. The uranium (approx. 850 tonnes) and plutonium (approx. 6 tonnes) obtained from reprocessing is Swedish property. Broad and long-range research is currently being conducted in order to further refine the technology and select a site for the final repository, SFL. Efforts are now being concentrated on the final storage of spent fuel without reprocessing. Construction of the repository is scheduled to start in 2010 and operation in 2020. SKBF has been entrusted with the management of the international Stripa project. Pursuant to the new Financing Act, SKBF submitted a report on 30 June of this year to the National Board for Spent Nuclear Fuel (NAK). The report included a cost estimate in 1981 prices for the management and various stages in the back end of the nuclear fuel cycle. The estimate, comes out to SEK 32 billion, which represents about 10percent of the value of the electrical power produced by the nuclear power plants. The Government has decided upon a rate of SEK 0.017/kWhe of electricity generated by nuclear power as the 1982 charge to be paid to the state (NAK). The total cost picture for nuclear fuel (including provision for the costs of decommissioning of nuclear power

  1. 国内视觉素养研究现状综述%Review on the Current Situation of Domestic Research on Visual Literacy

    Institute of Scientific and Technical Information of China (English)

    彭耀峰

    2014-01-01

    In the context of educational information, it is particu-larly important to raise public visual literacy, but domestic re-search on visual literacy is still at its development stage, and o-riginal research points of view are not prominent. Therefore, aim-ing to review the current situation of domestic research on visual literacy, this paper first sorts out domestic and foreign scholars' concepts of visual literacy, then uses literature research method to retrieve CNKI literature database, and summarizes the current situation of domestic research on visual literacy, thus reflecting on the trends of research on visual literacy, combining with the cur-rent hot spots such as Massive, Open and Online Course (MOOC), flipped classroom,and mobile learning and so on.%在教育信息化大背景下,提升大众视觉素养显得尤为重要,国内对于视觉素养的研究仍处于发展阶段,独到的研究视点并不突出。因此,文章旨在对国内视觉素养研究现状进行综述,先对国内外学者的视觉素养概念进行梳理,接着采用文献研究方法对CNKI文献总库进行检索,总结国内视觉素养的研究现状,从而结合当前的慕课(MOOC)、翻转课堂、移动学习等热点反思视觉素养的研究趋势。

  2. 护理人员工作倦怠状况及其影响因素%Current situation of nursing staff's job burnout and its influencing factors

    Institute of Scientific and Technical Information of China (English)

    常宗霞

    2012-01-01

    Objective: To learn about the current situation of nursing staffs job burnout and analyze its influencing factors. Methods: The nurses selected respectively from grade I, II and III hospital in Liaocheng municipality by using stratified cluster random sampling method were taken as investigation object and the Job Burnout Questionnaire was used to conduct a survey on the current situation of job burnout and analyze its influencing factors. Results: The hospital nurses were facing more occupational pressure, especially the pressure of interpersonal relationship and development in career. The job burnout like emotional exhaustion and low sense of achievement was relatively serious;the nurses personality was significantly correlated with job burnout in the nurses of Liaocheng municipal hospital. Conclusion: The current situation of job burnout of hospital nurses is serious, therefore we should pay more attention to it.%目的:了解护理工作人员的倦怠现状,分析其相关影响因素.方法:采用整群分层随机抽样方法选取聊城市1、2、3级医院护士作为调查对象,通过发放工作倦怠调查问卷的形式调查其工作倦怠状况,分析其影响因素.结果:医院护士所面临的职业压力较多,尤其是来自人际关系和职业发展方面的压力,同时表现出一定程度的工作倦怠,其中情感衰竭和低成就感较为严重;聊城市级医院护士的人格特征与工作倦怠之间存在相关性.结论:医院护士的工作倦怠程度较重,应引起我们的高度重视.

  3. Current Situation and Development Tendency of the Power Transformation Measurement Technique%变电检测技术的现状和发展趋势

    Institute of Scientific and Technical Information of China (English)

    石慧

    2012-01-01

    This thesis analyses the current situation of the power transformation measurement technique, then proposes the future development tendency of measurement technique. Technical means and technical equipment of the past can not adapt to the demands of the new situation. People must apply new knowledge and new technique to electric power substation in order to guarantee maintenance quality. A great quantity use of microcomputer protection equipment has increased the technology content of substation work, and then has brought new challenges to the field substation maintenance.%分析了变电检测设备技术的现状,并提出了检测技术的未来发展趋势.以往的技术手段、技术装备已经不能适应新形势的需要,必须应用新知识、新技术才能保障变电所的检修维护质量.微机保护装置的大量使用,意味着变电工作的科技含量正在不断的提高,给现场进行变电检修维护带来了新的挑战.

  4. 国内外军事物流现状与发展研究%Current Situation and Development of Military Logistics at Home and Abroad

    Institute of Scientific and Technical Information of China (English)

    黄大鹏; 李良春

    2014-01-01

    我军军事物流起步晚,现有军事物流与国外发达国家相比,在各环节都有明显差距。目的:为寻找我军军事物流短板,制定发展对策;方法:本文结合我国地形、周边战争局势等因素,对我国军事物流现状进行了分析,并深入研究了美俄两国先进的军事物流模式;结果:针对国外发展经验提出了我国军事物流发展思路;结论:该研究为发展我国军事物流技术提供了有价值的参考。%For military logistics starting lately in China, there were obvious gaps between existing military logistics in China and developed countries in all aspects. According to the factors of terrain and war situation in surroundings, current situation of Chinese military logistics was analyzed. Meanwhile, military logistics patterns in U.S. and Russia were researched. At last, the developing strategies were proposed based on developed experiences abroad, which may improve the support to our military logistics technologies development.

  5. Analysis of the current situation and problems of China' cultural exports%我国文化出口的现状及问题分析

    Institute of Scientific and Technical Information of China (English)

    王海远

    2012-01-01

    现阶段,我国文化出口的整体状况并不令人乐观。尽管从统计数据看,我国的文化产品和服务出1:7连年增长,获取的经济效益也不断增加,但这些不断攀升的数据并不能掩盖我国文化出口整体实力较弱的现实。产品和服务缺乏国际竞争力、缺少国际市场经验、创新不足、以内容为核心的文化产品占比过小等等都是制约文化出口的因素。%The current overall situation of China's cultural exports is not encouraging. Although the statistics suggest Chinese cultural product and service exports grow year after year, and the economic benefits are also grow- ing, but these rising data can not cover up the reality of the general weaker situation of cultural exports in China. The lack of international competitiveness of products and services, of experience in international markets, and of in- novation, as well as the too small proportion of content-based cultural products are the constraining factors of cuhur- al exoorts in China.

  6. Biometrics - Evaluation of Current Situation

    OpenAIRE

    Zahidi, Salman

    2011-01-01

    Information security has always been a topic of concern in the world as an emphasis on new techniques to secure the identity of a legitimate user is regarded as top priority. To counter such an issue, we have a traditional way of authentication factors “what you have” and “what you know” in the form of smart cards or passwords respectively. But biometrics is based on the factor “who are you” by analyzing human physical or behavioral characteristics. Biometrics has always been an efficient way...

  7. Current Situation and Research of Intelligent Luminaire and Standard%智能灯具及其标准的现状和研究

    Institute of Scientific and Technical Information of China (English)

    施晓红; 庄晓波; 虞再道; 陈超中

    2016-01-01

    Intelligence is the development trend of lighting system and luminaire .From the point of the definition of lighting system and based on the characteristics of intelligent lighting luminaire , this article discussed current situation of intelligent lighting system standards , and presented the basic ideas of developing intelligent standards of luminaire .%智能化是照明系统及其灯具的发展趋势. 本文以照明系统的相关定义为切入点, 在给出智能照明灯具构成特点的基础上, 讨论了智能照明系统标准现状, 表述了开发智能灯具标准的基本思路.

  8. 对我国肝移植现状的系统化思考%The Systematic Considerations in Current Situation about Liver Transplantation in Our Country

    Institute of Scientific and Technical Information of China (English)

    余宏铸; 樊嘉禄

    2001-01-01

    This article set forth the current situation and the new feature in new period about liver transplantation in our country , and analyzed the problems carrying out the process of liver transplantation in our country with systemic viewpoint, and put forward a few of assumes how to developing the project of the liver transplantation in our country in future systematically.%阐述了我国肝移植的现状及新时期肝移植的新特点,用系统的观点分析了我国肝移植实施中存在的问题,提出了今后如何系统化发展我国肝移植事业的几点设想。

  9. Analysis on current situation and advantages and disadvantages of online pharmacies%网上药店现状及优缺点分析

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    With the popularity of the internet and online shopping ,online pharmacies are getting more and more attentioned. Due to the late start of online pharmacies in China , the development of online pharmacies is relatively backward,so it not only have potential but also exists the the phenomenon of some good and some bad,the article analyzes the current situation of online pharmacies and the main advantages and disadvantages.%随着互联网和网络购物的普及,网上药店越来越受到关注。由于我国网上药店起步较晚,发展相对滞后,因此在具备有大潜力的同时也存在着良莠不齐的现象,文章分析了国内网上药店的主要优势和弊端。

  10. Current situation and reflection of domestic intravenous pharmacy admixture models%国内静脉药物调配模式现状与思考

    Institute of Scientific and Technical Information of China (English)

    夏英华; 毛燕君; 朱建英

    2012-01-01

    This article summarized the current situation of three intravenous pharmacy admixture models,including ward intravenous drag distribution model, Pharmacy Intravenous Admixture Services (PIVAS) and decentralized distribution model. It analyzed the advantages and disadvantages,and on the basis,reflection and suggestions of pharmacy admixture methods were put forward.%文章分别归纳了国内病区药物自配模式、静脉药物集中调配模式和分散药物调配模式的发展现状及其优缺点,在此基础上,对国内静脉药物调配模式的发展进行思考并提出建议.

  11. 失眠症的诊断和药物治疗现状%Current situation of insomnia in the diagnosis and drug therapy

    Institute of Scientific and Technical Information of China (English)

    陆峥

    2011-01-01

    Insomnia is the most common sleep disorder. Sleep-promoting drugs are a major approach in the treatment of insomnia. In recent years, as a large number of new drugs with non-traditional targets are used in clinic and trial, some new ideas for the treatment of insomnia have been brought. This review describes the current situation of insomnia in the diagnosis and drug therapy.%失眠症是最常见的睡眠障碍.促睡眠药物是失眠症治疗的主要方案.近年来,大量以非传统作用靶点为目标的新型药物进入研究或临床使用,给失眠症的治疗带来了新思路.本文综述失眠症的诊断和药物治疗现状.

  12. 数学专业英语的现状及教学%A Study of the Current Situation of Professional Mathematical English Teaching

    Institute of Scientific and Technical Information of China (English)

    许洁; 茹静

    2012-01-01

    With the development of science and technology,mathematical English has become an important course in the university.This paper is aimed to find the problems by studying the current situation about mathematical English teaching in anticipation of getting solutions which can benefit the teaching of mathematical English.%随着科学技术的不断发展,专业英语已经成为大学一门非常重要的课程,本文通过对目前数学专业英语现状的研究,找出其中存在的问题,结合我院学生的实际情况,从几个方面找出解决方案,希望能对数学专业英语的教学起到促进作用。

  13. 舌诊在精神疾病诊断中的研究现状%Current situation of tongue diagnosis in psychiatric diagnosis

    Institute of Scientific and Technical Information of China (English)

    毛稚霞

    2010-01-01

    This paper overviewed the studies of the current situation of tongue diagnosis in psychiatric diseases (schizophrenia,depression,nervous disorders,sleep disorders and psychotropic drug-induced side-effects),summed up the importance of tongue diagnosis for the diagnosis and prognosis of mental illnesses.%本文通过综述舌诊在精神科疾病(精神分裂症、抑郁症、神经症、睡眠障碍以及精神科药物引起的副反应)诊断中的研究现状,总结了舌诊对精神疾病诊断、预后的依据和重要性.

  14. Current Situation and Suggestions for Development of Recycling Agriculture in Lingwu Municipality%灵武市循环农业发展现状及建议

    Institute of Scientific and Technical Information of China (English)

    张仲军; 杨金贵; 俞宏彪

    2015-01-01

    The combination of agriculture with animal husbandry as well as planting with livestock raising is a kind of recy-cling agriculture. Based on an investigation on the current situation of the combination of agriculture with animal husbandry as well as planting with livestock raising in Lingwu Municipality, an exploration is made on the development of recycling a-griculture, organic agriculture and the new ways for supporting animal husbandry with agriculture and promoting agriculture with animal husbandry.%农牧种养结合是循环农业的一种形式,通过对灵武市农牧种养结合现状调研,探索发展循环农业、有机农业、以"农养牧,以牧促农"的新路子.

  15. 中国的科技传播现状研究%Researches on Current Situation of Technical Communication in the People's Republic of China

    Institute of Scientific and Technical Information of China (English)

    曾辉

    2003-01-01

    This article first discusses researches, basically from the western viewpoints, on current situation of technical communication education in China and technical communication opportunities in China. Later, the article proposes four areas that need further research. Researches on technical communication in China not only benefit China, but also help other countries to understand Chinese market and potential consuming power in technical communication market.%本文首先主要从西方的观点讨论中国的科技传播教育和机遇,然后提出了四个需要进一步研究的领域,指出研究中国的科技传播不仅对中国有利,而且也有助于其它国家了解中国的科技传播的市场和消费潜力.

  16. CURRENT SITUATION AND COMPREHENSIVE ANALYSIS OF CHINESE DERMATOGLYPHICS%中国人肤纹学研究现状与思考

    Institute of Scientific and Technical Information of China (English)

    徐国昌

    2011-01-01

    肤纹主要包括掌纹、指纹、足纹。肤纹信息可反映个人、族群特征,与体质、智力及疾病也有一定关联。本文对中华民族肤纹学研究现状、肤纹与体质及疾病的关系、肤纹学标准及统计学方法、采集及识别技术进行概述。%Dermatoglyph consists of palm print, fingerprint and footprint. Information of dermatoglyph can be useful as tools for tracing individual or group' s characteristics, even have correlation with body constitution, intelligence and disease. This article overviewed current situation of the Chinese nation, relationship of dermatoglyph with body constitution and sickness, standard and statistics method, as well as collection and identification of dermatoglyph.

  17. Study on the Current Situation and Evolvement on Ad Hoc Network%Ad Hoc网络的研究现状与发展

    Institute of Scientific and Technical Information of China (English)

    李悦; 蔡振

    2012-01-01

    Ad Hoc networks as a way to temporarily speed automatic network of mobile communication technologyhas been moreattention to the experts, the current wireless Ad Hoc network is a focus of study. This article describes the characteristics of Ad Hoc Networks and applications, and the research situation.%Ad Hoc网络做为一种能够临时快速自动组网的移动通信技术越来越得到专家们的重视,目前Ad Hoc网络也是无线网络研究中的一个重点和热点。介绍了Ad Hoc网络的特点和应用以及Ad Hoc网络的研究状况。

  18. 物流标准化发展现状研究综述%The Research Review of the Current Situation of the Development of Logistics Standardization

    Institute of Scientific and Technical Information of China (English)

    柳飞; 武赟; 戴铭卿

    2015-01-01

    The thesis reviews current situation of the development of logistics standardization systematically. It summarizes the general research contents from the four aspects: logistics standardization and management system, establishment of the standardization of logistics, implementation of the standardization of logistics and performance evaluation of the standardization.Moreover, the authors put forward with their own view.%本文系统回顾了有关物流标准化发展现状.分别从物流标准化和管理体制、物流标准化的建立、物流标准化的贯彻实施以及物流标准化的绩效评价四个方面进行综述,提出本文观点.

  19. 美国星基增强系统发展现状和未来%Current Situation and Future Development of Satellite Based Augmentation System

    Institute of Scientific and Technical Information of China (English)

    张彦东

    2014-01-01

    本文介绍了星基增强系统产生的背景以及美国的星基增强系统WAAS(广域增强系统)的系统架构,回顾了WAAS(广域增强系统)的发展历史,分析了WAAS(广域增强系统)的发展现状和未来的发展方向。%This article introduces the background of the U.S. Satellite Based Augmentation System (SBAS) and the system architecture of SBAS WAAS (Wide Area Augmentation System), reviews the development process of WAAS and makes analysis about the current situation and future development of WAAS.

  20. Current Situation and Thoughts on National Education Examination Legislation%国家教育考试立法现状及思考

    Institute of Scientific and Technical Information of China (English)

    邱静远

    2015-01-01

    China practices national education examination system. Because of the direct relationship with accesses to higher education and academic degrees, national education examinations draw the attention of all the society. The article analyses the current situation of national education examination legislation and provides several thoughts for improve the construction of education examinations system.%我国实行国家教育考试制度。国家教育考试因其与升学、学历直接挂钩而备受关注。本文通过对目前教育考试立法现状的分析,提出国家教育考试法制化建设的几点思考。

  1. Current Situation and Construction Goal of Digital Mining%数字矿山的发展现状与建设目标

    Institute of Scientific and Technical Information of China (English)

    刘亭; 王光宁

    2013-01-01

    This paper briefly reviewed the current situation and trend of digital mining technology , both in China and a-broad .Combined with the shortage existed in domestic mine in the present stage , the main goals and content of digital mine construction in our country were explained .%本文通过数字矿山的完整定义,对国内外数字矿山技术的发展现状与趋势作简要评述,结合现阶段国内矿山存在的不足,综合说明了我国数字矿山建设的主要目标与内容。

  2. 远程皮肤病学的现状和展望%The Current Situation and Future Direction of Telemedicine

    Institute of Scientific and Technical Information of China (English)

    崔勇; W.P.DanielSu; MarkD.P.Davis; MarkR.Pittelkow; 张学军

    2011-01-01

    远程医学泛指应用远程通讯技术交换医学信息,以达到诊断、咨询、治疗和教学目的.远程放射学、远程病理学和远程皮肤病学是目前应用较为广泛的远程医学领域.文中对远程皮肤病学的发展简史、现状和可能的发展趋势进行综述.%Telemedicine describe the use of telecommunication technologies for exchanging medical information for the purpose of diagnosis, consultation, treatment, and teaching. As visual fields, teleradiology, telepathology and teledermatology are well-suited to take advantage of the possibilities of telemedicine applications. We conducted a systematic review to summarize the development history, current situation and future direction of telemedermatology.

  3. On the Current Situation and Development Strategies of Laying Hens%浅谈我国蛋鸡生产现状及发展对策

    Institute of Scientific and Technical Information of China (English)

    贾健杰

    2014-01-01

    Since the reform and opening up, China continues to optimize the industrial structure of laying hens, production also increased, but at the same time development, there have been some problems. Based on the current situation of laying hens industry in China and a detailed analysis of existing problems, put forward laying hens industry development train of thought.%改革开放以来,我国蛋鸡产业结构在不断优化,产量也在不断增加,但在发展的同时,也出现了一些问题。通过对我国蛋鸡产业的现状和存在的问题进行详细分析,提出蛋鸡产业发展的思路。

  4. 浅谈我国工程造价管理工作现状%Discuss the Current Situation of Project Cost Management in China

    Institute of Scientific and Technical Information of China (English)

    哈俊达

    2014-01-01

    工程造价管理是有效控制和真实反映工程造价、完善建设项目管理、提高投资效益的重要保障。本文从工程造价管理工作的重要意义,目前工作现状、促进其健康发展的途径等方面,谈了自己的有关看法,提出了有益见解。%The project cost management is an important saf-eguard of effective controlling and reflecting the project cost, perfecting the management of construction projects, and impr-oving the investment benefit. In this article, the author talks about his comments from the significance of the project cost management, the current work situation, and the promotion of the healthy development means and so on.

  5. 幼儿教育现状分析与解决对策%Analysis on the Current Situation and Countermeasures of ;Preschool Education

    Institute of Scientific and Technical Information of China (English)

    刘湘

    2015-01-01

    As the key education at the enlightenment stage, preschool education plays a vital role in cultivating students' ba-sic skills, stimulating their interests and developing their learning habits. With the continuous improvement of emphasis on preschool education in China, the current society, parents and teachers pay more attention to preschool education, but in practi-cal teaching, feasible measures fail to be formulated in accor-dance with infants' practical situations, let alone improving the quality of preschool education. To this end, this paper will ex-plore and detail the current situation of preschool education, and propose corresponding countermeasures.%幼儿教育作为启蒙时期的重点教育,对于学生基本技能的培养、兴趣的发现、学习习惯的养成等众多方面有着十分重要的作用,随着我国对幼儿教育的重视程度不断提升,当今社会公众、家长、教师等也更加关注幼儿教育,但在实际教学情况中,幼儿教育并不能依据幼儿的实际情况进而制定切实可行的措施,以提升幼儿教育的质量,对此,本文将探究幼儿教育现状并对其进行详细分析,提出相应的解决对策。

  6. 试论我国当前的反腐败形势∗%On China's current situation of anti-corruption

    Institute of Scientific and Technical Information of China (English)

    雷西发; 郭永丽; 张芳

    2014-01-01

    腐败及其行为源远流长,是一个尚未找到预防药的世界性顽疾。能否理性地、正确地判断反腐败斗争形势,是我们打赢反腐败这场持久战的关键,也是提升全国人民反腐必胜信念的重要条件。我们要用马克思主义的辩证唯物主义和历史唯物主义的基本原理和方法论,科学的分析和评价我国当前的反腐败形势,既要看到反腐败取得的巨大成绩,又要承认当前反腐败面临巨大的难度,同时更要增强全国人民反腐败斗争必胜的信心。%a long history of corruption and its behavior,is a not yet found world ills of preventive medicine.Can ra-tionally,correctly determine the anti-corruption struggle situation,is our key to win the long war of anti-corruption,but also enhance the important conditions for the National People's anti-corruption of triumphalism.We're on the basic princi-ples and methods of dialectical materialism and historical materialism with the Marx doctrine,scientific analysis and eval-uation of our current anti-corruption situation,not only to see the tremendous achievements made anti-corruption,but al-so acknowledged that the current anti-corruption face great difficulty,to boost the people's confidence in the victory more anti-corruption struggle at the same time.

  7. An Analysis on the Current Situation of the Chinese Teaching in Nepal%尼泊尔汉语教学现状探析

    Institute of Scientific and Technical Information of China (English)

    张玲艳

    2014-01-01

    通过分析尼泊尔特里布文大学中文系、孔子学院、孔子课堂、普通中小学和社会语言培训机构等方面的汉语教学现状,提出尼泊尔现阶段汉语教学所面临的教师、教材和教学法等方面存在的问题,希望促进尼泊尔汉语教学的发展并为关心尼泊尔汉语教学的相关人士提供参考。%This paper analyzes the current situation of the Chinese teaching in different institu-tions such as: the department of Chinese language in Tribhuvan University , Confucius Institute , Confucius Classroom , primary and secondary schools and languages training institute in Nepal and further puts forward the problems of teachers , teaching materials ,and methodology which the current Chinese teaching are facing .The paper aims to stimulate the development of Chinese teaching in Ne-pal and to provide some references for those concerned with the Chinese teaching in Nepal .

  8. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    Directory of Open Access Journals (Sweden)

    Jianwei Shi

    2016-01-01

    Full Text Available Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR. Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.

  9. Current Situation and Trend of Digital Forensics Research%数字取证研究现状与发展态势

    Institute of Scientific and Technical Information of China (English)

    杨泽明; 刘宝旭; 许榕生

    2015-01-01

    This paper introduces the development and situation of digital forensics, and presents the technical challenges of current digital forensics research under the rapid development of cloud computing, mobile internet, big data and IoT, etc.. Furthermore, based on the related investigation of major research institutions, this paper introduces the current research hotspots and trends and gives some proposals about the development of digital forensics research.%本文介绍了数字取证技术的发展历程和现状,结合云计算、移动互联网、大数据、物联网等为代表的新一代信息技术发展,分析了当前数字取证面临的技术挑战,基于国内外主要研究机构的相关调研情况介绍了当前数字取证技术的若干研究热点和发展态势,并给出了数字取证技术方面的研究发展思考。

  10. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    Science.gov (United States)

    Shi, Jianwei; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion. PMID:27597958

  11. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions.

    Science.gov (United States)

    Shi, Jianwei; Jiang, Chenghua; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Wang, Zhaoxin; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion. PMID:27597958

  12. The Current Management Situation and Countermeasures of Construction Engineering Cost%建设工程造价管理现状与应对策略

    Institute of Scientific and Technical Information of China (English)

    黄晓彦

    2014-01-01

    在建设工程的整个过程中,建设工程的造价管理具有重要的影响作用。本文首先介绍了建设工程造价管理的当前现状及存在的问题,然后提出了针对当前建设工程造价管理现状的应对策略,为建设工程的造价管理提供了必要的参考依据。%The construction project cost management plays an important role in the whole process of construction project. This article first introduces the current situation and existing problems of construction project cost management, and then put forward the countermeasures in view of the current con-struction project cost management, in order to provide the necessary reference basis for the construction project cost management.

  13. The Current Situation and Perfection of Chinese Criminal Procedural Defense%我国程序性辩护的现状和完善

    Institute of Scientific and Technical Information of China (English)

    李昌盛; 谢珊; 宋佳琦

    2012-01-01

    在对抗式司法理念的指导下,加强犯罪嫌疑人、被告人的诉讼权利,强化其辩护权以及实现控辩双方平等武装成为刑事诉讼立法的焦点。伴随我国刑事诉讼理论研究的不断深入,程序公正在刑事诉讼法中地位的提高.程序性辩护逐渐进入立法者的视野。《刑事诉讼法修正草案》确认了程序性辩护制度,并构建了相应的配套机制.但是依然存在一定的缺陷,应当从构建司法审查制度和优化程序性制裁机制两个方面进一步予以完善。%Under the guidance of the idea of adversavial judicial, the legislation of criminal procedural law tends to reinforce the security of defendant's rights, especially strengthen their defense right to realize the "equality of arms" between the prosecution and the accused. Recently in china,criminal procedure theory has been further improved, and procedure justice enheneed,which contributes to legislator gradually pay more attention to procedure defense. Based on the analysis of the rivised draft of criminal procedure law, in order to make procedural defense be a further development and work effectively in criminal judicial practice, the article sets out the current situations and accounts for the existence of situations. On the basis of these analysis,the author proposed that procedure denfense should be perfected in china by constructing the judicial review system and procedural sanctions machanism.

  14. Certification of forests and wood products in Serbia in the context of new European union legislations: Current situation, problems and challenges

    Directory of Open Access Journals (Sweden)

    Vasiljević Aleksandar

    2011-01-01

    Full Text Available The paper presents research results of the current situation in the area of certification of forests and wood products in Serbia in the context of new European Union legislation referring to the placement of wood and wood products on this market. The objective of the research was to observe the situation, phases which Serbia implemented in the process of forest and wood products certification until now, as well as the problems and challenges the companies in this process face. Based on research results, future development of the market of certified wood products in Serbia was assessed and the proposal of measures which should be realized in order for Serbia to become a country whose companies will be ready for the moment when provisions and measures of the new EU legislation become effective was given. The selection of the abovementioned objective was conditioned by the fact that from January 1st, 2013 new legislation takes effect, with significantly stricter terms for the placement of wood and wood products from other countries on this market. One of the conditions which will have to be fulfilled by the companies wishing to export their products on this market refers to proving their origin. Since the EU is the most significant market for wood products exported from Serbia, fulfillment of the stated and other terms from the new EU legislation is of great importance to Serbian companies. Until the beginning of September 2010, only 387,000 ha were certified, namely 17.2% of the total area under forests. In the same period, only 33 wood processing companies in Serbia possessed CoC certificates for their products. Such a small number of companies possessing certificates for their wood products compared to competitive neighboring countries can represent a serious limitation in achieving their satisfactory competitiveness on the EU market in the following period.

  15. Current situation of empty diagnosis in Deyang City%德阳市院外急救空诊现状的调查研究

    Institute of Scientific and Technical Information of China (English)

    何春梅; 宋锦平; 张德军; 周临春

    2015-01-01

    Objective To investigate the current situation of empty diagnosis in Deyang City, Sichuan Province Deyang City pre-hospital emergency resource utilization and analyzing the status of empty diagnosis , to achieve reasonable deployment of pre-hospital emergency resources and mission the popular science knowledge of fist-aid. Methods A pre-investigation on the empty diagnosis in pre-hospital care in Deyang was conducted for 2 months . Based on the results of the pre-investigation the relevant 3-month data from July 2013 to June 2014 in the municipal emergency centers and its 5 sub-centers of Deyang were randomly selected and analyzed retrospectively. The time when empty diagnosis occurred, time interval, disease composition ratio, influencing factors, and the empty clinical situation of different sub-centers were analyzed. Results The empty diagnosis hours in prehospital emergency care was not normally distributed. The number of empty diagnosis rate was higher in the weak time periods (12:00~14:00 and 18:00~8:00) than in the non-weak time periods. The top five conditions causing empty diagnosis included traffic accident injury, other trauma, faint, convulsions, and excessive drinking. Conclusion Most empty diagnosis cases occur during the weal time period. In Deyang City pre-hospital emergency work, the popular science knowledge education and deployment of emergency resources , should be combined with empty time consuming situation and situation of emergency resources use in different periods and empty clinical relevant factors, to reduce the burden of pre-hospital emergency personnel.%目的:通过德阳市院外急救资源利用现状的调查及空诊情况分析,达到合理调配院外急救资源和宣教急救科普知识。方法从德阳市2013年7月~2014年6月的院外急救病例资料中随机抽取3个月进行回顾性调查研究,分析空诊的时间、时段、疾病构成比、影响因素及各分中心的空诊情况。结果德阳市院

  16. The International Labour Standard and Our National Current Situation%国际劳动标准与我国执行现状

    Institute of Scientific and Technical Information of China (English)

    陈盼盼

    2014-01-01

    The article will discuss about the current situation in five core standards for workers from the perspective of origin and development of the international workers ’ convention , including abolishment of slave labor, freedom of gathering , organizing the trade union , collective bargaining right , abolishment of exploiting young workers , and eliminating of occupation discrimination .The article will also talk about the challenges we are facing up to in the process of implementing the international standard for workers as a developing and labor intensive country and discuss on some countermeasures and advice .%本文从国际劳工公约的由来与发展出发,分别从立法层面与执行层面分析我国在五项核心劳工标准中的现状,其中包括废除强迫劳动、结社自由、组织工会和集体谈判权、消除剥削童工、消除就业歧视。通过对现状的分析,指出作为发展中国家、劳动密集型、以贴牌制造生产为主的中国在执行国际劳工标准上所面临的挑战,以及应对挑战的对策建议。

  17. 林木采伐头的发展历程及现状研究%Development Process and Current Situation of Forestry Harvester Head

    Institute of Scientific and Technical Information of China (English)

    蒲帅; 刘晋浩

    2016-01-01

    M ulti‐function harvester is the best harvesting machinery ,as the key component of the harvester ,the design of harvester head directly determines the performance of harvesting machinery .This article reviews the development course and current situation of harvester head at home and abroad ,introduces the development technology and characteristics of harvester head in different periods ;finds out the gap in harvester head technique between our country and developed country ;and points out the development trend of harvester head .%多功能联合采伐机是当前性能最好的采伐机械,而作为采伐机的关键部件,采伐头的设计直接决定了采伐机械的性能。综述了国内外采伐头的发展历程与现状,介绍了不同时期的采伐头发展技术、特点及其优缺点;通过国内外发展对比看出我国采伐头技术与国际先进技术之间的差距所在;并指出采伐头的发展趋势。

  18. 城市屋顶菜园发展现状%Current Situation of the Development of Urban Roof Vegetable Garden

    Institute of Scientific and Technical Information of China (English)

    谭建萍; 徐志平

    2015-01-01

    指出了城市屋顶菜园是屋顶花园发展到一定阶段的产物,城市屋顶菜园作为屋顶花园最具农业生产气息的一种方式,在城市有其发展的必然性。通过描述屋顶菜园的产生,分析了国内屋顶菜园的发展必然性,论述了国内外城市屋顶菜园发展现状及发展前景,以期为城市屋顶菜园的推广和发展提供理论依据。%The urban roof vegetable garden is the product of the development of roof garden at a certain stage .The urban roof vegetable garden ,which is of the most agricultural production style in roof garden ,has the inevitability of its development in the city .Through the description of the generation of urban roof vegetable garden ,the analysis of its inevitability ,the discussion of the current situation and the brief introduction of its prospects ,this article aims to provide theoretical references for the promotion and development of urban roof vegetable garden .

  19. 医院暴力事件现状及对策研究进展%Research of the Current Situation and Solutions of Hospital Violence

    Institute of Scientific and Technical Information of China (English)

    汪健健; 赵丽萍

    2013-01-01

    医院暴力事件频繁发生,覆盖面广,类型多样,手段恶劣,成因复杂多元,社会负面影响日趋扩大,成为目前急需解决的重要公共卫生问题.本文从多个角度对医院暴力产生的直接原因和制度根源进行剖析,依据多学科理论,探究医院暴力多维视角的预防和应对策略,以期为平衡医患利益、预防和正确引导医患纠纷提供全方位的理论参考.%The hospital violence is acknowledged as an important public health problem needed to be resolved urgently, which has several characteristics including high incidence, covering extensively, having diverse forms and rude means, related to several reasons, finally causing negative social influence. This paper reviewed the current situation of hospital violence, and analyzed the direct causes and system roots from multiple angles. Based on the theory of multi-disciplinary, it also proposed the preventing and coping strategies of hospital violence from multidimensional perspective, which aims to provide a full range of theoretical reference to balance the doctor-patient interests and guide the medical dispute correctly.

  20. The Current Situation and Strategies of Enterprise Succession in Dongguan Family Business%东莞家族企业继任现状及策略研究

    Institute of Scientific and Technical Information of China (English)

    王芳; 刘永安

    2014-01-01

    The enterprise succession has become a prominent issue in Dongguang family business .Based on the current sit-uation of enterprise succession , the paper points out three Strategies must be implemented in Dongguang family business .%继任问题是东莞家族企业可持续发展必须面对的挑战。本文在对东莞家族企业继任问题的现状进行分析的基础上,提出了东莞家族企业必须重视家族企业继任问题,制定家族企业接班人计划;根据自身特点,选择符合企业永续发展的继任模式;采取各种方式对继任者进行培育,全面提升继任者素质等策略。

  1. Current Situation and Research Progress of Low Gravity Simulation%载人低重力模拟技术现状与研究进展

    Institute of Scientific and Technical Information of China (English)

    刘巍; 张磊; 赵维

    2012-01-01

    Astronauts will experience the low gravity environment after their landing on the moon or Mars, therefore the manned mimetic environment should be simulated on the ground. This paper introduced the definition , classification of technology for the manned low gravity simulation, including parabolic plane, suspension , underwater and extra-skeleton, that were illustrated in detail afterward. Based on the discussion of current situation and research progress of the technology and equipments, a suggestion for manned low gravity simulation equipment in China was made in the end.%登月或登陆火星的航天任务中,航天员不可避免地会经受到低重力环境,由此需在地面上模拟出这种载人低重力环境.本文叙述了载人低重力环境模拟技术的定义、分类,分别介绍了失重飞机、悬吊、水下模拟、外力骨骼等模拟技术,对当前载人低重力模拟技术的现状和研究进展做了讨论.最后对我国研制载人低重力模拟设备提出了建议.

  2. 围绝经期睡眠障碍的研究现状%Current Situation on Sleep Disorders in Menopausal Women

    Institute of Scientific and Technical Information of China (English)

    何爱先; 方芳

    2013-01-01

    睡眠障碍是女性围绝经期主要的临床症状之一,表现为入睡困难、睡中易醒、早醒等,严重影响患者的身心健康和生活质量。围绝经期睡眠障碍的发生可由激素水平改变,血管舒缩症状,情绪障碍及患者本身的疾病状态等因素引起。笔者结合近年来相关文献报道,对围绝经期睡眠障碍的诱导因素和治疗现状进行了综述。%Sleep disorders are main clinical symptoms in perimenopausal women. The symptoms are difficulty in initiating or maintaining sleep, early morning awakening and so on. These sleep problems had made serious im-pacts on the quality of women's life during menopausal periods. Menopausal sleep disorders can be caused by changes of serum estrogen levels, vasomotor symptoms, mood disorders and patient's state of disease. This paper presented an overview of inducing factors and current situation of menopausal disorder treatment.

  3. 安徽农村经济发展的现状分析及思考%Analysing and Thinking about Current Situation of Country Economy in Anhui

    Institute of Scientific and Technical Information of China (English)

    汪源浩; 沙其富

    2011-01-01

    Rural economic development is the requirement of promoting the development of regional economy,achieving common prosperity and constructing new countryside.The paper makes a deeper analysis of the current situation of the rural economic development in Anhui,fixed assets investment,the income level of rural residents and the constitution of staff in three industries,explores the reasons of the economic gap between cities and countries,discusses the industrial shit and urban-rural integration,all of which are the key approaches to solve the problems of dual economic structures and push forward the new country devepoment in Anhui.%农村经济发展是促进区域经济协调发展、实现共同富裕的要求,同时也是新农村建设的根本要求。分析了安徽农村的经济发展水平、固定资产投资状况、居民收入水平以及三产从业人员的构成状况,探究了城乡之间产生差距的原因,认为产业转移和城乡一体化等将是今后消除二元经济结构、推动安徽新农村建设的重要途径。

  4. Current Situation and Development Direction of Scrap Weaponry Destruction%报废武器装备销毁技术现状及发展综述

    Institute of Scientific and Technical Information of China (English)

    罗龙均; 李良春; 张易; 张明善

    2012-01-01

    作为武器装备全寿命管理的最后阶段,报废武器装备销毁是一项重要且具有较大危险性的工作.文中分析了我军报废武器装备销毁的技术现状,按照方法特征将其分为传统销毁技术与新型销毁技术.最后,探索了我军报废武器装备销毁技术的发展方向.%As the final stage of the life-cycle management, scrap weaponry destruction is a very important and risky work. Current situation of scrap weaponry destruction in our army was analyzed. According to the method features, scrap weaponry destruction was classified into traditional and new destruction technology. The development direction of scrap weaponry destruction for our army was discussed.

  5. Countermeasures and Current Situation of College Students' Sports Nutrition%高校大学生运动营养现状与对策

    Institute of Scientific and Technical Information of China (English)

    李倩

    2012-01-01

    运用问卷调查法、数理统计法和逻辑分析法对部分高校学生的运动营养应用现状进行调查,结果显示,当前大学生在体育锻炼与营养结合方面缺乏科学指导,健康意识淡薄,针对高校学生在运动与营养方面存在的问题,提出相应的解决措施,这对于增强大学生体质健康、促进大学生全面发展具有重要的现实意义。%It gives a research on the current situation of college students' sports nutrition by questionnaire investigation, mathematical statistics and logical analysis. The results show that students are short of scientific guidance in physical exercise and nutrition. To solve the problems of college students' sports nutrition, the paper putforward corresponding settlement measure, which has important and realistic meaning to strengthen the college students' physical health and promote students' overall development.

  6. 冷链物流发展现状及关键技术分析%Analysis of Current Situation of Cold Chain Logistics and Key Technology

    Institute of Scientific and Technical Information of China (English)

    骆大伟

    2011-01-01

    The rapid progress of cold chain logistics can play a very important role in solving some problems in the area of agriculture such as the contradiction of supply and demand, high cost of circulate and serious waste. Firstly, this article analyzes the current situation of cold chain logistics in China; secondly the author put a point in the key technology in cold chain logistics; last it give the trend of the technology of cold chain logistics.%大力发展冷链物流是有效解决当前农产品供需矛盾突出、流通成本高、浪费严重等问题的重要手段。针对冷链物流发展现状进行了理性分析,进而针对冷链物流发展中的关键技术进行了解析,最后提出了冷链物流技术发展的趋势。

  7. 我国家具产品的包装现状及发展趋势%The Current Situation and Development Tendency of Furniture Packaging of China

    Institute of Scientific and Technical Information of China (English)

    孙晓; 韩静芸; 张求慧; 张亚池

    2013-01-01

    对家具包装的定义、作用、设计要求及设计内容等进行初步探讨。通过总结我国家具产品包装方式的现状,分析出其存在的问题,归纳出以下几点家具包装行业发展方向,分别是研究应用新型材料、设计拼装类结构包装、规范家具包装相关规定、加大包装回收力度、利用包装进行家具促销和聘用专职人员从事家具包装工作等。%This paper preliminary studies the definition, function, design requirements as well as design contents of furniture packaging. By summarizing the current situation of furniture packaging of China, this paper analyzes the existing problems. The developing direction of furniture packaging industry could be concluded as studying the application of new materials, designing the assembled class structure packaging, regulating the relevant provisions of furniture packaging, enhancing the intensity of packaging recycling, using the packaging to promote the furniture sales, employing professionals to work on furniture packaging and so on.

  8. Current situation and development trend of vegetable & fruit cleanser%蔬果清洗剂的现状及发展趋势

    Institute of Scientific and Technical Information of China (English)

    赵慧昂; 于文

    2012-01-01

    With the frequent outbreak of epidemic situation and food safety affairs, people pay more attention to the health and safety. Because of the increasingly serious pesticide residue, the requirement for vegetable & fruit cleanser has been growing. The product benefits in the current market were mainly analyzed in this paper, and the article also indicated that products which including the characteristics of natural origin, high safety, antibacterial or baeteriostatic effect and high efficiency are the development trend of the market.%近来,由于疫情与食品安全事件频发,人们也越来越重视健康与安全。面对蔬果上的农药残留问题,人们对蔬果清洗剂的需求也日益提高。主要分析了当今市场上蔬果清洗剂的产品功效现状。指出天然、高安全性、抗(抑)菌及高效的蔬果清洗剂将会是市场的发展方向。

  9. Analysis and Research on the Current Situation of Ningxia Foreign Talents Introduction Work%宁夏引进国外智力现状分析研究

    Institute of Scientific and Technical Information of China (English)

    穆海彬; 高蔚丰

    2015-01-01

    The Party Committee and Government of Ningxia Hui Autonomous Region attach great importance to human resources work. By adopting a series of measures on innovating and improving human resource development policies and mechanisms, the Party Committee and Government aim to create a good environment for talents cultivation, introduction, converging and utilization. This paper based on the current situation of Ningxia development and its talents-introducing work, intends to investigate and analyze the way for Ningxia talents-introducing work to seize opportunities in new historical period and to propose countermeasures for providing a reference for government decision-making.%自治区党委、政府高度重视人才工作,不断创新、完善人才开发政策和机制,营造出良好的育才、引才、聚才、用才环境。本文从宁夏引智工作现状出发,根据我区实际状况,探析宁夏引智工作在新的历史阶段如何把握机遇,提出对策研究,旨在为政府部门决策提供参考依据。

  10. 绿叶蔬菜收割机械研究现状%Current Situation of Harvesting Machinery for Leafy Green Vegetables

    Institute of Scientific and Technical Information of China (English)

    梁坚; 施俊侠

    2015-01-01

    从蔬菜需求增长和人工生产效率低下的现状出发,分析了国内绿叶类蔬菜收割机械化研究现状和原因;为加快收割机械化进程,提出了改变从业人员观念、有针对性的设计和单一功能突破等方面的建议。%From the perspective of a growing demand for vegetables and low efficiency of human labor,this article an⁃alyzes the current situation and reasons of domestic mechanization of leafy green vegetables.To accelerate the pro⁃cess of harvesting mechanization,it proposes some ways to deal with these problems,namely,changing the concepts of related professionals,clear-targeted designs,and the breakthroughs in changing the single function of machinery.

  11. Investigation on Current Situation of Middle School Students’ Morning Exercise in Shantou City%汕头市中学生晨练现状调查研究

    Institute of Scientific and Technical Information of China (English)

    王腊姣; 卢刚

    2014-01-01

    This paper made an investigation and study of the current situation about students ’ morning exercise in 11 middle schools in Shantou city by means of questionnaire survey , comparative analysis and mathematical statis-tics, analyzed the secondary students ’ perspective, preference, ways, motivation, place and content, restrictive factors and common misconceptions of morning exercises , discussed the positive and negative factors for the devel-opment of students ’ morning exercises in secondary schools in Shantou , and finally proposed the corresponding countermeasure and suggestion .%本文通过问卷调查法、比较分析法及数理统计法等对汕头市11所学校的中学生晨练现状进行了调查研究,分析了中学生晨练的认知态度、情绪体验、组织形式、动机类型、晨练地点与内容、晨练的制约因素以及晨练中的常见误区,探讨了汕头市中学生晨练活动发展的积极因素和不利因素,并提出相应的有益于中学生晨练活动开展的对策和建议。

  12. 中国MOOC发展现状与瓶颈研究%Research on the Current Situation and Bottlenecks of MOOC Development in China

    Institute of Scientific and Technical Information of China (English)

    王晶

    2016-01-01

    本文主要针对我国MOOC发展的现状和瓶颈进行分析研究,重点介绍了MOOC平台建设、SPOC模式应用以及专业技能教育MOOC的发展,从MOOC交流工具、学习成果认证、可持续发展三个方面对MOOC的瓶颈进行研究并提出建议,期望对今后MOOC更好的发展提供帮助。%This paper mainly analyzed and studied the current situation and bottlenecks of MOOC develop⁃ment in our country, focused on the introduction of MOOC platform establishment, SPOC mode application and the development of professional skills education MOOC, and studied MOOC bottlenecks from three aspects of MOOC communication tools, certification of learning outcomes, and sustainable development and put forward suggestions, hoping to provide assistance for the better development of MOOC in the future.

  13. Analysis of Current Situation and Countermeasures of Hospital Human Re-source Management%医院人力资源管理现状及对策分析

    Institute of Scientific and Technical Information of China (English)

    黎芳玲

    2015-01-01

    医院属于重要的医疗服务机构,能够为患者提供各类医疗与护理服务,医院的正常运营需要大量的人力资源,构建完善的人力资源管理体系成为医院的重要任务之一. 医院的医技人员、护理人员、档案管理人员等数量众多,共同组成了医院这个大环境. 本文就医院人力资源管理现状及对策进行了分析与探究.%Hospital is an important medical service organization,can provide all kinds of medical and nursing services,the hospital's normal operation needs a lot of human resources,build a perfect human resource management system to become one of the important tasks of the hospital.The hospital medical staff,nurses,archives management personnel number,composed of the hospital environment. This paper analyzes and explores the current situation and Countermeasures of human resource management in hospitals.

  14. Analysis and Research on the Current Situation of Ningxia Foreign Talents Introduction Work%宁夏引进国外智力现状分析研究

    Institute of Scientific and Technical Information of China (English)

    穆海彬; 高蔚丰

    2015-01-01

    自治区党委、政府高度重视人才工作,不断创新、完善人才开发政策和机制,营造出良好的育才、引才、聚才、用才环境。本文从宁夏引智工作现状出发,根据我区实际状况,探析宁夏引智工作在新的历史阶段如何把握机遇,提出对策研究,旨在为政府部门决策提供参考依据。%The Party Committee and Government of Ningxia Hui Autonomous Region attach great importance to human resources work. By adopting a series of measures on innovating and improving human resource development policies and mechanisms, the Party Committee and Government aim to create a good environment for talents cultivation, introduction, converging and utilization. This paper based on the current situation of Ningxia development and its talents-introducing work, intends to investigate and analyze the way for Ningxia talents-introducing work to seize opportunities in new historical period and to propose countermeasures for providing a reference for government decision-making.

  15. 民族传统体育的当代遭遇与传承发展%Current Situation, Inheritance and Development of National Traditional Sports

    Institute of Scientific and Technical Information of China (English)

    李玉文

    2012-01-01

    采用文献资料研究法,以文化学理论为支撑,从文化发展的视角探讨民族传统体育在当今传承与发展上的一些问题,发现民族传统体育正遭遇外来体育冲击、文化休克、缺乏文化认同等严峻问题.根据民族传统体育的特征与当今社会的情况,提出利用或者借助非物质文化遗产保护、学校体育与民族运动会等方式来传承与发展民族传统体育.%Based on culturology, this paper aims to study the current situation,inheritance and development of the national traditional sports from the cultural development perspective by document literature. The research results show that the national tradition sports is now experiencing the impact from foreign countries and cultural shock, lack of cultural identity and other rigorous issues. Based on the features of national tradition sports and social issues at present, this study proposes to use or draw support from intangible cultural heritage protection,school sports,national sports meetings and other ways or platforms to inherit and develop the national traditional sports.

  16. The current research situation of the assessment tools of delirium%谵妄评估工具的研究现状

    Institute of Scientific and Technical Information of China (English)

    廖金敏; 王希林

    2012-01-01

    Scales play an important role in clinical research of delirium. In addition to being used for screening diagnosis, scales are also used for assessment of clinical features, treatment effect and prognosis. In this article, we introduced scales used for assessment of delirium and reviewed the current situation of research on such scales, including Confusion Assessment Method, Memorial Delirium Assessment Scale, Delirium Rating Scale, Delirium Rating Scale-Revised-98, Cognitive Test for Delirium and the Delirium Motor Subtype Scale.%量表评估对谵妄的临床研究十分重要,除筛查诊断外,还可用于评定谵妄的临床特征、治疗效果及其预后.本文介绍了专门用于评估谵妄的量表,并对评估工具的研究现状进行了回顾.包括意识模糊评定量表、记忆谵妄评定量表、谵妄评定量表、谵妄评定量表-98修订版、谵妄认知功能测查量表、谵妄运动亚型分型量表.

  17. Reflection on Physician Teaching Management under Current Situation of Clinical Teaching%临床带教现状及医师教学管理的思考

    Institute of Scientific and Technical Information of China (English)

    于萍

    2014-01-01

    基于临床带教教、学、管的现状,提出医师从教一方面应实行带教准入制度化、带教相对独立制,另一方面要重视自身通识教育、加强“发现学习”模式运用、尊重学生学习权,以更好地提高临床带教质量。%Viewing about the current situation of teaching , learning and the management of clinical teach-ing, the author put forward the institutionalized teaching access system and related independent teaching system that ought to be practiced.In order to promote the quality of clinical teaching , the author also calls for doctors who are engaged in education activities should attach the importance of their own general education , strengthen the use of teaching mode of “Discovery learning” and respect the learning right of students .

  18. Current situation of nursing education internationalization in Europe and China%欧洲及我国护理教育国际化发展现况

    Institute of Scientific and Technical Information of China (English)

    刘霖; 姜安丽

    2014-01-01

    为应对政治、经济、教育的全球化发展,欧洲推行一体化高等教育发展政策。本文综述了在该政策的影响下,欧洲多国及护理组织所开展的护理教育一体化发展策略,并对我国高等护理教育国际化发展现况作一阐述,思考国外高等护理教育国际化发展策略对我国的启示。%In the context of globalization of politics, economy and education, European countries adopted the policies of developing integrated higher education. This article reviewed the strategies of nursing education internationalization in European countries and nursing organizations;and described the current situation of higher nursing education internationalization in China;and then discussed the enlightenment of the strategies of higher nursing education internationalization in foreign countries to the nursing education in China.

  19. Current situation and countermeasures of college students' network crime%现阶段大学生网络犯罪现状与防范对策

    Institute of Scientific and Technical Information of China (English)

    刘启明

    2016-01-01

    鉴于近年来网络技术的飞速发展,大学生群体中的网络犯罪案件也出现了上升的势头。怎样更好地预防与处置大学生群体的网络犯罪行为,已成为社会各界都十分关注的重大问题。文章在概述网络犯罪的基础上,分析了大学生网络犯罪现状,探讨了大学生网络犯罪的成因,并提出了防范大学生网络犯罪的几点对策。%In view of the rapid development of the network technology in recent years, cyber crimes among college students tend to be rising.How to better prevent and deal with the cyber crimes of college students has become a major issue of concern to all sectors of the community.Based on the overview of cyber crime, this paper analyzes the current situation of college students' cyber crime,probes into its causes and puts forward some countermeasures to prevent college students' cyber crime.

  20. On the Current Situation and Coping Strategies of Sec- ondary Vocational Geography Teaching%中职地理教学现状及应对策略

    Institute of Scientific and Technical Information of China (English)

    严秀萍

    2014-01-01

    Through investigation, this paper aims to understand the present situation of secondary vocational geography teaching, analyze the reasons causing the existing problems, and take ef-fective coping measures to solve the plight of the current sec-ondary vocational geography teaching and improve the quality of geography education. Coping strategies are elaborated respec-tively from textbook integration in order to achieve teaching stu-dents in accordance with their aptitude, implementation of activi-ty-based teaching mode, connection of teaching to life, and eval-uation from a variety of aspects.%通过调查,了解中职地理教学现状,分析其中问题存在的原因,并采取有效应对措施,解决当前中职地理教学的困境,提升地理教育质量。应对策略分别从整合教材因材施教;实施活动教学模式;教学要与生活联系;采取多方面的评价等方面进行论述。

  1. 我国"讲授法"的研究现状及趋势分析%Current Situation and Tendency Analysis of Lecture Method Study

    Institute of Scientific and Technical Information of China (English)

    李孝诚; 刘兆丽

    2015-01-01

    利用文献计量法和文本分析法对2001年以来国内关于讲授法的研究文献进行了定量和定性分析. 关于讲授法的理论和实践研究表明,讲授法是一种发展的、有层次的、可行的教学方法,但需要教师有效实施. 同时,讲授法研究也存在学科特征不明显、研究方法思辨多于实证、研究水平参差不齐等不足.%The current situation and developing trend of Lecture method since 2001 are analyzed qualitatively and quantitatively by means of the bibliometric method and content analysis method in the paper.The theoretical and practical research shows that lecture method is a progressive, hierarchical and feasible teaching method, but the good results of lecture method need teachers' effective implementation.Meanwhile, there are some problems in lecture method research, such as discipline feature is not obvious, speculative methods are more than empirical methods, and research levels are uneven etc.

  2. 天然气计量检定技术现状及进展%Current Situation and Development of the Natural Gas Metrological Verification Technology

    Institute of Scientific and Technical Information of China (English)

    赵士海; 刘博韬

    2015-01-01

    With the continual increase of requirement of natural gas and global development of natural gas trade, the accuracy of natural gas flow rate measurement attracts more and more attention from the supply and demand sides. In this paper, the current technology situation and development trend of orifice-plate flowmeter, ultrasonic flowmeter and turbine flowmeter were reviewed. Development of the natural gas metrological verification technology used for measurement tracing at home and abroad was also analyzed.%随着天然气需求量的不断增加和天然气贸易的全球化发展,供求双方越来越重视天然气流量计量的准确性。重点论述了广泛应用于天然气流量计量的孔板流量计、超声流量计、涡轮流量计的技术现状和发展趋势,以及国内外用于流量计量值溯源的天然气计量检定站技术的进展情况。

  3. Current Situation and Conservation Strategies of Erythrophleum fordii in Yunxiao County%云霄县格木资源现状及保护对策

    Institute of Scientific and Technical Information of China (English)

    陈绿青

    2014-01-01

    Investigated and analysised the current situation of the national key protected rare plants Erythro-phleum fordii in Yunxiao county of Zhangzhou city,and summarized the existing Erythrophleum fordii re-sources distribution. The results showed that human deforestation,lack of protection and Erythrophleum fordii natural regeneration factors were the mian cause of Erythrophleum fordii endangered. Finally,the re-searcher put forward the targeted concrete measures for the protection of the Erythrophleum fordii in Yunx-iao county.%调查分析了国家二级重点保护珍稀植物格木在漳州市云霄县的资源分布现状,总结了现有格木资源的分布规律和分布特征。结果表明,人为毁林、缺乏有序保护和格木天然更新困难等因素是造成格木濒危的主要原因。最终有针对性地提出了云霄县格木保护的对策建议。

  4. The Current Situation and Tendency of Underground Space Planning in China%中国地下空间规划现状与趋势

    Institute of Scientific and Technical Information of China (English)

    邵继中; 王海丰

    2013-01-01

      对于城市的地下空间规划,中国许多城市已进行了初步探索,积累了一定经验。但同时,由于法律、政策、技术等原因对地下空间规划的未来发展形成了阻碍。所以,本文通过对中国城市地下空间规划现状的调查与分析,剖析现阶段地下空间规划与利用过程中的有关问题。创新性地提出建立与地面规划相协调的从总规到详规的统一体系,并展望地下空间规划的未来蓝图。%Many cities in China have carried out the preliminary explorations about urban underground space planning, and accumulated experiences. However, the underground space planning has some barriers on the way of its future development due to the law, government policies, technical problems etc. This article shows results of investigation and analysis about the current situation of Chinese urban underground space planning, dissects the relevant issues in the process of current underground space planning and utilizing. It also proposes innovatively in this paper to establish the unified system which is coordinating with the ground planning, and includes both general regulations and the detailed regulations. The underground space planning blueprint for the future is also descried.

  5. 欧美孤儿药的研究与开发现状%Current situation of orphan drug research and development in the Europe and America

    Institute of Scientific and Technical Information of China (English)

    田圆圆; 张象麟; 董江萍

    2012-01-01

    This paper analyzed the current situation of the orphan drug development in the Europe and A-merica. There are many difficulties in orphan drug research and development; however, current regulations, stimulating measures and other opportunity give the orphan drug impetus to develop, and promote the treatment of the patients with rare diseases. In fact, the perfect policies and reasonable measures of the government can solve the barriers of the orphan drug and ensure availability of new treatment to patients. The successful experience of orphan drug development in Europe and America can contribute to the establishment of the orphan drug management policies in China.%文中对欧美孤儿药开发现状进行了分析.孤儿药研发尽管面临众多困难,但在欧美孤儿药现有制度法规、优惠措施及其他机遇的推动下,取得了较好的成果,促进了对罕见病患者的医疗救治.事实证明,政府完善的政策和采取合理的措施和方法,可解决当前孤儿药研发面临的诸多障碍,保证患者对新治疗方法的可获得性.欧美孤儿药的研发成功经验可为我国孤儿药管理政策和制度的建立提供一定的借鉴.

  6. Investigation on the Current Situation of Health Information Management Specialty%卫生信息管理专业现状的探讨

    Institute of Scientific and Technical Information of China (English)

    代清霞

    2016-01-01

    The requirements for medical management talents of the hospital are increasing continuously, while the development of health information management specialty is lagging behind the development of the hospital, which shows in aspects such as low education level, less enroll students and hard to find a job and so on. The primary causes of this current situation included indifference of the school ideally, the high requirements of the hospitals, the low entry qualification of the medical records work staff and imperfect of job titles of medical records specialty and so on. Aimed at the situation, the medical colleges should attach importance to the development of health information management specialty in policy, establish entry qualification examination, complete development pathways, hold up medical records megagame nationwide and strengthen the construction of teaching staff, so as to promote the development of the medical records management specialty, thus could we promote the development of medical records management of medical institutions.%医院对于病案管理人才的需求呈现不断增加的趋势,而医学院校卫生信息管理专业的发展却滞后于医院的发展。表现为办学层次偏低、招生人数较少、学生就业困难等。探讨形成这种现状的主要原因是办学单位观念上不重视、医院门槛设置过高、病案人员入职资格过低和病案专业职称发展不完善等。针对这种现状高等医学院校应从政策上重视引导卫生信息专业发展、设立行业入职资格考试、完善卫生信息专业职称发展路径、举办全国病案大赛及加强卫生信息管理专业师资建设等措施来促进卫生信息管理专业的发展,从而最终能推动医疗机构病案管理的发展。

  7. Research on the Current Situation of Performance Appraisal of Institutions in Tangshan%唐山市事业单位绩效考核现状研究

    Institute of Scientific and Technical Information of China (English)

    董秀娟; 张育洁; 宋亚静

    2014-01-01

    Institutions are special public service organizations in China. They are the main carriers of social management and public service function, and an important part of the government's economic and social management. With the increasingly deepening reform of the personnel, institutions began to give priority to personnel appointment system, and then from 2009 to 2009, starting from the compulsory education institutions to implement performance salary. The implementation of a series of reform calls for the establishment of scientific performance appraisal system. Effective performance appraisal can arouse the enthusiasm of staff, improve staff quality, and guarantee institutions goal. But due to weak institution human resources management concept and immature scientific management, most performance appraisal effectiveness is not good. Through investigation of the performance appraisal situation in the institutions of Tangshan this article summarizes the current situation of performance evaluation and the puts forward suggestions for the reform and development direction of institution performance evaluation.%事业单位是我国特殊的公共服务组织,是社会管理和公共服务职能的主要载体,是政府经济和社会管理的重要组成部分。随着其人事改革的日趋深入,事业单位开始以人事聘任制为主,紧接着从2009年到2010年,从义务教育开始的事业单位全面实行绩效工资,一系列改革的实施呼唤着科学的绩效考核体系的建立,有效的绩效考核能够调动职工积极性、提高职工素质、保证事业单位目标的实现。但由于事业单位人力资源管理理念淡薄、科学管理行为不成熟等原因,绩效考核大多效用不高。本文通过对唐山市事业单位绩效考核情况的调查,总结了唐山市事业单位绩效考核的现状,并对事业单位绩效考核的改革和发展方向提出了建议。

  8. Thinking of the Current Macroeconomic Situation%对我国当前宏观经济形势的思考

    Institute of Scientific and Technical Information of China (English)

    郁鸿元

    2012-01-01

    Since 2012, China's economic growth is facing greater downward pressure. Correctly understand and grasp the current economic situation, the new changes in the economic development needs to be on the medium-and long-term economic trends analysis. Recent years, the economic situation changes, and macroeconomic policy direction of short-period adjustment reflects the difficult choices of policy between the three important regulatory goals of growth, structure and price. Deeper level, which is essentially that China's economic development has had a phase of rapid expansion of the scale, must move away from the traditional path dependence, taking a new road to industrialization. Now, the long-term problems of the economic transformation is manifested cycle fluctuations in short-term phenomenon, that short-term macroeconomic contradiction between supply and demand changes and the direction of the transformation of the macro-economic control, in fact reflect the stage of China's economic development and the development of way of being, and must undergo significant changes.%2012年以来,我国经济增长面临较大下行压力。正确认识和把握当前经济形势,需要将经济发展的新变化放到中长期经济发展趋势中分析。近年来的经济形势变化以及宏观政策方向的短周期调整反映了政策在增长、结构和物价3个重要调控目标之间的困难选择。从更深层次看,这实质上表明我国经济发展已经度过了规模快速扩张的阶段,必须摆脱传统路径依赖,走新型工业化道路。现在,经济转型的长期性问题正以周期波动的短期性现象表现出来,即短期内宏观经济总供求矛盾的变化和相应的宏观政策调控方向的变换,实际上反映的是我国经济发展阶段和发展方式正在和必须发生重大变化。

  9. Mapping the current situation in life and life satisfaction in specific areas of life Center for psychosocial rehabilitation clients, company MANA, ops Olomouc

    Directory of Open Access Journals (Sweden)

    Soňa Lemrová

    2014-12-01

    Full Text Available The paper is concerned with mapping the quality of life of individuals diagnosed with schizophrenia. Surveying the quality of life of schizophrenics may be complicated due to the symptomatology - e.g. negative results during the higher levels of anxiety. Apart from health: age, gender, occupation, family, social contacts, finances, opportunities for rehabilitation and psychoeducational programmes are all among the important factors of the individual quality of life. Our research group comprised 16 clients (male n=12, female n=4 of the Psychosocial Rehabilitation Centre, MANA o.p.s. Olomouc. Average age of our respondents was 38.2. Except for 4 male respondents, all the rest were unemployed at the time of the survey, 3 respondents were living alone, others with parents or a partner. Average age of the male respondents at the time of their first hospitalization was 22, of the female respondents 18.5. The Czech version of the Quality of life questionnaire (Dotazník životní spokojenosti - DŽS was the basis of our primary method. In view of the sociodemographic data of our respondents, we have surveyed the level of the individual quality of life in the areas of health, financial situation, oneself and friends, acquaintances and relatives. A supplementary method was based on the SEIQoL (Schedule for the Evaluation of Individual Quality of Life, a questionnaire for monitoring the importance of happiness with individually chosen life themes (QL and an overall level of quality of life (VAS. The goal was to ascertain the level of happiness in the aforementioned areas of life DŽS and the correlation with age, importance and quality of life themes and their correlation with current overall quality of life. The lowest level of happiness (DŽS was measured in the overall level of the current quality of life (VAS in connection to gender (male=60.7%, female=43.8%, but in view of the low number of female respondents (n=4 we consider this result an

  10. 大学生睡眠状况与影响因素分析研究%Current situation and influential factors of sleeping quality among college students

    Institute of Scientific and Technical Information of China (English)

    王靖

    2012-01-01

    Objective To investigate and analyze the relationship between the current situation and its influential factors of sleeping quality among college students, so as to provide basis for improving their sleeping quality. Methods The Pittsburgh Sleep Quality Index (PSQI) , Self-rating Depression Scale ( SDS) and the self-designed questionnaire of influential factors of sleeping quality were adopted. Results The average score of PSQI among 796 subjects was 5.43 ±0. 70. The number of subjects suffering sleeping disorder (PSQI≥8) was 142(17. 84% ). The detection rate of sleeping disorder between male and female was 13. 64% and 22. 00% respectively. Female was apparently higher than that of male (P 50) :The score of PSQI was closely linked to that of SDS. The score of the depression group was significantly higher than that of the normal group ( P < 0.05 ). The top three factors were:the study pressure,the surrounding of the dormitory,and the sleeping habits. Conclusions The situation of college students'sleeping quality was not good enough and the situation of the female was even worse than that of the male, which might be caused by depression and other factors.%目的 了解大学生的睡眠状况及其影响因素,为改善大学生睡眠状况提供科学依据.方法 以匹茨堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)及自制睡眠影响因素量表为测评工具,调查大学生睡眠状况及影响因素并分析.结果 796名大学生PSQI平均分为5.43±0.70.睡眠障碍者(PSQI≥8)[1]142人(占17.84%);男、女生睡眠障碍检出率分别为13.64%和22.00%,女生明显高于男生(P<0.01);大学生SDS测评29.65%学生存在抑郁(SDS≥50[2]):SDS与PSQI的各成份评分有密切关系,抑郁组学生PSQI各成分评分显著高于正常组(P<0.05);大学生自选影响其睡眠的因素列前三位的是学习困难、环境因素和睡前习惯.结论 大学生的睡眠状况欠佳,女生较男生严重,且与抑郁等多种因素相关.

  11. Situated Transgressiveness

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Sullivan, Katie Rose; Rich, Craig

    2016-01-01

    and perceives her trans body and gender identity. In particular, our analysis centres on how Claire's lived experience of personal and professional life shift across three different situated contexts, each enabling and constraining opportunities for political transgression. Our findings contribute to existing......This study investigates the lived experience of one transwoman, Claire, a public advocate and a manager with client services responsibilities. We examine Claire's story in order to discuss how situated contexts, such as different roles, locales and interactions, shape the way she experiences...... conversations within queer theory, transgender and organization studies by highlighting how situated contexts mediate the political potential of queer bodies at work. By developing the concept ‘situated transgressiveness’, this article challenges notions of transgender as a stable, ideal disruptive category...

  12. Situating Engagement

    DEFF Research Database (Denmark)

    Korn, Matthias

    can participate in the world. We experience a new participatory culture on the go. These developments offer new possibilities for civic engagement in participatory land use planning: to engage people where they are. This dissertation coins the notion of situated engagement, which seeks to ’situate......’ civic engagement activities in those spatial contexts that are at stake in land use planning. This approach enables engagement activities to be better integrated with people’s everyday lived experiences through connecting to the places that are personally meaningful and relevant to them. A ’research...... through design’ approach is applied across four participatory design experiments to explore how to design for situated engagement in land use planning. A notion of a situated engagement infrastructure made up of mobile, stationary, ubiquitous, and remote systems frames the design experiments suggesting...

  13. 海南省观赏水族行业的发展前景及对策%Current Situation of Decorative Fishery in Hainan and Development Suggestions

    Institute of Scientific and Technical Information of China (English)

    张希; 杨宁; 黄海

    2012-01-01

    An important part of recreational fisheries is decorative fishery,which will become a trend in China.Decorative fishery is also an important direction of development in the building process of Hainan international tourism Island.On the base of the deep-going analysis about the current situation of decorative fishery development in Hainan,the main questions of decorative fish cultivation and market were found.At the same time many suggestions were brought up,such as exploiting the biological resources of Hainan Island;Strengthening the efforts of research institutes aquaculture R & D;introducing new varieties of ornamental species;Strengthening market management etc,which will benefit the rational utilization of tropical biological resources and increase a whole competitive advantage of Hainan decorative fishery industry.%观赏水族业是休闲渔业的重要组成部分,海南具有大力发展热带观赏水族行业的潜力。对海南省观赏水族市场进行深入调查,分析和总结海南省观赏水族行业的发展现状和存在的问题,提出发挥海南区位优势、挖掘本地热带生物资源、加强科研力量、引进国外观赏水族新品种、加强产业引导和市场管理等建议,促进热带生物资源的合理利用和观赏水族业结构的多元化,增加海南省观赏水族业的整体竞争优势。

  14. 初中语文合作学习的研究与现状%Research and Current Situation of Cooperative Learning in Junior Chinese

    Institute of Scientific and Technical Information of China (English)

    陆际红

    2015-01-01

    Cooperative learning is "the most important and the most successful education reform in recent decades"in the edu-cation field, as this learning strategy has changed the previous dull atmosphere in teachers' classroom teaching, made contem-porary class more colorful and more scientific and efficient. How-ever, cooperative learning is not widely implemented in junior Chinese teaching at the present stage, and even the styles of its scarce applications in classroom teaching are not standard and the effect of its practice is not significant. This paper explores the development, current situation and significance of cooperative learning, hoping to provide some references for the reform of ju-nior Chinese classroom teaching.%合作学习是教育界“几十年来最重要和最成功的教育改革”,这样的学习策略一改往日教师班级授课的沉闷,使得现代的课堂变得更加丰富精彩,变得更加科学实效。但是,现阶段初中语文合作学习的开展并不普遍,即便是课堂教学中适时应用,但是其应用的方式并不规范,其实践的效果也不显著。本文就合作学习的发展,现状及意义等方面进行探讨,希望能对初中语文课堂教学改革提供参考。

  15. ICP-MS仪器的过去、现在和未来%The Past,Current Situation and Developing Trend of ICP-MS

    Institute of Scientific and Technical Information of China (English)

    李金英; 徐书荣

    2011-01-01

    本文从ICP-MS仪器的各个结构组成,介绍了ICP-MS仪器硬件的发展历史和展望,其中重点讨论了ICP-MS进样系统、离子透镜和池技术的发展现状和趋势。越来越多的ICP-MS配置了提升量小、雾化效率高的雾化器,Peltier效应半导体精密控温雾室以及可拆卸式的炬管,而直角偏转的离子透镜也逐渐成为潮流,这些因素提高了ICP-MS在分析高盐样品时的长期稳定性的同时,降低了仪器维护的频率和难度。%Inductively Coupled Plasma Mass Spectrometer hardware history and prospect are introduced based on its framework.Current situation and developing trend of ICP-MS sample introduction system,ion lens and cell technology are the main points to discuss.More and more ICP-MS equip with low uptake,high efficiency nebulizer,Peltier effect temperature precisely controlled chamber and detachable torch,and prevailing right angle defection ion lens,all these factors improve the long term stability for high total dissolved salt samples,and lower the frequency and difficulty of maintenance.

  16. 我国椰子副产物的利用现状及对策%Current Situation and Countermeasures of Utilization of Coconut By -product in China

    Institute of Scientific and Technical Information of China (English)

    曾鹏; 刘立云; 孙程旭; 冯美利

    2011-01-01

    The article investigated and analyzed the current situation of researches and utilization of coconut by -products (coconut pericarp, coconut water, coconut bran, coconut cake, coconut wood and coconut litter crack) in China, and pointed out the existent main problems in the utilization of coconut by -products, including low recognition degree and awareness of resource utilization, inadequate scientific research investment and low technological content of products, behindhand equipments and small scale production , imperfect policy and insufficient service system. The following countermeasures for the utilization of coconut by - products were proposed; government guidance and support, strengthening scientific research and development, integration of technology, establishing and improving the policy for the utilization of agricultural resources.%分析了我国椰子副产物利用的现状和存在问题,主要是椰子果皮、椰子水、椰麸、椰粕、椰子木和椰子枯落裂物的研究和利用现状,指出当前椰子副产物利用方面的主要问题是重视程度不够,资源利用意识低;科研投入不足,产品科技含量低;技术装备落后,生产规模小;政策不健全,服务体系缺乏等问题.并提出了其利用对策,包括:政府引导与支持;加强科研开发力度;技术集成;建立与健全农业资源化利用政策.

  17. Current situations and thinking of acupuncture and moxibustion in Jordan%针灸在约旦的现状和启示

    Institute of Scientific and Technical Information of China (English)

    武应臣

    2011-01-01

    介绍针灸在约旦的发展简史、现状、针灸诊所的开办和分布以及针灸术的操作和主治病种.针灸在约旦的发展始于20世纪90年代初,现在开办的大小针灸诊所约有20余家,全部为私人诊所,主要集中在约旦的首都安曼市.针灸从业人员多是在中国学习过针灸技术的本国西医大夫,水平良莠不齐;所治疗的疾病种类以疼痛和神经系统疾病居多.治疗疾病时针灸可单独使用,也可和物理疗法联合使用.%The brief history of acupuncture, its current situation, locations for acupuncture practitioners, the manipulation and indications of acupuncture in Jordan are introduced in this paper. The acupuncture treatment in Jordan started in the early 1990s. Now there are more than 20 private acupuncture clinics in different size, most in the capital city of Amman. Acupuncture practitioners are western doctors who studied acupuncture techniques in China. The indications of acupuncture in Jordan are pain and nervous system diseases. Acupuncture therapy can be applied single or combined with physical therapy.

  18. The current situation and future prospects of the development of bio-computer%生物计算机发展现状及未来展望

    Institute of Scientific and Technical Information of China (English)

    解晨

    2013-01-01

    作为20世纪最伟大发明之一的计算机,一直以来都以奇迹般的速度发展着,其硬件性能正如著名的摩尔定律所预测的那般,每两年翻一番.然而,路有尽头,由于物理上的限制,由晶体管构成的集成电路终就会走到不能再提升性能的一天.在晶体管集成电路山穷水尽的时候,计算机的性能要想再取得突破,就必须另辟蹊径,而生物计算机,就是最有潜力的发展方向之一.该文探究了生物计算机的发展现状,并对其未来做出了展望.%@@@@As the twentieth Century one of the greatest invention of the computer, has been a miracle of the speed of development, its hardware performance as the famous Moore's law predicts that, double every two years. However, the road has an end, because of physical limitations, integrated circuit composed of transistors will eventually go to can't improve the performance of the day. When the end of hills and rivers in the transistor integrated circuit, computer performance to achieve a breakthrough, we need, and biological computer, the direction of development is the most potential. This paper explores the current situation of the develop?ment of computer, and its future prospects.

  19. Current Situation and Revelation of Educational Informationization in UK' s Basic Education%英国基础教育信息化现状与启示

    Institute of Scientific and Technical Information of China (English)

    马宁; 周鹏琴; 谢敏漪

    2016-01-01

    Since comprehensively launching the educational informationization project in 1998, UK has obtained a lot of achievements in the educational informationization construction in the basic education through a series of measures, such as strategic plans, institution setting, ifnancial assistance, project support and evaluations. Based on the deep research of the strategic plans, policy reports, core organizations and the journal articles, this study fully introduced and analyzed the current situation of the educational informationization in UK' s basic education from the aspects of infrastructure, resource tools, computing course, the integration of ICT in the curriculums, teacher development, evaluation and management, etc. Then, we put forward the main points that deserve us to think and consult.%自1998年英国全面启动教育信息化工作以来,通过战略规划、机构设置、资金支持、项目立项、考核评估等一系列措施在基础教育信息化建设方面取得了不菲的成绩。该文通过对英国政府相关战略规划、政策报告、核心机构、期刊文献的深入研究,以及笔者亲身感受,从基础设施、资源工具、计算机课程设置、ICT与学科融合、教师发展、评价与管理等方面对当前英国基础教育信息化的现状进行了全面的分析与介绍,并提出了值得我们借鉴和思考的相关信息。

  20. 生物质能源发展现状研究%Current Situation of the Development of Biomass Energy Research

    Institute of Scientific and Technical Information of China (English)

    孙越天

    2015-01-01

    At present,biomass energy as a clean, environmental protection,widely distributed,new renewable energy gradually been paid great attention in the world.Based on the status,this paper is established in the current situation of the development of biomass energy in our country.It aims at analyzing the prospects of biomass energy development in China and make suggestions.I hope they are helpful to the development of biomass energy in China.%我国传统化石能源的安全正面临严峻的挑战,化石能源带来的环境损害问题也日益严重,因此,开发生物质能对推动我国能源结构转型具有重要意义。本文通过研究我国生物质能发展现状,旨在分析我国生物质能发展的前景,提出加大宣传、推广力度,大力培养生物质能的科研人才并加大科研投入,查清生物质能资源分布情况,加大储备量,创立完备的法制、政策保障体系等建议,希望对我国生物质能源的发展有所帮助。