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Sample records for cardioverter-defibrillators current situation

  1. The wearable cardioverter-defibrillator: current technology and evolving indications.

    Science.gov (United States)

    Reek, Sven; Burri, Haran; Roberts, Paul R; Perings, Christian; Epstein, Andrew E; Klein, Helmut U

    2016-10-04

    The wearable cardioverter-defibrillator has been available for over a decade and now is frequently prescribed for patients deemed at high arrhythmic risk in whom the underlying pathology is potentially reversible or who are awaiting an implantable cardioverter-defibrillator. The use of the wearable cardioverter-defibrillator is included in the new 2015 ESC guidelines for the management of ventricular arrhythmias and prevention of sudden cardiac death. The present review provides insight into the current technology and an overview of this approach.

  2. Who Needs an Implantable Cardioverter Defibrillator?

    Science.gov (United States)

    ... this page from the NHLBI on Twitter. Who Needs an Implantable Cardioverter Defibrillator? Implantable cardioverter defibrillators (ICDs) ... before. Some people who have heart failure may need a CRT-D device. This device combines a ...

  3. Spinal cord stimulation for refractory angina in a patient implanted with a cardioverter defibrillator.

    Science.gov (United States)

    Ferrero, Paolo; Grimaldi, Roberto; Massa, Riccardo; Chiribiri, Amedeo; De Luca, Anna; Castellano, Maddalena; Cardano, Paola; Trevi, Gian Paolo

    2007-01-01

    Spinal cord stimulation is currently used to treat refractory angina. Some concerns may arise about the possible interaction concerning the spinal cord stimulator in patients already implanted with a pacemaker or a cardioverter defibrillator. We are going to describe the successful implantation of a spinal cord stimulator in a patient previously implanted with a cardioverter defibrillator.

  4. Optimal Implantable Cardioverter Defibrillator Programming.

    Science.gov (United States)

    Shah, Bindi K

    Optimal programming of implantable cardioverter defibrillators (ICDs) is essential to appropriately treat ventricular tachyarrhythmias and to avoid unnecessary and inappropriate shocks. There have been a series of large clinical trials evaluating tailored programming of ICDs. We reviewed the clinical trials evaluating ICD therapies and detection, and the consensus statement on ICD programming. In doing so, we found that prolonged ICD detection times, higher rate cutoffs, and antitachycardia pacing (ATP) programming decreases inappropriate and painful therapies in a primary prevention population. The use of supraventricular tachyarrhythmia discriminators can also decrease inappropriate shocks. Tailored ICD programming using the knowledge gained from recent ICD trials can decrease inappropriate and unnecessary ICD therapies and decrease mortality.

  5. [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

  6. 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...

  7. An Entirely Subcutaneous Implantable Cardioverter-Defibrillator

    NARCIS (Netherlands)

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

    2010-01-01

    BACKGROUND 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, we conducted tw

  8. 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

  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 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 majority

  10. Living with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

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

    2017-01-01

    Hospital were asked to complete a purpose-designed and standardized set of questionnaires. The level of satisfaction with information provision was high; only 13.1% were dissatisfied. Psychological support for patients (39.9%), their relatives (43.1%), and deactivation of the ICD towards end of life (47......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. 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.

  12. 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...... of the rehabilitation group for exercise capacity, general and mental health. The aim of this paper is to explore the long-term health effects and cost implications associated with the rehabilitation programme; more specifically, (i) to compare implantable cardioverter defibrillator therapy history and mortality...... between rehabilitation and usual care groups; (ii) to examine the difference between rehabilitation and usual care groups in terms of time to first admission; and (iii) to determine attributable direct costs. METHODS: Patients with first-time implantable cardioverter defibrillator implantation (n = 196...

  13. 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...

  14. 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.

  15. Interference of electronic apex locators with implantable cardioverter defibrillators

    NARCIS (Netherlands)

    Idzahi, K.; de Cock, C.C.; Shemesh, H.; Brand, H.S.

    2014-01-01

    Introduction The purpose of this in vitro study was to evaluate the potential electromagnetic interference of electronic apex locators (EALs) on implantable cardioverter defibrillators (ICDs). Methods Four different EALs were tested for their ability to interfere with the correct function of 3 diffe

  16. Dental management of a patient fitted with subcutaneous Implantable Cardioverter Defibrillator device and concomitant warfarin treatment

    OpenAIRE

    Altaf Hussain Shah; Hesham Saleh Khalil; Mohammed Zaheer Kola

    2015-01-01

    Automated Implantable Cardioverter Defibrillators (AICD), simply known as an Implantable Cardioverter Defibrillator (ICD), has been used in patients for more than 30 years. An Implantable Cardioverter Defibrillator (ICD) is a small battery-powered electrical impulse generator that is implanted in patients who are at a risk of sudden cardiac death due to ventricular fibrillation, ventricular tachycardia or any such related event. Typically, patients with these types of occurrences are on antic...

  17. Lingular pneumonia obscured by implanted cardioverter-defibrillator: Lateral thinking.

    Science.gov (United States)

    Sewell, Laura; Harries, Ivan; Chandrasekaran, Barinathan

    2015-01-01

    A 56-year-old female with an implanted cardioverter-defibrillator was admitted with a short history suggestive of a diagnosis of pneumonia. An AP radiograph did not identify an area of consolidation. A subsequent lateral radiograph highlighted an extensive left-lingular-lobe consolidation that had been obscured by the cardiac device. This case highlights the fact that large devices can obscure significant pathology, and that lateral or cross-sectional imaging may be helpful in reaching a diagnosis.

  18. Lingular pneumonia obscured by implanted cardioverter-defibrillator: Lateral thinking

    OpenAIRE

    Laura Sewell, MD; Ivan Harries, MD; Barinathan Chandrasekaran, MD

    2015-01-01

    A 56-year-old female with an implanted cardioverter-defibrillator was admitted with a short history suggestive of a diagnosis of pneumonia. An AP radiograph did not identify an area of consolidation. A subsequent lateral radiograph highlighted an extensive left-lingular-lobe consolidation that had been obscured by the cardiac device. This case highlights the fact that large devices can obscure significant pathology, and that lateral or cross-sectional imaging may be helpful in reaching a diag...

  19. Making post-mortem implantable cardioverter defibrillator explantation safe

    OpenAIRE

    Räder, Sune B.E.W.; Zeijlemaker, Volkert; Pehrson, Steen; Svendsen, Jesper H

    2009-01-01

    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 t...

  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. 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.

  2. 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.

  3. 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....

  4. Lingular pneumonia obscured by implanted cardioverter-defibrillator: Lateral thinking

    Directory of Open Access Journals (Sweden)

    Laura Sewell, MD

    2015-01-01

    Full Text Available A 56-year-old female with an implanted cardioverter-defibrillator was admitted with a short history suggestive of a diagnosis of pneumonia. An AP radiograph did not identify an area of consolidation. A subsequent lateral radiograph highlighted an extensive left-lingular-lobe consolidation that had been obscured by the cardiac device. This case highlights the fact that large devices can obscure significant pathology, and that lateral or cross-sectional imaging may be helpful in reaching a diagnosis.

  5. Magnets and implantable cardioverter defibrillators: What′s the problem?

    Directory of Open Access Journals (Sweden)

    Yiliam F Rodriguez-Blanco

    2013-01-01

    Full Text Available A growing number of surgical patients present to the operating room with implantable cardioverter defibrillators (ICD. Peri-operative care of these patients dictates that ICD function be suspended for many surgical procedures to avoid inappropriate, and possibly harmful, ICD therapy triggered by electromagnetic interference (EMI. An alternative to reprogramming the ICD is the use of a magnet to temporarily suspend its function. However, this approach is not without complications. We report a case where magnet use failed to inhibit ICD sensing of EMI, and a shock was delivered to the patient. Measures to decrease EMI, controversies regarding magnet use, and expert recommendations are discussed.

  6. Magnets and implantable cardioverter defibrillators: what's the problem?

    Science.gov (United States)

    Rodriguez-Blanco, Yiliam F; Souki, Fouad; Tamayo, Evelyn; Candiotti, Keith

    2013-01-01

    A growing number of surgical patients present to the operating room with implantable cardioverter defibrillators (ICD). Peri-operative care of these patients dictates that ICD function be suspended for many surgical procedures to avoid inappropriate, and possibly harmful, ICD therapy triggered by electromagnetic interference (EMI). An alternative to reprogramming the ICD is the use of a magnet to temporarily suspend its function. However, this approach is not without complications. We report a case where magnet use failed to inhibit ICD sensing of EMI, and a shock was delivered to the patient. Measures to decrease EMI, controversies regarding magnet use, and expert recommendations are discussed.

  7. Making post-mortem implantable cardioverter defibrillator explantation safe

    DEFF Research Database (Denmark)

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

    2009-01-01

    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...... 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...

  8. [Guidelines on the management of implantable cardioverter defibrillators at the end of life].

    Science.gov (United States)

    Datino, T; Rexach, L; Vidán, M T; Alonso, A; Gándara, Á; Ruiz-García, J; Fontecha, B; Martínez-Sellés, M

    2014-01-01

    This article is a joint document of the Spanish Society of Geriatrics and Gerontology, the Spanish Society of Palliative Care and the Section of Geriatric Cardiology of the Spanish Society of Cardiology. Its aim is to address the huge gap that exists in Spain with regard to the management of implantable cardioverter defibrillators (ICDs) in the final stages of life. It is increasingly common to find patients carrying these devices that are in the terminal stage of an advanced disease. This occurs in patients with advanced heart disease and subsequent heart failure refractory to treatment but also in a patient with an ICD who develops cancer disease, organ failure or other neurodegenerative diseases with poor short-term prognosis. The vast majority of these patients are over 65, so the paper focuses particularly on the elderly who are in this situation, but the decision-making process is similar in younger patients with ICDs who are in the final phase of their life.

  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. 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....

  12. 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...

  13. 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....

  14. 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....

  15. 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

    OBJECTIVE: To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD). BACKGROUND: Partners distress may influence patient outcomes and is t......OBJECTIVE: To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD). BACKGROUND: Partners distress may influence patient outcomes...... (F = 10.71, p = .001) but poorer mental health status (F = 14.82, p compared to ICD partners (F = 3.68, p = .05) at 6 months follow-up, also in adjusted analyses. There was no significant difference between groups on anxiety. CONCLUSION: Caregivers of LVAD...... patients show higher distress levels compared to caregivers of ICD patients. LVAD partners may have a need for support beyond what is offered currently in clinical practice....

  16. 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

    Background: WEB-Based Distress Management Program for Implantable CARdioverter defibrillator Patients (WEBCARE) is a Web-based randomized controlled trial, designed to improve psychological well-being in patients with an implantable cardioverter defibrillator (ICD). As in other Web-based trials, ...

  17. Clinical efficacy and safety of an implantable cardioverter-defibrillator lead with a floating atrial sensing dipole

    DEFF Research Database (Denmark)

    Safak, Erdal; Schmitz, Dietmar; Konorza, Thomas;

    2013-01-01

    The concept of a single-lead implantable cardioverter-defibrillator (ICD), with a floating dipole, has been proven safe and functional.......The concept of a single-lead implantable cardioverter-defibrillator (ICD), with a floating dipole, has been proven safe and functional....

  18. 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.

  19. [Primary prevention of sudden cardiac death through a wearable cardioverter-defibrillator].

    Science.gov (United States)

    Gabrielli, Domenico; Benvenuto, Manuela; Baroni, Matteo; Oliva, Fabrizio; Capucci, Alessandro

    2015-01-01

    Nowadays, the implantable cardioverter-defibrillator is the gold standard for the prevention of sudden cardiac death due to tachyarrhythmias. However, its use is not free from short and long-term risks. In the last years, the wearable cardioverter-defibrillator (WCD) has become a widespread option for patients who need a safe and reversible protection against ventricular tachyarrhythmias. Notwithstanding this, its everyday application is restricted by several limitations, including the risk of inappropriate shocks, the device size and the need for strict compliance of both patients and caregivers. In this review, we report the most relevant literature data on WCD usage along with the main fields of applications and future perspectives.

  20. 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.

  1. The National Survey of Cardiac Pacemakers and Cardioverter Defibrillators

    Directory of Open Access Journals (Sweden)

    Gholamrerza Shafieian

    2006-07-01

    Full Text Available Background: Permanent pacemakers provide effective relief of symptoms and are life-saving in patients with symptomatic heart block. Implantable cardioverter defibrillators (ICD are also increasingly recognized as life-saving tools in various groups of patients with malignant ventricular tachyarrhythmias. Methods: As part of the “world survey on pacemaker and ICD implantations”, a survey of all device implantations in Iran during the year 2001 was performed. Data was collected and cross-checked through three sources i.e. direct contact with implanting physicians, pacemaker companies and the governmental pacemaker distributing body.Results: During the year studied, 1635 patients received permanent pacemakers. 88% were new implants at an estimated rate of 24 per million population. The mean age of patients was 65 years and 56.2% were male. 40 cardiologists and 19 surgeons implanted the pacemakers at 27 centers throughout the country. Complete heart block was consistently the most common indication at all centers (mean 56.1%, sick sinus syndrome being the next most common one (mean 20.8%. 69% of the pacemakers were single chamber pacemakers. Transvenous insertion of bipolar steroid-eluting passive fixation leads was the predominant practice at most centers. A total of 60 ICDs were implanted at 7 centers by 9 cardiologists. 45% of ICD implants were dual chamber devices.Conclusion: The survey is the only one available right now and provides useful information about the prevailing pacemaker and defibrillator implantation practice in Iran. Future surveys would be facilitated if a standardized implant registry such as that used in Europe were established in this country.

  2. 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 corr...

  3. 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

  4. 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

  5. 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

  6. 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...

  7. 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...

  8. 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...

  9. 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

  10. 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...

  11. 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

  12. Outcome of implantable cardioverter defibrillators in adults with congenital heart disease : a multi-centre study

    NARCIS (Netherlands)

    Yap, Sing-Chien; Roos-Hesselink, Jolien W.; Hoendermis, Elke S.; Budts, Werner; Vliegen, Hubert W.; Mulder, Barbara J. M.; van Dijk, Arie P. J.; Schalij, Martin J.; Drenthen, Willem

    2007-01-01

    Aims To investigate outcome and complications of implantable cardioverter defibrillators (ICDs) in adults with congenital heart disease (CHD) and to identify predictors of (in-) appropriate shocks. Methods and results Sixty-four CHD patients >= 18 years at first ICD implantation [63% tetralogy of Fa

  13. 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...

  14. 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

    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......-defibrillator (ICD) alone among patients with left ventricular systolic dysfunction, prolonged intraventricular conduction, and mild heart failure. DESIGN: Markov decision model. DATA SOURCES: Clinical trials, clinical registries, claims data from Centers for Medicare & Medicaid Services, and Centers for Disease...

  15. Conservative Management of Skin Fistula Occurring After Internal Cardioverter Defibrillator Replacement

    OpenAIRE

    2012-01-01

    Skin fistula occurring after cardiac electronic device implantation is frequently related to pocket infection and this condition typically requires removal of device and lead(s). We report on a case of skin fistula occurring 3 weeks after internal cardioverter defibrillator replacement. Conservative management consisted of local care along with oral antibiotics without removal of device; this strategy resulted in complete healing and closure of the fistula.

  16. Psychological effects of implantable cardioverter defibrillator shocks. A review of study methods

    OpenAIRE

    Manzoni, Gian Mauro; Castelnuovo, Gianluca; Compare, Angelo; Pagnini, Francesco; Essebag, Vidal; Proietti, Riccardo

    2015-01-01

    Background: The implantable cardioverter defibrillator (ICD) saves lives but clinical experience suggests that it may have detrimental effects on mental health. The ICD shock has been largely blamed as the main offender but empirical evidence is not consistent, perhaps because of methodological differences across studies. Objective: To appraise methodologies of studies that assessed the psychological effects of ICD shock and explore associations between methods and results. Data Sources...

  17. Psychological effects of implantable cardioverter defibrillator shocks. A review of study methods.

    OpenAIRE

    Gian Mauro eManzoni; Gianluca eCastelnuovo; Angelo eCompare; Francesco ePagnini; Vidal eEssebag; Riccardo eProietti

    2015-01-01

    BackgroundThe implantable cardioverter defibrillator (ICD) saves lives but clinical experience suggests that it may have detrimental effects on mental health. The ICD shock has been largely blamed as the main offender but empirical evidence is not consistent, perhaps because of methodological differences across studies. ObjectiveTo appraise methodologies of studies that assessed the psychological effects of ICD shock and explore associations between methods and results. Data Sources A compreh...

  18. Inappropriate implantable cardioverter defibrillator shock from a transcutaneous muscle stimulation device therapy.

    Science.gov (United States)

    Siu, Chung-Wah; Tse, Hung-Fat; Lau, Chu-Pak

    2005-06-01

    Inappropriate shock from implantable cardioverter defibrillator (ICD) may result from external electromagnetic interference (EMI), especially for unipolar ventricle sensing. Previous case reports and small in-vitro safety study suggested that endocardial bipolar lead system may be immune from EMI resulting from transcutaneous electrical neuromuscle stimulation (TENS) therapy. This report presents an unusual case of inappropriate discharge in a patient with ICD of endocardial bipolar lead system, receiving TENS from a commercially available device.

  19. Athletic participation in the young patient with an implantable cardioverter-defibrillator.

    Science.gov (United States)

    Lampert, Rachel; Law, Ian

    2017-01-01

    The decision of whether to allow a young patient with an implantable cardioverter-defibrillator to continue to participate in sports is complex and multi-factorial. The positive physical and psychosocial impact of sports participation must be weighed against the potential adverse events associated with implantable cardioverter-defibrillators. Arrhythmias appear to be more prevalent in athletes and occur more frequently during physical activity or competition/practice, but there is growing evidence that device therapy is effective in athletes across a wide range of competitive sports. Failure of a device to convert a life-threatening arrhythmia, major injury from a shock, and increased lead failure have thus far not been reported in the prospective Implantable Cardioverter-Defibrillator Sports Registry, but follow-up remains relatively short. Thoughtful consideration of disease state, arrhythmia risk, and the potential dangers of device therapy during the desired sports is imperative before allowing participation. Frank discussion with children and families regarding the possibility of shocks during sports, as well as at other times, is imperative. Ongoing and future studies will help guide these decisions.

  20. Dental management of a patient fitted with subcutaneous Implantable Cardioverter Defibrillator device and concomitant warfarin treatment.

    Science.gov (United States)

    Shah, Altaf Hussain; Khalil, Hesham Saleh; Kola, Mohammed Zaheer

    2015-07-01

    Automated Implantable Cardioverter Defibrillators (AICD), simply known as an Implantable Cardioverter Defibrillator (ICD), has been used in patients for more than 30 years. An Implantable Cardioverter Defibrillator (ICD) is a small battery-powered electrical impulse generator that is implanted in patients who are at a risk of sudden cardiac death due to ventricular fibrillation, ventricular tachycardia or any such related event. Typically, patients with these types of occurrences are on anticoagulant therapy. The desired International Normalized Ratio (INR) for these patients is in the range of 2-3 to prevent any subsequent cardiac event. These patients possess a challenge to the dentist in many ways, especially during oral surgical procedures, and these challenges include risk of sudden death, control of post-operative bleeding and pain. This article presents the dental management of a 60 year-old person with an ICD and concomitant anticoagulant therapy. The patient was on multiple medications and was treated for a grossly neglected mouth with multiple carious root stumps. This case report outlines the important issues in managing patients fitted with an ICD device and at a risk of sudden cardiac death.

  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. Cardioverter-defibrillator implantation to treat cardiac fibroma-induced ventricular tachycardia in a 70-year-old woman.

    Science.gov (United States)

    Hakim, Fayaz Ahmad; Pandit, Anil; Mookadam, Farouk; Mamby, Sylvia

    2014-06-01

    Benign cardiac fibroma is rarely reported in adults. Its clinical symptoms are related to outflow obstruction or dysrhythmias. We present the case of a 70-year-old woman who had a syncopal episode from ventricular tachycardia caused by cardiac fibroma. Because of unfavorable tumor anatomy, the patient was not a candidate for surgical excision, and she declined orthotopic heart transplantation. To prevent sudden cardiac death, we placed an implantable cardioverter-defibrillator, and the patient remained well throughout the 2-year follow-up period. To our knowledge, this is the first report of implantable cardioverter-defibrillator therapy to treat an adult patient's unresectable cardiac fibroma.

  4. Successful intermuscular implantation of subcutaneous implantable cardioverter defibrillator in a Japanese patient with pectus excavatum.

    Science.gov (United States)

    Kondo, Yusuke; Ueda, Marehiko; Winter, Joachim; Nakano, Miyo; Nakano, Masahiro; Ishimura, Masayuki; Miyazawa, Kazuo; Tateno, Kaoru; Kobayashi, Yoshio

    2017-02-01

    The entirely subcutaneous implantable cardioverter-defibrillator (ICD) system was developed to provide a life-saving defibrillation therapy that does not affect the heart and vasculature. The subcutaneous ICD is preferred over the transvenous ICD for patients with a history of recurrent infection presenting major life-threatening rhythms. In this case report, we describe the first successful intermuscular implantation of a completely subcutaneous ICD in a Japanese patient with pectus excavatum. There were no associated complications with the device implantation or lead positioning. Further, the defibrillation threshold testing did not pose any problem with the abnormal anatomy of the patient.

  5. 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

    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...... 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...

  6. Safety Profile of Liver FibroScan in Patients with Cardiac Pacemakers or Implantable Cardioverter-Defibrillators

    Science.gov (United States)

    Pranke, Stephanie; Rashidi, Farid; Nosib, Shravan; Worobetz, Lawrence

    2017-01-01

    Background. Emerging evidence suggests that nonalcoholic fatty liver disease (NAFLD) is associated with coronary artery diseases and arrhythmias. The FibroScan (Echosens, France), a widely available, noninvasive device, is able to detect liver fibrosis and steatosis within this patient population. However, the FibroScan is currently contraindicated in patients with cardiac pacemakers (PM) or implantable cardioverter-defibrillators (ICD). Objective. To determine the safety profile of FibroScan testing in patients with PM or ICD. Methods. Consecutive outpatients undergoing routine device interrogations at a tertiary level teaching hospital underwent simultaneous liver stiffness measurements. PM or ICD performance data, device types, patient demographics, medical history, and previous laboratory and conventional liver imaging results were collected. Results. Analysis of 107 subjects with 33 different types of implanted cardiac devices, from 5 different companies (Medtronic, Sorin, ELA Medical, Boston Scientific, and St. Jude), did not demonstrate any adverse events as defined by abnormal device sensing/pacing or ICD firing. This population included high risk subjects undergoing active pacing (n = 53) and with right pectoral PM placement (n = 1). None of the subjects had any clinical signs of decompensated congestive heart failure or cirrhosis during the exam. Conclusion. TE with FibroScan can be safely performed in patients with PM or ICD.

  7. Capsule endoscopy in patients with cardiac pacemakers, implantable cardioverter defibrillators and left heart assist devices.

    Science.gov (United States)

    Bandorski, Dirk; Höltgen, Reinhard; Stunder, Dominik; Keuchel, Martin

    2014-01-01

    According to the recommendations of the US Food and Drug Administration and manufacturers, capsule endoscopy should not be used in patients carrying implanted cardiac devices. For this review we considered studies indexed (until 30.06.2013) in Medline [keywords: capsule endoscopy, small bowel endoscopy, cardiac pacemaker, implantable cardioverter defibrillator, interference, left heart assist device], technical information from Given Imaging and one own publication (not listed in Medline). Several in vitro and in vivo studies included patients with implanted cardiac devices who underwent capsule endoscopy. No clinically relevant interference was noticed. Initial reports on interference with a simulating device were not reproduced. Furthermore technical data of PillCam (Given Imaging) demonstrate that the maximum transmission power is below the permitted limits for cardiac devices. Hence, impairment of cardiac pacemaker, defibrillator or left ventricular heart assist device function by capsule endoscopy is not expected. However, wireless telemetry can cause dysfunction of capsule endoscopy recording. Application of capsule endoscopy is feasible and safe in patients with implanted cardiac devices such as pacemakers, cardioverter defibrillators, and left heart assist devices. Development of new technologies warrants future re-evaluation.

  8. The use of guideline recommended beta-blocker therapy in primary prevention implantable cardioverter defibrillator patients

    DEFF Research Database (Denmark)

    Ruwald, Anne-Christine; Gislason, Gunnar Hilmar; Vinther, Michael

    2017-01-01

    Aims: We aimed to examine the use of guideline recommended beta-blocker therapy prior to and after primary prevention implantable cardioverter defibrillator (ICD) implantation in a 'real-life' setting. Methods and results: From the Danish Pacemaker and ICD Registry we identified all 1st-time prim......Aims: We aimed to examine the use of guideline recommended beta-blocker therapy prior to and after primary prevention implantable cardioverter defibrillator (ICD) implantation in a 'real-life' setting. Methods and results: From the Danish Pacemaker and ICD Registry we identified all 1st......-time primary prevention ICD and cardiac resynchronization therapy defibrillator (CRT-D) implantations in Denmark from 2007-12 (n = 2935). Use of beta-blocker, type and dose was acquired through the Danish Prescription Registry. According to guideline recommendations, we defined target daily doses as ≥50 mg...... carvedilol and ≥200 mg metoprolol. Prior to implantation 2427 of 2935 (83%) patients received beta-blocker therapy, with 2166 patients (89%) having initiated treatment 3 months or more prior to implantation. The majority of patients was prescribed carvedilol (52%) or metoprolol (41%). Patients on carvedilol...

  9. Psychological Functioning and Disease-Related Quality of Life in Pediatric Patients With an Implantable Cardioverter Defibrillator

    NARCIS (Netherlands)

    Koopman, H. M.; Vrijmoet-Wiersma, C. M. J.; Langius, J. N. D.; van den Heuvel, F.; Clur, S. A.; Blank, C. A.; Blom, N. A.; ten Harkel, A. D. J.

    2012-01-01

    The objective of this multicenter study was to evaluate psychological functioning and disease-related quality of life (DRQoL) in pediatric patients with an implantable cardioverter defibrillator (ICD) in The Netherlands. Thirty patients were investigated; the mean age was 16.3 years, and the mean du

  10. Conscious sedation as an anaesthetic technique in patients undergoing nonthoracotomy placement of automatic implantable cardioverter defibrillator : an initial experience.

    Directory of Open Access Journals (Sweden)

    Singh V

    2004-01-01

    Full Text Available Six adult patients with life threatening recurrent ventricular arrhythmias who underwent non- thoracotomy placement of automatic implantable cardioverter defibrillator under conscious sedation are reported. Our clinical experience, patient satisfaction, recovery profile, complications and cardiologist perception about the technique of conscious sedation is presented and discussed.

  11. Morphology discrimination in implantable cardioverter-defibrillators: Consistency of template match percentage during atrial tachyarrhythmias at different heart rates

    NARCIS (Netherlands)

    D.A.M.J. Theuns (Dominic); M. Rivero-Ayerza (Maximo); D. Goedhart (Dick); M. Miltenburg (Max); L.J.L.M. Jordaens (Luc)

    2008-01-01

    textabstractBackground: Morphology discrimination (MD) in implantable cardioverter-defibrillators (ICDs) is based on the comparison of the ventricular electrogram during tachycardia with a stored reference template obtained during baseline rhythm. However, the effect of heart rate on the template ma

  12. Economical aspect of PET/CT-guided diagnosis of suspected infective endocarditis in a patient with implantable cardioverter-defibrillator.

    Science.gov (United States)

    Farkowski, Michal M; Milkowski, Maciej; Dziuk, Mirosław; Pytkowski, Mariusz; Marciniak, Marta; Kraska, Alicja; Szwed, Hanna; Sterlinski, Maciej

    2014-01-01

    We present a case report of potential reduction of hospitalization costs due to utilization of PET/CT in a diagnostic work-up of a patient with an implantable cardioverter-defibrillator and suspicion of infective endocarditis. The PET/CT scan would have shorten hospital stay, prevented clinical complications and reduced the cost of hospitalization by 45%.

  13. 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...

  14. A review of economic evaluation models for cardiac resynchronization therapy with implantable cardioverter defibrillators in patients with heart failure

    NARCIS (Netherlands)

    Tomini, F.; van Asselt, A. D.

    2012-01-01

    OBJECTIVES: Cardiac resynchronization therapy with biventricular pacemaker (CRT-P) is considered an effective treatment for heart failure (HF). Adding implantable cardioverter defibrillators (CRT-D) may further reduce the risk of sudden cardiac death (SCD). However, economic evaluations have shown t

  15. 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...

  16. Strategic programming of detection and therapy parameters in implantable cardioverter-defibrillators reduces shocks in primary prevention patients - Results from the PREPARE (Primary Prevention Parameters Evaluation) study

    NARCIS (Netherlands)

    Wilkoff, Bruce L.; Williamson, Brian D.; Stern, Richard S.; Moore, Stephen L.; Lu, Fei; Lee, Sung W.; Birgersdotter-Green, Ulrika M.; Wathen, Mark S.; Van Gelder, Isabelle C.; Heubner, Brooke M.; Brown, Mark L.; Holloman, Keith K.

    2008-01-01

    Objectives Our purpose was to demonstrate that strategically chosen implantable cardioverter-defibrillator (ICD) ventricular tachycardia (VT) or ventricular fibrillation (VF) detection and therapy parameters can reduce the combined incidence of device-delivered shocks, arrhythmic syncope, and untrea

  17. 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....

  18. 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

    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......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....../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...

  19. Epileptic seizure in a patient with an implantable cardioverter-defibrillator: Quo vadis right ventricular lead?

    Science.gov (United States)

    Wedekind, Horst; Rozhnev, Andrey; Kleine-Katthöfer, Peter; Kranig, Wolfgang

    2016-03-01

    The case of a 77-year-old man admitted for suspected epileptic seizure is reported. Patient history showed implantation of a single-chamber implantable cardioverter-defibrillator (ICD) after cardiac arrest in 2007 with replacement in 2012 due to battery depletion; the patient reported no previous syncope, unconsciousness or seizures. Interrogation records of the ICD showed five ventricular tachyarrhythmia episodes that corresponded to the "seizure". Further examination revealed incorrect position of the RV-lead. Diagnosis was a provoked epileptic seizure due to undersensing of ventricular tachycardia because of improper ICD lead implantation in the coronary sinus. Treatment consisted of implantation of a new device with an additional ICD lead into the right ventricle.

  20. 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

    Background: Experienced emotions can affect the outcome of, and adherence to a cardiac rehabilitation program, and patients coping with an illness. With more awareness of the expressed emotions, health professionals might be better able to understand the reactions of patients and to improve...... 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...... the intensity of primary emotions in patients after implantation of an Implantable Cardioverter Defibrillator and 2) to compare them with both the intensity of primary emotions in patients with a recent Myocardial Infarction and with a healthy population. Method: The intensity of primary emotions in patients...

  1. 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

    -PATCH, CIDS, AVID, AMIOVIRT, SCD-HeFT, MADIT-II, and DEFINITE), evidence for an association between ICD shocks and quality of life is mixed, with some indication that the influence of shocks may depend largely on the interval between shocks and assessment of quality of life. In order to improve the clinical......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...... of life may not be as straightforward as previously assumed. Given that programming of the ICD is changing, leading to fewer shocks and improved quality of life, it may be timely to also examine the influence of other determinants (e.g., heart failure progression and the patient's psychological profile...

  2. 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

    further explained by the qualitative findings. Patients with better physical health learned how to interpret body signals and adjust exercise behavior and experienced increased physical capacity. Those with better mental health received support that assisted them to cope with the possibility of shock...... 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...

  3. 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

    of 1.1 definite BrS cases per 100 000 inhabitants. Most definite BrS patients were men (86%) and the median age at diagnosis was 48 years. A total of 35 definite BrS patients (81%) had an implantable cardioverter defibrillator (ICD) implanted and of these 9 (26%) experienced appropriate shocks and 3 (8......%) experienced inappropriate shocks during a median follow-up of 47 months. No patient died or experienced aborted sudden cardiac death during follow-up.ConclusionsWe report the first nationwide study of BrS patients. We found a low incidence of diagnosed definite BrS compared with estimates from ECG surveys....... Follow-up data show a lower rate of inappropriate therapies in ICD carriers than that reported in previous studies....

  4. 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......-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....

  5. Bilateral Subclavian Vein Occlusion in a SAPHO Syndrome Patient Who Needed an Implantable Cardioverter Defibrillator.

    Science.gov (United States)

    Ishizuka, Masato; Yamamoto, Yuko; Yamada, Shintaro; Maemura, Sonoko; Nakata, Ryo; Motozawa, Yoshihiro; Yamamoto, Keisuke; Takizawa, Masataka; Uozumi, Hiroki; Ikenouchi, Hiroshi

    2016-05-25

    A 79-year-old Asian man was hospitalized because of progressive exertional dyspnea with decreasing left ventricular ejection fraction and frequent non-sustained ventricular tachycardia. Pre-procedure venography for implantable cardioverter defibrillator (ICD) implantation showed occlusion of the bilateral subclavian veins. In consideration of subcutaneous humps in the sterno-clavicular area and palmoplantar pustulosis, we diagnosed him as having synovitis, acne, pustulosis, hyperostosis, osteitis (SAPHO) syndrome and speculated that it induced peri-osteal chronic inflammation in the sterno-clavicular area, resulting in occlusion of the adjacent bilateral subclavian veins. An automatic external defibrillator (AED) was installed in the patient's house and total subcutaneous ICD was considered. Venous thrombosis in SAPHO syndrome is not frequent but has been reported. To the best of our knowledge, this is the first case of bilateral subclavian vein occlusion in a SAPHO syndrome patient who needs ICD implantation.

  6. 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.

  7. Selective left ventricular sensing lead implantation to overcome undersensing of ventricular fibrillation during implantable cardioverter defibrillator implantation.

    Science.gov (United States)

    Steinberg, Christian; Philippon, François; O'Hara, Gilles; Molin, Franck

    2013-06-01

    Accurate sensing of malignant arrhythmia is critical for the appropriate delivery of therapy from implantable cardioverter defibrillators, and undersensing of ventricular tachyarrhythmias can have catastrophic consequences. Here, we present an unusual case of ventricular fibrillation undersensing from the right ventricular lead at multiple different implantation sites because of very low amplitude voltage signals during induced ventricular fibrillation. A left ventricular sensing electrode was implanted to allow correct sensing and therapy delivery.

  8. Obstetric hemorrhage in a case of hypertrophic obstructive cardiomyopathy with automatic implantable cardioverter defibrillator: Anaesthesia and intensive care management.

    Science.gov (United States)

    Mishra, Sandeep Kumar; Bhat, Ravindra R; Kavitha, Jayaram; Kundra, Pankaj; Parida, Satyen

    2016-01-01

    The physiological changes occurring during pregnancy and labor may reveal or exacerbate the symptoms of hypertrophic obstructive cardiomyopathy (HOCM). The addition of obstetric hemorrhage to this presents a unique challenge to the anesthesiologists and intensivists managing these patients in the operation theatres and the Intensive Care Units. Here we present a case of HOCM with automatic implantable cardioverter defibrillator in situ and postpartum hemorrhagic shock.

  9. [The Wearable Cardioverter Defibrillator (WCD) for the prevention of sudden cardiac death -- a single center experience].

    Science.gov (United States)

    Reek, S; Meltendorf, U; Geller, J C; Wollbrück, A; Grund, S; Klein, H U

    2002-12-01

    The Wearable Cardioverter Defibrillator (WCD) is an external defibrillator that automatically detects and treats ventricular tachyarrhythmias without the need for assistance from a bystander while at the same time allowing the patient to ambulate freely. The main components of the system are the defibrillator unit and a chest belt with electrodes for arrhythmia detection and therapy delivery. Between December 1998 and October 2001, 84 patients used the device at our institution. The majority of patients had a history of acute myocardial infarction or coronary artery bypass surgery with an increased risk for sudden cardiac death or were awaiting heart transplantation. During a mean follow-up of 116+/-90 days, 7 episodes of ventricular tachyarrhythmias were detected and terminated successfully by the WCD in 5 patients. In 9720 days, there was one inappropriate shock due to oversensing of electrical noise. Four patients died during follow-up; none of them had a cardiac arrest while wearing the device. Five patients were excluded because of irregularities in device use. An ICD was implanted in 24 patients at the end of the follow-up period. The WCD is effective in detecting and treating ventricular tachyarrhythmias in patients with an intermittently increased risk for sudden cardiac death. Further use of the system in larger patient populations is needed to confirm its safety and cost effectiveness.

  10. Psychological effects of implantable cardioverter defibrillator shocks. A review of study methods

    Science.gov (United States)

    Manzoni, Gian Mauro; Castelnuovo, Gianluca; Compare, Angelo; Pagnini, Francesco; Essebag, Vidal; Proietti, Riccardo

    2015-01-01

    Background: The implantable cardioverter defibrillator (ICD) saves lives but clinical experience suggests that it may have detrimental effects on mental health. The ICD shock has been largely blamed as the main offender but empirical evidence is not consistent, perhaps because of methodological differences across studies. Objective: To appraise methodologies of studies that assessed the psychological effects of ICD shock and explore associations between methods and results. Data Sources: A comprehensive search of English articles that were published between 1980 and 30 June 2013 was applied to the following electronic databases: PubMed, EMBASE, NHS HTA database, PsycINFO, Sciencedirect and CINAHL. Review Methods: Only studies testing the effects of ICD shock on psychological and quality of life outcomes were included. Data were extracted according to a PICOS pre-defined sheet including methods and study quality indicators. Results: Fifty-four observational studies and six randomized controlled trials met the inclusion criteria. Multiple differences in methods that were used to test the psychological effects of ICD shock were found across them. No significant association with results was observed. Conclusions: Methodological heterogeneity of study methods is too wide and limits any quantitative attempt to account for the mixed findings. Well-built and standardized research is urgently needed. PMID:25698991

  11. 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

  12. Changes in psychosocial distress in outpatients with heart failure with implantable cardioverter defibrillators.

    Science.gov (United States)

    Thomas, Sue A; Friedmann, Erika; Gottlieb, Stephen S; Liu, Fang; Morton, Patricia G; Chapa, Deborah W; Lee, Hyeon-Joo; Nahm, Eun-Shim

    2009-01-01

    Patients given implantable cardioverter defibrillators (ICDs) after arrhythmic events or sudden cardiac arrest (SCA) experience psychosocial distress. ICDs now are inserted for the primary prevention of SCA in patients with heart failure; the psychosocial impact of ICDs on patients with heart failure is unknown. Changes in psychosocial status in these ICD recipients were examined. ICD recipients (n = 57) completed depression, anxiety, and social support inventories every 6 months for up to 2 years. Initially, 35% of recipients were depressed and 45% of recipients were anxious. In linear mixed models, depression decreased over time overall but increased in those who experienced ICD shocks. Anxiety decreased in New York Heart Association class III ICD recipients but not in class II ICD recipients. Decreases in social support were related to age: the younger the patient the greater the decrease. A significant proportion of ICD recipients were depressed or anxious, or had diminished social support even after 2 years. Investigation of strategies to improve ICD recipients' psychosocial status is warranted.

  13. Indications for implantable cardioverter-defibrillators based on evidence and judgment.

    Science.gov (United States)

    Myerburg, Robert J; Reddy, Vivek; Castellanos, Agustin

    2009-08-25

    Implantable cardioverter-defibrillators (ICDs) are generally reliable medical devices that have the potential to add quality years of life for appropriate candidates. Indications for ICDs have emerged from a series of randomized clinical trials, observational data from cohorts of high-risk patients with less common diseases, and expert opinion based on limited data in uncommon disorders. The randomized trials are limited by inadequate stratification designs that resulted from insufficient funding availability. The result was outcomes that led to uneven applications, based in part on post-implant experience of device utilization. In this document, we explore the basis for the features of the evidence available to support ICD use, the role of clinical judgment in circumstances in which data are limited or lacking, and the need for additional research to improve the specificity of indications. Directions for new research initiatives are considered. In addition, a general overview of a clinical research paradigm is presented, in which the research and health care delivery arms of the health care enterprise combine in research design and funding, as the latter bears the impact of the outcomes of the former. Impact estimates during the design of trials, considering reasonable contingencies for outcomes, are suggested as a means of justifying the size, scope, and appropriate costs of studies. If we who are involved in clinical research and health care delivery do not resolve this problem, for both ICDs and other new therapies that appear in the future, society will do it for us.

  14. 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.

  15. A priori expectancy bias and its relation to shock experience and anxiety: a naturalistic study in patients with an automatic implantable cardioverter defibrillator.

    Science.gov (United States)

    Pauli, P; Wiedemann, G; Dengler, W; Kühlkamp, V

    2001-09-01

    Patients with an automatic implantable cardioverter defibrillator (AICD) may offer an unique naturalistic opportunity to study whether expectancy biases develop because of precipitating aversive or traumatic experiences and/or because of elevated anxiety. An expectancy bias and its associations with AICD discharge and anxiety was examined in 24 AICD patients with a thought experiment. While patients without AICD discharge exhibited no expectancy bias, patients with discharge experiences were found to expect that stimuli depicting medical emergency situations will be followed by an aversive consequence. The magnitude of their expectancy bias was positively correlated with their anxiety level. In the group with AICD discharge, patients with low anxiety levels exhibited no bias, while patients with high anxiety levels exhibited a rather strong bias. It seems that the experience of an aversive or traumatic event, here an AICD discharge, is a necessary (but not sufficient) precipitating event for the development of an expectancy bias. If such an event happens, trait anxiety level presumably determines if and how strong the expectancy bias will be.

  16. Single lead catheter of implantable cardioverter-defibrillator with floating atrial sensing dipole implanted via persistent left superior vena cava.

    Science.gov (United States)

    Malagù, Michele; Toselli, Tiziano; Bertini, Matteo

    2016-04-26

    Persistent left superior vena cava (LSVC) is a congenital anomaly with 0.3%-1% prevalence in the general population. It is usually asymptomatic but in case of transvenous lead positioning, i.e., for pacemaker or implantable cardioverter defibrillator (ICD), may be a cause for significant complications or unsuccessful implantation. Single lead ICD with atrial sensing dipole (ICD DX) is a safe and functional technology in patients without congenital abnormalities. We provide a review of the literature and a case report of successful implantation of an ICD DX in a patient with LSVC and its efficacy in treating ventricular arrhythmias.

  17. 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.

  18. 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.

  19. Sustaining cyborgs: sensing and tuning agencies of pacemakers and implantable cardioverter defibrillators.

    Science.gov (United States)

    Oudshoorn, Nelly

    2015-02-01

    Recently there has been a renewed interest in cyborgs, and particularly in new and emerging fusions of humans and technologies related to the development of human enhancement technologies. These studies reflect a trend to follow new and emerging technologies. In this article, I argue that it is important to study 'older' and more familiar cyborgs as well. Studying 'the old' is important because it enables us to recognize hybrids' embodied experiences. This article addresses two of these older hybrids: pacemakers and implantable cardioverter defibrillators inserted in the bodies of people suffering from heart-rhythm disturbances. My concern with hybrid bodies is that internal devices seem to present a complex and neglected case if we wish to understand human agency. Their 'users' seem to be passive because they cannot exert any direct control over the working of their devices. Technologies inside bodies challenge a longstanding tradition of theorizing human-technology relations only in terms of technologies external to the body. Cyborg theory is problematic as well because most studies tend to conceptualize the cyborg merely as a discursive entity and silence the voices of people living as cyborgs. Inspired by feminist research that foregrounds the materiality of the lived and intimate relations between bodies and technologies, I argue that creating these intimate relations requires patients' active involvement in sustaining their hybrid bodies. Based on observations of these monitoring practices in a Dutch hospital and interviews with patients and technicians, the article shows that heart cyborgs are far from passive. On the contrary, their unique experience in sensing the entangled agencies of technologies and their own heart plays a crucial role in sustaining their hybrid bodies.

  20. Rationale and design of the PRAETORIAN trial: A Prospective, RAndomizEd comparison of subcuTaneOus and tRansvenous ImplANtable cardioverter- defibrillator therapy

    NARCIS (Netherlands)

    L.R.A. Olde Nordkamp (Louise R.A.); R.E. Knops (Reinoud); G.H. Bardy (Gust); Y. Blaauw (Yuri); L. Boersma (Lucas); J.S. Bos (Johannes); P.P.H.M. Delnoy (Peter Paul); P.F.H.M. van Pascal; A.H.G. Driessen (Antoine); J.R. de Groot (Joris); J.P.R. Herrman; L.J.L.M. Jordaens (Luc); K.M. Kooiman (Kirsten); A.H. Maass (Alexander); M. Meine (Mathias); Y. Mizusawa (Yuka); S.G. Molhoek (Sander); J. van Opstal (Jurjen); J.G.P. Tijssen (Jan); A.A.M. Wilde (Arthur)

    2012-01-01

    textabstractBackground: Implantable cardioverter-defibrillators (ICDs) are widely used to prevent fatal outcomes associated with life-threatening arrhythmic episodes in a variety of cardiac diseases. These ICDs rely on transvenous leads for cardiac sensing and defibrillation. A new entirely subcutan

  1. 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 anxie...

  2. 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...

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

    NARCIS (Netherlands)

    M.T. Hoogwegt (Madelein); N. Kupper (Nina); D.A.M.J. Theuns (Dominic); L.J.L.M. Jordaens (Luc); S.S. Pedersen (Susanne)

    2012-01-01

    textabstractBeta-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.

  4. 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.

  5. Serum-Based Oxylipins Are Associated with Outcomes in Primary Prevention Implantable Cardioverter Defibrillator Patients

    Science.gov (United States)

    Zhang, Yiyi; Guallar, Eliseo; Blasco-Colmenares, Elena; Harms, Amy C.; Vreeken, Rob J.; Hankemeier, Thomas; Tomaselli, Gordon F.; Cheng, Alan

    2016-01-01

    Introduction Individuals with systolic heart failure are at risk of ventricular arrhythmias and all-cause mortality. Little is known regarding the mechanisms underlying these events. We sought to better understand if oxylipins, a diverse class of lipid metabolites derived from the oxidation of polyunsaturated fatty acids, were associated with these outcomes in recipients of primary prevention implantable cardioverter defibrillators (ICDs). Methods Among 479 individuals from the PROSE-ICD study, baseline serum were analyzed and quantitatively profiled for 35 known biologically relevant oxylipin metabolites. Associations with ICD shocks for ventricular arrhythmias and all-cause mortality were evaluated using Cox proportional hazards models. Results Six oxylipins, 17,18-DiHETE (HR = 0.83, 95% CI 0.70 to 0.99 per SD change in oxylipin level), 19,20-DiHDPA (HR = 0.79, 95% CI 0.63 to 0.98), 5,6-DiHETrE (HR = 0.73, 95% CI 0.58 to 0.91), 8,9-DiHETrE (HR = 0.76, 95% CI 0.62 to 0.95), 9,10-DiHOME (HR = 0.81, 95% CI 0.65 to 1.00), and PGF1α (HR = 1.33, 95% CI 1.04 to 1.71) were associated with the risk of appropriate ICD shock after multivariate adjustment for clinical factors. Additionally, 4 oxylipin-to-precursor ratios, 15S-HEPE / FA (20:5-ω3), 17,18-DiHETE / FA (20:5-ω3), 19,20-DiHDPA / FA (20:5-ω3), and 5S-HEPE / FA (20:5-ω3) were positively associated with the risk of all-cause mortality. Conclusion In a prospective cohort of patients with primary prevention ICDs, we identified several novel oxylipin markers that were associated with appropriate shock and mortality using metabolic profiling techniques. These findings may provide new insight into the potential biologic pathways leading to adverse events in this patient population. PMID:27281224

  6. 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...

  7. Outcomes in African-Americans Undergoing Cardioverter Defibrillators Implantation for Primary Prevention of Sudden Cardiac Death: Findings from The Prospective Observational Study of Implantable Cardioverter-Defibrillators (PROSE-ICD)

    Science.gov (United States)

    Zhang, Yiyi; Kennedy, Robert; Blasco-Colmenares, Elena; Butcher, Barbara; Norgard, Sanaz; Eldadah, Zayd; Dickfeld, Timm; Ellenbogen, Kenneth A.; Marine, Joseph E.; Guallar, Eliseo; Tomaselli, Gordon F.; Cheng, Alan

    2014-01-01

    Background Implantable cardioverter defibrillators (ICDs) reduce the risk of death in patients with left ventricular dysfunction. Little is known regarding the benefit of this therapy in African-Americans (AA). Objective To determine the association between African-American race and outcomes in a cohort of primary prevention cardioverter defibrillators (ICD) patients. Methods We conducted a prospective cohort study of patients with systolic heart failure who underwent ICD implantation for primary prevention of sudden cardiac death. The primary endpoint was appropriate ICD shock defined as a shock for rapid ventricular tachyarrhythmias. The secondary endpoint was all-cause mortality. Results There were 1,189 patients (447 AAs and 712 non-AAs) enrolled. Over a median follow-up of 5.1 years, a total of 137 patients experienced an appropriate ICD shock, and 343 died (294 of whom died without receiving an appropriate ICD shock). The multivariate adjusted hazard ratios (95% CI) comparing AAs vs. non-AAs were 1.24 (0.96 to 1.59) for all-cause mortality, 1.33 (1.02, 1.74) for all-cause mortality without receiving appropriate ICD shock, and 0.78 (0.51, 1.19) for appropriate ICD shock. Ejection fraction, diabetes, and hypertension appeared to explain 24.1% (10.1 to 69.5%), 18.7% (5.3 to 58.0%), and 13.6% (3.8 to 53.6%) of the excess risk of mortality in AAs, with a large proportion of the mortality difference remains unexplained. Conclusions In patients with primary prevention ICDs, AAs had an increased risk of dying without receiving an appropriate ICD shock compared to non-AAs. PMID:24793459

  8. Programmed Ventricular Stimulation to Risk Stratify for Early Cardioverter-Defibrillator Implantation to Prevent Tachyarrhythmias following Acute Myocardial Infarction (PROTECT-ICD): Trial Protocol, Background and Significance.

    Science.gov (United States)

    Zaman, Sarah; Taylor, Andrew J; Stiles, Martin; Chow, Clara; Kovoor, Pramesh

    2016-11-01

    The 'Programmed Ventricular Stimulation to Risk Stratify for Early Cardioverter-Defibrillator Implantation to Prevent Tachyarrhythmias following Acute Myocardial Infarction' (PROTECT-ICD) trial is an Australian-led multicentre randomised controlled trial targeting prevention of sudden cardiac death in patients who have at least moderately reduced cardiac function following a myocardial infarct (MI). The primary objective of the trial is to assess whether electrophysiological study to guide prophylactic implantation of an implantable cardioverter-defibrillator (ICD) early following MI (first 40 days) will lead to a significant reduction in sudden cardiac death and non-fatal arrhythmia. The secondary objective is to assess the utility of cardiac MRI (CMR) in assessing early myocardial characteristics, and its predictive value for both inducible ventricular tachycardia (VT) at EPS and SCD/ non-fatal arrhythmia at follow-up.

  9. Rationale and design of the PRAETORIAN trial: A Prospective, RAndomizEd comparison of subcuTaneOus and tRansvenous ImplANtable cardioverter- defibrillator therapy

    OpenAIRE

    Olde Nordkamp, Louise R.A.; Knops, Reinoud; Bardy, Gust; Blaauw, Yuri; Boersma, Lucas; Bos, Johannes; Delnoy, Peter Paul; Pascal, P.F.H.M.; Driessen, Antoine; Groot, Joris; Herrman, J.P.R.; Jordaens, Luc; Kooiman, Kirsten; Maass, Alexander; Meine, Mathias

    2012-01-01

    textabstractBackground: Implantable cardioverter-defibrillators (ICDs) are widely used to prevent fatal outcomes associated with life-threatening arrhythmic episodes in a variety of cardiac diseases. These ICDs rely on transvenous leads for cardiac sensing and defibrillation. A new entirely subcutaneous ICD overcomes problems associated with transvenous leads. However, the role of the subcutaneous ICD as an adjunctive or primary therapy in patients at risk for sudden cardiac death is unclear....

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

    OpenAIRE

    Hoogwegt, Madelein; Kupper, Nina; Theuns, Dominic; Jordaens, Luc; Pedersen, Susanne

    2012-01-01

    textabstractBeta-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. Between 2003 a...

  11. 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....

  12. 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.

  13. Inhibition of bradycardia pacing caused by far-field atrial sensing in a third-generation cardioverter defibrillator with an automatic gain feature.

    Science.gov (United States)

    Curwin, J H; Roelke, M; Ruskin, J N

    1996-01-01

    The diagnostic accuracy of implantable cardioverter defibrillators may be improved by automatically adjusting gain algorithms, which in general reduce the likelihood of oversensing while maintaining the ability to detect the low amplitude signals associated with ventricular fibrillation. We present a patient with a third-generation device who developed prolonged ventricular asystole arising as a complication of the automatic gain feature. During asystole the device automatically increased sensitivity in order to prevent undersensing of ventricular fibrillation, which in this case resulted in far-field sensing of atrial activity and inhibition of ventricular pacing.

  14. 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.

  15. Potential clinical impact of cardiovascular magnetic resonance assessment of ejection fraction on eligibility for cardioverter defibrillator implantation

    Directory of Open Access Journals (Sweden)

    Joshi Subodh B

    2012-10-01

    Full Text Available Abstract Background For the primary prevention of sudden cardiac death, guidelines provide left ventricular ejection fraction (EF criteria for implantable cardioverter defibrillator (ICD placement without specifying the technique by which it should be measured. We sought to investigate the potential impact of performing cardiovascular magnetic resonance (CMR for EF on ICD eligibility. Methods The study population consisted of patients being considered for ICD implantation who were referred for EF assessment by CMR. Patients who underwent CMR within 30 days of echocardiography were included. Echocardiographic EF was determined by Simpson’s biplane method and CMR EF was measured by Simpson’s summation of discs method. Results Fifty-two patients (age 62±15 years, 81% male had a mean EF of 38 ± 14% by echocardiography and 35 ± 14% by CMR. CMR had greater reproducibility than echocardiography for both intra-observer (ICC, 0.98 vs 0.94 and inter-observer comparisons (ICC 0.99 vs 0.93. The limits of agreement comparing CMR and echocardiographic EF were – 16 to +10 percentage points. CMR resulted in 11 of 52 (21% and 5 of 52 (10% of patients being reclassified regarding ICD eligibility at the EF thresholds of 35 and 30% respectively. Among patients with an echocardiographic EF of between 25 and 40%, 9 of 22 (41% were reclassified by CMR at either the 35 or 30% threshold. Echocardiography identified only 1 of the 6 patients with left ventricular thrombus noted incidentally on CMR. Conclusions CMR resulted in 21% of patients being reclassified regarding ICD eligibility when strict EF criteria were used. In addition, CMR detected unexpected left ventricular thrombus in almost 10% of patients. Our findings suggest that the use of CMR for EF assessment may have a substantial impact on management in patients being considered for ICD implantation.

  16. 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.

  17. 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.

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

    Science.gov (United States)

    Maia, A C C O; Braga, A A; Soares-Filho, G; Pereira, V; Nardi, A E; Silva, A C

    2014-04-01

    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.

  19. 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.

  20. [Rehabilitation of patients with cardiac pacemakers and implanted cardioverter-defibrillators: recommendations for training, physiotherapeutic procedures and re-employment].

    Science.gov (United States)

    Reibis, R K; Kamke, W; Langheim, E; Völler, H

    2010-04-01

    Rehabilitation of patients with cardiac pacemakers (CP) or implantable cardioverter defibrillators (ICD) comprises secondary prevention of underlying cardiac disease, conditioning training activities and psychological education and includes furthermore the assessment of aggregate function, detection of any device malfunction as well as the return to work efforts. The extent to which the physical activities can be permitted is determined by both cardiopulmonary capacity and the primary arrhythmic indication. Under consideration of upper frequency limit, left ventricular dysfunction and the avoidance of mechanical exposure on device can and leads, an individually designed training programme is acceptable even on a high load level. Likewise, electrotherapeutic procedures due to musculoskeletal pain syndrome are not generally contraindicated, if differentiated limitations are respected. Beside the assessment of aggregate function and, if necessary, parameter optimization, psychologic intervention programs play an important role particularly in ICD-patients and can be utilized as an additive therapeutic module. Personalized recommendations for driving with an ICD are determined by the time interval since idex arrhythmia and the rhythmological risk profile as well as by the motor vehicle class. The return to work rate of CP and ICD patients is resumably influenced by the underlying cardiac disease and to a lesser extend by the implanted device. Except industrial jobs the risk of electromagnetic interference during the working process is low and can be objected by working place analysis including noise field measurement. Thus cardiac of CP and ICD patients should be used to a large extend for the recovery of individual physical and psychological integrity as well as for the organisation of reemployment.

  1. Rationale and design of the PRAETORIAN trial : A Prospective, RAndomizEd comparison of subcuTaneOus and tRansvenous ImplANtable cardioverter-defibrillator therapy

    NARCIS (Netherlands)

    Nordkamp, Louise R. A. Olde; Knops, Reinoud E.; Bardy, Gust H.; Blaauw, Yuri; Boersma, Lucas V. A.; Bos, Johannes S.; Delnoy, Peter Paul H. M.; van Dessel, Pascal F. H. M.; Driessen, Antoine H. G.; de Groot, Joris R.; Herrman, Jean Paul R.; Jordaens, Luc J. L. M.; Kooiman, Kirsten M.; Maass, Alexander H.; Meine, Mathias; Mizusawa, Yuka; Molhoek, Sander G.; van Opstal, Jurjen; Tijssen, Jan G. P.; Wilde, Arthur A. M.

    2012-01-01

    Background Implantable cardioverter-defibrillators (ICDs) are widely used to prevent fatal outcomes associated with life-threatening arrhythmic episodes in a variety of cardiac diseases. These ICDs rely on transvenous leads for cardiac sensing and defibrillation. A new entirely subcutaneous ICD over

  2. 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

  3. 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

  4. 77 FR 20873 - Qualification of Drivers; Application for Exemptions; Implantable Cardioverter Defibrillators

    Science.gov (United States)

    2012-04-06

    ... person has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary... criteria indicate that: The term ``has no current clinical diagnosis of'' (1) a current cardiovascular.... The term ``known to be accompanied by'' is designed to include a clinical diagnosis of...

  5. 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...

  6. 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.

  7. 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......, respectively, a history of IAT at baseline and time-dependent development of in-trial IAT during follow-up in 1,264 patients with LBBB enrolled in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy) study. RESULTS: The overall beneficial effect of CRT...... of in-trial atrial tachyarrhythmias. (MADIT-CRT: Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy; NCT00180271)....

  8. A Young Man Presenting with Pleuritic Chest Pain and Fever after Electrophysiological Study and Implantable Cardioverter-Defibrillator Placement: Diagnostic Difficulties and Value of Bedside Thoracic Sonography.

    Science.gov (United States)

    Faraone, Antonio; Fortini, Alberto

    2015-01-01

    We describe the case of a 23-year-old man presenting with recurrent pleuritic chest pain and prolonged fever after electrophysiology testing and placement of an implantable cardioverter-defibrillator because of a suspected arrhythmogenic right ventricular dysplasia. The clinical suspicion was initially directed toward pneumonia with pleural effusion and later toward an infection of the cardiac device complicated by septic pulmonary embolism. The definitive diagnosis of pulmonary embolism and infarction was suggested by a point-of-care thoracic sonography, performed at the bedside by a clinician caring for the patient, and then confirmed by contrast enhanced computed tomography, which also showed thrombosis of the left iliofemoral vein, site of percutaneous puncture for cardiac catheterization. Prolonged fever was attributable to a concomitant Epstein-Barr virus primary infection that acted as confounding factor. The present report confirms the value of bedside thoracic sonography in the diagnostic evaluation of patients with nonspecific respiratory symptoms.

  9. A Young Man Presenting with Pleuritic Chest Pain and Fever after Electrophysiological Study and Implantable Cardioverter-Defibrillator Placement: Diagnostic Difficulties and Value of Bedside Thoracic Sonography

    Directory of Open Access Journals (Sweden)

    Antonio Faraone

    2015-01-01

    Full Text Available We describe the case of a 23-year-old man presenting with recurrent pleuritic chest pain and prolonged fever after electrophysiology testing and placement of an implantable cardioverter-defibrillator because of a suspected arrhythmogenic right ventricular dysplasia. The clinical suspicion was initially directed toward pneumonia with pleural effusion and later toward an infection of the cardiac device complicated by septic pulmonary embolism. The definitive diagnosis of pulmonary embolism and infarction was suggested by a point-of-care thoracic sonography, performed at the bedside by a clinician caring for the patient, and then confirmed by contrast enhanced computed tomography, which also showed thrombosis of the left iliofemoral vein, site of percutaneous puncture for cardiac catheterization. Prolonged fever was attributable to a concomitant Epstein-Barr virus primary infection that acted as confounding factor. The present report confirms the value of bedside thoracic sonography in the diagnostic evaluation of patients with nonspecific respiratory symptoms.

  10. 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.

  11. 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

    .1] years) completed the Hospital Anxiety and Depression Scale 1 day before implantation. During follow-up, the ICD was interrogated at 3-month intervals. Cox proportional hazard regression analyses were used to examine the impact of depression on time to first appropriate ICD therapy and all-cause...... with an increased risk for all-cause mortality (unadjusted HR = 2.18, 95% CI = 1.36-3.49). Depression remained independently associated with all-cause mortality (HR = 1.94, 95% CI = 1.06-3.54, p = .031), after adjusting for demographic and clinical characteristics. Patients who remained depressed during the first 3...... months after implantation were at greatest risk for dying (HR = 2.88, 95% CI = 1.29-6.45, p = .010). Conclusions The current study showed that depression at the time of implant is not associated with time to first appropriate ICD therapy but almost doubled the risk for all-cause mortality in patients...

  12. 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

  13. Implantable cardioverter defibrillator - discharge

    Science.gov (United States)

    ... hair dryer, stove, CD player, remote controls, and microwave. There are several devices you should keep at ... Tell your provider about every shock you feel from your ICD. The settings of your ICD may need to be adjusted, or your medicines may need to ...

  14. Implantable cardioverter-defibrillator

    Science.gov (United States)

    ... the heart to beat in a more coordinated fashion. Why the Procedure is Performed An ICD is ... Controlling your high blood pressure Dietary fats explained Fast food tips Heart attack - discharge Heart disease - risk ...

  15. 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

  16. 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

  17. 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....

  18. 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

  19. Subcutaneous Implantable Cardioverter-Defibrillator

    Science.gov (United States)

    ... Search Donate Circulation My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Doodle → Blip the Doodle Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  20. The Clinical Application and Effect of Implantable Cardioverter Defibrillator(ICD)%经静脉植入埋藏式心脏复律除颤器的临床应用及效果观察

    Institute of Scientific and Technical Information of China (English)

    江自强

    2015-01-01

    Objective:to explore the clinical application and effect of implantable cardioverter defibrillator(icd). Methods:selecting and analyzing 80 cases of malignant ventricular arrhythmia, which are randomly divided into control group (treated with amiodarone) and treatment group(treated with the icd) . then comparing the effects. Results:the overall response rate(rr) of the treatment group is 95%, much higher than the other one(85%)(P0.05);yet after treatment, the heart rate of the treatment group is signiifcantly lower than the control group (P0.05);实验组治疗后心率,显著低于对照组(P<0.05);实验组治疗后Pr间期,显著高于对照组(P<0.05)。结论恶性室性心律失常采用静脉植入埋藏式心脏复律除颤器治疗效果理想,值得推广应用。

  1. 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

    The temporal effect of heart failure (HF) hospitalization occurring at different time periods before implantation has not yet been studied in detail. The aim of the present study was to investigate the potential association between time from last HF hospitalization to device implantation and effe......The temporal effect of heart failure (HF) hospitalization occurring at different time periods before implantation has not yet been studied in detail. The aim of the present study was to investigate the potential association between time from last HF hospitalization to device implantation...... and 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...

  2. 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.

  3. 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.

  4. Role of implantable cardioverter defibrillator therapy in patients with long QT syndrome%植入型心律转复除颤器在长QT综合征患者中的应用

    Institute of Scientific and Technical Information of China (English)

    孙奇; 陈柯萍; 陈若菡; 华伟; 浦介麟; 张澍

    2008-01-01

    Objective To observe the role of implantable cardioverter defibrillator (ICD) therapy in patients with long QT syndrome. Methods ICD were planted in eight patients [4 men,4 women, mean age (27.3±25.9) years] with long QT syndrome. In the follow-up,the parameters of ICD were adjusted according to ICD therapy. Result During the follow-up of (27.3±25.9)months, ICD recorded 101 VT/VF episodes in 3 patients. With the traditional ICD programming,44 VF episodes were recorded. After the device parameters were adjusted according the VF episodes,57 VT and 2 VF episodes were recorded,most of them serf-terminated or terminated by low-energy shock. Electrical storm was presented in a patient,and we terminated it by increas-ing the base pacing rate. Inappropriate shocks due to T-wave oversensing were found in two patients,and it was avoided through adjusting the post-sensed Decay Delay. Conclusion Optimal device programming according to ICD therapy significantly decreases inappropriate ICD shocks and fewer unnecessary battery depletion and un-necessary shocks.%目的 总结阜外心血管病医院应用植入型心律转复除颤器(ICD)治疗长QT综合征(LQTS)患者的经验.方法 8例LQTS患者接受了ICD治疗,平均年龄(38.9±16.7)岁.在随访期间,根据具体情况,调整ICD的各项程控参数.结果 平均随访(27.3±25.9)个月,有3例患者出现了101次室性心动过速/心室颤动(VT/VF)事件.在出厂程控参数下,共记录到44次VF事件.重新设置VT/VF的识别及治疗参数后,共记录到57次VT事件,2次VF事件,大部分自行终止或经低能量转复成功.1例患者术后出现了电风暴,通过快速心室起搏,终止了尖端扭转性室性心动过速(Tdp)的反复发作.2例患者发生了因T波误感知导致的ICD误放电,通过延长感知灵敏度自动调整延迟,从而避免了T波误感知.结论 针对LQTS患者的发病特点,调整ICD的程控参数,可以提高疗效并减少ICD误放电.

  5. The Cause Analysis and Countermeasures of Frequent Shocks in Patients with Implantable Cardioverter Defibrillator%埋藏式心脏除颤器患者频繁电击原因分析及对策

    Institute of Scientific and Technical Information of China (English)

    吴冬燕; 邢彩耐; 卢凤民; 付乃宽; 许静

    2014-01-01

    Objective To investigate the cause and countermeasures of frequent shocks in patients with implantable cardioverter defibrillators (ICD). Methods Eighty ICD patients with heart failure and malignant ventricular arrhythmias were followed up, including sixty-two male and eighteen female patients. There were 35 patients with single-chamber ICD, 23 with dual-chamber ICD and 22 with three-chamber ICD. Patients in this study were followed up for 1-6 years to analyze the reasons for ICD discharge. According to the specific circumstances, patients were treated. Results Twenty-three pa-tients in 80 patients suffered from shock treatment. Ten patients (12.5%) experienced frequent shocks. The causes of fre-quent shock included repeated episodes of ventricular tachycardia, invalid shock due to increased defibrillation threshold (DF) and false identification of the frequent episodes of paroxysmal ventricular tachycardia or arrhythmias. The management included the identification process adjustment of ventricular tachycardia and supraventricular tachycardia, increased num-bers of beats of ventricular tachycardia judgment and increase the basic pacing rate. The anti-arrhythmic drugs should be combinedly used, especially metoprolol and amiodarone. The ICD shock was significantly reduced after parameter optimiza-tion and anti-arrhythmic therapy. Conclusion The ICD shocks were effectively reduced with rational use of anti-arrhyth-mic drugs and valid ICD programming.%目的:探讨植入埋藏式心脏除颤器(ICD)的患者出现频繁放电的原因及处理方法。方法随访80例因心力衰竭或恶性室性心律失常植入ICD的患者,男62例,女18例,其中单腔ICD 35例,双腔ICD 23例,三腔ICD (CRTD)22例,随访1~6年,了解ICD的放电原因,并根据具体情况进行治疗。结果80例患者中有23例患者遭受电击,其中10例为频繁电击(24 h内电击≥3次或1年内电击≥5次),均为心脏猝死二级预防患者。

  6. Living with Your Implantable Cardioverter Defibrillator (ICD)

    Science.gov (United States)

    ... you take and when. Download a printable medication tracker . Learn more about arrhythmia medications in general. Understanding ... and dentists that you have an ICD. Follow activity instructions Follow the restrictions on activity and any ...

  7. [Current situation for nursing specialities].

    Science.gov (United States)

    Jurado, Máximo González

    2008-01-01

    Almost three years ago, on May 6, 2005, the Spanish government published in its official register, the Boletin Oficial de Estado, a decree on Nursing Specialities. This law is one which answers one of the historical Spanish nursing profession complaints. Its development will radically change the structure of the Spanish health system. An event which bears such consequences requires certain steps and a serene undertaking for those steps which will become the fundamental bases for each of them. Nonetheless, for professionals who greeted the passage of this decree with pleasure and illusion, this whole process has been one long wait. Now is the time to analyze the different specialities and to know the developmental situation of each one. The overall balance is seen in a very positive light.

  8. 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

  9. Slow ventricular tachycardia in patients with implantable cardioverter defibrillator%植入植入型心律转复除颤器后慢频率室性心动过速的治疗策略

    Institute of Scientific and Technical Information of China (English)

    孙国建; 何浪; 陈宇宁; 欣明花; 付蕾; 钟诚; 沈法荣

    2016-01-01

    Objective This study aims to assess the incidence of slow ventricular tachycardia ( VT ) and its treatment strategies in implantable cardioverter defibrillator( ICD) patients. Methods All 353 patients with including single and dual-chamber ICD or cardiac resyncronization therapy defibrillator( CRT-D) were en-rolled in this study in Zhejiang Greentown Cardiovascular Hospital from January 2008 to December 2014. Pa-tients had a 3-zone detection configuration: monitoring non treatment(ventricular rate 120 to 180 bpm),anti-tachyarrhythmia pacing(ATP)-low energy shock zone(ventricular rate 180 to 200 bpm),and a ventricular fi-brillation zone.When VT burden was more than 10% and the ventricular rate was less than 160 bpm it needed to optimize the parameters to treat the slow VT. Patients were divided into group A ATP-low energy cardioverter groups(ATP1time-5 J-10 J-maximum energy shock);group B ATP-high energy(ATP 3 times-20 J-the largest energy). Results VT occurred in 102(29%)patients,slow VT occurred in 46(13.1%)patients.Parameters optimization was carried for slow VTs in 27(7. 6%)patients.One time ATP therapy success rate was 67% in group A,ATP+5 J success rate was 79%,ATP+5 J+10 J was 92%. Group B 3 times ATP success rate was 71%,ATP 3 times+20 J was 89%. Conclusion The slow VT had a high incidence in patients with ICD,espe-cially in patients who took up large doses of amiodarone andβreceptor blockers.For patients with heavier bur-den of slow VTs,ATP and small energy electric shock therapy may have greater benefit.%目的:探讨慢频率室性心动过速(室速)在植入植入型心律转复除颤器( ICD)患者中的发生率及治疗策略。方法入选浙江绿城心血管病医院心内科自2008年1月至2014年12月植入的除颤器[单、双腔ICD及心脏再同步治疗除颤器( CRT-D)]患者353例。所有一级预防和二级预防患者按既定不同方案设置参数。术后室速发作负荷≥10%且频率<160次/min定义为需优化参数治

  10. [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

  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. Therapy of Human African Trypanosomiasis: Current Situation

    Directory of Open Access Journals (Sweden)

    Jorge Atouguia

    1999-03-01

    Full Text Available This paper is a review of the current situation of the treatment of human African trypanosomiasis. The existing approved drugs are old, toxic and/or expensive. Therapeutic failures are common. Several factors may contribute to the problems of chemotherapy, including differences in the epidemiology of the disease, difficulties in the diagnosis and staging of the infection, availability, distribution and pharmacologic properties of drugs, standardization of treatment regimens, response to therapy, follow-up period, and relapses and clinical trials. The new therapeutic approaches include the development and approval of new drugs, the use of new therapeutic regimens, the study of drug combinations, and the development of new formulations.

  13. 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

  14. Current situation of lipoprotein apheresis in Saxony.

    Science.gov (United States)

    Julius, U; Taseva, K; Fischer, S; Passauer, J; Bornstein, S R

    2013-01-01

    This paper summarizes the situation pertinent to treatment via lipoprotein apheresis in the federal state of Saxony, Germany in 2010. In total, 119 predominately male patients were treated in 10 centers; the majority of the patients was older than the mean age of the general population. Several risk factors were present, particularly a familial predisposition and hypertension. All patients had experienced cardiovascular events and the majority was taking statins. Patient data from the University Hospital Carl Gustav Carus in Dresden concurred with data derived from patients treated at nephrological practices. In the mean, patients attended the centers for about 6 years, the majority weekly. LDL cholesterol concentrations prior to apheresis were clearly higher than target levels; apheresis sessions decreased LDL cholesterol by 69%. Lipoprotein(a) levels could be measured in 75 patients and were effectively reduced by lipoprotein apheresis. In Saxony, 29 patients per 1 million inhabitants received lipoprotein apheresis, which is higher than the proportion of patients treated in Germany as a whole. The need for this extracorporeal treatment seems to be much greater than its current utilization. Among the patients only one homozygous patient with familial hypercholesterolemia was observed. Physicians should be actively informed about this therapeutic possibility to reduce the cardiovascular risk efficiently. The introduction of new drugs may alter the position of lipoprotein apheresis within the therapeutic spectrum.

  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. Implantable cardioverter defibrillator for primary prevention of sudden cardiac death in the patients with chronic heart failure%植入型心律转复除颤器应用于慢性心力衰竭患者心脏性猝死一级预防的长期随访

    Institute of Scientific and Technical Information of China (English)

    王礼琳; 范洁; 赵金辅; 周启云; 张曦; 丁立群

    2012-01-01

    Objective To evaluate the clinical benefits of implantable cardioverter defibrillator for the primary prevention of sudden cardiac death(SCD) in the patients with chronic heart failure due to either ischemic or nonischemic dilated cardiomyopathy.Methods We retrospectively enrolled 56 patients who were diagnosed with chronic heart failure caused by either ischemic or nonischemic dilated cardiomyopathy from March 2002 to October 2011.Patients were graded NYHA class Ⅱ and Ⅲ,with left ventricular ejection fraction (LVEF) at 0.16 ~ 0.35 (0.29 ± 0.05).All patients voluntarily took standard medicine treatment of chronic heart failure and underwent implantable cardioverter defibrillator (ICD) implantation and initial parameters were set up.All enrolled patients were followed up at 1,3,and 6 months,and every 6 months thereafter.Results ICD was implanted via the subclavian vein successfully in all patients.During the follow-up period of 1 ~ 115 (44.05±35.16) months,11 patients had 26 episodes of ventricular fibrillation(19.6%),which were defibrillated successfully; 17 patients had 39 episodes of ventricular tachycardia(VT,30.4%),which were terminated successfully at 94.8%.Besides,failure of ICD termination of VT occurred in 1 patient for twice and the arrhythmia was self-terminated later.Inadequate shocks were found in 8 patients.Electrical storm occurred in 6 cases.ICD battery was exhausted in 16 patients and 10 patients accepted replacement of ICD.Eight patients died.Conclusions The patients with chronic heart failure due to either ischemic or nonischemic dilated cardiomyopathy are at high risk of SCD.ICD implantation can reduce the risk of SCD for the primary prevention.%目的 对植入型心律转复除颤器(ICD)应用于缺血性或非缺血性心肌病慢性心力衰竭患者心脏性猝死(SCD)一级预防价值进行长期随访观察.方法 2002年3月至2011年10月入选56例缺血性或非缺血性心肌病患者,心功能Ⅱ~Ⅲ级(NYHA

  17. 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

  18. Bulgaria in the Current Geopolitical Situation

    Science.gov (United States)

    2013-03-01

    have clashed with those of the Ottoman Empire , Austria-Hungary, Britain, France, and later - in Germany and the United States. Russia sees its...twentieth century, the United States patiently built their empire . American hegemony in the world was maintained 9 more by economic rather than...of the new status of Kosovo.P57F58 The situation in Macedonia is closely related to processes in Kosovo. The international community imposes the

  19. 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

  20. 植入型心律转复除颤器在致心律失常性右心室心肌病患者中的应用%Implantable cardioverter defibrillator therapy in patients with arrhythmogenic right ventricular cardiomyopathy

    Institute of Scientific and Technical Information of China (English)

    孙奇; 陈柯萍; 陈若菡; 戴研; 华伟; 张澍

    2013-01-01

    Objective To evaluate the role of implantable cardioverter defibrillator(ICD) therapy in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC).Methods From Mar.2004 to Mar.2012,ARVC patients received ICD were enrolled in this study,and the clinical characteristics were collected.In the follow-up,we assessed the incidence,feature and ICD therapy in these patients.Results Eighteen patients were enrolled [12 men,6 women,mean age (46.4 ± 13.8) years].During the (46.6 ± 30.5) months followup period,ICD recorded 111 ventricular tachycardia (VT)/ventricular fibrillation (VF) episodes (1 VF,110 VT) in 6 patients.Among these,3 patients experienced 7 electrical storms(ES).Compare to patients without ICD therapy,C-reactive protein(CRP) level was higher in ICD therapy group.Among VT/VF episodes,12 episodes were terminated by shocks,99 episodes were terminated by anti-tachycardia pacing(ATP).Conclusions VT episodes were very common in ARVC patients,most of them could terminated by ATP.Repeated episodes of malignant arrhythmias in ARVC patients with ES were common.CRP level might be a significant predictor of appropriate ICD therapy in ARVC patients.%目的 总结阜外心血管病医院应用植入型心律转复除颤器(ICD)治疗致心律失常性右心室心肌病(ARVC)的经验.方法 入选我院2004年3月至2012年3月确诊并植入ICD的ARVC患者,收集临床资料,进行常规电话及门诊随诊.结果 共18例患者[男12例,女6例,平均年龄(46.4±13.8)岁]入选,平均随访(46.6±30.5)个月,有6例患者出现了111次室性心动过速(VT)/心室颤动(VF)事件,其中仅1次VF事件,其余均为VT事件,其中3例患者术后共出现了7次电风暴.ICD治疗组中的C反应蛋白(CRP)明显高于ICD未治疗组.111次VT/VF事件中,12次经电除颤终止心动过速,其余均通过抗心动过速起搏(ATP)终止了心动过速.结论 ARVC患者ICD植入后的VT/VF事件以VT为主,多数可经ATP终止;出现电风暴的ARVC患者

  1. Implantable cardioverter defibrillator therapy for primary prevention of sudden cardiac death in patients with heart failure%植入型心律转复除颤器在心力衰竭心脏性猝死一级预防中的作用初步观察

    Institute of Scientific and Technical Information of China (English)

    陈太波; 程康安; 高鹏; 刘博江; 范静波; 方全

    2010-01-01

    目的 总结我院应用植入型心律转复除颤器(ICD)进行心力衰竭心脏性猝死(SCD)一级预防的初步经验.方法 入选我院近3年因严重心力衰竭植入ICD进行SCD一级预防的患者,术后3个月进行ICD常规随访,以后每6个月随访1次.结果 入选患者22例,其中单腔ICD 15台,双腔ICD7台.22例患者随访时间3~28个月.记录ICD治疗事件21次,包括12次抗心动过速起搏(ATP)治疗和9次放电,只有1次ATP治疗患者具自觉症状.其中正确治疗(appropriate therapy)11次(52%)包括8次ATP治疗和3次放电,误治疗(inappropriate therapy)10次(48%).发生误治疗患者均为植入单腔ICD.结论 ICD可以安全有效地应用于心力衰竭SCD的一级预防,ICD误治疗事件是值得重视的临床问题,合理的ATP治疗可以提高患者的生活质量.%Objective To evaluate the effectiveness of implantable cardioverter defibrillator (ICD) therapy for primary prevention of sudden cardiac death (SCD) in patients with heart failure. Methods Twen-ty-two consecutive heart failure patients implanted with ICD for primary prevention of SCD in last 3 years were enrolled and followed up 3 months after implantation and every 6 months afterwards. Results Totally 22 cases were enrolled, including 15 with single-chamber ICD and 7 with dual-chamber ICD. Twenty-one ICD therapy events were documented during 3~28 months follow-up period, including 12 anti-tachycardia pacing (ATP) therapies and 9 shocks, and only one had symptoms. Eleven therapies (52%, 8 ATP therapies and 3 shocks) were classified as appropriate, and 10 (48%) as inappropriate. All inappropriate therapies were occurred in pa-tients implanted with single-chamber ICD. Conclusion In heart failure patients ICD for primary prevention of SCD was effective and appropriate. Relatively high incidence of inappropriate therapies remains a challenge. ATP therapy may improve the quality of life in ICD patients.

  2. Current Situation of English Translation Courses

    Institute of Scientific and Technical Information of China (English)

    宋蕾

    2016-01-01

    After 1978, according to the foreign language teaching program and outline requirements which were established by the Ministry of Education, most colleges and universities identified translation as important foreign language professional courses for English majors. But currently, there are still many errors in positioning the teaching English translation at most colleges and universities, and their teaching and research are also at the margins.

  3. Sexual Health for Patients with an Implantable Cardioverter Defibrillator

    Science.gov (United States)

    ... Search Donate Circulation My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Doodle → Blip the Doodle 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)

    ... Search Donate Circulation My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Doodle → Blip the Doodle Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

  5. 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...

  6. 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...

  7. 全自动远程家庭监测系统在植入心律转复除颤器患者中的应用%Home monitoring in patients with implantable cardioverter defibrillator or cardiac resynchronization therapy defibrillator

    Institute of Scientific and Technical Information of China (English)

    王凤梅; 李述峰; 王帆; 张烁

    2014-01-01

    目的 评价全自动远程家庭监测(HM)在植入心律转复除颤器(ICD)/心脏再同步治疗除颤器(CRT-D)患者中的应用.方法 随访23例植入了带有HM功能的ICD及CRT-D患者,分析HM所获得的日常信息和报警数据,观察其对系统相关事件、心律失常和心力衰竭(心衰)监测在内的临床相关事件的早期监测及临床干预的疗效.结果 对23例患者随访122~937(452.1±262.2)d,共接收报警信息1 991次,发现异常事件1 481次,其中96.4%是临床相关事件,1.5%为系统相关事件,无信息传输事件占2.1%.系统相关事件多为感知异常,其中发现左心室导线脱位1例.临床相关事件中心律失常报警事件占84.7%[室上性心律失常和心房颤动(房颤)事件较多],心衰报警事件占15.3%,以静息时心率升高及心脏再同步治疗心室起搏百分比降低为主.根据HM系统报警信息,电话联络患者65例次,优化参数11例次,指导调整药物治疗方案18例次,4例患者入院治疗.结论 对于植入ICD/CRT-D的患者,HM系统是一项必要的、安全可靠的远程监测方法,可以及时识别起搏系统相关异常、发现临床相关事件,可指导对患者进行早期临床干预,优化随访管理,提高患者生活质量.%Objective To evaluate the benefit of Home monitoring (HM) system in patients with implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator(CRT-D).Methods Twentythree patients undergoing implantation of ICD or CRT-D with HM were enrolled,data automatically collected on a daily basis and alerts by HM were analyzed.Early detection and intervention effect of HM included arrhythmias or heart failure to clinical events and system related events.Results The mean follow-up duration was 122-937 (452.1±262.2) d,a total of 1 991 remote transmissions were received.Among these transmissions,1 481 abnormal events were reported,96.4% of events were clinical-related,and 1.5

  8. 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…

  9. 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.

  10. 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.

  11. 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.

  12. Waste management in Greenland: current situation and challenges

    DEFF Research Database (Denmark)

    Eisted, Rasmus; Christensen, Thomas Højlund

    2011-01-01

    Waste management in Greenland (56 000 inhabitants) is characterized by landfilling, incineration and export to Denmark of small quantities of metals and hazardous waste. The annual amount of waste is estimated to about 50 000 tons but actual data are scarce. Data on the waste composition...... 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. 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.

  14. 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.

  15. Legal assessment of current situation on orphan patients in Lithuania.

    Science.gov (United States)

    Spokiene, Indre

    2008-01-01

    After Lithuania joined the European Union, the Regulation (EC) No. 141/2000 on orphan medicinal products and Commission Regulation (EC) No. 847/2000 came into force as part of national legislation. Member States must adopt specific measures to increase knowledge on rare diseases and to improve their detection, diagnosis, and treatment. The aim of this article was to present and to assess the current legal situation on orphan patients and their treatment in Lithuania, to identify legislation gaps, and to propose some ideas how to facilitate the solution of the existing problems in this field. For this purpose, European Union and Lithuanian legal documents on rare medicinal products are examined using a comparative method. With reference to inventory of Member States' incentives for rare diseases in national level, the most important issues, which orphan patients face to in Lithuania, are singled out. In Lithuania, the situation of orphan patients in terms of protection of patient rights is insufficiently determined. The access to effective health care services or approved therapies in some cases is restricted. Working relationships between genetic services and various clinical specialists as well as with those in primary care are not legally determined; the number of clinical trials aimed at orphan medicinal products is low. These results suggest a need for awareness raising among Lithuanian Government, health care specialists, patient organizations about the importance to improve practical implementation of European Union legislation and progressive experience of some European countries in this field.

  16. [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

  17. Current situation and countermeasures of port logistics park information construction

    Directory of Open Access Journals (Sweden)

    Zhen Liu

    2013-03-01

    Full Text Available Purpose: Improve work efficiency of logistics park department, and drive the economy of the park and its surrounding areas. Design/methodology/approach: Analyze the information development situation and existent questions of current national logistics park, and design proper scheme to meet the demand of port logistics park. Findings: Proposed an information construction implementation plan using technology of the Internet of things which can be applied to port logistics park. Designed a scheme for the park information construction and explained the system's implementation strategy and implementation steps. Practical implications: The proposed construction program is particularly suitable for the northwest port logistics parks in China, and also has reference function to other logistics park construction. Originality/value: Group the information construction of the logistics park into four levels, three types of users, and two requirements. The scheme is innovative and comprehensive, which can ensure the development of port logistics park.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. Management of radiation oncology patients with a pacemaker or ICD : A new comprehensive practical guideline in The Netherlands

    NARCIS (Netherlands)

    Hurkmans, Coen W.; Knegjens, Joost L.; Oei, Bing S.; Maas, Ad J. J.; Uiterwaal, G. J.; van der Borden, Arnoud J.; Ploegmakers, Marleen M. J.; van Erven, Lieselot

    2012-01-01

    Current clinical guidelines for the management of radiotherapy patients having either a pacemaker or implantable cardioverter defibrillator (both CIEDs: Cardiac Implantable Electronic Devices) do not cover modern radiotherapy techniques and do not take the patient's perspective into account. Availab

  4. Telomere shortening and telomerase activity in ischaemic cardiomyopathy patients

    DEFF Research Database (Denmark)

    Sawhney, V; Campbell, N G; Brouilette, S W

    2016-01-01

    BACKGROUND: Implantable cardioverter defibrillators (ICDs) reduce mortality in patients with ischaemic cardiomyopathy at high risk of ventricular arrhythmias (VA). However, the current indication for ICD prescription needs improvement. Telomere and telomerase in leucocytes have been shown to asso...

  5. 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.

  6. [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.

  7. 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.

  8. 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.

  9. [Current situation of the most frequent zoonosis in the world].

    Science.gov (United States)

    Flores Castro, Ricardo

    2010-01-01

    Zoonoses are at the present time more important than ever due to their magnitude and impact. The international trade in animals, products and sub products, as well as the intense travel of people around the world, represent risks of dissemination of infectious diseases, and are the reason for a new age of emerging and reemerging zoonotic diseases. Under these conditions, public health and animal health authorities are obliged to work together in order to get more efficient control programs. In this paper the actual situation of some important emerging and reemerging zoonoses is analyzed, including: anthrax, rabies, tuberculosis, brucellosis, cysticercosis, echinococcosis, hanta virus, Hendra and Nipah virus. Particular attention is given to leptospirosis, due to the fact that it is considered by WHO and OIE as the widest spread zoonotic disease in the world. Zoonoses caused by ingestion of animal food products are discussed. They are responsible for the death of almost 2.2 million people. Bacteria of genus salmonella and campylobacter are considered. Some recommendations are given for the control and prevention of zoonoses, emphasizing the "One Health" concept.

  10. [Current situation of the most frequent zoonosis in Mexico].

    Science.gov (United States)

    Garza Ramos, Juan

    2010-01-01

    Control and eradication of zoonoses is a priority because there can only be human health if there is animal health, and both will not exist if the environment is not healthy. This concept is called "One Health" Mexico has demonstrated its capacity to eradicate various zoonoses such as Venezuelan equine encephalitis, yellow fever cattle screwworm, and highly pathogenic avian influenza. Zoonoses and emerging and reemerging diseases and food-borne diseases are called neglected diseases. They provoke disease and diminish food security. Their presence is seen in marginalized populations with lags in their development that reflect the lack of equity in our society; these diseases are the product of the lack of attention to the social determinants of health and risk factors. Tackling these diseases should be comprehensive, with intersectoral, interdisciplinary, and transdisciplinary approaches. Government agencies located in the human/animal health environment interface do not have established limits of liability and there are overlapping and empty spots; legislation is insufficient to guarantee collaboration. It is urgent to have reforms and new forms of organizations, regionalized according to the epidemiological situation; at the municipal level, a priority is to formalize an effective service of veterinary public health. New impetuses to address the persistent social and health lags are proposed.

  11. 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.

  12. Evolving PBPK applications in regulatory risk assessment: current situation and future goals

    Science.gov (United States)

    The presentation includes current applications of PBPK modeling in regulatory risk assessment and discussions on conflicts between assuring consistency with experimental data in current situation and the desire for animal-free model development.

  13. 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.

  14. Current Situation of University Bilingual Teaching and Countermeasures Analysis

    Institute of Scientific and Technical Information of China (English)

    姜有为

    2012-01-01

      The development of education in China has become increasingly international. Therefore, carrying out bilingual teach⁃ing in Universities is of great significance to cultivating international talents. However, the current bilingual teaching in Universities of our country is not optimistic, facing many difficulties and challenges. In order to provide students with advanced international and dynamic culture, educators should continue to explore research and analyze bilingual teaching rationally and work out effective measures.

  15. 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

  16. Current situation of geoengineering and its impact on biodiversity

    OpenAIRE

    2013-01-01

    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 geoenginee...

  17. The current situation of treatment systems for alcoholism in Korea.

    Science.gov (United States)

    Kim, Jee Wook; Lee, Boung Chul; Kang, Tae-Cheon; Choi, Ihn-Geun

    2013-02-01

    Alcoholism is becoming one of the most serious issues in Korea. The purpose of this review article was to understand the present status of the treatment system for alcoholism in Korea compared to the United States and to suggest its developmental direction in Korea. Current modalities of alcoholism treatment in Korea including withdrawal treatment, pharmacotherapy, and psychosocial treatment are available according to Korean evidence-based treatment guidelines. Benzodiazepines and supportive care including vitamin and nutritional support are mainly used to treat alcohol withdrawal in Korea. Naltrexone and acamprosate are the drugs of first choice to treat chronic alcoholism. Psychosocial treatment methods such as individual psychotherapy, group psychotherapy, family therapy, cognitive behavior therapy, cue exposure therapy, 12-step facilitation therapy, self-help group therapy, and community-based treatment have been carried out to treat chronic alcoholism in Korea. However, current alcohol treatment system in Korea is not integrative compared to that in the United States. To establish the treatment system, it is important to set up an independent governmental administration on alcohol abuse, to secure experts on alcoholism, and to conduct outpatient alcoholism treatment programs and facilities in an open system including some form of continuing care.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. Building an information security strategy for EHR: guidelines for assessing the current situation.

    Science.gov (United States)

    Mohammad, Yara; Stergioulas, Lampros

    2010-01-01

    This paper is looking at electronic health record (EHR) systems and their information security strategy. It focuses on the first step of building an information security strategy which is analysing the current situation of an EHR system. This research is based on different research methods applied to different EHR systems. In this paper we define eight elements that can be used as guidelines for how best to assess the current situation of any EHR system.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. A Clinical Review of Implantable Cardioverter Defibrillators and Bi-Ventricular Pacemakers at one Institute

    Directory of Open Access Journals (Sweden)

    Ahmad Nasir

    2010-01-01

    Full Text Available Background: ICD/BVP indications are expanding. They areexpensive devices and historically, morbidities associated withtheir use were high. The starting experience at the Gold CoastHospital is being reviewed.Methods: A retrospective chart review of all the ICD/BVPsimplanted in the Gold Coast Hospital from 06/07/2007 –17/06/2008, with special emphasis on device indications andcomplications.Results: Devices implanted were (31. Primary preventiondevices (67%, secondary prevention devices (33%.Indications were; Non-ischemic Dilated Cardiomyopathy(35%, Out-of-hospital Cardiac Arrest (26%, Conscious VT(13%, Ischemic Dilated Cardiomyopathy (10%, In-hospitalCardiac Arrest (6%, Long-QT Syndrome (6% andCatecholamine-related Polymorphic VT (3%. Majorcomplications reported; lung contusion (1, left haemothorax(1, failed coronary sinus lead positioning (2, lead repositioning(2, atrial lead removal (1, left subclavian veinthrombosis (1, lead malfunction leading to VT under sensingand syncope (1. Device-administered therapies were eight;Inappropriate discharges (5, Appropriate discharges (1,successful Anti-tachycardia Pacing (2.Conclusions: We believe that ICDs are very effective lifesavingdevices but unfortunately they still are very expensiveand their use can be associated with significant morbiditiesespecially during the learning curve.

  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. Circadian variations in the occurrence of ventricular tachyarrhythmias in patients with implantable cardioverter defibrillators.

    Science.gov (United States)

    Kozák, Milan; Krivan, Lubomír; Semrád, Borivoj

    2003-03-01

    A circadian distribution has been demonstrated in episodes of sudden cardiac death, acute myocardial infarction, ventricular premature complexes, heart rate variability, and ventricular tachyarrhythmias. The aim of this study was to evaluate the circadian distribution of ventricular tachyarrhythmia episodes in a population of ICD patients. Data were gathered from 72 patients (55 men, 17 women; mean age 62.7 +/- 12.2 years, mean LVEF 0.0037 +/- 0.0011) with ICDs implanted for standard indications. Patients were followed every 3 months over a mean period of 21 +/- 12.8 months. At each examination, symptoms at arrhythmia onset and perception of ICD therapy were recorded, and the ICD memory was interrogated. During follow-up, 1,023 episodes' of malignant ventricular arrhythmias were detected and effectively terminated, 506 of which were fully analyzed. A morning peak in ventricular tachyarrhythmias was demonstrated between 7:00 and 11:00 AM, and an afternoon peak between 6:00 and 7:00 PM. A significantly lower occurrence of VT was observed at 1:00 AM and between 4:00 and 6:00 AM. A circadian distribution in the occurrence of ventricular tachycardias was found. The three striking features of the data are: the early morning peak (about three hours after waking up), relatively stable incidence throughout waking hours, and decline in incidence in the previous period.

  13. Temporal complexity of repolarization and mortality in patients with implantable cardioverter defibrillators.

    Science.gov (United States)

    Perkiomaki, Juha S; Couderc, Jean-Philippe; Daubert, James P; Zareba, Wojciech

    2003-10-01

    Increased repolarization variability has been observed in various cardiac conditions. However, data on its relation to heart rate variability and on its value in predicting adverse outcomes in high risk patients are limited. Forty-seven patients with decreased left ventricular function and ICDs had high resolution 10-minute ECG recordings and were followed for 781 +/- 258 days (mean +/- SD) on average. The interval from the R peak to the T wave peak with maximum amplitude (RTmax) and from the R peak to the T wave offset (RToff) were determined automatically on a beat-to-beat basis. Temporal beat-to-beat RTmax and RToff variability were analyzed using traditional summary statistics, a complexity measure (approximate entropy [ApEn]), and the short-term scaling exponent (alpha1). Eight (17%) patients died and 16 (34%) patients experienced death/appropriate ICD shock during follow-up. RTmax-ApEn was significantly higher in patients who died compared with patients who survived (1.24 +/- 0.13 vs 1.01 +/- 0.21, respectively, P=0.008). When RTmax-ApEn was tested together with the alpha1 of the RR intervals, occurrence of ventricular arrhythmias before ICD implantation, and beta-blockers usage in the Cox regression analysis, it still independently predicted mortality; hazard ratio=3.36 (1.28-8.83, 95% CI, P=0.014) for every 0.10-increase in RTmax-ApEn. None of the repolarization variability parameters independently predicted death/appropriate ICD shocks. Increased temporal complexity of repolarization (RTmax-ApEn) independently predicts mortality in ICD patients.

  14. Employment Status and Sick Leave After First-Time Implantable Cardioverter Defibrillator Implantation

    DEFF Research Database (Denmark)

    Christensen, Anne Vinggaard; Øhlers, Anne Alexandrine; Zwisler, Ann-Dorthe;

    2017-01-01

    . METHOD: Patients with first-time ICD implantation were randomized to comprehensive cardiac rehabilitation or usual care. One year after ICD implantation, patients answered questions about employment status and sick leave. Differences were tested using the Student t test and the χ test. Predictors...... of employment status and sick leave were tested using logistic regression and linear regression models. RESULT: A total of 196 patients were randomized. The questionnaire was completed by 138 patients (70%). In total, 47% had worked before ICD implantation. After 1 year, 81% were still working and their mean...

  15. 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.

  16. 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

    Statin therapy is an important secondary prevention measure in cardiovascular disease. However, the side effects associated with statin use could potentially affect patients' quality of life. Little is known about the influence of statin therapy on the well-being and health status of cardiac pati...

  17. 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...... and terminated. If unsuccessful, two effective 24 J shocks were administered. If DF was unsuccessful, the system was reconfigured and another DF testing was performed. An ICD shock energy of 40 J had to be programmed in all patients for treatment of spontaneous VT/VF episodes. The primary endpoint...... was the average efficacy of the first ICD shock for all true VT/VF episodes in each patient during follow-up. The secondary endpoints included the frequency of system revisions, total fluoroscopy, implantation time, procedural serious adverse events, and all-cause, cardiac, and arrhythmic mortality during follow...

  18. 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....

  19. 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

    based on the problem-solving principles of cognitive behavioral therapy. RESULTS: Two hundred eighty-nine patients (85% response rate) were randomized. The prevalence of anxiety and depression ranged between 11% and 30% and 13% and 21%, respectively. No significant intervention effects were observed...

  20. 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

    (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...

  1. 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

    factors have not been considered as potential risk markers that might enhance the prediction of sudden cardiac death. This article evaluates the evidence for a link between psychological vulnerability, ventricular tachyarrhythmias and mortality and the pathways that might explain such a link. This review......, but information on the psychological profile of the patient may help to optimize the management and care of these patients in clinical practice....

  2. 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...

  3. Possible Triggers and Temporal Patterns of Implantable Cardioverter Defibrillator Discharges: A Preliminary Study

    Science.gov (United States)

    1999-01-20

    there was a direct relationship between self-reported distress levels and occurrence of ectopic beats. These researchers later reported a negative...Furious (almost out of control. very angry, pounding table. slamming door) Very Angry (body tense, clenching fists or teeth ) Moderately angry (so...pounding table, slamming door) Very ADgry (body tense, clenching fists or teeth ) Moderately angry (so hassled it shows in your voice) Mlklly aDgry

  4. Dental management of a patient fitted with subcutaneous Implantable Cardioverter Defibrillator device and concomitant warfarin treatment

    Directory of Open Access Journals (Sweden)

    Altaf Hussain Shah

    2015-07-01

    This article presents the dental management of a 60 year-old person with an ICD and concomitant anticoagulant therapy. The patient was on multiple medications and was treated for a grossly neglected mouth with multiple carious root stumps. This case report outlines the important issues in managing patients fitted with an ICD device and at a risk of sudden cardiac death.

  5. 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.

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

    Science.gov (United States)

    ... Search Donate Circulation My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Doodle → Blip the Doodle Information for Advertisers Author Reprints Commercial Reprints Customer Service and Ordering ...

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

    Science.gov (United States)

    ... Search Donate Circulation My alerts Sign In Join Facebook Twitter Home About this Journal Editorial Board General Statistics Circulation Doodle → Blip the Doodle 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. 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

  10. 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.

  11. Current situation of endoscopic biliary cannulation and salvage techniques for difficult cases: Current strategies in Japan.

    Science.gov (United States)

    Yasuda, Ichiro; Isayama, Hiroyuki; Bhatia, Vikram

    2016-04-01

    In the pancreatobiliary session at Endoscopic Forum Japan (EFJ) 2015, current trends of routine biliary cannulation techniques and salvage techniques for difficult biliary cannulation cases were discussed. Endoscopists from nine Japanese high-volume centers along with two overseas centers participated in the questionnaires and discussion. It was concluded that, currently, in Western countries, the wire-guided cannulation (WGC) technique is favored during initial cannulation attempts. However, the conventional technique using an endoscopic retrograde cholangiopancreatography catheter with contrast medium injection is still used as first choice at most Japanese high-volume centers. The WGC technique is used as the second choice at some institutions only. After failed biliary cannulation attempts, the initial salvage option preferred in most centers includes pancreatic guidewire placement, followed by precut techniques as the second salvage choice. Among several precut techniques, the free-hand needle knife sphincterotomy with cutting upwards from the pancreatic duct is most popular. Endoscopic ultrasonography-guided rendezvous technique is also carried out as a final salvage option at select institutions.

  12. The current situation of deaf people in the labour market in the Czech Rebublic

    OpenAIRE

    Vyšínová, Kateřina

    2016-01-01

    This thesis focuses on the current situation of deaf people in the labour market in the Czech Republic. It emphasizes on differentiation of individual hearing impairment which is very important to explore the issue. The work examines the offer of education for deaf and deals with obstacles in the transition from school to working life, which is closely related to future labour market outcomes. It also focuses on organizations that help deaf people to overcome these barriers. It defines employ...

  13. 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.

  14. 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.

  15. 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.

  16. [Current situation of endemic status, prevention and control of neglected zoonotic diseases in China].

    Science.gov (United States)

    Liu, Lu; Zhu, Hong-Run; Yang, Guo-Jing

    2013-06-01

    Neglected zoonotic diseases not only threaten the health of human, especially to the livestock keepers in poverty-stricken areas but also cause great economic losses to the animal husbandry. This paper reviews the current situation of the endemic status, prevention and control of neglected zoonotic diseases existing in China including rabies, bovine tuberculosis, brucellosis, anthrax, leptospirosis, echinococcosis, cysticercosis, leishmaniasis and fascioliasis, so as to provide the basic information for better controlling, even eliminating, the neglected zoonotic diseases in China.

  17. 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.

  18. Current Situation of Heavy Metal Pollution in Farmland Soil and Phytoremediation Application

    Institute of Scientific and Technical Information of China (English)

    Yanfei HUANG; Guifen CHEN; Liumei XIONG; Yuyi HUANG

    2016-01-01

    Phytoremediation technology is a newly-developed way of soil heavy metal pollution repair with high efficiency and good ecological comprehensive benefit. This paper briefly introduces the soil heavy metal pollution status at home and abroad,and focuses on the analysis of harm,sources and current situation of soil heavy metal pollution at home and abroad as well as mechanism and application of phytoremediation.Finally it discusses the key problems in phytoremediation technology that need to resolve in the future.

  19. 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.

  20. 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.

  1. 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.

  2. The 1957 Valencia flood: hydrological and sedimentological reconstruction and comparison to the current situation

    Directory of Open Access Journals (Sweden)

    C. Puertes

    2016-10-01

    Full Text Available This work aims to improve the knowledge of the flood that took place in Valencia, Spain, in 1957. In other words, the aim is to test if it is possible to explain the flood waves with the incorporation of sediment cycle to a distributed hydrological model. Furthermore, this work aims to be aware of the current consequences of a similar event, taking into account land use changes, particularly, the urban rise in the lower basin, and the current flood defenses of the city. To do this, the hydrological model was implemented in the current basin situation. Once implemented, a reconstruction of precipitation at hourly discretization for the 1957 event was made and the sedimentological sub-model was calibrated. Then, the hydrographs in the chosen points were obtained. Finally, a simulation using the 1957 precipitation in the current basin situation was made, in order to be aware of the current consequences.

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

    Institute of Scientific and Technical Information of China (English)

    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.

  4. 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。

  5. The Hydraulic Option in Former Soviet Central Asia. Historical Perspective and Current Situation

    Directory of Open Access Journals (Sweden)

    Laura Vea Rodríguez

    2005-10-01

    Full Text Available This paper deals with the situation of water resource management in the five Central Asian republics that formed part of the USSR. By way of introduction, it lists the characteristics of water as a resource and then analyses the uses and distribution of water in the region.For this, it outlines a brief historical approach which helps to understand, in all its magnitude, the current situation of ecological degradation and how it determines living conditions in the region. Likewise, it deals with the policies of intervention in water resource management of the Central Asian states and of international institutions, and it includes the description of two specific case studies which form part of initiatives devoted to reversing a processwhich has led to the greatest ecological disaster on the planet, the most well-known aspect of which is the practical disappearance of the Aral Sea.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. [Current situation of toxicity classification of Chinese materia medica and its research thoughts].

    Science.gov (United States)

    Sun, Wenyan; Hou, Xiujuan; Wang, Bin; Zhu, Yuelan; Zhang, Shuofeng; Chang, Hongsheng; Sun, Jianning

    2012-08-01

    Toxicity of Chinese materia medica (CMM) is an important part of Chinese herbal nature theory. In clinical application, the dosage, time limitation and compatibility of CMM is mainly determined by toxicity. At present, there is no uniform toxicity classification standard for the evaluation of Chinese herbal toxicity. Therefore, it is significant to research toxicity classification of CMM. The current situation of toxicity classification of CMM is reviewed in this paper, and proposed research thoughts are as follows: the measurement of toxicity parameters, the confirmation of poisoning target organs, the investigation on toxic mechanism by serum pharmacology and toxicokinetics, the comprehensive evaluation on toxicity based on quantitative theory.

  11. 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.

  12. 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.

  13. 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.

  14. Current Situation of the Solid Waste Management in Gjirokastra Region: Problems and Challenges for the Future

    Directory of Open Access Journals (Sweden)

    ORNELA ÇUÇI

    2016-03-01

    Full Text Available The system of collecting waste and the current situation in their management is the main objective of this paper, to help the local government for sustainable waste management in the district of Gjirokastra. Through this study it was possible the provision of a database for the management of actual waste at the regional level, an analysis of actual system of waste management, the criteria necessary for managing them through an approach of sustainable development environmental, economic and social. Geographical space, which is the objective of this study is Gjirokastra district, consisting of three districts and currently, according to the new territorial division of 6 municipalities. To provide data on the current situation of waste used the data of municipalities and communes under the old territorial division. Processing of this database, the most important qualities and characteristics of the area are classified into 6 new municipalities functioning. Also they have interviewed over 250 employees and stakeholders the respective municipalities, and are inventoried evidence on policy practices and technologies used. They were examined waste prevention policies at national, regional and local enforcement practices, and based on general descriptions of available activities to prevent / reuse / recycling has prepared a detailed SWOT analyze. With SWOT analysis and data arising from it the results of this study suggest measures for the sustainable management of waste in the district of Gjirokastra, because the waste generated is collected without any prior sorting and no recycling process for hazardous waste appliances (batteries, etc. together with them even hospital waste. Disposal of waste from communities and municipalities realized using plastic bags or not, but without any preliminary separation according to their content or without taking into consideration all the resource sharing and protection from further urbanization

  15. Drug interaction studies on new drug applications: current situations and regulatory views in Japan.

    Science.gov (United States)

    Nagai, Naomi

    2010-01-01

    Drug interaction studies on new drug applications (NDAs) for new molecular entities (NMEs) approved in Japan between 1997 and 2008 are examined in the Pharmaceuticals and Medical Devices Agency (PMDA). The situations of drug interaction studies in NDAs have changed over the past 12 years, especially in metabolizing enzyme and transporter-based drug interactions. Materials and approaches to study drug-metabolizing enzyme-based drug interactions have improved, and become more rational based on mechanistic theory and new technologies. On the basis of incremental evidence of transporter roles in human pharmacokinetics, transporter-based drug interactions have been increasingly studied during drug development and submitted in recent NDAs. Some recently approved NMEs include transporter-based drug interaction information in their package inserts (PIs). The regulatory document "Methods of Drug Interaction Studies," in addition to recent advances in science and technology, has also contributed to plan and evaluation of drug interaction studies in recent new drug development. This review summarizes current situations and further discussion points on drug interaction studies in NDAs in Japan.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  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. 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

  6. 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.

  7. [Current situation in clinical trials with vaccines in the Czech Republic].

    Science.gov (United States)

    Čečetková, B; Smetana, J; Chlíbek, R

    2014-11-01

    Clinical trials are an important part of clinical research. The conduction of clinical trials is strictly regulated and has to comply with an approved protocol. Local regulatory authorities, independent ethic committees, sponsors of clinical trials as well as the investigators are involved from the submission until the very end of the trial. All clinical trials performed in the Czech Republic have to be approved by the State Institute for Drug Control and by the Ethics Committee. The regulatory bodies and independent ethics committees evaluate and continuously supervise the justification and protocol of the clinical trial, quality of the investigational medicinal products and, primarily, the safety of the participants (patients and/or healthy volunteers) in clinical trials. In the Czech Republic there are many advanced clinical research centres, either located in private practices or within hospitals. The investigators are able to conduct a wide variety of clinical trials and recruit a high number of subjects for the trials, as well as to comply with the Good Clinical Practice guidelines and other regulatory requirements. The aim of this article is to summarise the current situation of clinical trials in the Czech Republic as well as the opportunities for getting involved in clinical trials and obligations arising for health professionals from such an involvement.

  8. [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.

  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. Analysis of the current situation regarding the aging rural population in China and proposed countermeasures.

    Science.gov (United States)

    Qu, Bo; Li, Xiyuan; Liu, Jie; Mao, Jiawen

    2012-06-01

    China has become a country with an aging population. Compared with the aged in urban areas, the aged in rural areas have low income and are subject to social security deficiencies; the oldest among them are the most vulnerable group. If an effective mechanism for handling health risk is not available, the poor health of the rural elderly will cause an increase in their poverty level, which in turn will cause their health to become worse. Therefore, it is essential to analyze the current situation regarding rural population aging in China and to develop countermeasures. Data from 4 national health services surveys were used to analyze the differences between urban and rural populations. The results of the analysis revealed that the aged population in rural areas has poor health; economic security for the aged population is insufficient; and resources for the aged are lacking in rural areas. The Chinese government should improve medicare for the aged in rural areas, and establish a medical treatment subsidy system and a medical support system for the aged in rural areas.

  11. [Current situation of suicide in Japan, and what pharmacists contribute to suicide prevention].

    Science.gov (United States)

    Matsumoto, Toshihiko

    2013-01-01

      In Japan, a national countermeasure has been forwarded since the enactment of the Basic Act on Suicide Countermeasures in 2006 and the Comprehensive Suicide Prevention Initiative in 2007. The distinctive policy of the Japanese countermeasure is expressed as the word, "comprehensive," which means that suicide prevention may not only be carried out only by mental health measures but also by comprehensive measures including chance of administrative practices. This policy is proper, although mental health measures appear to be too simple inclining to psychiatric treatments for the classic type of "depression" by a pharmacotherapy. The authors have insisted that mental health measures including psychiatric treatments are also required to be more comprehensive. This paper describes that benzodiazepine (BZ)-abuse problems including overdosing by suicidal intents have got worse recently as psychiatric clinics have increased and most of BZ abusers obtain the abused drugs form psychiatrists. This current situation indicates that pharmacists need to monitor psychiatrists' prescribing behavior and qualities of psychiatric treatment is required to be refined, suggesting pharmacists may be one of the "Gate Keeper," as supporting resources for suicide prevention. Additionally, this paper explained that basic attitudes and responses acquired by pharmacists as a supporter for suicide prevention.

  12. Current Situation and Problems of Export-oriented Tilapia Processing in Guangxi and Countermeasures

    Institute of Scientific and Technical Information of China (English)

    Ying; ZHANG; Gaozhong; JIANG; Qiong; ZHANG

    2014-01-01

    Guangxi Zhuang Autonomous Region is an excellent area for tilapia breeding in China,and the development of tilapia industry has received high attention of both the state and Guangxi government. The foreign exchange earning is an essential industrial form of tilapia industry in Guangxi. Thus,enhancing the competitiveness of export-oriented tilapia processing is of great significance to the development of tilapia industry. On the basis of field survey,this paper analyzed current situation of export-oriented tilapia processing in Guangxi. At present,tilapia processing industry in Guangxi has realized preliminary standardization,large-scale and grouping,but it is still faced with some problems and challenges,such as low industrialization level,no balanced marketing,and imperfect product quality safety monitoring measures. Therefore,it is required to create favorable environment for export-oriented tilapia processing industry in Guangxi through enhancing policy support,increasing financial input and supporting tilapia processing leading enterprises.

  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. 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.

  15. 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)

  16. 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 heat. We also found that external use of such 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.

  17. 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

  18. Studying the start of the Maunder Minimum to understand the current situation

    Science.gov (United States)

    Neuhäuser, Ralph; Neuhäuser, Dagmar L.

    2016-04-01

    To investigate whether we now enter a Maunder-like grand minimum, we have to compare the current situation with the time around the start of the Maunder minimum. Sunspot observations in the 1610s are of particular importance and relevance, because they are shortly before the start of the Maunder Grand Minimum. While the Maunder Minimum it is usually dated from 1645 to 1715, Vaquero & Trigo (2015) argue that what they call the "Extended Maunder Minimum" would have started in 1618 during or around a Schwabe cycle minimum around that time. We have therefore studied the sunspot record of that time in detail. Hoyt & Schatten (1998) compiled for all known telescopic observers a list of their observations; recent solar activity studies for the past four centuries are based on their compilation. In addition to 12 observers listed by Hoyt & Schatten (1998) for the 1610s, we list six more observers with datable spot observations. Furthermore, while Hoyt & Schatten (1998) argue that Simon Marius would have observed from mid 1617 to the end of 1618 almost every day, but would have never seen a spot, we can show with the original reports by Marius that he observed from Aug 1611 to spring 1619 with a lot of sunspot detections. Similar, while Hoyt & Schatten (1998) argue that Giovanni Riccioli would have observed on almost every day in 1618, but would have never seen a spot, he did not report any own observations at all that year, but quoted Argoli for that there were no spots during the periods with comets in 1618. The data base by Hoyt & Schatten (1998) has several more errors in the 1610s, as we show also for the observations by Harriot, Scheiner, Malapert, Saxonius, and Tarde. We also compare drawings from Jungius with the observations by Harriot, Galilei, and Marius. In contrast to what is specified in Hoyt & Schatten (1998), after Harriot, the two Fabricius (father and son), Scheiner and Cysat, Marius and Schmidnerus are among the earliest datable telescopic sunspot

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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…

  5. The current situation of wood plastic composites%塑木复合材料发展现状

    Institute of Scientific and Technical Information of China (English)

    何阳; 郑德; 黄锐

    2012-01-01

    The current situation of wood plastic composties are introduced, the development of wood plastic composties are analyzed in the future.%介绍了塑木复合材料的发展现状,并对其未来的发展作了分析。

  6. Psychometric analysis of the Patient Health Questionnaire in Danish patients with an implantable cardioverter defibrillator (The DEFIB-WOMEN study)

    DEFF Research Database (Denmark)

    Pedersen, Susanne S; Mathiasen, Kim; Christensen, Karl Bang;

    2016-01-01

    . The unidimensionality and the precision of the rescored PHQ-9 were confirmed. Items did not have any differential functioning (DIF) across educational level, age, indication for ICD implantation, and severity of heart failure that influence depression outcomes in patients with an ICD. One item exhibited DIF by gender....... Three items did not fit the partial credit model, but the generalized partial credit model could be fitted to the full item set. CONCLUSION: The unidimensionality and reliability of the Danish version of the PHQ-9 were confirmed. However, the associated consequences of the number of response options (3...

  7. [Positive microvolt T-wave alternans as a marker of ventricular arrhythmia trigering during cardioverter-defibrillator implantation].

    Science.gov (United States)

    Wierzbowski, Robert; Michałkiewicz, Dariusz; Cholewa, Marian; Jacewicz, Katarzyna; Gniłka, Anna; Adamus, Jerzy

    2006-10-01

    Microvolt T-wave alternans (MTWA) is promising method for noninvasive assessment of arrhythmic risk, but its role hasn't established yet. The aim of this study was to establish the MTWA potency to predict the ventricular arrhythmia triggering during implantable cordioverter-defibrillator (ICD) implantation. Material and metods. The study group consisted of 21 patients, aged 63.0+/-8.0 years; EF was 38.0+/-12.8%. Seventeen of them had a history of myocardial infarction and 4 had non-ischemic cardiomyopathy. The reason for ICD implantation were secondary prevention due to nonfatal cardiac arrest caused by VF/VT in nineteen patients and in two patients ICD was implanted because of unexplained syncope and low EF (protocol of 50 Hz BURST and T SHOCK was applied. After ICD implantation the following tests were performed: ECG with HR, QRS and QTc evaluation, 24-hour ECG Holter monitoring with HRV assessment and MTWA evaluation during treadmill exercise test. Results. In the group with VT/VF induced by less aggressive protocol (EPS), group I (n = 10) MTWA was present in nine patients, in one the result of MTWA was indeterminate. In the group with VT/VF induced by more aggressive protocol, group II (n = 11) MTWA was present in four patients, indeterminate in four and absent in three. There was a significant (p = 0.017) difference between group I and II in the frequency of positive result of MTWA. There were no differences between the two groups according to time domain parameters of HRV such as SDNN, RMSSD and PNN50 and QTc. There was a significant difference between the two groups in time duration of QRS complexes, 118.9+/-14.7 vs. 105.6+/-11.5 accordingly (p more easily inducible by electrophysiologic study during ICD implantation. It is easier to induce ventricular arrhythmia when QRS complexes are wider, irrelevant to left ventricular dysfunction and autonomic function of the heart.

  8. The Screen-ICD trial. Screening for anxiety and cognitive therapy intervention for patients with implanted cardioverter defibrillator (ICD)

    DEFF Research Database (Denmark)

    Berg, Selina Kikkenborg; Herning, Margrethe; Svendsen, Jesper Hastrup;

    2016-01-01

    by Structured Clinical Interview for DSM Disorders (SCID). (3) Investigator-initiated randomised clinical superiority trial with blinded outcome assessment, with 1:1 randomisation to cognitive–behavioural therapy (CBT) performed by a cardiac nurse with CBT training, plus usual care or usual care alone...

  9. 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

    .26 to 4.15), cardiac resynchronization therapy (OR 1.92; 95% CI 1.05 to 3.52), New York Heart Association class III-IV (OR 2.47; 95% CI 1.36 to 4.48), diabetes (OR 2.09; 95% CI 1.01 to 4.29), Type D personality (OR 8.30; 95% CI 4.42 to 15.58), high levels of ICD concerns (OR 2.60; 95% CI 1.44 to 1...... Association class III-IV (OR 2.95; 95% CI 1.47 to 5.89), Type D personality (OR 7.98; 95% CI 3.98 to 16.04), and the use of psychotropic medication (OR 2.73; 95% CI 1.27 to 5.84) were independent correlates of persistent depression. In conclusion, symptomatic heart failure, psychological status...

  10. 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.

  11. Automatic mode switching of a dual chamber implantable cardioverter-defibrillator induced by a ventricular escape rhythm.

    Science.gov (United States)

    Barold, S Serge; Van Heuverswyn, Frederic; Stroobandt, Roland X

    2013-01-01

    This report describes a form of group beating induced by a St Jude dual chamber ICD which interpreted a ventricular escape rhythm (with retrograde conduction) as premature ventricular complexes (PVC). These pacemaker-defined PVCs activated the atrial pace-PVC algorithm in 2 steps. 1. The postventricular atrial refractory period (PVARP) was terminated upon detecting a retrograde P wave within its unblanked portion, and 2. An atrial stimulus was released 330ms after the end of the PVARP. This response resulted in automatic mode switching because the 330ms interatrial interval was shorter than the atrial tachycardia detection interval. The arrhythmia may be considered to represent an unusual form of pacemaker escape-capture bigeminy.

  12. Biomarker-based diagnosis of pacemaker and implantable cardioverter defibrillator pocket infections: A prospective, multicentre, case-control evaluation

    Science.gov (United States)

    Vrazic, Hrvoje; Haller, Bernhard; Braun, Siegmund; Petzold, Tobias; Ott, Ilka; Lennerz, Agnes; Michel, Jonathan; Blažek, Patrick; Deisenhofer, Isabel; Whittaker, Peter; Kolb, Christof

    2017-01-01

    Background The use of cardiac implantable electronic devices (CIED) has risen steadily, yet the rate of cardiac device infections (CDI) has disproportionately increased. Amongst all cardiac device infections, the pocket infection is the most challenging diagnosis. Therefore, we aimed to improve diagnosis of such pocket infection by identifying relevant biomarkers. Methods We enrolled 25 consecutive patients with invasively and microbiologically confirmed pocket infection. None of the patients had any confounding conditions. Pre-operative levels of 14 biomarkers were compared in infected and control (n = 50) patients. Our selected biomarkers included white blood cell count (WBC), C-reactive protein (CRP), procalcitonin (PCT), lipopolysaccharide binding protein, high-sensitivity C-reactive protein (HS-CRP), polymorphonuclear-elastase, presepsin, various interleukins, tumor necrosis factor α (TNF-α), and granulocyte macrophage colony-stimulating factor (GM-CSF). Results Of the 25 patients with isolated pocket infection (70±13years, 76% male, 40% ICDs), none presented with leukocytosis. In contrast, they had higher serum levels of HS-CRP (p = 0.019) and PCT (p = 0.010) than control patients. Median PCT-level was 0.06 ng/mL (IQR 0.03–0.07 ng/mL) in the study group versus 0.03 ng/mL (IQR 0.02–0.04 ng/mL) in controls. An optimized PCT cut-off value of 0.05 ng/mL suggests pocket infection with a sensitivity of 60% and specificity of 82%. In addition TNF-α- and GM-CSF-levels were lower in the study group. Other biomarkers did not differ between groups. Conclusion Diagnosis of isolated pocket infections requires clinical awareness, physical examination, evaluation of blood cultures and echocardiography assessment. Nevertheless, measurement of PCT- and HS-CRP-levels can aid diagnosis. However, no conclusion can be drawn from normal WBC-values. Clinical trial registration clinicaltrials.gov identifier: NCT01619267 PMID:28264059

  13. 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.

  14. 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...

  15. 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.

  16. 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

  17. 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...... evidence on the efficacy of psychological intervention in ICD patients and recommendations for future research....

  18. 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%.

  19. 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.

  20. 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

  1. Current Situation and Development Tendency of China’s Electronic Copper Foil Industry——Part Ⅱ

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>The China’s import & export data of the electronic copper foil industry in recent years is a microcosm of the current development situation of the industry, which may help us gain a deeper understanding of product level, competitive strength, technological and management level as well as national foreign trade policies of the industry.China now has become the largest copper foil

  2. 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

  3. 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.

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

    OpenAIRE

    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.

  5. [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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. The use of elearning in medical education: a review of the current situation.

    Science.gov (United States)

    Choules, A P

    2007-04-01

    Computers are increasingly used in medical education. Electronic learning (elearning) is moving from textbooks in electronic format (that are increasingly enhanced by the use of multimedia adjuncts) to a truly interactive medium that can be delivered to meet the educational needs of students and postgraduate learners. Computer technology can present reliable, reusable content in a format that is convenient to the learner. It can be used to transcend geographical boundaries and time zones. It is a valuable tool to add to the medical teacher's toolkit, but like all tools it must be used appropriately. This article endeavours to review the current "state of the art2 in use of elearning and its role in medical education alongside non-electronic methods-a combination that is currently referred to as "blended" learning.

  12. Current Situation and Issues in Career Support for Students with Autism Spectrum Disorder

    OpenAIRE

    石井, 正博; 篠田, 晴男

    2014-01-01

    We briefly reviewed the current problems in career support for students with developmental disorders. Specifically, wefocused on studies concerning autism spectrum disorder because of the difficulty students with these disorders often face in finding jobs. The majority of studies suggested that the acquisition of basic life skills is essential for a successful transition from the educational setting to the workplace. We also discussed carrier decision-making as it relates to the accuracyof th...

  13. 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...

  14. European Security and Defense Policy (ESDP) After Ten Years - Current Situation and Perspectives

    Science.gov (United States)

    2010-01-01

    military operations and ten civilian and civil-military missions are currently ongoing.91 As Maria Raquel Freire notes, “Thus, in a short period the...military operations and civilian missions see Appendix C. 92 Maria Raquel Freire , “The European Security and Defense Policy, History, Structures and...Raquel Freire , The European Security and Defense Policy, 20. 98 Xymena Kurowska, The Role of ESDP Operations, 34. 99 Auswärtiges Amt, ESDP, 29. 28

  15. 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.

  16. 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

  17. 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.

  18. 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.

  19. The use of heat pipes in thermal control system for electronics: current situation and prospects

    Directory of Open Access Journals (Sweden)

    Khairnasov S. M.

    2015-06-01

    Full Text Available Today, the widespread application of cooling systems based on heat pipes makes significant contribution to the solution of the thermal control of electronic equipment. The use of heat pipes as heat transfer devices and heat exchanging equipment allows creating an efficient new-generation heat sinks. Nowadays, heat pipes are widely used in the following areas: electronic equipment, special application computer equipment (from small computers to large data centres, high power electronics. The article provides an analysis of the current state and prospects of heat pipes application in thermal control systems for ground-based electronic equipment.

  20. Labeling programs and efficiency standards to control the energy consumption of household appliances: current situation, main results and recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Menanteau, Ph.

    2000-09-01

    To control the rise in electricity consumption for specific uses, the industrialized countries started by introducing special programs aimed at improving energy efficiency. Among the different instruments available, labeling programs and minimum energy performance standards (MEPS) have proved to be very effective. The first part of this document presents the current situation, the main results and recommendations concerning the labeling programs and efficiency standards to control the energy consumption of household appliances. This analyze is done for each country in details providing the name of the program or measure, the date of implementation, the objective and the main characteristics of the program, the impacts and evaluation. (A.L.B.)

  1. 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.

  2. 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.

  3. Quality management of eLearning for medical education: current situation and outlook

    Science.gov (United States)

    Abrusch, Jasmin; Marienhagen, Jörg; Böckers, Anja; Gerhardt-Szép, Susanne

    2015-01-01

    Introduction: In 2008, the German Council of Science had advised universities to establish a quality management system (QMS) that conforms to international standards. The system was to be implemented within 5 years, i.e., until 2014 at the latest. The aim of the present study was to determine whether a QMS suitable for electronic learning (eLearning) domain of medical education to be used across Germany has meanwhile been identified. Methods: We approached all medical universities in Germany (n=35), using an anonymous questionnaire (8 domains, 50 items). Results: Our results (response rate 46.3%) indicated very reluctant application of QMS in eLearning and a major information deficit at the various institutions. Conclusions: Authors conclude that under the limitations of this study there seems to be a considerable need to improve the current knowledge on QMS for eLearning, and that clear guidelines and standards for their implementation should be further defined. PMID:26038685

  4. 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.

  5. Inventory of managed aquifer recharge sites in Europe: historical development, current situation and perspectives

    Science.gov (United States)

    Sprenger, C.; Hartog, N.; Hernández, M.; Vilanova, E.; Grützmacher, G.; Scheibler, F.; Hannappel, S.

    2017-03-01

    Different types of managed aquifer recharge (MAR) schemes are widely distributed and applied on various scales and for various purposes in the European countries, but a systematic categorization and compilation of data has been missing up to now. The European MAR catalogue presented herein contains various key parameters collected from the available literature. The catalogue includes 224 currently active MAR sites found in 23 European countries. Large quantities of drinking water are produced by MAR sites in Hungary, Slovakia, the Netherlands, Germany, Finland, Poland, Switzerland and France. This inventory highlights that, for over a century, MAR has played an important role in the development of European water supply and contributes to drinking-water production substantially. This development has occurred autonomously, with "trial-and-error" within the full range of climatically and hydrogeologically diverse conditions of the European countries. For the future, MAR has the potential to facilitate optimal (re)use and storage of available water resources and to take advantage of the natural purification and low energy requirements during MAR operations. Particularly with respect to the re-use of wastewater treatment-plant effluent and stormwater, which is currently underdeveloped, the use of MAR can support the public acceptance of such water-resource efficient schemes. Particularly for the highly productive and urbanized coastal zones, where the pressure on freshwater supplies increases by growing water demand, salinization and increased agricultural needs for food production (such as along the Mediterranean and North Sea coasts), MAR is expected to be increasingly relied on in Europe.

  6. 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.

  7. [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.

  8. 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)

  9. 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.

  10. 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

  11. 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

    2011-11-05

    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.

  12. 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

  13. 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.

  14. [Uterus transplantation. Current situation].

    Science.gov (United States)

    Gauthier, T; Piver, P; Mesnard, C; Marquet, P; Pichon, N; Guillaudeau, A; Drouet, M; Gardet, E; Laskar, M; Essig, M; Aubard, Y

    2012-11-01

    Except adoption, absolute uterine factor infertility lacks solution in case of motherhood desire. Gestational surrogacy is still not approved in France. Over the last decade, uterus transplantation experimentation made advances. Data from animal research, progress in immunosuppressive treatment and knowledge about pregnancy after transplantation provide a scenario in which a human allotransplantation project can become reality.

  15. Analysis of the Current Situation of Chinese Animation%中国动画现状分析

    Institute of Scientific and Technical Information of China (English)

    杨涛; 刘超; 张天翔

    2012-01-01

    The current situation of animation in Europe and the United States and Japan is introduced.The status quo of animation in our country and the problems and hidden dangers of China's animation industry is analyzed and how to solve these problems is expounded.%介绍欧美及日本各国在动画方面的现状,分析我国现在在动画方面的现状以及我国动画产业现在存在的问题与隐患,以及我们如何解决我国动漫产业方面的种种问题。

  16. 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.

  17. 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.

  18. 耐火保温材料现状及发展%Current situation and development of thermal insulation refractories

    Institute of Scientific and Technical Information of China (English)

    王小路; 黄晋; 张友寿; 龙威; 夏露; 李四年

    2016-01-01

    The current situation of thermal insulation refractories was expounded mainly on aspect of service temperatures,including glass wool,mineral (rock)wool,calcium silicate,composite silicate,closed pore perlite,hollow microsphere,vermiculite,refractory fibers,and nanopore silica based insulating materials, etc.The development tendency of thermal insulation refractories was forecast.%主要从使用温度范围对目前常用的耐火保温材料,如玻璃棉、矿(岩)棉、硅酸钙、复合硅酸盐、闭孔珍珠岩、漂珠、蛭石、耐火纤维以及纳米孔硅质隔热材料等的现状进行了分类阐述,并且展望了耐火保温材料的发展趋势。

  19. In search of critically endangered species: the current situation of two tiny salamander species in the Neotropical mountains of Mexico.

    Directory of Open Access Journals (Sweden)

    Adriana Sandoval-Comte

    Full Text Available Worldwide, one in every three species of amphibian is endangered, 39 species have gone extinct in the last 500 years and another 130 species are suspected to have gone extinct in recent decades. Of the amphibians, salamanders have the highest portion of their species in one of the risk categories, even higher than the frogs. To date there have been few studies that have used recent field data to examine the status of populations of endangered salamanders. In this study we evaluate the current situation of two tiny salamanders, Parvimolge townsendi and Thorius pennatulus, both of which are distributed at intermediate elevations in the mountains of the northern Neotropics and are considered to be critically endangered; the first has been proposed as possibly extinct. By carrying out exhaustive surveys in both historical and potentially suitable sites for these two species, we evaluated their abundance and the characteristics of their habitats, and we estimated their potential geographic distribution. We visited 22 sites, investing 672 person-hours of sampling effort in the surveys, and found 201 P. townsendi salamanders in 11 sites and only 13 T. pennatulus salamanders in 5 sites. Both species were preferentially found in cloud forest fragments that were well conserved or only moderately transformed, and some of the salamanders were found in shade coffee plantations. The potential distribution area of both species is markedly fragmented and we estimate that it has decreased by more than 48%. The results of this study highlight the importance of carrying out exhaustive, systematic field surveys to obtain accurate information about the current situation of critically endangered species, and help us better understand the crisis that amphibians are facing worldwide.

  20. The Current International Situation and Trends%当前国际形势及其发展趋势

    Institute of Scientific and Technical Information of China (English)

    陈向阳

    2012-01-01

    In the post- financial crisis era, the world and regional order is in transition and the current international situation is characterized by complexity, uncertainty and high risk. The major characters of the current international situation include the impact of the economic difficulty of the developed world on the world economic recovery, governance made difficult by global social and political conflicts, the competition-cooperation game between world powers, deteriorating security environment from increasing conventional and non- conventional challenges, and the restructuring of the Asian-pacific geopolitical pattern. In 2012, the world economy will recover slowly, the general election in the states will increase political sensitivity globally, the competition and cooperation between western powers and emerging powers will be more complex, social and political ideas are likely to influence the ideological realm, the restructuring of the Asian-pacific pattern is quite uncertain. The international situation will be quite instable because of the many interactive instability factors.%在"后金融危机时代",世界与地区秩序处于新旧交替之中,复杂性、不确定性与高风险性成为当今国际形势的阶段性主要特征。而发达国家经济困局严重拖累世界经济复苏进程,全球性社会政治抗争风潮迭起加剧各国治理难度,国际战略力量对比新变化催生大国"竞合"博弈,传统与非传统安全挑战同步增长恶化国际安全环境,亚太地缘战略格局复杂重组,这是当前国际形势的五大特征。展望2012年,世界经济复苏温和而曲折,"大选年"加剧国际政治经济敏感性,西方与新兴大国"竞合"关系更趋复杂,社会政治风潮可能向思想与意识形态领域扩散,亚太地缘战略格局重组磨合具有不确定性,各种不稳定因素相互交织、影响全球,国际形势动荡不定。

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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.

  8. 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

  9. 道路交通伤的现状和未来%Current situation and future of road traffic injury

    Institute of Scientific and Technical Information of China (English)

    王正国

    2011-01-01

    Road traffic injury is a global public health problem concerned seriously by the great majority of people. Based on the WHO reports, this article introduces the current situation and future of road traffic injury, deeply analyses human factors which lead to road traffic injury such as drinking driving, speeding, youth and road traffic injury ,individual protection, etc. The author presents remarkable progress and existing problems of road traf fic safety , and puts forward some prevention measures on road traffic crashes. It is believed that road traffic crashes will still exist in the future for a long period of time , and even increase in developing countries. Road traffic safety environment can be improved with the hard work of all the people in the world.%道路交通伤是备受关注的全球公共卫生问题.本文根据世界卫生组织道路安全报告,介绍了全球道路交通伤的现状和发生趋势,从酒后驾车、超速驾车、青少年交通伤、个人防护等方面对造成道路交通事故的人员因素作了深度分析,介绍了我国道路交通安全取得的显著进步和存在的问题,并提出了具体的道路交通事故预防措施.作者指出,道路交通事故在今后相当长的一段时间内还会继续存在,甚至有所发展,需要社会所有人士共同努力才能不断改善道路交通安全环境.

  10. 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

  11. 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.

  12. Situated University, Situated Writing

    Science.gov (United States)

    Feldman, Ann M.

    2009-01-01

    This article argues that teaching as a situated, civic activity must be a core intellectual activity in the engaged metropolitan university. Situated writing provides the key pedagogy for the Chicago Civic Leadership Certificate Program at the University of Illinois at Chicago, an engaged public research university. The role of writing, or…

  13. 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

  14. Clinical management of electromagnetic interferences in patients with pacemakers and implantable cardioverter-defibrillators: review of the literature and focus on magnetic resonance conditional devices.

    Science.gov (United States)

    Corzani, Alessandro; Ziacchi, Matteo; Biffi, Mauro; Allaria, Luca; Diemberger, Igor; Martignani, Cristian; Bratten, Tara; Gardini, Beatrice; Boriani, Giuseppe

    2015-10-01

    The number of cardiac implantable electronic devices (CIEDs) has greatly increased in the last 10 years. Many electronic devices used in daily activities generate electromagnetic interferences (EMIs) that can interact with CIEDs. In clinical practice, it is very important to know the potential sources of EMIs and their effect on CIEDs in order to understand how to manage or mitigate them. A very important source of EMI is magnetic resonance (MR), which is considered nowadays the diagnostic gold standard for different anatomical districts. In this review, we focused on the effects of EMI on CIEDs and on the clinical management. Moreover, we made a clarification about MR and CIEDs.In patients with CIEDs, EMIs may cause potentially serious and even life-threatening complications (inappropriate shocks, device malfunctions, inhibition of pacing in pacemaker-dependent patients) and may rarely dictate device replacement. The association of inappropriate shocks with increased mortality highlights the importance of minimizing the occurrence of EMI. Adequate advice and recommendations about the correct management of EMIs in patients with CIEDs are required to avoid all complications during hospitalization and in daily life. Furthermore, the article focused on actual management about MR and CIEDs.

  15. Heart Rhythm UK position statement on clinical indications for implantable cardioverter defibrillators in adult patients with familial sudden cardiac death syndromes.

    Science.gov (United States)

    Garratt, Clifford J; Elliott, Perry; Behr, Elijah; Camm, A John; Cowan, Campbell; Cruickshank, Stephanie; Grace, Andrew; Griffith, Michael J; Jolly, Anne; Lambiase, Pier; McKeown, Pascal; O'Callagan, Peter; Stuart, Graham; Watkins, Hugh

    2010-08-01

    Whilst the decision regarding defibrillator implantation in a patient with a familial sudden cardiac death syndrome is likely to be most significant for any particular individual, the clinical decision-making process itself is complex and requires interpretation and extrapolation of information from a number of different sources. This document provides recommendations for adult patients with the congenital Long QT syndromes, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia, hypertrophic cardiomyopathy, and arrhythmogenic right ventricular cardiomyopathy. Although these specific conditions differ in terms of clinical features and prognosis, it is possible and logical to take an approach to determining a threshold for implantable cardioveter-defibrillator implantation that is common to all of the familial sudden cardiac death syndromes based on estimates of absolute risk of sudden death.

  16. 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...

  17. 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

    , sex, previous MI or angina, hypertension, diabetes, systolic blood pressure, heart rate, NYHA functional class and non-Q wave infarct on electrocardiogram. Distinct survival curves were obtained for 3 risk groups based on the median and inter-quartile range for the prognostic index. In the high...

  18. 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...

  19. 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

    and depression. Treatment and care possibilities seem to be lacking. Studies indicate that non-pharmacological interventions such as exercise training and psychoeducation possess the potential of reducing sexual dysfunction in patients with heart disease. The CopenHeartSF trial will investigate the effect......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...

  20. 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

    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......, with 82% of participants being men. Of the participants, 37% participated in a rehabilitation program, and 21% were sedentary compared with 8% in the reference population (Pphysical exercise guidelines. Low physical activity was predicted by primary prevention...... indication (odds ratio [OR]=2.5; 95% confidence interval [CI], 1.3-4.7) and higher comorbidity (OR=2.1; 95% CI, 1.0-4.1; Pphysical activity was associated with increased mortality (OR=3.9; 95% CI, 1.11-13.71; Psex...

  1. Safety of magnetic resonance imaging in patients with implanted cardiac prostheses and metallic cardiovascular electronic devices.

    Science.gov (United States)

    Baikoussis, Nikolaos G; Apostolakis, Efstratios; Papakonstantinou, Nikolaos A; Sarantitis, Ioannis; Dougenis, Dimitrios

    2011-06-01

    Magnetic resonance imaging (MRI) in patients with implanted cardiac prostheses and metallic cardiovascular electronic devices is sometimes a risky procedure. Thus MRI in these patients should be performed when it is the only examination able to help with the diagnosis. Moreover the diagnostic benefit must outweigh the risks. Coronary artery stents, prosthetic cardiac valves, metal sternal sutures, mediastinal vascular clips, and epicardial pacing wires are not contraindications for MRI, in contrast to pacemakers and implantable cardioverter-defibrillators. Appropriate patient selection and precautions ensure MRI safety. However it is commonly accepted that although hundreds of patients with pacemakers or implantable cardioverter-defibrillators have undergone safe MRI scanning, it is not a safe procedure. Currently, heating of the pacemaker lead is the major problem undermining MRI safety. According to the US Food and Drug Administration (FDA), there are currently neither "MRI-safe" nor "MRI-compatible" pacemakers and implantable cardioverter-defibrillators. In this article we review the international literature in regard to safety during MRI of patients with implanted cardiac prostheses and metallic cardiovascular electronic devices.

  2. The Current Situation and the Utilization Technique of Rare Earth in China%我国稀土废料回收利用技术与现状

    Institute of Scientific and Technical Information of China (English)

    龚卫星; 李艳荣

    2013-01-01

    论述了我国稀土资源的回收利用现状,从磁性材料、发光材料及催化剂等可回收的稀土废料方面,说明我国回收稀土废料的利用技术仍处于攻坚阶段。如何回收稀土废料中有用的稀土元素,有待进一步研究。%This paper describes the current situation of recycling the rare earth in China. It proves that the utilization technique of rare earth in China is still in the crucial stage based on the recycling situation of rare earth from magnetic materials, luminescence materials and catalyst, etc,. It needs to be further studied on how to recycle the valuable rare earth elements from the rare earth waste.

  3. Investigation of awareness rate and current situation in hormone replacement therapy in medical care personnel in Shanghai

    Institute of Scientific and Technical Information of China (English)

    Shao Hong-fang; Tao Min-fang; Sun Xun-yan; Jiang Li-zhen

    2012-01-01

    Objective: To survey the cognition and requirement of perimenopause health care in Shanghai women,and provide updated situation about hormone replacement therapy (HRT) for further improving the quality of perimenopause health care.Methods: A large survey among 480 medical care personnel at age of 40-60 years in 12 hospitals in Shanghai was launched.The designed questionnaires included the awareness rate,basic knowledge of HRT and request for the information of HRT etc.The data were analyzed.Results: Among the respondents,35.81% (169/472) believed that it is necessary to start HRT in perimenopause women; 16.10 % (76/472) knew about H RT at some extent; 43.22 % (204/472) requested for the training of HRT; and 14.19%(67/472)would like to recommend patients using the hormone to treat perimenopause syndrome.In addition,52.41% (76/145)of the medical care personnel who refused to use HRT were worried about the side effects.Conclusion: In Shanghai,the awareness rate of HRT among medical care personnel was relatively low.Only a few medical care personnel prefer to use HRT in perimenopause patients.The main reasons for that were lack of understanding in the treatment of HRT and concerned side effects.

  4. 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

  5. MR-PET的现状、挑战和前景%Current Situation, Challenges and Prospects of MR-PET

    Institute of Scientific and Technical Information of China (English)

    李辉; 陈自谦; 倪萍

    2013-01-01

    Development of device of multimodality imaging is a milestone of medical imaging. After the huge success of SPECT-CT and PET-CT, more and more studies have been carried out on MR-PET. Combining multi-parameter anatomic and functional imaging of MRI with molecular imaging of PET is substantial to the scientific and clinical researches of nervous system, cardiovascular system and tumor, etc. In this paper, we reviews the research situation and challenge of MR-PET in 3 aspects including small animal MR-PET imaging, brain MR-PET imaging and whole body MR-PET imaging. Furthermore, superiority and prospect of MR-PET in biomedicine are also discussed.%多模态成像设备的发展是影像学发展的里程碑,继SPECT-CT和PET-CT后,人们开始致力于MR-PET的研究.MRI的多参数解剖成像、功能成像与PET的分子成像结合,对促进神经、心血管、肿瘤等方面的研究及临床诊断具有重要意义.本文将从小动物、脑部及全身MR-PET成像3个方面对MR-PET的研究现状及其面临的挑战进行综述,并探讨MR-PET在生物医学中的优越性及发展前景.

  6. Current Situation and Prospect of Solar Battery%太阳能电池发展现状与展望

    Institute of Scientific and Technical Information of China (English)

    张维清; 程亮

    2011-01-01

    介绍了太阳能电池的发展历程。分析了太阳能电池产业的现状,并对太阳能电池产业的发展进行了展望。%In this paper, the author introduced development history of solar battery. Then, the author analyzed the current sit- uation, and looked into future of development of solar battery industry.

  7. Efficiency of Electrical Stunning by Electronarcosis: Current Situation and Perspective of Improvement in a Medium-Size Processing Plant

    Directory of Open Access Journals (Sweden)

    RL Barbosa

    Full Text Available ABSTRACT The objective of this study was to evaluate the efficiency of electrical stunning by electronarcosis in a medium-size poultry processing plant located in southern Brazil. The current measurement of this type of stunning is presented, and then improvements to this method are proposed. Data were collected for 90 days. A quality indicator was proposed: the Stunning Severity Index (SSI, which includes elements of Statistical Process Control (SPC using a p-chart (proportion chart and measures. This index comprises the variables "wing-flapping," "arched head," and "rhythmic breathing." Using the proposed index, 5% of the birds, on average, presented inefficient stunning symptoms.

  8. 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.

  9. 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.

  10. Analysis on the Current Situation of Farmers' Credit Demand in Gansu Province%甘肃省农户信贷需求现状分析

    Institute of Scientific and Technical Information of China (English)

    何亚玲

    2009-01-01

    The current situation of farmers' credit demand in rural areas of Gansu Province was studied by the method of interview and investigation. And some related policy proposals were put forward according to the economic development of rural areas in Gansu Province.%通过访谈、调查的形式对甘肃省农村地区农户信贷需求现状进行了考察,并针对甘肃农村经济发展的形势,提出了相关政策建议.

  11. 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.

  12. Current situation and development countermeasure of China International Standard Dance%中国国际标准舞现状及发展对策

    Institute of Scientific and Technical Information of China (English)

    杜静歌

    2013-01-01

    This paper deals with the international standard dance after entering our country ’s two main devel-opment direction ,Analyzes the current situation and existing problems of China international ballroom ,And put for-ward the development countermeasures of China’s international standard dance .%阐述了国际标准舞进入我国后的两种主要发展方向,分析了当前中国国际标准舞的现状和存在的问题,并提出了发展中国国际标准舞的对策。

  13. The Current Situation of the Lighting for Residential Buildings in Taiwan%台湾地区住宅照明现况

    Institute of Scientific and Technical Information of China (English)

    周鼎金

    2001-01-01

    本文对台北市、台中市、高雄市等都会城市住宅照明现况进行了调查,从而提出了今后住宅照明的发展方向。%The author has made an investigation on the current situation of the lighting for residential buildings in the cities such as Taibei, Taizhong and Gaoxiong of Taiwan. As a result of it, in this paper he has put forward a furture development trend of the lighting for residential buildings.

  14. 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.

  15. 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.

  16. 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.

  17. 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。

  18. 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.

  19. A qualitative study of the current situation of elderly care in Iran: what can we do for the future?

    Directory of Open Access Journals (Sweden)

    Salime Goharinezhad

    2016-11-01

    Full Text Available Background: With the successful improvement of global health systems and social security in societies, the world is now advancing toward aging. All countries have to face the phenomenon of population aging sooner or later depending on their degree of development; however, elderly care is predicted to soon become a major concern for developing countries such as Iran. Objectives: This study was conducted to identify the challenges of elderly care in Iran and to help policymakers develop roadmaps for the future through providing a clearer image of the current state of affairs in this area of healthcare. Design: This study has adopted a framework approach to qualitative data analysis. For this purpose, 37 semi-structured interviews were conducted in 2015 with a number of key informants in elderly care who were familiar with the process at macro-, meso-, and micro-levels. Maximum variation purposive sampling was performed to select the study samples. A conceptual framework was designed using a review of the literature, and key issues were then identified for data analysis. Results: The elderly care process yielded five major challenges, including policymaking, access, technical infrastructure, integrity and coordination, and health-based care services. Discussion: According to the stakeholders of elderly care in Iran, the current care system is not well-suited for meeting the needs of the elderly, as the elderly tend to receive the services they need sporadically and in a non-coherent manner. Given the rapid growth of the elderly population in the coming decades, it is the authorities’ job to concentrate on the challenges faced by the health system and to use foresight methods for the comprehensive and systematical management of the issue.

  20. A qualitative study of the current situation of elderly care in Iran: what can we do for the future?

    Science.gov (United States)

    Goharinezhad, Salime; Maleki, Mohammadreza; Baradaran, Hamid Reza; Ravaghi, Hamid

    2016-01-01

    Background With the successful improvement of global health systems and social security in societies, the world is now advancing toward aging. All countries have to face the phenomenon of population aging sooner or later depending on their degree of development; however, elderly care is predicted to soon become a major concern for developing countries such as Iran. Objectives This study was conducted to identify the challenges of elderly care in Iran and to help policymakers develop roadmaps for the future through providing a clearer image of the current state of affairs in this area of healthcare. Design This study has adopted a framework approach to qualitative data analysis. For this purpose, 37 semi-structured interviews were conducted in 2015 with a number of key informants in elderly care who were familiar with the process at macro-, meso-, and micro-levels. Maximum variation purposive sampling was performed to select the study samples. A conceptual framework was designed using a review of the literature, and key issues were then identified for data analysis. Results The elderly care process yielded five major challenges, including policymaking, access, technical infrastructure, integrity and coordination, and health-based care services. Discussion According to the stakeholders of elderly care in Iran, the current care system is not well-suited for meeting the needs of the elderly, as the elderly tend to receive the services they need sporadically and in a non-coherent manner. Given the rapid growth of the elderly population in the coming decades, it is the authorities’ job to concentrate on the challenges faced by the health system and to use foresight methods for the comprehensive and systematical management of the issue. PMID:27876456

  1. 移动医疗的现状与发展%The Current Situation and Development of m-health

    Institute of Scientific and Technical Information of China (English)

    殷悦楚楚; 戴作雷; 刘云; 张昕

    2016-01-01

    As the coming of mobile informational age,mobile information service has been received more and more attention. Under this background, mobile medical began to draw people’s attention. M-health can provide efficient and convenient medical information and services anytime and anywhere through mobile communication technology. The development of m-health has greatly increased the working efficiency of medical staff and improved medical service level.This article introduecs the origin and rising reasons of m-health, and summarizes the development direction and current situaton both at home and abroad.%随着移动信息时代的来临,移动信息服务也逐渐得到了人们的重视。在这一背景下,移动医疗开始进入人们的视线。利用移动通信技术,移动医疗能够提供随时随地、高效便捷的医疗资讯和服务。移动医疗的发展提高了医务人员的工作效率,改善了医疗服务水平。本文介绍了移动医疗的起源及兴起原因,并对国内外现状和发展方向进行了整理。

  2. 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

  3. ANSYS Workbench的应用现状及分析%Current Situation and Analysis of ANSYS Workbench

    Institute of Scientific and Technical Information of China (English)

    喻永巽

    2014-01-01

    ANSYS Workbench,a collaborative simulation platform launched by ANSYSTM,not only retains the core technology of classic ANSYS (ANSYS Classic),but also shows compatibility with the mainstream of CAD software. For example,it integrates with the powerful 3D modeling capacities supplied by UG, Pro/E and Fieldworks software. What is more, it takes the advantage of ISIGHT, LMS and other CAE software in simulation,optimization,and analysis. Modeling experience could be immediately shared within the enterprises, enabled by the powerful data management and its interactive functions. This paper mainly focuses on the current application of ANSYS Workbench.%ANSYS Workbench作为ANSYS公司推出的多物理协同仿真环境平台,具有与经典ANSYS (ANSYS Classic)核心产品完全统一的核心技术,而且结合了主流CAD软件,如UG、Pro/E、Fieldworks强大的三维建模功能和ISIGHT、LMS等CAE软件在仿真、优化、分析方面的优势,其强大的数据管理、交互功能可以使知识和经验在工作组间与企业内实现共享。主要探讨AN-SYS Workbench的应用现状及分析。

  4. 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.

  5. 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.)

  6. Discussion on Current Situation of China's Environmental Legal System Construction%论我国的环境法制建设现状

    Institute of Scientific and Technical Information of China (English)

    杨露

    2012-01-01

    介绍了我国经济发展所导致的环境问题及环境保护、环境立法的重要性,并论述了我国现行环境法律体系中存在的亟待解决的问题以及环境执法中存在的不到位现象,指出现行环境法的改善迫在眉睫。%The environmental problems caused by the development of our national economy, the importance of environmental protection and environmental legislation were introduced. At the same time, the present China's current environmental legal system existing problems to be solved and the present environmental law implementation situation to be unable to reach the designated position were discussed. So the improvement of the current environmental law was imminent.

  7. 对高校体育课太极拳教学的现状解析%On the Current Situation of College Physical Education Tai chi Teaching

    Institute of Scientific and Technical Information of China (English)

    杨丽娜

    2014-01-01

    目前高校体育课太极拳教学的现状并不乐观,大多数高校太极拳教学都是注重形式,按太极拳套路进行教学,很少有高校体育课太极拳教学时注意对太极拳的基本功以及精髓的传授,达不到太极拳教学的目标与效果。本文从高校体育课太极拳教学的现状入手,分析太极拳教学中存在的问题,并根据问题探究高校体育课太极拳教学的改进方法与对策。%The current situation and the Teaching of College Physical Education is not optimistic, large number of colleges and universities are focusing on teaching tai chi form, according to Taijiquan teaching, there is little attention to the College Physical Taijiquan teaching basic skills as well as the essence of time teach, and the effect of the target is less than Taijiquan teaching. From the current situation of physical education teaching tai chi, analyzes the problems in teaching tai chi and ex-plore improved method based on issues and countermeasures of college PE tai chi teaching.

  8. 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。

  9. 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

  10. Nitrogen dioxide - current knowledge on the pollution situation and health effects; Stickstoffdioxid - Kenntnisstand zur Belastungssituation und zu gesundheitlichen Wirkungen

    Energy Technology Data Exchange (ETDEWEB)

    Muecke, H.G. [Umweltbundesamt, Berlin (Germany). Inst. fuer Wasser-, Boden- und Lufthygiene

    1999-07-01

    Since the 1990s atmospheric nitrogen dioxide (NO{sub 2}) pollution has mainly been determined by the volume of road traffic, especially in the urban centres of Germany. NO{sub 2} can be regarded as an important air pollutant inasmuch as it affects the health of a large part of the population. In places exposed to road traffic NO{sub 2} concentrations can easily reach and even exceed mean annual values of 100 {mu}g/m-3 and short-time peaks of 200 {mu}g/m-3. The main NO{sub 2} sources of indoor air pollution are open fireplaces (e.g. gas stoves, gas-fired heating systems and water heaters) and tobacco smoking. NO{sub 2} measurements in German kitchens yielded mean concentrations of up to 50 {mu}g/m-3 and peak concentrations of almost 200 {mu}g/m-3. Indoor NO{sub 2} concentrations in rooms without internal NO{sub 2} sources are determined by local atmospheric concentrations and have been found to lie between 20 and 30 {mu}g/m-3 on average. The WHO's revised NO{sub 2} guide values of 1998 are 40 {mu}g/m-3 in the annual average and 200 {mu}g/m-3 as hourly mean level. Being an oxidative and slightly water-soluble the tear gas NO{sub 2} mainly affects the periphery of the lungs. Its chief health effects are changes in pulmonary function and an increase in bronchial reactivity. Exposure studies on current pollution levels have shown that indoor sources contribute up to 5 {mu}g/m-3 on average and airing habits are an important influencing factor. [German] Seit den 90er Jahren bestimmt ueberwiegend der Kfz-Verkehr die Belastung der Aussenluft durch Stickstoffdioxid (NO{sub 2}), vor allem in den staedtischen Ballungsraeumen Deutschlands. NO{sub 2} kann als eine wichtige Luftschadstoffkomponente fuer die Gesundheit eines Grossteils der Bevoelkerung angesehen werden. An Kfz-exponierten Messstellen koennen die NO{sub 2}-Konzentrationen durchaus 100 {mu}g/m{sup 3} im Jahresmittel und 200 {mu}g/m{sup 3} als kurzzeitige Spitzenwerte erreichen oder ueberschreiten. Offene

  11. 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.

  12. 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.

  13. 浅谈我国食品级石蜡的生产工艺及现状%Manufacturing technology and current situation of food-grade paraffin

    Institute of Scientific and Technical Information of China (English)

    关星

    2012-01-01

    The classification and use of food-grade paraffin was introduced. The manufacturing technology and current situation of food-grade paraffin in home was analyzed and advice were given by investigation to Daqing Refining and Chemical Co. And Fushun Petrochemical Co.%本文介绍了食品级石蜡的分类及用途,通过对大庆炼化公司、抚顺石化公司石油二厂等炼化公司石蜡生产现状的调研,分析我国食品级石蜡生产工艺现状,提出了相关的建议.

  14. 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。

  15. 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.

  16. 智能家居的发展现状与发展趋势%The Current Situation and Development Trend of Smart Home

    Institute of Scientific and Technical Information of China (English)

    刘岩; 赵旭敏; 蒋佳伟

    2016-01-01

    介绍了智能家居的发展历程和发展现状,阐述了智能家居的十大系统组成部分,重点介绍了智能家居的关键技术,包括布线技术、家庭网关和网络以及智能家电。最后分析了智能家居目前所存在的问题和未来的发展趋势。%This paper introduces the development history and current situation of smart home, and expounds the ten system component of smart home. It mainly introduces the key technology of smart home, including wiring technol-ogy, family gateway, family networks, and intelligent household appliances. Finally, this paper analyzes the existing problems and development trend of smart home.

  17. 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.

  18. 我国主题宴会设计现状与创新研究%The Current Situation and Innovation Methods of Theme Banquet Design in China

    Institute of Scientific and Technical Information of China (English)

    刘澜江

    2012-01-01

    主题宴会设计的有效程度在很大程度上决定着主题宴会的成败.本文就我国主题宴会设计现状与创新方法进行分析与研究,对于酒店主题宴会开发具有理论与实践的指导意义.%In a large part, the effectiveness of theme banquet design determines whether your theme banquet is successful or not. This article will analyze and study the current situation and innovation methods of theme banquet design in China, and it has both theory instruction and practice inspiration for development of restaurant theme banquet design.

  19. 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。

  20. 国内工业锅炉节能发展现状%Current Development Situation of Industrial Boiler Energy Saving in China

    Institute of Scientific and Technical Information of China (English)

    屠欣鑫; 孙振波; 邢璐

    2015-01-01

    目前国内工业锅炉与国外发达国家相比,热效率偏低。本文从能耗、数量、标准等方面系统阐述了国内工业锅炉的发展现状,描述了目前主要采用的节能技术,指出了影响锅炉热效率的主要因素,并给出了相关对策。%Compared with the industrial boiler of developed countries, the thermal efficiency of that in China is low. This paper expounds the current development situation of industrial boilers in China from aspects of energy consumption, quantity, standard, describes the main energy saving technology at present, points out the main factors influencing the boiler thermal efficiency and puts forawrd the relevant countermeasures.

  1. 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.

  2. 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。

  3. Current Situation and Discussion of Chinese Football Professionalism Reform%中国足球职业化改革的现状分析与探讨

    Institute of Scientific and Technical Information of China (English)

    李云广

    2012-01-01

    The main problems in Chinese football professionalism reform current situation was studied by the methods of documentary. The reform direction was pointed out at the same time, in order to provide some validity advices for healthy and rapid development of the Chinese football professionalism reform.%运用文献资料法对现行中国当前足球职业化改革现状中存在的主要问题进行分析,并指出相应的改革方向,为我国足球职业化改革、快速发展提供一些有效性的建议。

  4. Analysis of Current Situation and Path Optimization of Administration Cost in China%我国行政成本现状分析及优化路径

    Institute of Scientific and Technical Information of China (English)

    张金融

    2011-01-01

    One of the important ways for current administrative system reform is to control and optimize administration cost.This paper adopts relevant theories of public administration and financial expenditure,analyzes the situation of administration costs expansi%控制和优化行政成本是我国当前行政体制改革的重要内容和途径之一。本文运用公共管理和财政支出的相关理论,对我国行政成本扩张、结构和收益等现状进行分析,对行政成本发展趋势做出判断,并提出控制和优化行政成本的路径选择。

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. CURRENT SITUATION OF POP SINGING TEACHING IN COLLEGES AND UNIVERSITIES%试论高校通俗歌曲演唱教学的培养现状

    Institute of Scientific and Technical Information of China (English)

    徐频频

    2016-01-01

    为满足社会生活需要,大多高校在原有音乐专业教育基础上设置通俗歌曲演唱专业,该专业设置的目的集中体现在提升学生音乐素养,且向社会输送更多通俗歌曲演唱歌手。然而从现行高校通俗歌曲演唱教学现状看,仍存在学生专业技能过于单一且艺术涵养缺失等问题,制约通俗歌手整体素质的提高。对此,本文将对通俗歌曲的相关概述、高校通俗歌手培养现状以及如何提升大学通俗歌曲演唱教学进行有效的探析。%In order to satisfy social needs, most universities set up pop singing major, which is aimed at improving students'mu-sic accomplishment and providing more pop song singers for society. However, according to current situation of pop singing teaching in colleges and universities, there are some problems such as singleness of professional skills and lack of art conser-vation which restrict the improvement of popular singers' overall quality. Therefore, the paper will analyze relevant summary of pop song, current situation of cultivating pop singers in colleges and universities and how to improve pop singing teaching.

  12. 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 .

  13. 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。

  14. 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.

  15. 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.

  16. 村级集体资产监管现状及对策分析%Current Situations and Countermeasure of Management Village-level Assets

    Institute of Scientific and Technical Information of China (English)

    蔡荣富

    2011-01-01

    Management of village-level assets was the concerning hot issue and focus by farmers.It also has become the key point and difficult point of the current rural work.This paper analyzed the current situation and problem of the village-level asset management,and then proposed countermeasures and suggestions to further improve effective management of the village-level asset.The countermeasures comprised establishing rules and regulations,standardizing management with system,standardizing procedure of asset disposition,assuring the disposition procedure legal,loyal,and public,standardizing public system and strengthening supervisions,etc.%村级集体资产管理是农民关心的热点与焦点,也是当前农村工作的重点与难点。分析了村级资产管理存在的现状与问题,从建章立制,以制度规范管理;规范资产处置程序,保证处置工作合法、公正、透明;规范公开制度,强化内外监督等方面,提出了进一步加强村级资产有效管理的对策与建议。

  17. 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

  18. 国内肿瘤专科护士发展现状%Current Situation of Oncology Nurse Specialist in China

    Institute of Scientific and Technical Information of China (English)

    成琴琴; 谌永毅

    2014-01-01

    专科护士是护理事业中的高级护理人才,肿瘤专科护士的发展在我国刚刚起步,其发展符合卫生保健事业的需求,也给临床肿瘤科护士在专业上的发展展示了一个全新的领域。本文从肿瘤专科护士的定义、培训对象资格、培训模式、认证与再认证及岗位设置等方面对我国肿瘤专科护士的发展现状进行综述,为确定适合我国国情的肿瘤专科护士发展方向提供参考。%Nurse specialists are senior nursing talents in nursing career. The development of oncology nurse specialists in our country is still at the starting stage. It conforms to the need of health care service,and it shows a brand-new field for the professional development of clinical oncology nurses. This article is a review of the current situation of oncology nurses specialist in China from perspectives of oncology nurses specialist definition,qualifications of training objects,training model,certification and recertification,and post setting. This review aims to provide reference for the development of oncology nurse specialists which meets the situation of our country.

  19. 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.

  20. 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.

  1. Current Development Situation and Countermeasures of Northern Shaanxi Sports Tourism Industry%陕北体育产业发展现状与策略应对

    Institute of Scientific and Technical Information of China (English)

    李峰峰; 李世荣

    2011-01-01

    运用经济学原理与方法,从区域经济学视角,探讨了陕北地区体育产业发展的现状、产业结构、社会经济环境、发展对策等方面问题。研究显示:陕北地区体育产业发展水平处于萌动时期,产业发展单一,体育产业资源开发滞后、居民体育消费意识欠缺;陕北体育产业在带动区域经济中还很薄弱,产业结构不合理,耐用消费品消费成为产业的主导;社会经济环境良好,大众体育消费潜力巨大;产业政策缺乏市场调节机制和激励政策的导向作用。基于该地区的基本现状,提出产业发展的应对策略。%This thesis deals with the current Development situation,industrial structure,social economic environment,development countermeasures of Northern Shaanxi sports tourism development with principles and methods of economics in the perspective of regional economics.Study shows:Northern Shaanxi sports tourism development is in the stir period with the aspects of sole structure,lagging-behind sports tourism resources and sports consumption awareness lacking;Northern Shaanxi sports tourism is weak in leading the regional economy with the aspects of irrational industrial structure and durable consumer goods leading consumption;with favorable socioeconomy environment,popular sports consumption has a great potential;industrial policy lacks market regulation mechanism and supportive policies as a guide.This thesis aims at putting forward to the countermeasures of the industrial development on the basis of the regional current situation.

  2. 中国毛皮产业发展历程与现状分析%Analysis of Development History and Current Situation of Fur Industry in China

    Institute of Scientific and Technical Information of China (English)

    郑策; 张旭; 全颖; 凌立莹; 刘彦

    2013-01-01

    Chinese fur industry has a long history ,especially after the founding of New China .The Chinese fur industry has been developing rapidly ,China now has become the world's leading fur raw materials and fur products processing Country ,depending on the stage characteris-tics ,the fur industry can be divided into three times ,the paper elaborated on the development characteristics of different periods ,the policy envi-ronment and other issues ,and analyzes the current situation and problems of China's fur industry are facing .%中国毛皮产业历史悠久,尤其新中国成立以后,产业发展迅速,目前已成为世界上最主要的毛皮原料产地和毛皮产品加工地,根据发展速度、规模、方式的不同,将毛皮产业发展大体分为3个时期,详细阐述了不同时期的发展特点、政策环境等问题,并分析了中国毛皮产业的现状及存在的问题。

  3. 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 .

  4. 产科盆底疾病诊治现状和措施%Diagnosis and treatment current situation and measures of obstetric pelvic floor diseases

    Institute of Scientific and Technical Information of China (English)

    李薇薇

    2016-01-01

    目的:产科盆底疾病主要包括产后盆底功能性障碍和产后盆底损伤性疾病。研究分析产科盆底疾病诊治现状和措施,不断寻找可行的康复盆底疾病措施和新技术手段等,以提升对产科盆底疾病的诊治水平及完善有效治疗的措施。%Pelvic floor diseases mainly include postpartum pelvic floor dysfunction and postpartum pelvic floor injury disease. We research and analyze the diagnosis and treatment current situation and measures of obstetric pelvic floor diseases,continue to search for feasible pelvic floor disorders rehabilitation measures and new technology means to improve the level of diagnosis and treatment of obstetrical pelvic floor disorders and improve the effective treatment measures.

  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. 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。

  7. 自闭症儿童康复困境分析%Current Situations and Strategies of Autistic Children’s Rehabilitation in China

    Institute of Scientific and Technical Information of China (English)

    徐云; 杨健; 季灵芝; 许丹; 王永固

    2014-01-01

    自闭症患病率在全球大幅上升,原因不明,目前没有特效方法治愈。我国自闭症儿童康复领域面临康复政策与法律不健全、人才匮乏、机构建设不规范及管理混乱、康复技术与方法参差不齐等困境,因此,加强顶层设计把自闭症儿童康复纳入国家计划,专门立法、配备专项资金,组织制定行业规范和康复机构及康复人员的认证标准,加强康复人员培训及提供家庭支持等均是推进自闭症儿童康复事业发展的有效措施。%The prevalence rate of autism has increased significantly worldwide. But its causation is still unknown, and there is no specific method to cure. The demand for autism rehabilitation is extremely urgent and the task is very difficult. This paper mainly discussed the current situation of the autistic children’s rehabilitation and the plight of developing. It then put forward strategies for the development of the rehabilitation of autistic children in China.

  8. 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。

  9. Educación en medios de comunicación en Alemania: desarrollo y situación actual Media education in Germany: development and current situation

    Directory of Open Access Journals (Sweden)

    Gerhard Tulodziecki

    2007-03-01

    Full Text Available Este trabajo analiza de las diferentes tendencias y del estado actual de la enseñanza de los medios de comunicación en la República Federal de Alemania. La educación en medios de comunicación en Alemania se centra en la actualidad en el debate sobre cómo usar esa gran variedad de medios que tenemos a nuestra disposición, con unos fines verdaderamente educativos y fundamentados metodológicamente. Se observa, en relación a este tema, que hay no sólo diferentes ideas conceptuales, sino también diferentes proyectos de investigación y desarrollo, que se ocupan principalmente de las aplicaciones prácticas y de un acercamiento a los colegios, a los programas de formación del profesorado y a otros contextos educativos. This paper analyses the different trends in the current situation of media education in Germany. The discussion point is how to use the large variety of media we have in order to get really educative aims with a scientific basis. The German media education landscape shows not only a lot of different concepts but also a large number of projects on teacher training, school approaching and practical applications.

  10. 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.

  11. 儿科急诊现状和规范化建设%Current situation and standardization of pediatric emergency system

    Institute of Scientific and Technical Information of China (English)

    李璧如; 王莹

    2012-01-01

    分析儿科急诊发展现状及儿科急诊医疗服务体系;阐述儿科急诊配置和人员、急诊医护人员应该掌握的技术、预检分诊系统、急性疾病和创伤儿童的服务流程及急症与危重症疾病诊治流程;提出对儿科急诊建设发展模式的建议和思考.%The current situation of pediatric emergency medicine and the pediatric emergency medical service systems were analyzed.The equipment configuration,personnel allocation and the requirement of professional knowledge and technology in pediatric emergency setting,the triage system,the process of medical services for patients with acute illness or trauma,and the optimizing process of diagnosis and treatment for emergency cases and critical cases were discussed.The nationwide development model of pediatric emergency service systems were reviewed.

  12. 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。

  13. 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。

  14. 网络信息公正问题的研究现状及展望%A Research on Current Situation and Prospect of Network Information Justice

    Institute of Scientific and Technical Information of China (English)

    李志强; 戴艳军

    2012-01-01

    As an inter-discipline between network ethics and information ethics, network information ethics draws more and more attention of scholars, and more monographic studies about it have appeared, among which the study of justice in the field of network information ethics is an important aspect. This paper sums up the present situation of network information justice, presents a prospect, and then gives some advice for the current study of applied ethics discipline, which is of great importance to some disciplines such as network ethics and information ethics.%当前,作为网络伦理和信息伦理交叉领域的网络信息伦理得到学者们越来越多的关注,也出现越来越多的专题研究,网络信息公正问题的研究就是其中一个重要方面。本文综述了该研究领域的发展现状并对未来的发展前景做出展望,提出该研究领域研究需要注意的一些问题,对于完善网络伦理学和信息伦理学等都具有重要意义。

  15. 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。

  16. 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.

  17. 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.

  18. 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。

  19. Current situation and development trend of zirconium and zirconium alloys%核级锆及锆合金研究状况及发展前景

    Institute of Scientific and Technical Information of China (English)

    王峰; 王快社; 马林生; 张兵; 孔亮; 林兆霞

    2012-01-01

    The nuclear properties of zirconium and zirconium alloys are briefly described. The preparation methods of sponge zirconium are indicated. The current situation of zirconium alloys process technology in smelting, plastic working and welding is introduced. The corrosion resisting property and hydrogen absorption property of zirconium alloys are described in detail. It is pointed that the study of hydrogen absorption and corrosion mechanism is a long-term and concerned problem. The development trend of zirconium and zirconium alloys is narrated.%简要介绍锆及锆合金的核性能,海绵锆的制备方法,并与所述制备方法进行比较;从熔炼、塑性加工和焊接等方面综述锆合金加工技术的现状.详细描述锆合金的耐腐蚀性能和吸氢性能,指出吸氢问题和腐蚀机理的研究是一个长期关注的问题;同时对锆及锆合金的发展趋势进行了展望.

  20. Research on current development situation of the rural finance of Jilin province%吉林省农村金融发展现状研究

    Institute of Scientific and Technical Information of China (English)

    郑美江

    2012-01-01

    本文以2007年中国银监会实施调整后的农村金融政策为界点,阐述2007年以来吉林省农村地区各类涉农金融机构发展现状,分析各类涉农金融机构当前存在的问题,并对存在的问题提出相应的发展对策,以期通过浅显的研究,对吉林省农村金融业的发展提供一些有益参考。%According to the singularity for rural financial policy which is adjusted by the China banking regulatory commission in 2007, this paper stresses the present situation of rural financial institutions of all kinds of agricultural development in Jilin province since 2007 and analyze the current existing problems of all kinds of agricultural financial institutions, and put forward the corresponding development countermeasure to the existing problem in order to promote some useful references to the development of the rural financial industry in Jilin province.

  1. On the Current Situation of Chinese Book Publishing Industrial Structure%我国图书出版产业结构状况研究

    Institute of Scientific and Technical Information of China (English)

    代周阳

    2013-01-01

    Healthy development of the industry rests with that the Industrial structure is reasonable or not, systematically teasing the history and current situation of our book publishing industrial structure is helpful for us to clarify the problems in our publishing industrial structure, and determine the direction of industrial structure adjustment. At present, some problems, such as the unreasonable regional distribution and product structure, too low industrial concentration, still exist in China's publishing industry structure, finding the way to solve these problems has important significance for promoting rapidly the book publishing industry development.%产业结构的合理与否关系到产业能否健康发展。系统地梳理我国图书出版产业结构的历史与现状,有助于明确我国当前出版产业结构中存在的问题,从而确定产业结构的调整方向。当前,我国图书出版产业结构中还存在区域分布不合理、产品结构失调、产业集中度过低等问题,探讨解决这些问题的突破点对于促进图书出版产业的健康快速发展具有重要意义。

  2. 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.

  3. 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 .

  4. 五莲县山洪灾害现状、成因及对策%Current Situation, Causes and Countermeasures of Flash Flood Disaster in Wulian County

    Institute of Scientific and Technical Information of China (English)

    朱秀红

    2011-01-01

    According to the analysis of the current situation of flash flood disaster in Wulian county of Shandong province, the author pointed out 5 main factors causing the flash flood disaster, including high rainfall intensity, the special high mountains and steep slopes in mountainous area, imperfection of forecasting and early warning systems, weak defense engineering and human factors. It also put forward some feasible countermeasures, such as general investigation of flash flood losses, designating the disaster zone, determining early warning indicators, constructing monitoring system and making pre -arranged plan and so on.%通过分析山东省五莲县山洪灾害现状,找出引起山洪灾害的5种主要原因,包括降水强度大,山区特有的山高坡陡地形地貌,预测、预报、预警系统不完善,防御工程薄弱,人为因素等,并提出了普查山洪灾害损失、划定灾害区划、确定预警指标、建设监测系统、编制预案等可行对策.

  5. 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.

  6. 桥梁资产管理技术研究现状探讨%Discussion on the research current situation of bridge asset management technology

    Institute of Scientific and Technical Information of China (English)

    唐颖

    2015-01-01

    从桥梁信息管理、检测与健康状况评价、桥梁资产管理可视化等方面对国内外桥梁资产管理系统的研究现状进行了概括,归纳了桥梁资产管理的相关概念、配套技术、应用现状,以期为国内桥梁资产管理研究的进一步发展和完善提供参考和借鉴。%This paper summarized the research current situation of bridge asset management system at domestic and foreign from the bridge infor-mation management,detection and health condition evaluation,bridge asset management visualization and other aspects,induced the related con-cept,technical support,application status of bridge asset management,in order to provide reference for further development and improvement of domestic bridge asset management research.

  7. The Current Situation of Healthcare Industry%浅谈医疗健康气体产业的发展现状

    Institute of Scientific and Technical Information of China (English)

    柴福莉

    2016-01-01

    简述了国内外医疗健康气体产业的发展现状。重点针对国外大型工业气体公司在医疗健康产业的发展,从医用气体产品、医用气体供给模式和相关服务三个方面,进行了较为详细的阐述。提出了医疗健康产业在我国及浙江省将迎来发展新契机,并将成为今后我国大型工业气体生产企业扩大业务领域的新重地。%The current situation of healthcare industry in the world is described. Especially the development of healthcare industry in the large-scale industrial gas enterprises in foreign countries is indicated from three aspects of ( medical gas products, supply modes and services) . There will be new opportunities for the development of healthcare industry in Zhe-jiang province and even China. The healthcare industry will become the important field that the large-scale industrial gas enterprises expand the business market in the future.

  8. 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.

  9. Currently Situation, Some Cases and Implications of the Legislation on Access and Benefit-sharing to Biologi cal Genetic Resource in Australia

    Directory of Open Access Journals (Sweden)

    LI Yi-ding

    2017-01-01

    Full Text Available Australia is one of the most abundant in biodiversity country of the global which located in Oceanian and became a signatory coun try of the Convention on Biodiversity, International Treaty on Plant Genetic Resource for Food and Agriculture, Convention on International Trade in Endangered Species. This country stipulated the Environmental Protection and Biodiversity Conservation Act(EPBC, 1999 and Environmental Protection and Biodiversity Conservation Regulations, 2002. Queensland and the North Territory passed the Bio-discovery Act in 2004 and Biological Resource Act in 2006 separately. This paper firstly focus on current situation, characteristic of the legislation on ac cess and benefit-sharing to biological resource in the commonwealth and local place in Australia and then collected and analyzed the typical case of access and benefit-sharing in this country that could bring some experience to China in this field. The conclusion of this paper is that China should stipulated the specific legislation on access and benefit-sharing to biological genetic resource as like the Environmental Protection and Biodiversity Conservation Act(EPBC, 1999 and establish the rule of procedure related to the access and benefit-sharing as like the Environmental Protection and Biodiversity Conservation Regulations, 2002, Bio-discovery Act in 2004, Queensland and the Biological Resource Act in 2006, the North Territory.

  10. Current Situation and Its Countermeasure Study for Water Resources in Hengshui City%衡水水资源现状及对策研究

    Institute of Scientific and Technical Information of China (English)

    安国庆

    2013-01-01

    在对衡水市水资源开发利用现状进行分析的基础上,总结衡水水资源的特点,分析开发利用过程中存在的问题,提出必须建立以“节流为先,治污为本,多渠道开源”的新战略;并提出从宏观和微观方面两方面优化配置水资源,改善衡水生态环境,达到水资源可持续开发利用的目的。%Based on analysis of current utilization situation of water resources in Hengshui, this article has concluded the characteristics of water resources of the city, analyzed the problems occurred during its development and utilization, and put forward a new strategy "to take reducing-water-consumptionaspriority,totakepollution-treatmentasbasicprinciple,totapnew sourcesofsupplyinmulti-channel".Thepaperputsfor-ward the optimal allocation of water resources from macroscopic view and microscopic view to improve eco-environment of Hengshui, and a-chieves the purpose of sustainable development and utilization of water resources.

  11. Analysis of the Current Situation of Orienteering in Yunnan Province%云南省定向运动发展现状浅析

    Institute of Scientific and Technical Information of China (English)

    徐绍文

    2013-01-01

    Using the method of literature, Investigation and interview, Analyzes the current development of directional movement in recent years in Yunnan province .The analysis shows that the lack of guidance policy of Yunnan province orienteering, Coaches level is low, Lack of equipment and unified teaching materials in primary and secondary schools, the penetration rate is low, The athletes talent shortage. Put forward six suggestions according to the present situation of Yunnan province Orienteering development problem.%运用文献资料法、调查访谈法,分析了云南省近几年定向运动的发展现状。分析得出云南省定向运动的指导政策缺失,教练员水平偏低、缺乏设备和统一的教材、中小学定向运动普及率低、运动员人才匮乏。根据云南省定向运动开展的现状的问题提出四点建议。

  12. 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.

  13. 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.

  14. 海洋可再生能源发电现状与发展趋势%Current Situation and Development of Marine Renewable Energy Power Generation

    Institute of Scientific and Technical Information of China (English)

    赵伟国; 刘玉田; 王伟胜

    2015-01-01

    With the rapid growth of fossil energy consumption, pressure of carbon emission reduction becomes higher, and more attention has been paid to marine renewable energy power generation. Offshore wind energy, tidal energy, tidal current energy, wave energy, ocean thermal energy conversion and salinity gradient energy generation are discussed by taxonomic study. The worldwide resource distributions, developmental trajectories and current status are introduced and analyzed respectively. The obstructions hindering their wide scale exploitation and commercialization are also focused on, then some possible solutions, development trends and prospects are put forward. The severe situation of energy shortage, carbon emission and environmental pollution can be effectively alleviated by marine renewable energy power generation technology.%随着化石能源消耗的迅速增长,低碳减排压力不断增加,海洋可再生能源发电日益受到重视。分类介绍海上风能、潮汐能、潮流能、波浪能、海洋温差能和盐度差能等海洋发电方式资源分布、发展历程和现状,分析海洋可再生能源开发所面临的主要问题,提出相关建议,指出发展趋势和前景。正在迅速发展的海洋可再生能源发电技术,不仅能够缓解能源紧张的现状,更可以有效实现低碳减排和环境保护。

  15. 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.

  16. Clinical applications of magnets on cardiac rhythm management devices.

    Science.gov (United States)

    Jacob, Sony; Panaich, Sidakpal S; Maheshwari, Rahul; Haddad, John W; Padanilam, Benzy J; John, Sinoj K

    2011-09-01

    The growing indications for permanent pacemaker and implantable cardioverter defibrillator (ICD) implantation have increased the number of patients with these cardiac rhythm management devices (CRMDs). Cardiac rhythm management devices occasionally perform inappropriately in response to electromagnetic interference (e.g. surgical electrocautery) or lead noise over-sensing (e.g. lead fracture). Temporary reprogramming of the CRMDs using device programmers can prevent these untoward device responses. However, these programmers are device manufacturer specific and require technically qualified personnel to operate. This could cause delayed patient care and increased use of resources in certain clinical situations. Alternatively, clinical magnets, when appropriately positioned over the device site, can change the pacing to an asynchronous mode in pacemakers and suspend tachycardia therapies in ICDs. Although readily available, clinical magnets have not been widely used for this purpose, perhaps due to the unfamiliarity with the variable responses of CRMDs to magnet application. This article provides a comprehensive overview of the current literature on the mechanism of action and the specific responses of various CRMDs to clinical magnets.

  17. 社区护士开展健康教育现状调查%Investigation on the current situation of community nurses to develop health education

    Institute of Scientific and Technical Information of China (English)

    周君妹

    2016-01-01

    目的:调查社区护士开展健康教育的现状,分析形成原因,为日后有效开展社区健康教育提供依据。方法:随机选取社区护士150例,通过问卷调查获取社区健康教育情况。结果:95.8%社区护士认为开展社区教育极其重要,94.7%护士到社区以发放宣传资料、利用宣传橱窗的方式开展健康教育,但能主动参与社区健康教育的仅29.8%,主要原因是社区护士本身缺乏健康教育知识、缺乏活动经费、人员不足、社区居民热情度不高等。结论:开展成功的社区健康教育,需要社区护士本身有较好素质和知识技能,也需要社区居民配合和经费。%Objective:To investigate the current situation of community nurses to develop health education,and analyze the formation reasons,and provide evidence for the effective development of community health education.Methods:150 cases of community nurses were randomly selected.The community health education situation was obtained through questionnaire survey. Results:95.8% community nurses thought that developing community education was extremely important.94.7% nurses developed health education by distributing publicity materials and using the way of propaganda window in community,but only 29.8% could actively participate in community health education.The main reason was community nurses lack of the health education knowledge,lack of activity funds,lack of personnel,not high community residents enthusiasm.Conclusion:Developing successful community health education needs than community nurses have a good quality and knowledge skills,also needs the community residents coordination and funds.

  18. 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。

  19. 农村初中生作文现状分析及对策%Current Situation Analysis and Countermeasures of Rural Junior High School Essay

    Institute of Scientific and Technical Information of China (English)

    李笔锋

    2014-01-01

    How to teach writing courses have become troubled by the majority of junior high school language teacher cur-rently a major problem, and this situation is even more prominent in rural junior high school. New Curriculum requirements:Students should be close to the actual teaching of writing, so that students easy to write, ask students to tell the truth, the truth, the truth, do not tell lies, empty words, and clichés. How can we do it? For many problems in terms of students' writing, com-bined with years of teaching experience, I believe that rural junior high school teaching writing must recognize the new situ-ation and start to mobilize the enthusiasm of the students' writing from the culture interest in writing, focusing on student life and practice reading accumulation, the use of flexible composition assessment methods in order to effectively improve the level of writing.%如何上好写作课已成为当前困扰广大初中语文老师的一大难题,而这种情况在农村初中更是突出。新课标要求:写作教学要贴近学生实际,让学生易于动笔,要求学生说真话、实话、心里话,不说假话、空话、套话。如何才能做到呢?针对学生写作方面存在的诸多问题,结合多年来的教学实践,笔者认为,农村初中作文教学必须认清新形势,从培养写作兴趣入手来调动学生的写作积极性,注重学生的生活实践和阅读积累,运用灵活多样的作文评改方式,才能切实提高作文水平。

  20. 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。

  1. 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。

  2. 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

  3. 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...

  4. Situated Transgressiveness

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Sullivan, Katie Rose; Rich, Craig

    2016-01-01

    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......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...... 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...

  5. Current situation of arsenism prevention and water improvement in Jilin province%吉林省防砷改水现状分析

    Institute of Scientific and Technical Information of China (English)

    张海涛; 张秀丽; 姜爽; 肖禹; 韩昌; 衣伟; 张立波; 姜海峰; 张晓东

    2013-01-01

    Objective To find out current situation of arsenism prevention and water improvement in Jilin province so as to provide scientific basis for strategic adjustment of endemic arsenism prevention and control.Methods With reference to historical data,we found out current situation of water improvement and water arsenic content in endemic arsenism area and latent area,we carried out survey on management and use of water improvement projects and benefit from the projects.Results Water improvement projects were carried out in 318 villages among 361villages in endemic arsenism areas and latent areas and water improvement rate was 88.09%,314 water improvement projects were used normally and the rate of normal usage was 98.74%,298projects of water improvement were found qualified in water arsenic content with qualification rate of 94.90%.Water arsenic content in 16 projects were found exceeding the standard with the rate of 5.10%.314 water improvement projects of normal use covered 36 287 families,and 32 770 families drank water from the projects,298 projects of qualified water arsenic content covered 35039 families,31 600 families got benefit from that.16 projects of unqualified water arsenic content covered 1 248 families and 1 170 families drank water from the projects.Conclusion Water was not improved in some endemic arsenism latent areas,and some projects were scrapped and water arsenic content exceeded the standard.It means that work of water improvement for endemic arsenism still needs to be strengthened.%目的 摸清吉林省防砷改水现状,为调整地方性砷中毒防治策略提供科学依据.方法 查阅历史资料掌握地方性砷中毒病区及潜在病区(屯)改水情况和改水后水砷含量,深入病区对改水工程使用管理情况和居民受益情况开展现况调查.结果 361个地方性砷中毒病区及潜在病区(屯)共改水318个,改水率为88.09%,正常使用工程314个,正常使用率为98.74

  6. 2013年广西血液净化治疗基础现状调查%Survey on current situation of blood purification in Guangxi,2013

    Institute of Scientific and Technical Information of China (English)

    曾春; 叶琨; 彭小梅; 黄玲; 吴潮清; 唐业莹

    2015-01-01

    Objective To investigate the current situation of blood purification in Guangxi.Methods A survey on the current situation of blood purification was conducted in 115 qualified hospitals in 14 cities in Guangxi,concerning the numbers of machines,doctors,nurses and technicians as well as the overall cases of blood purification therapy, hemodialysis cases, hemofiltration cases, hemoperfusion cases, plasma exchange cases,continuous blood purification cases and adverse reactions cases in 2013.Results There were 1 745 blood purification machines, 348 doctors,828 nurses and 110 technicians with the qualification for blood purification therapy in Guangxi.There were 928 155 case times of blood purification therapy,855 154 case times of hemodialysis,36 959 case times of hemofiltration,24 714 case times of hemoperfusion,1 306 case times of plasma exchange,10 022 case times of continuous blood purification and 11 097 case times of adverse reactions in 2013.Conclusion The number of blood purification machines matches the ratio of doctors to nurses in Guangxi.The therapy models are mainly hemodialysis, hemofiltration and hemoperfusion.The strengthened surveillance on the adverse reactions is needed.%目的:了解广西血液净化基础现状。方法对广西14个地市115家具备血液净化准入资质的医院进行血液净化基础现状调查,内容包括机器、医生、护师、技师数量,2013年全年开展血液净化治疗的总例次及血液透析、血液透析滤过、血液灌流、血浆置换、连续性血液净化的例次,不良反应发生例次。结果广西拥有血液净化机器1745台,具备血液净化诊疗资质的医生348名,护士828名,技师110名。2013年开展血液净化治疗的总例次为928155例次,血液透析855154例次、血液透析滤过36959例次、血液灌流24714例次、血浆置换1306例次、连续性血液净化10022例次,不良反应发生11097例次。结论广西血液净化诊疗机器设备

  7. 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。

  8. Current situation and suggestions for pressure ulcer management in China%我国压疮管理现状与建议

    Institute of Scientific and Technical Information of China (English)

    张洪君; 卢㛃; 刘金莲

    2014-01-01

    Pressure ulcer is a common and important complication in clinical nursing. Its mechanism is complicated. Pressure ulcer widely exists in different departments of hospital and would greatly inlfuence patients. This paper summarized and analyzed the current situation of pressure ulcer management in China. The ideas and methods of pressure ulcer management from abroad had been applied in some medical institutions in China, and were modiifed in order to ift themselves. But due to the diversity of our medical institutions, we still need to formulate a uniifed nursing standard to improve the prevention and treatment management of pressure ulcer in our country.%压疮是临床护理工作中常见的重要并发症,其发生机制复杂,广泛存在于各科室,给患者带来较大影响。本文通过对目前我国压疮管理现状的分析发现,国际压疮护理管理理念和方法已经在我国部分医疗机构得到改进和应用,逐步形成适合我国的压疮防治规范。但是,由于我国各地医疗机构水平参差不齐,为提高全国整体压疮预防与治疗管理水平,还须制订统一的全国压疮护理标准。

  9. Current situation and developing direction of textile waste comprehensive utilization%我国废旧纺织品综合利用现状及发展方向

    Institute of Scientific and Technical Information of China (English)

    顾明明; 唐世君

    2012-01-01

    通过分析废旧纺织品综合利用现状,总结了纯棉废旧纺织品、废旧民用纺织品、废旧军服等领域综合利用的初步进展,提出了我国目前废旧纺织品综合利用存在的主要问题,明确了废旧纺织品综合利用的发展方向,即废旧纺织品综合利用必须紧紧围绕“合理规划、分类回收、技术保障、市场拓展、政策引导、舆论宣传、全社会广泛参与”的指导方针,通过长期而系统的推进,最终实现行业规范化、专业化、集约化的健康科学发展。%Based on an analysis of the current situation of textile waste comprehensive utilization, the paper summarized the initial utilization progress of cotton waste, civilian waste and military uniforms waste. The major problems in textile waste utilization were pointed out, and the developing direction of textile waste comprehensive utilization was proposed. Comprehensive utilization of textile waste must focus on "rational planning, sorting recovery, technical support, market expansion, policy guidance, media publicity and extensive public participation", so as to realize normalized, specialized, intensified scientific development of the industry.

  10. Current Situation and Countermeasures of Tennis Development in Wenshan Prefecture%文山州网球发展的现状与对策

    Institute of Scientific and Technical Information of China (English)

    闫巧珍

    2012-01-01

    随着经济社会的发展,人民群众的生活水平逐渐提高,越来越多的人选择了时下盛行的时尚运动项目二网球运动。通过对文山州网球发展现状的调查和研究,针对文山州网球运动发展中存在的场地少、参与者水平参差不均、师资力量缺乏等诸多问题,提出了网球场地设施、活动组织管理等方面的对策,为文山州网球运动的健康发展提供对策和建议。%As one of the fashion sports, tennis has become popular among people with the development of social economy of Wenshan. More and more people choose to participate in the nationwide sports and also willing to pursuit vogue mode of motion. Based on the investigation and research of current situation of tennis development in Wenshan, this paper puts forward some countermeasures and suggestions according to the existing problems such as lack of fields, the inequality of participants' level, and the lack of teachers. Its aim is to improve the tennis COUrt facilities, organization and management of activities, etc, promoting the healthy development of tennis in Wenshan.

  11. 我国稻米产业现状及发展对策%Current Situation,Pressure and Development Countermeasures on Chinese Rice Industry

    Institute of Scientific and Technical Information of China (English)

    孙强; 刘心雨; 张三元; 张俊国

    2011-01-01

    It pointed out facing pressure about chinese rice industry from current situation such as the pressure about cost and price,the pressure of foodstuff circulation system,the pressure of exotic products,the pressure of green barriers and the new pressure of national food protection policy.It proposed development countermeasures of rice industry such as support to leading enterprises,advance industrialization of rice,build risk system on production,strengthen safety standard and checkout on rice and analysis on the pest quarantine of foreign seed,pay attention to the diversity to develop rice,reform circulation system of food and so on,all these can provide scientific evidence for the development for rice industry.%针对中国稻米产业的现状,指出中国稻米产业面临的压力:价格与成本的压力;粮食流通体制上的压力;外国以精新产品打入中国市场的压力;绿色壁垒的压力;国家粮食保护政策面临新压力。提出了中国稻米产业今后发展的对策:扶持龙头企业,推进稻米产业化发展;建立生产风险制度;加强稻米安全标准和检验及国外种子病虫害检疫研究;注重开发稻米的多样性;改革粮食流通体制等,为稻米产业发展提供科学参考。

  12. 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.

  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. 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.

  16. Analyzing on the Motivation and Factors for Building Long-term Care Insurance System-Based on Current Situation and Data Analysis of Chengdu%CHINA HEALTH INSURANCE

    Institute of Scientific and Technical Information of China (English)

    谢俊萍; 胡兆舜

    2016-01-01

    With the accelerating of population aging, besides basic medical insurance, the demands for long-term care are also increasing, especially the needs for reducing the fi nancial and caring burden of families having disabled older people are more urgent. Through analyzing current situation and the data of Chengdu, as well as considering the advanced experience of other countries in long-term care insurance system, we propose that long-term care insurance should be an independent insurance system, which is led and coordinated by government, initiated at low level while mainly protecting target population, and has system elements of fi ne rating and service industry for the elderly care. We hope these suggestions can provide reference for the system design.%随着人口老龄化进程的加快,老年人群在享受基本医疗保险制度的同时,对长期照护的需求进一步加大,特别是失能老人对减轻家庭照护经济和精力负担的诉求尤为迫切。本文通过对成都市现状和数据的分析,在借鉴其他国家经验的基础上,提出我国要建立的长期照护保险制度应是一个独立的险种、应由政府主导协调推进、建制初期应低水平起步并以保障重点人群为主、建立完善的等级评定体系、发展养老服务业等制度建设要素,为制度设计提供参考。

  17. 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.

  18. 大学生体育人口现状研究%Research on the Current Situation of College Students' Physical Education

    Institute of Scientific and Technical Information of China (English)

    李香华

    2015-01-01

    In order to understand the current situation of College Students' sports population, the students' physical fitness consciousness and behavior are found to influence the students' physical fitness. Through questionnaire survey, literature data method, mathematical statistics method, 450 college students of Hunan Institute of Science and Technology were investigated and analyzed. The results show that the sports population of Hunan Institute of Science and Technology is 36.7%, slightly higher than the national average level, but there is a big gap with the developed countries, which shows that the students of Hunan Institute of Science and Technology have a good sense of physical fitness, and can take the initiative to participate in the daily life.%为了解大学生体育人口现状,发现影响大学生体育健身意识与行为的制约因素,提高大学生体育健身成效,通过问卷调查法、文献资料法、数理统计法等,对湖南理工学院450名大学生进行了调查与分析.结果显示,湖南理工学院大学生体育人口占36.7%,略高于全国平均水平,但与发达国家有较大差距,说明湖南理工学院大学生具有良好的体育健身意识,能够在日常生活中积极主动地参与到体育健身中去,但体育健身的频率、方式、目的、男女有差异.

  19. Current situation and development of community health management of hypertension%高血压社区健康管理的现状与发展

    Institute of Scientific and Technical Information of China (English)

    王金明; 王家骥; 欧伟麟; 欧文森; 吴文林

    2016-01-01

    Hypertension is a common chronic disease which can lead to cardiac, cerebrovascular and renal damage; it is seriously harmful to human health. Cardiovascular disease caused by hypertension has become the first cause of death of residents in our country, the burden of disease has become more and more serious, how to manage hypertension has become an important public health issue in our country. In this review, the development and current situation of the community health management of hypertension at home and abroad are described and analyzed, the experience and practice worthy of learning are summarized to provide evidence for the prevention and control of hypertension in community.%高血压是常见的慢性疾病,可导致心脏、脑血管和肾脏损害,严重危害人类健康,引起的心血管疾病已经成为我国居民的首位死因,导致的疾病负担越来越重,如何做好高血压的健康管理成为我国重要的公共卫生课题。本文通过阐述和分析国内外高血压社区健康管理的发展与现状,找出值得借鉴的经验和做法,对指导社区高血压的防治研究提供依据。

  20. Current situations and countermeasures of oyster industry in Guangxi%广西牡蛎养殖业的现状与发展对策

    Institute of Scientific and Technical Information of China (English)

    庞耀珊; 谢芝勋; 谢丽基; 邓显文; 刘加波; 谢志勤; 范晴

    2012-01-01

    [Objective]This research was conducted in order to better promote the Guangxi oyster aquaculture health and sustainable development from government departments and to provide scientific and technological references for workers in relevant fields. [Method]The current situations and problems of Guangxi oyster aquaculture industry were analyzed to identify the main obstacles of the current Guangxi oyster aquaculture development and to promote suggestions and countermeasures for the healthy and sustainable development of Guangxi oyster aquaculture. [Result]At present, existing problems in Guangxi oyster aquaculture include generally unbalanced germplasm resources quality, time-to-time oyster mortalities occurrence, delayed oyster processing time, short chain in the oyster trading industry, etc. [Suggestion]In order to promote Guangxi oyster breeding efficiency, improve the sustainable development, and increase the economic benefit of oyster aquaculture, proposed countermeasures include excavating the local germplasm resources, establishing specific pathogen free (SPF) oyster seed field, reasonably planning oyster culturing, constructing safe and efficient sustainable health development of the mariculture patterns, farming and processing newly introduced technology studies, extending the oyster industrial chain, etc.%[目的]更好地促进广西牡蛎养殖业的健康可持续发展,为政府管理部门及科技工作者提供参考.[方法]对当前广西牡蛎养殖业现状和问题进行分析,找出阻碍当前广西牡蛎养殖业发展的主要原因,提出促进广西牡蛎养殖业健康可持续发展的对策与建议.[结果]目前广西牡蛎养殖业普遍存在种质资源良莠不齐、牡蛎死亡现象时有发生、牡蛎加工方式落后、牡蛎贸易链短等问题.[建议]通过挖掘本地种质资源优势,建立无特定病原体(SPF)牡蛎原种场;合理规划养殖,构建安全高效的健康可持续发展的海水养殖模式;研究

  1. 母乳喂养益处和现状的研究进展%Progress in research on benefits and current situation of breastfeeding

    Institute of Scientific and Technical Information of China (English)

    苏建强; 戴耀华

    2011-01-01

    母乳喂养具有良好的镇痛作用;对于儿童的语言、心理、行为等也有很大的改善作用;对非酒精性脂肪肝病的发展有保护性作用;同时能够预防高血压,降低血清胆固醇,预防成人肥胖和超重及心血管疾病的发生;能够降低母亲产后多发性硬化症的复发和冠心病的风险;对于社会,母乳喂养能够节约大量的医疗费用.鉴于母乳喂养的种种益处,各国均提出了自己的目标和计划,并采取了行动.但母乳喂养率离预定的目标还有很大的距离,母乳喂养指标尚有很大的改善空间.该文回顾了2006~2010年国内外对母乳喂养益处和现状的大量文献,并对搜索到的文献进行总结.%This article reviews researches published in domestic and abroad in a period from 2006 to 2010 relating benefits and current situation of breasffecding. The results show that: breasffeeding has an analgesic effect for the newborns. And it has positive effect on language, mental and behavior development in middle childhood. Breasffeeding has a protective effect on progression of non-alcoholic fatty liver disease. Breasffeeding likely protect the adult from hypertension, obesity and overweight, and can lower serum cholesterol concentration. Also, breasffeeding seems to have beneficial effects on later cardiovascular risk factors. Exclusive breasffeeding can significantly reduce risk of postpartum relapses of multiple sclerosis. Long duration of lactation was associated with a reduced risk of coronary heart disease. Breasffeeding exclusively for 6 months would save medical expenses and prevent a lot of deaths. In view of benefits of breasffeeding, many countries have established their own goals and plans of breasffeeding, and have taken some actions. But reports from WHO and some researchers show that the breasffeeding rates in many countries remain low. Current breasffeeding patterns are still far from the recommended level. We should try our best to

  2. 我国名优茶发展现状与趋势%Current Situation and Tendency on the Development of Chinese Premium Teas

    Institute of Scientific and Technical Information of China (English)

    周智修; 段文华; 吴海燕; 司智敏

    2013-01-01

    The current situation and tendency of the development for Chinese premium teas were investigated in analyzing the results of 3948 tea samples in nine “Zhongcha Cup” country wide premium tea competitions during 1994~2011. All the six types of Chinese tea developed well. Among them, green tea was the main tea, Oolong tea and dark tea increased steadily, black, white and yellow teas were in recovery growth. In the four tea growing areas, the Jiangnan (south Yangtze River) tea area developed strongly and has the highest prize awarded ratio. The premium tea in Zhejiang Province is leading its development in China, the quality of Jiangsu premium tea is at the top, Shandong province, a north tea area, has strong marketing and competition consciousness. And Fujian, Sichuan, Hubei, Guizhou, Guangdong, Anhui are also important premium tea producing provinces. The ratio of tea sample made by clonal tea cultivars increased continuously. „Fuding Dabaicha‟, „Baiye 1‟, „Fuding Dahaocha‟, Longjing series clones are main clonal tea cultivars. The quality of premium tea increased steadily. Nevertheless, the tea appearance is becoming similar. Hygian safety (the situation of heavy metal, pesticide residues) was satisfactory, and organic tea developed rather fast. The ratios of machinery processing, producing according to standard, and trade mark increased year by year and reached a higher level.%  通过对1994~2011年连续九届3948只“中茶杯”名优茶评比茶样数据分析,结果表明,我国六大茶类名优茶均呈现发展态势,绿茶是发展的主茶类,乌龙茶、黑茶稳步增长,红茶、白茶和黄茶呈恢复性增长。四大茶区中,江南茶区获奖率最高,发展势头强劲;浙江名优茶产业引领我国名优茶发展,江苏名优茶总体质量位居全国前列,山东显现强烈的市场竞争意识,福建、四川、湖北、贵州、广东和安徽等省也占重要地位。无性系品种茶样

  3. Situation Songs

    DEFF Research Database (Denmark)

    Kolar-Borsky, Agnes; Holck, Ulla

    2014-01-01

    the therapeutic relationship; to enhance experience and development in the fields of emotion, behavior, expression and social skills; to express messages in language and to give structure to the child. The overall aim behind the use of situation songs is to offer essential experiences to the child in order......The aim of this study was to survey the various therapeutic intentions behind the use of one particular improvisation method applied in pediatric music therapy, called the situation song (from the German term “Situationslied”- Plahl & Koch-Temming, 2008, p. 180). According to Plahl & Koch...... author’s clinical experience with situation songs (preunderstandings), a systematic analysis of relevant literature, followed by semi-structured interviews with three music therapists from Denmark, Austria and Germany. A flexible investigation approach was used, following hermeneutic principles...

  4. 我国家庭养老观念的现状及变化趋势%The Current Situation and Tendency of Family Support Perception in China

    Institute of Scientific and Technical Information of China (English)

    纪竞垚

    2016-01-01

    利用2014年中国老年社会追踪调查(CLASS)数据作为支持,从老年人对家庭养老模式和具体的家庭养老方式的态度和看法这两个维度,阐释我国家庭养老观念的现状和变化。研究发现:家庭养老模式方面,孝观念和孝行标准在当代社会的文化氛围下有着新的表现形式,今天的老年人更加注重子女对自己日常生活的照料;在具体的家庭养老方式方面,对于“谁来养老”,老年人尤其是城市、低龄老年人的“养儿防老”观念正在逐渐淡化,对于“在哪养老”,从总体上看,无论是老年人还是其家庭成员,大都希望居家养老。%By using the data from Chinese Longitudinal Aging Social Survey (CLASS) which is directed by Renmin University of China, this paper interprets the current situation and tendency of family support perception from 2 dimensions:family support pattern and the action style of family support. The paper has found that filial piety perception is changing in recent days and the old persons are more emphasis on children’s care for them in family support pattern aspect. Furthermore, in the aspect of family support action style, the perspective for“raise children to provide against old age”is diminishing especially for the urban and low age old people. Moreover, both old people and their family members are inclined that the old are expected to be at home when they are old.

  5. Investigation on current situation of Toxoplasma infection in reproductive population%育龄人群弓形虫感染现状调查分析

    Institute of Scientific and Technical Information of China (English)

    叶彦; 章力; 黄甘颖; 李霞

    2015-01-01

    Objective To investigate and analyze the current situation of Toxoplasma ( TOX ) infection in reproductive population. Methods Five hundred pregnant women and 500 cases of healthy people without any symptoms of TOX infection were selected and grouped into pregnant group and health group. The general information and the history of exposure to pets of all the included objects, and the adverse pregnancy history of pregnant women in the pregnancy group were investigated and compared. Results There was no significant difference in TOX infection rate between health group and pregnant group (χ2 =1. 578, P >0. 05). The recent TOX infection rate of women who had pet exposure history in both groups was significantly higher than that without pet exposure history (χ2 value was 33. 196 and 20. 436, respectively, both P0.05)。健康组、孕妇组中有宠物接触史者的近期TOX感染率均显著高于无宠物接触史者(χ2值分别为33.196、20.436,均P<0.05)。孕妇组中具有不良妊娠史者的近期TOX感染率显著高于无不良妊娠史者(χ2=17.837,P<0.05)。孕妇组TOX感染知晓率显著高于健康组(χ2=27.127,P<0.05),年龄(<25岁)、非生物医学相关职业、居住地位于农村地区、学历较低(小学及以下)均是知晓TOX感染的危险因素( OR值分别为1.612、3.287、1.455、2.673,均P<0.05)。结论育龄人群的TOX感染知晓情况受多种人口学因素影响,TOX感染与孕妇不良妊娠史的发生具有相关性,宠物接触史可增加TOX感染风险。

  6. Current Situation and Tendencies of Debris Flow Initiation Mechanism%泥石流起动机理研究现状及趋势

    Institute of Scientific and Technical Information of China (English)

    贺拿; 陈宁生; 曾超

    2013-01-01

    The current research situation of debris flow initiation mechanism ( experimental study and theory research) is summarized. On the basis of induction and summarization on the previous achievements, shortcomings of the previous researches are analyzed and the future research directions of debris flow initiation mechanism are proposed. Founded on soil mechanics, hydraulics and porous flow mechanics, etc. , the study in the future should reveal the dynamic process of debris flow from static to dynamic, from single factor to multi-factor, from qualitative research to quantitative research, and finally combining with the damage process and water condition to establish the initiation model of debris flow. Research on debris flow initiation mechanism can provide scientific basis for debris flow prediction, and promote the development of debris flow discipline at the same time.%概述了国内外泥石流起动机理研究(实验研究及理论研究)的现状,在归纳总结前人研究成果的同时,分析其研究的不足,同时提出泥石流起动机理未来的研究方向.未来的研究应该以土力学及水力学、渗流力学等学科为基础,揭示泥石流土体的动态变化过程,从静态向动态、从单因素向多因素、从定性向定量方向转化,并结合土体的动态破坏过程及需水条件构建泥石流起动的模型.泥石流起动机理的研究不仅可以为泥石流的预测预报提供科学依据,同时又可以推动泥石流学科的发展.

  7. 新疆麻疹流行现状和控制策略%Analysis of current epidemiological situation of measles and strategies for controlling measles in Xinjiang

    Institute of Scientific and Technical Information of China (English)

    袁玉莲; 戴述齐

    2001-01-01

    Objective To analyze the current epidemiological situation of measles and to put forward strategies for controlling measles in Xinjiang. Methods A descriptive epidemiology was performed to survey incidence of measles in Xinjiang from 1953~1999. Results  The highest incidence rate of 1 155.14 per 100 000 was reported in 1964. Since 1 965, the measles incidence had dramatically decreased with using measles vaccine in Xinjiang, particularly the action of launching EPI program since 1984. The l owest incidence rate of 7.85 per 100 000 was achieved in 1990. From 1990~1 999 cases mostly concentrated on preschool and school children. Seasonal distri b ution of measles was in April and May. Conclusions It is urgent to improve efficacy of measles vaccine, to establish measles epidemiological an d laboratory surveillance system, and to strengthen immunization for measles and controlling of the outbreak.%目的 分析新疆麻疹流行的现状并提出控制策略 。方法 用描述流行病学方法对1953~1999年新疆麻疹发病情况分析。 结果 1964年报告发病率为1 155.14/10万。 自1965年开始使用麻疹疫苗(MV)以来,特别是1984年开展计划免疫活动以后,我区麻疹 的发病率大幅度下降,流行强度明显降低,到1990年发病率已降至历史最低水平7.85/10万 。1990~1999年麻疹主要在学龄前儿童和小学生中发病,冬春高发,其中4、5月份发病数 最多。结论 应建立监测系统,开展麻疹强化免疫活动,控制麻疹爆发。

  8. 我国主产地柑橘的农药残留现状研究%Current Situation of Pesticide Residues in Citrus from China

    Institute of Scientific and Technical Information of China (English)

    张耀海; 焦必宁; 赵其阳; 王成秋; 周志钦

    2011-01-01

    我国柑橘生产使用农药种类多、剂量大,对产品质量安全有一定影响.文中采用气相色谱和高效液相色谱检测技术,对我国6省(市)柑橘产地抽取的198个鲜果样品进行了26种农药残留的检测与评价.10种农药残留检出,包括禁限用农药,其中1个样品有1种农残超标,超标率为0.47%,各省(市)柑橘鲜果样品的农药残留检出率均在48.9%以上,我国柑橘质量安全存在潜在风险.%The wide varieties and massive doses of pesticide residues applied in citrus production has influence on citrus safety quality in China.The current situation of citrus safety was investigated to provide basic reference in the evaluation of potential risks.All samples from six provinces or cities were determined by gas chromatography (GC) and high performance liquid chromatography (HPLC) to monitor twenty-six pesticides.Ten of twenty six pesticides residues were detected and one exceeded the MRLs.Of all the samples, 0.47% exceeded the MRLs.The detectable rates of samples from six main producing areas were above 48.9%.There is a potential risk in Citrus products in China.In order to ensure the citrus safety in China, we need to strengthen pesticide residue examination, enhance disease-carrying insect monitor and preventing technical guidance, promote non-environmental damage and green citrus production technology.We also need to improve our detecting technology and catch up with international advanced analysis method.

  9. 大学生时间洞察力现状调查研究%Investigation and Research on the Current Situation of College Students' Insight into Time

    Institute of Scientific and Technical Information of China (English)

    张云霞

    2016-01-01

    本文以洛阳市3所高校学生为被试,通过《时间洞察力问卷》调查大学生时间洞察力状况。研究表明:大学生对未来时间的理解和体验有明确的认知,总体时间洞察力有待加强;女生未来时间洞察力显著高于男生;男生现在宿命时间洞察力显著高于女生;大二学生现在宿命时间洞察力显著高于大一学生;理工科学生现在宿命时间洞察力显著高于文科学生。结论:大学生存在不佳的时间偏向,总体时间洞察力水平不高,急需采取措施提高时间洞察力水平。%With students from 3 colleges of Luoyang City as the subject,"questionnaire on insight into time"was used to investi-gate the current situation of college students' insight into time. It was found in the research that: college students have a clear knowledge on the understanding and experience of future time, but the general insight into time still needs to be improved; fe-male students' insight into future time is significantly higher than that of male students;male students' insight into present destiny time is significantly higher than that of female students; sopho-mores' insight into present destiny time is significantly higher than that of freshmen; science and engineering students' insight into present destiny time is significantly higher than that of liberal arts students. Conclusion: College students' tendency towards time is poor and the general level of their insight into time is low, so urgent measures should be taken to improve the level of insight into time.

  10. 房产基建类企业贷款的现状与风险%Current situation and risks of loans in real estate infrastructure enterprises

    Institute of Scientific and Technical Information of China (English)

    孙世乾

    2016-01-01

    In recent years, the central pitch stable housing consumption, several rounds of financial credit policy improve the market environment, and adjust measures to local conditions around a series of loose policies to promote the demand in the market. Data show that in the first half of 2016, 93 listed real estate and infrastructure companies achieve revenue 468.757 billion yuan, 343.648 billion yuan during the same period increased by 36.41% compared with 2015, a 11.6% drop in net profit margin amount. Industry revenue in the domestic real estate industry and infrastructure improvements, but under the condition of net margins have fallen significantly, bank loan balance is inverse to the two industry city to rise, so the banking industry in response to the rapid growth of capital requirements at the same time also faces a potential systemic risks. The article researches on the current situation and risks of loans in real estate infrastructure enterprises.%近年来,中央定调稳定住房消费,多轮金融信贷政策发力改善市场环境,各地也因地制宜出台了一系列宽松政策,促进需求入市。数据表明,2016年上半年93家上市房地产与基建类企业共实现营收4687.57亿元,相比2015年同期的3436.48亿元增加36.41%,净利润率合计下降11.6%。在国内房地产行业以及基建行业营收有所回暖、但是净利润率则有明显回落的情况下,银行向两行业贷款余额却逆市上升,因此银行业在应对快速增长的资金需求同时也面临着潜在的系统性风险,文章对房产基建类企业贷款的现状与风险进行了研究。

  11. [Clinical evaluation of new drugs against orphan diseases in oncology - the current situation in Europe and in our country].

    Science.gov (United States)

    Stěrba, Jaroslav; Stěrbová, Sylva; Kodytková, Daniela; Valík, Dalibor; Demlová, Regina

    2014-01-01

    Cancer represents one of the main causes of death among diseases across the age spectrum. Tumors in children, however, represent less than 1% of the total number of cancers in the population and in terms of the definition of orphan diseases in Europe are all children's cancers considered as orphan diseases. This is the reason why the research and development of new agents against cancer in childhood stands outside of the main interest. Every year around 30,000 new cases of cancer in children and adolescents are diagnosed in the European Unioun (EU) and approximately 80% of them achieve long-term remission using mainly conventional methods of treatment. However, almost 6,000 children and adolescents die every year of malignant tumors therefore cancer remains a major cause of morbidity and mortality. Consequently, there is a demand for new and safe drugs for children suffering from cancer which would lead to improved survival and to risk reduction of late adverse effects of cancer treatment. In the past 10 years in the EU, more in the EU-15 than in our country, 20 performed oncology trials in phase I involving adults account for only one trial in pediatric patients. The issue of new drugs clinical testing in rare cancers is very complex, complicated and for current unsatisfactory situation might be responsible various aspects. These aspects contain the legislative field, the problem of determining the correct dose of testing drug as a single agent or in combination therapy, the use of testing drug in advanced disease or already in de novo diagnosed patients, as well as equity (equal) access to new drugs being tested, the goal set for each molecule/drug in clinical trials, the conflict of interest balanced with sufficient professionalism and last but not least, the need for new methodologies and statistical approaches. The aim of this article is to describe the issue complexity of incorporation of new, modern drug for cancer patients with orphan diseases, including

  12. 目前医患纠纷现状及原因分析%Current Situation and Cause Analysis of Medical Disputes

    Institute of Scientific and Technical Information of China (English)

    刁保平

    2015-01-01

    目的:通过对医患纠纷的现状及原因分析,制定医疗纠纷的防范对策,重建和谐医患关系。方法从医方、患方以及医患之外的因素来分析和探究造成医疗纠纷的原因。结果近年来医疗纠纷事件恶性程度呈逐年严重趋势,医疗纠纷事件赔偿金额逐年增加。医院注重经济效益、医生技术水平以及服务态度低下、患方维权方式不当、新闻媒体的负面影响均可导致乃至促进医疗纠纷的发生。结论呼吁全社会关注医患关系状况,对医患关系状况有更加充分而准确的认识,加快医疗卫生立法,健全法律法规,使医疗活动有法可依,创建和谐的医患关系。%Objective Through the analysis of the current situation and the causes of the medical disputes, and to formulate the preventive measures to reconstruct the harmonious relationship between doctors and patients. Methods To analyze the factors from doctors, patients and doctors outside and explore the causes of medical disputes. Results In recent years, the medical disputes in the event of malignant degree of serious trend, the amount of medical malpractice compensation increased year by year. The hospital pays attention to the economic benefits, the doctors' technical level and the low service attitude, the wrong way, the negative influence of the news media can lead to the medical disputes. Conclusion A call for the whole society pays close attention to the relationship between doctors and patients, the relationship between doctors and patients have more full and accurate understanding, speeds up the health legislation, perfect laws and regulations, the medical activities in accordance with the law, create a harmonious relationship between doctors and patients.

  13. Current situation of complicated common diseases of physical examination groups with different ages%不同年龄段体检人群常见疾病现状

    Institute of Scientific and Technical Information of China (English)

    杨丽

    2012-01-01

    目的 分析体检人群不同年龄段并发常见疾病现状,并提出护理措施.方法 对2011年1-10月在解放军总医院国际医学中心进行健康体检的500例体检者的体检结果进行统计,列出不同年龄段常见疾病.结果 高血压病、高脂血症、脂肪肝、糖尿病、冠心病、妇科疾病、心理疾病和癌症发病率较高.不同年龄段男性患病率差异有统计学意义(x2 =40.1142,P<0.05);不同年龄段的女性患病率差异无统计学意义(P>0.05).结论 成年男性要积极采取健康的生活方式,加大对健康的关注度.%Objective To investigate the current situation of complicated common diseases of physical examination groups with different ages so as to provide nursing interventions.Methods The physical examination results of 500 cases of physical examination groups at International Medical Center,Chinese PLA General Hospital between January and October in 2011 were analyzed,then listed the complicated common diseases of different ages cases.Results The difference of complicated common diseases incidence of male patient among different ages was statistically significant ( x2 =40.1142,P < 0.05 ).While no significant difference was detected in that of female patients (P > 0.05 ).Among physical examination groups,the incidence of hypertension,hypedipidemia,fatty liver,diabetes,coronary heart disease,gynecological disease,mental illness and cancer were high.Conclusions A further warning to adult males,who should actively adopt a healthy lifestyle and increase the concerns degree on health.

  14. The Current Innovation Situation on Chinese Foreign Cooperation%我国对外合作创新状况分析

    Institute of Scientific and Technical Information of China (English)

    张汴生

    2015-01-01

    根据《中国科技统计年鉴》,选用R&D经费内部支出中来自国外的资金和R&D经费外部支出中对境外机构的支出两大指标,从规模、强度和增幅3个方面对我国对外合作创新的发展状况进行全面、系统地统计分析。研究表明:东部地区在规模和强度上占据较大的优势,相比而言,在R&D经费内部支出中来源国外的资金方面增幅不大,东北地区在规模和强度上大多处于中游水平,但R&D经费内部支出中来源国外的资金增幅较大,中部和西部地区在各方面大多处于中下游水平。%According to China Statistical Yearbook on Science and Technology,the author systematically makes a quantitative analysis on the current situation on cooperation innovation with foreign countries from the absolute quantity,relative amount and the growth rate based two indicators:the foreign funds form the intramural and external expenditure on R&D. The research suggests that the eastern region has more advantages on the absolute and relative quantity,and less anvantages on the growth rate of the foreign funds of intramural expenditure on R&D. The northeast region is in the middle level on the absolute and relative quantity,but has advantage on the growth rate of the foreign funds of intramural expenditure on R&D. The middle and western region are mostly at the middle and lower levels.

  15. 俄罗斯的独联体外交:现状与前景%The CIS diplomacy of Russia:Current situation and Prospect

    Institute of Scientific and Technical Information of China (English)

    宋志芹

    2015-01-01

    The former Soviet Union of republics founded the Commonwealth of Independent States after the collapse of the Soviet Union consider the purpose of ensuring the traditional contact together and to solve the separation of issues. The group does not have national feature. Even the combination did not develop into a mature area and only as the counseling platform for theformer Soviet Union members.For over 20 years,Russian CIS policy has experienced evolution from “cast it away”to as recovering strategy relying on great power status. On 2011 Putin filed with the former Soviet Union members together to build a “Eurasian union”strategic conception.“Eurasian Economic Union”was officially launched in January 1, 2015. Judging from the current situation of Russia and the CIS countries will still faces several obstacles, integration. The future remains to be seen.%苏联解体后前苏联部分加盟共和国出于维系传统联系、共同解决分家事宜等考虑,成立了独立国家联合体。该组织并不具有国家的功能,甚至并未发展成为一个成熟的区域联合体,仅作为前苏联成员国咨询协调的平台。二十多年来,俄罗斯对独联体政策经历了从“甩包袱”到视为恢复大国地位的战略依托的演变。2011年普京提出与前苏联成员国共同构建“欧亚联盟”的战略构想“,欧亚经济联盟”已经于2015年1月1日正式启动。从目前来看俄罗斯与独联体国家的一体化进程仍将面临多重阻碍,其发展前景仍有待观察。

  16. 呼和浩特市孕妇碘营养现状调查%Investigation on the current situation of iodine nutrition of pregnant women in Hohhot

    Institute of Scientific and Technical Information of China (English)

    杨缨; 骆学东; 王瑞; 武怡; 张惠

    2012-01-01

    Objective: To understand the current situations of urine iodine level and iodized salt usage of pregnant women, provide a scientific basis for carrying out iodine nutrition intervention among pregnant women. Methods: Five hundred pregnant women who received antenatal care in the hospital from March to May in 2010 for the first time were selected as study objects, national standard arsenic and cerium catalysis spectrophotometry was used to detect urine iodine, the usage of iodized salt was detected by a questionnaire. Results: The incidences of low iodine, appropriate iodine, and high iodine among the pregnant women were 21.6% , 51.2% , and 27. 2% , respectively. No pregnant women with excessive iodine exceeding human discomfort toleranc was found; the incidence of abnormal iodine level among the rural pregnant women with low educational level was significantly higher than that among the urban pregnant women with high educational level; the correct rate of usage of iodized salt among pregnant women was low. Conclusion: Iodine deficiency and excessive intake of iodine existed in the pregnant women in Hohhot, and the incidences were high. Thus, relevant departments should carry out iodine nutrition monitoring and guidance among pregnant women.%目的:了解孕妇尿碘水平、碘盐使用现状,为进行孕妇碘营养干预提供科学依据.方法:以2010年3~5月首次到内蒙古妇幼保健院进行孕期保健的500名呼和浩特市孕妇为调查对象,采用国标砷铈催化分光光度法进行其尿碘测定并对碘盐使用情况进行问卷调查.结果:孕妇低碘率为21.6%,适碘率为51.2%,高碘率为27.2%,未发现超过人体耐受量的高碘者;文化程度低的农村孕妇碘水平异常者较文化程度高的城市孕妇多;孕妇碘盐使用的正确率较低.结论:呼和浩特市孕妇碘缺乏、碘摄入过多均存在,且发生率均较高.因此,相关部门应该及时进行孕妇的碘营养监测和指导工作.

  17. 网银犯罪活动的现状分析及防范对策%Analyze to current situation of crime and countermeasures of Network Bank

    Institute of Scientific and Technical Information of China (English)

    赵晓松

    2011-01-01

    在网络银行业务日渐发展的同时,其安全性问题已经成为制约网银发展的主要因素.自2005年起,关于网络银行的安全问题严重性的报道和争执就有愈演愈烈的趋势.近几年,发生多起倍受关注的网银安全事件发生.多名网银客户发生网上资金被盗事件,涉及20多个省份.本文针对网络银行犯罪活动的现状进行了成因分析,从计算机技术角度提出了若干防范策略.最后,文章提出了制止网银犯罪的其他策略与方法,指出打击网银犯罪将是一个长期和艰巨的任务,有待各方面的力量集中统一起来.%With the network bank business development in the meantime, the growing security problem has already become the main factors restricting network bank development. Since 2005, about the network bank security problems of severity reports and dispute have intensified trend. In recent years, more people pay more attention to the occur of network bank's safety incident. Many network bank client happen online fund stolen events, involving more than 20 provinces. This paper in view of the network bank criminal activities on the current situation of genesis analysis, from computer technology Angle, puts forward some preventive strategy. Finally, this paper puts forward the other strategies and methods to stop network bank crime, and points out that the strike of network bank crime will be a long-term and arduous task, expect to all kinds of power to be centralized and unified.

  18. Current Situation of Modern College Students'Sense of Responsibility%当代大学生责任感现状分析

    Institute of Scientific and Technical Information of China (English)

    陈秀珍; 吉家文

    2015-01-01

    目的:了解当代大学生责任感现状。方法:编制大学生责任感问卷,以海南省4所高校的849名大学生作为研究对象,实施了问卷调查。结果:通过因素分析抽取出5个因素,即国家责任感、社会责任感、家庭责任感、集体责任感、他人责任感。专科院校学生的国家责任感、集体责任感分值显著高于本科院校( t=-3.332,-3.471;P<0.01),而本科院校学生的社会责任感分值则显著高于专科院校(t=2.026,P<0.05)。男生的家庭责任感、集体责任感分值均显著高于女生( t=2.264,3.475;P<0.01)。结论:大学生的责任感由国家、社会、家庭、集体、他人5个方面组成,并有人口学因素影响。%Objective:To understand current situation and basic trend of modern college students 'sense of responsibility .Methods:849 students completed a questionnaire survey at the four colleges and universities in Hainan Province .Results:The five factors:national responsibility , social responsibility , family responsibility ,group responsibility and the responsibility towards other people , were obtained with factor analysis .Through the survey ,it was found that junior college students got significantly lower values on national responsibility and social responsibility (t=-3.332,-3.471;P<0.01),but significantly higher value on social responsibility than undergraduates (t=2.026,P<0.05);male students got significantly higher values on family responsibility and group responsibility than female students (t=2.264,3.475;P<0.05,P<0.01).Conclusion:The responsibility sense of modern college students is affected by five factors:National responsibility ,social responsibility ,family responsibility ,group responsibility and the re-sponsibility towards other people ,and can be influenced by demographic factors .

  19. The Analysis and Research on Current Situation and Counter measures of Mobile Laboratory Standards in China%中国移动实验室标准的现状分析与对策研究

    Institute of Scientific and Technical Information of China (English)

    陈弘; 苏锡辉; 刘阳

    2014-01-01

    Based on lots of field investigations and researches, this article analyzes in details the current situation of mobile laboratory standards in China, summarizes and explains the existing problems in standardization, and puts forward reasonable measures for the development of the industry.

  20. Situated communication:

    DEFF Research Database (Denmark)

    Kampf, Constance

    the power of mainstream images of "indian-ness" through a representation of Kumeyaay culture as living in the present San Diego county area of the U.S.  This case demonstrates the connection between ideology about Native Americans and the online responses which assert Kumeyaay identity as situated...