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Sample records for cardioverter-defibrillators current situation

  1. Implantable Cardioverter Defibrillator

    Science.gov (United States)

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

  2. Implantable cardioverter defibrillator - discharge

    Science.gov (United States)

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

  3. Implantable cardioverter-defibrillator

    Science.gov (United States)

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

  4. Cardioverter-Defibrillator: A Treatment for Arrhythmia

    Science.gov (United States)

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

  5. Model Checking Implantable Cardioverter Defibrillators

    OpenAIRE

    Abbas, Houssam; Jang, Kuk Jin; Jiang, Zhihao; Mangharam, Rahul

    2015-01-01

    Ventricular Fibrillation is a disorganized electrical excitation of the heart that results in inadequate blood flow to the body. It usually ends in death within seconds. The most common way to treat the symptoms of fibrillation is to implant a medical device, known as an Implantable Cardioverter Defibrillator (ICD), in the patient's body. Model-based verification can supply rigorous proofs of safety and efficacy. In this paper, we build a hybrid system model of the human heart+ICD closed loop...

  6. Advances in implantable cardioverter defibrillator therapy.

    Science.gov (United States)

    Rickard, John; Wilkoff, Bruce L

    2016-03-01

    Since the first implant in 1980, implantable cardioverter defibrillator (ICD) technology has progressed rapidly. Modern ICD's have hundreds of programmable options with the general goal of preventing inappropriate shocks and providing shocks for truly life threatening symptomatic ventricular arrhythmias. New studies on ICD programming have shown the benefits of prolonged detection intervals in reaching this goal. Anti-tachycardia pacing (ATP) therapy has become an important adjunct to defibrillator shocks. Remote monitoring technologies have surfaced which have been shown to identify arrhythmias and problems with the device in an expedient fashion. The subcutaneous ICD offers the advantage of avoiding intravascular leads and their inherent risks. Lastly, the current understanding of the effects of MRI in ICD patients has advanced creating new opportunities to provide MRI safely to such patients. PMID:26653411

  7. Pacemakers and implantable cardioverter defibrillators.

    Science.gov (United States)

    Allen, M

    2006-09-01

    An increasing number of patients are now treated cardiac pacemakers and implantable cardioverter defibrillators and the technology of these is constantly changing. It is vital to have a good understanding of how they function and what the real risks are. Understanding how the device should work when functioning normally, and the possible effects of electromagnetic interference, is paramount to their safe management in the peri-operative period. Knowing when a device should be disabled or reprogrammed requires careful consideration. Information from the patient's pacemaker clinic should be sought whenever possible and can be invaluable. In addition, the Medicines Healthcare products Regulatory Agency have published the first set of UK guidelines on the management of implantable devices in the presence of surgical diathermy and this will undoubtedly provide a firm foundation on which anaesthetists can base much of their practice. PMID:16922756

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

    Science.gov (United States)

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

  9. Can nurses in cardiology areas prepare patients for implantable cardioverter defibrillator implant and life at home?

    Science.gov (United States)

    Tagney, Jenny

    2004-01-01

    This study explored nurses' confidence and competence in preparing patients for having an implantable cardioverter defibrillator implanted and for life at home after discharge. Whilst research has identified various physical and psychosocial effects to patients and their partners associated with device implant and subsequent lifestyle adjustments, no research has explored nurses' knowledge of the device or these effects. A survey was designed using a purposive sample of 152 nurses from cardiology areas in four large teaching hospitals and a 28-point postal questionnaire to explore knowledge of the device and its impact. Most subjects were not confident in their abilities to prepare patients for implant or life at home after implant. Knowledge of the device and its effects appeared poorly understood by all nurses, irrespective of additional qualifications, length of time since qualifying or area of work. Many participants were aware of the poor knowledge level of nurses and identified it as a weakness in current care practices. Lack of understanding may impair preparation of patients for implantation of or for living with an implantable cardioverter defibrillator, and feasible strategies to change this situation will require careful consideration and further investment. PMID:15152752

  10. 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...

  11. Living with an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  12. Questions to Ask Your Doctor--Implantable Cardioverter Defibrillator (ICD)

    Science.gov (United States)

    ... Blood Pressure Tools & Resources Stroke More Questions to Ask Your Doctor - Implantable Cardioverter Defibrillator (ICD) Updated:Nov ... or your family member before and after implantation, ask your doctor or healthcare team any questions you ...

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

    DEFF Research Database (Denmark)

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

    2009-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    Diana Revenco; James P Morgan; Lana Tsao

    2011-01-01

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

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

    OpenAIRE

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

    2011-01-01

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

  16. Phantom shocks in patients with implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

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

    2013-01-01

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

  17. 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...

  18. 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...

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

    Directory of Open Access Journals (Sweden)

    Amy G. Rapsang

    2014-06-01

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

  20. Venous thromboembolism in patients with implantable cardioverter-defibrillators

    DEFF Research Database (Denmark)

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

    2016-01-01

    AIMS: To examine the incidence of venous thromboembolism (VTE) and its risk factors among patients with implantable cardioverter-defibrillators (ICDs). METHODS AND RESULTS: All first-time ICD recipients in Denmark during 2000-12 were identified from medical databases. Incident VTEs were ascertained...

  1. Phantom shocks in patients with implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

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

    2013-01-01

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

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

    OpenAIRE

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

    1992-01-01

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

  3. Implantable cardioverter-defibrillators in congenital heart disease

    OpenAIRE

    Chubb, H; Rosenthal, E

    2016-01-01

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

  4. 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.

  5. 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....

  6. Acute hyperkalemia detected by alert from implantable cardioverter-defibrillator.

    Science.gov (United States)

    Kuriachan, Vikas; Tedrow, Usha; Antman, Elliott; Epstein, Laurence M

    2012-09-01

    Two cases of implantable cardioverter-defibrillator lead impedance changes that corresponded with changes in serum potassium are described. In the first case, an audible lead alert was triggered due to a significant change in lead impedance caused by hyperkalemia. In the second case, a patient was admitted with hyperkalemia and renal failure. Device interrogation revealed a change in lead impedance corresponding to changes in serum potassium. As devices and leads become more sophisticated, their role for monitoring parameters and triggering alerts may expand to include electrolyte and other metabolic changes. PMID:22817110

  7. 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

    after 3 years for implantable cardioverter defibrillator therapy or mortality between rehabilitation and usual care. Time to first admission did not differ. The cost of rehabilitation was 335 USD/276 Euro per patient enrolled in rehabilitation. The total attributable cost of rehabilitation after 3 years...... 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....

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

    Directory of Open Access Journals (Sweden)

    Kovačević Dragan V.

    2011-01-01

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

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

    DEFF Research Database (Denmark)

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

    2010-01-01

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

  11. Correlation of geomagnetic activity with implantable cardioverter defibrillator shocks and antitachycardia pacing

    Czech Academy of Sciences Publication Activity Database

    Ebrille, E.; Konecny, T.; Konecny, D.; Špaček, R.; Jones, P.; Ambrož, Pavel; DeSimone, C.V.; Powel, B.D.; Hayes, D.L.; Friedman, P.A.; Asirvatham, S.J.

    2015-01-01

    Roč. 90, č. 2 (2015), s. 202-208. ISSN 0025-6196 Institutional support: RVO:67985815 Keywords : geomagnetic activity * implantable cardioverter defibrillator Subject RIV: DE - Earth Magnetism, Geodesy, Geography Impact factor: 6.262, year: 2014

  12. 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...

  13. 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....

  14. 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.......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....

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    BACKGROUND:: The Copenhagen Outpatient ProgrammE-Implantable Cardioverter Defibrillator trial was a randomized clinical trial that compared a complex rehabilitation intervention including exercise training and psychoeducational interventions with usual care. A significant difference between......-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...

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

    Science.gov (United States)

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

    2015-11-01

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

  17. 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, we...

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

    Science.gov (United States)

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

    2008-01-01

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

  19. 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.

  20. Bipolar Radiofrequency Neurotomy to Treat Neck and Back Pain in Patients with Automatic Implantable Cardioverter Defibrillator.

    Science.gov (United States)

    Bautista, Alexander; Dadabayev, Alisher; Rosenquist, Ellen; Cheng, Jianguo

    2016-03-01

    We report 2 cases of successful treatment of neck and back pain with bipolar radiofrequency ablation (RFA) of the cervical and lumbar facet joints in patients with an automatic implantable cardioverter defibrillator (AICD).Two patients with complex cardiac histories and AICD devices were treated with bipolar RFA of the facet joints. One presented with axial neck pain and the other with axial back pain. The histories and physical examinations were consistent with facetogenic pain. Diagnostic medial branch block resulted in more than 70% pain relief lasting for several days, allowing patients to perform routine daily activities without significant pain. However, we were concerned about the use of conventional RFA of the medial branches of nerves for the fear of interference with the function of AICD by the RF currents and energy. We took advantage of the localized and limited current of bipolar RFA to perform this procedure for the cervical or lumbar facet joints avoiding any interference with the function of AICD. The procedures provided long-term pain relief to the patients, and marked improvement in their functional status without any evident complications related to the function of their AICD.This case report describes the safe and successful completion of bipolar RFA of the medial branch nerves to treat cervical and lumbar facetogenic pain in patients with AICD. This modality of treatment may be considered in patients with AICD. We are finding it to be increasingly common that patients who present with chronic neck and back pain have AICDs in place. PMID:27008309

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

    Science.gov (United States)

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

    2016-04-01

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

  2. Radiation therapy in patients with cardiac pacemakers or implantable cardioverter defibrillators. Interdisciplinary safety recommendations

    International Nuclear Information System (INIS)

    Background: With increasing numbers of implanted pacemakers and implantable cardioverter defibrillators (ICD) and a rising incidence of malignant tumors, there is a growing probability of radiation-mediated device dysfunction. The only guidelines for the management of patients with cardiac pacemakers in the case of radiation therapy were published in 1994 and have not been updated since then. Based on the current evidence and modern device technology, the present paper aims to develop contemporary and interdisciplinary safety recommendations for the minimization of patient risk. Methods and results: A systematic literature research was carried out including the most relevant medical electronic databases. The search yielded 147 articles published between 1994 and 2012 of which 45 met the selection criteria and of these studies 34 presented primary data (9 in vitro and 25 in vivo studies). The impact of ionizing radiation varied significantly between implanted devices and ranged from no functional changes to complete loss of function. Important device dysfunctions included changes in sensing capability, altered pacing pulses or rate, changed or disabled tachyarrhythmia ICD therapies, early battery depletion and loss of telemetry. Modern pacemakers and ICDs are more sensitive to radiation than older models. Potentially life-threatening complications were observed after exposure of the pulse generator to comparatively low radiation doses (0.11 Gy). Conclusions: Practical recommendations for patient management and safety are presented that can be readily adopted by any institution carrying out radiation therapy. (orig.)

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

    Science.gov (United States)

    Manian, Usha; Gula, Lorne J

    2016-09-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1990-05-01

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

  5. Inappropriate shock delivery due to interference between a washing machine and an implantable cardioverter defibrillator.

    Science.gov (United States)

    Kolb, Christof; Schmieder, Sebastian; Schmitt, Claus

    2002-12-01

    Electromagnetic interference with implantable cardioverter defibrillators (ICD) can cause inappropriate delivery of therapies or temporary inhibition of ICD functions. The presented case describes electromagnetic interference between a washing machine and an ICD resulting in an inappropriate discharge of the device due to false detection of ventricular fibrillation. PMID:12510137

  6. Inappropriate shock delivery by implantable cardioverter defibrillator due to electrical interference with washing machine.

    Science.gov (United States)

    Chongtham, Dhanaraj Singh; Bahl, Ajay; Kumar, Rohit Manoj; Talwar, K K

    2007-05-31

    We report a patient with hypertrophic cardiomyopathy who received an inappropriate implantable cardioverter defibrillator shock due to electrical interference from a washing machine. This electrical interference was detected as an episode of ventricular fibrillation with delivery of shock without warning symptoms. PMID:17395291

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    Patients implanted with a cardioverter defibrillator (ICD) who are suffering from refractory angina pectoris could benefit from spinal cord stimulation (SCS) due to the well-documented pain relieving effect. However, the combined treatment remains controversial. The aim of the study is to report ...

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

    DEFF Research Database (Denmark)

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

    2010-01-01

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

  9. 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...

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

    Directory of Open Access Journals (Sweden)

    Özgür Aslan

    2012-01-01

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

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    Aims:The aim of this randomised clinical trial was to assess a comprehensive cardiac rehabilitation intervention including exercise training and psycho-education vs 'treatment as usual' in patients treated with an implantable cardioverter defibrillator (ICD).Methods:In this study 196 patients with...

  12. 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...

  13. 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 to...

  14. 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...

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

    DEFF Research Database (Denmark)

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

    2013-01-01

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

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

    DEFF Research Database (Denmark)

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

    2014-01-01

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

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

    Science.gov (United States)

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

    2016-08-01

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

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

    DEFF Research Database (Denmark)

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

    2014-01-01

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

  19. Pre implantation psychological functioning preserved in majority of implantable cardioverter defibrillator patients 12 months post implantation

    DEFF Research Database (Denmark)

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

    2013-01-01

    The impact of ICD therapy on patient well being has typically focused on mean differences between groups, thereby neglecting changes within individuals. Using an intra-individual approach, we examined (i) the prevalence of implantable cardioverter defibrillator (ICD) patients maintaining their pr...... implantation level of psychological functioning at 12 months, and (ii) factors associated with deterioration in functioning....

  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

    Recent guidelines have emphasized the importance of discussing the issue of deactivation near the end of life with patients with an implantable cardioverter-defibrillator (ICD). Few studies have examined the patient perspective and patients' wishes. We examined patients' knowledge and wishes for ...

  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

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

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

    Science.gov (United States)

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

    2016-03-01

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

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    Implantable cardioverter defibrillators (ICD) can prevent sudden cardiac death by delivering high-energy shocks in patients at risk of life-threatening ventricular tachyarrhythmias. Patients may be anxious about receiving inappropriate shocks in case of device or lead system malfunction, or about......) is a multicentre, randomized, clinical trial designed to examine the effects of the awareness of an active vibrating alert system on device-related anxiety....

  4. Association of Air Pollution with Increased Incidence of Ventricular Tachyarrhythmias Recorded by Implanted Cardioverter Defibrillators

    OpenAIRE

    Dockery, Douglas W.; Luttmann-Gibson, Heike; Rich, David Q.; Link, Mark S.; Mittleman, Murray A.; Gold, Diane R.; Koutrakis, Petros; Schwartz, Joel D.; Verrier, Richard L.

    2005-01-01

    Epidemiologic studies have demonstrated a consistent link between sudden cardiac deaths and particulate air pollution. We used implanted cardioverter defibrillator (ICD) records of ventricular tachyarrhythmias to assess the role of air pollution as a trigger of these potentially life-threatening events. The study cohort consisted of 203 cardiac patients with ICD devices in the Boston metropolitan area who were followed for an average of 3.1 years between 1995 and 2002. Fine particle mass and ...

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

    OpenAIRE

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

    2012-01-01

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

  6. 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....

  7. 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....

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2011-01-01

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

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

    DEFF Research Database (Denmark)

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

    2015-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2004-09-15

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

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

    Directory of Open Access Journals (Sweden)

    A. Aljasser

    2016-07-01

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

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

    Science.gov (United States)

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

    2016-08-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  14. 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...

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1988-08-01

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

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

    DEFF Research Database (Denmark)

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

    2014-01-01

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

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

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  19. 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...... receiving an Implantable Cardioverter Defibrillator was measured by a survey using the Emotions and Health Scale. The survey was carried out as part of a randomized clinical trial the COPE-ICD trial (ID: NCT00569478) and is regarded as post-hoc explorative analysis. All data were collected from October 2007...... and surprise. No difference was found regarding the intensity of the primary emotions when the group of patients was divided according to occupation or age. A significant increase in the negative emotions sadness, disgust, anger and surprise was observed in women and in patients who receive the Implantable...

  20. Legal and organizational aspects of remote cardiac monitoring: the example of implantable cardioverter defibrillators.

    Science.gov (United States)

    Vinck, Imgard; De Laet, Chris; Stroobandt, Serge; Van Brabandt, Hans

    2012-09-01

    The remote monitoring of implantable cardioverter defibrillators (ICDs) recently emerged as an attractive technological innovation that proved to be reasonably safe in partially replacing the in-clinic follow-ups of ICD patients with no or only mild symptoms. Apart from the fact that strong evidence about any additional clinical benefits and/or cost-efficiency are still awaited, legal and organizational hurdles remain in place, hampering any possibility for adoption of remote cardiac monitoring. This paper identifies a number of legal and organizational constraints which urgently need to be addressed. An elaboration of the specific juridical guidance for the interpretation and application of the relevant legislation is called for. PMID:22345377

  1. 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...

  2. Psychological indices as predictors for phantom shocks in implantable cardioverter defibrillator recipients

    DEFF Research Database (Denmark)

    Starrenburg, Annemieke; Kraaier, Karin; Pedersen, Susanne; Scholten, Marcoen; Van Der Palen, Job

    2014-01-01

    Background A phantom shock - the sensation of an implantable cardioverter defibrillator (ICD) discharge in the absence of an actual discharge - is a phenomenon that can occur in ICD patients. Little is known about the influence of psychological factors on the incidence of phantom shocks. We...... evaluated psychological correlates of phantom shocks 2 years post-ICD implant in a cohort of Dutch ICD recipients. Methods Consecutive patients (N = 300; 87.5% men; mean age = 62.3) willing to participate in a prospective study (Twente ICD Cohort Study) on psychological factors in ICD recipients received an...... ICD between September 2007 and February 2010. At baseline, patients complete the 36-item Short Form Health Survey, Hospital Anxiety and Depression Scale, and the Type D Scale. Lifetime presence of anxiety and depression was assessed with the MINI structural interview. Results During a follow-up of 24...

  3. Radiotherapy in patients with pacemakers and implantable cardioverter defibrillators

    DEFF Research Database (Denmark)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Sarah S Murray

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

  5. 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.

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

    OpenAIRE

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

    2002-01-01

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

  7. Implantable cardioverter defibrillator endocarditis caused by Klebsiella pneumoniae complicated by liver abscess and septic pulmonary embolism

    Directory of Open Access Journals (Sweden)

    Ilaria Izzo

    2013-11-01

    Full Text Available A 63-year old diabetic male patient carrying an implantable cardioverter defibrillator (ICD was hospitalized with a 7- day history of fever, notwithstanding an antibiotic therapy. The white-blood cell count was 11,000/mm3, the platelet count was 135,000/mm3 and C-reactive protein (CRP 13 mg/dL. Chest X-rays showed right infiltrates. Ceftriaxone was started. Defervescence was rapid, but CRP was still 12 mg/dL after 6 days. A trans-thoracic ecochacardiogram (TTE incidentally showed a liver hypoechoic lesion. A computed tomography scan revealed bilateral cavitated lung nodules and a large liver abscess. Klebsiella pneumoniae was isolated in blood cultures and TTE showed ICD endocarditis and a patent foramen ovalis. Levofloxacin and imipenem/cilastatin were started. The liver abscess was drained. After 30 days, the ICD was removed and re-implanted. At discharge, blood tests were within the normal range and the patient was asymptomatic. Follow up showed improvement of lung and hepatic lesions. To our knowledge, this is the second reported case of K. pneumoniae infective endocarditis with multiple septic emboli. Endocarditis should be suspected in presence of fever after the device implantation, in particular if risk factors are present.

  8. Indications for dual-chamber (DDD) pacing in implantable cardioverter-defibrillator patients.

    Science.gov (United States)

    Santini, M; Ansalone, G; Auriti, A; Magris, B; Pandozi, C; Altamura, G

    1996-09-12

    New technologic development of implantable cardioverter-defibrillators (ICDs) keeps up with the exponential increase of their use for primary and secondary prevention of sudden cardiac death. The first-generation ICD with limited shock capability alone could be considered adequate in most cardiac arrest victims, but it was not suitable for sudden death prevention in all high-risk patients with cardiac disease. The second-generation ICD was comprised of hybrid pacemaker-defibrillator systems that provided on-demand ventricular antibradycardia pacing. The third-generation devices include additional functions, such as antitachycardia pacing for ventricular tachycardia (VT) reversion and low-energy ventricular cardioversion, in addition to ventricular defibrillation and single-chamber ventricular demand pacing. In the near future, advanced dual-chamber atrioventricular (AV) pacing and defibrillating systems will also be available. The dual chamber ICD will allow atrial inhibited/dual-chamber (AAI/DDD) rate-responsive pacing, simultaneous atrial and ventricular sensing to optimize the arrhythmia identification, and ICD shock delivery in the proper arrhythmia-related chamber. Clinical benefits of these devices compared with their cost and complexity will require careful evaluation. PMID:8820847

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Morgan John M

    2004-11-01

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

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

    Science.gov (United States)

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

    2015-04-01

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

  12. [Implantable cardioverter/defibrillator: long-term stability of the defibrillation threshold with a unipolar electrode configuration (active-can")].

    Science.gov (United States)

    Knuefermann, P; Wolpert, C; Spehl, S; Korte, T; Manz, M; Lüderitz, B; Jung, W

    2000-09-01

    The majority of cardioverter/defibrillator (ICD) implantations are currently performed with a non-thoracotomy approach. From November 1993 to January 1995, 46 patients underwent implantation of a PCD 7219C with an "active-can" lead configuration at our institution. While the chronic stability of the defibrillation threshold (DFT) for an epicardial lead system is well established, the results are still inconsistent for non-thoracotomy lead systems. Accordingly, the aim of the present study was to compare the acute and chronic defibrillation thresholds of the ICDs implanted with an "active-can" lead system in order to assess the chronic stability of these systems. The defibrillation energy requirements were measured at implant, prior to hospital discharge, three, six and twelve months after implantation of the defibrillator. The patient group consisted of 8 females and 38 males with a mean age of 57.2 years. The mean left ventricular ejection fraction was 43.8%. The most frequent underlying heart disease was coronary artery disease in 31 of 46 patients. Eight patients had idiopathic dilated cardiomyopathy. In 39 of 46 patients, the defibrillation threshold could be successfully determined at all 4 time points after implantation. The mean defibrillation energy requirement at the time of implantation was 9.2 +/- 5.9 Joules (J). The subsequent mean energy requirements were 7.6 +/- 4.8 J at pre-hospital discharge, 8.6 +/- 5.7 J at the 3 month, 8.1 +/- 6.0 J at the 6 month and 8.6 +/- 5.8 J at the 12 month follow-up visits. The mean defibrillation threshold was lowest at the time of prehospital discharge, significantly lower than at the time of initial implantation (p = 0.021). However, at all later time points up to one year, there was no significant difference in the DFT as compared with the time of initial implantation. Comparing the DFT at the time of implantation and the DFT at all other time points, there were no significant differences (9.23 vs. 8.56 J, p = 0

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

    Science.gov (United States)

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

    2009-11-24

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

  14. 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...

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

    DEFF Research Database (Denmark)

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

    2011-01-01

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

  16. The 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

    AIMS: Previous studies on biventricular (BIV) pacing and cardiac resynchronization therapy-defibrillator (CRT-D) efficacy have used arbitrarily chosen BIV pacing percentages, and no study has employed implantable cardioverter defibrillator (ICD) patients as a control group. METHODS AND RESULTS...

  17. 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

  18. 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.

  19. 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 these...

  20. 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

    -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......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...... Control and Prevention life tables. TARGET POPULATION: Patients aged 65 years or older with a left ventricular ejection fraction (LVEF) of 30% or less, QRS duration of 120 milliseconds or more, and New York Heart Association (NYHA) class I or II symptoms. TIME HORIZON: Lifetime. PERSPECTIVE: Societal...

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

    Science.gov (United States)

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

    2016-02-01

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

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

    Directory of Open Access Journals (Sweden)

    Vera Barton-Caro Ph.D.,

    2015-12-01

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

  3. In vitro assessment of the immunity of implantable cardioverter-defibrillators to magnetic fields of 50/60 Hz

    International Nuclear Information System (INIS)

    Public concern for the compatibility of electromagnetic (EM) sources with active implantable medical devices (AIMD) has prompted the development of new systems that can perform accurate exposure studies. EM field interference with active cardiac implants (e.g. implantable cardioverter-defibrillators (ICDs)) can be critical. This paper describes a magnetic field (MF) exposure system and the method developed for testing the immunity of ICD to continuous-wave MFs. The MFs were created by Helmholtz coils, housed in a Faraday cage. The coils were able to produce highly uniform MFs up to 4000 µT at 50 Hz and 3900 µT at 60 Hz, within the test space. Four ICDs were tested. No dysfunctions were found in the generated MFs. These results confirm that the tested ICDs were immune to low frequency MFs. (paper)

  4. 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....

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

    OpenAIRE

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

    2016-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

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

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

    Science.gov (United States)

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

    2005-06-01

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

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

    Science.gov (United States)

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

    2015-04-01

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

  9. Effect of age on survival and causes of death after primary prevention implantable cardioverter-defibrillator implantation.

    Science.gov (United States)

    Fauchier, Laurent; Marijon, Eloi; Defaye, Pascal; Piot, Olivier; Sadoul, Nicolas; Perier, Marie-Cecile; Gras, Daniel; Klug, Didier; Algalarrondo, Vincent; Bordachar, Pierre; Deharo, Jean-Claude; Leclercq, Christophe; Babuty, Dominique; Boveda, Serge

    2015-05-15

    The benefit of implantable cardioverter-defibrillators (ICDs) remains controversial in elderly patients and may be attenuated by a greater risk of nonarrhythmic death. We examined the effect of age on outcomes after prophylactic ICD implantation. All patients with coronary artery disease or dilated cardiomyopathy implanted with an ICD for primary prevention of sudden cardiac death in 12 French medical centers were included in a retrospective observational study. The 5,534 ICD recipients were divided according to age: 18 to 59 years (n = 2,139), 60 to 74 years (n = 2,693), and ≥75 years (n = 702). Greater prevalences of coronary artery disease and atrial fibrillation at the time of implant were observed with increasing age (both p 75 years). Proportions of cardiac deaths (55.2%, 57.6%, and 57.0%, p = 0.84), including ICD-unresponsive sudden death (9.9%, 6.0%, and 10.6%, p = 0.08), and rates of appropriate ICD therapies were similar in the 3 age groups. Older age was independently associated with a higher rate of early complications and a lower rate of inappropriate therapies. In conclusion, older patients exhibited higher global mortality after ICD implantation for primary prevention, whereas rates of sudden deaths and of appropriate device therapies were similar across age groups. PMID:25784518

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

    Directory of Open Access Journals (Sweden)

    Dennis W. Zhu

    2010-02-01

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

  11. The use of wearable cardioverter-defibrillators in Europe: results of the European Heart Rhythm Association survey.

    Science.gov (United States)

    Lenarczyk, Radosław; Potpara, Tatjana S; Haugaa, Kristina H; Hernández-Madrid, Antonio; Sciaraffia, Elena; Dagres, Nikolaos

    2016-01-01

    The aim of this European Heart Rhythm Association (EHRA) survey was to collect data on the use of wearable cardioverter-defibrillators (WCDs) among members of the EHRA electrophysiology research network. Of the 50 responding centres, 23 (47%) reported WCD use. Devices were fully reimbursed in 17 (43.6%) of 39 respondents, and partially reimbursed in 3 centres (7.7%). Eleven out of 20 centres (55%) reported acceptable patients' compliance (WCD worn for >90% of time). The most common indications for WCD (8 out of 10 centres; 80%) were covering the period until re-implantation of ICD explanted due to infection, in patients with left ventricular impairment due to myocarditis or recent myocardial infarction and those awaiting heart transplantation. Patient life expectancy of success rate in terminating ventricular arrhythmias was 95-100% in 6 of 15 centres (40%), 85-95% in 4 (26.7%), 75-85% in 2 (13.3%), and definition of indications for WCD in specific patient groups. PMID:26842735

  12. A new transvenous internal cardioverter-defibrillator: implantation technique, complications, and short-term follow-up.

    Science.gov (United States)

    Jordaens, L; Vertongen, P; Provenier, F; Trouerbach, J W; Poelaert, J; Herregods, L

    1995-02-01

    Twenty-four patients with ventricular fibrillation or sustained ventricular tachycardia underwent implantation of a new transvenous defibrillator. All patients had a device implanted without thoracotomy. High placement of a shock lead in the anonymous vein and inversion of the shock-wave polarity allowed avoidance of placement of subcutaneous patches. Implantation time decreased from 138 minutes for the first 12 patients to 82 minutes for the last 12 patients, with 4 and 11 subpectoral pockets, respectively. Three patients required a minor reintervention. No bleeding or infection occurred. One episode of pulmonary edema and one pulmonary embolism were seen in the postoperative course. No postoperative deaths were observed. During a mean follow-up period of 4.12 months, 58% of the 24 patients had symptomatic arrhythmic episodes, with shocks in 50% of the 24. Inappropriate shocks were delivered in three cases (atrial fibrillation and T-wave sensing). One episode was not terminated even with four internal shocks. One patient had ventricular fibrillation because of a sensing problem. By reprogramming of sensitivity, back-up pacing, and adjustment of drug therapy these arrhythmic complications could be prevented. Pectoral implantation of a cardioverter-defibrillator is easy and can be performed by cardiologists experienced in pacemaker implantation. Careful postoperative observation, reprogramming after the first spontaneous event, and prehospital discharge induction of ventricular fibrillation will prevent arrhythmic complications. PMID:7832096

  13. Successful delivery by a cesarean section in a parturient with severe dilated cardiomyopathy, an implantable cardioverter defibrillator, and a repaired tetralogy of fallot

    Directory of Open Access Journals (Sweden)

    Rafid Fayadh Al-Aqeedi

    2011-01-01

    Full Text Available Repaired congenital heart disease has become more prevalent in women of childbearing age. We report an unusual case of a 24-year-old multigravida with a repaired tetralogy of Fallot, severe dilated cardiomyopathy, and implantable cardioverter defibrillator placement who was managed successfully by a cesarean section three times. This case underscores the impact of such events on maternal and fetal safety and the importance of a multidisciplinary approach in the management of pregnant patients with complex congenital and medical problems.

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

    Directory of Open Access Journals (Sweden)

    Tien-Hsing Chen

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

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

    Directory of Open Access Journals (Sweden)

    Bo Kyung Jin

    2013-03-01

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

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

    Science.gov (United States)

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

    2016-08-01

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

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

    Directory of Open Access Journals (Sweden)

    Ockene Ira S

    2009-12-01

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

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

    Directory of Open Access Journals (Sweden)

    van Eijk Jacques

    2007-09-01

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

  19. 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. PMID:24535846

  20. 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...... in-trial atrial tachyarrhythmias. (MADIT-CRT: Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy; NCT00180271)....

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

    Directory of Open Access Journals (Sweden)

    Leonardo Jorge Cordeiro de Paula

    2010-09-01

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

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

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  3. Implantable cardioverter defibrillator - discharge

    Science.gov (United States)

    ... electrodes, were placed in your heart and were connected to your ICD. The ICD can quickly detect ... lean over the open hood of a running car. Also stay away from: Radio transmitters and high- ...

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

    Institute of Scientific and Technical Information of China (English)

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

    2002-01-01

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

  5. Verification of the dose from an Iridium-192 (192Ir) sealed source absorbed by an implantable cardioverter defibrillator (ICD) during uterine intracavitary brachytherapy

    International Nuclear Information System (INIS)

    The purpose of this study was to verify the dose absorbed by an implantable cardioverter defibrillator (ICD) from an 192Ir sealed source during uterine intracavitary brachytherapy, and to confirm its immunity to radiation effects. First, prior to treatment, the doses around the ICD position of an anthromorphic phantom were evaluated. Next, we also measured the dose at the ICD position using a fluorescent glass dosimeter and silicon diode dosimeter during the treatment of intracavitary brachytherapy of a patient implanted with an ICD. The results of the phantom study showed the dose percentage at the ICD location, 2 cm deep, to be 0.074% of the prescribed dose. The results of a treatment study similarly showed the dose, measured using a fluorescent glass dosimeter in the ICD position, to be 0.071% of the prescribed dose. During the application of the total prescribed dose, 30 Gy/5 fraction, the dose at the surface of the ICD position was estimated to be 21.2 mGy, well below the 1 Gy maximum recommended in the JASTRO guidelines. We regard dose verification and monitoring during treatment to be both necessary and useful in the treatment of individual cases. (author)

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

    DEFF Research Database (Denmark)

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

    2015-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    茅魁; 蔡鑫

    2013-01-01

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

  8. Current energy situation

    International Nuclear Information System (INIS)

    The current energy situation in Cuba is that of a SIDS in the midst of a recovery from the dissolution of favourable trade agreements with the former Soviet Union for the import of crude oil and petroleum products. As with other SIDS, Cuba lacks sufficient proven indigenous fossil energy resources to support sustainable long term economic and social development. This situation, however, might change as a result of ongoing programmes in oil exploration in the Gulf of Mexico. In addition, the accelerated development of renewable sources is expected to make domestic energy supplies more accessible. Currently, the Cuban energy situation is characterized by a deficit in access to affordable energy services (especially in rural areas), the lack of finance for energy imports and energy infrastructure improvements and expansion as well as suboptimal institutional coordination. This section reviews the status of Cuba's energy system and how it developed. It is divided into four major sections: Section 2.1 outlines the organizational structure of the energy system; Section 2.2 presents the national energy balance; Section 2.3 assesses the country's energy status according to the economic, social, environmental and institutional dimensions of sustainable development; and Section 2.4 summarizes the major issues facing that system

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

    International Nuclear Information System (INIS)

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2012-10-01

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

  11. 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

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

    Science.gov (United States)

    Varma, Niraj

    2007-12-01

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

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

    Institute of Scientific and Technical Information of China (English)

    丁恒

    2010-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    陈太波; 程康安; 程中伟; 范静波; 姜秀春; 方全

    2011-01-01

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

  15. Subcutaneous Implantable Cardioverter-Defibrillator

    Science.gov (United States)

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

  16. 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.

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

    Institute of Scientific and Technical Information of China (English)

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

    2013-01-01

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

  18. [Current malaria situation in Turkmenistan].

    Science.gov (United States)

    Amangel'diev, K A

    2001-01-01

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

  19. [Multimodal pain therapy. Current situation].

    Science.gov (United States)

    Kaiser, U; Sabatowski, R; Azad, S C

    2015-10-01

    A multidisciplinary approach for the management of patients with chronic pain is now well-established in many countries, especially in situations involving a complex disease process in the sense of a biopsychosocial model. Both the efficacy and cost-effectiveness of multidisciplinary pain treatment programs and their superiority compared to unimodal therapy has been documented in a number of studies, reviews and meta-analyses, in particular for patients suffering from chronic low back pain. Nevertheless, there are still major shortcomings concerning the definition of multimodal and multidisciplinary treatment and the quality of structures and processes, compared for example to the standards defined by the German Pain Society (Deutsche Schmerzgesellschaft). Furthermore, there is still no consensus on specific therapeutic approaches, the differentiation between responders and non-responders as well as on the tools required for measurement. All these questions will have to be answered by concerted efforts in a multicenter setting. PMID:26271912

  20. Urban contamination - The current situation

    International Nuclear Information System (INIS)

    Of the nuclides which might be released in a serious accident at a nuclear power plant, radiocaesium would be expected to present the most serious long-term radiological hazard in an urban environment. Deposited radiocaesium has been shown to have a marked and long-lasting affinity for some urban surfaces and forced decontamination is a necessary component of nuclear accident contingency planning. Natural weathering provides only slow and limited decontamination. Decontamination tests with conventional surface cleaning methods and an ion exchange system have met with some success. Present studies are aimed at identification of both the physical and chemical forms of the airborne caesium and elucidating the mechanism by which it becomes attached to urban surfaces. The importance and behaviour of street dust as a potential carrier of contaminant radiocaesium is also under investigation. An appraisal of current knowledge of removing contaminant radiocaesium from the urban environment is presented and some possible lines of research are described

  1. [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

  2. AUTOMATIC IMPLANTABLE CARDIOVERTER DEFIBRILLATOR - COST-EFFECTIVENESS

    NARCIS (Netherlands)

    HAUER, RNW; WEVER, EFD; CRIJNS, HJGM

    1993-01-01

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

  3. 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

  4. Amateur Astronomy in Armenia: Current Situation

    Science.gov (United States)

    Buniatyan, Rouben; Melikyan, Gagik

    2015-07-01

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

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

    Science.gov (United States)

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

    2015-09-01

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

  6. Implantable cardioverter defibrillator clinic casualties: inadvertent reprogramming during routine implantable cardioverter defibrillator follow-up.

    Science.gov (United States)

    Ozahowski, T P; Greenberg, M L; Mock, P; Holzberger, P T; Gerling, B; Zalinger, C; Perry, C

    1996-10-01

    On one occasion during a busy ICD follow-up clinic, the preceding patient's parameters for rate, PDF, and delay were inadvertently programmed into the subsequent patient's generator using the CPI Programmer Model 2035. This occurred after capacitor reformation, without pressing the "Program" button. The source of this reprogramming error was failure to clear the programmer memory of the previous patient's data, usually achieved by turning the programmer off between patients (or selecting "New Patient" from the menu). At our next ICD follow-up clinic, we purposely did not turn off the programmer between two sets of patients. On both occasions the above finding was repeated and confirmed. These observations indicate the potential for serious reprogramming errors that can occur simply by not clearing the programmer's memory between clinic patients. PMID:8904549

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

    Science.gov (United States)

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

    2015-09-01

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

  8. Energy access. Current situation, challenges and outlook

    International Nuclear Information System (INIS)

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

  9. Current Economic Situation in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Goran Mirascic

    2011-11-01

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

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

    Institute of Scientific and Technical Information of China (English)

    于海波; 王冬梅; 梁延春; 许国卿; 刘荣; 王祖禄; 韩雅玲

    2015-01-01

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

  11. Current Situation of Edible Snails in Indonesia

    Directory of Open Access Journals (Sweden)

    Schneider, K.

    1999-01-01

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

  12. 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

  13. Current situation and industrialization of Taiwan nanotechnology

    International Nuclear Information System (INIS)

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

  14. Agriculture Communication in Malaysia: The Current Situation

    Directory of Open Access Journals (Sweden)

    Md. S. Hassan

    2010-01-01

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

  15. Technetium radiopharmaceuticals, current situation and perspectives

    International Nuclear Information System (INIS)

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

  16. The current cardiac safety situation with antihistamines.

    Science.gov (United States)

    Yap, Y G; Camm, A J

    1999-03-01

    Antihistamines (H1-receptor antagonists) are amongst the most frequently prescribed drugs worldwide for the treatment of allergic conditions. The clinical interest of classical 'first generation' antihistamines is currently rather limited by their anticholinergic and sedative properties. The second generation of antihistamines, so-called non-sedating antihistamines, are free of these side-effects. However, since the 1990s, there have been reports that certain non-sedating antihistamines, mainly terfenadine and astemizole, might be associated with the risk of rare but severe dysrhythmias. These drugs prolong the monophasic action potential and surface electrocardiographic QT interval and may lead to the development of early after-depolarization and possibly torsades de pointes through an inhibition of potassium channel repolarization. Concomitant administration with drugs that inhibit the hepatic cytochrome P-450 (imidazole antifungals, macrolide antibiotics) or those that prolong the QT interval by the same or other mechanism (e.g. antiarrhythmics, antipsychotics, tricyclic antidepressants) increases their effect on the cardiac repolarization. The cardiac safety profile of newer non-sedating antihistamines requires confirmation. Drugs with low or no potential to block the K + rectification channel (e.g. IKr channels) are likely to possess cardiac safety advantages. Other drug-related factors such as the physico-chemical properties of the antihistamines and its metabolic profile may also contribute to the cardiac response. Mizolastine is a new non-sedating antihistamine with antiallergic properties. It has a good bioavailability and a metabolism via the cytochrome P-450 oxidation accounting for only 35% of its hepatic clearance. In addition, mizolastine displays low lipophilicity and consequently low cardiac tissue fixation. In clinical studies, mizolastine has not shown any dose-related increase in QT intervals. Its clinical use has not been associated with

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

    Directory of Open Access Journals (Sweden)

    Mustafa Oylumlu

    2013-08-01

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

  18. Current situation and prospects of development of chosen hotel

    OpenAIRE

    Kozová, Petra

    2010-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2010-01-01

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

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

    OpenAIRE

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

    2011-01-01

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

  1. Sexual Health for Patients with an Implantable Cardioverter Defibrillator

    Science.gov (United States)

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

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

    Science.gov (United States)

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

  3. 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…

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

    Science.gov (United States)

    Bing, Wang

    1988-01-01

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

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

    OpenAIRE

    Pospíšilová, Zuzana

    2009-01-01

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

  6. 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.

  7. Current situation by product advertising on the czech market

    OpenAIRE

    Jitka Červencová

    1998-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Y. Subbotovych

    2014-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

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

  10. The Current Situation of Informatics Education in Mongolia

    OpenAIRE

    Sambuu UYANGA

    2006-01-01

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

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

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    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.

  12. 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.

  13. The history of and current situation in uranium mining

    International Nuclear Information System (INIS)

    The article presents an outline of the modern history of uranium mining (1945; 2000, from 1989 sweeping reduction of mining). Chapters devoted to the current situation in uranium mining deal with the following issues: 1) Uranium extract production cycle, describing the principles of exploration, mining and milling, 2) Remediation of the uranium mining consequences, and 3) Occupational safety and health. About 107,000 tons of uranium have been mined in the Czech Republic in Jachymov, Pribram, Horni Slavkov, and in western Bohemia (areas of Zadni Chodov and Straz-Hamr). The mining will continue in Dolni Rozinka till the end of 2003. After that, the DIAMO state enterprise will be responsible for the remediation of uranium and other environmental damage. Remediation of consequences of the chemical leaching process at Straz pod Ralskem will be the most demanding task. Remediation of Ostramo lagoons in Ostrava will be the DIAMO's first non-uranium activity. (author)

  14. The Japanese energy sector: Current situation, and future paths

    International Nuclear Information System (INIS)

    As the world's third leading economy and a major importer of fuels, the choice of future energy paths and policies that Japan makes in the next few years will have a significant influence on the energy security of the world as a whole, and of the Northeast Asia region in particular. In this article we describe the current status of and recent trends in the Japanese energy sector, including energy demand and supply by fuel and by sector. We then discuss the current energy policy situation in Japan, focusing on policies related to climate change targets, renewable energy development and deployment, liberalization of energy markets, and the evolution of the Japanese nuclear power sector. The final section of the article presents the structure of the Japan LEAP (long-range energy alternatives planning software system) dataset, describes several alternative energy paths for Japan - with an emphasis on alternative paths for nuclear power development and GHG emission abatement - and touches upon key current issues of energy policy facing Japan, as reflected in the modeling inputs and results.

  15. 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.

  16. Current situation and future usage of anticancer drug databases.

    Science.gov (United States)

    Wang, Hongzhi; Yin, Yuanyuan; Wang, Peiqi; Xiong, Chenyu; Huang, Lingyu; Li, Sijia; Li, Xinyi; Fu, Leilei

    2016-07-01

    Cancer is a deadly disease with increasing incidence and mortality rates and affects the life quality of millions of people per year. The past 15 years have witnessed the rapid development of targeted therapy for cancer treatment, with numerous anticancer drugs, drug targets and related gene mutations been identified. The demand for better anticancer drugs and the advances in database technologies have propelled the development of databases related to anticancer drugs. These databases provide systematic collections of integrative information either directly on anticancer drugs or on a specific type of anticancer drugs with their own emphases on different aspects, such as drug-target interactions, the relationship between mutations in drug targets and drug resistance/sensitivity, drug-drug interactions, natural products with anticancer activity, anticancer peptides, synthetic lethality pairs and histone deacetylase inhibitors. We focus on a holistic view of the current situation and future usage of databases related to anticancer drugs and further discuss their strengths and weaknesses, in the hope of facilitating the discovery of new anticancer drugs with better clinical outcomes. PMID:27193464

  17. 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.

  18. 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.

  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. Current situation of the Social Pedagogy in Uruguay

    Directory of Open Access Journals (Sweden)

    Jorge Camors

    2015-12-01

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

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

    International Nuclear Information System (INIS)

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

  2. Lithuanian women physicists: Current situation and involvement in gender projects

    Science.gov (United States)

    Šatkovskienė, Dalia; Ruželė, Živilė; Rutkūnienė, Živilė; Kupliauskienė, Alicija

    2015-12-01

    The changes in the situation of women in physics since the last Lithuanian country report are discussed on the basis of available statistics. The overall percentage of women physicists in research is 28%. Results show that there is a noticeable increase in female scientists in most phases of the academic career progression except in the highest positions. The results also show a permanent change in the awareness of gender-related issues in research. We also discuss the initiatives taken by Lithuanian women scientists to change the situation during three last years and their outcomes.

  3. Current experimental situation in heavy-ion reactions

    Energy Technology Data Exchange (ETDEWEB)

    Scott, D.K.

    1978-06-01

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

  4. 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.

  5. Current experimental situation in heavy-ion reactions

    International Nuclear Information System (INIS)

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

  6. Epidemiology of Dengue in Singapore-Current Situation

    OpenAIRE

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

    1994-01-01

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

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

    International Nuclear Information System (INIS)

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

  8. Tianshuishi space breeding current situation and developing trend

    International Nuclear Information System (INIS)

    Tianshuishi is located in Xi'an to lanzhou among two big cities, the five space launch, has vegetables, food, grasses, flowers, rape, melon and fruit, Chinese traditional medicine, amount of 8 categories of crops, such as the 22 new material after carrying the ground breeding work. Only vegetables on identified 23 aerospace new varieties. After ten years of space breeding, summarizes the present situation of Tianshuishi space breeding, development experience, characteristic, trends, and puts forward the development space breeding Tianshuishi organization and breeding of talent from the matching policy and grow up incentive mechanism, strengthen the cooperation and all over the country, establishing fiscal policy support from the aspects such as advice. (authors)

  9. 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.

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

    Science.gov (United States)

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

    2013-12-01

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

  11. The Current Situation on Farmland Values and Ownership

    OpenAIRE

    Duffy, Michael D.

    2011-01-01

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

  12. Naked singularities and cosmic censorship: comment on the current situation

    International Nuclear Information System (INIS)

    The current discussion is mainly concerned with how, or indeed, whether space-times possessing naked singularities can be ruled out as being too unrealistic or not being singular at all. The present position is summarized, with references, under the following headings: the Hawking-Penrose existence theorems, hydrodynamical singularities and the strength of naked singularities. (UK)

  13. Current Situation and Market Prospect of Chinese EPDM Industry

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

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

  14. 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

  15. Science communication in India: current situation, history and future developments

    OpenAIRE

    Mazzonetto Marzia

    2005-01-01

    Nowadays, India is experiencing a widespread diffusion of science communication activities. Public institutions, non-governmental organisations and a number of associations are busy spreading scientific knowledge not only via traditional media but also through specific forms of interaction with a varied public. This report aims to provide a historical overview of the diffusion of science communication in India, illustrating its current development and its future prospects.

  16. 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...

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

    Science.gov (United States)

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

    2016-06-01

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

  18. KPMU projects. Current environmental situation and expected developments

    International Nuclear Information System (INIS)

    The following KPMU projects are described: Dry storage facility, which will allow the dry storage of 5256 fuel assemblies, currently stored in the spent fuel ponds of reactors of Units 3,4 and the WSF; Projects for equipment and activities related to management of liquid RAW which is already have being implemented on the site and are therefore covered in the current KNPP EIA; Ion Exchange Resin retrieval and Conditioning Equipment; Plasma melting facility; Facility for Retrieval and Processing of The Solidified Phase from Evaporator Concentrate Tanks; Control of Liquid and Gaseous Releases for the Units under Decommissioning at KNPP; Size Reduction and Decontamination Active Workshop –Design, Construction and Equipment Supply and Installation; Supply of: dismantling, size reduction and decontamination tools and equipment; Infrastructure and security perimeter separation; Heat generation plant; EIA for Decommissioning of units 1 to 4; Decay Storage Site for Transitional RAW; Site for Conventional Waste from Decommissioning; Inventory, Treatment and Conditioning of Contaminated Soils; Waste Backlog Treatment

  19. 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.

  20. The current situation of uranium mining in Hungary

    International Nuclear Information System (INIS)

    The paper describes the history of uranium production in Hungary. It focuses on the Mecsek Ore Mining Company, now known as Mecsekuran Limited, and its relationship with the Hungarian Government. From the start of uranium production in 1963 until May 1989 all production was exported to the Soviet Union under a bilateral contract. In exchange the Soviet Union agreed to provide fabricated fuel for the future Hungarian nuclear power plant. In May 1989 the Government of Hungary announced closure of its uranium mining operations because of the high cost of production. The paper describes the history of events since 1989, as well as the current plans to terminate all uranium production by 31 December 1997. The Mecsek Mountains lie in the southern part of Hungary, west from the Danube, about 30 km from the former Yugoslavian border, and north from the city of Pecs. Its eastern side is built up from medieval limestone and dolomites, while the western part is from sandstone and clay from the geological Paleozoic. In the eastern part high quality cokeable coal has been mined for more than 200 years, east from the city of Pecs; and in the western part uranium ore was discovered and the mining began only a few decades ago. (author)

  1. 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.

  2. 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.

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

    Science.gov (United States)

    Razakov, Sh A; Shakhgunova, G Sh

    2001-01-01

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

  4. Development and current situation on geological disposal of low and intermediate-level waste on land

    International Nuclear Information System (INIS)

    The author Mainly introduces the development and current situation on geological disposal of low and intermediate-level waste on land all of the world. It also summarizes the problem and countermeasure in this field in some countries

  5. 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.

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

    OpenAIRE

    Zábská, Eliška

    2012-01-01

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

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

    Science.gov (United States)

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

    2016-04-01

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

  8. Current situation and prospect of market on the latest radiation measuring instrument

    International Nuclear Information System (INIS)

    This book deals with current situation and prospect of market on the latest radiation measuring instrument. The contents of this book are basic of technology on radiation measuring instrument with basic principle of various measuring instrument, current situation of technology and prospect of radiation measuring instrument, effect of spreading and application field of radiation measuring instrument, facility for making and research and development of radiation measuring instrument, prospect of market about radiation measuring instrument, strategy for market entry with the latest radiation measuring instrument and general prospect for the future.

  9. 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.

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

    Science.gov (United States)

    Scarino, Angela

    2014-01-01

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

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

    OpenAIRE

    Xiuli Guo

    2013-01-01

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

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

    OpenAIRE

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

    2010-01-01

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

  13. 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.

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

    OpenAIRE

    Liu, Chunmei; Li, Lutang

    2013-01-01

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

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

    Science.gov (United States)

    Muthanna, Abdulghani

    2016-01-01

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

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

    OpenAIRE

    Concepción Naval; Gonzalo Jover

    2008-01-01

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

  17. 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.

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

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

    Li Baoling

    2014-01-01

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

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

    OpenAIRE

    Kleemann, Michael; Wiegand, Manuel

    2014-01-01

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

  2. 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.

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

    OpenAIRE

    ANDREAS FREY; PHILIPP YORCK HERZBERG

    2009-01-01

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

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

    OpenAIRE

    Zhang, Xi; Yang, Ning; Huang, Hai

    2013-01-01

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

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

    OpenAIRE

    LI Shasha

    2013-01-01

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

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

    OpenAIRE

    Zhang, Ying; Jiang, Gaozhong; Zhang, Qiong

    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...

  7. Current Situation of Land Use in Three-Gorges Reservoir Region in 2010

    OpenAIRE

    WANG, Fuhai; ZHOU, Qigang; Yang, Fei; YANG, Pengwu; Wang, Yao

    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 ...

  8. 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.

  9. Washing machine associated 50 Hz detected as ventricular fibrillation by an implanted cardioverter defibrillator.

    Science.gov (United States)

    Sabaté, X; Moure, C; Nicolás, J; Sedó, M; Navarro, X

    2001-08-01

    This case report describes a patient with an automatic ICD who suffered a defibrillation shock without warning symptoms. An electrical interference can be observed in the stored EGM of the episode. The patient explained that the moment he felt the shock he was touching a washing machine. After correct grounding of this machine the patient did not suffer more inappropriate shocks. PMID:11523615

  10. Radiography of Cardiac Conduction Devices: A Pictorial Review of Pacemakers and Implantable Cardioverter Defibrillators

    Science.gov (United States)

    Torres-Ayala, Stephanie C; Santacana-Laffitte, Guido; Maldonado, José

    2014-01-01

    Cardiac conduction devices (CCDs) depend on correct anatomic positioning to function properly. Chest radiography is the preferred imaging modality to evaluate CCD's anatomic location, lead wire integrity, and help in identifying several complications. In this pictorial review, our goal is to familiarize radiologists with CCD implantation techniques, appropriate positioning of the device, common causes of malfunction, methods to improve report accuracy, and assure maximal therapeutic benefit. PMID:25806132

  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. 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.

  13. 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...

  14. 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...

  15. 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. PMID:24834904

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

    Science.gov (United States)

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

  17. 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.

  18. 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

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

    DEFF Research Database (Denmark)

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

    2012-01-01

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

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

    International Nuclear Information System (INIS)

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

  1. 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

    care of the ICD patient, helplessness and uncertainties related to shocks, role changes, sexual activities, overprotectiveness, and driving. Partner levels of distress may be as high as that of ICD patients. Research with large samples is needed to further investigate the course and determinants of...

  2. 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.

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

    Science.gov (United States)

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

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    failure, ICD shock, psychotropic medication, negative affectivity, and type D personality were identified as independent determinants of poorer physical health status. For mental health status, 6 trajectories were identified. Younger age, low educational level, symptomatic heart failure, renal failure, no...

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

    Institute of Scientific and Technical Information of China (English)

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

    2005-01-01

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

  6. Role of inductive electric fields and currents in dynamical ionospheric situations

    Directory of Open Access Journals (Sweden)

    H. Vanhamäki

    2007-03-01

    Full Text Available We study the role of ionospheric induction in different commonly observed ionospheric situations. These include an intensifying electrojet, westward travelling surge (WTS and Ω-band. We use data based, realistic models for these phenomena and calculate the inductive electric fields that are created due to the temporal variations of ionospheric currents. The ionospheric induction problem is solved using a new calculation technique that can handle non-uniform, time-dependent conductances and electric fields of any geometry. We find that in some situations inductive effects are not negligible and the ionospheric electric field is not a pure potential field, but has a significant induced rotational part. In the WTS and Ω-band models the induced electric field is concentrated in a small area, where the time derivatives are largest. In the electrojet model the induced field is significant over a large part of the jet area. In these examples the induced electric field has typical values of few mV/m, which amounts to several tens of percents of the potential electric field present at the same locations. The induced electric field is associated with ionospheric and field aligned currents (FAC, that modify the overall structure of the current systems. Especially the induced FAC are often comparable to the non-inductive FAC, and may thus modify the coupling between the ionosphere and magnetosphere in the most dynamical situations. We also present some examples with very simple ionospheric current systems, where the effect of different ionospheric parameters on the induction process is studied.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. [Current situation of soil-transmitted nematodiasis monitoring in China and working keys in future].

    Science.gov (United States)

    Chen, Ying-dan; Zang, Wei

    2015-04-01

    Soil-transmitted nematodiasis is widely epidemic in rural areas in China. It was showed that the infection rate of soil-transmitted nematodes was 19.56% while the overall number of persons infected was 129,000,000, which was supported by the results of the National Survey of Current Situation of Major Human Parasitic Diseases in China in 2005 published by former Ministry of Health. Therefore, soil-transmitted nematodiasis was included in the national infectious diseases and pathogenic media monitoring system by Chinese Center for Disease Control and Prevention in 2006, and subsequently 22 monitoring spots were established nationwide. From 2006 to 2013, the human infection rate of intestinal nematodes in national monitoring spots decreased from 20.88% to 3.12%, which showed a declining trend year by year. Meanwhile, the infection rates of Ascaris lumbricoides, Trichuris trichiura, hookworm, Enterobius vermicularis decreased from 10.10%, 5.88%, 8.88%, 10.00% in 2006 to 0.76%, 0.42%, 2.04%, 6.78% in 2013 respectively. In this paper, the current situation of soil-transmitted nematodiasis is overviewed based on a summary of the 8 years' monitoring work, as well as the experiences, challenges and key of monitoring work in the future. PMID:26263768

  13. 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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1997-12-01

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

  15. 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.

  16. Current situation and future plans in radioactive waste management in Mexico

    International Nuclear Information System (INIS)

    A brief introduction is offered in this document in order to explain the importance which is given in Mexico to the safe management of radioactive wastes. The Secretaria de Energia, Minas e Industria Paraestatal is the organization responsible for this issue. Also, a brief historical background is offered so as to understand the evolution of these activities since they were originated. This background allows us to describe the present situation, which consists in a substantial change in the volume of produced radioactive wastes; in other words, before the present situation only the, nuclear wastes from the application of radioisotopes were generated whereas currently, with the starting of commercial operation of the first unit of Laguna Verde Nuclear Power Plant (LVNPP), large volumes of industrial radioactive wastes are being generated. A mention is given as well of the acquired experience during more than 20 years of waste management and of the technologies which have been applied or practiced in the use and disposal of such wastes. Finally, some general trends in relation to the future planning are indicated, which essentially consist in the siting and characterization of a site so as to, design and construct a permanent disposal facility in order to dispose the operational radioactive wastes from LVNPP

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

    International Nuclear Information System (INIS)

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

  18. 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.

  19. 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.

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Directory of Open Access Journals (Sweden)

    ANDREAS FREY

    2009-06-01

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

  3. History, current situation and future tendency of domestic and international low energy nuclear theory research

    International Nuclear Information System (INIS)

    The advent of big nuclear science facilities and progress of experimental techniques bring more and more volumes of experimental data for nuclear theoretical studies, which are testing the extant theories, providing new theoretical research topics and extending the field of nuclear theory thereof. With the enhancement of computational power and speed of modern large-scale supercomputers and the constant improvement of numerical algorithms, the computational accuracy of nuclear many-body systems has been greatly improved. Nuclear theoretical studies have entered an unprecedented time. A brief review is given on the current situation, recent domestic advances and future tendency of nuclear theory research. Several suggestions for the future development of nuclear theory are presented. (authors)

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

    International Nuclear Information System (INIS)

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

  5. 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.

  6. 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.

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

    Directory of Open Access Journals (Sweden)

    Alina Karina Draghici,

    2010-12-01

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

  8. 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.

  9. Risk factors of mesenteric venous thrombosis and current situation of diagnosis and treatment in China

    International Nuclear Information System (INIS)

    Objective: To investigate risk factors of mesenteric venous thrombosis and current situation of diagnosis and treatment in China. Methods: One hundred and seven case of mesenteric venous thrombosis reported in literature were analyzed. The literature from 2003 to 2007 were retrieved from Chinese Scientific and Technical Periodical Database and Wanfangdata. Results: One hundred and seven papers included 978 MVT patients, male: female = 1. 9:1, the average age was 47. 9. The most common risk factors were portal hypertension (28. 9% ), splenectomy (18. 8%) and thrombophlebitis (11. 5%) in 833 cases with integrated medical history. Final diagnosis was established by medical imageology (40. 0%) and exploratory laparotomy (60. 0%). The achievement ratio of thrombolysis therapy was 83. 9% (73 /87) by peripheral vein and 90. 0% (63 /70) by superior mesenteric artery. 34. 7% patients took warfarin orally after discharge. Conclusions: Portal hypertension, splenectomy and thrombophlebitis may be the most common risk factor for MVT; through peripheral vein or superior mesenteric artery urokinase thrombolytic therapy is an effective means of treatment of early MVT; MVT diagnostic awareness and anticoagulant therapy after surgery awareness of the importance is to be strengthened. (authors)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2014-05-15

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

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

    International Nuclear Information System (INIS)

    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)

  12. 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.

  13. 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.

  14. Radiation in pediatric health care: current situation and challenges in the Philippines

    International Nuclear Information System (INIS)

    Radiation exposure to human health has been the topic of much research to date, focusing particularly on children as they are especially vulnerable and have longer life span to develop log term health effects. Taking into account the higher vulnerability of children, prevention of unnecessary radiation exposure is critical in pediatric patients. Issues such as pediatric patient receive a higher dose than necessary has been identified because adult computed tomography (CT) settings are used for children. Assessment of population exposures resulting from medical use of radiation is mainly available in industrialized countries, while in developing countries such as the Philippines, data are scarce. This information is very much scarce in the field of pediatric medical exposures and appropriate national surveys including frequency of pediatric procedures and children doses are still lacking. A broader and more effective participation of the regulatory authorities in such surveys could contribute to children risk assessment. The presentation explains the current situation, approach and challenges in the Philippines in dealing with radiation in pediatric health care. (author)

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

    Science.gov (United States)

    Faúndes, Anibal; Zaidi, Shahida

    2010-07-01

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

  16. 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.

  17. The current situation and prospect of fundamental research about nuclear logging technology

    International Nuclear Information System (INIS)

    Nuclear logging technology is one of the important methods to evaluate complex hydrocarbon reservoir in the process of petroleum exploration and development. The fundamental research of nuclear logging is an important step of logging technology innovation. Through analyzing the current situation of the development of nuclear logging technology at home and abroad in recent years, the problems and gaps are pointed out in the field of fundamental research of nuclear logging at home, and the future development of new nuclear logging technologies is concisely analyzed. Therefore, the optimal design and processing are conducted from aspects of ray source, detector, data acquisition and processing method. In addition, the fundamental research of LWD and pulsed neutron logging technology is taken as the main breach. In the fundamental research of nuclear logging technology, innovative thinking should be expressed and the innovation should be achieved in every field of the development of nuclear logging technology. Meanwhile, the logging key lab should be taken as the platform and the latest achievement in the field of nuclear logging technology should be fully utilized. Thus, the level of independent R and D and technology innovation of logging tools will be raised and service for the exploration and development of petroleum and other mineral resources. (authors)

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

    Science.gov (United States)

    Tabata, Tomohiro; Tsai, Peii

    2016-02-01

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

  19. 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

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

    International Nuclear Information System (INIS)

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

  1. 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.

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

    International Nuclear Information System (INIS)

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

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

    Science.gov (United States)

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

    2016-06-01

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

  4. Current situation of Islamabad solid waste dumpsite and options for improvement

    International Nuclear Information System (INIS)

    A study was undertaken to assess the existing situation of H-12 dumpsite, where solid waste from Islamabad City is being dumped since 1988, and to propose options for its improvement. The study methodology involved collection of baseline information, topographical survey, analysis of leachate samples, characterization of incoming waste and evaluation of options for rehabilitation and improvement of the site. The results of the study revealed that solid waste dumped at the H-12 dumpsite, which currently receives about 320 tons of solid waste daily, covers an area of 22.4 hectares. The corresponding volume and weight of the waste were found to be 0.45 million m3 and 0.143 million tons, respectively. Specific weight and moisture content of the old dumped waste were found to be 22 percent and 320 kg/m3, respectively. Analysis of leachate samples collected from the dumpsite were found to be highly contaminated. Characterization of solid waste delivered at the site showed that it mainly comprises a mix of construction and demolition waste, food waste and hospital waste thus indicating that material recovery operations would not be feasible. In order to improve and rehabilitate the dumpsite with a view to mitigate its adverse environmental impacts, three options were considered. These include (a) improvement and rehabilitation of the site without making provision for further inflow of waste; (b) improvement and rehabilitation of the dumpsite with provision to receive the waste for a period of another 10 years; and (c) shifting the dumped waste to the proposed Kurri Landfill site. Technical and financial aspects of all the three options are described and recommendations regarding the most environment friendly option are presented. (author)

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    E. A. Gomes

    2008-09-01

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

  7. 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

  8. 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.

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

    Science.gov (United States)

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

    2012-12-01

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

  10. The current situation and related problems of percutaneous vertebroplasty in clinical treatment of osteoporosis vertebral compression fracture

    International Nuclear Information System (INIS)

    As an effective, safe and less-invasive technique in interventional radiology, percutaneous vertebroplasty has satisfactory therapeutic results with fewer complications in treating osteoporosis vertebral compression fracture. This paper aims to make a comprehensive review of the current situation and related problems of percutaneous vertebroplasty in clinical treatment of osteoporosis vertebral compression fracture. (authors)

  11. 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.

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

    International Nuclear Information System (INIS)

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

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

    International Nuclear Information System (INIS)

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

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

    OpenAIRE

    Zhang Yuanhui; Cao Shen

    2015-01-01

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

  15. Implementation of the higher education accessibility principle in Latvia: Current situation and its development possibilities

    OpenAIRE

    Mihailovs I.J.; Stankevics A.

    2012-01-01

    Accessibility of higher education system is an important term of higher education development, providing equity rights and possibilities to study for each person. Therefore the understanding of accessibility is important issue for each state higher education policy. The understanding of higher education accessibility in Latvia is discussed in the topic, analyzing this term in comparison with situation in other states, identifying the most important aspects of higher education accessibility an...

  16. Implementation of the higher education accessibility principle in Latvia: Current situation and its development possibilities

    Directory of Open Access Journals (Sweden)

    Mihailovs I.J.

    2012-10-01

    Full Text Available Accessibility of higher education system is an important term of higher education development, providing equity rights and possibilities to study for each person. Therefore the understanding of accessibility is important issue for each state higher education policy. The understanding of higher education accessibility in Latvia is discussed in the topic, analyzing this term in comparison with situation in other states, identifying the most important aspects of higher education accessibility and marking the problems connected with the accessibility in Latvia.

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

    OpenAIRE

    Qian, Kun

    2012-01-01

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

  18. 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.

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

    OpenAIRE

    Aleksandr Chubar'jan

    2006-01-01

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

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

    OpenAIRE

    Hana Stverkova

    2016-01-01

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

  1. 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

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

    Science.gov (United States)

    Gilmour, Stuart; Miyagawa, Shoji; Kasuga, Fumiko; Shibuya, Kenji

    2016-01-01

    Background 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. Methods and Findings 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

  3. Energy planning and management Current situation in the World, Turkey and ITU

    International Nuclear Information System (INIS)

    efficiency measures applied in the end-use sectors such as, industrial processes, heating and electrical home appliances. When energy intensity values of some countries are compared, it can be easily seen that Turkey, having the energy intensity of 0.38, consumes more energy than Japan having the value of 0.09, US with that of 0.25, world mean as 0.29 and even if Greece, Turkeys neighbor, as 0.20. Since Turkey is in the pre-accession period for being a member to European Union (EU), the harmonization with the EU legislation is carried out in every sector negotiated together with EU, including energy. The purposes of EU energy policy can be summarized as to improve competitiveness, energy supply security, energy efficiency, market share of renewable energy sources and to contribute protection of the environment. In each progress report prepared by EU for Turkey, it is stated that in order to harmonize with the related EU legislation and to decrease the energy intensity, Turkey should enact a framework energy efficiency law. Considering this suggestion, Draft Law on Energy Efficiency was prepared by taking the opinions of all related government and private sector representatives and it is waiting for ratification in Turkish Grand National Assembly. It is indicated that world energy consumption shall increase twice in 2050 as compared to 2005 while it is required to decrease this consumption to half for protecting the current climate of the world. Therefore, in order to prevent the adverse effects of climate change by means of economical measures, energy must be used 4 times efficient than it is used today. Within this framework, the major and inevitable measure is stated as the rational use of energy by each country considering their national situations including energy, economy and environment points of view. Generally, such studies are conducted by neutral and institutional organizations like Russian Energy Efficiency Center, Energy Conservation Center of Japan and Ukraine

  4. 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

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

    Science.gov (United States)

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

    2014-11-01

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

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

    OpenAIRE

    Vovchenko Natalia Gennadievna; Epifanova Tatiana Vladimirovna; Pogorelenko Nikita Sergeevich

    2015-01-01

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

  7. Nuclear Power Reactor Wastes. A Regulatory Overview of the Current Situation in Argentina

    International Nuclear Information System (INIS)

    Since the middle of the 1980's up to the year 2005 the Argentinean nuclear power program was stagnated. Entering in 21st century the situation of the nuclear program had an inflection point as a consequence of the rise of the oil prices, the deep reduction of indigenous resources of natural gas and the increase of electricity demand that resulted in the growing of economical activity since 2001. At present the construction of Atucha II, the 3rd nuclear power reactor, has been restarted and negotiations for a 4th nuclear power reactor are in course. The only authorized site for final disposal of low level solid radioactive waste (AGE) suspended its operation at the end of the '90s and a new schedule for decision and commissioning of radioactive waste facilities were established by National Commission of Atomic Energy (CNEA). Nowadays, in the country, the radioactive waste (RW) from NPPs are stored in the same site where they are generated and it is not planned to have in operation a disposal facility before the second half of the next decade. So, the main technical regulatory concern during this period will be to assure that the storage of the radioactive waste is safe, the characterization of RW performed by Operators is appropriate and a reasonable recording system is implemented. (authors)

  8. 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.

  9. Nuclear power reactor wastes. A regulatory overview of the current situation in Argentina

    International Nuclear Information System (INIS)

    Since the middle of the 1980's up to the year 2005 the Argentinean nuclear power program was stagnated. Entering in 21st century the situation of the nuclear program had an inflection point as a consequence of the rise of the oil prices, the deep reduction of indigenous resources of natural gas and the increase of electricity demand that resulted in the growing of economical activity since 2001. At present the construction of Atucha II, the 3rd nuclear power reactor, has been restarted and negotiations for a 4th nuclear power reactor are in course. The only authorized site for final disposal of low level solid radioactive waste (AGE) suspended its operation at the end of the '90s and a new schedule for decision and commissioning of radioactive waste facilities were established by National Commission of Atomic Energy (CNEA). Nowadays, in the country, the radioactive waste (RW) from NPPs are stored in the same site where they are generated and it is not planned to have in operation a disposal facility before the second half of the next decade. So, the main technical regulatory concern during this period will be to assure that the storage of the radioactive waste is safe, the characterization of RW performed by Operators is appropriate and a reasonable recording system is implemented. (author)

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

    Science.gov (United States)

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

    2016-08-01

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

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

    Science.gov (United States)

    Hossain, Md. Mokter; Robinson, Michael

    2011-01-01

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

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

    Science.gov (United States)

    Fei, Xiao

    2007-01-01

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

  13. 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.

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

    International Nuclear Information System (INIS)

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

  15. 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.

  16. Neoadjuvant treatment in advanced renal cell carcinoma: current situation and future perspectives.

    Science.gov (United States)

    Timsit, Marc-Olivier; Albiges, Laurence; Méjean, Arnaud; Escudier, Bernard

    2012-12-01

    Neoadjuvant approaches in renal cell carcinoma are currently under investigation, following the demonstration of targeted therapy efficacy in the metastatic setting. It raises the issues of downsizing locally advanced or nonresectable tumor and offering organ-sparing surgery, safety and its potential role in early micrometastatic disease. Relevant studies of the neoadjuvant setting in renal cell carcinoma with targeted therapies were identified from the literature, clinical trial databases and conference abstracts. To date, a neoadjuvant approach appears feasible in terms of safety. Currently available drugs do not achieve major tumor downsizing with primary tumor diameters response rate of 10%. Neoadjuvants should only be considered in clinical trials or as a litmus test in locally advanced patients. PMID:23253222

  17. Air pollution control residues from waste incineration: Current UK situation and assessment of alternative technologies

    International Nuclear Information System (INIS)

    Current disposal options for APC residues in the UK and alternative treatment technologies developed world-wide have been reviewed. APC residues are currently landfilled in the UK where they undergo in situ solidification, although the future acceptability of this option is uncertain because the EU waste acceptance criteria (WAC) introduce strict limits on leaching that are difficult to achieve. Other APC residue treatment processes have been developed which are reported to reduce leaching to below relevant regulatory limits. The Ferrox process, the VKI process, the WES-PHix process, stabilisation/solidification using cementitious binders and a range of thermal treatment processes are reviewed. Thermal treatment technologies convert APC residues combined with other wastes into inert glass or glass-ceramics that encapsulate heavy metals. The waste management industry will inevitably use the cheapest available option for treating APC residues and strict interpretation and enforcement of waste legislation is required if new, potentially more sustainable technologies are to become commercially viable

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

    OpenAIRE

    Pitrová, Miroslava

    2008-01-01

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

  19. Current situation and perspective for using underground laboratories in the Spanish HLW Program

    International Nuclear Information System (INIS)

    Thermonuclear industry contributes with about 36% of the total spanish electricity production. The strategy of the Empresa Nacional de Residuos Radiactivos, S.A. (ENRESA) for developing a deep geological repository for the disposal of the spent fuel coming from the Nuclear Power Plants is based on three main activities: (1) Site selection (2) Development of a disposal concept (3) R ampersand D support activities. This paper briefly describes the current status of each activity

  20. 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...

  1. CURRENT SITUATIONS, EXPECTATION AND SUGGESTIONS CONCERNING SCHOOL MANAGER TRAINING AND ASSIGNMENT IN TURKEY

    OpenAIRE

    Veysel OKÇU

    2011-01-01

    Abstract This study aims to train school managers to be real leaders by determining national standards, and contribute to educational policy that is going to be prepared in that field by providing views and suggestions so that they can be assigned objectively. It is seen that there is not a developed management trainee program in current education system in our country. That brings databases of training management and standards of training managers into question. Also, it is seen that dut...

  2. 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.

  3. Current situation, progress and prospects of health for all in Egypt.

    Science.gov (United States)

    el-Henawy, A

    2000-07-01

    This country report outlines the current health system in Egypt, its organization and the challenges it faces. It discusses the health sector reforms being carried out and the achievements that have been made so far. The prospects for health for all in Egypt are considered, with particular reference to the Healthy Egyptians 2010 initiative, which focuses on maternal and child health, injury control, environmental health and smoking control. PMID:11794089

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

    OpenAIRE

    Guan, Zhiliang; 关芝良

    2013-01-01

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

  5. 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

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

    International Nuclear Information System (INIS)

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

  7. 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.

  8. 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.

  9. The current situation of diagnosis for insulation deterioration of high voltage induction motors in nuclear power plants

    International Nuclear Information System (INIS)

    In order to evaluate aging effect on motor correctly, several data of high voltage induction motors in 17 nuclear power plants of Tokyo Electric Power Co. (TEPCO) have been collected since 1984. Collected data are non-destructive insulation diagnosis test data including insulation resistance, static capacitance and the results of insulation destructive test after replacement of motors. Evaluation based on the data shows that breakdown voltage (BDV) of motor coil has relationship with the motor parameters such as current increase ratio, maximum discharge magnitude, difference of dielectric dissipation factor, etc. From this viewpoint, BDV estimation formula for 6.6 kV motors is established by using multiple linear regression analysis method, considering parameter used in D-map evaluation. However the measured parameters may vary due to the factors besides insulation deterioration, not only the estimated BDV but also visual inspection data are took into account for overall diagnosis. Further collection of data and evaluation will be done continuously in order to enhance accuracy of the insulation diagnosis. The current situation of diagnosis for insulation deterioration of 6.6 kV class induction motors in nuclear power plants is described in this technical note. Also current situation of investigation on 3.3 kV class motors is described. (author)

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

    International Nuclear Information System (INIS)

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

  11. 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.

  12. Current situation of the project finishing of the building of 3 and 4 block of the nuclear power plant Mochovce

    International Nuclear Information System (INIS)

    In the contribution there is the basic information mentioned about history of building and the current situation at the finishing of the building of 3 and 4 block of the Nuclear Power Plant Mochovce with the use of project digitization. Further on the contribution shows what kinds of supporting material has been elaborated, what kind of decisions have been issued to the finishing of the building, way of financing and also the assumption of investment return under the defined conditions. An orientation time schedule of the finishing of the building and the crucial steps for its security are presented in the conclusion

  13. 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

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

    OpenAIRE

    2012-01-01

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

  15. 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

    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....... We examined the prevalence and correlates of persistent depression using an intraindividual approach. Consecutive patients who had undergone ICD implantation (n = 386; 79.3% men) completed a set of validated questionnaires, including the Hospital Anxiety and Depression Scale (HADS), at baseline and 3...... months after implantation. Information on ICD therapies was obtained by device interrogation. At 3 months after implantation, 52 (14%) of the 386 patients had persistent depression (HADS cutoff ≥8 before and 3 months after implantation). Heart failure (odds ratio [OR] 2.29; 95% confidence interval [CI] 1...

  16. Mid-term follow-up of patients with Brugada syndrome following a cardioverter defibrillator implantation: A single center experience

    OpenAIRE

    Kharazi, A; Emkanjoo, Z; A. Alizadeh; Nikoo, MH; Jorat, MV; Sadr-Ameli, MA

    2007-01-01

    Background Brugada syndrome is an arrhythmogenic disease characterized by an ECG pattern of ST-segment elevation in the right precordial leads and an increase risk of sudden cardiac death. Risk stratification for the life-threatening arrhythmic events in Brugada syndrome is not yet established. In the present study, we report our experience in patients with Brugada syndrome, following an ICD implantation. Methods and Results A total of 12 patients (11 men, 1 woman) with a mean age of 46.5±11....

  17. 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.

  18. THE SOCIAL ENTERPRISE IN ROMANIA. AN EUROPEAN PERSPECTIVE ON THEIR CURRENT SITUATION

    Directory of Open Access Journals (Sweden)

    Vinke Joop

    2012-12-01

    Full Text Available The current paper is aimed at identifying the social enterprises according to EMES criteria by investigating the social economy actors in Romania. As an emerging field of study, social entrepreneurship and social enterprise have captured the attention of both practitioners from Europe and North America, and in recent years on other continents. In Romania, very little research has been conducted into the field, mostly as part of academic research papers from doctoral study students or masters, both from Romania and abroad. In Europe, several studies have been conducted among member state of the European Union, to bring to light this new emerging field.. Investigations in regard to social entrepreneurship in Europe have revealed the existence of this field among social economy actors, in the form of social enterprise, namely work integration social enterprises and social cooperatives. So far, Romania has not been included in them This papers tries to fill the gap of knowledge on this phenomena, by exploring, from a European perspective, the actors of social entrepreneurship in Romania. The methodology used was an analysis of secondary data in the form of legal documents (laws, reports of the social economy sector and scholarly articles related to social entrepreneurship in Romania. The assessment instrument is the EMES set of economic and social criteria that the social enterprises need to meet. Also, parallels have been made with the entities of the same nature in the European Union. The paper concludes on the state of social enterprise in Romania, with an underline on what its and implications for their further study. As main finding, two types of organizations fit best with the EMES criteria, authorized protected units and companies set up by associations and foundations. Also, further developments are expected as Romania is preparing for a law defining the social enterprise and social economy. The main implications of this research is drawing

  19. 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)

  20. [Nursing education in Taiwan: the current situation and prospects for the future].

    Science.gov (United States)

    Lu, Meei-Shiow

    2004-08-01

    Two factors which have a close bearing on nursing education are social and technological change. How nursing education meets social needs and how nursing students are best equipped with professional knowledge, attitudes, and skills in a rapidly changing society have become important issues. The purposes of this paper are to describe the current state of nursing education and to identify problems that need to be solved, including the complexity of the educational system, the quality and quantity of nursing manpower, the degree of compatibility between the aims of education and future social needs, the quality of nursing educators, courses and course delivery, and the clinical competence of nursing graduates. Based on the paradigm shifts of International Medical Care and higher education described by McBride, several suggestions for future educational reform are proposed, including simplifying the educational system, improving the development of both the quality and quantity of nursing manpower, matching educational aims with future social needs, bridging the gap between theory and clinical practice, promoting both instructional and clinical skills among nursing educators and enhancing the ability of graduates to deal with a contingency strain. It is expected that in order to meet the challenges presented by a rapidly changing society, nursing educators will have to develop a mixed role including clinical proficiency, outstanding research skills, and excellent leadership skills. PMID:15290636

  1. Current Situation for Management of Disused Sealed Radioactive Sources in Japan - 13025

    International Nuclear Information System (INIS)

    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)

  2. Psychiatric Reform in Rio de Janeiro: the current situation and future perspectives.

    Science.gov (United States)

    Fagundes Júnior, Hugo Marques; Desviat, Manuel; Silva, Paulo Roberto Fagundes da

    2016-05-01

    This article analyzes the mental health network in the city of Rio de Janeiro. It provides a report on the current status of the implementation of psychiatric reform and identifies progress, limitations and challenges in this area. Documentary research was carried out by examining official documents, ordinances, SUS databases, information that was available at the Superintendency of Mental Health of the city of Rio de Janeiro, and a literature review of Brazilian and international scientific articles. The results point to important advances in the de-institutionalization of care, with a substantial reduction in the numbers of psychiatric beds, and increased community facilities. However, the following significant challenges remain: the need for increased coverage by psychosocial care centers; the implementation of psychiatric beds in general hospitals; the integration of mental health with primary health care; the de-institutionalization of people who remain in hospitals for long periods; the expansion of the number of residential facilities; and an increase in the provision of specific services for people using alcohol and other drugs. PMID:27166894

  3. General Technical Approvals for Decentralised Sustainable Urban Drainage Systems (SUDS—The Current Situation in Germany

    Directory of Open Access Journals (Sweden)

    Carsten Dierkes

    2015-03-01

    Full Text Available The use of decentralised, sustainable urban drainage systems (SUDS for the treatment of stormwater runoff is becoming increasingly prevalent in Germany. Decentralised SUDS can offer a viable and attractive alternative to end of pipe treatment systems for stormwater runoff from urban areas. However, there is still some uncertainty regarding the long-term performance of SUDS, and the general legislative requirements for SUDS approval and testing. Whilst the allowable pollution levels in stormwater runoff that infiltrate into ground and/or water table are regulated across Germany by the Federal Soil Protection Law, there is presently no federal law addressing the discharge requirements for surface water runoff. The lack of clear guidance can make it difficult for planners and designers to implement these innovative and sustainable stormwater treatment systems. This study clarifies the current understanding of urban stormwater treatment requirements and new technical approval guidelines for decentralised SUDS devices in Germany. The study findings should assist researchers, designers and asset managers to better anticipate and understand the performance, effective life-spans, and the planning and maintenance requirements for decentralised SUDS systems. This should help promote even greater use of these systems in the future.

  4. Current hepatitis B virus infection situation in Indonesia and its genetic diversity.

    Science.gov (United States)

    Lusida, Maria Inge; Juniastuti; Yano, Yoshihiko

    2016-08-28

    Indonesia has a moderate to high endemicity of hepatitis B virus (HBV) infection. The risk for chronic HBV infection is highest among those infected during infancy. Since 1997, hepatitis B (HepB) vaccination of newborns has been fully integrated into the National Immunization Program. Although HBV infection has been reduced by the universal newborn HepB immunization program, it continues to occur in Indonesia. The low birth dose coverage and the presence of vaccine escape mutants might contribute to this endemicity among children. Although limited information is available for an analysis of occult HBV infection (OBI), several variations and substitutions in the pre-S/S region have been detected in Indonesian HBV strains. Additionally, persistent infection and disease progression of chronic hepatitis B are related to not only viral factors but also the host genome. Indonesia is one of the most ethnically heterogeneous nations, with Javanese and Sundanese as the two highest ethnic groups. This multi-ethnicity makes genomic research in Indonesia difficult. In this article, we focused on and reviewed the following aspects: the current hepatitis B immunization program and its efficacy, OBI, HBV infection among high-risk patients, such as hemodialysis patients, and research regarding the host genome in Indonesia. PMID:27621573

  5. Middle East respiratory syndrome coronavirus: current situation and travel-associated concerns.

    Science.gov (United States)

    Al-Tawfiq, Jaffar A; Omrani, Ali S; Memish, Ziad A

    2016-06-01

    The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in 2012 brought back memories of the occurrence of severe acute respiratory syndrome coronavirus (SARS-CoV) in 2002. More than 1500 MERS-CoV cases were recorded in 42 months with a case fatality rate (CFR) of 40%. Meanwhile, 8000 cases of SARS-CoV were confirmed in six months with a CFR of 10%. The clinical presentation of MERS-CoV ranges from mild and non-specific presentation to progressive and severe pneumonia. No predictive signs or symptoms exist to differentiate MERS-CoV from community-acquired pneumonia in hospitalized patients. An apparent heterogeneity was observed in transmission. Most MERS-CoV cases were secondary to large outbreaks in healthcare settings. These cases were secondary to community-acquired cases, which may also cause family outbreaks. Travel-associated MERS infection remains low. However, the virus exhibited a clear tendency to cause large outbreaks outside the Arabian Peninsula as exemplified by the outbreak in the Republic of Korea. In this review, we summarize the current knowledge about MERS-CoV and highlight travel-related issues. PMID:27146399

  6. Positron emission tomography and related technology in Latin-America: Current situation, prospects, and needs

    International Nuclear Information System (INIS)

    Introduction: The World Health Organization estimates that about 84 million people will die of cancer in the next 10 years if the current trend is maintained. More than 70% of all these deaths occur in low and middle income countries, where resources available for prevention, diagnosis and treatment are sometimes very limited. Cancer is one of Latin America's major killers, and many of its victims are dying unnecessarily because the disease is not addressed comprehensively. Many patients could be treated and even cured with early detection, accurate staging, appropriate selection of treatment modalities, and objective treatment evaluation. Properly trained human resources and cost-effective technologies are needed to fight cancer, with PET being one such technology. In spite of the high costs involved, the number of PET, PET/CT and cyclotron installations has been increasing in Latin America during the past few years, making these important tools more available for the general population. The aim of this study was to present updated information about the status of PET and related technologies (PET/CT, cyclotron) in the Latin-American region. Methods: We performed a survey using a simple spreadsheet containing the requested items to be filled in (instrument, institution/city, manufacturer/model, year of installation). Information was also requested on advanced projects for the next 5 years. The form was sent by e-mail to previously identified key persons according to their professional standing in the following countries: Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Uruguay, and Venezuela. In some cases such as Argentina, Brazil and Mexico, the survey material was sent to more than one person due to the size of the country and the expected difficulties for gathering complete data. A 5-point score to express training and educational needs

  7. [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. PMID:23084737

  8. 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.

  9. 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.

  10. 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.

  11. Current Situation of Venison Processing and Utilization%鹿肉的加工及利用现状

    Institute of Scientific and Technical Information of China (English)

    闫晓侠; 刘芳; 马进喜; 张铁华; 秦凤贤; 胡铁军; 孙尧; 刘晶; 王朝晖; 张凤宽; 尤丽新; 于研

    2014-01-01

    鹿全身都是宝,鹿茸、鹿托盘、鹿血等都是经过研究具有很高的营养价值。目前,鹿肉的利用还不是很多,本文主要介绍了鹿肉的国内外发展现状、鹿肉的相关产品、鹿肉的未来发展前景和对鹿肉未来市场的展望。%In China, deer is an important economic animal. No part of deer goes to waste; the antler, antler base and blood have been demonstrated to have high nutritional value. However, to date venison has been utilized scarcely. This review focuses on the current situation of deer meat processing and related products as well as future development and market prospects.

  12. Large-scale integration of renewable and distributed generation of electricity in Spain: Current situation and future needs

    International Nuclear Information System (INIS)

    Similar to other European countries, mechanisms for the promotion of electricity generation from renewable energy sources (RESs) and combined heat and power (CHP) production have caused a significant growth in distributed generation (DG) in Spain. Low DG/RES penetration levels do not have a major impact on electricity systems. However, several problems arise as DG shares increase. Smarter distribution grids are deemed necessary to facilitate DG/RES integration. This involves modifying the way distribution networks are currently planned and operated. Furthermore, DG and demand should also adopt a more active role. This paper reviews the current situation of DG/RES in Spain including penetration rates, support payments for DG/RES, level of market integration, economic regulation of Distribution System Operators (DSOs), smart metering implementation, grid operation and planning, and incentives for DSO innovation. This paper identifies several improvements that could be made to the treatment of DG/RES. Key aspects of an efficient DG/RES integration are identified and several regulatory changes specific to the Spanish situation are recommended. - Highlights: ► Substantial DG/RES penetration levels are foreseen for the coming years in Spain. ► Integrating such amount of DG/RES in electricity markets and networks is challenging. ► We review key regulatory aspects that may affect DG/RES integration in Spain. ► Several recommendations aimed at easing DG/RES integration in Spain are provided. ► Market integration and the transition towards smarter grids are deemed key issues.

  13. 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.

  14. 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.

  15. Current situation with the centralized storage facilities for non-power radioactive wastes in Latin American countries

    International Nuclear Information System (INIS)

    Full text: Several Latin American (LA) countries have been firmly committed to the peaceful applications of ionizing radiations in medicine, industry, agriculture and research in order to achieve socioeconomic development in diverse sectors. Consequently the use of radioactive materials and radiation sources as well as the production of radioisotopes and labeled compounds may always produce radioactive wastes which require adequate management and, in the end, disposal. However, there are countries in the Latin American region whose radioactive waste volumes do not easily justify a national repository. Moreover, such facilities are extremely expensive to develop. It is unlikely that such an option will become available in the foreseeable future for most of these countries, which do not have nuclear industries. Storage has long been incorporated as a step in the management of radioactive wastes. In the recent years, there have been developments that have led some countries to consider whether the roles of storage might be expanded to provide longer-term care of long-live radioactive wastes The aim of this paper is to discuss the current situation with the storage facilities/conditions for the radioactive wastes and disused sealed radioactive sources in Latin-American countries. In some cases a brief description of the existing facilities for certain countries are provided. In other cases, when no centralized facility exists, general information on the radioactive inventories and disused sealed sources is given. (author)

  16. 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.

  17. 糖尿病的研究现状及进展%Current Situation and Progress of Study on Diabetes

    Institute of Scientific and Technical Information of China (English)

    钱虹(综述); 陆锐明(审校)

    2015-01-01

    目前众多研究报道,糖尿病是遗传因素、自身免疫系统因素以及环境因素共同作用的结果,而关于糖尿病治疗的研究主要集中在饮食疗法、运动疗法及药物疗法等方面,并在转基因治疗、胰岛素增敏效、胰岛素三维结构、糖尿病综合防治体系及外科手术、干细胞治疗等方面取得了新突破。文通过总结和归纳近年来国内外关于糖尿病研究的报道,从发病机制、诊断及治疗等方面分析糖尿病的研究现状。%At present,many studies reported that diabetes is the result of interactions of genetic factors , autoimmune factors and environmental factors , and the research about the treatment of diabetes mellitus mainly focuses on diet therapy,exercise therapy and drug therapy,and new breakthroughs have been achieved in gene therapy,insulin sensitizing effect and insulin three-dimensional structure,comprehensive prevention and treatment of diabetes and surgery,and stem cell therapy.Here summarizes the reports about diabetes research at home and abroad in recent years ,analyzing the current situation of diabetes from aspects of patho-genesis,diagnosis and treatment.

  18. 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

  19. 糖尿病的研究现状及进展%Current Situation and Progress of Study on Diabetes

    Institute of Scientific and Technical Information of China (English)

    钱虹(综述); 陆锐明(审校)

    2015-01-01

    At present,many studies reported that diabetes is the result of interactions of genetic factors , autoimmune factors and environmental factors , and the research about the treatment of diabetes mellitus mainly focuses on diet therapy,exercise therapy and drug therapy,and new breakthroughs have been achieved in gene therapy,insulin sensitizing effect and insulin three-dimensional structure,comprehensive prevention and treatment of diabetes and surgery,and stem cell therapy.Here summarizes the reports about diabetes research at home and abroad in recent years ,analyzing the current situation of diabetes from aspects of patho-genesis,diagnosis and treatment.%目前众多研究报道,糖尿病是遗传因素、自身免疫系统因素以及环境因素共同作用的结果,而关于糖尿病治疗的研究主要集中在饮食疗法、运动疗法及药物疗法等方面,并在转基因治疗、胰岛素增敏效、胰岛素三维结构、糖尿病综合防治体系及外科手术、干细胞治疗等方面取得了新突破。文通过总结和归纳近年来国内外关于糖尿病研究的报道,从发病机制、诊断及治疗等方面分析糖尿病的研究现状。

  20. 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

  1. 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

  2. 我国农业保险现状的统计分析%The Statistical Analysis of Current Situation of Agricultural Insurance of China

    Institute of Scientific and Technical Information of China (English)

    刘蓉

    2004-01-01

    The guarantee of insurance is crucial to the development of modern agriculture. The current development of agricultural insurance is not satisfactory. The developing level and pace of agriculture is far from the need. The paper analyses the developing situation, institutional background of agricultural insurance by looking at the statistics, demonstrates the urgence to develop agricultural insurance and agricultural insurance statistics of China.

  3. SACRI: A measure of situation awareness for use in the evaluation of nuclear power plant control room systems providing information about the current process state

    International Nuclear Information System (INIS)

    Control room operator support systems and their interface designs have as one goal the enhancement of the operators' situation awareness of the dynamically changing process state. This paper describes a technique for measuring situation awareness within the Human Factors evaluation of control room operator-system interfaces. The technique, referred to as SACRI, has been evaluated in four simulator studies and the main findings from these studies are summarized in this paper. It is concluded that SACRI can be a useful supplement to operator performance measures currently existing for use within control room interface evaluations. (author). 16 refs, 2 figs, 3 tabs

  4. R 22 substitutes - points to be observed. Pt. 1. Current situation and material considerations; Ersatz von R 22 - Was ist zu beachten? T. 1. Ausgangssituation und stoffliche Ueberlegungen

    Energy Technology Data Exchange (ETDEWEB)

    Eckhoff, W. [GHC Gerling, Holz und Co. Handels GmbH, Hamburg (Germany); Flohr, F. [Solvay Fluor GmbH, Hannover (Germany); Puhl, C. [Fuchs Europe Schmierstoffe GmbH, Mannheim (Germany); Selmer, K. [Arctos Industriekaelte AG, Soerup (Germany)

    2008-09-15

    The EU-wide impending ban on using new R22 for maintenance purposes from 1 January 2010 has livened up the discussion over finding an optimal substitute to R22 in its many and varied applications. This is the first part of a two-article series in which the subject is discussed both from the view of a refrigerant and oil producer and of a wholesale supplier and plant constructor. The first part starts by discussing the legal boundary conditions, the current situation, and the refrigerant and machine oil situation. (orig.)

  5. On the magnetic field distribution generated by a dipolar current source situated in a realistically shaped compartment model of the head.

    Science.gov (United States)

    Meijs, J W; Bosch, F G; Peters, M J; Lopes da Silva, F H

    1987-03-01

    The magnetic field distribution around the head is simulated using a realistically shaped compartment model of the head. The model is based on magnetic resonance images. The 3 compartments describe the brain, the skull and the scalp. The source is represented by a current dipole situated in the visual cortex. The magnetic field distribution due to the source and that due to the volume currents are calculated separately. The simulations are carried out in order to ascertain which matrix of grid points is suitable as a measuring grid. The possibilities studied are grid points situated in a plane, in a surface which follows the contours of the head and in a sphere. This sphere is taken concentric to the sphere which is the best possible fit for the head. Taking into account the relative contribution of the volume currents and the possible accuracy in the positioning of the magnetic field detector, it can be concluded that the best choice is to measure the normal component of the magnetic field at points which are situated in the spherical surface. The results of this study also show that the magnetic field distribution based on a realistically shaped compartment model differs from that based on a compartment model consisting of concentric spheres. In the spherical model of the head no contribution of the volume currents to the component of the field normal to the sphere can be expected. The difference between the results obtained with these two volume conductor models increases with source depth. PMID:2434313

  6. Decommissioning and dismantling of nuclear facilities. An assessment of the current legal situation relating to standard setting and licensing

    International Nuclear Information System (INIS)

    The introductory survey presents the framework conditions set by the nuclear technical codes, the law, and the nuclear licensing provisions. The first contribution (by A.Kurz) analyses the legal position referring to the points of law and to the problems encountered in connection with activities for the decommissioning and dismantling of nuclear facilities. The second contribution (by W.H. Junker) shows the regulatory situation by presenting a synopsis of licences, discussing their legal background and in particular their effects in practice. (HP)

  7. Current situation of the wind energy use and investigation of wind resources in the coastal region of the Baltic Sea in Lithuania

    Energy Technology Data Exchange (ETDEWEB)

    Katinas, Vladislovas; Marciukaitis, Mantas; Markevicius, Antanas [Lithuanian Energy Institute, Laboratory of Renewable Energy, Breslaujos street 3, LT-44403 Kaunas (Lithuania)

    2009-01-15

    In this paper current situation and future prospects of the use of wind energy and wind power resource assessment experience in Lithuania are reviewed. Installed wind power capacity has increased from 6.4 to 54.84 MW in Lithuania in 2006. During last five years wind power resource assessment was carried out, wind measurements were generalized and on the basis of obtained results Lithuanian wind resources map was developed. Measurements have shown that the most suitable region for building WT of big capacity is the 10 km wide coastal strip in Lithuania. The suitability of several existing WT sites was evaluated by the power output coefficient, which describes the efficiency of installed WT. The aim of this work is to present the current situation of wind energy development and the results of the investigation of wind climate conditions in the coastal region of the Baltic Sea in Lithuania. (author)

  8. Disclosure of weather risks of European Utilities : Assessment of the current situation of listed utilities domiciled in Germany, France, Austria, United Kingdom and Switzerland

    OpenAIRE

    Leibfried, Peter; Schuchter, Alexander

    2010-01-01

    With regards to the scientific fact about climate change, weather risk is of increased importance to companies in weather dependent industries. Increasing volatility in temperatures and precipitation as well as unseasonal weather result in increased financial risk to weather dependent companies. This white paper assesses the current situation disclosure of weather dependency and weather risks of European exchange listed companies with the aim to promote transparency in risk reporting to ...

  9. The Current Stage of Shale Gas Exploration and Exploitation in European Countries Compared to the U.S. Situation

    OpenAIRE

    Juganaru Ion-Danut; Juganaru Mariana

    2013-01-01

    World countries are more and more concerned about finding new sources of energy, given the fact that the consumption is growing and the deposits of natural / conventional gas, known and currently exploated, can only provide the demand for a short period of time. Unconventional gas identified and exploated currently in the world, include shale gas, tight gas, sandstone/carbonate rocks, CBM-Coal bed methane and Methane Hydrates. Of all these, shale gas presents the hightest interest. The explan...

  10. The long-term supply/demand trend of world energy and the current oil situation in the Asia

    International Nuclear Information System (INIS)

    Total world primary energy consumption excluding the FSU increased by 2.9% in 1995, which is somewhat above the 10 year average rate of 2.4%. This reflected strong economic growth in most parts of the world. The increase in demand confirmed the recovery of the link between the economic growth and consumption of primary energy, which broke down in the period of oil crises. Oil demand in the Asian Emerging Market Economies has continued to be very strong. Oil demand has doubled in a decade in this region and is now one sixth of world consumption. Malaysia was the fastest growing oil market in the world in 1995 at 15.5%. In volume terms, S. Korea grew the most in the world by 170,000 b/d, closely followed by China and India. Because of the fast growing oil demand, many energy economists expect a tight supply situation in the Asian oil market in the early 21st Century. However, recent technological developments would be able to supply crude oil appropriate for an increase in oil demand. (author)

  11. The law governing the decommissioning of nuclear installations. Assessment of the current situation and approaches for reform

    International Nuclear Information System (INIS)

    The author analyses the legal situation and the legal instruments available de lega lata, as provided for in section 7, sub-sec. 3 of the Atomic Energy Act. The conclusions drawn from this analysis show the following drawbacks of existing legal provisions and subsequently suggest items in need of reform: 1. There can be no doubt that the provisions of the Atomic Energy Act, and also those of the Federal Emission Control Act (BImSchG) establish the need for the licensing of decommissioning activities. 2. For the sake of better differentiation of activities, the Atomic Energy Act should be amended so as to comprise a clear definition of the term 'decommissioning' in the proper sense. 3. In order not to leave room for 'putting off' the waste disposal problem, the law is to constitute an obligation to provide for appropriate radioactive waste management. 4. Since the existing financial security available in the case of a premature, unforeseen retirement of a nuclear installation from operation is found to be inadequate, the suggestion is to establish a mandatory financial security scheme for decommissioning activities. 5. The decommissioning of radioactive waste repositories, i.e. the post-sealing period, should be defined as a particular case requiring a particular licence. (orig./HSCH)

  12. 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

  13. 大学生自尊现状调查分析%College Students' Current Situation of Self-esteem

    Institute of Scientific and Technical Information of China (English)

    范敏

    2012-01-01

    Objective To analyze the present situation of self-esteem of college students,so as to provide help to enhance their self-esteem level. Methods A total of 494 students of several colleges and universities were chosen as research population. The Self-esteem Scale(SES,also known as Rosenberg Scale)was delivered to college students. Results There were no significant differences in the dimensions of gender,student nationalities,family structure and grades. While,the self-esteem levels of college students had statistical significance in the dimension of whether being cadres(t = 3. 745,P<0. 01). Conclusion The self-esteem level has no significant correlation with gender,student nationalities,family structure and grades. Cadres have higher self-esteem level than the students who are not cadres.%目的 了解大学生自尊现状,为提高大学生自尊水平提供帮助.方法 选取湖南多所高校494名大学生,采用自尊量表(SES又称Rosenberg量表)进行问卷调查.结果 在性别、生源地、家庭结构、不同年级维度上自尊水平未表现出统计学差异,而在是否是学生干部的维度上自尊水平表现出统计学差异(t=3.745,P>0.01).结论 大学生的自尊受性别、生源地、是否是独生子女、不同年级的影响不大;而学生干部的自尊水平高于非学生干部.

  14. The impact of Brazilian accounting standards applied to the public sector: current situation and prospects in the Federal Public Administration

    OpenAIRE

    Passos, Luís Henrique Santos

    2015-01-01

    This paper aims to offer a brief assessment of the impact of Brazilian Accounting Standards Applied to Public Sector (NBCASP) in the current scenario and the perspectives that they might bring in the guidance of accounting activities that are performed in the Federal Public Administration. Another aspect to be discussed is closely related to cost management system of the Brazilian Army (SISCUSTOS), resulting from the NBC T 16.5 - Bookkeeping, a fact that puts the Earth Force at the forefront ...

  15. Current situation of sexual and reproductive health of men deprived of liberty in the Institutional Care Center of San Jose

    OpenAIRE

    Dorita Rivas Fonseca; Adriana Ortiz Obando

    2013-01-01

    The objective of this research was to determine the current status of the issue of sexual and reproductive health ofthe prisoners Institutional Care Center (CAI) of San Jose. It is a descriptive study. Through a strategic samplingdetermined the participation of 102 men. The information was obtained by applying a self-administeredquestionnaire with closed and open questions. As a result relevant to your socio-demographic profile, it appearsthat deprived of their liberty is a very heterogeneous...

  16. 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.

  17. Impact of the current supply/demand and price situation on uranium exploration: consequences and future trends

    International Nuclear Information System (INIS)

    The purpose of this paper is: (1) to analyse the present trend in exploration programmes and expenditure, and to investigate past trends and their possible significance; (2) to determine whether current market projections imply the need for the timely discovery and development of further new deposits and production capacity; (3) to discuss some factors of risk and uncertainty which affect the interpretation of the global mathematics of supply and demand; this will be limited to the effect of the regional distribution of resources and markets, and the future role of developing countries in exploration; (4) to examine the strategies which have been, or might be, developed by the industry to maintain its flexibility and potential in terms of responding to various levels of possible demand in an everchanging economic and political environment. (author)

  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. PMID:23342758

  19. 随机控制理论的现状和展望%Current Situation & Prospects of the Stochastic Control Theory

    Institute of Scientific and Technical Information of China (English)

    孙世良; 赵新有

    2001-01-01

    Two controlled states on the stochastic control theory are introduced, namely the development of the current situation of the impulse stochastic control and the singularity stochastic coutrol and their features. The prospects of the stochastic control theory in the future are described.%介绍了随机控制理论的两种受控状态,即脉冲型随机控制和奇异型随机控制的发展现状和特点,并对随机控制理论的未来作了评述和展望。

  20. Current Situation and Future Trends of Meat Consumption in China%我国肉类消费现状与未来发展趋势

    Institute of Scientific and Technical Information of China (English)

    陈琼; 王济民

    2013-01-01

    Through the comprehensive analysis on the changes of urban and rural resident's meat consumption quantity and structure,taking into account the current situation of China's economic development,the future trends of our country's meat consumption were analyzed and prospected.%本文通过对我国城乡居民肉类消费水平和消费结构变动特征的全面分析,综合考虑当前经济发展形势,对我国未来肉类消费趋势进行了分析和展望.

  1. Arrhythmia risk stratification of patients after myocardial infarction using personalized heart models

    OpenAIRE

    Arevalo, Hermenegild J.; Vadakkumpadan, Fijoy; Guallar, Eliseo; Jebb, Alexander; Malamas, Peter; Wu, Katherine C.; Trayanova, Natalia A.

    2016-01-01

    Sudden cardiac death (SCD) from arrhythmias is a leading cause of mortality. For patients at high SCD risk, prophylactic insertion of implantable cardioverter defibrillators (ICDs) reduces mortality. Current approaches to identify patients at risk for arrhythmia are, however, of low sensitivity and specificity, which results in a low rate of appropriate ICD therapy. Here, we develop a personalized approach to assess SCD risk in post-infarction patients based on cardiac imaging and computation...

  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. Current situation of treatment of premature ejaculation%早泄治疗的研究现状

    Institute of Scientific and Technical Information of China (English)

    谢江平; 李峰; 肖根发; 范翔宇

    2015-01-01

    早泄是一种患病率很高的男性性功能障碍疾病,其中75%的男性有过早泄问题[1].它是一种由主诉和疾病组成综合征,疾病占2%~5%,其他为主诉.近几年来,医学界对早泄的认识和研究不断的深入,很大程度上促进了临床上对于早泄的治疗.文章围绕当前医学界对于早泄的定义、治疗等方面进行综述.%Premature ejaculation is a high prevalence of male sexual dysfunction disease, of which 75% of men have had premature ejaculation problems [1]. It is a kind of disease and syndrome by the chief composition, disease accounted for 2% to 5%, other complaints. In recent years, the medical field of the understanding and research of premature ejaculation, and to a large extent, promote the clinical treatment for premature ejaculation. In this paper, the current medical community for the definition of premature ejaculation, treatment, etc..

  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. PMID:23816862

  5. Addressing the Sexual and Reproductive Health Needs of Young People in Ethiopia: An Analysis of the Current Situation.

    Science.gov (United States)

    Muntean, Nigina; Kereta, Worknesh; Mitchell, Kirstin R

    2015-09-01

    Young people in Ethiopia face a number of risks to their sexual and reproductive health, including adolescent pregnancy, sexual violence, and unmet need for family planning. This study explores the extent to which current service provision addresses the SRH needs of young Ethiopians . Methods included a comprehensive review of the academic and policy literature on young people's SRH and service provision in Ethiopia; and 14 semi-structured Key Informant Interviews. Factors affecting utilization of sexual and reproductive services by young people include: limited SRH knowledge, lack of open discussion of sexual matters, low status of women, cultural and logistical barriers, competing priorities among community health professionals, limited resources for health facilities, and negative attitudes of providers towards unmarried youth. While the antenatal needs of young married women are somewhat addressed, gaps exist in terms of services for unmarried youth, young men, rural youth and vulnerable groups. The national policy platform has created an enabling environment for addressing youth SRH needs but challenges to implementing these policies still persist. The way forward requires a focus on reducing barriers to utilization of services, and attention to underserved groups. It also requires resource mobilization, strong leadership and effective coordination between stakeholders and donors. PMID:26897917

  6. Drug-related HIV epidemic in Pakistan: a review of current situation and response and the way forward beyond 2015.

    Science.gov (United States)

    Bergenstrom, Anne; Achakzai, Baseer; Furqan, Sofia; ul Haq, Manzoor; Khan, Rajwal; Saba, Marc

    2015-01-01

    Pakistan is among four countries in Asia where the estimated number of new HIV infections has been increasing year by year ever since 1990. The Asian Epidemic Modelling (AEM), conducted in 2015, reconfirmed that the use of contaminated injection equipment among people who inject drugs (PWID) remains the main mode of HIV transmission in the country. The estimated number of PWID ranges from 104,804 to 420,000 PWID. HIV prevalence in this population is above 40 % in several cities, including Faisalabad (52.5 %), D.G. Khan (49.6 %), Gujrat (46.2 %), Karachi (42.2 %) and Sargodha (40.6 %), respectively. Harm reduction service delivery is being implemented through a public-private partnership led by the National and Provincial AIDS Control Programmes and Nai Zindagi with funding support from the Global Fund. Current programmatic coverage of the needle and syringe programme, HIV testing and counselling and antiretroviral treatment among PWID remain insufficient to control ongoing transmission of HIV in the country. While opioid substitution therapy (OST) is yet to be introduced, significant progress and coordination among various ministries have taken place recently to register buprenorphine in the dosage required for treatment of opioid dependence, and possible introduction of OST will greatly facilitate adherence to antiretroviral treatment among PWID living with HIV. PMID:26471874

  7. Khat chewing, cardiovascular diseases and other internal medical problems: the current situation and directions for future research.

    Science.gov (United States)

    Al-Motarreb, A; Al-Habori, M; Broadley, K J

    2010-12-01

    The leaves of khat (Catha edulis Forsk.) are chewed as a social habit for the central stimulant action of their cathinone content. This review summarizes the prevalence of the habit worldwide, the actions, uses, constituents and adverse health effects of khat chewing. There is growing concern about the health hazards of chronic khat chewing and this review concentrates on the adverse effects on health in the peripheral systems of the body, including the cardiovascular system and gastrointestinal tract. Comparisons are made with amphetamine and ecstasy in particular on the detrimental effects on the cardiovascular system. The underlying mechanisms of action of khat and its main constituent, cathinone, on the cardiovascular system are discussed. Links have been proposed between khat chewing and the incidence of myocardial infarction, dilated cardiomyopathy, vascular disease such as hypertension, cerebrovascular ischaemia and thromboembolism, diabetes, sexual dysfunction, duodenal ulcer and hepatitis. The evidence, however, is often based on limited numbers of case reports and only few prospective controlled studies have been undertaken. There is therefore an urgent need for more thorough case-control studies to be performed. This review outlines the current knowledge on the adverse health effects of khat chewing on the cardiovascular system and other internal medical problems, it assesses the evidence and the limitations of the studies and identifies the questions that future studies should address. PMID:20621179

  8. Report on the current situation with regard to nuclear fuel and the operations of Svensk Kaernbraenslefoersoerjning AB

    International Nuclear Information System (INIS)

    The cost of supplying nuclear fuel, including the reserve stockpile, has averaged about SEK 0.033/kWhe during the report period. Within the sea transportation system, the ship m/s Sigyn was delivered during the month of October. The temporary storage facility for spent fuel, CLAB, is scheduled to be completed at Simpevarp at the beginning of 1985. Licensing applications have been submitted to the appropriate authorities for the construction of a final repository for reactor waste (SFR) in an underground facility to be built in the rock adjacent to the Forsmark nuclear power station. The first outbound shipment from Ringhals under the reprocessing contract between SKBF and COGEMA of France is planned to take place around the start of 1983. Reprocessing will commence in 1985 at the earliest. The uranium (approx. 850 tonnes) and plutonium (approx. 6 tonnes) obtained from reprocessing is Swedish property. Broad and long-range research is currently being conducted in order to further refine the technology and select a site for the final repository, SFL. Efforts are now being concentrated on the final storage of spent fuel without reprocessing. Construction of the repository is scheduled to start in 2010 and operation in 2020. SKBF has been entrusted with the management of the international Stripa project. Pursuant to the new Financing Act, SKBF submitted a report on 30 June of this year to the National Board for Spent Nuclear Fuel (NAK). The report included a cost estimate in 1981 prices for the management and various stages in the back end of the nuclear fuel cycle. The estimate, comes out to SEK 32 billion, which represents about 10percent of the value of the electrical power produced by the nuclear power plants. The Government has decided upon a rate of SEK 0.017/kWhe of electricity generated by nuclear power as the 1982 charge to be paid to the state (NAK). The total cost picture for nuclear fuel (including provision for the costs of decommissioning of nuclear power

  9. 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

    International Nuclear Information System (INIS)

    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.)

  10. 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.)

  11. 国内视觉素养研究现状综述%Review on the Current Situation of Domestic Research on Visual Literacy

    Institute of Scientific and Technical Information of China (English)

    彭耀峰

    2014-01-01

    In the context of educational information, it is particu-larly important to raise public visual literacy, but domestic re-search on visual literacy is still at its development stage, and o-riginal research points of view are not prominent. Therefore, aim-ing to review the current situation of domestic research on visual literacy, this paper first sorts out domestic and foreign scholars' concepts of visual literacy, then uses literature research method to retrieve CNKI literature database, and summarizes the current situation of domestic research on visual literacy, thus reflecting on the trends of research on visual literacy, combining with the cur-rent hot spots such as Massive, Open and Online Course (MOOC), flipped classroom,and mobile learning and so on.%在教育信息化大背景下,提升大众视觉素养显得尤为重要,国内对于视觉素养的研究仍处于发展阶段,独到的研究视点并不突出。因此,文章旨在对国内视觉素养研究现状进行综述,先对国内外学者的视觉素养概念进行梳理,接着采用文献研究方法对CNKI文献总库进行检索,总结国内视觉素养的研究现状,从而结合当前的慕课(MOOC)、翻转课堂、移动学习等热点反思视觉素养的研究趋势。

  12. 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.

  13. Biometrics - Evaluation of Current Situation

    OpenAIRE

    Zahidi, Salman

    2011-01-01

    Information security has always been a topic of concern in the world as an emphasis on new techniques to secure the identity of a legitimate user is regarded as top priority. To counter such an issue, we have a traditional way of authentication factors “what you have” and “what you know” in the form of smart cards or passwords respectively. But biometrics is based on the factor “who are you” by analyzing human physical or behavioral characteristics. Biometrics has always been an efficient way...

  14. Analysis of the current situation and problems of China' cultural exports%我国文化出口的现状及问题分析

    Institute of Scientific and Technical Information of China (English)

    王海远

    2012-01-01

    现阶段,我国文化出口的整体状况并不令人乐观。尽管从统计数据看,我国的文化产品和服务出1:7连年增长,获取的经济效益也不断增加,但这些不断攀升的数据并不能掩盖我国文化出口整体实力较弱的现实。产品和服务缺乏国际竞争力、缺少国际市场经验、创新不足、以内容为核心的文化产品占比过小等等都是制约文化出口的因素。%The current overall situation of China's cultural exports is not encouraging. Although the statistics suggest Chinese cultural product and service exports grow year after year, and the economic benefits are also grow- ing, but these rising data can not cover up the reality of the general weaker situation of cultural exports in China. The lack of international competitiveness of products and services, of experience in international markets, and of in- novation, as well as the too small proportion of content-based cultural products are the constraining factors of cuhur- al exoorts in China.

  15. Current Situation and Development Tendency of the Power Transformation Measurement Technique%变电检测技术的现状和发展趋势

    Institute of Scientific and Technical Information of China (English)

    石慧

    2012-01-01

    This thesis analyses the current situation of the power transformation measurement technique, then proposes the future development tendency of measurement technique. Technical means and technical equipment of the past can not adapt to the demands of the new situation. People must apply new knowledge and new technique to electric power substation in order to guarantee maintenance quality. A great quantity use of microcomputer protection equipment has increased the technology content of substation work, and then has brought new challenges to the field substation maintenance.%分析了变电检测设备技术的现状,并提出了检测技术的未来发展趋势.以往的技术手段、技术装备已经不能适应新形势的需要,必须应用新知识、新技术才能保障变电所的检修维护质量.微机保护装置的大量使用,意味着变电工作的科技含量正在不断的提高,给现场进行变电检修维护带来了新的挑战.

  16. 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; Malik, M.; Torp-Pedersen, Christian Tobias; Køber, Lars Valeur; Connolly, S.J.; Gallagher, M.M.; Camm, A.J.

    2008-01-01

    BACKGROUND: Risk stratification after myocardial infarction (MI) remains expensive and disappointing. We designed a prognostic indicator using demographic information to select patients at risk of dying after MI. METHOD AND RESULTS: We combined individual patient data from the placebo arms of EMIAT...... containing only significant variables. The prognostic index was the sum of the individual contribution from the risk factors. 2707 patients were pooled (age: 66 (23-92) years, 78.8% M) with 480 deaths at 2-years (44% arrhythmic and 35.6% non-arrhythmic cardiac deaths). Variables predicting mortality were age...

  17. Bleeding complications after pacemaker or cardioverter-defibrillator implantation in patients receiving dual antiplatelet therapy: Results of a prospective, two-centre registry

    OpenAIRE

    Przybylski, A; Derejko, P.; Kwaśniewski, W.; Urbańczyk-Świć, D.; Zakrzewska, J.; Orszulak, W.; Orczykowski, M.; Filipecki, A.; Szumowski, Ł; Walczak, F.; Trusz-Gluza, M.

    2010-01-01

    Introduction. The aim of the study was to define the prevalence of bleeding events in patients treated with dual antiplatelet therapy (DAT) in comparison with patients receiving only acetylsalicylic acid (ASA).

  18. Effect of Fish Oil on Ventricular Tachyarrhythmia and Death in Patients With Implantable Cardioverter Defibrillators: The Study on Omega-3 Fatty Acids and Ventricular Arrhythmia (SOFA) Randomized Trial

    NARCIS (Netherlands)

    Brouwer, I.A.; Zock, P.L.; Camm, A.J.; Bocker, D.; Hauer, R.N.W.; Wever, E.F.D.; Dullemeijer, C.; Ronden, J.E.; Katan, M.B.; Lubinski, A.; Buschler, H.; Schouten, E.G.

    2006-01-01

    Context Very-long-chain n-3 polyunsaturated fatty acids (omega-3 PUFAs) from fish are thought to reduce risk of sudden death, possibly by reducing susceptibility to cardiac arrhythmia. Objective To study the effect of supplemental fish oil vs placebo on ventricular tachyarrhythmia or death. Design,

  19. A comparison of the health status and psychological distress of partners of patients with a left ventricular assist device versus an implantable cardioverter defibrillator

    DEFF Research Database (Denmark)

    Brouwers, Corline; Caliskan, Kadir; de Jonge, Nicolaas;

    2014-01-01

    therefore an important aspect in the care of LVAD and ICD patients. METHODS: Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years). RESULTS: LVAD partners reported better physical...

  20. 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; Hastrup-Svendsen, Jesper;

    2013-01-01

    Sexuality is an important part of people's physical and mental health. Patients with heart disease often suffer from sexual dysfunction. Sexual dysfunction has a negative impact on quality of life and well-being in persons with heart disease, and sexual dysfunction is associated with anxiety 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 of a...

  1. 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, S. K.; Thygesen, L. C.; Svendsen, J. H.;

    2015-01-01

    MEASURES: Questions regarding physical activity and the IPAQ questionnaire were used to assess physical activity. RESULTS: The response rate was 71.7%. Mean age 65.5 years with 82% males. 37% participated in a rehabilitation programme. 21 % were sedentary compared to 8 % in the reference population (p < 0.......11;13.71) p<0.05, however not statistically significant when adjusted for age, sex, marital status and co-morbidity. CONCLUSION: Guidelines for exercise and participation in rehabilitation are not meet for this population which leave a great potential for future interventions improving the clinical outcomes...

  2. Current Situation and Thoughts on National Education Examination Legislation%国家教育考试立法现状及思考

    Institute of Scientific and Technical Information of China (English)

    邱静远

    2015-01-01

    China practices national education examination system. Because of the direct relationship with accesses to higher education and academic degrees, national education examinations draw the attention of all the society. The article analyses the current situation of national education examination legislation and provides several thoughts for improve the construction of education examinations system.%我国实行国家教育考试制度。国家教育考试因其与升学、学历直接挂钩而备受关注。本文通过对目前教育考试立法现状的分析,提出国家教育考试法制化建设的几点思考。

  3. 舌诊在精神疾病诊断中的研究现状%Current situation of tongue diagnosis in psychiatric diagnosis

    Institute of Scientific and Technical Information of China (English)

    毛稚霞

    2010-01-01

    This paper overviewed the studies of the current situation of tongue diagnosis in psychiatric diseases (schizophrenia,depression,nervous disorders,sleep disorders and psychotropic drug-induced side-effects),summed up the importance of tongue diagnosis for the diagnosis and prognosis of mental illnesses.%本文通过综述舌诊在精神科疾病(精神分裂症、抑郁症、神经症、睡眠障碍以及精神科药物引起的副反应)诊断中的研究现状,总结了舌诊对精神疾病诊断、预后的依据和重要性.

  4. On the Current Situation and Development Strategies of Laying Hens%浅谈我国蛋鸡生产现状及发展对策

    Institute of Scientific and Technical Information of China (English)

    贾健杰

    2014-01-01

    Since the reform and opening up, China continues to optimize the industrial structure of laying hens, production also increased, but at the same time development, there have been some problems. Based on the current situation of laying hens industry in China and a detailed analysis of existing problems, put forward laying hens industry development train of thought.%改革开放以来,我国蛋鸡产业结构在不断优化,产量也在不断增加,但在发展的同时,也出现了一些问题。通过对我国蛋鸡产业的现状和存在的问题进行详细分析,提出蛋鸡产业发展的思路。

  5. 中国的科技传播现状研究%Researches on Current Situation of Technical Communication in the People's Republic of China

    Institute of Scientific and Technical Information of China (English)

    曾辉

    2003-01-01

    This article first discusses researches, basically from the western viewpoints, on current situation of technical communication education in China and technical communication opportunities in China. Later, the article proposes four areas that need further research. Researches on technical communication in China not only benefit China, but also help other countries to understand Chinese market and potential consuming power in technical communication market.%本文首先主要从西方的观点讨论中国的科技传播教育和机遇,然后提出了四个需要进一步研究的领域,指出研究中国的科技传播不仅对中国有利,而且也有助于其它国家了解中国的科技传播的市场和消费潜力.

  6. 幼儿教育现状分析与解决对策%Analysis on the Current Situation and Countermeasures of ;Preschool Education

    Institute of Scientific and Technical Information of China (English)

    刘湘

    2015-01-01

    As the key education at the enlightenment stage, preschool education plays a vital role in cultivating students' ba-sic skills, stimulating their interests and developing their learning habits. With the continuous improvement of emphasis on preschool education in China, the current society, parents and teachers pay more attention to preschool education, but in practi-cal teaching, feasible measures fail to be formulated in accor-dance with infants' practical situations, let alone improving the quality of preschool education. To this end, this paper will ex-plore and detail the current situation of preschool education, and propose corresponding countermeasures.%幼儿教育作为启蒙时期的重点教育,对于学生基本技能的培养、兴趣的发现、学习习惯的养成等众多方面有着十分重要的作用,随着我国对幼儿教育的重视程度不断提升,当今社会公众、家长、教师等也更加关注幼儿教育,但在实际教学情况中,幼儿教育并不能依据幼儿的实际情况进而制定切实可行的措施,以提升幼儿教育的质量,对此,本文将探究幼儿教育现状并对其进行详细分析,提出相应的解决对策。

  7. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions.

    Science.gov (United States)

    Shi, Jianwei; Jiang, Chenghua; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Wang, Zhaoxin; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion. PMID:27597958

  8. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    Directory of Open Access Journals (Sweden)

    Jianwei Shi

    2016-01-01

    Full Text Available Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR. Results. Chinese public health practitioners knew more about evidence-based medicine but less about EBPH. The situation was worse in community healthcare centers. Participants perceived that evidence sources were limited and the quality of evidence was low. Concerning the inner setting factors, the structural characteristics, networks and communications, implementation climate, and leadership engagement were confronted with many problems. Among the outer setting factors, external government policies and incentives and low patient compliance were the key problems. Additionally, public health practitioners in Shanghai lacked sufficient awareness of EBPH. Furthermore, the current project-based EBPH lacks a systematic implementation system. Conclusions. Existing practical perspectives on EBPH indicate a lag in the advocacy of this new ideology in China. It would be advisable for healthcare institutions to take the initiative to explore feasible and multiple methods of EBPH promotion.

  9. 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.

  10. 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.

  11. 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 a...

  12. Situation Songs

    DEFF Research Database (Denmark)

    Kolar-Borsky, Agnes; Holck, Ulla

    2014-01-01

    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...... findings of the study show that situation songs are regularly used by pediatric music therapists, especially during the work with children at an early developmental age. The various intentions behind the use of situation songs can be summarized as such: to create a therapeutic space; to support 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 to...

  13. Emergency situations

    International Nuclear Information System (INIS)

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  14. 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 and...... advances a more contextually sensitive approach to understanding the contingency of transgender lives and politics. Such insights are important in facilitating more nuanced understandings of the situatedness of transgression and transgender bodies within work and professional settings....

  15. Situational Economics

    OpenAIRE

    Parsons, R A

    2012-01-01

    This paper argues that the various theories of economics have the potential to add value when they are applied to the appropriate situation, yet educational institutions each seem overly committed to only a single theory. The resulting intense debates between economists are destructive and should be replaced with attempts to combine multiple theories in situations where they are most appropriate. An econometric example demonstrates that combining the valuable information and relationships in ...

  16. Current situation of empty diagnosis in Deyang City%德阳市院外急救空诊现状的调查研究

    Institute of Scientific and Technical Information of China (English)

    何春梅; 宋锦平; 张德军; 周临春

    2015-01-01

    Objective To investigate the current situation of empty diagnosis in Deyang City, Sichuan Province Deyang City pre-hospital emergency resource utilization and analyzing the status of empty diagnosis , to achieve reasonable deployment of pre-hospital emergency resources and mission the popular science knowledge of fist-aid. Methods A pre-investigation on the empty diagnosis in pre-hospital care in Deyang was conducted for 2 months . Based on the results of the pre-investigation the relevant 3-month data from July 2013 to June 2014 in the municipal emergency centers and its 5 sub-centers of Deyang were randomly selected and analyzed retrospectively. The time when empty diagnosis occurred, time interval, disease composition ratio, influencing factors, and the empty clinical situation of different sub-centers were analyzed. Results The empty diagnosis hours in prehospital emergency care was not normally distributed. The number of empty diagnosis rate was higher in the weak time periods (12:00~14:00 and 18:00~8:00) than in the non-weak time periods. The top five conditions causing empty diagnosis included traffic accident injury, other trauma, faint, convulsions, and excessive drinking. Conclusion Most empty diagnosis cases occur during the weal time period. In Deyang City pre-hospital emergency work, the popular science knowledge education and deployment of emergency resources , should be combined with empty time consuming situation and situation of emergency resources use in different periods and empty clinical relevant factors, to reduce the burden of pre-hospital emergency personnel.%目的:通过德阳市院外急救资源利用现状的调查及空诊情况分析,达到合理调配院外急救资源和宣教急救科普知识。方法从德阳市2013年7月~2014年6月的院外急救病例资料中随机抽取3个月进行回顾性调查研究,分析空诊的时间、时段、疾病构成比、影响因素及各分中心的空诊情况。结果德阳市院

  17. 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.

  18. Current Situation and Research Progress of Low Gravity Simulation%载人低重力模拟技术现状与研究进展

    Institute of Scientific and Technical Information of China (English)

    刘巍; 张磊; 赵维

    2012-01-01

    Astronauts will experience the low gravity environment after their landing on the moon or Mars, therefore the manned mimetic environment should be simulated on the ground. This paper introduced the definition , classification of technology for the manned low gravity simulation, including parabolic plane, suspension , underwater and extra-skeleton, that were illustrated in detail afterward. Based on the discussion of current situation and research progress of the technology and equipments, a suggestion for manned low gravity simulation equipment in China was made in the end.%登月或登陆火星的航天任务中,航天员不可避免地会经受到低重力环境,由此需在地面上模拟出这种载人低重力环境.本文叙述了载人低重力环境模拟技术的定义、分类,分别介绍了失重飞机、悬吊、水下模拟、外力骨骼等模拟技术,对当前载人低重力模拟技术的现状和研究进展做了讨论.最后对我国研制载人低重力模拟设备提出了建议.

  19. 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。

  20. Analysis and Research on the Current Situation of Ningxia Foreign Talents Introduction Work%宁夏引进国外智力现状分析研究

    Institute of Scientific and Technical Information of China (English)

    穆海彬; 高蔚丰

    2015-01-01

    The Party Committee and Government of Ningxia Hui Autonomous Region attach great importance to human resources work. By adopting a series of measures on innovating and improving human resource development policies and mechanisms, the Party Committee and Government aim to create a good environment for talents cultivation, introduction, converging and utilization. This paper based on the current situation of Ningxia development and its talents-introducing work, intends to investigate and analyze the way for Ningxia talents-introducing work to seize opportunities in new historical period and to propose countermeasures for providing a reference for government decision-making.%自治区党委、政府高度重视人才工作,不断创新、完善人才开发政策和机制,营造出良好的育才、引才、聚才、用才环境。本文从宁夏引智工作现状出发,根据我区实际状况,探析宁夏引智工作在新的历史阶段如何把握机遇,提出对策研究,旨在为政府部门决策提供参考依据。

  1. 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 .

  2. 安徽农村经济发展的现状分析及思考%Analysing and Thinking about Current Situation of Country Economy in Anhui

    Institute of Scientific and Technical Information of China (English)

    汪源浩; 沙其富

    2011-01-01

    Rural economic development is the requirement of promoting the development of regional economy,achieving common prosperity and constructing new countryside.The paper makes a deeper analysis of the current situation of the rural economic development in Anhui,fixed assets investment,the income level of rural residents and the constitution of staff in three industries,explores the reasons of the economic gap between cities and countries,discusses the industrial shit and urban-rural integration,all of which are the key approaches to solve the problems of dual economic structures and push forward the new country devepoment in Anhui.%农村经济发展是促进区域经济协调发展、实现共同富裕的要求,同时也是新农村建设的根本要求。分析了安徽农村的经济发展水平、固定资产投资状况、居民收入水平以及三产从业人员的构成状况,探究了城乡之间产生差距的原因,认为产业转移和城乡一体化等将是今后消除二元经济结构、推动安徽新农村建设的重要途径。

  3. Current Situation and Development Direction of Scrap Weaponry Destruction%报废武器装备销毁技术现状及发展综述

    Institute of Scientific and Technical Information of China (English)

    罗龙均; 李良春; 张易; 张明善

    2012-01-01

    作为武器装备全寿命管理的最后阶段,报废武器装备销毁是一项重要且具有较大危险性的工作.文中分析了我军报废武器装备销毁的技术现状,按照方法特征将其分为传统销毁技术与新型销毁技术.最后,探索了我军报废武器装备销毁技术的发展方向.%As the final stage of the life-cycle management, scrap weaponry destruction is a very important and risky work. Current situation of scrap weaponry destruction in our army was analyzed. According to the method features, scrap weaponry destruction was classified into traditional and new destruction technology. The development direction of scrap weaponry destruction for our army was discussed.

  4. 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。

  5. On the Current Situation and Coping Strategies of Sec- ondary Vocational Geography Teaching%中职地理教学现状及应对策略

    Institute of Scientific and Technical Information of China (English)

    严秀萍

    2014-01-01

    Through investigation, this paper aims to understand the present situation of secondary vocational geography teaching, analyze the reasons causing the existing problems, and take ef-fective coping measures to solve the plight of the current sec-ondary vocational geography teaching and improve the quality of geography education. Coping strategies are elaborated respec-tively from textbook integration in order to achieve teaching stu-dents in accordance with their aptitude, implementation of activi-ty-based teaching mode, connection of teaching to life, and eval-uation from a variety of aspects.%通过调查,了解中职地理教学现状,分析其中问题存在的原因,并采取有效应对措施,解决当前中职地理教学的困境,提升地理教育质量。应对策略分别从整合教材因材施教;实施活动教学模式;教学要与生活联系;采取多方面的评价等方面进行论述。

  6. The Current Situation and Tendency of Underground Space Planning in China%中国地下空间规划现状与趋势

    Institute of Scientific and Technical Information of China (English)

    邵继中; 王海丰

    2013-01-01

      对于城市的地下空间规划,中国许多城市已进行了初步探索,积累了一定经验。但同时,由于法律、政策、技术等原因对地下空间规划的未来发展形成了阻碍。所以,本文通过对中国城市地下空间规划现状的调查与分析,剖析现阶段地下空间规划与利用过程中的有关问题。创新性地提出建立与地面规划相协调的从总规到详规的统一体系,并展望地下空间规划的未来蓝图。%Many cities in China have carried out the preliminary explorations about urban underground space planning, and accumulated experiences. However, the underground space planning has some barriers on the way of its future development due to the law, government policies, technical problems etc. This article shows results of investigation and analysis about the current situation of Chinese urban underground space planning, dissects the relevant issues in the process of current underground space planning and utilizing. It also proposes innovatively in this paper to establish the unified system which is coordinating with the ground planning, and includes both general regulations and the detailed regulations. The underground space planning blueprint for the future is also descried.

  7. 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.

  8. 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。

  9. 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。

  10. 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

  11. 大学生睡眠状况与影响因素分析研究%Current situation and influential factors of sleeping quality among college students

    Institute of Scientific and Technical Information of China (English)

    王靖

    2012-01-01

    Objective To investigate and analyze the relationship between the current situation and its influential factors of sleeping quality among college students, so as to provide basis for improving their sleeping quality. Methods The Pittsburgh Sleep Quality Index (PSQI) , Self-rating Depression Scale ( SDS) and the self-designed questionnaire of influential factors of sleeping quality were adopted. Results The average score of PSQI among 796 subjects was 5.43 ±0. 70. The number of subjects suffering sleeping disorder (PSQI≥8) was 142(17. 84% ). The detection rate of sleeping disorder between male and female was 13. 64% and 22. 00% respectively. Female was apparently higher than that of male (P 50) :The score of PSQI was closely linked to that of SDS. The score of the depression group was significantly higher than that of the normal group ( P < 0.05 ). The top three factors were:the study pressure,the surrounding of the dormitory,and the sleeping habits. Conclusions The situation of college students'sleeping quality was not good enough and the situation of the female was even worse than that of the male, which might be caused by depression and other factors.%目的 了解大学生的睡眠状况及其影响因素,为改善大学生睡眠状况提供科学依据.方法 以匹茨堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)及自制睡眠影响因素量表为测评工具,调查大学生睡眠状况及影响因素并分析.结果 796名大学生PSQI平均分为5.43±0.70.睡眠障碍者(PSQI≥8)[1]142人(占17.84%);男、女生睡眠障碍检出率分别为13.64%和22.00%,女生明显高于男生(P<0.01);大学生SDS测评29.65%学生存在抑郁(SDS≥50[2]):SDS与PSQI的各成份评分有密切关系,抑郁组学生PSQI各成分评分显著高于正常组(P<0.05);大学生自选影响其睡眠的因素列前三位的是学习困难、环境因素和睡前习惯.结论 大学生的睡眠状况欠佳,女生较男生严重,且与抑郁等多种因素相关.

  12. Deep situationality

    DEFF Research Database (Denmark)

    Matejskova, Tatiana

    2014-01-01

    a Slovak national with immigration experi- ence, a nominal outsider to both the country of research, Germany, and its immigrant subjects, the post-Soviet Russian-speaking migrants. Focusing on the production of time-spaces of proximity as a deeply situational process, I stress in particular the un...

  13. Situating Motivation

    Science.gov (United States)

    Nolen, Susan Bobbitt; Horn, Ilana Seidel; Ward, Christopher J.

    2015-01-01

    This article describes a situative approach to studying motivation to learn in social contexts. We begin by contrasting this perspective to more prevalent psychological approaches to the study of motivation, describing epistemological and methodological differences that have constrained conversation between theoretical groups. We elaborate on…

  14. 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。

  15. Current Situation and Prospect of Domestic Flipped Classroom Study%国内翻转课堂研究的现状与展望

    Institute of Scientific and Technical Information of China (English)

    段春雨

    2014-01-01

    近年来,“翻转课堂”受到国内教育界的普遍关注。采用元分析的方法,以中国知网( CNKI)的核心期刊和CSSCI期刊论文为数据样本,从时间分布、研究内容、研究对象、研究人群、研究方法和研究主题等几个方面对当前有关翻转课堂的研究进行解析,梳理当前翻转课堂研究的整体状况,总结已有研究的特点与规律,反思其优势和不足,在此基础上展望国内翻转课堂研究的未来。%In recent years , the flipped classroom teaching gets universal attention by domestic educational cir-cles.With the method of meta-analysis , setting articles from the core journal and CSSCI journal in CNKI as data sample , from the time distribution , research contents , research objects , research group , research methods and re-search topics current studies about flipped classroom were analyzed , combing the overall situation of flipped class-room research at present , summarizing the characteristics and regulars of existing research , reflecting the advanta-ges and disadvantages of its existence , looking forward to the future development of domestic flipped classroom re-search on this basic .

  16. 我国椰子副产物的利用现状及对策%Current Situation and Countermeasures of Utilization of Coconut By -product in China

    Institute of Scientific and Technical Information of China (English)

    曾鹏; 刘立云; 孙程旭; 冯美利

    2011-01-01

    The article investigated and analyzed the current situation of researches and utilization of coconut by -products (coconut pericarp, coconut water, coconut bran, coconut cake, coconut wood and coconut litter crack) in China, and pointed out the existent main problems in the utilization of coconut by -products, including low recognition degree and awareness of resource utilization, inadequate scientific research investment and low technological content of products, behindhand equipments and small scale production , imperfect policy and insufficient service system. The following countermeasures for the utilization of coconut by - products were proposed; government guidance and support, strengthening scientific research and development, integration of technology, establishing and improving the policy for the utilization of agricultural resources.%分析了我国椰子副产物利用的现状和存在问题,主要是椰子果皮、椰子水、椰麸、椰粕、椰子木和椰子枯落裂物的研究和利用现状,指出当前椰子副产物利用方面的主要问题是重视程度不够,资源利用意识低;科研投入不足,产品科技含量低;技术装备落后,生产规模小;政策不健全,服务体系缺乏等问题.并提出了其利用对策,包括:政府引导与支持;加强科研开发力度;技术集成;建立与健全农业资源化利用政策.

  17. [Allergology in the public health service of the Community of Madrid: current situation and opportunities in the XXI century public health system].

    Science.gov (United States)

    Domínguez-Ortega, J; Ruiz Hornillos, J; Chivato, T; De la Hoz, B; Elices, A; Iglesias, A; Quirce, S; Vega, F; Rodríguez Mosquera, M

    2014-01-01

    The high prevalence of allergic diseases and the use of more complex diagnostic techniques and therapeutic options require allergists to be highly trained professionals and health-care organizations to be knowledgeable about available structural and human resources. Updated information is lacking in Spain, and current activity indicators do not reflect complexity. The present article analyzes the situation of allergology in Madrid and proposes improvements where necessary. The heads of the allergy departments of public hospitals in Madrid voluntarily completed a purpose-designed survey. Data on care activity (2010) and on teaching and research activity (2009-2010) were provided. A SWOT analysis was performed, and strategic lines and proposals for improvement were designed. One hundred and seventeen allergists (41% with a PhD) worked in 24 hospitals with an allergology department (4.6 physicians/center; ≤3 in 10 hospitals). All the institutions had an outpatient clinic (4,000 first consultations/hospital/year, 36% high-resolution rate; 6200 successive visits/hospital/year) performing complex diagnostic and therapeutic procedures, most of which were not taken into account by activity indicators. Two hospitals had their own hospitalization facilities and 10 were accredited teaching hospitals (2.78 medical residents/year). The survey revealed that, twice yearly, a typical allergology service participated in 4 research projects, 2 clinical trials, 16 publications and 17 communications at scientific meetings, with notable differences between hospitals. Allergists in Madrid are well prepared. The allergology care structure is adequate, although possibly insufficient. Quality and efficiency can be improved with new tools for recording activity and by increasing coordination and taking advantage of new technologies and geographical proximity. PMID:25567386

  18. Current situation and issues using maternal and child health-related information in the "Healthy parents and children 21" campaign across municipalities in Japan.

    Science.gov (United States)

    Uehara, Ritei; Shinohara, Ryoji; Akiyama, Yuka; Ichikawa, Kaori; Ojima, Toshiyuki; Tamakoshi, Koji; Matsuura, Kencho; Yamazaki, Yoshihisa; Yamagata, Zentaro

    2016-01-01

    Objectives The use of maternal and child health-related information is an issue faced by the "Healthy parents and children 21" campaign, a national campaign to improve the health standards of mothers and children in Japan. This study described the current situation and issues faced by municipalities across Japan that use this information.Methods Data across municipalities selected for the current survey of promoting the "Healthy parents and children 21" campaign in 2013 were analyzed in this study. First, we chose prefectures where collected and analyzed maternal and child health-related information was provided by the municipalities. Then, we divided the municipalities according to those prefectures where the municipalities regularly reported the maternal and child health-related information and those that did not report it regularly. Finally, the characteristics about maternal and child health in those municipalities were investigated.Results Of the 47 prefectures analyzed, 35 prefectures (74.5%) collected and analyzed maternal and child health-related information provided by the municipalities. The 35 prefectures included 1,242 municipalities, of which 700 (56.4%) regularly reported maternal and child health-related information, and 542 (43.6%) did not report it regularly. The proportion of municipalities, where information about smoking during pregnancy, immunization, or low birth weight in infants was positively used, was significantly lower among municipalities that did not regularly report maternal and child health-related information than among those that regularly reported it (Pprevention of child abuse or low birth weight in infants with the prefectures was significantly lower among municipalities that did not regularly report maternal and child health-related information than among those that regularly reported it.Conclusion Among municipalities that did not regularly report maternal and child health-related information, coordinating projects

  19. Investigation on Current Situation of Health Education in University Hospital%高校综合医院健康教育现状及对策

    Institute of Scientific and Technical Information of China (English)

    张红莲

    2011-01-01

    通过调查武汉某高校附属医院近3年开展举办的健康教育讲座、继续教育学习班的种类和数量,结合国内外多所高校附属医院网站健康教育内容及形式,探索我国大型综合医院开展健康教育的可行性模式,分析国内外大型综合医院开展健康教育的模式优缺点.建立起专家面对病人和健康人群的“健康教育讲座”与医院网站设立的“系统的健康教育专栏”相结合的健康模式,并对其可行性及现实推广做深入探讨.%In order to probe a feasible model for health education by university hospital in china, the current situation of health education in the university hospital in China and the United states was investigated. The topics and times of health education carried out by an university hospital from 2008.1.1.to 2010.12.31 as well as the topic and times of the national /provincial continuing medical education courses sponsored by the same hospital during the same period of three years were recorded. The Web sites from other ten university hospital of China as well as five university hospital of United states were also investigated as referenes. The advantages and the limitations of current dominant education patterns carried out in the university hospitals of China and the United states were analyzed. It is indicated that in the university hospital of China, the continuing medical education course for physicians is stressed but the health education for patients and normal population is insufficient. Moreover, there is a limited example that systemic health education can be found on the Web sites of the university hospital of China. In contrast, systemic health education for patients and normal population is a prevailling pattern carried out by the university hospital of the United states. Although the Chinese style of "face to face" lecture of health education is an effective model, the hospital Web sites pattern of systemic health education is a

  20. 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

  1. Analysis on the Current Situation of Illegal Drug Advertising in China%我国药品广告管理现状及问题分析

    Institute of Scientific and Technical Information of China (English)

    杨悦; 杨世民

    2016-01-01

    Objective To reflect the current situation of drug advertising control in China,to find out the existing problems,and to pro-pose suggestions on drug advertisement control. Methods The illegal drug advertising during 2014-2015 was collected. The content analysis,secondary analysis and comparative analysis methods were adopted to evaluate the drug advertising control. Results The liter-ature research,annual number of illegal drug advertisement increased year by year. An advertisement for medicines should not in any way contain any unscientific assertions or assurances in terms of efficiency or uses. The problems like expansion of the treatment effi-ciency or curative rate still existed. Conclusion It is still an essential issue to strengthen the management of drug advertising con-trol. We suggest that the laws and regulations concerned drug advertising control should be improved;the drug advertising regulatory de-partments should be unified;the penalties for violations of the law should be aggravated;the management of publishing media should be strengthened;the supervision of illegal websites should be intensified.%目的:了解我国近年药品广告管理的现状,找出存在的问题,为加强药品广告管理提出建议。方法收集2014年至2015年违法药品广告的资料,采用文献研究、内容分析、二次分析、对比分析等研究方法探讨药品广告管理情况。结果我国药品违法广告数量增加,广告宣传内容含有不科学表示功效的断言和保证,扩大宣传治愈率或有效率等问题依然存在。结论加强药品广告管理依然是业内关注的重要问题之一。建议完善药品广告管理的法规建设,统一药品广告审批监管部门,加大对违法行为的处罚力度,加强对发布媒体的管理,加大对违法网站的监管。

  2. Investigation on current situation of nurses' physical activity%护理人员参加健身活动的现状调查

    Institute of Scientific and Technical Information of China (English)

    殷振红; 李新辉

    2008-01-01

    Objective To know the current situation of nurses' physical activity and the influencing factors, and to provide the theoretical evidence for nurses to better develop the activities of sport. Methods 500 nurses were investigated using a self-designed questionnaire, with reference to a lot of recent related articles.Results Nurses were short of conscionsness of physical activity, and the nurses attended the physical activity were lesser in quantity and frequency. Nurses were lack of scientific and systematical guidance, and had less knowledge about salubrious exercise. Conclusions Nurses' status of taking part in the physical activity should be regarded. It is suggested that the correlative departments should adopt some active measures to encourage nurses join in all kinds of sports, thereby improving the nurses' constitution and helping patients recover and maintain health.%目的 了解护理人员参与健身活动的现状和影响因素,为护理人员更好的开展健身活动提供理论依据.方法 参考大量文献,采用自行设计的问卷对500例护士进行问卷调查.结果 护理人员健身活动意识不强,参加健身活动人数和次数还不够多,缺少对体育锻炼科学性、系统性的指导,且缺乏对体育基本知识的了解.结论 护理人员参加健身活动的状况应值得关注,建议相关部门要采取积极措施鼓励护理人员参加健身活动,以提高护士身体素质,从而更好地为帮助患者恢复和维护促进健康.

  3. 锅炉水处理的现状分析及对策%Analysis and Countermeasures of Boiler Water Treatment under the Current Situation

    Institute of Scientific and Technical Information of China (English)

    蔡丽霞

    2013-01-01

      我国经济的发展离不开工业的发展,而锅炉产业是工业中的重要部分,在锅炉产业中,水具有着重要的作用,被称为锅炉的血液,锅炉水的处理的目的就是为给锅炉提供合格的血液,保证锅炉不会受到侵蚀。根据相关部门的统计得知,有75%的锅炉重大事故与锅炉水的质量有关系。锅炉水处理是保证锅炉安全运行的重要措施,同时对节能减耗具有重要意义。文章通过针对锅炉水处理现状进行分析,总结了目前存在的几个主要的问题,并提出了对策。%  The development of China's economic can not do without the industry development, and the boiler industry is an important part of industry. In the boiler industry, water has an important role,which is called the blood of boiler. The objective of boiler water treatment is to provide qualified blood for the boiler, to ensure the boiler will not be corroded. According to statistics of relevant departments, 75% of the boiler serious accidents have relationship with the quality of the boiler water. The boiler water treatment is an important measure to ensure the safe operation of the boiler, and at the same time it has significance to energy-saving. Through the analysis of the boiler water treatment under the current situation, this paper sums up several main problems at present, and puts forward the countermeasures.

  4. 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.

  5. The Elderly Decision Making:The Current Situations and Challenges of the Field%老年人行为决策:领域现状与挑战

    Institute of Scientific and Technical Information of China (English)

    张力元; 毕研玲; 张宝山; 陈璐

    2015-01-01

    老年人的决策特点在多个领域各有不同,具体表现为消费领域的信息搜索数量下降,风险决策中的风险规避倾向,医疗决策中对框架效应敏感性的下降以及日常决策中存在经验优势等。总的来说,老年人在一部分决策任务中表现较差,而在另一部分决策任务中表现与年轻人无差异甚至优于年轻人。老年人的决策效度主要受到个体认知、情绪和任务特征等因素的交互影响,遵循个体-情境拟合理论。未来研究除了要继续探讨老年决策者在不同领域决策任务下的表现及影响因素,并深入解决决策质量及策略等方面争议外,还应进一步加强对被试特征、决策策略、跨文化等一系列变量及认知神经机制的研究。%Decision making in elderly people can be characterized in different areas by the following features: limitation of predecisional information search in consumer decision, risk-avoiding in risky choice situations, diminished sensitivity to the framing effect in medical decision-making, and some advantage based on richer relevant experience in everyday problem-solving. In general, for some decision-making tasks, older adults perform worse than younger adults, whereas they do better or at least as well as younger adults in some other tasks. The validity of elderly decision-making is mainly influenced by the interaction of cognitive aspects, emotional factors and task characteristics, and is in agreement with the person–context fit framework. For future studies, in addition to further clarification of the characteristics of decision makers’ performance in different areas and solving current issues about decision qualities and strategies, we should also pay more attention to the influence of variables related to individual characteristics, decision-making strategies, and cross-cultural factors. Further research on cognitive and neural mechanisms should be strengthened.

  6. 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。

  7. 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.

  8. Investigation of Current Situation of Learning Motivation, Social Anxiety and Loneliness of the Left-behind Children in Rural Primary School

    OpenAIRE

    Zhang Biyun; Xu Ming

    2015-01-01

    Objective: To understand the situation of learning motivation, social anxiety and loneliness of the left-behind children. Method: Selecting three rural primary schools in Xian’an District of Xianning City to investigate left-behind situation, learning motivation, social anxiety and loneliness of pupils in Grades 4 to 6 in rural primary school in Xian’an District by the use of the MAAT-I-A which is revised by Zhou Bucheng, the Social Anxiety Scale for Children (SASC) and the Children’s Lonelin...

  9. 无锡市民家庭园艺消费现状研究%Investigation on current situation of consumption on home gardening in Wuxi residents

    Institute of Scientific and Technical Information of China (English)

    张珍; 包志毅

    2012-01-01

    The random questionnaires to residents about the basic situation of home gardening consumption, consumer psychology, consumption willingness to garden center and other status among seven administrative regions in Wuxi were conducted. The results show that 94.8% of residents have had to buy plants and garden supplies experience; One to two months visiting a flower market accounted for 35.2%; The annual mainly in the 100~500 yuan of spending on plants, gardening materials, maintenance costs accounted for 47.6%; the purpose of residents to buy home gardening products are mainly family and personal use; 40.9% of the people pay more attention to the appearance of home gardening products; most residents are not satisfied from the currently existing conditions of flower market; 74.5% of residents are willing to try to go to shopping at garden center; plants is preferred in garden center for consumers; hoping to know the home gardening products information of garden center by advertising media accounted for 29.4%. Low level of consumption, popular consumption, displeasure with the currently existing conditions of flower market, diversification of consumer demand, efficient communication channels to pay attention, look forward to the new consumer environment such as the garden center has become the basic characteristics of Wuxi residents consumption of home gardening.%在无锡市主要行政区域进行市民家庭园艺消费的基本情况、消费心理、花园中心消费意愿等现状的随机问卷调查。结果表明:有94.8%的市民有购买过植物及花园用品的经历;1~2个月逛1次花市的人占35.2%;而每年花销在植物、园艺资材、养护上主要在100~500元的占47.6%;市民购买家庭园艺产品主要是家庭和个人用;有40.9%的市民更注重家庭园艺产品的外观;绝大多数市民对于城市现有花市的条件不太满意、不太满足;有74.5%的市民愿意尝试去花园中心购物;植物类在花园中心

  10. 城市环境气候图的发展及其应用现状%The Development of Urban Climatic Map and Its Current Application Situation

    Institute of Scientific and Technical Information of China (English)

    任超; 吴恩融; Katzschner Lutz; 冯志雄

    2012-01-01

    procedures of developing UCMap. The current application situation in Germany, Japan and Hong Kong of China are selected to conduct case studies for exploring their advantages and existing problems. The key lessons of each case study are also provided. Furthermore, according the current situation of China, the urgent need to carry out such study is also pointed out to deal with the environmental problems caused by the recent fast urbanization and solve the conflict among social need, economic benefits, landscape and ecological environment. Due to the poor quality of meteorological data and the urgency of application, a simplified method is expected to apply for development of middle-mage cities and new rural construction of China. Also, the future trend of UCMap study is discussed, which should develop a quantitive method of defining and validating climatope, make the feasibility of application into urban planning, and adopt the climate change into consideration.%城市环境气候图最初于20世纪70年代由德国气候研究者开发制作,通过近40年的发展,目前在世界范围内已有20个国家开展了相关研究与应用项目,从而为改善城市气候环境与提高人居生活条件提供决策依据.该文首先对城市环境气候图的发展及其制作方法进行了一个总体性的回顾,然后选取德国、日本和中国香港地区的研究案例用以考察目前该领域研究和应用现状与存在问题,进一步详细探讨了未来发展的方向,最后指出了在我国城市化进程中为应对诸多气候环境问题所迫切需要开展的相关研究问题.

  11. 红松分杈现象研究现状及展望%Current Research Situation and Prospect for Multi-stem Phenomenon of Pinus koraiensis

    Institute of Scientific and Technical Information of China (English)

    沈海龙; 张金虎; 王龙

    2015-01-01

    For the purpose of understanding the current situation and future issues in research on branching phenomenon of Pinus Koraiensis, this paper reviewed the research achievements in Korean pine on the cause and prevention measurements of branching , the relationship between branching and stand density , the relationship between cone-setting and branching/crown-control , and the appli-cation of branching in its silviculture .The early research in China was focused on the causes and preventing methods for branching of Korean pine because the branching phenomenon was believed to be harmful to the timber production . Recently , the influence of branching on the growth and cone-setting, the relationship between branching and stand density , the physiological asspects of branch-ing, and top-pruning were taken into consideration in the studies related .Top-pruning and crown-control for seed orchard Korean pine trees were well conducted in South Korea .These results could be used in establishing silvicultural systems of Korean pine seed or-chard , nut production plantation and combined production plantation of timber and nut .Future studies should pay much more attention to systematic and long term research from point of developmental biology , nutritional physiology , reproduction biology , and artificial control technology establishment .%为了解掌握红松分杈现象研究现状,以便充分利用现有成果并为下一步深入研究奠定基础,本文综述红松分杈原因及预防措施、分杈与密度关系、分杈及树体调控与结实关系、红松分杈在其培育中应用等方面的研究成果。我国早期研究是把分杈作为一种影响木材培育的不良现象而进行的,研究集中在分杈原因与预防措施方面,近年来才关注分杈对生长及结实的影响、分杈与林分密度的关系,个别研究深入到分杈的生理机制,并有人工截顶促杈研究;韩国对种子园母树截顶促杈的研究比

  12. 宁强县流动儿童免疫接种现状分析%Current Situation of Immunization for Migrant Children in Ningqiang County

    Institute of Scientific and Technical Information of China (English)

    王成; 戴宏星

    2012-01-01

    目的 了解陕西省宁强县流动儿童的免疫接种现状,为流动儿童的免疫接种管理提供依据.方法 使用统一的调查表,在县辖26个乡镇调查所有0~7岁流动儿童.结果 共调查203名流动儿童,建证率87.68%,建卡率12.32%,卡介苗(BCG)、百白破(DPT)、脊灰减毒活疫苗(OPV)、麻疹减毒活疫苗(MV)、乙型肝炎病毒疫苗(HepB)--5苗全程接种率62.07%,流脑和乙脑接种率分别为48.61%、45.97%.流动人口主要为邻省和本省外县流入,流动儿童家长文化程度偏低,初中以下占77.83%,主要从事经商等工作,预防接种知识来源少、渠道单一.结论 宁强县流动儿童免疫接种率较低,应采用多种接种形式,加大对流动儿童家长的宣传力度,建立由多部门参与的流动儿童报告管理系统,积极探索切实可行的农村流动儿童免疫接种方法.%Objective To understand current situation of immunization for migrant children in Ningqiang and provides evidence for improving management. Methods Uniform questionnaire were applied to investigate the migrant children aged 0-7 years in 26 villages/ towns. Results A total of 203 respondents were recruited with outcomes as following, certification - issuing rate, 87. 68% ; card - establishing rate, 12. 32% ; full course vaccination rate of 62. 07% for bacillus calmette - guerin (BCG) , pertussis diphtherial tetanus (DPT) , oral poliomyelitis vaccine ( OPV ) , measles live attenuated ( MV ) , and hepatitis B virus ( HepB ) . The immigrants were mainly from the neighboring provinces and the other counties of this province; the children's parents were at low degree education level with a percentage of 77. 83% under junior middle school education, mainly engaged in business. They got little chance of accessing inoculation knowledge. Conclusion Immunization rate are relatively low in Ningqiang calling for multiple ways for inoculation, strengthening publicity as well as a reporting

  13. 甲虫形态学研究现状及态势分析%The current situation and trends in research on beetle morphology

    Institute of Scientific and Technical Information of China (English)

    张萌娜; 邹丽雪; 杨星科

    2015-01-01

    To understand the current situation and future direction of research on beetle morphology. Papers on beetle morphology were retrieved from the Zoological Record(ZR)database. Hotspots and trends in research in this field were then extracted by data mining using the Thomson Data Analyzer (TDA) of Thomson Reuters Company. The results indicate that research relevant to beetle morphology has developed very rapidly since 1960s and that this has increased again in the last decade. The main countries that are engaged in the study of beetle morphology are the United States, Germany, Japan, China and France. The hot topics in this field are wings, reproductive system, size, antennae and mouthparts. New techniques are being applied to different aspects, most papers use geometric morphometrics and transmission electron microscopy (TEM), followed by micro-computer tomography (μ-CT) and three dimensional reconstruction; only a few used magnetic resonance imaging (MRI), confocal laser scanning microscopy (CLSM) and focused ion beam scanning electron microscopy (FIB/SEM). Research on beetle morphology has entered a new stage in which creative techniques and advanced technologies, such asμ-CT, three dimensional reconstruction and geometric morphometrics, play a more prominent role. The number of research papers on this subject published in China is adequate, but their impact has been relatively weak. More effort therefore needs to be made to improve the quality of Chinese research on beetle morphology.%为了解甲虫形态学的研究概况和发展趋势,本文检索Zoological Record(ZR)数据库中该领域的研究论文,利用Thomson Data Analyzer(TDA)分析工具进行统计分析和数据挖掘。分析表明,该研究在20世纪六七十年代得到了快速发展,近十年以来,数量又有所增加。从事该研究的主要国家有美国、德国、日本、中国、法国等,热点主要内容集中在翅、生殖系统、结构大小、触角

  14. Biodiesel for Brazilian development: current situation and challenges for a sustainable future; Biodiesel para o desenvolvimento brasileiro: situacao atual e desafios para um futuro sustentavel

    Energy Technology Data Exchange (ETDEWEB)

    Bartsch, Aleksandra Sliwowska; Antunes, Adelaide Maria de Souza [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Escola de Quimica

    2008-07-01

    This article aims at analyzing the state of art and trends of biodiesel in Brazil, with resort to the Industry Strategic Map, a tool developed by National Industry Federation (CNI). The situation of biodiesel will be analyzed considering : Bases for Development, Processes and Activities, Market and Results for Country. At the beginning is presented the evolution of biodiesel in Brazil e are explained the construction of the Strategic Map by CNI. (author)

  15. The Current Situation of Students’ Participatation in Extracurricular Sports Activities of Private Middle School in Henan Province and the Analysis of Investigation

    Science.gov (United States)

    Zhe, Wang

    By using the methods of document literature, questionnaire survey and mathematical statistics, this paper investigates and analyses the cuurent situation of students' participation in extrucurricular sports activities of 36 private middle schools in Henan province which have legal education procedures through the following aspects: the attitude, motivation, times, duration, selection of programs, and influential factors of participating in extracurricular sports activities. Based on the investigation and analysis, this paper points out the existing problems and puts forward suggestions

  16. 《动物寄生虫病防治》实验学习现状分析%Analysis on the Current Situation of Animal Parasitic Diseases Prevention Experiment Learning

    Institute of Scientific and Technical Information of China (English)

    连慧香

    2015-01-01

    通过对动物医学专业学生的问卷调查,从学生对《动物寄生虫病防治》实验的学习兴趣、学习目的、实验准备情况、实验操作及实验报告完成情况5个方面分析了学生对该课程的实验学习现状,并对教学中存在的问题提出了改进措施和意见。%Based on the questionnaire investigation, the current situation of Animal Parasitic Diseases Prevention Experiment learning of veterinary students is analyzed on the aspect of learning interest, learning goals, experiment preparation situation, experiment operation and experiment report finish situation, and the improvement measures and suggestions are also put forward aiming at the existing problems.

  17. 气流输送式条播机现状及我国应用情况分析%Analysis of Air Seed Drill Current Situations and Using Situation in China

    Institute of Scientific and Technical Information of China (English)

    杨慧; 刘立晶; 周军平; 赵郑斌; 赵金辉

    2013-01-01

    气流输送式条播机具有减少钢材使用量、增加作业幅宽和提高作业效率等优点,是未来条播机主要发展机型。为此,对气流输送式条播机的国内外技术现状、种类及在我国应用中存在的问题进行了分析。结果表明:国外气流输送式播种技术已经成熟并广泛应用,我国仅处于实验室研究阶段,试制产品还未推广应用,且对技术的理论研究很少。%Air seed drills have many advantages which can reduce the use quantity of steel , increase working width , im-prove efficiency etc .It will be the main form of future seeders .The current research status at home and abroad , classifi-cations and problems existing in China of air seed drills were analyzed .Analysis showed that the technology of air seed drills at abroad had been very successful and widely used .However , the study in China was still in laboratory stage , the product had not been applied , and it lacked of theoretical study .

  18. How 'situational' is judgment in situational judgment tests?

    OpenAIRE

    Krumm, S; Lievens, Filip; Huffmeier, J; Lipnevich, AA; Bendels, H; Hertel, G.

    2015-01-01

    Whereas situational judgment tests (SJTs) have traditionally been conceptualized as low-fidelity simulations with an emphasis on contextualized situation descriptions and context-dependent knowledge, a recent perspective views SJTs as measures of more general domain (context-independent) knowledge. In the current research, we contrasted these 2 perspectives in 3 studies by removing the situation descriptions (i.e., item stems) from SJTs. Across studies, the traditional contextualized SJT pers...

  19. Current Situation of the Carbon Fiber and Related Composites Industry%碳纤维及复合材料产业链现状分析

    Institute of Scientific and Technical Information of China (English)

    张传雄

    2015-01-01

    By discussing the spinning, pre-oxidation, carbonization, compounding and recycling technologies for making carbon ifber and related composites, the paper discussed the present situation of technological development in the field of carbon fiber and related composites; analyzed the market situation of such products and their application prospects in aerospace, national defense, wind turbine, sport and leisure, transportation vehicles, civil-engineering, etc. It also pointed out some problems existing in China’s carbon ifber industry and gave related solutions.%从碳纤维纺丝、预氧化、碳化、复合成型和回收利用等方面概述碳纤维及复合材料产业链技术现状,分析碳纤维及复合材料市场现状以及在国防航空、交通工具、风力发电、运动休闲、土木建筑等领域的应用前景,指出中国碳纤维产业发展存在的问题及建议。

  20. 对社区护理现状和发展的思考%Reflections on the Current Situation of Community Nursing and Development

    Institute of Scientific and Technical Information of China (English)

    张瑞

    2014-01-01

    Community nursing is the main direction of the 21st century nursing development. It is also an ir esistible trend of the health development. Through analyzing the training of community nursing talents, the work of community nursing, the need of community nursing from community resident, the development of community nursing and the situation of community nurse, the essay analyzed the community nursing situation and development of China.%社区护理是21世纪护理发展的重要方向,开展社区服务已成为我国卫生事业发展的趋势。本文对社区护理人才的培养、社区护理的工作、社区居民对社区护理的需求、社区护理的开展情况以及社区护士的现状等进行分析,以考虑我区社区护理的现状和发展。

  1. Investigation of Current Situation of Learning Motivation, Social Anxiety and Loneliness of the Left-behind Children in Rural Primary School

    Directory of Open Access Journals (Sweden)

    Zhang Biyun

    2015-01-01

    Full Text Available Objective: To understand the situation of learning motivation, social anxiety and loneliness of the left-behind children. Method: Selecting three rural primary schools in Xian’an District of Xianning City to investigate left-behind situation, learning motivation, social anxiety and loneliness of pupils in Grades 4 to 6 in rural primary school in Xian’an District by the use of the MAAT-I-A which is revised by Zhou Bucheng, the Social Anxiety Scale for Children (SASC and the Children’s Loneliness Scale (CLS. Results: (1 The learning motivation of the left-behind children in rural primary school is in a slightly higher medium level. Social anxiety is significantly higher than normal level in Chinese city, and the level of loneliness of about 1/5 of the left-behind children is relatively high. (2 The score of learning motivation, social anxiety and loneliness of the left-behind children in the level of knowledge learning has significant grade differences, without significant gender differences. (3 The level of learning motivation, social anxiety and loneliness of the left-behind children is slightly higher than that of non-left-behind children, but both differences are not significant.

  2. A Preliminary Study on the Current Situation and Counter Measure of the Urban Domestic Solid Waste Disposal in Yuanjiang County%元江县城生活垃圾处理现状及对策措施初探

    Institute of Scientific and Technical Information of China (English)

    朱少春

    2012-01-01

    The current situation of disposing the domestic solid waste in the urban town of Yuanjiang County has been investigated. After the analysis, the counter measures have been proposed in this article to address the existing issues.%对元江县城生活垃圾处理现状和存在问题进行了调查分析,提出了相应的治理对策措施。

  3. Understanding existing exposure situations.

    Science.gov (United States)

    Lecomte, J-F

    2016-06-01

    International Commission on Radiological Protection (ICRP) Publication 103 removed the distinction between practices and interventions, and introduced three types of exposure situation: existing, planned, and emergency. It also emphasised the optimisation principle in connection with individual dose restrictions for all controllable exposure situations. Existing exposure situations are those resulting from sources, natural or man-made, that already exist when a decision on control has to be taken. They have common features to be taken into account when implementing general recommendations, such as: the source may be difficult to control; all exposures cannot be anticipated; protective actions can only be implemented after characterisation of the exposure situation; time may be needed to reduce exposure below the reference level; levels of exposure are highly dependent on individual behaviour and present a wide spread of individual dose distribution; exposures at work may be adventitious and not considered as occupational exposure; there is generally no potential for accident; many stakeholders have to be involved; and many factors need to be considered. ICRP is currently developing a series of reports related to the practical implementation of Publication 103 to various existing exposure situations, including exposure from radon, exposure from cosmic radiation in aviation, exposure from processes using naturally occurring radioactive material, and exposure from contaminated sites due to past activities. PMID:26975365

  4. La situación del aborto en Colombia: entre la ilegalidad y la realidad Current situation with abortion in Colombia: between illegality and reality

    Directory of Open Access Journals (Sweden)

    Ana Cristina González Vélez

    2005-04-01

    Full Text Available Este artículo describe la ilegalidad del aborto en Colombia cuya población forma parte del 0,4% mundial que vive en países donde el aborto está totalmente prohibido. La penalización absoluta hace de este un problema de salud pública generador de inequidad social. En las decisiones reproductivas la legislación siempre ha desconocido a las mujeres como personas, y enfrentada a una concepción integral sobre derechos sexuales y reproductivos, los proyectos de ley apenas se refieren a las situaciones "moralmente inaceptables" - embarazo por violación - o a razones terapéuticas. Las contradicciones entre la ilegalidad y la realidad permiten mantener un discurso público de rechazo frente al aborto (posición dominante de la jerarquía eclesiástica, mientras que en la práctica, se recurre a la interrupción voluntaria de la gestación en condiciones de seguridad y confianza al menos entre las mujeres de los estratos socioeconómicos más altos. Esto no sólo genera inequidad social, sino que refleja la forma en que las leyes van perdiendo sentido, creando en el imaginario colectivo la impresión de que no sirven ni son necesarias, debilitando el Estado en su función normativa.This article discusses the illegality of abortion in Colombia, situating this country within the 0.4% of the world population where abortion is completely banned. Absolute criminalization of abortion turns it into a public health matter and produces social inequality. The Colombian legislation has always disregarded women as individuals and as persons in full possession of their legal rights. In contrast to a comprehensive conceptualization of sexual and reproductive rights, the various abortion bills merely refer either to "morally unacceptable" situations such as pregnancy resulting from rape or to therapeutic motives. Contradictions between illegality and reality give rise to a public discourse that features rejection of abortion practices, in keeping with the

  5. 民办高校教学现状以及改进措施%Current Situation and Improving Solutions of Teaching Modes and Methods in Private Universities

    Institute of Scientific and Technical Information of China (English)

    张德锦; 田娇; 熊海涵; 汪旭

    2014-01-01

    This article describes the learning situation of private universities students. Regarding academic performance and ex-pediency of learning professional courses, this paper makes a deep analysis through sampling and survey, and comes to a con-clusion that we should improve teaching methods and experi-mental training courses and attach importance to basic profes-sional teaching.%本文介绍了民办高校学生学习情况,针对学生学习表现和在学习专业课程时的避难就易情况,通过抽样和问卷调查的方式进行了深入分析,得出了改进教学方法,提高实验实训课程和重视专业基础教学的结论。

  6. 大学生学业拖延现状调查研究%Research on the the Current Situation of College Students' Academic Procrastination

    Institute of Scientific and Technical Information of China (English)

    王凤

    2013-01-01

    目的:了解河南省大学生学业拖延的总体现状。方法:应用相关量表,采用分层随机抽样的方法对三市560名在校大学生进行测查。结果:①河南大学生总体学业拖延程度较高,并且在学业任务上的拖延程度显著高于非学业任务上的拖延程度;②主动拖延和被动拖延在性别、生源地、独生子女、年级、班干部上均无显著差异,仅被动拖延在专业上存在显著差异。结论:高校大学生学业拖延情况不理想,需采取措施加以改善。%Objective: To get the general situation of college stu-dents' academic procrastination in He'nan province. Method:Relevant scales are adopted to take random samples from 560 college students in three cities. Results:①The degree of College students' academic procrastination in He'nan in higher around our country, and it is higher than that of non-academic tasks;②Active and passive procrastination possess no apparent similarity in gender, students' hometown, one-child family, grade, and class cadre, but passive procrastination possesses apparent similarity in major. Conclusion: The situation of college students' academic procrastination is less impressive, so measures should be taken to improve it.

  7. 护理实习生职业暴露现状分析研究%Investigation on Current Situation of Student Nurses' Occupational Exposure

    Institute of Scientific and Technical Information of China (English)

    林丽萍; 高建萍; 王明琼

    2011-01-01

    目的 了解实习护生职业暴露及防护情况,探讨有效的防护及干预措施,为减少职业暴露和职业感染提供依据.方法 采用自行设计的问卷,对360名实习结束的护生职业暴露相关知识及暴露情况进行回顾性调查.结果 共调查360名护生,收回有效问卷354份,354名护生在临床实习期间,有42.09%的护生发生过职业暴露,主要为皮肤损伤.护生职业防护意识淡薄,安全防护知识的掌握情况总体不理想,知道标准防护原则的护生占41.81%.护生职业安全防护知识来源于学校教育的仅占20.90%,来源于医院专题讲座的占56.21%,护生在校期间缺乏系统的职业安全防护教育.结论 护理专业学生在实习阶段面临职业暴露的潜在风险,应从个人、学校、医院等方面加强对实习护生的职业安全教育与教学实习管理.%Objective To provide evidence for reducing occupational exposure and occupational infection, learn the situation about student nurses' occupational exposure and the prevention, and explore effective prevention and intervention.Methods Self-designed questionnaire was used to retrospectively investigate the relative knowledge and the situation of occupational exposure in 360 student nurses after intern.Results 360 student nurses were investigated and 354 effective questionnaires were collected.During their clinical intern of 354 student nurses, 42.09% students occurred occupational exposure.The main phenomenon was skin injury.student nurses' mastering situation on safe and prevention knowledge was not ideal, their prevention sense waspoor.Meanwhile, 41.81% student nurses knew the principle of standard prevention.The rate of the students' knowledge of occupational safety prevention coming from school education was 20.90%, and the rate of it coming from hospital's topic lecture was 56.21% , and the student horses were short of systematic education fur occupational safety prevention in college

  8. An analysis of the gradient-induced electric fields and current densities in human models when situated in a hybrid MRI-LINAC system

    Science.gov (United States)

    Liu, Limei; Trakic, Adnan; Sanchez-Lopez, Hector; Liu, Feng; Crozier, Stuart

    2014-01-01

    MRI-LINAC is a new image-guided radiotherapy treatment system that combines magnetic resonance imaging (MRI) with a linear accelerator (LINAC) in a single unit. One drawback is that the pulsing of the split gradient coils of the system induces an electric field and currents in the patient which need to be predicted and evaluated for patient safety. In this novel numerical study the in situ electric fields and associated current densities were evaluated inside tissue-accurate male and female human voxel models when a number of different split-geometry gradient coils were operated. The body models were located in the MRI-LINAC system along the axial and radial directions in three different body positions. Each model had a region of interest (ROI) suitable for image-guided radiotherapy. The simulation results show that the amplitudes and distributions of the field and current density induced by different split x-gradient coils were similar with one another in the ROI of the body model, but varied outside of the region. The fields and current densities induced by a split classic coil with the surface unconnected showed the largest deviation from those given by the conventional non-split coils. Another finding indicated that the distributions of the peak current densities varied when the body position, orientation or gender changed, while the peak electric fields mainly occurred in the skin and fat tissues.

  9. An analysis of the gradient-induced electric fields and current densities in human models when situated in a hybrid MRI-LINAC system

    International Nuclear Information System (INIS)

    MRI-LINAC is a new image-guided radiotherapy treatment system that combines magnetic resonance imaging (MRI) with a linear accelerator (LINAC) in a single unit. One drawback is that the pulsing of the split gradient coils of the system induces an electric field and currents in the patient which need to be predicted and evaluated for patient safety. In this novel numerical study the in situ electric fields and associated current densities were evaluated inside tissue-accurate male and female human voxel models when a number of different split-geometry gradient coils were operated. The body models were located in the MRI-LINAC system along the axial and radial directions in three different body positions. Each model had a region of interest (ROI) suitable for image-guided radiotherapy. The simulation results show that the amplitudes and distributions of the field and current density induced by different split x-gradient coils were similar with one another in the ROI of the body model, but varied outside of the region. The fields and current densities induced by a split classic coil with the surface unconnected showed the largest deviation from those given by the conventional non-split coils. Another finding indicated that the distributions of the peak current densities varied when the body position, orientation or gender changed, while the peak electric fields mainly occurred in the skin and fat tissues. (paper)

  10. 慢性骨髓炎保肢治疗现状及进展%Current situation and progress in limb salvage therapy for chronic osteomyelitis

    Institute of Scientific and Technical Information of China (English)

    王军; 李宗原; 王陶

    2014-01-01

    慢性骨髓炎治疗周期长,效果差,截肢率高,是创伤骨科临床中的难题之一。近年来保肢治疗成为慢性骨髓炎研究的热点,该文综述慢性骨髓炎保肢治疗涉及的病灶清除、骨缺损治疗、软组织覆盖、患肢骨稳定、抗生素治疗以及辅助治疗的现状及进展。%Treatment of chronic osteomyelitis is difficult in the field of orthopaedic trauma surgery, with long therapy course, poor clinical results and high amputation rate. In recent years, limb salvage has gradually become a research hotspot. In this paper, present situation and progress in limb salvage therapy for chronic osteomyelitis were reviewed, involving the aspects of debridement, treatment of bone defect, soft tissue coverage, stabilization of affected bone, antibiotic treatment and adjuvant therapy.

  11. CURRENT SITUATION OF CHINESE REHABILITATION TREATMENT OF CEREBRAL PALSY%中国脑性瘫痪的康复治疗现状

    Institute of Scientific and Technical Information of China (English)

    王琴玉

    2008-01-01

    Analyze present situation of treatment of cerebral palsy at home and abroad,review in detail concrete methods and studies of mechanisms of acupuncture and moxibustion as main therapeutic way adopted at home,probe characteristics and models of Chinese rehabilitation treatment for cerebral palsy.Results indicate that acupuncture and moxibustion treatment of cerebral palsy has very great potential social and economic results.Therefore,it is appropriate to approach establishment of a comprehensive rehabilitation system of cerebral palsy with Chinese characteristics,and with acupuncture and moxibustion used as main way.%分析国内外脑性瘫痪治疗现状,详细回顾了国内采用针灸为主体治疗脑瘫的具体方法及其机理研究,探讨中国脑性瘫痪的康复治疗特点及模式.结果表明,针灸治疗脑瘫有着极大的潜在社会效益和经济效益,宜探索建立以针灸为中心的有中国特色的脑性瘫痪综合康复体系.

  12. 武汉素食产业发展现状与对策研究%Study of Current Situation and Countermeasure of Vegetarian Industry in Wuhan

    Institute of Scientific and Technical Information of China (English)

    邓院方; 罗全兵

    2015-01-01

    Vegetarian food is becoming consumers' favorite because it is green, healthy, and safe. As a result, vegetarian industry also shows a rising trend in its development. After an analysis of the present situation of vegetarian industry in Wuhan, the paper investigates its problems, and puts forward some suggestions in hope of offering some reference to the industry management departments and the relevant enterprises.%素食因其绿色、健康、安全等特点,日益成为消费者关注的热点,素食产业的发展也呈现出方兴未艾之势。本文通过对武汉素食产业现状分析,探讨其发展中存在的问题,并提出对策建议,为行业管理部门和相关企业提供参考。

  13. 大学生就业现状分析及对策研究%The Current Situation of Undergraduate Employment and Its Countermeasures

    Institute of Scientific and Technical Information of China (English)

    李涛

    2015-01-01

    In recent years, the employment situation of college students became more and more serious, and it has become a major politi-cal issue of economic and social development in our country. So , employers should keep a scientific person-employing view and provide more employment opportunity;higher university should have people-oriented idea and improve the level of employment service;under-graduates should strengthen their ability of employment . We need everyone on the employment .%近年来,大学生的就业形势越来越严峻,大学生就业难问题已成为我国经济和社会发展的重大问题。因此,用人单位要树立科学用人观,提供更多就业机会;高校要树立以人为本观念,提高就业服务水平;大学生要自信自强,增加自身“就业力”。要发挥、整合社会各界的力量,促进大学生就业。

  14. The current situation and countermeasure of Anhui Fuyang medicine Industry%安徽阜阳市医药产业发展现状及对策

    Institute of Scientific and Technical Information of China (English)

    郑国锋

    2012-01-01

    Objective To analyze the Anhui province Fuyang pharmaceutical industry development present situation and put forward solutions suggestions. Methods SWOT analysis was used for comparative analysis. Results Fuyang development of the pharmaceutical industry have the prerequisite conditions and main problems were found out. Conclusion Through the analysis, we found out the way to solve the practical problems,so as to promote the Anhui Province Fuyang the pharmaceutical industry and raise the level of development.%目的 分析安徽省阜阳市医药产业发展现状及解决办法.方法 运用SWOT分析法进行比较分析.结果 找出了阜阳市发展医药产业拥有的先决条件和存在的主要问题.结论 通过分析,找出解决现实问题的办法,从而促进安徽省阜阳市医药产业整体水平的提高及更好更快地发展.

  15. 高校编制外用工模式现状与建议%On Current Situation of Employers outside Regular Payroll in Colleges and Universities

    Institute of Scientific and Technical Information of China (English)

    魏素敏

    2013-01-01

    Employers outside regular payroll have long been serving in universities in terms of rear services, teaching and management. Along with the implementation of post management system and the reform of income distribution system, there are the problems of employers outside regular payroll. This paper analyzes the present situation and existing problems of university employment, sense of belonging, strengthen assessment to coding and channel, dilute identity management strengthen post management, establishing electronic archives and so on to solve the path from the publicity and training.%编制外用工形式一直在高校内部长期存在,为高校后勤服务、教辅、管理提供了坚实有力的保障。随着岗位设置制度的推行和收入分配制度的改革,部分单位编制外用工存在的问题也开始显现出来。要改进目前高校用工的现状,可以从宣传培养员工归属感、提供转编渠道、深化薪资改革、建立电子档案、完善人才库等方面着手。

  16. The Current Situation Countermeasures of Chinese Water Fitness Sports%我国水中健身运动的现状及发展对策研究

    Institute of Scientific and Technical Information of China (English)

    于荣; 王东

    2011-01-01

    In this paper, the method of literature, questionnaire and interviews with experts, water, the present situation and development of fitness strategies of research and analysis. The conclusion:the water with srmfll, not easily fitness impact injuries, muscle development, interesting equilibrium strong characteristic;after more than ten years of development the water fitness gradually by people to understand and meet and become a kind of fashion fitness methods;the water temperature,by such factors as the limit,the water in our country in fitness are not widely available,need to be further cultivate market, and explore the right market operation mode.%运用文献资料法、问卷调查法、专家访谈法,对水中健身的现状及发展对策进行研究和分析,得出结论:水中健身具有冲击力小、不易受伤、发展肌肉均衡、趣味性强的特点;经过十几年的发展水中健身正逐渐被人们了解和认识,成为一种时尚的健身方式;受场地、水温等因素的限制,水中健身在我国开展还不够普及,需要进一步培育市场,探索合适的市场运作模式。

  17. Analysis on Current Situations of the Patents of Nexium%埃索美拉唑专利现状分析

    Institute of Scientific and Technical Information of China (English)

    张欢; 胡艇; 于培明

    2015-01-01

    Objective: To ifnd out the patent situation of Nexium in China and provide references for domestic pharmaceutical companies.Methods:Statistics of the patent application of Nexium in China during the years of 1994-2013 were obtained from the National Patent Office, China National Knowledge Infrastructure, FDA and the European Patent Office etc, and the graphic description was used to make a patent analysis.Results and Conclusion:Nexium still has great space in the field of combination, its dosage forms and etc. And the pharmaceutical companies, universities and research institutions in China should vigorously develop its potential market to obtain the relevant compound essential patents.%目的:了解埃索美拉唑在中国的专利申请状况,为我国制药企业的专利战略研究提供参考。方法:利用中国国家专利局检索系统、中国知网文献检索库、FDA以及欧洲专利局网站的数据统计1985-2013年间埃索美拉唑在中国的专利申请状况,并利用图文说明进行相关的专利分析。结果与结论:埃索美拉唑在组合物和剂型等专利申请领域仍有很大的空间,国内相关的制药企业、高校和研究机构应该予以重视,大力挖掘潜在市场,努力取得有关化合物的基本专利。

  18. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    OpenAIRE

    Jianwei SHI; Jiang, Chenghua; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Wang, Zhaoxin; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practition...

  19. Current situation of the development of small enterprises in our country%我国小微企业发展现状初探

    Institute of Scientific and Technical Information of China (English)

    张力

    2015-01-01

    Small micro enterprise is an important part of national economy,numerous enterprises of the national economic stage,the number of small companies,more than half,the financial income,solve the employment,promote innovation,build business platform,perfecting the social service division of labor,etc are made a bigger contribution for the country,to become an economic powerhouse.The survival state of the small micro enterprise directly relates to the healthy development of national economy,the complex economic situation at home and abroad, but for most small micro enterprise has been in waves to dance,is still faced with financing difficulties,the lack of talent,product or service level low some difficulties,and widespread industrial organization is relatively single,unclear property rights,blind pursuit of expansion, the lack of forward-looking strategic planning,and many other problems%小微企业是国民经济的重要组成部分,在国家经济舞台林林总总的企业当中,小微企业的数量超过了半壁江山,其在财政收入、解决就业、推进创新、构建创业平台、完善社会服务分工等方面均为国家做出了较大贡献,成为一支经济生力军.小微企业的生存状态直接关系到国民经济的健康发展,但复杂多变的国内外经济形势,让大多数小微企业一直在浪尖上跳舞,仍然面临着融资难、人才匮乏、产品或服务水平较低等一些困难,同时普遍存在产业机构较单一、产权不明晰、盲目追求扩张、缺乏前瞻性战略规划等诸多问题.

  20. 公安群众工作现状与改革创新%On Current Situation and Innovation of Mass Work of Public Security Agencies

    Institute of Scientific and Technical Information of China (English)

    沈培菊

    2014-01-01

    Mass work of public security agencies means that public security agencies and police should contact with people, organize people, mobilize people, persuade people, coordinate people and stir the people's enthusi-asm of keeping social order and supporting police. Along with the change and transformation of economy and so-ciety in China, the social order situation is rigorous; the internal conflicts among people are more and more; and the relation between police and people is tense. To maintain the national security and social stability, we should take the principle of harmony as a guidance, improve and strengthen mass work with the scientific attitude of ad-vancing with the times, strengthen theoretical research, build up the normal and practical evaluation system of mass work, strengthen the ability and level of police's mass work, confirm the duty of police, and make the mass work master the rules and embody the times, embrace the creativeness, establish the harmonious relation between police and people and maintain the national security and social stability.%公安群众工作是指公安机关及其民警应当联系群众、组织群众、动员群众、说服群众、协调群众,充分调动人民群众参与维护社会治安秩序的积极性,配合、支持公安机关及其民警的工作。随着我国经济社会转型的大环境变化,社会治安形势严峻,人民内部矛盾大量存在,警民关系紧张,为了更好地维护国家安全和社会稳定,应以和谐理念为统领,用与时俱进的科学态度加强和改进群众工作,加强理论研究,建立规范而切实有效的群众工作评价体系;增强公安民警做好群众工作的能力和水平;明确公安机关职责,真正使公安群众工作把握规律性、体现时代性、富于创造性,努力构建和谐警民关系。

  1. 中国智慧蜂业发展现状及对策%Current situation and development strategy on Chinese Smart Apiculture

    Institute of Scientific and Technical Information of China (English)

    游兆彤; 虞轶俊; 孔亚广

    2014-01-01

    The concept of “Smart Apiculture” derived from Smart Planet , is the advanced stage of apiculture . Internet of things , mobile internet of things and data mining are integrated in smart apiculture , And their application in smart breeding , production , transport and electronic business could reduce the labor strength of bee breeding , promote the quality of raw materials , and achieve the highest goal of the balanced development of overall benefit . Now adays , apiculture is a big industry in China , but not powerful .This paper analyzed the present domestic and foreign situation of smart apiculture , and proposed the countermeasure for Chinese Smart Apiculture development , including strengthening the top-level design of government , innovating the business model , and wide application of smart breed/smart product/smart transport , in order to actively promote industrial upgrading .%“智慧蜂业”脱胎于“智慧地球”概念,是蜂产业发展的高级阶段,即集成物联网、移动互联网及大数据挖掘技术并将其应用于蜂群智慧养殖、蜂产品智慧生产、蜂产品智慧物流以及蜂业电子商务等众多领域,以最大幅度降低蜂业养殖劳动强度,提升蜂产品原料质量,实现蜂产业整体利益平衡发展为最高目标。文章针对中国目前是世界养蜂大国,但却不是养蜂强国的现状,分析国内外“智慧蜂业”发展现状和存在的问题,提出了中国“智慧蜂业”发展的对策设计,具体包括加强政府顶层设计,创新商业模式,智慧养殖、智慧生产、智慧物流等主要内容,整体加快推进我国蜂业转型升级步伐。

  2. 我国信用评级行业现状及前景分析%Current Situation and Prospect of Credit Rating Industry in China

    Institute of Scientific and Technical Information of China (English)

    郭婷婷

    2015-01-01

    This paper analyzed the present situation and features of our country’s credit rating market. According to the development of international rating business and financial market, the prospect of credit rating industry in China was analyzed. This paper believes that the domestic rating industry barrier is weak, but the level of domestic rating business is improving gradually. Because of the domestic slowing economic growth and other factors, relative to the size of financial markets, the demand of domestic credit rating market is still insufficient. Because of the long-term bull regulation , it is difficult to unified supervision departments in the short term. But the national rating agencies are actively trying to enter the international market and successfully enter the EU market , these advances are also worthy of attention. Thus the domestic rating agency is expected to cut a striking figure in the international market.%本文分析了我国信用评级市场现状及特征,并根据金融市场发展情况及国际评级业务发展规律对我国信用评级行业发展前景进行分析,认为:国内评级行业壁垒较低,国内评级水平正逐步提高,但因国内经济增长减缓等因素,相对于金融市场规模,国内信用评级市场有效需求仍显不足;因长期多头监管,短期内难以实质统一监管部门;但是也应关注到民族评估公司正积极尝试进入国际市场并成功进入欧盟市场,有望在国际崭露头角。

  3. 我国洗衣液配方技术现状及发展趋势%Current formula situation and trend of liquid laundry detergent

    Institute of Scientific and Technical Information of China (English)

    蔡小芳

    2011-01-01

    The current technologies used in formulas of liquid laundry detergents in China market were reviewed and summerized in this paper in terms of detergency,energy and water saving and added-value.The trends of liquid laundry detergent were prospected from aspects of energy and consumer demands.%从洗衣液去污力、节能和附加值3方面介绍了目前国内洗衣液常见的配方技术。同时,从能源和消费者需求方面探讨了洗衣液配方的发展趋势。

  4. The Current Situation and Countermeasures of Teen-agers Women's Football%试论青少年女子足球的现状与对策

    Institute of Scientific and Technical Information of China (English)

    钟海维

    2013-01-01

      本文就如何改进当前青少年女子足球的训练方法,缩小与世界强队的差距,提出了一系列的看法与对策。%This article puts forward a series of thoughts and countermeasures on how to improve the current training methods for teen-agers women's football and lessen the gap with the top team in the world.

  5. Electrical energy generation in Europe the current situation and perspectives in the use of renewable energy sources and nuclear power for regional electricity generation

    CERN Document Server

    Morales Pedraza, Jorge

    2015-01-01

    The present book maximizes reader insights into the current and future roles to be played by different types of renewable energy sources and nuclear energy for the purpose of electricity generation in the European region as a whole and in a select group of European countries specifically. This book includes detailed analysis of the different types of renewable energy sources available in different European countries; the pros and cons of the use of the different types of renewables and nuclear energy for electricity generation; which energy options are available in the different European coun

  6. 我国医学双语教材的现状分析%Analysis of current situation of medical bilingual textbooks

    Institute of Scientific and Technical Information of China (English)

    张凌凌; 陈然

    2009-01-01

    双语教学具有双重教学目标--掌握专业知识与提高英语技能,这就对双语教材提出了比一般教材更高的要求.目前,国内的医学双语教材类型很多,但真正满足双语教学需要的教材却很少.本文针对国内医学教育领域双语教材现状进行探讨,总结了各种类型教材的优劣势,分析了其中存在的问题,并对其未来的发展提出了建议.%Bilingual teaching bears the responsibility to help students master the professional knowledge and improve their English skills. To achieve this double educational goal, the bilingual text- books need to fulfill higher requirements than other traditional textbooks in native language. In the field of medical education, currently, there are various types of bilingual textbooks. But it' s still very hard to find textbooks that can really meet the needs of bilingual teaching. In this paper, we discussed the current situa- tion of bilingual medical textbooks, analyzed the advantages, disadvantages, and major problems of every type respectively. Some advice for the future development of bilingual textbooks was also presented.

  7. 南京市养老地产的供需现状及开发对策%Study on the Current Supply and Demand Situation and Development Strategy of the Real Estate Provided for the Aged

    Institute of Scientific and Technical Information of China (English)

    刘月

    2015-01-01

    以南京市老年住房的供给现状以及中老年住房需求为切入点,分析南京市养老地产开发的现状以及未来的发展趋势。通过问卷调查的形式分析南京市老年住房的现状及中老年住房需求,总结南京市目前养老地产开发过程中存在的问题。借鉴国外养老地产成功开发的案例,结合我国养老政策举措,研究南京市养老地产开发的对策。%Nanjing city is one of the country's aging population with higher levels of city, the rapid pace of development, facing a severe test of the pension problem. Based on the current situation of Nanjing city housing supply and housing demand in the elderly elderly as the starting point,analysis of the current situation of the pension real estate development in Nanjing city and the development trend in the future. Through the questionnaire survey and the current situation of housing, Nanjing city elderly and elderly housing demand, there is a summary of Nanjing city at present endowment real estate development problems; try to judge the pension real estate market in Nanjing city and Nanjing city development stage, the three kinds of Pension --home care, community care and institutional care in the future the proportion of pension modechanges, which constitute the system of endowment real estate; national and internationalendowment of successful real estate development case, combined with China's pension policyinitiatives, from various measures more comprehensive perspective of Nanjing city pensionreal estate development.

  8. The Current Global Economic Situation and China's Strategic Choice%当前世界经济形势与中国战略选择

    Institute of Scientific and Technical Information of China (English)

    陈文玲

    2016-01-01

    At present,the trend of economic recovery is still weak and slow;the"new normal"of slow world economic growth,which takes the"Three Low","Three High"and"Three Imbalance"as the characteristics,will not be fundamentally changed;differentiations in world economic growth,monetary policies,global trade patterns,and commodity prices will be highlighted;and the development of global cross-border e-commerce will be blooming. With the increasingly enhanced comprehensive national strength of China,the noticeable new interactions between China and other countries,and the new international situation,to establish the future open strategic system and make the new strategic choice,China should,first, accelerate the strategy of RMB internationalization and rebuild the international monetary system;second,China should promote the reform of international monetary system with the help of RMB internationalization;third,China should fully promote the strategy of Free Trade Zone (FTZ) and establish the network system of FTZ;fourth,China should accelerate the industrial restructuring and strategic upgrade and rebuild the global value chain system;and fifth,China should further implement the innovation-oriented strategy and form the innovation-oriented economic system.%当前,世界经济总体复苏依旧乏力缓慢,以"三低""三高""三个失衡"为特征的世界经济低速增长的"新常态"不会发生根本改变,但世界经济继续分化,货币政策加剧分化,国际贸易格局日益分化,大宗商品市场价格在跌宕起伏中分化,全球跨境电子商务蓬勃发展.随着我国综合国力的不断增强,随着我国与世界新型互动态势的日益明显,面对新的国际形势,为构建面向未来的全球开放型经济体系,必须进行新的战略选择,一要加快推进人民币国际化战略,重构国际货币体系;二要以人民币国际化推动国际货币体系改革;三要全面推进自由贸易区战略,构建自由贸易区网络体

  9. Analysis on Current Situation of Data Mining Research of Traditional Chinese Medicine%中医药数据挖掘研究现状分析

    Institute of Scientific and Technical Information of China (English)

    邓宏勇; 许吉; 张洋; 袁敏; 施毅

    2012-01-01

    Objective To analyze the status of data mining (DM) research of TCM by bibliometrical method, provide a reference to researchers for better use of DM technology. Methods Retrieved the literatures of DM research of TCM, extracted information manually and analyzed them from the aspects of annual changes, types, fields, methods and software tools. Results Total 494 articles were obtained. Literature number increased year by year. Application research literatures accounted for 59.1%, and syndromes and formulas research accounted for 29.39% and 26.22% respectively. Association rules, frequency analysis, cluster analysis and artificial neural network literatures accounted for 76.36%. Articles using a commercial DM software accounted for 61.05%. Conclusion DM technology showed good potential in dealing with the TCM data, however, it has not changed the situation of TCM data-handling. We should fully utilize and develop DM techniques, upgrade TCM data processing capability to a new level.%目的 采用文献计量方法分析我国中医药数据挖掘研究现状,为更好地利用数据挖掘技术提供参考.方法 检索历年中医药数据挖掘文献,经人工拆分整理后,从年度变化、研究类型、研究领域、数据挖掘方法和软件等方面进行分析.结果 共得到中医药数据挖掘相关文献494篇,文献量逐年增加;文献类型中应用研究类文献占59.1%;研究领域中证候研究与方剂研究文献分别占29.39%和26.22%;数据挖掘方法采用关联规则、频数分析、聚类分析和人工神经网络的文献占76.36%;数据挖掘软件使用商业化数据挖掘软件的文献占61.05%.结论 数据挖掘技术适合处理中医药数据,但目前数据挖掘技术还未能改变中医药数据难以处理的大格局,只有充分利用并发展数据挖掘技术,才能将中医药数据处理能力提高到新水平.

  10. 中日农产品贸易的现状与融合%The Current Situation and Fusion of Agricultural Trade between China and Japan

    Institute of Scientific and Technical Information of China (English)

    姚丹丹

    2014-01-01

    中国和日本经贸关系非常紧密。中日农产品由于地缘、经济、人口等因素,在双边贸易中占据着重要的地位。但是最近几年,中日的农产品贸易出现了一系列的问题,这既有中国农产品自身品质差,出口结构单一等问题,也存在日本通过各种手段阻碍中日农产品贸易的正常进行的问题。同时更受到全球大环境的影响,金融危机、中日紧张的政治局面都在不同程度上影响着中日农产品贸易的进行。但是由于历史、地理位置、消费习惯等原因,中日两国农产品贸易存在相互融合的基础。为继续增进两国的农产品贸易,中国应积极改善农产品的品质,并逐步推进出口结构的优化,而日本就应该遵循世贸组织的规定,撤销各种贸易壁垒,在相互信任的基础上推进中日两国农产品贸易的健康发展。%China and Japan are very close economic and trade relations. Because of the geographic, economic, de-mographic factors, China′s agricultural products occupies an important position in bilateral trade. But in recent years, there is a series of problems in China-Japan trade in agricultural products, which is not only because of China′s prob-lems which are the poor quality of agricultural products and the single export structure and other issues, and Japan′s problems which to obstruct the normal agricultural trade by all means, but also the impact of the global environment, the financial crisis, and the tense political situation between China and Japan. However, due to historical, geographical location, spending habits and other reasons, the foundation of trade fusion exists in agricultural products between China and Japan. To promote agricultural trade between the two countries, China should actively improve the quality of agri-cultural products, and gradually promote the optimization of export structure, while Japan should follow the provisions of the WTO

  11. A Survey of the Current Situation of patients with Cerebral Apoplexy in Zhengzhou%郑州地区脑卒中患者现状调查

    Institute of Scientific and Technical Information of China (English)

    沈钦龙

    2015-01-01

    ObjectiveTo explore the health condition and secondary prevention of patients with cerebral apoplexy in Zhengzhou.Methods Investigation and physical examination were the main methods. The author investigated the general situation, medical history, personal hobbies and history of medicine of the patients and examined the height, weight, blood pressure, electrocardiogram, fasting blood glucose, and blood lipid of them. Finally, the author made a record of them.Results Cerebral ischemia accounted for the vast majority of patients with cerebral apoplexy in Zhengzhou (89.3%). 10.4% of the patients had the habit of smoking, 6.3% of alcohol, 39.2% of overweight, 29.7% of obesity, 9.1% of long-term regular aspirin enteric-coated metformin hydrochloride, and 38.9% of hyperlipidemia. 80.3% patients had high blood pressure and 35.6% of them had Diabetes.ConclusionCerebral ischemia accounted most in patients with cerebral apoplexy, followed by the high blood pressure, diabetes, overweight and hyperlipidemia prevalence rate. As for the secondary prevention, antiplatelet drugs and statins were rarely applied. Therefore, medication compliance should be further stressed in the further education in community.%目的:探讨郑州地区脑卒中患者健康状况及其二级预防情况。方法调查、体检患者并填表,调查内容包括一般状况、既往病史、个人嗜好及服药史。体检包括身高、体重指数、血压、心电图、空腹血糖、血脂。结果郑州地区脑卒中患者既往脑缺血性患者占绝大多数(89.3%)。吸烟(10.4%)、饮酒(6.3%);超重比例39.2%,肥胖比例29.7%;长期规律服用阿司匹林肠溶片(9.1%),高脂血症患者(38.9%);高血压患者(80.3%);糖尿病患者(35.6%)。结论郑州地区脑卒中患者中脑缺血性占绝大多数,高血压、糖尿病、体重指数高和高脂血症患病率较高;二级预防中,抗血小板药物及他汀类药物应用率较低,还

  12. 我国网络管辖权的发展现状%Current Situation in China's Internet Jurisdiction

    Institute of Scientific and Technical Information of China (English)

    邵国松; 张春华

    2012-01-01

    网络案件管辖权是当今相关司法界和理论界面临的一个难题。在先前研究的基础上,我们对我国网络民事案件、网络刑事案件以及涉外网络案件之管辖权的发展现状进行了较为全面的讨论,以推动我国相关司法实践和理论研究的发展。%Internet case jurisdiction is an issue currently puzzling many judicial professionals and legal scholars.Based on previous studies,this paper makes a relatively comprehensive jurisdiction discussion with regards of Internet-related civil,criminal,and international cases in order to push forward our country's development in relevant judicial practice and legal theories.

  13. 中国苜蓿育种的历史、现状与发展趋势%The History, Current Situation and Development of Alfalfa Breeding in China

    Institute of Scientific and Technical Information of China (English)

    杨青川; 孙彦

    2011-01-01

    The history and current situation of alfalfa breeding in China were introduced. The methods for alfalfa breeding and problems in alfalfa breeding were elaborated. The goal and development direction of alfalfa breeding were put forward.%介绍了中国苜蓿育种的历史、现状,阐述了苜蓿育种的方法和目前中国苜蓿育种中存在的问题,提出了今后苜蓿育种发展的方向与目标.

  14. On the Current Situation, Reasons and Countermeasures of Hotel Staff Turnover in Yan'an City%浅谈延安市酒店员工流失现状及原因对策

    Institute of Scientific and Technical Information of China (English)

    何燕

    2014-01-01

    The high turnover rate of staff is the problem plagued the hotel managers. The paper analyzes the current situation of the hotel staff turnover and its impact on the hotel, and puts forward relevant countermeasures.%酒店员工的高流失率一直是困扰酒店管理者的难题,本文分析了酒店员工流失的现状及对酒店产生的影响,并提出了相关解决对策。

  15. Current Situation and Solutions of Tianjin Public Sculpture%天津城市雕塑发展现状及对策研究

    Institute of Scientific and Technical Information of China (English)

    王鹤

    2015-01-01

    The number of city sculpture in Tianjin ranks middle in China. It is undeniable that there are some masterpieces among them, but most of them are not well-known in the arts circle and less reported by media. the problems in the development of city sculpture reflect the contradictions between the cur-rent requirement and construction mechanism, between arts rules and current cognition, between sculp-ture popularization and public arts education, and other factors. To promote the healthy and sustainable development of Tianjin public sculpture, it is necessary to learn advanced experience from the counter-parts both at home and abroad. Based on economic and cultural environment in Tianjin, city sculpture can be promoted through a series of measures in management, education and other fields, and through the perfection of constructive mechanism and practical operations.%就总量而言,天津城市雕塑在国内处于中等水平;虽然其中不乏精品,但大多数雕塑在艺术界和媒体报道中知名度有限。城市雕塑发展中的问题折射了现实需求与建设机制、艺术规律与实际认知、雕塑推广与公众艺术教育等诸多矛盾。为推动天津城市雕塑艺术持续健康发展,有必要借鉴国内外同类城市的先进经验,立足天津经济基础与文化环境,通过管理、教育等领域的系列举措,从制度环境建设和实践操作两个层面入手,标本兼治,推动天津城市雕塑艺术发展。

  16. Current Situation and Solutions of Tianjin Public Sculpture%天津城市雕塑发展现状及对策研究

    Institute of Scientific and Technical Information of China (English)

    王鹤

    2015-01-01

    就总量而言,天津城市雕塑在国内处于中等水平;虽然其中不乏精品,但大多数雕塑在艺术界和媒体报道中知名度有限。城市雕塑发展中的问题折射了现实需求与建设机制、艺术规律与实际认知、雕塑推广与公众艺术教育等诸多矛盾。为推动天津城市雕塑艺术持续健康发展,有必要借鉴国内外同类城市的先进经验,立足天津经济基础与文化环境,通过管理、教育等领域的系列举措,从制度环境建设和实践操作两个层面入手,标本兼治,推动天津城市雕塑艺术发展。%The number of city sculpture in Tianjin ranks middle in China. It is undeniable that there are some masterpieces among them, but most of them are not well-known in the arts circle and less reported by media. the problems in the development of city sculpture reflect the contradictions between the cur-rent requirement and construction mechanism, between arts rules and current cognition, between sculp-ture popularization and public arts education, and other factors. To promote the healthy and sustainable development of Tianjin public sculpture, it is necessary to learn advanced experience from the counter-parts both at home and abroad. Based on economic and cultural environment in Tianjin, city sculpture can be promoted through a series of measures in management, education and other fields, and through the perfection of constructive mechanism and practical operations.

  17. Situational analysis for the current status of the electric vehicle industry : a report for presentation to the Electric Vehicle Industry Steering Committee of Natural Resources Canada

    International Nuclear Information System (INIS)

    This paper outlined the status of the electric vehicle industry in Canada. While the low energy density of electric batteries has prevented the widespread adoption of electric-powered vehicles, new developments in nickel metal hydride (Ni-MH) batteries have provided a 3- to 4-fold increase in energy density than lead-acid batteries. The Ni-MH batteries have enabled the emergence of hybrid automobiles that use electric motors to supplement or provide traction with internal combustion engine (ICE) generators that power the motors or charge batteries. Plug-in hybrids use batteries that can be charged from the electricity grid or by on-board generators. Lithium-based batteries contain twice the amount of energy density as Ni-MH batteries, and are now being upscaled for use in plug-in hybrids. Canada has many assets that favour the development of electric vehicle technology as it has a high degree of urbanization, and a widely diversified electric supply. Canada is also a major player in EV technology, and a world leader in renewable electricity generation. However, considerable investment and leadership is needed in order to foster EV technology in Canada. It was concluded that an EV industry can be developed by facilitating collaboration among organizations currently promoting sustainable transportation, identifying potential centres of engineering and technological excellence, and defining markets relevant to a Canadian EV industry. 32 refs., 6 tabs., 4 figs

  18. 高校学生社团发展现状及对策%A Study on the Current Situation and Countermeasures for Student Associations in Chinese Universities

    Institute of Scientific and Technical Information of China (English)

    卜威

    2012-01-01

    高校社团作为学生进行课外活动与社会实践的主要载体,在日常生活中起着重要的作用。对学生社团多样化、信息化、社会化以及学生活动专业化现状进行汇总,并从学校和社团层面分析学生社团存在的问题,最后从高校层面、指导老师、社团自身建设以及社团管理方面提出相应对策,找到解决问题的途径和方式,促进学生社团健康、良性的发展。%As the main vehicle for social practice and extra-curricular activities, the university association often plays an important role in daily life. There are many features in the university association, such as organization diversification, informationization, socialization and activities specialization. Through analyzing current problems from student community and college's level, some corresponding countermeasures in the community were put forward to promote the healthy, benign development of students' community, colleges, teachers and corporate self-construction and community management.

  19. Current Situation and Education Exploration of Vocational Students' Sense of Responsibility%高职生责任意识现状及其教育探讨

    Institute of Scientific and Technical Information of China (English)

    梁晓军; 朱琦

    2012-01-01

    高等职业院校培养的是高素质技能型专门人才,他们的责任意识直接关系到自身职业能力的获取以及经济社会的发展。当前,高职生责任意识的缺失已成为现阶段我国高职教育中一个不可忽视的问题。本文在分析高职生责任意识现状及其缺失原因的基础上,提出了相应的对策建议。%The vocational institutions cultivate high-quality skilled expertise, their sense of responsibility is directly related to their own professional ability as well as the economic and social development. Currently, the lack of the sense of responsibility of the vocational high school students has become a problem can not be ignored at this stage of higher vocational education in China. In this paper, based on the analysis of vocational high school students a sense of responsibility to the status quo and its deletion causes, put forward corresponding suggestions.

  20. 偏头痛实验动物模型的研究现状%The Current Research Situation of Experimental Animal Models of Migraine

    Institute of Scientific and Technical Information of China (English)

    袁博博

    2011-01-01

    偏头痛是一种由体外触发和体内病理生理机制相互作用、伴有神经心理及胃肠症状、具有遗传性及复发性的头痛综合征.其发病机制至今尚未完全明了,动物模型基于三叉神经血管学说、皮层扩散抑制学说和血管学说等理论而建立.现从造模机制、特点、适用范围及效度等方面对目前常用的偏头痛动物模型的研究现状进行综述.%Migraine is a genetically related recurrent headache syndrome appearing with neuro-psychological and gastrointestinal symptoms, implicating interaction between external triggers and internal pathophysiology. Its pathogenesis is still not completely clarified, animal models are established on the basis of trigeminovascular theory,cortical spreading depression theory and neurovascular theory. Here is to review the current migraine experimental animal models from the perspectives of modeling mechanism, characteristics,scope and validity, etc.