In Quebec,Canada,the public healthcare system offers free medical services.However,patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy coverage.In contras...In Quebec,Canada,the public healthcare system offers free medical services.However,patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy coverage.In contrast,private clinics provide expedited care but are relatively scarce and entail out-of-pocket expenses.Once a patient with pain caused by a spinal disorder meets a pain medicine specialist,spinal intervention is quickly performed when indicated,and patients are provided lifestyle advice.Transforaminal epidural steroid injections are frequently administered to patients with radicular pain,and steroid injections are administered on a facet joint to control low back or neck pain.Additionally,medial branch blocks are performed prior to thermocoagulation.France’s universal healthcare system ensures accessibility at controlled costs.It emphasizes physical activity and provides free physical therapy services.However,certain interventions,such as transforaminal and interlaminar epidural injections,are not routinely used in France owing to limited therapeutic efficacy and safety concerns.This underutilization may be a potential cause of chronic pain for many patients.By examining the differences,strengths,and weaknesses of these two systems,valuable insights can be gained for the enhancement of global spinal pain management strategies,ultimately leading to improved patient outcomes and satisfaction.展开更多
Alzheimer’s disease (AD) is the most common neurodegenerative disease causing an alteration of life quality in the terminal stage. The purpose was to report 14 years of experience about the early impact on the qualit...Alzheimer’s disease (AD) is the most common neurodegenerative disease causing an alteration of life quality in the terminal stage. The purpose was to report 14 years of experience about the early impact on the quality of life of patients with AD. Methodology: Descriptive retrospective study over 14 years in the geriatric department of Pitié Salpêtrière Hospital, using the activity of daily living, Instrumental activity of daily living, neuropsychological inventory and Hoen Yahr scale evaluated at the time of diagnosis of AD according to the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease’s and Related Disorders Association diagnostic criteria. Results: A total of 214 exploitable files had been listed. At the moment of diagnosis, the mean age was 82.1 years with extremes 68 to 95 with sex ratio 1.6 in women’s favor. The mean socio-cultural level was 4.9 with extremes about 0 to 7. There was poly pathology with a mean Cumulative Illness Rate Scale = 4.6 with extremes 0 to 16. the mean cognitive status was moderate = 22.5 with extremes 0 to 30. Quality life showed moderate impairment of IADL = 9.2 with extreme 3 to 11 compared to activity of daily living. The activity of daily living was more affected in 68 - 80-year-olds, while poly pathology impacted more on IADL in men. The cognitive impairment was more deficient in IADL when the MMSE test was low. The common disorders at the NPI were psychological, behavioral and psychotic. Conclusion: At the early diagnosis of Alzheimer’s Disease cognitive deficiencies were predominant and influenced on global Instrumental activity and psychological, behavioral disorders.展开更多
In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with ...In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess stenosis.The impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical costs.Each county has its preferred treatment strategies for spinal pain.Here,we explore the lower back pain(LBP)treatment algorithm recommended in France.The treatment algorithm for LBP recommended by the French National Authority for Health emphasizes early patient activity and minimal medication use.It encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorporates psychological assessments and non-pharmacological therapies for chronic cases.However,the algorithm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of chronicity.Additionally,the recommended infiltrations primarily involve caudal epidural steroid injections,with limited consideration for other injection procedures,such as transforaminal or interlaminar epidural steroid injections.The fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the exploration of alternative therapies.Despite these limitations,understanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment strategies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.展开更多
This paper, based on the sedimentary features of the coal seams in the typical extensional (faulted) coal basins between two inland mountainous areas of the Central Massif (France) deals with the accumulation mechanis...This paper, based on the sedimentary features of the coal seams in the typical extensional (faulted) coal basins between two inland mountainous areas of the Central Massif (France) deals with the accumulation mechanism and the corresponding sedimentary tectonic conditions of these thick coalbeds, and proposes a new coal accumulation model for the inland lacustrine basin thick coalbeds. The presence of a great number of gravity flow sediments such as detrital flow, diluted slurry flow or turbidity current sediments in the coal seams, and that of the contemporaneous gravity slump and deformation structure in the coal seam itself both indicate that the lacustrine environment in the accumulation of the thick coalbeds was characterized by the relatively deep flood and violent sedimentation. This model can not only interpret reasonably the accumulation mechanism of the thick coalbeds developed in the fault basins in the Central Massif, France, but also show its features distinctively from those of the accumulation model of the traditional thick coalbeds.展开更多
French is one of the best cultural tourism destinations in the world. Its development experiences in terms of cultural tourism are valuable for Hebei, whose competitiveness of cultural tourism is weak comparatively in...French is one of the best cultural tourism destinations in the world. Its development experiences in terms of cultural tourism are valuable for Hebei, whose competitiveness of cultural tourism is weak comparatively in spite of rich cultural resources. Specifically, France achieves great successes of cultural tourism through scientific planning, producing tourism products injected by cultures, and developing tourism festivals. On this basis, four suggestions are recommended to improve cultural tourism in Hebei Province based on its actual situation, namely building cultural brand of tourism, strengthening government management, and developing tourism derivatives, and reinforcing talent training.展开更多
In the 17th century,Chinese medicine appeared in France;since then,it never stopped evolving and is applied by French practitioners.Today,acupuncture is widely used in clinic treatment in France.
Born in Corsica, a place reigned[统治] by the French, Napoleon was predestined[注定的] to be extraordinary. It was the historical background that shaped Napoleon’s strong belief in nationalism and his determination, ...Born in Corsica, a place reigned[统治] by the French, Napoleon was predestined[注定的] to be extraordinary. It was the historical background that shaped Napoleon’s strong belief in nationalism and his determination, which became the momentum[动力] in his personal success. Few people are born with the required knowledge and power to support their dreams, neither was Napoleon. In his early youth, he read all the books available related to the history of his hometown and France, knowing that his ambition to reverse[完全改变] the destiny of his country would be impossible unless he had learned enough lessons from the past.展开更多
CIRAD(Montpellier,France) develops research activities centered on tropical and sub-tropical agricultural systems.Among others crops,cotton is the focus of a series of research programs in different disciplines from e...CIRAD(Montpellier,France) develops research activities centered on tropical and sub-tropical agricultural systems.Among others crops,cotton is the focus of a series of research programs in different disciplines from economics to breeding.Major areas in genetics and breeding relate to(1) genetic diversity,(2) cultivar development through classical and molecular breeding,and(3)展开更多
FORTY years ago,in 1978,1 was working in a factory in Shanghai.At that time,the gateway to foreign countries seemed to me even more remote than that of paradise.I had already heard of the French Republic,but only beca...FORTY years ago,in 1978,1 was working in a factory in Shanghai.At that time,the gateway to foreign countries seemed to me even more remote than that of paradise.I had already heard of the French Republic,but only because my father was Zheng Yonghui,an illustrious literary translator who spoke fluent French.My father was born in Vietnam(formerly under the control of the French colonial empire),but at a very young age he arrived in Shanghai,and then展开更多
At the opening ceremony of this exhibition on January 12, Fan Di'an, Chairman of Chinese Artists Association and CAFA President, said:"The exhibition is a demonstration of the academic research and achievemen...At the opening ceremony of this exhibition on January 12, Fan Di'an, Chairman of Chinese Artists Association and CAFA President, said:"The exhibition is a demonstration of the academic research and achievements of a generation of Chinese artists abroad in France.展开更多
Systemic scleroderma is a rare disease in which visceral manifestations occur, particularly peripheral vascular, digestive, cardiopulmonary and renal. It is pathology with a predilection for women. The present clinica...Systemic scleroderma is a rare disease in which visceral manifestations occur, particularly peripheral vascular, digestive, cardiopulmonary and renal. It is pathology with a predilection for women. The present clinical case is that of a man with the renal complications of scleroderma and the difficulties of the treatment even in the developed countries like France. In the present case, the management of this disease required a high dose of corticosteroid therapy and extra-renal purification. Early detection of complications through a minimal clinical examination supplemented with paraclinic tests has proved necessary.展开更多
The Mediterranean Sea is recognized by France as the most important adjacent area and also the gate to Africa,France’s vast sphere of influence beyond the Mediterranean.The political turmoil here since the Arab Sprin...The Mediterranean Sea is recognized by France as the most important adjacent area and also the gate to Africa,France’s vast sphere of influence beyond the Mediterranean.The political turmoil here since the Arab Spring has begun,especially emergence of a flood of refugees coming to the EU,was a serious problem for France.The current situation of EU,which is shaken over the acceptance of immigrants and refugees,is grave for France,having a strategic pillar which is to raise the own presence in global politics by obtaining the leadership in the EU.France sets out to put the migration and refugee issues to rest,to maintain EU’s political power and to seize the initiative in the EU.This article will analyze such a national strategy of France focusing on the process from Chirac’s administration to Macron’s.展开更多
Editor's note : About a hundred years ago, a large number of progress young Chinese with great ambitions went to France for Work-Study programs to introduce French science and arts to China, so as to save the nati...Editor's note : About a hundred years ago, a large number of progress young Chinese with great ambitions went to France for Work-Study programs to introduce French science and arts to China, so as to save the nation and the people. Among them, a generation of Chinese artists studying in France created splendid works which had played an essential role in the history of Chinese arts in the 20th century.展开更多
The reccnt Alcatel Lucent failure is an example of how many mergers run into considerable implementing difficulties in the months following their launch. Despite promising perspectives,no coherent whole seems to come ...The reccnt Alcatel Lucent failure is an example of how many mergers run into considerable implementing difficulties in the months following their launch. Despite promising perspectives,no coherent whole seems to come out of the merger,just as anticipated synergies have a hard time materializing.展开更多
On May 7th, Jacques Chirac, candidate of the Rally for the Republic (RPR)and Mayor of Paris, defeated the Socialist candidate Lionel Jospin in the secondround of the French presidential election and was elected the fi...On May 7th, Jacques Chirac, candidate of the Rally for the Republic (RPR)and Mayor of Paris, defeated the Socialist candidate Lionel Jospin in the secondround of the French presidential election and was elected the fifth president of theFifth Republic. Alain Juppe, Chirac’s close assistant and former foreign minister,was appointed as the prime minister of the new cabinet. Thus ended the formerPresident Francois Mitterrand’s Socialist rule of 14 years and ushered in an epochof Gaullist Chirac, a man who will lead France into the 21st century.展开更多
On March 26, the Centennial Seminar on es of Fine Arts between China and France, cosponsored by China Cultural Center in Paris,National Art Museum of China (NAMOC) and Network of International Culturalink Entities, wa...On March 26, the Centennial Seminar on es of Fine Arts between China and France, cosponsored by China Cultural Center in Paris,National Art Museum of China (NAMOC) and Network of International Culturalink Entities, was held at China Cultural Center in Paris? Experts from China and France conducted in-depth discussions on the theme of Centennial Exchanges of Fine Arts and. Academic Communication between China and France? The experts include Yan Zhenquan, Director of China Cultural Center in Paris, Wu Weishan, Director of NAMOC and Claude Abeille and Jean Cardot, academicians of Academy of F ine Art, Insititute of France.展开更多
基金Supported by National Research Foundation of Korea Grant,No.00219725.
文摘In Quebec,Canada,the public healthcare system offers free medical services.However,patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy coverage.In contrast,private clinics provide expedited care but are relatively scarce and entail out-of-pocket expenses.Once a patient with pain caused by a spinal disorder meets a pain medicine specialist,spinal intervention is quickly performed when indicated,and patients are provided lifestyle advice.Transforaminal epidural steroid injections are frequently administered to patients with radicular pain,and steroid injections are administered on a facet joint to control low back or neck pain.Additionally,medial branch blocks are performed prior to thermocoagulation.France’s universal healthcare system ensures accessibility at controlled costs.It emphasizes physical activity and provides free physical therapy services.However,certain interventions,such as transforaminal and interlaminar epidural injections,are not routinely used in France owing to limited therapeutic efficacy and safety concerns.This underutilization may be a potential cause of chronic pain for many patients.By examining the differences,strengths,and weaknesses of these two systems,valuable insights can be gained for the enhancement of global spinal pain management strategies,ultimately leading to improved patient outcomes and satisfaction.
文摘Alzheimer’s disease (AD) is the most common neurodegenerative disease causing an alteration of life quality in the terminal stage. The purpose was to report 14 years of experience about the early impact on the quality of life of patients with AD. Methodology: Descriptive retrospective study over 14 years in the geriatric department of Pitié Salpêtrière Hospital, using the activity of daily living, Instrumental activity of daily living, neuropsychological inventory and Hoen Yahr scale evaluated at the time of diagnosis of AD according to the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease’s and Related Disorders Association diagnostic criteria. Results: A total of 214 exploitable files had been listed. At the moment of diagnosis, the mean age was 82.1 years with extremes 68 to 95 with sex ratio 1.6 in women’s favor. The mean socio-cultural level was 4.9 with extremes about 0 to 7. There was poly pathology with a mean Cumulative Illness Rate Scale = 4.6 with extremes 0 to 16. the mean cognitive status was moderate = 22.5 with extremes 0 to 30. Quality life showed moderate impairment of IADL = 9.2 with extreme 3 to 11 compared to activity of daily living. The activity of daily living was more affected in 68 - 80-year-olds, while poly pathology impacted more on IADL in men. The cognitive impairment was more deficient in IADL when the MMSE test was low. The common disorders at the NPI were psychological, behavioral and psychotic. Conclusion: At the early diagnosis of Alzheimer’s Disease cognitive deficiencies were predominant and influenced on global Instrumental activity and psychological, behavioral disorders.
基金Supported by The National Research Foundation of Korea Grant funded by the Korea Government,No.00219725.
文摘In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess stenosis.The impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical costs.Each county has its preferred treatment strategies for spinal pain.Here,we explore the lower back pain(LBP)treatment algorithm recommended in France.The treatment algorithm for LBP recommended by the French National Authority for Health emphasizes early patient activity and minimal medication use.It encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorporates psychological assessments and non-pharmacological therapies for chronic cases.However,the algorithm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of chronicity.Additionally,the recommended infiltrations primarily involve caudal epidural steroid injections,with limited consideration for other injection procedures,such as transforaminal or interlaminar epidural steroid injections.The fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the exploration of alternative therapies.Despite these limitations,understanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment strategies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.
基金This study is supported by National Natural Science Foundation of China( No.4990 2 0 12 ) and by the Project of the High Scho
文摘This paper, based on the sedimentary features of the coal seams in the typical extensional (faulted) coal basins between two inland mountainous areas of the Central Massif (France) deals with the accumulation mechanism and the corresponding sedimentary tectonic conditions of these thick coalbeds, and proposes a new coal accumulation model for the inland lacustrine basin thick coalbeds. The presence of a great number of gravity flow sediments such as detrital flow, diluted slurry flow or turbidity current sediments in the coal seams, and that of the contemporaneous gravity slump and deformation structure in the coal seam itself both indicate that the lacustrine environment in the accumulation of the thick coalbeds was characterized by the relatively deep flood and violent sedimentation. This model can not only interpret reasonably the accumulation mechanism of the thick coalbeds developed in the fault basins in the Central Massif, France, but also show its features distinctively from those of the accumulation model of the traditional thick coalbeds.
基金Supported by USM Fellowship Grant offered by Universiti Sains Malaysia
文摘French is one of the best cultural tourism destinations in the world. Its development experiences in terms of cultural tourism are valuable for Hebei, whose competitiveness of cultural tourism is weak comparatively in spite of rich cultural resources. Specifically, France achieves great successes of cultural tourism through scientific planning, producing tourism products injected by cultures, and developing tourism festivals. On this basis, four suggestions are recommended to improve cultural tourism in Hebei Province based on its actual situation, namely building cultural brand of tourism, strengthening government management, and developing tourism derivatives, and reinforcing talent training.
文摘In the 17th century,Chinese medicine appeared in France;since then,it never stopped evolving and is applied by French practitioners.Today,acupuncture is widely used in clinic treatment in France.
文摘Born in Corsica, a place reigned[统治] by the French, Napoleon was predestined[注定的] to be extraordinary. It was the historical background that shaped Napoleon’s strong belief in nationalism and his determination, which became the momentum[动力] in his personal success. Few people are born with the required knowledge and power to support their dreams, neither was Napoleon. In his early youth, he read all the books available related to the history of his hometown and France, knowing that his ambition to reverse[完全改变] the destiny of his country would be impossible unless he had learned enough lessons from the past.
文摘CIRAD(Montpellier,France) develops research activities centered on tropical and sub-tropical agricultural systems.Among others crops,cotton is the focus of a series of research programs in different disciplines from economics to breeding.Major areas in genetics and breeding relate to(1) genetic diversity,(2) cultivar development through classical and molecular breeding,and(3)
文摘FORTY years ago,in 1978,1 was working in a factory in Shanghai.At that time,the gateway to foreign countries seemed to me even more remote than that of paradise.I had already heard of the French Republic,but only because my father was Zheng Yonghui,an illustrious literary translator who spoke fluent French.My father was born in Vietnam(formerly under the control of the French colonial empire),but at a very young age he arrived in Shanghai,and then
文摘At the opening ceremony of this exhibition on January 12, Fan Di'an, Chairman of Chinese Artists Association and CAFA President, said:"The exhibition is a demonstration of the academic research and achievements of a generation of Chinese artists abroad in France.
文摘Systemic scleroderma is a rare disease in which visceral manifestations occur, particularly peripheral vascular, digestive, cardiopulmonary and renal. It is pathology with a predilection for women. The present clinical case is that of a man with the renal complications of scleroderma and the difficulties of the treatment even in the developed countries like France. In the present case, the management of this disease required a high dose of corticosteroid therapy and extra-renal purification. Early detection of complications through a minimal clinical examination supplemented with paraclinic tests has proved necessary.
基金The authors would like to thank the JSPS(Japan Society for the Promotion of Science)Core-to-Core Program“Research on the Public Policies on Migration,Multiculturalization and Welfarefor the Regeneration of Communities in European,Asian and Japanese Societies”(FY2016-2020)and also the JSPS Grant-in-Aid for Scientific Research(B)(16H03588)for conducting this research.
文摘The Mediterranean Sea is recognized by France as the most important adjacent area and also the gate to Africa,France’s vast sphere of influence beyond the Mediterranean.The political turmoil here since the Arab Spring has begun,especially emergence of a flood of refugees coming to the EU,was a serious problem for France.The current situation of EU,which is shaken over the acceptance of immigrants and refugees,is grave for France,having a strategic pillar which is to raise the own presence in global politics by obtaining the leadership in the EU.France sets out to put the migration and refugee issues to rest,to maintain EU’s political power and to seize the initiative in the EU.This article will analyze such a national strategy of France focusing on the process from Chirac’s administration to Macron’s.
文摘Editor's note : About a hundred years ago, a large number of progress young Chinese with great ambitions went to France for Work-Study programs to introduce French science and arts to China, so as to save the nation and the people. Among them, a generation of Chinese artists studying in France created splendid works which had played an essential role in the history of Chinese arts in the 20th century.
文摘The reccnt Alcatel Lucent failure is an example of how many mergers run into considerable implementing difficulties in the months following their launch. Despite promising perspectives,no coherent whole seems to come out of the merger,just as anticipated synergies have a hard time materializing.
文摘On May 7th, Jacques Chirac, candidate of the Rally for the Republic (RPR)and Mayor of Paris, defeated the Socialist candidate Lionel Jospin in the secondround of the French presidential election and was elected the fifth president of theFifth Republic. Alain Juppe, Chirac’s close assistant and former foreign minister,was appointed as the prime minister of the new cabinet. Thus ended the formerPresident Francois Mitterrand’s Socialist rule of 14 years and ushered in an epochof Gaullist Chirac, a man who will lead France into the 21st century.
文摘On March 26, the Centennial Seminar on es of Fine Arts between China and France, cosponsored by China Cultural Center in Paris,National Art Museum of China (NAMOC) and Network of International Culturalink Entities, was held at China Cultural Center in Paris? Experts from China and France conducted in-depth discussions on the theme of Centennial Exchanges of Fine Arts and. Academic Communication between China and France? The experts include Yan Zhenquan, Director of China Cultural Center in Paris, Wu Weishan, Director of NAMOC and Claude Abeille and Jean Cardot, academicians of Academy of F ine Art, Insititute of France.