Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test a...Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test and the 6-minute walk test, is the measure of the patient’s overall functional ability to perform physical activities and tolerate exercise loads. The objective of this study was to assess the impact of cardiac rehabilitation on patients’ physical capabilities and to conduct a thorough comparison of data obtained via exercise testing and the 6-minute walk test before and after the rehabilitation programme. Methods: This was a descriptive and analytical cross-sectional study, conducted from 1 February 2021 to 31 June 2022. Included were heart failure patients who had participated in an outpatient cardiovascular rehabilitation programme. The collected data included anamnestic, clinical, paraclinical data, and the 6-minute walk test. Informed consent was obtained. Data analysis, word processing, and charting were performed using Microsoft Word 2016, Excel 2013, and Sphinx version 5.1.0.2. Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 24.0. Any difference less than 0.05 was considered statistically significant. Results: In a Senegalese study, heart failure patients undergoing rehabilitation in a cardiac unit represented 45.59% of all cases, with a prevalence rate of 3.21%. The average participant was 57.97 years old, with those aged 61 to 70 forming the largest group (35.5%). The study noted a male predominance (sex ratio of 2.1) and identified dyslipidaemia (80.6%) and sedentarism (71%), as prevalent cardiovascular risk factors. All participants initially suffered from NYHA stage 2 or 3 dyspnoea, yet 80.65% showed no symptoms following rehabilitation. Significant improvements were recorded in resting heart rate (from 79 to 67 bpm), and the 6-minute walk test distance (from 328 m to 470 m). Enhanced exercise tolerance and walking test outcomes were particularly notable in patients with LVEF ≥ 50%, women, non-obese individuals, those initially walking less than 300 m, achieving more than 3 METs, and non-smokers. Conclusion: The findings underscore the effectiveness of cardiovascular rehabilitation in improving symptoms, physical capability, and overall quality of life for heart failure patients in Senegal.展开更多
I noticed a photo in the exhibition room of village history in North Yangjiawa,Liyuan Township, Tongxian County, Beijing. It was the epitome of the typical northern countryside:shabby houses, bumpy dirt roads and heap...I noticed a photo in the exhibition room of village history in North Yangjiawa,Liyuan Township, Tongxian County, Beijing. It was the epitome of the typical northern countryside:shabby houses, bumpy dirt roads and heaps of garbage. I didn’t feel strange about it, as I had once lived in such a village fur more than 1,000 days and nights during the Cultural Revolution when educated urban youths were encouraged tn work in the countryside and mountains. What astonished me was the words under this photo: North Yangjiawa in 1993. I couldn’t imagine how this tremendous change could happen in only three years.展开更多
IN the countryside it is said if children are capable they must have a good mother. Dong Cuiyun is a shining example of this traditional belief. At 52, Dong, an ordinary rural woman, is neither tall nor especially sle...IN the countryside it is said if children are capable they must have a good mother. Dong Cuiyun is a shining example of this traditional belief. At 52, Dong, an ordinary rural woman, is neither tall nor especially slender, but her rosy cheeks and broad forehead speak of her energy and openness. Her husband died and left her with three children under 10 years old. But thanks展开更多
People’s livelihood concerns social development and harmony. Obtaining employment is a basic element for people’s livelihood, and so is education. Social security is necessary for people’s livelihood, and so is
文摘Background: Cardiac rehabilitation represents a critical therapeutic strategy for patients suffering from chronic heart failure. The physical capacity of patients with heart failure, assessed using the exercise test and the 6-minute walk test, is the measure of the patient’s overall functional ability to perform physical activities and tolerate exercise loads. The objective of this study was to assess the impact of cardiac rehabilitation on patients’ physical capabilities and to conduct a thorough comparison of data obtained via exercise testing and the 6-minute walk test before and after the rehabilitation programme. Methods: This was a descriptive and analytical cross-sectional study, conducted from 1 February 2021 to 31 June 2022. Included were heart failure patients who had participated in an outpatient cardiovascular rehabilitation programme. The collected data included anamnestic, clinical, paraclinical data, and the 6-minute walk test. Informed consent was obtained. Data analysis, word processing, and charting were performed using Microsoft Word 2016, Excel 2013, and Sphinx version 5.1.0.2. Data analysis was performed using SPSS (Statistical Package for Social Sciences) version 24.0. Any difference less than 0.05 was considered statistically significant. Results: In a Senegalese study, heart failure patients undergoing rehabilitation in a cardiac unit represented 45.59% of all cases, with a prevalence rate of 3.21%. The average participant was 57.97 years old, with those aged 61 to 70 forming the largest group (35.5%). The study noted a male predominance (sex ratio of 2.1) and identified dyslipidaemia (80.6%) and sedentarism (71%), as prevalent cardiovascular risk factors. All participants initially suffered from NYHA stage 2 or 3 dyspnoea, yet 80.65% showed no symptoms following rehabilitation. Significant improvements were recorded in resting heart rate (from 79 to 67 bpm), and the 6-minute walk test distance (from 328 m to 470 m). Enhanced exercise tolerance and walking test outcomes were particularly notable in patients with LVEF ≥ 50%, women, non-obese individuals, those initially walking less than 300 m, achieving more than 3 METs, and non-smokers. Conclusion: The findings underscore the effectiveness of cardiovascular rehabilitation in improving symptoms, physical capability, and overall quality of life for heart failure patients in Senegal.
文摘I noticed a photo in the exhibition room of village history in North Yangjiawa,Liyuan Township, Tongxian County, Beijing. It was the epitome of the typical northern countryside:shabby houses, bumpy dirt roads and heaps of garbage. I didn’t feel strange about it, as I had once lived in such a village fur more than 1,000 days and nights during the Cultural Revolution when educated urban youths were encouraged tn work in the countryside and mountains. What astonished me was the words under this photo: North Yangjiawa in 1993. I couldn’t imagine how this tremendous change could happen in only three years.
文摘IN the countryside it is said if children are capable they must have a good mother. Dong Cuiyun is a shining example of this traditional belief. At 52, Dong, an ordinary rural woman, is neither tall nor especially slender, but her rosy cheeks and broad forehead speak of her energy and openness. Her husband died and left her with three children under 10 years old. But thanks
文摘People’s livelihood concerns social development and harmony. Obtaining employment is a basic element for people’s livelihood, and so is education. Social security is necessary for people’s livelihood, and so is