<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The ...<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The purpose of this study was to identify a possible association between high ambulatory pulsed pressure and left ventricular geometry change in African black people. <b>Material and methods:</b> We conducted a bicentric, retrospective descriptive and analytical study that took place from 2010 to 2015 at the Abidjan Heart Institute and the Polyclinic Sainte Anne Marie in Abidjan. The people were selected from MAPA’s archive files. Those aged 18 years and over were included, all of whom had valid echocardiography and MAPA. The analyzed parameters concerned epidemiological data with age, gender and body surface area. The clinical data analyzed included systolic, diastolic, mean and 24-hours pulsed pressures. On the echocardiographic parameters, it was the evaluation of the ventricular mass indexed to the body surface. <b>Results: </b>A total of 177</span> patients records were selected. The mean age of the patients was 56.32 ± 10.51 years. There was a male predominance with a sex ratio of 1.15. The main cardiovascular risk factors found outside high blood pressure were dyslipidemia (06.87%) and obesity (13.7%). In clinical terms, hypertension was found in 75% of cases (n = 133) versus 25% (n = 44) of normotensive patients. These blood pressure profiles allowed us to classify our study population into two groups:<span "=""> hypertensives people and normotensives people. The hypertensives people had significantly higher mean pulsed pressure levels than the normotensives people. All normotensive patients had normal pulsed pressure. In the hypertensive population, the prevalence of high pulsed pressure was 31% (n = 41) versus 69% (n = 92) normal pulsed pressure. Concerning the relationship between 24 hour ambulatory pulsed pressure and left ventricular mass, hypertensives patients with a high ambulatory pulsed pressure had a significantly higher average indexed ventricular mass than the opposite groups (p = 0.039). Their ejection fraction was significantly lower than those of the opposite populations (p = 0.000). On the analysis of the correlation between the left ventricular mass and the tension profile, we noted in our series, a strong and significant correlation (r = 0.6342;p = 0.0000) between pulsed pressure and the ventricular geometry change. <b>Conclusion: </b>High ambulatory pulsed pressure remains an independent factor of change in left ventricular geometry in black people.</span> </div>展开更多
发展残疾人体育,对于保障残疾人平等权利、促进残疾人融合发展、推动残疾人共享经济社会发展成果具有重要意义。中华人民共和国成立以来,我国残疾人体育发展水平快速提升,彰显了我国推动残疾人事业发展的制度优势。国家层面提出的将残...发展残疾人体育,对于保障残疾人平等权利、促进残疾人融合发展、推动残疾人共享经济社会发展成果具有重要意义。中华人民共和国成立以来,我国残疾人体育发展水平快速提升,彰显了我国推动残疾人事业发展的制度优势。国家层面提出的将残疾人体育纳入全民健身国家战略,与萌芽于21世纪初的“残疾人融入主流体育”(social inclusion in sport for people with disabilities)国际社会理念不谋而合。国外一些国家在政策立法、组织结构、残疾人参与主流体育形式等方面不断进行着理念实践探索,形成了残疾人融入主流体育的理论与实践成果。基于国外经验和教训,针对当前我国现状和困境,建议从强化顶层设计和整体统筹,发挥社区载体作用,完善无障碍体育健身信息服务,营造理解、尊重、支持残疾人体育健身活动的社会氛围等方面推进残疾人体育纳入全民健身公共服务体系。展开更多
Strengthening the budgetary supervision of the local People＇s Congress is essential not merely to the deepening of budgetary reform but also to the improvement of the People＇s Congress system and socialist democracy...Strengthening the budgetary supervision of the local People＇s Congress is essential not merely to the deepening of budgetary reform but also to the improvement of the People＇s Congress system and socialist democracy. Budgetary supervision by the People＇s Congress comprises three elements： information, dialogue and enforcement. A national questionnaire survey based on these three elements shows that with the deepening of budgetary reform, the budgetary supervision of the People＇s Congress has undergone a shift from procedural to substantive oversight. Nevertheless, it still faces a number of challenges at local level. In the forthcoming reforms, budgetary supervision by the People＇s Congress should be strengthened to make local governments more accountable to the people.展开更多
文摘<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The purpose of this study was to identify a possible association between high ambulatory pulsed pressure and left ventricular geometry change in African black people. <b>Material and methods:</b> We conducted a bicentric, retrospective descriptive and analytical study that took place from 2010 to 2015 at the Abidjan Heart Institute and the Polyclinic Sainte Anne Marie in Abidjan. The people were selected from MAPA’s archive files. Those aged 18 years and over were included, all of whom had valid echocardiography and MAPA. The analyzed parameters concerned epidemiological data with age, gender and body surface area. The clinical data analyzed included systolic, diastolic, mean and 24-hours pulsed pressures. On the echocardiographic parameters, it was the evaluation of the ventricular mass indexed to the body surface. <b>Results: </b>A total of 177</span> patients records were selected. The mean age of the patients was 56.32 ± 10.51 years. There was a male predominance with a sex ratio of 1.15. The main cardiovascular risk factors found outside high blood pressure were dyslipidemia (06.87%) and obesity (13.7%). In clinical terms, hypertension was found in 75% of cases (n = 133) versus 25% (n = 44) of normotensive patients. These blood pressure profiles allowed us to classify our study population into two groups:<span "=""> hypertensives people and normotensives people. The hypertensives people had significantly higher mean pulsed pressure levels than the normotensives people. All normotensive patients had normal pulsed pressure. In the hypertensive population, the prevalence of high pulsed pressure was 31% (n = 41) versus 69% (n = 92) normal pulsed pressure. Concerning the relationship between 24 hour ambulatory pulsed pressure and left ventricular mass, hypertensives patients with a high ambulatory pulsed pressure had a significantly higher average indexed ventricular mass than the opposite groups (p = 0.039). Their ejection fraction was significantly lower than those of the opposite populations (p = 0.000). On the analysis of the correlation between the left ventricular mass and the tension profile, we noted in our series, a strong and significant correlation (r = 0.6342;p = 0.0000) between pulsed pressure and the ventricular geometry change. <b>Conclusion: </b>High ambulatory pulsed pressure remains an independent factor of change in left ventricular geometry in black people.</span> </div>
文摘发展残疾人体育,对于保障残疾人平等权利、促进残疾人融合发展、推动残疾人共享经济社会发展成果具有重要意义。中华人民共和国成立以来,我国残疾人体育发展水平快速提升,彰显了我国推动残疾人事业发展的制度优势。国家层面提出的将残疾人体育纳入全民健身国家战略,与萌芽于21世纪初的“残疾人融入主流体育”(social inclusion in sport for people with disabilities)国际社会理念不谋而合。国外一些国家在政策立法、组织结构、残疾人参与主流体育形式等方面不断进行着理念实践探索,形成了残疾人融入主流体育的理论与实践成果。基于国外经验和教训,针对当前我国现状和困境,建议从强化顶层设计和整体统筹,发挥社区载体作用,完善无障碍体育健身信息服务,营造理解、尊重、支持残疾人体育健身活动的社会氛围等方面推进残疾人体育纳入全民健身公共服务体系。
基金sponsored by the 985-3 Special Fund of Sun Yat-sen Universitythe Basic Scientific Research Fund for College and Universitiesthe 2011 Youth Project of Guangdong Philosophy and Social Sciences of for the 12th Five-year Plan (Project No.:GD11YGL06)
文摘Strengthening the budgetary supervision of the local People＇s Congress is essential not merely to the deepening of budgetary reform but also to the improvement of the People＇s Congress system and socialist democracy. Budgetary supervision by the People＇s Congress comprises three elements： information, dialogue and enforcement. A national questionnaire survey based on these three elements shows that with the deepening of budgetary reform, the budgetary supervision of the People＇s Congress has undergone a shift from procedural to substantive oversight. Nevertheless, it still faces a number of challenges at local level. In the forthcoming reforms, budgetary supervision by the People＇s Congress should be strengthened to make local governments more accountable to the people.
