An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subse...An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury of sinuatrial nodal artery leading to acute atrial contractility loss, accompanied by atrioventricular junctional arrhythmia, was diagnosed. We recommend that preoperative risk evaluation be required for multi-risk patients. Likewise, emergent measures should to be established in advance. This case reminds us that atrial pacing can be an optimal management technique once cardiogenic shock has occurred.展开更多
For two decades, in France, an increasing number of activities and tourist services have been increasingly designed and structured to meet the needs and expectations of people with disabilities. This is as a result of...For two decades, in France, an increasing number of activities and tourist services have been increasingly designed and structured to meet the needs and expectations of people with disabilities. This is as a result of initiatives taken by many tourism and leisure operators, as well as actors from the medico-social worker＇s sector. There has also been the establishment of a national campaign, entrusted by the delegated Ministry of Tourism to the Tourism and Handicaps Association （ATH）. The campaign aims firstly, to make tourism accessible to customers with special needs, and secondly, to promote accessibility through the awarding of a certification label. Recently, a new label which defends accessibility in a specific area called ＂destination for all＂ has been created. This new label shows the evolution of accessibility from an ecological and systemic perspective which seems more practical and operational to respond to the daily needs and life of people with disabilities.展开更多
Farm tourism with recreational farm industry （RFI） is often considered as an economic alternative for farmers who are facing decreasing profits and might require another form of revenue. Compared with other industri...Farm tourism with recreational farm industry （RFI） is often considered as an economic alternative for farmers who are facing decreasing profits and might require another form of revenue. Compared with other industries, the most obvious advantage and benefit of RFI are not only economic incentives but environmental sustainability. Due to the increase in governmental income and global economic recession, RFI became an important way to broaden profit base for many governments. Recently, the successful RFI development in Taiwan is well-known. This research discussed the situation and main advantages of RFI, and mainly reviews RFI development/communicative strategies in Taiwan as a case study. This research finds the key success factors are： building the single window service scheme, development of creative value, build up the marketing routes of leisure industries scheme, improve the quality and service of recreational farming products scheme, and putting into series advertisement.展开更多
The building as a model for conceiving a project： The future of the construction industry will be a science of what to do with the built environment rather than the classical problem of what is needed to be built. Th...The building as a model for conceiving a project： The future of the construction industry will be a science of what to do with the built environment rather than the classical problem of what is needed to be built. The necessary areas for living, working and entertainment are probably already built, but we need to update them to comply with the new codes, the new needs and the new uses of our society. For this reason we are looking at new ways of addressing our profession： Firstly we have to decide whether a new way of living requires a new space or if there is already an existing space available. Secondly, we have to adapt the chosen space to the new requirements of society and the new codes and regulations. Thirdly, we have to think about the sustainable and energetic needs, in order to update the building to the new efficiency requirements in terms of energy. Life cicle： We want to add a vision of life cycle to a building in terms of changing and updating. With this vision we are looking for ＂quality existing buildings＂ and for a way of designing ＂versatile frameworks＂ and layouts allowing for future renovation and refurbishments, Therefore our research is two pronged： （1） Identify examples of transformable buildings; （2） Looking for a design strategy that allows for easy changes of use.展开更多
Nearly half of the global population are carriers of Helicobacter pylori(H. pylori),a Gram-negative bacterium that persists in the healthy human stomach. H. pylori can be a pathogen and causes development of peptic ul...Nearly half of the global population are carriers of Helicobacter pylori(H. pylori),a Gram-negative bacterium that persists in the healthy human stomach. H. pylori can be a pathogen and causes development of peptic ulcer disease in a certain state of the macroorganism. It is well established that H. pylori infection is the main cause of chronic gastritis and peptic ulcer disease(PUD). Decontamination of the gastric mucosa with various antibiotics leads to H. pylori elimination and longer remission in this disease. However,the reasons for repeated detection of H. pylori in recurrent PUD after its successful eradication remain unclear. The reason for the redetection of H. pylori in recurrent PUD can be either reinfection or ineffective anti-Helicobacter therapy. The administration of antibacterial drugs can lead not only to the emergence of resistant strains of microorganisms,but also contribute to the conversion of H. pylori into the resting(dormant) state. The dormant forms of H. pylori have been shown to play a potential role in the development of relapses of PUD. The paper discusses morphological H. pylori forms,such as S-shaped,C-shaped,U-shaped,and coccoid ones. The authors proposes the classification of H. pylori according to its morphological forms and viability.展开更多
文摘An 82-year-old female patient undergoing cardiogenic shock caused by atrioventficular junctional rhythm immediately after percutaneous coronary intervention （PCI） is described. Pharmacotherapy was invalid, and subsequent application of atrial pacing reversed the cardiogenic shock. PCI-related injury of sinuatrial nodal artery leading to acute atrial contractility loss, accompanied by atrioventricular junctional arrhythmia, was diagnosed. We recommend that preoperative risk evaluation be required for multi-risk patients. Likewise, emergent measures should to be established in advance. This case reminds us that atrial pacing can be an optimal management technique once cardiogenic shock has occurred.
文摘For two decades, in France, an increasing number of activities and tourist services have been increasingly designed and structured to meet the needs and expectations of people with disabilities. This is as a result of initiatives taken by many tourism and leisure operators, as well as actors from the medico-social worker＇s sector. There has also been the establishment of a national campaign, entrusted by the delegated Ministry of Tourism to the Tourism and Handicaps Association （ATH）. The campaign aims firstly, to make tourism accessible to customers with special needs, and secondly, to promote accessibility through the awarding of a certification label. Recently, a new label which defends accessibility in a specific area called ＂destination for all＂ has been created. This new label shows the evolution of accessibility from an ecological and systemic perspective which seems more practical and operational to respond to the daily needs and life of people with disabilities.
文摘Farm tourism with recreational farm industry （RFI） is often considered as an economic alternative for farmers who are facing decreasing profits and might require another form of revenue. Compared with other industries, the most obvious advantage and benefit of RFI are not only economic incentives but environmental sustainability. Due to the increase in governmental income and global economic recession, RFI became an important way to broaden profit base for many governments. Recently, the successful RFI development in Taiwan is well-known. This research discussed the situation and main advantages of RFI, and mainly reviews RFI development/communicative strategies in Taiwan as a case study. This research finds the key success factors are： building the single window service scheme, development of creative value, build up the marketing routes of leisure industries scheme, improve the quality and service of recreational farming products scheme, and putting into series advertisement.
文摘The building as a model for conceiving a project： The future of the construction industry will be a science of what to do with the built environment rather than the classical problem of what is needed to be built. The necessary areas for living, working and entertainment are probably already built, but we need to update them to comply with the new codes, the new needs and the new uses of our society. For this reason we are looking at new ways of addressing our profession： Firstly we have to decide whether a new way of living requires a new space or if there is already an existing space available. Secondly, we have to adapt the chosen space to the new requirements of society and the new codes and regulations. Thirdly, we have to think about the sustainable and energetic needs, in order to update the building to the new efficiency requirements in terms of energy. Life cicle： We want to add a vision of life cycle to a building in terms of changing and updating. With this vision we are looking for ＂quality existing buildings＂ and for a way of designing ＂versatile frameworks＂ and layouts allowing for future renovation and refurbishments, Therefore our research is two pronged： （1） Identify examples of transformable buildings; （2） Looking for a design strategy that allows for easy changes of use.
文摘Nearly half of the global population are carriers of Helicobacter pylori(H. pylori),a Gram-negative bacterium that persists in the healthy human stomach. H. pylori can be a pathogen and causes development of peptic ulcer disease in a certain state of the macroorganism. It is well established that H. pylori infection is the main cause of chronic gastritis and peptic ulcer disease(PUD). Decontamination of the gastric mucosa with various antibiotics leads to H. pylori elimination and longer remission in this disease. However,the reasons for repeated detection of H. pylori in recurrent PUD after its successful eradication remain unclear. The reason for the redetection of H. pylori in recurrent PUD can be either reinfection or ineffective anti-Helicobacter therapy. The administration of antibacterial drugs can lead not only to the emergence of resistant strains of microorganisms,but also contribute to the conversion of H. pylori into the resting(dormant) state. The dormant forms of H. pylori have been shown to play a potential role in the development of relapses of PUD. The paper discusses morphological H. pylori forms,such as S-shaped,C-shaped,U-shaped,and coccoid ones. The authors proposes the classification of H. pylori according to its morphological forms and viability.
