Adverse Pregnancy Outcomes Following Cryotherapy, Thermal Ablation and Loop Electrosurgical Excision Procedure for Cervical Intraepithelial Neoplasia Treatment: A Pilot Study among Zambian Women

Background: Cervical Intraepithelial neoplasia treatments have become essential interventions to manage cervical lesions. Majority of the recipients of these treatments are women within the reproductive age group, who according to literature may be at risk of adverse pregnancy outcomes. This pilot study is part of a study investigating adverse pregnancy outcomes among women who received Cryotherapy, Thermal ablation and Loop Electrosurgical Excision Procedure compared to the untreated women in Zambia. Materials and Methods: This descriptive study analyzed records of 886 (n = 443 treated and n = 443 untreated) women aged 15 - 49 years. The women were either screened with Visual Inspection with Acetic Acid or treated for Cervical Intraepithelial neoplasia at the Adult Infectious Disease Centre between January 2010 and December 2020. Women meeting the criteria were identified using the Visual Inspection with Acetic Acid screening records and telephone interviews to obtain the adverse pregnancy outcome experienced. Data were analysed using STATA version 16 to determine the prevalence and obtain frequency distribution of outcomes of interest. Univariate and multivariable binary logistic regression estimated odds of adverse pregnancy outcomes across the three treatments. Results: The respondents were aged 15 to 49 years. Adverse pregnancy outcomes were observed to be more prevalent in the treatment group (18.5%) compared to the untreated group (5.4%). Normal pregnancy outcomes were lower in the treated (46.3%;n = 443) than the untreated (53.7%;n = 443). The treated group accounted for the majority of abortions (85.2%), prolonged labour (85.7%) and low birth weight (80%), whereas, the untreated accounted for the majority of still births (72.7%). Women treated with cryotherapy (aOR = 2.43, 95% CI = 1.32 - 4.49, p = 0.004), thermal ablation (aOR = 6.37, 95% CI = 0.99 - 41.2, p = 0.052) and Loop Electrosurgical Excision Procedure (aOR = 9.67, 95% CI = 2.17 - 43.1, p = 0.003) had two-, six- and ten-times higher odds of adverse pregnancy outcomes respectively, relative to women who required no treatment. Conclusion: Adverse pregnancy outcomes are prevalent among women who have received treatment in Zambia. The findings indicate that treating Cervical Intraepithelial Neoplasia has been linked to higher chances of experiencing abortion, delivering low birth weight babies and enduring prolonged labor that may result in a caesarean section delivery. Cervical neoplasia treatments, particularly Loop Electrosurgical Excision Procedure, are associated with significantly increased odds of adverse pregnancy outcomes. It is essential to include information about prior Cervical Intraepithelial neoplasia treatment outcomes in obstetric care.

The"4+4"Medical Doctor(MD)Pilot Program at PUMC:Implementation,Performance,and Prospects

Peking Union Medical College(PUMC)launched the"4+4"Medical Doctor(MD)pilot program in 2018,admitting students with non-medical backgrounds from top universities,aligning with national medical talent training policies to foster diverse and eager learners in medicine.On the occasion of the graduation of the first class of the"4+4"MD pilot class at PUMC in 2023,we reviewed the teaching reform in the pilot program and carried out a systematic survey and interviews with students,faculties,and management staff of the pilot class.This article reports on the measures taken by the pilot class at PUMC in enrollment and curriculum setting,and demonstrates the achievements of the pilot class in terms of student academic background structure,knowledge acquisition and skill learning,scientific research ability,and course evaluation.The results indicated that the pilot class had met the national demand for the"Medicine+X"talent training model.More specifically,with a diverse academic backgrounds,the pilot class graduates had academic levels comparable to the eight-year medical education graduates,and their scientific research abilities were satisfactory.The pilot program at PUMC will optimize the curriculum setting,strengthen the construction of faculty,learning resources,and teaching facilities,and reform the academic evaluation methods,thus deepening the reform of medical education and improving the"4+4"MD program as a novel medical education model.

Exploration of Operation and Maintenance Management Mode and Innovation Mechanism of Pilot Base of Chemical Park

Based on the current situation of the operation and maintenance management of the pilot base in many chemical parks in China,this paper conducts an in-depth exploration of the operation and maintenance management and innovation mode of the pilot base from the aspects of the evaluation of the pilot project entering the park,safety and environmental protection supervision,pilot mode,and industrialization mode of the pilot test results,so as to provide solutions for accelerating the process and industrialization of the pilot project and realizing the innovation value of the pilot base.

Optimization of Enzymatic Extraction Process of Polysaccharides from Pseudostellaria heterophylla Fibrous Roots by Response Surface Methodology and Its Pilot Application

[Objectives]To study and optimize the process conditions of enzymatic hydrolysis technology for extracting polysaccharides from Pseudostellaria heterophylla fibrous roots and its application in workshop pilot tests.[Methods]P.heterophylla fibrous roots were taken as the matrix material,and Box Behnken design was used to analyze the extraction time,composite enzyme addition amount,and liquid-solid ratio for response surface optimization experiments,and then applied to the pilot extraction of P.heterophylla fibrous roots.[Results]Response surface analysis showed that all factors had a significant impact on the experimental indicators.The optimal extraction process conditions for polysaccharides from P.heterophylla fibrous roots were extraction time of 2.7 h,compound enzyme addition of 2.5%,and liquid-solid ratio of 32.The yield of polysaccharides from P.heterophylla fibrous roots was 4.83%.The water extraction process of P.heterophylla fibrous roots extraction pilot was used as the control group for response surface optimization of the pilot experiment.The optimization results showed that the extraction time was 3 h,the amount of composite enzyme added was 2.5%,and the liquid-solid ratio was 28.The polysaccharide yield was 4.75%,an increase of 4.63%compared to the control group.[Conclusions]This paper could provide feasibility for the innovation of enzy-matic hydrolysis technology for P.heterophylla fibrous roots and its workshop pilot practice application,as well as a reference for the industrial application of its medicinal resources.

Command filtered integrated estimation guidance and control for strapdown missiles with circular field of view

In this paper,an integrated estimation guidance and control(IEGC)system is designed based on the command filtered backstepping approach for circular field-of-view(FOV)strapdown missiles.The threedimensional integrated estimation guidance and control nonlinear model with limited actuator deflection angle is established considering the seeker's FOV constraint.The boundary time-varying integral barrier Lyapunov function(IBLF)is employed in backstepping design to constrain the body line-of-sight(BLOS)in IEGC system to fit a circular FOV.Then,the nonlinear adaptive controller is designed to estimate the changing aerodynamic parameters.The generalized extended state observer(GESO)is designed to estimate the acceleration of the maneuvering targets and the unmatched time-varying disturbances for improving tracking accuracy.Furthermore,the command filters are used to solve the"differential expansion"problem during the backstepping design.The Lyapunov theory is used to prove the stability of the overall closed-loop IEGC system.Finally,the simulation results validate the integrated system's effectiveness,achieving high accuracy strikes against maneuvering targets.

The Tenth Anniversary of Free Trade Pilot Zones in China:Fundamental Experiences and Enhancement Strategies

Since the 18th National Congress of the Communist Party of China,the country has established 21 Free Trade Pilot Zones(FTZs),achieving significant pioneering results in reform and opening up and creating a strong demonstrative effect nationwide.The basic experience from a decade of FTZs includes:adhering to the centralized and unified leadership of the CPC Central Committee;combining top-level design with encouragement of grassroots innovation;leveraging the distinct characteristics and strengths of FTZs to form a differentiated development pattern;maintaining the integration of opening up with domestic reforms;using openness to drive reforms;and organically combining openness with national security assurance.Under the current and future new circumstances,China’s FTZs face new challenges and tasks.In accordance with the directives of the 20th National Congress of the Communist Party of China,an enhancement strategy for the FTZs needs to be implemented.This involves the following:First,accurately understanding and responding to the changing situation to create strategic opportunities.Second,shifting paradigms to implement innovation-driven strategies,using the new development pattern concept to guide the reform experiments and construction of the FTZs.Third,granting more autonomy to FTZs for reforms,pursuing progress while maintaining stability,and solidly advancing the reform experiments in the FTZs.Fourth,orderly expanding the opening up of the service sector and cautiously advancing the internationalization of the renminbi.Fifth,promoting innovative development in trade to build a strong trade nation.Sixth,establishing synergy with bilateral FTZs,Belt and Road cooperation,and national diplomatic strategies to enhance the linkage effect.

Hazardous Attitude Factors Influence Risk Perception in General Aviation Pilots

This manuscript presents a research proposal to investigate how hazardous attitudes among general aviation pilots influence pilot performance in aviation accidents. General aviation pilots train to maintain safe flying conditions, but accidents still occur, and human factors figure prominently among the causes of aviation accidents. The levels of hazardous attitudes among pilots may influence the likelihood of engaging in risky flight behaviors that can lead to accidents. This quantitative study aims to determine whether dangerous attitudes impact risk perception in general aviation pilots. The study will focus on two specific hazardous attitudes, “Anti-Authority” and Macho” behaviors. Among the hazardous attitudes identified by the Federal Aviation Administration (FAA), the two attitudes often stand out in accident investigations and pilot narratives. While all hazardous attitudes have inherent dangers, these two attitudes tend to be more frequently cited in accident reports and investigations. Despite rigorous training in safe flying conditions, general aviation accidents still transpire due to human factors. This research hypothesizes that the five attitudes from the hazardous attitude model, particularly Anti-Authority and Macho, significantly shape pilots’ risk perception. The insights from this study would benefit stakeholders, like the Aircraft Owners and Pilots Association (AOPA), Air Safety Institute, and aviation training programs, in creating training modules tailored to reduce such attitudes.

Low PAPR Channel Estimation for OTFS with Scattered Superimposed Pilots

Orthogonal time frequency space(OTFS)modulation has been proven to be superior to traditional orthogonal frequency division multiplexing(OFDM)systems in high-speed communication scenarios.However,the existing channel estimation schemes may results in poor peak to average power ratio(PAPR)performance of OTFS system or low spectrum efficiency.Hence,in this paper,we propose a low PAPR channel estimation scheme with high spectrum efficiency.Specifically,we design a multiple scattered pilot pattern,where multiple low power pilot symbols are superimposed with data symbols in delay-Doppler domain.Furthermore,we propose the placement rules for pilot symbols,which can guarantee the low PAPR.Moreover,the data aided iterative channel estimation was invoked,where joint channel estimation is proposed by exploiting multiple independent received signals instead of only one received signal in the existing scheme,which can mitigate the interference imposed by data symbols for channel estimation.Simulation results shows that the proposed multiple scattered pilot aided channel estimation scheme can significantly reduce the PAPR while keeping the high spectrum efficiency.

Does innovative city pilot policy promote urban green growth in China?An analysis of green total factor productivity,2005-2020

The innovative city pilot policy(ICPP)is an essential manifestation of China’s construction of an innovative and green-driven development country.We incorporated urban green total factor productivity(GTFP)growth into the evaluation of ICPP.Based on the panel data of 223 cities in China from 2005 to 2020,we used the difference-in-differences model to empirically assess the influence and mechanism of the ICPP on urban GTFP growth.The main results show that(i)The ICPP has maintained an effectively fluctuating promotion on urban GTFP growth,mainly manifested in the urban green technological progress improvement.(ii)The ICPP has urban heterogeneity in promoting GTFP growth in pilot cities,mainly affecting key cities such as provincial capitals.(iii)The interaction between the agglomeration of producer services and the ICPP inhibits GTFP growth in pilot cities.

Key technologies and applications of intelligent dispatching command for high-speed railway in China

Purpose–The intelligent Central Traffic Control(CTC)system plays a vital role in establishing an intelligent high-speed railway(HSR)system.As the core of HSR transportation command,the intelligent CTC system is a new HSR dispatching command system that integrates the widely used CTC in China with the practical service requirements of intelligent dispatching.This paper aims to propose key technologies and applications for intelligent dispatching command in HSR in China.Design/methodology/approach–This paper first briefly introduces the functions and configuration of the intelligent CTC system.Some new servers,terminals and interfaces are introduced,which are plan adjustment server/terminal,interface for automatic train operation(ATO),interface for Dynamic Monitoring System of Train Control Equipment(DMS),interface for Power Supervisory Control and Data Acquisition(PSCADA),interface for Disaster Monitoring,etc.Findings–The key technologies applied in the intelligent CTC system include automatic adjustment of train operation plans,safety control of train routes and commands,traffic information data platform,integrated simulation of traffic dispatching and ATO function.These technologies have been applied in the Beijing-Zhangjiakou HSR,which commenced operations at the end of 2019.Implementing these key intelligent functions has improved the train dispatching command capacity,ensured the safe operation of intelligent HSR,reduced the labor intensity of dispatching operators and enhanced the intelligence level of China’s dispatching system.Originality/value–This paper provides further challenges and research directions for the intelligent dispatching command of HSR.To achieve the objectives,new measures need to be conducted,including the development of advanced technologies for intelligent dispatching command,coping with new requirements with the development of China’s railway signaling system,the integration of traffic dispatching and train control and the application of AI and data-driven modeling and methods.

Robot Pilot:A New Autonomous System toward Flying Manned Aerial Vehicles

The robot pilot is a new concept of a robot system that pilots a manned aircraft,thereby forming a new type of unmanned aircraft system(UAS)that makes full use of the platform maturity,load capacity,and airworthiness of existing manned aircraft while greatly expanding the operation and application fields of UASs.In this research,the implementation and advantages of the robot pilot concept are discussed in detail,and a helicopter robot pilot is proposed to fly manned helicopters.The robot manipulators are designed according to the handling characteristics of the helicopter-controlling mechanism.Based on a kinematic analysis of the robot manipulators,a direct-driving method is established for the robot flight controller to reduce the time delay and control error of the robot servo process.A supporting ground station is built to realize different flight modes and the functional integration of the robot pilot.Finally,a prototype of the helicopter robot pilot is processed and installed in a helicopter to carry out flight tests.The test results show that the robot pilot can independently fly the helicopter to realize forward flight,backward flight,side flight,and turning flight,which verifies the effectiveness of the helicopter robot pilot.

A Method for Classification and Evaluation of Pilot’s Mental States Based on CNN

How to accurately recognize the mental state of pilots is a focus in civil aviation safety.The mental state of pilots is closely related to their cognitive ability in piloting.Whether the cognitive ability meets the standard is related to flight safety.However,the pilot’s working state is unique,which increases the difficulty of analyzing the pilot’s mental state.In this work,we proposed a Convolutional Neural Network(CNN)that merges attention to classify the mental state of pilots through electroencephalography(EEG).Considering the individual differences in EEG,semi-supervised learning based on improvedK-Means is used in themodel training to improve the generalization ability of the model.We collected the EEG data of 12 pilot trainees during the simulated flight and compared the method in this paper with other methods on this data.The method in this paper achieved an accuracy of 86.29%,which is better than 4D-aNN and HCNN etc.Negative emotion will increase the probability of fatigue appearing,and emotion recognition is also meaningful during the flight.Then we conducted experiments on the public dataset SEED,and our method achieved an accuracy of 93.68%.In addition,we combine multiple parameters to evaluate the results of the classification network on a more detailed level and propose a corresponding scoring mechanism to display the mental state of the pilots directly.

Could Military Commanders’ Good LeadershipInfluence Subordinates’ Smartphone Overdependence? A Serial Mediation Analysis

Owing to the ubiquitous use of smartphones by soldiers, military researchers have an increasing interest in potentially problematicside effects such as smartphone overdependence. This raises a question regarding the psychological mechanisms underlying thepotentially self-damaging use of smartphones. Here, we address this question by analyzing how heterogeneity in commander’sgood leadership explains subordinate soldiers’ differences in self-control and smartphone use. Specifically, we found thatsubordinate soldiers who thought their commander's leadership was good were self-regulated, less dependent on smartphones,less stressed, and finally had good mental health. This result indicates that commander’s good leadership can be used toestimate whether subordinate soldiers exert control over their impulses and use their smartphones properly. Thus, the currentfindings help to identify external factors that lead to a better understanding of problematic smartphone use and can potentiallyhelp to design appropriate preventive mechanisms or interventions that target commander’s good leadership.

Study of the Activation Process of a 2 m3 Pilot Biodigester on a Microfarm Site

A domestic balloon-type digester with 1200 liters of substrate and a 700-litre gas reserve was installed at the Université Gaston Berger pilot farm, which has 4 cows. After an initial load of 1000 L of water, 90 L of bovine rumen and 145 L of cow dung, the functional parameters of the reaction medium, i.e., temperature, pH, salinity and conductimetry, were regularly monitored at a rate of 3 tests per day until the thirtieth day, corresponding to the flame test and the start of analysis and daily loading of the biodigester. The analysis of the biogas obtained after the flame test showed us the considerable contribution of bovine hindquarters to the CH4 fraction, which reached 72.2% from the start of the production phase. As anaerobic digestion is both a complex and multiparametric process, microbiological analysis revealed the presence of several strains of bacteria in the substrate used. Among the most abundant were Escherichia coli, Klebsiella spp, non-fermentative Gram-negative bacilli and Enterococcus sp. However, the bacterial strain that interests us most in anaerobic digestion is the non-fermentative Gram-negative family. We see the identification and temporal monitoring of these families of bacteria as a major step forward in the control of anaerobic fermentation processes in the Sahelian context and in Senegal in particular.

On Differentiation Among Pilot Signals of Multiple Mobile Targets in Retro-Reflective Beamforming for Wireless Power Transmission

An experimental study is conducted on several retro-reflective beamforming schemes for wireless power transmission to multiple wireless power receivers(referred to herein as“targets”).The experimental results demonstrate that,when multiple targets broadcast continuous-wave pilot signals at respective frequencies,a retro-reflective wireless power transmitter is capable of generating multiple wireless power beams aiming at the respective targets as long as the multiple pilot signals are explicitly separated from one another by the wireless power transmitter.However,various practical complications are identified when the pilot signals of multiple targets are not appropriately differentiated from each other by the wireless power transmitter.Specifically,when multiple pilot signals are considered to be carried by the same frequency,the wireless power transmission performance becomes heavily dependent on the interaction among the pilot signals,which is highly undesirable in practice.In conclusion,it is essential for a retro-reflective wireless power transmitter to explicitly discriminate multiple targets’pilot signals among each other.

Pilot Test for Nitrogen Foam Flooding in Low Permeability Reservoir

Due to the characteristics of reservoir formation,the producing level of low permeability reservoir is relatively very low.It is hard to obtain high recovery through conventional development schemes.Considering the tight matrix,complex fracture system,low production level of producers,and low recovery factor ofMblock in Xinjiang oilfield,it is selected for on-site pilot test of nitrogen foam flooding.Detailed flooding scheme is made and the test results are evaluated respectively both for producers and injectors.The pressure index,filling degree,and fluid injection profile are found to be all improved in injectors after injection of nitrogen foam.The oil production,water cut and liquid production file are also improved in most of the producers,with the natural decline rate in the test area become slow.Results show that nitrogen foam flooding technology can be good technical storage for enhanced oil recovery in low permeability reservoir.

“New Regulations”born regarding the pilot customized cosmetics

On April 10th,2023,Shanghai Medical Products Administration released a notice on publicly asking for opinions about Rules for the On-site Personalized Service Examination of Ordinary Cosmetics of Shanghai Pudong New Area(Trial)(exposure draft).This notice mainly explained the targeted group,purpose of release,condition of applying for filing,rules which organizations and relevant people should obey,quality administration system of personalized cosmetics.

The Current Situation and Future Expectationsof China's Pilot Boatsl

Pilots need to board the ship for pilotage,but there are risks or potential dangers in the transfer of pilot.The author reviewed the history of the development of pilot boats,analyzed the potential risks or dangers of transferring pilot,proposed that pilot boat shall have the function of ensuring the safety of pilot when embarking or disembarking the ships,some suggestions on the future design and manufacture of Chinese pilot boats are also given according to the advantages and disadvantages of domestic and foreign pilot boats.

我国结核病关爱行动试点项目基线调查分析

目的:分析“我国结核病关爱行动试点项目”首批40个试点县(区)实施前的结核病防治工作基本情况,为后续实施效果的评估及相关措施的推广提供基线数据。方法:2023年4—6月,中国疾病预防控制中心结核病控制中心向首批实施试点项目的15个省的40个试点县(区)结核病防治机构发放统一的半结构化电子版调查问卷,了解并分析项目开始前一年(即2022年)试点县(区)结核病定点医疗机构的服务能力、结核病患者人文关怀和重点人群筛查等措施的开展情况。结果:40个试点县(区)定点医疗机构以综合医院为主[23家(57.50%)],其次是专科医院[8家(20.00%]和疾病预防控制机构[6家(15.00%)]。共有结核病防治人员1017名,每家配备专业人员范围[中位数(四分位数)]为3~64名[19.5(12.5,34.0)名],以门诊和住院医生、护理人员为主[分别为326名(32.05%)和225名(22.12%)],其次为影像科医生和实验室人员[分别为187名(18.39%)和134名(13.18%)]。共报告结核病患者10123例,包括9980例(98.59%)肺结核[包括病原学阳性患者6326例(63.39%)]和143例(1.41%)肺外结核,病原学阴性肺结核的诊断总符合率为85.69%(629/734),但对气管支气管结核的诊断符合率仅有17.86%(5/28)。40个试点县(区)均开展了抗酸杆菌涂片显微镜检查和结核菌素皮肤试验(PPD试验),开展分枝杆菌分离培养、结核分枝杆菌核酸检测和抗结核药物耐药筛查的县(区)分别有39个(97.50%)、37个(92.50%)和32个(80.00%),但开展重组结核分枝杆菌融合蛋白和γ-干扰素释放试验的仅分别有16个(40.00%)和19个(47.50%);开展X线摄影检查、CT检查、人工智能诊断阅片和远程会诊等技术的分别有39个(97.50%)、31个(77.50%)、14个(35.00%)和23个(57.50%)。17个(42.50%)县(区)应用了信息化手段管理患者,15个(37.50%)县(区)提供了交通或营养补助,但开展营养评估和支持治疗、心理支持的均不足30%;36个(90.00%)县(区)将结核病纳入门诊特殊病种,分别有26个(65.00%)县(区)将耐药结核病纳入大病保障和分子生物学检测纳入报销范围。HIV感染者/AIDS患者和结核病患者密切接触者的胸部影像学总体筛查率均较高[分别为96.06%(17105/17807)和92.81%(46884/50515)],但65岁及以上老年人和糖尿病患者的总体筛查率均较低[分别为13.48%(377436/2800877)和12.27%(93808/764416)]。新生入学结核病筛查开展率不高[60.00%(24/40)~80.00%(32/40)],托养机构和福利机构开展率偏低[分别为20.69%(6/29)和25.00%(8/32)]。结论:各试点县(区)试点前均已具备结核病诊断所需的基本硬件条件,但尚需在病原学阴性肺结核规范诊断、信息化管理手段的应用、患者人文关怀措施和医疗保障政策的落实,以及重点人群的筛查方面进一步提升。

A Pilot Study about the First Cases of Coronary Angioplasty in Democratic Republic of Congo/Kinshasa: Patient Profile

Background: The objective of this pilot study was to describe clinical profile, electric, echocardiographic and angiographic caracteristics with procedural outcome of congolease patients undergoing coronarography in the first and only one cardiac catheterization center opened in Kinshasa. Methods: An analytical cross-sectional study was carried out over a period from October 2019 (date of establishment of the first coronary angiography unit in DR Congo) to March 2021. We proceeded to a serial sampling of the consecutive cases of all the patients who have an angiographic exploration of coronary arteries. Clinical, ECG and cardiac ultrasound data were collected in all patients. The indications for the coronary angiography examination were set by differents cardiologists on the basis of repolarization troubles in the electrocardiogram, cinetic troubles in echocardiography, positive stress test and chest pain in patients with cardiovascular risq factors. Results: The serie (47 patients) was predominantly male with a sex ratio M/W of 2.6. The average age was 59.8 ± 10.5 years. Arterial hypertension (HBP) was the main risk factor (89.4%);followed by diabetes mellitus (14.9%). Chest pain was the main functional sign with an atypical character in 44.7%. The ECG showed ST segment depression (17%) and T wave inversion (17%), the anterior region being the most affected. Hypokinesia was the most common echocardiographic abnormality (34%), followed by akinesia (10.6%). The anteroseptal and apical territories were affected in 12.8%. Dilated myocardiopathy (DMC) was significantly predominant in the male sex (29.4% vs 7.7%;p = 0.011). With radial puncture as the main approach, coronary angiography was pathological in 44% revealing mono-truncal lesions. The left coronary network was the most affected: the middle inter ventricular artery (12.8%), the proximal interventricular artery (10.6%) and the proximal circonflex artery (10.6%). In multivariate logistic regression analysis, age (for age > 50 years for men and >60 years for women), arterial hypertension and dilated cardiomyopathy emerged as independent determinants of pathological coronary angiography. Transluminal angioplasty was performed in 27.7% of patients. The bypass indication was retained in 4.3% of cases and medical treatment in 68%. Conclusion: Coronary angiography was used to diagnose lesions responsible for ischemic heart disease and to treat 27.7% of patients locally. The young age of patients and limited financial resources encourage the strengthening of preventive measures against cardio vascular risq factors.