Archaeology, ethnography, and geosciences reveal central role of traditional lifeways in shaping Madagascar's dry forests.

Many communities in southwestern Madagascar rely on a mix of foraging, fishing, farming, and herding, with cattle central to local cultures, rituals, and intergenerational wealth transfer. Today these livelihoods are critically threatened by the intensifying effects of climate change and biodiversity loss. Improved understanding of ancient community-environment dynamics can help identify pathways to livelihood sustainability.

[ReTurn To work of coronary patient: RTT French multicentre study].

Introduction: Coronary heart disease remains one of the leading causes of morbidity and mortality, and is responsible for significant social costs. Resumption of work is an essential objective when this pathology concerns working patients. French data remain patchy and relatively old.

Dual-chamber vs. single-chamber pacemaker in patients in sinus rhythm with an atrioventricular block: a nationwide cohort study.

Aims: In complete atrioventricular block (AVB) with underlying sinus rhythm, it is recommended to implant a dual-chamber pacemaker rather than a single-chamber pacemaker. However, no large-scale study has been able to demonstrate the superiority of this choice on hard clinical criteria such as morbimortality.

Methods And Results: This retrospective observational study included all patients who received a primary pacemaker implantation in the indication of complete AVB with underlying sinus rhythm in France, based on the national administrative database between January 2013 and December 2022.