WorldWideScience

Sample records for arterial esencial posible

  1. Anticuerpos anticardiolipina en pacientes con hipertensión arterial esencial

    OpenAIRE

    Diumenjo, M. S.; Testasecca, E.; Testasecca, A.; Maneschi, E.

    2014-01-01

    Los anticuerpos antifosfolípidos pueden activar el endotelio, modificar su función, alterar la regulación del tono vascular, producir daño renal, y así participar en la patogenia de la hipertensión arterial esencial. Antiphospholipid antibodies can activate the endothelium, alter their function, alter the regulation of vascular tone, cause kidney damage, and thus participate in the pathogenesis of essential hypertension. Fil: Diumenjo, M. S.. Universidad Nacional de Cuyo...

  2. Efectos terapéuticos de la microdosis de captopril en la hipertensión arterial esencial

    OpenAIRE

    Santana Téllez, Tomás Noel

    2012-01-01

    Fundamento: Prescribir una terapéutica adecuada para un diagnóstico específico siempre es complejo, más cuando los índices de control clínico y la seguridad de los medicamentos que se utilizan en la actualidad no satisfacen tales objetivos. Objetivo: Demostrar los efectos de la microdosis de captopril administrada por vía bucal en el tratamiento de la hipertensión arterial esencial. Método: Se realizaron dos ensayos clínicos aleatorizados, unicéntricos, de grupos paralelos y contr...

  3. El zinc: oligoelemento esencial

    Directory of Open Access Journals (Sweden)

    C. Rubio

    Full Text Available En este artículo se hace una revisión exhaustiva del zinc, elemento metálico esencial para el funcionamiento del organismo. Repasamos y reflejamos aspectos relacionados con la farmacocinética, con las fuentes dietéticas más importantes, así como las IDR (Ingestas Dietéticas Recomendadas del mismo. También se hace mención a los signos y síntomas relacionados tanto con una ingesta deficiente, como con posibles efectos tóxicos, derivados de ingestas excesivas.

  4. Perfil emocional y cognitivo de la hipertensión arterial esencial mantenida frente a la normotensión

    Directory of Open Access Journals (Sweden)

    Inés Magán Uceda

    2013-01-01

    Full Text Available El objetivo de este estudio ha siso analizar el perfil psicológico de la hipertensión arterial esencial (HTA-E respecto a los siguientes constructos emocionales: ira rasgo, expresión y control de la ira, ansiedad, depre- sión y estrés, incluyéndose como novedad el análisis de los pensamientos automáticos y actitudes disfuncionales relacionadas con la ira-hostilidad. Para ello se comparó un grupo de 57 adultos con HTA-E mantenida con un grupo de 37 adultos con normotensión en diferentes medidas psicométricas de dichos constructos emocionales y cognitivos. Los resultados sugieren que las personas con HTA-E, en comparación a las normotensas, muestran niveles significativamente más elevados de ansiedad y de pensamientos de afrontamiento de la ira-hostilidad así como una tendencia casi significativa a una mayor frecuencia de pensamientos hostiles y físicamente agresivos. Se discuten las implicaciones de estos hallazgos para los modelos psicológicos de la HTA-E y para el diseño o mejora de las intervenciones psicológicas en HTA-E.

  5. Epidemiología y patogenia de la hipertensión arterial esencial, rol de angiotensina II, óxido nítrico y endotelina

    Directory of Open Access Journals (Sweden)

    Eduardo Fiedler-Velásquez

    2005-07-01

    Full Text Available Actualmente se considera que la hipertensión arterial esencial es un verdadero problema de salud pública. Se estima que 1/6 de la población mundial sufre la enfermedad y en algunas poblaciones susceptibles la prevalencia es tan alta que 1 de 4 adultos mayores de 18 años es hipertenso. Aparentemente en Costa Rica la situación no es diferente a lo que ocurre mundialmente, se estima que hasta un 15.0 % de los costarricenses son hipertensos; sin embargo, los reportes de prevalencia no se encuentran actualizados. No está clara la patogenia de la hipertensión arterial esencial y las hipótesis de que sus orígenes radicaban en el riñón y en el corazón no son válidas actualmente, debido a la evidencia que demuestra que esta es una enfermedad propia del endotelio vascular en donde se conjugan factores genéticos, ambientales, humorales e inflamatorios del vaso sanguíneo que inducen a disfunción vascular. Se discuten aspectos epidemiológicos y genéticos, enfatizando en el rol patogénico de los genes de angiotensina II, oxido nítrico y endotelina

  6. Epidemiología y patogenia de la hipertensión arterial esencial, rol de angiotensina II, óxido nítrico y endotelina

    Directory of Open Access Journals (Sweden)

    Eduardo Fiedler-Velásquez

    2005-07-01

    Full Text Available Actualmente se considera que la hipertensión arterial esencial es un verdadero problema de salud pública. Se estima que 1/6 de la población mundial sufre la enfermedad y en algunas poblaciones susceptibles la prevalencia es tan alta que 1 de 4 adultos mayores de 18 años es hipertenso. Aparentemente en Costa Rica la situación no es diferente a lo que ocurre mundialmente, se estima que hasta un 15.0 % de los costarricenses son hipertensos; sin embargo, los reportes de prevalencia no se encuentran actualizados. No está clara la patogenia de la hipertensión arterial esencial y las hipótesis de que sus orígenes radicaban en el riñón y en el corazón no son válidas actualmente, debido a la evidencia que demuestra que esta es una enfermedad propia del endotelio vascular en donde se conjugan factores genéticos, ambientales, humorales e inflamatorios del vaso sanguíneo que inducen a disfunción vascular. Se discuten aspectos epidemiológicos y genéticos, enfatizando en el rol patogénico de los genes de angiotensina II, oxido nítrico y endotelinaIt is considered actually that high blood pressure represents a real public health problem. It is estimated that 1/6 of the world have high blood pressure and in some susceptible populations the prevalence it’s as high as much as 1 of 4 adults over 18 years old suffers from high blood pressure. In Costa Rica the situation is not different of what happens worldwide and is estimated that 15.0 % of the costarrican population have high blood pressure although the prevalence data are not actualized. The pathogenesis of essential high blood pressure remains unclear and the hypothesis that their origins were on the kidney and the heart are no longer valid because actual evidence demonstrates that this is a disease of the vascular endothelium where genetic, ambiental, humoral and inflammatory factors of the blood vessels induce vascular dysfunction. We discuss epidemiologic and genetic factors

  7. Apoyo familiar en el apego al tratamiento de la hipertensión arterial esencial Family support and drug therapy compliance in essential hypertension

    Directory of Open Access Journals (Sweden)

    Florentina Marín-Reyes

    2001-08-01

    Full Text Available Objetivo. Determinar la asociación entre apoyo familiar (AF y apego al tratamiento de la hipertensión arterial esencial (HAS. Material y métodos. Estudio de casos y controles al que se integraron 80 sujetos con diagnóstico establecido de HAS, con 40 pacientes en cada grupo. Se consideró como casos a los pacientes con apego y como controles a los pacientes sin apego al tratamiento. El estudio se realizó de mayo a diciembre de 1999, en el Hospital Regional del IMSS, en la ciudad de Durango, Durango, México. La edad, género, duración de la HAS, escolaridad y estado civil fueron criterios de pareamiento. Las diferencias se establecieron con las pruebas ji cuadrada y t de student. Se calculó la razón de momios para estimar la fuerza de asociación. El diagnóstico de hipertensión arterial secundaria, o de otras enfermedades crónicas fueron criterios de exclusión. Resultados. No hubo diferencias entre los grupos respecto a las variables sociodemográficas, modalidad de tratamiento ni conocimiento que el enfermo tenía sobre su enfermedad. Tenían control de la presión arterial 31 (77.5% pacientes con apego y 11 (27.5% sin apego, p= 0.003. El AF se asoció de manera independiente con apego al tratamiento, RM 6.9, IC 95% 2.3-21.1. Conclusiones. El apego se vincula de forma significativa con el apoyo que los familiares otorgan al enfermo. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.htmlObjective. To assess the relationship between family support and drug therapy compliance in essential hypertension. Material and methods. A case-control study was conducted between May and December 1999, at Mexican Institute of Social Security Regional Hospital in Durango, among 80 hypertensive subjects; 40 were cases and 40 controls. Cases were subjects who complied with drug therapy and controls were those who did not, matched by age, gender, schooling, hypertensive disease duration, and marital status

  8. El cliente viviendo con hipertensión arterial esencial: diagnósticos y prescripciones en la consulta de enfermería

    OpenAIRE

    Cruz,Isabel Cristina Fonseca da

    1995-01-01

    Este estudio analiza los diagnósticos de enfermería y prescripciones para clientes con hipertensión arterial. Se concluye que en cuanto a los diagnósticos, la mayoría está clasificada con los patrones Conocer e Escoger, caracterizando la necesidad de un setor de Educación para la Salud. En cuanto a las prescripciones, los resultados obtenidos tornan visible la falta de un parámetro seguro que evalúe la propiedad de la prescripción para el diagnóstico.

  9. Marcadores Hemoquímicos de afectación al tejido nervioso como indicadores de daño en la hipertensión arterial esencial y en el ictus

    OpenAIRE

    González García, Sergio

    2014-01-01

    En el presente trabajo se aborda la aplicabilidad clínica de las determinaciones séricas de algunos marcadores hemoquímicos de daño del SNC (NSE y S100B), inflamatorios (PCR, C3, C4 y AAT), de trombosis (fibrinógeno y DD) y de disfunción endotelial (μalb) en dos enfermedades íntimamente relacionadas, donde la afectación vascular constituye la base fisiopatológica: la HTA esencial y el ictus agudo. El objetivo principal de esta investigación fue evaluar la utilidad de marcadores hemoquímicos c...

  10. El zinc: oligoelemento esencial Zinc: an essential oligoelement

    Directory of Open Access Journals (Sweden)

    C. Rubio

    2007-02-01

    Full Text Available En este artículo se hace una revisión exhaustiva del zinc, elemento metálico esencial para el funcionamiento del organismo. Repasamos y reflejamos aspectos relacionados con la farmacocinética, con las fuentes dietéticas más importantes, así como las IDR (Ingestas Dietéticas Recomendadas del mismo. También se hace mención a los signos y síntomas relacionados tanto con una ingesta deficiente, como con posibles efectos tóxicos, derivados de ingestas excesivas.This article comprehensively reviews zinc, the metallic element essential for body functioning. We review and highlight issues related to pharmacokinetics, the most important dietary sources, as well as its RDIs (Recommended Dietary Intakes. We also focus on signs and symptoms related with both a deficient intake and possible toxic effects derived from excessive intakes.

  11. Adherencia al tratamiento farmacológico en pacientes con hipertensión arterial esencial y su relación con la calidad de vida en un grupo de pacientes de dos hospitales de la ciudad de Bogotá

    OpenAIRE

    Guarin Loaiza, Gloria Mercedes

    2015-01-01

    Antecedentes: en Colombia la prevalencia de hipertensión arterial es del 12.3%, con baja adherencia al tratamiento por parte de los pacientes y aún no determinada su calidad de vida. Objetivo: determinar la adherencia al tratamiento farmacológico en un grupo de pacientes con hipertensión arterial y establecer su relación con la calidad de vida. Métodos: estudio descriptivo observacional de corte transversal. Se utilizó un instrumento con variables demográficas, el test de Morisky–Green...

  12. Efecto del polimorfismo del receptor ? 2 adrenérgico sobre la respuesta antihipertensiva en pacientes con hipertensión esencial

    OpenAIRE

    Juan McEwen; Edwin García; Isaac Melguizo; Juan Carlos Méndez; Dagnovar Aristizabal

    2004-01-01

    La hipertensión arterial esencial (HTE) es uno de los principales factores de riesgo cardiovascular y generador indirecto de la enfermedad coronaria, la mayor causa de muertes en Colombia y el mundo [1].
    El Sistema Nervioso Simpático (SNS) modifica la resistencia
    arterial periférica a través del receptor ? 2 adrenérgico,  generando señales intracelulares que regulan la relajación del
    músculo liso vascular. Este receptor experimenta un proceso
    denomi...

  13. El Test BDS: Posibles Limitaciones

    Directory of Open Access Journals (Sweden)

    Sanz Carnero, Basilio

    2001-01-01

    Full Text Available El test BDS (1987 ha alcanzado un nivel de uso tan elevado que ha sido primeramente publicado en 1996, y, finalmente, elevado a formar parte de uno de los test que incorpora el difundido paquete informático conocido como E-views, en particular, en el caso de la última versión (Versión 4.0. Anticipándonos a lo que esto puede suponer, pretendemos asentar con la mayor claridad y simplicidad posible, los cometidos fundamentales del test BDS. En primer lugar, pretendemos en esta nota mostrar sus fundamentos, y sus limitaciones. Apuntamos, igualmente, algún atractor no detectado por el test, así como el uso sistemático y detallado del proceso a seguir para ejecutar el test. A lo largo del trabajo se exponen algunos criterios de elección de los parámetros principales. Las conclusiones fundamentales son, por un lado, que no es un test de caos determinista, y por otro, que es un test con poder para detectar estructura no lineal, tanto determinista como estocástica. Finalmente, se dan los resultados de aplicar el test original a varios atractores caóticos suficientemente conocidos.

  14. Prevalencia de hipertensión arterial, proporción de hipertensos que lo desconocen y algunos posibles factores de riesgo asociados, en el Municipio de Santo Tomás – Atlántico / Prevalence of high blood pressure, percentage of the people who have no knowledge of it, and some associated factors of risk in Municipio de Santo Tomás, Atlántico

    OpenAIRE

    Donado Badillo, Enrique Manuel

    2010-01-01

    Objetivo. Determinar la prevalencia de hipertensión arterial, proporción de las personas que lo desconocen, y algunos posibles factores de riesgo asociados en el municipio de Santo Tomás, Atlántico (Colombia) entre noviembre de 2008 y enero de 2009. Métodos. Estudio de corte transversal, de base poblacional encuestando a una muestra aleatoria de 244 personas mayores de 18 años para obtener información sociodemográfica, estado de aseguramiento, antecedentes familiares dentro del primer...

  15. El craving, un componente esencial en la abstinencia.

    Directory of Open Access Journals (Sweden)

    David Chesa Vela

    2004-01-01

    Full Text Available Esta revisión pretende definir el concepto de craving, o deseo por el consumo de drogas, como componente esencial en una dependencia y su papel en el mantenimiento de la abstinencia. Existen básicamente dos modelos para explicar este fenómeno, uno basado en mecanismos de condicionamiento clásico y otro basado en mecanismos cognitivos. Existe un tercer modelo, que sería el modelo neuroadaptativo, el cual formaría parte de los dos anteriores. Se podría afirmar que el craving forma parte de una adicción, que existe una intensificación del deseo ante señales asociadas al consumo, que este anhelo es una sensación principalmente subjetiva para cada individuo y que es importante enseñar a los pacientes a analizar, afrontar y utilizar sus deseos y a observar cómo desaparecen sin necesidad de consumo. La importancia del mejor conocimiento de este fenómeno radica en las posibilidades de medición y futuro tratamiento del mismo, mejorando de manera significativa la asistencia en las drogodependencias, con una mayor eficacia en el mantenimiento de la abstinencia

  16. Posible origen del agua terrestre

    Science.gov (United States)

    di Sisto, R. P.; Orellana, R. B.; Brunini, A.

    The most plausible sources of the terrestrial water are found in the main external asteroid belt, the giant planetary region and in the Kuiper belt, because of its great presence of ices. However, the timing of earth planets's formation (108 years) marks an inferior limit for the dynamical lifetime of the objects of interest since the previous megaimpacts would volatilize the icy material previusly accreted. The central parameter that allow us to rebuild the origin of water in the solar system is the rate of the Deuterium/Hydrogen isotope (D/H). The D/H measured in three comets has an average value two times greater that the value measured in the terrestrial oceans. Morbidelli et al. support that the main part of the present buldge of water on earth was product of the accretion, in the last formation stages, of some planetary embryos originally formed in the external asteroid belt. In the Jupiter zone, the D/H could be of the order of the terrestrial value. Then, we would have there posible sources with an apropiate isotopic composition that have survived for several 108 years. These sources are: the Troyan asteroids, objects in the Jupiter-Saturn region and objects in the external limit of the asteroidal belt. As for this last group we have considered in this work, the Hilda Family asteroids. The Hilda Family asteroids are placed in the 3/2 mean motion resonance with Jupiter. From the present distribution of the Hilda's orbital parameters, we generate randomly, inicial conditions for 500 massless particles in the Hildas region. Trough numerical simulations we follow their dynamical evolution during 500 millon years and its final state. The mayority of these particles are eyected out of the Solar System (76 %) due to the gravitational action of Jupiter and only a 24 % stay in the resonance zone. The 8.1 % of the particles that leave the resonance, hit Jupiter. Some objects have encounters with the terrestrial planets. From the number of encounters with each planet

  17. Aceite esencial de tomillo como antioxidante y conservador de hamburguesas funcionales

    OpenAIRE

    Medina, Rosa; Dupertuis, Liliana; Amadio, Claudia; Dip, Gladys; Zimmermann, Mónica; Espejo, Cecilia; Raimondo, Emilia

    2003-01-01

    Para determinar el poder antioxidante y conservante del aceite esencial de tomillo mendocino (Acantholippia seriphioides) en hamburguesas funcionales, conservadas a 4 ± 0.5 °C, se elaboraron medallones utilizando: 83 % carne vacuna 5 % grasa vacuna 5 % salvado de avena 5 % texturizado de soja 2 % sustituto graso 0.08 g NaCl/kg aceite esencial de tomillo (AET) 106 ufc/g ...

  18. Proyecto de extracción de aceite esencial de jengibre como alternativa de exportación

    OpenAIRE

    2009-01-01

    El estudio está orientado a la determinación del método más adecuado para la obtención de aceite esencial de jengibre, y a la identificación de los componentes del aceite esencial, y su exportación al mercado internacional. En el Ecuador, el aceite esencial es considerado un producto agrícola no tradicional, aunque en los últimos años ha experimentado crecimientos en sus exportaciones, principalmente al apoyo de inversiones extranjeras, las cuales fomentan las exportaciones ecuatorianas y...

  19. Efecto del aceite esencial de Eucalyptus citriodora sobre el metabolismo energético mitocondrial

    Directory of Open Access Journals (Sweden)

    Luis Carlos Vesga

    2014-05-01

    Full Text Available Con el fin de contribuir al conocimiento de su actividad a nivel celular, se evaluó el mecanismo de acción del aceite esencial de Eucalyptus citriodora (Fam. Myrtaceae sobre la bioenergética mitocondrial, su efecto sobre la velocidad de consumo de oxígeno de mitocondrias energizadas (estados 3 y 4 y su coeficiente de control respiratorio (CCR. Además, se analizó la actividad de los complejos de la cadena respiratoria usando técnicas espectrofotométricas. Los resultados obtenidos indican que el aceite esencial de E. citriodora aumenta la velocidad del consumo de oxígeno en los estados 3 y 4, disminuye el CCR, desacopla la fosforilación oxidativa, aumenta la actividad de la citocromo c oxidasa y aumenta la actividad ATPasa en mitocondrias íntegras, a partir de la concentración de 10 μg/mL. Estos resultados sugieren que el aceite esencial o sus metabolitos afectan el funcionamiento normal del transporte de electrones de la cadena respiratoria y la síntesis de ATP.

  20. Efecto de la poda sobre la cantidad y el rendimiento del aceite esencial de Laurus nobilis

    Directory of Open Access Journals (Sweden)

    Ana María Callejas-Leguizamon

    2013-07-01

    Full Text Available Objetivo. Conocer el comportamiento de la planta de laurel con diferentes podas, en cuanto a su rendimiento y cantidad de aceite esencial para satisfacer las demandas del mercado. Materiales y métodos. Se monitorearon 48 plantas, ubicadas en el municipio de Nuevo Colón, Boyacá, en un diseño completamente al azar, con tres tratamientos (deshoje, despunte y el testigo sin poda en 5 estadios fenológicos, con cuatro repeticiones. Se evaluó la respuesta en cuanto a tres solventes usados en la extracción y diferentes tipos de poda. Resultados. El hexano fue el solvente que permitió mayor extracción de aceite esencial de las hojas de laurel, seguido de etanol y cloroformo-metanol, respectivamente. Asimismo, en los diferentes tratamientos de poda se demostró que la mayor cantidad de aceite esencial (p≤0,01 se obtuvo en hojas de laurel con despunte, mientras que con deshoje se obtuvo la menor cantidad. Analizando el rendimiento, se encontraron rendimientos (2,32% en las hojas de laurel con despunte, seguido de las plantas testigo (2,05% y por último las plantas con deshoje (1,24%. Conclusiones. El despunte, como práctica agronómica, en laurel representa mayores beneficios al productor y es una alternativa de valor agregado.

  1. Rehacer los caminos para otros mundos posibles

    Directory of Open Access Journals (Sweden)

    Jaime Alberto Rendón Acevedo

    2016-05-01

    Full Text Available Se ha generado un ambiente de fracaso de las propuestas y acciones que desde la izquierda o desde sectores progresistas se hicieron en América Latina y más precisamente en Sur América. Un embate político sobre las alternativas al modelo neoliberal que se lograron instaurar en América Latina en los últimos 15 años. Este artículo contribuye a un debate que apenas comienza; una discusión en torno a los futuros posibles y al papel de los sectores progresistas y de izquierda en un continente que cada día cobra mayor importancia para los intereses de la geopolítica y la geoeconomía mundial. Para esto se empieza por analizar la coyuntura, obviamente con una perspectiva histórica, de tal manera que se posibilite entender el giro a la derecha o si se prefiere el retorno al modelo neoliberal. Luego el análisis tomará perspectivas de futuro, en donde los riesgos necesariamente aumentan para la Región por ser más visible y de mayor peso ante las presiones internacionales que ya ven en Sur América un actor importante. Por último, se presentan algunas reflexiones frente a los procesos económicos y políticos de cara al Buen Vivir en la América Latina.

  2. Actividad antimicrobiana de aceite esencial de Origanum vulgare L. ante bacterias aisladas en leche de bovino

    OpenAIRE

    Oyarzabal, Marta Elaine Bastos; Schuch, Luiz Filipe Damé; Prestes,Luciana de Souza; Schiavon,Diane Bender Almeida; Rodrigues,Maria Regina Alves; Mello, Joao Roberto Braga de

    2011-01-01

    Introducción: la mastitis bovina es el mayor problema en la producción lechera, causada principalmente por bacterias grampositivas. La búsqueda de principios activos que actúen en esos microrganismos es creciente, sobre todo por la ocurrencia de multirresistencia bacteriana. Objetivos: evaluar la concentración bactericida mínima del aceite esencial de Origanum vulgare L. (orégano) frente a bacterias aisladas de leche mastítica. Métodos: se evaluó la actividad antimicrobiana del aceite esencia...

  3. Caracterización funcional del regulador esencial YycF de "Streptococcus pneumoniae"

    OpenAIRE

    Mohedano Bonillo, Mª Luz

    2011-01-01

    Este trabajo se ha centrado en la caracterización de la regulación molecular del sistema esencial de dos componentes (SDC) YycFG específico de bacterias gram positivas, utilizando como sistema modelo Streptococcus pneumoniae. Se ha establecido un sistema de sobreexpresión controlada para analizar la función de YycFG in vivo y se ha realizado un análisis global genómico y proteómico de neumococos sobreproductores de este SDC. El análisis de su transcriptoma mostró un control de YycF sobre los ...

  4. El boro, elemento nutricional esencial en la funcionalidad ósea

    OpenAIRE

    Crespo Romero, Eusebio

    2001-01-01

    En las dos últimas décadas, se ha descubierto que un oligoelemento como es el boro, es un elemento nutricional esencial en la fisiología animal y humana. De entre las diversas funciones que tiene, es su papel dentro del metabolismo mineral y óseo la más importante. Se ha demostrado como, suplementos dietéticos de boro pueden compensar las alteraciones estructurales y metabólicas óseas que se producen con déficits de elementos tan importantes como el calcio, la vitamina D o el magnesio. Además...

  5. Efecto del aceite esencial de Eucalyptus citriodora sobre el metabolismo energético mitocondrial

    OpenAIRE

    2014-01-01

    Con el fin de contribuir al conocimiento de su actividad a nivel celular, se evaluó el mecanismo de acción del aceite esencial de Eucalyptus citriodora (Fam. Myrtaceae) sobre la bioenergética mitocondrial, su efecto sobre la velocidad de consumo de oxígeno de mitocondrias energizadas (estados 3 y 4) y su coeficiente de control respiratorio (CCR). Además, se analizó la actividad de los complejos de la cadena respiratoria usando técnicas espectrofotométricas. Los resultados obtenidos indican qu...

  6. Determination of the Aldosterone/Plasma Renin Activity Ratio for the Screening of Primary Hyperaldosteronism in Essential Hypertension: a Multicentric Study Determinación del valor de corte de la relación aldosterona/actividad de renina plasmática para la detección de hiperaldosteronismo primario en hipertensión arterial esencial: estudio multicéntrico

    Directory of Open Access Journals (Sweden)

    E Pardes

    2010-06-01

    Full Text Available Primary hyperaldosteronism (PHA or Conn's disease was classically suspected in the presence of hypertension (H and hypokalemia. It was previously considered as a rare cause of H, being reported in only 1% of hypertensive patients. It can be caused by an adrenal adenoma (the former usual presentation or by adrenal hyperplasia. But since the use of the aldosterone/plasma renin activity ratio (AAR as the screening method in the last years, it is currently considered as almost the most frequent cause of secondary H., accounting for 5-10% of essential H. Plasma rennin activity (PRA determination is a laborious procedure with low reproducibility and it directly affects the AAR; thus each laboratory must assess its own cut-off value. Therefore, in the Adrenal Department of the Argentine Society of Endocrinology and Metabolism (SAEM, we performed this multicentric prospective study of a population of Argentina with the aim of assessing our own AAR cut-off level in normotensive controls in order to apply it for PHA screening in essential hypertensive patients. We studied 353 adult subjects: 104 controls, aged 45,18 ± 13,78 years-old ( X±SD, with no history of arterial hypertension in their first-degree relatives and with two separate day-registry of blood pressure≤ 139/85 mmHg and 249 hypertensive patients, aged 51± 13,6 years-old ( X ± SD, with arterial blood pressure≥ 140/90 mmHg in the sitting position. Subjects with cardiac, renal, hepatic and neurological diseases were excluded as well as those with Cushing´s syndrome, hyperthyroidism, untreated hypothyroidism, diabetes mellitus and patients under glucocorticoids, oral contraceptive pills or estrogen therapy. A normal sodium diet was indicated and potassium was supplemented when needed. Blood was withdrawn between 8 and 10:00 a.m. with the subjects in the upright position. Aldosterone (A was determined by DPC radioimmunoassay (RIA and PRA, by DIA-Sorin RIA. The A normal levels are 4-30 ng

  7. Radiofrecuencia pulsada en la neuralgia esencial del trigémino: ¿Es una alternativa válida a la radiofrecuencia convencional?

    Directory of Open Access Journals (Sweden)

    M. Castro

    2008-04-01

    Full Text Available Objetivos. Demostrar la eficacia y seguridad de la radiofrecuencia pulsada en el tratamiento de la neuralgia esencial del trigémino y compararla con la técnica convencional. Material y métodos. Estudio observacional prospectivo en 32 pacientes diagnosticados de neuralgia esencial del trigémino a los que se les realizó un total de 44 radiofrecuencias del ganglio de Gasser. Las radiofrecuencias fueron realizadas en quirófano, bajo control radioscópico con un generador Neurotherm, agujas SMK 22G, estimulación sensitiva a 50 Hz hasta notar parestesia con 0,3-0,5 V y motora a 2 Hz sin que haya contracción del músculo masetero excepto si se está estimulando la 3ª rama. Se realizaron 28 radiofrecuencias pulsadas (RFP y 16 convencionales (RFC. La RFP se realizaba a una tª de 40º C durante 120 sg mientras que la RFC se realizaba a una tª de 80º C durante 60 sg. La eficacia del tratamiento se basó en control del dolor según la EVA a los 30, 90, y 180 días y mediante el test de Lattinen antes y al final del estudio. Todos los pacientes fueron preguntados acerca de posibles efectos secundarios. Resultados. Se realizaron un total de 44 procedimientos. El 60% de los pacientes fueron varones y el 40% mujeres. La edad media fue de 68.32 años. Ambos grupos fueron comparables en cuanto a patología previa y antecedentes personales. Entre las ramas afectas el 4.5% de los pacientes tenía afectada la primera rama, el 31.8% la segunda rama, el 36.4% la tercera rama, el 13.6% la primera y segunda rama, y el 13.6% la segunda y tercera rama. Los pacientes recibieron RFP en el 63,6% de los casos y RFC en el 36.4%. En el grupo de RFP la evolución del VAS fue: VAS 0: 8; VAS 1: 3 .4; VAS 3: 2.5 y VAS 6: 2. y del índice de Lattinen, L0: 16.9 y L6: 6. En el grupo de RFC, VAS 0: 7.9; VAS 1: 3.25; VAS 3: 2 y VAS 6: 2. El índice de Lattinen, L0: 16.125 y L6: 5. No hubo diferencias estadísticamente significativas en la reducción del VAS y del Lattinen

  8. CARACTERIZACIÓN FÍSICO-QUÍMICA DEL ACEITE ESENCIAL DE ALBAHACA. II

    Directory of Open Access Journals (Sweden)

    Elizabeth Murillo

    2008-03-01

    Full Text Available Se estudió la composición química del aceite esencial de Ocimum americanum L. (albahaca querendona morada obtenido por hidrodestilación de vegetales recolectados en Chapetón-Ibagué. El análisis realizado por cromatografía de gases de alta eficiencia/detector selectivo de masas (HRGC/MSD reveló que la esencia está constituida en un 85,4% por cinamato de metilo y un 5% de estragol. Adicionalmente, se caracterizó el aceite esencialmediante la determinación de la densidad, índice de refracción, pH, solubilidad y los espectros IR y UV.

  9. EFECTO SINÉRGICO DEL ACEITE ESENCIAL DE Origanum vulgare A LA GENTAMICINA EN CULTIVOS DE Escherichia coli.

    Directory of Open Access Journals (Sweden)

    Luis Chávez Torres

    2012-02-01

    Full Text Available Objetivo: El presente trabajo tuvo como propósito determinar el efecto sinérgico antibacteriano entre el aceite esencial de Origanum vulgare y la Gentamicina en aislados de Escherichia coli. Diseño: Estudio experimental Lugar: Centro Latinoamericano de Enseñanza e Investigación en Bacteriología Alimentaria (CLEIBA Participantes: Placas Petri conteniendo E. Coli ATCC 25922, aceite esencial de orégano y Gentamicina. Intervenciones: Se aplicó el método de Kirby Bauer (discos de difusión en 20 placas Petri. Se aisló la cepa Escherichia coli ATCC 25922. El grupo Experimental fue tratado con discos de papel filtro, embebidos con Gentamicina y aceite esencial de orégano al 75%; mientras que el grupo Control, con discos de Gentamicina sola. Se realizó la medición de los halos y se registraron los datos. Principales medidas de resultados: Se evaluó el diámetro de los halos de inhibición Resultados: Los halos de inhibición del grupo Experimental resultaron 22,375 mm., mayores que los del grupo Control (20,75 mm. La prueba T determinó que la diferencia era estadísticamente significativa, p = 0,001 (p < 0,05. Conclusiones: Existe un efecto sinérgico antibacteriano in vitro entre el aceite esencial de Origanum vulgare y la gentamicina en E. coli.

  10. Efecto sinérgico del aceite esencial de Origanum vulgare a la Gentamicina en cultivos de Escherichia coli.

    Directory of Open Access Journals (Sweden)

    Luis Chávez Torres

    2008-01-01

    Full Text Available Objetivo: El presente trabajo tuvo como propósito determinar el efecto sinérgico antibacteriano entre el aceite esencial de Origanum vulgare y la Gentamicina en aislados de Escherichia coli. Diseño: Estudio experimental Lugar: Centro Latinoamericano de Enseñanza e Investigación en Bacteriología Alimentaria (CLEIBA Participantes: Placas Petri conteniendo E. Coli ATCC 25922, aceite esencial de orégano y Gentamicina. Intervenciones: Se aplicó el método de Kirby Bauer (discos de difusión en 20 placas Petri. Se aisló la cepa Escherichia coli ATCC 25922. El grupo Experimental fue tratado con discos de papel filtro, embebidos con Gentamicina y aceite esencial de orégano al 75%; mientras que el grupo Control, con discos de Gentamicina sola. Se realizó la medición de los halos y se registraron los datos. Principales medidas de resultados: Se evaluó el diámetro de los halos de inhibición Resultados: Los halos de inhibición del grupo Experimental resultaron 22,375 mm., mayores que los del grupo Control (20,75 mm. La prueba T determinó que la diferencia era estadísticamente significativa, p = 0,001 (p < 0,05. Conclusiones: Existe un efecto sinérgico antibacteriano in vitro entre el aceite esencial de Origanum vulgare y la gentamicina en E. coli.

  11. Efecto del polimorfismo del receptor ? 2 adrenérgico sobre la respuesta antihipertensiva en pacientes con hipertensión esencial

    Directory of Open Access Journals (Sweden)

    Juan McEwen

    2004-02-01

    Full Text Available La hipertensión arterial esencial (HTE es uno de los principales factores de riesgo cardiovascular y generador indirecto de la enfermedad coronaria, la mayor causa de muertes en Colombia y el mundo [1].
    El Sistema Nervioso Simpático (SNS modifica la resistencia
    arterial periférica a través del receptor ? 2 adrenérgico,  generando señales intracelulares que regulan la relajación del
    músculo liso vascular. Este receptor experimenta un proceso
    denominado desensibilización, es decir, cuando es activado por
    un agonista por tiempo prolongado, la respuesta no será de la
    misma intensidad a la inicial. La desensibilización del receptor
    ? 2 parece estar determinada por la estructura de aminoácidos
    polimórficos: Arginina 16 Glicina y Ácido glutámico 27 Glutamina
    amino terminales. Estas variantes son codificadas por polimorfismos de un solo nucleótido (SNP 46 y 79. La función
    de estos polimorfismos y su efecto en la función vascular es
    controversial. Evidencias clínica e in vitro sugieren que la Glicina
    16 se desensibiliza mas rápido que la Arginina; igualmente, el
    Ácido glutámico 27 facilita la desensibilización versus
    glutamina[2].

  12. Las Estrategias Competitivas: lo esencial para la Gestión Estratégica

    Directory of Open Access Journals (Sweden)

    Carlos Manuel Vilariño Corella

    2007-01-01

    Full Text Available conocimiento de donde radica su ventaja potencial aun estando presentes las restricciones del mercado, tomando en consideración que las dos estrategias básicas para lograr una ventaja competitiva en la magnitud deseada son: el liderazgo en los costos y la diferenciación. En el trabajo se señala que lo esencial radica en el desarrollo interno de la organización que es donde se define la verdadera relación de los procesos y se logra un efecto sinérgico a favor de la competitividad por lo que toda organización ha de tener bien definido como resultado de su propio diagnóstico que para lograr el éxito competitivo primeramente debe centrar la atención en las necesidades del mercado, la concentración en los mercados globales, generar el compromiso de mantener y aumentar la participación en el mercado y buscar alternativas como compromiso de inversiones, tanto en el desarrollo de nuevos productos, en investigaciones, en procesos que han de incluir lograr patentes y propiedad intelectual, las ventas, la seguridad y por sobre todo la calidad.

  13. Actividad inhibitoria del aceite esencial de Lippia origanoides H.B.K sobre el crecimiento de Phytophthora infestans

    Directory of Open Access Journals (Sweden)

    óscar Arango Bedoya

    2015-04-01

    Full Text Available Phytophthora infestans (Mont. de Bary es el fitopatógeno más perjudicial de la papa (Solanum tuberosum al causar la enfermedad conocida como ‘gota o tizón tardío’. El objetivo de este trabajo fue evaluar la actividad in vitro del aceite esencial obtenido de una especie de orégano silvestre (Lippia origanoides H.B.K. sobre Phytophthora infestans. Para el efecto se evaluaron diferentes concentraciones de este aceite esencial (10, 50, 100, 150, 200, 250 µg/ml y de un fungicida comercial usado como testigo. La actividad antifúngica se determinó con base en la evaluación del crecimiento del micelio mediante el método de dilución en agar tomate. A partir de una concentración de aceite de 150 µg/ml se inhibió completamente el crecimiento del patógeno, por lo que ésta fue considerada como la concentración letal. Este estudio demostró que el aceite esencial de orégano silvestre del Alto Patía, Colombia, es un potencial agente antifúngico que podría ser usado en sistemas de control integrado de P. infestans.

  14. Nash y von Neumann: mundos posibles y juegos de lenguaje

    Directory of Open Access Journals (Sweden)

    Salazar , Boris

    2004-06-01

    Full Text Available Este ensayo emplea las nociones de juego de lenguaje y de equivalencia entre juegos para examinar la decisión de John Nash de no jugar el juego coalicional que propuso John von Neumann. El argumento central es que Nash concibió una clase de mundos posibles incompatible con la de von Neumann, y que en el origen de esa divergencia estarían sus distintas nociones de racionalidad.

  15. Imaginarios posibles en la arquitectura: neobarroco como estrategia proyectual

    OpenAIRE

    Elizabeth García García; Marianela Camacho Fuenmayor

    2009-01-01

    En el marco de la investigación CONDES Imaginarios posibles en la Arquitectura se propuso, como ejercicio de diseño arquitectónico, la realización de proyectos a partir de una reflexión teórico-crítica sobre el carácter neobarroco de la contemporaneidad. El objetivo fue explorar una poética semiótica generadora de los instrumentos que nos permitiera concebir lo neobarroco como estrategia proyectual. El objeto arquitectónico a proyectar debía imaginarse como un conjunto de formas, contenidos y...

  16. DE LOS MULTIPLES ENFOQUES DEL MARKETING AL PARADIGMA DEL MARKETING ESENCIAL

    Directory of Open Access Journals (Sweden)

    Jose Antonio Paris

    2015-12-01

    científicos, al menos por un tiempo. Lamentablemente,  ninguna de estas hipótesis logra la aceptación incuestionada de los demás  especialistas y colegas del marketing. Por lo que se visualiza, tal como lo expresara Thomas Kuhn, que estamos en una etapa de pre-ciencia para el marketing, cuyo momento de indefiniciones e imprecisiones teóricas-prácticas es directamente proporcional a la cantidad de enfoques observables en la actualidad. Ahora, cuando finalmente se logre imponer una explicación unánime, con algunas leyes inviolables y con la apoyatura en una metodología consistente, y luego se obtengan consecuencias experimentales aceptadas por toda la comunidad mercadológica, entonces se iniciará entonces la era de un nuevo paradigma del marketing.  Para ello nosotros proponemos al marketing esencial

  17. Composición química y actividad antibacteriana del aceite esencial del Origanum vulgare (orégano).

    OpenAIRE

    ALBADO PLAUS, Emilia; SAEZ FLORES, Gloria; GRABIEL ATAUCUSI, Sandra

    2013-01-01

    Objetivo: Determinar la actividad antimicrobiano en el aceite esencial (Carvacrol) del Origanum vulgare. Material y métodos: El aceite esencial se obtuvo por destilación por arrastre con vapor de agua, a partir de las hojas y flores desecadas de O. vulgare; se determinó la gravedad especifica con un pinnómetro y el índice de refracción con refractómetro de Abbc; la composición química se evaluó mediante cromatografía de gas con detector de masa (GLSM). La actividad antimicrobiana del aceite d...

  18. Actividad antioxidante de compuestos aislados del residuo no-volátil del aceite esencial de naranja.

    Directory of Open Access Journals (Sweden)

    Vargas-Arispuro, L.

    1998-04-01

    Full Text Available There has been a growing interest in the food industry and in preventive medicine to search for «natural antioxidants». Therefore the objetive of this study was to evaluate the antioxidant activity of the non-volatile residue of essential orange oil in the oxidation of unrefined and freshly extracted olive oil. Essential orange oil was distilled to obtain a non-volatile residue and fracctionated on a Silica Gel 60 column. The antioxidant activity was determined by measuring peroxide value obtained after heating olive oil at 70 °C for 48 h. Six compounds were isolated and purified, four of these had antioxidant activity, α-tocopherol and three methoxylated flavones were identified using spectroscopic methods. This study confirmed that non-volatile fractions of essential orange oil contain natural antioxidants diferent from α-tocopherol.

    Existe un creciente interés en la industria alimentaria y en la medicina preventiva por la búsqueda de «antioxidantes naturales», por lo que nos planteamos evaluar la actividad antioxidante del residuo no volátil del aceite esencial de naranja contra la oxidación del aceite de oliva sin retinar y de reciente extracción. Mediante destilación del aceite esencial de naranja se obtuvo el residuo no-volátil, el cual se fraccionó en columna de silica gel 60. La actividad antioxidante fue medida por el valor de peróxidos producidos por el aceite de oliva al provocar la oxidación por calentamiento a 70 °C durante 48 h. Se aislaron seis compuestos mediante HPLC preparativo de los cuales cuatro tuvieron actividad antioxidante. Usando métodos espectroscópicos se identificaron α-tocoferol y tres flavonas metoxiladas. Con este estudio se confirmó que la fracción no volátil del aceite esencial de naranja contiene antioxidantes naturales diferentes al α-tocoferol.

  19. Un posible recinto campamental romano en O Cornado (Negreira, Galicia

    Directory of Open Access Journals (Sweden)

    Manuel Gago Mariño

    2015-02-01

    Full Text Available Presentamos en este artículo las evidencias y el contexto geográfico y arqueológico de una fortificación localizada en el municipio de Negreira (A Coruña y que por sus características puede corresponder a un posible campamento romano. El sitio arqueológico está ubicado en una zona de gran interés para comprender la romanización del occidente de Galicia, con actividad minera, asentamientos y vías de comunicación de la época. Las nuevas tecnologías LIDAR, el acceso abierto al «vuelo americano» de 1956 y otras bases de datos de imágenes aéreas, junto con técnicas más convencionales, han propiciado el hallazgo o, más bien, la propuesta de revisión cronológica y funcional de este yacimiento. El posible campamento podría pertenecer a una fase final o inmediatamente posterior de la conquista romana. This article presents the evidence and the geographical and archaeological context of a large fortress located in the municipality of Negreira (A Coruña and whose characteristics may correspond to a possible Roman camp. The archaeological site is located in an area of great interest (with minery, settlements and roads of those times, which help us to understand the Romanization of the western Gallaecia. New LIDAR technologies and open access to the 1956 «American flight» and other aerial imagery databases, combined with more traditional techniques have led to the discovery, or rather, to propose a chronological and functional requalification of this site. This new camp could have been built in the final phase of the Roman conquest or at the beginning of the Romanization process.

  20. Composición química y actividad antibacteriana del aceite esencial de Peperomia acuminata de los Andes venezolanos

    Directory of Open Access Journals (Sweden)

    Flor D. Mora-Vivas

    2016-12-01

    Full Text Available El género Peperomia (Piperaceae, es bien conocido por sus especies ornamentales y usos etnomedicinales. En el presente trabajo se describe la caracterización química y la actividad antibacteriana del aceite esencial de Peperomia acuminata Ruiz & Pav. proveniente del Estado Mérida Venezuela. El aceite esencial se obtuvo por hidrodestilación de las hojas y la separación de los componentes se realizó por Cromatografía de gases-Espectrometría de Masas (CG/EM. Se logró la elucidación de ocho compuestos (96,7%, siendo el 2E-dodecenal el componente mayoritario (65% seguido de dodecanal (14,8% y tetradecanal (9,2%. Esta investigación muestra el potencial del aceite esencial de P. acuminata frente a bacterias Gram positivas (Staphylococcus aureus ATCC 25923 y Enterococcus faecalis 29212, con un valor de Concentración inhibitoria mínima de 1μL/mL. Este es el primer reporte sobre la composición química del aceite esencial de esta especie, por lo tanto una contribución importante al estudio del género Peperomia.

  1. Actividad antimicótica in vitro y metabolitos del aceite esencial de las hojas de Minthostachys Mollis (muña

    Directory of Open Access Journals (Sweden)

    Carlos Cano

    2008-07-01

    Full Text Available Objetivos. Demostrar la actividad antimicótica in vitro y la elucidación de algunos de los metabolitos del aceite esencial de hojas de Minthostachys mollis (muña proveniente del distrito de Huacrapuquio (2700 msnm, Junín. Materiales y métodos. El aceite esencial se obtuvo por el método de destilación por arrastre de vapor de agua. Este fue sometido a análisis físico-químico y determinación de la composición química mediante cromatografía de gases. Mediante el método de agar en difusión se evaluó la inhibición del crecimiento fúngico de Candida albicans y también por el método de dilución en tubo para Trichophytun tonsurans, Trichophytun mentagrophytes, Microsporun canis. Resultados. Se encontraron los siguientes monoterpenos: pulegona, mentona, limoneno y mirceno. El aceite esencial de muña inhibió completamente el desarrollo de T. tonsurasn, T. mentagrophytes y M. canis con ambos métodos de evaluación y dosis, para C. albicans se logró un halo de inhibición de 30 mm para el aceite esencial al 100% y de 35 mm al 50%. Conclusiones. Se demostró la actividad antimicótica del aceite esencial de muña, probablemente por la acción de los monoterpenos encontrados.

  2. Imaginarios posibles en la arquitectura: neobarroco como estrategia proyectual

    Directory of Open Access Journals (Sweden)

    Elizabeth García García

    2009-01-01

    Full Text Available En el marco de la investigación CONDES Imaginarios posibles en la Arquitectura se propuso, como ejercicio de diseño arquitectónico, la realización de proyectos a partir de una reflexión teórico-crítica sobre el carácter neobarroco de la contemporaneidad. El objetivo fue explorar una poética semiótica generadora de los instrumentos que nos permitiera concebir lo neobarroco como estrategia proyectual. El objeto arquitectónico a proyectar debía imaginarse como un conjunto de formas, contenidos y dinámicas capaces de proponer una estrategia comunicativa al usuario, determinadas por una estética barroca. El presente trabajo expone las interconexiones que esta experiencia ha revelado entre los conceptos formales propuestos por Omar Calabrese en su teoría La era neobarroca y la realidad socio-cultural presente en Maracaibo. La obra arquitectónica se reconoce parte de unos procesos que conciernen al conjunto de los mensajes que circulan en el territorio de la comunicación y que quedan a interpretación de la comunidad.

  3. La carga de enfermedad y lesiones en el Perú y las prioridades del plan esencial de aseguramiento universal

    Directory of Open Access Journals (Sweden)

    Aníbal Velásquez

    2009-04-01

    Full Text Available Para la implementación del aseguramiento universal en salud en el Perú, se debe tener un paquete de cobertura de beneficios que debe ser financiado en forma obligatoria, el cual es denominado Plan Esencial de Aseguramiento en Salud (PEAS. La elaboración del PEAS debe corresponder a las condiciones que causen mayor carga de enfermedad. Para ello se hace una revisión de los principales resultados del estudio de carga de enfermedad y lesiones en el Perú, destacando que son las enfermedades no transmisibles las que generan la mayor cantidad de años de vida saludables perdidos (AVISA, las enfermedades neuropsiquiátricas son la categoría que ocupa el primer lugar y el diagnóstico que causa mayor perdida de AVISA son los accidentes de tránsito. Esta información ha servido para la inclusión de enfermedades regularmente no consideradas en los paquetes básicos de aseguramiento dentro del PEAS.

  4. posible candidato para la Anemia Drepanocítica

    Directory of Open Access Journals (Sweden)

    Y.M. Trapero Quintana

    2005-01-01

    Full Text Available La Anemia Drepanocítica es una enfermedad genética sin tratamiento efectivo hasta el momento. Estudios preliminares biológicos, químicos y físicos han reportado que el 4- hidroxi-3-metoxibenzaldehído es un agente antisickling, por lo que podría ser eficaz en el tratamiento de esta enfermedad. Objetivo: determinar la toxicidad oral aguda del 4- hidroxi-3-metoxibenzaldehído. Método: se empleó el procedimiento alternativo de la guía 423 de la Organización para el Desarrollo y Cooperación Económica. Se utilizaron dos grupos de ratas wistar , al primero se le administró una dosis inicial de 2000 mg/Kg de peso corporal y el vehículo al grupo control. Se evaluaron parámetros hematológicos y bioquímicos. Se analizaron microscópica e histopatológicamente diferentes órganos y tejidos. Se determinaron las variaciones de peso los días 0,7 y 14 del estudio. Resultados Los parámetros hematológicos y bioquímicos se comportaron dentro de los rangos permisibles para esta especie. No se observaron diferencias significativas en el peso de los dos grupos. No hubo muertes. Aunque la Organización para el Desarrollo y Cooperación Económica, considera a este producto una Sustancia sin clasificar, en el presente estudio se observaron signos clínicos de toxicidad tales como: sedación, disnea, decremento de la actividad motora espontánea, tren posterior caído, disminución de los reflejos, ausencia de estímulos, piloerección, lagrimación. Además se observó daño en estómago asociado a la sustancia, lo que evidencia un posible efecto lesivo y alerta sobre la potencialidad tóxica de este producto

  5. Acute arterial occlusion - kidney

    Science.gov (United States)

    Acute renal arterial thrombosis; Renal artery embolism; Acute renal artery occlusion; Embolism - renal artery ... kidney can often result in permanent kidney failure. Acute arterial occlusion of the renal artery can occur after injury or trauma to ...

  6. Estudio in vitro de la viabilidad de células Caco-2 en presencia de componentes del aceite esencial de Allium spp

    OpenAIRE

    Llana Ruiz-Cabello, M.; Puerto, M.; D Gutiérrez-Praena; Pichardo, S.; A. Jos; Cameán, A. M.

    2013-01-01

    El aceite esencial de los componentes del género Allium, principalmente ajo y cebolla, presenta propiedades antioxidantes y antibacterianas debidas a la presencia de compuestos azufrados en su composición. La industria alimentaria ha comenzado a desarrollar nuevos sistemas de envasado activo a partir de polímeros seleccionados, a los que se incorporan aceites esenciales que, por sus propiedades, contribuyen a aumentar la vida útil de los alimentos perecederos. En este sentido, se hace necesar...

  7. Extracción, caracterización y evaluación de la actividad antibacteriana del aceite esencial de Senecio graveolens Wedd (Wiskataya

    Directory of Open Access Journals (Sweden)

    Kiev Ochoa Pumaylle

    2012-01-01

    Full Text Available El objetivo del presente trabajo fue extraer, caracterizar y evaluar la actividad antibacteriana del aceite esencial de Senecio graveolens Wedd (Wiskataya frente a Escherichia coli y Staphylococcus aureus ATCC 29923. Las hojas y tallos se recolectaron a una altitud de 3800 m.s.n.m. en el distrito de Puquio, provincia de Lucanas, departamento de Ayacucho. El aceite esencial se obtuvo por destilación por arrastre con vapor de agua, a partir de las hojas y tallos desecados de S. graveolens, con rendimiento de 1,26 % (p/p. La muestra extraída fue caracterizada a través de ensayos físicos. La composición química del aceite se evaluó mediante cromatografía de gas con detector de masa (CG-SM. La actividad antibacteriana del aceite de S. graveolens se realizó por el método de difusión en agar en pocillos, utilizando cepas de microorganismos gram positivo como S. aureus y gram negativo como E. coli. La densidad del producto resultó 0,8755 g/ml a 20 ºC; índice de refracción 1,4726; índice de rotación 102°85’ y soluble en etanol; el cromatograma mostró componentes mayoritarios con un contenido de 52,39 % Sabineno, 8,20 % (+-4-careno, 7,11 % τ-terpineno, 6,74 % β-myrceno, 3,78 % 4-terpinenol, 3,67 % Pulegona. Los resultados mostraron actividad antibacteriana marcada y moderada, para S. aureus y E. coli, respectivamente, observándose formación de halos de inhibición para concentraciones del aceite esencial a 80, 90 y 100 %. El aceite esencial de S. graveolens se presenta con actividad antibacteriana promisoria.

  8. Literatura, teología y mundos posibles: una manera de leer a Jorge Luis Borges

    OpenAIRE

    2012-01-01

    La noción de mundos posibles puede ayudarnos a comprender mejor la literatura, especialmente la narrativa. Los mundos posibles tienen antecedentes en la teología, es- pecialmente en San Agustín y la noción de individuos me- ramente posibles, como lo son los seres ficticios, también tienen raíces teológicas, como en Santo Tomás de Aquino. Estas nociones están presentes en la narrativa de Jorge Luis Borges, como tratamos de mostrar.

  9. Particularidades de la regulación de emociones displacenteras en adolescentes con diagnóstico de hipertensión arterial esencial

    OpenAIRE

    2015-01-01

    La investigación tuvo como objetivo caracterizar la regulación de emociones displacenteras en adolescentes hipertensos de 12 a 15 años de edad de Villa Clara. En el estudio se asumió un paradigma mixto, bajo un diseño no experimental y transversal. De manera secuencial, se desarrollaron dos etapas: la primera, predominantemente cuantitativa y la segunda, predominantemente cualitativa. Se utilizaron pruebas psicológicas como las siguientes: la entrevista psicológica; la DERS-E, para adolescent...

  10. El Marketing Esencial Latinoamericano

    Directory of Open Access Journals (Sweden)

    Jose Antonio Paris

    2013-04-01

    Full Text Available La definición de producto de acuerdo a la escuela clásica del marketing tradicional se refiere a cualquier objeto, servicio o idea en un mercado que cubra o satisfaga una necesidad humana. Esta conceptualización que utiliza el marketing tradicional de la escuela angloamericana proviene del área contable y de la economía y fue impuesto por quienes son sus máximos exponentes: Jerome McCarthy, Theodore Levy y Philip Kotler; y luego fue reimpulsado por quienes actuaron como representantes de esta escuela: Willian Stanton, David L. Kurtz, Charles W. Lamb, Carl McDaniel, entre otros. Ahora, Kotler[1] suma a esta definición el ciclo completo del producto comercial, aunque no habla de la disposición final de sus residuos. Como se ve es una expresión que ‘cosifica a la cosa’, es decir, la hace totalmente materialista. Sin embargo, desde nuestra óptica esta definición se adapta perfectamente a los mercados de consumo e hiperconsumo como son los mercados angloamericanos, donde las personas parecieran existir sólo en el momento de consumir. Es decir, según nuestro punto de vista pareciera que ‘los angloamericanos son consumidores, que pretenden ser personas mediante el consumo’, de hecho se puede decir que en estos mercados podría ser válida, si se quiere, la siguiente expresión: ‘consumo, luego existo’. Por ejemplo, en la perspectiva clásica de marketing de transacción Hingley y Lindgreen[2] consideran que los compradores tienden a considerarse como actores que buscan soluciones a una necesidad genérica por lo que los vendedores presentan también una oferta genérica.

  11. Evaluación del trabajo esencial de fractura en chapa de un acero de alta resistencia de fase dual

    Directory of Open Access Journals (Sweden)

    Gutiérrez, D.

    2013-02-01

    Full Text Available Fracture toughness of advanced high strength steels (AHSS, can be used to optimize crash behavior of structural components. However it cannot be readily measured in metal sheet because of the sheet thickness. In this work, the Essential Work of Fracture (EWF methodology is proposed to evaluate the fracture toughness of metal sheets. It has been successfully applied in polymers films and some metal sheets. However, their information about the applicability of this methodology to AHSS is relatively scarce. In the present work the fracture toughness of a Dual Phase (strength of 800 MPa and drawing steel sheets has been measured by means of the EWF. The results show that the test requirements are met and also show the clear influence of notch radii on the measured values, specially for the AHSS grade. Thus, the EWF is postulated as a methodology to evaluate the fracture toughness in AHSS sheets.

    La tenacidad de fractura de aceros de alta resistencia (AHSS, es una propiedad interesante para optimizar el comportamiento a impacto, pero su caracterización experimental en chapas metálicas es compleja debido a su espesor. En este trabajo se plantea el método del Trabajo Esencial de Fractura (TEF, como alternativa al cálculo de la tenacidad. Este método ya ha sido utilizado con éxito en polímeros y aceros dúctiles, aunque la información sobre su aplicación en AHSS es escasa. Se ha evaluado la tenacidad en un acero de fase dual de 800 MPa de resistencia y se ha comparado con la de un acero de embutición. Los resultados muestran que se cumplen los requisitos del método y ponen en evidencia la influencia del radio de entalla en el valor obtenido de TEF, especialmente para AHSS. Con todo ello, el método TEF se puede usar para caracterizar la tenacidad de AHSS en formato chapa.

  12. Efecto Antimicrobiano del Aceite Esencial del tomillo (Thymus vulgaris) sobre la contaminación de Listeria monocytogenes en queso Ricotta

    OpenAIRE

    Morales Castro, Andrés Felipe

    2015-01-01

    Resumen: se evaluó el uso del Aceite Esencial (AE) del tomillo como un aditivo alimentario, con el objetivo de otorgar efecto antimicrobiano, prolongando la vida de anaquel del queso Ricotta. El efecto biocida es atribuido principalmente a la acción de los componentes bioactivos sobre la membrana celular de algunas bacterias. Por ende se llevó a cabo la extracción del AE de tomillo (Thymus vulgaris) a través del método de arrastre por vapor, alcanzando rendimientos cercanos al 0.6%. La caract...

  13. Función de los canales de K+ y Ca2+ en un modelo de hipertensión esencial

    OpenAIRE

    Tajada Esteban, Sendoa

    2013-01-01

    En este trabajo se han investigado los mecanismos que provocan la disfunción vascular en un modelo de ratón con hipertensión genética. La hipertensión esencial implica un aumento gradual y sostenido de las resistencias periféricas, lo que provoca un tono vascular aumentado. Este cambio se asocia con una despolarización de las células del músculo liso vascular (Vascular Smooth Muscle Cells, VSMCs) y se produce como consecuencia de un cambio en el perfil de expresión de los canales iónicos depe...

  14. Efecto del aceite esencial de Melissa oficinalis l. “toronjil” y meditación mindfulness en niveles de ansiedad estado y ansiedad

    OpenAIRE

    Soto Vásquez, Marilú Roxana; Universidad Nacional de Trujillo; Alvarado García, Paul Alan Arkin; Rosales Cerquín, Luis Enrique

    2016-01-01

    La presente investigación tuvo como objetivo evaluar el efecto de la aromaterapia en base al aceite esencial de Melissa oficinalis L. y la meditación mindfulness en los niveles de ansiedad de voluntarios humanos. Para este fin se realizó un estudio experimental con mediciones pre test y post test, en una muestra de 52 participantes, divididos aleatoriamente en  un grupo control, a cuyos integrantes se les mantuvo en lista de espera, y tres grupos experimentales; siendo el primer grupo tratado...

  15. Comportamento da pressão arterial após exercícios contra-resistência: uma revisão sistemática sobre variáveis determinantes e possíveis mecanismos Comportamiento de la presión arterial después de ejercicios contra resistencia: una revisión sistemática sobre variables determinantes y posibles mecanismos Blood pressure behavior after counter-resistance exercises: a systematic review on determining variables and possible mechanisms

    Directory of Open Access Journals (Sweden)

    Marcos Doederlein Polito

    2006-12-01

    Full Text Available A hipotensão pós-exercício (HPE é um fenômeno com elevada relevância clínica, mas que ainda apresenta aspectos duvidosos em relação às variáveis que podem contribuir para sua manifestação. A dúvida é maior quando o exercício contra-resistência é aplicado com intuito de proporcionar HPE. Nesse sentido, o objetivo deste estudo foi rever algumas variáveis do exercício contra-resistência que podem estar associadas à HPE. Além disso, foram comentados alguns mecanismos fisiológicos possivelmente relacionados com esse efeito. Encontraram-se 14 referências abrangendo o exercício contra-resistência e a HPE. Seis estudos observaram efeito hipotensivo para a pressão arterial sistólica (PAS e/ou diastólica (PAD após o exercício contra-resistência. Contudo, foi observado que alguns estudos não identificaram diferenças significativas (p > 0,05 para PAS e PAD (n = 4 ou até relataram aumento significativo (p La hipertensión después del ejercicio (HPE es un fenómeno con elevada relevancia clínica, pero aún si presenta aspectos dudosos en relación a las variables que pueden contribuir para su manifestación. La duda es mayor cuando el ejercicio contra resistencia es aplicado con el intuito de proporcionar HPE. En ese sentido, el objetivo de este estudio ha sido el de rever algunas variables del ejercicio contra resistencia que pueden estar asociadas a la HPE. Además de esto, fueron comentados algunos mecanismos fisiológicos, posiblemente relacionados con ese efecto. Se encontró 14 referencias abarcando el ejercicio contra resistencia y la HPE. Seis estudios observaron el efecto hipotensivo para la presión arterial sistólica (PAS y/o diastólica (PAD después del ejercicio contra resistencia. A pesar de eso, se observó que algunos estudios no identificaron diferencias significativas (p > 0,05 para PAS y PAD (n = 4 o hasta reportaron aumento significativo (p Post-exercise hypotension (PEH is a phenomenon with high

  16. Carotid artery surgery

    Science.gov (United States)

    Carotid endarterectomy; CAS surgery; Carotid artery stenosis - surgery; Endarterectomy - carotid artery ... through the catheter around the blocked area during surgery. Your carotid artery is opened. The surgeon removes ...

  17. Modelación y optimización del proceso de extracción de aceite esencial de eucalipto (Eucalyptus globulus

    Directory of Open Access Journals (Sweden)

    Jeancarlos Moreno

    2010-01-01

    Full Text Available En el presente trabajo se estudiaron el efecto de la humedad de la hoja de eucalipto y el tiempo de extracción sobre el rendimiento de aceite esencial y el costo de producción. Se tuvieron en cuenta parámetros como la temperatura de vapor, la presión de extracción, la porosidad de lecho, flujo de vapor y temperatura de condensación. Fue utilizado un Diseño Compuesto Central Rotacional para evaluar las zonas óptimas de extracción y el costo que ocasionaría, buscando en todo momento aumentar los rendimientos y disminuir los gastos. Según este diseño, la extracción con menores costos de producción (0.57 Nuevos Soles por mL de aceite esencial se alcanza cuando las hojas tienen una humedad entre 25 y 30% y se extraen con tiempos entre 98 y 126 min.

  18. Bioactivity of Lantana camara L. essential oil against Callosobruchus maculatus (Fabricius Bioactividad de aceite esencial de Lantana camara L. contra Callosobruchus maculatus (Fabricius

    Directory of Open Access Journals (Sweden)

    Nooshin Zandi-Sohani

    2012-12-01

    Full Text Available Lantana camara L. is a widespread plant species mostly native to subtropical and tropical regions of the world. In this study, insecticidal and repellent activities of L. camara essential oil were evaluated against Callosobruchus maculatus (Fabricius (Col: Bruchidae. Analysis of chemical composition by gas chromatography/mass spectrometry (GC/MS showed high amounts of sesquiterpenes, mainly α-humelene (23.3% and cis-caryophyllene (16.2%. The results showed that the essential oil of L. camara has strong repellent activity against adults of C. maculatus at all tested concentrations. After 2 and 4 h, 97.4 and 100% repellency was seen at highest concentrations of 0.4 μL cm-2, respectively. Moreover, the oil was found to be toxic to adults when applied by fumigation. Responses varied with the gender of insect and exposure time. The LC50 values were 282.7 and 187.9 μL L-1 for females and males, respectively. An increase in the exposure time from 3 to 24 h caused increasing in mortality from 23.6 to 100% in males and from 14.1 to 97.1% in females, at highest concentration (1160 μL L-1. According to these results, L. camara essential oil may be useful as an alternative for bean protection against C. maculatus.Lantana camara L. es una especie vegetal nativa de las regiones subtropicales y tropicales del mundo. En este estudio se evaluaron las actividades insecticida y repelente del aceite esencial de L. camara contra Callosobruchus maculatus (Fabricius. El análisis de la composición volátil de este aceite esencial mediante cromatografía de gas/ espectrometría de masa (GC/MS demostró la presencia de elevadas cantidades de sesquiterpenos, principalmente α-humuleno (23.3% y ci's-cariofileno (16.2%. Los resultados obtenidos demostraron que el aceite esencial de L. camara tiene una elevada actividad repelente contra los adultos de C. maculatus a todas las concentraciones ensayadas. Después de 2 y 4 h la concentración de 0.4 μL cm-2 causó 97

  19. Posibles obstáculos a la investigación contable universitaria

    OpenAIRE

    García Casella, Carlos Luis, co-dir.

    2013-01-01

    Se analizan los posibles obstáculos al desarrollo de la investigación contable con método científico. Fil: García Casella, Carlos Luis. Universidad de Buenos Aires. Facultad de Ciencias Económicas. Buenos Aires. Argentina

  20. Otra teología es posible. Pluralismo religioso, interculturalidad y feminismo [book review

    OpenAIRE

    Salazar Benítez, Octavio

    2012-01-01

    Este artículo reseña: Juan José Tamayo Acosta, Otra teología es posible. Pluralismo religioso, interculturalidad y feminismo, Biblioteca Herder, Barcelona, 2011, 406 pp. teología, pluralismo, interculturalidad Keywords: theology, pluralism, interculturality

  1. Coronary artery fistula

    Science.gov (United States)

    Congenital heart defect - coronary artery fistula; Birth defect heart - coronary artery fistula ... A coronary artery fistula is often congenital, meaning that it is present at birth. It generally occurs when one of the coronary arteries ...

  2. Cromatografía de gases–espectrometría de masas de compuestos fitobioactivos del aceite esencial de Satureja incana

    Directory of Open Access Journals (Sweden)

    Joseph Ricaldi Sarapura

    2014-12-01

    Full Text Available Objetivos: Analizar la composición de fitobioactivos del aceite esencial de Satureja incana por cromatografía de gases acoplada a espectrometría de masas (GC-MS, por sus siglas en inglés; y determinar rendimiento extractivo y características físico-químicas del aceite esencial de Satureja incana. Métodos: Se colectó ramas tiernas en estado de floración, con cortes de 20-35 cm, ubicación de recolecta a una altitud 2 682 msnm; distrito de Palca, provincia Tarma, región Junín. Extracción: equipo extractor de acero inoxidable, tiempo 1 hora. Caracterización físico-química: Norma Técnica Peruana. Análisis GC-SM: gas helio flujo 20 ml.min-1, inyección de 0,2 μl de aceite esencial, configuración térmica en gradiente. Resultados: El rendimiento de extracción fue 0,49 base seca con densidad relativa 0,9816; índice de refracción 1,4879 e índice de acidez 1,9860; y la composición fitoquímica: predomina concentración sesquiterpenica 66,37 % y monoterpenos 30,07 %; siendo los compuestos mayoritarios: germacreno D 25,91 %, β cariofileno 22,10 %, α-ocimeno 12,62 %, 4(8-p-mentona 6,73 %, humuleno 3,95 %, cariofileno óxido 3,08 %, limoneno 2,44 %; y minoritarios: β-bourbeneno 1,95 %, β-ocimeno 1,78 %, espatulenol 1,66 %, β-linalol 1,64 %, dlisopulegol 1,66 %, α-cubebeno 1,51 %, δ-Cadineno 0,89 %, α-pineno 0,45 %, β-pineno 0,52 %. Conclusiones: La presencia de algunos compuestos químicos respalda su uso etnofitofarmacobotánico. Presenta potencial característica para utilizarlo en formulaciones para plaguicidas debido a la presencia de germacreno D en alta concentración.

  3. Estudio in vitro de la viabilidad de células Caco-2 en presencia de componentes del aceite esencial de Allium spp

    Directory of Open Access Journals (Sweden)

    M. Llana Ruiz-Cabello

    2013-01-01

    Full Text Available El aceite esencial de los componentes del género Allium, principalmente ajo y cebolla, presenta propiedades antioxidantes y antibacterianas debidas a la presencia de compuestos azufrados en su composición. La industria alimentaria ha comenzado a desarrollar nuevos sistemas de envasado activo a partir de polímeros seleccionados, a los que se incorporan aceites esenciales que, por sus propiedades, contribuyen a aumentar la vida útil de los alimentos perecederos. En este sentido, se hace necesario evaluar la seguridad asociada al uso de estas sustancias en envases alimentarios que van a estar en contacto con el consumidor a través del alimento. El objetivo del presente estudio fue determinar la citotoxicidad producida por dipropil sulfuro y dipropil disulfuro, dos de los componentes del aceite esencial de ajo y cebolla, en la línea celular Caco-2, células humanas procedentes de carcinoma de colon. Los biomarcadores ensayados fueron el contenido total de proteínas, la captación de rojo neutro y la reducción de la sal de tetrazolio (3-(4,5-dimetiltiazol-2-il-5-(3-carboximetoxifenil-2-(4sulfofenil-2H-tetrazolio. Las células fueron expuestas durante 2, 4 y 8 h a concentraciones comprendidas entre 0 y 200 µM. Los resultados no mostraron diferencias significativas frente al control para ninguno de los tres marcadores, lo que demuestra que bajo las condiciones de los ensayos ambos compuestos azufrados no son citotóxicos para esta línea celular gastrointestinal y podrían ser útiles en la industria alimentaria para desarrollar envases activos.

  4. POSIBLE RESISTENCIA DE Dictyocaulus viviparus AL FENBENDAZOL EN UN BOVINO. Reporte de caso

    Directory of Open Access Journals (Sweden)

    V. M. Molina

    2016-01-01

    Full Text Available Se describe un caso de posible resistencia al fenbendazol en una ternera Jersey infestada por Dictyocaulus viviparus. En el municipio de Entrerríos (Antioquia, Colombia, una hembra de la raza Jersey de 6 meses de edad, presentó un serio cuadro de bronconeumonía, el cual no mejoró con la aplicación de fenbendazol y enrofloxacina como terapia de mantenimiento. En la necropsia, se observó un número elevado de parásitos vivos compatibles con Dictyocaulus viviparus, determinando una bronquitis verminosa. Este nematodo, el cual se trata rutinariamente con fenbendazol en las fincas lecheras colombianas, ha demostrado ser resistente frente algunos bencimidazoles; finalmente, se señalan las posibles causas de esta resistencia de Dictyocaulus viviparus en la ternera Jersey.

  5. Psicoanálisis e historia de las mentalidades. Una posible aproximación

    Directory of Open Access Journals (Sweden)

    Mario Elkin Ramírez

    2010-08-01

    Full Text Available Es posible una aproximación conceptual, epistémica y de investigación de los mismos objetos, entre el psicoanálisis y la historia de las mentalidades? Es la pregunta de la que parte este artículo, donde se presenta una serie de ideas que hacen aún parte de una cartografía que apenas se levanta en ciencias humanas, y cuya potencia explicativa comenzamos a vislumbrar.

  6. Peripheral arterial line (image)

    Science.gov (United States)

    A peripheral arterial line is a small, short plastic catheter placed through the skin into an artery of the arm or leg. The purpose of a peripheral arterial line is to allow continuous monitoring of ...

  7. Insecticidal Activity of Peumus boldus Molina Essential Oil against Sitophilus zeamais Motschulsky Actividad Insecticida del Aceite Esencial de Peumus boldus Molina sobre Sitophilus zeamais Motschulsky

    Directory of Open Access Journals (Sweden)

    Jessica Betancur R

    2010-09-01

    Full Text Available In stored grains, the main agents diminishing production are insects, which can produce losses between 20% and 80% before harvest or under storage. The insecticidal properties of the essential oil of fresh leaves of Peumus boldus Molina against maize weevil (Sitophilus zeamais Motschulsky adults were determined under laboratory conditions. The highest mortality (100% was achieved at 4% concentration by contact with a treated glass surface. The same concentration in impregnated corn (Zea mays L. grain, resulted in 98.7% mortality. Mortality by fumigant action at 6 h was 100% with 35 µL oil in 0.15 L (air volume. Concentrations 1, 2 and 4% of essential oil produced 0% F1 adult emergence. At 10 d of residual effect, the 4% concentration reached 63.7% mortality. All treatments were repellent to adults of S. zeamais and corn grain germination was not affected by any treatment.Los principales agentes que disminuyen la producción en los granos almacenados son los insectos, antes de la cosecha y en el almacenamiento pueden causar pérdidas de 20 a 80%. Se evaluaron las propiedades insecticidas del aceite esencial de hojas frescas de Peumus boldus Molina para el control de adultos de gorgojo del maíz (Sitophilus zeamais Motschulsky en laboratorio. La mayor mortalidad (100% por contacto con una superficie de vidrio tratada se obtuvo con la concentración de 4%. Esta misma concentración produjo 98,7% de mortalidad en exposición a grano de maíz (Zea mays L. tratado. El efecto fumigante a las 6 h de exposición fue 100% con 35 µL de aceite en 0,15 L (volumen de aire. Con las concentraciones de 1, 2 y 4% de aceite esencial, el porcentaje de emergencia de la F1 fue 0%. A los 10 d de efecto residual se alcanzó 63,7% de mortalidad con la concentración de 4%. Todos los tratamientos fueron repelentes para adultos de S. zeamais y ningún tratamiento afectó la germinación de los granos.

  8. Posible efecto protector de la cerveza sobre la toxicidad del aluminio

    OpenAIRE

    Peña, A; I. Meseguer; González, M. J.

    2005-01-01

    Se pretende estudiar el efecto del consumo de la cerveza, como fuente de ácido silícico, sobre la biodisponibilidad del aluminio, así como su posible relación en la prevención de la neurotoxicidad de este metal. En una primera etapa se ha analizado la influencia de la cerveza en la cinética de absorción y eliminación del aluminio dietético en ratones machos, en un tratamiento de 3 días de duración. Se utilizaron dos tipos de cerveza: con y sin alcohol, y a dos dosis diferent...

  9. "Vivir Bien" y pobreza multidimensional. ¿Es posible una conciliación conceptual?

    OpenAIRE

    Ahmed Eid; Javier Aliaga Lordemann

    2013-01-01

    Este documento explica cómo el concepto de Vivir Bien constituye un paradigma prevalente, no estructurado en todos los niveles paradigmáticos, lo que hace que no pueda considerarse como un paradigma de desarrollo sincrético y global. Además, los autores encuentran que si bien existe un vínculo entre el enfoque de capacidades y el concepto de Vivir Bien, una medición de éste, via un indicador de pobreza multidimensional, no es posible, dadas las complejidades intrínsecas en la postulación de u...

  10. Argentina y la bipolaridad Estados Unidos-China: Implicancias de un escenario posible

    OpenAIRE

    Roberto Miranda

    2012-01-01

    En el presente siglo Argentina afrontó dos situaciones internacionales bien diferentes. Una fue la ventaja comercial obtenida gracias a la gravitación mundial de Asia y, sobre todo, al vínculo especial con China. Este país representó un punto de apoyo coyuntural. Otra situación fue la marginación de Argentina del poder inversor transnacional por la interposición norteamericana. El escenario posible de una bipolaridad entre Estados Unidos y China no sería una buena noticia para el país sudamer...

  11. El problema del realismo matemático: una posible respuesta desde thomas kuhn

    OpenAIRE

    Rivera Novoa, Ángel

    2010-01-01

    El problema del realismo matemático puede verse desde un punto de vista ontológico y a su vez desde un punto de vista epistemológico. De esta forma, tal y como Stewart Shapiro lo expone, se crean cuatro esquemas que parecen ser excluyentes entre sí (a saber, las cuatro posibles combinaciones entre idealismo y realismo tanto epistemológico como ontológico). Por otra parte, la noción de “descubrimiento”, expuesta por Thomas Kuhn en el capítulo VI de La estructura de las revoluciones científicas...

  12. Tratamiento de la psicosis esquizofrénica adaptado a las necesidades: El papel esencial de las reuniones terapéuticas centradas en la familia.

    Directory of Open Access Journals (Sweden)

    V Räkköläinen

    1991-01-01

    Full Text Available El tratamiento de la psicosis adaptado a las necesidades se basa en una orientación psicoterapéutica. Su planificación y aplicación se realiza a nivel individual, en cada caso, combinando distintas actividades para hacer frente a las necesidades de cada paciente, así como de las personas que constituyen su red interactiva personal (normalmente la familia. Una parte esencial de este tratamiento radica en una intervención inicial sistémica, consistente en una sesión conjunta del paciente, los miembros de su familia y un equipo de 3 ó 4 miembros del personal. La denominación de reuniones terapéuticas que han recibido estas sesiones pretende reflejar su notable importancia terapéutica. Dichas reuniones se reiniciarán durante las fases últimas del tratamiento, como medio de evaluación continua del curso del mismo y de los planes terapéuticos. En el presente artículo, se discute el equilibrio mutuo entre distintos tipos de psicoterapia en el curso del tratamiento, así como los aspectos organizativos de dicho tratamiento.

  13. El Flujo Informativo como elemento esencial para la correcta toma decisiones en los Centros de Información y Gestión Tecnológica.

    Directory of Open Access Journals (Sweden)

    Amarilis Alicia Leiva Acosta

    2007-01-01

    Full Text Available El mundo en que vivimos hoy en día exige de quienes dirigen la organizaciones los conocimientos o el uso de tecnología, pero sobre todo el manejo eficiente de información que le permiten una correcta toma decisiones, para asegurar el adecuado funcionamiento de las entidades. Es importante mencionar que la toma de decisiones que se lleva acabo dentro de las organizaciones debe cumplir con ciertas características como son: ser rápida, oportuna, fundamentada en información concreta, que permita tomar decisiones eficientes, efectivas y con un bajo costo para la empresa; pues de ello dependerá el éxito o fracaso de una Entidad. Para que todo lo anterior expuesto se lleve a cabo es necesario que las organizaciones posean un Sistema de Información y formando parte del mismo el Flujo Informativo como elemento esencial del Sistema. En el siguiente trabajo se muestra la importancia del Flujo Informativo para los directivos y trabajadores de los Centros de Información y Gestión Tecnológica.

  14. Aspectos importantes a la hora de definir posibles escenarios para proyectos bpm

    Directory of Open Access Journals (Sweden)

    Yeilin Martínez Torres

    2011-10-01

    Full Text Available A través del modelado de las actividades y procesos puede lograrse un mejor entendimiento del negocio y muchas veces esto presenta la oportunidad de mejorarlos. La automatización de los procesos reduce errores, asegurando que los mismos se comporten siempre de la misma manera y dando elementos que permitan visualizar el estado de los mismos. La administración de los procesos permite asegurar que los mismos se ejecuten eficientemente, y la obtención de información que luego puede ser usada para mejorarlos. Es a través de la información que se obtiene de la ejecución diaria de los procesos, que se puede identificar posibles ineficiencias en los mismos, y actuar sobre las mismas para optimizarlos, por lo que de cada empresa es muy importante para implementar en ella Business Process Management (BPM conocer y tener identificado sus procesos de ahí el estudio de casos de empresas que lo utilizan y la definición de posibles escenarios donde implementar BPM.

  15. Colgajos de las perforantes del pie: problemas y posibles soluciones Foot perforator flaps: problems and possible solutions

    Directory of Open Access Journals (Sweden)

    E. Prousskaia Peregudova

    2010-06-01

    Full Text Available A pesar de diversas publicaciones existentes sobre el colgajo mediano plantar tradicional, los colgajos de las perforantes del pie no están suficientemente estudiados. Es necesario ampliar nuestros conocimientos sobre la anatomía vascular de esta región, los problemas que pueden surgir durante la disección de la zona y las posibles soluciones. Realizamos disección anatómica de 10 pies de cadáver utilizando relleno vascular con látex coloreado. Definimos la secuencia de la disección de las perforantes de la arteria plantar medial. Medimos los puntos de salida de las perforantes dominantes en relación con 3 puntos de referencia, diámetro y longitud de cada perforante. Evaluamos la utilidad de cada colgajo para su uso en reconstrucción local o a distancia en función del diámetro y la longitud de la perforante, grosor del colgajo y morbilidad de la zona donante. Los colgajos de los vasos perforantes del pie son una buena opción para la reconstrucción tanto local como a distancia, con una mínima morbilidad de la zona donante y con un buen resultado funcional gracias a las características del tejido del pie cuando se usa para reconstrucción en mano.Traditional medial plantar flap is widely described in the literature, but foot perforator flap is a relatively new subject which still needs more detailed anatomical investigation. We need to amplify our knowledge about this surgically challenging region, dissection difficulties and possible solutions. We performed anatomical dissection on 10 cadaver feet with dyed latex intravascular injection and then dissected out the perforators arising from the medial plantar artery. We measured the origin of the dominant perforators in relationship to 3 reference points, diameter and length of each perforator. We analyzed the application of flaps based on these perforators as local and free flaps in relation to pedicle length and diameter, flap thickness and donor site morbidity. Foot perforator

  16. Posibles factores de riesgo de los peces epicontinentales de México ante el calentamiento global

    Directory of Open Access Journals (Sweden)

    M. Y. De la Vega-Salazar

    2011-01-01

    Full Text Available México puede ser vulnerable al calentamiento global (cg por encontrarse en la zona de transición de las regiones biogeográficas Neártica (naA y Neotropical (nt. El estudio presenta la magnitud del aumento de temperatura ambiental en estas regiones y los posibles factores de riesgo para los peces nativos asociados a éste, para evaluar la contribución del cg. El riesgo para los peces nativos aumenta por la pérdida del hábitat y la introducción de especies exóticas en la región naA que presenta un incremento significativo de temperatura.

  17. La reducción de lo posible. René Thom y el determinismo causal

    Directory of Open Access Journals (Sweden)

    Miguel Espinoza

    2009-12-01

    Full Text Available La tesis principal de este ensayo estipula que el determinismo causal es una propiedad de la naturaleza y el primer principio de la inteligibilidad natural. El desarrollo de esta tesis utiliza como hilo conductor el pensamiento de René Thom. Esto significa que el determinismo causal se examina en su relación con la estabilidad y la inestabilidad, el desafío de la mecánica cuántica, las raíces aporéticas de la ciencia tal como la dualidad determinismo-indeterminismo, y finalmente, en su relación con el método para ponerlo de manifiesto, es decir la reducción de lo posible.

  18. La actividad física en la prevención y tratamiento de la hipertensión arterial

    OpenAIRE

    Rodríguez Hernández, Mynor

    2012-01-01

    La hipertensión arterial (HTA), es uno de los trastornos de salud más comunes, asociado a una mayor incidencia de todas las causas cardiovasculares de mortalidad. La modificación del estilo de vida es la mejor forma de prevención, tratamiento y control de la HTA, con el ejercicio como componente esencial. Los programas de ejercicio que involucraron principalmente la actividad aeróbica combinada con el trabajo de contra-resistencia ayuda a prevenir el desarrollo de la hipertensión y ayuda a di...

  19. Impacto del tratamiento no farmacológico de la hipertensión arterial en pacientes de un consultorio médico de la familia

    OpenAIRE

    Sarah María Regueira Betancourt; Manuel de Jesús Díaz Pérez; María José Morales Zambrano; Jorge Octavio Zambrano Ponce; Lourdes María García Yllán

    2015-01-01

    Se realizó un estudio de intervención, con el objetivo de evaluar el impacto de los cambios en el estilo de vida en pacientes hipertensos, pertenecientes al Consultorio Médico de la Familia 158-01, área de salud del Policlínico Docente ‘’Manuel Fajardo Rivero’’, municipio de Las Tunas, Cuba; durante el período comprendido entre abril de 2013 y diciembre de 2014. El universo estuvo constituido por toda la población dispensarizada con hipertensión arterial esencial y la muestra con los diagnost...

  20. Characterization of Volatile Compounds in the Essential Oil of Sweet Lime (Citrus limetta Risso Caracterización de Compuestos Volátiles en Aceite esencial de Lima Dulce (Citrus limetta Risso

    Directory of Open Access Journals (Sweden)

    Maria C Colecio-Juárez

    2012-06-01

    Full Text Available The essential oil of citrus fruit contains components pleasant sensory characteristics that are appreciated in food, pharmaceutical, and cosmetics industries. In the case of sweet lime (Citrus limetta Risso, is necessary to characterize the essential oil components, to identify potential uses of this fruit. The essential oil of sweet lime was obtained from lime flavedo in four different maturation stages. Steam distillation was employed and then compared with hexane extraction. The identification of the components in the essential oil was carried out by gas chromatography and mass spectrometry. A total of 46 components were found in the essence of lime, among which the highest concentration of compounds present were aldehydes such as limonene. Linalool, sabinene, and bergamol were more abundant than in other varieties. The best extraction method was steam distillation, and the concentrations in stage III from the main terpenic portion were d-limonene with 74.4%, bergamol with 8.23%, and β-pinene with 7.62%.El aceite esencial de frutos cítricos contiene componentes de características sensoriales agradables que son apreciadas en las industrias alimentaria, farmacéutica y de cosméticos. En el caso de la lima dulce (Citrus limetta Risso, es necesaria la caracterización de los componentes de su aceite esencial para identificar usos potenciales de este fruto. El aceite esencial de lima dulce se obtuvo a partir del flavedo de lima en cuatro etapas de maduración diferentes. Se utilizó destilación por arrastre de vapor y se comparó con la extracción con hexano. La identificación de los componentes en el aceite esencial se realizó por cromatografía de gases y espectrometría de masas. Se encontró un total de 46 componentes en el aceite esencial de lima, entre los cuales la mayor concentración de compuestos presentes son aldehídos como el limoneno. Linalol, sabineno y bergamol fueron más abundantes que en otras variedades. El mejor m

  1. Mesenteric artery ischemia

    Science.gov (United States)

    ... medlineplus.gov/ency/article/001156.htm Mesenteric artery ischemia To use the sharing features on this page, please enable JavaScript. Mesenteric artery ischemia occurs when there is a narrowing or blockage ...

  2. Tratamientos psicologicos en la hipertension arterial

    Directory of Open Access Journals (Sweden)

    Lilia Mabel Labiano

    2002-01-01

    Full Text Available En vista que las evidencias obtenidas acerca del beneticio percibido por los sujetos hipertensos leves con los tratamientos farmacológicos resultan conflictivas, se ha considerado importante para estos pacientes, la aplicación de intervenciones psicológicas y comportamentales. Se presentan en este trabajo, distintos tipos de tratamientos psicológicos que en los últimos años han demostrado su efectividad en la reducción de la presión arterial esencial. Se consideraron importantes para individuos hipertensos leves, la implementación de procedimientos tales como: la relajación, el entrenamiento autógeno, la retroalimentación biológica, la meditación, el Hatha -Yoga, la reestructuración cognitiva y el entrenamiento en habilidades sociales, porque contribuyeron a la reducción, no solo de los niveles hipertensivos sino también de los efectos adversos de la medicación farmacológica que afectan la calidad de vida. Es necesario evidentemente que el individuo generalice las estrategias aprendidas en el contexto clínico-experimental, a los diferentes contextos vitales. La técnica empleada, las características del terapeuta y el tipo de personalidad del paciente son componentes principales en la determinación del éxito del tratamiento. La práctica diaria sostenida fuera del contexto clínico, es un elemento de crucial importancia para el mantenimiento de la mejoría lograda.

  3. Upper limb arterial thromboembolism

    DEFF Research Database (Denmark)

    Andersen, L V; Lip, Gregory Y.H.; Lindholt, J S;

    2013-01-01

    The aim of this review is to focus on risk factors, risk-modifying drugs and prognosis for upper limb arterial thromboembolism, and the relationship between upper limb arterial thromboembolism and atrial fibrillation (AF).......The aim of this review is to focus on risk factors, risk-modifying drugs and prognosis for upper limb arterial thromboembolism, and the relationship between upper limb arterial thromboembolism and atrial fibrillation (AF)....

  4. USO DE LA ECOGRAFÍA RENAL EN EL ESTUDIO DE LA HIPERTENSIÓN ARTERIAL.

    Directory of Open Access Journals (Sweden)

    Gerardo Torres Torres MD

    2004-01-01

    datos clínicos de interés en el estudio del paciente con hipertensión arterial, se hizo un estudio transversal, retrospectivo, poblacional de pacientes con hipertensión arterial. Se revisó el diagnóstico clínico de 236 pacientes con hipertensión, encontrando 205 con hipertensión esencial y 31 con hipertensión arterial secundaria. La edad media ± sd (standard deviation era de 57,2 ± 14 años. 117 (49.6% eran mujeres y 119 (50.4% eran varones. De estos pacientes fueron seleccionados aquellos que tenían realizada una ecografía renal, resultando una población de estudio de 121 pacientes, 93 de los cuales tenían hipertensión esencial y 28 hipertensión secundaria. La distribución de las variables principales fue similar a la de la población de base. La sensibilidad de la ecografía en la hipertensión secundaria es del 67,8% (IC 95: 51-84% (Ecografía Patológica Hipertensión secundaria y la especificidad de la ecografía normal en la hipertensión esencial es del 85% (IC 95: 77-92% (Ecografía normal Hipertensión esencial. El valor predictivo de una ecografía patológica para la hipertensión secundaria es del 57,6% (IC 95: 40-73% (Hipertensión secundaria Ecografía Patológica y el valor predictivo de una ecografía normal para la hipertensión esencial es del 89,7% (IC 95: 83-96% (Hipertensión esencial Ecografía normal En conclusión, la ecografía renal en el estudio de la hipertensión arterial no parece una prueba útil para descartar una hipertensión secundaria dado su bajo valor predictivo y, por otra parte, tiene poca utilidad clínica en el estudio de la hipertensión esencial ya que es altamente probable que sea normal (85%.

  5. Efecto de fertilización nitrogenada en la producción de biomasa y calidad de aceite esencial en Lippia alba (Miller, Pronto alivio.

    Directory of Open Access Journals (Sweden)

    Sánchez O. M.

    2004-04-01

    Full Text Available En el Campo Experimental de la Universidad Nacional de Colombia sede Palmira (CEUNP se realizó un ensayo para evaluar el efecto de la fertilización nitrogenada, aplicando dos fuentes (gallinaza y urea en dos niveles (50 y 100 kg/ha de nitrógeno y dos frecuencias de corte (dos y cuatro meses. En el lote experimental se situaron 15 parcelas, en un diseño de bloques completos al azar, con cinco tratamientos y tres repeticiones. Para el análisis de la información se utilizó el programa estadístico SAS. El máximo rendimiento de biomasa y aceites esenciales se obtuvo con la aplicación de 100 kg/ha de nitrógeno en forma de urea y la frecuencia de corte cada dos meses. Los niveles de extracción de Lippia alba en nitrógeno variaron entre 79.7 y 128.5; fósforo entre 24.5 y 30.5; potasio entre 114.6 y 138.8 y calcio entre 100 y 150 kg/ha. El aceite esencial estuvo compuesto mayoritariamente por carvona y limoneno. Palabras claves: Fertilización nitrogenada, Lippia alba, Rendimientos biomasa, aceites esenciales, pronto alivio. ABSTRACT Nitrogenous fertilization effects in the Lippia alba production and quality. In the Experimental Center of the National University of Colombia-Palmira (CEUNP a experiment was realized to evaluate the effect of the nitrogenous fertilization, using two sources (gallinaza and urea at two levels (50 and 100 kg/ha of nitrogen and two cutting frequencies (each two and four months. In the experimental area 15 plots were planted, in a randomized Complete Blocks design random (RCBD with five treatments and three repetitions to measure the following variables: production of fresh matter, content of dry matter, nutrients extraction and content of essential oils. The analysis of variance used the statistical program SAS. The maximum yield of biomass and essential was obtained oils combining the fertilization with 100 kg/ha of nitrogen as urea and the cutting frequency every of two months. The levels of nutrients

  6. Radiofrecuencia pulsada en la neuralgia esencial del trigémino: ¿Es una alternativa válida a la radiofrecuencia convencional? Pulsed radiofrequency in the management of trigeminal essential neuralgia: Is a valid alternative to the conventional radiofrequency?

    Directory of Open Access Journals (Sweden)

    M. Castro

    2008-04-01

    Full Text Available Objetivos. Demostrar la eficacia y seguridad de la radiofrecuencia pulsada en el tratamiento de la neuralgia esencial del trigémino y compararla con la técnica convencional. Material y métodos. Estudio observacional prospectivo en 32 pacientes diagnosticados de neuralgia esencial del trigémino a los que se les realizó un total de 44 radiofrecuencias del ganglio de Gasser. Las radiofrecuencias fueron realizadas en quirófano, bajo control radioscópico con un generador Neurotherm, agujas SMK 22G, estimulación sensitiva a 50 Hz hasta notar parestesia con 0,3-0,5 V y motora a 2 Hz sin que haya contracción del músculo masetero excepto si se está estimulando la 3ª rama. Se realizaron 28 radiofrecuencias pulsadas (RFP y 16 convencionales (RFC. La RFP se realizaba a una tª de 40º C durante 120 sg mientras que la RFC se realizaba a una tª de 80º C durante 60 sg. La eficacia del tratamiento se basó en control del dolor según la EVA a los 30, 90, y 180 días y mediante el test de Lattinen antes y al final del estudio. Todos los pacientes fueron preguntados acerca de posibles efectos secundarios. Resultados. Se realizaron un total de 44 procedimientos. El 60% de los pacientes fueron varones y el 40% mujeres. La edad media fue de 68.32 años. Ambos grupos fueron comparables en cuanto a patología previa y antecedentes personales. Entre las ramas afectas el 4.5% de los pacientes tenía afectada la primera rama, el 31.8% la segunda rama, el 36.4% la tercera rama, el 13.6% la primera y segunda rama, y el 13.6% la segunda y tercera rama. Los pacientes recibieron RFP en el 63,6% de los casos y RFC en el 36.4%. En el grupo de RFP la evolución del VAS fue: VAS 0: 8; VAS 1: 3 .4; VAS 3: 2.5 y VAS 6: 2. y del índice de Lattinen, L0: 16.9 y L6: 6. En el grupo de RFC, VAS 0: 7.9; VAS 1: 3.25; VAS 3: 2 y VAS 6: 2. El índice de Lattinen, L0: 16.125 y L6: 5. No hubo diferencias estadísticamente significativas en la reducción del VAS y del Lattinen

  7. La renta básica de ciudadanía y su posible efecto llamada

    Directory of Open Access Journals (Sweden)

    Boso, Àlex

    2011-12-01

    Full Text Available In the last two decades, there has been a significant number of studies on the proposal of a basic income, but its relationship with the process of contemporary international migration has not been clearly and exhaustively analysed until now. In this article, the authors explore the viability of implementing a basic income of citizenship that could include immigrants with more than one year of residence within the target population. The main objective of this study is to contrast the arguments raised up by the hypothesis of a possible ‘pull effect’ of a basic income. The analysis focuses on the potential behaviour of agents who could be motivated to emigrate by the existence of a basic income in a destination country. The study brings in theoretical arguments and empirical data that question the magnitude and even the existence of a possible pull effect of a basic income, and points up that the proposal is neither a necessary nor a sufficient condition for an increase in migrant population.

    A pesar de la gran cantidad de estudios desarrollados en las últimas dos décadas sobre la propuesta de la renta básica, su relación con el proceso de migración internacional no ha sido abordado de forma clara y exhaustiva. En este artículo, se explora la viabilidad de la aplicación de una propuesta de renta básica de ciudadanía que incluya como población beneficiada a las personas inmigradas con más de un año de residencia. El principal objetivo del estudio es examinar la hipótesis del efecto llamada de una renta básica, contrastando los argumentos que la sostienen. El análisis se centra en el potencial comportamiento de los agentes que pretenden emigrar ante la introducción de una renta básica en un posible país de destino. El estudio aporta argumentos teóricos y datos empíricos que ponen en cuestión la magnitud e incluso la existencia de un posible efecto llamada de una renta básica, ya que apunta a que la propuesta no

  8. [Upper extremity arterial diseases].

    Science.gov (United States)

    Becker, F

    2007-02-01

    Compared to lower limb arterial diseases, upper limb arterial diseases look rare, heterogeneous with various etiologies and a rather vague clinical picture, but with a negligible risk of amputation. Almost all types of arterial diseases can be present in the upper limb, but the anatomical and hemodynamic conditions particular to the upper limb often confuse the issue. Thus, atherosclerosis affects mainly the subclavian artery in its proximal segment where the potential of collateral pathway is high making the symptomatic forms not very frequent whereas the prevalence of subclavian artery stenosis or occlusion is relatively high. The clinical examination and the etiologies are discussed according to the clinical, anatomical and hemodynamic context.

  9. Transradial artery coronary angioplasty.

    Science.gov (United States)

    Kiemeneij, F; Laarman, G J; de Melker, E

    1995-01-01

    This study explored the feasibility and safety of percutaneous coronary balloon angioplasty (PTCA) with miniaturized PTCA equipment via the radial artery. Coronary angioplasty (PTCA) via the femoral or brachial arteries may be associated with rare vascular complications such as bleeding and damage to the artery and adjacent structures. It was postulated that PTCA via the radial artery with miniaturized angioplasty equipment is feasible and that no major puncture site-related complications occur because hemostasis is obtained easily and because no major structures are near the radial artery. With double blood supply to the hand, radial artery occlusion is well tolerated. In 100 patients with collateral blood supply to the right hand, PTCA was attempted with 6F guiding catheters and rapid-exchange balloon catheters for exertional angina (87 patients) or nonexertional angina (13 patients). Angioplasty was attempted in 122 lesions (type A n = 67 [55%], Type B n = 37 [30%], and type C n = 18 [15%]). Pre- and post-PTCA computerized quantitative coronary analysis was performed. Radial artery function and structure were assessed clinically and with Doppler and two-dimensional ultrasound on the day of discharge. Coronary catheterization via the radial artery was successful in 94 patients (94%). The 6 remaining patients had successful PTCA via the femoral artery (n = 5) or the brachial artery (n = 1). Procedural success (120 of 122 lesions) was achieved in 92 patients (98%) via the radial artery and in 98 patients of the total study population.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. Ciguatera: Posible transmisión sexual. A propósito de un caso.

    Directory of Open Access Journals (Sweden)

    RB Hevia Pumariega

    2008-01-01

    Full Text Available La ciguatera es una de las más importantes intoxicaciones causadas por el consumo de pescado, se produce cuando el hombre ingiere especies que viven asociadas a los arrecifes coralinos en mares de países tropicales y subtropicales. Es originada por dinoflagelados productores de toxinas , transmitidas por vía oral a través de la cadena alimentaria. Se describe el caso de un hombre de 52 años sin antecedentes de exposición a productos del mar, ni a sustancias tóxicas, que posterior a tener contacto sexual con su pareja femenina afectada por ciguatera desde hacía 48 horas presentó: astenia, parestesias periorales y artralgias que se prolongaron por más de 21 días; se le diagnosticó y trató por la misma enfermedad. Se sugiere una posible transmisión sexual de las toxinas relacionadas con este envenenamiento justificados por la alta liposolubilidad que les confieren sus estructuras química.

  11. Observaciones en el Ornithodoros Forcosus sobre su posible rol como vector de la Fiebre Recurrente

    Directory of Open Access Journals (Sweden)

    Arístides Herrer

    1957-12-01

    Full Text Available Tratando de verificar la posible infección por borrelias en el Ornithodoros Forcosus Neumann, 1908, se realizaron observaciones experimentales en las que se utilizó un total de 1,655 especímenes de esta garrapata. En tales estudios se emplearon pericotes blancos y cobayos. Con triturado de garrapatas fueron inoculados 68 animales (64 pericotes y 4 cobayos y 37 (16 pericotes y 21 cobayos fueron empleados para alimentar sobre ellos varios lotes de garrapatas. Los resultados de todas estas observaciones fueron negativas. Las garrapatas con las que se han efectuado estos estudios procedían de las localidades de Limabamba, Mariscal Benavides, Camporredondo, Ocalli y Luya, todas en el departamento de Amazonas, y a altitudes que varían entre 1,400 y 2,300 metros sobre el nivel del mar. Desde que la fiebre recurrente parece ser endémica en el Perú, especialmente en localidades de considerable altitud, es de suponer que en este país sea trasmitida principalmente por piojos.

  12. Funcionamiento del ascensor social en España y posibles mejoras. Informe SESPAS 2014

    Directory of Open Access Journals (Sweden)

    Anna García-Altés

    2014-06-01

    Full Text Available En este artículo nos preocuparemos por el grado en que la situación socioeconómica de un individuo se hereda y cómo puede aumentarse la igualdad de oportunidades para mejorar la movilidad social. La pobreza y la deprivación pueden dejar de ser dinásticas si el ascensor social funciona. En España, la desigualdad de renta, medida por el coeficiente de Gini, ha pasado de 0,31 en 2006 a 0,35 en 2012 (nos alejamos de los países escandinavos y centroeuropeos para asemejarnos más en desigualdades de renta al Reino Unido o Estados Unidos, y el grado de movilidad intergeneracional se sitúa entre el de Italia y el de Estados Unidos. Para cambiar esta situación y hacer que el ascensor social funcione es necesario mejorar la educación primaria y orientar el sistema sanitario hacia la atención primaria, lo cual no será posible sin una mejor calidad de la política y de las instituciones que la están condicionando.

  13. Argentina y la bipolaridad Estados Unidos-China: Implicancias de un escenario posible

    Directory of Open Access Journals (Sweden)

    Roberto Miranda

    2012-01-01

    Full Text Available En el presente siglo Argentina afrontó dos situaciones internacionales bien diferentes. Una fue la ventaja comercial obtenida gracias a la gravitación mundial de Asia y, sobre todo, al vínculo especial con China. Este país representó un punto de apoyo coyuntural. Otra situación fue la marginación de Argentina del poder inversor transnacional por la interposición norteamericana. El escenario posible de una bipolaridad entre Estados Unidos y China no sería una buena noticia para el país sudamericano. Por un lado Argentina no sólo pretende la persistencia del vínculo con China, también quiere una agenda más amplia y densa con esta potencia, la cual parece poco probable. Por otra parte le ha resultado complicado reducir la dependencia estructural con Estados Unidos, la cual el hegemón, por razones de diseño estratégico, se la hizo sentir en temas como el de las inversiones. Justamente, por un motivo y otro, la bipolaridad podría ser una limitante de la permisividad internacional de Argentina, después de haber disfrutado de ella.

  14. Acute occlusion of the left subclavian artery with artery dissection

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Subclavian steal syndrome is cerebral or brain stem ischemia resulting from diversion of blood flow from the basilar artery to the subclavian artery, which is caused by occlusive disease of either the subclavian artery or the innominate artery before they branch off at the vertebral artery. In the patients with subclavian steal syndrome the subclavian artery is fed by retrograde flow from the vertebral artery via the carotids and the circle of Willis.

  15. El sulfato como nutriente esencial en la protección contra los efectos citotóxicos del cadmio en la microalga dulceacuícula "Chlamydomonas moewussii" Gerloff

    OpenAIRE

    Mera, Roi

    2016-01-01

    [Resumen] El sulfato es la principal fuente de azufre para las microalgas y, por lo tanto, un nutriente esencial para estos microorganismos. El conocimiento de la concentración óptima de los nutrientes es una cuestión importante que ayuda a desarrollar sistemas de crecimiento eficientes; de hecho, el estudio de la cinética de crecimiento de las microalgas es una herramienta indispensable en todos los campos de la ficología. En el presente estudio, usando como modelo la micro...

  16. Bilateral accessory thoracodorsal artery.

    Science.gov (United States)

    Natsis, Konstantinos; Totlis, Trifon; Tsikaras, Prokopios; Skandalakis, Panagiotis

    2006-09-01

    The subscapular artery arises from the third part of the axillary artery and gives off the circumflex scapular and the thoracodorsal arteries. Although anatomical variations of the axillary artery are very common, the existence of a unilateral accessory thoracodorsal artery has been described in the literature only once. There are no reports of bilateral accessory thoracodorsal artery, in the literature. In the present study, a bilateral accessory thoracodorsal artery, originating on either side of the third part of the axillary artery, is described in a 68-year-old female cadaver. All the other branches of the axillary artery had a typical origin, course, distribution and termination. This extremely rare anatomical variation apart from the anatomical importance also has clinical significance for surgeons in this area. Especially, during the dissection or mobilization of the latissimus dorsi that is partly used for coverage problems in many regions of the body and also in dynamic cardiomyoplasty, any iatrogenic injury of this accessory artery may result in ischemia and functional loss of the graft.

  17. DESHIDRATACION Y SOBREHIDRATACION VOLUNTARIAS DURANTE EL EJERCICIO EN EL CALOR: POSIBLES FACTORES RELACIONADOS

    Directory of Open Access Journals (Sweden)

    Andrea Solera Herrera

    2006-12-01

    Full Text Available Los efectos negativos de la deshidratación sobre la salud y el rendimiento han sido bien documentados. Recientemente, también se han documentado problemas por sobrehidratación. La presente investigación se hizo para estudiar los posibles factores que influyen sobre la ingesta voluntaria de líquido durante el ejercicio y determinar si existe relación entre el grado de deshidratación voluntaria y la creencia de que la ingesta de líquido provoca cólico. Para ello, se contó con 94 estudiantes universitarios jóvenes, varones, quienes se ejercitaron a un 60% de su FCmáx durante una hora, alternando cada 10 min. entre bicicleta estacionaria, subir y bajar un escalón, y una máquina simuladora de esquí. Esto se realizó en un laboratorio de ambiente controlado a 30úC, 70% humedad relativa. Durante el ejercicio se midió la ingesta voluntaria de una bebida deportiva, así como también las percepciones de calor ambiental, llenura estomacal, malestar gastrointestinal y palatabilidad de la bebida. Los sujetos fueron pesados desnudos y secos antes y después del ejercicio. Al final se les aplicó un cuestionario sobre la importancia de la hidratación, y sus creencias sobre el cólico. El equilibrio hídrico promedio fue de 0.14 ± 0.98% del peso corporal, con un rango entre -2.38% y 2.84%. La tasa de sudoración promedio fue de 1208.3 ± 381.7ml·h-1; y la ingesta de 1132 ± 610ml·h-1. Dos análisis de regresión múltiple determinaron que: (a los predictores más fuertes de la ingesta voluntaria de líquido fueron la importancia asignada a la hidratación durante el ejercicio (R2 = 0.13; p < 0.0005 y la percepción de llenura estomacal al minuto 25 (R2 = 0.08; p = 0.005; (b los predictores más fuertes del equilibrio hídrico fueron la ingesta voluntaria por kg de peso (R2 = 0.73; p < 0.0005, y la tasa de sudoración (R2 = 0.08; p = 0.006. No obstante, el equilibrio hídrico no estuvo asociado con ninguna de las percepciones, ni con las

  18. Erradicación de diabetes en Guatemala: Un sueño posible

    Directory of Open Access Journals (Sweden)

    José Antonio Cornejo Guerra

    2015-07-01

    Full Text Available La diabetes mellitus es un problema de salud con alcances económicos y sociales. La prevalencia mundial está aumentando: se estima que para 1985 había 30 millones de personas con diabetes, 177 millones en el año 2000 y se estima que para el año 2030 habrá 438 millones de diabéticos. En Guatemala el 8% de la población tiene diabetes y se desconoce el porcentaje no diagnosticado y en pre-diabetes; además el país tiene índices de obesidad, sobrepeso y sedentarismo altos, situación que predispone a la aparición de la enfermedad. En el mundo cada 6 segundos muere alguien a causa de complicaciones relacionadas con diabetes y en Guatemala ocupa la tercera causa de mortalidad general. Existen varios tipos de diabetes, sin embargo, el ensayo se enfoca en la diabetes tipo 2 debido a que representa el 90% de los casos pero sobre todo por que es prevenible. Para el autor existen tres momentos importantes de los pacientes diabéticos: (1 paciente sano y con riesgo qué enfermará de diabetes, (2 paciente diabético que tendrá complicaciones y (3 pacientes con complicaciones que morirán. En los tres momentos se puede intervenir directamente, sin embargo, existen deficiencias como la ausencia de programas de prevención y la ineficiencia del sistema asistencial público. El autor propone posibles soluciones en base a evidencia científica para detener el aumento de casos de diabetes mellitus, disminuir las complicaciones micro y macro vasculares en los pacientes y principalmente, generar una cultura preventiva en Guatemala.

  19. Distribución y movimiento del colesterol en la membrana de eritrocito de pacientes con hipertensión esencial

    Directory of Open Access Journals (Sweden)

    Muriana, F. J. G.

    1996-08-01

    pacientes hipertensos normocolesterolémicos y 12 pacientes hipertensos hipercolesterolémicos. Mediante punción en la vena antecubital, se recogieron muestras de sangre en citrato sódico al 0,38%. La distribución del colesterol y su velocidad de transporte en la membrana de eritrocito se midieron según la técnica de la coiesterol oxidasa. La medida de la velocidad máxima del contratransporte Na+-Li + en eritrocito se efectuó según el eflujo de Li+ en presencia o ausencia de Na+. El estudio estadístico se determinó según el análisis de varianza (ANOVA para datos pareados con distribución normal. Para las correlaciones se empleó el test de regresión lineal de Pearson. Los resultados indican que existe una distribución asimétrica del colesterol en la membrana de eritrocito humano (más colesterol en la monocapa interna que en la externa, aunque la monocapa interna del eritrocito de pacientes hipertensos es aún más rica en colesterol que la de sujetos sanos. Esta alteración es concomitante con una reducción de la velocidad de transporte del colesterol en la bicapa lipídica del eritrocito, que contribuye a la asimetría transmembrana y lateral del propio coiesterol. Estos parámetros se correlacionan con la actividad en el eritrocito del contratransporte Na+-Li+, considerado como un indicador genético de la hipertensión esencial. Puede afirmarse que la distribución del colesterol y su velocidad de transporte entre monocapas pueden desempeñar un papel específico en el proceso hipertensivo. Y, por extensión, en otras enfermedades asociadas con alteraciones en el metabolismo lipídico.

  20. Celiac Artery Compression Syndrome

    Directory of Open Access Journals (Sweden)

    Mohammed Muqeetadnan

    2013-01-01

    Full Text Available Celiac artery compression syndrome is a rare disorder characterized by episodic abdominal pain and weight loss. It is the result of external compression of celiac artery by the median arcuate ligament. We present a case of celiac artery compression syndrome in a 57-year-old male with severe postprandial abdominal pain and 30-pound weight loss. The patient eventually responded well to surgical division of the median arcuate ligament by laparoscopy.

  1. Popliteal artery entrapment syndrome.

    LENUS (Irish Health Repository)

    O'Leary, D P

    2010-01-01

    Popliteal artery entrapment syndrome is a rare abnormality of the anatomical relationship between the popliteal artery and adjacent muscles or fibrous bands in the popliteal fossa. The following is a case report of a 19 year old female, in whom popliteal artery entrapment syndrome was diagnosed, and successfully treated surgically. A review of literature is also presented and provides details on how PAES is classified, diagnosed both clinically and radiologically, and treated surgically.

  2. Efectos secundarios de la aplicación tópica de un aceite de esencial: dermatitis alérgica de contacto a aceite de árbol de té

    Directory of Open Access Journals (Sweden)

    R. Santesteban Muruzábal

    2015-04-01

    Full Text Available Fundamento. El aceite de árbol de té es un aceite esencial, cuyo uso está aumentando en nuestro medio, tanto por sus supuestos efectos medicinales, como por sus propiedades aromáticas. Se describe nuestra experiencia en dermatitis alérgica de contacto tras la aplicación de este aceite. Material y Métodos. Cinco pacientes en los últimos 5 años (0,4% de todos los pacientes estudiados en consulta especializada reaccionaron a una concentración de 5% de aceite de árbol de té en vaselina. Resultados. Todos los pacientes presentaron reacciones fuertes, y en todos los casos éstas fueron consideradas relevantes. Tres de ellos reaccionaron también a d-limoneno oxidado, uno de los componentes del aceite de árbol de té, que está presente en nuestra serie estándar. Conclusiones. Se han descrito diversos casos en la literatura de dermatitis alérgica de contacto al aceite de árbol de té, pero hasta hace poco ha sido infrecuente en nuestro medio. Con el aumento de popularidad de terapias alternativas y naturales hemos sido testigos de varios casos de sensibilización a este aceite esencial, que había sido utilizado para tratar varias enfermedades de la piel supuestamente "infecciosas", pero que eran muy probablemente diferentes formas de dermatitis.

  3. Arterial waveform analysis.

    Science.gov (United States)

    Esper, Stephen A; Pinsky, Michael R

    2014-12-01

    The bedside measurement of continuous arterial pressure values from waveform analysis has been routinely available via indwelling arterial catheterization for >50 years. Invasive blood pressure monitoring has been utilized in critically ill patients, in both the operating room and critical care units, to facilitate rapid diagnoses of cardiovascular insufficiency and monitor response to treatments aimed at correcting abnormalities before the consequences of either hypo- or hypertension are seen. Minimally invasive techniques to estimate cardiac output (CO) have gained increased appeal. This has led to the increased interest in arterial waveform analysis to provide this important information, as it is measured continuously in many operating rooms and intensive care units. Arterial waveform analysis also allows for the calculation of many so-called derived parameters intrinsically created by this pulse pressure profile. These include estimates of left ventricular stroke volume (SV), CO, vascular resistance, and during positive-pressure breathing, SV variation, and pulse pressure variation. This article focuses on the principles of arterial waveform analysis and their determinants, components of the arterial system, and arterial pulse contour. It will also address the advantage of measuring real-time CO by the arterial waveform and the benefits to measuring SV variation. Arterial waveform analysis has gained a large interest in the overall assessment and management of the critically ill and those at a risk of hemodynamic deterioration.

  4. ¿ES POSIBLE UN VERDADERO ESTADO DE DERECHO DEMOCRÁTICO?. JÜRGEN HABERMAS Y LAS APÜRÍAS DE LA SOCIEDAD LIBERAL

    Directory of Open Access Journals (Sweden)

    Luis null

    2008-01-01

    Full Text Available La concepción e interpretación de la sociedad civil que, desde su teoría de la acción comunicativa (1981 hasta sus últimos escritos políticos, ha ido construyendo el filósofo alemán Jürgen Habermas refleja un proceso de ajuste a la realidad empírica con el consiguiente aflojamiento de los elementos normativos de su teoría. En este sentido, el lenguaje jurídico pasa a primer plano en detrimento del lenguaje filosófico-moral, lo que permite articular democracia y capitalismo en el marco de un Derecho que, recogiendo la esencial determinación de individuo, se encarga de armonizar distintos intereses contrapuestos y de manejar las contingencias de un modelo social que, en lo esencial, sigue dando preocupantes muestras de incoherencia y debilidad.

  5. Chemical constituents and toxicity of Agastache foeniculum (Pursh kuntze essential oil against two stored-product insect pests Componentes químicos y toxicidad del aceite esencial de Agastachefoeniculum (Pursh Kuntze contra dos plagas de insectos de productos almacenados

    Directory of Open Access Journals (Sweden)

    Asgar Ebadollahi

    2011-06-01

    Full Text Available The uncontrolled use of synthetic insecticides is a great hazard for the environment and consumers. Essential oils were introduced as low toxic agents against mammals and non-targeted insects. In this study, essential oil from aerial parts of blue giant hyssop (Agastache foeniculum [Pursh] Kuntze (Lamiaceae was isolated by the water steam distillation method with a Clevenger apparatus, and its chemical composition was studied by gas chromatography mass spectrometry. The toxicity of A. foeniculum essential oil against red flour beetle, Tribolium castaneum (Herbst, and lesser grain borer Rhyzopertha dominica (F. was evaluated by fumigation at 24, 48, and 72 h exposure times. Estragole and 1,8-cineole were identified as major constituents of the A. foeniculum oil. Fumigation bioassays revealed that A.foeniculum oil had strong insecticidal activity on experimental insects. Rhyzopertha dominica was more susceptible than T. castaneum for all exposure times. Insecticidal activity varied with essential oil concentration and exposure time. Probit analysis showed that increased exposure time and essential oil concentration increased mortality. These results indicated that A. foeniculum essential oil can be applied in the management of stored-product insects to decrease the detrimental effects of synthetic insecticides.El uso incontrolado de los insecticidas sintéticos causa gran peligro para el medio ambiente y los consumidores. Los aceites esenciales se presentan como agentes tóxicos leves contra mamíferos e insectos no objetivo. En el presente estudio, el aceite esencial de las partes aéreas del hisopo gigante azul (Agastache Foeniculum [Pursh] Kuntze (Lamiaceae se aisló por el método de destilación al vapor de agua, utilizando un aparato de Clevenger y se estudió su composición química mediante cromatografía de gases y espectrometría de masas. La toxicidad del aceite esencial de A. foeniculum se evaluó por métodos de fumigación a las 24

  6. Efecto del aceite esencial de Aloysia triphylla britton (cedrón sobre el Trypanosoma cruzi en ratones The effect of the essential oil from Aloysia triphylla britton (lemon verbena on Trypanosoma cruzi in mice

    Directory of Open Access Journals (Sweden)

    Juan Rojas

    2012-03-01

    Full Text Available Objetivos. Determinar la actividad anti-Trypanosoma cruzi in vivo del aceite esencial de Aloysia triphylla en ratones. Materiales y Métodos. Los animales fueron asignados aleatoriamente a los siguientes grupos (n = 15 por grupo: infectados y no tratados (G1, infectados y tratados con benznidazol 100 mg/kg (G2, infectados y tratados con aceite esencial de Aloysia triphylla 100 mg/kg (G3, infectados y tratados con aceite esencial de Aloysia triphylla 250 mg/kg (G4; no infectados y no tratados (G5, y no infectados y tratados con 250 mg/kg de Aloysia triphyla (G6. La infección con T. cruzi se realizó con 104 tripomastigotes sanguíneos y el tratamiento empezó en el octavo día postinfección (dpi hasta el 28 dpi. La parasitemia se determinó con microscopía óptica cada dos días en 5 μL de sangre extraída de la cola. En el 14, 21 y 28 dpi se obtuvo sangre de la cola para el ensayo de creatina kinasa-MB (CK-MB, alanina aminotransferasa y creatinina; después, los animales fueron sacrificados y se extrajo el corazón para el estudio histopatológico. Resultados. El aceite esencial de cedrón produjo una reducción significativa de 85,4% del pico de parasitemia con la dosis de 250 mg/kg; también produjo reducción del número de amastigotes e infiltrados inflamatorios en el corazón. El nivel plasmático de CK-MB también disminuyó en el 28 dpi por efecto de dicho tratamiento. Conclusiones. En condiciones experimentales, el aceite esencial de Aloysia triphylla tiene efecto anti-Trypanosoma cruzi in vivo en ratones.Objectives. To determine the in-vivo anti-Trypanosoma cruzi activity of the essential oil from Aloysia triphylla in mice. Materials and methods. The mice (n = 15 in the study were randomly assigned to the following groups: infected and untreated (G1, infected and treated with benznidazole 100 mg/kg (G2, infected and treated with of Aloysia triphylla essential oil 100 mg/kg (G3, infected and treated with of Aloysia triphylla

  7. Anomalous origin of right coronary artery from pulmonary artery

    Directory of Open Access Journals (Sweden)

    Rajat Gupta

    2012-01-01

    Full Text Available Anomalous origin of coronary artery from the pulmonary artery is a rare anomaly that most frequently involves the left coronary artery and very rarely the right coronary artery. These lesions can be missed on echocardiography unless carefully looked for. We describe a case of isolated anomalous origin of right coronary artery from pulmonary artery diagnosed on echocardiography and confirmed by computed tomography (CT angiography.

  8. Administrando soluciones posibles: medidas judiciales de protección de la niñez

    Directory of Open Access Journals (Sweden)

    Carolina Ciordia

    2011-06-01

    Full Text Available El objetivo de este artículo es indagar los modos a través de los cuales el ámbito judicial desarrolla diferentes intervenciones que teniendo como meta explícita la "protección" de niños y niñas, se orientan también a administrar y normalizar sus familias. Para ello focalizamos nuestro análisis en expedientes judiciales relevados en un tribunal de menores y en un juzgado de familia, con el fin de describir las resoluciones y medidas dictadas, y de analizar la trama de relaciones y las interacciones producidas entre los agentes judiciales, administrativos y los familiares de los niños, ya que a partir de ellas se configuran y postulan distintas soluciones posibles. Con este repertorio de soluciones, que serán ofrecidas o impuestas y que variarán a lo largo del proceso judicial, se busca componer un "orden familiar", ya sea preservando el vínculo de los niños con su familia de origen o bien encaminándolos hacia la adopción.The objective of this article is to inquire about the ways through which the judiciary develops different interventions that, taking as explicit goal the "protection" of boys and girls, are also oriented at administering and normalizing their families. To such end, we focused our analysis on court records reviewed at a juvenile and family court, with the purpose of describing the resolutions and measures adopted, and of analyzing the scheme of relationships and interactions produced between the court clerks, administrative agents and the children's relatives, given that it is from them that we can configure and outline the different possible solutions. Collection of solutions that will be offered or imposed and that will vary throughout the judicial process, with which the formation of a "family order" is sought, either by preserving the relationship of the children with their family of origin or by orienting them towards adoption.

  9. Arterial hypoxaemia in cirrhosis

    DEFF Research Database (Denmark)

    Møller, S; Hillingsø, Jens; Christensen, E

    1998-01-01

    BACKGROUND: Although low arterial oxygen tension (Po2) has been claimed to occur in one to two thirds of patients with cirrhosis, hypoxaemia appears to be rare in clinical practice. AIMS: To assess the frequency of arterial hypoxaemia in cirrhosis in relation to clinical and haemodynamic......%, 96%, 96%, and 93% (NS). So2 was below the lower limit of 92% in 0%, 9%, 7%, and 24% (p arterial carbon dioxide tension, a low systemic vascular...... resistance, and a low indocyanine green clearance (p arterial hypoxaemia in cirrhosis is about 22% in patients without encephalopathy, but it varies from 10-40% depending on the degree of hepatic dysfunction. Arterial hypoxaemia in patients with cirrhosis of differing...

  10. Artery by Neuropeptides

    Directory of Open Access Journals (Sweden)

    Esmeralda Sofia Costa Delgado

    2012-01-01

    Methods. Isolated rabbit eyes (n=12 were perfused in situ with tyrode through the external ophthalmic artery. Effects of intra-arterial injections of NPY 200 μg/ml (Group A; n=6 and VIP 200 μg/ml (Group B; n=6 on the recorded pressure were obtained. For statistical analysis, Student's paired t-test and Fast Fourier Transform were used. Results. Spontaneous oscillations were observed before any drug administration in the 12 rabbit models. NPY produced an increase in total vascular resistance and a higher frequency and amplitude of oscillations, while VIP evoked the opposite effects. Conclusions. This study provides evidence of vasomotion in basal conditions in rabbit external ophthalmic artery. Concerning drug effects, NPY increased arterial resistance and enhanced vasomotion while VIP produced opposite effects which demonstrates their profound influence in arterial vasomotion.

  11. [Transposition of Great Artery].

    Science.gov (United States)

    Konuma, Takeshi; Shimpo, Hideto

    2015-07-01

    Transposition of the great artery is one of common congenital cardiac disease resulting cyanosis. Death occurs easily in untreated patients with transposition and intact ventricular septal defect (VSD) in infancy at a few days of age when posterior descending coronary artery (PDA) closed. Since there are 2 parallel circulations, flow from pulmonary to systemic circulation is necessary for systemic oxygenation, and Balloon atrial septostomy or prostaglandin infusion should be performed especially if patient do not have VSD. Although the advent of fetal echocardiography, it is difficult to diagnose the transposition of the great arteries (TGA) as abnormality of great vessels is relatively undistinguishable. The diagnosis of transposition is in itself an indication for surgery, and arterial switch procedure is performed in the case the left ventricle pressure remains more than 2/3 of systemic pressure. Preoperative diagnosis is important as associated anomalies and coronary artery branching patterns are important to decide the operative indication and timing of surgery.

  12. El razonamiento analógico verbal: una habilidad cognitiva esencial de la producción escrita (Verbal analogical reasoning: an essential cognitive ability of written production

    Directory of Open Access Journals (Sweden)

    Ricardo Benítez Figari

    2010-12-01

    Full Text Available La escritura promueve en los sujetos la capacidad de razonar en y con el lenguaje: el metalenguaje (Ravid y Tolchinsky, 2002. Esta habilidad requiere de conocimientos lingüísticos y de habilidades cognitivas para un desarrollo acorde. Uno de los componentes centrales de la cognición es la capacidad de razonar en forma analógica (Goswami y Brown, 1990. El presente trabajo tiene como propósito indagar una posible relación entre ambas variables: producción textual y razonamiento analógico verbal. Para ello, se plantean dos objetivos: (a indagar acerca del razonamiento analógico verbal como una habilidad cognitiva a la base de la escritura de textos narrativos, y (b determinar la incidencia de esta habilidad en el metalenguaje. Así, se estudió un grupo de 258 escolares chilenos de tercer año de educación básica para establecer una correlación entre su nivel de razonamiento analógico y su nivel de producción de textos narrativos. Se aplicó una prueba de escritura y una prueba de razonamiento analógico verbal. Los resultados preliminares señalan que existe correlación entre ambas variables; sin embargo, se puede observar que algunos dominios específicos de la escritura parecen depender más de otros conocimientos que sólo del razonamiento analógico verbal. (Writing enables individuals to reason in or with language: metalanguage (Ravid y Tolchinsky, 2002. This ability requires both linguistic knowledge and cognitive abilities, so it can develop accordingly. One of the pivotal components of cognition is the capacity to reason in an analogical way (Goswami y Brown, 1990. The purpose of this paper is research into the potential relation between both variables: text production and analogical reasoning. To that purpose, two objectives have been pursued: (a to inquire into the verbal analogical reasoning as a cognitive ability essential to the writing of narrative texts; and (b to determine the incidence of this ability in the

  13. POSIBLES PAUTAS PARA UNA ACCIÓN VITAL SOBRE EL DETERIORO

    Directory of Open Access Journals (Sweden)

    Juan José Tuset Davó

    2011-05-01

    Full Text Available RESUMEN La creciente acumulación de residuos nos plantea posibles pautas para intervenir el nuevo entorno cambiante. Este pensar implica buscar y definir modelos que permitan enfrentarnos a las arquitecturas sin uso. Previo a su demolición o rehabilitación, podemos establecer como actitud ética la preservación y exaltación de la vida natural de toda construcción del hombre. Para ello, nos instruimos de los modelos válidos acometidos en proyectos de paisaje y, especialmente, de jardín porque, en su voluntad de crear entornos placenteros, la vida en toda su amplitud se hace presente para poderla aprehender. El tránsito desde la persistencia de lo mismo, que establece posturas que idealizan el paisaje, hasta la nueva valoración del cambio alternativo, implica ahondar en la complejidad de las variables de lo natural. Dirigir la mirada a lo biológico verifica que, en su alternancia permanente, nace una nueva estética ligada a los principios ecológicos que ponen en valor el devenir del tiempo. Toda unidad arquitectónica que nace de la unión de lo preexistente -soporte- con lo nuevo -aporte- nos ofrece la oportunidad de razonar el sentido de lo Otro. Apoyados en el pensamiento de Lévinas, nos acercamos a una actitud ética que, complementada con los variados planteamientos estéticos característicos del hecho arquitectónico, nos conduce a abrirnos al gozo estético de lo Otro. La atención a lo natural en toda arquitectura nos aporta la experiencia de conseguir una existencia consecuente con la vida.SUMMARY The growing accumulation of waste presents us with possible guidelines to intervene in the new changing environment. This thinking involves searching for, and defining, models that allow us to confront architecture without use. Prior to demolition or renovation, we can establish the preservation and exaltation of the natural life of any of mankind’s structures as an ethical attitude. To this end, we learn about the valid models

  14. Coronary artery aneurysms

    Energy Technology Data Exchange (ETDEWEB)

    Koischwitz, D.; Harder, T.; Schuppan, U.; Thurn, P.

    1982-04-01

    Seven saccular coronary artery aneurysms have been demonstrated in the course of 1452 selective coronary artery angiograms. In six patients they were arterio-sclerotic; in one patient the aneurysm must have been congenital or of mycotic-embolic origin. The differential diagnosis between true aneurysms and other causes of vascular dilatation is discussed. Coronary artery aneurysms have a poor prognosis because of the possibility of rupture with resultant cardiac tamponade, or the development of thrombo-embolic myocardial infarction. These aneurysms can only be diagnosed by means of coronary angiography and require appropriate treatment.

  15. Coronary Artery Bypass

    Directory of Open Access Journals (Sweden)

    Kadri Ceberut

    2011-01-01

    Full Text Available Ancient schwannoma is a rare variant of neural tumors though rarely seen in the thorax. The combination with coronary artery diseases is also rare. Here we describe a 66 year-old male who had undergone one-stage combined surgery for thoracic ancient schwannomas removal and coronary artery disease. The masses were, respectively, 13 cm in the middle mediastinum and 5 cm in diameter originating from the intercostal nerve. The tumors were successfully removed using sternotomy, and then a coronary artery bypass grafting was performed. Here we discuss this rare tumor in relation to the relevant literature.

  16. Efecto de la aplicación de aceite esencial de orégano mexicano (Lippia graveolens) y tomillo (Thymus vulgaris) en factores de calidad de rodajas de manzana (Malus domestica)

    OpenAIRE

    Carlos Enrique Ochoa Velasco; Juan José Luna Guevara; Francisco Javier Pérez Gaspar

    2012-01-01

    El objetivo de este estudio fue evaluar algunos factores de calidad de rodajas de manzana sumergidas en soluciones de aceite esencial (AE) de orégano y tomillo. Rodajas de manzana fueron sumergidas en diferentes soluciones de AE: 100 ppm de AE de orégano (T1), 100 ppm de AE de tomillo (T2), 75:25 ppm de AE de orégano:tomillo (T3), 50:50 ppm de AE de orégano:tomillo (T4), 25:75 ppm de AE de orégano:tomillo (T5); 100 ppm de ácido ascórbico (T6) y agua destilada estéril (T7) que se utilizó como...

  17. Evaluación del proceso integral para la obtención de aceite esencial y pectina a partir de la cáscara de naranja Integral evaluation process for obtaining pectin and essential oil

    Directory of Open Access Journals (Sweden)

    Ivonne Cerón-Salazar

    2011-06-01

    Full Text Available En este trabajo se presentó la extraccion de aceite esencial y pectina a partir dela cascara de naranja (Citrus sinensis como un proceso integral. Se realizó elproceso de extracción utilizando un simulador comercial adaptandose al procesoreal. Se realizaron pruebas experimentales con un kilogramo de cáscara de naranja procesado a las mismas condiciones de la simulacion con el fin de comparar los rendimientos obtenidos, logrando una concordancia aceptable. Posteriormente se escaló el proceso a una tonelada. Como resultado no solo se demuestran las ventajas del proceso integral, sino tambien la posibilidadde su implementacion a nivel industrial. Se concluye ademas que las tecnicas de simulacion son una herramienta poderosa que permite minimizar tiempo,costos y experimentacion en el diseñode procesos como los de extraccion de aceite esencial y pectina.In this paper, an alternative for essential oil and pectin extraction from orange peel (Citrus sinensis as an integral process was presented. The extraction units were simulated using commercial simulator software for real process conditions. Experimental tests were carried out with a kilogram of orange peel with the same conditions used in of the simulation with the aim of comparing the experimental and calculated yields. Subsequently, the process was scaled to 1000 kg. Advantages of the integrated process and its possibilities of implementation at industrial level were showed. Moreover, it was concluded that simulation techniques are powerful tools that allows minimizing time, costs and experimentation in the design of processes such as essential oil extraction and pectin extraction.

  18. Posible superfetación en una coneja raza NZB (Oryctolagus cuniculus) concomitante a retraso del desarrollo intrauterino (RDIU)

    OpenAIRE

    Tena, Eduardo; Hernández, Braulio; Ibáñez, Alejandra; Reyes, Sergio

    2013-01-01

    Los trastornos reproductivos del conejo son complejos y numerosos incluyendo rarezas como la superfetación (SF). Se describe un posible caso de sf descubierto accidentalmente, asociado a distocia en una coneja de la raza nzb, que sufre de severa hemorragia vaginal, postración, hipotermia y no reactiva al estímulo. Durante la palpación, numerosos fetos fueron detectados en ambos cuernos uterinos sin respuesta a la manipulación obstétrica para extracción. La cesárea urgente reveló seis producto...

  19. Desafíos de la educación secundaria en Argentina: Pensar juntos algunas transformaciones necesarias y posibles

    OpenAIRE

    Horacio Ademar Ferreyra

    2016-01-01

    A partir del conocimiento construido en un estudio acerca de las características y procesos de la Educación Secundaria en Argentina en el período 2000-2010, desarrollado con el propósito de caracterizar los principales retos y posibilidades de este tramo del sistema educativo, se presentan en este artículo algunas propuestas de cambio que implican transformaciones necesarias y posibles con la intención de aportar a la resignificación del nivel. Como alternativa a un enfoque jerárquico de arri...

  20. Adquisición del lenguaje oral de 0-3 años y posibles trastornos.

    OpenAIRE

    Herrero de los Bueis, Bárbara Nuria

    2015-01-01

    En este trabajo he tratado de explicar el proceso de adquisición del lenguaje, que es de vital relevancia en el primer ciclo de Educación Infantil. Esta etapa aborda desde el nacimiento hasta los 3 años. Por ello, pienso que es necesario hacer un estudio de las diferentes teorías del lenguaje, así como las diversas etapas y sub-etapas que atraviesa el infante en el desarrollo de la adquisición del lenguaje. En este proyecto también he estudiado los posibles trastornos que podemos encontrar...

  1. Renal arteries (image)

    Science.gov (United States)

    A renal angiogram is a test used to examine the blood vessels of the kidneys. The test is performed ... main vessel of the pelvis, up to the renal artery that leads into the kidney. Contrast medium ...

  2. Coronary Artery Bypass Surgery

    Science.gov (United States)

    ... t help, you may need coronary artery bypass surgery. The surgery creates a new path for blood to flow ... more than one bypass. The results of the surgery usually are excellent. Many people remain symptom-free ...

  3. Carotid Artery Disease

    Science.gov (United States)

    ... make them more vulnerable to damage. Tobacco use. Nicotine can irritate the inner lining of your arteries. ... your physical and mental capabilities such as strength, memory and speech. After that, your doctor may recommend: ...

  4. Pulmonary Arterial Hypertension

    Science.gov (United States)

    Pulmonary Arterial Hypertension What Is Pulmonary Hypertension? To understand pulmonary hypertension (PH) it helps to understand how blood ows throughout your body. While the heart is one organ, it ...

  5. Heritability of cilioretinal arteries

    DEFF Research Database (Denmark)

    Taarnhøj, Nina Charlotte; Munch, Inger C; Kyvik, Kirsten O;

    2005-01-01

    PURPOSE: To determine whether the presence of one or more cilioretinal arteries, a distinct element of the pattern of fundus vessels, is genetically programmed, influenced by environmental factors, or the result of random mechanisms of vascular development. METHODS: The fundi of 112 pairs...... environmental factors. CONCLUSIONS: The presence or absence of one or more cilioretinal arteries in healthy persons is markedly influenced by genetic factors....

  6. Coronary anomaly: the single coronary artery

    Institute of Scientific and Technical Information of China (English)

    QIN Xu-guang; XIONG Wei-guo; LU Chun-peng; GONG Cheng-jie; SHANG Li-hua

    2010-01-01

    @@ Single coronary artery (SCA), defined as an artery that arises from the arterial trunk and nourishes the entire myocardium, is rare. We report two cases of SCA, one is the right coronary artery (RCA) originating from the middle of left descending artery (LAD), and the other is the left main coronary artery (LMCA) arising from the proximal right coronary artery.

  7. POSIBLES SITIOS DE OCUPACIÓN PARA EL TRITIO EN EL TITANATO DE LITIO: UN ESTUDIO DFT PERIÓDICO

    Directory of Open Access Journals (Sweden)

    Antonio Buljan

    2010-01-01

    Full Text Available En este trabajo se presenta una investigación teórica sobre los posibles sitios de ocupación de los átomos de tritio en la estructura de titanato de litio. Para esto se utilizó un método de Teoría Funcional de la Densidad (DFT periódico utilizando el paquete computacional VASP. Fueron identificados dos posibles sitios donde un átomo de tritio puede sustituir a un átomo de Li. Uno de estos sitios está en la capa de átomos de titanio y el otro en la capa de litio. Este estudio demuestra que el tritio liberado puede ocupar mas favorablemente el sitio en las capas de litio que de titanio. En efecto, si se comparan los átomos de tritio que ocupan posiciones en las capas de litio con aquellos que ocupan posiciones en las capas de titanio, son estos últimos los que requieren mayor energía para ser liberados. Por último, se encontró una interesante relación entre los resultados reportados en este estudio y los datos experimentales reportados en la literatura.

  8. Coronary Artery and Pulmonary Artery Fistula Originated from Significant Stenosis in the Left Anterior Descending Artery

    Directory of Open Access Journals (Sweden)

    Alper Sami Kunt

    2013-01-01

    Full Text Available Coronary artery fistula (CAF is defined as a rare anomalous connection between a coronary artery and a major vessel or a cardiac chamber. We report a case of a left anterior descending coronary (LAD stenosis and coronary artery fistula between the LAD coronary artery and the pulmonary artery (PA. CAF is often diagnosed by coronary angiogram. We describe our diagnostic approach and review the literature on the epidemiology, the pathophysiology, the diagnostic modalities, and the treatment options.

  9. Evaluación de la presión arterial media durante la cirugía de implante dental

    Directory of Open Access Journals (Sweden)

    Rolando Carrasco

    2014-07-01

    Conclusión: Se observa un alza significativa en los valores de PM registrados en los individuos durante la cirugía de implantes, por lo que es importante considerar esta alza en todos los pacientes que serán sometidos a dicho procedimiento y más aún en aquellos que ya posean valores elevados de su presión arterial de manera a evitar posibles complicaciones.

  10. Left Coronary Artery-Pulmonary Artery Fistula in Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Orhan Veli Doğan

    2012-08-01

    Full Text Available Coroner artery fistula which is rare and congenital or acquired arise from whole coroner artery drainage all of cardiac chamber and great artery. Although coroner artery fistula is uncommon, it can cause significant mortality and morbidity rates. The article is presented which coroner artery disease and coroner-pulmonary artery fistula was accomplishment committed. Sixty three year-old male patient admitted to the hospital with chest pain. Non-ST myocardial infarction was diagnosed in the examinations. After coroner angiography, it was found coronary artery disease in addition between LAD proximal portion and main pulmonary artery fistula. Fistula repair and coronary bypass were performed successfully under cardiopulmonary bypass. Without hemodynamic problem in intensive care and service follow-up, the patient was discharged from the hospital in the seventh postoperative day. We think that surgical treatment of coronary fistulas in patients with coronary artery lesion is done at the earliest time would enable improvement in mortality and morbidity rates.

  11. Arterial hypertension and cancer.

    Science.gov (United States)

    Milan, Alberto; Puglisi, Elisabetta; Ferrari, Laura; Bruno, Giulia; Losano, Isabel; Veglio, Franco

    2014-05-15

    Arterial hypertension and cancer are two of the most important causes of mortality in the world; correlations between these two clinical entities are complex and various. Cancer therapy using old (e.g., mitotic spindle poisons) as well as new (e.g., monoclonal antibody) drugs may cause arterial hypertension through different mechanisms; sometimes the increase of blood pressure levels may be responsible for chemotherapy withdrawal. Among newer cancer therapies, drugs interacting with the VEGF (vascular endothelial growth factors) pathways are the most frequently involved in hypertension development. However, many retrospective studies have suggested a relationship between antihypertensive treatment and risk of cancer, raising vast public concern. The purposes of this brief review have then been to analyse the role of chemotherapy in the pathogenesis of hypertension, to summarize the general rules of arterial hypertension management in this field and finally to evaluate the effects of antihypertensive therapy on cancer disease.

  12. Idiopathic pulmonary artery aneurysm.

    Science.gov (United States)

    Kotwica, Tomasz; Szumarska, Joanna; Staniszewska-Marszalek, Edyta; Mazurek, Walentyna; Kosmala, Wojciech

    2009-05-01

    Pulmonary artery aneurysm (PAA) is an uncommon lesion, which may be associated with different etiologies including congenital cardiovascular diseases, systemic vasculitis, connective tissue diseases, infections, and trauma. Idiopathic PAA is sporadically diagnosed by exclusion of concomitant major pathology. We report a case of a 56-year-old female with an idiopathic pulmonary artery dilatation identified fortuitously by echocardiography and confirmed by contrast-enhanced computed tomography. Neither significant pulmonary valve dysfunction nor pulmonary hypertension and other cardiac abnormalities which might contribute to the PAA development were found. Here, we describe echocardiographic and computed tomography findings and review the literature on PAA management.

  13. Insecticidal Activity of the Essential Oil Isolated from Azilia eryngioides (Pau Hedge et Lamond Against Two Beetle Pests Actividad Insecticida del Aceite Esencial Aislado de Azilia eryngioides (Pau Hedge et Lamond contra Dos Escarabajos Plaga

    Directory of Open Access Journals (Sweden)

    Asgar Ebadollah

    2011-09-01

    Full Text Available A large number of plant essential oils have been used against diverse insect pests since they, unlike conventional pesticides, present no risk to humans and the environment. This study was conducted to determine the toxicity of Azilia eryngioides (Pau Hedge et Lamond (Apiaceae essential oil against 1- to 7-d-old Sitophilus granarius (L. (Curculionidae and Tribolium castaneum (Herbst (Tenebrionidae adults. The essential oil was obtained from aerial parts of the plant using a Clevenger apparatus and analyzed by gas chromatography and mass spectrometry. The major constituents of the oil were α-Pinene and bornyl acetate. Fumigation bioassays revealed that A. eryngioides oil had a strong insecticidal activity on adult test insects that were exposed to 37.03, 74.07, 111.11, and 148.14 µL L-1 to estimate mean lethal time (LT50 values. Mortality increased as concentration and exposure time increased, and reached 100% at the 39-h exposure time and concentrations higher than 111.11 µL L-1. Another experiment was designed to determine the mean lethal concentration at the 24-h exposure time (LC50-, and these values indicated that S. granarius was more susceptible than T. castaneum. It can be concluded that the essential oil of A. eryngioides has potential against two stored-product pests, S. granarius and T. castaneum.Una gran cantidad de aceites esenciales de plantas se han utilizado como agentes de control biológico contra diversos insectos plaga, ya que no presentan riesgo para los seres humanos y el medio ambiente, a diferencia de los pesticidas convencionales. Se determinó la toxicidad del aceite esencial de Azilia eryngioides (Pau Hedge et Lamond (Apiaceae contra adultos de 1 a 7 días de edad de Sitophilus granarius (L. (Curculionidae y Tribolium castaneum (Herbst (Tenebrionidae. El aceite esencial se obtuvo de las partes aéreas de la planta utilizando un aparato de Clevenger y se analizó por cromatografía de gases por espectrometría de

  14. Chemical Composition and Allelopathyc Activity of Essential Oil of Lippia sidoides Cham Composición química y actividad alelopática del aceite esencial de Lippia sidoides Cham

    Directory of Open Access Journals (Sweden)

    Cláudia Araújo Marco

    2012-03-01

    Full Text Available The allelopathy is a process for which products of the secondary metabolism, as terpenes phenolic, of a certain vegetal intervene significantly, generally of antagonistic form, in the development of other species of plants. The objective of this work was to chemically characterize the essential oil of Lippia sidoides Cham. growing in the Cariri cearense region, Brazil, and evaluate the allelopathyc effect of this oil on the germination of lettuce (Lactuca sativa L., arugula (Eruca sativa Mill., and cauliflower (Brassica oleracea L., in pre-plantation application. The monoterpene thymol (84.90% has been identified as the principal constituent in the essential oil. The experiment was done in randomized complete block, in 4 x 3 factorial; being used four essential oil combinations applied in three different species in pre-plantation applications. Emergence velocity index (EVI, germination percentage and mean time to germination (MTG, had been analyzed through daily counting carried out until the 14th day after sowing. Through qualitative analysis performed by gas chromatography coupled with mass spectrometry (GC/MS were identified seven chemical constituents representing 97.82% of essential oil of L. sidoides, being that the constituent present in greater concentration in oil was the thymol (84.90%. Could be verified the occurrence of the negative allelopathyc effect of lettuce crop, because its present low EVI and greater MTG, for the other vegetable species there were no allelopathic effect.La alelopatía es un proceso mediante el cual productos metabólicos secundarios, tales como terpenos fenoles, producidos por una planta en particular interfieren significativamente, y de manera antagónica, en el desarrollo de otras especies vegetales. Nuestros objetivos fueron caracterizar químicamente el aceite esencial de Lippia sidoides Cham., cultivada en la región de Cariri Ceará, y evaluar el efecto alelopático del aceite aplicado en pre-siembra en

  15. Left Anterior Descending Artery-Pulmonary Artery Fistula

    Directory of Open Access Journals (Sweden)

    Turan Ege

    2011-12-01

    Full Text Available Despite the fact that coronary arteriovenous fistulas constitute approximately half (48% of coronary artery anomalies, they are rarely seen anomalies. In this report,we aim to present a coronary arteriovenous fistula case detected during a coronary angiography between left anterior descending artery and pulmonary artery.

  16. Pulmonary arterial hypertension in children after neonatal arterial switch operation

    NARCIS (Netherlands)

    Zijlstra, Willemijn Mh; Elmasry, Ola; Pepplinkhuizen, Shari; Ivy, D Dunbar; Bonnet, Damien; Lévy, Marilyne; Gavilan, Jose Luis; Torrent-Vernetta, Alba; Mendoza, Alberto; Del Cerro, Maria Jesus; Moledina, Shahin; Berger, Rolf M. F.

    2017-01-01

    OBJECTIVES: Paediatric pulmonary arterial hypertension (PAH) after neonatal arterial switch operation (ASO) for transposition of the great arteries (TGA) is a clinically recognised entity with an estimated incidence of 0.6%-1.0%. Nevertheless, a clinical characterisation is lacking. We present an in

  17. Pharmacological modulation of arterial stiffness.

    LENUS (Irish Health Repository)

    Boutouyrie, Pierre

    2011-09-10

    Arterial stiffness has emerged as an important marker of cardiovascular risk in various populations and reflects the cumulative effect of cardiovascular risk factors on large arteries, which in turn is modulated by genetic background. Arterial stiffness is determined by the composition of the arterial wall and the arrangement of these components, and can be studied in humans non-invasively. Age and distending pressure are two major factors influencing large artery stiffness. Change in arterial stiffness with drugs is an important endpoint in clinical trials, although evidence for arterial stiffness as a therapeutic target still needs to be confirmed. Drugs that independently affect arterial stiffness include antihypertensive drugs, mostly blockers of the renin-angiotensin-aldosterone system, hormone replacement therapy and some antidiabetic drugs such as glitazones. While the quest continues for \\'de-stiffening drugs\\

  18. Acceso abierto: ¿Es posible publicar "bueno, bonito y barato" en psicología y neurociencia?

    Directory of Open Access Journals (Sweden)

    Ángel Correa Torres

    2014-03-01

    Full Text Available Ante la insatisfacción de un número creciente de investigadores con el modelo de publicación clásico por el que algunas editoriales se lucran masivamente cobrando por el acceso al conocimiento científico, cabe preguntarse si es posible publicar en revistas de calidad que ofrezcan acceso libre a un precio razonable. En este artículo se ofrecen algunas respuestas aplicadas al contexto de la investigación en psicología y neurociencia. Aunque el momento actual no es el ideal, hay razones para ser optimista y pensar que en unos años asistiremos a una democratización real del conocimiento donde la política del acceso libre será la práctica dominante.

  19. El posible escenario de un sismo de magnitud ≥ 6,5 para la ciudad de Villavicencio (Colombia

    Directory of Open Access Journals (Sweden)

    Germán Chicangana

    2013-07-01

    Full Text Available Para la ciudad de Villavicencio (Colombia, desde el estudio de microzonificación sísmica, la amenaza sísmica ha sido definida como alta. En este trabajo se muestran aspectos morfotectónicos y sismológicos que lo corroboran y se exponen las posibles consecuencias que tendría para la ciudad la ocurrencia de un sismo de gran magnitud, ya que su vulnerabilidad se incrementa por las falencias en su infraestructura, por la falta de planes gubernamentales frente a este tipo de contingencia, tanto en prevención como en atención, y porque su población no está preparada para este tipo de amenaza natural.

  20. Una posible reflexión teórica acerca de la transdisciplinaridad en nuestros días

    Directory of Open Access Journals (Sweden)

    Guilherme Brandão

    2009-01-01

    Full Text Available La complejidad desbordó las fronteras disciplinares de la Ciencia posibilitando yuxtaposiciones disciplinarias, sin embargo, - es lo que se busca problematizar en ese texto - las fronteras epistemológicas del sistema científico no fueron desbordadas. De esa manera, en ese trabajo se plantea, bajo un diálogo posible entre las teorías de Gaston Bachelard y de Niklas Luhmann, además de rasgos de la teoría de Warren Weaver y de Keneth Boulding, condiciones de posibilidad para una otra mirada hacia la transdisciplinaridad; admitiendo sus raíces gnoseológicas cristalizadas al alero de la semántica del postmodernismo, sin embargo, intentando problematizar la posibilidad de emergencia de una transdisciplinaridad epistemológica.

  1. Decision taking as an essential professional ability in the Medical career La toma de decisiones médicas como la habilidad profesional esencial en la carrera de Medicina

    Directory of Open Access Journals (Sweden)

    Mercedes Fonseca Hernández

    2010-02-01

    Full Text Available Taking as a starting point the logic of the professional’s performance of the comprehensive general doctor and the relationship between medical decision taking and the abilities in the curricular design of the Medical Career it is possible to identify the essence of the main professional abilities in medical decision taking. The considerations that medical decision taking first deal with diagnostic actions related to the patient’s health problem and a later with actions to restore the patient’s health by solving their medical problem, make medical decision taking abilities as the core of the professional logic abilities that allows doctors to fulfill with their function of giving comprehensive medical assistance to their patients. References about medical decision taking as a professional ability and its main essence has not been found in the medical literature up to the present.A partir del análisis de la lógica de la actuación profesional del médico general integral básico, así como de la relación existente entre la toma de decisiones médicas y las habilidades contenidas en el sistema de habilidades de la carrera de Medicina se logra identificar el carácter de la habilidad profesional esencial de la toma de decisiones médicas. Al concebir que la habilidad toma de decisiones médicas posee un momento inicial constituido por acciones dirigidas al diagnóstico del problema de salud del paciente y un momento posterior conformado por acciones en función de la solución de ese problema, la habilidad toma de decisiones médicas expresa, como ninguna otra habilidad profesional, la lógica profesional del médico general integral básico para llevar a cabo la función de atención médica integral a los pacientes. No se encuentran referencias en la literatura al reconocimiento de habilidad profesional de la toma de decisiones médicas ni obviamente, al carácter esencial de dicha habilidad.

  2. CUANDO EL DESARROLLO SOCIAL SE HACE POSIBLE EN UN PAÍS POBRE: EL CASO DE COSTA RICA

    Directory of Open Access Journals (Sweden)

    Leonardo Garnier Rímolo

    2011-09-01

    Full Text Available Este artículo es una versión ligeramente modificada de un trabajo escrito a finales de 1994 a solicitud del Fondo de las Naciones Unidas para la Infancia (UNICEF, para ser incluido en una publicación que contendrá los análisis retrospectivos de los procesos de desarrollo social de varios países en desarrollo. Se trata de países que, como Costa Rica, han logrado avances significativos en los niveles de bienestar de sus poblaciones, a pesar de sus históricas limitaciones estructurales.La principal pregunta que se busca contestar en el artículo se podría plantear de la siguiente manera: ¿cómo fue posible que ese pequeño país que es Costa Rica, con una economía típica del capitalismo periférico, pudiera alcanzar niveles de calidad de vida más cercanos a los de los países industrializados que a los de los países en desarrollo, a pesar de que el producto económico que genera no supera el nivel medio-bajo en el contexto internacional?Para abordar esa cuestión, se ofrece una interpretación de los rasgos esenciales del proceso de desarrollo social que ha experimentado el país desde la mitad del siglo veinte hasta principios de la década de los noventa. También se analizan los factores que han hecho posible ese proceso, se resaltan los principales instrumentos institucionales que lo han impulsado, y se discute sobre su sostenibilidad futura.

  3. La Ley de Auditoria Española, su Significación y Bases para una Posible Reforma

    Directory of Open Access Journals (Sweden)

    Alejandro Larriba Díaz-Zorita

    1999-12-01

    Full Text Available La Ley de Auditoria lleva vigente algo más de una década y numerosas voces reclaman su modifica, por lo que este trabajo aborda las posibles orientaciones que podrían contemplarse en la reforma de algunos de los puntos más controvertidos de la ley actual. Se revisan así los problemas derivados del procedimiento de acceso a la profesión y del régimen transitorio inicial que dispuso la ley, el grado de intervencionismo y su posible reducción, el carácter de profesión de la actividad auditora, el papel de las corporaciones de auditores, la problemática de la formación continuada de los profesionales, los controvertidos temas de la responsabilidad, la independencia prestación de otros servicios paralelos a las empresas auditadas, y el contexto internacional en que desarrollarse la ley y sus consecuencias de cara a la libre circulación de auditores en la Unión Europea.The Spanish Auditory Law is ten years old now and there is now a generalised call for its reform & paper therefore puts forward some possible trends with in this reform, especially in the more controversial sections of the present law. Topics analyzed are the procedure to enter in the auditor career, specially in the transitory way observed by the law, the intervencionisme of the public authorities versus the regulation, the profesional character of the auditor's activity, the role of the auditor's associations problems of permanent training, the highlights themes of responsability, independence and the treatement of other relationships between auditors and companies: consultant and legal services and its implications and the influence in the new law of the international environment, mainly in the free circulation of auditing services in the European Union.

  4. Pulmonary artery sling: Case report

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Gil Hyun; Lee, Sun Wha; Cha, Sung Ho [Kyunghee University College of Medicine, Seoul (Korea, Republic of)

    1993-09-15

    Aberrant left-sided pulmonary artery(pulmonary artery sling) is an uncommon anomaly,which may cause significant respiratory abnormality. We report a case of pulmonary artery sling which is combined with persistent left superior vena cava and dextrocardia. This case were identified by esophagogram and CT and confirmed by MRI and angiography. We consider that MRI is a valuable new method for the diagnosis of aberrant left-sided pulmonary artery.

  5. Intracranial artery dissection

    NARCIS (Netherlands)

    Sikkema, T.; Uyttenboogaart, Maarten; Eshghi, O.; De Keyser, J.; Brouns, R.; van Dijk, J.M.C.; Luijckx, G. J.

    2014-01-01

    The aim of this narrative review is to evaluate the pathogenesis, clinical features, diagnosis, treatment and prognosis of intracranial artery dissection (IAD). IAD is a rare and often unrecognized cause of stroke or subarachnoid haemorrhage (SAH), especially in young adults. Two types of IAD can be

  6. Popliteal artery entrapment syndrome

    DEFF Research Database (Denmark)

    Altintas, Ümit; Helgstrand, Ulf Johan Vilhelm; Hansen, Marc A;

    2013-01-01

    The purpose of this study was to report our experience with popliteal artery entrapment syndrome (PAES) with special emphasis on the applicability of duplex ultrasound scanning (DUS) when diagnosing PAES. In addition to examining the correlation between DUS and intraoperative findings...

  7. Arterial Emboli Complicating Cisplatin Therapy

    OpenAIRE

    Tait, Campbell D.; Rankin, Elaine M

    2012-01-01

    We report three cases of arterial emboli in patients with lung cancer treated with cisplatin chemotherapy. All three patients were managed without surgical intervention but subsequent oncological treatment was complicated by the sequelae of arterial emboli. We discuss the issues surrounding these patients and the importance of identifying patients at risk of arterial embolic phenomena with cisplatin treatment.

  8. Cerebral Arterial Fenestrations

    Science.gov (United States)

    Cooke, Daniel L; Stout, Charles E; Kim, Warren T; Kansagra, Akash P; Yu, John Paul; Gu, Amy; Jewell, Nicholas P; Hetts, Steven W; Higashida, Randall T; Dowd, Christopher F; Halbach, Van V

    2014-01-01

    Summary Arterial fenestrations are an anatomic variant with indeterminate significance. Given the controversy surrounding fenestrations we sought their prevalence within our practice along with their association with other cerebrovascular anomalies. We retrospectively reviewed 10,927 patients undergoing digital subtraction angiography between 1992 and 2011. Dictated reports were searched for the terms “fenestration” or “fenestrated” with images reviewed for relevance, yielding 228 unique cases. A Medline database search from February 1964 to January 2013 generated 304 citations, 127 cases of which were selected for analysis. Cerebral arterial fenestrations were identified in 228 patients (2.1%). At least one aneurysm was noted in 60.5% of patients, with an aneurysm arising from the fenestration in 19.6% of patients. Aneurysmal subarachnoid hemorrhage or non-aneurysmal subarachnoid hemorrhage were present in 60.1% and 15.8%, respectively. For the subset of patients with an aneurysm arising directly from a fenestration relative to those patients with an aneurysm not immediately associated with a fenestration, the prevalence of aneurysmal subarachnoid hemorrhage was 66.7% vs. 58.6% (p = 0.58). Fenestrations were more often within the posterior circulation (73.2%) than the anterior circulation (24.6%), though there was no difference in the prevalence of aneurysms within these groups (61.1% vs. 60.7%, p = 1.0). Cerebral arterial fenestrations are an anatomic variant more often manifesting at the anterior communicating arterial complex and basilar artery and with no definite pathological relationship with aneurysms. PMID:24976087

  9. Efecto de una posible interacción entre el pH y la salinidad sobre el crecimiento de Posidonia oceanica (L.) Delile, 1813

    OpenAIRE

    Fernández-Torquemada, Yolanda; Sánchez-Lizaso, José Luis

    2003-01-01

    La desalación de aguas marinas mediante ósmosis inversa es una actividad en desarrollo en la cuenca mediterránea cuyos posibles impactos ambientales son poco conocidos. El agua de rechazo de dichas plantas posee una elevada salinidad y un pH relativamente bajo. En el presente trabajo se realizaron experimentos en mesocosmos para estimar el efecto de una posible interacción entre dicho descenso del pH y el incremento de la salinidad sobre el crecimiento de la fanerógama marina Posidonia oce...

  10. Síntesis de estructuras alfa-metilén-gamma-butirolactónicas y análogos nitrogenados. Evaluación como posibles agentes antitumorales

    OpenAIRE

    Santos Álvarez, David

    2015-01-01

    [spa] El presente trabajo aborda la preparación de varios compuestos lactónicos naturales y sintéticos de posible actividad antitumoral, aplicando para ello los fundamentos y resultados de nuestras diferentes líneas de investigación como herramienta sintética. Como complemento hemos llevado a cabo la evaluación de su actividad citotóxica hacia líneas celulares de cáncer humano, para estudiar su aplicación como posibles agentes antineoplásicos. En las primeras aproximaciones, empleamos el pro...

  11. Alteraciones metabólicas en hijos de padres con hipertensión arterial

    Directory of Open Access Journals (Sweden)

    Miguel H. Vicco

    2013-06-01

    Full Text Available El antecedente familiar de hipertensión arterial en jóvenes sanos se ha asociado a hiperinsulinemia, que a su vez produciría aumento en el cortisol sérico, confluyendo ambos mecanismos en daño endotelial renal con la presencia de microalbuminuria. El objetivo del estudio consistió en evaluar en jóvenes sanos, hijos de hipertensos, la asociación entre los niveles de insulinemia, cortisol sérico y microalbuminuria, debido a su relación con mayor riesgo cardiovascular. Se realizó un trabajo transeccional y correlacional en la ciudad de Santa Fe, incluyendo 145 jóvenes sanos mayores de 18 años de edad, que se asignaron a dos grupos: aquellos con antecedente de primer grado de hipertensión arterial esencial (grupo de estudio y sin dicho antecedente (grupo control. Se valoraron las concentraciones séricas en ayunas de insulina, cortisol, y los niveles de microalbuminuria en primera orina matutina. La media de edad fue de 20 ± 2.9 años, siendo el 58% mujeres. El grupo de estudio incluyó el 48% (n = 69. El 4.8% presentó insulino-resistencia, 13.8% microalbuminuria y el 52% hipercortisolinemia, no encontrándose diferencias significativas de los niveles séricos de insulina y cortisol, ni de microalbuminuria entre los grupos, así como tampoco correlación entre estas variables. No se encontró asociación entre el antecedente de 1er grado de hipertensión arterial y alteraciones de la homeostasis de insulina o cortisol así como tampoco evidencia de daño endotelial con presencia de microalbuminuria.

  12. Caliber-Persistent Artery

    Directory of Open Access Journals (Sweden)

    Sabrina Araújo Pinho Costa

    2015-01-01

    Full Text Available Caliber-persistent artery (CPLA of the lip is a common vascular anomaly in which a main arterial branch extends to the surface of the mucous tissue with no reduction in its diameter. It usually manifests as pulsatile papule, is easily misdiagnosed, and is observed more frequently among older people, suggesting that its development may involve a degenerative process associated with aging; CPLA is also characterized by the loss of tone of the adjacent supporting connective tissue. Although the diagnosis is clinical, high-resolution Doppler ultrasound is a useful noninvasive tool for evaluating the lesion. This report describes the case of a 58-year-old male patient who complained of a lesion of the lower lip with bleeding and recurrent ulceration. The patient was successfully treated in our hospital after a diagnosis of CPLA and is currently undergoing a clinical outpatient follow-up with no complaints.

  13. Renal Artery Stent Outcomes

    Science.gov (United States)

    Murphy, Timothy P.; Cooper, Christopher J.; Matsumoto, Alan H.; Cutlip, Donald E.; Pencina, Karol M.; Jamerson, Kenneth; Tuttle, Katherine R.; Shapiro, Joseph I.; D’Agostino, Ralph; Massaro, Joseph; Henrich, William; Dworkin, Lance D.

    2016-01-01

    BACKGROUND Multiple randomized clinical trials comparing renal artery stent placement plus medical therapy with medical therapy alone have not shown any benefit of stent placement. However, debate continues whether patients with extreme pressure gradients, stenosis severity, or baseline blood pressure benefit from stent revascularization. OBJECTIVES The study sought to test the hypothesis that pressure gradients, stenosis severity, and/or baseline blood pressure affects outcomes after renal artery stent placement. METHODS Using data from 947 patients with a history of hypertension or chronic kidney disease from the largest randomized trial of renal artery stent placement, the CORAL (Cardiovascular Outcomes in Renal Atherosclerotic Lesions) study, we performed exploratory analyses to determine if subsets of patients experienced better outcomes after stent placement than the overall cohort. We examined baseline stenosis severity, systolic blood pressure, and translesion pressure gradient (peak systolic and mean) and performed interaction tests and Cox proportional hazards analyses for the occurrence of the primary endpoint through all follow-up, to examine the effect of these variables on outcomes by treatment group. RESULTS There were no statistically significant differences in outcomes based on the examined variables nor were there any consistent nonsignificant trends. CONCLUSIONS Based on data from the CORAL randomized trial, there is no evidence of a significant treatment effect of the renal artery stent procedure compared with medical therapy alone based on stenosis severity, level of systolic blood pressure elevation, or according to the magnitude of the transstenotic pressure gradient. (Benefits of Medical Therapy Plus Stenting for Renal Atherosclerotic Lesions [CORAL]; NCT00081731) PMID:26653621

  14. Análisis del comportamiento de la demanda hotelera y su posible interferencia por el sistema de clasificación oficial de la oferta

    OpenAIRE

    Agueda Esteban Talaya; Eva Reinares Lara

    1996-01-01

    Se ofrece una hipótesis asociada al problema derivado de la existencia de categorías hoteleras basada en la clasificación oficial previa de carácter administrativo y su posible interferencia en las relaciones empresa-mercado.

  15. Case Report: Coronary arterial spasm in single right coronary artery

    Institute of Scientific and Technical Information of China (English)

    En-zhi JIA; Qi-jun SHAN; Zhi-jian YANG; Tie-bing ZHU; Lian-sheng WANG; Ke-jiang CAO; Wen-zhu MA

    2009-01-01

    We presented a case of anomalous single-coronary artery detected incidentally during routine coronary angiography. A 32-year-old male Chinese patient presented with recurrent pre-syncope and six episodes of syncope. Coronary angiography and coronary-computed tomography (CT)-angiography performed by a dual-source computed tomography (DSCT) revealed that the patient had a single large right coronary artery. A moderately large branch originated from the proximal part of the single right coronary artery and extended to the left, passing the anterior to the pulmonary artery, and divided into the anterior descending artery branch and circumflex branch at the base of the left auricular appendage. The episodes of the syncope were suspected to be caused by coronary arterial spasm, so this patient was on a regimen of 30 mg of diltiazem every 6 h and had no recurrence of syncope during follow-up.

  16. Massive cerebral arterial air embolism following arterial catheterization

    Energy Technology Data Exchange (ETDEWEB)

    Yang, C.W. [Northwestem University Feinberg School of Medicine, Department of Radiology, Chicago, IL (United States); Yang, B.P. [Northwestern University Feinberg School of Medicine, Department of Neurological Surgery, Chicago, IL (United States)

    2005-12-01

    Microscopic cerebral arterial air embolism (CAAE) has been described in many patients undergoing cardiac surgery as well as other invasive diagnostic and therapeutic procedures. However, massive CAAE is rare. We report a 42-year-old woman who initially presented with thalamic and basal ganglia hemorrhages. Shortly after a radial arterial catheter was inserted, the patient suffered a generalized seizure and CT demonstrated intra-arterial air in bilateral cerebral hemispheres. (orig.)

  17. Arterial stiffness as a risk factor for coronary artery disease.

    Science.gov (United States)

    Liao, Josh; Farmer, John

    2014-02-01

    Hypertension is a major modifiable risk factor, and clinical trials have demonstrated that successful reduction of elevated blood pressure to target levels translates into decreased risk for the development of coronary artery disease, stroke, heart failure, and renal failure. The arterial system had previously been regarded as a passive conduit for the transportation of arterial blood to peripheral tissues. The physiologic role the arterial system was greatly expanded by the recognition of the central role of the endothelial function in a variety of physiologic processes. The role of arterial function and structure in cardiovascular physiology was expanded with the development of a variety of parameters that evaluate arterial stiffness. Markers of arterial stiffness have been correlated with cardiovascular outcomes, and have been classified as an emerging risk factor that provides prognostic information beyond standard stratification strategies involving hypertension, diabetes, obesity, dyslipidemia and smoking. Multiple epidemiologic studies have correlated markers of arterial stiffness such as pulse-wave velocity, augmentation index and pulse pressure with risk for the development of fatal and nonfatal cardiovascular events. Additionally, measurements of arterial stiffness had clarified the results of clinical trials that demonstrated differing impacts on clinical outcomes, despite similar reductions in blood pressure, as measured by brachial and sphygmomanometry.

  18. La virtualidad: un escenario posible para la construcción de conocimientos matemáticos

    Directory of Open Access Journals (Sweden)

    Guillermo Arraiz

    2012-04-01

    Full Text Available Es un hecho innegable que el fenómeno de la virtualidad ha impregnado todas las esferas sociales, culturales, económicas y educativas a escala global. En este contexto, el empleo de entornos virtuales de aprendizaje, específicamente en los procesos de enseñanza y aprendizaje de la matemática, plantea a docentes y estudiantes estrategias alternativas que resultan potencialmente valiosas en la construcción de conocimientos matemáticos. El propósito de este artículo es hacer un seguimiento exploratorio sobre algunos avances de la comunidad científica en el campo de la educación en línea para aproximar algunas reflexiones de índole tecnológica y didáctica que expongan la virtualidad como un escenario posible para la construcción de los conocimientos matemáticos. Aunque se identificaron patrones de resistencia y desconfianza manifiesta hacia la virtualización de la enseñanza matemática por parte de docentes y alumnos, se hace evidente el potencial de los medios virtuales, dada la curiosidad y disposición de docentes y estudiantes por estas experiencias de aprendizaje.

  19. EL CAMINO DE SANTIAGO COMO POSIBLE MOTOR TURÍSTICO EN ZONAS RURALES DE ESCASOS RECURSOS: EL CASO DE BRANDEBURGO

    Directory of Open Access Journals (Sweden)

    Katharina Maak

    2009-01-01

    Full Text Available Turismo y desarrollo regional son dos conceptos que se discuten en el ámbito de lograr un desarrollo sostenible para las zonas rurales de escasos rescursos que existen en la Unión Europea. Una nueva tendencia que se investiga junto con los dos conceptos es el cambio de la demanda en el sector turístico hacía productos en relación a la cultura y/o a la naturaleza. Se toma el ejemplo del Camino de Santiago como red de rutas de peregrinaje, que cubre mayor parte de Europa. En el estado federado de Brandeburgo, una región con varias deficiencias estructurales por lo cúal depende todavía del apoyo de fondos nacionales y comunitarios, se realiza un proyecto de revitalización de un tramo del Camino con el fin de generar posibles efectos económicos. La idea principal de este proyecto universitario es de apoyar el desarrollo turístico por la creación de una oferta adicional en el margén de turismo cultural y rural, la promoción y organización de sinergias entre varios actores turísticos en los sectores privados y públicos y por la creación de una red de cooperaciones. El fondo es que Brandeburgo, a pesar de los problemas estructurales, dispone de un potencial enorme que se debe aprovechar.

  20. Desafíos de la educación secundaria en Argentina: Pensar juntos algunas transformaciones necesarias y posibles

    Directory of Open Access Journals (Sweden)

    Horacio Ademar Ferreyra

    2016-03-01

    Full Text Available A partir del conocimiento construido en un estudio acerca de las características y procesos de la Educación Secundaria en Argentina en el período 2000-2010, desarrollado con el propósito de caracterizar los principales retos y posibilidades de este tramo del sistema educativo, se presentan en este artículo algunas propuestas de cambio que implican transformaciones necesarias y posibles con la intención de aportar a la resignificación del nivel. Como alternativa a un enfoque jerárquico de arriba-abajo o abajo-arriba, que sitúa en la parte superior a los gobiernos y en la base a quienes trabajan en las escuelas, se propugnan otras lógicas y dinámicas para estas relaciones. Desde ellas, se enuncian algunas acciones prioritarias para las políticas educativas en los ámbitos escolar (micro, provincial (meso y federal (macro, con especial atención a sus interacciones. La idea central es la necesidad de una real apropiación de los cambios concertados en el nivel federal por parte de los sujetos (personas e instituciones que dan vida a la educación: las jurisdicciones y las escuelas.

  1. Abordaje de una posible reacción de hipersensibilidad a nutrición parenteral: a propósito de un caso

    Directory of Open Access Journals (Sweden)

    Elián Sanchez Acera

    2014-03-01

    Full Text Available La nutrición parenteral (NP constituye un elemento esencial en el tratamiento de muchos pacientes hospitalizados. Sin embargo, su administración no está exenta de complicaciones quedando sujeta a la aparición de reacciones adversas de diversa índole como las de hipersensibilidad, por lo que es considerada por el ISMP (Institute for Safe Medication Practice como medicación de riesgo. Se presenta el caso de una paciente oncológica con desnutrición severa, que tras recibir NPT durante varios días, desarrolla una reacción de hipersensibilidad que, ante la posibilidad de estar asociada a la administración de la mezcla intravenosa, nos planteo la dificultad de la nutrición preoperatoria y nos llevó a analizar las causas probables de esta reacción.

  2. Arterial responses during migraine headache

    DEFF Research Database (Denmark)

    Iversen, Helle Klingenberg; Nielsen, T H; Olesen, J

    1990-01-01

    The superficial temporal artery has been thought to be the main focus of pain during migraine attacks, but its diameter has never been measured directly. The use of a new, high-resolution ultrasound machine to measure arterial size in 25 migraine patients with unilateral head pain showed...... that the lumen was wider on the painful than on the non-painful side during a migraine attack. The diameters of both radial arteries and the temporal artery on the non-painful side were smaller during than between attacks. The generalised vasoconstriction was not shared by the temporal artery on the affected...... side, which suggests a local vasodilatory response. The findings suggest that cephalic arteries may play a role in migraine pathogenesis....

  3. True aneurysm of brachial artery.

    Science.gov (United States)

    Hudorović, Narcis; Lovričević, Ivo; Franjić, Dario Bjorn; Brkić, Petar; Tomas, Davor

    2010-10-01

    True upper extremity peripheral artery aneurysms are a rarely encountered arterial disorder. Following computer-tomography angiographic (CT-a) imaging examination, true saccular aneurysm, originating from the left brachial artery was diagnosed in the 77-year-old female without history of trauma. The aneurysm was resected by surgical intervention, and primary repair of the brachial artery was performed by interposition of a part of great saphenous vein harvested from the left groin and creation of two end-to-end anastomoses between interposition graft and previously resected part of brachial artery. No complication was observed during the follow-up. Surgical intervention for upper extremity aneurysms should be initiated without delay. Factors combined with minimal morbidity associated with repair suggest that surgical repair should be performed routinely for true upper extremity arterial aneurysms.

  4. Age, hypertension and arterial function.

    Science.gov (United States)

    McEniery, Carmel M; Wilkinson, Ian B; Avolio, Albert P

    2007-07-01

    1. Ageing exerts a marked effect on the cardiovascular system and, in particular, the large arteries. Using a variety of techniques to assess arterial stiffness, many cross-sectional studies have demonstrated a significant relationship between age and aortic stiffness, although the age-related changes observed in peripheral arteries appear to be less marked. 2. The relationship between arterial stiffness and hypertension is more complex. The distending, or mean arterial, pressure is an important confounder of measurements of arterial stiffness and, therefore, must be taken into consideration when assessing arterial stiffness in hypertensive subjects or investigating the effect of antihypertensive agents. Current methods for correcting for differences in distending pressure involve pharmacological manipulation, statistical correction or mathematical manipulation of stiffness indices. 3. Many studies have provided evidence that both peripheral (muscular) and central (elastic) arteries are stiffer in subjects with mixed (systolic/diastolic) hypertension compared with normotensive subjects. However, it is unclear to what extent differences in mean arterial pressure explain the observed differences in hypertensive subjects. In contrast, isolated systolic hypertension is associated with increased aortic, but not peripheral artery, stiffness, although the underlying mechanisms are somewhat unclear. 4. Traditional antihypertensive agents appear to reduce arterial stiffness, but mostly via an indirect effect of lowering mean pressure. Therefore, therapies that target the large arteries to reduce stiffness directly are urgently required. Agents such as nitric oxide donors and phosphodiesterase inhibitors may be useful in reducing stiffness via functional mechanisms. In addition, inhibitors or breakers of advanced glycation end-product cross-links between proteins, such as collagen and elastin, hold substantial promise.

  5. The right hepatic artery syndrome

    Institute of Scientific and Technical Information of China (English)

    Kazumi Miyashita; Katsuya Shiraki; Takeshi Ito; Hiroki Taoka; Takeshi Nakano

    2005-01-01

    Various benign and malignant conditions could cause biliary obstruction. Compression of extrahepatic bile duct (EBD) by right hepatic artery was reported as a right hepatic artery syndrome but all cases were compressed EBD from stomach side. Our case compressed from dorsum was not yet reported, so it was thought to be a very rare case. We present here the first case of bile duct obstruction due to the compression of EBD from dorsum by right hepatic artery.

  6. Composición del aceite esencial de Tagetes lacera, planta endémica de Baja California Sur, México Composition of essential oil of Tagetes lacera, endemic plant from Baja California Sur, Mexico

    Directory of Open Access Journals (Sweden)

    Francisco Díaz-Cedillo

    2012-06-01

    Full Text Available Es escasa la información sobre la biología y química de Tagetes lacera Brand. (Asteraceae, especie endémica de Baja California Sur (BCS, México, que por su porte alto y presencia de aroma es una fuente de aceites esenciales útil para el control de plagas y enfermedades de cultivos agrícolas. A partir de partes aéreas de plantas en floración de T. lacera recolectadas en la sierra de la Laguna, BCS se obtuvo aceite esencial mediante hidrodestilación. Por medio del procedimiento de análisis CG-EM, se identificaron 6 compuestos principales: E-tagetona (26.2%, crisantenona (24.8%, verbenona (22.1%, α-thujeno (20.5%, β-pineno (3.1% y α-pineno (1.9%.It is scarce the background on the biology and chemistry of Tagetes lacera Brand. (Asteraceae, an endemic species from Baja California Sur (BCS, Mexico that considering its plant high and odor is an essential oil source to obtain biopesticides. From aerial parts of plants fully flowered of T. lacera picked in Sierra de la Laguna, BCS, essential oil was obtained by hydrodistillation. Using GC-MS analysis, 6 major compounds were identified: E-tagetone (26.2%, chrysanthenone (24.8%, verbenone (22.1%, α-thujene (20.5%, β-pinene (3.1%, α-pinene (1.9%.

  7. Saberes da enfermagem - a solidariedade como uma categoria essencial do cuidado Saberes de la enfermería - la solidaridad como una categoria esencial del cuidado Knowing of nursing - solidarity as an essencial category of care

    Directory of Open Access Journals (Sweden)

    Vera Regina Waldow

    2011-09-01

    Full Text Available Objetiva-se refletir sobre os saberes da enfermagem nos aspectos analíticos e sintéticos, segundo as novas perspectivas paradigmáticas, e destacar a solidariedade como uma das categorias do cuidado. A arte e a ciência da Enfermagem estão consubstanciadas pelo cuidado, assumido como o seu saber fazer. A solidariedade, por sua vez, elemento substancial do cuidado, é ressaltada neste texto, considerando a realidade atual, pois compõe o sentido moral e o exercício da cidadania.Su objetivo es reflexionar sobre los saberes de la Enfermería en sus aspectos analíticos y sintéticos, de acuerdo con las nuevas perspectivas paradigmáticas, y destacar la solidaridad como una de las categorías del cuidado. El arte y la ciencia de Enfermería están consustanciadas por el cuidado, asumido acá como su saber hacer. La solidaridad, por su vez, elemento esencial del cuidado, se enfatiza en el texto, teniendo en cuenta la realidad actual, que constituye el sentido moral y el ejercicio de la ciudadanía.This paper aims to reflect on the knowledge of nursing in synthetic and analytical aspects, according to new paradigmatic perspectives and emphasize solidarity as one of the categories of care. The art and science of nursing are consubstantiated by the care given in the present article as its know-how.Solidarity, in turn, substantial element of care is emphasized in the text, considering the current reality, because it makes up the moral sense and the exercise of citizenship.

  8. Countercurrent aortography via radial artery

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Hyung Kuk; Lee, Young Chun; Lee, Seung Chul; Jeon, Seok Chol; Joo, Kyung Bin; Lee, Seung Ro; Kim, Soon Yong [College of Medicine, Hanyang University, Seoul (Korea, Republic of)

    1987-06-15

    Countercurrent aortography via radial artery was performed for detection of aortic arch anomalies in 4 infants with congenital heart disease. Author's cases of aortic arch anomalies were 3 cases of PDA, 1 case of coarctation of aorta, and 1 case of occlusion of anastomosis site on subclavian artery B-T shunt. And aberrant origin of the right SCA, interrupted aortic arch, hypoplastic aorta, anomalous origin of the right pulmonary artery from the ascending aorta can be demonstrated by this method. Countercurrent aortography affords an safe and simple method for detection of aortic arch anomalies without retrograde arterial catheterization, especially in small infants or premature babies.

  9. Arterial Abnormalities Leading to Tinnitus.

    Science.gov (United States)

    Miller, Timothy R; Serulle, Yafell; Gandhi, Dheeraj

    2016-05-01

    Tinnitus is a common symptom that usually originates in the middle ear. Vascular causes of pulsatile tinnitus are categorized by the location of the source of the noise within the cerebral-cervical vasculature: arterial, arteriovenous, and venous. Arterial stenosis secondary to atherosclerotic disease or dissection, arterial anatomic variants at the skull base, and vascular skull base tumors are some of the more common causes of arterial and arteriovenous pulsatile tinnitus. Noninvasive imaging is indicated to evaluate for possible causes of pulsatile tinnitus, and should be followed by catheter angiography if there is a strong clinical suspicion for a dural arteriovenous fistula.

  10. Pulmonary arterial hypertension in pregnancy.

    Science.gov (United States)

    Običan, Sarah G; Cleary, Kirsten L

    2014-08-01

    Pulmonary hypertension is a medical condition characterized by elevated pulmonary arterial pressure and secondary right heart failure. Pulmonary arterial hypertension is a subset of pulmonary hypertension, which is characterized by an underlying disorder of the pulmonary arterial vasculature. Pulmonary hypertension can also occur secondarily to structural cardiac disease, autoimmune disorders, and toxic exposures. Although pregnancies affected by pulmonary hypertension and pulmonary arterial hypertension are rare, the pathophysiology exacerbated by pregnancy confers both high maternal and fetal mortality and morbidity. In light of new treatment modalities and the use of a multidisciplinary approach to care, maternal outcomes may be improving.

  11. Impacto del tratamiento no farmacológico de la hipertensión arterial en pacientes de un consultorio médico de la familia

    Directory of Open Access Journals (Sweden)

    Sarah María Regueira Betancourt

    2015-03-01

    Full Text Available Se realizó un estudio de intervención, con el objetivo de evaluar el impacto de los cambios en el estilo de vida en pacientes hipertensos, pertenecientes al Consultorio Médico de la Familia 158-01, área de salud del Policlínico Docente ‘’Manuel Fajardo Rivero’’, municipio de Las Tunas, Cuba; durante el período comprendido entre abril de 2013 y diciembre de 2014. El universo estuvo constituido por toda la población dispensarizada con hipertensión arterial esencial y la muestra con los diagnosticados en el Estadio 1, Grupos A y B. Los pacientes se controlaron mensualmente. En un buen número de pacientes el tratamiento no farmacológico fue suficiente para el control de las cifras de presión arterial y en otros se asoció al tratamiento medicamentoso, lo que disminuyó el número de fármacos utilizados. Su cumplimiento fue muy bajo al inicio de la intervención, lo que se revirtió después. Los pacientes que cumplieron estrictamente el tratamiento no farmacológico presentaron mejores controles de las cifras de presión arterial

  12. [Measurement of arterial pressure].

    Science.gov (United States)

    Rorive, G

    1998-03-01

    The casual determination of blood pressure remains the basis of the diagnosis of arterial hypertension and the criteria for usefulness of drug therapy. The reference values usually in use concern determinations by the doctor in very well defined conditions, rest, size of the bladder, etc.... The poor reproductibility of the determinations made by the doctor in casual conditions has produced a large interest for new approaches: autodetermination by the patient at home, and ambulatory blood pressure determinations using automatic devices. These new approaches have their own reference values, specific indications and limitations.

  13. Reference values for local arterial stiffness. Part B : femoral artery

    NARCIS (Netherlands)

    Bossuyt, Jelle; Engelen, Lian; Ferreira, Isabel; Stehouwer, Coen D; Boutouyrie, Pierre; Laurent, Stéphane; Segers, Patrick; Reesink, Koen; Van Bortel, Luc M

    2015-01-01

    OBJECTIVE: Carotid-femoral pulse wave velocity (PWV) is considered the gold standard measure of arterial stiffness, representing mainly aortic stiffness. As compared with the elastic carotid and aorta, the more muscular femoral artery may be differently associated with cardiovascular risk factors (C

  14. Dual anterior descending coronary artery associated with coronary artery disease

    Directory of Open Access Journals (Sweden)

    Siqueira Luciane da L. V.

    2003-01-01

    Full Text Available The patient is a male with risk factors for coronary artery disease, who was referred for cardiac catheterization after acute myocardial infarction in the inferior wall. The patient underwent transluminal coronary angioplasty in the right coronary artery with successful stent implantation.

  15. Association between internal carotid artery dissection and arterial tortuosity

    Energy Technology Data Exchange (ETDEWEB)

    Saba, Luca; Piga, Mario [Azienda Ospedaliero Universitaria (A.O.U.), Department of Radiology, Monserrato, Cagliari (Italy); Argiolas, Giovanni Maria; Siotto, Paolo [Azienda Ospedaliero Brotzu (A.O.B.), Department of Radiology, di Cagliari (Italy); Sumer, Suna; Wintermark, Max [Neuroradiology Division, Neuroradiology, UVA Department of Radiology, Charlottesville, VA (United States); Raz, Eytan [New York University School of Medicine, Department of Radiology, New York, NY (United States); Sapienza University of Rome, Department of Neurology and Psychiatry, Rome (Italy); Sanfilippo, Roberto; Montisci, Roberto [Azienda Ospedaliero Universitaria (A.O.U.), Department of Vascular Surgery, di Cagliari (Italy)

    2014-10-18

    Carotid artery dissection is an important cause of ischemic stroke in all age groups, particularly in young patients. The purpose of this work was to assess whether there is an association between the presence of an internal carotid artery dissection (ICAD) and the arterial tortuosity. This study considered 124 patients (72 males and 52 females; median age 57 years) with CT/MR diagnosis of ICAD of the internal carotid artery were considered in this multi-centric retrospective study. The arterial tortuosity was evaluated and, when present, was categorized as elongation, kinking, or coiling. For each patient, both the right and left sides were considered for a total number of 248 arteries in order to have the same number of cases and controls. Fisher's exact test was applied to test the association between elongation, kinking, coiling, dissection, and the side affected by CAD. Fisher's exact test showed a statistically significant association between the ICAD and kinking (p = 0.0089) and coiling (p = 0.0251) whereas no statistically significant difference was found with arterial vessel elongation (p = 0.444). ICAD was more often seen on the left side compared to the right (p = 0.0001). These results were confirmed using both carotid arteries of the same patient as dependent parameter with p = 0.0012, 0.0129, and 0.3323 for kinking, coiling, and elongation, respectively. The presence of kinking and coiling is associated with ICAD. (orig.)

  16. Reconceptualización de la identidad personal y educación para la autodeterminación posible

    Directory of Open Access Journals (Sweden)

    Antonio BERNAL GUERRERO

    2009-11-01

    Full Text Available RESUMEN: En este artículo, procurando superar las tensiones dialécticas entre las ideas modernas y posmodernas, se analiza la identidad como construcción de significado en interacción y desde la narrativa personal. En este sentido, enfatizamos, dentro de la condición esencialmente dinámica de la identidad, su carácter proyectivo como «personalidad escogida». La identidad personal es una parte de la personalidad, esa parte que podemos imaginar, inventar, crear y escoger, con nuestras posibilidades y limitaciones individuales y situacionales, por nosotros mismos. Nuestra capacidad de elegir, de decidir, es ciertamente limitada. No obstante, en este ámbito se define la libertad humana, la cual concebimos aquí como nuestra capacidad de autodeterminación posible. Consecuentemente, refiriéndonos al propio sujeto, delimitamos los principales dominios formativos para la autodeterminación posible, desde la que cabe desplegar el descubrimiento de las estrategias educativas pertinentes para la construcción autónoma de la identidad.ABSTRACT: While attempting to overcome the dialectic tensions existing between modern and post-modern ideas, this article analyses identity as the construction of meaning in interaction and from the personal narrative. In this regard, we stress, within the essentially dynamic condition of personality, its projective character as the «chosen personality». Personal identity is one part of personality; this is the part that we ourselves, within our individual and situational possibilities and limitations, can imagine, invent, create and choose. Our capacity to choose, to decide is evidently limited yet within this restricted ambit human liberty, something that we regard here as being our possible capacity for self-determination, is defined. As a result, and referring to the subject him or herself, we define the principle formative ambits for this possible self-determination and thence proceed to discover the

  17. VARIACIONES EN BAJA FRECUENCIA DE LA PRECIPITACIÓN ESTACIONAL EN LA REGIÓN PAMPA AMARILLA Y POSIBLES FORZANTES

    Directory of Open Access Journals (Sweden)

    Germán Russián

    2015-06-01

    Full Text Available Se estudia el ciclo anual de precipitación en la región Pampa Amarilla (RPA. La mayor parte de la RPA presenta máximo en marzo, seguido de noviembre y diciembre, y mínimo en invierno. El acumulado octubre-marzo (verano resulta significativamente distinto al acumulado abril- septiembre (invierno. Se analizan las variaciones, tendencias y cambios de las series temporales en verano e invierno. Las series más largas seleccionadas sobre el centro y norte de La Pampa, muestran cambio positivo y significativo por tendencia lineal, del orden del 44% de la media regional en verano. Tras una prolongada sequía (1930-1950 el cambio estival irrumpe en la década de los setenta (centro-norte de La Pampa, y en la década de los sesenta (centro-este de La Pampa. Este cambio brusco ha producido una larga fase húmeda extendida hasta comienzos de los dos mil. El cambio de la década del setenta puede estar asociado al cambio de las condiciones medias de la Temperatura superficial del mar (TSM del Pacífico central ecuatorial. Para el período de prolongada fase húmeda (1969-2009 en el sector centro y norte de la RPA hay un aumento (disminución de las precipitaciones de verano (invierno mientras que hacia el centro-sudoeste de la RPA, los cambios son negativos y significativos. La exploración de la circulación troposférica y la TSM revela que la variabilidad interanual de la precipitación está modulada por teleconexiones remotas trópico-extratrópico. Se descarta cualquier posible relación con el Modo Anular del Sur. En verano, el mecanismo de interacción es la modulación de la corriente en chorro subtropical en el Pacífico Sur hacia Sudamérica, generada por anomalías en la circulación de la celda de Hadley sobre el Pacifico ecuatorial central. El mecanismo podría estar asociado a la baja y la alta frecuencia del fenómeno El Niño. En invierno, la teleconexión está dada por la propagación de ondas cuasi estacionarias de Rossby desde la

  18. SIMILARIDADES CLINICOPATOLÓGICAS ENTRE PARATUBERCULOSIS Y ENFERMEDAD DE CROHN. ¿POSIBLE VÍNCULO ZOONÓTICO?

    Directory of Open Access Journals (Sweden)

    Johan Calderón

    2008-04-01

    Full Text Available EL artículo presenta a la luz de la literatura científica actual la asociación del Mycobacterium avium subespecie paratuberculosis con la enfermedad de Crohn, las principales similaridades clinicopatológicas. La revisión se limitó a las publicaciones contenidas en el programa HINARI de la WHO, en especial de Elservier Science, Bioline Internacional, Blackwell Publishing, BMJ Publishing, Lippincott Williams & Wilkins, Nature Publishing, PubMed, Springer Science y publicaciones de la Asociación Internacional para estudio de Paratuberculosis. Evidencias significativas apoyan un posible vinculo zoonótico entre las enfermedades. El aislamiento del Mycobacterium avium subespecie paratuberculosis en pacientes con enfermedad de Crohn desde muestras de intestino, leche, sangre periférica y nódulos linfáticos; de igual manera la respuesta inmune especifica a algunos antígenos de Mycobacterium en pacientes con la enfermedad; aunque estos hallazgos tienen cada uno sus propias controversias. La evidencia actualmente disponible no es suficiente para validar o negar al Mycobacterium avium subespecie paratuberculosis como agente causal de por lo menos algunos casos de enfermedad de Crohn. Los estudios son inconclusos en aceptar un vinculo zoonótico dada la naturaleza multifactorial de esta enfermedad. Se requieren estudios para determinar sí Mycobacterium es un agente espectador ó patogénico; paralelamente realizar estudios epidemiológicos a gran escala que permitan analizar la distribución geográfica y temporal de ambas enfermedades.

  19. El posible verdadero origen de la metodología transfacial The real origin of transfacial methodology

    Directory of Open Access Journals (Sweden)

    F. Hernández Altemir

    2009-12-01

    Full Text Available Siempre surgen, pese a los adelantos informáticos de un mundo cada vez más globalizado, conflictos sobre la autoría de procedimientos científicos y para ayudar a aclarar los que ocurren en el origen de la cirugía transfacial, es por lo que nos hemos entretenido siempre con apoyo bibliográfico, de poner orden, en los aspectos no sólo del posible verdadero origen y la autoría de esta tal como se entiende hoy día, sin olvidar a personalidades históricas que en el siglo XIX vislumbraron y cómo no, aportaron ideas de lo que podría venir y sobre todo, quien dejo escrito por primera vez el contenido y las verdaderas posibilidades de la misma, así como poner en su sitio a los que se incorporaron al procedimiento muy tarde con pretensiones de protagonismo.Despite technological advances in a globalized world conflicts always arise about authorship of scientific procedures. To help resolve the conflicts that arise about the origin of transfacial surgery we have been entertained with bibliographical support to organize the aspects of a possible origin and author as it is understood today. Without forgetting people in history that in the XIX century foreshadowed and provided ideas from which we could determine who was the first to write the content and true possibilities. Putting those who incorporated the procedure late, with pretensions of protagonism in their place.

  20. Genetics Home Reference: pulmonary arterial hypertension

    Science.gov (United States)

    ... Home Health Conditions pulmonary arterial hypertension pulmonary arterial hypertension Enable Javascript to view the expand/collapse boxes. ... PDF Open All Close All Description Pulmonary arterial hypertension is a progressive disorder characterized by abnormally high ...

  1. Isolated superior mesenteric artery dissection

    Directory of Open Access Journals (Sweden)

    Lalitha Palle

    2010-01-01

    Full Text Available Isolated superior mesenteric artery (SMA dissection without involvement of the aorta and the SMA origin is unusual. We present a case of an elderly gentleman who had chronic abdominal pain, worse after meals. CT angiography, performed on a 64-slice CT scanner, revealed SMA dissection with a thrombus. A large artery of Drummond was also seen. The patient was managed conservatively.

  2. Epigenetics and Peripheral Artery Disease.

    Science.gov (United States)

    Golledge, Jonathan; Biros, Erik; Bingley, John; Iyer, Vikram; Krishna, Smriti M

    2016-04-01

    The term epigenetics is usually used to describe inheritable changes in gene function which do not involve changes in the DNA sequence. These typically include non-coding RNAs, DNA methylation and histone modifications. Smoking and older age are recognised risk factors for peripheral artery diseases, such as occlusive lower limb artery disease and abdominal aortic aneurysm, and have been implicated in promoting epigenetic changes. This brief review describes studies that have associated epigenetic factors with peripheral artery diseases and investigations which have examined the effect of epigenetic modifications on the outcome of peripheral artery diseases in mouse models. Investigations have largely focused on microRNAs and have identified a number of circulating microRNAs associated with human peripheral artery diseases. Upregulating or antagonising a number of microRNAs has also been reported to limit aortic aneurysm development and hind limb ischemia in mouse models. The importance of DNA methylation and histone modifications in peripheral artery disease has been relatively little studied. Whether circulating microRNAs can be used to assist identification of patients with peripheral artery diseases and be modified in order to improve the outcome of peripheral artery disease will require further investigation.

  3. Pulmonary arterial hypertension : an update

    NARCIS (Netherlands)

    Hoendermis, E. S.

    2011-01-01

    Pulmonary arterial hypertension (PAH), defined as group 1 of the World Heart Organisation (WHO) classification of pulmonary hypertension, is an uncommon disorder of the pulmonary vascular system. It is characterised by an increased pulmonary artery pressure, increased pulmonary vascular resistance a

  4. Arterial Stiffness: Recommendations and Standardization

    Science.gov (United States)

    Townsend, Raymond R.

    2017-01-01

    The use of arterial stiffness measurements in longitudinal cohorts of normal populations, hypertensive patients, diabetic patients, healthy elderly, and patients on hemodialysis have confirmed the value of this important measure of arterial health, and established its complementary role to measures of blood pressure. Its contribution to understanding cardiovascular and mortality risk beyond blood pressure measurements has moved measures of arterial stiffness into the ranks of factors such as elevated cholesterol, diabetes, and left ventricular hypertrophy in considering cardiovascular risk. The recent international collaboration's publication of reference ranges for normal people and those with hypertension, along with the American Heart Association's recent scientific statement on standardizing arterial stiffness measurements are important aspects to consider in future studies employing these valuable methods, particularly as interventions that not only lower blood pressure but improve arterial function are tested in the clinical arena. PMID:28275588

  5. Liver cirrhosis and arterial hypertension

    DEFF Research Database (Denmark)

    Henriksen, Jens Henrik; Møller, Søren

    2006-01-01

    blood pressure. This review considers the alterations in systemic hemodynamics in patients with cirrhosis in relation to essential hypertension and arterial hypertension of the renal origin. Subjects with arterial hypertension (essential, secondary) may become normotensive during the development...... of cirrhosis, and arterial hypertension is rarely manifested in patients with cirrhosis, even in cases with renovascular disease and high circulating renin activity. There is much dispute as to the understanding of homoeostatic regulation in cirrhotic patients with manifest arterial hypertension. This most......Characteristic findings in patients with cirrhosis are vasodilatation with low overall systemic vascular resistance, high arterial compliance, increased cardiac output, secondary activation of counter-regulatory systems (renin-angiotensin-aldosterone system, sympathetic nervous system, release...

  6. Liver cirrhosis and arterial hypertension

    DEFF Research Database (Denmark)

    Henriksen, Jens Henrik; Møller, Søren

    2006-01-01

    blood pressure. This review considers the alterations in systemic hemodynamics in patients with cirrhosis in relation to essential hypertension and arterial hypertension of the renal origin. Subjects with arterial hypertension (essential, secondary) may become normotensive during the development...... of cirrhosis, and arterial hypertension is rarely manifested in patients with cirrhosis, even in cases with renovascular disease and high circulating renin activity. There is much dispute as to the understanding of homoeostatic regulation in cirrhotic patients with manifest arterial hypertension. This most...... likely includes the combination of vasodilatation and vasoconstriction in parallel. Arterial compliance; Central vascular filling; Chyperdynamic circulation; Kidney function, Nitric oxide; Blood pressure regulation; Renin–angiotensin–aldosterone system; Sympathetic nervous system; Vasodilatation...

  7. Obesity and arterial compliance alterations.

    Science.gov (United States)

    Seifalian, Alexander M; Filippatos, Theodosios D; Joshi, Jatin; Mikhailidis, Dimitri P

    2010-03-01

    Obesity is associated with increased cardiovascular disease (CVD) risk, especially when excess body fat is distributed preferentially within the abdominal region. Obese subjects usually have increased arterial stiffness compared with non-obese subjects of similar age. The factors associated with increased arterial stiffness in obesity include endothelial dysfunction (decreased nitric oxide bioavailability), impaired smooth muscle cell function, insulin resistance, as well as elevated cholesterol and C-peptide levels. Furthermore, visceral fat, the adipose tissue-related renin-angiotensin-aldosterone system and hyperleptinaemia contribute to the obesity-associated impaired arterial compliance. Weight loss improves CVD risk factors and arterial compliance. Because increased arterial stiffness is a marker of CVD risk these findings support the concept that the presence of obesity has vascular implications.

  8. La reconstrucción estética de la historia del trabajador (Un diálogo casi posible entre Jünger y Weiss

    Directory of Open Access Journals (Sweden)

    Molinuevo, José Luis

    1991-10-01

    Full Text Available Not available.

    Se exponen dos modalidades de reconstrucción estética de la historia, entretejidas con los avatares de un programa romántico para el que la libertad sólo es posible en la belleza y la tarea del Arte consiste en la edificación de una nueva sociedad ético-política. El diálogo entre ambos autores, de talantes tan diversos, es posible desde las actuales experiencias narrativas como experiencias históricas. Su prolongación (no realizada aquí mostraría algunos límites de las estéticas contemporáneas de la resistencia, los supuestos de esos discursos históricos, así como el ethos que subyace a la vacilante pérdida de la nonnatividad ética.

  9. Aspectos jurídicos y perspectivas políticas de una posible retirada de la Unión Europea por parte del Reino Unido

    Directory of Open Access Journals (Sweden)

    Werner Miguel Kühn Baca

    2016-08-01

    Full Text Available El artículo ofrece un análisis de la situación actual de las relaciones entre el Reino Unido y la Unión Europea. El enfoque se encuentra en los aspectos jurídicos y las perspectivas políticas de una posible retirada por parte de este Estado miembro del proceso de integración europeo. Se evalúan los posibles escenarios y consecuencias, tomando en cuenta tanto el marco jurídico cómo el entorno político actual. En base a dicho análisis, se proponen soluciones que podrían satisfacer los intereses del Reino Unido y la Unión Europea.

  10. Fatal dissection of the pulmonary artery in pulmonary arterial hypertension

    Directory of Open Access Journals (Sweden)

    B. Degano

    2009-09-01

    Full Text Available A 41-yr-old patient with chronic stable idiopathic pulmonary arterial hypertension (PAH presented with sudden chest pain and unusual dyspnoea during physical exertion. The patient had been diagnosed with PAH at the age of 12 yrs and was in New York Heart Association functional class I/II. The patient was being treated with an anticoagulant regimen, low-dose diuretics and continuous intravenous epoprostenol therapy. A computed tomography scan showed ancient massive thrombi in dilated central pulmonary arteries, which were not haemodynamically significant (perfusion lung scans did not demonstrate segmental or larger defects, and extensive dissection of the right pulmonary artery starting from the intermediate branch. Due to the extensiveness of the dissection, the patient was immediately considered for heart–lung transplantation, but died 72 h after the onset of symptoms. Permission for post mortem examination was denied. Pulmonary artery dissection should be suspected in PAH patients presenting with chest pain and worsening dyspnoea. In the current case, the factors possibly associated with increased risk for dissection may include dilatation of the pulmonary artery, local inflammation favoured by in situ thrombosis, and acute increase of pulmonary pressure secondary to physical exertion. Extensive pulmonary artery dissection is a life-threatening complication of PAH, and urgent heart/lung transplantation might be the treatment of choice in eligible patients. In addition, better identification of the risk factors for pulmonary artery dissection may help in considering transplantation for selected patients at risk.

  11. Reflexiones sobre un posible código de ética del trabajo de las universidades en los territorios y pueblos indígenas

    OpenAIRE

    González Dobles, Jaime

    2011-01-01

    Un posible “Código de ética del trabajo de las universidades en los territorios y pueblos indígenas” supone, por una parte, diferencias significativas entre las universidades y las comunidades indígenas y, por la otra, que dicho código pretende regular la conducta de las instancias y personas de las primeras, con respecto a las características y modalidades de las segundas.

  12. ERA DE LOS ARAÑA (O DE LOS OLIVOS) Y UN POSIBLE ALMACÉN [Material gráfico

    OpenAIRE

    1990-01-01

    ADEMAS DE LAS PIEDRAS EMPENICADAS APARECE UN REFORZAMIENTO DE PIEDRA EN UNO DE LOS BORDES. EL CUARTO ANEXO (POSIBLE ALMACEN), ESTA DESTECHADO, SALVO POR PALOS Y RAMAS. EL CAMINO QUE LLEGA AL CUARTO ESTA EMPEDRADO, HASTA EL AÑO 1196 SE TRILLO EN ESA ERA. EL PROPIETARIO Y DOS HERMANOS MAS ANTES DE LLEGAR AL PUEBLO DE SANTA LUCIA, EN EL KM. 16.5 APROXIMADAMENTE, DESDE AGUIMES, SUBIR POR UNA ENTRADA DE TIERRA Y SEGUIR POR ELLA HASTA LO ...

  13. [Grafting of carotid arteries].

    Science.gov (United States)

    Belov, Iu V; Stepanenko, A B; Gens, A P; Bazylev, V V; Seleznev, M N; Savichev, D D

    2005-01-01

    Over 5-years, 167 reconstructive surgeries for stenosis of internal carotid arteries (ICA) were performed in 124 patients. Mean age of the patients was 63.5 years. One hundred and twenty-nine carotid endarterectomies (CEAE) in 86 patients and 38 reconstructive operations of ICA in 38 patients were performed. There were no lethal outcomes in short- and long-term postoperative period. In short-term period after prosthesis of ICA restenosis was revealed in 3% patients, after eversion CEAE in 3% patients the embolism was seen, after standard CEAE restenosis were diagnosed in 8% patients and thrombosis -- in 3%. In long-term period after grafting of ICA the strokes were seen in 3%, stenosis -- in 6% patients, after eversion endarterectomy -- in 0 and 3% patients, and after standard CEAE -- in 3 and 24% patients, respectively. It is concluded that grafting of ICA is adequate surgical method of reconstruction and stroke prevention in specific variants of carotid atherosclerosis.

  14. Spontaneous Coronary Artery Dissection.

    Science.gov (United States)

    Tweet, Marysia S; Gulati, Rajiv; Hayes, Sharonne N

    2016-07-01

    Spontaneous coronary artery dissection is an important etiology of nonatherosclerotic acute coronary syndrome, myocardial infarction, and sudden death. Innovations in the catheterization laboratory including optical coherence tomography and intravascular ultrasound have enhanced the ability to visualize intimal disruption and intramural hematoma associated with SCAD. Formerly considered "rare," these technological advances and heightened awareness suggest that SCAD is more prevalent than prior estimates. SCAD is associated with female sex, young age, extreme emotional stress, or extreme exertion, pregnancy, and fibromuscular dysplasia. The clinical characteristics and management strategies of SCAD patients are different than for atherosclerotic heart disease and deserve specific consideration. This review will highlight recent discoveries about SCAD as well as describe current efforts to elucidate remaining gaps in knowledge.

  15. Middle meningeal artery arising from the basilar artery.

    Science.gov (United States)

    Salem, Mohamed M; Fusco, Matthew R; Dolati, Parviz; Reddy, Arra S; Gross, Bradley A; Ogilvy, Christopher S; Thomas, Ajith J

    2014-12-01

    Various anomalies for the origin of the middle meningeal artery (MMA) have been described in the literature. However, origin of the MMA from the basilar trunk is an extremely rare variant. We report on a 54-year-old female who presented with frequent headaches; magnetic resonance imaging showed a right parietal meningioma. The abnormal origin of the middle meningeal artery from the basilar artery was diagnosed by angiography performed for preoperative embolization of the tumor. We report on the case with a review of the embryologic basis, possible explanations for this aberrant origin, and its clinical implications.

  16. DE LA INNOVACIÓN DESEADA A LA INNOVACIÓN POSIBLE. ESCUELAS ALTERADAS POR LAS TIC

    Directory of Open Access Journals (Sweden)

    Mª Lourdes Montero

    2010-01-01

    , reflexionar, practicar y evaluar los cambios posibles utilizando las diferentes versiones de las TIC´s.

  17. EL PROBLEMA DEL SUJETO ACTIVO DEL DELITO DE VIOLACIÓN Y SUS POSIBLES VACÍOS LEGALES

    Directory of Open Access Journals (Sweden)

    Edison Carrasco Jiménez

    2007-01-01

    Full Text Available Este artículo tiene por finalidad exponer el problema sobre la determinación del sujeto activo del delito de violación, examinar las posiciones doctrinarias al respecto y los fundamentos esgrimidos para sustentarlos. Fuera de tomar partido por la posición del hombre como único sujeto activo y señalar los argumentos aducidos para su defensa, el autor plantea el problema de un posible vacío legislativo en relación a la conducta de quien se hace acceder, la cual no estaría cubierta por ningún tipo penal, fuere violación o abuso sexual, incurriendo la doctrina en un equívoco al pretender hacerla subsumir en alguno de estos tipos penales señalados. Además se analizarán las implicancias que se desprenden sobre este tema, del Anteproyecto de Código Penal del 2005 redactado por la Comisión Foro Penal, a raíz del artículo 98 de dicho anteproyecto, que determina la conducta de la violación y con ella prefigura alguna consecuencia en relación al sujeto activo de dicho delitoThe purpose of this article is to show the problem of determining the perpetrator of an act of rape, and to examine the doctrinaire positions in respect and the foundations used to support them. Apart from taking sides for the position of a man as the only active perpetrator of a rape and determining the arguments given for his defence, the author asks the question of a possible legislative void in relation to the conduct of the one who allows the crime to occur, which would not be not covered by any penal type, were it rape or sexual abuse, committing the doctrine an error when attempting to make it subsume under one of these aforementioned crimes. Furthermore, it will analyze the implications on this topic, of the Draft Bill of Penal Code of 2005 written by the Penal Forum Commission, as a result of the article 98 of the aforementioned draft plan, which determines the rape conduct and based on this information sets consequences for the perpetrator

  18. Apología y censura: posibles autores de las crónicas favorables a Pedro I de Castilla

    Directory of Open Access Journals (Sweden)

    González de Fauve, María Estela

    2006-06-01

    Full Text Available

    The present historiography considers that from the times of Pedro I of Castile, favorable stories to this king must have existed which were destroyed after the triumph of the Trastámara dynasty, only interested in making sure a negative picure of the ";Cruel"; king was shown. In this work we have analyzed possible authors of the chronicles called ";true"; versus Ayala's ";false";, as well as the Relación de la vida del Rey D. Pedro attributed to Gracia Dei. The research allows us to conclude that various characteristics attributed to these characters, as well as the authorship of the chronicles they are adscripted to, are part of an advertising campaign started in the sixteenth century by one branch of the Castilla lineage that looks for the reaffirmation as legitimate descendants of Pedro I.



    La historiografía actual considera que, desde la época de Pedro I de Castilla, debieron existir obras favorables a este rey que fueron destruidas, tras el triunfo de la dinastía Trastámara, interesada en que sólo se difundiera una imagen negativa del rey ";Cruel";.En este trabajo analizamos los posibles autores de esas crónicas llamadas “verdaderas” frente a la “fingida” de Ayala, así como la Relación de la vida del Rey D.Pedro... atribuida a Gracia Dei . La investigación nos permite concluir que varias de las características atribuidas a estos personajes, así como la autoría de las crónicas que se les atribuyen, forman parte de una campaña propagandística iniciada en el siglo XVI por una rama del linaje de los Castilla que busca reafirmarse como descendencia legítima de Pedro I.

  19. Total Arterial Revascularization with Internal Mammary Artery or Radial Artery Graft Configuration

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    To investigate the clinical use of π graft in total arterial revascularization and its outcomes, a retrospective analysis of 23 patients out of 1000 patients undergoing total arterial coronary bypass surgery with a π graft between September 1994 and December 2004 was performed. In the selected patients for the management of triple vessel disease with middle diagonal/intermediate ramus disease such that a skip with the left internal mammary artery (LIMA) or radial artery (RA),the main stem of π graft, to the left anterior descending coronary artery (LAD) will not work and the right internal mammary artery (RIMA) or right gastroepiploic artery (RGEA) cannot pick up the diagonal/intermediate ramus, hence the LAD and diagonal/intermediate ramus were grafted with a mini Y graft using the distal segment of LIMA, RIMA, RA or RGEA, together with the bilateral internal mammary artery (BIMA) or LIMA-RA T graft to compose π graft. Twenty-three patients (18 males, 5 females) underwent the π graft procedure. There were no deaths or episodes of myocardial infarction, stroke, and deep sternal wound infection. One patient required reopening for controlling bleeding. Until the end of 2004, during a mean follow-up of 81.0 ±28.4 months, no angina needing re-intervention or operative therapy or coronary related death occurred. In conclusion, in patients with specific coronary artery anatomy/stenosis, the BIMA (sometimes LIMA with RA or RGEA) π graft can be successfully performed for total arterial revascularization with good midterm outcomes.

  20. Cerebellar arteries originating from the internal carotid artery: angiographic evaluation and embryologic explanations

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Young; Han, Moon Hee; Yu, In Gyu; Chang, Ki Hyun [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); Kim, Eui Jong [Kyunghee Univ. College of Medicine, Seoul (Korea, Republic of); Kim, Dae Ho [Soonchunhyang Univ. College of Medicine, Asan(Korea, Republic of)

    1997-06-01

    To find and describe the cerebellar arteries arising from the internal carotid artery, explain them embryologically, and evaluate their clinical implication. To determine the point in the internal carotid artery from which the cereballar artery arose anomalously, consecutive angiographic studies performed in the last three years were reviewed. The distribution of such anomalous cerebellar arteries, the point in the internal carotid artery from which the anomalous vessels originated, and associated findings were analyzed. Five anomalous origins of cerebellar arteries arising arising directly from the internal carotid artery were found in five patients. Three anterior inferior cerebellar arteries (AICA) and one common trunk of an AICA and a posterior inferior cerebellar artery (PICA) were found to originate from the internal carotid artery at a point close to the origin of the primitive trigeminal artery. A PICA arose from an artery presenting a course similar to the proatlantal intersegmental artery. Intracranial aneurysms in two patients, Moyamoya disease in one, and facial arteriovenous malformation in one. In our series, AICAs supplied from the arteries considered to be persistent trigeminal artery variants were the most common type. A correlation between type of anomalous cerebellar artery and type of carotid-vertebrobasilar anastomosis may exist. Cerebellar arteries originating anomalously from the internal carotid artery seem to occur as a result of the persistence of carotid-vertebrobasilar anastomoses associated with incomplete fusion of the longitudinal neural arteries. An understanding of these anomalous cerebellar arteries may help prevent accidents during therapeutic embolization and surgical treatment, as well as misinterpretation.

  1. Embolisation of the splenic artery

    Energy Technology Data Exchange (ETDEWEB)

    Essler, G.; Duex, A.

    1982-09-01

    In bleeding of oesophageal varices with resistance to common treatment embolisation of the splenic artery causes depression of the portal hypertension by forty per cent. Thrombosis of the splenic or portal vein as in splenectomies are not to be expected. The splenic vein remains open for later spleno-renal anastomosis. By occlusion of the splenic artery we were successful in stopping oesophageal bleeding. In a patient with dominant hypersplenism in portal hypertension the severity of the syndrome decreased after embolisation of the splenic artery. Thrombocytes, leukocytes and gammaglobulin increased.

  2. Access to the ophthalmic artery by retrograde approach through the posterior communicating artery for intra-arterial chemotherapy of retinoblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Pham, Chi-Tuan; Blanc, Raphael; Pistocchi, Silvia; Bartolini, Bruno; Piotin, Michel [Fondation Rothschild Hospital, Department of Interventional Neuroradiology, Paris (France); Lumbroso-Le Rouic, Livia [Institut Curie, Department of Ocular Oncology, Paris (France)

    2012-08-15

    Intra-arterial infusion of chemotherapy into the ophthalmic artery for treatment of retinoblastoma has been realized after catheterization of the internal carotid and temporary balloon occlusion beyond the orifice of the ophthalmic artery, or more recently after superselective canulation of the ophthalmic artery by a microcatheter. The superselective catheterization of the ophthalmic artery could be cumbersome because of the implantation of the ostium on the carotid siphon or because of the tortuosity of the carotid siphon. We report our experience of using a retrograde approach through the posterior communicating artery that allows a more direct angle of access to the origin of the ophthalmic artery. (orig.)

  3. Idiopathic arterial calcification in childhood

    Energy Technology Data Exchange (ETDEWEB)

    Patel, Maya [Department of Paediatric Radiology, Red Cross Children' s Hospital, Cape Town (South Africa); Red Cross Children' s Hospital, School of Child and Adolescent Health, University of Cape Town, Klipfontein Road, Rondebosch, Cape Town (South Africa); Andronikou, Savvas; Solomon, Rustum; Sinclair, Paul; McCulloch, Mignon [Department of Paediatric Radiology, Red Cross Children' s Hospital, Cape Town (South Africa)

    2004-08-01

    Idiopathic arterial calcification in infancy is usually fatal with death in early life and diagnosis at post mortem. This report describes a unique, late presentation with hypertension and cardiac failure in a child aged 33 months, found to have widespread arterial calcification at radiological imaging. The calcium-phosphate axis was normal and there was no other demonstrable cause for calcification. Additionally, the histological features of arterial calcification at renal biopsy paralleled the findings in infants with this disorder. The late presentation in this case is unusual and has not been previously reported. Ultrasound and CT are sensitive for calcification, and the disease should be suspected in children presenting with cardiac or respiratory manifestations and features of arterial calcification, where no metabolic cause is established. (orig.)

  4. Peripheral Artery Disease and Diabetes

    Science.gov (United States)

    ... Venous Thromboembolism Aortic Aneurysm More Peripheral Artery Disease & Diabetes Updated:Jan 26,2016 People with diabetes are ... life. This content was last reviewed January 2016. Diabetes • Home • About Diabetes • Why Diabetes Matters Introduction Cardiovascular ...

  5. Robotics and coronary artery surgery.

    Science.gov (United States)

    Magee, Mitchell J; Mack, Michael J

    2002-11-01

    Significant progress in cardiac surgery, and specifically the surgical management of coronary artery disease, has been due in large part to enabling technology. Robotic systems have been recently developed and refined for use in cardiac surgery to facilitate, among other procedures, a totally endoscopic approach to coronary artery bypass surgery. These systems enhance precision through endoscopic approaches by specifically addressing the inherent limitations of conventional endoscopic coronary microsurgical instrumentation via computerized, digital interface, telemanipulation technology. With a combined experience of 125 patients, several groups have independently demonstrated the clinical feasibility of totally endoscopic coronary artery bypass with two commercially available robotic telemanipulation systems. Additional enabling technology is needed to overcome the challenges currently limiting development and widespread application of totally endoscopic off-pump multivessel coronary artery bypass surgery.

  6. Update in pulmonary arterial hypertension.

    Science.gov (United States)

    Mejía Chew, C R; Alcolea Batres, S; Ríos Blanco, J J

    2016-11-01

    Pulmonary arterial hypertension is a rare and progressive disease that mainly affects the pulmonary arterioles (precapillary), regardless of the triggering aetiology. The prevalence of pulmonary hypertension and pulmonary arterial hypertension in Spain is estimated at 19.2 and 16 cases per million inhabitants, respectively. The diagnosis of pulmonary arterial hypertension is based on haemodynamic criteria (mean pulmonary artery pressure ≥25mmHg, pulmonary capillary wedge pressure ≤15mmHg and pulmonary vascular resistance >3 Wood units) and therefore requires the implementation of right cardiac catheterisation. Sequential therapy with a single drug has been used in clinical practice. However, recent European guidelines recommend combined initial therapy in some situations. This review conducts a critical update of our knowledge of this disease according to the latest guidelines and recommendations.

  7. Heart transplantation and arterial elasticity

    Directory of Open Access Journals (Sweden)

    Colvin-Adams M

    2013-12-01

    Full Text Available Monica Colvin-Adams,1 Nonyelum Harcourt,1 Robert LeDuc,2 Ganesh Raveendran,1 Yassir Sonbol,3 Robert Wilson,1 Daniel Duprez11Cardiovascular Division, University of Minnesota, Minneapolis, MN, USA; 2Division of Biostatistics University of Minnesota, Minneapolis, MN, USA; 3Cardiovascular Division, St Luke's Hospital System, Sugar Land, TX, USAObjective: Arterial elasticity is a functional biomarker that has predictive value for cardiovascular morbidity and mortality in nontransplant populations. There is little information regarding arterial elasticity in heart transplant recipients. This study aimed to characterize small (SAE and large (LAE artery elasticity in heart transplant recipients in comparison with an asymptomatic population free of overt cardiovascular disease. A second goal was to identify demographic and clinical factors associated with arterial elasticity in this unique population.Methods: Arterial pulse waveform was registered noninvasively at the radial artery in 71 heart transplant recipients between 2008 and 2010. SAEs and LAEs were derived from diastolic pulse contour analysis. Comparisons were made to a healthy cohort of 1,808 participants selected from our prevention clinic database. Multiple regression analyses were performed to evaluate associations between risk factors and SAE and LAE within the heart transplant recipients.Results: LAE and SAE were significantly lower in heart transplant recipients than in the normal cohort (P <0.01 and P < 0.0001, respectively. Female sex and history of ischemic cardiomyopathy were significantly associated with reduced LAE and SAE. Older age and the presence of moderate cardiac allograft vasculopathy were also significantly associated with reduced SAE. Transplant duration was associated with increased SAE.Conclusion: Heart transplants are associated with peripheral endothelial dysfunction and arterial stiffness, as demonstrated by a significant reduction in SAE and LAE when compared with a

  8. Concepciones Alternativas de "Fotosintesis" en estudiantes Universitarios del curso basico de Biologia y posibles correcciones con el Modelo Educativo MODEF

    Science.gov (United States)

    De Jesus Roman, Sandra

    Concepciones Alternativas de Fotosíntesis en estudiantes Universitariosdel curso básico de Biología y posibles correcciones con el Modelo Educativo MODEF El modelo educativo para la enseñanza de Fotosíntesis (MODEF) se implantó para trabajar el problema de las concepciones alternativas (CA) en un curso de Biología General. Se evaluaron los resultados en cuanto al logro del aprendizaje significativo. La pregunta central de la investigación fue: ¿Cómo aporta el modelo educativo en la didáctica y comprensión del tema de fotosíntesis? Se efectuó una investigación acción con una fase cuantitativa y una cualitativa. Para la fase cuantitativa se elaboró una prueba para determinar las concepciones alternativas, se validó y se sometió a los estudiantes que participaron en el estudio antes y después de ofrecer la unidad de metabolismo celular. Los participantes eran estudiantes de primer año de la Universidad de Puerto Rico en Bayamón (UPRB). Se llevó a cabo un análisis de consistencia interna de la prueba mediante el método Alfa de Cronbach. Se analizaron las contestaciones a cada pregunta mediante la prueba de Ji cuadrado de contingencia, se efectuó la prueba de t y el coeficiente r de Pearson. La fase cualitativa incluyó la observación participativa de la investigadora- profesora, las reflexiones de los estudiantes y la información de las entrevistas semi-estructuradas que se realizaron a tres estudiantes del curso. El análisis se llevó a cabo mediante el Modelo de Wolcott. Se trabajaron diez CA de las cuales siete fueron corregidas mediante el Modelo MODEF. Las actividades más importantes para el proceso de aprendizaje incluyeron el trabajo de investigación o búsqueda de información para hacer una presentación digital, la elaboración de tablas, los mapas de conceptos, el uso de visuales o videos y las analogías para explicar conceptos o procesos. En conclusión: se recomienda el uso del Modelo MODEF para la discusión del tema de

  9. El proceso tradicional de elaboración del pimentón de Murcia y sus posibles innovaciones

    Directory of Open Access Journals (Sweden)

    Escarabajal, David

    2006-12-01

    , lyophilization, mixing and coating, and modified atmosphere packaging.El proceso de elaboración tradicional del pimiento en la Región de Murcia está regulado oficialmente por la Denominación de Origen “Pimentón de Murcia”. Consta de operaciones unitarias de recolección, secado de la cáscara al Sol o con aire caliente, desrabado y desbinzado, trituración grosera, molturación, transmisión, granulado y mezclado, esterilizado, envasado y conservación refrigerada. Se describen detalles de los requerimientos técnicos de las operaciones. Posteriormente se revisan los atributos de calidad y riesgos del producto y del proceso, y mejoras tecnológicas recientemente propuestas para el proceso. Las innovaciones posibles incluyen diseño higiénico de proceso y producto, el uso de flujo de nitrógeno en el transporte y almacenamiento de la cáscara pretriturada, pretratamientos térmicos previos a la molienda, aplicación de altas presiones hidrostáticas o pulsos eléctricos de alta intensidad, irradiación, secado (deshidratación osmótica, liofilización, mezclado y aplicación de recubrimientos, o envasado en atmósfera modificada.

  10. Liver cirrhosis and arterial hypertension

    Institute of Scientific and Technical Information of China (English)

    Jens H Henriksen; Soren Moller

    2006-01-01

    Characteristic findings in patients with cirrhosis are vasodilatation with low overall systemic vascular resistance, high arterial compliance, increased cardiac output, secondary activation of counter-regulatory systems (renin-angiotensin-aldosterone system,sympathetic nervous system, release of vasopressin),and resistance to vasopressors. The vasodilatory state is mediated through adrenomedullin, calcitonin generelated peptide, nitric oxide, and other vasodilators,and is most pronounced in the splanchnic area.This constitutes an effective (although relative)counterbalance to increased arterial blood pressure.This review considers the alterations in systemic hemodynamics in patients with cirrhosis in relation to essential hypertension and arterial hypertension of the renal origin. Subjects with arterial hypertension (essential, secondary) may become normotensive during the development of cirrhosis, and arterial hypertension is rarely manifested in patients with cirrhosis, even in cases with renovascular disease and high circulating renin activity. There is much dispute as to the understanding of homoeostatic regulation in cirrhotic patients with manifest arterial hypertension. This most likely includes the combination of vasodilatation and vasoconstriction in parallel.

  11. Arterial function of carotid and brachial arteries in postmenopausal vegetarians

    Directory of Open Access Journals (Sweden)

    Su T

    2011-08-01

    Full Text Available Ta-Chen Su1, Pao-Ling Torng2, Jiann-Shing Jeng3, Ming-Fong Chen1, Chiau-Suong Liau1,41Division of Cardiology, Department of Internal Medicine, 2Department of Obstetrics and Gynecology, 3Department of Neurology, National Taiwan University Hospital, National Taiwan University College of Medicine, 4Cardiovascular Center, Taipei Buddist Tzu-Chi Hospital, Hsin-Dian, Taipei, TaiwanBackground: Vegetarianism is associated with a lower risk of cardiovascular disease. However, studies of arterial function in vegetarians are limited.Methods: This study investigated arterial function in vegetarianism by comparing 49 healthy postmenopausal vegetarians with 41 age-matched omnivores. The arterial function of the common carotid artery was assessed by carotid duplex, while the pulse dynamics method was used to measure brachial artery distensibility (BAD, compliance (BAC, and resistance (BAR. Fasting blood levels of glucose, lipids, lipoprotein (a, high-sensitivity C-reactive protein, homocysteine, and vitamin B12 were also measured.Results: Vegetarians had significantly lower serum cholesterol, high-density and low-density lipoprotein, and glucose compared with omnivores. They also had lower vitamin B12 but higher homocysteine levels. Serum levels of lipoprotein (a and high-sensitivity C-reactive protein were no different between the two groups. There were no significant differences in carotid beta stiffness index, BAC, and BAD between the two groups even after adjustment for associated covariates. However, BAR was significantly lower in vegetarians than in omnivores. Multiple linear regression analysis revealed that age and pulse pressure were two important determinants of carotid beta stiffness index and BAD. Vegetarianism is not associated with better arterial elasticity.Conclusion: Apparently healthy postmenopausal vegetarians are not significantly better in terms of carotid beta stiffness index, BAC, and BAD, but have significantly decreased BAR than

  12. Recurrent ischemia resulting from left internal mammary artery-to-pulmonary artery fistula.

    Science.gov (United States)

    Madu, E C; Hanumanthu, S K; Kim, C; Prudoff, A

    2001-03-01

    This report describes a case series of recurrent ischemia after coronary artery bypass grafting resulting from left internal mammary artery-to-pulmonary artery fistula. An angiographic demonstration of this fistula is presented.

  13. Toxicity Of The Essential Oil Of The Cytral Chemotype Of Lippia Alba (Mill. N. E. Brown Toxicidad del aceite esencial de Lippia alba (Mill. N. E. Brown quimiotipo citral

    Directory of Open Access Journals (Sweden)

    Jesús Olivero-Verbel

    2010-06-01

    Full Text Available The essential oil (EO of Lippia alba (Mill. N. E. Brown (Verbenaceae has been traditionally used to treat several diseases. In this study, the acute toxic effects of the citral chemotype of L. alba EO were evaluated in mice. Animals were treated via intraperitoneal receiving the L. alba essential oil at doses between 50 and 2500 mg/kg, and the control group received sesame oil (vehicle. The EO induced dose-dependent neurotoxic effects at doses greater than 1000 mg/kg, including decreased locomotion, motor skills and muscle strength, hypotonia, dyspnea, kyphosis and convulsions. The EO was lethal at a dose of 2500 mg/kg. Animals receiving 1000 mg/kg were euthanized at the end of the treatment period and their blood and livers were collected for analysis. Mice exposed to L. alba EO presented signifcantly greater plasma alanine aminotransferase (ALT activities than the control group. Liver histological changes included mild infammation, in particular, an increase in nuclear size. Compared to vehicle control group, changes in expression for selected genes were signifcant for FABP5, a fatty acid transport related gene. In summary, the intraperitoneal administration of L. alba EO (citral chemotype causes neurological damage in mice at doses equal or greater than 1500 mg/kg, whereas at 1000 mg/kg, it generates mild liver damage. Therefore, the systemic use of this EO raises concerns about its safety.El aceite esencial (AE de Lippia alba (Mill. NE Brown (Verbenaceae ha sido utilizado tradicionalmente para tratar varias enfermedades. En este estudio, los efectos tóxicos agudos del AE de Lippia alba quimiotipo citral fueron evaluados en ratones. Los animales fueron tratados por vía intraperitoneal recibiendo el AE en dosis entre 50 y 2500 mg/kg de peso, y el grupo control aceite de sésamo (vehículo. Dosis superiores a 1000 mg/kg del AE mostraron efectos neurotóxicos incluyendo disminución de la locomoción e hipotonía, disnea, cifosis y

  14. Efecto de la aplicación de aceite esencial de orégano mexicano (Lippia graveolens y tomillo (Thymus vulgaris en factores de calidad de rodajas de manzana (Malus domestica

    Directory of Open Access Journals (Sweden)

    Carlos Enrique Ochoa Velasco

    2012-01-01

    Full Text Available El objetivo de este estudio fue evaluar algunos factores de calidad de rodajas de manzana sumergidas en soluciones de aceite esencial (AE de orégano y tomillo. Rodajas de manzana fueron sumergidas en diferentes soluciones de AE: 100 ppm de AE de orégano (T1, 100 ppm de AE de tomillo (T2, 75:25 ppm de AE de orégano:tomillo (T3, 50:50 ppm de AE de orégano:tomillo (T4, 25:75 ppm de AE de orégano:tomillo (T5; 100 ppm de ácido ascórbico (T6 y agua destilada estéril (T7 que se utilizó como control. Las rodajas de manzana fueron empacadas y almacenadas a 5 ºC. Se evaluó el pH, sólidos solubles totales, acidez titulable, color, actividad de la polifenoloxidasa, compuestos fenólicos, actividad antioxidante, bacterias aerobias mesófilas, mohos y levaduras durante 9 días y atributos sensoriales. Después de 9 días de almacenamiento las rodajas de manzana sumergidas en los tratamientos T1 y T3 presentaron menor valor de pH y menos oscurecimiento. T1 y T5 mostraron el menor cambio neto de color, esto se vio reflejado en una baja actividad de la polifenoloxidasa. La aplicación de AE incrementó significativamente (p < 0,05 los compuestos fenólicos y la actividad antioxidante en los tratamientos T2, T3, T4, T5 y T6. Sin embargo, este incremento se redujo drásticamente después de 9 días de almacenamiento, obteniéndose una actividad antioxidante del 32,1 y 35,2 % (respecto al inicio en los tratamientos T6 y T4, respectivamente. Las bacterias aerobias mesófilas se inhibieron durante 3 días en las rodajas de manzana sumergidas en solución T1, mientras que después de 9 días las que presentaron la menor carga de bacterias fueron las rodajas de manzana sumergidas en T2 y T5. Los mohos y levaduras se inhibieron en los tratamientos T1, T2 y T5. Las rodajas de manzana con mayor aceptación sensorial por parte de los jueces fueron las de los tratamientos T4, T6 y T7 al inicio del almacenamiento y de los tratamientos T4, T5 y T6 después de 6 días.

  15. Efecto de la aplicación de aceite esencial de orégano mexicano (Lippia graveolens y tomillo (Thymus vulgaris en factores de calidad de rodajas de manzana (Malus domestica

    Directory of Open Access Journals (Sweden)

    Carlos Enrique Ochoa Velasco

    2012-12-01

    Full Text Available El objetivo de este estudio fue evaluar algunos factores de calidad de rodajas de manzana sumergidas en soluciones de aceite esencial (AE de orégano y tomillo. Rodajas de manzana fueron sumergidas en diferentes soluciones de AE: 100 ppm de AE de orégano (T1, 100 ppm de AE de tomillo (T2, 75:25 ppm de AE de orégano:tomillo (T3, 50:50 ppm de AE de orégano:tomillo (T4, 25:75 ppm de AE de orégano:tomillo (T5; 100 ppm de ácido ascórbico (T6 y agua destilada estéril (T7 que se utilizó como control. Las rodajas de manzana fueron empacadas y almacenadas a 5 ºC. Se evaluó el pH, sólidos solubles totales, acidez titulable, color, actividad de la polifenoloxidasa, compuestos fenólicos, actividad antioxidante, bacterias aerobias mesófilas, mohos y levaduras durante 9 días y atributos sensoriales. Después de 9 días de almacenamiento las rodajas de manzana sumergidas en los tratamientos T1 y T3 presentaron menor valor de pH y menos oscurecimiento. T1 y T5 mostraron el menor cambio neto de color, esto se vio reflejado en una baja actividad de la polifenoloxidasa. La aplicación de AE incrementó significativamente (p < 0,05 los compuestos fenólicos y la actividad antioxidante en los tratamientos T2, T3, T4, T5 y T6. Sin embargo, este incremento se redujo drásticamente después de 9 días de almacenamiento, obteniéndose una actividad antioxidante del 32,1 y 35,2 % (respecto al inicio en los tratamientos T6 y T4, respectivamente. Las bacterias aerobias mesófilas se inhibieron durante 3 días en las rodajas de manzana sumergidas en solución T1, mientras que después de 9 días las que presentaron la menor carga de bacterias fueron las rodajas de manzana sumergidas en T2 y T5. Los mohos y levaduras se inhibieron en los tratamientos T1, T2 y T5. Las rodajas de manzana con mayor aceptación sensorial por parte de los jueces fueron las de los tratamientos T4, T6 y T7 al inicio del almacenamiento y de los tratamientos T4, T5 y T6 después de 6 días.

  16. Riesgo coronario en la hipertensión arterial sistólica asociada a factores de riesgo prevalentes. Hospital Nacional PNP "Luis N. Saenz"

    OpenAIRE

    2016-01-01

    Estimar el riesgo de padecer una enfermedad coronaria es posible con el uso de herramientas como el score Framingham. La hipertensión arterial sistólica de acuerdo a los lineamientos de las Guías de Práctica Clínica vigentes constituye un punto inicial valido para la investigación de enfermedad coronaria asociada a sus factores de riesgo prevalentes como son diabetes Mellitus, dislipidemia y tabaquismo. El objetivo de esta investigación fue determinar el riesgo coronario en la población con h...

  17. Capsaicin- resistant arterial baroreceptors

    Directory of Open Access Journals (Sweden)

    Andresen Michael C

    2006-05-01

    Full Text Available Abstract Background Aortic baroreceptors (BRs comprise a class of cranial afferents arising from major arteries closest to the heart whose axons form the aortic depressor nerve. BRs are mechanoreceptors that are largely devoted to cardiovascular autonomic reflexes. Such cranial afferents have either lightly myelinated (A-type or non-myelinated (C-type axons and share remarkable cellular similarities to spinal primary afferent neurons. Our goal was to test whether vanilloid receptor (TRPV1 agonists, capsaicin (CAP and resiniferatoxin (RTX, altered the pressure-discharge properties of peripheral aortic BRs. Results Periaxonal application of 1 μM CAP decreased the amplitude of the C-wave in the compound action potential conducting at 0.50 but completely inhibited discharge of an irregularly discharging BR (C-type. CAP at high concentrations (10–100 μM depressed BR sensitivity in regularly discharging BRs, an effect attributed to non-specific actions. RTX (≤ 10 μM did not affect the discharge properties of regularly discharging BRs (n = 7, p > 0.18. A CAP-sensitive BR had significantly lower discharge regularity expressed as the coefficient of variation than the CAP-resistant fibers (p Conclusion We conclude that functional TRPV1 channels are present in C-type but not A-type (A-δ myelinated aortic arch BRs. CAP has nonspecific inhibitory actions that are unlikely to be related to TRV1 binding since such effects were absent with the highly specific TRPV1 agonist RTX. Thus, CAP must be used with caution at very high concentrations.

  18. Retinal artery occlusions in children.

    Science.gov (United States)

    Dharmasena, Aruna; Wallis, Simon

    2014-01-01

    The purpose of this study is to present a case of RAO in a 13 year old girl with a preceding history of hyperextension of the neck at her hairdressers for a long duration and use of her mobile phone handset resting it against the side of her neck presumably exerting some pressure on carotids during the same time. Materials and methods of this study was reported as case report and review of literature. A 13 year-old girl presented with the left supero-nasal scotoma due to an inferior temporal branch retinal artery occlusion (BRAO). She underwent extensive investigations and no underlying cause was discovered. She gave a history of cervical extension over a long period of time while having the hair coloured twice in the preceding week. She also mentioned that she was using her mobile phone more or less continuously during both these occasions keeping it against her neck. Given the above history it is possible that the pressure on the ipsilateral carotid arteries or the prolong neck extension may have been responsible for the formation of a platelet embolus resulting in the BRAO. In conclusion, although cerebro-vascular accidents due to 'beauty parlor stroke syndrome' (JAMA 269:2085-2086, 1993) have been reported previously it has not been reported in children to our knowledge. On the other hand, 'beauty parlor stroke syndrome' occurs due to a dissection of the vertebral arteries or due to mechanical compression of the vertebral arteries during the prolonged hyperextension of the neck. The central retinal artery originates from the internal carotid circulation and it is highly unlikely for an embolus to enter the retinal circulation from the vertebral arteries. Therefore, the authors favour the possibility that the compulsive use of a mobile phone exerting pressure on the carotid arteries for a long time may have led to the formation of an embolus and subsequent RAO in this case.

  19. Aislamiento de los microorganismos cultivables de la rizosfera de Ornithogalum umbellatum y evaluación del posible efecto biocontrolador en dos patógenos del suelo.

    OpenAIRE

    Benítez, Solange; Bentley, Johanna; Bustamante, Paula; Sánchez, Ligia Consuelo; Corrales, Lucia

    2007-01-01

    Los microorganismos presentes en el suelo ejercen una acción específica cuando se relacionan con una especie vegetal. Ornithogalum umbellatum es una planta silvestre usada en el país como ornamental pero reconocida en otras partes del mundo por los componentes químicos del bulbo y la aplicación de estas sustancias en el tratamiento alternativo de diferentes enfermedades. Esta característica permitió plantear la hipótesis de que la microflora existente en la rizosfera podría tener posibles efe...

  20. Presencia de Gambusia affinis (Baird & Girard, 1853) en un humedal boscoso del Sur de Chile. Posibles implicancias sobre la fauna local de invertebrados.

    OpenAIRE

    L. Parra-Coloma; F. Correa-Araneda

    2014-01-01

    Las especies invasoras son la principal causa de pérdida debiodiversidad del planeta, producto de la depredación que afecta a la faunalocal mediante competencia, hibridación, alteración del hábitat y transmisiónde enfermedades. En este estudio se describe la posible implicancia del pezmosquito sobre la fauna de invertebrados en un humedal boscoso presente en laregión de la Araucanía, Chile. Los resultados nos indican la presencia de Gambusia affinis en todos los sitios demuestreo, destacándos...

  1. Concentraciones de mercurio en leche de mujeres del noroeste de México: posible asociación a la dieta, tabaco y otros factores maternos

    OpenAIRE

    Ramón Gaxiola-Robles; Tania Zenteno-Savín; Vanessa Labrada-Martagón; Alfredo de Jesús Celis de la Rosa; Baudilio Acosta Vargas; Lía Celina Méndez-Rodríguez

    2013-01-01

    Objetivo: Determinar los niveles de mercurio total (THg) en leche de mujeres del Noroeste de México y su posible asociación con factores maternos, la dieta y el tabaco. Método: El estudio se realizó en leches donadas por 108 mujeres de Baja California Sur. Se estratificaron en tres grupos de 36 donantes según el número de gesta. Se exploraron datos generales, hábito tabáquico, exposición al humo de tabaco ambiental, ingesta de mariscos y pescados. Los niveles de THg fueron cuantificados utili...

  2. Historia y cine: un mapa de posibles líneas de análisis en el eje realidad / representación

    OpenAIRE

    Emilce Fabricio

    2016-01-01

    El artículo rastrea algunas posibles líneas de análisis abiertas para historiadores e historiadoras en el campo de intersecciones de los estudios cinematográficos y de la sociedad. Comienza planteando los orígenes del mismo, para adentrarse en las consideraciones del cine como fuente para la historia y de la historia en el cine. Finalmente se considera el caso particular del cine documental y se problematiza la dualidad realidad/representación.

  3. Historia y cine: un mapa de posibles líneas de análisis en el eje realidad / representación

    Directory of Open Access Journals (Sweden)

    Emilce Fabricio

    2016-04-01

    Full Text Available El artículo rastrea algunas posibles líneas de análisis abiertas para historiadores e historiadoras en el campo de intersecciones de los estudios cinematográficos y de la sociedad. Comienza planteando los orígenes del mismo, para adentrarse en las consideraciones del cine como fuente para la historia y de la historia en el cine. Finalmente se considera el caso particular del cine documental y se problematiza la dualidad realidad/representación.

  4. Valorización de la naturaleza y el territorio. Opciones teóricas-metodológicas para pensar otras territorialidades posibles

    OpenAIRE

    Silvia Valiente; Alejandro Schweitzer

    2016-01-01

    RESUMEN El objetivo de este artículo consiste en pensar otras territorialidades posibles a partir de considerar las distintas valorizaciones de la naturaleza y del territorio desde determinadas opciones teóricas. Estas sonla perspectiva decolonial, la ecología política y la ecología de los saberes, próximas entre sí en lo que respecta a su posicionamiento ético-político. Además comparten las críticas a la ciencia moderna en lo que refiere a la simplificación de la realidad, el conocimiento ab...

  5. Autonomía y creación: hacia una lectura posible desde los aportes de Donald Winnicott y Maud Mannoni

    OpenAIRE

    Gaudio, Roxana Elizabeth; Frisón, Roxana

    2013-01-01

    El establecimiento de los ejes que organizan el presente trabajo conduce al emplazamiento de una serie de decisiones que involucran en su desarrollo la delimitación del marco conceptual, que en este caso encuentra sus fundamentos en la propuesta teórico - clínica freudiana y en los aportes de Piera Aulagnier. Desde allí, se trabajará en torno al desarrollo teórico de Donald Winnicott y al de Maud Mannoni, a fin de situar posibles vías de aproximación que permitan profundizar sobre las condici...

  6. Posibles genes asociados a la obesidad y la apnea del sueño mediante el rastreo de snps a nivel de exoma

    OpenAIRE

    2015-01-01

    La obesidad actúa como factor de riesgo para la Apnea del Sueño, estas dos patologías severas, altamente prevalentes, no son diagnosticadas ni tratadas adecuadamente. Así mismo, no existe información acerca de las bases genéticas de la obesidad y Apnea del Sueño en Colombia. Este trabajo tiene como objetivo, identificar posibles SNPs asociados a obesidad y Apnea del Sueño, localizados en la región codificante para proteína del genoma de una cohorte de individuos colombianos. La asociación gen...

  7. A case report: accessory right renal artery

    Directory of Open Access Journals (Sweden)

    Patasi B

    2009-10-01

    Full Text Available Anatomical variations in the origin of the arteries in the abdominal area are very common. The arteries that show frequent variations include the celiac trunk, renal and gonadal arteries. During a routine dissection of a male cadaver, one main and one inferior accessory renal artery were found in the abdominal region. We discovered that the inferior accessory renal artery that originated from the right anterolateral aspect of abdominal aorta was running into the lower pole of the right kidney. The origin of the main right renal artery and the inferior accessory right renal artery were 19.8 mm and 53 mm below the superior mesenteric artery, respectively. The inferior accessory right renal artery ran directly into the inferior pole of the right kidney, in the area where the accessory right renal vein was leaving the right kidney. These anatomical variations and anomalies are important to know before any therapeutic or diagnostic procedures are performed in the abdominal area.

  8. Livergraftvascularvariantwith 3 extra-hepatic arteries

    Institute of Scientific and Technical Information of China (English)

    Paulo N Martins

    2010-01-01

     Vascular anatomy of the liver is varied, and the"standard"anatomy is seen in 55%-80%of cases. It is very important that extrahepatic arteries are identiifed precisely at the time of graft procurement to avoid injuries that might compromise the liver function. In the present case the liver donor had the vascular anatomy of Michels type Ⅶ, e.g. a hepatic artery originating from the celiac trunk and going to the left lobe, an accessory left hepatic artery coming from the left gastric artery, and a replaced right hepatic artery coming from the superior mesenteric artery. This pattern of vascular supply is uncommon, representing less than 5%of cases. The replaced hepatic artery was reconstructed in the back-table with polypropylene suture 7.0 by connecting it to the stump of the splenic artery, and the celiac trunk of the graft was anastomosed to the recipient common hepatic artery.

  9. Bronchial artery embolization in hemoptysis

    Institute of Scientific and Technical Information of China (English)

    DAI Hong-xiu; YANG Ding-cai; LIU Wei-hong; TANG He-qing; LIU Ke-yong; ZHAO Xiao-hua; TAN Yi-qing; WANG Jun

    2005-01-01

    Massive hemoptysis is one of the most dreaded of all respiratory emergencies and can have a variety of underlying causes. It is mostly caused by bleeding from bronchial circulation. Bronchial artery embolization is now considered to be the treatment of choice for acute massive hemoptysis. Bronchial artery embolization (BAE) is a safe and effective nonsurgical treatment for patients with massive hemoptysis. However, nonbronchial systemic arteries can be a significant source of massive hemoptysis and a cause of recurrence after successful BAE. So knowledge of the bronchial artery anatomy, together with an understanding of the pathophysiologic features of massive hemoptysis, are essential for planning and performing BAE in affected patients. In addition, interventional radiologists should be familiar with the techniques, results, efficacy, safety and possible complications of BAE and with the characteristics of the various embolic agents. Bronchial arterial catheterisation in human via a percutaneous approach has been practiced for 32 years (1973) in the world and 20 years (1986) in China, initially for direct chemotherapy treatment for bronchial malignancies and then for the embolization of patients with massive haemoptysis. A review of clinical experience to evaluate technique,embolic materials,outcome and complications of BAE is presented.

  10. Arterial calcification: A new perspective?

    Science.gov (United States)

    Nicoll, R; Henein, M

    2017-02-01

    Arterial calcification is commonly seen in atherosclerosis, chronic kidney disease (CKD) and diabetes and has long been considered a natural progression of atherosclerosis. Yet it is a systemic condition, occurring in a wide and diverse range of disease states and no medical treatment for cardiovascular disease has yet found a way to regress it; on the contrary, lipid-lowering therapy may worsen its progression. Although numerous studies have found associations between calcification and biomarkers, none has yet found a unifying mechanism that explains the calcification found in atherosclerosis, CKD or diabetes and many of the biomarkers are equally associated with atheroma development and cardiovascular events. Furthermore, both presence and absence of coronary artery calcification appear predictive of plaque rupture and cardiovascular events, indicating that the association is not causal. This suggests that we are no further forward in understanding the true nature of arterial calcification or its pathogenesis, other than noting that it is 'multifactorial'. This is because most researchers view arterial calcification as a progressive pathological condition which must be treated. Instead, we hypothesise that calcification develops as an immune response to endothelial injury, such as shear stress or oxidative stress in diabetics, and is consequently part of the body's natural defences. This would explain why it has been found to be protective of plaque rupture and why it is unresponsive to lipid-lowering agents. We propose that instead of attempting to treat arterial calcification, we should instead be attempting to prevent or treat all causes of endothelial injury.

  11. First jejunal artery, an alternative graft for right hepatic artery reconstruction.

    Science.gov (United States)

    Aryal, Bibek; Komokata, Teruo; Kadono, Jun; Motodaka, Hiroyuki; Ueno, Tetsuya; Furoi, Akira; Imoto, Yutaka

    2015-04-01

    Common bile duct cancer invading right hepatic artery is sometimes diagnosed intraoperatively. Excision and safe reconstruction of the artery with suitable graft is essential. Arterial reconstruction with autologous saphenous vein graft is the preferred method practiced routinely. However the right hepatic artery reconstruction has also been carried out with several other vessels like gastroduodenal artery, right gastroepiploic artery or the splenic artery. We report a case of 63-year-old man presenting with history of progressive jaundice, pruritus and impaired appetite. Following various imaging modalities including computed tomography, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography, intraductal ultrasound extrahepatic bile duct cancer was diagnosed; however, none of those detected vessel invasion. Intraoperatively, right hepatic artery invasion was revealed. Right hepatic artery was resected and reconstructed with a graft harvested from the first jejunal artery (JA). Postoperative outcome was satisfactory with a long-term graft patency. First JA can be a reliable graft option for right hepatic artery reconstruction.

  12. Hypothenar hammer syndrome: Distal ulnar artery reconstruction with autologous inferior epigastric artery.

    Science.gov (United States)

    Smith, Hadley E; Dirks, Marco; Patterson, Robert B

    2004-12-01

    Digital artery embolization and ulnar artery thrombosis are consequences of repetitive trauma and can lead to digit loss and debility from ischemia and cold intolerance. We postulate that an arterial autograft is a theoretically superior conduit to traditional saphenous vein, and report reconstruction with inferior epigastric artery. Three adult male smokers, ages 39 to 49 years, had severe digital ischemia and cold-induced vasospasm. Arteriograms confirmed occlusion of the distal ulnar artery without direct perfusion of the superficial palmar arch, distal digital artery embolization, and normal proximal vasculature. All reconstructions were performed from the distal most patent ulnar artery at the wrist to the superficial palmar arch (1 patient) or sequentially to the involved common digital arteries (2 patients), with inferior epigastric artery. Handling characteristics and size match between the arterial autografts and bypassed arteries was excellent. Patency has been confirmed with duplex scanning at follow-up of 8 to 24 months, with resolution of cold intolerance and successful digital preservation.

  13. Spontaneous internal carotid artery dissection.

    Science.gov (United States)

    Khimenko, L P; Esham, H R; Ahmed, W

    2000-10-01

    Once considered uncommon, spontaneous dissection of the carotid artery is an increasingly recognized cause of stroke, headache, cranial nerve palsy, or ophthalmologic events, especially in young adults. Even in the presence of existing signs and symptoms, the diagnosis can be missed by experienced physicians of all specialties. We report a case of spontaneous internal carotid artery dissection in a 38-year-old woman with a cortical stroke and visual disturbances as initial symptoms. The diagnosis was confirmed by magnetic resonance imaging/angiography and by angiography. Prompt anticoagulation was instituted, and the patient had complete resolution of symptoms. Cervicocephalic arterial dissection should be included in the differential diagnosis of the causes of cerebrovascular events.

  14. Paradigmas de enfermería (no posibles: La necesidad de una ruptura extraordinaria (No possible pradigms of nursing: The necessity of an extraordinary rupture

    Directory of Open Access Journals (Sweden)

    Xabier Irigibel-Uriz

    2010-12-01

    Full Text Available Aproximación foucaultiana a la discusión en torno a la naturaleza de la ciencia normal de enfermería y la posible extraordinariedad del paradigma de la transformación descrito por Kerouack y col. y asumido como anhelo del desarrollo de la enfermería. Ejercicio teórico donde los aportes conceptuales de Thomas Kuhn permiten ubicar la discusión en torno a los límites de los paradigmas (No Posibles, como espacio e instante desde donde podrían emerger los enfrentamientos que dieran origen a investigaciones y paradigmas extraordinarios.A Foucaultian approximation of the discussion in terms of the nature of the normal science of nursing and the possible extraordinariness of the Transformation paradigm described by Kerouack et al. and assumed as a desire for development of nursing. A theoretical exercise where Thomas Kuhn offers his concepts which allow for the discussion in terms of the limits of the (No Possible Paradigms, like space and instance from where tensions could emerge that give rise to extraordinary investigations and paradigms.

  15. Sobre Comunicología y Comunicometodología: primera guía de apuntes sobre horizontes de lo posible

    Directory of Open Access Journals (Sweden)

    Jesús Galindo Cáceres

    2008-12-01

    Full Text Available El texto se compone de cinco partes. En la primera se plantea la situación actual del campo académico de la comunicación como base histórica para la construcción de un nuevo proyecto de configuración científico y tecnológico. La segunda parte propone las coordenadas generales del proyecto. En la tercera se presentan las bases para la emergencia de una Comunicología posible, una ciencia de la comunicación inexistente hasta hoy como disciplina científica. En la cuarta se propone la parte complementaria de la Comunicología, a la Comunicometodología, como la dimensión práctica, aplicada, de la ciencia teórica en una dimensión de ingeniería constructiva de la comunicación. En la última se cierra el argumento de la ciencia y la ingeniería de la comunicación con una propuesta de horizontes de lo posible en la investigación de la comunicación, con la comunicación y en la comunicación.

  16. PERSISTENT MEDIAN ARTERY IN THE CARPAL TUNNEL

    Directory of Open Access Journals (Sweden)

    Raviprasanna.K.H

    2014-09-01

    Full Text Available Introduction: Persistent median artery originates from the anterior interosseous artery in proximal one-third of the forearm and accompanies median nerve. Median artery may regress in the forearm or enter palm through the carpal tunnel deep to flexor retinaculum of wrist and supply palm by anastomosing with the superficial palmar arch. Objective: In present study the objective was to study presence of persistent median artery accompanying median nerve and its termination Materials and Methods: The study included 50 human cadaver upper limb specimens at the Department of Anatomy, Mysore Medical College & Research Institute, Mysore during 2011-13. These specimens fixed in 10% formalin were finely dissected and persistent median artery was traced from origin to termination. Results: Out of 50 human cadaver specimens, persistent median artery was present in 4 specimens (8%. All the 4 median arteries originated from anterior interosseous artery and were of palmar type which reached palm. Out of 4 median arteries, 3 median arteries (6% took part in completion of superficial palmar arch, supplying the distal aspect of palm and 1 median artery (2% directly supplied radial two and half fingers without forming arch. Conclusion: Knowledge of unusual variations helps in proper treatment of disorders of the median nerve. Presence of persistent median artery usually will be asymptomatic but may cause symptoms of carpal tunnel syndrome or pronator teres syndrome when subjected to compression. Rarely this artery can be taken for reconstruction

  17. Spontaneous isolated celiac artery dissection

    Directory of Open Access Journals (Sweden)

    Tuba Cimilli Ozturk

    2011-01-01

    Full Text Available Dyspepsia with mild, stabbing epigastric discomfort without history of trauma is a very common symptom that emergency physicians see in their daily practice. Vascular emergencies, mostly the aortic dissection and aneurysm, are always described in the differential diagnosis with persistent symptoms. Isolated celiac artery dissection occurring spontaneously is a very rare diagnosis. The involvement of branch vessels is generally observed and patients show various clinical signs and symptoms according to the involved branch vessel. Here we are presenting a case with spontaneous isolated celiac artery dissection, without any branch vessel involvement or visceral damage, detected by computed tomography scans taken on admission.

  18. Diabetes mellitus tipo 1: posible relación con la interrupción precoz de la lactancia materna

    Directory of Open Access Journals (Sweden)

    Dalila Teixeira Leal

    2012-12-01

    Full Text Available Introducción: La dieta es importante en la patogénesis de la diabetes tipo 1, los estudios indican una fuerte asociación entre la exposición temprana a la leche de vaca y la aparición de esta enfermedad. Objetivo: Verificar la existencia de la relación entre el destete precoz de la lactancia materna, la exposición a otras leches antes de seis meses de vida y el desarrollo de diabetes mellitus tipo 1. Materiales y Métodos: Investigación cuantitativa, a los padres respecto a los niños y adolescentes con diabetes tipo 1 que se registraron en el Departamento de Control de la Presión Arterial, Diabetes y Obesidad del Departamento Municipal de Salud de Juiz de Fora com una muestra total de 89 participantes. El instrumento utilizado para la recolección de datos fue un cuestionario estructurado aplicado a estos padres, los sujetos de la investigación fueron de ambos sexos y de todas las razas. Cabe señalar que el origen de esta investigación son los usuarios de los servicios de Diabetes Mellitus tipo 1, pero sólo los padres o tutores fueron entrevistados.Resultados: Se presentan datos sobre la caracterización de la muestra, la aparición o no de destete precoz de la lactancia materna, período de la lactancia materna exclusiva, si se ofreció dieta después del destete y las razones que llevaron a esta ocurrencia. Discusión y Conclusiones: La relación entre el destete precoz de la lactancia materna, con la consiguiente introducción de sustitutos de la leche materna, podría conllevar al desarrollo de diabetes mellitus tipo 1. (Rev Cuid 2012;3(3:293-9.Palabras clave: Diabetes Mellitus Tipo 1. Lactancia Materna. Enfermería. (Fuente: DeCS BIREME.

  19. Three new families with arterial tortuosity syndrome.

    NARCIS (Netherlands)

    Wessels, M.W.; Catsman-Berrevoets, C.E.; Mancini, G.M.; Breuning, M.H.; Hoogeboom, J.J.; Stroink, H.; Frohn-Mulder, I.M.; Coucke, P.J.; Paepe, A.D.; Niermeijer, M.F.; Willems, P.J.

    2004-01-01

    Arterial tortuosity syndrome (ATS) is a rare condition with autosomal recessive inheritance characterized by connective tissue abnormalities. The most specific clinical findings are cardiovascular anomalies including tortuosity, lengthening, aneurysm, and stenosis formation of major arteries. Also v

  20. Could Peripheral Arterial Disease Be Your Problem?

    Science.gov (United States)

    ... exercise and yoga classes and has returned to teaching. Fast Facts Peripheral arterial disease (P.A.D.) occurs when a fatty material called plaque (pronounced plak) builds up on the inside walls of the arteries that carry blood from ...

  1. Transposition of the Greater Arteries (TGA)

    Science.gov (United States)

    ... Atrioventricular Canal Defect Transposition of the Great Arteries Coarctation of the Aorta Truncus Arteriosus Single Ventricle Defects ... Atrioventricular Canal Defect Transposition of the Great Arteries Coarctation of the Aorta Truncus Arteriosus Single Ventricle Defects ...

  2. The effect of sumatriptan on cephalic arteries

    DEFF Research Database (Denmark)

    Amin, Faisal Mohammad; Asghar, Mohammad Sohail; Ravneberg, Julie W;

    2013-01-01

    AIM: To explore a possible differential effect of sumatriptan on extracerebral versus cerebral arteries, we examined the superficial temporal (STA), middle meningeal (MMA), extracranial internal carotid (ICAextra), intracranial internal carotid (ICAintra), middle cerebral (MCA) and basilar arteries...

  3. Middle cerebral artery blood velocity during rowing

    DEFF Research Database (Denmark)

    Secher, Niels Henry; Pott, F; Knudsen, L.;

    1997-01-01

    original,arterial blood pressure,central venous pressure,cerebral blood flow, exercise, transcranial Doppler......original,arterial blood pressure,central venous pressure,cerebral blood flow, exercise, transcranial Doppler...

  4. Bilateral Internal Thoracic Artery Configuration for Coronary Artery Bypass Surgery

    Science.gov (United States)

    Boodhwani, Munir; Hanet, Claude; de Kerchove, Laurent; Navarra, Emiliano; Astarci, Parla; Noirhomme, Philippe; El Khoury, Gebrine

    2016-01-01

    Background— Bilateral internal thoracic arteries (BITA) have demonstrated superior patency and improved survival in patients undergoing coronary artery bypass grafting. However, the optimal configuration for BITA utilization and its effect on long-term outcome remains uncertain. Methods and Results— We randomly assigned 304 patients undergoing coronary artery bypass grafting using BITA to either in situ or Y grafting configurations. The primary end point was 3-year angiographic patency. Secondary end points included major adverse cardiac and cerebrovascular events (ie, death from any cause, stroke, myocardial infarction, or repeat revascularization) at 7 years. More coronary targets were able to be revascularized using internal thoracic arteries in patients randomized to Y grafting versus in situ group (3.2±0.8 versus 2.4±0.5 arteries/patient; P<0.01). The primary end point did not show significant differences in graft patency between groups. Secondary end points occurred more frequently in the in situ group (P=0.03), with 7-year rates of 34±10% in the in situ and 25±12% in the Y grafting groups, driven largely by a higher incidence of repeat revascularization in the in situ group (14±4.5% versus 7.4±3.2% at 7 years; P=0.009). There were no significant differences in hospital mortality or morbidity or in late survival, myocardial infarction, or stroke between groups. Conclusions— Three-year systematic angiographic follow-up revealed no significant difference in graft patency between the 2 BITA configurations. However, compared with in situ configuration, the use of BITA in a Y grafting configuration results in lower rates of major adverse cardiovascular and cerebrovascular events at 7 years. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT01666366. PMID:27406988

  5. An unreported type of coronary artery naomaly in congenitally corrected transposition of great arteries

    Energy Technology Data Exchange (ETDEWEB)

    Kwak, Min Kyu; Jeong, Yeon Joo; Lee, Gee Won; Lee, Nam Kyung; Choi, Jung Hyun; Lee, Ji Won [Medical Research Institute, Pusan National University Hospital, Busan (Korea, Republic of)

    2016-07-15

    Coronary artery variations are associated anomalies in 45% of congenitally corrected transposition of the great arteries (ccTGA) cases, and it is important to detect any coronary artery anomalies before cardiac surgery. We report a case of a 51-year-old woman with ccTGA and an unreported type of coronary artery anomaly.

  6. Cardioembolic occlusion of the internal carotid artery presented with infarction in the posterior cerebral artery territory

    Institute of Scientific and Technical Information of China (English)

    XUE Su-fang; JIA Jian-ping

    2010-01-01

    @@ Posterior circulation stroke may rarely be associated with occlusive disease in the anterior circulation, such as in the context of a direct (fetal) origin of the posterior cerebral artery (PCA) from the internal carotid artery (ICA), or in the presence of a persistent trigeminal artery (PTA) or persistent hypoglossal artery (PHA).1,2

  7. Correlation of invasive central arterial pressure with peripheral arterial pressure and coronary sclerosis

    Institute of Scientific and Technical Information of China (English)

    吴琪

    2013-01-01

    Objective To study the consistency among non-invasive and invasive brachial artery pressure,radial artery pressure and invasive central arterial pressure,and to explore the correlation between the severe degree of coronary artery disease and invasive central aortic pressure.

  8. Hypogastric artery autograft treating hemorrhage with infection of external iliac artery secondary to renal transplantation

    Institute of Scientific and Technical Information of China (English)

    WANG Ze-hou; YI Shan-hong; YAO Zhi-yong; SUN Bin; HONG Quan; ZHANG Zhi-chao

    2008-01-01

    @@ Massive hemorrhage from infected anastomosed site between the graft artery and the external iliac artery is one of the most serious complications of renal transplantation. Clinically, it is a rare but fatal occasion. We reported here one case of hemorrhage with infection in the iliac artery anastomosed site treated successfully with hypogastric artery autograft interposition in March 2003.

  9. Moyamoya disease associated with an anterior inferior cerebellar artery arising from a persistent trigeminal artery

    Energy Technology Data Exchange (ETDEWEB)

    Uchino, A.; Sawada, A.; Takase, Y.; Kudo, S. [Department of Radiology, Saga Medical School, 5-1-1, Nabeshima, Saga, 849-8501 (Japan); Koizumi, T. [Department of Neurosurgery, Saga Medical School, 5-1-1, Nabeshima, Saga, 849-8501 (Japan)

    2002-07-01

    The authors present a case of moyamoya disease associated with a persistent trigeminal artery from which the anterior inferior cerebellar artery arose. We reviewed previously reported cases of moyamoya disease associated with persistent carotid-basilar arterial anastomosis and investigated the embryology of this rare arterial variation. (orig.)

  10. Rare anatomic variation of left gastric artery and right hepatic artery in a female cadaver.

    Science.gov (United States)

    Troupis, Theodore; Chatzikokolis, Stamatis; Zachariadis, Michael; Troupis, George; Anagnostopoulou, Sofia; Skandalakis, Panayiotis

    2008-05-01

    The present report describes a rare case in which the left gastric artery arises directly from the abdominal aorta and the right hepatic artery from the superior mesenteric artery, as observed during the dissection of a female cadaver. The left gastric artery usually rises as one of the three branches of the celiac trunk, which was originally described by Haller in 1756, whereas the right hepatic artery usually originates from the proper hepatic artery. The knowledge of the typical anatomy of the abdominal arteries, and their variations, is especially important due to the numerous interventions performed in the abdominal area.

  11. Pregnancy after uterine arterial embolization

    Directory of Open Access Journals (Sweden)

    Cláudio E. Bonduki

    2011-01-01

    Full Text Available OBJECTIVE: To evaluate pregnancy outcomes, complications and neonatal outcomes in women who had previously undergone uterine arterial embolization. METHODS: A retrospective study of 187 patients treated with uterine arterial embolization for symptomatic uterine fibroids between 2005-2008 was performed. Uterine arterial embolization was performed using polyvinyl alcohol particles (500-900 mm in diameter. Pregnancies were identified using screening questionnaires and the study database. RESULTS: There were 15 spontaneous pregnancies. Of these, 12.5% were miscarriages (n = 2, and 87.5% were successful live births (n = 14. The gestation time for the pregnancies with successful live births ranged from 36 to 39.2 weeks. The mean time between embolization and conception was 23.8 months (range, 5-54. One of the pregnancies resulted in twins. The newborn weights (n = 14 ranged from 2.260 to 3.605 kg (mean, 3.072 kg. One (7.1% was considered to have a low birth weight (2.260 kg. There were two cases of placenta accreta (12.5%, treated with hysterectomy in one case [6.3%], one case of premature rupture of the membranes (PRM (6.3%, and one case of preeclampsia (6.3%. All of the patients were delivered via Cesarean section. CONCLUSION: In this study, there was an increased risk of Cesarean delivery. There were no other major obstetric risks, suggesting that pregnancy after uterine arterial embolization is possible without significant morbidity or mortality.

  12. Capsaicin and arterial hypertensive crisis.

    Science.gov (United States)

    Patanè, Salvatore; Marte, Filippo; La Rosa, Felice Carmelo; La Rocca, Roberto

    2010-10-08

    Chili peppers are rich in capsaicin. The potent vasodilator calcitonin gene-related peptide (CGRP) is stored in a population of C-fiber afferents that are sensitive to capsaicin. CGRP and peptides released from cardiac C fibers have a beneficial effect in myocardial ischemia and reperfusion. It has been reported that capsaicin pretreatment can deplete cardiac C-fiber peptide stores. Furthermore, it has also been reported that capsaicin-treated pigs have significantly increased mean arterial blood pressure compared with controls, and that the decrease in CGRP synthesis and release contributes to the elevated blood pressure. A case has also been reported of an arterial hypertensive crisis in a patient with a large ingestion of peppers and chili peppers the day before. We present a case of an arterial hypertensive crisis in a 19-year-old Italian man with an abundant ingestion of peppers and of chili peppers the preceding day. This case describes an unusual pattern of arterial hypertensive crisis due to capsaicin.

  13. Management of pulmonary arterial hypertension.

    LENUS (Irish Health Repository)

    Judge, Eoin P

    2013-02-01

    Pulmonary arterial hypertension (PAH) is a complex disease with a high mortality. Management of this disease is underpinned by supportive and general therapies delivered by multidisciplinary teams in specialist centres. In recent years, a number of PAH-specific therapies have improved patient outcomes. This article will discuss the management of PAH in the context of relevant recently published studies in this area.

  14. Diagnosis and treatment of renal artery stenosis.

    NARCIS (Netherlands)

    Plouin, P.F.; Bax, L.

    2010-01-01

    A reduction in the diameter of the renal arteries can lead to hypertension, renal dysfunction and/or pulmonary edema. About 90% of patients with renal artery stenosis have atherosclerosis, and 10% have fibromuscular dysplasia. Atherosclerotic renal artery stenosis is a common condition that typicall

  15. Peripheral Arterial Disease (P.A.D.)

    Science.gov (United States)

    ... page please turn Javascript on. Peripheral Artery Disease (P.A.D.) What is P.A.D.? Arteries Clogged With Plaque Peripheral arterial ... Escape (Esc) button on your keyboard.) Why Is P.A.D. Dangerous? Click for more information Blocked ...

  16. Fenestration of the anterior cerebral artery

    Energy Technology Data Exchange (ETDEWEB)

    Ito, J.; Washiyama, K.; Hong, K.C.; Ibuchi, Y.

    1981-08-01

    Three cases of angiographically demonstrated fenestration of the anterior cerebral artery are reported. Fenestration occurred at the medial half of the horizontal segment of the anterior cerebral artery in all cases. Its embryology and clinical significance are briefly discussed, and the anatomical and radiological literature on fenestration of the anterior cerebral artery is reviewed.

  17. Síndrome Poliglandular Autoinmune Tipo II: Posible Asociación con HLA DRB1*-DQB1* Possible association of Type II Autoimmune Polyendrocrine Syndrome with HLA DRB1*-DQB1*

    Directory of Open Access Journals (Sweden)

    M.S. Mallea Gil

    2010-12-01

    Full Text Available Los síndromes poliendocrinos autoinmunes (APS asocian enfermedades endocrinas autoinmunes con otros desórdenes autoinmunes no endocrinos. El APS tipo II se caracteriza por compromiso primario suprarrenal, tiroideo y/o DM tipo I. Presentamos un paciente masculino de 46 años que fue internado por astenia, adinamia, hiporexia, severa disminución de peso, mareos y vómitos. Antecedente de obesidad y diabetes diagnosticada 3 años antes. Presentaba hipotensión arterial, hiperpigmentación de mucosas y pliegues, anemia, hiponatremia e hipoglucemias frecuentes a pesar de la disminución de la dosis de insulina. Se diagnosticó insuficiencia suprarrenal, concomitantemente con hipotiroidismo y diabetes tipo 1, todas de origen autoinmune, iniciándose reemplazo hormonal. Se encontró una posible asociación del HLA DRB1*-DQB1* en los estudios genéticos. Conclusiones: Nuestro paciente presenta el HLA DQB1*0302 descripto en el APSII, pero el HLA DRB1 *08 encontrado no está descripto en este síndrome ni en ningún otro desorden autoinmune. En pacientes con Diabetes tipo 1 que disminuyan el requerimiento insulínico, habría que descartar insuficiencia suprarrenal, un componente del APS II, como factor etiológico, a pesar de su baja prevalencia.Autoimmune polyendocrine syndromes (APS are the association of autoimmune endocrine diseases with other non-endocrine autoimmune disorders. Type II APS is defined by occurrence of Addison´s disease with thyroid autoimmune disease and/or type 1 diabetes mellitus. We present a 46-year-old male patient who was hospitalized because of asthenia, adynamia, hyporexia, severe loss of weight, dizziness and vomiting. Diabetes mellitus had been diagnosed 3 years earlier when he was obese. He presented arterial hypotension, anemia, darkening of the skin and oral mucosa, hyponatremia and frequent hypoglycemia although his insulin dose was decreased. Adrenal insufficiency was diagnosed together with hypothyroidism and type

  18. Anomalous external carotid artery-internal carotid artery anastomosis in two patients with proximal internal carotid arterial remnants

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chang Hun [Dept. of Neurology, Stroke Center, Myongji Hospital, Goyang (Korea, Republic of); Cho, Young Dae; Kang, Hyun Seung; Kim, Jeong Eun; Han, Moon Hee [Seoul National University Hospital, Seoul National University College of Medicine, Seoul (Korea, Republic of); Jung, Seung Chai [Dept. of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); Ahn, Jun Hyong [Dept. of Neurosurgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang (Korea, Republic of)

    2015-08-15

    Two angiographic instances of anomalous external carotid artery (ECA) and internal carotid artery (ICA) anastomosis are described, each occurring at the C2-3 level and bearing remnants of proximal ICA. The ICA remnant of one patient (identifiable immediately upon bifurcation of the common carotid artery) was hypoplastic, and that of the other patient was an occluded arterial stump. These features are not typical of non-bifurcating ICA. The occipital artery originated from an anomalous connection in one instance and from the main trunk of the ECA (just past the ECA-ICA connection) in the other.

  19. Revascularization using satellite vein after radial artery harvested for coronary artery bypass grafting.

    Science.gov (United States)

    Gon, Shigeyoshi; Yoshida, Shigehiko; Sanae, Tsutomu; Takahashi, Tamami; Inada, Eiichi

    2006-06-01

    The radial artery has been increasingly used for coronary artery bypass grafting and has excellent long-term patency rates. Hand claudication is one of the adverse effects after radial artery harvest. We reconstructed a radial artery using the satellite vein to prevent hand claudication. Pulsating blood flow at 35 cm/sec was evaluated using color Doppler echocardiography three months after surgery. This method makes it possible to use a radial artery in patients with a positive Allen test.

  20. Endovascular rescue from arterial rupture and thrombosis during middle cerebral artery stenting

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, J.Y.; Chung, Y.S. [Department of Neurosurgery, College of Medicine, Pundang CHA Hospital, 351 Yatap-ding, Pundang-gu, 463-712, Sungnam (Korea); Lee, B.H. [Department of Interventional Neuroradiology, College of Medicine, Pundang CHA Hospital, 351 Yatap-dong, Pundang-gu, 463-712, Sungnam (Korea); Kim, O.J. [Department of Emergency Medicine, College of Medicine, Pundang CHA Hospital, 351 Yatap-dong, Pundang-gu, 463-712, Sungnam (Korea)

    2003-08-01

    Intravascular stents are being used with increasing frequency in interventional neuroradiology. Iatrogenic arterial rupture is an uncommon but serious complication. We present a case of arterial rupture and subarachnoid haemorrhage during middle cerebral artery stenting, treated by emergency additional, overlapping stenting and balloon tamponade of the dissected vessel. Thrombotic occlusion of the artery was managed by intra-arterial abciximab. Normal vessel patency was re-established within 20 min and the patient recovered with no neurological deficit. (orig.)

  1. Iatrogenic subclavian artery pseudoaneurysm close to the origin of the vertebral artery: an endovascular strategy

    Institute of Scientific and Technical Information of China (English)

    XU Gao-feng; Dae Chul Suh

    2006-01-01

    Subclavian artery pseudoaneurysm that induced from central venous catheterization through the internal jugular vein is relatively uncommon. However, the management of subclavian artery pseudoaneurysm remains a challenge because of their non-compressibility of deep locality and relationship to important surrounding anatomy, such as the origin of vertebral artery. In this paper, the authors report a patient with larger iatrogenic subclavian arterial pseudoaneurysm near the origin of vertebral artery, that was treated successfully by endovascular covered stent and coils.

  2. [Waist-hip ratio as a predictor of arterial hypertension risk in children and adolescents].

    Science.gov (United States)

    González-Jiménez, Emilio; Montero-Alonso, Miguel Ángel; Schmidt-RioValle, Jacqueline

    2013-11-01

    Resumen: Objetivos: Los objetivos de este estudio fueron verificar la existencia de una asociación significativa entre el estado nutricional de los alumnos y los valores del índice de cintura-cadera. En segundo lugar, comprobar una posible correlación entre los valores del índice de cintura-cadera y los niveles de presión arterial sistólica y diastólica. Muestra y metodología: Una población de 1001 adolescentes de entre 9 y 17 años de edad, pertenecientes a 18 centros educativos de las provincias de Granada y Almería. Se realizó una valoración completa del estado nutricional de los alumnos mediante antropometría así como la determinación de la presión arterial a todos los alumnos. Resultados: Los resultados obtenidos confirman una prevalencia de normopeso del 85,01%, frente a una tasa de sobrepeso del 9,99% y de obesidad del 4,99% para ambos sexos y con independencia de la edad. Se encontró una asociación significativa entre el estado nutricional y su relación los valores del índice cintura–cadera (F=118,060; p.

  3. Determination of arterial wall shear stress

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The arteries can remodel their structure and function to adapt themselves to the mechanical environment. In various factors that lead to vascular remodeling, the shear stress on the arterial wall induced by the blood flow is of great importance. However, there are many technique difficulties in measuring the wall shear stress directly at present. In this paper, through analyzing the pulsatile blood flow in arteries, a method has been proposed that can determine the wall shear stress quantitatively by measuring the velocity on the arterial axis, and that provides a necessary means to discuss the influence of arterial wall shear stress on vascular remodeling.

  4. Modulación de las vías de señalización de adenosina, glutamato y dopamina en esquizofrenia y alzhaimer. Posibles interacciones.

    OpenAIRE

    Díaz Sánchez, Sara

    2016-01-01

    En el presente trabajo se analiza el posible papel jugado en distintos procesos patológicos, como son la Esquizofrenia (SZ) y la enfermedad de Alzheimer (AD), por los Sistemas de Neuromodulación de adenosina y los de Neurotransmisión de dopamina y glutamato y cómo se ven alteradas las vías de señalización mediadas por los receptores de adenosina A2A y A1, de dopamina D2-like y D2, así como el receptor de glutamato mGlu5. Algo en común de estas vías de señalización es que todos los receptores ...

  5. Presencia de Gambusia affinis (Baird & Girard, 1853 en un humedal boscoso del Sur de Chile. Posibles implicancias sobre la fauna local de invertebrados.

    Directory of Open Access Journals (Sweden)

    L. Parra-Coloma

    2014-03-01

    Full Text Available Las especies invasoras son la principal causa de pérdida debiodiversidad del planeta, producto de la depredación que afecta a la faunalocal mediante competencia, hibridación, alteración del hábitat y transmisiónde enfermedades. En este estudio se describe la posible implicancia del pezmosquito sobre la fauna de invertebrados en un humedal boscoso presente en laregión de la Araucanía, Chile. Los resultados nos indican la presencia de Gambusia affinis en todos los sitios demuestreo, destacándose su gran adaptabilidad a la temperatura y pH. El roldepredador de Gambusia affinis sobremosquitos, puede favorecer al desarrollo de sus larvas, al consumirinvertebrados predadores de éstas, influyendo en la estructura trófica de lascomunidades.

  6. Posible embarazo ectópico intraprepucial en un perro. Reporte de un caso - (Possible ectopic pregnancy inside the foreskin of a dog. Report of a case

    Directory of Open Access Journals (Sweden)

    Denis Escobar-Barroso

    2009-01-01

    Full Text Available ResumenEste es el reporte de un posible embarazo ectópico casi a términodesarrollado dentro del prepucio de un perro. El fenómeno se presentóen la Finca “La Juanita”, municipio Cifuentes, provincia Villa Clara,Cuba. Se examinaron el perro y el feto, se realizó una investigaciónbibliográfica del tema y se ofrecen criterios al respecto.SummaryThis is the report of a case of a possible pregnancy of ectopic type,almost at the end of the normal term inside the foreskin of a dog.This case occurred in a place called ´¨La Juanita ¨´ .Cifuentes. Villa Clara. Cuba. It was examined the dog and the fetus, a bibliographical investigation was made about the topic, and we give our opinions about this phenomenon.

  7. ¿ES POSIBLE LA NOCIÓN DE ENUNCIACIÓN EN LA LINGÜÍSTICA SAUSSUREANA? REFLEXIONES SOBRE EL LUGAR DEL SUJETO

    OpenAIRE

    Ducret, Cecilia Blezio; UNIVERSIDAD DE LA REPÚBLICA

    2011-01-01

    En la lingüística que se considera “saussureana” hay una imposibilidad teórica de considerar el sujeto, que, no obstante, parece insistir como problemática. Dentro de la teoría lingüística, lato sensu, podría considerarse la noción de “enunciación” como un posible abordaje de la cuestión del sujeto. En este artículo, me referiré especialmente a la noción de enunciación de Benveniste (1970) y Ducrot (principalmente sus trabajos de la década de 1980). Así, ¿podrían postularse afectaciones entre...

  8. ¿ Es posible la Intervención Dietética dentro del tratamiento del Síndrome de Ovario Poliquístico?

    OpenAIRE

    Vicente Ferreras, Sonia

    2014-01-01

    En este trabajo se ha intentado hacer una puesta al día del Síndrome de Ovario Poliquístico para entender, posteriormente, el abordaje dietético-nutricional que se ha estudiado en las mujeres con esta patología. Para ello, en primer lugar se explica lo que es el Síndrome de Ovario Poliquístico y las posibles causas que podrían producir esta patología. A continuación, se explicará cómo se diagnostica este trastorno por los diferentes criterios que existen. A continuación, se comentará tanto...

  9. Del “instante” y la categoría de lo posible/On the “instant” and thecategory of possibility

    Directory of Open Access Journals (Sweden)

    Marianella Lorenzo

    2010-03-01

    Full Text Available El objeto de este escrito es mostrar posibles articulaciones entre la categoría del instante (Kierkegaard y algunos aspectos de la teoría de Lacan. Mi reflexión se centrará, principalmente, en los conceptos de “instante”, “angustia” y “mirada”. La problemática general involucrada en esta investigación es sólo parcialmente explorada. The aim of this paper is to show possible articulations between the category of the instant (Kierkegaard and some aspects of the Lacan´s theory. I center most of my reflection on the concepts of “instant”, “anguish” and “sight”. The general problem is only partially explored here.

  10. Imobilidade: uma ação essencial dos anestésicos inalatórios Inmovilidad: una acción esencial de los anestésicos inhalatorios Immobility: essential inhalational anesthetics action

    Directory of Open Access Journals (Sweden)

    Leonardo Teixeira Domingues Duarte

    2005-02-01

    ônios motores espinhais, mas também sobre neurônios e interneurônios nociceptivos do corno posterior da medula. A ação sobre os receptores específicos exerce efeito sobre a transmissão sináptica desses neurônios.JUSTIFICATIVA Y OBJETIVOS: La inmovilidad es una característica esencial de la anestesia general que debe ser buscada y mantenida durante todo el acto anestésico. La potencia anestésica, llamada Concentración Alveolar Mínima (CAM, es la expresión de la inhibición de los movimientos en respuesta a estímulos nociceptivos. Mientras, a pesar de la médula espinal ser reconocida como principal mediadora de la inmovilidad quirúrgica, los mecanismos celulares y subcelulares de la acción de los anestésicos inhalatorios para que produzcan inmovilidad no son, aún, totalmente conocidos. Considerando el grande avance en la pesquisa de los mecanismos de acción de los anestésicos inhalatorios y el resultado de grande cantidad de informaciones, esa revisión tiene como objetivo evaluar críticamente los estudios clínicos y experimentales realizados para identificación de los mecanismos y locales de acción de los anestésicos inhalatorios para producir inmovilidad como respuesta a estímulos nociceptivos. CONTENIDO: Los mecanismos de acción de los anestésicos inhalatorios en el SNC pueden ser divididos en tres niveles: macroscópico, microscópico y molecular. En el aspecto macroscópico, estudios comportamentales mostraron que la médula espinal es el principal local de la acción anestésica para promover inmovilidad en respuesta a la estimulación dolorosa. A nivel celular, la excitabilidad de los motoneuronios, neuronas nociceptivas y la transmisión sináptica están, todos, envueltos en la acción de los anestésicos inhalatorios. Bajo el punto de vista molecular, diversos receptores son afectados por los anestésicos, pero pocos deben mediar directamente la acción anestésica. Entre éstos, se destacan los receptores de glicina, NMDA de glutamato, 5

  11. Pulmonary Artery Intimal Sarcoma: A Case Report

    Directory of Open Access Journals (Sweden)

    Joseph P. Kriz

    2016-04-01

    Full Text Available Pulmonary artery intimal sarcomas are rare and lethal malignant tumors that typically affect larger vessels: the aorta, inferior vena cava, and pulmonary arteries. Since symptoms and imaging of pulmonary arterial intimal sarcomas mimic pulmonary thromboembolism, the differential diagnosis of a patient presenting with chest pain, dyspnea, and filling defect within the pulmonary arteries should include intimal sarcoma. Often right ventricular failure is observed due to pulmonary hypertension caused by the obstructive effect of the tumor and concomitant chronic thromboembolism. We report the case of a 72-year-old African-American male with arterial intimal sarcoma of the left and right pulmonary artery with extension through the right artery into the bronchus and right lung.

  12. Location of foot arteries using infrared images

    Science.gov (United States)

    Villasenor-Mora, Carlos; González-Vega, Arturo; Martín Osmany Falcón, Antonio; Benítez Ferro, Jesús Francisco Guillemo; Córdova Fraga, Teodoro

    2014-11-01

    In this work are presented the results of localization of foot arteries, in a young group of participants by using infrared thermal images, these are the dorsal, posterior tibial and anterior tibial arteries. No inclusion criteria were considered, that causes that no strong statistical data about the influence of the age in the arterial localization. It was achieved to solve the confusion when veins present a heat distribution similar to the artery and in the position of this. it contributes to enhance the rate of location of arteries. In general it is possible to say that the use of infrared thermal images is a good technique to find the foot arteries and can be applied in its characterization in a future. The procedure proposed is a non-invasive technique, and in certain fashion does not requires specialized personnel to achieve locate the arteries. It is portable, safe, and relatively economical.

  13. Arterial endothelial function measurement method and apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Maltz, Jonathan S; Budinger, Thomas F

    2014-03-04

    A "relaxoscope" (100) detects the degree of arterial endothelial function. Impairment of arterial endothelial function is an early event in atherosclerosis and correlates with the major risk factors for cardiovascular disease. An artery (115), such as the brachial artery (BA) is measured for diameter before and after several minutes of either vasoconstriction or vasorelaxation. The change in arterial diameter is a measure of flow-mediated vasomodification (FMVM). The relaxoscope induces an artificial pulse (128) at a superficial radial artery (115) via a linear actuator (120). An ultrasonic Doppler stethoscope (130) detects this pulse 10-20 cm proximal to the point of pulse induction (125). The delay between pulse application and detection provides the pulse transit time (PTT). By measuring PTT before (160) and after arterial diameter change (170), FMVM may be measured based on the changes in PTT caused by changes in vessel caliber, smooth muscle tone and wall thickness.

  14. Physiologic assessment of coronary artery fistula

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, N.C.; Beauvais, J. (Creighton Univ., Omaha, NE (USA))

    1991-01-01

    Coronary artery fistula is an uncommon clinical entity. The most common coronary artery fistula is from the right coronary artery to the right side of the heart, and it is less frequent to the pulmonary artery. The effect of a coronary artery fistula may be physiologically significant because of the steal phenomenon resulting in coronary ischemia. Based on published reports, it is recommended that patients with congenital coronary artery fistulas be considered candidates for elective surgical correction to prevent complications including development of congestive heart failure, angina, subacute bacterial endocarditis, myocardial infarction, and coronary aneurysm formation with rupture or embolization. A patient is presented in whom treadmill-exercise thallium imaging was effective in determining the degree of coronary steal from a coronary artery fistula, leading to successful corrective surgery.

  15. New Technologies in Coronary Artery Surgery

    Directory of Open Access Journals (Sweden)

    David Taggart

    2013-07-01

    Full Text Available Coronary artery disease remains the leading cause of death in developed countries. Major recent studies such as SYNTAX and FREEDOM have confirmed that coronary artery bypass grafting (CABG remains the gold standard treatment in terms of survival and freedom from myocardial infarction and the need for repeat revascularization. The current review explores the use of new technologies and future directions in coronary artery surgery, through 1 stressing the importance of multiple arterial conduits and especially the use of bilateral mammary artery; 2 discussing the advantages and disadvantages of off-pump coronary artery bypass; 3 presenting additional techniques, e.g. minimally invasive direct coronary artery bypass grafting, hybrid, and robotic-assisted CABG; and, finally, 4 debating a novel external stenting technique for saphenous vein grafts.

  16. Los betabloqueadores como primera opción del tratamiento en la hipertensión no complicada ¿posible o no?

    OpenAIRE

    Alberto Morales Salinas

    2011-01-01

    Hasta la publicación de la guía del National Institute for Health and Clinical Excellence del 2006, existía consenso en las principales directrices de hipertensión arterial, en cuanto a que los beta-bloqueadores podían utilizarse como tratamiento de primera línea en la hipertensión arterial no complicada. Los cambios sugeridos consistían en considerar a los beta-bloqueadores como antihipertensivos de cuarta línea. Estas modificaciones estuvieron sustentadas fundamentalmente en los resultados ...

  17. Variant origin of right testicular artery – a rare case

    Directory of Open Access Journals (Sweden)

    Salve VM

    2010-02-01

    Full Text Available Testicular arterial anatomy is important for testicular and renal surgeries. It may vary at the origin and arise from renal artery, suprarenal artery or lumbar artery. During routine dissection of 52-year-old male cadaver; the right testicular artery arising from right aberrant renal artery was found. Anatomical variation of testicular arteries is reported to be 4.7%. Presence of aberrant renal artery is seen in 13–16% of cases only. The origin of right testicular artery from right aberrant renal artery is very rare. Thus knowledge of this type of variation is very important in avoiding complications during operative surgeries.

  18. Evaluation of renal artery stenosis using color Doppler sonography in young patients with multiple renal arteries

    Institute of Scientific and Technical Information of China (English)

    QIN Wei; ZHANG Xin; YANG Min; ZHONG Xu-hui; ZHAO Ming-hui

    2011-01-01

    Background Some individuals have multiple renal arteries. Severe stenosis in one of the arteries may cause refractory hypertension. The detection of stenosis within one of the multiple renal arteries usually required invasive procedures, such as computed tomographic angiography (CTA) and magnetic resonance angiography (MRA). This study reported the application of color Doppler sonography (CDS) in the detection of severe stenosis in one of the multiple arteries.Methods Patients with multiple renal arteries and one of the arteries with severe stenosis were retrospectively studied. Peak systolic velocities (PSV) of renal arteries and the intrarenal CDS patterns were collected and compared. The diagnosis was confirmed by digital subtraction angiography (DSA).Results Four children with multiple renal arteries and one of the arteries with stenosis were investigated. They were admitted due to refractory hypertension. CDS screening identified two renal arteries in one kidney of each patient with one of the two renal arteries having stenosis >70%. The PSV of the stenosed arteries were much higher, and the intrarenal CDS patterns supplied by the stenosed arteries changed into T-P patterns.Conclusion Non-invasive CDS technology may be a useful method to identify severe stenosis in one of multiple renal arteries in young patients.

  19. Immune Mechanisms in Arterial Hypertension.

    Science.gov (United States)

    Wenzel, Ulrich; Turner, Jan Eric; Krebs, Christian; Kurts, Christian; Harrison, David G; Ehmke, Heimo

    2016-03-01

    Traditionally, arterial hypertension and subsequent end-organ damage have been attributed to hemodynamic factors, but increasing evidence indicates that inflammation also contributes to the deleterious consequences of this disease. The immune system has evolved to prevent invasion of foreign organisms and to promote tissue healing after injury. However, this beneficial activity comes at a cost of collateral damage when the immune system overreacts to internal injury, such as prehypertension. Renal inflammation results in injury and impaired urinary sodium excretion, and vascular inflammation leads to endothelial dysfunction, increased vascular resistance, and arterial remodeling and stiffening. Notably, modulation of the immune response can reduce the severity of BP elevation and hypertensive end-organ damage in several animal models. Indeed, recent studies have improved our understanding of how the immune response affects the pathogenesis of arterial hypertension, but the remarkable advances in basic immunology made during the last few years still await translation to the field of hypertension. This review briefly summarizes recent advances in immunity and hypertension as well as hypertensive end-organ damage.

  20. Arterial calcification: friend or foe?

    Science.gov (United States)

    Nicoll, Rachel; Henein, Michael Y

    2013-07-31

    There is a significant relationship between the presence, extent and progression of coronary artery calcification (CAC) and cardiovascular (CV) events and mortality in both CV and renal patients and CAC scoring can provide improved predictive ability over risk factor scoring alone. There is also a close relationship between CAC presence and atherosclerotic plaque burden, with angiography studies showing very high sensitivity but poor specificity of CAC score for predicting obstructive disease. Nevertheless, there are objections to CAC screening because of uncertainties and lack of studies showing improved outcome. Furthermore, histopathology studies indicate that heavily calcified plaque is unlikely to result in a CV event, while the vulnerable plaque tends to be uncalcified or 'mixed', suggesting that calcification may be protective. This scenario highlights a number of paradoxes, which may indicate that the association between CAC and CV events is spurious, following from the adoption of CAC as a surrogate for high plaque burden, which itself is a surrogate for the presence of vulnerable plaque. Since studies indicate that arterial calcification is a complex, organised and regulated process similar to bone formation, there is no particular reason why it should be a reliable indicator of either the plaque burden or the risk of a future CV event. We suggest that it is time to divorce arterial calcification from atherosclerosis and to view it as a distinct pathology in its own right, albeit one which frequently coexists with atherosclerosis and is related to it for reasons which are not yet fully understood.

  1. Impedance matching at arterial bifurcations.

    Science.gov (United States)

    Brown, N

    1993-01-01

    Reflections of pulse waves will occur in arterial bifurcations unless the impedance is matched continuously through changing geometric and elastic properties. A theoretical model is presented which minimizes pulse wave reflection through bifurcations. The model accounts for the observed linear changes in area within the bifurcation, generalizes the theory to asymmetrical bifurcations, characterizes changes in elastic properties from parent to daughter arteries, and assesses the effect of branch angle on the mechanical properties of daughter vessels. In contradistinction to previous models, reflections cannot be minimized without changes in elastic properties through bifurcations. The theoretical model predicts that in bifurcations with area ratios (beta) less than 1.0 Young's moduli of daughter vessels may be less than that in the parent vessel if the Womersley parameter alpha in the parent vessel is less than 5. Larger area ratios in bifurcations are accompanied by greater increases in Young's moduli of branches. For an idealized symmetric aortic bifurcation (alpha = 10) with branching angles theta = 30 degrees (opening angle 60 degrees) Young's modulus of common iliac arteries relative to that of the distal abdominal aorta has an increase of 1.05, 1.68 and 2.25 for area ratio of 0.8, 1.0 and 1.15, respectively. These predictions are consistent with the observed increases in Young's moduli of peripheral vessels.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. Inflammation in coronary artery diseases

    Institute of Scientific and Technical Information of China (English)

    LI Jian-jun

    2011-01-01

    The concept that atherosclerosis is an inflammation has been increasingly recognized,and subsequently resulted in great interest in revealing the inflammatory nature of the atherosclerotic process.More recently,a large body of evidence has supported the idea that inflammatory mechanisms play a pivotal role throughout all phases of atherogenesis,from endothelial dysfunction and the formation of fatty streaks to plaque destabilization and the acute coronary events due to vulnerable plaque rupture.Indeed,although triggers and pathways of inflammation are probably multiple and vary in different clinical entities of atherosclerotic disorders,an imbalance between anti-inflammatory mechanisms and pro-inflammatory factors will result in an atherosclerotic progression.Vascular endothelial dysfunction and lipoprotein retention into the arterial intima have been reported as the earliest events in atherogenesis with which inflammation is linked.Inflammatory has also been extended to the disorders of coronary microvasculature,and associated with special subsets of coronary artery disease such as silent myocardial ischemia,myocardial ischemia-reperfusion,cardiac syndrome X,variant angina,coronary artery ectasia,coronary calcification and in-stent restenosis.Inflammatory biomarkers,originally studied to better understand the pathophysiology of atherosclerosis,have generated increasing interest among researches and clinicians.The identification of inflammatory biomarkers and cellular/molecular pathways in atherosclerotic disease represent important goals in cardiovascular disease research,in particular with respect of the development of therapeutic strategies to prevent or reverse atherosclerotic diseases.

  3. [Bilateral coronary artery-pulmonary artery fistulas in a case with unstable angina pectoris].

    Science.gov (United States)

    Kepez, Alper; Kaya, Ergün Bariş; Aytemir, Kudret; Oto, Ali

    2008-03-01

    Bilateral coronary artery fistulas originating from both right and left coronary arteries are rare congenital abnormalities. A 58-year-old man presented with chest pain unrelated to exertion. Coronary angiography showed a fistula originating from the level of the first diagonal branch of the left anterior descending (LAD) coronary artery and a 95% stenosis just distal to the fistula. Right coronary angiography showed another fistula originating from the ostium of the right coronary artery. Both fistulas drained into the pulmonary artery. Coronary bypass surgery was performed for the LAD lesion using the left internal mammary artery graft, during which both fistulas were ligated. No complications were encountered postoperatively.

  4. A Rare Case of Triple Coronary Artery Fistulae Originating from Left Main and Right Coronary Arteries

    Directory of Open Access Journals (Sweden)

    Mehmet Ali Elbey

    2012-10-01

    Full Text Available ABSTRACTDual coronary artery fistulae (CAF involving both right and left coronary trees are uncommon; accounting for only 5% of all CAFs. A 48-year-old male patient was admitted to our institution for evaluation of chest pain. The coronary angiography revealed fistulae from left main coronary artery (LMCA and right coronary artery (RCA to the pulmonary artery. We concluded that angina pectoris was caused by a steal phenomenon and the patient was recommended surgical intervention. To our knowledge, this is the first paper reporting three fistulae associated with multiple aneurysms originating from proximal coronary arteries, which were connected to the pulmonary artery.

  5. Superficial Ulnar Artery Associated with Anomalous Origin of the Common Interosseous and Ulnar Recurrent Arteries

    Science.gov (United States)

    Pamidi, Narendra; Nayak, Satheesha B; Jetti, Raghu; Thangarajan, Rajesh

    2016-01-01

    Occurrence of vascular variations in the upper limb is not uncommon and is well described in the medical literature. However, occurrence of superficial ulnar artery associated with unusual origin of the common interosseous and ulnar recurrent arteries is seldom reported in the literature. In the present case, we report the anomalous origin of common trunk of common interosseous, anterior and posterior ulnar recurrent arteries from the radial artery, in a male cadaver. Further, ulnar artery had presented superficial course. Knowledge of anomalous arterial pattern in the cubital fossa reported here is clinically important during the angiographic procedures and plastic surgeries. PMID:27437201

  6. Hereditary and environmental influences on arterial function.

    Science.gov (United States)

    Hayward, C S; Benetos, A

    2007-07-01

    1. With the ageing population and increasing heart failure, arterial function has been shown to contribute to cardiovascular risk because of its adverse effects on ventriculovascular coupling. Population studies have confirmed independent prognostic information of arterial stiffening on cardiovascular survival. 2. The term 'arterial function' encompasses a range of phenotypes, including measures of arterial structure/remodelling, measures of arterial wall mechanics, surrogate measures of stiffness and of wave reflection. There exists significant interaction between these measures and none is truly independent of the others. Added to this complexity is the recognition that, although arterial function has a strong genetic component, quantification requires a range of techniques from twin to family and population studies. 3. The contribution of heritability is often derived from statistical models with input from genomic scanning and candidate gene studies. Studies to date confirm a significant heritable component for the majority of phenotypes examined. However, it has also been recognized that the factors involved in blood pressure maintenance are likely to be separate to those in arterial structural degeneration with ageing. Candidate genes for arterial function go beyond those of the sympathetic and renin-angiotensin systems and include genes involved in signalling pathways and extracellular matrix modulation. 4. The present review examines the evidence for heritability of the major arterial function phenotypes with environmental and ageing modulation. A brief overview of the impact of atherosclerotic risk factors on arterial function is included.

  7. Assessment of conduit artery vasomotion using photoplethysmography

    Science.gov (United States)

    Kanders, Karlis; Grabovskis, Andris; Marcinkevics, Zbignevs; Aivars, Juris Imants

    2013-11-01

    Vasomotion is a spontaneous oscillation of vascular tone. The phenomenon has been observed in small arterioles and capillaries as well as in the large conduit arteries. The layer of smooth muscle cells that surrounds a blood vessel can spontaneously and periodically change its tension and thereby the arterial wall stiffness also changes. As the understanding of the phenomenon is still rather obscure, researchers would benefit from a low-cost and reliable investigation technique such as photoplethysmography (PPG). PPG is an optical blood pulsation measurement technique that can offer substantial information about the arterial stiffness. The aims of this pilot study were to evaluate the usefulness of the PPG technique in the research of vasomotion and to investigate vasomotion in the relatively large conduit arteries. Continuous 15 minute long measurements of posterior tibial artery wall stiffness were taken. Artery diameter, electrocardiogram, blood pressure and respiration were also simultaneously registered. Fast Fourier Transform power spectra were calculated to identify unique stiffness oscillations that did not correspond to fluctuations in the systemic parameters and thus would indicate vasomotion. We concluded that photoplethysmography is a convenient method for the research of the vasomotion in large arteries. Local stiffness parameter b/a is more accurate to use and easier to measure than the pulse wave velocity which describes stiffness of a segment of an artery. Conduit arteries might exhibit a low amplitude high frequency vasomotion ( 9 to 27 cycles per minute). Low frequency vasomotion is problematic to distinguish from the passive oscillations imposed by the arterial pressure.

  8. El impacto de la reducción del estrés en la hipertensión esencial y las enfermedades cardiovasculares. (Impact of stress reduction on essential hypertension and cardiovascular disease.

    Directory of Open Access Journals (Sweden)

    David W. Orme-Johnson

    2008-07-01

    Full Text Available ResumenSe ha considerado que el estrés contribuye a la patogénesis y la progresión de las enfermedades cardiovasculares (ECV. Se ha demostrado que la reducción del estrés mediante la Meditación Trascendental [Transcendental Meditation (TM®] ha bajado los niveles de presión arterial (PA y reducido el riesgo de ECV en adultos y adolescentes. Este artículo repasa los resultados que sugieren el impacto beneficioso de la TM en reducir la PA en adultos hipertensos en reposo y en adolescentes pre-hipertensos en reposo, durante un estrés agudo creado en el laboratorio y durante la actividad diaria normal. Dichos resultados tienen implicaciones importantes para la inclusión de la TM en los esfuerzos que se realizan para prevenir y tratar las ECV y sus consecuencias clínicas.AbstractStress has been thought to contribute to the pathogenesis and progression of cardiovascular diseases (CVD. Stress reduction via Trasncendental Meditation (TM® has been shown to lower blood pressure (BP levels and reduce CVD risk in adults and adolescents. This article reviews findings suggesting a beneficial BP-lowering impact of TM in hypertensive adults at rest and in pre-hypertensive adolescents at rest, during acute laboratory stress and during normal daily activity. These findings have important implications for inclusion of TM efforts to prevent and treat cardiovascular diseases and their clinical consequences.

  9. Intracranial cerebral artery stenosis with associated coronary artery and extracranial carotid artery stenosis in Turkish patients

    Energy Technology Data Exchange (ETDEWEB)

    Alkan, Ozlem [Department of Radiology, Baskent University, Faculty of Medicine, Ankara (Turkey)], E-mail: yalinozlem@hotmail.com; Kizilkilic, Osman; Yildirim, Tulin [Department of Radiology, Baskent University, Faculty of Medicine, Ankara (Turkey); Atalay, Hakan [Department of Cardiovascular Surgery, Baskent University, Faculty of Medicine, Ankara (Turkey)

    2009-09-15

    Purpose: Although it has been demonstrated that there is a high prevalence of extracranial carotid artery stenosis (ECAS) in patients with severe coronary artery disease, intracranial cerebral artery stenosis (ICAS) is rarely mentioned. We evaluated the prevalence of ICAS in patients with ECAS having elective coronary artery bypass grafting (CABG) surgery to determine the relations between ICAS, ECAS and atherosclerotic risk factors. Methods: We retrospectively reviewed the digital subtraction angiography findings of 183 patients with ECAS {>=} 50% preparing for CABG surgery. The analyses focused on the intracranial or extracranial location and degree of the stenosis. The degree of extracranial stenoses were categorized as normal, <50%, 50-69%, 70-89%, and 90-99% stenosis and occluded. The degree of intracranial stenosis was classified as normal or {<=}25%, 25-49%, and {>=}50% stenosis and occluded. Traditional atherosclerotic risk factors were recorded. Results: ECAS < 70% in 42 patients and ECAS {>=} 70% in 141 patients. ICAS was found in 51 patients and ICAS {>=} 50% in 30 patients. Regarding risk factors, we found hypertension in 135 patients, diabetes mellitus in 91 patients, hyperlipidemia in 84 patients, and smoking in 81 patients. No risk factor was significant predictors of intracranial atherosclerosis. The severity of ICAS was not significantly associated with that of the ECAS. Conclusions: We found ICAS in 27.8% of the patients with ECAS > 50% on digital subtraction angiography preparing for CABG. Therefore a complete evaluation of the neck vessels with magnetic resonance or catheter angiography seems to be indicated as well as intracranial circulation for the risk assessment of CABG.

  10. Right Gastroepiploic Artery as an Alternative for Arterial Reconstruction in Living Donor Liver Transplantation

    Directory of Open Access Journals (Sweden)

    Klaus Steinbrück

    2014-01-01

    Full Text Available Background. An adequate blood flow is directly related to graft survival in living donor liver transplantation. However, in some cases, unfavorable conditions prevent the use of the hepatic artery for arterial reconstruction. Herein, we report a case in which the recipient right gastroepiploic artery was used as an option for arterial reconstruction in adult-to-adult living donor liver transplantation. Case Report. A 62-year-old woman, with cirrhosis due to hepatitis B associated with hepatocellular carcinoma, was submitted to living donor liver transplantation. During surgery, thrombosis of the hepatic artery with intimal dissection until the celiac trunk was observed, which precluded its use in arterial reconstruction. We decided to use the right gastroepiploic artery for arterial revascularization of the liver graft. Despite the discrepancy in size between donor hepatic artery and recipient right gastroepiploic artery, anastomosis was performed successfully. Conclusions. The use of the right gastroepiploic artery as an alternative for arterial revascularization of the liver graft in living donor liver transplantation should always be considered when the hepatic artery of the recipient cannot be used. For performing this type of procedure, familiarity with microsurgical techniques by the surgical team is necessary.

  11. Anatomy of the Ophthalmic Artery: Embryological Consideration

    Science.gov (United States)

    TOMA, Naoki

    2016-01-01

    There are considerable variations in the anatomy of the human ophthalmic artery (OphA), such as anomalous origins of the OphA and anastomoses between the OphA and the adjacent arteries. These anatomical variations seem to attribute to complex embryology of the OphA. In human embryos and fetuses, primitive dorsal and ventral ophthalmic arteries (PDOphA and PVOphA) form the ocular branches, and the supraorbital division of the stapedial artery forms the orbital branches of the OphA, and then numerous anastomoses between the internal carotid artery (ICA) and the external carotid artery (ECA) systems emerge in connection with the OphA. These developmental processes can produce anatomical variations of the OphA, and we should notice these variations for neurosurgical and neurointerventional procedures. PMID:27298261

  12. Permanent Cortical Blindness After Bronchial Artery Embolization

    Energy Technology Data Exchange (ETDEWEB)

    Doorn, Colette S. van, E-mail: cvandoorn@gmail.com; De Boo, Diederick W., E-mail: d.w.deboo@amc.uva.nl [Academic Medical Centre, Department of Radiology (Netherlands); Weersink, Els J. M., E-mail: e.j.m.weersink@amc.uva.nl [Academic Medical Centre, Department of Pulmonology (Netherlands); Delden, Otto M. van, E-mail: o.m.vandelden@amc.uva.nl; Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl; Lienden, Krijn P. van, E-mail: k.p.vanlienden@amc.uva.nl [Academic Medical Centre, Department of Radiology (Netherlands)

    2013-12-15

    A 35-year-old female with a known medical history of cystic fibrosis was admitted to our institution for massive hemoptysis. CTA depicted a hypertrophied bronchial artery to the right upper lobe and showed signs of recent bleeding at that location. Bronchial artery embolization (BAE) was performed with gelfoam slurry, because pronounced shunting to the pulmonary artery was present. Immediately after BAE, the patient developed bilateral cortical blindness. Control angiography showed an initially not opacified anastomosis between the embolized bronchial artery and the right subclavian artery, near to the origin of the right vertebral artery. Cessation of outflow in the bronchial circulation reversed the flow through the anastomosis and allowed for spill of embolization material into the posterior circulation. Unfortunately the cortical blindness presented was permanent.

  13. Permanent cortical blindness after bronchial artery embolization.

    Science.gov (United States)

    van Doorn, Colette S; De Boo, Diederick W; Weersink, Els J M; van Delden, Otto M; Reekers, Jim A; van Lienden, Krijn P

    2013-12-01

    A 35-year-old female with a known medical history of cystic fibrosis was admitted to our institution for massive hemoptysis. CTA depicted a hypertrophied bronchial artery to the right upper lobe and showed signs of recent bleeding at that location. Bronchial artery embolization (BAE) was performed with gelfoam slurry, because pronounced shunting to the pulmonary artery was present. Immediately after BAE, the patient developed bilateral cortical blindness. Control angiography showed an initially not opacified anastomosis between the embolized bronchial artery and the right subclavian artery, near to the origin of the right vertebral artery. Cessation of outflow in the bronchial circulation reversed the flow through the anastomosis and allowed for spill of embolization material into the posterior circulation. Unfortunately the cortical blindness presented was permanent.

  14. Segmented Coronary Artery Aneurysms and Kawasaki Disease

    Directory of Open Access Journals (Sweden)

    Hamid Reza Ghaemi

    2011-05-01

    Full Text Available Kawasaki disease (KD is an acute vasculitis syndrome of unknown etiology. It occurs in infants and young children,affecting mainly small and medium-sized arteries, particularly the coronary arteries. Generalized microvasculitis occurs in the first 10 days, and the inflammation persists in the walls of medium and small arteries, especially the coronary arteries, and changes to coronary artery aneurysms.We report the case of a 10-month-old girl referred to our center three months after the onset of disease due to the aneurysmsof the coronary arteries. During the acute phase of her illness, she received 2 gr/kg intravenous gamma globulin; and afterher referral to us, the patient was treated by antiaggregant doses of acetylsalicylic acid (ASA (5 mg/kg and Warfarin (1 mg/daily. At three months’ follow-up, the aneurysms still persisted in the echocardiogram.

  15. Transarterial embolization of acute intercostal artery bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Jae Ik; Park, Auh Whan; Lee, Seon Joo [Inje University College of Medicine, Busan (Korea, Republic of); Ko, Gi Young; Yoon, Hyun Ki [University of Ulsan College of Medicine, Seoul (Korea, Republic of); Yoon, Chang Jin [Seoul National University Bundang Hospital, Seongnam (Korea, Republic of); Shin, Tae Beom [Donga University College of Medicine, Busan (Korea, Republic of); Kim, Young Hwan [Kyimyung University School of Medicine, Daegu (Korea, Republic of)

    2005-09-15

    To report our experiences of transarterial embolization for acute intercostal artery bleeding. A retrospectively analysis of the causes, clinical manifestations, angiographic findings and transarterial embolization technique in 8 patients with acute intercostal artery bleeding, with a review of the anatomical basis. The causes of intercostal artery bleeding were iatrogenic and traumatic in 88 and 12% of cases, respectively. Active bleeding from the collateral intercostal or posterior intercostal arteries was angiographically demonstrated in 75 and 25% of cases, respectively. Transarterial embolization successfully achieved hemostasis in all cases. However, two patient with hypovolemic shock expired due to a massive hemothorax, despite successful transarterial embolization. Intercostal access should be performed through the middle of the intercostal space to avoid injury to the collateral intercostal artery. Transarterial embolization is an effective method for the control of intercostal artery bleeding.

  16. Aberrant overian artery originating from the Ilolumbar artery: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ji Eun; Lee, Jae Myeong [Dept. of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon (Korea, Republic of)

    2016-05-15

    Here, we report a case of a 30-year-old woman who presented with primary postpartum hemorrhage due to uterine atony. She received uterine artery embolization (UAE). During left internal iliac arteriography, an aberrant left ovarian artery originating from the left iliolumbar artery was visualized. The aberrant left ovarian artery was connected to the left uterine artery via prominent collateral vessels. It supplied a significant amount of blood to the fundus of the uterus. Bilateral hypertrophied uterine arteries were embolized very carefully so that the embolic material did not reflux into the aberrant left ovarian artery. After the procedure, her vaginal bleeding was successfully controlled. Accurate understanding of anatomical variations of the ovarian artery is essential to avoid failure in controlling postpartum hemorrhage with UAE.

  17. Coronary Artery Bypass Grafting (CABG) Dengan Menggunakan Vena Saphenous, Arteri Mammaria Interna

    OpenAIRE

    Lita Feriyawati

    2006-01-01

    Coronary Artery Bypass Grafting (CABG) merupakan salahsatu penanganan intervensi dari Penyakit Jantung Koroner (PJK), dengan cara membuat saluran baru melewati bagian Arteri Coronaria yang mengalami penyempitan atau penyumbatan, oleh Lita Feriyawati 06001193

  18. Distal arterial occlusive disease in diabetes is related to medial arterial calcification.

    Science.gov (United States)

    Chantelau, E; Lee, K M; Jungblut, R

    1997-01-01

    In diabetes mellitus, peripheral arterial occlusive disease predominantly affects the lower leg (tibial and peroneal vessel disease). Our study suggests that this feature is related to the presence of forefoot medial arterial calcification.

  19. Low prevalence of significant carotid artery disease in Iranian patients undergoing elective coronary artery bypass

    Directory of Open Access Journals (Sweden)

    Karimi Fatemeh

    2007-01-01

    Full Text Available Abstract Background Coronary artery bypass grafting ranks as one of the most frequent operations worldwide. The presence of carotid artery stenosis may increase the stroke rate in the perioperative period. Routine preoperative noninvasive assessment of the carotid arteries are recommended in many institutions to reduce the stroke rate. Methods 271 consecutive patients undergoing coronary artery bypass grafting at Shaheed Madani hospital of Tabriz, Iran (age, 58.5 Y; 73.1% male underwent preoperative ultrasonography for assessment of carotid artery wall thickness. Results Plaque in right common, left common, right internal and left internal carotid arteries was detected in 4.8%, 7.4%, 43.2% and 42.1% of patients respectively. 5 patients (1.8% had significant ( Conclusion Consecutive Iranian patients undergoing elective coronary artery bypass surgery show a very low prevalence of significant carotid artery disease.

  20. Carotid artery stenting in patients with coexistent carotid and coronary artery disease

    Institute of Scientific and Technical Information of China (English)

    LUO Jian-fang; HUANG Wen-hui; WANG Shuo; DAI Cheng-bo; LI Guang; CHEN Ji-yan; ZHOU Ying-ling; WANG Li-juan

    2007-01-01

    @@ Atherosclerotic disease, as a systemic process, affects all arteries to varying degrees. In particular,coexistent carotid and coronary artery diseases are common; Management of such patients has been a point of continuing controversy.

  1. Arterial hypertension in cirrhosis: arterial compliance, volume distribution, and central haemodynamics

    DEFF Research Database (Denmark)

    Henriksen, Jens Henrik Sahl; Fuglsang, S; Bendtsen, F;

    2006-01-01

    were 130 normotensive cirrhotic patients, 19 controls with normal arterial blood pressure and without liver disease, and 16 patients with essential arterial hypertension. All groups underwent haemodynamic investigation with determination of cardiac output (CO), plasma volume (PV), central blood volume...

  2. Multiple coarctation of the pulmonary artery

    Energy Technology Data Exchange (ETDEWEB)

    Dicle, Oguz; Yilmaz, Erkan E-mail: eyilmaz@kordon.deu.edu.tr

    2000-12-01

    Pulmonary artery coarctation is a rare congenital anomaly characterized by single or multiple stenoses of the pulmonary arteries and their branches. There are only a few reports describing the radiological film of this entity. In this paper we report the case of a 68 year-old woman who presented with dyspnea. The scintigraphic, examination of the lungs gave the misleading impression of pulmonary embolism, and only angiography and magnetic resonance imaging established the correct diagnosis of multiple coarctations of the pulmonary artery.

  3. Sex differences in intracranial arterial bifurcations

    DEFF Research Database (Denmark)

    Lindekleiv, Haakon M; Valen-Sendstad, Kristian; Morgan, Michael K

    2010-01-01

    Subarachnoid hemorrhage (SAH) is a serious condition, occurring more frequently in females than in males. SAH is mainly caused by rupture of an intracranial aneurysm, which is formed by localized dilation of the intracranial arterial vessel wall, usually at the apex of the arterial bifurcation....... The female preponderance is usually explained by systemic factors (hormonal influences and intrinsic wall weakness); however, the uneven sex distribution of intracranial aneurysms suggests a possible physiologic factor-a local sex difference in the intracranial arteries....

  4. Sex differences in intracranial arterial bifurcations

    DEFF Research Database (Denmark)

    Lindekleiv, Haakon M; Valen-Sendstad, Kristian; Morgan, Michael K;

    2010-01-01

    Subarachnoid hemorrhage (SAH) is a serious condition, occurring more frequently in females than in males. SAH is mainly caused by rupture of an intracranial aneurysm, which is formed by localized dilation of the intracranial arterial vessel wall, usually at the apex of the arterial bifurcation. T....... The female preponderance is usually explained by systemic factors (hormonal influences and intrinsic wall weakness); however, the uneven sex distribution of intracranial aneurysms suggests a possible physiologic factor-a local sex difference in the intracranial arteries....

  5. Valorización de la naturaleza y el territorio. Opciones teóricas-metodológicas para pensar otras territorialidades posibles

    Directory of Open Access Journals (Sweden)

    Silvia Valiente

    2016-06-01

    Full Text Available RESUMEN El objetivo de este artículo consiste en pensar otras territorialidades posibles a partir de considerar las distintas valorizaciones de la naturaleza y del territorio desde determinadas opciones teóricas. Estas sonla perspectiva decolonial, la ecología política y la ecología de los saberes, próximas entre sí en lo que respecta a su posicionamiento ético-político. Además comparten las críticas a la ciencia moderna en lo que refiere a la simplificación de la realidad, el conocimiento abstracto y normalizado. Toman distancia del pensamiento conservador, el que sólo se interesaba por preservar el orden y explicar las continuidades espacio-temporales. De igual modo toma distancia de la jerarquía de saberes o epistemicidios heredados de la modernidad. Proponen el conocimiento situado, el arte de la argumentación para la comprensión, el conocimiento en términos dialógicos, como opción metodológica. Desde estas aportaciones transdiciplinares actuales proponemos en este trabajo pensar las posibilidades que las mismas ofrecen para el reconocimiento y abordaje de otras territorialidades posibles, en el marco de las investigaciones en marcha vinculadas al modelo neoextractivo minero en Argentina. ABSTRACT The aim of this article is to think about other possible territorialities from considering the different appreciations of nature and the territory from certain theoretical options. These are the decolonial perspective, political ecology and ecology of knowledge, close to each other with respect to its ethical-political positioning. They also share criticism of modern science as regards simplification of reality, abstract and standardized knowledge. They take away the conservative thought, which was only interested in preserving order and explain the spatio-temporal continuities. Similarly it takes away from the hierarchy of knowledge or inherited epistemicidios of modernity. Propose situated knowledge, the art of argumentation

  6. Analysis of mining-medicinal waters regulation. Possible treatments Análisis sobre la normativa de las aguas minero-medicinales. Posibles tratamientos

    Directory of Open Access Journals (Sweden)

    Juan Antonio López Geta

    2006-12-01

    Full Text Available The mineral waters have been a part of our lives for many centuries, since they are believe to be beneficial and to have therapeutic properties for the human health. This fact makes a key issue to provide an analyses od the current legislation on this issue ( Royal Decree-Law 743/1928, April 25th, that aproves the statute on exploitation of spring of mineral and medicinal water; Mining Law of 1973 and its regulations, in order to determine the treatments that may be applied to these watersm meanly in the case of Legionella appearance, or as preventive maesure of it. The results of this analysis shows that there is no limitation or prohibition in the treatments to what they may be subjected, as long as their physico-chemical characteristic remains altered. Contamination by Legionella bacterium, is nowadays an issue of concern, and that is reason why Public Health Authority has established the quidelines to apply for spas in order to avoid or fight a possible outbreak.Las aguas minero-medicinales han estado y están presentes en nuestras vidas desde épocas remotas hasta la actualidad, ya que a las mismas se le atribuyen propiedades terapéuticas beneficiosas para el organismo humano. Este hecho, hace que sea trascendente un análisis de la legislación vigente en esta materia (El Real Decreto-Ley de 743/1928, de 25 de abril, por el que se aprueba el Estatuto sobre la explotación de manantiales de aguas minero-medicinales; Ley de Minas de 1973 y el Reglamento que la desarrolla, para determinar los posibles tratamientos a que pueden ser sometidas estas aguas, especialmente en el caso de aparición de la Legionella, o como medida preventiva de la misma. De las diferentes normativas, se deduce que no existe limitación o prohibición alguna en los tratamientos a los que pueden estar sujetas, siempre y cuando no se alteren las características del agua y sus efectos. La Legionella, constituye un nuestros días un motivo de preocupación, por la que

  7. Natural Mexican zeolite, potential material for hydrogen storage; Zeolita natural mexicana, material para su posible uso en el almacenamiento de hidrogeno

    Energy Technology Data Exchange (ETDEWEB)

    Iturbe-Garcia, J. L.; Lopez Munoz, B. E. [Instituto Nacional de Investigaciones Nucleares (Mexico)]. E-mail: joseluis.iturbe@inin.gob.mx

    2009-09-15

    This work presents a study of the use of natural Mexican zeolite as a possible alternative for hydrogen storage. This zeolite material is from the state of Sonora. Its particle size was decreased using a grinding treatment with a mechanical alloying system for 5 hours. The mechanical alloying equipment was built in our Institute (Instituto Nacional de Investigaciones Nucleares, ININ). Later, zeolite in powder form was characterized with x-ray diffraction and sweep electron microscopy. It was heated in a micro-reactor at 350 degrees Celsius, which was simultaneously emptied over 2 hours to eliminate humidity and possible gases trapped in its structure. Next, the temperature was reduce to 10 degrees Celsius and it was placed in contact with ultra-high pure hydrogen at a pressure of 10 bars for 10 minutes. The analysis of hydrogen trapped in the zeolite was conducted with gas chromatography. The results of the chromatograms indicate that the zeolite absorbed and liberated the hydrogen in completely different conditions than those reported in the literature. That is, with our experimental conditions at low pressure and temperature, the hydrogen was absorbed in this type of material. [Spanish] En este trabajo se presenta un estudio sobre el uso de una zeolita natural de origen mexicano como posible alternativa para almacenar hidrogeno. Este material zeolitico procede del Estado de Sonora, al cual se le disminuyo el tamano de particula mediante un tratamiento de molienda con un sistema de aleado mecanico durante 5 horas. El equipo de aleado mecanico se construyo en nuestro Instituto (Instituto Nacional de Investigaciones Nucleares, ININ). Posteriormente, la zeolita en forma de polvo se caracterizo por medio de difraccion de rayos X y microscopia electronica de barrido. Se sometio a calentamiento en un micro-reactor a 350 grados Celsios y al mismo tiempo haciendo vacio durante 2 horas, para eliminar humedad y posibles gases que estuvieran atrapados en su estructura. En

  8. [Prosthesis interposition in the case of subclavian artery transposition].

    Science.gov (United States)

    György, G; Acosta Alvarez, P

    1993-01-01

    When we can't realize the reimplantation because of technical difficulties, special cases are presented during transposition from the subclavian artery to the primitive carotid artery. In these cases, between primitive carotid artery and the subclavian artery and also the vertebral artery, Gore-tex's tubes were implanted with favourable results.

  9. Hemoptysis and pulmonary artery agenesis: Case report

    Energy Technology Data Exchange (ETDEWEB)

    Lopez-Majano, V.; Sobti, P.

    1985-08-01

    The combination of a pulmonary scintigram using radioactively labeled albumin macroaggregates (MAA) and a study of the circulation in the bronchial artery was performed in one patient. This noninvasive methodology showed that there was increased circulation to the vascular territory of the lung in which the pulmonary artery was missing. This could have resulted from abnormal communications between the bronchial artery and the pulmonary vessels or an increased blood supply to the right lung from bronchial arteries arising from the aorta. The absence of pulmonary circulation in the right lung was proved by the absence of radioactivity in the right lung after an intravenous injection of labeled albumin MAA.

  10. Dual (type IV left anterior descending artery

    Directory of Open Access Journals (Sweden)

    Ozdil Baskan

    2013-11-01

    Full Text Available Congenital coronary artery anomalies are uncommon. Dual left anterior descending coronary artery (LAD is defined as the presence of two LADs within the anterior interventricular sulcus (AIVS, and is classified into four types. Type IV is a rarely reported subtype and differs from the others, with a long LAD originating from the right coronary artery (RCA. Dual LAD is a benign coronary artery anomaly, but should be recognised especially before interventional procedures. With the increasing use of multidedector computed tomography (MDCT, it is essential for radiologists to be aware of this entity and the cross-sectional findings.

  11. Continuous blood gas monitoring in femoral arteries

    Science.gov (United States)

    Schlain, Les A.; Spar, Steven M.; Dellinger, Bart

    1995-05-01

    Continuous intra-arterial blood gas monitoring is a potentially valuable tool in the surgical and intensive care arenas. Patient oxygenation and acid base status can change rapidly and without warning. The ability to monitor pHa, PaCO2 and PaO2 in arterial blood will be a major medical advance for the anesthesiologist and intensivist. Intra-arterial blood gas sensors are typically placed in radial arteries. In certain patient populations accurate monitoring is not possible in radial arteries due to arterial environmental factors such as hypotension, vasoconstriction and atherosclerotic disease. These same factors can make radial cannulation difficult resulting in traumatic catheter insertion, thereby further compromising flow conditions. In situations where radial artery flow is expected to be compromised, selecting a large vessel for sensor placement is desirable. We report an initial feasibility study of our blood gas monitoring system using the femoral artery as the sensing site. Clinical results are presented as well as potential advantages and disadvantages associated with monitoring in the femoral artery.

  12. TRAS principles blight arterial bypass and plasty.

    Directory of Open Access Journals (Sweden)

    Kothari M

    1997-04-01

    Full Text Available A new concept--Tissue Requisitions (Principle I/Relinquishes (Principle II Arterial Supply--of TRAS principles is introduced to help appreciate the failures/successes of modern medicine′s attempts at restoring arterial flow in luminally compromised coronary/carotid fields, an invasive branch rightly called vascular ReRheology, which comprises diagnosing/treating arterial blocks. The technical wizardry of arterial reconstruction (bypass or lumen--restoration (plasty has to reckon with the TRAS principles all the time.

  13. Transcatheter Arterial Embolization of Cystic Artery Pseudoaneurysm in Acalculous Cholecystitis: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyung Ook; Lee, Young Hwan [Dept. of Radiology, Daegu Catholic University College of Medicine, Daegu (Korea, Republic of); Kim, Young Hwan [Dept. of Diagnostic Radiology, Dongsan Medical Center, Keimyung University College of Medicine, Daegu (Korea, Republic of)

    2011-04-15

    A pseudoaneurysm of the cystic artery is a rare complication of cholecystitis, and is manifested by hemobilia or hematemesis. An early diagnosis is required for the successful treatment by cholecystectomy and ligation of the cystic artery. Herein, we report a case of a pseudoaneurysm of the cystic artery diagnosed by color Doppler ultrasonography and CT, and successfully treated by transcatheter arterial embolization with N-butyl cyanoacrylate in a high-risk surgical patient.

  14. Atypical presentation of popliteal artery entrapment syndrome: involvement of the anterior tibial artery.

    Science.gov (United States)

    Bou, Steven; Day, Carly

    2014-11-01

    Popliteal artery entrapment syndrome (PAES) is a rare condition that should be suspected in a young patient with exertional lower extremity pain. We report the case of an 18-year-old female volleyball player with bilateral exertional lower extremity pain who had been previously diagnosed with tendinitis and periostitis. Diagnostic studies showed entrapment of the left popliteal artery and the left anterior tibial artery. To our knowledge, there has only been 1 previous report of anterior tibial artery involvement in PAES.

  15. Electronic database of arterial aneurysms

    Directory of Open Access Journals (Sweden)

    Fabiano Luiz Erzinger

    2014-12-01

    Full Text Available Background:The creation of an electronic database facilitates the storage of information, as well as streamlines the exchange of data, making easier the exchange of knowledge for future research.Objective:To construct an electronic database containing comprehensive and up-to-date clinical and surgical data on the most common arterial aneurysms, to help advance scientific research.Methods:The most important specialist textbooks and articles found in journals and on internet databases were reviewed in order to define the basic structure of the protocol. Data were computerized using the SINPE© system for integrated electronic protocols and tested in a pilot study.Results:The data entered onto the system was first used to create a Master protocol, organized into a structure of top-level directories covering a large proportion of the content on vascular diseases as follows: patient history; physical examination; supplementary tests and examinations; diagnosis; treatment; and clinical course. By selecting items from the Master protocol, Specific protocols were then created for the 22 arterial sites most often involved by aneurysms. The program provides a method for collection of data on patients including clinical characteristics (patient history and physical examination, supplementary tests and examinations, treatments received and follow-up care after treatment. Any information of interest on these patients that is contained in the protocol can then be used to query the database and select data for studies.Conclusions:It proved possible to construct a database of clinical and surgical data on the arterial aneurysms of greatest interest and, by adapting the data to specific software, the database was integrated into the SINPE© system, thereby providing a standardized method for collection of data on these patients and tools for retrieving this information in an organized manner for use in scientific studies.

  16. Análisis axiológico de las posibles regulaciones del sistema de responsabilidad civil frente a terceros de las Calificadoras de Riesgo y Auditorías de cuentas

    Directory of Open Access Journals (Sweden)

    Andrés Mendive Dubourdieu

    2015-07-01

    Full Text Available En el presente trabajo nos proponemos analizar los posibles sistemas de responsabilidad civil de las calificadoras de riesgo y auditores de cuentas frente a terceros desde una perspectiva axiológica. De ese modo, se procura determinar cuál es la respuesta más conveniente, según el criterio de conveniencia que se emplee.

  17. Arterial Windkessels in marine mammals.

    Science.gov (United States)

    Shadwick, R E; Gosline, J M

    1995-01-01

    In marine mammals, the aortic arch is enlarged relative to the descending aorta to varying degrees in different species. The ratio of maximal diameter of the arch to that of the thoracic aorta is about 2.3 in the harbour seal (Phoca vitulina), 3.6 in the Weddell seal (Leptonychotes weddelli) and 3.2 in the fin whale (Balaenoptera physalus), compared with only 1.4 in the dog. This anatomical specialisation probably provides increased volume capacitance in the arterial circulation as an adaptation to diving bradycardia. Data on the morphometric and mechanical properties of aortic tissues from seals and fin whale are compared. In the harbour seal, more than 80% of the volume change in the entire thoracic aorta that results from a pressure pulse occurs in the bulbous arch, and this is more than 90% in the Weddell seal and fin whale. The enhanced capacitance of the arch in the harbour seal is primarily due to its larger diameter, as the relative wall thickness and elasticity of the arch and thoracic aorta are the same. A similar situation appears to exist in the larger Weddell seal, although extrapolation of the pressure-volume curves suggests that the arch might be somewhat less stiff than the thoracic aorta. In addition to being greatly expanded, the aortic arch of the fin whale is also much more distensible than the relatively thin-walled and much stiffer descending aorta. At the estimated mean blood pressure, the elastic modulus of this vessel is 12 MPa, or 30 times that of the aortic arch. The major haemodynamic consequence of this type of arterial modification is that the aortic arch acts as a Windkessel, i.e. the capacitance of the aorta is increased significantly close to the heart, leading to a reduced characteristic impedance and probably reduced pulsatility in the descending aorta. In the extreme case of the whale, the arterial capacitance is shifted entirely to the arch, and the impedance change at the entrance to the thoracic aorta is so high that this

  18. Electroencephalograms in basilar artery migraine.

    Science.gov (United States)

    Parain, D; Samson-Dollfus, D

    1984-11-01

    Nine cases of 'basilar artery migraine' (BAM) have been recorded. In 8 cases, excess of beta activity was observed during the attacks and disappeared in less than 3 days. The inter-ictal EEGs were normal. Drug ingestion was excluded each time. These EEG patterns are different from those which have been reported in the literature, i.e., transitory posterior abnormal slow waves. However, case no.1 is in agreement with the literature. The expression 'BAM' probably covers different syndromes which are further discussed.

  19. Intracranial Large Artery Occlusive Disease

    Institute of Scientific and Technical Information of China (English)

    Wong KS; Li H; Kay R

    2000-01-01

    @@Intracranial large artery stenosis is the most commonly found vascular lesion in stroke patient of Chinese, Hispanic and African ancestry. There .have been few studies on the epidemiology, pathophysiology, treatment and prognosis of this important disease. Recent advances in technology provide safe and reliable investigation for studying large number of patients. Transcranial Doppler is an easily accessible, cheap and reliable method to diagnose intracranial stenosis. It is suitable for screening for and monitoring the progress of intracranial stenosis. Magnetic resonance angiography and CT angiography provide the morphology of lumenal stenosis but are less accessible.

  20. Arterial elastance and heart-arterial coupling in aortic regurgitation are determined by aortic leak severity

    NARCIS (Netherlands)

    Segers, P; Morimont, P; Kolh, P; Stergiopulos, N; Westerhof, N; Verdonck, P

    2002-01-01

    Background In aortic valve regurgitation (AR), aortic leak severity modulates left ventricle (LV) arterial system interaction. The aim of this study was to assess (1) how arterial elastance (E-a), calculated as the ratio of LV end-systolic pressure and stroke volume, relates to arterial properties a

  1. Study on the screening program and risk factors of carotid artery stenosis with coronary artery disease

    Institute of Scientific and Technical Information of China (English)

    李庆祥

    2013-01-01

    Objective The purpose of this research project was to evaluate the relationship and risk factors between coronary artery disease and carotid artery stenosis (CAS) ,screened by duplex ultra-sonography.Methods 1339 patients with coronary artery disease were enrolled into this

  2. Vertebral artery stenosis in the Basilar Artery International Cooperation Study (BASICS): prevalence and outcome

    NARCIS (Netherlands)

    Compter, A.; Hoeven, E.J. van der; Worp, H.B. van der; Vos, J.A.; Weimar, C.; Rueckert, C.M.; Kappelle, L.J.; Algra, A.; Schonewille, W.J.; Leeuw, F.E. de

    2015-01-01

    We assessed the prevalence of vertebral artery (VA) stenosis or occlusion and its influence on outcome in patients with acute basilar artery occlusion (BAO). We studied 141 patients with acute BAO enrolled in the Basilar Artery International Cooperation Study (BASICS) registry of whom baseline CT an

  3. Vertebral artery stenosis in the Basilar Artery International Cooperation Study (BASICS) : prevalence and outcome

    NARCIS (Netherlands)

    Compter, Annette; van der Hoeven, Erik J R J; van der Worp, H. Bart; Vos, Jan Albert; Weimar, Christian; Rueckert, Christina M.; Kappelle, L. Jaap; Algra, Ale; Schonewille, Wouter J.; Vergouwen, MD

    2015-01-01

    We assessed the prevalence of vertebral artery (VA) stenosis or occlusion and its influence on outcome in patients with acute basilar artery occlusion (BAO). We studied 141 patients with acute BAO enrolled in the Basilar Artery International Cooperation Study (BASICS) registry of whom baseline CT an

  4. Carotid artery stenting by non-femoral arterial approach in patients with difficult anatomy

    Directory of Open Access Journals (Sweden)

    R V Narayana

    2013-01-01

    Full Text Available Background: Carotid endarterectomy (CEA and carotid artery stenting (CAS are safe, effective, and standard methods to treat significant carotid artery stenosis. CAS is generally performed through femoral arterial access. We had six patients with significant carotid artery stenosis, who had difficult anatomy prohibiting a trans-femoral CAS. Those patients were given an option for CEA. However, they refused for surgical intervention. Aim: We investigated the feasibility of performing CAS from a non-femoral arterial approach in patients with difficult anatomies like severe aortic/aorto-iliac disease, tortuous aortic arch, and tortuous carotid artery origin. Materials and Methods: Six patients with difficult anatomy presented to us with either transient ischemic attack or stroke with high-grade carotid artery stenosis. Out of the six patients, three had aorto-iliac disease, one had high-grade coarctation of aorta, two had tortuous aortic arch and or tortuous carotid artery origin. All these patients were treated with CAS though non-femoral arterial route. Results: CAS could be done successfully in all these six patients; four of them were done through trans-brachial arterial route and two were done through a direct carotid artery puncture. There were no new neurological deficits seen in any of the patient post-procedure. Conclusion: CAS can be done safely through non-femoral arterial approach in patients with difficult anatomy.

  5. Fatores de risco para doença arterial coronariana em idosos: análise por enfermeiros utilizando ferramenta computacional Factores de riesgo para enfermedad arterial coronaria en ancianos: análisis por enfermeras utilizando herramienta computacional Risk factors for coronary artery disease in the elderly: analysis by nurses using computational tool

    Directory of Open Access Journals (Sweden)

    Silvia Sidnéia da Silva

    2010-12-01

    riesgo para DAC en clientes ancianos es esencial y que la tecnología de la información puede apoyar en la tomada de decisiones estratégicas de promoción de salud.This study aimed to investigate the occurrence of risk factors for coronary artery disease among the elderly participants in a community campaign using a computational tool by nurses. In order to carry out the investigation, a database built during a particular event in the community has been used. The information concerns risk factors; anthropometric data; readings of glucose, cholesterol and blood pressure levels; occurrence of cardiac disease and others. The multidimensional structure was generated and handled by the Analysis Services tool. The elderly population represented 40.4% of the total, and one-third of that population showed altered levels of systemic blood pressure, 53.8% presented body mass index above 25 Kg/m², 40.3% reported hypertension and 20.3% diabetes mellitus. It can be inferred that it is essential to control risk factors for CAD among the elderly, and that information technology can be useful to make strategic decisions in health care promotion.

  6. POSIBLES INDICADORES DEL SÍNDROME DE BURNOUT, EN 18 OPERARIOS DE UNA DISTRIBUIDORA DE GLP DE LA CIUDAD DE ARMENIA

    Directory of Open Access Journals (Sweden)

    Jessica Tatiana Hernández Guzmán

    2011-11-01

    Full Text Available En ésta investigación se estudiaron los posibles indicadores del Síndrome de Burnout en 18 operarios de una distribuidora de GLP (Gas Licuado de Petróleo de la ciudad de Armenia. Para ello, se realizó una investigación de tipo cuantitativo y descriptivo. Para cuantificar el síndrome, se aplicó el MBI (Maslach y Jackson, 1981, donde se hallaron dimensiones como: agotamiento emocional 28% (alto, despersonalización 22% (alto y falta de realización personal 11% (bajo, los resultados indicaron un nivel medio de Burnout. Al mismo tiempo, se estudió la relación de las variables edad, sexo, estado civil, número de hijos y nivel educativo con las tres dimensiones del Burnout. Donde solo se halló significancia estadística entre síndrome de Burnout y las variables de estado civil 50% y número de hijos 66,6%.

  7. Ecoanálisis como puerta de entrada a la decodificación de lo cotidiano: hacia una educación posible

    Directory of Open Access Journals (Sweden)

    María Celina Chavarría González

    2006-01-01

    Full Text Available Se destacan las ventajas del ecoanálisis como andamiaje para decodificar los valores que inconscientemente plasmamos en las relaciones y ambientes que disponemos para la formación de la niñez en la educación preescolar, potenciando diálogos concretos sobre la dimensión de lo posible. Orientamos esta decodificación hacia el esclarecimiento crítico de realidades encubiertas y el empoderamiento hacia su transformación. El ecoanálisis promueve acercamientos progresivos y compartidos hacia cosmovisiones más acordes con las necesidades de la época actual, potenciando la decodificación de lo cotidiano y transformaciones curriculares desde comunidades de aprendizaje transdisciplinarias. Se hace referencia a tres instancias de investigación-acción donde el ecoanálisis dio como resultado cambios significativos en el quehacer cotidiano y en las actuaciones de la niñez, reforzando un enfoque holista y de derechos. Se esbozan elementos para poner este enfoque en práctica y se hace hincapié en que sólo cuando los valores se plasman en lo cotidiano, en las vivencias del día a día, cuando integran cuerpo-emociones-mente, es que se logran interiorizar.

  8. Una Nueva Plaga en Nuestros Cultivos de Plátano y un Posible Enemigo para la Caña de Azúcar.

    Directory of Open Access Journals (Sweden)

    Gallego F. L.

    1940-03-01

    Full Text Available Nada sabemos de su origen ni tampoco de donde pudo haber llegado a nosotros; pues no nos ha sido posible obtener literatura al respecto, fuera de la que el distinguido profesor señor Dr , O. Monte dice en su estudio "BARBOLETAS QUE VIVEN EN LAS PLANTAS CULTIVADAS", en relación con la familia a la cual nuestra especie pertenece; lomás probable es que haya entrado al país por el Sur. Personalmente la plaga la hemos observado en el Municipio de Manizales en la región de Playa Rica y los Arboles (Caldas; en Santafé de Antioquia; en el Municipio de Dabeiba y en el Bajo Cauca (Antioquia; en Santander de Quirichao (Cauca, en donde parece ella existe en más abundancia: allí fue encontrada por nuestro amigo y discípulo el señor Luis Arturo Orozco, del cual recibimos algún material de estudio y varios datos de importancia; en el Tolima, en la región de Armero ha sido observada también por el colega y distinguido amigo Dr. Vicente Velasco Llanos, pero en este último caso sin confirmar sus daños. De Puerto Salgar el señor E. Mariño, estudiante de la Facultad, trajo para nuestras colecciones recientemente un ejemplar del Castnido en cuestión.

  9. POSIBLES MECANISMOS DE ACCIÓN BIOLÓGICA DE LA ACTIVIDAD FÍSICA EN EL CÁNCER DE MAMA

    Directory of Open Access Journals (Sweden)

    Jairo Alejandro Fernández Ortega

    2014-11-01

    Full Text Available La evidencia científica ha demostrado la importancia de la actividad física como una estrategia efectiva para disminuir el riesgo y la recidiva del cáncer de mama. Sin embargo, hasta el momento no se conocen con precisión los mecanismos de acción biológicos del ejercicio sobre el cáncer de mama. El propósito de este artículo es realizar una revisión sistemática exhaustiva de la literatura e identificar las posibles hipótesis que se plantean de los mecanismos de acción biológicos del ejercicio sobre el cáncer de mama. Se realizó una revisión sistemática de la literatura publicada desde 1990 hasta 2011 sobre los efectos del ejercicio en el cáncer de mama.

  10. Transposition of Great Arteries with Intramural Coronary Artery: Experience with a Modified Surgical Technique

    Directory of Open Access Journals (Sweden)

    Amit Mishra

    2016-02-01

    Full Text Available Abstract Objective: Transposition of the great arteries is a common congenital heart disease. Arterial switch is the gold standard operation for this complex heart disease. Arterial switch operation in the presence of intramural coronary artery is surgically the most demanding even for the most experienced hands. We are presenting our experience with a modified technique for intramural coronary arteries in arterial switch operation. Methods: This prospective study involves 450 patients undergoing arterial switch operation at our institute from April 2006 to December 2013 (7.6 years. Eighteen patients underwent arterial switch operation with intramural coronary artery. The coronary patterns and technique used are detailed in the text. Results: The overall mortality found in the subgroup of 18 patients having intramural coronary artery was 16% (n=3. Our first patient had an accidental injury to the left coronary artery and died in the operating room. A seven-day old newborn died from intractable ventricular arrhythmia fifteen hours after surgery. Another patient who had multiple ventricular septal defects with type B arch interruption died from residual apical ventricular septal defect and sepsis on the eleventh postoperative day. The remainder of the patients are doing well, showing a median follow-up duration of 1235.34±815.26 days (range 369 - 2730. Conclusion: Transposition of the great arteries with intramural coronary artery is demanding in a subset of patients undergoing arterial switch operation. We believe our technique of coronary button dissection in the presence of intramural coronary arteries using coronary shunt is simple and can be a good addition to the surgeons' armamentarium.

  11. Transposition of Great Arteries with Intramural Coronary Artery: Experience with a Modified Surgical Technique

    Science.gov (United States)

    Mishra, Amit; Jain, Anil; Hinduja, Manish; Wadhawa, Vivek; Patel, Ramesh; Vaidhya, Nikunj; Rodricks, Dayesh; Patel, Hardik

    2016-01-01

    Objective: Transposition of the great arteries is a common congenital heart disease. Arterial switch is the gold standard operation for this complex heart disease. Arterial switch operation in the presence of intramural coronary artery is surgically the most demanding even for the most experienced hands. We are presenting our experience with a modified technique for intramural coronary arteries in arterial switch operation. Methods: This prospective study involves 450 patients undergoing arterial switch operation at our institute from April 2006 to December 2013 (7.6 years). Eighteen patients underwent arterial switch operation with intramural coronary artery. The coronary patterns and technique used are detailed in the text. Results: The overall mortality found in the subgroup of 18 patients having intramural coronary artery was 16% (n=3). Our first patient had an accidental injury to the left coronary artery and died in the operating room. A seven-day old newborn died from intractable ventricular arrhythmia fifteen hours after surgery. Another patient who had multiple ventricular septal defects with type B arch interruption died from residual apical ventricular septal defect and sepsis on the eleventh postoperative day. The remainder of the patients are doing well, showing a median follow-up duration of 1235.34±815.26 days (range 369 - 2730). Conclusion: Transposition of the great arteries with intramural coronary artery is demanding in a subset of patients undergoing arterial switch operation. We believe our technique of coronary button dissection in the presence of intramural coronary arteries using coronary shunt is simple and can be a good addition to the surgeons' armamentarium. PMID:27074270

  12. Genetic determinants of arterial stiffness: Results from the Rotterdam Study

    NARCIS (Netherlands)

    M.P.S. Sie (Mark)

    2007-01-01

    textabstractArterial stiffness increases with age. It is also associated with various diseases, such as diabetes mellitus and hypertension. Recently, arterial stiffness has also been found to independently predict cardiovascular disease. The pathogenesis of arterial stiffness, however, has n

  13. Surgical Management of Intramyocardial Left Anterior Descending Artery.

    Science.gov (United States)

    De Salvatore, Sergio; Segreto, Antonio; Chiusaroli, Alessandro; Congiu, Stefano; Bizzarri, Federico

    2015-11-01

    An intramyocardial left anterior descending artery can be found in up to 30% of patients undergoing coronary artery bypass graft procedures. We review the various techniques available to identify an intramyocardial left anterior descending artery.

  14. Medios locativos : Un uso posible

    OpenAIRE

    Delhey, Christian Karl; Sánchez Olguín, Gerardo

    2016-01-01

    En este artículo presentaremos los recursos y procedimientos que dan lugar a los llamados medios locativos y señalaremos algunos antecedentes de su uso en la producción de obras artísticas. Nos detendremos en la problemática resultante de los rotundos cambios en los modos de producción y circulación de objetos artísticos ocurridos con la irrupción de las llamadas nuevas tecnologías; para considerar particularmente el sonido como material en los medios locativos. Describiremos finalmente un us...

  15. El arte como posible conocimiento

    Directory of Open Access Journals (Sweden)

    Janitzio Alatriste Tobilla

    2010-01-01

    Full Text Available Este artículo es producto de una investigación que intenta construir un modelo metodológico para concebir la producción artística como una forma de conocimiento e incorporar el quehacer imaginario del artista dentro de los esquemas que regulan la investigación académica tanto en México como en el mundo. La construcción de esta propuesta metodológica ha sido creada desde tres posiciones con respecto al conocimiento: la semiótica de Charles S. Peirce, la teoría psicoanalítica de Jacques Lacan y la práctica artística visual.

  16. Coronary Artery Disease - Coronary Heart Disease

    Science.gov (United States)

    ... result of coronary artery disease, or CAD, said Edward A. Fisher, M.D., Ph.D., M.P. ... Problems and Disease • High Blood Pressure (HBP) • Metabolic Syndrome • Pericarditis • Peripheral Artery Disease (PAD) • Stroke • Vascular Health • ...

  17. Medical treatment in carotid artery intervention

    NARCIS (Netherlands)

    Kolkert, J. L.; Meerwaldt, R.; Lefrandt, Johan; Geelkerken, R. H.; Zeebregts, C. J.

    2011-01-01

    Medical treatment has a pivotal role in the treatment of patients with occlusive carotid artery disease. Large trials have provided the justification for operative treatment besides medical treatment in patients with recent significant carotid artery stenosis two decades ago. Since then, medical the

  18. Totally thrombosed giant anterior communicating artery aneurysm

    Directory of Open Access Journals (Sweden)

    V R Roopesh Kumar

    2015-01-01

    Full Text Available Giant anterior communicating artery aneurysmsarerare. Apatient presented with visual dysfunction, gait ataxia and urinary incontinence. MRI showed a giant suprasellar mass.At surgery, the lesion was identified as being an aneurysm arising from the anterior communicating artery.The difficulty in preoperative diagnosis and relevant literature are reviewed.

  19. Goldenhar Syndrome Associated with Extensive Arterial Malformations

    Directory of Open Access Journals (Sweden)

    Renee Frances Modica

    2015-01-01

    Full Text Available Goldenhar Syndrome is characterized by craniofacial, ocular and vertebral defects secondary to abnormal development of the 1st and 2nd branchial arches and vertebrae. Other findings include cardiac and vascular abnormalities. Though these associations are known, the specific anomalies are not well defined. We present a 7-month-old infant with intermittent respiratory distress that did not improve with respiratory interventions. Echocardiogram suggested a double aortic arch. Cardiac CT angiogram confirmed a right arch and aberrant, stenotic left subclavian artery, dilation of the main pulmonary artery, and agenesis of the left thyroid lobe. Repeat echocardiograms were concerning for severely dilated coronary arteries. Given dilation, a rheumatologic workup ensued, only identifying few weakly positive autoantibodies. Further imaging demonstrated narrowing of the aorta below the renal arteries and extending into the common iliac arteries and proximal femoral arteries. Given a physical exam devoid of rheumatologic findings, only weakly positive autoantibodies, normal inflammatory markers, and presence of the coronary artery dilation, the peripheral artery narrowings were not thought to be vasculitic. This case illustrates the need to identify definitive anomalies related to Goldenhar Syndrome. Although this infant’s presentation is rare, recognition of specific vascular findings will help differentiate Goldenhar Syndrome from other disease processes.

  20. [Internal carotid artery dissection after Heimlich maneuver].

    Science.gov (United States)

    Rakotoharinandrasana, H; Petit, E; Dumas, P; Vandermarcq, P; Gil, R; Neau, J-Ph

    2003-01-01

    We report a case of cervical artery dissection following a Heimlich maneuver. Cervical artery dissections are at the present time well known and are sometimes associated with trivial traumas. However, to our knowledge, this complication of such maneuver was never reported in the literature. Pathophysiological mechanisms are discussed.

  1. Multimodality imaging of coronary artery bypass grafts

    NARCIS (Netherlands)

    Salm, Liesbeth Pauline

    2006-01-01

    This thesis describes multiple imaging modalities to examine coronary artery bypass grafts, and the research which was performed to further develop noninvasive imaging techniques to detect stenoses in native coronary arteries and bypass grafts in patients who experienced recurrent chest pain after c

  2. Renal infarction resulting from traumatic renal artery dissection.

    Science.gov (United States)

    Kang, Kyung Pyo; Lee, Sik; Kim, Won; Jin, Gong Yong; Na, Ki Ryang; Yun, Il Yong; Park, Sung Kwang

    2008-06-01

    Renal artery dissection may be caused by iatrogenic injury, trauma, underlying arterial diseases such as fibromuscular disease, atherosclerotic disease, or connective tissue disease. Radiological imaging may be helpful in detecting renal artery pathology, such as renal artery dissection. For patients with acute, isolated renal artery dissection, surgical treatment, endovascular management, or medical treatment have been considered effective measures to preserve renal function. We report a case of renal infarction that came about as a consequence of renal artery dissection.

  3. Percutaneous transluminal angioplasty (PTA) of supra-aortic arteries especially the internal carotid artery

    Energy Technology Data Exchange (ETDEWEB)

    Kachel, R.; Basche, S. (Medizinische Akademie, Erfurt (Germany, F.R.). Radiologische Klinik); Heerklotz, I.; Grossmann, K. (Medizinische Akademie, Erfurt (Germany, F.R.). Klinik fuer Innere Medizin); Endler, S. (Medizinische Akademie, Erfurt (Germany, F.R.). Klinik fuer Neurologie und Psychiatrie)

    1991-06-01

    We present our experience with 105 patients in whom percutaneous transluminal angioplasty was performed in 112 stenosed or occluded supra-aortic arteries. Symtoms of cerebrovascular and/or vertebrobasilar insufficiency were present in 104 of the 105 patients. The angioplasty was successful in 35 stenoses of the internal carotid artery, 2 stenoses of the common carotid artery, 1 stenosis of the external carotid artery, 15 stenoses of the vertebral artery, 3 stenoses of the innominate artery and 44 stenoses of the subclavian artery. There were only 4 minor-complications (2 haematomas, 1 transient ischemic attack, 1 small thrombus of the internal carotid artery which was detected by 111-indium platelet scintigraphy and treated by thrombendarterectomy before the appearance of neurological symptoms). All patients were symptom free after angioplasty. During the observations period of 3 to 109 months (average 58 months) there were only two cases with re-stenosis after subclavian angioplasty. The results of more than 700 personal and international published percutaneous transluminal angioplasties of supra-aortic arteries are presented. The results suggest that angioplasty of supra-aortic arteries is an effective method. On strict definition of the indications, the complication rate for angioplasty of the supra-aortic arteries is not likely to be higher than that for operative treatment. (orig.).

  4. Clinical significance of hepatic artery variations originating from the superior mesenteric artery in abdominal tumor surgery

    Institute of Scientific and Technical Information of China (English)

    HUANG Yuan; LIU Chao; LIN Jin-ling

    2013-01-01

    Background Hepatic artery variations are frequent clinical occurrences.The aim of this study was to investigate the characteristic course of variant hepatic arteries originating from the superior mesenteric artery for the purpose of providing instructions for abdominal tumor surgery.Methods The course of variant hepatic arteries originating from the superior mesenteric artery was studied in 400 patients with liver cancer confirmed by digital subtraction angiography (DSA) and multi-slice spiral computed tomography angiography (MSCTA),and 86 patients with gastric cancer confirmed by preoperative MSCTA between June 2008 and June 2010 in the First Affiliated Hospital of Guangxi Medical University.Results Hepatic artery variations originating from the superior mesenteric artery were noticed in 49 liver cancer patients and 14 gastric cancer patients (total 63 cases),with a variation rate of 12.96%,including two cases (3.17%) where the hepatic arteries ran along the anterior pancreas,and 61 cases (96.83%) where the hepatic arteries ran along the posterior pancreas.Conclusions Hepatic artery variations originating from the superior mesenteric artery present as two types:the pre-pancreas type and the post-pancreas type with the latter predominating.This finding is of clinical significance in abdominal tumor surgeries where clearance of portal lymph nodes is needed.

  5. Progression from stenosis to occlusion in the proximal native coronary artery after coronary artery bypass grafting.

    Science.gov (United States)

    Tanaka, Akihito; Ishii, Hideki; Oshima, Hideki; Shibata, Yohei; Tatami, Yosuke; Osugi, Naohiro; Ota, Tomoyuki; Kawamura, Yoshihiro; Suzuki, Susumu; Usui, Akihiko; Murohara, Toyoaki

    2016-07-01

    Coronary artery bypass grafting (CABG) is an established treatment for multivessel coronary artery disease. However, problematic situations are occasionally encountered after CABG, such as disease progression in the native coronary artery with graft occlusion, which causes difficulty in revascularization. The purpose of this study was to evaluate changes in the native coronary artery after CABG. Between 2009 and 2012 in our institution, 351 patients underwent CABG, and 768 bypass grafts were anastomosed to non-occluded coronary arteries. Of these, 489 bypass grafts had available early postoperative angiographic results (≤6 months) suitable for assessment in this study. We defined malignant graft failure after CABG to be bypass graft occlusion and de novo complete occlusion of the target native coronary artery proximal to the graft anastomosis site. In the early angiographic results, 17 grafts were occluded (17/489; 3.5 %). Two of the grafts displayed malignant graft failure (a saphenous vein graft to the right coronary artery and a saphenous vein graft to the diagonal branch) (2 of 17 occluded grafts, and 2 of 489 studied grafts). Of the patent bypass grafts, 24 involved progression to occlusion in the proximal native coronary artery (19 saphenous vein grafts, 4 left internal thoracic artery grafts, and 1 right internal thoracic artery graft). Malignant graft failure was uncommon during short-term follow-up after CABG. At the same time, disease progression in the proximal native coronary artery from stenosis to occlusion following patent bypass grafting was relatively common, especially for vein grafts.

  6. Arterial stiffness: pathophysiology and clinical impact.

    Science.gov (United States)

    London, Gérard M; Marchais, Sylvain J; Guerin, Alain P; Pannier, Bruno

    2004-01-01

    The ill effects of hypertension are usually attributed to a reduction in the caliber or the number of arterioles, resulting in an increase in total peripheral resistance (TPR). This definition does not take into account the fact that BP is a cyclic phenomenon with systolic and diastolic BP being the limits of these oscillations. The appropriate term to define the arterial factor(s) opposing LV ejection is aortic input impedance which depends on TPR, arterial distensibility (D), and wave reflections (WR). D defines the capacitive properties of arterial stiffness, whose role is to dampen pressure and flow oscillations and to transform pulsatile flow and pressure in arteries into a steady flow and pressure in peripheral tissues. Stiffness is the reciprocal value of D. These parameters are BP dependent, and arteries become stiffer at high pressure. In to D which provides information about the elasticity> of artery as a hollow structure, the elastic incremental modulus (Einc) characterizes the properties of the arterial wall biomaterials, independently of vessel geometry. As an alternative, arterial D can be evaluated by measuring the pulse wave velocity (PWV) which increases with the stiffening of arteries. Arterial stiffening increases left ventricular (LV) afterload and alters the coronary perfusion. With increased PWV, the WR impacts on the aorta during systole, increasing systolic pressures and myocardial oxygen consumption, and decreasing diastolic BP and coronary flow. The arterial stiffness is altered primarily in association with increased collagen content and alterations of extracellular matrix (arteriosclerosis) as classically observed during aging or in arterial hypertension. The arterial stiffening estimated by changes in aortic PWV and intensity of WR are independent predictors of survival in end stage renal disease (ESRD) and general population. Improvement of arterial stiffening could be obtained by antihypertensive treatmen as observed with the calcium

  7. Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

    Directory of Open Access Journals (Sweden)

    Venkat Gangadharan MD

    2017-01-01

    Full Text Available A 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large area of infarction involving the entire anterior and apical walls and part of the anteroseptal wall with minimal periinfarct ischemia. Computed tomography coronary angiogram revealed an anomalous left main coronary artery arising from the main pulmonary artery. Right and left heart catheterizations demonstrated moderate pulmonary hypertension with a slight step-up in oxygen saturation between the right ventricle and main pulmonary artery. Coronary angiography showed a large tortuous right coronary artery with collaterals to the left anterior descending artery that drained into the main pulmonary artery. She was referred for surgery. This case demonstrates a rare coronary artery anomaly in an adult where survival is dependent on collateral circulation.

  8. Foco no cliente: ferramenta essencial na gestão por competência em enfermagem Foco en el cliente: una herramienta esencial en la gestión por competencia en emfermería Focus on the customer: an essential tool in management competence in nursing

    Directory of Open Access Journals (Sweden)

    Rosa Maria Ruthes

    2010-04-01

    Full Text Available Uma reflexão sobre tese de doutorado, na qual foi realizada uma abstração da teoria descrita por autores especialistas na temática e uma transposição para a prática da gestão por competência em Enfermagem. A Competência elenca atributos de conhecimento, habilidade e atitude - denominados CHA, para agregar valor à organização de saúde com foco no cliente. É imprescindível despertar em toda a equipe, a responsabilidade e efetiva preocupação com o paciente, família e visitantes. O profissional se constitui como o líder inspirador de seu grupo. A competência gerencial do enfermeiro pode oportunizar o desenvolvimento dos recursos humanos e promover encantamento no atendimento dos clientes, fazendo a diferença nas organizações de saúde.Reflexión en tesis de doctorado. Fue llevada con abstracción de la teoría descrita por los autores especialistas en la temática, transposición para el práctico de la gerencia de la capacidad en el oficio de enfermera. La capacidad esencial demuestra cualidades del conocimiento, de la capacidad y de la actitud - CHA llamado, de agregar valor a la organización de salud con el foco en el cliente. Es esencial despertarse en todo el equipo, la responsabilidad y la preocupación verdadera con el paciente, la familia y los visitantes. El profesional se constituye como el líder inspirado de su grupo. La capacidad de la gerencia de la enfermera puede dar el cambio al desarrollo de los recursos humanos y promover encantamiento en la atención de los clientes, influyendo en las organizaciones de salud.Reflection about a doctorate's thesis. It was carried through an abstraction of the described theory by specialist authors in thematic, a transposition for the practical of competency management in nursing. The essential competency shows attributes of knowledge, ability and attitude - called CHA, to add value to the organization of health with focus in the customer. It is essential to awake in all the

  9. Multidetector CT of hepatic artery pathologies.

    Science.gov (United States)

    Karaosmanoglu, D; Erol, B; Karcaaltincaba, M

    2012-01-01

    The hepatic artery can be involved by a variety of pathology and diseases.Today MDCT enables high quality imaging of the hepatic artery using axial, MIP and volume rendered images. We illustrate MDCT findings of anatomical variations, aneurysm, dilatation, dissection, arteriovenous fistula, thrombosis and stenosis. Aneurysms can be saccular, fusiform and multiple and may develop due to atherosclerosis, vasculitis, trauma and biopsy. Dilatation of hepatic artery can be seen in portal hypertension, Osler-Weber-Rendu disease and hemangiomatosis. Hepatic artery can be occluded after trauma and transplantation. Dissection develops due to atherosclerosis, Marfan and Ehler Danlos syndromes and during pregnancy. Arteriovenous fistula can be congenital and acquired. We conclude that various hepatic artery pathologies can be confidently diagnosed by MDCT.

  10. Duplex ultrasound for identifying renal artery stenosis

    DEFF Research Database (Denmark)

    Zachrisson, Karin; Herlitz, Hans; Lönn, Lars

    2017-01-01

    Background Renal artery duplex ultrasound (RADUS) is an established method for diagnosis of renal artery stenosis (RAS), but there is no consensus regarding optimal RADUS criteria. Purpose To define optimal cutoff values for RADUS parameters when screening for RAS using intra-arterial trans...... as PGM ≥15 mmHg and was found in 43 of the 76 arteries. RADUS parameters included renal artery peak systolic velocity (PSV) and the renal-aortic ratio (RAR) of flow velocities. Receiver operating characteristic curves (ROCs) and Youden's index were used to calculate optimal RADUS criteria for RAS...... The RAR ≥2.6 is a more sensitive criterion than traditional RADUS criteria when screening patients with clinical suspicion of RAS....

  11. Arterial hypoxaemia in cirrhosis: fact or fiction?

    DEFF Research Database (Denmark)

    Møller, S; Hillingsø, J; Christensen, E

    1998-01-01

    BACKGROUND: Although low arterial oxygen tension (Po2) has been claimed to occur in one to two thirds of patients with cirrhosis, hypoxaemia appears to be rare in clinical practice. AIMS: To assess the frequency of arterial hypoxaemia in cirrhosis in relation to clinical and haemodynamic......%, 96%, 96%, and 93% (NS). So2 was below the lower limit of 92% in 0%, 9%, 7%, and 24% (p arterial carbon dioxide tension, a low systemic vascular...... resistance, and a low indocyanine green clearance (p arterial hypoxaemia in cirrhosis is about 22% in patients without encephalopathy, but it varies from 10-40% depending on the degree of hepatic dysfunction. Arterial hypoxaemia in patients with cirrhosis of differing...

  12. Jet pump assisted arterial heat pipe

    Science.gov (United States)

    Bienert, W. B.; Ducao, A. S.; Trimmer, D. S.

    1978-01-01

    This paper discusses the concept of an arterial heat pipe with a capillary driven jet pump. The jet pump generates a suction which pumps vapor and noncondensible gas from the artery. The suction also forces liquid into the artery and maintains it in a primed condition. A theoretical model was developed which predicts the existence of two stable ranges. Up to a certain tilt the artery will prime by itself once a heat load is applied to the heat pipe. At higher tilts, the jet pump can maintain the artery in a primed condition but self-priming is not possible. A prototype heat pipe was tested which self-primed up to a tilt of 1.9 cm, with a heat load of 500 watts. The heat pipe continued to prime reliably when operated as a VCHP, i.e., after a large amount of noncondensible gas was introduced.

  13. Adventitial cystic disease of the axillary artery.

    Science.gov (United States)

    Elster, Eric A; Hewlett, Stanley; DeRienzo, Damian P; Donovan, Sean; Georgia, Jeff; Yavorski, Chester C

    2002-01-01

    Adventitial cystic disease (ACD) is an extremely rare cause of arterial and venous insufficiency, with only 317 reported cases in the world literature. These lesions have been previously described in the popliteal fossa, external iliac artery, and distal brachial, radial, and ulnar arteries as well as in the proximal saphenous vein at the ankle. We describe here the first reported case of this disease in a proximal vessel, the axillary artery. A 33-year-old man was evaluated for upper extremity arterial insufficiency and was diagnosed with ACD on the basis of physical examination and radiographic findings, which was confirmed by pathological assessment. The patient was treated by excision of the lesion and interposition vein bypass. As this represents the first case of ACD in the proximal vasculature, it demonstrates that these lesions can occur in axial blood vessels.

  14. Catheterization and embolization of a replaced left hepatic artery via the right gastric artery through the anastomosis: a case report

    Directory of Open Access Journals (Sweden)

    Miyazaki Masaya

    2011-08-01

    Full Text Available Abstract Introduction Conversion of multiple hepatic arteries into a single vascular supply is a very important technique for repeat hepatic arterial infusion chemotherapy using an implanted port catheter system. Catheterization of a replaced left hepatic artery arising from a left gastric artery using a percutaneous catheter technique is sometimes difficult, despite the recent development of advanced interventional techniques. Case presentation We present a case of a 70-year-old Japanese man with multiple hepatocellular carcinomas in whom the replaced left hepatic artery arising from the left gastric artery needed to be embolized. After several failed procedures, the replaced left hepatic artery was successfully catheterized and embolized with a microcatheter and microcoils via the right gastric artery through the anastomosis. Conclusion A replaced left hepatic artery arising from a left gastric artery can be catheterized via a right gastric artery by using the appropriate microcatheter and microguidewires, and multiple hepatic arteries can be converted into a single supply.

  15. Description of the celiac artery in domestic pigeons (Columba livia

    Directory of Open Access Journals (Sweden)

    Cibele Geeverghese

    2012-06-01

    Full Text Available This paper aimed to define the origin and distribution of the celiac artery and its collateral branches in 15 fowls from the Columba livia species, which were obtained from the Zoonosis Control Center of Brasilia, Brazil. In order to mark the arterial system of the specimens, the left brachiocephalic trunk was canullated and a colored water-latex solution was injected there. Afterwards, fowls were fixed in a 10% v/v formaldehyde solution and dissected with appropriate equipment, presenting the results described in this paper. The celiac artery originated from the ventral face of the descendent aorta. The first collateral branch arose from the celiac artery itself, forming the esophageal artery. Then, the celiac artery has bifurcated into two branches, named left and right branches of the celiac artery. The left branch emitted the proventricular ventral artery, followed by the splenic arteries, proventricular dorsal artery, and the left hepatic artery. The left branch has bifurcated into two branches, known as ventral and left gastric arteries. The right branch emitted the right hepatic artery, followed by the ileal artery and the right gastric artery. Finally, the right branch turned into the pancreaticoduodenal artery. Our findings showed a great similarity with the avian lineages of the Gallus gallus species, except for the lack of ileocecal artery, cystic branches, and dorsal gastric artery.

  16. Emergency off-pump coronary artery surgery

    Institute of Scientific and Technical Information of China (English)

    Shahzad G Raja; Zulfiqar Haider; Haider Zaman

    2004-01-01

    Background Off-pump coronary artery bypass grafting is fast-becoming a procedure of choice for elective revascularization in high-risk patients with multi-vessel coronary artery disease. However, the role of off-pump coronary artery bypass grafting for patients with acute coronary syndromes requiring emergency revascularization still requires validation. We present our experience to show the feasibility of off-pump coronary artery surgery as an emergency revascularization technique. Methods From April 2001 to September 2003, emergency (operation within 24 hours after hospitalization) coronary artery bypass grafting without cardiopulmonary bypass (CPB) was performed in 66 patients with a mean age of (66.9±5.4) years (range 49-72 years). They presented acute coronary syndromes with 38 patients on platelet glycoprotein Ⅱb/Ⅲa receptor antagonists. All patients underwent off-pump coronary artery bypass surgery via sternotomy with the intention of complete coronary revascularization.Results An average of 2.9 grafts per patient were performed and the posterior descending artery and marginal branches of the circumflex artery were grafted in 83.3% of the patients. There were 4 events of intraoperative cardiac instability, precipitated by occlusion of right coronary artery or positioning of a cardiomegaly heart, leading to immediate conversion to CPB. The mortality rate was 3% (2/66). Two patients suffered postoperative stroke while three needed hemofiltration for acute renal failure. Post surgery elective coronary angiography (n=46) showed no significant stenosis.Conclusion Emergency off-pump coronary artery surgery with complete revascularization is feasible in patients with acute coronary syndrome with low morbidity and mortality and excellent early results.

  17. Transcatheter rehabilitation of pulmonary arteries.

    Science.gov (United States)

    Thomson, John D R; Qureshi, Shakeel A

    2011-11-01

    Pulmonary arterial stenoses commonly occur in patients with congenital heart disease. Indications for treatment are based around reduction of right ventricular hypertension and equalization of flow to each lung and its constituent segments. There are many treatment approaches for these lesions depending on the anatomy, location and the age of the patient. Although surgical reconstruction remains an option, it is technically challenging and in many cases, the results are disappointing. In the modern era, the majority of these patients are treated with transcatheter therapy, including balloon angioplasty, and increasingly, the use of intravascular stents. In this article, we discuss these issues and deal with both the technical approach to transcatheter therapy and up-to-date results.

  18. Idiopathic pediatric retinal artery occlusion

    Directory of Open Access Journals (Sweden)

    Manayath George

    2010-01-01

    Full Text Available We report a case of branch retinal artery occlusion (BRAO in a healthy young girl. An eight-year-old girl presented with sudden loss of vision in her left eye. She had a pale retina with macular edema consistent with extensive BRAO. A thorough workup was performed to determine any etiologic factor. All test results were within normal limits. Her visual acuity improved from finger counting to 20/40 over two weeks, on immediate treatment with intravenous steroids (methyl prednisolone. This case suggests that BRAO can occur in healthy children without any detectable systemic or ocular disorders and a dramatic improvement may be achieved with prompt treatment with intravenous steroids.

  19. Genetics of Coronary Artery Disease

    DEFF Research Database (Denmark)

    McPherson, Ruth; Tybjærg-Hansen, Anne

    2016-01-01

    Genetic factors contribute importantly to the risk of coronary artery disease (CAD), and in the past decade, there has been major progress in this area. The tools applied include genome-wide association studies encompassing >200,000 individuals complemented by bioinformatic approaches, including...... factors and identify those individuals who will benefit most from statin therapy. Such information also has important applications in clinical medicine and drug discovery by using a Mendelian randomization approach to interrogate the causal nature of many factors found to associate with CAD risk...... have led to a broader understanding of the genetic architecture of CAD and demonstrate that it largely derives from the cumulative effect of multiple common risk alleles individually of small effect size rather than rare variants with large effects on CAD risk. Despite this success, there has been...

  20. [Risk factors for arterial disease].

    Science.gov (United States)

    Madoery, Roberto; Rubin, Graciela; Luquez, Hugo; Luquez, Cecilia; Cravero, Cecilia

    2004-01-01

    The risk factors of arterial disease (FREA) predict a future damage over the vascular system of the human body. Its detection are considered a key for the diagnostic as well as for the preventive and even curative strategies. For a long time, scientist considered those factors originated as a consecuence of large studies during the middle of the last century, with current validity up to our days. A simple classification spoke of them as traditionals. Further investigations described the so called new or emergents.factors that where joint together accordingly to their actions: coagulation factors, psicosocial, inflamatories and infectious. A recent classification, taking into account the type of impact, divided them into; causatives, predisposals and conditionals. Also, it was described a mechanism, the oxidative power, with consecuences over the endothelium, in the last part of the process. Before, another mechanism was described: the insulin resistance and the hiperinsulinism, bases for the Metabolic Syndrome, that includes a number of traditional risk factors.

  1. Posible impacto en la salud pública del encallamiento de cetáceos en Costa Rica Potential public health impact of the stranding of cetaceans

    Directory of Open Access Journals (Sweden)

    Olga Rivas-Solano

    2013-06-01

    Full Text Available El encallamiento de cetáceos se presenta cuando estos mamíferos llegan a la playa sin poder regresar al mar por sus propios medios. En Costa Rica, la mayoría de los casos se han registrado en las costas del Pacífico. Entre las posibles causas de este fenómeno, están las enfermedades infecciosas como la brucelosis marina. Dicha enfermedad es provocada por bacterias del género Brucella, y se puede transmitir a los humanos. El contacto entre humanos y cetáceos ha venido en aumento debido a actividades recreativas y ocupacionales. Además, el varamiento usualmente llama la atención de turistas y locales, quienes tienden mantener un acercamiento estrecho con el animal encallado para tratar de regresarlo al mar. Lo anterior potencia el riesgo de transmisión de cepas patogénicas desde los mamíferos marinos hacia los humanos y otros animales. En Costa Rica se desarrolló, durante los años 2009 y 2011, un proyecto de investigación en cual participaron expertos de universidades estatales, de instituciones gubernamentales y de la Fundación Keto. Como parte del mismo, se organizaron talleres de capacitación a profesionales en salud, líderes comunales y autoridades locales de la costa pacífica, con el fin de concientizarlos sobre los protocolos a seguir para la atención integral de la problemática de los encallamientos de cetáceos, con miras a prevenir posibles situaciones de riesgo a la salud pública.Cetacean stranding occurs when those animals arrive to the beach without having the possibility to come back to the sea. In Costa Rica, most of the cases have been registered along the pacific coast.  Between the possible causes of the stranding, there are infectious diseases like marine brucellosis. This disease is caused by bacteria from the genus Brucella and it can be transmitted to humans. Contact between humans and cetaceans, has been increased because of touristic and working activities. Besides, stranding phenomenon usually calls

  2. New therapies for arterial hypertension.

    Science.gov (United States)

    Pagliaro, Beniamino; Santolamazza, Caterina; Rubattu, Speranza; Volpe, Massimo

    2016-03-01

    Arterial hypertension is the most common chronic disease in developed countries and it is the leading risk factor for stroke, ischemic heart disease, congestive heart failure, chronic renal failure and peripheral artery disease. Its prevalence appears to be about 30-45% of the general population. Recent European guidelines estimate that up to 15-20% of the hypertensive patients are not controlled on a dual antihypertensive combination and they require three or more different antihypertensive drug classes to achieve adequate blood pressure control. The guidelines confirmed that diuretics, beta-blockers, calcium-channel blockers, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are suitable for the initiation and maintenance of antihypertensive treatment, either as monotherapy or in combination therapy. Very few antihypertensive agents have reached the market over the last few years, but no new therapeutic class has really emerged. The long-term adherence to cardiovascular drugs is still low in both primary and secondary prevention of cardiovascular diseases. In particular, the issue of compliance is persistently high in hypertension, despite the fixed-dose combination therapy. As a consequence, a cohort of high-risk hypertensive population, represented by patients affected by refractory and resistant hypertension, can be identified. Therefore, the need of controlling BP in high-risk patients may be addressed, in part, by the development of new drugs, devices and procedures that are designed to treat hypertension and comorbidities. In this review we will comprehensively discuss the current literature on recent therapeutic advances in hypertension, including both medical therapy and interventional procedures.

  3. Mapa de erosión de los suelos de México y posibles implicaciones en el almacenamiento de carbono orgánico del suelo

    Directory of Open Access Journals (Sweden)

    Martín A. Bolaños González

    2016-07-01

    Full Text Available Debido a la poca disponibilidad de información a nivel mundial y de manera acentuada en México del fenómeno de erosión de suelos; en este trabajo se presenta el Mapa Nacional de Erosión escala 1:50 000, el cual consolida un esfuerzo realizado por varios años en los que fue necesario conjuntar diversas fuentes de información para que mediante técnicas de fotointerpretación de imágenes de satélite de alta resolución, cartografía especializada e información de campo se concretara este producto, mismo que representa la información básica requerida para que, en el futuro, sea posible estimar de manera general las pérdidas de carbono orgánico del suelo debidas a éste fenómeno, dado que es uno de los componentes menos estudiados y, por consiguiente, menos cuantificados en el balance general de este elemento. Así, este primer resultado muestra que el 76% de la superficie nacional tiene algún grado de afectación por erosión hídrica, que corresponde a 6.79% con un grado de erosión extrema, el 5.79% fuerte, 26.37% moderada y 37.06% leve. Los estados más afectados por erosión apreciable (superficie relativa son: Distrito Federal, Tlaxcala, Estado de México y Michoacán y, por el contrario, los menos afectados: Tabasco, Quintana Roo y Campeche.

  4. Utilidad del modelo animal ratón-pulmón para evaluar la virulencia de posibles cepas vacunales de Shigella spp

    Directory of Open Access Journals (Sweden)

    Olga M. Martínez

    2008-04-01

    Full Text Available Shigella flexneri y Shigella sonnei, como cualquier otra especie del género Shigella, se sitúan entre los principales agentes etiológicos de las enfermedades diarreicas agudas, sobre todo aquellas que ocurren en los países en vías de desarrollo, aunque por la baja dosis infectante de este enteropatógeno no se excluyen los países desarrollados. Esta situación conlleva a la elaboración de vacunas para prevenir esta enfermedad y la necesidad de un modelo animal que pruebe la eficacia protectora e inmunogénica de posibles candidatos vacunales contra la shigellosis, situación que ha motivado numerosos estudios por la dificultad de demostrar la enteropatía intestinal en los monos y humanos. Lo anteriormente expuesto, más la capacidad de Shigella spp para mostrar resistencia a los antimicrobianos, motivó la realización de este trabajo. En el mismo se constató la utilidad del modelo animal ratón-pulmón para evaluar la virulencia de candidatos vacunales a partir de este microorganismo. Se utilizó la técnica de inoculación intranasal con una concentración entre 107 y 109 UFC de cepas de Shigella flexneri y Shigella sonnei. Por todos los resultados obtenidos con el modelo animal ratón-pulmón se concluyó que este modelo puede ser eficiente para los estudios preclínicos de cualquier candidato vacunal a partir de Shigella spp.

  5. Escenario posible del desempeño profesoral en la enseñanza en una institución de formación docente

    Directory of Open Access Journals (Sweden)

    Laura Hidalgo M.

    2007-01-01

    Full Text Available Este artículo tiene como propósito central concebir el escenario posible del desempeño profesoral en la enseñanza en una institución de formación docente. Se toman como referentes las opiniones emitidas por los sujetos informantes de una investigación relacionada con el desempeño profesoral en los ámbitos de enseñanza e investigación que en la actualidad se realiza en el Instituto Pedagógico de Caracas, núcleo de la Universidad Pedagógica Experimental Libertador (UPEL, específicamente, en el Departamento de Pedagogía. Las aseveraciones emitidas por los informantes han permitido abordar los siguientes aspectos: (a ¿cuál es la formación que demanda el profesorado del Departamento de Pedagogía?; (b ¿cómo debería efectuarse el proceso de supervisión y orientación que solicitan los integrantes de este departamento?; (c para lograr la vinculación de las funciones básicas de docencia e investigación ¿cuál debe ser la formación y el incentivo que debe tener el profesorado del departamento de pedagogía en la promoción como investigador?; (d ¿cómo debe ser concebido el proceso de evaluación de manera que contribuya al mejoramiento del desempeño profesoral? y (e en atención a las interrogantes anteriores, ¿cuáles podrían ser las condiciones deseables que deben prevalecer para el desempeño profesoral en la enseñanza?

  6. Evolución del proceso de regulación bancaria hasta Basilea-2 : origen, características y posibles efectos

    Directory of Open Access Journals (Sweden)

    Cristina Gutierrez López

    2006-06-01

    Full Text Available El sistema finaciero se prepara para afrontar los retos derivados del Nuevo Acuerdo de Capitales aprobado en 2004, que viene a culminar un proceso de regulación financiera definido por la exigencia de capital como expresión de la solvencia. Esta evolución ha dado respuesta a la actividad de los intermediarios financieros, los cambios debidos a la globalización e innovación financiera, y los nuevos riesgos que han surgido en consecuencia. Además, se incorpora la supervisión a través del regulador y de la disciplina de mercado. El artículo resume las características de la regulación de capital bancario, hasta llegar al capital ajustado al riesgo que caracteriza los Acuerdos elaborados desde Basilea, para detallar después los contenidos del Nuevo Acuerdo, sus fortalezas y debilidades, así como su posibles efectos.The financial system is ready to face the challenges derived from the New Basel Capital Accord issued in 2004, which reflects the financial regulatory process characterized by the need of maintaining capital as expression of solvency. This evolution has responded to financial intermediaries activity, changes due to globalization and financial innovation, and the new risks which have came across. Additionally, it includes the supervison aspect through regulators and market discipline. This paper summarizes the characteristics of bank capital regulation, in order to explain risk-based-capital in the Basel Accords, putting forward the New Accord content, as well as its strengths, weaknesses, and possible effects.

  7. Determinantes de la transmisión vertical del VIH en Cataluña (1997-2001: ¿es posible su eliminación?

    Directory of Open Access Journals (Sweden)

    Ramos F.

    2003-01-01

    Full Text Available Objetivos: Identificar y describir los factores que han hecho posible la existencia de nuevas infecciones de VIH por transmisión vertical desde la implementación del tratamiento antirretroviral en la gestante seropositiva (1997-2001 en Cataluña. Métodos: Revisión sistemática de casos identificados en servicios de pediatría de todos los hospitales de Cataluña. Resultados: Se identificaron 28 casos de infección pediátrica por VIH: 9, 9, 8, 2 y 0 por año de nacimiento de 1997 a 2001, respectivamente. De 16 madres con diagnóstico de infección por VIH conocido antes o durante el embarazo, 9 realizaron profilaxis antirretroviral durante éste (5 con buena adhesión, uno desconocido y el resto con mala adhesión y 7 no realizaron profilaxis (6 por rechazo y uno no se conoce. De 12 diagnosticadas después del parto, 5 fueron embarazos no controlados y el resto poco o bien controlados. De estos últimos, en 6 no se practicó serología para VIH y en uno fue negativa en el primer trimestre. Conclusiones: La transmisión vertical del VIH en Cataluña ha disminuido en los últimos años, pero se han producido infecciones por la mala implementación en algún caso de las medidas preventivas conocidas. Debería ofrecerse la prueba diagnóstica para VIH a toda gestante no sólo en el primer trimestre de embarazo sino también al final, si se sospecha exposición al virus, y en caso de gestaciones no controladas hay que usar pruebas diagnósticas de lectura rápida en la sala de partos.

  8. La vieja batalla entre la especie humana y el bacilo de Koch: ¿Es posible soñar con erradicar la tuberculosis?

    Directory of Open Access Journals (Sweden)

    J. A. Caminero

    Full Text Available El presente trabajo trata de analizar la complejidad de la vieja batalla que lleva librando, desde hace millones de años, la especie humana contra Mycobacterium tuberculosis, intentando realizar un repaso de todos los conocimientos que se tienen sobre esta enfermedad y de lo más importante de lo que puede acontecer en el futuro, con el fin de llegar a la conclusión de si es posible acabar soñando con erradicar esta enfermedad que tanto daño ha causado a la humanidad. A pesar de que la especie humana tiene suficientes conocimientos para vencer la batalla a M. tuberculosis, importantes condicionantes, sobre todo sociales (pobreza, inmigración, VIH, MDR, están favoreciendo la guerra del lado del bacilo. Y que, incluso aplicando adecuadamente todos los buenos conocimientos adquiridos para el control de la TB (detección y curación de casos, quimioprofilaxis, vacunación BCG, etc., se tardaría aún varios siglos en poder conseguir la erradicación. Sólo la posibilidad de descubrir una vacuna 100% eficaz, o el descubrimiento de nuevas asociaciones antimicrobianas que pudiesen curar la enfermedad en un plazo no superior a 15 días, podría acelerar este ritmo hacia la erradicación. Pero, lamentablemente, no existen fundamentos que permitan soñar con que cualquiera de estas dos posibilidades pueda cumplirse en los próximos 10-20 años. Por lo tanto, el sueño de erradicar la TB es un sueño muy antiguo, pero, lamentablemente, aún muy lejano.

  9. Participación y hábitat: ¿sueño posible o relación no deseada?

    Directory of Open Access Journals (Sweden)

    Jaime Hernández García

    2005-01-01

    Full Text Available El presente artículo se concentrará en las relaciones que se tejen en los sectores de hábitat popular de periferia entre los pobladores y su entorno; como estas relaciones transforman y mejoran la calidad de vida de la población. Sectores que en ciudades como Bogotá, son mayoritarios y crecientes; con grandes carencias en lo económico y en lo social, así como en servicios e infraestructura urbana. Han crecido a espaldas de la planeación económica y urbana, y en gran medida se han desarrollado a partir de la iniciativa y posibilidades de sus propios habitantes. Han construido y apropiado su hábitat, han desarrollado y expresado sus sueños de futuro a partir de una construcción colectiva explícita e implícita, de una visión comunitaria no siempre compartida pero presente, y a través de unos mecanismos de participación a veces brindados y otras muchas exigidos. Se presentarán algunas reflexiones a partir de la exploración del tema en las periferias de Bogotá; reflexiones que fundamentalmente invitan a pensar con mayor seriedad y profundidad en el papel del poblador como agente de creación, transformación, mejoramiento y expresión de su hábitat urbano. Finalmente se harán algunas observaciones en torno a la pregunta que plantea el articulo: es la participación en el hábitat un sueño posible o una relación no deseada?

  10. Ecoanálisis como puerta de entrada a la decodificación de lo cotidiano: hacia una educación posible

    Directory of Open Access Journals (Sweden)

    Chavarría González, María Celina

    2006-12-01

    Full Text Available Resumen: Se destacan las ventajas del ecoanálisis como andamiaje para decodificar los valores que inconscientemente plasmamos en las relaciones y ambientes que disponemos para la formación de la niñez en la educación preescolar, potenciando diálogos concretos sobre la dimensión de lo posible. Orientamos esta decodificación hacia el esclarecimiento crítico de realidades encubiertas y el empoderamiento hacia su transformación. El ecoanálisis promueve acercamientos progresivos y compartidos hacia cosmovisiones másacordes con las necesidades de la época actual, potenciando la decodificación de lo cotidiano y transformaciones curriculares desde comunidades de aprendizaje transdisciplinarias. Se hace referencia a tres instancias de investigación-acción donde el ecoanálisis dio como resultado cambios significativos en el quehacer cotidiano y en las actuaciones de la niñez, reforzando un enfoque holista y de derechos. Se esbozan elementos para poner este enfoque en práctica y se hace hincapié en que sólo cuando los valores se plasman en lo cotidiano, en las vivencias del día a día, cuando integran cuerpo-emociones-mente, es que se logran interiorizar.Abastract: The advantages of eco-analytic approaches to decode values unconsciously embedded in educational relationships and environments for preschool children are described. Possibilities for approaching the quotidian as communities of learners or communities of practice are sketched, as a means of transforming educational and daycare environments and worldviews. Establishing dialogues to decode the quotidian, expounding on the language of possibilities, and promoting progressive and shared approaches to worldviews more coherent with the pressing needs of conscious cultural evolution are stressed. Reference is made to three concrete experiences with this approach.

  11. Differences in superior thyroid artery and inferior thyroid artery blood flow spectrum parameters in subacute thyroiditis

    Institute of Scientific and Technical Information of China (English)

    Jin-Bo Li

    2016-01-01

    Objective:To study the differences in superior thyroid artery and inferior thyroid artery blood flow spectrum parameters in subacute thyroiditis. Methods:A Total of 40 cases of patients with subacute thyroiditis and 40 cases of healthy volunteers were selected for study and enrolled in pathology group and control group respectively, color Doppler ultrasonography was conducted to detect peak blood flow velocities (Vmax) of superior thyroid artery and inferior thyroid artery as well as resistance index (RI), and serum was collected to detect thyroid hormone contents, infection indexes and oxidative stress indexes. Results:Peak blood flow velocities Vmax of superior thyroid artery and inferior thyroid artery of pathology group were significantly higher than those of control group, and resistance index RI was not different from that of control group;FT3, FT4, TT3, TT4, ESR, CRP, PCT and MDA of pathology group were significantly higher than those of control group, and SOD and TAOC were significantly lower than those of control group;Vmax of superior thyroid artery and inferior thyroid artery were positively correlated with FT3, FT4, TT3, TT4, ESR, CRP, PCT and MDA, and negatively correlated with SOD and TAOC. Conclusion:Peak blood flow velocities (Vmax) of superior thyroid artery and inferior thyroid artery in subacute thyroiditis are significantly accelerated, Vmax has good consistency with thyroid hormone contents, infection indexes and oxidative stress indexes, and it can accurately assess the severity of the disease.

  12. Hepatic artery pseudoaneurysm treated using stent-graft implantation and retrograde gastroduodenal artery coil embolization

    Energy Technology Data Exchange (ETDEWEB)

    Basile, Antonio; Patti, Maria Teresa [Ospedale Ferrarotto, Department of Diagnostic and Interventional Radiology, Catania (Italy); Ragazzi, Salvatore; Piazza, Diego [Ospedale Vittorio Emanuele, Department of Surgery I, Catania (Italy); Tsetis, Dimitrios [University Hospital of Heraklion, Medical School of Crete, Department of Radiology, Heraklion (Greece); Lupattelli, Tommaso [Multimedica Holding, Department of Interventional Radiology, Sesto S. Giovanni (Italy)

    2008-11-15

    Endovascular treatment options for visceral artery pseudoaneurysms depend on lesion location and size. Exclusion methods fall into two categories, embolization and stent placement, and these procedures aim to exclude the pseudoaneurysm from the circulation and if possible to maintain distal blood flow. Embolization of the afferent artery can be used in pseudoaneurysms that arise from a donor artery without collateral supply such as a visceral branch, whereas in the case of visceral arteries with well-established collateral supply, the embolization of both proximal and distal branches to the pseudoaneurysm is mandatory in preventing backflow from the collateral circulation. A direct embolization delivering coils or glue into the sac can also be performed if the aneurismal neck is narrow. Stent-graft placement represents another option to exclude the pseudoaneurysm, in the case of wide neck, reduced arterial tortuosity and large-diameter arteries. We present a case of common hepatic artery pseudoaneurysm involving the gastroduodenal artery origin treated by a combination of techniques. An hepatic stent-graft implantation plus retrograde embolization of the gastroduodenal artery through the pancreaticoduodenal anastomosis from the superior mesenteric artery was performed. (orig.)

  13. Transradial artery intervention: an alternative approach for renal artery stent implantation?

    Institute of Scientific and Technical Information of China (English)

    LUO Jian-fang; WANG Hui-yong; HUANG Wen-hui; LIU Yuan; LI Guang; ZHOU Ying-ling; CHEN Ji-yan

    2012-01-01

    Background Transfemoral artery access is the main approach for the interventional treatment of renal artery stenosis (RAS).This study aimed to investigate the technical feasibility of a transradial interventional (TRI) treatment of renal artery stenosis.Methods A series of 23 patients who underwent transradial renal artery stenting from October 2010 to October 2011 were studied.Radial sheath system (Terumo,Japan) was used to get access to the radial artery.Radial tourniquet (Terumo) was used to stop bleeding.A 5Fr MPA (COOK,USA) was used to perform selective renal arteriography.Percutaneous renal artery stent systems were used to perform renal artery stenting.Results Renal artery angiography showed that 15 patients had unilateral renal artery stenosis and eight patients had bilateral renal artery stenosis.The descending aorta could not be catheterized in one patient because of the type Ⅲ aortic arch.Twenty-two patients successfully underwent transradial renal artery angiography and the technical success rate was 95.7%.There was no puncture site hematoma or pseudoaneurysm.Mean procedure time was (38.4±7.2) minutes,the mean amount of contrast agent used was (93.2±6.3) ml,and the mean postprocedure bleeding time was (3.2±1.9) minutes.Conclusion Transradial renal artery intervention is technically reliable with less invasion,rapid recovery,fewer complications and may become an alternative intervention approach for the treatment of renal artery stenosis.

  14. Arterial structure and function in vascular ageing: are you as old as your arteries?

    Science.gov (United States)

    Thijssen, Dick H J; Carter, Sophie E; Green, Daniel J

    2016-04-15

    Advancing age may be the most potent independent predictor of future cardiovascular events, a relationship that is not fully explained by time-related changes in traditional cardiovascular risk factors. Since some arteries exhibit differential susceptibility to atherosclerosis, generalisations regarding the impact of ageing in humans may be overly simplistic, whereas in vivo assessment of arterial function and health provide direct insight. Coronary and peripheral (conduit, resistance and skin) arteries demonstrate a gradual, age-related impairment in vascular function that is likely to be related to a reduction in endothelium-derived nitric oxide bioavailability and/or increased production of vasoconstrictors (e.g. endothelin-1). Increased exposure and impaired ability for defence mechanisms to resist oxidative stress and inflammation, but also cellular senescence processes, may contribute to age-related changes in vascular function and health. Arteries also undergo structural changes as they age. Gradual thickening of the arterial wall, changes in wall content (i.e. less elastin, advanced glycation end-products) and increase in conduit artery diameter are observed with older age and occur similarly in central and peripheral arteries. These changes in structure have important interactive effects on artery function, with increases in small and large arterial stiffness representing a characteristic change with older age. Importantly, direct measures of arterial function and structure predict future cardiovascular events, independent of age or other cardiovascular risk factors. Taken together, and given the differential susceptibility of arteries to atherosclerosis in humans, direct measurement of arterial function and health may help to distinguish between biological and chronological age-related change in arterial health in humans.

  15. Acoustic detection of coronary artery disease.

    Science.gov (United States)

    Semmlow, John; Rahalkar, Ketaki

    2007-01-01

    Coronary artery disease (CAD) occurs when the arteries to the heart (the coronary arteries) become blocked by deposition of plaque, depriving the heart of oxygen-bearing blood. This disease is arguably the most important fatal disease in industrialized countries, causing one-third to one-half of all deaths in persons between the ages of 35 and 64 in the United States. Despite the fact that early detection of CAD allows for successful and cost-effective treatment of the disease, only 20% of CAD cases are diagnosed prior to a heart attack. The development of a definitive, noninvasive test for detection of coronary blockages is one of the holy grails of diagnostic cardiology. One promising approach to detecting coronary blockages noninvasively is based on identifying acoustic signatures generated by turbulent blood flow through partially occluded coronary arteries. In fact, no other approach to the detection of CAD promises to be as inexpensive, simple to perform, and risk free as the acoustic-based approach. Although sounds associated with partially blocked arteries are easy to identify in more superficial vessels such as the carotids, sounds from coronary arteries are very faint and surrounded by noise such as the very loud valve sounds. To detect these very weak signals requires sophisticated signal processing techniques. This review describes the work that has been done in this area since the 1980s and discusses future directions that may fulfill the promise of the acoustic approach to detecting coronary artery disease.

  16. Blood tracer kinetics in the arterial tree.

    Directory of Open Access Journals (Sweden)

    Elias Kellner

    Full Text Available Evaluation of blood supply of different organs relies on labeling blood with a suitable tracer. The tracer kinetics is linear: Tracer concentration at an observation site is a linear response to an input somewhere upstream the arterial flow. The corresponding impulse response functions are currently treated empirically without incorporating the relation to the vascular morphology of an organ. In this work we address this relation for the first time. We demonstrate that the form of the response function in the entire arterial tree is reduced to that of individual vessel segments under approximation of good blood mixing at vessel bifurcations. The resulting expression simplifies significantly when the geometric scaling of the vascular tree is taken into account. This suggests a new way to access the vascular morphology in vivo using experimentally determined response functions. However, it is an ill-posed inverse problem as demonstrated by an example using measured arterial spin labeling in large brain arteries. We further analyze transport in individual vessel segments and demonstrate that experimentally accessible tracer concentration in vessel segments depends on the measurement principle. Explicit expressions for the response functions are obtained for the major middle part of the arterial tree in which the blood flow in individual vessel segments can be treated as laminar. When applied to the analysis of regional cerebral blood flow measurements for which the necessary arterial input is evaluated in the carotid arteries, present theory predicts about 20% underestimation, which is in agreement with recent experimental data.

  17. Blood tracer kinetics in the arterial tree.

    Science.gov (United States)

    Kellner, Elias; Gall, Peter; Günther, Matthias; Reisert, Marco; Mader, Irina; Fleysher, Roman; Kiselev, Valerij G

    2014-01-01

    Evaluation of blood supply of different organs relies on labeling blood with a suitable tracer. The tracer kinetics is linear: Tracer concentration at an observation site is a linear response to an input somewhere upstream the arterial flow. The corresponding impulse response functions are currently treated empirically without incorporating the relation to the vascular morphology of an organ. In this work we address this relation for the first time. We demonstrate that the form of the response function in the entire arterial tree is reduced to that of individual vessel segments under approximation of good blood mixing at vessel bifurcations. The resulting expression simplifies significantly when the geometric scaling of the vascular tree is taken into account. This suggests a new way to access the vascular morphology in vivo using experimentally determined response functions. However, it is an ill-posed inverse problem as demonstrated by an example using measured arterial spin labeling in large brain arteries. We further analyze transport in individual vessel segments and demonstrate that experimentally accessible tracer concentration in vessel segments depends on the measurement principle. Explicit expressions for the response functions are obtained for the major middle part of the arterial tree in which the blood flow in individual vessel segments can be treated as laminar. When applied to the analysis of regional cerebral blood flow measurements for which the necessary arterial input is evaluated in the carotid arteries, present theory predicts about 20% underestimation, which is in agreement with recent experimental data.

  18. Arterial Stiffness and Dialysis Calcium Concentration

    Directory of Open Access Journals (Sweden)

    Fabrice Mac-Way

    2011-01-01

    Full Text Available Arterial stiffness is the major determinant of isolated systolic hypertension and increased pulse pressure. Aortic stiffness is also associated with increased cardiovascular morbidity and mortality in patients with chronic kidney disease, hypertension, and general population. Hemodynamically, arterial stiffness results in earlier aortic pulse wave reflection leading to increased cardiac workload and decreased myocardial perfusion. Although the clinical consequence of aortic stiffness has been clearly established, its pathophysiology in various clinical conditions still remains poorly understood. The aim of the present paper is to review the studies that have looked at the impact of dialysis calcium concentration on arterial stiffness. Overall, the results of small short-term studies suggest that higher dialysis calcium is associated with a transient but significant increase in arterial stiffness. This calcium dependant increase in arterial stiffness is potentially explained by increased vascular smooth muscle tone of the conduit arteries and is not solely explained by changes in mean blood pressure. However, the optimal DCa remains to be determined, and long term studies are required to evaluate its impact on the progression of arterial stiffness.

  19. "Ostrich sign" indicates bilateral vertebral artery dissection.

    Science.gov (United States)

    Rose, David Z; Husain, M Rizwan

    2012-11-01

    Vertebral artery dissections (VADs) comprise about 2% of ischemic strokes and can be associated with trauma, chiropractic manipulation, motor vehicle collisions, whiplash, amusement park rides, golfing, and other motion-induced injuries to the neck. We present a case of bilateral extracranial VAD as a complication of conducting an orchestra. To our knowledge, this has not been documented in the literature. Conceivably, vigorous neck twisting in an inexperienced, amateur conductor may place excessive rotational forces upon mobile portions of the verterbral arteries, tear the intima, deposit subintimal blood that extends longitudinally, and cause neck pain and/or posterior fossa ischemic symptoms. Magnetic resonance angiography examinations of axially oriented slices of bilateral VADs resemble the face of an ostrich. This observation is similar to the "puppy sign," in which bilateral internal carotid artery dissections resemble the face of a dog. Craniocervical dissections of either the carotid or vertebral arteries have the potential to form an aneurysm, cause artery-to-artery embolism, or completely occlude the parent artery, resulting in an ischemic stroke. Because bilateral VADs in axial magnetic resonance angiographic sections stand out like the eyes of an ostrich, and because the fast identification of VADs is so critical, we eponymize this image the "ostrich sign."

  20. Evaluación del Poder Antioxidante de Fracciones de Aceite Esencial Crudo de Schinus molle L. obtenidas por Destilación al Vacío Evaluation of the Antioxidant Power of Fractions of Schinus molle L. Essential Oil obtained by Vacuum Distillation

    Directory of Open Access Journals (Sweden)

    María S Guala

    2009-01-01

    Full Text Available Se han evaluado las características antioxidantes del aceite esencial crudo de Schinus molle L. (molle, aguaribay, y se han comparado con las fracciones del mismo aceite obtenidas por destilación al vacío. Las muestras obtenidas se analizaron mediante cromatografía GS/MS, y se les determinó la eficiencia antioxidante utilizando el método DPPH, 2,2 Diphenyl 1 picrylhydrazyl. La fracción más pesada contiene mayor cantidad de Terpinen-4-ol y Germacreno D, compuestos colectores de radicales libres. Por lo tanto, la fracción más pesada es la que tiene mayor poder antirradical.The antioxidant characteristics of the Schinus molle L (molle, aguaribay raw essential oil were evaluated and compared with different cuts from the same oil obtained by vacuum distillation. The samples were analysed using GS/MS chromatography and the antioxidant efficiency was determined using the DPPH method, 2.2 Diphenyl 1 picrylhydrazyl. An analysis of the results we may conclude that the fraction is the heaviest it has greater power antiradical. The results show that the heaviest fraction contains higher concentration of Terpinen-4-ol and Germacreno D, compounds that are collectors of free radicals. Therefore, the heaviest fraction has greater antiradical power.

  1. RENOVASCULAR HYPERTENSION DUE TO RENAL ARTERY STENOSIS IN KLIPPEL-FEIL SYNDROME

    Directory of Open Access Journals (Sweden)

    Foyaca-Sibat H. MD.

    2003-01-01

    Full Text Available ABSTRACT We report one patient with Klippel-Feil (KFS syndrome, other associated anomalies, uncontrolled arterial hypertension, and renal artery stenosis. Because this patient underwent for surgical revascularization with unsuccessful result, all proposed way of treatments are revised, and we have hypothesized that probably for patients with KFS and unilateral renal artery stenosis, medical treatment with ACE inhibitors can provide more benefits than surgical revascularization or percutaneous transluminal angioplasty. We considered that those patients should be manage by a team of medical doctors being aware of their common associated anomalies, identifying all of them when it is possible then, making an integral evaluation of the each individual situation for establishing their medical priorities in order, and then address its treatments accordingly. If at this stage any surgical treatment is required, is important to bring those problems to the anesthesiologist’s attention for a very careful manipulation of the neck and head during induction of anesthesia. The final results will be strongly related with the capacity of management of the underlying cardio-respiratory, renal, skeletal, urogenital, and nervous system problems. . We also propose the term of Klippel-Feil syndrome "Plus" for those patients with cervical vertebral fusion and many other associated deformities rather than to add new eponyms to the long list that already exist. _____________ RESUMEN: HIPERTENSION RENOVASCULAR DEBIDO A ESTENOSIS DE LA ARTERIA RENAL EN EL SÍNDROME DE KLIPPEL-FEIL Reportamos un paciente afectado por un syndrome de Klippel-Feil, otras anormalias congenitas, hipertension arterial incontrolada y una estenosis unilateral de la arteria renal. Este paciente fue sometido a un tratamiento quirÚrgico de la estenosis de la arteria renal, cuyos resultados fueron no satisfactorios por lo que revisamos todas las alternativas de tratamiento para la estenosis

  2. ON WALL SHEAR STRESS OF ARTERY

    Institute of Scientific and Technical Information of China (English)

    Liu Zhao-rong; Liu Bao-yu; Qin Kai-rong

    2003-01-01

    In this paper, a method was proposed that the wall shear stress of artery could be determined by measuring the centerline axial velocity and radial motion of arterial wall simultaneously.The method is simple in application and can get higher precision when it is used to determine the shear stress of arterial wall in vivo.As an example, the shear stress distribution in periodic oscillatory flow of human carotid was calculated and discussed.The computed results show that the shear stress distribution at any given instant is almost uniform and will be zero at the centerline and tends to maximum at the vessel wall.

  3. NONLINEAR ELASTICITY OF BLOOD ARTERIAL DUCT

    Institute of Scientific and Technical Information of China (English)

    黄孟才; 顾忠; 沈俊; 唐复勇

    1991-01-01

    The paper deals with nonlinear elasticity of blood arterial duct, in which the artery is modeled to bea locally triclinic, transverse isotropic, incorapressible, axisymmetric and thickwalled tube with large deformations, The nonlinear coustitutive relationship of arterial tissues is based on the theorv of Green and Adkins. A nonlinear strain energy density function is introduced for nonlinear stress-strain relationship of second order, in which the coefficient of each term is expressed by means of a Lame’s constant, The elasticity constants are nqcessary to describe such a uonlinear finite strain etastieity of the second order, These constants are determined by means of the stress-strain increment theory.

  4. Pulmonary Artery Agenesis: A Case Series

    Directory of Open Access Journals (Sweden)

    Meltem Ağca

    2015-04-01

    Full Text Available Pulmonary artery agenesis is a rare congenital abnormality in which atresia was encountered in the short segment of the right or left pulmonary arteries. It can be isolated or associated with cardiac abnormalities such as tetralogy of Fallot, septal defects or pulmonary stenosis.The majority of cases are diagnosed in childhood whereas some cases yield no symptoms until adulthood. We evaluated retrospectively 5 pulmonary artery agenesis cases diagnosed in our clinics between 1998-2010 with respect to the literature.

  5. Arterial hypertension and chronic liver disease

    DEFF Research Database (Denmark)

    Henriksen, Jens Henrik Sahl; Møller, S

    2005-01-01

    This review looks at the alterations in the systemic haemodynamics of patients with chronic liver disease (cirrhosis) in relation to essential hypertension and arterial hypertension of renal origin. Characteristic findings in patients with cirrhosis are vasodilatation with low overall systemic...... the development of chronic liver disease, and arterial hypertension is rarely manifested in patients with cirrhosis, even in those with renovascular disease and high circulating renin activity. There is much dispute as to the understanding of homoeostatic regulation in cirrhotic patients with manifest arterial...

  6. Arterial gas occlusions in operating heat pipes

    Science.gov (United States)

    Saaski, E. W.

    1975-01-01

    The effect of noncondensable gases on high performance arterial heat pipes has been investigated both analytically and experimentally. Models have been generated which characterize the dissolution of gases in condensate and the diffusional loss of dissolved gases from condensate in arterial flow. These processes, and others, have been used to postulate stability criteria for arterial heat pipes. Experimental observations of gas occlusions were made using a stainless steel heat pipe equipped with viewing ports, and the working fluids methanol and ammonia with the gas additives helium, argon, and xenon. Observations were related to gas transport models.

  7. Pulmonary arterial hypertension: Basic knowledge for clinicians.

    Science.gov (United States)

    Santos-Ribeiro, Diana; Mendes-Ferreira, Pedro; Maia-Rocha, Carolina; Adão, Rui; Leite-Moreira, Adelino F; Brás-Silva, Carmen

    2016-10-01

    Pulmonary arterial hypertension is a progressive syndrome based on diverse aetiologies, which is characterized by a persistent increase in pulmonary vascular resistance and overload of the right ventricle, leading to heart failure and death. Currently, none of the available treatments is able to cure pulmonary arterial hypertension; additional research is therefore needed to unravel the associated pathophysiological mechanisms. This review summarizes current knowledge related to this disorder, and the several experimental animal models that can mimic pulmonary arterial hypertension and are available for translational research.

  8. Los betabloqueadores como primera opción del tratamiento en la hipertensión no complicada ¿posible o no?

    Directory of Open Access Journals (Sweden)

    Alberto Morales Salinas

    2011-02-01

    Full Text Available Hasta la publicación de la guía del National Institute for Health and Clinical Excellence del 2006, existía consenso en las principales directrices de hipertensión arterial, en cuanto a que los beta-bloqueadores podían utilizarse como tratamiento de primera línea en la hipertensión arterial no complicada. Los cambios sugeridos consistían en considerar a los beta-bloqueadores como antihipertensivos de cuarta línea. Estas modificaciones estuvieron sustentadas fundamentalmente en los resultados de dos grandes ensayos aleatorizados; sin embargo, la guía del 2007 de las Sociedades Europea de Hipertensión y Cardiología, así como su actualización del 2009, mantuvieron a los beta-bloqueadores como droga de primera línea. En el presente artículo se realiza un análisis crítico de las principales evidencias disponibles en contra de los beta-bloqueadores. Se concluye que las limitaciones del atenolol no deben ser extendidas a los nuevos beta-bloqueadores, además de que estas limitaciones pudiesen estar influidas por una dosificación subóptima del atenolol.

  9. ¿La reserva de lo posible se constituye en un límite a la intervención jurisdiccional en las políticas públicas sociales?

    Directory of Open Access Journals (Sweden)

    Ricardo Perlingeiro

    2014-06-01

    Full Text Available Frente a la escasez de recursos que soportan los derechos sociales, el texto analiza los precedentes del Tribunal Constitucional Federal alemán sobre la reserva de lo posible (Vorbehalt des Möglichen, y concluye que ella no se aplica al mínimo existencial (Existenzminimum y que, naturalmente, en cuanto a la exigibilidad (justiciabilidad de cualquier derecho social con fundamento en la ley, no le queda discrecionalidad política al legislador presupuestal. En otro aparte, el texto demuestra que la reserva de lo posible, por el contrario a lo que se pueda imaginar, no mantiene ninguna relación con las políticas públicas sociales, que, contextualizadas en el ámbito de los derechos fundamentales procedimentales, se justifican solo en cuanto medio de realización de prestaciones sociales exigibles.

  10. ¿La reserva de lo posible se constituye en un límite a la intervención jurisdiccional en las políticas públicas sociales?

    Directory of Open Access Journals (Sweden)

    Ricardo Perlingeiro

    2014-07-01

    Full Text Available Frente a la escasez de recursos que soportan los derechos sociales, el texto analiza los precedentes del Tribunal Constitucional Federal alemán sobre la reserva de lo posible (Vorbehalt des Möglichen, y concluye que ella no se aplica al mínimo existencial (Existenzminimum y que, naturalmente, en cuanto a la exigibilidad (justiciabilidad de cualquier derecho social con fundamento en la ley, no le queda discrecionalidad política al legislador presupuestal. En otro aparte, el texto demuestra que la reserva de lo posible, por el contrario a lo que se pueda imaginar, no mantiene ninguna relación con las políticas públicas sociales, que, contextualizadas en el ámbito de los derechos fundamentales procedimentales, se justifican solo en cuanto medio de realización de prestaciones sociales exigibles.

  11. ¿Es posible provocar la madurez del conflicto? A propósito de la correspondencia entre Medófilo Medina y Timoleón Jiménez

    Directory of Open Access Journals (Sweden)

    Adolfo León Atehortúa Cruz

    2012-08-01

    Full Text Available A partir del intercambio epistolar entre Medófilo Medina y Timoleón Jiménez, el presente artículo debate los puntos centrales de la correspondencia aludida: la vigencia de la lucha armada, la concepción de dominación y dependencia y las vías de la democracia en Colombia. Finalmente, explora la madurez del conflicto armado en nuestro país y las posibilidades de una salida negociada con participación de la sociedad. Como conclusión, ofrece respuesta a dos preguntas: ¿Será posible una salida negociada que preserve la dignidad de los combatientes? Más aún, ¿será posible inducir esa salida desde la sociedad?

  12. Evolución del peso seco en pacientes ancianos en hemodiálisis y posible influencia de la actividad física en el mismo Evolution of the dry weight in elderly patients in hemodialysis and the possible influence of the physical activity in the same one

    Directory of Open Access Journals (Sweden)

    Pilar Peña Amaro

    2010-03-01

    Full Text Available El objetivo de este trabajo es analizar la evolución del "peso seco" -masa muscular, masa grasa y agua- en una población de pacientes ancianos afectados por insuficiencia renal crónica terminal (IRCT en un programa sustitutivo de la función renal en Hemodiálisis (HD, que realizan una actividad física moderada y constante comparada con otra población que no la realiza. La actividad física se ha utilizado como un medio para conservar o mejorar la salud de todos los individuos desde hace muchos años y, por supuesto, en los ancianos también. Es muy valorado en algunas patologías (hipertensión arterial, cardiopatías isquémicas, osteoporosis, diabetes y problemas psicológicos/psiquiátricos. Hemos usado para monitorizar estos parámetros un analizador de masa corporal por Bioimpedancia (BIA que nos aporta los datos objetivos en cuanto a la composición del cuerpo de un anciano. Así, podremos observar los posibles cambios producidos por el ejercicio.The aim of this work is to analyze the evolution of the dry weight, muscular mass, mass fat and water in a population of patients ancients affected by Renal Insufficiency Terminal Chronicle (IRCT in program of haemodialysis (HD that perform a constant and moderate physical activity and other population that not making it. Physical activity has been used as a way to preserve or improve the health of all individuals for many years and certainly in the ancient as well. Very valued in some pathologies (arterial hypertension, cardiopathies isquémicas, osteoporosis, diabetes and psychiatric psychological/problems. to monitorice these parameters we used body mass analyzer Bioimpedance (BIA that shows us objective data regarding the composition of the body of an elder. Then we can observe the possible changes produced by exercise.

  13. Artery to Cystic Duct: A Consistent Branch of Cystic Artery Seen in Laparoscopic Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Arshad Rashid

    2015-01-01

    Full Text Available Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct damage. Therefore, accurate identification of the anatomy of the cystic artery is very important. Cystic artery is notoriously known to have a highly variable branching pattern. We reviewed the anatomy of the cystic artery and its branch to cystic duct as seen through the video laparoscope. A single artery to cystic duct with the classical “H-configuration” was demonstrated in 161 (91.47% patients. This branch may cause troublesome bleeding during laparoscopic dissection in the hepatobiliary triangle. Careful identification of artery to cystic duct is helpful in the proper dissection of Calot’s triangle as it reduces the chances of hemorrhage and thus may also be helpful in prevention of extrahepatic biliary radical injuries.

  14. Pedal arteries of monkeys, with special reference to the plantar metatarsal arteries.

    Directory of Open Access Journals (Sweden)

    Hinenoya,Hitoshi

    1987-12-01

    Full Text Available In the Japanese, Formosan and crab-eating monkeys, the dorsal metatarsal arteries and their lateral distal perforating branches were well developed and supplied, directly or via the catella plantaris distalis, the plantar digital arteries. In the black ape, the plantar digital arteries arose from the medial plantar artery. The plantar metatarsal arteries of these monkeys, including the black ape, arose from the catella plantaris proximalis or deep plantar arch and were classified into the superficial plantar metatarsal (sM, superficial plantar intermetatarsal (sI, deep plantar metatarsal (dM and deep plantar intermetatarsal (dI arteries in relation to the interosseous muscles and metatarsal bones. This classification largely coincides with that of the human hand and foot (Murakami, 1969, 1971 and the monkey hand (Nakai et al., 1987.

  15. Total Arterial Revascularization: Bypassing Antiquated Notions to Better Alternatives for Coronary Artery Disease

    Science.gov (United States)

    Samak, Mostafa; Fatullayev, Javid; Sabashnikov, Anton; Zeriouh, Mohamed; Schmack, Bastian; Ruhparwar, Arjang; Karck, Matthias; Popov, Aron-Frederik; Dohmen, Pascal M.; Weymann, Alexander

    2016-01-01

    Total arterial revascularization is the leading trend in coronary artery bypass grafting (CABG) for the treatment of coronary artery disease (CAD). Adding to its superiority to vein conduits, arteries allow for a high degree of versatility and long-term patency, while minimizing the need for reintervention. This is especially important for patients with multi-vessel coronary artery disease, as well as young patients. However, arterial revascularization has come a long way before being widely appreciated, with some yet unresolved debates, and advances that never cease to impress. In this review, we discuss the evolution of this surgical technique and its clinical success, as well as its most conspicuous limitations in light of accumulated published date from decades of experience. PMID:27698339

  16. Thrombophilia And Arterial Ischemic Stroke

    Directory of Open Access Journals (Sweden)

    A.A. Abrishamizadeh

    2017-02-01

    Full Text Available Ischemic stroke (IS is a common cause of morbidity and mortality with significant socioeconomic impact especially when it affects young patients. Compared to the older adults, the incidence, risk factors, and etiology are distinctly different in younger IS. Hypercoagulable states are relatively more commonly detected in younger IS patients. Thrombophilic states are disorders of hemostatic mechanisms that result in a predisposition to thrombosis .Thrombophilia is an established cause of venous thrombosis. Therefore, it is tempting to assume that these disorders might have a similar relationship with arterial thrombosis. Despite this fact that 1-4 % of ischemic strokes are attributed to Thrombophillia, this   alone rarely causes arterial occlusions .Even in individuals with a positive thrombophilia screen and arterial thrombosis, the former might not be the primary etiological factor. Thrombophilic   disorders can be broadly divided into inherited or acquired conditions. Inherited thrombophilic states include deficiencies of natural anticoagulants such as protein C, protein S, and antithrombin III (AT III deficiency, polymorphisms causing resistance to activated protein C(Factor V Leiden mutation, and disturbance in the clotting balance (prothrombin gene 20210G/A variant. Of all the inherited  thrombophilic disorders, Factor V Leiden mutation is perhaps the commonest cause. On the contrary, acquired thrombophilic disorders are more common and include conditions such as the antiphospholipid syndrome, associated with lupus anticoagulant and anticardiolipin antibodies. The more useful and practical approach of ordering various diagnostic tests for the uncommon thrombophilic states tests should be determined by a detailed clinical history, physical examination, imaging studies and evaluating whether an underlying hypercoagulable state appears more likely. The laboratory thrombophilia   screening should be comprehensive and avoid missing the

  17. Estudio de la posible infección de artemia con el virus del síndrome de la mancha blanca y su transmisión vertical

    OpenAIRE

    2001-01-01

    Estudio de la posible infección de Artemia con el virus del síndrome de la mancha blanca y su transmisión vertical Artemia es el principal alimento en larvicultura y reproducción de peces y crustáceos. Su producción esta limitada a unos pocos países mientras que su comercialización se presenta a escala mundial.

  18. Study of cystic artery by arteriography. Importance of previous cholecystography

    Energy Technology Data Exchange (ETDEWEB)

    Machado, G.O.

    An oral cholecystography previously to celiac and mesenteric arteriography is performed, in order to identify the cystic artery, in 42 patients with pancreatitis, according Seldinger technique. The cystic artery was identified in all the cases, the pattern being the outlet of the cystic artery from the right hepatic artery. Infusion pump and seriography were not used.

  19. [Ultrasonographic study of blood flow in the renal arteries of patients with arterial hypertension].

    Science.gov (United States)

    Makarenko, E S; Dombrovskiĭ, V I; Nelasov, N Iu

    2012-01-01

    Vascular duplex ultrasound duplex with simultaneous ECG registration was made to estimate the quantitative and time parameters of blood flow in the renal arteries with grade 1-2 arterial hypertension. There were increases in vascular resistance indices and acceleration phase index and a reduction in systolic phase index. There were correlations of the time parameters of blood flow in the renal arteries with age and lipidogram values.

  20. Transposition of the great arteries

    Directory of Open Access Journals (Sweden)

    Castela Eduardo

    2008-10-01

    Full Text Available Abstract Transposition of the great arteries (TGA, also referred to as complete transposition, is a congenital cardiac malformation characterised by atrioventricular concordance and ventriculoarterial (VA discordance. The incidence is estimated at 1 in 3,500–5,000 live births, with a male-to-female ratio 1.5 to 3.2:1. In 50% of cases, the VA discordance is an isolated finding. In 10% of cases, TGA is associated with noncardiac malformations. The association with other cardiac malformations such as ventricular septal defect (VSD and left ventricular outflow tract obstruction is frequent and dictates timing and clinical presentation, which consists of cyanosis with or without congestive heart failure. The onset and severity depend on anatomical and functional variants that influence the degree of mixing between the two circulations. If no obstructive lesions are present and there is a large VSD, cyanosis may go undetected and only be perceived during episodes of crying or agitation. In these cases, signs of congestive heart failure prevail. The exact aetiology remains unknown. Some associated risk factors (gestational diabetes mellitus, maternal exposure to rodenticides and herbicides, maternal use of antiepileptic drugs have been postulated. Mutations in growth differentiation factor-1 gene, the thyroid hormone receptor-associated protein-2 gene and the gene encoding the cryptic protein have been shown implicated in discordant VA connections, but they explain only a small minority of TGA cases. The diagnosis is confirmed by echocardiography, which also provides the morphological details required for future surgical management. Prenatal diagnosis by foetal echocardiography is possible and desirable, as it may improve the early neonatal management and reduce morbidity and mortality. Differential diagnosis includes other causes of central neonatal cyanosis. Palliative treatment with prostaglandin E1 and balloon atrial septostomy are usually

  1. The arterial load in pulmonary hypertension

    Directory of Open Access Journals (Sweden)

    A. Vonk-Noordegraaf

    2010-09-01

    Full Text Available The anatomical differences between the pulmonary and systemic arterial system are the main cause of the difference in distribution of compliance. In the pulmonary arterial system compliance is distributed over the entire arterial system, and stands at the basis of the constancy of the RC-time. This distribution depends on the number of peripheral vessels, which is ∼8–10 times more in the pulmonary system than the systemic tree. In the systemic arterial tree the compliance is mainly located in the aorta (80% of total compliance in thoracic-abdominal aorta. The constant RC-time in the pulmonary bed results in proportionality of systolic and diastolic pressure with mean pressure and, in turn, in the constant ratio of oscillatory and mean power.

  2. Treatment options for paediatric pulmonary arterial hypertension

    NARCIS (Netherlands)

    Berger, R M F; Bonnet, D

    2010-01-01

    Pulmonary arterial hypertension (PAH) is a serious, progressive condition, which can present idiopathically or secondary to conditions such as systemic sclerosis or congenital heart disease. The condition exists in both adult and paediatric forms, which possess several similar characteristics. Adult

  3. Evaluation of Peripheral Arterial Disease in Prediabetes

    Directory of Open Access Journals (Sweden)

    Elham Faghihimani

    2014-01-01

    Conclusions: Peripheral arterial disease is common in asymptomatic diabetes and prediabetes patients. Management of hypertensive prediabetes patients and early detection of PAD in this group as well as in asymptomatic patients is important.

  4. Acute Arterial Thrombosis of the Hand.

    Science.gov (United States)

    Iannuzzi, Nicholas P; Higgins, James P

    2015-10-01

    Arterial thrombosis of the hand occurs infrequently but may result in considerable morbidity and compromise of hand function. The hand surgeon may be called upon to direct management in cases of acute arterial thrombosis of the hand and should have an understanding of the available diagnostic tools and treatment modalities. This article discusses the vascular anatomy of the hand and clinical manifestations of arterial thrombosis. Differences between isolated thrombosis and diffuse intravascular injury are detailed, and treatment options for these conditions are described. Appropriate care often requires coordination with interventional radiologists or vascular surgeons. Outcomes after treatment of arterial thrombosis of the hand are variable, and prognosis may be related to whether isolated thrombosis or diffuse intravascular injury is present.

  5. Ischemic stroke: carotid and vertebral artery disease

    Energy Technology Data Exchange (ETDEWEB)

    Vilela, P.; Goulao, A. [Hospital Garcia de Orta, Servico de Neurorradiologia, Almada (Portugal)

    2005-03-01

    Ischemic strokes may have distinct aetiologies, including several different intrinsic arterial pathological disorders. The diagnosis and understanding of these arterial diseases is critical for the correct management of stroke as different treatment approaches are undertaken according to the aetiology. Atherosclerosis is by far the most common arterial disease among adults, and other pathological processes include arterial dissection, small vessel disease, inflammatory and non-inflammatory vasculopathy and vasomotor disorders. In children, there are several vasculopathies responsible for vaso-occlusive disease such as sickle-cell anemia, acute regressive angiopathy and Moya-Moya disease, neurofibromatosis, dissections, vasculitis associated with intracranial and systemic infections. An overview of the major carotid and vertebral pathological diseases responsible for ischemic stroke in adults and children, highlighting the accuracy of the different imaging modalities for its diagnosis and the imaging appearance of these diseases, is given. (orig.)

  6. Unusual migration of pulmonary artery catheter

    Directory of Open Access Journals (Sweden)

    Sanjay Kuravinakop

    2007-01-01

    Full Text Available Pulmonary artery catheter is widely used in intensive care. Distal migration of the catheter is a know complication. Diagnosis of such a migration is made by both clinical criteria and radiographs. A 55 year old septic lady was admitted to the intensive care unit. Pulmonary artery catheter introduced for cardiac output monitoring migrated from right lung to left lung. Diagnosis was made following a chest radiograph the following day of insertion with the clinical criteria remaining unaltered. Migration of pulmonary artery catheter can occur not only distally but from one lung to another. Clinical criteria alone cannot rule out migration. Chest radiographs form an important part in monitoring the position of the pulmonary artery catheter.

  7. Cervical artery dissection following a turbulent flight.

    LENUS (Irish Health Repository)

    Quinn, Colin

    2012-01-31

    BACKGROUND: Cervical artery dissection is a common cause of stroke in young patients without vascular risk factors and may affect the carotid or vertebral arteries. The risk of spontaneous dissection is higher in those with genetic predisposing factors while other cases may be precipitated by an event involving head or neck movement or associated with direct neck trauma. CASE REPORT: We present the case of a previously well young woman with a history of migraine who developed internal carotid artery dissection following a turbulent short-haul commercial flight while restrained using a seatbelt. DISCUSSION: We propose that repetitive flexion-hyperextension neck movements encountered during the flight were the most likely precipitant of carotid artery dissection in this case and review the therapeutic options available.

  8. Transcutaneous Determination of Arterial Oxygen Tension

    Science.gov (United States)

    Fenner, A.; And Others

    1975-01-01

    Evaluated were two techniques (the conventional method and the new transcutaneous method) of measuring arterial oxygen tension in 20 severely ill preterm and term infants and in 70 healthy infants. (Author/CL)

  9. Spontaneous Coronary Artery Dissection with Cardiac Tamponade.

    Science.gov (United States)

    Goh, Anne C H; Lundstrom, Robert J

    2015-10-01

    Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome. Clinical presentation ranges from chest pain alone to ST-segment-elevation myocardial infarction, ventricular fibrillation, and sudden death. The treatment of patients with spontaneous coronary artery dissection is challenging because the disease pathophysiology is unclear, optimal treatment is unknown, and short- and long-term prognostic data are minimal. We report the case of a 70-year-old woman who presented with an acute ST-segment-elevation myocardial infarction secondary to a spontaneous dissection of the left anterior descending coronary artery. She was treated conservatively. Cardiac tamponade developed 16 hours after presentation. Repeat coronary angiography revealed extension of the dissection. Medical therapy was continued after the hemopericardium was aspirated. The patient remained asymptomatic 3 years after hospital discharge. To our knowledge, this is the first reported case of spontaneous coronary artery dissection in association with cardiac tamponade that was treated conservatively and had a successful outcome.

  10. A histopathologic study of retinal arterial aneurysms.

    Science.gov (United States)

    Fichte, C; Streeten, B W; Friedman, A H

    1978-04-01

    An isolated retinal arterial aneurysm was found postmortem in the eye of a 75-year-old hypertensive woman, and multiple aneurysms were in the enucleated eye of a 68-year-old hypertensive man with neovascular glaucoma. The aneurysmal sites showed thickening of the vessel walls with hyaline, fibrin, and foamy macrophages. Fresh or organized thrombus partially filled the aneurysmal lumina. Trypsin digestion preparations in Case 2 showed a progressive severity of aneurysmal changes from the simplest "cuff" type to the hemorrhagic "b;pwout" aneurysms with a linear split in the vessel wall. Atheroma was present in the larger arterial branches and fat was in most of the aneurysmal walls. These findings suggested that damage to the arterial wall by cholesterol or other emboli, or by occlusive disease, may predispose especially hypertensive patients to arterial aneurysm formation.

  11. Oxygen transfer in human carotid artery bifurcation

    Institute of Scientific and Technical Information of China (English)

    Z.G.Zhang; Y.B.Fan; X.Y.Deng

    2007-01-01

    Arterial bifurcations are places where blood flow may be disturbed and slow recirculation flow may occur.To reveal the correlation between local oxygen transfer and atherogenesis, a finite element method was employed to simulate the blood flow and the oxygen transfer in the human carotid artery bifurcation. Under steady-state flow conditions, the numerical simulation demonstrated a variation in local oxygen transfer at the bifurcation, showing that the convective condition in the disturbed flow region may produce uneven local oxygen transfer at the blood/wall interface.The disturbed blood flow with formation of slow eddies in the carotid sinus resulted in a depression in oxygen supply to the arterial wall at the entry of the sinus, which in turn may lead to an atherogenic response of the arterial wall, and contribute to the development of atherosclerotic stenosis there.

  12. Anomalous Coronary Artery: Run of a Lifetime.

    Science.gov (United States)

    Green, Michael Stuart; Sehgal, Sankalp; Smukler, Naomi; Suber, LaDouglas Jarod; Saththasivam, Pooven

    2016-09-01

    The anatomy of the coronary circulation is well described with incidence of congenital anomalies of approximately 0.3% to 1.0%. Although often incidental, 20% are life-threatening. A 25-year-old woman with syncopal episodes collapsed following a 10-km run. Coronary anatomy evaluation showed an anomalous left main coronary artery originating from the right sinus of valsalva and following a course between the aorta and the pulmonary outflow tract. Percutaneous coronary intervention was followed by eventual surgical revascularization. Abnormal course of coronary arteries plays a role in the pathogenesis of sudden death on exertion. Origin of the left main coronary from the right sinus of valsalva is a rare congenital anomaly. The expansion of the roots of the aorta and pulmonary trunk with exertion lead to compression of the coronary artery and syncope. Our patient raises awareness of a potentially fatal coronary artery path. Intraoperative identification of anomalous coronaries by utilizing intraoperative transesophageal echocardiography was critical.

  13. Surgical repair of pulmonary artery branches.

    Science.gov (United States)

    Ghez, Olivier; Saeed, Imran; Serrato, Maria; Quintero, Diana Bernal; Kreitmann, Bernard; Fraisse, Alain; Uemura, Hideki; Seale, Anna; Daubeney, Piers; McCarthy, Karen; Ho, S Yen

    2013-01-01

    Surgical repair of pulmonary artery (PA) branches encompasses many different clinical scenarios and technical challenges. The most common, such as bifurcation and central PA reconstruction, are described, as well as the challenges of complex and peripheral reconstruction.

  14. Acute stenting and thromboaspiration in basilar artery occlusions due to embolism from the dominating vertebral artery

    Energy Technology Data Exchange (ETDEWEB)

    Nedeltchev, K.; Remonda, L.; Brekenfeld, C.; Ozdoba, C.; Schroth, G. [Institute of Diagnostic and Interventional Neuroradiology, University of Bern, Inselspital, Freiburgstrasse 4, 3010, Bern (Switzerland); Do, D.D. [Institute of Angiology, University of Bern, Inselspital, Bern (Switzerland); Arnold, M.; Mattle, H.P. [Department of Neurology, University of Bern, Inselspital, Bern (Switzerland)

    2004-08-01

    Intra-arterial thrombolysis (IAT) is the only treatment that has demonstrated benefit in patients with acute basilar artery occlusions (ABAO). IAT may be difficult to perform when access to the occluded basilar artery (BA) is prevented by pathology of the vertebral arteries (VA). We report on two patients with ABAO due to embolism from the dominating VA. Catheter navigation through the occluded VA and thromboaspiration enabled access to the BA. Thromboaspiration alone or in addition to IAT resulted in a complete recanalization of the BA and a favorable clinical outcome. A stent was deployed at the site of the stenosis in the VA either prior to or immediately after BA recanalization. (orig.)

  15. A Renal Perforating Artery Mistaken for Arterial Bleeding after Percutaneous Renal Biopsy: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ye Lim; Lee, Chang Hee; Kim, Kyeong Ah; Park, Cheol Min [Korea University College of Medicine, Seoul (Korea, Republic of)

    2009-12-15

    Perirenal hematoma after a renal biopsy is a common complication that usually resolves spontaneously, but this rarely requires transfusions or surgical/radiological intervention. We report here on a case of a renal perforating artery that was mistaken for renal arterial bleeding in a 53-year-old woman who was complicated with perirenal hematoma after undergoing a percutaneous renal biopsy. On the color and pulsed wave Doppler ultrasonography, linear blood flow was seen in the perirenal hematoma, which extended perpendicularly from the renal parenchyma into the perirenal space, and this linear blood flow exhibited an arterial pulse wave. On CT angiography, the renal perforating artery was demonstrated as a curvilinear vessel coursing tangentially to the renal margin and we decided that it was a pseudolesion caused by the renal perforating artery. A renal perforating artery may be mistaken for renal arterial bleeding after a percutaneous renal biopsy. A renal perforating artery and arterial bleeding can be differentiated by the location and shape seen on a color Doppler examination and the pulse waves characteristics

  16. Selective thrombolysis performed through meningo-ophthalmic artery in central retinal artery occlusion.

    Science.gov (United States)

    Cohen, José E; Moscovici, Samuel; Halpert, Michael; Itshayek, Eyal

    2012-03-01

    The poor natural history of central retinal artery occlusion (CRAO) is usually not modified with conventional, conservative management techniques. Guidelines for selective intraarterial ophthalmic thrombolysis are still lacking. While many centers continue to perform this procedure with promising results, others are reluctant due to conflicting findings in recent studies. We present our experience in a 36-year-old male with CRAO. Based on the patient's clinical presentation, we planned to perform selective intraarterial ophthalmic thrombolysis via the ophthalmic artery. When angiography demonstrated that the retina was not supplied by the ophthalmic artery, but by a meningo-ophthalmic artery branching from the internal maxillary artery, we instead administered thrombolytic agents via the meningo-ophthalmic artery. The patient's vision recovered completely, with visual acuity and visual field examination at 30 day follow up comparable to his pre-treatment status. This case emphasizes the need for external carotid artery examination in cases of nonvisualization of the ophthalmic artery. In addition, it illustrates the successful use of the meningo-ophthalmic artery to perform selective intraarterial thrombolysis for CRAO.

  17. Ten years patency of left internal mammary artery trunk dissection graft after coronary artery bypass procedure

    Institute of Scientific and Technical Information of China (English)

    CHENG Yu-tong; YU Jian-bo; SUN Tao; QUE Bin; WANG Su; LI Zhi-zhong

    2010-01-01

    @@ The left internal mammary artery (LIMA) had become the conduit of choice for myocardial revascularization, since it has been proved that 10 years patency rates of LIMA grafts are more than 90%. 1,2 The arterial graft trunk dissection is a rare event, affecting the procedure effects and related to reoperation.3 According to Kim and coworker's study,4 the arterial graft trunkdelayed dissection manifested by early post-operative angiography only occurred in 6 of 1111 of the off-pump coronary artery bypass grafts. So up to now, the consequence of dissections without severe hemodynamicabnormality is beyond our knowledge.

  18. [Efferent innervation of the arteries of human leptomeninx in arterial hypertension].

    Science.gov (United States)

    Chertok, V M; Kotsiuba, A E; Babich, E V

    2009-01-01

    Structure of the efferent nerve plexuses (adrenergic, acetylcholinestherase- and cholinacetyltranspherase-positive, NO-dependent), was studied in the arteries of human leptomeninx with different diameters. Material was obtained from the corpses of the healthy people and of the patients with initial stages of arterial hypertension (AH). It was shown that the concentrations of cholinergic and adrenergic nerve fibers and varicosities in axon terminal part, innervating the arteries with the diameters ranging from 450 till 100 microm, were not significantly different. In these arteries, NO-ergic plexuses were also detected. In patients with AH, regardless the arterial diameters, the significant increase (up to 15-20%) of adrenergic nerve fiber and varicosity concentrations was found. The changes in cholinergic nerve fiber concentration were found to depend on the vessel diameter: the significant decrease of these parameter was observed only in arteries with the diameter of 100-200 microm. No significant changes in nerve plexus concentration was noticed in the arteries with greater or smaller diameter. In NO-ergic neural conductors, the enzyme activity decreased only in the large arteries, and remained almost unchanged in the small vascular branches. The changes in the vasomotor innervation described in AH, are interpreted as a vasomotor innervation dysfunction of the leptomeninx arteries that may result in the hemodynamic disturbances.

  19. Left bronchial artery arising from a replaced left hepatic artery in a patient with massive hemoptysis

    Energy Technology Data Exchange (ETDEWEB)

    Khil, Eun Kyung; Lee, Jae Myung [Dept. of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon (Korea, Republic of)

    2015-09-15

    A 70-year-old man with a 3-year history of bronchiectasis presented with massive hemoptysis that had lasted for 3 days. In our attempt to perform bronchial artery embolization, upper abdominal angiography was required to locate the left bronchial artery, which in this case was of anomalous origin, arising from a replaced left hepatic artery, which arose from the left gastric artery-a very unusual anatomical variant. We performed embolization with polyvinyl alcohol particles, and the patient's symptoms resolved completely, with no additional complications after conservative treatment.

  20. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Amirzargar

    2013-01-01

    Full Text Available The most common anatomic variant seen in the donor kidneys for renal transplantation is multiple renal arteries (MRA, which can cause an increased risk of complications. We describe the long-term outcomes of 16 years of experience in 76 kidney transplantations with MRAs. In a new reconstruction technique, we remove arterial clamps after anastomosing the donor to the recipient′s main renal vessels, which cause backflow from accessory arteries to prevent thrombosis. By this technique, we reduce the ischemic times as well as the operating times. Both in live or cadaver donor kidneys, lower polar arteries were anastomosed to the inferior epigastric artery and upper polar arteries were anastomosed to the superior epigastric arteries. Injection of Papaverine and ablation of sympathic nerves of these arteries dilate and prevent them from post-operative spasm. Follow-up DTPA renal scan in all patients showed good perfusion and function of the transplanted kidney, except two cases of polar arterial thrombosis. Mean creatinine levels during at least two years of follow-up remained acceptable. Patient and graft survival were excellent. No cases of ATN, hypertension, rejection and urologic complications were found. In conclusion, this technique can be safely and successfully utilized for renal transplantation with kidneys having MRAs, and may be associated with a lower complication rate and better graft function compared with the existing techniques.

  1. Congenital absence of the internal carotid artery and the basilar artery with persistent trigeminal artery associated with coarctation of the aorta

    Energy Technology Data Exchange (ETDEWEB)

    Jaeger, H.J.; Mehring, U.M.; Gissler, H.M.; Mathias, K.D. [Dept. of Diagnostic Radiology, Staedtische Kliniken Dortmund (Germany); Dept. of Radiology and MicroTherapy, Univ. of Witten/Herdecke (Germany)

    2000-11-01

    We report a case of congenital absence of the cervical and petrous part of the left internal carotid artery, the middle and proximal part of the basilar artery, and the V4 segment of the left vertebral artery associated with a left persistent trigeminal artery and a coarctation of the aorta. The left cerebral vessels are supplied via the anterior communicating artery and the left persistent trigeminal artery. The coexisting coarctation of the aorta led to a subclavian steal phenomenon. The alteration of the cerebral hemodynamics has to be taken in consideration when performing cerebral angiography and surgical correction in such a case. (orig.)

  2. Anomalous branching pattern of common hepatic artery: a case report

    Directory of Open Access Journals (Sweden)

    Sushant S. Das

    2014-08-01

    Full Text Available A number of hepatic artery variations exists which is continuously proving a hindrance for the surgeons and radiologists. During routine dissection in the subhepatic region in 50 year old male cadaver for undergraduate teaching, a variation in the branching pattern of common hepatic artery was noticed. We observed an unusual branching of the common hepatic artery into seven terminal branches, of which two were left hepatic arteries, two were right gastric arteries and the remaining three were right hepatic artery, cystic artery and gastroduodenal artery. Hepatic artery proper was absent. Embryological basis of these variations were discussed. The present case is a rarity and will further throw light on the knowledge of the hepatic artery variations, thus assisting surgeons and radiologists in various surgical and diagnostic procedures. [Int J Res Med Sci 2014; 2(4.000: 1740-1742

  3. Porcine radial artery decellularization by high hydrostatic pressure.

    Science.gov (United States)

    Negishi, Jun; Funamoto, Seiichi; Kimura, Tsuyoshi; Nam, Kwangoo; Higami, Tetsuya; Kishida, Akio

    2015-11-01

    Many types of decellularized tissues have been studied and some have been commercially used in clinics. In this study, small-diameter vascular grafts were made using HHP to decellularize porcine radial arteries. One decellularization method, high hydrostatic pressure (HHP), has been used to prepare the decellularized porcine tissues. Low-temperature treatment was effective in preserving collagen and collagen structures in decellularized porcine carotid arteries. The collagen and elastin structures and mechanical properties of HHP-decellularized radial arteries were similar to those of untreated radial arteries. Xenogeneic transplantation (into rats) was performed using HHP-decellularized radial arteries and an untreated porcine radial artery. Two weeks after transplantation into rat carotid arteries, the HHP-decellularized radial arteries were patent and without thrombosis. In addition, the luminal surface of each decellularized artery was covered by recipient endothelial cells and the arterial medium was fully infiltrated with recipient cells.

  4. Anterior Tibial Artery Pseudoaneurysm: Case Report

    Directory of Open Access Journals (Sweden)

    Funda Tor

    2012-06-01

    Full Text Available The aneurysmsatic changes of the infrapopliteal arteries are rarely seen. They are pseudoaneurysms rather than true aneursyms. The most important cause of them is trauma. There is not a standart treatment for infrapopliteal aneursyms. In this study, we have evaluated a case operated for anterior tibial artery pseudoaneurysm developed after penetrant trauma and diagnosed two weeks later. [Cukurova Med J 2012; 37(3.000: 172-175

  5. Lineage Analysis in Pulmonary Arterial Hypertension

    Science.gov (United States)

    2013-06-01

    endothelial cells 12, 13. At the level of small pulmonary arteries, the occlusion by neointimal formation significantly exceeds muscularization of the...pyrrole. A, B) Normal muscular pulmonary artery (PA) adjacent to bronchiole (Br) A) hematoxylin and eosin stain (H&E), B) elastin-van Gieson stain (EVG...Iyer NV, Huso DL, Sun X, McWilliams R, Beaty T, Sham JS, Wiener CM, Sylvester JT, Semenza GL. Impaired physiological responses to chronic hypoxia in

  6. Branch retinal artery occlusion in Susac's syndrome

    Directory of Open Access Journals (Sweden)

    Ricardo Evangelista Marrocos de Aragão

    2015-02-01

    Full Text Available Susac's syndrome is a rare disease attribuited to a microangiopathy involving the arterioles of the cochlea, retina and brain. Encefalopathy, hearing loss, and visual deficits are the hallmarks of the disease. Visual loss is due to multiple, recurrent branch arterial retinal occlusions. We report a case of a 20-year-old women with Susac syndrome presented with peripheral vestibular syndrome, hearing loss, ataxia, vertigo, and vision loss due occlusion of the retinal branch artery.

  7. Superior mesenteric artery compression syndrome - case report

    OpenAIRE

    Paulo Rocha França Neto; Rodrigo de Almeida Paiva; Antônio Lacerda Filho; Fábio Lopes de Queiroz; Teon Noronha

    2011-01-01

    Superior mesenteric artery syndrome is an entity generally caused by the loss of the intervening mesenteric fat pad, resulting in compression of the third portion of the duodenum by the superior mesenteric artery. This article reports the case of a patient with irremovable metastatic adenocarcinoma in the sigmoid colon, that evolved with intense vomiting. Intestinal transit was carried out, which showed important gastric dilation extended until the third portion of the duodenum, compatible wi...

  8. LOS TRATADOS INTERNACIONALES Y SUS POSIBLES CONFLICTOS EN EL ORDEN INTERNO A LA LUZ DE LA CONSTITUCIÓN DE LA REPUBLICA BOLIVARIANA DE VENEZUELA

    Directory of Open Access Journals (Sweden)

    María Fátima Pinho de Oliveira

    2012-01-01

    Full Text Available This research is intended to perform an analysis of international treaties and possible conflicts in the internal order in light of the Constitution of the Bolivarian Republic of Venezuela, based on two (2 major theories underlying the application of international law and the law states. These theories are the Monist and Dualist, the first provides that domestic law and international law are two systems of identical legal or legal nature, because their purposes and audiences are the same. Indeed, the two legal systems have a source to an agreement or consensus of wills; the second, however, public international law and domestic law are two systems or State laws of different legal nature because they have different sources and recipients. If we analyze some articles on the Constitution of the Bolivarian Republic of Venezuela, we see that it holds no preference on any of the two (2 theories, but has a mixed theory, in some cases monistic theory applies, but other cases the dualistic theory.La presente investigación tiene como finalidad realizar un análisis sobre los tratados internacionales y sus posibles conflictos en el orden interno a la luz de la Constitución de la República Bolivariana de Venezuela, partiendo de dos (2 principales teorías que sustentan la aplicación del derecho internacional y el derecho interno de los estados. Dichas teorías son la Monista y la Dualista, la primera establece que el derecho interno y el derecho internacional son dos sistemas u ordenamientos jurídicos de idéntica naturaleza jurídica, porque sus funciones y destinatarios son los mismos. En efecto ambos sistemas jurídicos tienen como fuente un acuerdo o consenso de voluntades; la segunda, en cambio, el Derecho Internacional Público y el Derecho Interno Estatal son dos sistemas u ordenamientos jurídicos de naturaleza jurídica diferente porque tienen fuentes y destinatarios distintos. Si se analizan algunos artículos referidos en la Constitución de

  9. La relación entre profesionales de enfermería y medicina: Una posible explicación de los resultados

    Directory of Open Access Journals (Sweden)

    Luis Felipe González Castro, MD

    2010-01-01

    Full Text Available En el ejercicio médico hay un sin número de relaciones. La relación entre el servicio de enfermería y el médico es tal vez la más constante y funcional. Estos actores se comunican por un método de presentación variable donde se incluye al paciente de acuerdo a las circunstancias. Por allí es donde se transmite el llamado de dolor, los sentimientos, una duda, una queja, una novedad, un diagnóstico, una orden; en fin, una verdadera forma de hacer medicina. En gran medida los resultados obtenidos por el personal de salud obedecen a labuena comunicación y a la pronta respuesta ante cierto problema. La relación médico-enfermería es quizás la columna vertebral de una buena atención en salud. Esta relación profesional no da cabida a torpezas; la hostilidad, el mal trabajo en equipo, los temores, la exagerada distancia, las ocultaciones, la mentira, las malas relacionespersonales, la desconfianza, el estrés, entre otros, son el gran enemigo de un elemental individuo, el paciente. Analizar que tan buena relación tenemos en este canal nos permite entender mejor el posible porqué de nuestros resultados. ______________________________________________________________________Several relationship styles emerge from the medical care context in hospital-based settings, with special regard to the care partnership between physicians and nurses. Nurses and doctors as health providers communicate among themselves by engaging in a process of self-disclosure mediated by the information related to their patients' conditions. Both address patients' needs, feelings, and illness-related concerns such as fears, preventions, requests, and coping skills. Also, they discuss their own doubts as well as outcomes and other resources needed to be assessed during the interventionprocess. Significant evidence has been found from health providers' perspective, demonstrating that open communication, as well as timing and active coping strategies, are crucial to

  10. Posibles actuaciones para la minimización del impacto ambiental de los humos de la sinterización siderúrgica

    Directory of Open Access Journals (Sweden)

    García-Carcedo, F.

    2004-08-01

    Full Text Available In sintering plants, gaseous emissions are generated wbich must comply with increasingly demanding environmental regulations. In the sintering process, about 40 kg of coke and1,700 Nm of air are used per ton of useful sinter. Sintering fumes have a gaseous phase formed mainly of N2, O2, CO2, H2O and CO and the minor components SO2, SO3, NO and NO2. Other minor components include unburned organic products and CIH, and minimal proportions of other high impact compounds such as dioxins and furans are also present. Chlorides and heavy metals are present in the solid fraction. This paper reviews the situation of each emission in relation with the applicable regulations, and the possible means of reducing these emissions.

    En las plantas de sinterización se generan emisiones gaseosas que deben cumiplir normativasambientales que tienden a ser, cada vez, más exigentes. En el proceso se utilizan alrededorde 40 Kg de coque y 1.700 Nm de aire por tonelada de sinter útil. Los humos desinterización tienen una fase gaseosa formada principalmente por N2, O2, CO2, H2O y CO,siendo los componentes minoritarios SO2, SO3, NO y NO2. Otros componentesminoritarios son los productos orgánicos inquemados y CIH. También están presentes enproporciones mínimas otros compuestos de alto impacto tales como dioxinas y furanos. Enla fracción sólida están presentes cloruros y metales pesados. En el presente trabajo se revisala situación de cada emisión frente a la normativa, además de los posibles medios dereducción de las emisiones.

  11. DE LA BIOÉTICA DE LA VIRTUD A LA BIOÉTICA PERSONALISTA: ¿UNA INTEGRACIÓN POSIBLE?

    Directory of Open Access Journals (Sweden)

    LUIS MIGUEL PASTOR

    2013-01-01

    Full Text Available En este artículo se analiza como en la modernidad se ha ido perdiendo la idea de la virtud como elemento importante del obrar ético humano. Se constata que actualmente tanto en la ética como en la bioética han surgido propuestas para rehabilitar la virtud y considerarla un elemento muy importante de la eticidad humana. En concreto, en el ámbito sanitario, la rehabilitación de la virtud, supondría centrarse más en el carácter ético de los profesionales y en su mejora personal, que en su adiestramiento para la resolución de casos éticos. Tal orientación supondría también un perfeccionamiento de la relación sanitaria con un aumento no sólo de la calidad técnica sino también humana de las profesiones biosanitarias. Ahora bien, tal orientación o corriente bioética sufre de un cierto déficit en su fundamentación pues le falta de una teoría completa sobre la acción humana que abarque tanto al bien como a la norma. En la segunda parte del artículo se aborda la relación de la virtud con la bioética personalista. La virtud es considerada en ésta bioética como un elemento importante de la acción humana integrada con el bien y la norma. Después de analizar y distinguir entre lo que hoy se considera bioética personalista de las aportaciones del personalismo a la bioética, el artículo concluye que la integración de la bioética de la virtud en la personalista no sólo es posible sino deseable a fin de superar el minimalismo ético al que ha sido abocada la bioética actual por el principialismo.

  12. Idiopathic aneurysm of pulmonary artery

    Energy Technology Data Exchange (ETDEWEB)

    Pacheco, Julio B. Cota; Pimentel, Patricia N.; Knust, Beatriz S., E-mail: jcota@uol.com.br [Clinica de Cardiologia Cota Pacheco, Mogi das Cruzes, SP (Brazil)

    2015-07-15

    Because it is a very rare isolated lesion, we decided to present this case of idiopathic pulmonary artery aneurysm (IPAA) and review the cases published in the literature in order to correlate our clinical and imaging findings, as well as management based on patient data. IPAA was first described in a case of autopsy by Bristowe in 1860 and later in 1947 by Deterling and Claggett, whose prevalence was lower than eight to one hundred thousand. Although the use of diagnostic imaging methods has been applied in a very large population in recent decades, this lesion has been most often described in postmortem examinations. Therefore, it is important to be aware of possible clinical symptoms, at times non-specific, as well as the signs on imaging studies. In this study, therefore, the report of a case of an asymptomatic patient whose diagnosis was done through color Doppler echocardiography in a routine test in 2012, later confirmed by simple chest computed tomography (chest CT) and cardiac catheterization as IPAA and its branches. We discussed the literature available and the possibilities for treatment and the use of color Doppler echocardiography as an initial diagnostic tool for such a rare and intriguing disease. (author)

  13. [Other techniques of arterial recanalization].

    Science.gov (United States)

    Lablanche, J M; Bauters, C; Leroy, F; Bertrand, M E

    1990-11-11

    During the last few years several new instruments have been added to the armentarium of endovascular procedures. They are aimed at destroying atheromatous plaques and recalibrating the arteries. The plaque destruction techniques include atherectomy which may be directional (as with Simpson's Atherocath) and applicable only to very proximal vascular segments, or rotational, pulverizing the plaques with a bur. In this category are the flexible Auth's rotablator and Stack's transluminal extraction catheter (TEC) where planning is combined with extraction. To traverse complete occlusions, Kaltenbach's rotating guide increases the success rate, but its use must always be completed by conventional angioplasty. Vascular recalibration can be achieved by stents or heating balloons. Numerous types of stent are now available. The best known are the Medivent stent which is self-expansive and stents with expanding balloons, such as the Palmaz Schatz stent or the radio-opaque Wiktor stent made of tantalum. These stents require an important anticoagulant therapy. These technique have widened the limits of angioplasty by tackling stenoses that have long been regarded as inaccessible. They have also made it possible to treat a number of acute occlusions. On the other hand, none of them has yet proved effective in the prevention of restenosis.

  14. PSEUDOANEURYSM OF INTERNAL ILIAC ARTERY

    Directory of Open Access Journals (Sweden)

    Seema Khanna

    2014-04-01

    Full Text Available An unusual cause of vaginal beeding after total abdominal hysterectomy is being reported. Histopathology revealed adenomyosis uteri and bilateral ovarian cyst. On examination there was a single lump in the hypogastrium and left iliac fossa. Auscultation revealed a faint continuous hum. On digital rectal examination, a bulge was felt, while per vaginum examination revealed mucosal congestion and bulging of mucosa. Ultrasound revealed a mass posterior to the urinary bladder. Duplex study demonstrated the yin-yang sign suggestive of a pseudo-aneurysm .CT Angiography was confirmatory and demonstrated a pseudoaneurysm arising from the left internal iliac artery. Patient underwent surgery.Postoperative period was uneventful . The commonest cause of IIA aneurysm is atherosclerosis. Other causes are arteritis ,collagen vascular disease, infection, trauma. An important subgroup is young females, who have undergone difficult delivery, forceps delivery or caesarian section or abdominal hysterectomy IIA aneurysms are usually discovered incidentally on pelvic imaging for any other indication. Surgery is the mainstay of treatment but endovascular procedures are gaining ground . [Natl J Med Res 2014; 4(2.000: 181-182

  15. Anomalous origin of the left coronary artery from the pulmonary artery in children: diagnostic use of multidetector computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Shen, Quanli; Yao, Qiong; Hu, Xihong [Children' s Hospital of Fudan University, Department of Radiology, Shanghai (China)

    2016-09-15

    Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly. It is important to demonstrate the anomalous origin of the left coronary artery and its course before surgery. To explore the clinical diagnostic use of multidetector CT coronary angiography in detecting anomalous origin of the left coronary artery from the pulmonary artery in children. Nine children (2 boys, 7 girls) ages 2 months to 9 years with surgically confirmed anomalous origin of the left coronary artery from the pulmonary artery were studied. Clinical data, transthoracic echocardiography and CT coronary angiography images were retrospectively analyzed. Transthoracic echocardiography correctly diagnosed anomalous origin of the left coronary artery from the pulmonary artery in 7 of 9 patients (95% CI: 40-97%). CT coronary angiography revealed the anomalous origin of the left coronary artery in all children (95% CI: 66-100%). In a 4-year-old girl and a 9-year-old girl, CT coronary angiography showed dilation of the right coronary artery and collateral circulation between the right and the left coronary arteries. CT coronary angiography is a useful method to show the anomalous origin of the coronary artery in children with anomalous origin of the left coronary artery from the pulmonary artery, especially for patients in whom origin of the left coronary artery cannot be detected by transthoracic echocardiography. (orig.)

  16. Microsurgical anatomy of the middle cerebral artery

    Directory of Open Access Journals (Sweden)

    Pai S

    2005-01-01

    Full Text Available Background: The microsurgical anatomy of the middle cerebral artery (MCA is of particular interest to the cerebrovascular surgeon. The purpose of this study was to define the microsurgical anatomy of the MCA and its various branches in the Indian population. Methods: Ten MCAs were studied from five cadaveric brain specimens. The authors studied the outer diameter, length, branches, perforators and site of these on the main trunk (M1, the division of the main trunk, the secondary trunks and their various cortical branches using the operating microscope under 5-20x magnification. Results: The outer diameter of the MCA main trunk ranges from 2.5 to 4 mm with a mean of 3.35 mm. The superolateral branches consisted of polar temporal artery and anterior temporal artery that had a common origin and sometimes the uncal artery or the accessory uncal artery. Perforators or lenticulostriate arteries were seen in the inferomedial surface all along the length of M1. Eight bifurcations and two trifurcations were noted. Cortical branches and their origin are discussed. Conclusion: Although the microsurgical anatomy of the MCA in Indian population correlated with the findings in the western literature, some structural and statistical variations were noted.

  17. Carotid artery stenting will replace carotid endarterectomy.

    Science.gov (United States)

    McCormick, Daniel J; Vlad, Tudor; Fasseas, Panayotis

    2007-09-01

    Stroke is the third leading cause of death in the United States. Carotid artery stenosis represents one of the most common etiologies of stroke. The current treatment modalities available for the treatment of carotid artery stenosis are carotid endarterectomy (CEA) and carotid artery stenting (CAS). Several clinical trials comparing CEA with medical management showed superiority of the surgical arm; however, the applicability of these results to the general population is limited by the fact that the patients and surgeons enrolled in these trials were carefully selected, and the optimal medical therapy used does not meet the current treatment standards. Carotid artery stenting has emerged as a treatment alternative to CEA, as shown in randomized trials comparing the 2 treatment modalities. Recent data from large-volume CAS registries indicate that percutaneous treatment of carotid artery stenosis compares favorably to CEA. Furthermore, the CAS trial designs make these results more applicable to the community standards. These data suggest that CAS will become the treatment of choice in patients with carotid artery stenosis.

  18. [Arterial vascularization of the triceps sural muscle].

    Science.gov (United States)

    Mairesse, J L; Mestdagh, H; Procyk, S; Depreux, R

    1984-01-01

    The triceps surae muscle, the dorsal and medial leg skin constitute a very important reserve of muscular and myocutaneous flaps. The material on which the study was carried out consisted of 20 legs from standard cadavers. The superficialis femoral artery was injected with terebenthene and minimum mixture. The medial head of gastrocnemius is 23.3 em long, 6.9 cm wide, 1.25 mm thick at distal third. Its dominant blood supply is carried by the medialis gastrocnemius artery. It rises from popliteal artery 1.2 cm above the femoral tibial articulation with 1.9 mm diameter. It runs 3 cm down before entering muscle where it provides 2 or 3 mean branches. These branches give musculocutaneous arteries to the skin of the dorsal leg. The same study was performed for the lateral head of gastrocnemius and soleus. We studied also arteries of dorsomedial leg skin. The characteristics of long saphenous and short saphenous arteries were described. These muscles and dorsomedial leg skin can be used as muscular or myocutaneous flap for covering defects between the lower leg and the lower thigh.

  19. Analysis, reconstruction and manipulation using arterial snakes

    KAUST Repository

    Li, Guo

    2010-01-01

    Man-made objects often consist of detailed and interleaving structures, which are created using cane, coils, metal wires, rods, etc. The delicate structures, although manufactured using simple procedures, are challenging to scan and reconstruct. We observe that such structures are inherently 1D, and hence are naturally represented using an arrangement of generating curves. We refer to the resultant surfaces as arterial surfaces. In this paper we approach for analyzing, reconstructing, and manipulating such arterial surfaces. The core of the algorithm is a novel deformable model, called arterial snake, that simultaneously captures the topology and geometry of the arterial objects. The recovered snakes produce a natural decomposition of the raw scans, with the decomposed parts often capturing meaningful object sections. We demonstrate the robustness of our algorithm on a variety of arterial objects corrupted with noise, outliers, and with large parts missing. We present a range of applications including reconstruction, topology repairing, and manipulation of arterial surfaces by directly controlling the underlying curve network and the associated sectional profiles, which are otherwise challenging to perform. © 2010 ACM.

  20. Irbesartan improves arterial compliance more than lisinopril

    Science.gov (United States)

    Ali, Khalid; Rajkumar, Chakravarthi; Fantin, Francesco; Schiff, Rebekah; Bulpitt, Christopher J

    2009-01-01

    Background Antihypertensive agents can reduce arterial stiffness. We hypothesized that an angiotensin receptor blocker (ARB) irbesartan and an angiotensin converting enzyme inhibitor (ACEI) lisinopril improved arterial compliance. Methods A randomized, double-blind, double-dummy, controlled crossover trial. Fifteen hypertensive patients, mean age 65.5 ± 8.9 years (mean ± SD) were given irbesartan (150 to 300 mg/day) or lisinopril (10 to 20 mg/day) for 12 weeks and then crossed over for 12 weeks. Pulse wave velocity (PWV) in the carotid-femoral (CF), carotid-radial (CR), and femoral dorsalis-pedis (FD) were measured using a Complior® PWV system. Results After 12 weeks, systolic blood pressure (SBP) decreased from 162.4 ± 12.9 to 134.5 ± 14.8 with irbesartan and to 145.2 ± 25 mmHg with lisinopril. Irbesartan and lisinopril reduced PWV (CF) in the elastic arterial system from 15.1 ± 5 to 13.3 ± 2.6 (p < 0.005) and to 14 ± 4.7 (p < 0.05) m/s respectively (p = 0.345). Irbesartan reduced PWV (CR) and PWV (FD), whereas lisinopril did not. The difference between treatments was significant after SBP adjustment (p = 0.037 for PWV (CR) and p < 0.001 for PWV (FD)). Conclusions Irbesartan improved arterial compliance in elastic and muscular arteries, whereas lisinopril improved it only in elastic arteries. PMID:19649309

  1. Echocardiographic evaluation of coronary arteries in congenital heart disease.

    Science.gov (United States)

    Freire, Grace; Miller, Michelle S

    2015-12-01

    Among populations of patients with the congenital heart disease, there is considerable diversity in the anatomy of the coronary arteries. Understanding these anatomical differences is vitally important in directing interventions and surgical repair. In this report, the authors describe the echocardiographic evaluation of the variants of coronary artery anatomy in the following lesions: transposition of the great arteries, congenitally corrected transposition of the great arteries, double-inlet left ventricle, common arterial trunk, tetralogy of Fallot, and double-outlet right ventricle.

  2. Assessment of Nephroprotective Potential of Histochrome during Induced Arterial Hypertension.

    Science.gov (United States)

    Agafonova, I G; Bogdanovich, R N; Kolosova, N G

    2015-12-01

    Magnetic resonance tomography was employed to verify endothelial dysfunction of renal arteries in Wistar and OXYS rats under conditions of induced arterial hypertension. Angiography revealed changes in the size and form of renal arteries of hypertensive animals. In hypertensive rats, histochrome exerted a benevolent therapeutic effect in renal arteries: it decreased BP, diminished thrombus formation in fi ne capillaries and arterioles, demonstrated the anticoagulant properties, partially improved endothelial dysfunction of small renal arteries, and up-regulated the glomerular filtration.

  3. STUDY OF POSTERIOR DIVISION OF INTERNAL ILIAC ARTERY

    Directory of Open Access Journals (Sweden)

    Pavan P Havaldar

    2014-06-01

    Full Text Available Background: The internal iliac artery originates from the common iliac artery at the level of sacroiliac joint. The internal iliac artery descends posterior to the greater sciatic foramen thereby dividing into anterior and posterior divisions. The posterior division of the internal iliac artery is known to give rise to three main branches i.e. iliolumbar artery, lateral sacral artery. Accidental haemorrhage is common during erroneous interpretation of anomalous blood vessels. The knowledge of the normal and the abnormal anatomy of the branches of the internal iliac artery is essential for obstetric surgeons. Methods: 50 adult human pelvic halves were procured from embalmed cadavers of J.J.M. Medical College and S.S.I.M.S & R.C, Davangere, Karnataka, India for the study. Results: Out of 50 specimens, ilio-lumbar artery took origin from posterior division, directly in 22 specimens (44%, with obturator artery in 5 specimens (10% and with superior gluteal artery in 2 specimens (4%. From anterior division, with obturator artery in 6 specimens (12% and with inferior gluteal artery in 1 specimen (2%. From common trunk, as direct branch in 10 specimens (20%, with lateral sacral artery in 1 specimen (2%, with vertebral branch in 1 specimen (2%, with superior gluteal artery in 1 specimen (2% and was found to be absent in 1 specimen (2%. Posterior division of internal iliac artery given origin directly to superior gluteal artery in 44 specimens (88%, with ilio-lumbar artery in 1 specimen (2%, with obturator artery in 2 specimens (4%. Lateral sacral artery from posterior division was observed in 38 specimens (76% and unpaired origin was observed in 7 specimens (14%. Conclusion: Internal iliac artery supplies the pelvic viscera and musculature the knowledge of its branches helpful in pelvis surgeries.

  4. Local effects of atherosclerotic plaque on arterial distensibility.

    Science.gov (United States)

    Giannattasio, C; Failla, M; Emanuelli, G; Grappiolo, A; Boffi, L; Corsi, D; Mancia, G

    2001-11-01

    Hypertension, diabetes, and hypercholesterolemia are characterized by a reduction in arterial distensibility and by accelerated atherosclerosis. Whether arterial stiffening is an inherent feature of these conditions or just the consequence of the atherosclerotic clinical or subclinical lesions is not known, however. Our aim was to obtain information on this issue by directly measuring, in humans, arterial distensibility both at the site of an atherosclerotic lesion and at the proximal normal site. In 10 patients (8 men; mean+/-SEM age, 65.2+/-3.4 years) affected by monolateral hemodynamic significant internal carotid artery stenosis, we measured arterial distensibility (Wall Track System; PIE Medical) bilaterally, both at the internal carotid artery and at the common carotid artery level. In the common carotid artery, measurements were made 3 cm below the bifurcation. In the affected internal carotid artery, measurements were made at the plaque shoulder (wall thickness of 2 mm). Measurements were made in the contralateral internal carotid artery at a symmetrical level. Arterial wall thickness was measured in the same site of arterial distensibility. Arterial distensibility was less in the internal than in the common carotid artery, with a marked reduction at the plaque internal carotid artery level compared with the corresponding contralateral site (-45%, P<0.01). It was also less, however, in the common carotid artery branching into the atherosclerotic internal carotid artery than in the contralateral common carotid artery (-25%, P<0.05). Wall thickness was similar in the 2 common carotid arteries and obviously greater in the affected internal carotid artery than in the contralateral artery. Arterial distensibility was markedly less in the internal carotid artery where there was a plaque compared with the intact contralateral internal carotid artery; it was also less, however, in the common carotid artery of the affected side in comparison with the contralateral

  5. Calculation of arterial wall temperature in atherosclerotic arteries: effect of pulsatile flow, arterial geometry, and plaque structure

    Directory of Open Access Journals (Sweden)

    Kim Taehong

    2007-03-01

    Full Text Available Abstract Background This paper presents calculations of the temperature distribution in an atherosclerotic plaque experiencing an inflammatory process; it analyzes the presence of hot spots in the plaque region and their relationship to blood flow, arterial geometry, and inflammatory cell distribution. Determination of the plaque temperature has become an important topic because plaques showing a temperature inhomogeneity have a higher likelihood of rupture. As a result, monitoring plaque temperature and knowing the factors affecting it can help in the prevention of sudden rupture. Methods The transient temperature profile in inflamed atherosclerotic plaques is calculated by solving an energy equation and the Navier-Stokes equations in 2D idealized arterial models of a bending artery and an arterial bifurcation. For obtaining the numerical solution, the commercial package COMSOL 3.2 was used. The calculations correspond to a parametric study where arterial type and size, as well as plaque geometry and composition, are varied. These calculations are used to analyze the contribution of different factors affecting arterial wall temperature measurements. The main factors considered are the metabolic heat production of inflammatory cells, atherosclerotic plaque length lp, inflammatory cell layer length lmp, and inflammatory cell layer thickness dmp. Results The calculations indicate that the best location to perform the temperature measurement is at the back region of the plaque (0.5 ≤ l/lp ≤ 0.7. The location of the maximum temperature, or hot spot, at the plaque surface can move during the cardiac cycle depending on the arterial geometry and is a direct result of the blood flow pattern. For the bending artery, the hot spot moves 0.6 millimeters along the longitudinal direction; for the arterial bifurcation, the hot spot is concentrated at a single location due to the flow recirculation observed at both ends of the plaque. Focusing on the

  6. Anatomical study of encephalic arterial circuit in Eira barbara

    Directory of Open Access Journals (Sweden)

    Breno Costa de Macedo

    2014-06-01

    Full Text Available Eira barbara is a mustelid with a wide distribution in Latin America, and it is commonly known as the grey-headed tayra. In view of the lack of information regarding the anatomy of mustelids, as well the importance of a vascular model for the understanding of neurological lesions in the central nervous system, this study aimed to determine the morphology and composition of the encephalic arterial circuit of E. barbara, to provide data for future studies. Accordingly, we used two young male specimens, obtained from the area of the Paragominas Bauxite Mine, PA, Brazil, donated to LaPMA after their death. The arterial system was filled with red-colored neoprene latex, and the specimens were then fixed in 10% formaldehyde and dissected for systematization of the blood vessels. The specimens showed the arterial circuit in the base of the brain supplied by the internal carotid arteries and basilar artery. The internal carotid artery, after crossing the dura mater, continued cranially giving rise to the medial cerebral arteries and ending as cranial cerebral arteries that anastomose, closing the arterial circuit rostrally. The caudal communicating arteries integrated the basilar artery with the arterial circle and gave rise to the caudal cerebral and rostral cerebellar arteries. The basilar artery formed the main branches, the medial and caudal cerebellar arteries.

  7. Dynamic contrast-enhanced ultrasound and transient arterial occlusion for quantification of arterial perfusion reserve in peripheral arterial disease

    Energy Technology Data Exchange (ETDEWEB)

    Amarteifio, E., E-mail: erick.amarteifio@med.uni-heidelberg.de [University Hospital of Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Department of Radiology, German Cancer Research Center, Heidelberg (Germany); Wormsbecher, S. [University Hospital of Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Department of Radiology, German Cancer Research Center, Heidelberg (Germany); Krix, M. [University Hospital of Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Department of Radiology, German Cancer Research Center, Heidelberg (Germany); Bracco Imaging Germany, Konstanz (Germany); Demirel, S. [University Hospital of Heidelberg, Department of Vascular Surgery, Heidelberg (Germany); Braun, S. [Department of Biostatistics, German Cancer Research Center, Heidelberg (Germany); Delorme, S. [Department of Radiology, German Cancer Research Center, Heidelberg (Germany); Boeckler, D. [University Hospital of Heidelberg, Department of Vascular Surgery, Heidelberg (Germany); Kauczor, H.-U. [University Hospital of Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Weber, M.-A. [University Hospital of Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Department of Radiology, German Cancer Research Center, Heidelberg (Germany)

    2012-11-15

    Objective: To quantify muscular micro-perfusion and arterial perfusion reserve in peripheral arterial disease (PAD) with dynamic contrast-enhanced ultrasound (CEUS) and transient arterial occlusion. Materials and methods: This study had local institutional review board approval and written informed consent was obtained from all subjects. We examined the dominant lower leg of 40 PAD Fontaine stage IIb patients (mean age, 65 years) and 40 healthy volunteers (mean age, 54 years) with CEUS (7 MHz; MI, 0.28) during continuous intravenous infusion of 4.8 mL microbubbles. Transient arterial occlusion at mid-thigh level simulated physical exercise. With time-CEUS-intensity curves obtained from regions of interest within calf muscles, we derived the maximum CEUS signal after occlusion (max) and its time (t{sub max}), slope to maximum (m), vascular response after occlusion (AUC{sub post}), and analysed accuracy, receiver operating characteristic (ROC) curves, and correlations with ankle-brachial index (ABI) and walking distance. Results: All parameters differed in PAD and volunteers (p < 0.014). In PAD, t{sub max} was delayed (31.2 {+-} 13.6 vs. 16.7 {+-} 8.5 s, p < 0.0001) and negatively correlated with ankle-brachial-index (r = -0.65). m was decreased in PAD (4.3 {+-} 4.6 mL/s vs. 13.1 {+-} 8.4 mL/s, p < 0.0001) and had highest diagnostic accuracy (sensitivity/specificity, 75%/93%) for detection of diminished muscular micro-perfusion in PAD (cut-off value, m < 5{approx}mL/s). Discriminant analysis and ROC curves revealed m, and AUC{sub post} as optimal parameter combination for diagnosing PAD and therefore impaired arterial perfusion reserve. Conclusions: Dynamic CEUS with transient arterial occlusion quantifies muscular micro-perfusion and arterial perfusion reserve. The technique is accurate to diagnose PAD.

  8. Análisis dimensional del comportamiento hiperelástico del tubo arterial bajo un estado multiaxial de tensiones

    Directory of Open Access Journals (Sweden)

    Mauricio Barrera

    2016-01-01

    Full Text Available Se aplicó la mecánica de sólidos hiperelásticos al estudio del comportamiento del tubo arterial, ya que es un medio consolidado en la comprensión de fenómenos de interés para los profesionales de la medicina y de la ingeniería biomédica. En el caso del órgano en cuestión, su estudio se realizó mediante el modelado como un recipiente cilíndrico de pared gruesa, donde la función de energía empleada permitió considerar aspectos microestructurales como la anisotropía y la dispersión de fibras de colágeno. En el problema de equilibrio estático en el que se implementa esta caracterización se representaron las capas media y adventicia de la pared arterial. La solución expedita del problema de valores en la frontera resultante es posible gracias a la asunción de un patrón de deformación de simetría axial. Se encontró que el factor de dispersión de fibras y los demás parámetros adimensionales del mismo orden de magnitud tienen el rol dominante en la rigidez radial del tubo arterial. Los resultados se presentan utilizando grupos adimensionales, lo cual facilita la interpretación rápida del efecto de los numerosos parámetros que emergen.

  9. Feeding Arteries of Primary Tongue Cancers on Intra-arterial Infusion Chemotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Kamitani, Takeshi, E-mail: kamitani@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan); Kawanami, Satoshi, E-mail: kawanami-01@mac.com [Kyushu University, Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences (Japan); Asayama, Yoshiki, E-mail: asayama@radiol.med.kyushu-u.ac.jp; Matsuo, Yoshio, E-mail: yymatsuo@radiol.med.kyushu-u.ac.jp; Yonezawa, Masato, E-mail: ymasato@radiol.med.kyushu-u.ac.jp; Yamasaki, Yuzo, E-mail: yyama@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan); Nagao, Michinobu, E-mail: minagao@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences (Japan); Yamanouchi, Torahiko, E-mail: tora0228@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan); Yabuuchi, Hidetake, E-mail: h-yabu@med.kyushu-u.ac.jp [Kyushu University, Department of Health Sciences, Graduate School of Medical Sciences (Japan); Nakamura, Katsumasa, E-mail: nakam@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan); Nakashima, Torahiko, E-mail: nakatora@qent.med.kyushu-u.ac.jp [Kyushu University, Department of Otorhinolaryngology, Graduate School of Medical Sciences (Japan); Honda, Hiroshi, E-mail: honda@radiol.med.kyushu-u.ac.jp [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan)

    2016-02-15

    PurposeTo evaluate the frequency and the predictive factor of each feeding artery on intra-arterial infusion chemotherapy (IAIC) in primary tongue cancer.Materials and MethodsWe retrospectively evaluated 20 patients who received IAIC for primary tongue cancer. The main and accompanying feeding arteries were identified on super-selective angiography of the branches of the external carotid artery. Tumor diameter, and extension to the contralateral side, tongue extrinsic muscles (TEMs), and lateral mesopharyngeal wall were determined based on magnetic resonance imaging or computed tomography findings.ResultsThe main feeding artery was the ipsilateral lingual artery (LA) in 15 of the 20 examined tumors and the contralateral LA in the other 5. Ten cancers had only one feeding artery, and multiple feeding arteries were detected in the remaining 10. Tumors >4 cm (n = 9), those with extension to the contralateral side (n = 13), and those with extension to TEMs (n = 15) were supplied by significantly larger numbers of feeding arteries compared to tumors without these features (P = 0.01, 0.049, and 0.02, respectively). The frequency of feeding from the contralateral LA was 64 % (9/14) and 17 % (1/6) in tumors with and without extension to the contralateral side, respectively. Feeding from a facial artery (FA) was not detected in tumors ≤4 cm, while 5 of the 9 (56 %) tumors >4 cm were supplied by a FA (P = 0.01).ConclusionA careful search for feeding arteries is required, especially in large tumors with extension to the contralateral side or to TEMs.

  10. Left Circumflex Coronary Artery Fistula Connected to the Right Bronchial Artery Associated with Bronchiectasis: Multidetector CT and Coronary Angiography Findings

    Energy Technology Data Exchange (ETDEWEB)

    Nam, Kyung Jin; Choo, Ki Seok [Dept. of Radiology, Medical Research Institute, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan (Korea, Republic of)

    2013-04-15

    Coronary to bronchial artery fistula is a rare vascular anomaly secondary to enlargement of pre-existing vascular anastomosis between the coronary and bronchial arteries. This occurs when there is a constant disturbance of the pressure equilibrium involving either coronary or broncho-pulmonary disorder. Localized bronchiectasis is the most common related condition in patients with a coronary to bronchial artery fistula. Herein, we report on a case of a large left circumflex coronary artery to right bronchial artery fistula associated with bronchiectasis.

  11. Additional renal arteries: incidence and morphometry.

    Science.gov (United States)

    Satyapal, K S; Haffejee, A A; Singh, B; Ramsaroop, L; Robbs, J V; Kalideen, J M

    2001-01-01

    Advances in surgical and uro-radiological techniques dictate a reappraisal and definition of renal arterial variations. This retrospective study aimed at establishing the incidence of additional renal arteries. Two subsets were analysed viz.: a) Clinical series--130 renal angiograms performed on renal transplant donors, 32 cadaver kidneys used in renal transplantation b) Cadaveric series--74 en-bloc morphologically normal kidney pairs. The sex and race distribution was: males 140, females 96; African 84, Indian 91, White 43 and "Coloured" 18, respectively. Incidence of first and second additional arteries were respectively, 23.2% (R: 18.6%; L: 27.6%) and 4.5% (R: 4.7%; L: 4.4%). Additional arteries occurred more frequently on the left (L: 32.0%; R: 23.3%). The incidence bilaterally was 10.2% (first additional arteries, only). The sex and race incidence (first and second additional) was: males, 28.0%, 5.1%; females, 16.4%, 3.8% and African 31.1%, 5.4%; Indian 13.5%, 4.5%; White 30.9%, 4.4% and "Coloured" 18.5%, 0%; respectively. Significant differences in the incidence of first additional arteries were noted between sex and race. The morphometry of additional renal arteries were lengths (cm) of first and second additional renal arteries: 4.5 and 3.8 (right), 4.9 and 3.7 (left); diameters: 0.4 and 0.3 (right), 0.3 and 0.3 (left). Detailed morphometry of sex and race were also recorded. No statistically significant differences were noted. Our results of the incidence of additional renal arteries of 27.7% compared favourably to that reported in the literature (weighted mean 28.1%). The study is unique in recording detailed morphometry of these vessels. Careful techniques in the identification of this anatomical variation is important since it impacts on renal transplantation surgery, vascular operations for renal artery stenosis, reno-vascular hypertension, Takayasu's disease, renal trauma and uro-radiological procedures.

  12. Ausencia de correlación entre las cifras tensionales, el daño de órgano blanco y la presencia de retinopatía en el modelo animal de hipertensión con L-NAME: ¿Son necesarios nuevos modelos animales en hipertensión arterial?

    OpenAIRE

    Jorge Hernán Ramírez; Mauricio Palacios; Hugo Hernán Ocampo; Claudia Zuluaga; Oscar Gutiérrez

    2006-01-01

    La comunidad científica nacional e internacional utiliza ampliamente modelos animales de hipertensión para el estudio de posibles fármacos antihipertensivos. Sin embargo, algunas de las complicaciones de la hipertensión arterial no se expresan por completo en los modelos animales. En este artículo se presenta la falta de correlación de las cifras tensionales con la retinopatía, en el modelo de ratas hipertensas por L-NAME. Además, plantea interrogantes con respecto al desarrollo de nuevos mod...

  13. Etnobotánica, anatomía y caracterización físico-química del aceite esencial de Baccharis obovata Hook. et Arn. (Asteraceae: Astereae Ethnobotany, anatomy and physicochemical characterization of essential oil of Baccharis obovata Hook. et Arn. (Asteraceae: Astereae

    Directory of Open Access Journals (Sweden)

    Soledad Molares

    2009-06-01

    Full Text Available Baccharis obovata Hook. et Arn. es una especie aromática conocida como "wautro", y forma parte destacada de la herbolaria Mapuche de la Patagonia Argentina. Los objetivos fueron investigar la etnobotánica, la anatomía del vástago, y caracterizar físicoquímicamente el aceite esencial presente en el mismo. Se realizaron entrevistas a pobladores de dos comunidades Mapuches del noroeste de la Patagonia Argentina, y se colectó material vegetal para su observación al microscopio óptico y de barrido ambiental, como así también, para la hidrodestilación del aceite esencial. Los informantes indicaron que la planta es utilizada en forma consensuada para el tratamiento de alopecia, caspa, diversas dermatitis, y cefaleas. Las principales características de la hoja son: mesofilo isobilateral, estomas anomocíticos, tricomas glandulares pluricelulares, y cavidades esquizógenas secretoras de aceites esenciales. El tallo primario presenta tricomas y cavidades secretoras semejantes a los de las hojas, colénquima en las costillas, clorénquima en los valles interrumpido por espacios de aire, cilindro vascular continuo, endodermis uniseriada y por sectores biseriada, esclerénquima discontinuo, y cristales aciculares en células periféricas de médula. Las determinaciones físico-químicas que se aportan son rendimiento medio anual, tiempo óptimo de destilación, densidad relativa, rotación específica e índice de refracción. B. obovata es una especie cosmecéutica de interés, este trabajo contribuye a su conocimiento general, aportando información para futuras tareas de control de calidad y para su conservación biocultural.Baccharis obovata Hook. et Arn. is an aromatic species known as "wautro", and is an important part of the Mapuche herbolarium of Patagonia Argentina. The objectives were to investigate its ethnobotany and shoot anatomy, as well as to characterize physically and chemically its essential oil. Rural informant-interviews were

  14. Desarrollo y validación de una metodología para la determinación de residuos de orto-fenilfenol en aceite esencial de frutas cítricas en Tucumán, R. Argentina Development and validation of a methodology for determining orto-phenylphenol residues in citrus essential oil in Tucumán, Argentina

    Directory of Open Access Journals (Sweden)

    Norma Kamiya

    Full Text Available Los aceites esenciales de frutas cítricas constituyen mezclas complejas de compuestos orgánicos que interfieren en la cuantificación de residuos de plaguicidas. Siendo escasa la bibliografía encontrada para la determinación de orto-fenilfenol (OPP en estas matrices, este trabajo apunta a adaptar, desarrollar, validar y acreditar bajo Norma IRAM 301 (ISO/IEC 17025:2005, un método sencillo y de menor costo. Para dicha cuantificación, se tomaron como punto de partida metodologías aplicadas al análisis de frutas cítricas y se aprovechó el carácter ácido del OPP para separarlo mediante una extracción ácido-base. Posteriormente, fue detectado y cuantificado por cromatografía gaseosa (CG con detector de ionización de llama (FID. Se obtuvieron recuperaciones promedio de 89% a 104%, en el rango de 0,1 a 100 mg/kg, para aceite esencial de limón (AEL; de 93% a 103 % y de 90% a 114% entre 0,2 mg/kg y 10 mg/kg de OPP para aceite esencial de pomelo (AEP blanco y rosado, respectivamente. Los límites de detección fueron 0,05 mg/kg para AEL y 0,1 mg/kg para AEP blanco y rosado. Los límites de cuantificación fueron 0,1 mg/kg para AEL y 0,2 mg/kg para AEP. Además, se observaron una linealidad aceptable en los rangos evaluados e incertidumbres relativas de 24% para AEL, 14% para AEP blanco y 23% para AEP rosado.The essential oils of citric fruits constitute complex mixtures of organic compounds which interfere with pesticide residues quantitation. As there exists scarce bibliography on ortho-phenylphenol (OPP determination in this commodity, the present work aims to adapt, develop and validate a simple and cheaper method for determining phenylphenol residues in citrus essential oil, while certifying it under IRAM 301 standard (ISO/IEC 17025:2005. Citrus fruit analysis methods were used, taking advantage of OPP acidity for its extraction from the commodity by simple acid-base extraction. Later, gas chromatography with flame ionization detector

  15. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease

    NARCIS (Netherlands)

    P.W.J.C. Serruys (Patrick); M-C. Morice (Marie-Claude); A.P. Kappetein (Arie Pieter); A. Colombo (Antonio); D.R. Holmes Jr (David); M.J. Mack (Michael); E. Stahle (Elisabeth); T.E. Feldman (Ted); M.J.B.M. van den Brand (Marcel); E.J. Bass (Eric); N. van Dyck (Nic); K. Leadly (Katrin); K.D. Dawkins (Keith); F.W. Mohr (Friedrich)

    2009-01-01

    textabstractBACKGROUND Percutaneous coronary intervention (PCI) involving drug-eluting stents is increasingly used to treat complex coronary artery disease, although coronary-artery bypass grafting (CABG) has been the treatment of choice historically. Our trial compared PCI and CABG for treating pat

  16. [Pediatric case of congenital coronary artery fistula; surgical result and late changes in coronary artery aneurysm].

    Science.gov (United States)

    Sugawara, Masaaki; Oguma, Fumiaki; Hirahara, Hiroyuki

    2014-07-01

    Congenital coronary artery fistula is an uncommon heart anomaly involving the coronary arteries. We report here a case of a 4-year-old boy who had a coronary fistula from the right coronary artery to the right ventricle, with a coronary aneurysm. He was asymptomatic, but the calculated ratio of pulmonary blood flow to systemic blood flow was shown to be high [pulmonary flow (Qp)/systemic flow(Qs)=1.78]. The coronary angiography showed that the right coronary artery was dilated beginning at the ostium and had an aneurysm at the acute marginal portion. A large spherical aneurysm approximately 20 mm in diameter was found to have been connected with coronary fistula opening into the right ventricle. Surgical repair by closure of the fistula under direct vision, partial resection and suture closure of the aneurysm was performed. Plication of the proximal portion of the right coronary artery was not performed, and the diffusely dilated artery was left untouched. After this operation, he recovered well under anticoagulant treatment with warfarin and aspirin. Postoperative angiography was performed 17 months after the surgery to evaluate morphological changes in the coronary artery. The angiography confirmed the closure of the fistula and the regression of coronary artery dilatation.

  17. Skin autofluorescence is increased in patients with carotid artery stenosis and peripheral artery disease.

    Science.gov (United States)

    Noordzij, Marjon J; Lefrandt, Joop D; Loeffen, Erik A H; Saleem, Ben R; Meerwaldt, Robbert; Lutgers, Helen L; Smit, Andries J; Zeebregts, Clark J

    2012-02-01

    Advanced glycation end products (AGEs) have a pivotal role in atherosclerosis. We evaluated skin autofluorescence (SAF), a non-invasive measurement of tissue AGE accumulation, in patients with carotid artery stenosis with and without coexisting peripheral artery occlusive disease (PAOD). SAF was measured using the AGE Reader™ in 56 patients with carotid artery stenosis and in 56 age- and sex-matched healthy controls without diabetes, renal dysfunction or known atherosclerotic disease. SAF was higher in patients with carotid artery stenosis compared to the control group: mean 2.81 versus 2.46 (P = 0.002), but especially in the younger age group of 50-60 years old: mean 2.82 versus 1.94 (P = 0.000). Patients with carotid artery stenosis and PAOD proved to have an even higher SAF than patients with carotid artery stenosis only: mean 3.28 versus 2.66 (P = 0.003). Backward linear regression analysis showed that age, smoking, diabetes mellitus, renal function and the presence of PAOD were the determinants of SAF, but carotid artery stenosis was not. SAF is increased in patients with carotid artery stenosis and PAOD. The univariate and multivariate associations of SAF with age, smoking, diabetes, renal insufficiency and PAOD suggest that increased SAF can be seen as an indicator of widespread atherosclerosis.

  18. Skin autofluorescence is increased in patients with carotid artery stenosis and peripheral artery disease

    NARCIS (Netherlands)

    Noordzij, Marjon J.; Lefrandt, Joop D.; Loeffen, Erik A. H.; Saleem, Ben R.; Meerwaldt, Robbert; Lutgers, Helen L.; Smit, Andries J.; Zeebregts, Clark J.

    2012-01-01

    Advanced glycation end products (AGEs) have a pivotal role in atherosclerosis. We evaluated skin autofluorescence (SAF), a non-invasive measurement of tissue AGE accumulation, in patients with carotid artery stenosis with and without coexisting peripheral artery occlusive disease (PAOD). SAF was mea

  19. Unusual origin of the artery of Adamkiewicz from the fourth lumbar artery

    Energy Technology Data Exchange (ETDEWEB)

    Lo, D.; Vallee, J.N.; Spelle, L.; Cormier, E.; Chiras, J. [Service de Neuroradiologie Charcot, Hopital de la Salpetriere, Paris (France); Saillant, G. [Service de Chirurgie Orthopedique et de Traumatologie, Hopital de la Salpetriere, Paris (France); Rancurel, G. [Service D' urgences Cerebro-Vasculaires, Hopital de la Salpetriere, Paris (France)

    2002-02-01

    The main arterial supply of the dorso-lumbar spinal cord is usually derived from a single anterior radiculo-medullary artery called the artery of Adamkiewicz and referred to as having a middle or low location. In some cases, the artery origin is higher, and a vessel which arises in the lower part of the region supplements the supply of the anterior spinal artery. In the literature, those arteries have been described as arising from L3 upwards, and have never been previously described angiographically, to our knowledge, below this level, although Suh and Alexander and Gililan have mentioned this eventuality. Of the 4,000 spinal cord angiographies performed in our institution, we report three cases in which the fourth lumbar artery flows into the anterior spinal artery of the conus medullaris. This anatomical variant may explain the sometimes devastating post-operative neurological complications from a spinal cord infarction on surgery of the lumbar spine or the abdominal aorta below L3. (orig.)

  20. Local intra-arterial thrombolysis in a 4-year-old male with vertebrobasilar artery thrombosis

    NARCIS (Netherlands)

    Janmaat, Mirjam; Gravendeel, Joost P; Uyttenboogaart, Maarten; Vroomen, Patrick C; Brouwer, Oebele F; Luijckx, Gert-Jan

    2009-01-01

    We report the case of a 4-year-old male with vertebrobasilar artery thrombosis for which he was treated with local intra-arterial urokinase 60 hours after onset of symptoms. Initially the patient had dysarthria and dysphagia. Brain magnetic resonance imaging (MRI) in a community hospital showed abno

  1. Severe gastric variceal haemorrhage due to splenic artery thrombosis and consecutive arterial bypass

    Directory of Open Access Journals (Sweden)

    Wasmuth Hermann E

    2011-06-01

    Full Text Available Abstract Background Upper gastrointestinal haemorrhage is mainly caused by ulcers. Gastric varicosis due to portal hypertension can also be held responsible for upper gastrointestinal bleeding. Portal hypertension causes the development of a collateral circulation from the portal to the caval venous system resulting in development of oesophageal and gastric fundus varices. Those may also be held responsible for upper gastrointestinal haemorrhage. Case presentation In this study, we describe the case of a 69-year-old male with recurrent severe upper gastrointestinal bleeding caused by arterial submucosal collaterals due to idiopathic splenic artery thrombosis. The diagnosis was secured using endoscopic duplex ultrasound and angiography. The patient was successfully treated with a laparoscopic splenectomy and complete dissection of the short gastric arteries, resulting in the collapse of the submucosal arteries in the gastric wall. Follow-up gastroscopy was performed on the 12th postoperative week and showed no signs of bleeding and a significant reduction in the arterial blood flow within the gastric wall. Subsequent follow-up after 6 months also showed no further gastrointestinal bleeding as well as subjective good quality of life for the patient. Conclusion Submucosal arterial collaterals must be excluded by endosonography via endoscopy in case of recurrent upper gastrointestinal bleeding. Laparoscopic splenectomy provides adequate treatment in preventing any recurrent bleeding, if gastric arterial collaterals are caused by splenic artery thrombosis.

  2. Lingual and facial arteries arising from the external carotid artery in a common trunk.

    Science.gov (United States)

    Troupis, Theodore G; Dimitroulis, Dimitrios; Paraschos, Alexandros; Michalinos, Adamantios; Protogerou, Vassilis; Vlasis, Konstantinos; Troupis, George; Skandalakis, Panayiotis

    2011-02-01

    The present study describes analytically a rare case in which lingual and facial arteries arise together from an external carotid artery in a common trunk. Thirty anatomic dissections were performed on 15 cadavers in the macroscopic laboratory in the Department of Anatomy of the Medical School of National and Kapodistrian University of Athens. One common trunk from which originated lingual and facial arteries was found. The frequency of this morphology is measured at 6 per cent. The length of the common trunk is measured at 7.3 mm between its origin and its diversion at the facial artery and lingual artery, its diameter at 2.8 mm, its distance from carotid bifurcation at 7.9 mm, and from the superior thyroid artery at 3.3 mm. At the left side of the neck region, facial and lingual arteries arose separately. The anatomic variations of the branching pattern of the external carotid artery and the micrometric values of the vessels are especially important as a result of the numerous operations performed in the neck region that implicate various specialties such as general surgery, head and neck surgery, plastic surgery, and maxillofacial surgery.

  3. Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Report of an Adult Case

    Directory of Open Access Journals (Sweden)

    Celso K. Takimura

    2002-03-01

    Full Text Available We report the clinical findings, pathophysiology, diagnostic characteristics, and surgical repair of anomalous origin of the left coronary artery from the pulmonary artery in a 26-year-old female patient with a clinical diagnosis of coronary heart disease.

  4. Percutaneous transluminal angioplasty of the superficial femoral artery by retrograde catheterization via the popliteal artery

    DEFF Research Database (Denmark)

    Tønnesen, K H; Sager, P; Karle, A;

    1988-01-01

    We report the results of 50 angioplasty procedures via the popliteal artery. A 3-year follow-up including control of blood pressures at ankle and toe levels show results comparable to reports in the literature. This new approach for angioplasty of the superficial femoral artery and eventually...

  5. The Society of Thoracic Surgeons Clinical Practice Guidelines on Arterial Conduits for Coronary Artery Bypass Grafting.

    Science.gov (United States)

    Aldea, Gabriel S; Bakaeen, Faisal G; Pal, Jay; Fremes, Stephen; Head, Stuart J; Sabik, Joseph; Rosengart, Todd; Kappetein, A Pieter; Thourani, Vinod H; Firestone, Scott; Mitchell, John D

    2016-02-01

    Internal thoracic arteries (ITAs) should be used to bypass the left anterior descending (LAD) artery when bypass of the LAD is indicated (class of recommendation [COR] I, level of evidence [LOE] B). As an adjunct to left internal thoracic artery (LITA), a second arterial graft (right ITA or radial artery [RA]) should be considered in appropriate patients (COR IIa, LOE B). Use of bilateral ITAs (BITAs) should be considered in patients who do not have an excessive risk of sternal complications (COR IIa, LOE B). To reduce the risk of sternal infection with BITA, skeletonized grafts should be considered (COR IIa, LOE B), smoking cessation is recommended (COR I, LOE C), glycemic control should be considered (COR IIa, LOE B), and enhanced sternal stabilization may be considered (COR IIb, LOE C). As an adjunct to LITA to LAD (or in patients with inadequate LITA grafts), use of a RA graft is reasonable when grafting coronary targets with severe stenoses (COR IIa, LOE: B). When RA grafts are used, it is reasonable to use pharmacologic agents to reduce acute intraoperative and perioperative spasm (COR IIa, LOE C). The right gastroepiploic artery may be considered in patients with poor conduit options or as an adjunct to more complete arterial revascularization (COR IIb, LOE B). Use of arterial grafts (specific targets, number, and type) should be a part of the discussion of the heart team in determining the optimal approach for each patient (COR I, LOE C).

  6. Systematic comparison of the effectiveness of radial artery and saphenous vein or right internal thoracic artery coronary bypass grafts in non-left anterior descending coronary arteries

    Institute of Scientific and Technical Information of China (English)

    Xiang HU; Qiang ZHAO

    2011-01-01

    Coronary artery bypass grafting surgery is increasingly being carried out on patients with multi-vessel coronary artery disease, but the best grafting candidate for non-left antetior descending coronary arteries is unclear.This research sought to systematically compare the efficacies and safeties of coronary bypass with radial artery and other available grafts. A systematic literature retrieval was performed for all clinical trials comparing the outcomes of coronary artery bypass surgery with radial artery and other grafts in PubMed, EMBASE, and the Cochrane Library.Seven eligible clinical studies, comparing radial artery and great saphenous vein grafts, were found between 1966 and 2010: one prospective non-randomized and six prospective randomized trials. The pooling analysis obtained a relative risk of 0.507 (P<0.05) of graft occlusion in radial arteries compared with great saphenous veins. There was a significantly lower infection rate in arms (i.e., harvest sites for radial arteries) relative to legs (harvest sites for veins), with a pooled relative risk of 0.140 (P<0.05). From the reports on mortality after follow-up ranging from one year to six years,there was no significant difference in mortality between the two graft types (P=0.927). In addition, four cohort controlled trials for radial and right internal thoracic artery grafts were included. The radial graft was associated with less cardiac related events relative to the right intemal thoracic artery graft (P=0.014), but with comparable mortality and comparable rates of repeat percutaneous transluminal coronary angioplasty. Subjects with radial arteries seemed to have a lower occlusion rate and a lower graft harvest site infection rate than those with great saphenous veins. Moreover there were fewer cardiac related events with radial arteries relative to the right internal thoracic artery grafts. More studies are needed to confirm these findings concerning the favorable outcomes of coronary artery

  7. Hipertensão arterial sistêmica e anestesia Hipertensión arterial sistémica y anestesia Systemic hypertension and anesthesia

    Directory of Open Access Journals (Sweden)

    Michelle Nacur Lorentz

    2005-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Devido à grande prevalência da hipertensão arterial sistêmica na população e a falta de consenso sobre que níveis pressóricos o anestesiologista deve aceitar para induzir uma anestesia para cirurgia eletiva, realizou-se uma revisão na literatura que trata da associação hipertensão arterial e anestesia. Considerando que a suspensão de uma cirurgia implica em gastos, o que torna a Medicina cada vez mais cara, e que, por outro lado, o ato anestésico deve ser realizado com a maior segurança possível, o objetivo desse trabalho foi analisar as evidências da literatura que possam nortear a prática clínica. CONTEÚDO: O artigo apresenta incidência e classificação da hipertensão arterial sistêmica além de relatar e comentar trabalhos relevantes que abordam a hipertensão arterial no paciente cirúrgico. CONCLUSÕES: Ainda não estão estabelecidos quais níveis máximos de pressão são compatíveis com uma cirurgia eletiva, sendo que, atualmente, os critérios para a suspensão da cirurgia no paciente hipertenso mal controlado são muito mais baseados em dados empíricos que em evidências. Existe uma tendência em postergar a cirurgia quando a PA é superior a 180/110 mmHg, mas cada caso deve ser analisado isoladamente, valorizando mais lesões em órgãos alvo que a pressão arterial propriamente dita.JUSTIFICATIVA Y OBJETIVOS: Debido a la grande superioridad de la hipertensión arterial sistémica en la población y la falta de acuerdo sobre que niveles presóricos el anestesiologista debe aceptar para inducir una anestesia para cirugía electiva, se realizó una revisión en la literatura que trata de la asociación hipertensión arterial y anestesia. Considerando que la suspensión de una cirugía implica en gastos, lo que hace la Medicina cada vez más cara, y que, por otro lado, el acto anestésico debe ser realizado con la mayor seguridad posible, la finalidad de ese trabajo fue analizar las

  8. Physical inactivity and arterial stiffness in COPD

    Directory of Open Access Journals (Sweden)

    Sievi NA

    2015-09-01

    Full Text Available Noriane A Sievi,1 Daniel Franzen,1 Malcolm Kohler,1,2 Christian F Clarenbach1 1Division of Pulmonology, University Hospital of Zurich, 2Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland Background: Arterial stiffness is an important predictor of cardiovascular risk besides classic cardiovascular risk factors. Previous studies showed that arterial stiffness is increased in patients with COPD compared to healthy controls and exercise training may reduce arterial stiffness. Since physical inactivity is frequently observed in patients with COPD and exercise training may improve arterial stiffness, we hypothesized that low daily physical activity may be associated with increased arterial stiffness. Methods: In 123 patients with COPD (72% men; mean [standard deviation] age: 62 [7.5] years; median [quartile] forced expiratory volume in 1 second 35 [27/65] %predicted, arterial stiffness was assessed by augmentation index (AI. Daily physical activity level (PAL was measured by an activity monitor (SenseWear Pro™ >1 week. The association between AI and PAL was investigated by univariate and multivariate regression analysis, taking into account disease-specific characteristics and comorbidities. Results: Patients suffered from moderate (35%, severe (32%, and very severe (33% COPD, and 22% were active smokers. Median (quartile PAL was 1.4 (1.3/1.5 and mean (standard deviation AI 26% (9.2%. PAL showed a negative association with AI (B=-9.32, P=0.017 independent of age, sex, blood pressure, and airflow limitation. Conclusion: In COPD patients, a higher PAL seems to favorably influence arterial stiffness and therefore may reduce cardiovascular risk. Clinical Trial Registration: www.ClinicalTrials.gov, NCT01527773 Keywords: activity monitor, airflow limitation, COPD, physical activity level

  9. Irbesartan improves arterial compliance more than lisinopril

    Directory of Open Access Journals (Sweden)

    Khalid Ali

    2009-07-01

    Full Text Available Khalid Ali,1 Chakravarthi Rajkumar,1 Francesco Fantin,2 Rebekah Schiff,3 Christopher J Bulpitt31Academic Department of Geriatrics, Brighton and Sussex Medical School, Brighton, UK; 2Department of Geriatrics, University of Verona, Italy; 3Section of Geriatric Medicine, Imperial College School of Medicine, London, UKBackground: Antihypertensive agents can reduce arterial stiffness. We hypothesized that an angiotensin receptor blocker (ARB irbesartan and an angiotensin converting enzyme inhibitor (ACEI lisinopril improved arterial compliance.Methods: A randomized, double-blind, double-dummy, controlled crossover trial. Fifteen hypertensive patients, mean age 65.5 ± 8.9 years (mean ± SD were given irbesartan (150 to 300 mg/day or lisinopril (10 to 20 mg/day for 12 weeks and then crossed over for 12 weeks. Pulse wave velocity (PWV in the carotid-femoral (CF, carotid-radial (CR, and femoral dorsalis-pedis (FD were measured using a Complior® PWV system.Results: After 12 weeks, systolic blood pressure (SBP decreased from 162.4 ± 12.9 to 134.5 ± 14.8 with irbesartan and to 145.2 ± 25 mmHg with lisinopril. Irbesartan and lisinopril reduced PWV (CF in the elastic arterial system from 15.1 ± 5 to 13.3 ± 2.6 (p < 0.005 and to 14 ± 4.7 (p < 0.05 m/s respectively (p = 0.345. Irbesartan reduced PWV (CR and PWV (FD, whereas lisinopril did not. The difference between treatments was significant after SBP adjustment (p = 0.037 for PWV (CR and p < 0.001 for PWV (FD.Conclusions: Irbesartan improved arterial compliance in elastic and muscular arteries, whereas lisinopril improved it only in elastic arteries.Keywords: arterial compliance, angiotensin receptor blockers, ACE inhibitors, hypertension

  10. Prevalence of significant carotid artery stenosis in Iranian patients with peripheral arterial disease

    Directory of Open Access Journals (Sweden)

    Ghabili K

    2011-10-01

    Full Text Available Abolhassan Shakeri Bavil1, Kamyar Ghabili2, Seyed Ebrahim Daneshmand3, Masoud Nemati3, Moslem Shakeri Bavil4, Hossein Namdar5, Sheyda Shaafi61Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; 2Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; 3Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran; 4Department of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran; 5Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran; 6Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground: Generalized screening for carotid artery stenosis with carotid duplex ultrasonography in patients with peripheral arterial disease is controversial.Objectives: The aim of the present study was to determine the prevalence of significant internal carotid artery (ICA stenosis in a group of Iranian patients with peripheral arterial disease.Methods: We prospectively screened 120 patients with a known diagnosis of peripheral vascular disease for carotid artery stenosis. Based on the angiographic assessment of abdominal aorta and arteries of the lower extremities, patients with stenosis greater than 70% in the lower extremity arteries were included. A group of healthy individuals aged ≥50 years was recruited as a control. Risk factors for atherosclerosis including smoking, diabetes mellitus, hyperlipidemia, ischemic heart disease, and cerebrovascular disease were recorded. Common carotid arteries (CCAs and the origins of the internal and external arteries were scanned with B-mode ultrasonogaphy. Significant ICA stenosis, >70% ICA stenosis but less than near occlusion of the ICA, was diagnosed when the ICA/CCA peak systolic velocity ratio was ≥3.5.Results: Ninety-five patients, with a mean age of 58.52 ± 11.04 years, were studied. Twenty-five patients had a history of smoking, six

  11. Suppression of ischemia in arterial occlusive disease by JNK-promoted native collateral artery development.

    Science.gov (United States)

    Ramo, Kasmir; Sugamura, Koichi; Craige, Siobhan; Keaney, John F; Davis, Roger J

    2016-08-09

    Arterial occlusive diseases are major causes of morbidity and mortality. Blood flow to the affected tissue must be restored quickly if viability and function are to be preserved. We report that disruption of the mixed-lineage protein kinase (MLK) - cJun NH2-terminal kinase (JNK) signaling pathway in endothelial cells causes severe blockade of blood flow and failure to recover in the murine femoral artery ligation model of hindlimb ischemia. We show that the MLK-JNK pathway is required for the formation of native collateral arteries that can restore circulation following arterial occlusion. Disruption of the MLK-JNK pathway causes decreased Dll4/Notch signaling, excessive sprouting angiogenesis, and defects in developmental vascular morphogenesis. Our analysis demonstrates that the MLK-JNK signaling pathway is a key regulatory mechanism that protects against ischemia in arterial occlusive disease.

  12. Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Diagnosis with CT Angiography

    Directory of Open Access Journals (Sweden)

    Guray Oncel

    2013-01-01

    Full Text Available Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA is a rare congenital anomaly. It is associated with early infant mortality and sudden death in adults. Traditionally, ALCAPA has been diagnosed by angiography or autopsy; however, the development of cardiac computed tomography (CT and magnetic resonance imaging (MRI has allowed noninvasive evaluation of the coronary anatomy by direct visualization of the origin of the left coronary artery (LCA from the pulmonary artery. We report a case of 10-year-old girl who has been on follow up for dilated cardiomyopathy for 4 years. The definitive diagnosis of ALCAPA is reached by multislice computed tomography (MSCT. The MSCT scan showed an anomalous origin of LCA from the pulmonary trunk, with a tortuous and dilated right coronary artery and right-to-left collateralization. Consequently, the patient was successfully treated with surgery.

  13. Right hepatic artery crossing the common hepatic artery: an unusual blood supply to the liver.

    Science.gov (United States)

    Felli, Emanuele; Vennarecci, Giovanni; Santoro, Roberto; Guglielmo, Nicola; Ettorre, Giuseppe Maria

    2016-04-01

    To perform hepatic surgery a precise preoperative and intraoperative study of liver vascular supply is mandatory. Detecting vascular variations may have great importance on surgical strategy and outcome, and details of anatomy do not concern only academical knowledge but become deeply involved in practice. We present a case of unusual blood supply to the liver, the common hepatic artery was directed to the right liver and a right hepatic artery originating from the superior mesenteric artery was directed to the left liver. The right hepatic artery crossed the common hepatic artery in the proximal part of the hepatic pedicle, anterior to the portal vein. To our knowledge this type of anatomical variation has not been described before and it represents a rare finding that has to be kept in mind, especially in case of major hepatectomies and more demanding splitting liver procedures such as A.L.P.P.S., in situ split, ex situ split and living donor liver transplantation.

  14. [Ruptured pseudoaneurysm of the renal artery associated with segmental arterial mediolysis].

    Science.gov (United States)

    Mizutani, Kosuke; Kikuchii, Mina; Kondo, Hiroshi; Moriyama, Yoji; Tsuchiya, Tomohiro; Masahiro, Nakano; Hidetoshi, Ehara; Deguchii, Takashi; Shinoda, Ikuo

    2008-07-01

    We present a 71-year-old woman with spontaneous perinephric hematoma due to a rupture of pseudoaneurysm of the right renal artery on the fourth day after radical cystectomy and bilateral ureterocutaneostomy for bladder cancer. This patient received steroid therapy for chronic rheumatoid arthritis for several years. The digital subtraction angiography of the right renal artery showed two pseudoaneurysms in the anterior inferior segmental branch and the posterior inferior segmental branch. Transarterial coil embolization of the right renal artery proximally and distally to the two aneurysms was performed without complications. Moreover, the additional angiography showed typical string-of-beads appearance and small aneurysms in abdominal visceral arteries, suggesting segmental arterial mediolysis (SAM) as a possible etiology. Differential diagnoses of SAM are discussed.

  15. Relationship of daily arterial blood pressure monitoring readings and arterial stiffness profile in male patients with chronic obstructive pulmonary disease combined with arterial hypertension

    Directory of Open Access Journals (Sweden)

    Karoli N.A.

    2013-06-01

    Full Text Available The aim of the study was to determine correlation between arterial blood pressure daily rhythm and daily profile of arterial stiffness in male patients with chronic obstructive pulmonary disease (COPD and arterial hypertension. Materials et methods: Prospective investigation comprised 45 male patients with COPD and arterial hypertension. Individuals of 40 years younger and 80 years elder, patients with diabetes, stroke, angina pectoris, or heart infarction, vascular diseases, and exacerbation of chronic disease, bronchial and pulmonary diseases of other etiology were excluded from the analyses. Comparison group included 47 patients with essential arterial hypertension and without chronic respiratory diseases closely similar on general parameters with patients from main clinical series. Twenty-four-hour arterial blood pressure monitoring (ABPM and daily arterial stiffness monitoring were performed using BPLab® MnSDP-2 apparatus (Petr Telegin, Russian Federation. Results: Patients with COPD combined with arterial hypertension with raised arterial stiffness measures prevail over individuals in essential hypertension group. There is pathological alteration of the ABPM circadian rhythm and raised «Pressure load» values in raised arterial stiffness group. Conclusion: We found ABPM raised parameters in patients with COPD and arterial hypertension. It confirms necessity of ABPM in daily arterial stiffness assessment in patients with COPD.

  16. Unilateral absence of a pulmonary artery: Report of 3 cases

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Oh Keun; Choi, Chul Seung; Choi, Yo Won; Jeon, Seok Cheol; Seo, Heung Suk; Hahm, Chang Kok [College of Medicine, Hanyang University, Seoul (Korea, Republic of)

    1994-07-15

    Unilateral absence of a pulmonary artery is an uncommon anomaly, which presents as an isolated lesion or in combination with other congenital heart disease such as TOF or PDA. We encountered three cases of isolated unilateral absence of a pulmonary artery; one was left pulmonary artery agenesis with right sided aortic arch and the others were right pulmonary artery agenesis with left sided aortic arch. Plain chest radiograph showed considerable loss of unilateral lung volume and lack of ipsilateral hilar shadow. Pulmonary angiogram which was done in two cases, revealed proximal interruption of a pulmonary artery. Chest CT was done in only one case, on which right pulmonary artery was absent and was replaced by adipose tissue. CT with its clean demonstration pulmonary artery without any evidence of acquired obstruction of a pulmonary artery by pulmonary embolism or tumor invasion, maybe a valuable method for evaluation of the unilateral absence of a pulmonary artery.

  17. First jejunal artery, an alternative graft for right hepaticartery reconstruction

    Institute of Scientific and Technical Information of China (English)

    Bibek Aryal; Teruo Komokata; Jun Kadono; Hiroyuki Motodaka; Tetsuya Ueno; Akira Furoi; Yutaka Imoto

    2015-01-01

    Common bile duct cancer invading right hepatic artery is sometimes diagnosed intraoperatively. Excision and safe reconstruction of the artery with suitable graftis essential. Arterial reconstruction with autologoussaphenous vein graft is the preferred method practicedroutinely. However the right hepatic artery reconstructionhas also been carried out with several other vesselslike gastroduodenal artery, right gastroepiploic arteryor the splenic artery. We report a case of 63-year-oldman presenting with history of progressive jaundice,pruritus and impaired appetite. Following variousimaging modalities including computed tomography,endoscopic retrograde cholangiopancreatography,magnetic resonance cholangiopancreatography, intraductalultrasound extrahepatic bile duct cancer wasdiagnosed; however, none of those detected vesselinvasion. Intraoperatively, right hepatic artery invasionwas revealed. Right hepatic artery was resectedand reconstructed with a graft harvested from thefirst jejunal artery (JA). Postoperative outcome wassatisfactory with a long-term graft patency. First JAcan be a reliable graft option for right hepatic arteryreconstruction.

  18. Tentorial artery embolization in tentorial dural arteriovenous fistulas

    Energy Technology Data Exchange (ETDEWEB)

    Rooij, Willem Jan van; Sluzewski, Menno [St. Elisabeth Ziekenhuis, Department of Radiology, Tilburg (Netherlands); Beute, Guus N. [St. Elisabeth Ziekenhuis, Department of Neurosurgery, Tilburg (Netherlands)

    2006-10-15

    The tentorial artery is often involved in arterial supply to tentorial dural fistulas. The hypertrophied tentorial artery is accessible to embolization, either with glue or with particles. Six patients are presented with tentorial dural fistulas, mainly supplied by the tentorial artery. Two patients presented with intracranial hemorrhage, two with pulsatile tinnitus and one with progressive tetraparesis, and in one patient the tentorial dural fistula was an incidental finding. Different endovascular techniques were used to embolize the tentorial artery in the process of endovascular occlusion of the fistulas. All six tentorial dural fistulas were completely occluded by endovascular techniques, confirmed at follow-up angiography. There were no complications. When direct catheterization of the tentorial artery was possible, glue injection with temporary balloon occlusion of the internal carotid artery at the level of the tentorial artery origin was effective and safe. Different endovascular techniques may be successfully applied to embolize the tentorial artery in the treatment of tentorial dural fistulas. (orig.)

  19. Neurological Complications Comparing Endoscopically vs. Open Harvest of the Radial Artery

    Science.gov (United States)

    2016-07-05

    Complications Due to Coronary Artery Bypass Graft; Coronary Artery Disease; Myocardial Ischemia; Coronary Disease; Heart Diseases; Cardiovascular Diseases; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases

  20. Effects of residual coronary artery disease on results of coronary artery bypass grafting.

    Science.gov (United States)

    Iskandrian, A S; Hakki, A H; Nestico, P F; DePace, N L; Goel, I P; Kane, S

    1984-10-01

    To assess the effects of residual coronary artery disease (non-revascularized coronary vessels) after coronary artery bypass grafting on symptoms and exercise left ventricular function, we categorized 77 patients into 3 groups according to the extent of residual coronary artery disease: group I (n = 17) had no residual coronary artery disease (residual score = 0); group II (n = 30) had light residual coronary artery disease (score of 1 to 9, mean 4.7); and group III (n = 30) had moderate residual coronary artery disease (score greater than or equal to 10, mean 23). Sixty patients were asymptomatic after coronary artery bypass grafting (14 in group I, 24 in group II, and 22 in group III), but the remaining patients had occasional angina pectoris. The resting left ventricular ejection fraction was significantly higher in group I than in the remaining 2 groups (56 +/- 18% in group I, 47 +/- 19% in group II, and 43 +/- 16% in group III, P less than 0.05). The exercise left ventricular ejection fraction was also significantly higher in group I (61 +/- 16% in group I, 51 +/- 18% in group II and 45 +/- 18% in group III, P less than 0.01). The ejection fraction response to exercise was abnormal in 5 patients in group I, 15 patients in group II, and 19 patients in group III. Thus, coronary artery bypass grafting results in symptomatic improvement, even in patients with residual coronary artery disease. The presence of residual coronary artery disease, however, may be a determinant of exercise left ventricular function in these patients.

  1. Single coronary artery anomaly: the left main coronary artery originating from the proximal segment of right coronary artery

    Institute of Scientific and Technical Information of China (English)

    ZHU Jun; QIN Xu-guang; WU Qing-yu; XIONG Wei-guo; LU Chun-peng; WANG Rong-feng

    2011-01-01

    This case report we presented is that the anomalous left main coronary artery (LMCA) originates from the proximal segment of right coronary artery. In order to confirm the origin and course of the anomalous LMCA, a multi-slice computed tomography (MSCT) of the heart was performed on a 64-slice machine (Philips 64 Slice, Philips, USA) after 6 months of coronary angiography operation. The results showed that the anomalous LMCA originates from the proximal segment of right coronary artery, lies posteriorly to the aorta before taking acute sharply to go between the aorta and left atrium. It was classified as R-Ⅱ P subtype according to Lipton's classification. It is a rare case in the clinical practice.

  2. Adaptation of Haemonchus contortus to condensed tannins: can it be possible? Adaptación de Haemonchus contortus a los taninos condensados: ¿puede ser posible?

    Directory of Open Access Journals (Sweden)

    JA Calderón-Quintal

    2010-01-01

    .800 and 2.400 mg/ml PBS fueron empleados para evaluar el efecto AH utilizando la prueba de inhibición de la migración larvaria (LMI. Se utilizaron tres cepas mexicanas no relacionadas de H. contortus (CENID-INIFAP, UADY y UNAM. El papel de los taninos sobre el efecto AH fue confirmado mediante el uso de polivinil polipirrolidona (PVPP, un inhibidor de taninos. Las cepas de H. contortus mostraron diferente respuesta a los extractos. Unicamente un extracto de planta (L. latisiliquum mostró efecto sobre la migración larvaria en la cepa de Yucatán (UADY. Dos extractos de plantas (A. pennatula y L. latisiliquum inhibieron la migración larvaria en la cepa CENID-INIFAP. Mientras que tres extractos tuvieron efecto sobre la cepa UNAM (A. pennatula, L. latisiliquum y P. piscipula. Adicionalmente, la cepa UNAM fue afectada con dosis menores de los extractos en comparación con las cepas CENID-INIFAP y UADY. Los resultados indican que las larvas obtenidas de Yucatán, México, son menos sensibles a los extractos de PRT obtenidos de la misma región sugiriendo una posible adaptación a los taninos.

  3. Escenario posible del desempeño profesional en la enseñanza de una institucion de formación docente

    Directory of Open Access Journals (Sweden)

    Hidalgo M., Laura

    2007-08-01

    Full Text Available Resumen: Este artículo tiene como propósito central concebir el escenario posible del desempeño profesoral en la enseñanza en una institución de formación docente. Se toman como referentes las opiniones emitidas por los sujetos informantes de una investigación relacionada con el desempeño profesoral en los ámbitos de enseñanza e investigación que en la actualidad se realiza en el Instituto Pedagógico de Caracas, núcleo de la Universidad Pedagógica Experimental Libertador (UPEL, específicamente, en el Departamento de Pedagogía. Las aseveraciones emitidas por los informantes han permitido abordar los siguientes aspectos: (a ¿cuál es la formación que demanda el profesorado del Departamento de Pedagogía?; (b ¿cómo debería efectuarse el proceso de supervisión y orientación que solicitan los integrantes de este departamento?; (c para lograr la vinculación de las funciones básicas de docencia e investigación ¿cuál debe ser la formación y el incentivo que debe tener el profesorado del departamento de pedagogía en la promoción como investigador?; (d ¿cómo debe ser concebido el proceso de evaluación de manera que contribuya al mejoramiento del desempeño profesoral? y (e en atención a las interrogantes anteriores, ¿cuáles podrían ser las condiciones deseables que deben prevalecer para el desempeño profesoral en la enseñanza?Abstract: The main purpose of this article is to project the scenario possible of the professorial acting in an institution the teaching of educational formation. She takes like base the preliminary manifestations emitted by the informants of an investigation, related with the professorial acting in the teaching and investigation at present in carrying out an the Caracas Pedagogical Institute, the foundational center of the Liberator Experimental Pedagogical University (UPEL, specifically, in the Department of Pedagogy. Such asseverations have admitted to approach the following aspects: (a

  4. Interesting Basis of Vertebrobasilar Arterial Territory

    Directory of Open Access Journals (Sweden)

    Kavian Ghandehari

    2012-07-01

    Full Text Available Background: Vertebrobasilar arterial territory nourishes one-quarter of human brain. It constitutes some vital and strategic parts of the central nervous system.Methods: A number of keywords (vertebral, basilar, artery, and territory were searched in MEDLINE (Ovid and PubMed as well as Google, ProQuest, Scopus, Cochrane Library, and Science Direct online electronic search engines. Only articles containing all keywords were included. The final search was performed on October, 1, 2012. We also reviewed archives of libraries in Mashhad University of Medical Sciences (Iran for all anatomy, embryology, neurology, and neuroscience books and journals about vertebrobasilar arterial territories.Results: The vertebrobasilar arterial (VA system has a high incidence of variations, anomalies, and persistent fetal vessels. Two important anatomic facts explain why VA origin lesions seldom cause chronic hemodynamically significant low flow to the vertebrobasilar system. First, the VAs are paired vessels that unite to form a single basilar artery. Second, the extracranial VA gives off numerous muscular and other branches as it ascends in the neck. Thus, in the VA system, there is much more potential for development of adequate collateral circulation. Even when there is bilateral occlusion of the VAs at their origins, patients do not often develop posterior circulation infarcts.Conclusion: VA origin disease is more benign than ICA origin disease from hemodynamic aspect. This important point could make influence in therapeutic interventional decisions in asymptomatic VA origin stenosis

  5. Exertion and acute coronary artery injury.

    Science.gov (United States)

    Black, A; Black, M M; Gensini, G

    1975-12-01

    Twelve cases of myocardial infarction as related to strenuous exertion are presented with the pathological findings in several of these cases. Three cases with coronary arteriography are also presented. The pathology of coronary arteriosclerotic plaques and the vulnerability to acute injury is reviewed and discussed. It is concluded that strenuous exertion can cause acute injury to coronary artery plaques due to the unusual stressful whip-like action to which coronary arteries are subject. These injuries may initiate as cracks in the plaques or subintimal hemorrhages and proceed to coronary occlusion and ultimate myocardial infarction. With this concept in mind we use the term of "crack in the plaque" (Black's Crack in the Plaque) to account for the sudden appearance of clinical coronary artery disease appearing during or shortly after exertion, or other stressful situations in patients without previous existing evidence of clinical coronary artery disease. This could also account for exacerbation of symptoms or death occurring after exertion in previously quiescent asymptomatic known coronary artery disease subjects. This concept may explain some of the puzzling features of coronary disease.

  6. Time constant of the cerebral arterial bed.

    Science.gov (United States)

    Kasprowicz, Magdalena; Diedler, Jennifer; Reinhard, Matthias; Carrera, Emmanuel; Smielewski, Peter; Budohoski, Karol P; Sorrentino, Enrico; Haubrich, Christina; Kirkpatrick, Peter J; Pickard, John D; Czosnyka, Marek

    2012-01-01

    We have defined a novel cerebral hemodynamic index, a time constant of the cerebral arterial bed (τ), the product of arterial compliance (C(a)) and cerebrovascular resistance (CVR). C(a) and CVR were calculated based on the relationship between pulsatile arterial blood pressure (ABP) and transcranial Doppler cerebral blood flow velocity. This new parameter theoretically estimates how fast the cerebral arterial bed is filled by blood volume after a sudden change in ABP during one cardiac cycle. We have explored this concept in 11 volunteers and in 25 patients with severe stenosis of the internal carotid artery (ICA). An additional group of 15 subjects with non-vascular dementia was studied to assess potential age dependency of τ. The τ was shorter (p = 0.011) in ICA stenosis, both unilateral (τ = 0.18 ± 0.04 s) and bilateral (τ = 0.16 ± 0.03 s), than in controls (τ = 0.22 ± 0.0 s). The τ correlated with the degree of stenosis (R = -0.62, p = 0.001). In controls, τ was independent of age. Further study during cerebrovascular reactivity tests is needed to establish the usefulness of τ for quantitative estimation of haemodynamics in cerebrovascular disease.

  7. Femoropopliteal artery centerline interpolation using contralateral shape.

    Science.gov (United States)

    Tran, David N; Fleischmann, Dominik; Rakshe, Tejas; Roos, Justus E; Rosenberg, Jarrett; Straka, Matus; Napel, Sandy

    2007-09-01

    Curved planar reformation allows comprehensive visualization of arterial flow channels, providing information about calcified and noncalcified plaques and degrees of stenoses. Existing semiautomated centerline-extraction algorithms for curved planar reformation generation fail in severely diseased and occluded arteries. We explored whether contralateral shape information could be used to reconstruct centerlines through femoropopliteal occlusions. We obtained CT angiography data sets of 29 subjects (16m/13f, 19-86yo) without peripheral arterial occlusive disease and five consecutive subjects (1m/4f, 54-85yo) with unilateral femoropopliteal arterial occlusions. A gradient-based method was used to extract the femoropopliteal centerlines in nondiseased segments. Centerlines of the five occluded segments were manually determined by four experts, two times each. We interpolated missing centerlines in 2475 simulated occlusions of various occlusion lengths in nondiseased subjects. We used different curve registration methods (reflection, similarity, affine, and global polynomial) to align the nonoccluded segments, matched the end points of the occluded segments to the corresponding patent end points, and recorded maximum Euclidean distances to the known centerlines. We also compared our algorithm to an existing knowledge-based PCA interpolation algorithm using the nondiseased subjects. In the five subjects with real femoropopliteal occlusions, we measured the maximum Euclidean distance and the percentage of the interpolation that remained within a typical 3 mm radius vessel. In the nondiseased subjects, we found that the rigid registration methods were not significantly (pinterpolation of centerlines through arterial occlusions.

  8. Assessment of distributed arterial network models.

    Science.gov (United States)

    Segers, P; Stergiopulos, N; Verdonck, P; Verhoeven, R

    1997-11-01

    The aim of this study is to evaluate the relative importance of elastic non-linearities, viscoelasticity and resistance vessel modelling on arterial pressure and flow wave contours computed with distributed arterial network models. The computational results of a non-linear (time-domain) and a linear (frequency-domain) mode were compared using the same geometrical configuration and identical upstream and downstream boundary conditions and mechanical properties. pressures were computed at the ascending aorta, brachial and femoral artery. In spite of the identical problem definition, computational differences were found in input impedance modulus (max. 15-20%), systolic pressure (max. 5%) and pulse pressure (max. 10%). For the brachial artery, the ratio of pulse pressure to aortic pulse pressure was practically identical for both models (3%), whereas for the femoral artery higher values are found for the linear model (+10%). The aortic/brachial pressure transfer function indicates that pressure harmonic amplification is somewhat higher in the linear model for frequencies lower than 6 Hz while the opposite is true for higher frequencies. These computational disparities were attributed to conceptual model differences, such as the treatment of geometric tapering, rather than to elastic or convective non-linearities. Compared to the effect of viscoelasticity, the discrepancy between the linear and non-linear model is of the same importance. At peripheral locations, the correct representation of terminal impedance outweight the computational differences between the linear and non-linear models.

  9. Reduced artery diameters in Klinefelter syndrome.

    Science.gov (United States)

    Foresta, C; Caretta, N; Palego, P; Ferlin, A; Zuccarello, D; Lenzi, A; Selice, R

    2012-10-01

    Various epidemiological studies in relatively large cohorts of patients with Klinefelter syndrome (KS) described the increased morbidity and mortality in these subjects. Our aim was to study the structure and function of arteries in different districts to investigate in these subjects possible alterations. A total of 92 patients having non-mosaic KS, diagnosed in Centre for Human Reproduction Pathology at the University of Padova, and 50 age-matched healthy male controls were studied. Klinefelter syndrome subjects and controls evaluation included complete medical history, physical examination, measurement of concentrations of the reproductive hormones, lipidic and glycidic metabolism, AR function and sensitivity, ultrasound examinations (diameters, carotid intima-media thickness and brachial flow-mediated dilation) of brachial, common carotid and common femoral artery and abdominal aorta. Klinefelter syndrome patients showed significantly reduced artery diameters in all districts evaluated. On the contrary no statistically significant difference was found in cIMT and brachial FMD values between KS patients and controls. Furthermore, we found no statistically significant correlation of artery diameters with reproductive hormones, metabolic parameters, anthropometric measures and weighted CAG repeats. To our knowledge, this is the first study finding a reduced artery diameter in several districts in KS patients compared with that of normal male subjects and overlapping to that of female subjects. We have not an explanation for this phenomenon, even if a possible involvement of genes controlling the development of vascular system might be hypothesized, and further research is required to verify this hypothesis.

  10. Woven coronary artery: a case report and review of literature.

    Science.gov (United States)

    Kursaklioglu, Hurkan; Iyisoy, Atila; Celik, Turgay

    2006-10-26

    Woven coronary artery is an extremely rare and clearly undefined coronary malformation. Up to now, very few cases have been reported. In this anomaly, epicardial coronary artery are branched into thin channels at any segment of the coronary artery and then these longitudinal twisted thin channels merge again as the main coronary lumen. This anomaly is regarded as a benign condition since there is completely normal blood flow after the distal segment of the abnormal coronary artery. In this case report, we present a 48-year-old male patient with a woven coronary artery anomaly in the circumflex artery and who had been followed up for 5 years.

  11. Dextrocardia with situs inversus totalis: coronary artery bypass grafting.

    Science.gov (United States)

    Hashmi, Salila; Anis, Mariam; Darr, Umer

    2012-01-01

    Dextrocardia with situs inversus is a rare congenital abnormality involving a left-handed mal rotation of the visceral organs. The incidence of coronary artery disease is the same as that in the general population. Performing coronary artery bypass surgery on patients with dextrocardia poses a more challenging task. It is recommended that the right internal mammary artery be the first choice of graft for the anterior descending artery for a "situs inversus" situation. We report 2 cases of patients with Dextrocardia who developed coronary artery disease and underwent coronary artery bypass grafting. Also mentioned is the slight difference in our technique.

  12. Superficial Temporal Artery Pseudoaneurysm: A Case Report

    Science.gov (United States)

    Younus, Syed Muneeb; Imran, Muhammad; Qazi, Rabia

    2015-01-01

    Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma. The frequency of pseudoaneurysms of the superficial temporal artery developing after craniotomy is exceedingly low and only a few cases have been reported. We present a case of pseudoaneurysm of this type in a 45-year-old male who underwent craniotomy for excision of meningioma. One month postoperatively, the craniotomy flap exhibited an enormous diffuse pulsate swelling. The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography. Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up. PMID:26501064

  13. Red wine, arterial stiffness and central hemodynamics.

    Science.gov (United States)

    Karatzi, Kalliopi; Papaioannou, Theodore G; Papamichael, Christos; Lekakis, John; Stefanadis, Christodoulos; Zampelas, Antonis

    2009-01-01

    Red wine is considered to reduce cardiovascular risk and decrease peripheral systolic and diastolic blood pressure. Central aortic pressures are often more sensitive clinical and prognostic factors than peripheral pressures, while arterial stiffness is an independent prognostic factor for cardiovascular events. Great efforts are being made to find natural sources of improving health. In order to clarify the mechanisms under which a widely used drink, like red wine, is affecting heart and vessels, we aimed to review the available data regarding the effects of red wine on arterial stiffness, wave reflections and central blood pressures. The effect of red wine on central hemodynamics has been poorly explored with divergent results. Possible consequences of acute and long-term intake on arterial stiffness, wave reflections and central pressures are not clear. This might make someone skeptical when suggesting the consumption of a glass of red wine, although its cardioprotective actions (when moderately consumed) are already shown from epidemiological studies.

  14. Noninvasive evaluation of peripheral arterial disease.

    Science.gov (United States)

    Barnes, R W

    1978-08-01

    Doppler ultrasound is the most simple, inexpensive, accurate and versatile of the available noninvasive screening techniques to assess peripheral vascular diseases. The four fundamental components of peripheral arterial evaluation with this technique are assessment of blood velocity signal, measurement of resting ankle pressure, determination of segmental leg blood pressures, and measurement of ankle pressure response to exercise or reactive hyperemia. Plethysmography permits graphic recording of pulse-wave morphology, determination of digit blood pressure, and pulsatile responses to compression maneuvers. These techniques are useful in objectively quantifying peripheral arterial occlusive disease, predicting the results of operative therapy, monitoring the success of arterial reconstruction during surgery, and following the physiologic status of the patient after surgery.

  15. Coronary artery anomalies in Turner Syndrome

    DEFF Research Database (Denmark)

    Viuff, Mette H; Trolle, Christian; Wen, Jan;

    2016-01-01

    BACKGROUND: Congenital heart disease, primarily involving the left-sided structures, is often seen in patients with Turner Syndrome. Moreover, a few case reports have indicated that coronary anomalies may be more prevalent in Turner Syndrome than in the normal population. We therefore set out...... to systematically investigate coronary arterial anatomy by computed tomographic coronary angiography (coronary CTA) in Turner Syndrome patients. METHODS: Fifty consecutive women with Turner Syndrome (mean age 47 years [17-71]) underwent coronary CTA. Patients were compared with 25 gender-matched controls. RESULTS......: Coronary anomaly was more frequent in patients with Turner Syndrome than in healthy controls [20% vs. 4% (p = 0.043)]. Nine out of ten abnormal cases had an anomalous left coronary artery anatomy (absent left main trunk, n = 7; circumflex artery originating from the right aortic sinus, n = 2). One case had...

  16. Pulmonary Artery Agenesis with Bronchial Asthma

    Directory of Open Access Journals (Sweden)

    Hassan Ghobadi

    2014-05-01

    Full Text Available Unilateral Pulmonary Artery Agenesis (UPAA is a rare congenital anomaly during the 4 th  week of gestational age. It is defined as an absence of pulmonary parenchyma and its supporting artery. A 9-year-old girl was admitted to our hospital because of chronic cough. Chest examination showed a decrement in lung sound of right hemi-thorax with expiratory wheeze. Chest radiography (CXR revealed a semi-opaque right hemi-thorax. Chest CT with intra-venous contrast demonstrated absence of the right pulmonary artery and lung parenchyma with hyper-inflated left lung and dextro-position of mediastinum. This case emphasizes that in patients with respiratory compliant and chronic cough CXR must be done to rule out similar diagnosis other than asthma.    

  17. Superior mesenteric artery syndrome causing growth retardation

    Directory of Open Access Journals (Sweden)

    Halil İbrahim Taşcı

    2013-03-01

    Full Text Available Superior mesenteric artery syndrome is a rare and lifethreateningclinical condition caused by the compressionof the third portion of the duodenum between the aortaand the superior mesenteric artery’s proximal part. Thiscompression may lead to chronic intermittent, acute totalor partial obstruction. Sudden weight-loss and the relateddecrease in the fat tissue are considered to be the etiologicalreason of acute stenosis. Weight-loss accompaniedby nausea, vomiting, anorexia, epigastric pain, andbloating are the leading complaints. Barium radiographs,computerized tomography, conventional angiography,tomographic and magnetic resonance angiography areused in the diagnosis. There are medical and surgical approachesto treatment. We hereby present the case ofa patient with superior mesenteric artery syndrome withdelayed diagnosis.Key words: superior mesenteric artery syndrome, nausea-vomiting, anorexia

  18. The bihemispheric posterior inferior cerebellar artery

    Energy Technology Data Exchange (ETDEWEB)

    Cullen, Sean P. [Brigham and Women' s Hospital and Children' s Hospital, Department of Radiology and Neurosurgery, Boston, MA (United States); Ozanne, Augustin; Alvarez, Hortensia; Lasjaunias, Pierre [Service de Neuroradiologie Diagnostic et Therapeutique, Hopital de Bicetre-Universite Paris-sud Orsay (France)

    2005-11-01

    Rarely, a solitary posterior inferior cerebellar artery (PICA) will supply both cerebellar hemispheres. We report four cases of this variant. We present a retrospective review of clinical information and imaging of patients undergoing angiography at our institution to identify patients with a bihemispheric PICA. There were four patients: three males and one female. One patient presented with a ruptured arteriovenous malformation, and one with a ruptured aneurysm. Two patients had normal angiograms. The bihemispheric PICA was an incidental finding in all cases. The bihemispheric vessel arose from the dominant left vertebral artery, and the contralateral posterior inferior cerebellar artery was absent or hypoplastic. In all cases, contralateral cerebellar supply arose from a continuation of the ipsilateral PICA distal to the choroidal point and which crossed the midline dorsal to the vermis. We conclude that the PICA may supply both cerebellar hemispheres. This rare anatomic variant should be considered when evaluating patients with posterior fossa neurovascular disease. (orig.)

  19. [Arterial hypertension secondary to endocrine disorders].

    Science.gov (United States)

    Minder, Anna; Zulewski, Henryk

    2015-06-01

    Endocrine hypertension offers a potentially curative therapy if the underlying cause is identified and treated accordingly. In contrast to the high prevalence of arterial hypertension especially in the elderly, the classical endocrine causes remain a rare entity. Among patients with arterial hypertension the prevalence of Cushing's syndrome or pheochromocytoma is less than 1%. Primary hyperaldosteronism is more frequent with a reported prevalence of up to 9%. In order to avoid unnecessary, costly and potentially harmful evaluations and therapies due to the limited sensitivity and specificity of the critical endocrine tests it is mandatory to limit the exploration for endocrine causes to preselected patients with high pretest probability for an endocrine disorder. Younger age at manifestation of arterial hypertension or drug resistant hypertension together with other clinical signs of an endocrine disorder should raise the suspicion and prompt the appropriate evaluation.

  20. On the mechanical stability of growing arteries

    KAUST Repository

    Goriely, A.

    2010-04-22

    Arteries are modelled, within the framework of non-linear elasticity, as incompressible two-layer cylindrical structures that are residually stressed through differential growth. These structures are loaded by an axial force, internal pressure and have non-linear, anisotropic, hyperelastic response to stresses. Parameters for this model are directly related to experimental observations. The possible role of axial residual stress in regulating stress in arteries and preventing buckling instabilities is investigated. It is shown that axial residual stress lowers the critical internal pressure leading to buckling and that a reduction of axial loading may lead to a buckling instability which may eventually lead to arterial tortusity. © 2010 The Author. Published by Oxford University Press on behalf of the Institute of Mathematics and its Applications. All rights reserved.