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Sample records for cerebrovascular hospital militar

  1. Pharmacoepidemiological Study on Cerebrovascular Accident in Tertiary Care Hospital

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    Prathyusha GR

    2016-08-01

    Full Text Available Stroke is the third leading cause of death in the United States (US and a leading cause of serious, long-term disability. Incidence of ischemic stroke is higher than hemorrhagic stroke. The aim is to conduct pharmacoepidemiology study on cerebrovascular accident patient by evaluating the use and the effects of drugs, and quantification of adverse drug reactions, drug utilization studies to improve the quality and use of medicines. A prospective observational study was conducted in department of general medicine and ICU at Mallareddy hospital, data was collected from 130 patients and it was proposed to be conducted for 6 months. Among 130 patients 78(60% are males and 52(40% are females. Among all age groups major number of CVA patients was seen in 60-69 years (30%. Among them 92% of strokes are Ischemic majorly seen in both males and females and8% strokes are hemorrhagic. Ischemic stroke (94.87% is majorly seen in 60-69 yr age group. Among various risk factors Hypertension (36.43% is the major risk factor found in males (60% and females (40%.Antiplatelet drugs (25.75% are the highest number of drugs given in patients 71.27% in males and 28.72% in females. Highest numbers of drugs are given in 50-59yrs age group and are antiplatelets. As a clinical pharmacist 16 adverse drug reactions and 25 drug interactions are reported. Proper patient counselling is needed to reduce hypertension and to reduce the risk for cerebrovascular accident. Among all antiplatelet drugs are majorly given in males and lipid lowering drugs in females.

  2. In-hospital cerebrovascular complications following orthotopic liver transplantation: A retrospective study

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    Liang Zhijian

    2008-12-01

    Full Text Available Abstract Background Cerebrovascular complications are severe events following orthotopic liver transplantation (OLT. This study aimed to observe the clinical and neuroimaging features and possible risk factors of in-hospital cerebrovascular complications in the patients who underwent OLT. Patients and methods We retrospectively reviewed 337 consecutive patients who underwent 358 OLTs. Cerebrovascular complications were determined by clinical and neuroimaging manifestations, and the possible risk factors were analyzed in the patients with intracranial hemorrhage. Results Ten of 337 (3.0% patients developed in-hospital cerebrovascular complications (8 cases experienced intracranial hemorrhage and 2 cases had cerebral infarction, and 6 of them died. The clinical presentations were similar to common stroke, but with rapid deterioration at early stage. The hematomas on brain CT scan were massive, irregular, multifocal and diffuse, and most of them were located at brain lobes and might enlarge or rebleed. Infarcts presented lacunar and multifocal lesions in basal gangliar but with possible hemorrhagic transformation. The patients with intracranial hemorrhage had older age and a more frequency of systemic infection than non-intracranial hemorrhage patients. (P = 0.011 and 0.029, respectively. Conclusion Posttransplant cerebrovascular complications have severe impact on outcome of the patients who received OLT. Older age and systemic infection may be the possible risk factors of in-hospital intracranial hemorrhage following OLT.

  3. Terapia trombolítica e infarto agudo de miocardio en el Hospital Militar de Matanzas

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    Sandy F. Rodríguez Reyes

    2015-10-01

    Full Text Available Introducción: Las enfermedades del corazón constituyen la principal causa de muerte en Cuba.Objetivos: Identificar las características clínico-epidemiológicas de los pacientes con infarto agudo de miocardio y su vínculo con la trombólisis.Método: Estudio observacional descriptivo, de corte transversal, en el Hospital Militar de Matanzas, entre enero de 2011 y enero de 2013. El universo de estudio fue de 96 pacientes con diagnóstico clínico y electrocardiográfico de infarto agudo de miocardio con supradesnivel del segmento ST.Resultados: Existió predominio del sexo masculino (61,4 %, el grupo etario más afectado fue entre 65 y 74 años (39,6 %. La hipertensión arterial constituyó el principal factor de riesgo encontrado (71,9 %. En el 60,2 % de los pacientes que recibieron tratamiento trombolítico, el tiempo puerta-aguja fue entre los 30 y 60 minutos, y la mayoría de los casos [34 (35,4 %] arribaron al hospital entre las 3 y 6 horas del inicio de los síntomas. El alivio del dolor y el regreso del ST se presentaron en el 100 % de las trombólisis efectivas. La causa más frecuente de no trombólisis fue la evolución del episodio isquémico mayor a 12 horas, y falleció un 33,3 % de los pacientes que no recibieron tratamiento trombolítico.Conclusiones: Predominaron el sexo masculino, las edades entre 65 y 74 años, y la hipertensión arterial. La mayoría recibió trombólisis, con tiempo dolor-puerta entre 3 y 6 horas, y puerta-aguja entre 30 y 60 minutos. La complicación que más se presentó durante la trombólisis fue la hipotensión arterial y la causa más frecuente de no realización del procedimiento fue el tiempo dolor-puerta mayor a 12 horas, donde predominaron los fallecimientos. La trombólisis oportuna sigue siendo la principal herramienta para elevar la supervivencia de los pacientes con infarto agudo de miocardio en hospitales sin intervencionismo coronario percutáneo.

  4. REHABILITACIÓN DEL ANTIGUO HOSPITAL MILITAR DE GRANADA PARA NUEVA ESCUELA DE ARQUITECTURA

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    Víctor López Cotelo

    2010-05-01

    Full Text Available RESUMEN En el corazón de Granada, la nueva Escuela de Arquitectura se instala sobre las preexistencias del antiguo Hospital Militar, situado en el barrio del Realejo. El edificio que se adecua a espacio docente suma así un nuevo eslabón en la cadena de transformaciones que, desde preexistencias del periodo nazarí, han ido conformando mediante adiciones, transformaciones y cambios de uso, un conjunto arquitectónico que es reinterpretado por el proyecto y la posterior ejecución de la obra. En su actuación y aprovechando el desnivel topográfico, la sección arquitectónica toma el mando a la hora de dotar al conjunto de una idea integradora: a través de ella se produce la localización de los programas para conseguir una lectura de las diversas escalas del edificio, atenta especialmente a los patios, claustros, galerías y zaguanes y a sus concatenaciones, así como a la captación de la luz a través de diversos recursos cenitales. El proceso constructivo descubre la estructura de muros y el artesonado de los techos, recuperándose desde clave contemporánea, aquellos que resultan ser preexistencias ejemplares. Ambos recursos –luz cenital y espacios abiertos– se reúnen en la adición subterránea del Aula Magna, en el que la evocación a la excavación arqueológica y el silencio de la concentración cohabitan con el bullicio estudiantil del patio liberado sobre él. SUMMARY In the heart of Granada, the new School of Architecture is housed in the old, converted, Military Hospital, located in the Realejo district. The new adaption of the building to an educational space adds a new link to the chain of transformations by which old structures have been reshaped by means of additions, transformations and changes of use since the Nazari period. An architectural whole that is reinterpreted by the plan and the later execution of the work. Making use of the topographical unevenness, the developing architectural section takes control by

  5. Open-Heart surgery and cerebrovascular accident: retrospective study at King Khalid University Hospital

    International Nuclear Information System (INIS)

    Stroke after coronary by-pass grafting (CABG) is often disabling. The incidence of ischemic stroke may approach 3% to 5%. Several risk factors have been identified including previous history of stroke, prolonged cardiopulmonary bypass time, and postoperative atrial fibrillation. Objective was to determine the incidence and risk factors of neurological deficit after open heart surgery. Retrospective study was done during the period 1992-1995 at the King Khalid University Hospital, Riyadh, Saudi Arabia. There were 350 patients who were subjected to (CABG), 10 patients (2.8%) found to suffer from cerebrovascular accidents (CVA) following open-heart surgery. In 8 patients, the complaint lasted more than 24 hours (stroke), while 2 patients developed transient ischemic attacks (TIA). Five factors were found to be associated with increased risk of post cardiac surgery CVA. These factors are postoperative atrial fibrillation, carotid bruit, past history of heart failure, past history of CVA and smoking. The authors concluded that it is necessary to start a prospective study to verify the area of improvement with regards to technique, selection of patients and mode of perfusion during cardiopulmonary bypass (CPB) Arabia. (author)

  6. Estudio descriptivo de la enfermedad cerebrovascular en el Hospital Regional Docente de Ica-Perú 2003 – 2006

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    J. Jhonnel Alarco

    2010-09-01

    Full Text Available Objetivo: Determinar algunas características epidemiológicas de la enfermedad cerebro vascular (ECV, describir las características de la población estudiada según sexo, edad, procedencia, raza, forma de inicio, ubicación, tipos y subtipos, síntomas, antecedentes patológicos y mortalidad intrahospitalaria. Materiales y métodos: estudio descriptivo. Lugar: Hospital Regional Docente de Ica. Criterios de inclusión: pacientes ingresados con diagnóstico de accidente cerebrovascular. Intervenciones: revisión de historias clínicas de archivo entre los años 2003 y 2006. Principales medidas de resultados: análisis estadístico: porcentajes y medidas de tendencia central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows®. Resultados: de 152 pacientes ingresados al servicio de Medicina 119 fueron casos de ECV isquémico, 33 casos fueron ECV hemorrágico. El principal antecedente patológico fue la hipertensión arterial con un 75.0 %. El síntoma más frecuente fue el trastorno motor con 80.3% seguido por alteraciones del lenguaje con 55.9%. El mayor número fue encontrado entre la séptima y octava décadas de la vida. La edad mínima fue de 17 y máxima de 102 años. La mortalidad global fue de 18 casos obteniéndose una tasa de letalidad específica para el ECV isquémico de 0,8% y de 51,5% para el ECV hemorrágico. Conclusiones: Se distingue a la HTA como el principal antecedente modificable, cuya prevención reduciría notablemente su mortalidad. Palabras clave:  accidente cerebrovascular, epidemiología, hospitales, Perú.

  7. Beyond Volume: Hospital-Based Healthcare Technology for Better Outcomes in Cerebrovascular Surgical Patients Diagnosed With Ischemic Stroke: A Population-Based Nationwide Cohort Study From 2002 to 2013.

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    Kim, Jae-Hyun; Park, Eun-Cheol; Lee, Sang Gyu; Lee, Tae-Hyun; Jang, Sung-In

    2016-03-01

    We examined whether the level of hospital-based healthcare technology was related to the 30-day postoperative mortality rates, after adjusting for hospital volume, of ischemic stroke patients who underwent a cerebrovascular surgical procedure. Using the National Health Insurance Service-Cohort Sample Database, we reviewed records from 2002 to 2013 for data on patients with ischemic stroke who underwent cerebrovascular surgical procedures. Statistical analysis was performed using Cox proportional hazard models to test our hypothesis. A total of 798 subjects were included in our study. After adjusting for hospital volume of cerebrovascular surgical procedures as well as all for other potential confounders, the hazard ratio (HR) of 30-day mortality in low healthcare technology hospitals as compared to high healthcare technology hospitals was 2.583 (P technology hospitals with high volume as compared to high healthcare technology hospitals with high volume was the highest (10.014, P technology hospitals had the highest 30-day mortality rate, irrespective of hospital volume. Although results of our study provide scientific evidence for a hospital volume/30-day mortality rate relationship in ischemic stroke patients who underwent cerebrovascular surgical procedures, our results also suggest that the level of hospital-based healthcare technology is associated with mortality rates independent of hospital volume. Given these results, further research into what components of hospital-based healthcare technology significantly impact mortality is warranted.

  8. Estudio descriptivo de la enfermedad cerebrovascular en el Hospital Regional Docente de Ica-Perú 2003 - 2006

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    J. Jhonnel Alarco

    2009-01-01

    Full Text Available Objetivo, Determinar algunas características epidemiológicas de la enfermedad cerebro vascular (ECV, describir las características de la población estudiada según sexo, edad, procedencia, raza, forma de inicio, ubicación, tipos y subtipos, síntomas, antecedentes patológicos y mortalidad intrahospitalaria. Materiales y métodos, estudio descriptivo. Lugar, Hospital Regional Docente de Ica. Criterios de inclusión, pacientes ingresados con diagnóstico de accidente cerebrovascular. Intervenciones, revisión de historias clínicas de archivo entre los años 2003 y 2006 Principales medidas de resultados, análisis estadístico, porcentajes y medidas de tendencia central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows®. Resultados, de 152 pacientes ingresados al servicio de Medicina 119 fueron casos de ECV isquémico, 33 casos fueron ECV hemorrágico. El principal antecedente patológico fue la hipertensión arterial con un 75.0 %. El síntoma más frecuente fue el trastorno motor con 80.3% seguido por alteraciones del lenguaje con 55.9%. El mayor número fue encontrado entre la séptima y octava décadas de la vida. La edad mínima fue de 17 y máxima de 102 años. La mortalidad global fue de 18 casos obteniéndose una tasa de letalidad específica para el ECV isquémico de 0,8% y de 51,5% para el ECV hemorrágico. Conclusiones: Se distingue a la HTA como el principal antecedente modificable, cuya prevención reduciría notablemente su mortalidad.

  9. 2004年-2013年某医院心脑血管疾病出院病例分析%Cardio-cerebrovascular Disease Case Analysis in A Hospital From 2004 to 2013

    Institute of Scientific and Technical Information of China (English)

    施小明; 郭亚菲; 李伟荣; 刘力戈

    2014-01-01

    Objective To understand the incidence of cardio-cerebrovascular disease, and provide scientific basis for the development of prevention and control measures. Method A retrospective of hospitalization medical records of cardio-cerebrovascular disease investigation was taken in a hospital from 2004 to 2013 by ICD-10 as classification standard and EXCEl, SAS9.2 as statistical analysis tool. Result The number of patients with cardio-cerebrovascular diseases have increased significantly. The annual growth rate of the number of inpatients with cardio-cerebrovascular diseases, cardiovascular disease and cerebrovascular disease is respectively 8.71%, 9.03% and 7.84%. The number of male inpatients with cardio-cerebrovascular diseases is more than women. The highest constituent ratio age group is 56-65 age-group instead of 66-75 age-group from 2012. Conclusion The number of patients with cardio-cerebrovascular diseases have increased annually. Patient age is younger and middle-aged people should be paid more attention in the population prevention of cerebrovascular disease.%目的:了解心脑血管疾病患者的发病情况,为制定预防控制措施提供科学依据。方法对某医院2004年-2013年间确诊为心脑血管疾病患者的出院病例进行回顾性调查分析,根据ICD-10进行分类,利用EXCEl、SAS9.2为统计分析工具,对出院病案首页进行检索、汇总分析。结果心脑血管疾病出院病例数量有明显增加,心脑血管疾病、心血管疾病、脑血管疾病的出院病例数量年平均增长速度分别是8.71%、9.03%、7.84%;男性心脑血管疾病患者人数多于女性;从2012年开始,构成比最高的年龄组从66岁-75岁转变为56岁-65岁年龄组。结论心脑血管病的住院患者逐年增多,住院病人年龄呈现年轻化,中青年人群可能是防治的重点人群。

  10. Militar (superíndice) 2, remisión de V. ciencia militar.

    OpenAIRE

    2011-01-01

    [ES] Definición del término Militar (superíndice) 2, remisión de V. ciencia militar. en el diccionario Dicter. [EN] Definition of the word Militar (superíndice) 2, remisión de V. ciencia militar. in the dictionary Dicter.

  11. Prevalência e padrão de distribuição das doenças cerebrovasculares em 242 idosos, procedentes de um hospital geral, necropsiados em Belo Horizonte, Minas Gerais, no período de 1976 a 1997 Prevalence and types of cerebrovascular diseases in 242 hospitalized elderly patients, autopsied in Belo Horizonte, Minas Gerais, Brazil, from 1976 to 1997

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    José Eymard H. Pittella

    2002-03-01

    Full Text Available OBJETIVO: Descrever a prevalência e os tipos das doenças cerebrovasculares (DCVs em indivíduos idosos necropsiados. MÉTODO: Foram consultados os laudos neuropatológicos de 242 pacientes com idade igual ou superior a 61 anos, procedentes em sua maioria do Hospital das Clínicas da Universidade Federal de Minas Gerais, em Belo Horizonte, Minas Gerais, e necropsiados consecutivamente no período 1976 a 1997. RESULTADO: Os principais grupos de doenças do sistema nervoso central (SNC foram representados por DCVs (71,9%, infecções (12,4%, neoplasias (7,1%, traumatismos crânio-encefálicos (3,7%, doenças nutricionais (2,5% e doenças degenerativas (1,7%. As DCVs mais frequentes foram: aterosclerose (61,2%, doença cerebrovascular hipertensiva (25,6% e infarto cerebral (14,9%. Observou-se aumento da frequência e da gravidade da aterosclerose e da frequência da doença cerebrovascular hipertensiva com o avançar da idade. Houve associação significativa entre doença cerebrovascular hipertensiva e aterosclerose. As DCVs foram clinicamente sintomáticas e as responsáveis diretas pelo óbito em 42,7% e 17,3% dos pacientes, respectivamente. CONCLUSÃO: As DCVs constituíram o principal grupo de doenças do SNC no idoso. A aterosclerose e a doença cerebrovascular hipertensiva foram as principais doenças deste grupo, notando-se aumento de sua frequência com o avançar da idade e associação significativa entre ambas.OBJECTIVE: To describe the prevalence and the types of cerebrovascular diseases (CVDs in autopsied elderly individuals. METHOD: Consecutive clinical charts and neuropathological reports of 242 patients aged 61 years or older were reviewed. The patients died in Hospital das Clínicas, Federal University of Minas Gerais, in Belo Horizonte, Minas Gerais, Brazil, from 1976 to 1997. RESULTS: The prevalent diseases of the central nervous system (CNS found in decreasing order were: CVDs (71.9%, infections (12.4%, neoplasms (7.1%, head

  12. Clinical audit of patients with cerebrovascular accident and transient ischemic attack in our lady of lourdes hospital drogheda, ireland

    International Nuclear Information System (INIS)

    Stroke is a major health problem and is one of leading causes of morbidity and mortality. Methods: A clinical audit comprising retrospective chart review of 101 patients randomly selected from admission register in Our Lady of Lourdes Hospital Drogheda, Ireland, was done during the first quarter of 2009. Keeping in view the recommendations, in this audit the following areas were evaluated: type of event, time of event and arrival to hospital, thrombolytic therapy, past medical history, investigations, smoking history, utilization of multidisciplinary services (physiotherapy and occupational therapy, speech and language therapy), medications, referral to GP, carotid pathology, and outcome. Results: Of the 101 patients, 43 (42.5%) were males and 58 (57.4%) were females. 47.5% (48/101) had TIA while 52.5% (53/101) had CVA. Of the total patients, 62.8% males and 56.8% females were hypertensive and 48.8% of males and 36.2% of females had hypercholesterolemia. Of the total number of patients, 23% of males and 15.5% of females were smokers. Utilization of different multidisciplinary services for males and females was following: physical therapy (46.5% and 45.8%); occupational therapy (11.6% and 15.3%); speech and language therapy (13.9% and 22%). Of all the patients 5% died in the hospital, 77.2% were discharged home and 17.8% were sent to Nursing home for long term care. Conclusion: The commonest risk factor for CVA / TIA is hypertension followed by hypercholesterolemia. Smoke cessation advice should be given to all at risk. (author)

  13. Caracterización de las enfermedades cerebrovasculares en pacientes atendidos en cuidados intensivos del hospital Guillermo Domínguez

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    Yoel González Gómez

    2014-08-01

    Full Text Available La incidencia de enfermedades cerebrovasculares aumenta con la edad y son la tercera causa de muerte en Cuba. Se realizó un estudio descriptivo, con el objetivo de caracterizar el comportamiento de las referidas enfermedades en pacientes atendidos en la unidad de cuidados intensivos del hospital general docente “Guillermo Domínguez López” de Puerto Padre, provincia Las Tunas, en el período comprendido entre el primero de enero de 2011 y el 31 de marzo de 2012. La muestra se conformó con los 145 pacientes que presentaron afección cerebro vascular de tipo isquémica y hemorrágica. Las variables utilizadas fueron la edad, sexo, complicaciones, mortalidad y acciones de enfermería realizadas. Para el procesamiento y análisis de la información se creó una base de datos. El grupo de edad más frecuente fue el de 56 años y más, con un 48,46% las hemorrágicas; predominó el sexo femenino en los hemorrágicos, con un 30,34%; la complicación que más incidió fue la bronconeumonía; la mortalidad fue mayor en las enfermedades cerebro vasculares hemorrágicas, con el 86,66%, y las acciones de enfermerías más frecuentes fueron las de tipo independientes, con un 60,72%

  14. 急性心脑血管疾病患者的院前急救分析研究%Analysis and research of pre-hospital first aid for patients with acute cardiovascular and cerebrovascular diseases

    Institute of Scientific and Technical Information of China (English)

    李淑刚

    2015-01-01

    ObjectiveTo investigate pre-hospital first aid for patients with acute cardiovascular and cerebrovascular diseases.MethodsA retrospective analysis was made on clinical data of 130 patients with acute cardiovascular and cerebrovascular diseases. 65 cases of them receiving pre-hospital first aid were taken as experimental group, and the other 65 cases without pre-hospital first aid as control group. Condition of their first aid was observed.ResultsThe experimental group had much lower mortality rate and disability rate than the control group, and their difference had statistical significance (P<0.05).ConclusionPre-hospital first aid can effectively reduce mortality rate and disability rate in patients with acute cardiovascular and cerebrovascular diseases, and it can provide early rehabilitation.%目的:探讨急性心脑血管疾病患者的院前急救。方法对130例急性心脑血管疾病患者的临床资料进行回顾性分析,将经过院前急救的65例急性心脑血管疾病患者作为实验组,将自行来院的没有进行院前急救的65例急性心脑血管疾病患者作为对照组,观察两组患者的急救情况。结果实验组的死亡率及致残率明显少于对照组,差异具有统计学意义(P<0.05)。结论对急性心脑血管疾病患者进行院前急救可以有效的减少患者的死亡率及致残率,并能尽早的恢复。

  15. Factors influencing ischemic cerebrovascular disease complicated by hyperhomocysteinemia

    Institute of Scientific and Technical Information of China (English)

    Zhongping An; Yonghong Xing; Sha Jin

    2008-01-01

    BACKGROUND: Hyperhomocysteinemia, as an important risk factor for ischemic cerebrovascular disease is receiving increasing attention.OBJECTIVE: To analyze whether differences of gender, age, cerebrovascular disease typing, and disease conditions exist when ischemic cerebrovascular disease occurs together with hyperhomocysteinemia. DESIGN: A controlled observation. SETTING: Department of Neurology, Tianjin Huanhu Hospital. PARTICIPANTS: A total of 601 acute ischemic cerebrovascular disease inpatients, comprising 386 males and 215 females, aged 33-90 years old, were admitted to the Department of Stroke, Tianjin Huanhu Hospital between August 2005 and April 2007, and were recruited for this study. All included patients consisted of 342 aged patients (≥ 60 years old) and 92 middle-aged and young patients ( 0.05). No significant difference in incidence of hyperhomocysteinemia existed between mild, moderate, and severe cerebrovascular disease patients (P > 0.05). CONCLUSION: There is a greater chance of ischemic cerebrovascular disease complicated by hyperhomocysteinemia in older, male patients.

  16. Peculiaridades do trabalho policial militar

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    Fraga, Cristina Kologeski

    2006-01-01

    Full Text Available Este artigo objetiva refletir sobre as peculiaridades do trabalho do Policial Militar (PM. Para tanto, busca-se, inicialmente, descrever os elementos que compõem o processo de trabalho PM, discorrendo sobre os seus elementos fundamentais. Na seqüência, problematiza-se o trabalho do policial militar, caracterizando o cotidiano de execução dessa atividade, permeada paradoxalmente por uma mescla de rotina e incerteza. Além dos aspectos críticos, apontados em relação à rotina e à incerteza, acresce-se o compromisso de dedicação exclusiva (inclusive com o sacrifício da própria vida e a exposição a intempéries, ao realizar o serviço de policiamento ostensivo. Após, destaca-se a questão da violência do/no trabalho, que determina, em última análise, a desproteção social do policial. Finalmente, sugerem-se estudos que dêem visibilidade aos aspectos referentes à violência inerente ao trabalho PM, que se constitui como uma das profissões expostas ao limite da incerteza da vida.

  17. Hypertension and cerebrovascular damage.

    Science.gov (United States)

    Veglio, Franco; Paglieri, Cristina; Rabbia, Franco; Bisbocci, Daniela; Bergui, Mauro; Cerrato, Paolo

    2009-08-01

    Hypertension is the most important modifiable factor for cerebrovascular disease. Stroke and dementia are growing health problems that have considerable social and economical consequences. Hypertension causes brain lesions by several mechanisms predisposing to lacunar infarctions, leucoaraiosis, and white matter changes as well as to intracerebral haemorrhages. These parenchymal damages determine evident or silent neurological alterations that often precede the onset of cognitive decline. It is important to recognize cerebrovascular disease and, above all, to correlate typical lesions to hypertension. Antihypertensive therapy has shown clinical benefits in primary and secondary prevention of stroke. These drugs represent important instruments against cerebrovascular disease but their effects on cognition are still matter of debate. Cerebral parenchymal and functional damages have to be considered together to make medical intervention more incisive. PMID:19100549

  18. War, Militarism and the Soviet State.

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    Holloway, David

    This paper surveys obstacles to disarmament in the Soviet Union, with emphasis on the role of the military tradition in Russia and the centrality of the defense sector to Soviet society. The hypothesis is that, although the role of militarism is strong, there are potential forces for demilitarization, including, for example, the friction caused by…

  19. Analysis of epidemiological and clinical characteristics of patients admitted diagnosed with acute ischemic cerebrovascular event in internal medicine services and neurology of the Hospital Mexico in March 2013 to March 2014

    International Nuclear Information System (INIS)

    Records of 100 patients were revised with diagnosis of ischemic cerebrovascular event in the neurology and internal medicine at the Hospital Mexico since March 2013 to March 2014. A total of 46 patients were men and 54 were women. The overall mean age was 69 years, for men have been 66 years and for women from 71. Patients of all provinces were entered main of San Jose with 56% followed by 19% Alajuela. The hospital management by specialty was distributed 60% to internal medicine and 40% neurology. The risk factors most frequently found were: hypertension 85%, diabetes mellitus 40%, smoking 35%, and dyslipidemia 35%. Overweight was observed in 23% of patients and 22% obese. As for the initial clinical manifestations documented in the first physical examination, the 6 most frequently found have been: faciobrachiocrural hemiparesis 60%, delirium 22%, dysarthria 22%, headache 20%, nausea and/or vomiting 17% and aphasia 15%. A total of 13% of patients have altered the consciousness and 5% have required ventilatory support for first 24 hours of evolution. 27% of patients have arrived within the first 3 hours of onset of symptoms, 11% between 3 to 4.5 hours and the remaining 62% beyond 4.5 hours of duration. 70% of patients have had 1 or more comorbidities prior to the event, the top 5 have been: ischemic heart disease 31%, 29% atrial fibrillation, cerebrovascular disease 19%, 16% chronic kidney disease and congestive heart failure by 12%. Regarding the topographic classification of stokes, 16% were TACI, PACI 46%, 27% LACI and POCI only 11%. The average NIHSS scale has been 9 points to admission, 10 to 48 hours and 6 points at the time of discharge. Regarding brain scan on admission to 98% of the patients were performed while that between 48-72 hours alone to 74%. The most common initial tomographic CT findings have been: 49% lucency of more than 1/3 of middle cerebral artery territory, without alteration 46%, 8% cerebral edema data and 8% midline deviation. Hemorrhagic

  20. Manifest Spatialization: Militarizing Communication in Canada

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    Patricia Mazepa

    2015-06-01

    Full Text Available Focusing on the political economy of communication and the process of spatialization whereby control over space and time is extended through the use of information and communication technology (ICT, this paper provides an overview of the intersections that draw the Canadian federal government, its military, and the ICT, defence and security industries into relationships that reinforce and extend their control. By attending to historical and current examples, it highlights several sub-processes of spatialization, including corporate restructuring (through vertical and horizontal integration, as well as state restructuring (principally through internationalization and commercialization, which together underpin and support the militarization of communication. From the state’s concentration on conventional war and the “Cold War”, through to the current “War on Terror” and its protection of an integrated ICT infrastructure, communication is increasingly confined within a narrow militarized and corporatized framework. Within this framework, both capital and the military prioritize the development and administration of the “command and control” capabilities of ICT, such that the policies and practices of communication become more exclusive, restrictive and surveilled, and less open, accessible, and universal. The paper seeks to explain how this tripartite combination of “command, control, and communication” is indicative of the process of spatialization, and supports a militarized capitalism and the formation of a cross-border MICC poised to expand and defend it.

  1. Caracterización de la evaluación y tratamiento de las enfermedades cerebrovasculares en el hospital “Guillermo Domínguez López”

    Directory of Open Access Journals (Sweden)

    Eliades Millán Cordoví

    2014-10-01

    Full Text Available Se realizó un estudio descriptivo transversal en el Hospital General Docente “Guillermo Domínguez López” de Puerto Padre, Las Tunas, en el periodo comprendido desde el primero de enero hasta el 31 de diciembre del año 2012, con el objetivo de describir la evaluación y tratamiento de las enfermedades cerebrovasculares en la fase aguda. La población estuvo constituida por 198 pacientes. Mediante la revisión de historias clínicas y del registro control de hospitalizados se obtuvieron las variables utilizadas en la investigación. El grupo de edad de los mayores de 60 años y el sexo masculino fueron los más afectados. Como principales deficiencias en la evaluación y tratamiento se encontró que solo se admitieron en la unidad de terapia intensiva el 54,1% del total de pacientes, el oxígeno medicinal fue utilizado en el 79,8% de los casos. En el 33,9% de los casos con valores de glicemia entre 8 y 11 mol/L no se tomó conducta. Los fármacos antiedema cerebral fueron utilizados en el 67,1% de los casos, siendo la furosemida el más utilizado. El 26,2% de los pacientes fallecieron, con 75,0% para la hemorrágica. Las deficiencias detectadas en la evaluación y tratamiento de la ECV pudo haber tenido relación con el incremento de la mortalidad

  2. Progress on diabetic cerebrovascular diseases

    OpenAIRE

    Houguang Zhou; Xiaoming Zhang; Jianfeng Lu

    2014-01-01

    Diabetic cerebrovascular diseases are defined as cerebral vascular diseases induced by diabetes with sugar, fat and a series of nutrient substance metabolic disorders, resulting in intracranial large and small vessel diseases. About 20%-40% patients with type 2 diabetes suffer from cerebral blood vessel diseases. Diabetic cerebrovascular diseases are the main causes of death in patients with diabetes mellitus. The major clinical manifestations are asymptomatic cerebral atherosclerosis, stroke...

  3. Categorization of cerebrovascular intervention methods

    Institute of Scientific and Technical Information of China (English)

    Wenxin Zhao; Gelin Xu; Xinfeng Liu

    2008-01-01

    BACKGROUND: Cerebrovascular intervention is a medical strategy to diagnose and treat cerebrovascular disease by intravascular intervention techniques. With the continual developments of computer technology, imageology, and angiography, cerebrovascular intervention techniques have developed rapidly.OBJECTIVE: To summarize and to evaluate vascular imaging diagnostic techniques, vascular intra-arterial thrombolysis, vascular intra-arterial angioplasty, and vascular embolization in clinical applications.RETRIEVAL STRATEGY: An online search was conducted in PubMed for English language reports, published from January 2002 to January 2008, containing the key words: intervention therapy, cerebral vascular disease, endovascular intervention and angioplasty. A total of 57 publications were identified. Inclusion criteria: articles about cerebrovascular intervention for cerebrovascular disease; articles published either in high impact factor journals or in recent years. Exclusion criteria: duplicated articles.LITERATURE EVALUATION: 30 articles were identified concerning intravascular intervention techniques and arterial angioplasty. Of those, 7 articles were reviews and 23 were clinical or basic studies.DATA SYNTHESIS: Carotid artery and basilar artery stenosis were important etiological factors for ischemic cerebrovascular disease. The mechanism of stenosis induction included atherosclerotic plaque exfoliation and stenosis could cause hemodynamic changes to induce cerebral infarction. Therefore, the treatment of carotid artery and basilar artery stenosis played a key role in preventing ischemic cerebral infarction. The international organization for subarachnoid hemorrhage aneurysm has conclusively shown that both relative and absolute risk factors of intravascular embolotherapy were reduced compared to those of surgical occlusion, demonstrating the important role of vascular embolization for the treatment of intracranial aneurysm. Endovascular stents were placed into the

  4. 2011-2013年我院治疗心脑血管疾病中成药的用药合理性%Rational Use of Traditional Chinese Medicines for the Treatment of Cardiovascular and Cerebrovascular Diseases in Our Hospital in 2011 - 2013

    Institute of Scientific and Technical Information of China (English)

    张丝雨

    2015-01-01

    Objective: To analyze the usage of 20 kinds of traditional Chinese medicines for the treatment of cardiovascular and cerebrovascular diseases in our hospital from 2011 to 2013 , and to provide a reference for ratio-nal use of traditional Chinese medicines . Methods: The traditional Chinese medicines used in the three years in our hospital for cardiovascular and cerebrovascular diseases were analyzed statistically in respect of consumption sum of medication and DDDs . Results: The DDDs of traditional Chinese medicines used for cardiovascular and cere-brovascular diseases increased year by year . Compound Danshen dripping pills ranked the first over the three years , which was followed by Ginkgo biloba extract dropping pills and Suxiaojiuxin pills . Conclusion: The application of 20 kinds of traditional Chinese medicines for the treatment of cardiovascular and cerebrovascular diseases in our hospital was generally reasonable . Clinicians should follow the principle of syndrome differentiation and use medicines reasonably .%目的:分析2011-2013年我院治疗心脑血管疾病的20种中成药的使用情况,为临床合理用药提供参考。方法:对我院3年来治疗心脑血管疾病的中成药用药金额、用药频度进行统计分析。结果:3年来我院治疗心脑血管疾病的中成药用药频度呈逐年递增趋势,复方丹参滴丸一直位列第1,2013年银杏酮酯滴丸和速效救心丸有明显增长,位居第2、3位。结论:2011-2013年我院治疗心脑血管疾病的20种中成药使用基本合理,临床医生应根据辨证施治原则合理用药。

  5. Analysis of 797 pre-hospital patients with cerebrovascular disorder in Zhenjiang%镇江市院外救治797例脑卒中患者特征分析

    Institute of Scientific and Technical Information of China (English)

    陆素琴; 陈志刚; 步兰平; 郭薇

    2013-01-01

    Objective To analyze the epidemiological and pre-hospital pattern of the stroke patients for better treatment.Methods A retrospective analysis was performed on the stroke patients treated in between January 1,and December 31,2011 at the center.Results The 797 stroke cases took 10.42% of the total number of the cases of which the emergency service was provided in the same period,with male to female ratio of 1.32:1;for the men's average age of (66.67±13.937) years old and the women average age of (71.85±13.797) years old (P<0.01).The incidence increased with age with most incurrence in 70~79 year old with hypertension history,(49.4%.No pattern was found in change of seasons (P > 0.05).Most likely,it occurred between 7am and 12pm,and between 4pm and 8pm,with a peak time of between 9 and 10am.It reflected the lowest incurrence in between 4 and 5am.In the 797 cases,there were 192 critical cases,24%; 359 severe cases,45%; 246 mild cases,31%.The average emergency responding time was 13.49 minutes.Conclusion As elderly is the susceptible populations for stroke,prevention efforts should be actively pursued,especially in patients with hypertension.An overloaded work of stroke treatment takes place in major hospitals,which demands attention to develop a systemic strategy of pre-hospital emergency service,prevention,and rehabilitation for cerebrovascular disease.On top of stroke knowledge popularized by the emergency medical center,it should also make a great effort on strengthening the pre-hospital network,as well as improving quality of the service.%目的 分析镇江市急救中心救治的脑卒中患者的流行病学与院外救治规律,为院外更好救治脑卒中提供建议.方法 采用回顾性研究方法,分析2011年1月1日~12月31日期间镇江市急救中心救治的脑卒中患者的院夕急救病历资料.结果 共救治脑卒中患者797例,占同期院外急救人数的10.42%,其中①男女比例=1.32∶1;年龄20~101

  6. Cerebrovascular manifestations following scorpion sting

    Directory of Open Access Journals (Sweden)

    Nataraja P

    2016-07-01

    Full Text Available Scorpion sting is a common clinical problem in Rayalaseema area of Andhra Pradesh State in India. Clilnical presentation of scorpion envenomation can range from mild local pain to systemic manifestations involving almost all systems. Cerebrovascular manifestations of scorpion sting have been sparsely documented. We report two cases who presented with ischaemic stroke and haemorrhagic stroke following scorpion sting.

  7. Cerebrovascular manifestations following scorpion sting

    OpenAIRE

    Nataraja P; Naveen Prasad SV; Obulareddy G; Anil Ch; Naveen T; Vengamma B

    2016-01-01

    Scorpion sting is a common clinical problem in Rayalaseema area of Andhra Pradesh State in India. Clilnical presentation of scorpion envenomation can range from mild local pain to systemic manifestations involving almost all systems. Cerebrovascular manifestations of scorpion sting have been sparsely documented. We report two cases who presented with ischaemic stroke and haemorrhagic stroke following scorpion sting.

  8. Physiological and pathophysiological cerebrovascular regulation monitored by transcranial doppler

    OpenAIRE

    Hellström, Gunnar

    1997-01-01

    PHYSIOLOGICAL AND PATHOPHYSIOLOGICAL CEREBROVASCULAR REGULATION MONITORED BY TRANSCRANIAL DOPPLER Thesis by Gunnar Hellström, M D., Department of Clinical Neuroscience, Division of Neurology, Karolinska Hospital and Insbtute, Stocknolm, Sweden Transcranial Doppler ultrasonography (TCD) became available in the middle of the 1980s as a new technique for examinmg cerebral circulation. With this technique it is possible to measure the velocity of blood flow in major ...

  9. The Cerebrovascular Disease and Nutritional State. Enfermedad cerebrovascular y estado nutricional

    Directory of Open Access Journals (Sweden)

    Fidel Pérez Pérez

    úrgicas. La evaluación nutricional del paciente se debe basar en una correcta evaluación de diferentes aspectos. Objetivo: Evaluar el estado nutricional de pacientes afectados de enfermedad cerebro vascular en su forma isquémica y la incidencia de complicaciones y muerte. Métodos: Ensayo clínico aleatorizado simple y abierto, prospectivo y longitudinal, no controlado por placebos, que incluyó a 80 pacientes con diagnóstico clínico tomográfico de infarto cerebral ingresados en el Instituto Superior de Medicina Militar durante el año 2005.Se analizó historia clínica y dietética, peso, talla, evaluación diaria del perfomance inmunológico mediante recuento periférico de linfocitos. Resultados: El 90 % de los pacientes tuvo una pérdida de peso menor de un 10 % del peso ideal y el 10 % evidenció un aumento discreto. Los pacientes con complicaciones presentaron mayor por ciento de pérdida de peso y mayores cifras de nitrógeno egresado . El mayor por ciento de pérdida de peso y el menor conteo de linfocitos lo tuvieron los pacientes con complicaciones sépticas; se observó un descenso de parámetros nutricionales adecuados en los pacientes fallecidos. Existieron diferencias significativas en el reporte de complicaciones en pacientes desnutridos inicialmente. Conclusiones: Se constató relación entre la evolución de la enfermedad cerebrovascular y el estado nutricional, condicionado por la aparición de complicaciones, con énfasis en la sepsis, por ello es necesario prestar especial atención a la nutrición del paciente con neuroictus.

  10. Cerebrovascular stroke at high altitude

    International Nuclear Information System (INIS)

    Objective: To asses the high altitude as a risk factor for cerebrovascular stroke in people residing at a height greater than 15,000 feet above sea level. Results: Ten patients suffered from stroke at high altitude while just one case had stroke in indexed age group at lower heights (p-value<0.05). Relative risk was 10 times greater at high altitude. Conclusion: High altitude is a risk factor for stroke in persons residing at altitudes of over 15, 000 ft. (author)

  11. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  12. El Sistema de Telemedicina Militar en España: una aproximación histórica

    Directory of Open Access Journals (Sweden)

    L. Hillán García

    2014-06-01

    Full Text Available La telemedicina es una moderna disciplina con apenas medio siglo de vida cuya evolución e impacto está siendo verdaderamente relevante. En España, los orígenes de la telemedicina hay que buscarlos en las primeras consultas por radio de asistencia sanitaria en alta mar a finales de los años 20. Pero pasarían varias décadas hasta que en 1996 se inaugurara el primer servicio de telemedicina en España cuando se establece una sesión de videoconferencia vía satélite Inmarsat desde la Unidad de Telemedicina del Hospital Militar "Gómez Ulla" en Madrid (España al centro médico del destacamento desplegado en Mostar (Bosnia-Herzegovina. Se inicia, desde entonces, una importante proyección de la telemedicina en España, y muy especialmente en la Sanidad Militar, al ponerse las bases del que es hoy el Sistema de Telemedicina del Ministerio de Defensa. Este pionero Sistema de Telemedicina ha sabido mantenerse siempre a la vanguardia de los nuevos avances en telemedicina, constituyéndose como un referente internacional en este campo. Es por eso que, en este artículo, nos acercamos a la historia de la telemedicina militar en España, poniendo la tilde en su Sistema de Telemedicina, para conocer mejor el papel desempeñado de la telemedicina en la Sanidad Militar, su evolución, sus limitaciones y fortalezas, así como sus nuevos retos y perspectivas de futuro.

  13. Genetic Causes of Cerebrovascular Disorders in Childhood

    NARCIS (Netherlands)

    M.E.C. Meuwissen (Marije)

    2014-01-01

    markdownabstract__Abstract__ Cerebrovascular disorders in childhood comprise ischemic stroke and hemorrhagic stroke. This thesis comprises a escription of genetic causes of childhood cerebrovascular disorders. Two examples of genetic causes of ischemic stroke, comprising a case of ACTA2 mutation an

  14. Reformismo e intervencionismo militar durante la Guerra Civil

    Directory of Open Access Journals (Sweden)

    Ramón SALAS LARRAZÁBAL

    2010-02-01

    Full Text Available El reformismo militar ha sido durante nuestra historia contemporánea una obsesión que cayó en manía, tal vez porque nunca se hizo una verdadera reforma y el intervencionismo de los militares en la política, un hábito que llegó a adquirir caracteres patológicos endémicos. Del centenar largo de españoles que ocuparon una o varias veces la cartera de la guerra desde la convocatoria de Cortes en 1.809 hasta nuestra Guerra Civil, raro fue el que no llevaba en sus bolsillos al incorporarse a su puesto un proyecto de reforma militar y lo mismo podría decirse de los que en número sensiblemente igual se sucedieron en el Ministerio de Marina, todos los cuales eran portadores de su personal programa naval. Del mismo modo también puede afirmarse que en casi todas las situaciones en que, con éxito o sin él, se produjo un cambio sustancial en el funcionamiento de las Instituciones, los que lo protagonizaron o eran militares o buscaron y encontraron apoyo en las Fuerzas Armadas.

  15. The forgotten voices of the militares cassados in Brazil

    Directory of Open Access Journals (Sweden)

    Nina Schneider

    2013-11-01

    Full Text Available Forcibly retired military officials whose political rights were withdrawn (militares cassados during the military regime have previously received no attention from either the military institution or civilians (the State, the general public, and scholars. It is only recently that the Brazilian Truth Commission appointed a subgroup to investigate the militares cassados and that new research projects have been initiated. This article asks why research on military repression has been neglected for so long, and discusses three hypotheses. It then introduces two militares cassados ─ Brigadier Rui Moreira Lima, whose political rights were withdrawn despite his distinguished military career in the Second World War; and Ivan Proença Cavalcanti, a military official who defied instructions from his superiors to open fire on students. Based on oral history interviews, autobiographies, military journals, and intelligence files, this article aims to kick-start a discussion about whether the neglect of the militares cassados may be symptomatic of a historiographical tendency to homogenise the Armed Forces in Brazil.

  16. Shifting sights: civilian militarism in Israeli art and visual culture

    NARCIS (Netherlands)

    N. Roei

    2012-01-01

    This study attends to the relation between images and frames of vision in the contexts of militarized Israeli national identity and Israeli contemporary art. It unpacks the way in which art and visual culture contend, not with the military itself, but with its foundational impact on Israeli identity

  17. Cerebrovascular arteriopathy (arteriosclerosis) and ischemic childhood stroke.

    Science.gov (United States)

    Daniels, S R; Bates, S; Lukin, R R; Benton, C; Third, J; Glueck, C J

    1982-01-01

    The aim of this report is to describe the intracranial cerebrovascular abnormalities and clinical status of 8 children who had familial lipoprotein disorders and evidence of thromboembolic cerebrovascular disease. Six of the 8 children had low levels of plasma high density lipoprotein cholesterol, two had high triglyceride levels, and all came from kindreds characterized by familial lipoprotein abnormalities and premature cardio- and/or cerebrovascular atherosclerosis. Vascular occlusion, irregularities of the arterial lumen, beading, tortuosity, and evidence of collateralization were consistently noted. We speculate that cerebrovascular arteriosclerosis in pediatric ischemic stroke victims who have familial lipoprotein abnormalities may be related to lipoprotein-mediated endothelial damage and thrombosis formation, or to the failure to restore endothelial cells' integrity following damage. The apparent association of lipoproteins and strokes in children and their families merits further exploration, particularly when assessing cerebral angiograms in pediatric ischemic stroke victims. In children with unexplained ischemic cerebrovascular accidents, the diagnostic possibility of occlusive arteriosclerosis with thrombosis must be entertained.

  18. Vivendo o acidente vascular encefálico agudo: significados da doença para pessoas hospitalizadas Viviendo el accidente cerebrovascular agudo: significado de la enfermedad para personas hospitalizadas Experiencing acute stroke: the meaning of the illness for hospitalized patients

    Directory of Open Access Journals (Sweden)

    Samia Jardelle Costa de Freitas Maniva

    2013-04-01

    Full Text Available Objetivou-se compreender o significado da experiência vivenciada pela pessoa adoecida por acidente vascular encefálico agudo. Trata-se de estudo qualitativo, fundamentado nos pressupostos teóricos do interacionismo simbólico, realizado em uma unidade especializada no tratamento de acidente vascular encefálico de um hospital terciário, situado na cidade de Fortaleza, CE. Participaram do estudo 10 pacientes. A coleta de dados ocorreu por meio de entrevista aberta e os dados foram organizados e analisados segundo a técnica de enunciação. Cumpriram-se todos os aspectos éticos. O significado da experiência de adoecimento foi construído com base na percepção dos sentimentos surgidos durante a hospitalização, caracterizados por medo da morte e das sequelas da doença; tristeza pelo distanciamento do lar; alívio, ao evidenciar-se melhora do quadro clínico, e desejo de mudança dos hábitos de vida. Apreendeu-se que a experiência de adoecimento por acidente vascular encefálico é complexa, e nela os significados são elaborados com base em sentimentos, ações e comportamentos dos sujeitos.Se objetivó comprender el significado de la experiencia de la persona que padeció accidente cerebrovascular agudo. Estudio cualitativo, fundamentado en los presupuestos teóricos del interaccionismo simbólico, realizado en unidad especializada en tratamiento de accidente cerebrovascular de un hospital terciario en Fortaleza-CE. Participaron diez pacientes. Datos recolectados mediante entrevista abierta, organizados y analizados según técnica de enunciación. Se cumplió con todos los aspectos éticos. El significado de la experiencia del padecimiento fue construido en base a la percepción de los sentimientos surgidos durante la internación, caracterizados por el miedo a la muerte y a las secuelas de la enfermedad; tristeza por alejarse del hogar; alivio al evidenciarse mejoras del cuadro clínico; e intención de cambio de hábitos de vida

  19. Symptomatic Epilepsies due to Cerebrovascular Diseases

    Science.gov (United States)

    Dakaj, Nazim; Shatri, Nexhat; Isaku, Enver; Zeqiraj, Kamber

    2014-01-01

    Introduction: Cerebro-vascular diseases (CVD) are the leading cause of symptomatic epilepsies. This study aims to investigate: a) Frequency of epilepsy in patients with CVD; b) Correlation of epilepsy with the type of CVD (ischemic and hemorrhage) and with age. Methodology: It is analyzed medical documentation of 816 hospitalized patients with CVD in the clinic of Neurology in University Clinical Center (UCC) during the period January - December 2010. The study included data on patients presenting with epileptic seizures after CVD, and those with previously diagnosed epilepsy, are not included in the study. The diagnosis of CVD, are established in clinical neurological examination and the brain imaging (computer tomography and magnetic resonance imaging). The diagnosis of epilepsy is established by the criteria of ILAE (International League against Epilepsy) 1983, and epileptic seizures are classified according to the ILAE classification, of 1981. Results: Out of 816 patients with CVD, 692 were with ischemic stroke and 124 with hemorrhage. From 816 patients, epileptic seizures had 81 (10%), of which 9 patients had been diagnosed with epilepsy earlier and they are not included in the study. From 72 (99%) patients with seizures after CVD 25 (33%) have been with ischemia, whereas 47 (67%) with hemorrhage. Conclusion: CVD present fairly frequent cause of symptomatic epilepsies among patients treated in the clinic of Neurology at UCC (about 10%). The biggest number of patients with epilepsy after CVD was with intracerebral hemorrhage. PMID:25685086

  20. Assessment and Imaging of the Cerebrovascular Glycocalyx.

    Science.gov (United States)

    Haeren, Roel Hubert Louis; van de Ven, Steffi Elisabeth Maria; van Zandvoort, Marcus Anna Maria Jacobus; Vink, Hans; van Overbeeke, Jacobus Johannes; Hoogland, Govert; Rijkers, Kim

    2016-01-01

    The glycocalyx is a gel-like layer lining the luminal surface of the endothelium. The glycocalyx exerts an important barrier role because it prevents exposure of plasma components to the endothelial surface. Disruption of the glycocalyx by local inflammation or ischemia results in decreased glycocalyx thickness which is associated with a number of vascular diseases. The cerebrovascular glycocalyx has sparsely been studied, but is of great interest because of its potential role in cerebrovascular disease. In this review, we describe all existing techniques to visualize the glycocalyx and designate techniques that may be suitable for studying the cerebrovascular glycocalyx. A total of seven imaging techniques are discussed thoroughly, including transmission electron microscopy, intravital microscopy, micro-particle image velocimetry, confocal laser scanning microscopy, two-photon laser scanning microscopy, orthogonal polarization spectral imaging and sidestream dark field/oblique imaging. Measurement of serum concentrations of glycocalyx-specific constituents is another method for glycocalyx analysis. Also, we have reviewed the methods of glycocalyx analysis by using these imaging techniques. So far, the cerebrovascular glycocalyx has only been studied in vitro. However, other cerebral microcirculatory properties have been studied in vivo. This suggests that the cerebrovascular glycocalyx can be studied in vivo by using some of the described techniques, when specific software is subjoined to the analysis. In conclusion, we have summarized techniques available for glycocalyx assessment, and explained the significance and technical possibilities regarding cerebrovascular glycocalyx visualization. Cerebrovascular glycocalyx assessment would add valuable information to our understanding of the pathophysiology of cerebrovascular disease. Moreover, as a part of the blood-brain barrier, more knowledge on the cerebrovascular glycocalyx may lead to better understanding of

  1. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn......’t be doing in hospitals. Design factors which should be carefully considered include: Light, as in daylight, artificial light, its color, its temperature, the level and quality of lighting and the effects of light on circadian rhythms. There is documented evidence in: users’ satisfaction, orientation, 24...

  2. 院前急救对急性脑血管病初期的临床作用%Effect of pre—hospital medical care in the early stage of acute cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    李仲春; 朱成明; 姜文

    2012-01-01

    目的 探讨院前急救对急性脑血管病初期的临床疗效.方法 对120例病人随机分为院前组和院内组各60例,比较两组的病情和病死率,院前组采取积极的院前急救措施,并注意院前急救中的护理方法.结果 院前组经正确、有效的急救护理,快速安全转入医院49例,有效率为81.7%,院内组仅为11.7%,两组比较(P<0.01);院前组5例在转运途中病情恶化,到院后死亡,占8.3%,院内组为21.6%,两组比较(P<0.05);脑疝发生率院前组为6.6%,院内组为25%,两组比较(P<0.0l);呼吸道阻塞率院前组为3.3%,院内组为41.7%,两组比较(P<0.01).结论 正确、及时、有效的院前急救能降低急性脑血管病的病死率,是影响该类疾病发展、转归的重要因素.%Objective To investigate the treatment efficiency of pre-hospital emergency care in the early stage of a-cute cerebral vascular disease. Methods 120 patients were divided into pre-hospital group and hospital group. The pre - hospital group was treated with positive pre-hospital emergency treatment. The condition and the fatality rate were observed. Results The effective rate of pre-hospital group and hospital group were 81. 7% and 11. 7% (P<0. 01). The fatality rate of pre-hospital group and hospital group were 8. 3% and 21. 6% (P<0. 05). The incidence of cerebral hernia of pre-hospital group and hospital group were 6. 6% and 25% (P<0. 01). The incidence of airway obstruction of pre-hospital group and hospital group were 3. 3% and 41. 7% (P<0. 01). Conclusion Correct, timely, effective pre-hospital emergency care can reduce the fatality rate of acute cerebral vascular disease, influencing the development and outcome of disease like that.

  3. Radioiodine therapy increases the risk of cerebrovascular events in hyperthyroid and euthyroid patients

    DEFF Research Database (Denmark)

    la Cour, Jeppe Lerche; Jensen, Lars Thorbjoern; Vej-Hansen, Anders;

    2015-01-01

    BACKGROUND AND OBJECTIVE: Hyperthyroid patients treated with radioiodine have increased morbidity and mortality from cerebrovascular events. This risk has until now has been attributed to the hyperthyroidism. However, radioiodine therapy of benign thyroid diseases exposes the carotid arteries...... with radioiodine between 1975 and 2008 were matched 1:4 on age and sex with random controls. The cohort was followed from the date of treatment until hospitalization due to cerebrovascular event, death, 20 years of follow-up or March 2013. Data were analyzed in competing risk models adjusting for age, sex...

  4. FastStats: Cerebrovascular Disease or Stroke

    Science.gov (United States)

    ... this? Submit Button NCHS Home Cerebrovascular Disease or Stroke Recommend on Facebook Tweet Share Compartir Data are ... Morbidity Number of adults who ever had a stroke: 6.3 million Percent of adults who ever ...

  5. Clinic Practical Guides for Cerebrovascular Diseases

    OpenAIRE

    Miguel Angel Buergo Zuaznábar; Otman Fernández Concepción; Jesús Pérez Nellar; Gloria Lara Fernández; Carlos Maya Entenza; Alejandro Pando Cabrera

    2007-01-01

    The clinic practical guides for cerebrovascular diseases are presented. They include different aspects as its concept, classification, and epidemiological data in Cuba as well as worldwide. They also offer its diagnosis, classification, complications and treatment. The frequency of assessment of its application including the tools to measure the quality of life in patients with cerebrovascular accident and the way to proceed with them are shown

  6. Risk of Cerebrovascular Events in Pneumoconiosis Patients

    OpenAIRE

    Chuang, Chieh-Sen; Ho, Shang-Chang; Lin, Cheng-Li; Lin, Ming-Chia; Kao, Chia-Hung

    2016-01-01

    Abstract Pneumoconiosis is a parenchymal lung disease that develops through the inhalation of inorganic dust at work. Cerebrovascular and cardiovascular events are leading causes of mortality and adult disability worldwide. This retrospective cohort study investigated the association between pneumoconiosis, and cerebrovascular and cardiovascular events by using a nationwide population-based database in Taiwan. The data analyzed in this study was retrieved from the Taiwan National Health Insur...

  7. Petroleum, Polity and Power : Petroleum Effects on Militarized Interstate Disputes

    OpenAIRE

    2009-01-01

    During the last decades several interstate conflicts have emerged where petroleum resources are claimed to be a key motivating factor for the initiators. Do these conflicts represent a general tendency in international relations? In this thesis I test whether states that possess discovered petroleum resources are more vulnerable to be targeted in Militarized Interstate Disputes (MIDs). Moreover, I test whether states with petroleum production are more prone to initiate such disputes. This the...

  8. Mortalidad intrahospitalaria por accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  9. La Sanidad Militar Operacional, en el contexto multinacional

    Directory of Open Access Journals (Sweden)

    E. Chereguini Pavón

    2015-06-01

    Full Text Available El apoyo sanitario constituye una importantísima capacidad a activar en las operaciones militares convencionales, pero incluso más aún en las operaciones en curso y futuras. La aportación del apoyo sanitario suficiente a las operaciones militares es crítica y las deficiencias en las capacidades sanitarias desplegadas han constituido un fuerte factor limitante para las operaciones militares conjuntas multinacionales. Además de la ausencia de proyectos de licitación comunitarios, la disponibilidad de personal sanitario es también una preocupación multinacional que afecta en un alto grado a la factibilidad del despliegue y al sostenimiento de las Formaciones Sanitarias de Tratamiento (FST, de capacidades tipo ROLE 2/3 durante periodos prolongados. Estas son las razones por las que las Organizaciones Internacionales (UE & OTAN están trabajando, en la actualidad, en los proyectos de "Pooling and Sharing", con el fin de normalizar las capacidades sanitarias nacionales y alcanzar un alto nivel de inter-operatividad para que los diferentes medios sanitarios funcionales (instalaciones, equipos, personal sanitario, procedimientos... puedan ser integrados en la estructura marco de una Formación sanitaria de tratamiento multinacional (FSTM.

  10. La ideología militar como causa remota del 18 de Julio

    Directory of Open Access Journals (Sweden)

    Julio BUSQUETS

    2010-02-01

    Full Text Available Los militares, en general, son conservadores. Ciertamente existen abundantes excepciones, desde los militares liberales españoles del primer tercio del XIX, a los que en este mismo suelo patrio nuestro, se enfrentaron a la rebelión del 18 de julio, pero lo normal es que el militar sea conservador. Las causas de ello, posiblemente —entre otras— sean las siguientes: una histórica conexión con la nobleza, que ha mantenido en las Fuerzas Armadas una ideología inadecuada al régimen democràtico-liberal; una formación cerrada, memorística y acritica dada en las academias militares; la propia naturaleza autoritaria y de preparación para la guerra del trabajo militar, y por último el aislamiento social en que viven los militares. A continuación se va a tratar de estas cuatro causas del conservadurismo militar, que podríamos considerar genéricas, o válidas para la mayoría de los colectivos militares, para seguir con otras más específicas y válidas sólo para los militares españoles que participaron en la sublevación del 18 de julio.

  11. Transition of care for the elderly after cerebrovascular accidents - from hospital to the home Transición del cuidado del adulto mayor despues del accidente cerebral vascular del hospital para casa Transição do cuidado com o idoso após acidente vascular cerebral do hospital para casa

    Directory of Open Access Journals (Sweden)

    Rosalina Aparecida Partezani Rodrigues

    2013-02-01

    Full Text Available OBJECTIVE: to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident. METHODOLOGY: an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diagnoses of first episode of cerebrovascular accident, capable of communicating, and requiring care from a main carer in their family. The data was collected through interviews, observation, existing documentation and field notes. Qualitative analysis techniques were used to codify and classify the data and to formulate significant categories, which generated typologies of care. RESULTS AND DISCUSSION: The central idea was the Transition of Care and showed the context in three typologies: The care process for the dependent elderly person, Strategies for the care process and Impact and acceptance of the limitations. CONCLUSION: The data indicates that caring for an elderly person after a cerebrovascular accident is a challenge for the family. The data permitted it possible to elaborate a proposal for a model for the organization of the work, with a view to holistic care delivery in the health services, forming a care network, which constitutes an advance for the area of nursing.OBJETIVO: examinar la transición del cuidado en familias que cuidan de adultos mayores que sufrieron el primer episodio de accidente cerebral vascular. METODOLOGÍA: Fue utilizado el estudio de caso etnográfico instrumental. La muestra fue constituida de 20 sujetos, siendo 10 cuidadores y 10 adultos con 65 años y más, de ambos sexos, con diagnóstico de primer episodio de accidente cerebral vascular, capaces de comunicarse, demandando cuidado de un cuidador principal en la familia. Los datos fueron colectados por medio de entrevistas, observaciones, documentos existentes y notas de campo. Fueron utilizadas las técnicas de análisis cualitativo para

  12. Cognitive impairments in cerebrovascular disease

    Directory of Open Access Journals (Sweden)

    A. Yu. Emelin

    2014-01-01

    Full Text Available Cerebrovascular diseases belong to a group of the major causes of cognitive impairments, in the elderly in particular. The paper presents current ideas on the etiology and pathogenesis of vascular cognitive impairments (VCI. The etiological factors of VCI may be divided into genetic, sociodemographic, and common risk factors for vascular and other diseases. The pathogenesis of VCI is multifactorial; cognitive function decrement results from brain damage due to cerebral circulatory disorders. Damage to the deep white matter portions and basal ganglions plays a leading role in the development of cognitive deficit in cerebral circulatory insufficiency, disrupting the connections between the frontal lobes and subcortical structures (a dissociation phenomenon. Regulatory functions are impaired; instability of volitional attention develops; the speed of thinking processes and the performance of professional and everyday skills are suffered, mnestic functions being impaired to a lesser extent. Impairments in other higher cortical functions, such as speech, gnosis, praxis, thinking, generally occur in the later stages of cognitive deficit. The comprehensive approach to examining patients with cognitive dysfunctions, which encompasses physical examination with a mandatory evaluation of neurological symptoms, neuropsychological testing, laboratory studies, instrumental diagnostic methods, and structural and functional neuroimaging techniques, are most justified now. VCI therapy is a challenging task requiring the specific features of different types of cognitive deficit to be analyzed, by providing a rationale for the choice of medications. Therapeutic effectiveness may be enhanced by rational combined multimodal therapy, by keeping in mind a variety of factors for the pathogenesis of VCI.

  13. Migraine, cerebrovascular disease and the metabolic syndrome

    Directory of Open Access Journals (Sweden)

    Alexandra J Sinclair

    2012-01-01

    Full Text Available Evidence is emerging that migraine is not solely a headache disorder. Observations that ischemic stroke could occur in the setting of a migraine attack, and that migraine headaches could be precipitated by cerebral ischemia, initially highlighted a possibly association between migraine and cerebrovascular disease. More recently, large population-based studies that have demonstrated that migraineurs are at increased risk of stroke outside the setting of a migraine attack have prompted the concept that migraine and cerebrovascular disease are comorbid conditions. Explanations for this association are numerous and widely debated, particularly as the comorbid association does not appear to be confined to the cerebral circulation as cardiovascular and peripheral vascular disease also appear to be comorbid with migraine. A growing body of evidence has also suggested that migraineurs are more likely to be obese, hypertensive, hyperlipidemic and have impaired insulin sensitivity, all features of the metabolic syndrome. The comorbid association between migraine and cerebrovascular disease may consequently be explained by migraineurs having the metabolic syndrome and consequently being at increased risk of cerebrovascular disease. This review will summarise the salient evidence suggesting a comorbid association between migraine, cerebrovascular disease and the metabolic syndrome.

  14. Esclavos musulmanes en los hospitales de cautivos de la Orden Militar de Santiago (siglos XII y XIII

    Directory of Open Access Journals (Sweden)

    Echevarría Arsuaga, Ana

    2007-12-01

    Full Text Available Military Orders had slave manpower in their lands since their foundation. However, the hospitals for ransoming captives owned by the Order of Santiago are the best example of how slavery worked in the kingdom of Leon-Castile during the twelfth and thirteenth centuries. These houses had enough room to provide lodging for captives while ransoms were being negotiated. They also helped to redistribute those Muslims who, lacking this possibility, became slaves of the order itself, or were sold in the slave markets of the kingdom. The scarce records kept in the Archivo Histórico Nacional, section Órdenes Militares, referring to slaves, help to understand the development of traffic, work and manumission of these people.

    Las órdenes militares dispusieron desde su fundación de mano de obra esclava en sus tierras, pero la institución que mejor sirve para estudiar la esclavitud en los siglos XII y XIII en los reinos de León y Castilla son los hospitales para la redención de cautivos de la Orden de Santiago. Estas instituciones disponían de espacio para alojar a los cautivos mientras se negociaban rescates con los poderes islámicos, y atendían a la redistribución de aquellos musulmanes que, por no haber sido redimidos, pasaban a ser esclavos de la propia orden o a ser vendidos en los mercados de los reinos cristianos. Los escasos documentos de la sección de Órdenes Militares del Archivo Histórico Nacional dedicados a esclavos ayudan a comprender el funcionamiento del tráfico, trabajo y liberación de este colectivo.

  15. [Descriptive study of cerebrovascular accidents in Douala, Cameroon].

    Science.gov (United States)

    Chiasseu, Mbeumi M T; Mbahe, S

    2011-10-01

    A cerebrovascular accident or stroke is a sudden-onset cerebral deficit of vascular origin lasting more than 24 hours. These events represent the second leading cause of death in the world and take a particularly heavy toll in third world countries. The purpose of this study was to describe cerebrovascular lesions (type, location, size) as well as patient age and gender in Cameroon. Brain CT-scan and MRI findings from 50 stroke patients admitted to two health centers in Douala were reviewed. Data showed that 74% of patients were over 50 years of age, the 51-60 year group being the most affected. Patients were male in 64% of cases. Ischemic stroke accounted for 60% of cases versus 40% for hemorrhagic stroke. The most affected sites were the sylvian territory site in ischemic stroke and the temporal lobe in hemorrhagic stroke, acconting for 43.3% and 35% of cases respectively. The median size of ischemic and hemorrhagic lesions were 2.81 cm3, and 26.98 cm3 respectively. Hemorrhagic stroke and lacunar infarcts were more common in this sample. Discrepancies between results at the two hospitals may be due to the use of different imaging techniques. Indeed, MRI is known to be more sensitive than CT-scan for acute detection of stroke lesions. PMID:22235625

  16. ROLE OF SMOKING AND ALCOHOLISM IN CEREBROVASCULAR ACCIDENTS

    Directory of Open Access Journals (Sweden)

    Y. Indira,

    2014-06-01

    Full Text Available Though previously stroke was considered an old man disease, it is increasing among the young and middle aged people are not likely to die of stroke as they are of heart attack, but they are likely to be disabled for rest of their lives. As the cases of stroke admitted to medical wards, formed nearly 1/10th to 1/8th of total bed strength at any time, and their prolonged stay at hospital attracted our attention. To study the etiological factors for the present study we have thoroughly evaluated 50 pts, with acute cerebrovascular disease and focused more attention in the revaluation of physiological variants of clinical importance by examining the blood for complete blood picture, which may help a long way in near future to predict the risk group in developing an acute cerebrovascular stroke and to avoid risk factors and to take measures to rectify the variations so as to minimize the mortality due to stroke.

  17. Cerebrovascular reactivity and dynamic autoregulation in tetraplegia.

    Science.gov (United States)

    Wilson, Luke C; Cotter, James D; Fan, Jui-Lin; Lucas, Rebekah A I; Thomas, Kate N; Ainslie, Philip N

    2010-04-01

    Humans with spinal cord injury have impaired cardiovascular function proportional to the level and completeness of the lesion. The effect on cerebrovascular function is unclear, especially for high-level lesions. The purpose of this study was to evaluate the integrity of dynamic cerebral autoregulation (CA) and the cerebrovascular reactivity in chronic tetraplegia (Tetra). After baseline, steady-state hypercapnia (5% CO(2)) and hypocapnia (controlled hyperventilation) were used to assess cerebrovascular reactivity in 6 men with Tetra (C5-C7 lesion) and 14 men without [able-bodied (AB)]. Middle cerebral artery blood flow velocity (MCAv), cerebral oxygenation, arterial blood pressure (BP), heart rate (HR), cardiac output (Q; model flow), partial pressure of end-tidal CO(2) (Pet(CO(2))), and plasma catecholamines were measured. Dynamic CA was assessed by transfer function analysis of spontaneous fluctuations in BP and MCAv. MCAv pulsatility index (MCAv PI) was calculated as (MCAv(systolic) - MCAv(diastolic))/MCAv(mean) and standardized by dividing by mean arterial pressure (MAP). Resting BP, total peripheral resistance, and catecholamines were lower in Tetra (P 0.05). Although phase and transfer function gain relationships in dynamic CA were maintained with Tetra (P > 0.05), coherence in the very low-frequency range (0.02-0.07 Hz) was approximately 21% lower in Tetra (P = 0.006). Full (hypo- and hypercapnic) cerebrovascular reactivity to CO(2) was unchanged with Tetra (P > 0.05). During hypercapnia, standardized MCAv PI reactivity was enhanced by approximately 78% in Tetra (P = 0.016). Despite impaired cardiovascular function, chronic Tetra involves subtle changes in dynamic CA and cerebrovascular reactivity to CO(2). Changes are evident in coherence at baseline and MCAv PI during baseline and hypercapnic states in chronic Tetra, which may be indicative of cerebrovascular adaptation. PMID:20089710

  18. Modelos de ensino superior militar de Portugal e Espanha

    OpenAIRE

    Barreira, João, 1964-

    2013-01-01

    Sabemos que nos últimos 30 anos o Ensino Superior Militar (ESM) seguiu um percurso de convergência com o sistema de ensino superior nacional e, mais tarde, no sentido da acreditação internacional, seguindo as diretivas e critérios estabelecidos pelo processo de Bolonha. Por sua vez, Espanha também optou por seguir os critérios estabelecidos pelo processo de Bolonha, mas num caminho diferente do escolhido por Portugal. É neste sentido que o presente estudo visa analisar a exequibilidade de ...

  19. Militarization of the border and illegal immigration: Tamaulipas laborers

    Directory of Open Access Journals (Sweden)

    Simón Pedro Izcara Palacios

    2009-07-01

    Full Text Available Tamaulipas presents a long tradition of rural migration to the United States in search of farm employment. Until the eighties Tamaulipas’ undocumented workers crossed the border easily. However, from the nineties, as a result of a restrictive migration policy centered exclusively on the “supply–side” to cross the border has become intricate. As a result, most part of immigrants is using the services of “smuggles”. This paper analyses the impact of the militarization of the frontier on the emigration of Tamaulipas’ illegal rural workers seeking for farm jobs in the United States.

  20. Autoridade Aeronáutica Militar em Portugal

    OpenAIRE

    Machado, Isabel

    2010-01-01

    A 7-Julho-2009 foi publicada a última revisão da Lei de Defesa Nacional e da Lei Orgânica do Ministério da Defesa Nacional, que cria a Autoridade Aeronáutica Nacional (AAN), na dependência directa do Ministro da Defesa Nacional, sendo o Gen. CEMFA, por inerência, Autoridade Aeronáutica Nacional. Esta autoridade foi definida como regulada por legislação própria, legislação essa que ainda não foi aprovada. Esta investigação intitula-se - Autoridade Aeronáutica Militar em Portugal...

  1. 我地区三级医院缺血性脑血管疾病门诊处方用药情况分析%Analysis of outpatient prescription drug use situation of ischemic cerebrovascular disease in tertiary hospitals of our area

    Institute of Scientific and Technical Information of China (English)

    李朝阳; 李林春; 赵鸿昆; 李艳霞; 张英俊

    2016-01-01

    Objective:To analyze the outpatient prescription drug use situation in department of neurology in tertiary hospitals in Jilin.Methods:We used Excel office software for statistics and sorting data,including the DDDs,DDC and sorting ratio,and so on.A retrospective analysis was carried out on each hospital.Results:The composition of the patients was in accordance with the trend of ischemic cerebrovascular disease.The various types of Chinese medicine and injections accounted for relatively large in the use of drugs,and aspirin was ordered in first place of using frequency.Conclusion:The outpatient drug use situation of the tertiary hospitals in our region is basically in accordance with the guidelines and the requirements of evidence-based medicine,using drugs with clear efficacy and small adverse reactions.There is space for further improvement in drug costs.%目的:分析吉林地区三级医院神经内科门诊处方的药物利用情况。方法:采用Excel办公软件对数据进行统计和排序,包括DDDs、DDC及排序比等,对各医院进行回顾性分析。结果:患者的构成符合缺血性脑血管病的流行趋势,使用药物中各类中成药与注射剂占比较大,阿司匹林在使用频度上排序在第1位。结论:针对指南和循证医学的要求,我地区三级医院缺血性脑血管病的门诊用药情况基本符合其要求,使用疗效明确、不良反应小的药物,在药物费用上还有进一步改进的空间。

  2. Cognitive impairments in patients with cerebrovascular steno-occlusive disease

    Institute of Scientific and Technical Information of China (English)

    石丹

    2012-01-01

    Objective To explore the relationship between cerebrovascular steno-occlusive disease and neuropsychological performance by cognitive function assessment. Methods Using a case-control study,45 patients with cerebrovascular steno-occlusive lesions (patient group) and 59 control subjects without cerebrovascular

  3. Mixed Cerebrovascular Disease and the Future of Stroke Prevention

    OpenAIRE

    Fisher, Mark; Vasilevko, Vitaly; Cribbs, David H.

    2012-01-01

    Stroke prevention efforts typically focus on either ischemic or hemorrhagic stroke. This approach is overly simplistic due to the frequent coexistence of ischemic and hemorrhagic cerebrovascular disease. This coexistence, termed “mixed cerebrovascular disease”, offers a conceptual framework that appears useful for stroke prevention strategies. Mixed cerebrovascular disease incorporates clinical and subclinical syndromes, including ischemic stroke, subclinical infarct, white matter disease of ...

  4. Prothrombotic Gene Polymorphisms in Young Patients with Cerebrovascular Accident

    OpenAIRE

    Kuyaþ Hekimler Öztürk

    2013-01-01

    Aim: Cerebrovascular diseases are complex multifactorial disorders showing an increased incidence with increasing age and affected by genetic and environmental factors. Although risk factors for cerebrovascular diseases include age, sex, lineage, hypertension, diabetes mellitus, hypercholesterolemia; in young cerebrovascular patients below age 45, genetic factors may also contribute to the etiology. In this retrospective study, prothrombotic gene polymorphisms which are thought to be related ...

  5. Nitric oxide synthase inhibition and cerebrovascular regulation

    DEFF Research Database (Denmark)

    Iadecola, C; Pelligrino, D A; Moskowitz, M A;

    1994-01-01

    There is increasing evidence that nitric oxide (NO) is an important molecular messenger involved in a wide variety of biological processes. Recent data suggest that NO is also involved in the regulation of the cerebral circulation. Thus, NO participants in the maintenance of resting cerebrovascular...

  6. Delayed diagnosis of a cerebrovascular accident associated with anabolic steroid use

    OpenAIRE

    Cooper, Isabelle; Reeve, Nina; Doherty, Warren

    2011-01-01

    The authors report a case of atherosclerotic stroke in a 46-year-old recreational bodybuilder with a 20 year history of anabolic-adrenergic steroid (AAS) abuse. Cerebrovascular accident (CVA) occurred during his third week of hospital admission for an acute abdomen and on day 8, postemergency laparotomy. CVA presented with collapse, generalised seizures, reduced Glasgow Coma Score and severe hypertension. He was subsequently admitted to the intensive care unit (ICU), where initial investigati...

  7. 多因素 Logistic分析对急性重症脑血管病患者死亡风险的预测%Analysis and precognition of death risk in hospital of acute severe cerebrovascular disease by multivariate Lo-gistic analysis

    Institute of Scientific and Technical Information of China (English)

    马国胜; 张东; 彭彩丽

    2014-01-01

    目的:分析急性重症脑血管病死亡的危险因素,预测死亡风险,以有效降低脑卒中患者的院内病死率。方法选择2008-10-2012-10于我院住院的急性重症脑血管病患者463例,采用回顾性分析方法,将研究对象的危险因素分为不可干预的Ⅰ类因素(性别、年龄、家族史)、可干预的Ⅱ类因素(高血压、脑卒中史、糖尿病、冠心病、慢性阻塞性肺病、高血脂、饮酒、吸烟)、Ⅲ类为并发症因素(上消化道出血、颅内再出血或梗死、肺部感染、心律失常、电解质紊乱、癫痫发作、多脏器功能障碍)和Ⅳ类为疾病特征因素(体温、脉搏、呼吸、收缩压、血糖、早期昏迷、Glasgow评分、溶栓、手术)共4个类别,逐项分类记录后采用多因素Logistic回归分析。结果年龄(>70岁)、体温(>38.5℃)、早期昏迷、高血压、脑卒中史、糖尿病、冠心病、慢性阻塞性肺病、上消化道出血、颅内再出血或梗死、肺部感染、电解质紊乱、癫痫发作、多脏器功能障碍和手术是独立危险因素,Glas-gow评分与死亡呈负相关。结论预测急性重症脑血管病死亡的关键因素,积极预防和治疗是降低重症脑血管病死亡风险的有效途径。%Objective To investigate and analyze the risk factors of mortality in patients with acute severe cerebrovascular disease ,in order to predict the death risk and reduce hospital mortality in acute cerebral apoplexy. Methods From July 2008 to July 2012 ,a total of 453 cases of patients with acute severe cerebrovascular disease in our hospital were selected ,and retrospec-tive method was performed. According to the characters of the different factors ,all of the risk factors were divided into four kinds. Type Ⅰ or the unchangeable factors were gender ,age ,family history ;type Ⅱ or the interfered factors included hyper-tension ,history of stroke ,diabetes ,coronary

  8. El nuevo sistema de justicia militar argentino. Comentario a la Ley 26394

    Directory of Open Access Journals (Sweden)

    Leonardo Filippini

    2010-12-01

    Full Text Available El 27 de febrero de 2009 entró en vigor en la Argentina un nuevo Código de Justicia Militar –CJM–, el cual configuró un cambio radical en el modelo de justicia militar porque se abandonó la jurisdicción militar en tiempos de paz y se expandió la intervención de la justicia común a las personas que antes eran juzgadas por los jueces y bajo las reglas de procedimiento militares. La reforma también eliminó la pena de muerte, incorporó algunos de los delitos militares al Código Penal común, derogó otros, y modernizó el régimen disciplinario militar. En este trabajo, describiremos el derogado CJM y, luego, algunos aspectos relevantes de la reforma al sistema de justicia militar vinculados al Derecho penal y procesal penal. Por último, presentaremos algunas reflexiones sobre estas modificaciones.

  9. Significance of ultrasound evaluation of carotid atherosclerotic plaque for diagnosing ischemic cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    BACKGROUND: Carotid artery is the main source for craniocerebral blood supply. Its intimal plaque formation and arterial stenosis degree both are the risk factors for ischemic cerebrovascular disease.Therefore, the close relationship of carotid atherosclerotic plaque and ischemic cerebrovascular disease, and ultrasound evaluation of carotid atherosclerotic plaque have become the hot spot in studying ischemic cerebrovascular disease.OBJECTIVE: This study was to detect the degree of carotid atherosclerosis of ischemic cerebrovascular disease patients by ultrasonography, and to analyze the situation of carotid atherosclerosis and its relationship with clinic.DESIGN: Clinical randomized concurrent control experiment.SETTING: Lintong Convalescent Hospital of Lanzhou Military Area Command of Chinese PLA.PARTICIPANTS: Totally 60 outpatients and inpatients with ischemic cerebrovascular disease, 42 males and 18 females, admitted to Lintong Convalescent Hospital of Lanzhou Military Area Command of Chinese PLA between January 2006 and December 2006 were involved in the patient group. They met the diagnosis criteria of ischemic cerebrovascular disease constituted by the 4th Cerebrovascular Disease Conference in 1996, and were confirmed to suffer from ischemic cerebrovascular disease by skull CT and MRI. Another 20 subjects who received healthy examination concurrently in the same hospital, 12 males and 8 females, were involved in the control group. Informed consents of detected items were obtained from involved subjects.METHODS: The plaque thickness of mid portion, distal end and crotch of common carotid artery (CCA),internal carotid artery (ICA), external carotid artery (ECA) and vertebral artery (VA) of involved subjects,who received health examination was separately detected with color Doppler ultrasonograph (HDI-5000).Then, total integral of plaque was calculated. The intima-media thickness (IMT) was measured with two-dimensional ultrasonography. The inner diameter

  10. Dichotic auditory-verbal memory in adults with cerebro-vascular accident

    Directory of Open Access Journals (Sweden)

    Samaneh Yekta

    2014-01-01

    Full Text Available Background and Aim: Cerebrovascular accident is a neurological disorder involves central nervous system. Studies have shown that it affects the outputs of behavioral auditory tests such as dichotic auditory verbal memory test. The purpose of this study was to compare this memory test results between patients with cerebrovascular accident and normal subjects.Methods: This cross-sectional study was conducted on 20 patients with cerebrovascular accident aged 50-70 years and 20 controls matched for age and gender in Emam Khomeini Hospital, Tehran, Iran. Dichotic auditory verbal memory test was performed on each subject.Results: The mean score in the two groups was significantly different (p<0.0001. The results indicated that the right-ear score was significantly greater than the left-ear score in normal subjects (p<0.0001 and in patients with right hemisphere lesion (p<0.0001. The right-ear and left-ear scores were not significantly different in patients with left hemisphere lesion (p=0.0860.Conclusion: Among other methods, Dichotic auditory verbal memory test is a beneficial test in assessing the central auditory nervous system of patients with cerebrovascular accident. It seems that it is sensitive to the damages occur following temporal lobe strokes.

  11. Elevated cardiac troponin I predicts cardiovascular or cerebrovascular events in hypertensive patients

    International Nuclear Information System (INIS)

    Objective: Whether elevated cTnI is associated with cardiovascular or cerebrovascular events in patients with hypertension (HT) without left ventricular(LV) systolic dysfunction is not clear. Method: We measured cTnI serum level in 170 patients with essential HT without LV systolic dysfunction (LVEF 55%),renal failure,and prior cardiovascular or cerebrovascular diseases. Besides, control group of 40 normal presons was established and following up (45±38)months. Results: Level of cTnI was elevated (≥0.04 ng/ml) in 15 (8.8%) of the 170 patients and in 0 (0%) of the 40 normal controls. The rate of diabetes mellitus(DM), the cardiothoracic ratio, serum NT-proBNP value, and LV mass index were significantly higher in patients with than without elevated cTnI (DM, 9/15 versus 25/155, P2, P=0.0001). Kaplan-Meier analysis demonstrated that significantly fewer (P<0.000001) patients with, than without elevated cTnI remained free of events (hospitalization due to cardiovascular or cerebrovascular disease). Stepwise Cox multivariate analysis revealed that elevated cTnT (hazard ratio, 6.59, P=0.000001) and smoking (hazard ratio, 2.26, P=0.04) were independent predictors of events. Conclusion: The present findings indicate that cTnI is a biomarker and useful predictor of future cardiovascular or cerebrovascular events in hypertensive patients. (authors)

  12. Excerpt from Militarized Currents: Toward a Decolonized Future in Asia and the Pacific

    Directory of Open Access Journals (Sweden)

    Setsu Shigematsu

    2011-12-01

    Full Text Available Foregrounding indigenous and feminist scholarship, this collection analyzes militarization as an extension of colonialism from the late twentieth to the twenty-first century in Asia and the Pacific. The contributors theorize the effects of militarization across former and current territories of Japan and the United States, demonstrating that the relationship between militarization and colonial subordination shapes bodies of memory, knowledge, and resistance.

  13. Práticas e nível de conhecimento sobre doença cerebrovascular em um hospital universitário: Parte 1. Educação do corpo de enfermagem: prioridade para o tratamento do infarto cerebral Knowledge and attitudes regarding stroke in a Brazilian teaching hospital: Part 1. Results in health care workers and non-health care workers

    Directory of Open Access Journals (Sweden)

    Charles André

    1997-09-01

    Full Text Available CONTEXTO E OBJETIVOS: Em um hospital universitário, entrevista direta de amostras estratificadas dos 3587 funcionários, visando determinar o nível de conhecimento e a conduta prática do corpo social diante do acidente vascular cerebral ou encefálico (AVE. Estabelecer prioridades para esforços educacionais. MÉTODO: Pré-teste para otimização do instrumento e cálculo amostrai. Entrevista de 309 funcionários sorteados. Inquérito consistindo em 32 questões sobre fisiopatologia, epidemiologia e mortalidade, clínica, fatores de risco, evolução e tratamento, comportamento pessoal diante da doença. Teste de Kruskal-Wallis para múltiplas comparações de dados não-paramétricos. RESULTADOS: O corpo social do hospital exibiu baixo nível de conhecimento teórico sobre o AVE e atitudes errôneas diante da doença. A performance dos enfermeiros foi superior à de auxiliares, técnicos e atendentes de enfermagem. O corpo de enfermagem, apesar de pontuar melhor na entrevista que a população leiga, mantém-se desinformado sobre as novas possibilidades terapêuticas e dissemina mitos sobre a doença. Entre os grupos profissionais leigos, o nível de educação formal não influenciou a performance na entrevista. CONCLUSÕES: A comunidade leiga e de saúde do HUCFF não reconhece adequadamente os sintomas típicos, a evolução provável dos pacientes e a necessidade de intervir rapidamente diante da doença cerebrovascular. O corpo de enfermagem não está preparado para a tarefa de difundir conceitos corretos sobre a doença. Somente programas específicos de educação continuada podem reverter este quadro, e devem ser considerados prioritários.BACKGROUND AND PURPOSE: This study was undertaken to evaluate professionals working at a university hospital as to their knowledge and attitudes towards stroke. METHODS: Individuals working in the hospital were divided in two groups, health care workers (HCW and non-health care workers (NHCW, and

  14. Association of Fibrin Monomer Polymerization Function, Cerebrovascular Risk Factors and Ischemic Cerebrovascular Disease in Old People

    Institute of Scientific and Technical Information of China (English)

    洪梅; 魏文宁; 李红戈; 杨锐; 杨焰

    2003-01-01

    Summary: In order to investigate the association of fibrin monomer polymerization function (FMPF)with traditional cerebrovascular risk factors and ischemic cerebrovascular disease in old people, 1 : 1paired case-control comparative study was performed for FMPF and traditional cerebrovascular riskfactors on 110 cases of old ischemic cerebrovascular disease and 110 controls matched on age, sex andliving condition. The results showed that cerebrovascular risk factors were more prevalent in casegroup than in control group. In the case group, FMPF was significantly higher than in controlgroup. There was a significant positive correlation between hypertension and fibrin monomer poly-merization velocity (FMPV), hypertension and fibrinogen (Fbg), alcohol consumption and Fbg, butno significant correlation between diabetic mellitus, smoking and FMPF was found. Among the pa-rameters of blood lipids, there were significant positive correlations between total cholesterol (TC)and parameters of FMPF to varying degrees, triglycerides (TG) and FMPV, TG and Fbg. Our re-sults also showed there were significant linear trends between TC and FMPV (P<0. 001), TC andFbg (P=0. 0087), TG and FMPV/Amax (maximum absorbance)(P=0. 0143) respectively. Multi-ple logistic regression analysis revealed that FMPF in case group remained significantly higher thancontrol group after adjustment of all risk factors that were significant in univariate analysis. It wasconcluded that there is a possible pathophysiological link between FMPF and cerebrovascular risk fac-tors. An elevated FMPF is associated with ischemic cerebrovascular disease and an independent riskfactor of this disease. In old people, detection of FMPF might be a useful screening to identify indi-viduals at increased cerebrothrombotic risk.

  15. Liderança Técnica em Contexto Militar

    OpenAIRE

    Carvalho, Marco

    2012-01-01

    As Bases Aéreas da Força Aérea Portuguesa (FAP) têm sido palco de inúmeras mudanças face às estratégias de reestruturação da organização militar, exemplo disso são a substituição e modernização das plataformas de armas que têm exigido um maior compromisso e responsabilidade no cumprimento das missões atribuídas às Unidades Aéreas. Este trabalho de investigação tem por objetivo identificar de que modo pode ser efetuado o processo de liderança nas Esquadras das Bases Aéreas da FAP, que garan...

  16. CULTURA ORGANIZACIONAL EM INSTITUIÇÕES MILITARES DE ENSINO

    Directory of Open Access Journals (Sweden)

    Jurandir Andrade Costa

    2013-03-01

    Full Text Available O presente estudo apresenta como objetivo, identificar a cultura organizacional presente no Centro de Formação e Aperfeiçoamento da Polícia Militar do Estado do Rio Grande do Norte – Brasil (CFAPM a partir do modelo dos estilos de funcionamento organizacional de Paz e Mendes. Para tanto, se utilizou de uma pesquisa do tipo descritiva, classificada como sendo um estudo de caso e de natureza predominantemente quantitativa, realizado com 59 policiais militares que trabalham no CFAPM, possibilitando a identificação da cultura organizacional e as relações existentes entre as variáveis sócio demográficas dos indivíduos estudados. Os dados foram tratados por meio de técnicas de estatística, Teste Qui-quadrado, o Teste Exato de Fisher e a Analise de Correspondência. Os resultados obtidos indicaram a predominância do estilo cultural afiliativo a partir da percepção dos policiais pesquisados e apontaram uma significativa relação entre as variáveis sócio demográficas e os estilos culturais, de forma a identificar que tal predominância foi apontada por 55,9% dos policiais, e que esta se deu em todas as características gerais, percebendo-se que a cultura organizacional absorve influência de acordo com a variação de tais características. Por fim, conclui-se que o presente estudo identifica que o estilo cultural predominante no CFAPM é o afiliativo, o qual possui características de um padrão coletivista, tendo como subcultura o estilo empreendedor.

  17. Role of transcranial Doppler in cerebrovascular disease.

    Science.gov (United States)

    Kulkarni, Amit A; Sharma, Vijay K

    2016-01-01

    Transcranial Doppler (TCD) is the only noninvasive modality for the assessment of real-time cerebral blood flow. It complements various anatomic imaging modalities by providing physiological-flow related information. It is relatively cheap, easily available, and can be performed at the bedside. It has been suggested as an essential component of a comprehensive stroke centre. In addition to its importance in acute cerebrovascular ischemia, its role is expanding in the evaluation of cerebral hemodynamics in various disorders of the brain. The "established" clinical indications for the use of TCD include cerebral ischemia, sickle cell disease, detection of right-to-left shunts, subarachnoid hemorrhage, periprocedural or surgical monitoring, and brain death. We present the role of TCD in acute cerebrovascular ischemia, sonothrombolysis, and intracranial stenosis. PMID:27625245

  18. NADPH OXIDASE IN STROKE AND CEREBROVASCULAR DISEASE

    OpenAIRE

    Tang, Xian Nan; Cairns, Belinda; Kim, Jong Youl; Midori A Yenari

    2012-01-01

    NADPH oxidase (NOX) was originally identified in immune cells as playing an important microbicidal role. In stroke and cerebrovascular disease, inflammation is increasingly being recognized as contributing negatively to neurological outcome, with NOX as an important source of superoxide. Several labs have now shown that blocking or deleting NOX in the experimental stroke models protects from brain ischemic. Recent work has implicated glucose as an important NOX substrate leading to reperfusio...

  19. Risk of Cerebrovascular Events in Pneumoconiosis Patients

    Science.gov (United States)

    Chuang, Chieh-Sen; Ho, Shang-Chang; Lin, Cheng-Li; Lin, Ming-Chia; Kao, Chia-Hung

    2016-01-01

    Abstract Pneumoconiosis is a parenchymal lung disease that develops through the inhalation of inorganic dust at work. Cerebrovascular and cardiovascular events are leading causes of mortality and adult disability worldwide. This retrospective cohort study investigated the association between pneumoconiosis, and cerebrovascular and cardiovascular events by using a nationwide population-based database in Taiwan. The data analyzed in this study was retrieved from the Taiwan National Health Insurance Research Database. We selected 6940 patients with pneumoconiosis from the database as our study cohort. Another 27,760 patients without pneumoconiosis were selected and matched with those with pneumoconiosis according to age and sex as the comparison cohort. We used univariate and multivariate Cox proportional-hazard regression analyses to determine the association between pneumoconiosis and the risk of cerebrovascular and cardiovascular events after adjusting for medical comorbidities. After adjustment for age, sex, and comorbidities, the patients with pneumoconiosis exhibited a significantly higher incidence of ischemic stroke (hazard ratio [HR] 1.14, 95% confidence interval [CI] 1.05–1.24) than did those without pneumoconiosis. The incidence of hemorrhagic stroke was higher, but not significant, in the pneumoconiosis patients (HR 1.20, 95% CI 0.99–1.46). No statistically significant differences were observed between the pneumoconiosis and nonpneumoconiosis groups in acute coronary syndrome (HR 1.10, 95% CI 0.95–1.26). The findings of this study reveal an association between pneumoconiosis and a higher risk of cerebrovascular events after adjustment for comorbidities. Healthcare providers should control the related risk factors for primary prevention of stroke in pneumoconiosis patients. PMID:26945404

  20. Cerebrovascular Complications of Diabetes: Focus on Stroke

    OpenAIRE

    Ergul, Adviye; Kelly-Cobbs, Aisha; Abdalla, Maha; Fagan, Susan C

    2012-01-01

    Cerebrovascular complications make diabetic patients 2–6 times more susceptible to a stroke event and this risk is magnified in younger individuals and in patients with hypertension and complications in other vascular beds. In addition, when patients with diabetes and hyperglycemia experience an acute ischemic stroke they are more likely to die or be severely disabled and less likely to benefit from the one FDA-approved therapy, intravenous tissue plasminogen activator. Experimental stroke mo...

  1. EMPREGO DE STENTS CEREBRAIS NAS PATOLOGIAS CEREBROVASCULARES

    Directory of Open Access Journals (Sweden)

    Laís Rocha Lopes

    2015-06-01

    Full Text Available Objective: To understand the applicability and characteristics of the stents for the treatment of cerebrovascular pathologies in order to understand its viability for the therapy. Methods: Scientific articles were used based on electronic search as PubMed, Scientific Electronic Library Online (SciELO, Intechopen, Medscape. An international and up to date source of articles was used. Results: Cerebrovascular diseases have emerged as the second most important cause of mortality worldwide, from this principle we observe the importance of this study. Recently, as a solution form, stents have become a major treatment option for difficult and not feasible cerebral aneurysms single winding. Intracranial stents serve as a bridge to the neo-endothelialization by providing a reduction in blood flow into the aneurysm. The use of stents for treatment should be seriously analyzed according to their feasibility, the knowledge of the professional about their brands, features and deployment techniques, and theoretical part of the professional needs to have dexterity to the application of an intracranial stent. Conclusions: This review raises an awareness of this subject, starts from the concept of cerebrovascular disease and aneurysms as well as the genesis of the stents, progressing to elucidate all product brands and specific characteristics of each, ending with its applicability, as well as making clear the purpose and mechanism of stents.

  2. Análisis del agente lesivo en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán) Analysis of the injuring agent in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan)

    OpenAIRE

    R. Navarro Suay; A. Hernández-Abadía de Barbará; C. Gutiérrez Ortega; R. Tamburri Bariain; E. Bartolomé Cela; F. Gilsanz Rodríguez

    2011-01-01

    Introducción: El conocimiento sobre aspectos relacionados con el armamento mejoran el diagnóstico y el tratamiento global del herido, sobretodo en el caso del médico militar. Se exponen los agentes lesivos de los principales conflictos recientes. El objetivo del estudio es el análisis del agente lesivo de las bajas atendidas en el Hospital Militar (ROLE 2) de Herat (Afganistán) entre 2005 y 2008. Material y método: Se ha diseñado un estudio descriptivo, transversal sobre todo el personal civi...

  3. Análisis de la topografía lesional en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán) Analysis of the lesional topography in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan)

    OpenAIRE

    R. Navarro Suay; A. Hernández-Abadía de Barbará; C. Gutiérrez Ortega; E. Bartolomé Cela; R. Tamburri Bariain; F. Gilsanz Rodríguez

    2011-01-01

    Introducción: La localización corporal de las lesiones por arma de fuego y por artefactos explosivos en el combatiente ha seguido un patrón diferente a lo largo de la historia. La distribución anatómica de dichas lesiones en los últimos conflictos ha demostrado que las áreas más afectadas son las extremidades, seguidas de la cabeza y el cuello. El objetivo del estudio es describir la experiencia de Médicos Militares españoles desplegados en el Hospital Militar Role 2 de Herat (Afganistán) sob...

  4. Killing Barney Fife: law enforcement’s socially constructed perception of violence and its influence on police militarization

    OpenAIRE

    Hanley, Matthew D.

    2015-01-01

    Approved for public release; distribution is unlimited Police militarization is a complex subject with significant homeland security implications. Efforts to implement militarization reform without a clear understanding of the issue could negatively impact law enforcement’s ability to respond to emerging threats from terrorism, homegrown violent extremism, and armed criminals. Conversely, unfettered militarization of domestic policing could result in abuse of authority and loss of public c...

  5. Eficacia de la Sanidad Militar en la prevención cardiovascular del contingente de Melilla: relevancia de la Telemedicina

    Directory of Open Access Journals (Sweden)

    S.C. Quílez Guerrero

    2014-09-01

    Full Text Available Antecedentes y Objetivos: La IGESAN (Inspección General de Sanidad establece el protocolo del reconocimiento médico previo a la realización del test general de condición física que deben realizar los componentes del Ejército de Tierra. La Clínica Militar de Melilla participa en estos reconocimientos. Pretendemos estudiar el estado de salud cardiovascular del militar en Melilla; compararlo con otras muestras similares y valorar la eficiencia y eficacia de la telemedicina en la prevención de eventos cardiovasculares durante dicho test. Material y métodos: Historia clínica, exploración física, electrocardiograma, uso de telemedicina, recogida de datos y tratamiento estadístico. Resultados: Se estudiaron 634 varones entre 39 y 61 años con o = 47,8. En Melilla se consideraron patológicos 58 electrocardiogramas que tras remisión por telemedicina y estudio en Cardiología de Hospital Central de la Defensa se determinó que 20 no eran aptos para el test. La hipertensión arterial se asoció (p<0.005 con la no aptitud para las pruebas físicas. Se detectaron numerosos patrones electrocardiográficos propios de deportistas. El hábito de fumar fue el factor de riesgo prevalente. Más del 95% de los afectados por factores de riesgo vascular cumplen con el tratamiento farmacológico. Conclusiones: La guarnición militar de Melilla presenta una baja prevalencia de factores de riesgo vascular comparado con estudios similares probablemente por su alto nivel de actividad deportiva. La telemedicina es un instrumento eficiente para la valoración cardiológica previa a las pruebas físicas. La prevención cardiovascular y la formación en Medicina Deportiva son fundamentales para optimizar la eficiencia del test de condición física.

  6. Dynamic computed tomography findings in cerebrovascular diseases

    Energy Technology Data Exchange (ETDEWEB)

    Araki, Yutaka; Tomoda, Kaname; Kariya, Mitsumasa; Mori, Shigeru; Mitomo, Masanori.

    1988-01-01

    Dynamic CT was performed with 41 patients with the clinically diagnosed cerebrovascular diseases. A visual evaluation based on the dynamic CT images classified six patterns of brain parenchymal enhancement, especially four patterns of which could only be detected by dynamic CT technique. Dynamic CT was proved of great value in detecting regional cerebral tissue filled by collaterals in retrograde fashion because of the occlusion of main arteries, namely brain tissue perfusion of internal carotid occlusion disease and moyamoya disease was best understood by dynamic CT with adequate resolution.

  7. Los Derechos Humanos y desaparecidos en dictaduras militares

    Directory of Open Access Journals (Sweden)

    Juan Carlos GUTIÉRREZ CONTRERAS

    2009-11-01

    Full Text Available RESUMEN: La doctrina de la seguridad nacional jugó un papel predominante como soporte ideológico de las dictaduras del Cono Sur americano. Dentro de este marco se adelantó el "Plan Cóndor" que llevó a la múltiple y sistemática violación de derechos humanos en los países en los que se desarrolló. El artículo hace un análisis jurídico de la responsabilidad de los actores a la luz del derecho penal internacional y del derecho internacional de los derechos humanos, con especial énfasis en la competencia para el juzgamiento de los hechos. Concluye con el análisis del terrorismo de Estado manifestado a través del genocidio, la tortura y las desapariciones forzadas cometidos durante las dictaduras militares.ABSTRACT: The doctrine of national secutiry played a leading role as an ideological endorsement of the South American dictatorships. The Plan Condor was created in this context, and it led to systematic and multiple human rights violations. This article analyzes the responsibility of different actors in the light of International Law, and puts special emphasis in the competence of courts to judge those facts. It concludes with an analysis of state terrorísm, which led to genocide, torture and disapperances under military dictatorships.

  8. Turnings and Epiphanies: Militarization, Life Histories, and the Making and Unmaking of Two Child Soldiers in Sierra Leone

    Science.gov (United States)

    Denov, Myriam; Maclure, Richard

    2007-01-01

    The militarization of children and their active participation in conflict continues to be a global phenomenon affecting hundreds of thousands of children. Yet many of the realities of child soldiery remain unclear and continue to be under-researched. In particular, the process of militarization and how it impinges on the identities and actions of…

  9. IDENTIDADES SONORAS NA DITADURA MILITAR BRASILEIRA (1964-1985

    Directory of Open Access Journals (Sweden)

    Prof. Dr. Marcos Júlio Sergl

    2013-02-01

    Full Text Available A relação entre música e política sempre esteve presente nas manifestações sonoras de nosso país. As opções e acontecimentos políticos repercutem nas obras dos compositores. Estes, por sua vez, tendem a discutir e criticar esses acontecimentos, pela sátira inclusa nas marchinhas carnavalescas, por mensagens subliminares ou até mesmo de forma direta. A partir do período do Estado Novo (1937-1945, a interferência de censores torna-se clara em relação às mensagens contidas nas canções. O Departamento de Imprensa e Propaganda (DIP controla, por meio de cooptação e repressão, os ímpetos crítico musicais dos compositores. O período da ditadura militar brasileira é marcado pela censura, repressão e cerceamento à liberdade de expressão. Muitos artistas, diante das violências praticadas contra a crítica na criação artística, se mobilizam em oposição à ditadura, pela criação de canções de protesto velado, inserido nas mensagens subliminares, como na obra de Chico Buarque de Hollanda, ou de forma direta, a exemplo da canção Prá não dizer que não falei das flores, de Geraldo Vandré. Analisamos neste artigo o ambiente musical brasileiro entre 1964 e 1985, pelo viés de olhar dos compositores e da censura e as especificidades de cada movimento musical, que tecem a trama das identidades sonoras nesse momento tão rico e criativo da música popular brasileira.

  10. Genetic relationship between serum pregnancy-associated plasma protein-A gene polymorphism and ischemic cerebrovascular disease in a Northern Han Chinese population

    Institute of Scientific and Technical Information of China (English)

    Haiping Wang; Yan Song; Chen Zhang; Jingjing Zhan; Rui Zhang; Haiji Wang

    2012-01-01

    The present study recruited 193 patients with ischemic cerebrovascular disease from Inpatient and Outpatient Departments at the Affiliated Hospital of Qingdao University Medical College, China from August 2008 to May 2010, as well as 120 healthy volunteers from the Medical Examination Center at the Affiliated Hospital of Qingdao University Medical College, China, who served as controls for this study.Patients and control subjects were from the Han population in northern China.Enzyme- linked immunosorbent assay analysis revealed increased levels of serum pregnancy-associated plasma protein-A (PAPP-A) in ischemic cerebrovascular disease patients compared with healthy controls.In addition, the patients exhibited greater frequency of genotype CC and C alleles in a missense A/C (Tyr/Ser) polymorphism (dbSNP: rs7020782) of exon 14 in the PAPP-A gene.Multiple-factor logistic regression analysis on correction of age, gender, history of smoking, hypertension, diabetes mellitus, hypercholesteremia, and ischemic stroke family history showed that the risk for ischemic cerebrovascular disease in the population without the A allele at the A/C genetic locus in exon 14 of the PAPP-A was 2-folds greater than the population expressing the A allele.These experimental findings suggested that ischemic cerebrovascular disease correlated with the C allele in exon 14 of PAPP-A.In addition, the A allele is likely a protective gene; individuals carrying the A allele were less prone to ischemic cerebrovascular disease compared with individuals without the A allele.

  11. The Cerebrovascular Disease and Nutritional State. Enfermedad cerebrovascular y estado nutricional

    OpenAIRE

    Fidel Pérez Pérez; José Miguel Rodríguez Perón; Manuel Guzmán Noa; Mildred Díaz Masip; Mayelin Blanco Suárez; Leticia del Rosario Cruz

    2007-01-01

    Background: It is recognized the importance of malnutrition as a cause of morbidity and mortality in medical and surgical affections. The nutritional assessment of the patient should be based on a correct evaluation of different aspects. Objective: To assess the nutritional state of patients affected by cerebrovascular diseases in its ischemic form and the incidence of complications and deaths. Methods: A r...

  12. Chronic cerebrovascular dysfunction after traumatic brain injury.

    Science.gov (United States)

    Jullienne, Amandine; Obenaus, Andre; Ichkova, Aleksandra; Savona-Baron, Catherine; Pearce, William J; Badaut, Jerome

    2016-07-01

    Traumatic brain injuries (TBI) often involve vascular dysfunction that leads to long-term alterations in physiological and cognitive functions of the brain. Indeed, all the cells that form blood vessels and that are involved in maintaining their proper function can be altered by TBI. This Review focuses on the different types of cerebrovascular dysfunction that occur after TBI, including cerebral blood flow alterations, autoregulation impairments, subarachnoid hemorrhage, vasospasms, blood-brain barrier disruption, and edema formation. We also discuss the mechanisms that mediate these dysfunctions, focusing on the cellular components of cerebral blood vessels (endothelial cells, smooth muscle cells, astrocytes, pericytes, perivascular nerves) and their known and potential roles in the secondary injury cascade. © 2016 Wiley Periodicals, Inc. PMID:27117494

  13. Predictores del rendimiento académico y militar de cadetes argentinos

    OpenAIRE

    Castro Solano, Alejandro; Martina Casullo, María

    2002-01-01

    Se presentan datos correspondientes a una muestra de 363 estudiantes de una academia militar integrada por 89% de varones y 11% de mujeres, con una Media de edad de 20 años (dt: 2,21). El estudio tiene como objetivo identificar los factores asociados con rendimientos en los aprendizajes académicos y militares exitosos y no exitosos en ingresantes y estudiantes próximos a su graduación. Se administraron las pruebas MIPS ( Inventario Millon de Estilos de Personal...

  14. Associação entre bruxismo e estresse em policiais militares

    OpenAIRE

    Carvalho, Swellya da Costa Aroucha et al.

    2008-01-01

    Objetivo: O trabalho teve por objetivo mensurar a prevalência de bruxismo e de estresse em policiais militares e sua possível associação. Metodologia: Um estudo transversal foi conduzido na cidade de São Luís, MA, com membros da Polícia Militar do Estado do Maranhão. Foram selecionados 81 policiais do sexo masculino (idade média = 33,5 anos), os quais foram diagnosticados como bruxistas de acordo com os critérios clínicos: presença de facetas de desgaste dental associadas ao auto-relato de ra...

  15. Impact of Cerebrovascular Disease Mortality on Life Expectancy in China

    Institute of Scientific and Technical Information of China (English)

    LI Guo Qi; LI Yan; ZHAO Dong; FAN Jie; LIU Jing; WANG Wei; WANG Miao; QI Yue; XIE Wu Xiang; LIU Jun; ZHAO Fan

    2014-01-01

    Objective To evaluate the impact of cerebrovascular disease mortality on life expectancy (LE) in China in 2010 compared with 2005, and to identify the high-risk population (age, sex, and region) where cerebrovascular disease mortality has had a major impact on LE. Methods LE and cause-eliminated LE were calculated by using standard life tables which used adjusted mortality data from the Death Surveillance Data Sets in 2005 and 2010 from the National Disease Surveillance System. Decomposition was used to quantitate the impact of cerebrovascular disease in different age groups. Results LE in China was 73.24 years in 2010, which was higher in women and urban residents compared with men and rural residents. The loss of LE caused by cerebrovascular disease mortality was 2.26 years, which was higher in men and rural residents compared with women and urban residents. More than 30%of the loss of LE were attributed to premature death from cerebrovascular disease in people aged Conclusion Cerebrovascular disease mortality had a major impact on LE in China, with a significant difference between urban and rural residents. LE is likely to be further increased by reducing cerebrovascular disease mortality, and special attention should be paid to reducing premature deaths in people aged<65 years.

  16. SYSTOLIC HYPERTENSION. IMPACT ON CEREBROVASCULAR DISEASE

    Directory of Open Access Journals (Sweden)

    Juan Eloy Cruz Quesada

    2011-08-01

    Full Text Available Fundamento: La aterosclerosis es un proceso multifactorial sobre el cual actúan varios factores de riesgo. Constituye la principal causa de muerte y de morbilidad en ingresados hospitalarios, y puede ocasionar una acentuada disminución del flujo sanguíneo hacia todos los órganos del cuerpo humano Objetivo: Determinar el impacto de la hipertensión arterial sistólica sobre la enfermedad cerebrovascular. Métodos: Se realizó un estudio transversal, observacional y analítico, en 59 fallecidos hipertensos. Se analizaron las arterias cerebrales y se cuantificó la lesión aterosclerótica y su variedad, aplicándose el sistema aterométrico, teniendo en cuenta los tipos de hipertensión arterial. Se emplearon procedimientos estadísticos (medidas de tendencia central y comparativos (prueba de comparación de media aritmética basadas en el test “t” de student. Resultados: Los infartos cerebrales recientes fueron más frecuentes en hipertensos sistodiastólicos. No hubo diferencia significativa en cuanto a la edad en el momento de aparición de las lesiones para ambos sexos, pero las mujeres con hipertensión sistólica, fueron significativamente más dañadas desde el punto de vista morfométrico. Se observó correlación significativa para ambos grupos de hipertensos entre tipo de accidente cerebrovascular y variables del sistema aterométrico. Conclusiones: La hipertensión arterial sistólica es un factor importante en la génesis de la enfermedad vasculocerebral y está asociada con la progresión de la placa de ateroma.

  17. Asymptomatic internal carotid artery stenosis and cerebrovascular risk stratification

    DEFF Research Database (Denmark)

    Nicolaides, Andrew N; Kakkos, Stavros K; Kyriacou, Efthyvoulos;

    2010-01-01

    The purpose of this study was to determine the cerebrovascular risk stratification potential of baseline degree of stenosis, clinical features, and ultrasonic plaque characteristics in patients with asymptomatic internal carotid artery (ICA) stenosis....

  18. Alzheimer's disease: Cerebrovascular dysfunction, oxidative stress, and advanced clinical therapies

    NARCIS (Netherlands)

    M.W. Marlatt; P.J. Lucassen; G. Perry; M.A. Smith; X. Zhu

    2008-01-01

    Many lines of independent research have provided convergent evidence regarding oxidative stress, cerebrovascular disease, dementia, and Alzheimer's disease (AD). Clinical studies spurred by these findings engage basic and clinical communities with tangible results regarding molecular targets and pat

  19. Obesity Paradox in the Course of Cerebrovascular Diseases.

    Science.gov (United States)

    Brzecka, Anna; Ejma, Maria

    2015-01-01

    Obesity remains an important risk factor of cardiovascular and cerebrovascular diseases. However, it has been observed that increased body fat and body mass index predicted longer survival after the occurrence of a cardiovascular event. This observation has been named the obesity paradox. Initially, the term obesity paradox referred to the observation of the better outcome of cardiovascular diseases, such as heart failure and coronary heart disease, in obese patients as compared to underweight and normal-weight patients. Recently, similar, although fewer, observations confirm the occurrence of the obesity paradox in patients with acute cerebrovascular diseases. The underlying reasons for the protective effects of excessive body fat tissue against the consequences of acute cardiovascular and cerebrovascular diseases are poorly understood. The effect of preconditioning may be associated with the obesity paradox. The issue of the correlation between obesity and better survival of patients with cardiovascular and cerebrovascular diseases still remains largely unexplored. Debates for and against the obesity paradox continue.

  20. Independencia e Imparcialidad en Sistemas de Justicia Militar: Estándares Internacionales Comparados

    Directory of Open Access Journals (Sweden)

    Pablo Contreras V.

    2011-01-01

    Full Text Available El texto analiza los estándares internacionales de derechos humanos aplicables a los sistemas de justicia militar, en materia de independencia e imparcialidad de los tribunales. La investigación describe, analiza y compara los comentarios y la jurisprudencia de organismos internacionales de derechos humanos. El estudio se enfoca en cuatro susbsistemas internacionales y regionales de protección de los derechos humanos: el Comité de Derechos Humanos del Pacto de Derechos Civiles y Políticos, la Comisión Africana de Derechos Humanos y de los Pueblos, la Corte Interamericana de Derechos Humanos y el Tribunal Europeo de Derechos Humanos. A partir del análisis comparativo, se definen tres estándares de independencia e imparcialidad aplicable a tribunales militares, a saber, la exclusión de civiles de la justicia militar, la restricción ratione materiae de su competencia y la definición de garantías de independencia e imparcialidad en el fuero militar.

  1. Generals, Colonels, and Captains: Discourses of Militarism, Education, and Learning in the Canadian University Context

    Science.gov (United States)

    Taber, Nancy

    2014-01-01

    This article discusses a feminist discourse analysis that explores the ways in which discourses of learning interact with discourses of militarism at four Canadian civilian universities named for military leaders. I discuss how this particular research topic became apparent to me and explore the current national context where it can be argued that…

  2. Pre-K-12 Multicultural Education. Making Connections: Racism, Militarism, and Feminism.

    Science.gov (United States)

    Osborne, Nancy Seale

    Young students not impressed in mind and heart by their school's curricula are likely to be influenced by the media with which they amuse themselves. Video arcade games and television suffused with militarism and violence will help them create their own culture and develop their own values. They may begin to believe nothing can be done to ensure…

  3. Asymptomatic internal carotid artery stenosis and cerebrovascular risk stratification

    DEFF Research Database (Denmark)

    Nicolaides, Andrew N; Kakkos, Stavros K; Kyriacou, Efthyvoulos;

    2010-01-01

    The purpose of this study was to determine the cerebrovascular risk stratification potential of baseline degree of stenosis, clinical features, and ultrasonic plaque characteristics in patients with asymptomatic internal carotid artery (ICA) stenosis.......The purpose of this study was to determine the cerebrovascular risk stratification potential of baseline degree of stenosis, clinical features, and ultrasonic plaque characteristics in patients with asymptomatic internal carotid artery (ICA) stenosis....

  4. Risk factors of cerebrovascular diseases and their intervention and management

    OpenAIRE

    En XU; Hai-xia WEN

    2015-01-01

    Cerebrovascular diseases are important causes of clinical death and disability because of high prevalence and morbidity and easy to recurrence. A number of risk factors have involved in the progress of cerebrovascular diseases, which include uncontrolled and controlled risk factors. The former refers to old age, gender, low birth weight, race/ethnicity, genetic factors, etc. The latter includes hypertension, diabetes mellitus, atrial fibrillation and other cardiac diseases, dyslipidemia...

  5. Genetic relationship between serum pregnancy-associated plasma protein-A gene polymorphism and ischemic cerebrovascular disease in a Northern Han Chinese population☆

    OpenAIRE

    Wang, Haiping; Song, Yan; Zhang, Chen; Zhan, Jingjing; Zhang, Rui; Wang, Haiji

    2012-01-01

    The present study recruited 193 patients with ischemic cerebrovascular disease from Inpatient and Outpatient Departments at the Affiliated Hospital of Qingdao University Medical College, China from August 2008 to May 2010, as well as 120 healthy volunteers from the Medical Examination Center at the Affiliated Hospital of Qingdao University Medical College, China, who served as controls for this study. Patients and control subjects were from the Han population in northern China. Enzyme- linked...

  6. On the Japanese New Militarism%论日本新军国主义

    Institute of Scientific and Technical Information of China (English)

    张孝敏

    2013-01-01

    The Japanese New Militarism, as a new stage of Japanese Militarism, is the revival of its soul. The main performances of the Japanese New Militarism are as following:visiting the Yasukuni shrine, denying the crime of aggression, revising the constitution of peace, expanding military strength, taking frequent military exercises, meddling in other nations' affairs, and threatening neighbors' safety. The Japanese New Militarism was formed by not only the international political and economic factors, but also the domestic political, economic, cultural and geographical factors. Our new strategies against the Japanese New Militarism are being opposite and fearless to it.%  日本新军国主义是日本军国主义的亡灵在当代的复活,是日本军国主义发展的新阶段。其主要表现是:参拜靖国神社,否认侵略罪行,修改和平宪法,扩充军事实力,频繁进行军演,插手他国事务,威胁邻国安全。日本新军国主义的形成既有国际政治、经济因素,也有日本国内政治、经济、文化和地理因素。我们应对新军国主义的策略一是反对,二是不怕。

  7. Chile: la vocación regionalista del gobierno militar

    Directory of Open Access Journals (Sweden)

    Sergio Boisier

    2000-05-01

    Full Text Available El artículo examina algunas características del proceso de regionalización chileno, con la pretensión de señalar elementos escasamente mencionados hasta ahora. Son analizadas las políticas públicas de desarrollo regional previas a 1973 y el compromiso del Gobierno Militar con la cuestión regional desde una perspectiva que privilegia aspectos poco conocidos del proceso. La regionalización realizada por CONARA es objetivo de discusión y se muestran los principales instrumentos, de distinto orden, usados en el contexto del desarrollo regional de la época. Las contradicciones y los conflictos regionales (algunos todavía vigentes son mostrados, conjuntamente con el análisis de la política regional dominante durante los años ochenta, en buena medida una herencia no cuestionada por la Transición desde el autoritarismo a la democracia. Se examina precisamente la naturaleza de la "herencia" regionalista y se mencionan solamente algunos de los desafíos más importantes que el país deberá superar si efectivamente se desea lograr un desarrollo más inclusivo, democrático y equitativo, cuestión que pasa, inexorablemente, por un bien direccionado esfuerzo de desarrollo regional en el marco de una economía de mercado, abierta y crecientemente descentralizada, en la cual el actor principal es la sociedad civilThe article analyzes the characteristics of the Chilean process of regionalization in order to highlight some elements that have not been mentioned before. Reflections about public policies for regional development before 1973 and the agreement of the military government with regard to the regional issue, are examined from a perspective that focuses on aspects of the process that are usually not recognized. The article discusses the regionalization carried out by CONARA (National Comission of Regionalization and shows the main instruments used in the context of regional development for that period. Contradictions and regional

  8. HIGH SENSITIVE C-REACTIVE PROTEIN IN CEREBROVASCULAR ISCHEMIA

    Directory of Open Access Journals (Sweden)

    Padmalatha

    2016-02-01

    Full Text Available BACKGROUND Cerebrovascular ischemia is recognized as a major health problem, which causes significant morbidity and mortality. The main pathophysiology of ischemic stroke is atherosclerosis of cerebral vessels. Hs-CRP is a sensitive marker of inflammation tissue injury in the arterial wall, which contributes to atherosclerosis. In this study, we aim to investigate the association of hs-CRP in patients with ischemic stroke and to correlate hs-CRP levels with possible risk factors of ischemic stroke and to assess the prognostic value of hs-CRP in ischemic stroke. METHODS In the present case control study after meeting inclusion and exclusion criteria, 50 patients with acute ischemic stroke admitted in the medical ward, King George Hospital, during the period between April 2014 and October 2014 and 40 asymptomatic age and sex matched control subjects were included. RESULTS The mean hs-CRP value in cases is 3.78+5.28mg/dl and in controls is 0.425+0.305mg/dl. Mean hs-CRP value is higher (3.78mg/dl in cases when compared to controls (0.425mg/dl, which is statistically significant. P admitted with severe degree of weakness (0-1/5 power with mean hs-CRP value of 4.28+4.07 without significant improvement in the power at the time of discharge; 8(16%> with mean hs-CRP value of 10.43+7.74 were expired. CONCLUSION Acute ischemic patients had higher mean hs-CRP values when compared to healthy asymptomatic control subjects P0.05. Higher mean hs-CRP values were associated with poor outcome after acute ischemic stroke. P<0.001.

  9. Use of nonsteroidal anti-inflammatory drugs among healthy people and specific cerebrovascular safety

    DEFF Research Database (Denmark)

    Fosbøl, Emil L; Olsen, Anne-Marie Schjerning; Olesen, Jonas Bjerring;

    2014-01-01

    stroke). RESULTS: We selected 1,028,437 healthy individuals (median age 39 years). At least one nonsteroidal anti-inflammatory drug was claimed by 44·7% of the study population, and the drugs were generally used for a short period of time and in low doses. High-dose ibuprofen and diclofenac were......BACKGROUND: Nonsteroidal anti-inflammatory drugs can increase bleeding and thrombosis, but little is known about the cerebrovascular safety of these drugs, especially among healthy people. AIMS: The aim of this study was to examine the risk of ischemic and hemorrhagic stroke associated with the use...... of nonsteroidal anti-inflammatory drugs in healthy people. METHODS: By individual-level linkage of nationwide administrative registers in Denmark, information on hospital admissions, prescription claims, vital status, and cause of death were obtained. A cohort of healthy people without hospital admissions...

  10. Incidence of cardiovascular and cerebrovascular disease in Danish men and women with a prolonged heavy alcohol intake

    DEFF Research Database (Denmark)

    Hvidtfeldt, Ulla Arthur; Frederiksen, M.E.; Thygesen, L.C.;

    2008-01-01

    rates of cardio- and cerebrovascular diseases than the population in general. METHODS: The cohort comprised 19,185 subjects (15,368 men and 3,817 women) who attended outpatient clinics for alcohol abusers within the Copenhagen Hospital Corporation (1954 to 1992). Incidence rates were standardized (SIR......BACKGROUND: Several epidemiological studies have found U- or J-shaped relationships between alcohol intake and cardiovascular conditions. The influence of heavy drinking is, however, sparsely studied. The objective of the present study was to examine whether alcohol addicts have higher incidence.......45-2.99; women: SIR = 2.77; 95% CI 2.18-3.48). CONCLUSIONS: The study indicates increased risks of cardio- and cerebrovascular diseases in subjects with an excessive alcohol intake Udgivelsesdato: 2008/11...

  11. Caracterização da saúde oral numa amostra de militares da base naval de Lisboa

    OpenAIRE

    Senra, Ana Teresa Menezes e Castro

    2015-01-01

    INTRODUÇÃO: A Assistência na Doença aos Militares das Forças Armadas Portuguesas (ADM) é uma mais-valia para os militares. O estado de prontidão permanente para o serviço é um dever dos militares, necessitando para tal, de aptidão física e intelectual. Os militares da Marinha de Guerra Portuguesa (MGP), quando em missão, não têm acesso no navio aos mesmos tratamentos que em Terra. Deste modo, os exames médicos periódicos são uma ferramenta essencial à prevenção de eventuais ...

  12. NIRS-based noninvasive cerebrovascular regulation assessment

    Science.gov (United States)

    Miller, S.; Richmond, I.; Borgos, J.; Mitra, K.

    2016-03-01

    Alterations to cerebral blood flow (CBF) have been implicated in diverse neurological conditions, including mild traumatic brain injury, microgravity induced intracranial pressure (ICP) increases, mild cognitive impairment, and Alzheimer's disease. Near infrared spectroscopy (NIRS)-measured regional cerebral tissue oxygen saturation (rSO2) provides an estimate of oxygenation of the interrogated cerebral volume that is useful in identifying trends and changes in oxygen supply to cerebral tissue and has been used to monitor cerebrovascular function during surgery and ventilation. In this study, CO2-inhalation-based hypercapnic breathing challenges were used as a tool to simulate CBF dysregulation, and NIRS was used to monitor the CBF autoregulatory response. A breathing circuit for the selective administration of CO2-compressed air mixtures was designed and used to assess CBF regulatory responses to hypercapnia in 26 healthy young adults using non-invasive methods and real-time sensors. After a 5 or 10 minute baseline period, 1 to 3 hypercapnic challenges of 5 or 10 minutes duration were delivered to each subject while rSO2, partial pressure of end tidal CO2 (PETCO2), and vital signs were continuously monitored. Change in rSO2 measurements from pre- to intrachallenge (ΔrSO2) detected periods of hypercapnic challenges. Subjects were grouped into three exercise factor levels (hr/wk), 1: 0, 2:>0 and 10. Exercise factor level 3 subjects showed significantly greater ΔrSO2 responses to CO2 challenges than level 2 and 1 subjects. No significant difference in ΔPETCO2 existed between these factor levels. Establishing baseline values of rSO2 in clinical practice may be useful in early detection of CBF changes.

  13. Prototipos de liderazgo en población civil y militar

    Directory of Open Access Journals (Sweden)

    Alejandro Castro Solano

    2007-01-01

    Full Text Available El presente estudio pretende identificar (en población ci vil y militar los prototipos internalizados de liderazgo, los atributos que tienden a ser asignados a los líderes y las dimensiones de liderazgo privilegiadas en di chos entornos. Par ti ci pa ron 488 cadetes militares (el 64% tenía personal a cargo y 194 civiles, todos ocupaban cargos di rec tivos y tenían personal a cargo. Se diseñó un instrumento ad-hoc, en el que se solicitaba a los participantes que nombraran a un líder efectivo, justifiquen su elección y señalen en una lista aquellos atributos que creían co rres - ponder al líder elegido. Los resultados señalan que la po blación militar exhibe preferencia por personajes de tra yectoria po lítica y militar. Los civiles mostraron ma yor variación en el prototipo de líder elegido, aunque se inclinaron a iden tificar co mo tales, a jefes cercanos a su ám bito laboral. Con respecto a los atributos asignados, los civiles identificaron con mayor frecuencia características individualistas como innovación, talento y logro de ob jetivos; mientras que los militares privilegiaron las ca rac - terísticas personales asociadas a la relación con el su balterno (consideración, motivación, abnegación. En el ám bito castrense se reconocieron atributos correspondientes al liderazgo orientado al grupo, en tanto los civiles se orientarían hacia un liderazgo carismático. Ade más, tanto civiles como militares exhibieron una actitud negativa hacia el liderazgo orientado hacia sí mismo. Los resultados obtenidos aportan evidencias sobre la existencia de diferencias significativas en la percepción del liderazgo en ambos contextos ya que se han observado discrepancias en los prototipos de líderes internalizados.

  14. Clinical analysis of 34 cases symptomatic epilepsy secondary to cerebrovascular disease

    International Nuclear Information System (INIS)

    Objective: To investigate the relation between cerebrovascular disease and symptomatic epilepsy. Method: 786 patients suffered cerebrovascular disease were retrospectively analyzed. Result: The occurrence rate of Secondary to Cerebrovascular Disease symptomatic epilepsy Secondary to Cerebrovascular Disease was 4.3%. Those older than 60 are prone to develop Acrodynia symptomatic epilepsy. Generalized epileptic seizure were often seen. Secondary to Cerebrovascular Disease epilepsy die to cortical lesion are more easily seem than subcortical lesion. Early epilepsy is more than late epilepsy. Conclusion: The cause of symptomatic epilepsy after cerebrovascular disease is not same in different types and course of CVD. Those who developed epilepsy particularly epilepsy continua would have bad prognosis

  15. Certificação de Operadores de Unmanned Aircraft Systems Militares

    OpenAIRE

    Leandro, Pedro

    2013-01-01

    O presente trabalho pretende explanar ao leitor quais os requisitos que deverão ser observados pela Autoridade Aeronáutica Nacional (AAN) no processo de certificação de operadores de Unmanned Aircraft Systems (UAS) militares. Não sendo de todo uma novidade falar de UAS, e muito menos da exploração de caráter militar, a premente necessidade de harmonização no espaço aéreo europeu e a delimitação cada vez maior de espaços aéreos segregados impõe a criação de regulamentação para os mesmos, te...

  16. La esfera interfuerzas en Argentina. Notas sobre el estudio de la problemática militar

    Directory of Open Access Journals (Sweden)

    Ricardo J. Laleff Ilieff

    2013-05-01

    Full Text Available El artículo analiza cómo la literatura académica hegemónica sobre la problemática militar,los estudios sobre las transiciones de los regímenes políticos y las relaciones civiles-militares,más allá de sus innegables aportes, no permiten investigar la esfera interfuerzas. En este sentido, la relevancia de la “conjuntez” en la historia argentina conduce a una serie de interrogantes que no pueden ser abordados a través de dichos enfoques. A partir de una revisión crítica del concepto “control civil”, este trabajo propone su redefinición, con el objetivo de avanzar hacia la búsqueda de un instrumental analítico adecuado para indagar en aquellas áreas descuidadas por los estudios tradicionales.

  17. Cultura, política e direitos no canavial da ditadura militar brasileira

    Directory of Open Access Journals (Sweden)

    Tiago Martins Simões

    2015-12-01

    Full Text Available Resumo Este artigo analisa a reestruturação do trabalho no canavial brasileiro no contexto da ditadura militar brasileira de 1964 a partir de uma perspectiva dos processos de longa duração. Para isso, buscamos evidenciar as principais transformações dessa formação econômico-social a partir da revolução de 1930, que possibilitam uma compreensão da desproteção social dos trabalhadores e trabalhadoras canavieiras, situando a ditadura militar como um dos eixos de uma revolução passiva que encontrou sedimentações do passado, deixando ao mesmo tempo, no presente, vestígios dos dias de um futuro esquecido de nossa história.

  18. Risk factors of cerebrovascular diseases and their intervention and management

    Directory of Open Access Journals (Sweden)

    En XU

    2015-01-01

    Full Text Available Cerebrovascular diseases are important causes of clinical death and disability because of high prevalence and morbidity and easy to recurrence. A number of risk factors have involved in the progress of cerebrovascular diseases, which include uncontrolled and controlled risk factors. The former refers to old age, gender, low birth weight, race/ethnicity, genetic factors, etc. The latter includes hypertension, diabetes mellitus, atrial fibrillation and other cardiac diseases, dyslipidemia, asymptomatic carotid stenosis, obesity, smoking, unhealthy lifestyle, alcoholism, metabolic syndrome, hyperhomocysteinemia, etc. Meanwhile, hypertension is the most important one in the above-mentioned risk factors. It would effectively reduce or postpone the onset of cerebrovascular diseases through proper intervention and management on those risk factors. DOI: 10.3969/j.issn.1672-6731.2015.01.006

  19. Associação entre bruxismo e estresse em policiais militares

    Directory of Open Access Journals (Sweden)

    Carvalho, Swellya da Costa Aroucha et al.

    2008-01-01

    Full Text Available Objetivo: O trabalho teve por objetivo mensurar a prevalência de bruxismo e de estresse em policiais militares e sua possível associação. Metodologia: Um estudo transversal foi conduzido na cidade de São Luís, MA, com membros da Polícia Militar do Estado do Maranhão. Foram selecionados 81 policiais do sexo masculino (idade média = 33,5 anos, os quais foram diagnosticados como bruxistas de acordo com os critérios clínicos: presença de facetas de desgaste dental associadas ao auto-relato de ranger de dentes, sensibilidade dolorosa nos músculos masseter e temporal e desconforto na musculatura da mandíbula ao despertar. Para o diagnóstico de estresse foi aplicado o Inventário de Sintomas do Stress (Stress Symptoms Inventory – SSI. Resultados: A prevalência de bruxismo foi de 33,3% e a de estresse emocional, 13,6%. A prevalência de estresse em indivíduos com bruxismo foi significativamente maior em relação aos indivíduos sem bruxismo (teste qui-quadrado, P= 0,003. Conclusão: Dentro das limitações do estudo, concluiu-se que o estresse esteve associado à presença de bruxismo nesta amostra de policiais militares.

  20. Seminario Internacional de Ordenes Militares. Nota acerca de autorías, responsabilidades y agradecimientos

    Directory of Open Access Journals (Sweden)

    Fernando ANDRÉS ROBRES

    2009-12-01

    Full Text Available Es ésta una obra verdaderamente colectiva, tanto en su planteamiento como en su ejecución. Se ha nutrido del trabajo, la reflexión y las sugerencias del conjunto de un amplio grupo no formalmente instituido de historiadores de universidades italianas, españolas y portuguesas que se autotituló una vez, es cierto que sin demasiada originalidad, Grupo internacional para el estudio de las Ordenes Militares («Las Ordenes Militares y Caballerescas en la Edad Moderna», Historia 16, n.° 225, Madrid, enero de 1995, pp. 53-74 y que de un tiempo a esta parte se viene reconociendo bajo el nombre de Seminario Internacional de Ordenes Militares, que refleja mejor su coordinación a través de encuentros científicos (a los que de inmediato se alude y que tiene su órgano de expresión en la revista Militarium Ordinum Analecta (que edita anualmente en Oporto y desde 1997 con ayuda de la Fundación Antonio de Almeida, aunque sus miembros han publicado y publican en muchos otros lugares y aunque, recíprocamente, la revista no está restringida a los miembros del Seminario.

  1. Militares en el Mundo Urbano Fronterizo Castellano (siglos XVI-XVII

    Directory of Open Access Journals (Sweden)

    Susana TRUCHUElO GARCÍA

    2012-12-01

    Full Text Available En este artículo se estudian diversos espacios urbanos fronterizos y costeros que albergaban presidios reales en Castilla en los siglos XVI y XVII. Se valoran las prácticas de gobierno que relacionaron, por una parte, a los vecinos, sujetos a la jurisdicción de los alcaldes y el corregidor, y, por otra, a los soldados, beneficiados por el fuero militar. Muchas de las discordias estuvieron causadas por las competencias de jurisdicción entre los distintos poderes, por el aumento de atribuciones de los militares en los contextos bélicos, por el control ejercido por los militares en las milicias concejiles y por la participación de los soldados en las instituciones de gobierno de la ciudad. Este estudio nos permite comprender el proceso de definición de una identidad particular en las ciudades fronterizas, sustentada en la exclusión de la comunidad de todo elemento que intentara segregarse del marco de acción de las autoridades urbanas y de la jurisdicción ordinaria.

  2. Evento cerebrovascular isquémico en el adulto joven

    OpenAIRE

    Verónica Leandro-Sandí; Miguel Barboza-Elizondo; Gustavo Vindas-Angulo

    2013-01-01

    El evento cerebrovascular isquémico es un desorden multifactorial, en el que contribuyen factores genéticos y ambientales. A pesar de que se reconoce un aumento del riesgo de eventos cerebrovasculares cuando existe una historia familiar positiva (de hasta un 75% en ciertos estudios), no se conoce la contribución exacta que tiene la genética en el desarrollo de eventos cerebrales isquémicos en el paciente joven. El papel que desempeña la predisposición genética sobre la ocurrencia de estos eve...

  3. Uric acid levels and their relation to incapacities in acute cerebrovascular disease

    OpenAIRE

    Julio López Argüelles; Joan Rojas Fuentes; Ricardo Verdecia Fraga

    2010-01-01

    Background: cerebrovascular disease and ischemic cardiopathy can be considered as an epidemic and constitute the first cause of incapacities in developed countries. Multiple studies have shown the association between uric acid levels and cerebrovascular diseases. Objective: To correlate the levels of serum uric acid and incapacities in the acute phase of cerebrovascular disease. Methods: A correlational study was carried out with 217 patients with acute cerebrovascular disease. The patient’s ...

  4. Caracterización de las lesiones derivadas del entrenamiento físico militar

    Directory of Open Access Journals (Sweden)

    Juan Sebastián Rodríguez Gómez

    2016-01-01

    Full Text Available Introducción: En busca del mejoramiento físico se han desarrollado diferentes formas y maneras de trabajar el cuerpo y así generar el óptimo desarrollo de este en las actividades diarias; es el caso del entrenamiento físico militar, el cual conlleva a unas altas exigencias físicas en los cadetes por el tiempo de concentración, las horas de entrenamiento y la densidad de las actividades las cuales se dan de manera diaria por lo que esta práctica se encuentra asociada inevitablemente con la aparición de lesiones. Objetivo: Caracterizar las lesiones derivadas del entrenamiento físico militar en cadetes de tercero, cuarto y quinto nivel de la Escuela Militar de Cadetes General José María Córdova. Materiales y Métodos: Se planteó un estudio descriptivo de corte transversal, con una muestra tomada aleatoriamente para los hombres  y se tomó a todas las mujeres por ser una cantidad menor en cada uno de los niveles. El instrumento aplicado se validó a través de test-retest y juicio de expertos. Resultados y Discusión: Se encontró que la principal lesión dentro de estos niveles es la periostitis, seguida de lesiones como fisuras, tendinitis y esguinces por sobrecargas que se presentan en el entrenamiento, mala técnica e inadecuada rehabilitación. Conclusiones: La carga física a la que están sometidos constantemente los cadetes es elevada por lo que es una población que se encuentra siempre expuesta a sufrir lesiones importantes en sus extremidades inferiores debido a factores como la indumentaria militar, carga del entrenamiento, práctica deportiva, terreno y falta de descanso como lo expresan los cadetes. Cómo citar este artículo: Rodríguez JS, Valenzuela JA, Velasco JD, Castro LE, Melo PJ. Caracterización de las lesiones derivadas del entrenamiento físico militar. Rev Cuid. 2016; 7(1: 1219-26. http://dx.doi.org/10.15649/cuidarte.v7i1.301

  5. Evento cerebrovascular isquémico en el adulto joven

    Directory of Open Access Journals (Sweden)

    Verónica Leandro-Sandí

    2013-09-01

    Full Text Available El evento cerebrovascular isquémico es un desorden multifactorial, en el que contribuyen factores genéticos y ambientales. A pesar de que se reconoce un aumento del riesgo de eventos cerebrovasculares cuando existe una historia familiar positiva (de hasta un 75% en ciertos estudios, no se conoce la contribución exacta que tiene la genética en el desarrollo de eventos cerebrales isquémicos en el paciente joven. El papel que desempeña la predisposición genética sobre la ocurrencia de estos eventos, difiere según la edad y el tipo de evento. Los factores genéticos se conjugan con los factores de riesgo convencionales, como hipertensión arterial, diabetes y niveles de homocisteína, que a su vez interactúan con el ambiente en el desarrollo de aterosclerosis. La homocisteína por sí sola, ha sido considerada un factor aterogénico en enfermedades cardiovasculares y cerebrovasculares. Se refiere el caso de un paciente de 49 años conocido sano, quien presenta un evento cerebrovascular isquémico de la circulación cerebral anterior, con un valor en la escala para derrame del Instituto Nacional de Salud de 7 puntos al ingreso y una mutación heterocigota del gen de la metiltetrahidrofolato reductasa (región de mutación C677T.

  6. NSAIDs and cardiovascular drugs in neurodegenerative and cerebrovascular diseases

    NARCIS (Netherlands)

    M.D.M. Haag (Mendel)

    2009-01-01

    textabstractNeurodegenerative and cerebrovascular diseases are frequent in elderly populations and comprise primarily of dementia (mainly Alzheimer disease (AD)), Parkinson disease (PD) and stroke. The prevalence of these neurological disorders rises with older age. From 55 years to 90 years and abo

  7. Myocardial stress in patients with acute cerebrovascular events

    DEFF Research Database (Denmark)

    Jespersen, Christian M; Fischer Hansen, Jørgen

    2008-01-01

    Signs of myocardial involvement are common in patients with acute cerebrovascular events. ST segment deviations, abnormal left ventricular function, increased N-terminal pro-brain natriuretic peptide (NT-proBNP), prolonged QT interval, and/or raised troponins are observed in up to one third of the...

  8. Depression as the cause and consequence of cerebrovascular diseases

    Directory of Open Access Journals (Sweden)

    Rabi-Žikić Tamara

    2007-01-01

    Full Text Available Inbtroduction: Recent epidemiological, clinical, neuroimaging and neuropathological studies have reported substantial evidence on the complex interactive relationships between depression and cerebrovascular diseases, especially in older populations, and plausible explanations of the etiopathogenetic mechanisms in both directions have been proposed. Poststroke depression Although there is no general consensus regarding its prevalence, it is widely accepted that major depression after stroke is common and that it should be recognized as a key factor in rehabilitation and outcome following stroke. Vascular depression The "vascular depression" hypothesis presupposes that late-onset depression may often result from vascular damage to frontal-subcortical circuits implicated in mood regulation. This concept has stimulated many researches and the obtained results support the proposed hypothesis. Depression as a stroke risk factor Recent large studies have emphasized the role of depression per se in the development of subsequent stroke. Mechanisms proposed to explain the increased risk of cerebrovascular diseases in depressed patients There are a number of plausible mechanisms that could explain why depression may increase the risk of subsequent cerebrovascular disease, the most important being sympathoadrenal hyperactivity, platelet activation, an increase in inflammatory cytokines and an increased risk of arrhythmias. Conclusion: Thorough clinical examinations determining the conventional stroke risk factors in the population with depression, as well as management of depression as part of the overall measures for the reduction of cerebrovascular risk factors are of utmost importance.

  9. Cerebrovascular angiotensin AT1 receptor regulation in cerebral ischemia

    DEFF Research Database (Denmark)

    Edvinsson, L.

    2008-01-01

    The mechanism behind the positive response to the inhibition of the angiotensin II receptor AT(1) in conjunction with stroke is elusive. Here we demonstrate that cerebrovascular AT(1) receptors show increased expression (upregulation) after cerebral ischemia via enhanced translation. This enhanced...

  10. Cerebrovascular response to acute metabolic acidosis in humans.

    NARCIS (Netherlands)

    Ven, M.T.P. van de; Colier, W.N.J.M.; Kersten, B.T.P.; Oeseburg, B.; Folgering, H.T.M.

    2003-01-01

    OBJECTIVES: Evaluation of the cerebrovascular response (delta CBV/delta PaCO2) during baseline metabolic conditions and acute metabolic acidosis. METHODS: 15 healthy subjects, 5 m, 10 f, 56 +/- 10 yrs were investigated. For acidification, NH4Cl was given orally. CBV was measured using Near Infrared

  11. Congenital and genetic cerebrovascular anomalies as risk factors for stroke in Saudi Arabia

    International Nuclear Information System (INIS)

    To explore the role of and report congenital and genetic cerebrovascular anomalies as risk factors for stroke in a prospective and retrospective cohort of Saudi children. Children with stroke were evaluated at the Division of Pediatric Neurology (Dpn), or were seen as inpatients in the Pediatric Wards at King Khalid University Hospital (KKUH), Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study). Stroke work-up for each suspected case included hemostatic assays, serological, biochemical and neurophysiological tests. Neuroimaging modalities included routine skill x-rays, CT, MRI, magnetic resonance angiography (MRA) and conventional cerebral angiography. Of 104 children with stroke, congenital and genetic cerebrovascular anomalies were the underlying risk factor in 7 (6.7%). The patients were evaluated at the DPN at a mean age of 66 months (range = 8 months to 11 years, median = 6 years); and they had stroke at a mean age of 48 months (range = 2 months to 10 years, median = 8 months). Four patients had stroke in association with neurocutaneous syndromes. Two had Sturge-Weber syndrome (SWS), one had Klippel-Trenaunay syndrome associated with SWS, and the fourth had neurofibromatosis type 1. Two patients had intracranial hemorrhage secondary to ruptured aneurysm. A girl (aged 9 years and 4 months) had left posterior cerebral artery aneurysm. She was diagnosed to have autosomal dominant polycystic kidney disease following renal ultrasonography. She died 5 months later despite surgical intervention (clipping of aneurysm). The second child was an 8-months-old boy who presented with subarachnoid and intraventricular hemorrhage (IVH) following ruptured anterior communicating artery aneurysm. He recovered with no residual symptoms following successful clipping of the aneurysm. Arteriovenous malformation (AVM) caused IVH in a 7-year-old boy who reported to hospital 5 hours

  12. Correlation between serum fructosamine and hyperglycemia in patients with acute cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    Kaiqiu Chu; Pengpeng Liu; Lijuan Tan; Shuhua Zhou; Lisheng Ren

    2006-01-01

    BACKGROUND: Diabetes mellitus is one of the risk factors in patients with acute cerebral disease, and always leads to stroke or get it worse. There is often a high level of blood glucose in those patients with diabetes mellitus and cerebral disease, but it is hard to distinguish from both kinds of hyperglycemia. Serum fructosamine is said to be correlated with blood glucose.OBJECTIVE: To explore the relationship between serum fructosamine and blood glucose in patients with acute cerebrovascular disease.DESTGN: A case-controlled study.SETTINGS: Department of Clinical Laboratory, Health Department for Cadres and Department of Neurology of Affiliated Hospital, Qingdao University Medical College.PARTICIPANTS: Forty-eight inpatients and outpatients with cerebrovascular diseases were selected from the Department of Neurology, Affiliated Hospital of Qingdao University Medical College from December 2004 to April 2005. All the patients were confirmed with CT and MRI. There were 25 patients with diabetes mellitus secondary cerebrovascular diseases, who met the diagnostic standards of diabetes mellitus set by WHO,including 12 males and 13 females with an average of (60±8) years old, the course of diabetes mellitus ranged from 1 to 21 years.. The other 23 patients had no diabetes mellitus (without diabetes mellitus group), including 14 males and 9 females with an average of (62±6) years old. Meanwhile, another 50 healthy physical examinees in the hospital were selected as control group, including 26 males and 24 females with the average age of (62±5) years old. Informed content was obtained from all the participants.METHODS: Venous blood was drawn from all the participants, and content of blood glucose was assayed by means of glucose oxidase, and the concentration of serum fructosamine was determined by nitroblue tetrazolium colorimetric method. Comparison between groups was performed by the analysis of variance and q test, and the correlation was tested by linear

  13. Hipertensión arterial sistólica. Impacto sobre la enfermedad cerebrovascular.

    Directory of Open Access Journals (Sweden)

    María C. Valle Campo

    2011-08-01

    Full Text Available Fundamento: La aterosclerosis es un proceso multifactorial sobre el cual actúan varios factores de riesgo. Constituye la principal causa de muerte y de morbilidad en ingresados hospitalarios, y puede ocasionar una acentuada disminución del flujo sanguíneo hacia todos los órganos del cuerpo humano
    Objetivo
    : Determinar el impacto de la hipertensión arterial sistólica sobre la enfermedad cerebrovascular.
    Métodos
    : Se realizó un estudio transversal, observacional y analítico, en 59 fallecidos hipertensos. Se analizaron las arterias cerebrales y se cuantificó la lesión aterosclerótica y su variedad, aplicándose el sistema aterométrico, teniendo en cuenta los tipos de hipertensión arterial. Se emplearon procedimientos estadísticos (medidas de tendencia central y comparativos (prueba de comparación de media aritmética basadas en el test “t” de student.
    Resultados: Los infartos cerebrales recientes fueron más frecuentes en hipertensos sistodiastólicos. No hubo diferencia significativa en cuanto a la edad en el momento de aparición de las lesiones para ambos sexos, pero las mujeres con hipertensión sistólica, fueron significativamente más dañadas desde el punto de vista morfométrico. Se observó correlación significativa para ambos grupos de hipertensos entre tipo de accidente cerebrovascular y variables del sistema aterométrico. Conclusiones: La hipertensión arterial sistólica es un factor importante en la génesis de la enfermedad vasculocerebral y está asociada con la progresión de la placa de ateroma.

    SYSTOLIC HYPERTENSION. IMPACT ON CEREBROVASCULAR DISEASE

    Background: Atherosclerosis is a multifactor process in which several risk factors are involved. It is the leading cause of death and morbidity in hospital admitted patients, and it may cause

  14. Neuroimaging research on cerebrovascular spasm and its current progress.

    Science.gov (United States)

    Chen, Fang; Wang, Xiaoming; Wu, Bihua

    2011-01-01

    The cerebrovascular spasm is a common complication of subarachnoid hemorrhage. The prognosis is affected severely with regard to quality of life of patients, and earlier determination of the cerebral vasospasm becomes very important. In recent years, there have been many research results in early judgment of cerebrovascular spasm, and imaging technology research is particularly prominent in this area. This article summarizes the advantages and disadvantages and the specific roles of several common imaging technologies to determine the early stage of cerebral vasospasm. Transcranial Doppler (TCD) was the first used to examine cerebral vasospasm and mainly detected vascular hemodynamic changes of cerebrovascular spasm in patients. Digital subtraction angiography is the gold standard for diagnosis of cerebral vasospasm, but its efficacy in determining severity of cerebrovascular spasm indexing is still in dispute. It is invasive, it is difficult to repeat the examination, and it can induce complications, so its clinical application is limited. CT imaging technology is a hot topic in this area. There is an important guiding significance in early diagnosis and treatment of cerebral vasospasm in CT perfusion imaging (PCT) and CT angiography (CTA). PCT mainly performs qualitative and quantitative analysis through hemodynamic parameters such as cerebral blood flow, cerebral blood volume, and mean transit time. CTA is minimally invasive, fast, and reliable as an efficient imaging technology, and will possibly replace DSA for the assessment of vasospasm, particularly in critically ill patients with cerebral vasospasm in an urgent examination. This means it has greater value and helps to improve the prognosis of patients. MR imaging in the early stages to judge cerebral vasospasm has great value. DWI can effectively assess the cerebral vascular spasm earlier to detect trace bleeding sites and reflect the damage of cerebral vasospasm by apparent diffusion coefficient. Combined

  15. Versões e controvérsias sobre 1964 e a ditadura militar

    Directory of Open Access Journals (Sweden)

    Carlos Fico

    2004-01-01

    Full Text Available O principal objetivo deste artigo é expor e discutir as mais importantes correntes da historiografia sobre o Golpe de 1964 e confrontar algumas questões controvertidas sobre repressão política, censura e outros temas da ditadura militar.The main purpose of this article is to present and discuss the principal trends of historiography or Brazilian 1964 coup d'état and discuss some controversial questions censorship, political repression and other subjects concerning Brazilian military dictatorship history.

  16. Las organizaciones de psicólogos y la dictadura militar en agosto de 1978

    OpenAIRE

    Klappenbach, Hugo Alberto

    2013-01-01

    La presentación analiza el contexto en el cual ocurrieron las desapariciones de Beatriz Perosio, Alfredo Smith y Celia Kriado en agosto de 1978. En primer lugar, se examinan algunas consecuencias para el campo de la psicología de la dictadura militar iniciada en Argentina en 1976. En segundo lugar, se analizan las estrategias desplegadas por la Asociación de Psicólogos de Buenos Aires (APBA) y por la Federación de Psicólogos de la República Argentina (FePRA), ambas presididas por Beatriz Pero...

  17. Epidemiologia dos acidentes cerebrovasculares em Joinville, Brasil: estudo institucional Epidemiology of cerebrovascular disease in Joinville, Brazil: an institutional study

    Directory of Open Access Journals (Sweden)

    Norberto L. Cabral

    1997-09-01

    Full Text Available A carência de dados epidemiológicos e a impressão prévia de elevada incidência de acidente vascular cerebral (AVC no Brasil criou o estímulo para estudo institucional prospectivo em Joinville. No período de 1-março-1995 a 1-março-1996, avaliamos o primeiro episódio e episódios recorrentes em AVC, incidência, mortalidade, taxa de fatalidade-caso em 30 dias (letalidade, freqüência de fatores de risco, tempo para admissão hospitalar e distribuição dos infartos cerebrais por subtipos patológicos. Registramos 429 pacientes no período, 320 destes com primeiro episódio. Tomografia de crânio foi realizada em 98% dos casos. A taxa de incidência anual ajustada por idade em primeiro episódio de AVC foi de 156/100000. A distribuição por diagnóstico foi: 73,4% para infarto cerebral, 18.4% para hemorragia cerebral e 7,5% para hemorragia subaracnóide. A taxa de mortalidade anual padronizada foi 25/100000. A letalidade foi 26%. Hipertensão, AVC prévio e diabetes foram os fatores de risco mais freqüentes. Somente 25% dos pacientes chegaram ao hospital nas primeiras três horas iniciais. Concluímos que a taxa de incidência em primeiro episódio de AVC em pacientes institucionalizados em Joinville, Brasil, é elevada. A taxa de mortalidade e letalidade são similares as de outras populações.The paucity of epidemiologic data, and the previous impression of high incidence of cerebrovascular disease in Brazil, made us elaborate a prospective institutional study in Joinville, Brazil, with the objective of identifying first and recurrent episodes in stroke. This study occurred from March 1995 to March 1996. We evaluated during the first episode of stroke: incidence, mortality and fatality-case rate (in 30 days letality, frequency of risk factor, time in hospital and distribution of cerebral infarcts by pathological subtypes. In this period, 429 patients with stroke were registered, 320 with the first episode. 98% of all the patients

  18. La Europa de la crisis y el gasto militar: los casos de Grecia y España

    OpenAIRE

    Javier Rodríguez Alcázar

    2012-01-01

    La crisis económica que afecta a Europa se está combatiendo con drásticos recortes al gasto social. Sin embargo, el gasto militar no se está reduciendo en la misma proporción en todos los países europeos (incluso sigue aumentando fuera de Europa) y persisten algunos llamamientos a incrementarlo y a considerarlo uno de los motores para salir de la crisis. Esta paradójica situación se explica a partir de determinadas concepciones de la seguridad y de la economía de la industria militar. Tras an...

  19. El Diccionario Militar (1749) de Raimundo Sanz y la incorporación de galicismos al castellano

    OpenAIRE

    Marta Sánchez Orense

    2014-01-01

    El Diccionario militar, o recolección alphabética de todos los términos propios al Arte de la Guerra (1749), traducción del Dictionnaire militaire, ou recueil alphabetique de tous les termes propres à l'Art de la Guerre de Aubert de la Chesnaye Desbois, obtuvo pésimas consideraciones por parte de escritores posteriores a Raimundo Sanz, su autor, entre otros del lexicógrafo y militar español José Almirante, quien lo tachó de “traducción detestable”. Con este trabajo pretendemos averiguar la ve...

  20. Las órdenes militares en la Edad Media peninsular: historiografía 1976-1992

    OpenAIRE

    Ayala Martínez, Carlos de; Barquero Goñi, Carlos; Matellanes Merchán, José Vicente; Novoa Portela, Feliciano; Rodríguez-Picavea, Enrique

    1992-01-01

    No hace muchos años los profesores Ladero Quesada y Nieto Soria nos recordaban que las Órdenes Militares constituyen «campo privilegiado de conjunción» entre la Iglesia y la propia realidad social. Profundizando algo más en esta idea, no es difícil llegar a la conclusión de que, en último término, las Órdenes Militares son, en su nacimiento, la expresión misma, la más plástica sin duda, de esa realidad social.

  1. Violence against women in the militarized Indian frontier: beyond "Indian culture" in the experiences of ethnic minority women.

    Science.gov (United States)

    McDuie-Ra, Duncan

    2012-03-01

    Violence against women (VAW) in India is commonly attributed to an overarching metacultural patriarchal framework. Focusing on this national culture of violence obscures the experiences of VAW among ethnic minority women. This article focuses on VAW in Northeast India, a region populated by large numbers of Scheduled Tribes with different cultural norms, and where society has become militarized by ongoing insurgency and counterinsurgency. Though tempting, militarization alone is not a sufficient explanation for VAW; instead, this article focuses on the interplay between nonfamilial and familial contexts in creating a "frontier culture of violence" in which VAW is experienced and contested. PMID:22615121

  2. Violence against women in the militarized Indian frontier: beyond "Indian culture" in the experiences of ethnic minority women.

    Science.gov (United States)

    McDuie-Ra, Duncan

    2012-03-01

    Violence against women (VAW) in India is commonly attributed to an overarching metacultural patriarchal framework. Focusing on this national culture of violence obscures the experiences of VAW among ethnic minority women. This article focuses on VAW in Northeast India, a region populated by large numbers of Scheduled Tribes with different cultural norms, and where society has become militarized by ongoing insurgency and counterinsurgency. Though tempting, militarization alone is not a sufficient explanation for VAW; instead, this article focuses on the interplay between nonfamilial and familial contexts in creating a "frontier culture of violence" in which VAW is experienced and contested.

  3. Biosimulation and visualization: effect of cerebrovascular geometry on hemodynamics.

    Science.gov (United States)

    Oshima, Marie; Kobayashi, Toshio; Takagi, Kiyoshi

    2002-10-01

    Hemodynamics plays an important role in cardiovascular disorders, and the authors are applying numerical and experimental studies of cerebrovascular blood flow to the creation and rupture of cerebral aneurysms. In particular, this study aims to investigate the effects of cerebrovascular geometry on hemodynamics, such as flow pattern, wall shear stress distribution, and pressure. This report consists mainly of two parts: numerical study of blood flow in the artery extracted from computer tomography data, and numerical and experimental studies of a curved pipe model. The simulation was conducted by using a finite element method; the experiment was conducted by particle imaging velocimetry. Numerical and experimental results are compared and both show similar secondary flow behavior. PMID:12496038

  4. Gray Cerebrovascular Image Skeleton Extraction Algorithm Using Level Set Model

    Directory of Open Access Journals (Sweden)

    Jian Wu

    2010-06-01

    Full Text Available The ambiguity and complexity of medical cerebrovascular image makes the skeleton gained by conventional skeleton algorithm discontinuous, which is sensitive at the weak edges, with poor robustness and too many burrs. This paper proposes a cerebrovascular image skeleton extraction algorithm based on Level Set model, using Euclidean distance field and improved gradient vector flow to obtain two different energy functions. The first energy function controls the  obtain of topological nodes for the beginning of skeleton curve. The second energy function controls the extraction of skeleton surface. This algorithm avoids the locating and classifying of the skeleton connection points which guide the skeleton extraction. Because all its parameters are gotten by the analysis and reasoning, no artificial interference is needed.

  5. Etiological and clinical analysis on 220 children with cerebrovascular diseases

    Directory of Open Access Journals (Sweden)

    Zhi-hong TANG

    2014-03-01

    Full Text Available Etiological and clinical analyses of 220 children with cerebrovascular diseases were retrospectively analyzed. One hundred and forty-nine cases (67.73% were male, and 71 cases (32.27% were female. There were 186 cases (84.55% of patients to be found with clear causes, most of which were arteriovenous malformation (80/220, 36.36%, traumatic brain injury (38/220, 17.27%, intracranial infection (15/220, 6.82% , intracranial aneurysm (13/220, 5.91% , delayed vitamin K deficiency (12/220, 5.45% , congenital heart disease (9/220, 4.09% and cavernous malformation (7/220, 3.18%. The etiological and clinical features of children cerebrovascular diseases are distinct, and timely diagnosis and treatment will help to improve patients' prognosis. doi: 10.3969/j.issn.1672-6731.2014.03.017

  6. Evaluation of cerebrovascular reactivity by ultrasonography in type 2 diabetic patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    Jinhui Zhao; Yuxiang Chen; Zhen Zhao; Qingchun Zhao; Dongmei Hao; Shanshan Tang

    2007-01-01

    BACKGROUND: Cerebrovascular reactivity (CVR) reflects cerebrovascular reserve capacity, and cerebrovascular reactivity damage prognosticates a very high risk of stroke.OBJECTIVE: To evaluate CVR by detecting the increase rate of blood flow volume of middle cerebral artery (MCA) before and after breathholding in diabetic patients with hypertension, and observe the effects of hypertension on cerebrovascular reserve capacity of diabetic patients. DESIGN: Controlled observation.SETTINGS: Department of Function, Affiliated Hospital of Hebei University; Department of Special Diagnosis, the 202 Hospital of Chinese PLA.PARTICIPANTS: Inpatients or outpatients with type 2 diabetes mellitus (DM) or primary hypertension admitted to Departments of Gastroenterology and Cardiology, Affiliated Hospital of Hebei University and the 202 Hospital of Chinese PLA from April to December 2004 were involved in this experiment. Inclusive criteria: type 2 DM met the criteria of the report on diabetes diagnosis announced in 1999 by WHO expert committee, totally 88 patients were involved. Primary hypertension met the diagnosis criteria announced in 1999 by WHO/1SH, totally 42 patients were involved. Another group of 43 concurrent subjects who received physical examination served as controls. According to the disease condition, the involved patients were assigned into 3 groups: DM group (only diabetic patients), hypertension group (only hypertension patients) and DM complicated with hypertension group (diabetic patients with hypertension). Informed consent for the examination was obtained from all the involved subjects.METHODS: Before MCA of subjects was detected, bilateral carotid artery was routinely detected by high-frequency ultrasonography. Subjects were rejected when stenosis rate of unilateral internal carotid artery or common carotid artery≥70%. Vessels were expanded with transcranial color Duplex Doppler by breath holding test for detecting vascular reactivity. Hypercapnia was

  7. Evolution of Management and Investigations of Cerebrovascular Diseases in Croatia

    OpenAIRE

    Barac, Boško

    2009-01-01

    The author presents the history of management of cerebrovascular diseases (CVD) in Croatia since the beginning of medical health service in the country in the 19th and its evolution to the end of the 20th century. The foundation of the Zagreb School of Medicine in 1917 had paramount importance for the development of neurology, during the first period within the common specialty of neuropsychiatry. The interest for the CVD in Croatia became evident in the sixties of the past century, particula...

  8. EFFECT OF ACUPUNCTURE ON THE INTELLIGENCE OF CEREBROVASCULAR DEMENTIA PATIENT

    Institute of Scientific and Technical Information of China (English)

    陈邦国

    2000-01-01

    Cerebrovascular dementia is a common disese in the old and medium-aged people. Its morbidity constitutes about 10-20% of all the dementia patients and results mainly from all-round decline of the brain function due to cerebral atheroscleorsis and cerebral infarction. The author of the present paper adopted acupuncture therapy to; treat this kind of disease and observed its effect on dementia patient's intelligence. Here is the report.

  9. Impaired verbal communication - research in the post cerebrovascular accident

    OpenAIRE

    Daniel Bruno Resende Chaves; Alice Gabrielle de Souza Costa; Ana Railka de Souza Oliveira; Viviane Martins Silva; Thelma Leite de Araujo; Marcos Venícios de Oliveira Lopes

    2013-01-01

    One of the most common sequelae in people with Cerebrovascular accident, and that affect the quality of life of the patients, is the alteration in communication. The study aimed at investigating the prevalence of the nursing diagnosis Impaired Verbal Communication in patients with stroke in the rehabilitation phase. It is an exploratory cross-sectional study, conducted in two rehabilitation institutions in Fortaleza, CE, Brazil. 40 patients were assessed in the period March-April, 2008. Impai...

  10. Influence of cerebrovascular arteriosclerosis on cerebral oxygenation during exercise

    International Nuclear Information System (INIS)

    Although it is assumed that cerebral oxygenation during exercise is influenced by both cardiopulmonary function and cerebrovascular arteriosclerosis, the latter factor has not been fully clarified. In the present study the relationship between the degree of cerebrovascular arteriosclerosis and cerebral oxygenation during exercise was investigated. A total of 109 patients (69 patients with coronary artery disease, 40 patients with hypertensive heart disease) (61.7±9.7 years) performed a symptom-limited exercise test with respiratory gas measurements (CPX). From the respiratory gas analysis, peak O2 uptake (VO2), the slope of the increase in VO2 to the increase in work rate (ΔVO2/ΔWR), and the slope of the increase in ventilation to the increase in CO2 output (VE/VCO2 slope) were calculated. Oxyhemoglobin (O2Hb) at the forehead was monitored using near-infrared spectroscopy. The brain ischemic score was counted based upon fluid-attenuated inversion recovery images of magnetic resonance imaging and expressed from 0 to 4. When compared with patients with a lower ischemic score (2Hb during exercise (-1.08±2.7 vs 0.77±4.1 μmol/L, p=0.011). Of brain ischemic score, left ventricular ejection fraction, peak VO2, ΔVO2/ΔWR, and the VE/VCO2 slope, ΔVO2/ΔWR was found to be the sole independent index determining cerebral O2Hb during exercise. The CPX parameters were also significantly related to the degree of cerebrovascular arteriosclerosis. Although cerebral oxygenation during exercise is mainly related to cardiopulmonary function, the degree of cerebrovascular arteriosclerosis partly influences cerebral oxygenation in patients with risk factors for atherosclerosis. (author)

  11. Chronic mild cerebrovascular dysfunction as a cause for Alzheimer's disease?

    OpenAIRE

    Humpel, Christian

    2011-01-01

    Alzheimer's disease (AD) is a progressive chronic disorder and is characterized by β-amyloid plaques and angiopathy, tau pathology, neuronal cell death, and inflammatory responses. The reasons for this disease are not known. This review proposes the hypothesis that a chronic mild longlasting cerebrovascular dysfunction could initiate a cascade of events leading to AD. It is suggested that (vascular) risk factors (e.g. hypercholesterolemia, type 2 diabetes, hyperhomocysteinemia) causes either ...

  12. Cerebral blood flow in sickle cell cerebrovascular disease

    Energy Technology Data Exchange (ETDEWEB)

    Huttenlocher, P.R.; Moohr, J.W.; Johns, L.; Brown, F.D.

    1984-05-01

    Cerebral blood flow (CBF) has been studied by the xenon-133 (/sup 133/Xe) inhalation method in 16 children with suspected sickle cell cerebrovascular disease. Abnormalities consisting of decreases in total, hemispheral, or regional CBF were found in 17 of 26 studies. Eleven studies performed immediately after stroke, transient ischemic attack, or depression of state of alertness showed abnormalities. In addition to confirming regional cerebrovascular insufficiency in children with stroke due to major cerebral artery occlusion, the method detected diffuse decrease in CBF in children with stupor, coma, and seizures who had normal angiographic findings. In contrast, six of seven studies obtained after exchange transfusion or during maintenance on hypertransfusion therapy showed normal findings. The difference between results in patients with acute neurologic disturbances and those receiving transfusion therapy was statistically significant (P less than .005). The data indicate that the /sup 133/Xe method reliably demonstrates cerebrovascular impairment in sickle cell disease. They also suggest that CBF changes in patients with sickle cell disease can be reversed by exchange transfusion and by hypertransfusion therapy. The /sup 133/Xe CBF method may be useful for following up children with sickle cell disease who are at high risk for recurrent stroke.

  13. Militarized humanitarianism meets carceral feminism: the politics of sex, rights, and freedom in contemporary antitrafficking campaigns.

    Science.gov (United States)

    Bernstein, Elizabeth

    2010-01-01

    Over the past decade, abolitionist feminist and evangelical Christian activists have directed increasing attention toward the “traffic in women” as a dangerous manifestation of global gender inequalities. Despite renowned disagreements around the politics of sex and gender, these groups have come together to advocate for harsher penalties against traffickers, prostitutes’ customers, and nations deemed to be taking insufficient steps to stem the flow of trafficked women. In this essay, I argue that what has served to unite this coalition of "strange bedfellows" is not simply an underlying commitment to conservative ideals of sexuality, as previous commentators have offered, but an equally significant commitment to carceral paradigms of justice and to militarized humanitarianism as the preeminent mode of engagement by the state. I draw upon my ongoing ethnographic research with feminist and evangelical antitrafficking movement leaders to argue that the alliance that has been so efficacious in framing contemporary antitrafficking politics is the product of two historically unique and intersecting trends: a rightward shift on the part of many mainstream feminists and other secular liberals away from a redistributive model of justice and toward a politics of incarceration, coincident with a leftward sweep on the part of many younger evangelicals toward a globally oriented social justice theology. In the final section of this essay, I consider the resilience of these trends given a newly installed and more progressive Obama administration, positing that they are likely to continue even as the terrain of militarized humanitarian action shifts in accordance with new sets of geopolitical interests.

  14. Las Indias y la tratadística militar hispana de los siglos XVI y XVII

    Directory of Open Access Journals (Sweden)

    Espino López, Antonio

    2000-06-01

    Full Text Available En nuestro trabajo hemos pretendido vincular un aspecto muy poco tratado por parte de la historiografía hispana, la tratadística militar, con el ámbito americano. Hemos defendido que la forma de hacer la guerra de los hispanos en América, centrándonos en el caso de la conquista de México, siguió las pautas marcadas por el Gran Capitán en las Guerras de Italia. Es decir, se impuso el nuevo modelo de escuadrón y fue este factor, y no tanto la superioridad del arma de fuego o el uso de la caballería, lo que dio ventaja real a la hueste indiana sobre los ejércitos indios. En segundo lugar, se han tratado tres ejemplos de tratadística militar hispana: uno de los primeros impresos en México, el de D. García de Palacio; un segundo que versa sobre la guerra en América, el de B. de Vargas Machuca y un tercero, ejemplo del siglo XVII, redactado en la Península, pero también impreso finalmente en las Indias, el de A. de Heredia Estupiñán.

  15. DEFICIÊNCIA ADQUIRIDA NO TRABALHO EM POLICIAIS MILITARES: SIGNIFICADOS E SENTIDOS

    Directory of Open Access Journals (Sweden)

    Eliza Maura de Castilho Lopes

    2015-12-01

    Full Text Available ResumoAo analisar o papel que os policiais militares ocupam na sociedade, é possível observar sua forte relação com a autoridade, a força e a integridade corporal, aspectos distantes da imagem atribuída às pessoas com deficiência. Apesar da aparente incompatibilidade entre os dois papéis, verifica-se que a aquisição de uma deficiência é uma possibilidade real na vida profissional desses indivíduos, face às condições de risco físico a que eles são submetidos. Amparado nos pressupostos teórico-metodológicos da Psicologia Histórico-Cultural, na qual o trabalho é entendido como atividade vital humana, realizou-se o presente estudo - de caráter exploratório e analítico - que objetivou identificar o conjunto de significações relacionado à deficiência e à Polícia Militar para policiais com deficiência adquirida, na história de vida dos participantes. Seus achados reiteram as significações de desvalorização profissional e pessoal dadas às pessoas com deficiência, mesmo em tempos nos quais ações inclusivas têm sido propagadas em termos normativos e sociais.

  16. La Transición militar en la revista Reconquista (1978-1981

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    Juan Manuel González Sáez

    2013-01-01

    Full Text Available Resumen: Reconquista, revista fundada en 1950, fue uno de los principales órganos de expresión de las fuerzas armadas durante la transición española. En este artículo se analiza la tercera época de la publicación entre 1978 y 1981 cuando ésta se refundó con el objetivo de transmitir a la sociedad civil el pensamiento y la voz del ejército. El estudio de Reconquista contribuye a entender el impacto del cambio social y político en el ámbito castrense y a completar el conocimiento de la gestación y el desarrollo del malestar militar que condujo al intento de golpe de estado en febrero de 1981. Palabras claves: Transición, fuerzas armadas, prensa militar, Reconquista.Abstract: Reconquista, magazine founded in 1950, was one of the main voices of the armed forces along the spanish transition. This article describes the third age of the publication, between 1978 and 1981, when the magazine was refounded with the aim of transmitting the thoughts and voices of the army to the civil society. The study of Reconquista contributes to understand the impact of the social and political change in the military environment and to complete the knowledge about the development of the military anger which led to the failed coup d’état in February 1981.

  17. Militares y democracia. ¿El dilema de la Venezuela de principios del siglo XXI?

    Directory of Open Access Journals (Sweden)

    Irwin G., Domingo

    2004-08-01

    Full Text Available After an historiographical review, this article seeks to shed light on a somewhat forgotten question of the Venezuelan recent history: the civil-military relations in the context of the peculiar symbiosis that stretched from the fall of the Dictatorship in 1958 through the 1992 crisis, as well as the dilemma that nowadays confronts a military sector that is protagonizing the political debate due to the radicalization of Hugo Chávez’s Bolivarian Revolution.

    Partiendo de un balance historiográfico, este estudio intenta aclarar un aspecto algo olvidado de la historia reciente de Venezuela: las relaciones civiles-militares, desde la peculiar simbiosis que se da desde la caída de la dictadura en 1958 hasta la crisis de 1992 y el dilema que enfrenta, hoy en día, un sector militar convertido en protagonista del debate político ante la radicalización de la Revolución Bolivariana del Presidente Hugo Chávez.

  18. Militares españoles transmigrantes de Cuba a México, 1898-1910

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    Herrera B., Maria de Socorro

    2003-08-01

    Full Text Available This article analyzes the emigration of Spanish military men from Cuba to Mexico at the end of the Cuban wars for independence. After 1898, these military preferred to emigrate to Mexico rather than remaining in Cuba or returning to Spain. In Mexico they tried to solve problems of money and other legal affairs related to the Ministry of War and Navy in Spain. This migration is characterized as a transmigratory movement.

    El objetivo de este artículo es analizar la emigración de Cuba a México de algunos militares españoles al término de las guerras de independencia de esta Isla, en el ámbito de los movimientos de transmigración. Este trabajo muestra cómo después de 1898, dichos militares prefirieron emigrar a México en lugar de permanecer en Cuba o de volver a España. Desde México, algunos de ellos tramitaban asuntos pendientes con el Ministerio de Guerra y Marina español.

  19. The Comparison of Continuous and Intermittent Enteral Nutrition In Cerebrovascular Patients

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    Levent Güngör

    2011-06-01

    Full Text Available OBJECTIVE: Dysphagia and malnutrition are not so rare in stroke patients, and have an unfavorable influence on recovery. Nutritional support may reduce infections, duration of hospital stay and mortality. However, there is no clear evidence about the modality of nasogastric nutrition. In this study, intermittent and continuous enteral nutrition is compared by means of pulmonary infections and gastrointestinal tolerance, among acute cerebrovascular patients. METHODS: Sixty two acute cerebrovascular patients with dysphagia were included the study. The same volume of nutrition product was infused 4 times daily to 31 patients, and continuously for 24 hours to the remaining 31. After 10 days of follow-up, the rates of pulmonary infections, diarrhea, increased gastric residual volumes, vomiting and tube occlusion were compared between two groups. RESULTS: Twenty patients developed pneumonia (32% and 8 diarrhea (13%. Mortality due to complications associated with tube feeding was 6%. Aspiration and related pneumonia was present in 11 patients in the intermittent nutrition group (35%, and in 9 patients in the continuous nutrition group (29%. The rate of pulmonary infection was not statistically different between two groups (p>0.05. Diarrhea was observed in 7 intermittently fed patients (23%, while was present only in 1 patient (3% in the continuously fed group. Diarrhea was more common in the intermittent nutrition group, just at the statistical border (p=0.05. None of the patients developed tube occlusion, vomiting and gastric retention. The rate of mortality and the interruption of feeding was not significantly different between two groups (p>0.05. CONCLUSION: Diarrhea and pulmonary infections are more prevalent with intermittent tube feeding with respect to continuous enteral nutrition, though the difference is not so conspicuous. The reason may be contamination of the equipments and the feeding solution because of frequent manipulation and

  20. O envelhecimento para militares que serviram no exército brasileiro El envejecimiento para militares que sirvieron en el ejército brasileño Aging of the military who served in the Brazilian army

    Directory of Open Access Journals (Sweden)

    Antonio Lucio Sant'Ana Junior

    2011-01-01

    Full Text Available OBJETIVO: Conhecer o significado do processo de envelhecimento para militares que serviram por 30 anos ou mais no Exército brasileiro. MÉTODOS: Estudo exploratório de natureza qualitativa. Foram realizadas entrevistas com 18 militares; o mais novo tinha 48 anos e o mais velho, 72 anos de idade. Na análise, emergiram três categorias: envelhecimento e velhice; a reserva no Exército brasileiro; preparação para a reserva. RESULTADOS: Os principais resultados mostraram que para os militares a perda da capacidade funcional, a adaptação da vida fora dos quartéis e a reinvenção do convívio contínuo com os familiares são questões fundamentais no contexto de passagem da ativa para a reserva. CONCLUSÃO: Esperamos que este estudo possibilite a ampliação de reflexões a respeito do envelhecimento no mundo militar, no sentido de implementar ações para a preparação para a vida na reserva - trabalhando não apenas com os militares, mas também com suas famílias.OBJETIVO: Conocer el significado del proceso de envejecimiento para militares que sirvieron por 30 años o más en el Ejército brasileño. MÉTODOS: Se trata de un estudio exploratorio de naturaleza cualitativa. Se realizaron entrevistas a 18 militares; el más joven tenía 48 años y el más viejo, 72 años de edad. En el análisis, emergieron tres categorías: envejecimiento y vejez; la reserva en el Ejército brasileño; preparación para la reserva. RESULTADOS: Los principales resultados mostraron que para los militares la pérdida de la capacidad funcional, la adaptación a la vida fuera de los cuarteles y la reinvención de la convivencia continua con los familiares son cuestiones fundamentales en el contexto del paso de la actividad a la reserva. CONCLUSIÓN: Esperamos que este estudio posibilite la ampliación de reflexiones respecto al envejecimiento en el mundo militar, en el sentido de implementar acciones para la preparación para la vida en la reserva - trabajando

  1. Labor urbanística y desarrollo local de los ingenieros militares en La Habana, Cuba. Siglo XIX

    Directory of Open Access Journals (Sweden)

    María Victoria Zardoya Loureda

    2015-03-01

    El presente trabajo se centra en la labor de los ingenieros militares durante el siglo XIX, relacionada con el importante cambio de escala e imagen que transformó a la capital cubana a lo largo de esos años.

  2. Cuestionamientos internos e impugnaciones desde el flanco militar a la expedición botánica

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    José Antonio Amaya

    2004-01-01

    Full Text Available Se analiza el Proyecto de reorganización de la Expedición Botánica de FranciscoAntonio Zea (1766-1822 y el "Plan razonado de un cuerpo militar de ingenierosmineralógicos en el Nuevo Reino de Granada", elaborados a principios del sigloXIX. Se trata de dos

  3. The role of social psychological factors in the primary prevention of cerebrovascular diseases

    OpenAIRE

    Wang, Kai; Zhang, Jun

    2015-01-01

    Cerebrovascular diseases are the second leading cause of death worldwide. In recent years, a growing body of evidence has shown that rather than the traditional cardio-cerebrovascular risk factors such as hypertension, diabetes mellitus, coronary heart disease, hyperlipemia and obesity, the social psychological factors including psychosocial stress, anxiety and depressive disorders play an important role in the incidence of cerebrovascular diseases. Therefore, this review will mainly di...

  4. Association between cervical spine and skull-base fractures and blunt cerebrovascular injury

    Energy Technology Data Exchange (ETDEWEB)

    Buch, Karen; Nguyen, Thanh; Norbash, Alex; Mian, Asim [Boston University School of Medicine, Department of Radiology, Boston Medical Center, Boston, MA (United States); Mahoney, Eric; Burke, Peter [Boston University School of Medicine, Department of Surgery, Boston Medical Center, Boston, MA (United States); Libby, Brandon; Calner, Paul [Boston University School of Medicine, Department of Emergency Medicine, Boston Medical Center, Boston, MA (United States)

    2016-02-15

    Blunt cerebrovascular injuries (BCVI) are associated with high morbidity and mortality and can lead to neurological deficits. The established criteria for patients undergoing CT angiography (CTA) for BCVI are broad, and can expose patients to radiation unnecessarily. This study aimed to examine the prevalence of BCVI in patients on CTA and determine presentations associated with the highest rates of BCVI. With IRB approval, patients were selected for CTA screening for BCVI according to a predefined set of criteria at our hospital between 2007 and 2010. Patients were identified from our institution's trauma database. CTAs were retrospectively reviewed for BCVI including vasospasm and dissection. Electronic medical records were reviewed for clinical presentation and hospital course. Of 432 patients, vasospasm (n = 10) and/or dissection (n = 36) were found in 46 patients (10.6 %). BCVI was associated with cervical spine and/or skull-base fracture in 40/46 patients (87 %, P < 0.0001). Significant correlations were seen between dissection and fracture in 31/36 patients (86.2 %, p < 0.0001) and between BCVI and both neurological deficits and fractures (27/44, P < 0.0001). BCVI was significantly associated with cervical and/or skullbase fractures and neurological deficits with coexistent fractures. Patients with these injuries should be prioritized for rapid CTA evaluation for BCVI. (orig.)

  5. Association between cervical spine and skull-base fractures and blunt cerebrovascular injury

    International Nuclear Information System (INIS)

    Blunt cerebrovascular injuries (BCVI) are associated with high morbidity and mortality and can lead to neurological deficits. The established criteria for patients undergoing CT angiography (CTA) for BCVI are broad, and can expose patients to radiation unnecessarily. This study aimed to examine the prevalence of BCVI in patients on CTA and determine presentations associated with the highest rates of BCVI. With IRB approval, patients were selected for CTA screening for BCVI according to a predefined set of criteria at our hospital between 2007 and 2010. Patients were identified from our institution's trauma database. CTAs were retrospectively reviewed for BCVI including vasospasm and dissection. Electronic medical records were reviewed for clinical presentation and hospital course. Of 432 patients, vasospasm (n = 10) and/or dissection (n = 36) were found in 46 patients (10.6 %). BCVI was associated with cervical spine and/or skull-base fracture in 40/46 patients (87 %, P < 0.0001). Significant correlations were seen between dissection and fracture in 31/36 patients (86.2 %, p < 0.0001) and between BCVI and both neurological deficits and fractures (27/44, P < 0.0001). BCVI was significantly associated with cervical and/or skullbase fractures and neurological deficits with coexistent fractures. Patients with these injuries should be prioritized for rapid CTA evaluation for BCVI. (orig.)

  6. El poder militar chino: el dragón alza el vuelo

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    Ignacio García Sánchez

    2016-01-01

    Full Text Available China es un actor geopolítico de talla universal. Sus dimensiones geopolíticas –físicas, económicas, humanas, sociopolíticas y militares– son abrumadoras. Pero, quizás, lo que impresiona y en cierta manera preocupa más es su impenetrabilidad. Referido al arte de la guerra se manifiesta de forma clara en utilizar la “decepción” como su principal estratagema –uno de sus principios básicos enunciados por Sun Tzu–. No se busca, por lo tanto, el enfrentamiento de las capacidades militares, sino la pugna entre las maestrías intelectuales. Así, el poder militar chino, tradicionalmente postergado por el poder imperial, no fue capaz de resistir el encuentro con el industrializado occidente que lo sojuzga durante el llamado “siglo infame de humillación”. Y no ha sido sino a través de dos de las más cruentas guerras de la historia de la humanidad y de la revolución comunista como el dragón herido ha vuelto a recuperar el control de su propio destino. A lomos de su Ejército Popular de Liberación, campesino e iletrado, vuelve a sus orígenes para consolidar esa única e imperecedera Civilización-Estado. Un ejército del pueblo y para el pueblo que, como brazo armado del Partido Comunista Chino, sólo mira hacia el interior de su gran muralla; conocedor del poder del resto de dimensiones geopolíticas; y que sólo empieza a alzar la vista y emprender el vuelo de la mano del milagro económico de las últimas décadas. Un poder militar orgulloso y capaz, que quiere protagonizar, junto con su sociedad, esta vez sí, “el sueño de China, el sueño del pueblo”, del “desarrollo pacífico”.

  7. The investigation of cerebrovascular disorders with positron emission tomography

    International Nuclear Information System (INIS)

    Positron emission tomography (PET) provides a non-invasive, regional, in vivo method to measure physiological parameters including cerebral blood flow, glucose and oxygen metabolism, blood volume, and pH. Measurement of these parameters not only enables a more complete understanding of the pathophysiology of acute cerebral ischemia and infarction, but provides objective criteria with which to better manage patients. This chapter will first discuss PET methodology and tracer techniques used in the investigation of patients with cerebrovascular disease and then describe the progress that has already resulted from applying these methods. 73 refs.; 7 figs

  8. Nonurgent commercial air travel after nonhemorrhagic cerebrovascular accident.

    Science.gov (United States)

    Barros, Andrew; Duchateau, François-Xavier; Huff, J Stephen; Verner, Laurent; O'Connor, Robert E; Brady, William J

    2014-01-01

    Nonurgent commercial air travel in patients who have experienced a nonhemorrhagic cerebrovascular accident (CVA) may occur, particularly in the elderly traveling population. A recent CVA, particularly occurring during a person's travel, presents a significant challenge to the patient, companions, family, and health care team. Specific medical recommendation, based on accumulated scientific data and interpreted by medical experts, is needed so that travel health care professionals can appropriately guide the patient. Unfortunately, such recommendations are almost entirely lacking despite the relative frequency of CVA and air travel. This article reviews the existing recommendations with conclusions based on both these limited data and rationale conjecture. PMID:24787513

  9. Cerebrovascular angiotensin AT1 receptor regulation in cerebral ischemia

    DEFF Research Database (Denmark)

    Edvinsson, Lars

    2008-01-01

    The mechanism behind the positive response to the inhibition of the angiotensin II receptor AT(1) in conjunction with stroke is elusive. Here we demonstrate that cerebrovascular AT(1) receptors show increased expression (upregulation) after cerebral ischemia via enhanced translation. This enhanced...... expression of AT(1) receptors occurs in the ischemic cerebral arteries and microvessels, and their inhibition results in a reduction in infarct volume. These findings add to the understanding of the vascular component in stroke, and the identified inhibition provides a new way to reduce the extent...... of cerebral ischemic damage....

  10. A Gestão das Competências dos Militares da FAP

    OpenAIRE

    Simões, José

    2010-01-01

    As competências profissionais dos militares da Força Aérea, a exemplo do que acontece nas empresas e noutras organizações, não são um recurso ilimitado; nem um bem imperecível, de valor garantido. Pelo contrário, elas sofrem a erosão do tempo, ditada sobretudo pela evolução tecnológica. Daí a necessidade de serem geridas, com vista à sua manutenção e ajustamento permanente às necessidades da Organização. Partindo desta problemática, este trabalho, realizado segundo a metodologia proposta p...

  11. Sospechas de sospechas, de sospechas: memorial de un militar ilustrado a finales del siglo XVIII

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    Ana María Lorandi

    2009-01-01

    Full Text Available El artículo analiza el amplio corpus legal citado en un Memorial destinado al rey, escrito por un militar ilustrado de finales del siglo XVIII, cuyo objetivo es reclamar por la persecución de algunos criollos sospechosos de colaborar con la rebelión de Túpac Amaru. Se trata de detectar las múltiples líneas de conflictos que atravesaban la sociedad peruana después de las grandes rebeliones indígenas. El análisis se apoya en la nueva historia del derecho, que adopta principios de la antropología política y simbólica, donde se conjugan el análisis institucional y la manipulación de la jurisprudencia por parte de actores que buscaban solucionar sus problemas.

  12. El Ejército del Aire en la estructura militar de la OTAN

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    Gómez Carretero, Fancisco José

    2002-02-01

    Full Text Available Not available

    La entrada de España en la estructura militar de la Alianza, la incorporación de nuevos miembros a ésta, los recientes acontecimientos del 11 de septiembre y la aplicación del Artículo V del Tratado en el conflicto de Afganistán, hacen que todo lo relacionado con esta Organización sea de plena actualidad.
    El artículo trata dicha Organización de forma general, para centrarse en las Fuerzas Aliadas en Europa Meridional (AFSOUTH, en especial en las Fuerzas Aéreas Aliadas del Sur (AIRSOUTH y sus relaciones con el Ejército del Aire. Se nos da una visión general de estas relaciones, profundizando en lo relativo al Centro Combinado de Operaciones Aéreas de Torrejón (CAOC 8, y en los ejercicios de Puestos de Mando (CPX o reales (LIVEX, en los que participa el Ejército del Aire.
    También trata sobre la puesta en práctica de los programas TACEVAL en los que estamos involucrados, así como en otros muchos temas, incluyendo incluso los docentes donde se constata el hecho de que en un futuro próximo muchas áreas de la enseñanza militar serán desarrolladas en colaboración con otros países de la Alianza.

  13. La conservación de los fondos del Archivo del Tribunal Militar Territorial Segundo

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    Joaquín Gil Honduvilla

    2009-12-01

    Full Text Available El presente trabajo describe el proceso por el que los fondos del archivo del Tribunal Militar Territorial Segundo fueron objeto de un convenio colaboración entre el Ministerio de Defensa, la Consejería de la Presidencia de la Junta de Andalucía y la Fundación Centro de Estudios Andaluces para su informatización y conservación. Se muestra la importancia del archivo, así como su organización y la legislación por la que se rige. El interés de la administración autonómica por colaborar en la ordenación de esta documentación no puede disociarse tampoco del proceso de recuperación de memoria histórica que existe actualmente en nuestra sociedad._____________________ABSTRACT:This work describes the process which led to the fact that the funds of the archive of the Tribunal Militar Territorial Segundo (The Second Territorial Military Tribunal became the object of a collaboration agreement between the Ministry of Defence, the Consejería de la Presidencia (Regional Ministry of Presidency of Junta de Andalucía and the Fundación Centro de Estudios Andaluces (Centre of Andalusian Studies Foundation concerning its computerisation and maintenance. The paper shows the importance of the archive, as well as its organisation and the laws it is subject to. The interest of the autonomous public administration in collaborating in the organisation of that documentation cannot be separated from the process of recuperation of the historical memory which is present in our society today.  

  14. Militarized humanitarianism meets carceral feminism: the politics of sex, rights, and freedom in contemporary antitrafficking campaigns.

    Science.gov (United States)

    Bernstein, Elizabeth

    2010-01-01

    Over the past decade, abolitionist feminist and evangelical Christian activists have directed increasing attention toward the “traffic in women” as a dangerous manifestation of global gender inequalities. Despite renowned disagreements around the politics of sex and gender, these groups have come together to advocate for harsher penalties against traffickers, prostitutes’ customers, and nations deemed to be taking insufficient steps to stem the flow of trafficked women. In this essay, I argue that what has served to unite this coalition of "strange bedfellows" is not simply an underlying commitment to conservative ideals of sexuality, as previous commentators have offered, but an equally significant commitment to carceral paradigms of justice and to militarized humanitarianism as the preeminent mode of engagement by the state. I draw upon my ongoing ethnographic research with feminist and evangelical antitrafficking movement leaders to argue that the alliance that has been so efficacious in framing contemporary antitrafficking politics is the product of two historically unique and intersecting trends: a rightward shift on the part of many mainstream feminists and other secular liberals away from a redistributive model of justice and toward a politics of incarceration, coincident with a leftward sweep on the part of many younger evangelicals toward a globally oriented social justice theology. In the final section of this essay, I consider the resilience of these trends given a newly installed and more progressive Obama administration, positing that they are likely to continue even as the terrain of militarized humanitarian action shifts in accordance with new sets of geopolitical interests. PMID:20827852

  15. Characterization and prognosis factors of cerebro-vascular disease in Cienfuegos province. Caracterización y factores pronósticos de la enfermedad cerebrovascular en la Provincia de Cienfuegos.

    Directory of Open Access Journals (Sweden)

    Roberto Suárez Suri

    Full Text Available Fundaments: Cerebrovascular disease constitutes the third cause of death and the first cause of severe discapacity in adults in those countries that have a developed health system like ours. Objective: To characterise the patients with cerebrovascular disease and to determine the variables that influence upon their prognosis once it is established. Method: Prospective, descriptive, longitudinal study of a series of cases developed at the University Hospital ¨Dr. Gustavo Aldereguía Lima¨. Questionnaires were applied to the patients that fitted the inclusion criteria (n 1318 Results: The mean age was 66,08 years with a predominance of white patients ( 75,26 %, mainly males ( 56,67%. The risk factor of highest frequency was hypertension ( 43,24 % The evolution for alive patients without discapacities was 14,71%, alive with discapacities ( 57,96% and death 27,31%. There was a predominance of ischemic cerebrovascular disease (46,13 % of aterothrombotic infarcts and 14,94 % cardioembolic disease. In regards to hemorrhagic disease 13,42 % were intracerebral hemorrhage and 4,55% subarachnoid hemorrhage. There was a prognostic correlation between the clinical variables: consciousness, sight, sensibility, language, tone, Babinski , osteotendious reflexes and muscular force. For the general variables cerebral edema, bacterial bronchopneumonia , displacement of the medial line, diagnosis is some values, CT scan diagnoses in some values for diabetes mellitus and convulsions.

    Fundamento: Las enfermedades cerebrovasculares constituyen la tercera causa de muerte y la primera de discapacidad grave del adulto en los países con sistemas de salud desarrollados similares al nuestro. Objetivo : Caracterizar a los pacientes con enfermedades cerebrovasculares y determinar las variables que influyen en su pron

  16. The impact of ambient particulate matter (PM10) on the population mortality for cerebrovascular diseasesa case-crossover study

    Institute of Scientific and Technical Information of China (English)

    王旭英

    2013-01-01

    Objective To analyze the association between the concentration of ambient inhalable particulate matter(PM10) and population mortality for cerebrovascular diseases and to explore the impact of PM10 on cerebrovascular

  17. Thirty-Year Trends in Mortality from Cerebrovascular Diseases in Korea

    Science.gov (United States)

    Lee, Seung Won; Lee, Hye Sun; Suh, Il

    2016-01-01

    Background and Objectives Cerebrovascular disease is a leading cause of mortality and morbidity in Korea. Understanding of cerebrovascular disease mortality trends is important to reduce the health burden from cerebrovascular diseases. We examined the changing pattern of mortality related to cerebrovascular disease in Korea over 30 years from 1983 to 2012. Subjects and Methods Numbers of deaths from cerebrovascular disease, hemorrhagic stroke, and cerebral infarction were obtained from the national Cause of Death Statistics. Crude and age-adjusted mortality rates were calculated for men and women for each year. Penalized B-spline methods, which reduce bias and variability in curve fitting, were used to identify the trends of 30-year mortality and identify the year of highest mortality. Results During the 30 years, cerebrovascular disease mortality has markedly declined. The age-adjusted cerebrovascular disease mortality rate has decreased by 78% in men and by 68% in women. In the case of hemorrhagic stroke, crude mortality peaked in 2001 but age-adjusted mortality peaked in 1994. Between 1994 and 2012, age-adjusted mortality from hemorrhagic stroke has decreased by 68% in men and 59% in women. In the case of cerebral infarction, crude and age-adjusted mortality rates steeply increased until 2004 and 2003, respectively, and both rates decreased rapidly thereafter. Conclusion Cerebrovascular disease mortality rate has significantly decreased over the last 30 years in Korea, but remains a health burden. The prevalence of major cardiovascular risk factors are still highly prevalent in Korea. PMID:27482259

  18. TYPES OF TREMOR IN PATIENTS WITH CEREBROVASCULAR DISEASES AND CARDIOVASCULAR EVENTS

    OpenAIRE

    Petrov Igor; Mulic Mersudin; Antonio Georgiev

    2016-01-01

    Introduction: Tremor can occur as a part of the clinical feature of cerebrovascular diseases. Many patients with cerebral stroke have cardiovascular diseases as a comorbidity or complication of stroke; sometimes cardiovascular events can lead to embolic stroke. Aim: To present types of tremor in patients with cerebrovascular diseases and cardiovascular events and diabetes mellitus type 2, clinical characteristics of tremor and investigations used. Materia...

  19. Anton's syndrome due to cerebrovascular disease: a case report

    Directory of Open Access Journals (Sweden)

    Maddula Mohana

    2009-09-01

    Full Text Available Abstract Introduction Anton's syndrome describes the condition in which patients deny their blindness despite objective evidence of visual loss, and moreover confabulate to support their stance. It is a rare extension of cortical blindness in which, in addition to the injury to the occipital cortex, other cortical centres are also affected, with patients typically behaving as if they were sighted. Case presentation We present a case report of an 83-year-old white woman with cortical blindness as a result of bilateral occipital lobe infarcts. Despite her obvious blindness, illustrated by her walking into objects, the patient expressed denial of visual loss and demonstrated confabulation in her accounts of her surroundings, consistent with a diagnosis of Anton's syndrome. Conclusions A suspicion of cortical blindness and Anton's syndrome should be considered in patients with atypical visual loss and evidence of occipital lobe injury. Cerebrovascular disease is the most common cause of Anton's syndrome, as in our patient. However, any condition that may result in cortical blindness can potentially lead to Anton's syndrome. Recovery of visual function will depend on the underlying aetiology, with cases due to occipital lobe infarction after cerebrovascular events being less likely to result in complete recovery. Management in these circumstances should accordingly focus on secondary prevention and rehabilitation.

  20. Head position modifies cerebrovascular response to orthostatic stress.

    Science.gov (United States)

    Wilson, Timothy D; Serrador, Jorge M; Shoemaker, J Kevin

    2003-01-31

    Previous experiments have shown that the vestibular system participates in cardiovascular control. However, the effects of vestibular activation on cerebrovascular regulation are not known. Therefore, the present experiment tested the hypothesis that specific vestibular activations may be beneficial to cerebral circulation during simulated orthostatic stress. Middle cerebral artery blood flow velocity (CBV; Doppler ultrasound) was measured to examine the effects of head-down neck flexion (HDNF) compared to head-down neck extension (HDNE) with and without lower body negative pressure (LBNP; -40 mmHg) (n=9). The change in CBV (DeltaCBV) during HDNF and HDNE were not different during baseline conditions, however, during LBNP, DeltaCBV was greater in HDNE compared to HDNF (-5.5+/-3.2 cm/s, -11+/-4.6%) vs. (-0.7+/-1.0 cm/s, -1.9+/-1.9%), respectively (PHDNF (0.26+/-0.05 mmHg/cm per s, 22+/-4.1%) (PHDNF (42+/-2 mmHg; P<0.05) during LBNP. These results suggest that the vestibular system may affect cerebrovascular tone during simulated postural stress by either constriction or dilation, depending on the vestibular stimulus. PMID:12531493

  1. Correlation of cerebrovascular disorder and anxiety: The Kecskemet study

    Science.gov (United States)

    Sipos, Kornel; Bodo, Michael; Szalay, Piroska; Szucs, Attila

    2010-04-01

    In order to test the hypothesis that anxiety is a risk factor for cardiovascular disease, specifically stroke, we simultaneously measured anxiety and cerebral vascular alternation, using a computer-based system, "Cerberus." Sixty nine psychiatric patients (including an alcoholic subgroup) were selected as subjects for measurements conducted in Kecskemet, Hungary. The five-item short form of anxiety test (STAI) was administered twice during the same session. Between each test, brain pulse waves were recorded by rheoencephalogram (REG). A REG peak time above 180 milliseconds was considered a cerebrovascular alteration (modified after Jenkner). Data were sorted into two groups: low anxiety (N=10) and high anxiety (N=10). Significant differences were found between cardiovascular risk factors (panxiety group, and two in the low anxiety group. For the two anxiety groups, there were no significant differences in body mass index, cardiovascular sympathetic-parasympathetic balance, age and symptoms of transient ischemic attack. The correlation of REG and age was significantly different only for the alcoholic subgroup (Szalay et al, 2007). These data support the hypothesis that a correlation exists between cerebrovascular disorder and anxiety in the studied population.

  2. Gender difference in 10437 cerebrovascular disease patients%10437例住院脑血管病患者临床特征的性别差异分析

    Institute of Scientific and Technical Information of China (English)

    彭超英; 孔令杰; 林海丽; 钱远宇; 孟庆义

    2013-01-01

    目的 探讨性别差异与常见脑血管病发生、发展及预后的关系.方法 回顾性分析了10437例住院脑血管病患者的临床资料,对不同性别、年龄段患者的发病率、住院天数及死亡率进行统计分析.结果 脑血管病住院患者男性构成比明显高于女性(67.4% vs 32.6%),且各年龄段男性构成比明显大于女性(P0.05),仅颅内动脉瘤(9.7% vs 2.9%)和颅内静脉窦血栓形成(41.3% vs 18.8%)2种疾病男性死亡率明显高于女性(P0 .05) .The mortality of male cerebrovascular disease patients with intracranial aneurysm and cerebral venous sinus thrombosis was significantly higher than that of female cerebrovascular disease patients with intracranial aneurysm and cerebral ve -nous sinus thrombosis (9 .7% vs 2 .9% ,41 .3% vs 18 .8% ,P<0 .01) .Conclusion Gender difference exists in cerebrovascular disease patients .The incidence of cerebrovascular diseases is higher,the age to develop cerebrovascular diseases is younger ,and the mean hospital stay time is longer in males than in females .The mortality of certain specific cerebrovascular disease is high .

  3. 小脑髓母细胞瘤合并小脑血管畸形1例%One case of Epencephalon Medulloblastoma Merger Epencephalon Cerebrovascular Malformations

    Institute of Scientific and Technical Information of China (English)

    许晶廷

    2015-01-01

    目的:对小脑髓母细胞瘤合并小脑血管畸形患者的诊治过程进行探讨。方法对我院收治的1例小脑髓母细胞瘤合并小脑血管畸形患者的临床资料进行回顾性分析。结果患者症状好转,取得理想疗效,恢复健康,回归社会。结论小脑髓母细胞瘤合并小脑血管畸形可以治愈,但要密切观察患者预后,防止复发。%Objective To investigate the diagnosis and treatment process of patient with epencephalon medulloblastoma merger epencephalon cerebrovascular malformations.Methods Analyze the clinical material of one patient with epencephalon medulloblastoma merger epencephalon cerebrovascular malformations in our hospital retrospectively.Results For patient, the symptoms had improved, made ideal curative effect, come back to life and returned to society.Conclusion Epencephalon medulloblastoma merger epencephalon cerebrovascular malformations can be cured, but we should observe the patient prognosis closely in order to prevent recurrence.

  4. The coexistence of carotid and lower extremity atherosclerosis further increases cardio-cerebrovascular risk in type 2 diabetes

    OpenAIRE

    Li, Mei-Fang; Zhao, Cui-Chun; Li, Ting-ting; Tu, Yin-Fang; Lu, Jun-Xi; Zhang, Rong; Chen, Ming-Yun; Bao, Yu-Qian; Li, Lian-Xi; Jia, Wei-Ping

    2016-01-01

    Background Both carotid and lower limb atherosclerosis are associated with increased cardiovascular and cerebrovascular risks. However, it is still unclear whether the concomitant presence of carotid and lower extremity atherosclerosis further increases the cardiovascular and cerebrovascular risks. Therefore, our aim is to investigate whether the coexistence of carotid and lower extremity atherosclerosis was associated with higher cardiovascular and cerebrovascular risks in patients with type...

  5. La Europa de la crisis y el gasto militar: los casos de Grecia y España

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez Alcázar

    2012-01-01

    Full Text Available La crisis económica que afecta a Europa se está combatiendo con drásticos recortes al gasto social. Sin embargo, el gasto militar no se está reduciendo en la misma proporción en todos los países europeos (incluso sigue aumentando fuera de Europa y persisten algunos llamamientos a incrementarlo y a considerarlo uno de los motores para salir de la crisis. Esta paradójica situación se explica a partir de determinadas concepciones de la seguridad y de la economía de la industria militar. Tras analizar la situación actual en los casos de España y Grecia, y criticar esas concepciones, propongo una estrategia diferente respecto a las políticas de seguridad europeas.

  6. La enseñanza militar en el alto mando: historia, organización y metodología

    Directory of Open Access Journals (Sweden)

    Jesús María Ruiz Vidondo

    2006-01-01

    Full Text Available La Escuela Superior del Ejército se fundó en 1941, pero desde 1923 se venían celebrando cursos de coroneles en España. Clausewitz fue el primero que vio la necesidad de la existencia de una Enseñanza Militar Superior para generales. Tras la I Guerra Mundial, Europa ve la necesidad de una nueva forma de enseñanza para que los generales estuviesen preparados ante las nuevas formas de guerra. España siguió la corriente que tenía lugar en toda Europa. Antes de 1941 los cursos tuvieron diferentes denominaciones, y distintos centros y organismos. La Escuela Superior del Ejército es el centro de estudios superiores militares del Ejército de Tierra entre 1941 y 1964. Los programas estaban a un nivel superior a los programas universitarios.

  7. La encomienda como institución militar en la América hispánica colonial

    Directory of Open Access Journals (Sweden)

    Gunter Kahle

    2012-08-01

    Full Text Available La encomienda colonial cumplía varias funciones en favor de la Corona y una de ellas era el defender las recien conquistadas tierras especialmente de ataques de indígenas, de allí que la prestación del "Servicio Militar", por parte de los encomenderos, jugó un papel importante en la asignación de las mismas.    

  8. PET in cerebrovascular disease; PET bei zerebrovaskulaeren Erkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Herholz, K. [Neurologische Universitaetsklinik der Univ. Koeln (Germany)]|[Max-Planck-Institut fuer Neurologische Forschung, Koeln (Germany)

    1997-03-01

    Tissue viability is of particular interest in acute cerebral ischemia because it may be preserved if reperfusion can be achieved rapidly, e.g. by acute thrombolysis. Measurements of regional cerebral blood flow (CBF) and oxygen consumption by PET can assess tissue viability, and they have substantially increased our knowledge of th pathophysiology of ischemic stroke and the associated penumbra. Widerspread clinical application in acute stroke, however, is unlikely because of the large logistic and personnel resources required. In chronic cerebrovascular disease, measurement of regional CBF and glucose metabolism, which is usually coupled, provide detailed insights in disturbance of cortical function, e.g. due to deafferentiation, and contribute to differentiation of dementia types. Chronic misery perfusion, i.e. reduced perfusion that does not match the metabolic demand of the tissue, can be demonstrated by PET. It may be found in some patients with high-grade arterial stenoses. Less severe impairment of brain perfusion can be demonstrated by measurement of the cerebrovascular reserve capacity. The most frequent clinical situations can be assessed by less demanding procedures, e.g. by SPECT. In conclusion, PET has its role in cerebrovascular disease primarily within scientific studies, where high resolution and absolute quantitation of physiological variables are essential. (orig.). 65 refs. [Deutsch] Beim akuten ischaemischen Insult ist die Vitalitaet des Gewebes von besonderem Interesse, da sie durch rasche Reperfusion, z.B. durch Thrombolyse, erhalten bleiben kann. Messungen der zerebralen Durchblutung und des Sauerstoffumsatzes mittels PET geben darueber wesentliche Aufschluesse, und sie sind wichtig fuer das Verstaendnis der Pathophysiologie ischaemischer Infarkte und der Penumbra mit kritischer Perfusion beim Menschen. Ihre breitere Anwendung in der klinischen Patientenversorgung kommt allerdings wegen des hohen Aufwandes derzeit kaum in Betracht. Bei

  9. LABOR URBANÍSTICA Y DESARROLLO LOCAL DE LOS INGENIEROS MILITARES EN LA HABANA, CUBA. SIGLO XIX

    Directory of Open Access Journals (Sweden)

    María Victoria Zardoya Loureda

    2011-01-01

    Full Text Available La evolución arquitectónica y urbana de La Habana durante sus primeras centurias de existencia, estuvo condicionada en gran medida por la signifi cación de su puerto dentro de la táctica defensiva de carácter intercontinental que desplegó la corona española en sus dominios americanos. Desde fi nales del siglo XVIII y sobre todo, cuando Cuba y Puerto Rico quedaron como únicas colonias hispanas en América, el trabajo de los ingenieros militares se volcó hacia el interior del país, dirigido a una defensa de carácter diferente, destinada a aplacar las ansias independentistas criollas. Su quehacer entonces combinó los objetivos militares con acciones civiles que tuvieron una gran trascendencia urbana. El presente trabajo se centra en la labor de los ingenieros militares durante el siglo XIX, relacionada con el importante cambio de escala e imagen que transformó a la capital cubana a lo largo de esos años.

  10. Prevalência do uso de drogas psicotrópicas em unidades da polícia militar

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    Sérgio Henrique Nascente Costa

    2015-06-01

    Full Text Available Este trabalho objetivou verificar a prevalência do uso de drogas psicoativas (anfetamina, metanfetamina, canabinoides, cocaína, opioides e benzodiazepínicos entre policiais militares do Estado de Goiás. Os dados foram obtidos a partir de amostras de urina cedidas voluntariamente pelos policiais participantes da pesquisa, os quais foram esclarecidos em relação à metodologia do estudo e assinaram o TCLE. As amostras foram submetidas à análise de triagem por imunocromatografia (Multi-DrugOneStep Test® e, aquelas positivas, foram confirmadas por cromatografia em fase gasosa acoplada à espectrometria de massa. Os dados foram analisados por estatística descritiva. Os resultados apontaram a presença das seguintes drogas: anfetaminas (0,33%; canabinoides (0,67%; benzodiazepínicos (1,34%; 97,66% foram resultados negativos. A distribuição dos casos positivos foi: benzodiazepínicos (57,1%; canabinoides (28,6% e anfetaminas (14,3%. Conclui-se que os achados de substâncias psicoativas na amostra de policiais militares voluntários chama a atenção sobre a necessidade da implantação de testes de drogas no efetivo da polícia militar e de políticas públicas preventivas, que visem evitar as consequências do consumo abusivo de psicotrópicos.

  11. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

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    Karen Castro-Medina

    2015-04-01

    Full Text Available Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular después de un tratamiento con procedimientos de reeducación funcional. Materiales y métodos. Se realizó un estudio descriptivo de dos casos con pacientes que recibieron tratamiento fisioterapéutico ambulatorio con los principios de reeducación funcional desarrollados en el Hospital de las Clínicas de la Universidad de São Paulo (Brasil, entre los meses de agosto y octubre de 2013. La transferencia del aprendizaje motor se determinó según los resultados obtenidos en la evaluación de balance funcional (Mini-BESTest. Se evaluó el test antes y después del tratamiento y se compararon los resultados para determinar el porcentaje de mejora. Resultados. En los dos casos se observó mejora clínica en el desempeño de la evaluación de balance funcional Mini-BESTest con un porcentaje de mejora entre el 21% y el 41%. Conclusión. Existen pocos hallazgos literarios que describen el mantenimiento de la capacidad de aprendizaje motor en pacientes con antecedentes de ACV. Este estudio reportó la capacidad para transferir el aprendizaje motor a una habilidad motora no aprendida (balance en dos casos, con base en la mejoría clínica del desempeño motor en el test aplicado.

  12. CT findings of cerebrovascular diseases in patients with atrial fibrillation

    International Nuclear Information System (INIS)

    CT findings of cerebrovascular diseases were studied in 111 patients with atrial fibrillation (Af). One of these patients had cerebral hemorrhage, and another, subarachnoid hemorrhage, while the others all had cerebral infarctions. CT revealed 122 lesions with a low-density area (LDA) in 105 patients. Based on the cerebral artery territory, the 122 CT lesions were classified into the following 8 types: 10 hemispheric, 43 superficial, 23 deep, 28 superficial+deep, 1 anterior cerebral artery, 6 posterior cerebral artery, 10 watershed, and 1 vertebrobasilar. Therefore, infarctions of the internal carotid artery (ICA) system, including 94 infarctions of the middle cerebral artery territory, were most frequent, accounting for 94% of all lesions. The ratio of the left to the right infarctions of the ICA system was 1.1:1. However, it should be noted that non-embolic infarctions can occur even patients with Af. (author)

  13. A Parallel Markov Cerebrovascular Segmentation Algorithm Based on Statistical Model

    Institute of Scientific and Technical Information of China (English)

    Rong-Fei Cao; Xing-Ce Wang; Zhong-Ke Wu; Ming-Quan Zhou; Xin-Yu Liu

    2016-01-01

    For segmenting cerebral blood vessels from the time-of-flight magnetic resonance angiography (TOF-MRA) images accurately, we propose a parallel segmentation algorithm based on statistical model with Markov random field (MRF). Firstly, we improve traditional non-local means filter with patch-based Fourier transformation to preprocess the TOF-MRA images. In this step, we mainly utilize the sparseness and self-similarity of the MRA brain images sequence. Secondly, we add the MRF information to the finite mixture mode (FMM) to fit the intensity distribution of medical images. We make use of the MRF in image sequence to estimate the proportion of cerebral tissues. Finally, we choose the particle swarm optimization (PSO) algorithm to parallelize the parameter estimation of FMM. A large number of experiments verify the high accuracy and robustness of our approach especially for narrow vessels. The work will offer significant assistance for physicians on the prevention and diagnosis of cerebrovascular diseases.

  14. Cerebrovascular Accident Incidence in the NASA Astronaut Population

    Science.gov (United States)

    LaPelusa, Michael B.; Charvat, Jacqueline M.; Lee, Lesley R.; Wear, Mary L.; Van Baalen, Mary

    2016-01-01

    The development of atherosclerosis is strongly associated with an increased risk for cerebrovascular accidents (CVA), including stroke and transient ischemic attacks (TIA). Certain unique occupational exposures that individuals in the NASA astronaut corps face, specifically high-performance aircraft training, SCUBA training, and spaceflight, are hypothesized to cause changes to the cardiovascular system. These changes, which include (but are not limited to) oxidative damage as a result of radiation exposure and circadian rhythm disturbance, increased arterial stiffness, and increased carotid-intima-media thickness (CIMT), may contribute to the development of atherosclerosis and subsequent CVA. The purpose of this study was to review cases of CVA in the NASA astronaut corps and describe the comorbidities and occupational exposures associated with CVA.

  15. Cerebrovascular reactivity in migraineurs as measured by transcranial Doppler

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, T.D.; Harpold, G.J. (Alabama Univ., Birmingham, AL (USA). School of Medicine); Troost, B.T. (Bowman Gray School of Medicine, Winston-Salem, NC (USA))

    1990-04-01

    Transcranial Doppler ultrasound is a relatively new diagnostic modality which allows the non-invasive assessment of intracranial circulation. A total of 10 migraine patients were studied and compared to healthy controls without headaches. Migraineurs during the headache-free interval demonstrated excessive cerebrovascular reactivity to CO{sub 2}, evidenced by an increase in middle cerebral artery blood flow velocity of 47% {plus minus} 15% compared to 28% {plus minus} 14% in controls. Differences between the two study groups revealed no significant decrease in middle cerebral artery blood flow velocity with hypocapnia. However, the differences between middle cerebral artery blood flow velocity during hyperventilation and CO{sub 2} inhalation were significantly different comparing migraineurs and controls. Instability of the baseline blood flow velocities was also noted in migraineurs during the interictal period. Characteristics which may allow differentiation of migraineurs from other headache populations could possibly be obtained from transcranial Doppler ultrasound flow studies. 24 refs., 2 tabs.

  16. /sup 111/In platelet scintigraphy in cerebrovascular disease

    Energy Technology Data Exchange (ETDEWEB)

    Powers, W.J.; Siegel, B.A.; Davis, H.H.; Mathias, C.J.; Clark, H.B.; Welch, M.J.

    1982-09-01

    We obtained scintigraphic images of the neck from 100 patients with suspected cerebrovascular disease after injecting /sup 111/In-labeled autologous platelets. One or more focuses of increased activity, implying local platelet accumulation, were seen along the course of the cervical carotid arteries in 52 patients. In 64 patients, there was a highly significant correlation between the results of scintigraphy and carotid arteriography (p . 10(6)). There was no significant correlation between the scintigraphic findings and the previous or subsequent occurrence of transient ischemic attack or cerebral infarction in the carotid circulation. These data suggest that factors other than the simple formation of platlet thrombi in the cervical carotid arteries are of primary importance in the pathogenesis of stroke.

  17. Aspirin in Cardiovascular and Cerebrovascular Events: Does Market Failure Matter?

    Directory of Open Access Journals (Sweden)

    Roger Lee Mendoza

    2010-01-01

    Full Text Available Problem statement: Against the backdrop of the 2009 scientific studies qualifying the cardiovascular and cerebrovascular benefits of aspirin, two interrelated questions are raised for investigation in this study. First, why may the government intervene in an otherwise private transaction between physician and patient and between drug manufacturer and buyer, when it involves contentious pharmacological information? Second, does government intervention make a difference in what these transacting parties would otherwise have chosen to do in its absence? Approach: An Internet literature search was performed, using query term combinations, to identify relevant aspirin studies. The search yielded 61 juried publications that met our predetermined criteria for inclusion and thematic analysis. Results: Variance exists within the mix of economic and non-economic literature on aspirin information regulation. The study identified 4 instances of market failure that offer some of the most compelling theoretical and practical considerations for public policy intervention in the context of the 2009 findings. However, there is also indication that the sense of increased protection arising from safety regulations could stimulate risky behavior that nullifies their net protective effects or benefits. Conclusion: It is not clear either from the surveyed literature or existing economic theory if, ceteris paribus, regulated information alters or modifies the marginal propensity of a physician to recommend, and a patient to consume, aspirin to prevent cardiovascular and cerebrovascular events, particularly heart attacks, strokes and vascular death. The study suggests the need for policy reinforcements to safety information, if market failures are to be efficiently addressed and risk compensating behavior reduced.

  18. Serum Lipid Profile in Nigerian Patients with Ischaemic Cerebrovascular Accident

    Directory of Open Access Journals (Sweden)

    H.B. Osadolor

    2013-05-01

    Full Text Available Ischaemic Cerebrovascular Accident (CVA has been shown to be associated with abnormal lipid profile (dyslipidaemia as a risk factor. There is paucity of data regarding this in this environment hence this study. In this study, a total number of 63 subjects were recruited comprised of 33 patients with cerebrovascular accident (stroke and 30 apparently healthy volunteers as control. A complete lipid profile which included Total serum Cholesterol (TC, serum Triglyceride (TG, High Density Lipoprotein cholesterol (HDL-c and Low Density Lipoprotein cholesterol (LDL-c were assayed for both patients and controls. The lipid profile was determined using standard methods. The TC for both patients and control were 212±53 and 196±46 mg/dL respectively, TG for both patients and controls were 159±9 and 79±13 mg/dL respectively, HDL-c was 55±9 mg/dL for patients and 61±7 mg/dL for controls and LDL-c was 151±34 mg/dL for patients and 117±51 mg/dL for control subjects. TC, TG and LDL-c were higher in the ischaemic CVA patients than the controls; however only TG showed a significant increase while HDL-c although not significant was lower than control. The study therefore showed that ischaemic CVA is associated with hypercholesterolaemia, hypertriglyceridaemia and high LDL-cholesterol. We thus suggest preventive and management strategies that will reduce lipid levels (TC, TG and LDL and enhance HDL-cholesterol in Nigeria patients that are prone to or diagnosed of ischaemic CVA.

  19. Determinação de escalas de plantão para militares considerando preferências e hierarquia

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    Tânia Cordeiro Lindbeck da Silva

    2004-12-01

    Full Text Available O objetivo deste artigo é apresentar um modelo matemático de Programação Linear Inteira Binária (PLIB para resolver o problema de escalas de trabalho para o serviço de guarda de soldados (militares da Aeronáutica, de forma a definir os dias de serviço de guarda de cada militar, levando em consideração as suas preferências e as leis da hierarquia militar. Para a implementação e resolução do referido modelo, foi desenvolvido um programa computacional que serve como interface entre o usuário e o software LINGO, utilizado para resolver o modelo de PLIB. Para validar o modelo, várias simulações foram realizadas variando-se o número de militares, os seus pesos (graus de prioridade, as demandas diárias, os tipos de escalas e a possibilidade de se ter militares de sobreaviso. Os resultados foram bastante satisfatórios, comparando-se as escalas otimizadas com as escalas em uso por ocasião da coleta de dados (obtidas empiricamente. O modelo matemático apresentado pode ser facilmente adaptado e aplicado para outras forças armadas, se for o caso, já que todas elas possuem características semelhantes.The goal of this paper is to present a Binary Integer Linear Programming (BILP model to solve a AIR FORCE soldiers rostering problem in order to define duty service days for each soldier, considering his or her preferences and military hierarchy rules as well. For the formulation and solving of the BILP problem, a computational program has been developed to serve as an interface between the user and LINGO software, which was used to solve the BILP model. In order to validate the model, many simulations were conducted, using different number of soldiers, weights (priority degrees, daily demands, scales types and the eventual need for having soldiers on call. The results were considered acceptable, by comparing the optimized scales with the ones in use on the occasion of the data collection (those were based on worker's experience. The

  20. La evaluación de los estilos de liderazgo en población civil y militar argentina

    Directory of Open Access Journals (Sweden)

    Alejandro Castro Solano

    2013-09-01

    Full Text Available Basados en la teoría de Bass (1985, 1990, se adaptó el cuestionario M.L.Q. (Multifactor Leadership Questionnaire para la evaluación de los estilos de liderazgo civiles y militares argentinos. Se recogieron datos de 363 sujetos, civiles (53% y militares cadetes y oficiales (47%. Se realizó un análisis factorial exploratorio y luego confirmatorio resultando una escala de 34 ítems que responde a un modelo de siete factores agrupados en tres estilos de liderazgo. Los resultados señalan mejor ajuste del modelo para población civil que para militar. Se encontraron diferencias individuales entre los estilos de liderazgo de civiles y militares. En los primeros predominan las características relacionadas con el intercambio y la negociación. En los ámbitos militares predomina el estilo de liderazgo transformacional. En ambas poblaciones las características más valoradas de los líderes se autopercibían con mayor intensidad en el formato de autoregistro que en la percepción del subalterno respecto del superior. Based on Bass' leadership model (1985, 1990, the M.L.Q. questionnaire (Multifactor Leadership Questionnaire was validated for the assessment of leadership styles in Argentinean civil and military population. Data were gathered (N=363 on military (cadets and officers and civilian population. A factorial structure of seven grouped in three styles of leadership (34 items was obtained and it was confirmed by means of confirmatory factor analysis. The results point out better adjustment of the obtained pattern for civil population than for military. Individual differences were also found among the styles of leadership of civilians and military population. In the first ones characteristics related with the exchange and the negotiation prevail. In the military environments The style of transformational leadership prevails in military environments. In both populations valued leader characteristics were perceived with more intensity in self

  1. Baluartes, mosquetes y reclutas: cuestiones en torno a la historiografía militar modernista (siglos XVI-XVIII

    Directory of Open Access Journals (Sweden)

    Salas Almela, Luis

    2001-12-01

    Full Text Available We have selected some questions of military historiography from XVIth to XVIIIth century according to their influence on the global comprehension of the early modern history. From this subject we have evaluated dificulties and goals in the last decades. We have specially paid attention to the British and French historiographycal traditions because of their development and significance on the Spanish way of facing the military history. In conclution, we suggest that the main methodological and conceptual contributions of the special field that concerns us in this article have to be related to the last years. This matched with the moment in which these historians have changed their attempt to focus the most important changes in the early modern period from their specialism. Best results have been achieved when they have recognized a more modest status for the military history.

    Dentro del campo de la historiografía militar —en un sentido amplio— de los siglos XVI al XVIII, se han seleccionado algunas cuestiones que por su influencia e innovación conceptual han supuesto mayores aportaciones a la comprensión general del período moderno en su conjunto. A partir de ellas, se ha tratado de valorar los principales logros y los escollos más enconados que los historiadores de la especialidad han ido ofreciendo y encontrando en las últimas décadas. Las escuelas historiográficas de lo militar que, en función precisamente de su desarrollo, han encontrado mayor cabida en estas páginas son la británica y, en menor medida, la francesa. Ambas, por otro lado, son las que más han influido en los historiadores españoles. Como conclusión, el autor sugiere que las principales aportaciones metodológicas y conceptuales de la historiografía militar modernista se han producido precisamente en el momento en el que se ha abandonado la pretensión de hacer de lo específicamente militar el factor clave en el desarrollo histórico de las sociedades

  2. Juan Serrano Gómez, un militar de nuevo cuño en Filipinas

    Directory of Open Access Journals (Sweden)

    del Pino Díaz, Fermín

    1998-08-01

    Full Text Available This article studies the particular case of a military man, closely associated with Joaquín Costa, who lived in the Philippines in two different occasions (1861-67 and 1887-89. He published reports in Spain proposing new and renovating policies towards the cultural minorities (muslims, Indians, Chinese, etc. which were founded on cultural tolerance and a preference for "civilization" over "evangelization". These proposals are compared with Costa's wellknown programme in order to know whether the studied materials can shed further light on the Philippine independentist process.

    Se presenta el caso singular de un militar, colaborador de Costa, que reside dos veces en Filipinas (1861-67, 1887-89 y publica en España informes y propuestas renovadoras sobre medidas a tomar con las minorías culturales (musulmanes, indios, chinos, etc., en sentido de tolerancia cultural, y de preferencia de la meta civilizadora sobre la evangelizadora. Se compara con el conocido programa costista, para cuestionar si podemos comprender mejor el proceso independentista filipino de acuerdo a estos testimonios singulares.

  3. BRASIL 1964, GOLPE CIVIL MILITAR: O QUE FICA DO QUE (APARENTEMENTE JÁ PASSOU?

    Directory of Open Access Journals (Sweden)

    Beatriz Terezinha Daudt Fischer

    2015-10-01

    Full Text Available Quando pesquisadores se debruçarem detidamente sobre Brasil, século XX, por certo os anos 1963/64 não poderão ficar sem a merecida atenção. As matérias jornalísticas da época explicitam em cores variadas, o clima que se vivia ao longo daqueles meses antecedentes ao golpe civil militar. Atualmente, manifestações de rua em nosso país, e as respectivas reportagens na mídia, motivam a retomar alguns materiais de pesquisa trazendo à tona o clima de efervescência política de cinquenta anos atrás. Assim, com inspiração em Foucault, este texto convida a um exercício analítico acerca das verdades instituídas na mídia impressa, sobre política e educação, a partir dos jornais gaúchos Correio do Povo, Última Hora e Zero Hora ao longo do ano de 1963 e parte de 1964.

  4. Recursos formales y constructivos en la arquitectura militar almohade de al-Andalus

    Directory of Open Access Journals (Sweden)

    Márquez Bueno, Samuel

    2008-12-01

    Full Text Available This paper deals with some featuring aspects of the almohad military construction (12th and 13th centuries, which define a clear and propagandistic image of its powerful developer. The finishing of concrete walls, accesses to fortifications and polygonal towers and albarranas (external towers are here analysed. This paper is the result of studying several examples, which allow us to trace the existence of itinerant builders’ teams working for the almohad authorities.El presente artículo trata sobre algunos aspectos especialmente característicos de la construcción militar almohade (Siglos XII y XIII, que venían a definir una imagen clara y propagandista del poderoso promotor que había detrás. En concreto, hablaremos de la terminación de los muros de hormigón de cal encofrado, puertas de acceso a las fortificaciones y torres poligonales y albarranas. Afrontaremos el trabajo mediante el estudio de diversos ejemplos, que nos permitirán rastrear, igualmente, la existencia de equipos de constructores itinerantes que cumplirían las órdenes de las autoridades almohades.

  5. Environment pollution: The rise of militarism and terrorism in the Niger Delta of Nigeria

    Directory of Open Access Journals (Sweden)

    Christian Madubuko

    2014-09-01

    Full Text Available Oil was discovered in large quantities in Nigeria in 1956 and exploration began in the same year. Before oil, agriculture and fishing had assured the Niger Delta people of a bright future. Since 1956, oil has been extracted from the Niger Delta with destructive consequences on the environment, bringing about environmental degradation and destruction of the people’s primary means of livelihood. Land and water were badly polluted, and the health of the people affected because of leaks from oil pipelines, gas flaring and acid rains. Several petitions and non-violent protests by Delta communities, women and youth against environmental destruction failed to receive attention. Rather, opposition to peaceful protests earned the people military invasions of their communities, clampdowns and jailings. The rise of militarism and terrorism in the Niger Delta was the result of the Federal Government and Oil Companies’ clampdown on non-violent protests for environmental justice in the Niger Delta. This paper discusses the history of oil exploration in the Niger Delta, oil laws, effects of oil exploration in the region, and the rise of militants and terrorists in the area. The paper uses the term, ‘environmental Justice’ to denote unfair treatment and destruction of the Delta environment resulting from oil exploration, non implementation and enforcement of environmental laws and regulations, and abuse of human rights.The paper suggests solutions for peace in the Niger Delta.

  6. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  7. Central and cerebrovascular effects of leg crossing in humans with sympathetic failure

    NARCIS (Netherlands)

    M.P. Harms; W. Wieling; W.N. Colier; J.W. Lenders; N.H. Secher; J.J. van Lieshout

    2010-01-01

    Leg crossing increases arterial pressure and combats symptomatic orthostatic hypotension in patients with sympathetic failure This study compared the central and cerebrovascular effects of leg crossing in patients with sympathetic failure and healthy controls. We addressed the relationship between M

  8. Mapping white matter diffusion and cerebrovascular reactivity in carotid occlusive disease

    NARCIS (Netherlands)

    Conklin, J.; Fierstra, J.; Crawley, A. P.; Han, J. S.; Poublanc, J.; Silver, F. L.; Tymianski, M.; Fisher, J. A.; Mandell, D. M.; Mikulis, D. J.

    2011-01-01

    Objective: To characterize the relationship between cerebrovascular reactivity (CVR) and white matter (WM) diffusion in patients with internal carotid artery (ICA) occlusive disease. Methods: In this exploratory observational study, 41 patients with severe stenosis or occlusion of the extracranial I

  9. A cohort study on the relationship between cerebrovascular hemodynamic changing and risk of strok

    Institute of Scientific and Technical Information of China (English)

    郭吉平

    2013-01-01

    Objective To study the role of cerebrovascular hemodynamic indexes(CVHI)changing in stroke and to provide reference for stroke prevention and risk factor study.Methods From 2003 to 2004,participants aged 40 years

  10. Protagonistas destacados en la historia de la Sanidad Militar española: Fernando Weyler y Laviña Distinguished Protagonists in the history of the Spanish Medical service: Fernando Weyler y Laviña

    Directory of Open Access Journals (Sweden)

    A. Belaústegui Fernández

    2011-07-01

    Full Text Available Fernando Weyler y Laviña (1808-1879, fue un eminente médico militar, doctor en cirugía, académico, botánico y notable escritor, que quizá ha sido oscurecido por la gran personalidad de su hijo Valeriano -capitán general del Ejército Español, entre otros cargos militares y civiles- pero su trayectoria profesional, intelectual y científica no desmerece para nada frente a la de su hijo, a pesar de haber sido algo olvidado por la historia. Weyler nació en plena Guerra de la Independencia, una de las épocas más convulsas de nuestra nación, teniendo que realizar sus estudios primarios en Montpellier, trasladándose posteriormente a Barcelona, ciudad en la que terminaría el Bachillerato e iniciaría sus estudios de Medicina, simultaneándolos con los realizados en París. Una vez obtenidos los títulos de licenciatura, en 1829, y el doctorado en 1831, ingresa, por oposición en el Cuerpo de Sanidad Militar. Su trayectoria castrense fue brillante iniciándola en Palma de Mallorca y posteriormente, a petición propia, en Filipinas, regresando a la Península por enfermedad, donde pasó a ejercer de Profesor de la Plana Mayor del Ejército de Cataluña. Participó en múltiples operaciones militares durante la Guerra Carlista entre los años 1838 y 1840, siendo merecedor de diferentes condecoraciones por su destacado comportamiento. Desarrolló una importante labor en el Hospital Militar de Mallorca de Palma, pasando en 1850 a ser jefe de Sanidad Militar de las Islas Baleares. En 1859 fue nombrado jefe de Sanidad del Cuerpo de Observación sobre las costas de África, pasando a Ceuta y participando en la batalla de Wad-Ras. En 1863 fue nombrado inspector en comisión del personal y hospitales de Melilla, pasando posteriormente a Palma de Mallorca para seguir encargándose del Servicio de la Subinspección de las Islas Baleares. En 1869 fue promovido al empleo de inspector médico, con destino como jefe de Sanidad Militar de Cataluña. En

  11. Clinical Observation on Acupuncture Treatment of Cerebrovascular Dementia- A Report of 32 Cases

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@Cerebrovascular dementia is a common disease in the middle-aged and old people. Its incidence makes up about 10-20% of all kinds of dementia. It is mainly caused by general degeneration of the brain function resulted from cerebral arteriosclerosis and cerebral infarction. The author has treated 32 cases of cerebrovascular dementia with acupuncture in the recent years with satisfactory therapeutic results. A report follows.

  12. Persistent primitive trigeminal artery associated with cerebrovascular diseases and other cerebrosis

    International Nuclear Information System (INIS)

    Persistent primitive trigeminal artery (PPTA) is the most common permanent abnormal vascular anastomosis between carotid artery and basilar artery. PPTA is a rare cerebrovascular variation and is often associated with cerebrovascular disease (CVD). Clinically, PPTA manifests itself in symptoms such as trigeminal neuralgia, oculomotor paralysis, abducens nerve paralysis, subarachnoid hemorrhage, etc. This paper aims to review 116 PPTA cases with CVD and other cerebrosis, which have ever been reported since 1983 in English or Chinese medical literature. (authors)

  13. Clinical Significance of Cerebrovascular Biomarkers and White Matter Tract Integrity in Alzheimer Disease

    OpenAIRE

    Wu, Ming-Kung; Lu, Yan-Ting; Huang, Chi-Wei; Lin, Pin-Hsuan; Chen, Nai-Ching; Lui, Chun-Chung; Chang, Wen-Neng; Lee, Chen-Chang; Chang, Ya-Ting; Chen, Sz-Fan; Chang, Chiung-Chih

    2015-01-01

    Abstract Cerebrovascular risk factors and white matter (WM) damage lead to worse cognitive performance in Alzheimer dementia (AD). This study investigated WM microstructure using diffusion tensor imaging in patients with mild to moderate AD and investigated specific fiber tract involvement with respect to predefined cerebrovascular risk factors and neurobehavioral data prediction cross-sectionally and after 18 months. To identify the primary pathoanatomic relationships of risk biomarkers to f...

  14. Neckties and Cerebrovascular Reactivity in Young Healthy Males: A Pilot Randomised Crossover Trial

    OpenAIRE

    Mark Rafferty; Quinn, Terence J.; Jesse Dawson; Matthew Walters

    2010-01-01

    Background. A necktie may elevate intracranial pressure through compression of venous return. We hypothesised that a tight necktie would deleteriously alter cerebrovascular reactivity. Materials and Methods. A necktie was simulated using bespoke apparatus comprising pneumatic inner-tube with aneroid pressure-gauge. Using a randomised crossover design, cerebrovascular reactivity was measured with the “pseudo-tie” worn inflated or deflated for 5 minutes (simulating tight/loose necktie resp.)....

  15. Cerebrovascular risk factors and brain microstructural abnormalities on diffusion tensor images in HIV-infected individuals

    OpenAIRE

    Nakamoto, BK; Jahanshad, N.; McMurtray, A; Kallianpur, KJ; Chow, DC; Valcour, VG; Paul, RH; Marotz, L; Thompson, PM; Shikuma, CM

    2012-01-01

    HIV-associated neurocognitive disorder remains prevalent in HIV-infected individuals despite effective antire-troviral therapy. As these individuals age, comorbid cerebro-vascular disease will likely impact cognitive function. Effective tools to study this impact are needed. This study used diffusion tensor imaging (DTI) to characterize brain microstructural changes in HIV-infected individuals with and without cerebrovascular risk factors. Diffusion-weighted MRIs were obtained in 22 HIV-infec...

  16. Relationship of obesity and insulin resistance with the cerebrovascular reactivity: a case control study

    OpenAIRE

    Rodríguez-Flores, Marcela; García-García, Eduardo; Cano-Nigenda, Claudia Vanessa; Cantú-Brito, Carlos

    2014-01-01

    Background Obesity is associated with increased risk for stroke. The breath-holding index (BHI) is a measure of vasomotor reactivity of the brain which can be measured with the transcranial Doppler (TCD). We aim to evaluate obesity as an independent factor for altered cerebrovascular reactivity. Methods Cerebrovascular hemodynamics (mean flow velocities MFV, pulsatility index, PI, resistance index, RI, and BHI) was determined in 85 non-obese (Body Mass Index, BMI ≤27 kg/m2) and 85 obese subje...

  17. Effect of Medicine Adherence on the Occurrence of Cerebrovascular Disorders in Diabetes Mellitus Patients

    OpenAIRE

    Park, Il-Su; Sohn, Hae-Sook

    2011-01-01

    OBJECTIVES To assess the association between the occurrence of cerebrovascular disorders and a medication adherence in diabetes mellitus patients. METHODS Medical records from 1,114 new patients with diabetes mellitus were collected and the occurrence of cerebrovascular disorders was observed. Data was gathered from the health examination records of diabetes mellitus patients registered at the Korean Metabolic Syndrome Research from 1996 to 2005, medication records from the National Health In...

  18. Dipyridamole cerebral flow stress test evaluating ischemic cerebrovascular diseases

    International Nuclear Information System (INIS)

    To detect the clinical value of dipyridamole cerebral blood flow stress test in cerebrovascular diseases (CVD). Nineteen patients (9 male, 10 female, mean age=65) who were diagnosed as CVD were included. One suffered from infarct, two suffered from thrombosis, one feel dizziness. All 4 performed rest and stress test. The other 15 were VBI, 9 of them performed stress test. Rest and stress test were done two-day method using Elscint Apex SP-6 SPECT equipped with low energy all purpose collimator. Rest perfusion imaging was started 30 min after injecting 1.11 GBq 99mTc-ECD. Dipyridamole stress test was done within one week. 0.56 mg/Kg dipyridamole was injected intravenously during 4 min the same dose of ECD was injected 2 min later. The acquisition started 30 min later with the same parameter. Heart rate, ECG and the patient's complaint were monitored 2 min before and after dipyridamole. After correction for attenuation, transverse, coronal and sagittal slices were reconstructed. Eighteen ROIs were drawn symmetrically on cingulate, frontal, temporal-parietal, temporal, occipital, vision cortex, basal ganglia, superior frontal and parietal on the 3rd, 6th, 9th transverse slices, selecting the contralateral as the reference region. The counts per pixel in each ROI were divided by the counts of the mirror region to obtain the relative uptake ratio. We think it abnormality when the ratio is above 1,1 or below 0.9. The sensitivity for rest and stress rCBF test was compared. rCBF was decreased at 10 of 19 patients (sensitivity 52.6%). 14 had low rCBF after dipyridamole (sensitivity 72.3%), Among the patients who studied stress test, 6 had normal rCBF at rest and low rCBF after stress. The abnormal area was enlarged after dipyridamole for 1 patients, 2 improved and 2 unchanged. 8 of 15 VBI had normal rCBF at rest (sensitivity 53.3%). 9 of 15 VBI performed stress test. rCBF was normal at rest for 5 patients, rCBF was decreased after stress, it was improved for one

  19. Crossed cerebellar atrophy in cases with cerebrovascular disease

    International Nuclear Information System (INIS)

    Crossed cerebellar atrophy (CCA) was investigated by X-ray CT to establish the incidence, mechanism, and the relation to cerebral lesions in 130 cases of unilateral supratentorial cerebrovascular diseases. The 130 cases consisted of 83 males and 47 females with cerebral infarction (65 cases) and cerebral hemorrhage (65 cases). The patients' average age was 57.6 years. Crossed cerebellar atrophy was demonstrated in 8 cases (6.2%), 6 of whom had massive cerebral infarction in the middle cerebral artery area (9.2% of the 65 cases of cerebral infarction. The six cases of CCA caused by cerebral infarction had lesions in the frontal and temporal lobes. Two had a cerebral hemorrhage in the putamen and in the thalamus, respectively, accounting for 3.1% of the 65 cases of cerebral hemorrhage. Of the 2 cases, one had putaminal hemorrhage, and the other had thalamic hemorrhage. Cerebrovascular stroke had occured in these patients with CCA more than 2 months previously. In 5 of the 8 cases of CCA, atrophy was present in the basis pedunculi and the basis pontis on the side of the cerebral lesion. However, neither dilation nor deformity of the fourth ventricle was present in any of the patients, suggesting that none of the CCA patients had atrophy of the dentate nucleus. The CCA patients had massive cerebral lesion in the frontal and temporal lobes or atrophy of the basis pedunculi and basis pontis, suggesting the presence of the transsynaptic degeneration of the cortico-ponto-cerebellar pathway. In the case of the thalamic hemorrhage, who had not hemorrhagic lesion in the frontal and temporal lobes, atrophy of the basis peduncli and basis pontis was not observed. Though dilation or deformity of the fourth ventricle is not observed in this case, presence of the degeneration of the dentate-rubro-thalamic pathway cannot be denied. CCA seems to be caused by both the transsynaptic degeneration of the cortico-ponto-cerebellar pathway and the dentate-rubro-thalamic pathway. (J.P.N.)

  20. Uric acid levels and their relation to incapacities in acute cerebrovascular disease

    Directory of Open Access Journals (Sweden)

    Julio López Argüelles

    2010-02-01

    Full Text Available Background: cerebrovascular disease and ischemic cardiopathy can be considered as an epidemic and constitute the first cause of incapacities in developed countries. Multiple studies have shown the association between uric acid levels and cerebrovascular diseases. Objective: To correlate the levels of serum uric acid and incapacities in the acute phase of cerebrovascular disease. Methods: A correlational study was carried out with 217 patients with acute cerebrovascular disease. The patient’s incapacity level was measured by using the Barthel Index and those results were related with the serum uric acid levels and other variables. Results: Male patients have higher levels of uric acid (p=0, 04; r=0, 13. Age and Barthel index were p < 0,001; r = -0, 30 and uric acid levels and Barthel Index were p=0, 03; r=-0, 14. The principal predicting factors of incapacity in the acute phase of cerebrovascular disease were the high levels of uric acid, age and diabetes mellitus. Conclusions: It is shown that the highest is the level of uric acid at advanced age; the greatest is the risk of suffering from incapacity in acute phases of cerebrovascular diseases.

  1. [Treatment and rehabilitation of dysphagia following cerebrovascular disease].

    Science.gov (United States)

    López-Liria, Remedios; Fernández-Alonso, Melodie; Vega-Ramírez, Francisco A; Salido-Campos, M Ángeles; Padilla-Góngora, David

    2014-03-16

    INTRODUCTION. Bronchopneumonia is a frequent complication in the first days after a cerebrovascular disease and is linked with a higher rate of mortality. It occurs in patients with an altered level of consciousness or tussigenic reflex, and could be prevented with an early dysphagia rehabilitation programme. AIMS. To review the scientific literature on the treatment and rehabilitation of patients with dysphagia after suffering a stroke, published between 2002 and 2012. DEVELOPMENT. A search conducted in the PubMed, Cochrane, PEDro, CINAHL and ENFISPO databases yielded 15 papers that fulfilled eligibility criteria and the initial aims of the study, providing information about 3,212 patients. The different protocols and techniques for re-education in dysphagia are described and include compensatory strategies, orofacial regulation therapy, music therapy, sensory stimulation, lip muscle, tongue, pharynx, larynx and respiratory tract training, Mendelsohn manoeuvre, neuromuscular electrical stimulation, repetitive transcranial magnetic stimulation and acupuncture. CONCLUSIONS. The studies examined in this research claim that the treatment of dysphagia following a stroke can improve the function of deglutition (coordination, speed, volume), quality of life and people's social relationships. Further work needs to be carried out to establish or define what kind of therapies, techniques, exercises or manoeuvres are the most effective in dysphagia. Generally agreed treatment or rehabilitation protocols also need to be drawn up within units that address stroke in an integrated manner. PMID:24610693

  2. Change of blood rheology in newborn and its cerebrovascular damage

    Institute of Scientific and Technical Information of China (English)

    Guang-Ming Chen; Chun-Hua Lai; Jun-Feng Lv; Bing-Yan Yang; Li Xing-Xi

    2016-01-01

    Objective:To explore the blood rheology, changes in myocardial enzyme spectrum and brain damage in newborn whose hematocritg (HCT) are among 60%-65%.Methods:A total of 100 cases newborn whose HCT among 60%-65% with blood routine examination were set as observation group, 100 cases newborn whose HCT <60% were set as control group, compared the blood rheology, changes in myocardial enzyme spectrum and brain damage between two groups.Results:The HCT, whole blood viscosity (high), whole blood viscosity (low shear), erythrocyte aggregation index, erythrocyte rigidity index, aspertate aminotransferase, creatine kinase, creatine kinase isoenzyme, lactate dehydrogenase, Vs, Vs and the abnormal rate of aEEG examination in observation group were significantly higher than the control group, the difference had statistical significance, RI in observation group were significantly lower than the control group, the difference had statistical significance.Conclusions:newborn whose HCT among 60%-65% but not with polycythemia have appeared and cerebrovascular lesions, it should cause clinical positive value.

  3. Magnetization transfer MR of cerebrovascular disorders using calculated images

    Energy Technology Data Exchange (ETDEWEB)

    Enomoto, Kyoko; Watabe, Tsuneya; Amanuma, Makoto; Heshiki, Atsuko [Saitama Medical School, Moroyama, Saitama (Japan)

    1997-06-01

    This study applied a magnetization transfer contrast method to patients with cerebrovascular disorders. A 1.5 T superconducting MR unit was used, and magnetization transfer ratio (MTR) images were calculated by evaluating two paired images before and after off-resonance gradient echo pulse sequences. The normal white matter showed the highest MTRs, CSF the lowest, and gray matter, intermediate. Cerebral ischemic patients showed two patterns according to the chronological stage of the affected area. Lesions in the acute and subacute stages revealed higher transfer rates than those in the chronic stage. Patients with cerebral hemorrhage were divided into three groups: the hyperacute group showed a low transfer pattern; the acute group presented inhomogeneous high transfer rates; and the subacute group showed remarkably low transfer rates. In the acute and subacute ischemic stages, increased macromolecules caused higher MTRs than in the chronic stage. In hemorrhagic groups, low MTRs in subacute hemorrhage reflected the transfer of methemoglobin. High MTRs in acute hemorrhage with rich deoxyhemoglobin suggested increased fibrin, plasma, and serum components of macromolecules. The MTC method provided new chronological information on cerebral hemorrhage, adding to that provided by routine MR images. (author)

  4. Aspirin in Cardiovascular and Cerebrovascular Events: Does Market Failure Matter?

    Directory of Open Access Journals (Sweden)

    Roger L. Mendoza

    2011-01-01

    Full Text Available Problem statement: Two interrelated questions were raised for investigation in this study: (1 why may government intervene in an otherwise private transaction between physician and patient and between drug manufacturer and buyer? (2 Does government intervention make a difference in what these transacting parties would otherwise have decided or chosen in its absence? Approach: An internet literature search was performed, using query term combinations, to identify aspirin-related studies. The search yielded 51 juried publications that met our predetermined criteria for inclusion and thematic analysis. Results: Some variance exists within the surveyed literature concerning government intervention in aspirin prophylaxis for cardiovascular and cerebrovascular events, particularly heart attacks, strokes and cardiovascular death. This study identified 4 instances of market failure that offer some of the strongest theoretical and practical considerations for public policy intervention in aspirin’s pharmacological information. However, there is also indication that the sense of increased protection arising from safety regulations could stimulate risky behavior that nullifies their net protective effects or benefits. Conclusion: It is not clear either from the surveyed literature or existing economic theory if, ceteris paribus, mandatory safety information is necessary to alter or modify the marginal propensity of a physician to recommend and a patient to purchase, aspirin. The study suggested the need for policy reinforcements to any safety information regulation, if market failures are to be effectively addressed and risk compensating behavior reduced.

  5. Cerebrovascular accidents in sickle cell disease: rates and risk factors.

    Science.gov (United States)

    Ohene-Frempong, K; Weiner, S J; Sleeper, L A; Miller, S T; Embury, S; Moohr, J W; Wethers, D L; Pegelow, C H; Gill, F M

    1998-01-01

    Cerebrovascular accident (CVA) is a major complication of sickle cell disease. The incidence and mortality of and risk factors for CVA in sickle cell disease patients in the United States have been reported only in small patient samples. The Cooperative Study of Sickle Cell Disease collected clinical data on 4,082 sickle cell disease patients enrolled from 1978 to 1988. Patients were followed for an average of 5.2 +/- 2.0 years. Age-specific prevalence and incidence rates of CVA in patients with the common genotypes of sickle cell disease were determined, and the effects of hematologic and clinical events on the risk of CVA were analyzed. The highest rates of prevalence of CVA (4.01%) and incidence (0.61 per 100 patient-years) were in sickle cell anemia (SS) patients, but CVA occurred in all common genotypes. The incidence of infarctive CVA was lowest in SS patients 20 to 29 years of age and higher in children and older patients. Conversely, the incidence of hemorrhagic stroke in SS patients was highest among patients aged 20 to 29 years. Across all ages the mortality rate was 26% in the 2 weeks after hemorrhagic stroke. No deaths occurred after infarctive stroke. Risk factors for infarctive stroke included prior transient ischemic attack, low steady-state hemoglobin concentration and rate of and recent episode of acute chest syndrome, and elevated systolic blood pressure. Hemorrhagic stroke was associated with low steady-state hemoglobin and high leukocyte count.

  6. Cerebrovascular complications in children with sickle cell disease.

    Science.gov (United States)

    De Montalembert, M; Wang, W

    2013-01-01

    Cerebrovascular accidents were until recently responsible for much mortality and morbidity in children with sickle cell disease; the likelihood of a child with HbSS having a stroke was 11% before age 20 years, with a peak incidence of ischemic stroke between 2 and 5 years of age, and of hemorrhagic strokes between 20 and 29 years of age. Vessels occlusion is likely initiated by intimal proliferation and amplified by inflammation, excessive adhesion of cells to activated endothelium, hypercoagulable state, and vascular tone dysregulation. Silent infarcts may occur and are associated with decreased cognitive functions. Transcranial Doppler ultrasonography (TCD) was more recently demonstrated able to achieve early detection of the children at high risk for clinical strokes. A randomized study demonstrated that a first stroke may be prevented by monthly transfusion in children with abnormal TCD, leading to a recommendation for annual TCD screening of children aged between 2 and 16 years and monthly transfusion for those with abnormal results. In children who have had a first stroke, the risk of recurrence is more than 50% and is greatly reduced by chronic transfusion, although not completely abolished. Hematopoietic stem cell transplant is indicated in children with cerebral vasculopathy who have an HLA-identical sibling.

  7. Cerebrovascular mental stress reactivity is impaired in hypertension

    Directory of Open Access Journals (Sweden)

    Naqvi Tasneem Z

    2009-07-01

    Full Text Available Abstract Background Brachial artery reactivity in response to shear stress is altered in subjects with hypertension. Since endothelial dysfunction is generalized, we hypothesized that carotid artery (CA reactivity would also be altered in hypertension. Purpose To compare (CA endothelium-dependent vasodilation in response to mental stress in normal and hypertensive subjects. Methods We evaluated CA reactivity to mental stress in 10 young healthy human volunteers (aged 23 ± 4 years, 20 older healthy volunteers (aged 49 ± 11 years and in 28 patients with essential hypertension (aged 51 ± 13 years. In 10 healthy volunteers and 12 hypertensive subjects, middle cerebral artery (MCA PW transcranial Doppler was performed before and 3 minutes after mental stress. Results Mental stress by Stroop color word conflict, math or anger recall tests caused CA vasodilation in young healthy subjects (0.61 ± 0.06 to 0.65 ± 0.07 cm, p Conclusion Mental stress produces CA vasodilation and is accompanied by an increase in CA and MCA blood flow in healthy subjects. This mental stress induced CA vasodilation and flow reserve is attenuated in subjects with hypertension and may reflect cerebral vascular endothelial dysfunction. Assessment of mental stress induced CA reactivity by ultrasound is a novel method for assessing the impact of hypertension on cerebrovascular endothelial function and blood flow reserve.

  8. Relationship between retinal vascular occlusions and incident cerebrovascular diseases

    Science.gov (United States)

    Zhou, Yue; Zhu, Wengen; Wang, Changyun

    2016-01-01

    Abstract Several studies investigating the role of retinal vascular occlusions, on cerebrovascular diseases (CVD) have been reported, but the results are still inconsistent. We therefore sought to evaluate the relationship between retinal vascular occlusions and CVD. We systematically searched the Cochrane Library, PubMed, and ScienceDirect databases through January 31, 2016 for studies evaluating the effect of retinal vascular occlusions on the risk of CVD. Data were abstracted using predefined criteria, and then pooled by RevMan 5.3 software. A total of 9 retrospective studies were included in this meta-analysis. When compared with individuals without retinal vascular occlusions, both individuals with retinal artery occlusion (RAO) (odds ratio [OR] = 2.01, 95% confidence interval [CI]: 1.21–3.34; P = 0.005) and individuals with retinal vein occlusion (RVO) (OR = 1.37, 95% CI: 1.24–1.50; P < 0.00001) had higher risks of developing CVD. Additionally, both individuals with central retinal artery occlusion (CRAO) (OR = 2.00, 95% CI: 1.12–3.56; P = 0.02) and branch retinal artery occlusion (BRAO) (OR = 1.60, 95% CI: 1.03–1.48; P = 0.04) were significantly associated with increased risk of CVD. Published literatures support both RVO and RAO are associated with increased risks of CVD. Further prospective studies are needed to confirm these findings. PMID:27368050

  9. Factors associated with delayed intracerebral hemorrhage after superficial temporal artery-middle cerebral artery bypass in stenoocclusive cerebrovascular diseases

    Institute of Scientific and Technical Information of China (English)

    Mao Zhiqi; Li Meng; William A.Li; Yu Xinguang

    2014-01-01

    Background Intra-cerebral hemorrhage (ICH) is a devastating complication that can result from superficial temporal artery-middle cerebral artery (STA-MCA) bypass in patients undergoing treatment for steno-occlusive cerebrovascular disease (CVD).There is a clinical need to find the possible risk factors to prevent ICH,as it is a significant cause of mortality and morbidity.The aim of the study was to investigate the factors associated with delayed ICH after STA-MCA bypass in patients with steno-occlusive CVDs.Methods We retrospectively analyzed the records of 163 patients seen from 2002 to 2011 with STA-MCA bypass for steno-occlusive cerebrovascular diseases at the Department of Neurosurgery,Xuan Wu Hospital,Beijing.Demographic and clinical data,including age,gender,vascular risk factors,preoperative syndrome,preoperative National Institutes of Health Stroke Scale (NIHSS),ipsilateral ischemic lesions,classification of steno-occlusive CVDs,donor branches of STA,graft patency,postoperative hypertension,and postoperative-increased MCA velocity were recorded and analyzed.Binary Logistic regression served to identify factors associated with delayed ICH after STA-MCA bypass.Results We identified 8 (4.9%) patients with delayed ICH after STA-MCA bypass.Patients with hypertension,preoperative stroke,ipsilateral ischemic lesions,postoperative hypertension and postoperative-increased MCA velocity were significantly more prone to experiencing delayed ICH after STA-MCA bypass.Logistic regression analysis shows ipsilateral ischemic lesions,postoperative hypertension,and postoperative-increased MCA velocity remained independent predictors for delayed ICH after STA-MCA bypass.Conclusion Despite the varied associated factors in patients with steno-occlusive CVDs,ipsilateral ischemic lesions,postoperative hypertension,and postoperative-increased MCA velocity could be associated with delayed ICH after STAMCA bypass.

  10. Clinical usefulness of creatine Kinase BB determination by a Ria method in serum of patients with cerebrovascular accidents

    International Nuclear Information System (INIS)

    The measurement of creatine kinase BB isoenzyme (CK-BB) using RIA methods could have diagnostic utility as a biological marker of cerebral damage. The aim of the present study is to evaluate whether frequent sampling (4 samples/day for 3 days) permits a better correlation between serum CKBB values and the clinical outcomes of patients with cerebrovascular accidents. 16 in-patients (12 men and 4 women) with stroke (15 of an ischemic nature and 1 hemorrhagic) have benn studied. The presence of stroke was confirmed by clinical symptoms and by CAT results. Blood samples were drawn at 6 and 12 a.m. and at 6 and 12 p.m. over 3 consecutive days after hospitalization. Values of serum CK-BB above the normal range (>7 ng/ml) were found in the 5 of the 16 (31.3%) patients studied. The mean CK-BB value observed in the patients' group was significantly higher than that found in a group of 112 control subjects (controls, mean+-SD=2.1+-1.7 ng/ml vs patients 3.3+-3.4 ng/ml, unpaired t-test p<0.025). We observed a very wide range of serum CKBB levels in most of the patients studied. Some prominent peaks of CK-BB concetrations were found in patients' outcame (Spearman correlation coefficient r-s=0.618, p<0,01). Although our results indicate that the measurement of CK-BB concentrations cannot be considered a sensitive marker of stroke, the significant correlation between serum CK-BB values and outcome suggests that high CK-BB levels could be a sign of worse prognosis in patients with cerebrovascular accidents

  11. El Cuerpo Militar de Sanidad en la Investigación de Accidentes Aéreos

    Directory of Open Access Journals (Sweden)

    F. Rios Tejada

    2012-12-01

    Full Text Available La investigación de un accidente o incidente aéreo puede ser simple o enormemente compleja. El proceso de investigación puede conducir a la elaboración de un informe directo y conciso o lo más frecuente, significa un largo camino de recopilación, análisis, estudio y finalmente la elaboración de posibles conclusiones. En este proceso, los aspectos médicos, psicológicos, ambientales, psicosociales o ergonómicos englobados en el término genérico de factores humanos cobran una especial relevancia, atribuyéndose hasta un 60-80% de causas directas o coadyuvantes al mismo. En este trabajo se revisan los antecedentes jurídicos y base legal en la que se apoya la Comisión para la investigación técnica de accidentes de aeronaves militares (CITAAM, así como sus atribuciones, organización y composición, sus funciones generales y más concretamente las encomendadas al vocal médico de la misma. Desde su creación en 1994, la experiencia acumulada ha sido enorme, haciéndose mención de algunos datos de interés estadístico pero señalando también la labor de formación realizada y su proyección nacional e internacional, sobre todo en el marco de la OTAN.

  12. PROYECTOS POLÍTICOS Y FACCIONALISMO MILITAR. ECOS DE LA CRISIS DE LA MONARQUÍA PORTUGUESA EN MONTEVIDEO, 1820-1824

    Directory of Open Access Journals (Sweden)

    Ana Frega Novales

    2015-10-01

    Full Text Available Las revoluciones liberales en España y Portugal, la independencia de Brasil y los procesos de organización estatal en las antiguas Provincias Unidas del Río de la Plata generaron el espacio para la concreción de nuevas alianzas políticas y sociales. Uno de los focos de tensión era el destino político de la Provincia Oriental o Cisplatina, controlada por fuerzas militares luso-brasileñas desde 1820.El artículo estudia las divisiones al interior de las fuerzas militares luso-brasileñas en la Provincia Oriental/Cisplatina entre 1820 y 1824 y sus repercusiones en las elites hispano criollas montevideanas. Entre otras fuentes, analiza las actas del Conselho Militar instalado en Montevideo en marzo de 1821 y los debates desarrollados en panfl etos y hojas sueltas.

  13. Los suboficiales practicantes y ayudantes técnicos de Sanidad Militar en el Ejército (1945-1989

    Directory of Open Access Journals (Sweden)

    J.F. Naranjo García

    2014-09-01

    Full Text Available Introducción: Los actuales oficiales Enfermeros que nacieron con la ley 39/2007 son los herederos de unos profesionales sanitarios de la milicia que, aunque tan antiguos como la propia guerra, comenzaron su andadura militar en 1945 fruto de un gran legado histórico y desarrollaron hasta el año 1989 un trabajo callado dentro del Cuerpo de Suboficiales del Ejército. Cambiaron de nombre pero no de trabajo, siempre auxiliares de los cuadros médicos de las Unidades y de los Hospitales Militares. Esta es su pequeña Historia. Método: Historiográfico. Fuentes: Principalmente legislativas y asentadas sobre una bibliografía básica (tesis y monografías. Conclusiones: Se observa como los avances en materia educativa de la profesión civil ha influido en el resultado final de la Escala Militar.

  14. Democracia e violência policial: o caso da policia militar Democracy and police violence: the case of military police

    Directory of Open Access Journals (Sweden)

    Juliany Gonçalves Guimarães

    2005-08-01

    Full Text Available Este estudo tem como objetivo investigar o apoio de policiais militares às ações extrajudiciais para o combate à violência. Duzentos e dois policiais militares do Estado de Goiás participaram deste estudo durante os meses de maio e junho de 2003. Os resultados indicam a preponderância da adesão aos valores democráticos para a rejeição às ações extrajudiciais. Além disso, as justificativas para essa rejeição, que ressaltam o respeito pelos diretos humanos, foram citadas com maior freqüência pelos soldados do que pelos sargentos, tenentes e capitães. Esses resultados são discutidos enfatizando a importância da inclusão do estudo sobre a democracia na formação dos policiais militares.The aim of this study is to investigate Military Policemen's support to extra judicial actions to combat violence. Two hundred and two military policemen who were students at the Center of Studies and Higher Education of the Military Police at Goiás (Brazil participated in this study during May and June 2003. The results indicate the importance of the adhesion to democratic values for the rejection of extra judicial actions. Furthermore, the justifications stressing the respect to the Human Rights are evocated more frequently by privates than by sergeants, lieutenants and captains. Those results are discussed stressing the importance of studies about democracy in the police formation courses.

  15. Hiperacusia em músicos de banda militar Hyperacusis in military band musicians

    Directory of Open Access Journals (Sweden)

    Maiara Santos Gonçalves

    2007-12-01

    Full Text Available OBJETIVO: Identificar a presença de hiperacusia e investigar as características dos sons desconfortáveis e os comportamentos desencadeados pelo desconforto, em músicos de uma Banda Militar. MÉTODOS: Foram estudados 27 músicos da Banda Militar da Base Aérea de Santa Maria (RS, com idades entre 22 e 50 anos, com tempo de serviço militar entre quatro e 26 anos e com exposição diária ao ruído de trabalho de duas a oito horas. Todos foram submetidos à avaliação audiológica básica, teste do limiar de desconforto sonoro e aplicação de um questionário. Considerou-se presença de hiperacusia, quando a média dos valores obtidos no teste do limiar de desconforto em 250, 500, 1000, 2000, 4000 Hertz foi menor ou igual a 90 decibéis, associado à queixa de desconforto auditivo. RESULTADOS: Verificou-se hiperacusia em 37% dos músicos. Destes, 50% apresentaram audição normal e 50% apresentaram audição normal com presença de entalhe; 80% sentiam o desconforto diariamente e 20% após o trabalho com a banda de música; 70% já evitaram realizar alguma atividade, por acreditarem que o ruído ambiental é desconfortável; 70% faziam uso de protetor auricular regularmente e 90% referiram zumbido. Os sons considerados desconfortáveis pelos hiperacúsicos foram, predominantemente, os de forte intensidade. As reações emocionais mais citadas mediante um som considerado desagradável foram: tensão, ansiedade e necessidade de afastar-se do som. CONCLUSÃO: Com os critérios utilizados neste estudo, 37% dos indivíduos estudados foram classificados como hiperacúsicos, os quais consideraram desagradáveis os sons de forte intensidade, predominantemente. As principais reações emocionais mediante esses sons foram: tensão, ansiedade e necessidade de afastar-se do som. As características comuns entre os sujeitos classificados como hiperacúsicos foram: audição normal, uso de protetor auricular, evitar atividade por considerar o ru

  16. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  17. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  18. Uric acid levels and their relation to incapacities in acute cerebrovascular disease Los niveles de ácido úrico y su relación con la discapacidad en la fase aguda de la enfermedad cerebrovascular.

    OpenAIRE

    Ricardo Verdecia Fraga; Joan Rojas Fuentes; Julio López Argüelles

    2010-01-01

    Background: cerebrovascular disease and ischemic cardiopathy can be considered as an epidemic and constitute the first cause of incapacities in developed countries. Multiple studies have shown the association between uric acid levels and cerebrovascular diseases. Objective: To correlate the levels of serum uric acid and incapacities in the acute phase of cerebrovascular disease. Methods: A correlational stu...

  19. Aortic Complex Plaque Predicts the Risk of Cryptogenic Ischemic Cerebrovascular Disease Recurrence.

    Science.gov (United States)

    Dong, Jing; Ma, Xin; Qie, Jingyuan; Ji, Xunming

    2016-03-01

    To evaluate the correlations between aortic complex plaque (ACP) and the recurrence of cryptogenic ischemic cerebrovascular disease (CICVD), and to investigate the clinical significance of ACP in CICVD. Methods CICVD patients (aged 17 to 84 years) admitted into the Department of Neurology, Xuanwu Hospital, from July 2011 to December 2013, were consecutively recruited, and divided into ACP and non-ACP groups according to head and neck computerized tomographic (CT) angiography. Recurrences of cerebral ischemic events (CIEs) were compared between these groups after follow-up. Results A total of 117 patients were enrolled (ACP group: 69, non-ACP group: 48) and followed up for a mean of 9.86 months (range: 3-33). The average age of the ACP group was 62.88 years, with 59.4% older than 60 years; the average age of the non-ACP group was 50.29 years, with 37.5% older than 60 years. At the 6-month follow-up, the recurrence rate of CIEs in the ACP group was significantly higher than that of the non-ACP group (17.0% [7/47] and 0% [0/36], respectively; χ2 = 4.283, P = 0.046). The cumulative recurrence risk for CIEs of the ACP group was significantly higher than for the non-ACP group (P = 0.004). Multivariate Cox survival analysis showed that ACP presence was an independent risk factor for CIE recurrence for CICVD patients (relative risk [RR] = 7.803, 95% confidence interval [CI], 1.827~33.319, P = 0.006). Conclusions ACP increased the recurrence risk of CIE in CICVD, and elderly CICVD patients should receive greater attention regarding the significance of ACP in recurrent CICVD.

  20. Environmental Air Pollution and Acute Cerebrovascular Complications: An Ecologic Study in Tehran, Iran

    Science.gov (United States)

    Nabavi, Seyed Massood; Jafari, Batoul; Jalali, Mozhgan Sadat; Nedjat, Saharnaz; Ashrafi, Khosro; Salahesh, Alireza

    2012-01-01

    Background: In this study, we aimed to assess the association between air pollution and cerebrovascular complications in Tehran, one of the most air-polluted cities in the world, among different subgroups of patients with stroke in 2004. Methods: In this ecologic study, we calculated the daily average levels of different air pollutants including CO, NOX, SO2, O3, and PM10 and also humidity and temperature on the day of stroke and 48 hours prior to stroke in 1 491 patients admitted with the diagnosis of stroke in eight referral hospitals in different areas of Tehran. Then, we evaluated the association between the rate of stroke admissions and the level of the selected pollutants, humidity, and temperature on the day of stroke and 48 hours prior to stroke among different subgroups of patients. Results: There was no significant association between the same-day level of the pollutants and the rate of stroke admissions, but an association was seen for their level 48 hours before stroke. These associations differed among different subgroups of age, sex, history of underlying diseases, and type of stroke. Same-day temperature had a reverse association in patients with hemorrhagic stroke and in patients without a history of heart disease or previous stroke. A direct significant association was seen for humidity level 48 hours before stroke in patients with a history of heart disease. Conclusions: It is inferred that air pollution has a direct association with the incidence of stroke and these association differs among different subgroups of patients. The results of this study are not time-dependant and can be generalized to different times and regions. Moreover, these results may be useful for environmental health policy makers. PMID:23112900

  1. ESTRÉS POSTRAUMÁTICO EN POLICÍAS Y MILITARES DE GRUPOS ESPECIALIZADOS EN SECUESTRO

    Directory of Open Access Journals (Sweden)

    Ángela Cristina Tapias Saldaña

    2006-01-01

    Full Text Available Esta investigación describe la existencia de estrés postraumático en policías y militares de grupos antisecuestro de Colombia. Se concluyó que el 31% de los participantes lo padece y el 8% lo ha desarrollado como consecuencia del trabajo y que hay mayor incidencia de esta psicopatología en los que tienen mayor tiempo de servicio y mayor rango, por lo cual se sugiere realizar actividades de prevención e intervención.

  2. Tradición y memoria popular: los museos militares y la recreación de la historia

    OpenAIRE

    Martín Cabello, Antonio

    2005-01-01

    El presente artículo fue escrito como parte de una investigación realizada por el Departamento de Ciencias Sociales de la Universidad Rey Juan Carlos (Madrid) para el Ministerio de Defensa español. Se pretendía investigar la posibilidad de musealizar algunos campos de batalla en España. Este artículo presenta los principales aspectos teóricos relacionados con la representación del pasado militar. En primer lugar, se definen los conceptos de tradición y patrimonio cultural. Post...

  3. Formación de líderes en la universidad: la experiencia de la Universidad Militar Nueva Granada

    OpenAIRE

    Bibiana Carolina Moncayo Orjuela; Carolina Ortiz Riaga; Adriana Riaño Triviño

    2013-01-01

    Este trabajo presenta los resultados parciales de la investigación titulada “Modelo de formación de líderes para la Universidad Militar Nueva Granada”, cuyo propósito giró en torno al desarrollo de acciones tendientes a incrementar las competencias profe- sionales del estudiante neogranadino en ese campo, especialmente con miras a estructurar una escuela de liderazgo. Por ello, se efectuó un estudio de tipo cualitativo, que utilizó plan- teamientos del modelo de investigación–acción par...

  4. Pietro Antonio Tomasello de Padua : un ingeniero militar véneto en la Sicilia de Carlos V

    OpenAIRE

    Vesco, Maurizio

    2011-01-01

    En 1522 el virrey de Sicilia, Ettore Pignatelli, conde de Monteleone, inició una gran campaña para fortalecer las defensas de las principales ciudades de la costa de Sicilia: Palermo, Trapani, Milazzo, Siracusa y, algunos años más tarde, incluso Messina. El ingeniero real Pietro Antonio Tomasello de Padua, un técnico militar Veneto, pidió renovar el sistema de defensas de la isla, con la introducción por primera vez de bastiones circulares y poligonales en for...

  5. Clinic Practical Guides for Cerebrovascular Diseases Guías de práctica clínica para las enfermedades cerebrovasculares

    Directory of Open Access Journals (Sweden)

    Alejandro Pando Cabrera

    Full Text Available The clinic practical guides for cerebrovascular diseases are presented. They include different aspects as its concept, classification, and epidemiological data in Cuba as well as worldwide. They also offer its diagnosis, classification, complications and treatment. The frequency of assessment of its application including the tools to measure the quality of life in patients with cerebrovascular accident and the way to proceed with them are shown
    Se presentan las guías de práctica clínica para las enfermedades cerebrovasculares. Incluye aspectos como su concepto y clasificación, datos epidemiológicos en el mundo y en Cuba, así como su diagnóstico, clasificación, complicaciones y tratamiento. Se ofrece la forma y frecuencia de la evaluación de su aplicación e incluye instrumentos para medir calidad de vida de los enfermos con accidentes cerebrovasculares.

  6. Pioglitazone improves reversal learning and exerts mixed cerebrovascular effects in a mouse model of Alzheimer's disease with combined amyloid-β and cerebrovascular pathology.

    Directory of Open Access Journals (Sweden)

    Panayiota Papadopoulos

    Full Text Available Animal models of Alzheimer's disease (AD are invaluable in dissecting the pathogenic mechanisms and assessing the efficacy of potential new therapies. Here, we used the peroxisome proliferator-activated receptor gamma agonist pioglitazone in an attempt to rescue the pathogenic phenotype in adult (12 months and aged (>18 months bitransgenic A/T mice that overexpress a mutated human amyloid precursor protein (APPSwe,Ind and a constitutively active form of transforming growth factor-β1 (TGF-β1. A/T mice recapitulate the AD-related cognitive deficits, amyloid beta (Aβ and cerebrovascular pathologies, as well as the altered metabolic and vascular coupling responses to increased neuronal activity. Pioglitazone normalized neurometabolic and neurovascular coupling responses to sensory stimulation, and reduced cortical astroglial and hippocampal microglial activation in both age groups. Spatial learning and memory deficits in the Morris water maze were not rescued by pioglitazone, but reversal learning was improved in the adult cohort notwithstanding a progressing Aβ pathology. While pioglitazone preserved the constitutive nitric oxide synthesis in the vessel wall, it unexpectedly failed to restore cerebrovascular reactivity in A/T mice and even exacerbated the dilatory deficits. These data demonstrate pioglitazone's efficacy on selective AD hallmarks in a complex AD mouse model of comorbid amyloidosis and cerebrovascular pathology. They further suggest a potential benefit of pioglitazone in managing neuroinflammation, cerebral perfusion and glucose metabolism in AD patients devoid of cerebrovascular pathology.

  7. Algunos ejemplos de las transformaciones experimentadas por la aquitectura militar espa??ola en la transici??n del g??tico al Renacimiento

    OpenAIRE

    Ruibal, Amador

    2016-01-01

    La arquitectura militar sufre profundas transformaciones en la segunda mitad del siglo XV y principios del XV, motivadas por el desarrollo de la poliorc??tica para hacer frente al desaf??o que suponen las armas de fuego. Pero tambi??n influyen las nuevas condiciones de vida que corresponden a una sociedad m??s desarrollada. Todo ello supone grandes cambios, en el modo de concebir las fortalezas en dos sentidos, por una parte en lo militar, para hacer frente a ej??rcitos m??s numerosos y mejor...

  8. Relação entre auto-estima e estratégias de coping em contexto militar : um estudo exploratório

    OpenAIRE

    Pinheiro, Gisela Maria dos Santos

    2012-01-01

    Alguns indivíduos crescem valorizando aquilo que são e aquilo que fazem (auto-estima), enquanto outros se sentem sem valor e, mediante o estado de espírito, diferentes indivíduos utilizam diferentes estratégias (coping) para se superarem . O objecto do presente estudo é explorar a relação entre a auto-estima e as estratégias de coping em contexto militar, analisando o que determina o sucesso no ingresso no ensino superior militar, tendo como referências-chave a avaliação global dos indivíd...

  9. Caregiver awareness of cerebrovascular risk of patients with dementia due to Alzheimer's disease in São Paulo, Brazil

    OpenAIRE

    Fabricio Ferreira de Oliveira; Jose Roberto Wajman; Paulo Henrique Ferreira Bertolucci

    2014-01-01

    Background Proper control of cerebrovascular risk is essential to prevent cognitive change in dementia due to Alzheimer’s disease (AD). Objective To investigate whether caregiver awareness to control cerebrovascular risk impacts the lifestyles of patients with AD. Methods Consecutive outpatients with AD were assessed for demographic features, Clinical Dementia Rating scores, cerebrovascular risk, pharmacotherapy, dietary therapy and practice of physical activities. Patients and caregiv...

  10. Dietary Curcumin Ameliorates Aging-Related Cerebrovascular Dysfunction through the AMPK/Uncoupling Protein 2 Pathway

    Directory of Open Access Journals (Sweden)

    Yunfei Pu

    2013-11-01

    Full Text Available Background/Aims: Age-related cerebrovascular dysfunction contributes to stroke, cerebral amyloid angiopathy, cognitive decline and neurodegenerative diseases. One pathogenic mechanism underlying this effect is increased oxidative stress. Up-regulation of mitochondrial uncoupling protein 2 (UCP2 plays a crucial role in regulating reactive oxygen species (ROS production. Dietary patterns are widely recognized as contributors to cardiovascular and cerebrovascular disease. In this study, we tested the hypothesis that dietary curcumin, which has an antioxidant effect, can improve aging-related cerebrovascular dysfunction via UCP2 up-regulation. Methods: The 24-month-old male rodents used in this study, including male Sprague Dawley (SD rats and UCP2 knockout (UCP2-/- and matched wild type mice, were given dietary curcumin (0.2%. The young control rodents were 6-month-old. Rodent cerebral artery vasorelaxation was detected by wire myograph. The AMPK/UCP2 pathway and p-eNOS in cerebrovascular and endothelial cells were observed by immunoblotting. Results: Dietary curcumin administration for one month remarkably restored the impaired cerebrovascular endothelium-dependent vasorelaxation in aging SD rats. In cerebral arteries from aging SD rats and cultured endothelial cells, curcumin promoted eNOS and AMPK phosphorylation, up-regulated UCP2 and reduced ROS production. These effects of curcumin were abolished by either AMPK or UCP2 inhibition. Chronic dietary curcumin significantly reduced ROS production and improved cerebrovascular endothelium-dependent relaxation in aging wild type mice but not in aging UCP2-/- mice. Conclusions: Curcumin improves aging-related cerebrovascular dysfunction via the AMPK/UCP2 pathway.

  11. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Domingo García, AM

    2006-02-01

    Full Text Available RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas funcional, motriz, sensorial, perceptivo y cognitiva. No debemos olvidar el asesoramiento realizado al paciente, a la familia y/ o cuidadores sobre el manejo de la persona que ha sufrido un ictus, la adaptación del entorno y la prescripción, uso y manejo de ayudas técnicas cuando sea necesario.Las propuestas terapéuticas que expondré a continuación, no son recetas únicas que se puedan emplear del mismo modo en todos las personas que hayan sufrido un ictus. Con cada paciente será necesario una evaluación individualizada de su situación y una adaptación de la terapia según sus déficit específicos.La meta final de la Terapia Ocupacional es la integración óptima del paciente dentro de su entorno familiar y social, con el mayor grado de autonomía posible.ABSTRACTAmong the patients who need Occupational Therapy’s rehabilitation treatment, there are those who have suffered a cerebrovascular damage when elderly.People’s gradual ageing is one of the risk factors in the nervous central system’s alterations and this is why I am going to write about intervention on geriatric population.The Occupational Therapy’s rehabilitation treatment works on the functional, motor, sensorial, perceptive and cognitive areas. Moreover, we should not forget to advise the patient and his/her family or caregivers about the way of treating ,the environment’s adaptation, the prescription and use of technical aids when needed.The following therapeutic

  12. Hospitalized cardiovascular events in patients with diabetic macular edema

    OpenAIRE

    Nguyen-Khoa Bao-Anh; Goehring Earl L; Werther Winifred; Fung Anne E; Do Diana V; Apte Rajendra S; Jones Judith K

    2012-01-01

    Abstract Background Microvascular and macrovascular complications in diabetes stem from chronic hyperglycemia and are thought to have overlapping pathophysiology. The aim of this study was to investigate the incidence rate of hospitalized myocardial infarctions (MI) and cerebrovascular accidents (CVA) in patients with diabetic macular edema (DME) compared with diabetic patients without retinal diseases. Methods This was a retrospective cohort study of a commercially insured population in an a...

  13. Intermittent hypoxia training protects cerebrovascular function in Alzheimer's disease.

    Science.gov (United States)

    Manukhina, Eugenia B; Downey, H Fred; Shi, Xiangrong; Mallet, Robert T

    2016-06-01

    Alzheimer's disease (AD) is a leading cause of death and disability among older adults. Modifiable vascular risk factors for AD (VRF) include obesity, hypertension, type 2 diabetes mellitus, sleep apnea, and metabolic syndrome. Here, interactions between cerebrovascular function and development of AD are reviewed, as are interventions to improve cerebral blood flow and reduce VRF. Atherosclerosis and small vessel cerebral disease impair metabolic regulation of cerebral blood flow and, along with microvascular rarefaction and altered trans-capillary exchange, create conditions favoring AD development. Although currently there are no definitive therapies for treatment or prevention of AD, reduction of VRFs lowers the risk for cognitive decline. There is increasing evidence that brief repeated exposures to moderate hypoxia, i.e. intermittent hypoxic training (IHT), improve cerebral vascular function and reduce VRFs including systemic hypertension, cardiac arrhythmias, and mental stress. In experimental AD, IHT nearly prevented endothelial dysfunction of both cerebral and extra-cerebral blood vessels, rarefaction of the brain vascular network, and the loss of neurons in the brain cortex. Associated with these vasoprotective effects, IHT improved memory and lessened AD pathology. IHT increases endothelial production of nitric oxide (NO), thereby increasing regional cerebral blood flow and augmenting the vaso- and neuroprotective effects of endothelial NO. On the other hand, in AD excessive production of NO in microglia, astrocytes, and cortical neurons generates neurotoxic peroxynitrite. IHT enhances storage of excessive NO in the form of S-nitrosothiols and dinitrosyl iron complexes. Oxidative stress plays a pivotal role in the pathogenesis of AD, and IHT reduces oxidative stress in a number of experimental pathologies. Beneficial effects of IHT in experimental neuropathologies other than AD, including dyscirculatory encephalopathy, ischemic stroke injury, audiogenic

  14. Thrombin, a mediator of cerebrovascular inflammation in AD and hypoxia

    Directory of Open Access Journals (Sweden)

    Debjani eTripathy

    2013-05-01

    Full Text Available Considerable evidence implicates hypoxia and vascular inflammation in Alzheimer’s disease (AD. Thrombin, a multifunctional inflammatory mediator, is demonstrable in the brains of AD patients both in the vessel walls and senile plaques. Hypoxia-inducible factor 1α (HIF-1α, a key regulator of the cellular response to hypoxia, is also upregulated in the vasculature of human AD brains. The objective of this study is to investigate inflammatory protein expression in the cerebrovasculature of transgenic AD mice and to explore the role of thrombin as a mediator of cerebrovascular inflammation and oxidative stress in AD and in hypoxia-induced changes in brain endothelial cells. Immunofluorescent analysis of the cerebrovasculature in AD mice demonstrates significant (p<0.01-0.001 increases in thrombin, HIF-1α, interleukin-6 (IL-6, monocyte chemoattractant protein-1 (MCP-1, matrix metalloproteinases (MMPs, and reactive oxygen species (ROS compared to controls. Administration of the thrombin inhibitor dabigatran (100 mg/kg to AD mice for 34 wks significantly decreases expression of inflammatory proteins and ROS. Exposure of cultured brain endothelial cells to hypoxia for 6 h causes an upregulation of thrombin, HIF-1α, MCP-1, IL-6 and MMP2 and ROS. Treatment of endothelial cells with the dabigatran (1 nM reduces ROS generation and inflammatory protein expression (p<0.01-0.001. The data demonstrate that inhibition of thrombin in culture blocks the increase in inflammatory protein expression and ROS generation evoked by hypoxia. Also, administration of dabigatran to transgenic AD mice diminishes expression of inflammatory proteins and ROS in the cerebromicrovasculature. Taken together, these results suggest that inhibiting thrombin generation could have therapeutic value in AD and other disorders where hypoxia, inflammation and oxidative stress are involved.

  15. O estudante de enfermagem e a saúde do trabalhador: estudo de caso de uma coletividade de militares bombeiros

    Directory of Open Access Journals (Sweden)

    Ieda Barreira e Castro

    1987-12-01

    Full Text Available O estudo refere-se ao trabalho desenvolvido por professoras e estudantes da EEAN/UFRJ com 284 militares em um quartel do Corpo de Bombeiros da Cidade do Rio de Janeiro. Após a observação da ambiência e do exame simplificado de saúde dos militares, foi realizado o tratamento estatístico dos dados e eleaborado o diagnóstico simplificado de saúde, que baseou-se nos critérios de magnitude, transcedência e vulnerabilidade. As ações implementadas no campo de prática tiveram suporte teórico-prático. O número total de horas gastas com todas as atividades foi de 144. O processo assistencial desenvolveu-se com uma perspectiva de aplicação do método científico e do com promisso profissional de contribuir para a melhoria da saúde da população.

  16. El Diccionario Militar (1749 de Raimundo Sanz y la incorporación de galicismos al castellano

    Directory of Open Access Journals (Sweden)

    Marta Sánchez Orense

    2014-01-01

    Full Text Available El Diccionario militar, o recolección alphabética de todos los términos propios al Arte de la Guerra (1749, traducción del Dictionnaire militaire, ou recueil alphabetique de tous les termes propres à l'Art de la Guerre de Aubert de la Chesnaye Desbois, obtuvo pésimas consideraciones por parte de escritores posteriores a Raimundo Sanz, su autor, entre otros del lexicógrafo y militar español José Almirante, quien lo tachó de “traducción detestable”. Con este trabajo pretendemos averiguar la veracidad de las críticas vertidas a propósito del elevado número de galicismos que contiene. Para ello, procederemos a examinar el lemario que conforma su macroestructura y a clasificarlo de acuerdo con su procedencia etimológica, a la vez que prestamos especial atención a la fecha de incorporación a nuestra lengua de los préstamos del francés implicados.

  17. The War on Drugs in Colombia: The Environment, the Treadmill of Destruction and Risk-Transfer Militarism

    Directory of Open Access Journals (Sweden)

    Chad L. Smith

    2015-08-01

    Full Text Available Ecological damage, including global climate change, is commonly connected to practices and behaviors associated with economic activity and the Treadmill of Production (ToP. Less attention is paid to the connection between the military and environmental degradation, but recently the Treadmill of Destruction (ToD has been documented as a global phenomenon with negative environmental effects. The ToD directly and indirectly contributes to environmental problems on many fronts, but one of the least obvious means by which the U.S. military influences the environment is through its policies supporting the "war on drugs. " The U.S. military aids Latin American countries, particularly Colombia, in the war on drugs in a number of capacities, including military support and training, weaponry, fumigation of crops, and logistical and surveillance support. The effort of the United States to curb the proliferation of illegal drug crops in Colombia is the most direct role that the military has played in this effort. Within the context of the "war on drugs" the United States is now engaged in risk-transfer militarism in which the consequences of this military action are borne by the Global South. We document the scope, magnitude, and consequences of the ToD in the war on drugs and the ways it negatively impacts the environment. Our argument reframes the ToD by emphasizing the role of risk-transfer militarism within the emergence of "new" wars as represented in the case of Colombia.

  18. A ditadura civil-militar uruguaia: doutrina e segurança nacional Uruguayan dictatorship: doctrine and national security

    Directory of Open Access Journals (Sweden)

    Enrique Serra Padrós

    2012-12-01

    Full Text Available Este artigo analisa a interpretação que os militares uruguaios fizeram da Doutrina de Segurança Nacional, entendendo que ela foi o fator basilar da política repressiva estatal que colocou a proteção da Segurança Nacional como premissa principal, justificadora e legitimadora da disseminação do terrorismo de Estado. A leitura feita sobre a Guerra Fria, a ameaça do "inimigo interno" e a ameaça da "subversão" foram elementos mobilizadores presentes nos comunicados oficiais e nas palavras dos principais representantes da ditadura civil-militar que atingiu o Uruguai.This article analyses the interpretation made by the Uruguayan militaries on the National Security Doctrine, understanding this doctrine as the main factor of the state repressive policy which put the National Security protection as the justifying and legitimizing main premise of the State terrorism dissemination. The reading made on the Cold War, the "internal enemy" and "subversion" menaces were mobilizing elements present in official bulletins and in the words of the Uruguayan civic-military dictatorship main representatives.

  19. Limites da formação profissional policial militar: o caso Ronda do Quarteirão

    Directory of Open Access Journals (Sweden)

    Lara Abreu Cruz

    2013-02-01

    Full Text Available A proposta deste artigo é apresentar uma análise dos limites e possibilidades da formação profissional de policiais militares no Brasil a partir de um estudo feito sobre a implantação de um programa de policiamento, com feições comunitárias, no Estado do Ceará: o Ronda do Quarteirão. Nosso objetivo é verificar o modelo de polícia presente no ensino e treinamento profissional dos futuros soldados da Polícia Militar do Ceará (PMCE. A análise aqui proposta baseia-se na documentação relativa aos currículos dos Cursos de Formação Profissional (CFP para soldados do Ronda do Quarteirão de 2007 e 2009, entrevistas com policiais formados nesses CFP’s e na realização de um Grupo Focal com profissionais que participaram no planejamento e execução dos Cursos. Identifica-se a realização de um ensino fragmentado e a manutenção de uma cultura baseada em valores rígidos e em uma hierarquia verticalizada e pouco afeita a crítica.

  20. Brain imaging changes associated with risk factors for cardiovascular and cerebrovascular disease in asymptomatic patients.

    Science.gov (United States)

    Friedman, Joseph I; Tang, Cheuk Y; de Haas, Hans J; Changchien, Lisa; Goliasch, Georg; Dabas, Puneet; Wang, Victoria; Fayad, Zahi A; Fuster, Valentin; Narula, Jagat

    2014-10-01

    Reviews of imaging studies assessing the brain effects of vascular risk factors typically include a substantial number of studies with subjects with a history of symptomatic cardiovascular or cerebrovascular disease and/or events, limiting our ability to disentangle the primary brain effects of vascular risk factors from those of resulting brain and cardiac damage. The objective of this study was to perform a systematic review of brain changes from imaging studies in patients with vascular risk factors but without clinically manifest cardiovascular or cerebrovascular disease or events. The 77 studies included in this review demonstrate that in persons without symptomatic cardiovascular, cerebrovascular, or peripheral vascular disease, the vascular risk factors of hypertension, diabetes mellitus, obesity, hyperlipidemia, and smoking are all independently associated with brain imaging changes before the clinical manifestation of cardiovascular or cerebrovascular disease. We conclude that the identification of brain changes associated with vascular risk factors, before the manifestation of clinically significant cerebrovascular damage, presents a window of opportunity wherein adequate treatment of these modifiable vascular risk factors may prevent the development of irreversible deleterious brain changes and potentially alter patients' clinical course.

  1. Nonlinear effects of respiration on the crosstalk between cardiovascular and cerebrovascular control systems.

    Science.gov (United States)

    Bari, Vlasta; Marchi, Andrea; De Maria, Beatrice; Rossato, Gianluca; Nollo, Giandomenico; Faes, Luca; Porta, Alberto

    2016-05-13

    Cardiovascular and cerebrovascular regulatory systems are vital control mechanisms responsible for guaranteeing homeostasis and are affected by respiration. This work proposes the investigation of cardiovascular and cerebrovascular control systems and the nonlinear influences of respiration on both regulations through joint symbolic analysis (JSA), conditioned or unconditioned on respiration. Interactions between cardiovascular and cerebrovascular regulatory systems were evaluated as well by performing correlation analysis between JSA indexes describing the two control systems. Heart period, systolic and mean arterial pressure, mean cerebral blood flow velocity and respiration were acquired on a beat-to-beat basis in 13 subjects experiencing recurrent syncope episodes (SYNC) and 13 healthy individuals (non-SYNC) in supine resting condition and during head-up tilt test at 60° (TILT). Results showed that JSA distinguished conditions and groups, whereas time domain parameters detected only the effect of TILT. Respiration affected cardiovascular and cerebrovascular regulatory systems in a nonlinear way and was able to modulate the interactions between the two control systems with different outcome in non-SYNC and SYNC groups, thus suggesting that the analysis of the impact of respiration on cardiovascular and cerebrovascular regulatory systems might improve our understanding of the mechanisms underpinning the development of postural-related syncope.

  2. Nonlinear effects of respiration on the crosstalk between cardiovascular and cerebrovascular control systems

    Science.gov (United States)

    Bari, Vlasta; Marchi, Andrea; De Maria, Beatrice; Rossato, Gianluca; Nollo, Giandomenico; Faes, Luca; Porta, Alberto

    2016-05-01

    Cardiovascular and cerebrovascular regulatory systems are vital control mechanisms responsible for guaranteeing homeostasis and are affected by respiration. This work proposes the investigation of cardiovascular and cerebrovascular control systems and the nonlinear influences of respiration on both regulations through joint symbolic analysis (JSA), conditioned or unconditioned on respiration. Interactions between cardiovascular and cerebrovascular regulatory systems were evaluated as well by performing correlation analysis between JSA indexes describing the two control systems. Heart period, systolic and mean arterial pressure, mean cerebral blood flow velocity and respiration were acquired on a beat-to-beat basis in 13 subjects experiencing recurrent syncope episodes (SYNC) and 13 healthy individuals (non-SYNC) in supine resting condition and during head-up tilt test at 60° (TILT). Results showed that JSA distinguished conditions and groups, whereas time domain parameters detected only the effect of TILT. Respiration affected cardiovascular and cerebrovascular regulatory systems in a nonlinear way and was able to modulate the interactions between the two control systems with different outcome in non-SYNC and SYNC groups, thus suggesting that the analysis of the impact of respiration on cardiovascular and cerebrovascular regulatory systems might improve our understanding of the mechanisms underpinning the development of postural-related syncope.

  3. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  4. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  5. Caracterização da condição física e fatores de risco cardiovascular de policiais militares rodoviários

    Directory of Open Access Journals (Sweden)

    J.V.D.C. Esteves

    2014-06-01

    Conclusão: Os policiais militares rodoviários mostraram-se com níveis inadequados de condição física, apresentando excesso de peso e adiposidade corporais, e, uma parcela importante, exibiu níveis pressóricos elevados, sugerindo elevado risco cardiovascular.

  6. El sueño de la transición. Los militares y los servicios de inteligencia que la hicieron posible [Recensiones

    OpenAIRE

    Olábarri-Gortázar, I. (Ignacio)

    2015-01-01

    Recensión de: Fernández-Monzón Altolaguirre, Manuel; Mata, Santiago, El sueño de la transición. Los militares y los servicios de inteligencia que la hicieron posible, Madrid, La Esfe-ra de los Libros, 2014. ISBN: 978-84-9060-183-9.

  7. O Tractado da Grandeza em Geral de B. Lamy: uma introdução cartesiana à matemática no ensino militar português

    OpenAIRE

    Domingues, João Caramalho

    2014-01-01

    Resumo alargado de uma comunicação sobre a utilização na Academia Militar de Lisboa na primeira metade do séc. XVIII de um compêndio francês (traduzido) de aritmética e álgebra como introdução à matemática.

  8. A campanha da legalidade: a percepção dos Sargentos da Brigada Militar de Santa Maria sobre sua participação = A campaign of legality: perceptions of Sergeants Brigade Military from Santa Maria about your participation

    Directory of Open Access Journals (Sweden)

    Santos, Elheovandro José dos

    2014-01-01

    Full Text Available No ano de 1961 o Brasil passou por uma das maiores crises políticas da sua história. Esta crise mobilizou tanto a sociedade civil como a militar, e foi deflagrada com a renúncia do então Presidente da República Jânio Quadros, no dia 25 de Agosto de 1961, sob alegação de que “forças terríveis” levantaram-se contra ele. O Governador do Rio Grande do Sul, Leonel de Moura Brizola, levantou-se contra a tentativa dos Ministros Militares tomarem o poder. Essa resistência ficou conhecida como Campanha da Legalidade. A maior força bélica que o governo estadual pode contar foi a Brigada Militar. Após a reconstrução de um breve histórico da Polícia Militar do Rio Grande do Sul, conhecida como Brigada Militar, foi feita uma reconstituição dos principais fatos ocorridos durante aqueles dias, com ênfase na atuação das forças militares estaduais. Entender como os Sargentos da Brigada Militar de Santa Maria percebem na atualidade sua participação é o objetivo deste artigo. Para alcança-lo nos valemos da história oral

  9. The involvement of cerebrovascular reactivity in pathogenesis of space motion sickness

    Science.gov (United States)

    Moskalenko, Yu. E.; Beketov, A. I.; Weinstein, G. B.; Maximuk, V. F.; Skoromny, N. A.; Vasiljev, K. K.; Vorobjev, M. V.

    The aim of the presented work is to investigate the mechanisms of involvement of cerebral circulation in pathogenesis of space motion sickness. In experiments on chronic rabbits the 2-hours rocking and antiorthostasis served as a model of influences of the zero-gravity conditions intracranial hemo- and liquorodynamics. Cerebrovascular reactivity was evaluated as a response of cerebral blood flow and intracerebral rheoencephalography to functional loads (photostimulation, CO 2-inhalation, Stookey test). Shifts of water balance in the brain tissue has been assessed by means of three-frequency brain electrical impedance. Rocking plus antiorthostasis resulted in decrease of the cerebrovascular reactivity and hyperhydration. The data obtained show a significant decrease of compensatory abilities of the cerebrovascular system under the zero-gravity conditions.

  10. Postprandial hyperglycemia and cerebrovascular diseases%餐后高血糖与脑血管病

    Institute of Scientific and Technical Information of China (English)

    辛家厚; 周农

    2009-01-01

    Postprandial hyperglycemia is a risk factor for atherosclerosis and cerebro-vascular diseases. This article reviews the mechanisms of cerebrovascular diseases caused by postprandial hyperglycemia from aspects of postprandial hyperglycemia participating in the pathophysiological mechanisms of atherosclerosis, and the relations between postprandial hyperglycemia and cerebrovascular diseases.%餐后血糖升高是动脉粥样硬化和脑血管病的危险因素.文章分别从餐后高血糖参与动脉粥样硬化的病理生理学机制、餐后高血糖与脑血管病的关系及其病理生理学机制等方面,综述了餐后高血糖引起脑血管病的机制.

  11. Acupuncture and Cupping for Treatment of Hiccup in Cases of Cerebrovascular Accident

    Institute of Scientific and Technical Information of China (English)

    Xie Hongliang; Cao Xuemei; Huang Shizhao; Liao Chaofeng

    2006-01-01

    Objective:To observe the therapeutic effects of acupuncture and cupping for hiccup in cases of cerebrovascular accident.Method:80 cases of hiccup due to cerebrovascular accident were randomly divided into the treatment group of 40 cases treated by acupuncture and cupping and the control group of 40 cases treated with Ritaline.Result:In the treatment group,24 cases were cured,8 cases markedly effective,5 cases improved,and 3 cases failed,with a total effective rate of 92.5%.In the control group,9 cases were cured,12 cases markedly effective,8 cases improved,and 11 cases failed,with a total effective rate of 72.5%.There was a statistically significant difference in the therapeutic effects between the two groups(μ=3.3259,P=0.0009).Conclusion:The effect of acupuncture and cupping for hiccup due to cerebrovascular accident was noticeably superior to Ritaline.

  12. The relationship between cerebrovascular disease and homocysteine, folate and vitamin B12 in serum

    International Nuclear Information System (INIS)

    To investigate the relationship between cerebrovascular disease and the serum levels of homocysteine(Hcy), folate and vitamin B12, the serum levels of Hcy, folate and vitamin B12 in 148 patients with cerebrovascular disease were measured by fluorescence polarization immuno- assay and chemiluminescence and were compared with those in healthy controls. The result showed that the serum Hcy levels in patients with cerebral infarction, cerebral hemorrhage and vertebrobasilar ischemiay were significantly higher than those in healthy controls (P12 levels were signifieantly lower (P0.05). No significantly higher ratio of increased Hcy levels was observed in patient with complications (P> 0.05). Our conclusion is that hyperhomocysteinemia may be a new and an independent risk factor for cerebrovascular disease. The serum Hcy level is correlated with decreased levels of folate and vitamin B12 but not obviously correlated with hypertension, diabetes and coronary heart disease. (authors)

  13. Cognitive impairment after cerebrovascular stroke: Relationship to vascular risk factors

    Directory of Open Access Journals (Sweden)

    Eman M Khedr

    2009-02-01

    Full Text Available Eman M Khedr1, Sherifa A Hamed1, Hala K El-Shereef2, Ola A Shawky1, Khalid A Mohamed1, Effat M Awad3, Mohamed A Ahmed2, Ghaydaa A Shehata1, Mahmoud A Eltahtawy41Department of Neurology and Psychiatry, 2Department of Internal Medicine, 3Department of Physiology, 4Department of Clinical Pathology, Assiut University, Faculty of Medicine, Assiut, EgyptBackground: Cognitive decline after cerebrovascular stroke has adverse outcome consequences. Since some vascular causes can be prevented and treated, the identification of stroke-related cognitive impairment is a challenge. Patients with cognitive impairment and vascular diseases exhibit higher homocysteine (Hcy concentrations. Whether Hcy is an independent risk factor for cognitive impairment after stoke is still in question. The objectives of this study were to determine: 1 the relative frequency of first-ever post-stroke dementia (PSD (three months after onset in a consecutive sample of our population, 2 the risk factors associated with PSD, and 3 the relationship between Hcy levels and PSD.Methods: Eighty-one inpatients with first-ever stroke were prospectively evaluated with a neuropsychological battery and event-related evoked potentials (P300 at onset and then after three months. A wide range of demographic, clinical, radiological and laboratory variables were examined. PSD was diagnosed if the clinical presentation fulfilled DSM-IV criteria of vascular dementia, the patient scored ≤21 on Mini Mental State Examination (MMSE and ≤67 points on Cognitive Abilities Screening Instruments (CASI.Results: PSD was diagnosed in 21%. PSD was significantly associated with increasing age, low levels of education, large sized and lacunar infarctions, severity of stroke, prolonged P300 latency, smoking, hypertension, and elevated Hcy levels. High Hcy levels increased the odds ratio of PSD after adjustment of significantly relevant variables including age, smoking, size of infarction, and carotid stenosis

  14. Tomography methods for diagnostic examination of cerebrovascular disease: a comparative evaluation of SPECT, PET and MR/CT findings

    International Nuclear Information System (INIS)

    Single Photon Emissions Computerized Tomography (SPECT), Positron Emissions Tomography (PET), Magnetic Resonance Tomography (MR), and Transmission Computerized Tomography (CT) complement each other and lead to a consideration of the cerebrovascular disease under patho-physiological aspects. Indications for the combined application of functionally oriented (SPECT/PET) and morphologically oriented (CT/MR) examination methods with cerebrovascular disease are presented. (orig./MG)

  15. Different cerebrovascular effects of medroxyprogesterone acetate and norethisterone acetate in the New Zealand White rabbit

    DEFF Research Database (Denmark)

    Pedersen, S H; Pedersen, N G; Dalsgaard, T;

    2004-01-01

    of different progestins on cerebrovascular reactivity in an animal model. METHODS: Fifty-six ovariectomized New Zealand White rabbits were randomized into seven groups receiving hormone treatment for 4 weeks: medroxyprogesterone acetate (MPA) (10 mg/day); norethisterone acetate (NETA) (3 mg/day); conjugated....... No overall differences were seen between CEE and E2. CONCLUSIONS: In rabbit cerebral arteries, MPA treatment causes a higher development in arterial tension compared with NETA, indicating that different progestins may display different cerebrovascular effects. However, when accompanied by estrogens...

  16. Silent cerebrovascular damage and its early correlates in essential hypertensive patients.

    Science.gov (United States)

    Paglieri, Cristina; Rabbia, Franco; Bergui, Mauro; Genesia, Maria Luisa; Canadè, Antonella; Berra, Elena; Fulcheri, Chiara; Covella, Michele; Di Stefano, Cristina; Cerrato, Paolo; Veglio, Franco

    2012-01-01

    This study tested the association between cognitive functions, cerebrovascular damage, and cerebrovascular reactivity in 71 essential young hypertensives (age matched) and 22 normotensives (age matched). They underwent ambulatory blood pressure monitoring, neurocognitive tests, cerebral magnetic resonance, and transcranial Doppler. Twenty-three percent of patients showed more than 10 white matter lesions and 8% showed none. No control subjects showed more than 10 white matter lesions and 90% of normal controls showed no lesions. Patients with more than 10 white matter alterations had longer hypertensive story and showed significant lower nocturnal blood pressure fall. Pulsatility index was correlated with the number of white matter lesions. PMID:22574940

  17. Cerebral blood flow, oxidative metabolism and cerebrovascular carbon dioxide reactivity in patients with acute bacterial meningitis

    DEFF Research Database (Denmark)

    Møller, Kirsten; Strauss, Gitte Irene; Thomsen, Gerda;

    2002-01-01

    BACKGROUND: The optimal arterial carbon dioxide tension (P(a)CO(2)) in patients with acute bacterial meningitis (ABM) is unknown and controversial. The objective of this study was to measure global cerebral blood flow (CBF), cerebrovascular CO(2) reactivity (CO(2)R), and cerebral metabolic rates...... to baseline ventilation, whereas CMR(glu) increased. CONCLUSION: In patients with acute bacterial meningitis, we found variable levels of CBF and cerebrovascular CO(2) reactivity, a low a-v DO(2), low cerebral metabolic rates of oxygen and glucose, and a cerebral lactate efflux. In these patients...

  18. Evaluación de las variables de personalidad que favorecen el éxito laboral valoradas por los cuadros de mando del Ejército de Tierra y su incidencia en los militares de tropa profesional

    OpenAIRE

    Muñoz Cenjor, María José

    2015-01-01

    Esta investigación tiene como objetivo evaluar las variables de personalidad que favorecen el éxito laboral (perfil de personalidad idóneo) según la valoración que realizan los Cuadros de Mando del Ejército de Tierra (jueces militares) y examinar su correspondencia en los Militares de Tropa Profesional de dicho Ejército. También pretende analizar la sintomatología ansiosa y depresiva de los Militares de Tropa en el momento actual, los antecedentes psicopatológicos familiares y personales ante...

  19. Processamento auditivo de militares expostos a ruído ocupacional Auditory processing of servicemen exposed to occupational noise

    Directory of Open Access Journals (Sweden)

    Carla Cassandra de Souza Santos

    2008-03-01

    Full Text Available OBJETIVO: avaliar o processamento auditivo de militares expostos a ruído ocupacional. MÉTODOS: foram avaliados 41 militares, com exposição a ruído superior a 10 anos, subdivididos em Grupo A (n =16, sem perda auditiva e Grupo B (n = 25, com perda auditiva. Foram realizadas avaliação audiológica básica e testes de processamento auditivo (testes de Fala Filtrada, SSW em Português e de Padrão de Freqüência. RESULTADOS: observou-se altas incidências de alteração de processamento auditivo, especialmente no teste de Fala Filtrada (43,75% e 68% nos grupos A e B, respectivamente e teste de Padrão de Freqüência (68,75% e 48%, nos grupos A e B, respectivamente. O teste SSW não se mostrou eficiente para avaliar as habilidades auditivas centrais de indivíduos expostos a elevados níveis de pressão sonora. CONCLUSÃO: a exposição a ruído ocupacional interfere no processamento auditivo de militares. As alterações na via auditiva central podem ser verificadas independente da presença de alteração auditiva periférica.PURPOSE: to evaluate the auditory processing of military personnel exposed to occupational noise. METHODS: 41 servicemen, exposed to noise for at least 10 years were evaluated, divided into Group A (n= 16, without hearing loss and Group B (n= 25, with hearing loss. The following evaluations were carried through: basic audilogic evaluation and auditory processing tests (low-filtered, SSW and Pitch Pattern Sequence tests. RESULTS: there were high incidences of auditory processing alterations, especially at low-filtered test (43.75% and 68% on groups A e B, respectively and Pitch Pattern Sequence test (68.75% and 48%, on groups A e B, respectively. The SSW test was not efficient to evaluate the central hearing abilities of people exposed to high levels of sound pressure. CONCLUSION: the occupational noise exposure interferes in the auditory processing of military personnel. The alterations on central auditory pathways

  20. La Aviación Militar Española: una historia corta pero de gran intensidad

    Directory of Open Access Journals (Sweden)

    Sánchez Méndez, José

    2002-02-01

    Full Text Available Not available

    En este artículo, su autor hace un recorrido histórico, excelentemente documentado, por toda la historia de la Aviación Militar Española, desde sus inicios, allá por 1910, hasta nuestros días.
    Como puntos más importantes podemos destacar:

    • La Campaña de Marruecos, donde se realizó el primer bombardeo específicamente aéreo y se constato la necesidad de contar con apoyo aéreo para el desarrollo de las operaciones militares.
    • Los grandes vuelos de la Aviación Militar Española: Palos de la Frontera-Buenos Aires, Madrid-Manila, Melilla-Santa Isabel.
    • La época de la guerra civil española, escenario de las nuevas doctrinas aéreas y de ensayo de nuevas tácticas que marcarían la futura actuación de la Aviación en la II Guerra Mundial.
    • La creación del Ejército del Aire, la "Escuadrilla Azul" y el difícil quinquenio 1945-50, hasta que se inició su modernización.
    • En el área operativa se trata la actuación del Poder Aéreo en Ifni, Sahara y los Balcanes.
    • En el área de organización se habla sobre el programa ORGEA (Organización del Ejército del Aire, la creación del Ministerio de Defensa y la estructura orgánica actual.
    • En lo referente a material, destacan la creación de la red de alerta y control, la llegada de los primeros cazas, para terminar con los más recientes planes de modernización.
    • Por último, debemos hacer mención especial de nuestra integración en Europa e ingreso en la OTAN, por la gran influencia que estos dos hechos han tenido y tendrán en el futuro del Ejército del Aire.

  1. Cerebrovascular Diseases and Risk Factors: a Strategy of Primary Prevention Factores de riesgo y enfermedad cerebrovascular: una estrategia de prevención primaria

    OpenAIRE

    Rubén Bembibre Taboada; Miguel Angel Buergo Zuaznábar

    2007-01-01

    Cerebrovascular diseases constitute a health problem worldwide and have the tendency to grow up. Chronic diseases sometimes are considered transmissible diseases at a level of risk factors. The alimentary habits and the levels of physical activity at present are risk behaviors which are spread all over the world passing from one population to another as an infectious disease with incidence in the morbidity profiles worldwide. While age and sex as well as genetic vulnerability are no modifiabl...

  2. Militarismo de transferencia de riesgo militar y la legitimidad de la guerra tras Irak.

    Directory of Open Access Journals (Sweden)

    Martin SHAW

    2006-03-01

    Full Text Available El siglo XXI ha visto el surgimiento de lo que Martin Shaw denomina militarismo de transferencia de riesgo, que ya habría sido aplicado en las guerras de Afganistán e Irak. Una nueva estrategia de las potencias occidentales que disminuye los costes políticos de las intervenciones armadas trasladando el riesgo a la parte contraria, esto es los enemigos no occidentales y caracterizadas por la muerte de las fuerzas armada enemigas, la participación de aliados locales que corren el principal riesgo, las pequeñas masacres accidentales de civiles, el control de los medios de comunicación y la existencia de víctimas civiles indirectas. Todo ello permitiría al autor afirmar que junto con el resurgir de la guerra justa, resurgen también nuevos medios para deslegitimar los conflictos armados y justificar el pacifismo histórico.  Normal 0 21 false false false ES X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:12.0pt; mso-para-margin-left:0cm; text-align:justify; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} According to Martin Shaw, the 21st century has experienced the development of what he calls ‘risk-transfer militarism.’ This term refers to a new strategy of the Western countries whereby they reduce the political costs for military interventions by transferring their risks to the non-western enemies, explaining how this tactic has been applied to the Afghanistan and Iraq Wars. This

  3. Cumprimento de missões militares na América Latina Military Mission Compliance in Latin America

    Directory of Open Access Journals (Sweden)

    David Pion-Berlin

    2012-12-01

    Full Text Available Este estudo sugere um modelo para o entendimento da relação entre diferentes missões militares e diferentes níveis de cumprimento ou não cumprimento. O cumprimento tem a ver com a natureza da missão em si e se a experiência e o treinamento prévio dos militares são compatíveis com as funções que lhe são atribuídas. Quanto maior a diferença entre a missão e a capacidade profissional para realizá-la, será menos provável que os militares estejam favoravelmente predispostos a cumpri-las. A exceção a essa regra reside naquelas onde estão presentes consideráveis benefícios potenciais para uma missão nova e não familiar. Caso contrário, onde a desvantagem é grande, os militares irão fugir de suas funções, negociar, ou estabelecer condições como preço para o cumprimento da missão. Eu suponho que o cumprimento da missão será maior nos casos de manutenção da paz, de ação cívica e de missões de destruição de drogas. A negociação é mais provável nos casos de contra-insurgência e o não-cumprimento é mais provável para missões anti-crimes e de manutenção da ordem pública.This study suggests a framework for understanding the relationship between different military missions and differing levels of compliance or non-compliance. Compliance has to do with the nature of the mission itself and whether the military’s prior training and experience is compatible with the duties assigned to it. The greater the gap between the mission and the professional capacity to carry it out, the less likely the military will be favorably predisposed. The exception to that rule is where the potential benefits to a new and unfamiliar mission are considerable. Otherwise where the gap is great, the military will either shirk its duties, bargain, or set conditions as the price for mission fulfillment. I hypothesize that mission compliance will be greatest for peacekeeping, civic action and crop eradication missions. Bargaining is

  4. Arquitectura militar en la región de Jaina, Campeche, México. Falsedades en la historia defensiva colonial

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    Victoria Ojeda, Jorge

    1999-06-01

    Full Text Available El autor pasa revista a dos observaciones hechas sobre las fortificaciones en la región de Jaina que considera incorrectas, puesto que parten de la premisa de que estas construcciones datan del período colonial. Si bien un conocido mapa de las construcciones militares en la isla ha sido utilizado para fecharlas en el siglo XVIII, la información que lo acompaña es apócrifa. En la segunda parte, trata de la antigüedad de las fortificaciones del camino a Jaina, fechadas en los siglos XVII y XVIII; tras sopesar las distintas fechas posibles, concluye que las fortificaciones son, en realidad, posteriores a 1821. Esta corrección evitará errores en la evaluación de las estrategias de defensa coloniales en la península de Yucatán.

  5. O imaginário sobre o militar em cartões-postais franceses (1900-1918

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    Marco Antonio Stancik

    2012-06-01

    Full Text Available Após sofrer humilhante derrota na Guerra Franco-Prussiana (1870 e ter os territórios da Alsácia e da Lorena anexados pela Alemanha, a França tendeu a alimentar intenso desejo de vingança. Situado em tal contexto, o trabalho analisa representações visuais relativas à Alsácia-Lorena e aos militares franceses e alemães, conforme veiculadas por cartões-postais produzidos e circulados na França às vésperas e durante a Primeira Guerra Mundial (1914-1918. Observa-se o emprego de imagens de caráter sentimental, nacionalista e belicoso, em sintonia com o imaginário coletivo antigermânico.

  6. Epidemiology of non-fatal cerebrovascular stroke and transient ischemic attacks in Al Quseir, Egypt

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    El-Tallawy HN

    2013-11-01

    Full Text Available Hamdy N El-Tallawy,1 Wafaa MA Farghaly,1 Ghaydaa A Shehata,1 Nabil M Abdel-Hakeem,2 Tarek A Rageh,1 Reda Badry,1 Mahmoud R Kandil1 1Department of Neurology and Psychiatry, Faculty of Medicine, Assiut University Hospital, 2Department of Neurology, Faculty of Medicine, Al-Azhar University, Assiut branch, Assuit, Egypt Background and purpose: Stroke is a medical emergency that can cause permanent neurological damage, complications, and disability. We aim to determine the epidemiology of non-fatal cerebrovascular stroke (CVS and transient ischemic attacks (TIAs in Al Quseir City, Red Sea, Egypt. Methods: The total population (n=33,285 was screened through a door to door study by three specialists of neurology and 15 female social workers (for demographic data collection. All suspected stroke patients were subjected to a full clinical examination, computerized tomography (CT and/or magnetic resonance imaging (MRI of their brain, blood sugar, lipogram, serum uric acid, complete blood cells, blood urea, and serum creatinine, as well as evaluated by Barthel Index and Scandinavian Stroke Scale. Carotid doppler, echocardiography, and thyroid functions were done for selected cases. Results: CVS was recorded among 130 patients out of 19,848 subjects aged 20 years and more, yielding a total prevalence of 6.55/1,000 population. From June 1, 2010 to May 31, 2011, 36 patients were recorded to have stroke within 1-year, yielding an incidence rate of 1.81/1,000. Prevalence and incidence rates were higher among males than females, and both indices increased steadily with advancing age to reach the highest prevalence (37.02/1,000 and incidence rate (9.5/1,000 among aged persons 60 years and more. Conclusion: The prevalence of non-fatal stroke in Al Quseir city (6.55/1,000 was at the lower range of that recorded in developing countries (5–10/1,000 and slightly higher than that recorded in industrialized countries (5/1,000 population. Ischemic stroke is the most

  7. Influencia del servicio militar voluntario sobre el comportamiento sexual de una población de jóvenes

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    Moisés Apolaya-Segura

    2013-09-01

    Full Text Available Objetivos. Determinar si el haber realizado el servicio militar voluntario (SMV se asocia al comportamiento sexual de una población de jóvenes. Materiales y métodos. Se realizó un estudio trasversal en civiles y personal que realizó el SMV ambos grupos ingresantes a la Escuela de Suboficiales de la Fuerza Aérea del Perú 2010, a quienes se les aplicó un cuestionario anónimo, autoaplicado, sobre conocimientos acerca de la trasmisión de VIH y comportamientos sexuales de riesgo. Resultados. Se evaluó 124 personas de sexo masculino, el 19,4% realizó el SMV y el 80,6% provenían de la vida civil. Se encontró que quienes realizaron el SMV tuvieron un mayor nivel de conocimientos sobre la trasmisión del VIH que los civiles (p=0,04. Los ingresantes que realizaron el SMV tuvieron mayor número de parejas ocasionales en los últimos 12 meses (p=0,04, hasta dos veces más que lo reportado por el personal civil. Los ingresantes con antecedente de SMV, informaron tres veces más consumo de alcohol previo a su ultima relación sexual, en comparación con los civiles (p=0,06. Pertenecer al SMV no resultó ser predictor de comportamiento sexual de riesgo de acuerdo a la definición de ONUSIDA. Conclusiones. El haber realizado el SMV se encontró asociado a tener un mayor nivel de conocimiento sobre la trasmisión del VIH; sin embargo, influiría en tener un mayor número de parejas ocasionales. No se encontró que el haber realizado el servicio militar fuese un factor asociado a comportamientos sexuales de riesgo

  8. Influencia del servicio militar voluntario sobre el comportamiento sexual de una población de jóvenes

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    Moisés Apolaya-Segura

    2013-07-01

    Full Text Available Objetivos. Determinar si el haber realizado el servicio militar voluntario (SMV se asocia al comportamiento sexual de una población de jóvenes. Materiales y métodos. Se realizó un estudio trasversal en civiles y personal que realizó el SMV ambos grupos ingresantes a la Escuela de Suboficiales de la Fuerza Aérea del Perú 2010, a quienes se les aplicó un cuestionario anónimo, autoaplicado, sobre conocimientos acerca de la trasmisión de VIH y comportamientos sexuales de riesgo. Resultados. Se evaluó 124 personas de sexo masculino, el 19,4% realizó el SMV y el 80,6% provenían de la vida civil. Se encontró que quienes realizaron el SMV tuvieron un mayor nivel de conocimientos sobre la trasmisión del VIH que los civiles (p=0,04. Los ingresantes que realizaron el SMV tuvieron mayor número de parejas ocasionales en los últimos 12 meses (p=0,04, hasta dos veces más que lo reportado por el personal civil. Los ingresantes con antecedente de SMV, informaron tres veces más consumo de alcohol previo a su ultima relación sexual, en comparación con los civiles (p=0,06. Pertenecer al SMV no resultó ser predictor de comportamiento sexual de riesgo de acuerdo a la definición de ONUSIDA. Conclusiones. El haber realizado el SMV se encontró asociado a tener un mayor nivel de conocimiento sobre la trasmisión del VIH; sin embargo, influiría en tener un mayor número de parejas ocasionales. No se encontró que el haber realizado el servicio militar fuese un factor asociado a comportamientos sexuales de riesgo

  9. Análisis del agente lesivo en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán Analysis of the injuring agent in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan

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    R. Navarro Suay

    2011-03-01

    Full Text Available Introducción: El conocimiento sobre aspectos relacionados con el armamento mejoran el diagnóstico y el tratamiento global del herido, sobretodo en el caso del médico militar. Se exponen los agentes lesivos de los principales conflictos recientes. El objetivo del estudio es el análisis del agente lesivo de las bajas atendidas en el Hospital Militar (ROLE 2 de Herat (Afganistán entre 2005 y 2008. Material y método: Se ha diseñado un estudio descriptivo, transversal sobre todo el personal civil y militar que hubiese recibido herida por arma de fuego o por artefacto explosivo en la Región Oeste de Afganistán, y fuese atendido por el ROLE 2 español de Herat (Afganistán durante los años 2005-2008. Resultados: El número total de casos analizados fue de 256. La mayor parte de los pacientes fueron heridos por artefacto explosivo, como los "Improvised Explosive Device" (IEDs (n = 183, 71%, mientras que el resto presentó lesiones por proyectiles de arma de fuego (n = 73, 29%. Conclusiones: En nuestro estudio, el mecanismo lesivo predominante ha sido el explosivo, seguido de las armas de fuego. Este dato es semejante al obtenido en otros estudios anglosajones sobre las bajas en combate durante los conflictos en Irak y Afganistán.Introduction: The medical officer's knowledge about armament-related aspects improves the diagnosis and medical care of the casualty. In this article the injuring agents in the main recent conflicts are presented. The objective of this study is the analysis of the injuring agent in the casualties received in the military hospital in Herat (Afghanistan between 2005 and 2008. Materials and methods: A descriptive, transversal study was carried out including all civilian and military personnel wounded by firearms or explosive devices in the West Region of Afghanistan, and taken care of in the Spanish Role 2 in Herat (Afghanistan during the years 2005-2008. Results: The total number of cases was 256. The majority of the

  10. Characterization of Peripheral Immune Cell Subsets in Patients with Acute and Chronic Cerebrovascular Disease: A Case-Control Study

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    Peter Kraft

    2015-10-01

    Full Text Available Immune cells (IC play a crucial role in murine stroke pathophysiology. However, data are limited on the role of these cells in ischemic stroke in humans. We therefore aimed to characterize and compare peripheral IC subsets in patients with acute ischemic stroke/transient ischemic attack (AIS/TIA, chronic cerebrovascular disease (CCD and healthy volunteers (HV. We conducted a case-control study of patients with AIS/TIA (n = 116 or CCD (n = 117, and HV (n = 104 who were enrolled at the University Hospital Würzburg from 2010 to 2013. We determined the expression and quantity of IC subsets in the three study groups and performed correlation analyses with demographic and clinical parameters. The quantity of several IC subsets differed between the AIS/TIA, CCD, and HV groups. Several clinical and demographic variables independently predicted the quantity of IC subsets in patients with AIS/TIA. No significant changes in the quantity of IC subsets occurred within the first three days after AIS/TIA. Overall, these findings strengthen the evidence for a pathophysiologic role of IC in human ischemic stroke and the potential use of IC-based biomarkers for the prediction of stroke risk. A comprehensive description of IC kinetics is crucial to enable the design of targeted treatment strategies.

  11. Cardiomyopathy and Cerebrovascular Accident Associated with Anabolic-Androgenic Steroid Use.

    Science.gov (United States)

    Mochizuki, Ronald M.; Richter, Kenneth J.

    1988-01-01

    A case report is presented of a 32 year-old male bodybuilder who sustained an ischemic cerebrovascular accident and showed signs of cardiomyopathy. Although no cause was found, the man had been taking steroids for 16 years. Harmful effects of steroid use are discussed. (IAH)

  12. Rare cerebrovascular anomalies in a patient with Cornelia De Lange Syndrome

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    Jesse Jones

    2015-01-01

    Conclusion: Advance knowledge of cerebrovascular variants associated with CDL may help interventionalists prepare to approach such cases. Additionally, further inquiry into the function of proteins encoded by genes associated with CDL could better our understanding of vascular development in the brain.

  13. Effects of hyperglycemia on the cerebrovascular response to rhythmic handgrip exercise

    NARCIS (Netherlands)

    Y.S. Kim; R. Krogh-Madsen; P. Rasmussen; P. Plomgaard; S. Ogoh; N.H. Secher; J.J. van Lieshout

    2007-01-01

    Dynamic cerebral autoregulation (CA) is challenged by exercise and may become less effective when exercise is exhaustive. Exercise may increase arterial glucose concentration, and we evaluated whether the cerebrovascular response to exercise is affected by hyperglycemia. The effects of a hyperinsuli

  14. Long-Term Exposure to Ambient Air Pollution and Incidence of Cerebrovascular Events

    DEFF Research Database (Denmark)

    Stafoggia, Massimo; Cesaroni, Giulia; Peters, Annette;

    2014-01-01

    BACKGROUND: Few studies have investigated effects of air pollution on the incidence of cerebrovascular events. OBJECTIVES: We assessed the association between long-term exposure to multiple air pollutants and the incidence of stroke in European cohorts. METHODS: Data from 11 cohorts were collecte...

  15. Impaired dynamic cerebrovascular response to hypercapnia predicts development of white matter hyperintensities

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    Kevin Sam

    2016-01-01

    Conclusions: Vascular impairment in regions of NAWM that progresses to WMH consists not only of decreased magnitude of ssCVR, but also a pathological decrease in the speed of vascular response. These findings support the association between cerebrovascular dysregulation and the development of WMH.

  16. Awake craniotomy in a patient with ejection fraction of 10%: considerations of cerebrovascular and cardiovascular physiology.

    Science.gov (United States)

    Meng, Lingzhong; Weston, Stephen D; Chang, Edward F; Gelb, Adrian W

    2015-05-01

    A 37-year-old man with nonischemic 4-chamber dilated cardiomyopathy and low-output cardiac failure (estimated ejection fraction of 10%) underwent awake craniotomy for a low-grade oligodendroglioma resection under monitored anesthesia care. The cerebrovascular and cardiovascular physiologic challenges and our management of this patient are discussed.

  17. The role of inflammation and interleukin-1 in acute cerebrovascular disease

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    Galea J

    2013-08-01

    Full Text Available James Galea,1 David Brough21Manchester Academic Health Sciences Center, Brain Injury Research Group, Clinical Sciences Building, Salford Royal Foundation Trust, Salford, UK; 2Faculty of Life Sciences, University of Manchester, AV Hill Building, Manchester, UKAbstract: Acute cerebrovascular disease can affect people at all stages of life, from neonates to the elderly, with devastating consequences. It is responsible for up to 10% of deaths worldwide, is a major cause of disability, and represents an area of real unmet clinical need. Acute cerebrovascular disease is multifactorial with many mechanisms contributing to a complex pathophysiology. One of the major processes worsening disease severity and outcome is inflammation. Pro-inflammatory cytokines of the interleukin (IL-1 family are now known to drive damaging inflammatory processes in the brain. The aim of this review is to discuss the recent literature describing the role of IL-1 in acute cerebrovascular disease and to provide an update on our current understanding of the mechanisms of IL-1 production. We also discuss the recent literature where the effects of IL-1 have been targeted in animal models, thus reviewing potential future strategies that may limit the devastating effects of acute cerebrovascular disease.Keywords: cerebral ischemia, stroke, inflammation, microglia, interleukin-1, caspase-1

  18. A novel distinctive cerebrovascular phenotype is associated with heterozygous Arg179 ACTA2 mutations

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    Munot, Pinki; Saunders, Dawn E.; Milewicz, Dianna M.; Regalado, Ellen S.; Ostergaard, John R.; Braun, Kees P.; Kerr, Timothy; Lichtenbelt, Klaske D.; Philip, Sunny; Rittey, Christopher; Jacques, Thomas S.; Cox, Timothy C.; Ganesan, Vijeya

    2012-01-01

    Mutations in the ACTA2 gene lead to diffuse and diverse vascular diseases; the Arg179His mutation is associated with an early onset severe phenotype due to global smooth muscle dysfunction. Cerebrovascular disease associated with ACTA2 mutations has been likened to moyamoya disease, but appears to h

  19. Promotor polymorphisms in leukotriene C4 synthase and risk of ischemic cerebrovascular disease

    DEFF Research Database (Denmark)

    Freiberg, J.J.; Tybjaerg-Hansen, A.; Sillesen, H.;

    2008-01-01

    OBJECTIVE: Cysteinyl leukotrienes are involved in inflammation and possibly in early carotid atherosclerosis. We tested the hypothesis that the -444 A/C and -1072 G/A polymorphisms of the leukotriene C(4) synthase associate with risk of ischemic cerebrovascular disease. METHODS AND RESULTS: We ge...

  20. An ontological modeling approach to cerebrovascular disease studies : The NEUROWEB case

    NARCIS (Netherlands)

    Colombo, Gianluca; Merico, Daniele; Boncoraglio, Giorgio; De Paoli, Flavio; Ellul, John; Frisoni, Giuseppe; Nagy, Zoltan; van der Lugt, Aad; Vassanyi, Istvan; Antoniotti, Marco

    2010-01-01

    The NEUROWEB project supports cerebrovascular researchers' association studies, intended as the search for statistical correlations between a feature (e.g., a genotype) and a phenotype. In this project the phenotype refers to the patients' pathological state, and thus it is formulated on the basis o

  1. Neckties and cerebrovascular reactivity in young healthy males: a pilot randomised crossover trial.

    Science.gov (United States)

    Rafferty, Mark; Quinn, Terence J; Dawson, Jesse; Walters, Matthew

    2010-01-01

    Background. A necktie may elevate intracranial pressure through compression of venous return. We hypothesised that a tight necktie would deleteriously alter cerebrovascular reactivity. Materials and Methods. A necktie was simulated using bespoke apparatus comprising pneumatic inner-tube with aneroid pressure-gauge. Using a randomised crossover design, cerebrovascular reactivity was measured with the "pseudo-tie" worn inflated or deflated for 5 minutes (simulating tight/loose necktie resp.). Reactivity was calculated using breath hold index (BHI) and paired "t" testing used for comparative analysis. Results. We enrolled 40 healthy male volunteers. There was a reduction in cerebrovascular reactivity of 0.23 units with "tight" pseudotie (BHI loose 1.44 (SD 0.48); BHI tight 1.21 (SD 0.38) P < .001). Conclusion. Impairment in cerebrovascular reactivity was found with inflated pseudo-tie. However, mean BHI is still within a range of considered normal. The situation may differ in patients with vascular risk factors, and confirmatory work is recommended. PMID:21076611

  2. Neckties and Cerebrovascular Reactivity in Young Healthy Males: A Pilot Randomised Crossover Trial

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    Mark Rafferty

    2011-01-01

    Full Text Available Background. A necktie may elevate intracranial pressure through compression of venous return. We hypothesised that a tight necktie would deleteriously alter cerebrovascular reactivity. Materials and Methods. A necktie was simulated using bespoke apparatus comprising pneumatic inner-tube with aneroid pressure-gauge. Using a randomised crossover design, cerebrovascular reactivity was measured with the “pseudo-tie” worn inflated or deflated for 5 minutes (simulating tight/loose necktie resp.. Reactivity was calculated using breath hold index (BHI and paired “t” testing used for comparative analysis. Results. We enrolled 40 healthy male volunteers. There was a reduction in cerebrovascular reactivity of 0.23 units with “tight” pseudotie (BHI loose 1.44 (SD 0.48; BHI tight 1.21 (SD 0.38 P<.001. Conclusion. Impairment in cerebrovascular reactivity was found with inflated pseudo-tie. However, mean BHI is still within a range of considered normal. The situation may differ in patients with vascular risk factors, and confirmatory work is recommended.

  3. Prevalence and Incidence of Myocardial Infarction and Cerebrovascular Accident in Ageing Persons with Intellectual Disability

    Science.gov (United States)

    Jansen, J.; Rozeboom, W.; Penning, C.; Evenhuis, H. M.

    2013-01-01

    Background: Epidemiological information on age-related cardiovascular disease in people with intellectual disability (ID) is scarce and inconclusive. We compared prevalence and incidence of cerebrovascular accident and myocardial infarction over age 50 in a residential population with ID to that in a general practice population. Method: Lifetime…

  4. Endothelial dysfunction in development of cerebrovascular disorders in patients with diabetes mellitus

    OpenAIRE

    Evgeniya Pavlovna Kosobyan; Ivona Renata Yarek-Martynova; Mikhail Yur'evich Martynov; Alla Nikolaevna Yasamanova; Tat'yana Ivanovna Kolesnikova

    2012-01-01

    Endothelial dysfunction and aberrations of haemostasis play an important part in development of cerebrovascular disorders in patients with diabetes mellitus. Such factors as hyper- and hypoglycemia, hyperinsulinism, insulin resistance and excessive weight affect progression of microcirculation deficiency and cerebral ischemia. Transcranial Doppler ultrasound examination is useful as a noninvasive method of hemodynamic assessment.

  5. Multiple Errands Test-Revised (MET-R): a performance-based measure of executive function in people with mild cerebrovascular accident.

    Science.gov (United States)

    Morrison, M Tracy; Giles, Gordon Muir; Ryan, Jennifer D; Baum, Carolyn M; Dromerick, Alexander W; Polatajko, Helene J; Edwards, Dorothy F

    2013-01-01

    OBJECTIVE. This article describes a performance-based measure of executive function, the Multiple Errands Test-Revised (MET-R), and examines its ability to discriminate between people with mild cerebrovascular accident (mCVA) and control participants. METHOD. We compared the MET-R scores and measures of CVA outcome of 25 participants 6 mo post-mCVA and 21 matched control participants. RESULTS. Participants with mCVA showed no to minimal impairment on measures of executive function at hospital discharge but reported difficulty with community integration at 6 mo. The MET-R discriminated between participants with and without mCVA (p ≤ .002). CONCLUSION. The MET-R is a valid and reliable measure of executive functions appropriate for the evaluation of clients with mild executive function deficits who need occupational therapy to fully participate in community living. PMID:23791321

  6. Predictores Para la Selección de Cadetes en Instituciones Militares Predictors for the Selection of Cadets in Military Institutions

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    Alejandro Castro Solano

    2005-05-01

    Full Text Available En el marco de una investigación más amplia sobre predictores de éxito en el entrenamiento de cadetes militares argentinos, se presentan dos estudios. El primero analiza seis cohortes de egresados de una institución militar (1997-2003, atendiendo a la variabilidad en el rendimiento en su educación superior, relacionándolo con variables sociodemográficas (educación y ocupación parentales y estatus de pariente de militar. Los resultados indican que los promedios generales de carrera observan una tendencia descendente en el tiempo. El rendimiento militar muestra menor variabilidad, en tanto que los rendimientos académico y militar aparecen ligados al nivel educativo parental. En el segundo estudio se analiza la cohorte de ingresantes 2003, incluyéndose predictores tales como datos biográficos, valores, rasgos de personalidad y motivación. Cinco de las categorías consideradas discriminaban entre los grupos de cadetes con alto y bajo rendimiento: factores cognitivos relacionados con el rendimiento previo, la orientación vocacional y ciertos rasgos de liderazgo. Por otra parte, quienes obtenían calificaciones bajas en su primer año de estudios militares exhibían mayor motivación extrínseca, menor motivación intrínseca, estaban menos orientados al logro y su valor hegemónico era el poder.In the frame of a larger research on predictors of success in trainig of Argentinian military cadets, two studies are introduced. The first one analyzes six cohorts of graduates from a military educative institution (1997-2003, taking into account the variability in the achievement exhibited during their higher education, relating it to demographics variables (parental education and occupation and the status of being a military's relative. Results show academic averages are descending in a period of six years. Military achievement shows less variability, while both academic and military achievement seem to be associated to parental education. The

  7. Diffusion tensor imaging of the brain in patients with Alzheimer's disease and cerebrovascular lesions

    Institute of Scientific and Technical Information of China (English)

    CHEN Shao-qiong; KANG Zhuang; HU Xi-quan; HU Bing; ZOU Yan

    2007-01-01

    Background: Recent autopsy study showed a high incidence ofcerebrovascular lesions in Alzheimer's disease (AD).To assess the impact of cerebrovascular pathology in AD, we used diffusion tensor imaging (DTI) to study AD patients with and without cerebrovascular lesions. Materials and Methods: Conventional and DTI scans were obtained from 10 patients with probable AD, 10 AD/V patients (probable AD with cerebrovascular lesions) and ten normal controls. Mean diffusivity (D) and fractional anisotropy (FA) values of some structures involved with AD pathology were measured. Results: D value was higher in AD patients than in controls in hippocampus and the cingulate gyrus. In AD/V patients, increased D value was found in the same structures and also in the thalamus and basal ganglia compared to controls. There was a significant difference of D value between AD and AD/V patients. FA value reduced in the white matter of left inferior temporal gyrus and in the bilateral middle cingulate gyrus in patients with AD/V compared with controls. The MMSE (mini-mental state examination) score significantly correlated with FA value in the right hippocampus (r=0.639, P<0.019), in the right anterior cingulate gyrus (r=0.587, P<0.035) and in left parahippocampal gyrus (r=0.559, P<0.047). Conclusion: Cerebrovascular pathology had stronger impact on the D value than the AD pathology alone did. Elevated D value in thalamic and basal ganglia may contribute to cognitive decline in AD/V patients.Reduced FA values in AD/V patients may indicate that cerebrovascular pathology induced more severe white matter damage than the AD pathology alone did.

  8. Caregiver awareness of cerebrovascular risk of patients with dementia due to Alzheimer's disease in São Paulo, Brazil

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    Fabricio Ferreira de Oliveira

    2014-07-01

    Full Text Available Background Proper control of cerebrovascular risk is essential to prevent cognitive change in dementia due to Alzheimer’s disease (AD. Objective To investigate whether caregiver awareness to control cerebrovascular risk impacts the lifestyles of patients with AD. Methods Consecutive outpatients with AD were assessed for demographic features, Clinical Dementia Rating scores, cerebrovascular risk, pharmacotherapy, dietary therapy and practice of physical activities. Patients and caregivers were inquired on awareness of the importance of measures to control cerebrovascular risk. Chi-square test was employed for statistics, significance at ρ < 0.05. Results A total of 217 patients were included; whereas 149 caregivers (68.7% were aware of the need to control cerebrovascular risk, only 11 patients (5.1% simultaneously practiced physical activities and received pharmacological treatment and dietary therapy. Patients with hypertension and diabetes mellitus were more likely to receive dietary therapy (ρ = 0.007. Male patients were more engaged in physical activities (ρ = 0.018. Patients in earlier AD stages exercised (ρ = 0.0003 and received pharmacological treatment more often (ρ = 0.0072. Caregiver awareness of the need to control cerebrovascular risk was higher when patients had hypertension (ρ = 0.024 and/or hypercholesterolemia (ρ = 0.006, and influenced adherence to dietary therapy (ρ = 0.002 and to pharmacological treatment (ρ = 0.001. Discussion Caregiver awareness of the need to control cerebrovascular risk has positive impacts for patients with AD.

  9. Cerebrovascular accident in the aged: changes in family relations El anciano tras accidente cerebrovascular: alteraciones en el relacionamento familiar O idoso após acidente vascular cerebral: alterações no relacionamento familiar

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    Sueli Marques

    2006-06-01

    Full Text Available The aims of this study were: to identify aged persons who were victims of Cerebrovascular Accident and received care at the Emergency Unit of a Public Hospital in Ribeirão Preto-SP, Brazil, and their respective families, as well as to identify the changes in family relations that occurred after the event. In order to identify these changes, the adapted Critical Incident Technique was used, while the analysis was based on the idea of Current of Thought. The sample consisted of 11 families, totaling 34 participants. The analysis of the consequences displayed the changes in family relations, which made up 13 subcategories, 5 of which were positive and 8 negative, totaling 58 alterations, 30 of which were positive and 28 negative. The study revealed the need to work with the family in order to identify changes and develop an action plan to favor the family's relations and adaptation to the demands, with a view to improving the living conditions of its members, including the aged person.Las finalidades de este estudio fueron las de identificar a los ancianos con diagnóstico médico de Accidente Cerebrovascular, atendidos en la Unidad de Emergencia de un Hospital Gubernamental de Ribeirão Preto-SP, Brasil, y a sus respectivas familias y también identificar las alteraciones en el relacionamiento familiar, que ocurrieron tras el evento. Fue utilizada la Técnica de Incidentes Críticos adaptada para identificar las alteraciones en el relacionamiento familiar ocurridas tras la enfermedad. Para el análisis, fue adoptada la reflexión del Camino del Pensamiento. La muestra fue compuesta por 11 familias, totalizando 34 participantes. El análisis de las consecuencias reveló las alteraciones en el relacionamiento familiar, que constituyeron 13 subcategorías, 5 positivas y 8 negativas, con un total de 58 alteraciones, siendo 30 positivas y 28 negativas. El estudio reveló la necesidad de trabajar con la familia para identificar las alteraciones y

  10. El poder y la gloria: élites y asientos militares en el astillero de La Habana durante el siglo XVIII

    Directory of Open Access Journals (Sweden)

    José Manuel SERRANO ÁLVAREZ

    2014-02-01

    Full Text Available El astillero de la Habana reflejaba muy bien a lo largo del siglo XvIII las luchas de intereses entre las élites locales y las necesidades imperiales de España en el Caribe. El poder, asociado al dinero, y la gloria, vinculada a la posición social, fueron los grandes caballos de batalla de la poderosa élite habanera en su colaboración con las autoridades políticomilitares enviadas desde España. los asientos militares fueron uno de los canales para alcanzar ambos objetivos, y provocaron una continua lucha en torno al vital arsenal militar, fuente de riqueza, poder e intrigas permanentes. Este trabajo dibuja un panorama de una cooperación tan necesaria como forzosa.

  11. Avaliação do perfil auditivo de militares de um quartel do Exército Brasileiro Audiometric assessment for military personnel

    OpenAIRE

    Silva, Ana P.; Everardo A. da Costa; Salete M. M. Rodrigues; Humberto L. R. Souza; Valéria G. Massafera

    2004-01-01

    No serviço militar, os sujeitos estão expostos a ruídos contínuos em oficinas e a ruídos de impacto provenientes de armas de fogo e detonações. Estes ruídos indesejáveis são capazes de causar lesão ao sistema auditivo, muitas vezes irreversível, além de outros efeitos em todo o organismo. OBJETIVO: Avaliar os perfis auditivos de um grupo de militares e, em face dos resultados, incentivar a implementação de medidas preventivas para perdas auditivas, como programa de conservação auditiva. FORMA...

  12. Reacciones y respuestas de la Democracia Cristiana frente al Golpe Militar de 1973: ¿Colaboración u oposición?

    Directory of Open Access Journals (Sweden)

    Pablo Rubio Apiolaza

    2015-06-01

    Full Text Available Este artículo realiza un análisis de la estrategia política del Partido Demócrata Cristiano (PDC durante el primer año de la dictadura militar chilena. Se enfatiza en su política de alianzas y sus relaciones internas, seleccionando algunas coyunturas clave en su relación con la Unidad Popular así como su reacción al golpe militar y al primer año de la dictadura. A través de un examen de su documentación interna, el artículo pretende demostrar el predominio de la  DC de posiciones conservadoras, a pesar de que las posiciones partidarias no son únicas, lo que explica un intenso debate interno en los inicios de la dictadura.

  13. As Campanhas Militares Portuguesas em Angola e Moçambique Durante a 1ª Grande Guerra: Uma Comparação Logística

    OpenAIRE

    Martins, Diogo

    2014-01-01

    O presente trabalho de investigação tem por objetivo caracterizar o apoio logístico prestado às forças militares nas colónias portuguesas de África. Tem como estudo de caso a comparação das campanhas militares de Angola e de Moçambique e a adaptação do apoio logístico às necessidades das várias expedições em combate nos dois teatros de operações durante a 1ª Guerra Mundial. Como objetivo geral deste trabalho pretende-se analisar como foi realizado o apoio ...

  14. Adaptación y validación del Organizational Description Questionnaire. Un estudio con población civil y militar

    OpenAIRE

    Martín Nader; María Laura Lupano Perugini; Alejandro Castro Solano

    2006-01-01

    Se presentan datos correspondientes a un estudio realizado con población civil (n = 1003) y militar (n = 488) que tuvo como objetivo principal determinar las características psicométricas (fiabilidad y validez) del Organizational Description Questionnaire (Bass & Avolio, 1992). Con respecto a la fiabilidad, los resultados muestran buenos niveles de consistencia interna para ambas dimensiones aunque son algo bajos para la dimensión cultura transaccional para ambas poblaciones. Con respecto...

  15. El golpe de Rojas y el poder de los militares Rojas' coup d'etat and the power of army men

    Directory of Open Access Journals (Sweden)

    Adolfo León Atehortúa Cruz

    2010-06-01

    Full Text Available El ascenso paulatino de los militares en la política, luego del 9 de abril de 1948, llevó finalmente al poder a Gustavo Rojas Pinilla en 1953. El golpe de estado fue anunciado, consentido y propiciado por parte de la élite civil. No obstante, una vez en el poder, Rojas empezó a alejarse de la dirigencia tradicional y de los partidos, y convirtió a su gobierno en una dictadura de carácter más personal que incluso militar. Su propósito no resistió la arremetida de la élite. Gómez y Lleras lideraron el pacto que finalmente condujo a la caída de Rojas, en 1957, sin una resignación total por parte de los militares que, fraccionados por momentos, intentaron proseguir en el poder o restaurar a Rojas. El presente artículo describe, interroga y analiza estos hechos bajo la óptica del poder de los militaresThe rising of army men into politics, after April the 9th, 1948, finally gave the power to Gustavo Rojas Pinilla, in 1953. The coup d'etat was announced, consented and favored on the part of the civil elite. Nevertheless, once in power, Rojas moved away from the traditional leadership and parties, and turned his government into a dictatorship of more personal character, different even from military style. His purpose did not resist the elite´s attacks. Gómez and Lleras headed the pact that finally concluded in Rojas' fall, in 1957. This came without the total resignation on the part of the army men who, sometimes divided, tried to continue in power or restore Rojas. The present paper describes questions and analyzes those facts under the military point of view

  16. 7-T MRI in Cerebrovascular Diseases: Challenges to Overcome and Initial Results.

    Science.gov (United States)

    Harteveld, Anita A; van der Kolk, Anja G; Zwanenburg, Jaco J M; Luijten, Peter R; Hendrikse, Jeroen

    2016-04-01

    Magnetic resonance imaging (MRI) plays a key role in the investigation of cerebrovascular diseases. Compared with computed tomography (CT) and digital subtraction angiography (DSA), its advantages in diagnosing cerebrovascular pathology include its superior tissue contrast, its ability to visualize blood vessels without the use of a contrast agent, and its use of magnetic fields and radiofrequency pulses instead of ionizing radiation. In recent years, ultrahigh field MRI at 7 tesla (7 T) has shown promise in the diagnosis of many cerebrovascular diseases. The increased signal-to-noise ratio (SNR; 2.3x and 4.7x increase compared with 3 and 1.5 T, respectively) and contrast-to-noise ratio (CNR) at this higher field strength can be exploited to obtain a higher spatial resolution and higher lesion conspicuousness, enabling assessment of smaller brain structures and lesions. Cerebrovascular diseases can be assessed at different tissue levels; for instance, changes of the arteries feeding the brain can be visualized to determine the cause of ischemic stroke, regional changes in brain perfusion can be mapped to predict outcome after revascularization, and tissue damage, including old and recent ischemic infarcts, can be evaluated as a marker of ischemic burden. For the purpose of this review, we will discriminate 3 levels of assessment of cerebrovascular diseases using MRI: Pipes, Perfusion, and Parenchyma (3 Ps). The term Pipes refers to the brain-feeding arteries from the heart and aortic arch, upwards to the carotid arteries, vertebral arteries, circle of Willis, and smaller intracranial arterial branches. Perfusion is the amount of blood arriving at the brain tissue level, and includes the vascular reserve and perfusion territories. Parenchyma refers to the acute and chronic burden of brain tissue damage, which includes larger infarcts, smaller microinfarcts, and small vessel disease manifestations such as white matter lesions, lacunar infarcts, and microbleeds

  17. Violencia, autonomía militar y procesos de formación del Estado y la constitución de la Nación

    Directory of Open Access Journals (Sweden)

    Joaquín Romero Herrera

    2010-12-01

    Full Text Available Se presenta un análisis de la evolución de las organizaciones estatales, a partir del fenómeno de la violencia, y desde allí entender la relación entre militares y Estado, en términos de autonomía y los procesos de formación del Estado-nación. Mediante una revisión bibliográfica, limitada a autores clásicos y contemporáneos que han abordado la experiencia europea, se estudió la tendencia de los militares hacia la autonomía, teniendo en cuenta los procesos de formación del Estado y del Estado-nación en el mundo occidental moderno. Como resultado, se encontró que la formación del Estado-nación moderno fue un efecto inesperado del proceso de civilización, que sustrajo la violencia de la sociedad, limitándola a las barracas, a organizaciones como las Fuerzas Militares y la Policía, y que dio lugar también a la creación de instituciones orientadas a mejorar las condiciones de vida de los ciudadanos.

  18. Na teia das relações de poder: as Juntas Governativas e os militares na Paraíba (1821-1823

    Directory of Open Access Journals (Sweden)

    Serioja Rodrigues Cordeiro Mariano

    2006-06-01

    Full Text Available Na década de 1820, a Paraíba, como ocorreu com outras províncias, passou por um processo de redefinição política. Com a implantação de um novo sistema administrativo, de redistribuição de cargos e funções, houve um reordenamento dos poderes locais. As famílias tradicionais (Albuquerque Maranhão, Carneiro da Cunha, Monteiro da Franca, entre outras voltaram à cena política, após a repressão ao movimento de 1817, assumindo a liderança das Juntas Governativas, geralmente apoiados pelos militares. Nesse contexto conturbado, a participação dos militares foi bastante relevante. Seu papel nas disputas locais abalou as estruturas hierárquicas durante todo o período de construção do Estado Nacional. Partindo desta constatação, pretendo analisar os motins militares nesse período, inserindoos em um quadro mais amplo, sem deixar de apontar as especificidades locais.

  19. Negociando a dependência: relações militares Brasil-Estados Unidos no início da Guerra Fria

    Directory of Open Access Journals (Sweden)

    Eduardo Svartman

    2014-12-01

    Full Text Available Durante a Guerra Fria, os laços estabelecidos entre as forças armadas dos Estados Unidos e os militares de sues aliados em diferentes regiões do mundo foi elemento importante tanto da estratégia anticomunista de Washington quanto da projeção deste país em áreas até então influenciadas pelas potências europeias. O artigo argumenta que o Brasil foi um caso ilustrativo deste processo, no qual apesar da profunda dependência e alinhamento, essas relações militares não foram lineares nem desprovidas de conflitos. O caráter instrumental conferido pelo Brasil a essas relações e a coincidência apenas parcial de objetivos entre os dois países fez com que, em determinadas ocasiões, os militares brasileiros procurassem renegociar a dependência. O impacto político dessa interação proporcionou a criação de espaços de formulação ideológica e de articulação política, polarizou a oficialidade em torno de temas como exploração de petróleo e participação na Guerra da Coreia e reforçou disposições para o protagonismo na política interna.

  20. The relationship between cerebrovascular complications and previously established use of antiplatelet therapy in left-sided infective endocarditis

    DEFF Research Database (Denmark)

    Snygg-Martin, Ulrika; Rasmussen, Rasmus Vedby; Hassager, Christian;

    2011-01-01

    Cerebrovascular complications (CVC) in infective endocarditis (IE) are common. The only established treatments to reduce the incidence of CVC in IE are antibiotics and in selected cases early cardiac surgery. Potential effects of previously established antiplatelet therapy are under debate....

  1. Cerebrovascular responsiveness to steady-state changes in end-tidal CO2 during passive heat stress

    OpenAIRE

    Low, DA; Wingo, JE; Keller, DM; Davis, SL; Zhang, R.; Crandall, CG

    2008-01-01

    This study tested the hypothesis that passive heat stress alters cerebrovascular responsiveness to steady-state changes in end-tidal CO2 (PetCO2). Nine healthy subjects (4 men and 5 women), each dressed in a water-perfused suit, underwent normoxic hypocapnic hyperventilation (decrease PetCO2 ~20 Torr) and normoxic hypercapnic (increase in PetCO2 ~9 Torr) challenges under normothermic and passive heat stress conditions. The slope of the relationship between calculated cerebrovascular conductan...

  2. Clinical and Paraclinical Findings of Cerebrovascular Accidents in Children Admitted to Pediatric Medical Center from 1993 till 2003

    OpenAIRE

    M Dehghani; H Montazer Lotfe Elahi; Ashrafi, M.

    2011-01-01

    Introduction: Stroke is a clinical diagnosis which brings up cerebrovascular diseases. Stroke includes any cerebrovascular accident which leads to local neural defect and lasts more than 24 hours. Stroke has severe and irreversible complications and high rates of recurrence after first episode, therefore we decided to study clinical and paraclinical findings of this disease for better diagnosis and prevention of it. Methods: We prepared a case series study to review medical files of the patie...

  3. Blood pressure, risk of ischemic cerebrovascular and ischemic heart disease, and longevity in alpha(1)-antitrypsin deficiency

    DEFF Research Database (Denmark)

    Dahl, Morten; Tybjaerg-Hansen, Anne; Sillesen, Henrik;

    2003-01-01

    Because elastase in alpha(1)-antitrypsin deficiency may attack elastin in the arterial wall, we tested whether alpha(1)-antitrypsin deficiency is associated with reduced blood pressure, risk of ischemic cerebrovascular (ICVD) and ischemic heart disease (IHD), and longevity.......Because elastase in alpha(1)-antitrypsin deficiency may attack elastin in the arterial wall, we tested whether alpha(1)-antitrypsin deficiency is associated with reduced blood pressure, risk of ischemic cerebrovascular (ICVD) and ischemic heart disease (IHD), and longevity....

  4. Risk of cerebrovascular events in persons with and without HIV: a Danish nationwide population-based cohort study

    DEFF Research Database (Denmark)

    Rasmussen, Line D; Engsig, Frederik N; Christensen, Hanne;

    2011-01-01

    To assess the risk of cerebrovascular events (CVEs) in HIV-infected individuals and evaluate the impact of proven risk factors, injection drug abuse (IDU), immunodeficiency, HAART and family-related risk factors.......To assess the risk of cerebrovascular events (CVEs) in HIV-infected individuals and evaluate the impact of proven risk factors, injection drug abuse (IDU), immunodeficiency, HAART and family-related risk factors....

  5. Depression, anxiety and major adverse cardiovascular and cerebrovascular events in patients following coronary artery bypass graft surgery

    DEFF Research Database (Denmark)

    Tully, Phillip J; Winefield, Helen R; Baker, Robert A;

    2015-01-01

    BACKGROUND: Although depression and anxiety have been implicated in risk for major adverse cardiovascular and cerebrovascular events (MACCE), a theoretical approach to identifying such putative links is lacking. The objective of this study was to examine the association between theoretical...... anhedonia, anxious arousal and general distress/negative affect symptom dimensions. Incident MACCE was defined as fatal or non-fatal; myocardial infarction, unstable angina pectoris, repeat revascularization, heart failure, sustained arrhythmia, stroke or cerebrovascular accident, left ventricular failure...

  6. Aggregate effects of vascular risk factors on cerebrovascular changes in autopsy-confirmed Alzheimer’s disease

    OpenAIRE

    Bangen, Katherine J.; Nation, Daniel A.; Delano-Wood, Lisa; Weissberger, Gali H.; Hansen, Lawrence A.; Galasko, Douglas R.; Salmon, David P.; Bondi, Mark W.

    2014-01-01

    We examined the relationships of ante-mortem vascular risk factors to post-mortem cerebrovascular and AD pathologies. Eighty-four AD patients underwent assessment of vascular risk (blood pressure, cholesterol, smoking, cardiovascular disease, diabetes, atrial fibrillation, transient ischemic attack [TIA] or stroke) and later underwent brain autopsy. Given our aim to examine mild cerebrovascular changes (CVC), individuals were excluded if autopsy revealed large stroke. The most common forms of...

  7. Apolipoprotein E gene polymorphism in cerebrovascular diseases of the Chinese Naxi populations from Yunnan province

    Institute of Scientific and Technical Information of China (English)

    Hong Xu; Qihong Yuan; Xijun Fan; Guoqiang He

    2011-01-01

    Currently it is not well known whether apolipoprotein E (ApoE) is a genetic susceptibility factor for cerebrovascular diseases in the Chinese Naxi population. The present study detected and sequenced ApoE polymorphisms of 90 patients with cerebrovascular diseases (58 cases of cerebral infarction and 32 cases of intracerebral hemorrhage), and 50 normal people of Naxi nationality from Yunnan province, China. The populations were used to analyze the relationship of ApoE polymorphisms with cerebral infarction and intracerebral hemorrhage. Results showed an association between ApoE gene polymorphism and the onset of cerebral infarction, and a possibility that the ε4 allele is a susceptibility locus for the risk of cerebral infarction. However, there was no evidence of a relationship between the ApoE gene polymorphism and cerebral hemorrhage.

  8. Cerebrovascular Accident Secondary to Paradoxical Embolism Following Arteriovenous Graft Thrombectomy

    Directory of Open Access Journals (Sweden)

    Jolina Pamela Santos

    2012-01-01

    Full Text Available Thrombectomy is a common procedure performed to declot thrombosed dialysis arteriovenous fistula (AVF or arteriovenous graft (AVG. Complications associated with access thrombectomy like pulmonary embolism have been reported, but paradoxical embolism is extremely rare. We report a case of a 74-year-old black man with past medical history significant for end-stage renal disease (ESRD, atrial fibrillation on anticoagulation with warfarin, who presented to our hospital with lethargy, aphasia, and right-sided hemiparesis following thrombectomy of a clotted AVG. Computed tomography (CT scan of brain showed a hypodensity within the left posterior parietal lobe. INR was 2.0 on admission. Echocardiogram revealed a normal sized left atrium with no intracardiac thrombus, and bubble study showed the presence of right-to-left shunting. These findings suggest that the stroke occurred as a result of an embolus originating from the AVG. Paradoxical cerebral embolism is uncommon but can occur after thrombectomy of clotted vascular access in ESRD patients. Clinicians and patients should be aware of this serious and potentially fatal complication of vascular access procedure.

  9. Assessment of Vitamin D level in Cerebrovascular Accident Patients in Eastern India

    OpenAIRE

    Kaushik Chatterjee; Sanjay Kumar Mandal; Sumanta Chatterjee; Pankaj sarkar; Soumya Sarathi Mondal; Jacky Ganguly; Debasis Sardar; Siddhartha Mani; Binod Das

    2014-01-01

    Aims and objectives: Vitamin D in addition to its effect on bone- mineral homeostasis has many extra-skeletal effects. Recently its association with cardiovascular disease, diabetes, hypertension are well described. In our study we have tried to find out any of its association with cerebrovascular accident (CVA) patients. Material and Methods: In a cross sectional study serum 25 OH vitamin D3, parathormone, calcium and phosphate were estimated in 38 CVA patients and 46 age and sex match...

  10. Cerebrovascular reactivity is associated with maximal aerobic capacity in healthy older adults

    OpenAIRE

    Barnes, Jill N.; Taylor, Jennifer L.; Kluck, Breann N.; Johnson, Christopher P.; Joyner, Michael J.

    2013-01-01

    Recently, several high-impact reviews suggest that regular aerobic exercise is beneficial for maintaining cognitive function in aging adults. Higher cerebral blood flow and/or cerebrovascular reactivity may explain the favorable effect of exercise on cognition. In addition, prostaglandin-mediated vasodilator responses may be influenced by regular exercise. Therefore, our purpose was to evaluate middle cerebral artery (MCA) vasodilator responses in healthy adults before and after cyclooxygenas...

  11. Warfarin therapy and incidence of cerebrovascular complications in left-sided native valve endocarditis

    OpenAIRE

    Snygg-Martin, U.; Rasmussen, R. V.; Hassager, C; Bruun, N. E.; Andersson, R.; Olaison, L.

    2010-01-01

    Abstract Anticoagulant therapy has been anticipated to increase the risk of cerebrovascular complications (CVC) in native valve endocarditis (NVE). This study investigates the relationship between ongoing oral anticoagulant therapy and the incidence of symptomatic CVC in left-sided NVE. In a prospective cohort study, the CVC incidence was compared between NVE patients with and without ongoing warfarin. Among 587 NVE episodes, 48 (8%) occurred in patients on warfarin. A symptomatic ...

  12. TYPES OF TREMOR IN PATIENTS WITH CEREBROVASCULAR DISEASES AND CARDIOVASCULAR EVENTS

    Directory of Open Access Journals (Sweden)

    Petrov Igor

    2016-03-01

    Full Text Available Introduction: Tremor can occur as a part of the clinical feature of cerebrovascular diseases. Many patients with cerebral stroke have cardiovascular diseases as a comorbidity or complication of stroke; sometimes cardiovascular events can lead to embolic stroke. Aim: To present types of tremor in patients with cerebrovascular diseases and cardiovascular events and diabetes mellitus type 2, clinical characteristics of tremor and investigations used. Material and methods: In our study we included 36 patients, 24 men and 12 women, that were examined and followed for 3 years, from 2012-2015. All patients were subjected to the following investigations: neurological examination, laboratory analysis, computerized tomography of brain, magnetic resonance imaging and electroencephalography. In cardiovascular patients we also performed Doppler sonography of carotid arteries, electrocardiography, cardiac ultrasound. The patients were examined and treated by cardiologists. Results: Of all patients 22% had cerebral infarction, 41% atherosclerosis, 36% multiple lacunar infarctions and 28% diabetes mellitus type 2. Three patients with cerebral infarction had chorea, hemiballismus, dystonia and dystonic tremor, three had postural tremor and two cerebellar intention tremor. Atherosclerotic patients had atherosclerotic action tremor, while diabetic patients predominantly presented with action-type tremor. Electroencephalography showed irritative basic brain activity with slow waves, while carotid arteries stenosis was diagnosed by Doppler sonography. Computerized tomography of the brain and magnetic resonance imaging revealed cerebrovascular diseases in certain areas. Patients with cardiomyopathy, rhythm disorders, high blood pressure, hyperlipidemia was investigated and medically treated by a cardiologist. Conclusion: In cerebrovascular diseases different types of tremor can occur as the result of the damage of the extrapyramidal system.

  13. Study of ECG changes and its relation to mortality in cases of cerebrovascular accidents

    OpenAIRE

    Purushothaman, Suja; Salmani, Deepalaxmi; Prarthana, Kaleramma Gopalakrishna; Bandelkar, Srinidhi Muddanna Gundappa; Varghese, Sarah

    2014-01-01

    Background: Its being long recognized about the highly debilitating and destructive nature of cerebrovascular accidents (CVAs). Around the world CVAs has posed as a major factor in medical morbidity and mortality. It has thrown up challenges with regards to their medical management and also towards posttreatment rehabilitation. It is well-known that neurologic disorder contributes variously towards varied electrocardiogram (ECG) changes and stroke is no exception. Objective: To study the ECG ...

  14. Risk of Cerebrovascular Events in Pneumoconiosis Patients: A Population-based Study, 1996-2011.

    Science.gov (United States)

    Chuang, Chieh-Sen; Ho, Shang-Chang; Lin, Cheng-Li; Lin, Ming-Chia; Kao, Chia-Hung

    2016-03-01

    Pneumoconiosis is a parenchymal lung disease that develops through the inhalation of inorganic dust at work. Cerebrovascular and cardiovascular events are leading causes of mortality and adult disability worldwide. This retrospective cohort study investigated the association between pneumoconiosis, and cerebrovascular and cardiovascular events by using a nationwide population-based database in Taiwan. The data analyzed in this study was retrieved from the Taiwan National Health Insurance Research Database. We selected 6940 patients with pneumoconiosis from the database as our study cohort. Another 27,760 patients without pneumoconiosis were selected and matched with those with pneumoconiosis according to age and sex as the comparison cohort. We used univariate and multivariate Cox proportional-hazard regression analyses to determine the association between pneumoconiosis and the risk of cerebrovascular and cardiovascular events after adjusting for medical comorbidities. After adjustment for age, sex, and comorbidities, the patients with pneumoconiosis exhibited a significantly higher incidence of ischemic stroke (hazard ratio [HR] 1.14, 95% confidence interval [CI] 1.05-1.24) than did those without pneumoconiosis. The incidence of hemorrhagic stroke was higher, but not significant, in the pneumoconiosis patients (HR 1.20, 95% CI 0.99-1.46). No statistically significant differences were observed between the pneumoconiosis and nonpneumoconiosis groups in acute coronary syndrome (HR 1.10, 95% CI 0.95-1.26). The findings of this study reveal an association between pneumoconiosis and a higher risk of cerebrovascular events after adjustment for comorbidities. Healthcare providers should control the related risk factors for primary prevention of stroke in pneumoconiosis patients. PMID:26945404

  15. PIXE analysis of trace elements in hair and their correlation with acute cerebrovascular diseases

    International Nuclear Information System (INIS)

    The PIXE (proton induced X-ray emission) technique has been used to analyze trace elements in more than 200 human hair samples from 60 patients with acute cerebrovascular diseases and 28 normal controls. Trace element differences in hair between the patients and the normal controls have been observed. A Van de Graaff accelerator and a Si(Li) semiconductor at Institute of Nuclear Science and Technology of Sichuan University were used. (author)

  16. Brain MRI hyperintense lesions and cerebrovascular risk factors in the elderly

    Energy Technology Data Exchange (ETDEWEB)

    Iidaka, Tetsuya (Kanto Teishin Hospital, Tokyo (Japan))

    1993-04-01

    It is known that asymptomatic MRI lesions of the brain are found in elderly subjects, but the significance of the lesions has not been determined. In previous reports, the prevalence of MRI lesions varied from 11% to 59%, but many of the authors indicated a close relationship with cerebrovascular risk factors. We evaluated 76 elderly subjects (over 60 years old, average age [+-]SD was 66.7[+-]4.5) without a history of cerebrovascular disease and dementia, and determined the prevalence of periventricular (PVH), white matter (WMH) and pontine (PH) hyperintensity and risk factors. The severity of MRI lesion was evaluated in T2-weighted images by Fazekas' scoring method of MRI hyperintense lesions. PVH, WMH and PH were graded visually from 0 to 3 by the author and these points are added to the MRI score. In T1-weighted images, we also measured the diameter of the third ventricle, frontal horn and body of the lateral ventricle. Our results were that 62% of subjects had PVH, 64% had WMH and 8% had PH. In regard to risk factors, 38% of subjects had hypertension, 17% had diabetes mellitus, 8% had ischemic heart disease. The PVH (+) group was significantly older (p<0.01) and had larger lateral ventricles (p<0.05) than the PVH (-) group. The WMH (+) group was significantly older (p<0.05) and had higher risk of cerebrovascular disease (0.05) than the WMH (-) group. The MRI score was related, but not significantly, to a history of hypertension, diabetes mellitus and ischemic heart disease. The MRI score and index of ventricular enlargement correlated with age (p<0.05). In conclusion, PVH was related to aging and cerebrovascular risk factors. Therefore, PVH and WMH were suspected to have different pathogenesis and WMH was more closely related to risk factors. Our scoring method permits evaluation and comparison of MRI lesions of different groups. (author).

  17. Brain MRI hyperintense lesions and cerebrovascular risk factors in the elderly

    International Nuclear Information System (INIS)

    It is known that asymptomatic MRI lesions of the brain are found in elderly subjects, but the significance of the lesions has not been determined. In previous reports, the prevalence of MRI lesions varied from 11% to 59%, but many of the authors indicated a close relationship with cerebrovascular risk factors. We evaluated 76 elderly subjects (over 60 years old, average age ±SD was 66.7±4.5) without a history of cerebrovascular disease and dementia, and determined the prevalence of periventricular (PVH), white matter (WMH) and pontine (PH) hyperintensity and risk factors. The severity of MRI lesion was evaluated in T2-weighted images by Fazekas' scoring method of MRI hyperintense lesions. PVH, WMH and PH were graded visually from 0 to 3 by the author and these points are added to the MRI score. In T1-weighted images, we also measured the diameter of the third ventricle, frontal horn and body of the lateral ventricle. Our results were that 62% of subjects had PVH, 64% had WMH and 8% had PH. In regard to risk factors, 38% of subjects had hypertension, 17% had diabetes mellitus, 8% had ischemic heart disease. The PVH (+) group was significantly older (p<0.01) and had larger lateral ventricles (p<0.05) than the PVH (-) group. The WMH (+) group was significantly older (p<0.05) and had higher risk of cerebrovascular disease (0.05) than the WMH (-) group. The MRI score was related, but not significantly, to a history of hypertension, diabetes mellitus and ischemic heart disease. The MRI score and index of ventricular enlargement correlated with age (p<0.05). In conclusion, PVH was related to aging and cerebrovascular risk factors. Therefore, PVH and WMH were suspected to have different pathogenesis and WMH was more closely related to risk factors. Our scoring method permits evaluation and comparison of MRI lesions of different groups. (author)

  18. Cerebrovascular Reactivity, Intima-Media Thickness, and Nephropathy Presence in Patients With Type 1 Diabetes

    OpenAIRE

    Kozera, Grzegorz M.; Wolnik, Bogumił; Kunicka, Katarzyna B.; Szczyrba, Sebastian; Wojczal, Joanna; Schminke, Ulf; Nyka, Walenty M.; Bieniaszewski, Leszek

    2009-01-01

    OBJECTIVE Cerebrovascular reactivity impairment was reported as a marker of cerebral microangiopathy in long-term type 1 diabetes. Intima-media complex thickening reflects early stages of macroangiopathy in type 1 diabetes. The analysis of the relationship between these variables and other microangiopathic complications might serve as a beneficial indicator for early prophylaxis in these patients. RESEARCH DESIGN AND METHODS Vasomotor reactivity reserve (VMRr) and breath-holding index (BHI) o...

  19. Effect of Chronic Endothelin Receptor Antagonism on Cerebrovascular Function in Type 2 Diabetes

    OpenAIRE

    Harris, Alex K; Elgebaly, Mostafa M.; Li, Weiguo; Sachidanandam, Kamakshi; Ergul, Adviye

    2008-01-01

    Diabetes increases the risk of stroke and contributes to poor clinical outcomes in this patient population. Myogenic tone of the cerebral vasculature, including basilar arteries, plays a key role in controlling cerebral blood flow. Increased myogenic tone is ameliorated with ET receptor antagonism in Type 1 diabetes. However, the role of ET-1 and its receptors in cerebrovascular dysfunction in Type-2 diabetes, a common comorbidity in stroke patients, remains poorly elucidated. Therefore, we h...

  20. Searching of the peripheric arterial disease in which patient have cerebrovascular event

    OpenAIRE

    Kanar, Rayiha Görkem

    2012-01-01

    Arteriosclerotic disease a systemic disease. Arteriosclerotic disease may affect more than one region in vascular system. In the presence of risk factors of arteriosclerosis; clinical manifestations will emerge depending on organ involvement. The aim of our study is searching the association of peripheral artery disease and determining related risk factors in patients who had cerebrovascular event. This study was performed by Cardiovascular Surgery Department of Trakya Universty Faculty of Me...

  1. High prevalence of peripheral arterial disease in patients with previous cerebrovascular or coronary event

    DEFF Research Database (Denmark)

    Mehlsen, Jesper; Wiinberg, Niels; Joergensen, Bjarne S;

    2010-01-01

    The presence of peripheral arterial disease (PAD) in patients with other manifestations of cardiovascular disease identifies a population at increased risk of complications both during acute coronary events and on a long-term basis and possibly a population in whom secondary prevention of cardiov...... of cardiovascular events should be addressed aggressively. The present study was aimed at providing a valid estimate on the prevalence of PAD in patients attending their general practitioner and having previously suffered a cardio- or cerebrovascular event....

  2. Modelling Cerebrovascular Reactivity: A Novel Near-Infrared Biomarker of Cerebral Autoregulation?

    OpenAIRE

    Highton, D.; Panovska-Griffiths, J; Ghosh, A; Tachtsidis, I; Banaji, M.; Elwell, C.; Smith, M.

    2013-01-01

    Understanding changes in cerebral oxygenation, haemodynamics and metabolism holds the key to individualised, optimised therapy after acute brain injury. Near-infrared spectroscopy (NIRS) offers the potential for non-invasive, continuous bedside measurement of surrogates for these processes. Interest has grown in applying this technique to interpret cerebrovascular pressure reactivity (CVPR), a surrogate of the brain's ability to autoregulate blood flow. We describe a physiological model-based...

  3. Cerebrovascular reactivity is associated with maximal aerobic capacity in healthy older adults.

    Science.gov (United States)

    Barnes, Jill N; Taylor, Jennifer L; Kluck, Breann N; Johnson, Christopher P; Joyner, Michael J

    2013-05-15

    Recently, several high-impact reviews suggest that regular aerobic exercise is beneficial for maintaining cognitive function in aging adults. Higher cerebral blood flow and/or cerebrovascular reactivity may explain the favorable effect of exercise on cognition. In addition, prostaglandin-mediated vasodilator responses may be influenced by regular exercise. Therefore, our purpose was to evaluate middle cerebral artery (MCA) vasodilator responses in healthy adults before and after cyclooxygenase inhibition. A total of 16 young (26 ± 6 yr; 8 males, 8 females) and 13 older (64 ± 6 yr; 7 males, 6 females) healthy adults participated in the study. Aerobic fitness was determined by maximal aerobic capacity (Vo2max) on a cycle ergometer. MCA velocity (MCAv) was measured at baseline and during stepped hypercapnia (2%, 4%, and 6% FiCO2) before and after cyclooxygenase inhibition using indomethacin. To account for differences in blood pressure, cerebrovascular conductance index (CVCi) was calculated as MCAv/mean arterial pressure. Cerebrovascular reactivity slopes were calculated from the correlation between either MCAv or CVCi and end-tidal CO2. Young adults demonstrated greater MCAv reactivity (1.61 ± 0.17 vs. 1.06 ± 0.15 cm·s(-1)·mmHg(-1); P exercise and improved cognitive function in aging adults. PMID:23471946

  4. Loss-of-function mutation in ABCA1 and risk of Alzheimer's disease and cerebrovascular disease

    DEFF Research Database (Denmark)

    Nordestgaard, Liv Tybjærg; Tybjærg-Hansen, Anne; Nordestgaard, Børge G;

    2015-01-01

    -brain barrier via apoE-mediated pathways. METHODS: We tested whether a loss-of-function mutation in ABCA1, N1800H, is associated with plasma levels of apoE and with risk of Alzheimer's disease (AD) in 92,726 individuals and with risk of cerebrovascular disease in 64,181 individuals. RESULTS: N1800H AC (0.......2%) versus AA (99.8%) was associated with a 13% lower plasma level of apoE (P = 1 × 10(-11)). Multifactorially adjusted hazard ratios for N1800H AC versus AA were 4.13 (95% confidence interval, 1.32-12.9) for AD, 2.46 (1.10-5.50) for cerebrovascular disease, and 8.28 (2.03-33.7) for the hemorrhagic stroke...... subtype. DISCUSSION: A loss-of-function mutation in ABCA1, present in 1:500 individuals, was associated with low plasma levels of apoE and with high risk of AD and cerebrovascular disease in the general population....

  5. Genetic polymorphisms and cerebrovascular disease in children with sickle cell anemia from Rio de Janeiro, Brazil.

    Science.gov (United States)

    Filho, Isaac Lima da Silva; Leite, Ana Claudia Celestino Bezerra; Moura, Patrícia Gomes; Ribeiro, Georgina Severo; Cavalcante, Andréa Cony; Azevedo, Flávia Carolina Marques de; Andrada-Serpa, Maria José de

    2011-06-01

    The aim of the present work was to examine possible genetic risk factors related to the occurrence of cerebrovascular disease (CVD) in Brazilian population, the frequency of β(S)-globin gene haplotypes and co-inheritance with α-thalassemia (-α(3.7kb)) and single nucleotide polymorphism of methylenetetrahydrofolate reductase (MTHFR-C677T), Factor V Leiden (FV-G1691A) and prothrombin (PT-G20210A) genes in children from Rio de Janeiro. Ninety four children with sickle cell anemia (SCA) were included, 24 patients with cerebrovascular involvement and 70 patients without CVD as control group. The mean age of children at the time of the cerebrovascular event was similar to the control group. The frequency of -α(3.7kb) thalassemia was similar in both groups (p=0.751). Children with Bantu/Atypical β(S)-globin gene haplotype presented 15 times more chance (OR=15.4 CI 95% 2.9-81.6) of CVD than the other β(S)-globin gene haplotypes. The C677T polymorphism of MTHFR gene was similar in both groups (p=0.085). No mutation in the FV Leiden or PT genes was found. A large study seems necessary to establish the role of these genetic polymorphisms in Brazilian miscegenated population. PMID:21755116

  6. Genetic polymorphisms and cerebrovascular disease in children with sickle cell anemia from Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Isaac Lima da Silva Filho

    2011-06-01

    Full Text Available The aim of the present work was to examine possible genetic risk factors related to the occurrence of cerebrovascular disease (CVD in Brazilian population, the frequency of βS-globin gene haplotypes and co-inheritance with α-thalassemia (-α3.7kb and single nucleotide polymorphism of methylenetetrahydrofolate reductase (MTHFR-C677T, Factor V Leiden (FV-G1691A and prothrombin (PT-G20210A genes in children from Rio de Janeiro. Ninety four children with sickle cell anemia (SCA were included, 24 patients with cerebrovascular involvement and 70 patients without CVD as control group. The mean age of children at the time of the cerebrovascular event was similar to the control group. The frequency of -α3.7kb thalassemia was similar in both groups (p=0.751. Children with Bantu/Atypical βS-globin gene haplotype presented 15 times more chance (OR=15.4 CI 95% 2.9-81.6 of CVD than the other βS-globin gene haplotypes. The C677T polymorphism of MTHFR gene was similar in both groups (p=0.085. No mutation in the FV Leiden or PT genes was found. A large study seems necessary to establish the role of these genetic polymorphisms in Brazilian miscegenated population.

  7. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Lucero López-Díaz

    2016-01-01

    Full Text Available Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del primer accidente cerebrovascular. Método: estudio etnográfico, con observación participante y entrevistas en profundidad. Participaron siete familias bogotanas (siete adultos mayores entre los dos y diez meses posteriores al primer accidente cerebrovascular y los siete cuidadores principales respectivos. Resultados: cuidadores y adulto mayor comparten acciones de cuidado para la recuperación, relacionadas con la alimentación, el cuidado personal y la ingesta de medicamentos permeadas por la creencia religiosa, fuente de soporte y vínculo afectivo. Conclusión: conocer el cuidado popular de esta población posibilita proponer acciones culturalmente congruentes con sus valores y creencias para potencializar las ca- pacidades familiares e intermediar en los procesos de tratamiento.

  8. NADPH Oxidase Accounts for Changes in Cerebrovascular Redox Status in Hindlimb Unweighting Rats

    Institute of Scientific and Technical Information of China (English)

    PENG Liang; RAN Hai Hong; ZHANG Ying; ZHAO Yu; FAN Yong Yan; PENG Li; ZHANG Ran; CAO Feng

    2015-01-01

    ObjectiveThe roles of cerebrovascular oxidative stress in vascular functional remodeling have been described in hindlimb-unweighting (HU) rats. However, the underlying mechanism remains to be established. MethodsWe investigated the generation of vascular reactive oxygen species (ROS),Nox2/Nox4 protein and mRNA levels, NADPH oxidase activity, and manganese superoxide dismutase (MnSOD) and glutathione peroxidase-1 (GPx-1) mRNA levels in cerebral and mesenteric smooth muscle cells (VSMCs) of HU rats. ResultsROS production increased in cerebral but not in mesenteric VSMCs of HU rats compared with those in control rats.Nox2 and Nox4 protein and mRNA levels were increased significantly but MnSOD/GPx-1 mRNA levels decreased in HU rat cerebral arteries but not in mesenteric arteries. NADPH oxidases were activated significantly more in cerebral but not in mesenteric arteries of HU rats. NADPH oxidase inhibition with apocynin attenuated cerebrovascular ROS production and partially restored Nox2/Nox4 protein and mRNA levels, NADPH oxidase activity, and MnSOD/GPx-1 mRNA levels in cerebral VSMCs of HU rats. ConclusionThese results suggest that vascular NADPH oxidases regulate cerebrovascular redox status and participate in vascular oxidative stress injury during simulated microgravity.

  9. Cognitive impairments in cerebrovascular disease: What is between health and dementia?

    Directory of Open Access Journals (Sweden)

    A. Yu. Emelin

    2015-01-01

    Full Text Available The problem of cerebrovascular lesions takes on even greater significance with the higher prevalence of both acute and chronic forms of cerebrovascular diseases (CVD. Cognitive dysfunctions that have a pronounced negative impact on the quality of life in patients hold a special place among the various neurological symptoms resulting from cerebrovascular lesions. The incidence of vascular dementia increases with age. The paper considers the main issues of the etiology, pathogenesis and classification of vascular cognitive impairments (VCIs. It proposes criteria for the diagnosis of VCIs in the early stages of the disease. Potentially modifiable factors, such as hypertension, coronary heart disease, orthostatic hypotension, diabetes mellitus, hypercholesterolemia, hyperhomocysteinemia, obesity, et al., are indicated to have a special place among the main etiological causes of VCIs. The timely detection of etiological factors and the assessment of their role in the development of cognitive impairments (CI in CVD form the basis for managing these patients. The issues of treating CI no dementia in patients with CVD are considered. These included the administration of nootropic, vasoactive drugs, as well as agents that exert a modulatory effect on the cholinergic and glutamatergic systems. The use of neuroprotective and neurotrophic drugs is noted to be promising in terms of the multicomponent mechanism of their action. 

  10. The Emerging Role of Ferumoxytol-Enhanced MRI in the Management of Cerebrovascular Lesions

    Directory of Open Access Journals (Sweden)

    David Hasan

    2013-08-01

    Full Text Available Inflammation is increasingly being understood to be a key component to the pathophysiology of cerebrovascular lesions. Ferumoxytol, an iron oxide nanoparticle coated by a carbohydrate shell, has been used in MRI studies as an inflammatory marker because it is cleared by macrophages. Ferumoxytol-enhanced MRI has emerged as an important tool for noninvasive assessment of the inflammatory status of cerebrovascular lesions, namely aneurysms and arteriovenous malformations. Moreover, preliminary evidence suggests that ferumoxytol-enhanced MRI could be applied as a non-invasive tool to differentiate “unstable” lesions that require early intervention from “stable” lesions in which observation may be safe. Assessment of the effects of anti-inflammatory pharmacological interventions on cerebrovascular lesions is also a potentially crucial application of the technique. Future improvements in technique and MRI signal quantification will certainly pave the way for widespread and efficient use of ferumoxytol-enhanced MRI in clinical practice. In this paper, we review current data regarding ferumoxytol-enhanced MRI and discuss its current/potential applications and future perspectives.

  11. Cognitive performance correlates with cerebrovascular impairments in multi-infarct dementia

    International Nuclear Information System (INIS)

    Cerebral blood flow (CBF) was measured by the 133Xe inhalation method in patients with multi-infarct dementia (MID, N = 26), Alzheimer's dementia (AD, N = 19), and among age-matched, neurologically normal, healthy volunteers (N = 26). Cognitive performance was assessed in all subjects using the Cognitive Capacity Screening Examination (CCSE). Cerebral vasomotor responses were calculated from differences in values of mean hemispheric gray matter blood flow (Delta CBF) measured during inhalation of 100% oxygen (hyperoxia) compared with CBF measured while breathing room air. Significant correlations were found between CCSE performance and vasomotor responsiveness in patients with MID (P less than .01), but not in patients with AD or in neurologically normal volunteers. Loss of vasomotor responsiveness is an indicator of cerebrovascular disease with rigidity and/or loss of reactivity of cerebral vessels, which impairs cerebrovascular responses to situational demands and predisposes to cerebral ischemia. Loss of cerebral vasomotor responsiveness among MID patients, which is a biologic marker of cerebrovascular disease, provides confirmatory evidence of the vascular etiology of MID and assists in separating MID from AD patients

  12. Aspectos climatológicos en las obras de funcionarios reales e ingenieros militares del siglo XVIII hispanoamericano

    Directory of Open Access Journals (Sweden)

    Molina García, Juan Alberto

    2014-06-01

    Full Text Available In the Eighteenth century, royal officials and military engineers achieved a considerable knowledge of American climates and their links with several subjects of natural and social reality. They remained long periods at the Hispanic colonies and the governments commended them the wholeness of the Empire and the resolution of many business connected to climate. Their research procedures were base on the collective action, as well as on the division of tasks.En el siglo XVIII, los funcionarios reales y los ingenieros militares alcanzaron un considerable conocimiento de los climas americanos y de sus vínculos con aspectos de la realidad natural y social. Permanecieron durante largos períodos en las colonias hispánicas y los gobiernos les encomendaron la integridad del imperio y la resolución de asuntos relacionados con el clima. Sus procedimientos de indagación se basaron en la acción colectiva, así como en la división de tareas.

  13. Formación de líderes en la universidad: la experiencia de la Universidad Militar Nueva Granada

    Directory of Open Access Journals (Sweden)

    Bibiana Carolina Moncayo Orjuela

    2013-03-01

    Full Text Available Este trabajo presenta los resultados parciales de la investigación titulada “Modelo de formación de líderes para la Universidad Militar Nueva Granada”, cuyo propósito giró en torno al desarrollo de acciones tendientes a incrementar las competencias profe- sionales del estudiante neogranadino en ese campo, especialmente con miras a estructurar una escuela de liderazgo. Por ello, se efectuó un estudio de tipo cualitativo, que utilizó plan- teamientos del modelo de investigación–acción para crear una metodología propia. Este modelo resulta útil ya que involucra a los participantes en el entendimiento y solución de sus problemas; así como también busca la transformación y el creci- miento de sus estudiantes mediante el fomento de procesos de autogestión. A partir de la aplicación de un cuestionario, se identificaron los estudiantes que ejercen influencia en sus grupos, poste- riormente con estos líderes se llevaron a cabo acciones en el ámbito personal e institucional para identificar cuáles son las estrategias efectivas que la universidad aplica para el fortalecimiento de las competencias de liderazgo en los estudiantes. El proyecto se configura como una fase exploratoria que permitió constatar la pertinencia del liderazgo transformacional en los procesos de formación de líderes.

  14. A indústria cultural e a política educacional do regime militar: o caso da revista Escola

    Directory of Open Access Journals (Sweden)

    Maria Rita de Almeida Toledo

    2010-01-01

    Full Text Available Este trabalho apresenta um estudo sobre a difusão, pela revista Escola, da Reforma de Ensino instituída pela Lei 5.692/71. Lançada pela editora Abril em outubro de 1971, a revista circulou em 27 números e desapareceu em abril de 1974. Seu público-alvo era o professor de 1º Grau, a quem se oferece como "instrumento de diálogo e cooperação", como instrumento a "serviço da reforma" instituída pela política educacional do regime militar. Neste artigo são analisados editoriais e matérias que aludem à reforma, bem como os principais dispositivos materiais que organizam a revista. O objetivo é evidenciar as estratégias da Editora para difundir um novo produto comercial associando-se à reforma e à sua divulgação. Conclui-se que esse novo periódico busca forjar no campo educacional um novo leitor, afeito aos padrões da indústria cultural.

  15. El color y su significado en los documentos cartográficos del Cuerpo de Ingenieros Militares del siglo XVIII

    Directory of Open Access Journals (Sweden)

    Margarita San Andrés Moya

    2009-08-01

    Full Text Available Los Documentos Cartográficos del Cuerpo de Ingenieros Militares del s. XVIII y las fuentes documentales asociadas a su ejecución tienen un gran interés histórico, artístico y cultural. En este artículo se analizan las fuentes relacionadas con las técnicas, los materiales y sus formas de aplicación. Se describen los pigmentos y colorantes recogidos en los distintos tratados relacionados con este arte, especialmente los referidos a la técnica del lavado, en los que, además, se hace referencia a los códigos de color según el elemento representado, el orden o secuencia de trabajo y las mezclas de colores. Puesto que se trata de documentos que en aquella época tuvieron una función eminentemente práctica, en su ejecución se seguían unas pautas determinadas, que permitían normalizar su lectura e interpretación. Desde la perspectiva de la Conservación-Restauración, la documentación estudiada aporta una información significativa relacionada con los materiales sobre los que se intervienen, la detección de procesos de degradación y la autentificación de documentos.

  16. The March to Militarism in Canada: Domesticating the Global Enemy in the Post-9/11, Neo-liberal Nation

    Directory of Open Access Journals (Sweden)

    Kirsten Kozolanka

    2015-06-01

    Full Text Available In Canada, as in other Western countries, much media and scholarly attention surrounding the “War on Terror” has focused on cases in which primarily Muslim citizens have been detained and charged under the anti-terror law passed hastily in 2001. However, little analysis has been conducted on how legislation and communicative strategies on terror have re-framed the domestic neo-liberal agenda, and, in so doing, fostered a militarized culture of surveillance and fear of the enemy inside its borders. This paper examines the Canadian government’s domestic politics of terror through its communication on the inter-related issues of crime, defence, security, and immigration that are propagated through the lens of the global War on Terror. Using parliamentary records, public documents and media stories, the paper suggests that, over time since it came to power in 2006, the government has invoked both the Muslim Other and a subtler, more generalized domestic enemy in order to capitalize on public concern and fear of terrorism to justify its neo-liberal legislative agenda and consolidate its power within the broader neo-liberal project. More than a decade after the events of 9/11, this case study and other research now exist on how the neo-liberal Canadian state uses fear and patriotism to achieve its domestic objectives through legislative and communicative strategies.

  17. Condiciones legales y administrativas para la secuenciación del genoma humano en el ámbito militar

    Directory of Open Access Journals (Sweden)

    J. Bobo-Ruiz

    2015-06-01

    Full Text Available La Genómica trae nuevas cuestiones jurídicas además de profundizar aquellas que ya se plantearon desde la Genética molecular. La secuenciación completa del genoma humano ha pasado de requerir los esfuerzos económicos de un consorcio internacional a ser asequible por el ciudadano medio. Este cambio revolucionario también afecta a las administraciones exigiendo un replanteamiento del status jurídico de las bases de datos con fines de investigación biomédica y de las de ADN policiales y su posible desarrollo en el ámbito militar. Del mismo modo ocurre con los biobancos asociados a ellas. Las restricciones que los tratados internacionales imponen sobre los fines de la investigación genómica no deben hacer olvidar los amplios cometidos de los Ejércitos en el marco más general de la Defensa Nacional. Se exponen aquí los condicionantes que cumplidos permitirían bases de datos genéticos y biobancos en dicho contexto, bajo el nuevo potencial de la Genómica, y se trata de articular su régimen con el derecho nacional vigente.

  18. Registro de enfermedad cerebrovascular isquémica Ischemic stroke registry

    Directory of Open Access Journals (Sweden)

    Juan I. Rojas

    2006-12-01

    Full Text Available El conocimiento de los factores de riesgo y los aspectos epidemiológicos del accidente cerebrovascular (ACV provienen fundamentalmente de estudios de EE.UU. y Europa, con escasa información procedente de los países en desarrollo. Las características clínicas y epidemiológicas del ACV son variables en relación a factores regionales, por lo cual es necesario conocer cuál es la situación en nuestro continente. El objetivo del trabajo es describir los subtipos clínicos y los factores de riesgo de los pacientes con ACV isquémico. Se analizaron consecutivamente los pacientes ingresados desde el 01/06/2003 al 01/06/2005 con diagnostico de ACV isquémico. Sobre un total de 395 pacientes, la edad media fue de 71.36 años (± 13.82, el 55% fueron varones. Los subtipos de ACV fueron los siguientes: infarto lacunar (40%, enfermedad de gran arteria (20%, cardioembolia (10% y otras causas (5%. La hipertensión arterial (76%, la dislipidemia (50% y el antecedente de ACV previo (34% fueron los factores de riesgo más frecuentes. Los pacientes con síntomas corticales presentaron más frecuentemente estenosis carotídea > del 70% en el doppler de vasos de cuello, siendo esto estadísticamente significativo. La información sobre el ACV en los países en desarrollo es difícil de obtener. Esta puede ser la razón del escaso número de registros provenientes de Sudamérica. La hipertensión fue el factor de riesgo más prevalente en nuestra serie. El subtipo de ACV difiere de lo informado en otras regiones del mundo predominando la enfermedad de pequeña arteria.Current knowledge of stroke risk factors and epidemiology is based mostly on USA or European studies; scarce data have been published from developing countries. Because epidemiological and clinical characteristics in stroke vary according to regional factors, we need to know the peculiarities of stroke on this subcontinent. The purpose is to describe the clinical subtypes and risk factors in

  19. The forgotten people: survey of the chronic younger sick in Welsh hospitals.

    OpenAIRE

    Swithinbank, J. M.; Beswick, N; Mayberry, J.F.

    1984-01-01

    In a survey of Welsh hospitals, 96 patients were identified who had been continuously resident for between 4 months and 20 years; they were aged between 15 and 65 years on admission. The commonest causes for such admissions were cerebrovascular accidents, trauma and diabetes. Suitable facilities for the long-term care and rehabilitation of such severely disabled young people are very limited in Wales, and in an era when rehabilitation should be possible they have been forgotten.

  20. [Ketamine racemate and S-(+)-ketamine. Cerebrovascular effects and neuroprotection following focal ischemia].

    Science.gov (United States)

    Werner, C; Reeker, W; Engelhard, K; Lu, H; Kochs, E

    1997-03-01

    The phencyclidine derivative ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist with the thalamo-neocortical projection system as the primary site of action. Racemic ketamine consists of the enantiomers S(+)-ketamine and R(-)-ketamine. Racemic ketamine has never been considered an adequate anaesthetic agent in neurosurgical patients since it produces regionally specific stimulation of cerebral metabolism (CMRO2) and increases cerebral blood flow (CBF) and intracranial pressure (ICP). However, recent experiments suggest that both tracemic ketamine and S(+)-ketamine may reduce infarct size in animal models of incomplete cerebral ischaemia and brain injury. This experimental protective effect appears to be related to decreases in Ca++ influx and maintenance of brain tissue magnesium levels due to NMDA and quisqualate receptor blockade by ketamine. Studies in dogs have shown that racemic ketamine (2.0 mg/kg) increases CBF in the presence of the cerebral vasodilator N2O. In contrast, studies in rats without background anaesthesia showed increases in CBF after racemic ketamine (100 mg/kg i.p.). This suggests that the cerebrovascular effects of racemic ketamine are related to the pre-existing cerebrovascular tone induced by background anaesthetics. Cerebrovascular CO2 reactivity was maintained regardless of the baseline cerebrovascular resistance. There are several mechanisms by which racemic ketamine may increase CBF. It induces dose-dependent respiratory depression with consequent mild hypercapnia in spontaneously ventilating subjects. This produces vasodilation due to the intact cerebrovascular CO2 reactivity. Racemic ketamine also induces regional neuroexcitation, which leads to stimulation of cerebral glucose consumption in the limbic, extrapyramidal, auditory, and sensory-motor systems. This regional neuroexcitation with increased CMRO2 produces increases in CBF that can be blocked by infusion of barbiturates or benzodiazepines. However

  1. La salud y la enfermedad en el Real Hospital de la Armada del Arsenal de la Carraca (1756-1821)

    OpenAIRE

    J.M. García-Cubillana de la Cruz

    2015-01-01

    En el primer cuarto del siglo XVIII se crea el Arsenal de la Carraca, considerado como el principal astillero de la Armada Española. La masiva llegada de operarios civiles y militares ante la oferta de trabajo, motivó un problema asistencial sanitario, que se solventó a través de una improvisada enfermería de madera y otros hospitales provisionales instalados en la Isla de León. Finalmente, en 1756 se pudo fundar el «Real Hospital del Arsenal de la Carraca». Este nosocomio tuvo un papel cruci...

  2. Thickness of the Human Cerebral Cortex is Associated with Metrics of Cerebrovascular Health in a Normative Sample of Community Dwelling Older Adults

    OpenAIRE

    Leritz, Elizabeth C.; Salat, David H.; Williams, Victoria J.; Schnyer, David M.; Rudolph, James L.; Lipsitz, Lewis; Fischl, Bruce; McGlinchey, Regina E.; Milberg, William P.

    2010-01-01

    We examined how wide ranges in levels of risk factors for cerebrovascular disease are associated with thickness of the human cerebral cortex in 115 individuals ages 43–83 with no cerebrovascular or neurologic history. Cerebrovascular risk factors included blood pressure, cholesterol, body mass index, creatinine, and diabetes-related factors. Variables were submitted into a principal components analysis that confirmed four orthogonal factors (Blood Pressure, Cholesterol, Cholesterol/Metabolic ...

  3. Hospital fundamentals.

    Science.gov (United States)

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  4. Quality of Life Related to Health on Patients Suffering from Cerebrovascular Diseases at 2 Years of Survival Calidad de vida relacionada con la salud en pacientes con enfermedad cerebrovascular a los dos años de supervivencia

    Directory of Open Access Journals (Sweden)

    Inti Santana Carballosa

    Full Text Available Background: Quality of life related to health is a reliable and necessary indicator for the analysis of the sanitary state in a community. It is also a data source to define strategies in health actions in a population. Objective: To describe the aspects related to quality of life in two- year survivors from cerebrovascular disease. Method: A retrospective and prospective, descriptive study of a serie of cases with quality of life assessment related to patient’s health two years after being discharged from hospital due to ictus. A simple random sampling was performed and applied to survivors. Quality of life scale for ECVI–38 ictus was used determining the most affected cerebral dominance by means of statistic techniques. Results: the quality of life assessment in ictus showed a general mean of 46.5. The spheres identified as more engaged were the feelings and the emotional one. Illness in several of the cerebral dominance was confirmed in the majority of survivors although the obtained measurements were not high. The level of recovering at two years of the beginning of the disease was little or none in 31 ill patients. Conclusions: Alterations in quality of life related to health are sequelae which in more or lesser degree suffer from the majority of the survivors to a neuroictus. These can be determined applying ECVI-38. It is necessary to take measures to minimize the deleterious effects and fulfill the objectives for survivors have a satisfactory quality of life.
    Fundamento: La calidad de vida relativa a salud es un indicador confiable y necesario para el análisis del estado sanitario de una comunidad y fuente de datos para definir estrategias en las acciones de salud sobre una población. Objetivo: Describir aspectos relacionados con la calidad de vida en pacientes supervivientes por dos años a

  5. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  6. Prognostic value of myocardial perfusion single photon emission computed tomography for major adverse cardiac cerebrovascular and renal events in patients with chronic kidney disease: results from first year of follow-up of the Gunma-CKD SPECT multicenter study

    International Nuclear Information System (INIS)

    Patients with chronic kidney disease (CKD) have an increased risk of adverse cardio-cerebrovascular events. We examined whether stress myocardial perfusion single photon emission computed tomography (SPECT) provides reliable prognostic markers for these patients. In this multicenter, prospective cohort trial from the Gunma-CKD SPECT study protocol, patients with CKD [estimated glomerular filtration rate (eGFR) < 60 min/ml per 1.73 m2] undergoing stress 99mTc-tetrofosmin SPECT for suspected or possible ischemic heart disease were initially followed for 1 year, with the following study endpoints: primary, the occurrence of cardiac deaths (CDs), and secondary, major adverse cardiac, cerebrovascular, and renal events (MACCREs). The summed stress score (SSS), summed rest score, and summed difference score (SDS) were estimated with the standard 17-segment, 5-point scoring model. Left ventricular end-diastolic volume, end-systolic volume (ESV), and ejection fraction were measured using electrocardiogram-gated SPECT. During the first year of follow-up, 69 of 299 patients experienced MACCREs (CD, n = 7; non-fatal myocardial infarction, n = 3; hospitalization for heart failure, n = 13; cerebrovascular accident, n = 1; need for revascularization, n = 38; and renal failure, i.e., hemodialysis initiation, n = 7). ESV and SSS were associated with CDs (p < 0.05), and eGFR and SDS were associated with MACCREs (p < 0.05), in multivariate logistic analysis. Patients with high ESV and high SSS had a significantly higher CD rate during the first year than the other CKD patient subgroups (p < 0.05). Patients with low eGFR and high SDS had a significantly higher MACCRE rate than the other subgroups (p < 0.05). Myocardial perfusion SPECT can provide reliable prognostic markers for patients with CKD. (orig.)

  7. Prognostic value of myocardial perfusion single photon emission computed tomography for major adverse cardiac cerebrovascular and renal events in patients with chronic kidney disease: results from first year of follow-up of the Gunma-CKD SPECT multicenter study

    Energy Technology Data Exchange (ETDEWEB)

    Kasama, Shu [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Cardiovascular Hospital of Central Japan (Kitakanto Cardiovascular Hospital), Department of Cardiovascular Medicine, Gunma (Japan); Toyama, Takuji [Department of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi (Japan); Sato, Makito [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Tatebayashi Kosei Hospital, Department of Internal Medicine, Gunma (Japan); Sano, Hirokazu [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Isesaki Municipal Hospital, Department of Cardiovascular Medicine, Isesaki (Japan); Ueda, Tetsuya [Fujioka General Hospital, Division of Cardiology, Fujioka (Japan); Sasaki, Toyoshi [Takasaki General Medical Center, Division of Cardiology, Takasaki (Japan); Nakahara, Takehiro; Kurabayashi, Masahiko [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Higuchi, Tetsuya; Tsushima, Yoshito [Gunma University Graduate School of Medicine, Department of Diagnostic Radiology and Nuclear Medicine, Maebashi (Japan)

    2016-02-15

    Patients with chronic kidney disease (CKD) have an increased risk of adverse cardio-cerebrovascular events. We examined whether stress myocardial perfusion single photon emission computed tomography (SPECT) provides reliable prognostic markers for these patients. In this multicenter, prospective cohort trial from the Gunma-CKD SPECT study protocol, patients with CKD [estimated glomerular filtration rate (eGFR) < 60 min/ml per 1.73 m{sup 2}] undergoing stress {sup 99m}Tc-tetrofosmin SPECT for suspected or possible ischemic heart disease were initially followed for 1 year, with the following study endpoints: primary, the occurrence of cardiac deaths (CDs), and secondary, major adverse cardiac, cerebrovascular, and renal events (MACCREs). The summed stress score (SSS), summed rest score, and summed difference score (SDS) were estimated with the standard 17-segment, 5-point scoring model. Left ventricular end-diastolic volume, end-systolic volume (ESV), and ejection fraction were measured using electrocardiogram-gated SPECT. During the first year of follow-up, 69 of 299 patients experienced MACCREs (CD, n = 7; non-fatal myocardial infarction, n = 3; hospitalization for heart failure, n = 13; cerebrovascular accident, n = 1; need for revascularization, n = 38; and renal failure, i.e., hemodialysis initiation, n = 7). ESV and SSS were associated with CDs (p < 0.05), and eGFR and SDS were associated with MACCREs (p < 0.05), in multivariate logistic analysis. Patients with high ESV and high SSS had a significantly higher CD rate during the first year than the other CKD patient subgroups (p < 0.05). Patients with low eGFR and high SDS had a significantly higher MACCRE rate than the other subgroups (p < 0.05). Myocardial perfusion SPECT can provide reliable prognostic markers for patients with CKD. (orig.)

  8. 急性缺血性脑血管疾病病人发热与病死率的关系%The Acute Ischemic Cerebrovascular Stroke Patient Fever with Mortality Relations

    Institute of Scientific and Technical Information of China (English)

    卢红

    2009-01-01

    目的 探讨急性缺血性脑血管疾病病人病死率与体温的关系.方法 对220例急性缺血性脑血管疾病病人入院第1,2天和出院或死亡当天及前一天体温进行比较,观察急性缺血性脑血管疾病病人发热与病死率的关系.结果 发热病人病死率比体温正常病人病死率明显增加(52.9%和4.9%,P<0.01).结论 发热是急性缺血性脑血管疾病病人死亡的主要原因.因此早期控制体温,预防感染,加强护理,可以有效降低其病死率.%Objective To investigate the acute isehemic cerebrovascular stroke patient case fatality rate and the body temperature relations. Methods 220 cases of isehemic cerebrovascular disease patients admitted to hospital and discharged the same day or the day temperature to compare death. Observation The acute iachemic cerebrovascular stroke patient fever with mortality relations. Results Fever Patients mortality than normal body temperature mortality significantly increased(52.9% and 4.9%,P< 0.01). Conclusion Fever is the leading cause of death of acute ischemic cerebrovaseular disease patients. Hence,early control body temperature,prevent infection,to strengthen care,can effectively reduce the mortality.

  9. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  10. Characterization of cerebro-vascular disease in the Intermediate Care Unit. Multicentre study in the central part of Cuba. Caracterización de la enfermedad cerebrovascular en Servicios de Cuidados Intermedios. Estudio multicentro en la región central de Cuba.

    Directory of Open Access Journals (Sweden)

    Aleida Hernández Lara

    Full Text Available Fundament: Cerebrovascular diseasets constitute the third cause of death and the first cause of disability worldwide and in Cuba, hence it has been included among the prioritised programs of the World Health Organisation and by our Ministry of Public Health. Objective: To characterize cerebrovascular diseasets in the Polivalent Therapy Service of the central region of the country. Method: multicenter descriptive study of a series of cases carried out at the Clinical Surgical Hospitals ¨Dr. Gustavo Aldereguía Lima¨ from Cienfuegos province, and ¨Arnaldo Milián Castro¨ from Villa Clara with a revision of 1218 clinical records of patients who were interviewed and whose data was processed afterwards. Results: There was a predominance of the white race ( 75,3 %, male sex (56,7 % and hypertension was the risk marker ( 71,3 % . The isquemic cerebrovascular desease was the most frequent reported with 86,7 % and anti-aggregate platelets was the medication most frequently used (77,5 % In regards to the location of the lesion 51,1 % were reported in the parietal region and the predominant diagnosis was the atherothrombotic infarct ( 59,9 %. The most common complication was cerebral oedema ( 45,2% . On discharge the state was ¨alive with disability¨ ( 62,2%. Conclusions: Cerebrovascular diseases is a health problem in our environment. Hypertension is the most frequent risk marker observed and there is a predominance of ischemic ictus . Once established the disease is established, it evolves to disabilities or death in most of the cases.

    Fundamento: Las enfermedades cerebrovasculares constituyen la tercera causa de muerte y primera de discapacidad en el mundo y en Cuba; se encuentran dentro de los programas priorizados por la Organización Mundial de la Salud y por nuestro Ministerio de Salud

  11. La educación militar en el ejército del Estado Soberano de Panamá: un índice de unidad y organización

    Directory of Open Access Journals (Sweden)

    Dayana Angélica Rueda Cáceres

    2011-05-01

    Full Text Available En este articulo se busca puntualizar los aspectos mas relevantes de la Educación Militar en todas sus áreas, impartida durante la segunda mitad del siglo XIX en el Ejercito del Estado Soberano de Panamá, a partir del análisis de las Escuelas y Colegios militares fundados en el Estado y por el Gobierno Central en Bogotá, la lectura de los manuales dirigidos a quienes componían el Ejército ya fueran de la Oficialidad o de la Tropa y las Resoluciones, Circulares y Decretos complementarios que reglamentaron la vida castrense. De esta manera, se intenta en estas cortas líneas de este articulo, describir, argumentar, generalizar y explicar históricamente este ítem, analizando la educación teórica, la formación y la disciplina impartida a los militares del Istmo.

  12. La dictadura militar de Augusto Pinochet como historia del presente: historiografía, dictadura, transición, demanda social y crisis de representatividad

    Directory of Open Access Journals (Sweden)

    Danny Gonzalo Monsálvez Araneda

    2013-02-01

    Full Text Available Existe un consenso generalizado en la comunidad académica internacional y nacional sobre qué es la historia del presente y cuáles son sus límites cronológicos. En vista de aquello, el presente artículo pretende reflexionar sobre el por qué la dictadura militar de Augusto Pinochet (1973-1990 puede ser considerada historia del presente, especialmente por ser una historia en construcción, que se hace cargo de procesos en desarrollo, inacabados, que en el caso de la dictadura militar se conecta con el Chile de la transición, con las críticas a dicho proceso político y la crisis de representatividad y legitimidad que hoy se vive y que tiene sus orígenes en aquel periodo histórico.Palabras claves: Dictadura militar - transición democrática - historiografía - tiempo presente - crisis de representatividad y legitimidad.___________________Abstract:There is widespread consensus in the international and national academic community about what is the History of the Present and what are its chronological limits. In view of that, this article aims to reflect on why the military dictatorship of Augusto Pinochet (1973-1990 can be considered history of the prewent, especially being a history in construction, which is responsible for developing, unfinished processes, what in the case of the military dictatorship in Chile is connected to the transition, with the criticism that political process and the current crisis of representation and legitimacy and that has its origins in that historical period.Keywords: Military dictatorship - democratic transition - history - present time - crisis of representation and legitimacy.

  13. ¿REPRESIÓN O INTEGRACIÓN? LA POLÍTICA SINDICAL DEL RÉGIMEN MILITAR: 1973-1980

    Directory of Open Access Journals (Sweden)

    Rolando Álvarez Vallejos

    2010-12-01

    Full Text Available Este artículo aborda los intentos del régimen militar encabezado por el general Augusto Pinochet de penetrar las organizaciones de trabajadores, entre el golpe de Estado y la instalación del Plan Laboral diseñado por José Pinera. Para ello, se analizan las distintas estrategias que se desplegaron para prolongar en el tiempo el apoyo dispensado al golpe militar de 1973 por el llamado Poder Gremial, compuesto, entre otros, por una parte significativa del movimiento sindical que se opuso a Salvador Allende, examinando, también, las razones del fracaso de estas estrategias de cooptación del movimiento sindical, confirmado con el triunfo de las políticas neoliberales en el ámbito laboral. La hipótesis que atraviesa este trabajo sostiene que el diseño del régimen militar no fue capaz de romper con la histórica cultura sindical de la organización de trabajadores en Chile.This article deals with the attempts of the military regime lead by the general Augusto Pinochet to penetrate workers organizations between the times of the coup d'etat and the installation of the Labor plan designed by José Pinera. The article analyzes the various strategies used in order to prolong in time, the support that the regime had since the coup of 1973 from the so-called Poder Gremial, composed amongst others, by a significant faction of the labor movement who opposed Salvador Allende. Also examined are the reasons behind the failure of these strategies to co-opt the labor movement that were confirmed by the triumph of neo-liberal labor policies. The underlying hypothesis argues that the military regimes plan was not capable of breaking through the historic tradition of labor unions among Chilean workers.

  14. Time series analysis of the association between ambient temperature and cerebrovascular morbidity in the elderly in Shanghai, China

    Science.gov (United States)

    Zhang, Xian-Jing; Ma, Wei-Ping; Zhao, Nai-Qing; Wang, Xi-Ling

    2016-01-01

    Research on the association between ambient temperature and cerebrovascular morbidity is scarce in China. In this study, we applied mixed generalized additive model (MGAM) to daily counts of cerebrovascular disease of Shanghai residents aged 65 years or older from 2007–2011, stratified by gender. Weighted daily mean temperature up to lags of one week was smoothed by natural cubic spline, and was added into the model to assess both linear and nonlinear effects of temperature. We found that when the mean temperature increased by 1 °C, the male cases of cerebrovascular disease reduced by 0.95% (95% Confidence Interval (CI): 0.80%, 1.10%) or reduced by 0.34% (95% CI: ‑0.68, 1.36%) in conditions of temperature was below or above 27 °C. However, for every 1 °C increase in temperature, the female cases of cerebrovascular disease increased by 0.34% (95% CI: ‑0.26%, 0.94%) or decreased by 0.92% (95% CI: 0.72, 1.11%) in conditions of temperature was below or above 8 °C, respectively. Temperature and cerebrovascular morbidity is negatively associated in Shanghai. MGAM is recommended in assessing the association between environmental hazards and health outcomes in time series studies.

  15. Nationalist Technologies of Cultural Memory and the Korean War: Militarism and Neo-Liberalism in "The Price of Freedom" and the War Memorial of Korea

    Directory of Open Access Journals (Sweden)

    Daniel Y. Kim

    2015-03-01

    Full Text Available This article examines the technologies of nationalism that shape how the Korean War is depicted in two museum and memorial sites: The Price of Freedom: Americans at War, a permanent exhibit at the National Museum of American History in Washington, DC, and the War Memorial of Korea in Seoul. It shows how the use of traditional historical artifacts in The Price of Freedom and cinematic and digital technologies in the War Memorial generate structures of cultural memory that celebrate both a nationalist militarism and the ethos of neoliberalism.

  16. Política de Implementação de Energias Renováveis nas Instalações Militares

    OpenAIRE

    Lopes, Joaquim

    2009-01-01

    O presente trabalho visa analisar as diversas formas de energias renováveis e o seu enquadramento no âmbito da política energética nacional tendo em vista elaborar um plano de implementação de energias renováveis nas instalações militares portuguesas. Os consumos energéticos característicos da sociedade actual provocam a crescente utilização de recursos fósseis, designadamente petróleo e carvão, e acarretam elevadas emissões de gases com efeito de estufa para a atmosfera. A necessidade de ...

  17. Práticas de educação ambiental: breve diagnóstico em organizações militares do exército brasileiro

    OpenAIRE

    Eduardo Borba Neves; Maressa Cristina de Almeida Piconcelli; Sophia Hideko Kohata Oliveira; Brani Rozemberg

    2012-01-01

    Este trabalho teve por objetivo diagnosticar como a Educação Ambiental (EA) vem sendo desenvolvida no Exército Brasileiro. A abordagem utilizada foi a qualitativa. Foram selecionadas 52 unidades, de forma não probabilística e por conveniência. O instrumento de coleta de dados foi um questionário com perguntas abertas, enviado às organizações militares no segundo semestre de 2009. A análise dos dados deu-se por meio da análise de conteúdo. Pode-se constatar que as atividades de EA mais mencion...

  18. O discurso publicitário e seus compromissos: uma produção sob o olhar e gerência do regime militar no Brasil

    OpenAIRE

    Vera Lúcia Crevin da Silva

    2009-01-01

    Este artigo pretende revelar as modulações operadas pelo Discurso Publicitário produzido no período do Regime Militar no Brasil; para tanto serão apresentadas cinco peças de diferentes anos que compreenderiam tal gestão política, buscando encontrar um formato de produção publicitária, diferenças e semelhanças entre os anúncios e os tipos de ligações entre produtos, contexto sociopolítico, ideologias e comportamento do consumidor. Palavras-chaves: Publicidade, Política, Economia, Consumidor.AB...

  19. Dictadura militar y sociedad civil. Clase media y responsabilidad colectiva en novelas argentinas de las últimas dos décadas

    OpenAIRE

    Viviana Plotnik

    2016-01-01

    Este trabajo analiza tres novelas argentinas: El secreto y las voces de Carlos Gamerro (2002), El colectivo de Eugenia Almeida (2009) y Lo que nosotras sabíamos de María Inés Krimer (2009), que reconstruyen asesinatos cometidos por el Estado durante la dictadura militar que gobernó en los setenta. Estos crímenes aparecen configurados como ritos de sacrificio en los cuales un chivo expiatorio es depositario de una violencia que evita otra mayor y cohesiona a la comunidad. Los textos también co...

  20. En torno a la red romana de abastecimiento de agua a Toledo: excavaciones en los terrenos de la Academia Militar de Infantería

    OpenAIRE

    Barahona Oviedo, Marisa; Miguel ARENILLAS PARRA; Rojas Rodríguez-Malo, Juan Manuel

    2014-01-01

    Las excavaciones arqueológicas llevadas a cabo en torno a los restos del acueducto que atraviesa los terrenos del campo de maniobras de la Academia Militar de Infantería de Toledo han permitido conocer con detalle la traza de uno de los sistemas hidráulicos que abastecieron a la ciudad romana. El estudio de esta obra se centró además en definir pormenorizadamente su forma constructiva y características técnicas –pendiente y volúmenes portables–, lo que permite diferenciar netamente a este acu...

  1. Tratamiento multidisciplinar del traumatismo cervical con fractura de apófisis odontoides en militar: a propósito de un caso

    OpenAIRE

    D. Fuentes Estaban; R. Navarro Suay; C. Mestre Moreiro; Fernández González, J.; M. Villena Martín

    2014-01-01

    La fractura de apófisis odontoides de la segunda vértebra cervical representa entre el 10 y el 15% de todas las fracturas cervicales. En el medio militar, esta lesión puede ser originada por la práctica de deportes, actividades de especial riesgo como el paracaidismo y armas de fuego o artefacto explosivo. Un diagnóstico precoz y un adecuado tratamiento multidisciplinar pueden colaborar para el correcto manejo integral de una baja. Se ha realizado una revisión de la literatura en la base de d...

  2. Revisão sistemática dos aspectos psicossociais, neurobiológicos, preditores e promotores de resiliência em militares

    Directory of Open Access Journals (Sweden)

    Michela de Souza Cotian

    2014-03-01

    Full Text Available Objetivo: Conduzir uma revisão sistemática sobre resiliência psicológica e/ou hardiness em militares, explorando seus aspectos psicossociais, neurobiológicos, preditores e promotores. Métodos: Utilizaram-se as bases de dados PubMed/MedLine, ISI/Web of Science e PsycINFO, incluindo artigos empíricos publicados nas línguas inglesa, portuguesa e espanhola até maio de 2012. Os seguintes termos foram utilizados: “militar*”, “Army”, “war”, “veteran*”, “resilien*” e “hardiness”. Resultados: Foram incluídos 32 estudos selecionados a partir de 1.205 artigos. O foco da maioria das pesquisas recai sobre a correlação resiliência/hardiness e aspectos psicossociais. Confirmou-se o papel protetivo da resiliência/hardiness quanto ao transtorno de estresse pós-traumático (TEPT, assim como a associação direta entre resiliência e saúde. Neuropeptídeo Y (NPY e deidroepiandrosterona (DHEA foram os biomarcadores mais estudados. Os níveis de NPY no plasma podem representar um correlato biológico de resiliência ou recuperação dos efeitos adversos do estresse. Somente dois estudos abordaram fatores preditores de resiliência em amostras militares, sugerindo ser a exposição a situações adversas, o apoio social e o gênero fatores considerados preditores desse construto. Apenas um estudo avaliou a eficiência de intervenção para fortalecer a resiliência. Conclusão: Apesar da crucial relevância da resiliência, há poucos estudos em amostras militares. Estudos neurobiológicos como os do NPY são promissores. A ausência de ensaio randomizado controlado avaliando eficácia de intervenções promotoras da resiliência demonstra como esse construto vem sendo negligenciado nessa profissão de risco, constituindo área prioritária para foco de estudos futuros.

  3. Cuerpos silenciados. El ingreso de restos humanos al Museo Etnográfico entre 1904 y 1916 durante las campañas militares al Gran Chaco argentino

    OpenAIRE

    Tolosa, Sandra; Dávila, Lena

    2016-01-01

    En este artículo analizamos el ingreso de restos humanos al Museo Etnográfico entre 1904 y 1916, por pedido de su director Juan B. Ambrosetti a diferentes personas e instituciones. Nos centramos en aquellos pertenecientes a indígenas del Gran Chaco argentino, en el contexto del avance militar sobre ese territorio y la consecuente desarticulación de sus pueblos originarios. En este sentido, destacamos cómo miembros del mismo Ejército enviaron objetos etnográficos y restos óseos al Museo, respo...

  4. Estresse e demais fatores de risco para hipertensão arterial entre profissionais militares da área de enfermagem

    OpenAIRE

    Rafael da Silva Soares; Jorge Luiz Lima da Silva; Mariana Ribeiro Lopes; Rebecca Ferreira Moreno; Jonathan Henrique Anjos de Almeida; Vinícius Rodrigues de Souza

    2012-01-01

    A hipertensão arterial sistêmica (HAS) representa grave problema de saúde pública no Brasil, pela elevada prevalência e pela acentuada parcela de hipertensos não diagnosticada, ou não tratada de forma adequada, ou ainda pelo alto índice de abandono ao tratamento. O estudo objetivou verificar quais os fatores de risco para a HAS que os profissionais militares da área de enfermagem identificam em seu estilo de vida; classificar os níveis pressóricos dos profissionais. A pesquisa desenvolveu-s...

  5. Trends in Mortality from Cerebrovascular and Hypertensive Diseases in Brazil Between 1980 and 2012

    Directory of Open Access Journals (Sweden)

    Paolo Blanco Villela

    2016-01-01

    Full Text Available Abstract Background: Cerebrovascular and hypertensive diseases are among the main causes of death worldwide. However, there are limited data about the trends of these diseases over the years. Objective: To evaluate the temporal trends in mortality rates and proportional mortality from cerebrovascular and hypertensive diseases according to sex and age in Brazil between 1980 and 2012. Methods: We evaluated the underlying causes of death between 1980 and 2012 in both sexes and by age groups for circulatory diseases (CD, cerebrovascular diseases (CBVD, and hypertensive diseases (HD. We also evaluated death due to all causes (AC, external causes (EC, and ill-defined causes of death (IDCD. Data on deaths and population were obtained from the Department of Information Technology of the Unified Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS/MS. We estimated crude and standardized annual mortality rates per 100,000 inhabitants and percentages of proportional mortality rates. Results: With the exception of EC, the mortality rates per 100,000 inhabitants of all other diseases increased with age. The proportional mortality of CD, CBVD, and HD increased up to the age range of 60-69 years in men and 70-79 years in women, and reached a plateau in both sexes after that. The standardized rates of CD and CBVD declined in both sexes. However, the HD rates showed the opposite trend and increased mildly during the study period. Conclusion: Despite the decline in standardized mortality rates due to CD and CBVD, there was an increase in deaths due to HD, which could be related to factors associated with the completion of the death certificates, decline in IDCD rates, and increase in the prevalence of hypertension.

  6. The balance between cognitive reserve and brain imaging biomarkers of cerebrovascular and Alzheimer's diseases.

    Science.gov (United States)

    Murray, Alison D; Staff, Roger T; McNeil, Christopher J; Salarirad, Sima; Ahearn, Trevor S; Mustafa, Nazahah; Whalley, Lawrence J

    2011-12-01

    The cognitive reserve hypothesis explains the disparity between clinical and pathological phenotypes and why, in two individuals with the same extent of neuropathology, one may be demented while the other remains cognitively intact. We examined the balance between brain magnetic resonance imaging measures of the two most common pathologies associated with brain ageing, cerebrovascular disease and Alzheimer's disease, and parameters of cerebral reserve in well-characterized participants born in 1936, for whom childhood intelligence is known. Brain magnetic resonance imaging was carried out at 1.5T using fluid attenuation inversion recovery and T(1)-weighted volumetric sequences in 249 participants. Cerebrovascular disease was quantified by measuring brain white matter hyperintensities on fluid attenuation inversion recovery images using Scheltens' scale and Alzheimer's disease was measured from volumetric data using FreeSurfer to extract whole brain volume and hippocampal volumes in turn. The effect of these measures of brain burden on life-long cognitive ageing from the age of 11 to 68 years was compared with the effect of educational attainment and occupational grade using structural equation modelling. Complete brain burden and reserve data were available in 224 participants. We found that educational attainment, but not occupation, has a measurable and positive effect, with a standardized regression weight of +0.23, on late life cognitive ability in people without cognitive impairment aged 68 years, allowing for the influence of childhood intelligence and the two most common subclinical brain pathological burdens in the ageing brain. In addition, we demonstrate that the magnitude of the contribution of education is greater than the negative impact of either neuropathological burden alone, with standardized regression weights of -0.14 for white matter hyperintensities and -0.20 for hippocampal atrophy. This study illustrates how education counteracts the

  7. Trends in Mortality from Cerebrovascular and Hypertensive Diseases in Brazil Between 1980 and 2012

    Science.gov (United States)

    Villela, Paolo Blanco; Klein, Carlos Henrique; de Oliveira, Gláucia Maria Moraes

    2016-01-01

    Background Cerebrovascular and hypertensive diseases are among the main causes of death worldwide. However, there are limited data about the trends of these diseases over the years. Objective To evaluate the temporal trends in mortality rates and proportional mortality from cerebrovascular and hypertensive diseases according to sex and age in Brazil between 1980 and 2012. Methods We evaluated the underlying causes of death between 1980 and 2012 in both sexes and by age groups for circulatory diseases (CD), cerebrovascular diseases (CBVD), and hypertensive diseases (HD). We also evaluated death due to all causes (AC), external causes (EC), and ill-defined causes of death (IDCD). Data on deaths and population were obtained from the Department of Information Technology of the Unified Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS/MS). We estimated crude and standardized annual mortality rates per 100,000 inhabitants and percentages of proportional mortality rates. Results With the exception of EC, the mortality rates per 100,000 inhabitants of all other diseases increased with age. The proportional mortality of CD, CBVD, and HD increased up to the age range of 60-69 years in men and 70-79 years in women, and reached a plateau in both sexes after that. The standardized rates of CD and CBVD declined in both sexes. However, the HD rates showed the opposite trend and increased mildly during the study period. Conclusion Despite the decline in standardized mortality rates due to CD and CBVD, there was an increase in deaths due to HD, which could be related to factors associated with the completion of the death certificates, decline in IDCD rates, and increase in the prevalence of hypertension. PMID:27355586

  8. Subjective and objective knowledge and decisional role preferences in cerebrovascular patients compared to controls

    Science.gov (United States)

    Riechel, Christina; Alegiani, Anna Christina; Köpke, Sascha; Kasper, Jürgen; Rosenkranz, Michael; Thomalla, Götz; Heesen, Christoph

    2016-01-01

    Background Risk knowledge and active role preferences are important for patient involvement in treatment decision-making and adherence. Although knowledge about stroke warning signs and risk factors has received considerable attention, objective knowledge on secondary prevention and further self-esteem subjective knowledge have rarely been studied. The aim of our study was to investigate knowledge and treatment decisional role preferences in cerebrovascular patients compared to controls. Methods We performed a survey on subjective and objective stroke risk knowledge and autonomy preferences in cerebrovascular patients from our stroke outpatient clinic (n=262) and from pedestrians on the street taken as controls during a “World Stroke Day” (n=274). The questionnaire includes measures for knowledge and decisional role preferences from previously published questionnaires and newly developed measures, for example, subjective knowledge, revealed on a visual analog scale. Results The overall stroke knowledge was low to moderate, with no differences between patients and controls. Knowledge about secondary prevention was particularly low. Only 10%–15% of participants correctly estimated the stroke absolute risk reduction potential of aspirin. The medical data interpretation competence was moderate in both groups. Age and basic mathematical and statistical understanding (numeracy) were the only independent predictors of objective stroke knowledge, whereas previous stroke had no impact on stroke knowledge. However, patients were thought to be better informed than controls. Approximately 60% of both patients and controls claimed to prefer a shared decision-making approach in treatment decisions. Conclusion The level of stroke risk knowledge in patients with cerebrovascular diseases was as low as in randomly selected pedestrians, although patients felt better informed. Both groups preferred involvement in treatment decision-making. We conclude that educational concepts

  9. Muertes por enfermedades cardiacas y accidentes cerebrovasculares prevenibles - (Preventable Deaths from Heart Disease and Stroke)

    Centers for Disease Control (CDC) Podcasts

    2013-09-03

    Este podcast se basa en la edición de septiembre del 2013 del informe Signos Vitales de los CDC. Más de 800,000 personas en los Estados Unidos mueren cada año a causa de enfermedades cardiacas y accidentes cerebrovasculares. Aprenda cómo controlar todos los principales factores de riesgo.  Created: 9/3/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/3/2013.

  10. Subjective and objective knowledge and decisional role preferences in cerebrovascular patients compared to controls

    Directory of Open Access Journals (Sweden)

    Riechel C

    2016-08-01

    Full Text Available Christina Riechel,1,* Anna Christina Alegiani,1,* Sascha Köpke,2 Jürgen Kasper,3,4 Michael Rosenkranz,1,5 Götz Thomalla,1 Christoph Heesen1,4 1Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 2Nursing Research Unit, Institute of Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany; 3Department of Health and Caring Sciences, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway; 4Institute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 5Department of Neurology, Albertinen-Krankenhaus, Hamburg, Germany *These authors contributed equally to this work Background: Risk knowledge and active role preferences are important for patient involvement in treatment decision-making and adherence. Although knowledge about stroke warning signs and risk factors has received considerable attention, objective knowledge on secondary prevention and further self-esteem subjective knowledge have rarely been studied. The aim of our study was to investigate knowledge and treatment decisional role preferences in cerebrovascular patients compared to controls. Methods: We performed a survey on subjective and objective stroke risk knowledge and autonomy preferences in cerebrovascular patients from our stroke outpatient clinic (n=262 and from pedestrians on the street taken as controls during a “World Stroke Day” (n=274. The questionnaire includes measures for knowledge and decisional role preferences from previously published questionnaires and newly developed measures, for example, subjective knowledge, revealed on a visual analog scale. Results: The overall stroke knowledge was low to moderate, with no differences between patients and controls. Knowledge about secondary prevention was particularly low. Only 10%–15% of participants correctly estimated the stroke absolute risk reduction potential of aspirin. The medical data

  11. Warfarin therapy and incidence of cerebrovascular complications in left-sided native valve endocarditis

    DEFF Research Database (Denmark)

    Snygg-Martin, U; Rasmussen, Rasmus Vedby; Hassager, C;

    2011-01-01

    Anticoagulant therapy has been anticipated to increase the risk of cerebrovascular complications (CVC) in native valve endocarditis (NVE). This study investigates the relationship between ongoing oral anticoagulant therapy and the incidence of symptomatic CVC in left-sided NVE. In a prospective...... factors for CVC, while warfarin on admission (aOR 0.26, 95% CI 0.07-0.94), history of congestive heart failure (adjusted OR 0.22, 95% CI 0.1-0.52) and previous endocarditis (aOR 0.1, 95% CI 0.01-0.79) correlated with lower CVC frequency....

  12. Assessment of Unconstrained Cerebrovascular Reactivity Marker for Large Age-Range fMRI Studies

    OpenAIRE

    Kannurpatti, Sridhar S.; Motes, Michael A.; Biswal, Bharat B; Rypma, Bart

    2014-01-01

    Breath hold (BH), a commonly used task to measure cerebrovascular reactivity (CVR) in fMRI studies varies in outcome among individuals due to subject-physiology and/or BH-inspiration/expiration differences (i.e., performance). In prior age-related fMRI studies, smaller task-related BOLD response variability is observed among younger than older individuals. Also, a linear CVR versus task relationship exists in younger individuals which maybe useful to test the accuracy of CVR responses in olde...

  13. La educación militar en el ejército del Estado Soberano de Panamá: un índice de unidad y organización

    OpenAIRE

    Dayana Angélica Rueda Cáceres

    2011-01-01

    En este articulo se busca puntualizar los aspectos mas relevantes de la Educación Militar en todas sus áreas, impartida durante la segunda mitad del siglo XIX en el Ejercito del Estado Soberano de Panamá, a partir del análisis de las Escuelas y Colegios militares fundados en el Estado y por el Gobierno Central en Bogotá, la lectura de los manuales dirigidos a quienes componían el Ejército ya fueran de la Oficialidad o de la Tropa y las Resoluciones, Circulares y Decretos complementarios que r...

  14. Cerebral blood flow in asymptomatic individuals; Relationship with cerebrovascular risk factors and magnetic resonance imaging signal abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Isaka, Yoshinari; Iiji, Osamu; Ashida, Keiichi; Imaizumi, Masatoshi (National Osaka Hospital (Japan))

    1993-04-01

    We studied the relationship between cortical grey matter flow (CBF) and age, cerebrovascular risk factors and the severity of subcortical hypersignals (HS, hyperintensity score in MRI) in 47 asymptomatic subjects with cerebrovascular risk factors. Multiple regression analysis revealed that HS was most strongly related to CBF, and that hematocrit, age and evidence of ischemic change detected in the electrocardiogram also appeared to be independent determinants of CBF. Both the severity and location of hypersignals were correlated with CBF. The most significant negative correlation observed was that between CBF and HS in the basal ganglia-thalamic region, where the degree of signal abnormality was modest. Decreased CBF in asymptomatic subjects with cerebrovascular risk factors may be related to microcirculatory disturbance associated with elevated hematocrit and an increase in the number of risk factors, and functional suppression of cerebral cortex due to the neuronal disconnection associated with subcortical lesions. In addition, impaired cerebral circulation may be related to MRI signal abnormalities. (author).

  15. 胞磷胆碱与脑活素治疗脑血管疾病和血管性痴呆疗效对比%Citicoline and Cerebrolysin Efficacy for the Treatment of Cerebrovascular Disease and Vascular Dementia

    Institute of Scientific and Technical Information of China (English)

    郝桂敏

    2015-01-01

    Objective Analysis of citicoline and cerebrolysin clinical curative effect for the treatment of cerebrovascular disease and vascular dementia.Methods In our hospital between December 2013 and December 2014, drawn from patients with cerebrovascular disease treated 100 cases of cerebrovascular disease and vascular dementia patients as the research object. The 100 patients were randomly divided into control group and experimental group, 50 cases in each group. In the control group patients were given conventional treatment, Experimental group patients were given conventional treatment and citicoline, the treatment of brain work. Contrast the treatment effect of two groups of patients.Results The effect of the treatment group of patients is superior to the control group of patients, Signiifcant difference comparing the two groups, with statistical signiifcance,P<0.05.ConclusionCiticoline and brain living treatment of cerebrovascular disease and vascular dementia has good clinical effect, treatment of high efifcient, it is worth popularizing in clinical treatment.%目的:分析胞磷胆碱与脑活素治疗脑血管疾病和血管性痴呆的临床疗效。方法我院在2013年12月~2014年12月期间,从收治的脑血管疾病患者中抽取100例脑血管疾病和血管性痴呆的患者作为研究对象,将这100例患者随机分成对照组和实验组,每组50例。对照组的患者给予常规治疗,实验组的患者给予常规治疗和胞磷胆碱、脑活素治疗。对比两组患者的治疗效果。结果实验组的患者其治疗的效果优于对照组的患者,两组对比差异显著,具有统计学意义,P<0.05。结论胞磷胆碱与脑活素治疗脑血管疾病和血管性痴呆临床疗效好,有效率高。

  16. [Research on distribution of patents' holders for Chinese herbal compounds in treating cardiovascular and cerebrovascular based on cluster analysis].

    Science.gov (United States)

    YANG, Xu-Jie; XIAO, Shi-Ying

    2015-09-01

    To discuss the distribution of patents' holders for Chinese herbal compounds in treating cardiovascular and cerebrovascular, the patents' holders for Chinese herbal compounds in treating cardiovascular and cerebrovascular were cluster analyzed by means of simple statistics and cluster analysis. Clustering variables were composed of patent applications, patent maintained number, related papers' quantity, etc. Chinese herbal compound patents' holders were divided into four categories according to their different scientific research and patent strength. It is the magic weapon for Chinese herbal compound patents' holders that have scientific research patents' transforming and make coordination of patent protection and scientific innovation.

  17. Estudio clínico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular

    OpenAIRE

    Romero López, Modesto Jesús

    2007-01-01

    Objetivos: Estudiar el proceso de la emergencia del coma en pacientes en coma grave por accidente cerebrovascular (ACV). Método: Se han evaluado a 32 pacientes ingresados en una unidad de cuidados intensivos por un coma de origen cerebrovascular. Se ha realizado un seguimiento diario por neuropsicólogos e intensivistas y monitorizado el despertar del coma mediante 8 escalas de evalua ... ción clínica de los niveles de coma. Se han analizado las variables: edad, género, residencia, índice prem...

  18. Cardiovascular and cerebrovascular outcomes in elderly hypertensive patients treated with either ARB or ACEI

    Institute of Scientific and Technical Information of China (English)

    Cong Ma; Jian Cao; Xue-Chun Lu; Xin-Hong Guo; Yan Gao; Xian-Feng Liu; Li Fan

    2012-01-01

    Background Although angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) are equally important in the treatment of hypertension, there is less evidence whether they have equal cardiovascular and cerebrovascular protective effects, especially in elder hypertensive patients. This study aims to clarify this unresolved issue. Methods This cross-sectional study included clinical data on 933 aged male patients with hypertension who received either an ARB or ACEI for more than two months between January 2007 and May 2011. The primary outcome was the composite of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke. The secondary endpoints were unstable angina, new atrial fibrillation, and transient ischemic attack. Results The median follow-up time was 24 months. Age, drug types, cerebral infarction history, renal dysfunction history were the independent predictors of the primary endpoint. The risk of an occurrence of a primary endpoint event was higher in the ARB group than the ACEI group [P = 0.037, hazard ratios occurrence was higher in the ARB group than the ACEI group (P = 0.04). In regard to the secondary endpoints, there were no significant were independent predictors of the secondary endpoint. Conclusion ACEI were more effective than ARB in reducing cardiovascular and cerebrovascular morbidity and mortality in aged patients with hypertension.

  19. Calcitonin gene-related peptide (CGRP receptors are important to maintain cerebrovascular reactivity in chronic hypertension.

    Directory of Open Access Journals (Sweden)

    Zhenghui Wang

    Full Text Available Cerebral blood flow autoregulation (CA shifts to higher blood pressures in chronic hypertensive patients, which increases their risk for brain damage. Although cerebral vascular smooth muscle cells express the potent vasodilatatory peptides calcitonin gene-related peptide (CGRP and adrenomedullin (AM and their receptors (calcitonin receptor-like receptor (Calclr, receptor-modifying proteins (RAMP 1 and 2, their contribution to CA during chronic hypertension is poorly understood. Here we report that chronic (10 weeks hypertensive (one-kidney-one-clip-method mice overexpressing the Calclr in smooth muscle cells (CLR-tg, which increases the natural sensitivity of the brain vasculature to CGRP and AM show significantly better blood pressure drop-induced cerebrovascular reactivity than wt controls. Compared to sham mice, this was paralleled by increased cerebral CGRP-binding sites (receptor autoradiography, significantly in CLR-tg but not wt mice. AM-binding sites remained unchanged. Whereas hypertension did not alter RAMP-1 expression (droplet digital (dd PCR in either mouse line, RAMP-2 expression dropped significantly in both mouse lines by about 65%. Moreover, in wt only Calclr expression was reduced by about 70% parallel to an increase of smooth muscle actin (Acta2 expression. Thus, chronic hypertension induces a stoichiometric shift between CGRP and AM receptors in favor of the CGRP receptor. However, the parallel reduction of Calclr expression observed in wt mice but not CLR-tg mice appears to be a key mechanism in chronic hypertension impairing cerebrovascular reactivity.

  20. Possibilities of using naftidrofuryl in the therapy of cerebrovascular diseases: Literature review and the authors’ observations

    Directory of Open Access Journals (Sweden)

    A. N. Belova

    2015-01-01

    Full Text Available The efficacy of naftidrofuryl in treating cerebrovascular diseases is analyzed on the basis of a review of the Russian and foreign literature. Naftidrofuryl is a seroton 5-HT2 receptor antagonist and acts on brain energy metabolism mainly during hypoxia or ischemia. The results of preclinical studies proving the antispasmodic and neuroprotective properties of the drug and its capacity to normalize microcirculation in hypoxia are briefly considered. Experimental findings served as a basis for further studies of the efficacy of naftidrofuryl in patients with stroke, chronic cerebral ischemia, or vascular dementia. The use of naftidrofuryl (dusopharm was demonstrated to statistically significantly enhance the efficiency of rehabilitation in post-stroke patients and to be followed by significant psychoemotional improvement. According to a Cochrane review, the naftidrofuryl-treated patients with vascular dementia showed a tendency towards better executive and cognitive functions, behavior, and mood. The drug was noted to have a positive effect on the health of patients with chronic cerebral ischemia.The authors provide the data of their trial of naftidrofuryl used in patients with dyscirculatory encephalopathy, which have confirmed its efficacy in this category of patients. The data available in the literature suggest that oral naftidrofuryl has a good tolerability and safety profile in patients with cerebrovascular diseases.

  1. Principles and Clinical Application of Dual-energy Computed Tomography in the Evaluation of Cerebrovascular Disease.

    Science.gov (United States)

    Hsu, Charlie Chia-Tsong; Kwan, Gigi Nga Chi; Singh, Dalveer; Pratap, Jit; Watkins, Trevor William

    2016-01-01

    Dual-energy computed tomography (DECT) simultaneously acquires images at two X-ray energy levels, at both high- and low-peak voltages (kVp). The material attenuation difference obtained from the two X-ray energies can be processed by software to analyze material decomposition and to create additional image datasets, namely, virtual noncontrast, virtual contrast also known as iodine overlay, and bone/calcium subtraction images. DECT has a vast array of clinical applications in imaging cerebrovascular diseases, which includes: (1) Identification of active extravasation of iodinated contrast in various types of intracranial hemorrhage; (2) differentiation between hemorrhagic transformation and iodine staining in acute ischemic stroke following diagnostic and/or therapeutic catheter angiography; (3) identification of culprit lesions in intra-axial hemorrhage; (4) calcium subtraction from atheromatous plaque for the assessment of plaque morphology and improved quantification of luminal stenosis; (5) bone subtraction to improve the depiction of vascular anatomy with more clarity, especially at the skull base; (6) metal artifact reduction utilizing virtual monoenergetic reconstructions for improved luminal assessment postaneurysm coiling or clipping. We discuss the physical principles of DECT and review the clinical applications of DECT for the evaluation of cerebrovascular diseases. PMID:27512615

  2. The complex contribution of NOS interneurons in the physiology of cerebrovascular regulation

    Directory of Open Access Journals (Sweden)

    Sonia eDuchemin

    2012-08-01

    Full Text Available Following the discovery of the vasorelaxant properties of nitric oxide (NO by Furchgott and Ignarro, the finding by Bredt and coll. of a constitutively expressed NO synthase in neurons (nNOS led to the presumption that neuronal NO may control cerebrovascular functions. Consequently, numerous studies have sought to determine whether neuraly-derived NO is involved in the regulation of cerebral blood flow. Anatomically, axons, dendrites or somata of NO neurons have been found to contact the basement membrane of blood vessels or perivascular astrocytes in all segments of the cortical microcirculation. Functionally, various experimental approaches support a role of neuronal NO in the maintenance of resting cerebral blood flow as well as in the vascular response to neuronal activity. Since decades, it has been assumed that neuronal NO simply diffuses to the local blood vessels and produce vasodilation through a cGMP-PKG dependent mechanism. However, NO is not the sole mediator of vasodilation in the cerebral microcirculation and is known to interact with a myriad of signaling pathways also involved in vascular control. In addition, cerebrovascular regulation is the result of a complex orchestration between all components of the neurovascular unit (i.e. neuronal, glial and vascular cells also known to produce NO. In this review article, the role of NO interneuron in the regulation of cortical microcirculation will be discussed in the context of the neurovascular unit.

  3. SPECT with N-isopropyl-p iodoamphetamine in occlusive cerebrovascular diseases.

    Science.gov (United States)

    Higa, T; Tanaka, T; Ikekubo, K; Komatsu, T; Torizuka, K

    1986-12-01

    The role of SPECT imaging with N-isopropyl-p iodoamphetamine (I-123 IMP) in the detection of angiographically documented occlusive cerebrovascular diseases was evaluated in 24 patients, and the results of regional cerebral blood flow (rCBF) were compared with x-ray CT. Twelve patients had internal carotid occlusion, ten had intracranial occlusion beyond the circle of Willis, one had common carotid occlusion, and one had basilar artery occlusion. SPECT images were obtained with a gamma camera, which was rotated 360 degrees around the patient's head 30 minutes after an intravenous injection of 3 mCi of I-123 IMP. CT images in the transverse plane were obtained, and the regions of reduced attenuation were identified for comparison of topographic extension of the lesion with the regions of decreased rCBF seen on SPECT. In six cases, the lesions seen on the SPECT images were distinctly more extensive than those seen on CT. In the remaining 18 cases, the extent of the lesion was identical on both CT and SPECT images. Radiochemical and radionuclide impurities, the distance of the detector from the head, and the nature of the collimator affected the SPECT results. I-123 IMP SPECT imaging complements CT findings in detecting the ischemic zones beyond the regions identified on CT images, and may have a major rule in the management of patients with occlusive cerebrovascular diseases.

  4. Principles and Clinical Application of Dual-energy Computed Tomography in the Evaluation of Cerebrovascular Disease

    Science.gov (United States)

    Hsu, Charlie Chia-Tsong; Kwan, Gigi Nga Chi; Singh, Dalveer; Pratap, Jit; Watkins, Trevor William

    2016-01-01

    Dual-energy computed tomography (DECT) simultaneously acquires images at two X-ray energy levels, at both high- and low-peak voltages (kVp). The material attenuation difference obtained from the two X-ray energies can be processed by software to analyze material decomposition and to create additional image datasets, namely, virtual noncontrast, virtual contrast also known as iodine overlay, and bone/calcium subtraction images. DECT has a vast array of clinical applications in imaging cerebrovascular diseases, which includes: (1) Identification of active extravasation of iodinated contrast in various types of intracranial hemorrhage; (2) differentiation between hemorrhagic transformation and iodine staining in acute ischemic stroke following diagnostic and/or therapeutic catheter angiography; (3) identification of culprit lesions in intra-axial hemorrhage; (4) calcium subtraction from atheromatous plaque for the assessment of plaque morphology and improved quantification of luminal stenosis; (5) bone subtraction to improve the depiction of vascular anatomy with more clarity, especially at the skull base; (6) metal artifact reduction utilizing virtual monoenergetic reconstructions for improved luminal assessment postaneurysm coiling or clipping. We discuss the physical principles of DECT and review the clinical applications of DECT for the evaluation of cerebrovascular diseases. PMID:27512615

  5. Evaluation of the cerebrovascular pressure reactivity index using non-invasive finapres arterial blood pressure

    International Nuclear Information System (INIS)

    A pressure reactivity index (PRx) can be assessed in patients with continuous monitoring of arterial blood pressure (ABP) and intracranial pressure (ICP) as a moving correlation coefficient between slow fluctuations of these two signals within a low frequency bandwidth. The study aimed to investigate whether the invasive ABP monitoring can be replaced with non-invasive measurement of ABP using a Finapres plethysmograph (fABP) to calculate the fPRx. There is a well-defined group of patients, suffering from hydrocephalus and undergoing CSF pressure monitoring, which may benefit from such a measurement. 41 simultaneous day-by-day monitoring of ICP, ABP and fABP were performed for about 30 min in 10 head injury patients. A Bland–Altman assessment for agreement was used to compare PRx and fPRx calculations. Performance metrics and the McNemary test were used to determine whether fPRx is sensitive enough to distinguish between functioning and disturbed cerebrovascular pressure reactivity. The fPRx correlated with PRx (RSpearman = 0.92, p < 0.001; bias = −0.04; lower and upper limits of agreement: −0.26 and 0.17, respectively). The fPRx distinguished between active and passive reactivity in more than 89% cases. The fPRx can be used with care for assessment of cerebrovascular reactivity in patients for whom invasive ABP measurement is not feasible. The fPRx is sensitive enough to distinguish between functional and deranged reactivity

  6. Evaluation of the cerebrovascular pressure reactivity index using non-invasive finapres arterial blood pressure.

    Science.gov (United States)

    Kasprowicz, M; Schmidt, E; Kim, D J; Haubrich, C; Czosnyka, Z; Smielewski, P; Czosnyka, M

    2010-09-01

    A pressure reactivity index (PRx) can be assessed in patients with continuous monitoring of arterial blood pressure (ABP) and intracranial pressure (ICP) as a moving correlation coefficient between slow fluctuations of these two signals within a low frequency bandwidth. The study aimed to investigate whether the invasive ABP monitoring can be replaced with non-invasive measurement of ABP using a Finapres plethysmograph (fABP) to calculate the fPRx. There is a well-defined group of patients, suffering from hydrocephalus and undergoing CSF pressure monitoring, which may benefit from such a measurement. 41 simultaneous day-by-day monitoring of ICP, ABP and fABP were performed for about 30 min in 10 head injury patients. A Bland-Altman assessment for agreement was used to compare PRx and fPRx calculations. Performance metrics and the McNemary test were used to determine whether fPRx is sensitive enough to distinguish between functioning and disturbed cerebrovascular pressure reactivity. The fPRx correlated with PRx (R(Spearman) = 0.92, p agreement: -0.26 and 0.17, respectively). The fPRx distinguished between active and passive reactivity in more than 89% cases. The fPRx can be used with care for assessment of cerebrovascular reactivity in patients for whom invasive ABP measurement is not feasible. The fPRx is sensitive enough to distinguish between functional and deranged reactivity. PMID:20664157

  7. Use of various CT imaging methods for diagnosis of acute ischemic cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    Gang Wang; Xue Cheng; Xianglin Zhang

    2013-01-01

    Thirty-four patients with cerebral infarction and 18 patients with transient ischemic attack were examined by multi-slice spiral CT scan, CT perfusion imaging, and CT angiography within 6 hours after onset. By CT perfusion imaging, 29 cases in the cerebral infarction group and 10 cases in the transient ischemic attack group presented with abnormal blood flow perfusion, which corresponded to the clinical symptoms. By CT angiography, various degrees of vascular stenosis could be detected in 41 patients, including 33 in the cerebral infarction group and eight in the transient ischemic attack group. The incidence of intracranial artery stenosis was higher than that of extracranial artery stenosis. The intracranial artery stenosis was located predominantly in the middle cerebral artery and carotid artery siphon, while the extracranial artery stenosis occurred mainly in the bifurcation of the common carotid artery and the opening of the vertebral artery. There were 34 cases (83%) with convict vascular stenosis and perfusion abnormalities, and five cases (45%) with perfusion abnormalities but without convict vascular stenosis. The incidence of cerebral infarction in patients with National Institutes of Health Stroke Scale scores ≥ 5 points during onset was significantly higher than that in patients with National Institutes of Health Stroke Scale scores < 5 points. These experimental findings indicate that the combined application of various CT imaging methods allows early diagnosis of acute ischemic cerebrovascular disease, which can comprehensively analyze the pathogenesis and severity of acute ischemic cerebrovascular disease at the morphological and functional levels.

  8. Clinical study on magnetic resonance imaging of lacunar infarcts and cerebrovascular high-risk group

    Energy Technology Data Exchange (ETDEWEB)

    Hironaka, Masatoshi (Hiroshima Univ. (Japan). School of Medicine)

    1990-04-01

    Magnetic resonance imaging (MRI) study was performed in 32 patients with recent lacunar stroke. T2-weighted images showed ischemic lesions more clearly than T1-weighted images. Sixty-six percent of 32 patients had periventricular lesions. Eighty-four percent had subcortical white matter lesions. Sixty-nine percent had lesions in basal ganglia. Twenty-eight percent had lesions in brainstem. Periventricular lesions were revealed symmetrically. On the other hand, lesions in other areas were not detected symmetrically. Severe periventricular lesions on MRI were similar to those of Binswanger's disease. Patients with severe periventricular lesions had often hypertension. Moreover, two of them had dementia. Twenty-three patients with transient ischemic attack had less remarkable lesions than patients with lacunar stroke. Thirty-seven patients with a history of cerebrovascular risk factors (hypertension, diabetes mellitus) had severer lesions compared with normal controls. Sixty-one percent of controls, who had no cerebrovascular symptoms and signs, had MRI lesions. These results suggest that MRI is useful for detection of cerebral ischemic lesions with no associated clinical symptoms or signs. (author).

  9. Clinical application of dynamic digital subtraction angiography in cerebrovascular ischemic diseases

    Energy Technology Data Exchange (ETDEWEB)

    Hirata, Yoshifumi; Nonaka, Nobuhito; Matsukado, Yasuhiko; Takahashi, Mutsumasa.

    1987-09-01

    Dynamic intravenous digital subtraction angiography (IV-DSA) was performed in 37 patients with cerebrovascular ischemic diseases. The time density curve of IV-DSA was analysed, and peak time, mean transit time and mode of transit time were obtained in each patient. On the basis of these values, cerebral perfusion was classified into low, normal and high perfusion patterns. Normal perfusion pattern was noted in 40% of patients with transient ischemic attack (TIA) and 7 % of patients with cerebral infarction. Low perfusion pattern was observed in 60 % of patients with TIA and 87 % of patients with cerebral infarction. High perfusion pattern was encountered only in 7 % of patients with cerebral infarction. In ischemic patients with moyamoya disease, extremely prolonged cerebral circulation time was evidenced by the presence of a flat or uphill type of the time density curve. This finding well correlated with decreased cerebral blood flow on single photon emission tomography. These findings suggest that the analysis of dynamic DSA is very important and useful in the clinical evaluation of patients with cerebrovascular ischemic diseases.

  10. Study of nanosensor systems for hypertension associated cerebrovascular and cardiovascular disorders

    Science.gov (United States)

    Ramasamy, Mouli; Varadan, Vijay K.

    2015-04-01

    Hypertension and hypertension associated cerebrovascular and cardiovascular diseases are on a rise. At-least 970 million people in the world and Seventy percent of the American adults are affected by high blood pressure, also known as hypertension. Even though blood pressure monitoring systems are readily available, the number of people being affected has been increasing. Most of the blood pressure monitoring systems require cumbersome approaches. Even the noninvasive techniques have not lowered the number of people affected nor did at-least increase the user base of these systems. Uncontrolled or untreated hypertension may lead to various cerebrovascular disorders including stroke, hypertensive crisis, lacunar infarcts intracerebral damage, microaneurysm, and cardiovascular disorders including heart failure, myocardial infraction, and ischemic heart disease. Hypertension is rated as the one of the most important causes of premature death in spite of the technical advances in biomedical technology. This paper briefs a review of the widely adopted blood pressure monitoring methods, research techniques, and finally, proposes a concept of implementing nanosensors and wireless communication for real time non-invasive blood pressure monitoring.

  11. Clinical study on magnetic resonance imaging of lacunar infarcts and cerebrovascular high-risk group

    International Nuclear Information System (INIS)

    Magnetic resonance imaging (MRI) study was performed in 32 patients with recent lacunar stroke. T2-weighted images showed ischemic lesions more clearly than T1-weighted images. Sixty-six percent of 32 patients had periventricular lesions. Eighty-four percent had subcortical white matter lesions. Sixty-nine percent had lesions in basal ganglia. Twenty-eight percent had lesions in brainstem. Periventricular lesions were revealed symmetrically. On the other hand, lesions in other areas were not detected symmetrically. Severe periventricular lesions on MRI were similar to those of Binswanger's disease. Patients with severe periventricular lesions had often hypertension. Moreover, two of them had dementia. Twenty-three patients with transient ischemic attack had less remarkable lesions than patients with lacunar stroke. Thirty-seven patients with a history of cerebrovascular risk factors (hypertension, diabetes mellitus) had severer lesions compared with normal controls. Sixty-one percent of controls, who had no cerebrovascular symptoms and signs, had MRI lesions. These results suggest that MRI is useful for detection of cerebral ischemic lesions with no associated clinical symptoms or signs. (author)

  12. Neuroimaging assessment of cerebrovascular reactivity in concussion: current concepts, methodological considerations and review of the literature

    Directory of Open Access Journals (Sweden)

    Michael John Ellis

    2016-04-01

    Full Text Available Concussion is a form of traumatic brain injury (TBI that presents with a wide spectrum of subjective symptoms and few objective clinical findings. Emerging research suggests that one of the processes that may contribute to concussion pathophysiology is dysregulation of cerebral blood flow (CBF leading to a mismatch between CBF delivery and the metabolic needs of the injured brain. Cerebrovascular reactivity (CVR is defined as the change in CBF in response to a measured vasoactive stimulus. Several magnetic resonance imaging (MRI techniques can be used as a surrogate measure of CBF in clinical and laboratory studies. In order to provide an accurate assessment of CVR, these sequences must be combined with a reliable, reproducible vasoactive stimulus that can manipulate CBF. Although CVR imaging currently plays a crucial role in the diagnosis and management of many cerebrovascular diseases, only recently have studies begun to apply this assessment tool in patients with concussion. In order to evaluate the quality, reliability and relevance of CVR studies in concussion, it is important that clinicians and researchers have a strong foundational understanding of the role of cerebral blood flow regulation in health, concussion and more severe forms of TBI, and an awareness of the advantages and limitations of currently available CVR measurement techniques. Accordingly, in this review we 1 discuss the role of CVR in TBI and concussion; 2 examine methodological considerations for MRI-based measurement of CVR; and 3 provide an overview of published CVR studies in concussion patients.

  13. Positron emission tomographic studies using C-11-glucose in normal aging and cerebrovascular dementia

    International Nuclear Information System (INIS)

    Seven normal volunteers and 11 patients with cerebrovascular dementia were studied about the relations between effect of aging, severity of dementia, cerebral glucose metabolism and metabolic response to verbal stimuli by positron emission tomography (PET) using C-11-glucose. Regional distribution of glycogenic metabolites (RDGM: mg/100 g brain), which was a semi-quantitation of the pool of glycogenic metabolites mainly amino acids, were calculated. The RDGM values in elder normal subjects were significantly low compared with young normal subjects in frontal cortex (p < 0.05). The decline in frontal cortex metabolism could have been caused by the morphological changes in the course of aging. In temporal cortex, there was no significance between two groups. RDGM increased significantly respond to the verbal stimuli in frontal and temporal cortex both young and elder normal subjects. The RDGM values in vascular dementias were significantly low (p < 0.001) compared with elder normal subjects' in frontal and temporal cortex. Significant difference existed between mild and severe dementia in frontal cortex (p < 0.05). However, there was no significance between mild and severe dementias in temporal cortex. In mild dementias, RDGM increased significantly respond to the verbal stimuli in frontal and temporal cortex. In severe dementias, metabolic response to the verbal stimuli was less or lacking. Our results suggest that the cerebral metabolic functional reserve and the ability of the cerebral cortex to function respond to psychophysiologic stimulation are preserved in young and elder normal subjects and mild cerebrovascular dementias. (J.P.N.)

  14. Las órdenes militares en la Edad Moderna en la historiografía española desde 1995. Notas para un balance

    Directory of Open Access Journals (Sweden)

    Francisco FERNÁNDEZ IZQUIERDO

    2009-12-01

    Full Text Available RESUMEN: La bibliografía sobre las órdenes militares en España durante la Edad Moderna ha crecido de manera abundante en los últimos años. Se revisan las convocatorias de congresos y seminarios, las reediciones de fuentes, la aparición de revistas especializadas, y las monografías, especialmente las que se ocupan de aspectos ideológicos y sociales de los miembros (caballeros, clérigos y monjas, así como de los estudios particulares sobre el territorio, la administración del señorío, patrimonio, aspectos artísticos y otros muchos que se pueden acometer con la documentación de las órdenes militares. La información queda recogida en una base de datos de acceso libre en Internet.ABSTRACT: The bibliography on the Military Orders in Spain during the Early Modern Age has incessantly grown during the last years. This article reviews conferences and seminar calls, sources' reprints, the birth of some specialized periodicals and books, focusing on works dealing with ideological and social aspects of the members (knights, clergymen and nuns and paying attention to particular surveys on the land, lordship management, heritage, art and many historical matters that we can research with the help of the archives of the Military Orders. The bibliographical records will be on a free access data base on Internet.

  15. ‘This place isn't worth the left boot of one of our boys’: Geopolitics, militarism and memoirs of the Afghanistan war

    Science.gov (United States)

    Woodward, Rachel; Jenkings, K. Neil

    2012-01-01

    This paper argues for the continued significance of the text as a source and focus in critical geopolitical inquiry. It establishes the utility of the military memoir in explorations of popular contemporary geopolitical imaginaries, and considers the memoir as a vector of militarism. The paper examines the memoirs written by military personnel about service in Afghanistan with the British armed forces, specifically about deployments to Helmand province between 2006 and 2012. The paper explores how Afghanistan is scripted through these texts, focussing on the explanations for deployment articulated by their authors, on the representations they contain and promote about other combatants and about civilian non-combatants, and the constitution and expression of danger in the spaces and places of military action which these texts construct and convey. The paper then turns to consider how a reading of the military memoir with reference to the genre of testimonio might extend and inform our understanding and use of these texts as a source for exploring popular geopolitics and militarism. PMID:23805031

  16. 'This place isn't worth the left boot of one of our boys': Geopolitics, militarism and memoirs of the Afghanistan war.

    Science.gov (United States)

    Woodward, Rachel; Jenkings, K Neil

    2012-11-01

    This paper argues for the continued significance of the text as a source and focus in critical geopolitical inquiry. It establishes the utility of the military memoir in explorations of popular contemporary geopolitical imaginaries, and considers the memoir as a vector of militarism. The paper examines the memoirs written by military personnel about service in Afghanistan with the British armed forces, specifically about deployments to Helmand province between 2006 and 2012. The paper explores how Afghanistan is scripted through these texts, focussing on the explanations for deployment articulated by their authors, on the representations they contain and promote about other combatants and about civilian non-combatants, and the constitution and expression of danger in the spaces and places of military action which these texts construct and convey. The paper then turns to consider how a reading of the military memoir with reference to the genre of testimonio might extend and inform our understanding and use of these texts as a source for exploring popular geopolitics and militarism. PMID:23805031

  17. ¿Centinela? Alerta. ¿Quién Vive? Colombia. El carácter Militar de Ia Guardia Colombiana (1863 -1885

    Directory of Open Access Journals (Sweden)

    Saúl Mauricio Rodríguez Hernández

    2004-06-01

    Full Text Available This article studies the institutional characteristics of the Guardia Colombiana which were the armed forces during the time-period of the Constitution of the Estados Unidos de Colombia (1863-1885. This armed force was created with a "civil'' character to avoid the abuses of the troops. But it conserved certain key elements such as hierarchy of rank, uniforms, military instruction, internal structure, etc. I discuss the possibility that the Guardia Colombiana can be located within the so-called "pre-professional armed forces". It did not, how¬ever, form the base of the modern national army.//Este artículo estudia las características institucionales de la Guardia Colombiana. Fuerza armada al servicio del Estado durante la vigencia de la Constitución de los Estados Unidos de Colombia (1863-1885. Analizando cómo esta fuerza armada creada con un carácter ''civil" para evitar los desmanes de la tropa, conserve elementos propiamente militares que la equiparan con un ejército (jerarquía de los rangos, uniformes, instrucción militar, estructura interna, entre otros. Se discute la posibilidad que tiene la Guardia Colombiana, para ubicarse dentro de las denominadas "fuerzas armadas pre-profesionales", y la imposibilidad para que fuera utilizada como base para crear un ejército nacional moderno.

  18. Conhecimento e adesão às recomendações de biossegurança no Corpo de Bombeiros Militar de Minas Gerais

    Directory of Open Access Journals (Sweden)

    Adriana Cristina Oliveira

    2013-02-01

    Full Text Available Objetivou-se com este trabalho avaliar o conhecimento e as atitudes de militares do Corpo de Bombeiros Militar de Belo Horizonte-MG acerca da adesão às recomendações de biossegurança. Trata-se de estudo transversal realizado no período de janeiro a fevereiro de 2011. Utilizou-se um questionário estruturado composto de perguntas sobre conhecimentos e atitudes relativos à biossegurança e fatores dificultadores do uso de equipamentos de proteção individual. Evidenciou-se conhecimento adequado dos profissionais sobre higienização das mãos (90,4% e precauções padrão (89%; hábito de sempre usar luvas (95,7%; desconhecimento da ação do álcool a 70% (77,5% e citação do capote como o equipamento de proteção individual mais difícil de ser utilizado. Entretanto, a maioria desconhecia a condição sorológica para hepatite B (25%. Conhecimentos e atitudes mostraram-se condizentes com as recomendações de biossegurança, mas há necessidade de enfatizar a importância de realizar o esquema vacinal para hepatite B.

  19. Cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    1992-01-01

    920743 A prospective trial of hemodilutiontherapy in acute cerebral infarction. DINGMingchen(丁铭臣), et al. Dept Neurol, XuanwuHosp, Capital Instit Med, Beijing, 100053. ChinJ Neurol & Psychiat 1992; 25(3): 146-148. Ninety two patients with acute (<72hours) cerebral infarction involving middle

  20. Cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    2008482 Risk factors for ischemic lacunar stroke associated headache. HU Wei(胡伟), et al. Dept Neurol, Nanjing General Hosp, Nanjing Milit Command, Nanjing 210002. Chin J Nerv Ment Dis 2008;34(5):262-265. Objective To analyze risk factors of stroke-associated headache (SH) and explore its underlying mechanisms. Methods First-ever lacunar infarction patients (n=371) were extracted from Nanjing Stroke Registration Program.

  1. Cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    950404 Operative treatment of multiple intracranialaneurvsms in one stage.GAO Yongzhong(高永中),etal.Dept Neurosurg.Tianjin Med Coll Hosp.Tianjin,300052.Chin J Nerv & Ment Dis 1994;20(6):329-331In this study,seven patients with intracranial multi-ple aneurysms are reported.Every patient sufferedfrom two aneurysms simultaneously.Totally,therewere fourteen aneurysms(thirteen saccular and onefusiform aneurysm).There was one patient with bilat-eral arterior chorioid artery aneurysms.All of the sac-cular aneurysms were clipped through a single pterion-al approach and the fusiform aneurysm was wrappedwith muscle tissue.After clipping,some of the a-neurysmal sacs were punctured or an angiographical

  2. Cerebrovascular Diseases and Risk Factors: a Strategy of Primary Prevention Factores de riesgo y enfermedad cerebrovascular: una estrategia de prevención primaria

    Directory of Open Access Journals (Sweden)

    Rubén Bembibre Taboada

    2007-05-01

    Full Text Available Cerebrovascular diseases constitute a health problem worldwide and have the tendency to grow up. Chronic diseases sometimes are considered transmissible diseases at a level of risk factors. The alimentary habits and the levels of physical activity at present are risk behaviors which are spread all over the world passing from one population to another as an infectious disease with incidence in the morbidity profiles worldwide. While age and sex as well as genetic vulnerability are no modifiable elements, great part of the risks associated to age and sex can be reduced. In such risks, behavior factors (alimentary habits, physical inactivity, smoking habit and alcoholism, biological factors (dyslipidemia, hypertension, overweight, and hyperinsulinemia and finally the social factors which cover a complex combination of socio-economic, cultural parameters, and other elements of the environment that interact among them. This work covers risk factors and the behavior to be followed for its modification.
    Las enfermedades cerebrovasculares constituyen un problema de salud mundial con tendencia creciente. A veces las enfermedades crónicas son consideradas transmisibles a nivel de los factores de riesgo. Los hábitos alimentarios y el nivel de actividad física modernos son comportamientos de riesgo que se difunden por los países y pasan de una población a otra como una enfermedad infecciosa, con incidencia en los perfiles de morbilidad a nivel mundial. Mientras que la edad, el sexo y la vulnerabilidad genética son elementos no modificables, gran parte de los riesgos asociados a la edad y el sexo pueden ser aminorados. Tales riesgos incluyen factores conductuales (régimen alimentario, inactividad física, consumo de tabaco y consumo de alcohol, factores biológicos (dislipidemia, hipertensión, sobrepeso e hiperinsulinemia y, por último, factores sociales, que abarcan una compleja combinación de parámetros socioecon

  3. A multidisciplinary stroke clinic for outpatient care of veterans with cerebrovascular disease

    Directory of Open Access Journals (Sweden)

    Moran E

    2011-04-01

    Full Text Available Arlene A Schmid1,2,3,4, John R Kapoor5, Edward J Miech1, Deborah Kuehn6, Mary I Dallas7, Robert D Kerns8, Albert C Lo9,10, John Concato11,12, Michael S Phipps13,14,15, Cody D Couch13, Eileen Moran13, Linda S Williams1,2,3,16, Layne A Goble17,18, Dawn M Bravata1,2,3,191Department of Veteran Affairs (VA Health Services Research & Development (HSR&D Center of Excellence on Implementing Evidence-Based Practice (CIEBP, 2VA HSR&D Stroke Quality Enhancement Research Initiative (QUERI Program, Richard L Roudebush VA Medical Center, Indianapolis, IN, USA; 3Regenstrief Institute, Indianapolis, IN, USA; 4Department of Occupational Therapy, Indiana University, IN, USA; 5Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA; 6Nursing Service, 7Physical Medicine and Rehabilitation Service, 8Psychology Service, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA; 9Departments of Neurology, Community Health, and Engineering at Brown University, Providence, RI, USA; 10Providence Veterans Administration Medical Center, Providence, RI, USA; 11Clinical Epidemiology Research Center (CERC, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA; 12Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA; 13Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA; 14Robert Wood Johnson Clinical Scholars Program, 15Department of Neurology, Yale University School of Medicine, New Haven, CT, USA; 16Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA; 17Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA; 18Veterans Administration Medical Center, Charleston, SC, USA; 19Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USABackground: Managing cerebrovascular risk factors is complex and difficult. The objective of this

  4. The cerebrovascular structure and brain tissue volume: a comparative study between beagle dogs and mongrel dogs

    International Nuclear Information System (INIS)

    Objective: To compare the differences of cerebrovascular structure and brain tissue volume between beagle and mongrel dogs by using angiography and MR scanning. Methods: A total of 40 dogs, including 20 beagle dogs (beagle group) and 20 mongrel dogs (mongrel group), were enrolled in this study. Under general anesthesia, all dogs were examined with cerebral angiography and MR scanning. The cerebrovascular structure was evaluated with angiography via selective catheterization of aortic arch, bilateral external cerebral arteries (ECA), maxillary arteries, internal cerebral arteries (ICA) and vertebral arteries separately. The diameters of the ICA, middle cerebral artery (MCA), rostral cerebral artery (RCA), the anastomosis channel ICA and ECA, and basilar artery (BA) were measured at the similar point of each dog. Meanwhile the volumes of the brain tissue were calculated in coronal T2 view of MR scanning. The statistical analysis was performed among the weight of dogs, the diameter of arteries and the volume of brain tissue. The differences in the diameters and brain tissue volume were compared between the two groups. Results: No obvious variations in the cerebrovascular structure and brain tissue volume were found in these dogs. One mongrel dog was excluded from this study because of the severe stenosis of ICA. The mean weight of 20 beagle dogs and 19 mongrel dogs was (12.81±1.29) kg and (12.85±1.12) kg, respectively. The diameters of the ICA, MCA, RCA, the anastomosis channel between ICA and ECA and BA in beagle group were (1.26±0.07) mm, (0.90±0.05) mm, (0.58±0.07) mm, (0.55±0.07) mm and (0.95±0.06) mm, respectively. These parameters in mongrel group were (1.27±0.07) mm, (0.92±0.05) mm, (0.59±0.06) mm, (0.67±0.07) mm and (0.94±0.05) mm, respectively. The volume of brain in two groups was (76232.33±5018.51) mm3 and (71863.96±4626.87) mm3, respectively. There were no obvious correlation among the body weight, the cerebrovascular diameters and brain

  5. La opinión militar española sobre la pérdida de las colonias en 1898

    Directory of Open Access Journals (Sweden)

    Carlos Barrachina León

    2013-10-01

    Full Text Available La reacción española tras la pérdida de las colonias de ultramar fue dura. Se acusa a los militaresde ineficacia y de haber llevado a la derrota a los españoles. Éstos se sienten agredidos por la opinión pública, y reaccionan criminalizando la política, y reclamando más autonomía. Este artículo se centra en estudiar las principales interpretaciones que los militares españoles hicieron sobre la derrota. Con actitud defensiva, tratando de “salvar su honor”, los militares españoles critican con dureza las medidas políticas que les condicionaron, y “justifican” sus actuaciones como las únicas posibles. Del texto se deriva que los militares españoles no midieron bien al enemigo que tenían enfrente, y que confundieron el proceso de independencia, y los deseos de los diferentes pueblos, con la sublevación de unos pocos “rebeldes indeseables”, que podían ser neutralizados exclusivamente a través del uso de la fuerza. Su derrota la justifican por los cambios que los políticos españoles hicieron sobre sus estrategias, y por la participación clave de las fuerzas militares de los Estados Unidos, que intimida a los políticos españoles condicionando la retirada. Los militares no se sienten derrotados en el campo de batalla, y piden explicaciones a la sociedad española, sin mostrar ningún atisbo de autocrítica.Spanish reaction to loosing her overseas colonies was a tough one. The Spanish military establishment was accused of being inefficient and of leading the Spaniards to defeat. The military establishment were hurt by public opinion and they reacted by criminalising politics and demanding greater independence. This article focuses on the main interpretations made by Spanish military officers of the defeat. On the defensive, trying to "save their honour", Spanish military officers were highly critical of the political measures that constrained them and they "justified" their actions as the only ones possible. From the

  6. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  7. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients.

  8. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  9. Vidas em risco: a identidade profissional dos bombeiros militares Lives at risk: the professional identity of the military firemen

    Directory of Open Access Journals (Sweden)

    Michelle Regina da Natividade

    2009-12-01

    Full Text Available Este artigo discute a configuração da identidade profissional do Bombeiro Militar da região da grande Florianópolis, SC. Para contemplar tal objetivo geral, os objetivos específicos e o referencial teórico enfocaram: caracterização da profissão, identidade, trabalho, escolha profissional e qualidade de vida. Quanto ao método, a pesquisa definiu-se como exploratória e descritiva, delineada como um levantamento. Utilizou-se um questionário semi-aberto. Analisaram-se os dados quantitativa e qualitativamente. Participaram da pesquisa 266 Praças do 1º Batalhão do Corpo de Bombeiros. Por meio desta pesquisa, foi possível concluir que esses profissionais sentem-se realizados com sua profissão, muito embora possuam queixas, as quais não são sobre o conteúdo da profissão, mas sim sobre falta de condições para exercê-la e sobre aspectos organizacionais. Esses sujeitos "vivem" a profissão mesmo fora do seu horário de trabalho. Também foi possível verificar que, assim como as teorias afirmam, o trabalho é um fator constituinte da identidade do sujeito.This article discourses the configuration of the professional identity of the Military Firemen from the region of the Greater Florianópolis, SC. To contemplate such general objective, the specific objectives and the theoretical referencial focused on: characterization of the profession, identity, work, professional choice and quality of life. As method, the research was defined as exploratory and descriptive, delineated as a survey. An half-open questionnaire was used. The data was analyzed in a qualitative and quantitative form. Participated in the research, 266 "praças" of the 1st Firemen Battalion. With this research, it was possible to conclude that these professionals feel themselves carried through with their profession although complaints exist, which are not on the content of the profession, but on the lack of conditions to fulfil it and on organizacional aspects. These

  10. VIOLENCIA POLÍTICA, ASISTENCIA MILITAR DE ESTADOS UNIDOS Y PRODUCCIÓN DE COCA EN LOS ANDES CENTRALES

    Directory of Open Access Journals (Sweden)

    Moisés Arce

    2006-01-01

    Full Text Available ¿Tiene la violencia política un impacto significativo sobre la producción de drogas en los Andes Centrales? ¿Disminuye la ayuda militar estadounidense la oferta de drogas ilícitas que se origina en los Andes Centrales? ¿Qué otros factores ayudan a explicar dicha producción? ¿Tiene la lucha estadounidense contra el narcotráfico las mismas consecuencias en cada país? Este trabajo evalúa de manera empírica los efectos de la violencia política y la ayuda exterior de Estados Unidos (EE.UU. en los tres países productores de droga más prolíficos de América Latina: Colombia, Bolivia y Perú. Los resultados guardan relación directa con la literatura existente que recalca los obstáculos que los gobiernos enfrentan cuando pretenden regular los mercados de bienes de contrabando. Un análisis comparativo de la política antidrogas de EE.UU. aclara los éxitos y las limitaciones de la estrategia que actualmente se lleva a cabo, particularmente en Colombia, donde la violencia política ha facilitado el fortalecimiento del narcotráfico a nivel internacionalWhat is the effect of political violence on the production of coca in the Central Andes? Does U.S. military aid reduce the amount of drugs that originate from this region? What other factors help explain the production of coca? Are the effects of U.S. military aid the same across the Andean nations? This paper tests the effects of political violence and U.S. military aid in the drug producing nations of Colombia, Bolivia and Peru. Our results are consistent with existing literature that emphasizes the obstacles that governments face as they attempt to suppress markets for prohibited goods. Our comparative analysis sheds new light on the limitations of the current U.S. policy, particularly in Colombia, where political violence has strengthened the global drug trade

  11. 干预高血压、高血脂、高黏滞血症对心脑血管疾患发生率的影响%Impact of intervened hypertension,hyperlipemia ,hyperviscosity syndrome in incidence of card-iovascular and cerebrovascular diseases

    Institute of Scientific and Technical Information of China (English)

    王建文; 王清; 徐培清

    2002-01-01

    Background:According to American Heart Association's report,death composition of cerebrovascular and cerebrovascular disease was increased to 29% in 1996,and now 33% from 25% in 1992.Now,atherosclerosis seriously endanger human's health.Hypertension,hyperlipemia and hyperviscosity syndrome are main risk factors of cardiovascular and cerebrovascular diseases.There conditions often existed simultaneously in elders.Intervention to these diseases can prevent cardiovascular and cerebrovascular events,which is feasible. Objective:To investigate impact of hypertension,hyperlipemia and hyperviscosity syndrome on incidence of cardiovascular and cereborvascular events. Design:Random,controlled study. Unit:Department of Senile Diseases, Qianfoshan Hospital of Shandong. Subjects:In study group, 52 senile subjects with complete hospitalizing data were recruited from 1995~ 2000.Patients with hypertension,hyperlipemia ,hyperviscosity syndrome were included in the current study.13 subjects asked medical help due to hypertension,25 due to hyperlipemia and 14 due to hyperviscosity syndrome.Sometimes blood pressure of hypertension patients was 140~ 160/90~ 100 mmHg.Patients' mean age was 65.21.Ratio of male to female was 13:1.In control group,50 outpatients were included who had similar diseases those in study group.Mean age was 62.34 and ratio of male to female was 17.33:1. Intervention:In study group,calcium antagonist such as adalatcc, nitrendipine, plendil and/or ASCE inhibitor such as perindopril and captopril were given o.s.Blood pressure was con trolled to normal level.Blood lipid regulating drugs such as pravastatin, ticlopidine,and lipanthy were given for hyperlipemia patients.For patients with hyperviscosity syndrome,enteral aspirin or persantine was given,50~ 75 mg/day.Interval of drugs was 1 day to 2 months.Detailed data was unavailable.Red sage root or its compound form injecto was given i.v.,70 mg/day,pueraria root was given i.v.300~ 500 mg

  12. Prevalência do aleitamento materno e fatores associados à interrupção da amamentação em mulheres militares Prevalencia de la lactancia materna y factores asociados a la interrupción de la amamantación en mujeres militares Prevalence of breastfeeding and factors associated with weaning from breastfeeding among military women

    Directory of Open Access Journals (Sweden)

    Tatiana Caroline S. B. Freitas

    2012-12-01

    Full Text Available OBJETIVO: Avaliar a situação do aleitamento materno e os fatores associados à interrupção da amamentação entre mulheres militares da região metropolitana de Belo Horizonte, Minas Gerais. MÉTODOS: Estudo transversal com amostra de conveniência, composta por 100 mães militares com crianças de até 24 meses. Foram coletados dados sobre frequência do aleitamento materno, perfil socioeconômico, carreira militar, assistência à saúde e hábito materno-infantil. A análise de regressão logística foi realizada para verificação da associação entre a interrupção do aleitamento materno e as variáveis do estudo. Os testes de Mann-Whitney e t foram utilizados para apresentação do tempo dos aleitamentos exclusivo e materno. RESULTADOS: O aleitamento materno ocorreu em 94% dos casos, com duração mediana de 7,2 meses. Não houve diferença significativa do aleitamento materno entre mães militares de acordo com a patente, o nível educacional e a atividade operacional. A análise multivariada apresentou associação positiva entre o desmame e as variáveis: estado civil da mãe (casada, informação sobre a importância da amamentação no pré-natal e utilização do leite não humano. A variável que se relacionou positivamente com duração maior do aleitamento materno exclusivo foi: mães com dois filhos prévios. CONCLUSÕES: A atividade operacional não interferiu na prevalência do aleitamento materno entre mães militares. Os autores especulam que, durante o acompanhamento pré-natal, o planejamento de ações voltadas à informação da importância da amamentação pode melhorar a prevalência e a duração do aleitamento materno nesta população.OBJETIVO: Evaluar la situación de la lactancia materna y los factores asociados a la interrupción de la amamantación entre mujeres militares de la región metropolitana de Belo Horizonte, Minas Gerais (Brasil. MÉTODOS: Estudio transversal con muestreo de conveniencia

  13. 妊娠期高血压疾病合并脑血管疾病的临床观察%Clinical observation on hypertensive disorder complicating pregnancy combined with cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    阚淑娟; 陈永立; 李云霞

    2011-01-01

    Objective: To explore the causes, preventive measures and therapeutic schedule of hypertensive disorder complicating pregnancy (HDCP) combined with cerebrovascular disease. Methods: The clinical data of 487 cases with HDCP combined with cerebrovas-cular disease who were treated in the hospital from 2003 to 2008 were analyzed retrospectively. Results: 2 416 patients with HDCP were treated in the hospital from 2003 to 2008, and 487 patients were combined with cerebrovascular disease (20. 16% ) , including 23 patients with subarachnoid hemorrhage, 58 patients with cerebral hemorrhage and 406 patients with cerebral infarction. The clinical symptoms included headache, dizziness, somnolence, blurred vision, disturbance of consciousness, vomiting, hyperspasmia, limb sensory disturbance or mild dyskinesia; the diagnosis was confirmed by CT or MRI; after termination of pregnancy timely, spasmolysis and depressurization, one pregnant woman and three fetuses died. Conclusion: HDCP should be prevented actively during pregnancy, and cerebrovascular blood flow should be monitored regularly. For patients with HDCP combined with cerebrovascular disease, timely cerebral CT and MRI should be carried out for definite diagnosis, terminating pregnancy timely and active treatment are important to ensure the safety of mothers and their infants.%目的:探讨妊娠期高血压合并脑血管疾病的发病原因、预防措施以及治疗方案.方法:回顾性分析该院2003~2008年收治的487例妊娠期高血压疾病合并脑血管疾病的临床资料.结果:2003~2008年共收治妊娠期高血压疾病患者2 416例,其中合并脑血管疾病487例(20.16%),包括蛛网膜下腔出血23例,脑出血58例和脑梗死406例.临床症状包括头痛、眩晕、嗜睡、视物模糊、意识障碍、呕吐、抽搐以及肢体感觉或轻度运动障碍;头颅CT或MRI检查后可确诊;及时终止妊娠,解痉降压治疗后,1例产妇死亡,3例胎儿死亡.结论:妊娠

  14. O papel dos Estados Unidos na Nova Ordem Internacional e as intervenções militares americanas no pós-Guerra Fria: que lugar ocupa aí a democracia?

    Directory of Open Access Journals (Sweden)

    Maria Helena de Castro Santos

    2010-04-01

    Full Text Available Analisam-se os diferentes papéis dos Estados Unidos no pós-guerra fria, como visto por seus Presidentes, confrontando-os com as intervenções militares que ocorreram em cada administração e o lugar que aí ocupa a democracia.

  15. Análisis de la topografía lesional en la baja de combate: Experiencia de la Sanidad Militar española desplegada en Herat (Afganistán Analysis of the lesional topography in the combat casualty: The Spanish Medical Service experience in Herat (Afghanistan

    Directory of Open Access Journals (Sweden)

    R. Navarro Suay

    2011-06-01

    Full Text Available Introducción: La localización corporal de las lesiones por arma de fuego y por artefactos explosivos en el combatiente ha seguido un patrón diferente a lo largo de la historia. La distribución anatómica de dichas lesiones en los últimos conflictos ha demostrado que las áreas más afectadas son las extremidades, seguidas de la cabeza y el cuello. El objetivo del estudio es describir la experiencia de Médicos Militares españoles desplegados en el Hospital Militar Role 2 de Herat (Afganistán sobre las regiones corporales lesionadas de las bajas de combate de 2005 a 2008. Material y Método: Se realizó un estudio descriptivo, transversal sobre todo el personal civil y militar, que hubiese recibido herida por arma de fuego o por artefacto explosivo en la Región Oeste de Afganistán y fuese atendido por el ROLE 2 español de Herat (Afganistán durante los años 2005-2008. Resultados: El número total de casos analizados fue de 256. El área topográfica más afectada en las bajas analizadas fue miembros inferiores (n=123, 48%, seguido de miembros superiores (n=99, 39% y abdomen (n=56, 22%. El área anatómica donde los explosivos (n=85 y las armas de fuego (n=38 han producido más lesiones ha sido los miembros inferiores. Algo más de la mitad de las bajas atendidas (n=142, 55% presentaron una única región afectada: 59 (23%. Conclusiones: En nuestro estudio, las áreas anatómicas más afectadas tanto por explosivo como por arma de fuego han sido los miembros inferiores y miembros superiores. Este hecho coincide con los datos obtenidos en otras series.Introduction: Along the history the localization in the combatant's body of the wounds due to firearms and explosive artifacts has followed different patterns. The anatomical distribution of these injuries in the last conflicts has proven that the most affected areas are the limbs followed by the head and neck. The objective of this study is to describe the experience of the Spanish medical

  16. Clinical values of intraoperative indocyanine green fluorescence video angiography with Flow 800 software in cerebrovascular surgery

    Institute of Scientific and Technical Information of China (English)

    YE Xun; LIU Xing-ju; MA Li; LIU Ling-tong; WANG Wen-lei; WANG Shuo; CAO Yong

    2013-01-01

    Background Microscope-integrated near-infrared indocyanine green video angiography (ICG-VA) has been used in neurosurgery for a decade.This study aimed to assess the value of intraoperative indocyanine green (ICG) video angiography with Flow 800 software in cerebrovascular surgery and to discover its hemodynamic features and changes of cerebrovascular diseases during surgery.Methods A total of 87 patients who received ICG-VA during various surgical procedures were enrolled in this study.Among them,45 cases were cerebral aneurysms,25 were cerebral arteriovenous malformations (AVMs),and 17 were moyamoya disease (MMD).A surgical microscope integrating an infrared fluorescence module was used to confirm the residual aneurysms and blocking of perforating arteries in aneurysms.Feeder arteries,draining veins,and normal cortical vessels were identified by the time delay color mode of Flow 800 software.Hemodynamic parameters were recorded.All data were analyzed by SPSS version 18.0 (SPSS Inc.,USA).T-test was used to analyze the hemodynamic features of AVMs and MMDs,the influence on peripheral cortex after resection in AVMs,and superficial temporal artery to middle cerebral artery (STA-MCA) bypass in MMDs.Results The visual delay map obtained by Flow 800 software had more advantages than the traditional playback mode in identifying the feeder arteries,draining veins,and their relations to normal cortex vessels.The maximum fluorescence intensity (MFI) and the slope of ICG fluorescence curve of feeder arteries and draining veins were higher than normal peripheral vessels (MFI:584.24±85.86 vs.382.94±91.50,slope:144.95±38.08 vs.69.20±13.08,P <0.05).The artefiovenous transit time in AVM was significantly shorter than in normal cortical vessels ((0.60±0.27) vs.(2.08±1.42) seconds,P <0.05).After resection of AVM,the slope of artery in the cortex increased,which reflected the increased cerebral flow.In patients with MMD,after STA-MCA bypass,cortex perfusion of

  17. The family – care sponsor of patients suffering from cerebrovascular accidents

    Directory of Open Access Journals (Sweden)

    Ourania Govina

    2007-07-01

    Full Text Available The purpose of this bibliographical review is to show the role of the family in the application of care of a patient suffering from a cerebrovascular accident (CVA. CVA's are, second to arthritis, one of the most impairing illnesses in terms of ability that creates the need for training the patient on a new basis and giving the family information on new roles. One of the dimensions of holistic family care is the increased support the patient receives from family care givers. Studies and clinical research both show that informing families on care giver roles is inadequate or non‐existent. Adequate training of nurses to prepare care givers via specialized programs stimulates the family to respond to the new challenge and take on roles that are multidimensional and complicated. It is important that family care givers of people with CVA's are given new information and taught new skills in order for these patients to maximize their own self‐care potential. CVA patients, following the acute phase of their illness and rehabilitation in specialized centers are nursed at home, mainly by their families with the help of healthcare services. Usually, the responsibilities the family takes on are mainly those of self‐care needs of the patient and his motivation, so that he will organize and carry out basic life activities via learning new ways to face everyday life, always within his impaired abilities. Care guidance is a most important nursing intervention so that activities of daily living problems can be addressed. The interventions are tailored according to the care givers' educational level and the patients' needs. CONCLUSIONS The most important findings of the study are: Patients with cerebrovascular accidents have impaired ability concerning mobility, communication and socialization and need special attention and education in order to improve daily life activities. The education of hemiplegic patients with informative intervention, awareness and

  18. Beneficial effects of estrogen in a mouse model of cerebrovascular insufficiency.

    Directory of Open Access Journals (Sweden)

    Naohito Kitamura

    Full Text Available BACKGROUND: The M(5 muscarinic acetylcholine receptor is known to play a crucial role in mediating acetylcholine dependent dilation of cerebral blood vessels. Previously, we reported that male M(5 muscarinic acetylcholine knockout mice (M5R(-/- mice suffer from a constitutive constriction of cerebral arteries, reduced cerebral blood flow, dendritic atrophy, and short-term memory loss, without necrosis and/or inflammation in the brain. METHODOLOGY/PRINCIPAL FINDINGS: We employed the Magnetic Resonance Angiography to study the area of the basilar artery in male and female M5R(-/- mice. Here we show that female M5R(-/- mice did not show the reduction in vascular area observed in male M5R(-/- mice. However, ovariectomized female M5R(-/- mice displayed phenotypic changes similar to male M5R(-/- mice, strongly suggesting that estrogen plays a key role in the observed gender differences. We found that 17beta-estradiol (E2 induced nitric oxide release and ERK activation in a conditional immortalized mouse brain cerebrovascular endothelial cell line. Agonists of ERalpha, ERbeta, and GPR30 promoted ERK activation in this cell line. Moreover, in vivo magnetic resonance imaging studies showed that the cross section of the basilar artery was restored to normal in male M5R(-/- mice treated with E2. Treatment with E2 also improved the performance of male M5R(-/- mice in a cognitive test and reduced the atrophy of neural dendrites in the cerebral cortex and hippocampus. M5R(-/- mice also showed astrocyte swelling in cortex and hippocampus using the three-dimensional reconstruction of electron microscope images. This phenotype was reversed by E2 treatment, similar to the observed deficits in dendrite morphology and the number of synapses. CONCLUSIONS/SIGNIFICANCE: Our findings indicate that M5R(-/- mice represent an excellent novel model system to study the beneficial effects of estrogen on cerebrovascular function and cognition. E2 may offer new therapeutic

  19. Study on the cerebrovascular reserve capacity by MR perfusion weighted imaging in SHR

    Science.gov (United States)

    Zhou, Quan; Dong, Yang; Chen, WenLi; Lin, Xueying; Xing, Da; Huang, Li

    2007-05-01

    Cerebrovascular disease is one of the leading causes of death, and approximately 50% of survivors have a residual neurologic deficit and greater than 25% require chronic care. Cerebrovascular reserve capacity (CVRC) describes how far cerebral perfusion can increase from a baseline value after stimulation. High blood pressure is the most important independent risk factor for stroke and other vascular diseases. The incidence of stroke in the hypertensive is six times higher than in the patient with normal blood pressure. CVRC in the hypertensive was even lower than in control patients. MR perfusion weighted imaging (MR PWI) with the well-established acetazolamide (ACZ) stimulation test has been used for assessing brain function. The aim of this work is to assess the cerebrovascular reserve capacity by MR PWI with "ACZ" tolerance test in spontaneous hypertensive rat (SHR) and to identify its value in evaluating the CVRC. Experimental animal including 3 groups: Wistar-Kyoto rats (WKY) (12-week-old) as control group, SHR (12-week-old and 20-week-old) as experimental group. MR PWI was performed respectively before and after acetazolamide administrated orally in 3 groups on a clinical 1.5 Tesla GE Signa MR fx/i whole-body MR system. The ROI was chosen in the bilateral frontal lobe to measure the value of rCBV, rCBF and MTT. The results showed that before ACZ-test, there was statistic differences between the WKY and SHR(12-week-old), and between SHR(12-week-old) and SHR(20-week-old) in the values of rCBV and rCBF (P>0.05), and after ACZ-test, there were statistic differences between WKY and SHR (20-week-old), and between SHR(12-week-old) and SHR(20-week-old) in the rCBV value (Pstress test" can provide more qualitative and half-quantitative information on the cerebral perfusion to evaluate the CVRC in SHR.

  20. Clinical Characteristics of Cerebrovascular Pathology with Patients Suffering from Ph-Negative Myeloproliferative Disease

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    Marine M. Tanashyan

    2016-09-01

    Full Text Available Background: Disturbances of microcirculation play a significant role in the development and progression of both acute and chronic cerebrovascular diseases (CVD and may be associated with different hemogram abnormalities. One of the reasons of the prothrombogenic state of the endothelium is the increase in the number of blood corpuscles leading to (non-Ph myeloproliferative disorders (MPD including essential thrombocythemia (ET, polycythemia vera (PV, and primary myelofibrosis (PM. Materials and Methods: The study included 167 patients: 102 patients with Ph-MPD and the control group comprising 65 patients with CVD. According to MPD subtype, the patients were divided into three groups: patients with ET (37%, n = 38, male/female 7/31, age 52 ± 7 years, those with PV (40%, n = 41, male/female 20/21, age 50 ± 6 years and those with PM (23%, n = 23, male/female 5/18, age 54 ± 4 years. Results: In 79% (n = 81 of cases in the study group (with Ph-MPD, patients had chronic CVD, with the most frequently identified symptoms being asthenia (92% and headache (72%. Headache in Ph-MPD patients was more frequently (86% associated with PM, while in patients with PV and ET it was equally distributed (70%. Neurological symptoms in 53% of cases were associated with focal changes of the brain on MRI localized in the subcortical area of the frontal and parietal lobes. Twenty-one (21% patients suffered an acute cerebrovascular accident, 8 of them had thrombotic occlusion of one of the internal carotid arteries leading to hemispheric infarcts. Endothelial function (as measured by flow-dependent dilation of the brachial artery was severely impaired in all study groups (median 5% with normal cut-off at 10%, the lowest degree of vasodilator activity being specific for patients with a history of stroke (p = 0.011. Conclusion: Patients suffering from MPD had asymptomatic focal changes in the brain in the absence of concomitant vascular disease (hypertension

  1. Ultra-sensitive molecular MRI of cerebrovascular cell activation enables early detection of chronic central nervous system disorders

    International Nuclear Information System (INIS)

    Since endothelial cells can be targeted by large contrast-carrying particles, molecular imaging of cerebrovascular cell activation is highly promising to evaluate the underlying inflammation of the central nervous system (CNS). In this study, we aimed to demonstrate that molecular magnetic resonance imaging (MRI) of cerebrovascular cell activation can reveal CNS disorders in the absence of visible lesions and symptoms. To this aim, we optimized contrast carrying particles targeting vascular cell adhesion molecule-1 and MRI protocols through both in vitro and in vivo experiments. Although, pre-contrast MRI images failed to reveal the ongoing pathology, contrast-enhanced MRI revealed hypoperfusion-triggered CNS injury in vascular dementia, unmasked amyloid-induced cerebrovascular activation in Alzheimer's disease and allowed monitoring of disease activity during experimental autoimmune encephalomyelitis. Moreover, contrast-enhanced MRI revealed the cerebrovascular cell activation associated with known risk factors of CNS disorders such as peripheral inflammation, ethanol consumption, hyperglycemia and aging. By providing a dramatically higher sensitivity than previously reported methods and molecular contrast agents, the technology described in the present study opens new avenues of investigation in the field of neuro-inflammation. (authors)

  2. Risk of cerebrovascular events in persons with and without HIV: A Danish nationwide population-based cohort study

    DEFF Research Database (Denmark)

    Rasmussen, Line D; Engsig, Frederik Neess; Christensen, Hanne;

    2011-01-01

    OBJECTIVE:: To assess the risk of cerebrovascular events (CVE) in HIV-infected individuals and evaluate the impact of proven risk factors, injection drug abuse (IDU), immunodeficiency, highly active antiretroviral therapy (HAART) and family-related risk factors. DESIGN:: Nationwide, population...

  3. Carbon dioxide induced changes in cerebral blood flow and flow velocity: Role of cerebrovascular resistance and effective cerebral perfusion pressure

    NARCIS (Netherlands)

    F. Grüne (Frank); S. Kazmaier (Stephan); R.J. Stolker (Robert J.); G.H. Visser (Gerhard Henk); A. Weyland (Andreas)

    2015-01-01

    textabstractIn addition to cerebrovascular resistance (CVR) zero flow pressure (ZFP), effective cerebral perfusion pressure (CPPe) and the resistance area product (RAP) are supplemental determinants of cerebral blood flow (CBF). Until now, the interrelationship of PaCO2 -induced changes in CBF, CVR,

  4. Cerebrovascular disease in newborn infants: report of three cases with clinical follow-up and brain SPECT imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moura-Ribeiro, Maria Valeriana L. de; Ciasca, Sylvia Maria; Vale-Cavalcanti, Mariza; Etchebehere, Elba C.S.C.; Camargo, Edwaldo E. [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Ciencias Medicas

    1999-07-01

    The clinical and neurological findings of three neonates with the diagnosis of cerebrovascular disease are reported. The neuropsychological evaluation disclosed impairment of fine motor function, coordination, language, perception and behavioral disturbances. Brain SPECT imaging revealed perfusional deficits in the three cases. (author)

  5. Association between ALT level and the rate of cardio/cerebrovascular events in HIV-positive individuals

    DEFF Research Database (Denmark)

    Sabin, Caroline A; Ryom, Lene; Kovari, Helen;

    2013-01-01

    An inverse association between serum alanine aminotransferase (ALT) levels and the risk of myocardial infarction (MI) has been reported in the general population. We investigated associations between ALT levels and the risk of various cardiovascular and cerebrovascular outcomes in a large cohort...

  6. Inhibition of cerebrovascular raf activation attenuates cerebral blood flow and prevents upregulation of contractile receptors after subarachnoid hemorrhage

    DEFF Research Database (Denmark)

    Ansar, Saema; Maddahi, Aida; Edvinsson, Lars

    2011-01-01

    of mitogen-activated protein kinase (MAPK) of the extracellular signal-regulated kinase (ERK)1/2 signal pathway. We hypothesize that SAH initiates cerebrovascular ERK1/2 activation, resulting in receptor upregulation. The raf inhibitor will inhibit the molecular events upstream ERK1/2 and may provide...

  7. Entre la revolución y la transformación : la revolución en los asuntos militares y la configuración de los pilares estratégicos de Estados Unidos para el siglo XXI

    OpenAIRE

    Colom Piella, Guillem

    2010-01-01

    La presente tesis doctoral estudia el desarrollo y consolidación de la Revolución en los Asuntos Militares (RMA) y su sustitución por la Transformación como eje del debate político, académico, militar e industrial internacional en temas de defensa. Una RMA define un cambio en la forma de luchar que convierte en obsoleto el estilo militar prerrevolucionario y proporciona una gran superioridad al primer ejército que explota estas capacidades. A lo largo de la Historia se han...

  8. The Sarcoglycan complex is expressed in the cerebrovascular system and is specifically regulated by astroglial Cx30 channels

    Directory of Open Access Journals (Sweden)

    Anne-Cécile eBoulay

    2015-02-01

    Full Text Available Astrocytes, the most prominent glial cell type in the brain, send specialized processes called endfeet, around blood vessels and express a large molecular repertoire regulating the cerebrovascular system physiology. One of the most striking properties of astrocyte endfeet is their enrichment in gap junction protein Connexin 43 and 30 (Cx43 and Cx30 allowing in particular for direct intercellular trafficking of ions and small signaling molecules through perivascular astroglial networks. In this study, we addressed the specific role of Cx30 at the gliovascular interface. Using an inactivation mouse model for Cx30 (Cx30Δ/Δ, we showed that absence of Cx30 does not affect blood-brain barrier (BBB organization and permeability. However, it results in the cerebrovascular fraction, in a strong upregulation of Sgcg encoding γ-Sarcoglycan (SG, a member of the Dystrophin-associated protein complex (DAPC connecting cytoskeleton and the extracellular matrix. The same molecular event occurs in Cx30T5M/T5M mutated mice, where Cx30 channels are closed, demonstrating that Sgcg regulation relied on Cx30 channel functions. We further characterized the expression of other Sarcoglycan complex (SGC molecules in the cerebrovascular system and showed the presence of α-, β-, δ-, γ-, ε- and ζ- SG, as well as Sarcospan. Their expression was however not modified in Cx30Δ/Δ. These results suggest that a full SGC might be present in the cerebrovascular system, and that expression of one of its member, γ-Sarcoglycan, depends on Cx30 channels. As described in skeletal muscles, the SGC may contribute to membrane stabilization and signal transduction in the cerebrovascular system, which may therefore be regulated by Cx30 channel-mediated functions.

  9. Compañías militares privadas: hacia la transformación del estado y la nueva gerencia pública de la seguridad.

    Directory of Open Access Journals (Sweden)

    Carlos ORTIZ

    2008-10-01

    Full Text Available Las compañías militares privadas (CMPs han generado muchas inquietudes en el público debido a su notoria participación en los conflictos de Afganistán e Irak. La amplia cobertura de sus actividades en los medios de comunicación ha contribuido a presentarlos como un nuevo fenómeno. Sin embargo, su surgimiento y proliferación se dan durante décadas de un proceso de transformación del estado y penetración gradual de su monopolio sobre el uso legítimo de la fuerza. Este artículo discute que la Nueva Gerencia Pública ha enlazado dinámicas históricas importantes de una manera que ayuda a explicar la continua legitimación y expansión del mercado de los servicios militares privados en el nuevo milenio. Se espera que el enfoque técnico del artículo contribuya a la apertura de un debate constructivo, ya que las tendencias actuales apuntan a la expansión de las actividades de las compañías militares privadas en el mercado hispano parlante. The involvement of Private Military Companies (PMCs in the conflicts in Afghanistan and Iraq has engendered many concerns in the public. Although the wide coverage of their activities by the news media has contributed to present PMCs anew, their proliferation builds on decades of state transformation and the gradual penetration of the state monopoly of violence by private actors. This article argues that New Public Management has enmeshed historical dynamics in a way that helps explaining the apparently novel nature of the phenomenon and the broader consolidation of the market for private military services in the twenty-first century. It is hoped that the technical nature of the argument will contribute to open up a constructive debate at a time when unfolding trends suggest an expansion of the activities of PMCs in Latin America and beyond.

  10. Militares en el Mundo Urbano Fronterizo Castellano (siglos XVI-XVII Soldiers within the frontier urban communities of Castile (XVI-XVII centuries

    Directory of Open Access Journals (Sweden)

    Susana TRUCHUElO GARCÍA

    2012-12-01

    Full Text Available En este artículo se estudian diversos espacios urbanos fronterizos y costeros que albergaban presidios reales en Castilla en los siglos XVI y XVII. Se valoran las prácticas de gobierno que relacionaron, por una parte, a los vecinos, sujetos a la jurisdicción de los alcaldes y el corregidor, y, por otra, a los soldados, beneficiados por el fuero militar. Muchas de las discordias estuvieron causadas por las competencias de jurisdicción entre los distintos poderes, por el aumento de atribuciones de los militares en los contextos bélicos, por el control ejercido por los militares en las milicias concejiles y por la participación de los soldados en las instituciones de gobierno de la ciudad. Este estudio nos permite comprender el proceso de definición de una identidad particular en las ciudades fronterizas, sustentada en la exclusión de la comunidad de todo elemento que intentara segregarse del marco de acción de las autoridades urbanas y de la jurisdicción ordinaria.From different viewpoints, this article analyzes urban frontier coastal spaces in early modern Castile (16th and 17th centuries. The central focus is on the government practices that had to deal with quite different affairs, but mainly on arbitration of conflicts between urban neighbors and soldiers. The first were under the main magistrate so-called Corregidor jurisdiction, helped in this task by alcaldes (a special variety of mayors. The soldiers had specific military jurisdiction apart from that ordinary for the neighborhood. Many disputes were jurisdictional conflicts due to military special competences in war contexts, when the army widened its powers to control council regiments (milicias concejiles, and also to deal with the military participation in urban in institutions and government. These problems analysis points out the features that create a particular urban-frontier identity, based on the definition of urban community with the exclusion of individuals, groups and

  11. El espectáculo del cuerpo militarizado O espetáculo do corpo militarizado The spectacle of the militarized body

    Directory of Open Access Journals (Sweden)

    Raumar Rodríguez Giménez

    2009-01-01

    Full Text Available Este trabajo forma parte de una investigación en la que se indaga sobre las particularidades de la Educación Física en la dictadura cívico-militar del Uruguay (1973-1985. En este período, la solidaridad históricamente constituida entre la Educación Física y lo militar se actualiza en el intento de dar legitimidad al régimen de gobierno: mostrar los logros y los alcances del mismo ha implicado, entre otras cosas, apelar a grandes espectáculos de gimnasia realizados en estadios deportivos y a la participación masiva de estudiantes en torneos atléticos. La retórica corporal a la que se apela muestra su cómoda relación con lo militar. Las imágenes que se muestran en este trabajo, puestas en relación con algunos aspectos de los programas de enseñanza primaria y media, ofrecen algunas pistas para estudiar la relación entre lo que se enseña en una clase de Educación Física y su utilización política.This work is part of an investigation about the particularities of the Physical Education during the Uruguayan civic-military dictatorship (1973-1985. In this period, the historically constituted solidarity between Physical education and the military realm is updated by the attempt to legitimate the government regime: showing it's accomplishments and reaches by the appeal to great gymnastic spectacles taken place in stadiums, and the massive participation of students in athletic competitions. The rhetoric of body which is constructed is in comfortable relation with the military institution. In relation to some characteristics of primary and secondary education programs, the images shown in this work offer some clues to study the relation between what is taught in a Physical education class and its political use.

  12. Clinical value of dipyridamole brain perfusion imaging in the diagnosis of ischemic cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Using dipyridamole stress test to evaluate cerebral blood flow reserve in cerebrovascular disease (CVD). Dipyridamole stress tests were performed first, the baseline SPECT images were obtained under similar conditions 2-5 days later. By visual and semiquantitative analysis, the responses of cerebral blood flow to dipyridamole were divided into the following four patterns: A: The dipyridamole SPECT showed an expanded area of hypoperfusion, Asymmetry Index(AI) and Uptake Rate(UR) were all decreased; B: Rest images was normal but new hypoperfused areas appeared on stress test with decreased Al and UR; C: Hypoperfused areas were decreased in size or disappeared after stress test with increased Al and UR; D: No changes showed in cerebral perfusion imaging patterns, and in Al and UR between stress and rest studies. Dipyridarnole brain perfusion imaging may be helpful to the diagnosis of CVD, to the decision the therapeutic plan, and to predicting the therapeutic effect.

  13. Modeling Cerebrovascular Pathophysiology in Amyloid-β Metabolism using Neural-Crest-Derived Smooth Muscle Cells

    Directory of Open Access Journals (Sweden)

    Christine Cheung

    2014-10-01

    Full Text Available There is growing recognition of cerebrovascular contributions to neurodegenerative diseases. In the walls of cerebral arteries, amyloid-beta (Aβ accumulation is evident in a majority of aged people and patients with cerebral amyloid angiopathy. Here, we leverage human pluripotent stem cells to generate vascular smooth muscle cells (SMCs from neural crest progenitors, recapitulating brain-vasculature-specific attributes of Aβ metabolism. We confirm that the lipoprotein receptor, LRP1, functions in our neural-crest-derived SMCs to mediate Aβ uptake and intracellular lysosomal degradation. Hypoxia significantly compromises the contribution of SMCs to Aβ clearance by suppressing LRP1 expression. This enabled us to develop an assay of Aβ uptake by using the neural crest-derived SMCs with hypoxia as a stress paradigm. We then tested several vascular protective compounds in a high-throughput format, demonstrating the value of stem-cell-based phenotypic screening for novel therapeutics and drug repurposing, aimed at alleviating amyloid burden.

  14. Different cerebrovascular effects of medroxyprogesterone acetate and norethisterone acetate in the New Zealand White rabbit

    DEFF Research Database (Denmark)

    Pedersen, S H; Pedersen, N G; Dalsgaard, T;

    2004-01-01

    of different progestins on cerebrovascular reactivity in an animal model. METHODS: Fifty-six ovariectomized New Zealand White rabbits were randomized into seven groups receiving hormone treatment for 4 weeks: medroxyprogesterone acetate (MPA) (10 mg/day); norethisterone acetate (NETA) (3 mg/day); conjugated......, acetylcholine, sodium nitroprusside, L-NAME (N(omega)-nitro-L-arginine methyl ester), calcium and endothelin-1 were established. RESULTS: Treatment with MPA caused a significant increase in vasoconstriction, expressed as E(max) (mN/mm, mean +/- SEM; p ....47 +/- 0.19) and calcium (4.00 +/- 0.22 vs. 3.34 +/- 0.14) in the posterior cerebral artery, and to endothelin-1 (6.88 +/- 0.69 vs. 5.22 +/- 0.30) in the basilar artery, when compared with NETA. This difference was neutralized in the groups receiving the combined treatment of MPA + CEE and NETA + E2...

  15. The TCM-Combined Treatment for Aphasia Due to Cerebrovascular Disorders

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Objective: To evaluate the therapeutic effects of scalp acupuncture (with the cluster needling, a long needle-retention and an intermittent manipulation) combined with the Schuell's stimulation and psychological care for treatment of aphasia due to cerebrovascular disorders. Method: 36 eligible cases of aphasia were randomly assigned into a treatment group and a control group. The scoring system for assessment of aphasia in speaking Chinese set by CMA Neurological Branch and that of BADE were adopted for grading the severity/degree of aphasia before and after the treatment. Results: The total effective rate in the treatment group was 84.21%, and that in the control group was 70.59%, with a very statistically significant difference (P<0.01). Conclusion: The combined scheme produced a better therapeutic effect.

  16. Cardiovascular and cerebrovascular pharmacology%心脑血管药理学

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@心脑血管药理学 文献标识码:D Cardiovascular and cerebrovascular pharmacology 024 Effect of flavones of Mukdenia rossiikoidz on cardiac infarction in rats   LI Yan1, LUO Ji-Hua2   (1. National Institutes of Pharmaceutical Research and Development, Beijing 102206, China; 2. Medical College, Beihua University, Jilin 132001, China)   AIM: To study the effect of flavones of Mukdenia ross ii koidz on cardiac infarction caused by coronary artery ligation. M ETH ODS: Coronary artery ligation. RESULTS: Flavones of Mukd enia rossiikoidz reduced the area of infarction and attenuated the change in S-T section. CONCLUSION: Flavones of M. rossiikoidz has protective effects against myocardial ischemia.   Key words: Mukdenia rossiikoidz; coronary artery

  17. [Soft tissue calcifications in panoramic radiography. A risk factor for cerebrovascular accidents?].

    Science.gov (United States)

    Ariayi, Ayesha Shekeba; Berndt, Dorothea; Lambrecht, J Thomas

    2009-01-01

    Panoramic radiography is a basic diagnostic tool in the dental field where calcifications are seen occasionally in the lateral parts of the x-ray. The differential diagnosis are carotid artery atheromas, calcified submandibular lymphnodes and sialoliths of the submandibular gland. 4007 panoramic radiographs (100%) from patients >40 years were scanned retrospectively. Special emphasis was given to the carotid artery territory (CAT). 225 soft tissue calcifications were found (5.6%). 144 patients had calcifications in the CAT (3.6%), 73 showed calcified submandibular lymphnodes (1.8%), and 8 (0.2%) sialoliths. The female to male ratio was 54.7%:45.3%. Pneumatic diseases were beside hypertension and smoking a risk factor for CAT calcification. Carotid artery atheromas are the main risk for cerebrovascular insults. Dentists can help to detect patients at risk for stroke. Their patients can be referred for further diagnostics (ultrasound). PMID:19954131

  18. Multimodal CT techniques for cerebrovascular and hemodynamic evaluation of ischemic stroke: occlusion, collaterals, and perfusion.

    Science.gov (United States)

    Jia, Baixue; Scalzo, Fabien; Agbayani, Elijah; Woolf, Graham W; Liu, Liping; Miao, Zhongrong; Liebeskind, David S

    2016-05-01

    Neuroimaging of cerebrovascular status and hemodynamics has vastly improved our understanding of stroke mechanisms and provided information for therapeutic decision-making. CT techniques are the most commonly used techniques due to wide availability, rapid acquisition and acceptable tolerance. Numerous multimodal CT techniques have been developed in the last few years. We summarize and explain the various multimodal CT acquisition techniques within three categories based on the scanning mode, namely static mode (single-phase CTA), multiple static mode (multi-phase CTA) and continuous mode (CT perfusion and dynamic CTA). Post-processing methods based on different acquisition modes are also introduced in an easy manner by focusing on the information extracted and products generated. We also describe the applications for these techniques along with their advantages and disadvantages.

  19. Neurosonological examination: A non-invasive approach for the detection of cerebrovascular impairment in AD

    Directory of Open Access Journals (Sweden)

    Barbora eUrbanova

    2014-01-01

    Full Text Available There has been a growing interest in vascular impairment associated with Alzheimer’s disease (AD. This interest was stimulated by the findings of higher incidence of vascular risk factors in AD. Signs of vascular impairment were investigated notably in the field of imaging methods. Our aim was to explore ultrasonographic studies of extra- and intracranial vessels in patients with AD and mild cognitive impairment (MCI and define implications for diagnosis, treatment and prevention of the disease. The most frequently studied parameters with extracranial ultrasound are intima-media thickness in common carotid artery, carotid atherosclerosis, and total cerebral blood flow. The transcranial ultrasound concentrates mostly on flow velocities, pulsatility indices, cerebrovascular reserve capacity, cerebral microembolization. Studies suggest there is morphological and functional impairment of cerebral circulation in AD compared to healthy subjects. Ultrasound as a non-invasive method could be potentially useful in identifying individuals in a higher risk of progression of cognitive decline.

  20. Computerized three-dimensional reconstruction reveals cerebrovascular regulatory subregions in rat brain stem.

    Science.gov (United States)

    Underwood, M D; Arango, V; Smith, R W; Bakalian, M J; Mann, J J

    1993-09-01

    Three-dimensional wireframe reconstructions were used to examine the relationship between the anatomical localization of electrode sites and the cerebrovascular response which was elicited by electrical stimulation of the dorsal raphe nucleus (DRN). Reconstructions of the rat brain and DRN were done from atlas plates and from Nissl-stained coronal sections (100-micron increments). Data points were entered and three-dimensional reconstructions were performed using commercially available software and a personal computer. Display of the entire brain yielded views which obscured visualization of the DRN. The data file was edited to reduce the number of contours without affecting the display resolution of the DRN. Selective display of the DRN and electronic rotation from the coronal to a sagittal view revealed a functional organization of the cerebral blood flow responses which was not apparent in two-dimensional coronal sections.

  1. Microwave Tomographic Imaging of Cerebrovascular Accidents by Using High-Performance Computing

    CERN Document Server

    Tournier, P -H; Bonazzoli, M; de Buhan, M; Darbas, M; Dolean, V; Hecht, F; Jolivet, P; Kanfoud, I El; Migliaccio, C; Nataf, F; Pichot, C; Semenov, S

    2016-01-01

    The motivation of this work is the detection of cerebrovascular accidents by microwave tomographic imaging. This requires the solution of an inverse problem relying on a minimization algorithm (for example, gradient-based), where successive iterations consist in repeated solutions of a direct problem. The reconstruction algorithm is extremely computationally intensive and makes use of efficient parallel algorithms and high-performance computing. The feasibility of this type of imaging is conditioned on one hand by an accurate reconstruction of the material properties of the propagation medium and on the other hand by a considerable reduction in simulation time. Fulfilling these two requirements will enable a very rapid and accurate diagnosis. From the mathematical and numerical point of view, this means solving Maxwell's equations in time-harmonic regime by appropriate domain decomposition methods, which are naturally adapted to parallel architectures.

  2. The End of Militarism

    DEFF Research Database (Denmark)

    Afsah, Ebrahim

    2008-01-01

    and international realities. This has required a careful examination of military tradition and institutional structures to end the dualism that historically existed between the army and society. It is the story of a delusional institution recovering its sanity, explaining why it stopped after 1945 to believe...

  3. Militarization of Energy Security

    OpenAIRE

    Russell, James

    2008-01-01

    Speech Delivered at the Energy Forum conference on “The Global Energy Market: Comprehensive Strategies to Meet Geopolitical and Financial Risks” At the James A. Baker III Institute for Public Policy, Rice University

  4. Impaired cerebrovascular function in coronary artery disease patients and recovery following cardiac rehabilitation.

    Directory of Open Access Journals (Sweden)

    Udunna C Anazodo

    2016-01-01

    Full Text Available Coronary artery disease (CAD poses a risk to the cerebrovascular function of older adults and has been linked to impaired cognitive abilities. Using magnetic resonance perfusion imaging, we investigated changes in resting cerebral blood flow (CBF and cerebrovascular reactivity (CVR to hypercapnia in 34 coronary artery disease (CAD patients and 21 age-matched controls. Gray matter volume images were acquired and used as a confounding variable to separate changes in structure from function. Compared to healthy controls, CAD patients demonstrated reduced CBF in the superior frontal, anterior cingulate, insular, pre- and post-central gyri, middle temporal and superior temporal regions. Subsequent analysis of these regions demonstrated decreased CVR in the anterior cingulate, insula, postcentral and superior frontal regions. Except in the superior frontal and precentral regions, regional reductions in CBF and CVR were identified in brain areas where no detectable reductions in gray matter volume were observed, demonstrating that these vascular changes were independent of brain atrophy. Because aerobic fitness training can improve brain function, potential changes in regional CBF were investigated in the CAD patients after completion of a 6-month exercise-based cardiac rehabilitation program. Increased CBF was observed in the bilateral anterior cingulate, as well as recovery of CBF in the dorsal aspect of the right anterior cingulate, where the magnitude of increased CBF was roughly equal to the reduction in CBF at baseline compared to controls. These exercise-related improvements in CBF in the anterior cingulate is intriguing given the role of this area in cognitive processing and regulation of cardiovascular autonomic control.

  5. Effects of hypoxia-inducible factor 1 on ischemic cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    Yongjie Luo; Xiaoping Wang; Hongbin Sun

    2008-01-01

    Hypoxia-inducible factor I, a nuclear transcription factor, is induced by hypoxia. Hypoxia-inducible factor I, a heterodimeric DNA-binding protein, is composed of hypoxia-inducible factor 1α and hypoxia-inducible factor 1 β subunits, which are family members of the basic helix-loop-helix-PER, ARNT, SIM (PAS) protein. O2 concentration regulates hypoxia-inducible factor 1 activity via this subunit. Hypoxia-inducible factor 1α plays a major role in response to hypoxia and transcriptional activation, as well as in the target gene specificity of the DNA enhancer. Hypoxia-inducible factor 1β cannot be induced by hypoxia. This effect may be due to hypoxia-inducible factor 1 stability and activated conformation due to dimerization. Previous studies have shown that hypoxia-inducible factor 1 mRNA expression increases in the penumbra following ischemia/hypoxia. Hypoxia-inducible factor 1 plays an important role in brain tissue injury alter ischemia by affecting a series of target genes, elevating tolerance to hypoxia, and ensuring survival of neural cells. This article summarizes the structure, function, expression, regulatory mechanisms, biological effects, and significance of hypoxia-inducible factor 1 in patients with ischemic cerebrovascular disease. As a transcriptional activator, hypoxia- inducible factor 1 plays a key role in hypoxic responses by stabilizing the internal environment. It also has been shown to regulate the expression of several genes. The regulatory effects of hypoxia-inducible factor 1 in patients with ischemic cerebrovascular disease have been described. The present review re-examined the concept of brain protection at the level of gene regulation.

  6. LIPOMA CEREBRAL EN CUERPO CALLOSO: HALLAZGO INCIDENTAL EN PACIENTE CON EVENTO CEREBROVASCULAR

    Directory of Open Access Journals (Sweden)

    Gloria Cárcamo-Portillo

    2016-07-01

    Full Text Available Los lipomas intracraneales son lesiones infrecuentes y benignas que representan el 0,03 al 0,08% de todas las masas intracraneales. Estos se encuentran relacionados a un defecto de la línea media debido a un mal cierre del tubo neural; lo que conlleva a una mala diferenciación y una persistencia anormal de la meninge primitiva con posterior diferenciación al tejido adiposo. La mitad de los casos permanecen asintomáticos y son diagnosticados como un hallazgo incidental en los estudios imagenológicos. Sin embargo, otros casos se asocian a sintomatología neurológica como retraso psicomotor, cefalea, epilepsia y parálisis cerebral. Se presenta el caso de una paciente de 46 años de edad, con antecedentes de hipertensión arterial y diabetes mellitus tipo 2; que cursa con sintomatología de Evento Cerebrovascular Isquémico por lo que le realizan –una Tomografía Computarizada (TC y una Resonancia Magnética (RM. En el reporte se describen múltiples infartos a nivel del hemisferio cerebral izquierdo mientras que al nivel de la línea media se observó una imagen compatible con lipoma cerebral que afectaba el rostro, la rodilla y la porción anterior del cuerpo calloso. La identificación de este hallazgo fue incidental. Palabras claves: Lipoma Cerebral; Cuerpo Calloso; Resonancia Magnética; Accidente Cerebrovascular. (Fuente: DeCS BIREME.

  7. Assessment of cerebrovascular reactivity during major depression and after remission of disease

    Directory of Open Access Journals (Sweden)

    Vakilian Alireza

    2010-01-01

    Full Text Available Background: There are a growing number of studies suggesting that depression may increase the risk of stroke. Impaired autoregulation of vascular tone may contribute to a higher risk of developing cerebrovascular diseases. Cerebrovascular reactivity (CVR reflects the compensatory dilatory capacity of cerebral arterioles to a dilatory stimulus and is an important mechanism that ensures constant cerebral blood flow. There is a hypothesis that CVR is reduced in major depression, which would explain the association between depression and stroke. Objectives: The aim of this study was to investigate the effect of depression on CVR in cerebral vessels by comparing CVR during the depression phase with that during remission. Material and Methods: Using the apnea test, we assessed CVR in 16 patients with unipolar depression during disease and after remission of disease by calculating the increase in cerebral blood flow velocity after breath-holding (the apnea test. Blood flow velocities were measured by transcranial Doppler ultrasound (TCD. Results: CVR was significantly reduced in the depression phase in comparison to that in the remission phase. However, this change was not seen in all the patients. Conclusion: CVR was reduced in most of the depressed patients. The decreased CVR, as indicated by the changes in peak systolic velocity (PSV and mean flow velocity (MFV of the middle cerebral artery, in depressed patients was more marked on the right side, which could point to a vascular basis for some kinds of depression. We recommend that other studies, with larger samples, be done; future studies should assess whether the changes in the CVR varies with the severity and type of depression.

  8. Cardiovascular and cerebrovascular effects in response to red bull consumption combined with mental stress.

    Science.gov (United States)

    Grasser, Erik Konrad; Dulloo, Abdul G; Montani, Jean-Pierre

    2015-01-15

    The sale of energy drinks is often accompanied by a comprehensive and intense marketing with claims of benefits during periods of mental stress. As it has been shown that Red Bull negatively impacts human hemodynamics at rest, we investigated the cardiovascular and cerebrovascular consequences when Red Bull is combined with mental stress. In a randomized cross-over study, 20 young healthy humans ingested either 355 ml of a can Red Bull or water and underwent 80 minutes after the respective drink a mental arithmetic test for 5 minutes. Continuous cardiovascular and cerebrovascular recordings were performed for 20 minutes before and up to 90 minutes after drink ingestion. Measurements included beat-to-beat blood pressure (BP), heart rate, stroke volume, and cerebral blood flow velocity. Red Bull increased systolic BP (+7 mm Hg), diastolic BP (+4 mm Hg), and heart rate (+7 beats/min), whereas water drinking had no significant effects. Cerebral blood flow velocity decreased more in response to Red Bull than to water (-9 vs -3 cm/s, p <0.005). Additional mental stress further increased both systolic BP and diastolic BP (+3 mm Hg, p <0.05) and heart rate (+13 beats/min, p <0.005) in response to Red Bull; similar increases were also observed after water ingestion. In combination, Red Bull and mental stress increased systolic BP by about 10 mm Hg, diastolic BP by 7 mm Hg, and heart rate by 20 beats/min and decreased cerebral blood flow velocity by -7 cm/s. In conclusion, the combination of Red Bull and mental stress impose a cumulative cardiovascular load and reduces cerebral blood flow even under a mental challenge.

  9. Crossed cerebellar atrophy in cases with cerebrovascular disease; Investigation using X-ray computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Yagishita, Toshiyuki; Kojima, Shigeyuki; Hirayama, Keizo (Chiba Univ. (Japan). School of Medicine (Japan)); Iwabuchi, Sadamu

    1989-10-01

    Crossed cerebellar atrophy (CCA) was investigated by X-ray CT to establish the incidence, mechanism, and the relation to cerebral lesions in 130 cases of unilateral supratentorial cerebrovascular diseases. The cases consisted of 83 males and 47 females with cerebral infarction (65) and cerebral hemorrhage (65). The patients' average age was 57.6 years. Crossed cerebellar atrophy was demonstrated in 8 cases (6.2%), 6 of whom had massive cerebral infarction in the middle cerebral artery area (9.2%). The six cases of CCA caused by cerebral infarction had lesions in the frontal and temporal lobes. Two had a cerebral hemorrhage in the putamen and in the thalamus, respectively, accounting for 3.1% of the cases of cerebral hemorrhage. One case had putaminal hemorrhage, and another had thalamic hemorrhage. Cerebrovascular stroke had occured in these patients with CCA more than 2 months previously. In 5 of the 8 cases of CCA, atrophy was present in the basis pedunculi and the basis pontis on the side of the cerebral lesion. However, neither dilation nor deformity of the fourth ventricle was present in any of the patients, suggesting that none of the CCA patients had atrophy of the dentate nucleus. The CCA patients had massive cerebral lesion in the frontal and temporal lobes or atrophy of the basis pedunculi and basis pontis, suggesting the presence of the transsynaptic degeneration of the cortico-ponto-cerebellar pathway. In the case of the thalamic hemorrhage, who had not hemorrhagic lesion in the frontal and temporal lobes, atrophy of the basis peduncli and basis pontis was not observed. Though dilation or deformity of the fourth ventricle is not observed in this case, presence of the degeneration of the dentate-rubro-thalamic pathway cannot be denied. CCA seems to be caused by both the transsynaptic degeneration of the cortico-ponto-cerebellar pathway and the dentate-rubro-thalamic pathway.

  10. Evaluation of the relative risk of stroke in patients with hypertension using cerebrovascular hemodynamic accumulative score

    Institute of Scientific and Technical Information of China (English)

    HUANG Jiuyi; WANG Guiqing; GUO Jiping; CAO Yifeng; WANG Yan; YANG Yongju; YU Xuehai

    2007-01-01

    The relative risk(RR)of stroke in patients with hypertension was evaluated by using synthetic index of cerebrovascular hemodynamics.A total of 7,371 patients with hypertension with ages≥40 years were selected from a population-based cohort study of the risk factors for stroke.The data on the baseline investigation of risk factors,the determination of cerebrovascular hemodynamic parameters (CVHP),and stroke follow-up were analyzed.The RR of stroke in patients with hypertension was evaluated by CVHP scores.Univariate analysis indicated that hypertension,complicated by other risk factors,had significant statistical association with the onset of stroke.RRS for stroke when hypertension complicated with decrease of hemodynamic scores,heart disease,cigarette smoking and alcohol consumption were 4.93(95%CI,3.26-7.45),1.90(95%CI,1.36-2.66),1.99(95%CI,1.42-2.79)and 1.73(95%CI,1.19-2.53)respectively.In multivariate analysis,hemodynamic score,age,sex,cigarette smoking,family history of stroke and systolic blood pressure were selected by the Cox regression for inclusion in the final analysis.Among them,the RR of hemodynamic score was highest.The analysis of doseresponse relationships indicated that when the hemodynamic scores in patients with hypertension were lower than 75 points,the RR of stroke at 75,60,45,30 and 15 points were 2.85,4.43,4.54,5.40 and 9.88,respectively.The risk of stroke in patients with hypertension is closely associated with hemodynamic impairment and the hemodynamic score may be used for quantitative evaluation of relative risks of stroke.

  11. Dynamic cerebral autoregulation and cerebrovascular reactivity: a comparative study in lacunar infarct patients

    International Nuclear Information System (INIS)

    The major purpose of this study was to simultaneously evaluate dCA before and shortly after cerebral vasodilatation evoked by infusion of acetazolamide (ACZ). It was questioned if and to what degree dCA was changed after ACZ infusion. Using 15 mg kg−1 ACZ infusion cerebrovascular reactivity (CVR) was assessed in 29 first ever lacunar stroke patients (19 M/10 F). During the CVR-test, the electrocardiogram, non-invasive finger arterial blood pressure (ABP) and middle cerebral artery blood flow velocity (CBFV) were recorded. DCA based on spontaneous blood pressure variations was evaluated in 24 subjects by linear transfer function analysis. Squared coherence, gain and phase angle in the frequency range of autoregulation (0.04–0.16 Hz) were compared before and after ACZ infusion. After ACZ infusion, median phase angle decreased significantly (p < 0.005 Wilcoxon) to 0.77 rad compared to a pre-test baseline value of 1.05 rad, indicating less efficient dCA due to ACZ. However, post-test phase values are still mostly within the normal range. Poor and statistically non-significant correlations were found between CVR and absolute dCA phase angle. It can be concluded that CVR testing with body weight adjusted infusion of ACZ lowers dCA performance but by no means exhausts dCA, suggesting that in this way maximal CVR is not determined. Characterizing dCA based on transfer function analysis of ABP to CBFV needs no provocation and adverse patient effects are minimal. The poor correlation between CVR and dCA phase angle supports an interpretation that CVR and dCA study different mechanisms of cerebrovascular control

  12. Sobrecarga dos cuidadores de idosos com acidente vascular cerebral Sobrecarga de los cuidadores de ancianos con accidente cerebrovascular Burden on caregivers of elderly victims of cerebrovascular accident

    Directory of Open Access Journals (Sweden)

    Roberta Amorim Pereira

    2013-02-01

    Full Text Available O objetivo deste estudo foi avaliar a sobrecarga dos cuidadores de idosos com acidente vascular cerebral (AVC, assim como correlacioná-la com as horas de cuidado, a idade e a independência funcional dos idosos. Trata-se de estudo transversal feito com 62 idosos com AVC e seus cuidadores. O instrumento continha variáveis sociodemográficas e econômicas, Mini-Exame do Estado Mental, Medida da Independência Funcional (MIF e a Escala de Zarit. A possível correlação entre os escores da escala de Zarit e as outras variáveis foi avaliada por meio do Coeficiente de Correlação de Pearson. A maioria dos cuidadores era adultos, filhos, casados e do sexo feminino. A média do escore de Zarit foi 34,92 (15,8. A MIF apresentou correlação negativa com a sobrecarga do cuidador, porém, não houve correlação com a idade e as horas de cuidado. A sobrecarga da maioria dos cuidadores variou de moderada a severa e parece estar relacionada ao nível de independência funcional dos idosos.Se objetivó evaluar la sobrecarga de cuidadores de ancianos con accidente cerebrovascular (ACV, y correlacionarla con horas de cuidado, edad e independencia funcional de los ancianos. Estudio transversal con 62 ancianos con ACV y sus cuidadores. El instrumento contenía variables sociodemográficas y económicas, Mini-Examen del Estado Mental, Medida de la Independencia Funcional (MIF y la Escala de Zarit. La posible correlación entre los puntajes de la escala de Zarit y las otras variables fue evaluada por Coeficiente de Correlación de Pearson. La mayoría de los cuidadores eran adultos, hijos, casados y de sexo femenino. El promedio de puntaje de Zarit fue 34,92 (15,8. La MIF presentó correlación negativa con la sobrecarga del cuidador, sin embargo no hubo correlación con edad y horas de cuidado. La sobrecarga de la mayoría de los cuidadores varió entre moderada y severa, y parece relacionarse con el nivel de independencia funcional del anciano.The aim was to

  13. Doença cerebrovascular na infância: I. Manifestações epilépticas Cerebrovascular disease in children: I. Epileptic manifestations

    Directory of Open Access Journals (Sweden)

    M. AUGUSTA MONTENEGRO

    1999-09-01

    Full Text Available As crises epilépticas podem constituir complicação de doença cerebrovascular (DCV, e a sua prevalência, apresentação clínica, fatores de risco e evolução em crianças tem sido estudadas por poucos autores. Neste estudo, 39 crianças com diagnóstico de DCV foram avaliadas quanto à ocorrência de manifestações epilépticas. Vinte e quatro (61,5% apresentaram crises durante algum momento da doença (22 na fase aguda e 2 na tardia; 13 (54,2% apresentaram crises generalizadas, 7 (29,2% parciais, e 4 (16,6% secundariamente generalizadas. A prevalência de manifestação epiléptica em lactentes foi significativamente maior (p=0,0362 do que nas outras faixas etárias. A localização cortical da DCV mostrou determinar de modo estatisticamente significante (p=0,0101 a ocorrência de crises. Não houve relação significativa entre o tipo de insulto vascular (isquêmico ou hemorrágico e a ocorrência de crises. Quatorze pacientes evoluíram sem crise após a fase aguda; os 2 pacientes previamente epilépticos tiveram suas crises controladas com droga anti-epiléptica (DAE; 3 evoluíram com epilepsia (1 controlado com DAE e 2 de difícil controle; 3 continuaram em acompanhamento ambulatorial e não houve tempo hábil para definir se o quadro evoluirá para epilepsia e em 2 ocorreu óbito na fase aguda.Seizures may occur as a complication of cerebrovascular disease (CVD and its prevalence, clinical presentation, risk factors and evolution have been reported by few authors. We evaluated 39 children with CVD and analysed the association with seizures. Seizures occurred in 24 (61.5% patients and were classified as partial (29.2%, generalized (54.2% and secondarily generalized (16.6%. Infants had a significantly higher prevalence of seizures (p=0.0362 than children at other ages. Cortical localization was associated with a significantly higher prevalence of seizures (p=0.0101. There were no differences between ischemic and hemorrhagic strokes

  14. Biossegurança: conhecimento e adesão pelos profissionais do corpo de bombeiros militar de Minas Gerais Bioseguridad: conocimiento y adhesión en el cuerpo de bomberos militar de Minas Gerais, uno estudio transversal Biosafety: knowledge and compliance by fire military brigade of Minas Gerais

    OpenAIRE

    Adriana Cristina Oliveira; Bruno César Amorim Machado; Camila Sarmento Gama; Juliana Ladeira Garbaccio; Quésia Souza Damasceno

    2013-01-01

    Objetivou-se identificar o conhecimento e a adesão às recomendações de biossegurança entre profissionais do Corpo de Bombeiros Militar de Minas Gerais de um município da Região Metropolitana de Belo Horizonte, Minas Gerais. Realizou-se um estudo transversal de abordagem quantitativa. Na coleta de dados foi utilizado um questionário estruturado composto de questões sobre conhecimento e atitudes relativos à biossegurança, fatores dificultadores ao uso de equipamentos de proteção individual e oc...

  15. 儿童脑血管病的临床及影像学分析%Clinical manifestation of cerebrovascular diseases in children

    Institute of Scientific and Technical Information of China (English)

    沈文俊; 施伟; 李昊

    2013-01-01

    目的 探讨儿童脑血管病的临床特点.方法 回顾性分析8例平均年龄为6.86岁的脑血管病患儿的年龄和性别分布情况与发病特点、病因、部位、诊断方法、治疗及预后情况.颅内出血诊断主要依赖头颅计算机断层扫描及核磁共振成像和数字减影血管成像.结果 男女比例为6:2,起病以急性或者亚急性为主(7/8,87.5%).主要临床表现依次为:单侧肢体乏力(4/8,50.0%),意识障碍(4/8,50.0%),头痛(4/8,50.0%),失语(1/8,12.5%),暂时性缺血性发作(1/8,12.5%).全部病例中已知病因动静脉畸形(3/8,37.5%)与烟雾病(3/8,37.5%)为首位病因,其余病因为微小动脉瘤(1/8,12.5%)及海绵状血管瘤(1/8,12.5%).烟雾病患儿均施以脑-硬膜-动脉-肌肉贴敷术,而动静脉畸形及微小动脉瘤患儿施以伽玛刀治疗.患儿总体治愈率为87.5%(7/8),好转率为12.5%(1/8),病死率为0%.结论 儿童脑血管病的发病有其特殊性,应高度重视伴有神经体征的患儿,尽早进行诊断与治疗,努力提高改善患儿预后.%Objective To demonstrate the clinical features of pediatric cerebrovascular diseases.Methods Data of 8 cases of pediatric cerebrovascular diseases,aged 6.86 years,hospitalized in the past half year were analyzed retrospectively.The diagnosis of intracranial hemorrhage was mainly based on computer tomography (CT),magnetic resonance imaging (MRI) and digital substraction angiography (DSA).Results We study 6 boys and 2 girls.The onset of symptoms was acute or subacute in 87.5 % of the patients (7/8).The main manifestation included limbs debilitation (50.0%),loss of consciousness (50.0%),headache (50.0%),aphasia (12.5%) and transient ischemic attack (12.5%).The causes included arteriovenous malformation(AVM) (37.5%,3/8),aneurysm (12.5%,1/8),cavernoma (12.5,1/8),moyamoya disease (37.3 %,3/8).7 patients (87.5 %) recovered,while 1 patients (12.5 %) showed improvement at

  16. La erradicación en el cine. Las villas de la Ciudad de Buenos Aires durante la última dictadura militar

    Directory of Open Access Journals (Sweden)

    Leandro Daich Varela

    2016-06-01

    Full Text Available Este artículo analiza los discursos y aportes de los filmes Buenos Aires, crónicas villeras (1988 y La Ciudad Oculta (1989 sobre las erradicaciones de las villas de la Ciudad de Buenos Aires durante la última dictadura militar. Ambos buscaron arrojar luz frente a la (aun hoy vigente enorme ausencia de información sobre lo ocurrido en los asentamientos en ese momento. En este sentido, el presente trabajo reflexiona sobre el modo en el cual ambas producciones audiovisuales narran la problemática habitacional resultante de los desalojos masivos, la represión, la violencia, las formas de resistencia, las representaciones sobre los villeros en ese contexto y el rol que tuvo la Iglesia católica.

  17. A Study of How the Japanese Militarism Took Shape%日本军国主义形成的诸要素研讨

    Institute of Scientific and Technical Information of China (English)

    陈荣晶

    2015-01-01

    军国主义是产生于日本的一种极端主义的国家基本方略,其根本特征是主张穷兵黩武、对外实行侵略扩张政策。对军国主义的了解和深入研究有助于有效防止军国主义死灰复燃。结合日本军国主义产生前后的历史,分析得出其产生的历史渊源为日本武士道,产生的现实基础为日本特殊的自然地理条件,产生的社会历史萌芽是日本在1853年前后被西方列强的武力侵略,在上述要素下,日本的明治维新为其军国主义的形成铺平了道路,进而使得甲午战争成为了日本军国主义形成的关键节点。日本的军国主义给亚洲人民带来了巨大的灾难,为防止其沉滓泛起,应把握两点:一是在综合国力竞争中须保持对日本的优势地位,二是对于日本右翼势力的挑衅应迎头痛击。只有彻底消除日本军国主义的生存基础,才能帮助日本民族返回真实的现实世界,进而开创亚太地区的和平局面。%Militarism is a basic national extremism strategy originated in Japan,characterized by exhaust-ing all resources to engage in military aggression.Based on the history,this paper analyses that Japanese militarism could be traced back to Bushido,which appeared basically owing to its special geographical condition and emerged because of the force aggression into Japan by western countries before and after 1853.Besides,the Meiji restoration paved the way for its militarism and further Sino-Japanese Jiawu War became the key factor for the militarism to take shape.Asian people suffered a lot from the Japanese mili-tarism.For preventing it from resurgence,two points should be pointed out:first,other Asian countries should take priority of Japan in their General National Power;second,the Japanese right-wing-force should be given a heavy blow.Only by this,can the nation of Japan go back to the real world and a peace world in the Asian-Pacific region be opened up.

  18. Adaptación y validación del Organizational Description Questionnaire. Un estudio con población civil y militar

    Directory of Open Access Journals (Sweden)

    Martín Nader

    2006-12-01

    Full Text Available Se presentan datos correspondientes a un estudio realizado con población civil (n = 1003 y militar (n = 488 que tuvo como objetivo principal determinar las características psicométricas (fiabilidad y validez del Organizational Description Questionnaire (Bass & Avolio, 1992. Con respecto a la fiabilidad, los resultados muestran buenos niveles de consistencia interna para ambas dimensiones aunque son algo bajos para la dimensión cultura transaccional para ambas poblaciones. Con respecto a la validez, se encontraron evidencias que permiten afirmar que la prueba es válida. El análisis factorial mostró que los ítems se agrupan en dos factores los cuales responden a la propuesta teórica hecha por los autores de la prueba. Por último, se encontraron diferencias en la percepción de la cultura organizacional que tienen líderes y seguidores de ambos contextos.

  19. O processo de trabalho do militar estadual e a saúde mental Working process of military police state officers and mental health

    OpenAIRE

    Maurivan Batista da Silva; Sarita Brazão Vieira

    2008-01-01

    A Polícia Militar está balizada em dois pilares fundamentais: a disciplina e a hierarquia. O que a faz uma organização complexa com feixes de interesses que obstam a capacidade de resistência à mudança. Identificar como essa organização se estrutura e, sobretudo, relacioná-la com a saúde mental é o objetivo deste artigo. Buscamos contextualizar as finalidades dos serviços de segurança pública via breve histórico da polícia estadual, sua divisão e aplicabilidade frente à violência cotidiana. A...

  20. Brote de infección por norovirus del Grupo II en un centro de entrenamiento militar, Perú 2013

    Directory of Open Access Journals (Sweden)

    Mariana Ramos

    2015-01-01

    Full Text Available Reportamos un brote de norovirus (NoV ocurrido en un centro de entrenamiento militar peruano. Trece muestras de heces tomadas de casos iniciales resultaron positivas a NoV GII por RT-PCR. Se realizó un estudio caso-control para determinar factoresasociados a la infección. Se identificó 164 casos probables(tasa de ataqueclínica: 45,2%. El único factor asociado a la infecciónfue el "haber compartido habitación con un caso" (ORa=1,7; IC95% 1,1 a 2,7. Los hallazgos epidemiológicos sugieren que el virus fue propagado persona a persona. Futuras investigaciones de brotes de diarrea en el Perú deberían considerar al NoV como un agente etiológico

  1. Tratamiento multidisciplinar del traumatismo cervical con fractura de apófisis odontoides en militar: a propósito de un caso

    Directory of Open Access Journals (Sweden)

    D. Fuentes Estaban

    2014-12-01

    Full Text Available La fractura de apófisis odontoides de la segunda vértebra cervical representa entre el 10 y el 15% de todas las fracturas cervicales. En el medio militar, esta lesión puede ser originada por la práctica de deportes, actividades de especial riesgo como el paracaidismo y armas de fuego o artefacto explosivo. Un diagnóstico precoz y un adecuado tratamiento multidisciplinar pueden colaborar para el correcto manejo integral de una baja. Se ha realizado una revisión de la literatura en la base de datos del PUBMED, utilizado la palabra clave "fractura odontoides", "sedación", "Halo-Jacket".

  2. Brote de infección por norovirus del Grupo II en un centro de entrenamiento militar, Perú 2013

    Directory of Open Access Journals (Sweden)

    Mariana Ramos

    2015-03-01

    Full Text Available Reportamos un brote de norovirus (NoV ocurrido en un centro de entrenamiento militar peruano. Trece muestras de heces tomadas de casos iniciales resultaron positivas a NoV GII por RT-PCR. Se realizó un estudio caso-control para determinar factoresasociados a la infección. Se identificó 164 casos probables(tasa de ataqueclínica: 45,2%. El único factor asociado a la infecciónfue el "haber compartido habitación con un caso" (ORa=1,7; IC95% 1,1 a 2,7. Los hallazgos epidemiológicos sugieren que el virus fue propagado persona a persona. Futuras investigaciones de brotes de diarrea en el Perú deberían considerar al NoV como un agente etiológico

  3. Justicia de proximidad y gobierno político-militar en la frontera. Equipamiento institucional del Valle de Uco (Mendoza durante el proceso revolucionario (1810-1820

    Directory of Open Access Journals (Sweden)

    Eugenia Molina

    2014-12-01

    Full Text Available El trabajo reconstruye el proceso de equipamiento institucional de la campaña sur de Mendoza durante el proceso revolucionario. Focaliza la atención en la trama de funcionarios designados para la villa de San Carlos y el Valle de Uco, con el objetivo de  mostrar las articulaciones entre justicia de proximidad, gobierno político-militar y construcción de la legitimidad. La hipótesis es que las propias características de un espacio de frontera se complejizaron en el contexto de guerra, atravesaron la territorialización de este ámbito de la jurisdicción mendocina al hacer que la solución de la cuestión de la distancia tuviera un rol clave en las estrategias para gobernarlo.

  4. Relaciones militares y diplomáticas de Cartago en el Mediterráneo Occidental (410 - 221 a.n.e.)

    OpenAIRE

    Riera Vargas, Roger

    2016-01-01

    La tesis doctoral que se presenta a continuación tiene como propósito investigar la red diplomática y las relaciones de índole militar que se establecieron en el Mediterráneo Occidental a través de la ciudad de Cartago. El marco cronológico se enmarca entre los siglos V y III a.n.e., coincidiendo con el momento de mayor apogeo político de la ciudad. Es, por tanto, un estudio de amplio espectro cronológico y espacial, que abarca este fenómeno desde sus inicios hasta su culminación en época de ...

  5. Prospective, multidisciplinary recording of perioperative errors in cerebrovascular surgery: is error in the eye of the beholder?

    Science.gov (United States)

    Michalak, Suzanne M; Rolston, John D; Lawton, Michael T

    2016-06-01

    OBJECT Surgery requires careful coordination of multiple team members, each playing a vital role in mitigating errors. Previous studies have focused on eliciting errors from only the attending surgeon, likely missing events observed by other team members. METHODS Surveys were administered to the attending surgeon, resident surgeon, anesthesiologist, and nursing staff immediately following each of 31 cerebrovascular surgeries; participants were instructed to record any deviation from optimal course (DOC). DOCs were categorized and sorted by reporter and perioperative timing, then correlated with delays and outcome measures. RESULTS Errors were recorded in 93.5% of the 31 cases surveyed. The number of errors recorded per case ranged from 0 to 8, with an average of 3.1 ± 2.1 errors (± SD). Overall, technical errors were most common (24.5%), followed by communication (22.4%), management/judgment (16.0%), and equipment (11.7%). The resident surgeon reported the most errors (52.1%), followed by the circulating nurse (31.9%), the attending surgeon (26.6%), and the anesthesiologist (14.9%). The attending and resident surgeons were most likely to report technical errors (52% and 30.6%, respectively), while anesthesiologists and circulating nurses mostly reported anesthesia errors (36%) and communication errors (50%), respectively. The overlap in reported errors was 20.3%. If this study had used only the surveys completed by the attending surgeon, as in prior studies, 72% of equipment errors, 90% of anesthesia and communication errors, and 100% of nursing errors would have been missed. In addition, it would have been concluded that errors occurred in only 45.2% of cases (rather than 93.5%) and that errors resulting in a delay occurred in 3.2% of cases instead of the 74.2% calculated using data from 4 team members. Compiled results from all team members yielded significant correlations between technical DOCs and prolonged hospital stays and reported and actual delays (p = 0

  6. 急性脑血管意外院前急救分析%Prehospital First Aid of Acute Cerebrovascular Accident

    Institute of Scientific and Technical Information of China (English)

    潘洪显; 赵林

    2013-01-01

    Objective:Comparison of prehospital emergency treatment and come to court of the patients with acute cerebral hemorrhagic accident clinical material, improve the understanding of the necessity of prehospital emergency treatment.Methods:Choose iJanuary 2009-June 2012 menstrual of prehospital emergency treatment of 120 cases of acute cerebrovascular accident patients as observation group, this time 90casetcome to hospital acute hemorrhagic accident patients as control group, control group by family members or friends to the hospital, all without first aid measures, observation group received 120 emergency center after dispatching telephone guide treatment, on-site rescue, transport and handling way.Results:Two groups of patients self-help reaction time (26.67±12.34)minVS (30.45±11.56 min has no significant difference (P>0.05), the observation group emergency time (40.12±13.56)min, lobbyists treatment time (52.34±14.85) min, length of hospital stay (14.34±5.28 )days, be in hospital cost (0.98±0.22) ten thousand yuan less than control group (162.56±33.45)min, (162.56±33.45) min and (19.34±6.23) days,(1.22±0.34) ten thousand yuan (P0.05)、观察组急救时间(40.12±13.56)min、院外救治时间(52.34±14.85)min、住院时间(14.34±5.28)天、住院费用(0.98±0.22)万元小于对照组的(162.56±33.45)min、(162.56±33.45)min、(19.34±6.23)天、(1.22±0.34)万元(P<0.05);观察组死亡3.33%、伤残20.83%也少于对照组的10.00%、37.78%(P<0.05)。结论:院前急救能最大程度抢救患者的生命,减少并发症的发生,应重视与加强院前急救与转运工作

  7. Influence of age on prevalence rates of chronic complications of hospitalized aged patients with hypertension——analysis of 17,682 cases

    Institute of Scientific and Technical Information of China (English)

    Hua Cui; Yixin Hu; Li Fan; Guoliang Hu; Wei Dai

    2009-01-01

    Objective To understand the relationship between age and chronic complications in hospitalized aged patients with hypertension, to provide evidence for hypertension prevention and control. Methods To retrospectively analyze the clinical and laboratory data on 17,682 patients with essential hypertension during Jan 1st,1993-Dee 12th, 2008 in PLA general hospital. Results 1)Among all of the inrolled cases, those aged 60-64 account for 27.87%, 65-69 years group account for 26.55%, 70-74 years group accounted for 23.96%, 75-79 years group accounted for 14.14%, 80-84 years group accounted for 5.26%, 85-89 years group accounted for 1.69%, > 90 years accounted for 0.41%. 2) The prevalence rate of chronic complications in 60-69 years group were 31.3-31.2% for diabetes and,22.6-27.0% for cerebrovascular disease, 9.5-11.1% for myocardial infarction, 6.7-9.1% for heart failure, 5.8-6.0% for renal dysfanction 4.9-6.8% for atrial fibrillation, 0.1-0.3% for multiple organ dysfunction syndrome (MODS) in the elderly(P <0.05 ). 3) The first four complications of hypertension were diabetes(33.5%), cerebrovascular disease (31.9%), myocardial infarction(13.2%) and heart failure(12.3%) in 70-74 years group (P<0.05), cerebrovascular disease (42.8%), diabetes (32.8%), heart failure (16.5%) and myocardial infarction(15.9%) in 75-79 years group (P<0.05), cerebrovascular disease (45.4%), diabetes (35.0%), heart failure (21.1%) and myocardial infarction(15.9%) in 80-84 years group (P<0.05), cerebrovascular disease(42.5%), diabetes (35.8%), heart failure (23.1%) and renal dysfanction (17.7%) in 85-89 years group(P<0.05 ),and cerebrovascular disease (45. 2%), heart failure(31.5%), diabetes (26.0%) and renal dysfanction (20.5%) in patients more than 90 years group (P<0.05). Conclusions The prevalence rate and kinds of chronic complications in hospitalized aged patients with hypertension were changed with the increasing age, and the first kind of complication is cerebrovascular disease. It is of

  8. Thinking Logic of Defeated Japanese Militarism%略论日本军国主义战败的思维逻辑

    Institute of Scientific and Technical Information of China (English)

    覃一庆

    2015-01-01

    Japanese militarism is the result of the Japanese bushido which takes its spirit as the main cultur⁃al beliefs. It takes advantage of bushido spirit as weapons to control the general public as its tool of aggres⁃sion and expansion. As a kind of cultural forms of bushido spirit, its defect is obvious, promoting bullying and lack of rational and logical thinking leads to extreme behavior. Loss of righteousness and abandon the dialectical thinking is the root cause of the defeat of the Japanese militarism.%日本军国主义源于日本武士道,又以日本武士道精神作为最主要的文化信仰。它充分利用武士道的精神武器,去控制广大民众,并以此作为其侵略扩张的工具。但作为一种文化形态的武士道精神,其缺陷亦是显然的,因为尚强力而恃强凌弱,行为必然走向极端,便失缺了理性思考;好勇武但刚愎自用,又缺失了辩证思维。失义失道及摈弃辩证思维是日本军国主义战败的根本原因。挑起不义之战,师出无名,失道寡助,是其义败;恃强凌弱,逞勇猛进,是其谋败。

  9. "Un día en el infierno": acerca de las respuestas producidas en torno al antisemitismo público y clandestino durante la última dictadura militar

    Directory of Open Access Journals (Sweden)

    Emmanuel Nicolás Kahan.

    2013-01-01

    Full Text Available Las críticas recibidas por el régimen dictatorial argentino, alusivas a su carácter "antisemita", datan de fecha temprana. Como se verá en el desarrollo de este trabajo, la cuestión del "antisemitismo" materializó una serie de reparos frente a la intervención militar en el plano internacional. Una serie de "Informes" de organizaciones internacionales ligadas a las denuncias de las violaciones de los derechos humanos resultan ilustrativas de la relevancia que el "trato a los judíos" cobraría en la acusación sobre las arbitrariedades perpetradas por la dictadura militar. Estos Informes se complementaron con el testimonio de Jacobo Timerman sobre los días de su cautiverio, consolidando un marco interpretativo asentado sobre un severo juicio moral que condenó particularmente a quienes consideraban como mandatarios de la DAIA. No obstante, la investigación de diversos acervos y publicaciones de los actores permite poner en suspenso ciertos a priori de la acusación. El análisis de los documentos encontrados permite identificar, a grandes rasgos, dos formas distintivas de manifestación del antisemitismo: una de carácter público y otra que funcionaba de modo clandestino. El presente trabajo abordará las diversas estrategias y las tensiones suscitadas al interior de la "comunidad judía" en torno a las formas en que se enfrentó y/o denunció estos modos de antisemitismo.

  10. Diego García Conde, un militar español en la transición al México Independiente

    Directory of Open Access Journals (Sweden)

    Moncada Maya, José Omar

    2016-08-01

    Full Text Available Diego García Conde belonged to a long line of Spanish soldiers who rose to key military positions in the eighteenth century. The four García Conde brothers reached the rank of Field Marshal; two of them performing their duties in Spain, while the others were destined to New Spain. Diego García Conde particularly stood out throughout the time he spent serving both the Spanish colonial Government and the new Mexican independent State: he was Military Commander and Governor, the first Director of Engineers of the new nation, as well as Director of the Military Academy. As a volunteer engineer, he also undertook major scientific work, including drawing up a map of Mexico City.Diego García Conde perteneció a una importante saga familiar de militares españoles del siglo XVIII que alcanzaron posiciones relevantes en la estructura del Ejército. Los cuatro hermanos García Conde alcanzaron el rango de Mariscal de Campo, dos de ellos desarrollaron su actividad en España, mientras que los otros dos fueron destinados a la Nueva España. Diego García Conde destacó en forma particular, toda vez que sirvió tanto al gobierno colonial español como al nuevo Estado independiente mexicano, en funciones de Comandante militar y Gobernador Intendente. Fue el primer Director de Ingenieros de la nueva nación, así como Director de la Academia de Cadetes. Pero, además, como ingeniero voluntario, desarrolló una importante labor técnico-científica. Destaca el mapa que elaboró de la ciudad de México.

  11. Graficar una "Segunda Independencia": El Régimen Militar Chileno y las ilustraciones de la Editorial Nacional Gabriela Mistral (1973-1976

    Directory of Open Access Journals (Sweden)

    Isabel Jara Hinojosa

    2011-06-01

    Full Text Available En la perspectiva del uso social de las imágenes, este artículo estudia la relación entre la ilustración gráfica de la Editorial Nacional Gabriela Mistral (ENGM y el imaginario político del gobierno militar. Profundizando en la semántica de las estampas de algunos libros representativos, examina su peculiar aporte a la construcción del discurso del golpe militar como "segunda independencia". Para ello, cruza un análisis iconográfico y de retórica de la imagen con documentos inéditos e impresos del gobierno y la editorial, publicaciones de esta y bibliografía pertinente. Sugiere que las ilustraciones "graficaron" dicho discurso antimarxista y antipartidista, simbolizando lo patriótico y antipatriótico, intensificando dicotómicamente la experiencia allendista y la posgolpe y ritualizando la celebración del 11 de septiembre.From the perspective of the social use of images, this article studies the relationship between graphic illustration from the Editorial Nacional Gabriela Mistral (ENGM and the political imaginary of the military government. using the semantics of pictures, this article analyzes the unique contribution of some representative books to the development of the discourse of the coup as a "second independence." To that end the article crosses an iconographic analysis and a rhetoric of the image analysis with unpublished documents and government literature, publications from the editorial and pertinent bibliography suggesting that the illustrations, "illustrate" an anti-Marxist and anti-party discourse. This symbolizes the patriotic and the unpatriotic, intensifying the dichotomy of the Allendista and the post-coup experience, and ritualizing the celebration of September eleventh.

  12. 贵阳市社区居民脑血管病及危险因素问卷调查%Questionnaire Survey of Cerebrovascular Disease and Risk Factors In The GUIYANG City Community

    Institute of Scientific and Technical Information of China (English)

    井绪西; 陈赞军; 付桂丽; 侯丽; 陈安强; 金建平; 刘康; 龙胜利; 梁忠明; 翁颖; 尤丛笑; 张曦

    2009-01-01

    Objective To investigate morbidity,risk factors and clinical symptom of cerebrovascular disease in the Guiyang community. Methods In the sixteen cornmunity,19715 people above 30 years-old were selected. The data of four groups(30 ~ 39,40 ~ 49,50 ~ 59, ≥60years-old) was comparatively analyzed. Results The morbidity of the cerebrovascular disease was 5.1% in last five years in the sixteen community. The incidence of smoking and drinking in 30 ~ 49 years-old two groups was the highest-level comparated other groups. The mor-bidity of the cerebrovascular disease,the hypertension, the diabetes mellitus, the coronary heart disease, and the hyperlipoidemia was raise as they continue into old age. The incidence of clinical symptom of cerebrovascular disease for instance dizzy, asthenia, Unilateral hypodynamia, unilateral neglect and simple eye blurred vision and so on was raise as they continue into old age. Conclusion In order to prevent and control the cerebrovascular disease of people in community, we should focus on its clinical features, take appropriate measures, such as quist smoking, controlling drinking and Primary Prevent in the under 49 years-old people. The above 49 years-old should take secondary and third prevention, such as pay close attention to their blood pressure, blood sugar, blood-fat and so on. We should guide their periodic physical examination, timing hospitalize, proper dose and ad-justing diet composition, strengthening physical exercise.%目的 探讨贵阳市社区居民脑血管病患病情况、危险因素、与脑血管病相关的临床症状的发生率.方法 采用采用分层整群随机方法对16个社区的30岁以上居民问卷调查,按年龄每10岁(60岁以上归入一组)一组分别统计.结果 各个年龄段5年累加的脑血管病患病率为5.1%;吸烟、饮酒率在30~49岁两个年龄段最高;脑血管病、高血压、糖尿病、冠心病、高血脂均随年龄增大而患病率增加;而与脑血管病

  13. 血清超敏-C反应蛋白水平对糖尿病患者脑血管意外的预测价值%Predictive value of serum hypersensitivity C-reactive protein in diabetes patients with cerebrovascular accident

    Institute of Scientific and Technical Information of China (English)

    王艳

    2014-01-01

    Objective To investigate the predictive value of serum hypersensitivity C-reactive protein in diabetes pa-tients with cerebrovascular accident. Methods 66 cases of type 2 diabetes combined with cerebrovascular accident from Mau 2012 to May 2013 in the Southern District of the Second People's Hospital of Yibin City were selected as cere-brovascular accident group, 66 cases of type 2 diabetes without cerebrovascular accident in the same term were chosen as simple diabetes group, 66 cases of healthy people were selected as control group. Fasting blood-glucose (FRG), oral glucose tolerance test (OGTT), hs-CRP level among the three groups were detected and compared. Results①The value of FPG, 2 h PG in cerebrovascular accident group [(8.53±2.03), (13.89±2.27) mmol/L] and simple diabetes group [(8.62±1.35), (14.19±1.86) mmol/L] were all higher than those in control group [(4.01±1.10), (6.17±1.71) mmol/L], the differences were statistically significant (P0.05).② The differences of hs-CRP level and abnormal proportion among the three groups were statistically significant (F= 3.973, χ2 = 4.730, P0.05)。②三组间hs-CRP水平及异常比例比较,差异均有统计学意义(F=3.973,χ2=4.730,P<0.05);其中脑血管意外组hs-CRP水平[(12.58±3.53)μg/mL]高于单纯糖尿病组[(4.87±1.94)mg/L]及对照组[(2.03±0.71)mg/L],差异有统计学意义(P<0.05);单纯糖尿病组hs-CRP水平高于对照组,差异有统计学意义(P<0.05)。结论 hs-CRP对糖尿病合并脑血管意外具有明显的预测价值,可作为脑血管事件的预测因子。

  14. Entre héroes y traidores: Sentidos militares y militantes acerca del rol de los conscriptos en los años 70 Entre heróis e traidores: Sentidos militares e militantes sobre o papel dos recrutas nos anos 70 Between heroes and traitors: Military and militant meanings regarding conscripts' role in the 70s

    Directory of Open Access Journals (Sweden)

    Santiago Garaño

    2011-07-01

    Full Text Available En este trabajo analizaremos cómo las autoridades militares argentinas concibieron el rol que los conscriptos debían jugar en la autodenominada "lucha contra la subversión", en el contexto de violencia política previo al golpe de estado del 24 de marzo de 1976. En primer lugar, mostraremos que los soldados que cumplían el servicio militar obligatorio fueron interpelados no sólo por el Ejército sino también por el PRT-ERP, apelando en ambos casos a los valores morales del 'heroísmo' y del 'sacrificio' de la propia vida. En segundo lugar, argumentaremos que el personal militar fundó una lógica binaria "héroe"-"traidor" como parámetro para juzgar moralmente las conductas de los conscriptos. Por último, postularemos que se apuntaló ese código moral utilizando ideas de pureza, contaminación y peligro.Neste trabalho analisaremos como, nos anos setenta, as autoridades militares argentinas conceberam o papel que os soldados deviam desempenhar na autodenominada "luta contra a subversão", no contexto da violência política prévio ao golpe de estado acontecido no dia 24 de março de 1976. Em primeiro lugar, mostraremos que os recrutas foram interpelados não só por parte do exército, mas também pelo PRT-ERP, apelando em ambos os casos ao valor moral do 'heroísmo' e do 'sacrifício' da própria vida. Em segundo lugar, argumentaremos que os militares se apoiaram em uma lógica binária de "herói" - "traidor" como parâmetro para julgar moralmente as condutas dos recrutas, e afirmaremos que esse código moral foi sustentado através de ideias de pureza, contaminação e perigo.In this article we analyze the different ways in which, during the 70s, the Argentinean military authorities conceived the role that soldiers should play in the "struggle against subversion" in a context of political violence before the military coup on March 24 th 1976. To begin with, we expose that the conscripts serving the Compulsory Military Service were

  15. Cerebrovascular responses to hypoxia and hypocapnia in high-altitude dwellers.

    Science.gov (United States)

    Norcliffe, L J; Rivera-Ch, M; Claydon, V E; Moore, J P; Leon-Velarde, F; Appenzeller, O; Hainsworth, R

    2005-07-01

    Cerebral blood flow is known to increase in response to hypoxia and to decrease with hypocapnia. It is not known, however, whether these responses are altered in high-altitude dwellers who are not only chronically hypoxic and hypocapnic, but also polycythaemic. Here we examined cerebral blood flow responses to hypoxia and hypocapnia, separately and together, in Andean high-altitude dwellers, including some with chronic mountain sickness (CMS), which is characterized by excessive polycythaemia. Studies were carried out at high altitude (Cerro de Pasco (CP), Peru; barometric pressure (P(B)) 450 mmHg) and repeated, following relief of the hypoxia, on the day following arrival at sea level (Lima, Peru; P(B) 755 mmHg). We compared these results with those from eight sea-level residents studied at sea level. In nine high-altitude normal subjects (HA) and nine CMS patients, we recorded middle cerebral artery mean blood flow velocity (MCAVm) using transcranial Doppler ultrasonography, and expressed responses as changes from baseline. MCAVm responses to hypoxia were determined by changing end-tidal partial pressure of oxygen (P(ET,O2)) from 100 to 50 mmHg, with end-tidal partial pressure of carbon dioxide clamped. MCAVm responses to hypocapnia were studied by voluntary hyperventilation with (P(ET,O2)) clamped at 100 and 50 mmHg. There were no significant differences between the cerebrovascular responses of the two groups to any of the interventions at either location. In both groups, the MCAVm responses to hypoxia were significantly greater at Lima than at CP (HA, 12.1 +/- 1.3 and 6.1 +/- 1.0%; CMS, 12.5 +/- 0.8 and 5.6 +/- 1.2%; P < 0.01 both groups). The responses at Lima were similar to those in the sea-level subjects (13.6 +/- 2.3%). The responses to normoxic hypocapnia in the altitude subjects were also similar at both locations and greater than those in sea-level residents. During hypoxia, both high-altitude groups showed responses to hypocapnia that were

  16. The brain-in-motion study: effect of a 6-month aerobic exercise intervention on cerebrovascular regulation and cognitive function in older adults

    OpenAIRE

    Amanda V Tyndall; Davenport, Margie H; Wilson, Ben J.; Burek, Grazyna M; Arsenault-Lapierre, Genevieve; Haley, Eryka; Eskes, Gail A.; Friedenreich, Christine M.; Michael D Hill; Hogan, David B.; Longman, R Stewart; Anderson, Todd J.; Leigh, Richard; Smith, Eric E.; Poulin, Marc J.

    2013-01-01

    Background Aging and physical inactivity are associated with declines in some cognitive domains and cerebrovascular function, as well as an elevated risk of cerebrovascular disease and other morbidities. With the increase in the number of sedentary older Canadians, promoting healthy brain aging is becoming an increasingly important population health issue. Emerging research suggests that higher levels of physical fitness at any age are associated with better cognitive functioning and this may...

  17. Plasma renin activity and its association with ischemic heart disease, congestive heart failure, and cerebrovascular disease in a large hypertensive cohort

    OpenAIRE

    Sim, John J.; Shi, Jiaxiao; Al-Moomen, Rushdy; Behayaa, Hind; Kalantar-Zadeh, Kamyar; Jacobsen, Steven J.

    2014-01-01

    Plasma renin activity (PRA) may be a surrogate for vascular damage. We hypothesize that PRA is associated with cardiovascular and cerebrovascular disease. Cross sectional study (1/1/1998–12/31/2009) on hypertensive individuals >/=18yrs using multivariable logistic regression models to estimate odds ratios (OR) for ischemic heart disease (IHD), congestive heart failure (CHF), and cerebrovascular disease (CED) based on PRA quartiles controlling for age, sex, race, diabetes mellitus (DM), and me...

  18. Efficacy of Standard and Intensive Statin Treatment for the Secondary Prevention of Cardiovascular and Cerebrovascular Events in Diabetes Patients: A Meta-Analysis

    OpenAIRE

    de Vries, Folgerdiena M.; Kolthof, Johan; Postma, Maarten J.; Denig, Petra; Hak, Eelko

    2014-01-01

    Aims To estimate the efficacy of standard and intensive statin treatment in the secondary prevention of major cardiovascular and cerebrovascular events in diabetes patients. Methods A systematic search was conducted in Medline over the years 1990 to September 2013. Randomized, double-blind, clinical trials comparing a standard-dose statin with placebo or a standard-dose statin with an intensive-dose statin for the secondary prevention of cardiovascular and cerebrovascular events in diabetes p...

  19. Vinpocetine and Pyritinol: A New Model for Blood Rheological Modulation in Cerebrovascular Disorders—A Randomized Controlled Clinical Study

    Directory of Open Access Journals (Sweden)

    Hayder M. Alkuraishy

    2014-01-01

    Full Text Available Blood and plasma viscosity are the major factors affecting blood flow and normal circulation. Whole blood viscosity is mainly affected by plasma viscosity, red blood cell deformability/aggregation and hematocrit, and other physiological factors. Thirty patients (twenty males + ten females with age range 50–65 years, normotensive with history of cerebrovascular disorders, were selected according to the American Heart Stroke Association. Blood viscosity and other rheological parameters were measured after two-day abstinence from any medications. Dual effects of vinpocetine and pyritinol exhibit significant effects on all hemorheological parameters (P0.05. Therefore, joint effects of vinpocetine and pyritinol improve blood and plasma viscosity in patients with cerebrovascular disorders.

  20. A Fast and Fully Automatic Method for Cerebrovascular Segmentation on Time-of-Flight (TOF) MRA Image

    OpenAIRE

    Gao, Xin; Uchiyama, Yoshikazu; Zhou, Xiangrong; HARA, TAKESHI; Asano, Takahiko; Fujita, Hiroshi

    2010-01-01

    The precise three-dimensional (3-D) segmentation of cerebral vessels from magnetic resonance angiography (MRA) images is essential for the detection of cerebrovascular diseases (e.g., occlusion, aneurysm). The complex 3-D structure of cerebral vessels and the low contrast of thin vessels in MRA images make precise segmentation difficult. We present a fast, fully automatic segmentation algorithm based on statistical model analysis and improved curve evolution for extracting the 3-D cerebral ve...