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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. Care for patients with cerebrovascular disease in a general hospital. 2 years experience

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    Joan Omar Rojas Fuentes

    2010-08-01

    Full Text Available Background: The care of patients with cerebrovascular disease requires an organized system from pre-hospital care until discharge of the patient, to ensure the continuity of rehabilitation. In order to provide differentiated services to patients with this condition was created in the General Hospital Universitario "Dr. Gustavo Lima Aldereguía "a specialized room for attention to these diseases and the rehabilitation of patients. Objective: To determine the benefits obtained with differentiated services to patients with cerebrovascular disease in a general hospital. Methods: Descriptive case series that included 1038 patients admitted to the specialized chamber for cerebrovascular disease. We analyzed the following variables: stay, type of cerebrovascular disease, clinical classification, the Barthel index and discharge status. Results: 972 patients suffered from cerebrovascular disease, hospital stay was reduced by two days, the attention of specialized equipment increased from 51.75% to 79.2% patients were discharged with a mild degree of functional dependence. Conclusions: The differentiated services to cerebrovascular disease in general hospitals shows benefits for patients.

  3. Care for patients with cerebrovascular disease in a general hospital. 2 years experience Atención a pacientes con enfermedad cerebrovascular en un hospital general. Experiencia de 2 años

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    Julio López Arguelles

    2010-08-01

    Full Text Available Background: The care of patients with cerebrovascular disease requires an organized system from pre-hospital care until discharge of the patient, to ensure the continuity of rehabilitation. In order to provide differentiated services to patients with this condition was created in the General Hospital Universitario "Dr. Gustavo Lima Aldereguía "a specialized room for attention to these diseases and the rehabilitation of patients. Objective: To determine the benefits obtained with differentiated services to patients with cerebrovascular disease in a general hospital. Methods: Descriptive case series that included 1038 patients admitted to the specialized chamber for cerebrovascular disease. We analyzed the following variables: stay, type of cerebrovascular disease, clinical classification, the Barthel index and discharge status. Results: 972 patients suffered from cerebrovascular disease, hospital stay was reduced by two days, the attention of specialized equipment increased from 51.75% to 79.2% patients were discharged with a mild degree of functional dependence. Conclusions: The differentiated services to cerebrovascular disease in general hospitals shows benefits for patients.Fundamento: la atención a pacientes con enfermedad cerebrovascular requiere un sistema organizado desde la atención prehospitalaria hasta el egreso del paciente, que asegure la continuidad de la rehabilitación. En aras de brindar una atención diferenciada a los pacientes con esta afección se creó en el Hospital General Universitario “Dr. Gustavo Aldereguía Lima” una sala especializada para la atención a estas enfermedades y la rehabilitación de los pacientes. Objetivo: determinar los beneficios que se obtienen con la atención diferenciada a pacientes con enfermedad cerebrovascular en un hospital general. Métodos: estudio

  4. 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.

  5. 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

  6. Principios orientadores de la evaluación institucional del Hospital Militar de Holguín como sede universitaria

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    Amauris Correa Martínez

    2011-01-01

    Full Text Available Presenta un conjunto de principios que ofrecen la orientación teórico - metodológica para la evaluación institucional del Hospital Militar de Ejército de Holguín (HME, como sede universitaria, tanto en lo que concierne a sus objetivos y contenido, como a los métodos, instrumentos, formas organizativas y procesos que aseguran su ejecución como actividad práctica. A partir de las propuestas precedentes analizadas, se plantean dos nuevos principios, el principio de la relación entre la sistematicidad de la evaluación y la mejora institucional y el principio del carácter procesal de la evaluación institucional, y se asumen, contextualizados al objeto de la evaluación que se aborda en la investigación, otros dos, el principio de la unidad de la participación y la objetividad y el principio del carácter contextualizado de la evaluación institucional. Se establecen, en cada caso, las implicaciones de su cumplimiento para la modelación y realización del proceso evaluador.

  7. Sulfato de magnesio y respuesta hemodinámica en laringoscopia e intubación endotraqueal. Hospital Militar Central 2015

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    Rojas Farfán, Gissela Roxana

    2015-01-01

    Objetivos: Identificar los efectos del sulfato de magnesio en la respuesta hemodinámica durante la laringoscopia e intubación endotraqueal en pacientes sometidos a anestesia general en el Hospital Militar Central del Perú durante el periodo setiembre - octubre del 2015. Material y Métodos: Estudio de cohortes, retrospectivo, analítico, cuantitativo y no experimental en 60 pacientes sometidos a cirugía electiva bajo anestesia general; divididos en dos grupos: un grupo recibió 10 mg/kg de sulfa...

  8. 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.

  9. 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.

  10. 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.

  11. Evaluation of Distributive Frequency of Oral Contraceptive Pills Consumption in Women with Cerebrovascular Events Admitted in Farshchian Hospital of Hamadan between 1997-2007

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    Mehrdokht Mazdeh

    2011-06-01

    Full Text Available Background & Objectives: Although there is no prolonged time elapsed from propagation of oral contraceptive pills (OCP, case reports demonstrated occurrence of pulmonary embolism and cerebral infarction in women using these pills. Present study was done to specify distributive frequency of oral contraceptive pills consumption in women with cerebrovascular events admitted in Farshchian hospital of Hamadan between 1997 to 2007. Materials & Methods: Every woman with cerebrovascular events during years 1997-2007 who was admitted in Farshchian hospital of Hamadan and her dossier was present in archive of hospital, were carefully checked and those who hadn’t exclusion criteria, were include in this study, a total of 1587 of them with respect to their Characteristics such as type of cerebrovascular event, age, type of oral contraceptive pill and duration of pill use were extracted from patient dossier and registered in respective checklist. Results: 24.1% of patient used oral contraceptive pill and 76.9% of patients were non users. Mean age of OCP users and non users were 45 years. Mean duration of pill use among these patients was 33 months. In assessing type of vascular events, in the group OCP users 73.1% and non users 66.4% had ischemic stroke.Which was statistically significant. In the group OCP users 24.6% and non users 29.1% were hemorrhagic stroke.. Also in the group OCP users 2.3% and non users 4.5% were affected sagital sinuses thrombosis that showed no significant difference. Among OCP users 85% of the patients used OCP, LD and 15% of the patients OCP, HD. Conclusion: The present study showed, the ischemic stroke rate of the patients with OCP consumption were significantly more than those of non users.

  12. Epidemiología, seroinmunología y prevención de la infección por el virus de la inmunodeficiencia humana según estudio realizado en el Hospital Militar Gómez Ulla

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    Maldonado Sanz, José Ángel

    2012-01-01

    Tras estudio pormenorizado de la infección por vih en el hospital militar gomez ulla dependiente del ministerio de defensa se establecieron unos objetivos epidemiológicos y seroinmunologicos y preventivos, que después del tratamiento estadístico de los datos obtenidos del mencionado estudio, acepta las siguientes conclusiones: 1.- Perfil epidemiológico similar al de la sociedad civil; 2.- Baja incidencia y prevalencia en profesionales de las fas, se admite un nuevo supuesto de clasificación u...

  13. Pronóstico al año tras sufrir el debut de enfermedad cerebrovascular en pacientes de un hospital nacional de Lima, Perú

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    C. Martín A Alvarado-Dulanto

    Full Text Available En Latinoamérica la información del pronóstico de pacientes con enfermedad cerebrovascular (ECV es limitada. Por ello, se buscó determinar el pronóstico vital y funcional al año, de pacientes con debut de ECV. Se desarrolló un estudio de cohorte prospectivo, con seguimiento al año a pacientes con primer evento cerebrovascular reclutados en el servicio de medicina de un hospital nacional. Se recolectó datos sociodemográficos, antecedentes patológicos e información del evento. Se halló proporciones de mortalidad, diferencias entre subgrupos y se comparó la funcionalidad inicial y al año. Se incluyó 101 pacientes, 20,8% falleció durante el seguimiento, encontrándose mayor mortalidad en los mayores de 65 años y en aquellos severamente discapacitados tras el evento. La funcionalidad no mejoró al año. Se concluye que uno de cinco pacientes que debuta con ECV fallece al año, con mayor mortalidad en ancianos y en pacientes gravemente discapacitados. Es pertinente crear un sistema de seguimiento y soporte para prevenir evolución desfavorable en pacientes que sufren ECV

  14. Militarism and world health.

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    Kiefer, C W

    1992-04-01

    Militarism is a rapidly growing factor in that complex network of social, political and economic causes of ill health among the world's poor. This complex of causes is driving a spiral of class inequality, political instability, and military repression in many less developed nations. These nations share a uniform security doctrine, which has major health impacts. Here five impacts are noted: diversion of resources, suppression of dissent, military classism, environment damage, and crime and terrorism. The demand stimulated by the recent Persian Gulf War for expensive, high-technology weapons may deepen Third World debt and fuel the cycle of poverty, ill health, social unrest, and military oppression. International health workers need to take account of the causes and effects of militarism in their studies of health problems. Their work could be aided by organizations that promote disarmament and environment preservation.

  15. The End of Militarism

    DEFF Research Database (Denmark)

    Afsah, Ebrahim

    2008-01-01

    This study examines how the structurally imposed need for rearmament has set in motion a continuous internal engagement with the origins of militarism, leading to deep ideational and institutional changes aimed at overcoming the historical legacy and adapting the military to the new domestic and ......, this study cautions against over-ambitious predictive claims and the ability to impose social and institutional engineering in a post-conflict setting....

  16. 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

  17. 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%

  18. 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.

  19. Militares, prensa y credibilidad

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    César Mauricio Velásquez

    2003-01-01

    Full Text Available Para comprender la dimensión de las relaciones entre los organismos de seguridad del Estado, las Fuerzas Militares –FFMM- y la prensa, es necesario conocer la naturaleza y misión de cada uno dentro de un régimen democrático. En el caso colombiano la experiencia diaria demuestra que hay oportunidades en las que se viven situaciones de tensión al interior de las instituciones por mantener a los reporteros alejados, por lo menos temporalmente, de diferentes tipos de información. Igualmente, se les presiona para que difundan alguna noticia que no admite comprobación o que es de poca importancia. Para el mantenimiento de una buena relación es tan negativo cerrar las puertas de los diferentes organismos de seguridad y las FFMM a los requerimientos de los medios de comunicación, como informar de manera incompleta o equivocada. Así, por ningún motivo, la función informativa de los medios puede ser suplantada por el gobierno. La prensa debe tener acceso oportuno y justo a las noticias, porque la búsqueda y difusión de la verdad son precisamente la razón de ser de esta profesión.

  20. Polyclonal light chains in cerebrovascular disease

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    Patrizia Fiori

    2010-08-01

    Full Text Available Patrizia Fiori1, Maria Giannetti Luigi2, Linda Iurato1, Carminantonio Tammaro3, Gigliola Esposito3, Antonio Monaco11Central Operative Unit of Neurology (Dir. A Monaco, 2Infantile Neuropsychiatry and Social Service (Dir. LM Giannetti, 3Laboratory (Dir. CA Tammaro, ASL AV, Civil Hospital of Ariano Irpino, University of Naples, ItalyAbstract: Altered membrane permeability is a hallmark of inflammation and ischemia with systemic spreading. Renal dysfunction is a risk factor for cardiovascular, cerebrovascular, and metabolic diseases. The aim of the present study was to assess proteinuria and urinary polyclonal light chains in acute stroke and chronic cerebrovascular disease compared with other neurologic diseases. Our results showed significantly increased levels of urinary polyclonal light chains in cerebrovascular disease compared with other neurologic diseases. The highest values of urinary polyclonal κ chains were found in acute stroke compared with chronic cerebrovascular disease and other neurologic diseases, while the level of λ chains was mainly increased in chronic cerebrovascular diseases. The shift to chronic renal failure seems to be signaled by a decreased polyclonal light chain/creatinemia ratio. The absence of a significant correlation with blood pressure and other seric parameters suggests that polyclonal light chains are an early marker of reversible vascular impairment with renal dysfunction before progression to irreversible renal failure and need for dialysis and/or intensive care.Keywords: polyclonal light chains, cerebrovascular disease, renal failure

  1. Depression in cerebrovascular diseases

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    Voskresenskaya, Tatyana

    2009-01-01

    The paper discusses the topical problem of depression in cerebrovascular diseases. It shows its possible causes, mechanisms of occurrence, clinical picture and negative impact on the course of cerebrovascular disease and recovery of neurological functions. There is a bilateral association between stroke and depression: on the one hand, stroke is a risk factor for the development of depression and, on the other, depression is a both direct and indirect risk factor for the development of stroke...

  2. Estudio sobre la habilidad del cuidado de los cuidadores primarios de personas adultas discapacitadas por enfermedad cerebrovascular, asistentes al servicio de consulta externa del hospital universitario erasmo meoz y centro de rehabilitación del norte de santander

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    Olga Marina Vega-Angarita

    2006-01-01

    Full Text Available This study must like intention it describes the abilities of well-taken care of the primary caretakers of people in situation of chronic disease with secondary discapacidad to disease to cerebrovascular of the North of Santander, by means of the application of instrument CAI (Caring Hability Inventory, Proposed by doctor Ngozi Or Nkongho with the intention of quantifying the degree of ability of taken care of a person to take care of to another one. The design applied in the study was cross-sectional descriptive type with quantitative boarding in 70 participant primary caretakers in the external advisory service of the University Hospital Erasmo Meoz and Center de Rehabilitación. The found results make evident that on the ability of single total care a 30% count on the ability required for the care delivery, remaining percentage 70% present/display deficiencies in the roll.

  3. Lope y la Arenga militar

    OpenAIRE

    Iglesias-Zoido, Juan Carlos

    2012-01-01

    El presente artículo analiza el modo en el que Lope de Vega concibe en su teatro la expresión formal del tipo de discurso más característico de la historiografía antigua y renacentista: la arenga militar. Con este objetivo, he analizado el papel que desempeña este tipo de discurso en un conjunto de obras dramáticas de tema histórico-militar elaboradas en un período en el que fue decisiva la presencia de la historia en el teatro de Lope: La Santa Liga (1598-1603), Arauco domado (1599), El asal...

  4. Eagle syndrome revisited: cerebrovascular complications.

    Science.gov (United States)

    Todo, Tsuyoshi; Alexander, Michael; Stokol, Colin; Lyden, Patrick; Braunstein, Glenn; Gewertz, Bruce

    2012-07-01

    Cervical pain caused by the elongation of the styloid process (Eagle syndrome) is well known to otolaryngologists but is rarely considered by vascular surgeons. We report two patients with cerebrovascular symptoms of Eagle syndrome treated in our medical center in the past year. Case 1: an 80-year-old man with acromegaly presented with dizziness and syncope with neck rotation. The patient was noted to have bilateral elongated styloid processes impinging on the internal carotid arteries. After staged resections of the styloid processes through cervical approaches, the symptoms resolved completely. Case 2: a 57-year-old man presented with acute-onset left-sided neck pain radiating to his head immediately after a vigorous neck massage. Hospital course was complicated by a 15-minute transient ischemic attack resulting in aphasia. Angiography revealed bilateral dissections of his internal carotid arteries, with a dissecting aneurysm on the right. Both injuries were immediately adjacent to the bilateral elongated styloid processes. Despite immediate anticoagulation therapy, he experienced aphasia and right hemiparesis associated with an occlusion of his left carotid artery. He underwent emergent catheter thrombectomy and carotid stent placement, with near-complete resolution of his symptoms. Elongated styloid processes characteristic of Eagle syndrome can result in both temporary impingement and permanent injury to the extracranial carotid arteries. Although rare, Eagle syndrome should be considered in the differential diagnosis in patients with cerebrovascular symptoms, especially those induced by positional change.

  5. Peculiaridades do trabalho policial militar

    Directory of Open Access Journals (Sweden)

    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

  6. Endocannabinoids in cerebrovascular regulation.

    Science.gov (United States)

    Benyó, Zoltán; Ruisanchez, Éva; Leszl-Ishiguro, Miriam; Sándor, Péter; Pacher, Pál

    2016-04-01

    The cerebral blood flow is tightly regulated by myogenic, endothelial, metabolic, and neural mechanisms under physiological conditions, and a large body of recent evidence indicates that inflammatory pathways have a major influence on the cerebral blood perfusion in certain central nervous system disorders, like hemorrhagic and ischemic stroke, traumatic brain injury, and vascular dementia. All major cell types involved in cerebrovascular control pathways (i.e., smooth muscle, endothelium, neurons, astrocytes, pericytes, microglia, and leukocytes) are capable of synthesizing endocannabinoids and/or express some or several of their target proteins [i.e., the cannabinoid 1 and 2 (CB1 and CB2) receptors and the transient receptor potential vanilloid type 1 ion channel]. Therefore, the endocannabinoid system may importantly modulate the regulation of cerebral circulation under physiological and pathophysiological conditions in a very complex manner. Experimental data accumulated since the late 1990s indicate that the direct effect of cannabinoids on cerebral vessels is vasodilation mediated, at least in part, by CB1 receptors. Cannabinoid-induced cerebrovascular relaxation involves both a direct inhibition of smooth muscle contractility and a release of vasodilator mediator(s) from the endothelium. However, under stress conditions (e.g., in conscious restrained animals or during hypoxia and hypercapnia), cannabinoid receptor activation was shown to induce a reduction of the cerebral blood flow, probably via inhibition of the electrical and/or metabolic activity of neurons. Finally, in certain cerebrovascular pathologies (e.g., subarachnoid hemorrhage, as well as traumatic and ischemic brain injury), activation of CB2 (and probably yet unidentified non-CB1/non-CB2) receptors appear to improve the blood perfusion of the brain via attenuating vascular inflammation.

  7. War, Militarism and the Soviet State.

    Science.gov (United States)

    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…

  8. 某三甲医院脑血管病学科“十一五”期间美国科学引文索引收录文献情况统计与分析%Statistics and Analysis of Scientific Articles of Cerebrovascular Subject included in SCI from a First Class Hospital during "The 11th Five" Periods

    Institute of Scientific and Technical Information of China (English)

    陈璐; 任佩娟; 王伊龙; 王志江

    2011-01-01

    目的 从文献计量学角度评估某三甲医院脑血管病学科的现状,以期为该院科研管理和重点学科建设提供参考依据和信息。方法 对2006~201 0年某三甲医院脑血管病学科美国科学引文索引(science citation index,SCI)收录文献进行数量、质量及其影响因素进行统计分析。结果 该院脑血管病学科在“十一五”期间SCI收录文献共计125篇,总影响因子(impact factor,IF)223.91 3分,文献分别发表于42种期刊,分布在4个专业。结论 某三甲医院脑血管病学科在“十一五”期间SCI收录文献总体质量较高,反映出良好的学科发展势态。%Objective To provide reference and information for scientific management and key subject construction using bibliometrics to evaluate the current situation of cerebrovascular subject in a first class hospital.Methods To analyze the quantity, quality and influencing factors of the articles of cerebrovascular subject included in science citation index (SCI) from this first class hospital from 2006 to 2010.Results There are 125 scientific articles of cerebrovascular subject included in SCI from the first class hospital during "The 1 lth Five" periods. The total impact factor (IF) is 223.913. These articles had been published in 42 periodicals, and distributed in 4 subjects.Conclusion The scientific articles of cerebrovascular subject included in SCI from the first class hospital during "The 1 lth Five" periods have a higher quality, and show a good development trend of the subject.

  9. Dysphagia in patients with cerebrovascular disease. Update.

    Directory of Open Access Journals (Sweden)

    Amarilis Barbié Rubiera

    2009-03-01

    Full Text Available An important number of patients with cerebrovascular disease also present dysphagia as a result of damage in cerebral hemispheres or brainstem, which contributes to negative morbility and functional rehabilitation prognosis due to the complications liked with this condition. It is a significant cause of nutritional dysfunctions, including increased in-hospital undernourishment, increased per patient expenditure and longer in-hospital stay. One of the objectives of the Nutritional Support Team of the Neuroscience and Neurology Institute is to reduce undernourishment causes in patients with neurological diseases. A wide review of the subject was performed including experts´ opinions, from the above mentioned institutions, in order to gather an updated report related with the significance of early diagnosis of dysphagia in patients with ictus and the opportune and correct use of therapeutic measures to reduce complication risk.

  10. 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

  11. 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。

  12. The influencing factors of falls efficacy among hospitalized older patients with cerebrovascular disease%住院脑血管病老年患者跌倒效能影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    郭红; 李红云; 杨雅威; 金烨; 徐冬梅; 彭海静; 张贺

    2013-01-01

    目的 调查住院脑血管病老年患者的跌倒效能及其影响因素.方法 采用修订版跌倒效能量表(MFES)、Morse跌倒危险评估量表(MFS)、Berg平衡功能量表(BBS)及步态评估量表(TGA)等,利用调查问卷与观察测评相结合的方式,对113例住院脑血管病老年患者进行调查.结果 脑血管病老年患者跌倒效能为(7.85±2.57)分.得分最低的项目为“上下楼梯”和“乘坐公共交通工具”;得分最高的项目为“伸手到箱子或抽屉里拿东西”和“从椅子上起落”.3个因素对跌倒效能有显著影响:右上肢肌力、Berg平衡功能、步态等.结论 为了帮助脑血管病老年患者树立预防跌倒的自信能力,医护人员需要在改善患者平衡能力和步态的基础上,进一步对患者进行心理疏导,适宜地、有针对性地提高患者的跌倒效能,从而有效地预防跌倒的发生.%Objective To investigate the level and influencing factors of falls efficacy among older hospitalized patients with cerebrovascular disease (CVD). Methods Totally 113 hospitalized older patients with CVD were investigated using the Modified Falls Efficacy Scale (MFES),Morse Fall Scale(MFS),Berg Balance Scale (BBS)and Tinetti Gait Analysis(TGA). Results The average score of falls efficacy was 7.85+2.57. The scores were lowest in the items of walking up and down stairs and taking bus,and highest in the items of taking something from a box or a drawer and sitting down and standing up from a chair. The patients' muscle strengthen of right upper limb,Berg balance score and gait score were factors influencing their falls efficacy. Conclusion In order to help the older patients with CVD build self-confidence on preventing accidental falls,nurses and physicians should take measures to improve the patients' balance and gait,and provide psychological counseling for them.

  13. 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.

  14. 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.

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

    Directory of Open Access Journals (Sweden)

    Mayelin Blanco Suárez

    2007-05-01

    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.

  16. Movement disorders in cerebrovascular disease.

    Science.gov (United States)

    Mehanna, Raja; Jankovic, Joseph

    2013-06-01

    Movement disorders can occur as primary (idiopathic) or genetic disease, as a manifestation of an underlying neurodegenerative disorder, or secondary to a wide range of neurological or systemic diseases. Cerebrovascular diseases represent up to 22% of secondary movement disorders, and involuntary movements develop after 1-4% of strokes. Post-stroke movement disorders can manifest in parkinsonism or a wide range of hyperkinetic movement disorders including chorea, ballism, athetosis, dystonia, tremor, myoclonus, stereotypies, and akathisia. Some of these disorders occur immediately after acute stroke, whereas others can develop later, and yet others represent delayed-onset progressive movement disorders. These movement disorders have been encountered in patients with ischaemic and haemorrhagic strokes, subarachnoid haemorrhage, cerebrovascular malformations, and dural arteriovenous fistula affecting the basal ganglia, their connections, or both.

  17. Articulação com o ensino militar conjunto

    OpenAIRE

    2010-01-01

    Este trabalho tem por objectivo identificar contributos para o sistema de desenvol-vimento de Doutrina Militar Conjunta em Portugal, designadamente para os seus processos de concepção, ratificação, aprovação, difusão e implementação. Adicionalmente pretende-se identificar a articulação deste sistema com o ensino militar conjunto. É determinada a necessidade de Doutrina Militar Conjunta, para aplicação em operações conjuntas e combi-nadas, fundamental para o desenvolvimento de capacidades e ob...

  18. 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...

  19. 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

  20. Estados Unidos: do duplo insucesso militar ao terceiro?

    Directory of Open Access Journals (Sweden)

    Virgílio Caixeta Arraes

    2010-10-01

    Full Text Available O presente artigo busca analisar criticamente as pouco promissoras campanhas militares norte-americanas sob o Iraque e o Afeganistão, as dificuldades que elas apresentam para o governo Bush.

  1. El trabajo penitenciario militar español

    OpenAIRE

    Serrano Patiño, Juan Victorio

    2015-01-01

    En el sistema penitenciario militar, el trabajo penitenciario presenta unas características distintas del sistema penitenciario ordinario, dada la especialidad castrense. En este artículo se analizará todo esto.

  2. 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.

  3. The (de)Militarization of Humanitarian Aid: A Historical Perspective

    OpenAIRE

    2014-01-01

    Humanitarian workers often complain that international aid to victims of armed conflicts is more and more militarized because relief organizations are embedded into peacekeeping operations, used as a "force multiplier", or manipulated as an instrument of diplomacy by proxy. Historically, however, charity has always been a military issue in times of war. We can distinguish four types of militarization of relief organizations in this regard. First is the use of charities to make "war by proxy",...

  4. 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

  5. Identidade de gênero masculina em civis e militares

    Directory of Open Access Journals (Sweden)

    Souza Marcos Aguiar de

    1997-01-01

    Full Text Available O presente estudo teve como objetivo verificar se haveriam diferenças significativas entre o número de sujeitos masculinos e o número de sujeitos femininos, andróginos e indiferenciados, dentro de um grupo de homens militares e de um grupo de homens civis. Além disso, procurou-se investigar se o número de militares masculinos seria significativamente maior que o número de civis masculinos. A amostra compôs-se de 83 militares e 82 civis, que responderam ao Questionário de Atributos Pessoais. Entre os militares, a proporção de sujeitos masculinos não diferiu significativamente da proporção de sujeitos andróginos e indiferenciados, porém, na amostra de civis, a proporção de sujeitos andróginos e indiferenciados foi significativamente maior que a de sujeitos masculinos. Concluiu-se que os homens civis estão redefinindo seus valores, crenças e expectativas relacionadas à masculinidade (O?Neil, 1992. Entretanto, os homens militares parecem estar vivenciando conflitos, decorrentes do confronto entre os valores masculinos que caracterizam a doutrina militar e o processo de liberação masculina.

  6. 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

  7. ¿Revolución militar o devolución militar? Cambio y continuidad en la Edad Moderna militar

    Directory of Open Access Journals (Sweden)

    David PARROT

    2014-02-01

    Full Text Available Este artículo pretender revisar el paradigma histórico del desarrollo militar durante la Edad Moderna como un proceso dirigido por el Estado, relacionado con los conceptos de centralización y control burocrático. Aunque los historiadores han abordado la intensa utilización de mercenarios y apoyo y abastecimiento de ejércitos y armadas por contratistas privados, no ha sido considerado convenientemente el posible significado de que, en realidad, fue un mecanismo viable y predominante en el despliegue de las fuerzas armadas del Estado. Mediante el análisis del desarrollo de todas las circunstancias que surgen a raíz de la práctica de hacer la guerra a través de contratistas privados a partir del siglo XvI en adelante, se concluye que esta forma de guerra no fue una anomalía, a la que recurrieron unos gobernantes débiles o irresponsables, sino un medio lógico para movilizar recursos dentro del contexto de las limitaciones de los gobiernos de la Edad Moderna y de su dependencia de los recursos y cooperación de la elite.

  8. Preserved metabolic coupling and cerebrovascular reactivity during mild hypothermia after cardiac arrest.

    NARCIS (Netherlands)

    Bisschops, L.L.A.; Hoedemaekers, C.W.E.; Simons, K.S.; Hoeven, J.G. van der

    2010-01-01

    OBJECTIVE: Although mild hypothermia improves outcome in patients after out-of-hospital cardiac arrest, the cardiodepressive effects of hypothermia may lead to secondary brain damage. This study was performed to assess the cerebral blood flow, cerebral oxygen extraction, and cerebrovascular reactivi

  9. 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: 6.5 million Percent of adults who ever ...

  10. 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.

  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. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users...

  13. Octavio Ianni, ditadura militar e a Amazônia

    OpenAIRE

    Chagas, Rodrigo P.; Universidade Federal de Roraima. Curso de Ciências Sociais

    2015-01-01

    Neste artigo visamos apresentar algumas categorias fundamentais para compreendermos as análises do sociólogo Octávio Ianni sobre a Ditadura Militar e o processo de “desenvolvimento capitalista” na região amazônica. Tal esforço se realiza por meio de uma revisão bibliográfica que explicite as problemáticas centrais que o autor estabelece para deflagrar as articulações históricas entre o projeto de Brasil da Ditadura Militar e a região amazônica.

  14. 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.

  15. Evaluation of computer tomography in cerebro-vascular disease (Strokes)

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Sik; Baek, Seung Yon; Rhee, Chung Sik; Kim, Hee Seup [Ewha Womans University College of Medicine, Seoul (Korea, Republic of)

    1984-06-15

    Most of cerebrovascular disease are composed of vascular occulusive changes and hemorrhage. Now a day, the computed tomography is the best way for evaluation of cerebrovascular disease including detection of nature, location, and associated changes. This study includes evaluation of computed tomography of 70 patients with cerebrovascular disease during the period of 10 months from April. 1983 to Feb. 1984 in Department of Radiology, Ewha Womans University Hospital. The results were as follows: 1. Age distribution of the total 70 patients was broad ranging from 25 years to 79 years. 78.6% of patients were over the age of 50. The male and female sex ratio was 1.4:1. 2. 4 out of 70 patients were normal and 66 patients revealed abnormal on C.T. findings; those were intracranial hemorrhage (28 patients), cerebral infarction (34 patients) and brain atrophy (4 patients). 3. In cases of cerebral infarction, the cerebral hemisphere was most common site of lesion (28 cases), and next was basal ganglia (2 cases). Most of the infarcts in cerebral hemisphere were located in the parietal and temporal lobes. 4. In cases of intracranial hemorrhage, the basal ganglia was most common site of lesion (15 cases). The next common site was cerebral hemisphere (9 cases). 6 patients of all intracranial hemorrhage were combined with intraventricular hemorrhage. Ratio of right and left was 2:3. 5. In patients with motor weakness or hemiparesis, more common findings on CT scan were cerebral infarction. In case with hemiplegia, more common CT findings were intracerebral hemorrhage. 6. Of the 40 cases thought to be cerebral infarction initially by clinical findings and spinal tap. 8 cases (20.0%) were proved to be cerebral hemorrhage by the CT scan. However, of the 22 cases thought to be cerebral hemorrhage, initially, only two cases (9.0%) were cerebral infarction.

  16. 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.

  17. Lesões musculoesqueléticas em policiais militares

    Directory of Open Access Journals (Sweden)

    Diego Apolinário Calasans

    2013-12-01

    Full Text Available INTRODUÇÃO: As qualidades físicas precisam ser analisadas e estão associadas como fatores de risco a desenvolver lesões musculoesqueléticas durante o treinamento esportivo militar. OBJETIVO: Levantar a epidemiologia das lesões musculoesqueléticas ocorridas em tornozelo e pé de policiais militares. MATERIAIS E MÉTODOS: Foram coletados todos os prontuários de policiais militares que sofreram lesões prévias no tornozelo e pé durante o período de setembro de 2005 a agosto de 2011, as informações foram obtidas através da ficha de avaliação fisioterapêutica constatada nos prontuários, posteriormente os dados obtidos foram tabulados e analisados. RESULTADOS: Após a coleta de dados dos prontuários foi observado que houve 29% de lesões ósseas, 32% de ligamentares e 35% de musculares. CONCLUSÃO: A entorse de tornozelo demonstra um risco à saúde pública como descrita pela classificação estatística internacional de doenças e problemas relacionados à saúde, sendo no meio militar também descrita como um risco durante a prática esportiva.

  18. 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.

  19. El golpe de Rojas y el poder de los militares

    Directory of Open Access Journals (Sweden)

    Adolfo Atehortúa Cruz

    2012-03-01

    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 militares.

  20. 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.

  1. Aortoiliac occlusive disease masquerading as cerebrovascular accident

    Directory of Open Access Journals (Sweden)

    Nandeesh B

    2007-01-01

    Full Text Available Acute aortoiliac occlusion is an unusual but potentially catastrophic condition causing acute limb ischemia and associated with early and high rates of mortality and morbidity. It is caused by either embolic occlusion of the infra renal aorta at the bifurcation or beyond or thrombosis of the abdominal aorta and its large terminal branches. Neurological symptoms are rare manifestation of acute aortoiliac occlusion and when neurological symptoms predominate, patients are mistakenly considered to have cerebrovascular event. We present a 60-year-old man with atherosclerotic thrombotic occlusion of the left common iliac artery causing acute painful monoplegia. We mistook the acute monoplegia due to acute limb ischemia for cerebrovascular accident. Pathologic examination revealed a firm thrombus occluding the origin of left common iliac artery and extending along the length of the vessel. Acute aortic iliac occlusion can masquerade as a cerebrovascular stroke and a thorough clinical evaluation and imaging studies allow early diagnosis and instituting life-saving treatment timely.

  2. 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.

  3. [Primary antiphospholipid syndrome and cerebrovascular disturbances].

    Science.gov (United States)

    Kalashnikova, L A

    2005-01-01

    Neurological, including cecbrovascular, disorders frequently emerge in primary antiphospholipid syndrome (PAS). Clinical peculiarities of PAS were studied in 113 patients with cerebrovascular disturbances. Its had mainly ischemic patogenesis. Structure of cerebrovascular disorders was as follows: stroke (33% cases), transient ischemic lesions (10%), its combination (57%), thrombosis of brain venous sinuses (3%), vascular dementia (27%). Besides it were found epileptic seizures, peripheral neuropathy, headache, chorea and some symptoms of myasthenia, parkinsonism, multiple sclerosis and psychotic disorders. In all cases antibodies to phospholipids have been detected. Secondary prophylaxis includes regular use of anticoagulants and small doses of aspiriny.

  4. 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

  5. Cerebrovascular disease in pediatric patients

    Directory of Open Access Journals (Sweden)

    Rotta Newra Tellechea

    2002-01-01

    Full Text Available Although rare in childhood, stroke may have a serious impact when it happens in this stage of life. Also, it may be the first sign of a systemic disease. We report 12 cases of patients with stroke treated in the Neuropediatrics Unit of Hospital de Clínicas de Porto Alegre (HCPA from March 1997 to March 2000. All patients, from term infants to 12-year-old children hospitalized in the Pediatrics Unit of HCPA, had clinical suspicion of stroke, which was later confirmed by radiological studies. Patient follow up ranged from 1 to 6 years (mean = 3.4 years. Presenting symptoms were hemiparesis in 9 patients, seizures in 7, deviation of labial commissure in 3, and loss of consciousness in 1. The increase in the number of cases of childhood stroke identified and later confirmed by noninvasive methods had helped in the determination of different ethiologies of stroke: the most frequent being hematologic, cardiac and genetic diseases. However, our study included 6 newborns with stroke whose ethiology was not identified. Seven children with seizures received phenobarbital. Six term infants had neonatal seizures secondary to stroke and restricted to the first 72 hours of life.

  6. 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

  7. 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.

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

    OpenAIRE

    Simón Pedro Izcara Palacios

    2009-01-01

    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 emi...

  9. 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

  10. The (deMilitarization of Humanitarian Aid: A Historical Perspective

    Directory of Open Access Journals (Sweden)

    Marc-Antoine Pérouse de Montclos

    2014-06-01

    Full Text Available Humanitarian workers often complain that international aid to victims of armed conflicts is more and more militarized because relief organizations are embedded into peacekeeping operations, used as a “force multiplier”, or manipulated as an instrument of diplomacy by proxy. Historically, however, charity has always been a military issue in times of war. We can distinguish four types of militarization of relief organizations in this regard. First is the use of charities to make “war by proxy”, as in Afghanistan or Nicaragua in the 1980s. The second pattern is “embedment”, like the Red Cross during the two world wars. The third is “self-defense”, as with the Order of Saint John of Jerusalem (now Malta in the 12th Century. The fourth, finally, is the model of “International Brigades” alongside the Spanish Republicans in 1936 or various liberation movements in the 1970s. In comparison, humanitarian aid today appears to be much less militarized. However, this perception also depends on the various definitions of the word “humanitarian”.

  11. 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.

  12. 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.

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

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    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.

  14. Role of transcranial Doppler in cerebrovascular disease

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    Amit A Kulkarni

    2016-01-01

    Full Text Available 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.

  15. EMPREGO DE STENTS CEREBRAIS NAS PATOLOGIAS CEREBROVASCULARES

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    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.

  16. Auditory Dysfunction in Patients with Cerebrovascular Disease

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    Sadaharu Tabuchi

    2014-01-01

    Full Text Available Auditory dysfunction is a common clinical symptom that can induce profound effects on the quality of life of those affected. Cerebrovascular disease (CVD is the most prevalent neurological disorder today, but it has generally been considered a rare cause of auditory dysfunction. However, a substantial proportion of patients with stroke might have auditory dysfunction that has been underestimated due to difficulties with evaluation. The present study reviews relationships between auditory dysfunction and types of CVD including cerebral infarction, intracerebral hemorrhage, subarachnoid hemorrhage, cerebrovascular malformation, moyamoya disease, and superficial siderosis. Recent advances in the etiology, anatomy, and strategies to diagnose and treat these conditions are described. The numbers of patients with CVD accompanied by auditory dysfunction will increase as the population ages. Cerebrovascular diseases often include the auditory system, resulting in various types of auditory dysfunctions, such as unilateral or bilateral deafness, cortical deafness, pure word deafness, auditory agnosia, and auditory hallucinations, some of which are subtle and can only be detected by precise psychoacoustic and electrophysiological testing. The contribution of CVD to auditory dysfunction needs to be understood because CVD can be fatal if overlooked.

  17. [Hospitals and surgeons: Madrid 1940].

    Science.gov (United States)

    de Quevedo, Francisco Vázquez

    2007-01-01

    The history of the hospitals and general surgeons that best represent the centres in Madrid are here in reviewed, comprising the period between 1940 and the closure of the Hospital Clinico (1957) as well as the Hospital General (General Hospital) (1967), both in Atocha. Other hospitals which are reviewed and highlighted are: the H. de la Princesa (the Princess Hospital), the H. del Nifio Jesus (Hospital of the Child Jesus), the H. Militar (Military Hospital) and the Cruz Roja (Red Cross). Data is provided on the permanent surgeons in the following centres: H. General: J. Goyanes, J. Die, J. de la Villa, T. Rodriguez, E. Diaz, G. Bueno e H. Huerta; H. Clinico: L. de la Peña, L. Cardenal, L. Olivares, R. Argüelles, J. Estella y M. F. Zumel; H. Militar: M. G. Ulla, M. Bastos, M. G. Durán, J. S. Galindo, y A. G. Durán; Hospital de la Cruz Roja: V. M. Noguera, L. Serrada, F. Luque y L. L. Durán; H. de la Princesa: P. Cifuentes, P. G. Duarte, L. Estella y R. Aiguabella; H. del Niño Jesús: J. Garrido Lestache; H. Clinico, last time, Atocha: F. M. Lagos, R. Vara y A. de la Fuente.

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

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    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.

  19. La eclosión de la historia militar

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    Enrique MARTÍNEZ RUIZ

    2009-12-01

    Full Text Available RESUMEN: La historia militar ha experimentado en los últimos años en España un auge espectacular, pues en unas cuantas décadas ha pasado de ser una disciplina cultivada casi en exclusiva por profesionales de las armas a ser estudiada e investigada con profusión en todas las universidades y centros de investigación españoles, a lo que hay que sumar las aportaciones de colegas de otras nacionalidades. El resultado ha sido una gran variedad de temas y mayor amplitud de enfoques, que han hecho de esta parcela de la Historia una de las que más ha progresado conceptual y metodológicamente. En el presente informe se ofrece un muestrario de temas poco habituales en la historiografía militar, cuya «novedad» es un buen exponente de algunas de las dimensiones en las que actualmente se trabaja dentro de la historia militar.ABSTRACT: Interest in Military History has soared in Spain in recent years. Once a Cinderella subject of interest only to career officers it is now the object of thoroughgoing study and research in nearly all Spanish universities and research departments, without forgetting the contributions made by our fellow colleagues abroad. As a result it now deals with a wealth of subjects from the widest point of view, making it one of the areas of History that has made most progress in both conceptual and methodological terms. This paper offers an overview of some of the more unusual subjects in military history; their very «newness» bears witness to the broadening of horizons in current work on military history.

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

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    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.

  1. Primeiras oficiais enfermeiras da polícia militar do estado do Rio de Janeiro (1994-1995: incorporação do habitus militar

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    Marcleyde Silva de Azevedo Abreu

    2015-12-01

    Full Text Available Resumo Objetivo: Analisar o processo de incorporação do habitus militar pelas oficiais enfermeiras estagiárias, durante o Estágio Probatório de Adaptação de Oficiais, na Escola de Formação de Oficiais da Polícia Militar do Estado do Rio de Janeiro. O recorte temporal abrange o período de 1994 a 1995. Métodos: Trata-se de estudo histórico-social, cujas fontes primárias foram documentos escritos do acervo da Polícia Militar e depoimentos orais, obtidos por meio de entrevistas com dez oficiais enfermeiras pertencentes à primeira turma do Quadro de Oficiais de Saúde. Os dados foram organizados, classificados e analisados em conformidade com o método histórico e o referencial teórico de Pierre Bourdieu. Resultados: As oficiais enfermeiras estagiárias foram submetidas a um processo de incorporação do habitus militar, através do aprendizado de gestos e posturas adequadas à vida militar, articulados a uma rígida disciplina e hierarquia. Conclusão: O aprendizado do habitus militar foi fundamental à nova posição profissional e social.

  2. Enfermedad cerebrovascular: incidencia y tratamiento actual

    OpenAIRE

    Julio César Fernández-Travieso

    2014-01-01

    La enfermedad cerebrovascular o ictus representa la tercera causa de mortalidad de la población adulta y la primera de discapacidad result ante, por lo cual constituye un importante problema de salud a nivel mundial. El tratamiento del ictus en la fase aguda depende, además de la exitosa aplicación de la terapia adecuada, de una cadena de emergencia que permita su diagnóstico y manejo adecuad o y rápido, y aú n cuando se logre la supervivencia, muchos pacientes sobreviven con importantes limi...

  3. Nitric oxide synthase inhibition and cerebrovascular regulation

    DEFF Research Database (Denmark)

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

    1994-01-01

    tone and may play an important role in selected vasodilator responses of the cerebral circulation. Furthermore, evidence has been presented suggesting that NO participates in the mechanisms of cerebral ischemic damage. Despite the widespread attention that NO has captured in recent years and the large......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...

  4. A justiça militar da união e o princípio da eficiência

    OpenAIRE

    Santos, Fábio Tenório dos

    2015-01-01

    À Justiça Militar da União compete julgar os crimes militares em tempo de paz ou em tempo de guerra definidos no Código Penal Militar observando o procedimento previsto no Código de Processo Penal Militar. Ambos integram o Direito Penal Militar e o Direito Processual Militar e são ramos das ciências penais, que se norteiam pelos princípios basilares do direito. Não há previsão no Direito Penal Militar e nem se admitem os denominados tipos abertos e muito menos os tipos penais em branco. A Jus...

  5. Dysphagia in patients with cerebrovascular disease. Update. Disfagia en paciente con enfermedad cerebrovascular. Actualización.

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    Yolanda Aguilera Martínez

    2009-03-01

    Full Text Available An important number of patients with cerebrovascular disease also present dysphagia as a result of damage in cerebral hemispheres or brainstem, which contributes to negative morbility and functional rehabilitation prognosis due to the complications liked with this condition. It is a significant cause of nutritional dysfunctions, including increased in-hospital undernourishment, increased per patient expenditure and longer in-hospital stay. One of the objectives of the Nutritional Support Team of the Neuroscience and Neurology Institute is to reduce undernourishment causes in patients with neurological diseases. A wide review of the subject was performed including experts´ opinions, from the above mentioned institutions, in order to gather an updated report related with the significance of early diagnosis of dysphagia in patients with ictus and the opportune and correct use of therapeutic measures to reduce complication risk.Gran número de pacientes con enfermedad cerebrovascular padecen de disfagia, por lesiones de hemisferios o del tronco cerebral, lo que, además de contribuir a un mal pronóstico en términos de morbilidad y recuperación funcional, por las complicaciones que acarrea, es causa importante de afectación del estado nutricional, con incremento de la desnutrición intrahospitalaria, de la estadía y de los costos por enfermo. Uno de los propósitos del Grupo de Apoyo Nutricional del Instituto de Neurología y Neurocirugía es minimizar las causas de desnutrición en los enfermos con trastornos neurológicos. Se realizó una amplia revisión del tema y se consultaron expertos del país, procedentes de las instituciones mencionadas antes, con el objetivo de conformar un informe actualizado relacionado con la importancia del diagnóstico precoz de la disfagia en el paciente con ictus y la aplicación oportuna y adecuada de medidas terapéuticas que disminuyan el riesgo de complicaciones.

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

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    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.

  7. Characterization and prognosis factors of cerebro-vascular disease in Cienfuegos province.

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    Rubén Bembibre Taboada

    2004-08-01

    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.

  8. Misiones de la Sanidad Militar, Especialidad fundamental odontología: propuesta de empleo

    OpenAIRE

    R. Mombiedro Sandoval

    2013-01-01

    En base a las necesidades operativas, se pretende hacer una revisión de las misiones de la odontología militar. Desde el punto de vista militar, la salud oral tiene unas consideraciones y unas repercusiones que le son propias. La odontología como parte integrante de la Sanidad Militar tiene como misiones conservar, recuperar, y seleccionar dentro del campo de su especialidad fundamental. Las funciones que desarrolla son: jurídico/pericial, preventiva, asistencial, formativa/docente y de inves...

  9. 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.

  10. Marketing institucional: fortalecimento da marca Polícia Militar

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    José Ronaldo Andrade

    2016-01-01

    Full Text Available Este artigo visa ressaltar a importância do fortalecimento da marca da Polícia Militar do Estado de São Paulo, que influência nas atividades operacionais e imagem da instituição, uma vez que compromete a reputação e sensação de segurança da população e que devido a sua importância precisa ser constantemente aprimorado. A finalidade da presente pesquisa é analisar a viabilidade de implantação de uma Gestão de Fortalecimento da Marca da PMESP, baseado na implantação de um sistema integrado de marketing, educação e treinamento do policial militar, com o objetivo de colocar essa gestão dentro dos padrões de excelência preconizados pela gestão contemporânea. Os métodos empregados baseiam-se em pesquisa bibliográfica, com fundamentos conceituais, legais e pesquisa de campo, realizada por meio de pesquisa qualitativa, questões direcionadas ao Centro de Comunicação Social em virtude de possuir parte das informações desejadas e facilidade de acesso a outros órgãos da Corporação, com o objetivo de se verificar se há algum trabalho de educação e treinamento na área de marketing relacionado à marca, recursos financeiros suficientes e se é utilizado um sistema integrado de marketing. O resultado da pesquisa aponta para a necessidade de se adotar um modelo de gestão da marca que privilegie a participação de todos, desde a alta gerência até o soldado recém-ingressado para atingir metas em direção à proteção da marca da polícia. Ao final, conclui-se que a proposta apresenta-se como um instrumento capaz de fortalecer a marca da Instituição e provocar uma mudança de atitude nos policiais militares, contribuindo para o legado institucional.

  11. 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.

  12. 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.

  13. SYSTOLIC HYPERTENSION. IMPACT ON CEREBROVASCULAR DISEASE

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    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.

  14. CULTURA ORGANIZACIONAL EM INSTITUIÇÕES MILITARES DE ENSINO

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    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.

  15. Influence of remote ischemic preconditioning on cerebral oxygen metabolism and cerebral blood flow indexes of patients with ischemic cerebrovascular disease

    Institute of Scientific and Technical Information of China (English)

    Hui Lu; Ning-Ning Cui; Bin-Cheng Wang

    2016-01-01

    Objective:To study the influence of remote ischemic preconditioning on cerebral oxygen metabolism and cerebral blood flow indexes of patients with ischemic cerebrovascular disease. Methods:A total of 58 patients with ischemic cerebrovascular disease in our hospital from April 2015 to January 2016 were selected as the study object, and 58 patients were randomly divided into two groups, 29 patients in control group were treated with routine treatment, 29 patients in observation group were treated with remote ischemic preconditioning on the basic treatment of control group, then the cerebral oxygen metabolism and cerebral blood flow indexes of two groups before the treatment and at first, third and sixth month after the treatment were respectively detected and compared.Results:The cerebral oxygen metabolism and cerebral blood flow indexes of two groups before the treatment all showed no significant differences (allP>0.05), while the cerebral oxygen metabolism and cerebral blood flow indexes of observation group at first, third and sixth month after the treatment were all significantly better than those before the treatment, and the results were all significantly better than those of control group at the same time too (allP>0.05).Conclusions: The influence of remote ischemic preconditioning on cerebral oxygen metabolism and cerebral blood flow indexes of patients with ischemic cerebrovascular disease are better, and its application value for the patients with ischemic cerebrovascular disease is higher.

  16. Militarism in Mexico: civil-military relations in a transforming society

    OpenAIRE

    Cole, Jeffrey S.

    1997-01-01

    Approved for public release; distribution is unlimited. Mexican society is becoming militarized due to the increased use of the Mexican military in domestic affairs. This militarization is the result of three factors: the internal focus of the military, the drug war, and corruption. The internal focus of the Mexican military is based on doctrine. Mexico's drug war began in 1986 when U.S. President Reagan convinced their government that the trafficking of drugs constituted a National securi...

  17. Protagonistas destacados en la historia de la Sanidad Militar española: Fernando Weyler y Laviña

    Directory of Open Access Journals (Sweden)

    A. Belaústegui Fernández

    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

  18. Avoidable 30-Day Readmissions Among Patients With Stroke and Other Cerebrovascular Disease

    Science.gov (United States)

    Nahab, Fadi; Takesaka, Jennifer; Mailyan, Eugene; Judd, Lilith; Culler, Steven; Webb, Adam; Frankel, Michael; Choi, Dennis; Helmers, Sandra

    2012-01-01

    Background: There are limited data on factors associated with 30-day readmissions and the frequency of avoidable readmissions among patients with stroke and other cerebrovascular disease. Methods: University HealthSystem Consortium (UHC) database records were used to identify patients discharged with a diagnosis of stroke or other cerebrovascular disease at a university hospital from January 1, 2007 to December 31, 2009 and readmitted within 30 days to the index hospital. Logistic regression models were used to identify patient and clinical characteristics associated with 30-day readmission. Two neurologists performed chart reviews on readmissions to identify avoidable cases. Results: Of 2706 patients discharged during the study period, 174 patients had 178 readmissions (6.4%) within 30 days. The only factor associated with 30-day readmission was the index length of stay >10 days (vs <5 days; odds ratio [OR] 2.3, 95% CI [1.4, 3.7]). Of 174 patients readmitted within 30 days (median time to readmission 10 days), 92 (53%) were considered avoidable readmissions including 38 (41%) readmitted for elective procedures within 30 days of discharge, 27 (29%) readmitted after inadequate outpatient care coordination, 15 (16%) readmitted after incomplete initial evaluations, 8 (9%) readmitted due to delayed palliative care consultation, and 4 (4%) readmitted after being discharged with inadequate discharge instructions. Only 5% of the readmitted patients had outpatient follow-up recommended within 1 week. Conclusions: More than half of the 30-day readmissions were considered avoidable. Coordinated timing of elective procedures and earlier outpatient follow-up may prevent the majority of avoidable readmissions among patients with stroke and other cerebrovascular disease. PMID:23983857

  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. 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....

  1. 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....

  2. 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...

  3. 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.

  4. Current therapy for chronic cerebrovascular attack

    Directory of Open Access Journals (Sweden)

    A. A. Shmonin

    2015-01-01

    Full Text Available Chronic cerebrovascular attack (CCVA is a brain lesion caused by vascular factors. CCVA appears as cognitive impairments (CIs, affective (emotional disorders and focal syndromes. Treatment for CCVA requires a comprehensive approach. Effective combination therapy for CCVA involves secondary prevention of stroke and CIs; treatment of CIs; treatment of depression and other affective disorders; and neuroprotective therapy. Basic therapy for CCVA includes modification of risk factors, antihypertensive, hypolipidemic, and antithrombotic therapies. Central acetylcholinesterase inhibitors (galantamine, rivastigmine, donepezil and a reversible NMDA receptor blocker (memantine are symptomatically used at a stage of vascular and mixed dementia. There are no unique guidelines for the therapy of mild and moderate vascular nondementia-related CIs. Drug use, based on the neurochemical mechanisms underlying the development of vascular CIs, is substantiated. When choosing psychotropic agents, it is necessary to take into account the causes and clinical manifestations of neuromediator deficiency. Antidepressants are used as essential drugs. Neuroleptics and tranquilizers are additionally administered in complex-pattern syndromes, such as depression with marked anxiety. Prescription of neuroprotectors may be effective in treating both stroke and CCVA. These medicaments are most effective when a damaging factor acts, i.e. neuroprotectors should be given in a risk situation and to reduce damage. Citicoline is one of the most test drugs in a group of neuroprotectors. 

  5. Audiological profile in cases with cerebrovascular accidents

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    Matlapudi Venkata Subbarao

    2015-01-01

    Full Text Available Background: Over the past decades there has been increase demand of audiological complaints coinciding with neurological impairments due to cerebrovascular accidents (CVAs. Most of the cases represent inconsistent responses to acoustic stimuli or total lack of response to sound, documented as auditory agnosia. Aim: The present investigation aims at understanding of potential anatomical co-relates to the involvement of the cortical structure and the processing of auditory stimuli. Materials and Methods: A case series with convenient sampling method included eight cases (six male and two female with age range 45-55 years with CVA, were taken for this study. Of them two cases were found with lesion in right middle cerebral artery, four cases with left middle cerebral artery and two cases with left posterior cerebral artery lesion confirmed from magnetic resonance imaging scan. Audiological test battery including otoscopy, tuning fork test, pure tone audiometry, speech audiometry, immittance audiometry, dichotic-diotic listening test, auditory brainstem responses, otoacoustic emissions and gap detection tests were carried out including routine ENT evaluation. Results and Conclusion: Result suggests; there is a significant difference in hearing threshold and speech perception in all the eight subjects. The findings and compromised vascular anatomy in all these cases were discussed in this article.

  6. HIGH SENSITIVE C-REACTIVE PROTEIN IN CEREBROVASCULAR ISCHEMIA

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    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.

  7. Cerebrovascular illness in the province of Cienfuegos. Tendency lines. A six years study Enfermedades cerebrovasculares en la provincia de Cienfuegos. Líneas de tendencia. Estudio de seis años

    Directory of Open Access Journals (Sweden)

    Juan E. Domínguez Suárez

    2006-10-01

    Full Text Available Background: The cerebrovascular diseases constitute the third cause of death and first of handicap in Cuba. They are inside the tasks prioritized by the World Health Organization and they receive special interest in Cienfuegos province, that is one of the populations of more longevity of the country and shows high rates of mortality. Objective: To define the tendency lines, according to the type of cerebrovascular diseases in Cienfuegos province, over the last six years. Methods: There was realized a retrospective, and descriptive study, of a series of cases. The mortality was analyzed for the different types of cerebrovascular diseases. The data were obtained, of the monthly and annual reports of the Commission of cerebrovascular diseases. Results: A half rate of morbidity of 108, 89, was verified by 100 000 habitants; the mortality due to infarct and subarachnoid hemorrhages diminishes. It was not the same in presence of intracerebral hemorrhage, in which was observed an increment. Increased the number of alive patients after the discharge from the hospital, which due to infarct and other cerebrovascular diseases, were handicapped and for their condition generated a load to the society. Conclusions: The intracerebral hemorrhage constitutes the main problem for the mortality and the infarct for the morbidity.

    Fundamento: Las enfermedades cerebrovasculares constituyen la tercera causa de muerte y primera de discapacidad en Cuba. Se encuentran dentro de las tareas priorizadas por la Organización Mundial de la Salud y reciben especial interés en la provincia de Cienfuegos, por encontrarse en ella una de las poblaciones más longevas del país y mostrar tasas elevadas de mortalidad. Objetivo: Definir las líneas de tendencia según el tipo de enfermedades cerebrovasculares en la provincia de Cienfuegos

  8. When is collaboration not collaboration? When it's militarized.

    Science.gov (United States)

    Lane, Karen

    2012-03-01

    In adopting the medical lobby's preferred definition of collaboration where midwives are legally compelled to seek endorsement for their care plan from an obstetrician, Determination 2010 connotes a form of militarized collaboration and thus negates all that genuine collaboration stands for--equality, mutual trust and reciprocal respect. Using Critical Discourse Analysis, the first half of this paper analyses the submissions from medical, midwifery and consumer peak organisations to the Maternity Services Review and Senate reviews held between 2008 and 2010 showing that Determination 2010 privileges the medical lobby worldview in adopting a vertical definition of collaboration. The second half of the paper responds to the principal assumption of Determination 2010--that midwives do not voluntarily collaborate. It argues by reference to a qualitative inquiry conducted into select caseload maternity units in South Australia, Victoria and New South Wales during 2009-2010 that this presupposition is erroneous. The evidence shows that genuine collaboration is possible without legislative force but it requires a coalition of the willing among senior midwives and obstetricians to institute regular interdisciplinary meetings and clinical reviews and to model respectful behaviour to new entrants.

  9. Los Derechos Humanos y desaparecidos en dictaduras militares

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    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.

  10. Los Escopeteros Voluntarios de Andalucía: fuero militar y jurisdicción militar en conflicto

    Directory of Open Access Journals (Sweden)

    Enrique MARTÍNEZ RUIZ

    2009-12-01

    Full Text Available RESUMEN: El siglo XVIII —de tan buena «imagen» historiográfica— es de hecho el periodo de la historia de España en que se crean más cuerpos y fuerzas de seguridad, reconocimiento tácito por parte de los gobernantes de los altos niveles de conflictividad soterrada. Estos cuerpos son mayoritariamente de índole militar, lo que origina con frecuencia confusiones y demandas de aclaraciones sobre su verdadera naturaleza y la jurisdicción a la que pertenecen. En teoría, los de naturaleza militar estaban regidos por las Ordenanzas Generales del Ejército, pero en la práctica esta condición no siempre fue reconocida por las autoridades civiles ni afectaba a todos sus miembros por igual, generando conflictos jurisdiccionales que exigieron una larga tramitación. En las páginas que siguen vamos a tratar uno de los más complejos de estos conflictos, relativo a los Escopeteros Voluntarios de Andalucía.ABSTRACT: The eighteenth century —which generally enjoys such a good historical «image» — is in fact the period in which most security forces and corps were created in the history of Spain, tacit recognition that the rulers were trying to hold down the lid on a troublesome level of underlying strife. These corps were mainly military in kind, and this factor was a frequent source of confusion, leading to calls for clarification about their true nature and the jurisdiction they came under, whether civil o military. In theory, those of a military nature were ruled by the General Ordinances of the Army but in practise this condition was not always recognised by the civil authorities nor considered to apply to all their members. This gave rise to long-winded and cumbersome jurisdictional conflicts. We are going to deal in the following pages with one of the most complex examples of such conflicts that has come to light, concerning the corps called the «Escopeteros Voluntarios de Andalucía».

  11. 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...

  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. 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…

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

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    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.

  15. 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

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

    NARCIS (Netherlands)

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

    2016-01-01

    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

  17. A meta-analysis of cerebrovascular disease and hyperhomocysteinaemia

    DEFF Research Database (Denmark)

    Nielsen, G M; Tvedegaard, K C; Andersen, Niels Trolle;

    2000-01-01

    Hyperhomocysteinaemia has been identified as a risk factor for stroke and cerebrovascular disease in several studies. To evaluate the evidence we performed a meta-analysis. We found 21 studies searching Medline from 1966-July 1999 using the key words homocysteine, homocystine and cerebrovascular...... was used. The reports on 8 cross-sectional and 4 longitudinal studies gave data on the mean and standard deviations of plasma or serum homocysteine for both cases and controls, and these studies were included in the meta-analysis. The results of the 5 excluded studies all pointed to a positive relationship...

  18. Effects of Dietary Nitrates on Systemic and Cerebrovascular Hemodynamics

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    Vernon Bond

    2013-01-01

    Full Text Available Cerebral blood flow dysregulation is often associated with hypertension. We hypothesized that a beetroot juice (BRJ treatment could decrease blood pressure and cerebrovascular resistance (CVR. We subjected 12 healthy females to control and BRJ treatments. Cerebrovascular resistance index (CVRI, systolic blood pressure (SBP, total vascular resistance (TVR, and the heart rate-systolic pressure product (RPP measured at rest and at two exercise workloads were lower after the BRJ treatment. CVRI, SBP, and RPP were lower without a lower TVR at the highest exercise level. These findings suggest improved systemic and cerebral hemodynamics that could translate into a dietary treatment for hypertension.

  19. Cerebrovascular Reactivity in Complex Diagnostics of Vertebrobasilar Insufficiency

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    Goydenko V. S.

    2016-12-01

    Full Text Available The article presents the results of the assessment of cerebrovascular reactivity parameters due to transcranial Doppler sonography in 104 patients (62 women and 42 men with spondilogenic vertebrobasilar insufficiency. Mean age of patients was 42.9±12.2 years. It was found that the assessment of cerebrovascular reactivity and type of response to functional loading tests allows to confirm vertebrobasilar stage insufficiency, to determine the activity of various regulatory mechanisms of compensation of cerebral circulation and adaptation reserve of the cerebral vascular system.

  20. Cerebrovascular Pressure Reactivity in Children with TBI

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    Laurence Ducharme-Crevier

    2015-11-01

    Full Text Available Investigators from University of Melbourne, Australia, studied Pressure-Reactivity Index (PRx and optimal Cerebral Perfusion Pressure (CPP in 36 children aged between 6 months and 16 years treated for traumatic brain injury (TBI at the Royal Children's Hospital, Melbourne, from 2007 to 2013.

  1. 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...

  2. Personajes de la historia argentina y memoria colectiva en cadetes de formación militar

    OpenAIRE

    Fernandez, Omar Daniel; Sosa, Fernanda Mariel; Kreizer, Nadia; Torres, Alejandro

    2015-01-01

    El objetivo general del este estudio es indagar la estructura representacional de los personajes de la historia nacional. Asimismo, se plantea explorar si existen diferencias en la estructura reprensentacional en función de la fuerza a la que pertenecen los estudiantes (Ejército, Armada, Fuerza Aérea). Se trata de un estudio descriptivo de diferencias entre grupos, de diseño no experimental transversal, con población militar argentina correspondiente a estudiantes en formación militar de o...

  3. 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...

  4. The elephant in the room: critical reflections on militarism, war, and their health contingencies.

    Science.gov (United States)

    McGuire, Sharon; Boyle, Joyceen

    2008-01-01

    This philosophical analysis critically explores an archeology of militarism as an underpinning to multiple forms of violence, especially war. Deconstructing militarism and its discourses reveal it as a pervasive geographical, cultural, political, and psychological presence. New war technologies, related health and environmental problems, injuries, social suffering, and disproportionality in military spending as a threat to health are uncovered. Continuing the dialogue in formal nursing associations, critiquing media complicity in securing consent for war, and reconstructing a nonviolent, healthier world through nonviolent resistance are advocated.

  5. Nietzsche para pensar o mal nos filmes sobre a ditadura militar brasileira

    Directory of Open Access Journals (Sweden)

    Stigger, Helena

    2009-01-01

    Full Text Available Depois de anunciada a morte de Deus, refutamos a verdade absoluta e, em seu lugar, passamos a adotar o perspectivismo. Deste modo, podemos compreender a atenção que a filmografia brasileira, nestes últimos anos, tem reservado à produção de filmes sobre a ditadura militar, pois a tortura e a repressão não são atos aceitos em nossa sociedade. Assim, utilizando- se da teoria nietziana como metodologia no sentido de revelar a moral representada nos filmes sobre a ditadura militar, podemos analisar como o mal está caracterizado nestas obras

  6. As Relações Civis-Militares em Portugal: O Longo Processo para o Controle Civil e a Eficácia Militar

    Directory of Open Access Journals (Sweden)

    Thomas C. Bruneau

    Full Text Available RESUMO O artigo trata das relações entre civis e militares em Portugal usando um quadro analítico baseado em indicadores empíricos relativos a três dimensões: controle democrático por parte de civis, eficácia no desempenho de tarefas e missões, e eficiência. Apesar da crise econômica e da consequente falta de recursos do governo, esta análise se mostra positiva numa perspectiva comparada. Ademais da influência e dos incentivos de organizações internacionais, especificamente da OTAN, da União Europeia e das Nações Unidas, o artigo examina a utilização de políticas de defesa e das Forças Armadas, tanto pelos civis quanto pelos militares, na perseguição de objetivos estratégicos.

  7. 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.

  8. 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

  9. 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...

  10. 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.

  11. 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...

  12. 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

  13. Cerebrovascular contributions to aging and Alzheimer's disease in Down syndrome.

    Science.gov (United States)

    Wilcock, Donna M; Schmitt, Frederick A; Head, Elizabeth

    2016-05-01

    Down syndrome (DS) is a common cause of intellectual disability and is also associated with early age of onset of Alzheimer's disease (AD). Due to an extra copy of chromosome 21, most adults over 40years old with DS have beta-amyloid plaques as a result of overexpression of the amyloid precursor protein. Cerebrovascular pathology may also be a significant contributor to neuropathology observed in the brains of adults with DS. This review describes the features of cardiovascular dysfunction and cerebrovascular pathology in DS that may be modifiable risk factors and thus targets for interventions. We will describe cerebrovascular pathology, the role of co-morbidities, imaging studies indicating vascular pathology and the possible consequences. It is clear that our understanding of aging and AD in people with DS will benefit from further studies to determine the role that cerebrovascular dysfunction contributes to cognitive health. This article is part of a Special Issue entitled: Vascular Contributions to Cognitive Impairment and Dementia edited by M. Paul Murphy, Roderick A. Corriveau and Donna M. Wilcock.

  14. CALIDAD DE LAS HISTORIAS ODONTOESTOMATOLOGICAS DEL SERVICIO DE ODONTOLOGIA DEL HOSPITAL MILITAR REGIONAL, AREQUIPA 2013

    OpenAIRE

    ZEGARRA ALARCÓN, CLAUDIA ELITA

    2014-01-01

    CARACTERÍSTICAS DE LA POBLACIÓN DE ESTUDIO CALIDAD DE LA HISTORIA ODONTOESTOMATOLOGICA EN RELACIÓN AL DISEÑO DE LA MISMA CALIDAD DE LA HISTORIA ODONTOESTOMATOLOGICA EN RELACIÓN AL ASPECTO CUALITATIVO

  15. 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.

  16. Entre el libro de emblemas y el manual de conducta militar: las Empresas Políticas Militares de Pozuelo, obra crepuscular de la emblemática hispana.

    OpenAIRE

    Azanza López, José Javier

    2010-01-01

    En 1731 vieron la luz las Empresas Políticas Militares de Juan Antonio Pozuelo, manual de conducta ejemplar para el estamento militar en el ejercicio de su profesión. El libro está compuesto por 55 empresas que se ajustan a la característica disposición tripartita del emblema. En su recorrido por las virtudes y vicios que debe tener presente el militar, el autor se sirve continuamente de motivos que gozan de tradición emblemática, claro ejemplo del agotamiento del género. Es posible detectar ...

  17. Análise do Regulamento de Colocações dos Militares da Força Aérea e da sua adequação à existência de casais militares

    OpenAIRE

    Baptista, Manuel

    2012-01-01

    Durante milénios as instituições castrenses foram compostas exclusivamente por militares do género masculino. Quando quase todas as Forças Armadas ocidentais já possuíam nas suas fileiras militares do género feminino, em Portugal foi a Força Aérea que, em 1991, foi pioneira na realização de incorporações com mancebos do género feminino. Esse facto veio criar uma nova dinâmica que redundaria no aparecimento de casais de militares, com as suas particularidades e especificidades para as quais a ...

  18. 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。

  19. Caracterização e Análise das Tabelas de Treino Físico na Academia Militar

    OpenAIRE

    Preto, Bruno

    2012-01-01

    Este trabalho tem como objetivo fazer uma breve análise às tabelas de avaliação de treino físico, que estão atualmente em vigor na Academia Militar, de modo a verificar se os valores nelas praticadas são adequados às condições fisiológicas dos alunos, tendo em conta determinados fatores intrínsecos. Na Academia Militar, instituição militar onde se formam os futuros Oficiais do Quadro Permanente do Exército e da Guarda Nacional Republicana, o treino físico é f...

  20. 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

  1. 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

  2. Cerebrovascular risk factors and clinical classification of strokes.

    Science.gov (United States)

    Pinto, Antonio; Tuttolomondo, Antonino; Di Raimondo, Domenico; Fernandez, Paola; Licata, Giuseppe

    2004-08-01

    Cerebrovascular risk represents a progressive and evolving concept owing to the particular distribution of risk factors in patients with ischemic stroke and in light of the newest stroke subtype classifications that account for pathophysiological, instrumental, and clinical criteria. Age represents the strongest nonmodifiable risk factor associated with ischemic stroke, while hypertension constitutes the most important modifiable cerebrovascular risk factor, confirmed by a host of epidemiological data and by more recent intervention trials of primary (HOT, Syst-Eur, LIFE) and secondary (PROGRESS) prevention of stroke in hypertensive patients. To be sure, a curious relationship exists between stroke and diabetes. Although the Framingham Study, The Honolulu Heart Program, and a series of Finnish studies reported a linear relationship between improved glucose metabolism and cerebral ischemia, the clinical and prognostic profile of diabetic patients with ischemic stroke remains to be fully understood. Our group, on the basis of TOAST classification--a diagnostic classification of ischemic stroke developed in 1993 that distinguishes five different clinical subtypes of ischemic stroke: large-artery atherosclerosis (LAAS), cardioembolic infarct (CEI), lacunar infarct (LAC), stroke of other determined origin (ODE), and stroke of undetermined origin (UDE), and now extensively used in clinical and scientific context--analysed the prevalence of cerebrovascular risk factors and the distribution of TOAST subtypes in more 300 patients with acute ischemic stroke in two consecutives studies that reported the significant association between diabetes and the lacunar subtype and a better clinical outcome for diabetic patients, most likely related to the higher prevalence of the lacunar subtype. Well-confirmed are the roles of cigarette smoking, atrial fibrillation, and asymptomatic carotid stenosis as cerebrovascular risk factors. Particularly interesting seems to be the function of

  3. 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

  4. 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

  5. Antonio Ros de Olano, Director General de Infantería, Artillería y Sanidad Militar

    Directory of Open Access Journals (Sweden)

    J.Mª Alonso de Vega

    2015-09-01

    Full Text Available Llamado "el general prudente", Antonio Ros de Olano fue un personaje muy conocido en su época. Destacó como militar y político, participando en batallas y levantamientos. Como escritor, publicó libros de memorias sobre episodios militares y fue un precursor de la narrativa fantástica en España. Fue amigo de Espronceda, Campoamor, Larra y muchos otros que participaron en la famosa tertulia del "El Parnasillo" en café del Príncipe de Madrid. En su vertiente política, fue ministro de Isabel II, diputado y senador vitalicio. En su carrera militar, ascendió a Teniente General y entre sus numerosos cargos, fue Director General de Sanidad Militar.

  6. Resveratrol preserves cerebrovascular density and cognitive function in aging mice

    Directory of Open Access Journals (Sweden)

    Charlotte A Oomen

    2009-12-01

    Full Text Available Resveratrol, a natural polyphenol abundant in grapes and red wine, has been reported to exert numerous beneficial health effects. Among others, acute neuroprotective effects of resveratrol have been reported in several models of neurodegeneration, both in vitro and in vivo. In the present study we examined the neuroprotective effects of long term dietary supplementation with resveratrol in mice on behavioral, neurochemical and cerebrovascular level. We report a preserved cognitive function in resveratrol treated aging mice, as shown by an enhanced acquisition of a spatial Y-maze task. This was paralleled by a higher microvascular density and a lower number of microvascular abnormalities in comparison to aging non-treated control animals. We found no effects of resveratrol supplementation on cholinergic cell number or fiber density. The present findings support the hypothesis that resveratrol exerts beneficial effects on the brain by maintaining cerebrovascular health. Via this mechanism resveratrol can contribute to the preservation of cognitive function during aging.

  7. 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.

  8. 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

  9. Diamox-enhanced brain SPECT in cerebrovascular diseases

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Yun Young [College of Medicine, Hanyang University, Seoul (Korea, Republic of)

    2007-04-15

    Acute event in cerebrovascular disease is the second most common cause of death in Korea following cancer, and it can also cause serious neurologic deficits. Understanding of perfusion status is important for clinical applications in management of patients with cerebrovascular diseases, and then the attacks of ischemic neurologic symptoms and the risk of acute events can be reduced. Therefore, the normal vascular anatomy of brain, various clinical applications of acetazolamide-enhanced brain perfusion SPECT, including meaning and role of assessment of vascular reserve in carotid stenosis before procedure, in pediatric Moyamoya disease before and after operation, in prediction of development of hyperperfusion syndrome before procedure, and in prediction of vasospasm and of prognosis in subarachnoid hemorrhage were reviewed in this paper.

  10. 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

  11. Microbubbles as drug delivery systems in cerebrovascular diseases.

    Science.gov (United States)

    Spinelli, Mariacarmela; Demitri, Christian; Sannino, Alessandro; Peruzzotti-Jametti, Luca; Bacigaluppi, Marco; Comi, Giancarlo; Corea, Francesco

    2009-11-01

    The field of neurovascular ultrasound is growing rapidly with new applications. While ultrasound contrast agents were initially used to overcome poor transcranial bone windows for identification of cerebral arteries, newgeneration microbubbles in combination with innovative contrast-specific ultrasound techniques now enable potential therapeutic procedures. This article will provide a review of recent and emerging developments along with patents in ultrasound technology and contrast-specific therapeutic techniques for cerebrovascular patients.

  12. Cerebrovascular disturbances in children with Arnold-Kiary anomaly I

    Directory of Open Access Journals (Sweden)

    Kozlitina T.N.

    2012-03-01

    Full Text Available Data of diagnostics of cerebrovascular disorders in craniovertebral passage due to Arnold — Kiary anomaly I have been considered. Clinical picture of the disease in different age groups has been represented. Condition of extra- and intracranial part of vertebral arteries and venous plexuses of the cervical part of vertebral column and craniovertebral passage, pathological asymmetry of the blood flow have been estimated. Efficacy of conservative and surgical treatment has been compared.

  13. Digital subtraction angiography in pediatric cerebrovascular occlusive disease

    Energy Technology Data Exchange (ETDEWEB)

    Faerber, E.N.; Griska, L.A.B.; Swartz, J.D.; Capitanio, M.A.; Popky, G.L.

    1984-08-01

    While conventional angiography has been used to demonstrate cerebrovascular occlusive disease in the past, digital subtraction angiography (DSA) is capable of showing progressive vascular involvement with ease, simplicity, and extremely low morbidity, making it particularly well suited for children and outpatients either alone or coordinated with computed tomography. The authors discuss the usefulness and advantages of DSA as demonstrated in 7 infants and children with hemiplegia, 4 of whom had sickle-cell disease.

  14. 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.

  15. HIGH SENSITIVE C-REACTIVE PROTEIN IN CEREBROVASCULAR ISCHEMIA

    OpenAIRE

    Padmalatha; Neeraja

    2016-01-01

    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 facto...

  16. Militarism, conflicts and indiscipline in police practices in the State of São Paulo during the First Brazilian Republic

    OpenAIRE

    Francisco de Souza, Luis Antonio [UNESP

    2012-01-01

    This article examines the challenges involved in the process of police militarization and implementation of police discipline in the State of São Paulo during the First Brazilian Republic (1889 to 1930). The implementation of a militarized police model, initiated by the 1906 French Military Mission, was not fully able to deal with indiscipline issues among policemen. Beyond creating problems of its own, such as fostering a corporatist culture and strengthening rigid hierarchies, military disc...

  17. Antioxidants and Dementia Risk: Consideration through a Cerebrovascular Perspective

    Directory of Open Access Journals (Sweden)

    Virginie Lam

    2016-12-01

    Full Text Available A number of natural and chemical compounds that exert anti-oxidative properties are demonstrated to be beneficial for brain and cognitive function, and some are reported to reduce the risk of dementia. However, the detailed mechanisms by which those anti-oxidative compounds show positive effects on cognition and dementia are still unclear. An emerging body of evidence suggests that the integrity of the cerebrovascular blood-brain barrier (BBB is centrally involved in the onset and progression of cognitive impairment and dementia. While recent studies revealed that some anti-oxidative agents appear to be protective against the disruption of BBB integrity and structure, few studies considered the neuroprotective effects of antioxidants in the context of cerebrovascular integrity. Therefore, in this review, we examine the mechanistic insights of antioxidants as a pleiotropic agent for cognitive impairment and dementia through a cerebrovascular axis by primarily focusing on the current available data from physiological studies. Conclusively, there is a compelling body of evidence that suggest antioxidants may prevent cognitive decline and dementia by protecting the integrity and function of BBB and, indeed, further studies are needed to directly examine these effects in addition to underlying molecular mechanisms.

  18. 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.

  19. Autumn Weather and Winter Increase in Cerebrovascular Disease Mortality

    LENUS (Irish Health Repository)

    McDonagh, R

    2016-11-01

    Mortality from cerebrovascular disease increases in winter but the cause is unclear. Ireland’s oceanic climate means that it infrequently experiences extremes of weather. We examined how weather patterns relate to stroke mortality in Ireland. Seasonal data for Sunshine (% of average), Rainfall (% of average) and Temperature (degrees Celsius above average) were collected for autumn (September-November) and winter (December-February) using official Irish Meteorological Office data. National cerebrovascular mortality data was obtained from Quarterly Vital Statistics. Excess winter deaths were calculated by subtracting (nadir) 3rd quarter mortality data from subsequent 1st quarter data. Data for 12 years were analysed, 2002-2014. Mean winter mortality excess was 24.7%. Winter mortality correlated with temperature (r=.60, p=0.04). Rise in winter mortality correlated strongly with the weather in the preceding autumn (Rainfall: r=-0.19 p=0.53, Temperature: r=-0.60, p=0.03, Sunshine, r=0.58, p=0.04). Winter cerebrovascular disease mortality appears higher following cool, sunny autum

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

    Directory of Open Access Journals (Sweden)

    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

  1. 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.

  2. O paradigma penal-militar no sistema de justiça criminal

    Directory of Open Access Journals (Sweden)

    Matheus Boni Bittencourt

    2014-05-01

    De uma perspectiva histórico-institucional, buscamos compreender a estruturação do sistema de justiça criminal do Brasil pelo seu desenvolvimento, principalmente pela influência dos regimes autoritários (1937-45 e 1964-88 na consolidação de um paradigma penal-militar na segurança pública e justiça criminal. A conservação deste paradigma pela Constituinte de 1988, sob pressão do alto escalão militar, ajuda a explicar os altos níveis de violência institucional e baixos níveis de eficiência do sistema de políticas criminais do Brasil.

  3. The Imperial Japanese Army as a Factor in Spreading Militarism and Fascism in Prewar Japan

    OpenAIRE

    2012-01-01

    Although a broad variety of aspects concerning militarism and fascism in Japan have been focal points of research, little attention has been given to the Imperial Japanese Army as an actor in spreading militarist and fascist ideology among the Japanese populace. Japan lacked a fascist mass movement centered in a fascist political party. Nonetheless, the majority of the populace supported the government’s policies, the Imperial Japanese Army's adventurism, and right wing terrorism. In order to...

  4. Contribution of cerebrovascular disease in autopsy confirmed neurodegenerative disease cases in the National Alzheimer's Coordinating Centre.

    Science.gov (United States)

    Toledo, Jon B; Arnold, Steven E; Raible, Kevin; Brettschneider, Johannes; Xie, Sharon X; Grossman, Murray; Monsell, Sarah E; Kukull, Walter A; Trojanowski, John Q

    2013-09-01

    Cerebrovascular disease and vascular risk factors are associated with Alzheimer's disease, but the evidence for their association with other neurodegenerative disorders is limited. Therefore, we compared the prevalence of cerebrovascular disease, vascular pathology and vascular risk factors in a wide range of neurodegenerative diseases and correlate them with dementia severity. Presence of cerebrovascular disease, vascular pathology and vascular risk factors was studied in 5715 cases of the National Alzheimer's Coordinating Centre database with a single neurodegenerative disease diagnosis (Alzheimer's disease, frontotemporal lobar degeneration due to tau, and TAR DNA-binding protein 43 immunoreactive deposits, α-synucleinopathies, hippocampal sclerosis and prion disease) based on a neuropathological examination with or without cerebrovascular disease, defined neuropathologically. In addition, 210 'unremarkable brain' cases without cognitive impairment, and 280 cases with pure cerebrovascular disease were included for comparison. Cases with cerebrovascular disease were older than those without cerebrovascular disease in all the groups except for those with hippocampal sclerosis. After controlling for age and gender as fixed effects and centre as a random effect, we observed that α-synucleinopathies, frontotemporal lobar degeneration due to tau and TAR DNA-binding protein 43, and prion disease showed a lower prevalence of coincident cerebrovascular disease than patients with Alzheimer's disease, and this was more significant in younger subjects. When cerebrovascular disease was also present, patients with Alzheimer's disease and patients with α-synucleinopathy showed relatively lower burdens of their respective lesions than those without cerebrovascular disease in the context of comparable severity of dementia at time of death. Concurrent cerebrovascular disease is a common neuropathological finding in aged subjects with dementia, is more common in Alzheimer

  5. 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.

  6. 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.

  7. EL MAPA MILITAR ESPAÑOL: UNA APLICACIÓN DIDÁCTICA INTERDISCIPLINAR

    Directory of Open Access Journals (Sweden)

    Clemente Herrero Fabregat

    1999-12-01

    Full Text Available Existe un tipo de geografía poco conocida en los niveles de Enseñanza Primaria y Secundaria, la geografía militar, que se constituye como uno de los elementos integradores de la geografía e historia. El estudio de los escenarios geográficos en los que se han desarrollado los procesos históricos y las interacciones entre éstos y los anteriores, resulta fundamental para la comprensión de la evolución de las sociedades. Mas concretamente, las geografía militar nos muestra la estrecha relación que existe entre el terreno y los procesos bélicos y de expansión territorial acaecidos a lo largo de la Historia de España, indicando las bases militares, las líneas de invasión, los objetivos hacia las que se dirigen, los núcleos de resistencia, que permanentemente se han dado en los procesos históricos españoles.

  8. 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.

  9. 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.)

  10. MARCADOS PELA COR: AS FRUSTRADAS BUSCAS POR HÁBITOS DAS ORDENS MILITARES POR HOMENS NEGROS NA PRIMEIRA METADE DO SETECENTOS EM PERNAMBUCO

    OpenAIRE

    Estevam Henrique Machado; UFPE

    2016-01-01

    Este artigo trata de dois personagens que escapavam a regra geral dos requerentes que solicitavam hábitos das Ordens Militares em Pernambuco no início do século XVIII. Aborda as tentativas de homens negros, militares do terço dos henriques, de possuir um hábito de alguma Ordem Militar para demonstrar seu prestígio numa sociedade marcada pelo privilégio. A pesquisa se desenvolveu a partir dos Requerimentos que solicitavam Ordens Militares, prese...

  11. Doença cerebrovascular: aquisição de linguagem em pré-escolares Cerebrovascular disease: language acquisition in preschool children

    Directory of Open Access Journals (Sweden)

    Karina Tamarozzi de Oliveira

    2005-09-01

    Full Text Available São descritos 10 casos de crianças com idade cronológica entre 5 anos e 1 mês e 5 anos e 11 meses, divididas em grupo de doença cerebrovascular, (G-DCV e grupo controle (Gc. As crianças do G-DCV apresentaram DCV confirmada na fase aguda através de exame neurológico clínico e de imagem na UNICAMP. Nas avaliações utilizou-se triagem audiológica, protocolo de avaliação da linguagem infantil, teste de vocabulário por imagens Peabody, com o objetivo de avaliar os diversos subsistemas lingüísticos e as noções perceptivo-cognitivas. Na análise qualitativa do G-DCV, do ponto de vista fonoaudiológico e neurológico, quando comparado ao Gc, mostrou recuperação completa do distúrbio adquirido de linguagem (DAL em 2 crianças e alterações de linguagem em 3. O estudo dos casos revelou que os diversos aspectos que constituem a linguagem em desenvolvimento na criança pré-escolar devem ser analisados de forma individual, quantitativa e qualitativamente para achados conclusivos.We describe ten children, aging 5 years and 1 month until 5 years and 11 months, when the phonoaudiological assessment was conducted. They are divided according to cerebrovascular disease, in CVD group (CVD-G and control group (cG. Children were seen and CVD was confirmed in the acute phase at UNICAMP hospital. Audiologic assessment, protocol for Infant language assessment, and Peabody picture vocabulary test were used in the evaluations. The qualitative analysis of the subjects from a phonoaudiological and neurological point of view has shown the recovery of acquired language desorder (ALD with no influence whatsoever in the development of 2 subjects and subtle language and/or learning process alterations for 3 subjects. The cases study has revealed that all aspects of language development in preschool children should be analyzed in an individual, quantitative, and qualitative basis to lead to conclusive findings.

  12. 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

  13. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    OpenAIRE

    Domingo García, AM

    2006-01-01

    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 ...

  14. 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)

    Eduardo Concepción Morales

    2004-08-01

    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

  15. 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

  16. Tratamiento de la hipertensión arterial en accidente cerebrovascular

    OpenAIRE

    Luna Vela, Fredy Andrés

    2013-01-01

    Revisión sistemática de la literatura en la que se discuten las controversias del manejo de la presión arterial en las emergencias neurológicas agudas cerebrovasculares como accidente cerebrovascular isquémico, hemorrágico y hemorragia subaracnoidea.

  17. Pathobiology of human cerebrovascular malformations: basic mechanisms and clinical relevance.

    Science.gov (United States)

    Gault, Judith; Sarin, Hemant; Awadallah, Nabil A; Shenkar, Robert; Awad, Issam A

    2004-07-01

    Cerebrovascular malformations affect more than 3% of the population, exposing them to a lifetime risk of hemorrhagic stroke, seizures, and focal neurological deficits. Cerebral cavernous malformations (CCMs) exhibit an immature vessel wall, a brittle hemorrhagic tendency, and epileptogenesis, whereas arteriovenous malformations (AVMs) lack capillary beds and manifest apoplectic bleeding under high-flow conditions. There are also more benign venous anomalies, capillary malformations, and lesions with mixed and transitional features. Advances have been made toward understanding the natural history, radiological and pathological correlates, and clinical management. Yet, mechanisms of lesion genesis and clinical manifestations remain largely unknown, and the clinical behavior in individual patients is highly unpredictable. Lesion pathogenesis likely involves abnormal assembly or maintenance of blood vessels, resulting in dysmorphic vessel phenotypes. Familial CCM disease is in part caused by mutations in a cytoskeletal-related protein that is likely integral to interendothelial cell connectivity and maturation of the vascular wall. Rare familial forms of AVM disease have been correlated with two different transforming growth factor-beta receptor components, possibly causing disturbance in signaling during vascular assembly. Relevance of these mechanisms to the more common and otherwise identical sporadic CCM and AVM lesions is being explored. In this report, basic mechanisms of vasculogenesis and angiogenesis and how they possibly relate to the common cerebrovascular malformation lesions are reviewed. Novel concepts are discussed related to the cellular, molecular, and genetic substrates in CCM and AVM as well as to how this knowledge can be applied to predict, explain, and possibly modify clinical disease manifestations.

  18. Fetal cerebrovascular circulation: a review of prenatal ultrasound assessment.

    Science.gov (United States)

    Degani, S

    2008-01-01

    Antenatal intrauterine cerebrovascular events were found to play an important role in the pathogenesis of perinatal brain damage. Changes in placental vascular resistance, cardiac contractibility, vessel compliance, and blood viscosity alter the normal dynamics of fetal cerebral circulation. The circulatory mechanisms described in animal fetuses also operate in the human fetus. The isthmus of the aorta represents a watershed area reflecting the redistribution of blood during increased peripheral resistance and hypoxia. The fetal cerebrovascular system acts locally within the skull and interacts with the other components of fetal circulation to compensate by redistribution of blood in case of shortage in resources. The introduction of various sonographic techniques and the collection of data from the arterial and venous cerebral circulation have improved our understanding of the regulatory mechanisms involved in fetal cerebral hemodynamic events. Anatomical and physiological considerations of cerebral vasculature in health and disease are relevant in the research of variations in fetal brain blood perfusion. Changes in flow characteristics in fetal cerebral vasculature can be used for clinical decisions. However, caution is advised before applying research data into practice. The clinical utility is well established in situations of fetal compromise such as growth restriction and anemia.

  19. 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.

  20. 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.

  1. Cerebrovascular Disease in Children: Recent Advances in Diagnosis and Management

    Science.gov (United States)

    Bowers, Karen J.; deVeber, Gabrielle A.; Ferriero, Donna M.; Roach, E. Steve; Vexler, Zinaida S.; Maria, Bernard L.

    2017-01-01

    Cerebrovascular disease in children manifests in many forms, all of which have devastating and long-lasting effects. Recent advances in diagnostic imaging have revealed that this condition is much more common in the pediatric population than previously believed, affecting as many as 1 in 1500 neonates and 1 in 3000 children. The underlying mechanisms that cause stroke—ischemic stroke, sinovenous thrombosis, and hemorrhagic stroke—are only beginning to be understood; however, progress has been made toward better understanding the mechanisms of disease, particularly in the fields of genetics, inflammation, and thrombus formation. Furthermore, new imaging techniques, and better understanding of how to use imaging in managing stroke, have enabled practitioners to more quickly and accurately identify cerebrovascular disease type in children, which is key to mitigation of negative outcomes. The 2010 Neurobiology of Disease in Children symposium, held in conjunction with the 39th annual meeting of the Child Neurology Society, aimed to (1) describe clinical issues surrounding childhood stroke, including diagnosis and acute care; (2) discuss recent advances in the understanding of the pathogenesis of childhood stroke; (3) review current management of and therapies for childhood stroke, including controversial therapies; and (4) establish research directions for investigators. This article summarizes the speakers’ presentations and includes an edited transcript of question-and-answer sessions. PMID:21778188

  2. Knee Joint Dysfunctions That Influence Gait in Cerebrovascular Injury

    Science.gov (United States)

    Lucareli, Paulo Roberto Garcia; Greve, Julia Maria D’Andrea

    2008-01-01

    INTRODUCTION There is still no consensus among different specialists on the subject of kinematic variation during the hemiparetic gait, including the main changes that take place during the gait cycle and whether the gait velocity changes the patterns of joint mobility. One of the most frequently discussed joints is the knee. OBJECTIVES This study aims to evaluate the variables found in the angular kinematics of knee joint, and to describe the alterations found in the hemiparetic gait resulting from cerebrovascular injury. METHODS This study included 66 adult patients of both genders with a diagnosis of either right or left hemiparesis resulting from ischemic cerebrovascular injury. All the participants underwent three-dimensional gait evaluation, an the angular kinematics of the joint knee were selected for analysis. RESULTS The results were distributed into four groups formed based on the median of the gait speed and the side of hemiparesis. CONCLUSIONS The relevant clinical characteristics included the important mechanisms of loading response in the stance, knee hyperextension in single stance, and reduction of the peak flexion and movement amplitude of the knee in the swing phase. These mechanisms should be taken into account when choosing the best treatment. We believe that the findings presented here may aid in preventing the occurrence of the problems found, and also in identifying the origin of these problems. PMID:18719753

  3. El proceso de deslegitimación del fuero militar: un debate sobre la conveniencia de la ampliación de la justicia penal militar en Colombia (1985-2013)

    OpenAIRE

    Montañez Gualdrón, Xavier

    2016-01-01

    La Justicia Penal Militar es el privilegio histórico más importante que ha sido concedido a las Fuerzas Militares colombianas debido a la función pública que desempeñan. De allí, que la presente investigación esté dirigida a comprender las causas que han conducido a que el Fuero Militar sea una figura cada vez más restringida no sólo en el mundo, sino en Colombia. Así mismo, el papel de las víctimas será transcendental en el trabajo para comprender un proceso de deslegitimación de la instituc...

  4. Os V Jogos Mundiais Militares no Brasil e a reinserção do esporte militar na política esportiva nacional

    OpenAIRE

    Frederico Jorge Saad Guirra

    2014-01-01

    Resumo: As duas primeiras décadas do século XXI vêm reservando ao Brasil uma série de megaeventos esportivos iniciados em 2007 com os Jogos Pan-Americanos do Rio de Janeiro, seguidos da realização da V edição dos Jogos Mundiais Militares (JMM), em 2011, da Copa das Confederações e da Gymnasíade, em 2013 e do Mundial de Futebol FIFA, em 2014, ainda vindo à frente os Jogos Olímpicos e Paralímpicos, em 2016, a Copa América de Futebol, em 2017 e da Universíade, em 2019. Esses megaeventos integram...

  5. 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 .

  6. The collaterome: A novel conceptual framework of systems biology in cerebrovascular disorders

    Directory of Open Access Journals (Sweden)

    David S Liebeskind

    2015-01-01

    Full Text Available The collaterome is the elaborate neurovascular architecture within the brain that regulates and determines the compensatory ability, response, and outcome of cerebrovascular pathophysiology. Based on the fundamental aspects of the cerebral collateral circulation, this model provides a conceptual framework or novel approach to cerebrovascular disorders that endorses systems biology rather than traditional reductionism. The nature of this holistic approach mirrors the innate or endogenous compensatory ability of collaterals, extending this concept to reconsider current approaches to cerebrovascular disorders. The distinction of asymptomatic and symptomatic physiology, and normal brain health versus cerebrovascular disease and the management of cerebrovascular disorders from diagnosis to therapeutic strategies may be reconsidered from this conceptual framework that builds upon established knowledge in the stroke literature.

  7. Los Consejos De Guerra Durante La Última Dictadura Militar Argentina (1976–1983

    Directory of Open Access Journals (Sweden)

    Débora D´Antonio

    2016-10-01

    Full Text Available En este trabajo me propongo explorar el funcionamiento de los Consejos de Guerra o tribunales militares que actuaron en los límites del aparato represivo legal de la última dictadura militar argentina. Estos tribunales fueron concebidos hacia fines del siglo XIX como fueros diferenciados destinados a mantener la disciplina de las Fuerzas Armadas. Sin embargo, desde comienzos de la década del sesenta, más tarde en los primeros años setenta y especialmente desde el golpe de Estado militar de marzo de 1976 se convirtieron en cuerpos extrajudiciales concentrados en acusar y juzgar a civiles por medio de la figura del delito político. La historiografía argentina aún no ha reconocido el papel significativo que desempeñaron los Consejos de Guerra al contribuir con el proceso de judicialización de la represión política, con la redefinición de una legalidad autoritaria y con una nueva racionalidad política. Abstract In this paper I will explore the mechanisms by which the councils of war or military courts that were involved in the last military dictatorship in Argentina, acted on the border between legality and illegality within the framework of the legal repressive apparatus of that time. These courts were conceived in the late nineteenth century as distinct jurisdictions intended to maintain discipline in the armed forces. However, since the early sixties, later in the early seventies and especially since the March 1976 coup, they became extrajudicial bodies that judged and prosecute civilians for political crimes. Argentina’s historiography has not yet fully recognized the significant role played by these councils of war as contributors to the process of judicialization of political repression, the redefinition of authoritarian legality and a new political rationality.

  8. La sublevación de julio de 1936: proceso militar al general Romerales

    Directory of Open Access Journals (Sweden)

    Joaquín Gil Honduvilla

    2008-12-01

    Full Text Available En zona sublevada, desde finales de julio de 1936, la Justicia Militar se hizo extensiva a todo su territorio tras la aprobación por la Junta de Defensa en Burgos del Bando que declaraba el Estado de Guerra. Esa preeminencia de la justicia castrense sobre la civil, originó el protagonismo de los consejos de guerra, que también se utilizaron para juzgar a aquellos mandos del ejército que no secundaron la insurrección. Es el caso que se analiza en el presente artículo, referido al general Manuel Romerales Quintero, General Jefe de la Circunscripción Oriental en el Norte de África (Melilla. Con ese fin se estudian las normas procesales y penales utilizadas por los sublevados para formalizar este juicio, gracias a los fondos documentales del Tribunal Militar Territorial Segundo, con sede en Sevilla. Guerra civil, justicia militar, consejos de guerra.________________ABSTRACT:In zone incited to rebellion, from end of 1936 July, the Military justice became extensive to all its territory after the approval by then Meeting of Defense in Towns of the Side that declared the State military. That preeminence of military justice on the civilian, originated the protagonism of the advice military, who also were used to judge those controls of the army which they did not secundaron the insurrection. It is the case that the present analyzes in article, referred general Manuel Romerales Quintero, General Jefe of the Eastern Circumscription in North Africa (Melilla. With that aim the procedural and penal norms study used by the insurrectionists to formalize this judgment, thanks to the documentary bottoms of the Military Court Territorial Second, with seat in Seville.

  9. Implicancias estratégico-militares del conflicto entre Israel y Hezbollah

    OpenAIRE

    2010-01-01

    La guerra de 2006, entre Israel y Hezbollah, influyó significativamente sobre la noción que los actores involucrados tenían respecto de las capacidades del otro y seguramente contribuirá a los análisis de las posibilidades y capacidades de los actores involucrados Israel ha redefinido su doctrina militar enfocándose en la necesidad de alcanzar un resultado claro y definitorio, reduciendo al mínimo posible el período de combate. Esta doctrina se basa en la utilización de ataques desproporciona...

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

    OpenAIRE

    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...

  11. La formación de la conciencia moral en la Universidad Militar Nueva Granada

    Directory of Open Access Journals (Sweden)

    Jorge Eduardo Vargas Vargas

    2008-01-01

    Full Text Available Este artículo presenta los hallazgos obtenidos en la investigación titulada "Formación de la conciencia moral en la Universidad Militar Nueva Granada", partiendo de las teorías del desarrollo moral propuestas por Piaget y Kohlberg. El diagnóstico nos enfrenta a la responsabilidad que tienen las instituciones de Educación Superior frente a la formación de sujetos con una moral de principios, de justicia social y de reconocimiento de los otros y a la búsqueda de procesos pedagógicos que posibiliten estos desarrollos.

  12. La formación de la conciencia moral en la Universidad Militar Nueva Granada

    OpenAIRE

    Jorge Eduardo Vargas Vargas

    2008-01-01

    Este artículo presenta los hallazgos obtenidos en la investigación titulada "Formación de la conciencia moral en la Universidad Militar Nueva Granada", partiendo de las teorías del desarrollo moral propuestas por Piaget y Kohlberg. El diagnóstico nos enfrenta a la responsabilidad que tienen las instituciones de Educación Superior frente a la formación de sujetos con una moral de principios, de justicia social y de reconocimiento de los otros y a la búsqueda de procesos pedagógicos que posibil...

  13. 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.

  14. Derecho y pasado reciente: juicios de lesa humanidad por delitos cometidos durante la última dictadura militar

    OpenAIRE

    Casas, Laura Julieta; Espíndola, Alfredo Martín

    2014-01-01

    En este trabajo proponemos una aproximación a la contribución que brinda el derecho en relación a la reconstrucción de los sucesos acaecidos en el marco de la última dictadura militar (años 1976-1983). Al respecto, resulta necesario precisar que en las últimas décadas en Argentina se constata una gran proliferación de estudios desde distintos campos de las ciencias humanas que intentan aportar herramientas de análisis de las masivas violaciones a los derechos humanos ocurridas durante el últi...

  15. Caracterización de las lesiones derivadas del entrenamiento físico militar

    OpenAIRE

    Juan Sebastián Rodríguez Gómez; Julián Alberto Valenzuela Pinzón; Juan David Velasco Rodríguez; Laura Elizabeth Castro Jiménez; Paula Janyn Melo Buitrago

    2016-01-01

    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 apa...

  16. El declinar militar hispánico durante el reinado de Carlos II

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    Antonio ESPINO LÓPEZ

    2009-12-01

    Full Text Available RESUMEN: En el presente trabajo, nuestra intención ha sido explicar la decadencia militar de la Monarquía Hispánica durante el reinado de Carlos II (1665-1700. Pero para conseguirlo, es necesario iniciar el análisis de este tema en el reinado de Felipe IV. A partir de la década de 1630 se vio clara la necesidad de introducir cambios profundos en la institución militar; unas reformas que la tratadistica militar del momento señaló profusamente. En primer lugar señalamos la continua reducción del número de efectivos en los ejércitos hispánicos a lo largo del siglo XVII, de modo que los principales frentes de combate -Milán, Flandes y Cataluña- nunca contarán con la cantidad necesaria de tropas. Analizamos la estructura interna del ejército a partir del ejemplo del Ejército de Cataluña, de esta forma observamos sus carencias fundamentales -tanto las de las tropas, como las del ejército como institución- y, por último, observamos críticamente las soluciones que se intentaron aplicar en la época, todas ellas lastradas por las dificultades económicas del momento.ABSTRACT: The present article describes the Spanish military decadence during the reign of Charles II of Spain (1665-1700. The author starts his analysis from the reign of Philip IV of Spain because from the 1630s the need of making substancial changes in the warfare was absolutely clear. In fact, that changes were described in the militar treatises of the moment. First of all, the main front of combat -Milan, the Netherlands and Catalonianever had the appropiate number of troops, because of its lack of men during the XVIIth century. Secondly, those troops lived permanently in very hard conditions, as it can be seen in the Catalan case. Finally, all the solutions were failed because of the economic difficulties of that monarchy.

  17. Pasatiempos en la vida militar. Juegos y juguetes en el Castillo de San Severino, Matanzas, Cuba

    Directory of Open Access Journals (Sweden)

    Boris E. Rodríguez Tápanes

    2008-11-01

    Full Text Available Se examinan las distintas evidencias asociadas a pasatiempos encontradas en excavaciones arqueológicas realizadas en el Castillo de San Severino, en la provincia de Matanzas, Cuba. Se analiza la información histórica referente a las funciones de la dotación de la fortaleza y sus posibles ratos de ocio apuntando a la confección de juegos en el lugar y la utilización de otros insertados en el ámbito militar.

  18. Valores humanos y contextos en población civil y militar

    OpenAIRE

    2004-01-01

    Sobre la base de las propuestas de Schwartz (2001) se diseñó un instrumento para la evaluación de los valores en diferentes contextos (recreación y vida social, relaciones familiares y trabajo) y se recogieron datos en población argentina (n=882) en tres contextos diferentes: a) ámbito civil (n= 442); b) oficiales militares (n = 63) yc) estudiantes cadetes (n= 373). Se analizó si el instrumento diferenciaba los tipos de valores de los tres grupos (civiles, oficiales...

  19. O livro Programa de saúde : um caso de censura durante a ditadura militar brasileira

    OpenAIRE

    Reimao,Sandra

    2013-01-01

    Estão liberados para consulta alguns documentos produzidos por órgãos do governo durante a ditadura militar brasileira, entre eles, pareceres de censura sobre televisão, rádio, teatro, filmes, músicas, publicidades e impressos. Entre os cerca de quinhentos pareceres relativos a livros está o indicativo de veto a Programa de saúde: projetos e temas de higiene e saúde , obra didática que propunha ações para que os alunos buscassem conh...

  20. Concepções de professores da Academia de Polícia Militar de Brasília acerca de seus alunos

    Directory of Open Access Journals (Sweden)

    Daniele Alcântara Nascimento

    2015-01-01

    Full Text Available O presente estudo refere-se a uma pesquisa exploratória de cunho qualitativo que visa a conhecer e analisar as concepções de professores civis e professores policiais militares acerca do aluno policial militar na Academia de Polícia Militar de Brasília (APMB. Foram realizadas entrevistas individuais semiestruturadas com 17 professores. Por meio da análise de conteúdo das entrevistas, identificaram-se categorias temáticas para melhor compreensão dos dados. As categorias fizeram referência, durante a discussão apresentada, à imagem do aluno policial militar, ao relacionamento interpessoal na Academia, à consciência do sistema disciplinar, ao modo como ocorre o ensino na Polícia Militar do Distrito Federal (PMDF e ao vínculo que o aluno estabelece com a prática policial militar. Os resultados apontaram que, na concepção de professores da APMB, o aluno policial militar é alguém disciplinado, interessado em aprender e educado. Os professores afirmam ter um relacionamento positivo com o aluno e que o mesmo participa das aulas. A hierarquia estabelece-se em sala no contato professor-aluno, havendo uma consciência do sistema disciplinar e das possíveis punições advindas de transgressões. Conclui-se que as concepções de professores se formam relacionadas às crenças, valores e imagens da PMDF, abrindo caminho para que os docentes compreendam como lidam com o aluno policial militar em formação. A pesquisa revela que os professores, sejam civis ou militares, têm ciência dos limites impostos ao aluno policial militar diante de uma formação baseada na hierarquia e disciplina.

  1. O regime militar brasileiro, a Escola Superior de Guerra e a geopolítica na Amazônia

    OpenAIRE

    Santos, Nelvio Paulo Dutra; Universidade Federal de Roraima. Curso de História

    2015-01-01

    Este artigo discorre sobre medidas do regime militar brasileiro (1964-1985) na Amazônia visando seu desenvolvimento e proteção, bem como suas origens ideológicas. Demonstra-se que as intervenções na região Amazônica tem origens remotas, mas que foram os militares que traçaram e executaram grandes Planos estruturantes, baseados em teorias geopolíticas, centradas nos pensadores da Escola Superior de Guerra. O contexto histórico mundial é o da Guerra Fria e o dos diferentes momentos por que pass...

  2. La representación militar de los exiliados en el marco del Mundial de Fútbol de 1978

    OpenAIRE

    2011-01-01

    Los militares que gobernaron el país entre 1976 y 1983 se legitimaron, en parte, a partir de la figura de los subversivos. Estos fueron representados como seres malignos que pretendían subvertir los valores intrínsecos de la sociedad argentina. Cuando este enemigo fue derrotado, los militares debieron buscar un nuevo sostén de legitimación social. Y lo encontraron en la figura de los exiliados, quienes al no poder atentar contra la nación desde "adentro" habían escapado y, entonces, desde "af...

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

    OpenAIRE

    2014-01-01

    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 e...

  4. Antonio Ros de Olano, Director General de Infantería, Artillería y Sanidad Militar

    OpenAIRE

    2015-01-01

    Llamado "el general prudente", Antonio Ros de Olano fue un personaje muy conocido en su época. Destacó como militar y político, participando en batallas y levantamientos. Como escritor, publicó libros de memorias sobre episodios militares y fue un precursor de la narrativa fantástica en España. Fue amigo de Espronceda, Campoamor, Larra y muchos otros que participaron en la famosa tertulia del "El Parnasillo" en café del Príncipe de Madrid. En su vertiente política, fue ministro de Isabel II, ...

  5. 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

  6. Cerebrovascular Diseases and Risk Factors: a Strategy of Primary Prevention

    Directory of Open Access Journals (Sweden)

    Miguel Angel Buergo Zuaznábar

    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.

  7. [PECULIARITIES OF THE CEREBROVASCULAR EFFECTS OF GLUTAMIC ACID].

    Science.gov (United States)

    Gan'shina, T S; Kurza, E V; Kurdyumov, I N; Maslennikov, D V; Mirzoyan, R S

    2016-01-01

    Experiments on nonlinear rats subjected to global transient cerebral ischemia revealed the ability of glutamic acid to improve cerebral circulation. Consequently, the excitatory amino acid can produce adverse (neurotoxic) and positive (anti-ischemic) effects in cerebral ischemia. The cerebrovascular effect of glutamic acid in cerebral ischemia is attenuated on the background action of the MNDA receptor blocker MK-801 (0.5 mg/kg intravenously) and eliminated by bicuculline. When glutamic acid is combined with the non-competitive MNDA receptor antagonist MK-801, neither one nor another drug shows its vasodilator effect. The results are indicative of the interaction between excitatory and inhibitory systems on the level of cerebral vessels and once again confirm our previous conclusion about the decisive role of GABA(A) receptors in brain vessels in the implementation of anti-ischemic activity of endogenous compounds (melatonin) and well-known pharmacological substances (mexidol, afobazole), and new chemical compounds based on GABA-containing lipid derivatives.

  8. Diagnosis and treatment of chronic cerebrovascular disease, use of pentoxifylline

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    V. A. Parfenov

    2016-01-01

    Full Text Available Chronic cerebrovascular disease (CCVD is one of the most common  iagnoses in Russian neurology, by which is meant vascular cognitive impairment (VCI in modern foreign literature. There are data available in the literature on the diagnosis and treatment of CCVD (VCI. Theresults of the author’s studies show that CCVD often masks other diseases (anxiety and depressive disorders, primary headache, peripheral vestibulopathy, and Alzheimer's disease that are unfortunately poorly diagnosed in our country, so patients do not receive effective treatment. To modify risk factors for stroke (smoking and alcohol cessation, sufficient exercise, to normalize blood pressure (the use of antihypertensivemedications, to reduce blood cholesterol levels (statins, to perform antithrombotic therapy (antiplatelet agents and anticoagulants, and to use cognitive enhancers are of key importance when treating patients with CCVD (VCI. There are data on the use of pentoxifylline in patients with CCVD, vascular dementia.

  9. Expressional changes in cerebrovascular receptors after experimental transient forebrain ischemia

    DEFF Research Database (Denmark)

    Johansson, Sara; Povlsen, Gro Klitgaard; Edvinsson, Lars

    2012-01-01

    of vasoconstrictive endothelin and 5-hydroxytryptamine receptors in cerebral arteries. Experimental transient forebrain ischemia of varying durations was induced in male wistar rats, followed by reperfusion for 48 hours. Neurological function was assessed daily by three different tests and cerebrovascular expression......Global ischemic stroke is one of the most prominent consequences of cardiac arrest, since the diminished blood flow to the brain results in cell damage and sometimes permanently impaired neurological function. The post-arrest period is often characterised by cerebral hypoperfusion due to subacute...... the insult, a phenomenon that leads to increased contraction of cerebral arteries, reduced perfusion of the affected area and worsened ischemic damage. Based on these findings, the aim of the present study was to investigate if transient global cerebral ischemia is associated with upregulation...

  10. 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.

  11. Clinical and angiographic comparison of asymptomatic occlusive cerebrovascular disease.

    Science.gov (United States)

    Gorelick, P B; Caplan, L R; Langenberg, P; Hier, D B; Pessin, M; Patel, D; Taber, J

    1988-06-01

    We compared clinical and arteriographic features in 106 patients with symptomatic unilateral carotid territory occlusive disease to determine the frequency and distribution of occlusive arterial lesions in asymptomatic vessels. Among black patients who were predominantly from Chicago, young, and female, there were fewer transient ischemic attacks and myocardial infarcts, less claudication, and more asymptomatic lesions of the supraclinoid internal carotid artery, anterior cerebral artery stem, and the middle cerebral artery stem. Among white patients predominantly from New England, elderly, and male, there was more frequent and severe occlusive asymptomatic disease at extracranial carotid and vertebral artery sites. Knowledge of the distribution of asymptomatic lesions will help guide evaluation and treatment strategies for patients with occlusive cerebrovascular disease.

  12. /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.

  13. 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.

  14. Dopamine does not limit fetal cerebrovascular responses to hypoxia.

    Science.gov (United States)

    Mayock, Dennis E; Bennett, Rachel; Robinson, Roderick D; Gleason, Christine A

    2007-01-01

    Dopamine is used clinically to stabilize mean arterial blood pressure (MAP) in sick infants. One goal of this therapeutic intervention is to maintain adequate cerebral blood flow (CBF) and perfusion pressure. High-dose intravenous dopamine has been previously demonstrated to increase cerebrovascular resistance (CVR) in near-term fetal sheep. We hypothesized that this vascular response might limit cerebral vasodilatation during acute isocapnic hypoxia. We studied nine near-term chronically catheterized unanesthetized fetal sheep. Using radiolabeled microspheres to measure fetal CBF, we calculated CVR at baseline, during fetal hypoxia, and then with the addition of an intravenous dopamine infusion at 2.5, 7.5, and 25 microg.kg(-1).min(-1) while hypoxia continued. During acute isocapnic fetal hypoxia, CBF increased 73.0 +/- 14.1% and CVR decreased 38.9 +/- 4.9% from baseline. Dopamine infusion at 2.5 and 7.5 microg.kg(-1).min(-1), begun during hypoxia, did not alter CVR or MAP, but MAP increased when dopamine infusion was increased to 25 microg.kg(-1).min(-1). Dopamine did not alter CBF or affect the CBF response to hypoxia at any dose. However, CVR increased at a dopamine infusion rate of 25 microg.kg(-1).min(-1). This increase in CVR at the highest dopamine infusion rate is likely an autoregulatory response to the increase in MAP, similar to our previous findings. Therefore, in chronically catheterized unanesthetized near-term fetal sheep, dopamine does not alter the expected cerebrovascular responses to hypoxia.

  15. 西比灵防治蛛网膜下腔出血后脑血管痉挛的分析%Analysis of the effect of Xibiling in prevention of cerebrovascular spasm after subarachnoid hemorrhage

    Institute of Scientific and Technical Information of China (English)

    崔景修; 李钢; 陈正挪; 李成哲; 史有立

    2002-01-01

    Background:Cerebrovascular disease(CVS)is one of the major complications of subarachnoid hemorrhage(SAH) and the major cause of disability and death in SAH patients.Xibiling is a blocking agent of calcium channel and can prevent the occurrence of CVS.We analyzed the effect of Xibiling in prevention of CVS after SAH in patients from April 1995 to April 2001 in our hospital in this paper.

  16. 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.

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

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    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.

  18. 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.

  19. Mass Surveillance and the Militarization of Cyberspace in Post-Coup Thailand

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    Pinkaew Laungaramsri

    2016-12-01

    Full Text Available Post-coup Thailand has witnessed a troubling shift toward censorship, surveillance, and suppression in cyberspace. With cyber security ranking prominently on the military’s agenda and the expansion of the military’s cyber intervention, the country’s online infrastructure has undergone politicization, securitization, and militarization. This paper argues that the militarization of cyberspace in Thailand represents the process in which cyber warfare capabilities have been integrated with other military forces and with support from the masses. This process has been effective through at least three significant mechanisms, including mass surveillance, surveillance by the masses, and normalization of surveillance. Social media have been turned into an absolute digital panopticon. Cyber dystopia, created by the 2014 coup and supported by the masses, has served to sustain a ‘state of exception’ not only within the territorial borders of the state, but also more importantly, within the virtual space of civil society. Cyber surveillance by the military and the masses has continued to jeopardize the already vulnerable Thai democracy.

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

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    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.

  1. 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.

  2. The Militarization of Mass Incapacitation and Torture during the Sunni Insurgency and American Occupation of Iraq

    Directory of Open Access Journals (Sweden)

    John L. Hagan

    2016-11-01

    Full Text Available While scholars and journalists have focused important attention on the recent militarization of intensive policing and imprisonment policies in the United States, there is little reciprocal recognition of how militarized versions of these policies were also exported for use in the occupation of Iraq. Intensive policing and imprisonment enabled the American-led and Shia-dominated Iraq Ministries of Defense and Interior along with U.S. forces to play significant roles in the ethnic cleansing and displacement of Arab Sunnis from Baghdad neighborhoods, and in their disproportionate detention in military- and militia-operated facilities, of which the Abu Ghraib prison is only the best known. The failure of American authorities alone and working with Iraq’s government to intervene in stopping the use of police and prisons as places of torture is a violation of U.N.-invoked and U.S.-ratified treaties, and thereby subject to prosecution. Such prosecutions have imported into international law the concept of “joint criminal enterprise” anticipated by the criminologist Donald Cressey and incorporated in the American Racketeer Influenced and Corrupt Organizations (RICO statutes used to convict organized criminals. We elaborate how the concept of joint criminal enterprise can be used to understand and possibly prosecute a chain of command responsibility for the use of policing and prisons as sites of torture in Iraq. We analyze the previously neglected international consequences of U.S. policing, prison, and mass incapacitation strategies with links to American criminology.

  3. 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.

  4. Educação e ideologia tecnocrática na ditadura militar

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    Amarilio Ferreira Jr.

    Full Text Available O objetivo deste artigo é examinar a ideologia tecnocrática subjacente à educação brasileira durante a vigência da ditadura militar (1964-1985. Adotamos a premissa segundo a qual as reformas educacionais implementadas após 1964 ficaram marcadas tanto pelo modelo de modernização autoritária do capitalismo brasileiro adotado a partir de 1964, quanto pela teoria econômica do "capital humano". A propaganda ufanista, que tinha como lema o "Brasil Grande Potência", gerado pela "eficiência técnica" aplicada na forma de administrar o Estado e as suas empresas, também teve os seus corolários ideológicos no âmbito da própria política educacional levada à prática após a reforma universitária de 1968 e a reforma da educação de 1º e 2º graus de 1971. Assim, o sistema nacional de educação que emergiu com as reformas da ditadura militar foi marcado pela ideologia tecnocrática, que propugnava uma concepção pedagógica autoritária e produtivista na relação entre educação e mundo do trabalho.

  5. Circulating vitamin D, calcium and risk of cerebrovascular disease: a systematic review and meta-analysis.

    Science.gov (United States)

    Chowdhury, Rajiv; Stevens, Sarah; Ward, Heather; Chowdhury, Susmita; Sajjad, Ayesha; Franco, Oscar H

    2012-08-01

    Available literature suggests that both vitamin D and calcium may be associated with a wide range of non-skeletal outcomes. However, epidemiological evidence supporting their individual associations with incident cerebrovascular disease is scarce. We conducted a systematic review and meta-analysis of prospective cohort studies, published before February 2012 and sought from MEDLINE, EMBASE, BIOSIS and the Science Citation Index databases, and reported cerebrovascular disease (defined as any fatal or non-fatal ischemic stroke, hemorrhagic stroke, cerebrovascular accident or transient ischemic attack) by circulating vitamin D (25-hydroxy vitamin D [25(OH)D] as active metabolite) and calcium levels. Two independent investigators abstracted information on 25(OH)D and calcium, cerebrovascular outcomes and other characteristics from selected studies. Relative risks (RRs) were pooled by both random and fixed effects meta-analyses and were further examined under different study-level characteristics. Publication bias was assessed with funnel plots and Egger's asymmetry test. From 5,778 initial references, nine unique prospective cohort studies met our inclusion criteria. Seven studies (involving 47,809 participants and 926 cerebrovascular events) focused on circulating 25(OH)D and 3 reported on circulating calcium (22,577 participants and 727 events). For 25(OH)D, in a comparison of individuals in the top third versus those in the bottom third at baseline, the combined RR for cerebrovascular disease, adjusted for several conventional risk factors, was 0.60 (95 % CI 0.48, 0.72). The corresponding RR in the prospective studies that reported on baseline circulating calcium levels for cerebrovascular disease was 1.40 (95 % CI 1.19, 1.64). There was no apparent evidence of heterogeneity or publication bias among included studies. Available data indicate that higher circulating level of vitamin D is associated with a decreased risk of cerebrovascular disease. Conversely

  6. 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

  7. 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

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

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    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.

  9. La provisión de los destinos militares del Cuerpo de Sanidad Militar en Marruecos durante el bienio Azaña (1931-1933

    Directory of Open Access Journals (Sweden)

    M.ª I. Albaladejo Asensio

    Full Text Available El Cuerpo de Sanidad Militar realizó una gran aportación en la obra colonizadora y de pacificación de la Zona del Protectorado de España en Marruecos. Centrándose este trabajo especialmente en la época en que Azaña ocupó el Ministerio de la Guerra. En este trabajo se ha pretendido estudiar las circunstancias que se tenían en cuenta a la hora de regular la provisión de estos destinos y el modo en que aquéllas llegaron a poner de manifiesto la necesidad de articular una legislación especial. Y ello porque las vigentes con carácter general, imponían a este personal una movilidad excesiva. Esta legislación propia, en el caso concreto de la Sección de Medicina, se tradujo en la clasificación de las vacantes en dos series: Melilla, Rif, Larache, Arcila, Alcazarquivir, Tetuán y Ceuta por un lado, y todas las demás por otro. Esta distinción sentaba un criterio diferente y discriminatorio en cuanto a la asignación de los destinos.

  10. Normal aging and cognition: the unacknowledged contribution of cerebrovascular risk factors.

    Science.gov (United States)

    Morra, L; Zade, D; McGlinchey, R E; Milberg, W P

    2013-01-01

    Despite the widespread assumption that cognitive decline is an inherent part of the normal aging process, research suggests that part of the variance in age-related cognitive decline is attributable to modifiable factors common in geriatric populations such as cerebrovascular risk factors. We completed a literature search using Science Citation Index and evaluated the most cited articles from the last 10 years to determine the extent to which investigations of normal aging and cognition account for the influence of cerebrovascular risk factors. We found that the majority of the most frequently cited literature does not adequately account for the contribution of cerebrovascular risk factors and therefore, it is possible that many conclusions about normal aging and cognition are flawed or incomplete. Further investigation of the role of cerebrovascular risk factors in age-related cognitive decline is imperative to more accurately understand the effect of aging on cognition.

  11. 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

  12. Clinical study of model-based blood flow quantification on cerebrovascular data

    NARCIS (Netherlands)

    Groth, A.; Wächter-Stehle, I.; Brina, O.; Perren. F.; Rüfenacht, D.; Bruijns, T.; Bertram, M.; Weese, J.

    2011-01-01

    Diagnosis and treatment decisions of cerebrovascular diseases are currently based on structural information like the endovascular lumen. In future, clinical diagnosis will increasingly be based on functional information which gives direct information about the physiological parameters and, hence, is

  13. 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

  14. 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

  15. "Sou policial, mas sou mulher" : gênero e representações sociais na Polícia Militar de São Paulo

    OpenAIRE

    Marcos Santana de Souza

    2014-01-01

    Resumo: A presença feminina em instituições militares, seja nas Forças Armadas ou nas policias, tem emergido como um tema de estudo em expansão no Brasil, particularmente no campo das ciências sociais. Concentrada em refletir sobre os aspectos objetivos e simbólicos que marcam o trabalho feminino em espaços tradicionalmente masculinos, esta tese analisa as representações sociais de policiais militares a respeito do emprego de mulheres na Polícia Militar de São Paulo. Este estudo, portanto, bu...

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

    Directory of Open Access Journals (Sweden)

    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”.

  17. Clinical Practice Guidelines for Cerebrovascular Disease Treatment Guía de práctica clínica para el tratamiento de la enfermedad cerebrovascular

    Directory of Open Access Journals (Sweden)

    Tania Pérez Ramos

    2009-03-01

    Full Text Available Clinical Practice Guidelines for Cerebrovascular Disease Treatment. Even when this term makes reference to the whole process affecting part of cerebral vessel system and cerebral tissue, this document focuses on the cerebrovascular or acute neurological event abruptly affecting the cerebral tissue and the neurological condition of the patient. This condition is usually cause by an abrupt vessel occlusion, of thrombotic or embolic origin, or by subarachnoid or intraventricular intraparenchymatous hemorrhage, of aneurism origin, related with hypertension or with a tumour or arteriovenous defects. The main concepts, classification and conduct are reviewed, stressing the cerebrovascular accident. It includes assessment guidelines focused on the most important aspects to be accomplished.Guía de práctica clínica para el tratamiento del paciente con enfermedad cerebrovascular. Aunque el término se refiere a todo el proceso que afecta a parte de la vasculatura cerebral y al tejido cerebral que irriga, el documento se centraliza en el accidente cerebrovascular o evento neurológico agudo que afecta en forma súbita al tejido cerebral y compromete el estado neurológico del paciente, causado por una oclusión súbita de un vaso, de origen trombótico o embólico (isquémico o por una hemorragia intraparenquimatosa, subaracnoidea o intraventricular, de origen aneurismático, hipertensivo o secundario a un tumor o malformación arteriovenosa (hemorrágico. Se revisan los conceptos, clasificación y conducta con énfasis en el tratamiento de accidente cerebrovascular isquémico. Concluye con su guía de evaluación, enfocada en los aspectos más importantes a cumplir.

  18. Revisión actualizada sobre enfermedad cerebrovascular: estudio de un caso

    OpenAIRE

    Bardají Fandos, Teodosia

    2003-01-01

    La enfermedad cerebrovascular (ECV), también denominada accidente cerebrovascular (ACV)o ictus, representa el 90% de las enfermedades neurológicas y constituye la tercera causa de muerte en la mayoría de los países desarrollados; en España representa la primera causa de muerte en mujeres de 75 años o más de edad.

  19. 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.

  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. A DITADURA MILITAR, A REDEMOCRATIZAÇÃO E A DEMOCRACIA REPRESENTATIVA NO BRASIL

    OpenAIRE

    Lima, Daniela

    2012-01-01

    O presente ensaio tem por objeto a compreensão do processo de redemocratização pelo qual passou o Brasil, com ênfase no Poder constituído pela ditadura militar e suas consequências, até a promulgação da Constituição Federal de 1988, com a consolidação da Democracia Representativa. O seu objetivo é de explicitar os aspectos históricos, políticos e jurídicos da redemocratização do Brasil. A partir do método indutivo, os fundamentos teóricos apresentados demonstram o renascimento do Direito Cons...

  2. Políticas para a mídia: dos militares ao governo Lula

    OpenAIRE

    Pieranti,Octavio Penna

    2006-01-01

    Imprensa e poder público sempre desenvolveram, no Brasil, uma forte relação de interdependência. Empresas jornalísticas e de radiodifusão dependem de verbas estatais para seu próprio sustento, e políticos dependem da imprensa e da exposição na mídia para se comunicar com o eleitor de forma massificada. Este trabalho analisa essa relação de interdependência na história nacional, seguindo-se a ordem cronológica a partir do estabelecimento do regime militar em 1964, marco de uma profunda reformu...

  3. Los costos de la expedición militar a Chile, 1815-1818

    Directory of Open Access Journals (Sweden)

    Beatriz Bragoni

    2016-09-01

    Full Text Available Este trabajo explora las estrategias utilizadas para financiar la creación y el sostenimiento del Ejército de los Andes y los instrumentos fiscales utilizados para conseguirlo. El análisis de los distintos rubros que integraban las cajas del ejército permite examinar el peso de los recursos aportados por el gobierno central y por la jurisdicción cuyana. Asimismo, analiza el destino de los fondos a través del estudio de los presupuestos del ejército, con el objetivo de ponderar el peso que tuvieron los salarios en el total de los gastos militares durante la etapa previa al cruce de los Andes, y en la posterior, cuando el ejército estaba en Chile bajo severas condiciones fiscales de los gobiernos patriotas.

  4. Análise Económica do Investimento Militar

    OpenAIRE

    Nunes, João

    2009-01-01

    O investimento representa a variável de maior importância na sustentação e, acima de tudo, no sentido e alcance da evolução desejada e prospectivada das organizações. Implica por isso escolhas, hierarquização e prioritização segundo critérios rigorosos e bem definidos. O objecto da investigação diz exactamente respeito aos modelos e técnicas científicas de análise do investimento público na área militar, inerentes impactos ou criação de valor, incluindo a avaliação do potencial...

  5. Accesorios metálicos de correas de cinturones militares altoimperiales hallados en Hispania

    Directory of Open Access Journals (Sweden)

    Aurrecoechea Fernández, Joaquín

    2001-12-01

    Full Text Available Study of roman military «aprons» found in Hispania, specially the specimens discovered in a tomb in Aznalcázar (prov. of Seville. This group is of special relevance due to the fact that there are very few pieces of this kind in funerary contexts.Estudio sobre los accesorios metálicos pertenecientes a «mandiles» militares de época romana hallados en Hispania. Entre ellos se documenta un conjunto completo aparecido en una tumba de Aznalcázar (Sevilla, hallazgo de excepcional importancia debido a la escasez de piezas semejantes en contextos sepulcrales. Finalmente, se interpreta el significado de estos bronces dentro del marco cronológico de la dinastía flavia.

  6. A estética realista dos filmes sobre a ditadura militar no Brasil

    Directory of Open Access Journals (Sweden)

    Helena Stigger

    2008-12-01

    Full Text Available O cinema canaliza em seu aporte uma impressão de realidade baseada na experiência empírica do realizador e da sociedade ao qual ele pertence. Em sua condição de discurso, o cinema, assim como todas as formas narrativas, abrange um enunciado e um espectador. Diferentemente de um romance, a “gramática” cinematográfica é composta por um conjunto de elementos como a imagem, som, música entre outros que, organizados, contam uma história. Entretanto, a forma como estes componentes são gravados em imagens e ordenados numa seqüência narrativa não é única. Desta forma, podemos pensar qual é o propósito de uma escolha estética usual nos filmes Pra frente Brasil e Batismo de Sangue para representar a Ditadura Militar Brasileira.

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

    Directory of Open Access Journals (Sweden)

    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.  

  8. O vocabulário da Ditadura Militar nos panfletos de Eulálio Motta

    Directory of Open Access Journals (Sweden)

    Patrício Nunes Barreiros

    2016-04-01

    Full Text Available Trata-se de um estudo do vocabulário da ditadura militar em nove panfletos escritos por Eulálio Motta, no período de 1960 a 1970. Este corpus é um recorte de uma pesquisa maior que permitiu inventariar um diversificado vocabulário que o escritor fez uso para difundir suas ideias na região de Mundo Novo, Bahia. Eulálio Motta foi responsável pela produção, circulação e recepção de seus panfletos, textos lidos em praças públicas, nas vilas e fazendas, alcançando centenas de pessoas. Por meio de sua ação panfletária e da utilização de um vocabulário que situa ideologicamente um discurso em favor do regime, Eulálio Motta difundiu uma imagem da ditadura militar na região de Mundo Novo. O estudo lexicológico que ora apresentamos concentra-se no vocabulário da ditadura e está subsidiado na teoria de estruturação dos campos lexicais, fundamentada em Stephen Ullmann (1973 [1964], Pierre Guiraud (1989 [1969], Horst Geckeler (1976, Mario Vilela (1979; 1995 e, principalmente, Eugenio Coseriu (1964a; 1964b; 1967; 1973; 1976. Tal abordagem permitiu observar como Eulálio Motta incorporou novas lexias e excluiu ou ressemantizou outras em seus usos linguísticos, motivado por interesses diversos. Além disso, possibilitou o conhecimento de costumes e valores socioculturais do povo sertanejo, expresso em seus usos linguísticos.

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

    Directory of Open Access Journals (Sweden)

    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.

  10. Calidad de vida de cuidadores de adultos con accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    INNA ELIDA FLÓREZ TORRES

    2010-10-01

    Full Text Available Objetivo: describir la calidad de vida de los cuidadores familiares de adultos con secuelas de accidente cerebrovascular, en Cartagena, Colombia. Método: estudio descriptivo cuantitativo realizado durante el segundo semestre de 2008. Muestra no probabilística por conveniencia de 97 cuidadores. Se empleó el instrumento propuesto por Ferrell et ál. Para valorar cada uno de los bienestares que integran la calidad de vida se utilizaron medidas de tendencia central y coeficiente de variación. Resultados: el grupo de cuidadores presentó en el bienestar físico un promedio de 11,1 con relación al máximo puntaje, lo que indica el peor estado de salud; los bienestares psicológico y social tuvieron promedios de 48,8 y 21,9, respectivamente, con menor afectación. El mejor estado se halló en el bienestar espiritual, con promedio de 22,6. Conclusiones: la experiencia de ser cuidador modifica de manera importante la calidad de vida de las personas; los cuidadores, como fuente importante de cuidado informal, requieren apoyo de los sistemas de salud y, como parte de este, de los profesionales de enfermería.

  11. Computed tomographic evaluation in 8 patient of cerebrovascular moyamoya disease

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Young Tae; Lee, Jung Suk; Suh, Soo Jhi; Kim, Soon Yong [School of Medicine, Kyung-Hee University Hospital, Seoul (Korea, Republic of)

    1980-12-15

    CT findings in eight cerebrovascular moyamoya disease were compared with carotid angiographic findings and the results were as follows: 1. The patient's age was ranged from 2 to 49 years. Of eight patients, five were less than 17 years old and the rests were two 23 years and one 49 years of age. 2. Except one 6 years old boy, all of them were female patients. 3. In precontrast CT scan of 8 cases, 6 cases of cortical atrophy, 6 cases of ventricular dilatation and 5 cases of low density area were observed. In postcontrast study the children group shows abnormal contrast enhancement in 3 out of 5 patients but all adult reveal no contrast enhancement. 4. The isodense area in CT were thought to represent good collateral manifested by angiographic moyamoya vascular network and leptomeningeal anastomosis while the low density area in CT appears to poor colleaterals manifested by transdural anastomosis. 5. To evaluate the possibility of this disease, carotid angiography should be performed to the hemiplgic child who shows multiple low density area and abnormal enhancement in CT scan. 6. CT is not only reliable for evaluation of ventricular hemorrhage but also brain damage in patients with moyamoya disease.

  12. 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.

  13. 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.

  14. 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.

  15. Cerebrovascular diseases and depression: epidemiology, mechanisms and treatment.

    Science.gov (United States)

    Göthe, F; Enache, D; Wahlund, L O; Winblad, B; Crisby, M; Lökk, J; Aarsland, D

    2012-09-01

    Both cerebrovascular disease (CVD) and depression are common conditions in the elderly, and there is emerging evidence of a bi-directional relationship: 1) depression can cause CVD and stroke, transient ischemic attack; and 2) subcortical CVD are associated with increased risk for depression. The frequency of poststroke depression is highest during the first month after the stroke, but remains high even after several years. Depression is associated with poorer functional prognosis and higher mortality after stroke. There is good evidence that severity of functional impairment, high neuroticism, low social support as well as genetic factors are associated with an increased risk for post-stroke depression. Deep white matter lesions are the most consistent imaging correlate of depression. Potential mechanisms mediating the association between depression and CVD are neuroinflammation and HPA-axis activation, fronto-subcortical circuit lesions, and serotonergic dysfunction. Antidepressants have demonstrated effect on poststroke depression in meta-analyses, and such drugs as well as vitamin B can reduce the incidence of depression in stroke survivors. In addition, serotonergic drugs may strengthen poststroke motor and cognitive recovery, potentially through restorative mechanisms. Psychotherapeutic strategies such as problem-solving therapy seem to be effective. There is emerging evidence that treatment of cardiovascular disease and risk-factors can reduce the risk for late-life depression, but more studies are needed to test this hypothesis.

  16. Cerebrovascular mental stress reactivity is impaired in hypertension

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    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.

  17. 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)

  18. 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

  19. 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....

  20. 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...

  1. “The ones who went back home”: The end of ETA político militar and the social reintegration of its members (1974-1985.

    Directory of Open Access Journals (Sweden)

    Eduardo Parra Iñesta

    2013-10-01

    Full Text Available Abstract In September 1982 ETA politico militar division was disbanded. This break-up had emerged in 1974, due to the wave of terrorist attacks of the military front. ETA was divided into two different sections: militar and político-militar. The polimilis followed a path that aimed at merging the armed struggle and the mass struggle. However, the political party that emerged from the previous split, EIA, did have an important role. This party was born in 1977 and took part in the political game at a very early stage. EIA will be precisely an important element for ETA político-militar division to give up armed struggle, due to the imposition of a realistic vision, in which political achievements as the Constitution or the Basque Statute make the armed struggle void.

  2. [Lipid and glucose profile in patients with ischemic cerebrovascular accidents in Dakar].

    Science.gov (United States)

    Ousmane, Cisse; Lemine, Dadah Samy Mohamed; Fatoumata, Ba; Makhtar, Ba El Hadji; Soda, Diop Marieme; Side, Diagne Ngor; Dieynaba, Sow Adjaratou; Modji, Basse Anna; Kamadore, Touré; Moustapha, Ndiaye; Gallo, Diop Amadou; Mansour, Ndiaye Mouhamadou

    2016-01-01

    Cerebrovascular accident (CVA) is defined as the rapid development of localized or global clinical signs of neurological dysfunction with no apparent cause other than that of vascular origin. A variety of risk factors have been identified and associated with the occurrence of Ischemic CVA, including glucose and lipid metabolism disturbances. We conducted a retrospective study at the Clinic of Neurology, Fann. Our study focused on medical records of patients with ICVA confirmed by imaging, hospitalized from January 1 to December 31 2010. All patients underwent complete lipid profile (total cholesterol, triglycerides, HDL; LDL level was calculated using Friedwald formula), kidney function tests and fasting blood sugar test were performed within 48 hours of admission. Data were analysed using univariate technique and then using bivariate technique tanks to SPSS 16.0 software. We collected 235 files. We here report a case series of patients between ages 10-99 years, with an average age of 67,06 years. Males were 42,55%, sex-ratio was 0,74 in favour of women. 26% of cases had impaired fasting glucose levels during the acute phase of ICVA. The lipid profile showed an increase in total cholesterol level in 52.34% of patients. Low levels of HDL cholesterol were found in 34.47% of patients. Hypertriglyceridemia was only observed in 3% of patients. LDL levels were high in 12,76% of patients. Atherogenicity index was high in 25,53% of patients. Disturbances of blood glucose and lipid profile are often associated with ICVA and should be taken into account to ensure better secondary prevention.

  3. 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.

  4. 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

  5. Entre a farda e o pince-nez: a influência da Academia Real Militar na formação do Exército brasileiro

    Directory of Open Access Journals (Sweden)

    Tibola, Ana Paula Lima

    2010-01-01

    Full Text Available Este artigo tem por objetivo tratar da relação entre as concepções teóricas presentes no Estatuto da Academia Real Militar e o discurso do Exército expresso no jornal O Militar. Analisar essa conexão é um dos objetivos da pesquisa que desenvolvo no Programa de Pós-Graduação em História da PUC-RS, cuja problemática é entender como se deu a formação do Exército e sua participação na política luso-brasileira durante a primeira metade do século XIX. Ao falar sobre a formação desse corpo técnico do Estado, que é o Exército, procuro destacar o papel da Academia Real Militar, pois vejo na formação acadêmica dos militares o embasamento teórico da ideologia presente no discurso que proferiram no jornal O Militar. Portanto, levanto a hipótese de que existiu ampla participação do Exército na política luso-brasileira durante a primeira metade do século XIX e, que as movimentações políticas dos militares foram fomentadas pelo treinamento da Academia Militar, sendo essa instituição produto e elemento disseminador do pensamento militar da época, cuja base é o desenvolvimento e aplicação da ciência moderna

  6. Özgür Heval Çınar and Coşkun Üsterci, Conscientious Objection, Resisting Militarized Society

    Directory of Open Access Journals (Sweden)

    Sümbül Kaya

    2009-12-01

    Full Text Available Conscientious Objection, Resisting Militarized Society is an original book that includes 27 contributions from a variety of academics and militants on conscientious objection (CO in the world and especially in Turkey. The book is divided into four parts. The first part offers a historical and philosophical approach to conscription and the motivations for resisting conscription in a “militarized society”. The second part of the book introduces a gender analysis of conscientious objection and ...

  7. 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.

  8. 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.

  9. 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.

  10. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

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    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

  11. 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.

  12. Haemodynamic and cerebrovascular responses to glycerol infusion in dogs.

    Science.gov (United States)

    Chen, J L; Wang, Y C; Wang, J Y

    1989-11-01

    1. The response of cerebral blood vessels to hyperosmolar agents in vivo remains controversial, and little is known about the effect of glycerol on cerebral vessels. In this study we investigated the cerebrovascular response to intravenous administration of glycerol (1 g/kg, infused over 25 min) in dogs under pentobarbital anaesthesia. 2. intracranial pressure, systemic arterial pressure, mean arterial blood pressure, serum osmolarity and packed cell volume were continuously monitored, and blood gases were checked frequently. Through a parietal cranial window, pial vessel diameter was measured by means of a surgical microscope and a video image-analyser. 3. Pial vessel diameter increased gradually with a maximum at 30 min after the beginning of glycerol infusion. The maximum increase in diameter in small (less than or equal to 100 microns) vessels was 14.3%, whereas that in large (greater than 100 microns) vessels was 10.3%. There was only a slight increase (less than 4%) in pial vessel diameter in vehicle-infused animals. The intracranial pressure decreased drastically after glycerol infusion, whereas the mean arterial blood pressure remained constant. There were correlations between the rise in serum osmolarity, fall in packed cell volume and vasodilatation, indicating that glycerol caused vasodilatation accompanied by plasma volume expansion. 4. Our data suggest that glycerol produces cerebral vasodilatation, which might be beneficial in cerebral ischaemia and vasospasm, in addition to its intracranial pressure-reducing effect on normal or oedematous brain. The degree of vasodilatation was not sufficient to affect the predominant intracranial pressure drop resulting from cerebral dehydration.

  13. Imaging of cerebrovascular pathology in animal models of Alzheimer's disease

    Science.gov (United States)

    Klohs, Jan; Rudin, Markus; Shimshek, Derya R.; Beckmann, Nicolau

    2014-01-01

    In Alzheimer's disease (AD), vascular pathology may interact with neurodegeneration and thus aggravate cognitive decline. As the relationship between these two processes is poorly understood, research has been increasingly focused on understanding the link between cerebrovascular alterations and AD. This has at last been spurred by the engineering of transgenic animals, which display pathological features of AD and develop cerebral amyloid angiopathy to various degrees. Transgenic models are versatile for investigating the role of amyloid deposition and vascular dysfunction, and for evaluating novel therapeutic concepts. In addition, research has benefited from the development of novel imaging techniques, which are capable of characterizing vascular pathology in vivo. They provide vascular structural read-outs and have the ability to assess the functional consequences of vascular dysfunction as well as to visualize and monitor the molecular processes underlying these pathological alterations. This article focusses on recent in vivo small animal imaging studies addressing vascular aspects related to AD. With the technical advances of imaging modalities such as magnetic resonance, nuclear and microscopic imaging, molecular, functional and structural information related to vascular pathology can now be visualized in vivo in small rodents. Imaging vascular and parenchymal amyloid-β (Aβ) deposition as well as Aβ transport pathways have been shown to be useful to characterize their dynamics and to elucidate their role in the development of cerebral amyloid angiopathy and AD. Structural and functional imaging read-outs have been employed to describe the deleterious affects of Aβ on vessel morphology, hemodynamics and vascular integrity. More recent imaging studies have also addressed how inflammatory processes partake in the pathogenesis of the disease. Moreover, imaging can be pivotal in the search for novel therapies targeting the vasculature. PMID:24659966

  14. Cerebrovascular Time Constant in Patients with Head Injury.

    Science.gov (United States)

    Trofimov, Alex; Kalentiev, George; Gribkov, Alexander; Voennov, Oleg; Grigoryeva, Vera

    2016-01-01

    The cerebrovascular time constant (τ) theoretically estimates how fast the cerebral arterial bed is filled by blood volume after a sudden change in arterial blood pressure during one cardiac cycle. The aim of this study was to assess the time constant of the cerebral arterial bed in patients with traumatic brain injury (TBI) with and without intracranial hematomas (IH). We examined 116 patients with severe TBI (mean 35 ± 15 years, 61 men, 55 women). The first group included 58 patients without IH and the second group included 58 patients with epidural (7), subdural (48), and multiple (3) hematomas. Perfusion computed tomography (PCT) was performed 1-12 days after TBI in the first group and 2-8 days after surgical evacuation of the hematoma in the second group. Arteriovenous amplitude of regional cerebral blood volume oscillation was calculated as the difference between arterial and venous blood volume in the "region of interest" of 1 cm(2). Mean arterial pressure was measured and the flow rate of the middle cerebral artery was recorded with transcranial Doppler ultrasound after PCT. The time constant was calculated by the formula modified by Kasprowicz. The τ was shorter (p = 0.05) in both groups 1 and 2 in comparison with normal data. The time constant in group 2 was shorter than in group 1, both on the side of the former hematoma (р = 0.012) and on the contralateral side (р = 0.044). The results indicate failure of autoregulation of cerebral capillary blood flow in severe TBI, which increases in patients with polytrauma and traumatic IH.

  15. LA REINTERPRETACIÓN CONSTITUCIONAL DEL FUERO DE GUERRA O MILITAR EN EL MARCO DEL ESTADO DEMOCRÁTICO

    OpenAIRE

    Susana Thalía PEDROZA DE LA LLAVE

    2011-01-01

    Este trabajo pretende proporcionar una visión objetiva e imparcial sobre el marco jurídico que prevalece hoy en día respecto del fuero de guerra, militar o castrense en los países democráticos. Además, se abordaran temas como el origen del término fuero; el marco jurídico del fuero de guerra o militar de diversos países; para señalar que Constituciones reconocen la igualdad entre los seres humanos y el fuero militarse; asimismo se analizará el caso de México, donde la interpretación de la Sup...

  16. Fabricar y luchar... para emancipar. La tecnología militar insurgente en la independencia de México

    Directory of Open Access Journals (Sweden)

    Moisés Guzmán Pérez

    2010-01-01

    Full Text Available Este artículo busca asomarse a las transformaciones tecnológicas y militares que experimentaron los habitantes de la Nueva España, a causa de la insurrección armada encabezada por Miguel Hidalgo el 16 de septiembre de 1810. Se hace hincapié en los tipos de armas usados por los rebeldes para enfrentar al ejército español; en el apoyo que tuvieron de militares, operarios y ex alumnos del Colegio de Minería en el proceso de fabricación de armamento; en la estructura organizativa y espacial de las maestranzas; en las dificultades de los insurgentes al momento de producir material bélico, y en los mecanismos alternos que emplearon para hacerse de armas.

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

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    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.

  18. El uso de minas terrestres en Chile: hacia una teoría de la frontera militar

    Directory of Open Access Journals (Sweden)

    Holahan, Dana

    2005-01-01

    Full Text Available O presente trabalho aborda a questão das fronteiras militares a aprtir do estudo do caso chileno em que o problema da demarcação de fronteiras resolveu-se ao longo do tempo por meio do uso de minas terrestres. Pretende-se mostrar os problemas relacionados com a teoria das fronteiras realizando uma incursão nos seus aspectos geográficos, políticos e diplomáticos. Objetiva-se, com isso, trazer a tona a questão de fronteira militar como um conceito cujo recurso tem sido inadequado, uma vez que se mostra incapaz de solucionar os problemas atuais, bem como dar conta das reais e atuais necessidades dos atores das relações internacionais, além de mostrar as necessidades prementes do desarmamento de minas terrestres.

  19. El uso de minas terrestres en Chile: hacia una teoría de la frontera militar

    Directory of Open Access Journals (Sweden)

    Holahan, Dana

    2005-01-01

    Full Text Available O presente trabalho aborda a questão das fronteiras militares a aprtir do estudo do caso chileno em que o problema da demarcação de fronteiras resolveu-se ao longo do tempo por meio do uso de minas terrestres. Pretende-se mostrar os problemas relacionados com a teoria das fronteiras realizando uma incursão nos seus aspectos geográficos, políticos e diplomáticos. Objetiva-se, com isso, trazer a tona a questão de fronteira militar como um conceito cujo recurso tem sido inadequado, uma vez que se mostra incapaz de solucionar os problemas atuais, bem como dar conta das reais e atuais necessidades dos atores das relações internacionais, além de mostrar as necessidades prementes do desarmamento de minas terrestres

  20. La Casa de Borbón y las órdenes militares durante el siglo XVIII (1700-1809)

    OpenAIRE

    Gijón Granados, Juan de A.

    2008-01-01

    El interés de este trabajo de investigación radica en iluminar una página de la historia de la Monarquía Hispánica en relación a las Órdenes Militares de la que no existía ningún estudio general que se ocupara del período 1700-1809. A lo largo de esta tesis doctoral se puede apreciar el peso político, social y económico que las Órdenes Militares aun tenían en el siglo XVIII. La vinculación a miembros de la Familia Real de dotaciones económicas anuales procedentes de unos señoríos de Órdenes M...

  1. 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.    

  2. Satisfação no Trabalho dos Policiais Militares do Rio Grande do Sul: um Estudo Quantitativo

    Directory of Open Access Journals (Sweden)

    Damiana Machado de Almeida

    Full Text Available Resumo Satisfação no Trabalho pode ser entendida como o vínculo afetivo do indivíduo com seu ambiente laboral. A profissão de policial militar é considerada de alto risco, pois ele lida constantemente com a violência, a brutalidade e a morte. Frente a este contexto, esse estudo foi desenvolvido visando identificar o grau de Satisfação no Trabalho dos policiais militares do Rio Grande do Sul. Realizou-se uma pesquisa descritiva, do tipo survey, com abordagem quantitativa. Os participantes do estudo totalizaram 519 policiais militares pertencentes a quartéis de cidades localizadas no estado do Rio Grande do Sul. A Escala de Satisfação no Trabalho (EST foi utilizada como instrumento de pesquisa. No geral, identificou-se que os policiais tendem a sinalizar insatisfação em relação ao trabalho. Dentre as dimensões que compõe a EST, tendem a sinalizar insatisfação em relação ao salário (média: 2,79 e com as promoções (média: 3,03; indiferença (nem satisfeitos e nem insatisfeitos em relação à chefia (média: 4,42 e à natureza do trabalho (média: 4,37; e, por fim, sinalizam tendência à satisfação em relação aos colegas (média: 5,00. Espera-se com essas evidências contribuir para as futuras decisões organizacionais que impliquem na saúde dos policiais militares e consequente qualidade de vida, da equipe e seus familiares.

  3. 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.

  4. 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.

  5. 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.

  6. 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...

  7. 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...

  8. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  10. Pascua Militar: las órdenes del Rey a las Fuerzas Armadas

    Directory of Open Access Journals (Sweden)

    Miguel Ballenilla y García de Gamarra

    2015-06-01

    Full Text Available La Pascua Militar constituye un so-lemne acto castrense presidido por S.M. el Rey al que asisten la Familia Real y las primeras autoridades del Estado. Por su carácter marca-damente institucional, el discurso del Rey es el más relevante de los que se dirigen a las Fuer-zas Armadas. En este trabajo se analiza la evo-lución del citado discurso en las últimas cuatro décadas, los elementos que centran su conteni-do, su relación con el papel que ejerce el Rey como Jefe Supremo de las Fuerzas Armadas, y los acontecimientos que afectan a los Ejércitos y la Defensa Nacional.Palabras clave: Discurso, Análisis, Pascua Mili-tar, Rey, Fuerzas Armadas, Constitución, Transi-ción, Terrorismo._______________ 800x600 Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4 /* 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-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} The “Pascua Militar” is a solemn mili-tary ceremony presided by HM The King at-tended by the Royal Family and the highest authorities of the state. The importance of this institutional event becomes the King’s speech as the most relevant of which are addressed to the Armed Forces. In this paper we analyse the evolution of that discourse in the last four dec-ades, we identify the elements that focus their content, it relationship to the role played by the King as Supreme Commander of the Armed Forces and the events affecting them and Na-tional Defence.Keywords: Speech, Analysis, King, Armed Forc-es, Constitution, Political change, Terrorism. Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4

  11. Triagem pré-participação com ECG em recrutas militares

    Directory of Open Access Journals (Sweden)

    Alon Grossman

    2013-03-01

    Full Text Available FUNDAMENTO: Os achados e investigações adicionais necessários com base na triagem pré-participação com eletrocardiograma (ECG entre os recrutas militares estão mal definidos na literatura. OBJETIVOS: Este estudo foi elaborado para avaliar a taxa de achados anormais na triagem pré-participação com ECG em adultos jovens e as avaliações adicionais necessárias com base nestes resultados. MÉTODOS: Um estudo de coorte retrospectivo foi realizado no centro aero-médico da Força Aérea de Israel (IAF, para candidatos das unidades das academias de voo e de tropa s de elite. Os candidatos das unidades das Academias de voo e de elite passam por uma triagem pré-participação com ECG antes do alistamento nas Forças de Defesa de Israel (IDF. Desde 2010, todos os ECGs são realizados no centro aero-médico da IAF. Todos os ECGs realizados desde janeiro de 2010 foram analisados por um de três cardiologistas e todos aqueles nos quais resultados significativos foram identificados foram encaminhados para uma avaliação mais detalhada, a pedido do cardiologista. As causas de encaminhamento para avaliação posterior, as avaliações realizadas e os resultados dessas avaliações são notificados para a população de estudo. RESULTADOS: 1.455 ECGs foram realizados nos anos 2010-2011. Desses, 1.388 (95,39% foram interpretadas como normais. 67 indivíduos foram encaminhados para uma avaliação mais detalhada com base nos achados do ECG. Os achados mais comuns levando a uma avaliação mais detalhada foram alterações da onda T (16 casos, 23,88%, padrão de pré-excitação (14, 20,89% e critérios de voltagem para hipertrofia ventricular esquerda (11; 16,41%. Apenas 7 indivíduos (10,44% tinham resultados anormais que foram considerados clinicamente significativos no final da avaliação médica. CONCLUSÕES: A taxa de achados significantes levando à desqualificação para a atividade militar é extremamente baixa e o encaminhamento para

  12. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  14. 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

  15. 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

  16. 老年脑血管病吸入性肺炎96例临床分析%Senile cerebrovascular disease aspiration pneumonia in 96 cases

    Institute of Scientific and Technical Information of China (English)

    任晓荣

    2013-01-01

    目的 观察老年脑血管病吸入性肺炎的临床特点、预防措施及治疗方法.方法 对大同市第三人民医院收治的96例老年脑血管病吸入性肺炎患者采用营养支持、对症及抗感染治疗,并给予患者置鼻胃管加抗反流治疗,观察其临床特征及治疗效果.结果 老年脑血管病吸入性肺炎患者临床表现多样,症状不典型;96例患者中痊愈34例,有效48例,有效率为85.42%;所有患者均未再出现吸入性肺炎及窒息.结论 营养支持、对症及抗感染治疗是改善老年脑血管病吸入性肺炎的有效措施,置鼻胃管加抗反流治疗是预防再次出现吸入性肺炎及窒息的主要措施.%Objective To observe the clinical characteristics,prevention and treatment of senile cerebrovascular disease aspiration pneumonia.Methods Ninety-six patients in the third people' s hospital of Datong with an senile cerebrovascular disease aspiration pneumonia,to accept the nutrition support and anti-infection treatment,and patients were given nasogastric tube plus anti-reflux therapy,observed the clinical characteristics and treatment effect.Results Clinical manifestation were various in senile cerebrovascular disease aspiration pneumonia,and with atypical symptoms,96 patients were recovered in 34cases,effective in 48 cases,the effective rate was 85.42%.All of the patients did not appear again aspiration pneumonia and suffocation.Conclusions Nutrition support,suit and anti-infection treatment is effective measures to improve the senile cerebrovascular disease aspiration pneumonia.Nasogastric tube plus anti-reflux therapy is the main measures to prevent recurrence of aspiration pneumonia and suffocation.

  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. 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...

  19. 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.

  20. 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.

  1. 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.

  2. Relações assimétricas: sexualidade, saúde e poder em militares

    Directory of Open Access Journals (Sweden)

    Edilma de Oliveira Costa

    2004-02-01

    Full Text Available O artigo apresenta um excerto de uma investigação sobre a percepção dos policiais militares do sexo masculino, quanto as DST/AIDS, ressaltando, as RELAÇÕES DE PODER, identificando as interferências no exercício da sexualidade e, conseqüentemente, na percepção e exposição ao risco de contaminação em DST/AIDS. As reuniões de grupos focais propiciaram a socialização das informações, mostrando que os participantes, em sua maioria, reconhecem o risco de contaminação em relação as DST/AIDS, embora isso não seja revertido em prevenção, necessariamente. Registra as desigualdades entre homens e mulheres em relação ao exercício da sexualidade e suas possíveis conseqüências no aumento da incidência de doenças de transmissão sexual.

  3. Mujer y Anticlericalismo: La Justicia Militar en Marbella 1937–1939

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    Lucía Prieto Borrego

    2009-12-01

    Full Text Available Este artículo está basado en los sumarios de trece mujeres vecinas del municipio de Marbella, sometidas a juicio entre 1937 y 1939. Las mujeres procesadas por la Justicia Militar tienen como acusación común la participación en cualquiera de las modalidades de la violencia anticlerical durante la guerra civil en Marbella. La atribución de conductas anticlericales e iconoclastas a mujeres conocidas por su participación en actividades de naturaleza sociopolítica fue utilizada para justificar una represión que penalizaba la trasgresión de lo que se consideraba la condición femenina._______________________ABSTRACT:This article is based on the summaries of thirteen neighboring women of the municipality of Marbella, submitted to judgment between 1937 and 1939. The women tried by the Military Justice take the participation as a common accusation in any of the modalities of the anticlerical violence during the civil war in Marbella. The attribution of anticlerical conduct and iconoclast to women known by his participation in activities of nature socio-political were used for to justify a repression that was penalizing the transgression of what it was considered to be the feminine condition.

  4. 急性脑血管病并发脑心综合征55例临床分析%Analysis of acute cerebrovascular disease complicated by brain- heart syndrome 55 cases

    Institute of Scientific and Technical Information of China (English)

    杨彦; 滕军放

    2012-01-01

    目的 探讨急性脑血管病并发脑心综合征的发病机制和防治措施.方法 选择郑州大学第一附属医院2008年9月至2011年8月收治的急性脑血管病患者90例,回顾性分析其临床资料,观察并发脑心综合征的发生率,并分析发病机制和防治效果.结果 全部患者并发脑心综合征55例,发生率为61.11%.其中出血性脑血管病48例,占87.27%;缺血性脑血管病7例,占12.73%.经综合治疗后,好转53例,好转率为96.36%.结论 脑心综合征的发生可能与急性脑血管病的类型有关,出血性脑血管病高于缺血性脑血管病.其发生机制可能与脑受损后对心脏神经支配紊乱、神经和体液调节障碍、血管病变及血流动力学变化有关.应注意加强对急性脑血管病尤其是出血性脑血管病患者的心功能监护,积极防治脑心综合征.%Objective To investigate the pathogenesis and prevention measures of acute cerebrovascular disease complicated by brain - heart syndrome,and provide a reference for clinical work. Methods Totally 90 patients with acute ce-rebrovascular disease were treated in our hospital from September 2008 - August 2011,a retrospective analysis of clinical data,observation of brain - heart syndrome,complicated by incidence,pathogenesis and control. Results All patients with brain - heart syndrome in 55 cases,the rate was 61. 11%. One of hemorrhagic cerebrovascular disease in 48 cases,accounting for 87. 27% ; Ischemic cerebrovascular disease in 7 cases,accounting for 12. 73%. Comprehensive treatment ,improved in 53 cases,improvement rate was 96. 36%. Conclusions Brain - heart syndrome may occur with the type of acute cerebrovascular disease,hemorrhagic cerebrovascular disease was more than ischemic cerebrovascular disease. In future clinical work,should be paid attention to acute hemorrhagic cerebrovascular disease,especially heart function in patients with cerebrovascular disease monitoring,to prevent and treat

  5. 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

  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. Quality of Life Related to Health on Patients Suffering from Cerebrovascular Diseases at 2 Years of Survival

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    Rubén Bembibre Taboada

    2007-05-01

    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.

  8. 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.

  9. First translational 'Think Tank' on cerebrovascular disease, cognitive impairment and dementia

    NARCIS (Netherlands)

    Barone, F.C.; Gustafson, D.; Crystal, H.A.; Moreno, H.; Adamski, M.G.; Arai, K.; Baird, A.E.; Balucani, C.; Brickman, A.M.; Cechetto, D.; Gorelick, P.; Biessels, G.J.; Kiliaan, A.J.; Launer, L.; Schneider, J.; Sorond, F.A.; Whitmer, R.; Wright, C.; Zhang, Z.G.

    2016-01-01

    As the human population continues to age, an increasing number of people will exhibit significant deficits in cognitive function and dementia. It is now recognized that cerebrovascular, metabolic and neurodegenerative diseases all play major roles in the evolution of cognitive impairment and dementi

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

    NARCIS (Netherlands)

    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

  11. Cerebrovascular risk factors and subsequent depression in older general practice patients

    NARCIS (Netherlands)

    Nuyen, Jasper; Spreeuwenberg, Peter M.; Beekman, Aartjan T.F.; Groenewegen, Peter P.; Bos, Geertrudis A.M. van den; Schellevis, Francois G.

    2007-01-01

    Background: This general practice-based case-control study tested the association between cerebrovascular risk factors (CVRFs) and the development of later-life depression by focusing on the impact of exposure duration to CVRFs and the modifying influence of age at depression onset. Methods: Cases w

  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. Effect of breath holding on cerebrovascular hemodynamics in normal pregnancy and preeclampsia

    NARCIS (Netherlands)

    van Veen, Teelkien R.; Panerai, Ronney B.; Haeri, Sina; Zeeman, Gerda G.; Belfort, Michael A.

    2015-01-01

    Preeclampsia (PE) is associated with endothelial dysfunction and impaired autonomic function, which is hypothesized to cause cerebral hemodynamic abnormalities. Our aim was to test this hypothesis by estimating the difference in the cerebrovascular response to breath holding (BH; known to cause symp

  14. Cerebrovascular risk factors and subsequent depression in older general practice patients.

    NARCIS (Netherlands)

    Nuyen, J.; Spreeuwenberg, P.M.; Beekman, A.T.F.; Groenewegen, P.P.; Bos, G.A.M. van den; Schellevis, F.G.

    2007-01-01

    Background: This general practice-based case-control study tested the association between cerebrovascular risk factors (CVRFs) and the development of later-life depression by focusing on the impact of exposure duration to CVRFs and the modifying influence of age at depression onset. Methods: Cases w

  15. Clinical and anatomical consequences of impaired cerebrovascular reserve as detectable by quantitative functional MR imaging

    NARCIS (Netherlands)

    Fierstra, J.

    2012-01-01

    Brain areas exhibiting impaired cerebrovascular reserve are believed to be at higher risk of ischemic tissue injury under circumstances in which cerebral blood flow is insufficient to meet metabolic demand. Other than for acute ischemia, which results in apparent (irreversible) loss of brain tissue

  16. 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

    to radiation and is capable of inducing atherosclerosis. The objective of the study was to elucidate whether ionizing radiation from radioiodine might contribute to cerebrovascular morbidity. METHODS: In a retrospective register cohort study, 4000 hyperthyroid and 1022 euthyroid goitre patients treated...

  17. Central respiratory chemosensitivity and cerebrovascular CO2 reactivity: a rebreathing demonstration illustrating integrative human physiology.

    Science.gov (United States)

    MacKay, Christina M; Skow, Rachel J; Tymko, Michael M; Boulet, Lindsey M; Davenport, Margie H; Steinback, Craig D; Ainslie, Philip N; Lemieux, Chantelle C M; Day, Trevor A

    2016-03-01

    One of the most effective ways of engaging students of physiology and medicine is through laboratory demonstrations and case studies that combine 1) the use of equipment, 2) problem solving, 3) visual representations, and 4) manipulation and interpretation of data. Depending on the measurements made and the type of test, laboratory demonstrations have the added benefit of being able to show multiple organ system integration. Many research techniques can also serve as effective demonstrations of integrative human physiology. The "Duffin" hyperoxic rebreathing test is often used in research settings as a test of central respiratory chemosensitivity and cerebrovascular reactivity to CO2. We aimed to demonstrate the utility of the hyperoxic rebreathing test for both respiratory and cerebrovascular responses to increases in CO2 and illustrate the integration of the respiratory and cerebrovascular systems. In the present article, methods such as spirometry, respiratory gas analysis, and transcranial Doppler ultrasound are described, and raw data traces can be adopted for discussion in a tutorial setting. If educators have these instruments available, instructions on how to carry out the test are provided so students can collect their own data. In either case, data analysis and quantification are discussed, including principles of linear regression, calculation of slope, the coefficient of determination (R(2)), and differences between plotting absolute versus normalized data. Using the hyperoxic rebreathing test as a demonstration of the complex interaction and integration between the respiratory and cerebrovascular systems provides senior undergraduate, graduate, and medical students with an advanced understanding of the integrative nature of human physiology.

  18. 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.

  19. Reduction of the cerebrovascular volume in a transgenic mouse model of Alzheimer's disease.

    Science.gov (United States)

    Bourasset, Fanchon; Ouellet, Mélissa; Tremblay, Cyntia; Julien, Carl; Do, Tuan Minh; Oddo, Salvatore; LaFerla, Frank; Calon, Frédéric

    2009-03-01

    Combined evidence from neuroimaging and neuropathological studies shows that signs of vascular pathology and brain hypoperfusion develop early in Alzheimer's disease (AD). To investigate the functional implication of these abnormalities, we have studied the cerebrovascular volume and selected markers of blood-brain barrier (BBB) integrity in 11-month-old 3 x Tg-AD mice, using the in situ brain perfusion technique. The cerebrovascular volume of distribution of two vascular space markers, [3H]-inulin and [14C]-sucrose, was significantly lower (-26% and -27%, respectively; p diazepam was similar between 3xTg-AD mice and controls, suggesting no difference in the functional integrity of the BBB. We also report a 32% increase (p < 0.001) in the thickness of basement membranes surrounding cortical microvessels along with a 20% increase (p < 0.05) of brain collagen content in 3xTg-AD mice compared to controls. The present data indicate that the cerebrovascular space is reduced in a mouse model of Abeta and tau accumulation, an observation consistent with the presence of cerebrovascular pathology in AD.

  20. 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…

  1. Recurrence of cerebrovascular events in young adults with a secundum atrial septal defect

    NARCIS (Netherlands)

    Winkens, Bjorn; Dimopoulos, Konstantinos; Fernandes, Susan M.; Gatzoulis, Michael A.; Landzberg, Michael J.; Mulder, Barbara J. M.

    2010-01-01

    Background: The recurrence rate for cerebrovascular ischemic events in patients after a first TIA or CVA with an atrial septal defect type 2 (ASD2) remains unknown. At present, there are no guidelines with respect to appropriate treatment. The aim of this study was to determine incidence rates of re

  2. 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.

  3. 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.

  4. 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

  5. Cerebrovascular disease, associated risk factors and antithrombotic therapy in a population screening cohort

    DEFF Research Database (Denmark)

    Proietti, Marco; Mairesse, Georges H; Goethals, Peter;

    2017-01-01

    (4.0%) reported a positive clinical history for cerebrovascular disease. Logistic regression analysis found that age, hypertension, diabetes mellitus, history of vascular disease, history of heart failure and history of AF (all p ...-optimal antithrombotic therapy management was evident, with a low use of oral anticoagulant drugs among patients with AF and a low use of aspirin among subjects without AF....

  6. Outcomes With Edoxaban Versus Warfarin in Patients With Previous Cerebrovascular Events

    DEFF Research Database (Denmark)

    Rost, Natalia S; Giugliano, Robert P; Ruff, Christian T

    2016-01-01

    BACKGROUND AND PURPOSE: Patients with atrial fibrillation and previous ischemic stroke (IS)/transient ischemic attack (TIA) are at high risk of recurrent cerebrovascular events despite anticoagulation. In this prespecified subgroup analysis, we compared warfarin with edoxaban in patients with ver...... IS or TIA. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT00781391....

  7. La geografía militar española (1819-1936

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    Herrero Fabregat, Clemente

    2002-06-01

    Full Text Available The Spanish Military Geography during the period 1819-1945 is presented as an Applied Geography; wich needs an overall knowledge of Geography in order to apply it to the war requirements. The method for the analysis of the Spanish mainland develops from a study around its bowls and hydrographic slopes into a strategic study, going over military areas. Its output and scientific level is very high in a time when the academic Geograpphy was not estabished. Its approach to the same geographic area is different from the Geography for Teachers, given that the goal of the former is the geographic knowledge of the land in order to defend or control it.

    [es] La geografía militar española durante el período 1819-1945 se presenta como una geografía aplicada, que necesita del conocimiento geográfico general para aplicarlo a las necesidades de la guerra. El método para el análisis de España peninsular evoluciona desde un estudio por cuencas y vertientes hidrográficas hasta otro estratégico, pasando por las circunscripciones militares. Su producción y nivel científico es muy alto en un momento en que la geografía académica no estaba institucionalizada. Sus razonamientos, ante el mismo espacio geográfico, son distintos a la geografía de los profesores, ya que su objetivo es el conocimiento geográfico del terreno para su defensa o dominio. [fr] La géography militaire espagnole pendat le période 1819-1945 se présente comme une géographie appliquée, qui requiert une connaissance géographique générale pour l'appliquer aux besoins concernant le thème de la guerre. Le méthode pour V analyse de l'Espagne péninsulaire évolue à partir d'une étude relative aux bassins et versants hydrographiques jusqu'à une autre relative à l´aspect stratéqique, en pasant par les circonscriptions militaires. Sa production et son niveau scientifiques résultent d'un niveau élève à un moment où la géographique académique n'était pas

  8. 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.

  9. 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.

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

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    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.

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

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    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. Cultura escolar e ensino de história em tempos de ditadura militar brasileira

    Directory of Open Access Journals (Sweden)

    Antonio Simplicio de Almeida Neto

    2014-12-01

    Full Text Available Elementos da cultura escolar referentes ao ensino de História durante a ditadura militar brasileira são apresentados e discutidos a partir da utilização de corpus documental constituído por Relatórios de Estágio de Prática de Ensino de História (FEUSP e Registros Escolares de escolas públicas estaduais de São Paulo (Atas de Reunião de Centro Cívico, Pedagógica e de Área, Livros de Termos de Visitas de Supervisão, Livro de Ocorrências Disciplinares e de Escala de Hasteamento de Arreamento de Bandeira das décadas de 1960 e 1970. Revela-se uma intrincada e complexa rede de acontecimentos e sujeitos que amplia a perspectiva de análise dessa disciplina escolar num período de profundas transformações na educação escolar brasileira. Dentre os elementos dados a conhecer, destacam-se: formas de manifestação do poder na estrutura hierárquica da escola; diferentes posicionamentos dos professores; participação docente nos diversos encaminhamentos do cotidiano escolar, através de reuniões, festividades, aulas e eventos; práticas em sala de aula com a seleção de conteúdos, abordagens e usos de materiais didáticos e atuação dos alunos na dinâmica escolar.

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

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    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.

  14. 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.

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

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    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. La información y la lectura para presas políticas durante la dictadura militar en Uruguay

    OpenAIRE

    Yanet Fúster; Cecilia Langelán

    2010-01-01

    A partir del marco que provee la Bibliotecología/Ciencia de la Información se presenta un estudio sobre las vías de acceso a documentos de contenido recreativo e informativo y sobre el uso que de ellos se hacía en la Cárcel de Punta de Rieles para presas políticas, durante la dictadura civil-militar que vivió Uruguay entre 1973 y 1985. En un estudio de usuarios de carácter retrospectivo, se obtienen una serie de testimonios que revelan el significado de la lectura como medio para perforar los...

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

    OpenAIRE

    Margarita San Andrés Moya; José Manuel de la Roja de la Roja

    2009-01-01

    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...

  18. A etnografia como extensão da guerra por outros meios: notas sobre a pesquisa com militares

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    Piero C. Leirner

    2009-04-01

    Full Text Available Este artigo pretende abordar resultados e consequências da realização de pesquisas etnográficas com militares. Partindo de uma discussão mais ampla sobre a ideia de antropólogos trabalhando "com militares", pretendo posteriormente situar os resultados de uma etnografia realizada no Exército brasileiro, tomada a partir de sintomas e/ou efeitos colaterais ocorridos durante e depois da pesquisa de campo. Ao retomar a relação estabelecida, e também a que não foi estabelecida, foi possível constatar a centralidade dos conceitos de "amigo" e "inimigo", para definir um amplo escopo de ligações entre o universo militar e o "mundo de fora". Tais conceitos, de início tomados como relações derivadas de uma noção nativa de guerra, em certa medida projetam-se nas relações entre militares e pesquisadores, o que levou a tratar a etnografia, neste caso específico, em continuidade com uma noção antropológica (posteriormente transformada de guerra: guerra como relação. A partir dessa premissa relacional, pretende-se pensar algumas consequências metodológicas para uma antropologia deste tipo de objeto de pesquisa.This article investigates the results and consequences of carrying out ethnographic research with the military. Beginning with a wide-ranging discussion of the idea of anthropologists working "with the military", I then seek to situate the results of an ethnography carried out with the Brazilian Army through the symptoms and/or collateral effects that were visible both during and after my research. By taking up the relationship that was established, and also that which was not, it was possible to observe the centrality of the concepts of "friend" and "enemy" in the definition of a wide range of ties between the military world and the "outside world". These concepts, which were initially understood to be relationships derived from a native notion of warfare, project themselves, to some extent, upon the relationships between

  19. Guardianes de la memoria. La conmemoración del golpe militar entre los exiliados argentinos en México

    OpenAIRE

    2005-01-01

    Este artículo reconstruye la conmemoración pública y colectiva entre los exiliados argentinos en México del 24 de marzo, fecha del golpe militar que sufrió Argentina en 1976 y que inició la última dictadura en ese país. Para miles de hombres, mujeres y niños esta fecha significó la irrupción violenta de la historia nacional en su historia personal. Entre los exiliados políticos argentinos en México el 24 de marzo aparece como un lugar de la memoria, como un espacio de lucha...

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

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    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.

  1. Efectos del Tratado de la Unión Europea en el gasto militar: eficiencia o descapitalización

    OpenAIRE

    Vázquez Ramos, José Alfredo

    1996-01-01

    Este trabajo tiene por objeto determinar el efecto que el Tratado de la Unión Europea (TUE), tanto a través de la Política Exterior y de Seguridad Común (PESC), como de los criterios de convergencia nominal, ha producido sobre el gasto militar español y su eficiencia. El primer paso en este análisis pasa por construir un indicador que permita medir la "calidad" del bien público Defensa y evaluar esta variable en el seno de los compromisos de la Unión. Los resultados obtenidos muestran finalme...

  2. Raul Seixas: a mosca na sopa da ditadura militar - censura, tortura e exílio (1973-1974)

    OpenAIRE

    Santos, Paulo dos

    2007-01-01

    Esta dissertação busca resgatar a importância do cantor e compositor Raul Seixas (1945-1989) no período entre a ditadura militar e a promulgação da Constituição de 1988. Procura, ainda, verificar sua inserção no cenário artístico brasileiro e em outros segmentos durante a década de 1970, como a contracultura, a censura, a repressão e a tortura a todos os considerados subversivos. Reconhecido como compositor de muitos talentos, o cantor figurou entre os mais renomados arti...

  3. Characteristics and risk factors of cerebrovascular accidents after percutaneous coronary interventions in patients with history of stroke

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hua; FENG Li-qun; BI Qi; WANG Yu-ping

    2010-01-01

    Background Percutaneous coronary intervention (PCI) is a well-established method for managing coronary diseases.However, the increasing use of PCI has led to an increased incidence of acute cerebrovascular accidents (CVA) related to PCI. In this study, we investigated the characteristics and risk factors of CVA after PCI in patients with known stroke history.Methods Between January 1, 2005 and March 1, 2009, 621 patients with a history of stroke underwent a total of 665 PCI procedures and were included in this retrospective study. Demographic and clinical characteristics, previous medications, procedures, neurologic deficits, location of lesion and in-hospital clinical outcomes of patients who developed a CVA after the cardiac catheterization laboratory visit and before discharge were reviewed.Results Acute CVA was diagnosed in 53 (8.5%) patients during the operation or the perioperative pedod. Seventeen patients suffered from transient ischemic attack, thirty-four patients suffered from cerebral infarction and two patients suffered from cerebral hemorrhage. The risk factors for CVA after PCI in stroke patients were: admission with an acute coronary syndrome, use of an intra-aortic balloon pump, urgent or emergency procedures, diabetes mellitus, and poor left ventricular systolic function, arterial fibrillation, previous myocardial infarction, dyslipidemia, tobacco use, and no/irregular use of anti-platelet medications.Conclusions The incidence of CVA during and after PCI in patients with history of stroke is much higher than that in patients without history of stroke. Patients with atrial fibrillation, previous myocardial infarction, diabetes mellitus,dyslipidemia, tobacco use, and no or irregular use of anti-platelet medications were at higher risk for recurrent stroke.This study showed a strong association between acute coronary syndromes and in-hospital stroke after PCI.

  4. Quando o inimigo ultrapassa a fronteira : as conexões repressivas entre a ditadura civil-militar brasileira e o Uruguai (1964-1973)

    OpenAIRE

    Ananda Simões Fernandes

    2009-01-01

    Esta dissertação tem por objetivo demonstrar as conexões repressivas estabelecidas entre a ditadura civil-militar brasileira e o Uruguai ainda em seu período democrático, desde 1964 até 1973, anos em que esses países sofreram o golpe de Estado, respectivamente. Analisa-se a ditadura brasileira a partir do conceito de Terrorismo de Estado, considerando-se que esta pode ser assim caracterizada tanto pela sua política no plano interno quanto no plano externo. Ou seja, o regime civil-militar prom...

  5. La conversión del complejo militar-industrial en Rusia en el proceso de transición económica.

    OpenAIRE

    Sánchez Andrés, Antonio

    1995-01-01

    Dentro del actual proceso de reformas, los cambio en la industria militar han pasado ha un primer plano. Este rasgo confiere a la actual ola de reformas unas particularidades singulares. Durante la etapa soviética este sector industrial gozó de una serie de privilegios que le permitieron disponer de una lógica de funcionamiento propia. Por este motivo, la aplicación de reformas al complejo militar-industrial (CMI)', como a cualquier otro sector de la economía rusa, se ha transformado en un ra...

  6. 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

  7. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2016-01-01

    Hospital meals and their role in nutritional care have been studied primarily from a life and natural science perspective. This article takes a different approach and explores the idea of hospitality inspired by Jacques Derrida’s work on the ontology of hospitality. By drawing on ethnographic...... fieldwork in a Danish hospital, hospitality practices were studied using a socio-material assemblage approach. The study showed that rethinking the meal event could change the wards into temporary “pop-up-restaurants,” transcending the hospital context and providing a scene for shifting host...... and management involved in hospital food service and in nutritional care to work more systematically with the environment for improved hospital meal experiences in the future...

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

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    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.

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

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    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.

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

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    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.

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

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    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.

  12. Influence of steep Trendelenburg position and CO(2) pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy

    NARCIS (Netherlands)

    Kalmar, A. F.; Foubert, L.; Hendrickx, J. F. A.; Mottrie, A.; Absalom, A.; Mortier, E. P.; Struys, M. M. R. F.

    2010-01-01

    The steep (40 degrees) Trendelenburg position optimizes surgical exposure during robotic prostatectomy. The goal of the current study was to investigate the combined effect of this position and CO(2) pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during these proced

  13. 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....

  14. Rebelión militar y represión franquista en Galicia

    Directory of Open Access Journals (Sweden)

    Julio PRADA RODRÍGUEZ

    2009-08-01

    Full Text Available RESUMEN: En este artículo se estudia, en primer lugar, la movilización sociopolítica que precede al golpe de estado en Galicia para continuar con el análisis del proceso de gestación de la sublevación de julio de 1936, sus antecedentes y la toma del poder por los militares y sus apoyos sociales y políticos. También se profundiza en las diferentes modalidades de la represión física con resultado de muerte, en la caracterización de las víctimas, en las distintas fases y en sus objetivos finales: paralizar la resistencia, garantizar una gigantesca movilización de recursos hacia los frentes bélicos y asegurar la imposición de un nuevo orden político y social mediante la eliminación física de todo aquel que representase un peligro para su consolidación. Finalmente, se realiza una aproximación al número de asesinados en el conjunto de Galicia.ABSTRACT: In this article one studies, in the first place, the social and political mobilization that precedes to the coup d’etat in Galicia. Next, one analyzes the process of gestation of the military revolt, its antecedents and the taking of the power by the social and political insurrections and their supports. Also it is deepened in the different modalities from the physical repression, in the characterization of the victims, the different phases and their final missions: to paralyze the resistance, to guarantee an enormous mobilization of resources it war and to assure the imposition a new political and social order; for it the physical elimination of all that was necessary that represented a danger for its consolidation. Finally, it is made a assasinated approach to the number of in the set of Galicia.

  15. ELEMENTELE CONSTITUTIVE ŞI ELEMENTELE CIRCUMSTANŢIALE AGRAVANTE ALE INFRACŢIUNILOR CONTRA PATRIMONIULUI MILITAR

    Directory of Open Access Journals (Sweden)

    Sergiu BRÎNZA

    2016-11-01

    Full Text Available Articolul de faţă este dedicat analizei juridico-penale a infracţiunilor contra patrimoniului militar, prevăzute laart.379-381 CP RM. Sunt examinate elementele constitutive (obiectul, latura obiectivă, latura subiectivă şi subiectul,precum şi elementele circumstanţiale agravante ale acestor infracţiuni. Sunt propuse criterii de delimitare a infracţiunilorspecificate la art.379-381 CP RM în raport cu faptele conexe de factură penală sau nepenală. Printre aspectele de noutateale studiului de faţă trebuie remarcată revizuirea concepţiei de identificare a variantelor-tip şi a variantelor agravate în cazulinfracţiunilor prevăzute la art.379 CP RM. În rezultatul analizei efectuate se ajunge la concluzia că, datorită specificului lor,infracţiunile contra patrimoniului militar nu au victimă. De asemenea, se stabileşte că infracţiunile prevăzute la art.379-381CP RM sunt săvârşite pe calea acţiunii (şi sau inacţiunii. Se arată că, de cele mai dese ori, infracţiunile contra patrimoniului militar au o factură materială. Doar în situaţia infracţiunii prevăzute la alin.(1 art.381 CP RM se atestă existenţa semnelor atât ale unei infracţiuni materiale, cât şi ale unei infracţiuni formale. Se relevă că timpul de război este un semn secundarobligatoriu al laturii obiective în ipoteza infracţiunilor specificate la lit.a alin.(3 art.379, lit.a alin.(2 art.380, lit.a alin.(2şi lit.a alin.(4 art.381 CP RM. Se stabileşte că ambianţa infracţiunii (şi anume – condiţiile de luptă constituie un semnsecundar obligatoriu al laturii obiective în cazul infracţiunilor prevăzute la lit.b alin.(3 art.379, lit.b alin.(2 art.380, lit.balin.(2 şi lit.b alin.(4 art.381 CP RM. Se arată că infracţiunea specificată la art.380 CP RM este săvârşită din imprudenţă.În situaţii de altă natură, făptuitorul manifestă intenţie sau imprudenţă faţă de fapta prejudiciabilă şi numai impruden

  16. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

    Full Text Available Development of accommodation, as basic services offered to tourists, led to the creation of a genuine hospitality industry. Currently, the hospitality industry is no longer just the accommodation service itself but also requires an atmosphere that ensures leisure tourists in the hotel. Thus, hospitable unit manager offers its service in addition to accommodation and catering services, leisure services, treatment services, business services required.. The existence of factors such as revenue growth, increasing leisure time, the development of transport services, the emergence of new tourist attractions have caused increasing international flows of tourists, with consequent development of units hospitable, and therefore a strong hospitality industry. In Romania, after 1990, the tourism sector experienced a true expansion, both through the development of the hotel sector, but also by developing rural hospitality units.

  17. 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....

  18. 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....

  19. 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; M Ashrafi

    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...

  20. 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

    .8(1.4 to 5.7) for -1072 AA versus GG genotype, 0.6(0.4 to 0.9) for -444 CC versus AA genotype, 2.5(1.2 to 5.4) for combined AA-AA versus GG-AA genotype, and 0.6(0.4 to 0.9) for combined GG-CC versus GG-AA genotype. Genotype did not associate with risk of deep venous thrombosis or severe carotid...... atherosclerosis, or with levels of platelets and coagulation factors. CONCLUSIONS: Leukotriene C(4) synthase -1072 AA genotype predict increased risk, whereas -444 CC genotype predict decreased risk of ischemic cerebrovascular disease.......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...

  1. Trypanosoma cruzi-associated cerebrovascular disease: a case-control study in Eastern Colombia.

    Science.gov (United States)

    Leon-Sarmiento, Fidias E; Mendoza, Eder; Torres-Hillera, Martin; Pinto, Neyla; Prada, Janette; Silva, Clara A; Vera, Silvia J; Castillo, Erwin; Valderrama, Vladimir; Prada, Didier G; Bayona-Prieto, Jaime; Garcia, Ingrid

    2004-01-15

    Trypanosoma cruzi infection is a common cause of cardiopathy in South America leading it eventually to an established stroke; however, the association between T. cruzi infection itself and cerebrovascular disease is still unknown. We did a case-control study at Eastern Colombia and found that T. cruzi infection was more frequent and statistically significant in stroke cases (24.4%) than controls (1.9%), (Chi square: 21.72; OR: 16.13; 95% confidence interval (CI): 3.64-71.4; p<0.00001). After removing the seropositive patients with cardiological abnormalities, the significance still remained by multivariate analysis (p<0.05). This is the first case-control study that demonstrated a significant link between this infection and symptomatic cerebrovascular disease, mainly ischemic, regardless of cardiac abnormalities. Therefore, we recommend that patients with stroke must be screened for T. cruzi infection if they currently live or have lived in places where this parasite is considered endemic.

  2. 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.

  3. 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 collected...... and occurrence of a first stroke was evaluated. Individual air pollution exposures were predicted from land-use regression models developed within the "European Study of Cohorts for Air Pollution Effects" (ESCAPE). The exposures were: PM2.5 (particulate matter [PM] below 2.5 µm in diameter), coarse PM (PM...... found suggestive evidence of an association between fine particles and incidence of cerebrovascular events in Europe, even at lower concentrations than set by the current air quality limit value....

  4. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... are not treated with antibiotics because antibiotics kill bacteria, not viruses. Receiving plenty of extra fluids through ...

  5. Acetylsalicylic acid provides cerebrovascular protection from oxidant damage in salt-loaded stroke-prone rats.

    Science.gov (United States)

    Ishizuka, Toshiaki; Niwa, Atsuko; Tabuchi, Masaki; Ooshima, Kana; Higashino, Hideaki

    2008-03-26

    Inflammatory processes may play a pivotal role in the pathogenesis of cerebrovascular injury in salt-loaded stroke-prone spontaneously hypertensive rats (SHRSP). Recent reports revealed that acetylsalicylic acid (aspirin) has anti-oxidative properties and elicits nitric oxide release by a direct activation of the endothelial NO synthase. The present study was designed to determine whether low-dose aspirin might prevent cerebrovascular injury in salt-loaded SHRSP by protecting oxidative damage. Nine-week-old SHRSP were fed a 0.4% NaCl or a 4% NaCl diet with or without treatment by naproxen (20 mg/kg/day), salicylic acid (5 mg/kg/day), or aspirin (5 mg/kg/day) for 5 weeks. Blood pressure, blood brain barrier impairment, mortality, and the parameters of cerebrovascular inflammation and damage were compared among them. High salt intake in SHRSP significantly increased blood brain barrier impairment and early mortality, which were suppressed by treatment with aspirin independent of changes in blood pressure. Salt loading significantly increased superoxide production in basilar arteries of SHRSP, which were significantly suppressed by treatment with aspirin. Salt loading also significantly decreased NOS activity in the basilar arteries of SHRSP, which were significantly improved by treatment with aspirin. At 5 weeks after salt loading, macrophage accumulation and matrix metalloproteinase-9 activity at the stroke-negative area in cerebral cortex of SHRSP were significantly reduced by treatment with aspirin. These results suggest that low-dose aspirin may exert protective effects against cerebrovascular inflammation and damage by salt loading through down-regulation of superoxide production and induction of nitric oxide synthesis.

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

    OpenAIRE

    Lucero López-Díaz; Fabiola Castellanos-Soriano; Esperanza Muñoz-Torres

    2016-01-01

    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 prim...

  7. 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 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....

  8. 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.

  9. Nuclear medicine imaging in cerebrovascular disorders; Nuklearmedizinische Bildgebung bei zerebrovaskulaeren Erkrankungen

    Energy Technology Data Exchange (ETDEWEB)

    Barthel, H. [Universitaetsklinikum Leipzig A.oe.R. (Germany). Klinik und Poliklinik fuer Nuklearmedizin; Leipzig Univ. (Germany). Translationszentrum fuer Regenerative Medizin; Hesse, S.; Sabri, O. [Universitaetsklinikum Leipzig A.oe.R. (Germany). Klinik und Poliklinik fuer Nuklearmedizin

    2007-09-15

    For diagnosing cerebrovascular disorders, single-photon emission computed tomography (SPECT) and positron emission tomography (PET) employing blood flow and oxygen consumption markers is applied. Currently, competing imaging techniques which do not rely on radiotracers are more dominant in clinical routine. However, brain SPECT and PET substantially contribute towards diagnosis and therapy monitoring in acute and chronic cerebral ischemia. Furthermore, cerebral vasculitis, vasospasm after subarachnoid hemorrhage, brain tolerance during balloon occlusion tests and brain death can be accurately diagnosed. (orig.)

  10. Endovascular external carotid artery occlusion for brain selective targeting: a cerebrovascular swine model

    OpenAIRE

    Mangla, Sundeep; Choi, Jae H.; Barone, Frank C.; Novotney, Carol; Libien, Jenny; Lin, Erwin; Pile-Spellman, John

    2015-01-01

    Background The choice of an animal model for cerebrovascular research is often determined by the disease subtype to be studied (e.g. ischemic stroke, hemorrhage, trauma), as well as the nature of the intervention to be tested (i.e. medical device or pharmaceutical). Many initial studies are performed in smaller animals, as they are cost-effective and their encephalic vasculature closely models that of humans. Non-human primates are also utilized when confirmation or validation is required on ...

  11. [Solcoseryl--new preparation for the pathogenetic treatment of patients with paroxysmal forms of cerebrovascular pathology].

    Science.gov (United States)

    Rudenko, A Iu; Bashkirova, L M

    2003-01-01

    The central goal of the investigation was to study Solcoseryl (SolcoSwitzerland) therapeutic efficacy for patients suffering from early or chronic cerebrovascular diseases complicated with different forms of paroxysms. 29 patients were examined. (14 of them were with vegetovascular dystonia, 7 with discirculatory encephalopathy of degree of 1 and 8 with discirculatory encephalopathy of degree of II). The authors revealed Solcoseryl to be positive in decreasing incidence and duration of vegetovascular fits, complaints, pathologic symptoms.

  12. Cerebral blood flow and cerebrovascular reserve capacity: estimation by dynamic magnetic resonance imaging.

    Science.gov (United States)

    Schreiber, W G; Gückel, F; Stritzke, P; Schmiedek, P; Schwartz, A; Brix, G

    1998-10-01

    We have developed a new method for estimation of regional CBF (rCBF) and cerebrovascular reserve capacity on a pixel-by-pixel basis by means of dynamic magnetic resonance imaging (MRI). Thirteen healthy volunteers, 8 patients with occlusion and/or high grade stenosis of the internal carotid artery (ICA), and 2 patients with acute stroke underwent dynamic susceptibility-weighted contrast enhanced MRI. Using principles of indicator dilution theory and deconvolution analysis, maps of rCBF, regional cerebral blood volume, and of the mean transit time (MTT) were calculated. In patients with ICA occlusion/stenosis, cerebrovascular reserve capacity was assessed by the rCBF increase after acetazolamide stimulation. Mean gray and white matter rCBF values in normals were 67.1 and 23.7 mL x 100 g(-1) x min(-1), respectively. Before acetazolamide stimulation, six of eight patients with ICA occlusions showed decreased rCBF values; and in seven patients increased MTT values were observed in tissue ipsilateral to the occlusion. After acetazolamide stimulation, decreased cerebrovascular reserve capacity was observed in five of eight patients with ICA occlusion. In acute stroke, rCBF in the central core of ischemia was less than 8 mL x 100 g(-1) x min(-1). In peri-infarct tissue, rCBF and MTT were higher than in unaffected tissue but rCBF was normal. Dynamic MRI provides important clinical information on the hemodynamic state of brain tissue in patients with occlusive cerebrovascular disease or acute stroke.

  13. El Presupuesto Público del Estado para Gasto Militar y para la Educación durante la República de Nueva Granada, 1831-1857

    Directory of Open Access Journals (Sweden)

    Juan Alberto Rueda Cardozo

    2009-01-01

    Full Text Available La magnitud del Gasto Público Militar que la República de Nueva Granada soportó, dacuenta de la indispensabilidad de la institución militar en la tarea de conformación delEstado. Es propósito de este ensayo analizar a nivel macroeconómico la tendencia deeste gasto público militar en relación con el gasto público total del Estado y en relacióncon el gato público para educación, pero también analizar a nivel microeconómico lascuantías y la distribución interna del propio gasto militar dentro de las instancias dela organización. Acompañando los análisis de estas cifras presupuestales se logranpuntualizar algunos rasgos históricos que complementan la comprensión sobre lafunción de las milicias temporales y el Ejército permanente en la definición de laforma histórica que el monopolio de la fuerza de Nueva Granada logró consolidarpara el Estado.

  14. Estrategias de comunicación militar y dinámicas mediáticas ¿dos lógicas contradictorias?

    Directory of Open Access Journals (Sweden)

    Yeny Serrano

    2008-01-01

    Full Text Available en este artículo se plantea cómo la información sobre un conflicto armado o una guerra está determinada no solamente por factores típicos de la profesión periodística, sino que también intervienen factores específicos de una situación de guerra. Een contexto de confrontación armada la dinámica de la comunicación militar explica junto con la lógica mediática el cubrimiento informativo de la confrontación armada por parte de los medios de comunicación. Eesto se debe principalmente a que los militares y los grupos armados juegan el papel de fuentes informativas para los medios de comunicación. Mientras que los periodistas se acercan a ellos a fin de informar a la población; para los militares el principal objetivo es ganar la guerra. Por esta razón Moisy (2001, p. 202 afirma que “cuando se trata de operaciones [militares] en el campo de batalla, hay que admitir que las exigencias de transparencia de los medios de comunicación no son compatibles con el afán de eficacia de los ejércitos…”.

  15. Militarized youths in Western Côte d'Ivoire : local processes of mobilization, demobilization, and related humanitarian interventions (2002-2007)

    NARCIS (Netherlands)

    Chelpi-den Hamer, M.

    2011-01-01

    The recent conflict in Côte d'Ivoire has led to the militarization of many young civilians on both belligerent sides, especially in the west of the country. What is of particular interest is that many of these youths have assumed a function of 'commuting' conscripts, alternating periods of semi-mili

  16. Militarized youths in western Côte d’Ivoire: local processes of mobilization, demobilization, and related humanitarian interventions (2002-2007)

    NARCIS (Netherlands)

    Chelpi, M.L.B.

    2011-01-01

    The recent conflict in Côte d’Ivoire has led to the militarization of many young civilians on both belligerent sides, especially in the west of the country. What is of particular interest is that many of these youths have assumed a function of ‘commuting’ conscripts, alternating periods of semi-mili

  17. 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.

  18. 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.

  19. Crowdsourcing Precision Cerebrovascular Health: Imaging and Cloud Seeding A Million Brains Initiative™

    Directory of Open Access Journals (Sweden)

    David S Liebeskind

    2016-11-01

    Full Text Available Crowdsourcing, an unorthodox approach in medicine, creates an unusual paradigm to study precision cerebrovascular health, eliminating the relative isolation and non-standardized nature of current imaging data infrastructure, while shifting emphasis to the astounding capacity of big data in the cloud. This perspective envisions the use of imaging data of the brain and vessels to orient and seed A Million Brains Initiative™ that may leapfrog incremental advances in stroke and rapidly provide useful data to the sizable population around the globe prone to the devastating effects of stroke and vascular substrates of dementia. Despite such variability in the type of data available and other limitations, the data hierarchy logically starts with imaging and can be enriched with almost endless types and amounts of other clinical and biological data. Crowdsourcing allows an individual to contribute to aggregated data on a population, while preserving their right to specific information about their own brain health. The cloud now offers endless storage, computing prowess and neuroimaging applications for post-processing that is searchable and scalable. Collective expertise is a windfall of the crowd in the cloud and particularly valuable in an area such as cerebrovascular health. The rise of precision medicine, rapidly evolving technological capabilities of cloud computing and the global imperative to limit the public health impact of cerebrovascular disease converge in the imaging of A Million Brains Initiative™. Crowdsourcing secure data on brain health may provide ultimate generalizability, enable focused analyses, facilitate clinical practice and accelerate research efforts.

  20. 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.

  1. 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....

  2. 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. 

  3. Two-dimensional thick-slice MR digital subtraction angiography for assessment of cerebrovascular occlusive diseases

    Energy Technology Data Exchange (ETDEWEB)

    Aoki, S.; Yoshikawa, T.; Hori, M.; Ishigame, K.; Nambu, A.; Kumagai, H.; Araki, T. [Dept. of Radiology, Yamanashi Medical Univ. (Japan)

    2000-12-01

    Although spatial resolution of current MR angiography is excellent, temporal resolution has remained unsatisfactory. We evaluated clinical applicability of 2D thick-slice, contrast-enhanced subtraction MR angiography (2D-MR digital subtraction angiography) with sub-second temporal resolution in cerebrovascular occlusive diseases. Twenty-five patients with cerebrovascular occlusive diseases (8 moyamoya diseases, 10 proximal internal carotid occlusions, and 2 sinus thromboses) were studied with a 1.5-T MR unit. The MR digital subtraction angiography (MRDSA) was performed per 0.97 s continuously just after a bolus injection of 15 ml of gadolinium chelates up to 40 s in sagittal (covering hemisphere) or coronal planes. Subtraction images were generated at a workstation. We evaluated imaging quality and hemodynamic information of MRDSA in comparison with those of routine MR imaging, non-contrast MR angiography, and X-ray intra-arterial DSA. Major cerebral arteries, all of the venous sinuses, and most tributaries were clearly visualized with 2D MRDSA. Also, pure arterial phases were obtained in all cases. The MRDSA technique demonstrated prolonged circulation in sinus thromboses, distal patent lumen of proximal occlusion, and some collateral circulation. Such hemodynamic information was comparable to that of intra-arterial DSA. Two-dimensional thick-slice MRDSA with high temporal resolution has a unique ability to demonstrate cerebral hemodynamics equivalent to that of intra-arterial DSA and may play an important role for evaluation of cerebrovascular occlusive diseases. (orig.)

  4. 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

  5. A história da Brigada Militar pelas páginas da Revista Pindorama = The history of the Military Brigade through the pages of Revista Pindorama

    Directory of Open Access Journals (Sweden)

    Silva, Amanda Siqueira da

    2014-01-01

    Full Text Available A revista Pindorama surgiu nos últimos anos do Borgismo no Rio Grande do Sul, num período de crise do Partido Republicano Rio-grandense e de transformações políticas no país. A revista surgiu dentro da Brigada Militar, com apoio de seu comandante, entretanto esta era uma publicação particular de dois tenentes, na qual tinham a intencionalidade de relembrar os grandes feitos militares da Instituição, demonstrando uma preocupação para que a história da BM não fosse esquecida, assim como também reforçava o compromisso da BM com a ideologia do PRR. A Brigada Militar foi criada em 1892 e desde então foi mantenedora da hegemonia política do PRR no Rio Grande do Sul, atuou em defesa destes na Revolução Federalista (1893, na Revolta Assisista (1923 e contra os levantes Tenentistas (1924 até 1926. Durante sua formação, recebeu uma missão de instrução militar pelo Exército Nacional, o que depois levou a uma proximidade grande entre as Forças, a Brigada Militar recebeu forte aparelhamento bélico, o que possibilitou que esta se tornasse um Exército regional com diversas atuações em prol do ideário republicano castilhista

  6. 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.

  7. Diabetes mellitus como fator prognóstico em doença cerebrovascular isquêmica

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    Terezinha V. Oliveira

    1988-09-01

    Full Text Available Como parte de estudo prospectivo de 347 casos de doença cerebrovascular isquêmica (DCVI internados em um hospital geral, foram avaliados 36 pacientes diabéticos e 36 controles com sexo, idade e pressão arterial semelhantes, com o objetivo de verificar como diabetes mellitus afeta o prognóstico em DCVI. Os 72 pacientes apresentavam vários tipos de DCVI (trombose, tromboembolismo ou embolia cardiogênica. Os pacientes diabéticos tiveram estatisticamente mais dias de internamento (p<0,05, mais complicações durante o internamento (p<0,05, mais complicações infecciosas (p<0,01 e maior número de óbitos ao fim do seguimento (p<0,05. Após 377 ±429 (média ± desvio padrão dias de seguimento, em 50% dos diabéticos havia ocorrido o óbito, enquanto após 387±405 dias 25% dos não diabéticos haviam falecido. Os óbitos em ambos os grupos ocorreram em média no oitavo mês após o evento vascular que motivou a admissão inicial. Não foram notadas diferenças com respeito ao número de óbitos durante a internação inicial ou as condições neurológicas dos sobreviventes ao fim da admissão inicial e do seguimento.

  8. 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

    Directory of Open Access Journals (Sweden)

    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

  9. Guardianes de la memoria. La conmemoración del golpe militar entre los exiliados argentinos en México

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    Susana Sosenski

    2005-01-01

    Full Text Available Este artículo reconstruye la conmemoración pública y colectiva entre los exiliados argentinos en México del 24 de marzo, fecha del golpe militar que sufrió Argentina en 1976 y que inició la última dictadura en ese país. Para miles de hombres, mujeres y niños esta fecha significó la irrupción violenta de la historia nacional en su historia personal. Entre los exiliados políticos argentinos en México el 24 de marzo aparece como un lugar de la memoria, como un espacio de lucha y de exigencia de justicia. El acercamiento que aquí se propone reinterpreta el exilio a partir de la conmemoración, de su uso, sus sentidos, intenciones y actores.

  10. 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.

  11. 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.

  12. La información y la lectura para presas políticas durante la dictadura militar en Uruguay

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    Yanet Fúster

    2010-01-01

    Full Text Available A partir del marco que provee la Bibliotecología/Ciencia de la Información se presenta un estudio sobre las vías de acceso a documentos de contenido recreativo e informativo y sobre el uso que de ellos se hacía en la Cárcel de Punta de Rieles para presas políticas, durante la dictadura civil-militar que vivió Uruguay entre 1973 y 1985. En un estudio de usuarios de carácter retrospectivo, se obtienen una serie de testimonios que revelan el significado de la lectura como medio para perforar los límites en un contexto de supresión de libertades.

  13. Effect of high-intensity training on endothelial function in patients with cardiovascular and cerebrovascular disease: A systematic review

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    Mia Kolmos

    2016-12-01

    Full Text Available Objectives: Exercise improves endothelial dysfunction, the key manifestation of cardiovascular and cerebrovascular disease, and is recommended in both cardiovascular and cerebrovascular rehabilitation. Disagreement remains, however, on the role of intensity of exercise. The purpose of this review was to gather current knowledge on the effects of high-intensity training versus moderate-intensity continuous exercise on endothelial function in cardiovascular and cerebrovascular patients. Methods: A systematic review was performed in PubMed database, Embase and Cochrane libraries and on PEDro using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were restricted to cardiovascular and cerebrovascular patients, and healthy subjects as general reference. Interventions comprised of high-intensity training alone, high-intensity training compared to moderate-intensity continuous exercise, or no training, with endothelial function as outcome measure. Endothelial function was measured either physiologically by flow-mediated dilatation and/or by systemic biomarkers. Data were analyzed descriptively due to non-comparability for a meta-analysis to be performed. Results: A total of 20 studies were included in the review. Although there was great heterogenecity in design, population and exercise protocols, all studies found high-intensity training to be safe. High-intensity training was equal to moderate-intensity continuous exercise through improvement in endothelial function in 15 of the 20 selected studies, as measured by flow-mediated dilatation, nitric oxide bioavailability and circulating biomarkers. Only a few studies examined high-intensity training in cerebrovascular patients, none with endothelial function as outcome. Conclusion: High-intensity training is promising as a time-efficient exercise strategy in cardiovascular rehabilitation, but data on endothelial effects in cerebrovascular rehabilitation are

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

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    Moisés Apolaya-Segura

    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

  15. 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

  16. 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...

  17. 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.

  18. Alternativas de proyectos de inversión para la recuperación de la Hacienda Jamaica de propiedad de las fuerzas Militares en el municipio de Nilo (Cundinamarca)

    OpenAIRE

    Parra Ulloa, Mayerling; Alarcón, Hernán Danilo; Didier Ruiz, Jaime

    1994-01-01

    Realizar un estudio de la Hacienda Jamaica de propiedad de las Fuerzas Militares, localizada en el Municipio de Nilo (Cundinamarca), para proponer proyectos de inversión factibles y viables que permitan su auto-sostenimiento.

  19. 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

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    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

  20. 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.)

  1. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  3. 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)

    Ramón Erice Lafont

    2005-05-01

    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

  4. 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.

  5. Increased serum C-reactive protein level in Japanese patients of psoriasis with cardio- and cerebrovascular disease.

    Science.gov (United States)

    Takahashi, Hidetoshi; Iinuma, Shin; Honma, Masaru; Iizuka, Hajime

    2014-11-01

    Psoriasis is a chronic inflammatory skin disease, which may be associated with metabolic syndrome accompanied by cardio- and cerebrovascular diseases. We investigated the relation between serum C-reactive protein (CRP) and cardio- and cerebrovascular diseases in Japanese psoriasis vulgaris patients. Ninety-seven psoriasis vulgaris patients and 79 healthy controls were assessed for serum CRP levels by immunoturbidimetry. The data were analyzed in terms of Psoriasis Area and Severity Index (PASI) scores, and comorbidity of cardio- and cerebrovascular disease and metabolic syndrome. Serum CRP levels in psoriasis vulgaris patients were significantly higher than those of healthy controls. There was no significant difference between male and female CRP levels in either psoriasis or healthy controls. No correlation was detected between PASI scores and serum CRP levels, either. Psoriasis with cardio- and cerebrovascular disease showed significantly higher CRP levels compared with those without the diseases. Furthermore, psoriasis with metabolic syndrome showed significantly higher serum CRP levels than those without the metabolic syndrome. In conclusion, serum CRP level is increased in psoriasis, and may be a useful marker for the prediction of the future risk of cardio- and cerebrovascular disease.

  6. Osteoprotegerin CGA haplotype protection against cerebrovascular complications in anti-CCP negative patients with rheumatoid arthritis.

    Directory of Open Access Journals (Sweden)

    Fernanda Genre

    Full Text Available Rheumatoid arthritis is an inflammatory disease with high incidence of cardiovascular disease due to accelerated atherosclerosis. Osteoprotegerin (OPG has been associated with increased risk of atherosclerotic disease in the general population. Several polymorphisms in the OPG gene with functional effects on cardiovascular disease in non-rheumatic individuals have been described. Therefore, we aimed to analyze the effect of three of these functional OPG polymorphisms on the risk of cardiovascular disease in a large and well-characterized cohort of Spanish patients with rheumatoid arthritis.Three OPG gene variants (rs3134063, rs2073618 and rs3134069 were genotyped by TaqMan assays in 2027 Spanish patients with rheumatoid arthritis. Anti-cyclic citrullinated peptide (anti-CCP antibody testing was positive in 997 of 1714 tested. Also, 18.3% of the whole series had experienced cardiovascular events, including 5.4% with cerebrovascular accidents. The relationship between OPG variants and cardiovascular events was assessed using Cox regression.No association between OPG gene variants and cardiovascular disease was observed in the whole group of rheumatoid arthritis patients or in anti-CCP positive patients. Nevertheless, a protective effect of CGA haplotype on the risk of cardiovascular disease in general, and specifically in the risk of cerebrovascular complications after adjusting for sex, age at disease diagnosis and traditional cardiovascular risk factors was disclosed in anti-CCP negative patients (HR = 0.54; 95%CI: 0.31-0.95; p = 0.032 and HR = 0.17; 95%CI: 0.04-0.78; p = 0.022, respectively.Our results indicate a protective effect of the OPG CGA haplotype on cardiovascular risk, mainly due to a protective effect against cerebrovascular events in anti-CCP negative rheumatoid arthritis patients.

  7. 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.

  8. 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

  9. 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

  10. Cerebrovascular reactivity among native-raised high altitude residents: an fMRI study

    Directory of Open Access Journals (Sweden)

    Zhang Jiaxing

    2011-09-01

    Full Text Available Abstract Background The impact of long term residence on high altitude (HA on human brain has raised concern among researchers in recent years. This study investigated the cerebrovascular reactivity among native-born high altitude (HA residents as compared to native sea level (SL residents. The two groups were matched on the ancestral line, ages, gender ratios, and education levels. A visual cue guided maximum inspiration task with brief breath holding was performed by all the subjects while Blood-Oxygenation-Level-Dependent (BOLD functional Magnetic Resonance Imaging (fMRI data were acquired from them. Results Compared to SL controls, the HA group showed generally decreased cerebrovascular reactivity and longer delay in hemodynamic response. Clusters showing significant differences in the former aspect were located at the bilateral primary motor cortex, the right somatosensory association cortex, the right thalamus and the right caudate, the bilateral precuneus, the right cingulate gyrus and the right posterior cingulate cortex, as well as the left fusiform gyrus and the right lingual cortex; clusters showing significant differences in the latter aspect were located at the precuneus, the insula, the superior frontal and temporal gyrus, the somatosensory cortex (the postcentral gyrus and the cerebellar tonsil. Inspiratory reserve volume (IRV, which is an important aspect of pulmonary function, demonstrated significant correlation with the amount of BOLD signal change in multiple brain regions, particularly at the bilateral insula among the HA group. Conclusions Native-born HA residents generally showed reduced cerebrovascular reactivity as demonstrated in the hemodynamic response during a visual cue guided maximum inspiration task conducted with BOLD-fMRI. This effect was particularly manifested among brain regions that are typically involved in cerebral modulation of respiration.

  11. Effects of yokukansan on anxiety-like behavior in a rat model of cerebrovascular dementia.

    Science.gov (United States)

    Nogami, Ai; Sakata, Yuri; Uchida, Naoki; Yamaguchi, Kazuko; Kawasaki, Chihiro; Shindo, Taro; Kubota, Kaori; Katsurabayashi, Shutaro; Takasaki, Kotaro; Mishima, Kenichi; Nishimura, Ryoji; Fujiwara, Michihiro; Iwasaki, Katsunori

    2011-04-01

    Behavioral and psychological symptoms of dementia (BPSD) are commonly seen in patients with dementia. Current pharmacological approaches to treatment are inadequate, despite the availability of serotonergic agents to ameliorate anxiety, one of the symptoms of BPSD. The herbal medicine yokukansan has been demonstrated to improve BPSD in a randomized, single-blinded, placebo-controlled study. However, the mechanisms of the anxiolytic effect of yokukansan have not been clarified. There are also no reports on the anxiolytic effect of yokukansan in cerebrovascular ischemia models. In this study, we examined whether rats subjected to repeated cerebral ischemia exhibited anxiety-like behavior in a plus-maze task, a light/dark box test and an open-field task. We then investigated the effect of yokukansan on anxiety-like behavior in ischemic rats. Repeated ischemia was induced by the four-vessel occlusion method in which a 10-min ischemic episode was repeated once after 60 min. Yokukansan was orally administered once a day for 14 days from 7 days before ischemia induction. The last administration was performed 1 h before the behavioral experiments. The ischemic rats showed anxiety-like behavior in all three tasks, suggesting that this rat may be a good model for anxiety in cerebrovascular dementia. Yokukansan exhibited anxiolytic effects on the anxiety-like behavior in rats subjected to repeated cerebral ischemia, and exerted antagonistic effects on the wet-dog shakes induced by 1-(2,5-dimethoxy-4-indophenyl)-2-amino propane, a serotonin receptor (5-HT(2A)) agonist. This study revealed that yokukansan shows anxiolytic effects not only in normal animals but also in cerebrovascular model rats.

  12. 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.

    Directory of Open Access Journals (Sweden)

    Ricardo Verdecia Fraga

    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.Fundamento: la enfermedad cerebrovascular y la cardiopatía isquémica pueden considerarse una epidemia, y constituyen además la primera causa de discapacidad en los países desarrollados. Numerosos estudios han demostrado la asociación de los niveles de ácido úrico con la enfermedad cerebrovascular. Objetivo: determinar la relación entre los niveles de ácido úrico sérico y la discapacidad en la fase aguda de la enfermedad cerebrovascular. Métodos: se realizó un estudio correlacional a 217 pacientes con enfermedad cerebrovascular en su fase aguda, en el que se midió el grado de discapacidad mediante el índice de Barthel y se relacionó dicho valor con los

  13. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    OpenAIRE

    Rabadán, Alejandra T.; Luciano Sposato; Claudio Mazia

    2010-01-01

    En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV) isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que...

  14. Cerebrovascular disease in South Asia – Part II: Risk factors and prevention

    Directory of Open Access Journals (Sweden)

    2012-11-01

    Full Text Available In South Asian countries, conventional vascular risk factors like hypertension, diabetes mellitus, cardiac disease, smoking, obesity, atrial fibrillation are the dominant ones, while other aetiologies like rheumatic heart disease, infective meningitis-related infarcts and postpartum cerebral venous thrombosis also constitute a big fraction. This review discusses the evidence of prevalence of various risk factors in South Asian countries and possible measures to combat the rising burden of cerebrovascular disease. The last part of the review discusses prevention and identification of risk factors that are unique to or especially found in patient population of South Asia.

  15. Utilidad de los biomarcadores en el diagnóstico de la enfermedad cerebrovascular silente

    OpenAIRE

    Vilar Bergua, Andrea

    2016-01-01

    Hoy en día, las enfermedades cerebrovasculares tienen un impacto muy importante en la sociedad en países desarrollados, en el nuestro, son una causa muy frecuente de hospitalización, muerte y discapacidad. Además, el envejecimiento de la población conlleva un incremento en la incidencia de estas enfermedades, así como del coste sanitario asociado. Desde hace años, sabemos que los infartos cerebrales pueden darse en ausencia de síntomas acompañantes sugestivos de ictus y en ese caso, hablamos ...

  16. Tratamiento de la heminegligencia tras un accidente cerebrovascular. Revisión sistemática.

    OpenAIRE

    Serrano Galiano, Sara

    2013-01-01

    La heminegligencia es una alteración cognitiva que se caracteriza por la falta de atención del individuo hacia el lado contralateral a la lesión cerebral y suele adquirirse como consecuencia de un trastorno cerebrovascular. Habitualmente va a ir aparejada con otras alteraciones derivadas del origen de la misma como problemas en el área motora. (1) Los síntomas de la heminegligencia se observan al menos en el 25-30% los pacientes con lesión cerebral derecha aguda (2) y aunque la mayor parte...

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

    OpenAIRE

    Karen Castro-Medina; Mayra Pérez-Páez; Fabiola Moscoso-Alvarado; Clarice Tanaka

    2015-01-01

    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 moto...

  18. 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.

  19. 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

  20. Congenital spine deformities: a new screening indication for blunt cerebrovascular injuries after cervical trauma?

    Science.gov (United States)

    Capone, Christine; Burjonrappa, Sathyaprasad

    2010-12-01

    Blunt cerebrovascular injuries (BCVI) carry significant morbidity if not diagnosed and treated early. A high index of clinical suspicion is needed to recognize the injury patterns associated with this condition and to order the requisite imaging studies needed to diagnose it accurately. We report of BCVI associated with a congenital cervical spine malformation after blunt trauma. We recommend inclusion of cervical spine malformations to the current Eastern Association for the Surgery of Trauma screening criteria for BCVI and explain our rationale for the same.

  1. 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....

  2. ¿Qué hacer con las Fuerzas Armadas? Treinta años de cuestión militar en la Argentina

    OpenAIRE

    Canelo, Paula Vera

    2016-01-01

    El artículo analiza las relaciones que se establecieron entre las Fuerzas Armadas y los gobiernos democráticos de Alfonsín, Menem, De la Rúa, Duhalde, Kirchner y Fernández de Kirchner entre 1983 y 2013. Propone un análisis de la "cuestión militar" argentina a través de, por un lado, la identificación de los objetivos de estos gobiernos en el plano de la política de defensa y la política militar, y por otro, la evaluación del impacto que las políticas implementadas tuvieron sobre las Fuerzas A...

  3. 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.

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

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    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.

  5. O Movimento Feminista durante a ditadura militar no Brasil e no Chile: conjugando as lutas pela democracia política com o direito ao corpo

    Directory of Open Access Journals (Sweden)

    Karina Janz Woitowicz

    2010-01-01

    Full Text Available How to articulate the feminist movement inthe middle of the struggle for democracy that markedthe militar dictatorship in Brazil (1964-1985 and inChile (1973-1990? How was the debate between thehuman rights and the women's specific demands onthe Brazilian and Chilean journals? The present textproposes, through a comparative perspective, to raisesome elements on the organization and struggleprocesses cast by the feminist movement in thementioned countries in the South Cone, observinghow women conjugated their political resistence tothe militar dictatorship with their demands in thesexuality field, such as contraceptions and abortion.To indicate the similarities and differences betweenthe two countries on the subject, the discourses of thealternative media, produced by the feministmovement, will be taken as reference. Here, theconflicts and confrontments with the conservativesectors and the left wing parties faced by the women'sorganizations, fighting for democracy and genderequality, are highlighted.

  6. Gasto militar y políticas de excepción en la República de Cuba (1952-1965

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    Francisco Manuel Silva Ardanuy

    2014-01-01

    Full Text Available El presente artículo aborda el estudio del incremento del gasto militar de la República de Cuba entre 1956 y 1959 y los efectos sobre su desarrollo social. La influencia del proceso de conversión del Ejército Rebelde cubano en las Fuerzas Armadas Rebeldes bajo el modelo aprobado por el Pacto de Varsovia. La escalada del gasto militar se ha proyectado más allá de la caída de la URSS y sigue determinando en gran medida al Caribe como espacio para la confrontación multilateral de las grandes potencias del área.

  7. Direito à informação e direito à vida privada: os impasses em torno do acesso aos arquivos da ditadura militar brasileira

    Directory of Open Access Journals (Sweden)

    Mariana Joffily

    2012-06-01

    Full Text Available Ao discutir o acesso à documentação produzida nos anos 1960 e 1970 pela ditadura militar brasileira, abordam-se os seguintes temas: a natureza da transição democrática, o histórico da legislação de arquivos e as características específicas dos arquivos da repressão política. Sustenta-se que o direito à intimidade, embora seja o elemento que restringe na prática o acesso a parte desse acervo, não tem sido tema de debates públicos, devido à (aparente incompatibilidade entre a reivindicação dos movimento sociais de acesso irrestrito às fontes da ditadura militar, de ordem coletiva, e a proteção da intimidade, de ordem individual.

  8. 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

  9. Teoría del error, antecedentes y panorama de su regulación en el nuevo Código Penal Militar (Ley 1407 de 2010)

    OpenAIRE

    Velásquez Cuervo, Janneth Patricia

    2013-01-01

    Se analiza en este articulo la teoría del error, sus antecedentes, el desarrollo a través de la dogmática penal con base en los distintos esquemas de la teoría del delito, para terminar en la regulación del error en el nuevo Código Penal Militar (ley 1407 de 2010) aplicable en todos los actos relacionados con el servicio cometidos por los miembros de la Fuerza Pública.

  10. O saber em discursos, projetos e leis: a história ensinada no Brasil entre o II pós-guerra e ditadura militar

    Directory of Open Access Journals (Sweden)

    Renilson Rosa Ribeiro

    2003-01-01

    Full Text Available O presente artigo apresenta uma análise sobre o ensino de História dentro dos discursos, debates e projetos educacionais desenvolvidos entre o II pós-guerra e a ditadura militar pós-1964 no Brasil. The present article focuses an analysis about the teaching of History inside of educational discourses, debates and projects developed in Brazil between the post II World War and military dictatorship established since 1964.

  11. 糖尿病合并脑血管病急性期中医证候演变规律研究%Evolution laws of TCM syndromes of diabetes complicating cerebrovascular disease at acute stage

    Institute of Scientific and Technical Information of China (English)

    占戈; 袁玉娇; 田园; 陈志刚; 谢颖桢

    2012-01-01

    Objective To discuss the evolution laws of TCM syndromes of diabetes complicating cerebrovascular disease at acute stage. Methods The patients with diabetes complicating cerebrovascular disease (re = 137, complicating group) and those without diabetes complicating cerebrovascular disease (re = 158, other disease group) were selected. The TCM syndrome factors included wind, fire, phlegm, blood stasis, qi deficiency and yin deficiency with yang hyperactivity, and they were collected, reviewed and compared at four time points (hospitalized day, 7th day, 14* day and 28* day). Results The evolution laws of TCM syndromes in complicating group were from syndrome of wind stirring due to yin deficiency to phlegm-fire syndrome to phlegm-stasis syndrome to qi deficiency and blood stasis syndrome, and that in other disease group, from wind-phlegm syndrome to phlegm-fire syndrome to phlegm-stasis syndrome to phlegm-stasis syndrome. Conclusion The different evolution laws in diabetes complicating cerebrovascular disease and other diseases provide theoretical basis for treating stroke with TCM at different stages.%目的 探讨糖尿病合并脑血管病急性期中医证候演变规律.方法 选择糖尿病合并脑血管病患者137例,非糖尿病合并脑血管患者158例作为研究对象,中医证候要素分为风、火、痰、瘀、气虚、阴虚阳亢,分别于入院时、发病第7天、14天、28天,4个时点进行证候采集和评价,进行两组比较.结果 糖尿病合并脑血管病组证候演变规律为阴虚风动证→痰火证→痰瘀证→气虚血瘀证.非糖尿病合并脑血管病组证候演变规律为风痰证→痰火证→痰瘀证→痰瘀证.结论 糖尿病合并脑血管病组与非糖尿病合并脑血管病组存在不同的证候演变规律,为中风不同时期的中医临床辨证施治提供了理论依据.

  12. 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。

  13. Long-term effects of pioglitazone on first attack of ischemic cerebrovascular disease in older people with type 2 diabetes: A case-control study in Taiwan.

    Science.gov (United States)

    Lai, Shih-Wei; Lin, Hsien-Feng; Lin, Cheng-Li; Liao, Kuan-Fu

    2016-08-01

    Long-term studies demonstrating the effect of pioglitazone use on primary prevention of ischemic cerebrovascular disease in older people with type 2 diabetes mellitus are lacking. This study investigated the relationship between pioglitazone use and first attack of ischemic cerebrovascular disease in Taiwan.We conducted a case-control study using the database of the Taiwan National Health Insurance Program. There were 2359 type 2 diabetic subjects aged ≥65 years with newly diagnosed ischemic cerebrovascular disease from 2005 to 2011 as the case group and 4592 sex- and age-matched, randomly selected type 2 diabetic subjects aged ≥65 years without ischemic cerebrovascular disease as the control group. The odds ratio (OR) with 95% confidence interval (CI) of ischemic cerebrovascular disease associated with pioglitazone use was measured by the multivariable unconditional logistic regression model.After adjustment for confounding factors, the multivariable logistic regression analysis disclosed that the adjusted ORs of first attack of ischemic cerebrovascular disease associated with cumulative duration of using pioglitazone were 3.34 for pioglitazone use does not have a protective effect on primary prevention for ischemic cerebrovascular disease among older people with type 2 diabetes mellitus during the first 3 years of use. Whether using pioglitazone for >3 years would have primary prevention for ischemic cerebrovascular disease needs a long-term research to prove.

  14. Prevention of Stroke in Patients With Silent Cerebrovascular Disease : A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

    NARCIS (Netherlands)

    Smith, Eric E; Saposnik, Gustavo; Biessels, Geert Jan; Doubal, Fergus N; Fornage, Myriam; Gorelick, Philip B; Greenberg, Steven M; Higashida, Randall T; Kasner, Scott E; Seshadri, Sudha

    2017-01-01

    Two decades of epidemiological research shows that silent cerebrovascular disease is common and is associated with future risk for stroke and dementia. It is the most common incidental finding on brain scans. To summarize evidence on the diagnosis and management of silent cerebrovascular disease to

  15. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

    OpenAIRE

    Javier Mariani; Marina Ridao; Gabriel González; Mauricio Monsalvo; Alejandro Macchia

    2016-01-01

    Introducción: Desde 2003, el programa Remediar (+Redes) distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. ...

  16. [Variants of the clinical course of cerebrovascular diseases in various biogeochemical regions of the Ukrainian Carpathian Mountains].

    Science.gov (United States)

    Buletsa, B A; Fatula, M I; Fabri, Z I

    1990-01-01

    A total of 417 patients with cerebral circulatory disorders were examined in two biogeochemical regions of the UkrainianCarpathian Mountains. The first one is a region with iodine insufficiency; the second one is a region where the people use table salt in excess. It has been established that iodine insufficiency and excessive iodine concentration in the body of man are risk factors of the development of cerebrovascular disease. Besides, in persons with abnormal iodine metabolism, cerebrovascular diseases run a graver course than in those with normal content in the body of these trace elements.

  17. Función pulmonar en sujetos con hemiparesia crónica secundaria a un accidente cerebrovascular

    OpenAIRE

    Guerrero Gómez, Alba

    2016-01-01

    Antecedentes: las Enfermedades Cerebrovasculares se sitúan como la primera causa de muerte entre las mujeres y la tercera en hombres a nivel nacional. Son numerosas las secuelas que pueden sufrir los supervivientes, entre las que se encuentran las alteraciones del control motor y del tono muscular. Estas son las que hacen plantearse el grado de afectación de la musculatura implicada en la ventilación tras un Accidente Cerebrovascular, ya sea de manera directa o mediante la alteración de las c...

  18. Muerte prematura por accidente cerebrovascular y condición socioeconómica en la Argentina

    OpenAIRE

    Mauricio Monsalvo; Anabel Fernández Prieto; Alejandro Macchia

    2016-01-01

    Introducción: La asociación entre mortalidad por accidente cerebrovascular y el nivel socioeconómico está escasamente descripta en Argentina. Objetivos: Describir la evolución temporal de la mortalidad por accidente cerebrovascular y su asociación con el nivel socioeconómico en Argentina entre 2000 y 2011. Material y métodos: Se realizó un estudio ecológico longitudinal. La mortalidad se cuantificó mediante tasas estandarizadas por edad y sexo, y el nivel socioeconómico mediante quint...

  19. [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.

  20. Estudio clínico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular

    OpenAIRE

    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...

  1. 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.

  2. 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.

  3. 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

  4. 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.

  5. High-intensity interval exercise and cerebrovascular health: curiosity, cause, and consequence.

    Science.gov (United States)

    Lucas, Samuel J E; Cotter, James D; Brassard, Patrice; Bailey, Damian M

    2015-06-01

    Exercise is a uniquely effective and pluripotent medicine against several noncommunicable diseases of westernised lifestyles, including protection against neurodegenerative disorders. High-intensity interval exercise training (HIT) is emerging as an effective alternative to current health-related exercise guidelines. Compared with traditional moderate-intensity continuous exercise training, HIT confers equivalent if not indeed superior metabolic, cardiac, and systemic vascular adaptation. Consequently, HIT is being promoted as a more time-efficient and practical approach to optimize health thereby reducing the burden of disease associated with physical inactivity. However, no studies to date have examined the impact of HIT on the cerebrovasculature and corresponding implications for cognitive function. This review critiques the implications of HIT for cerebrovascular function, with a focus on the mechanisms and translational impact for patient health and well-being. It also introduces similarly novel interventions currently under investigation as alternative means of accelerating exercise-induced cerebrovascular adaptation. We highlight a need for studies of the mechanisms and thereby also the optimal dose-response strategies to guide exercise prescription, and for studies to explore alternative approaches to optimize exercise outcomes in brain-related health and disease prevention. From a clinical perspective, interventions that selectively target the aging brain have the potential to prevent stroke and associated neurovascular diseases.

  6. 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.

  7. 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.

  8. 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.

  9. 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).

  10. 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.

  11. Cranial MR angiography in children with cerebrovascular diseases; Evaluation of new phase contrast technique

    Energy Technology Data Exchange (ETDEWEB)

    Sumida, Masayuki; Uozumi, Tohru; Kuwabara, Satoshi; Kurisu, Kaoru; Ikawa, Fusao; Satoh, Hideki; Yukawa, Osamu; Migita, Keisuke; Hada, Hiroshi (Hiroshima Univ. (Japan). School of Medicine)

    1993-06-01

    We evaluated the phase contrast (PC) method, a new type of MR angiography (MRA), in children with cerebrovascular diseases, and compared it with the time of flight (TOF) method and conventional angiography. The patients were nine children with the following diagnoses: two with arteriovenous malformations (AVM), one with Galenic AVM, one with cavernous angioma, four with moyamoya disease, and one with cerebral infarction. A 1.5 T Signa Advantage and a 3-D PC were used. In AVM and Galenic AVM, feeder, nidus and drainer were demonstrated separately by changing velocity encoding (VENC). In the patient with cavernous angioma, the cortical veins were well demonstrated. In moyamoya disease and infarction, stenosis or obstruction of the main arteries and revascularization after surgery were clearly demonstrated. PC is useful in the diagnosis and follow up of cerebrovascular diseases in children because PC is superior in demonstrating veins and scanning in any direction is possible. However, MRA alone cannot demonstrate small vessels and direction of flow, so preoperative conventional angiography is still necessary. (author).

  12. 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.

  13. Militares e intervenção política: Correntes ideológicas e contextos de época

    Directory of Open Access Journals (Sweden)

    João Freire

    2012-12-01

    Full Text Available O presente artigo analisa a evolução das relações entre os corpos militares e o poder político em Portugal, desde os tempos oitocentistas da monarquia liberal e ao longo do século xx. Em particular, são interpretados os impactos ocorridos na cultura militar com a difusão das ideologias constitucionalistas, republicanas, nacionalistas e socialistas, e as orientações normativas que guiaram as atitudes e a acção das elites militares no campo político, em face da sua experiência profissional de guerra (campanhas de ocupação africana, primeira guerra mundial e guerra colonial de 1961-74, dos comportamentos observados das classes populares mobilizadas para tais missões, em confronto com as orientações adoptadas pelos sucessivos governos e regimes políticos. Uma contextualização internacional é também efectuada, quer no que respeita às dominâncias ideológicas, quer aos quadros de interesses estratégicos estabelecidos.

  14. 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.

  15. 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.

  16. Situación económica y militar de Argentina entre 1852 y el inicio de la guerra del Paraguay

    Directory of Open Access Journals (Sweden)

    Sergio Fernando Sánchez

    2015-07-01

    Full Text Available El texto en general aborda el análisis de la situación financiera, económica y militar entre 1852 y el inicio de la guerra del Paraguay. Del análisis resulta una situación desfavorable para la participación de Argentina en la guerra. Hipótesis que se valida a partir del análisis de los principales eventos financieros y militares que caracterizaron al período objeto de estudio. La argumentación comienza con una breve presentación del Estado de Buenos Aires, continúa con la identificación de la deuda que generaron y trasladaron el gobierno nacional en 1862. Evalúa los alcances del pacto fiscal constitucional de 1853, la reforma constitucional de 1860, y la situación económica respecto de las cuentas nacionales a partir de 1862. Finalmente, expone la situación militar, desde Pavón hasta la organización del Ejército Nacional de Campaña que se empeñó en el teatro de operaciones del Paraguay.

  17. Silêncios da Historiografia Brasileira: O Golpe Civil-Militar em Experiências de Pesquisa no Pará

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    Jaime Cuéllar Velarde

    2015-11-01

    Full Text Available O artigo mapeia escritas da História sobre a Ditadura Civil-Militar no Brasil para mostrar que, apesar das difíceis trajetórias que a nação e seus habitantes trilharam em distintas parte de seu território, a experiência dos longos tempos de regime de exceção na Amazônia ficou quase nas dobras das produções historiográficas nacionais. Objetivando problematizar e ampliar esse enredo, com base em experiência de pesquisa sobre o tema no Pará, o texto apresenta os caminhos teórico-metodológicos da dissertação de mestrado “No Crepúsculo: Memórias Subversivas da Ditadura Civil-Militar na Amazônia Paraense (1964-85, cujo eixo revelador são vivências de sujeitos culturais que utilizaram o teatro, a poesia, a trova, a música, a literatura, o discurso político para, de algum modo, contestar as práticas autoritárias dos militares no poder.

  18. 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.

  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 disorder

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    930179 A study on senescence of red blood cellin patients with stroke.QIAN Caiyun(钱采韵),et al.Dept Neurol,1st Affili Hosp ZhongshanMed Univ,Guangzhou,510080.Chin J NervMent Dis 1992;18(3):146-148.Measurements of malonyldialdehyde(MDA)and superoxide dismutase(SOD)were per-formed on the patients with cerebral infarction(27 cases),cerebral hemorrhage(18 cases)and42 age-matched healthy controls.The resultsshowed that MDA content increased significant-

  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. Caries en una población militar española Dental caries in a Spanish military population

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    R. Mombiedro Sandoval

    2011-03-01

    Full Text Available Objetivo: Evaluar la prevalencia de caries de la población militar española de la base "General Almirante" Marines, Valencia. Material y método: Estudio descriptivo transversal para el que se seleccionó una muestra de 387 militares para un IC del 95%. En el gabinete dental de la base se realizó la exploración oral siguiendo los criterios de la OMS (1997, 4ª edición. Un solo profesional experimentado con un explorador patrón llevó a cabo la encuesta entre diciembre del 2003 y julio del 2004. Resultados: El índice de dientes con caries, ausentes y obturados (CAO-D fue de 4,05. El 23% de la muestra estaba libre de caries. Presentaban caries sin tratar el 40% de los explorados, siendo significativamente superior el porcentaje en la tropa y en los que referían no cepillarse de forma regular. El índice de restauración (% O/ CAO-D fue del 60%. La población de tropa presentó con significación estadística mas caries y menos dientes con caries tratada (A,O que el grupo de oficiales y suboficiales. Conclusiones: Casi la mitad de la población encuestada precisa tratamiento por caries. Estrategias de asistencia basadas en políticas preventivas de diagnostico precoz y de asistencia personalizada en función del riesgo individual de caries, adaptadas al medio militar, pudieran ser la clave para poder desplegar en un futuro tropas que no ocasionen emergencias en futuras operaciones.Object: The target of this study was to assess the prevalence of caries in a population of Spanish military personnel at the "General Almirante " base at Marines (Valencia. Material and Method: A descriptive cross-sectional study was made of a sample of 387 military personnel, (95% CI. The oral examinations were conducted at the dental clinic at the base, in accordance with the WHO (1997, 4th ed. criteria, by a single dentist calibrated against an experienced examiner. The survey was conducted between December 2003 and July 2004. Results: The decayed, missed and

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

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    Maurizio Vesco

    2011-01-01

    Full Text Available 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 fortalezas y murallas de la ciudad. La obra, desconocida hasta ahora, de este importante ingeniero militar activo en Sicilia desde 1523 hasta 1537, año de su muerte, está siendo reconstruida con una importante documentación de archivo. La investigación destaca líneas de continuidad en la estrategia de guerra de Carlos V, lanzada en Sicilia desde la época del virrey Conde de Monteleone. En consecuencia, se hace necesario revisar este extraordinario carácter general dado por los historiadores de la política militar de Ferrante Gonzaga. También hay que revisar la actualización y la autoría de muchas de las fortificaciones más importantes de Sicilia: el fuerte de San Salvador de Messina, anteriormente atribuido a Antonio Ferramolino de Bérgamo, las fortificaciones de defensa y escarpes del castillo de Milazzo y la torre circular de Castellammare de Palermo (estos últimos fechados en la segunda mitad del siglo XV, todas las obras son de Pietro Antonio Tomasello, realizadas en el segundo cuarto del siglo XVI.In 1522 the Viceroy of Sicily Ettore Pignatelli, Count of Monteleone, started a significant campaign for the strengthening of the outworks of the main cities located along the Sicilian coast: Palermo, Trapani, Milazzo, Siracusa and, after a few years, also Messina. The Royal Engineer Pietro Antonio Tomasello from Padua, a military technician from the Veneto region, was charged with renovating the island’s defensive system and introducing for the first time modern circular

  4. A multidisciplinary stroke clinic for outpatient care of veterans with cerebrovascular disease

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    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

  5. La contribución de Aragón en las empresas militares al servicio de los Austrias

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    Enrique SOLANO CAMÓN

    2009-11-01

    Full Text Available RESUMEN: En este artículo se analizan las relaciones entre el reino de Aragón y la monarquía de los Austrias en el ámbito de la colaboración aragonesa en las empresas militares de la Corona durante este periodo. Aunque las relaciones fueron generalmente amistosas, éstas no estuvieron exentas de problemas y disputas cuando la Corona demandaba subsidios. Las solicitudes de los Austrias planteadas sobre Aragón a lo largo del siglo XVI, experimentarían un notable incremento en la centuria siguiente. La nueva apertura del conflicto con Francia en 1635 y, especialmente, la Guerra de Cataluña producida entre 1640 y 1652 obligaron a los Austrias a volcarse sobre sus reinos en solicitud de ayuda financiera y asistencia militar. El avance de las armas francesas y la invasión de Aragón, sucedida en 1641, alarmaron a la monarquía hispánica. Los aragoneses fueron requeridos para apoyar los nuevos planes de la Monarquía bajo la premisa de hacerlo en «defensa del Reino». Las demandas de la Corona continuaron durante toda la centuria hasta la llegada de los Borbones al poder, lo que representaba la abolición de los fueros aragoneses en 1711.ABSTRACT: The purpose of this article is to outline the relations between the kingdom of Aragon and the Habsburg monarchy regarding Aragonese collaboration in the military expedition during the Habsburg period. Despite the fact that relations were mainly friendly, some troubles and disputes existed when the Spanish monarch asked for subsidies. Habsburgs royal demands on the reign of Aragon in the sixteenth century reached an important. increasing during the next century. The renewal of war with France in 1635 and, especially, the War of Catalonia between 1640 and 1652 compelled Habsburgs to ask his kingdoms for financial support and military assistance. The progress of French arms and the invasion of Aragon happened in 1641 alarmed the Spanish monarchy. The Aragonese were called upon to support the new plans

  6. 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

  7. 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

  8. Relationship Between Acute Cerebrovascular Disease and Meteorological Factors in Beij ing and Its Forecast%北京急性脑血管疾病与气象要素的关系及预测

    Institute of Scientific and Technical Information of China (English)

    闵晶晶; 丁德平; 李津; 张德山; 彭丽

    2014-01-01

    Based on daily emergency case data of cerebrovascular disease in Beijing during 2006-2010, which are obtained from the Beijing urgent care centre (120).The association between the daily meteoro-logical factors and hospital emergency visits for cerebrovascular disease in different seasons in Beijing is ex-plored.Then we choose meteorological factors with regression method so as to obtain the forecast factors which are finally used to build forecast models in different seasons based on the ANN (artificial neural net-work)method,and the daily hospital visit numbers are divided into four grades by using multiple regres-sion probability grade analysis.The results show that:(1 )There are obvious seasonal and diurnal varia-tions in the number of acute cerebrovascular disease,the number of cases is significantly higher in spring and winter than in summer and autumn,and concentrate mainly in 09:00-14:00 BT.(2)The meteoro-logical factors have obvious hysteresis to induce the recurrence of cerebrovascular disease.In addition,sta-tistical results show that the condition of high temperature and humidity weather in summer or cold air ac-tivity in winter and autumn may aggravate disease.(3)The models in spring,autumn and winter are used to forecast daily disease grade of new samples,the test results show the complete accuracy exceeds 30%;If the difference between the forecasted grade and actual grade is no more than 1 ,the accuracy exceeds 60%.The research results offer scientific reference for preventing the development of cerebrovascular dis-ease and scheduling such emergency measures as 120 emergency vehicles.%基于2006年1月至2010年12月北京市120急救中心的逐日脑血管急症接诊病例数据资料,首先探讨北京市急性脑血管疾病与气象要素的关系,选取不同季节的影响因子,然后根据概率积分方法将发病人数划分为4个级别,并采用人工神经元网络方法(artificial neural network,ANN)分别建立了北

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

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    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.

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

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    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.

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

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    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.

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

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    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.

  13. 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

  14. The family – care sponsor of patients suffering from cerebrovascular accidents

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    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

  15. 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

  16. 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,

  17. 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...

  18. 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...

  19. 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)

  20. Ultra-sensitive molecular MRI of cerebrovascular cell activation enables early detection of chronic central nervous system disorders.

    Science.gov (United States)

    Montagne, Axel; Gauberti, Maxime; Macrez, Richard; Jullienne, Amandine; Briens, Aurélien; Raynaud, Jean-Sébastien; Louin, Gaelle; Buisson, Alain; Haelewyn, Benoit; Docagne, Fabian; Defer, Gilles; Vivien, Denis; Maubert, Eric

    2012-11-01

    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 neuroinflammation.

  1. l-arginine and l-NMMA for assessing cerebral endothelial dysfunction in ischaemic cerebrovascular disease: A systematic review.

    Science.gov (United States)

    Karlsson, William K; Sørensen, Caspar G; Kruuse, Christina

    2017-01-01

    Endothelial dysfunction (ED), in particular cerebral ED, may be an essential biomarker for ischaemic cerebrovascular disease. However, there is no consensus on methods to best estimate cerebral ED. In this systematic review, we evaluate the use of l-arginine and N(G) -monomethyl-l-arginine (l-NMMA) for assessment of cerebral ED. A systematic search of PubMed, EMBASE and the Cochrane Library was done. We included studies investigating cerebrovascular response to l-arginine or l-NMMA in human subjects with vascular risk factors or ischaemic cerebrovascular disease. Seven studies (315 subjects) were eligible according to inclusion and exclusion criteria. Studies investigated the effect of age (n=2), type 2 diabetes mellitus (DM) (n=1), cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) (n=1), leukoaraiosis (n=1), and prior ischaemic stroke or transient ischaemic attack (TIA) (n=2) on cerebral ED. Most studies applied transcranial Doppler to quantify cerebral ED. Endothelium-dependent vasodilatation (EDV) induced by l-arginine was impaired in elderly and subjects with leukoaraiosis, but enhanced in CADASIL patients. Studies including subjects with prior ischaemic stroke or TIA reported both enhanced and impaired EDV to l-arginine. Responses to l-NMMA deviated between subjects with type 2 DM and the elderly. We found only few studies investigating cerebral endothelial responses to l-arginine and l-NMMA in subjects with vascular risk factors or ischaemic cerebrovascular disease. Inconsistencies in results were most likely due to variations in methods and included subject populations. In order to use cerebral ED as a prognostic marker, further studies are required to evaluate the association to cerebrovascular disease.

  2. 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.

  3. Neuroimaging: biochemical principles and its application in the cerebrovascular ischemic disease.

    Directory of Open Access Journals (Sweden)

    Zenaida Milagros Hernández Díaz

    2009-07-01

    Full Text Available The knowledge of neurobiochemical principles has allowed understanding the ischemic cascade that takes place after the decrease of cerebral blood flow and the findings that are visualized in neuroimaging studies in cerebrovascular ischemic disease. The need for early diagnosis of acute events to reestablish the cerebral blood flow to reduce neurological sequels, has led to the development of advanced imaging techniques, which allows following the histochemical and morphological changes that take place within the brain in vivo, in a non-invasive way, as well as its development, extent of the cerebral damage and damaged cerebral structures. The present bibliographic review has the objective of supporting the importance of neuroimaging studies in the diagnosis of acute cerebral ischemia.

  4. Acute exercise stress reveals cerebrovascular benefits associated with moderate gains in cardiorespiratory fitness.

    Science.gov (United States)

    Brugniaux, Julien V; Marley, Christopher J; Hodson, Danielle A; New, Karl J; Bailey, Damian M

    2014-12-01

    Elevated cardiorespiratory fitness improves resting cerebral perfusion, although to what extent this is further amplified during acute exposure to exercise stress and the corresponding implications for cerebral oxygenation remain unknown. To examine this, we recruited 12 moderately active and 12 sedentary healthy males. Middle cerebral artery blood velocity (MCAv) and prefrontal cortical oxyhemoglobin (cO(2)Hb) concentration were monitored continuously at rest and throughout an incremental cycling test to exhaustion. Despite a subtle elevation in the maximal oxygen uptake (active: 52±9 ml/kg per minute versus sedentary: 33±5 ml/kg per minute, Pexercise. Collectively, these findings indicate that the long-term benefits associated with moderate increase in physical activity are not observed in the resting state and only become apparent when the cerebrovasculature is challenged by acute exertional stress. This has important clinical implications when assessing the true extent of cerebrovascular adaptation.

  5. 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.

  6. 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.

  7. 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

  8. Cerebrovascular response to CO/sub 2/ inhalation in unanesthetized goats

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, M.C.; Lopez de Pablo, A.L.; Dieguez, G.; Gomez, B.; Lluch, S.

    1979-02-01

    The effects on cerebral blood flow of inhalation of 9% CO/sub 2/ in air were examined in unanesthetized goats. This procedure increased mean cerebral blood flow from 118 to 185 ml/min per 100 g and was accompanied by a rise in Pco/sub 2/ from 33 to 50 mmHg and a fall in pH from 7.41 to 7.26. Administration of phentolamine, propranolol, or atropine into the internal maxillary artery did not modify the normal cerebrovascular response to CO/sub 2/ inhalation. It is concluded that blockade of vascular adrenergic of cholinergic atropine-sensitive receptors in the goat has no effect on the cerebral vasomotor response to hypercapnia.

  9. 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.

  10. 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.

  11. Treatment of migraine attacks based on the interaction with the trigemino-cerebrovascular system

    DEFF Research Database (Denmark)

    Link, A.S.; Kuris, A.; Edvinsson, L.

    2008-01-01

    Primary headaches such as migraine are among the most prevalent neurological disorders, affecting up to one-fifth of the adult population. The scientific work in the last decade has unraveled much of the pathophysiological background of migraine, which is now considered to be a neurovascular...... disorder. It has been discovered that the trigemino-cerebrovascular system plays a key role in migraine headache pathophysiology by releasing the potent vasodilator calcitonin gene-related peptide (CGRP). This neuropeptide is released in parallel with the pain and its concentration correlates well...... with the intensity of the headache. The development of drugs of the triptan class has provided relief for the acute attacks but at the cost of, mainly cardiovascular, side effects. Thus, the intention to improve treatment led to the development of small CGRP receptor antagonists such as olcegepant (BIBN4096BS...

  12. Characterization of (/sup 3/H)5-hydroxytryptamine uptake within rat cerebrovascular tree

    Energy Technology Data Exchange (ETDEWEB)

    Amenta, F.; Rossi, M. de; Mione, M.C.; Geppetti, P.

    1985-06-07

    The in vitro uptake of tritiated serotonin ((/sup 3/H)5HT) was studied in a preparation of rat extracerebral arteries. The uptake of (/sup 3/H)5HT was time- and temperature-dependent and of high affinity; linear regression analysis gave a Ksub(m) value of 6.48 X 10/sup 7/ M for the specific uptake. Histoautoradiographic studies showed the highest density of silver grains at the level of the adventitial-medial border of the basilar artery. Fluoxetine inhibited the accumulation of silver grains within the adventitial-medial border in the blood vessel studied. The present data further support the view that a neuronal serotonergic system may play a role in the control of blood flow in the cerebrovascular tree.

  13. REHABILITACIÓN DEL ACCIDENTE CEREBRO-VASCULAR EN ADULTOS MAYORES

    Directory of Open Access Journals (Sweden)

    Facchín RJ

    2015-05-01

    Full Text Available Cerebrovascular disease (CVA or stroke is one of the most important problems of public health as it is the second leading cause of death worldwide according to WHO and the first permanent disability of sudden onset in patients over 65 years. It should always be considered functional recovery after stroke reflect the reparative processes in the area adjacent to peri ischemic damage. This is thought to occur early, perhaps in the first 3-4 weeks post-stroke. Then it considered the repetitive training is a critical stimulus for new functional connections within the healthy brain tissue and remaining. The begining of rehabilitation should be started as soon as the patient is clinically stable. The functional results depend on this early onset, of course considering the patient's tolerance to stress. We conclude that neuromuscular rehabilitation undertaken in early and interdisciplinary therapeutic instance is crucial for the patient affected by stroke, especially in the elderly.

  14. 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.

  15. 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.

  16. rCBF to distant areas in the acute and chronic stages of unilateral cerebrovascular disease

    Energy Technology Data Exchange (ETDEWEB)

    Onoda, Toru; Tamada, Tsutomu; Gyoten, Masayuki; Imai, Shigeki; Kajihara, Yasumasa [Kawasaki Medical School, Kurashiki, Okayama (Japan). School of Medicine; Fukuda, Atsuhiro [Kawasaki Medical School, Kurashiki, Okayama (Japan). Clinical Care Center; Miyanoki, Syo [Kobe Univ. (Japan). School of Medicine

    2002-09-01

    In 14 patients with unilateral cerebrovascular disease, regional cerebral blood flow (CBF) to distant areas in the acute and chronic stages was evaluated by SPECT with {sup 123}I-IMP. In the acute stage, rCBF in distant areas was decreased in all patients. In the chronic stage, a decrease in rCBF was observed in the contralateral cerebellar hemisphere in 50% of unilateral cerebral hemispheric lesions, in the ipsilateral thalamus in 42.9% of cerebral cortical lesions, and in the ipsilateral cortex in 57.1% of subcortical lesions. The decreased rCBF in distant areas even in the chronic stage suggested the involvement of organic changes in the pathologic condition in this stage. (author)

  17. Moyamoya Disease – a Vasculopahty and an Uncommon Cause of Recurrent Cerebrovascular Accidents

    Directory of Open Access Journals (Sweden)

    Yasmin S Hamirani

    2008-09-01

    Full Text Available

    Moyamoya disease is a very rare chronic cerebrovascular disease of unknown etiology characterized by recurrent ischemic or hemorrhagic strokes. Initially diagnosed in Japan and named after finding puff of smoke like collateral blood vessels around the occluded blood vessels of circle of Willis. With increase awareness this disease is now diagnosed more often. Medical and surgical treatment have been used to treat the disease, with surgical treatment been mostly experimental. Special attention should be given to the surgical treatment which has shown to have an edge over the medical treatment in some clinical trials especially in young patients with recurrent strokes to prevent progressive cognitive decline and to improve their quality of life. In our patient, who is a young man, the diagnosis was picked up late and when surgical evaluation was performed, it was considered to be fruitless with findings of nonviable brain tissue on MRI imaging.

  18. First translational 'Think Tank' on cerebrovascular disease, cognitive impairment and dementia.

    Science.gov (United States)

    Barone, Frank C; Gustafson, Deborah; Crystal, Howard A; Moreno, Herman; Adamski, Mateusz G; Arai, Ken; Baird, Alison E; Balucani, Clotilde; Brickman, Adam M; Cechetto, David; Gorelick, Philip; Biessels, Geert Jan; Kiliaan, Amanda; Launer, Lenore; Schneider, Julie; Sorond, Farzaneh A; Whitmer, Rachel; Wright, Clinton; Zhang, Zheng Gang

    2016-02-13

    As the human population continues to age, an increasing number of people will exhibit significant deficits in cognitive function and dementia. It is now recognized that cerebrovascular, metabolic and neurodegenerative diseases all play major roles in the evolution of cognitive impairment and dementia. Thus with our more recent recognition of these relationships and our need to understand and more positively impact on this world health problem, "The Leo and Anne Albert Charitable Trust" (Gene Pranzo, Trustee with significant support from Susan Brogan, Meeting Planner) provided generous support for this inaugural international workshop that was held from April 13-16, 2015 at the beautiful Ritz Carlton Golf Resort in North Naples, Florida. Researchers from SUNY Downstate Medical Center, Brooklyn, NY organized the event by selecting the present group of translationally inclined preclinical, clinical and population scientists focused on cerebrovascular disease (CVD) risk and its progression to vascular cognitive impairment (VCI) and dementia. Participants at the workshop addressed important issues related to aging, cognition and dementia by: (1) sharing new data, information and perspectives that intersect vascular, metabolic and neurodegenerative diseases, (2) discussing gaps in translating population risk, clinical and preclinical information to the progression of cognitive loss, and (3) debating new approaches and methods to fill these gaps that can translate into future therapeutic interventions. Participants agreed on topics for group discussion prior to the meeting and focused on specific translational goals that included promoting better understanding of dementia mechanisms, the identification of potential therapeutic targets for intervention, and discussed/debated the potential utility of diagnostic/prognostic markers. Below summarizes the new data-presentations, concepts, novel directions and specific discussion topics addressed by this international

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

    Science.gov (United States)

    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.

    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 have distinctive features. This study involved the analysis of neuroimaging of 13 patients with heterozygous missense mutations in ACTA2 disrupting Arg179. All patients had persistent ductus arteriosus and congenital mydriasis, and variable presentation of pulmonary hypertension, bladder and gastrointestinal problems associated with this mutation. Distinctive cerebrovascular features were dilatation of proximal internal carotid artery, occlusive disease of terminal internal carotid artery, an abnormally straight course of intracranial arteries, and absent basal ‘moyamoya’ collaterals. Patterns of brain injury supported both large and small vessel disease. Key differences from moyamoya disease were more widespread arteriopathy, the combination of arterial ectasia and stenosis and, importantly, absence of the typical basal ‘moyamoya’ collaterals. Evaluation of previously published cases suggests some of these features are also seen in the ACTA2 mutations disrupting Arg258. The observation that transition from dilated to normal/stenotic arterial calibre coincides with where the internal carotid artery changes from an elastic to muscular artery supports the hypothesis that abnormal smooth muscle cell proliferation caused by ACTA2 mutations is modulated by arterial wall components. Patients with persistent ductus arteriosus or congenital mydriasis with a label of ‘moyamoya’ should be re-evaluated to ensure the distinctive neuroimaging features of an ACTA2 mutation have not been overlooked. This diagnosis has prognostic and genetic implications, and mandates surveillance of other organ systems, in particular the aorta, to prevent life-threatening aortic dissection

  20. 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.