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Sample records for coronaria renac 2001-2002

  1. Israel Seminar 2001-2002

    CERN Document Server

    Schechtman, Gideon

    2003-01-01

    The proceedings of the Israeli GAFA seminar on Geometric Aspect of Functional Analysis during the years 2001-2002 follow the long tradition of the previous volumes. They continue to reflect the general trends of the Theory. Several papers deal with the slicing problem and its relatives. Some deal with the concentration phenomenon and related topics. In many of the papers there is a deep interplay between Probability and Convexity. The volume contains also a profound study on approximating convex sets by randomly chosen polytopes and its relation to floating bodies, an important subject in Classical Convexity Theory. All the papers of this collection are original research papers.

  2. United States Crimes Database 2001-2002 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows crime statistics for the United States for the years 2001-2002, drawn from the Uniform Crime Reporting Program data compiled by the Federal...

  3. Fire & Rescue Service Annual Report 2001/2002

    CERN Document Server

    Doebbeling, E P

    2003-01-01

    This report summarizes the mandate, the personnel and the main activities of the Fire & Rescue Service Group of the Technical Inspection and Safety Division (TIS/FB) during the years 2001/2002. It focuses on the most important domains of activity. It also contains detailed statistics of activity for the two years and an overview of the equipment.

  4. Airborne Pollen Grains in Zonguldak,Turkey,2001-2002

    Institute of Scientific and Technical Information of China (English)

    Ayse KAPLAN

    2004-01-01

    The variation in airborne pollen concentration of the Zonguldak region, Turkey was studied for two consecutive years 2001-2002 using a Durham sampler. During this period, a total of 61 304 pollen grains belonging to 43 taxa were recorded. Of these 43 taxa, 26 belonged to arboreal and 17 to nonarboreal plants. The main pollen types were Pinaceae, Populus, Carpinus, Betula, Corylus, Fagus orientalis,Castanea sativa, Alnus glutinosa, Quercus, Cupressaceae, Chenopodiaceae and Gramineae, representing 96.7% of the pollen spectrum. Pollen concentration reached the highest level in March.

  5. Water Science and Technology Board Annual Report 2001-2002

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-10-01

    This annual report marks the twentieth anniversary of the Water Science and Technology Board (WSTB) (1982-2002). The WSTB oversees studies of water issues. The principal products of studies are written reports. These reports cover a wide range of water resources issues of national concern. The following three recently issued reports illustrate the scope of the WSTB's studies: Envisioning the Agenda for Water Resources Research in the Twenty-first Century. The Missouri River Ecosystem: Exploring the Prospects for Recovery, and Assessing the TMDL Approach to Water Quality Management. The WSTB generally meets three times each year where discussions are held on ongoing projects, strategic planning, and developing new initiatives. The meetings also foster communication within the water resources community. The annual report includes a discussion on current studies, completed studies 2001-2002, and future plans, as well as a listing of published reports (1983-2002).

  6. Noodle consumption patterns of American consumers: NHANES 2001-2002.

    Science.gov (United States)

    Chung, Chin Eun; Lee, Kyung Won; Cho, Mi Sook

    2010-06-01

    Although noodles occupy an important place in the dietary lives of Americans, up until the present time research and in-depth data on the noodle consumption patterns of the US population have been very limited. Therefore, this study aimed to analyze the food consumption and diet patterns of noodle consumers and non-consumers according to age, gender, income, and ethnicity. The 2001-2002 NHANES databases were used. The NHANES 2001-2002 data showed that noodle consumers reporting noodle consumption in their 24-h recall were 2,035 individuals (23.3% of total subjects). According to the results, the mean noodle consumption was 304.1 g/day/person, with 334.3 g for males and 268.0 g for females. By age, the intake of those in the age range of 9-18 years old ranked highest at 353.0 g, followed by the order of 19-50 year-olds with 333.5 g, 51-70 year-olds with by 280.4 g, older than 71years old with 252.3 g, and 1-8 year-olds with 221.5 g. By gender, males consumed more noodles than females. Also, according to income, the intake amount for the middle-income level (PIR 1~1.85) of consumers was highest at 312.5 g. Noodle intake also showed different patterns by ethnicity in which the "other" ethnic group consumed the most noodles with 366.1 g, followed by, in order, Hispanics with 318.7 g, Whites with 298.6 g, and Blacks with 289.5 g. After comparing food consumption by dividing the subjects into noodle consumers and non-consumers, the former was more likely to consume milk, fish, citrus fruits, tomatoes, and alcoholic beverages while the latter preferred meat, poultry, bread, and non-alcohol beverages.

  7. Kootenai River Focus Watershed Coordination, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kruse, Gretchen (Kootenai River Network, Libby, MT)

    2002-07-01

    The 2001-2002 Kootenai River Network Annual Report reflects the organization's defined set of goals and objectives, and how by accomplishing these goals, we continue to meet the needs of communities and landowners throughout the Kootenai River Basin by protecting the resource. Our completed and ongoing projects throughout the watershed reflect the cooperation and support received and needed to accomplish the rehabilitation and restoration of critical habitat. They show that our mission of facilitation through collaboration with public and private interests can lead to improved resource management, the restoration of water quality and the preservation of pristine aquatic resources. Our vision to empower local citizens and groups from two states, one province, two countries and affected tribal nations to collaborate in natural resource management within the basin is largely successful due to the engagement of the basin's residents--the landowners, town government, local interest groups, businesses and agency representatives who live and work here. We are proof that forging these types of cooperative relationships, such as those exhibited by the Kootenai River subbasin planning process, leads to a sense of entitlement--that the quality of the river and its resources enriches our quality of life. Communication is essential in maintaining these relationships. Allowing ourselves to network and receive ideas and information, as well as to produce quality, accessible research data such as KRIS, shared with like organizations and individuals, is the hallmark of this facilitative organization. We are fortunate in the ability to contribute such information, and continue to strive to meet the standards and the needs of those who seek us out as a model for watershed rehabilitative planning and restoration. Sharing includes maintaining active, ongoing lines of communication with the public we serve--through our web site, quarterly newsletter, public presentations and

  8. de nutrición infantil 2001-2002.

    Directory of Open Access Journals (Sweden)

    Lucía Díez-Gañán

    2007-01-01

    Full Text Available Fundamento: Para conocer la situación alimentaria y nutricional en la población infantil, sobre la que no existía información actualizada, el Instituto de Salud Pública desarrolló la Encuesta de Nutrición Infantil de la Comunidad de Madrid 2001/2002 (ENICM. En este trabajo se analiza la ENICM para describir y evaluar la ingesta de alimentos, energía y nutrientes en esta población. Métodos: Estudio transversal sobre una muestra representativa de la población de 5-12 años de la Comunidad de Madrid. La información alimentaria se recogió en 2001 y 2002 mediante dos recuerdos de 24 horas. Se ha estudiado la ingesta total diaria de alimentos, energía y nutrientes. Los análisis incluyen los 1.852 niños con información completa en los dos recuerdos (90,8% de las entrevistas realizadas. Resultados: La ingesta media total diaria de alimentos es 1.460,7 gramos/persona/día. Salvo para los lácteos, huevos y aceites, la ingesta en los grupos alimentarios básicos es inadecuada, particularmente baja en las frutas frescas, verduras y hortalizas. La ingesta media energética y nutricional resultante es 1.905,9 kcal/persona/día; 43,6% hidratos de carbono; 17,4% proteínas, 39,0% lípidos (13,3% grasas saturadas, 16,8% monoinsaturadas, 5,0% poliinsaturadas; 363,8 mg de colesterol; 13,6 g de fibra e ingestas por debajo de las recomendadas de zinc, ácido fólico, vitaminas D y E (ambos sexos y hierro y vitamina B6 (niñas. Conclusiones: La dieta de la población infantil de la Comunidad de Madrid presenta desequilibrios que es necesario mejorar: ingesta inadecuada de alimentos básicos, exceso de proteínas, grasas saturadas y colesterol y déficit de hidratos de carbono, fibra y algunos micronutrientes.

  9. Cypress Creek National Wildlife Refuge: Annual Narrative: Calendar years 2001-2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Cypress Creek National Wildlife Refuge summarizes refuge activities during calendar years 2001-2002. The report begins with an...

  10. Eesti ilukirjanduse tulemine ja mittetulemine aastail 2001-2002 / Mare-Mai Kõnno

    Index Scriptorium Estoniae

    Kõnno, Mare-Mai

    2006-01-01

    Eesti ilukirjanduse tulemisest eesti kirjandusväljale aastatel 2001-2002 lähtuvalt raamatute kirjastamisest ja arvustamisest. Lisana sisaldab 2001. ja 2002. aastal avaldatud arvustamata teoste nimekirja

  11. Eesti ilukirjanduse tulemine ja mittetulemine aastail 2001-2002 / Mare-Mai Kõnno

    Index Scriptorium Estoniae

    Kõnno, Mare-Mai

    2006-01-01

    Eesti ilukirjanduse tulemisest eesti kirjandusväljale aastatel 2001-2002 lähtuvalt raamatute kirjastamisest ja arvustamisest. Lisana sisaldab 2001. ja 2002. aastal avaldatud arvustamata teoste nimekirja

  12. Summary of the 2001-2002 Squaw Creek National Wildlife Refuge Deer Harvest

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The 2001-2002 Squaw Creek NWR primitive firearms antler-less deer hunt consisted of two separate 2-day hunts occurring on December 15/16 2001 and January 12/13 2002....

  13. HEALTH EFFECTS ASSOCIATED WITH SUBLETHAL EXPOSURE TO MICROCYSTINS AMONG DIALYSIS PATIENTS, BRAZIL, 2001-2002

    Science.gov (United States)

    Background: During winter 2001-2002, an episode of microcystin exposure occurred among dialysis patients in Rio de Janiero, Brazil. During late November 2001, a cyanobacterial water bloom was detected in the Funil reservoir and the Guandu River, both of which supply drinking wate...

  14. The "Isms" of Art. Introduction to the 2001-2002 Clip and Save Art Prints.

    Science.gov (United States)

    Hubbard, Guy

    2001-01-01

    Provides an introduction to the 2001-2002 Clip and Save Art Prints that will focus on ten art movements from the past 150 years. Includes information on three art movements, or "isms": Classicism, Romanticism, and Realism. Discusses the Clip and Save Art Print format and provides information on three artists. (CMK)

  15. Point Mammal data for Inventories completed in 2001 & 2002 at Pipe Spring National Monument, Arizona (pisp_mammals)

    Data.gov (United States)

    National Park Service, Department of the Interior — This point coverage of 517 points maps the locations of the 2001 & 2002 Mammal Inventories. The parks inventoried were Black Canyon of the Gunnison, Capitol...

  16. Teenage conceptions by small area deprivation in England and Wales, 2001-2002.

    Science.gov (United States)

    Uren, Zoe; Sheers, Dilwyn; Dattani, Nirupa

    2007-01-01

    This article examines the relationship between teenage conceptions and deprivation in England and Wales in 2001-2002 using data at census ward level. Teenage conceptions are defined as births and abortions to women conceiving under the age of 18. Deprivation has been measured using Carstairs scores rebased using the 2001 Census. For the first time at ward level, analysis has differentiated between births and abortions resulting from teenage conceptions. Findings confirm the strong association between teenage conceptions and deprivation and also that deprivation has a strong influence on the likelihood of conceptions leading to either birth or abortion, although regional variations were observed for this relationship.

  17. Diabetes y Enfermedad Coronaria

    Directory of Open Access Journals (Sweden)

    Alfredo Jácome Roca

    1997-06-01

    Full Text Available

    La Diabetes Mellitus es un síndrome con etiología multifactorial y con variadas expresiones en la clínica y en las complicaciones. Las formas más comunes son la diabetes tipo 11 o diabetes no insulino dependiente (DMNID y la tipo 1 (antigua juvenil o insulino-dependiente (DMID. Las más notables diferencias entre la frecuencia e intensidad de sus manifestaciones clínicas y complicaciones así como de su etiología son muy conocidas pero las anotaremos a manera de repaso.

    En la DMID o tipo 1 (la menos frecuente al menos dos genes localizados en el sistema HLA, región de antígenos de histocompatibilidad en el brazo corto del cromosoma 6, aumentan el riesgo. Se observa la presencia en el haplotipo de los antígenos B8/BWI5 y DW3/DW4. Posteriormente un virus (paperas, sarampión, mononucleosis, Cocksakie B desencadenarían una destrucción autoinmune de islotes!.

    En la DMNID o tipo II influyen la herencia y la obesidad como factores más notorios. Como en la DMID la producción de insulina es cerca a cero o cero, hay mayor tendencia a hiperglicemias marcadas, coma diabético y complicaciones microvasculares (nefropatía, retinopatía y neuropatía, pero también pueden haber complicaciones “macrovasculares” o aterogénicas, como enfermedad coronaria y arterioesclerosis periférica. La DMNID o tipo 11 presenta mayor incidencia de la última clase de complicaciones y menos de las primeras y generalmente hay “hiperinsulinemia” y obesidad asociadas. Los tipo 1generalmente mueren de falla renal y ciegos mientras los de tipo 11 mueren de infarto

    Como noticias recientes en diabetes, se ha comprobado que el control estricto de la hiperglicemia (manifestado por normalización de la hemoglobina glicosilada Al en la diabetes tipo 1previene o retarda la presencia de complicaciones microvasculares; esto se logra con un manejo intensivo, que incluye también uso intensivo de regímenes de insulina.

    Pero ¿qué pasa con la

  18. Faecal carriage of extended-spectrum beta-lactamase-producing Enterobacteriaceae among humans in Java, Indonesia, in 2001-2002

    NARCIS (Netherlands)

    Severin, J.A.; Lestari, E.S.; Kloezen, W.; Lemmens-den Toom, N.; Mertaniasih, N.M.; Kuntaman, K.; Purwanta, M.; Duerink, D.O.; Hadi, U.; Belkum, A. van; Verbrugh, H.A.; Goessens, W.H.F.; Gardjito, W.; Kolopaking, E.P.; Wirjoatmodjo, K.; Roeshadi, D.; Suwandojo, E.; Rahardjo, E.; Tahalele, P.; Parathon, H.; Zairina, N.; Qibtiyah, M.; Isbandiati, E.; Deborah, K.; Alimsardjono, L.; Lusida, M.I.; Soejoenoes, A.; Riyanto, B.; Wahjono, H.; Adhisaputro, M.; Isbandrio, B.; Triwara, B.; Syoeib, J.; Wibowo, B.; Sofro, M.A.; Farida, H.; Hapsari, M.M.; Nugraha, T.L.; Broek, P van den; Gyssens, I.C.J.; Keuter, M.

    2012-01-01

    OBJECTIVE: To characterise commensal Escherichia coli and other Enterobacteriaceae with reduced susceptibility to cefotaxime that were collected in a large survey carried out among 3995 patients and healthy persons in two urban regions on Java, Indonesia, in 2001-2002. METHODS: The putative extended

  19. Epidemiological studies on dengue virus type 3 in Playa municipality, Havana, Cuba, 2001-2002.

    Science.gov (United States)

    Guzman, Maria G; Alvarez, Angel; Vazquez, Susana; Alvarez, Mayling; Rosario, Delfina; Pelaez, Otto; Cruz, Guillermo; Rodriguez, Rosmari; Pavon, Alequis; Gonzalez, Annia; Morier, Luis; Ruiz, Dydie; Kouri, Gustavo; Halstead, Scott B

    2012-03-01

    Recognizing the uniqueness of secondary dengue virus (DENV)-1/3 dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS) cases at an interval of 24 years, we sought to estimate DENV infections as well as the ratios between mild disease and DHF/DSS by DENV infection sequence in Playa District (Havana, Cuba) during the 2001-2002 outbreak of dengue virus type 3 (DENV-3). A retrospective seroepidemiological study was conducted in 2003 in Playa District. Blood samples were collected from a 1% random sample of residents and were studied for the prevalence of dengue neutralizing antibodies. DENV-3 was found to have infected 7.2% (95% confidence interval (95% CI) 6.0-8.4%) of susceptible individuals (the entire cohort), the majority of whom experienced silent infections. Virtually every individual who had a secondary infection in the sequence DENV-1 then DENV-3 became ill, with a ratio of severe to mild cases of 1:35 (95% CI 1:67-1:23). Secondary infections in the sequence DENV-2/3 were less pathogenic than DENV-1/3. Mild disease accompanying secondary DENV2/3 occurred at a ratio of 1:4.49 infections (95% CI 1:5.77-1:3.42) secondary infections. The results obtained highlight the role of the infecting serotype and also the sequence of the viral infection in the clinical outcome of a dengue infection. Copyright © 2011 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  20. Cardiovascular fitness among U.S. adults: NHANES 1999-2000 and 2001-2002.

    Science.gov (United States)

    Duncan, Glen E; Li, Sierra M; Zhou, Xiao-Hua

    2005-08-01

    To present information on cardiovascular fitness (estimated maximal oxygen uptake [VO2max] and cardiovascular fitness levels based on sex- and age-specific cut-points of estimated VO2max) among U.S. adults. Analysis of data on 1978 adults (20-49 yr) who had completed a submaximal exercise test, from the National Health and Nutrition Examination Survey (1999-2000 and 2001-2002), a cross-sectional health survey of a nationally representative sample of the noninstitutionalized U.S. population Estimated VO2max was significantly lower (P VO2max was also significantly lower (P < 0.001) in non-Hispanic black females (33.1 +/- 0.6 mL x min(-1) x kg(-1)) than in Mexican-American and non-Hispanic white females (37.0 +/- 0.7 and 36.4 +/- 0.4 mL x min(-1) x kg(-1), respectively). The proportion of low, moderate, and high cardiovascular fitness differed (P < 0.001) among race and race-sex groups. This difference was most striking among females, where 30.9% [95% confidence interval = 23.6-38.2%] of non-Hispanic black women had a low cardiovascular fitness level, compared with only 13.5% [10.0-17.0%] of non-Hispanic white and 18.9% [14.0-23.8%] of Mexican-American women. Adults of non-Hispanic black race have lower cardiovascular fitness than other major race groups in the United States. Nearly one third of non-Hispanic black women had a low cardiovascular fitness level, suggesting that this group in particular may be at increased health risk due to low cardiovascular fitness.

  1. [Legionellosis in Poland in 2001-2002 and epidemiological situation in Europe].

    Science.gov (United States)

    Stypułkowska-Misiurewicz, Hanna; Pancer, Katarzyna

    2003-01-01

    Legionnaires' disease is an infectious disease under the internationally approved surveillance agreed by members of European Working Group on Legionella Infections EWGLI. Data over 12,000 cases of legionnaires' disease from 28 countries are included in European data set for years 1993-2000. The overall incidence rate for Europe in 2000 was evaluated as 5,4 cases per million population. The cases was registered as community-acquired, nosocomial or travel often foreign travel associated. Most 2,799 (70.7%) of the cases in 1999-2001 were confirmed by detection of Legionella antigens in urine of patients or by serological findings 205 (18.1%); in them seroconversion was found in 9.5% and high titer in single serum specimen in 8.6% of cases. Culture proven were only 109 (9.6%) cases, and 1.6% of cases by other methods, PCR included. In Poland in 1997 the laboratory examination of samples for diagnosis of Legionella infections started in National Institute of Hygiene. In 2001-2002 the 290 samples were examined. Five cases were laboratory confirmed, but the results of 16 specimen examined was only presumptive positive and for 8 samples equivocal. In comparison with other european countries the number of examined samples is still much to small to find legionnaires' disease cases. The minimum 220 cases by year may be expected in Poland. To find such number the examination of antigenuria should be performed in patients with pneumonia hospitalised in intensive care units because of acute respiratory insufficiency.

  2. Nonradioactive Ambient Air Monitoring at Los Alamos National Laboratory 2001--2002

    Energy Technology Data Exchange (ETDEWEB)

    E. Gladney; J.Dewart, C.Eberhart; J.Lochamy

    2004-09-01

    During the spring of 2000, the Cerro Grande forest fire reached Los Alamos National Laboratory (LANL) and ignited both above-ground vegetation and disposed materials in several landfills. During and after the fire, there was concern about the potential human health impacts from chemicals emitted by the combustion of these Laboratory materials. Consequently, short-term, intensive air-monitoring studies were performed during and shortly after the fire. Unlike the radiological data from many years of AIRNET sampling, LANL did not have an adequate database of nonradiological species under baseline conditions with which to compare data collected during the fire. Therefore, during 2001 the Meteorology and Air Quality Group designed and implemented a new air-monitoring program, entitled NonRadNET, to provide nonradiological background data under normal conditions. The objectives of NonRadNET were to: (1) develop the capability for collecting nonradiological air-monitoring data, (2) conduct monitoring to develop a database of typical background levels of selected nonradiological species in the communities nearest the Laboratory, and (3) determine LANL's potential contribution to nonradiological air pollution in the surrounding communities. NonRadNET ended in late December 2002 with five quarters of data. The purpose of this paper is to organize and describe the NonRadNET data collected over 2001-2002 to use as baseline data, either for monitoring during a fire, some other abnormal event, or routine use. To achieve that purpose, in this paper we will: (1) document the NonRadNET program procedures, methods, and quality management, (2) describe the usual origins and uses of the species measured, (3) compare the species measured to LANL and other area emissions, (4) present the five quarters of data, (5) compare the data to known typical environmental values, and (6) evaluate the data against exposure standards.

  3. The CINDI Health Monitor Survey. Health behaviour among the Italian adult population, 2001-2002

    Directory of Open Access Journals (Sweden)

    Maria Teresa Tenconi

    2004-12-01

    Full Text Available

    In accordance to the WHO-CINDI (Countrywide Integrated Non-communicable Diseases Intervention Programme, in 2001-2002 Italy participated in the Health Monitor Survey (HMS along with all the other CINDI member countries.

    The survey aimed to investigate, by the use of a standard questionnaire, the self-reported health status, life-habits, social and health conditions, use of health services and other features of the study population.

    Following the international CINDI protocol, the adult population (25-64 years of age from six Italian demonstration areas were chosen: Bassiano-Lenola (LT, Brisighella (RA, Rovescala (PV, Sardinia (CA, SS, Udine (UD; Valle dell’Irno (SA. A total number of 4095 subjects, including both males and females were enrolled, with a participation rate of 53%, equal to 2202 subjects [45.7% males (M and 54.3% females (F]. All age groups were equally represented. From the analysis of the age-standardised rates, the following results were obtained. Self-reported “good state of health”: M 71%, F 56.9%; Hypertension: M 15.6%, F 17.5%; Diabetes: M 6.1%, F 4.2%; Back-illness: M 18%, F 22%; Gastritis: M 12.8%, F 12.6%; Headache: M 31.7%, F 54.6%; Insomnia: M 15.9%, F 28.5%; Daily smokers: M 35.7%, F 23.5%; Daily consumption of wine: M 40.2%, F 15.7%; BMI ≥ 30: M 12.3%, F 13.5%; Regular leisure physical activity: M 27.6%, F 23.1%; Hard physical activity: M 40.5%, F 24%. The results demonstrate how rural areas (Rovescala and Valle dell’Irno experience worse health conditions. Thanks to the HMS, the population’s health needs have been focused and compared to those of other CINDI countries, in order to plan specific interventions aimed at the improvement of lifestyle and health conditions.

  4. Ocean color and transparency data received from Royal Netherlands Institute for Sea Research collected in the years 1889-99, 2001, 2002 and 2013 (NODC Accession 0114317)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Ocean color and transparency data received from Royal Netherlands Institute for Sea Research collected in the years 1889-99, 2001, 2002 and 2013.

  5. Estonie 2001-2002 : turbulences politiques a la veille des grands rendez-vous internationaux / Antoine Chalvin, Juliette Déplanque

    Index Scriptorium Estoniae

    Chalvin, Antoine

    2002-01-01

    Eesti sisepoliitikast aastal 2001 - 2002. Presidendivalimistele järgnenud valitsuskriisist, majandusnäitajatest, Eesti ja Prantsusmaa vahelistest majandussuhetest ning Eesti peatsest ühinemisest Euroopa Liiduga. Tabel: peamised majandusnäitajad Eestis aastatel 1994 - 2001. Lisad.

  6. Estonie 2001-2002 : turbulences politiques a la veille des grands rendez-vous internationaux / Antoine Chalvin, Juliette Déplanque

    Index Scriptorium Estoniae

    Chalvin, Antoine

    2002-01-01

    Eesti sisepoliitikast aastal 2001 - 2002. Presidendivalimistele järgnenud valitsuskriisist, majandusnäitajatest, Eesti ja Prantsusmaa vahelistest majandussuhetest ning Eesti peatsest ühinemisest Euroopa Liiduga. Tabel: peamised majandusnäitajad Eestis aastatel 1994 - 2001. Lisad.

  7. Occurrence, distribution and transport of pesticides into the Salton Sea Basin, California, 2001-2002

    Science.gov (United States)

    LeBlanc, L.A.; Kuivila, K.M.

    2008-01-01

    The Salton Sea is a hypersaline lake located in southeastern California. Concerns over the ecological impacts of sediment quality and potential human exposure to dust emissions from exposed lakebed sediments resulting from anticipated shrinking of shoreline led to a study of pesticide distribution and transport within the Salton Sea Basin, California, in 2001-2002. Three sampling stations-upriver, river mouth, and offshore-were established along each of the three major rivers that discharge into the Salton Sea. Large-volume water samples were collected for analysis of pesticides in water and suspended sediments at the nine sampling stations. Samples of the bottom sediment were also collected at each site for pesticide analysis. Sampling occurred in October 2001, March-April 2002, and October 2002, coinciding with the regional fall and spring peaks in pesticide use in the heavily agricultural watershed. Fourteen current-use pesticides were detected in water and the majority of dissolved concentrations ranged from the limits of detection to 151 ng/l. Diazinon, EPTC and malathion were detected at much higher concentrations (940-3,830 ng/l) at the New and Alamo River upriver and near-shore stations. Concentrations of carbaryl, dacthal, diazinon, and EPTC were higher in the two fall sampling periods, whereas concentrations of atrazine, carbofuran, and trifluralin were higher during the spring, which matched seasonal use patterns of these pesticides. Current-use pesticides were also detected on suspended and bed sediments in concentrations ranging from detection limits to 106 ng/g. Chlorpyrifos, dacthal, EPTC, trifluralin, and DDE were the most frequently detected pesticides on sediments from all three rivers. The number of detections and concentrations of suspended sediment-associated pesticides were often similar for the river upriver and near-shore sites, consistent with downstream transport of pesticides via suspended sediment. While detectable suspended sediment

  8. Enfermedad coronaria en pacientes con psoriasis

    Directory of Open Access Journals (Sweden)

    Walter Masson

    2013-10-01

    Full Text Available Comunicaciones previas asociaron la psoriasis con la enfermedad coronaria. Desconocemos si en nuestro país o región existe dicha asociación. Se realizó un estudio transversal analizando los datos de la historia clínica electrónica de un sistema de salud de Buenos Aires. Analizamos todos los pacientes mayores de 18 años con diagnóstico de psoriasis entre el 1 de enero de 2003 y el 31 de julio de 2011 y los comparamos con un grupo control, en una relación 2:1, obtenido en forma aleatoria del mismo sistema de salud, apareados por edad y sexo. Determinamos la prevalencia de los factores de riesgo cardiovascular y de enfermedad coronaria. Analizamos la asociación entre la enfermedad coronaria y la psoriasis mediante análisis uni y multivariado. Se incluyeron 3 833 sujetos (1 286 pacientes con psoriasis y 2 547 controles. La prevalencia de hipertensión arterial (50% vs. 38%, p < 0.001, tabaquismo (25% vs. 17%, p < 0.001, diabetes (12% vs. 8%, p < 0.001 y enfermedad coronaria (4.98% vs. 3.06%, p = 0.003 fue mayor en los sujetos con psoriasis en comparación con el grupo control. Independientemente de la edad, la presencia de diabetes, hipertensión arterial o tabaquismo, hubo una asociación significativa entre la enfermedad coronaria y la psoriasis (OR 1.48, IC95% 1.04-2.11, p = 0.03. En conclusión, en esta población de Buenos Aires, los pacientes con psoriasis tuvieron una mayor prevalencia de diabetes, hipertensión arterial, tabaquismo y enfermedad coronaria. La asociación entre la psoriasis y la enfermedad coronaria fue independiente de los factores de riesgo explorados.

  9. Lesiones arteriales coronarias ajenas a aterosclerosis

    OpenAIRE

    Alberto Rangel-Abundis

    2007-01-01

    La aterosclerosis es la causa más frecuente de cardiopatía isquémica. Actualmente se ha ampliado la lista de padecimientos ajenos a aterosclerosis que dañan las arterias coronarias, uniéndose al catálogo enfermedades autoinmunes que afectan las arterias epicárdicas y la microcirculación coronaria y lesiones observadas en la sala de cateterismo. Las enfermedades adquiridas ajenas a la aterosclerosis aparecen como anomalías primarias o como parte de un desorden multiorgánico que semeja a la ate...

  10. Trends in Food Habits and Their Relation to Socioeconomic Status among Nordic Adolescents 2001/2002-2009/2010

    DEFF Research Database (Denmark)

    Fismen, Anne-Siri; Smith, Otto Robert Frans; Torsheim, Torbjørn

    2016-01-01

    , collected via three nationally representative and comparable questionnaire surveys in 2001/2002, 2005/2006 and 2009/2010. Food habits were identified by students' consumption of fruit, vegetables, sweets and sugar sweetened soft drink. Socioeconomic status (SES) was measured with the Family Affluence Scale......, with the exception of Denmark for the survey year 2009/2010. CONCLUSION: Different trends resulted in increased country differences in food habits during the time of observations. In survey year 2009/2010, Danish students reported a higher intake of fruit and vegetable consumption than their counterparts...... at national level. In recent years, social inequalities in food habits have been attracted particular governmental interest and several initiatives addressing the socioeconomic gradient in food habits have been highlighted. However, few internationally published studies have evaluated how trends...

  11. Faecal carriage of extended-spectrum β-lactamase-producing Enterobacteriaceae among humans in Java, Indonesia, in 2001-2002.

    Science.gov (United States)

    Severin, Juliëtte A; Lestari, Endang Sri; Kloezen, Wendy; Lemmens-den Toom, Nicole; Mertaniasih, Ni Made; Kuntaman, Kuntaman; Purwanta, Marijam; Duerink, D Offra; Hadi, Usman; van Belkum, Alex; Verbrugh, Henri A; Goessens, Wil H

    2012-04-01

    To characterise commensal Escherichia coli and other Enterobacteriaceae with reduced susceptibility to cefotaxime that were collected in a large survey carried out among 3995 patients and healthy persons in two urban regions on Java, Indonesia, in 2001-2002. The putative extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae were analysed using double-disk synergy tests, isoelectric focusing, PCR assays, DNA sequencing, and pulsed-field gel electrophoresis (PFGE). On the day of discharge after five or more days of hospitalisation, at least 95 of 999 (9.5%) patients carried ESBL-positive Enterobacteriaceae as dominant faecal flora. Six patients were simultaneously colonised with E. coli and Klebsiella pneumoniae isolates with ESBL activity. On admission, only 6 of 998 (0.6%) patients were colonised. Faecal carriage of ESBL-producing Enterobacteriaceae among healthy persons or persons visiting a public health centre was not detected. The 107 ESBL-positive strains included 68 E. coli, 35 K. pneumoniae, and four other Enterobacteriaceae. bla(CTX-M-15) was the most prevalent ESBL in both E. coli (47.1%) and K. pneumoniae (45.7%), but the E. coli O25b-ST131 clone was virtually absent. Other ESBL types found were: SHV-2, -2a, -5, -12, CTX-M-3, -9, -14, and TEM-19. PFGE revealed extensive genetic diversity among the isolates. In 2001-2002, faecal carriage of ESBL-producing Enterobacteriaceae as dominant flora in Indonesia was almost exclusively hospital-associated. The presence of various bla(ESBL) genes and the extensive genetic diversity among isolates argue against a single/dominant strain outbreak. © 2012 Blackwell Publishing Ltd.

  12. Time trends and transplacental transfer of perfluorinated compounds in melon-headed whales stranded along the Japanese coast in 1982, 2001/2002, and 2006.

    Science.gov (United States)

    Hart, Kimberly; Kannan, Kurunthachalam; Isobe, Tomohiko; Takahashi, Shin; Yamada, Tadasu K; Miyazaki, Nobuyuki; Tanabe, Shinsuke

    2008-10-01

    As a result of the phase-out of production of perfluorooctanesulfonyl-based compounds by a major producer, concentrations of perfluorooctanesulfonate (PFOS) in marine mammals from North American and European coastal waters have been declining since the early 2000s. Nevertheless, temporal trends in perfluorochemical (PFC) concentrations in marine mammals from Asian coastal waters have not been examined. In this study, PFCs were determined in livers of melon-headed whales (Peponocephala electra) collected along the coast of Japan, from three mass strandings that occurred during the past 25 years. Concentrations of nine PFCs were determined in livers of 48 melon-headed whales that were collected during strandings in 1982, 2001/2002, and 2006. In addition, concentrations in liver tissues obtained from two pregnant females and their fetuses were compared for determination of transplacental transfer rates of PFCs during gestation. PFOS and perfluorooctanesulfonamide (PFOSA) were the predominant PFCs found in livers of melon-headed whales collected in 1982 (n = 22). PFOS, PFOSA, perfluoroundecanoate (PFUnDA), perfluorododecanoate (PFDoDA), perfluorodecanoate (PFDA), and perfluorononanoate (PFNA) were found in whales collected in 2001/2002 (n = 21) and in 2006 (n = 5). Concentrations of PFOS and PFOSA were approximately 10-fold higher in 2001/2002 than in 1982. Whereas concentrations of PFOSA then declined by 2-fold from 2001/ 2002 to 2006, concentrations of PFOS and perfluorocarboxylates did not decline after 2001/2002. Conversely, concentrations of PFNA and PFDA increased significantly from 2001/2002 to 2006. The proportion of perfluoroalkylsulfonates in total PFC concentrations decreased from 75% in 1982 to 51% in 2006. Conversely, the contribution of perfluorocarboxylates to total PFC concentrations increased from 25% in 1982 to 49% in 2006. PFUnDA was the major perfluorocarboxylate found in whale livers collected after 2000. Analysis of paired samples of mother

  13. A epidemia de dengue/dengue hemorrágico no município do Rio de Janeiro, 2001/2002 The epidemic of dengue and hemorrhagic dengue fever in the city of Rio de Janeiro, 2001/2002

    Directory of Open Access Journals (Sweden)

    Clarisse Guimarães Casali

    2004-08-01

    Full Text Available O objetivo deste estudo foi avaliar a ocorrência dos principais sinais e sintomas dos casos de dengue clássico e dengue hemorrágico na epidemia de 2001-2002 do município do Rio de Janeiro. Foram analisados os 155.242 casos notificados ao Sistema de Informações de Agravos de Notificação, desde janeiro/2001, até junho/2002; deste total, excluindo-se os ignorados, 81.327 casos foram classificados como dengue clássico e 958 como dengue hemorrágico, com um total de 54 óbitos. Avaliaram-se as variáveis referentes à sintomatologia da doença. Manifestações gerais como febre, cefaléia, prostração, mialgia, náuseas e dor retro-orbitária tiveram alta incidência tanto no dengue clássico como no dengue hemorrágico. Por outro lado, manifestações hemorrágicas e algumas de maior gravidade como choque, hemorragia digestiva, petéquias, epistaxe, dor abdominal e derrame pleural, estiveram significativamente associadas ao dengue hemorrágico. Além disso, a evolução do quadro clínico para o óbito foi 34,8 vezes maior no dengue hemorrágico que no dengue clássico (OR=34,8; IC 19,7-61,3.The following study was intended to evaluate the occurrence of typical signs and symptoms in the cases of classic dengue and hemorrhagic dengue fever, during the 2001-2002 epidemic in the city of Rio de Janeiro. The authors reviewed 155,242 cases notified to the Information System of Notification Diseases, from January/2001 to June/2002: 81,327 cases were classified as classic dengue and 958 as hemorrhagic dengue fever, with a total of 60 deaths. Common symptoms, such as fever, headache, prostration, myalgia, nausea and retro-orbital pain, had a high incidence in both classic and hemorrhagic dengue fever. On the other hand, hemorrhagic signs and other signs of severe disease, such as shock, gastrointestinal bleeding, petechiae, epistaxis, abdominal pain and pleural effusion, were strongly associated to hemorrhagic dengue fever. Besides, the occurrence

  14. Trends in Food Habits and Their Relation to Socioeconomic Status among Nordic Adolescents 2001/2002-2009/2010

    Science.gov (United States)

    Fismen, Anne-Siri; Smith, Otto Robert Frans; Torsheim, Torbjørn; Rasmussen, Mette; Pedersen Pagh, Trine; Augustine, Lilly; Ojala, Kristiina; Samdal, Oddrun

    2016-01-01

    Background In the Nordic countries, substantial policy and intervention efforts have been made to increase adolescents' consumption of fruit and vegetables and to reduce their intake of sweets and soft drinks. Some initiatives have been formulated in a Nordic collaboration and implemented at national level. In recent years, social inequalities in food habits have been attracted particular governmental interest and several initiatives addressing the socioeconomic gradient in food habits have been highlighted. However, few internationally published studies have evaluated how trends in adolescents' food habits develop in the context of Nordic nutrition policy, or have compared differences between the Nordic countries. Methods The study was based on Danish, Finnish, Norwegian and Swedish cross-sectional data from the international Health Behaviour in School-Aged Children (HBSC) study, collected via three nationally representative and comparable questionnaire surveys in 2001/2002, 2005/2006 and 2009/2010. Food habits were identified by students' consumption of fruit, vegetables, sweets and sugar sweetened soft drink. Socioeconomic status (SES) was measured with the Family Affluence Scale (FAS). Multilevel logistic regression was used to analyze the data. Results Trends in fruit consumption developed differently across countries, characterized by an increase in Denmark and Norway and more stable trends in Sweden and Finland. Vegetable consumption increased particularly in Denmark and to a lesser extent in Norway, whereas Sweden and Finland displayed stable trends. Decreased trends were observed for sweet and soft drink consumption and were similar in Norway, Sweden and Finland. Sweet consumption decreased across all survey years, whereas soft drink consumption decreased between 2001/2002–2005/2006 and was stable thereafter. Denmark displayed an increase between 2001/2002–2005/2006 followed by a similar decrease between 2005/2006–2009/2010 for both sweet and soft

  15. Trends in Food Habits and Their Relation to Socioeconomic Status among Nordic Adolescents 2001/2002-2009/2010.

    Directory of Open Access Journals (Sweden)

    Anne-Siri Fismen

    Full Text Available In the Nordic countries, substantial policy and intervention efforts have been made to increase adolescents' consumption of fruit and vegetables and to reduce their intake of sweets and soft drinks. Some initiatives have been formulated in a Nordic collaboration and implemented at national level. In recent years, social inequalities in food habits have been attracted particular governmental interest and several initiatives addressing the socioeconomic gradient in food habits have been highlighted. However, few internationally published studies have evaluated how trends in adolescents' food habits develop in the context of Nordic nutrition policy, or have compared differences between the Nordic countries.The study was based on Danish, Finnish, Norwegian and Swedish cross-sectional data from the international Health Behaviour in School-Aged Children (HBSC study, collected via three nationally representative and comparable questionnaire surveys in 2001/2002, 2005/2006 and 2009/2010. Food habits were identified by students' consumption of fruit, vegetables, sweets and sugar sweetened soft drink. Socioeconomic status (SES was measured with the Family Affluence Scale (FAS. Multilevel logistic regression was used to analyze the data.Trends in fruit consumption developed differently across countries, characterized by an increase in Denmark and Norway and more stable trends in Sweden and Finland. Vegetable consumption increased particularly in Denmark and to a lesser extent in Norway, whereas Sweden and Finland displayed stable trends. Decreased trends were observed for sweet and soft drink consumption and were similar in Norway, Sweden and Finland. Sweet consumption decreased across all survey years, whereas soft drink consumption decreased between 2001/2002-2005/2006 and was stable thereafter. Denmark displayed an increase between 2001/2002-2005/2006 followed by a similar decrease between 2005/2006-2009/2010 for both sweet and soft drink consumption

  16. The Multiple Timescales of Optical Variability of the Blazar 3C 279 During the 2001-2002 Outburst

    CERN Document Server

    Kartaltepe, J S; Kartaltepe, Jeyhan S.; Balonek, Thomas J.

    2007-01-01

    During 2001-2002 the optically violent variable (OVV) blazar 3C 279 un- derwent the most intense outburst seen during the entire fourteen year history that this quasar has been studied at Colgate University's Foggy Bottom Obser- vatory (FBO). This study concentrates on ~1600 R-filter images taken during this period of activity. This data set includes twenty-nine nights of microvari- ability coverage. The outburst began in March 2001, after 3C 279 had faded to its faintest level, R = 15.5, in four years. The source reached its brightest level, R = 12.5, in the fourteen years of our study in August 2001, at which time it became unobservable due to its proximity to the Sun. Upon becoming observable again in mid-December 2001, 3C 279 fluctuated between R = 13.9 and R = 14.7, until a dramatic decrease in flux level in June-July 2002 brought the source back down to a level comparable to its pre-outburst state. The source exhibited numerous week-long flares of approximately one magnitude during the outburst period. ...

  17. [Biological properties of virus dengue-3 strains isolated during the epidemic ocurred in Havana, 2001-2002].

    Science.gov (United States)

    Rodríguez-Roche, Rosmari; López Matilla, Liudmila; Alvarez Vera, Mayling; Morier Díaz, Luis; Guzmán Tirado, María G

    2012-01-01

    During dengue epidemics in Cuba, an increase in clinical severity with the epidemics progression in time, particularly in secondary infections, have been frequently observed. It is considered that this increase could be related with genetic changes in the circulating virus. To study some biological attributes related to strains isolated at different points of time during the dengue epidemic occurred in Havana city, 2001-2002. Nine DENV-3 strains were studied. Cytopathogenic effect, viral growth in C6/36 HT and Vero cell lines, viral plaque sizes, temperature sensitivity, neurovirulence in newborn mice and pH influence in the binding of the virus and the cell as well as in the multiplication medium were evaluated. DENV-3 strains were more cytopathogenic in Vero Cells. However, higher titres were obtained in C6/36 HT cells. All the strains showed reduction of viral titres and plaque size with temperature increasing and low neurovirulence. Basic pH favoured virus-cell binding whereas acid pH was only permissive for some strains isolated at the end of the epidemic. On the other hand, at pH 6.5-7, the viral multiplication medium favoured the growth of strains isolated at the beginning of the epidemic whereas the growth of those isolated at the endof the epidemic was noticeable at pH 7-8. This study proved the phenotypical changes among strains isolated at different points of time in the epidemic. They might be related to differences in viral fitness or in virulent potential. Nevertheless, some of the studied biological properties suggest that dengue virus-3 strains are less virulent than the Cuban dengue virus 2 strains isolated in 1997.

  18. Short residence duration was associated with asthma but not cognitive function in the elderly: USA NHANES, 2001-2002.

    Science.gov (United States)

    Shiue, Ivy

    2016-12-01

    There has been a growing interest in how the built environment affects health and well-being. Housing characteristics are associated with human health while environmental chemicals could have mediated the effects. However, it is unclear if and how residence duration might have a role in health and well-being. Therefore, the aim of the present study was to investigate the associations among residence duration, common chronic diseases, and cognitive function in older adults in a national and population-based setting. Data were extracted from the US National Health and Nutrition Examination Survey, 2001-2002, with assessment information on demographics, lifestyle factors, housing characteristics, self-reported common chronic diseases, and cognitive function by using the digit symbol substitution test from the Wechsler Adult Intelligence Scale (a measurement of attention and psychomotor speed). Statistical analyses including the chi-square test, t test, and survey-weighted general linear modeling and logistic regression modeling were performed. Residence duration was significantly associated with risk of asthma but not with other chronic disease, showing a longer stay in the same housing leading to lower risk of asthma (OR 0.43, 95%CI 0.27-0.69, P = 0.002) among the American older adults. However, having asthma was not associated with cognitive function decline. In conclusion, residence duration was found to be associated with risk of asthma but not cognitive function. Future research examining the relationship of residence duration and cognitive tests by other domains of cognitive function following asthma episodes would be suggested. For practice and policy implications, familiarity with the housing environment might help with lessening respiratory symptoms.

  19. 2001-2002 Wet Season Branchiopod Survey Report, Lawrence Livermore National Laboratory, Site 300, Alameda and San Joaquin Counties, California

    Energy Technology Data Exchange (ETDEWEB)

    Weber, W; Woollett, J

    2004-11-16

    Condor County Consulting on behalf of Lawrence Livermore National Laboratory (LLNL) has performed wet season surveys for listed branchiopods at Site 300, located in eastern Alameda County and western San Joaquin County. LLNL is collecting information for the preparation of an EIS covering ongoing explosives testing and related activities on Site 300. Related activities include maintenance of fire roads and annual control burns of approximately 607 hectares (1500 acres). Control burns typically take place on the northern portion of the site. Because natural branchiopod habitat is sparse on Site 300, it is not surprising that listed branchiopods were not observed during this 2001-2002 wet season survey. Although the site is large, a majority of it has topography and geology that precludes the formation of static seasonal pools. Even the relatively gentle topography of the northern half of the site contains few areas where water pools for more than two weeks. The rock outcrops found on the site did not provide suitable habitat for listed branchiopods. Most of the habitat available to branchiopods on the site is puddles that form in roadbeds and dry quickly. The one persistent pool on the site, the larger of the two modified vernal pools and the only one to fill this season, is occupied by two branchiopod species that require long-lived pools to reach maturity. In short, there is little habitat available on the site for branchiopods and most of the habitat present is generally too short-lived to support the branchiopod species that do occur at Site 300.

  20. 142. Insuficiencia mitral y enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    I. Moriones Elosegui

    2010-01-01

    Conclusiones: a la GR.A presentó mayor comorbilidad, alteraciones preoperatorias de la función cardíaca, complicaciones, estancia media y más mortalidad que los del GR.B; b la asociación de enfermedad coronaria en el GR.B no afectó a los resultados en este grupo, y c la reparación mitral en el GR.A aportó mejores resultados que la sustitución.

  1. Enfermedad coronaria en pacientes con psoriasis

    OpenAIRE

    Walter Masson; María L. Galimberti; Carolina L. Anselmi; Arturo Cagide; Ricardo L. Galimberti

    2013-01-01

    Comunicaciones previas asociaron la psoriasis con la enfermedad coronaria. Desconocemos si en nuestro país o región existe dicha asociación. Se realizó un estudio transversal analizando los datos de la historia clínica electrónica de un sistema de salud de Buenos Aires. Analizamos todos los pacientes mayores de 18 años con diagnóstico de psoriasis entre el 1 de enero de 2003 y el 31 de julio de 2011 y los comparamos con un grupo control, en una relación 2:1, obtenido en forma aleatoria del mi...

  2. 142. Insuficiencia mitral y enfermedad coronaria

    OpenAIRE

    I. Moriones Elosegui; A. De la Fuente Calixto; R. Sánchez Quintana; J.L. Fernández Rodríguez; L. Jiménez Alfaro

    2010-01-01

    Analizamos los parámetros clínicos y resultados quirúrgicos comparativos entre la insuficiencia mitral isquémica (GR.A) y la insuficiencia mitral de otras causas con lesiones coronarias acompañantes (GR.B). Material y métodos: Ochenta pacientes cuya edad media es 67 años. Varones fueron 58 y mujeres 22. Pertenecían al GR.A 49 y 31 al GR.B. Clínica comparativa entre el GR.A y GR.B fue: fracción de eyección [FE] = 0,43 frente a 0,45 (p = no significativa [NS]). GF.IV = 66 frente a 35% (p < 0...

  3. Wirus mozaiki ogórka na zawilcu (Anemone coronaria L. [Cucumber mosaic virus on Anemone coronaria L.

    Directory of Open Access Journals (Sweden)

    J. Kochman

    2015-06-01

    Full Text Available From Anemone coronaria cucumber mosaic virus (Cucumis virus 1 Smith was isolated. It caused a general chlorosis, reduction of leaves blades and of the whole plants. 66 species of test plants were inoculated with the sap from infected cucumber plants. 33 of these were infected systemically and 11 only locally. Among 22 noninfected plants was Anemone coronaria which indicated as it was experimentally proved, that this species is infected only by the aphids – Myzus persicae Sulz.

  4. Trends in alcohol services utilization from 1991-1992 to 2001-2002: ethnic group differences in the U.S. population.

    Science.gov (United States)

    Chartier, Karen G; Caetano, Raul

    2011-08-01

    During the early 1990s in the United States, changes to the provision and financing of alcohol treatment services included reductions in inpatient treatment services and in private sector spending for treatment. We investigated trends in alcohol services utilization over the 10-year period from 1991-1992 to 2001-2002 among U.S. whites, blacks, and Hispanics. Data come from 2 household surveys of the U.S. adult population. The 1991 to 1992 National Longitudinal Alcohol Epidemiologic Survey and the 2001 to 2002 National Epidemiologic Survey on Alcohol and Related Conditions conducted face-to-face interviews with a multistage cluster sample of individuals 18 years of age and older in the continental United States. Treatment utilization represented both total utilization and the use of alcohol services. Data analyses were prevalence rates and multivariate logistic regressions for lifetime utilization with drinkers and individuals with alcohol use disorders (AUDs). From 1991-1992 to 2001-2002, drinking-related emergency room and human services use increased for drinkers, while total utilization and the use of private health professional services and mutual aid decreased for individuals with AUDs. In drinkers and individuals with AUDs, blacks and Hispanics were less likely than whites to use private health professional care. Hispanics with AUDs were less likely than whites with AUDs to use alcohol or drug programs. Ethnicity interacted with alcohol severity to predict alcohol services utilization. At higher levels of alcohol severity, blacks and Hispanics were less likely than whites to ever use treatment and to use alcohol services (i.e., human services for Hispanic drinkers, mental health services for blacks with AUDs, and mutual aid for Hispanics with AUDs). Our findings showed increases from 1991-1992 to 2001-2002 in alcohol services utilization for drinkers, but reductions in utilization for individuals with AUDs. Blacks and Hispanics, particularly those at higher

  5. Differences in breast cancer incidence and stage distribution between urban and rural female population in Podlaskie Voivodship, Poland in years 2001-2002.

    Science.gov (United States)

    Krzyzak, Michalina; Maslach, Dominik; Juczewska, Marzena; Lasota, Wieslaw; Rabczenko, Daniel; Marcinkowski, Jerzy; Szpak, Andrzej

    2010-01-01

    The aim of the study was to evaluate differences in breast cancer incidence and stage of disease between the urban and rural female population in Podlaskie Voivodship in 2001-2002, before the introduction of the Population Screening Programme in 2006. Analysis was based on 696 breast cancer cases diagnosed in years 2001-2002 and registered in the CR in Bialystok (Voivodship Cancer Registry). An average annual number of incidence, as well as crude and standardised incidence rates, were calculated. Age-specific incidence rates for 5-year age groups were also calculated and grouped as follows: =70 years old. Incidence differences related to place of residence: urban or rural, were presented with the use of u/r (urban/rural) ratio. In order to evaluate the stage of disease, a simplified classification recommended by ENCR (European Network of Cancer Registries) for population registries (localised, regional, metastatic) was applied. The breast cancer incidence rate in the urban population was higher than in rural areas with u/r ratio amounting to 1.4. The highest incidence and largely marked differences between urban and rural areas were among women aged 50-69 years with the u/r ratio amounting to 1.8. Overall, the proportion of stage localised in Podlaskie Voivodship was 33.1 percent and differed between urban and rural areas. The proportion of localised cancer was higher in urban areas, but patients were younger when compared to those living in rural areas. Knowledge of differences in incidence and breast cancer stage in urban and rural women investigated in this research, together with other epidemiological indicators, should be used for monitoring the Population Screening Programmes in these populations.

  6. Toelating Herbasan SC welkom voor dahlia, A. coronaria en narcis

    NARCIS (Netherlands)

    Leeuwen, van P.J.; Koster, A.T.J.; Trompert, J.P.T.

    2005-01-01

    Onlangs is Herbasan SC voor de onkruidbestrijding in onder meer dahlia, narcis en Anemone coronaria toegelaten. PPO ging na hoe het middel het beste is in te zetten. In dit artikel zijn de resultaten van het onderzoek vermeld en een advies voor toepassing

  7. ¿Cirugía coronaria sin bomba para todos?

    Directory of Open Access Journals (Sweden)

    José María Melero Tejedor

    2006-10-01

    Full Text Available En la pasada década importantes desarrollos técnicos han hecho posible que la cirugía coronaria sin circulación extracorpórea se convierta en un procedimiento rutinario y reproducible. Se presenta la evolución de esta técnica en nuestro hospital durante estos 10 años, el protocolo quirúrgico utilizado, los resultados obtenidos y las motivaciones para extender su uso a todos los pacientes. A pesar de las controversias suscitadas, se espera que la cirugía coronaria sin circulación extracorpórea continúe expandiéndose y los futuros cirujanos cardíacos deben estar preparados para ello.

  8. Temporal trends and regional variability of 2001-2002 multiwave DENV-3 epidemic in Havana City: did Hurricane Michelle contribute to its severity?

    Science.gov (United States)

    Hsieh, Ying-Hen; de Arazoza, Hector; Lounes, Rachid

    2013-07-01

    To investigate the temporal and regional variability of the 2001-2002 dengue outbreak in Havana City where 12 889 cases, mostly of DENV-3 type, were reported over a period of 7 months. A simple mathematical model, the Richards model, was used to fit the weekly reported dengue case data by municipality, in order to quantify the transmissibility and temporal changes in the epidemic in each municipality via the basic reproduction number R0 . Model fits indicate either a 2-wave or 3-wave outbreak in all municipalities. Estimates for R0 varied greatly, from 1.97 (95% CI: 1.94, 2.01), for Arroyo Naranjo, to 61.06 (60.44, 61.68), for Boyeros, most likely due to heterogeneity in community structure, geographical locations and social networking. Our results illustrate the potential impact of climatological events on disease spread, further highlighting the need to be well prepared for potentially worsening disease spread in the aftermath of natural disasters such as hurricanes/typhoons. © 2013 Blackwell Publishing Ltd.

  9. Comportamiento epidemiologico del cáncer de colon en el área metropolitana de cúcuta 2001-2002

    Directory of Open Access Journals (Sweden)

    Alix Bohorquez-Ortiz

    2004-07-01

    Full Text Available In order to identify characteristics and epidemiological risk factors prevalent for colon cancer in the adult population Cucuta, this study is development of type descriptive, cross-sectional prospective. The study population consisted of 37 Patients with this diagnosis who attended the public and private institutions municipal health Cucuta (N. S. in the period 2001 2002. It found that the risk increases with age, most affected is the female sex, history Family of colon cancer in other organs, polyposis and ulcerative colitis occurred in 5.4 10 patients of the study. They were identified as dietary risk factors high consumption of beef, sausages intake of food, reuse in cooking oils of food and consumption of reheated meals. Is widely used in diet refined flour corn for the production and consumption of arepas. Risk factors in the lifestyle that They were presented with the highest percentage sedentary lifestyle and smoking, followed by consumption alcohol and obesity. A high percentage say they have had constipation or diarrhea symptoms. 50% report Self-medication for the management of these symptoms, using both pharmacologic agents as the use of folk medicine. as conditions precursor are rectal bleeding with 73%, weight loss with 63.6%, followed by hemorrhoids and anemia with 36.4%. Were found long periods of disease progression before the diagnosis was defined.

  10. REVIEW ON THE EFFICACY OF INSECTICIDES AND BIO-INSECTICIDES (PATHOGEN AND IGR AGAINST VECTOR DISEASES EVALUATIONS CONDUCTED BY VRCRU (2001-2002

    Directory of Open Access Journals (Sweden)

    Damar Tri Boewono

    2012-11-01

    Full Text Available Vector and Reservoir Control Research Unit (VRCRU Salatiga, as WHO Collaborating Center for Pesticide Evaluation, has evaluate the efficacy of several new insecticides for various purposes especially for the registration in Indonesia Pesticide Commission. This unit has evaluated insecticides inc ollaboration with pesticide companies and WHO. The aim of the studies were to provide the efficacy and residual effect of insecticides against vector disease. Such as malaria, dengue haemorrhagic fever (DHF, filariasis, plague, diarrhea, etc. The studied insecticides in the unit were belong to Organophosphate, Carbamate and Synthetic Phyrethroid compounds and also bio-insecticides (pathogen & Insect Grow Regulator/IGR. Various insecticide applications were performed against the adult, e.g. residual spraying (IRS, thermal fogging, Ultra Low Volume (ULV, bed nets impregnation. The study was also conducted to evaluate the efficacy of insecticides, bio-insecticides (pathogen and IGR against mosquito larvae as well as insecticides against fleas and cockroaches. This paper is an overall review of the related studies which were conducted on 2001-2002. Keywords: efficacy, bio-insecticides, vector disease

  11. Trends in educational mortality differentials in Austria between 1981/82 and 2001/2002: A study based on a linkage of census data and death certificates

    Directory of Open Access Journals (Sweden)

    Gabriele Doblhammer

    2008-10-01

    Full Text Available Background -- Many studies for European populations found an increase in socio-economic mortality differentials during the last decades of the 20th century, at least in relative terms. The aim of our paper is to explore the situation in Austria, for a wide age range, over a period of 20 years. Methods -- Based on a linkage of census information and death certificates, we computed age and education specific death rates. We calculate life expectancies at age 35 by educational level as well as regression-based measures of absolute (SII and relative (RII inequality, for the periods 1981/82, 1991/92, and 2001/2002. Results -- Life expectancy increased faster for the higher educated in the 1980s, whereas this trend reversed in the following decade. For males at working ages an increase in relative mortality differentials was observed during the 1980s. Absolute mortality differentials decreased among elderly females in the 1990s, particularly for circulatory disease mortality. Altogether the educational pattern of mortality was rather stable in Austria at the end of the 20th century. Conclusions -- Compared with results from other countries, trends in educational mortality differentials seem to be rather favorable in Austria in the 1990s. A stable health care system, the healthy migrant effect, and relatively low unemployment rates may have contributed to stable mortality differentials. However, an important explanation is also the inclusion of higher ages in our study

  12. DISECCIÓN CORONARIA ESPONTANEA EN PACIENTE FUMADOR

    Directory of Open Access Journals (Sweden)

    Juan Carlos Juez N.

    2011-01-01

    Full Text Available La disección coronaria (DC es la division de las capas que conforman la arteria coronaria, tiene una incidencia de 0.07% a 1.1% en cateterismo cardíaco, siendo más frecuente en mujeres post parto. Las causas de DC se dividen en ateroescleróticas y no ateroescleróticas, existiendo relación del tabaco con la ateroesclerosis. Este caso presenta a un hombre de 43 años, con tabaquismo pesado, en el contexto de un infarto agudo del miocardio secundario DC, por lo cual se hace una revisión del daño endotelial que produce el tabaquismo y la fisiopatología de la disección coronaria. La importancia de este reporte radica en la poca información que existe acerca de los factores de riesgo de este tipo de enfermedad y la presentación clínica inusual del caso.

  13. 2001 - 2002 ACADEMIC TRAINING PROGRAMME

    CERN Multimedia

    Academic Training; Tel. 73127

    2001-01-01

    1ST TERM 1ST OCTOBER - 23 NOVEMBER 2001 LECTURE SERIES FOR POSTGRADUATE STUDENTS The Autumn term of the Academic Training Programme is about to start. As usual, the first term includes lectures primarily dedicated to Post-graduate students. These are meant to help students complement the courses available from their home Universities with lectures on topics close to CERN activities. The lectures are nevertheless open to all CERN staff, and in particular to young Fellows. This year's series include courses on Accelerator Physics, on Field Theory, and on Symmetry Breaking Phenomena in Physics. The course on Accelerators by Dr. Wilson has been a regular feature on the Academic Training programme for many previous editions. This year, the course will be updated to include new sections on Colliders and on future facilities such as the Neutrino Factory. A good introduction to this very successful course can be found in the previous version of these lectures, available from the Web Lecture Archive Project: http://w...

  14. Population-based reference standards for cardiovascular fitness among U.S. adults: NHANES 1999-2000 and 2001-2002.

    Science.gov (United States)

    Sanders, Leslee F; Duncan, Glen E

    2006-04-01

    To provide reference standards for cardiovascular fitness levels, using population-based estimates of estimated maximal oxygen uptake (VO2max) from a diverse sample of U.S. adults. Analysis of data from adults (20-49 yr) who completed a submaximal exercise test in the National Health and Nutrition Examination Survey 1999-2000 and 2001-2002. Estimated VO2max was categorized as low ( or =60th percentile) fitness using age- and sex-specific cut-points. There were 1978 subjects, roughly 29% Mexican-American, 20% non-Hispanic black, and 51% non-Hispanic white. Using population-based sample weights, this was equivalent to 54,078,766 persons with mean (+/- SE) age, 34.4 +/- 0.3 yr; body mass index (BMI), 27.0 +/- 0.2 kg x m(-2); and estimated VO2max, 40.4 +/- 0.3 mL x min(-1) x kg(-1). There was a significant association between race and fitness level and between race and fitness level by sex (P < 0.0001). Low fitness was highest among non-Hispanic blacks (percentage (95% confidence interval): 32%, (26-38%)) compared with Mexican-Americans (22% (18-27%)) and non-Hispanic whites (18% (15-21%)), particularly among females, where 35% (28-42%) non-Hispanic black women had low fitness compared with 22% (16.3-27.4%) Mexican-American and 18% (13.7-22.4%) non-Hispanic white women. Non-Hispanic black adults have the highest percentage of low cardiovascular fitness among major race groups in the United States. On a population basis, over one third of non-Hispanic black women have low cardiovascular fitness, suggesting this group in particular may be at increased health risk due to poor fitness.

  15. Prospects of isolated microspore culture for haploid production in Anemone coronaria L.

    NARCIS (Netherlands)

    Paladines, R.; Jurado, D.; Riksen-Bruinsma, T.; Quiñones, A.M.

    2012-01-01

    The aim of this study was to establish a procedure to obtain haploid plants from microspore cultures of Anemone coronaria L., an important ornamental crop known worldwide due to its commercial value in the cut flower industry. Microspores were isolated from two genotypes of A. coronaria: ‘Blue’

  16. Prospects of isolated microspore culture for haploid production in Anemone coronaria L.

    NARCIS (Netherlands)

    Paladines, R.; Jurado, D.; Riksen-Bruinsma, T.; Quiñones, A.M.

    2012-01-01

    The aim of this study was to establish a procedure to obtain haploid plants from microspore cultures of Anemone coronaria L., an important ornamental crop known worldwide due to its commercial value in the cut flower industry. Microspores were isolated from two genotypes of A. coronaria: ‘Blue’ (pla

  17. Diferencias en la agregación plaquetaria de sangre coronaria y periférica de pacientes con enfermedad coronaria. Implicaciones clínicas

    Directory of Open Access Journals (Sweden)

    Jaime Cabrales, MD

    2010-11-01

    Conclusión: Se describe la presencia de mayor agregación plaquetaria en el seno coronario de pacientes con enfermedad aterosclerótica, la cual es significativa para ADP, colágeno y epinefrina. Se sugiere la aparición de factores locales asociados con la enfermedad coronaria que aumentan la agregación plaquetaria. La agregación plaquetaria periférica no refleja el comportamiento local en pacientes con aterosclerosis coronaria.

  18. DIETA Y ENFERMEDAD CORONARIA Diet and coronary health disease

    OpenAIRE

    Guillermo Mora Pabón

    2005-01-01

    Las enfermedades cardiocerebrovasculares, entre ellas la enfermedad coronaria, constituyen un problema de salud pública en Colombia, siendo la primera causa de muerte en población mayor de 45 años. Existen diversos factores relacionados con la alimentación que se han asociado consistentemente con la aparición de estas enfermedades como el alto consumo de grasa saturada, ácidos grasos trans (AGT), colesterol, carbohidratos y sodio, entre otros. El proceso de cuidado nutricional del individuo c...

  19. Asociaciones de larvas de peces en relación a cambios ambientales en las Bahías Chamela, Jalisco y Santiago-Manzanillo, Colima (2001-2002 Larval fish associations related to environmental changes in Bahía Chamela, Jalisco and Santiago-Manzanillo, Colima (2001-2002

    Directory of Open Access Journals (Sweden)

    Claudia A. Silva-Segundo

    2008-08-01

    Full Text Available Se analizó la influencia de los factores ambienta les sobre las asociaciones espacio-temporales de larvas de peces frente a Bahía Chamela, Jalisco y el conjunto de bahías Santiago-Manzanillo, Colima, durante un ciclo anual (2001-2002. Se identificaron dos agrupaciones relacionadas con la fisiografía de la costa y el hábitat de los adultos, una frente a Bahía Chamela integrada por una mezcla de especies de hábitats costero, demersal e intermareal-submareal (Bregmaceros bathymaster, Bairdiella sp., Cynoscion sp., Engraulis mordax y Labrisomidae tipo 1 y otra en Santiago-Manzanillo compuesta por especies de origen lagunar e intermareal-submareal (Eucinostomus sp., Abudefduf troschelii, Haemulidae tipos 2 y 3, así como Enneanectes sexmaculatus. La organización temporal estuvo influenciada por la alternancia entre dos periodos (cálido y templado definidos por la variabilidad ambiental regional. El periodo cálido estuvo caracterizado por especies principalmente tropicales (Harengula thrissina, Eucinostomus sp., Auxis sp. y Haemulidae tipo 3, relacionadas con una mayor temperatura y precipitación pluvial, en cambio durante el periodo templado dominaron las especies de afinidad tropical-subtropical (B. bathymaster, Bairdiella sp., Cynoscion sp. y E. mordax, relacionadas con una menor temperatura e incrementos en las concentraciones de nutrimentos, clorofila-a y zooplancton.Spatial and temporal structure of fish larvae associations and their relationship to the environmental variability were studied at Bahía Chamela, Jalisco, and Santiago-Manzanillo complex, Colima, during 2001-2002. Two spatial aggregations were found, related to the coastal physiography and to the adult habitat. The first was observed at Bahía Chamela, which integrated a combination of species belonging to coastal, demersal and inshore habitats (Bregmaceros bathymaster, Bairdiella sp., Cynoscion sp., Engraulis mordax, and Labrisomidae type 1 and the other in Santiago

  20. Anthocyanins from the scarlet flowers of Anemone coronaria.

    Science.gov (United States)

    Toki, K; Saito, N; Shigihara, A; Honda, T

    2001-04-01

    Three acylated anthocyanins were isolated from the scarlet flowers of Anemone coronaria 'St. Brigid Red' along with a known pigment, pelargonidin 3-lathyroside. The structures of the acylated pigments were based on a pelargonidin 3-lathyroside skeleton acylated at different positions with malonic acid. The first pigment was identified as pelargonidin 3-O-[2-(beta-D-xylopyranosyl)-6-O-(malonyl)-beta-D-galactopyranoside], the second was pelargonidin 3-O-[2-O-(beta-D-xylopyranosyl)-6-O-(methyl-malonyl)-beta-D-galactopyranoside], and the third was (6''-O-(pelargonidin 3-O-[2''-O-(beta-D-xylopyranosyl)-beta-D-galactopyranosyl]))((4-O-(beta-D-glucopyranosyl)-trans-caffeoyl)-O-tartatryl)malonate.

  1. DIETA Y ENFERMEDAD CORONARIA Diet and coronary health disease

    Directory of Open Access Journals (Sweden)

    Guillermo Mora Pabón

    2005-04-01

    Full Text Available Las enfermedades cardiocerebrovasculares, entre ellas la enfermedad coronaria, constituyen un problema de salud pública en Colombia, siendo la primera causa de muerte en población mayor de 45 años. Existen diversos factores relacionados con la alimentación que se han asociado consistentemente con la aparición de estas enfermedades como el alto consumo de grasa saturada, ácidos grasos trans (AGT, colesterol, carbohidratos y sodio, entre otros. El proceso de cuidado nutricional del individuo con enfermedad coronaria comprende la evaluación nutricional, la determinación de requerimientos nutricionales y de las características de la dieta y una evaluación constante para efectuar los ajustes necesarios. Este paciente requiere la atención integral por parte del equipo de salud, con un criterio interdisciplinario, en donde el papel del profesional nutricionista dietista es esencial para llevar a cabo el proceso de cuidado nutricional anteriormente descrito.Cardiovascular diseases, such as the coronary disease are a problem of public health in Colombia, being the first cause of death in people older than 45 years old. There are many factors related to food that have been strongly associated with the existence of these diseases, for instance: a high intake of saturated fat, trans fatty acids (TFA, cholesterol, carbohydrates and sodium, among others. The process of nutritional care of the person with coronary disease involves nutritional assessment, the determination of the nutritional requirements and the constant surveillance in order to do the necessary changes. This patient needs integral attention from the health team, with an interdisciplinary criterion; the role of the dietician is very important in order to carry out the process of nutritional care previously described.

  2. Tomografía computada multidetector de arterias coronarias: estado del arte. Parte II: Aplicaciones clínicas

    OpenAIRE

    Meave González,Aloha; Alexánderson Rosas,Erick; Rodríguez Valero,Mónica; Meléndez Ramírez,Gabriela; Martínez García, Alfonso; Sierra Fernández,Carlos; Calleja Torres,Rodrigo; García-Rojas Castillo,Leonardo; Lamothe Molina,Pedro Alberto; Herrera Zarza,Mary Carmen; Armas de Ávila,Martha; Ochoa López,Juan Manuel; Vázquez-Lamadrid,Jorge; Kimura Hayama,Eric

    2008-01-01

    En los inicios de la evaluación de enfermedad coronaria la tomografía computada multidetector de arterias coronarias (TCMD) se limitaba casi exclusivamente a la detección de placas calcificadas en las arterias coronarias con el cálculo del índice de Calcio, cuyo valor por sí solo es limitado. Sin embargo, en la actualidad gracias al advenimiento de nueva tecnología, las aplicaciones clínicas potenciales de este método incluyen la detección de estenosis arterial coronaria, la evaluación de pue...

  3. Ectasia coronaria, angina inestable e insuficiencia aórtica

    Directory of Open Access Journals (Sweden)

    Róger A Lanzas Rodríguez

    2009-12-01

    Full Text Available Se presenta el caso de una paciente femenina de 79 años, conocida portadora de cardiopatía hipertensiva, insuficiencia aórtica y dislipidemia, que se hospitalizó con un síndrome coronario agudo. Durante su evolución presentó cambios electrocardiográficos de isquemia subepicardica anterior extensa e inferior, por lo que se le realizó una coronariografia selectiva bilateral, detectándose ectasia de la arteria coronaria derecha, con flujo lento y retención del medio de contraste. Se refirió el caso para cirugía de reemplazo valvular.Coronary artery ectasia, unstable angina and aortic insufficiency The case of a 79 year old female patient, who was hospitalized with acute coronary syndrome (ACS, is presented. She had known hypertensive heart disease, aortic insufficiency and dyslipidemia. During the evolution of her ACS, she presented electrocardiographic changes of ischemia. Selective coronary angiography detected ectasia of the right coronary artery with slow flow and retention of contrast medium. The patient was referred for aortic valve replacement surgery.

  4. Aneurisma gigante en primera porción de coronaria derecha

    Directory of Open Access Journals (Sweden)

    José Miguel Beltrán

    2006-07-01

    Full Text Available Los aneurismas son anomalías infrecuentes en la circulación coronaria. Se presenta el caso de un varón de 51 años, sin antecedentes de interés, que debutó con un cuadro de taponamiento cardíaco. El estudio diagnóstico puso de manifiesto la existencia de un aneurisma de 4 cm de diámetro en la primera porción de la arteria coronaria derecha. La cirugía consistió en la exéresis del aneurisma y restablecimiento de la circulación coronaria derecha mediante injerto con arteria mamaria interna derecha. La evolución natural de esta enfermedad y su manejo terapéutico permanecen no aclarados. La cirugía ha mostrado excelentes resultados cuando está correctamente indicada.

  5. Aneurisma gigante en primera porción de coronaria derecha

    OpenAIRE

    José Miguel Beltrán; Andrés Gutiérrez; José María Vallejo; Marta Matamala; Fernando Sorribas; Carlos Ballester; Fernando Ibarra

    2006-01-01

    Los aneurismas son anomalías infrecuentes en la circulación coronaria. Se presenta el caso de un varón de 51 años, sin antecedentes de interés, que debutó con un cuadro de taponamiento cardíaco. El estudio diagnóstico puso de manifiesto la existencia de un aneurisma de 4 cm de diámetro en la primera porción de la arteria coronaria derecha. La cirugía consistió en la exéresis del aneurisma y restablecimiento de la circulación coronaria derecha mediante injerto con arteria mamaria interna derec...

  6. Pseudo-aneurisma post-traumático de tronco de arteria coronaria izquierda

    Directory of Open Access Journals (Sweden)

    Melina M. Gallo

    2011-08-01

    Full Text Available El pseudo-aneurisma de arteria coronaria es extremadamente raro. Su historia natural es poco conocida y su tratamiento discutido. Se presenta el caso de un paciente con pseudo-aneurisma de tronco de la coronaria izquierda e infarto antero-apical del ventrículo izquierdo cinco años después de un paro cardíaco secundario a un traumatismo no penetrante de tórax. Se consideró entonces que la lesión no era pasible de corrección percutánea o quirúrgica por lo que se optó por tratamiento médico conservador. Una angiografía coronaria por tomografía computarizada multicorte realizada 10 años después del evento inicial mostró ausencia de progresión de la lesión.

  7. Conocimientos previos de la mujer en la enfermedad coronaria: un estudio fenomenológico

    Directory of Open Access Journals (Sweden)

    David Sancho Cantus

    2015-09-01

    Full Text Available Introducción: La enfermedad coronaria posee unas características distintas en función del sexo en su presentación, diagnóstico o abordaje terapéutico. Objetivo: explorar los conocimientos previos que posee la mujer sobre la enfermedad coronaria. Metodología: Diseño cualitativo basado en la Fenomenología, en una muestra de 17 mujeres que padecían Cardiopatía Isquémica. La recogida de datos mediante entrevista semiestructurada. Para el análisis de los datos se utilizó el método de Giorgi. Resultados: Destacan un déficit de conocimientos previos sobre la enfermedad y el menosprecio de los síntomas iniciales. Conclusión: Existe un déficit de conocimientos previos por parte de la mujer sobre su enfermedad coronaria.

  8. Factores de riesgo y extensión de la enfermedad coronaria evaluada por angiografía coronaria no invasiva

    Directory of Open Access Journals (Sweden)

    Eduardo Diez

    2008-01-01

    Full Text Available AntecedentesA pesar de que numerosos estudios han establecido una clara asociación entre los factores de riesgo (FR y los eventos cardiovasculares, la relación entre la extensión total de la aterosclerosis coronaria y los FR no se ha establecido categóricamente.ObjetivoExplorar la relación entre factores de riesgo coronario tradicionales y la presencia y extensión de aterosclerosis coronaria mediante angiografía coronaria por tomografía computarizada multicorte (ACTCM de alta resolución.Material y métodosEn este estudio monocéntrico observacional, pacientes consecutivos en ritmo sinusal se estudiaron mediante angiografía coronaria por tomografía computarizada multicorte. La población se categorizó prospectivamente en tres grupos de acuerdo con el número de FR.ResultadosSe incluyeron en el estudio 117 pacientes. La edad media fue de 58,5 ± 10,6 años, el 81% eran hombres y el 19% eran diabéticos.Se observó una correlación significativa entre la prevalencia de cualquier lesión (p = 0,001, de lesiones significativas (p < 0,001, de múltiples lesiones no significativas (p < 0,001 y de múltiples lesiones significativas (p < 0,001 y el número de FR. En paralelo, tanto el número de lesiones (1,9 ± 2,3 versus 4,3 ± 3,3 versus 6,6 ± 2,6, p < 0,001 como el puntaje de calcio [2,79 (0,0; 44,0 versus 64,0 (0,0; 273,2 versus 539,0 (74,0; 1.405,9, p = 0,001] fueron significativamente mayores en pacientes con múltiples FR.Individualmente, numerosos FR se asociaron con la presencia de lesiones. La edad, la diabetes, la hipercolesterolemia, la hipertensión, el antecedente de IAM y el tabaquismo se encontraron relacionados con la presencia de aterosclerosis, ya sea por evidenciar mayor prevalencia de lesiones, mayor número total de lesiones y/o mayor puntaje de calcio.ConclusionesEn el presente estudio se encontró una relación significativa entre el número de factores de riesgo, así como de numerosos FR per se, y la extensión de

  9. La experiencia del desempeño de diferentes roles en la mujer con enfermedad coronaria

    OpenAIRE

    Castañeda Méndez, Jeny Francenet

    2014-01-01

    OBJETIVO: Describir la experiencia del desempeño de los diferentes roles en la mujer con enfermedad coronaria. MATERIALES Y MÉTODOS: Se realizó un estudio cualitativo, descriptivo interpretativo, con metodología de análisis de contenido, muestreo por saturación de información. Se realizaron dieciocho entrevistas, a mujeres con enfermedad coronaria que cumplían criterios de inclusión. RESULTADOS: Emergieron tres categorías, que se analizaron a la luz de dos teorías de enfe...

  10. Taponamiento cardiaco posterior a intervención coronaria percutánea

    OpenAIRE

    Gabriel Carvajal Valdy; Marco Antonio Siles Varela; Jorge Fernández Acuña

    2013-01-01

    La perforación coronaria es una rara complicación de la intervención coronaria percutánea, pero puede desencadenar un taponamiento cardiaco potencialmente letal. Esta complicación ha sido reportada en 0,1 - 3,0 % de los procedimientos. Este reporte describe un caso de hemopericardio y taponamiento cardiaco posterior a una intervención percutánea en un paciente anticoagulado con warfarina y con síndrome coronario agudo sin elevación del segmento ST. Una rápida intervención aseguró una excelent...

  11. Antioxidant and antiinflammatory activities of the flowers of Tabernaemontana coronaria (l R.BR

    Directory of Open Access Journals (Sweden)

    Thambi Priya

    2006-01-01

    Full Text Available The ethanol and aqueous extracts of Tabernaemontana coronaria flowers possessed significant in vitro superoxide, hydroxyl radicals, nitric oxide scavenging, and lipid peroxidation inhibiting activities. The antiinflammatory activity of the ethanol extract was evaluated by carrageenan-induced acute and formalin-induced chronic antiinflammatory models in mice. The extract showed remarkable antiinflammatory activity in both models, comparable to the standard reference drug diclofenac. The results suggest that the antiinflammatory activity of the ethanol extract of T. coronaria is possibly attributed to its free radical scavenging properties.

  12. Presencia de placas coronarias vulnerables en mujeres de mediana edad que sufrieron muerte cerebral

    OpenAIRE

    Enrique Gurfinkel; Carlos Vigliano; Patricia Cabeza Meckert; Alejandro Bertolotti; Roberto Favaloro; Juan Carlos Troncoso; Rubén Laguens

    2009-01-01

    RESUMENIntroducciónLas placas vulnerables de las arterias coronarias se encuentran habitualmente en varonessin sintomatología previa que fallecieron súbitamente o debido a un síndrome coronarioagudo. La frecuencia y las características de estas placas en la población femenina de medianaedad se desconocen.ObjetivoIndagar acerca de la presencia de placas coronarias vulnerables en mujeres de medianaedad que sufrieron muerte cerebral.Material y métodosDe un total de 652 corazones de donantes para...

  13. Taponamiento cardiaco posterior a intervención coronaria percutánea

    OpenAIRE

    Gabriel Carvajal Valdy; Marco Antonio Siles Varela; Jorge Fernández Acuña

    2013-01-01

    La perforación coronaria es una rara complicación de la intervención coronaria percutánea, pero puede desencadenar un taponamiento cardiaco potencialmente letal. Esta complicación ha sido reportada en 0,1 - 3,0 % de los procedimientos. Este reporte describe un caso de hemopericardio y taponamiento cardiaco posterior a una intervención percutánea en un paciente anticoagulado con warfarina y con síndrome coronario agudo sin elevación del segmento ST. Una rápida intervención aseguró una excelent...

  14. Enfermedad Coronaria y ejercicio físico

    Directory of Open Access Journals (Sweden)

    Juan Carlos Sánchez-Delgado

    2016-08-01

    Full Text Available Este artículo describe de manera general el tratamiento farmacológico y de revascularización percutánea en sujetos con enfermedad coronaria, el cual genera resultados exitosos en un 90% de los casos, traducidos en la desaparición clínica de la angina de pecho. Además, se hace énfasis en el ejercicio físico como estrategia de manejo y control de la enfermedad, el cual está normalmente incluido en los programas de rehabilitación cardiaca y su objetivo fundamental es incrementar la capacidad funcional (CF, variable medida a través de una prueba de esfuerzo (PE y que está fuertemente relacionada con la reducción  de la mortalidad total, mortalidad y morbilidad cardiovascular. Sin duda, los beneficios del ejercicio físico en estos pacientes son múltiples y entre los más relevantes están el efecto antitrombótico y antiisquémico, el control de lípidos sanguíneos, glicemia, presión arterial, composición corporal, reducción de los niveles de depresión secundaria a un evento coronario y por supuesto de los costos sanitarios que se traducen en menor número de hospitalizaciones e incremento de la productividad laboral. En conclusión, el tratamiento oportuno e integral en estos pacientes puede cambiar de manera satisfactoria el inicio así como la evolución de la enfermedad, permitiendo una mayor sobrevida libre de eventos y una mejor calidad de vida.

  15. Origen anómalo de la arteria coronaria izquierda en la arteria coronaria derecha y curso ínter-arterial

    Directory of Open Access Journals (Sweden)

    Nilson López, MD

    2010-11-01

    Full Text Available El origen del tronco coronario principal izquierdo a partir de la arteria coronaria derecha o del seno de Valsava opuesto, es una anomalía extremadamente rara con un riesgo potencial de mortalidad. En este informe se describe el caso de una paciente con esta anomalía, inicialmente detectada por coronariografía y posteriormente confirmada mediante resonancia magnética cardiaca.

  16. Dynamic Transcription profiles of Qinguan apple (Malus × domestica leaves in response to Marssonina coronaria inoculation

    Directory of Open Access Journals (Sweden)

    Junke eZhang

    2015-10-01

    Full Text Available Marssonina apple blotch, caused by the fungus Marssonina coronaria, is one of the most destructive apple diseases in China and East Asia. A better understanding of the plant’s response to fungi during pathogenesis is urgently needed to improve plant resistance and to breed resistant cultivars. To address this, the transcriptomes of ‘Qinguan’ (a cultivar with high resistance to M. coronaria apple leaves were sequenced at 12, 24, 48 and 72 hours post-inoculation (hpi with Marssonina coronaria. The comparative results showed that a total of 1956 genes were differentially expressed between the inoculated and control samples at the 4 time points. Gene ontology (GO term enrichment analysis of differentially expressed genes (DEGs revealed changes in cellular component, secondary metabolism including chalcone isomerase activity, phytoalexin biosynthetic process, anthocyanin-containing compound biosynthetic process, lignin biosynthetic process, positive regulation of flavonoid biosynthetic process; and molecular functions or biological processes related to the defense response, biotic stimulus response, wounding response and fungus response. Kyoto Encyclopedia of Genes and Genomes (KEGG pathway analysis showed that DEGs were significantly enriched in flavonoid biosynthesis, vitamin B6 metabolism, phenylpropanoid biosynthesis, and the stilbenoid, diarylheptanoid and gingerol biosynthesis pathways. Furthermore, the importance of changes in cellular components and partial polyphenol compounds when encountering M. coronaria are discussed.

  17. Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013: Results From the National Epidemiologic Survey on Alcohol and Related Conditions.

    Science.gov (United States)

    Grant, Bridget F; Chou, S Patricia; Saha, Tulshi D; Pickering, Roger P; Kerridge, Bradley T; Ruan, W June; Huang, Boji; Jung, Jeesun; Zhang, Haitao; Fan, Amy; Hasin, Deborah S

    2017-09-01

    Lack of current and comprehensive trend data derived from a uniform, reliable, and valid source on alcohol use, high-risk drinking, and DSM-IV alcohol use disorder (AUD) represents a major gap in public health information. To present nationally representative data on changes in the prevalences of 12-month alcohol use, 12-month high-risk drinking, 12-month DSM-IV AUD, 12-month DSM-IV AUD among 12-month alcohol users, and 12-month DSM-IV AUD among 12-month high-risk drinkers between 2001-2002 and 2012-2013. The study data were derived from face-to-face interviews conducted in 2 nationally representative surveys of US adults: the National Epidemiologic Survey on Alcohol and Related Conditions, with data collected from April 2001 to June 2002, and the National Epidemiologic Survey on Alcohol and Related Conditions III, with data collected from April 2012 to June 2013. Data were analyzed in November and December 2016. Twelve-month alcohol use, high-risk drinking, and DSM-IV AUD. The study sample included 43 093 participants in the National Epidemiologic Survey on Alcohol and Related Conditions and 36 309 participants in the National Epidemiologic Survey on Alcohol and Related Conditions III. Between 2001-2002 and 2012-2013, 12-month alcohol use, high-risk drinking, and DSM-IV AUD increased by 11.2%, 29.9%, and 49.4%, respectively, with alcohol use increasing from 65.4% (95% CI, 64.3%-66.6%) to 72.7% (95% CI, 71.4%-73.9%), high-risk drinking increasing from 9.7% (95% CI, 9.3%-10.2%) to 12.6% (95% CI, 12.0%-13.2%), and DSM-IV AUD increasing from 8.5% (95% CI, 8.0%-8.9%) to 12.7% (95% CI, 12.1%-13.3%). With few exceptions, increases in alcohol use, high-risk drinking, and DSM-IV AUD between 2001-2002 and 2012-2013 were also statistically significant across sociodemographic subgroups. Increases in all of these outcomes were greatest among women, older adults, racial/ethnic minorities, and individuals with lower educational level and family income. Increases were also

  18. Changes in sexual behaviour and practice and HIV prevalence indicators among young people aged 15-24 years in Zambia: an in-depth analysis of the 2001-2002 and 2007 Zambia Demographic and Health Surveys.

    Science.gov (United States)

    Kembo, Joshua

    2013-01-01

    HIV and AIDS still pose a major public health problem to most countries in sub-Saharan Africa, Zambia included. The objective of the paper is to determine changes in selected sexual behaviour and practice and HIV prevalence indicators between 2001-2002 and 2007. We used the Demographic and Health Survey Indicators Database for the computation of the selected indicators. We further used STATA 10.0 to compute significance tests to test for statistical difference in the indicators. The results indicate some changes in sexual behaviour, as indicated by an increase in abstinence, use of condoms and the decrease in multiple partnerships. The overall percentage of abstinence among never-married young men and women aged 15-24 years in Zambia increased significantly by 15.2% (p=.000) and 5.9% (p=.001) respectively, between 2001-2002 and 2007. A statistically significant increase of 6.6% (p=.029) was observed in the percentage of young women who reported having used a condom during the last time they had had premarital sex. A statistically significant decrease of 11.0% (p=.000) and 1.4% (p=.000) was observed among young men and women, respectively, who reported having multiple partners in the preceding 12 months. The factorial decomposition using multivariate analysis reveals that the indicators which contributed to the statistically significant 2.6% decline in HIV prevalence among young women aged 15-24 years in Zambia include proportion reporting condom use during premarital sex (+6.6%), abstinence (+5.9%), sex before age 15 (-4.5%), premarital sex (-2.6%), sex before age 18 (-2.4%) and proportion reporting multiple partnerships (-1.4%). Remarkable strides have been achieved towards promoting responsible sexual behaviour and practice among young people in Zambia. Further research focusing on factors that predispose young women in Zambia to higher risk of infection from HIV is required. The results from this paper should be useful in the design of programmes to control the

  19. SNOW CLEARING SERVICE WINTER 2001-2002

    CERN Multimedia

    ST-HM Group; Tel. 72202

    2001-01-01

    As usual at this time of the year, the snowing clearing service, which comes under the control of the Transport Group (ST-HM), is preparing for the start of snow-clearing operations (timetable, stand-by service, personnel responsible for driving vehicles and machines, preparation of useful and necessary equipment, work instructions, etc.) in collaboration with the Cleaning Service (ST-TFM) and the Fire Brigade (TIS-FB). The main difficulty for the snow-clearing service is the car parks, which cannot be properly cleared because of the presence of CERN and private vehicles parked there overnight in different parts of the parking areas. The ST-HM Transport Group would therefore like to invite you to park vehicles together in order to facilitate the access of the snow ploughs, thus allowing the car parks to be cleared more efficiently before the personnel arrives for work in the mornings.

  20. Focus on Basics, 2001-2002.

    Science.gov (United States)

    Garner, Barbara, Ed.

    2002-01-01

    This volume of newsletters focuses on connecting research and practice in adult literacy programs. Issue A of August 2001 includes: "Techniques for Teaching Beginning-Level Reading to Adults" (Ashley Hager); "Beginning ESOL Learners' Advice to Their Teachers" (MaryAnn Cunningham Florez); "The Neurobiology of Reading and…

  1. EDExpress Packaging Training, 2001-2002.

    Science.gov (United States)

    Office of Student Financial Assistance (ED), Washington, DC.

    Packaging is the process of finding the best combination of aid to meet a student's financial need for college, given limited resources and the institutional constraints that vary from school to school. This guide to packaging under the EDExpress software system outlines three steps to packaging. The first is determining the student's need for…

  2. Galveston Bay Marsh Terracing 2001-2002

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Marsh terracing is used to restore coastal wetlands by converting shallow nonvegetated bottom to intertidal marsh. Terraces are constructed from excavated bottom...

  3. Wisconsin Charter Schools, 2001-2002.

    Science.gov (United States)

    Burmaster, Elizabeth; Dold, Steve; Soldner, Robert; Decker, Paula Crandall

    This publication includes up-to-date information about charter schools in Wisconsin. It is intended to present best or promising practices of charter schools to each local educational agency in the state. It is a means of demonstrating agency accountability for informing the public, legislators, and those interested in charter schools, both within…

  4. El origen anatómico de la arteria coronaria septal del hámster sirio es un carácter heredable

    OpenAIRE

    Soto Navarrete, María Teresa; Arqué Gibernau, José M; Durán Boyero, Ana Carmen; Fernández Domínguez, María Carmen; Fernández Corujo, Borja; Lorenzale García, Miguel; Sans-Coma, Valentín

    2016-01-01

    Introducción y objetivos: En los roedores, incluidos los empleados en el laboratorio, las arterias coronarias son intramiocárdicas. Normalmente se distinguen 3 arterias coronarias, la derecha, que irriga el corazón derecho, la izquierda, que irriga el corazón izquierdo, y la septal, que irriga el septo interventricular. En el hámster sirio, una especie empleada como modelo en estudios sobre anomalías congénitas de las arterias coronarias, la arteria septal se origina de la coronaria derecha o...

  5. Taponamiento cardiaco posterior a intervención coronaria percutánea

    Directory of Open Access Journals (Sweden)

    Gabriel Carvajal Valdy

    2013-12-01

    Full Text Available La perforación coronaria es una rara complicación de la intervención coronaria percutánea, pero puede desencadenar un taponamiento cardiaco potencialmente letal. Esta complicación ha sido reportada en 0,1 - 3,0 % de los procedimientos. Este reporte describe un caso de hemopericardio y taponamiento cardiaco posterior a una intervención percutánea en un paciente anticoagulado con warfarina y con síndrome coronario agudo sin elevación del segmento ST. Una rápida intervención aseguró una excelente evolución clínica del paciente.

  6. Disección coronaria espontánea en paciente fumador

    Directory of Open Access Journals (Sweden)

    Juan Carlos Juez N.

    2012-09-01

    Full Text Available La disección coronaria (DC es la division de las capas que conforman la arteria coronaria, tiene una incidencia de 0.07% a 1.1% en cateterismo cardíaco,  siendo más frecuente en mujeres post parto. Las causas de DC se dividen en ateroescleróticas y no ateroescleróticas, existiendo relación del tabaco con  la ateroesclerosis. Este caso presenta a un hombre de 43 años, con tabaquismo pesado, en el contexto de un infarto agudo del miocardio secundario DC,  por lo cual se hace una revisión del daño endotelial que produce el tabaquismo y la fisiopatología de la disección coronaria. La importancia de este reporte  radica en la poca información que existe acerca de los factores de riesgo de este tipo de enfermedad y la presentación clínica inusual del caso.

  7. A Statistic Analysis about the Shots of Hainan Teachers' College Football Team in the 2001 - 2002 Philip League Football Matches of Chinese College Students%2001~2002飞利浦中国足球大学生联赛海南师范学院足球队射门情况统计与分析

    Institute of Scientific and Technical Information of China (English)

    苏春宇

    2003-01-01

    通过对海南师范学院足球队参加2001-2002飞利浦中国大学生足球联赛进攻方式、效果等技术统计,得出符合本队特点的进攻方法,为今后足球教学比赛提供依据.

  8. Changes in time-use and drug use by young adults in poor neighbourhoods of Greater Buenos Aires, Argentina, after the political transitions of 2001-2002: Results of a survey

    Directory of Open Access Journals (Sweden)

    Mateu-Gelabert Pedro

    2011-01-01

    Full Text Available Abstract Background In some countries, "Big Events" like crises and transitions have been followed by large increases in drug use, drug injection and HIV/AIDS. Argentina experienced an economic crisis and political transition in 2001/2002 that affected how people use their time. This paper studies how time use changes between years 2001 and 2004, subsequent to these events, were associated with drug consumption in poor neighbourhoods of Greater Buenos Aires. Methods In 2003-2004, 68 current injecting drug users (IDUs and 235 young non-IDUs, aged 21-35, who lived in impoverished drug-impacted neighbourhoods in Greater Buenos Aires, were asked about time use then and in 2001. Data on weekly hours spent working or looking for work, doing housework/childcare, consuming drugs, being with friends, and hanging out in the neighbourhood, were studied in relation to time spent using drugs. Field observations and focus groups were also conducted. Results After 2001, among both IDUs and non-IDUs, mean weekly time spent working declined significantly (especially among IDUs; time spent looking for work increased, and time spent with friends and hanging out in the neighbourhood decreased. We found no increase in injecting or non-injecting drug consumption after 2001. Subjects most affected by the way the crises led to decreased work time and/or to increased time looking for work--and by the associated increase in time spent in one's neighbourhood--were most likely to increase their time using drugs. Conclusions Time use methods are useful to study changes in drug use and their relationships to every day life activities. In these previously-drug-impacted neighbourhoods, the Argentinean crisis did not lead to an increase in drug use, which somewhat contradicts our initial expectations. Nevertheless, those for whom the crises led to decreased work time, increased time looking for work, and increased time spent in indoor or outdoor neighbourhood environments, were

  9. Regulación colinérgica y endotelial de la circulación coronaria de resitencia

    OpenAIRE

    Simonsen, Ulf

    2012-01-01

    Se ha estudiado la regulación colinérgica de la circulación coronaria de resistencia. La actividad de las enzimas de síntesis y de degradación de la acetilcolina (ach) fue mayor en los segmentos dístales de la circulación coronaria, indicando que la inervación es más densa a este nivel. La estimulación eléctrica transmural de las arterias coronarias de resistencia indujo una respuesta vasorrelajante neurogénica sensible a la atropina, lo que indica la presencia de una inervación colinérgica f...

  10. Strain longitudinal global para la detección de estenosis coronaria significativa en pacientes con infarto agudo del miocardio

    OpenAIRE

    Acosta, Rafael

    2015-01-01

    Introducción: La evaluación de la función miocárdica global y regional juega una papel crítico en el diagnóstico y manejo de los pacientes con enfermedad coronaria con importantes implicaciones pronosticas, las nuevas técnicas ecocardiográficas como la evaluación del STRAIN han sido validadas como una herramienta objetiva, comprehensiva y precisa para evaluar dichos parámetros. Objetivo: Determinar la capacidad del strain global longitudinal para la detección de estenosis coronaria sig...

  11. Disección de arterias coronarias asociada con el consumo de cocaína

    OpenAIRE

    Guillermo Marchetti; Juan Arellano; Flavio Salvaggio; Luis Gariglio; Gabriel Pérez Baztarrica; Alejandro Botbol; Rafael Porcile

    2008-01-01

    La disección espontánea de arterias coronarias es en extremo rara y escasamente documentada en la bibliografía mundial. Una de las causas en pacientes jóvenes es la adicción a la cocaína. Se presenta el caso de un paciente con historia de consumo reciente de cocaína que ingresa derivado por infarto de miocardio para cinecoronariografía y angioplastia. En la cinecoronariografía se evidencia una disección espontánea de la arteria descendente anterior con flujo TIMI III. Debido al contexto clíni...

  12. Adherencia a la prevención secundaria de la enfermedad coronaria

    OpenAIRE

    Emiliano Rossi; Gastón Perman; Hernán Michelangelo; Claudia B. Alonzo; Laura Brescacin; Karin S. Kopitowski; José L. Navarro Estrada

    2014-01-01

    Se comparó la adherencia a la prevención secundaria de enfermedad coronaria mediante el uso indicado de fármacos de probada eficacia, al momento del egreso hospitalario y a 3 años de seguimiento, en una cohorte de pacientes afiliados al Plan de Salud del Hospital Italiano. Se realizó un estudio de cohorte retrospectivo que incluyo 125 pacientes menores de 80 años de edad, afiliados a una red integrada de salud, con internación por síndrome coronario agudo. En el análisis se utilizó el test de...

  13. The Indigenous World, 2001-2002 = El Mundo Indigena, 2001-2002.

    Science.gov (United States)

    Vinding, Diana, Ed.; Wessendorff, Kathrin, Ed.; Parellada, Alejandro, Ed.; Erni, Christian, Ed.; Jensen, Marianne, Ed.; Garcia-Alix, Lola, Ed.

    This document contains the English and Spanish texts of an annual publication which examines political, social, environmental, and educational issues concerning indigenous peoples around the world in 2001-02. Part 1 describes current situations and events in 11 world regions: the Arctic; North America; Mexico and Central America; South America;…

  14. The Indigenous World, 2001-2002 = El Mundo Indigena, 2001-2002.

    Science.gov (United States)

    Vinding, Diana, Ed.; Wessendorff, Kathrin, Ed.; Parellada, Alejandro, Ed.; Erni, Christian, Ed.; Jensen, Marianne, Ed.; Garcia-Alix, Lola, Ed.

    This document contains the English and Spanish texts of an annual publication which examines political, social, environmental, and educational issues concerning indigenous peoples around the world in 2001-02. Part 1 describes current situations and events in 11 world regions: the Arctic; North America; Mexico and Central America; South America;…

  15. Progress report 2001-2002; Rapport d'activite 2001-2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The document reviews the activities of the linear accelerator laboratory (LAL) for the years 2001 and 2002. Most part of these activities are active collaborations in international programs. Some experimental programs like Aleph (apparatus for Lep physics) and Delphi (detector with lepton, photon, and hadron identification) at the Lep (CERN) or Na48 (search for direct violation of the CP invariance) have entered their last stage. Others like H1 (electron-positron experiment at Hera), Babar (measurement of CP violation in the B{sup 0}B-bar{sup 0} system) at Slac (Stanford), or D0 (search for new particles at the Tevatron) at Fermilab, are fully operating and this document describes the contribution of the LAL for each of them. The preparation of experiments for the future LHC has represented the core of LAL's technical activities. This document reviews these activities and achievements for the Atlas (air toroid LHC apparatus system) and LHCB (large hadron collider beauty) experiments. The LAL is also involved in the definition of the future high energy linear electron-positron collider (FLC). The LAL contributes to some experiments of neutrino physics through Nemo (violation of the lepton charge) and Opera (neutrino oscillations) experiments and to various astro-particles experiments such as Eros (micro-lensing effect), Archeops and Planck (cosmology), Virgo (gravitation waves) and Auger (very high energy particles showers). Another important part of LAL's activities is teaching activity mainly inside the curriculum of Paris-sud university. (A.C.)

  16. Cirugía coronaria con doble arteria mamaria: nuestra experiencia inicial y resultados a corto plazo

    Directory of Open Access Journals (Sweden)

    Jorge Alcocer-Diéguez

    2017-05-01

    Conclusiones: La cirugía coronaria con doble mamaria es una técnica segura y con excelentes resultados de morbimortalidad a corto plazo. Son necesarios estudios de seguimiento clínico y angiográfico a largo plazo para determinar la mejor estrategia quirúrgica a emplear.

  17. Antibacterial Activities and In Vitro Anti-Inflammatory (Membrane Stability Properties of Methanolic Extracts of Gardenia coronaria Leaves

    Directory of Open Access Journals (Sweden)

    Amin Chowdhury

    2014-01-01

    Full Text Available This work is carried out with Gardenia coronaria leaves that belong to the family Rubiaceae, which is a small-to-medium-sized but tall, deciduous tree, 7.6–9 m high on an average. Leaves are used for the treatment of rheumatic pain and bronchitis. The leaf of the plant consists of coronalolide, coronalolic acid, coronalolide methyl ester, ethyl coronalolate acetate triterpenes (secocycloartanes, and so forth. Methanol extract from the leaves of Gardenia coronaria was completely screened for membrane stability and antibacterial activity. The lower concentrations of Methanolic leaf extract of Gardenia coronaria gave good antimicrobial and anti-inflammatory activity, but higher concentrations gave relatively more projecting antibacterial activity in vitro as compared with Kanamycin. The crude drug’s anti-inflammatory effects were compared with those of Aspirin as positive control. The Methanolic extracts of Gardenia coronaria leaves possessed a broad spectrum antibacterial activity against a variety of both Gram-negative and Gram-positive organisms like Streptococcus agalactiae, Escherichia coli, Pseudomonas aeruginosa, Bacillus cereus, Shigella sonnei, Shigella boydii, and Proteus mirabilis, with a zone of inhibition from 10 to 16 mm. The extract also showed good membrane stability to be considered as having significant anti-inflammatory action.

  18. Psicocardiología: Su importancia en la prevención y la rehabilitación coronarias

    Directory of Open Access Journals (Sweden)

    Laham, Mirta

    2008-09-01

    Full Text Available La Psicocardiología es el área de la Psicología de la Salud que detecta e interviene sobre los diversos factores psicosociales de riesgo coronario que desarrollan la enfermedad y obstaculizan su rehabilitación. Reúne varias disciplinas, en particular cardiología y psicología, trabajando conjuntamente tanto en la prevención primaria como en la rehabilitación de la coronariopatía. Es hoy un enfoque interdisciplinario de la enfermedad coronaria. Ha surgido del contacto cotidiano con el paciente coronario, de ver como él está pobremente informado de las caracter ísticas de la enfermedad; de sus causas, de cómo prevenirla; de cómo encarar su tratamiento y de lo imprescindible de su rehabilitación. En este artículo se tratan los factores psicológicos de la enfermedad coronaria, los aspectos sociales de la salud coronaria, y la terapia psicocardiológica en la rehabilitación coronaria.

  19. 281. Rescate Mediante Cirugía Coronaria Convencional en Pacientes en Estudio Para Trasplante Cardíaco

    Directory of Open Access Journals (Sweden)

    P. Mairano Iuliano

    2012-04-01

    Conclusiones: la cirugía convencional de revascularización coronaria sigue siendo una opción terapéutica en pacientes con disfunción grave isquémica de VI, con muy buenos resultados a corto y medio plazo.

  20. Dynamic transcription profiles of “Qinguan” apple (Malus × domestica) leaves in response to Marssonina coronaria inoculation

    Science.gov (United States)

    Xu, Jianhua; Li, Miaomiao; Jiao, Peng; Tao, Hongxia; Wei, Ningning; Ma, Fengwang; Zhang, Junke

    2015-01-01

    Marssonina apple blotch, caused by the fungus Marssonina coronaria, is one of the most destructive apple diseases in China and East Asia. A better understanding of the plant's response to fungi during pathogenesis is urgently needed to improve plant resistance and to breed resistant cultivars. To address this, the transcriptomes of “Qinguan” (a cultivar with high resistance to M. coronaria) apple leaves were sequenced at 12, 24, 48, and 72 h post-inoculation (hpi) with Marssonina coronaria. The comparative results showed that a total of 1956 genes were differentially expressed between the inoculated and control samples at the 4 time points. Gene ontology (GO) term enrichment analysis of differentially expressed genes (DEGs) revealed changes in cellular component, secondary metabolism including chalcone isomerase activity, phytoalexin biosynthetic process, anthocyanin-containing compound biosynthetic process, lignin biosynthetic process, positive regulation of flavonoid biosynthetic process; and molecular functions or biological processes related to the defense response, biotic stimulus response, wounding response and fungus response. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis showed that DEGs were significantly enriched in flavonoid biosynthesis, vitamin B6 metabolism, phenylpropanoid biosynthesis, and the stilbenoid, diarylheptanoid and gingerol biosynthesis pathways. Furthermore, the importance of changes in cellular components and partial polyphenol compounds when encountering M. coronaria are discussed. PMID:26528306

  1. Changes in chloroplast lipid contents and chloroplast ultrastructure in Sulla carnosa and Sulla coronaria leaves under salt stress.

    Science.gov (United States)

    Bejaoui, Fatma; Salas, Joaquín J; Nouairi, Issam; Smaoui, Abderrazak; Abdelly, Chedly; Martínez-Force, Enrique; Youssef, Nabil Ben

    2016-07-01

    The possible involvement of chloroplast lipids in the mechanisms of NaCl tolerance was studied in leaves of two varieties of Fabaceae: Sulla carnosa and Sulla coronaria, which were subjected to 200mM NaCl over 20days. Changes in membrane lipid peroxidation, chloroplast lipids content, fatty acids (FA) composition and the ultrastructure of chloroplasts under salt stress were investigated. Chloroplast lipids were separated and quantified by high performance liquid chromatography coupled to evaporative light scattering detection (HPLC/ELSD). The results showed that salinity induced a significant decrease in digalactosyldiacylglycerol (DGDG), phosphatidylglycerol (PG) and sulfoquinovosylglycerol (SQDG) content in both S. carnosa and S. coronaria leaves, whereas monogalactosyldiacylglycerol (MGDG) content did not change significantly in S. carnosa leaves. The MGDG/DGDG ratio remained stable in S. coronaria leaves but increased in those of S. carnosa. In addition, the unsaturated-to-saturated fatty acids ratio (UFAs:SFAs) did not change under salt stress in S. coronaria leaves, while it decreased significantly in S. carnosa leaves. Moreover, salinity did not induce significant changes in MGDG and DGDG unsaturation level in S. carnosa leaves, in contrast to S. coronaria, in which salinity seems to enhance the unsaturation level in MGDG, DGDG and PG. Furthermore, the level of membrane lipid peroxidation, as expressed by malondialdehyde (MDA) levels, increased at 200mM in S. carnosa leaves, while it did not change significantly in those of S. coronaria. With respect to the ultrastructure of chloroplasts at 200mM NaCl, investigated by transmission electron microscopy (TEM), salt-stress caused the swelling of thylakoids in S. carnosa mesophyll. These ultrastructural changes were observed especially in the spongy tissue in S. coronaria. Taken together, these findings suggest that the stability of MGDG/DGDG ratio, the unchanged unsaturation level, and increasing unsaturation

  2. Origen anómalo de la coronaria izquierda en la arteria pulmonar: resultados de la cirugía correctora

    OpenAIRE

    Andrés J. Schlichter; María I. Román; Christian Kreutzer; Ignacio Lugones

    2010-01-01

    IntroducciónEl origen anómalo de la arteria coronaria izquierda en la arteria pulmonar es una cardiopatía congénita rara que produce isquemia miocárdica con disfunción ventricular izquierda e insuficiencia mitral de grado variable. Las técnicas actuales han modificado la historia natural de esta enfermedad mediante el restablecimiento de un sistema de doble irrigación coronaria.ObjetivosEvaluar la experiencia institucional en la corrección quirúrgica del origen anómalo de la coronaria izquier...

  3. Presencia de placas coronarias vulnerables en mujeres de mediana edad que sufrieron muerte cerebral

    Directory of Open Access Journals (Sweden)

    Enrique Gurfinkel

    2009-01-01

    Full Text Available RESUMENIntroducciónLas placas vulnerables de las arterias coronarias se encuentran habitualmente en varonessin sintomatología previa que fallecieron súbitamente o debido a un síndrome coronarioagudo. La frecuencia y las características de estas placas en la población femenina de medianaedad se desconocen.ObjetivoIndagar acerca de la presencia de placas coronarias vulnerables en mujeres de medianaedad que sufrieron muerte cerebral.Material y métodosDe un total de 652 corazones de donantes para trasplante obtenidos entre 1996 y 2007, seseleccionaron los provenientes de individuos aparentemente sanos y mayores de 40 añosque murieron a causa de un accidente traumático o cerebrovascular. De los 160 órganos quecumplieron los criterios de selección, se estudiaron 70 corazones femeninos en los que seexaminaron las arterias coronarias en cortes consecutivos a intervalos de 3 mm. Las áreascon estrechamiento luminal se procesaron para su posterior estudio histológico einmunohistoquímico. Las placas se clasificaron según la American Heart Association (AHA.ResultadosLa edad promedio de las mujeres fue de 50,7 ± 5,7 años. El grado de oclusión vascularpromedio fue del 28,66% ± 17,35%. Cuarenta y un corazones poseían sólo lesionesateroscleróticas no avanzadas (tipos I, II y III de la clasificación de la AHA. En los 29restantes se encontraron 58 placas consideradas de alto riesgo o vulnerables (AHA tipos IV,V y VI. Éstas fueron menos frecuentes que en los varones (p < 0,001 y se asociaron con elpeso del órgano (OR 1,02, IC 95% 1,01-1,04; p < 0,001 y con la edad (OR 1,11, IC 95% 1,01-1,23; p = 0,038. No se encontró una relación significativa con la causa de la muerte (p =0,065.ConclusionesEl 41,4% de las mujeres que sufrieron muerte cerebral presentaron placas vulnerables enlos vasos coronarios no asociadas con una reducción significativa de la luz. De esta seriepuede inferirse que existe un promedio de 0,82 lesiones propensas a

  4. Acylated anthocyanins from the blue-violet flowers of Anemone coronaria.

    Science.gov (United States)

    Saito, Norio; Toki, Kenjiro; Moriyama, Hidekazu; Shigihara, Atsushi; Honda, Toshio

    2002-06-01

    Five polyacylated anthocyanins were isolated from blue-violet flowers of Anemone coronaria 'St. Brigid'. They were identified as delphinidin 3-O-[2-O-(2-O-(trans-caffeoyl)-beta-D-glucopyranosyl)-6-O-(malonyl)-beta-D-galactopyranoside]-7-O-[6-O-(trans-caffeoyl)-beta-D-glucopyranoside]-3'-O-[beta-D-glucuronopyranoside], and its demalonylated form, delphinidin 3-O-[2-O-(2-O-(trans-caffeoyl)-beta-D-glucopyranosyl)-6-O-(2-O-tartaryl)malonyl)-beta-D-galactopyranoside]-7-O-[6-O-(trans-caffeoyl)-beta-D-glucopyranoside]-3'-O-[beta-D-glucuronopyranoside], and its cyanidin analog as well as delphinidin 3-O-[2-O-(2-O-(trans-caffeoyl)-beta-D-glucopyranosyl)-6-O-(2-O-(tartaryl)malonyl)-beta-D-galactopyranoside]-7-O-[6-O-(trans-caffeoyl)-beta-D-glucopyranoside].

  5. Disección de arterias coronarias: ¿y ahora qué hago?

    Directory of Open Access Journals (Sweden)

    Marta Matamala-Adell

    2015-11-01

    Conclusiones: La conducta a seguir es variada sin existir consenso ni estandarización. Si el paciente está estable y el vaso es pequeño puede considerarse tratamiento médico. Si el paciente está inestable hay una mayor indicación de intervencionismo. En los casos de disección del tronco coronario izquierdo y multivaso la tendencia es hacia la cirugía de bypass coronaria. Dada la escasa incidencia de la enfermedad sería interesante el estudio de series mayores de casos para la confrontación de resultados y poder determinar de una manera más eficaz el mejor tratamiento a seguir.

  6. Adherencia a la prevención secundaria de la enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Emiliano Rossi

    2014-04-01

    Full Text Available Se comparó la adherencia a la prevención secundaria de enfermedad coronaria mediante el uso indicado de fármacos de probada eficacia, al momento del egreso hospitalario y a 3 años de seguimiento, en una cohorte de pacientes afiliados al Plan de Salud del Hospital Italiano. Se realizó un estudio de cohorte retrospectivo que incluyo 125 pacientes menores de 80 años de edad, afiliados a una red integrada de salud, con internación por síndrome coronario agudo. En el análisis se utilizó el test de McNemar. La edad media de los participantes fue 63.7 años (DS 10.08 y el 65.6% (IC95% 56.6-73.9 fue de sexo masculino. El 76.8% (IC95% 68.4-83.9 presentó como evento calificante un síndrome coronario agudo sin elevación del segmento ST. El tiempo de seguimiento promedio fue 2.94 años (DS 0.25. Se observó que el uso de drogas de probada eficacia en la prevención secundaria de enfermedad coronaria descendió entre el momento del egreso hospitalario y los 3 años de seguimiento: antiagregantes de 97.6 a 88.0% (p = 0.012; beta-bloqueantes de 94.4 a 84.8% (p = 0.021; estatinas 91.2 a 83.7% (p = 0.035. Uso combinado de antiagregantes, betabloqueantes y estatinas de 86.4 a 66.3% (p < 0.0001. Es necesario estudiar las causas de la disminución de la adherencia a drogas cardioprotectoras a largo plazo.

  7. Comparação das estimativas de prevalência de indicadores de saúde no Município de Campinas, São Paulo, Brasil, nos anos de 2001/2002 (ISA-SP e 2008/2009 (ISA-Camp Comparación de las estimaciones de prevalencia en los indicadores de salud en Campinas, São Paulo, Brasil, durante los años 2001/2002 (ISA-SP y 2008/2009 (ISA-Camp Comparison of prevalence estimates for health indicators in Campinas, São Paulo State, Brazil, in 2001-2002 (ISA-SP and 2008-2009 (ISA-Camp

    Directory of Open Access Journals (Sweden)

    Chester Luis Galvão César

    2013-06-01

    Full Text Available O objetivo do estudo foi comparar estimativas da prevalência de indicadores de saúde para adultos residentes em Campinas, São Paulo, Brasil, utilizando dados de inquéritos domiciliares realizados em diferentes períodos de tempo (ISA-SP 2001/2002 e ISA-Camp 2008/2009, com amostras de 941 e 2.637 indivíduos de 18 anos e mais, respectivamente. Variáveis sociodemográficas caracterizaram a população estudada. Foram estimadas prevalências e seus respectivos intervalos de 95% de confiança e as comparações foram realizadas pelas razões de prevalência ajustadas por sexo, idade e escolaridade, obtidas pela regressão de Poisson com variância robusta. Diferenças estatisticamente significantes foram observadas para as prevalências de: morbidade referida, uso de medicamentos, percentual dos que nunca fumaram, realização dos exames de Papanicolaou e de mamografia, alguma vez na vida. O acompanhamento de indicadores de saúde por inquéritos repetidos em uma mesma população pode facilitar o monitoramento de objetivos e metas fornecendo subsídios ao planejamento de ações em saúde.El objetivo del estudio fue comparar las estimaciones de prevalencia en los indicadores de salud para los adultos que viven en Campinas, São Paulo, Brasil, con datos de encuestas de diferentes períodos de tiempo (ISA-SP 2001/2002 y ISA-Camp 2008/2009, con muestras de 941 y 2.637 personas de 18 años y más, respectivamente. Las variables sociodemográficas caracterizaron a la población de estudio. Se estimaron la prevalencia y sus respectivos intervalos de confianza del 95% y las comparaciones se realizaron por razones de prevalencia ajustadas por sexo, edad y educación, obtenidas mediante la regresión de Poisson. Se observaron diferencias estadísticas en la prevalencia de morbilidad, uso de medicamentos, el porcentaje de quienes nunca habían fumado, la realización de citologías vaginales y mamografías, en algún momento de sus vidas. El seguimiento

  8. Cierre de fístula coronaria con Amplatzer vascular plug en el paciente pediátrico

    Directory of Open Access Journals (Sweden)

    Ricardo Gamboa

    2008-01-01

    Full Text Available La fístula coronaria congénita es una patología poco frecuente y en general asintomática, por lo que muchas veces se diagnostica por un hallazgo incidental. Con dependencia de la repercusión hemodinámica, algunos siguen una conducta conservadora, otros indican tratamiento quirúrgico o, más recientemente, oclusión por cateterismo.Se presenta el caso de una paciente con una gran fístula coronaria-cameral, que se trató mediante embolización percutánea con dispositivo Amplatzer vascular plug. No se presentaron complicaciones durante el procedimiento ni en el seguimiento.

  9. Pliegue diagonal del lóbulo auricular (de Frank y su relación con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Manuel Agustín Paz

    2014-07-01

    Full Text Available La presencia de pliegue diagonal auricular debe alertar al médico para entender su asociación con la enfermedad cardíaca coronaria y la enfermedad isquémica del corazón, especialmente en aquellos pacientes asintomáticos o pacientes con factores de riesgo tradicionales y no tradicionales. Por lo tanto, esta anormalidad puede ser interpretada como un "marcador cutáneo" de la enfermedad cardíaca coronaria. Este signo también podría servir para identificar mejor a los grupos de alto riesgo cardiovascular y para comenzar con la implementación de las medidas de las estrategias de prevención. Hay otros signos clínicos, además del pliegue de la oreja, que pueden reflejar el envejecimiento arterial y aterosclerosis, independientemente del número, duración o alcance de los factores de riesgo cardiovascular tradicionales. El hallazgo de pliegue auricular no debe sustituir a una historia clínica completa, la aplicación de métodos detallados, exámenes de laboratorio y físicos utilizados con excelente rendimiento en el diagnóstico de la enfermedad coronaria en la actualidad.

  10. 2001-2002年度湘粤桂、湘粤赣(闽)边界护林联防工作报告(摘要)%A Report on Joint Forest Protection of Common Border among Hunan, Guangdong and Guangxi Province,of That among Hunan, Guangdong and Jiangxi (Fujian) Province from 2001 to 2002 (Abstract)

    Institute of Scientific and Technical Information of China (English)

    邓惠珍

    2002-01-01

    @@ 2001-2002年度,湘粤桂、湘粤赣(闽)边界护林联防工作由我省值班.两年来,我们遵照和2000年湖南长沙联防会议精神,积极加强与各省(区)的联系,及时了解和掌握各联防区开展护林联防工作情况.去年和今年,我们先后多次发出通知,部署边界护林联防工作,组织边界护林联防检查和开展评选边界护林联防先进单位和先进个人等工作.

  11. Colesterol inmune y aterosclerosis coronaria demostrada por angiografía Immune cholesterol and coronary arteriosclerosis demonstrated by angiography

    Directory of Open Access Journals (Sweden)

    Giovanna Pereira Roca

    2001-04-01

    Full Text Available Se evaluaron los niveles de colesterol inmune a través de un estudio descriptivo transversal, donde se analizaron 102 pacientes atendidos en la Consulta de Cardiopatía Isquémica del Instituto Nacional de Cardiología y Cirugía Cardiovascular, por padecer supuestamente de la enfermedad, quienes concurrieron durante el período de un año (sin selección alguna. Se les indicó la angiografía coronaria como parte de su estudio, con vistas a conocer la utilidad clínica del colesterol inmune como marcador diagnóstico para la aterosclerosis coronaria, así como asociar el colesterol inmune con otros parámetros lipídicos. Se observó que la concentración de colesterol inmune fue menor en sujetos supuestamente normales que en pacientes con aterosclerosis coronaria, y a su vez dentro de estos últimos fue mayor en pacientes con grado 3 de estenosis. Se comprobó que existe una asociación positiva entre los niveles de colesterol inmune, colesterol total, y c-LDL, en el suero de los pacientes estudiados y el grado de severidad de la enfermedad arterial coronaria. No se demostró asociación entre el colesterol inmune y el resto de las variables lipídicas estudiadas. Niveles de "colesterol inmune" iguales o superiores a 17 mg/mL incrementan el riesgo de la aterosclerosis coronaria desde 1,3 a 8 veces, comportándose como mejor predictor de la severidad de la lesión coronaria y presencia de la aterosclerosis coronaria que los marcadores de riesgo lipídicos más comúnmente conocidos.A descriptive and cross-sectional study was conducted to evaluate the levels of immune cholesterol. 102 patients who received attention at the Consulting Room of Ischemic Heart Disease of the National Institute of Cardiology and Cardiovascular Surgery during a year (no selection was made were analyzed. These patients that apparently suffered from this disease underwent coronary angiography as part of the study in order to know the clinical usefulness of immune

  12. Actividad de la proteína transportadora de ésteres de colesterol. Polimorfismos del gen en pacientes colombianos con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Alejandra M. Giraldo, MSc.

    2012-07-01

    Conclusión: no se halló asociación entre la actividad de la CETP, los polimorfismos TaqBI, MspI, Rsal y la obstrucción coronaria. En este trabajo se describen por primera vez los niveles de CETP en los polimorfismos TaqIB, MspI, Rsal para un grupo de pacientes colombianos. Se debe refinar la descripción del evento coronario, el contexto metabólico de los pacientes y el estudio de haplotipos para encontrar relaciones con enfermedad coronaria.

  13. Relación de la aterosclerosis de aorta y coronarias con la densidad mineral ósea lumbar y femoral: estudio en fallecidos

    OpenAIRE

    Solís Alfonso, Lesly

    2015-01-01

    Para demostrar la asociación existente entre las lesiones ateroscleróticas de aorta y arterias coronarias con la densidad mineral ósea de columna lumbar y fémur proximal se estudiaron 129 necropsias, realizando densitometría postmorten de columna lumbar y fémur proximal, definiendo los niveles de densidad mineral ósea (DMO) según T score en: normal, osteopenia y osteoporosis; seguido del examen patomorfológico y morfométrico de las tres coronarias epicárdicas principales y de aorta aplicando ...

  14. Psicocardiología: Su importancia en la prevención y la rehabilitación coronarias

    OpenAIRE

    Laham, Mirta

    2008-01-01

    La Psicocardiología es el área de la Psicología de la Salud que detecta e interviene sobre los diversos factores psicosociales de riesgo coronario que desarrollan la enfermedad y obstaculizan su rehabilitación. Reúne varias disciplinas, en particular cardiología y psicología, trabajando conjuntamente tanto en la prevención primaria como en la rehabilitación de la coronariopatía. Es hoy un enfoque interdisciplinario de la enfermedad coronaria. Ha surgido del contacto cotidiano con el paciente ...

  15. El talón de Aquiles de la cirugía coronaria: el ictus postoperatorio

    Directory of Open Access Journals (Sweden)

    Fernando Hornero

    2017-05-01

    Full Text Available Los pacientes con factores de riesgo preexistentes de enfermedad cerebrovascular tienen durante la cirugía coronaria un mayor riesgo de presentar un ictus postoperatorio. Entre los principales factores de riesgo a considerar esta la edad, las comorbilidades y la técnica quirúrgica, en especial la manipulación de la aorta. Este artículo revisa la información médico-quirúrgica actual de la lesión neurológica tipo ictus durante la CABG aislada.

  16. Tratamiento percutáneo de la enfermedad coronaria en pacientes diabéticos mediante stent liberador de Tacrolimus.

    OpenAIRE

    Ferrer Gracia, Maria Cruz; Sabaté Tena, Manel; Pérez Lorenz, Juan Blas; Macaya Miguel, Carlos

    2009-01-01

    La diabetes (DM) es predictor de reestenosis y eventos clínicos tras la revascularización coronaria percutánea. Los stents liberadores de fármacos (sirolimus [SLS] y paclitaxel [SLP]) resultan más beneficiosos que los convencionales (SC) en este contexto. Estudiamos la efectividad del stent liberador de tacrolimus en estos pacientes frente a SLS, SLP y SC. Se trata de un estudio prospectivo, multicéntrico en el que se incluyeron 80 pacientes de características similares (30% DM insulinodepen...

  17. El Incremental Shuttle Walking Test en personas mayores con enfermedad coronaria isquémicas : estudio preliminar

    OpenAIRE

    Ruescas-Nicolau, Mª Arántzazu

    2013-01-01

    Introducción: En las personas mayores, la enfermedad coronaria isquémica (ECI) es la principal causa de mortalidad y morbilidad. Los cambios cardiovasculares y las comorbilidades asociados al envejecimiento, además del miedo a las condiciones adversas de la enfermedad así como la alta predisposición a la depresión y aislamiento social, resultan en un ciclo de inactividad y desacondicionamiento que disminuyen la capacidad funcional del mayor. Para ellos, los programas de Rehabilitación Cardíac...

  18. Factores de riesgo para enfermedad coronaria en escolares y adolescentes: análisis de 23 estudios

    OpenAIRE

    Ruiz Manrique, Nini Johanna; Muñoz, Yesid Alejandro

    2012-01-01

    El estudio describe, analiza y compila información sobre Factores de Riesgo identificados con mayor prevalencia para Enfermedad Coronaria en población escolar y adolescente; se tiene como insumo los estudios consultados en las bases de datos SCIELO, MEDLINE, LILACS, Elsevier, y Google Académico del 2002 a 2012. Metodología: selección de descriptores para búsqueda documental, revisión no sistémica de documentos, selección de estudios, creación de matriz de revisión, análisis y evaluación de la...

  19. The effect on the transcriptome of Anemone coronaria following infection with rust (Tranzschelia discolor.

    Directory of Open Access Journals (Sweden)

    Marina Laura

    Full Text Available In order to understand plant/pathogen interaction, the transcriptome of uninfected (1S and infected (2I plant was sequenced at 3'end by the GS FLX 454 platform. De novo assembly of high-quality reads generated 27,231 contigs leaving 37,191 singletons in the 1S and 38,393 in the 2I libraries. ESTcalc tool suggested that 71% of the transcriptome had been captured, with 99% of the genes present being represented by at least one read. Unigene annotation showed that 50.5% of the predicted translation products shared significant homology with protein sequences in GenBank. In all 253 differential transcript abundance (DTAs were in higher abundance and 52 in lower abundance in the 2I library. 128 higher abundance DTA genes were of fungal origin and 49 were clearly plant sequences. A tBLASTn-based search of the sequences using as query the full length predicted polypeptide product of 50 R genes identified 16 R gene products. Only one R gene (PGIP was up-regulated. The response of the plant to fungal invasion included the up-regulation of several pathogenesis related protein (PR genes involved in JA signaling and other genes associated with defense response and down regulation of cell wall associated genes, non-race-specific disease resistance1 (NDR1 and other genes like myb, presqualene diphosphate phosphatase (PSDPase, a UDP-glycosyltransferase 74E2-like (UGT. The DTA genes identified here should provide a basis for understanding the A. coronaria/T. discolor interaction and leads for biotechnology-based disease resistance breeding.

  20. Las emociones y el estrés en personas con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Natalia Tobo-Medina

    2010-01-01

    Full Text Available Estudios han identificado que comportamientos, emociones y estrés están asociados con la enfermedad de arterias coronarias (EAC. Existe soporte a la hipótesis de que una zona de la corteza cerebral, ligada con las emociones, se activa ante condiciones estresantes y genera respuestas como hipertensión e infarto. Los aspectos que preceden o generan estrés y comportamientos de riesgo para EAC no son abordados en la atención en salud, y su estudio se ha centrado en la ansiedad o la depresión. La pregunta fue: ¿cuáles son los estados afectivos y emociones más frecuentes y predominantes que subyacen a la experiencia del estrés en las personas con EAC, y su diferencia según algunas características socio-demográficas? Métodos: estudio transversal correlacional, participaron 65 personas con EAC. Se empleó un cuestionario sobre 38 estados afectivos y emocionales para identificar las emociones características según frecuencia, predominio y fuerza de aparición. Resultados: se identificaron 12 características predominantes, de las cuales 10 los define afectivamente: hipersensibilidad, impaciencia, infalibilidad, miedo, excesiva preocupación por otros, autorrepresión emocional, rigidez moral, deseo de ser ejemplo para otros, sobreprotección, soledad y aislamiento. Estas se correlacionaron significativamente con la culpa, el sentimiento de infelicidad, la desolación, la angustia extrema y la desesperanza. Discusión: la excesiva importancia a la razón, al reconocimiento por otros, en detrimento de expresión de emociones y necesidades afectivas, señala conflictos internos persistentes, deficiente autocuidado y estrés emocional. Se sugiere investigar aspectos emocionales para prevención temprana y rehabilitación.

  1. Characterization of efficient plant-growth-promoting bacteria isolated from Sulla coronaria resistant to cadmium and to other heavy metals.

    Science.gov (United States)

    Chiboub, Manel; Saadani, Omar; Fatnassi, Imen Challougui; Abdelkrim, Souhir; Abid, Ghassen; Jebara, Moez; Jebara, Salwa Harzalli

    2016-01-01

    The inoculation of plants with plant-growth-promoting rhizobacteria has become a priority in the phytoremediation of heavy-metal-contaminated soils. A total of 82 bacteria were isolated from Sulla coronaria root nodules cultivated on four soil samples differently contaminated by heavy metals. The phenotypic characterization of these isolates demonstrated an increased tolerance to cadmium reaching 4.1mM, and to other metals, including Zn, Cu and Ni. Polymerase Chain Reaction/Restriction Fragment Length Polymorphism (PCR/RFLP) analysis showed a large diversity represented by genera related to Agrobacterium sp., R. leguminosarum, Sinorhizobium sp., Pseudomonas sp., and Rhizobium sp. Their symbiotic effectiveness was evaluated by nodulation tests. Taking into consideration efficiency and cadmium tolerance, four isolates were chosen; their 16SrRNA gene sequence showed that they belonged to Pseudomonas sp. and the Rhizobium sullae. The selected consortium of soil bacteria had the ability to produce plant-growth-promoting substances such as indole acetic acid and siderophore. The intracellular Cd accumulation was enhanced by increasing the time of incubation of the four soil bacteria cultivated in a medium supplemented with 0.1mM Cd. The existence of a cadmium-resistant gene was confirmed by PCR. These results suggested that Sulla coronaria in symbiosis with the consortium of plant-growth-promoting rhizobacteria (PGPR) could be useful in the phytoremediation of cadmium-contaminated soils.

  2. Crystallization and preliminary X-ray diffraction studies of the cysteine protease ervatamin A from Ervatamia coronaria

    Energy Technology Data Exchange (ETDEWEB)

    Chakraborty, Sibani; Biswas, Sampa; Chakrabarti, Chandana; Dattagupta, Jiban K., E-mail: jibank.dattagupta@saha.ac.in [Saha Institue of Nuclear Physics, Crystallography and Molecular Biology Division, 1/AF Bidhannagar, Kolkata 700 064 (India)

    2005-06-01

    Ervatamin A is a papain-family cysteine protease with high activity and stability. It has been isolated and purified from the latex of the medicinal flowering plant E. coronaria and crystallized by the vapour-diffusion technique. Crystals diffracted to 2.1 Å and the structure was solved by molecular replacement. The ervatamins are highly stable cysteine proteases that are present in the latex of the medicinal plant Ervatamia coronaria and belong to the papain family, members of which share similar amino-acid sequences and also a similar fold comprising two domains. Ervatamin A from this family, a highly active protease compared with others from the same source, has been purified to homogeneity by ion-exchange chromatography and crystallized by the vapour-diffusion method. Needle-shaped crystals of ervatamin A diffract to 2.1 Å resolution and belong to space group C222{sub 1}, with unit-cell parameters a = 31.10, b = 144.17, c = 108.61 Å. The solvent content using an ervatamin A molecular weight of 27.6 kDa is 43.9%, with a V{sub M} value of 2.19 Å{sup 3} Da{sup −1} assuming one protein molecule in the asymmetric unit. A molecular-replacement solution has been found using the structure of ervatamin C as a search model.

  3. Ectasia coronaria y lesiones trombóticas como causa de síndrome coronario agudo

    Directory of Open Access Journals (Sweden)

    Paula Awamleh

    2017-03-01

    Full Text Available Se presenta un caso de manejo complicado y decisiones difíciles. Un paciente con antecedente de disección aórtica tipo A y dilatación residual de la aorta descendente de hasta 60 mm es ingresado por un síndrome coronario agudo sin elevación del ST. La coronariografía pone de manifiesto una marcada ectasia coronaria y unos defectos de perfusión de dudoso origen. ¿Trombos o falsas imágenes por flujo muy lentificado? Asumiendo que pudiera tratarse de trombos, el paciente es tratado con anticoagulación repitiéndose la coronariografía al cabo de dos meses. En este segundo estudio se observa la completa desaparición de las imágenes, confirmándose el origen trombótico de las mismas. En este momento se plantea ¿cuál debe ser el tratamiento crónico del paciente? No hay evidencia científica disponible acerca del tratamiento de la ectasia coronaria y se trata de un paciente de alto riesgo por su antecedente de disección aórtica. Finalmente se decide, de forma empírica, mantener la anticoagulación de forma indefinida. Tras dos años y seis meses de seguimiento no ha habido incidencias clínicas.

  4. Enfermedad de Kawasaki: cuadro clínico, exámenes de laboratorio y lesiones coronarias

    Directory of Open Access Journals (Sweden)

    Luis Martín Garrido-García

    2015-08-01

    Full Text Available La enfermedad de Kawasaki es una vasculitis aguda, sistémica, de etiología desconocida y que remite generalmente de manera espontánea; ocurre principalmente en pacientes menores de cinco años de edad (80%. La enfermedad de Kawasaki se caracteriza por fiebre, conjuntivitis no supurativa bilateral, eritema de los labios y de la mucosa oral, alteraciones en las extremidades, exantema y adenopatía cervical. Su diagnóstico oportuno es un reto para el médico ya que no existe una prueba específica y se siguen utilizando los criterios clínicos descritos en 1967. Los resultados de laboratorio en la fase aguda de la enfermedad no son específicos ni diagnósticos. Objetivo: describir las características clínicas, exámenes de laboratorio, tratamiento empleado y presencia de lesiones coronarias en la etapa aguda de pacientes con enfermedad de Kawasaki atendidos en un hospital pediátrico de tercer nivel en la Ciudad de México.  Materiales y métodos: estudio retrospectivo, observacional, en pacientes con diagnóstico de enfermedad de Kawasaki tratados entre agosto de 1995 y diciembre de 2013. Se recabó información que incluyó datos demográficos de los pacientes, características clínicas, exámenes de laboratorio, tratamiento empleado y hallazgos ecocardiográficos en la etapa aguda de la enfermedad. Resultados: se estudiaron 338 casos de enfermedad de Kawasaki en 322 pacientes. La edad media al diagnóstico fue de 38.94 ± 36.53 meses (rango de 2 a 200 meses. El predominio fue de pacientes masculinos (66.9% con una relación masculino:femenino de 2:1. La gran mayoría de los pacientes (82.2% tuvo presentación completa de la afección. Se administró inmunoglobulina endovenosa en 88.2% de los casos. En 287 casos la fiebre remitió 48 horas después de administrar inmunoglobulina endovenosa y solamente en 12 casos se administró una segunda dosis. De 1995 a 2003 se diagnosticaron 48 casos de enfermedad de Kawasaki

  5. Diagnóstico fractal de disfunción cardíaca severa. Dinámica fractal de la ramificación coronaria izquierda

    Directory of Open Access Journals (Sweden)

    Javier O. Rodríguez, MD

    2012-09-01

    Conclusiones: se generalizó una nueva metodología diagnóstica de aplicación clínica que detecta disfunciones cardiacas severas sub-diagnosticadas con las metodologías actuales, mediante la caracterización de la dinámica total de la ramificación coronaria izquierda.

  6. Efectos de un programa de ejercicio físico de 12 semanas en sujetos con revascularización coronaria o postangioplastia transluminal percutánea

    Directory of Open Access Journals (Sweden)

    Mirary Mantilla-Morrón

    2017-03-01

    Conclusiones: El programa de ejercicio físico que fue utilizado en este estudio, pudo en todos los sujetos incrementar la capacidad cardiorrespiratoria y la tolerancia al ejercicio, y disminuir el perímetro abdominal. Los efectos benéficos obtenidos cambian el pronóstico de la enfermedad coronaria y disminuyen los factores de riesgo metabólicos.

  7. Intervenciones coronarias percutáneas en pacientes diabéticos

    Directory of Open Access Journals (Sweden)

    Igor F. Palacios

    2009-01-01

    Full Text Available Es bien conocido que la diabetes confiere un riesgo mayor de desarrollo de enfermedadcoronaria y que conlleva un pronóstico adverso a largo plazo con tratamiento médico encomparación con los pacientes no diabéticos. Los diabéticos presentan además una incidenciamayor de infarto de miocardio con mayor mortalidad frente a los no diabéticos. En consecuencia,es frecuente que los diabéticos con enfermedad coronaria requieran tratamientomediante revascularización miocárdica. Los resultados a largo plazo del tratamiento médicoy de las estrategias intervencionistas o quirúrgicas en los pacientes diabéticos con enfermedadcoronaria son peores que en los no diabéticos. Es sumamente importante reconocereste hecho porque la presencia de diabetes aumenta en extremo el riesgo de complicacionesy de reestenosis.El seguimiento a largo plazo de los ensayos clínicos que compararon los resultados de laangioplastia (ATC con la cirugía de revascularización miocárdica (CRM demuestran quela cirugía continúa siendo la estrategia recomendada para los pacientes diabéticos con enfermedadmultivaso. Sin embargo, los recientes avances en las intervenciones coronariaspercutáneas (ICP han producido un cambio en el paradigma de la revascularización coronariaen los pacientes diabéticos.En el presente artículo de revisión se analizan los resultados de los estudios comparativosentre CRM e IPC realizados en tres etapas diferentes del desarrollo tecnológico de los métodospercutáneos: la angioplastia con balón, con stent convencional y los más recientes constents farmacológicos, que parecen haber mejorado el pronóstico de la ATC en los pacientesdiabéticos. A la luz de estos resultados, se discuten las indicaciones actuales de las guíasinternacionales para seleccionar el tratamiento de revascularización en estos pacientes.Finalmente, se comentan los resultados de estudios recientes, como BARI 2D y CARDIA, ylos que se encuentran en curso (FREEDOM, que

  8. Resultado del tratamiento percutáneo de las bifurcaciones coronarias

    Directory of Open Access Journals (Sweden)

    Alfonsina Candiello

    2008-01-01

    Full Text Available IntroducciónEl surgimiento de los stents liberadores de droga (SLD ha disminuido la tasa de reintervención del vaso tratado (RVT. No obstante, incluso con SLD, el tratamiento percutáneo de lesiones en bifurcación aún constituye un desafío debido a una tasa todavía elevada de RVT.ObjetivoEvaluar los resultados clínicos en pacientes con bifurcaciones tratados con SLD o sin éstos en un centro de alto volumen.Material y métodosDesde abril de 2003 hasta agosto de 2006 se realizaron 1.910 angioplastias; 235 (12,3% pacientes presentaron bifurcaciones.ResultadosLa edad de los pacientes incluidos fue de 62 ± 11 años; el 86% era de sexo masculino, el 19,2% padecía diabetes y el 22,7% tenía cirugía coronaria previa. El 54% de los pacientes presentaron bifurcaciones verdaderas. Se utilizó SLD en el 44,3%; el 22,5% requirió el implante de dos stents (en ambas ramas, mientras que el procedimiento se concluyó con kissing balloon final en el 24,5% de los casos. En el seguimiento alejado (mediana 430 días, la RVT fue del 16,7%, 13,9% con SLD y 17,2% con stent convencional (SC (p = ns. La tasa de trombosis angiográfica fue del 3%, 1,9% para SLD y 4,6% para stent convencional (p = ns. Las tasas de infarto y muerte cardíaca fueron del 3,4% y del 2,9%, respectivamente, sin diferencias entre los dos grupos. La tasa combinada de muerte cardíaca, infarto, trombosis y RVT fue del 21,7%, 16,3% con SLD y 25,2% con stent convencional (p = 0,04.ConclusiónEl tratamiento percutáneo de lesiones en bifurcación continúa siendo un desafío. Es probable que técnicas más simples con implante de un solo stent, preferentemente SLD, y la implementación de kissing balloon final sea la opción más recomendable en la mayoría de los casos.

  9. Corpus Christi EFH Trawling Effects 2001-2002

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — We compared sediments and benthos of two adjacent zones of the middle Texas coast, one of which was closed to shrimp trawling for 7 months. Findings indicated that...

  10. Rapid roadway development - interim reports June 2001 & 2002

    Energy Technology Data Exchange (ETDEWEB)

    Michael Kelly; David Hainsworth; Ron McPhee; Baotang Shen; C. Wesner; Barry Wright; Rao Balusu; D. Adhikary; Huo Guo; Michael Wendt; Sheng Xue [CSIRO Exploration & Mining (Australia)

    2002-06-15

    Three reports are available on this five year project: Rapid roadway development final report ACARP C8014, May 2000; Rapid roadway development project progress report ACARP C9017, June 2001; Roadway span stability study - field monitoring at Moranbah north mine and numerical analyses, ACARP C9017, June 2002. The project is based on the design and construction of an automatic bolting/bridge conveyor unit that can sit behind a variety of cutting machines and interface with a variety of coal haulage options. Under the project agreement between JCOAL and CSIRO, JCOAL has funded $5.335 million over the five-year period. The scope of the overall project includes five main components: Automatic Roofbolting System; Platform for Automatic Bolter; Strata Control and Risk Assessment; Remote and Automatic Control Systems; and Systems Engineering and Field Trials. The first two reports are status reports describing progress in all five components of the project. The third report details a specific strata control investigation that was undertaken as part of the project. Because the system requires a limited support for the initial 12 metres of driveage, the strata control component requires new assessment tools to be developed to ascertain the application of the system in differing geotechnical environments. The report details assessment of mechanisms in coal roof left unsupported during place change operations. The results are significant as they provide new information about initial stress conditions and stress change during mining.

  11. Hungry Horse Mitigation; Flathead Lake, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, Barry (Confederated Salish and Kootenai Tribes of the Flathead Nation, Pablo, MT)

    2003-06-09

    The Confederated Salish and Kootenai Tribes (CSKT) and Montana Fish Wildlife and Parks (MFWP) wrote ''Fisheries Mitigation Plan for Losses Attributable to the Construction and Operation of Hungry Horse Dam'' in March 1991 to define the fisheries losses, mitigation alternatives and recommendations to protect, mitigate and enhance resident fish and aquatic habitat affected by Hungry Horse Dam. On November 12, 1991, the Northwest Power Planning Council (NPPC) approved the mitigation plan with minor modifications, called for a detailed implementation plan, and amended measures 903(h)(1) through (7). A long-term mitigation plan was submitted in August 1992, was approved by the Council in 1993, and the first contract for this project was signed on November 11, 1993. The problem this project addresses is the loss of habitat, both in quality and quantity, in the interconnected Flathead Lake and River basin resulting from the construction and operation of Hungry Horse Dam. The purpose of the project is to both implement mitigation measures and monitor the biological responses to those measures including those implemented by Project Numbers 9101903 and 9101904. Goals and objectives of the 1994 Fish and Wildlife Program (Section 10.1) addressed by this project are the rebuilding to sustainable levels weak, but recoverable, native populations injured by the hydropower system. The project mitigates the blockage of spawning runs by Hungry Horse Dam by restoring and even creating spawning habitats within direct drainages to Flathead Lake. The project also addresses the altered habitat within Flathead Lake resulting from species shifts and consequent dominance of new species that restricts the potential success of mitigation measures. Specific goals of this project are to create and restore habitat and quantitatively monitor changes in fish populations to verify the efficacy of our mitigation measures. The project consists of three components: monitoring, restoration and research. Monitoring, for example, includes a spring gillnetting series conducted annually in Flathead Lake and builds on an existing data set initiated in 1981. Monitoring of the experimental kokanee reintroduction was a primary activity of this project between 1992 and 1997. Lake trout, whose high densities have precluded successful mitigation of losses of other species in Flathead Lake, have been monitored since 1996 to measure several biological parameters. Results of this work have utility in determining the population status of this key predator in Flathead Lake. The project has also defined the baseline condition of the Flathead Lake fishery in 1992-1993 and has conducted annual lakewide surveys since 1998. The restoration component of the project has addressed several stream channel, riparian, and fish passage problems. The research component of the project began in FY 2000 and measured trophic linkages between M. relicta and other species to assist in predicting the results of potential mitigation strategies. Only Objective 1 in the workplan is funded entirely by Hungry Horse Mitigation funds. Additional funds are drawn from other sources to assist in completion of Objectives 2-6.

  12. The General Safety Group Annual Report 2001/2002

    CERN Document Server

    Weingarten, W

    2003-01-01

    This report summarizes the main activities of the General Safety (GS) Group of the Technical Inspection and Safety Division during 2001 and 2002, and the results obtained. The different topics in which the group is active are covered: general safety inspections and ergonomics, electrical, chemical and gas safety, chemical pollution containment and control, industrial hygiene, the safety of civil engineering works and outside contractors, fire prevention and the safety aspects of the LHC experiments.

  13. VT West Branch Natural Channel Design Restoration 2001-2002

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) Because of the well known problems of the river, the West Branch was identified as a restoration implementation site to be funded as part of the...

  14. Biologische teelt van witte asperge : tussentijdsverslag 2001/2002

    NARCIS (Netherlands)

    Kruistum, van G.; Poll, J.T.K.; Wielaard, B.

    2003-01-01

    In 2000 is onderzoek van start gegaan op PPO-ZON te Meterik naar de mogelijkheden van de biologische teelt van witte asperge in vervolg op een uitgevoerde deskstudie naar knelpunten in de biologische teelt. In 2000 zijn planten opgekweekt van de rassen Grolim en Eposs die uitgezaaid waren bij een bi

  15. VT Foote Brook Natural Channel Design Restoration 2001-2002

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) The Foote Brook, located in Johnson, Vermont, is known to biologists and anglers as a high quality stream with significant natural reproduction of...

  16. U.S. Naval Observatory Annual Report 2001-2002

    Science.gov (United States)

    2002-06-01

    Miknaitis, G., Munn, J. A., Nichol, R., Oka- mura, S., Pier, J. A., Prada , F., Richards, G. T., Szalay, A., and York, D. G. ~2001!. ‘‘A Survey of z...Implications for Dark Bursts,’’ Astron. Astrophys. 369, 373. Garcia -Melendo, E., Henden, A. A., and Gomez-Forrelad, J. M. ~2001!. ‘‘GSC 5002-0629: A

  17. Forrest Ranch Acquisition, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Brent

    2003-08-01

    Through their John Day Basin Office, the Confederated Tribes of Warm Springs Reservation of Oregon (Tribes) acquired the Forrest Ranch during July of 2002. The property consists of two parcels located in the John Day subbasin within the Columbia basin. The mainstem parcel consists of 3,503 acres and is located 1/2 mile to the east of Prairie City, Oregon on the mainstem of the John Day River. The middle fork parcel consists of 820 acres and is located one mile to the west of the town of Austin, OR on the middle fork John Day River. The Forrest Ranch Project is under a memorandum of agreement with the Bonneville Power Administration (BPA) to provide an annual written report generally describing the real property interests of the project and management activities undertaken or in progress. The Forrest Ranch acquisition was funded by BPA as part of their program to protect, mitigate, and enhance fish and wildlife habitat affected by the operation of their hydroelectric facilities on the Columbia River and its tributaries. Following lengthy negotiations with the BPA and property owner, the Tribes were able to conclude the acquisition of the Forrest Ranch in July of 2002. The intent of the acquisition project was to partially mitigate fish and wildlife impacts for the John Day Dam on the Columbia River as outlined in the Northwest Power Planning Council's Wildlife Program (NPPC 1994, section 11.1, section 7.6). While the Tribes hold fee-title to the property, the BPA has assured a level of program funding through a memorandum of agreement and annual statement of work. As early as 1997, the Tribes identified this property as a priority for restoration in the John Day basin. In 2000, the Tribes arranged an agreement with the landowner to seek funds for the acquisition of both the Middle Fork and upper Mainstem John Day River holdings of Mr. John Forrest. This property had been a priority of not only the Tribes, but of many other basin natural resource agencies. The contract period was the first year of the program with December 2001 through July 2nd 2002 being previous to acquisition of the property. The majority of the activities conducted under the contract period were spent on O&M and pre acquisition activities.

  18. JASON XIII: Frozen Worlds (2001-2002). Teacher Pack.

    Science.gov (United States)

    JASON Foundation for Education, Needham Heights, MA.

    This teacher's guide and accompanying videotape present the JASON Project. The guide features a workbook format using an interdisciplinary approach to include geography, climate, biology, history, geology, culture, and literature. The JASON Project targets grades 4-9 and involves real life science with the inquiry approach and multimedia…

  19. Rapport d'Activite du Service Medical - 2001/2002

    CERN Document Server

    Fassnacht, V

    2003-01-01

    Le rapport annuel de l’année 2002 fait état de l’activité du service médical et de ses conclusions en matière de santé au travail ou de conditions de travail pour les membres du personnel du CERN, c’est à dire!: les titulaires, boursiers, étudiants, utilisateurs, attachés, etc…

  20. Graduate Assessment Survey Report Summary, 2001-2002.

    Science.gov (United States)

    Santa Fe Community Coll., Gainesville, FL. Office of Institutional Research and Planning.

    This 2001-02 report from Santa Fe Community College (SFCC), Florida, rates student perceptions and opinions of SFCCs classrooms, courses, instructors, academic resources, student services, overall college atmosphere, and cultural atmosphere. Results of the research include the following: (1) of the 2,499 students who responded, 2,229 (89.2%) rated…

  1. Publications on Borneo from Universiti Malaysia Sarawak, 2001-2002

    OpenAIRE

    Sellato, Bernard

    2013-01-01

    The Institute of East Asian Studies (IEAS) was created at the Universiti Malaysia Sarawak (UNIMAS) in 1998 with Professor Michael Leigh as its inaugural Director. Michael Leigh is a long-time scholar of Sarawak. His earlier publications include: The Chinese Community of Sarawak: a Study of Communal Relations (1964), The Rising Moon: Political Change in Sarawak (1974), and Council Negri Sarawak, Malaysia’s Oldest Legislature (1992). It was after a long career in Australia (University of Sydney...

  2. Colville Tribal Fish Hatchery, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Arteburn, John; Christensen, David (Colville Confederated Tribes, Nespelem, WA)

    2003-03-01

    Federal hydropower projects as well as private power utility systems have had a major negative impact upon anadromous fish resources that once flourished in the Columbia River and it's tributaries. Several areas have been completely blocked to anadromous fish by dams, destroying the primary food resource (salmon) for many native people forcing them to rely heavily upon resident fish to replace these lost resources. The Colville Tribal Fish Hatchery is an artificial production program that addresses the loss of anadromous fish resources in the Upper Columbia Sub-Region within the ''blocked area'' created by the construction of Chief Joseph and Grand Coulee Dams. This project enhances resident fisheries located in the Intermountain and Columbia Cascade Provinces, specifically within the Colville Reservation portion of the Upper Columbia, SanPoil and Oakanogan Sub-Basins. The project partially mitigates for anadromous fish losses through protection/augmentation of resident fish populations to enhance fishery potential (i.e. in-place, out-of-kind mitigation) pursuant to Resident Fish Substitution Policy of the Northwest Power Planning Councils Fish and Wildlife Program. The hatchery was accepted into the Council's Fish and Wildlife Program in 1984 and the hatchery was completed in 1990. The Colville Tribal Hatchery (CTH) is located on the northern bank of the Columbia River just down stream of the town of Bridgeport, Washington that is just down stream of Chief Joseph Dam. The hatchery is located on land owned by the Colville Tribes. The minimum production quota for this facility is 22,679 kg (50,000 lbs.) of trout annually. All fish produced are released into reservation waters, including boundary waters in an effort to provide a successful subsistence/recreational fishery for Colville Tribal members and provide for a successful nonmember sport fishery. The majority of the fish distributed from the facility are intended to support ''carry-over'' fisheries. Fish produced at the facility are intended to be of sufficient quality and quantity to meet specific monitoring and evaluation goals and objectives outlines in the 2002 statement of work (SOW).

  3. Comportamientos de autocuidado y adherencia terapéutica en personas con enfermedad coronaria que reciben atención en una institución hospitalaria de Ibagué, Colombia

    OpenAIRE

    Olivella Fernandez, Madeleine; Universidad Del Tolima

    2016-01-01

    PACIENTES CON ENFERMEDAD CORONARIAObjetivo: valorar en forma global los comportamientos de autocuidado y de adherencia terapeutica a los tratamientos en un grupo de personas con enfermedad coronaria en Ibagué, año 2013. Metodologia: Estudio descriptivo, transversal, realizado en una Institucion Hospitalaria de Ibagué, Tolima (Colombia). La muestra fue de 55 pacientes con enfermedad coronaria diagnosticada. La información se recogió utilizando el instrumento de adherencia de Bonilla y De-Reale...

  4. Factores de riesgo y morbi-mortalidad coronaria a los 28 años de seguimiento de una cohorte con baja incidencia de la enfermedad: el estudio de Manresa

    Directory of Open Access Journals (Sweden)

    Luis Tomás Abadal

    2004-01-01

    Full Text Available Fundamento: Estudio de la morbimortalidad coronaria y mortalidad total asociadas a los denominados factores de riesgo coronario de una cohorte industrial de varones seguida durante 28 años. Métodos: Población laboral de 1.059 varones de 30-59 años libres de cardiopatía en el examen inicial (1968, reexaminados cada cinco años hasta 1988 y con el examen final en 1996. Durante el tiempo de seguimiento se obtuvo información del 96,4% del total de participantes. Resultados: Las tasas de incidencia de enfermedad coronaria, mortalidad coronaria y muerte total por 105 (personas-años de observación fueron: 499,80; 235,80 y 925,33, respectivamente. Los niveles elevados de colesterol y el consumo habitual de cigarrillos se asociaron independientemente con la incidencia de cardiopatía coronaria y la mortalidad coronaria ajustado por edad, presión arterial, glucemia e índice de masa corporal. Los niveles elevados de colesterol sérico, glucemia y consumo de cigarrillos se asociaron independientemente con el riesgo de muerte por todas las causas. Conclusiones: En esta población, con incidencia relativamente baja de enfermedad coronaria, el tabaco y el colesterol sérico mantuvieron el valor predictivo independiente, durante los 28 años de seguimiento.

  5. Angioplastia coronaria vs terapia trombolítica en infarto agudo de miocardio. Clínica Marshfield-Hospital St Joseph, Wisconsin, EE.UU, 1999

    Directory of Open Access Journals (Sweden)

    Juan Pulido

    2001-04-01

    Full Text Available El tratamiento del infarto agudo de miocardio (IAM está en
    investigación por sus implicaciones en la práctica médica y por la
    comprensión más detallada de la fisiopatología. El objetivo del estudio es comparar clínica y angiográficamente la angioplastia coronaria con la trombolisis aguda en pacientes con IAM de menos de 24 horas de evolución. La administración de agentes trombolíticos después de una oclusión coronaria aguda ha disminuido la mortalidad intrahospitalaria, el tamaño del infarto y el número de complicaciones asociadas.

  6. Enfermedad de Kawasaki, conceptos sobre la cirugía de revascularización coronaria en edad pediátrica

    OpenAIRE

    2006-01-01

    La enfermedad de Kawasaki ha rebasado en muchos países a la fiebre reumática como primera causa de cardiopatía adquirida en la edad pediátrica. Tal vez la complicación más grave de la enfermedad es la afección coronaria que se manifiesta en forma de aneurismas de diversos tamaños que característicamente pueden presentar regresión y condicionar estenosis coronaria. Tanto el manejo de los eventos coronarios agudos como los crónicos en la edad pediátrica se basó en un inicio en la extrapolación ...

  7. ¿Se están alcanzando las metas en el perfil lipídico de personas con enfermedad coronaria previa?

    Directory of Open Access Journals (Sweden)

    Alonso Merchán, MD

    2011-08-01

    Conclusiones: después de nueve años de la publicación de las guías del NCEP-ATPIII y de las recomendaciones posteriores sobre las metas del perfil lipídico en pacientes con enfermedad coronaria y a pesar de la divulgación de las mismas a través de conferencias, congresos y publicaciones, estas metas las cumple un porcentaje bajo de pacientes, tal como lo demuestra este estudio observacional en sujetos hospitalizados por causas diferentes a la enfermedad coronaria pero con este antecedente. Una de las explicaciones para este pobre resultado es el uso de lovastatina, estatina de baja efectividad para reducir el cLDL. Se analizan otras posibles causas y se hacen propuestas para lograr los objetivos.

  8. Tratamiento quirúrgico de origen anómalo de la arteria coronaria derecha con nacimiento de la arteria pulmonar

    Directory of Open Access Journals (Sweden)

    Germán J. Chaud

    2016-05-01

    Full Text Available El origen anómalo de la arteria coronaria derecha de la arteria pulmonar (ARCAPA es una entidad de muy baja frecuencia. Pocos casos se han publicado en la literatura sobre la misma en la edad adulta. La forma de presentación varía según el tipo de anomalía coronaria y la cantidad de circulación colateral. Nuestro caso resalta la rareza de presentación de esta enfermedad, así como su única forma de tratamiento en un paciente de 43 años con ángor que se presenta en la consulta ambulatoria.

  9. 119. Reparación quirúrgica de la salida anómala del tronco de la coronaria izquierda desde el seno coronario derecho

    Directory of Open Access Journals (Sweden)

    E. Bernabeu

    2012-04-01

    Conclusiones: el origen anómalo de las coronarias es una alteración congénita rara asociada a muerte súbita. Cuando existe un trayecto intramural, el unroofing es la técnica más empleada. La TCMD es útil para la planificación preoperatoria, permitiendo individualizar la reconstrucción quirúrgica, y para evaluar en el postoperatorio el resultado anatómico.

  10. Pseudo-aneurisma post-traumático de tronco de arteria coronaria izquierda Post-traumatic false (pseudo aneurysm of the left main coronary artery

    Directory of Open Access Journals (Sweden)

    Melina M. Gallo

    2011-08-01

    Full Text Available El pseudo-aneurisma de arteria coronaria es extremadamente raro. Su historia natural es poco conocida y su tratamiento discutido. Se presenta el caso de un paciente con pseudo-aneurisma de tronco de la coronaria izquierda e infarto antero-apical del ventrículo izquierdo cinco años después de un paro cardíaco secundario a un traumatismo no penetrante de tórax. Se consideró entonces que la lesión no era pasible de corrección percutánea o quirúrgica por lo que se optó por tratamiento médico conservador. Una angiografía coronaria por tomografía computarizada multicorte realizada 10 años después del evento inicial mostró ausencia de progresión de la lesión.Coronary pseudo-aneurysm is an extremely rare entity. Its natural history is scarcely known and its treatment is controversial. We report a case of pseudo-aneurysm of the left main coronary artery associated with an antero-apical infarct of the left ventricle diagnosed five years after a cardiac arrest following a non-penetrating thoracic trauma. The patient was treated conservatively because percutaneous or surgical correction were not considered suitable for this lesion. A multidetector computed tomography coronary angiogram performed 10 years after the initial event showed no evidence of progression.

  11. Precisión diagnóstica de la angiografía coronaria por tomografía computarizada multislice aplicada al “mundo real”

    Directory of Open Access Journals (Sweden)

    Claudio Llauradó

    2006-01-01

    Full Text Available Objetivo Evaluar la precisión diagnóstica de la angiografía coronaria por tomografía computarizada multislice (ACTCM para la detección de estenosis significativas en arterias coronarias. Material y métodos Se estudiaron pacientes con indicación de cinecoronariografía diagnóstica sin antecedents de alergia al contraste, insuficiencia renal ni arritmias. Para la adquisición de imágenes se utilizó un tomógrafo multislice (multicorte ( Brilliance 40, Philips, The Netherlands gatillado electrocardiográficamente. Se administraron 90-125 ml de contraste yodado por vía endovenosa. La obesidad, la diabetes, los segmentos difusamente calcificados, con diámetro < 2,0 mm, y aquellos tratados con stents no constituyeron criterios de exclusión. Las lesiones se definieron significativas cuando presentaron una reducción luminal = 50% por ACTCM y angiografía cuantitativa coronaria (QCA. Resultados Previo a la intervención se escanearon 38 pacientes. De ellos, uno (3% fue excluido debido a calidad de imagen insuficiente. Los 37 restantes (444 segmentos, con calidad de scan satisfactoria, se incluyeron en el estudio (81% hombres, edad media 62,43 ± 12,5 años, 13,5% diabéticos. El tiempo medio de scan fue de 15,12 ± 2,6 segundos. Se analizaron 444 segmentos por ambas técnicas. Se encontraron 88 (17% y 93 (18% lesiones significativas por CCG y ACTCM, respectivamente. La sensibilidad, la especificidad, el valor predictivo positivo y el valor predictivo negativo de la ACTCM para detectar estenosis significativas fueron del 82%, 93%, 72% y 96%, respectivamente. Conclusión En pacientes seleccionados para cinecoronariografía, la angiografía coronaria por tomografía computarizada multislice presenta un alto valor predictivo negativo para la detección de enfermedad obstructiva coronaria.

  12. Actividad in vitro de la mezcla de alcaloides de Ervatamia coronaria (Jacq Staff. Apocynaceae sobre amastigotes de Leishmania braziliensis

    Directory of Open Access Journals (Sweden)

    Amanda Moreno Rodríguez

    2008-09-01

    Full Text Available A leishmaniose é considerada uma importante causa de morbidade e mortalidade a nível mundial, principalmente nos países tropicais. As formas cutânea e mucocutânea são causadas, entre outras espécies, por Leishmania braziliensis. Na procura de compostos leishmanicidas de origem natural, foi estudada a atividade da mistura de alcalóides de Ervatamia coronaria (Apocynaceae contra amastigotas de L. braziliensis em 6 concentrações diferentes (1, 10, 20, 25, 50 e 100 µg/mL. Foram tratados macrófagos de ratos da linha J774, infectados com promastigotas de L. braziliensis, com a mistura de alcalóides 1 hora após-infecção e diariamente por 3 dias sem mudança de meio. As experiências de citotoxicidade foram efetuadas sobre os macrófagos com azul tripam. Todos os cultivos foram feitos de forma triplicada e os grupos de controle não foram submetidos à mistura de alcalóides. Foi obtido que o composto adicionado exerce atividade doses/dependente sobre a parasita. No entanto, as concentrações mais altas (50 e 100 µg/mL, adicionado durante 3 dias, mostraram os maiores índices de infecção, provavelmente devido a diminuição no número de macrófagos, sobre os quais não foi observado efeito tóxico do tratamento durante 24 horas DL50/24h = 233,52 µg/mL. Os resultados dessa pesquisa revelaram uma nova atividade farmacológica de alcalóides da espécie Ervatamia coronaria sobre a forma amastigota de Leishmania braziliensis, com IC50 = 2,6 e 12,4 µg/mL sem mostrar toxicidade sobre a célula hospedeira.

  13. El renacer de las ideas republicanas

    Directory of Open Access Journals (Sweden)

    Fernando Aínsa

    2005-01-01

    Full Text Available En el artículo se analiza con precisión la relación entre Estado, sociedad e individuo, tanto para el liberalismo como para el republicanismo. Sorprenden las diferencias categoriales de ambas teorías en sus fundamentos filosóficos: la forma de hacerse el Estado social desde la perspectiva positiva o negativa de la libertad, las regulaciones normativas para validar la aplicación de la justicia, los fines comunes del bien ciudadano, la acción cívica en su sentido de moral pública, le otorgan a ambas posturas características indiscutibles. En efecto, entre liberalismo y republicanismo no parece existir mayor acuerdo sobre lo que es la política, la democracia y la gobernabilidad. Señala el autor, que “La diferencia decisiva entre los paradigmas liberal y republicano radica en la comprensión del papel del proceso democrático. De acuerdo con la perspectiva liberal el proceso democrático lleva a cabo la tarea de dirigir el gobierno en el interés de la sociedad, donde el gobierno es representado como un aparato de administración pública y la sociedad como una red de interacciones entre particulares estructurada a semejanza del mercado. Por el contrario, desde la perspectiva republicana, la política implica algo más que una función mediadora: es parte de una función constitutiva de los procesos de la sociedad a la que debe verse como un todo”.

  14. El renacer de las ideas republicanas

    OpenAIRE

    2005-01-01

    En el artículo se analiza con precisión la relación entre Estado, sociedad e individuo, tanto para el liberalismo como para el republicanismo. Sorprenden las diferencias categoriales de ambas teorías en sus fundamentos filosóficos: la forma de hacerse el Estado social desde la perspectiva positiva o negativa de la libertad, las regulaciones normativas para validar la aplicación de la justicia, los fines comunes del bien ciudadano, la acción cívica en su sentido de moral pública...

  15. Evaluación de las placas coronarias por tomografía computarizada multidetector de 16 filas. Correlación con ecografía intravascular

    Directory of Open Access Journals (Sweden)

    Patricia Carrascosa

    2008-01-01

    Full Text Available IntroducciónEl 50% de las muertes de etiología cardiovascular se deben a la enfermedad arteriosclerótica. Estudios recientes demostraron que las placas ateromatosas más propensas al desarrollo de un evento coronario son las que presentan ciertas características particulares, como un centro o core lipídico y remodelación positiva, denominadas placas vulnerables. La determinación temprana de la presencia de este tipo de placas ateroscleróticas tendría un impacto clínico de suma importancia y podría ayudar a prevenir el desarrollo de un síndrome coronario agudo en el futuro.ObjetivoDeterminar la certeza diagnóstica de la angiografía coronaria por tomografía computarizada multidetector de 16 filas (16-ACTCM en la identificación, la caracterización y la cuantificación de las lesiones arterioscleróticas coronarias en comparación con la ecografía intravascular (EIV.Material y métodosSe estudiaron 45 pacientes con indicación de angiografía coronaria con 16-ACTCM y EIV.En cada segmento coronario se analizaron la carga de placa y las características de la placa aterosclerótica, que se clasificó en blanda, fibrosa y cálcica. La certeza diagnóstica de la 16-ACTCM para determinar la carga de placa y la identificación de placas coronarias se calculó con el método exacto binomial. Sobre la base de un análisis con curvas ROC se determinó el punto de corte para cada tipo de placa, así como la densidad media y la desviación estándar en unidades Hounsfield [UH]. Se evaluó además la certeza diagnóstica de la ACTCM para el diagnóstico de estenosis coronaria = 50%.ResultadosPara la detección de carga de placa, la sensibilidad fue del 96,2% y la especificidad fue del 81,9%. Para la detección de placas blandas, fibrosas y calcificadas, la sensibilidad y la especificidad fueron del 94,6% y 92,62%, del 94,9% y 98,5% y del 93,2% y 95,1%, respectivamente.Con un valor de corte de 85 UH, la 16-ACTCM diferenció correctamente el 86

  16. Determinación de las características anatómicas de las arterias coronarias de cerdo mediante técnica de inyección con látex

    Directory of Open Access Journals (Sweden)

    Guillermo Rivera

    2015-06-01

    Full Text Available Objetivo: Determinar las características anatómicas de las arterias coronarias del cerdo, mediante inyección con látex. Materiales y métodos: Se usaron 100 corazones de cerdo. Se insertaron sondas Nelaton a través de las arterias coronarias y se les inyectó solución de látex y tinta china. Se determinó el diámetro y el punto de origen para la coronaria derecha, coronaria izquierda, interventricular paraconal y circunfleja. Se cuantificaron el número de ramas diagonales, marginales ventriculares izquierdas y postero laterales. Se determinó frecuencia de ramus intermedius y tipo de dominancia. Se realizó análisis estadístico con un error estándar del 5%, con el Epidat 3,1. Resultados: El 100% de los orígenes anatómicos de las arterias coronarias fueron normales. La dominancia mas frecuente fue la derecha, 73%. El promedio de número de ramas marginales izquierdas, diagonales y posterolaterales fue de 3. La frecuencia de ramus intermedius fue de 12%. El calculo de chi cuadrado de Pearson mostró significancia entre el ramus intermedius y número de ramas marginales izquierdas (p=0,0009. Conclusiones: Las características anatómicas de las arterias coronarias del cerdo son similares a las del humano. El ramus intermedius se comporta como una primera rama marginal izquierda y no como una primera rama diagonal como lo afirman algunos autores.

  17. Factores asociados a la calidad de vida relacionada a la salud en pacientes con cardiopatía coronaria y diabetes mellitus.

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    Moises Barrantes

    2010-07-01

    Full Text Available mellitus. Material y métodos: Se utilizó el cuestionario (SF-36 y se incluyeron 70 pacientes diabéticos y 140 no diabéticos admitidos por un evento coronario agudo en la Unidad Coronaria del Hospital Nacional Edgardo Rebagliati Martins entre diciembre 2006 y diciembre 2007. Se realizó análisis multivariado para determinar los factores asociados a los dos componentes sumarios de la calidad de vida relacionada a la salud (CVRS y si la diabetes mellitus era un factor independiente. Resultados: Ambos grupos de estudio tuvieron, en general, similares características basales. En la estimación de la calidad de vida global, los pacientes diabéticos tuvieron índices significativamente menores de percepción solamente en el componente sumario físico. Se construyeron modelos de regresión lineal múltiple entre ambos componentes sumario de la CVRS y las variables de estudio, identificándose la edad avanzada, el género femenino y la diabetes mellitus como los principales factores asociados a la CVRS. Conclusión: La edad, el género, el sobrepeso y la obesidad, la hemoglobina glucosilada, la diabetes mellitus, el antecedente de enfermedad coronaria, las comorbilidades, el estado civil y el nivel socioeconómico son factores asociados a la CVRS en pacientes con cardiopatía coronaria y diabetes mellitus.(Rev Med Hered 2010;21:118-127.

  18. Angiografía coronaria por tomografía computarizada multidetector con gatillado electrocardiográfico prospectivo. Análisis de la calidad de imagen y de la dosis de radiación

    OpenAIRE

    PATRICIA CARRASCOSA; CARLOS CAPUÑAY; ALEJANDRO DEVIGGIANO; Tajer,Carlos D.; JAVIER VALLEJOS; ALEJANDRO GOLDSMIT; García, Mario J.

    2009-01-01

    RESUMENIntroducciónLa angiografía coronaria por tomografía computarizada multidetector (ACTCM) se ha convertidoen una herramienta diagnóstica útil para la cuantificación directa de la estenosiscoronaria, la identificación de anomalías coronarias y la evaluación de bypass. Pese a que suvalor clínico en ocasiones se ve cuestionado debido a la dosis de radiación efectiva (DRE)que recibe cada paciente, ésta no es mayor que la de otros estudios. No obstante, es motivode permanente preocupación la ...

  19. Adherencia a criterios de pertinencia de revascularización coronaria del colegio americano de cardiología, servicio de hemodinamia Fundación Cardioinfantil- Bogotá 2011

    OpenAIRE

    Blanquicett Anaya, Marco Luis

    2012-01-01

    Titulo: Adherencia a criterios de pertinencia de revascularización coronaria del colegio americano de cardiología 2009, en el servicio de hemodinámica de la fundación cardioinfantil Bogotá 2011. Introducción: La enfermedad cardiovascular es la principal causa de morbimortalidad a nivel mundial, teniendo mayor prevalencia enfermedad coronaria. Existen guías especificas para el manejo de esta enfermedad sin embargo su aplicación se entorpece por factores diversos. Este estud...

  20. Prevención y tratamiento de la hipertensión arterial sistémica en el paciente con enfermedad arterial coronaria

    OpenAIRE

    Mendoza-González,Celso; Rosas,Martín; Lomelí Estrada,Catalina; Lorenzo,José Antonio; Méndez,Arturo; Martínez-Reding,Jesús; Martínez-Sánchez,Carlos; Pastelín,Gustavo; Férez-Santander,Sergio Mario; Attie,Fause

    2008-01-01

    La asociación entre hipertensión arterial sistémica (HAS) y enfermedad arterial coronaria está bien demostrada a través de diversos estudios epidemiológicos. La hipertensión arterial es un factor de riesgo independiente importante para el desarrollo de coronariopatía, enfermedad vascular cerebral y nefropatía. Existen avances importantes en el conocimiento de factores neurohumorales y hemodinámicos que confluyen en la fisiopatología de la hipertensión y en el desarrollo de enfermedad coronari...

  1. Perfil clinico y seguimiento a largo plazo de los distintos sindromes anginosos sin lesiones coronarias significativas con prueba de esfuerzo positiva y negativa

    OpenAIRE

    Missorici Corso, Mario Antonio

    2004-01-01

    Introducción: La angina variante por vasoespasmo coronario y el síndrome X han sido mencionados como responsables de angina en ausencia de lesión coronaria significativa. Sin embargo no todos los pacientes en esta situación clínica cumplen criterios para ser agrupados en estas entidades patológicas.Pacientes y Métodos: Se estudiaron 328 pacientes consecutivos divididos en 4 grupos: A: Angina vasoespástica (n:165). B: Síndrome X (SDX) [sin vasoespasmo (VSP) con prueba de esfuerzo (PE) positiva...

  2. Disección coronaria espontánea postparto: descripción de un caso y revisión de la literatura

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    Fabián A Giraldo

    2013-04-01

    Full Text Available Se describe un caso de disección coronaria espontánea del tronco coronario izquierdo asociado a enfermedad nativa de las arterias descendente anterior y circunfleja, en una paciente puérpera de 37 años de edad. Se expone el cuadro clínico, los hallazgos del cateterismo cardiaco, la evolución clínica y el resultado postquirúrgico, y adicionalmente, se hace una revisión de la literatura.

  3. Predictores de riesgo en cirugía coronaria sin circulación extracorpórea: análisis de 1.000 pacientes

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    Juan M. Vrancic

    2006-01-01

    Full Text Available Objetivo Analizar los resultados posoperatorios e identificar predictores de morbimortalidad a los 30 días en la cirugía de revascularización coronaria (CRM sin circulación extracorpórea (CEC. Material y métodos Se incluyeron en el estudio 1.000 pacientes consecutivos operados entre enero de 1997 y agosto de 2005, a quienes se les efectuó CRM sin CEC únicamente. Resultados El 86% eran hombres, con edad promedio de 64,7 ± 15,7 años. El 27% era mayor de 70 años. La mortalidad global fue del 3,3% (CRM electiva, del 1,8%; no electiva, del 6%; p < 0,001. La mortalidad según Euroscore fue la siguiente: riesgo bajo 1,42%, medio 2,5% y alto 8,04% (p < 0,001. En el análisis multivariado resultaron predictores independientes para mortalidad hospitalaria la edad (OR 1,01, p = 0,013, IC 95% 1,00-1,03, la CRM previa (OR 3,87, p = 0,01, IC 95% 1,33-11,28, la angina inestable (OR 4,97, p = 0,01, IC 95% 1,41-17,48, la cirugía no electiva (OR 2,36, p = 0,02, IC 95% 1,09-5,09, la conversión a cirugía con CEC (OR 5,91, p = 0,01, IC 95% 1,43-24,45. Las complicaciones mayores ocurrieron en el 5,4% de los pacientes. Se identificaron como predictores independientes para morbilidad la conversión a CRM con CEC (OR 15,96, p < 0,001, IC 95% 5,24-48,53, la angina inestable (OR 3,01, p = 0,01, IC 95% 1,30-7,03 y la presencia de mayor enfermedad coronaria (OR 1,39, p = 0,04, IC 95% 1-1,9. Conclusiones La CRM sin CEC presentó una incidencia baja de morbimortalidad posoperatoria. La presencia de angina inestable, cirugía no electiva, conversión a cirugía con CEC, CRM previa y la edad se identificaron como predictores de mortalidad. La presencia de mayor enfermedad coronaria, la conversión a cirugía con CEC y la angina inestable resultaron predictores de morbilidad posoperatoria.

  4. Surco diagonal en el lóbulo de la oreja: ¿signo de enfermedad arterial coronaria? Diagonal earlobe crease: a sign of coronary artery disease?

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    Sebastián B. Lamot

    2007-08-01

    Full Text Available El surco diagonal es un signo encontrado en el lóbulo de la oreja, que estaría relacionado con la enfermedad arterial coronaria. Nuestro objetivo fue estudiar la utilidad del signo. Se examinaron 104 pacientes (entre 30 y 80 años clasificados por sexo y edad. Cuarenta y nueve tenían enfermedad arterial coronaria diagnosticada por coronariografía (obstrucción > del 70% en una de las grandes arterias y/o gamagrafía de perfusión miocárdica con Talio 201 (defecto fijo. El grupo control estuvo compuesto por 55 pacientes (asintomáticos, con electrocardiograma normal. Los datos obtenidos fueron sensibilidad (61.2%, especificidad (78.2%, valor predictivo positivo de (71.4% y valor predictivo negativo (69.3%.. Observamos una relación significativa entre la presencia de surco diagonal y enfermedad arterial coronaria. Consideramos que este signo podría resultar de utilidad en la práctica clínica, fundamentalmente para los pacientes entre 30 y 60 años.The diagonal earlobe crease is a sign theorically related to coronary artery disease. The purpose of this study was to prove the usefulness of this sign. A total of 104 patients were examined (ages 30 to 80 grouped by age and sex. Forty nine of them were diagnosed of having coronary artery disease by coronary angiography (a 70% obstruction of one of the major arteries, and/or myocardial perfusion imaging with Thallium 201 (fixed defects. The control group included 55 patients (asymptomatic with normal electrocardiogram. Data here obtained included sensitivity (61.2%, specificity (78.2%, positive predictive value (71.4% and negative predictive value (69.3%. We found a significant relation between the presence of the diagonal earlobe crease and coronary artery disease. We consider it a sign that could prove useful in clinical practice, mainly among patients aged between 30 and 60.

  5. Caracterización de los síntomas de angina en hombres adultos con cateterismo cardíaco positivo para enfermedad coronaria

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    Clemencia Bernal

    2013-06-01

    Full Text Available Introducción: en Colombia la enfermedad coronaria ocasionó 29.394 muertes en 2011 ocupando el primer lugar como causa de mortalidad, según el Departamento Nacional de Estadística. Es importante disminuir el tiempo entre el inicio de los síntomas y el tratamiento, etapa en que la sintomatología, la interpretación y la manifestación del paciente son esenciales, así como su reconocimiento por parte del personal de salud para la definición oportuna del tratamiento. Objetivo: describir los síntomas de angina de un grupo de hombres con edades entre 40 y 80 años, con cateterismo cardíaco positivo para enfermedad coronaria en el marco de la teoría de Elizabeth Lenz según factores determinantes, dimensiones y consecuencias del síntoma. Materiales y métodos: estudio descriptivo con abordaje cualitativo. Se realizó entrevista semiestructurada a 27 hombres en relación con las características de los síntomas experimentados y se analizó la información mediante la técnica de análisis de contenido. Resultados: categorías emergentes relevantes dentro de factores determinantes: "Pienso que hice un sobreesfuerzo", "No controlo la comida", "Es la herencia", "Tanto estrés". Dimensiones: las palabras más utilizadas fueron: "dolor", a veces acompañado de "presión" en el pecho y "dolor de oreja a oreja". Irradiación a brazo izquierdo y ocasionalmente a espalda. Síntomas acompañantes: gastrointestinales, fatiga y hormigueo. Consecuencias: "Me toca cambiar", "Nada va a cambiar", "Me va a afectar". Conclusiones: se obtuvo un perfil característico que refleja la forma de vivir la enfermedad coronaria que facilita la comprensión del fenómeno y que orienta los cuidados pertinentes.

  6. Angiotomografia coronariana multislice na avaliação da origem anômala das artérias coronarianas Angiotomografía coronaria multislice en la evaluación del origen anómalo de las arterias coronarias Multislice coronary angiotomography in the assessment of coronary artery anomalous origin

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    Daniel Rocha Rabelo

    2012-03-01

    Full Text Available Fundamento: A origem anômala das artérias coronarianas é uma entidade relativamente rara, podendo se apresentar de várias formas clínicas e evoluir de forma adversa. A angiotomografia multislice das artérias coronarianas vem ganhando espaço na prática clínica diária, representando importante método propedêutico, com grande potencial na avaliação anatômica dessas artérias. Objetivo: O objetivo deste estudo é descrever os achados angiotomográficos e a evolução de pacientes com origem anômala das artérias coronarianas. Métodos: Durante o período de janeiro de 2008 a março de 2011, foram avaliados consecutivamente 404 pacientes encaminhados para realização de angiotomografia das coronárias por diversos motivos, com tempo médio de seguimento de 21 meses. Resultados: Nove pacientes (2,2% apresentaram origem anômala das artérias coronárias, sendo quatro com origem anômala da artéria circunflexa (Cx em Coronária Direita (CD, dois com origem anômala da CD (um com origem de CD em Cx, e um com origem de CD em seio coronariano esquerdo, um paciente com tronco coronariano único (descendente anterior e Cx saindo do seio coronariano esquerdo, um com trajeto anômalo do tronco da coronária esquerda entre aorta e artéria pulmonar e um paciente apresentando tronco coronariano esquerdo originando-se do seio coronariano direito. Dos pacientes avaliados, um paciente recebeu um cardiodesfibrilador implantável; um paciente evoluiu com morte súbita durante internação hospitalar; e os outros não tiveram intercorrências. Conclusão: A angiotomografia multislice das coronárias representa método propedêutico minimamente invasivo que possibilita detectar a origem, o curso e terminação das anomalias de origem das artérias coronarianas com excelente acurácia, possibilitando o correto diagnóstico e auxiliando no planejamento terapêutico.RESUMEN FUNDAMENTO: El origen anómalo de las arterias coronarias es una entidad

  7. ANGIOPLASTIA PERCUTÁNEA CON STENT EN EL TRONCO PRINCIPAL DE LA ARTERIA CORONARIA IZQUIERDA / Percutaneous angioplasty with stent in the left main coronary artery

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    Javier Almeida Gómez

    2012-10-01

    Full Text Available ResumenIntroducción y objetivos: La afectación significativa del tronco común izquierdo, es la más letal de las presentaciones de la enfermedad arterial coronaria. El tratamiento de elección, es la cirugía de derivación aorto-coronaria. En varios estudios multicéntricos, se sugiere la posibilidad de tratar la enfermedad de tronco mediante el intervencionismo coronario percutáneo con implantación de prótesis endoluminal o stent. El objetivo de esta investigación fue caracterizar la angioplastia percutánea con stent en el tronco principal de la arteria coronaria izquierda. Método: Se realizó un estudio observacional, descriptivo y transversal en 21 pacientes con angioplastia percutánea con stent en el tronco principal de la arteria coronaria izquierda, realizadas en el laboratorio de Hemodinámica y Cardiología Intervencionista del Hospital "Hermanos Ameijeiras", entre enero 2010 y julio 2011. Resultados: No existió diferencia significativa en el sexo. Predominó el grupo de edad entre 50-64 años (47,6 % y el color de la piel blanca (76,19 %. El factor de riesgo cardiovascular más encontrado fue la HTA (85,71 %, seguido de dislipidemia (47,61 %. El diagnóstico más observado fue la angina de esfuerzo estable, 14 casos (66,66 %. La lesión en el cuerpo del tronco (12 pacientes, 57,1 %, fue la más encontrada, seguida de la ostial (8 casos. El tipo de stent más utilizado fue el liberador de fármacos (61,9 %, y solamente 4 pacientes presentaban troncos protegidos quirúrgicamente. Conclusiones: La mayor cantidad de casos fueron electivos, con predominio de los troncos no protegidos. El factor de riesgo coronario más encontrado fue la HTA. Se encontró asociación significativa entre la diabetes mellitus y la localización ostial de la lesión tratada. / AbstractIntroduction and Objectives: Significant impairment of the left main coronary artery is the most lethal presentation of coronary artery disease. The treatment of choice

  8. Tratamiento de la compresión del tronco de la arteria coronaria izquierda en pacientes con hipertensión pulmonar

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    María L. Talavera

    2011-10-01

    Full Text Available La angina de pecho es un síntoma frecuente en pacientes con hipertensión pulmonar (HP de cualquier etiología. Aunque su fisiopatología no está aclarada, las causas propuestas son: la isquemia subendocárdica por aumento del estrés parietal del ventrículo derecho, la dilatación de la arteria pulmonar por incrementos transitorios de la presión pulmonar y la compresión extrínseca del tronco de la arteria coronaria izquierda (TCI por la arteria pulmonar (AP dilatada. Se presentan tres casos que muestran la relación entre la angina de pecho y la compresión del TCI en pacientes con HP asociada a cardiopatías congénitas, tratados mediante implante de stent coronario.

  9. Cirugía coronaria con circulación extra corpórea y corazón batiente en pacientes de alto riesgo

    OpenAIRE

    SEGUEL S,ENRIQUE; FARÍAS M,JUAN; González L,Roberto; ALARCÓN C,EMILIO; STOCKINS L,ALECK; CÁRDENAS M,PATRICIO

    2011-01-01

    Introducción: La técnica habitual para la cirugía coronaria incluye el uso de circulación extracorpórea (CEC) y cardioplejia. En pacientes de alto riesgo esta cirugía tiene alta morbi-mortalidad. La cirugía con CEC y corazón batiente es una alternativa para estos casos. Se describe nuestra experiencia con la técnica. Pacientes y Métodos: 11 pacientes operados entre 2007 y 2008, 10 hombres (promedio 59,5 años). Cuatro pacientes con infarto en evolución, dos con lesión de tronco coronario izqui...

  10. Sustitución valvular mitral con perfusión coronaria contínua y el corazón latiendo

    OpenAIRE

    Mojena Morfa, Guillermo

    2010-01-01

    Existe un interés creciente por realizar revascularizaciones miocárdicas con el corazón latiendo, sin pinzamiento aórtico y siempre que sea posible, sin el uso de la máquina de circulación extracorpórea (CEC), debido a que se pueden obtener mejores resultados que los que se observan con técnicas de protección miocárdica con soluciones cardioplégicas. Esto condujo a nuestro grupo a considerar también la realización de sustitución valvular mitral (SVM) con perfusión coronaria continua y el cora...

  11. ¿Se están alcanzando las metas en el perfil lipídico de personas con enfermedad coronaria previa?

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    Alonso Merchán

    Full Text Available Objetivos: verificar el nivel de cumplimiento de las metas en colesterol LDL, colesterol no-HDL, triglicéridos y colesterol HDL, de acuerdo con lo indicado por la guía del NCEP-ATPIII y las recomendaciones actuales, en una población de pacientes hospitalizados por causa no cardiovascular pero con antecedente de enfermedad coronaria. Analizar, además, los hipolipemiantes que utiliza esta población, así como la prevalencia de síndrome metabólico, glucemia anormal en ayunas y diabetes mellitus tipo 2. Metodología: el porcentaje de cumplimiento de estas metas se evaluó mediante el programa de análisis estadístico STATA. Se compararon los hallazgos del perfil lipídico con la propuesta de la guía del NCEP-ATPIII y las recomendaciones actuales (punto final primario. Igualmente, se analizaron los hipolipemiantes utilizados, así como la prevalencia de glucemia anormal en ayunas, diabetes mellitus tipo 2 y síndrome metabólico (punto final secundario. Resultados: se identificaron 281 pacientes que cumplían con los criterios de inclusión. En la tabla 2 se resumen los resultados del punto final primario. De acuerdo con el NCEP-ATPIII, en el riesgo alto, el porcentaje de pacientes que cumplían con las metas en el cLDL (objetivo principal en el tratamiento de las dislipidemias, era de 57,2 y en el riesgo muy alto de 23,5%. En la actualidad, a los pacientes con enfermedad coronaria, independiente de la presencia de síndrome metabólico o diabetes mellitus, se les recomienda una meta para el cLDL menor de 70 mg/dL (Recomendación IIa, la cual se observó en 21,7% de los pacientes estudiados. La prevalencia de glucemia anormal en ayunas fue de 25,6%, la de diabetes mellitus tipo 2 de 20% y la de síndrome metabólico de 45,2%. Con respecto a los hipolipemiantes utilizados, se observó que 56% usaba lovastatina, 14% no utilizaba hipolipemiantes y ninguno tenía asociación de estos fármacos. Conclusiones: después de nueve años de la

  12. Angioplastia del tronco de la arteria coronaria izquierda no protegido en pacientes con alto riesgo quirúrgico

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    Victor Mauro

    2008-01-01

    Full Text Available IntroducciónEl tratamiento de elección de la enfermedad del tronco de la coronaria izquierda (TCI es la cirugía de revascularización miocárdica (CRM. Un número creciente de pacientes presenta comorbilidades y/o inestabilidad clínica que condicionan un alto riesgo quirúrgico.ObjetivosEvaluar los resultados de la angioplastia (ATC del TCI no protegido en pacientes con alto riesgo para CRM (EUROSCORE = 6.Material y métodosDe 59 pacientes con ATC de TCI no protegido se excluyeron 8 con infarto agudo de miocardio (IAM en shock cardiogénico y 12 sin características de alto riesgo; de los restantes pacientes de alto riesgo fueron objeto de este estudio los 32 tratados con stents convencionales.Se comparó la mortalidad hospitalaria predicha por EUROSCORE logístico con la observada, así como la incidencia de complicaciones mayores y su evolución alejada.ResultadosLa mediana de edad fue de 76,5 años, el 41% tenía 80 años o más, el 22% eran mujeres, el 28% diabéticos, el 56% tenía disfunción ventricular moderada a grave, el 31% insuficiencia renal crónica, el 50% vasculopatía periférica, el 53% angina refractaria, el 22% IAM reciente, el 28% procedimientos de emergencia y la mediana de EUROSCORE fue de 10,5 puntos.El 41% de los pacientes presentaban compromiso del TCI distal. El éxito angiográfico fue del 94%. Se utilizaron inhibidores IIb/IIIa en el 47%, cutting balloon en el 28%, Rotablator® en el 3% y balón de contrapulsación en el 31%. En todos se implantó un stent y en el 50% se trataron otras obstrucciones.La mortalidad hospitalaria fue del 3,1% (intervalo de confianza del 95% 0,2%-14,5%, p = 0,003, en tanto que la predicha era del 23,8%. Ningún paciente presentó déficit neurológico, IAM transmural ni requirió diálisis. Un paciente debió ser sometido a CRM electiva por fracaso del procedimiento.La mediana de seguimiento fue de 15,5 meses, período en el que se registraron 6 muertes (2 cardiovasculares y 4

  13. Diabetes y Enfermedad Coronaria

    OpenAIRE

    Alfredo Jácome Roca

    1997-01-01

    La Diabetes Mellitus es un síndrome con etiología multifactorial y con variadas expresiones en la clínica y en las complicaciones. Las formas más comunes son la diabetes tipo 11 o diabetes no insulino dependiente (DMNID) y la tipo 1 (antigua juvenil) o insulino-dependiente (DMID). Las más notables diferencias entre la frecuencia e intensidad de sus manifestaciones clínicas y complicaciones así como de su etiología son muy conocidas pero las anotaremos a manera de repaso.

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  14. Seguridad de la angiografía por tomografía computada coronaria en pacientes con dolor torácico agudo para el alta del servicio de urgencias

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    G. Castrillon

    2016-07-01

    Conclusión: La angio-TC coronaria es una ayuda diagnóstica útil para la valoración de pacientes con dolor torácico agudo. Constituye una herramienta segura y de rápida realización, que permite definir los resultados negativos o la existencia de placas no obstructivas desde el mismo servicio de urgencias.

  15. Resistencia al ácido acetil salicílico en pacientes con enfermedad coronaria Acetylsalicylic acid resistance in patients with chronic ischemic heart disease

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    Boris E. Vesga

    2006-08-01

    Full Text Available Introducción: la anti-agregación plaquetaria es "piedra angular" en el tratamiento de la enfermedad cardiovascular. El ácido acetil salicílico es la terapia de elección en dosis entre 81-325 mg para la prevención y tratamiento de la enfermedad coronaria. Objetivo: caracterizar la agregación plaquetaria en sujetos con enfermedad coronaria estable, consumidores de ácido acetil salicílico, para determinar la prevalencia de resistencia. Metodología: previa aprobación por los Comités de Ética y de Investigaciones de la Institución, se efectuó un estudio descriptivo transversal en sujetos de 40 años y mayores, con diagnóstico de angina estable que ingresaron para realización de angiografía coronaria. Se obtuvo una muestra de sangre venosa periférica para determinar la agregación plaquetaria mediante ácido araquidónico, epinefrina, colágeno y ADP en un agregómetro HELENA PACKS-4. La resistencia al ácido acetil salicílico se definió al tener agregaciones con ácido araquidónico mayores al 20%. El análisis estadístico se desarrolló con la prueba exacta de Fisher, prueba t de Student y Mann-Whitney de acuerdo con la distribución de las variables. Resultados: se incluyeron 71 sujetos; 51 (71,8% varones, edad 63,5 ± 9,4 años. Con factores de riesgo: 52 (73,2% con dislipidemia, 48 (67,6% con hipertensión arterial, 15 (21,1% con diabetes mellitus y 9 (12,7% con tabaquismo. Angiografía coronaria con enfermedad de 1 vaso en 31 (15,9%, y enfermedad multivaso en 58 (81,7%. Los valores de agregometría plaquetaria obtenidos fueron: ADP 64 ± 19,1%, colágeno 72 ± 18,9%, epinefrina 43,8 ± 23,9% y ácido araquidónico 26,1 ± 33,7%, siendo este el mejor marcador del efecto del ácido acetil salicílico. La prevalencia de resistencia fue de 28,2% (IC 95%: 18,1-40,1. Conclusión: la resistencia al ácido acetil salicílico en nuestra población es altamente prevalente, por lo que se debe considerar la medición de rutina de la

  16. Análisis de costos médicos y resultados de la cirugía coronaria sin circulación extracorpórea

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    Raúl A. Borracci

    2006-01-01

    Full Text Available Antecedentes Algunos estudios han sugerido que la cirugía coronaria “sin bomba” disminuiría la morbimortalidad posoperatoria y reduciría los costos al compararlos con la cirugía tradicional. Una característica regional importante para la Argentina es el alto costo de los insumos, en su mayoría importados, y el relativo bajo costo de internación, lo cual crea condiciones locales diferentes al pretender comparar la relación costo-efectividad de la cirugía sin circulación extracorpórea (CEC. Objetivos Realizar una evaluación de los costos médicos y los resultados de la cirugía coronaria sin CEC en comparación con la técnica tradicional y estimar a la vez su relación costo-eficacia. Material y métodos El análisis retrospectivo de costos se realizó a partir de una serie de 200 cirugías coronarias con CEC y sin CEC, efectuadas entre 2004 y 2005. Se empleó la técnica de microcosteo directo para determinar los costos de quirófano y se extrapoló el valor día/cama de la internación, de acuerdo con los datos suministrados por el prestador, para el caso de cirugías sin complicaciones (caso base. La influencia de las complicaciones en el costo final se estimó en forma indirecta mediante el uso de las tasas de complicaciones publicadas en ensayos clínicos controlados y su correspondiente costo incremental por evento, según modelos probabilísticos publicados previamente. Por tratarse de un modelo parcialmente estocástico, se informan sólo los costos netos con uno y otro procedimiento, a fin de obtener la diferencia o beneficio neto entre el uso de cirugía con CEC y sin CEC. Finalmente, se realizó un análisis de sensibilidad de costos por medio de una simulación dinámica computarizada (parámetros predictores: número de usos del estabilizador y tasa de uso de cirugía sin CEC. Resultados En una cirugía coronaria que evoluciona sin complicaciones, el costo se halló entre $9.340 y $12.540 (mediana = $10.750 para el

  17. Eating behavior and nutritional status in patients who underwent coronary angioplasty La conducta alimentaria y estado nutricional en pacientes sometidos a angioplastia coronaria

    Directory of Open Access Journals (Sweden)

    L. Proença Vieira

    2012-02-01

    la enfermedad coronaria. Objetivos: Identificar las etapas de cambio de la conducta alimentaria y su relación con el estado nutricional, consumo de alimentos y los eventos cardiovasculares anteriores en pacientes sometidos a angioplastia coronaria. Métodos: Estudio transversal con 200 pacientes de un hospital especializado en cardiología, después de angioplastia coronaria electiva. Se aplicaron un algoritmo que identifica la disposición del cambio de hábitos de alimentación para un patrón mas saludable. Las variables medidas fueron las etapas de cambio de la conducta alimentaria, estado nutricional, consumo de alimentos y eventos cardiovasculares (infarto de miocardio o angioplastia previos. Resultados: los pacientes fueron clasificados en las siguientes etapas: 36% en mantenimiento, 26% en preparación, 17% en precontemplación, 12% en acción y 9% en contemplación. Se observaron mas eventos cardiovasculares en mantenimiento/ acción (p = 0,04, mayor consumo de calorías (p = 0,04, carne y huevos (p = 0,01 y dulces (p = 0,03 en la etapa de preparación, en comparación con el de mantenimiento, y ninguna asociación entre el estado nutricional y las etapas de cambio (p = 0,13, aunque el 62% de los individuos en la etapa de mantenimiento estaban con sobrepeso. Conclusiones: Este trabajo contribuyó por la identificación de las etapas de cambio y las condiciones que favorecen los cambios en el patrón de alimentación. Mismo los pacientes que se clasificaron a la fase de mantenimiento hay la necesidad de ajustar sus hábitos alimenticios con el fin de lograr un peso saludable.

  18. Asociación entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos en personas con alguna condición de enfermedad coronaria

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    CLARA VICTORIA BASTIDAS SÁNCHEZ

    2007-12-01

    Full Text Available El propósito del estudio con un diseño descriptivo, transversal y correlacional- fue explorar la relación entre agencia de autocuidado y adherencia en 115 pacientes con enfermedad coronaria seleccionados intencionalmente de una población de pacientes coronarios que asistieron a la consulta de cardiología en una clínica de la ciudad de Ibagué durante cuatro meses del año 2005. Se midió la capacidad de la agencia con el instrumento Evaluación de la Capacidad de la Agencia de Autocuidado, validado en su versión al español, y se calculó la adherencia a tratamientos farmacológicos y no farmacológicos en el mismo grupo mediante una escala que corresponde al resultado de adherencia y sus indicadores de la taxonomía NOC acompañada de una guía de valoración. Esa escala traducida al español fue evaluada en su comprensión por un grupo de enfermeras con experiencia clínica y docente en el área. El perfil clínico del grupo consistió en tres grupos, de acuerdo con la complejidad del régimen de medicamentos: 24, 58, 911 y de la condición de la enfermedad coronaria con tratamiento convencional, enfermedad coronaria con tratamiento intervencionista y pacientes con falla coronaria. Mediante pruebas de correlación tipo Pearson se pudo confirmar una asociación moderadamente positiva entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos, aspecto este que se había sugerido al proponer el estudio; es decir que la adherencia y la capacidad de la agencia de autocuidado son comportamientos positivos que están presentes con características similares en personas con enfermedad coronaria como las de esta muestra. Se confirmó que la complejidad del régimen terapéutico tiene influencia en la adherencia, aun cuando en este grupo solo se mostró en una manera leve pero positiva, concordante con lo encontrado en otros estudios reportados por la OMS.

  19. Angioplastia coronaria en centros con residencia de cardiología en la Argentina. Estudio CONAREC XIV - Área de Investigación de la SAC

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    Bruno Linetzky

    2007-01-01

    Full Text Available IntroducciónLos nuevos tratamientos médicos y los avances técnicos, junto con la mayor experiencia adquirida en cardiología intervencionista, hicieron necesaria la realización de este nuevo registro, el protocolo CONAREC XIV, sobre empleo de angioplastia coronaria (ATC, un procedimiento que es seguro y eficaz para el tratamiento de la enfermedad coronaria.ObjetivoEvaluar las características de los pacientes, las indicaciones y los resultados de la ATC en nuestro país.Material y métodosSe realizó un registro prospectivo y consecutivo durante 6 meses de pacientes tratados con ATC en centros con residencia de cardiología. Se determinaron antecedentes, cuadro clínico de ingreso, tratamiento, resultados y complicaciones intrahospitalarias.ResultadosSe registraron 1.500 pacientes. La edad promedio fue de 62,8 ± 10,8 años y el 78,3% eran hombres. Antecedentes: 72% hipertensión arterial, 56,6% dislipidemia, 19,2% diabetes y 22,4% tabaquismo. Los cuadros clínicos de presentación fueron: 20% asintomáticos, 16,2% angina crónica estable, 45% síndrome coronario agudo sin supradesnivel del ST (SCA-SST, 19% síndrome coronario agudo con supradesnivel del ST (IAM-ST. En el 74,7% de los casos se realizó ATC de un vaso. Se utilizaron stents en el 94,5% de los casos y en el 18,7%, stents liberadores de drogas. El uso de pruebas funcionales previas a la ATC en cuadros estables fue del 53,9%, mientras que en el SCA-SST fue del 31,6%. La mediana de tiempo de evolución hasta la ATC en el SCA-SST fue de 1 día con un rango intercuartil 25-75% (RIC de 0 a 3. En el IAM-ST, el tiempo puerta-balón fue de 60 minutos (RIC 40-105 y la mortalidad fue del 8%.ConclusionesLa ATC se utiliza principalmente para el tratamiento de síndromes coronarios agudos. Se evidenció una tasa alta de uso de stents y de stents liberadores de drogas. El empleo de pruebas funcionales fue bajo. La tasa de complicaciones fue similar a la de los registros internacionales.

  20. Evaluación de los niveles plasmáticos de células progenitoras en pacientes con enfermedad coronaria crónica

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    Juan Gagliardi

    2007-01-01

    Full Text Available IntroducciónEl ejercicio físico es útil para los pacientes con enfermedad coronaria y es un estímulo para el desarrollo de circulación colateral. Ésta podría estar determinada por un aumento en la producción y circulación de células progenitoras.ObjetivoEvaluar el efecto del ejercicio físico programado sobre la producción y el número circulante de células progenitoras en pacientes coronarios crónicos estables.Material y métodosEstudio prospectivo, controlado, aleatorizado y abierto con la inclusión de 18 pacientes (8 en grupo ejercicio y 10 en grupo control con enfermedad coronaria estable, < 75 años, que no hubieran participado en grupos de ejercicio programado en los últimos 3 meses. La determinación de las células progenitoras se realizó por citometría de flujo utilizando marcaciones con anticuerpos monoclonales CD45-FITC, CD34-FITC y CD133/1-PE.ResultadosEn el grupo control, el nivel de CD45 no tuvo variación significativa (0,724 ± 0,256 versus 0,765 ± 0,216 [media ± EE cada 100.000 eventos], mientras que en el grupo ejercicio el nivel de CD45(+/CD133(+ se incrementó de 0,497 ± 0,161 a 2,265 ± 1,003 luego de un mes de actividad física programada sin alcanzar significación estadística.Al analizar los niveles de CD34 se observó que en el grupo control se incrementaron de 0,196 ± 0,086 a 0,235 ± 0,063 (p = NS. En el grupo ejercicio, la variación fue mucho mayor: 0,220 ± 0,078 a 0,844 ± 0,172 (p = 0,0046; p = 0,0092 versus el grupo control. ConclusiónEl ejercicio físico programado en pacientes coronarios promueve un incremento de las células progenitoras circulantes. Su estímulo persistente podría ser la base para un mayor desarrollo de circulación colateral.

  1. 中国宏观经济形势与政策:2001-2002年%CHINA MACROECONOMIC SITUATION AND POLICY: 2001-2002

    Institute of Scientific and Technical Information of China (English)

    中国人民大学经济学研究所

    2002-01-01

    中国宏观经济政策应该遵循竞争性市场经济的均衡原则,并且其短期效应与长期效应应该是相互包容和内在一致的,短期的反周期需求管理在长期均衡的宏观经济政策框架下实现.中国经济需求管理的财政政策、货币政策、汇率政策长期组合应该是平衡财政预算、稳定货币供应与均衡汇率机制.

  2. Cirugía coronaria sin circulación extracorpórea versus cirugía coronaria con mini-circulación extracorpórea comparación de parámetros hematológicos y evolución postoperatoria /

    OpenAIRE

    Muñoz Guijosa, Christian

    2009-01-01

    Descripció del recurs: 5 novembre 2010 INTRODUCCIÓN La incidencia de la cardiopatía isquémica es cada día mayor. El desarrollo de nuevas técnicas para su tratamiento, conlleva que los pacientes derivados para cirugía de revascularización presenten mayor edad, mayor comorbilidad y peores anatomías coronarias. El riesgo quirúrgico de esta población es, consecuentemente, cada vez mayor. La cirugía de revascularización miocárdica supone la intervención más frecuente realizada en todos los Serv...

  3. Origen anómalo de la arteria coronaria izquierda originándose de la arteria pulmonar. Reporte de caso y revisión de literatura

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    José Jiménez Vega

    2007-01-01

    Full Text Available Se presenta el caso de un lactante de 2 meses de edad que consultó por tos y dificultad respiratoria; al ser admitido en el servicio de urgencias, el abordaje inicial fue de una infección respiratoria baja (bronquiolitis pero la evolución tórpida y la presencia de cardiomegalia hizo sospechar una cardiopatía, diagnosticándose origen anómalo de la arteria coronaria izquierda que nace de la arteria pulmonar, la cual fue tratada quirúrgicamente con resultado favorable.2 month old male who was brought to the emergency department with a history of non productive cold, was noticed with difficulty breathing. He was admitted with the possible diagnosis of bronquioloitis. The poor evolution of the patient, and the presence of cardiomegaly, made the physicians look for a cardiopathy, and a diagnosis of anomalous left coronary artery from the pulmonary artery was made. He was stabilized and then was taken to the operating room and had his anomalous coronary artery reimplanted to his aorta

  4. Coronary artery abnormalities in pediatric patients: classification. Anomalías de las arterias coronarias en pacientes pediátricos: clasificación.

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    José Jesús García Mendiola

    Full Text Available Coronary artery anomaly is defined as any anatomical pattern that is apart from the normal element in regard to their origin, number, distribution and course. Through different mechanisms, it could be the cause of t thoracic pain, sudden death, myocardiopathy, syncope, myocardial infarction and ventricular fibrillation. These constitute a group of malformations which can be classified into, congenital, acquired and associated to other cardiac entities malformations. Due to the importance of this topic for cardiologists and specifically to pediatric cardiologists, this bibliographical revision about abnormalities classification is carried out.
    Se define como anomalía de las arterias coronarias a cualquier patrón anatómico que se aparte de lo normal en lo referente a su origen, número, distribución y trayecto. Mediante diferentes mecanismos, pueden ser la causa de dolor torácico, muerte súbita, miocardiopatía, síncope, infarto de miocardio y fibrilación ventricular. Constituyen un grupo de malformaciones que pueden clasificarse en: congénitas, adquiridas y asociadas a otras entidades cardiacas. Por la importancia que reviste para cardiólogos en general y sobre todo para cardiólogos pediatras, se realiza una revisión bibliográfica acerca de la clasificación de estas anomalías.

  5. Evolución a medio plazo de los pacientes con enfermedad del tronco común intervenidos de revascularización coronaria con y sin circulación extracorpórea

    OpenAIRE

    Rios Barrera, Remedios

    2016-01-01

    La cardiopatía isquémica es la principal causa de mortalidad en el primer mundo. Existen varios abordajes terapéuticos pero la cirugía de revascularización coronaria con circulación extracorpórea es la terapéutica más extendida en el tratamiento de esta enfermedad dado sus buenos resultados tanto a corto, medio o largo plazo. No obstante, también es conocido que el empleo de la circulación extracorpórea puede conllevar una serie de efectos nocivos sobre el organismo. En un intento de evitar o...

  6. Aneurisma de tronco de coronaria izquierda y síndrome antifosfolípido: sobrevida a 12 años. Informe de un caso y revisión de la literatura

    OpenAIRE

    Paz Soldán-Patiño,Claudia Patricia; Rojas-Velasco,Gustavo; Arias-Mendoza,María Alexandra; Enríquez-Gómez,Edmundo; Meave-González,Aloha; Álvarez-Sangabriel,Amada; Amigo,Mary Carmen; Vargas-Barrón,Jesús; Martínez-Sánchez,Carlos Rodolfo

    2012-01-01

    Los aneurismas coronarios son una patología poco frecuente, con una incidencia anual del 1% a 2%. Su origen puede ser atereosclerótico, congénito o deberse a otras causas menos habituales. Su manifestación inicial puede ser el infarto de miocardio y la muerte súbita, como consecuencia de su rotura o por la existencia de trombos intracoronarios. Los aneurismas coronarios de gran tamaño, no ateroscleróticos y localizados en el tronco común de la arteria coronaria izquierda son excepcionales. El...

  7. Estudio comparativo de la tomografía computarizada coronaria versus la ecografía intracoronaria e histología virtual en el diagnostico de la vasculopatía del injerto tras el trasplante cardiaco

    OpenAIRE

    Romero Rodríguez, María de las Nieves

    2016-01-01

    Falta palabras clave La enfermedad vascular del injerto (EVI) constituye la primera causa de muerte en los pacientes trasplantados de corazón tras el primer año. Se caracteriza por una hiperplasia intimal coronaria difusa concéntrica cuyo diagnóstico es complejo en las fases iniciales, precisamente cuando es posible modificar las pautas de tratamiento, debido en gran parte a la denervación del injerto que provoca la ausencia de síntomas. La técnica de gold standar para el diagnóstico es la...

  8. Perfil clínico y seguimiento a largo plazo de los distintos síndromes anginosos sin lesiones coronarias significativas con prueba de esfuerzo positiva y negativa

    OpenAIRE

    Missorici, Mario Antonio

    2004-01-01

    Consultable des del TDX Títol obtingut de la portada digitalitzada Introducción: La angina variante por vasoespasmo coronario y el síndrome X han sido mencionados como responsables de angina en ausencia de lesión coronaria significativa. Sin embargo no todos los pacientes en esta situación clínica cumplen criterios para ser agrupados en estas entidades patológicas. Pacientes y Métodos: Se estudiaron 328 pacientes consecutivos divididos en 4 grupos: A: Angina vasoespástica (n:165). B: Sí...

  9. Alteraciones en el eje hipotálamo-tejido adiposo y su relación con el riesgo para la aterosclerosis coronaria Alterations in hypothalamus-adipose tissue axis in relation with the risk of coronary atherosclerosis

    OpenAIRE

    Raúl I Coniglio; Ernesto Dahinten; Mónica Boeri; Fernanda Lebrun; Ana M. Monsalve

    2004-01-01

    Estudios poblacionales en la región sur de Argentina mostraron una elevada prevalencia de sobrepeso y obesidad en sujetos de ambos sexos, sobre todo luego de los 50 años de edad; la obesidad central se halló fuertemente asociada con la presencia del síndrome metabólico (SM) y con la enfermedad coronaria demostrada por angiografía. La regulación de la homeostasis de la energía se realiza a través de la interacción entre el sistema nervioso central (neurotransmisores y neuropéptidos) y el siste...

  10. Revascularización coronaria sin circulación extracorpórea: Unidad de Cirugía Cardiovascular "UNICAR" Guatemala C.A.

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    Rodolfo Bonilla

    2002-12-01

    Full Text Available Introducción: Se trata de un procedimiento diferente al tradicional, el cirujano no usa la máquina Corazón-Pulmón o de circulación extracorpórea durante el mismo, en su lugar se usan instrumentos para estabilizar el área destinada para colocar el injerto coronario. Esto permite continuar con el flujo de sangre coronario natural, sin interrupción. Material y Métodos: En la Unidad de Cirugía Cardiovascular de Guatemala "UNICAR" de Agosto de 1999 a Septiembre 2002, 71 pacientes fueron operados de revascularización coronaria con éste método con edades comprendidas entre 35 y 80 años, siendo más frecuente el grupo de 51 a 55 años. Resultados: El porcentaje de Hemoductos realizados por paciente fue de 1.7%, utilizándose en todos Arteria Mamaria Interna para revascularizar la arteria descendente anterior. Se utilizó Arteria Radial en 4 casos. El promedio de estancia en cuidado intensivo fue de 24 horas en el 72%. En el 82% no hubo ninguna complicación, 2 pacientes presentaron derrame pleural (2.81%. Siete pacientes (9.85% presentaron fallo cardiaco que resolvió en las primeras 48 horas. Un paciente desarrolló Infarto del Miocardio trans-operatorio sin ninguna repercusión hemodinámica (1.4%. La mortalidad fue del 2.85% (2 pacientes que desarrollaron uno neumonía postoperatoria y el segundo hizo fallo multisistémico por sepsis de causas no cardíacas. Conclusiones: La Revascularización Coronaria sin Circulación Extracorpórea reduce el trauma del músculo cardíaco y órganos blandos. La recuperación es rápida y disminuye la estadía hospitalaria. Reduce el riesgo de sangrado, accidente cerebrovascular y fallo renal. Reduce los problemas psicomotores y cognositivos que se presentan en el método tradicional, la morbi-mortalidad es baja.lntroduction: Beating heart Bypass is different from tradicional bypass surgery because is performed while the heart continues with his beating. The surgeons do not use the heart-fung machine

  11. PACIENTES DIABÉTICOS CON ENFERMEDAD CORONARIA MULTIVASO, TRATADOS MEDIANTE INTERVENCIONISMO CORONARIO PERCUTÁNEO / Diabetic patients with multivessel coronary disease treated by percutaneous coronary intervention

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    Suilbert Rodríguez Blanco

    2013-10-01

    Full Text Available Resumen Introducción: La enfermedad coronaria es la principal causa de morbilidad y mortalidad en los pacientes diabéticos. Muchos estudios han comparado el tratamiento médico más intervencionismo percutáneo con tratamiento médico más cirugía, en pacientes diabéticos con enfermedad de múltiples vasos. La cirugía de revascularización continúa siendo el tratamiento de elección. Objetivo: Caracterizar los pacientes diabéticos con enfermedad coronaria multivaso, tratados mediante intervencionismo coronario percutáneo. Método: Estudio observacional, descriptivo y transversal en 57 pacientes diabéticos con enfermedad de múltiples vasos, tratados mediante intervencionismo coronario percutáneo en el Laboratorio de Hemodinámica del Hospital "Hermanos Ameijeiras", entre enero de 2010 y julio de 2011. Resultados: Predominaron el sexo masculino (66,66 % y el grupo entre 50-64 años (36,85 %. El factor de riesgo cardiovascular más identificado fue la hipertensión arterial (54,38 %, seguido de la dislipidemia (49,12 %. En el grupo de edad más representado predominó la dislipidemia y el hábito de fumar. El diagnóstico más observado fue la angina de esfuerzo estable (45 pacientes, 78,95 %. El tipo de stent más utilizado fue el liberador de fármaco (54,39 % y la arteria más revascularizada fue la descendente anterior (36 pacientes, 63,15 %. Conclusiones: Se encontró una relación entre los pacientes sin éxito angiográfico con la dislipidemia y la obesidad; y entre los pacientes sin éxito del procedimiento, con el tabaquismo y también con la obesidad. / Abstract Introduction: Coronary heart disease is the leading cause of morbidity and mortality in diabetic patients. Many studies have compared medical therapy plus percutaneous intervention with medical therapy plus surgery in diabetic patients with multivessel disease. Bypass surgery remains the treatment of choice. Objective: To characterize diabetic patients with multivessel

  12. Angioplastia coronaria en la República Argentina. Comparación de los resultados en la fase hospitalaria de los estudios CONAREC V y CONAREC XIV

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    Sergio Baratta

    2007-01-01

    Full Text Available La angioplastia coronaria (ATC es una técnica para el tratamiento de la enfermedad coronaria que se encuentra en constante evolución. El registro CONAREC V relevó características de pacientes sometidos a angioplastia durante el año 1996. Diez años después publicamos los resultados del estudio CONAREC XIV. ObjetivoComparar las características demográficas y clínicas, la utilización de dispositivos y de pruebas funcionales, los resultados y las complicaciones de la ATC en el estudio CONAREC V con el estudio CONAREC XIV. Material y métodosSe unificaron las bases de datos de ambos protocolos. Se compararon las variables continuas por medio de la prueba de la t y las categóricas con la prueba de chi cuadrado. Se construyó un modelo de regresión logística para determinar si disminuyó la tasa de complicaciones en el año 2005, ajustando por confundidores.ResultadosLos pacientes del CONAREC XIV fueron más añosos (62,8 ± 10,8 versus 60,6 ± 10,9 años, con mayor prevalencia de hipertensión arterial (72,4% versus 61,3%; p < 0,001 y diabetes (19,2% versus 16,9%; p = 0,017 y menor de tabaquismo (22% versus 38%; p < 0,001; presentaron enfermedad de tres vasos (20,2% versus 14,8%; p < 0,001 y ATC de más de un vaso con mayor frecuencia (25,3% versus 11,8%; p < 0,001; se incrementaron el uso de stents (94,5% versus 48%; p < 0,001 y la indicación por cuadros estables (36,3% versus 18,2%; p < 0,001. El uso de pruebas funcionales en este contexto fue menor en el año 2005 (54% versus 65%; p < 0,001.En pacientes con infarto agudo de miocardio, en el CONAREC XIV se observó una prevalencia menor de infarto anterior (46% versus 57,8%; p < 0,005 y de shock cardiogénico (7,3% versus 13,5%; p = 0,017. La tasa de complicaciones mayores fue menor en el último protocolo, CONAREC XIV (3,1% versus 8,9%; p < 0,001. En el modelo multivariado, pertenecer al último estudio disminuyó el riesgo de padecer eventos (OR 0,41, IC 95% 0,26-0,64; p < 0

  13. Identificación de enfermedad cardiaca coronaria en individuos asintomáticos con diabetes mellitus: Tamizar o no tamizar

    Directory of Open Access Journals (Sweden)

    Paco Eduardo Bravo

    2015-03-01

    Full Text Available La enfermedad de la arterias coronarias (EAC es muy prevalente en pacientes con diabetes mellitus (DM, y continúa siendo la principal causa de muerte en estos pacientes. Desafortunadamente, muchos diabéticos pueden carecer de síntomas de alerta en la presencia de isquemia miocárdica, por lo cual el diagnóstico de EAC puede ocurrir de manera tardía. Estudios observacionales han sugerido que la prevalencia de isquemia miocárdica puede ser alta en diabéticos asintomáticos (10 al 62% según la serie y la mortalidad es mayor en esos pacientes. Por esto, el uso de pruebas para detección de EAC en el paciente diabético asintomático parece atractivo y es recomendado en ciertas circunstancias. Sin embargo, no fue si no hasta hace poco que dos estudios investigaron el verdadero rol de estas pruebas de manera randomizada. En conjunto, 2,023 pacientes diabéticos asintomáticos fueron aleatorizados a recibir o no una prueba para detección de EAC y fueron seguidos en promedio por 4.4 ± 1.4 años. Al final de seguimiento, ambos estudios mostraron menos eventos cardiovasculares de los esperados, y el uso de pruebas para detección de EAC no redujo la tasa de eventos cardiovasculares comparado al no uso de estas pruebas. Los resultados de estos ensayos clínicos no soportan actualmente el uso de estas pruebas en el paciente diabético asintomático. Sin embargo, estos estudios tienen limitaciones importantes, y posibles hipótesis para explicar los resultados que son discutidas en el artículo.

  14. Exploración de las arterias coronarias de pacientes con síndrome de Tako-Tsubo con tomografía multislice: lesiones e inferencias fisiopatológicas

    Directory of Open Access Journals (Sweden)

    Omar Santaera

    2009-01-01

    Full Text Available Existen numerosos casos comunicados sobre la disfunción ventricular izquierda reversibleprecipitada por estrés emocional, pero su mecanismo no se conoce. En esta presentación sedescribe la evaluación de dos pacientes que consultaron con un cuadro clínico típico desíndrome de Tako-Tsubo, dolor precordial luego de un estrés emocional, disfunción ventricularizquierda transitoria y arterias coronarias angiográficamente normales. Con el objetivo deprofundizar el conocimiento de las arterias coronarias y la fisiopatología de esta enfermedad,a ambas se les realizó una tomografía multislice, en la que se evidenciaron lesionescoronarias similares a las halladas en accidentes de placa responsables de síndromescoronarios agudos. Si bien estos hallazgos deben completarse con estudios posteriores conun número mayor de pacientes, sugieren que al menos un subgrupo de pacientes con síndromede Tako-Tsubo tiene un sustrato fisiopatológico similar a los síndromes coronariosagudos.REV ARGENT CARDIOL 2009;77:227-230.

  15. Imagine...Opportunities and Resources for Academically Talented Youth, 2001-2002.

    Science.gov (United States)

    Hartman, Melissa, Ed.

    2002-01-01

    This collection of 5 issues of Imagine cover the time period from November/December 2001 through May/June 2002. Designed for gifted youth, the issues focus on dramatic arts, physics and astronomy, communications, law and politics, and robotics, and contain the following featured articles: (1) The Story of a Play (Gemma Cooper-Novack); (2)…

  16. Evaluate Bull Trout Movements in the Tucannon and Lower Snake Rivers, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Faler, Michael P. (US Fish and Wildlife Service, Idaho Fishery Resource Office, Ahsahka, ID); Mendel, Glen W.; Fulton, Carl (Washington Department of Fish and Wildlife, Fish Management Division, Dayton, WA)

    2003-06-01

    We collected, radio-tagged, and PIT-tagged 41 bull trout at the Tucannon River Hatchery trap from May 17, through June 14, 2002. An additional 65 bull trout were also collected and PIT tagged by June 24, at which time we ceased PIT tagging operations because water temperatures were reaching 16.0 C or higher on a regular basis. Six radio-tags were recovered shortly after tagging, and as a result, 35 remained in the river through November 30, 2002. During the month of July, radio-tagged bull trout exhibited a general upstream movement into the upper reaches of the Tucannon Subbasin. We began to observe some downstream movements of radio-tagged bull trout in mid to late September and throughout October. These movements appeared to be associated with post spawning migrations. As of November 30, radio tagged bull trout were relatively stationary, and distributed from the headwaters downstream to river mile 11.3, near Pataha Creek. None of the radio-tagged bull trout left the Tucannon Subbasin and entered the federal hydropower system on the mainstem Snake River. We conducted some initial transmission tests of submerged radio tags at depths of 25, 35, 45, and 55 ft. in Lower Monumental Pool to test our capability of detection at these depths. Equipment used included Lotek model MCFT-3A transmitters, an SRX 400 receiver, a 4 element Yagi antenna, and a Lotek ''H'' antenna. Test results indicated that depth transmission of these tags was poor; only the transmitter placed at 25 ft. was audibly detectable.

  17. Natural Production Monitoring and Evaluation; Idaho Department of Fish and Game, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kiefer, Russell B.; Bunn, Paul; Johnson, June (Idaho Department of Fish and Game, Boise, ID)

    2002-06-01

    This report covers the following 3 chapters: Part 1--Improve wild steelhead trout smolt-to-adult survival rate information by PIT tagging additional wild steelhead trout juveniles. Part 2--Estimating the stock-recruitment relationship for Snake River spring/summer chinook salmon and forecasting wild/natural smolt production. Part 3--Monitoring age composition of wild adult spring and summer chinook salmon returning to the Snake River basin.

  18. Host-feeding patterns of suspected West Nile virus mosquito vectors in Delaware, 2001-2002.

    Science.gov (United States)

    Gingrich, Jack B; Williams, Gregory M

    2005-06-01

    Paucity of data on host-feeding patterns and behavior of 43 mosquito species that are reported as suspected West Nile virus (WN) vectors has limited full evaluation of their vectorial capacity. Recent studies addressing this issue need additional confirmation and should also be expanded to include collections of species or subpopulations attracted to humans. We used 4 types of collection methods to collect mosquitoes, including omnidirectional Fay-Prince traps, Centers for Disease Control-type light traps, gravid traps, and human-landing collections. Mosquitoes were collected during 2 full WN transmission seasons in 2001 and 2002, at 9 different sites across Delaware. We collected from various habitats, including salt marshes, brackish water areas, woodlands, a tire dump, a racetrack, and a mushroom farm. Blood-meal analyses were performed on parous mosquitoes by using a sandwich-type enzyme-linked immunosorbent assay. We tested primarily for 5 common host species, including rabbits, dogs, deer, horses, and chickens. We obtained substantial host-feeding data from 8 mosquito species. The most mammalophilic species were Anopheles quadrimaculatus, Coquillettidia perturbans, and Aedes albopictus, whereas the most ornithophilic species was Culex pipiens. Aedes albopictus was the most anthropophilic species, whereas Ae. vexans and Cq. perturbans exhibited relatively low attraction to humans. Culex salinarius was the species with the most diverse host-feeding activity. Based on feeding behavior, Cx. pipiens and Cx. salinarius appear to be the most likely bridge vectors. Other species may have opportunities to be bridge vectors under special circumstances, as discussed in the paper.

  19. McKenzie River Watershed Coordination, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Thrailkil, Jim

    2003-11-01

    BPA funding, in conjunction with contributions from numerous partners organizations and grant funds supports the McKenzie Watershed Council's (MWC) efforts to coordinate restoration and monitoring programs of federal, state, local government, and residents within the watershed. Primary goals of the MWC are to improve resource stewardship and conserve fish, wildlife, and water quality resources. Underpinning the goals is the MWC's baseline program centered on relationship building and information sharing. Objectives for FY02 included: (1) Continue to coordinate McKenzie Watershed activities among diverse groups to restore fish and wildlife habitat in the watershed, with a focus on the middle to lower McKenzie, including private lands and the McKenzie-Willamette confluence area; (2) Influence behavior of watershed residents to benefit watershed function though an outreach and education program, utilizing (BPA funded) Assessment and Conservation Strategy information to provide a context for prioritized action; (3) Continue to maintain and sustain a highly functional watershed council; (4) Maintain and improve water quality concerns through the continuation of Council-sponsored monitoring and evaluation programs; and (5) Continue to secure other funding for watershed restoration and protection projects and Council operations.

  20. THC-concentraties in wiet, nederwiet en hasj in Nederlandse coffeeshops (2001 - 2002)

    NARCIS (Netherlands)

    Niesink, R.J.M.; Pijlman, F.T.A.; Rigter, S.; Hoek, J.; Mostert, L.

    2002-01-01

    THC (tetrahydrocannabinol) is de belangrijkste psychoactieve verbinding in de cannabisplant. In 1999 is door de ministeries van VWS en Justitie een onafhankelijke monitor geëntameerd naar de THC-gehaltes in cannabisproducten zoals die in de Nederlandse coffeeshops worden verkocht, als input voor het

  1. Trace elements in bats roosting in mines at Kofa National Wildlife Refuge, Arizona, 2001-2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — California myotis (Myotis californicus) and California leaf-nosed bats (Macrotus californicus) were collected from five mines used as roost sites to assess...

  2. Imagine...Opportunities and Resources for Academically Talented Youth, 2001-2002.

    Science.gov (United States)

    Hartman, Melissa, Ed.

    2002-01-01

    This collection of 5 issues of Imagine cover the time period from November/December 2001 through May/June 2002. Designed for gifted youth, the issues focus on dramatic arts, physics and astronomy, communications, law and politics, and robotics, and contain the following featured articles: (1) The Story of a Play (Gemma Cooper-Novack); (2)…

  3. Hydrologic Resources Management Program and Underground Test Area Project FY 2001-2002 Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Rose, T P; Kersting, A B; Harris, L J; Hudson, G B; Smith, D K; Williams, R W; Loewen, D R; Nelson, E J; Allen, P G; Ryerson, F J; Pawloski, G A; Laue, C A; Moran, J E

    2003-08-15

    This report contains highlights of FY 2001 and 2002 technical studies conducted by the Analytical and Nuclear Chemistry Division (ANCD) at Lawrence Livermore National Laboratory (LLNL) in support of the Hydrologic Resources Management Program (HRMP) and the Underground Test Area (UGTA) Project. These programs are administered by the U.S. Department of Energy, National Nuclear Security Administration, Nevada Site Office (NNSA/NSO) through the Defense Programs and Environmental Restoration Divisions, respectively. HRMP-sponsored work emphasizes the Defense Programs goal of responsible management of natural resources at the NTS, while UGTA-funded work focuses on defining the extent of radionuclide contamination in NTS groundwater resulting from underground nuclear testing. The report is organized on a topical basis, and contains eight chapters that reflect the range of technical work performed by LLNL-ANCD in support of HRMP and UGTA. Chapter 1 describes recent hot well sampling efforts at the NTS, and presents the results of chemical and isotopic analyses of groundwater samples from six near-field wells. These include the Cambric (UE-5n), Bilby (U-3cn PS No.2), Bourbon (UE-7nS), Nash (UE-2ce), Tybo/Benham (ER-20-5 No.3), and Almendro (U-19v PS No.1ds) sites. The data generated by the hot well program is vital to the development and validation of contaminant transport models at the NTS. Chapter 2 discusses the results of xenon isotope measurements of groundwater samples from the six near-field wells described in Chapter 1. This work demonstrates that fission xenon is present in the water at levels that are readily measurable and highlights the significant differences in xenon concentrations and isotopic abundances at different sites. These differences provide insight into the early cooling history of nuclear test cavities, and may assist in predicting the distribution of the source term in the near-field environment. Chapter 3 is an investigation of the distribution and abundance of actinides in a nuclear test cavity and chimney. This work demonstrates that early-time processes can widely disperse actinides at low concentrations outside the melt glass, implying that melt glass dissolution may not be the sole mechanism for the release of actinides to groundwater. The study also provides evidence for the isotopic fractionation of plutonium under the extreme conditions accompanying nuclear explosions. In Chapter 4, X-ray absorption spectroscopy measurements were used to determine the redox state of Fe and U in nuclear melt glass samples from the NTS. Both elements were found to occur in mixed valence states (Fe{sup 2+}/Fe{sup 3+} and U{sup 5+}/U{sup 6+}) in all samples. Comparison of the Fe and U redox states with published redox studies of synthetic glasses suggests that plutonium is predominantly in the Pu{sup 4+} oxidation state in the melt glasses. In Chapter 5, alpha autoradiography is used in a NTS field study to investigate the spatial distribution and transport of actinides in soils, and to help identify the size distribution and morphology of the actinide particles. It was found that {alpha}-emitting radionuclides have moved to at least 39 cm depth in the soil profile, far deeper than expected. The methodology that was developed could easily be applied to other field locations where actinides are dispersed in the soil zone. Chapter 6 summarizes the development of a method for measuring environmental levels of {sup 241}Am on the multi-collector inductively coupled plasma mass spectrometer. The method detection limit of 0.017 pCi/L is about two times lower than the best analyses possible by alpha spectrometry. Chapter 7 describes a chlorine-36 study of vertical groundwater transport processes in Frenchman Flat. Mass balance calculations developed from a {sup 36}Cl mixing model at well ER-5-3 No.2 are used to estimate vertical transport fluxes and average vertical flow velocities through the thick volcanic section underlying the basin. The study also documents the variations in {sup 36}Cl/Cl ratios within the three principal hydrostratigraphic units in Frenchman Flat. Chapter 8 discusses an ongoing stable isotope investigation of precipitation and recharge processes in central Nevada. Precipitation, spring water, and shallow infiltration samples have been collected at four locations on a biannual basis since 1999. The results show that winter precipitation accounts for >90% of the recharge at these sites. Lysimeter data suggest that most of the evaporation occurring during recharge is due to water vapor loss through the soil zone during periods of slow infiltration. In addition to the topical investigations described above, LLNL-ANCD contributed to several other major collaborative technical products during FY 2001 and 2002.

  4. Umatilla River Fish Passage Operations Program, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, Brian C. (Confederated Tribes of the Umatilla Indian Reservation, Department of Natural Resources, Pendleton, OR); Duke, Bill B. (Oregon Department of Fish and Wildlife, Pendleton, OR)

    2003-02-01

    Threemile Falls Dam (Threemile Dam), located near the town of Umatilla, Oregon is the major collection and counting point for adult salmonids returning to the Umatilla River. Returning salmon and steelhead were enumerated at Threemile Dam from August 22, 2001 to September 12, 2002. A total of 5,519 summer steelhead (Oncorhynchus mykiss); 1,146 adult, 1,158 jack, and 970 subjack fall chinook (O. tshawytscha); 22,792 adult and 80 jack coho (O. kisutch); and 5,058 adult and 188 jack spring chinook (O. tshawytscha) were counted. All fish were enumerated at the east bank facility. Of the fish counted, 261 adult and 14 jack spring chinook were hauled upstream from Threemile Dam for release. There were 5,359 summer steelhead; 622 adult, 1,041 jack and 867 subjack fall chinook; 22,513 adult and 76 jack coho; and 4,061 adult and 123 jack spring chinook either released at, or allowed to volitionally migrate past, Threemile Dam. In addition, 110 summer steelhead; 462 adult and 24 jack fall chinook; and 560 adult and 28 jack spring chinook were collected for brood. The Westland Canal juvenile facility (Westland), located near the town of Echo at rivermile (RM) 27, is the major collection point for outmigrating juvenile salmonids and steelhead kelts. The canal was open for 141 days between February 22 and July 12, 2002. During that period, fish were bypassed back to the river 134 days and were trapped 5 days. An estimated 200 pounds of juvenile fish were transported from Westland. Approximately 90% of the juveniles transported were salmonids. No steelhead kelts were hauled from Westland this year. The Threemile Dam west bank juvenile bypass was opened August 16, 2002. The bypass was run until October 31, 2001 with the exception of the period from August 29 to September 16. The bypass was reopened March 7, 2002 and ran until July 8. The juvenile trap was operated from July 8 to July 12 by the Umatilla Passage Evaluation project.

  5. Sandplain Gerardia in New York Population Monitoring, Habitat Management and Recovery Efforts in 2001-2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Numbers of Sandplain Gerardia on Long Island increased to approximately 14,000 plants in 2001. In the five year period 1997-2001 numbers of plants have increased...

  6. Redfish Lake Sockeye Salmon Captive Broodstock Rearing and Research, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Frost, Deborah; McAuley, W.; Maynard, Desmond

    2003-04-01

    The National Marine Fisheries Service (NMFS) Northwest Fisheries Science Center, in cooperation with the Idaho Department of Fish and Game and the Bonneville Power Administration, has established captive broodstock programs to aid recovery of Snake River sockeye salmon (Oncorhynchus nerka) listed as endangered under the U.S. Endangered Species Act (ESA). Captive broodstock and captive rearing programs are a form of artificial propagation that are emerging as an important component of restoration efforts for ESA-listed salmon populations that are at critically low numbers. Captive broodstocks, reared in captivity for the entire life cycle, couple the salmon's high fecundity with potentially high survival in protective culture to produce large numbers of juveniles in a single generation for supplementation of natural populations. The captive broodstocks discussed in this report were intended to protect the last known remnants of sockeye salmon that return to Redfish Lake in the Sawtooth Basin of Idaho at the headwaters of the Salmon River. This report addresses NMFS activities from 1 September 2001 to 31 August 2002 on the Redfish Lake sockeye salmon captive broodstock and captive rearing program. NMFS currently has broodstocks in culture from year classes 1997, 1998, 1999, 2000, and 2001 in both the captive breeding and captive rearing programs. Offspring from these programs are being returned to Idaho to aid recovery efforts for the species.

  7. Second IRMF comparison of surface contamination monitor calibrations 2001-2002

    CERN Document Server

    Scott, C J

    2002-01-01

    The Ionising Radiations Metrology Forum (IRMF) organised a second comparison of surface contamination monitor calibrations in which twenty establishments in the UK participated. The exercise involved the circulation of three surface contamination monitors for calibration using large area reference sources available in the participants' laboratories. The instruments used were a Mini Instruments EP15, a Berthold LB122 and an Electra ratemeter with DP6AD probe. The instrument responses were calculated by the individual participants and submitted to the for analysis along with details of the reference sources used. Details of the estimated uncertainties were also reported. The results are compared and demonstrate generally satisfactory agreement between the participating establishments.

  8. Lake Roosevelt Rainbow Trout Habitat/Passage Improvement Project, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Sears, Sheryl

    2003-01-01

    The construction of Chief Joseph and Grand Coulee Dams completely and irrevocably blocked anadromous fish migrations to the Upper Columbia River. Historically this area hosted vast numbers of salmon returning to their natal waters to reproduce and die. For the native peoples of the region, salmon and steelhead were a principle food source, providing physical nourishment and spiritual sustenance, and contributing to the religious practices and the cultural basis of tribal communities. The decaying remains of spawned-out salmon carcasses contributed untold amounts of nutrients into the aquatic, aerial, and terrestrial ecosystems of tributary habitats in the upper basin. Near the present site of Kettle Falls, Washington, the second largest Indian fishery in the state existed for thousands of years. Returning salmon were caught in nets and baskets or speared on their migration to the headwater of the Columbia River in British Columbia. Catch estimates at Kettle Falls range from 600,000 in 1940 to two (2) million around the turn of the century (UCUT, Report No.2). The loss of anadromous fish limited the opportunities for fisheries management and enhancement exclusively to those actions addressed to resident fish. The Lake Roosevelt Rainbow Trout Habitat/Passage Improvement Project is a mitigation project intended to enhance resident fish populations and to partially mitigate for anadromous fish losses caused by hydropower system impacts. This substitution of resident fish for anadromous fish losses is considered in-place and out-of-kind mitigation. Upstream migration and passage barriers limit the amount of spawning and rearing habitat that might otherwise be utilized by rainbow trout. The results of even limited stream surveys and habitat inventories indicated that a potential for increased natural production exists. However, the lack of any comprehensive enhancement measures prompted the Upper Columbia United Tribes Fisheries Center (UCUT), Colville Confederated Tribes (CCT), Spokane Tribe of Indians (STI) and Washington Department of Fish and Wildlife (WDFW) to develop and propose a comprehensive fishery management plan for Lake Roosevelt. The Rainbow Trout Habitat/Passage Improvement Project (LRHIP) was designed with goals directed towards increasing natural production while maintaining genetic integrity among current tributary stocks. The initial phase of the Lake Roosevelt Habitat Improvement Project (Phase I, baseline data collection: 1990-91) was focused on the assessment of limiting factors, including the quality and quantity of available spawning gravel, identification of passage barriers, and assessment of other constraints. After the initial assessment of stream parameters, five streams meeting specific criteria were selected for habitat/passage improvement projects (Phase II, implementation -1992-1995). Four of these projects were on the Colville Indian Reservation South Nanamkin, North Nanamkin, Louie and Iron Creeks and one Blue Creek was on the Spokane Indian Reservation. At the completion of project habitat improvements, the final phase (Phase III, monitoring-1996-2000) began. This phase assessed the changes and determined the success achieved through the improvements. Data analysis showed that passage improvements are successful for increasing habitat availability and use. The results of in-stream habitat improvements were inconclusive. Project streams, to the last monitoring date, have shown increases in fish density following implementation of the improvements. In 2000 Bridge Creek, on the Colville Reservation was selected for the next phase of improvements. Data collection, including baseline stream survey and population data collection, was carried out during 2001 in preparation for the design and implementation of stream habitat/passage improvements. Agencies cooperating on the project include the Colville Confederated Tribes (CCT), Natural Resource Conservation Service (NRCS, Ferry County District), Ferry County Conservation District, and Ferry County. The Bonneville Power Administration (BPA) provided project funding support and program integration assistance. A stock of redband rainbow trout, were discovered in 2001 in an isolated section of Bridge Creek above a set of waterfalls. DNA microsatellite analysis was conducted at the University of Idaho and indicated that very little if any hybridization. The targeted species in the genetic analysis was red band/rainbow trout (Oncorhynchus mykiss spp.). The sub-contract is with Madison Powell and Joyce Faler at the Center for Salmonid and Freshwater Species at Risk at the University of Idaho/HFCES. DNA analysis used mitochondrial and nuclear RFLP markers along with two microsatellite loci. Sample populations were screened for detectable levels of introgressive hybridization arising from possible admixtures of hatchery rainbow trout with native red band trout.

  9. Mitigation for the Construction and Operation of Libby Dam, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Dunnigan, James L.; Marotz, Brian L.; DeShazer, Jay (Montana Department of Fish, Wildlife and Parks, Libby, MT)

    2003-06-01

    Libby Reservoir was created under an International Columbia River Treaty between the United States and Canada for cooperative water development of the Columbia River Basin (Columbia River Treaty 1964). Libby Reservoir inundated 109 stream miles of the mainstem Kootenai River in the United States and Canada, and 40 miles of tributary streams in the U.S. that provided habitat for spawning, juvenile rearing, and migratory passage (Figure 1). The authorized purpose of the dam is to provide power (91.5%), flood control (8.3%), and navigation and other benefits (0.2%; Storm et al. 1982). The Pacific Northwest Power Act of 1980 recognized possible conflicts stemming from hydroelectric projects in the northwest and directed Bonneville Power Administration to ''protect, mitigate, and enhance fish and wildlife to the extent affected by the development and operation of any hydroelectric project of the Columbia River and its tributaries...'' (4(h)(10)(A)). Under the Act, the Northwest Power Planning Council was created and recommendations for a comprehensive fish and wildlife program were solicited from the region's federal, state, and tribal fish and wildlife agencies. Among Montana's recommendations was the proposal that research be initiated to quantify acceptable seasonal minimum pool elevations to maintain or enhance the existing fisheries (Graham et al. 1982). Research to determine how operations of Libby Dam affect the reservoir and river fishery and to suggest ways to lessen these effects began in May, 1983. The framework for the Libby Reservoir Model (LRMOD) was completed in 1989. Development of Integrated Rule Curves (IRCs) for Libby Dam operation was completed in 1996 (Marotz et al. 1996). The Libby Reservoir Model and the IRCs continue to be refined (Marotz et al 1999). Initiation of mitigation projects such as lake rehabilitation and stream restoration began in 1996. The primary focus of the Libby Mitigation project now is to redevelop fisheries and fisheries habitat in basin streams and lakes.

  10. Ülevaade peamistest majandusindikaatoritest 1993-2000. a. ning prognoos 2001-2002. a.

    Index Scriptorium Estoniae

    2001-01-01

    Ilmunud ka: Konjunktuur : Quarterly Review of the Estonian Economy, nr. 3, okt. 2001, lk. 36-38. Ülevaade indikaatoritest: sisemajanduse koguprodukt, tarbijahinnaindeks, väliskaubandus, tööhõive, tööstustoodang, elanike sissetulekud. Diagrammid ja tabel: tähtsamad majandusindikaatorid ja nende prognoos 2000. a

  11. SURVEILLANCE FOR DRINKING WATER-ASSOCIATED OUTBREAKS-UNITED STATES, 2001-2002

    Science.gov (United States)

    Problem/Condition: Since 1971, CDC, the U.S. Environmental Protection Agency (EPA), and the Council of State and Territorial Epidemiologists CSTE) have maintained a collaborative surveillance system for collecting and periodically reporting data related to occurrences and cau...

  12. La violencia y los movimientos sociales en el gobierno de Vicente Fox, 2001-2002

    Directory of Open Access Journals (Sweden)

    Mario Alberto Velázquez García

    2004-01-01

    Full Text Available El objetivo del presente artículo es analizar el movimiento social contra la construcción del aeropuerto en San Salvador Atenco entre 2001 y 2002. Este movimiento es la primera movilización social que enfrenta el presidente Vicente Fox. Se examinan los recursos utilizados en sus acciones, lo que incluye la utilización de la violencia y las consecuencias que tuvo para la imagen presidencial; se emplea la teoría de movilización de recursos para observar las formas de manifestación utilizadas frente al Estado.

  13. La violencia y los movimientos sociales en el gobierno de Vicente Fox, 2001-2002

    OpenAIRE

    Mario Alberto Velázquez García

    2004-01-01

    El objetivo del presente artículo es analizar el movimiento social contra la construcción del aeropuerto en San Salvador Atenco entre 2001 y 2002. Este movimiento es la primera movilización social que enfrenta el presidente Vicente Fox. Se examinan los recursos utilizados en sus acciones, lo que incluye la utilización de la violencia y las consecuencias que tuvo para la imagen presidencial; se emplea la teoría de movilización de recursos para observar las formas de ...

  14. Rose Atoll IKONOS Mosaic Imagery 2001-2002 - IKONOS Imagery for American Samoa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project is a cooperative effort between the National Ocean Service, National Centers for Coastal Ocean Science, Center for Coastal Monitoring and Assessment,...

  15. Tutuila Island IKONOS Mosaic Imagery 2001-2002 - IKONOS Imagery for American Samoa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project is a cooperative effort between the National Ocean Service, National Centers for Coastal Ocean Science, Center for Coastal Monitoring and Assessment,...

  16. Swains Island IKONOS Mosaic Imagery 2001-2002 - IKONOS Imagery for American Samoa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project is a cooperative effort between the National Ocean Service, National Centers for Coastal Ocean Science, Center for Coastal Monitoring and Assessment,...

  17. Environmental Sensitivity Index (ESI) Atlas: Hawaii, December 2001, 2002, Volume 1 and 2 (NODC Accession 0002828)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Currently, the most widely used approach to sensitive environment mapping in the United States is the NOAA Environmental Sensitivity Index or ESI. This approach...

  18. Manua Islands IKONOS Mosaic Imagery 2001-2002 - IKONOS Imagery for American Samoa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This project is a cooperative effort between the National Ocean Service, National Centers for Coastal Ocean Science, Center for Coastal Monitoring and Assessment,...

  19. How the Army Runs. A Senior Leader Reference Handbook, 2001-2002

    Science.gov (United States)

    2002-01-01

    Program ( FUSRAP ). This continues the policy, begun in FY 1998, of placing program administration and execution responsibilities for the FUSRAP in the...training exercises 15-33 FUED first unit equipped date 11-17f(4)(b) FUSRAP Formerly Utilized Sites Remedial Action Program 21-5b FWS Federal Wage System

  20. Research on Captive Broodstock Programs for Pacific Salmon, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Berejikian, Barry A.; Tezak, E.P. (National Marine Fisheries Service); Endicott, Rick (Long Live the Kings, Seattle, WA)

    2002-08-01

    In the 2000 Federal Columbia River Power System (FCRPS) Biological Opinion, NMFS identified six populations of steelhead and several salmon populations that had dropped to critically low levels and continue to decline. Following thorough risk-benefit analyses, captive propagation programs for some or all of the steelhead (Oncorhynchus mykiss) populations may be required to reduce the risk of extinction, and more programs may be required in the future. Thus, captive propagation programs designed to maintain or rebuild steelhead populations require intensive and rigorous scientific evaluation, much like the other objectives of BPA Project 1993-056-00 currently underway for chinook (O. tshawytscha) and sockeye salmon (O. nerka). Pacific salmon reared to the adult stage in captivity exhibit poor reproductive performance when released to spawn naturally. Poor fin quality and swimming performance, incomplete development of secondary sex characteristics, changes in maturation timing, and other factors may contribute to reduced spawning success. Improving natural reproductive performance is critical for the success of captive broodstock programs in which adult-release is a primary reintroduction strategy for maintaining ESA-listed populations.

  1. Research on Captive Broodstock Programs for Pacific Salmon, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Berejikian, Barry; Tezak, E.; Endicott, Rick

    2002-08-01

    The efficacy of captive broodstock programs depends on high in-culture survival and the fitness of cultured salmon after release, either as adults or juveniles. Continuing captive broodstock research designed to improve technology is being conducted to cover all major life history stages of Pacific salmon. The following summarizes some of the work performed and results from the FY 2001 performance period: (1) The incidence of male maturation of age-1 chinook salmon was significantly reduced by reducing growth in the first year of rearing. (2) Experimentally manipulated growth rates of captively-reared coho salmon had significant effects on female maturation rate, egg size, and fecundity, and the effects were stage-specific (i.e., pre-smolt vs. post-smolt). (3) A combination of Renogen and MT239 vaccination of yearling chinook salmon given an acute R. salmoninarum challenge had a significantly longer survival time than the mock-vaccinated group. The survival time was marginally higher than was seen in acutely challenged fish vaccinated with either Renogen or MT239 alone and suggests that a combination vaccine of Renogen and MT239 may be useful as both a prophylactic and therapeutic agent against BKD. (4) Full-sib (inbred) groups of chinook salmon have thus far exhibited lower ocean survival than half-sib and non-related groups. Effects of inbreeding on fluctuating asymmetry did not follow expected patterns. (5) Sockeye salmon were exposed to specific odorants at either the alevin/emergent fry stage or the smolt stage to determine the relative importance of odorant exposure during key developmental periods and the importance of exposure duration. (6) Experimental studies to determine the effects of exercise conditioning on steelhead reproductive behavior and the effects of male body size on chinook salmon fertilization success during natural spawning were completed.

  2. 78 FR 64984 - Distribution of the 2000, 2001, 2002 and 2003 Cable Royalty Funds

    Science.gov (United States)

    2013-10-30

    ... Quest, Inc., Integrity Global Marketing, Inc., Pacific Family Entertainment and Ward Productions. As to.... Integrity Global Marketing Inc... MPAA MPAA MPAA MPAA Claimant covered by MPAA Representation Agreement with... program bundling strategies are relevant to this Determination, as discussed in the analysis of the...

  3. Duck Valley Habitat Enhancement and Protection, 2001-2002 Progress Report.

    Energy Technology Data Exchange (ETDEWEB)

    Allen, Mattie H.; Sellman, Jake (Shoshone-Paiute Nation, Duck Valley Indian Reservation, Owyhee, NV)

    2003-03-01

    The Duck Valley Indian Reservation's Habitat Enhancement project is an ongoing project designed to enhance and protect critical riparian areas, natural springs, the Owhyee River and its tributaries, and native fish spawning areas on the Reservation. The project commenced in 1997 and addresses the Northwest Power Planning Council's measures 10.8C.2, 10.8C.3, and 10.8C.5 of the 1994 Columbia River Basin Fish and Wildlife Program. The performance period covers dates from April 2001 through August 2002.

  4. Coral census comparisons FFSP16 from 2001,2002 at the same 31 m2 quadrats

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a 50-meter transect line at Underwater Site P16 off French Frigate Shoals in the Northwestern...

  5. Overview of the main economic indicators in 1993-2000 and forecast for 2001-2002

    Index Scriptorium Estoniae

    2002-01-01

    Ülevaade indikaatoritest: sisemajanduse koguprodukt, tarbijahinnaindeks, väliskaubandus, tööhõive, tööstustoodang, elanike sissetulekud. Diagrammid ja tabel: tähtsamad majandusindikaatorid ja nende prognoos 2001. ja 2002. a.

  6. (En)Gendering Responsibility: A Critical News Analysis of Argentina's Education Reform, 2001-2002

    Science.gov (United States)

    Robert, Sarah A.

    2012-01-01

    Education reform continues around the globe, though questioned and critiqued in relation to goals of democratizing educational decision-making. Newspapers are one site of contestation and negotiation where struggles over global reform discourses are contextualized in "obvious" and "natural" local language. In this article, I…

  7. Annual narrative report : 2001-2002 : Koyukuk/Nowitna National Wildlife Refuge Complex

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Koyukuk/Nowitna National Wildlife Refuge Complex outlines Refuge accomplishments during 2001 and 2002. The report begins with a...

  8. OFFICIAL HOLIDAYS IN 2001 AND END-OF-YEAR CLOSURE 2001/2002

    CERN Multimedia

    Human Resources Division

    2001-01-01

    (Application of Articles R II 4.33 and R II ;4.34 of the Staff Regulations) Official holidays in 2001 (in addition to the end-of-year holidays) : Friday, 13th April (Good Friday) Monday, 16th April (Easter Monday) Tuesday, 1st May Thursday, 24th May (Ascension Day) Monday, 4th June (Whit Monday) Thursday, 6th September (Jeûne genevois) Annual closure of the site of the Organization and day of special leave granted by the Director-General : The Laboratory will be closed from Saturday, 22nd December 2001 to Sunday, 6th January 2002 inclusive (without deduction of annual leave). The first working day in the New Year will be Monday, 7th January 2002.

  9. SANTA vs. public tuberculosis hospitals: the patient experience in the Free State, 2001/2002

    Directory of Open Access Journals (Sweden)

    J.C Heunis

    2007-09-01

    Full Text Available This paper reflects on the appropriateness of the decision to close down a nongovernmental organisation (NGO, state-aided tuberculosis (TB hospital in the Free State in 2003. Henceforth hospitalisation of TB patients would take place at public district hospitals. A survey conducted late-2001/'early-2002 revealed a more positive patient experience of hospitalisation forTB in public hospitals than in the NGO hospital. Consideration of the patient experience serves to inform the debate concerning continued outsourcing of TB hospital care to NGOs in South Africa. This study discusses comparative findings in respect of patients’ biographic and socio-economic characteristics, health beliefs, satisfaction with hospitalisation, experience of stigmatisation, adherence to treatment and absconding from hospital.

  10. Concentration and chemical characteristics of PM2.5 in Beijing, China: 2001-2002.

    Science.gov (United States)

    Duan, F K; He, K B; Ma, Y L; Yang, F M; Yu, X C; Cadle, S H; Chan, T; Mulawa, P A

    2006-02-15

    Weekly PM2.5 samples were simultaneously collected at a semi-residential (Tsinghua University) and a downtown (Chegongzhuang) site in Beijing from August 2001 through September 2002. The ambient mass concentration and chemical composition of PM2.5 were determined. Analyses including elemental composition, water-soluble ions, and organic and elemental carbon were performed. The annual average concentrations of PM2.5 were 96.5 microg m(-3) and 106.9 microg m(-3) at CGZ and HU site, respectively. More than 80% of the PM2.5 mass concentrations were explained by carbonaceous species, secondary particles, crustal matters and trace elements at the two sites. Carbonaceous species were the most abundant components, constituting about 45% and 48% of the total PM2.5 mass concentrations at CGZ and THU site, respectively. SO4(2-), NO3- and NH4+ were three major ions, accounting for 37%, 23% and 20%, respectively, of the total mass of inorganic water-soluble ions.

  11. Yakima/Klickitat Fisheries Project: Management, Data and Habitat, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Sampson, Melvin R.

    2002-03-01

    The Yakima/Klickitat Fisheries Project (YKFP or Project) is an all stock initiative that is responding to the need for scientific knowledge for rebuilding and maintaining naturally spawning anadromous fish stocks in both basins. The Yakama Nation, as the Lead Agency, in coordination with the co-managers, Washington Department of Fish and Wildlife and in cooperation with the Bonneville Power Administration, the funding agency, is pursuing this. We are testing the principles of supplementation as a means to rebuild fish populations through the use of locally adapted broodstock in an artificial production program. This concept is being utilized on the Spring Chinook within the Yakima River Basin. The coho and fall chinook programs were approved and implemented in the Yakima Basin. The coho programs principle objective is to determine if naturally spawning coho populations can be reintroduced throughout their biological range in the basin. The objective of the fall chinook program is to determine if supplementation is a viable strategy to increase fall chinook populations in the Yakima subbasin. The coho and fall chinook programs are under the three step process that was established by the Northwest Power Planning Council. The Klickitat subbasin management program is combined with the Yakima subbasin program. This contract includes the Klickitat Basin Coordinator and operational costs for the basin. The Klickitat Subbasin has separate contracts for Monitoring & Evaluation, Construction, and ultimately, Operation and Maintenance. In the Klickitat subbasin, we propose to use supplementation to increase populations of spring chinook and steelhead. This program is still in the developmental stages consistent with the three step process.

  12. Nonindigenous marine species at Waikiki and Hawaii Kai, Oahu, Hawaii in 2001 - 2002 (NODC Accession 0001061)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Surveys of the marine algae, invertebrates and reef fishes of Waikiki and the Kuapa Pond and Maunalua Bay areas of Hawaii Kai were conducted with the objective of...

  13. Walla Walla River Basin Fish Habitat Enhancement Project, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Volkman, Jed; Sexton, Amy D. (Confederated Tribes of the Umatilla Indian Reservation, Pendleton, OR)

    2003-04-01

    In 2001, the Confederated Tribes of the Umatilla Indian Reservation (CTUIR) Fisheries Habitat Program implemented stream habitat restoration and protection efforts in the Walla Walla River Basin with funding from Bonneville Power Administration (BPA). The objective of these efforts is to protect and restore habitat critical to the recovery of weak or reintroduced populations of salmonid fish. The CTUIR has currently enrolled six properties into this program: two on Couse Creek, two adjacent properties on Blue Creek, one on Patit Creek, and one property on the mainstem Walla Walla River. Since 1997, approximately 7 miles of critical salmonid habitat has been secured for restoration and protection under this project. Major accomplishments to date include the following: Secured approximately $250,000 in cost share; Secured 7 easements; Planted 30,000+ native plants; Installed 50,000+ cuttings; and Seeded 18 acres to native grass. Pre and post-project monitoring efforts were included for all projects, incorporating methodologies from CTUIR's Draft Monitoring Plan. Basin-wide monitoring also included the deployment of 6 thermographs to collect summer stream temperatures.

  14. Molecular epidemiology of group A streptococcus causing scarlet fever in northern Taiwan, 2001-2002.

    Science.gov (United States)

    Chen, Ying-Yan; Huang, Chung-Ter; Yao, Shu-Man; Chang, Yi-Ching; Shen, Pei-Wun; Chou, Chen-Ying; Li, Shu-Ying

    2007-07-01

    In this study, 830 Streptococcus pyogenes isolates collected between 2001 and 2002 from patients with scarlet fever in northern Taiwan were analyzed by M protein gene (emm) sequence typing, pulsed-field gel electrophoresis (PFGE), and antimicrobial susceptibility testing. A total of 21 emm types and 56 PFGE patterns were identified. The most frequent emm types were emm1 (29.2%), emm4 (24.1%), emm12 (19.0%), emm6 (15.8%), stIL103 (5.7%), and emm22 (1.9%). Antimicrobial resistance profiles were determined, and resistance to erythromycin (24.6%), clindamycin (2.0%), and chloramphenicol (1.3%) was detected. Five major emm types (emm4, emm12, emm1, emm22, and emm6) accounted for 95.6% of the erythromycin-resistant isolates. The decreased prevalence of erythromycin-resistant emm12 strains coincided with the overall decrease in erythromycin resistance from 32.1% in 2001 to 21.1% in 2002 in Taiwan. Five major clones (emm4/2000, emm12/0000, emm4/2010, emm1/1000, and emm22/8100) represented 72.1% of the erythromycin-resistant isolates. The survey of group A Streptococcus emm types, genetic diversity, and antibiotic resistance has direct relevance to current antimicrobial use policies and potential vaccine development strategies.

  15. El anarquismo: Una utopía que renace

    Directory of Open Access Journals (Sweden)

    Nelson Méndez

    2001-01-01

    Full Text Available Se exponen los fundamentos teóricos y las proposiciones centrales del anarquismo, filosofía social que resurge en el mundo contemporáneo como soporte para la utopía radical posible, poniendo en evidencia su renovada vigencia en las circunstancias socio-políticas de hoy, subsanando equívocos o malas interpretaciones sobre el tema, y haciendo particular énfasis en responder a las objeciones que normalmente se hacen a sus propuestas. Asimismo se presenta una muestra representativa de fuentes documentales en castellano (impresas y en Internet,las cuales acreditan tanto la riqueza actual como las perspectivas de desarrollo teórico y práctico del ideal libertario.

  16. El renacer de la democracia en el Perú

    Directory of Open Access Journals (Sweden)

    Aldo Olano Alor

    2001-01-01

    Full Text Available El autor explica las causas de la caída del gobierno dictatorial de Alberto Fujimori en noviembre del año 2000, tomando en consideración aspectos tanto de política nacional como internacional. Desde la aprobación de la ?Ley de Interpretación Auténtica? en 1996, hasta el descubrimiento de la venta clandestina de armas a las FARC y la propalación del célebre video en septiembre de 2000, el gobierno de Fujimori se vio seriamente cuestionado por una creciente oposición interna manifestada, sobre todo, en la movilización de importantes sectores sociales y políticos. El autor plantea que esta última se constituyó en el elemento definitorio de la salida de la dictadura, ya que contribuyó a profundizar la crisis en la fase terminal del régimen.

  17. LA MUJER-MADRE, UN VALOR QUE RENACE

    Directory of Open Access Journals (Sweden)

    Dolores Voltas Baró

    2008-01-01

    Full Text Available En una sociedad organizada solamente sobre criterios de eficiencia y productividad, es necesario redescubrir el papel de la mujer-madre como ser humano con unas características esenciales que la capacitan para comprender mejor a la persona, cómo es, qué necesidades tiene, a qué aspira. Las mujeres manifi estan una forma de maternidad afectiva, cultural y espiritual de un valor inestimable por la infl uencia que tiene en el desarrollo de la persona. Es preciso que la mujer esté cada vez más comprometida en el ámbito de la política y de la sociedad civil, trabajando complementariamente con el hombre.

  18. El Renacer de Maestras Bilingues: Actualizing Cultural Efficaciousness

    Science.gov (United States)

    Garcia, Claudia Trevino

    2016-01-01

    This study focused attention on three constructs as they relate to bilingual education teachers' (BETs) dispositions working with culturally and linguistically diverse students (CLDS). The three constructs are sociocultural consciousness, affirming advocacy, and culturally responsive teaching. The quantitative data was collected via a Likert-based…

  19. Apuntes sobre el renacer de la huelga obrera en Chile

    Directory of Open Access Journals (Sweden)

    Daniel Núñez Arancibia

    2012-01-01

    Full Text Available En este artículo se analiza un conjunto de manifestaciones indicativas del resurgimiento de la huelga obrera en Chile, con especial atención en el marco de las condiciones políticas en que evolucionaron las organizaciones obreras, desde finales de la dictadura hasta la reciente era neoliberal. Además se examina la reaparición de expresiones reivindicativas de los trabajadores, que se han dado a pesar de algunas medidas dirigidas a despolitizar las luchas laborales y de varias reformas legales que redujeron el espacio de actuación de las organizaciones obreras. Estos variados esfuerzos organizativos han tenido lugar en sectores primarios, en donde se confrontan las nuevas condiciones de flexibilización y precariedad que el empresariado chileno ha impulsado. En contra de las perspectivas estructuralistas, en este análisis se sustenta la importancia que los subcontratistas y los trabajadores tercerizados han tenido en dichos procesos, y la apelación a huelgas extralegales en tanto hechos significativos en relación con la actual crisis de las clásicas identidades ligadas a la vida fabril y al trabajo normal

  20. Polimorfismo inserción/deleción del gen de la enzima convertidora de angiontensina y enfermedad coronaria en la población de Montería, Córdoba

    Directory of Open Access Journals (Sweden)

    Manolo I Jaramillo

    2013-09-01

    Full Text Available Antecedentes y objetivo: el polimorfismo inserción/deleción del gen de la enzima convertidora de angiotensina, ha sido identificado como un potente factor de riesgo de enfermedad coronaria. Para la población de Montería se desconocen las frecuencias con las que se expresan los alelos de este gen y el carácter de su interacción con condiciones de riesgo cardiovascular. El objetivo de este trabajo fue determinar, para dicha población, la asociación de este polimorfismo y el riesgo de sufrir enfermedad coronaria. Método: se llevó a cabo un estudio retrospectivo con 70 casos y 70 controles; como casos se consideraron pacientes con padecimientos coronarios confirmados por electrocardiograma, remitidos a la Organización Cardiodiagnóstico de Córdoba, y como controles individuos voluntarios sin antecedentes cardiovasculares y sin relación filial. El ADN requerido se extrajo a partir de sangre periférica. La caracterización del polimorfismo se hizo mediante reacción en cadena de la polimerasa. Resultados: la distribución de genotipos de la enzima convertidora de angiotensina en pacientes casos no fue significativamente diferente a la estimada en pacientes controles (X2=3.687, p=0,1583. El genotipo más frecuente en la población fue ID (40,72%. En el grupo casos, el genotipo II fue más frecuente que el genotipo DD comparado con el grupo control (p<0,05. El modelo de regresión logística múltiple ajustado, indicó no significancia del genotipo DD como factor de riesgo coronario (razón de disparidad = 0,51 IC95% = 0,25 – 1,06. Conclusión: el polimorfismo I/D del gen de la enzima convertidora de angiotensina no mostró ser un factor de riesgo significativo para enfermedad coronaria en la población de Montería.

  1. La tomografía computarizada en cardiopatía isquémica: de la calcificación coronaria a la caracterización tisular miocárdica

    Directory of Open Access Journals (Sweden)

    Jordi Estornell Erill

    2015-03-01

    Full Text Available Durante las últimas 2 décadas las técnicas de imagen han alcanzado un papel indispensable en prácticamente todas las enfermedades cardiovasculares. La tomografía computarizada cardiaca, en el campo de la cardiopatía isquémica, proporciona información irreemplazable para la investigación clínica y básica, y se ha convertido también en imprescindible para guiar la actitud terapéutica de los pacientes con enfermedad coronaria en la práctica diaria. Revisamos su estado actual desde la mirada de su utilidad quirúrgica.

  2. Resultados inmediatos y a los 5 años de la cirugía de pacientes portadores de lesión del tronco de la coronaria izquierda

    Directory of Open Access Journals (Sweden)

    Rodolfo A. Ahuad Guerrero

    2008-01-01

    Full Text Available AntecedentesLa cirugía de revascularización miocárdica se considera hasta el momento el mejor tratamiento para los pacientes portadores de enfermedad del tronco de la coronaria izquierda (TCI; pese a ello existen pocos datos locales que comuniquen los resultados de esta cirugía.ObjetivosDescribir los resultados inmediatos y a los 5 años de una serie de cirugías coronarias en pacientes con lesiones del TCI.Material y métodosEn el período 2003-2007 se estudiaron 174 cirugías coronarias del TCI realizadas en forma consecutiva en tres servicios quirúrgicos asociados. Se analizaron los resultados quirúrgicos a los 30 días y en el seguimiento hasta 5 años, en los que se tuvieron en cuenta la mortalidad de causa cardiovascular y por otras causas, los eventos cardiovasculares mayores, la necesidad de nueva revascularización y la supervivencia libre de síntomas. Las curvas se compararon con la supervivencia esperada para el mismo grupo de edad y sexo.ResultadosEl 90,8% de los pacientes tuvieron lesiones múltiples. La mortalidad a los 30 días fue del 4,0%, similar a la esperada según el EuroSCORE (6,4%, OR = 0,62, IC 95% 0,21-1,78; p = 0,333, y los eventos cardiovasculares mayores incluyeron 2,9% de infarto y 1,7% de accidente cerebrovascular (ACV. El seguimiento fue de 506 pacientes-años (12 a 60 meses e involucró al 91% de los pacientes. Al considerar la mortalidad cardiovascular, la supervivencia a los 5 años fue del 83,7%, similar a la esperada en la población general. La supervivencia en el mismo plazo descendió al 77,6% cuando se computaron todas las causas de muerte (p = 0,436. La supervivencia a los 5 años libre de angina y de nueva revascularización fue del 72,2% y del 88,1%, respectivamente.ConclusionesEn este estudio observacional de pacientes operados con lesión del TCI se demostró una mortalidad quirúrgica algo inferior a la calculada con el EuroSCORE y una tasa de ACV e infarto de entre el 1,7% y el 2,9%. El

  3. ¿La prueba del frío podría predecir la aparición de eventos cardiovasculares en pacientes sin enfermedad coronaria demostrada?

    Directory of Open Access Journals (Sweden)

    Jorge Lerman

    2010-01-01

    Full Text Available La disfunción endotelial es la primera alteración conocida que interviene en el desarrollo de la cardiopatía isquémica. La falta de metodologías adecuadamente desarrolladas que permitan reconocer en la etapa preclínica de la enfermedad a los pacientes en riesgo de padecer un evento cardiovascular alertan sobre la necesidad de adoptar métodos adicionales de diagnóstico para su identificación precoz. La función endotelial en las arterias coronarias fue evaluada con perfusión miocárdica SPECT y la prueba del frío.ObjetivosDeterminar la prevalencia de la prueba del frío en 511 pacientes sin cardiopatía isquémica demostrada, como también de los factores de riesgo coronario asociados en aquellos con resultado positivo y analizar la incidencia de eventos cardiovasculares en un seguimiento de cincuenta meses.Material y métodosEn un servicio de medicina nuclear se realizó en 511 pacientes un estudio tomográfico de perfusión miocárdica (SPECT, cuyo resultado ante el ejercicio reveló una captación uniforme del radiotrazador. Ningún paciente tenía antecedentes de revascularización miocárdica ni de infarto previo. Entre los dos y los cinco días posteriores al ingreso en el protocolo se efectuó la prueba del frío. Se considera que ésta es positiva cuando se observa hipocaptación del radioisótopo en algún segmento que no existía en el estudio del esfuerzo y negativo cuando no hay cambios en la captación entre ambos estudios.El seguimiento promedio fue de 24 ± 13 meses, el cual pudo completarse en el 95% de los participantes. Se analizaron los eventos mortalidad cardíaca, infarto de miocardio, accidente cerebrovascular y procedimientos de revascularización.ResultadosLa edad media fue de 58,7 años con una prevalencia del sexo masculino del 52,6%. Prevalencia de factores de riesgo: diabetes 10,3%, dislipidemia 69,3%, hipertensión arterial 63,4%, obesidad 25,2% y tabaquismo 22,3%.En el 32,4% de los pacientes la prueba fue

  4. Resposta circulatória à caminhada de 50 m na unidade coronariana, na síndrome coronariana aguda Respuesta circulatoria a la caminata de 50m en la unidad coronaria, en la síndrome coronaria aguda Circulatory response to a 50-m walk in the coronary care unit in acute coronary syndrome

    Directory of Open Access Journals (Sweden)

    Cristiane Maria Carvalho Costa Dias

    2009-02-01

    Full Text Available FUNDAMENTO: Ausência de técnica padronizada e monitorada para iniciar a reabilitação de pacientes com síndrome coronariana aguda (SCA, na unidade coronariana. OBJETIVO: Descrever a técnica e a resposta circulatória à caminhada de 50 m (C50m. MÉTODOS: Estudo experimental, transversal, com 65 pacientes com SCA; destes 36 (54% com infarto agudo do miocárdio (IAM, Killip I; 29 (45,2% com angina instável (AI; 61,5% do sexo masculino, idade 62,8 ± 12,7 anos. Caminhada com início 45 ± 23 horas pós-internamento. Mensuraram-se pressão arterial sistólica (PAS mmHg e diastólica (PAD mmHg, freqüência cardíaca (FC bpm, duplo produto (PAS mmHg X FC bpm, saturação periférica de oxigênio (SpO2%, tempo de caminhada e percepção do esforço pela escala de Borg (EB. Obtiveram-se medições nas posições supina, sentada e ortostase (fase 1 - estresse gravitacional, no final da caminhada e pós-repouso de 5 minutos (fase 2 - estresse físico. RESULTADOS: Observou-se aumento da FC ao estresse gravitacional sentado (Δ = 4,18 e em ortostase (Δ = 2,69, (p 142 mmHg ao sentar associou-se com aumento significativo (p = 0,031 de 11 mmHg ao exercício em 13 pacientes com sobrepeso/obesidade e 85% com hipertensão. Verificaram-se efeitos adversos em 19 (29,2% pacientes, tonturas em 23,1%, com impedimento da caminhada em três deles. CONCLUSÃO: Nesta amostra, após 24 horas do evento coronariano, não se verificaram efeitos colaterais graves à C50m.FUNDAMENTO: Ausencia de técnica estandarizada y de monitoreo para iniciarse la rehabilitación de pacientes con síndrome coronaria aguda (SCA, en la unidad coronaria. OBJETIVO: Describir la técnica y la respuesta circulatoria a la caminata de 50m (C50m./ MÉTODOS: Estudio experimental, transversal, con 65 pacientes con SCA; el número de 36 (54% de ellos con infarto agudo de miocardio (IAM, Killip I; un total de 29 (45,2% con angina instable (AI; el 61,5% del sexo masculino, edad 62,8 ± 12,7 a

  5. Alteraciones en el eje hipotálamo-tejido adiposo y su relación con el riesgo para la aterosclerosis coronaria Alterations in hypothalamus-adipose tissue axis in relation with the risk of coronary atherosclerosis

    Directory of Open Access Journals (Sweden)

    Raúl I. Coniglio

    2004-04-01

    Full Text Available Estudios poblacionales en la región sur de Argentina mostraron una elevada prevalencia de sobrepeso y obesidad en sujetos de ambos sexos, sobre todo luego de los 50 años de edad; la obesidad central se halló fuertemente asociada con la presencia del síndrome metabólico (SM y con la enfermedad coronaria demostrada por angiografía. La regulación de la homeostasis de la energía se realiza a través de la interacción entre el sistema nervioso central (neurotransmisores y neuropéptidos y el sistema periférico (hormonas mediante complejos mecanismos. Alteraciones genéticas o adquiridas en estos sistemas de regulación pueden conducir a la obesidad y en especial a la obesidad central. Considerando al tejido adiposo visceral como un órgano secretor, incrementos de su masa pueden generar estados de insulino-resistencia (IR, la cual directa o indirectamente puede conducir a la disfunción endotelial y a la aterosclerosis coronaria. Aunque un 40% de IR serían de origen genético, una elevada proporción de ellos son adquiridos por conductas inadecuadas en el estilo de vida (exceso de ingesta de calorías y baja actividad física. Un mayor conocimiento de la regulación central y periférica de los hábitos alimentarios y del balance energético podría ayudar a desarrollar tratamientos para disminuir la incidencia de estas alteraciones metabólicas y con ello la probabilidad de enfermar o morir por enfermedad coronaria.Recent population studies in Southern Argentina have found a sharp rise in prevalence of overweight and obesity in both sexes and specially after fifty years of age. Hence, the obesity in itself was found associated with the presence of metabolic syndrome (MS and coronary heart disease, which have been demonstrated by angiography studies. The regulation of energy homeostasis is controlled by interactions between the central nervous system (neurotransmitters and neuropeptides and the peripheric system (hormones through very

  6. Asociación de los indicadores antropométricos y de composición corporal en la predicción de la resistencia a la insulina en pacientes con enfermedad de las arterias coronarias

    Directory of Open Access Journals (Sweden)

    Larissa Pessoa Vila Nova

    Full Text Available Introducción: en los últimos años la importancia de identificar la resistencia a la insulina (RI en pacientes con enfermedades cardiovasculares isquémicas viene siendo debatida. Métodos alternativos, como los indicadores antropométricos y de composición corporal, han sido señalados como una buena opción y contribuyen para identificar anomalías metabólicas y prevenir complicaciones. Objetivo: asociar indicadores antropométricos y de composición corporal como predictores de la resistencia a la insulina (RI en pacientes con enfermedad de las arterias coronarias. Métodos: estudio transversal realizado en el hospital de referencia cardiológica de Pernambuco, en el periodo de junio a septiembre de 2014, con pacientes adultos y ancianos hospitalizados, de ambos sexos. Se verificaron los siguientes parámetros: estilo de vida, la presencia del síndrome metabólico (SM y otras comorbilidades. Se analizó la RI por el cálculo del HOMA-IR. Los pacientes se sometieron a la impedancia bioeléctrica (BIA y a las verificaciones antropométricas. Resultados: la muestra fue constituida por 75 pacientes con edad media de 63,75 ± 12,43 años, con un 64% de ancianos. Se encontró el diagnóstico de SM en el 65,3% de los pacientes, el 81,3% de sedentarios y el 37,4% con exceso de peso. Se diagnosticó la RI en el 28% de los pacientes. Se observó correlación entre el HOMA-IR y el diámetro abdominal sagital (DAS (r = 0,476; p = 0,016, el índice de masa corporal (r = 0,233; p = 0,040 y el porcentual de grasa corporal (r = 0,276; p = 0,016. Conclusión: el DAS fue el indicador antropométrico que presentó mejor correlación con la RI en pacientes con enfermedad de las arterias coronarias hospitalizados.

  7. Tronco de coronária esquerda ocluso secundário a Lues terciária Tronco de coronaria izquierda ocluido secundario a Lúes terciaria Occlusion of the left coronary trunk secondary to tertiary syphilis

    Directory of Open Access Journals (Sweden)

    Ricardo Wang

    2009-09-01

    Full Text Available Paciente de 27 anos, portador de sífilis terciária, manifestando isquemia miocárdica, com angina instável, secundária à oclusão do tronco da coronária esquerda. O diagnóstico foi confirmado pelos achados da sorologia e da patologia do fragmento da aorta.Paciente de 27 años, portador de sífilis terciaria, manifestando isquemia miocárdica, con angina inestable, secundaria a la oclusión del tronco de la coronaria izquierda. El diagnóstico fue confirmado por los resultados de la serología y de la patología del fragmento de la aorta.A 27-year-old patient with tertiary syphilis, manifested as myocardial ischemia, presenting unstable angina, secondary to left coronary trunk occlusion. The diagnosis was confirmed by the serological findings and the pathological assessment of the aorta fragment.

  8. ¿Se están alcanzando las metas en el perfil lipídico de personas con enfermedad coronaria previa? Goals on the lipid profile of people with previous coronary artery disease are being achieved?

    Directory of Open Access Journals (Sweden)

    Alonso Merchán

    2011-10-01

    Full Text Available Objetivos: verificar el nivel de cumplimiento de las metas en colesterol LDL, colesterol no-HDL, triglicéridos y colesterol HDL, de acuerdo con lo indicado por la guía del NCEP-ATPIII y las recomendaciones actuales, en una población de pacientes hospitalizados por causa no cardiovascular pero con antecedente de enfermedad coronaria. Analizar, además, los hipolipemiantes que utiliza esta población, así como la prevalencia de síndrome metabólico, glucemia anormal en ayunas y diabetes mellitus tipo 2. Metodología: el porcentaje de cumplimiento de estas metas se evaluó mediante el programa de análisis estadístico STATA. Se compararon los hallazgos del perfil lipídico con la propuesta de la guía del NCEP-ATPIII y las recomendaciones actuales (punto final primario. Igualmente, se analizaron los hipolipemiantes utilizados, así como la prevalencia de glucemia anormal en ayunas, diabetes mellitus tipo 2 y síndrome metabólico (punto final secundario. Resultados: se identificaron 281 pacientes que cumplían con los criterios de inclusión. En la tabla 2 se resumen los resultados del punto final primario. De acuerdo con el NCEP-ATPIII, en el riesgo alto, el porcentaje de pacientes que cumplían con las metas en el cLDL (objetivo principal en el tratamiento de las dislipidemias, era de 57,2 y en el riesgo muy alto de 23,5%. En la actualidad, a los pacientes con enfermedad coronaria, independiente de la presencia de síndrome metabólico o diabetes mellitus, se les recomienda una meta para el cLDL menor de 70 mg/dL (Recomendación IIa, la cual se observó en 21,7% de los pacientes estudiados. La prevalencia de glucemia anormal en ayunas fue de 25,6%, la de diabetes mellitus tipo 2 de 20% y la de síndrome metabólico de 45,2%. Con respecto a los hipolipemiantes utilizados, se observó que 56% usaba lovastatina, 14% no utilizaba hipolipemiantes y ninguno tenía asociación de estos fármacos. Conclusiones: después de nueve años de la

  9. Tratamiento de la compresión del tronco de la arteria coronaria izquierda en pacientes con hipertensión pulmonar Treatment of compression of the left main coronary artery in patients with pulmonary hypertension

    Directory of Open Access Journals (Sweden)

    María L. Talavera

    2011-10-01

    Full Text Available La angina de pecho es un síntoma frecuente en pacientes con hipertensión pulmonar (HP de cualquier etiología. Aunque su fisiopatología no está aclarada, las causas propuestas son: la isquemia subendocárdica por aumento del estrés parietal del ventrículo derecho, la dilatación de la arteria pulmonar por incrementos transitorios de la presión pulmonar y la compresión extrínseca del tronco de la arteria coronaria izquierda (TCI por la arteria pulmonar (AP dilatada. Se presentan tres casos que muestran la relación entre la angina de pecho y la compresión del TCI en pacientes con HP asociada a cardiopatías congénitas, tratados mediante implante de stent coronario.Chest pain is a frequent symptom in patients with pulmonary hypertension of any etiology. Its pathophysiology has not been clearly established, the proposed causes are ischemia due to increased right ventricle wall stress, transient increased pulmonary hypertension resulting in acute pulmonary artery dilatation and external compression of the left main coronary artery (LMCA by a dilated pulmonary artery. We report and discuss here three cases where the association between chest pain and compression of the LMCA by a dilated pulmonary artery could be shown, and they were treated with coronary stenting.

  10. Dissecção aguda de artéria coronária após troca de valva aórtica Disección aguda de arteria coronaria tras reemplazo de válvula aórtica Acute coronary artery dissection after aortic valve replacement

    Directory of Open Access Journals (Sweden)

    Fernando de Paula Machado

    2010-02-01

    Full Text Available A dissecção de aorta pode ocorrer tardiamente após cirurgia de troca de valva aórtica e raramente no primeiro mês pós-operatório. A dissecção de artéria coronariana é rara e normalmente ocorre depois de angiografia coronariana. Relata-se um caso raro de dissecção de artéria coronária, seguido de infarto do miocárdio, no pós-operatório imediato de troca de valva aórtica com correção e evolução bem-sucedidas.La disección de aorta puede ocurrir tardíamente tras cirugía de reemplazo de válvula aórtica y raramente en el primer mes postoperatorio. La disección de arteria coronaria es rara y normalmente ocurre después de angiografía coronaria. Se relata un caso raro de disección de arteria coronaria, seguido de infarto de miocardio, en el postoperatorio inmediato de reemplazo de válvula aórtica con corrección y evolución exitosas.Late aortic dissection can occur after aortic valve replacement surgery, but rarely in the first postoperative month. Coronary artery dissection is rare and usually occurs after coronary angiography. We report a rare case of coronary artery dissection followed by myocardial infarction in the immediate postoperative period of a successful aortic valve replacement with a good postoperative evolution.

  11. Obesidade e doença arterial coronariana: papel da inflamação vascular Obesidad y enfermedad arterial coronaria: papel de la inflamación vascular Obesity and coronary artery disease: role of vascular inflammation

    Directory of Open Access Journals (Sweden)

    Fernando Gomes

    2010-02-01

    Full Text Available A obesidade vem se tornando uma epidemia global. Cerca de 1,1 bilhões de adultos e 10% das crianças do mundo são atualmente considerados portadores de sobrepeso ou obesos. Classicamente associada a fatores de risco para doença cardiovascular, como diabete melito e hipertensão arterial sistêmica, a obesidade vem sendo cada vez mais encarada como fator de risco independente para doença arterial coronariana (DAC. A aterosclerose coronariana compreende uma série de respostas inflamatórias em nível celular e molecular, cujas reações se encontram mais exacerbadas em pacientes obesos. Antes considerado mero depósito de gordura, o tecido adiposo é visto hoje em dia como órgão endócrino e parácrino ativo, produtor de diversas citocinas inflamatórias, como as adipocinas. Este artigo visa alertar para o grave problema de saúde pública em que a obesidade se tornou nas últimas décadas e correlacionar o processo inflamatório exacerbado nos indivíduos obesos com a maior incidência de DAC nessa população.La obesidad se está tornando una epidemia global. Cerca de 1,1 billones de adultos y el 10% de los niños del mundo están considerados actualmente portadores de sobrepeso u obesos. Clásicamente asociada a factores de riesgo para enfermedad cardiovascular, como diabetes melitus e hipertensión arterial sistémica, la obesidad se está considerando cada vez más factor de riesgo independiente para enfermedad arterial coronaria (EAC. La aterosclerosis coronaria comprende una serie de respuestas inflamatorias a nivel celular y molecular, cuyas reacciones se encuentran más exacerbadas en pacientes obesos. Antes considerado mero depósito de grasa, el tejido adiposo está visto hoy en día como órgano endócrino y parácrino activo, productor de diversas citocinas inflamatorias, como las adipocinas. Este artículo apunta a alertar sobre el grave problema de salud pública en que se convirtió la obesidad en las últimas décadas y

  12. Efecto de un programa de rehabilitación cardíaca en la alimentación, peso corporal, perfil lipídico y ejercicio físico de pacientes con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Marlene Roselló Araya

    2001-08-01

    Full Text Available Efecto de un programa de rehabilitación cardíaca en la alimentación, peso corporal, perfil lipídico y ejercicio físico de pacientes con enfermedad coronaria. Justificación y objetivo: Los programas de rehabilitación cardíaca (PRC, constituyen el mejor tratamiento para el control de los factores de riesgo cardiovascular en pacientes con enfermedad coronaria. El objetivo del presente estudio fue determinar los efectos de un PRC en el perfil lipídico, índice de masa corporal (IMC y alimentación de éstos pacientes. Métodos: El estudio fue prospectivo. Al inicio y final del programa se realizaron evaluaciones antropométricas, bioquímicas, dietéticas y de la capacidad funcional. El programa consistió de intervenciones educativas al paciente y su familia, la práctica de ejercicio físico (tres veces / semana, durante doce semanas, sesiones de psicología (una vez / semana y sesiones nutricionales (una vez al mes por siete meses. Resultados: Participaron 61 pacientes, 76% masculino, la edad promedio de la población fue 53±12 años. Al momento de sufrir el evento coronario, 60% suspendió el fumado, 19% era diabético, 59% hipertenso, 80% dislipidémico y 61% sedentario. Al finalizar se observaron mejoras en el IMC (-1,47%, relación cintura / cadera (-1,14%, HDL-C (+3,76%, TG (-2,2%, LDL-C (-7,0%, Colesterol total (-4,9% y en la capacidad aeróbica (+193%. Se encontró un patrón alimentario que reflejó la orientación nutricional recibida, aumento en la ingesta de frutas y vegetales, modificaciones en el consumo de grasa saturada por insaturada y consumo de leche descremada. Se presentó una mejoría de la capacidad funcional, aumentaron el umbral de la angina y se negativizaron el 10,7% de las pruebas de esfuerzo. Conclusión: Los datos evidencian que los PRC constituyen una alternativa viable para mejorar la calidad de vida de los pacientes después de sufrir un infarto.Effect the Cardiac Rehabilitation Program on food patterns

  13. Erythrocyte membrane, plasma and atherosclerotic plaque lipid pattern in coronary heart disease Perfil lipídico de membrana de eritrocito, plasma y placa ateromatosa en la enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Natalia R. Lausada

    2007-10-01

    Full Text Available The objective was to analyze the lipid composition of the atherosclerotic plaque (AP, plasma and erythrocyte membrane (EM in patients with advanced coronary heart disease (CHD. AP were obtained through endarterectomy in 18 patients. Ten normolipemic healthy subjects were selected to obtain the normal lipid pattern profile. Total lipids of AP and EM were determined by HPTLC, and the fatty acid profile from AP, EM and plasma using TLC-FID. The relative amount of the lipid species analyzed in AP was in line with the data in the literature [phospholipids: 23.5 mol% ± 3.5; total cholesterol 68.9 mol% ± 7.9; triglyceride 7.6 mol% ± 3.4]. Plasma and EM from CHD patients compared to controls, showed a decrease in polyunsaturated fatty acids and an increase in saturated fatty acids leading to a decrease in the unsaturation index (plasma: 1.67 ± 0.06 vs. 1.28 ± 0.03, PEl objetivo fue analizar la composición lipídica de las membranas de eritrocitos (ME, plasma y placas ateromatosas (PA en pacientes con enfermedad coronaria avanzada (ECV. Las PA fueron obtenidas de endarterectomías coronarias de 18 pacientes. Fueron seleccionados 10 sujetos sanos, normolipémicos, como grupo control. Los lípidos totales de PA y ME se determinaron utilizando HPTLC, y el perfil de ácidos grasos de las PA, ME y plasma mediante TLC-FID. La cantidad relativa de las especies lipídicas obtenidas de las PA coinciden con la literatura [fosfolípidos 23.5 mol% ± 3.5; colesterol total 68.9 mol% ± 7.9; triglicéridos 7.6 mol% ± 3.4]. En el plasma y en las ME de los pacientes con ECV se observó, comparando con los pacientes controles, una disminución de los ácidos grasos poli-no saturados acompañado de un aumento de los ácidos grasos saturados que provocó el descenso del índice de instauración (plasma: 1.67 ± 0.06 vs. 1.28 ± 0.03, P<0.05; ME: 2.28 ± 0.04 vs. 1.25 ± 0.010, P<0.05 y el incremento del cociente AG saturados/insaturados (plasma: 0.35 ± 0.02 vs. 0

  14. A survey of the development of the Chinese brewing industry(2001-2002)%中国啤酒制造业发展概览(2001-2002年度)

    Institute of Scientific and Technical Information of China (English)

    文刚

    2004-01-01

    Not only the market capacity and puichasing power per capica,but also the openness level and system environment etc of the Chinese beer market all have qualitative leap, compared with those in middle of nineties of last century.

  15. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Premiere annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 1).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 1 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  16. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Cinquieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 5).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 5 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  17. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Huitieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 8).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 8 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Junior High Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  18. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Neuvieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 9).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 9 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Junior High Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  19. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Septieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 7).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 7 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Junior High Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  20. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Troisieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 3).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 3 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  1. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Quatrieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 4).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 4 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  2. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Deuxieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 2).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 2 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  3. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: Sixieme annee (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grade 6).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that parents are vital partners in the educational system, this French-language handbook provides parents with information about the Grade 6 curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Elementary Schools," the handbook describes the knowledge, skills, and attitudes students in Alberta are expected to…

  4. Resultados de la cirugía coronaria sin circulación extracorpórea en pacientes premedicados con clopidogrel y sin él: análisis comparativo

    Directory of Open Access Journals (Sweden)

    Guillermo N. Vaccarino

    2007-01-01

    Full Text Available IntroducciónEs conocido que las drogas antiplaquetarias administradas en el preoperatorio de cirugía cardíaca aumentan los riesgos de sangrado y reoperación. La cirugía coronaria sin circulación extracorpórea es una técnica segura y reproducible y además permitiría disminuir los riesgos de sangrado y reoperación. No obstante ello, la administración previa a la cirugía de clopidogrel podría reducir estas ventajas.ObjetivoEvaluar el efecto del clopidogrel preoperatorio sobre la incidencia de reoperación por sangrado, transfusión y morbimortalidad posoperatoria en pacientes con CRM sin CEC.Material y métodosEn el período comprendido entre enero de 2003 y diciembre de 2006 se efectuó CRM aislada sin CEC a 1.104 pacientes consecutivos. Se definieron dos grupos según la administración preoperatoria de clopidogrel: grupo clopidogrel (clopidogrel < 7 días y grupo control (sin clopidogrel. Se analizaron las características perioperatorias con un score de propensión.ResultadosMediante el análisis de propensión se seleccionaron 97 pacientes para cada grupo. En el grupo clopidogrel hubo una incidencia mayor de transfusiones (59% versus 39%; p = 0,009 y de reoperación por sangrado (5% versus 0%; p = 0,02. No hubo diferencias significativas en días de estada y en mortalidad.ConclusiónLos pacientes premedicados con clopidogrel y CRM sin CEC presentaron una incidencia mayor de transfusión y de reoperación por sangrado, con igual mortalidad

  5. Proceedings to the workshops 'What comes beyond the Standard model', 2000, 2001, 2002, Volume 2 Proceedings (Part II)

    CERN Document Server

    Borstnik, N M; Froggatt, Colin D; Lukman, D

    2003-01-01

    Contents (Part 2): 8.Renormalization of Coupling Constants in the Minimal SUSY Models (R. B. Nevzorov, K. A. Ter-Martirosyan and M. A. Trusov) 9.Multiple Point Model and Phase Transition Couplings ...(L.V. Laperashvili, D.A. Ryzhikh and H.B. Nielsen) 10.Family Replicated Fit of All Quark and Lepton Masses and Mixings (H. B. Nielsen and Y. Takanishi) 11.Family Replicated Calculation of Baryogenesis (H. B. Nielsen and Y. Takanishi) 12. Neutrino Oscillations in Vacuum on the Large Distance (D.A. Ryzhikh and K.A. Ter-Martirosyan) 13. Possibility of an Additional Source of Time Reversal Violation for Neutrinos (R. Erdem) 14.Quark-Lepton Masses and the Neutrino Puzzle in the AGUT Model (C.D. Froggatt) 15.Neutrinos in the Family Replicated Gauge Group Model (C.D. Froggatt) (Contents of Part 1: 1.Derivation of Lorentz Invariance and Three Space Dimensions in Generic Field Theory (C D. Froggatt and H. B. Nielsen) 2.Unitary Representations, Noncompact Groups SO(q; d - q)...(N. Mankoc Borstnik, H. B. Nielsen and D. Lukm...

  6. Proceedings to the workshops 'What comes beyond the Standard model', 2000, 2001, 2002, Volume 2 Proceedings (Part I)

    CERN Document Server

    Borstnik, N M; Froggatt, Colin D; Lukman, D

    2003-01-01

    Contents (Part 1): 1.Derivation of Lorentz Invariance and Three Space Dimensions in Generic Field Theory (C D. Froggatt and H. B. Nielsen) 2.Unitary Representations, Noncompact Groups SO(q; d - q)...(N. Mankoc Borstnik, H. B. Nielsen and D. Lukman) 3.Weyl Spinor of SO(1; 13), Families of Spinors ...(A. Borstnik Bracic and N. Mankoc Borstnik) 4.A Tight Packing Problem (A. Kleppe) 5.Why so Few Particle Species? ... (D.L. Bennett and A. Kleppe) 6.About Number of Families (D. Lukman, A. Kleppe and N.S. Mankoc Borstnik) 7.Coupling Constant Unification in Spin-Charge Unifying Model ....(N. Mankoc Borstnik and H. B. Nielsen) (Contents of Part 2 not included in Part I: 8.Renormalization of Coupling Constants in the Minimal SUSY Models (R. B. Nevzorov, K. A. Ter-Martirosyan and M. A. Trusov) 9.Multiple Point Model and Phase Transition Couplings ...(L.V. Laperashvili, D.A. Ryzhikh and H.B. Nielsen) 10.Family Replicated Fit of All Quark and Lepton Masses and Mixings (H. B. Nielsen and Y. Takanishi) 11.Family Replicated ...

  7. Rituals between religion and politics: the case of VHP’s 2001-2002 Ayodhya-campaign

    Directory of Open Access Journals (Sweden)

    Erik Reenberg Sand

    2003-01-01

    Full Text Available The present paper deals with rituals in a political discourse, namely the rituals employed by the right wing, Hindu nationalist movement, Vishwa Hindu Parishad (VHP, in its campaign for a Rama temple in the north Indian town of Ayodhya. As is probably well-known, VHP is part of a group of organizations known as the Sangh Parivar, or sangh family, which also includes the presently ruling Bharatiya Janata Party (BJP, and the ultranationalistic organization Rashtriya Swayamsevak Sangh, or RSS. The rituals of VHP are instruments of the construction of an ideal Hindu society and part of an encounter between Hindu-nationalist tenets and the secular, political establishment. However, the rituals employed by VHP can not be said to represent a separate ritual genre, since they are not different from similar, traditional Hindu rituals. What makes them different is their context and their motives, the fact that they do not serve ordinary material, eschatological, or soteriological aims, but rather political aims, as well as the fact that the ritual agents in this case do not seem to have a satisfactory juridical legitimacy to perform the rituals.

  8. Yakima/Klickitat Fisheries Project Genetic Studies; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Busack, Craig A.; Fritts, Anthony L.; Loxterman, Janet (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-05-01

    In chapter 1 we report on studies of the population genetic structure, using DNA microsatellites, of steelhead collected from different locations in the Yakima River basin (Roza Dam, Ahtanum Creek, Toppenish Creek, and Satus Creek) in 2000 and 2001. Of 28 pairwise tests of genotypic differentiation, only the 2000 and 2001 Roza Dam collections and the 2000 and 2001 Satus Creek collections did not exhibit significant differences. Similarly, pairwise tests of genetic differentiation (FST) were significant for all comparisons except the between-years comparisons of Roza Dam, Toppenish Creek, and Satus Creek collections. All tests between populations sampled from different localities were significant, indicating that these collections represent genetically differentiated stocks. In chapter 2 we report on genetic comparisons, again using microsatellites, of the three spring chinook populations in the Yakima basin (Upper Yakima, Naches, and American) with respect to our ability to be able to estimate the proportions of the three populations in mixed smolt samples collected at Chandler. We evaluated this both in terms of mixed fishery analysis, where proportions are estimated, but the likely provenance of any particular fish is unknown, and classification, where an attempt is made to assign individual fish to their population of origin. Simulations were done over the entire ranged of stock proportions observed in the Yakima basin in the last 20+ years. Stock proportions can be estimated very accurately by either method. Chapter 3 reports on our ongoing effort at cryopreserving semen from wild Upper Yakima spring chinook. In 2002, semen from 91 males, more than 50% of those spawned, was cryopreserved. Representation over the spawning season was excellent. Chapters 4,5, and 6 all relate to the continuing development of the domestication study design. Chapter 4 details the ISRP consultations and evolution of the design from last year's preferred alternative to the current plan of using the Naches population as a wild control, and maintaining a hatchery-only control line alongside the supplemented line. During discussions this year a major issue was the possible impact to the research and to the supplementation effort, of gene flow from precocious males from the hatchery control line into the supplemented line. At the end of the contracting period, this issue still had not been resolved. Along with the discussion of development of the domestication research design, chapter 4 presents the current monitoring plan document, with discussion of the approach to the various traits to be analyzed. Chapters 5 and 6 deal with experimental power of the domestication monitoring design. There is still much work to be done on power, but in chapter 5 we explore our power to detect differences among the three lines for traits measured on individual adults. Power was found to be quite good for effects of 5% per generation over three generations for traits having a coefficient of variation (CV) of 10-20%, but low if the CV was 50%. Power is higher for comparisons between the hatchery control line and supplemented line than between the supplemented line and the wild control, a consequence of trying to avoid heavy impacts to the Naches population. Power could be improved considerably improved by sampling more Naches fish in years of high abundance. Chapter 6 presents the same power analysis, but attempts to explore the effect of precocious males from the hatchery control line spawning in the wild. It is clear that if gene flow from precocious males is more than one or two percent that the between line comparisons will be biased, making the supplemented line appear to be more similar to the hatchery control line than it should and more different from the wild control line than it should. However, it was also clear that more analysis is desirable, as the heightened or diminished power is really just an enhancement or reduction of a real difference. A more straightforward analysis of the proportion of observed differences that can be attributed to pr

  9. 2001-2002 Puget Sound LiDAR Consortium (PSLC) Topographic LiDAR: Clallam County, Washington

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — TerraPoint surveyed and created this data for the Puget Sound LiDAR Consortium under contract with Clallam County. The data covers an area of approximately 524...

  10. Nonindigenous Marine Species at Waikiki and Hawaii Kai, Oahu, Hawaii in 2001-2002 (NODC Accession 0001061)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Surveys of the marine algae, invertebrates and reef fishes of Waikiki and the Kuapa Pond and Maunalua Bay areas of Hawaii Kai were conducted with the objective of...

  11. Turbulence Investigation and Reproduction for Assisting Downstream Migrating Juvenile Salmonids, Part I of II, 2001-2002 Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Hotchkiss, Rollin H. (Washington State University, Department of Civil and Environmental Engineers, Albrook Hydraulics Laboratory)

    2002-12-01

    Turbulence in gravel bed rivers plays a critical role in most stream processes including contaminant and nutrient transport, aquatic habitat selection, and natural channel design. While most hydraulic designs and fluid models are based on bulk velocity, migrating juvenile salmon experience and react to the temporally varied turbulent fluctuations. Without properly understanding and accounting for the continuous turbulent motions proper fishway design and guidance are impossible. Matching temporally varied flow to fish reactions is the key to guiding juvenile salmonids to safe passageways. While the ideal solution to fish guidance design would be to use specific fluid action-fish reaction mechanisms, such concrete cause and effect relations have not been established. One way to approach the problem of guidance is to hypothesize that in an environment lacking obvious bulk flow cues (like the reservoir environment), turbulent flow conditions similar to those experienced by juvenile salmonids in natural migration corridors will be attractive to juvenile salmonids. Proof of this hypothesis requires three steps: (1) gathering data on turbulence characteristics in natural migration corridors, (2) reproduction of the turbulence parameters in a controlled environment, and (3) testing the reproduced turbulence on actively migrating juvenile salmonids for increased passage efficiencies. The results from the third step have not been finalized, therefore this report will focus on understanding turbulent processes in gravel bed rivers and reproduction of turbulence in controlled environments for use in fish passage technologies. The purposes of this report are to (1) present data collected in natural gravel bed rivers, (2) present a simple method for reproduction of appropriate turbulence levels in a controlled environment, (3) compare these results to those from one prototype surface collector (PSC), and (4) discuss the implications on fish passage design.

  12. Surveys of mammal populations in the areas adjacent to Forsmark and Tierp. A pilot study 2001-2002

    Energy Technology Data Exchange (ETDEWEB)

    Cederlund, Goeran; Hammarstroem, Angelica; Wallin, Kjell [Svensk Viltfoervaltning AB, Ramsberg (Sweden)

    2003-04-01

    The Swedish Nuclear Fuel and Waste Management Co is in the process of selecting a safe and environmentally acceptable location for the deep-level repository of radioactive waste. SKB has expressed the importance of monitoring mammal species that are of interest both in biodiversity issues and for local hunting and recreational purposes. To get relevant data on the dynamics of the mammal populations it is important to estimate the abundance and variations over time. Data achieved can be used to specifically monitor endangered species (like wolf, Canis lupus, and otter, Lutra lutra), detect effects from e.g. drilling activities on populations (important to hunters) and be used for assessment programs (MKB). One of the major goals is to monitor populations over several years and to obtain information that is essential for modelling of energy/carbon flows in the biosphere and ultimately calculations of the risks of exposure to radionuclide. From late 2001 to late spring 2002 a pilot study was accomplished in the areas surrounding the suggested areas in the Tierp region and in Forsmark (Oskarshamn was not included in this pilot study). A reference area was chosen near the coast some 20 km north of Forsmark. The aim was to initiate surveys of most of the larger mammal species that were expected to be found in the region. Selected species were wolf, lynx, otter, marten, mink, red fox, beaver, wild boar, red deer, roe deer, moose, European hare and mountain hare. Several methods were used and adapted to expected habitat use and expected local density of the species. Line transects were used on snow to index (frequency of tracks crossing the transects) or calculate actual number (for example the Buffon method). Pellet counts were used in spring to calculate hare and cervid (moose and deer species) density. In mid winter an aerial (helicopter) survey was conducted along the coast to count moose. The aquatic mammals were tracked on snow along selected parts of the streams and larger ditches. The methods have been evaluated and should all be used next year with minor changes. Some of the basic data presented in the report are as follows: Moose were unevenly distributed in a 480/km{sup 2} area along the coast (mean density 7.2 moose/10 km{sup 2} ). No red deer was fund while roe deer density varied between 13 deer/10 km{sup 2} (Tierp) and 59 deer/10 km{sup 2} (Forsmark). Hare density in the fields were between 2.5 hares/10 km{sup 2} (Control area) and 3.4 hares/10 km{sup 2} (Tierp) while in the forest density varied between 0.2 hares/10 km{sup 2} (Tierp) and 4.4 hares/10 km{sup 2} (Forsmark) Red listed species like wolf and otter are present in the areas, although in low numbers. No wolf tracks were found, but a few individuals were observed elsewhere in the region during the winter. As indicated by track indexes, red fox and marten are common predators in all three areas. Lynx is present, but at low numbers (0.2 lynx/10 km{sup 2} ). Occasional tracks of wild boar were found in the transects. Based on the results from this pilot study, we suggest some modification of the methods and additional methods for density estimates (for example using capture-recapture techniques of fox and badger)

  13. Stocking of Offsite Waters for Hungry Horse Dam Mitigation; Creston National Fish Hatchery, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Maskill, Mark (US Fish and Wildlife Service, Creston National Fish Hatchery, Kalispell, MT)

    2003-03-01

    Mitigation Objective 1: Produce Native Westslope Cutthroat Trout at Creston NFH--Task: Acquire eggs and rear up to 100,000 Westslope Cutthroat trout annually for offsite mitigation stocking. Accomplishments: A total of 150,000 westslope cutthroat eggs (M012 strain) were acquired from the State of Montana Washoe Park State Fish Hatchery in July 2001 for this objective. Another 120,000 westslope cutthroat eggs were taken from feral fish at Rogers Lake in May of 2001 by the Creston Hatchery crew. The fish were reared using approved fish culture techniques as defined in the U.S. Department of the Interior Fish Hatchery Management guidelines. Post release survival and angler success is monitored annually by Montana Fish Wildlife and Parks (MFWP) and the Confederated Salish and Kootenai Tribe (CSKT). Stocking numbers and locations may vary yearly based on results of biological monitoring. Mitigation Objective 2: Produce Rainbow Trout at Creston NFH--Task: Acquire and rear up to 100,000 Rainbow trout annually for offsite mitigation in closed basin waters. Accomplishments: A total of 50,500 rainbow trout eggs (Arlee strain) were acquired from the State of Montana Arlee State Fish Hatchery in December 2001 for this objective. The fish were reared using approved fish culture techniques as defined in the U.S. Department of the Interior Fish Hatchery Management guidelines. Arlee rainbow trout are being used for this objective because the stocking locations are terminal basin reservoirs and habitat conditions and returns to creel are unsuitable for native cutthroat. Post release survival and angler success is monitored annually by the Confederated Salish and Kootenai Tribe (CSKT). Stocking numbers and locations may vary yearly based on results of biological monitoring.

  14. Benthic Surveys for Ground Truthing of Coastal Benthic Mapping in the Main Eight Hawaiian Islands 2001 - 2002 (NODC Accession 0001329)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) National Ocean Service (NOS) initiated a coral reef research program in 1999 to map, assess, inventory,...

  15. Diagnósticos al alta hospitalaria de las personas inmigrantes en la ciudad de Valencia (2001-2002)

    OpenAIRE

    Antonio Salazar; Elena Navarro-Calderón; Irene Abad; Vicent Alberola; Fernando Almela; Rafael Borrás; Antonio González; Emilio Gosálbez; Ma. José Moya; Pilar Palau; Fco Javier Roig; Ramón Romero; Francisco Taberner; Pilar Vicente

    2003-01-01

    Fundamento:La inmigración en España se ha incrementado de forma notable en la última década. Por razones teóricas se ha planteado que esta población pudiera ser responsable de un aumento de la incidencia y/o transmisión de enfermedades infecciosas. Sin embargo, existen escasos estudios acerca de las enfermedades de este colectivo que permitan conocer la importancia de esta afirmación. El objetivo de este estudio es cuantificar la atención hospitalaria a esta población en la ciudad de Valencia...

  16. Diagnósticos al alta hospitalaria de las personas inmigrantes en la ciudad de Valencia (2001-2002)

    OpenAIRE

    Salazar Antonio; Navarro-Calderón Elena; Abad Irene; Alberola Vicent; Almela Fernando; Borrás Rafael; González Antonio; Gosálbez Emilio; Moya Mª José; Palau Pilar; Roig Fco Javier; Romero Ramón; Taberner Francisco; Vicente Pilar

    2003-01-01

    Fundamento: La inmigración en España se ha incrementado de forma notable en la última década. Por razones teóricas se ha planteado que esta población pudiera ser responsable de un aumento de la incidencia y/o transmisión de enfermedades infecciosas. Sin embargo, existen escasos estudios acerca de las enfermedades de este colectivo que permitan conocer la importancia de esta afirmación. El objetivo de este estudio es cuantificar la atención hospitalaria a esta población en la ciudad de Valenci...

  17. Characterization of winter foraging locations of Adélie penguins along the Western Antarctic Peninsula, 2001-2002

    Science.gov (United States)

    Erdmann, Eric S.; Ribic, Christine A.; Patterson-Fraser, Donna L.; Fraser, William R.

    2011-07-01

    In accord with the hypotheses driving the Southern Ocean Global Ocean Ecosystems Dynamics (SO GLOBEC) program, we tested the hypothesis that the winter foraging ecology of a major top predator in waters off the Western Antarctic Peninsula (WAP), the Adélie penguin ( Pygoscelis adeliae), is constrained by oceanographic features related to the physiography of the region. This hypothesis grew from the supposition that breeding colonies in the WAP during summer are located adjacent to areas of complex bathymetry where circulation and upwelling processes appear to ensure predictable food resources. Therefore, we tested the additional hypothesis that these areas continue to contribute to the foraging strategy of this species throughout the non-breeding winter season. We used satellite telemetry data collected as part of the SO GLOBEC program during the austral winters of 2001 and 2002 to characterize individual penguin foraging locations in relation to bathymetry, sea ice variability within the pack ice, and wind velocity and divergence (as a proxy for potential areas with cracks and leads). We also explored differences between males and females in core foraging area overlap. Ocean depth was the most influential variable in the determination of foraging location, with most birds focusing their effort on shallow (penguin's foraging, the analysis of sea ice data of a higher resolution than was available for this study may help elucidate the role of sea ice in affecting Adélie penguin winter foraging behavior within the pack ice.

  18. Washington Department of Fish and Wildlife Fish Program Hatcheries Division: Ford Hatchery, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, Mike; Polacek, Matt; Knuttgen, Kamia

    2002-11-01

    The Washington Department of Fish and Wildlife implemented the Banks Lake Fishery Evaluation Project (BLFEP) in September 2001 with funds from the Bonneville Power Administration. The first year of the BLFEP was used to gather historic information, establish methods and protocols, collect limnology data, and conduct the first seasonal fish surveys. Water quality parameters were collected monthly from February to May and bi-monthly from June to August. Banks Lake water temperatures began to increase in April and stratification was apparent by June at all 3 limnology collection sites. By late August, the thermocline had dropped to nearly 20 m deep, with 19-20 C temperatures throughout the epilimnion. Dissolved oxygen levels were generally above 10 mg/L until mid summer when dissolved oxygen dropped near or below 5 mg/L below 20-m deep. Secchi depths ranged from 3-10 m and varied by location and date. Nearshore and offshore fish surveys were conducted in May and July using boat electrofishing, fyke net, gill net, and hydroacoustic surveys. Smallmouth bass Micropterous dolomieui (24%) and lake whitefish Coregonus clupeaformis (20%) dominated the nearshore species composition in May; however, by July yellow perch Perca flavescens (26%) were the second most common species to smallmouth bass (30%). Lake whitefish dominated the offshore catch during May (72%) and July (90%). The May hydroacoustic survey revealed highest densities of fish in the upper 1/3 of the water column in the mid- to northern sections of the reservoir near Steamboat Rock. In the future, data from seasonal surveys will be used to identify potential factors that may limit the production and harvest of kokanee, rainbow trout, and various spiny-rayed fishes in Banks Lake. The limiting factors that will be examined consist of: abiotic factors including water temperature, dissolved oxygen levels, habitat, exploitation and entrainment; and biotic factors including food limitation and predation. The BLFEP will also evaluate the success of several rearing and stocking strategies for hatchery kokanee in Banks Lake.

  19. Evaluation of Juvenile Salmonid Outmigration and Survival in the Lower Umatilla River Basin, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    White, Tara C.; Hanson, Josh T.; Jewett, Shannon M.

    2004-01-01

    The year of 2002 represented the eighth year of a multi-year project, monitoring the outmigration and survival of juvenile salmonids in the lower Umatilla River. This project both supplements and complements various ongoing and completed work within the Umatilla River basin. Knowledge gained on juvenile outmigration and survival assists researchers and managers in adapting hatchery practices, flow enhancement strategies, canal and fish ladder operations, and supplementation and enhancement efforts of natural and restored fish populations. Findings from this study also assist in assessment of the success of upriver habitat improvement projects and provide an overall evaluation of the Umatilla River fisheries restoration program. General project objectives include: Evaluation of the outmigration and survival of natural and hatchery juvenile salmonids in the lower Umatilla River, in an effort to enhance the understanding of migration characteristics, survival bottlenecks, species interactions and effects of management strategies. Specific objectives for 2002 included: (1) Operation of the remote interrogation system at Three Mile Falls Dam, West Extension Canal; (2) Design of improved PIT tag detection capabilities at Three Mile Falls Dam east bank adult fish ladder; (3) Estimates of migrant abundance, migration timing and in-basin survival of tagged juvenile salmonids representing various hatchery, rearing, acclimation and release strategies; (4) Monitoring of abundance and trends in natural production of salmon, steelhead and pacific lamprey; (5) Continuation of transport evaluation studies to evaluate the relative survival between transported and nontransported fish; (6) Assessment of the condition, health, size, growth and smolt status of hatchery and natural migrants; (7) Investigation of the effects of canal and fishway operations and environmental conditions on fish migration and survival; (8) Documentation of temporal distribution and diversity of resident fish species; and (9) Participation in planning and coordination activities within the basin and dissemination of results. Key findings for 2002 revealed: (1) Migrant abundance of natural fish was roughly 10% that of hatchery produced fish; (2) An undetermined number of hatchery summer steelhead are residualizing in the upper Umatilla basin and potentially overwintering and migrating out as 2 year old smolts; (3) Transported fish may have a survival advantage over non-transported fish; (4) The later release of hatchery summer steelhead resulted in emigration timing that differed from that of naturally-produced fish; (5) Large-grade summer steelhead released lower in the river displayed improved survival over fish released higher; (6) Extended reared steelhead did not exhibit a survival advantage over standard reared fish; (7) Second year evaluation following reduction in the subyearling fall chinook program revealed survival to be similar to pre-reduction estimates; (8) Migration success was not improved nor in-river residence time reduced by acclimation of coho salmon at RM 56; (9) Early released spring chinook salmon migration and survival was unable to be evaluated due downstream monitoring facilities being in-operable during the early migration.

  20. Coral census comparisons FFS-5P from 2001,2002 at the same 38 m2 quadrats

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a 51-meter transect line at Underwater Site P5 off French Frigate Shoals in the Northwestern...

  1. Managing the Junior Science & Humanities Symposium: Management and Operation of the Pacific Region Junior Science & Humanities Symposium, 2001-2002.

    Science.gov (United States)

    Schlenker, Richard M.

    This publication provides administrative, management, supervisory guidance, and other information necessary for successful conduct and support of grades 7-12 science symposia. Originally the text was developed as the operations manual for the Pacific Region Junior Science and Humanities Symposium (PJSHS). It contains information necessary to…

  2. Influences of Stocking Salmon Carcass Analogs on Salmonids in Yakima River Tributaries, 2001-2002 Technical Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pearsons, Todd N.; Johnson, Christopher L. (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-04-01

    The benefits that marine derived nutrients from adult salmon carcasses provide to juvenile salmonids are increasingly being recognized. Current estimates suggest that only 6-7% of marine-derived nitrogen and phosphorus that were historically available to salmonids in the Pacific Northwest are currently available. Food limitation may be a major constraint limiting the restoration of salmonids. A variety of methods have been proposed to offset this nutrient deficit including: allowing greater salmon spawning escapement, stocking hatchery salmon carcasses, and stocking inorganic nutrients. Unfortunately, each of these methods has some ecological or socio-economic shortcoming. We intend to overcome many of these shortcomings by making and evaluating a pathogen free product that simulates a salmon carcass (analog). Abundant sources of marine derived nutrients are available such as fish offal from commercial fishing and salmon carcasses from hatcheries. However, a method for recycling these nutrients into a pathogen free analog that degrades at a similar rate as a natural salmon carcass has never been developed. We endeavored to (1) develop a salmon carcass analog that will increase the food available to salmonids, (2) determine the pathways that salmonids use to acquire food from analogs, and (3) determine the benefits to salmonids and the potential for application to salmonid restoration. We used a before-after-control-impact-paired design in six tributaries of the upper Yakima basin to determine the utility of stocking carcass analogs. Our preliminary results suggest that the introduction of carcass analogs into food-limited streams can be used to restore food pathways previously provided by anadromous salmon. The analogs probably reproduced both of the major food pathways that salmon carcasses produce: direct consumption and food chain enhancement. Trout and salmon fed directly on the carcass analogs during the late summer and presumably benefited from the increased invertebrate biomass later in the year. Future reports will analyze whether any benefits are statistically detectable. The risks of using carcass analogs also appear to be low. Pathogens appear to be killed in the manufacturing process of the analogs. In addition, preliminary results suggest that fish exposed to the analogs did not have higher incidences of pathogens. The water quality was also not degraded by the analog additions with the exception of a temporary surface film. Finally, our anecdotal observations, suggested that there was not an increase in the number of predators during the first year of analog distribution. In summary, the risks of analog placement appear to be low but the benefits appear to be high. All results should be considered preliminary until further analyses and field work are conducted.

  3. Fisheries Enhancement on the Coeur d'Alene Indian Reservation; Hangman Creek, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Peters, Ronald; Kinkead, Bruce; Stanger, Mark

    2003-07-01

    Historically, Hangman Creek produced Chinook salmon (Oncorhynchus tshawytscha) and Steelhead trout (Oncorhynchus mykiss) for the Upper Columbia Basin Tribes. One weir, located at the mouth of Hangman Creek was reported to catch 1,000 salmon a day for a period of 30 days a year (Scholz et al. 1985). The current town of Tekoa, Washington, near the state border with Idaho, was the location of one of the principle anadromous fisheries for the Coeur d'Alene Tribe (Scholz et al. 1985). The construction, in 1909, of Little Falls Dam, which was not equipped with a fish passage system, blocked anadromous fish access to the Hangman Watershed. The fisheries were further removed with the construction of Chief Joseph and Grand Coulee Dams. As a result, the Coeur d'Alene Indian Tribe was forced to rely more heavily on native fish stocks such as Redband trout (Oncorhynchus mykiss gairdneri), Westslope Cutthroat trout (O. clarki lewisii), Bull trout (Salvelinus confluentus) and other terrestrial wildlife. Historically, Redband and Cutthroat trout comprised a great deal of the Coeur d'Alene Tribe's diet (Power 1997).

  4. Coral census comparisons FFS-2P from 2001,2002 at the same 16 m2 quadrats

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a 42-meter transect line at Underwater Site P2 off French Frigate Shoals in the Northwestern...

  5. Considerations on Temperature Inversions in the Lower Troposphere in the 2001-2002 Cold Season, South of the Carpathian Mountains

    Directory of Open Access Journals (Sweden)

    Florentina Bărcăcianu

    2014-10-01

    Full Text Available Temperature inversions are characterized by negative vertical thermal gradients (Donciu, 1953, Ţâştea, 1965, Bogdan, 1971, Neacşa, Frimescu, 1981. The most frequent manifestation is in the depression areas because in addition to radiative cooling and better possibility to store cold air invasion, it also takes place the accumulation and of air flow of cold air due to gravity. The area south of the Carpathians, shows depression features, gaining titles like: carpathianbalkanic bucket (Bălescu, 1962, carpathian-balkanic sink (Ion-Bordei, N. 1988. In this space the inversions occupy the entire area, proof being the values from low altitude stations similar to those from mountain peaks, while the middle part of the slope remains wormer.

  6. Habitat Evaluation Procedures (HEP) Report : Oleson Tracts of the Tualatin River National Wildlife Refuge, 2001-2002 Technical Report.

    Energy Technology Data Exchange (ETDEWEB)

    Allard, Donna; Smith, maureen; Schmidt, Peter

    2004-09-01

    Located in the northern Willamette River basin, Tualatin River National Wildlife Refuge (Refuge) was established in 1992 with an approved acquisition boundary to accommodate willing sellers with potentially restorable holdings within the Tualatin River floodplain. The Refuge's floodplain of seasonal and emergent wetlands, Oregon ash riparian hardwood, riparian shrub, coniferous forest, and Garry oak communities are representative of remnant plant communities historically common in the Willamette River valley and offer an opportunity to compensate for wildlife habitat losses associated with the Willamette River basin federal hydroelectric projects. The purchase of the Oleson Units as additions to the Refuge using Bonneville Power Administration (BPA) funds will partially mitigate for wildlife habitat and target species losses incurred as a result of construction and inundation activities at Dexter and Detroit Dams. Lands acquired for mitigation of Federal Columbia River Power System (FCRPS) impacts to wildlife are evaluated using the Habitat Evaluation Procedures (HEP) methodology, which quantifies how many Habitat Units (HUs) are to be credited to BPA. HUs or credits gained lessen BPA's debt, which was formally tabulated in the FCRPS Loss Assessments and adopted as part of the Northwest Power and Conservation Council's Fish and Wildlife Program as a BPA obligation (NWPCC, 1994 and 2000). There are two basic management scenarios to consider for this evaluation: (1) Habitats can be managed without restoration activities to benefit wildlife populations, or (2) Habitats can be restored using a number of techniques to improve habitat values more quickly. Without restoration, upland and wetland areas may be periodically mowed and disced to prevent invasion of exotic vegetation, volunteer trees and shrubs may grow to expand forested areas, and cooperative farming may be employed to provide forage for migrating and wintering waterfowl. Abandoned cropland would comprise over half the total acreage and may be mowed or hayed to reduce exotic vegetation. Grasslands and wetlands may similarly be mowed or hayed, or left fallow. Wetlands would be subject to periodic flooding from the Tualatin River, but would drain quickly and promote undesirable vegetation. Riverine, forested wetland, and mixed forest habitats would likely change little from their current condition. Active restoration would include restoring wetlands with limited use of dikes and water control structures; planting and maintaining native grass, trees, and shrubs; and aggressive management of non-native invasive vegetation. Hydrology would be restored to emergent wetlands mimicking natural cycles thus promoting hydrophytic vegetation beneficial to fish and wildlife. Grassland and former crop areas would be planted with native grasses and trees to recreate prairie and savanna habitat types. Riverine riparian and forested wetland areas would be expanded by planting native trees and shrubs benefiting a multitude of species. Although a 'hands off' approach may provide habitat benefits after many decades, a more proactive approach would provide far more benefits to fish and wildlife, and thus would provide additional habitat credits more quickly.

  7. Survey Situation and Factors Affect on Hearing Protection Large Industry Workers of Hamadan City in 2001-2002

    Directory of Open Access Journals (Sweden)

    F. Emami

    2004-01-01

    Full Text Available Noise induced hearing loss in adults is the most cause of sensory neural hearing loss after the presbycusis and industry workers severity affect by degenerative results of that. Three large works of Hamadan city which had more than 200 Workers were selected in this demonstrative quest . The mean of sound pressure level evaluated with sound level meter which amount to 82-95 dB. Total exposed workers with higher noise than 85 dB evaluated by pure tone audiometery and otoscopic evaluation and the means of hearing thresholds in four frequency :0.5,1,2,4 kHz balanced with previously . Method of concentration data was direct observation and questionnaire . 809 workers in local works exposed to invasive noise . 20.02% of them hadn’t any hearing protector and 79.98% had , which combinated of wax or dry cotton and fiber glass (76.20%, earplug (7.42%and earmuff(16.38%. The means of hearing thresholds workers with protector equal to 43.36 dB and without that was equal to 44.03 dB (t=0.29, Pv<0.05. Highest percentage quantity in two groups related to age –bracket 40-49 years old. Women with protection(9.43%were more than without protector(3.7% while the most percentage related to men without protector (96.3% in contrast to 90.57%.In totally highest percentage quantity of NIHL was in workers with past-working more than 15 years (67.54% with protector , 67.28%without protector. For awareness of degenerative results the noise in hearing large industry workers of Hamadan city 75% insignificant and 25% had efficient awareness . Not using of protectors by 20.2% of worker showing light awareness to degenerative results of noise on hearing system and poor educational healthing and noting difference in means of hearing loss at protected group on basis duration of using that, strikes the process of hearing conservation program is superficial.

  8. Results of the Aquatic Monitoring Program in streams at the Rocky Flats Site : Golden, Colorado 2001-2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — An aquatic monitoring program was initiated in the summer 200 I at the Rocky Flats EnvironmentalTechnology Site (Rocky Flats) in Golden, Colorado, and was conducted...

  9. Trends in the use of cameras and computer technology among dermatologists in New York City 2001-2002.

    Science.gov (United States)

    Scheinfeld, Noah S; Flanigan, Kelly; Moshiyakhov, Mark; Weinberg, Jeffrey M

    2003-08-01

    Photography and computers can enhance dermatologic visit documentation and care. To determine dermatologists' use of cameras and computers. We surveyed computer and camera use during the Dermatologic Society of Greater New York's meetings in January 2001 and 2002. Approximately 75% of dermatologists can use computers. Between 2001 and 2002, 35-mm film camera use by attending and resident dermatologists fell from 60% to 47% and 43% to 32%, respectively, and digital camera increased from 25% to 38% and 35% to 59%, respectively. Approximately 50% of dermatologists use instant cameras. Approximately 15% of dermatologists use no camera. Most find images useful; however, medical dermatologists usually image only interesting patients, and dermatologic surgeons image almost all patients. Approximately 15% of dermatologist used electronic medical records (EMRs). Computers and cameras are widely used but have not changed dermatologic practice. Images are not used to track skin disease or integrated with EMRs nor are EMRs widely used, probably because of difficulty of use and limited computer literacy. Where images appear to add value, for example, for preoperative and postoperative documentation among dermatologic surgeons, camera use is common, suggesting that utility drives technology adoption.

  10. Coral census comparisons FFS-3P from 2001,2002 at the same 18 m2 quadrats

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a 51-meter transect line at Underwater Site P3 off French Frigate Shoals in the Northwestern...

  11. Coral census comparisons FFS-4P from 2001,2002 at the same 35 m2 quadrats.

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a 49-meter transect line at Underwater Site P4 off French Frigate Shoals in the Northwestern...

  12. Monitoring the Migrations of Wild Snake River Spring/Summer Chinook Salmon Smolts, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Achond, Stephen; Hockersmith, Eric E.; Sandford, Benjamin P. (National Marine Fisheries Service, Northwest Fisheries Science Center, Seattle, WA)

    2003-07-01

    This report details the 2002 results from an ongoing project to monitor the migration behavior of wild spring/summer chinook salmon smolts in the Snake River Basin. The report also discusses trends in the cumulative data collected for this project from Oregon and Idaho streams since 1989. The project was initiated after detection data from passive-integrated-transponder tags (PIT tags) had shown distinct differences in migration patterns between wild and hatchery fish for three consecutive years. National Marine Fisheries Service (NMFS) investigators first observed these differences in 1989. The data originated from tagging and interrogation operations begun in 1988 to evaluate smolt transportation for the U.S. Army Corps of Engineers. In 1991, the Bonneville Power Administration began a cooperative effort with NMFS to expand tagging and interrogation of wild fish. Project goals were to characterize the outmigration timing of these fish, to determine whether consistent migration patterns would emerge, and to investigate the influence of environmental factors on the timing and distribution of these migrations. In 1992, the Oregon Department of Fish and Wildlife (ODFW) began an independent program of PIT tagging wild chinook salmon parr in the Grande Ronde and Imnaha River Basins in northeast Oregon. Since then, ODFW has reported all tagging, detection, and timing information on fish from these streams. However, with ODFW concurrence, NMFS will continue to report arrival timing of these fish at Lower Granite Dam.

  13. Factores de estrés y apoyo psicosocial en pacientes con infarto agudo de miocardio. Cali, 2001-2002.

    Directory of Open Access Journals (Sweden)

    Carlos A. Reyes

    2009-11-01

    Full Text Available INTRODUCCIÓN: Se realizó un estudio descriptivo con grupo control para evaluar los factores de estrés y apoyo social en personas mayores de 60 años con infarto agudo de miocardio (IAM. MÉTODOS: Se estudiaron 40 pacientes y 38 personas sanas evaluando depresión, disfunción familiar, estrés social y prácticas religiosas. Se realizó análisis estadístico univariado y bivariado. RESULTADOS: Los grupos fueron comparables para las variables sociodemográficas. Se observó que 21 (26.9% individuos tenían antecedente personal de IAM y 29 (37.2% no tenían pareja estable; estas dos condiciones se vio con mayor frecuencia en el grupo de pacientes con IAM (p=0.001, p=0.007. La disfunción familiar, la depresión y los eventos de cambio de vida no mostraron diferencias entre los grupos. El no realizar lectura en grupo de la Biblia (p=0.03 u otras actividades religiosas (p=0.001 fue más frecuente en el grupo de pacientes con IAM; en contraste, la lectura personal de la Biblia de manera diaria fue más frecuente en los sanos (p=0.009. CONCLUSIONES: El no tener pareja estable o no realizar actividades religiosas fue más frecuente en pacientes con IAM. Este estudio sugiere que la práctica religiosa puede ser un recurso de apoyo importante para la salud de los pacientes ancianos.

  14. Factores de estrés y apoyo psicosocial en pacientes con infarto agudo de miocardio. Cali, 2001-2002.

    OpenAIRE

    Carlos A. Reyes; Mauricio Hincapié; Julián A. Herrera; Pablo A. Moyano

    2009-01-01

    INTRODUCCIÓN: Se realizó un estudio descriptivo con grupo control para evaluar los factores de estrés y apoyo social en personas mayores de 60 años con infarto agudo de miocardio (IAM). MÉTODOS: Se estudiaron 40 pacientes y 38 personas sanas evaluando depresión, disfunción familiar, estrés social y prácticas religiosas. Se realizó análisis estadístico univariado y bivariado. RESULTADOS: Los grupos fueron comparables para las variables sociodemográficas. Se observó que 21 (26.9%) individuos ...

  15. Fourth IRMF comparison of calibrations of portable gamma-ray dose- rate monitors 2001-2002 Ionising radiation

    CERN Document Server

    Lewis, V E

    2002-01-01

    The Ionising Radiations Metrology Forum (IRMF) organised a fourth comparison of calibrations of gamma-ray dose-rate monitors in which fifteen establishments in the UK participated. The exercise involved the circulation of three gamma-ray monitors for calibration in the fields produced using sup 1 sup 3 sup 7 Cs, sup 2 sup 4 sup 1 Am and sup 6 sup 0 Co. The instruments used were an Electra with MC 20 probe, a Mini-Instruments Mini-rad 1000 and a Siemens electronic personal dosemeter Mk 2 (EPD). The responses relative to 'true' dose equivalent rate were calculated by the individual participants and submitted to the for analysis along with details of the facilities and fields employed. Details of the estimated uncertainties were also reported. The results are compared and demonstrate generally satisfactory agreement between the participating establishments. However, the participants' treatment of uncertainties needs improvement and demonstrates a need for guidance in this area.

  16. Trends in Food Habits and Their Relation to Socioeconomic Status among Nordic Adolescents 2001/2002-2009/2010

    National Research Council Canada - National Science Library

    Fismen, Anne-Siri; Smith, Otto Robert Frans; Torsheim, Torbjørn; Rasmussen, Mette; Pedersen Pagh, Trine; Augustine, Lilly; Ojala, Kristiina; Samdal, Oddrun

    2016-01-01

    .... However, few internationally published studies have evaluated how trends in adolescents' food habits develop in the context of Nordic nutrition policy, or have compared differences between the Nordic countries...

  17. White Sturgeon Mitigation and Restoration in the Columbia and Snake Rivers Upstream from Bonneville Dam; 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Ward, David L.; Kern, J. Chris; Hughes, Michele L.

    2003-12-01

    We report on our progress from April 2001 through March 2002 on determining the effects of mitigative measures on productivity of white sturgeon populations in the Columbia River downstream from McNary Dam, and on determining the status and habitat requirements of white sturgeon populations in the Columbia and Snake rivers upstream from McNary Dam.

  18. Diagnósticos al alta hospitalaria de las personas inmigrantes en la ciudad de Valencia (2001-2002

    Directory of Open Access Journals (Sweden)

    Antonio Salazar

    2003-01-01

    Full Text Available Fundamento:La inmigración en España se ha incrementado de forma notable en la última década. Por razones teóricas se ha planteado que esta población pudiera ser responsable de un aumento de la incidencia y/o transmisión de enfermedades infecciosas. Sin embargo, existen escasos estudios acerca de las enfermedades de este colectivo que permitan conocer la importancia de esta afirmación. El objetivo de este estudio es cuantificar la atención hospitalaria a esta población en la ciudad de Valencia. Métodos: Se obtuvieron los registros de altas de los Servicios de Admisión de los hospitales públicos de la ciudad de Valencia. Se desarrolló un estudio observacional retrospectivo para el año comprendido entre el 1 de octubre de 2001 al 30 de septiembre del 2002. Resultados: Recuperamos 8.444 ingresos que identificaron 1.577 ingresos de inmigrantes. Se evidenció una proporción similar de inmigrantes registrados con documentación reglada (841, 51,16% e inmigrantes supuestamente no regularizados (803, 48,84%. Predominaron las mujeres (68,3% frente a los varones (31,7% y una media de edad inferior a los 30 años. El diagnóstico de alta más frecuente fue «complicaciones del embarazo, parto y puerperio» con 37,7% del total. Los «traumatismos y envenenamientos », «enfermedades del aparato digestivo» y «enfermedades del aparato respiratorio» representaron el 12,9%, el 7,8% y el 5,4%, respectivamente. Las «enfermedades infecciosas y parasitarias» supusieron el 4,4%. Conclusiones: La proporción de enfermedades infecciosas e infectocontagiosas observadas no contribuyen a alentar las opiniones difundidas sobre importación o reemergencia de enfermedades desde los colectivos de inmigrantes. La inmigración masiva acaecida requiere múltiples adaptaciones del Sistema de Salud que permitan establecer el perfil de salud de este colectivo, basado en estimaciones poblacionales.

  19. Diagnósticos al alta hospitalaria de las personas inmigrantes en la ciudad de Valencia (2001-2002

    Directory of Open Access Journals (Sweden)

    Salazar Antonio

    2003-01-01

    Full Text Available Fundamento: La inmigración en España se ha incrementado de forma notable en la última década. Por razones teóricas se ha planteado que esta población pudiera ser responsable de un aumento de la incidencia y/o transmisión de enfermedades infecciosas. Sin embargo, existen escasos estudios acerca de las enfermedades de este colectivo que permitan conocer la importancia de esta afirmación. El objetivo de este estudio es cuantificar la atención hospitalaria a esta población en la ciudad de Valencia. Métodos: Se obtuvieron los registros de altas de los Servicios de Admisión de los hospitales públicos de la ciudad de Valencia. Se desarrolló un estudio observacional retrospectivo para el año comprendido entre el 1 de octubre de 2001 al 30 de septiembre del 2002. Resultados: Recuperamos 8.444 ingresos que identificaron 1.577 ingresos de inmigrantes. Se evidenció una proporción similar de inmigrantes registrados con documentación reglada (841, 51,16% e inmigrantes supuestamente no regularizados (803, 48,84%. Predominaron las mujeres (68,3% frente a los varones (31,7% y una media de edad inferior a los 30 años. El diagnóstico de alta más frecuente fue «complicaciones del embarazo, parto y puerperio» con 37,7% del total. Los «traumatismos y envenenamientos», «enfermedades del aparato digestivo» y «enfermedades del aparato respiratorio» representaron el 12,9%, el 7,8% y el 5,4%, respectivamente. Las «enfermedades infecciosas y parasitarias» supusieron el 4,4%. Conclusiones: La proporción de enfermedades infecciosas e infecto-contagiosas observadas no contribuyen a alentar las opiniones difundidas sobre importación o reemergencia de enfermedades desde los colectivos de inmigrantes. La inmigración masiva acaecida requiere múltiples adaptaciones del Sistema de Salud que permitan establecer el perfil de salud de este colectivo, basado en estimaciones poblacionales.

  20. 78 FR 50114 - Distribution of 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, and 2009 Satellite...

    Science.gov (United States)

    2013-08-16

    ... Participate and the $150 filing fee by an overnight delivery service other than the U.S. Postal Service Express Mail. If participants choose to use U.S. Postal Service (including overnight delivery), they must.... If participants choose delivery by a commercial courier, they must deliver the submissions to...

  1. Yakima/Klickitat Fisheries Project Genetic Studies; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Busack, Craig A.; Fritts, Anthony L.; Loxterman, Janet (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-05-01

    In chapter 1 we report on studies of the population genetic structure, using DNA microsatellites, of steelhead collected from different locations in the Yakima River basin (Roza Dam, Ahtanum Creek, Toppenish Creek, and Satus Creek) in 2000 and 2001. Of 28 pairwise tests of genotypic differentiation, only the 2000 and 2001 Roza Dam collections and the 2000 and 2001 Satus Creek collections did not exhibit significant differences. Similarly, pairwise tests of genetic differentiation (FST) were significant for all comparisons except the between-years comparisons of Roza Dam, Toppenish Creek, and Satus Creek collections. All tests between populations sampled from different localities were significant, indicating that these collections represent genetically differentiated stocks. In chapter 2 we report on genetic comparisons, again using microsatellites, of the three spring chinook populations in the Yakima basin (Upper Yakima, Naches, and American) with respect to our ability to be able to estimate the proportions of the three populations in mixed smolt samples collected at Chandler. We evaluated this both in terms of mixed fishery analysis, where proportions are estimated, but the likely provenance of any particular fish is unknown, and classification, where an attempt is made to assign individual fish to their population of origin. Simulations were done over the entire ranged of stock proportions observed in the Yakima basin in the last 20+ years. Stock proportions can be estimated very accurately by either method. Chapter 3 reports on our ongoing effort at cryopreserving semen from wild Upper Yakima spring chinook. In 2002, semen from 91 males, more than 50% of those spawned, was cryopreserved. Representation over the spawning season was excellent. Chapters 4,5, and 6 all relate to the continuing development of the domestication study design. Chapter 4 details the ISRP consultations and evolution of the design from last year's preferred alternative to the current plan of using the Naches population as a wild control, and maintaining a hatchery-only control line alongside the supplemented line. During discussions this year a major issue was the possible impact to the research and to the supplementation effort, of gene flow from precocious males from the hatchery control line into the supplemented line. At the end of the contracting period, this issue still had not been resolved. Along with the discussion of development of the domestication research design, chapter 4 presents the current monitoring plan document, with discussion of the approach to the various traits to be analyzed. Chapters 5 and 6 deal with experimental power of the domestication monitoring design. There is still much work to be done on power, but in chapter 5 we explore our power to detect differences among the three lines for traits measured on individual adults. Power was found to be quite good for effects of 5% per generation over three generations for traits having a coefficient of variation (CV) of 10-20%, but low if the CV was 50%. Power is higher for comparisons between the hatchery control line and supplemented line than between the supplemented line and the wild control, a consequence of trying to avoid heavy impacts to the Naches population. Power could be improved considerably improved by sampling more Naches fish in years of high abundance. Chapter 6 presents the same power analysis, but attempts to explore the effect of precocious males from the hatchery control line spawning in the wild. It is clear that if gene flow from precocious males is more than one or two percent that the between line comparisons will be biased, making the supplemented line appear to be more similar to the hatchery control line than it should and more different from the wild control line than it should. However, it was also clear that more analysis is desirable, as the heightened or diminished power is really just an enhancement or reduction of a real difference. A more straightforward analysis of the proportion of observed differences that can be attributed to precocious gene flow needs to be done.

  2. Las diferencias en los criterios diagnósticos de síndrome metabólico son útiles para identificar sujetos en riesgo, pero pierden relevancia en pacientes con enfermedad coronaria Differences in metabolic syndrome diagnostic criteria are useful for identifying risk subjects, but loose relevance in patients with coronary disease

    Directory of Open Access Journals (Sweden)

    Patricio López-Jaramillo

    2006-08-01

    Full Text Available Antecedentes: actualmente existe controversia con respecto a la existencia del síndrome metabólico como una entidad independiente y además existen diferencias en los criterios diagnósticos propuestos para su diagnóstico. Objetivo: determinar si existen diferencias en la frecuencia de diagnóstico de síndrome metabólico al utilizar los criterios del Adult Treatment Panel III (ATPIII y la International Diabetes Federation (IDF en la población latinoamericana con y sin enfermedad aterosclerótica coronaria. Diseño-método: estudio transversal analítico. Se incluyeron 265 hombres, 166 sin enfermedad arterial coronaria (-EAC y 99 hombres con manifestaciones clínicas sugestivas de enfermedad arterial coronaria (+EAC de los cuales 36,3% tenían demostración angiográfica de enfermedad arterial coronaria luminal. Se realizó un examen físico completo y determinaciones de glicemia y perfil lipídico. Se aplicaron los criterios de la ATPIII y de la IDF para el diagnóstico de síndrome metabólico y se calculó su frecuencia en cada uno de los grupos. Resultados: en los dos grupos estudiados la aplicación de los criterios del ATPIII registró menores frecuencias de síndrome metabólico que con los criterios de la IDF; sin embargo esta diferencia sólo alcanzó significancia en el grupo de pacientes sin antecedente de enfermedad arterial coronaria (-EAC (IDF= 33,1% vs. ATP-III= 13,4% p=0,01 +EAC (IDF= 52,2% vs. ATP-III= 47,2% p= 0,2. Conclusiones: estos resultados demuestran que la incorporación de la obesidad central dentro de los criterios diagnósticos para síndrome metabólico y la definición de puntos de corte propios para cada región, es importante en la identificación de latinoamericanos con síndrome metabólico.Antecedents: there is actually a controversy with regard to the existence of metabolic syndrome as an independent entity and there are also differences in the criteria proposed for its diagnosis. Objective: to determine

  3. OCLUSIÓN TOTAL CRÓNICA DEL TRONCO CORONARIO IZQUIERDO Y ESTENOSIS DE LA CORONARIA DERECHA / Chronic total occlusion of the left main coronary artery and right coronary artery stenosis

    Directory of Open Access Journals (Sweden)

    Roberto Bermúdez Yera

    2012-01-01

    Full Text Available ResumenLa estenosis del tronco coronario izquierdo se encuentra entre el 3-5 % de los pacientes a los que se les realiza una coronariografía, pero su oclusión total es rara (0,05-0,1 %. En este artículo presentamos el caso de un paciente de 42 años con oclusión total de este vaso, que presentaba además, una estenosis de 85 % en la arteria coronaria derecha y fue revascularizado quirúrgicamente de forma exitosa. Se implantaron 3 injertos, mamaria a la descendente anterior, y vena safena a una obtusa marginal y a la descendente posterior. Se presentan las imágenes angiográficas y de la cirugía, y se comentan las alternativas terapéuticas, donde lo más importante es individualizar el tratamiento, con el objetivo de brindar la mejor opción a cada paciente en particular. Para lograrlo es imprescindible una excelente relación del equipo de trabajo donde, como en este caso, el cardiólogo intervencionista y el cirujano cardiovascular se complementen, para el bien del paciente. AbstractThe left main coronary artery stenosis is found in 3-5 % of patients who undergo coronary angiography, but total occlusion is rare (0,05-0,1 %. In this article, the case of a 42-year-old patient with chronic total occlusion of the left main coronary artery is presented. This patient, who also had 85 % stenosis of the right coronary artery, was surgically and successfully revascularized. 3 grafts were implanted: mammary artery to the anterior descending artery and saphenous vein to the obtuse marginal and posterior descending artery. The angiographic and surgery images are shown, and treatment options are discussed, where the most important thing is to individualize treatment in order to provide the best option for each patient. It order to achieve this, an excellent team work is essential, in which, as in this case, the interventional cardiologist and cardiovascular surgeon complement each other for the good of the patient.

  4. TOMOGRAFÍA DE COHERENCIA ÓPTICA Y ANGIOGRAFÍA CORONARIA COMO COMPLEMENTO EN DECISIONES TERAPÉUTICAS / Optical coherence tomography and coronary angiography as complement in therapeutic decisions

    Directory of Open Access Journals (Sweden)

    José R. Nodarse Valdivia

    2012-10-01

    Full Text Available ResumenLa tomografía de coherencia óptica es una técnica de diagnóstico intracoronario con una alta resolución, su advenimiento ha permitido llevar a cabo un mejor diagnóstico para el tratamiento de las afecciones vasculares. El desarrollo de nuevos sistemas de esta tomografía, que evitan la oclusión de la arteria, favorece que esta técnica tenga mayor utilidad y se convierta en práctica habitual en los laboratorios de hemodinámica, para la caracterización de la placa aterosclerótica coronaria y la evaluación del stent implantado. Se presenta un paciente que en el curso de un síndrome coronario agudo con elevación del segmento ST, fue tratado con trombolíticos y no se lograron signos de reperfusión. La coronariografía realizada no demostró estenosis significativa en relación con la topografía del infarto, por lo que se realizó tomografía de coherencia óptica y se diagnosticó una imagen compatible con proliferación neointimal y presencia de trombo dentro del stent previamente implantado en la arteria circunfleja, que se correspondía con los cambios del electrocardiograma. Se decidió aplicar tratamiento percutáneo con implantación de stent fármaco-activo. La tomografía de coherencia óptica permitió diagnosticar y tratar una imagen angiográfica dudosa. / AbstractOptical coherence tomography is an intracoronary diagnostic technique of high resolution, and its arrival has allowed a better diagnosis for the treatment of vascular diseases. The development of new systems for this tomography, which prevent artery occlusion, allows this technique to have greater utility and become standard practice in the hemodynamic laboratories for the characterization of coronary atherosclerotic plaque and for evaluating the inserted stent. The case of a patient that during an acute coronary syndrome with ST segment elevation was treated with thrombolytics and no signs of reperfusion were achieved is presented. Coronary angiography

  5. Resultados clínicos y complicaciones de la angioplastía coronaria con STENT en el Hospital México (Costa Rica en el período 2005-2007

    Directory of Open Access Journals (Sweden)

    Esteban Coto Valldeperas

    2009-12-01

    Full Text Available Introducción: La angioplastía coronaria percutánea es un procedimiento seguro y eficaz para tratar la cardiopatía isquémica, enfermedad de alta prevalencia y gran impacto en la morbilidad y mortalidad en la población. El propósito de este trabajo consistió en cuantificar los resultados obtenidos con esta terapia en el período comprendido entre enero del año 2005 y diciembre del año 2007 en el Hospital México de Costa Rica. Metodología: Se realizó un estudio observacional retrospectivo de una cohorte de 285 pacientes intervenidos en ese período, mediante revisión de expedientes. Se realizó un análisis descriptivo de todos los pacientes y de los subgrupos de pacientes diabéticos y no diabéticos. Resultados: Se documentó una mortalidad global a un año de 2.74%; reintervención de 8.07%: 4.56% restenosis, 1.05% trombosis tardía -es decir, 5.61% por "falla del vaso tratado"- y 2.46% de reintervenciones de lesiones nuevas. Ocurrieron complicaciones en 2.75% (sangrado mayor 1.75%, trombosis aguda de stent en 2.5% y trombosis subaguda en 1.4%. En los pacientes diabéticos se detectó, en comparación con pacientes no diabéticos, mayor incidencia de trombosis tardía de stent (3.75% vs. 0%, reintervención (12.5% vs. 6.34% y reestenosis (7.5% vs. 3.41% del vaso tratado. Se logró reducción o supresión de síntomas anginosos en el 91.95% de los casos, sin diferencias entre pacientes diabéticos y no diabéticos. Conclusión: La mortalidad global fue discretamente mayor que a nivel mundial, pero la "falla del vaso tratado" y la necesidad de reintervención fueron menores. Las complicaciones trombóticas fueron más frecuentes que en estudios comparables a nivel mundial y la diabetes mellitus fue un factor estadísticamente significativo para eventos trombóticos tardíos.

  6. Calidad de vida de los pacientes con enfermedad arterial coronaria incluidos en el programa de rehabilitación cardiaca del hospital San Vicente de Paúl en Heredia

    Directory of Open Access Journals (Sweden)

    Hilda Loáisiga Ledezma

    2008-12-01

    Full Text Available Introducción: La enfermedad cardiovascular es la primera causa de muerte en nuestro país, alcanzando aproximadamente la tercera parte de la mortalidad general, y la enfermedad ateroesclerótica coronaria representa la mayoría de la mortalidad en este grupo. La rehabilitación cardiaca representa uno de los pilares fundamentales, junto con la terapia farmacológica y los procedimientos de revascularización, para el tratamiento de esta enfermedad. Los objetivos de este estudio fueron valorar el impacto que tiene el programa de rehabilitación cardiaca en la calidad de vida de los pacientes y su familia, así como conocer los factores que pueden interferir en este proceso. Material y métodos: Es un estudio observacional, transversal en una población de 330 pacientes, con enfermedad coronaria, con más de seis meses de asistencia al Programa de Rehabilitación Cardiaca de nuestro hospital, realizado en octubre del 2005. Utilizamos un instrumento mixto de recolección de datos constituido por una encuesta supervisada al paciente, complementado con medición de variables cuantificables y una prueba de esfuerzo. Resultados: No se observaron diferencias significativas de género en el grupo estudiado. El 98% de los pacientes consideró mejoría en su calidad de vida. Un 97% consideró que su familia comprende mejor su enfermedad, pero sólo el 45% reportó que su familia se integró al programa. Los tres factores que más frecuentemente limitan el proceso, en orden decreciente son; espacio insuficiente 57%, trabajo 29% y lugar de residencia 9%. Los datos obtenidos de las pruebas de esfuerzo realizadas mostraron entre otros, que el 74% tuvo una prueba negativa por isquemia, 25% positiva por isquemia y 1% positiva con alto riesgo. Conclusión: Creemos que la mejoría en la calidad de vida reportada por los pacientes representa un punto alto de nuestro pro-grama. Los datos obtenidos de la valoración con prueba de esfuerzo nos muestran que en general

  7. Insulino resistencia y síndrome metabólico en pacientes con enfermedad coronaria definida por angiografía Insulin-resistance and metabolic syndrome in patients with coronary heart disease defined by angiography

    Directory of Open Access Journals (Sweden)

    Silvia Benozzi

    2009-04-01

    Full Text Available Se examinó la frecuencia de insulino-resistencia (IR y síndrome metabólico (SM en pacientes coronarios empleando diferentes criterios de definición y se analizó cuáles mostraban mejor asociación con la presencia y gravedad de la afección. Fue un estudio casos-controles en 100 pacientes con edades entre 40 y 70 años que concurrieron a un centro hospitalario para realizarse una angiografía. IR fue definido por insulina >15 mU/l, el modelo hemostático de insulino-resistencia (HOMA-IR >3.1 y la combinación del índice de masa corporal (IMC >27.5 kg/m² con HOMA-IR >3.6. SM fue definido según International Diabetes Federation y American Heart Association / National Heart, Lung, and Blood. Insulina >15 mU/l y HOMA-IR >3.1 tuvieron la misma sensibilidad, (60.3%, y se asociaron significativamente con la extensión de la enfermedad coronaria, p = 0.001 y p = 0.009 respectivamente. En cambio, IMC >27.5 kg/m² con HOMA-IR >3.6 mostró menor sensibilidad, (43.1%, y menor asociación con la gravedad, (p = 0.028. Los odds ratio (OR para enfermedad coronaria fueron respectivamente: 3.16 (IC 95% 1.28-7.79, p = 0.012; 2.93 (IC 95% 1.20-7.19 p = 0.019; 2.86 (IC 95% 1.10-7.41, P = 0.031. La frecuencia de SM definida según American Heart Association / National Heart, Lung, and Blood fue mayor en coronarios versus controles (62.1% versus 33.3%, p = 0.003, se asoció con la enfermedad en uno o en múltiples vasos (p = 0.011 y fue su predictor, OR = 4.22 (IC 95% 1.65-10.83 p = 0.003. Sin embargo, SM definido según International Diabetes Federation no se asoció con la presencia ni con la gravedad de la enfermedad.The frequency of insulin-resistance (IR and metabolic syndrome (MS were examined in coronary patients using different criteria of definition. It was also analyzed which of them indicated a strong association with the presence and severity of the disease. This was a case-control study on 100 patients between 40 and 70 years old, assisted in a

  8. Variabilidad de la dimensión fractal de la ramificación coronaria izquierda en ausencia y presencia de enfermedad arterial oclusiva moderada y severa Variability in fractal dimension of left coronary artery ramification during absence and presence of moderate and severe occlusive arterial disease

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez

    Full Text Available La teoría fractal permite la caracterización objetiva de objetos irregulares. La ramificación coronaria izquierda es un objeto irregular que en la actualidad se evalúa por medio de la arteriografía, donde se determina la enfermedad arterial oclusiva a partir de la comparación de medidas entre segmentos arteriales, sin evaluar el impacto de la lesión en la ramificación coronaria total. La irregularidad de la totalidad de la ramificación coronaria puede evaluarse con dimensiones fractales. De manera fractal se caracterizaron imágenes consecutivas entre sístole y diástole de nueve pacientes con enfermedad arterial oclusiva moderada y se confrontaron con las medidas de siete pacientes con enfermedad arterial oclusiva severa y siete sin enfermedad arterial oclusiva mediante comparaciones de la variabilidad y la diferencia neta. Los pacientes con lesión moderada y sin enfermedad arterial oclusiva, presentan un comportamiento matemático que se caracteriza por mayor variabilidad, mientras que los pacientes con enfermedad arterial oclusiva severa presentan diferencias netas generalmente iguales a 0.The fractal theory allows the objective characterization of irregular objects. The left coronary artery ramification is an irregular object actually evaluated by means of arteriography, in which the occlusive arterial disease is evaluated through the comparison of measures between arterial segments, without evaluating the impact of the lesion in the whole coronary ramification. The irregularity of the whole coronary ramification can be evaluated through fractal dimensions. Consecutive images between systole and diastole of nine patients with moderate occlusive arterial disease were characterized in a fractal way and were confronted with the measures of seven patients with severe occlusive arterial disease and with seven without occlusive arterial disease by comparing the variability and the net difference. Patients with moderate lesion and

  9. Indicadores antropométricos de obesidad y su relación con la enfermedad isquémica coronaria Obesity anthropometrics indicators and the association with coronary ischemic disease

    Directory of Open Access Journals (Sweden)

    G. Oviedo

    2006-12-01

    Full Text Available Los indicadores antropométricos son valores de composición corporal usados para el diagnostico nutricionalde un individuo. En el presente trabajo los indicadores antropométricos fueron usados para analizar la relación entre éstos en estado de obesidad y la enfermedad isquémica coronaria (EIC. Se estudió una muestra de 120 hombres, divididos en grupo A (n = 60 con EIC y grupo B (n = 60 sin EIC y aparentemente sanos; edad 35-55 años; procedentes de Valencia-Estado Carabobo, Venezuela. Se interrogó antecedentes clínicos y edad Se midió peso, talla, circunferencia de brazo, cintura, cadera, pliegues cutáneos tricipital y subescapular; se calcularon los Indicadores índice de masa corporal (IMC, área grasa (AG e índice cintura/cadera (C/C. Resultados: Grupo A: edad promedio 45,2 ± 9,1 años, IMC de 28,5 ± 4,1 kg/m2² y C/C de 0,96 ± 0,004 cm; Grupo B edad 40,8 ± 4,8 años, IMC de 26,39 ± 4,4 kg/m² y C/C 0,90 ± 0,06 cm. Al comparar las medias se encontró diferencia significativa para la edad y el IMC (p Objective: To analyze the association of obesity anthropometrics indicators in coronary ischemic disease (CID. Methodology: A sample of 120 men was studied; group A (n = 60 with CID and group B (n = 60 without CID and apparent healthy, between 35-55 years old;from Valencia, Venezuela. Age and clinical data were obtained. Weight, height, circumferences of arm, waist, hip, skinfold tricipital and subescapular, were measured; body mass index (BMI, fatty area (FA and waist/hip index (W/H were calculated. Results: The mean age for Group A was 45,2 ± 9,1 years old; BMI 28,5 ± 4,1 kg/m² and W/H index of 0,96 ± 0,004 cm; for Group B age was 40,8 ± 4,8 years old, BMI 26,39 ± 4,4 kg/m2² and W/H index 0,90 ± 0,06 cm. A significant difference for age and BMI (p < 0,05 and for the W/H index (p < 0,01 was found. For men with CID, 40% were obese, 76% had high W/H index and 30% high AG, finding a significant association (p < 0,01 for the

  10. Factores de riesgo en la enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Francisco Grajales

    1988-02-01

    Full Text Available

    We performed a case-control study comparing 40 cases of clinically, electrocardiographically and enzymatically proven myocardial infarction with 16 controls matched for age, sex and Institution. We found association between the myocardial infarction and cigarette smoking, high blood pressure, cholesterol above 250 mg/dl, triglycerides above 150 mg/dl, uric acid over 8 mg/dill men or 6 mg/dill women, family history of diabetes or coronary heart disease, sedentary Life style, amount of coffee drinking and use of birth-control pills. These factors were synergistic. The high prevalence of smoking In the general population leads to the suggestion that It Is the most Important risk factor and that It could explain the greater number of cases of coronary disease, even If the association was not strong. Any public health actions aimed at reducing the frequency of this disease should include smoking reduction.

    Mediante un estudio de casos y controles, se compararon 40 pacientes con infarto del m 10- cardio comprobado clínica, electrocardiográfica y enzimáticamente, con 16 controles equiparados por edad, sexo e Institución; se comprobó asociación con el hábito de fumar, la presión arterial elevada, el colesterol de 250 ó más mg/dl; los triglicéridos de 150 ó más mg/dl, el ácido úrico de 8 ó más mg/dl en hombres y de 6 ó más mg/dl en mujeres; los antecedentes familiares de diabetes y enfermedad coronarla; la vida sedentaria; la Ingestión de café y el uso de anticonceptivos orales; también se demostró el sinergismo de dichos factores.

    Por la elevada prevalencia de fumadores en la población general se presume que el hábito de fumar fue el factor de riesgo más Importante y que podría explicar el mayor número de casos de enfermedad coronarla, aunque su asociación con ésta no fue muy fuerte; por ello se postula que cualquier campana de prevención primaria de dicha enfermedad deberla tratar de controlar este hábito

  11. Doença arterial coronariana, exercício físico e estresse oxidativo Enfermedad arterial coronaria, ejercicio físico y estrés oxidativo Coronary heart disease, physical exercise and oxidative stress

    Directory of Open Access Journals (Sweden)

    Ricardo Aurino de Pinho

    2010-04-01

    Full Text Available As doenças cardiovasculares (DCV lideram os índices de morbidade e mortalidade no Brasil e no mundo, sendo a doença arterial coronariana (DAC a causa de um grande número de mortes e de gastos em assistência médica. Inúmeros fatores de risco para a DAC estão diretamente relacionados à disfunção endotelial. A presença desses fatores de risco induz a diminuição da biodisponibilidade de óxido nítrico (NO, o aumento da formação de radicais livres (RL e o aumento da atividade endotelial. Essas mudanças podem levar a uma capacidade vasodilatadora prejudicada. Inúmeras intervenções são realizadas no tratamento da DAC, incluindo agentes farmacológicos, mudança nos hábitos alimentares, suplementação nutricional e exercício físico regular, cujos efeitos benéficos sobre a função endotelial vêm sendo demonstrados em experimentos com animais e humanos. Entretanto, a literatura ainda é controversa quanto à intensidade de esforço necessária para provocar alterações protetoras significativas na função endotelial. Da mesma forma, exercícios intensos estão também relacionados ao aumento no consumo de oxigênio e ao consequente aumento na formação de radicais livres de oxigênio (RLO.Las enfermedades cardiovasculares (ECV lideran los índices de morbilidad y mortalidad en Brasil y en el mundo, siendo la enfermedad arterial coronaria (EAC la causa de un gran número de muertes y de gastos en asistencia médica. Numerosos factores de riesgo para EAC están directamente relacionados a la disfunción endotelial. La presencia de estos factores de riesgo induce la disminución de la biodisponibilidad de óxido nítrico (NO, el aumento de la formación de radicales libres (RL y el aumento de la actividad endotelial. Esos cambios pueden perjudicar la capacidad vasodilatadora. En el tratamiento de la EAC se realizan numerosas intervenciones, incluyendo agentes farmacológicos, cambio en los hábitos alimentarios, suplemento

  12. Acesso radial em intervenções coronarianas percutâneas: panorama atual brasileiro Acceso radial en intervenciones coronarias percutáneas: panorama actual brasileño Radial approach in percutaneous coronary interventions: current status in Brazil

    Directory of Open Access Journals (Sweden)

    Pedro Beraldo de Andrade

    2011-04-01

    Full Text Available FUNDAMENTO: Embora a técnica radial exiba resultados incontestáveis na redução de complicações vasculares e ocorrência de sangramento grave quando comparada à técnica femoral, seu emprego permanece restrito a poucos centros que a elegeram como via de acesso preferencial. OBJETIVO: Avaliar o cenário atual das intervenções coronarianas percutâneas no Brasil quanto à utilização da via de acesso radial. MÉTODOS: Análise dos dados cadastrados de forma espontânea na Central Nacional de Intervenções Cardiovasculares (CENIC durante o quadriênio de 2005-2008, o que totaliza 83.376 procedimentos. RESULTADOS: A técnica radial foi utilizada em 12,6% dos procedimentos efetivados, e a técnica femoral, em 84,3%. Os 3,1% restantes foram representados pela dissecção ou punção braquial. Com uma taxa de sucesso de 97,5%, a opção pelo acesso radial associou-se à redução significativa de complicações vasculares quando comparado ao femoral (2,5% versus 3,6%, p FUNDAMENTO: Aunque la técnica radial exhiba resultados incontestables en la reducción de complicaciones vasculares y ocurrencia de sangrado grave cuando es comparada a la técnica femoral, su empleo permanece restringido a pocos centros que la eligieron como vía de acceso preferencial. OBJETIVO:Evaluar el escenario actual de las intervenciones coronarias percutáneas en el Brasil en cuanto a la utilización de la vía de acceso radial. MÉTODOS:Análisis de los datos registrados de forma espontánea en la Central Nacional de Intervenciones Cardiovasculares (CENIC durante el cuatrienio de 2005-2008, lo que totaliza 83.376 procedimientos. RESULTADOS:La técnica radial fue utilizada en 12,6% de los procedimientos efectuados, y la técnica femoral, en 84,3%. Los 3,1% restantes fueron representados por la disección o punción braquial. Con una tasa de éxito de 97,5%, la opción por el acceso radial se asoció a la reducción significativa de complicaciones vasculares cuando

  13. Doença arterial coronariana e vivência de perdas Enfermedad arterial coronaria y vivencia de pérdidas Coronary artery disease and experiences of losses

    Directory of Open Access Journals (Sweden)

    Rachel Jurkiewicz

    2009-10-01

    Full Text Available FUNDAMENTO: Na literatura, a depressão aparece associada a doenças cardiovasculares. A partir da experiência clínica, observou-se a categoria vivência de perdas associada à instalação e ao desenvolvimento da coronariopatia. A vivência de perdas, desencadeada por evento(s significativo(s apontado(s pelo paciente, implica em processo de luto, remetendo-o aos fatores psicossociais predisponentes ao adoecer. OBJETIVO: Investigar vivência de perdas por meio da avaliação do estado de luto e de depressão, e verificar a relação entre ambos, em pacientes internados com doença arterial coronariana. MÉTODOS: Avaliaram-se 44 pacientes internados, com os diagnósticos de infarto agudo do miocárdio ou angina, de 33 a 65 anos, 50% homens e 50% mulheres. Foram utilizados dois instrumentos: entrevista semi-estruturada para investigação de vivência de perdas e avaliação do estado de luto, e inventário de depressão de Beck para avaliação de depressão. Os resultados foram relacionados pelo programa Statistical Package for Social Sciences, versão 11.0. RESULTADOS: O estado de luto pode ser identificado em 66% dos casos, com significativa relação entre luto e depressão (p FUNDAMENTO: En la literatura, la depresión aparece asociada a enfermedades cardiovasculares. A partir de la experiencia clínica, se observó la categoría vivencia de pérdidas asociada a la instalación y al desarrollo de la coronariopatía. La vivencia de pérdidas, desencadenada por evento(s significativo(s señalados(s por el paciente, implica en el proceso de luto, y remetiéndole a los factores psicosociales predisponentes a lo volverse enfermo. OBJETIVO: Investigar la vivencia de pérdidas por medio de la evaluación del estado de luto y de depresión, y verificar la relación entre ambos, en pacientes internados con enfermedad arterial coronaria. MÉTODOS: Se evaluaron a 44 pacientes internados, con los diagnósticos de infarto agudo de miocardio o angina

  14. 20º Aniversario Piel para Renacer Fundación del Quemado

    OpenAIRE

    L. Guerrero-Serrano

    2015-01-01

    Los pacientes con quemaduras agudas en Colombia son necesariamente atendidos, bien o mal, por el Servicio de Salud. Sin embargo una vez salen del hospital, con o sin cobertura sanitaria, no reciben la atención necesaria para su rehabilitación. Las empresas promotoras de salud, que reciben una cuota por usuario afiliado, tratan de restringir al máximo las atenciones para incrementar sus excedentes en una visión perversa de lo que es la obligatoriedad del Servicio de Salud; y cuando lo hacen, n...

  15. 20º Aniversario Piel para Renacer Fundación del Quemado

    Directory of Open Access Journals (Sweden)

    L. Guerrero-Serrano

    2015-03-01

    Full Text Available Los pacientes con quemaduras agudas en Colombia son necesariamente atendidos, bien o mal, por el Servicio de Salud. Sin embargo una vez salen del hospital, con o sin cobertura sanitaria, no reciben la atención necesaria para su rehabilitación. Las empresas promotoras de salud, que reciben una cuota por usuario afiliado, tratan de restringir al máximo las atenciones para incrementar sus excedentes en una visión perversa de lo que es la obligatoriedad del Servicio de Salud; y cuando lo hacen, no es oportuna, no es de calidad, ni continua. La mayoría de las veces logran esta atención presentando el recurso jurídico de las tutelas que las obliga a prestar el servicio que niegan. Por ello, hace 20 años, 7 profesionales de la Unidad de Quemados del Hospital Simón Bolívar de Bogotá, decidieron constituir una fundación para apoyar el tratamiento de los pacientes quemados una vez hubieran salido de su período de hospitalización. En poco tiempo pasó de suministrar prendas de presión, silicona y cremas protectoras del sol a los pacientes a estructurar su rehabilitación integral, con un equipo compuesto por profesionales de: Cirugía Plástica, Fisioterapia, Psicología y Trabajo Social. Creó el primer Banco de Piel de Colombia y en la actualidad cuenta con sede propia y tiene múltiples convenios con organizaciones nacionales e internacionales que le permiten atender con calidad, oportunidad y eficiencia a un número cada vez mayor de pacientes con secuelas de quemadura. El objetivo de este trabajo es poner en evidencia cómo el cirujano plástico, ciudadano privilegiado al haber podido recibir una educación especializada y contar con todas las oportunidades de trabajo, tiene un espacio de responsabilidad social en la cual puede y debe apoyar a la población vulnerable que no cuenta con recursos económicos ni cobertura en salud, aportando lo mejor de su saber hacer como profesional de su especialidad: reconstruir las secuelas de los pacientes quemados y dirigir el equipo para el abordaje del proceso de cicatrización, del trauma psicológico producido por el impacto de la quemadura y conducir la reinserción familiar y social de los afectados.

  16. Primary prevention of neural tube defects: data from the portuguese national registry of congenital anomalies (RENAC)

    OpenAIRE

    Braz, Paula; Machado, Ausenda; Matias Dias, Carlos

    2016-01-01

    Background: In Portugal folic acid supplementation is recommended to start at least 2-3 months before conception for primary prevention of Neural Tube Defects. The aim of this study was to evaluate, within gestations with at least one congenital anomaly, possible association between maternal socio-demographic factors and the use of folic acid. Methods: Using data from the Portuguese national registry of congenital anomalies, for the 2004-2013 period, the association between folic acid use dur...

  17. Un renacer de la democracia frente a la desafección política

    OpenAIRE

    Ortí Buig, Andrés

    2014-01-01

    Treball Final de Grau en Humanitats: Estudis Interculturals. Codi: HU1036. Curs acadèmic 2013-2014 El siguiente proyecto, centrado en analizar la realidad actual en España respecto a la política y el sistema democrático, hace en primera instancia un recorrido por el término democracia. Seguidamente, se analiza la situación de desafección política y democrática actual, así como sus causas. A continuación, se muestran varias propuestas desde la filosofía para revertir esta situación. Y, fina...

  18. Tomé, futuro turístico y renacer industrial

    Directory of Open Access Journals (Sweden)

    Carol Andaluz Sandoval

    2015-04-01

    Full Text Available La ciudad de Tomé, ubicada en la ribera N.E. de la bahía de Talcahuano, distante a sólo 32 kilómetros al norte del Gran Concepción, se ha desarrollado económica y territorialmente por los diferentes aconteceres que le ha correspondido presenciar durante la historia. Es así como encontramos vestigios de la grandeza de su apogeo pesquero, portuario, molinero, vitivinícola y textil, tanto en el ordenamiento de su trama urbana como en obras arquitectónicas que muestran un claro reflejo de las inmigraciones extranjeras que se vieron atraídas por esta próspera ciudad, que nació como caleta de pescadores y se transformó en un centro industrial de gran importancia nacional. Tal fue su significancia dentro de las zonas costeras del país que en el año 1858, el Congreso Nacional declaró a Tomé Puerto Mayor, lo que se tradujo en un aumento importante de la población, la industria y las actividades que esto conllevaba.

  19. Diagnóstico fractal de disfunción cardéaca severa: Dinámica fractal de la ramificación coronaria izquierda Fractal diagnosis of severe cardiac dysfunction: Fractal dynamic of the left coronary branching

    Directory of Open Access Journals (Sweden)

    Javier O Rodréguez

    2012-10-01

    Full Text Available INTRODUCCIÓN Y OBJETIVOS: la geometría fractal evalúa la irregularidad de los objetos naturales, permitiendo caracterizar de forma imparcial la totalidad de la ramificación coronaria izquierda a diferencia de la metodología actual que evalúa únicamente partes de ésta. Con base en esta medida se generalizó una nueva metodología diagnóstica para detectar cualquier tipo de disfunción cardiaca severa. MÉTODOS: estudio de concordancia diagnóstica en el que se utilizó el método de box counting para medir dimensiones fractales de imágenes consecutivas entre sístole y diástole de la ramificación coronaria izquierda en proyección oblicua derecha anterior de angiografías de ocho pacientes con enfermedad arterial oclusiva leve. Así mismo, se evaluaron sus cambios por medio de los conceptos de variabilidad y diferencia neta y se compararon estos resultados con pacientes sin enfermedad arterial oclusiva, con enfermedad arterial oclusiva moderada y severa evaluados previamente de igual forma, para obtener una metodología matemática que evalúa el impacto de cualquier patología en la dinámica cardiaca. RESULTADOS: los casos que presentan diferencias netas de cero corresponden a pacientes con disfunciones cardiacas severas, independientemente del grado o ausencia de enfermedad arterial oclusiva diagnosticada. CONCLUSIONES: se generalizó una nueva metodología diagnóstica de aplicación clínica que detecta disfunciones cardiacas severas sub-diagnosticadas con las metodologías actuales, mediante la caracterización de la dinámica total de la ramificación coronaria izquierda.INTRODUCTION AND OBJETIVES: fractal geometry evaluates the irregularity of natural objects, allowing impartially characterize the entire left coronary branching unlike the current methodology which evaluates only parts of it. Based on this measure, a new diagnostic method was generalized to detect any type of severe cardiac dysfunction. METHODS: Concordance

  20. Infarto do miocárdio causado por lesão arterial coronariana após trauma torácico fechado Infarto de miocardio causado por lesión arterial coronaria post traumatismo torácico cerrado Myocardial infarction caused by coronary artery injury after a blunt chest trauma

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    Márcio Silva Miguel Lima

    2009-07-01

    Full Text Available Relatamos o caso de um indivíduo do sexo masculino de 29 anos de idade, vítima de um acidente de carro no qual sofreu trauma torácico fechado, evoluindo com insuficiência cardíaca congestiva. O paciente apresentava boa saúde previamente, sem sintomas de doença cardiovascular. Na avaliação inicial, o eletrocardiograma mostrou ondas Q nas derivações precordiais e o ecocardiograma mostrou disfunção ventricular esquerda importante. A angiografia coronária mostrou uma lesão na artéria coronária descendente anterior esquerda (ADE, com acinesia da parede anterior na ventriculografia com contraste. A tomografia computadorizada por emissão de fóton único (SPECT com Tálio-201 não mostrou viabilidade. O paciente foi mantido em tratamento clínico com boa evolução.Relatamos el caso de un individuo del sexo masculino, de 29 años de edad, víctima de accidente automovilístico en el cual sufrió traumatismo torácico cerrado, evolucionando con insuficiencia cardíaca congestiva. El paciente presentaba buena salud previamente, sin síntomas de enfermedad cardiovascular. En la evaluación inicial, el electrocardiograma mostró ondas Q en las derivaciones precordiales y el ecocardiograma mostró disfunción ventricular izquierda importante. La angiografía coronaria mostró una lesión en la arteria coronaria descendente anterior izquierda (ADI, con acinesia de la pared anterior en la ventriculografía de contraste. La tomografía computada por emisión de fotón único (SPECT con Talio-201 no mostró viabilidad. El paciente fue mantenido en tratamiento clínico con buena evolución.We report the case of a 29-year-old man, victim of a car accident, who suffered a severe blunt chest trauma, with evolving congestive heart failure. He had previously had a good overall health status, with no symptoms of cardiovascular disease. At the initial assessment, the electrocardiogram showed Q waves in the precordial leads and the echocardiogram

  1. Grande fístula bilateral da artéria coronária: a escolha do tratamento clínico Gran fístula bilateral de la arteria coronaria: la selección del tratamiento clínico Large bilateral coronary artery fistula: the choice of clinical treatment

    Directory of Open Access Journals (Sweden)

    Luciana Oliveira Cascaes Dourado

    2009-09-01

    Full Text Available Relatamos o caso de um paciente do sexo feminino, assintomática, com grande fístula bilateral da artéria coronária-artéria pulmonar. O monitoramento clínico foi a opção escolhida para tratamento. Discutimos os pormenores das opções terapêuticas, enfatizando a tendência excessiva de utilizar a abordagem cirúrgica e a grande escassez de acompanhamentos clínicos de longo prazo em pacientes assintomáticos.Relatamos el caso de un paciente del sexo femenino, asintomática, con gran fístula bilateral de la arteria coronaria-arteria pulmonar. El monitoreo clínico fue la opción elegida para el tratamiento. Discutimos los pormenores de las opciones terapéuticas, enfatizando la tendencia excesiva de utilizar el abordaje quirúrgico y la gran escasez de seguimientos clínicos de largo plazo en pacientes asintomáticos.

  2. The impact of anthropogenic discharges on Arkansas river shiner (Notropis girardi) habitat within the South Canadian River watershed in the Texas Panhandle, 2001-2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In 2001, the USFWS Arlington, Texas Field Office initiated a one-year study on the mainstem of the South Canadian River in the Texas Panhandle to determine the...

  3. Comparison of speciation sampler and PC-BOSS fine particulate matter organic material results obtained in Lindon, Utah, during winter 2001-2002.

    Science.gov (United States)

    Carter, Cory; Eatough, Norman L; Eatough, Delbert J; Olson, Neal; Long, Russell W

    2008-01-01

    The Particle Concentrator-Brigham Young University Organic Sampling System (PC-BOSS) has been previously verified as being capable of measuring total fine particulate matter (PM2.5), including semi-volatile species. The present study was conducted to determine if the simple modification of a commercial speciation sampler with a charcoal denuder followed by a filter pack containing a quartz filter and a charcoal-impregnated glass (CIG) fiber filter would allow for the measurement of total PM2.5, including semi-volatile organic material. Data were collected using an R&P (Rupprecht and Pastasnik Co., Inc.) Partisol Model 2300 speciation sampler; an R&P Partisol speciation sampler modified with a BOSS denuder, followed by a filter pack with a quartz and a CIG filter; a Met One spiral aerosol speciation sampler (SASS); and the PC-BOSS from November 2001 to March 2002 at a U.S. Environmental Protection Agency (EPA) Science to Achieve Results (STAR) sampling site in Lindon, UT. Total PM2.5 mass, ammonium nitrate (both nonvolatile and semi-volatile), ammonium sulfate, organic carbon (both non-volatile and semi-volatile), and elemental carbon were determined on a 24-hr basis. Results obtained with the individual samplers were compared to determine the capability of the modified R&P speciation sampler for measuring total PM2.5, including semi-volatile components. Data obtained with the modified speciation sampler agreed with the PC-BOSS results. Data obtained with the two unmodified speciation samplers were low by an average of 26% because of the loss of semi-volatile organic material from the quartz filter during sample collection.

  4. Comparing the Reproductive Success of Yakima River Hatchery- and Wild-Origin Spring Chinook; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Schroder, Steven L. (Washington Department of Fish and Wildlife, Olympia, WA); Knudsen, Curtis M. (Oncorh Consulting, Olympia, WA); Watson, Bruce D. (Yakima Nation, Toppenish, WA)

    2003-05-01

    In 2001 hatchery- and wild-origin spring chinook were placed into an observation stream located at the Cle Elum Supplementation Research Facility to compare their reproductive success. Two groups containing both wild- and hatchery fish of both sexes were brought into the stream and allowed to spawn. Their longevity, spawning participation, and reproductive success were assessed. In addition, wild- and hatchery-origin precocious males were also introduced into one of the sections and allowed to spawn. We found that hatchery and wild males generally lived longer than females. In one group hatchery and wild females lived for similar periods of time while in the other wild females lived longer than hatchery fish. Wild females were also more successful at burying their eggs and the eggs they buried had higher survival rates. This result occurred in both groups of fish. Spawning participation in males was estimated by using two statistics referred to as percent gonad depletion (PGD) and percent testes retention (PRT). Both of these measures assumed that loss of testes weight in males would reflect their spawning participation and therefore could be used to estimate reproductive success. Hatchery and wild males had similar PGD and PRT values. One of these measures, PRT, was negatively associated with male reproductive success, confirming the idea that reduction in testes weight can be used as a surrogate measure of a male's ability to produce offspring Fry from the observation stream were collected throughout the emergence period that ran from January through May. Proportionate sub-samples of these fish were removed and microsatellite DNA was extracted from them. Pedigree analyses were performed to ascertain which adult fish had produced them. These analyses disclosed that wild males were more successful at producing progeny in one of the groups. No difference occurred in the other group. Precocial males and jacks fathered fewer progeny than did fish maturing at ages 4 and 5. In addition, male reproductive success was more than twice as variable as that seen in females. Some males apparently never spawned and others produced more than 7,000 offspring an amount that was more than double the quantity generated by the most successful female. Behavioral observations showed that a number of factors besides male origin influenced their reproductive success. One was relative body size; larger males tended to dominate smaller opponents and therefore had greater access to females. However, male dominance was not always related to relative size. The ability to attack and chase opponents was, however, positively related to reproductive success. We also discovered that the reproductive status of females and the social status of males were often reflected by their nuptial coloration. Territorial females typically had a single broad purple black stripe, light green or brown backs and white or gray ventral surfaces. Dominate males on the other hand, were generally a uniform dark brown or black color. The percentage of time that a male possessed a dark color pattern was positively linked to his reproductive success, as was the percentage of time he was observed courting or defending a female. The number of times a male was chased or attacked by a female also affected his reproductive success, in this situation the greater the frequency of such attacks the lower the reproductive success of the male. The pedigree analyses also disclosed that both hatchery and wild precocious males were able to fertilize eggs and produce offspring under natural spawning conditions. In conclusion we found differences in the reproductive competency of hatchery- and wild origin spring chinook. Wild females were better at depositing their eggs and having those eggs produce fry. In one study group wild males were more successful at producing offspring than hatchery males. Additional replications of such evaluations are being carried out to determine if the differences seen can be replicated. A repeat of the work done in 2001, for example, was performed in 2002 an

  5. 2001-2002 Puget Sound LiDAR Consortium (PSLC) Topographic LiDAR: Island County and Northeast Jefferson County, Washington

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — TerraPoint surveyed and created this data for the Puget Sound LiDAR Consortium under contract. The area surveyed is approximately 525 square miles and covers all of...

  6. Soil gas composition from the 2001-2002 fissure in the Lakki Plain (Nisyros Island, Greece): evidences for shallow hydrothermal fluid circulation

    Science.gov (United States)

    Venturi, Stefania; Tassi, Franco; Kanellopoulos, Christos; Vaselli, Orlando; Caponi, Chiara; Ricci, Andrea; Raspanti, Alessio; Gallorini, Andrea; Cabassi, Jacopo; Vougioukalakis, Georges

    2016-04-01

    Nisyros volcano (Aegean Sea, Greece) is currently classified in the "Very High Threat" category (Kinvig et al., 2010). Although the last volcanic activity, consisting of phreatic eruptions, occurred in the 19th century, Nisyros experienced an intense seismic activity during 1996-1998 accompanied by ground deformation and changes in the chemistry of fumarolic gases (Chiodini et al., 2002), pointing to a renewed unrest. Between November 2001 and December 2002, a NNE-oriented 600 m long fissure opened in the vegetated central part of the Lakki Plain. The fissure, 1-5 m wide and up to 15-20 m deep, showed neither vertical displacements nor gas release. No changes in the seismic and volcanic activity were observed during or after this event, which was interpreted as related to collapse of the upper caldera floor fine sediment cover (Elsevier, Amsterdam The Netherlands, 2005, pp. 161-163.

  7. Comparing the Reproductive Success of Yakima River Hatchery- and Wild-Origin Spring Chinook; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Schroder, Steven L. (Washington Department of Fish and Wildlife, Olympia, WA); Knudsen, Curtis M. (Oncorh Consulting, Olympia, WA); Watson, Bruce D. (Yakima Nation, Toppenish, WA)

    2003-05-01

    In 2001 hatchery- and wild-origin spring chinook were placed into an observation stream located at the Cle Elum Supplementation Research Facility to compare their reproductive success. Two groups containing both wild- and hatchery fish of both sexes were brought into the stream and allowed to spawn. Their longevity, spawning participation, and reproductive success were assessed. In addition, wild- and hatchery-origin precocious males were also introduced into one of the sections and allowed to spawn. We found that hatchery and wild males generally lived longer than females. In one group hatchery and wild females lived for similar periods of time while in the other wild females lived longer than hatchery fish. Wild females were also more successful at burying their eggs and the eggs they buried had higher survival rates. This result occurred in both groups of fish. Spawning participation in males was estimated by using two statistics referred to as percent gonad depletion (PGD) and percent testes retention (PRT). Both of these measures assumed that loss of testes weight in males would reflect their spawning participation and therefore could be used to estimate reproductive success. Hatchery and wild males had similar PGD and PRT values. One of these measures, PRT, was negatively associated with male reproductive success, confirming the idea that reduction in testes weight can be used as a surrogate measure of a male's ability to produce offspring Fry from the observation stream were collected throughout the emergence period that ran from January through May. Proportionate sub-samples of these fish were removed and microsatellite DNA was extracted from them. Pedigree analyses were performed to ascertain which adult fish had produced them. These analyses disclosed that wild males were more successful at producing progeny in one of the groups. No difference occurred in the other group. Precocial males and jacks fathered fewer progeny than did fish maturing at ages 4 and 5. In addition, male reproductive success was more than twice as variable as that seen in females. Some males apparently never spawned and others produced more than 7,000 offspring an amount that was more than double the quantity generated by the most successful female. Behavioral observations showed that a number of factors besides male origin influenced their reproductive success. One was relative body size; larger males tended to dominate smaller opponents and therefore had greater access to females. However, male dominance was not always related to relative size. The ability to attack and chase opponents was, however, positively related to reproductive success. We also discovered that the reproductive status of females and the social status of males were often reflected by their nuptial coloration. Territorial females typically had a single broad purple black stripe, light green or brown backs and white or gray ventral surfaces. Dominate males on the other hand, were generally a uniform dark brown or black color. The percentage of time that a male possessed a dark color pattern was positively linked to his reproductive success, as was the percentage of time he was observed courting or defending a female. The number of times a male was chased or attacked by a female also affected his reproductive success, in this situation the greater the frequency of such attacks the lower the reproductive success of the male. The pedigree analyses also disclosed that both hatchery and wild precocious males were able to fertilize eggs and produce offspring under natural spawning conditions. In conclusion we found differences in the reproductive competency of hatchery- and wild origin spring chinook. Wild females were better at depositing their eggs and having those eggs produce fry. In one study group wild males were more successful at producing offspring than hatchery males. Additional replications of such evaluations are being carried out to determine if the differences seen can be replicated. A repeat of the work done in 2001, for example, was performed in 2002 and additional studies will take place this coming year.

  8. Behavior assessment of blood donors facing the risk of HIV infection, Abidjan, Cotê D'Ivoire, 2001-2002.

    Science.gov (United States)

    Minga, Albert K; Huët, Charlotte; Dohoun, Lambert; Abo, Yao; Bonard, Dominique; Gourvellec, G; Coulibaly, Ali; Konaté, Seidou; Dabis, Francois; Salamon, Roger

    2005-04-15

    Despite precautions taken to guarantee blood safety, in the National Blood Transfusion Center (CNTS) of Abidjan, about 30 regular blood donors are detected with HIV seroconversion each year, two-thirds of them men. A survey through face-to-face interviews was carried out at the CNTS of Abidjan from September 2001 to March 2002 among HIV-positive and HIV-negative regular blood donors, informed about their serologic status. HIV-negative regular blood donors informed about their serologic status since a median time of 67 months (n = 50) disclosed more risky behaviors such as multiple sexual partners (68%) than HIV-positive blood donors informed about their status (n = 112) since a median time of 35 months (41%) (P < 0.001). Condoms were systematically used by 17% of HIV-negative blood donors and 55% of HIV-positive blood donors (P < 0.001). Enhanced counseling and awareness could reduce in the future the number of cases of seroconversion among regular blood donors and improve their subsequent behavior. Blood donors who have unprotected sex with partners of unknown HIV serologic status and especially with casual partners are strongly exposed to HIV transmission and should be discouraged to continue giving blood, after adequate counseling.

  9. Benthic Surveys for Ground Truthing of Coastal Benthic Mapping in the Main Eight Hawaiian Islands 2001-2002 (NODC Accession 0001329)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) National Ocean Service (NOS) initiated a coral reef research program in 1999 to map, assess, inventory,...

  10. Effects of Mine Waste Contamination on Fish and Wildlife Habitat at Multiple Levels of Biological Organization in the Methow River, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Peplow, Dan; Edmonds, Robert.

    2002-06-01

    A three-year multidisciplinary study was conducted on the relationship between mine waste contamination and the effects on aquatic and terrestrial habitats in the Methow River below abandoned mines near Twisp in Okanogan County, Washington (U.S.A.). Ore deposits in the area were mined for gold, silver, copper and zinc until the early 1950's. An above-and-below-mine approach was used to study potentially impacted sites. Although the dissolved metal content of water in the Methow River was below the limits of detection, eleven chemicals of potential environmental concern were identified in the tailings, mine effluents, groundwater, streamwater and sediments (Al, As, B, Ba, Cd, Cr, Cu, Mn, Pb, Se and Zn). The potential for ecosystem level impacts was reflected in the risk of contamination in the mine waste to communities and populations that are valued for their functional properties related to energy storage and nutrient cycling. Dissolved and sediment metal contamination changed the benthic insect community structure in a tributary of the Methow River below Alder Mine, and at the population level, caddisfly larval development in the Methow River was delayed. Arsenic accumulation in bear hair and Cd in fish liver suggest top predators are effected. In situ exposure of juvenile triploid trout (Oncorhynchus mykiss) to conditions at the downstream site resulted in reduced growth and increased mortality among exposed individuals. Histopathological studies of their tissues revealed extensive glycogen inclusions suggesting food is being converted into glycogen and stored in the liver but the glycogen is not being converted back normally into glucose for distribution to other tissues in the body. Subcellular observations revealed mitochondrial changes including a decrease in the number and increase in the size of electron-dense metrical granules, the presence of glycogen bodies in the cytoplasm, and glycogen nuclei in exposed trout hepatocytes, which are signs that Type IV Glycogen Storage disease is occurring. GSD IV is caused by either a deficiency or inactivation of the glycogen branching enzyme that results in the synthesis of an abnormal glycogen molecule that is insoluble and has decreased branch points and increased chain length. These results show that the effects of mine waste contaminants can be expressed at all levels of organization from molecular to ecosystem-level responses.

  11. Assess Current and Potential Salmonid Production in Rattlesnake Creek Associated with Restoration Efforts; US Geological Survey Reports, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Connolly, Patrick J. (US Geological Survey, Western Fisheries Research Center, Columbia River Research Laboratory, Cook, WA)

    2003-01-01

    This project was designed to document existing habitat conditions and fish populations within the Rattlesnake Creek watershed (White Salmon River subbasin, Washington) before major habitat restoration activities are implemented and prior to the reintroduction of salmon and steelhead above Condit Dam. Returning adult salmon Oncorhynchus spp. and steelhead O. mykiss have not had access to Rattlesnake Creek since 1914. An assessment of resident trout populations should serve as a good surrogate for evaluation of factors that would limit salmon and steelhead production in the watershed. Personnel from United States Geological Survey's Columbia River Research Laboratory (USGS-CRRL) attend to three main objectives of the Rattlesnake Creek project. The first is to characterize stream and riparian habitat conditions. This effort includes measures of water quality, water quantity, stream habitat, and riparian conditions. The second objective is to determine the status of fish populations in the Rattlesnake Creek drainage. To accomplish this, we derived estimates of salmonid population abundance, determined fish species composition, assessed distribution and life history attributes, obtained tissue samples for future genetic analysis, and assessed fish diseases in the watershed. The third objective is to use the collected habitat and fisheries information to help identify and prioritize areas in need of restoration. As this report covers the first year of a three-year study, this report is restricted to describing our work on the first two objectives only.

  12. [New research on the practice, reporting and reviewing of euthanasia and other medical end-of-life decisions, 2001/2002

    NARCIS (Netherlands)

    Wal, G. van der; Maas, P.J. van der; Onwuteaka-Philipsen, B.D.; Heide, A. van der

    2001-01-01

    In the second half of 2001, an extensive study will start which will evaluate the review procedure for euthanasia in the Netherlands. Since the end of 1998, euthanasia has to be reviewed by regional review committees, which include a physician and an ethicist, in addition to a legal expert. The aim

  13. Perinatal characterization of multiple pregnancy in Cienfuegos city from 2001 to 2002 Caracterización perinatal del embarazo gemelar en Cienfuegos (2001-2002).

    OpenAIRE

    Alexis Díaz Brito; Gabriel Jiménez González; Alberto Jorge Fernández; Mariam Zam; Cristóbal Torres González

    2004-01-01

    Background: Multiple pregnancy is the gestation of more than one fetus in the uterine cavity, in this case two of them. This kind of pregnancy is considered a high obstetric risk due to its high rate in perinatal morbimortality. Objectives: to assess the morbimortality rate behavior in multiple pregnancy of two fetuses in Cienfuegos city. Methods: A descriptive retrospective stu...

  14. Yakima/Klickitat Fisheries Project; Washington Department of Fish and Wildlife Policy/Technical Involvement and Planning, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Easterbrooks, John A.; Pearsons, Todd N. (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-03-01

    The Yakima/Klickitat Fisheries Project (YKFP) is a supplementation project sponsored by the Northwest Power Planning Council (Columbia River Basin Fish and Wildlife Program 1994, Measure 7.4K). The objectives of the YKFP are: (1) to test the hypothesis that new supplementation techniques can be used in the Yakima River Basin to increase natural production and to improve harvest opportunities while maintaining the long-term genetic fitness of the wild and native salmonid populations and keeping adverse ecological interactions within acceptable limits (Yakima Fisheries Project Final Environment Impact Statement, 1996); (2) provide knowledge about the use of supplementation, so that it may be used to mitigate effects on anadromous fisheries throughout the Columbia River Basin; (3) to maintain and improve the quantity and productivity of salmon and steelhead habitat, including those areas made accessible by habitat improvements; (4) to ensure that Project implementation remains consistent with the Council's Fish and Wildlife Program; and (5) to implement the Project in a prudent and environmentally sound manner. Current YKFP operations have been designed to test the principles of supplementation (Busack et al. 1997). The Project's experimental design has focused on the following critical uncertainties affecting supplementation: (1) The survival and reproductive success of hatchery fish after release from the hatchery; (2) The impacts of hatchery fish as they interact with non-target species and stocks; and, (3) The effects of supplementation on the long-term genetic fitness of fish stocks. The YKFP endorses an adaptive management policy applied through a project management framework as described in the Yakima/Klickitat Fisheries Project Planning Status Report (1995), Fast and Craig (1997), Clune and Dauble 1991. The project is managed by a Policy Group consisting of a representative of the Yakama Nation (YN, lead agency) and a representative of the Washington Department of Fish and Wildlife (WDFW). The functions of the parties are described in an MOU between the YN and the WDFW. A Scientific and Technical Advisory Committee (STAC) consisting of one representative from each management entity reports to the Policy Group and provides technical input on policy and other issues. Additional committee's, such as the Monitoring Implementation and Planning Team (MIPT), serve as the discretion of STAC. The Policy Group and STAC meet periodically (usually monthly) to conduct the business of the YKFP. Although the YKFP is an all stocks initiative (BPA 1996), most effort to date has been directed at spring chinook salmon and coho salmon. This report is a compilation of the year's activities between August 1, 2001 and July 31, 2002. All findings should be considered preliminary until data collection is completed or the information is published in a peer-reviewed journal.

  15. Reproductive Ecology of Yakima River Hatchery and Wild Spring Chinook; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Knudsen, Curtis M. (Oncorh Consulting, Olympia, WA)

    2003-05-01

    This report is intended to satisfy two concurrent needs: (1) provide a contract deliverable from Oncorh Consulting to the Washington Department of Fish and Wildlife (WDFW), with emphasis on identification of salient results of value to ongoing Yakima/Klickitat Fisheries Project (YKFP) planning, and (2) summarize results of research that have broader scientific relevance. This is the second in a series of reports that address reproductive ecological research and monitoring of spring chinook in the Yakima River basin. In addition to within-year comparisons, between-year comparisons will be made to determine if traits of the wild Naches basin control population, the naturally spawning population in the upper Yakima River and the hatchery control population are diverging over time. This annual report summarizes data collected between April 1, 2002 and March 31, 2003. In the future, these data will be compared to previous years to identify general trends and make preliminary comparisons. Supplementation success in the Yakima Klickitat Fishery Project's (YKFP) spring chinook (Oncorhynchus tshawytscha) program is defined as increasing natural production and harvest opportunities, while keeping adverse ecological interactions and genetic impacts within acceptable bounds (Busack et al. 1997). Within this context demographics, phenotypic traits, and reproductive ecology have significance because they directly affect natural productivity. In addition, significant changes in locally adapted traits due to hatchery influence, i.e. domestication, would likely be maladaptive resulting in reduced population productivity and fitness (Taylor 1991; Hard 1995). Thus, there is a need to study demographic and phenotypic traits in the YKFP in order to understand hatchery and wild population productivity, reproductive ecology, and the effects of domestication (Busack et al. 1997). Tracking trends in these traits over time is also a critical aspect of domestication monitoring (Busack et al. 2002) to determine whether trait changes have a genetic component and, if so, are they within acceptable limits. Each chapter of this report deals with monitoring phenotypic and demographic traits of Yakima River basin spring chinook comparing hatchery and wild returns in 2002; the second year of adult hatchery returns. The first chapter deals specifically with adult traits of American River, Naches basin (excluding the American River), and upper Yakima River spring chinook, excluding gametes. The second chapter examines the gametic traits and progeny produced by upper Yakima River wild and hatchery origin fish. In the third chapter, we describe work begun initially in 2002 to characterize and compare redds of naturally spawning wild and hatchery fish in the upper Yakima River.

  16. Homicidios diarios. Análisis del discurso periodístico sobre homicidios por armas de fuego. Buenos Aires (Argentina 2001-2002

    Directory of Open Access Journals (Sweden)

    Leonardo Federico

    2010-01-01

    Full Text Available Durante los años 2001 y 2002, la Argentina atravesó una grave crisis política y social, alcanzando niveles de pobreza y exclusión inauditos. En esos años, los diferentes tipos de violencia urbana mostraron un marcado incremento, en especial los homicidios cometidos mediante el uso de armas de fuego, constituyéndose en una problemática social con importantes repercusiones para la salud pública. El presente artículo es producto de una investigación cualitativa que indagó, mediante un análisis crítico del discurso, las diferentes modalidades con que los diarios La Nación y Clarín dieron cuenta de los hechos acaecidos -durante dicho período- en la Ciudad Autónoma de Buenos Aires. Los datos se obtuvieron de la recopilación de material de hemeroteca, y fueron analizados a partir de una técnica propia referenciada en la Escuela Francesa de Análisis del Discurso. En cuanto a los resultados del estudio, se subraya: el posicionamiento más popular adoptado por el diario Clarín (lógica enunciativa de la verosimilitud, en contraposicióncon la búsqueda de objetividad de La Nación (lógica de la verificación, asumiendo ambos un carácter complementario en la producción y reproducción social de sentido, al dar cuenta de las muertes por homicidios ocasionadas mediante el uso de armas de fuego.

  17. Survival Estimates for the Passage of Spring-Migrating Juvenile Salmonids through Snake and Columbia River Dams and Reservoirs, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Zabel, Richard; Williams, John G.; Smith, Steven G. (Northwest and Alaska Fisheries Science Center, Fish Ecology Division, Seattle, WA)

    2002-06-01

    In 2001, the National Marine Fisheries Service and the University of Washington completed the ninth year of a study to estimate survival and travel time of juvenile salmonids (Oncorhynchus spp.) passing through dams and reservoirs on the Snake and Columbia Rivers. All estimates were derived from passive integrated transponder (PIT)-tagged fish. We PIT tagged and released at Lower Granite Dam a total of 17,028 hatchery and 3,550 wild steelhead. In addition, we utilized fish PIT tagged by other agencies at traps and hatcheries upstream of the hydropower system and sites within the hydropower system. PIT-tagged smolts were detected at interrogation facilities at Lower Granite, Little Goose, Lower Monumental, McNary, John Day, and Bonneville Dams and in the PIT-tag detector trawl operated in the Columbia River estuary. Survival estimates were calculated using the Single-Release Model. Primary research objectives in 2001 were to: (1) estimate reach and project survival and travel time in the Snake and Columbia Rivers throughout the yearling chinook salmon and steelhead migrations; (2) evaluate relationships between survival estimates and migration conditions; and (3) evaluate the survival-estimation models under prevailing conditions. This report provides reach survival and travel time estimates for 2001 for PIT-tagged yearling chinook salmon and steelhead (hatchery and wild) in the Snake and Columbia Rivers. Results are reported primarily in the form of tables and figures with a minimum of text. More details on methodology and statistical models used are provided in previous reports cited in the text. Results for summer-migrating chinook salmon will be reported separately.

  18. National exchange rate policies and international debt crises: how Brazil did not follow Argentina into a default in 2001-2002

    Directory of Open Access Journals (Sweden)

    Bryan Andrew Kenyon Johnson

    2007-01-01

    Full Text Available This paper examines how exchange rate policies and IMF Stand-By Arrangements affect debt crises using econometrics and a comparison between Argentina and Brazil. It refines an existing diagram outlining crisis development to propose crisis prevention strategies. Flexible exchange rate policies reduce a country's probability of default by over 4%, but Stand-By Arrangements increase it by an inconsequential percentage. Unlike Argentina, Brazil avoided a default via a freely-floating exchange rate system, fiscal deficit reduction, and a cooperative and coordinated relationship with the IMF. The results provide policymakers from developing countries with lessons to manage their countries' default risks more effectively.

  19. Estructura y organización de los comités de ética de la investigación en Colombia (2001-2002

    Directory of Open Access Journals (Sweden)

    Maria Gabriela Alterio

    2008-01-01

    Full Text Available AVANZAR, Asociación Colombiana para el avance de la Investigación Clínica en Colombia, entidad sin ánimo de lucro que busca incentivar el desarrollo de la investigación clínica del país, llevo a cabo un estudio que tiene como propósito conocer la estructura y organización de los Comités de Ética en Investigación en el Territorio Nacional; como una de las actividades básicas de la Comisión de Ética en Investigación. El estudio permitirá obtener un diagnóstico situacional de los Comités de Ética en Investigación, con el fin de tomar las acciones respectivas para el crecimiento de los mismos y su nivelación de acuerdo con estándares internacionales que conlleven al desarrollo de esta disciplina. La información recolectada será utilizada de manera confi dencial, para estimar los ponderados nacionales.

  20. Effects of Cougar Predation and Nutrition on Mule Deer Population Declines in the Intermountain Province of the Columbia Basin, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Wielgus, Robert B.; Shipley, Lisa

    2002-07-01

    Construction of the Grand Coulee and Chief Joseph dams has resulted in inundation and loss of 29,125 total habitat units for mule deer and irrigation agriculture in many parts the Intermountain Province (IM) of the Columbia Basin. Mule deer in the Shrub-Steppe are ranked high priority target species for mitigation and management and are declining in most portions of the subbasins of the IM. Reasons for the decline are unknown but believed to be related to habitat changes resulting from dams and irrigation agriculture. White-tailed deer are not ranked as target species and are believed to be increasing throughout the basin because of habitat changes brought about by the dams and irrigation agriculture. Recent research (1997-2000) in the NE IM and adjacent Canadian portions of the Columbia Basin (conducted by this author and funded by the Columbia Basin Fish & Wildlife Compensation Program B.C.), suggest that the increasing white-tailed deer populations (because of dams and irrigation agriculture) are resulting in increased predation by cougars on mule deer (apparent competition or alternate prey hypothesis). The apparent competition hypothesis predicts that as alternate prey (white-tailed deer) densities increase, so do densities of predators, resulting in increased incidental predation on sympatric native prey (mule deer). Apparent competition can result in population declines and even extirpation of native prey in some cases. Such a phenomenon may account for declines of mule deer in the IM and throughout arid and semi-arid West where irrigation agriculture is practiced. We will test the apparent competition hypothesis by conducting a controlled, replicated ''press'' experiment in at least 2 treatment and 2 control areas of the IM subbasins by reducing densities of white-tailed deer and observing any changes in cougar predation on mule deer. Deer densities will be monitored by WADFW personnel using annual aerial surveys and/or other trend indices. Predation rates and population growth rates of deer will be determined using radio telemetry. Changes in cougar functional (kills/unit time), aggregative (cougars/unit area), numerical (offspring/cougar), and total (predation rate) responses on deer will also be monitored using radio telemetry. The experiment will be conducted and completed over a period of 5 years. Results will be used to determine the cause and try to halt the mule deer population declines. Results will also guide deer mitigation and management in the IM and throughout the North American West.

  1. Tratamento contábil do câmbio flutuante no Brasil: uma proposta frente à grande volatilidade 2001/2002

    Directory of Open Access Journals (Sweden)

    Natan Szuster

    2003-04-01

    Full Text Available Nos anos de 2001 e 2002, a existência de elevações transitórias no valor do dólar frente ao real, posteriormente revertidas, acarretaram a geração de Demonstrações Contábeis distorcidas para empresas brasileiras que possuíam ativos ou passivos com cláusula de variação cambial, gerando uma grande volatilidade nos resultados apresentados. O presente trabalho apresenta uma proposta de adoção de um conceito denominado de "Dólar Justo", calculado com base na ciência econômica através da Teoria da Paridade Cambial , utilizando a base de cálculo desenvolvido pelo Banco Mundial. Esse tratamento possibilitaria a contabilização das variações monetárias dos ativos e passivos de longo prazo com cláusula de variação cambial, de forma linear, evitando a apuração de lucros e prejuízos temporários. O parâmetro para avaliação patrimonial não considera como referencial único a taxa corrente do dólar, mas um valor relacionado ao montante que será em perspectiva utilizado, na data de realização dos elementos patrimoniais. A metodologia de cálculo e a forma de obtenção dos valores é demonstrada e exemplificada. São abordadas diversas alternativas para evidenciação e contabilização da diferença entre o valor do dólar efetivo na data do Balanço e o denominado "Dólar-Justo". O objetivo do artigo é ampliar o debate sobre os efeitos para a contabilidade decorrentes da adoção do câmbio flutuante sugerindo uma alternativa de mudança . Essa deverá ser bem avaliada quanto a viabilidade prática de mudança pois propicia um aumento da qualidade das Demonstrações Contábeis mas irá ensejar uma alteração na atual estrutura conceitual básica da contabilidade.In 2001 and 2002, the existence of transitory elevations in the value of the dollar as opposed to the real, which were reverted later on, caused the creation of distorted Financial Statements for Brazilian companies that owned assets or liabilities with an exchange variance clause, generating a high level of volatility in the presented results. This study presents a proposal for the adoption of a concept called "Fair Dollar", calculated on an economic base by means of the Exchange Parity Theory, using the calculation base that was developed by the World Bank.This treatment would allow for the accounting treatment of monetary variations in long-term assets and liabilities with an exchange variance clause in a linear way, avoiding the determination of temporary gains and losses. The parameter for equity valuation does not consider the current dollar rate as the only reference base, but a value linked up with the amount that will be used in perspective, at the realization date of the equity elements. The methodology for calculating and obtaining the values is demonstrated and exemplified. Various alternatives are approached for the disclosure and accounting treatment of the difference between the actual value of the dollar at the date of the Balance Sheet and the so-called "Fair Dollar". This article aims to broaden the debate about the effects of the adoption of the floating exchange rate for accounting, suggesting an alternative for change. This alternative must be evaluated carefully with respect to the practical viability of change, since it will not only signify an increase in the quality of Financial Statements but also a change in the current basic conceptual structure of accounting.

  2. [New research on the practice, reporting and reviewing of euthanasia and other medical end-of-life decisions, 2001/2002

    NARCIS (Netherlands)

    Wal, G. van der; Maas, P.J. van der; Onwuteaka-Philipsen, B.D.; Heide, A. van der

    2001-01-01

    In the second half of 2001, an extensive study will start which will evaluate the review procedure for euthanasia in the Netherlands. Since the end of 1998, euthanasia has to be reviewed by regional review committees, which include a physician and an ethicist, in addition to a legal expert. The aim

  3. [New research on the practice, reporting and reviewing of euthanasia and other medical end-of-life decisions, 2001/2002].

    Science.gov (United States)

    van der Wal, G; van der Maas, P J; Onwuteaka-Philipsen, B D; van der Heide, A

    2001-09-15

    In the second half of 2001, an extensive study will start which will evaluate the review procedure for euthanasia in the Netherlands. Since the end of 1998, euthanasia has to be reviewed by regional review committees, which include a physician and an ethicist, in addition to a legal expert. The aim of this study is to examine whether the reporting procedure meets the aim and whether there are any points which require improvement. This study follows on from those carried out in 1990/1991 and 1995/1996, which investigated euthanasia and other medical end-of-life decisions (assisted suicide, termination of life without the patient's explicit request, treatment of pain and symptoms with a possible life-shortening effect, and forgoing potentially life-prolonging treatment). The study consists of an analysis of cases of death (in which the numbers and nature of various medical end-of-life decisions will be established), physician interviews (to gain insight into the context in which medical end-of-life decisions are made), a study of reported cases (to give an overview of doctors' experiences with the review committees), and a study carried out amongst the general public (around 1,500 Dutch adults will be given a written questionnaire about their opinions concerning medical end-of-life decisions and the reporting procedure). In addition to this Dutch study, a European study subsidized by the European Commission is being carried out which will examine attitudes and experiences regarding medical end-of-life decisions in six European countries (Belgium, Denmark, Italy, the Netherlands, Sweden and Switzerland). This will, for the first time, enable a true comparison to be made between the Netherlands and other countries in terms of euthanasia and other medical end-of-life decisions.

  4. Spring Chinook Salmon Interactions Indices and Residual/Precocial Monitoring in the Upper Yakima Basin; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pearsons, Todd N.; James, Brenda B.; Johnson, Christopher L. (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-05-01

    This report examines some of the factors that can influence the success of supplementation, which is currently being tested in the Yakima Basin using upper Yakima stock of spring chinook salmon. Supplementation success in the Yakima Basin is defined relative to four topic areas: natural production, genetics, ecological interactions, and harvest (Busack et al. 1997). The success of spring chinook salmon supplementation in the Yakima Basin is dependent, in part, upon fish culture practices and favorable physical and biological conditions in the natural environment (Busack et al. 1997). Shortfalls in either of these two topics (i.e., failure in culturing many fish that have high long-term fitness or environmental conditions that constrain spring chinook salmon production) will cause supplementation success to be limited. For example, inadvertent selection or propagation of spring chinook that residualize or precocially mature may hinder supplementation success. Spring chinook salmon that residualize (do not migrate during the normal migration period) may have lower survival rates than migrants and, additionally, may interact with wild fish and cause unacceptable impacts to non-target taxa. Large numbers of precocials (nonanadromous spawners) may increase competition for females and significantly skew ratios of offspring sired by nonanadromous males, which could result in more nonanadromous spring chinook in future generations. Conditions in the natural environment may also limit the success of spring chinook supplementation. For example, intra or interspecific competition may constrain spring chinook salmon production. Spring chinook salmon juveniles may compete with each other for food or space or compete with other species that have similar ecological requirements. Monitoring of spring chinook salmon residuals, precocials, prey abundance, carrying capacity, and competition will help researchers interpret why supplementation is working or not working (Busack et al. 1997). Monitoring ecological interactions will be accomplished using interactions indices. Interactions indices will be used to index the availability of prey and competition for food and space. The tasks described below represent various subject areas of juvenile spring chinook salmon monitoring but are treated together because they can be accomplished using similar methods and are therefore more cost efficient than if treated separately. Three areas of investigation we pursued in this work were: (1) strong interactor monitoring (competition index and prey index), (2) carrying capacity monitoring (microhabitat monitoring); (3) residual and precocial salmon monitoring (abundance). This report is organized into three chapters to represent these three areas of investigation. Data were collected during the summer and fall, 2002 in index sections of the upper Yakima Basin (Figure 1). Hatchery reared spring chinook salmon were first released during the spring of 1999. The monitoring plan for the Yakima/Klickitat Fisheries Project calls for the continued monitoring of the variables covered in this report. All findings in this report should be considered preliminary and subject to further revision as more data and analytical results become available.

  5. Intervenção coronariana percutânea no Brasil: resultados do Sistema Único de Saúde Intervención coronaria percutánea en el Brasil: Resultados del Sistema Único de Salud Percutaneous coronary intervention in Brazil: results from the Brazilian Public Health System

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    Leopoldo Soares Piegas

    2011-04-01

    Full Text Available FUNDAMENTO: O Sistema Único de Saúde (SUS realiza aproximadamente 80% das intervenções coronarianas percutâneas (ICP no Brasil. O conhecimento desses dados permitirá planejar adequadamente o tratamento da doença arterial coronariana (DAC. OBJETIVO: Analisar e discutir os resultados das ICP realizadas pelo SUS. MÉTODOS: Foram avaliados os dados do SIH/DATASUS disponibilizados para consulta pública. RESULTADOS: Entre os anos de 2005 a 2008 foram realizados 166.514 procedimentos em 180 hospitais. A mortalidade hospitalar média foi de 2,33%, variando de 0% a 11,35%, sendo mais baixa no Sudeste, 2,03% e mais alta na região Norte, 3,64% (p 0,05. A mortalidade foi maior no gênero feminino (p 65 a (p FUNDAMENTO: El Sistema Único de Salud (SUS realiza aproximadamente 80% de las intervenciones coronarias percutáneas (ICP en el Brasil. El conocimiento de esos datos permitirá planear adecuadamente el tratamiento de la enfermedad arterial coronaria (EAC. OBJETIVO: Analizar y discutir los resultados de las ICP realizadas por el SUS. MÉTODOS:Fueron evaluados los datos del SIH/DATASUS disponibles para la consulta pública. RESULTADOS: Entre los años 2005 a 2008 fueron realizados 166.514 procedimientos en 180 hospitales. La mortalidad hospitalaria media fue de 2,33%, variando de 0% a 11,35%, siendo más baja en el Sudeste, 2,03% y más alta en la región Norte, 3,64% (p 0,05. La mortalidad fue mayor en el género femenino (p 65 a (p BACKGROUND: The Brazilian Public Health System (SUS holds approximately 80% of percutaneous coronary interventions (PCI in Brazil. Being aware of these data will enable to design a proper plan for the treatment of coronary artery disease (CAD. OBJECTIVE: To review and discuss the results of PCIs performed by the SUS. METHODS: We reviewed data from SIH/DATASUS available for public consultation. RESULTS: From 2005 to 2008, 166,514 procedures were performed in 180 hospitals. Average hospital mortality was 2.33%, ranging

  6. Sensibilidad y especificidad de la prueba de esfuerzo y el estudio de perfusión miocárdica con SESTAMIBI para detección de enfermedad arterial coronaria, en el Hospital San Juan de Dios Sensitivity and Specificity of Treadmill Test and Myocardial Perfusion Imaging with SESTAMIBI in the detection of Coronary Artery Disease at the Hospital San Juan de Dios

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    Juan Pablo Solís-Barquero

    2010-07-01

    Full Text Available Objetivo: La coronariopatía arterio esclerótica continúa siendo la principal causa de mortalidad mundial y Costa Rica no escapa a esta realidad. La prueba de esfuerzo, la imagen de perfusión con SESTAMIBI y la angiografía coronaria son métodos que permiten detectar esta entidad. El país no cuenta con datos sobre la información que proporcionan estas pruebas. El objetivo del estudio es determinar la rentabilidad diagnóstica de cada una de ellas. Métodos: Es un estudio observacional, analítico de cohorte. Se incluyeron pacientes con factores de riesgo cardiovascular, que tuvieran prueba de esfuerzo, estudio de perfusión miocárdica y angiografía coronaria realizadas en el Hospital San Juan de Dios, desde 2003 a 2007. Se calculó la sensibilidad y especificidad de estos estudios. También se llevó a cabo un análisis con una estadística descriptiva de las características de la muestra y de los diferentes factores de riesgo cardiovascular. Resultados: Se incluyeron 83 pacientes en el estudio, 75% hombres. Los principales factores de riesgo encontrados fueron dislipidemia (84% e hipertensión arterial (70%. La prueba de esfuerzo tuvo una sensibilidad del 40% y una especificidad del 57%; el estudio de perfusión miocárdica con SESTAMIBI tuvo una sensibilidad del 66% y una especificidad del 71%. La mayoría de los pacientes tuvieron afección de uno o dos vasos coronarios, con lesiones mayores al 90%, y especialmente en la arteria descendente anterior. Conclusión: Los factores de riesgo convencionales se presentaron en un alto porcentaje de la población estudiada. La prueba de esfuerzo mostró una baja sensibilidad y especificidad, sin embargo, coincide con el rango descrito en la literatura. El estudio de perfusión miocárdica con SESTAMIBI mostró un rendimiento diagnóstico significativamente superior (p =0.05.Aim: Coronary artery disease is the first cause of mortality around the world, and Costa Rica does not escape from this

  7. Gravidade da lesão angiográfica coronariana e polimorfismo da APOE nas síndromes coronarianas agudas Severidad de la lesión angiográfica coronaria y polimorfismo de la APOE en los síndromes coronarios agudos Severity of angiographic coronary obstruction and the apolipoprotein E polymorphism in acute coronary syndromes

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    Arlisa Monteiro de Castro Dias

    2009-09-01

    Full Text Available FUNDAMENTO: Existem evidências de associação entre o polimorfismo da apolipoproteína E (APOE e a doença coronariana, entretanto há controvérsias. OBJETIVO: Avaliar a associação entre o número de vasos coronarianos acometidos por obstrução significativa definida por angiografia, o polimorfismo da APOE e as variáveis clínicas. MÉTODOS: Estudo transversal multicêntrico que envolveu 207 pacientes (138 homens com síndrome coronariana aguda (SCA em Niterói (RJ - Brasil, os quais realizaram angiografia coronariana e determinação do genótipo para o polimorfismo APOE *2*3*4, pelo método de Restriction Fragment Length Polymorphism (RFLP. RESULTADOS: A frequência dos alelos APOE *2 foi de 6,8%, *3 foi de 82,5%, e *4 foi de 10,7%. Quanto ao número de vasos lesados, 27% dos pacientes apresentavam obstrução uniarterial, 33,8%, biarterial, e 39,1%, triarterial ou de tronco da coronária esquerda. O grau de lesão multivascular não se relacionou com a presença do alelo *4 (p = 0,78, mas com a idade > 55 anos (p = 0,025, o ex-tabagismo (p = 0,004 e a dislipidemia (p = 0,05 na análise multivariada e com doença arterial coronariana prévia (p = 0,05, diabete (p = 0,038 e síndrome metabólica (p = 0,021 na análise univariada. A prevalência de dislipidemia, diabete e hipertensão arterial sistêmica (HAS foi elevada em relação a estudos semelhantes, com aumento progressivo da prevalência de HAS (p = 0,59 e de diabete (p = 0,06, de acordo com o número de vasos lesados. CONCLUSÃO: O polimorfismo da APOE não se associou ao número de vasos coronarianos com obstrução significativa em qualquer faixa etária. Por outro lado, a idade > 55 anos, o ex-tabagismo e a dislipidemia associaram-se à lesão multivascular.FUNDAMENTO: Hay evidencias de asociación entre el polimorfismo de la apolipoproteína E (APOE y la enfermedad coronaria, sin embargo hay controversias. OBJETIVO: Evaluar la asociación entre el número de vasos coronarios

  8. Resultados de la revascularización coronaria en el cardiocentro del Hospital «Hermanos Ameijeiras», en un período de 20 años Results of coronary revascularization in the Cardiac Center of the "Hermanos Ameijeiras" Clinical Surgical Hospital over 20 years

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    Manuel Nafeh Abi-Rezk

    2011-03-01

    Full Text Available INTRODUCCIÓN. En el cardiocentro del Hospital «Hermanos Ameijeiras», la cirugía cardiovascular se practica hace más de 20 años, a lo largo de los cuales se fueron introduciendo y desarrollando diversas técnicas de revascularización miocárdica. El objetivo de esta investigación fue describir los resultados de la cirugía de revascularización coronaria en ese período. MÉTODOS. Se realizó una investigación descriptiva, longitudinal, retrospectiva, con cortes transversales quinquenales, comparando cada quinquenio con el siguiente. Del total de 763 pacientes sometidos a revascularización coronaria en el período comprendido entre enero de 1985 y diciembre del 2004, se excluyeron 17 por presentar historias clínicas extraviadas o con datos incompletos y 15 pacientes operados sin circulación extracorpórea, por lo que el universo de estudio quedó conformado por 731 pacientes, operados todos con circulación extracorpórea. RESULTADOS. Predominaron los pacientes con edades entre 51 y 60 años de edad y del sexo masculino; con el tabaquismo y la hipertensión arterial como factores de riesgo más frecuentes. Los estados clínicos predominantes fueron la angina estable crónica y la angina inestable. Predominó la revascularización con tres puentes con tendencia al ascenso, así como el uso de la vena safena, pero con una evolución ascendente en el empleo de la arteria mamaria interna y disminución en la implantación de la vena safena como único conducto. El tiempo de circulación extracorpórea y de paro anóxico mostró una tendencia a la disminución. Las complicaciones más frecuentes fueron las sepsis urinaria y respiratoria. Disminuyeron las muertes por causas cardíacas, entre las cuales el fallo multiorgánico y el bajo gasto cardíaco fueron las principales. Disminuyó el bajo gasto transoperatorio pero hubo tendencia al aumento en el posoperatorio y del fallo multiorgánico. CONCLUSIONES. El uso de revascularizaci

  9. Doença arterial coronariana subclínica em pacientes com Diabetes Mellitus tipo 1 em hemodiálise Enfermedad arterial coronaria subclínica en pacientes con Diabetes Mellitus tipo 1 en hemodiálisis Subclinical coronary artery disease in patients with type 1 Diabetes Mellitus undergoing hemodialysis

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    Dinaldo Cavalcanti de Oliveira

    2009-07-01

    Full Text Available FUNDAMENTO: A aterosclerose ocorre mais cedo em pacientes com diabetes mellitus tipo 1 (DM-1 e a doença arterial coronariana (DAC constitui a mais importante causa de morte. OBJETIVO: Avaliar a prevalência e as características anatômicas da DAC em pacientes com DM-1 e insuficiência renal crônica, submetidos à diálise. MÉTODOS: Este é um estudo descritivo de 20 pacientes com DM-1 submetidos à diálise sem DAC conhecida. A DAC foi avaliada através de angiografia coronariana quantitativa (ACQ e ultra-som intravascular (USIV. A ACQ foi realizada em todas as lesões >30%, visualmente Todos os segmentos proximais de 18 mm das artérias coronárias foram analisados por USIV. Todos os outros segmentos coronarianos com estenose >30% também foram analisados. RESULTADOS: A angiografia detectou 29 lesões >30% em 15 pacientes (75%. Onze (55% das lesões eram >50% e 10 (50% >70%. Treze pacientes tiveram as 3 principais artérias avaliadas pelo USIV. A aterosclerose estava presente em todos os pacientes e em todos os 51 segmentos proximais de 18 mm analisados. Esses segmentos significam que a medida do diâmetro dos vasos apresentava-se significantemente maior no USIV do que na ACQ, em todos os vasos. As imagens do ISIV de 25 (86,2% das 29 lesões >30% foram obtidas. Placas fibróticas eram comuns (48% e 60% apresentavam remodelamento intermediário de vasos. CONCLUSÃO: A DAC estava presente em todos os vasos de todos os pacientes com diabete tipo 1 submetidos a hemodiálise. Esses achados estão de acordo com outros estudos de autópsia, angiografia e USIV. Além disso, eles indicam a necessidade de estudos adicionais epidemiológicos e de imagem, para um melhor entendimento e tratamento de uma condição clínica complexa e grave que afeta jovens indivíduos.FUNDAMENTO: La aterosclerosis ocurre más temprano en pacientes con diabetes mellitus tipo 1 (DM-1 y la enfermedad arterial coronaria (EAC constituye la más importante causa de muerte

  10. The relation between the capability of the self-care agency and the adherence to the pharmacological and non pharmacological treatment among persons with some coronary illness condition Asociación entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos en personas con alguna condición de enfermedad coronaria

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    BASTIDAS SÁNCHEZ CLARA VICTORIA

    2007-12-01

    WHO (OMS.El propósito del estudio -con un diseño descriptivo, transversal y correlacional- fue explorar la relación entre agencia de autocuidado y adherencia en 115 pacientes con enfermedad coronaria seleccionados intencionalmente de una población de pacientes coronarios que asistieron a la consulta de cardiología en una clínica de la ciudad de Ibagué durante cuatro meses del año 2005. Se midió la capacidad de la agencia con el instrumento Evaluación de la Capacidad de la Agencia de Autocuidado, validado en su versión al español, y se calculó la adherencia a tratamientos farmacológicos y no farmacológicos en el mismo grupo mediante una escala que corresponde al resultado de adherencia y sus indicadores de la taxonomía NOC acompañada de una guía de valoración. Esa escala traducida al español fue evaluada en su comprensión por un grupo de enfermeras con experiencia clínica y docente en el área. El perfil clínico del grupo consistió en tres grupos, de acuerdo con la complejidad del régimen de medicamentos: 24, 58, 911 y de la condición de la enfermedad coronaria con tratamiento convencional, enfermedad coronaria con tratamiento intervencionista y pacientes con falla coronaria. Mediante pruebas de correlación tipo Pearson se pudo confirmar una asociación moderadamente positiva entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos, aspecto este que se había sugerido al proponer el estudio; es decir que la adherencia y la capacidad de la agencia de autocuidado son comportamientos positivos que están presentes con características similares en personas con enfermedad coronaria como las de esta muestra. Se confirmó que la complejidad del régimen terapéutico tiene influencia en la adherencia, aun cuando en este grupo solo se mostró en una manera leve pero positiva, concordante con lo encontrado en otros estudios reportados por la OMS.

  11. Asociación entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos en personas con alguna condición de enfermedad coronaria The relation between the capability of the self-care agency and the adherence to the pharmacological and non pharmacological treatment among persons with some coronary illness condition

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    CLARA VICTORIA BASTIDAS SÁNCHEZ

    2007-12-01

    Full Text Available El propósito del estudio con un diseño descriptivo, transversal y correlacional- fue explorar la relación entre agencia de autocuidado y adherencia en 115 pacientes con enfermedad coronaria seleccionados intencionalmente de una población de pacientes coronarios que asistieron a la consulta de cardiología en una clínica de la ciudad de Ibagué durante cuatro meses del año 2005. Se midió la capacidad de la agencia con el instrumento Evaluación de la Capacidad de la Agencia de Autocuidado, validado en su versión al español, y se calculó la adherencia a tratamientos farmacológicos y no farmacológicos en el mismo grupo mediante una escala que corresponde al resultado de adherencia y sus indicadores de la taxonomía NOC acompañada de una guía de valoración. Esa escala traducida al español fue evaluada en su comprensión por un grupo de enfermeras con experiencia clínica y docente en el área. El perfil clínico del grupo consistió en tres grupos, de acuerdo con la complejidad del régimen de medicamentos: 24, 58, 911 y de la condición de la enfermedad coronaria con tratamiento convencional, enfermedad coronaria con tratamiento intervencionista y pacientes con falla coronaria. Mediante pruebas de correlación tipo Pearson se pudo confirmar una asociación moderadamente positiva entre la capacidad de la agencia de autocuidado y la adherencia a tratamientos farmacológicos y no farmacológicos, aspecto este que se había sugerido al proponer el estudio; es decir que la adherencia y la capacidad de la agencia de autocuidado son comportamientos positivos que están presentes con características similares en personas con enfermedad coronaria como las de esta muestra. Se confirmó que la complejidad del régimen terapéutico tiene influencia en la adherencia, aun cuando en este grupo solo se mostró en una manera leve pero positiva, concordante con lo encontrado en otros estudios reportados por la OMS.The purpose of the study - that is

  12. Uso rutinario del balón de contra-pulsación aórtica preoperatorio en pacientes con enfermedad del tronco común izquierdo sometidos a cirugía de revascularización coronaria Routine use of preoperative intra-aortic balloon pump counterpulsation (IABP implantation in patients with left main coronary artery disease undergoing coronary revascularization surgery

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    Andrés Fernández

    2008-08-01

    Full Text Available Generalidades: la enfermedad del tronco común izquierdo como único criterio para la colocación de balón de contra-pulsación aórtica, es una indicación cuya evidencia se limita a la recomendación de expertos y, por lo tanto, se requieren estudios que puedan aportar mayor nivel de evidencia al respecto. Por este motivo, en nuestra institución se desarrolló un estudio que evaluó la experiencia del uso de balón de contra-pulsación aórtica preoperatorio, en pacientes sometidos a cirugía de revascularización cardiaca electiva, con enfermedad del tronco común izquierdo. Objetivo: describir la letalidad, el tiempo de estancia y el porcentaje de infecciones y sepsis en la unidad de cuidados intensivos, así como el tiempo de ventilación mecánica, en los pacientes sometidos a cirugía de revascularización coronaria electiva con y sin el uso preoperatorio de balón de contra pulsación aórtica. Métodos: estudio descriptivo retrospectivo, que se llevó a cabo en la Clínica Cardiovascular Santa María, con los pacientes que se sometieron a revascularización coronaria quirúrgica electiva acompañados o no de balón de contra-pulsación aórtica preoperatorio entre 1999 y 2003, y en el que se observó el comportamiento post-operatorio de los pacientes con enfermedad severa del tronco común izquierdo (entendida como estenosis mayor de 50% sometidos a dicha intervención. Resultados: se analizaron en total 79 pacientes sometidos a revascularización quirúrgica electiva, a 46 de los cuales se les implantó balón preoperatorio y a 33 se les practicó intervención quirúrgica sin balón. El promedio de edad fue de 62 años. El 67,4% de los pacientes tenía 60 años o más. Las principales patologías previas a la cirugía fueron hipertensión arterial (67% e infarto agudo del miocardio antiguo, (59%. 87% de los pacientes con balón y 45,5% de aquellos sin éste, tenían angina severa (clase III antes de la cirugía. En la unidad de

  13. Perfil clínico-angiográfico na doença arterial coronariana: desfecho hospitalar com ênfase nos muito idosos Perfil clínico-angiográfico en la enfermedad arterial coronaria: desenlace hospitalario con énfasis en los muy añosos Clinical and angiographic profile in coronary artery disease: hospital outcome with emphasis on the very elderly

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    Micheli Zanotti Galon

    2010-10-01

    manifestaciones clínicas de la enfermedad arterial coronaria (EAC nos permite intervenir de manera más eficaz en una determinada población. OBJETIVO: Identificar perfiles clínicos y angiográficos de los pacientes sometidos a cateterismo cardíaco, atendidos en un hospital terciario y tratados por medio de intervenciones coronarias percutáneas (ICP. MÉTODOS: Casuística de 1.282 pacientes sometidos a 1.410 cateterismos cardíacos, seleccionados de mar/2007-may/2008 en un banco de datos de un hospital general para diagnóstico de enfermedad arterial coronaria (EAC. Factores de riesgo, indicación del examen, detalles técnicos de la ICP y desenlaces intrahospitalarios fueron prospectivamente colectados. RESULTADOS: Fueron 688 (54,0% pacientes del sexo masculino, con media de edad de 65,4 ± 10,9 años, siendo 20,0% encima de los 75 años. El cuadro clínico confirmado con más frecuencia fue el de síndrome coronario agudo (SCA sin supradesnivel del segmento ST (SST (38,7%. La EAC multiarterial ocurrió en 46,4%, fue indicada ICP en 464 pacientes, siendo tratadas 547 lesiones-blanco (tipo B2 o C, en 86,0%, siendo de éstas, 14,0% tratadas con stent farmacológico. Entre los IAM con SST, ICP primaria fue realizada en 19,0% de los pacientes, siendo que, de éstos, 77,0% fueron transferidos de los hospitales de origen tardíamente (ICP tardía y no recibieron trombolítico previo, y 4,0% realizaron ICP de rescate. Fue obtenido éxito angiográfico en 94,2% de las ICPs. Sucedió óbito en 5,6% de los pacientes, teniendo éstos una media de edad de 75,2 ± 10,2 años. CONCLUSIÓN: Observamos predominio de añosos (siendo 20,1% > 75 años y del sexo masculino. De los factores de riesgo para EAC, los más frecuentes fueron hipertensión arterial sistémica y dislipidemia. Ocurrió predominio de la SCA. La edad > 75 años, EAC multiarterial y la insuficiencia renal crónica fueron los predictores de óbito intrahospitalario.BACKGROUND: Knowing the risk factors and clinical

  14. Prevalência de Chlamydia Pneumoniae e Mycoplasma Pneumoniae em diferentes formas da doença coronariana Prevalencia de Chlamydia Pneumoniae y Mycoplasma Pneumoniae en diferentes formas de la enfermedad coronaria Prevalence of Chlamydia Pneumoniae and Mycoplasma Pneumoniae in different forms of coronary disease

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    Irineu Luiz Maia

    2009-06-01

    títulos séricos de anticuerpos anti-Chlamydia y anti-Mycoplasma en diferentes formas de síndromes coronarios agudos (SCA. MÉTODOS: Se dividieron a 126 pacientes en 4 grupos: SCA con elevación del segmento ST (32 pacientes, SCA sin elevación del segmento ST (30 pacientes, enfermedad arterial coronaria crónica (30 pacientes y donadores de sangre sin enfermedad coronaria conocida (34 pacientes - grupo-control. En los primeros dos grupos, muestras de suero se colectaron al ingreso (primeras 24 horas de hospitalización y tras 6 meses de seguimiento. En los otros dos grupos, se colectó solamente una muestra basal. En todas las muestras, se dosificaron anticuerpos IgG anti-Chlamydia y anti-Mycoplasma por inmunofluorescencia indirecta. RESULTADOS: Se observaron diferencias significativas entre la medida basal y tras 6 meses de seguimiento en los pacientes con infarto de miocardio con elevación del segmento ST, tanto para Chlamydia (650±115,7 vs 307±47,5, p = 0,0001 como para Mycoplasma (36,5±5,0 vs 21,5±3,5, p = 0,0004. Los grupos con SCA tuvieron niveles séricos de anticuerpos anti-Chlamydia y anti-Mycoplasma más altos en la dosificación basal, con relación a los pacientes con enfermedad arterial coronaria crónica y grupo-control, sin embargo las diferencias obtenidas no tuvieron significancia estadística. CONCLUSIÓN: El presente estudio reveló asociación entre los títulos de anticuerpos anti-Chlamydia y anti-Mycoplasma en la fase aguda de los pacientes con angina inestable o infarto de miocardio.BACKGROUND: Several infectious agents have been investigated since the association between atherosclerosis and infection was demonstrated; however, the results of these studies are contradictory. OBJECTIVE: To test the association between serum titers of anti-Chlamydia and anti-Mycoplasma antibodies in different forms of acute coronary syndromes (ACS. METHODS: One hundred and twenty-six patients were divided in 4 groups: ACS with ST- segment elevation (32

  15. Homocisteína e polimorfismos dos genes MTHFR e VEGF: impacto na doença arterial coronariana Homocisteína y polimorfismos de los genes MTHFR y VEGF: impacto en la enfermedad arterial coronaria Homocysteine and MTHFR and VEGF gene polymorphisms: impact on coronary artery disease

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    Alexandre Rodrigues Guerzoni

    2009-04-01

    Full Text Available FUNDAMENTO: Polimorfismos em genes relacionados ao desenvolvimento da aterosclerose, angiogênese e metabolismo da homocisteína (Hcy podem ser fatores de risco para a doença arterial coronariana (DAC. OBJETIVO: Avaliar o efeito dos polimorfismos VEGF C-2578A e MTHFR C677T na DAC e a associação desses polimorfismos com a gravidade e a extensão das lesões ateroscleróticas e concentrações de Hcy. MÉTODOS: 244 indivíduos foram avaliados através de angiografia coronariana e incluídos no estudo (145 com DAC e 99 indivíduos-controle. Os polimorfismos VEGF C-2578A e MTHFR C677T foram investigados através das técnicas de PCR-SSCP e PCR-RFLP, respectivamente. Os níveis de homocisteína plasmática foram mensurados através de cromatografia líquida/espectrometria de massa seqüencial (CL/EMS. RESULTADOS: Não houve diferença significante em relação à distribuição de alelos e genótipos entre os grupos, para ambos os polimorfismos. A análise univariada mostrou uma freqüência maior do genótipo VEGF -2578AA no grupo com doença em três vasos (p=0,044. Além disso, o genótipo VEGF -2578CA foi observado mais freqüentemente entre indivíduos com FUNDAMENTO: Polimorfismos en genes relacionados al desarrollo de la aterosclerosis, la angiogénesis y el metabolismo de la homocisteína (Hcy pueden ser factores de riesgo para la enfermedad arterial coronaria (EAC. OBJETIVO: Evaluar el efecto de los polimorfismos VEGF C-2578A y MTHFR C677T en la EAC y la asociación de esos polimorfismos con la severidad y la extensión de las lesiones ateroscleróticas y concentraciones de Hcy. MÉTODOS: Se evaluaron a 244 individuos por medio de angiografía coronaria y se les incluyeron en el estudio (145 con EAC y 99 individuos-control. Los polimorfismos VEGF C-2578A y MTHFR C677T se investigaron mediante las técnicas de PCR-SSCP y PCR-RFLP, respectivamente. Se midieron los niveles de homocisteína plasmática por medio de cromatografía l

  16. Clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome Evolución clínica de pacientes internados debido el primer episodio de la Síndrome Aguda de las Coronarias Evolução clinica de pacientes internados em decorrência do primeiro episódio da Síndrome Coronariana Aguda

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    Gislaine Pinn Gil

    2012-10-01

    Full Text Available AIM: to assess the clinical evolution of patients hospitalized due to the first episode of Acute Coronary Syndrome (ACS according to its clinical manifestation. METHODS: data were collected from 234 patients, hospitalized between May 2006 and July 2009 due to the first episode of an ACS, by consulting their medical records. RESULTS: 234 patients were hospitalized, 140 (59.8% due to Acute Myocardial Infarction (AMI. In the group with AMI, 19.3% presented complications, against 12.8% in the group with Unstable Angina (UA (p=0.19. Angioplasty levels were higher among patients with AMI than with UA (p=0.02 and coronary artery bypass graft surgery was more frequent among UA patients (p=0.03. The majority (227; 97% survived after the coronary event. Among the seven patients who died during the hospitalization, four had AMI (2.9% and three UA (3.2%. CONCLUSIONS: A larger number of complications were found among infarction victims and the accomplishment of coronary artery bypass graft surgery differed between the groups.OBJETIVO: evaluar la evolución clínica de pacientes internados por el primer episodio del Síndrome Aguda de Coronarias según su manifestación clínica. MÉTODOS: Fueron colectados datos de 234 pacientes internados entre mayo de 2006 y julio de 2009 debido el primer episodio de una ACA mediante consultas a los prontuarios. RESULTADOS: La mayoría (59,8% internó debido al Infarto Agudo del Miocardio (IAM. En el grupo con IAM, 19,3% presentaron complicaciones y 12,8% en el grupo con Angina Inestable (AI(p=0,19. La realización de angioplastia fue mayor entre los pacientes con IAM de lo que con AI (p=0,02 y la cirugía de revascularización fue más realizada entre los pacientes con AI (p=0,03. La mayoría (227; 97% sobrevivió al evento de las coronarias. Entre los siete pacientes que murieron en la internación, cuatro tenían IAM (2,9% y tres AI (3,2%. CONCLUSIONES: Hubo mayor número de complicaciones entre los infartados y la

  17. Teste de Papanicolaou: cobertura em dois inquéritos domiciliários realizados no município de São Paulo em 1987 e em 2001-2002 Papanicolaou smear screening: coverage in two home surveys applied in the city of São Paulo in 1987 and 2001-2002

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    Carolina Ozawa

    2011-05-01

    Full Text Available OBJETIVO: comparar a cobertura da citologia convencional de Papanicolaou em mulheres de 15 a 59 anos entre dois inquéritos domiciliários, relacionando a alguns atributos pessoais e à tendência da mortalidade por câncer de colo do útero. MÉTODOS: analisou-se os dados coletados por meio de dois inquéritos domiciliários, com amostragem complexa, realizados no município de São Paulo nos anos de 1987 e 2001 a 2002. Foram comparadas as respostas autorreferidas de 968 mulheres no primeiro inquérito e 1.125 mulheres no segundo inquérito, na resposta à pergunta sobre a realização "alguma vez na vida" do teste de Papanicolaou, relacionando com faixa etária, cor da pele, situação conjugal, escolaridade e tendência da mortalidade por câncer de colo no período de 1980 a 2007. Foi aplicado o teste exato de Fisher em cada uma das comparações entre as amostras, consideradas como devidas ao acaso as diferenças que ocorreram com probabilidade p>5%. RESULTADOS: do primeiro inquérito para o segundo houve aumento de 24% na realização da citologia convencional de Papanicolaou (de 68,8% para 85%. As maiores variações do aumento de cobertura relacionadas com atributos pessoais das mulheres foram encontradas nas de cor da pele preta, solteiras e de nível de escolaridade mais baixo. Quanto à tendência nas taxas de mortalidade por câncer de colo, não se observou nítida disposição de ascensão e nem de declínio ao longo dos 28 anos estudados (1980 a 2007. CONCLUSÃO: houve aumento no acesso ao exame citológico de Papanicolaou nas mulheres mais vulneráveis. Desde 2001 e 2002, a cobertura de 85% já atingia a recomendação da Organização Mundial da Saúde (OMS, porém sem nítida tendência de declínio nas taxas de mortalidade por câncer de colo nos anos seguintes, indicando que o rastreamento é apenas parte de um programa efetivo e organizado para o controle do câncer do colo, cujo modelo deve garantir a integralidade da atenção à saúde da mulher.PURPOSE: to compare the coverage of conventional Papanicolaou cytology in women aged 15 to 59 years between two home surveys, related to some personal attributes and to the tendency to die from cervical cancer. METHODS: we analyzed data collected in two home surveys, with complex sampling, in the city of São Paulo, Brazil, over the years from 1987 to 2001 and 2002. The self-reported answers of 968 women in the first inquiry and of 1,125 women in the second inquiry were compared regarding the reply to the question about the execution of the Papanicolaou test "sometimes in a lifetime" in relation to age distribution, black skin, marital status, years of education and tendency to die because cervical cancer during the period from 1980 to 2007. The Fisher exact test was used to compare the sample regarding each item, with the level of significance set at p value >5%. RESULTS: from the first to the second inquiry there was a 24% increase in the execution of conventional Papanicolaou cytology (from 68.8% to 85%. The greatest variations in the increased coverage related to the personal attributes of the women were detected in black skin color, among single women and among women of lower schooling. Regarding the tendency to mortality rates due to cervical cancer, no clear ascending or declining tendency was observed along the 28 years studied (1980 to 2007. CONCLUSION: there was an increase in access to the cytological Papanicolaou test among the most vulnerable women. Since 2001 and 2002, the 85% coverage already reached WHO recommendation, although without a clear trend of decline in mortality due to cervical cancer in the following years, indicating that screening is only part of an effective and organized program for the control of cervical cancer, whose model must guarantee full women's health care.

  18. Perfil dos cães sororreagentes para aglutininas anti-Leptospira interrogans em Belo Horizonte, Minas Gerais, 2001/2002 Serological profile of seropositive dogs to anti-Leptospira interrogans agglutinins in Belo Horizonte, Minas Gerais, Brazil, 2001-2002

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    D.F. Magalhães

    2007-10-01

    Full Text Available The serological profile of seropositive dogs according to anti-Leptospira agglutinins was checked in Belo Horizonte including variables such as race, sex, age and whether the dog had an owner or not. The dogs were captured by the Zoonosis Control Center in nine neighborhoods around the city and were separated in two categories - with owners or captured on the streets. The prevalence of anti-Leptospira agglutinins was evaluated in 3,417 blood samples using the microscopic agglutination test (MAT from September 2001 to September 2002. It was found that 13.1% of the dogs had seropositive results with the most reactive serovars being Canicola (7.0%, Ballum (6.1%, Pyrogenes (3.2% and Icterohaemorrhagiae (2.9%. The prevalence of other serovars was less than 1.0%. Greater prevalence was found in male, crossbred dogs, without owners. There were no significant results due to age in 95% (P=0.808 of the cases. According to the results, more research should be done in order to isolate and classify the serovars in positive dogs, especially Ballum and Pyrogenes, which will suggest their inclusion in the commercial vaccines against leptospira used in dogs in this city.

  19. Ce que mon enfant apprend a l'ecole. Manuel a l'intention des parents, 2001-2002: 10e, 113 et 12e annees (What My Child Learns in School. Curriculum Handbook for Parents, 2001-2002: Grades 10, 11 and 12).

    Science.gov (United States)

    Alberta Learning, Edmonton. Direction de l'education francaise.

    Noting that high school students are faced with decisions that will determine future opportunities and endeavors, this French-language handbook provides parents with information about the high school curriculum in Alberta, Canada. Based on the Alberta Learning "Program of Studies: Senior High School," the handbook describes the knowledge, skills,…

  20. Visibilidad de las revistas argentinas en bases de datos internacionales: Proyecto UBACYT F28 (Programación científica 2001-2002 Visibility of Argentine periodicals in international databases: A project UBACYT F28 (Programación científica 2001-2002

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    Susana Romanos de Tiratel

    2002-06-01

    Full Text Available El principal propósito de este proyecto es estudiar la presencia (visibilidad de las revistas argentinas de Humanidades y Ciencias Sociales en bases de datos internacionales. En primer lugar se aborda el tema dentro del marco teórico que justifica y avala el proyecto. Luego, tomando en cuenta la principal bibliografía existente en esta temática, se pasa revista a los objetivos buscados, a la metodología empleada, a las precisiones conceptuales, y a los procedimientos llevados a cabo. Finalmente, se presentan los primeros resultados obtenidos.The main purpose of this project is to study the presence (visibility of Argentine journals of Social Sciences and Humanities in international databases. Firstly, the subject is approached within the theoretical framework that justifies and guarantees the project. Secondly, taking into account the main existing bibliography on the subject, the searched objectives, the methodology used, the conceptual precision, and the proceedings are browsed. Finally, the first results obtained are shown.

  1. Fatores de risco para doença arterial coronariana em pacientes admitidos em unidade de hemodinâmica Factores de riesgo para enfermedad arterial coronaria en pacientes de una unidad de hemodinamia Risk factors for coronary artery disease in patients admitted in hemodynamics unit

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    Maria Karolina Echer Ferreira Feijó

    2009-12-01

    Full Text Available O estudo transversal objetivou identificar os fatores de risco (FR para doença arterial coronariana (DAC em pacientes submetidos a procedimentos cardíacos em unidade de hemodinâmica. Incluíram-se 302 pacientes com idade de 62±11 anos, predominantemente brancos 270 (89% e do sexo masculino 172 (57%. O FR de maior prevalência foi o sedentarismo 227 (75%, seguido de hipertensão 220 (73%, dislipidemia 150 (50,5%, obesidade 87 (29%, diabetes mellitus 81 (27%, tabagismo 77 (25,5%, consumo de álcool 67 (22% e alimentação pobre em frutas e verduras 15 (5%. A correlação entre o número de FR e as variáveis - escolaridade, renda, idade, estado civil, atividade profissional e sexo -, além do número de procedimentos a que foram submetidos, comparado àqueles que apresentavam número superior a cinco FR para DAC, não foi significativa; no entanto, existe uma associação positiva, reforçando a importância de estratégias que visem à diminuição ou eliminação dos FR modificáveis.Estudio transversal cuyo objetivo fue evaluar la prevalencia de factores de riesgo (FR para enfermedad arterial coronaria (EAC en pacientes sometidos a procedimientos cardíacos en una unidad de hemodinamia. Se incluyeron 302 pacientes de 62±11 años, predominantemente blancos (270, 89% y de sexo masculino (172, 57%. El FR más prevalente fue sedentarismo (227, 75%, seguido de hipertensión (220, 73%, dislipidemia (150, 50.5%, obesidad (87, 29%, diabetes mellitus (81, 27%, tabaquismo (77, 25.5%, consumo de alcohol (67, 22% y alimentación pobre en frutas y verduras (15, 5%. La correlación entre el número de FR y las variables analizadas (escolaridad, salario mínimo, edad, estado civil, actividad profesional y sexo, además del número de procedimientos a los que fueron sometidos comparados con aquellos que presentaban más que cinco FR para EAC, no fue significativo; sin embargo, existe una asociación positiva, reforzando la importancia de estrategias que

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

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    Silvia Sidnéia da Silva

    2010-12-01

    Full Text Available Este trabalho objetivou analisar a ocorrência dos fatores de risco para doença arterial coronariana em população idosa participante de uma ação comunitária utilizando ferramenta computacional por enfermeiros. Para o desenvolvimento do trabalho utilizou-se uma base de dados coletada em um evento comunitário. As informações se referem a fatores de risco, dados antropométricos, aferição de valores de glicemia, colesterol e pressão arterial, ocorrência de doença cardíaca e outras. A estrutura multidimensional foi elaborada e gerenciada pela ferramenta Analysis Services. A população idosa correspondeu a 40,4% do total, um terço dessa população estava com valores alterados de pressão arterial sistêmica, 53,8% apresentavam índice de massa corporal acima de 25 Kg/m², 40,3% referiram hipertensão e 20,3%, diabetes mellitus. Conclui-se que o controle de fatores de risco para DAC em clientes idosos é essencial e que a tecnologia da informação pode apoiar na tomada de decisões estratégicas de promoção de saúde.Este trabajo tuvo como objetivo analizar la ocurrencia de los factores de riesgo para enfermedad arterial coronaria en la población anciana participante de una acción comunitaria con una herramienta computacional para las enfermeras. Para el desarrollo del trabajo se utilizó una base de datos colectada en un evento comunitario. Las informaciones se refieren a factores de riesgo, datos antropométricos, contraste de valores de glucemia, colesterol y presión arterial, ocurrencia de enfermedad cardiaca y otras. La estructura multidimensional fue elaborada y administrada por la herramienta Analysis Services. La población anciana correspondió a 40,4% del total, un tercio de esta población estaba con valores alterados de presión arterial sistémica, 53,8% presentaban índice de masa corporal arriba de 25Kg/m², 40,4% se referían a hipertensión y 20,3% diabetes mellitus. Se concluye que el control de factores de

  3. Combinação de anlodipino e enalaprila em pacientes hipertensos com doença coronariana Combinación de amlodipino y enalapril en pacientes hipertensos con enfermedad coronaria Combination of amlodipine and enalapril in hypertensive patients with coronary disease

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    Marcos Rienzo

    2009-03-01

    Full Text Available FUNDAMENTO: Pacientes (pts com doença coronariana (DAC estável podem se beneficiar de menor pressão arterial (PA, conforme estudos recentes. OBJETIVO: Avaliar a eficácia e a tolerabilidade da combinação fixa anlodipino + enalaprila, comparada a anlodipino na normalização da PA diastólica (PAD ( 90 e 110 mmHg durante o wash-out de quatro semanas, em uso só de atenolol. Após wash-out randomizamos para combinação (A ou anlodipino (B e seguimos de quatro em quatro semanas até 98 dias. As doses (mg iniciais foram, respectivamente: A- 2,5/10 e B- 2,5, sendo incrementadas se PAD> 85mmHg, nas visitas. Estatística com χ2, Fischer e análise de variância, para pFUNDAMENTO: Pacientes (pts con enfermedad coronaria (EAC estable pueden beneficiarse con una menor presión arterial (PA, de acuerdo con estudios recientes. OBJETIVO: Evaluar la eficacia y la tolerancia de la combinación fija amlodipino + enalapril, comparada a el amlodipino en la normalización de la PA diastólica (PAD (90 y 110 mmHg durante el wash-out de cuatro semanas, en uso sólo de atenolol. Después del wash-out randomizamos para combinación (A o amlopidino (B y seguimos de cuatro en cuatro semanas hasta 98 días. Las dosis (mg iniciales fueron, respectivamente: A- 2,5/10 y B- 2,5, siendo incrementadas si PAD> 85mmHg, en las visitas. Estadística con χ2, Fischer y análisis de varianza, para pBACKGROUND: Patients (pts with stable coronary artery disease (CAD can benefit from a decrease in the blood pressure (BP, according to recent studies. OBJECTIVE: To evaluate the efficacy and tolerability of the fixed combination: amlodipine + enalapril, when compared to amlodipine in the normalization of the diastolic arterial pressure (DAP (90 and 110 mmHg during the four-week wash-out with atenolol treatment alone, were excluded. After the wash-out, pts were randomly distributed for the use of the combination (A or amlodipine (B and were followed every four weeks up to 98 days

  4. Avaliação dos pacientes sobre os estressores em uma unidade coronariana Evaluación de los pacientes sobre factores generadores de estrés en una unidad coronaria Assessment of stressors among inpatients of a coronary Care Unit

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    Carina Aparecida Marosti

    2006-06-01

    Full Text Available OBJETIVO: identificar os fatores geradores de estresse para pacientes internados em uma Unidade Coronariana. MÉTODOS: os dados foram coletados através de entrevista com 43 pacientes. Para a avaliação dos estressores foi utilizada uma escala tipo Likert de 4 pontos que avaliou a intensidade do estresse para 42 possíveis estressores, variando de 1 (não estressante a 4 (muito estressante. RESULTADOS: no geral, a média obtida para os itens foi 1,71, caracterizando-os entre não estressantes e pouco estressantes na percepção dos pacientes. Os fatores mais estressantes foram: ter dor, não conseguir dormir, sentir falta do marido/esposa, ver a família por apenas alguns minutos e não poder mexer os braços. CONCLUSÃO: esses resultados podem auxiliar no planejamento da assistência de enfermagem.OBJETIVO: identificar los factores generadores de estrés en pacientes internados en una Unidad Coronaria. MÉTODOS: los datos fueron recolectados a través de una entrevista realizada a 43 pacientes. Para la evaluación de los estresores se utilizó una escala de tipo Likert de 4 pontos que evaluó la intensidad del estrés para 42 posibles estresores, variando de 1 (no estresante a 4 (muy estresante. RESULTADOS: en general, el promedio obtenido para los items fue de 1,71, siendo caracterizados como no estresantes y poco estresantes en la percepción de los pacientes. Los factores más estresantes fueron: tener dolor, no conseguir dormir, sentir falta del marido/esposa, ver a la familia por apenas algunos minutos y no poder mover los brazos. CONCLUSIÓN: estos resultados pueden auxiliar en la planificación de la asistencia de enfermería.OBJECTIVE: This study aimed to identify stress-producing factors of hospitalized patients hospitalized in a coronary care unit. METHODS: Data were collected through face-to-face interviews with 43 patients. The stressors were assessed with a four-point Likert scale, which evaluated stress intensity for 42 possible

  5. Fatores de risco modificáveis para doença arterial coronariana nos trabalhadores de enfermagem Factores de riesgo modificables para la enfermedad arterial coronaria en los trabajadores de enfermería Modifiable risk factors for coronary artery disease among nursing staff of a general hospital

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    Cyntia Oliveira Maia

    2007-06-01

    Full Text Available OBJETIVO: identificar os fatores de risco (FR modificáveis para doença arterial coronariana (DAC nos trabalhadores de enfermagem de um hospital geral. MÉTODOS: estudo com 209 trabalhadores submetidos a exame antropométrico e aferição da pressão arterial. Foram realizadas coletas capilares para verificar os níveis de colesterol total e glicemia para cálculo do índice de massa corporal (IMC. Aplicado questionário sobre atividade física e estresse. Os FR para DAC foram quantificados e avaliados. RESULTADOS: da amostra, 19,1% eram estressados, 29,7% hipertensos e 27,7% apresentaram CT>200mg/dl. O tabagismo corresponde a 28,8% dos técnicos. Os auxiliares apresentaram maior índice de IMC e nível de estresse; os enfermeiros foram os mais hipertensos. Sedentarismo estava presente em mais da metade da amostra. CONCLUSÃO: este estudo mostra a identificação e quantificação dos diferentes FR para DAC, pois a partir do conhecimento da realidade epidemiológica, é possível desenvolver ações e educação em saúde relevantes na intervenção preventiva.OBJETIVO: identificar los factores de riesgo (FR modificables para enfermedad arterial coronaria (DAC en los trabajadores de enfermería de un hospital general. MÉTODOS: estudio realizado con 209 trabajadores sometidos a examen antropométrico y evaluación de la de la presión arterial. Se llevaron a cabo recolecciones capilares para verificar los niveles de colesterol total y glicemia para el cálculo del índice de masa corporal (IMC. Se aplicó un cuestionario sobre actividad física y estrés. Los FR para DAC fueron cuantificados y evaluados. RESULTADOS: de la muestra, 19,1% eran estresados, 29,7% hipertensos y 27,7% presentaron CT>200mg/dl. El tabaquismo corresponde al 28,8% de los técnicos. Los auxiliares presentaron mayor índice de IMC y nivel de estrés; los enfermeros fueron los más hipertensos. El Sedentarismo estaba presente en más de la mitad de la muestra. CONCLUSI

  6. Doença coronária obstrutiva em hepatopatas crônicos que aguardam transplante hepático Enfermedad coronaria obstructiva en hepatópatas crónicos que aguardan trasplante hepático Obstructive coronary disease in patients with chronic liver disease awaiting liver transplantation

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    Moacir Fernandes de Godoy

    2011-01-01

    grado importante con consecuente aumento de riesgo o incluso contraindicación para trasplante hepático. OBJETIVOS: Analizar la contribución de los factores de riesgo clásicos para la enfermedad arterial coronaria (EAC en pacientes portadores de IHA con y sin coronariopatía obstructiva. MÉTODOS: Evaluación de los factores de riesgo para EAC en 119 pacientes, en un servicio de referencia para trasplante hepático, con las siguientes características: más de 40 años de edad, portadores de IHA y sometidos a cinecoronariografía. RESULTADOS: Coronariopatía obstructiva fue detectada en 21 (17,6% de los casos. Estos pacientes presentaban realmente niveles bajos de colesterol, siendo de 129,0±53,5mg/dL con mediana de 117,0mg/dL en los hepatópatas con coronarias normales y 135,4±51,7mg/dL con mediana de 122,0mg/dL en los hepatópatas con coronariopatía obstructiva (P=0,8215. En la regresión logística multivariada, la edad, el sexo, el índice de masa corporal, así como las presencias de diabetes, de tabaquismo y de etilismo no tuvieron significancia estadística aislada en la diferenciación entre los grupos. También no hubo asociación con la etiología de la IHA. A su vez, la hipertensión arterial se mostró relevante en la asociación con EAC (P=0,0474. CONCLUSIÓN: Sólo la hipertensión arterial fue factor de riesgo con significancia estadística para el desarrollo de EAC en pacientes con IHA aguardando trasplante hepático. Por ser un factor de riesgo cambiable, este hallazgo orienta hacia una práctica de actitudes terapéuticas en la tentativa de evitarse o retardar el desarrollo de la EAC en estos pacientes.BACKGROUND: Advanced liver failure (ALF usually presents hypocholesterolemia. Nevertheless, some patients with ALF develops major coronary obstructive diseases with consequent increased risk or contraindication to liver transplantation. OBJECTIVE: To analyze the contribution of classical risk factors for coronary artery disease (CAD in patients

  7. Obstrucao Coronaria apos Implante por Cateter de Protese Valvar Aortica

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    Henrique Barbosa Ribeiro

    2014-01-01

    Full Text Available Fundamentos: O implante por cateter de bioprótese valvar aórtica (TAVI consolidou-se como alternativa para o tratamento de pacientes com estenose aórtica importante de alto risco cirúrgico. Contudo, há poucos dados na literatura com respeito à obstrução coronária que, apesar de rara, trata-se de grave complicação do TAVI. Objetivo: Avaliar, no contexto brasileiro, a presença dessa importante complicação. Métodos: Foram avaliados todos os casos de obstrução coronária incluídos no Registro Brasileiro de TAVI. Foram coletados dados clínicos, do procedimento, do manejo e de evolução intra-hospitalar. Resultados: Entre 418 pacientes consecutivos do registro, ocorreram três casos de obstrução coronária (incidência de 0,72%. Em sua totalidade, os pacientes eram do sexo feminino, sem cirurgia de revascularização miocárdica (CRM prévia, com idade média de 85 ± 3 anos, EuroSCORE logístico de 15 ± 6% e STS de 9 ± 4%. Todos os casos foram realizados com a válvula balão-expansível Sapien XT. Em um dos pacientes, com dados de tomografia computadorizada pré-procedimento, verificaram-se origem das artérias coronárias baixa e seio de Valsalva estreito. Todos os pacientes apresentaram-se clinicamente com hipotensão importante e mantida, imediatamente após o implante da válvula, e, apesar de angioplastia com implante de stent, todos os pacientes foram a óbito, sendo dois periprocedimento e um durante hospitalização. Conclusão: A obstrução coronária como complicação do TAVI, apesar de rara, é potencialmente fatal, podendo ocorrer mais frequentemente em mulheres e com as próteses expansíveis por balão. Fatores anatômicos podem estar relacionados com sua ocorrência, ressaltando-se a importância de boa avaliação pré-procedimento no sentido de evitar essa grave complicação.

  8. Relation between stressors and sociodemographic and clinical characteristics of patients hospitalized at a coronary unit Relación entre estresores y características sociodemográficas y clínicas de pacientes internados en una unidad coronaria Relação entre estressores e características sócio-demográficas e clínicas de pacientes internados em uma unidade coronariana

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    Carina Aparecida Marosti

    2006-10-01

    Full Text Available This descriptive study aimed to correlate the stressors of patients hospitalized at a coronary care unit and their sociodemographic and clinical characteristics. We interviewed 43 patients who were hospitalized at a large hospital. The stressors were evaluated by means of a 4-point Likert scale, which measured stress intensity for 42 possible stressors, ranging from 1 (not stressful to 4 (very stressful. We collected data on sociodemographic and clinical characteristics and about the coronary unit. Data were analyzed through non parametrical statistics, using Mann-Whitney, Kruskal-Wallis and Spearman's correlation test. A 0.05 significance level was adopted. Greater stress was found among younger female patients who did not receive psychotherapeutic medication, including the presence of more than two pieces of equipment and no earlier hospitalization at this kind of intensive therapy unit.La finalidad de este estudio descriptivo fue establecer correlación entre los estresores de los pacientes internados en una unidad coronaria y sus características sociodemográficas y clínicas. Entrevistamos a 43 individuos internados en un hospital de gran porte. Para la evaluación de los estresores utilizamos una escala Likert de 4 puntos que evaluó la intensidad del estrés para 42 posibles estresores, variando de 1 (no estresante a 4 (muy estresante. Recopilamos datos para la caracterización sociodemográfica y clínica y respecto a la unidad coronaria. Para el análisis de los datos utilizamos la estadística no paramétrica, con los tests de Mann-Whitney y de Kruskal Wallis y el test de correlación de Spearman. El nivel de significancia adoptado fue de 0,05. Constatamos mayor estrés entre los pacientes más jóvenes, del sexo femenino, no medicados con psicoterápicos, con presencia de más de dos equipamientos y sin internación anterior en este tipo de unidad de terapia intensiva.Estudo descritivo, realizado com objetivo de correlacionar os

  9. Síndrome coronariana aguda em paciente com doença coronariana de alto risco no pós-operatório de colecistectomia videolaparoscópica Síndrome coronario agudo en paciente con enfermedad coronaria de alto riesgo en el postoperatorio de colecistectomía videolaparoscópica Acute coronary syndrome in a patient with severe coronary artery disease after laparoscopic cholecystectomy

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    Adriano Bechara de Souza Hobaika

    2007-08-01

    con la taquicardia y/o hipotensión arterial en pacientes con enfermedad coronaria de alto riesgo. RELATO DEL CASO: Paciente del sexo masculino, 71 años, diabético, hipertenso y con enfermedad coronaria, sometido a colecistectomía videolaparoscópica. La anestesia fue inducida con propofol, cisatracurio y remifentanil y mantenida con sevoflurano y remifentanil. Durante el cierre de la pared el paciente presentó hipertensión arterial sin alteraciones al ECG. La velocidad de infusión de remifentanil fue aumentada y después de cinco minutos, el paciente presentó bloqueo atrio ventricular total asociado a la reducción de la presión arterial promedio (PAM. Después de la administración de 1.0 mg de atropina y 0.1 mg de adrenalina, el paciente presentó taquicardia temporal y la PAM se normalizó. Fue transferido consciente y extubado para la UTI, y después de 12 horas, presentó dolor precordial y ECG con infra desnivelación ST de V4 a V6. El ecocardiograma reveló una buena función sistólica sin alteraciones segmentarias. Curva de CK-MB normal. El paciente fue tratado en protocolo de angina inestable. CONCLUSIONES: El paciente presentaba riesgo aumentado para isquemia postoperatoria y fue sometido a un procedimiento en el cual las alteraciones hemodinámicas son profundas. Se sabe que inestabilidades hemodinámicas perioperatorias en pacientes con enfermedad coronaria aumentan el riesgo de síndromes coronarias en el postoperatorio y estas pueden ocurrir hasta 72 horas después de la cirugía, presentándose, en la mayoría de los casos, de forma silenciosa. La administración preoperatoria de beta-bloqueadores y más recientemente, estatinas se han mostrado eficiente en la reducción de eventos isquémicos perioperatorios en esos pacientes.BACKGROUND AND OBJECTIVES: Perioperative myocardial ischemia is rare, being frequently related with tachycardia and/or hypotension in patients with severe coronary artery disease. CASE REPORT: A male patient, 71 years

  10. Intervenção coronariana percutânea (ICP para pacientes estáveis: há algum benefício além do alívio dos sintomas? Intervención coronaria percutánea (icp para pacientes estables: ¿hay algún beneficio además de los síntomas? Percutaneous coronary intervention for stable patients: is there any benefit beyond symptom relief?

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    Goran Stankovic

    2009-08-01

    Full Text Available As indicações para intervenção coronária percutânea (ICP continuam a evoluir devido ao contínuo desenvolvimento da tecnologia, critérios de seleção mais amplos para pacientes e lesões e novas evidências advindas de testes clínicos. Uma controvérsia considerável foi gerada pelos resultados principais do estudo COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation, o qual não demonstrou diferenças no resultado em longo prazo para pacientes estáveis com doença coronariana, randomizados para uma estratégia inicial de ICP mais tratamento médico otimizado versus tratamento médico otimizado isolado. Em pacientes com angina estável crônica, o tratamento médico permanece sendo a pedra fundamental e deveria ser otimizado em todos os pacientes, enquanto os maiores objetivos alcançáveis da ICP são ter efeito sobre os sintomas, através de sua diminuição ou prevenção, reduzir a necessidade de procedimentos subsequentes e aliviar a isquemia. Em pacientes com doença arterial coronariana (DAC estável, entretanto, nenhuma redução na incidência de morte ou infarto do miocárdio foi observada e essas limitações da ICP nesse cenário clínico precisam ser enfatizadas. A mensagem do estudo COURAGE pode ser refinada com base nos recentes sub-estudos nuclear e angiográfico, de forma que os pacientes com isquemia residual significante, submetidos a tratamento médico otimizado, deveriam ser considerados para tratamento com ICP, já que estão associados com maior probabilidade de morte e infarto do miocárdio. Entretanto, esses achados precisam ser confirmados por avaliação prospectiva antes de sua mais ampla aceitação pela comunidade intervencionista.Las indicaciones para intervención coronaria percutánea (ICP siguen evolucionando debido al desarrollo continuo de la tecnología, a criterios de selección más amplios para pacientes y lesiones y a nuevas evidencias advenidas de ensayos cl

  11. Dificuldades de indivíduos com doença arterial coronária para seguir tratamento medicamentoso Dificultades de individuos con enfermedad arterial coronaria para seguir tratamiento medicamentoso Difficulties of individuals with arterial coronary disease to continue drug treatment

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    Glicia Gleide Gonçalves Gama

    2010-01-01

    Full Text Available OBJETIVO: Descrever as dificuldades encontradas por indivíduos com doença arterial coronária para o seguimento de tratamento medicamentoso. MÉTODOS: Estudo descritivo de corte transversal que incluiu 100 adultos entrevistados em hospital público, em Salvador-BA e os resultados foram analisados em percentuais e médias. RESULTADOS: Predominou homens, média de idade de 58,7±10,9 anos, cor/etnia negra, baixa escolaridade e renda. Dentre os participantes, 34% não cumpriam integralmente a receita médica em razão de condições econômicas deficitárias, esquecimento e falta de orientação dos profissionais da saúde. A compra de, pelo menos uma medicação, era feita por 89%. Dos 81 indivíduos com a receita na entrevista, 57 (70,4% utilizavam cinco ou mais medicamentos diariamente e 67 (82,7% não sabiam o nome de todas as medicações por causa do controle delas ser feito pelo familiar, esquecimento, limitações para leitura da receita e falta de hábito de consultá-la. CONCLUSÃO: Constatou-se baixo seguimento e entendimento das medicações prescritas. O baixo nível socioeconômico e a abordagem interdisciplinar insatisfatória parecem constituir fatores para estes achados.OBJETIVO: Describir las dificultades encontradas por individuos con enfermedad arterial coronaria para seguir el tratamiento medicamentoso. MÉTODOS: Es un estudio descriptivo de corte transversal que incluyó 100 adultos entrevistados en un hospital público, en Salvador-BA; los resultados fueron analizados en porcentajes y promedios. RESULTADOS: Predominaron los hombres, con un promedio de edad de 58,7±10,9 años, color/etnia negra, baja escolaridad y renta. Entre los participantes, 34% no cumplieron totalmente con la receta médica debido a condiciones económicas, olvido y falta de orientación de los profesionales de la salud. La compra de, por lo menos, una medicación fue hecha por 89%. De los 81 individuos que tenían receta en la entrevista, 57 (70

  12. Ativação adrenérgica intramiocárdica na cardiomiopatia chagásica e doença arterial coronariana Activación adrenérgica intramiocárdica en la cardiomiopatía chagásica y enfermedad arterial coronaria Intramyocardial adrenergic activation in chagasic cardiomyopathy and coronary artery disease

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    Luciano Nastari

    2011-02-01

    Full Text Available FUNDAMENTO: A norepinefrina miocárdica está alterada na disfunção ventricular esquerda. Em pacientes com cardiomiopatia chagásica (CC, essa questão ainda não foi discutida. OBJETIVO: Determinar o nível de norepinefrina (NE miocárdica em pacientes com CC e compará-la em pacientes com doença arterial coronariana (DAC e relacionar NE miocárdica com a fração de ejeção do ventrículo esquerdo (FEVE. MÉTODOS: Estudamos 39 pacientes com CC, divididos em grupo 1: 21 indivíduos com FEVE normal e grupo 2: 18 com FEVE diminuída. Dezessete pacientes com DAC foram divididos em grupo 3: 12 indivíduos com FEVE normal e grupo 4: 5 indivíduos com FEVE diminuída. Ecocardiografia bidimensional foi usada para medir a FEVE. A NE miocárdica foi determinada através de Cromatografia Líquida de Alta Eficiência (HPLC. RESULTADOS: A NE miocárdica na CC com e sem disfunção ventricular foi 1,3±1,3 e 6,1±4,2 pg/μg de proteína não-colagenosa, respectivamente (pFUNDAMENTO: La norepinefrina miocárdica está alterada en la disfunción ventricular izquierda. En pacientes con cardiomiopatía chagásica (CC, esa cuestión aun no fue discutida. OBJETIVO: Determinar el nivel de norepinefrina (NE miocárdica en pacientes con CC y compararla en pacientes con enfermedad arterial coronaria (EAC y relacionar NE miocárdica con la fracción de eyección del ventrículo izquierdo (FEVI. MÉTODOS: 39 pacientes con CC, divididos en grupo 1: 21 individuos con FEVI normal y grupo 2: 18 con FEVI disminuida. Diecisiete pacientes con EAC fueron divididos en grupo 3: 12 individuos con FEVI normal y grupo 4: 5 individuos con FEVI disminuida. Ecocardiografía bidimensional fue usada para medir la FEVI. La NE miocárdica fue determinada a través de Cromatografía Líquida de Alta Eficiencia (HPLC. RESULTADOS: La NE miocárdica en la CC con y sin disfunción ventricular fue 1,3±1,3 y 6,1±4,2 pg/µg de proteína no colagenosa, respectivamente (p

  13. Avaliação e preparo pré-operatório do portador de doença das artérias coronárias Evaluación y preparo pré-operatorio del portador de enfermedad de las arterias coronarias Preoperative assessment and preparation of coronary artery disease patients for surgery

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    Gilson Ramos

    2001-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Portadores de doença arterial coronária (DAC apresentam maior morbi-mortalidade peri-operatória em cirurgias não-cardíacas. Exames laboratoriais específicos são aliados importantes do exame clínico e devem ser incluídos no arsenal propedêutico para avaliação e preparo desses pacientes. O objetivo da presente revisão é estabelecer condutas pré-operatórias para minimizar a morbi-mortalidade peri e pós-operatória dos portadores de DAC. CONTEÚDO: São apresentadas características das anginas de peito estável e instável, critérios de classificação clínica e funcional, diagnóstico, terapêutica clínica-cirúrgica e os principais testes laboratoriais cardiológicos disponíveis. Além disso são correlacionados o tipo de angina com o procedimento cirúrgico para proposta de um algoritmo pré-operatório. CONCLUSÕES: Todos os portadores de DAC candidatos à cirurgia não-cardíaca devem ser rigorosamente avaliados. Os identificados como de alto risco necessitam eficaz controle clínico. Nos candidatos clinicamente estáveis, considerados de risco intermediário, testes funcionais não-invasivos são recomendáveis. Em todos os coronariopatas o uso de b-bloqueador deve ser considerado.JUSTIFICATIVA Y OBJETIVOS: Portadores de enfermedad arterial coronaria (EAC presentan mayor morbi-mortalidad peri-operatoria en cirugías no-cardíacas. Exámenes laboratoriales específicos son aliados importantes del examen clínico y deben ser incluidos en el arsenal propedéutico para evaluación y preparo de esos pacientes. El objetivo de la presente revisión es establecer conductas pré-operatorias para minimizar la morbi-mortalidad peri y pós-operatoria de los portadores de EAC. CONTENIDO: Son presentadas características de las anginas de pecho estable e inestable, criterios de clasificación clínica y funcional, diagnóstico, terapéutica clínica-quirúrgica y los principales test laboratoriales cardiol

  14. Opções terapêuticas atuais para diabetes mellitus tipo 2 e doença arterial coronariana: prevenção secundária intensiva focada no treinamento físico versus revascularização percutânea ou cirúrgica Las opciones terapeuticas actuales en la diabetes mellitus 2 y la enfermedad coronaria: la prevención secundaria intensiva con el enfoque en el entrenamiento del ejercicio contra la revascularización quirurgica y percutanea Current therapeutical options in diabetes mellitus type 2 and coronary artery disease: intensive secondary prevention with focus on exercise training versus percutaneous or surgical revascularization

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    Sebastian Sixt

    2004-06-01

    Full Text Available O diabetes mellitus é um dos maiores fatores de risco para a doença arterial coronariana. A doença progride mais rápido em pacientes diabéticos e está associada com pior prognóstico. Embora a cirurgia de revascularização ou intervenção percutânea com a implantação de stent garanta rápido alívio dos sintomas em pacientes com doença arterial coronariana estabelecida, não existe substancial benefício prognóstico. Uma intervenção multifatorial incluindo medidas dietéticas, controle glicêmico, tratamento anti-hipertensivo e exercícios físicos regulares tem influência positiva nos fatores de risco modificáveis, na melhora de outras funções cardiovasculares e na tolerância ao exercício livre de angina.La diabetes mellitus es uno de los factores de riesgo mayores para la enfermedad de la arteria coronaria. La enfermedad progresa más rápidamente en los pacientes diabéticos y está asociada con uno de los más peores pronósticos. Aunque la cirugía de desviación o las intervenciones percutaneas con la implantación del stent proporcionan un alivio sintomático rápido para los pacientes con esta enfermedad de la arteria coronaria establecida, no tiene el beneficio de un pronóstico sustancial. Una intervención multi-factorial que incluye las medidas dietéticas, mando de sangre-glucosa, el tratamiento del antihipertensivo y ejercicio físico regular tiene una influencia positiva en los factores de riesgo modificables, y mejora entre otros la aptitud cardiovascular y la tolerancia del ejercicio libre de anginas.Diabetes mellitus is one of the major risk factors for coronary artery disease. The disease progresses faster in diabetic patients and is associated with a worse prognosis. Although bypass surgery or percutaneous interventions with stent implantation provide quick symptomatic relief for patients with stable coronary artery disease, it has no substantial prognostic benefit. A multifactorial intervention including

  15. Confiabilidade e validade da escala de depressão geriátrica em idosos com doença arterial coronariana Confiabilidad y validez de la escala de depresión geriátrica en adultos mayores con enfermedad arterial coronaria Reliability and validity of the geriatric depression scale in elderly individuals with coronary artery disease

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    Míriam Ximenes Pinho

    2010-05-01

    Full Text Available FUNDAMENTO: A prevalência de depressão em portadores de doença arterial coronariana (DAC é alta. A escala de depressão geriátrica (EDG é um instrumento amplamente usado para rastrear a depressão em idosos. No Brasil, as propriedades psicométricas da versão curta ainda não foram adequadamente exploradas. OBJETIVO: Avaliar as propriedades psicométricas da versão curta da EDG em portadores de DAC em ambulatório de cardiologia. MÉTODOS: Estudo transversal que avaliou 209 idosos (≥ 65 anos com DAC utilizando a EDG-15, Cumulative Illness Rating Scale for Geriatrics (CIRS, Brazilian OARS Multidimensional Function Assessment Questionnaire (BOMFAQ e The Cambridge Examination for Mental Disorders of the Elderly (CAMDEX. A consistência interna da EDG-15 foi calculada pelo KR-20. Uma análise fatorial dessa escala foi conduzida. Escores da EDG-15 foram comparados com os diagnósticos de depressão (DSM-IV para a validade de critérios. Na análise de validade concorrente, os mesmos escores foram correlacionados com os das escalas de depressão CAMDEX, Miniexame do Estado Mental (MEEM, Cambridge Cognitive Examination (CAMCOG e BOMFAQ. RESULTADOS: A depressão clínica foi diagnosticada em 35,71% da amostra avaliada de acordo com o DSM-IV. Para o diagnóstico de depressão maior ou distimia, o ponto de corte 5/6 apresentou acurácia moderada (AUROC = 0,84, sensibilidade de 79,92% e especificidade de 78,29%. A consistência interna foi de 0,80. Na análise fatorial, três fatores obtidos explicaram 52,72% da variância total observada. Os escores da EDG-15 correlacionaram-se com os da escala de depressão CAMDEX. CONCLUSÃO: No geral, a EDG-15 apresentou boa confiabilidade e validade (concorrente e de critério. Em settings cardiológicos, seu uso pode auxiliar no rastreamento de quadros depressivos de forma simples e rápida.FUNDAMENTO: La prevalencia de depresión en portadores de enfermedad arterial coronaria (EAC es alta. La escala de

  16. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease "Programa de Corazón en Movimiento": una intervención para mejorar la actividad física en pacientes con enfermedad coronaria "Programa Coração em Movimento": intervenção para promover atividade física entre pacientes com doença arterial coronária

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    Roberta Cunha Matheus Rodrigues

    2013-02-01

    Full Text Available AIM: this paper reports the results of a nursing-administered theory-based intervention, the "Moving Heart Program", based on the implementation intention theory and pointed at improving physical activity adherence among coronary heart disease outpatients in Brazil. METHODS: this experimental study applied assessments at baseline, 1 and 2 months after baseline. The Consolidated Standards of Reporting Trials statement was followed. Participants were randomly assigned to intervention, comprising action and coping plans on how to deal with anticipated barriers (n=69, or a standard-care control group (n=67. RESULTS: participants submitted to the intervention showed significant higher levels of physical activity 2 months after baseline and were significantly more active than the control group. CONCLUSIONS: the results indicate that the intervention is feasible for patients with coronary heart disease and can be a useful tool to facilitate intended lifestyle changes. This study brings relevant contributions to the Nursing field and other health-related areas, once the intervention presents low cost to health services and can be applied in cardiac rehabilitation programs, showing significant benefits to participants.OBJETIVO: en este estudio, se presentan los resultados de una intervención de enfermería - "El Programa Corazón en Movimiento", basada en las premisas teóricas del "implementation intention" para mejorar la actividad física entre pacientes con enfermedad coronaria en Brasil. MÉTODOS: este estudio experimental aplicó las evaluaciones al inicio del estudio, 1 y 2 meses después. La declaración Consolidated Standards of Reporting Trials fue seguida. Los participantes fueron asignados al azar al Grupo Intervención, que comprende los planes de acción y de hacer frente a la manera de lidiar con los obstáculos (n=69; o al Grupo Control (n=67. RESULTADOS: los participantes sometidos a la intervención mostraron niveles significativamente

  17. 北京圆明园含经堂遗址2001~2002年度发掘简报%Excavation on the Hanjingtang Hall Site in the Yuanmingyuan Palace, Beijing, in 2001-2002

    Institute of Scientific and Technical Information of China (English)

    北京市文物研究所圆明园考古队

    2004-01-01

    The Hanjingtang Hall site is a ruined building complex on a water-surrounded island in the Yuanmingyuan Palace. It covers an area of over 60,000 sq m, of which above 30,000 sq m are occupied by building vestiges. There were more than 30 building units, which formed a residential palace of Qianlong, an emperor in the prosperous reigns of the Qing Dynasty. Excavation clarified that the south of the site was a square; the middle, the main pavilion and its yard; and the north, the rear living place.They were laid out in west - east rows with the central axis pointing to the north and south. Nearly 1,000 cultural relics have been unearthed from the site. The excavation brought to light firsthand data on the architectural pattern, size, structural features and evolution of the Hall. These constitute a batch of reliable material evidence for the preservation and utilization of the site. Meanwhile, the work provided seeking experience for protecting the sites of other sights in the Yuanminyuan Palace.

  18. Financiamento público em saúde e confiabilidade dos bancos de dados nacionais. Um estudo dos anos de 2001 e 2002 Government funding for health and the reliability of national databases in Brazil, 2001-2002

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    Claudia Risso de Araujo Lima

    2006-09-01

    Full Text Available Criado em 1999, o Sistema de Informações sobre Orçamentos Públicos em Saúde (SIOPS coleta informações sobre receita e despesa com saúde das três esferas de governo. A inexistência de outros bancos de dados de abrangência nacional com informações detalhadas sobre gastos municipais faz com que seja a principal fonte de dados para estudos ou estimativas desta natureza. Este trabalho compara os valores de receita declarados pelos municípios ao SIOPS com os registros do Fundo Nacional de Saúde, no intuito de verificar a confiabilidade dos dois bancos de dados e identificar as variáveis com maior discrepância. Compara também os dados de despesa municipal com os registros da Secretaria do Tesouro Nacional. Foi obtido o Coeficiente de Correlação Intraclasses (CCIC e, em complemento, analisou-se o gráfico de dispersão entre a média dos valores dos dois bancos de dados e a diferença entre estes. Os dados para o ano de 2002 apresentam melhor qualidade. A constatação de que o SIOPS fornece dados confiáveis deve servir de estímulo para que novos estudos considerem o vertente financiamento nas análises de situação de saúde.Created in 1999, the Information System on Government Health Budgets (SIOPS provides information on health revenues and expenditures at the three government levels: Municipal, State, and Federal. The lack of other databases with nationwide coverage and detailed information on municipal expenditures makes SIOPS the main source of data for such studies or estimates. The current study aims to compare the revenues declared in SIOPS by the municipalities and the National Health Fund records in order to assess the reliability of the two databases and identify which variables are most discordant. It also compares the data on Municipal expenditures with those from National Treasury records. The Intra-Class Correlation Coefficient (CCIC was used for this analysis, complemented by a scatterplot of the mean values for the two databases and their differences. The 2002 data showed better quality. The recognition that SIOPS provides reliable data should stimulate new studies including financial aspects in the analysis of population health.

  19. Questa baseline and pre-mining ground-water quality investigation. 12. Geochemical and reactive-transport modeling based on tracer injection-synoptic sampling studies for the Red River, New Mexico, 2001-2002

    Science.gov (United States)

    Ball, James W.; Runkel, Robert L.; Nordstrom, D. Kirk

    2005-01-01

    Reactive-transport processes in the Red River, downstream from the town of Red River in north-central New Mexico, were simulated using the OTEQ reactive-transport model. The simulations were calibrated using physical and chemical data from synoptic studies conducted during low-flow conditions in August 2001 and during March/April 2002. Discharge over the 20-km reach from the town of Red River to the USGS streamflow-gaging station near the town of Questa ranged from 395 to 1,180 L/s during the 2001 tracer and from 234 to 421 L/s during the 2002 tracer. The pH of the Red River ranged from 7.4 to 8.5 during the 2001 tracer and from 7.1 to 8.7 during the 2002 tracer, and seep and tributary samples had pH values of 2.8 to 9.0 during the 2001 tracer and 3.8 to 7.2 during the 2002 tracer. Mass-loading calculations allowed identification of several specific locations where elevated concentrations of potential contaminants entered the Red River . These locations, characterized by features on the north side of the Red River that are known to be sources of low-pH water containing elevated metal and sulfate concentrations, are: the initial 2.4 km of the study reach, including Bitter Creek, the stream section from 6.2 to 7.8 km, encompassing La Bobita well and the Hansen debris fan, Sulphur Gulch, at about 10.5 km, the area near Portal Springs, from 12.2 to 12.6 km, and the largest contributors of mass loading, the 13.7 to 13.9 km stream section near Cabin Springs and the 14.7 to 17.5 km stream section from Shaft Spring to Thunder Bridge, Goathill Gulch, and Capulin Canyon. Speciation and saturation index calculations indicated that although solubility limits the concentration of aluminum above pH 5.0, at pH values above 7 and aluminum concentrations below 0.3 mg/L inorganic speciation and mineral solubility controls no longer dominate and aluminum-organic complexing may occur. The August 2001 reactive-transport simulations included dissolved iron(II) oxidation, constrained using measured concentrations of dissolved iron(II) and dissolved iron(total). Both simulations included precipitation of amorphous Al(OH)3 and hydrous ferric oxide as Fe(OH)3, and sorption of copper and zinc to the precipitated hydrous ferric oxide. Simulations revealed that hydrogen, iron, aluminum, copper, and zinc were non-conservative and that mineral precipitation can account for iron and aluminum concentrations. Copper and zinc concentrations can be accounted for by simulating their sorption to hydrous ferric oxide forming in the water column of the Red River , although hydrous manganese oxides also may be important sorption substrates.

  20. Using 3D Acoustic Telemetry to Assess the Response of Resident Salmonids to Strobe Lights in Lake Roosevelt, Washington; Chief Joseph Kokanee Enhancement Feasibility Study, Annual Report 2001-2002.

    Energy Technology Data Exchange (ETDEWEB)

    Perry, Russlee; Farley, M.; Hansen, Gabriel

    2003-01-01

    In 1995, the Chief Joseph Kokanee Enhancement Project was established to mitigate the loss of anadromous fish due to the construction of Chief Joseph and Grand Coulee dams. The objectives of the Chief Joseph Enhancement Project are to determine the status of resident kokanee (Oncorhynchus nerka) populations above Chief Joseph and Grand Coulee dams and to enhance kokanee and rainbow trout (Oncorhynchus mykiss) populations. Studies conducted at Grand Coulee Dam documented substantial entrainment of kokanee through turbines at the third powerhouse. In response to finding high entrainment at Grand Coulee Dam, the Independent Scientific Review Panel (ISRP) recommended investigating the use of strobe lights to repel fish from the forebay of the third powerhouse. Therefore, our study focused on the third powerhouse and how strobe lights affected fish behavior in this area. The primary objective of our study was to assess the behavioral response of kokanee and rainbow trout to strobe lights using 3D acoustic telemetry, which yields explicit spatial locations of fish in three dimensions. Our secondary objectives were to (1) use a 3D acoustic system to mobile track tagged fish in the forebay and upriver of Grand Coulee Dam and (2) determine the feasibility of detecting fish using a hydrophone mounted in the tailrace of the third powerhouse. Within the fixed hydrophone array located in the third powerhouse cul-de-sac, we detected 50 kokanee and 30 rainbow trout, accounting for 47% and 45% respectively, of the fish released. Kokanee had a median residence time of 0.20 h and rainbow trout had a median residence time of 1.07 h. We detected more kokanee in the array at night compared to the day, and we detected more rainbow trout during the day compared to the night. In general, kokanee and rainbow trout approached along the eastern shore and the relative frequency of kokanee and rainbow trout detections was highest along the eastern shoreline of the 3D array. However, because we released fish near the eastern shore, this approach pattern may have resulted from our release location. A high percentage of rainbow trout (60%) approached within 35 m of the eastern shore, while fewer kokanee (40%) approached within 35 m of the eastern shore and were more evenly distributed across the entrance to the third powerhouse cul-de-sac area. During each of the strobe light treatments there were very few fish detected within 25 m of the strobe lights. The spatial distribution of fish detections showed relatively few tagged fish swam through the center of the array where the strobe lights were located. We detected 11 kokanee and 12 rainbow trout within 25 m of the strobe lights, accounting for 10% and 18% respectively, of the fish released. Both species exhibited very short residence times within 25 m of the strobe lights No attraction or repulsion behavior was observed within 25 m of the strobe lights. Directional vectors of both kokanee and rainbow trout indicate that both species passed the strobe lights by moving in a downstream direction and slightly towards the third powerhouse. We statistically analyzed fish behavior during treatments using a randomization to compare the mean distance fish were detected from the strobe lights. We compared treatments separately for day and night and with the data constrained to three distances from the strobe light (< 85m, < 50 m, and < 25 m). For kokanee, the only significant randomization test (of 10 tests) occurred with kokanee during the day for the 3-On treatment constrained to within 85 m of the strobe lights, where kokanee were significantly further away from the strobe lights than during the Off treatment (randomization test, P < 0.004, Table 1.5). However, one other test had a low P-value (P = 0.064) where kokanee were closer to the lights during the 3-On treatment at night within 85 m of the strobe lights compared to the Off treatment. For rainbow trout, none of the 11 tests were significant, but one test had a low P-value (P = 0.04), and fish were further away from the strobe lights during the 6-On treatment, within 50 m, during the day (Table 1.5). During 2002, it is unclear whether tagged fish truly had little response to the strobe lights, or whether too few fish near the strobe lights and short residence times prevented us from detecting a behavioral response to the strobe lights. Although fish tended to be slightly further away from the strobe lights during 3-On and 6-On treatments compared to the Off treatment, only one of the 21 statistical tests indicated that these differences were significant. However, within 25 m of the strobe lights we may have had little power to detect a difference due to the few fish available for statistical comparison. We detected 32 kokanee and 7 rainbow trout in the tailrace of Grand Coulee Dam, accounting for 30% and 12%, respectively of the fish released.

  1. Previsão do impacto de racionamento de energia sobre a economia Pernambucana a partir da experiência de 2001/2002: uma análise de insumo-produto

    OpenAIRE

    2009-01-01

    Este trabalho analisa os requerimentos de energia necessários para o desenvolvimento das atividades econômicas do Estado de Pernambuco bem como os setores-chave em utilização de energia elétrica e ainda, os efeitos econômicos de uma restrição ao uso de energia elétrica para que se saibam os impactos de um racionamento desse bem. A metodologia utilizada foi a construção de um modelo híbrido de Insumo-Produto para a economia pernambucana tendo em vista que através deste modelo se...

  2. Solo los Hechos 2001-2002. Un breve recorrido por las relaciones de los Estados Unidos en materia de defensa y seguridad con América Latina y El Caribe

    OpenAIRE

    Isacson, Adam; Olson, Joy

    2003-01-01

    A comienzos de septiembre del año 2001, el Congreso de los Estados Unidos se encontraba inmerso en el debate de algunos temas de seguridad nacional relacionados con América Latina, entre ellos, la nueva Iniciativa Andina Antidrogas propuesta por la administración Bush y la continuidad de la presencia militar en la isla puertorriqueña de Vieques. Después del 11 de septiembre, y a pesar de su importancia crucial en la región, ambos temas pasaron a ser señales casi imperceptibles en la pantalla ...

  3. Utilización de espaciadores internos transcritos (ITS2-ITS1 para la identificación de Anopheles sp. Nechí y San Pedro de Urabá 2001-2002

    Directory of Open Access Journals (Sweden)

    Margarita Correa

    2003-01-01

    Full Text Available La malaria constituye uno de los problemas más importantes de salud pública en Colombia. El Índice Parasitario Anual (IPA se
    incrementó en las dos últimas décadas (4.4-5.4 / mil hb. El vector de la malaria son mosquitos hembras del género Anopheles; en Colombia se han incriminado nueve especies como vectoras. Estas especies han sido identificadas taxonómicamente por morfología; esto se dificulta por sobrelapamientos morfológicos (subgénero Nyssurhynchus. Los estudios entomológicos obvian estas dificultades obteniendo isofamilias (estadios inmaduros y progenie; este procedimiento requiere personal calificado. La biología molecular apoya la identificación taxonómica, utilizando el análisis de las secuencias de Espaciadores Internos Transcritos (ITS del rDNA. La ITS2 diferencia especies e ITS1 diferencia complejos (1.

  4. Bone mass status of school-aged children in Taiwan assessed by quantitative ultrasound: the Nutrition and Health Survey in Taiwan Elementary School Children (NAHSIT Children 2001-2002).

    Science.gov (United States)

    Lin, Yi-Chin; Tu, Su-Hao; Pan, Wen-Harn L

    2007-01-01

    Bone health status in childhood and adolescence may be important factors influencing the attainment of peak bone mass. The Nutrition and Health Survey in Taiwan Elementary School Children 2000-2001 was carried out to evaluate the overall nutrition and health status of school children aged between 6 and 13 years. The survey was conducted using a multi-stage complex sampling scheme. Townships and city districts in Taiwan were classified into 13 strata. Bone mass measured as broadband ultrasound attenuation was taken at heel by quantitative ultrasound bone densitometry. A total of 1164 boys and 1016 girls who had complete physical examination data with ultrasound bone scan were included in the current analysis. There were no apparent differences in BUA across all strata for both genders. In both boys and girls, age, height, body weight, BMI, and intake frequencies of vegetables and fruits/juices were significantly related to BUA. Results of multivariate regression showed that age (beta=1.36, p=0.0002) and body weight (beta=0.40, pvariables on BUA in boys and girls may be in part due to the development of puberty. It would be necessary to include levels of physical activity in future analyses for better understanding factors influencing the development of peak bone mass in Taiwanese children.

  5. Utilización del programa de promoción y prevención en las empresas promotoras de salud y administradoras del régimen subsidiado de Manizales, Colombia, 2001-2002.

    Directory of Open Access Journals (Sweden)

    Cecilia Realpe

    2009-11-01

    Full Text Available El propósito de este estudio es estimar el grado de utilización del programa de promoción y prevención por parte de la población afiliada a los regímenes subsidiado y contributivo en Manizales e identificar los factores determinantes del uso de los mismos. Se realizó una encuesta domiciliaria a 1.367 hogares de ambos regímenes acerca de las características de los servicios de promoción y prevención de nueve empresas promotoras de salud (EPS y dos administradoras del régimen subsidiado (ARS. Se encontró que todas las EPS y ARS estudiadas tenían programas de promoción y prevención, siendo el subprograma de salud oral el más utilizado (57.9% y el de enfermedades de transmisión sexual el menos utilizado (2.2%, con un bajo nivel de conocimiento (38% y alto nivel de satisfacción con los servicios (84.1% por parte de los usuarios. Se halló diferencia significativa en el uso de subprogramas de vacunación, crecimiento y desarrollo, planificación familiar y control de embarazo entre ambos regímenes y una relación entre el conocimiento y el uso de estos.

  6. Enfermagem na WEB: o processo de criação e validação de um WEB site sobre doença arterial coronariana Enfermería en la WEB: el proceso de construcción y validez de una pagina WEB sobre la enfermedad arterial coronaria Nursing on the web: the creation and validation process of a coronary heart disease WEB site

    Directory of Open Access Journals (Sweden)

    Isaac Rosa Marques

    2002-06-01

    Full Text Available A World Wide Web é uma importante fonte à pesquisa da informação de saúde. Um desafio para a área de Informática em Enfermagem brasileira é o de usar esse potencial para promover a educação em saúde. Este artigo objetiva apresentar um modelo de criação e validação usado em um Web site educativo, denominado CardioSite, cujo tema é a Doença Arterial Coronariana. Para a criação do mesmo, foi adotado um método com fases de modelagem conceitual, de desenvolvimento, de implementação e de avaliação. Na fase de avaliação, a validação foi feita através de um painel on-line com especialistas nas áreas de informática e saúde. Os resultados demonstraram que as informações são confiáveis e válidas. Considerando a inexistência de sistemas nacionais oficiais com esse propósito, este modelo demonstrou-se efetivo para avaliar a qualidade do conteúdo do Web site.La Word Wide Web es una importante fuente de investigación de información sobre la salud. Un desafío para el área de Informática en Enfermería brasileña es el de usar este potencial para promover la educación en salud. Este artículo busca presentar un modelo de creación y evaluación utilizado en una Pagina Web educativa, denominado CardioSite, cuyo tema es la Enfermedad Arterial Coronaria. En la creación del mismo se ha adoptado un método con las fases de modelaje conceptual, de desarrollo, de implementación y de evaluación. En la fase de evaluación, la validación se llevó a cabo por medio de un panel on-line con especialistas en las áreas de informática y salud. Los resultados señalaron tales informaciones como confiables y validas. Al considerar la inexistencia de sistemas nacionales oficiales con este propósito, el modelo se ha mostrado efectivo para evaluar la calidad del contenido la pagina web.The World Wide Web is an important health information research source. A challenge for the Brazilian Nursing Informatics area is to use its

  7. Incidence of vascular complications in patients submitted to percutaneous transluminal coronary angioplasty by transradial and transfemoral arterial approach Incidencia de complicaciones vasculares en pacientes sometidos a angioplastía coronaria transluminal percutánea por vía arterial transradial y transfemoral Incidência de complicações vasculares em pacientes submetidos a angioplastia coronariana transluminal percutânea por via arterial transradial e transfemoral

    Directory of Open Access Journals (Sweden)

    Marinez Kellermann Armendaris

    2008-03-01

    Full Text Available OBJECTIVE: To describe the vascular complications of transradial and transfemoral artery punctures in patients submitted to percutaneous transluminal coronary angioplasty (PTCA. METHODS: Prospective cohort study including patients submitted to PTCA. An interview was performed and an instrument applied to collect risk factors/predictors of complications. After the procedure, a physical examination was performed, vital signs were measured and the puncture site was assessed. RESULTS: 199 patients were included, age 64±10 years. Complications found for the radial and femoral approach were respectively: ecchymosis (18.29%, (17.14%; bruising (17.66%, (14.27%; urinary retention (2.43%, (25.71%; loss of vessel permeability (8.53%, (0%. CONCLUSION: The complications found were considered minor or secondary, depending on the classification found in literature. A higher rate of vascular complications related to transradial artery punctures compared to the interventions performed by transfemoral approach.OBJETIVO: Describir complicaciones vasculares relacionadas a punciones arteriales transradial y transfemoral en pacientes sometidos a angioplastía coronaria transluminal percutánea (ACTP. MÉTODOS: Se trata de un estudio de cohorte prospectivo realizado con pacientes sometidos a ACTP. Se llevó a cabo una entrevista y aplicó un instrumento para obtener factores de riesgo/predictores. Fue realizado un examen físico, medición de signos vitales y se evaluó el lugar de punción. RESULTADOS: Fueron incluidos 199 pacientes, edad 64±10 años. Las complicaciones encontradas para vía radial y femoral respectivamente, fueron: esquimosis (18,29%, (17,14%; hematoma (17,66%, (14,27%; retención urinaria (2,43%, (25,71%; pérdida de permeabilidad de vaso (8,53%, (0%. CONCLUSIÓN: Las complicaciones fueron consideradas menores o secundarias conforme clasificación literaria. Existe una mayor incidencia de complicaciones vasculares relacionadas a punciones

  8. Parâmetros ecocardiográficos de deposição de gordura epicárdica e sua relação com doença arterial coronariana Parámetros ecocardiográficos de deposición de grasa epicárdica y su relación con la enfermedad arterial coronaria Echocardiographic parameters of epicardial fat deposition and its relation to coronary artery disease

    Directory of Open Access Journals (Sweden)

    Juan Valiente Mustelier

    2011-08-01

    Full Text Available FUNDAMENTO: Gordura epicárdica tem sido associada com a presença de doença arterial coronariana (DAC significante. Entretanto, a associação entre infiltração lipomatosa do septo atrial e a infiltração de gordura do ventrículo direito (VD permanece incerta. Nenhum desses parâmetros foi totalmente estudado em pacientes hispânicos. OBJETIVO: Determinar a associação entre a gordura epicárdica, infiltração lipomatosa do septo atrial e a infiltração de gordura do VD na presença de DAC. MÉTODOS: Duzentos e cinquenta pacientes hispânicos (86 mulheres e 164 homens, média da idade 61,5 ± 8 vs 62 ± 10 respectivamente, submetidos à sua primeira angiografia coronariana invasiva (ACI foram estudados. No dia seguinte ao ACI, parâmetros de deposição de gordura epicárdica foram avaliados através de ecocardiografia modo 2D. Variáveis clínicas (idade, sexo, antecedentes pessoais do hábito de fumar, hipertensão e diabete melito, bem como a apresentação clínica da DAC e antropométricas (circunferência da cintura e índice de massa corporal [IMC] também foram coletadas. RESULTADOS: A gordura epicárdica (OR 1,27 p = 0,009, bem como a infiltração de gordura no VD (OR 2,94 p = 0,027, apresentaram uma associação significante e independente com a presença, mas não com a extensão (p = 0,516 e apresentação clínica (p = 0,153 da DAC. A extensão da deposição da gordura epicárdica mostrou uma associação proporcional e significante (p = 0,001 com a presença de DAC. CONCLUSÃO: A Gordura epicárdica e a infiltração de gordura do VD foram fatores significantes e independentes associados com a presença de DAC, a qual estava proporcionalmente aumentada de acordo com a extensão da deposição de gordura epicárdica.FUNDAMENTO: La grasa epicárdica ha venido siendo asociada con la presencia de enfermedad arterial coronaria (EAC significativa. Sin embargo, la asociación entre la infiltración lipomatosa del septo atrial y

  9. The statistic caption of agrarian salary men: Reflexions on its problems through an exercise of comparation between inhabitans and agrarian censuses (Argentina, 2001/2002 La captación estadística de los asalariados agropecuarios: Reflexiones en torno a sus problemas mediante un ejercicio de comparación entre censos de población y agropecuarios (Argentina, 2001/2002

    Directory of Open Access Journals (Sweden)

    Germán Rosati

    2011-01-01

    Full Text Available The count of the agricultural employment (particularly of the waged employment using official statistical sources has presented several problems and limitations. The high levels of work instability, seasonality and informality have produced numerous difficulties in the quantification of rural employment. The recent processes which affect the agricultural work force (such as its residence urbanization, the reduction of productive and occupational cycles and the decline of labor requirements because of the mechanization of certain crops seem to have increased those difficulties. Former approximations to theses problems showed that populations census and agricultural census throws divergent results in the quantification of the employees in agriculture. A comparative analysis of the results obtained in Argentina by the National Population and Households Census of 2001 and the National Agricultural Census of 2002 is presented in this paper. Its objective is to perform an approximation to the different numbers of agricultural wage earners which both sources provide. Besides, it will be attempted a link with the different agrarian and social structures and territories, trying to find out if they explain part of those divergent results. In order to accomplish those objectives, it was created a county-level database with the total number of agricultural wage earner. It also contained a set of indicators of the social and agrarian structure (quantity of pauper farmers, levels of urbanization, land distribution, etc..Históricamente la captación estadística del empleo agropecuario (y más específicamente del empleo asalariado agropecuario ha presentado una serie de problemas y limitaciones para las fuentes de datos tradicionales. Los elevados niveles de transitoriedad, estacionalidad, no registro e informalidad han tenido como consecuencia una serie de dificultades en su cuantificación por medio de las fuentes censales y muestrales tradicionales. Los procesos más recientes que atraviesan a esta fracción social (urbanización, acortamiento de ciclos productivos y ocupacionales, disminución de requerimientos de fuerza de trabajo por la mecanización de ciertas cosechas, etc. parecen haber incrementado dichas dificultades. Trabajos previos realizados demuestran que los censos de población y agropecuarios arrojan diferentes resultados en la cuantificación de los asalariados del sector. Se presenta en este documento un análisis comparado de los resultados obtenidos en Argentina, por el Censo Nacional de Población y Vivienda de 2001 y el Censo Nacional Agropecuario de 2002. El objetivo buscado es realizar una aproximación a las diferentes cifras de asalariados en el agro que arrojan ambos relevamientos en todos los departamentos del país. A su vez, se intentará vincular dichas diferencias con los distintos territorios y distintas estructuras sociales y agrarias, buscando descubrir si permiten aportar a la explicación de aquellos resultados divergentes. Para ello se confeccionó una base de datos del total del país, desagregada a nivel provincial y departamental (máximo nivel de desagregación permitida por las fuentes publicadas de la cantidad total de asalariados agropecuarios y diversos indicadores de la estructura social y agraria (cantidad de explotaciones pobres, niveles de urbanización, distribución de la tierra, etc..

  10. Hacia un nuevo horizonte en la prensa científica: el renacer de una constelación de revistas enlínea

    Directory of Open Access Journals (Sweden)

    Lic. Rocío Jiménez

    1999-01-01

    Full Text Available La revolución Internet significa el comienzo de una nueva era en las publicaciones, devolviendo el poder a los científicos. Esto representa un reto que podría significar el fin para muchos títulos impresos. La red libera la información científica de cualquier opresión o grillete y le devuelve su original valor humanista: La llama de Prometeo desciende del Olimpo y se mezcla con el pueblo.

  11. Integración y Desarrollo Económico en América Central: El Renacer de un Viejo Debate

    Directory of Open Access Journals (Sweden)

    José BRIÑEZO RUIZ

    2009-11-01

    Full Text Available RESUMEN: En este ensayo se evalúa el papel que la integración regional ha desempeñado en los programas de desarrollo económico de los países de América Central en los últimos cincuenta años. Esto supone realizar una revisión del proyecto de desarrollo económico elaborado por Raúl Prebisch y la Comisión Económica para América Latina (CEPAL, cuyo núcleo lo constituía la industrialización con sustitución de importaciones. En el ensayo se examina en que medida las ideas cepalinas fueron parte de las políticas de integración que se implementaron en Centroamérica, cómo evolucionó este proceso y cuáles fueron las causas de su colapso. De igual manera, en el trabajo se analiza la nueva etapa aperturista de la integración en el istmo y sus limitaciones para contribuir a la transformación productiva de la región. El ensayo concluye con una serie de reflexiones que plantean un retorno a las viejas ideas cepalinas que conciben a la integración como parte de una estrategia económica cuyas metas fundamentales son lograr una difusión del progreso técnico y un incremento en el bienestar colectivo.ABSTRACT: This paper examines the role of regional integration in the promotion of economic development of Central American countries in the last fifty years. This implies a review of the ideas about development presented by Raul Prebisch and the Economic Commission for Latir] America (ECLAC, the cornerstone of which were the promotion of regional industrialisation. This essay evaluares the extent to which ECLAC's ideas about integration were actually implemented in the Central American Common Market. The evolution of this integration scheme and the reason of its collapse are also explained in tisis papen. Similarly, the new period of regional integration in Central America and its limitations are analysed. The conclusion is the need for a return to some of the old ECLAC's proposals that conceived integration as parí of a strategy leading to promote the diffusion of technical progress and the improvement of the collective welfare.

  12. Integración y Desarrollo Económico en América Central: El Renacer de un Viejo Debate

    Directory of Open Access Journals (Sweden)

    José BRIÑEZO RUIZ

    2009-11-01

    Full Text Available RESUMEN: En este ensayo se evalúa el papel que la integración regional ha desempeñado en los programas de desarrollo económico de los países de América Central en los últimos cincuenta años. Esto supone realizar una revisión del proyecto de desarrollo económico elaborado por Raúl Prebisch y la Comisión Económica para América Latina (CEPAL, cuyo núcleo lo constituía la industrialización con sustitución de importaciones. En el ensayo se examina en que medida las ideas cepalinas fueron parte de las políticas de integración que se implementaron en Centroamérica, cómo evolucionó este proceso y cuáles fueron las causas de su colapso. De igual manera, en el trabajo se analiza la nueva etapa aperturista de la integración en el istmo y sus limitaciones para contribuir a la transformación productiva de la región. El ensayo concluye con una serie de reflexiones que plantean un retorno a las viejas ideas cepalinas que conciben a la integración como parte de una estrategia económica cuyas metas fundamentales son lograr una difusión del progreso técnico y un incremento en el bienestar colectivo.ABSTRACT: This paper examines the role of regional integration in the promotion of economic development of Central American countries in the last fifty years. This implies a review of the ideas about development presented by Raul Prebisch and the Economic Commission for Latir] America (ECLAC, the cornerstone of which were the promotion of regional industrialisation. This essay evaluares the extent to which ECLAC's ideas about integration were actually implemented in the Central American Common Market. The evolution of this integration scheme and the reason of its collapse are also explained in tisis papen. Similarly, the new period of regional integration in Central America and its limitations are analysed. The conclusion is the need for a return to some of the old ECLAC's proposals that conceived integration as parí of a strategy leading to promote the diffusion of technical progress and the improvement of the collective welfare.

  13. Rol del laboratorio cardiovascular en la detección precoz de enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Soto S. Juan Ramón, Dr.

    2012-11-01

    Debido a que estos sujetos son por definición asintomáticos, debe procurarse solicitar aquellos exámenes de laboratorio que sean los más inocuos posibles para las personas que se someten a estas evaluaciones. Asimismo, estas pruebas deberían ser relativamente económicas e incomodar lo menos posible a los sujetos que se someten a ellas.

  14. Coronary CT: clinical indications and future directions; Tomografia de coronarias: indicacoes clinicas e perspectivas futuras

    Energy Technology Data Exchange (ETDEWEB)

    Nomura, Cesar H.; Serpa, Bruna S.; Kay, Fernando U.; Szarf, Gilberto; Passos, Rodrigo B.; Neto, Roberto S.; Chate, Rodigo C.; Funar, Marcelo B., E-mail: cesarnomura@gmail.com [Hospital Israelita Albert Einstein, Sao Paulo, SP (Brazil); Cury, Roberto C. [Hospital Samaritano, Sao Paulo, SP (Brazil)

    2011-01-15

    Multidetector computed tomography (MDCT) has started its implementation in cardiology with calcium quantification of coronary plaques in the study without contrast, using the calcium score, demonstrating an important independent predictor of future cardiac events. The examination with intravenous contrast, coronary angiography, appeared later as a noninvasive method for evaluation of anatomy and obstructive coronary disease, characterizing the degree of stenosis and the presence of non calcified atherosclerotic plaques, assessing not only the lumen, but also the vessel wall. With the advent of new machines with more detectors and higher temporal resolution has been a reduction in radiation dose and the possibility of new applications. (author)

  15. Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

    Directory of Open Access Journals (Sweden)

    Rejane Kiyomi Furuya

    2013-12-01

    Full Text Available Estudo descritivo, transversal, correlacional, que objetivou verificar a associação entre a presença de ansiedade e depressão após a alta hospitalar em pacientes submetidos à intervenção coronária percutânea (ICP, segundo o sexo. Foram avaliados 59 pacientes submetidos à ICP e em acompanhamento ambulatorial nos primeiros sete meses após a alta hospitalar. Para avaliação de sintomas de ansiedade e de depressão foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS. Para testar as possíveis associações entre as variáveis ansiedade, depressão e sexo foi utilizado o teste de qui-quadrado, com nível de significância de 5%. Os resultados indicaram maior número de mulheres com depressão, sendo que a associação entre as variáveis sexo e depressão mostrou-se estatisticamente significativa. Em relação à ansiedade, os casos foram mais frequentes no sexo masculino e a associação entre as variáveis sexo e ansiedade não foi estatisticamente significativa.

  16. Obesidad y enfermedad arterial coronaria: papel de la inflamación vascular

    OpenAIRE

    Fernando Gomes; TELO, Daniela F.; SOUZA, Heraldo P. de; José Carlos Nicolau; Alfredo Halpern; Carlos V. Serrano Jr.

    2010-01-01

    A obesidade vem se tornando uma epidemia global. Cerca de 1,1 bilhões de adultos e 10% das crianças do mundo são atualmente considerados portadores de sobrepeso ou obesos. Classicamente associada a fatores de risco para doença cardiovascular, como diabete melito e hipertensão arterial sistêmica, a obesidade vem sendo cada vez mais encarada como fator de risco independente para doença arterial coronariana (DAC). A aterosclerose coronariana compreende uma série de respostas inflamatórias em nív...

  17. Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

    Directory of Open Access Journals (Sweden)

    Rejane Kiyomi Furuya

    2013-12-01

    Full Text Available Estudo descritivo, transversal, correlacional, que objetivou verificar a associação entre a presença de ansiedade e depressão após a alta hospitalar em pacientes submetidos à intervenção coronária percutânea (ICP, segundo o sexo. Foram avaliados 59 pacientes submetidos à ICP e em acompanhamento ambulatorial nos primeiros sete meses após a alta hospitalar. Para avaliação de sintomas de ansiedade e de depressão foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS. Para testar as possíveis associações entre as variáveis ansiedade, depressão e sexo foi utilizado o teste de qui-quadrado, com nível de significância de 5%. Os resultados indicaram maior número de mulheres com depressão, sendo que a associação entre as variáveis sexo e depressão mostrou-se estatisticamente significativa. Em relação à ansiedade, os casos foram mais frequentes no sexo masculino e a associação entre as variáveis sexo e ansiedade não foi estatisticamente significativa.

  18. Additional protocol between France, EURATOM and IAEA. 2001-2002 ordinary session. Project of law authorizing the ratification of the additional protocol to the agreement between France, the European Atomic Energy Community and the International Atomic Energy Agency relative to the application of warranties in France; Protocole additionnel entre la France, Euratom et l'AIEA. Session ordinaire de 2001-2002. Projet de loi autorisant la ratification du protocole additionnel a l'accord entre la France, la Communaute europeenne de l'energie atomique et l'Agence internationale de l'energie atomique relatif a l'application de garanties en France

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This additional protocol to the agreement between France, EURATOM and the IAEA aims at reinforcing the nuclear weapons non-proliferation regime. This protocol widens the field of competences of the IAEA with the supply of new information relative to: the civil nuclear cooperation between France and countries having no nuclear weapons in the domain of fuel cycle; the regular inspection of French nuclear facilities; the trade (import and export) of medium- or high-level radioactive wastes containing plutonium, highly enriched uranium or {sup 233}U, and the trade of some non-nuclear equipments or materials with countries having no nuclear weapons. The protocol defines also some practical dispositions relative to the delays and periodicity of controls, to the transmission of data, to the appointment of IAEA inspectors and their access to the facilities and sites considered. The list of the activities and equipments covered by the protocol are given in appendixes. (J.S.)

  19. Análise da aptidão industrial de seis cultivares de maçãs, considerando suas avaliações físico-químicas (Dados da Safra 2001/2002 Industrial fitness analysis of six apple cultivars, considering their physico-chemical evaluation

    Directory of Open Access Journals (Sweden)

    Cícero Paganini

    2004-12-01

    Full Text Available A agroindústria da maçã no Brasil utiliza como matéria-prima frutas de descarte provenientes dos processos de seleção para o mercado de frutas in natura. Esse descarte pode representar 30% da produção total. Essas frutas são processadas à medida que são encaminhadas para a indústria. Em países europeus, entretanto, tanto para a obtenção de sucos quanto para sidras, são utilizadas frutas de cultivares selecionadas para tal fim, sendo usados como marcadores de qualidade industrial os teores de acidez, taninos e açúcares. Esses componentes são importantes para a qualidade do produto e envolvem os critérios de cor, sabor e aromas, atributos envolvidos no processo de compra e no hábito dos consumidores. Neste trabalho, foram avaliadas seis cultivares de maçãs (Gala, Eva, Rainha, Fred Hough, Imperatriz e Sansa em relação aos parâmetros: teores de sólidos solúveis totais, açúcares totais e redutores, sacarose, glucose, frutose e compostos fenólicos totais, além da acidez total titulável. Foram determinadas as razões entre açúcares totais/acidez total, grau brix/acidez total e a proporção entre glucose, sacarose e frutose. Pelos resultados, verificou-se que a cultivar Imperatriz apresentou a maior porcentagem de frutose: 66%. O indicador industrial, calculado a partir da razão açúcar/acidez, que apresenta como critério o valor 20, estabelece que essas cultivares podem ser classificadas como de interesse comercial, e não industrial, uma vez que as seis cultivares apresentaram valores superiores a esse critério, ou seja, com baixa acidez. As cultivares Sansa, Rainha e Imperatriz apresentaram valores superiores a 200 ppm de compostos fenólicos (valor referencial, o que lhes confere características interessantes para serem exploradas pelo setor industrial.The apple processing in Brazil is done with fruits that do not reach the standart of quality stablished for commercial purposes, which are named industrial apple. Such a discharge may sometimes represent around 30% of total production, which reached 300.000 metric tons in 2000. In some European countries the processing of apples in order to obtain apple juices and hard ciders utilizes selected cultivars and the indicators of quality are the total contents of acids, tannins and sugars. These components are related to quality and comprehend the criteria of color, taste and flavors, attributes that are involved with the process of purchase by consumers. In this work, samples of apple fruits cv namely Gala, Eva, Rainha, Fred Hough, Imperatriz and Sansa were evaluated concerning attributes such as contents of total soluble solids, total and reducing sugars, sucrose, glucose, fructose, total phenolics compounds and total acidity. It was also considered the relationship of total sugars/ acidity and the relative proportion of glucose, sucrose and fructose. The cultivar Imperatriz fruits showed the highest percentage of fructose (66,3% and the lowest percentage of sucrose (15,2%. The sugars/acidity ratios of all cultivars were higher than 20, which is the value of cut off for commercial appeal as table fruits, so that all cultivars were classified as of commercial interest. Sansa, Rainha and Imperatriz cultivars showed contets of phenolic compounds higher a 200 ppm and so they have a feature to be explored by the industrial sector.

  20. Temporalités à l’épreuve de la parité Temporalities and the Gender Parity test. Gender parity and professional, family and political temporalities among women elected to public office in medium-sized French towns (2001-2002

    Directory of Open Access Journals (Sweden)

    Magali Della Sudda

    2009-10-01

    Full Text Available Cet article propose de mettre en lumière l’articulation des différents temps sociaux et des régimes de temporalité qui président à l’entrée en politique des élus hommes et femmes dans une ville moyenne française en 2001. Il interroge une éventuelle spécificité de genre dans la façon de percevoir le temps et de l’organiser chez les élu-e-s selon trois régimes de temporalités. L’« entrée en politique » est présentée comme une rupture ou une continuation selon les configurations : novice plutôt que profane, les élues disposent de savoir-faire acquis hors du champ politique qui sont convertis en ressource à cette occasion. L’appréhension du temps par les élus et les élues témoigne d’un effet du genre sur l’articulation des temps sociaux : tue chez les élus, elle est perçue comme problématique chez la majorité des élues. Mais le genre n’explique par tout, la situation dans le parcours de vie au moment de l’entrée en politique influe sur la façon de ressentir l’articulation des temps sociaux. Cette réflexion permet d’isoler les effets du genre mais aussi de l’âge dans ces trajectoires militantes en confrontant les parcours et les discours des élus des deux sexes.This paper seeks to shed some light on the harmonization between various social times and the temporality governing the entry of men and women into politics. It poses the question as to whether perceptions of time and temporality may be gender-specific. Depending on configurations, “going into politics” is presented as either change or continuity: novice rather than “profane”, on this occasion elected female candidates convert the “savoir-faire” acquired outside the political arena into a resource. Analyzing the perception of time reveals a gender effect on how social times work together: whereas elected male candidates do not even mention it, the majority of women in public office perceive it as problematic. Moreover, women’s position in the life course at the time of their election influences the way they experience the articulation of social times. Our approach will isolate the effects of gender but also of age in these militant trajectories, when confronting the experiences and discourses of elected officials of both sexes.

  1. Chylomicrons metabolism in patients with coronary artery disease; Metabolismo de quilomicrons em pacientes portadores de doenca arterial coronaria

    Energy Technology Data Exchange (ETDEWEB)

    Brandizzi, Laura Ines Ventura

    2002-07-01

    Chylomicrons are the triglyceride-rich lipoproteins that carry dietary lipids absorbed in the intestine. In the bloodstream , chylomicron triglycerides are broken-down by lipoprotein lipase using apoliprotein (apo) CII as co factor. Fatty acids and glycerol resulting from the enzymatic action are absorbed and stored in the body tissues mainly adipose and muscle for subsequent utilizations energy source. The resulting triglycerides depleted remnants are taken-up by liver receptor such as the LDL receptor using mainly apo E as ligand. For methodological reasons, chylomicron metabolism has been unfrequently studied in subjects despite its pathophysiological importance, and this metabolism was not evaluated in the great clinical trials that established the link between atherosclerosis and lipids. In studies using oral fat load tests, it has been shown that in patients with coronary artery disease there is a trend to accumulation of post-prandial triglycerides, vitamin A or apo B-48 , suggesting that in those patients chylomicrons and their remnants are slowly removed from the circulation. A triglyceride-rich emulsion marked radioisotopic which mimics chylomicron metabolism when injected into the bloodstream has been described that can offer a more straight forward approach to evaluate chylomicrons. In coronary artery disease patients both lipolysis and remnant removal from the plasma of the chylomicron-like emulsions were found slowed-down compared with control subjects without the disease. The introduction of more practical techniques to assess chylomicron metabolism may be new mechanisms underlying atherogenesis. (author)

  2. Amlodipine reduces predicted risk of coronary heart disease in high-risk patients with hypertension in Spain (The CORONARIA Study).

    Science.gov (United States)

    Zamorano, J; Rodriguez Padial, L; Cosín, J; Hernandiz, A; Gutierrez-Chico, J L; Pérez de Isla, L; Arístegui, R; Masramon, X

    2008-01-01

    We evaluated the efficacy and safety of amlodipine besylate alone or in combination with other antihypertensive agents in high-risk hypertensive patients in Spanish primary care. In this 1-year, open-label, prospective cohort study, 7468 patients were treated with amlodipine 5 - 10 mg as a monotherapy or as an add-on therapy to attain blood pressure control (target of risk) was -8.6%, down from 24.7% at baseline (relative risk reduction, 31.6%). Change in blood pressure from baseline (162.5/95.3 mmHg) was -26.7/-14.6 mmHg, and 38.6% of patients achieved their blood pressure target. In summary, significant reductions in predicted coronary heart disease risk and blood pressure were observed with amlodipine both as a monotherapy and as an add-on therapy. Amlodipine was well tolerated and compliance with treatment was good.

  3. ¿Se debe corregir la insuficiencia mitral isquémica moderada durante la cirugía coronaria?

    Directory of Open Access Journals (Sweden)

    José Ignacio Sáez de Ibarra Sánchez

    2014-01-01

    Aunque la respuesta a la pregunta que plantea el estudio RIME puede ser interpreta como poco concluyente en términos de supervivencia. Los beneficios objetivos demostrados significativamente en todos los marcadores de deterioro de la función ventricular izquierda durante el corto seguimiento, apoyan la indicación de la reparación mitral en caso de IM moderada en pacientes de bajo riesgo.

  4. Study of Coronary Arteries by Means of Multidetector CT; Estudio de las arterias coronarias mediante tomografia computarizada multidetector

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, G. C.; Costas, M. I.; Delgado, C.; Velasco, M.; Tardaguila, F. [Hospital POVISA. Vigo. Pontevedra (Spain)

    2004-07-01

    Radiological study of coronary arteries has undergone major advances,especially with the incorporation of new CT multidetectors which afford temporary spatial resolution sufficient for the acquisition of high-quality images and diagnoses concerning various coronary artery abnormalities. The technique is described in terms of both facilitating data within a procedure making use of beta-blockers to slow heart rate and postprocess image reconstruction. Accordingly, our experience with a 16-detector CT and its clinical applications are illustrated. (Author)

  5. Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México

    Directory of Open Access Journals (Sweden)

    FANGHÄNEL-SALMÓN GUILLERMO

    1997-01-01

    Full Text Available Objetivo. Conocer la prevalencia de algunos factores de riesgo coronario en trabajadores de una institución de salud. Material y métodos. De 1993 a 1995 se evaluaron 2 228 trabajadores del Hospital General de México, 1 531 mujeres (68.7% y 697 hombres (31.2% con edades entre 16 a 65 años, y se les clasificó por áreas de trabajo: en Intendencia hubo 477 participantes (21.4%; en Administración, 697 (31.2%; en Personal Médico, 495 (22.2%, y en Enfermería, 559 (25.0%. Se les practicó historia clínica, mediciones antropométricas y determinación de glucosa, colesterol total, LDL, HDL y triglicéridos. Resultados. Trescientos sesenta y siete sujetos (14.9% tenían colesterol por arriba de 240 mg/dl, con valores altos en las mujeres del área administrativa (17.1% y en los hombres del departamento de enfermería (26% que presentó la mayor tendencia (26%. Se encontraron niveles de triglicéridos por arriba de los 200 mg/dl en 471 personas (19.1%; obesidad, en 329 (13.5%; hipertensión arterial, en 549 sujetos (22.2%, y tabaquismo positivo, en 32% de los trabajadores. La prevalencia de diabetes mellitus fue de 6.24%. Conclusiones. Se confirma la elevada prevalencia de factores de riesgo de enfermedad cardiovascular entre los trabajadores del Hospital General de México, factores que en muchos casos son modificables, lo que confiere la posibilidad de realizar acciones preventivas.

  6. Componente de software para el cálculo del puntaje total de calcio en las arterias coronarias

    Directory of Open Access Journals (Sweden)

    Alexander Rodríguez Bonet

    2015-10-01

    Full Text Available Cardiovascular diseases are the second cause of death in Cuba. Among the resources for combat this problem, stands the purchase of high technology medical equipment for the acquisition and image processing. In the case of imaging modalities in cardiology, these tools are highly specialized and complex. In the Cubans healthcare centers, these applications are available only in the medical own equipment, conditioning its use to that station and requiring specialist presence in place for evaluation and report. At the University of Informatics Sciences, were built applications for displaying and processing medical imaging with a general purpose. Due to the need to count for specialized tools for cardiology, this preliminary research was conducted. For that, some Cardio centers were visited in the capital, with finally to know some software functionalities of these devices that could spread to other computers. Furthermore it was revealed that when Coronary Artery Calcium Score is added to traditional risk factors, it results in a significant improvement in the classification of risk for the prediction of coronary heart disease events in an asymptomatic population. Based on these studies, were developed a component for the Coronary Artery Calcium Score with CT images. To achieve this, were used the method of Agatston, algorithms of computational geometry to calculate areas and image segmentation by thresholding an d regions growth. Thus it was found that it is feasible to develop these applications, which once introduced, can optimize the specialized services in cardiology, providing support studies these pathologies

  7. Influencia de diabetes mellitus y de la calidad de los lechos coronarios en el seguimiento alejado de la cirugía coronaria. Estudio «SEGUIR II»

    Directory of Open Access Journals (Sweden)

    Daniel Navia

    2005-07-01

    Conclusión: El grupo DBT con CRM presentó menor sobrevida alejada que el grupo no-DBT. El grupo de pacientes con lechos coronarios malos presentó mayor mortalidad hospitalaria y mayor incidencia de readmisión hospitalaria en el seguimiento a corto plazo.

  8. Coronary cineangiography and ionizing radiation exposure to patients: analysis of primary and secondary beam; Cineangiografia coronaria y radiacion ionizante a pacientes. Analisis en haz primario y secundario

    Energy Technology Data Exchange (ETDEWEB)

    Ramirez, Alfredo; Leyton, Fernando; Silva, Ana Maria; Farias, Eric [Universidad de Chile, Santiago (Chile). Hospital Clinico; Gamarra, Jorge; Oyarzun, Carlos [Comision Chilena de Energia Nuclear (CCHEN), Santiago (Chile)

    2001-07-01

    The purpose of this work was to determine the level of exposure dose to patients during coronariographies in different areas of body. This study has presented the medical surveillance of 18 cases and the radiation monitoring of these patients by TLD in thyroid and pelvis (secondary beam) and, in the right and left scapular region (primary beam) for each one of these procedures. The ionizing radiation received was 215 {+-} 200 mGy in left scapular region (range 1-710) and 255{+-}213 mGy in the right scapular region (range 22-635) p=NS. In the pelvic region the ionizing radiation was 0,22{+-}0,06 mGy and in the thyroid region was 3,62{+-}2,44 mGy.

  9. Efectos del tratamiento periodontal sobre los marcadores de inflamación sistémica en pacientes con riesgo de enfermedad cardiaca coronaria: Estudio piloto

    OpenAIRE

    López,Néstor J; Quintero, Antonio; Llancaqueo,Marcelo; Jara, Lilian

    2009-01-01

    Background- Studies investigating effects of periodontal treatment (PT) on markers of inflammation in healthy subjects show conflicting results. Few studies have investigated the effects ofPT among subjects with coronary heart disease (CHD) risk factors. Aim: To report the results of a pilot prospective study on the effects of periodontal treatment on markers of inflammation among subjects with CHD risk factors. Material and methods: Seventy three patients aged 53±6 years (25% males) with chr...

  10. Toma de decisiones en cirugía coronaria. Indicaciones y resultados del tratamiento quirúrgico del paciente con cardiopatía isquémica

    Directory of Open Access Journals (Sweden)

    José López

    2017-03-01

    Full Text Available En el presente artículo realizamos una revisión sobre la importancia de la toma de decisiones en el tratamiento quirúrgico de la cardiopatía isquémica. En primer lugar, los fundamentos de la indicación de la intervención, así como la importancia de la toma de esta decisión de manera colegiada a través del «Heart-Team». Por otro lado, trataremos cómo elegir el momento idóneo de la intervención en función de diferentes factores. Finalmente, abordaremos las expectativas del tratamiento desde el punto de vista del cardiólogo clínico.

  11. Mediastinal radiotherapy and ostial lesion of the left main coronary artery; Radioterapia mediastinica e lesao ostial de tronco de coronaria esquerda

    Energy Technology Data Exchange (ETDEWEB)

    Victor, Edgar Guimaraes; Parente, Giordano Bruno de Oliveira [Pernambuco Univ., Recife, PE (Brazil). Hospital das Clinicas]. E-mail: evictor@truenet.com.br

    2004-03-01

    Ischemic cardiac disease is a rare complication and, only recently recognized, of mediastinal irradiation for neoplasms in this region. A case of a 51 years old woman with angina pectoris, rapidly progressive is related, where the angiographic finding was represented by ostial sub occlusive lesion of the left coronary body. The previous story showed the use of radiotherapy for mediastinal Hodgkin lymphoma treatment, with close relation to right ventricle, removed by surgery and afterwards treated with irradiation and chemotherapy two years ago. The coronary stenosis induction in these patients can be dependent or not of the focal arteriosclerosis and is mediated, mainly, by intimal thickness due to tissular fibrosis without alteration in the medium layer and with inclination for the ostial portions of the main arteries. The recognition of this condition (thorax radiotherapy), as an isolated and independent factor for the coronary disease, should be considered in the acting plan for prevention, detection and previous therapy.

  12. El renacer de las teorías de la imputación en la dogmática jurídico-penal: ¿hacia una etapa superadora o involución a concepciones pre-científicas?

    OpenAIRE

    Nicolás Santiago Cordini

    2015-01-01

    The Science of Criminal Law goes through a moment that can be characterized as a “crisis”. Faced with this situation, have been proliferate theories that define themselves as “theories of imputation” that leave, in whole or in part, the theory of crime up to now dominating. The aim of this article is to analyze three theories enrolled under the concept of imputation and determine in which proportion they conserve other they get off the categories proposed by the theory of crime. Then, we will...

  13. Income in the United States: 2002. Current Population Reports. Consumer Income.

    Science.gov (United States)

    DeNavas-Walt, Carmen; Cleveland, Robert W.; Webster, Bruce H., Jr.

    Using data from the 2003 Current Population Survey Annual Social and Economic Supplement, this study found that real median household money income declined by 1.1 percent between 2001-2002 to $42,409. Real median household income was unchanged between 2001-2002 for three of four alternative income definitions. The fourth, real median household…

  14. Raamatupidamisalases täiendkoolituses osalemise võimalustest / Tiiu Hazak

    Index Scriptorium Estoniae

    Hazak, Tiiu

    2002-01-01

    Ilmunud ka: Buhgalterskije Novosti nr. 6 lk. 39-44. Järg Raamatupidamisuudised nr. 7 lk. 38-39. Koolituskavad ning erinevate koolitusfirmade hinnataseme võrdlus. Tabelid: raamatupidamisalast täiendkoolitust pakkuvad firmad 2001/2002 õ.-a.; koolitajate poolt enampakutud koolitusteemad raamatupidamise valdkonnas 2001/2002. õppeaastal

  15. Raamatupidamisalases täiendkoolituses osalemise võimalustest / Tiiu Hazak

    Index Scriptorium Estoniae

    Hazak, Tiiu

    2002-01-01

    Ilmunud ka: Buhgalterskije Novosti nr. 6 lk. 39-44. Järg Raamatupidamisuudised nr. 7 lk. 38-39. Koolituskavad ning erinevate koolitusfirmade hinnataseme võrdlus. Tabelid: raamatupidamisalast täiendkoolitust pakkuvad firmad 2001/2002 õ.-a.; koolitajate poolt enampakutud koolitusteemad raamatupidamise valdkonnas 2001/2002. õppeaastal

  16. Descriptive study on neural tube defects in Argentina.

    Science.gov (United States)

    Sargiotto, Carla; Bidondo, María Paz; Liascovich, Rosa; Barbero, Pablo; Groisman, Boris

    2015-06-01

    Neural tube defects (NTDs) are the most common congenital anomalies of the central nervous system. Prevalence of NTDs varies depending on geographic region and folic acid fortification. The main objectives of this study are to analyze the prevalences of NTDs reported to the National Registry of Congenital Anomalies of Argentina (RENAC) during the period 2009 to 2013, to compare them with data from other selected surveillance systems of the Americas, and to evaluate the impact of folic acid fortification on the prevalence of NTDs in Argentina. We analyzed changes in prevalence between 2009 and 2013 for the RENAC, and differences in prevalence between RENAC and other surveillance systems. We evaluated changes for the pre and postfortification time periods in Argentina. In Argentina, anencephaly and spina bifida showed no statistically significant variation between 2009 and 2013, and encephalocele showed a statistically significant decline. The RENAC showed a statistically significant higher prevalence for all three defects when compared with surveillance systems from Chile, Colombia, and Costa Rica, and a statistically significant lower birth prevalence than Cuba for anencephaly. No differences were observed when comparing it to the Atlanta-USA and Mexico systems. A significant decrease in prevalence was observed for all three anomalies for the postfortification period in Argentina. The characteristics of cases reported to the RENAC are similar to those already reported in the literature. The differences in prevalence between the RENAC and other surveillance systems could be artifactual or real. We confirmed the decrease of prevalence of NTDs after folic acid fortification. © 2015 Wiley Periodicals, Inc.

  17. APL-UW Deep Water Propagation: Philippine Sea Signal Physics and North Pacific Ambient Noise

    Science.gov (United States)

    2013-09-30

    OTO band 16, 40 Hz 9 4 9 8 1 0 2 1996 1997 1998 1999 2000 2001 2002 2003 2004...2005 2006 2007 le ve l [ d B r e : 1 µ P a 2 /H z] north−central OTO band 16, 40 Hz 92 9 6 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005...2006 2007 le ve l [ d B r e : 1 µ P a 2 /H z ] north−east OTO band 16, 40 Hz 8 4 8 8 9 2 1995 1996 1997 1998 1999 2000 2001 2002

  18. [Variability in the in-hospital management of acute myocardial infarction in Spain. IBERICA Study (Investigación, Búsqueda Específica y Registro de Isquemia Coronaria Aguda)].

    Science.gov (United States)

    Fiol, M; Cabadés, A; Sala, J; Marrugat, J; Elosua, R; Vega, G; José Tormo Díaz, M; Segura, A; Aldasoro, E; Moreno-Iribas, C; Muñiz, J; Hurtado de Saracho, I; García, J

    2001-04-01

    Introduction and objective. Although some in-hospital studies have described the management of acute myocardial infarction (MI) patients in Spain, none has been able to guarantee the exhaustiveness of patient registry. This study sought to determine the clinical characteristics and in-hospital management of patients with MI in eight Spanish population registries.Methods. The IBERICA study is a population-based MI registry carried out in the 25 to 74 year-old population, in eight Spanish regions in 1997. A standardized methodology was used to register and investigate all MI arriving alive to a hospital. Clinical characteristics, cardiovascular risk factors prevalence, pharmacological treatment, invasive and non-invasive procedures performed and complications at 28 days of evolution were recorded. A descriptive analysis was performed and the variation coefficient (VC) was calculated.Results. In 1997, 4,041 MI patients were registered, 79.9% were men with a mean age of 61.1 years. Although 10.9% (95% CI: 9.9-11.9%) were not admitted to the coronary care unit, a large variability existed among different areas (VC = 53%). There was a high variability in the utilization and performance of non-invasive and invasive procedures among regions, as well as in the use of pharmacological treatment. Only the use of antiaggregants (91.5%) and thrombolytic therapy (41.8%) showed a low variability (VC < 10%). Twenty-eight day mortality was 16.2% (95% CI: 15.1-17.4%) with a high variability being observed among the different regions (VC = 20.6%).Conclusion. Patient characteristics vary among the different Spanish regions. The differences in management and prognosis suggest a lack of equality in the health care provided to MI patients in the different regions in Spain.

  19. GAMMAGRAFÍA DE PERFUSIÓN MIOCÁRDICA EN MUJERES POSMENOPÁUSICAS CON ANGINA Y CORONARIAS EPICÁRDICAS ANGIOGRÁFICAMENTE NORMALES / Myocardial perfusion scintigraphy in postmenopausal women with angina and angiographically normal epicardial coronary

    Directory of Open Access Journals (Sweden)

    Sherien Sixto Fernández

    2011-03-01

    Full Text Available Introduction and Objectives: Microvascular angina is common in postmenopausal women. Myocardial ischemia was induced by stress testing, and reports have been published about the relationship between endothelial dysfunction and myocardial perfusion. The objective of this research was to determine whether myocardial ischemia can be evidenced by abnormalities in perfusion and function, as detected by myocardial scintigraphy in women with typical angina, normal coronary angiography and endothelial dysfunction. Methods: 59 women underwent lipid and endothelial function measurements by brachial artery ultrasound, in addition, a 24-hour ECG study (Holter. During the scintigraphy a stress-rest protocol was applied. Patients were divided into two groups according to presence (group I or absence (group II of myocardial perfusion defects. Results: 21 patients showed perfusion defects. 57 % of group I exhibited greater endothelial dysfunction. Only twelve patients showed reversible perfusion defects, and 75 % of the cases was associated with a reduction of post-stress left ventricular ejection fraction, greater than 5 %, and regional abnormalities of wall motion. Three patients in group I showed evidence of ischemia compared with four in Group II. Conclusions: The stress-induced ischemia was associated with a reduced post-stress ejection fraction and endothelial dysfunction in the studied women, and no ischemic changes in the Holter were found.

  20. La cirugía coronaria sin bomba se asocia a peor permeabilidad de injertos arteriales y venosos y menor revascularización efectiva: Resultados del estudio Veterans Affairs Randomized On/Off Bypass

    Directory of Open Access Journals (Sweden)

    José María Melero

    2013-04-01

    Conclusiones: La CRC sin bomba obtuvo unas cifras de permeabilidad FitzGibbon A para injertos arteriales y venosos significativamente menores, y una revascularización efectiva también menor al compararla con la CRC con bomba. Al año, los pacientes con revascularización menos efectiva tuvieron una frecuencia mayor de eventos adversos.

  1. Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México Prevalence of risk factors of coronary disease in personnel of the General Hospital of Mexico

    Directory of Open Access Journals (Sweden)

    GUILLERMO FANGHÄNEL-SALMÓN

    1997-09-01

    Full Text Available Objetivo. Conocer la prevalencia de algunos factores de riesgo coronario en trabajadores de una institución de salud. Material y métodos. De 1993 a 1995 se evaluaron 2 228 trabajadores del Hospital General de México, 1 531 mujeres (68.7% y 697 hombres (31.2% con edades entre 16 a 65 años, y se les clasificó por áreas de trabajo: en Intendencia hubo 477 participantes (21.4%; en Administración, 697 (31.2%; en Personal Médico, 495 (22.2%, y en Enfermería, 559 (25.0%. Se les practicó historia clínica, mediciones antropométricas y determinación de glucosa, colesterol total, LDL, HDL y triglicéridos. Resultados. Trescientos sesenta y siete sujetos (14.9% tenían colesterol por arriba de 240 mg/dl, con valores altos en las mujeres del área administrativa (17.1% y en los hombres del departamento de enfermería (26% que presentó la mayor tendencia (26%. Se encontraron niveles de triglicéridos por arriba de los 200 mg/dl en 471 personas (19.1%; obesidad, en 329 (13.5%; hipertensión arterial, en 549 sujetos (22.2%, y tabaquismo positivo, en 32% de los trabajadores. La prevalencia de diabetes mellitus fue de 6.24%. Conclusiones. Se confirma la elevada prevalencia de factores de riesgo de enfermedad cardiovascular entre los trabajadores del Hospital General de México, factores que en muchos casos son modificables, lo que confiere la posibilidad de realizar acciones preventivas.Objective. To evaluate the prevalence of risk factors of coronary heart disease in the personnel of the General Hospital in Mexico City. Material and methods. We studied 2 228 workers, 1 531 female (68.7% and 697 male (31.2% whose ages ranged from 16 to 65 years old in the period of 1993 to 1995. They were divided in work areas: Intendancy 477 (21.4%, Administrative, 697 (31.2%, Physicians, 495 (22.2% and Nurses, 559 (25.0%. We collected clinical histories, anthropometric measures, and laboratory determinations of glucose, total cholesterol, LDL, HDL and triglicerydes. Results. We found that 367 (14.9% had total cholesterol above 240 mg/dl, with high values in females of the administrative area (17.1% and males in the nursing department (26%, which was the highest tendency. Trigliceryde levels above 200 mg/dl were found in 208 males (24.6% and 263 females (16.2%, with high prevalence in the nursing and administrative departments, in males (39.1 and 34.1% respectively. Obesity was present in 236 females (14.5% and 97 males (11.5%. High blood pressure in 549 individuals (22.2%, 297 females (18.3% and 252 males (29.8% without significance regarding to work area. Smoking habits were positive in 32% of the total with highest prevalence in males from 30 to 45 years and in females from 30 to 50 years. We found an incidence of 6.24% of diabetes in all the subjects studied, 2.27% ignored the diagnosis at the moment they were studied.Conclusions. In this study we confirmed the high prevalence of risk factors of coronary heart disease in personnel of the General Hospital in Mexico City. In most cases, these risk factors that can be modified and, therefore, prevented.

  2. Trasplante de células madre de médula ósea asociado a derivación coronaria para el tratamiento de la insuficiencia cardíaca de tipo isquémico

    Directory of Open Access Journals (Sweden)

    Alfonso Rivas-Plata

    2008-07-01

    Conclusiones: El trasplante de células madre asociado a DC en pacientes con infarto de miocardio previo mejora significativamente la función ventricular izquierda en relación con el grupo control, y podría retrasar o evitar la indicación del trasplante cardíaco.

  3. Coronary computed tomography angiography with 320-row detector and using the AIDR-3D: initial experience; Angiotomografia computadorizada de coronarias com tomografo com 320 fileiras de detectores e utilizando o AIDR-3D: experiencia inicial

    Energy Technology Data Exchange (ETDEWEB)

    Sasdelli Neto, Roberto; Nomura, Cesar Higa; Macedo, Ana Carolina Sandoval; Bianco, Danilo Perussi; Kay, Fernando Uliana; Szarf, Gilberto; Teles, Gustavo Borges da Silva; Shoji, Hamilton; Santana Netto, Pedro Vieira; Passos, Rodrigo Bastos Duarte; Chate, Rodrigo Caruso; Ishikawa, Walther Yoshiharu; Lima, Joao Paulo Bacellar Costa; Rocha, Marcelo Assis; Marcos, Vinicius Neves; Funari, Marcelo Buarque de Gusmao, E-mail: roberto.neto@einstein.br [Hospital Israelita Albert Einstein, Sao Paulo, SP (Brazil); Failla, Bruna Bonaventura [Universidade Metodista de Sao Paulo, Sao Bernardo do Campo, SP (Brazil)

    2013-07-01

    Coronary computed tomography angiography (coronary CTA) is a powerful non-invasive imaging method to evaluate coronary artery disease. Nowadays, coronary CTA estimated effective radiation dose can be dramatically reduced using state-of-the-art scanners, such as 320-row detector CT (320-CT), without changing coronary CTA diagnostic accuracy. To optimize and further reduce the radiation dose, new iterative reconstruction algorithms were released recently by several CT manufacturers, and now they are used routinely in coronary CTA. This paper presents our first experience using coronary CTA with 320-CT and the Adaptive Iterative Dose Reduction 3D (AIDR-3D). In addition, we describe the current indications for coronary CTA in our practice as well as the acquisition standard protocols and protocols related to CT application for radiation dose reduction. In conclusion, coronary CTA radiation dose can be dramatically reduced following the 'as low as reasonable achievable' principle by combination of exam indication and well-documented technics for radiation dose reduction, such as beta blockers, low-kV, and also the newest iterative dose reduction software as AIDR-3D. (author)

  4. Vías de señalización de peróxido de hidrógeno en las arterias coronarias: papel del calcio y alteraciones en la obesidad

    OpenAIRE

    Santiago Prieto, Elvira

    2016-01-01

    Las especies reactivas de oxígeno, ROS, están involucradas en la regulación fisiológica del flujo sanguíneo coronario, aunque en condiciones patológicas contribuyen al desarrollo de enfermedad cardiovascular. El H2O2 es la ROS con mayor implicación en dichos procesos ya que es la más estable, pudiendo actuar como vasoconstrictor o como vasodilatador. Además, el H2O2 puede actuar como molécula de señalización regulando la concentración intracelular de calcio, activando canales de calcio depend...

  5. 83. La cirugía de reva scularizac ión miocárdica ag rava el estrés oxidativo en pac ientes con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    M. Carmero Alcázar

    2010-01-01

    Conclusiones: La cirugía de revascularización miocárdica empeora el estrés oxidativo de los enfermos coronarios a expensas de un incremento de la actividad oxidativa y sus productos (especialmente MDA y una disminución de los mecanismos de defensa antioxidantes.

  6. Barreras para la participación en programas de rehabilitación cardiaca en pacientes sometidos a revascularización percutánea por enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Juan Carlos Sánchez-Delgado

    2016-03-01

    Resultados: Las mayores barreras por ítem fueron: «yo encuentro al ejercicio fatigante y/o doloroso», con un promedio de 2,86, seguido por «Yo hago actualmente ejercicio» y «Yo no sabía de la rehabilitación cardiaca» con un promedio de 2,73. El de menor puntaje fue: «Muchas personas sufren del corazón y no van», con 1,73. Presentaron más barreras quienes no asistieron a un programa de rehabilitación cardíaca (p < 0,05 que quienes sí lo hicieron; además las mayores barreras se encontraron en los dominios de necesidades percibidas y comorbilidades/estado funcional (p < 0,05. Lo anterior hace suponer falta de orientación y educación respecto a los beneficios que pueden obtener los usuarios al ingresar y adherirse a un programa de rehabilitación cardíaca, independiente de como se sientan o el tipo de limitación funcional que tengan.

  7. Cambios en el perfil hemodinámico al instaurar la ventilación mecánica en pacientes con cardiopatia isquemica y enfermedad coronaria. Medición con bioreactancia torácica

    OpenAIRE

    Rodríguez, Ivon Johanna

    2012-01-01

    Introducción. La respiración puede afectar el rendimiento cardiaco, ciclo a ciclo a través de los efectos de la presión y del volumen intrapulmonar sobre las determinantes de la función cardiovascular. De esta manera, Las interacciones corazón-pulmón determinan el funcionamiento cardiovascular y la capacidad del corazón de adaptarse a nuevas condiciones de carga. Objetivo. Identificar los cambios en el perfil hemodinámico al instaurar la ventilación mecánica en pacientes con cardiopatía isqué...

  8. Asociación entre el volumen de grasa epicárdica y las placas coronarias diagnosticadas por tomografía multicorte/ Associationbetweenepicardialfatvolume and coronary plaques diagnosedbymultislicecomputedtomography

    Directory of Open Access Journals (Sweden)

    José A. Morán Quijada

    2015-12-01

    Full Text Available Introduction: Coronary atherosclerotic disease is a major cause of death in Cuba and elsewhere. The volume of epicardial fat is considered a new cardiovascular risk factor because of its association with coronary atherogenesis. Objective: To determine, by multislice computed tomography, the association between epicardial fat volume and the presence of coronary atherosclerotic plaques. Method: A descriptive study was conducted with a universe of 130 patients with chest pain suggestive of ischemic heart disease, of which 117 were selected by opinion sampling. These patients underwent a calcium score study, a coronary angiography and a measurement of the epicardial fat volume. Results: Male patients predominated (54.7% and those aged 60-69 years (32.5%. A high volume of epicardial fat was found in 51.3% of patients, affecting 52.8% of women; 78.9% of patients with a calcium score between 100 and 399 UH had a high volume of epicardial fat, just as 71.2% of those with plaques and 100% of those with 4 or 5 plaques; 41% of patients had various types of plaque, which were mainly located in the anterior descending artery (88.1%. Conclusions: The measurement of the volume of epicardial fat is a useful tool to estimate the presence of coronary disease. When it was high, it was associated with older age, female gender and the presence of a higher calcium score, more plaques, more injuries and a greater involvement of the anterior descending artery.

  9. 89. Estudio multicéntrico español de la capacidad predictiva de las escalas de riesgo CHADS2 y CHA2DS2vasc en el accidente cerebrovascular tras cirugía coronaria aislada

    Directory of Open Access Journals (Sweden)

    E. Martín

    2012-04-01

    Resultados: Veinte mil novecientos ochenta pacientes incluidos, 282 desarrollaron ACV postoperatorio (1,34%. La incidencia de ACV fue superior en pacientes con insuficiencia cardíaca congestiva (ICC y/o fracción de eyección inferior al 40% (4,10 vs 0,83%, diabéticos (1,70 vs 1,11%, hipertensos (1,60 vs 0,98%, ACV previo (2,72 vs 1,26% y a enfermedad arterial periférica (EAP (3,04 vs 1,04%; p < 0,05. En el análisis multivariante, ICCC (odds ratio [OR]: 4,06, ACV previo (OR: 1,48, EAP (OR: 1,49 constituyeron factores de riesgo independientes para el desarrollo de ACV postoperatorio (p < 0,05. El AUC para CHADS2 fue 0,666, y para CHA2DS2VASc 0,655 (p < 0,0001. La distribución de las tasas de ACV postoperatorio según las puntuaciones de las anteriores escalas se recoge en la figura 1 (p < 0,0001. Conclusiones: Las escalas de riesgo CHADS2 y CHA2DS-2VASC pueden resultar útiles en la práctica clínica para estratificar el riesgo de desarrollo de ACV postoperatorio en pacientes sometidos a CCA.

  10. Relación entre la enzima convertidora de angiotensina, polimorfismo I/D, y obstrucción coronaria en una población del Quindío, Colombia

    Directory of Open Access Journals (Sweden)

    Patricia Landázuri

    2011-12-01

    Full Text Available Relationship between angiotensin-converting enzyme, I/D polymorphism, and coronary obstruction in a population of Quindío,Colombia. Angiotensin-converting enzyme (ACE activity in serum and insertion/deletion (I/D polymorphism have been associated tocardiovascular disease in several studies. Objective. To find a relationship between ACE activity and I/D polymorphism in the enzymegene in patients with coronary obstruction revealed by angiography. Materials and methods. Sample comprised patients attending ahemodynamics center in Quindío in need of a coronary angiography. ACE activity was measured by spectrophotometry and the I/Dgenotype determined by polymerase chain reaction. Results. 542 patients were divided into two groups: individuals with coronaryobstruction higher than or equal to 50% (OC≥50 and individuals with coronary obstruction less than 50% (CO<50%. Serum ACEactivity in the global population was higher in individuals with DD polymorphism, followed by ID and II with significant differences.A similar pattern was shown in both study groups but without significant differences, although enzyme activity was always higher inindividuals with OC≥50% compared with patients with OC<50%. ID genotype was the most frequent in both groups. No differenceswere found in allele and genotype frequencies in the study groups. Conclusions. Significant differences in ACE activity were foundaccording to genotype. Our study did not find any relationship between ACE activity, I/D polymorphisms and coronary obstruction.

  11. Contribution of quantitative coronary angiography in Palmaz-Schatz optimal stent liberation strategy for subacute occlusion control; Contribuicao da angiografia coronaria quantitativa na estrategia de liberacao otima da endoprotese de Palmaz-Schatz para o controle da oclusao subaguda

    Energy Technology Data Exchange (ETDEWEB)

    Sousa, Amanda Guerra de Moraes Rego

    1995-07-01

    This study examines whether a single method, quantitative coronary angiography with automated edge detection, could efficiently guide optimal stent liberation, assuring good clinical results and eliminating the need for anticoagulation therapy. This investigation includes 101 patients with optimal implantation of 104 Palmaz-stents. Their mean age was 58.62 years and 79.2% were male. Most of them presented unstable angina (61.39%) and had single vessel disease (85.15%) The treated vessel was the left anterior descending artery in 39.60%; the right coronary artery in 34.66%; the left circumflex artery in 7.92% and saphenous vein grafts in 17.82%. The mean reference diameter of the target vessel was 3.43 mm. Each implantation comprehended two phases: initial stent liberation and additional high pressure balloon inflation, guided by quantitative coronary angiography. Arterial quantification showed an important increase in the mean luminal diameter (p<0.001), characterized by an immediate gain of 2.37 mm [standard deviation (SD): 0.55 m]. Quantitative angiography permitted to identify a further gain in the luminal diameter following the high pressure balloon inflation, o.49 mm 9 SD:0.53 mm). Therefore, the total mean immediate gain was 2.85 mm (SD:0.64 mm). The mean diameter stenosis changed from 80.21% (SD:14.56%) to 11.81% (SD: 7.59% - p<0.001) after initial stent delivery; and to 0.16% (SD:3.45% - p<,0.001), after high pressure balloon inflation. Quantitative coronary angiography performed detailed measurements of the minimal caliber variations along the entire prosthesis due to the high pressure balloon inflations, similarly to the intracoronary ultrasound. This guided the optimal stent implantation and helped the clinical management of these cases. In this series, even maintained only under antiaggregant agents, no patient presented major ischemic complications and only one (0.99%) had a hemorrhage in the puncture site that required blood transfusion. The mean in hospital stay was 3.54 days (SD: 1.94 days). Therefore, the results of this study allow to conclude that: 1) Quantitative coronary angiography with automated edge detection was capable of detecting minimal changes in the luminal diameter due to the high pressure balloon inflation and could define stent implantation as optimal; 2) Quantitative coronary angiography allowed to safely avoids systemic anticoagulation and its complications; 3) This method is an efficient and safe way to orientate optimal implantation of the Palmaz-Schatz stent, eliminating the drawbacks of other imaging techniques. (author)

  12. TOMOGRAFÍA DE COHERENCIA ÓPTICA Y ANGIOGRAFÍA CORONARIA COMO COMPLEMENTO EN DECISIONES TERAPÉUTICAS / Optical coherence tomography and coronary angiography as complement in therapeutic decisions

    OpenAIRE

    José R. Nodarse Valdivia; Francisco L. Moreno−Martínez; Manuel Gómez Recio; Rosa Lázaro García; Iguer F. Aladro Miranda; Rosendo S. Ibargollín Hernández; Luis F. Vega Fleites; María del C. Calzado Manso

    2012-01-01

    ResumenLa tomografía de coherencia óptica es una técnica de diagnóstico intracoronario con una alta resolución, su advenimiento ha permitido llevar a cabo un mejor diagnóstico para el tratamiento de las afecciones vasculares. El desarrollo de nuevos sistemas de esta tomografía, que evitan la oclusión de la arteria, favorece que esta técnica tenga mayor utilidad y se convierta en práctica habitual en los laboratorios de hemodinámica, para la caracterización de la placa aterosclerótica coronari...

  13. Doença arterial coronariana e vivência de perdas Enfermedad arterial coronaria y vivencia de pérdidas Coronary artery disease and experiences of losses

    OpenAIRE

    Rachel Jurkiewicz; Bellkiss Wilma Romano

    2009-01-01

    FUNDAMENTO: Na literatura, a depressão aparece associada a doenças cardiovasculares. A partir da experiência clínica, observou-se a categoria vivência de perdas associada à instalação e ao desenvolvimento da coronariopatia. A vivência de perdas, desencadeada por evento(s) significativo(s) apontado(s) pelo paciente, implica em processo de luto, remetendo-o aos fatores psicossociais predisponentes ao adoecer. OBJETIVO: Investigar vivência de perdas por meio da avaliação do estado de luto e de d...

  14. Hipertension arterial en diferentes edades de la mujer

    National Research Council Canada - National Science Library

    Pacheco-Romero, Jose

    2010-01-01

    La hipertension se asocia a comorbilidades, como la diabetes mellitus, enfermedad coronaria, apoplejia, enfermedad vascular periferica, falla renal cronica, todo lo cual disminuye la expectativa de vida...

  15. E-supply chains : competitive advantage? / Hele Hammer

    Index Scriptorium Estoniae

    Hammer, Hele

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Autor tutvustab tarneteketi efektiivse juhtimise meetodeid Continuous Replenishment Program (CRP) ja Vendor Managed Inventory (VMI). Uus tehnoloogia on oluline uue äristrateegia juurutamisel

  16. E-supply chains : competitive advantage? / Hele Hammer

    Index Scriptorium Estoniae

    Hammer, Hele

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Autor tutvustab tarneteketi efektiivse juhtimise meetodeid Continuous Replenishment Program (CRP) ja Vendor Managed Inventory (VMI). Uus tehnoloogia on oluline uue äristrateegia juurutamisel

  17. Tobacco Use Supplement to the Current Population Survey (TUS-CPS) Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — 1992-1993, 1995-1996, 1998-1999, 2001-2002, 2003, 2006-2007, 2010-2011. Centers for Disease Control and Prevention (CDC). State Tobacco Activities Tracking and...

  18. Eesti alkoholiturg 2001. aastal

    Index Scriptorium Estoniae

    2002-01-01

    Alkohoolsete jookide tootmine, eksport, import ja tarbimine 2001. a. Illegaalse alkoholi tarbimine, kättesaadavus ja hinnad. Tabelid ja diagrammid: jookide eksport ja import, müügi struktuur ning alkoholi tarbimine maailmas. EKI uuring 2001, 2002

  19. Uurimist toimetavad Wolfe ja Goodwin / Katrin Mõttus

    Index Scriptorium Estoniae

    Mõttus, Katrin

    2003-01-01

    Sari filme - Rex Stout'i detektiivromaanide ekraniseeringud, kus peategelaseks eradetektiiv Nero Wolfe (Maury Chaykin) koos oma noore abilise Archie Goodwiniga (Timothy Hutton) : Ameerika Ühendriigid 2001-2002

  20. E-supply chains : competitive advantage? / Hele Hammer

    Index Scriptorium Estoniae

    Hammer, Hele

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Autor tutvustab tarneteketi efektiivse juhtimise meetodeid Continuous Replenishment Program (CRP) ja Vendor Managed Inventory (VMI). Uus tehnoloogia on oluline uue äristrateegia juurutamisel

  1. E-supply chains : competitive advantage? / Hele Hammer

    Index Scriptorium Estoniae

    Hammer, Hele

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Autor tutvustab tarneteketi efektiivse juhtimise meetodeid Continuous Replenishment Program (CRP) ja Vendor Managed Inventory (VMI). Uus tehnoloogia on oluline uue äristrateegia juurutamisel

  2. Growth potential and growth factor of the IT company operating in Estonia : summary of the study conducted between August-October 2001 / Aimar Meltsa

    Index Scriptorium Estoniae

    Meltsa, Aimar

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. 2001.a. läbiviidud uuringus vaadeldi Eestis infotehnoloogia vallas tegutsevaid ettevõtteid, eesmärgiga hinnata nende potentsiaalset majanduskasvu ning neid tingimusi, mis seda määravad

  3. Growth potential and growth factor of the IT company operating in Estonia : summary of the study conducted between August-October 2001 / Aimar Meltsa

    Index Scriptorium Estoniae

    Meltsa, Aimar

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. 2001.a. läbiviidud uuringus vaadeldi Eestis infotehnoloogia vallas tegutsevaid ettevõtteid, eesmärgiga hinnata nende potentsiaalset majanduskasvu ning neid tingimusi, mis seda määravad

  4. Arvo Pärt Dorian Supini filmides / Merike Vaitmaa

    Index Scriptorium Estoniae

    Vaitmaa, Merike, 1939-

    2002-01-01

    Dorian Supini dokumentaalfilmid helilooja Arvo Pärdist ja tema muusikast "24 prelüüdi ühele fuugale", "Sinu nimi", "Cecilia", "Orient & Occident". Kõik valmisid stuudio F-Seitse teostuses aastail 2001-2002

  5. Coping in the "global" era / Anu Virovere, Mari Kooskora, Martin Valler

    Index Scriptorium Estoniae

    Virovere, Anu, 1940-

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. XXI sajand on intellektuaalse kapitali sajand. uut keskkonda peab kujundama, inimesed peavad kasutama oma teadmisi ja juht peab olema lojaalne ja usaldusväärne

  6. Jube näitaja : Eesti on Euroopa suurima puudega riik / Raimo Poom

    Index Scriptorium Estoniae

    Poom, Raimo

    2008-01-01

    Eesti kasvas aastatel 2001-2002 puudega seotud sotsiaaltoetuste maksmine peaaegu kaks korda. Koalitsioonipoliitikud uurivad, miks nii palju inimesi saab puudega seotud toetust. Reformierakonna aseesimehe ja sotsiaalminister Maret Maripuu arvamus

  7. Lingcod (Ophiodon elongatus) egg mass and reef fish density SCUBA survey in the Strait of Georgia, February 15-22, 2012

    National Research Council Canada - National Science Library

    by R.P. McPhie and J.R. King

    2012-01-01

    ...) egg mass density estimates. Previous lingcod egg mass SCUBA surveys involving egg mass counts were conducted at this index site in 1990, 1991, 1994, 2001, 2002, 2004, 2005, 2007, 2010, and 2011...

  8. Uurimist toimetavad Wolfe ja Goodwin / Katrin Mõttus

    Index Scriptorium Estoniae

    Mõttus, Katrin

    2003-01-01

    Sari filme - Rex Stout'i detektiivromaanide ekraniseeringud, kus peategelaseks eradetektiiv Nero Wolfe (Maury Chaykin) koos oma noore abilise Archie Goodwiniga (Timothy Hutton) : Ameerika Ühendriigid 2001-2002

  9. Growth potential and growth factor of the IT company operating in Estonia : summary of the study conducted between August-October 2001 / Aimar Meltsa

    Index Scriptorium Estoniae

    Meltsa, Aimar

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. 2001.a. läbiviidud uuringus vaadeldi Eestis infotehnoloogia vallas tegutsevaid ettevõtteid, eesmärgiga hinnata nende potentsiaalset majanduskasvu ning neid tingimusi, mis seda määravad

  10. Growth potential and growth factor of the IT company operating in Estonia : summary of the study conducted between August-October 2001 / Aimar Meltsa

    Index Scriptorium Estoniae

    Meltsa, Aimar

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. 2001.a. läbiviidud uuringus vaadeldi Eestis infotehnoloogia vallas tegutsevaid ettevõtteid, eesmärgiga hinnata nende potentsiaalset majanduskasvu ning neid tingimusi, mis seda määravad

  11. Arvo Pärt Dorian Supini filmides / Merike Vaitmaa

    Index Scriptorium Estoniae

    Vaitmaa, Merike, 1939-

    2002-01-01

    Dorian Supini dokumentaalfilmid helilooja Arvo Pärdist ja tema muusikast "24 prelüüdi ühele fuugale", "Sinu nimi", "Cecilia", "Orient & Occident". Kõik valmisid stuudio F-Seitse teostuses aastail 2001-2002

  12. On-line retailing : a Canadian perspective / Brent McKenzie

    Index Scriptorium Estoniae

    McKenzie, Brent

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Kanadas on interneti teel ostjaid alla 2% neist, kes vastavaid interneti-lehekülgi külastavad. Konservatiivset suhtumist saab aga muuta, kui pakkuda head ja turvalist teenust ning kaupa hea hinnaga

  13. On-line retailing : a Canadian perspective / Brent McKenzie

    Index Scriptorium Estoniae

    McKenzie, Brent

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Kanadas on interneti teel ostjaid alla 2% neist, kes vastavaid interneti-lehekülgi külastavad. Konservatiivset suhtumist saab aga muuta, kui pakkuda head ja turvalist teenust ning kaupa hea hinnaga

  14. Great Lakes Ice Charts

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Charts show ice extent and concentration three times weekly during the ice season, for all lakes except Ontario, from the 1973/74 ice season through the 2001/2002...

  15. EPro Non-contact erosion profiling

    DEFF Research Database (Denmark)

    Meinert, Palle

    Pro is a profiling program build to measure the same surface or work piece multiple times and track changes due to erosion. It was developed during 2001 - 2002 at Aalborg University and was part of a Master of Science project dealing with stability of rubble mound breakwaters. The goal was to aut......Pro is a profiling program build to measure the same surface or work piece multiple times and track changes due to erosion. It was developed during 2001 - 2002 at Aalborg University and was part of a Master of Science project dealing with stability of rubble mound breakwaters. The goal...

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

    OpenAIRE

    Lita Feriyawati

    2006-01-01

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

  17. Diagnóstico angiográfico de síndrome de ALCAPA en el adulto

    Directory of Open Access Journals (Sweden)

    Suilbert Rodríguez Blanco

    2016-01-01

    Full Text Available El origen anómalo de la arteria coronaria izquierda del tronco de la arteria pulmonar es una alteración coronaria congénita relativamente frecuente. Aunque con alta mortalidad en el primer año de vida, se puede llegar a la adultez. Se presenta el caso de una mujer de 28 años con esta enfermedad y su diagnóstico angiográfico.

  18. Factores de riesgo cardiovascular en la edad infantil. Resultados globales del estudio Cuatro Provincias

    National Research Council Canada - National Science Library

    Garcés, Carmen; De Oya, Manuel

    2007-01-01

    ... reflejado que los aspectos relacionados con el síndrome metabólico (obesidad, con- centraciones elevadas de glucosa y triglicéridos) que conducen a la enfermedad coronaria en el adulto están ya expresados en la edad escolar. En este sentido, los ni- ños de las provincias con una alta mortalidad coronaria pesan más y tienen unas concentraciones más alta...

  19. Revascularización miocárdica de repetición tras cirugía de derivación coronaria en adultos mayores: experiencia nacional de la Sociedad de Cirujanos Torácicos, 1991–2007

    Directory of Open Access Journals (Sweden)

    Bernardo Romero-Ferrer

    2013-04-01

    Conclusiones: Infrecuentemente se repite la revascularización en los pacientes mayores sometidos a CABG; sin embargo, las proporciones varían de manera sustancial según los subgrupos de pacientes y los centros.

  20. Efectos del ejercicio físico crónico sobre la refractariedad miocárdica ventricular, la velocidad de conducción y el patrón fibrilatorio ventricular intrínsecos, tras la oclusión arterial coronaria aguda: un estudio experimental.

    OpenAIRE

    Orts Candela, Leonor

    2006-01-01

    RESUMEN Introducción: numerosas investigaciones indican que el ejercicio físico crónico puede proteger frente a la muerte súbita cardiaca, las razones por las cuales el ejercicio físico ejerce efectos beneficiosos no están dilucidadas. El objetivo de este trabajo es comprobar si el ejercicio físico crónico puede modificar, por mecanismos intrínsecos, alguna de las características electrofisiológicas directamente relacionadas con la producción de arritmias por re-entrada, como es la fibrila...

  1. Non invasive evaluation of the coronary atherosclerosis illness in patients with silent ischemia: utility of the SPECT of myocardial perfusion. Electric, angiographic and image correlation; Valoracion no invasiva de la enfermedad ateroesclerosa coronaria en pacientes con isquemia silente: utilidad del SPECT de perfusion miocardica. Correlacion electrica, angiografica y de imagen

    Energy Technology Data Exchange (ETDEWEB)

    Puente B, A.; Roffe G, F.; Aceves C, J.; Gomez A, E. [Hospital Centro Medico Nacional 20 de Noviembre, ISSSTE, Mexico D.F. (Mexico)

    2005-07-01

    The objective of the work was to determine the utility of the SPECT (Single Photon Emission Computerized Tomography) of myocardial perfusion for the ischemia detection in asymptomatic patients with Coronary Atherosclerosis Illness. It was concluded that the SPECT of myocardial perfusion has a high sensitivity (97%) for the silent ischemia diagnosis.

  2. Crenças dos portadores de doença coronariana, segundo o referencial de Rokeach, sobre o comportamento de fumar Creencias de los portadores de enfermedad coronaria, según el referencial de Rokeach sobre el comportamiento de fumar Beliefs of patients with coronary disease according to Rokeach's theoretical framework concerning the habit of smoking

    Directory of Open Access Journals (Sweden)

    Rosamary Aparecida Garcia Stuchi

    2003-02-01

    Full Text Available Estudo observacional, descritivo, que objetivou identificar as crenças segundo a centralidade/perifericidade, e verificou como elas interferem no comportamento de pacientes portadores de coronariopatias, para aderirem ou não ao tabagismo. Utilizamos um dos referenciais de crenças mencionados na literatura, que evidenciou, na análise das entrevistas realizadas com 56 pacientes portadores de doença coronariana, internados em uma instituição hospitalar do Estado de São Paulo, um predomínio de crenças primitivas de consenso zero e uma tendência à centralidade, o que permitiu identificar fatores que dificultam a adesão às recomendações terapêuticas feitas pelos profissionais da saúde e inferir sobre a resistência para mudança de comportamento que tal população possui.Estudio observacional, descriptivo que buscó identificar las creencias según la centralidad/perifericidad y verificó como ellas interfieren en el comportamiento de pacientes portadores de coronariopatías para convertirse o no en fumadores. Utilizamos unos de los referenciales de creencias, que evidenció, en el análisis de las entrevistas realizadas con 56 pacientes portadores de la enfermedad coronariana internados en una institución hospitalaria del Estado de São Paulo, un predominio de creencias primitivas de consenso cero y una tendencia a la centralidad que permitió identificar factores obstaculizadores para la aceptación de las recomendaciones terapéuticas realizadas por los profesionales de salud e inferir sobre la resistencia para el cambio de comportamiento que dicha población posee.This is a descriptive observational study that aimed at identifying beliefs according to centrality/periphery by verifying how they interfere in the behavior of patients with coronary diseases regarding their adherence or non-adherence to smoking. The belief-related frameworks mentioned in the literature were used and findings, pointed out from the analysis of the interviews with 56 people with coronary diseases who were inpatients in a hospital in the interior of São Paulo State, showed a prevalence of primitive beliefs with zero consensus and a tendency to centrality that enabled the identification of hiding factors to the adherence to therapeutic recommendations by health professionals as well as inferences concerning the reluctance to behavioral changes presented by the population.

  3. Pre-surgery Factors to Predict Mortality and Major Complications in Coronary Surgery with no Extracorporeal Circulation Factores preoperatorios predictores de mortalidad y complicaciones mayores en la cirugía coronaria sin circulación extracorpórea

    Directory of Open Access Journals (Sweden)

    Lázaro de la Cruz Avilés

    2011-03-01

    Full Text Available Background: mortality predicting models in cardiac surgery have been created based on certain population groups. It would be important to know their effectiveness in patients who underwent surgery with no extracorporeal circulation and cardioplegic cardiac arrest. Objective: To determine risk factors to predict mortality and major complications in revascularized patients with no use of extracorporeal circulation and to analyze the behaviour of two stratification models of preoperative risk in cardiac surgery. Methods: A prospective observational study conducted from January 2007 to December 2008 at the Cardiology Center of Santa Clara. The sample included 136 patients who underwent coronary artery bypass grafting with no extracorporeal circulation. Variables collected prospectively were the basis to identify. Risk scales Parsonnet and EuroSCORE 97 were calculated for each patient. Their capacity to predict mortality and possible complications was analyzed through ROC curves. Results: Preoperative variables that significantly increased death risk and major complications were: history of chronic obstructive pulmonary disease, history of diabetes mellitus and three vessel coronary artery disease. Conclusions: Parsonnet and Euroscore 97 risk scales are accurate for mortality and major complications prediction in beating heart revascularization.Fundamento: los modelos predictores de mortalidad en cirugía cardiaca han sido elaborados a partir de determinados grupos poblacionales. Sería importante saber su efectividad en pacientes que fueron intervenidos quirúrgicamente sin el uso de la circulación extracorpórea y de la parada cardiaca cardiopléjica. Objetivo: determinar los factores de riesgo predictores de mortalidad y de complicaciones mayores en los pacientes revascularizados sin el uso de la circulación extracorpórea y analizar el comportamiento de dos modelos de estratificación del riesgo preoperatorio en cirugía cardiaca. Métodos: estudio observacional, prospectivo realizado entre enero de 2007 y diciembre de 2008 en el Cardiocentro de la Ciudad de Santa Clara, que incluyó 136 pacientes a los que se les realizó cirugía de revascularización miocárdica sin el uso de circulación extracorpórea. A partir de variables recogidas de forma prospectiva, se determinaron los factores predictores de mortalidad y complicaciones mayores mediante análisis de regresión logística. A cada uno de los pacientes les fueron calculadas las escalas de riesgo Parsonnet 97 y Euroscore. Mediante curvas ROC se analizó la capacidad de cada una de las escalas para predecir la mortalidad y presencia de complicaciones mayores. Resultados: las variables preoperatorias que aumentaron significativamente el riesgo de morir y de sufrir complicaciones mayores fueron: el antecedente de enfermedad pulmonar obstructiva crónica, el antecedente de diabetes mellitus y la enfermedad de tronco y tres vasos. Conclusiones: las escalas de riesgo Parsonnet 97 y Euroscore predicen adecuadamente la mortalidad y la presencia de complicaciones mayores en pacientes revascularizados a corazón latiendo.

  4. Dificuldades de indivíduos com doença arterial coronária para seguir tratamento medicamentoso Dificultades de individuos con enfermedad arterial coronaria para seguir tratamiento medicamentoso Difficulties of individuals with arterial coronary disease to continue drug treatment

    OpenAIRE

    Glicia Gleide Gonçalves Gama; Tassia Lacerda de Queiroz; Armênio Costa Guimarães; Fernanda Carneiro Mussi

    2010-01-01

    OBJETIVO: Descrever as dificuldades encontradas por indivíduos com doença arterial coronária para o seguimento de tratamento medicamentoso. MÉTODOS: Estudo descritivo de corte transversal que incluiu 100 adultos entrevistados em hospital público, em Salvador-BA e os resultados foram analisados em percentuais e médias. RESULTADOS: Predominou homens, média de idade de 58,7±10,9 anos, cor/etnia negra, baixa escolaridade e renda. Dentre os participantes, 34% não cumpriam integralmente a receita m...

  5. Comparación del daño miocárdico, calidad de la revascularización y resultados clínicos de la cirugía coronaria con y sin circulación extracorpórea

    OpenAIRE

    Forteza Gil, Alberto

    2011-01-01

    [ES] El objetivo de esta tesis es comparar el daño miocárdico perioperatorio mediante el estudio enzimático en la cirugía de DAC (derivación o bypass aorto-coronario) y sin CEC (circulación extracorpórea). [EN] The objective of this thesis is to compare the perioperative myocardial damage by studying enzymatic DAC surgery (a bypass graft surgery) and without CPB (cardiopulmonary bypass).

  6. Avaliação prognóstica da doença coronária estável através de um novo escore Evaluación pronóstica de la enfermedad coronaria estable a través de un nuevo score New prognostic score for stable coronary disease evaluation

    Directory of Open Access Journals (Sweden)

    Fernanda Coutinho Storti

    2011-05-01

    Full Text Available FUNDAMENTO: A necessidade de melhorar a acurácia do teste de esforço, determinou o desenvolvimento de escores, cuja aplicabilidade já foi amplamente reconhecida. OBJETIVO: Avaliação prognóstica do coronariopata estável através de um novo escore simplificado. MÉTODOS: Um novo escore foi aplicado em 372 coronariopatas multiarteriais e função ventricular preservada, 71,8% homens, idade média 59,5 (± 9,07 anos, randomizados para angioplastia, revascularização cirúrgica e tratamento clínico, acompanhados por 5 anos. Óbito cardiovascular foi o desfecho primário. Infarto do miocárdio não-fatal, óbito e re-intervenção formaram o desfecho combinado secundário. O escore baseou-se numa equação previamente validada resultante da soma de 1 ponto para: sexo masculino, história de infarto, angina, diabete, uso de insulina e ainda 1 ponto para cada década de vida a partir dos 40 anos. Teste positivo adicionou 1 ponto. RESULTADOS: Ocorreram 36 óbitos (10 no grupo angioplastia, 15 no grupo revascularização e 11 no grupo clínico, p = 0,61. Observou-se 93 eventos combinados: 37 no grupo angioplastia, 23 no grupo revascularização e 33 no grupo clínico (p = 0,058. 247 pacientes apresentaram escore clínico > 5 pontos e 216 > 6 pontos. O valor de corte > 5 ou > 6 pontos identificou maior risco, com p = 0,015 e p = 0,012, respectivamente. A curva de sobrevida mostrou uma incidência de óbito após a randomização diferente naqueles com escore > 6 pontos (p = 0,07, e uma incidência de eventos combinados diferente entre pacientes com escore 6 pontos (p = 0,02. CONCLUSÃO: O novo escore demonstrou consistência na avaliação prognóstica do coronariopata estável multiarterial.FUNDAMENTO: La necesidad de mejorar la exactitud de las pruebas de estrés, determinó el desarrollo de los puntajes, cuya aplicación fue ampliamente reconocida. OBJETIVO: La evaluación pronóstica del coronariópata estable a través de un nuevo score simplificado. MÉTODOS: Un nuevo score se aplicó en 372 coronariópatas multiarteriales y función ventricular preservada, el 71,8% varones, edad media de 59,5 (± 9,07 años, randomizados para angioplastia, revascularización quirúrgica y tratamiento clínico, seguidos de cinco años. Muerte cardiovascular fue el resultado primario. El infarto de miocardio no fatal, la muerte y la re-intervención formaron el desenlace combinado secundario. El score se basó en una ecuación previamente validada resultante de la suma de 1 punto a: sexo masculino, antecedentes de infarto, angina, diabetes, uso de insulina y todavía un punto por cada década de vida después de 40 años. Prueba positiva añadida 1 punto. RESULTADOS: Hubo 36 muertes (10 en el grupo de angioplastia, 15 en el grupo de revascularización y 11 en el grupo clínico, p = 0,61. Se observó 93 eventos combinados: 37 en el grupo angioplastia, 23 en el grupo revascularización y 33 en el grupo clínico (p = 0,058. Presentaron score clínico > 5 puntos y 216 > 6 puntos 247 pacientes. El valor de corte > 5 o > 6 puntos identificó un mayor riesgo, con p = 0,015 y p = 0,012, respectivamente. La curva de sobrevida mostró una incidencia de muerte después de la aleatorización que aquellos con score > 6 puntos (p = 0,07, y una incidencia de eventos combinados diferentes entre los pacientes con score 6 puntos (p = 0,02. CONCLUSIÓN: El nuevo score demostró consistencia en la evaluación pronóstica del coronariópata estable multiarterial. (Arq Bras Cardiol 2011;96(5:411-419BACKGROUND: The need to improve the exercise testing accuracy, pushed the development of scores, whose applicability was already broadly recognized. OBJECTIVE: Prognostic evaluation of stable coronary disease through a new simplified score. METHODS: A new score was applied in 372 multivessel coronary patients with preserved ventricular function, 71.8% male, age: 59.5 (± 9.07 years old, randomized to medical treatment, surgery (CABG or angioplasty (PTCA, with 5 years of follow-up. Cardiovascular death was considered the primary endpoint. Non-fatal myocardial infarction, death and re-intervention were considered for a combined secondary endpoint. The score was based on an equation previously validated, resulting from a sum of one point for: male gender, infarction history, angina, diabetes, insulin use and one point for each decade of life after 40 years old. Positive exercise testing summed one additional point. RESULTS: Thirty six deaths was observed (10 in group PTCA, 15 in CABG and 11 in the clinical group, p = 0.61. We observed 93 combined events: 37 in PTCA group, 23 in CABG and 33 in the clinical group (p = 0.058. 247 patients presented clinical score > 5 points and 216 > 6 points. The cutoff point > 5 or > 6 points identified higher risk, p = 0.015 and p = 0.012, respectively. The survival curve showed a different death incidence after the randomization when score reached 06 points or more (p = 0.07, and a distinct incidence of combined events between the patients with score 6 points (p = 0.02. CONCLUSION: The new score was consistent for multiarterial stable coronary disease risk stratification.

  7. VARIABLES PREOPERATORIAS PRESENTES EN PACIENTES CON CIRUGÍA CORONARIA SIN CIRCULACIÓN EXTRACORPÓREA Y SU RELACIÓN CON LA EVOLUCIÓN POSQUIRÚRGICA PRECOZ / Preoperative variables present in patients with coronary surgery without extracorporeal circulation and its relationship with early postsurgical evolution

    Directory of Open Access Journals (Sweden)

    Yanier Coll Muñoz

    2010-12-01

    Full Text Available Resumen Introducción y objetivos: El conocimiento de los factores predictores de mortalidad y de complicaciones graves es de gran importancia, ya que permite realizar una evaluación preoperatoria objetiva de los pacientes. El objetivo de este estudio fue determinar los factores de riesgo predictores de mortalidad y de complicaciones graves en los pacientes revascularizados, sin el uso de la circulación extracorpórea, y analizar el comportamiento de dos modelos de estratificación de riesgo preoperatorio en la cirugía cardíaca. Método: Se realizó una investigación no experimental, de seguimiento prospectivo, donde se estudiaron 175 pacientes que recibieron cirugía de revascularización miocárdica sin el uso de la circulación extracorpórea, en el servicio de Cirugía cardíaca del Cardiocentro “Ernesto Che Guevara” de Villa Clara durante los años 2007-2009. Para determinar las variables predictoras se realizaron dos estudios bivariados, donde las variables dependientes fueron la mortalidad y la presencia de complicaciones graves. Para el análisis y validación de las escalas aplicadas a los pacientes operados se utilizaron las curvas de rendimiento diagnóstico. Resultados: Los pacientes estudiados presentaron una media de edad de 58,7, predominó el sexo masculino, y la hipertensión arterial, la angina estable, la dislipidemia y la diabetes mellitus fueron los factores de riesgo más encontrados. En su totalidad, fueron operados de forma electiva, con clase funcional III y hubo un predominio de la enfermedad de tres vasos coronarios principales. Las variables que modificaron significativamente el riesgo de morir y de sufrir complicaciones graves fueron: la enfermedad del tronco y tres vasos, el antecedente de enfermedad vascular periférica, la angina inestable y la enfermedad pulmonar obstructiva crónica. Conclusiones: Las escalas de riesgo utilizadas poseen un buen poder predictivo de mortalidad y complicaciones graves. / Abstract Introduction and objectives: The knowledge of predictive factors for mortality and severe complications is of great importance, since it allows an objective preoperative assessment of patients. The aim of this study was to determine risk factors predictive for mortality and severe complications in revascularized patients without the use of extracorporeal circulation, and to analyze the behavior of two models of preoperative risk stratification in cardiac surgery. Method: A non-experimental, prospective follow-up investigation was conducted in which 175 patients who received coronary artery bypass grafting without the use of extracorporeal circulation, in the Cardiac Surgery Department of "Ernesto Che Guevara" Cardiology Hospital of Villa Clara, in the years 2007-2009, were studied. In order to determine the predictive variables two bivariate studies were performed in which the dependent variables were mortality and the presence of serious complications. For analysis and validation of the scales applied to operated patients the diagnostic performance curves were used. Results: The studied patients had a mean age of 58,7 years, predominantly male, and hypertension, stable angina, dyslipidemia and diabetes mellitus were the most common risk factors. These patients were all electively operated on, with functional class III and there was a predominance of the three vessel coronary disease. The variables that significantly affected the risk of death and serious complications were: trunk disease and three vessel disease, a history of peripheral vascular disease, unstable angina and chronic obstructive pulmonary disease. Conclusions: The risk scores used have good predictive power of mortality and serious complications.

  8. Het influenzaseizoen 2001/'02 en de vaccinsamenstelling voor het seizoen 2002/'03.

    NARCIS (Netherlands)

    Rimmelzwaan, G.F.; Jong, J.C. de; Bartelds, A.I.M.; Fouchier, R.A.M.; Wilbrink, B.; Osterhaus, A.D.M.E.

    2002-01-01

    The epidemic in the influenza season 2001/2002 was of moderate activity just like in 2000/2001. The influenza epidemic started in week 2 of 2002 when the clinical influenza activity reported by the general practitioner network of the Netherlands Institute of Primary Health Care (NIVEL) increased. Th

  9. Where Does the Drink Go?

    Science.gov (United States)

    Tunnicliffe, Sue Dale

    2004-01-01

    In England the National Curriculum does not specifically mention the excretory system at key stages 1 and 2. Research by Reiss and Tunnicliffe (2001, 2002) has shown that children's knowledge of the organs and organ systems in their bodies increases with age but remains incomplete, even at maturity, unless they specialise in studying biology. The…

  10. Cross-National Measurement Invariance of the Teacher and Classmate Support Scale

    DEFF Research Database (Denmark)

    Torsheim, Torbjørn; Samdal, Oddrun; Rasmussen, Mette

    2012-01-01

    The cross-national measurement invariance of the teacher and classmate support scale was assessed in a study of 23202 Grade 8 and 10 students from Austria, Canada, England, Lithuania, Norway, Poland, and Slovenia, participating in the Health Behaviour in School-aged Children (HBSC) 2001/2002 stud...

  11. "Arvuti koolis" ja arvutiõpetus õppekavas / Helen Vanganen, Jevgeni Košelev

    Index Scriptorium Estoniae

    Vanganen, Helen

    2002-01-01

    Ligi 1500 aineõpetajat osales 2001/2002 õppeaastal kursusel "Arvuti koolis". Õpetajad tutvusid Oxfordi Ülikooli jätkukursusega - originaalprogramm kannab nime "Intelʼ Teach to the Future", mis on otseselt seotud infotehnoloogia rakendamisega õppekavas

  12. Employment Opportunities in Social Work Education: A Study of Jobs for Doctoral Graduates

    Science.gov (United States)

    Anastas, Jeane W.

    2006-01-01

    Analysis of a 1-year sample of advertisements for faculty positions in social work examined (1) the number of positions available in 2001-2002, (2) the nature of these positions and their settings, and (3) the qualifications sought in applicants. Findings suggest there were more academic jobs available than there were doctoral graduates seeking…

  13. Change and growth, innovation and electronics / Gundar J King, Ilze Barga, Jevgenijs Kovalcuks

    Index Scriptorium Estoniae

    King, Gundar J

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Baltimaades on arengu jätkumiseks vaja tõhusalt kasutada infotehnoloogilisi uuendusi, väärtustada töökollektiivi sisest ettevõtete jaotust ning Läti infotehnoloogia ettevõtteid. Diagramm

  14. Differentiating between Women in Hard and Soft Science and Engineering Disciplines

    Science.gov (United States)

    Camp, Amanda G.; Gilleland, Diane S.; Pearson, Carolyn; Vander Putten, James

    2010-01-01

    The intent of this study was to investigate characteristics that differentiate between women in soft (social, psychological, and life sciences) and hard (engineering, mathematics, computer science, physical science) science and engineering disciplines. Using the Beginning Postsecondary Students Longitudinal Study: 1996-2001 (2002), a descriptive…

  15. [Patoka River National Wildlife Refuge Hunting and Fishing Plan Amendment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This amendment identifies new areas open to hunting and fishing on Patoka River NWR. A map of the updated boundary is included as well as a brochure with 2001-2002...

  16. Cultivar weed-competitiveness in aerobic rice : heritability, correlated traits, and the potential for indirect selection in weed-free environments

    NARCIS (Netherlands)

    Zhao, D.L.; Atlin, G.N.; Bastiaans, L.; Spiertz, J.H.J.

    2006-01-01

    Forty rice (Oryza sativa L.) cultivars and breeding lines used in the International Rice Research Institute (IRRI) upland rice breeding program were evaluated in adjacent weed-free and weedy trials in aerobic soil conditions during the wet seasons of 2001, 2002, and 2003. The objectives of this

  17. Uudised : Kuressaare ooperipäevad. Kaljuste koor Portugalis. Juha Kangas jätkab koostööd. Sibeliuse akadeemia üliõpilaskontsert / Imbi Tarum

    Index Scriptorium Estoniae

    Tarum, Imbi

    2001-01-01

    26.-29. juulini toimuvatest Kuressaare Ooperipäevadest. EFK esines Lissabonis vene muusika festivalil "Festa da Musica Russa". 27. apr. allkirjastati leping TKO ja J. Kangase koostööks hooajal 2001/ 2002. 6. mail esinevad Sibeliuse Akadeemia üliõpilased kammermuusika-kavaga Adamson-Ericu muuseumis

  18. Evidence Based Education Request Desk. EBE #500

    Science.gov (United States)

    Regional Educational Laboratory Southeast, 2009

    2009-01-01

    Since the passage of the No Child Left Behind Act of 2001 (2002), there has been increased interest in using student achievement data (through standardized tests) to evaluate teacher effectiveness. Two U.S. Department of Education secretaries, Secretary Spellings and Secretary Duncan, have expressed interest in growth models and the need to…

  19. PKI development in Estonia : issues of concern / Ksenia Melnikova, Karlis Kreslins

    Index Scriptorium Estoniae

    Melnikova, Ksenia

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Probleemidest avaliku võtme infrastruktuuri arendamisel (public key infrastructure - PKI) Eestis. Puudus on kompetentsetest spetsialistidest, informatsiooni vähesuse tõttu pole olnud laiemat arutelu rahastamise teemal, probleemiks on erinevate süsteemide ühildamine

  20. PKI development in Estonia : issues of concern / Ksenia Melnikova, Karlis Kreslins

    Index Scriptorium Estoniae

    Melnikova, Ksenia

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Probleemidest avaliku võtme infrastruktuuri arendamisel (public key infrastructure - PKI) Eestis. Puudus on kompetentsetest spetsialistidest, informatsiooni vähesuse tõttu pole olnud laiemat arutelu rahastamise teemal, probleemiks on erinevate süsteemide ühildamine

  1. REMINDER EXTENSION/SUPPRESSION OF ALLOWANCE FOR DEPENDENT CHILDREN AGED 18 AND ABOVE

    CERN Multimedia

    Social and Statutory conditions; Tel. 72862-74474

    2001-01-01

    Members of the personnel with dependent children aged 18 or above (or reaching 18 during the 2001/2002 school year) have received a QUESTIONNAIRE in July. If this questionnaire has not been completed and returned yet, they are requested to do so IMMEDIATELY.

  2. Intake of polyunsaturated fatty acids and vitamin E reduces the risk of developing amyotrophic lateral sclerosis

    NARCIS (Netherlands)

    Veldink, J.H.; Kalmijn, S.; Groeneveld, G.J.; Wunderink, W.; Köster, B.; Vries, de J.H.M.; Luyt, van der J.; Wokke, J.H.J.; Berg, L.H.

    2007-01-01

    Background: To assess whether the premorbid dietary intake of fatty acids, cholesterol, lutamate, or anti- oxidants was associated with the risk of developing ALS. Methods: Patients referred to our clinic during the one-year period, 2001-2002, who had definite, probable or possible ALS according to

  3. Change and growth, innovation and electronics / Gundar J King, Ilze Barga, Jevgenijs Kovalcuks

    Index Scriptorium Estoniae

    King, Gundar J

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Baltimaades on arengu jätkumiseks vaja tõhusalt kasutada infotehnoloogilisi uuendusi, väärtustada töökollektiivi sisest ettevõtete jaotust ning Läti infotehnoloogia ettevõtteid. Diagramm

  4. Why Youngsters with Autistic Spectrum Disorders Remain Underrepresented in Special Education

    Science.gov (United States)

    Safran, Stephen P.

    2008-01-01

    Although numerous investigations have examined the prevalence of autistic spectrum disorders (ASD) in the general population, have special education identification rates of autism kept pace? From the 1992-1993 to 2001-2002 school years, U.S. Department of Education data indicate an increase from 15,580 to 97,904 students with autism, an expansion…

  5. Political economy of internet : penetration in Finland and Sweden (1995-2001) / Meelis Kitsing

    Index Scriptorium Estoniae

    Kitsing, Meelis

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Vaba turumajanduse lipulaeva Ameerika Ühendriikide kõrval on samavõrd hästi arenenud infomajandus Põhjamaades. Soome ja Rootsi majandusmudeli puhul on riigi poliitika ülesanne toetada kohanemist muutuvate majandusoludega

  6. Political economy of internet : penetration in Finland and Sweden (1995-2001) / Meelis Kitsing

    Index Scriptorium Estoniae

    Kitsing, Meelis

    2002-01-01

    Kaanel ajak. ilmumisaeg 2001/2002. Vaba turumajanduse lipulaeva Ameerika Ühendriikide kõrval on samavõrd hästi arenenud infomajandus Põhjamaades. Soome ja Rootsi majandusmudeli puhul on riigi poliitika ülesanne toetada kohanemist muutuvate majandusoludega

  7. Mediagraphy: Print and Nonprint Resources.

    Science.gov (United States)

    Burdett, Anna E.

    2003-01-01

    Lists media-related journals, books, ERIC documents, journal articles, and nonprint resources published in 2001-2002. The annotated entries are classified under the following headings: artificial intelligence; computer assisted instruction; distance education; educational research; educational technology; information science and technology;…

  8. Sotsiaal-majanduslik staatus tervise tausttegurina / Margo Kikas, Ene Lausvee

    Index Scriptorium Estoniae

    Kikas, Margo

    2008-01-01

    Uuringust seoste kohta Eesti inimeste tunnetatud tervise ning sotsiaal-majandusliku ja psühhosotsiaalse seisundi vahel. Uuring tugineb Tallinna Ülikooli sotsiaaltöö eriala üliõpilaste poolt aastatel 2001-2002 tehtud anonüümsel ankeetküsitlusel põhiliselt toimetulekuraskuste, krooniliste haiguste, puudega või riskikäitumisega isikute seas

  9. Lower Birth Weight and Diet in Taiwanese Girls More than Boys Predicts Learning Impediments

    Science.gov (United States)

    Lee, Meei-Shyuan; Huang, Lin-Yuan; Chang, Yu-Hung; Huang, Susana Tzy-Ying; Yu, Hsiao-Li; Wahlqvist, Mark L.

    2012-01-01

    Possible links between lower birth weight, childhood diet, and learning in Taiwan are evaluated. The population representative Elementary School Children's Nutrition and Health Survey in Taiwan 2001-2002 and the national birth registry were used to examine school and social performance using the modified Scale for Assessing Emotional Disturbance…

  10. Requisite competencies of the e-leader / Ruth Alas

    Index Scriptorium Estoniae

    Alas, Ruth, 1960-

    2001-01-01

    Kaanel ajak. ilmumisaeg Winter 2001/2002. Interneti-ajastu juhid peavad ära kasutama töötajate kompetentsi ja oskusi, ettevõtluses on määrav kiirus, tarbijakesksus, avatus, oskus koostööd teha

  11. Lendas üle kanepipõllu. Keskkonnast tingitud sõltuvusest vabanemise raskustest kahe narkofilmi taustal / Janno Zõbin

    Index Scriptorium Estoniae

    Zõbin, Janno

    2004-01-01

    Dokumentaalfilmid "Lend üle kanepipõllu" : autor ja režissöör Andrei Tantsõrev : 2001/2002 ja "Nime poolest võitja" : režissöör, operaator ja tootja Priit Vehm : 2001. Lisatud andmed režissööride kohta lk. 109

  12. Hotelling competition and political differentiation with more than two newspaper

    NARCIS (Netherlands)

    Behringer, S.; Filistrucchi, L.

    2015-01-01

    We analyse a market where newspaper publishers compete for advertising as well as for readership. Publishers first choose the political position of their newspaper then set cover prices and advertising tariffs. We build on the duopoly model of Gabszewicz et al. (2001, 2002) who show that advertising

  13. Inclusion, Education, and Avoidance: The Prime Time Response to September 11.

    Science.gov (United States)

    Gladstone-Sovell, Tracey; Wilkerson, William R.

    This paper is an initial examination of prime time television's response to the events of September 11, 2001. Based on a review of the 2001-2002 television season's prime time programs, the study identifies 15 programs (out of 65 that ran the entire season) that incorporated September 11th elements. Themes of these programs are discussed as are…

  14. Frequency of Repeated Courses Its Relation to Persistence and Performance in Lebanon's Higher Education

    Science.gov (United States)

    Nasser, Ramzi; Nauffal, Diane

    2012-01-01

    This study assesses the relationship between the frequency of repeating courses and students' performance in college. The study uses cohort data from academic years 2000/2001, 2001/2002, 2002/2003 and 2003/2004. We compared those who had repeated one, two and three courses on GPA and whether a relation exists of those who graduated/did not…

  15. Lower Birth Weight and Diet in Taiwanese Girls More than Boys Predicts Learning Impediments

    Science.gov (United States)

    Lee, Meei-Shyuan; Huang, Lin-Yuan; Chang, Yu-Hung; Huang, Susana Tzy-Ying; Yu, Hsiao-Li; Wahlqvist, Mark L.

    2012-01-01

    Possible links between lower birth weight, childhood diet, and learning in Taiwan are evaluated. The population representative Elementary School Children's Nutrition and Health Survey in Taiwan 2001-2002 and the national birth registry were used to examine school and social performance using the modified Scale for Assessing Emotional Disturbance…

  16. Tolkieni "Sõrmuste isanda" triloogia esimene osa jõuab ekraanile / Timo Diener

    Index Scriptorium Estoniae

    Diener, Timo

    2001-01-01

    Režissöör Peter Jacksoni käe all valmivast kolmest filmist esimene : J.R.R. Tolkieni triloogia "Sõrmuste isand" alusel - "Sõrmuse vennaskond", "The Lord of the Rings : The Fellowship of the Ring" : Uus-Meremaa, Ameerika Ühendriigid 2001. Ajakiri on topeltnumber : 2001/2002; Dets./Jaan

  17. Biogas document; Dossier Biogaz

    Energy Technology Data Exchange (ETDEWEB)

    Verchin, J.C.; Servais, C. [Club BIOGAZ, 94 - Arcueil (France)

    2002-06-01

    In this document concerning the biogas, the author presents this renewable energy situation in 2001-2002, the concerned actors, the accounting of the industrial methanization installations in France, the three main chains of process for industrial wastes and two examples of methanization implementation in a paper industry and in a dairy. (A.L.B.)

  18. Toomas H. Ilves̀ vision about the future Europe / Toomas Hendrik Ilves

    Index Scriptorium Estoniae

    Ilves, Toomas Hendrik, 1953-

    2001-01-01

    Eesti välisministri loeng, mille ta pidas Berliinis, Humboldti Ülikoolis 5. veebruaril 2001 Forum Constitutionis Europe sarjas. Autor: Rahvaerakond Mõõdukad. Vt. samas: The Monthly Survey of Baltic and Post-Soviet politics, 2001/2002, nr. 6, lk. 125-136

  19. Miks noor inimene valib kutsekooli? / Kaie Holter

    Index Scriptorium Estoniae

    Holter, Kaie

    2002-01-01

    Kolme aasta jooksul (1999/2000, 2000/2001 ja 2001/2002 õ.-a) korraldati Tartu Teeninduskoolis kõigile erialadele nii põhikooli kui ka keskkooli baasil õppima asunud noorte hulgas ankeetküsitlus. Küsitlusele vastas 757 esmakursuslast. Uuringuga selgitati asjaolusid, mis mõjutasid noori astuma antud õppeasutusse

  20. An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball

    NARCIS (Netherlands)

    Verhagen, E.A.L.M.; Tulder, van M.; Beek, van der A.J.; Bouter, L.M.; Mechelen, van W.

    2005-01-01

    OBJECTIVES: To evaluate the cost effectiveness of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. METHODS: A total of 116 volleyball teams participated in this study which was carried out during the 2001-2002 volleyball season. Teams were randomly