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Sample records for distintos flujos vasculares

  1. Escleroterapia con bleomicina en malformaciones vasculares de bajo flujo: Experiencia y revisión del tema Bleomycin sclerotherapy for low-flow vascular malformations: our experience and literature review

    Directory of Open Access Journals (Sweden)

    F. Lobo Bailón

    2012-12-01

    Full Text Available Las anomalías vasculares son lesiones típicas de los pacientes pediátricos y se dividen en dos categorías: tumores vasculares y malformaciones vasculares de alto y bajo flujo. Estas últimas pueden tratarse de diversos modos: laserterapia, drenaje, aspiración, cirugía o escleroterapia, dependiendo del tipo de lesión y de su localización. Entre los agentes esclerosantes utilizados, la bleomicina ha demostrado tener buenos resultados en el tratamiento de estas lesiones. En este artículo presentamos nuestra experiencia en el tratamiento de las malformaciones vasculares de bajo flujo mediante escleroterapia con bleomicina intralesional. Desarrollamos un estudio descriptivo retrospectivo sobre 30 pacientes que presentaban malformación vascular de bajo flujo y fueron tratados con bleomicina intralesional. Los resultados fueron buenos o excelentes en 22 pacientes y regulares o malos en los 8 restantes. De acuerdo a nuestra casuística y a la literatura revisada, la escleroterapia con bleomicina es una alternativa terapéutica eficaz y segura en el tratamiento de las malformaciones vasculares de bajo flujo.Vascular anomalies are common in children and can be divided into two categories, vascular tumours and vascular malformations: high-flow or low-flow. The latter can be treated in different ways such as lasertherapy, drainage, aspiration, surgery or sclerotherapy depending on the type and location of the lesion. Among the accepted sclerosing agents, bleomycin has proven good results in the treatment of this condition. Herein we present our experience in the treatment of low-flow vascular malformations with intralesional bleomycin injection. This is a retrospective, descriptive study with 30 patients presenting a low-flow vascular malformation treated with intralesional bleomycin injection. Our results are good or excellent in 22 patients and poor in the other 8. According to our case series and the consulted literature, sclerotherapy with

  2. Análisis de la investigación sobre el estado de flujo. Comparación entre el contexto laboral y de los videojuegos.

    OpenAIRE

    Lecumberri Lerga, Eneko

    2015-01-01

    [ES]El estado de flujo es una experiencia que se lleva investigando desde los años 60, su mayor exponente en su conceptualización es Mihaly Csikszentmihalyi, quien acuño este término. Pero más allá de Csikszentmihalyi, el estado de flujo ha sido objeto de muchas investigaciones de distinto índole; desde el deporte, las nuevas tecnologías o las organizaciones hasta la música, la educación o los videojuegos. A partir de una búsqueda exhaustiva en Scopus este proyecto se analiza toda esta invest...

  3. Comunicadores resonantes, comunicadores eficaces. Flujo y credibilidad del comunicador

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    Dr. Jon Murelaga-Ibarra

    2012-01-01

    Full Text Available Los estudios de comunicación están integrando los avances en la ciencia cognitiva, reconociéndose la importancia de entender los procesos subjetivos de recepción de la comunicación. Este trabajo argumenta la necesidad de estudiar también la psicología del comunicador. Presentamos la fundamentación teórica y los resultados de un modelo de formación de comunicadores audiovisuales basado en las teorías de la auto eficacia y del flujo. El programa busca mejorar la comunicación de los alumnos mediante técnicas de locución y habilidades psicológicas para evitar que una ansiedad excesiva interfiera en su expresividad. Se utiliza una metodología activa basada en la modelización, visualización, retroalimentación inmediata y refuerzo positivo. Un ANOVA con medidas repetidas muestra que el programa disminuye los niveles de ansiedad ante la locución, aumenta la autoeficacia percibida, promueve el estado psicológico óptimo para desenvolverse mejor ante las cámaras (flujo, y mejora la calidad de la locución del alumnado. Mediante análisis path se comprueba que los niveles de autoeficacia percibida y ansiedad predicen la experiencia de flujo durante la comunicación. Finalizado el programa, aquellos que experimentan un mayor nivel de flujo y disfrutan de la tarea consiguen una mayor calidad en su comunicación. Se concluye que los conceptos de auto eficacia y flujo permiten avanzar en el conocimiento de los factores que determinan la credibilidad del comunicador y su conexión con el público.

  4. Flujo compartido en actividades colectivas físico-deportivas y bienestar subjetivo

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    Larraitz N. Zumeta

    2016-12-01

    Full Text Available Esta investigación estudia las actividades físico-deportivas como una fuente de flujo compartido o de experiencia óptima y su relación con el bienestar subjetivo. Se presentan dos estudios con estudiantes universitarios (N=88, N=285 que participan en actividades físicas y deportivas en grupo. Las medidas incluyen la calidad de la participación en la actividad, el flujo individual y compartido, las emociones positivas, y el bienestar subjetivo. El primer estudio muestra que el flujo compartido fue más intenso que el individual. En el segundo estudio, se realizaron análisis factoriales confirmatorios (AFC y análisis de mediación múltiple. Los resultados mostraron una estructura factorial de segundo orden con nueve dimensiones de primer orden, además de los efectos mediadores del flujo compartido y de las emociones positivas en el bienestar subjetivo. Se confirma la relevancia del flujo compartido durante los encuentros colectivos y su relación con el bienestar subjetivo.

  5. Generación de burbujas y análisis del mezclado en columnas de flujo oscilatorio

    OpenAIRE

    Meroño Nieto, Jose Antonio

    2015-01-01

    Los reactores de flujo oscilatorio (OBR) son equipos tubulares aptos para el mezclado intensivo, en los que se superpone un flujo neto y un flujo oscilatorio. La velocidad del flujo neto que atraviesa el tubo es propia de un flujo laminar con muy bajo número de Reynolds, mientras que las velocidades superpuestas por la oscilación de tipo sinusoidal pueden ser de hasta tres órdenes de magnitud mayor. Los tubos contienen elementos insertados que promueven el mezclado radial -típicamente coronas...

  6. Ventajas de los motores de flujo axial

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    Alberto M Basanta Otero

    2011-03-01

    Full Text Available Es importante conocer sobre una familia de motores que a diferencia de los convencionales o tradicionales no presentanun flujo rotatorio radial, denominados motores de flujo axial. Dichos motores presentan altos valores de par motriz abajas velocidades, una alta eficiencia y alta densidad de potencia. Este trabajo constituye un breve análisis dealgunos motores de la referencia bibliográfica.  Is important to know about a family of motors that at difference whit the traditional, don't have a rotator radial flux,called, axial flux motors. These motors have high torque for low speed, high efficiency and high power density. Thiswork is a brief analysis of several motors of the bibliographic references.

  7. Simulación numérica de la inyección de gas en columnas de flujo oscilatorio

    OpenAIRE

    Zamora Pina, María

    2016-01-01

    Los reactores de flujo oscilatorio (OBR) son equipos tubulares aptos para el mezclado intensivo, en los que se superpone un flujo neto y un flujo oscilatorio. La velocidad del flujo neto que atraviesa el tubo es propia de un flujo laminar con muy bajo número de Reynolds, mientras que las velocidades superpuestas por la oscilación de tipo sinusoidal pueden ser de hasta tres órdenes de magnitud mayor. Los tubos contienen elementos insertados que promueven el mezclado radial -típicamente coronas...

  8. ANÁLISIS DE FLUJO DE MATERIALES EN SISTEMAS HUMANOS: UNA REVISIÓN

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    Jaime Díaz Gómez

    Full Text Available Este artículo es una revisión de los antecedentes históricos y la evolución del concepto de metabolismo de los sistemas humanos, hasta el metabolismo de la antropósfera y su descripción en términos del Análisis de Flujo de Materiales (AFM. Se presentan diferentes experiencias a nivel internacional y nacional que evidencian la aplicabilidad del método. Se muestra cómo el AFM es un método flexible adecuado para la gestión ambiental en diferentes sectores, el cual puede ser empleado para el análisis integral de los problemas ambientales generados por la actividad del hombre y para detectar o estimar los flujos y los stocks de materiales que pueden ser indeseables o potencialmente peligrosos. Esto permite el establecimiento de estrategias eficientes de gestión de flujos de materiales desde el punto de vista de la sostenibilidad, realizando una estimación de los flujos actuales de materiales para anticipar problemas ambientales y emprender acciones tempranas.

  9. Análisis de predictores independientes del flujo del bypass coronario en pacientes intervenidos de revascularización miocárdica aislada

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    Stefano Urso

    2017-11-01

    Full Text Available Resumen: Introducción y objetivo: El medidor de flujo permite conocer 2 parámetros: el flujo medio del bypass coronario y el índice de pulsatilidad. Estos 2 parámetros, cuando están alterados, pueden indicar una estenosis de la anastomosis del bypass distal. Factores distintos de la suficiencia de la anastomosis, como la calidad de lecho coronario, pueden condicionar el flujo del bypass y dificultar su interpretación. El objetivo de nuestro estudio es analizar los predictores independientes del flujo de los bypass aorto-coronarios. Métodos: Recogimos de forma retrospectiva una serie consecutiva de 90 pacientes intervenidos de revascularización miocárdica aislada por el mismo cirujano desde enero del 2014 hasta agosto del 2016. A partir de esta serie, elaboramos una base de datos electrónica donde cada registro correspondía a un injerto. Construimos, por lo tanto, una base de datos de 185 injertos. De estos, 8 injertos no fueron analizados por no haberse medido el flujo correctamente. Por los tanto, los valores de flujo y de índice de pulsatilidad de 177 injertos fueron utilizados para nuestro análisis estadístico. Resultados: El análisis de regresión lineal múltiple detectó 2 predictores independientes del flujo de los bypasses: injerto de vena safena secuencial (valor r parcial: 0,32; p < 0,0001 e injerto arterial (valor r parcial: –0,23; p 0,0021. Por lo tanto, nuestro modelo objetivó una correlación directa entre la utilización de injerto de safena con técnica secuencial y flujo del bypass, y una correlación inversa entre la utilización de injerto arterial y flujo del bypass. Conclusiones: Los predictores del flujo de los bypasses aorto-coronarios son la utilización de un injerto arterial (coeficiente negativo y la utilización de un injerto venoso secuencial (coeficiente positivo. Nuestro modelo estadístico no ha identificado como predictor el SYNTAX score

  10. Flujos, elementos y formas sociales: La modernidad líquida a debate Flujos, elementos y formas sociales: La modernidad líquida a debate

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    Celso Sánchez Capdequi

    2006-10-01

    Full Text Available This article attempts to describe the imaginary in the Society of Flows. It defends that virtual images don’t exhaust the activity of imaginary. The society of flows emerges of the flow of metaphors. It is a historic expression of the imaginary opening of human condition. The «return» of imaginary means to emphasize politics as the human capacity of initiate the action and transform the social fact. It warns against the attempt to defend a new end of history.Este trabajo intenta describir el imaginario en la sociedad de flujos. Defiende que las imágenes virtuales no agotan la actividad del imaginario. La sociedad de flujos emerge del flujo de las metáforas. Es una expresión histórica de la apertura imaginaria del hombre. La recuperación del imaginario significa destacar la política como la capacidad humana de iniciar la acción y transformar el hecho social. De este modo, se advierte contra el intento de defender un nuevo final de la historia.

  11. Efecto de las cargas articulares sobre el flujo y pH salival

    OpenAIRE

    Castro, R.J.; Bravo, C.; Alcaino, V.; Giacaman, R.A.

    2011-01-01

    Una alteración del flujo salival es clave en el desarrollo de caries, enfermedad periodontal e infecciones oportunistas. El flujo salival está determinado por diversos estímulos que actúan sobre receptores de distinta naturaleza, entre ellos mecanoreceptores articulares. Algunos estudios demuestran que las cargas articulares actúan sobre estos receptores, modificando cualitativa y cuantitativamente la secreción salival. El objetivo de este estudio fue determinar si existe una relación entre l...

  12. Diversidad socioeconómica regional de los flujos de migración interna en Brasil

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    ANDRÉ BRAZ-GOLGHER

    2009-01-01

    Full Text Available Los niveles de pobreza en Brasil presentan una notable heterogeneidad espacial. Entre otros fenómenos, la migración puede tener cierto impacto en los niveles de pobreza regionales. Con estos antecedentes, se analiza la diversidad socioeconómica regional de los flujos migratorios en los siguientes casos: urbano-urbano, rural-urbano, urbano-rural y rural-rural dentro y entre los estados de Brasil. Para ello se utilizaron técnicas multivariables de análisis de clusters. Se observan algunas tendencias generales: entre mayor es el nivel socioeconomico hay mayores flujos urbano-urbano y de mayor distancia, mientras que entre menor es dicho nivel se dan más flujos rural-rural y de menor distancia. Más aún, los emigrantes más pobres se encuentran en los flujos con origen rural en y/o con destino a la región Noreste del país.

  13. Metodología y aplicaciones de la citometría de flujo para el inmunofenotipaje de las leucemias agudas

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    Vianed Marsán Suárez

    Full Text Available La citometría de flujo (CMF es una técnica de avanzada, altamente sensible y automatizada, que se emplea para el inmunofenotipaje de las células normales y leucémicas. En este artículo se muestran los principales aspectos metodológicos a tener en cuenta para un mejor desarrollo e interpretación del inmunofenotipo por CMF, entre los que se encuentran: tipo, cantidad, conservación y transportación de la muestra, uso de anticoagulantes, empleo de anticuerpos monoclonales y fluorocromos, lisado de hematíes, fijación celular, así como la calibración y compensación de la auto-fluorescencia. Finalmente, se exponen las principales aplicaciones de esta metodología para definir el estado de maduración celular leucémico, clasificar las leucemias agudas en distintos subtipos inmunológicos, identificar subgrupos de mal pronóstico y detectar fenotipos aberrantes. Todo lo anterior resulta de gran utilidad para el diagnóstico de la enfermedad mínima residual que permite estratificar a los pacientes en diferentes grupos de riesgo e individualizar el tratamiento antileucémico.

  14. Caracterización de los flujos de agua subterránea a partir de su salinidad

    OpenAIRE

    Fagundo-Castillo, Juan R.; Alconada-Magliano, Margarita M.; Carrillo-Rivera, J. Joel; González-Hernández, Patricia

    2014-01-01

    La vinculación entre elementos del paisaje puede ser explicada mediante la teoría de los sistemas de flujo de agua subterránea, que reconoce los diferentes flujos y sus zonas de descarga y recarga, que manifiestan en forma complementaria su funcionamiento hidrológico. Es esencial la caracterización de los diferentes flujos para conocer su potencialidad, salinidad y su posibilidad de uso en diferentes prácticas de manejo agropecuario y forestal; en esta definición quedan implícitas sus caracte...

  15. Estudio y modelación del flujo bifásico líquido-gas para bajos valores de Reynolds//Study and modelation for low reynolds value of two phases flow liquid-gas

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    Annamaris Olmo Velázquez

    2015-01-01

    Full Text Available El flujo simultáneo de líquido y gas es una de las combinaciones más complejas de flujo bifásico. Para este estudio se seleccionaron como fluidos de trabajo Glicerina en solución con agua al 80 % y Gel industrial. Estos por sus viscosidades permiten establecer los sistemas deseados para el estudio, con valores de Reynolds menor a 15. Fueron desarrollados experimentos para la determinación de las propiedades hidrodinámicas del los fluidos y los parámetros que caracterizan este tipo de flujo en un canal vertical. Fue obtenido a partir del análisis físico matemático de losexperimentos realizados, un modelo teórico experimental capaz de evaluar las fuerzas y coeficientes de arrastre para una burbuja aislada y un tren de burbujas. Se realizaron modelaciones computacionales de los distintos regímenes de trabajo, validadas con los resultados experimentales. Obteniéndose simulaciones y resultados que permiten visualizar y analizar el comportamiento real del sistema.Palabras claves: flujo bifásico, número de Reynolds, burbuja aislada, tren de burbujas, coeficientes de arrastre, fuerzas de arrastre._________________________________________________________________________________AbstractThe study of simultaneous flow of liquid and gas over a conduit is two phases flow combinations more complex that exist. For the study we select fluid (glycerin in solution with water (80 % and industrial gel that establish flow models necessary for the investigation the desired systems. And is obtained from physical-mathematical analysis of obtained results made experiment for different configurations, a theorys experimental model have evaluate the drag coefficient and force acting on only bubble and train bubbles in job regimen for Reynolds value less and equal to 15. In the present study was performed computational modeling of different patterns, validated with experimental results.Simulations and results obtained for visualizing and analyzing the actual

  16. un modelo de balances de flujo

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    Nelson Molina Giraldo

    2007-01-01

    Full Text Available La ciénaga de Cachimbero, localizada en el municipio de Cimitarra, Santander, perteneciente a uno de los complejos de humedales inventariados por el Ministerio del Medio Ambiente y caracterizados como palustres, presenta valores ecológicos y ambientales de importancia regional. En este trabajo se realizó una aproximación conceptual y experimental a la hidrología de la ciénaga, determinando los componentes principales del balance hídrico y planteando un esquema de evaluación temporal. En este marco se implementó un esquema de observación y análisis de las variables hidrológicas, que permitió la construcción de un modelo de balances de flujo. Los controles básicos corresponden al régimen de lluvias en la cuenca tributaria, las características morfométricas del vaso, los procesos evapotranspirativos y las características del flujo en el caño de conexión con el río Magdalena cuyo nivel establece un control hidráulico aguas abajo. El principal objetivo fue formular un modelo operativo, a escala diaria, del funcionamiento hidrológico natural de la ciénaga, que permitió predecir los patrones temporales de variación de niveles y volúmenes de ésta.

  17. Guides for flow sensors selection; Guias para la seleccion de sensores de flujo

    Energy Technology Data Exchange (ETDEWEB)

    Gomez Garcia, Gustavo; Guzman Flores, Roberto; Rodriguez Martinez, Arnulfo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1995-12-31

    In this paper a system is presented that allows the selection and calculation on instruments for flow measurement, based on practical experiences, standards an taking into consideration the process operational characteristics such as fluid type, maximum flow rate, piping diameter, etc. The system is composed of a knowledge base and a software for the selection, calculation and de adequate recommendation of flow sensing elements for the different services needed in the power plants. [Espanol] En este trabajo se presenta un sistema que permite realizar la seleccion y calculo de instrumentos para la medicion de flujo con base en experiencias practicas, normas y tomando en cuenta las caracteristicas de operacion del proceso como el tipo de fluido, flujo maximo, diametro de tuberia, etcetera. El sistema esta compuesto por una base de conocimiento y un software para la seleccion, calculo y la recomendacion adecuada de elementos sensores de flujo para los diferentes servicios que se tienen en centrales generadoras.

  18. Guides for flow sensors selection; Guias para la seleccion de sensores de flujo

    Energy Technology Data Exchange (ETDEWEB)

    Gomez Garcia, Gustavo; Guzman Flores, Roberto; Rodriguez Martinez, Arnulfo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1996-12-31

    In this paper a system is presented that allows the selection and calculation on instruments for flow measurement, based on practical experiences, standards an taking into consideration the process operational characteristics such as fluid type, maximum flow rate, piping diameter, etc. The system is composed of a knowledge base and a software for the selection, calculation and de adequate recommendation of flow sensing elements for the different services needed in the power plants. [Espanol] En este trabajo se presenta un sistema que permite realizar la seleccion y calculo de instrumentos para la medicion de flujo con base en experiencias practicas, normas y tomando en cuenta las caracteristicas de operacion del proceso como el tipo de fluido, flujo maximo, diametro de tuberia, etcetera. El sistema esta compuesto por una base de conocimiento y un software para la seleccion, calculo y la recomendacion adecuada de elementos sensores de flujo para los diferentes servicios que se tienen en centrales generadoras.

  19. Ecuación de flujo equivalente para medios porosos saturados heterogéneos

    OpenAIRE

    Gómez, Andrea Alejandra; Gómez, Andrea Alejandra

    2012-01-01

    Las ecuaciones clásicas de flujo y transporte en medios porosos saturados asumen equilibrio local en un volumen elemental de análisis. Sin embargo, a menudo se observa un fenómeno de no equilibrio que se manifiesta como una transferencia de masa retrasada desde zonas menos conductivas a zonas más transmisivas del medio poroso. En este trabajo se evaluó numéricamente la aplicabilidad de un modelo matemático de flujo equivalente en medios saturados, que presenta una formulación de no equilibrio...

  20. DISEÑO Y CONSTRUCCIÓN DE PROTOTIPO PARA MEDICIÓN DE FLUJO DE CALOR APLICANDO CALORIMETRÍA DIRECTA: SENSADO POR FLUJO DE CALOR

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    OSCAR CADENA

    2008-01-01

    Full Text Available El presente artículo describe el diseño de un prototipo inalámbrico para la medición de flujo de calor, que permita a futuro aplicar el método de calorimetría directa por gradiente de flujo de calor en el área de la electrónica médica. Esta técnica se desarrolla gracias al avance y creación de sensores que permiten medir este tipo de variables, y se postula como una alternativa a las formas de medición utilizadas actualmente, presentando mejoras en su desempeño y costo. Los resultados obtenidos luego de efectuar la calibración del equipo permiten inferir que la técnica propuesta se adapta de forma eficiente y puede utilizarse como un sustituto significativamente más ventajoso comparado con los métodos existentes en la actualidad y aplicados en el seguimiento metabólico de personas.

  1. Obtención de perfiles teóricos de elementos metálicos con velocidades macroscópicas

    Science.gov (United States)

    Cirigliano, D.; Costa, A.; Rovira, M.

    El propósito de este trabajo es poder establecer -a partir de la modelización de perfiles de distintas especies- patrones de comparación observacional que permitan caracterizar los fenómenos físicos que están presentes en las estructuras que se observan. Para ello se resuelven las ecuaciones de equilibrio de ionización para un determinado átomo y una atmósfera de parámetros determinados. A partir de ello se definen las poblaciones para los distintos grados de ionización. Considerando distintas configuraciones e intensidades de flujos de masa se deducen la función fuente, el espesor óptico y se calculan los perfiles de las distintas líneas. Se obtuvieron perfiles teóricos de líneas del CII, CIV y del OIV para flujos entrante, saliente y pasante. La forma del perfil, las intensidades relativas entre los distintos flujos y el corrimiento Doppler da cuenta de una caracterización teórica a partir de la cual se comparará con observaciones.

  2. Estudio de distintos modelos de protuberancias solares

    Science.gov (United States)

    Cirigliano, D.; Rovira, M.; Mauas, P.

    En este trabajo presentamos perfiles de líneas del CaII, MgII y HeI calculados para distintos modelos de protuberancias, y los comparamos con observaciones obtenidas por los satélites OSO 8 y SOHO. Para obtener las poblaciones de los distintos niveles de los átomos, utilizamos un código numérico que combina las ecuaciones de transporte de radiación y equilibrio estadístico en un único sistema de ecuaciones no lineal. Los modelos básicos que consideramos para las protuberancias consisten en placas homogéneas y unidimensionales apoyadas sobre la superficie del Sol. Dichas placas se hallan estratificadas en hebras y los modelos difieren entre sí en la temperatura y ancho de la placa, en la presión a la cual se halla el plasma y en el número de hebras. A partir de estos modelos se investiga cada uno de estos parámetros libres y como influyen en la atmósfera de las protuberancias solares y en el perfil de línea de cada especie estudiada, con el objetivo de determinar las condiciones en las que se halla el material atmosférico de estas protuberancias.

  3. Determinación del flujo salivar en niños uruguayos portadores de HIV

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    Alvarez L

    2011-07-01

    Full Text Available La mayoría de niños infectados por el virus de la inmunodeficiencia humana (VIH presentan, dentro de sus primeros signos de enfermedad, manifestaciones orales. Uno de los factores a considerar es la disminución del flujo salival producido por infiltración glandular por el propio virus o como efecto secundario a la toma de medicación antiretroviral. Objetivo: Determinar el flujo salival en niños uruguayos portadores de VIH, que asisten al Centro Nacional de Referencia VIH SIDA del Centro Hospitalario Pereira Rossell, (CHPR en Montevideo-Uruguay. Material y métodos: Se realizó un estudio descriptivo cuantitativo analítico de casos y controles. Se incluyeron todos los pacientes portadores de VIH que asisten al Centro Nacional de Referencia (CHPR y los pacientes del grupo control eran usuarios del mismo Hospital, con similares condiciones socio-económicas y sanos desde el punto de vista general. Se realizó el recuento de flujo salival. Los niños del grupo de estudio se dividieron a su vez en dos grupos, según su adherencia al tratamiento antirretroviral, que era calificada en buena o mala. Se estudiaron también otros parámetros como hipertrofia parotídea y actividad de caries. Resultados: Se encontró diferencia estadísticamente significativa entre los niños del grupo de estudio y grupo control en relación a flujo salival (p= 0,0002, independiente de la adherencia al tratamiento antiretroviral.

  4. Flujo y concentración de proteínas en saliva total humana

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    BANDERAS-TARABAY JOSÉ ANTONIO

    1997-01-01

    Full Text Available Objetivo. Determinar los promedios de flujo salival y la concentración de proteínas totales en una población joven del Estado de México. Material y métodos. Se seleccionaron 120 sujetos a quienes se les colectó saliva total humana (STH no estimulada y estimulada, la cual se analizó por medio de gravimetría y espectrofotometría (LV/LU; se calcularon medidas de tendencia central y de dispersión; posteriormente, se correlacionaron estos datos con los índices CPOD y CPITN. Resultados. Los sujetos estudiados mostraron un promedio de flujo salival (ml/min ± DE en STH no estimulada de 0.397±.26, y en STH estimulada, de 0.973±.53. El promedio en la concentración de proteínas (mg/ml ± DE fue de 1.374±.45 en STH no estimulada y de 1.526±.44 en STH estimulada. Las mujeres presentaron un menor porcentaje de flujo salival y mayor concentración de proteínas. No se observaron correlaciones entre el flujo y la concentración de proteínas totales y el CPOD y CPITN; sin embargo, sí las hubo con otras variables. Conclusiones. Estos hallazgos podrían estar asociados con el grado de nutrición, las características genéticas y los niveles de salud bucal en nuestra población. El presente estudio representa la fase inicial de la creación de una base de datos en sialoquímica, cuya meta será identificar los parámetros que indiquen el riesgo de enfermedades sistémicas o bucodentales.

  5. Fraccionamiento y estudio de subpoblaciones linfocitarias en distintos grupos de amígdalas palatinas

    OpenAIRE

    Sánchez Rozas, José Antonio

    2011-01-01

    Se ha estudiado en linfocitos de am??gdala de distintos grupos cl??nicos de amigdalitis la expresi??n de una amplia bacteria de anticuerpos monoclonales y otros marcadores con la finalidad de investigar la existencia o no en am??gdalas de c??lulas inmaduras previrgenes y determinar la secuencia madurativa de diferenciaci??n en distintos grupos cl??nicos de am??gdala.

  6. Los Sistemas Gestores de Flujos de Trabajo en la Gestión de Procesos Software

    OpenAIRE

    Víctor Hugo Menéndez Domínguez; María Enriqueta Castellanos Bolaños

    2016-01-01

    Hoy en día, las empresas de software se ven obligadas a mejorar su rendimiento para poder sobrevivir en un entorno altamente competitivo: los clientes demandan una mayor calidad, menor plazo de entrega, mejor servicio, atención personalizada, etc. En este trabajo se describen a los procesos software así como los flujos de trabajo. Su combinación y automatización mejora el flujo de información asociado a las actividades de dichos procesos, lo que facilita el control y permite mejorar el rendim...

  7. Influencia de Las Cargas Térmicas Sobre Flujos de Aire Generados en Una Habitacíon

    DEFF Research Database (Denmark)

    Olmedo, Inés; Ruiz de Adana Santiago, Manuel; Nielsen, Peter V.

    2011-01-01

    El flujo de aire en el interior de un local generado con un sistema de ventilación y difusión de aire puede verse afectado por las cargas térmicas internas del local. En este trabajo, se estudia la influencia de las cargas térmicas internas debidas a personas en el flujo de aire interior de un lo...... difusor textil de baja velocidad. Los resultados obtenidos pueden resultar de interés para validar las predicciones obtenidas a partir de modelos numéricos de difusores....

  8. Optimización de Estatores para Motores Superconductores de Flujo Axial Optimización de Estatores para Motores Superconductores de Flujo Axial

    Directory of Open Access Journals (Sweden)

    Oscar Gerardo Ibarra-Manzano

    2012-02-01

    Full Text Available The development of superconducting electrical machines has been designed primarily to design and build engines with the superconducting magnetic field in radial configuration, as traditional engines, so the design and construction of rotating electrical machines in axial flow configuration has become an alternative for the design and construction of such engines. In this paper we present preliminary calculations for the optimization of the stator of a superconducting motor in axial flow confi guration, based on the equations of general power of the rotary axial flow configuration. It performs the construction, optimization and evaluation of models of stators in geometries of 4, 6 and 8 poles with high-temperature superconducting tapes of Bismuth. The results show the feasibility of the design implemented, which is verified by a significant decrease in the current of superconducting motor operation.El desarrollo de máquinas eléctricas superconductoras ha estado encaminado principalmentea diseñar y construir motores superconductores con el campo magnético en configuración radial, como los motores tradicionales, por lo que el diseño y construcción demáquinas eléctricas rotativas en configuración de flujo axial ha venido a ser una alternativa para el diseño y construcción de este tipo de motores. En el presente trabajo se presentan los cálculos preliminares para la optimización del estator de un motor superconductor en configuración de flujo axial, basados en las ecuaciones generales de potencia de las máquinas eléctricas rotativas en configuración flujo axial ha venido a ser una alternativa para el diseño y construcción, optimización y evaluación de modelos de estatores en geometrías de 4, 6 y 8 polos, con cintas superconductoras de alta temperatura de Bismuto. Los resultados obtenidos muestran la viabilidaddel diseño implementado, lo cual se comprueba por medio de una disminución significativa de la corriente de operaci

  9. Efectividad del control a los flujos de capital: Un reexamen empírico de la experiencia reciente en Colombia.

    Directory of Open Access Journals (Sweden)

    Hernán Rincón

    2010-05-01

    Full Text Available El trabajo utiliza una medida de los flujos de capital privado de corto plazo y variables que buscan capturar los niveles de los créditos comerciales y también de las transacciones internacionales así como factores de expulsión y atracción para evaluar la efectividad de los controles de capital, específicamente de un depósito no remunerado sobre los flujos de crédito externo, en el caso colombiano. Se utiliza la metodología de Johansen y Juselius la cual permite usar directamente variables no estacionarias en las estimaciones y controlar por problemas de simultaneidad. La conclusión principal es que los controles han sido efectivos en disminuir los flujos de capital de corto plazo. La evidencia también resalta el papel jugado por factores de expulsión y atracción en la determinación de los flujos de crédito externo y muestra que la hipótesis de paridad descubierta de interés, ajustada por una prima de riesgo, no es satisfecha por los datos.

  10. Los Sistemas Gestores de Flujos de Trabajo en la Gestión de Procesos Software

    Directory of Open Access Journals (Sweden)

    Víctor Hugo Menéndez Domínguez

    2016-11-01

    Full Text Available Hoy en día, las empresas de software se ven obligadas a mejorar su rendimiento para poder sobrevivir en un entorno altamente competitivo: los clientes demandan una mayor calidad, menor plazo de entrega, mejor servicio, atención personalizada, etc. En este trabajo se describen a los procesos software así como los flujos de trabajo. Su combinación y automatización mejora el flujo de información asociado a las actividades de dichos procesos, lo que facilita el control y permite mejorar el rendimiento, reducir costos y plazos, minimizar errores y garantiza una mayor calidad, entre otras ventajas.

  11. Determination of forces induced by steam flow in turbines; Determinacion de fuerzas inducidas por flujo de vapor en turbinas

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Castrejon, Juan Carlos

    2008-09-15

    blades, has a harmonic pattern. The pressure field variation as time function is uniform: the peaks and valleys across the axial clearance are always in phase. However the instant picture of the pressure field it's different: the peaks and valleys are not in phase and the number of peaks and valley changed across the clearance. In the case of the forces acting on blades, a Fourier on the forces calculated was used to determine the coefficients and frequency of a Fourier equation which can be used to calculate the alternating stresses on the blade in order to predict the useful life blades. [Spanish] Las vibraciones inducidas por flujo de vapor en turbinas representan uno de los problemas que enfrenta la operacion de turbinas de vapor cuya capacidad rebasa los 300 MW. Ademas estas constituyen uno de los limites tecnologicos para el desarrollo de turbinas de vapor de mas de 1 GW. Este tipo de fenomeno tiene su origen en la interaccion del rotor con el fluido que se encuentra en sus proximidades. El flujo de vapor dentro de la turbina es complejo, ya que es turbulento e inestable. A medida que el flujo pasa una etapa de estator o de rotor, se generan secundarios, vortices en los filos de salida, estelas con caracteristicas de flujo diferentes al flujo principal en los pasajes. Estas variaciones en el flujo son las que inducen vibraciones forzadas en los alabes. Ademas existen varios factores que contribuyen a la aplicacion de vibraciones en alabes inducidas por flujo como son: inestabilidad del flujo de vapor en los claros de los sellos, secuencia de apertura de las valvulas, estelas de las toberas, obstrucciones en algunas de las toberas y diferente espaciamiento en las toberas. Las vibraciones por flujo pueden ser peligrosas si su frecuencia coincide con la frecuencia natural del sistema, provocando efectos mas nocivos que las vibraciones por desbalance o por desalineamiento, pues tienen amplitudes mas grandes y provocan esfuerzos alternantes en los componentes del

  12. Flowing equation gradually varied in rectangles channels on depth curve; Ecuacion del flujo gradualmente variado en canales rectangulares de fondo curvo

    Energy Technology Data Exchange (ETDEWEB)

    Sotelo-Avila, G.; Gallegos-Silva, J. [Universidad Nacional Autonoma de Mexico, Mexico, D.F. (Mexico)

    2002-03-01

    The study of channel flow usually have its basis in the hydrostatic distribution of pressure and the rectilinear flow hypotheses. It is from this hypothesis that the main flow equations are obtained. However, this is not applicable to a vertically curved flow that is present in a curved bed channel. This kind of channel is used to join two different slopes or in ski jumps. This kind of flow presents several changes from the rectilinear flow as in the velocity and pressure distributions and even in the energy loses. The authors of this article propose an equation of gradually varied flow for vertically-curved bed rectangular channels that adds a coefficient to modify the velocity in the calculus of the local friction gradient. With these results is possible now to analyze flow profiles in vertically-curved bed channels where before were used the methods for straight channels and therefore, increase accuracy. [Spanish] Las hipotesis del movimiento rectilineo y de distribucion hidrostatica de la presion son ciertamente las mas importantes en la hidraulica de canales, y de ellas se derivan los principales modelos de flujo que usualmente emplean. Sin embargo, no es valido aplicar la misma hipotesis y metodos de analisis al flujo curvilineo, que ocurre cuando el canal adopta curvaturas verticales en el fondo, las cuales inducen cambios importantes en la distribucion de la velocidad, presion y hasta en la perdida d energia. Tal es el caso de canales que contienen curvas verticales para unir tramos de distintas pendientes y producir el cambio en la direccion del flujo en cubetas deflectoras y vertedores en tunel. Los autores de este articulo proponen una ecuacion de flujo gradualmente variado en canales rectangulares de fondo curvo, esta es de gran utilidad en la determinacion del perfil del flujo con dichas caracteristicas, donde se plantea la adicion de un factor de amplificacion de la velocidad en el calculo del gradiente local de friccion, para tomar en cuenta el

  13. Beneficios de utilizar modelos ad-hoc de gestión de inventarios en presencia de flujos de retorno

    Directory of Open Access Journals (Sweden)

    Juan Pedro Sepúlveda Rojas

    2010-01-01

    Full Text Available En este trabajo se analiza el impacto de la logística reversa en los modelos de gestión de inventarios a través del análisis de las implicancias y extensiones de algunos modelos estudiados en la literatura. A través de experimentación con modelos de inventario determinísticos encontramos que en gran parten de los escenarios estudiados, los costos de utilizar modelos clásicos de gestión de inventarios son superiores a modelos que toman en cuenta los flujos de retorno. Solo en casos muy particulares en donde el costo de mantención de stocks en el taller de reparables era muy elevado, se observaba la conveniencia del uso de los modelos tradicionales en detrimento de los que consideran flujos de retorno. Se puede observar además que no existen comparaciones cuantitativas entre una gestión tradicional de inventarios y una que considere los flujos de retorno.

  14. EFECTOS SIMULTANEOS DE LAS VARIABLES DE PROCESO SOBRE LAS PROPIEDADES DE FLUJO DEL SUERO COSTEÑO

    Directory of Open Access Journals (Sweden)

    DIOFANOR ACEVEDO C.

    Full Text Available El Suero costeño es un producto lácteo fermentado elaborado tradicionalmente en la Costa Caribe Colombiana. La sinéresis es un proceso de separación del Lactosuero de la cuajada simultáneamente con su encogimiento, es el mayor defecto de calidad de productos lácteos. El efecto simultáneo de temperatura de fermentación (TF, 27,7-39,4 ºC, nivel de sólidos totales (ST, 10,6-17,3%, w/v y concentración del inoculó (CI, 0,97-6,00 %v/v sobre el índice de flujo, umbral de fluencia y coeficiente de consistencia del Suero Costeño, fue estudiado por medio de la metodología de superficie de respuesta con tres variables y cinco niveles. El tratamiento estadístico dio lugar a la generación de modelos matemáticos, estos explican que el nivel de sólidos totales es la única variable que afecta significativamente el coeficiente de consistencia, índice de flujo y umbral de fluencia. El nivel de sólidos totales es la única variable que afectó significativamente las propiedades reológicas del Suero Costeño, y la adición de lactosuero parcialmente desmineralizado aumentó el esfuerzo de fluencia y el coeficiente de flujo, disminuyendo el índice de flujo. El aumento de sólidos totales por adición de proteínas del lactosuero es una manera adecuada para mejorar la consistencia, sabor y untabilidad del Suero Costeño.

  15. SIMULACIÓN NUMÉRICA DE FLUJO MONOFÁSICO DE FLUIDOS ACOPLADO A DEFORMACIÓN GEOMECÁNICA

    Directory of Open Access Journals (Sweden)

    MARIA ADELAIDA ARANGO ACEVEDO

    2010-01-01

    Full Text Available La simulación de flujo de fluidos en medios porosos es usada en la industria petrolera como herramienta para caracterizar yacimientos. Sin embargo, el análisis se ha llevado a cabo de manera convencional con suposiciones que deben ser levantadas para los yacimientos con complejidades no consideradas anteriormente. En la actualidad se encuentra que los yacimientos no son ideales como se pensaba y que las propiedades petrofísicas varían¿ esta es la base de la simulación acoplada a geomecánica. La ecuación de flujo de fluidos se plantea para un yacimiento naturalmente fracturado con flujo monofásico y se acopla con las ecuaciones de deformación por medio de las relaciones de esfuerzo ¿ deformación ¿ presión. Estas son resueltas usando la técnica de diferencias finitas y un método iterativo tipo Picard. El resultado es un simulador numérico para la interpretación de pruebas de presión que considera los cambios de la permeabilidad con la variación del esfuerzo utilizando el módulo de permeabilidad.

  16. Simulación del haz de electrones en un TEM como flujo de partículas cargadas

    Directory of Open Access Journals (Sweden)

    Alberto Hernández-Valle

    2015-03-01

    Full Text Available Se simuló el comportamiento de un haz de electrones en un Microscopio Electrónico de Transmisión (TEM en función del voltaje de aceleración, la corriente de excitación de las lentes y la permeabilidad relativa de las piezas polares, por medio del software COMSOL Multiphysics versión 4.2a. Los resultados mostraron una baja velocidad vertical en los electrones dispersos, los cuales fueron filtrados por los diafragmas. Además, los gráficos expusieron que la densidad del flujo magnético aumentó con el incremento en la permeabilidad magnética de las piezas polares. Además, un aumento en la densidad del flujo magnético incrementó el ángulo de los electrones divergentes y redujo su velocidad vertical. Finalmente, las observaciones demostraron que el número de electrones que entran en el sistema no afecta el comportamiento general del haz ni la magnitud de la densidad del flujo magnético.

  17. Los polacos en los nuevos flujos inmigratorios en España : una aceptación social diferente

    OpenAIRE

    Aguilera Arilla, María José; González Yanci, María Pilar

    1996-01-01

    La situación económica, que comienza tras la crisis de 1973, origina grandes cambios en los flujos migratorios internacionales (España reduce su volumen de emigrantes, comienzan a volver los que salieron; los países europeos cierran sus fronteras y favorecen asimismo los retornos). La caída del muro de Berlín en 1989 produce otras novedades (ios países del Este ven aumentar sus flujos de emigrantes, sobre todo hacia Alemania, aunque en menor proporción de la esperada). En estos años, 1979-199...

  18. Flujo de control en iOS Flow control in iOS

    Directory of Open Access Journals (Sweden)

    Franklin Hernández Castro

    2012-11-01

    Full Text Available El objetivo de este artículo es explicar los flujos de control que se usan en la programación de las aplicaciones en iOS, con el fin de resumir los aspectos más relevantes que se deben tomar en cuenta para programar una tarea a ser realizada por un dispositivo móvil del tipo iPhone o iPad. Debido a que el ambiente iOS es estrictamente orientado a objetos (OOP, los flujos de control no son obvios; además, los estándares de la firma Apple® definen patrones de diseño en el sistema que son altamente recomendados en este tipo de diseño. En este artículo se introducen algunos de ellos.This paper explain the control flows that are used by programming applications in iOS, trying to summarize the most important aspects to be considered by programming mobile devices like iPhone and iPad. Because iOS environment, is strictly a object-oriented one(OOP, control flows are not obvious, besides Apple® use design patterns highly recommended in this type of programming. Here we introduces some of them.

  19. El análisis de flujos energéticos como herramienta de análisis territorial; el caso de la Región Metropolitana de Barcelona

    Directory of Open Access Journals (Sweden)

    María Christina Fragkou

    2015-12-01

    Full Text Available La diversificación de las fuentes energéticas usadas a lo largo de la historia, resultado del creciente consumo de los sistemas socioeconómicos, ha sido un factor clave tanto en determinar nuestra relación con el medio ambiente, como en la evolución de la economía global y el ordenamiento territorial a todas las escalas geográficas. Una gran mayoría de los estudios relacionados se ha enfocado en el análisis del consumo energético urbano y de los factores que lo condicionan. Este artículo presenta un marco metodológico basado en el concepto de metabolismo energético para el análisis de sistemas urbano-regionales. La metodología se aplica a un sistema costero del Mediterráneo. Los resultados demuestran que el estudio de los flujos energéticos es una herramienta valiosa para la interpretación de la estructura económica de un sistema y la evaluación de su autosuficiencia energética. Adicionalmente, es capaz de revelar posibles patrones de consumo energético asociados a distintos tipos de economías y de urbanización.

  20. Pseudoaneurisma Ventricular Izquierdo en Cara Inferior con Flujo Bidireccional

    Directory of Open Access Journals (Sweden)

    Adrián J Da Silva-De Abreu

    2009-01-01

    Full Text Available Los pseudoaneurismas son complicaciones infrecuentes de los infartos del miocardio. Consisten en un saco pericárdico que comunica con la cavidad ventricular a través de un cuello de menor diámetro. Se presenta el caso de una paciente de 68 años de edad, con DM II e HTA, sufre Infarto Agudo del Miocardio en Mayo del 2008, presentando disnea y tos por una semana, con diaforesis profusa de inicio súbito y síncope sin dolor precordial. El electrocardiograma reporta zonas de isquemia transmural y subendocárdica en caras inferolateral y lateral alta, respectivamente, y zona eléctricamente inactivable en cara inferior. El ecocardiograma transtorácico muestra el ventrículo izquierdo con dilatación severa, disminución de la fracción de eyección (25% y un pseudoaneurisma de la pared inferior con cuello de 3 mm a través del cual se evidencia flujo bidireccional, de entrada al ventrículo durante la diástole y salida al pseudoaneurisma en sístole. El flujo bidireccional y el gasto cardíaco disminuido contribuyen a evitar el taponamiento cardiaco, sin embargo, en condiciones de mayor demanda el pseudoaneurisma podría perforarse y ocasionar dicha entidad. De ello, la importancia del diagnostico diferencial con los aneurismas verdaderos, lo cual permite llevar a cabo la terapéutica adecuada y evitar tal complicación.

  1. Reducciones temporales para convertir la sintaxis abstracta del diagrama de flujo de tareas no estructurado al álgebra de tareas

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Fernández-y-Fernández

    2015-12-01

    Full Text Available Este artículo describe nuestro trabajo en el modelado de software usando reducciones temporales para representar diagramas de flujo no estructurado, como una representación intermedia para construir una expresión textual en una álgebra de procesos particular. Este trabajo fue realizado para poder construir una herramienta CASE de apoyo para la fase del modelado de tareas en el Método Discovery para el desarrollo de software. Inicialmente explicaremos las similitudes entre dos tipos de diagramas, el diagrama de actividades de UML y el diagrama de flujo de tareas con su representación formal (el álgebra de tareas. Posteriormente, ofreceremos una explicación explicando la generación automática, usando las reducciones temporales, de expresiones en el álgebra de tareas usando información abstracta que es obtenida de los diagramas de flujo de tareas.

  2. El cine ante las transformaciones y los flujos comunicativos globales

    Directory of Open Access Journals (Sweden)

    Francisco Javier Ruiz del Olmo

    2012-06-01

    Full Text Available La convocatoria del presente número monográfico sobre los cambios producidos en el dispositivo cinematográfico de las últimas décadas, deliberadamente amplia y multifacética, no excluía sin embargo una cierta focalización hacia el estudio que la diseminación de nuevas prácticas culturales, consecuencia de la digitalización de la imagen de las relaciones entre el cine y la red y los flujos comunicativos globales.

  3. NUEVO ALGORITMO MULTICLASIFICADOR PARA FLUJOS DE DATOS CON CAMBIOS DE CONCEPTO

    Directory of Open Access Journals (Sweden)

    Ramón Osmany Ramírez Tasé

    2016-04-01

    Full Text Available Los algoritmos multiclasificadores se han mostrado particularmente eficientes para trabajar sobre espacios de datos grandes y complejos como los llamados flujos de datos. En estos flujos, durante la clasificación, aparecen conceptos que cambian con el tiempo, por lo que los métodos para su minería, sobre todo los  que detectan y se adaptan  a estos cambios, son importantes por su aplicación en áreas como: bioinformática, medicina, economía y finanzas, industria, medio ambiente, entre otras. La presente investigación propone un nuevo algoritmo multiclasificador que se adapta a los cambios de conceptos, tiene votación ponderada con una nueva forma para ajustar los pesos y permite variar el tipo de clasificador básico. El algoritmo fue implementado en compatibilidad y bajo las exigencias del entorno de trabajo MOA (Massive Online Analysis facilitando la comparación con otros algoritmos conocidos y la generación de bases de datos sintéticas que simulan cambios de conceptos. Para la experimentación se generaron experiencias bajo conceptos artificiales conocidos, tales como: SEA, LED, STAGGER e Hiperplano; logrando mostrar la alta capacidad de adaptación y la estabilidad del algoritmo frente a diferentes situaciones simuladas.

  4. Pseudoaneurisma Ventricular Izquierdo en Cara Inferior con Flujo Bidireccional

    Directory of Open Access Journals (Sweden)

    Adrián J Da Silva-De Abreu

    2011-01-01

    Full Text Available Los pseudoaneurismas son complicaciones infrecuentes de los infartos del miocardio. Consisten en un saco pericárdico que comunica con la cavidad ventricular a través de un cuello de menor diámetro. Se presenta el caso de una paciente de 68 años de edad, con DM II e HTA, sufre Infarto Agudo del Miocardio en Mayo del 2008, presentando disnea y tos por una semana, con diaforesis profusa de inicio súbito y síncope sin dolor precordial. El electrocardiograma reporta zonas de isquemia transmural y subendocárdica en caras inferolateral y lateral alta; respectivamente, y zona eléctricamente inactivable en cara inferior. El ecocardiograma transtorácico muestra el ventrículo izquierdo con dilatación severa, disminución de la fracción de eyección (25% y un pseudoaneurisma de la pared inferior con cuello de 3 mm a través del cual se evidencia flujo bidireccional: de entrada al ventrículo durante la diástole y salida al pseudoaneurisma en sístole. El flujo bidireccional y el gasto cardíaco disminuido contribuyen a evitar el taponamiento cardiaco, sin embargo, en condiciones de mayor demanda el pseudoaneurisma podría perforarse y ocasionar dicha entidad. De ello, la importancia del diagnostico diferencial con los aneurismas verdaderos, lo cual permite llevar a cabo la terapéutica adecuada y evitar tal complicación. Palabras claves: Pseudoaneurisma, Infarto del Miocardio, Diabetes.

  5. Análisis de Flujos de Conocimiento en Proyectos de Mejora de Procesos Software bajo una perspectiva multi-enfoque

    Directory of Open Access Journals (Sweden)

    Brenda L. Flores-Rios

    2014-12-01

    Full Text Available La Gestión de conocimiento (GC tiene el potencial de proveer diversos beneficios a las organizaciones dedicadas al desarrollo de software. Entre ellos la gestión de activos de conocimiento, el aumento de la productividad o el incremento de la capacidad de sus procesos software. Sin embargo, debido al crecimiento y evolución que ha tenido la industria de software, se requieren nuevos paradigmas asociados a la generación y reutilización de diversos tipos y flujos de conocimiento con el propósito de promover procesos de innovación centrados en la Mejora de procesos software (SPI. En este artículo se presenta un análisis de tres enfoques de flujos de conocimiento, con el cual se ofrece una estrategia para apoyar la creación, transferencia y evolución del conocimiento involucrado en un proyecto SPI. Además, se define un marco de trabajo para la identificación de flujos de conocimiento relacionados con elementos de un modelo de referencia de procesos.

  6. Oportunidades y perspectivas para PROSISA industria de cintas plásticas al aplicar el material flow management (manejo de flujos materiales)

    OpenAIRE

    Borja Cánnepa, Johanna

    2007-01-01

    En la presente tesis los propósitos principales son la adecuada conceptualización y presentación del manejo de flujos materiales; nueva tendencia que ha generado expectativas en el exterior principalmente en industrias europeas y de Norte América. Además se busca dentro del presente trabajo analizar las connotaciones y oportunidades de la aplicación del manejo de flujos materiales en una empresa especifica de nuestro país, “PROSISA” Productos sintéticos S.A., considerando también las in...

  7. Análisis de la implementación de un modelo hidrodinámico tridimensional al flujo de un cauce natural

    Directory of Open Access Journals (Sweden)

    Santiago Aurelio Ochoa García

    2017-04-01

    Full Text Available En el análisis de la hidrodinámica fluvial están presentes una gran cantidad de variables, que al ser consideradas en la solución de las ecuaciones de estado describen el comportamiento del flujo. En este trabajo, se presenta la solución tridimensional de las ecuaciones de Navier Stokes promediadas por Reynolds con un modelo de cierre para la turbulencia K–ξ; solución aplicada en el flujo del río Tercero o Ctalamochita de la provincia de Córdoba, Argentina. La herramienta de cálculo para la solución de las ecuaciones de estado es el modelo SSIIM, un software libre orientado a la mecánica de fluidos computacional desarrollado en la Universidad Noruega de Ciencia y Tecnología. La importancia de analizar el flujo en forma tridimensional contrasta con la dificultad de su solución numérica, por lo que se ha descrito el algoritmo SIMPLE aplicado en este trabajo para la solución de las ecuaciones de estado.

  8. Estudio hidrodinámico de reactores empacados de flujo ascendente(REFA)

    OpenAIRE

    Díaz Marrero, Miguel Ángel; Dueñas Moreno, Jaime; Cabrera Díaz, Ania

    2014-01-01

    En el presente trabajo se emplean las técnicas de estímulo respuesta para estudiar los modelos de flujos de dos reactores tipo REFA, con volúmenes de 3,4 y 6 litros respectivamente, usando tiempos de retención hidráulicos y trazadores diferentes en ambos. Se determinaron las curvas de concentración contra tiempo para ambos reactores y se realizó el análisis comparativo de un grupo de relaciones entre los diferentes tiempos que se obtuvieron en los gráficos. Se aplica con los mismos experiment...

  9. Simulaciones hidrodinámicas de flujos complejos

    Science.gov (United States)

    María Ibáñez Cabanell, José

    Son muchos los escenarios astrofísicos en que los procesos hidrodinámicos juegan un papel clave. En la complejidad que encierra la descripción de dichos procesos destaca el de la correcta simulación de flujos complejos donde la presencia de ondas de choque fuertes que, eventualmente, interaccionan entre ellas o también la presencia de inestabilidades (Kelvin-Helmholtz, Rayleigh-Taylor, etc.) suponen un verdadero desafío numérico. Los códigos hidrodinámicos basados en la solución de un problema de valores iniciales discontinuo (problema de Riemann) son, en la actualidad, los más robustos en el campo de la dinámica de fluidos computacional. En esta charla se dará un resumen de los fundamentos de dichas técnicas numéricas (esquemas de alta resolución de captura de choques) y se ilustrará su potencialidad mostrando una amplia gama de resultados en diferentes aplicaciones astrofísicas.

  10. MODELADO DE LOS EFECTOS DEL FLUJO CONVECTIVO SOBRE LOS FENÓMENOS DE TRASNPORTE DE MASA Y REACCIÓN EN UNA BIOPELÍCULA

    OpenAIRE

    Damián Reyna, Andrés Alejandro

    2012-01-01

    Una biopelícula es la acumulación de células de microorganismos y compuestos inorgánicos formando una matriz polimérica, fijas a una superficie. El estudio de este tipo de sistemas se ha enfocado a describir las biopelículas como catalizadores biológicos; sin embargo se sabe que la presencia de estas películas en sistemas de flujo cambia su comportamiento hidrodinámico. Este fenómeno podría estar asociado al cambio en el número de Reynolds causado por flujos convectivos dentro ...

  11. Three-dimensional analysis of the airflow in an industrial nozzle; Analisis tridimensional del flujo de aire en tobera industrial

    Energy Technology Data Exchange (ETDEWEB)

    Vigueras Zuniga, M. O.; Santos Nunez, C.; Bolado Estandia, R. [Instituto Mexicano del Petroleo, Veracruz (Mexico)

    2010-11-15

    This work presents an estimation of the aerodynamics' effects produced by the air flow velocity in the inlet of an industrial oven. The research was based on a combustor chamber installed at the Laboratorio de Sistemas de Combustion del Instituto Mexicano del Petroleo, Veracruz, Mexico. The results showed the numerical simulations of the three-dimensional effects of the air flow. The range of the velocity air flow (0 to 1.5 m/s) resulted that the flow behaviour and the recirculation zone were symmetric from the axial axis. On the other hand, the range of the velocity flow (1.5 to 3.8 m/s) resulted that the recirculation was not uniform and it was observed that the flow was directed to the top region of the chamber wall. This information was compared with experimental data recorded in a previous test. Finally, this work demonstrated that the flow velocity range of 1.5 to 3.8 m/s produced three-dimensional effects and changed the flame position. For that reason, it is important to correct this problem to improve the combustion process. [Spanish] El siguiente trabajo presenta una estimacion de los efectos aerodinamicos producidos por la velocidad del flujo de aire en la garganta de admision de un horno industrial. Para esta investigacion se considero la actual configuracion del horno instalado en el Laboratorio de Sistemas de Combustion del Instituto Mexicano del Petroleo en Veracruz, Mexico. Los resultados fueron obtenidos a partir de la creacion de un modelo de simulacion numerica que permitio estudiar los efectos tridimensionales del flujo de aire. Basados en los resultados de la simulacion, se determino que el rango de 0 a 1.5 m/s (velocidad del flujo de aire) se comporta de forma simetrica respecto al eje axial central. Para un rango de velocidades mayor a 1.5 m/s el flujo de aire se comporta no uniforme con una tendencia de direccion a la parte superior de la camara de combustion. La informacion obtenida del modelo fue comparada con datos experimentales

  12. Flujos de CO2 del suelo en una dehesa del centro peninsular

    OpenAIRE

    Uribe Vallejos, Carla; Hernando, Lucia; Roman, Mercedes; Roig Gómez, Sonia; Inclán Cuartas, Rosa

    2011-01-01

    En los últimos tiempos se han incrementado las iniciativas para proteger y aumentar el uso sostenible de las dehesas españolas, buscando una gestión eficiente del sistema que permita alcanzar el equilibrio entre los bienes medioambientales, socioeconómicos y los servicios, incluyendo el papel que juegan estos sistemas como reservorios de carbono. Con objeto de mejorar nuestros conocimientos sobre los flujos de carbono en estos sistemas, se ha investigado la influencia de la cubierta arbórea, ...

  13. Aplicación de modelos unidimensionales de flujo en suelos no saturados y transporte de herbicidas en zonas agrícolas

    Directory of Open Access Journals (Sweden)

    Teresa Maria Reyna

    2014-07-01

    Full Text Available La predicción del comportamiento de los plaguicidas liberados en el ambiente es necesaria para anticipar y minimizar, impactos adversos fuera del punto de aplicación. Esto significa que debemos comprender qué le sucede a un pesticida que ha sido aplicado en el campo, y predecir su destino en el ambiente. Con este objetivo se estudió una parcela experimental del Instituto Nacional de Tecnología Agropecuaria (INTA en la localidad de Manfredi (Córdoba; Argentina. Se realizaron mediciones del contenido de agua en suelo (por sonda de neutrones y por el método gravimétrico y la precipitación ocurrida en el sitio durante un período de tiempo con el fin de modelar el proceso de humedecimiento. También se midieron los contaminantes a distintas profundidades y a distintos tiempos de aplicación de atrazina al predio. Con estos datos se buscó modelar el proceso con el programa HYDRUS. Los resultados obtenidos muestran que el modelo subestima los contenidos de humedad presentes en el horizonte superior, mientras que para profundidades mayores frente a eventos de precipitaciones normales y de riego, el frente de humedecimiento no genera una recarga directa de la freática. Los resultados obtenidos muestran que la simulación numérica resulta una herramienta válida para el estudio del movimiento del flujo y el transporte de sustancias contaminantes en la zona no saturada. La principal limitante para evaluar la validez de estos modelos son la poca disponibilidad de datos de estudios de campo.

  14. Angiografía cerebral y muerte encefálica

    Directory of Open Access Journals (Sweden)

    Angel J Lacerda Gallardo

    1997-08-01

    Full Text Available Este trabajo se realizó como parte de un protocolo de estudio, el cual fue aplicado a 57 pacientes atendidos por el servicio de Neurocirugía del Hospital Clinicoquirúrgico "Manuel Ascunce Domenech" de Camagüey, durante el período comprendido entre enero de 1993 y diciembre de 1994. Se realizaron estudios angiográficos a 50 pacientes (87,72 %, de los que se obtuvieron 55 angiogramas cerebrales. En 49 exámenes (89 %, se observó ausencia de flujo sanguíneo cerebral con distintos tipos de patrones vasculares, en la arteria carótida interna extra e intracraneal, lo cual confirma su utilidad en el diagnóstico de la muerte encefálica (ME. En 3 pacientes, con craniectomías osteoclásticas de más de 5 cm, no se demostró ausencia de flujo sanguíneo cerebral, a pesar del estado clínico de ME. No aparecieron complicaciones durante este proceder, gracias a la cuidadosa técnica utilizada. Los patrones vasculares demostrados sugieren realizar un estudio más detallado donde se compare esta imagen con el parámetro presión intracraneal (PIC elevadaThis work was carried out as a part of a study protocol which was applied to 57 patients treated at the Neurosurgical Servicie of "Manuel Ascunce Domenech" Clinicosurgical Hospital, Camagüey during January, 1993 and December, 1994. Angiographic studies were performed to 50 patients (87.72 % from which 55 cerebral angiograms were obtained. In 49 examinations (89 % absenece of brain blood flow was observed with different types of vascular patterns in the extra and intracraneal inner carotid artery proving its usefulness for the diagnosis of brain death. In 3 patients with osteoclastic cranioctomies greater than 5 cm, the absence of cerebral blood flow was not proved despite the clinical status of brain death. No complications were observed during the procedure thanks to the so careful technique that was used. Vascular patterns evidenced suggest that it is necessary to perform a more detailed study to

  15. RELACIÓN DE LAS CURVAS DE ENERGÍA ESPECÍFICA Y PENDIENTE DE FRICCIÓN CON LAS ZONAS DE FLUJO LIBRE EN CANALES

    Directory of Open Access Journals (Sweden)

    Francisco Jaime Mejía

    2008-07-01

    Full Text Available Uno de los objetivos de un curso básico de hidráulica del flujo libre en canales es el análisis de perfiles del flujo gradualmente variado. Este trabajo proporciona una estrategia de enseñanza-aprendizaje que puede mejorar la práctica universitaria docente de la hidráulica. Es bien conocida la gráfica profundidad contra energía específica (y-E para describir e interpretar la hidráulica del flujo libre. Se propone complementarla con la gráfica profundidad contra pendiente de energía (y-sf. A partir de las comparaciones gráficas se ilustran los conceptos de flujo subcrítico (y>ycrítica, vynormal, vOne objective of an introductory course of open-channel flow is the analysis of gradually varied flow profiles. This paper shows a teaching-learning strategy that might improve the university practices for teaching hydraulics. It is well known the depth-specific energy curve (y-E for describing and interpreting open-channel flow hydraulics. It is proposed to complement that curve with the depth-energy slope curve (y-sf. By using a graphic comparison, it aims to illustrate the concepts of the subcritical (y>ycritical, vynormal, v

  16. EMPLEO DEL PROGRAMA VOLCFLOW PARA SIMULAR FLUJOS PIROCLÁSTICOS DEL VOLCÁN CERRO MACHÍN, TOLIMA, COLOMBIA

    Directory of Open Access Journals (Sweden)

    Elsa Adriana Cárdenas Quiroga

    2013-01-01

    Full Text Available Se presentan los resultados de simular futuros flujos piroclásticos que podría producir el Volcán Cerro Machín, ubicado en la Cordillera Central de Colombia. Esta simulación se realizó con el programa VolcFlow desarrollado por el Laboratorio de Magmas y Volcanes de la Universidad Blaise Pascal, Francia, diseñado especialmente para modelar el comportamiento de este tipo de productos volcánicos, ya que está basado en las características reológicas de esos flujos. Se comparan las áreas que serían potencialmente afectadas por una erupción de ese tipo y los espesores del material que se depositaría con resultados obtenidos de simulaciones realizadas con un Model Builder desarrollado en ARC GIS por el Grupo de Investigación Geomática Aplicada de la Universidad Militar Nueva Granada en Colombia, obteniéndose resultados similares.

  17. Determinación del flujo de agua para la biorremediación en sistemas recirculados acuaculturales utilizando tapetes microbianos construidos

    Directory of Open Access Journals (Sweden)

    Ricardo Jiménez-Montealegre

    2015-03-01

    Full Text Available Se evaluó el efecto del flujo de agua sobre la eficiencia de tapetes microbianos para remover nitrógeno amoniacal total (NAT, N-NH4+ + N-NH3, nitritos (N-NO2-, nitratos (N-NO3- y ortofosfatos (P-PO4-3 en un sistema de recirculación piloto para el cultivo de camarón blanco del Pacífico, Litopenaeus vannamei. Se evaluaron cuatro flujos de agua durante un período de 40 días: 5,2 ± 0,3 (A, 6,6 ± 1,3 (B, 8,4 ± 0,3 (C y 12,2 ± 0,7 (D L min-1. Las concentraciones de NAT y nitritos fueron significativamente menores (P 0,05, y su concentración en los sistemas de cultivo alcanzó valores de 4,63 ± 0,76 mg L-1. La tasa de crecimiento de los camarones se mantuvo cercana al valor esperado de 0,7 g semana-1. En este trabajo se demostró que el flujo de agua posee un efecto importante en la capacidad de los tapetes microbianos para la biorremediación de amonio y nitritos en sistemas recirculados. Se recomienda continuar con la identificación de otras variables que podrían afectar el óptimo funcionamiento de los tapetes microbianos.

  18. Evaluación de un Secador Intermitente de Flujos Concurrentes (IFC para Café

    Directory of Open Access Journals (Sweden)

    Ospina Machado Julio E.

    1991-09-01

    Full Text Available En Colombia, el secado de café pergamino, beneficiado por vía húmeda se realiza en dos sistemas: al sol y mecánico. El secado mecánico más utilizado es el estático, el cual presenta algunas desventajas, entre ellas, la desuniformidad en el contenido de humedad final del grano. Con el fin de disponer de una tecnología alterna de secado, el Centro Nacional de Investigaciones del Café (CENICAFE, desarrolló un proyecto de investigación sobre secado dinámico, para lo cual diseñó y evaluó un secador intermitente de flujos concurrentes (FC. En este trabajo se presentan los resultados de la evaluación de un secador tipo IFC de capacidad de 500 kg de café pergamino seco (c.p.s. y el sistema de transporte utilizado durante el secado. Las diferencias del contenido de humedad final de la masa de grano fue menor al 1% base seca (b.s. Las mejores condiciones de operación del secador fueron: temperatura del aire de secado, 80°C; flujo de grano, 0,04 m3/ min.m2 (volumen de grano; flujo de aire, 210 m3 / min.ton de café pergamino seco y tiempo de secado, 28 horas; incluyendo dos horas de aireación al final del proceso. Como resultado del análisis de calidad del café pergamino seco se encontró un promedio de 0,6% de grano pelado y una cantidad de pasillas en la almendra inferior al 5%. Después de cuatro meses de almacenamiento del café, en condiciones ambientales diferentes, la prueba de taza dio un café bueno (aroma. y sabor normal. El consumo de combustible (ACP M en promedio fue de 0,5 galones por hora y un rendimiento térmico de 5.600 KJ/ kg de agua evaporada. El transportador de cangilones de descarga por gravedad demostró ser una buena alternativa para mover el grano en este sistema de secado.

  19. DETERMINACIONES DE FLUJO DEL SUERO COSTEÑO CON DIFERENTES CONCENTRACIONES DE SÓLIDOS TOTALES DETERMINAÇÃO DE FLUJO DO SORO COSTENHO CON DIFERENTES CONCENTRAÇOES DO SOLIDOS TOTAIS SUERO COSTEÑO FLOW DETERMINATIONS WITH DIFFERENT CONCENTRATIONS OF TOTAL SOLIDS

    Directory of Open Access Journals (Sweden)

    DIOFANOR ACEVEDO

    2012-12-01

    Full Text Available El objetivo de este estudio fue determinar los efectos del incremento de los sólidos totales con lactosuero parcialmente desmineralizado en las determinaciones de flujo del Suero costeño. Los resultados muestran que el flujo fue de naturaleza no-newtoniana, las curvas se ajustaron mejor al modelo de Herschel-Bulkley, previamente evaluado por la ecuación de Casson. El aumento de los sólidos totales disminuye el índice de flujo (n, aumenta el umbral de fluencia (?0 y el coeficiente de consistencia (K, presentando un adelgazamiento por corte o cizalladuraO objetivo deste estudo foi determinar os efeitos do aumento de sólidos totais com soro parcialmente desmineralizado na determinação do fluxo de soro costenho. Os resultados mostram que o fluxo era de curvas não-newtoniano montado um modelo de Herschel-Bulkley, previamente avaliada pela equação de Casson. O aumento do teor de sólidos diminui a taxa de fluxo (n aumenta a tensão de escoamento (?0 e o coeficiente de consistência (K, indicando uma tesoura de desbaste ou de corte.The main objective in this study was to determine the effects of increment in total solids concentration with partially dematerialized whey for the flow determinations in Suero Costeño. The results shown that the increase in total solids concentration affects the rheological properties, like consistency coefficient (K and an increment of the values of yield stress (?0, while the flow index (n values slightly decreased, showing a leverage in shear-thinning behavior

  20. Dinámica del carbono (almacenes y flujos en manglares de México

    Directory of Open Access Journals (Sweden)

    Jorge A. Herrera Silveira

    2016-01-01

    Full Text Available La cobertura de los manglares de México los coloca en cuarto lugar a nivel mundial. Se reconocen sus múltiples servicios ecosistémicos, pero también altas tasas de deforestación. Evaluaciones en otras partes del mundo destacan el papel de los manglares en el ciclo del carbono, principalmente como almacenes de carbono orgánico (Corg en los sedimentos y exportadores de Corg disuelto y particulado. Para estimar la contribución de los manglares, a escala local, regional y de país, en estrategias como la Reducción de Emisiones por Deforestación y Degradación (REDD+, es indispensable determinar los almacenes de Corg como línea base de emisiones. En este estudio se realizó una búsqueda bibliográfica sobre almacenes y flujos de carbono en manglares de México mediante diferentes fuentes de información. De más de 200 estudios, solo 48 contenían datos o información para hacer una revisión del estado que guarda el conocimiento de almacenes y flujos de Corg en los manglares de México. Regionalmente, la zona del Pacífico Central tiene menos información y la Península de Yucatán donde más datos existen. Los mayores almacenes de Corg total se localizan en el Golfo de México y en los manglares de tipo ribereño (>1200 Mg C ha-1. Existe menos información sobre flujos de Corg, dominando los relacionados con la caída de hojarasca. En la zona del Pacífico Sur y en el manglar ribereño se observaron los valores más altos. La extensión y variabilidad de condiciones ambientales en los manglares de México son una oportunidad para desarrollar múltiples temas de investigación, como la caracterización de paisajes y mapas locales de coberturas relacionados con variables del agua (hidroperíodo, del suelo (topografía y procesos microbiológicos. La extensión y distribución de los manglares ofrecen la oportunidad para formar grupos de investigadores a escala regional y abordar de forma consensada estudios bajo una estrategia metodol

  1. Separación de flujo base en la cuenca superior del río Lebrija

    Directory of Open Access Journals (Sweden)

    Sully Gómez

    2011-01-01

    temporales y espaciales. Los análisis resultantes de la aplicación de curvas de recesión y ecuación de conservación de masa en esta cuenca, validan la existencia de sistemas de acuíferos interconectados y en contacto con el río principal. Los resultados obtenidos mediante las dos técnicas, permiten proponer un valor significativo de flujo base en la cuenca.

  2. Humedales artificiales de flujo vertical para mejorar la calidad del agua del río Bogotá

    Directory of Open Access Journals (Sweden)

    T. Rodríguez Chaparro

    2005-01-01

    Full Text Available propósito de esta investigación consistió en evaluar la capacidad de reducción de compuestos orgánicos e inorgánicos en un humedal artificial de flujo vertical a escala laboratorio alimentado con agua del río Bogotá tomada a la altura del campus universitario “Río Grande” en Cajica para determinar la viabilidad de emplear este tipo de tecnología en control de la contaminación hídrica. El prototipo se diseño y construyo con base en las recomendaciones de autores como Arias (2003 y Cooper (1990 . Los resultados que se obtuvieron permitieron determinar reducciones de DBO205 = 37%, DQO = 10%, CT = 49%, ST = 16%, SST = 27% , NO2 = 83%, NO3 = 30% De lo anterior se concluye que a escala laboratorio el humedal artificial de flujo vertical mejora la calidad del agua del río Bogotá a la altura del campus “Río Grande” en Cajica

  3. Flujo vaginal. Etiología en una unidad intermedia de salud

    Directory of Open Access Journals (Sweden)

    Luz Marina Alzate

    1987-12-01

    Full Text Available En una serie de 584 mujeres que consultaron por flujo vaginal a una Unidad Intermedia de Salud se halló que la entidad más frecuente era la vaginosis bacteriana (vaginitis inespecífica o por Gardnerella vaginalis con un 34,8% seguida por la candidiasis (9,4% y la tricomoniasis (43%; hubo también infecciones mixtas (7,2%; la candidiasis, la tricomoniasis y las infecciones mixtas, pero no la vaginosis bacteriana, fueron más frecuentes en mujeres embarazadas; se hace énfasis en la facilidad de diagnosticar vaginosis bacteriana en el laboratorio corriente con base en criterios de muy fácil determinación.

  4. 74. Reparación Con Neocuerdas en Distintos Tipos de Prolapso Mitral

    OpenAIRE

    R. García Fuster; A. García; E. Martín; F. Paredes; R. Payá; J. Fontana

    2012-01-01

    la resección cuadrangular es referente en la reparación del prolapso de velo posterior. El velo anterior plantea más limitaciones, siendo la transposición de cuerdas y el implante de neocuerdas los procedimientos más empleados. Analizamos eficacia y versatilidad de la reparación con neocuerdas en cinco variantes de prolapso mitral (vídeo). Material y métodos: han sido intervenidos 5 pacientes con distintos tipos de prolapso. Tres con deficiencia fibroelástica: varón de 52 años con prolapso...

  5. Compuestos de Paladio soportados en distintos materiales. Aplicación en Catálisis heterogénea

    OpenAIRE

    Leyva Perez, Antonio

    2011-01-01

    Leyva Perez, A. (2005). Compuestos de Paladio soportados en distintos materiales. Aplicación en Catálisis heterogénea [Tesis doctoral no publicada]. Universitat Politècnica de València. doi:10.4995/Thesis/10251/1839.

  6. Diseño de un Sensor de Flujo Vehicular basado en Lazo Inductivo

    Directory of Open Access Journals (Sweden)

    Ernesto Alpízar Arteaga

    2012-02-01

    Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 Se presenta el diseño de un sensor de Flujo Vehicular de Lazo Inductivo en su variante de detección  basada en frecuencímetro, se describe el proceso de diseño fundamentado en la explicación de cada una de sus componentes desde el transductor hasta el algoritmo de detección, para la simulación se utiliza el programa MATLAB 9 y para la comprobación se presentan resultados obtenidos al utilizar la propuesta de sensor en la vía.

  7. Diagnóstico de leucemias bifenotípicas por citometría de flujo

    Directory of Open Access Journals (Sweden)

    Martha Vizcaíno

    2010-05-01

    Full Text Available Las leucemias bifenotípicas son raras en los niños y representan menos de 5% de todas las leucemias agudas. El diagnóstico requiere de una evaluación cuidadosa con apoyo de la morfología celular, la citogenética y la citometría de flujo. El tratamiento está orientado a remitir el clon predominante de células, aunque no existen datos conclusivos sobre la remisión completa. En el tratamiento, la quimioterapia ha demostrado mejores resultados que el trasplante de médula ósea. La supervivencia está influenciada por la respuesta a la terapia y otros factores inherentes a la enfermedad y al paciente.Se presenta el caso de dos niños diagnosticados en el año 2009. El primero fue una niña de ocho años de edad que consultó por palidez cutánea, anemia, leucopenia y blastos en el hemograma. El segundo caso fue un niño de 10 años que consultó por dolor abdominal, que tuvo que ser intervenido por peritonitis secundaria a una apendicitis y en quien se demostró la presencia de blastos en sangre periférica a las 48 horas del posoperatorio. La morfología celular y la citometría de flujo confirmaron, en el primer caso, leucemia linfoide aguda bilineal y, en el segundo caso, leucemia bifenotípica.

  8. DESARROLLO DE MÉTODOS DE ANÁLISIS POR INYECCIÓN EN FLUJO A PARTIR DE PROCEDIMIENTOS CLÁSICOS: Determinación de Pb en agua

    Directory of Open Access Journals (Sweden)

    Walter Pérez

    2011-05-01

    Full Text Available El análisis químico día a día se acerca mása la automatización, buscando satisfacerlas necesidades actuales de resultados rápidosy confiables. Los sistemas de análisisen flujo (FIA – Flow Injection Analysisson una de las formas de aproximarsea la automatización. En este artículo sepresentan los pasos necesarios para implementaruna metodología FIA, para ladeterminación de Pb(II en agua, partiendode la revisión de los procedimientosclásicos y describiendo detalladamentelos pasos necesarios para implementar latécnica de análisis en flujo. El trabajoprodujo un método de análisis de Pb enagua que usa ditizona disuelta en isopropanol(agente cromogénico, en presenciade bromuro de cetiltrimetil amonio(CTAB, para solubilizar en agua el complejo,cuyas características más sobresalientesfueron: volumen de inyección demuestra de 81,7 μL, velocidad de flujo de8,0 mL/min, tiempo de toma de espectros1,4 s e intervalo lineal de 1,0 a 40mg L-1.

  9. Las determinantes de los flujos de Inversion Extranjera Directa de las empresas Mexicanas en los Estados Unidos.

    Directory of Open Access Journals (Sweden)

    Dr. Alarcon M. Gustavo

    2005-07-01

    Full Text Available Actualmente, y por vez primera en la historia de la economía mexicana, los flujos de inversión directa hacia el exterior han superado la cifra de los miles de millones de dólares, por mencionar un ejemplo, CEMEX ha comprado la empresa Inglesa Ready Mixed Concret por 5,800 millones de dólares. La manufactura mexicana ha seguido esa pauta y además representa una elevada proporción de todos los flujos mexicanos de inversión directa manufacturera hacia el exterior, en cualquier periodo que comparemos con el pasado. En este documento, se analiza los factores que determinan la inversión directa hacia el exterior de las empresas mexicanas manufactureras, con especial énfasis hacia los Estados Unidos de América. Se aplica el paradigma ecléctico de Dunning, el cual distingue entre ventajas de localización, internalización y localización. En los estudios aplicados, estas ventajas han sido normalmente aproximadas por variables relacionadas con la empresa que invierte y el país de destino.

  10. Optimización del flujo de aire específico para la lixiviación estándar QT del mineral reducido en el proceso Caron

    Directory of Open Access Journals (Sweden)

    Antonio R. Chang-Cardona

    2013-03-01

    Full Text Available El propósito del artículo fue fundamentar experimentalmente la optimización del flujo de aire específico, para las condiciones de la prueba QT, a partir del contenido de Fe (II en el mineral reducido, aportado por la medición de los potenciales redox en la pulpa antes de airearla. Se estableció un procedimiento gráfico rápido, efectivo y económico que permite decidir la región óptima de los flujos de aire específicos para iniciar la lixiviación de la prueba QT y se demuestra la ventaja técnico-económica de utilizar valores del flujo de aire entre 1,3 y 1,8 m3/(t∙min, según varíe el contenido de Fe (II en el mineral reducido, con los que se garantizan máximos extractables de cobalto y de níquel. Se obtuvieron, además, los modelos empíricos (regresión polinómica de segundo orden que permiten predecir los extractables máximos de ambos metales bajo las condiciones experimentales estudiadas

  11. Revisión sistemática en revistas científicas de las publicaciones colombianas con uso de citometría de flujo

    Directory of Open Access Journals (Sweden)

    Nicolás A. Giraldo

    2010-05-01

    Full Text Available Objetivo. Se realizó una búsqueda sistemática de la literatura científica con el objetivo de conocer el número de artículos colombianos publicados con el uso de citometría de flujo, sus aplicaciones y el aporte a la literatura mundial sobre el tema.Método. Se utilizaron las bases de datos electrónicas PubMed, LILACS e ISI Web of Knowledge, y se buscaron los términos “flow cytometry” and “Colombia” o “citometría de flujo” y “Colombia”. Se incluyeron trabajos de investigación experimentales que usaron la citometría de flujo y cuyo primero o último autor pertenecieran a grupos de investigación colombianos.Resultados. Se encontraron 74 artículos que cumplían los criterios de inclusión, publicados desde agosto de 1997 hasta marzo de 2010. La gran mayoría de los trabajos pertenecía al área biomédica y en 54% se aplicó al estudio de enfermedades infecciosas. El número de publicaciones por año aumentó desde 1997 hasta 2004, cuando se presentó un pico de 11 artículos. En total, se encontraron 27 grupos de investigación, pertenecientes a 13 instituciones. El 39,2% (n=29 de los trabajos fueron publicados por grupos de investigación de la Universidad de Antioquia. El tipo de aplicación de la citometría de flujo más usada fue el análisis de inmunofenotipo (58,1%.Conclusiones. Para el periodo comprendido entre agosto de 1997 y marzo de 2010, PubMed reportó 76.312 publicaciones relacionadas con la citometría de flujo. Por consiguiente, el aporte de las publicaciones colombianas a la literatura mundial es tan sólo de 0,096%.

  12. Nuevas herramientas para el análisis de opinión en flujos de texto

    OpenAIRE

    Hidalgo Santamaría, Vicente

    2015-01-01

    La minería de opinión se ha convertido en uno de los objetivos de las grandes plataformas de Internet, analistas y entes gubernamentales que desean conocer las opiniones de los usuarios que hacen uso de ellas. En este proyecto fin de carrera se ha implementado un sistema de procesamiento de flujos de textos procedentes de Twitter, basado en el uso de algoritmos de análisis de sentimiento. Se pretende analizar las diferentes opciones existentes hasta ahora. Previamente a ésta...

  13. Flow measurement in a 170-MW hydraulic turbine using the Gibson method; Medicion del flujo de una turbina hidraulica de 170 MW utilizando el metodo Gibson

    Energy Technology Data Exchange (ETDEWEB)

    Urquiza, Gustavo [Universidad Autonoma del Estado de Morelos (Mexico); Adamkowski, Adam [The Szewalski Institute of Fluid-Flow Machinery (Poland); Kubiak, Janusz; Sierra, Fernando [Universidad Autonoma del Estado de Morelos (Mexico); Janicki, Waldemar [The Szewalski Institute of Fluid-Flow Machinery (Poland); Fernandez, J. Manuel [Comision Federal de Electricidad (Mexico)

    2007-07-15

    This paper describes the methodology applied for measuring water flow through a 170-MW hydraulic turbine. The flow rate was measured using the pressure-time method, also known as the Gibson method. This method uses the well-known water hammer phenomenon in pipelines; in turbine penstocks, for instance. The version of this method used here is based on measuring, during total stop of the water stream, the time-history of pressure change in one section of the turbine penstock and relate it to the pressure in the upper reservoir to which the penstock is connected. The volumetric flow rate is determined from the relevant integration of the measured temporary pressure rise. Flow measurement was possible this way because the influence of the penstock inlet was negligible as far as an error of the measurement is concerned. The length of the penstock was 300 m. Previous experience and a standard IEC-41-1991 were the criteria adopted and applied. A fast and efficient acquisition system, including a 16 bit card, was used. The flow rate was calculated using a computer program developed and tested on several cases. The results obtained with the Gibson method were used for calibration of the on-line flow measuring system based on the Winter-Kennedy method as one of the index methods. This method is very often used for continuous monitoring of the flow rate through hydraulic turbines, when the calibration has been done on site by using the results of measurements obtained by the absolute method. Having measured the flow rate and output power, the efficiency was calculated for any operating conditions. A curve showing the best operating conditions based on the highest efficiency is presented and discussed. The details of the instrumentation, its installation, and the results obtained are discussed in the paper. [Spanish] Este articulo describe la metodologia aplicada para la medicion del flujo en una turbina hidraulica de 170 MW. El flujo se midio utilizando el metodo de presion

  14. Manifestaciones hidrológicas e hidroquímicas de flujos subterráneos procedentes de formaciones poco permeables del terciario en el Somontano de Huesca

    Directory of Open Access Journals (Sweden)

    de Miguel Cabeza, J. L.

    1988-12-01

    Full Text Available Presence of groundwater flow in the «somontano Oscense» area, proceeding from low permeability detritic tertiary rocks, is considered. It's given a grounwater flow model for these tertiary rocks. This model explains both water flow through them and water chemical characteristics. Groundwater flow has clear surface manifestations: it causes wet-areas (which are called «paules» in the area with sodic waters; it makes appear saline, sodic or alkaline soils; and it modifies, too, water chemical composition of rivers in Somontano.Se considera la presencia en el Somontano Oscense de flujos de agua subterránea procedentes de materiales detríticos terciarios de baja permeabilidad. Se da un modelo de flujo de las aguas subterráneas en estos materiales que permite explicar tanto su fluencia hacia la superficie como sus características físico-químicas. Estos flujos se manifiestan en superficie, dando lugar a zonas húmedas naturales, paules, con aguas de composición sódica que provocan la formación de suelos salinos, sódicos o alcalinos; también se manifiestan modificando la composición química de las aguas de los ríos que atraviesan el Somontano.

  15. Metodología para la selección del régimen de flujo en lagunas de estabilización

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Cruz T.

    2000-07-01

    Full Text Available Para modelar procesos biológicos, se necesita información sobre la estequiometría y cinética de las reacciones y sobre el régimen hidráulico del sistema. La estequiometría de una reacción se refiere a la cantidad de reactantes consumidos (tales como sustratos, y a la cantidad de productos formados (tales como microorganismos. El régimen hidráulico hace referencia a la configuración del flujo dentro y fuera del proceso y a la mezcla y distribución de los sólidos del fluido dentro del reactor. El presente artículo se centrará en estudiar los diferentes regímenes de mezcla y sus modelos cinéticos de degradación de materia orgánica aplicados al caso específico de la laguna de estabilización de aguas residuales del municipio de Tocancipá. Además se discute la metodología para determinar el tipo de flujo que sepresenta en una laguna de estabilización.

  16. Caída de presión de un flujo turbulento en un espacio anular con hélices insertadas//The pressure drop of turbulent flow in an annular space with wire coil inserts

    Directory of Open Access Journals (Sweden)

    Josué Imbert González

    2015-05-01

    Full Text Available El trabajo presentado evaluó el comportamiento experimental de la caída de presión en un espacio anular con alambres enrollados insertados para números de Reynolds entre 1500 y 5000. La zona de prueba se seleccionó alejada de la influencia de los efectos de entrada. Anteriormente se realizaron pruebas de visualización del flujo para verificar la presencia de un flujo turbulento en esta gama del número de Reynolds. A partir de los datos experimentales se obtuvieron ecuaciones de correlación del factor de fricción para el flujo turbulento. Las ecuaciones obtenidas se compararon con los datos experimentales. Los resultados indican hasta qué punto las hélices inducen la aparición de turbulencias en un espacio anularPalabras claves: caída de presión, flujo anular, análisis hidrodinámico, visualización de flujo, hélices insertadas.______________________________________________________________________________AbstractThe work presented evaluates the experimental behavior of the pressure drop in an annular space with coiled wires inserted forReynolds numbers between 1500 and 5000. The test zone was selected away from the influence of entrance effects. Previously flow visualization tests were performed to verify the presence of a turbulent flow in this range of Reynolds number. From the experimental data were obtained correlation equations of the friction factor for turbulent flow. The equations obtained were compared with experimental data. The results indicate to what extent the helices induce the occurrence of turbulence in an annular space.Key words: drop pressure, annular flow, hydrodynamic analysis, visualization flow, wire coil inserts.

  17. Flujos de inversión entre Corea del Sur y América Latina, 2000-2014

    OpenAIRE

    Estrada López, José Luis; Landa Díaz, Heri Oscar

    2018-01-01

    Resumen En el trabajo se analizan los flujos de inversión extranjera entre Corea del Sur y naciones latinoamericanas en el contexto de tres modelos diferentes de comercio y desarrollo de estas naciones. De conformidad con su patrón de desarrollo industrializador, la IED coreana en el mundo se concentra en el sector industrial, seguido por el comercial y el extractivo. Algo similar acontece con la inversión que realizan las empresas coreanas en la región latinoamericana. En principio, se encon...

  18. Flujos informacionales en repositorios cooperativos: consideraciones sobre algunas experiencias en instituciones académicas de América Latina

    Directory of Open Access Journals (Sweden)

    María Cecilia Corda

    2015-01-01

    Full Text Available Este trabajo, de tipo descriptivo exploratorio, se propone efectuar un análisis de una serie de repositorios cooperativos pertenecientes a instituciones académicas de América Latina. Hace hincapié en la importancia de la cooperación como práctica de larga data en el ámbito de las bibliotecas, muchas de las cuales se han convertido en líderes o partícipes importantes tanto en la implementación como en el desarrollo de los repositorios en sus respectivas instituciones. Se toman en consideración los flujos informacionales que los atraviesan a fin de conocer cómo se delinean y desarrollan en el marco de instituciones académicas de cierta envergadura y complejidad, a través de un análisis de documentación. Se resaltan los modelos de flujos de información detectados en dichos repositorios cooperativos y cómo estos, desde su singularidad, favorecen la visibilidad y la difusión del conocimiento académico y científico existente en formato digital.

  19. Intermittent Coffee Drying in Deep Bed with Pulsed Airflow Secado de Café en Lecho Fijo con Intermitencia Térmica y Flujo de Aire Pulsado

    Directory of Open Access Journals (Sweden)

    Héctor José Ciro Velásquez

    2011-12-01

    Full Text Available A dryer in deep bed without airflow reversal was adapted to work simultaneously with thermal intermittence and pulsed airflow in the drying of parchment coffee bean. The dryer was operated by cycles of thermal intermittence for a heating temperature of 55 °C and cooling of 40 and 25 °C. The results showed that the increase of temperature in the cycle of cooling tends to increase the water removal and that the increase of the number of air pulses without reversal of the direction of air flow causes an excessive moisture gradient within the batch. Moreover, the specific energy requirement of the dryer was from 15 to 25 MJ/kg, showing the best thermal performance for the condition in which the dryer was operate without pulsed airflow.Un secador de lecho fijo fue adaptado para trabajar de forma simultánea con intermitencia térmica y flujo de aire pulsado sin inversión de flujo de aire, en el secado de granos de café. El secador fue operado con ciclos de intermitencia térmica para una temperatura de calentamiento de 55 °C y enfriamiento de 40 y 25 °C. Los resultados mostraron que el aumento de temperatura en el ciclo de enfriamiento, tiende a incrementar la remoción de agua y que el aumento del número de pulsos de aire sin inversión del flujo de dirección del aire, ocasiona un secado deficiente debido al excesivo gradiente de humedad ocasionado en la capa de producto. Adicionalmente, se encontró que el consumo de energía específica del secador varió entre 15 y 25 MJ/kg de agua evaporada, siendo el mejor rendimiento termo energético para la condición en la cual el secador fue operado sin flujo de aire pulsado.

  20. Tiempo de llegada de solutos sorbentes bajo condiciones de flujo convergente. Momentos estadísticos condicionados.

    OpenAIRE

    Castillo Cerdà, Cristina

    2003-01-01

    El análisis del tiempo de llegada en transporte de solutos en el subsuelo es una herramienta indispensable en los estudios de rehabilitación de acuíferos y en los estudios hidrogeológicos en general. Se plantea un estudio numérico con una metodologia estocástica para determinar los momentos estadísticos del tiempo de llegada de las partículas de un contaminante no conservativo en condiciones de flujo convergente en un medio heterogéneo. Los momentos estadísticos se consideran condicionados...

  1. DESAFÍOS PARA EL ORDENAMIENTO JURÍDICO CHILENO ANTE EL CRECIMIENTO SOSTENIDO DE LOS FLUJOS MIGRATORIOS

    OpenAIRE

    Bassa Mercado, Jaime; Torres Villarrubia, Fernanda

    2015-01-01

    Este trabajo realiza un análisis crítico de algunos elementos configuradores de la legislación chilena de inmigración, específicamente aquellos relacionados con sus fundamentos y con la protección de los derechos de las personas inmigrantes. Luego de constatar los importantes cambios en los flujos migratorios hacia Chile, se revisan recientes decisiones del Tribunal Constitucional y de la Corte Suprema, así como del proyecto de nueva ley de inmigración, actualmente en trámite. El artículo con...

  2. Distribución territorial del voto en distintos sistemas electorales

    Directory of Open Access Journals (Sweden)

    Augusto Hernández Vidal

    2014-01-01

    Full Text Available El estudio de la representación política frecuentemente lleva a realizar análisis de la representación de los partidos políticos en cuerpos de representación popular. Menos frecuente es la investigación respecto al territorio que está siendo representado por esos partidos políticos, o más concretamente, por cada uno de los representantes de la comunidad. En esta investigación se describen algunos comportamientos de la distribución territorial del voto en cuerpos de elección popular en distintos sistemas electorales. Se acude a métodos estadísticos para probar las teorías formuladas. Dichas hipótesis no se aplican a elecciones de cargos unipersonales y aluden exclusivamente a la dimensión territorial de la representación, independientemente de aquella representación de partido propiamente dicha.

  3. Distribución territorial del voto en distintos sistemas electorales

    Directory of Open Access Journals (Sweden)

    Augusto Hernández Vidal

    2013-12-01

    Full Text Available El estudio de la representación política frecuentemente lleva a realizar análisis de la representación de los partidos políticos en cuerpos de representación popular. Menos frecuente es la investigación respecto al territorio que está siendo representado por esos partidos políticos, o más concretamente, por cada uno de los representantes de la comunidad. En esta investigación se describen algunos comportamientos de la distribución territorial del voto en cuerpos de elección popular en distintos sistemas electorales. Se acude a métodos estadísticos para probar las teorías formuladas. Dichas hipótesis no se aplican a elecciones de cargos unipersonales y aluden exclusivamente a la dimensión territorial de la representación, independientemente de aquella representación de partido propiamente dicha.

  4. Flujo de carga con armónicos empleando la matriz impedancia de barras

    Directory of Open Access Journals (Sweden)

    José A González Quintero

    2011-03-01

    Full Text Available Se describe un flujo de armónicos empleando la matriz impedancia de barras. El algoritmo propuesto permite hallar losvoltajes de cada nodo del circuito sin tener que realizar la solución simultánea de todas las ecuaciones no linealescorrespondientes a cada nodo, ni siquiera la solución simultánea de las ecuaciones correspondientes a una redreducida de nodos no lineales solamente.  This work describes a harmonic load flow using the bar impedance matrix. The proposed algorithm permit to findevery node voltage of the circuit without to realize the simultaneous solution of all the non-linear equationscorresponding to each node, not even the simultaneous solution of the equations corresponding to a reducednetwork of only non-linear nodes.

  5. Analysis of pumping systems to large flows of cooling water in power plants; Analisis de sistemas de bombeo para grandes flujos de agua de enfriamiento en centrales termoelectricas

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez Sanchez, Ramon; Herrera Velarde, Jose Ramon; Gonzalez Sanchez, Angel [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)]. E-mail: rsanchez@iie.org.mx; jrhv@iie.org.mx; ags@iie.org.mx

    2010-11-15

    Accurate measurement of large water flows remains being a challenge in the problems of implementation of circulating water systems of power plants and other applications. This paper, presents a methodology for the analysis in pumping systems with high rates of water in power plants, as well as their practical application and results in pipelines water flow of a thermoelectrical power plant of 350 MW. In this power plant, the water flow per pipeline for a half of condenser oscillates around 7 m{sup 3}/s (14 m{sup 3}/s per power generating unit). In this analysis, we present the techniques used to measure large flows of water with high accurately, as well as the computational model for water circulating system using PIPE FLO and the results of practical application techniques. [Spanish] La medicion precisa de grandes flujos de agua, sigue siendo un reto en los problemas de aplicacion de sistemas de agua de circulacion de centrales termoelectricas, entre otras aplicaciones. En este articulo, se presenta una metodologia para el analisis de sistemas de bombeo con grandes flujos de agua en centrales termoelectricas, asi como, su aplicacion practica y los resultados obtenidos en los ductos de agua de circulacion de una central generadora con unidades de 350 MW. En esta central, los flujos por caja de agua oscilan alrededor de los 7 m{sup 3}/s (14 m{sup 3}/s por unidad generadora). En el analisis, se presentan las tecnicas utilizadas para medir con precision grandes flujos de agua (tubo de Pitot), asi como, el modelado del sistema de agua de circulacion por medio de un paquete computacional (PIPE FLO) y resultados obtenidos de la aplicacion de dichas tecnicas.

  6. Estudio Comparativo de los Efectos del Tipo de Forraje y de la Proporción Forraje - Concentrado sobre la Fermentación Ruminal en Cabras y en Fermentadores de Flujo Simple Continuo.

    OpenAIRE

    Cantalapiedra Hijar, G.; Yáñez Ruiz, David; Molina Alcaide, Eduarda

    2009-01-01

    Los fermentadores de flujo continuo (FFC) permiten el estudio de la fermentación ruminal de forma más simple y menos costosa que los ensayos in vivo. Sin embargo, las comparaciones directas rumen – FFC son escasas y las existentes se han llevado a cabo con fermentadores de flujo doble continuo y ganado vacuno (Hannah et al., 1986; Mansfield et al., 1995; Muetzel et al., 2008). La información relativa a pequeños rumiantes es escasa (Carro et al., 2009; Molina et al., 2009) y los diferente...

  7. ANÁLISIS Y CONTROL DE UN BIORREACTOR ANAEROBIO DE LECHO FIJO DE FLUJO ASCENDENTE

    Directory of Open Access Journals (Sweden)

    ALEJANDRO RINCON

    2009-01-01

    Full Text Available En este artículo se presenta el análisis dinámico y el diseño de un regulador autosintonizado para un biorreactor anaerobio de lecho fijo de flujo ascendente, utilizado para tratamiento de aguas residuales. Se ha demostrado de manera analítica que la condición de arrastre en el reactor se obtiene por una combinación de una bifurcación transcrítica con una del tipo silla-nodo. Una vez se determina el rango de operación del reactor se diseña un regulador autosintonizado para mejorar la remoción de materia orgánica, obteniéndose buenos resultados.

  8. Flashback analysis in tangential swirl burners; Analisis de reflujo de flama en combustores tangenciales de flujo giratorio

    Energy Technology Data Exchange (ETDEWEB)

    Valera-Medina, A. [CIATEQ A.C., Centro de Tecnologia Avanzada, Queretaro (Mexico)]. E-mail: agustin.valera@ciateq.mx; Syred, N. Abdulsada, M. [United Kingdom Cardiff University (United Kingdom)]. E-mails: syredn@cf.ac.uk; abdulsadam@cf.ac.uk

    2011-10-15

    Premixed lean combustion is widely used in Combustion Processes due to the benefits of good flame stability and blow off limits coupled with low NO{sub x} emissions. However, the use of novel fuels and complex flows have increased the concern about flashback, especially for the use of syngas and highly hydrogen enriched blends. Thus, this paper describes a combined practical and numerical approach to study the phenomenon in order to reduce the effect of flashback in a pilot scale 100 kW tangential swirl burner. Natural gas is used to establish the baseline results and effects of different parameters changes. The flashback phenomenon is studied with the use of high speed photography. The use of a central fuel injector demonstrates substantial benefits in terms of flashback resistance, eliminating coherent structures that may appear in the flow channels. The critical boundary velocity gradient is used for characterization, both via the original Lewis and von Elbe formula and via analysis using CFD and investigation of boundary layer conditions in the flame front. [Spanish] La combustion ligera premezclada se utiliza ampliamente en los procesos de combustion debido a los beneficios que brinda en terminos de buena estabilidad de flama y limites de extincion, aunado a la baja emision de NO{sub x}. Sin embargo, el uso de nuevos combustibles y de flujos complejos han incrementado la preocupacion por el reflujo de flama, especialmente para el uso de gas sintetico (syngas) y mezclas altamente hidrogenadas. Por ello, en este articulo se describe un metodo practico y numerico para el estudio del fenomeno a modo de reducir los efectos del reflujo de flama en un combustor piloto de tipo tangencial de flujo giratorio de 100 kW. Se usa gas natural para establecer la linea base de resultados y los efectos del cambio de diferentes parametros. El fenomeno de reflujo de flama se estudia por medio de fotografia de rapida adquisicion. El uso de un inyector central de combustible

  9. Modelo de detección de anticuerpos neutralizantes contra IFN-β mediante citometría de flujo

    Directory of Open Access Journals (Sweden)

    Juan Carlos Villa-Camacho

    2012-12-01

    Full Text Available Introducción. El interferón beta (IFN-β se usa para tratar la forma recaída-remisión de la esclerosis múltiple. Sin embargo, el uso de proteínas recombinantes como medicamentos puede generar la producción de anticuerpos, disminuyendo así la efectividad del tratamiento. Objetivo. Estandarizar una técnica de detección de anticuerpos neutralizantes contra IFN-β, mediante citometría de flujo. Materiales y métodos. Se cultivaron dos líneas tumorales humanas (U937 y K562 con IFN-β1a humano recombinante y mediante citometría de flujo se determinó la expresión de la proteína ISG15 intracelular. Los sueros se obtuvieron de un conejo Nueva Zelanda antes y después de la inmunización con 100.000 UI de IFN-β1a en adyuvante de Freund. Para la detección de anticuerpos neutralizantes, se estimularon células K562 con IFN-β1a preincubado con sueros de conejos a una dilución 1:20. Después de 24 horas de incubación se determinó la expresión de la proteína ISG15. Resultados. La expresión de ISG15 fue mayor en células K562 estimuladas. La intensidad media de fluorescencia para la ISG-15 entre células en ausencia IFN-β1a, mostró una mediana de 198 unidades arbitrarias (UA (p25-75= 173-231 UA y, en presencia de IFN-β1a, 430 UA (p25-75 =316-611,5, con una diferencia estadísticamente significativa (p=0,008. La presencia de anticuerpos anti-IFN-β1a en el suero del conejo inmunizado, hizo disminuir de forma acentuada la expresión de la ISG15 en células K562 cultivadas con IFN-β1a, en comparación con el control (mediana=3,040 UA Vs. 43,644 UA, respectivamente. Conclusiones. Este trabajo muestra la detección de anticuerpos neutralizantes contra IFN-β en conejos, utilizando la expresión de la proteína ISG15 por citometría de flujo.   doi: http://dx.doi.org/10.7705/biomedica.v32i4.637

  10. Bioprinting for vascular and vascularized tissue biofabrication.

    Science.gov (United States)

    Datta, Pallab; Ayan, Bugra; Ozbolat, Ibrahim T

    2017-03-15

    Bioprinting is a promising technology to fabricate design-specific tissue constructs due to its ability to create complex, heterocellular structures with anatomical precision. Bioprinting enables the deposition of various biologics including growth factors, cells, genes, neo-tissues and extra-cellular matrix-like hydrogels. Benefits of bioprinting have started to make a mark in the fields of tissue engineering, regenerative medicine and pharmaceutics. Specifically, in the field of tissue engineering, the creation of vascularized tissue constructs has remained a principal challenge till date. However, given the myriad advantages over other biofabrication methods, it becomes organic to expect that bioprinting can provide a viable solution for the vascularization problem, and facilitate the clinical translation of tissue engineered constructs. This article provides a comprehensive account of bioprinting of vascular and vascularized tissue constructs. The review is structured as introducing the scope of bioprinting in tissue engineering applications, key vascular anatomical features and then a thorough coverage of 3D bioprinting using extrusion-, droplet- and laser-based bioprinting for fabrication of vascular tissue constructs. The review then provides the reader with the use of bioprinting for obtaining thick vascularized tissues using sacrificial bioink materials. Current challenges are discussed, a comparative evaluation of different bioprinting modalities is presented and future prospects are provided to the reader. Biofabrication of living tissues and organs at the clinically-relevant volumes vitally depends on the integration of vascular network. Despite the great progress in traditional biofabrication approaches, building perfusable hierarchical vascular network is a major challenge. Bioprinting is an emerging technology to fabricate design-specific tissue constructs due to its ability to create complex, heterocellular structures with anatomical precision

  11. Optimización de la succión de sólidos sumergidos utilizando bombas centrífugas con velocidad variable

    OpenAIRE

    Moreno Ávalos, Víctor Manuel

    2012-01-01

    La acumulación de material sólido en embalses, cauces fluviales y en zonas marítimas hace que la extracción mecánica de estos materiales por medio de succión sea cada vez mas frecuente, por ello resulta importante estudiar el rendimiento de la succión de estos materiales analizando la forma de las boquillas y los parámetros del flujo incluyendo la bomba. Esta tesis estudia, mediante equipos experimentales, la eficacia de distintos dispositivos de extracción de sólidos (utilizando boquillas...

  12. Modelo de proceso de ingeniería de requisitos de software distribuida

    OpenAIRE

    Sevilla, Gustavo; Zapata, Sergio; Torres, Estela; Collazos, César; Giraldo, Fáber

    2016-01-01

    [9 p.] il. Los escenarios de Desarrollo Global de Software, donde los distintos interesados están dispersos geográficamente, crecen a diario en muchas partes del mundo, incluso en Latinoamérica. Este nuevo entorno impacta sobre el desempeño de los métodos y herramientas usadas en procesos de software tradicionales. Debido al alto flujo de comunicación que requiere entre los actores de estos procesos, la fase de ingeniería de requisitos es tal vez la más afectada por las características ...

  13. ¿Es neutral el IRPF en relación con la inversión en productos financieros agregados y desagregados?

    Directory of Open Access Journals (Sweden)

    Maria E. Rodríguez Macho

    2002-12-01

    Full Text Available En este trabajo se estudia si se producen o no supuestos de falta de neutralidad fiscal en el IRPF español, analizando si son gravados por igual los supuestos en los que se produce la igualdad del valor actual de los flujos financieros generados por distintos diseños financieros. En sintonía con lo anterior, este estudio se propone demostrar que el supuesto anterior se verifica en la medida que un mismo rendimiento financiero, tal y como es el que se produce con la prima recibida por la venta de una opción put o con el beneficio obtenido por la compra de una opción call, dependiendo de la estructura en la que se presente tributará como un rendimiento de capital mobiliario o como una ganancia patrimonial, estableciéndose unas importantes diferencias de fiscalidad entre dos productos que generan flujos financieramente idénticos.

  14. Retorno al sur desconcentración metropolitana y nuevos flujos migratorios en España

    Directory of Open Access Journals (Sweden)

    JUAN ROMERO GONZÁLEZ

    1993-01-01

    Full Text Available Las migraciones internas en España experimentan en la década de los ochenta importantes cambios que afectan tanto al volumen de los flujos, que se reducen claramente, como a su estructura interna (edad, profesiones, etc. y a la matriz de origen-destino de los migrantes. Junto a la creciente importancia de los movimientos a corta distancia se distinguen tres procesos simultáneos: periurbanización, retornos de antiguos migrantes, y consolidación de nuevas áreas de atracción; el peso de cada uno de éstos varía a lo largo de la década en función de la coyuntura económica.

  15. Estudio de caso. “el papel de los refugiados en la implementación de la política de libre circulación de la cedeao: visto desde el flujo de Liberia a Ghana”

    OpenAIRE

    Bonilla García, Silvia Catalina

    2014-01-01

    Este estudio de caso tiene como objetivo determinar las implicaciones del flujo de población refugiada en la implementación de la política de libre circulación de la CEDEAO; tomando como referente el flujo desde Liberia hacia Ghana generado por la Guerra Civil. Esta investigación defiende que las implicaciones pueden estar relacionadas a las dinámicas que se asocian al movimiento de personas, las cuales pueden ser negativas o positivas, razón por la cual los Estados pueden reaccionar endureci...

  16. Presiones medidas en la base de una losa de fondo con juntas paralelas al flujo en un canal

    Directory of Open Access Journals (Sweden)

    Edwin Hurtado Orobio

    2009-01-01

    Full Text Available Se estudió si las aristas traseras de las juntas longitudinales de una losa de piso, fija al fondo de un canal con flujo supercrítico, convierten energía cinética en energía de presión en el rango de números de Froude de 2,84 a 10,12. En cada prueba, se midió la presión en 16 puntos de su cara inferior, con transductores piezoresistivos en tres líneas longitudinales: una central con 8 sensores y dos laterales, a lado y lado de la primera, con cuatro sensores cada una. De esta forma, se determinó la distribución de las presiones medias debajo de la losa ensayada, similar a las usadas en obras civiles para evitar la acción erosiva de la turbulencia de un flujo supercrítico. El análisis de las presiones medidas muestra que, aún cuando las caras superiores del piso del canal y del bloque protector estén en el mismo plano horizontal, las aristas traseras de las juntas longitudinales transforman energía de velocidad en energía de presión. Así, se ha detectado un factor que interviene en la generación de la fuerza hidrodinámica que levanta revestimientos de diverso tipos de estructuras, hasta ahora ignorado en el estudio de este problema.

  17. Arcillas cerámicas: una revisión de sus distintos tipos, significados y aplicaciones

    Directory of Open Access Journals (Sweden)

    Díaz Rodríguez, L. A.

    2002-10-01

    Full Text Available Clay is a word which has many meanings depending on the use to which it is put. However, it is in the ceramic field where the application of clay began and so it is here where this work will try to find a definition and establish a classification based on ceramic-geological criteria. The different kinds of clays found in Nature and their mineralogy are discussed in detail. Their properties and main uses are pointed out and finally the geographical and geological distribution of Spanish clays which have ceramic applications is presented.

    La palabra arcilla posee un significado muy distinto según sea el ámbito industrial o científico de su utilización. Aunque hoy en día las aplicaciones de las materias primas arcillosas son muy variadas, es en el ámbito cerámico donde reside el primer origen de su consumo. Por tanto, es aquí donde se ha centrado este trabajo para exponer, en primer lugar, una definición del concepto arcilla y, con posterioridad, establecer una clasificación de las arcillas según criterios cerámico-geológicos. Se describen los distintos tipos existentes en la Naturaleza y se hace mención a su mineralogía, propiedades en general y usos principales. Finalmente, se exponen las arcillas españolas de aplicación cerámica, y su distribución dentro del territorio español.

  18. Cálculo del exponente de Hurst utilizando Spark Streaming: enfoque experimental sobre un flujo de transacciones de criptomonedas

    OpenAIRE

    Basgall, María José; Hasperué, Waldo; Naiouf, Marcelo; Bariviera, Aurelio F.

    2017-01-01

    Actualmente es cada vez más común encontrarse con problemas de Big Data, donde las aplicaciones desarrolladas para resolver dichos problemas son implementadas en frameworks específicos. Uno de los que más se utiliza es Apache Spark, que posee el módulo Spark Streaming el cual permite el tratamiento de datos provenientes de un flujo de información potencialmente infinito. En este trabajo se presenta una aplicación implementada en Spark Streaming que realiza el cálculo del exponente de Hurst, u...

  19. Una contribución al análisis de problemas de flujo compresible sin utilizacion de viscocidad artificial

    OpenAIRE

    Quintana, F.

    1994-01-01

    En este trabajo se presentan unas técnicas desarrolladas con el objeto de obtener un algoritmo para la solución de problemas de flujo compresible sin la aplicación de términos de viscosidad artificial. Esto es motivado por el hecho de que si bien la calidad de la solución obtenida mediante procedimientos conocidos es muy buena -en particular los choques y las capas límite son capturados de manera muy precisa y sin oscilaciones-, en muchas ocasiones es preciso recurrir a la pericia del usuario...

  20. Auscultación en la arteriopatía periférica

    OpenAIRE

    Cebrià Iranzo, M. Àngels

    2010-01-01

    La auscultación de las grandes arterias permite valorar procesos estenosantes o aneurismas. En condiciones normales o de flujo laminar los pulsos arteriales no deben revelar sonidos (soplos, vibración de la pared vascular, etc.).

  1. Study of the internal heat transfer of the water flow in nucleate boiling; Estudio de la transferencia de calor del flujo interno de agua en ebullicion nucleada

    Energy Technology Data Exchange (ETDEWEB)

    Payan Rodriguez, Luis Alfredo

    2003-09-01

    In this paper the development of a research project oriented to the analysis of the heat transfer of the water flow in nucleate boiling is presented. Here a mathematical model is described to characterize the water flow in boiling condition in vertical tubes by means of which the temperature distributions in the tube wall and in the water flow are obtained, including the calculation of the pressure drop throughout the tube. In addition, a mechanistic model focused to the prediction of the critical heat flow in vertical tubes uniformly heated was modified to be applied in non-uniform heat flow conditions. The proposed mathematical models were used in a case study derived from a real problem in a thermoelectric power plant, where it was required to simulate the process of boiling in fireplace tubes of the steam generator to determine the causes of the faults that happened in a considerable number of tubes. With the obtained results it was possible to establish that the faults in the tubes of the analyzed steam generator were originated because the heat transfer rate in the fireplace reached critical values that caused the deviation of the nucleate boiling to film boiling, causing the diminution of the heat transfer coefficient with the consequent sudden increase in the tube wall temperature. [Spanish] En este trabajo se presenta el desarrollo de un proyecto de investigacion orientado al analisis de la transferencia de calor en flujo de agua en ebullicion nucleada. Aqui se describe un modelo matematico para caracterizar el flujo de agua en ebullicion en tubos verticales mediante el cual se obtienen las distribuciones de temperatura en la pared del tubo y en el flujo de agua, incluyendo el calculo de la caida de presion a lo largo del tubo. Ademas, un modelo mecanistico enfocado a la prediccion del flujo de calor critico en tubos verticales uniformemente calentados fue modificado para aplicarlo en condiciones de flujo de calor no uniforme. Los modelos matematicos

  2. Flow prediction and heat transfer in a cooling square duch of a gas turbine blade using CFD; Predicciones de flujo y transferencia de calor en un conductor de alabe enfriado de turbina de gas utilizando CFD

    Energy Technology Data Exchange (ETDEWEB)

    Urquiza B, Gustavo [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Sierra E, Fernando [Universidad Nacional Autonoma de Mexico, Mexico D.F. (Mexico); Kubiak S, Janusz; Campos A, Rafael [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2003-10-15

    A numerical investigation has been conducted to study the turbulent flow and the heat transfer in a blade turbine coolant passage involving a 180 degrees turn. The study provides a comparison test for two turbulence models. The numerical solution was conducted employing two models for turbulence, the renormalization Group Theory (RNG) and the Reynolds Stress Model (RSM), using a refined grid to model with detail the recirculating flow. Computations are performed with a commercial finite volume code which solves three dimensional, incompressible, Navier-Stokes and Energy equations. At the passage turn, significant secondary flows are present, formed by a pair of symmetrical vortices. Results have been compared against published experimental data for Re = 53 000. Very good agreement is achieved for the prediction of the local static pressure distribution along the passage. A strong effect of rotation has been observed mainly in the flow field as described in detail in the paper. [Spanish] En este trabajo se presenta una investigacion numerica para estudiar el flujo turbulento y la transferencia de calor en un conducto de enfriamiento de un alabes de turbina de gas con giro de 180 grados. El estudio proporciona una comparacion de resultados para dos modelos de turbulencia. La solucion numerica emplea dos modelos de turbulencia: el modelo de esfuerzos de Reynolds (RSM) y el modelo de la teoria del grupo de renormalizacion (RNG), utilizando una malla refinada para modelar con detalle el flujo de recirculacion. Los calculos fueron realizados con un codigo comercial de volumenes finitos el cual resuelve las ecuaciones tridimensionales de Navier-Stoke y de energia para flujo incompresible. En la seccion de giro del conductor, aparecen flujos secundarios significativos, formados por un par de celulas simetricas. Los resultados han sido comparados contra datos experimentales de la literatura para Re = 53 000. se obtuvo un buen acuerdo para la prediccion de la distribucion de

  3. Flujos turísticos, capital territorial y uso de la bicicleta. Andalucía como modelo de destino emergente en cicloturismo

    Directory of Open Access Journals (Sweden)

    Francisco M. Fernández-Latorre

    2015-07-01

    Full Text Available El artículo pretende analizar las relaciones entre capital territorial y cicloturismo, y especialmente, las conexiones de los flujos turísticos con factores básicos de capital territorial como la longitud de costa, los bienes de interés cultural, los espacios naturales protegidos y la población; y sus implicaciones para el desarrollo del cicloturismo. A tal fin se realiza un análisis de correlación lineal de estas variables en las comunidades autónomas españolas. Por otro lado, identifica las condiciones particulares del capital terrritorial de Andalucía para el desarrollo del cicloturismo mediante diversos indicadores, así como de los instrumentos sectoriales de planificación existentes, junto a las principales tendencias globales del mercado. La estructura del mercado potencial del cicloturismo se analiza contrastando el perfil del turista que visita Andalucía, según el grado de utilización de la bicicleta en su país o comunidad de origen, y los flujos turísticos que genera. Finalmente, se propone un modelo multidimensional de cicloturismo basado en la óptica de capital territorial, estableciendo unas conclusiones y recomendaciones para la evaluación, planificación y gestión integrada del sector.

  4. Geotermometría, cocientes metálicos y direcciones de flujo en la veta esperanza, distrito Huachocolpa (Perú)

    OpenAIRE

    Pérez-Puig Obieta, Cosme Rafael; Castroviejo Bolibar, Ricardo; Martín Sánchez, Domingo Alfonso; Costafreda Mustelier, Jorge Luis

    2011-01-01

    Resumen El trabajo a continuación detalla los resultados más importantes de un estudio conjunto de: mineralogía de mena y ganga, distribuciones geoquímicas y microtermometría con el objetivo de caracterizar los flujos mineralizantes de la veta Esperanza. La veta Esperanza es un yacimiento epitermal de baja sulfuración, actualmente en explotación en el distrito de Huachocolpa, Perú. La mineralización está compuesta por esfalerita, galena, tetraedrita, calcopirita y otros sulfuros y sulf...

  5. Major Vascular Neurocognitive Disorder: A Reappraisal to Vascular Dementia

    Directory of Open Access Journals (Sweden)

    Emre Kumral

    2017-03-01

    Full Text Available Major vascular neurocognitive disorder (NCD is the second leading form of dementia after Alzheimer’s disease, accounting for 17-20% of all dementias. Vascular NCD is a progressive disease caused by reduced cerebral blood flow related to multiple large volume or lacunar infarcts that induce a sudden onset and stepwise decline in cognitive abilities. Despite its prevalence and clinical importance, there is still controversy in the terminology of vascular NCD. Only after the release of Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5 (2013 did the American Psychiatric Association define vascular dementia as “major vascular NCD”. This review includes an overview of risk factors, pathophysiology, types, diagnostic and clinical features of major vascular NCD, and current treatment options of vascular NCD regarding to DSM-5 criteria

  6. Flujos de nutrientes en un banco de ostras de la Ciénaga Grande de Santa Marta, Colombia

    Directory of Open Access Journals (Sweden)

    Gómez López Diana Isabel

    2000-12-01

    Full Text Available Water flow through a plastic tunnel (1OL x 0.80W x 0.30H m was used to determine nutrient retention and release rates over two substrates (with and without oysters in a natural oyster bank at the northeastern end of the Cienaga Grande de Santa Marta. In general terms, nutrient fluxes are inversally related to the water flow. Values obtained over the substrate without oysters were higher than those observed over the substrate with oysters. Such differences can be explained by the low oyster density in the area and the great microbial activity and typical sediment diffusion processes in this estuarine ecosystem.Un flujo de agua a través de un túnel plástico (10 L x 0.80 W x 0.30H m fue utilizado para determinar las tasas de liberación-retención de amonio y fosfatos sobre dos tipos de sustratos (con y sin ostras en un banco de ostras en el sector nororiental de la Ciénaga Grande de Santa Marta. En general se observa que los flujos de amonio y fosfatos son inversamente proporcionales al caudal de agua, y que los valores obtenidos en el sustrato sin ostras son mayores comparados a los obtenidos en el sustrato con ostras. Estas diferencias entre los sustratos pueden haberse debido a la baja densidad de ostras en el área (7.5 ostras/ m2 y a la gran actividad microbiana y procesos de difusión de los sedimentos característicos de este ecosistema estuarino.

  7. Additive Manufacturing of Vascular Grafts and Vascularized Tissue Constructs.

    Science.gov (United States)

    Elomaa, Laura; Yang, Yunzhi Peter

    2017-10-01

    There is a great need for engineered vascular grafts among patients with cardiovascular diseases who are in need of bypass therapy and lack autologous healthy blood vessels. In addition, because of the severe worldwide shortage of organ donors, there is an increasing need for engineered vascularized tissue constructs as an alternative to organ transplants. Additive manufacturing (AM) offers great advantages and flexibility of fabrication of cell-laden, multimaterial, and anatomically shaped vascular grafts and vascularized tissue constructs. Various inkjet-, extrusion-, and photocrosslinking-based AM techniques have been applied to the fabrication of both self-standing vascular grafts and porous, vascularized tissue constructs. This review discusses the state-of-the-art research on the use of AM for vascular applications and the key criteria for biomaterials in the AM of both acellular and cellular constructs. We envision that new smart printing materials that can adapt to their environment and encourage rapid endothelialization and remodeling will be the key factor in the future for the successful AM of personalized and dynamic vascular tissue applications.

  8. REPRESENTACIÓN ESTOCÁSTICA DE FACIES DE ROCAS FRACTURADAS PARA LA MODELACIÓN DEL FLUJO DE AGUAS SUBTERRÁNEAS

    OpenAIRE

    BLESSENT, DANIELA

    2013-01-01

    Este artículo presenta los resultados de una simulación de flujo de agua subterránea en rocas fracturadas. Se emplea un enfoque estocástico (modelo estocástico equivalente en medio poroso fracturado) para construir el modelo conceptual y para usar este último en la roca de baja permeabilidad encontrada en el sitio elegido como caso de estudio (Olkiluoto, Finlandia). La roca que se investiga se encuentra localizada alrededor de un grupo de pozos de sondeo y cubre un área de algunas hectáreas. ...

  9. Beneficios de utilizar modelos ad-hoc de gestión de inventarios en presencia de flujos de retorno

    OpenAIRE

    Juan Pedro Sepúlveda Rojas; Felipe Baesler Abufarde; Domingo Antonio Núñez Morales

    2010-01-01

    En este trabajo se analiza el impacto de la logística reversa en los modelos de gestión de inventarios a través del análisis de las implicancias y extensiones de algunos modelos estudiados en la literatura. A través de experimentación con modelos de inventario determinísticos encontramos que en gran parten de los escenarios estudiados, los costos de utilizar modelos clásicos de gestión de inventarios son superiores a modelos que toman en cuenta los flujos de retorno. Solo en casos muy particu...

  10. Modelamiento matemático de la circulación del flujo de la Bahía de Puno

    OpenAIRE

    Huisa Humpiri, Duberly; Huisa Humpiri, Duberly

    2011-01-01

    La presente investigación desarrolla el modelamiento matemático de la circulación del flujo de la bahía de Puno, producida principalmente por el efecto del viento que produce un esfuerzo de corte en la superficie de agua, así como, el efecto de la rugosidad y Coriolis producido por el movimiento de rotación de la tierra. El modelo está basado en las ecuaciones de aguas poco profundas. Para la resolución de estas ecuaciones se ha implementado un algoritmo utilizando el método de diferencias fi...

  11. Flujo y concentración de proteínas en saliva total humana Salivary flow rate and protein concentration in human whole saliva

    Directory of Open Access Journals (Sweden)

    JOSÉ ANTONIO BANDERAS-TARABAY

    1997-09-01

    Full Text Available Objetivo. Determinar los promedios de flujo salival y la concentración de proteínas totales en una población joven del Estado de México. Material y métodos. Se seleccionaron 120 sujetos a quienes se les colectó saliva total humana (STH no estimulada y estimulada, la cual se analizó por medio de gravimetría y espectrofotometría (LV/LU; se calcularon medidas de tendencia central y de dispersión; posteriormente, se correlacionaron estos datos con los índices CPOD y CPITN. Resultados. Los sujetos estudiados mostraron un promedio de flujo salival (ml/min ± DE en STH no estimulada de 0.397±.26, y en STH estimulada, de 0.973±.53. El promedio en la concentración de proteínas (mg/ml ± DE fue de 1.374±.45 en STH no estimulada y de 1.526±.44 en STH estimulada. Las mujeres presentaron un menor porcentaje de flujo salival y mayor concentración de proteínas. No se observaron correlaciones entre el flujo y la concentración de proteínas totales y el CPOD y CPITN; sin embargo, sí las hubo con otras variables. Conclusiones. Estos hallazgos podrían estar asociados con el grado de nutrición, las características genéticas y los niveles de salud bucal en nuestra población. El presente estudio representa la fase inicial de la creación de una base de datos en sialoquímica, cuya meta será identificar los parámetros que indiquen el riesgo de enfermedades sistémicas o bucodentales.Objective. To determine the average salivary flow rates and total protein concentrations in a population of the State of Mexico. Material and methods. A gravimetric and spectrophotometric analysis was applied to 120 subjects in total resting and stimulated whole saliva and results were correlated with the DMFT and CPITN indexes. Results. Subjects allowed average salivary flow rate (ml/min ± SD in non-stimulated human whole saliva (HWS of 0.397±.26 and in stimulated HWS of 0.973±.53. Average protein concentration was (mg/ml ± SD 1.374±.45 in non

  12. Ventilación mecánica no invasiva y oxigenoterapia de alto flujo en el tratamiento de la insuficiencia respiratoria

    OpenAIRE

    Molinero Herrero, Nuria

    2017-01-01

    Trabajo de fin de Grado. Grado en Enfermería (Zamora). Curso académico 2016/2017 [ES]La enfermedad obstructiva crónica (EPOC) está incluida en las enfermedades que pueden asociar a insuficiencia respiratoria. El tratamiento de soporte ventilatorio de elección es la ventilación mecánica no invasiva (VMNI) por las múltiples ventajas que ofrece. Actualmente se está desarrollando el uso de la oxigenoterapia de alto flujo (ONAF) en pacientes con insuficiencia respiratoria hipoxémica...

  13. Capacidad de fijación y adsorción de cloruros en morteros elaborados con distintos cementos

    OpenAIRE

    Villagrán Zaccardi, Yuri Andrés; Matiasich, Cecilia

    2004-01-01

    La retención de iones cloruro por parte de los hidratos del cemento se puede producir por dos mecanismos: por adsorción superficial, principalmente en la fase de silicato hidratado; y por fijación, mayormente en la fase de aluminato hidratado. Este trabajo tiene por objetivo determinar las capacidades de adsorción y de fijación de cloruros en morteros con una misma relación a/c, realizados con distintos cementos (normal, fillerizado, compuesto y de alto horno). El estudio comprende dos series...

  14. Efecto de los Tratados de Libre Comercio, Acuerdos Comerciales y Tratados Bilaterales de Inversión sobre los Flujos de Inversión Extranjera Directa: un análisis para América Latina entre 2001-2014

    OpenAIRE

    Dávila Barragán, Jimena Alejandra; Orozco Jaramillo, Camilo

    2015-01-01

    Este documento investiga los efectos que tienen los Tratados de Libre Comercio (TLC), demás Acuerdos Comerciales (AC) y Tratados Bilaterales de Inversión (TBI) sobre los flujos de Inversión Extranjera Directa (IED), por medio de un pseudo - panel conformado por un total de total de 960 individuos (construidos con país de origen y de destino) para 15 países de América Latina durante el período 2001-2014 -- Los resultados sugieren que los TLC no incluyen en los flujos de IED que ingresan a Amér...

  15. Análisis in vitro de la influencia sobre el campo de flujo de dos modelos de válvulas cardiacas mecánicas bivalvas mediante un túnel de viento

    Directory of Open Access Journals (Sweden)

    John Bustamante, O., MD., PhD

    2011-03-01

    Conclusiones: El método implementado aprovecha las características fluidodinámicas del aire en un banco de pruebas: túnel de viento, para hacer la evaluación in vitro de la influencia sobre el campo de flujo y fuerzas cortantes de diferentes modelos de válvulas cardiacas mecánicas, obteniendo mayor sensibilidad que otras alternativas disponibles. El sistema se usó para evaluar dos tipos de prótesis, mostrando que las valvas curvas tienden a presentar una menor disrupción del flujo que las valvas planas. La implementación del sistema presentado como un nuevo banco de pruebas, permite extraer conclusiones que sirven como base en el diseño de las prótesis, buscando ofrecer menor trastorno hemodinámico.

  16. Influencia de los parámetros Rancimat sobre la determinación del índice de estabilidad oxidativa del aceite de Sesamum indicum L.

    Directory of Open Access Journals (Sweden)

    Eudes Villanueva López

    2013-01-01

    Full Text Available El objetivo de esta investigación fue determinar el índice de estabilidad oxidativa (OSI en aceite virgen de semillas de Sesamum Indicum L. (Sésamo, previamente extraído por presión en frio, clarificado por centrifugación y almacenado bajo atmosfera de nitrógeno y en refrigeración. El OSI se determinó mediante la prueba acelerada de Rancimat, para ello se utilizaron 3,0 ± 0,1 g de muestra, parámetros de temperatura (110, 130 y 150°C y flujo de aire (15, 20 y 25 L/h. Al aplicar el test de Rancimat, se pudo comprobar mediante el ANOVA (p < 0,05 que la influencia de la temperatura en el OSI fue altamente significativa, mientras que el flujo de aire solo fue significativo. Mediante el método de extrapolación, se calcularon los valores de OSI a temperaturas usuales de almacenamiento de aceites (25°C obteniéndose tiempos de estabilidad de 214, 242 y 222 días; además la energía de activación de la reacción de oxidación del aceite de sésamo a distintos flujos de aire, es de 97,28, 98,79 y 96,86 kJ/mol para 15, 20 y 25 L/h respectivamente.

  17. La contabilidad de la compañía de los ferrocarriles andaluces en un periodo crítico (1920-1930 y su análisis a través del Estado de Flujos Efectivo

    Directory of Open Access Journals (Sweden)

    José Enrique Blasco Leante

    2014-07-01

    En este marco de una empresa en crisis, realizamos un análisis de sus estados financieros a través de una herramienta contable denominada Estado de Flujos Efectivos (EFE, que aplicamos por el método indirecto, el cual permite obtener una aproximación a los flujos de las actividades de explotación, inversión y financiación de la compañía. La elección del periodo estudiado está motivada por ser una etapa de abundantes inversiones, cuyo origen presenta algunas dudas sobre si la empresa se financió con recursos propios o si la aportación de capitales públicos fue mayoritaria.

  18. Non-invasive vascular imaging: assessing tumour vascularity

    International Nuclear Information System (INIS)

    Delorme, S.; Knopp, M.V.

    1998-01-01

    Non-invasive assessment of vascularity is a new diagnostic approach to characterise tumours. Vascular assessment is based on the pathophysiology of tumour angiogenesis and its diagnostic implications for tumour biology, prognosis and therapy response. Two current techniques investigating vascular features in addition to morphology are Doppler ultrasonography and contrast-enhanced MRI. Diagnostic differentiation has been shown to be possible with Doppler, and a high degree of observed vascularity could be linked to an aggressive course of the disease. Dynamic MRI using gadolinium chelates is already used clinically to detect and differentiate tumours. The histological correlation shows that capillary permeability is increased in malignant tumours and is the best criterion for differentiation from benign processes. Permeability and perfusion factors seem to be more diagnostic than overall vessel density. New clinical applications are currently being established for therapy monitoring. Further instrumental developments will bring harmonic imaging in Doppler, and faster imaging techniques, higher spatial resolution and novel pharmacokinetic concepts in MRI. Upcoming contrast agents for both Doppler and MRI will further improve estimation of intratumoural blood volume and vascular permeability. (orig.)

  19. Gradually varied flow in compound open channels; Flujo gradualmente variado en canales de seccion compuesta

    Energy Technology Data Exchange (ETDEWEB)

    Sotela Avila, Gilberto [Universidad Nacional Autonoma de Mexico (Mexico)

    2001-03-01

    The author shows that the computation of gradually-varied-flow profiles in prismatic compound channels involves the solution of the dynamic equation, but using the compound channel Froude number defined by Blalock and Sturm. The same equation is used for non-prismatic channels by dividing the channel into short reaches and carrying the computation step by step through an iterative process. [Spanish] El autor demuestra que los perfiles del flujo gradualmente variado en canales prismaticos de seccion compuesta se pueden determinar mediante la integracion de la llamada ecuacion dinamica, pero usando el numero de Froude definido por Blalock y Sturm para este tipo de canales. Cuando no son prismaticos, tambien se aplica la ecuacion de la energia por tramos y el calculo sigue un proceso iterativo una vez definidos los tirantes criticos multiples y la zona en que se desarrolla el perfil.

  20. Modelamiento numérico de yacimientos naturalmente fracturados con flujo de fluidos composicional acoplado a deformación geomecánica

    OpenAIRE

    Arango Acevedo, María Adelaida

    2009-01-01

    Se desarrolla un modelo matemático que permite evaluar el comportamiento geomecánico en macizos rocosos que contienen fracturas y valorar el cambio de la permeabilidad debido a la variación en el estado de esfuerzos, causado por la diferencia en la presión de los fluidos presentes en el yacimiento, que por su complejidad deben ser analizados como fluidos composicionales. El modelo matemático se plantea en tres dimensiones y en coordenadas cartesianas partiendo de las ecuaciones de flujo de fl...

  1. COMPORTAMIENTO DE LA TEMPERATURA DEL FLUJO DE AIRE EN UN ABSORBEDOR SOLAR BEHAVIOR OF THE TEMPERATURE OF THE FLOW OF AIR IN A SOLAR ABSORBER

    Directory of Open Access Journals (Sweden)

    GERARDO C CIFUENTES

    2009-12-01

    Full Text Available El presente trabajo evalúa el comportamiento de la temperatura del flujo de aire en un colector solar de lecho de rocas, mediante un modelo matemático que simula las temperaturas del flujo de aire a la entrada y salida del colector. El modelo relaciona la geometría, la radiación incidente en el colector y las constantes propias del colector determinadas experimentalmente. Para el análisis se realizaron tres pruebas en las que se midieron las temperaturas del ambiente, de entrada y salida en el colector y la radiación solar incidente.The present work evaluates the behavior of the temperature of the flow of air in a solar collector of channel of rocks, by means of a mathematical model that simulates the temperatures from the flow of air to the entrance and exit of the collector. The pattern relates the geometry, the incident radiation in the collector and the constants own collector determined experimentally. For the analysis they were carried out three tests in those that the temperatures of the atmosphere were measured, of entrance and exit in the collector and the solar incident radiation.

  2. Almacenes y flujos de carbono en ecosistemas áridos y semiáridos de México: síntesis y perspectivas

    Directory of Open Access Journals (Sweden)

    Noé Manuel Montaño

    2016-01-01

    Full Text Available Los ecosistemas áridos y semiáridos constituyen un tercio de la superficie terrestre global y un 60% del territorio mexicano, pero poco se sabe sobre su importancia en el ciclo del carbono (C. Este trabajo sintetiza y analiza la información disponible sobre almacenes, flujos y controles de la dinámica del C en las regiones áridas y semiáridas de México. En estos ecosistemas, la productividad neta del ecosistema, la respiración del suelo, la producción y la descomposición de la hojarasca están determinadas por la variabilidad de la precipitación, aunque la descomposición depende también de la radiación solar y temperatura. El suelo es el principal almacén de C, representa 45 y 90% del C en la biomasa del matorral y pastizal, respectivamente. Las regiones semiáridas podrían almacenar más C orgánico e inorgánico que las regiones áridas. El cambio de uso de suelo disminuye hasta en 50% el C orgánico del suelo (COS, pero las especies vegetales formadoras de islas de fertilidad y de recursos amortiguan el impacto de la perturbación en el almacenamiento del C, al actuar como “hotspots” de conservación y trasformación del COS. Las biocostras también controlan la acumulación del COS, debido a su rápida respuesta a la humedad que potencia los flujos del C y la transformación de los nutrimentos en el suelo. El COS controla la estequiometría microbiana que regula la disponibilidad de otros nutrimentos en el suelo. La información sobre la dinámica del C para las regiones áridas y semiáridas de México es aún escasa y fragmentada, ya que la mayoría se limita al COS, en los primeros 30 cm del perfil, sin considerar el C inorgánico del suelo. En consecuencia, es necesario y urgente estandarizar metodologías para cuantificar los almacenes y flujos a diferentes escalas espacio-temporales en los ecosistemas áridos y semiáridos del país.

  3. Measuring VaR of Discounted Cash Flows. Application to a Business Case Medición del valor en riesgo de los flujos de caja descontados. Aplicación a un caso empresarial

    Directory of Open Access Journals (Sweden)

    Jenny Moscoso Escobar

    2009-12-01

    Full Text Available This article seeks to appropriate a Cash Flow at Risk –CFAR- model from the literature developed in the research of Postgraduate, Measuring Value at Risk of Discounted Cash Flow for the Colombian Firm not listed on the stock market and apply it to a non-financial firm at the real sector, which specifies the operational and macroeconomic variables as random results, in a process of statistical modeling by Monte Carlo simulation approach structured in order to measure the variation in future cash flows discounted by a risk-adjusted rates for applications such as toolmaking decisions through the CFaR.A partir de la literatura existente se pretende mostrar el modelo de Flujo de Caja en Riesgo (CFaR, desarrollado en la investigación titulada, “Medición del valor en riesgo de los flujos de caja descontados para la empresa colombiana que no cotiza en bolsa”. Al mismo tiempo, aplicarlo a una empresa no financiera del sector real, con especificación de las variables operacionales y macroeconómicas como resultados aleatorios, en un proceso de modelado estadístico por medio del enfoque de Simulación Montecarlo Estructurado. El objetivo es medir la posible variación de los flujos de caja futuros descontados, a través de una tasa ajustada por riesgo, para aplicarla como herramienta de toma de decisiones con base en el CFaR.

  4. Papel de la terapia con cánula nasal de alto flujo en la prevención de la reintubación en pacientes de bajo riesgos

    OpenAIRE

    Colinas Fernández, Laura

    2016-01-01

    La oxigenoterapia acondicionada de alto flujo demostró reducir la insuficiencia respiratoria post-extubación y la tasa de reintubación a las 72 horas en pacientes ventilados con bajo riesgo de reintubación. El principal beneficio de estos resultados se observó en el fracaso de la extubación por causa respiratoria.

  5. FLUJO DE MATERIAL PORNOGRÁFICO INFANTIL ONLINE: ESTUDIO EXPLORATORIO EN 10 PAÍSES DE AMÉRICA LATINA CON FOCO EN URUGUAY

    OpenAIRE

    Delgado Coto, Sergio; França Tarragó, Omar

    2014-01-01

    Se exploró el estado del flujo de material pornográfico infantil online en 10 países latinoamericanos, con especial atención a Uruguay, en el período anual 2011 y primeros ochos meses 2012. A partir del software especializado “Florencio”, se emprendió el rastreo de la descarga de archivos identificados con contenido pornográfico infantil en la plataforma de intercambio de tipo “punto a punto” (p2p) Ares Galaxy (Ares). A su vez, se discriminaron todas las direcciones de Internet (IP) geo-refer...

  6. Co-digestión anaerobia de lodo de EDAR con residuos orgánicos de diferente naturaleza:combinación de técnicas experimentales y herramientas matemáticas.

    OpenAIRE

    Esteban-Gutierrez, M. (Myriam); Aymerich-Soler, E. (Enrique)

    2014-01-01

    La co-digestión anaerobia presenta amplias posibilidades de aplicación puesto que se basa en el co-tratamiento de distintos flujos de residuos orgánicos, un hecho que puede resultar ventajoso tanto desde el punto de vista de proceso como a nivel económico, por ir acompañada en muchos casos de un incremento en el rendimiento de la producción de metano y biogás. Con respecto a la tecnología de digestión en alta concentración de sólidos (o digestión seca), presenta una serie de ve...

  7. Migraciones y desarrollos asimétricos en la frontera noreste: el caso de Reynosa, hasta 1930

    Directory of Open Access Journals (Sweden)

    Fernando Cámara Barbachano

    1985-01-01

    Full Text Available El presente artículo muestra la extensión y los efectos de distintos cohortes; flujos; corrientes y oleadas migratorias de esta parte del noreste de México. En su primera parte se muestra brevemente el perfil histórico estructural de esta región; es decir; las situaciones del proceso de colonización y condiciones del crecimiento económico y de su desarrollo social. Con el análisis de estos hechos; se presentarán los fundamentos sociológicos que han contribuido a la creación de un nuevo orden social en el noreste.

  8. ¿Cómo se pueden aplicar los distintos paradigmas de la investigación científica a La Cultura Física y El Deporte?

    Directory of Open Access Journals (Sweden)

    Yoel Santos Rivera

    2010-03-01

    Full Text Available En este trabajo se exponen los principales resultados de la búsqueda bibliográfica que fue necesario realizar para fundamentar adecuadamente la tesis de maestría del autor, que aporta una metodología para el tenis de mesa en alumnos de la enseñanza pre-escolar y de las primeras edades de la primaria. Fue preciso estudiar los distintos paradigmas investigativos ya que la investigación de referencia pretende integrar de manera coherente los análisis cuantitativos y cualitativos. Lo cuantitativo está presente al medir diversos aspectos físicos y motores de los escolares para la cual se elaboró, mientras que lo cualitativo se incluye cuando se tienen en cuenta los intereses, los aspectos volitivos, la estabilidad emocional y familiar, las cualidades volitivas, las relaciones interpersonales, de los niños involucrados. Es novedosa la incorporación de los distintos agentes sociales en este proceso investigativo, tanto la familia como la comunidad.

  9. Multi-gate Pitot tube for the measurement of water flow in cooling systems; Tubo de Pitot multi-puertos para la medicion de flujo de agua en sistemas de enfriamiento

    Energy Technology Data Exchange (ETDEWEB)

    Figueroa Ibarra, Luis; Rodriguez Martinez, Jose Hugo; Santabarbara Botello, Marcelino [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2007-07-01

    In this article the design of a novel measuring device of water flowing in large diameter pipes is described. A description is made of the instrument commonly used at present for this purpose (simple Pitot tube), whose design is based on the Standard CTI Code ATC-105 published by the Cooling Tower Institute (CTI ATC-105, 2000). The disadvantages of the simple Pitot tube in comparison with the new proposed device are emphasized (Multi-gate Pitot tube), of which its construction and design is described in detail. In the present article are also shown the results obtained of the circulation water flow measurements, performed in the cooling system of a fossil fuel power plant. These results are compared with the results of flow measurement obtained by means of the simulation of the thermodynamic cycle of the power station, using commercial software. [Spanish] En este articulo se describe el diseno de un novedoso medidor de flujo de agua que circula en tuberias de gran diametro. Se hace una descripcion del instrumento comunmente usado en la actualidad para dicho proposito (tubo de Pitot simple), cuyo diseno se basa en el estandar CTI Code ATC-105 publicado por el Cooling Tower Institute (CTI ATC-105, 2000). Se puntualizan las desventajas del tubo de Pitot simple en comparacion con el nuevo dispositivo propuesto (tubo de Pitot Multi-puertos), del cual se describe detalladamente su construccion y diseno. En el presente articulo tambien se muestran los resultados obtenidos de las mediciones de flujo de agua de circulacion, realizadas en el sistema de enfriamiento de una central termoelectrica. Dichos resultados son comparados con los resultados de flujo obtenidos mediante simulacion del ciclo termodinamico de la central, usando un software comercial.

  10. Comportamiento de flujo y caracterización fisicoquímica de pulpas de durazno

    Directory of Open Access Journals (Sweden)

    Ernesto Muñoz Puntes

    2012-01-01

    Full Text Available Se efectuaron análisis reológicos y fisicoquímicos en nueve variedades de pulpas de durazno de Mendoza (Argentina en un rango de concentración de sólidos solubles (12.5 a 28°Brix y temperaturas (30 a 50°C. En este estudio se determinaron parámetros reológicos: coeficiente de consistencia e índice de comportamiento al flujo, utilizando viscosímetros del tipo rotacional y fisicoquímicos (metodología propuesta por AOAC: sólidos solubles, pH, contenido de agua, sólidos insolubles, acidez y contenido de pectina (método espectrofotométrico. La reología de las pulpas siguió el modelo de la Ley de la Potencia para todas las condiciones estudiadas, comportándose como fluidos pseudoplásticos. El análisis de cluster estableció 2 grupos con diferencias significativas (Grupo 1: Halford, Andross, Astengo, Bowen, Sim’s Cling y Grupo 2: Fortuna, Loadel y Palora; la variedad Sullivan Cling no pudo asignarse a ninguno de los grupos.

  11. Pediatric vascular access

    International Nuclear Information System (INIS)

    Donaldson, James S.

    2006-01-01

    Pediatric interventional radiologists are ideally suited to provide vascular access services to children because of inherent safety advantages and higher success from using image-guided techniques. The performance of vascular access procedures has become routine at many adult interventional radiology practices, but this service is not as widely developed at pediatric institutions. Although interventional radiologists at some children's hospitals offer full-service vascular access, there is little or none at others. Developing and maintaining a pediatric vascular access service is a challenge. Interventionalists skilled in performing such procedures are limited at pediatric institutions, and institutional support from clerical staff, nursing staff, and technologists might not be sufficiently available to fulfill the needs of such a service. There must also be a strong commitment by all members of the team to support such a demanding service. There is a slippery slope of expected services that becomes steeper and steeper as the vascular access service grows. This review is intended primarily as general education for pediatric radiologists learning vascular access techniques. Additionally, the pediatric or adult interventional radiologist seeking to expand services might find helpful tips. The article also provides education for the diagnostic radiologist who routinely interprets radiographs containing vascular access devices. (orig.)

  12. Momentos distintos no abandono da psicoterapia psicanalítica

    Directory of Open Access Journals (Sweden)

    Simone Isabel Jung

    2014-07-01

    Full Text Available Objetivo Identificar características de início e término de tratamento de pacientes que abandonaram a psicoterapia psicanalítica (PP em momentos distintos: entre 2 e 11 meses (abandono médio = AM ou com mais de um ano (abandono tardio = AT de psicoterapia. Métodos Entrevistas iniciais e de pós-tratamento de 14 adultos (sete de AM e sete de AT, classificados por seus psicoterapeutas como pacientes que abandonaram a psicoterapia, foram analisadas utilizando-se o método de análise de conteúdo de Bardin. Resultados As entrevistas iniciais geraram cinco categorias (motivo, objetivos, disposição para mudança, tratamento anterior, transferência e as de pós-tratamento geraram três categorias (processo de mudança, avaliação de resultados, término. Conclusão Em comparação com os pacientes de AT, os pacientes de AM apresentaram maior resistência, possuíam expectativas de mais apoio, apresentaram menor transferência positiva e mais queixas depressivas e relataram experiências negativas com tratamentos anteriores. A maior parte dos pacientes de AM iniciou o tratamento por indicação de terceiros, enquanto a maioria dos de AT buscou a psicoterapia por conta própria. Na entrevista pós-tratamento, os pacientes de AM revelaram mais resistência durante o processo de psicoterapia, demonstraram menor capacidade de insight e fizeram avaliações mais negativas do tratamento, tanto nos aspectos gerais como nos específicos. A diferenciação dos grupos de AM e AT é tênue, sendo necessárias mais investigações sobre a temática.

  13. Análisis del comportamiento de flujo de fluidos en un horno de reverbero agitado con diferentes impulsores, mediante la modelación física y numérica

    Directory of Open Access Journals (Sweden)

    Juárez, R.

    2009-10-01

    Full Text Available A fluid flow analysis and particle trajectory in a 5 t molten capacity scaled 1:2 model of a reverberatory furnace was performed using both physical and numerical simulation. The design of the system allowed studying the behavior of the liquid in a system agitated by impellers. The parameters studied were, rotating speed, shape and height of the impeller. The physical and numerical simulations were used to determine circulation and mixing times, fluid flow patterns and velocity profiles in the agitation and melting chambers. Using experimental data, it was possible to establish the interaction between turbulent flow and circulating solid particles. The original design of the reverberatory furnace was modified based on the physical and numerical simulation analysis. The new design showed an increased magnesium removal rate by means of a more efficient and faster mixing.

    Utilizando la simulación física y numérica, en este trabajo se presenta un análisis del flujo de fluidos y la trayectoria de partículas, en un modelo escala 1:2 de un horno de reverbero de 5 t. La caracterización del sistema sirvió para determinar el comportamiento del líquido en un sistema agitado mediante impulsores de diferentes formas rotando a diferentes velocidades y alturas, lo cual ha permitido determinar tiempos de circulación, de mezclado, patrones de flujo y patrones de velocidad en las cubas de agitación y fusión. Además, se aportan datos experimentales de la interacción entre flujos turbulentos y partículas sólidas. Los resultados obtenidos sugirieron cambios en la geometría del diseño de un horno convencional, propiciando mezclado más rápido y eficiente e incrementando la eficiencia en la remoción de magnesio.

  14. Dispersión de la onda P dependiente de la velocidad de la onda A del flujo de entrada mitral y de la presión arterial sistólica

    Directory of Open Access Journals (Sweden)

    Elibet Chávez, MD., MSc

    2011-01-01

    Conclusiones: existe una dependencia de la dispersión de la onda P del electrocardiograma de variables tales como presión arterial sistólica y velocidad de la onda A del flujo sanguíneo de entrada mitral, hecho que ha sido relacionado con riesgo de fibrilación auricular en el adulto.

  15. Vascular Access in Children

    International Nuclear Information System (INIS)

    Krishnamurthy, Ganesh; Keller, Marc S.

    2011-01-01

    Establishment of stable vascular access is one of the essential and most challenging procedures in a pediatric hospital. Many clinical specialties provide vascular service in a pediatric hospital. At the top of the “expert procedural pyramid” is the pediatric interventional radiologist, who is best suited and trained to deliver this service. Growing awareness regarding the safety and high success rate of vascular access using image guidance has led to increased demand from clinicians to provide around-the-clock vascular access service by pediatric interventional radiologists. Hence, the success of a vascular access program, with the pediatric interventional radiologist as the key provider, is challenging, and a coordinated multidisciplinary team effort is essential for success. However, there are few dedicated pediatric interventional radiologists across the globe, and also only a couple of training programs exist for pediatric interventions. This article gives an overview of the technical aspects of pediatric vascular access and provides useful tips for obtaining vascular access in children safely and successfully using image guidance.

  16. Flow in potential cascades by means of the finite element method; Flujo en cascadas potenciales mediante el metodo del elemento finito

    Energy Technology Data Exchange (ETDEWEB)

    Sosa Cordero, Rodolfo; Fernandez Valencia, Gonzalo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1987-12-31

    This article presents a mathematical model and its solution by means of the finite element method with approximate Garlekin formulation, for the flow analysis in a circular cascade, in a surface of revolution current of a turbo- machine, that can be axial, mixed or radial. To the revolution surface an agreed transformation is applied to obtain a plane, eliminating in this form one term in the equation succeeding in avoiding an iterative solution. Likewise, the finite element method allows to solve the equation in partial derivatives of the elliptical type in its quasi-harmonic form. Additionally, the method followed to introduce the contour conditions is presented; specially, the Kutta-Joukowsky conditions and the one of periodicity, which distinguishes this problem from the classical problems of ideal flows evaluated in the contour. [Espanol] En este articulo se presenta un modelo matematico y su solucion mediante el empleo del metodo del elemento finito con formulacion aproximada de Galerkin, para el analisis del flujo en una cascada circular, en una superficie de corriente de revolucion de una turbomaquina, que puede ser axial, mixta o radial. A la superficie de revolucion se le aplica una transformacion conforme para obtener un plano, eliminando de esta forma un termino en la ecuacion logrando evitar la solucion iterativa. Asimismo, el metodo del elemento finito permite resolver la ecuacion en derivadas parciales del tipo eliptico en su forma cuasiarmonica. Se presenta, ademas, el metodo seguido para introducir las condiciones de contorno; en especial, las condiciones de Kutta-Joukowsky y la de periodicidad, que distinguen a este problema de los problemas clasicos de flujos ideales valuados en el contorno.

  17. Flow in potential cascades by means of the finite element method; Flujo en cascadas potenciales mediante el metodo del elemento finito

    Energy Technology Data Exchange (ETDEWEB)

    Sosa Cordero, Rodolfo; Fernandez Valencia, Gonzalo [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1986-12-31

    This article presents a mathematical model and its solution by means of the finite element method with approximate Garlekin formulation, for the flow analysis in a circular cascade, in a surface of revolution current of a turbo- machine, that can be axial, mixed or radial. To the revolution surface an agreed transformation is applied to obtain a plane, eliminating in this form one term in the equation succeeding in avoiding an iterative solution. Likewise, the finite element method allows to solve the equation in partial derivatives of the elliptical type in its quasi-harmonic form. Additionally, the method followed to introduce the contour conditions is presented; specially, the Kutta-Joukowsky conditions and the one of periodicity, which distinguishes this problem from the classical problems of ideal flows evaluated in the contour. [Espanol] En este articulo se presenta un modelo matematico y su solucion mediante el empleo del metodo del elemento finito con formulacion aproximada de Galerkin, para el analisis del flujo en una cascada circular, en una superficie de corriente de revolucion de una turbomaquina, que puede ser axial, mixta o radial. A la superficie de revolucion se le aplica una transformacion conforme para obtener un plano, eliminando de esta forma un termino en la ecuacion logrando evitar la solucion iterativa. Asimismo, el metodo del elemento finito permite resolver la ecuacion en derivadas parciales del tipo eliptico en su forma cuasiarmonica. Se presenta, ademas, el metodo seguido para introducir las condiciones de contorno; en especial, las condiciones de Kutta-Joukowsky y la de periodicidad, que distinguen a este problema de los problemas clasicos de flujos ideales valuados en el contorno.

  18. Oscillation of Angiogenesis and Vascular Dropout in Progressive Human Vascular Disease. [Vascular Pattern as Useful Read-Out of Complex Molecular Signaling

    Science.gov (United States)

    Parsons-Wingerter, Patricia

    2010-01-01

    When analyzed by VESsel GENeration Analysis (VESGEN) software, vascular patterns provide useful integrative read-outs of complex, interacting molecular signaling pathways. Using VESGEN, we recently discovered and published our innovative, surprising findings that angiogenesis oscillated with vascular dropout throughout progression of diabetic retinopathy, a blinding vascular disease. Our findings provide a potential paradigm shift in the current prevailing view on progression and treatment of this disease, and a new early-stage window of regenerative therapeutic opportunities. The findings also suggest that angiogenesis may oscillate with vascular disease in a homeostatic-like manner during early stages of other inflammatory progressive diseases such as cancer and coronary vascular disease.

  19. Diseño de un sistema de generación de chorro de agua de flujo laminar iluminado//Designing a system to generate water jet illuminated laminar flow

    Directory of Open Access Journals (Sweden)

    Néstor A. Ulloa-Auqui

    2015-09-01

    Full Text Available Se diseñó y fabricó exitosamente un Sistema de Generación de Chorro de Agua de Flujo Laminar Iluminado, el mismo tiene como finalidad desarrollar destrezas y capacidades en el laboratorio de fluidos cuando se realicen prácticas de variación de caudal para obtener diferentes alturas, alcances y observar como viajan las partículas de agua en un flujo laminar, fenómeno que se produce gracias a la iluminación de todo el chorro con la tecnología de la fibra óptica y un potenciador led RGB.  Los resultados obtenidos permiten realizar proyectos en el área de ornamentación que pueden ser utilizados de manera creativa en parques, hoteles, piscinas y piletas.  El estudio inicia con la determinación de las ecuaciones de cantidad de movimiento, balance de energía y movimiento parabólico que sirvieron para el cálculo hidráulico y selección de la bomba de caudal y boquilla del dispositivo. Palabras clave: flujo laminar, chorro de agua, fibra óptica, boquilla._____________________________________________________________________________AbstractA system to generate water jet illuminated laminar flow was successfully designed and fabricated, the same aims to develop skills and capabilities in the laboratory practices fluids when flow variation for different heights and ranges are made and watch the water particles traveling in laminar flow, phenomenon which occurs by lighting the whole jet technology with fiber optics and a RGB led enhancer.  The results obtained allow perform projects in the area of ornamentation, the same that can be used creatively in parks, hotels, swimming pools and fountains.  The study begins with the determination of the equations of momentum, energy balance and parabolic movement that served to the hydraulic calculation and selection of the pump flow and nozzle device. Key words: flow, laminar, waterjet, optical fiber, nozzle.

  20. [Vascular Calcification - Pathological Mechanism and Clinical Application - . Role of vascular smooth muscle cells in vascular calcification].

    Science.gov (United States)

    Kurabayashi, Masahiko

    2015-05-01

    Vascular calcification is commonly seen with aging, chronic kidney disese (CKD), diabetes, and atherosclerosis, and is closely associated with cardiovascular morbidity and mortality. Vascular calcification has long been regarded as the final stage of degeneration and necrosis of arterial wall and a passive, unregulated process. However, it is now known to be an active and tightly regulated process involved with phenotypic transition of vascular smooth muscle cells (VSMC) that resembles bone mineralization. Briefly, calcium deposits of atherosclerotic plaque consist of hydroxyapatite and may appear identical to fully formed lamellar bone. By using a genetic fate mapping strategy, VSMC of the vascular media give rise to the majority of the osteochondrogenic precursor- and chondrocyte-like cells observed in the calcified arterial media of MGP (- / -) mice. Osteogenic differentiation of VSMC is characterized by the expression of bone-related molecules including bone morphogenetic protein (BMP) -2, Msx2 and osteopontin, which are produced by osteoblasts and chondrocytes. Our recent findings are that (i) Runx2 and Notch1 induce osteogenic differentiation, and (ii) advanced glycation end-product (AGE) /receptor for AGE (RAGE) and palmitic acid promote osteogenic differentiation of VSMC. To understand of the molecular mechanisms of vascular calcification is now under intensive research area.

  1. Uterine Vascular Lesions

    Science.gov (United States)

    Vijayakumar, Abhishek; Srinivas, Amruthashree; Chandrashekar, Babitha Moogali; Vijayakumar, Avinash

    2013-01-01

    Vascular lesions of the uterus are rare; most reported in the literature are arteriovenous malformations (AVMs). Uterine AVMs can be congenital or acquired. In recent years, there has been an increasing number of reports of acquired vascular lesions of the uterus following pregnancy, abortion, cesarean delivery, and curettage. It can be seen from these reports that there is confusion concerning the terminology of uterine vascular lesions. There is also a lack of diagnostic criteria and management guidelines, which has led to an increased number of unnecessary invasive procedures (eg, angiography, uterine artery embolization, hysterectomy for abnormal vaginal bleeding). This article familiarizes readers with various vascular lesions of the uterus and their management. PMID:24340126

  2. Analysis of inflow in geothermal wells to determine their maximum flow; Analisis del influjo en pozos geotermicos para la determinacion de sus flujos maximos

    Energy Technology Data Exchange (ETDEWEB)

    Aragon-Aguilar, Alfonso; Izquierdo-Montalvo, Georgina; Pal-Verma, Mahendra; Santoyo-Gutierrez, Socrates [Instituto de Investigaciones Electricas (Mexico); Moya-Acosta, Sara L [Centro Nacional de Investigacion y Desarrollo Tecnologico (Mexico)

    2009-01-15

    Inflow performance relationships developed for petroleum and geothermal reservoirs are presented. Four of them were selected to be used in this work. Such relationships were developed considering features of a typical geothermal system. The performance of the selected relationships was assessed using data from production tests in several wells of different fields. A methodology is presented to determine the value of the maximum flow (W{sub max}) from the inflow relationships; its application is demonstrated using the data of the 10 production tests. It was found that the calculated value of W{sub max} under stabilization conditions may be related to the reservoir response. In general, there is a good agreement between the calculated values of W{sub max} from the different methods. The differences in the W{sub max} values vary within 10%. It was found that the stability in the calculated values of W{sub max} as a response of the reservoir is a function of the flow magnitude. So, the wells with flow greater than 200 t/h reach the stability of W{sub max} at openings 50% less of their total capacity. [Spanish] Se presentan las relaciones del comportamiento de influjo desarrolladas para yacimientos petroleros y geotermicos. Se seleccionaron cuatro de ellas para usar en este trabajo. Tales relaciones fueron desarrolladas considerando condiciones de un sistema geotermico tipico. Se analizo el comportamiento de las relaciones escogidas utilizando datos de pruebas de produccion de varios pozos de diferentes campos. Se presenta una metodologia para determinar el valor del flujo maximo (W{sub max}) a partir de las relaciones de influjo; se demuestra su aplicabilidad usando los datos de diez pruebas de produccion. Se encontro que el valor de W{sub max} calculado bajo condiciones de estabilizacion se puede relacionar con la respuesta del yacimiento. En general se encuentra buena concordancia entre los valores calculados de W{sub max} usando los diferentes metodos. Las

  3. Estrogen, vascular estrogen receptor and hormone therapy in postmenopausal vascular disease.

    Science.gov (United States)

    Khalil, Raouf A

    2013-12-15

    Cardiovascular disease (CVD) is less common in premenopausal women than men of the same age or postmenopausal women, suggesting vascular benefits of estrogen. Estrogen activates estrogen receptors ERα, ERβ and GPR30 in endothelium and vascular smooth muscle (VSM), which trigger downstream signaling pathways and lead to genomic and non-genomic vascular effects such as vasodilation, decreased VSM contraction and growth and reduced vascular remodeling. However, randomized clinical trials (RCTs), such as the Women's Health Initiative (WHI) and Heart and Estrogen/progestin Replacement Study (HERS), have shown little vascular benefits and even adverse events with menopausal hormone therapy (MHT), likely due to factors related to the MHT used, ER profile, and RCT design. Some MHT forms, dose, combinations or route of administration may have inadequate vascular effects. Age-related changes in ER amount, distribution, integrity and post-ER signaling could alter the vascular response to MHT. The subject's age, preexisting CVD, and hormone environment could also reduce the effects of MHT. Further evaluation of natural and synthetic estrogens, phytoestrogens, and selective estrogen-receptor modulators (SERMs), and the design of appropriate MHT combinations, dose, route and 'timing' could improve the effectiveness of conventional MHT and provide alternative therapies in the peri-menopausal period. Targeting ER using specific ER agonists, localized MHT delivery, and activation of specific post-ER signaling pathways could counter age-related changes in ER. Examination of the hormone environment and conditions associated with hormone imbalance such as polycystic ovary syndrome may reveal the causes of abnormal hormone-receptor interactions. Consideration of these factors in new RCTs such as the Kronos Early Estrogen Prevention Study (KEEPS) could enhance the vascular benefits of estrogen in postmenopausal CVD. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. The vascular surgery workforce: a survey of consultant vascular surgeons in the UK, 2014.

    Science.gov (United States)

    Harkin, D W; Beard, J D; Shearman, C P; Wyatt, M G

    2015-04-01

    The purpose of this study was to describe the demographics, training, and practice characteristics of consultant vascular surgeons across the UK to provide an assessment of current, and inform future prediction of workforce needs. A questionnaire was developed using a modified Delphi process to generate questionnaire items. The questionnaire was emailed to all consultant vascular surgeons (n = 450) in the UK who were members of the Vascular Society of Great Britain & Ireland. 352 consultant vascular surgeons from 95 hospital trusts across the UK completed the survey (78% response rate). The mean age was 50.6 years old, the majority (62%) were mid-career, but 24% were above the age of 55. Currently, 92% are men and only 8% women. 93% work full-time, with 60% working >50 hours, and 21% working >60 hours per week. The average team was 5 to 6 (range 2-10) vascular surgeons, with 23% working in a large team of ≥8. 17% still work in small teams of ≤3. Over 90% of consultant vascular surgeons perform the major index vascular surgery procedures (aneurysm repair, carotid endarterectomy, infra-inguinal bypass, amputation). While 84% perform standard endovascular abdominal aortic aneurysm repair (EVAR), <50% perform more complex endovascular aortic therapy. The majority of vascular surgeons "like their job" (85%) and are "satisfied" (69%) with their job. 34% of consultant vascular surgeons indicated they were "extremely likely" to retire within the next 10 years. This study provides the first detailed analysis of the new specialty of vascular surgery as practiced in the UK. There is a need to plan for a significant expansion in the consultant vascular surgeon workforce in the UK over the next 10 years to maintain the status quo. Copyright © 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

  5. Predicción a escala genómica de Componentes de Saccharomyces cerevisiae mediante Análisis de Balance de Flujos

    Directory of Open Access Journals (Sweden)

    César Augusto Vargas García

    2012-01-01

    Full Text Available Título en ingles: Prediction of genome scale  of Saccharomyces cerevisiae by flux balance analysis Resumen: El microorganismo Saccharomyces cerevisiae cuenta con gran número de modelos biológicos conocidos como reconstrucciones, las cuales pueden ser a escala genómica. De estas reconstrucciones a escala genómica provienen los modelos matemáticos, también llamados modelos estequiométricos. Una de las técnicas más usadas para estudiar estos modelos es el Análisis de Balance de Flujos (FBA. El proposito del FBA es predecir el crecimiento del microorganismo bajo estudio, y la producción y consumo de componentes como el etanol, CO2 glicerol, sucinato, acetato y piruvato. Para determinar si las predicciones obtenidas mediante FBA son únicas se utiliza la técnica de Análisis de Variabilidad Flujos (FVA. El presente trabajo muestra los resultados de aplicar el FBA a la reconstrucción reciente del microorganismo S. cerevisiae, la denominada iMM904 y los compara con un conjunto de datos experimentales presente en la literatura. Este trabajo también estudia la existencia de múltiples predicciones FBA utilizando la técnica FVA. Los resultados ilustran que es posible predecir el crecimiento del microorganimo S. cerevisiae, con errores entre el 11% y 28%;  la producción de CO2, con errores entre el 0.3% y 4.5% y la producción de etanol, con errores entre el 11% y 13%. Palabras clave: analisis de balance de flujos, reconstrucción a escala genómica, iMM904, S. cerevisiae. Abstract: Several biological models, named reconstructions, are used for the study of the S. cerevisiae microorganism. The reconstructions can be genomic scaled. Mathematical models are generated from the reconstructions and they are called stoichiometric models. The flux balance analysis (FBA is one of the tools used for the analysis of these models. The FBA attempts to predict the evolution of the microorganism and the consumption and production of components like

  6. Uso del modelo de Rasch para poner en la misma escala las puntuaciones de distintos tests

    Directory of Open Access Journals (Sweden)

    Gerardo Prieto-Adánez

    2003-01-01

    Full Text Available Los usuarios de los tests tienen que poner en una escala común las puntuaciones de distintos instrumentos en varias situaciones prácticas, tales como la evaluación académica, la selección de personal, los estudios acerca del cambio de un atributo psicológico o educativo, la construcción de bancos de ítems, la validación intercultural de tests y los estudios sobre el funcionamiento diferencial de los ítems. Situar en una escala común las puntuaciones de diferentes tests es una de las principales aplicaciones del modelo de Rasch. En este artículo, mostramos el proceso de equiparación de dos tests (diseño, análisis de datos e interpretación usando como anclaje un conjunto de ítems comunes.

  7. VEGFR tyrosine kinase inhibitor II (VRI) induced vascular insufficiency in zebrafish as a model for studying vascular toxicity and vascular preservation

    International Nuclear Information System (INIS)

    Li, Shang; Dang, Yuan Ye; Oi Lam Che, Ginny; Kwan, Yiu Wa; Chan, Shun Wan; Leung, George Pak Heng; Lee, Simon Ming Yuen; Hoi, Maggie Pui Man

    2014-01-01

    In ischemic disorders such as chronic wounds and myocardial ischemia, there is inadequate tissue perfusion due to vascular insufficiency. Besides, it has been observed that prolonged use of anti-angiogenic agents in cancer therapy produces cardiovascular toxicity caused by impaired vessel integrity and regeneration. In the present study, we used VEGFR tyrosine kinase inhibitor II (VRI) to chemically induce vascular insufficiency in zebrafish in vivo and human umbilical vein endothelial cells (HUVEC) in vitro to further study the mechanisms of vascular morphogenesis in these pathological conditions. We also explored the possibility of treating vascular insufficiency by enhancing vascular regeneration and repair with pharmacological intervention. We observed that pretreatment of VRI induced blood vessel loss in developing zebrafish by inhibiting angiogenesis and increasing endothelial cell apoptosis, accompanied by down-regulation of kdr, kdrl and flt-1 genes expression. The VRI-induced blood vessel loss in zebrafish could be restored by post-treatment of calycosin, a cardiovascular protective isoflavone. Similarly, VRI induced cytotoxicity and apoptosis in HUVEC which could be rescued by calycosin post-treatment. Further investigation of the underlying mechanisms showed that the PI3K/AKT/Bad cell survival pathway was a main contributor of the vascular regenerative effect of calycosin. These findings indicated that the cardiovascular toxicity in anti-angiogenic therapy was mainly caused by insufficient endothelial cell survival, suggesting its essential role in vascular integrity, repair and regeneration. In addition, we showed that VRI-induced blood vessel loss in zebrafish represented a simple and effective in vivo model for studying vascular insufficiency and evaluating cancer drug vascular toxicities. - Highlights: • In vivo VRI model • Rescue effects of calycosin • Calycosin EC survival pathways

  8. Posibles causas de aneurisma y pseudoaneurisma de la fístula arteriovenosa en pacientes con insuficiencia renal

    OpenAIRE

    Franco Pérez, Neobalis; Valdés Pérez, Calixto; Savigne Gutiérrez, William Orlando; Reynaldo Concepción, Daniel

    2015-01-01

    El acceso vascular ideal debe proporcionar un flujo adecuado a las necesidades de la diálisis, debe ser de larga duración y tener una baja tasa de complicaciones. La realización de una fístula autóloga se considera de primera elección como acceso vascular para la hemodiálisis. Si bien se conocen las causas de los aneurismas y pseudoaneurismas de las fistulas, estos son muy pocos frecuentes y por ello es importante conocer que aparecen. Mostramos varios casos de aneurismas y pseudoaneurismas d...

  9. Vascular pattern formation in plants.

    Science.gov (United States)

    Scarpella, Enrico; Helariutta, Ykä

    2010-01-01

    Reticulate tissue systems exist in most multicellular organisms, and the principles underlying the formation of cellular networks have fascinated philosophers, mathematicians, and biologists for centuries. In particular, the beautiful and varied arrangements of vascular tissues in plants have intrigued mankind since antiquity, yet the organizing signals have remained elusive. Plant vascular tissues form systems of interconnected cell files throughout the plant body. Vascular cells are aligned with one another along continuous lines, and vascular tissues differentiate at reproducible positions within organ environments. However, neither the precise path of vascular differentiation nor the exact geometry of vascular networks is fixed or immutable. Several recent advances converge to reconcile the seemingly conflicting predictability and plasticity of vascular tissue patterns. A control mechanism in which an apical-basal flow of signal establishes a basic coordinate system for body axis formation and vascular strand differentiation, and in which a superimposed level of radial organizing cues elaborates cell patterns, would generate a reproducible tissue configuration in the context of an underlying robust, self-organizing structure, and account for the simultaneous regularity and flexibility of vascular tissue patterns. Copyright 2010 Elsevier Inc. All rights reserved.

  10. Presence of cross flow in the Cerro Prieto geothermal field, BC; Presencia de flujo cruzado en el campo geotermico de Cerro Prieto, BC

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez Rodriguez, Marco Helio [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Residencia General de Cerro Prieto, Mexicali, Baja California (Mexico)]. E-mail: marco.rodriguez01@cfe.gob.mx

    2011-01-15

    medida en que la presion de los estratos productores declina, el diferencial de presion hidraulica entre ellos y los estratos sobreyacentes ha sido mayor. Esto ha propiciado que durante los ultimos anos el fenomeno de flujo cruzado se presente con mayor frecuencia y severidad. En este trabajo se analiza este fenomeno, detallando los mecanismos particulares que lo favorecen e identificando la etapa de perforacion o reparacion de pozos en la que comunmente se presenta. La supervision rigurosa durante esas etapas resulta crucial para poder identificar el flujo cruzado y para tomar las medidas necesarias para salvar el pozo. Se presentan tambien algunos casos de flujo cruzado en las diferentes etapas de un pozo: perforacion, reparacion, antes y durante la etapa de estimulacion y durante la etapa productiva.

  11. Identificación de distintos loci de susceptibilidad relacionados al desarrollo de diabetes de inicio temprano y enfermedad cardiovascular en familias mexicanas

    OpenAIRE

    Canizales-Quinteros, Samuel; Huertas-Vázquez, Adriana; Riba-Ramírez, Laura; Monroy-Guzmán, Adriana; Domínguez-López, Aarón; Romero-Hidalgo, Sandra; Aguilar-Salinas, Carlos; Rodríguez-Torres, Maribel; Ramírez-Jiménez, Salvador; Tusié-Luna, María Teresa

    2005-01-01

    La enfermedad arterial coronaria y la diabetes mellitus figuran entre las primeras causas de mortalidad y morbilidad en México. Factores genéticos juegan un papel fundamental en el desarrollo de estas entidades. A partir del reconocimiento y estudio de familias con formas monogénicas de diabetes y distintas dislipidemias asociadas al desarrollo de ateroesclerosis, se han identificado en los últimos años distintos genes y loci relacionados con estos padecimientos a través de estudios de mapeo ...

  12. Trauma de cráneo en pediatría conceptos, guias, controversias y futuro

    Directory of Open Access Journals (Sweden)

    Dr. K. Fernando Bobenrieth

    2011-09-01

    Full Text Available La siguiente es una revisión de los aspectos más importantes del conocimiento actual y las proyecciones futuras del manejo del trauma craneano en la edad pediátrica. El trauma craneano es una de las causas más importantes de muerte y discapacidad en niños, adolescentes y adultos jóvenes. Desde un punto de vista fisiopatológico se realizará una descripción de los tipos de lesión cerebral, clasificándola como primaria y secundaria. Se describirán los distintos tipos de trauma clasificados según su gravedad y se abordarán los aspectos más relevantes de su manejo. Luego se abordarán temas considerados controvertidos en el manejo del trauma grave con acento en monitorización, presión intra craneana, presión de perfusión cerebral, presión tisular de oxígeno, manitol, solución de sodio hipertónico e hipotermia. Finalmente, se comentarán desafíos futuros como la evaluación de las lesiones con resonancia magnética, el monitoreo y medición de metabolitos intra-cerebrales, el uso de doppler para la evaluación de la regulación del flujo sanguíneo cerebral, la medición de un índice de reactividad vascular y el uso de EEG continuo.

  13. Vascular grading of angiogenesis

    DEFF Research Database (Denmark)

    Hansen, S; Grabau, D A; Sørensen, Flemming Brandt

    2000-01-01

    The study aimed to evaluate the prognostic value of angiogenesis by vascular grading of primary breast tumours, and to evaluate the prognostic impact of adding the vascular grade to the Nottingham Prognostic Index (NPI). The investigation included 836 patients. The median follow-up time was 11...... years and 4 months. The microvessels were immunohistochemically stained by antibodies against CD34. Angiogenesis was graded semiquantitatively by subjective scoring into three groups according to the expected number of microvessels in the most vascular tumour area. The vascular grading between observers...... for 24% of the patients, who had a shift in prognostic group, as compared to NPI, and implied a better prognostic dissemination. We concluded that the angiogenesis determined by vascular grading has independent prognostic value of clinical relevance for patients with breast cancer....

  14. Vascular grading of angiogenesis

    DEFF Research Database (Denmark)

    Hansen, S; Grabau, D A; Sørensen, Flemming Brandt

    2000-01-01

    The study aimed to evaluate the prognostic value of angiogenesis by vascular grading of primary breast tumours, and to evaluate the prognostic impact of adding the vascular grade to the Nottingham Prognostic Index (NPI). The investigation included 836 patients. The median follow-up time was 11...... years and 4 months. The microvessels were immunohistochemically stained by antibodies against CD34. Angiogenesis was graded semiquantitatively by subjective scoring into three groups according to the expected number of microvessels in the most vascular tumour area. The vascular grading between observers...... impact for 24% of the patients, who had a shift in prognostic group, as compared to NPI, and implied a better prognostic dissemination. We concluded that the angiogenesis determined by vascular grading has independent prognostic value of clinical relevance for patients with breast cancer....

  15. Preparation and features of polycaprolactone vascular grafts with the incorporated vascular endothelial growth factor

    Energy Technology Data Exchange (ETDEWEB)

    Sevostyanova, V. V., E-mail: sevostyanova.victoria@gmail.com; Khodyrevskaya, Y. I.; Glushkova, T. V.; Antonova, L. V.; Kudryavtseva, Y. A.; Barbarash, O. L.; Barbarash, L. S. [Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo (Russian Federation)

    2015-10-27

    The development of tissue-engineered small-diameter vascular grafts is an urgent issue in cardiovascular surgery. In this study, we assessed how the incorporation of the vascular endothelial growth factor (VEGF) affects morphological and mechanical properties of polycaprolactone (PCL) vascular grafts along with its release kinetics. Vascular grafts were prepared using two-phase electrospinning. In pursuing our aims, we performed scanning electron microscopy, mechanical testing, and enzyme-linked immunosorbent assay. Our results demonstrated the preservation of a highly porous structure and improvement of PCL/VEGF scaffold mechanical properties as compared to PCL grafts. A prolonged VEGF release testifies the use of this construct as a scaffold for tissue-engineered vascular grafts.

  16. ESTUDIO DE LA INFLUENCIA DE LAS CARACTERÍSTICAS DEL FLUJO INTERNO EN TOBERAS SOBRE EL PROCESO DE INYECCIÓN DIÉSEL EN CAMPO PRÓXIMO

    OpenAIRE

    De La Morena Borja, Joaquín

    2011-01-01

    La formación de la mezcla aire-combustible es uno de los procesos que tienen un efecto de mayor importancia en las prestaciones y las emisiones de contaminantes de los motores Diesel. Con el objetivo de incrementar el conocimiento respecto a este fenómeno numerosos estudios, tanto teóricos como experimentales, así como de modelado fluidodinámico, han sido desarrollados a lo largo de las últimas décadas. Sin embargo, el estudio del flujo en el interior de las toberas de inyección, así como su ...

  17. Patrones y flujos de la migración interna en la Gran Área Metropolitana de Costa Rica, en el período 1995-2000

    OpenAIRE

    Wendy Molina-Varela

    2009-01-01

    Los más recientes cambios en los patrones de migración interna en varios países de Latinoamérica, apuntan a los crecientes flujos de migración intrametropolitana desde los centros urbanos hacia la periferia, asociados a procesos de urbanización residencial de zonas rurales cercanas a la zona metropolitana. Este artículo analiza este fenómeno para Costa Rica, estimando los patrones de migración interna dentro del Gran Área Metropolitana (GAM), y tratando de determinar algunos factores de atr...

  18. Double-filter identification of vascular-expressed genes using Arabidopsis plants with vascular hypertrophy and hypotrophy.

    Science.gov (United States)

    Ckurshumova, Wenzislava; Scarpella, Enrico; Goldstein, Rochelle S; Berleth, Thomas

    2011-08-01

    Genes expressed in vascular tissues have been identified by several strategies, usually with a focus on mature vascular cells. In this study, we explored the possibility of using two opposite types of altered tissue compositions in combination with a double-filter selection to identify genes with a high probability of vascular expression in early organ primordia. Specifically, we generated full-transcriptome microarray profiles of plants with (a) genetically strongly reduced and (b) pharmacologically vastly increased vascular tissues and identified a reproducible cohort of 158 transcripts that fulfilled the dual requirement of being underrepresented in (a) and overrepresented in (b). In order to assess the predictive value of our identification scheme for vascular gene expression, we determined the expression patterns of genes in two unbiased subsamples. First, we assessed the expression patterns of all twenty annotated transcription factor genes from the cohort of 158 genes and found that seventeen of the twenty genes were preferentially expressed in leaf vascular cells. Remarkably, fifteen of these seventeen vascular genes were clearly expressed already very early in leaf vein development. Twelve genes with published leaf expression patterns served as a second subsample to monitor the representation of vascular genes in our cohort. Of those twelve genes, eleven were preferentially expressed in leaf vascular tissues. Based on these results we propose that our compendium of 158 genes represents a sample that is highly enriched for genes expressed in vascular tissues and that our approach is particularly suited to detect genes expressed in vascular cell lineages at early stages of their inception. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  19. Proatherogenic pathways leading to vascular calcification

    International Nuclear Information System (INIS)

    Mazzini, Michael J.; Schulze, P. Christian

    2006-01-01

    Cardiovascular disease is the leading cause of morbidity and mortality in the western world and atherosclerosis is the major common underlying disease. The pathogenesis of atherosclerosis involves local vascular injury, inflammation and oxidative stress as well as vascular calcification. Vascular calcification has long been regarded as a degenerative process leading to mineral deposition in the vascular wall characteristic for late stages of atherosclerosis. However, recent studies identified vascular calcification in early stages of atherosclerosis and its occurrence has been linked to clinical events in patients with cardiovascular disease. Its degree correlates with local vascular inflammation and with the overall impact and the progression of atherosclerosis. Over the last decade, diverse and highly regulated molecular signaling cascades controlling vascular calcification have been described. Local and circulating molecules such as osteopontin, osteoprogerin, leptin and matrix Gla protein were identified as critical regulators of vascular calcification. We here review the current knowledge on molecular pathways of vascular calcification and their relevance for the progression of cardiovascular disease

  20. Uso de redes neuronales para optimizar simulaciones en un modelo de flujo de pasajeros en aeropuertos

    Directory of Open Access Journals (Sweden)

    Joaquin Pacheco

    2002-01-01

    Full Text Available Uno de nuestros principales objetivos es el diseño de métodos de aprendizaje de redes neuronales que sean rápidos a la vez que den buenas soluciones o vectores de pesos. Una de las aplicaciones donde se necesita un método rápido (on-line de aprendizaje de las redes neuronales es en la optimización de simulaciones. En este informe se proponen un sencillo algoritmo de búsqueda local para optimizar simulaciones, con una aplicación a un interesante modelo de flujo de pasajeros en un aeropuerto. En este problema se contemplan la minimización del tiempo de recorrido de los pasajeros con una adecuada distribución de los recursos. Este método incorpora el uso de una red neuronal para acelerar la optimización. Se va a comparar el efecto del uso de los pesos obtenidos por diferentes métodos de aprendizaje de la red neuronal, propuestos recientemente para este fin.

  1. Vascular Remodeling in Experimental Hypertension

    Directory of Open Access Journals (Sweden)

    Norma R. Risler

    2005-01-01

    Full Text Available The basic hemodynamic abnormality in hypertension is an increased peripheral resistance that is due mainly to a decreased vascular lumen derived from structural changes in the small arteries wall, named (as a whole vascular remodeling. The vascular wall is an active, flexible, and integrated organ made up of cellular (endothelial cells, smooth muscle cells, adventitia cells, and fibroblasts and noncellular (extracellular matrix components, which in a dynamic way change shape or number, or reorganize in response to physiological and pathological stimuli, maintaining the integrity of the vessel wall in physiological conditions or participating in the vascular changes in cardiovascular diseases such as hypertension. Research focused on new signaling pathways and molecules that can participate in the mechanisms of vascular remodeling has provided evidence showing that vascular structure is not only affected by blood pressure, but also by mechanisms that are independent of the increased pressure. This review will provide an overview of the evidence, explaining some of the pathophysiologic mechanisms participating in the development of the vascular remodeling, in experimental models of hypertension, with special reference to the findings in spontaneously hypertensive rats as a model of essential hypertension, and in fructose-fed rats as a model of secondary hypertension, in the context of the metabolic syndrome. The understanding of the mechanisms producing the vascular alterations will allow the development of novel pharmacological tools for vascular protection in hypertensive disease.

  2. Entrenamiento con restricción del flujo sanguíneo e hipertrofia muscular. [Blood flow restriction training and muscle hypertrophy].

    Directory of Open Access Journals (Sweden)

    Carlos Reina-Ramos

    2014-10-01

    Full Text Available El entrenamiento de fuerza orientado a aumentar la masa muscular se ha convertido en un objetivo común en programas de entrenamiento tanto en deportistas de alto rendimiento como en personas que realizan programas de actividad física con objetivo de mejorar su salud o calidad de vida. Generalmente, el trabajo de fuerza orientado hacia la hipertrofia muscular se ha asociado con la utilización de altas cargas de trabajo (70-85% de 1 RM. Actualmente, se ha propuesto que el entrenamiento de fuerza con cargas de tan solo el 20% de 1 RM realizadas en condiciones de restricción del flujo sanguíneo podría provocar incrementos en los niveles de fuerza y masa muscular similares a los observados al ejercitarse con cargas altas. Dado que ciertos colectivos podrían beneficiarse del empleo de bajas cargas en sus programas de entrenamiento orientados a incrementar la masa muscular, el objetivo del presente trabajo de revisión bibliográfica ha sido el de revisar en la literatura las evidencias que existen en torno a la efectividad del entrenamiento con restricción del flujo sanguíneo a la hora de provocar hipertrofia muscular. Abstract Strength training focuses on increasing muscle mass has become in a frequent target in training programs in both elite athletes and people performing physical activity programs to improve their health or quality of life. Generally, the resistance training oriented muscle hypertrophy has been associated with the use of high workloads (70-85% of 1RM. Currently, it has been proposed that the resistance training with loads of only 20% 1RM under conditions of restricted blood flow can induce increases in strength levels similar to resistance training with high intensities. Because certain groups could benefit from the use of low loads in their strength training programs designed to increase muscle mass, the objective of the present study was to review the literature on the existing evidence about the effectiveness of blood

  3. Percepción de los jugadores de fútbol, de distinto nivel, sobre sus entrenadores

    Directory of Open Access Journals (Sweden)

    Antonio Rosado

    2007-01-01

    Full Text Available El conocimiento de la percepción que los deportistas tienen de su entrenador, y de los rasgos valorados por los mismos, supone un paso importante para la optimización de la relación entrenador-jugador. El objetivo de la presente investigación es caracterizar la percepción que los jugadores de fútbol senior de distinto nivel (amateurs y Liga Portuguesa de fútbol poseen de sus entrenadores. La versión portuguesa del Player Coach Interaction Inventory, de Medford (Medford y Thorpe, 1986 fue aplicada a un total de 195 futbolistas. Los resultados muestran una imagen positiva de los entrenadores, no existiendo diferencias significativas entre los grupos en función del nivel de práctica, excepto en la característica "con capacidad constante". Las características más valoradas son las asociadas al factor cualidades personales (sincero, seguro de si, honesto, inteligente y motivador, y las menos valoradas las asociadas al factor liderazgo (experto, dinámico, experimentado, ejemplar y con capacidades variadas.

  4. Avaliação da sonolência em estudantes universitários de turnos distintos Evaluación de la somnolencia en estudiantes universitarios de turnos distintos Evaluation of sleepiness in college students from different shifts

    Directory of Open Access Journals (Sweden)

    Danilo de Freitas Araújo

    2012-08-01

    Full Text Available Estudantes de graduação possuem altas chances de apresentar Sonolência Diurna Excessiva, devido aos horários escolares e às demandas acadêmicas. Por isso, pretendeu-se analisar níveis de sonolência de estudantes de turnos distintos. O universo foi constituído por 109 graduandos do turno matutino e 125 do noturno. Utilizou-se a Escala de Sonolência de Epworth. A amostra apresentou média total de 9,38 (DP=4,03, sendo 9,03 (DP=4,01 para o turno matutino e 9,7 (DP=3,93 para o noturno. Foram detectadas diferenças significativas nos níveis de sonolência entre turnos (η² =0,10;p Estudiantes de graduación poseen altas posibilidades de presentar Somnolencia Diurna Excesiva, debido a los horarios escolares y a las demandas académicas. Por eso, se pretendió analizar niveles de somnolencia de estudiantes de turnos distintos. El universo fue constituido por 109 graduandos del turno matutino y 125 del nocturno. Se utilizó la Escala de Somnolencia de Epworth. La muestra presentó promedio total de 9,38 (DP=4,03, siendo 9,03 (DP=4,01 para el turno matutino y 9,7 (DP=3,93 para el nocturno. Fueron detectadas diferencias significativas en los niveles de somnolencia entre turnos (η²=0,10; pUndergraduate students are a population with high chances of developing Excessive Daytime Sleepiness, due to school schedules and academic demands. Our aim was to examine the levels of sleepiness of students belonging to morning and night classes. The universe has consisted of 109 undergraduate students of the morning shift and 125 of the night shift. We have used the Epworth Sleepiness Scale. The sample had an average of 9.38 (SD=4.03, and 9.03 (SD=4.01 for the morning shift and 9.7 (SD=3.93 for the night shift. Statistical analysis showed significant differences in sleepiness between shifts (η²=0,10; p<0,00, and among male subjects and female in the two shifts (η²=0,45; p<0,00. It should therefore be considered the role of academic demands, since they

  5. Vascular injuries of the upper extremity Lesões vasculares de membros superiores

    Directory of Open Access Journals (Sweden)

    Raafat Shalabi

    2006-12-01

    Full Text Available OBJECTIVE: This study analyzes the causes of injuries, presentations, surgical approaches, outcome and complications of vascular trauma of the upper limbs, in spite of limited hospital resources. METHODS: A 5-year retrospective analysis. From 01/01/2001 to 31/12/2005, 165 patients were operated for vascular injuries at King Fahd Hospital, Medina, Saudi Arabia. Of all peripheral vascular trauma patients (115, upper limb trauma was present in 58. Diagnosis was made by physical examination and hand-held Doppler alone or in combination with Doppler scan/angiography. Primary vascular repair was performed whenever possible; otherwise, the interposition vein graft was used. Fasciotomy was considered when required. Patients with unsalvageable lower extremity injury requiring primary amputation were excluded from the study. RESULTS: Fifty patients were male (86% and eight were female (14%, aged between 2.5-55 years (mean 23 years. Mean duration of presentation was 8 h after the injury. The most common etiological factor was road traffic accidents, accounting for 50.5% in the blunt trauma group and 33% among all penetrating and stab wound injuries. Incidence of concomitant orthopedic injuries was very high in our study (51%. The brachial artery was the most affected (51%. Interposition vein grafts were used in 53% of the cases. Limb salvage rate was 100%. CONCLUSION: Patients who suffer vascular injuries of the upper extremities should be transferred to vascular surgery centers as soon as possible. Decisive management of peripheral vascular trauma will maximize patient survival and limb salvage. Priorities must be established in the management of associated injuries, and delay must be avoided when ischemic changes are present.OBJETIVO: Este estudo analisa as causas de lesões, apresentação, abordagens cirúrgicas, desfechos e complicações do trauma vascular de membros superiores, apesar de recursos hospitalares limitados. MÉTODOS: An

  6. reciente y retos futuros

    Directory of Open Access Journals (Sweden)

    Pablo Mejía Reyes

    2005-01-01

    Full Text Available Este documento analiza la evolución reciente de la IED en México y en sus distintos estados. Específicamente se estudia la correlación estadística entre los flujos de IED a los estados del país y variables que miden el potencial del mercado, la calidad de los factores de la producción, las políticas gubernamentales y su efectividad, y la estabilidad política o laboral y la seguridad pública. Los resultados sugieren que el potencial de mercado ha sido un factor importante en la atracción de IED, en tanto que los demás factores han tenido un papel modesto en el mejor de los casos.

  7. Pediatric central nervous system vascular malformations

    Energy Technology Data Exchange (ETDEWEB)

    Burch, Ezra A. [Brigham and Women' s Hospital, Department of Radiology, Boston, MA (United States); Orbach, Darren B. [Boston Children' s Hospital, Neurointerventional Radiology, Boston, MA (United States)

    2015-09-15

    Pediatric central nervous system (CNS) vascular anomalies include lesions found only in the pediatric population and also the full gamut of vascular lesions found in adults. Pediatric-specific lesions discussed here include infantile hemangioma, vein of Galen malformation and dural sinus malformation. Some CNS vascular lesions that occur in adults, such as arteriovenous malformation, have somewhat distinct manifestations in children, and those are also discussed. Additionally, children with CNS vascular malformations often have associated broader vascular conditions, e.g., PHACES (posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies, eye anomalies and sternal anomalies), hereditary hemorrhagic telangiectasia, and capillary malformation-arteriovenous malformation syndrome (related to the RASA1 mutation). The treatment of pediatric CNS vascular malformations has greatly benefited from advances in endovascular therapy, including technical advances in adult interventional neuroradiology. Dramatic advances in therapy are expected to stem from increased understanding of the genetics and vascular biology that underlie pediatric CNS vascular malformations. (orig.)

  8. Pediatric central nervous system vascular malformations

    International Nuclear Information System (INIS)

    Burch, Ezra A.; Orbach, Darren B.

    2015-01-01

    Pediatric central nervous system (CNS) vascular anomalies include lesions found only in the pediatric population and also the full gamut of vascular lesions found in adults. Pediatric-specific lesions discussed here include infantile hemangioma, vein of Galen malformation and dural sinus malformation. Some CNS vascular lesions that occur in adults, such as arteriovenous malformation, have somewhat distinct manifestations in children, and those are also discussed. Additionally, children with CNS vascular malformations often have associated broader vascular conditions, e.g., PHACES (posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies, eye anomalies and sternal anomalies), hereditary hemorrhagic telangiectasia, and capillary malformation-arteriovenous malformation syndrome (related to the RASA1 mutation). The treatment of pediatric CNS vascular malformations has greatly benefited from advances in endovascular therapy, including technical advances in adult interventional neuroradiology. Dramatic advances in therapy are expected to stem from increased understanding of the genetics and vascular biology that underlie pediatric CNS vascular malformations. (orig.)

  9. Labor Migration from Mexico City to the United States

    Directory of Open Access Journals (Sweden)

    Fernando Lozano Ascencio

    2004-01-01

    Full Text Available La acelerada urbanización de la sociedad mexicana es un proceso fuertemente asociado a la creciente participación de población de origen urbano en el flujo migratorio hacia Estados Unidos. Esta “urbanización” del flujo laboral internacional ha promovido cambios en el perfil de la migración mexicana hacia Estados Unidos. El presente artículo examina la dinámica social de la migración internacional en contextos urbanos, particularmente en la zona metropolitana de la ciudad de México (ZMCM. Con base en la perspectiva de los sistemas migratorios, el artículo explora la forma en que opera la migración internacional en dicha ciudad y las diferentes estrategias migratorias adoptadas por los migrantes de ella. Se analizan las características socioeconómicas y demográficas de los individuos incluidos en la encuesta de la ciudad de México (levantada por el autor, sus patrones de migración interna e internacional y las características generales de su experiencia migratoria a Estados Unidos. Finalmente, se presentan algunos resúmenes biográficos que ilustran distintos patrones migratorios desde la ciudad de México.

  10. Injuries to the vascular endothelium: vascular wall and endothelial dysfunction.

    Science.gov (United States)

    Fisher, Mark

    2008-01-01

    Vascular endothelial injury has multiple elements, and this article focuses on ischemia-related processes that have particular relevance to ischemic stroke. Distinctions between necrotic and apoptotic cell death provide a basic science context in which to better understand the significance of classical core and penumbra concepts of acute stroke, with apoptotic processes particularly prominent in the penumbra. The mitochondria are understood to serve as a reservoir of proteins that mediate apoptosis. Oxidative stress pathways generating reactive oxygen species (ROS) are prominent in endothelial injury, both ischemic and nonischemic, with prominent roles of enzyme- and nonenzymemediated pathways; mitochondria once again have a critical role, particularly in the nonenzymatic pathways generating ROS. Inflammation also contributes to vascular endothelial injury, and endothelial cells have the capacity to rapidly increase expression of inflammatory mediators following ischemic challenge; this leads to enhanced leukocyte-endothelial interactions mediated by selectins and adhesion molecules. Preconditioning consists of a minor version of an injurious event, which in turn may protect vascular endothelium from injury following a more substantial event. Presence of the blood-brain barrier creates unique responses to endothelial injury, with permeability changes due to impairment of endothelial-matrix interactions compounding altered vasomotor tone and tissue perfusion mediated by nitric oxide. Pharmacological protection against vascular endothelial injury can be provided by several of the phosphodiesterases (cilostazol and dipyridamole), along with statins. Optimal clinical responses for protection of brain vascular endothelium may use preconditioning as a model, and will likely require combined protection against apoptosis, ROS, and inflammation.

  11. Revisión de los niveles de acidos grasos trans encontrados en distintos tipos de alimentos

    Directory of Open Access Journals (Sweden)

    Vicario, I. M.

    2007-03-01

    Full Text Available In this paper a comprehensive review of trans-fatty acid levels reported in different types of food products is offered. The lowest levels are found in some types of bread (0,1% while the highest levels (up to 40% are found in fried potatoes. Some foods like shortenings, cakes and pastries may have up to 30% of these fatty acids. In milk and dairy products the reported levels are between 1.50% and 5.20%, in meat and derived products between 0.20% and 21,30%; in chocolates from 0% to 15, 70%. The greatest variability is found in margarines, where a variety has been reported from “trans-free products” to products containing up to 34. 30%. In relation to the trans-fatty acid profile, 18:1t is the most abundant fatty acid found in the majority of foods, followed by C18:2t, C18:3t, C18:1t y C14:1t. Due to the negative health effects of these fatty acids, there is a trend to reduce their levels in food products and to include them in the nutritional label of food packaging.En este trabajo se realiza una exhaustiva revisión bibliográfica de los contenidos en grasos trans en alimentos de distinto origen. Los niveles más bajos se encuentran en algunos tipos de pan (0,10%, y los más elevados (hasta 40%, en algunas muestras de patatas fritas. Alimentos tales como shortenings, algunos tipos de galletas y bollería contienen hasta el 30% de dichos ácidos grasos. En las leches y derivados se encuentran cantidades entre 1,50% y 5,20%; en carnes y derivados entre 0,20% y 21,30%; en chocolates desde cantidades nulas hasta 15,70%. La mayor variabilidad se registra en margarinas, entre las que se encuentran desde las “libres de trans”, hasta algunas con 34,30% de estos ácidos grasos. En cuanto a los distintos isómeros, el mayoritario es el C18:1t seguido del C18:2t, C18:3t, C18:1t y C14:1t. Debido a los efectos desfavorables que presentan sobre la salud se observa en los últimos años una tendencia a reducir este tipo de ácidos grasos en algunos

  12. Numerical Analysis of Turbulent Structures with a {kappa}-{epsilon} 3D Model of a Flow over a Cubic Obstacle; Estudio numerico de estructuras turbulentas con un modelo {kappa}-{epsilon} en 3D de un flujo sobre un obstaculo cubico

    Energy Technology Data Exchange (ETDEWEB)

    Millan Barrera, Cecia; Ramirez Leon, Hermilo [Instituto Mexicano de Tecnologia del Agua, Jiutepec, Morelos (Mexico)

    2001-12-01

    A numerical analysis is applied to a flow in an open channel and deformed by a three dimensional obstacle. The proposed model solves the 3-D Navier-Stokes equations, to which a {kappa}-{epsilon} turbulence model is coupled. The numerical analysis was constructed using a finite difference formulation for time evaluation purposed and staggered cells for space evaluation. The main goal of the present work was to study the turbulent structures and patterns of the flow due to an obstacle at the bottom of the channel plate. Our results are according to those found in the related literature. Flow patterns allow establishing the generation of turbulent structures by means of a comparison between this study and a most recent related work that evaluates the vorticity of the flow. [Spanish] Se reportan los resultados obtenidos, mediante simulaciones numericas, del movimiento del flujo en un canal con superficie libre y un obstaculo en el fondo. El sistema ecuaciones utilizado resuelve las ecuaciones de Navier-Stokes en tres dimensiones, al cual se le acoplo un modelo de turbulencia tipo {kappa}-{epsilon}. La solucion se obtiene numericamente utilizando un esquema en diferencias finitas para la evaluacion temporal de las variables y una celda escalonada para la evaluacion espacial de las mismas. El objetivo del modelo es estudiar los patrones de flujo y las estructuras turbulentas que se generan debido a la presencia del obstaculo. El estudio se realizo para un flujo en tres dimensiones. Los resultados son satisfactorios, ya que muestran concordancia con otros estudios numericos y experimentales encontrados en la literatura.

  13. Numerical simulation by CFD of the behavior of the Inter stage 1 flow in stable state of a gas turbine Frame 7; Simulacion numerica por CFD del comportamiento del flujo en la inter etapa 1 en estado estable de una turbina de gas frame 7

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez R, Alejandro; Lopez H, Juan Arturo R; Mazur Czerwiec, Zdizslaw; Cordero G, Jesus [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2006-07-01

    This technical article presents an analysis including the three-dimensional modeling of the flow channel in the nozzle and the movable blade in order to discover the velocity distribution, temperatures and pressures of the main hot gas flow produced in the inter-stage 1. The aim is to establish key evaluation criteria leading to an opportune repair and therefore smaller operation expenses. Thus, the application of a commercial software of CFD is described to model the channel of the first stage in the gas turbine Frame 7, the geometric architecture is shown in the web of the gas turbine, as well as the border conditions used in the results assessment. [Spanish] Este articulo tecnico presenta un analisis que incluye la modelacion tridimensional del canal de flujo en la tobera y el alabe movil para conocer las distribuciones de las velocidades, temperaturas y presiones del flujo principal de gases calientes que se desarrollan en la inter-etapa 1. El fin es establecer criterios clave de evaluacion que conduzcan a una oportuna reparacion y por ende menores gastos de operacion. Asi, se describe la aplicacion de un software comercial de CFD para modelar el canal de flujo de la primera etapa de una turbina de gas Frame 7, se muestra la arquitectura geometrica y el mallado de la turbina de gas, asi como las condiciones de frontera usadas y la validacion de resultados.

  14. Vascular malformations in pediatrics

    International Nuclear Information System (INIS)

    Reith, W.; Shamdeen, M.G.

    2003-01-01

    Vascular malformations are the cause of nearly all non-traumatic intracranial hemorrhage in children beyond the neonatal stage. Therefore, any child presenting with spontaneous intracranial hemorrhage should be evaluated for child abuse and for vascular malformations. Intracerebral malformations of the cerebral vasculature include vein of Galen malformations, arteriovenous malformation (AVM), cavernomas, dural arteriovenous fistulas, venous anomalies (DVA), and capillary teleangiectasies. Although a few familial vascular malformation have been reported, the majority are sporadic. Clinical symptoms, diagnostic and therapeutic options are discussed. (orig.) [de

  15. Contemporary vascular smartphone medical applications.

    Science.gov (United States)

    Carter, Thomas; O'Neill, Stephen; Johns, Neil; Brady, Richard R W

    2013-08-01

    Use of smartphones and medical mHealth applications (apps) within the clinical environment provides a potential means for delivering elements of vascular care. This article reviews the contemporary availability of apps specifically themed to major vascular diseases and the opportunities and concerns regarding their integration into practice. Smartphone apps relating to major vascular diseases were identified from the app stores for the 6 most popular smartphone platforms, including iPhone, Android, Blackberry, Nokia, Windows, and Samsung. Search terms included peripheral artery (arterial) disease, varicose veins, aortic aneurysm, carotid artery disease, amputation, ulcers, hyperhydrosis, thoracic outlet syndrome, vascular malformation, and lymphatic disorders. Forty-nine vascular-themed apps were identified. Sixteen (33%) were free of charge. Fifteen apps (31%) had customer satisfaction ratings, but only 3 (6%) had greater than 100. Only 13 apps (27%) had documented medical professional involvement in their design or content. The integration of apps into the delivery of care has the potential to benefit vascular health care workers and patients. However, high-quality apps designed by clinicians with vascular expertise are currently lacking and represent an area of concern in the mHealth market. Improvement in the quality and reliability of these apps will require the development of robust regulation. Copyright © 2013 Elsevier Inc. All rights reserved.

  16. Expression of Vascular Endothelial Growth Factor Receptors in Benign Vascular Lesions of the Orbit: A Case Series.

    Science.gov (United States)

    Atchison, Elizabeth A; Garrity, James A; Castillo, Francisco; Engman, Steven J; Couch, Steven M; Salomão, Diva R

    2016-01-01

    Vascular lesions of the orbit, although not malignant, can cause morbidity because of their location near critical structures in the orbit. For the same reason, they can be challenging to remove surgically. Anti-vascular endothelial growth factor (VEGF) drugs are increasingly being used to treat diseases with prominent angiogenesis. Our study aimed to determine to what extent VEGF receptors and their subtypes are expressed on selected vascular lesions of the orbit. Retrospective case series of all orbital vascular lesions removed by one of the authors (JAG) at the Mayo Clinic. A total of 52 patients who underwent removal of vascular orbital lesions. The pathology specimens from the patients were retrieved, their pathologic diagnosis was confirmed, demographic and clinical information were gathered, and sections from vascular tumors were stained with vascular endothelial growth factor receptor (VEGFR), vascular endothelial growth factor receptor type 1 (VEGFR1), vascular endothelial growth factor receptor type 2 (VEGFR2), and vascular endothelial growth factor receptor type 3 (VEGFR3). The existence and pattern of staining with VEGF and its subtypes on these lesions. There were 28 specimens of venous malformations, 4 capillary hemangiomas, 7 lymphatic malformations, and 6 lymphaticovenous malformations. All samples stained with VEGF, 55% stained with VEGFR1, 98% stained with VEGFR2, and 96% stained with VEGFR3. Most (94%) of the VEGFR2 staining was diffuse. Most orbital vascular lesions express VEGF receptors, which may suggest a future target for nonsurgical treatment. Copyright © 2016 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  17. Simulación del flujo de gas en ductos de escape de motores de combustión interna: Primera parte: aspectos teóricos

    OpenAIRE

    Mantilla, Juan Miguel; Falla, Camilo Andrés; Gómez, Jorge Arturo

    2009-01-01

    La simulación del sistema de escape de un motor de combustión de cuatro tiempos encendido por chispa se puede realizar a partir de la teoría de flujo inestable de gases utilizando ondas de presión. El método aquí explicado se basa en la discretización de espacios interpolables denominados mallas, que se ubican a lo largo de toda la tubería sin importar la forma o el tamaño de ésta. Se hace entonces una exploración teórica por los aspectos más importantes, como son el movimiento y choque de la...

  18. Deficiency of superoxide dismutase promotes cerebral vascular hypertrophy and vascular dysfunction in hyperhomocysteinemia.

    Directory of Open Access Journals (Sweden)

    Sanjana Dayal

    Full Text Available There is an emerging consensus that hyperhomocysteinemia is an independent risk factor for cerebral vascular disease and that homocysteine-lowering therapy protects from ischemic stroke. However, the mechanisms by which hyperhomocysteinemia produces abnormalities of cerebral vascular structure and function remain largely undefined. Our objective in this study was to define the mechanistic role of superoxide in hyperhomocysteinemia-induced cerebral vascular dysfunction and hypertrophy. Unlike previous studies, our experimental design included a genetic approach to alter superoxide levels by using superoxide dismutase 1 (SOD1-deficient mice fed a high methionine/low folate diet to produce hyperhomocysteinemia. In wild-type mice, the hyperhomocysteinemic diet caused elevated superoxide levels and impaired responses to endothelium-dependent vasodilators in cerebral arterioles, and SOD1 deficiency compounded the severity of these effects. The cross-sectional area of the pial arteriolar wall was markedly increased in mice with SOD1 deficiency, and the hyperhomocysteinemic diet sensitized SOD1-deficient mice to this hypertrophic effect. Analysis of individual components of the vascular wall demonstrated a significant increase in the content of smooth muscle and elastin. We conclude that superoxide is a key driver of both cerebral vascular hypertrophy and vasomotor dysfunction in this model of dietary hyperhomocysteinemia. These findings provide insight into the mechanisms by which hyperhomocysteinemia promotes cerebral vascular disease and ischemic stroke.

  19. Nilai Rerata Vascular Pedicle Width, Vascular Pedicle-Cardiac Ratio Vascular Pedicle-Thoracic Ratio Orang Dewasa Normal Indonesia Studi di RS dr. Cipto Mangunkusomo

    Directory of Open Access Journals (Sweden)

    Rommy Zunera

    2016-03-01

    Full Text Available Vascular pedicle width (VPW adalah jarak tepi luar vena kava superior ke tepi luar arteri subklavia kiri. Pemeriksaan VPW di foto toraks bersifat non-invasif, cepat dan mudah untuk memprediksi hipervolemia.Penelitian ini bertujuan untuk mengetahui rerata nilai VPW orang dewasa normal Indonesia. VPW diukurdengan dua metode: pertama pengukuran VPW tunggal yang akurasinya terbatas di foto toraks digital karenarelatif tidak dipengaruhi faktor magnifikasi. Metode kedua untuk foto toraks nondigital yaitu pengukuranrasio:vascular pedicle-cardiac ratio (VPCR dan vascular pedicle-thoracic ratio (VPTR. Pengukuran serupadilakukan terhadap  topogram CT scan toraks AP terlentang dan CT scan toraks lalu dibandingkan akurasipengukuran di topogram dengan CT scan  toraks sebagai standar baku. Sampel terdiri atas 104 foto toraksPA subyek normal dan 103 CT scan  toraks subyek terpilih. Pada pemeriksaan toraks PA didapatkan rerata VPW 48,0±5,5mm, rerata VPCR 40,3±4,6%, dan rerata VPTR 17,2±1,7%. Pada pemeriksaan topogram CTscan didapatkan rerata VPW 50,3±6,2mm, rerata VPTR 45±5,1%, dan rerata VPTR 19,8±2,5%. Rerata VPWpada CT scan toraks 50,4±6,1mm. Pengukuran di foto toraks AP 10% lebih besar dibandingkan pada fototoraks PA dan pengukuranVPW di foto toraks terbukti memiliki akurasi  tinggi. Kata kunci: fototoraks, vascular pedicle width, vascular pedicle-cardiac ratio, vascular pedicle-thoracic ratio, hipervolemia.   The Mean Value of Vascular Pedicle Width, Vascular Pedicle-Cardiac Ratio,Vascular Pedicle-Thoracic Ratio of Normal Indonesian Adult Study In dr. Cipto Mangunkusomo Hospital Abstract Vascular pedicle width (VPW is the distance, from a perpendicular line at the takeoff point of the left subclavian artery off the aorta to the point at which the superior vena cava. Measurement of VPW on chestx-ray is relatively non-invasive, fast and easy technique as  hypervolemia predictor. The purpose of thisstudy is to know the mean VPW value of normal

  20. Calcium dynamics in vascular smooth muscle

    OpenAIRE

    Amberg, Gregory C.; Navedo, Manuel F.

    2013-01-01

    Smooth muscle cells are ultimately responsible for determining vascular luminal diameter and blood flow. Dynamic changes in intracellular calcium are a critical mechanism regulating vascular smooth muscle contractility. Processes influencing intracellular calcium are therefore important regulators of vascular function with physiological and pathophysiological consequences. In this review we discuss the major dynamic calcium signals identified and characterized in vascular smooth muscle cells....

  1. Open and endovascular aneurysm repair in the Society for Vascular Surgery Vascular Quality Initiative.

    Science.gov (United States)

    Spangler, Emily L; Beck, Adam W

    2017-12-01

    The Society for Vascular Surgery Vascular Quality Initiative is a patient safety organization and a collection of procedure-based registries that can be utilized for quality improvement initiatives and clinical outcomes research. The Vascular Quality Initiative consists of voluntary participation by centers to collect data prospectively on all consecutive cases within specific registries which physicians and centers elect to participate. The data capture extends from preoperative demographics and risk factors (including indications for operation), through the perioperative period, to outcomes data at up to 1-year of follow-up. Additionally, longer-term follow-up can be achieved by matching with Medicare claims data, providing long-term longitudinal follow-up for a majority of patients within the Vascular Quality Initiative registries. We present the unique characteristics of the Vascular Quality Initiative registries and highlight important insights gained specific to open and endovascular abdominal aortic aneurysm repair. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. PanVascular medicine. 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Lanzer, Peter (ed.) [Health Care Center Bitterfeld (Germany). Division of Cardiovascular Disease

    2015-06-01

    Vascular management and care has become a truly multidisciplinary enterprise as the number of specialists involved in the treatment of patients with vascular diseases has steadily increased. While in the past, treatments were delivered by individual specialists, in the twenty-first century a team approach is without doubt the most effective strategy. In order to promote professional excellence in this dynamic and rapidly evolving field, a shared knowledge base and interdisciplinary standards need to be established. Pan Vascular Medicine, 2nd edition has been designed to offer such an interdisciplinary platform, providing vascular specialists with state-of-the art descriptive and procedural knowledge. Basic science, diagnostics, and therapy are all comprehensively covered. In a series of succinct, clearly written chapters, renowned specialists introduce and comment on the current international guidelines and present up-to-date reviews of all aspects of vascular care.

  3. PanVascular medicine. 2. ed.

    International Nuclear Information System (INIS)

    Lanzer, Peter

    2015-01-01

    Vascular management and care has become a truly multidisciplinary enterprise as the number of specialists involved in the treatment of patients with vascular diseases has steadily increased. While in the past, treatments were delivered by individual specialists, in the twenty-first century a team approach is without doubt the most effective strategy. In order to promote professional excellence in this dynamic and rapidly evolving field, a shared knowledge base and interdisciplinary standards need to be established. Pan Vascular Medicine, 2nd edition has been designed to offer such an interdisciplinary platform, providing vascular specialists with state-of-the art descriptive and procedural knowledge. Basic science, diagnostics, and therapy are all comprehensively covered. In a series of succinct, clearly written chapters, renowned specialists introduce and comment on the current international guidelines and present up-to-date reviews of all aspects of vascular care.

  4. Trayectorias educativas en Argentina: un análisis a partir del cálculo de medidas de flujos y niveles de escolarización, 1974-2009

    Directory of Open Access Journals (Sweden)

    Mara Leticia Rojas

    2011-01-01

    Full Text Available En este artículo se proponen y analizan tanto medidas de niveles educativos (mediante la definición propia de las variables "cantidad de años de educación finalizados" y "mayor nivel educativo obtenido" como de flujos educativos (por medio del cálculo de "tasas brutas" y "tasas netas de escolarización" a fin de observar su evolución reciente y realizar un perfil actualizado de la distribución de logros educacionales en la población argentina. A diferencia de la mayoría de la literatura, la utilización de la encuesta de hogares permite la realización de los indicadores de niveles y ciclos efectivamente finalizados, sin supuestos restrictivos adicionales tales como el promedio de años de repitencia o abandono del alumnado. Si bien la evolución de los flujos educativos en términos de tasas de matriculación ha sido favorable, llama la atención la ampliación de las brechas entre tasas brutas y netas, y la dependencia de dicha evolución de los vaivenes económicos. Además, el acervo educativo medido por niveles y años de enseñanza concluidos muestra dos puntos fuertes de concentración en la distribución a lo largo del espacio poblacional. Estas observaciones abren cuestionamientos acerca de la calidad y efectividad del stock educativo a futuro y de la polarización existente en la actualidad.

  5. [The future of vascular medicine].

    Science.gov (United States)

    Kroeger, K; Luther, B

    2014-10-01

    In the future vascular medicine will still have a great impact on health of people. It should be noted that the aging of the population does not lead to a dramatic increase in patient numbers, but will be associated with a changing spectrum of co-morbidities. In addition, vascular medical research has to include the intensive care special features of vascular patients, the involvement of vascular medicine in a holistic concept of fast-track surgery, a geriatric-oriented intensive monitoring and early geriatric rehabilitation. For the future acceptance of vascular medicine as a separate subject area under delimitation of cardiology and radiology is important. On the other hand, the subject is so complex and will become more complex in future specialisations that mixing of surgery and angiology is desirable, with the aim to preserve the vascular surgical knowledge and skills on par with the medical and interventional measures and further develop them. Only large, interdisciplinary guided vascular centres will be able to provide timely diagnosis and therapy, to deal with the growing multi-morbidity of the patient, to perform complex therapies even in an acute emergency and due to sufficient number of cases to present with well-trained and experienced teams. These requirements are mandatory to decrease patients' mortality step by step. Georg Thieme Verlag KG Stuttgart · New York.

  6. Vascular neurocognitive disorders and the vascular risk factors

    Directory of Open Access Journals (Sweden)

    Carmen V. Albu

    2018-04-01

    Full Text Available Dementias are clinical neurodegenerative diseases characterized by permanent and progressive transformation of cognitive functions such as memory, learning capacity, attention, thinking, language, passing judgments, calculation or orientation. Dementias represent a relatively frequent pathology, encountered at about 10% of the population of 65-year olds and 20% of the population of 80-year olds. This review presents the main etiological forms of dementia, which include Alzheimer form of dementia, vascular dementia, dementia associated with alpha-synucleionopathies, and mixed forms. Regarding vascular dementia, the risk factors are similar to those for an ischemic or hemorrhagic cerebrovascular accident: arterial hypertension, diabetes mellitus, dyslipidemia, smoking, obesity, age, alcohol consumption, cerebral atherosclerosis/ arteriosclerosis. Several studies show that efficient management of the vascular risk factors can prevent the expression and/ or progression of dementia. Thus, lifestyle changes such as stress reduction, regular physical exercise, decreasing dietary fat, multivitamin supplementation, adequate control of blood pressure and serum cholesterol, and social integration and mental stimulation in the elderly population are important factors in preventing or limiting the symptoms of dementia, a disease with significant individual, social, and economic implications.

  7. Movilización de carbono orgánico por distintos procesos erosivos en la conexión ladera-cauce

    Directory of Open Access Journals (Sweden)

    Martínez-Mena, M.

    2010-12-01

    Full Text Available With the purpose of analysing the type (labile or stable and quantity of organic carbon (OC mobilized by different erosive processes identified at the slope-bed connection, the erosion deposits of gullies, sheet erosion, bank erosion and tillage erosion were studied in a small catchment (10 ha and compared to the characteristics of the catchment soils. Selectivity upon soil detachment and transport was associated to different OC content and types in the erosion deposits. Enrichment ratios of organic carbon sediment/soil were low (~0,40 ± 0,26, even though a slight enrichment was described for fine particles (positively correlated to CO. These results were attributed to mineralization processes prevailing over OC burial in a very active channel where depositional sites are scarce.

    Con el fin de caracterizar la cantidad y tipo (lábil o recalcitrante de carbono orgánico (CO movilizado por distintos procesos erosivos identificados en las conexiones ladera-cauce, se estudiaron las características de los depósitos de erosión concentrada en cárcavas, erosión hídrica laminar, erosión lateral-gravitacional y erosión por laboreo en el contacto ladera-cauce de una cuenca de pequeño tamaño (10 ha y se relacionaron con las características de los suelos-fuentes originales de donde procedían. La selectividad en el arranque y transporte de suelo de los distintos procesos se pudo asociar a diferentes contenidos y tipos de CO en los depósitos. Las razones de enriquecimiento de carbono orgánico sedimento/suelo fueron bajas (~0,40 ± 0,26, a pesar de haber un ligero enriquecimiento en partículas finas (correlacionadas positivamente con el CO en los depósitos. Todo ello se atribuyó a los efectos de la mineralización en un cauce muy activo con pocas zonas de deposición y abundantes procesos de erosión no selectiva.

  8. Formulación numérica en elementos finitos de problemas de flujo multifásico no isotermo y transporte de solutos reactivos en medios porosos

    OpenAIRE

    Juncosa, Ricardo; Samper, Javier; Navarro, Vicente; Delgado, Jorge

    2002-01-01

    En este artículo se presenta la formulación numérica del flujo multifásico no isotermo y del transporte reactivo de un sistema multicomponente de solutos en condiciones no isotermas. El modelo numérico ha sido implementado en un código (FADES-CORE c ?) el cual ha sido verificado y validado. En este artículo se describe el esquema de resolución utilizado y las distintas variantes del mismo. Para la discretización temporal se ha formulado un algoritmo de optimización del paso de tiempo au...

  9. Acceleration of vascularized bone tissue-engineered constructs in a large animal model combining intrinsic and extrinsic vascularization.

    Science.gov (United States)

    Weigand, Annika; Beier, Justus P; Hess, Andreas; Gerber, Thomas; Arkudas, Andreas; Horch, Raymund E; Boos, Anja M

    2015-05-01

    During the last decades, a range of excellent and promising strategies in Bone Tissue Engineering have been developed. However, the remaining major problem is the lack of vascularization. In this study, extrinsic and intrinsic vascularization strategies were combined for acceleration of vascularization. For optimal biomechanical stability of the defect site and simplifying future transition into clinical application, a primary stable and approved nanostructured bone substitute in clinically relevant size was used. An arteriovenous (AV) loop was microsurgically created in sheep and implanted, together with the bone substitute, in either perforated titanium chambers (intrinsic/extrinsic) for different time intervals of up to 18 weeks or isolated Teflon(®) chambers (intrinsic) for 18 weeks. Over time, magnetic resonance imaging and micro-computed tomography (CT) analyses illustrate the dense vascularization arising from the AV loop. The bone substitute was completely interspersed with newly formed tissue after 12 weeks of intrinsic/extrinsic vascularization and after 18 weeks of intrinsic/extrinsic and intrinsic vascularization. Successful matrix change from an inorganic to an organic scaffold could be demonstrated in vascularized areas with scanning electron microscopy and energy dispersive X-ray spectroscopy. Using the intrinsic vascularization method only, the degradation of the scaffold and osteoclastic activity was significantly lower after 18 weeks, compared with 12 and 18 weeks in the combined intrinsic-extrinsic model. Immunohistochemical staining revealed an increase in bone tissue formation over time, without a difference between intrinsic/extrinsic and intrinsic vascularization after 18 weeks. This study presents the combination of extrinsic and intrinsic vascularization strategies for the generation of an axially vascularized bone substitute in clinically relevant size using a large animal model. The additional extrinsic vascularization promotes tissue

  10. Social media in vascular surgery.

    Science.gov (United States)

    Indes, Jeffrey E; Gates, Lindsay; Mitchell, Erica L; Muhs, Bart E

    2013-04-01

    There has been a tremendous growth in the use of social media to expand the visibility of various specialties in medicine. The purpose of this paper is to describe the latest updates on some current applications of social media in the practice of vascular surgery as well as existing limitations of use. This investigation demonstrates that the use of social networking sites appears to have a positive impact on vascular practice, as is evident through the incorporation of this technology at the Cleveland Clinic and by the Society for Vascular Surgery into their approach to patient care and physician communication. Overall, integration of social networking technology has current and future potential to be used to promote goals, patient awareness, recruitment for clinical trials, and professionalism within the specialty of vascular surgery. Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  11. Incorporation of a wind generator model into a dynamic power flow analysis; Incorporacion de un modelo de generador eolico al analisis de flujos dinamicos de potencia

    Energy Technology Data Exchange (ETDEWEB)

    Angeles Camacho, C.; Banuelos Ruedas, F. [Instituto de Ingenieria, Universidad Nacional Autonoma de Mexico (Mexico)]. E-mail: cangelesc@iingen.unam.mx; fbanuelosr@iingen.unam.mx

    2011-07-15

    Wind energy is nowadays one of the most cost-effective and practical options for electric generation from renewable resources. However, increased penetration of wind generation causes the power networks to be more depend on, and vulnerable to, the varying wind speed. Modeling is a tool which can provide valuable information about the interaction between wind farms and the power network to which they are connected. This paper develops a realistic characterization of a wind generator. The wind generator model is incorporated into an algorithm to investigate its contribution to the stability of the power network in the time domain. The tool obtained is termed dynamic power flow. The wind generator model takes on account the wind speed and the reactive power consumption by induction generators. Dynamic power flow analysis is carried-out using real wind data at 10-minute time intervals collected for one meteorological station. The generation injected at one point into the network provides active power locally and is found to reduce global power losses. However, the power supplied is time-varying and causes fluctuations in voltage magnitude and power flows in transmission lines. [Spanish] La energia eolica es hoy en dia una de las opciones mas efectivas y practicas para la generacion de electricidad a partir de energias renovables. Sin embargo, el incremento de la penetracion de energia eolica provoca que los sistemas de potencia se vuelvan mas dependientes y vulnerables a las variaciones de la velocidad del viento. El modelado es una herramienta que provee informacion valiosa de la interaccion dinamica entre las turbinas eolicas y las redes de potencia a las que se conectan. El presente articulo desarrolla una caracterizacion realista de un modelo de la turbina eolica. El modelo de la turbina eolica se incorpora a un algoritmo para el analisis de su contribucion a la estabilidad de una red electrica en el dominio del tiempo. La herramienta obtenida se conoce como flujos

  12. Vascular elastic photoacoustic tomography in humans

    Science.gov (United States)

    Hai, Pengfei; Zhou, Yong; Liang, Jinyang; Li, Chiye; Wang, Lihong V.

    2016-03-01

    Quantification of vascular elasticity can help detect thrombosis and prevent life-threatening conditions such as acute myocardial infarction or stroke. Here, we propose vascular elastic photoacoustic tomography (VE-PAT) to measure vascular elasticity in humans. VE-PAT was developed by incorporating a linear-array-based photoacoustic computed tomography system with a customized compression stage. By measuring the deformation of blood vessels under uniaxial loading, VE-PAT was able to quantify the vascular compliance. We first demonstrated the feasibility of VE-PAT in blood vessel phantoms. In large vessel phantoms, VE-PAT detected a decrease in vascular compliance due to simulated thrombosis, which was validated by a standard compression test. In small blood vessel phantoms embedded 3 mm deep in gelatin, VE-PAT detected elasticity changes at depths that are difficult to image using other elasticity imaging techniques. We then applied VE-PAT to assess vascular compliance in a human subject and detected a decrease in vascular compliance when an occlusion occurred downstream from the measurement point, demonstrating the potential of VE-PAT in clinical applications such as detection of deep venous thrombosis.

  13. Diagnosis and management of vascular diseases

    International Nuclear Information System (INIS)

    Fan Xindong; Zheng Lianzhou

    2011-01-01

    Vascular disorders mainly include hemangiomas and vascular malformations, and constitute some of the most difficult diagnostic and therapeutic enigmas that can be encountered in the clinical practice. The clinical presentations are extremely variable and can range from an asymptomatic birthmark to life-threatening congestive heart failure. Attributing any of these extremely varied symptoms that a patients may present with to a vascular malformation may be a challenge to the most experienced clinical. This problem is compounded by the extreme rarity of these vascular lesions. If a clinician meets such a patient once every few years, it will be extremely difficult for the physicians to gain a steep learning curve. In such circumstances, it is difficult to formulate a standard of diagnosis and treatment for these vascular disorders. This paper aims to make a comprehensive and detailed description of the classification and diagnosis of the vascular disorders, the common used embolization agents, the concepts of interventional diagnosis and management and the therapies of various hemangiomas and vascular malformations. (authors)

  14. Vascular disease in cocaine addiction.

    Science.gov (United States)

    Bachi, Keren; Mani, Venkatesh; Jeyachandran, Devi; Fayad, Zahi A; Goldstein, Rita Z; Alia-Klein, Nelly

    2017-07-01

    Cocaine, a powerful vasoconstrictor, induces immune responses including cytokine elevations. Chronic cocaine use is associated with functional brain impairments potentially mediated by vascular pathology. Although the Crack-Cocaine epidemic has declined, its vascular consequences are increasingly becoming evident among individuals with cocaine use disorder of that period, now aging. Paradoxically, during the period when prevention efforts could make a difference, this population receives psychosocial treatment at best. We review major postmortem and in vitro studies documenting cocaine-induced vascular toxicity. PubMed and Academic Search Complete were used with relevant terms. Findings consist of the major mechanisms of cocaine-induced vasoconstriction, endothelial dysfunction, and accelerated atherosclerosis, emphasizing acute, chronic, and secondary effects of cocaine. The etiology underlying cocaine's acute and chronic vascular effects is multifactorial, spanning hypertension, impaired homeostasis and platelet function, thrombosis, thromboembolism, and alterations in blood flow. Early detection of vascular disease in cocaine addiction by multimodality imaging is discussed. Treatment may be similar to indications in patients with traditional risk-factors, with few exceptions such as enhanced supportive care and use of benzodiazepines and phentolamine for sedation, and avoiding β-blockers. Given the vascular toxicity cocaine induces, further compounded by smoking and alcohol comorbidity, and interacting with aging of the crack generation, there is a public health imperative to identify pre-symptomatic markers of vascular impairments in cocaine addiction and employ preventive treatment to reduce silent disease progression. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. The vascular pattern in the flower of some Mesembryanthemaceae: Aptenia cordifolia and Dorotheanthus bellidiformis. The effect of an ontogenetical shifting on the vascular pattern and vascular conservatism

    NARCIS (Netherlands)

    Meulen-Bruijns, van der C.

    1976-01-01

    1. The vascular pattern in the flower at various stages of maturity of Aptenia cordifolia and Dorotheanthus bellidiformis is examined. 2. The vascular pattern of Dorotheanthus has been compared with that of Aptenia: typologically, Dorotheanthus is derived from Aptenia. 3. The vascular pattern of

  16. FLUJO DE GENES ENTRE FRIJOL COMÚN Y SILVESTRE EN COSTA RICA

    Directory of Open Access Journals (Sweden)

    N\\u00E9stor Chaves-Barrantes

    2009-01-01

    Full Text Available Con el objetivo de analizar el flujo de genes entre frijol común silvestre y cultivado, se determinó el porcentaje de alogamia en condiciones naturales de crecimie nto del frijol silvestre y en estación experimental. En el 2004 se evaluó el cruzamie nto natural entre frijol silvestre mexicano G23511A (Phaseolus vulgaris L. y la línea blanca PAN 68, en la Estación Experimental Fabio Baudrit de la Universidad de Costa Ri ca en Alajuela. Para ello se sembraron dos parcelas experimentales; cada una constó de dos bloques de PAN 68 de 10 surcos (15 m de largo y espacia dos 0,6 m. Entre los bloques y en el borde superior de los mismos, se sembraron tres surcos de frijol silvestre como donantes de polen. Se numeraron las hileras y las plantas de cada una en los bloques de frijol blanco. En Quircot de Ca rtago (área donde crece en forma natural P. vulgaris silvestre, en el 2005 y 2006, se sembraron plantas de frijol comercia l (Vainica de Palo a lo largo de seis sitios junto a las poblaciones de frijol silvestre. En ambas localidades la floración de silvestres y comerciales fue coincidente. Se cosechó toda la semilla de los ensayos y se germinó en bandejas, determinando el porcentaje de alogamia por medio del color morado del hip ocotilo, indicativo de aquellas plántulas cruzadas. En Alajuela el porcentaje de cruza varió entre 0,007 y 0,028 %; mie ntras que en Quircot, entre 0 y 0,199 %.

  17. DESARROLLO DE UN SISTEMA EN FLUJO MEDIANTE INYECCIÓN SECUENCIAL (SIA) PARA LA DETERMINACIÓN DE ZINC EN LECHE EN POLVO Y FÓRMULAS INFANTILES

    OpenAIRE

    Mariela Pistón; Moisés Knochen

    2011-01-01

    Se presenta el desarrollo y optimización de un sistema en flujo con inyección secuencial (SIA) para la determinación de zinc en leche en polvo y fórmulas infantiles. La determinación se basa en la reacción de Zn(II) con zincón a pH 9 en presencia de citrato de sodio para enmascarar interferentes de la matriz con detección espectrofotométrica a 612 nm. El sistema fue optimizado mediante experimentos multivariantes. El sistema validado presentó un rango lineal de 0.4 a 10 mg L-1, la precisión d...

  18. Almacenamiento y flujo de carbono en suelos áridos como servicio ambiental: Un ejemplo en el noroeste de México

    Directory of Open Access Journals (Sweden)

    Fernando Ayala Niño

    2018-04-01

    Full Text Available El suelo se concibe como soporte de infraestructura y medio de producción agrícola, en tanto que los servicios ambientales que provee son poco valorados y reconocidos. Entre ellos, la captura y almacenamiento de carbono (C son un punto focal de interés científico por la enorme cantidad que almacena el suelo. Los objetivos de este trabajo fueron: (1 revisar los diferentes componentes, procesos y características que se presentan en los suelos áridos para el almacenamiento de C y (2 estimar el flujo y contenido de C en los suelos de la región semiárida de La Paz, BCS, noroeste de México, mediante dos estudios de caso. Dieciséis perfiles de suelo fueron descritos y muestreados considerando la geomorfología representativa para determinar los contenidos de carbono orgánico (COS e inorgánico del suelo (CIS. Los valores estimados en 0.15 a 44.25 Mg ha 1 para COS y 0.045 a 28.19 Mg ha 1 para CIS, superan lo reportado para los suelos de Baja California Sur con 16 Mg ha-1. Valores de flujos de CO2 obtenidos de 22 meses de mediciones mensuales fueron muy variables (-0.058 a 0.828 µmol s-1 m-2, valores positivos de respiración sólo se registraron tras el paso de lluvias extraordinarias. Valores negativos se asocian a la captura de CO2 a través de organismos fotosintéticamente activos como las costras biológicas del suelo, las cuales, bajo condiciones específicas de humedad y temperatura, en conjunto con los microorganismos del suelo, presentan evidencias de funcionamiento como fuente y sumidero de C. El presente estudio contribuye al entendimiento sobre el potencial que tienen los suelos de la región árida del noroeste de México en la provisión de SA por captura de C y coadyuva a incrementar el conocimiento de las CBS y su función en la relación suelo-ecosistema.

  19. Flujos de gases de efecto invernadero, potencial de calentamiento global y evaluación de emergía del sistema agroforestal Quesungual en el sur de Lempira, Honduras

    OpenAIRE

    Ferreira Catrileo, Oscar Iván

    2008-01-01

    El Sistema Agroforestal Quesungual (SAQ) es un sistema conservacionista que se practica en el sur de Lempira, Honduras. Se considera como una alternativa viable frente al sistema tradicional de tala y quema, pero se desconocen sus beneficios ambientales como la reducción de las emisiones de gases de efecto invernadero y la utilización de recursos renovables y sostenibles. Se determinaron los flujos de los gases de efecto invernadero: óxido nitroso (N2O), metano (CH4) y dióxido de carbono (CO2...

  20. Accelerated Vascular Aging as a Paradigm for Hypertensive Vascular Disease: Prevention and Therapy.

    Science.gov (United States)

    Barton, Matthias; Husmann, Marc; Meyer, Matthias R

    2016-05-01

    Aging is considered the most important nonmodifiable risk factor for cardiovascular disease and death after age 28 years. Because of demographic changes the world population is expected to increase to 9 billion by the year 2050 and up to 12 billion by 2100, with several-fold increases among those 65 years of age and older. Healthy aging and prevention of aging-related diseases and associated health costs have become part of political agendas of governments around the world. Atherosclerotic vascular burden increases with age; accordingly, patients with progeria (premature aging) syndromes die from myocardial infarctions or stroke as teenagers or young adults. The incidence and prevalence of arterial hypertension also increases with age. Arterial hypertension-like diabetes and chronic renal failure-shares numerous pathologies and underlying mechanisms with the vascular aging process. In this article, we review how arterial hypertension resembles premature vascular aging, including the mechanisms by which arterial hypertension (as well as other risk factors such as diabetes mellitus, dyslipidemia, or chronic renal failure) accelerates the vascular aging process. We will also address the importance of cardiovascular risk factor control-including antihypertensive therapy-as a powerful intervention to interfere with premature vascular aging to reduce the age-associated prevalence of diseases such as myocardial infarction, heart failure, hypertensive nephropathy, and vascular dementia due to cerebrovascular disease. Finally, we will discuss the implementation of endothelial therapy, which aims at active patient participation to improve primary and secondary prevention of cardiovascular disease. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  1. Estratégias reprodutivas de briófitas em dois habitats distintos da floresta atlântica do Parque Estadual da Serra do Mar

    OpenAIRE

    Adaíses Simone Maciel da Silva

    2011-01-01

    Resumo: O objetivo da tese foi aumentar o conhecimento e o entendimento sobre estratégias reprodutivas de briófitas presentes em floresta tropical úmida, especificamente em dois habitats distintos da Floresta Ombrófila densa (Floresta Montana e de Restinga) do Parque Estadual da Serra do Mar, São Paulo. A seguinte hipótese foi testada: o sistema reprodutivo (e.g. monóico versus dióico) das espécies e o habitat que ocupam influenciam as estratégias reprodutivas e conseqüentes características d...

  2. Ciudad Juárez en los sesenta: la estructura urbana en transición

    Directory of Open Access Journals (Sweden)

    Luis Enrique Gutiérrez Casas

    2009-01-01

    Full Text Available El presente trabajo está estructurado de tal forma que puedan cubrirse, de manera general, los distintos aspectos que consideramos explican el problema de la vivienda en Ciudad Juárez. En la primera parte planteamos el problema de la vivienda desde varios aspectos, déficit, bajos salarios y pérdida del poder adquisitivo de los trabajadores, fluctuación del mercado inmobiliario, crecimiento poblacional, cambios en la composición del mercado laboral, flujos migratorios, políticas económicas y de vivienda. En la segunda parte centramos nuestro análisis en los AHI. Sus rasgos principales son las formas irregulares de apropiación del suelo urbano, la autoconstrucción y la introducción ilegal de servicios públicos, entre otros.

  3. Using biplanar fluoroscopy to guide radiopaque vascular injections: a new method for vascular imaging.

    Directory of Open Access Journals (Sweden)

    Haley D O'Brien

    Full Text Available Studying vascular anatomy, especially in the context of relationships with hard tissues, is of great interest to biologists. Vascular studies have provided significant insight into physiology, function, phylogenetic relationships, and evolutionary patterns. Injection of resin or latex into the vascular system has been a standard technique for decades. There has been a recent surge in popularity of more modern methods, especially radiopaque latex vascular injection followed by CT scanning and digital "dissection." This technique best displays both blood vessels and bone, and allows injections to be performed on cadaveric specimens. Vascular injection is risky, however, because it is not a standardizable technique, as each specimen is variable with regard to injection pressure and timing. Moreover, it is not possible to view the perfusion of injection medium throughout the vascular system of interest. Both data and rare specimens can therefore be lost due to poor or excessive perfusion. Here, we use biplanar video fluoroscopy as a technique to guide craniovascular radiopaque latex injection. Cadaveric domestic pigs (Sus scrofa domestica and white-tailed deer (Odocoileus virginianus were injected with radiopaque latex under guidance of fluoroscopy. This method was found to enable adjustments, in real-time, to the rate, location, and pressure at which latex is injected in order to avoid data and specimen loss. In addition to visualizing the injection process, this technique can be used to determine flow patterns, and has facilitated the development of consistent markers for complete perfusion.

  4. Engineering the mechanical and biological properties of nanofibrous vascular grafts for in situ vascular tissue engineering.

    Science.gov (United States)

    Henry, Jeffrey J D; Yu, Jian; Wang, Aijun; Lee, Randall; Fang, Jun; Li, Song

    2017-08-17

    Synthetic small diameter vascular grafts have a high failure rate, and endothelialization is critical for preventing thrombosis and graft occlusion. A promising approach is in situ tissue engineering, whereby an acellular scaffold is implanted and provides stimulatory cues to guide the in situ remodeling into a functional blood vessel. An ideal scaffold should have sufficient binding sites for biomolecule immobilization and a mechanical property similar to native tissue. Here we developed a novel method to blend low molecular weight (LMW) elastic polymer during electrospinning process to increase conjugation sites and to improve the mechanical property of vascular grafts. LMW elastic polymer improved the elasticity of the scaffolds, and significantly increased the amount of heparin conjugated to the micro/nanofibrous scaffolds, which in turn increased the loading capacity of vascular endothelial growth factor (VEGF) and prolonged the release of VEGF. Vascular grafts were implanted into the carotid artery of rats to evaluate the in vivo performance. VEGF treatment significantly enhanced endothelium formation and the overall patency of vascular grafts. Heparin coating also increased cell infiltration into the electrospun grafts, thus increasing the production of collagen and elastin within the graft wall. This work demonstrates that LMW elastic polymer blending is an approach to engineer the mechanical and biological property of micro/nanofibrous vascular grafts for in situ vascular tissue engineering.

  5. Improved vascularization of planar membrane diffusion devices following continuous infusion of vascular endothelial growth factor.

    Science.gov (United States)

    Trivedi, N; Steil, G M; Colton, C K; Bonner-Weir, S; Weir, G C

    2000-01-01

    Improving blood vessel formation around an immunobarrier device should improve the survival of the encapsulated tissue. In the present study we investigated the formation of new blood vessels around a planar membrane diffusion device (the Baxter Theracyte System) undergoing a continuous infusion of vascular endothelial growth factor through the membranes and into the surrounding tissue. Each device (20 microl) had both an inner immunoisolation membrane and an outer vascularizing membrane. Human recombinant vascular endothelial growth factor-165 was infused at 100 ng/day (low dose: n = 6) and 500 ng/day (high dose: n = 7) for 10 days into devices implanted s.c. in Sprague-Dawley rats; noninfused devices transplanted for an identical period were used as controls (n = 5). Two days following the termination of VEGF infusion, devices were loaded with 20 microl of Lispro insulin (1 U/kg) and the kinetics of insulin release from the lumen of the device was assessed. Devices were then explanted and the number of blood vessels (capillary and noncapillary) was quantified using morphometry. High-dose vascular endothelial growth factor infusion resulted in two- to threefold more blood vessels around the device than that obtained with the noninfused devices and devices infused with low-dose vascular endothelial growth factor. This increase in the number of blood vessels was accompanied by a modest increase in insulin diffusion from the device in the high-dose vascular endothelial growth factor infusion group. We conclude that vascular endothelial growth factor can be used to improve blood vessel formation adjacent to planar membrane diffusion devices.

  6. Biomarkers of drug-induced vascular injury

    International Nuclear Information System (INIS)

    Brott, D.; Gould, S.; Jones, H.; Schofield, J.; Prior, H.; Valentin, J.P; Bjurstrom, S.; Kenne, K.; Schuppe-Koistinen, I.; Katein, A.; Foster-Brown, L.; Betton, G.; Richardson, R.; Evans, G.; Louden, C.

    2005-01-01

    In pre-clinical safety studies, drug-induced vascular injury is an issue of concern because there are no obvious diagnostic markers for pre-clinical or clinical monitoring and there is an intellectual gap in our understanding of the pathogenesis of this lesion. While vasodilatation and increased shear stress appear to play a role, the exact mechanism(s) of injury to the primary targets, smooth muscle and endothelial cells are unknown. However, evaluation of novel markers for potential clinical monitoring with a mechanistic underpinning would add value in risk assessment and management. This mini review focuses on the progress to identify diagnostic markers of drug-induced vascular injury. Von Willebrand factor (vWF), released upon perturbation of endothelial cells, is transiently increased in plasma prior to morphological evidence of damage in dogs or rats treated with vascular toxicants. Therefore, vWF might be a predictive biomarker of vascular injury. However, vWF is not an appropriate biomarker of lesion progression or severity since levels return to baseline values when there is morphological evidence of injury. A potential mechanistically linked biomarker of vascular injury is caveolin-1. Expression of this protein, localized primarily to smooth muscle and endothelial cells, decreases with the onset of vascular damage. Since vascular injury involves multiple mediators and cell types, evaluation of a panel rather than a single biomarker may be more useful in monitoring early and severe progressive vascular injury

  7. Pediatric interventional radiology: vascular interventions

    International Nuclear Information System (INIS)

    Kandasamy, Devasenathipathy; Gamanagatti, Shivanand; Gupta, Arun Kumar

    2016-01-01

    Pediatric interventional radiology (PIR) comprises a range of minimally invasive diagnostic and therapeutic procedures that are performed using image guidance. PIR has emerged as an essential adjunct to various surgical and medical conditions. Over the years, technology has undergone dramatic and continuous evolution, making this speciality grow. In this review, the authors will discuss various vascular interventional procedures undertaken in pediatric patients. It is challenging for the interventional radiologist to accomplish a successful interventional procedure. There are many vascular interventional radiology procedures which are being performed and have changed the way the diseases are managed. Some of the procedures are life saving and have become the treatment of choice in those patients. The future is indeed bright for the practice and practitioners of pediatric vascular and non-vascular interventions. As more and more of the procedures that are currently being performed in adults get gradually adapted for use in the pediatric population, it may be possible to perform safe and successful interventions in many of the pediatric vascular lesions that are otherwise being referred for surgery. (author)

  8. Angiogenesis, Cancer, and Vascular Aging

    Directory of Open Access Journals (Sweden)

    Junji Moriya

    2017-10-01

    Full Text Available Several lines of evidence have revealed that the angiogenic response to ischemic injury declines with age, which might account for the increased morbidity and mortality of cardiovascular disease (CVD among the elderly. While impairment of angiogenesis with aging leads to delayed wound healing or exacerbation of atherosclerotic ischemic diseases, it also inhibits the progression of cancer. Age-related changes of angiogenesis have been considered to at least partly result from vascular aging or endothelial cell senescence. There is considerable evidence supporting the hypothesis that vascular cell senescence contributes to the pathogenesis of age-related CVD, suggesting that vascular aging could be an important therapeutic target. Since therapeutic angiogenesis is now regarded as a promising concept for patients with ischemic CVD, it has become even more important to understand the detailed molecular mechanisms underlying impairment of angiogenesis in older patients. To improve the usefulness of therapeutic angiogenesis, approaches are needed that can compensate for impaired angiogenic capacity in the elderly while not promoting the development or progression of malignancy. In this review, we briefly outline the mechanisms of angiogenesis and vascular aging, followed by a description of how vascular aging leads to impairment of angiogenesis. We also examine potential therapeutic approaches that could enhance angiogenesis and/or vascular function in the elderly, as well as discussing the possibility of anti-senescence therapy or reversal of endothelial cell senescence.

  9. Renal posttransplant's vascular complications

    Directory of Open Access Journals (Sweden)

    Bašić Dragoslav

    2003-01-01

    Full Text Available INTRODUCTION Despite high graft and recipient survival figures worldwide today, a variety of technical complications can threaten the transplant in the postoperative period. Vascular complications are commonly related to technical problems in establishing vascular continuity or to damage that occurs during donor nephrectomy or preservation [13]. AIM The aim of the presenting study is to evaluate counts and rates of vascular complications after renal transplantation and to compare the outcome by donor type. MATERIAL AND METHODS A total of 463 kidneys (319 from living related donor LD and 144 from cadaveric donor - CD were transplanted during the period between June 1975 and December 1998 at the Urology & Nephrology Institute of Clinical Centre of Serbia in Belgrade. Average recipients' age was 33.7 years (15-54 in LD group and 39.8 (19-62 in CD group. Retrospectively, we analyzed medical records of all recipients. Statistical analysis is estimated using Hi-squared test and Fischer's test of exact probability. RESULTS Major vascular complications including vascular anastomosis thrombosis, internal iliac artery stenosis, internal iliac artery rupture obliterant vasculitis and external iliac vein rupture were analyzed. In 25 recipients (5.4% some of major vascular complications were detected. Among these cases, 22 of them were from CD group vs. three from LD group. Relative rate of these complications was higher in CD group vs. LD group (p<0.0001. Among these complications dominant one was vascular anastomosis thrombosis which occurred in 18 recipients (17 from CD vs. one from LD. Of these recipients 16 from CD lost the graft, while the rest of two (one from each group had lethal outcome. DISCUSSION Thrombosis of renal allograft vascular anastomosis site is the most severe complication following renal transplantation. In the literature, renal allograft thrombosis is reported with different incidence rates, from 0.5-4% [14, 15, 16]. Data from the

  10. Overview of vascular disease

    International Nuclear Information System (INIS)

    Bisset, G.S. III

    1998-01-01

    Vascular disease in the pediatric population is a poorly understood process which is often underestimated in its incidence. The common beginnings of such ubiquitous diseases as atherosclerosis manifest themselves at a cellular level shortly after birth. Other common systemic disorders, including congestive heart failure and sepsis, are also intricately associated with dysfunctional vasculature. Progress in the understanding of normal and pathophysiologic processes within the vascular system begins with the 'control center' - the endothelial cell. The purpose of this review is to consolidate a body of knowledge on the processes that occur at the cellular level within the blood vessel wall, and to simplify the understanding of how imbalances in these physiologic parameters result in vascular disease. (orig.)

  11. EFICIENCIA DE UN HUMEDAL DE FLUJO SUBSUPERFICIAL PARA EL TRATAMIENTO DE AGUAS RESIDUALES DEL EMPACADO DE HORTALIZAS

    Directory of Open Access Journals (Sweden)

    Amado E. Navarro

    2013-01-01

    Full Text Available Con el objetivo de tratar el agua resultante del pelado de vegetales de una empacadora situada en Atlixco, México, se utilizó un sistema de humedales construidos de flujo subsuperficial horizontal, a nivel de mesocosmos, compuesto por un sedimentador, una celda con grava de río y plantada con Phragmites australis, seguida por dos celdas paralelas, con grava y piedra volcánica, plantadas con Typha latifolia. Operando por semilotes, el tiempo de residencia hidráulica en cada celda fue de 5 días. Las características del agua residual y los resultados del tratamiento fueron altamente variables dependiendo del vegetal procesado. El porcentaje de reducción de la Demanda Química y Bioquímica de Oxígeno (DQO/DBO fue de 77/48 con altas cargas orgánicas del agua residual (DBO > 2000 mg L-1 y de 92/94 con bajas cargas (DBO < 1200 mg L-1. Otros parámetros analizados (pH, conductividad eléctrica, potencial redox, NO2-, NO3- y NH4+ mostraron valores aceptables a la salida del sistema.

  12. El costo de capital y su incidencia en los métodos de flujo de caja descontados

    Directory of Open Access Journals (Sweden)

    Gustavo A. Pérez

    2012-06-01

    Full Text Available Un estudio de factibilidad técnico económico en cualquier rama de la ingeniería o en cualquier tipo de negocio, implica conocer una medida de la rentabilidad del emprendimiento. Actualmente, nadie discute que para una toma de decisión fundamentada se deben utilizar los métodos de flujo de caja descontados (DCF, a pesar de que persisten otras formas muy difundidas (por ejemplo: período de repago, relación beneficio/costo. El objetivo del trabajo es analizar críticamente los métodos a utilizar para evaluar proyectos mutuamente excluyentes, como también proponer formas alternativas de análisis de rentabilidad que contemplen la incidencia de las distintas tasas y acoten la decisión de un modo adecuado. La propuesta presentada aquí permite ordenar alternativas excluyentes con criterios que contengan una visión mas completa. El resultado más interesante está relacionado con la sensibilidad de los métodos sobre las variables de decisión inherentes a estos.Palabras clave: DCF, costo de capital; proyectos excluyentes; rentabilidad de proyectos.

  13. Influencia del tiempo de explotación del Láser de CO2 y la cantidad de ventiladores del Sistema de Enfriamiento sobre la estabilidad del flujo radiante a la salida del Sistema Láser SYNRAD 48-2. // The Influences of the time of exploitation of the Laser o

    Directory of Open Access Journals (Sweden)

    V. Ramirez Chi

    2002-09-01

    Full Text Available En el diseño de un Sistema Láser para ser utilizado con fines médicos, un aspecto a tener en cuenta por su importancia es lagarantía de lograr un Sistema de Ventilación que implique mantener estable el flujo radiante de láser a la salida del equipodurante el período de explotación. En el Centro Nacional de Investigaciones Científicas (CENIC se han hechoinvestigaciones en estos equipos de Sistemas Láser con el objetivo de determinar en que medida influyen la cantidad deventiladores dispuestos sobre el flujo radiante del láser a la salida del equipo de Láser de CO2 y el tiempo de explotacióndel equipo sobre la estabilidad del flujo radiante del láser de salida. Mediante la modelación, la simulación, el Diseño deExperimento y métodos estadísticos se determinó que el tiempo de explotación del equipo durante cada intervenciónmédica y la cantidad de ventiladores implican una influencia significativa sobre la estabilidad del flujo radiante de salida.Esta investigación se llevó a cabo en el equipo de Láser de CO2 SYNRAD 48-2 y se empleó en la misma el programa decomputación para el Diseño de Experimentos Statgrafics-Plus.Palabras claves: Láser, flujo radiante.____________________________________________________________________AbstractIn the design of a Laser System/s to be used with ends doctors, an aspect to keep in mind for its importance is the guaranteeof achieving a System of Ventilation that implies to maintain stable the radiant flow of exit of the Laser during the periodof exploitation. In the CENIC investigations have been made in these Laser System/s with the objective of determining inthat measured they influence the quantity of willing fans about the radiant flow of exit of the Laser of CO2 and the time ofexploitation of the Laser about the stability of the radiant flow of exit. By means of the modelación, the simulation, theDesign of Experiment and statistical methods were determined that the time of

  14. Flujos de carbono y nitrógeno bajo distintos sistemas de labranza en la región semiárida pampeana

    OpenAIRE

    Bono, Angel Alfredo

    2010-01-01

    Los contenidos de carbono y nitrógeno orgánicos del suelo están relacionados con su capacidad productiva. Esta relación es esperable que sea más estrecha en suelos de zonas áridas y semiáridas. La cantidad de carbono que puede secuestrar el suelo es, a la vez, de interés por la posibilidad de usar a los suelos como sumideros de carbono y mitigar el efecto invernadero. Esta tesis tiene como objetivo determinar los efectos del sistema de labranza sobre la dinámica del carbono y el nitrógeno en ...

  15. Small GTP-Binding Protein Rac Is an Essential Mediator of Vascular Endothelial Growth Factor-Induced Endothelial Fenestrations and Vascular Permeability

    DEFF Research Database (Denmark)

    Eriksson, A.; Cao, R.; Tritsaris, K.

    2003-01-01

    fenestrated endothelium, a feature linked with increased vascular permeability. A cell-permeable Rac antagonist (TAT-RacN17) converted VEGF-induced, leaky vascular plexuses into well-defined vascular networks. In addition, this Rac mutant blocked formation of VEGF-induced endothelial fenestrations...... in mediation of VEGF-induced vascular permeability but less so in neovascularization. This may have conceptual implications for applying Rac antagonists in treatment and prevention of VEGF-induced vascular leakage and edema in connection with ischemic disorders....

  16. Cuantificación espectrofotométrica de compuestos fenólicos y actividad antioxidante en distintos berries nativos del Cono Sur de América

    OpenAIRE

    Lillo, A; Carvajal-Caiconte, F; Nuñez, D; Balboa, N; Alvear Zamora, M

    2016-01-01

    El objetivo de este trabajo consistió en determinar distintos tipos de fenoles en algunos berries nativos del Cono Sur y el arándano por métodos espectrofotométricos y su relación con la actividad antioxidante. Para esto se realizaron los análisis de fenoles totales, flavonas y flavonoles totales, proantocianidinas totales, antocianinas totales, ácidos fenólicos totales, taninos totales y la actividad antioxidante por los métodos de DPPH+ y ABTS•+, en extractos de Ugni molinae, Aristotelia ch...

  17. Complicação vascular de osteocondroma: relato de caso Vascular complication of osteochondroma: case report

    Directory of Open Access Journals (Sweden)

    Fábio André Tornquist

    2007-03-01

    Full Text Available Osteocondromas ou exostoses são os tumores benignos mais comuns do tecido ósseo. Eles surgem durante o período de crescimento e, raramente, são responsáveis por complicações vasculares. No presente relato, reportamos um caso de paciente com osteocondroma no membro inferior e complicação vascular provocada pela compressão da artéria poplítea. O paciente apresentava queixas de dor em membro inferior direito quando foi investigado com angiografia e radiografia, que identificaram a lesão vascular e a tumoração óssea. Os tratamentos cirúrgicos simultâneos de ambas as lesões foram realizados com boa evolução pós-operatória.Osteochondromas or exostoses are the most common benign tumors of the bone. They occur during the growth period and are rarely responsible for vascular complications. We report a case of a patient with osteochondroma in the lower limb and vascular complication caused by compression of the popliteal artery. The patient complained of pain at the right lower limb during angiography and radiography screening, which identified the vascular lesion and the bone tumor. A simultaneous surgical treatment of both lesions was performed with good postoperative evolution.

  18. Evaluación de modelos de turbulencia para predecir los flujos de masa de aire interzonas a través de una abertura de escalera para la convección natural y mixta en los edificios

    Directory of Open Access Journals (Sweden)

    Sergio Vera

    2015-08-01

    Full Text Available El objetivo principal del diseño de edificios es el proveer ambientes interiores productivos, confortables y saludables para sus ocupantes en balance con la eficiencia energética. Aberturas interiores de edificios, tales como las de escaleras, son huellas importantes para el intercambio de calor, aire, humedad y contaminantes. Los flujos de aire interzonas a través de aberturas horizontales no han sido estudiados profundamente debido a su naturaleza transiente y altamente inestable, la complejidad para realizar experimentos, y la escasez de datos experimentales disponibles. La Dinámica de Fluidos Computacional (CFD por su acrónimo en inglés es una excelente herramienta para avanzar en la comprensión de este fenómeno. En este artículo, se aplica CFD para evaluar el desempeño de cinco modelos de turbulencia de dos ecuaciones: k-ε estándar, k-ε RNG, k-ε realizable, k-ω estándar y k-ω SST, para predecir las condiciones del aire interior y los flujos de la masa de aire ascendente que fluyen a través de una abertura horizontal en una casa de ensayos de dos pisos a escala real. La investigación incluye seis casos con diferentes gradientes de temperatura entre los dos pisos y tres estrategias de ventilación que representan convección natural y mixta. Los principales resultados muestran que las temperaturas son predichas correctamente por todos los modelos de turbulencia, mientras que las velocidades del aire simuladas presentan variaciones mayores entre los modelos de turbulencia evaluados. En general, los modelos k-s estándar y k-ε realizable son los más precisos para predecir las temperaturas interiores y las velocidades de aire para la convección natural y mixta, respectivamente. Además, los flujos de la masa de aire ascendente a través de la abertura horizontal estimados por ambos modelos de turbulencia concuerdan muy bien con los datos experimentales.

  19. Vascular retraction driven by matrix softening

    Science.gov (United States)

    Valentine, Megan

    We recently discovered we can directly apply physical forces and monitor the downstream responses in a living organism in real time through manipulation of the blood vessels of a marine organism called, Botryllus schlosseri. The extracellular matrix (ECM) plays a key role in regulating vascular growth and homeostasis in Botryllus,a basal chordate which has a large, transparent extracorporeal vascular network that can encompass areas >100 cm2. We have determined that lysyl oxidase 1 (LOX1), which is responsible for cross-linking collagen, is expressed in all vascular cells and is critically important for vascular maintenance. Inhibition of LOX1 activity in vivo by the addition of a specific inhibitor, ß-aminopropionitrile (BAPN), caused a rapid, global regression of the entire vascular bed, with some vessels regressing >10 mm within 16 hrs. In this talk, I will discuss the molecular and cellular origins of this systemic remodeling event, which hinges upon the ability of the vascular cells to sense and respond to mechanical signals, while introducing this exciting new model system for studies of biological physics and mechanobiology. Collaborators: Anthony DeTomaso, Delany Rodriguez, Aimal Khankhel (UCSB).

  20. Effects of ouabain on vascular reactivity

    Directory of Open Access Journals (Sweden)

    Vassallo D.V.

    1997-04-01

    Full Text Available Ouabain is an endogenous substance occurring in the plasma in the nanomolar range, that has been proposed to increase vascular resistance and induce hypertension. This substance acts on the a-subunit of Na+,K+-ATPase inhibiting the Na+-pump activity. In the vascular smooth muscle this effect leads to intracellular Na+ accumulation that reduces the activity of the Na+/Ca2+ exchanger and to an increased vascular tone. It was also suggested that circulating ouabain, even in the nanomolar range, sensitizes the vascular smooth muscle to vasopressor substances. We tested the latter hypothesis by studying the effects of ouabain in the micromolar and nanomolar range on phenylephrine (PE-evoked pressor responses. The experiments were performed in normotensive and hypertensive rats in vivo, under anesthesia, and in perfused rat tail vascular beds. The results showed that ouabain pretreatment increased the vasopressor responses to PE in vitro and in vivo. This sensitization after ouabain treatment was also observed in hypertensive animals which presented an enhanced vasopressor response to PE in comparison to normotensive animals. It is suggested that ouabain at nanomolar concentrations can sensitize vascular smooth muscle to vasopressor stimuli possibly contributing to increased tone in hypertension

  1. Vascular Response of the Segments Adjacent to the Proximal and Distal Edges of the ABSORB Everolimus-Eluting Bioresorbable Vascular Scaffold

    DEFF Research Database (Denmark)

    Gogas, Bill D; Serruys, Patrick W; Diletti, Roberto

    2012-01-01

    This study sought to investigate in vivo the vascular response at the proximal and distal edges of the second-generation ABSORB everolimus-eluting bioresorbable vascular scaffold (BVS).......This study sought to investigate in vivo the vascular response at the proximal and distal edges of the second-generation ABSORB everolimus-eluting bioresorbable vascular scaffold (BVS)....

  2. 3D analysis of Navier-Stokes in steady state of the behavior of the flow in the Inter stage 1 of a gas turbine Frame 7; Analisis de navier-stokes tridimensional en estado estable del comportamiento del flujo en la inter etapa 1 de una turbina de gas frame 7

    Energy Technology Data Exchange (ETDEWEB)

    Henandez Rosete, Alejandro; Mazur C, Zdzislaw [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2007-11-15

    The results of the simulation by CFD (Computacional Fluid Dynamics) realized to the first stage of a gas turbine GE Frame 7 are presented. The analysis includes the 3D modeling of the flow channel in the nozzle and the movable blade to know the velocities distributions, temperatures and pressures of the main hot gas flow that are developed in the Inter stage. The results are influenced by the imposed border conditions in the properties of the main flow, the rotation of the movable blade, as well as the simulation of cooling air injection in the nozzle. The present study focuses in the validation of the model of the meshes of the ensemble nozzle-blade, for later realize an analysis of conjugated heat transfer in a model with ceramic lining type heat barrier (THB) in the movable blade. The analysis is realized in a CFD commercial code oriented to turbo-machinery using the equations of unstable flows 3D of Navier Stokes. [Spanish] Se presentan los resultados de la simulacion por CFD (Computacional Fluid Dynamics) realizada a la primera etapa de una turbina de gas GE Frame 7. El analisis incluye la modelacion tridimensional del canal de flujo en la tobera y el alabe movil para conocer las distribuciones de las velocidades, temperaturas y presiones del flujo principal de gases calientes que se desarrollan en la inter etapa. Los resultados son influenciados por las condiciones de frontera impuestos en las propiedades del flujo principal, la rotacion del alabe movil, asi como la simulacion de inyeccion de aire de enfriamiento en la tobera. El presente estudio se enfoca en la validacion del modelo de la malla del conjunto tobera-alabe, para posteriormente realizar un analisis de transferencia de calor conjugada en un modelo con recubrimiento ceramico tipo barrera termica (TBC) en el alabe movil. El analisis es realizado en un codigo de CFD comercial orientado a turbomaquinaria utilizando las ecuaciones de flujos inestables 3D de Navier Stokes.

  3. CIRSE Vascular Closure Device Registry

    NARCIS (Netherlands)

    Reekers, Jim A.; Müller-Hülsbeck, Stefan; Libicher, Martin; Atar, Eli; Trentmann, Jens; Goffette, Pierre; Borggrefe, Jan; Zeleňák, Kamil; Hooijboer, Pieter; Belli, Anna-Maria

    2011-01-01

    Vascular closure devices are routinely used after many vascular interventional radiology procedures. However, there have been no major multicenter studies to assess the safety and effectiveness of the routine use of closure devices in interventional radiology. The CIRSE registry of closure devices

  4. The vascular secret of Klotho

    DEFF Research Database (Denmark)

    Lewin, Ewa; Olgaard, Klaus

    2015-01-01

    Klotho is an evolutionarily highly conserved protein related to longevity. Increasing evidence of a vascular protecting effect of the Klotho protein has emerged and might be important for future treatments of uremic vascular calcification. It is still disputed whether Klotho is locally expressed ...

  5. Vascular Gene Expression: A Hypothesis

    Directory of Open Access Journals (Sweden)

    Angélica Concepción eMartínez-Navarro

    2013-07-01

    Full Text Available The phloem is the conduit through which photoassimilates are distributed from autotrophic to heterotrophic tissues and is involved in the distribution of signaling molecules that coordinate plant growth and responses to the environment. Phloem function depends on the coordinate expression of a large array of genes. We have previously identified conserved motifs in upstream regions of the Arabidopsis genes, encoding the homologs of pumpkin phloem sap mRNAs, displaying expression in vascular tissues. This tissue-specific expression in Arabidopsis is predicted by the overrepresentation of GA/CT-rich motifs in gene promoters. In this work we have searched for common motifs in upstream regions of the homologous genes from plants considered to possess a primitive vascular tissue (a lycophyte, as well as from others that lack a true vascular tissue (a bryophyte, and finally from chlorophytes. Both lycophyte and bryophyte display motifs similar to those found in Arabidopsis with a significantly low E-value, while the chlorophytes showed either a different conserved motif or no conserved motif at all. These results suggest that these same genes are expressed coordinately in non- vascular plants; this coordinate expression may have been one of the prerequisites for the development of conducting tissues in plants. We have also analyzed the phylogeny of conserved proteins that may be involved in phloem function and development. The presence of CmPP16, APL, FT and YDA in chlorophytes suggests the recruitment of ancient regulatory networks for the development of the vascular tissue during evolution while OPS is a novel protein specific to vascular plants.

  6. Inter-arm systolic blood pressure differences, relations with future vascular events and mortality in patients with and without manifest vascular disease.

    Science.gov (United States)

    Kranenburg, Guido; Spiering, Wilko; de Jong, Pim A; Kappelle, L Jaap; de Borst, Gert Jan; Cramer, Maarten J; Visseren, Frank L J; Aboyans, Victor; Westerink, Jan

    2017-10-01

    Inter-arm systolic blood pressure difference (SBPD) is an easily obtained patient characteristic which relates to vascular disease. We aimed to identify determinants of large inter-arm SBPD and to investigate the relation between inter-arm SBPD and vascular events in patients with and without manifest vascular disease. In a cohort of 7344 patients with manifest vascular disease or vascular risk factors alone enrolled in the Second Manifestations of ARTerial disease (SMART) study, single bilateral non-simultaneous blood pressure measurements were performed. Logistic and Cox regression was used to identify determinants of large inter-arm SBPD (≥15mmHg) and to investigate the relation between inter-arm SBPD and vascular events (composite of non-fatal myocardial infarction, stroke, and vascular mortality) and all-cause mortality. In all patients the median inter-arm SBPD was 7mmHg (IQR 3-11) and 1182 (16%) patients had inter-arm SBPD ≥15mmHg. Higher age, higher systolic blood pressure, diabetes mellitus, peripheral artery disease, carotid artery stenosis, higher carotid intima-media thickness, and lower ankle-brachial indices were related to large inter-arm SBPD (≥15mmHg). Each 5mmHg increase in inter-arm SBPD was related to a 12% higher risk of vascular events in patients without manifest vascular disease (HR 1.12; 95% CI 1.00-1.27), whereas no relation was apparent in patients with manifest vascular disease (HR 0.98; 95% CI 0.93-1.04, interaction p-value 0.036). Inter-arm SBPD was not related to all-cause mortality (HR 1.05; 95% CI 0.93-1.19). Inter-arm SBPD relates to a higher risk of vascular events in patients without manifest vascular disease, whereas this relation is not apparent in patients with manifest vascular disease. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. EFECTIVIDAD DEL MÉTODO DE FLUJO CON RECURRENCIA EN ESTUDIOS DE CIRCUITOS DE DISTRIBUCIÓN PRIMARIA; EFECTIVITY OF THE RECURRENT FLUX METHOD IN PRIMARY DISTRIBUTION STUDIES

    Directory of Open Access Journals (Sweden)

    Raúl Nicolás Carvajal Pérez

    2015-04-01

    Full Text Available Los estudios de circuitos de distribución comienzan con el cálculo de flujo de potencia por el circuito. Este refleja su estado actual en cuanto a pérdidas y caídas de tensión; básicos para cualquier análisis. Cuando se trabaja con técnicas genéticas, estos cálculos se realizan miles de veces. En este trabajo se sugiere un método de cálculo de flujo de potencia en circuitos de distribución radiales. Se aplica éste cuando solo se conoce la demanda total del circuito utilizando “Ardvinson” para asignar una “demanda de cálculo” a cada nodo. En esencia se realiza una primera iteración utilizando esa demanda y la tensión nominal del circuito en una dirección. La segunda iteración recurre a los valores obtenidos en la primera. Se exponen los cálculos realizados en un circuito real utilizando un sistema de cálculo específico y el Microsoft EXCEL para demostrar la rapidez del método y su nivel de exactitud. The first step in Distribution Circuits studios consist in power flux calculus. It shows the actual situation. of the circuit. When the studio is realized using genetic techniques, this step is repeated thousands times. A method to obtain power flux in distribution circuits is presented. The method is applied when only have the total circuit demand. Here is applied Ardvinson method to obtain “Calculus demand” in each node, realize the first iteration with these demand and nominal tension. Later, repeat the calculus using the values obtained before. An example of real circuit is resolved using specific software and EXCEL to demonstrate the efficiency of the method.

  8. Adiposity, adipocytokines & microvesicles in the etiology of vascular disease

    NARCIS (Netherlands)

    Kanhai, D.A.N.I.S.

    2013-01-01

    Vascular disease, in this thesis the terms vascular and cardiovascular are used interchangeably, is the number 1 cause of death worldwide. In 2008, 30% of all mortality had a vascular origin. Vascular mortality rates after a first manifestation of vascular disease are decreasing in Western society,

  9. Extracellular Matrix Molecules Facilitating Vascular Biointegration

    Directory of Open Access Journals (Sweden)

    Martin K.C. Ng

    2012-08-01

    Full Text Available All vascular implants, including stents, heart valves and graft materials exhibit suboptimal biocompatibility that significantly reduces their clinical efficacy. A range of biomolecules in the subendothelial space have been shown to play critical roles in local regulation of thrombosis, endothelial growth and smooth muscle cell proliferation, making these attractive candidates for modulation of vascular device biointegration. However, classically used biomaterial coatings, such as fibronectin and laminin, modulate only one of these components; enhancing endothelial cell attachment, but also activating platelets and triggering thrombosis. This review examines a subset of extracellular matrix molecules that have demonstrated multi-faceted vascular compatibility and accordingly are promising candidates to improve the biointegration of vascular biomaterials.

  10. Dynamic adaption of vascular morphology

    DEFF Research Database (Denmark)

    Okkels, Fridolin; Jacobsen, Jens Christian Brings

    2012-01-01

    The structure of vascular networks adapts continuously to meet changes in demand of the surrounding tissue. Most of the known vascular adaptation mechanisms are based on local reactions to local stimuli such as pressure and flow, which in turn reflects influence from the surrounding tissue. Here ...

  11. Dynamics of nephron-vascular network

    DEFF Research Database (Denmark)

    Postnov, Dmitry; Postnov, D E; Marsh, D J

    2012-01-01

    The paper presents a modeling study of the spatial dynamics of a nephro-vascular network consisting of individual nephrons connected via a tree-like vascular branching structure. We focus on the effects of nonlinear mechanisms that are responsible for the formation of synchronous patterns in order...

  12. Diagnostic criteria for vascular dementia

    NARCIS (Netherlands)

    Scheltens, P.; Hijdra, A. H.

    1998-01-01

    The term vascular dementia implies the presence of a clinical syndrome (dementia) caused by, or at least assumed to be caused by, a specific disorder (cerebrovascular disease). In this review, the various sets of criteria used to define vascular dementia are outlined. The various sets of criteria

  13. 3D bioprinting for vascularized tissue fabrication

    Science.gov (United States)

    Richards, Dylan; Jia, Jia; Yost, Michael; Markwald, Roger; Mei, Ying

    2016-01-01

    3D bioprinting holds remarkable promise for rapid fabrication of 3D tissue engineering constructs. Given its scalability, reproducibility, and precise multi-dimensional control that traditional fabrication methods do not provide, 3D bioprinting provides a powerful means to address one of the major challenges in tissue engineering: vascularization. Moderate success of current tissue engineering strategies have been attributed to the current inability to fabricate thick tissue engineering constructs that contain endogenous, engineered vasculature or nutrient channels that can integrate with the host tissue. Successful fabrication of a vascularized tissue construct requires synergy between high throughput, high-resolution bioprinting of larger perfusable channels and instructive bioink that promotes angiogenic sprouting and neovascularization. This review aims to cover the recent progress in the field of 3D bioprinting of vascularized tissues. It will cover the methods of bioprinting vascularized constructs, bioink for vascularization, and perspectives on recent innovations in 3D printing and biomaterials for the next generation of 3D bioprinting for vascularized tissue fabrication. PMID:27230253

  14. Diabetes and Retinal Vascular Dysfunction

    Directory of Open Access Journals (Sweden)

    Eui Seok Shin

    2014-01-01

    Full Text Available Diabetes predominantly affects the microvascular circulation of the retina resulting in a range of structural changes unique to this tissue. These changes ultimately lead to altered permeability, hyperproliferation of endothelial cells and edema, and abnormal vascularization of the retina with resulting loss of vision. Enhanced production of inflammatory mediators and oxidative stress are primary insults with significant contribution to the pathogenesis of diabetic retinopathy (DR. We have determined the identity of the retinal vascular cells affected by hyperglycemia, and have delineated the cell autonomous impact of high glucose on function of these cells. We discuss some of the high glucose specific changes in retinal vascular cells and their contribution to retinal vascular dysfunction. This knowledge provides novel insight into the molecular and cellular defects contributing to the development and progression of diabetic retinopathy, and will aid in the development of innovative, as well as target specific therapeutic approaches for prevention and treatment of DR.

  15. Image Quality in Vascular Radiology

    International Nuclear Information System (INIS)

    Vanhavere, F.; Struelens, L.

    2005-01-01

    In vascular radiology, the radiologists use the radiological image to diagnose or treat a specific vascular structure. From literature, we know that related doses are high and that large dose variability exists between different hospitals. The application of the optimization principle is therefore necessary and is obliged by the new legislation. So far, very little fieldwork has been performed and no practical instructions are available to do the necessary work. It's indisputable that obtaining quantitative data is of great interest for optimization purposes. In order to gain insight into these doses and the possible measures for dose reduction, we performed a comparative study in 7 hospitals. Patient doses will be measured and calculated for specific procedures in vascular radiology and evaluated against their most influencing parameters. In view of optimization purposes, a protocol for dose audit will be set-up. From the results and conclusions in this study, experimentally based guidelines will be proposed, in order to improve clinical practice in vascular radiology

  16. Progenitor cells in pulmonary vascular remodeling

    Science.gov (United States)

    Yeager, Michael E.; Frid, Maria G.; Stenmark, Kurt R.

    2011-01-01

    Pulmonary hypertension is characterized by cellular and structural changes in the walls of pulmonary arteries. Intimal thickening and fibrosis, medial hypertrophy and fibroproliferative changes in the adventitia are commonly observed, as is the extension of smooth muscle into the previously non-muscularized vessels. A majority of these changes are associated with the enhanced presence of α-SM-actin+ cells and inflammatory cells. Atypical abundances of functionally distinct endothelial cells, particularly in the intima (plexiform lesions), and also in the perivascular regions, are also described. At present, neither the origin(s) of these cells nor the molecular mechanisms responsible for their accumulation, in any of the three compartments of the vessel wall, have been fully elucidated. The possibility that they arise from either resident vascular progenitors or bone marrow–derived progenitor cells is now well established. Resident vascular progenitor cells have been demonstrated to exist within the vessel wall, and in response to certain stimuli, to expand and express myofibroblastic, endothelial or even hematopoietic markers. Bone marrow–derived or circulating progenitor cells have also been shown to be recruited to sites of vascular injury and to assume both endothelial and SM-like phenotypes. Here, we review the data supporting the contributory role of vascular progenitors (including endothelial progenitor cells, smooth muscle progenitor cells, pericytes, and fibrocytes) in vascular remodeling. A more complete understanding of the processes by which progenitor cells modulate pulmonary vascular remodeling will undoubtedly herald a renaissance of therapies extending beyond the control of vascular tonicity and reduction of pulmonary artery pressure. PMID:22034593

  17. Congenital vascular malformations in scintigraphic evaluation

    International Nuclear Information System (INIS)

    Pilecki, Stanisław; Gierach, Marcin; Gierach, Joanna; Świętaszczyk, Cyprian; Junik, Roman; Lasek, Władysław

    2014-01-01

    Congenital vascular malformations are tumour-like, non-neoplastic lesions caused by disorders of vascular tissue morphogenesis. They are characterised by a normal cell replacement cycle throughout all growth phases and do not undergo spontaneous involution. Here we present a scintigraphic image of familial congenital vascular malformations in two sisters. A 17-years-old young woman with a history of multiple hospitalisations for foci of vascular anomalies appearing progressively in the upper and lower right limbs, chest wall and spleen. A Parkes Weber syndrome was diagnosed based on the clinical picture. Due to the occurrence of new foci of malformations, a whole-body scintigraphic examination was performed. A 12-years-old girl reported a lump in the right lower limb present for approximately 2 years, which was clinically identified as a vascular lesion in the area of calcaneus and talus. Phleboscintigraphy visualized normal radiomarker outflow from the feet via the deep venous system, also observed in the superficial venous system once the tourniquets were released. In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint. People with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment. Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression

  18. Vascular associated gene variants in patients with preeclampsia

    DEFF Research Database (Denmark)

    Lykke, Jacob A; Bare, Lance A; Olsen, Jørn

    2012-01-01

    Preeclampsia has been linked to subsequent vascular disease with many shared predisposing factors. We investigated the association between severe preeclampsia, and its subtypes, and specific vascular-related polymorphisms.......Preeclampsia has been linked to subsequent vascular disease with many shared predisposing factors. We investigated the association between severe preeclampsia, and its subtypes, and specific vascular-related polymorphisms....

  19. Protein Kinase C Inhibitors as Modulators of Vascular Function and Their Application in Vascular Disease

    Directory of Open Access Journals (Sweden)

    Raouf A. Khalil

    2013-03-01

    Full Text Available Blood pressure (BP is regulated by multiple neuronal, hormonal, renal and vascular control mechanisms. Changes in signaling mechanisms in the endothelium, vascular smooth muscle (VSM and extracellular matrix cause alterations in vascular tone and blood vessel remodeling and may lead to persistent increases in vascular resistance and hypertension (HTN. In VSM, activation of surface receptors by vasoconstrictor stimuli causes an increase in intracellular free Ca2+ concentration ([Ca2+]i, which forms a complex with calmodulin, activates myosin light chain (MLC kinase and leads to MLC phosphorylation, actin-myosin interaction and VSM contraction. Vasoconstrictor agonists could also increase the production of diacylglycerol which activates protein kinase C (PKC. PKC is a family of Ca2+-dependent and Ca2+-independent isozymes that have different distributions in various blood vessels, and undergo translocation from the cytosol to the plasma membrane, cytoskeleton or the nucleus during cell activation. In VSM, PKC translocation to the cell surface may trigger a cascade of biochemical events leading to activation of mitogen-activated protein kinase (MAPK and MAPK kinase (MEK, a pathway that ultimately increases the myofilament force sensitivity to [Ca2+]i, and enhances actin-myosin interaction and VSM contraction. PKC translocation to the nucleus may induce transactivation of various genes and promote VSM growth and proliferation. PKC could also affect endothelium-derived relaxing and contracting factors as well as matrix metalloproteinases (MMPs in the extracellular matrix further affecting vascular reactivity and remodeling. In addition to vasoactive factors, reactive oxygen species, inflammatory cytokines and other metabolic factors could affect PKC activity. Increased PKC expression and activity have been observed in vascular disease and in certain forms of experimental and human HTN. Targeting of vascular PKC using PKC inhibitors may function in

  20. Los flujos de capital y el Estado en Colombia The capital inflows and the State in Colombia

    Directory of Open Access Journals (Sweden)

    Kalmanovitz Salomón

    1994-12-01

    Full Text Available El artículo hace un breve análisis de los flujos de capital hacia América Latina durante el último lustro, atraídos por economías menos intervenidas por el Estado, más abiertas al comercio internacional, más estables y equilibradas en sus variables macroeconómicas fundamentales. Seguidamente se examina la economía colombiana en los aspectos de crecimiento, inflación, agregados externos, monetarios y fiscales para concluir la apreciación del peso causada por la repatriación de capitales y las expectativas sobre una nueva bonanza petrolera hacen más difícil el desarrollo de la producción de bienes transables en el país.This paper analyses briefly capital inflows in Latin America duringthe last five years which were attracted by less state intervention,more openness to international trade and more stable economies in their macro variables.Next, the paper examines the Colombian economy in themes such asgrowth, inflation, external and fiscal balances, to conclude that the appreciation of the peso, caused by the capital inflow and the expectations of a new oil boom, makes it more difficult to developthe development of tradable within the country.

  1. Insulin resistance: vascular function and exercise

    Directory of Open Access Journals (Sweden)

    Moon-Hyon Hwang

    2016-09-01

    Full Text Available Insulin resistance associated with metabolic syndrome and Type 2 diabetes mellitus is an epidemic metabolic disorder, which increases the risk of cardiovascular complications. Impaired vascular endothelial function is an early marker for atherosclerosis, which causes cardiovascular complications. Both experimental and clinical studies indicate that endothelial dysfunction in vasculatures occurs with insulin resistance. The associated physiological mechanisms are not fully appreciated yet, however, it seems that augmented oxidative stress, a physiological imbalance between oxidants and antioxidants, in vascular cells is a possible mechanism involved in various vascular beds with insulin resistance and hyperglycemia. Regardless of the inclusion of resistance exercise, aerobic exercise seems to be beneficial for vascular endothelial function in both large conduit and small resistance vessels in both clinical and experimental studies with insulin resistance. In clinical cases, aerobic exercise over 8 weeks with higher intensity seems more beneficial than the cases with shorter duration and lower intensity. However, more studies are needed in the future to elucidate the physiological mechanisms by which vascular endothelial function is impaired in insulin resistance and improved with aerobic exercise.

  2. Retinal vascular segmentation using superpixel-based line operator and its application to vascular topology estimation.

    Science.gov (United States)

    Na, Tong; Xie, Jianyang; Zhao, Yitian; Zhao, Yifan; Liu, Yue; Wang, Yongtian; Liu, Jiang

    2018-05-09

    Automatic methods of analyzing of retinal vascular networks, such as retinal blood vessel detection, vascular network topology estimation, and arteries/veins classification are of great assistance to the ophthalmologist in terms of diagnosis and treatment of a wide spectrum of diseases. We propose a new framework for precisely segmenting retinal vasculatures, constructing retinal vascular network topology, and separating the arteries and veins. A nonlocal total variation inspired Retinex model is employed to remove the image intensity inhomogeneities and relatively poor contrast. For better generalizability and segmentation performance, a superpixel-based line operator is proposed as to distinguish between lines and the edges, thus allowing more tolerance in the position of the respective contours. The concept of dominant sets clustering is adopted to estimate retinal vessel topology and classify the vessel network into arteries and veins. The proposed segmentation method yields competitive results on three public data sets (STARE, DRIVE, and IOSTAR), and it has superior performance when compared with unsupervised segmentation methods, with accuracy of 0.954, 0.957, and 0.964, respectively. The topology estimation approach has been applied to five public databases (DRIVE,STARE, INSPIRE, IOSTAR, and VICAVR) and achieved high accuracy of 0.830, 0.910, 0.915, 0.928, and 0.889, respectively. The accuracies of arteries/veins classification based on the estimated vascular topology on three public databases (INSPIRE, DRIVE and VICAVR) are 0.90.9, 0.910, and 0.907, respectively. The experimental results show that the proposed framework has effectively addressed crossover problem, a bottleneck issue in segmentation and vascular topology reconstruction. The vascular topology information significantly improves the accuracy on arteries/veins classification. © 2018 American Association of Physicists in Medicine.

  3. Inferred of vorticity structures of flow that go around of a obstacle, by means of Euleriano tridimentional model; Inferencia de estructuras vorticosas del flujo que pasa alrededor de un obstaculo, mediante un modelo euleriano tridimensional

    Energy Technology Data Exchange (ETDEWEB)

    Millan Barrera, C.; Ramirez Leon, H. [Instituto Mexicano de Tecnologia del Agua, Morelos (Mexico)

    2001-02-01

    movimiento, calor y masa en un canal, por tanto, su variacion es tridimensional. Asimismo son responsables en gran parte de las formas de fondo, en flujos con gran contenido de sedimentos suspendidos. La importancia del flujo secundario queda de manifiesto cuando se introduce el concepto de vorticidad. En este articulo se presentan los resultados con un modelo euleriano tridimensional que incluye la ecuacion estadistica de la vorticidad, donde las correlaciones U{sub i}W{sub j} fueron modeladas en funcion de las correlaciones dobles U{sub i}U{sub j} obtenidas, mediante las propiedades del flujo turbulento. El modelo se aplica a un canal con un obstaculo en el fondo. Los resultados arrojados por la simulacion son interesantes, ya que los patrones de flujo de vorticidad se comportan de manera semejante a otros encontrados en estudios experimentales. La finalidad de este estudio es servir de base a estudios posteriores sobre los procesos dinamicos del movimiento de particulas en el fondo de un canal.

  4. Postoperative radiographic evaluation of vascularized fibular grafts

    International Nuclear Information System (INIS)

    Manaster, B.J.; Coleman, D.A.; Bell, D.A.

    1989-01-01

    This paper reports on thirty-five patients with free vascularized fibular grafts examined postoperatively with plain radiography. Early graft incorporation is seen as a fuzziness of the cortex at the site of its insertion into the host bone. Causes of failure in grafting for bone defects include graft fracture, hardware failure, and infection. A high percentage of complications or at least delayed unions occurred when vascularized fibular grafts were used to fill defects in the lower extremity. Conversely, upper extremity defects bridged by vascularized grafts heal quickly and hypertrophy. Vascularized grafts placed in the femoral head and neck for a vascular necrosis incorporate early on their superior aspect. The osseous tunnel in which they are placed is normally wider than the graft and often becomes sclerotic; this appearance does not represent nonunion

  5. Determinación de entalpías de mezcla de sistemas muy viscosos usando un ITC y un microcalorímetro de flujo de construcción propia

    OpenAIRE

    Salmerón Hernández, Víctor

    2016-01-01

    Programa de doctorado: Física, Matemáticas, Geología y Clima. La fecha de publicación es la fecha de lectura [ES]Para la presente memoria se han determinado las entalpías molares de exceso HE, a 298.15 K, a la presión atmosférica normal y para todo el intervalo de fracciones molares x, de diversos sistemas binarios del tipo amida + 1,2-diol y agua + 1,2-diol, con el objetivo de valorar la capacidad de operación de un ITC comercial y un microcalorímetro de flujo (FM) construido en nuestro l...

  6. Rotor optimization of a Francis type hydraulic turbine through the computer flow analysis (CFD); Optimizacion del rodete de una turbina hidraulica tipo Francis a traves del analisis computacional del flujo (CFD)

    Energy Technology Data Exchange (ETDEWEB)

    Rosado Tamariz, Erick

    2007-06-15

    basicas para el analisis de flujo y el proceso de optimizacion en las turbinas, los cuales consisten en: modelado de flujo a traves de toda la turbina (conjunto), o bien el modelado de cada componente por separado, obteniendo resultados satisfactorios por ambas metodologias. En la mayoria de los casos implementando el metodo de volumen finito (MVF), con consideraciones de flujo no viscoso, con la implementacion de los modelos de dos ecuaciones para la solucion de las ecuaciones que rigen el flujo turbulento. Asi mismo, se utilizan tecnicas de optimizacion que se basan en la parametrizacion geometrica, el planteamiento de una funcion objetivo y en la disminucion del fenomeno de cavitacion. En el presente trabajo se presenta la optimizacion de un rodete de una turbina hidraulica tipo Francis modelo, considerando tres condiciones de carga (75%, 85% y 100%) a traves de la dinamica de fluidos computacionales (CFD) como parte de un analisis hidraulico para la modernizacion de una unidad de generacion de potencia. Se realiza la optimizacion del rodete de una turbina tipo Francis, mediante un analisis previo de CFD mediante el MVF, considerando los efectos viscosos del fluido y el modelo de turbulencia Sparlat-Allmaras; modelando el distribuidor y el rodete por separado. Posteriormente se realiza la generacion de un modelo parametrico del rodete y se configura la simulacion para la generacion de la base de datos. Finalmente se plantea una funcion objetivo para con ello obtener la geometria optima de los alabes del rodete. Los resultados se presentan en forma grafica donde se muestra la distribucion de presiones del rodete original y el rodete optimizado; de igual forma, se comparan las formas geometricas y los resultados globales de desempeno (potencia y rendimiento) de ambos rodetes.

  7. Sirtuins, Cell Senescence, and Vascular Aging.

    Science.gov (United States)

    Kida, Yujiro; Goligorsky, Michael S

    2016-05-01

    The sirtuins (SIRTs) constitute a class of proteins with nicotinamide adenine dinucleotide-dependent deacetylase or adenosine diphosphate-ribosyltransferase activity. Seven SIRT family members have been identified in mammals, from SIRT1, the best studied for its role in vascular aging, to SIRT7. SIRT1 and SIRT2 are localized in the nucleus and cytoplasm. SIRT3, SIRT4, and SIRT5 are mitochondrial, and SIRT6 and SIRT7 are nuclear. Extensive studies have clearly revealed that SIRT proteins regulate diverse cell functions and responses to stressors. Vascular aging involves the aging process (senescence) of endothelial and vascular smooth muscle cells. Two types of cell senescence have been identified: (1) replicative senescence with telomere attrition; and (2) stress-induced premature senescence without telomere involvement. Both types of senescence induce vascular cell growth arrest and loss of vascular homeostasis, and contribute to the initiation and progression of cardiovascular diseases. Previous mechanistic studies have revealed in detail that SIRT1, SIRT3, and SIRT6 show protective functions against vascular aging, and definite vascular function of other SIRTs is under investigation. Thus, direct SIRT modulation and nicotinamide adenine dinucleotide stimulation of SIRT are promising candidates for cardiovascular disease therapy. A small number of pilot studies have been conducted to assess SIRT modulation in humans. These clinical studies have not yet provided convincing evidence that SIRT proteins alleviate morbidity and mortality in patients with cardiovascular diseases. The outcomes of multiple ongoing clinical trials are awaited to define the efficacy of SIRT modulators and SIRT activators in cardiovascular diseases, along with the potential adverse effects of chronic SIRT modulation. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

  8. [Vascular aging, arterial hypertension and physical activity].

    Science.gov (United States)

    Schmidt-Trucksäss, A; Weisser, B

    2011-11-01

    The present review delineates the significance of intima-media-thickness, arterial stiffness and endothelial function for vascular aging. There is profound evidence for an increase in intima-media-thickness and vascular stiffness not only during healthy aging but induced also by cardiovascular risk factors. There is a central role of arterial hypertension for this progression in both structural factors. In addition, both parameters are strongly associated with cardiovascular risk. Endothelial function measured as postischemic flow-mediated vasodilatation is a functional parameter which is decreased both in healthy aging and by cardiovascular risk factors. Physical activity modifies the influence of aging and risk factors on endothelial function. A positive influence of endurance exercise on vascular stiffness and endothelial function has been demonstrated in numerous studies. In long-term studies, regular physical activity has been shown to reduce the progression of intima-media-thickness. Thus, arterial hypertension accelerates vascular aging, while physical activity has a positive influence on a variety of vascular parameters associated with vascular aging. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Pulmonary vascular imaging

    International Nuclear Information System (INIS)

    Fedullo, P.F.; Shure, D.

    1987-01-01

    A wide range of pulmonary vascular imaging techniques are available for the diagnostic evaluation of patients with suspected pulmonary vascular disease. The characteristics of any ideal technique would include high sensitivity and specificity, safety, simplicity, and sequential applicability. To date, no single technique meets these ideal characteristics. Conventional pulmonary angiography remains the gold standard for the diagnosis of acute thromboembolic disease despite the introduction of newer techniques such as digital subtraction angiography and magnetic resonance imaging. Improved noninvasive lower extremity venous testing methods, particularly impedance plethysmography, and ventilation-perfusion scanning can play significant roles in the noninvasive diagnosis of acute pulmonary emboli when properly applied. Ventilation-perfusion scanning may also be useful as a screening test to differentiate possible primary pulmonary hypertension from chronic thromboembolic pulmonary hypertension. And, finally, angioscopy may be a useful adjunctive technique to detect chronic thromboembolic disease and determine operability. Optimal clinical decision-making, however, will continue to require the proper interpretation of adjunctive information obtained from the less-invasive techniques, applied with an understanding of the natural history of the various forms of pulmonary vascular disease and with a knowledge of the capabilities and shortcomings of the individual techniques

  10. Vascular lumen formation.

    Science.gov (United States)

    Lammert, Eckhard; Axnick, Jennifer

    2012-04-01

    The vascular system developed early in evolution. It is required in large multicellular organisms for the transport of nutrients, oxygen, and waste products to and from tissues. The vascular system is composed of hollow tubes, which have a high level of complexity in vertebrates. Vasculogenesis describes the de novo formation of blood vessels, e.g., aorta formation in vertebrate embryogenesis. In contrast, angiogenesis is the formation of blood vessels from preexisting ones, e.g., sprouting of intersomitic blood vessels from the aorta. Importantly, the lumen of all blood vessels in vertebrates is lined and formed by endothelial cells. In both vasculogenesis and angiogenesis, lumen formation takes place in a cord of endothelial cells. It involves a complex molecular mechanism composed of endothelial cell repulsion at the cell-cell contacts within the endothelial cell cords, junctional rearrangement, and endothelial cell shape change. As the vascular system also participates in the course of many diseases, such as cancer, stroke, and myocardial infarction, it is important to understand and make use of the molecular mechanisms of blood vessel formation to better understand and manipulate the pathomechanisms involved.

  11. Evaluación del comportamiento de un algoritmo para la secuenciación en un taller de flujo con tiempos dependientes de la secuencia // Evaluation of the behaviour of a sequences elaboration algorithm in a flow shop with depending on the sequence times.

    Directory of Open Access Journals (Sweden)

    Alberto Fiol-Zulueta

    2010-01-01

    Full Text Available ResumenEn el trabajo se realiza la evaluación del comportamiento de un algoritmo propuesto para lasecuenciación en un taller de flujo con tiempos dependientes de la secuencia, utilizando un métodohíbrido basado en el Algoritmo de Búsqueda del Extremo de una Función de un Código Variable y lametaheurística de Búsqueda Dispersa. Asimismo, se analizan casos obtenidos de la aplicación en untaller mecánico de una industria nacional.Palabras claves: secuencias, taller de flujo, metaheurística.____________________________________________________________AbstractIn this paper the evaluation of the behaviour of a proposed algorithm is made for the sequence ofevents in a stream flow in a workshop with dependent moments of the sequence using a hybridmethod based on theSEARCH OF THE EXTREME OF A FUNTION OF A VARIABLE CODE ALGORITHM AND THEDISPERSED SEARCH METHOD ALGORITHMIn the same way, cases obtained from the application in aworkshop of the national mechanical industry are analysed.Key words: scheduling, flow shop, metahuristic

  12. Lipidomics in vascular health: current perspectives.

    Science.gov (United States)

    Kolovou, Genovefa; Kolovou, Vana; Mavrogeni, Sophie

    2015-01-01

    Identifying the mechanisms that convert a healthy vascular wall to an atherosclerotic wall is of major importance since the consequences may lead to a shortened lifespan. Classical risk factors (age, smoking, obesity, diabetes mellitus, hypertension, and dyslipidemia) may result in the progression of atherosclerotic lesions by processes including inflammation and lipid accumulation. Thus, the evaluation of blood lipids and the full lipid complement produced by cells, organisms, or tissues (lipidomics) is an issue of importance. In this review, we shall describe the recent progress in vascular health research using lipidomic advances. We will begin with an overview of vascular wall biology and lipids, followed by a short analysis of lipidomics. Finally, we shall focus on the clinical implications of lipidomics and studies that have examined lipidomic approaches and vascular health.

  13. [Vascular access guidelines for hemodialysis].

    Science.gov (United States)

    Rodríguez Hernández, J A; González Parra, E; Julián Gutiérrez, J M; Segarra Medrano, A; Almirante, B; Martínez, M T; Arrieta, J; Fernández Rivera, C; Galera, A; Gallego Beuter, J; Górriz, J L; Herrero, J A; López Menchero, R; Ochando, A; Pérez Bañasco, V; Polo, J R; Pueyo, J; Ruiz, Camps I; Segura Iglesias, R

    2005-01-01

    Quality of vascular access (VA) has a remarkable influence in hemodialysis patients outcomes. Dysfunction of VA represents a capital cause of morbi-mortality of these patients as well an increase in economical. Spanish Society of Neprhology, aware of the problem, has decided to carry out a revision of the issue with the aim of providing help in comprehensión and treatment related with VA problems, and achieving an homogenization of practices in three mayor aspects: to increase arteriovenous fistula utilization as first vascular access, to increment vascular access monitoring practice and rationalise central catheters use. We present a consensus document elaborated by a multidisciplinar group composed by nephrologists, vascular surgeons, interventional radiologysts, infectious diseases specialists and nephrological nurses. Along six chapters that cover patient education, creation of VA, care, monitoring, complications and central catheters, we present the state of the art and propose guidelines for the best practice, according different evidence based degrees, with the intention to provide help at the professionals in order to make aproppiate decissions. Several quality standars are also included.

  14. Imaging after vascular gene therapy

    International Nuclear Information System (INIS)

    Manninen, Hannu I.; Yang, Xiaoming

    2005-01-01

    Targets for cardiovascular gene therapy currently include limiting restenosis after balloon angioplasty and stent placement, inhibiting vein bypass graft intimal hyperplasia/stenosis, therapeutic angiogenesis for cardiac and lower-limb ischemia, and prevention of thrombus formation. While catheter angiography is still standard method to follow-up vascular gene transfer, other modern imaging techniques, especially intravascular ultrasound (IVUS), magnetic resonance (MR), and positron emission tomography (PET) imaging provide complementary information about the therapeutic effect of vascular gene transfer in humans. Although molecular imaging of therapeutic gene expression in the vasculatures is still in its technical development phase, it has already offered basic medical science an extremely useful in vivo evaluation tool for non- or minimally invasive imaging of vascular gene therapy

  15. Revascularization of diaphyseal bone segments by vascular bundle implantation.

    Science.gov (United States)

    Nagi, O N

    2005-11-01

    Vascularized bone transfer is an effective, established treatment for avascular necrosis and atrophic or infected nonunions. However, limited donor sites and technical difficulty limit its application. Vascular bundle transplantation may provide an alternative. However, even if vascular ingrowth is presumed to occur in such situations, its extent in aiding revascularization for ultimate graft incorporation is not well understood. A rabbit tibia model was used to study and compare vascularized, segmental, diaphyseal, nonvascularized conventional, and vascular bundle-implanted grafts with a combination of angiographic, radiographic, histopathologic, and bone scanning techniques. Complete graft incorporation in conventional grafts was observed at 6 months, whereas it was 8 to 12 weeks with either of the vascularized grafts. The pattern of radionuclide uptake and the duration of graft incorporation between vascular segmental bone grafts (with intact endosteal blood supply) and vascular bundle-implanted segmental grafts were similar. A vascular bundle implanted in the recipient bone was found to anastomose extensively with the intraosseous circulation at 6 weeks. Effective revascularization of bone could be seen when a simple vascular bundle was introduced into a segment of bone deprived of its normal blood supply. This simple technique offers promise for improvement of bone graft survival in clinical circumstances.

  16. Cinética de secado de fruta bomba (Carica papaya L., cv. Maradol Roja) mediante los métodos de deshidratación osmótica y por flujo de aire caliente

    OpenAIRE

    Daybelis Fernández Valdés; Sahylin Muñiz Becerá; Annia García Pereira; Rafael Cervantes Beyra; Dayvis Fernández Valdés

    2015-01-01

    La deshidratación es uno de los métodos más utilizados para la conservación de frutas y vegetales, mediante su uso se logra extender los períodos de almacenamiento preservando siempre la calidad de los productos. El presente trabajo tiene como objetivo evaluar el comportamiento cinético de las principales propiedades de la fruta bomba (Carica papaya L, cv. Maradol Roja) durante los procesos agroindustriales de deshidratación osmótica (DO) y por flujo de aire caliente (DAC). Las frutas se cort...

  17. Adiposity, adipocytokines & microvesicles in the etiology of vascular disease

    OpenAIRE

    Kanhai, D.A.N.I.S.

    2013-01-01

    Vascular disease, in this thesis the terms vascular and cardiovascular are used interchangeably, is the number 1 cause of death worldwide. In 2008, 30% of all mortality had a vascular origin. Vascular mortality rates after a first manifestation of vascular disease are decreasing in Western society, which is attributable to better disease awareness, better preventive strategies and better healthcare systems. As mortality rates are decreasing, the number of patients surviving their first vascul...

  18. Subclinical hypothyroidism after vascular complicated pregnancy

    NARCIS (Netherlands)

    Zanden, M. van der; Hop-de Groot, R.J.; Sweep, F.C.; Ross, H.A.; Heijer, M. den; Spaanderman, M.E.A.

    2013-01-01

    OBJECTIVE: Women with a history of vascular complicated pregnancy are at risk for developing remote cardiovascular disease. It is associated with underlying cardiovascular risk factors both jeopardizing trophoblast and vascular function. Subclinical hypothyroidism may relate to both conditions.

  19. Self-Replenishing Vascularized Fouling-Release Surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Howell, C; Vu, TL; Lin, JJ; Kolle, S; Juthani, N; Watson, E; Weaver, JC; Alvarenga, J; Aizenberg, J

    2014-08-13

    Inspired by the long-term effectiveness of living antifouling materials, we have developed a method for the self-replenishment of synthetic biofouling-release surfaces. These surfaces are created by either molding or directly embedding 3D vascular systems into polydimethylsiloxane (PDMS) and filling them with a silicone oil to generate a nontoxic oil-infused material. When replenished with silicone oil from an outside source, these materials are capable of self-lubrication and continuous renewal of the interfacial fouling-release layer. Under accelerated lubricant loss conditions, fully infused vascularized samples retained significantly more lubricant than equivalent nonvascularized controls. Tests of lubricant-infused PDMS in static cultures of the infectious bacteria Staphylococcus aureus and Escherichia coli as well as the green microalgae Botryococcus braunii, Chlamydomonas reinhardtii, Dunaliella sauna, and Nannochloropsis oculata showed a significant reduction in biofilm adhesion compared to PDMS and glass controls containing no lubricant. Further experiments on vascularized versus nonvascularized samples that had been subjected to accelerated lubricant evaporation conditions for up to 48 h showed significantly less biofilm adherence on the vascularized surfaces. These results demonstrate the ability of an embedded lubricant-filled vascular network to improve the longevity of fouling-release surfaces.

  20. MERCADOS FINANCIEROS EN LAS CADENAS AGROINDUSTRIALES DE MERCANCIAS: APROXIMACIÓN CONCEPTUAL

    Directory of Open Access Journals (Sweden)

    Rafael Díaz Carlos Francisco Carranza

    2012-10-01

    Full Text Available Integrar los flujos de financiamiento y mercados financieros al enfoque de cadenas globales de mercancías permite resaltar la relación empresario agropecuario y agroindustrial con el agente financiero a lo largo de todos los segmentos de la cadena. Los agentes de cualquier cadena agroindustrial de mercancías, bien sean agricultores, procesadores, exportadores con operaciones dentro del territorio nacional o empresarios que operan fuera del territorio nacional, se ven necesitados de tener acceso al financiamiento de corto plazo para las operaciones corrientes y al financiamiento de largo plazo para inversión, innovación y promoción de la competitividad. El grado de acceso al crédito entre distintos agentes de la cadena global depende de las características del agente financiero y de las características de cada solicitante, información que se encuentra asimétricamente distribuída entre intermediarios financieros y productor. Los mercados financieros contemplan tanto agentes nacionales como internacionales y distintos grados de formalidad en sus operaciones crediticias. Este artículo se escribe en el marco del Proyecto Cadenas Agroalimentarias y Desarrollo Sostenible en Centroamérica, código 23746, inscrito en la Facultad de Ciencias Sociales. Los autores pueden ser contactados en ccarranz@una.ac.cr y en rdiaz@una.ac.cr, respectivamente.

  1. Vascular lesions following radiation

    International Nuclear Information System (INIS)

    Fajardo, L.F.; Berthrong, M.

    1988-01-01

    The special radiation sensitivity of the vascular system is mainly linked to that of endothelial cells, which are perhaps the most radiation-vulnerable elements of mesenchymal tissues. Within the vascular tree, radiation injures most often capillaries, sinusoids, and small arteries, in that order. Lesions of veins are observed less often, but in certain tissues the veins are regularly damaged (e.g., intestine) or are the most affected structures (i.e., liver). Large arteries do suffer the least; however, when significant damage does occur in an elastic artery (e.g., thrombosis or rupture), it tends to be clinically significant and even fatal. Although not always demonstrable in human tissues, radiation vasculopathy generally is dose and time dependent. Like other radiation-induced lesions, the morphology in the vessels is not specific, but it is characteristic enough to be often recognizable. Vascular injury, especially by therapeutic radiation is not just a morphologic marker. It is a mediator of tissue damage; perhaps the most consistent pathogenetic mechanism in delayed radiation injury

  2. Vascular Disorders

    Science.gov (United States)

    ... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Vascular Disorders Email to a friend * required fields ...

  3. Using Polymeric Scaffolds for Vascular Tissue Engineering

    Directory of Open Access Journals (Sweden)

    Alida Abruzzo

    2014-01-01

    Full Text Available With the high occurrence of cardiovascular disease and increasing numbers of patients requiring vascular access, there is a significant need for small-diameter (<6 mm inner diameter vascular graft that can provide long-term patency. Despite the technological improvements, restenosis and graft thrombosis continue to hamper the success of the implants. Vascular tissue engineering is a new field that has undergone enormous growth over the last decade and has proposed valid solutions for blood vessels repair. The goal of vascular tissue engineering is to produce neovessels and neoorgan tissue from autologous cells using a biodegradable polymer as a scaffold. The most important advantage of tissue-engineered implants is that these tissues can grow, remodel, rebuild, and respond to injury. This review describes the development of polymeric materials over the years and current tissue engineering strategies for the improvement of vascular conduits.

  4. Distintos aspectos del tributo entre los Yauyos de Chaclla, siglo XV-XVIII

    Directory of Open Access Journals (Sweden)

    1976-01-01

    Full Text Available Lors de l'administration cuzquénienne, les Yauyos de Chaclla avaient un impôt à payer sous forme de travail: agriculture, tissage, construction, etc. En même temps les chefs Yauyos avaient des 'obligations' entre eux et avec leurs indiens dans le cadre de relations réciproques et familiales qui ne sont pas encore très claires. Quand les Espagnols imposèrent le paiement de l'impôt en espèces, ces relations se sont transformées, les chefs perdant les bases de leur vraie autorité et la population indienne s'appauvrissant - conséquences des très importants efforts économiques qu'ils avaient à faire pour payer leur impôt. Durante la administración cuzqueña, los Yauyos de Chaclla tributaban trabajo, que era aplicado a distintos fines: agricultura, tejido, construcciones, etc. A su vez, los caciques Yauyos estaban 'obligados' entre sí y a sus indios por relaciones de reciprocidad e intercambio, que aún no están del todo claras. Al exigir los españoles el pago de un tributo en dinero, estas relaciones se transforman, perdiendo los caciques las bases de su verdadera autoridad y empobreciéndose la población indígena, como consecuencia de los inauditos esfuerzos económicos que debía realizar para conseguir cubrir el tributo. During the Cuzco Administration, the Yauyos from Chaclla tributed labour, which was used for different purposes: agriculture, weaving, building, etc. At the same time, the Yauyos chiefs were 'obligated' among themselves and to their Indians through reciprocity and trade relationships, which are not yet very clear. When the Spaniards imposed the payment of a tribute in money, these relationships were transformed, causing the chiefs to lose the basis of their real authority and impoverishing the indian population as a consequence of the incredible economic efforts they had to achieve, in order to pay the tribute.

  5. Patterns of peripheral vascular diseases at Muhimbili National hospital

    African Journals Online (AJOL)

    diseases) and HIV- vasculitis. A total of 97 patients (63%) were surgically treated. Conclusion: Shortage of vascular surgeons and facilities in our. Country needs to be sorted out to save life to these patients with vascular disorders. Key Words: Peripheral Vascular Diseases, and Shortage of Vascular Services in Tanzania.

  6. World Federation of Vascular Societies: presidential address

    DEFF Research Database (Denmark)

    Sillesen, Henrik Hegaard

    2010-01-01

    The presidential address describes briefly the history of the World Federation for Vascular Societies (WFVS) and its objectives. Vascular Surgery today includes interventional procedures (open surgical and endovascular) in addition to risk factor reduction and medical treatment. It is equally imp...... throughout the world. In addition, for introduction of new treatments, training issues and dissemination of science a global organisation like the WFVS is needed.......The presidential address describes briefly the history of the World Federation for Vascular Societies (WFVS) and its objectives. Vascular Surgery today includes interventional procedures (open surgical and endovascular) in addition to risk factor reduction and medical treatment. It is equally...

  7. Management of vascular anomalies: Review of institutional management algorithm

    Directory of Open Access Journals (Sweden)

    Lalit K Makhija

    2017-01-01

    Full Text Available Introduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas and vascular dysmorphogenesis (vascular malformation. The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach. To standardise the treatment protocol, an algorithm has been devised. The study aims to validate the algorithm in terms of its utility and presents our experience in managing vascular anomalies. Materials and Methods: The biological classification of Mulliken and Glowacki was followed. A detailed algorithm for management of vascular anomalies has been devised in the department. The protocol is being practiced by us since the past two decades. The data regarding the types of lesions and treatment modality used were maintained. Results and Conclusion: This study was conducted from 2002 to 2012. A total of 784 cases of vascular anomalies were included in the study of which 196 were haemangiomas and 588 were vascular malformations. The algorithmic approach has brought an element of much-needed objectivity in the management of vascular anomalies. This has helped us to define the management of particular lesion considering its pathology, extent and aesthetic and functional consequences of ablation to a certain extent.

  8. Projeto "Viver em Cascavel": análise do fluxo de informações Proyecto "Vivir en Cascavel": análisis del flujo de informaciones Project "To live in Cascavel": analysis of the information flow

    Directory of Open Access Journals (Sweden)

    Nelsi Salete Tonini Paiva

    2002-07-01

    Full Text Available O presente estudo estimou e analisou o tempo (em dias do fluxo das Declarações de Nascidos Vivos (DNV de risco atendidos no Projeto "Viver em Cascavel"- Paraná, 1996 a 1998, segundo os espaços organizativos (hospital, vigilância epidemiológica, unidade básica de saúde. Foram analisadas 303 declarações. Para análise do tempo de fluxo da DNV, foram construídos intervalos de 95% de confiança para os tempos médios populacionais (em dias. Os resultados apontam que a DNV demorou para fluir do hospital até o momento de realização da visita domiciliária, de 25 a 30 dias. A atenção ao recém nascido de risco deve acontecer nos prazos mais breves possíveis. Nesse sentido, o tempo de fluxo da DNV encontrado neste estudo, do nascimento à visita domiciliária, pode comprometer um dos objetivos do Projeto em questão, qual seja, a redução da morbimortalidade infantil no município.El presente estudio estimó y analizó el tiempo (en días de flujo de los certificados de nacimiento de niños con riesgo, atendidos en el Proyecto "Vivir en Cascavel" - Paraná, 1996 hasta 1998, según los espacios organizacionales (hospital, vigilancia epidemiológica, unidad básica de salud. Fueron analizados 303 certificados. Para el análisis del tiempo de flujo del certificado fueron construidos intervalos de 95% de confianza para los tiempos medios poblacionales (en días. Los resultados muestran que el tiempo promedio de flujo es largo, entre 25 y 30 días. La atención al recién nacido de riesgo debe acontecer en plazos lo más breves posibles y, en este sentido, el tiempo de flujo del certificado, desde el nacimiento hasta la visita domiciliaria, puede estar comprometiendo uno de los objetivos del proyecto analizado, o sea, la reducción de la morbi-mortalidad infantil en el municipio.This study estimated and evaluated the time period (in days concerning the flow of Live Birth Declarations (DNV for high-risk newborns assisted by the Project

  9. 269. Veinte años de experiencia con homoinjertos vasculares criopreservados en la infección vascular

    Directory of Open Access Journals (Sweden)

    E. Quintana

    2012-04-01

    Conclusiones: Este estudio a largo plazo contribuye a mantener la indicación para el implante de homoinjertos vasculares criopreservados en las infecciones vasculares. Los resultados demuestran un comportamiento satisfactorio en esta población multimórbida.

  10. [A new specialty is born: Vascular medicine].

    Science.gov (United States)

    Laroche, J-P

    2016-05-01

    On the 4th of December 2015, the French authorities officially recognized the birth of a specialty in vascular medicine entitled CO-DES cardiology-vascular/vascular Medicine. France is the 7th country to obtain this specialty after Switzerland, Germany, Austria, Czech Republic, Slovakia and Slovenia, six countries in the EEC. It has taken years to achieve a long but exciting experience: we went from hopes to disappointments, sometimes with the blues, but lobbying helping… with sustained confidence. This article tells the story of 30 years of struggle to achieve this vascular medicine specialty. Gaston Bachelard wrote: "Nothing is obvious, nothing is given, all is built." For the construction of vascular medicine, we had to overcome many obstacles, nothing was given to us, everything was conquered. Beware "The specialist is one who knows more and more things about an increasingly restricted field, up to 'knowing everything about nothing"' recalled Ralph Barton Ferry, philosopher; so there is room for modesty and humility but also convictions. The physical examination will remain the basis of our exercise. But let us recall the contributions of all those vascular physicians who practiced in the past, together with those currently active, who built day after day, year after year, a vascular medicine of quality. It is because of the trust of our colleagues and our patients that we can occupy the place that is ours today. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  11. New aspects of vascular remodelling: the involvement of all vascular cell types.

    Science.gov (United States)

    McGrath, John C; Deighan, Clare; Briones, Ana M; Shafaroudi, Majid Malekzadeh; McBride, Melissa; Adler, Jeremy; Arribas, Silvia M; Vila, Elisabet; Daly, Craig J

    2005-07-01

    Conventionally, the architecture of arteries is based around the close-packed smooth muscle cells and extracellular matrix. However, the adventitia and endothelium are now viewed as key players in vascular growth and repair. A new dynamic picture has emerged of blood vessels in a constant state of self-maintenance. Recent work raises fundamental questions about the cellular heterogeneity of arteries and the time course and triggering of normal and pathological remodelling. A common denominator emerging in hypertensive remodelling is an early increase in adventitial cell density suggesting that adventitial cells drive remodelling and may initiate subsequent changes such as re-arrangement of smooth muscle cells and extracellular matrix. The organization of vascular smooth muscle cells follows regular arrangements that can be modelled mathematically. In hypertension, new patterns can be quantified in these terms and give insights to how structure affects function. As with smooth muscle, little is known about the organization of the vascular endothelium, or its role in vascular remodelling. Current observations suggest that there may be a close relationship between the helical organization of smooth muscle cells and the underlying pattern of endothelial cells. The function of myoendothelial connections is a topic of great current interest and may relate to the structure of the internal elastic lamina through which the connections must pass. In hypertensive remodelling this must present an organizational challenge. The objective of this paper is to show how the functions of blood vessels depend on their architecture and a continuous interaction of different cell types and extracellular proteins.

  12. Comparación de distintos escenarios de tratamiento de residuos urbanos en la ciudad de Madrid mediante la metodología de la huella de carbono

    OpenAIRE

    Montejano Nares, Elena

    2018-01-01

    El objeto del proyecto es el análisis de la huella de carbono (HC) de los distintos tratamientos de valorización y eliminación de los residuos municipales de la ciudad de Madrid, con el fin de determinar el impacto sobre el cambio climático (CC). A través de la metodología de Análisis de Ciclo de Vida (ACV) se cuantifican las emisiones de los gases de efecto invernadero (GEI) correspondientes a cada uno de los tratamientos de gestión de residuos que se realizan actualmente en el Parque Tecnol...

  13. Estudio comparativo de flujo de fluido a través de una placa de orificio usando las ecuaciones de Stokes y de Navier-Stokes

    Directory of Open Access Journals (Sweden)

    Miryam Lucía Guerra-Mazo

    2016-05-01

    Full Text Available Presenta los resultados de la comparación entre las ecuaciones de Stokes y de Navier-Stokes para la simulación del flujo de agua líquida, a condiciones atmosféricas, a través de una placa orificio concéntrica. A partir de los datos experimentales que fueron tomados en el banco de fluidos, se evaluaron las simulaciones de ambas ecuaciones, usando el software libre Freefem++cs, que se basa en el método de los elementos finitos; las variables evaluadas son velocidad y presión en un intervalo de tiempo. Al analizar los resultados obtenidos con las simulaciones y comparar con los datos experimentales se encontró que las ecuaciones de Navier-Stokes representan mejor el sistema que la ecuación de Stokes.

  14. VASCULAR INJURIES IN TEHRAN: A REVIEW OF 123 CASES

    Directory of Open Access Journals (Sweden)

    M. Karbakhsh M. R. Zarei

    2006-09-01

    Full Text Available Abstract- Studies of the epidemiology of civilian vascular trauma in developing countries are rather few. This is a prospective study of our experience with vascular trauma in a referral university hospital in Tehran, Iran. The aim was to study the etiology, pattern of injuries and the mortality and morbidity rates due to vascular trauma in our population. In this cross-sectional study, all trauma patients suspicious of having vascular injuries who were admitted to Sina Hospital between March 2002 and May 2003 were included. Among 123 studied cases, there were 109 males and 14 females.Blunt injuries were more common than penetrating ones (56.1% vs. 43.9%. The most common anatomical site of vascular injuries had been knee and lower leg. In fact, cases with lower extremities vascular trauma were twice as common as those with vascular trauma in upper limbs (59.1% vs. 27.3%. The commonest injured vessels were popliteal artery followed by femoral artery. Arterial repair with graft interposition was done in 23 cases and bypass graft in 13 cases. Procedures on veins were performed in 24 cases. Five patients (4.06% died and in 3 cases the patients died because of non-vascular reasons. The present study allows an understanding of the epidemiology of vascular trauma in the one of the major trauma centers in the metropolitan city of Tehran. The majority of our cases were young males sustaining vascular injuries due to road traffic accidents or being stabbed with knives. It also has important implications for vascular injury prevention in our community.

  15. Incorporating simulation in vascular surgery education.

    Science.gov (United States)

    Bismuth, Jean; Donovan, Michael A; O'Malley, Marcia K; El Sayed, Hosam F; Naoum, Joseph J; Peden, Eric K; Davies, Mark G; Lumsden, Alan B

    2010-10-01

    The traditional apprenticeship model introduced by Halsted of "learning by doing" may just not be valid in the modern practice of vascular surgery. The model is often criticized for being somewhat unstructured because a resident's experience is based on what comes through the "door." In an attempt to promote uniformity of training, multiple national organizations are currently delineating standard curricula for each trainee to govern the knowledge and cases required in a vascular residency. However, the outcomes are anything but uniform. This means that we graduate vascular specialists with a surprisingly wide spectrum of abilities. Use of simulation may benefit trainees in attaining a level of technical expertise that will benefit themselves and their patients. Furthermore, there is likely a need to establish a simulation-based certification process for graduating trainees to further ascertain minimum technical abilities. Copyright © 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  16. MODIFICACIONES EN UN FLUJO DE CARGA POR LA INCLUSIÓN DE UN CONTROLADOR UNIFICADO DE FLUJOS DE POTENCIA MODIFICAÇÕES EM UM FLUXO DE CARGA PELA INCLUSÃO DE UM CONTROLADOR UNIFICADO DE FLUXOS DE POTÊNCIA MODIFICATIONS ON A POWER FLOW DUE TO INCLUSION OF A UNIFIED POWER FLOW CONTROLLER

    Directory of Open Access Journals (Sweden)

    JUAN PABLO RIVERA

    2009-07-01

    Full Text Available El crecimiento de los sistemas de potencia y las condiciones de mercado dadas por los esquemas desregulados han evidenciado las limitantes técnicas y de operación que los sistemas eléctricos de potencia SEP tienen para abastecer la demanda bajo estrictas condiciones de seguridad, calidad de potencia y confiabilidad. Un controlador unificado de flujos de potencia UPFC (unified power flow controller es uno de los dispositivos de la tecnología FACTS (Flexible AC Transmission Systems que ofrece mayor versatilidad en términos de interacción con las variables de operación y control de un SEP y puede ser una solución óptima a las necesidades adicionales de control en un SEP moderno. Este trabajo presenta una formulación matemática y conceptual para la inclusión de un dispositivo UPFC en el análisis de flujos de carga en un SEP y una metodología para su inclusión en un software de flujos de carga en estado estable. Para validar la eficiencia de los modelos y métodos propuestos, se selecciona un sistema de potencia de prueba adecuado para ver los efectos esperados de la inclusión del UPFC en el sistema.O crescimento dos sistemas de potência e as condições de mercado dadas pelos esquemas desregulados evidenciaram as limitantes técnicas e de operação que os sistemas elétricos de potência SET têm para abastecer a demanda sob estritas condições de segurança, qualidade de potência e confiabilidade. Um controlador unificado de fluxos de potência UPFC (unified power flow controller é um dos dispositivos da tecnologia FACTS (flexible AC transmission systems que oferece maior versatilidade em termos de interação com as variáveis de operação e controle de um SET e pode ser uma solução ótima às necessidades adicionais de controle em um SET moderno. Este trabalho apresenta uma formulação matemática e conceptual para a inclusão de um dispositivo UPFC na análise de fluxos de carga em um SET e uma metodologia para sua

  17. Three-dimensional vascular mapping of the breast by using contrast-enhanced MRI: association of unilateral increased vascularity with ipsilateral breast cancer.

    Science.gov (United States)

    Orgüç, Şebnem; Başara, Işıl; Coşkun, Teoman; Pekindil, Gökhan

    2012-01-01

    We aimed to retrospectively compare three-dimensional vascular maps of both breasts obtained by dynamic magnetic resonance imaging (MRI) and determine the association of one-sided vascular prominence with ipsilateral breast cancer. MRI was performed using gadolinium in 194 cases. Two readers scored vascular density using maximum intensity projections (MIPs). Dynamic fat-saturated T1-weighted gradientecho MIPs were acquired. Two readers evaluated the MIPs, and vessels greater than 2 mm in diameter and longer than 3 cm were counted. The difference in vessel numbers detected in the two breasts determined the score. A total of 54 patients had malignant lesions (prevalence, 28%), including invasive ductal carcinoma (n=40), invasive mixed ductal-lobular carcinoma (n=5), invasive lobular carcinoma (n=3), ductal carcinoma in situ (n=3), mucinous carcinoma (n=1), medullary carcinoma (n=1), and leukemic metastasis (n=1). In 62 patients, there were benign lesions (fibroadenomas, fibrocysts), and four patients had inflammation (granulomatous mastitis in two patients, breast tuberculosis in two patients). There were 78 normal cases. When a difference of at least two vessels was scored as vascular asymmetry, the sensitivity, specificity, positive likelihood ratio (+LR), and negative (-LR) of unilaterally increased vascularity associated with ipsilateral malignancy were 69%, 92%, 8.72, and 0.34, respectively. When four infection and three post-operative cases with vascular asymmetry were excluded; prevalence, specificity, and +LR increased to 29%, 97%, and 22.8, respectively, with the same sensitivity and -LR. Differences in mean vascularity scores were evaluated with regard to tumor size. T1 and T2 tumors were not significantly different from each other. The mean score of T3 tumors differed significantly from T1 and T2 tumors. MRI vascular mapping is an effective method for determining breast tissue vascularization. Ipsilateral increased vascularity was commonly associated with

  18. 3D-Printed Biodegradable Polymeric Vascular Grafts.

    Science.gov (United States)

    Melchiorri, A J; Hibino, N; Best, C A; Yi, T; Lee, Y U; Kraynak, C A; Kimerer, L K; Krieger, A; Kim, P; Breuer, C K; Fisher, J P

    2016-02-04

    Congenital heart defect interventions may benefit from the fabrication of patient-specific vascular grafts because of the wide array of anatomies present in children with cardiovascular defects. 3D printing is used to establish a platform for the production of custom vascular grafts, which are biodegradable, mechanically compatible with vascular tissues, and support neotissue formation and growth. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  19. Facial vascular malformations in children

    International Nuclear Information System (INIS)

    Brunelle, F.O.; Lallemand, D.; Chaumont, P.; Teillac, D.; Manach, Y.

    1988-01-01

    The authors present their experience with conventional and digital angiography of vascular malformations of the head and neck in children. 22 hemangioendotheliomas, 8 venous angiomas, and 3 arteriovenous fistula were studied. 22 patients were embolised. DSA offers many advantages during the diagnostic as well as during the therapeutic phase of angiography. Embolization appears to have a major role in treatment of such vascular malformations. (orig.)

  20. Imaging evaluation of fetal vascular anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Calvo-Garcia, Maria A.; Kline-Fath, Beth M.; Koch, Bernadette L.; Laor, Tal [MLC 5031 Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Adams, Denise M. [Cincinnati Children' s Hospital Medical Center, Department of Pediatrics and Hemangioma and Vascular Malformation Center, Cincinnati, OH (United States); Gupta, Anita [Cincinnati Children' s Hospital Medical Center, Department of Pathology, Cincinnati, OH (United States); Lim, Foong-Yen [Cincinnati Children' s Hospital Medical Center, Pediatric Surgery and Fetal Center of Cincinnati, Cincinnati, OH (United States)

    2015-08-15

    Vascular anomalies can be detected in utero and should be considered in the setting of solid, mixed or cystic lesions in the fetus. Evaluation of the gray-scale and color Doppler US and MRI characteristics can guide diagnosis. We present a case-based pictorial essay to illustrate the prenatal imaging characteristics in 11 pregnancies with vascular malformations (5 lymphatic malformations, 2 Klippel-Trenaunay syndrome, 1 venous-lymphatic malformation, 1 Parkes-Weber syndrome) and vascular tumors (1 congenital hemangioma, 1 kaposiform hemangioendothelioma). Concordance between prenatal and postnatal diagnoses is analyzed, with further discussion regarding potential pitfalls in identification. (orig.)

  1. Imaging evaluation of fetal vascular anomalies

    International Nuclear Information System (INIS)

    Calvo-Garcia, Maria A.; Kline-Fath, Beth M.; Koch, Bernadette L.; Laor, Tal; Adams, Denise M.; Gupta, Anita; Lim, Foong-Yen

    2015-01-01

    Vascular anomalies can be detected in utero and should be considered in the setting of solid, mixed or cystic lesions in the fetus. Evaluation of the gray-scale and color Doppler US and MRI characteristics can guide diagnosis. We present a case-based pictorial essay to illustrate the prenatal imaging characteristics in 11 pregnancies with vascular malformations (5 lymphatic malformations, 2 Klippel-Trenaunay syndrome, 1 venous-lymphatic malformation, 1 Parkes-Weber syndrome) and vascular tumors (1 congenital hemangioma, 1 kaposiform hemangioendothelioma). Concordance between prenatal and postnatal diagnoses is analyzed, with further discussion regarding potential pitfalls in identification. (orig.)

  2. Flujo espiratorio máximo en niños asmáticos: Casos y controles

    Directory of Open Access Journals (Sweden)

    Arturo Recabarren Lozada

    1995-04-01

    Full Text Available Con el fin de determinar las variaciones del Flujo Espiratorio Máximo (PEF, se estudiaron a 38 niños asmáticos (CASOS en período intercrítico de la enfermedad y a 38 niños sanos (CONTROLES, de ambos sexos comprendidos entre los 5 y 15 años de edad. Los niños asmáticos fueron clasificados por parámetros clínicos en determinado grado de severidad de asma bronquial, determinando el PEF de cada niño objeto de estudio conel mini-Wright Peak Flow Meter, en 2 registros diarios a los 06 y 18 horas, durante 7 días consecutivos, obteniendo la variabilidad del mismo. Se encuentra diferencia en la variabilidad global de niños asmáticos de todos los grados de severidad de la enfermedad comprada con la de los niños normales, con diferencia estadística altamente significativa (p<0.000001. Las variaciones diurnas del PEF ayuda en el diagnóstico del asma bronquial y también son útiles para realizar la catalogación de severidad de la enfermedad. El PEF correlaciona bien con los síntomas presentados por los pacientes y por lo tanto guarda correspondencia con la Hiperreactividad bronquial (HRB del niño asmático. Postulamos que un niño con historia clínica sugestiva, una variabilidad global mayor del 8% indica que el diagnóstico de asma es altamente probable (Rev Med Hered 1995; 6: 76-82

  3. Vascular dysfunction in women with a history of preeclampsia and intrauterine growth restriction: insights into future vascular risk.

    Science.gov (United States)

    Yinon, Yoav; Kingdom, John C P; Odutayo, Ayodele; Moineddin, Rahim; Drewlo, Sascha; Lai, Vesta; Cherney, David Z I; Hladunewich, Michelle A

    2010-11-02

    Women with a history of placental disease are at increased risk for the future development of vascular disease. It is unknown whether preexisting endothelial dysfunction underlies both the predisposition to placental disease and the later development of vascular disease. The aim of this study was to assess vascular function in postpartum women and to determine whether differences emerged depending on the presentation of placental disease. Women with a history of early-onset preeclampsia (n=15), late-onset preeclampsia (n=9), intrauterine growth restriction without preeclampsia (n=9), and prior normal pregnancy (n=16) were studied 6 to 24 months postpartum. Flow-mediated vasodilatation and flow-independent (glyceryl trinitrate-induced) vasodilatation were studied through the use of high-resolution vascular ultrasound examination of the brachial artery. Arterial stiffness was assessed by pulse-wave analysis (augmentation index). Laboratory assessment included circulating angiogenic factors (vascular endothelial growth factor, soluble fms-like tyrosine kinase 1, placental growth factor, and soluble endoglin). Flow-mediated vasodilatation was significantly reduced in women with previous early-onset preeclampsia and intrauterine growth restriction compared with women with previous late-onset preeclampsia and control subjects (3.2±2.7% and 2.1±1.2% versus 7.9±3.8% and 9.1±3.5%, respectively; Pwomen with previous early-onset preeclampsia and intrauterine growth restriction, but not among late preeclamptic women and control subjects (P=0.0105). Circulating angiogenic factors were similar in all groups. Only women with a history of early-onset preeclampsia or intrauterine growth restriction without preeclampsia exhibit impaired vascular function, which might explain their predisposition to placental disease and their higher risk of future vascular disease.

  4. Cambio climático y el metabolismo urbano de las Megaurbes Latinoamericanas

    Directory of Open Access Journals (Sweden)

    Gian Carlo Delgado

    2012-06-01

    Full Text Available La problemática climática y medioambiental se perfila cada vez más como un reto para las ciudades, especialmente para aquellas donde está dándose un rápido proceso de urbanización y crecimiento poblacional. El análisis de su estado de situación es mejor entendido a partir de estudios metabólicos de la entrada y salida de flujos de materiales y de energía. Este tipo de evaluaciones se han realizado para diversas ciudades y para distintos aspectos, pero en América Latina están prácticamente ausentes. Este trabajo abre con una presentación general sobre el estado de situación de las ciudades latinoamericanas y con una introducción a las evaluaciones metabólicas para ofrecer una primera aproximación integral comparativa de los flujos de entrada y salida de las megaurbes latinoamericanas, esto es, de la Ciudad de México, Sao Paulo, Río de Janeiro y Buenos Aires. Se presentan las principales características de los planes de acción frente al cambio climático para cerrar con un breve análisis comparativo entre las acciones de mitigación y las dinámicas metabólicas existentes. Se concluye con una reflexión y sugerencias en torno al futuro urbano, los retos venideros y las oportunidades posibles.

  5. FGF-dependent metabolic control of vascular development

    Science.gov (United States)

    Yu, Pengchun; Alves, Tiago C.; Fang, Jennifer S.; Xie, Yi; Zhu, Jie; Chen, Zehua; De Smet, Frederik; Zhang, Jiasheng; Jin, Suk-Won; Sun, Lele; Sun, Hongye; Kibbey, Richard G.; Hirschi, Karen K.; Hay, Nissim; Carmeliet, Peter; Chittenden, Thomas W.; Eichmann, Anne; Potente, Michael; Simons, Michael

    2017-01-01

    Blood and lymphatic vasculatures are intimately involved in tissue oxygenation and fluid homeostasis maintenance. Assembly of these vascular networks involves sprouting, migration and proliferation of endothelial cells. Recent studies have suggested that changes in cellular metabolism are of importance to these processes1. While much is known about vascular endothelial growth factor (VEGF)-dependent regulation of vascular development and metabolism2,3, little is understood about the role of fibroblast growth factors (FGFs) in this context4. Here we identify FGF receptor (FGFR) signaling as a critical regulator of vascular development. This is achieved by FGF-dependent control of c-MYC (MYC) expression that, in turn, regulates expression of the glycolytic enzyme hexokinase 2 (HK2). A decrease in HK2 levels in the absence of FGF signaling inputs results in decreased glycolysis leading to impaired endothelial cell proliferation and migration. Pan-endothelial- and lymphatic-specific Hk2 knockouts phenocopy blood and/or lymphatic vascular defects seen in Fgfr1/r3 double mutant mice while HK2 overexpression partially rescues the defects caused by suppression of FGF signaling. Thus, FGF-dependent regulation of endothelial glycolysis is a pivotal process in developmental and adult vascular growth and development. PMID:28467822

  6. TRATAMIENTO DE AGUA RESIDUAL MUNICIPAL POR UN SISTEMA FISICOQUÍMICO Y OXIDACIÓN QUÍMICA EN FLUJO CONTINUO

    Directory of Open Access Journals (Sweden)

    Lina A. Bernal-Martínez

    2011-01-01

    Full Text Available El objetivo de este trabajo fue la remoción de contaminantes de un efluente de aguas residuales municipales, mediante tratamientos fisicoquímicos de coagulación-floculación, sedimentación, filtración, oxidación química y desinfección en un tren de tratamiento en flujo continúo a 1.65 mL/s. Para el proceso de coagulación-floculación se utilizó una dosis de 1mL/L de Al2(SO43 0.01 M, los filtros fueron empacados de arena sílice natural y carbón activado proveniente de concha de coco, en el proceso de oxidación química se aplicó una concentración de 3 mg/L de ozono con un tiempo de contacto de 10 a 15 min, la desinfección se realizó mediante radiación ultravioleta a una longitud de onda de 253-260 nm. La remoción obtenida fue del 98% de color, 94% de turbiedad, 93% de DQO, 93% de DBO5, el 84 de SAAMS, el 63% de NH3, el 98% de coliformes totales y fecales.

  7. Vascular complications of prosthetic inter-vertebral discs

    OpenAIRE

    Daly, Kevin J.; Ross, E. Raymond S.; Norris, Heather; McCollum, Charles N.

    2006-01-01

    Five consecutive cases of prosthetic inter-vertebral disc displacement with severe vascular complications on revisional surgery are described. The objective of this case report is to warn spinal surgeons that major vascular complications are likely with anterior displacement of inter-vertebral discs. We have not been able to find a previous report on vascular complications associated with anterior displacement of prosthetic inter-vertebral discs. In all five patients the prosthetic disc had e...

  8. Convergent evolution of vascular optimization in kelp (Laminariales).

    Science.gov (United States)

    Drobnitch, Sarah Tepler; Jensen, Kaare H; Prentice, Paige; Pittermann, Jarmila

    2015-10-07

    Terrestrial plants and mammals, although separated by a great evolutionary distance, have each arrived at a highly conserved body plan in which universal allometric scaling relationships govern the anatomy of vascular networks and key functional metabolic traits. The universality of allometric scaling suggests that these phyla have each evolved an 'optimal' transport strategy that has been overwhelmingly adopted by extant species. To truly evaluate the dominance and universality of vascular optimization, however, it is critical to examine other, lesser-known, vascularized phyla. The brown algae (Phaeophyceae) are one such group--as distantly related to plants as mammals, they have convergently evolved a plant-like body plan and a specialized phloem-like transport network. To evaluate possible scaling and optimization in the kelp vascular system, we developed a model of optimized transport anatomy and tested it with measurements of the giant kelp, Macrocystis pyrifera, which is among the largest and most successful of macroalgae. We also evaluated three classical allometric relationships pertaining to plant vascular tissues with a diverse sampling of kelp species. Macrocystis pyrifera displays strong scaling relationships between all tested vascular parameters and agrees with our model; other species within the Laminariales display weak or inconsistent vascular allometries. The lack of universal scaling in the kelps and the presence of optimized transport anatomy in M. pyrifera raises important questions about the evolution of optimization and the possible competitive advantage conferred by optimized vascular systems to multicellular phyla. © 2015 The Author(s).

  9. Lower limb vascular dysfunction in cyclists

    Directory of Open Access Journals (Sweden)

    Thiago Ayala Melo Di Alencar

    2013-06-01

    Full Text Available Sports-related vascular insufficiency affecting the lower limbs is uncommon, and early signs and symptoms can be confused with musculoskeletal injuries. This is also the case among professional cyclists, who are always at the threshold between endurance and excess training. The aim of this review was to analyze the occurrence of vascular disorders in the lower limbs of cyclists and to discuss possible etiologies. Eighty-five texts, including papers and books, published from 1950 to 2012, were used. According to the literature reviewed, some cyclists receive a late diagnosis of vascular dysfunction due to a lack of familiarity of the medical team with this type of dysfunction. Data revealed that a reduced blood flow in the external iliac artery, especially on the left, is much more common than in the femoral and popliteal arteries, and that vascular impairment is responsible for the occurrence of early fatigue and reduced performance in cycling.

  10. Gene transfer therapy in vascular diseases.

    Science.gov (United States)

    McKay, M J; Gaballa, M A

    2001-01-01

    Somatic gene therapy of vascular diseases is a promising new field in modern medicine. Recent advancements in gene transfer technology have greatly evolved our understanding of the pathophysiologic role of candidate disease genes. With this knowledge, the expression of selective gene products provides the means to test the therapeutic use of gene therapy in a multitude of medical conditions. In addition, with the completion of genome sequencing programs, gene transfer can be used also to study the biologic function of novel genes in vivo. Novel genes are delivered to targeted tissue via several different vehicles. These vectors include adenoviruses, retroviruses, plasmids, plasmid/liposomes, and oligonucleotides. However, each one of these vectors has inherent limitations. Further investigations into developing delivery systems that not only allow for efficient, targeted gene transfer, but also are stable and nonimmunogenic, will optimize the clinical application of gene therapy in vascular diseases. This review further discusses the available mode of gene delivery and examines six major areas in vascular gene therapy, namely prevention of restenosis, thrombosis, hypertension, atherosclerosis, peripheral vascular disease in congestive heart failure, and ischemia. Although we highlight some of the recent advances in the use of gene therapy in treating vascular disease discovered primarily during the past two years, many excellent studies published during that period are not included in this review due to space limitations. The following is a selective review of practical uses of gene transfer therapy in vascular diseases. This review primarily covers work performed in the last 2 years. For earlier work, the reader may refer to several excellent review articles. For instance, Belalcazer et al. (6) reviewed general aspects of somatic gene therapy and the different vehicles used for the delivery of therapeutic genes. Gene therapy in restenosis and stimulation of

  11. Endoscopic Management of Vascular Sinonasal Tumors, Including Angiofibroma.

    Science.gov (United States)

    Snyderman, Carl H; Pant, Harshita

    2016-06-01

    The greatest challenge in the surgical treatment of angiofibromas is dealing with the hypervascularity of these tumors. Staging systems that take into account the vascularity of the tumor may be more prognostic. A variety of treatment strategies are used to deal with the vascularity of angiofibromas, including preoperative embolization, segmentation of the tumor into vascular territories, use of hemostatic tools, and staging of surgery. Even large angiofibromas with intracranial extension and residual vascularity can be successfully managed by a skull base team using endoscopic techniques. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Vascular graft infections with Mycoplasma

    DEFF Research Database (Denmark)

    Levi-Mazloum, Niels Donald; Skov Jensen, J; Prag, J

    1995-01-01

    laboratory techniques, the percentage of culture-negative yet grossly infected vascular grafts seems to be increasing and is not adequately explained by the prior use of antibiotics. We have recently reported the first case of aortic graft infection with Mycoplasma. We therefore suggest the hypothesis...... that the large number of culture-negative yet grossly infected vascular grafts may be due to Mycoplasma infection not detected with conventional laboratory technique....

  13. Limb vascular function in women

    DEFF Research Database (Denmark)

    Hellsten, Ylva; Gliemann, Lasse

    2018-01-01

    Throughout life, women are subjected to both acute fluctuations in sex hormones, associated with the menstrual cycle, and chronic changes following the onset of menopause. Female sex hormones, and in particular estrogen, strongly influence cardiovascular function such as the regulation of vascular...... studies. Physical activity should be recommended for women of all ages, but the most essential timing for maintenance of vascular health may be from menopause and onwards....

  14. Childhood Vascular Tumors Treatment (PDQ®)—Patient Version

    Science.gov (United States)

    Childhood vascular tumors form from cells that make blood vessels or lymph vessels. They can be benign (not cancer) or malignant (cancer). Get information about the symptoms, tests to diagnose, prognosis, and treatment of the most common type of vascular tumor, infantile hemangioma, and other vascular tumors in this expert-reviewed summary.

  15. Macrophage migration inhibitory factor induces vascular leakage via autophagy

    Directory of Open Access Journals (Sweden)

    Hong-Ru Chen

    2015-01-01

    Full Text Available Vascular leakage is an important feature of acute inflammatory shock, which currently has no effective treatment. Macrophage migration inhibitory factor (MIF is a pro-inflammatory cytokine that can induce vascular leakage and plays an important role in the pathogenesis of shock. However, the mechanism of MIF-induced vascular leakage is still unclear. In this study, using recombinant MIF (rMIF, we demonstrated that MIF induced disorganization and degradation of junction proteins and increased the permeability of human endothelial cells in vitro. Western blotting analysis showed that rMIF treatment induced LC3 conversion and p62 degradation. Inhibition of autophagy with a PI3K inhibitor (3-MA, a ROS scavenger (NAC or autophagosomal-lysosomal fusion inhibitors (bafilomycin A1 and chloroquine rescued rMIF-induced vascular leakage, suggesting that autophagy mediates MIF-induced vascular leakage. The potential involvement of other signaling pathways was also studied using different inhibitors, and the results suggested that MIF-induced vascular leakage may occur through the ERK pathway. In conclusion, we showed that MIF triggered autophagic degradation of endothelial cells, resulting in vascular leakage. Inhibition of MIF-induced autophagy may provide therapeutic targets against vascular leakage in inflammatory shock.

  16. Reconstructive vascular surgery below the knee

    DEFF Research Database (Denmark)

    Rasmussen, L B; Jelnes, R; Sager, P

    1986-01-01

    In a series of 38 consecutive patients with advanced peripheral vascular disease (i.e. rest pain) reconstructive vascular surgery was performed with the distal anastomosis below the knee. Ankle/arm pressure index (AAI) was 0.28 (0.11-0.47) preoperatively; accumulated graft patency rate was 0.47 (SD...

  17. Audit of the Danish national vascular database

    DEFF Research Database (Denmark)

    Levi-Mazloum, Niels Donald; Jensen, L P; Schroeder, T V

    1996-01-01

    The accuracy of data contained in the Danish vascular database was compared with the case notes. A total of 100 case notes were reviewed for 11 pertinent variables in the database. A high error rate ranging from 2 to 34% was found. Also, approximately 10% of patients had never been entered into t...... into the vascular database. Further improvement of the Danish vascular database is necessary for its use as basis for reporting results.......The accuracy of data contained in the Danish vascular database was compared with the case notes. A total of 100 case notes were reviewed for 11 pertinent variables in the database. A high error rate ranging from 2 to 34% was found. Also, approximately 10% of patients had never been entered...

  18. Longitudinal visualization of vascular occlusion, reperfusion, and remodeling in a zebrafish model of retinal vascular leakage using OCT angiography

    Science.gov (United States)

    Spitz, Kathleen; Bozic, Ivan; Desai, Vineet; Rao, Gopikrishna M.; Pollock, Lana M.; Anand-Apte, Bela; Tao, Yuankai K.

    2017-02-01

    Diabetic retinopathy (DR) and age-related macular degeneration (AMD) are two of the leading causes of blindness and visual impairment in the world. Neovascularization results in severe vision loss in DR and AMD and, thus, there is an unmet need to identify mechanisms of pathogenesis and novel anti-angiogenic therapies. Zebrafish is a leading model organism for studying human disease pathogenesis, and the highly conserved drug activity between zebrafish and humans and their ability to readily absorb small molecules dissolved in water has benefited pharmaceutical discovery. Here, we use optical coherence tomography (OCT) and OCT angiography (OCT-A) to perform noninvasive, in vivo retinal imaging in a zebrafish model of vascular leakage. Zebrafish were treated with diethylaminobenzaldehyde (DEAB) to induce vascular leakage and imaged with OCT and OCT-A at six time points over two weeks: baseline one day before treatment and one, three, six, eight, and ten days post treatment. Longitudinal functional imaging showed significant vascular response immediately after DEAB treatment. Observed vascular changes included partial or complete vascular occlusion immediately after treatment and reperfusion during a two-week period. Increased vascular tortuosity several days post treatment indicated remodeling, and bifurcations and collateral vessel formation were also observed. In addition, significant treatment response variabilities were observed in the contralateral eye of the same animal. Anatomical and functional normalization was observed in most animals by ten days post treatment. These preliminary results motivate potential applications of OCT-A as a tool for studying pathogenesis and therapeutic screening in zebrafish models of retinal vascular disease.

  19. Vacuum assisted closure in vascular surgery.

    Science.gov (United States)

    Beno, M; Martin, J; Sager, P

    2011-01-01

    Vacuum assisted closure (VAC-therapy) is a well established method in nearly all surgical disciplines. The aim is to present the efficiency of vacuum assisted closure in the treatment of acute and chronic wounds in patients admitted in the department of vascular surgery. Within the year 2008 there were 59 patients (44 men, 15 women) treated with VAC therapy in our Department of Vascular surgery (Landshut, Germany). VAC was used 22x (37.28 %) in therapy of ulcus cruris (venous, arterial, mixed genesis), 15x (25.42%) in patients with diabetic foot syndrome, 12x (20.33%) in secondary healing wounds and infected wounds, 5x (8.47%) in wounds after several injuries and soft skin tissue infections and 5x (8.47%) in wound infections connected with vascular graft infections after vascular revascularization. VAC therapy seems to be very effective in the management of patients with venous ulcers, especially after a proper surgical treatment (100%), patients with soft skin tissue infections (100%) and secondary healing wounds (100%) especially in combination with MESH-Grafting. In patients with diabetic foot syndrome (80%) and peripheral arterial occlusive disease (72.7%), an evaluation of peripheral blood perfusion and revascularization prior to VAC therapy is often necessary. Although VAC was used 5x in the therapy of infected vascular grafts, successful preservation of infected graft material was observed in only one case (infection of PTFE femoro-popliteal bypass graft). Vacuum assisted closure in vascular surgery proved to be simple and efficient method in therapy of acute and chronic wounds. The efficiency of VAC systems in therapy of infected graft material after revascularization needs further studies (Tab. 3, Ref. 10).

  20. ESRD QIP - Vascular Access - Payment Year 2018

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes facility details, performance rates, vascular access topic measure score, and the state and national average measure scores for the vascular...

  1. Lung irradiation induces pulmonary vascular remodelling resembling pulmonary arterial hypertension

    NARCIS (Netherlands)

    Ghobadi, G.; Bartelds, B.; van der Veen, S. J.; Dickinson, M. G.; Brandenburg, S.; Berger, R. M. F.; Langendijk, J. A.; Coppes, R. P.; van Luijk, P.

    Background Pulmonary arterial hypertension (PAH) is a commonly fatal pulmonary vascular disease that is often diagnosed late and is characterised by a progressive rise in pulmonary vascular resistance resulting from typical vascular remodelling. Recent data suggest that vascular damage plays an

  2. Clinical application of the amplatzer vascular plug in the embolization of vascular malformations associated with congenital heart diseasee

    International Nuclear Information System (INIS)

    Pan Xin; Wang Cheng; Lu Jing; Wu Weihua; Fang Weiyi

    2009-01-01

    Objective: To evaluate the clinical efficacy of percutaneous transcatheter embolization by using Amplatzer vascular plug (AVP) for the treatment of vascular malformations associated with congenital heart diseases. Methods: During the period of June 2006-June 2008, 12 patients with congenital heart disease accompanied by vascular malformations received transcatheter occlusion of the anomalous vessels with AVP. The vascular malformations included solitary or multiple saccular pulmonary arteriovenous malformation (n = 7), coronary artery fistula (n = 2) and major aortopulmonary collaterals concomitant with severe Fallot' s tetralogy (n = 3). All patients were screened with transthoracic echocardiography (TTE) and thoracic CT angiography (CTA), and all the diagnoses were confirmed by routine cardioangiography. Results: Transcatheter occlusion of vascular malformations with AVP was successfully accomplished in all 12 patients. An angiographic check immediately after the procedure showed that complete occlusion was obtained in all patients and no embolism,migration or residual shunt were seen. Sixteen anomalous vessels were occluded. The mean internal diameter of these vessels was (5.2 ± 1.9) mm,while the mean diameter of AVP used was (9.2 ± 2.4) mm. After the operation (mean 3 months), the follow-up echocardiography and/or thoracic CT angiography showed that in all patients the occlusion remained in satisfactory condition and no residual shunt was found. Conclusions: Percutaneous transcatheter closure of congenital vascular malformations with AVP is technically feasible and clinically effective, this treatment can markedly improve patient's living quality and it is well worth extending its clinical application. (authors)

  3. España en el norte de África. El caso de las islas Chafarinas

    Directory of Open Access Journals (Sweden)

    Jesús Verdú Baeza

    2014-06-01

    Full Text Available Los distintos territorios españoles en el Norte de África, persistentemente reclamados por Marruecos, presentan características específicas que ponen de manifiesto su gran vulnerabilidad como ha quedado patente en las últimas crisis de inmigración ilegal. Salvo Ceuta y Melilla, citadas expresamente en la Constitución, sus títulos y naturaleza jurídica han de reafirmarse caso por caso y es muy poca la legislación que determina claramente su aplicación a estos territorios. En el caso de las Islas Chafarinas, la aplicación de la normativa ambiental europea en un espacio terrestre y marino protegido proporciona una oportunidad valiosa y única de cooperación internacional con Marruecos que podría ampliarse en relación con la coordinación del control de los flujos migratorios

  4. Implications of the Debate on Irregular Migration in the European and Spanish Asylum Regime

    Directory of Open Access Journals (Sweden)

    Víctor Merino Sancho

    2013-01-01

    Full Text Available Las actuales corrientes de refugiados y los motivos de huida buscando protección en terceros Estados son distintos de los que justificaron el surgimiento del régimen ju­rídico del asilo. Sin embargo, este régimen apenas ha sufrido cambios, al menos en relación con el concepto establecido internacionalmente en la Convención de 1951. Por su parte, los caracteres actuales de las migraciones han tenido como respues­ ta primordial, por parte de los poderes públicos, políticas basadas en la lógica del control de los flujos migratorios. La imposibilidad de distinguir claramente entre migraciones forzadas y voluntarias, a pesar del empeño mostrado por los Estados, ha provocado que esta lógica acabe afectando la normativa de asilo en perjuicio de la protección que significa e implica este derecho.

  5. PET/CT and vascular disease: Current concepts

    Energy Technology Data Exchange (ETDEWEB)

    Cavalcanti Filho, Jose Leite Gondim; Souza Leao Lima, Ronaldo de [CDPI and Multi-Imagem Clinics, Rio de Janeiro (Brazil); Department of Radiology, Rio de Janeiro Federal University (UFRJ), Rio de Janeiro (Brazil); Souza Machado Neto, Luiz de [CDPI and Multi-Imagem Clinics, Rio de Janeiro (Brazil); Kayat Bittencourt, Leonardo, E-mail: lkayat@terra.com.br [CDPI and Multi-Imagem Clinics, Rio de Janeiro (Brazil); Department of Radiology, Rio de Janeiro Federal University (UFRJ), Rio de Janeiro (Brazil); Cortes Domingues, Romeu [CDPI and Multi-Imagem Clinics, Rio de Janeiro (Brazil); Fonseca, Lea Mirian Barbosa da [CDPI and Multi-Imagem Clinics, Rio de Janeiro (Brazil); Department of Radiology, Rio de Janeiro Federal University (UFRJ), Rio de Janeiro (Brazil)

    2011-10-15

    Since its introduction in 2001, positron emission tomography associated to computed tomography (PET/CT) has been established as a standard tool in cancer evaluation. Being a multimodality imaging method, it combines in a single session the sensitivity granted by PET for detection of molecular targets within the picomolar range, with an underlying submilimetric resolution inherent to CT, that can precisely localize the PET findings. In this last decade, there have been new insights regarding the pathophysiology of atherosclerosis, particularly about plaque rupture and vascular remodeling. This has increased the interest for research on PET/CT in vascular diseases as a potential new diagnostic tool, since some PET molecular targets could identify diseases before the manifestation of gross anatomic features. In this review, we will describe the current applications of PET/CT in vascular diseases, emphasizing its usefulness in the settings of vasculitis, aneurysms, vascular graft infection, aortic dissection, and atherosclerosis/plaque vulnerability. Although not being properly peripheral vascular conditions, ischemic cardiovascular disease and cerebrovascular disease will be briefly addressed as well, due to their widespread prevalence and importance.

  6. Arteriographic evaluation, in the perispheric vascular trauma

    International Nuclear Information System (INIS)

    Patino, Jairo Hernando; Granados, Ana Maria; Lopera B, Jorge; Prada W, Angela Maria

    1993-01-01

    136 patients were angiographically studied under the suspicion of perispheric vascular lesion submitted to the radiology department of the San Vicente de Paul University Hospital (H.U.S.VP.) Medellin Colombia. The majority of the patients were young with wounds caused by gunshots (79.4%). the must frequent angiographic indication was the proximity of the wound to a vascular path (44.5%). 63% of the patients with angiography indicative of abnormality needed surgery from which 21% were because of the proximity of the wound to a vascular path and 76% because of the mayor findings when admitted to the hospital. the possible complications as a result of the angiographic procedure were revised only find inc two mayor reactions to the contrast media. there were no late complications. Angiography is highlighting sensitive (100%) specific (98.5%) and secure in the evaluation of patients with perispheric vascular trauma. Due to the high number of false negatives when the physical examination is performed, every patient with a wound near a vascular path must be evaluated angiographically

  7. Vascular complications of prosthetic inter-vertebral discs.

    Science.gov (United States)

    Daly, Kevin J; Ross, E Raymond S; Norris, Heather; McCollum, Charles N

    2006-10-01

    Five consecutive cases of prosthetic inter-vertebral disc displacement with severe vascular complications on revisional surgery are described. The objective of this case report is to warn spinal surgeons that major vascular complications are likely with anterior displacement of inter-vertebral discs. We have not been able to find a previous report on vascular complications associated with anterior displacement of prosthetic inter-vertebral discs. In all five patients the prosthetic disc had eroded into the bifurcation of the inferior vena cava and the left common iliac vein. In three cases the aortic bifurcation was also involved. The fibrosis was so severe that dissecting out the arteries and veins to provide access to the relevant disc proved impossible. Formal division of the left common iliac vein and artery with subsequent repair was our solution. Anterior inter-vertebral disc displacement was associated with severe vascular injury. Preventing anterior disc displacement is essential in disc design. In the event of anterior displacement, disc removal should be planned with a Vascular Surgeon.

  8. Vascular Adventitia Calcification and Its Underlying Mechanism.

    Directory of Open Access Journals (Sweden)

    Na Li

    Full Text Available Previous research on vascular calcification has mainly focused on the vascular intima and media. However, we show here that vascular calcification may also occur in the adventitia. The purpose of this work is to help elucidate the pathogenic mechanisms underlying vascular calcification. The calcified lesions were examined by Von Kossa staining in ApoE-/- mice which were fed high fat diets (HFD for 48 weeks and human subjects aged 60 years and older that had died of coronary heart disease, heart failure or acute renal failure. Explant cultured fibroblasts and smooth muscle cells (SMCswere obtained from rat adventitia and media, respectively. After calcification induction, cells were collected for Alizarin Red S staining. Calcified lesions were observed in the aorta adventitia and coronary artery adventitia of ApoE-/-mice, as well as in the aorta adventitia of human subjects examined. Explant culture of fibroblasts, the primary cell type comprising the adventitia, was successfully induced for calcification after incubation with TGF-β1 (20 ng/ml + mineralization media for 4 days, and the phenotype conversion vascular adventitia fibroblasts into myofibroblasts was identified. Culture of SMCs, which comprise only a small percentage of all cells in the adventitia, in calcifying medium for 14 days resulted in significant calcification.Vascular calcification can occur in the adventitia. Adventitia calcification may arise from the fibroblasts which were transformed into myofibroblasts or smooth muscle cells.

  9. Brain Arterial Diameters as a Risk Factor for Vascular Events.

    Science.gov (United States)

    Gutierrez, Jose; Cheung, Ken; Bagci, Ahmet; Rundek, Tatjana; Alperin, Noam; Sacco, Ralph L; Wright, Clinton B; Elkind, Mitchell S V

    2015-08-06

    Arterial luminal diameters are routinely used to assess for vascular disease. Although small diameters are typically considered pathological, arterial dilatation has also been associated with disease. We hypothesize that extreme arterial diameters are biomarkers of the risk of vascular events. Participants in the Northern Manhattan Study who had a time-of-flight magnetic resonance angiography were included in this analysis (N=1034). A global arterial Z-score, called the brain arterial remodeling (BAR) score, was obtained by averaging the measured diameters within each individual. Individuals with a BAR score -2 and 2 SDs had the largest diameters. All vascular events were recorded prospectively after the brain magnetic resonance imaging. Spline curves and incidence rates were used to test our hypothesis. The association of the BAR score with death (P=0.001), vascular death (P=0.02), any vascular event (P=0.05), and myocardial infarction (P=0.10) was U-shaped except for ischemic stroke (P=0.74). Consequently, incidence rates for death, vascular death, myocardial infarction, and any vascular event were higher in individuals with the largest diameters, whereas individuals with the smallest diameters had a higher incidence of death, vascular death, any vascular event, and ischemic stroke compared with individuals with average diameters. The risk of death, vascular death, and any vascular event increased at both extremes of brain arterial diameters. The pathophysiology linking brain arterial remodeling to systemic vascular events needs further research. © 2015 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  10. Peritoneal vascular density assessment using narrow-band imaging and vascular analysis software, and cytokine analysis in women with and without endometriosis.

    Science.gov (United States)

    Kuroda, Keiji; Kitade, Mari; Kikuchi, Iwaho; Kumakiri, Jun; Matsuoka, Shozo; Kuroda, Masako; Takeda, Satoru

    2010-01-01

    The development and onset of endometriosis is associated with angiogenesis and angiogenic factors including cytokines. We analyzed intrapelvic conditions in women with endometriosis via vascular density assessment of grossly normal peritoneum and determination of cytokine levels in peritoneal fluid. Seventy-three patients underwent laparoscopic surgery because of gynecologic disease including endometriosis in our department using a narrow-band imaging system. Each patient was analyzed for peritoneal vascular density using commercially available vascular analysis software (SolemioENDO ProStudy; Olympus Corp, Tokyo, Japan). Each patient was also subjected to analysis of interleukin 6 (IL-6), IL-8, tumor necrosis factor-alpha, and vascular endothelial growth factor concentrations in peritoneal fluid. We defined 4 groups as follows: group 1, endometriosis: gonadotropin-releasing hormone (GnRH) agonist administration group (n=27); group 2, endometriosis: GnRH agonist nonadministration group (n=15); group 3, no endometriosis: GnRH agonist administration group (n=18); and group 4, no endometriosis: GnRH agonist nonadministration group (n=13). No significant differences in peritoneal vascular density between the 4 groups were found under conventional light; however, under narrow-band light, vascular density in the endometriosis groups (groups 1 and 2) was significantly higher. Cytokine analysis of the 4 groups determined that IL-6 and IL-8 concentrations were significantly higher compared with the no endometriosis groups (groups 3 and 4). Tumor necrosis factor-alpha and vascular endothelial growth factor concentrations were not significantly different between groups. In endometriosis, peritoneal vascular density was significantly higher as assessed using the narrow-band imaging system and SolemioENDO ProStudy, whereas GnRH agonist did not obviously decrease vascular density but IL-6 concentration was lower in the GnRH agonist administration group. Copyright (c) 2010 AAGL

  11. Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.

    Directory of Open Access Journals (Sweden)

    Soon-Youn Choi

    Full Text Available Although dipeptidyl peptidase-4 inhibitors, a class of antidiabetic drugs, have various pleiotropic effects, it remains undetermined whether gemigliptin has a beneficial effect on vascular calcification. Therefore, this study was performed to evaluate the effect of gemigliptin on vascular calcification in a rat model of adenine-induced chronic kidney disease and in cultured vascular smooth muscle cells. Gemigliptin attenuated calcification of abdominal aorta and expression of RUNX2 in adenine-induced chronic kidney disease rats. In cultured vascular smooth muscle cells, phosphate-induced increase in calcium content was reduced by gemigliptin. Gemigliptin reduced phosphate-induced PiT-1 mRNA expression, reactive oxygen species generation, and NADPH oxidase mRNA expression (p22phox and NOX4. The reduction of oxidative stress by gemigliptin was associated with the downregulation of phospho-PI3K/AKT expression. High phosphate increased the expression of frizzled-3 (FDZ3 and decreased the expression of dickkopf-related protein-1 (DKK-1 in the Wnt pathway. These changes were attenuated by gemigliptin treatment. Gemigliptin restored the decreased expression of vascular smooth muscle cells markers (α-SMA and SM22α and increased expression of osteogenic makers (CBFA1, OSX, E11, and SOST induced by phosphate. In conclusion, gemigliptin attenuated vascular calcification and osteogenic trans-differentiation in vascular smooth muscle cells via multiple steps including downregulation of PiT-1 expression and suppression of reactive oxygen species generation, phospho-PI3K/AKT, and the Wnt signaling pathway.

  12. Vascular function in health, hypertension, and diabetes

    DEFF Research Database (Denmark)

    Nyberg, Michael Permin; Gliemann, Lasse; Hellsten, Ylva

    2015-01-01

    muscle, which can affect muscle function. Central aspects in the vascular impairments are alterations in the formation of prostacyclin, the bioavailability of NO and an increased formation of vasoconstrictors and reactive oxygen species (ROS). Regular physical activity effectively improves vascular......, the increase in muscle blood flow required for oxygen supply during exercise is achieved through a substantial increase in vasodilators locally formed in the active muscle tissue that overcome the vasoconstrictor signals. Most of the vasodilator signals are mediated via endothelial cells, which lead...... to the formation of vasodilators such as nitric oxide (NO) and prostacyclin. In essential hypertension and type II diabetes, the endothelial function and regulation of vascular tone is impaired with consequent increases in peripheral vascular resistance and inadequate regulation of oxygen supply to the skeletal...

  13. [Localized purpura revealing vascular prosthetic graft infection].

    Science.gov (United States)

    Boureau, A S; Lescalie, F; Cassagnau, E; Clairand, R; Connault, J

    2013-07-01

    Prosthetic graft infection after vascular reconstruction is a rare but serious complication. We report a case of infection occurring late after implantation of an iliofemoral prosthetic vascular graft. The Staphylococcus aureus infection was revealed by vascular purpura localized on the right leg 7 years after implantation of a vascular prosthesis. This case illustrates an uncommonly late clinical manifestation presenting as an acute infection 7 years after the primary operation. In this situation, the presentation differs from early infection, which generally occurs within the first four postoperative months. Diagnosis and treatment remain a difficult challenge because prosthetic graft infection is a potentially life-threatening complication. Morbidity and mortality rates are high. Here we detail specific aspects of the clinical and radiological presentation. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  14. Flujo de compuestos organoclorados en las cadenas troficas de la cienaga de Santa Marta

    Directory of Open Access Journals (Sweden)

    Hernado Campos Néstor

    1993-12-01

    Full Text Available Monthly samples of seston and fish species of different throphic levels were done at the Ciénaga Grande de Santa Marta in orderto describe organochlorinated compounds dynamics. The fish used were: atlantic anchoveta, mulletand catfish. The organochlorinated contents were determined by gas-liquid chromatography using n-Hexane and Acetonitrilo as extraction solvents. The results were compared to 14 organochlorinated pure patrons. The following accumulations patterns were found: atlantic nchoveta 2240 times, mullet 2343 times and catfish 21800 times and the magnifying factors among the differents thropic levels: mullet/atlantic anchoveta = 1.47, catfish/atlantic anchoveta = 2.6 and catfish/mullet = 3.3 The transport model of the organochlorinated compounds in the Cienaga Grande de Santa Marta is described bassed in these results.Con el fin de describir la dinámica de los compuestos organoclorados a través de la red trófica de la Ciénaga Grande de Santa Marta, se adelantaron muestreos simultáneos del seston y de peces de diferentes niveles tróficos: bocona (cetengraulis edentulus planctófago; lisa (Mugil incilis detritívoro; el chivo (Ariopsis boniiíei; carnívoro. Se determinaron los contenidos de organoclorados por cromatografía gas-líquido, empleando n-hexano y acetonitrilo como solventes de extracción y se compararon con 14 patrones puros de organoclorados. Los factores de acumulación para la bocona son de 2240 veces, para la lisa 2343 y para el chivo 21800. Los factores de magnificación entre los diferentes niveles tróficos son lisa/bocona = 1.47; chivo/lisa = 3.3; chivo/bocona = 2.6. Se describe el modelo de flujos de los organoclorados en la Ciénaga Grande de Santa Marta con base en estos resultados.

  15. Relación entre el estrés de fricción endotelial y la vasodilatación mediada por flujo en primigestantes saludables

    Directory of Open Access Journals (Sweden)

    Robinson Ramírez-Vélez, Ft. PhD.

    2011-11-01

    El objetivo de este estudio es presentar la primera exploración de la normalización de los datos de la VMF durante la gestación y examinar la relación del estrés de fricción endotelial (EFE y la normalización de la vasodilatación mediada por flujo (nVMF en esta población. Se encontró una relación entre la VMF y la nVMF (R2=0,782, p0,05, ni entre el EFE y la nVMF (R2=0,013, p>0,05. Futuras investigaciones, cuidadosamente diseñadas, podrían estudiar esta propuesta en diferentes poblaciones. Los autores sugieren que la VMF y la nVMF, alguna vez podrán ser consideradas como herramientas con aplicabilidad clínica para estimar el riesgo cardiovascular.

  16. Anti-Inflammatory Effects of Interleukin-19 in Vascular Disease

    Directory of Open Access Journals (Sweden)

    Ross N. England

    2012-01-01

    Full Text Available Despite aggressive dietary modification, lipid-lowering medications, and other interventional medical therapy, vascular disease continues to be a leading cause of mortality in the western world. It is a significant medical and socioeconomic problem contributing to mortality of multiple diseases including myocardial infarction, stroke, renal failure, and peripheral vascular disease. Morbidity and mortality of vascular disease are expected to worsen with the increasing number of patients with comorbid conditions such as obesity, metabolic syndrome, and diabetes mellitus type 2. Vascular diseases such as atherosclerosis, restenosis, and allograft vasculopathy are recognized to be driven by inflammation, and as such, cytokines which mediate inflammation not only represent important targets of rational therapy, but also can be considered as possible therapeutic modalities themselves. In this paper, we will examine the role of inflammatory cytokines and lymphocyte Th1/Th2 polarity in vascular inflammation, with a focus on atherosclerotic vascular disease. We will then introduce a recently described Th2 interleukin, interleukin-19 (IL-19, as a previously unrecognized mediator of vascular inflammatory disorders. We will review our current understanding of this interleukin in health and disease and present the possibility that IL-19 could represent a potential therapeutic to combat vascular inflammatory disease.

  17. Vascular cognitive impairment

    Directory of Open Access Journals (Sweden)

    N.V. Vakhnina

    2014-01-01

    Full Text Available Vascular pathology of the brain is the second most common cause of cognitive impairment after Alzheimer's disease. The article describes the modern concepts of etiology, pathogenetic mechanisms, clinical features and approaches to diagnosis and therapy of vascular cognitive impairment (VCI. Cerebrovascular accident, chronic cerebral circulatory insufficiency and their combination, sometimes in combination with a concomitant neurodegenerative process, are shown to be the major types of brain lesions leading to VCI. The clinical presentation of VCI is characterized by the neuropsychological status dominated by impairment of the executive frontal functions (planning, control, attention in combination with focal neurological symptoms. The diagnosis is based on comparing of the revealed neuropsychological and neurological features with neuroimaging data. Neurometabolic, acetylcholinergic, glutamatergic, and other vasoactive drugs and non-pharmacological methods are widely used to treat VCI. 

  18. Vascular neurology nurse practitioner provision of telemedicine consultations.

    Science.gov (United States)

    Demaerschalk, Bart M; Kiernan, Terri-Ellen J; Investigators, Starr

    2010-01-01

    Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP) in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS) scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2 +/- 9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0 +/- 9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider.

  19. Structural and functional imaging for vascular targeted photodynamic therapy

    Science.gov (United States)

    Li, Buhong; Gu, Ying; Wilson, Brian C.

    2017-02-01

    Vascular targeted photodynamic therapy (V-PDT) has been widely used for the prevention or treatment of vascular-related diseases, such as localized prostate cancer, wet age-related macular degeneration, port wine stains, esophageal varices and bleeding gastrointestinal mucosal lesions. In this study, the fundamental mechanisms of vascular responses during and after V-PDT will be introduced. Based on the V-PDT treatment of blood vessels in dorsal skinfold window chamber model, the structural and functional imaging, which including white light microscopy, laser speckle imaging, singlet oxygen luminescence imaging, and fluorescence imaging for evaluating vascular damage will be presented, respectively. The results indicate that vessel constriction and blood flow dynamics could be considered as the crucial biomarkers for quantitative evaluation of vascular damage. In addition, future perspectives of non-invasive optical imaging for evaluating vascular damage of V-PDT will be discussed.

  20. Cell sheet engineering using the stromal vascular fraction of adipose tissue as a vascularization strategy

    OpenAIRE

    Costa, M.; Cerqueira, Mariana Teixeira; Santos, T. C.; Marques, Belém Sampaio; Ludovico, Paula; Marques, A. P.; Pirraco, Rogério P.; Reis, R. L.

    2017-01-01

    Current vascularization strategies for Tissue Engineering constructs, in particular cell sheet-based, are limited by time-consuming and expensive endothelial cell isolation and/or by the complexity of using extrinsic growth factors. Herein, we propose an alternative strategy using angiogenic cell sheets (CS) obtained from the stromal vascular fraction (SVF) of adipose tissue that can be incorporated into more complex constructs. Cells from the SVF were cultured in normoxic and hypoxic conditi...

  1. Genetic Regulation of Vascular Development: Building the Zebrafish Vascular Tree

    NARCIS (Netherlands)

    R.L.J.M. Herpers (Robert)

    2010-01-01

    textabstractThe extensive networks of blood and lymphatic vessels within the vertebrate body are essential for the transport and delivery of fluids, gases, macromolecules and cells, and play important roles in facilitating immune responses. The development of the vascular tree requires a highly

  2. Luteolin Ameliorates Hypertensive Vascular Remodeling through Inhibiting the Proliferation and Migration of Vascular Smooth Muscle Cells

    Directory of Open Access Journals (Sweden)

    Jie Su

    2015-01-01

    Full Text Available Objectives. Preliminary researches showed that luteolin was used to treat hypertension. However, it is still unclear whether luteolin has effect on the hypertensive complication such as vascular remodeling. The present study was designed to investigate the effect of luteolin on the hypertensive vascular remodeling and its molecular mechanism. Method and Results. We evaluated the effect of luteolin on aorta thickening of hypertension in spontaneous hypertensive rats (SHRs and found that luteolin could significantly decrease the blood pressure and media thickness of aorta in vivo. Luteolin could inhibit angiotensin II- (Ang II- induced proliferation and migration of vascular smooth muscle cells (VSMCs. Dichlorofluorescein diacetate (DCFH-DA staining result showed that luteolin reduced Ang II-stimulated ROS production in VSMCs. Furthermore, western blot and gelatin zymography results showed that luteolin treatment leaded to a decrease in ERK1/2, p-ERK1/2, p-p38, MMP2, and proliferating cell nuclear antigen (PCNA protein level. Conclusion. These data support that luteolin can ameliorate hypertensive vascular remodeling by inhibiting the proliferation and migration of Ang II-induced VSMCs. Its mechanism is mediated by the regulation of MAPK signaling pathway and the production of ROS.

  3. Vascular plugs - A key companion to Interventionists - 'Just Plug it'.

    Science.gov (United States)

    Ramakrishnan, Sivasubramanian

    2015-01-01

    Vascular plugs are ideally suited to close extra-cardiac, high flowing vascular communications. The family of vascular plugs has expanded. Vascular plugs in general have a lower profile and the newer variants can be delivered even through a diagnostic catheter. These features make them versatile and easy to use. The Amplatzer vascular plugs are also used for closing intracardiac defects including coronary arterio-venous fistula and paravalvular leakage in an off-label fashion. In this review, the features of currently available vascular plugs are reviewed along with tips and tricks of using them in the cardiac catheterization laboratory. Copyright © 2015. Published by Elsevier B.V.

  4. Fetal origin of vascular aging

    Directory of Open Access Journals (Sweden)

    Shailesh Pitale

    2011-01-01

    Full Text Available Aging is increasingly regarded as an independent risk factor for development of cardiovascular diseases such as atherosclerosis and hypertension and their complications (e.g. MI and Stroke. It is well known that vascular disease evolve over decades with progressive accumulation of cellular and extracellular materials and many inflammatory processes. Metabolic syndrome, obesity and diabetes are conventionally recognized as risk factors for development of coronary vascular disease (CVD. These conditions are known to accelerate ageing process in general and vascular ageing in particular. Adverse events during intrauterine life may programme organ growth and favour disease later in life, popularly known as, ′Barker′s Hypothesis′. The notion of fetal programming implies that during critical periods of prenatal growth, changes in the hormonal and nutritional milieu of the conceptus may alter the full expression of the fetal genome, leading to permanent effects on a range of physiological.

  5. Graph analysis of cell clusters forming vascular networks

    Science.gov (United States)

    Alves, A. P.; Mesquita, O. N.; Gómez-Gardeñes, J.; Agero, U.

    2018-03-01

    This manuscript describes the experimental observation of vasculogenesis in chick embryos by means of network analysis. The formation of the vascular network was observed in the area opaca of embryos from 40 to 55 h of development. In the area opaca endothelial cell clusters self-organize as a primitive and approximately regular network of capillaries. The process was observed by bright-field microscopy in control embryos and in embryos treated with Bevacizumab (Avastin), an antibody that inhibits the signalling of the vascular endothelial growth factor (VEGF). The sequence of images of the vascular growth were thresholded, and used to quantify the forming network in control and Avastin-treated embryos. This characterization is made by measuring vessels density, number of cell clusters and the largest cluster density. From the original images, the topology of the vascular network was extracted and characterized by means of the usual network metrics such as: the degree distribution, average clustering coefficient, average short path length and assortativity, among others. This analysis allows to monitor how the largest connected cluster of the vascular network evolves in time and provides with quantitative evidence of the disruptive effects that Avastin has on the tree structure of vascular networks.

  6. Vascular Remodelling and Mesenchymal Transition in Systemic Sclerosis

    Directory of Open Access Journals (Sweden)

    Pier Andrea Nicolosi

    2016-01-01

    Full Text Available Fibrosis of the skin and of internal organs, autoimmunity, and vascular inflammation are hallmarks of Systemic Sclerosis (SSc. The injury and activation of endothelial cells, with hyperplasia of the intima and eventual obliteration of the vascular lumen, are early features of SSc. Reduced capillary blood flow coupled with deficient angiogenesis leads to chronic hypoxia and tissue ischemia, enforcing a positive feed-forward loop sustaining vascular remodelling, further exacerbated by extracellular matrix accumulation due to fibrosis. Despite numerous developments and a growing number of controlled clinical trials no treatment has been shown so far to alter SSc natural history, outlining the need of further investigation in the molecular pathways involved in the pathogenesis of the disease. We review some processes potentially involved in SSc vasculopathy, with attention to the possible effect of sustained vascular inflammation on the plasticity of vascular cells. Specifically we focus on mesenchymal transition, a key phenomenon in the cardiac and vascular development as well as in the remodelling of injured vessels. Recent work supports the role of transforming growth factor-beta, Wnt, and Notch signaling in these processes. Importantly, endothelial-mesenchymal transition may be reversible, possibly offering novel cues for treatment.

  7. Inmunofenotipos aberrantes en leucemias agudas en una población hospitalaria de Buenos Aires

    Directory of Open Access Journals (Sweden)

    Viviana Novoa

    2013-02-01

    Full Text Available La citometría de flujo multiparamétrica es el método de elección para la caracterización inmunofenotípica de las células hematopoyéticas clonales presentes en los distintos procesos leucémicos agudos. El objetivo fue analizar la expresión de antígenos de membrana y evaluar la presencia de fenotipos aberrantes en los blastos de pacientes con diagnóstico de leucemia aguda, que permiten el monitoreo de la respuesta al tratamiento. Se revisaron los inmunofenotipos de 364 muestras de pacientes adultos derivadas a nuestro laboratorio en un período de 7 años. El inmunofenotipo se realizó por citometría de flujo con un amplio panel de anticuerpos monoclonales con el que se evaluó la expresión de antígenos de linaje linfoide, mieloide y también antígenos de maduración. De las 364 muestras estudiadas, 60.2% presentaron un fenotipo compatible con leucemia mieloide aguda (LMA, 28.8% con leucemia linfoblástica B (LLA-B, 6.6% con leucemia linfoblástica T (LLA-T y 4.4% con leucemias agudas poco frecuentes. La presencia de fenotipos aberrantes se observó en 89% de los casos, los fenotipos aberrantes identificados fueron: 1 infidelidad de linaje: LMA (54%, LLA-B (40%, LLA-T (29%; 2 ausencia de expresión antigénica: LMA (21%, LLA-B (35%, LLA-T (70%; 3 alteración de la expresión antigénica: LMA (67%, LLA-B (66%, LLA-T (84%; 4 asincronismo madurativo: LMA (26%, LLA-B (37% y 5 fenotipo ectópico: LLA-T 96%. El análisis por citometría de flujo multiparamétrica de las leucemias agudas permitió la identificación de fenotipos aberrantes en la mayoría de nuestros pacientes, que son de utilidad para el monitoreo de la respuesta al tratamiento.

  8. Vascular ring complicates accidental button battery ingestion.

    Science.gov (United States)

    Mercer, Ronald W; Schwartz, Matthew C; Stephany, Joshua; Donnelly, Lane F; Franciosi, James P; Epelman, Monica

    2015-01-01

    Button battery ingestion can lead to dangerous complications, including vasculoesophageal fistula formation. The presence of a vascular ring may complicate battery ingestion if the battery lodges at the level of the ring and its important vascular structures. We report a 4-year-old boy with trisomy 21 who was diagnosed with a vascular ring at the time of button battery ingestion and died 9 days after presentation due to massive upper gastrointestinal bleeding from esophageal erosion and vasculoesophageal fistula formation. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Magnetic resonance imaging of pediatric soft-tissue vascular anomalies

    International Nuclear Information System (INIS)

    Navarro, Oscar M.

    2016-01-01

    Magnetic resonance (MR) imaging can be used in the management of pediatric soft-tissue vascular anomalies for diagnosing and assessing extent of lesions and for evaluating response to therapy. MR imaging studies often involve a combination of T1- and T2-weighted images in addition to MR angiography and fat-suppressed post-contrast sequences. The MR imaging features of these vascular anomalies when combined with clinical findings can aid in diagnosis. In cases of complex vascular malformations and syndromes associated with vascular anomalies, MR imaging can be used to evaluate accompanying soft-tissue and bone anomalies. This article reviews the MR imaging protocols and appearances of the most common pediatric soft-tissue vascular anomalies. (orig.)

  10. Transcatheter aortic valve replacement and vascular complications definitions.

    Science.gov (United States)

    Van Mieghem, Nicolas M; Généreux, Philippe; van der Boon, Robert M A; Kodali, Susheel; Head, Stuart; Williams, Matthew; Daneault, Benoit; Kappetein, Arie-Pieter; de Jaegere, Peter P; Leon, Martin B; Serruys, Patrick W

    2014-03-20

    Transcatheter aortic valve replacement (TAVR) requires large calibre catheters and is therefore associated with increased vascular complications. The aim of this study was to illustrate the impact of the different definitions of major vascular complications on their incidence and to underscore the importance of uniform reporting. We pooled dedicated databases of consecutive patients undergoing TAVR from two tertiary care facilities and looked for the incidence of major vascular complications using various previously reported definitions. The level of agreement (Kappa statistic) between the respective definitions and the Valve Academic Research Consortium (VARC) consensus definition of vascular complications was assessed. A total of 345 consecutive patients underwent transfemoral TAVR and were included in this analysis. A completely percutaneous access and closure technique was applied in 96% of cases. Arterial sheath size ranged between 18 and 24 Fr, the majority being 18 Fr (60%). Procedural success was reached in 94.5%. Depending on the definition used, major vascular complications occurred in 5.2-15.9% of patients. According to the VARC definitions, the rate of major and minor vascular complications was 9.0% and 9.6%, respectively. Major vascular complications according to VARC criteria demonstrated at least a substantial level of agreement with the SOURCE registry (k 0.80), the UK registry (k 0.82) the Italian registry (k 0.72) and "FRANCE" registry (k 0.70) definitions, compared to a moderate level of agreement with the definitions used in the German registry ( 0.47) and the 18 Fr Safety and Efficacy study (k 0.42). Minor complications according to VARC demonstrated a moderate agreement only with vascular complications using the German registry definition (k 0.54). Non-uniformity in how vascular complications are defined precludes any reliable comparison between previously reported TAVR registries. The VARC consensus document offers standardised endpoint

  11. VASCULAR SURGERY

    African Journals Online (AJOL)

    2016-06-02

    Jun 2, 2016 ... with the literature from South Africa over the last four decades, and reflects the high rate of interpersonal violence in the country.14,15 As expected, cervical ... via the intact circle of Willis in young patients is the most likely explanation for the lack of strokes. Five patients were referred to the Durban vascular ...

  12. Vinpocetine Attenuates the Osteoblastic Differentiation of Vascular Smooth Muscle Cells.

    Directory of Open Access Journals (Sweden)

    Yun-Yun Ma

    Full Text Available Vascular calcification is an active process of osteoblastic differentiation of vascular smooth muscle cells; however, its definite mechanism remains unknown. Vinpocetine, a derivative of the alkaloid vincamine, has been demonstrated to inhibit the high glucose-induced proliferation of vascular smooth muscle cells; however, it remains unknown whether vinpocetine can affect the osteoblastic differentiation of vascular smooth muscle cells. We hereby investigated the effect of vinpocetine on vascular calcification using a beta-glycerophosphate-induced cell model. Our results showed that vinpocetine significantly reduced the osteoblast-like phenotypes of vascular smooth muscle cells including ALP activity, osteocalcin, collagen type I, Runx2 and BMP-2 expression as well as the formation of mineralized nodule. Vinpocetine, binding to translocation protein, induced phosphorylation of extracellular signal-related kinase and Akt and thus inhibited the translocation of nuclear factor-kappa B into the nucleus. Silencing of translocator protein significantly attenuated the inhibitory effect of vinpocetine on osteoblastic differentiation of vascular smooth muscle cells. Taken together, vinpocetine may be a promising candidate for the clinical therapy of vascular calcification.

  13. Vascular Neurology Nurse Practitioner Provision of Telemedicine Consultations

    Directory of Open Access Journals (Sweden)

    Bart M. Demaerschalk

    2010-01-01

    Full Text Available Objective. The objective was to define and evaluate a role for the Vascular Neurology-Nurse Practitioner (VN-NP in the delivery of telemedicine consultations in partnership with a vascular neurologist. Methods. Prospective stroke alert patients at participating hospitals underwent a two-way audio video telemedicine consultation with a VN-NP at a remotely located stroke center in partnership with a vascular neurologist. Demographic information, National Institutes of Health Stroke Scale (NIHSS scores, diagnoses, CT contraindications to thrombolysis, thrombolysis eligibility, and time interval data were collected. The inter-rater agreement between VN-NP and vascular neurologist assessments was calculated. Results. Ten patients were evaluated. Four were determined to have ischemic stroke, one had a transient ischemic attack, two had intracerebral hemorrhages, and three were stroke mimics. Overall, three patients received thrombolysis. The inter-rater agreement between VN-NP and vascular neurologist assessments were excellent, ranging from 0.9 to 1.0. The duration of VN-NP consultation was 53.2±9.0 minutes, which included the vascular neurologist supervisory evaluation time of 12.0±9.6 minutes. Conclusion. This study illustrated that a stroke center VN-NP, in partnership with a vascular neurologist, could deliver timely telemedicine consultations, accurate diagnoses, and correct treatments in acute stroke patients who presented to remotely located rural emergency departments within a hub and spoke network. VN-NPs may fulfill the role of a telestroke provider.

  14. La crisis bancaria de 1999 en el Ecuador: un análisis a partir del Cuadro de Operaciones Financieras (COF) y la matriz de flujo de fondos de "quién a quién"

    OpenAIRE

    Salguero Llanos, Magally

    2005-01-01

    Este trabajo toma como referencia al Cuadro de Operaciones Financiera (COF) y la Matriz de Flujo de Fondos de "quién a quién " de las Cuentas Nacionales del Ecuador, interrelacionando sus resultados con las condiciones macro económicas y microeconómicas bajo las cuales se desarrolló la crisis bancaria de 1999. A nivel microeconómico, se observan las pruebas estadísticas y variables con las respuestas de los bancos frente a la crisis. Se analiza la interacción entre sectores y transacciones fi...

  15. Beta-blocker use and clinical outcomes after primary vascular surgery

    DEFF Research Database (Denmark)

    Høgh, A.; Lindholt, J.S.; Nielsen, Henrik

    2013-01-01

    To explore the associations between beta-blocker use and clinical outcomes (death, hospitalisation with myocardial infarction (MI) or stroke, major amputation and recurrent vascular surgery) after primary vascular reconstruction.......To explore the associations between beta-blocker use and clinical outcomes (death, hospitalisation with myocardial infarction (MI) or stroke, major amputation and recurrent vascular surgery) after primary vascular reconstruction....

  16. The vascular basement membrane in the healthy and pathological brain.

    Science.gov (United States)

    Thomsen, Maj S; Routhe, Lisa J; Moos, Torben

    2017-10-01

    The vascular basement membrane contributes to the integrity of the blood-brain barrier (BBB), which is formed by brain capillary endothelial cells (BCECs). The BCECs receive support from pericytes embedded in the vascular basement membrane and from astrocyte endfeet. The vascular basement membrane forms a three-dimensional protein network predominantly composed of laminin, collagen IV, nidogen, and heparan sulfate proteoglycans that mutually support interactions between BCECs, pericytes, and astrocytes. Major changes in the molecular composition of the vascular basement membrane are observed in acute and chronic neuropathological settings. In the present review, we cover the significance of the vascular basement membrane in the healthy and pathological brain. In stroke, loss of BBB integrity is accompanied by upregulation of proteolytic enzymes and degradation of vascular basement membrane proteins. There is yet no causal relationship between expression or activity of matrix proteases and the degradation of vascular matrix proteins in vivo. In Alzheimer's disease, changes in the vascular basement membrane include accumulation of Aβ, composite changes, and thickening. The physical properties of the vascular basement membrane carry the potential of obstructing drug delivery to the brain, e.g. thickening of the basement membrane can affect drug delivery to the brain, especially the delivery of nanoparticles.

  17. Nanotechnology in vascular tissue engineering: from nanoscaffolding towards rapid vessel biofabrication.

    Science.gov (United States)

    Mironov, Vladimir; Kasyanov, Vladimir; Markwald, Roger R

    2008-06-01

    The existing methods of biofabrication for vascular tissue engineering are still bioreactor-based, extremely expensive, laborious and time consuming and, furthermore, not automated, which would be essential for an economically successful large-scale commercialization. The advances in nanotechnology can bring additional functionality to vascular scaffolds, optimize internal vascular graft surface and even help to direct the differentiation of stem cells into the vascular cell phenotype. The development of rapid nanotechnology-based methods of vascular tissue biofabrication represents one of most important recent technological breakthroughs in vascular tissue engineering because it dramatically accelerates vascular tissue assembly and, importantly, also eliminates the need for a bioreactor-based scaffold cellularization process.

  18. S.E. Mitchell Vascular Anomalies Flow Chart (SEMVAFC): A visual pathway combining clinical and imaging findings for classification of soft-tissue vascular anomalies

    International Nuclear Information System (INIS)

    Tekes, A.; Koshy, J.; Kalayci, T.O.; Puttgen, K.; Cohen, B.; Redett, R.; Mitchell, S.E.

    2014-01-01

    Classification of vascular anomalies (VAs) is challenging due to overlapping clinical symptoms, confusing terminology in the literature and unfamiliarity with this complex entity. It is important to recognize that VAs include two distinct entities, vascular tumours (VTs) and vascular malformations (VaMs). In this article, we describe SE Mitchell Vascular Anomalies Flow Chart (SEMVAFC), which arises from a multidisciplinary approach that incorporates clinical symptoms, physical examination and magnetic resonance imaging (MRI) findings to establish International Society for the Study of Vascular Anomalies (ISSVA)-based classification of the VAs. SEMVAFC provides a clear visual pathway for physicians to accurately diagnose Vas, which is important as treatment, management, and prognosis differ between VTs and VaMs

  19. [Thrombosis in vascular accesses for haemodialysis: rescue treatment using invasive vascular radiological techniques].

    Science.gov (United States)

    García Medina, J; Lacasa Pérez, N; Muray Cases, S; Pérez Garrido, I; García Medina, V

    2009-01-01

    The purpose of this paper is to communicate our experience in the salvage of thrombosed haemodialysis vascular accesses using interventional radiology techniques. In the last four years, we have treated, by radiological means, 101 thrombosed haemodialysis vascular accesses. There were 44 autologous arteriovenous fistulas (43.56%) and 57 PTFE grafts (56.44%). There were 69 men (68.3%) and 32 women (31.7%). The mean age was 67.73 years (range 33-84). The mean vascular access age was 23.79 months (range 1-132). Manual catheter-directed aspiration was used. Fragmented, triturated or pushed the thrombus against the pulmonary circulation was avoided in all cases. 78 accesses were salvaged (77.2%). Autologous fistulas average and PTFE grafts success rate were 84.44% and 71.42% respectively. Angioplasty in one or more lesions after thromboaspiration was performed in all accesses, except six (5.9%). Metallic endoprostheses were implanted in 14 accesses (13.9%). Mean follow-up was 9 months (range 0-44). Primary patency was 42.3% +/- 5 at 6 months and 32% +/- 4 at one year. Autologous fistulas patency was better than PTFE grafts patency (p better than PTFE grafts. This justifies interventional radiology techniques in these situations.

  20. Estimación de propiedades hidráulicas de suelos por mediciones a campo y el uso de modelos de flujo estacionario y transitorio Estimation of soil hydraulic properties by field measurement and use of steady- and transient-flow models

    Directory of Open Access Journals (Sweden)

    Roberto R Filgueira

    2006-07-01

    Full Text Available El manejo del suelo influencia las propiedades físicas del mismo, con marcado énfasis en las hidráulicas. La medición de estas últimas se ha vuelto uno de los temas predilectos de investigación en la Física de Suelos. El infiltrómetro de disco a tensión se ha convertido en un valioso instrumento para la medición in-situ de propiedades hidráulicas del suelo. La mayoría de los métodos de análisis de la información obtenida con este instrumento, se basa en la obtención de la tasa de flujo estacionario para tiempos largos, aunque actualmente se encuentran disponibles también expresiones analíticas aproximadas para el flujo transitorio desde un infiltrómetro de disco en tres dimensiones y no confinado. En este trabajo se realizaron mediciones con este instrumento en un suelo franco arcilloso con diferente historia de uso. A partir de los datos obtenidos se estimaron la conductividad hidráulica saturada y la sortividad, mediante modelos que utilizan la aproximación de flujo estacionario y de flujo transitorio. A partir del modelo del flujo estacionario, los resultados obtenidos de sortividad (S0 variaron entre 26,8 y 58,5 mm h-1/2 y los de conductividad hidráulica saturada (K0 entre 41,7 y 78,2 mm h-1, para los sitios de labranza convencional y pastura, mientras que S0 varió entre 23,9 y 51,2 mm h-1/2 y K0 entre 19,0 y 45,7 mm h-1 para el sitio compactado. Los valores medios de sortividad no difirieron estadísticamente entre los tratamientos, mientras que para la conductividad hidráulica saturada no hubo diferencia estadística entre la medias en labranza convencional y pastura, pero ambas fueron significativamente diferentes a la media del sitio compactado. A partir del modelo de flujo transitorio los valores de S0 variaron entre 10,9 y 36,6 mm h-1/2 y los de K0 entre 58,6 y 189,3 mm h-1 para labranza convencional y pastura, y entre 15,8 y 33,9 mm h-1/2 para S0 y entre 13,6 y 71,5 mm h-1 para K0 del sitio compactado. No se

  1. Imaging of the peripheral vascular system

    International Nuclear Information System (INIS)

    Gould, S.A.; Pond, G.D.; Pinsky, S.; Moss, G.S.; Srikantaswamy, S.; Ryo, U.Y.

    1984-01-01

    This book is limited neither to the peripheral vascular system nor to diagnostic imaging techniques. Its 18 chapters cover nonimaging blood-flow techniques (Doppler ultrasound, plethysmography) as well as noninvasive and invasive imaging techniques (ultrasound, computed tomography, radionuclide digital-subtraction angiography, and contrast angiography). These are applied not only to the peripheral vascular system but also to the aorta and vena cava

  2. ANÁLISE BIOMECÂNICA DA CORRIDA DE VELOCIDADE EM CRIANÇAS COM DISTINTOS NÍVEIS TÉCNICOS E DA EFICÁCIA DE UMA INTERVENÇÃO DIDÁTICA

    OpenAIRE

    Ivon Chagas da Rocha Junior

    2006-01-01

    Este estudo teve com um de seus objetivos descrever e comparar variáveis biomecânicas da corrida de velocidade, na fase de máxima velocidade, em crianças com distintos níveis de vivência nesta destreza motora. Outro objetivo do estudo foi efetuar um experimento no qual se testaria a resposta destas variáveis a um procedimento didático destinado a melhorar a técnica de corrida dos sujeitos. Foram constituídos dois grupos de sujeitos, com idade média de 144,49 meses, um sem prática sistemática ...

  3. Arterial complications of vascular Ehlers-Danlos syndrome.

    Science.gov (United States)

    Eagleton, Matthew J

    2016-12-01

    Vascular Ehlers-Danlos syndrome (EDS) is a relatively rare genetic syndrome that occurs owing to disorders in the metabolism of fibrillary collagen. These defects affect the soft connective tissues resulting in abnormalities in the skin, joints, hollow organs, and blood vessels. Patients with these defects frequently present at a young age with spontaneous arterial complications involving the medium-sized arteries. Complications involving the hollow organs, such as spontaneous colonic perforation, are observed as well. Given the fragility of the soft tissue, open and endovascular intervention on patients with vascular EDS is fraught with high complication rates. A PubMed search was performed to identify manuscripts published related to vascular EDS. This search included more than 747 articles. These findings were cross-referenced using key terms, including endovascular, embolization, surgery, genetics, pathophysiology, connective tissue disorders, vascular complications, systematic review, type III collagen, and COL3A1. The references in key articles and review articles were evaluated for additional resources not identified in the PubMed search. Care must be taken to balance the risk of intervention vs the risk of continued observation. Life-threatening hemorrhage, however, mandates intervention. With careful, altered approaches to tissue handling, endovascular approaches may provide a safer option for managing the arterial complications observed in patients with vascular EDS. Additional hope may also be found in the use of pharmacologic agents that reduce the incidence and severity of the arterial complications. Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

  4. Numerical study on the effect of non-condensable gases on the bi-phasic flow in geothermal wells; Estudio numerico del efecto de gases incondensables sobre el flujo bifasico en pozos geotermicos

    Energy Technology Data Exchange (ETDEWEB)

    Santoyo Gutierrez, Edgar; Garcia Gutierrez, Alfonso; Santoyo Gutierrez, Socrates; Morales Rosas, Jose Manuel [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1993-09-01

    The objective of this paper is to describe a numerical study to determine the flow characteristics that predominate in geothermal wells and that produces a significant amount of non-condensable gases. It is known that these gases affect the thermodynamic conditions that dominate the fluid transport in the well or inclusively within the proper producing reservoir, therefore, it is extremely important to evaluate this effect. For this purpose the numerical model Geopozo V2.0 was developed. This model considers the carbon dioxide (CO{sub 2}) as the representative gas of the non-condensable gases present in the geothermal fluid. Due to this consideration, Geopozo V2.0 includes a methodology or the estimation of the thermodynamic and transport properties of geothermal fluids, considering these as a mix of two components: H{sub 2}O (vapor and liquid) and CO{sub 2}, under conditions of monophasic and biphasic flow. The application of Geopozo V2.0 for a typical case of flow in geothermal wells with high CO{sub 2} content revealed that the presence of this gas affects significantly the location of the flashing point inside the well and consequently, the amount of steam produced. This is of importance or the design and selection of the surface and generation equipment, aspect that to this date has been ignored (Suwana, 1991). [Espanol] El objetivo de este trabajo es describir un estudio numerico para determinar las caracteristicas del flujo que predominan en pozos geotermicos y que producen una cantidad significante de gases incondensables. Se tiene conocimiento de que estos gases afectan las condiciones termodinamicas que dominan el transporte de fluidos en el pozo o incluso dentro del mismo yacimiento geotermico productor, por lo que es de suma importancia evaluar dicho efecto. Para ello fue desarrollado el modelo numerico Geopozo V2.0. Este modelo considera al dioxido de carbono (CO{sub 2}) como el gas representativo de los incondensables presentes en el fluido geotermico

  5. Effects of PPARγ ligands on vascular tone.

    Science.gov (United States)

    Salomone, Salvatore; Drago, Filippo

    2012-06-01

    Peroxisome Proliferator-Activated Receptor γ (PPARγ), originally described as a transcription factor for genes of carbohydrate and lipid metabolism, has been more recently studied in the context of cardiovascular pathophysiology. Here, we review the available data on PPARγ ligands as modulator of vascular tone. PPARγ ligands include: thiazolidinediones (used in the treatment of type 2 diabetes mellitus), glitazars (bind and activate both PPARγ and PPARα), and other experimental drugs (still in development) that exploit the chemistry of thiazolidinediones as a scaffold for PPARγ-independent pharmacological properties. In this review, we examine both short (mostly from in vitro data)- and long (mostly from in vivo data)-term effects of PPARγ ligands that extend from PPARγ-independent vascular effects to PPARγ-dependent gene expression. Because endothelium is a master regulator of vascular tone, we have attempted to differentiate between endothelium-dependent and endothelium-independent effects of PPARγ ligands. Based on available data, we conclude that PPARγ ligands appear to influence vascular tone in different experimental paradigms, most often in terms of vasodilatation (potentially increasing blood flow to some tissues). These effects on vascular tone, although potentially beneficial, must be weighed against specific cardiovascular warnings that may apply to some drugs, such as rosiglitazone.

  6. Endothelial dysfunction in metabolic and vascular disorders.

    Science.gov (United States)

    Polovina, Marija M; Potpara, Tatjana S

    2014-03-01

    Vascular endothelium has important regulatory functions in the cardiovascular system and a pivotal role in the maintenance of vascular health and metabolic homeostasis. It has long been recognized that endothelial dysfunction participates in the pathogenesis of atherosclerosis from early, preclinical lesions to advanced, thrombotic complications. In addition, endothelial dysfunction has been recently implicated in the development of insulin resistance and type 2 diabetes mellitus (T2DM). Considering that states of insulin resistance (eg, metabolic syndrome, impaired fasting glucose, impaired glucose tolerance, and T2DM) represent the most prevalent metabolic disorders and risk factors for atherosclerosis, it is of considerable scientific and clinical interest that both metabolic and vascular disorders have endothelial dysfunction as a common background. Importantly, endothelial dysfunction has been associated with adverse outcomes in patients with established cardiovascular disease, and a growing body of evidence indicates that endothelial dysfunction also imparts adverse prognosis in states of insulin resistance. In this review, we discuss the association of insulin resistance and T2DM with endothelial dysfunction and vascular disease, with a focus on the underlying mechanisms and prognostic implications of the endothelial dysfunction in metabolic and vascular disorders. We also address current therapeutic strategies for the improvement of endothelial dysfunction.

  7. Nanomedicine approaches in vascular disease: a review.

    Science.gov (United States)

    Gupta, Anirban Sen

    2011-12-01

    Nanomedicine approaches have revolutionized the treatment of cancer and vascular diseases, where the limitations of rapid nonspecific clearance, poor biodistribution and harmful side effects associated with direct systemic drug administration can be overcome by packaging the agents within sterically stabilized, long-circulating nanovehicles that can be further surface-modified with ligands to actively target cellular/molecular components of the disease. With significant advancements in genetics, proteomics, cellular and molecular biology and biomaterials engineering, the nanomedicine strategies have become progressively refined regarding the modulation of surface and bulk chemistry of the nanovehicles, control of drug release kinetics, manipulation of nanoconstruct geometry and integration of multiple functionalities on single nanoplatforms. The current review aims to capture the various nanomedicine approaches directed specifically toward vascular diseases during the past two decades. Analysis of the promises and limitations of these approaches will help identify and optimize vascular nanomedicine systems to enhance their efficacy and clinical translation in the future. Nanomedicine-based approaches have had a major impact on the treatment and diagnosis of malignancies and vascular diseases. This review discusses various nanomedicine approaches directed specifically toward vascular diseases during the past two decades, highlighting their advantages, limitations and offering new perspectives on future applications. Copyright © 2011 Elsevier Inc. All rights reserved.

  8. Evaluación del comportamiento de un algoritmo para la secuenciación en un taller de flujo con tiempos dependientes de la secuencia

    Directory of Open Access Journals (Sweden)

    Adriano da Silva-Carvalho

    2010-01-01

    Full Text Available En el trabajo se realiza la evaluación del comportamiento de un algoritmo propuesto para la secuenciación en un taller de flujo con tiempos dependientes de la secuencia, utilizando un método híbrido basado en el Algoritmo de Búsqueda del Extremo de una Función de un Código Variable y la metaheurística de Búsqueda Dispersa. Asimismo, se analizan casos obtenidos de la aplicación en un taller mecánico de una industria nacional.In this paper the evaluation of the behaviour of a proposed algorithm is made for the sequence of events in a stream flow in a workshop with dependent moments of the sequence using a hybrid method based on the SEARCH OF THE EXTREME OF A FUNTION OF A VARIABLE CODE ALGORITHM AND THE DISPERSED SEARCH METHOD ALGORITHM In the same way, cases obtained from the application in a workshop of the national mechanical industry are analysed.

  9. Evaluating Peripheral Vascular Injuries: Is Color Doppler Enough for Diagnosis?

    Directory of Open Access Journals (Sweden)

    Mohd Lateef Wani

    2014-03-01

    Full Text Available Background:: Vascular injury poses a serious threat to limb and life. Thus, diagnosis should be made immediately with minimally invasive methods. Doppler is a good aid in diagnosis of vascular injury. Methods:: The present prospective study was conducted on 150 patients who presented with soft signs (the signs which are suggestive but not confirmatory of vascular injury. They were subjected to color Doppler examination before exploration. The patients with the features of vascular injury on color Doppler were subjected to exploration. On the other hand, those who had normal Doppler were subjected to CT- angiography. Then, the findings of the exploration were matched with those of color Doppler. The data were analyzed using the SPSS statistical software. Results:: Out of the 150 Doppler examinations, 110 (73.33% were reported as positive, while 40 were reported as negative for vascular injury. These were subjected to CT-angiography and seven of them had the features of vascular injury on CT-angiography. All the patients with positive Doppler or CT angiography findings were subjected to exploration. Doppler had a sensitivity of 94% and specificity of 82.5% in diagnosis of vascular injury using Binary classification test. Conclusions:: Color Doppler is an easily available, reliable, and handy method of diagnosing a vascular injury. It has a very high sensitivity and specificity in diagnosis of vascular injuries.

  10. Joint Global War on Terror (GWOT) Vascular Injury Study 2

    Science.gov (United States)

    2017-02-01

    acquired in Iraq and Afghanistan, Society for Trauma Nurse, 2-4 April 2014, poster presentation o Vascular discharge education and follow-up care...eventual quality of limb and psychological recovery or well-being. 15. SUBJECT TERMS extremity vascular injury, extremity, vascular injury, vascular... psychological recovery or well-being. Finally, this program aims to characterize and compare the physical and emotional burden in large cohorts of US

  11. Vascular gastric anomalies as a cause of relapsing bleeding

    Directory of Open Access Journals (Sweden)

    Golubović Gradimir

    2008-01-01

    Full Text Available Background. Although relatively rare, gastric vascular anomalies can be recognized as a source of both chronic and acute blood loss, most often presenting as long term iron deficiency anemia, rarely as severe acute gastrointestinal bleeding. Case report. We present five patients with various gastric vascular anomalies, diagnosed during the year of 2003. in the Clinical Hospital Center Zemun. The diagnosis was based on endoscopic appearances, clinical history and characteristic histological findings. Gastric vascular anomalies presented in our review were: portal hypertensive gastropathy, gastric antral vascular ectasia, angiodysplasia, hereditary hemorrhagic telangiectasia and Dieulafoy lesion. The used treatment modalities included surgery and various endoscopic techniques (schlerotherapy, argon plasma coagulation. Conclusion. Patients presented with chronic iron deficiency anemia or acute and recurrent gastrointestinal hemorrhage should be considered as having one of gastric vascular anomalies.

  12. Vascular lesions of head and neck: A literature review

    Directory of Open Access Journals (Sweden)

    Nazia Masoom Syed

    2016-01-01

    Full Text Available Vascular lesions are among the most common congenital and neonatal abnormalities. These anomalies can occur throughout the whole body, with 60%, however, being located in the head and neck region probably due to its intricate vascular anatomy of region. There is a significant confusion in the literature because of the use of confusing descriptive terminology for the same vascular entity and eponyms. Correct naming of lesion, appropriate classification, and clinical appearance of vascular lesions have a direct impact on understanding of etiologies of these complex lesions, diagnosis, and in treating patients. Thus, the aim of this article is to provide comprehensive knowledge about classifications and to have an insight of various important vascular lesions affecting head and neck region based on its pathogenesis, clinical presentation, and management.

  13. Vascular effects of a single high salt meal

    Directory of Open Access Journals (Sweden)

    Mohamed Abdel Kader Abdel Wahab

    2016-09-01

    Conclusion: High salt intake may acutely impair vascular function in different vascular beds independent of the increase of blood pressure. Plasma sodium increase may be one of the underlying mechanisms.

  14. Viral haemorrhagic fever and vascular alterations.

    Science.gov (United States)

    Aleksandrowicz, P; Wolf, K; Falzarano, D; Feldmann, H; Seebach, J; Schnittler, H

    2008-02-01

    Pathogenesis of viral haemorrhagic fever (VHF) is closely associated with alterations of the vascular system. Among the virus families causing VHF, filoviruses (Marburg and Ebola) are the most fatal, and will be focused on here. After entering the body, Ebola primarily targets monocytes/macrophages and dendritic cells. Infected dendritic cells are largely impaired in their activation potency, likely contributing to the immune suppression that occurs during filovirus infection. Monocytes/macrophages, however, immediately activate after viral contact and release reasonable amounts of cytokines that target the vascular system, particularly the endothelial cells. Some underlying molecular mechanisms such as alteration of the vascular endothelial cadherin/catenin complex, tyrosine phosphorylation, expression of cell adhesion molecules, tissue factor and the effect of soluble viral proteins released from infected cells to the blood stream will be discussed.

  15. Atrial fibrillation and vascular disease-a bad combination

    DEFF Research Database (Denmark)

    Bjerring Olesen, Jonas; Gislason, Gunnar Hilmar; Torp-Pedersen, Christian

    2012-01-01

    This article provides an overview of (i) the risk of stroke associated with vascular disease (acute coronary syndromes and peripheral artery disease) in patients with atrial fibrillation, (ii) the frequent coexistence of vascular disease in patients with atrial fibrillation and, (iii...... fibrillation. Indeed, patients with atrial fibrillation often had coexisting vascular disease (around 18%), and the combination of the two diseases substantially increases the risk of future cardiovascular events. The increased risk associated with peripheral artery disease in atrial fibrillation is even more...... pronounced. Patients with atrial fibrillation and stable vascular disease should be treated with oral anticoagulation only, although when these patients present with acute coronary syndrome and/or undergo coronary stenting, concomitant treatment with antiplatelet drugs is indicated. To guide antithrombotic...

  16. Molecular mechanisms of maternal vascular dysfunction in preeclampsia.

    Science.gov (United States)

    Goulopoulou, Styliani; Davidge, Sandra T

    2015-02-01

    In preeclampsia, as a heterogeneous syndrome, multiple pathways have been proposed for both the causal as well as the perpetuating factors leading to maternal vascular dysfunction. Postulated mechanisms include imbalance in the bioavailability and activity of endothelium-derived contracting and relaxing factors and oxidative stress. Studies have shown that placenta-derived factors [antiangiogenic factors, microparticles (MPs), cell-free nucleic acids] are released into the maternal circulation and act on the vascular wall to modify the secretory capacity of endothelial cells and alter the responsiveness of vascular smooth muscle cells to constricting and relaxing stimuli. These molecules signal their deleterious effects on the maternal vascular wall via pathways that provide the molecular basis for novel and effective therapeutic interventions. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Sistemas de flujo subterráneo regional en el acuífero carbonatado mesozoico de la sierra de Cameros. Sector oriental

    Directory of Open Access Journals (Sweden)

    Martínez Gíl, F. J.

    1997-08-01

    de la Cuenca del Ebro (sector Riojano, en las cuencas de los ríos Alhama y Cidacos, respectivamente. Estos manantiales tienen su origen en flujos subterráneos de tipo regional que circulan a través de los materiales del Jurásico marino (especialmente del Lías inferior, materiales en los que se desarrolla un acuífero carbonatado kárstico. La descarga principal de este acuífero se produce en el contacto entre estos materiales --correspondientes a la unidad cabalgante de Cameros- y los materiales terciarios de la Depresión del Ebro, en los puntos en que los ríos atraviesan el citado contacto. La aportación media anual se ha evaluado en 5,41 hmhm3/año/año para el Cidacos y 3,52 hm3/año en el caso del río Alhama, que incluyen tanto aportes termales como no termales. Las características hidrogeoquímicas indican la procedencia regional de estas aguas; corresponden a aguas que presentan altas mineralizaciones y temperaturas de surgencia elevadas en las que su composición se debe a procesos de interacción agua-roca muy desarrollados. La evolución geoquímica observada responde a la de un sistema de circulación regional, desde aguas bicarbonatadas cálcicas de baja mineralización, a aguas sulfatadas cálcicas más mineralizadas y a aguas de carácter clorurado sódico muy mineralizadas y termales. La topografía y el contraste de permeabilidades entre el acuitardo superior (Weald y el acuífero subyacente, condiciona la existencia de sistemas de flujo local en el medio superior menos permeable y de un sistema de flujo regional a través del acuífero inferior que actúa como «dren de fondo» de los materiales suprayacentes. Este sistema de circulación del agua subterránea implica que en las zonas de descarga se alcancen valores del gradiente geotérmico superiores al normal.

  18. Planificación, despliegue y supervisión de las redes de sensores de monitorización ambiental y de análisis de flujos de personas para la plataforma Smart City del CEI de Moncloa

    OpenAIRE

    Arias Oñate, Pablo

    2016-01-01

    El objetivo del trabajo es la definición y ejecución del plan de despliegue de las redes de sensores de la plataforma Smart City del CEI de Moncloa, encuadrada dentro de la iniciativa “City of the Future” de la UPM. El despliegue contempla el uso de dos tipos de sensores: sondas WIFI para la monitorización de flujos de personas (en realidad, de dispositivos WIFI) y sensores medioambientales. El trabajo abarca el proceso de selección de los emplazamientos de los sensores a lo largo del C...

  19. Vascular Risk Factors and Clinical Progression in Spinocerebellar Ataxias

    Directory of Open Access Journals (Sweden)

    Raymond Y. Lo

    2015-02-01

    Full Text Available Background: The contributions of vascular risk factors to spinocerebellar ataxia (SCA are not known.Methods: We studied 319 participants with SCA 1, 2, 3, and 6 and repeatedly measured clinical severity using the Scale for Assessment and Rating of Ataxia (SARA for 2 years. Vascular risk factors were summarized by CHA2DS2-VASc scores as the vascular risk factor index. We employed regression models to study the effects of vascular risk factors on ataxia onset and progression after adjusting for age, sex, and pathological CAG repeats. Our secondary analyses took hyperlipidemia into account.Results: Nearly 60% of SCA participants were at low vascular risks with CHA2DS2-VASc = 0, and 31% scored 2 or greater. Higher CHA2DS2-VASc scores were not associated with either earlier onset or faster progression of ataxia. These findings were not altered after accounting for hyperlipidemia. Discussion: Vascular risks are not common in SCAs and are not associated with earlier onset or faster ataxia progression.

  20. Body Mass Index and Operating Times in Vascular Procedures

    Directory of Open Access Journals (Sweden)

    M. Durup-Dickenson

    Full Text Available : Introduction: The influence of body mass index (BMI on operating times in central and peripheral vascular surgical procedures was investigated. Report: A national cohort of Danish patients who underwent a vascular procedure between 1983 and 2012 was used for analysis. Data were analysed with pairwise comparisons of BMI groups for operating times using the independent samples Kruskall–Wallis test. Discussion: A total of 3,255 carotid endarterectomies; 6,885 central vascular procedures; and 4,488 peripheral bypasses were included for the analysis. Median operating times for carotid endarterectomy and central vascular procedures were, respectively, 5 and 15 minutes longer in obese patients than in normal weight patients. This represents a 7% and 10% increase in median operating times, respectively. Linear and multi-adjusted linear regressions were conducted adjusting for confounders, showing a significant correlation between BMI and operating time. Obesity significantly increased the operating times in carotid endarterectomy and central vascular procedures. These may have ramifications for the individual operative stress but not necessarily on logistical operation planning. Keywords: Body mass index (BMI, Obesity, Operating time, Surgery, Vascular surgical procedures

  1. Endovascular Management of Vascular Injury during Transsphenoidal Surgery

    OpenAIRE

    Çinar, C.; Bozkaya, H.; Parildar, M.; Oran, I.

    2013-01-01

    Vascular injury is an unusual and serious complication of transsphenoidal surgery. We aimed to define the role of angiography and endovascular treatment in patients with vascular injuries occurring during transsphenoidal surgery.

  2. Vascular malforma- tions part 1 — normal and abnormal vascular ...

    African Journals Online (AJOL)

    Enrique

    to form the primitive vascular plexus. Angiogenesis is the formation of new vessels by sprouting or splitting of ... The differentiation of primitive vessels into arteries, veins or capillaries is determined by flow patterns .... identify, but it is probable that as time progresses further specific genetic defects related to the development ...

  3. Vascular injury is associated with increased mortality in winter sports trauma.

    Science.gov (United States)

    Eun, John C; Bronsert, Michael; Hansen, Kristine; Moulton, Steven L; Jazaeri, Omid; Nehler, Mark; Greenberg, Joshua I

    2015-01-01

    Trauma is the leading cause of injury and death for individuals aged 1-44 years. Up to 8% of the US population participates in winter sports, and although vascular injuries are uncommon in these activities, little is published in this area. We sought to identify the incidence, injury patterns, and outcomes of vascular injuries resulting from winter sports trauma. Patients with winter sports trauma and the subset with vascular injuries were identified by accessing the National Trauma Data Bank querying years 2007-2010. Patients with and without vascular injuries were then compared. Admission variables included transport time, emergency department hypotension (systolic blood pressure Injury Severity Score ≥ 25, fractures, solid organ injury, and vascular injury. Outcomes were analyzed and associations with vascular injuries were determined. A total of 2,298 patients were identified with winter sports-related trauma and 28 (1.2%) had associated vascular injuries. Overall, the top 3 injuries were head trauma (16.7%), thoracic vertebral fractures (5.5%), and lumbar vertebral fractures (5.1%). The most common associated vascular injures were to the popliteal artery (17.7%), splenic artery (14.7%), and brachial blood vessels (14.7%). In the entire cohort, 1 patient (0.04%) suffered an amputation and 15 patients (0.7%) died. There were no amputations in the vascular injury group. Mortality was 0.6% in patients without a vascular injury compared with 7.1% of those with a vascular injury (P = 0.01). Although vascular injury is an uncommon associated finding in winter sports trauma, it is associated with a significant increase in mortality. These findings highlight the need for rapid identification of traumatic vascular injuries, which predicts worse overall outcomes in this patient population. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Vascular dementia | Connor | African Journal of Psychiatry

    African Journals Online (AJOL)

    Vascular dementia (VaD) is a common but heterogeneous condition in which there is a clear temporal relationship between the dementia and vascular disease. It may result from multiple large or small vessel strokes or a single strategic stroke. Subcortical ischaemic VaD includes multiple lacunes and subcortical ...

  5. Vascular tissue engineering by computer-aided laser micromachining.

    Science.gov (United States)

    Doraiswamy, Anand; Narayan, Roger J

    2010-04-28

    Many conventional technologies for fabricating tissue engineering scaffolds are not suitable for fabricating scaffolds with patient-specific attributes. For example, many conventional technologies for fabricating tissue engineering scaffolds do not provide control over overall scaffold geometry or over cell position within the scaffold. In this study, the use of computer-aided laser micromachining to create scaffolds for vascular tissue networks was investigated. Computer-aided laser micromachining was used to construct patterned surfaces in agarose or in silicon, which were used for differential adherence and growth of cells into vascular tissue networks. Concentric three-ring structures were fabricated on agarose hydrogel substrates, in which the inner ring contained human aortic endothelial cells, the middle ring contained HA587 human elastin and the outer ring contained human aortic vascular smooth muscle cells. Basement membrane matrix containing vascular endothelial growth factor and heparin was to promote proliferation of human aortic endothelial cells within the vascular tissue networks. Computer-aided laser micromachining provides a unique approach to fabricate small-diameter blood vessels for bypass surgery as well as other artificial tissues with complex geometries.

  6. The pathology and pathophysiology of vascular dementia.

    Science.gov (United States)

    Kalaria, Raj N

    2017-12-19

    Vascular dementia (VaD) is widely recognised as the second most common type of dementia. Consensus and accurate diagnosis of clinically suspected VaD relies on wide-ranging clinical, neuropsychological and neuroimaging measures in life but more importantly pathological confirmation. Factors defining subtypes of VaD include the nature and extent of vascular pathologies, degree of involvement of extra and intracranial vessels and the anatomical location of tissue changes as well as time after the initial vascular event. Atherosclerotic and cardioembolic diseases combined appear the most common subtypes of vascular brain injury. In recent years, cerebral small vessel disease (SVD) has gained prominence worldwide as an important substrate of cognitive impairment. SVD is characterised by arteriolosclerosis, lacunar infarcts and cortical and subcortical microinfarcts and diffuse white matter changes, which involve myelin loss and axonal abnormalities. Global brain atrophy and focal degeneration of the cerebrum including medial temporal lobe atrophy are also features of VaD similar to Alzheimer's disease. Hereditary arteriopathies have provided insights into the mechanisms of dementia particularly how arteriolosclerosis, a major contributor of SVD promotes cognitive impairment. Recently developed and validated neuropathology guidelines indicated that the best predictors of vascular cognitive impairment were small or lacunar infarcts, microinfarcts, perivascular space dilation, myelin loss, arteriolosclerosis and leptomeningeal cerebral amyloid angiopathy. While these substrates do not suggest high specificity, VaD is likely defined by key neuronal and dendro-synaptic changes resulting in executive dysfunction and related cognitive deficits. Greater understanding of the molecular pathology is needed to clearly define microvascular disease and vascular substrates of dementia. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Robotic vascular resections during Whipple procedure.

    Science.gov (United States)

    Allan, Bassan J; Novak, Stephanie M; Hogg, Melissa E; Zeh, Herbert J

    2018-01-01

    Indications for resection of pancreatic cancers have evolved to include selected patients with involvement of peri-pancreatic vascular structures. Open Whipple procedures have been the standard approach for patients requiring reconstruction of the portal vein (PV) or superior mesenteric vein (SMV). Recently, high-volume centers are performing minimally invasive Whipple procedures with portovenous resections. Our institution has performed seventy robotic Whipple procedures with concomitant vascular resections. This report outlines our technique.

  8. Spanish Clinical Guidelines on Vascular Access for Haemodialysis.

    Science.gov (United States)

    Ibeas, José; Roca-Tey, Ramon; Vallespín, Joaquín; Moreno, Teresa; Moñux, Guillermo; Martí-Monrós, Anna; Del Pozo, José Luis; Gruss, Enrique; Ramírez de Arellano, Manel; Fontseré, Néstor; Arenas, María Dolores; Merino, José Luis; García-Revillo, José; Caro, Pilar; López-Espada, Cristina; Giménez-Gaibar, Antonio; Fernández-Lucas, Milagros; Valdés, Pablo; Fernández-Quesada, Fidel; de la Fuente, Natalia; Hernán, David; Arribas, Patricia; Sánchez de la Nieta, María Dolores; Martínez, María Teresa; Barba, Ángel

    2017-11-01

    Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.E.N.], vascular surgery [SEACV], vascular and interventional radiology [SERAM-SERVEI], infectious diseases [SEIMC] and nephrology nursing [SEDEN]), along with the methodological support of the Cochrane Center, has updated the Guidelines on Vascular Access for Haemodialysis, published in 2005. These guidelines maintain a similar structure, in that they review the evidence without compromising the educational aspects. However, on one hand, they provide an update to methodology development following the guidelines of the GRADE system in order to translate this systematic review of evidence into recommendations that facilitate decision-making in routine clinical practice, and, on the other hand, the guidelines establish quality indicators which make it possible to monitor the quality of healthcare. Copyright © 2017 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  9. Vascular and valvular calcifications in chronic hemodialysis patients

    Directory of Open Access Journals (Sweden)

    María Elena Bruzzone

    2014-12-01

    Full Text Available Introduction: Vascular and valvular calcifications are a frequent complication in dialyzed patients and are connected to an increased morbi-mortality. Many radiological methods (TAC multiple slices and with electrons emission have been used to investigate the presence of vascular calcifications in this population, but only few works have been focused on simple radiology. Objectives: The objectives of this work are to evaluate vascular calcifications by means of Kauppila index in hemodialysis prevalent patients, identify linked risk factors and determine their association with heart valves calcification. Methods: 95 stable patients under hemodialysis were surveyed during a period of 6 months longer. Abdominal Rx simple profile were performed on all patients to evaluate calcification of abdominal aorta by Kauppila index and twodimensional echocardiogram to detect valvular calcifications. Data were collected about sex, age, diabetes, Hypertension, tabaquism, dislipemia and bone-mineral metabolism. Results: 64.5% of the patients showed vascular calcifications. Average Kauppila index was 6.25. Age and time on dialysis correlated with vascular calcifications. In 31.6 % of individuals valvular calcifications were found, which presented significant association with diabetes and Kauppila Index. Conclusions: Vascular and valvular calcifications were frequent in the surveyed population. Kauppila index correlated with age, time on dialysis and valvular calcifications. Heart valves calcification was associated with diabetes.

  10. SIMULACIÓN DE FLUJOS PIROCLÁSTICOS DEL VOLCÁN CERRO MACHÍN, COLOMBIA, MEDIANTE LA APLICACIÓN DE HERRAMIENTAS DE ARCGIS©

    Directory of Open Access Journals (Sweden)

    Elsa Adriana Cárdenas Quiroga

    2012-01-01

    Full Text Available Cerro Machín es un volcán activo, caracterizado en el pasado por erupciones explosivas de tipo pliniano y ubicado en un sector de gran importancia económica. Desde la década de los noventa se han desarrollado varios modelos de simulación para determinar el área que podría resultar afectada en una nueva erupción, pero estos modelos se basan en programas con variables predeterminadas que no son fácilmente modificables. Por tanto, se diseñó una aplicación del modelo de simulación Model Builder de las herramientas del software ArcGIS© para facilitar el proceso de análisis de los flujos piroclásticos expulsados por ese volcán en tres eventos eruptivos identificados y modelados previamente, con el objetivo de crear una aplicación fácilmente adaptable a cambios en las variables de simulación y que pudiera ser empleada también para modelar otros volcanes. Los resultados obtenidos resultan compatibles y similares a los obtenidos en simulaciones previas, lo que indica que la aplicación desarrollada es funcional.

  11. Terror attacks increases the risk of vascular injuries

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    Eitan eHeldenberg

    2014-05-01

    Full Text Available Objectives: Extensive literature exists about military trauma as opposed to the very limited literature regarding terror-related civilian trauma. However, terror-related vascular trauma (VT, as a unique type of injury, is yet to be addressed.Methods: A retrospective analysis of the Israeli National Trauma Registry was performed. All patients in the registry from 09/2000 to 12/2005 were included. The subgroup of patients with documented vascular trauma (VT (N=1,545 was analyzedand further subdivided into those suffering from Terror-related Vascular Trauma (TVT and Non-Terror related Vascular Trauma (NTVT. Both groups were analyzed according to mechanism of trauma, type and severity of injury and treatment.Results: Out of 2,446 terror related trauma admissions 243 sustained TVT (9.9% compared to 1302 VT patients from Non Terror trauma (1.1%. TVT injuries tend to be more complex and most patients were operated on. ICU admissions and hospitallength of stay was higher in the TVT group. Penetrating trauma was the prominent cause of injury among the TVT group. TVT group had a higher proportion of patients with severe injuries (ISS>16 and mortality. Thorax injuries were more frequent in the TVT group. Extremity injuries were the most prevalent vascular injuries in both groups; however NTVT group had more upper extremity injuries, while the TVT group had significantly more lower extremity injuries.Conclusion: Vascular injuries are remarkably more common among terror attack victims than among non-terror trauma victims and the injuries of terror casualties tend to be more complex. The presence of a vascular surgeon will ensure a comprehensive clinical care.

  12. Pathophysiology of Headaches with a Prominent Vascular Component

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    Juan A Pareja

    1996-01-01

    Full Text Available Vascular changes, whether preliminary or secondary, seem to accompany most headaches. The literature concerning pathophysiological mechanisms in headaches where vascular phenomena are a major, integral part, ie, migraine and cluster headache syndrome, is reviewed and the most common forms of headache associated with cerebrovascular disease are discussed. Emphasis is placed on the vascular phenomena and on the abundant hypotheses and theories regarding headache mechanisms. This review also presents alternative explanatory models, and compares the available anatomical, physiological and biochemical results.

  13. Crítica a los mitos acerca de las migraciones centroamericanas a la frontera sur de México

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    Rodolfo Casillas R.

    1988-09-01

    Full Text Available Este trabajo intenta plantear y enfocar los distintos fenómenos migratorios que ocurren en la frontera sur de México. Como punto de partida, presenta algunas de las ideas que han proliferado en torno a las migraciones hacia la frontera sur de México, muchas de las cuales son comunes a las de otros contextos fronterizos. Como parte de un proyecto de investigación desarrollado se hace uso de las indagaciones de campo realizadas en la región del Soconusco, en el Estado de Chiapas. En base a los resultados debe enfatizarse que la carencia de conocimientos requiere de estudios más profundos y diversos enfocados al análisis de otros flujos migratorios y se puede concluir que la forma adecuada de enfrentar este fenómeno no radica en las medidas de control, sino más bien en la oportuna contribución para solucionar los problemas de origen.

  14. Percepciones de los equipos de salud en torno a las mujeres migrantes bolivianas y peruanas en la ciudad de Córdoba

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    Lila Aizenber

    2015-01-01

    Full Text Available Este artículo analiza las percepciones que se construyen desde los equipos de saluden torno a las mujeres migrantes de origen peruano y boliviano en la ciudad de Cór-doba, Argentina. La investigación consistió en un estudio cualitativo, exploratorioy descriptivo con base en 12 entrevistas en profundidad realizadas con una guía depautas semiestructuradas. El trabajo muestra las ideas que los equipos tienen sobrelos dos grupos migrantes, así como sus opiniones respecto a los factores que influ-yen en el acceso y uso de las mujeres a los sistemas de salud durante el proceso deembarazo y parto. Se enfatiza sobre la importancia de incorporar una perspectivahistórico-política y cultural en la atención de los migrantes, que pueda recuperar lastrayectorias particulares de los distintos flujos migratorios, así como sus necesidadesespecíficas vinculadas al acceso a la salud y a sus prácticas culturales.

  15. Deportación y violación de los derechos del migrante en ambas fronteras

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    Martha Guerrero-Ortiz

    2015-01-01

    Full Text Available Diversos organismos internacionales y nacionales consideran la crisis económica estadounidense como la que ha provocado una caída significativa en los flujos migratorios desde y a través de México hacia Estados Unidos durante 2009, al mismo tiempo que también se han incrementado de forma considerable no sólo las deportaciones de los inmigrantes, sino el maltrato de que son objeto. En este sentido, el trabajo aquí presente analiza los motivos que originaron la deportación de los migrantes procedentes de los distintos lugares de Estados Unidos hacia México, y la forma en que éstos son maltratados y violentados dentro del territorio mexicano, y no únicamente por parte de las autoridades municipales, federales y de migración, sino por los diferentes actores que intervienen en estos procesos migratorios como los llamados “coyotes” que terminan vulnerando los derechos humanos de los migrantes.

  16. ¿Es posible activar la conciencia ciudadana por medio de la opinión pública a través de los mass media?

    Directory of Open Access Journals (Sweden)

    Dr. Iván Abreu Sojo

    1999-01-01

    Full Text Available Los medios de comunicación social pueden ser utilizados para distintos fines, uno de los cuales sería el provocar efectos deliberados, de acuerdo con metas preestablecidas. En una sociedad en crisis como la venezolana, se ha planteado la necesidad de redefinir una ética pública y unos valores sociales de acuerdo con una visión sobre le necesidad de una más activa conciencia ciudadana. En esta ponencia se presentan aspectos relevantes para esa discusión: el concepto de opinión pública, los problemas relativos a tal concepto, los enfoques normativos sobre los medios de comunicación y los efectos de estos medios, concluyéndose en los peligros que encierra justificar la intervención del flujo de comunicaciones con el fin supuesto de mejorar la sociedad, pudiendo más bien ejercerse una manipulación más, exaltando lo emocional y el mesianismo del liderazgo carismático.

  17. Ghrelin improves vascular autophagy in rats with vascular calcification.

    Science.gov (United States)

    Xu, Mingming; Liu, Lin; Song, Chenfang; Chen, Wei; Gui, Shuyan

    2017-06-15

    This study aimed to investigate whether ghrelin ameliorated vascular calcification (VC) through improving autophagy. VC model was induced by nicotine plus vitamin D 3 in rats and β-glycerophosphate in vascular smooth muscle cell (VSMC). Calcium deposition was detected by von Kossa staining or alizarin red S staining. ALP activity was also detected. Western blot was used to assess the protein expression. Ghrelin treatment attenuated the elevation of calcium deposition and ALP activity in VC model both in vivo and in vitro. Interesting, the protein levels of autophagy markers, LC3 and beclin1 were significantly upregulated by ghrelin in VC model. An autophagy inhibitor, 3-methyladenine blocks the ameliorative effect of ghrelin on VC. Furthermore, protein expressions of phosphate-AMPK were increased by ghrelin treatment both in calcified aorta and VSMC. The effect of ghrelin on autophagy induction and VC attenuation was prevented by AMPK inhibitor, compound C. Our results suggested that ghrelin improved autophagy through AMPK activation, which was resulted in VC amelioration. These data maybe throw light on prevention and therapy of VC. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Vascular trauma: selected historical reflections from the

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    Rich Norman M

    2011-04-01

    Full Text Available 【Abstract】In the spirit of international exchanges of knowledge with colleagues from all over the world, who are interested in the care and treatment of vascular trauma, we offer selected historical reflections from the western world on vascular trauma. Whereas there are a number of key individuals and a variety of events that are important to us in our writing, we know essentially nothing about what is written by other cultures and, particularly, the Chinese. It is well recognized around the world that Chinese surgeons are among the first to be highly successful in re-plantation of severed extremities, repairing both injured arteries and veins. Also, we recognize that there are contributions in other parts of the world, which are not well known to us collectively. Contributions from the Arabic speaking part of the world come to mind because there is periodic brief reference. We offer our perspective hoping that there will be one or more Chinese surgeons who will offer us the benefit of sharing their perspective on important historical contributions to the managing of vascular trauma outside of the western world, and, particularly, the English speaking literature. Once again, we encourage our colleagues in the Arabic speaking world to provide us with their perspective of the development and management of vascular trauma. Key words: Vascular system injuries; History; Western world; International educational exchange

  19. The making of indigenous vascular prosthesis

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    Madathipat Unnikrishnan

    2016-01-01

    Full Text Available Background & objectives: Vascular illnesses are on the rise in India, due to increase in lifestyle diseases and demographic transition, requiring intervention to save life, organ or limbs using vascular prosthesis. The aim of this study was to develop indigenous large diameter vascular graft for treatment of patients with vascular pathologies. Methods: The South India Textile Research Association, at Coimbatore, Tamil Nadu, India, developed seamless woven polyester (Polyethylene terephthalate graft at its research wing. Further characterization and testing followed by clinical trials were conducted at Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India. Fifteen in vivo experiments were carried out in 1992-1994 in pigs as animal model. Controlled (phase I clinical trial in ten patients was performed along with control graft. Thereafter, phase II trial involved 22 patients who underwent multi-centre clinical trial in four centres across India. Results: Laboratory testing showed that polyester graft was non-toxic, non-leeching and non-haemolytic with preserved long-term quality, further confirming in pigs by implanting in thoracic aorta, comparable to control Dacron grafts. Perigraft incorporation and smooth neointima formation which are prime features of excellent healing characteristics, were noted at explantation at planned intervals. Subsequently in the phase I and II clinical trials, all patients had excellent recovery without mortality or device-related adverse events. Patients receiving the test graft were followed up for 10 and 5 years, respectively. Serial clinical, duplex scans and CT angiograms performed periodically confirmed excellent graft performance. Interpretation & conclusions: Indigenously developed Chitra vascular graft was comparable to commercially available Dacron graft, ready for clinical use at affordable cost to patients as against costly imported grafts.

  20. Sugar-sweetened beverages, vascular risk factors and events

    DEFF Research Database (Denmark)

    Keller, Amelie; Heitmann, Berit L; Olsen, Nanna

    2015-01-01

    , while two of three studies, including both men and women, found direct associations between SSB consumption and stroke; however, the association was significant among women only. All included studies examining vascular risk factors found direct associations between SSB consumption and change in blood...... pressure, blood lipid or blood sugar. CONCLUSIONS: The reviewed studies generally showed that SSB intake was related to vascular risk factors, whereas associations with vascular events were less consistent. Due to a limited number of published papers, especially regarding vascular events, the strength......OBJECTIVE: A high intake of sugar-sweetened beverages (SSB) has been linked to weight gain, obesity and type 2 diabetes; however, the influence on CVD risk remains unclear. Therefore, our objective was to summarize current evidence for an association between SSB consumption and cardiovascular risk...

  1. Vascular Wall-Resident Multipotent Stem Cells of Mesenchymal Nature within the Process of Vascular Remodeling: Cellular Basis, Clinical Relevance, and Implications for Stem Cell Therapy.

    Science.gov (United States)

    Klein, Diana

    2016-01-01

    Until some years ago, the bone marrow and the endothelial cell compartment lining the vessel lumen (subendothelial space) were thought to be the only sources providing vascular progenitor cells. Now, the vessel wall, in particular, the vascular adventitia, has been established as a niche for different types of stem and progenitor cells with the capacity to differentiate into both vascular and nonvascular cells. Herein, vascular wall-resident multipotent stem cells of mesenchymal nature (VW-MPSCs) have gained importance because of their large range of differentiation in combination with their distribution throughout the postnatal organism which is related to their existence in the adventitial niche, respectively. In general, mesenchymal stem cells, also designated as mesenchymal stromal cells (MSCs), contribute to the maintenance of organ integrity by their ability to replace defunct cells or secrete cytokines locally and thus support repair and healing processes of the affected tissues. This review will focus on the central role of VW-MPSCs within vascular reconstructing processes (vascular remodeling) which are absolute prerequisite to preserve the sensitive relationship between resilience and stability of the vessel wall. Further, a particular advantage for the therapeutic application of VW-MPSCs for improving vascular function or preventing vascular damage will be discussed.

  2. Intraoperative digital angiography: Peripheral vascular applications

    International Nuclear Information System (INIS)

    Bell, K.; Reifsteck, J.E.; Binet, E.F.; Fleisher, H.J.

    1986-01-01

    Intraoperative digital angiography is the procedure of choice for the peripheral vascular surgeon who wishes to evaluate his results before terminating anesthesia. Two operating suites at the John L. McClellan Memorial Veterans Hospital are equipped with permanent ceiling-mounted Philips C-arm fluoroscopes and share an ADAC 4100 digital angiographic system. In the last 18 months, 40 peripheral vascular intraoperative digital angiographic procedures have been performed, in all but two cases using direct arterial puncture. In 65% of cases, the intraoperative study showed no significant abnormality. In 12.5%, minor abnormalities not requiring reoperation were seen. In 22.5% of cases, the intraoperative digital angiogram revealed a significant abnormality requiring immediate operative revision. None of the patients who underwent reoperation experienced postoperative sequelae. Intraoperative digital angiography is useful in identifying complications of peripheral vascular operations

  3. Plant Vascular Biology 2010

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Biao

    2014-11-17

    This grant supported the Second International Conference on Plant Vascular Biology (PVB 2010) held July 24-28, 2010 on the campus of Ohio State University, Columbus, Ohio. Biao Ding (Ohio State University; OSU) and David Hannapel (Iowa State University; ISU) served as co-chairs of this conference. Biao Ding served as the local organizer. PVB is defined broadly here to include studies on the biogenesis, structure and function of transport systems in plants, under conditions of normal plant growth and development as well as of plant interactions with pathogens. The transport systems cover broadly the xylem, phloem, plasmodesmata and vascular cell membranes. The PVB concept has emerged in recent years to emphasize the integrative nature of the transport systems and approaches to investigate them.

  4. Vascular Surgery and Robotics

    Directory of Open Access Journals (Sweden)

    Indrani Sen

    2016-01-01

    Full Text Available The application of robotics to Vascular surgery has not progressed as rapidly as of endovascular technology, but this is changing with the amalgamation of these two fields. The advent of Endovascular robotics is an exciting field which overcomes many of the limitations of endovascular therapy like vessel tortuosity and operator fatigue. This has much clinical appeal for the surgeon and hold significant promise of better patient outcomes. As with most newer technological advances, it is still limited by cost and availability. However, this field has seen some rapid progress in the last decade with the technology moving into the clinical realm. This review details the development of robotics, applications, outcomes, advantages, disadvantages and current advances focussing on Vascular and Endovascular robotics

  5. Clinical applications of robotic technology in vascular and endovascular surgery.

    Science.gov (United States)

    Antoniou, George A; Riga, Celia V; Mayer, Erik K; Cheshire, Nicholas J W; Bicknell, Colin D

    2011-02-01

    Emerging robotic technologies are increasingly being used by surgical disciplines to facilitate and improve performance of minimally invasive surgery. Robot-assisted intervention has recently been introduced into the field of vascular surgery to potentially enhance laparoscopic vascular and endovascular capabilities. The objective of this study was to review the current status of clinical robotic applications in vascular surgery. A systematic literature search was performed in order to identify all published clinical studies related to robotic implementation in vascular intervention. Web-based search engines were searched using the keywords "surgical robotics," "robotic surgery," "robotics," "computer assisted surgery," and "vascular surgery" or "endovascular" for articles published between January 1990 and November 2009. An evaluation and critical overview of these studies is reported. In addition, an analysis and discussion of supporting evidence for robotic computer-enhanced telemanipulation systems in relation to their applications in laparoscopic vascular and endovascular surgery was undertaken. Seventeen articles reporting on clinical applications of robotics in laparoscopic vascular and endovascular surgery were detected. They were either case reports or retrospective patient series and prospective studies reporting laparoscopic vascular and endovascular treatments for patients using robotic technology. Minimal comparative clinical evidence to evaluate the advantages of robot-assisted vascular procedures was identified. Robot-assisted laparoscopic aortic procedures have been reported by several studies with satisfactory results. Furthermore, the use of robotic technology as a sole modality for abdominal aortic aneurysm repair and expansion of its applications to splenic and renal artery aneurysm reconstruction have been described. Robotically steerable endovascular catheter systems have potential advantages over conventional catheterization systems

  6. Reimbursement in hospital-based vascular surgery: Physician and practice perspective.

    Science.gov (United States)

    Perri, Jennifer L; Zwolak, Robert M; Goodney, Philip P; Rutherford, Gretchen A; Powell, Richard J

    2017-07-01

    The purpose of this study was to determine change in value of a vascular surgery division to the health care system during 6 years at a hospital-based academic practice and to compare physician vs hospital revenue earned during this period. Total revenue generated by the vascular surgery service line at an academic medical center from 2010 through 2015 was evaluated. Total revenue was measured as the sum of physician (professional) and hospital (technical) net revenue for all vascular-related patient care. Adjustments were made for work performed, case complexity, and inflation. To reflect the effect of these variables, net revenue was indexed to work relative value units (wRVUs), case mix index, and consumer price index, which adjusted for work, case complexity, and inflation, respectively. Differences in physician and hospital net revenue were compared over time. Physician work, measured in RVUs per year, increased by 4%; case complexity, assessed with case mix index, increased by 10% for the 6-year measurement period. Despite stability in payer mix at 64% to 69% Medicare, both physician and hospital vascular-related revenue/wRVU decreased during this period. Unadjusted professional revenue/wRVU declined by 14.1% (P = .09); when considering case complexity, physician revenue/wRVU declined by 20.6% (P = .09). Taking into account both case complexity and inflation, physician revenue declined by 27.0% (P = .04). Comparatively, hospital revenue for vascular surgery services decreased by 13.8% (P = .07) when adjusting for unit work, complexity, and inflation. At medical centers where vascular surgeons are hospital based, vascular care reimbursement decreased substantially from 2010 to 2015 when case complexity and inflation were considered. Physician reimbursement (professional fees) decreased at a significantly greater rate than hospital reimbursement for vascular care. This trend has significant implications for salaried vascular surgeons in hospital

  7. Vaccine-induced inflammation attenuates the vascular responses to mental stress

    NARCIS (Netherlands)

    Paine, N.J.; Ring, C.; Bosch, J.A.; Drayson, M.T.; Aldred, S.; Veldhuijzen van Zanten, J.J.C.S.

    2014-01-01

    Inflammation is associated with poorer vascular function, with evidence to suggest that inflammation can also impair the vascular responses to mental stress. This study examined the effects of vaccine-induced inflammation on vascular responses to mental stress in healthy participants. Eighteen male

  8. Vascular diagnostics for Raynaud's phenomenon

    Directory of Open Access Journals (Sweden)

    Dinsdale G

    2014-10-01

    Full Text Available Graham Dinsdale, Ariane L Herrick Centre for Musculoskeletal Research, Institute of Inflammation and Repair, Salford Royal NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK Abstract: Raynaud's phenomenon (RP is common, and in most patients is primary (idiopathic when due to reversible vasospasm and does not progress to irreversible tissue injury. However, in those patients for whom RP is secondary to an underlying disease (eg, systemic sclerosis or atherosclerosis, progression to digital ulceration or critical ischemia can occur. Therefore, the key question for the clinician is “Why does this patient have RP?” Vascular diagnostics play a key role in answering this. In this review, we firstly discuss the different vascular investigations relevant to clinical practice: nail fold capillaroscopy (including the different methodologies for examining the nail fold capillaries, and the role of capillaroscopy in helping to differentiate between primary and systemic sclerosis-related RP, thermography (available in specialist centers, and evaluation of large vessel disease (for example, due to atherosclerosis. We then discuss research tools, mainly laser Doppler methods, including laser Doppler imaging and laser speckle contrast imaging. These are commercially available as complete imaging systems and are (relatively easy to use. The main current goal in vascular imaging research is to validate these novel state-of-the-art techniques as outcome measures of digital vascular disease, and then apply them in early and later phase studies of new treatment approaches, thus facilitating drug development programs. Keywords: Raynaud's phenomenon, systemic sclerosis, nail fold capillaroscopy, thermography, laser Doppler, angiography

  9. Biomimicry, vascular restenosis and coronary stents.

    Science.gov (United States)

    Schwartz, R S; van der Giessen, W J; Holmes, D R

    1998-01-01

    Biomimicry is in its earliest stages and is being considered in the realm of tissue engineering. If arterial implants are to limit neointimal thickening, purely passive structures cannot succeed. Bioactivity must be present, either by pharmacologic intervention or by fabricating a 'living stent' that contains active cellular material. As tissue engineering evolves, useful solutions will emerge from applying this knowledge directly to vascular biologic problems resulting from angioplasty, stenting, and vascular prosthesis research.

  10. The current role of vascular stents.

    Science.gov (United States)

    Busquet, J

    1993-09-01

    The limitations of percutaneous balloon angioplasty have favoured the development and the use of vascular endoprostheses or stents. These thin-walled metal devices maintain after expansion, an optimal and constant diameter for the vascular lumen. Restenosis, dissection, abrupt closure, residual stenosis or re-opened total occlusion represent appropriate indications for stenting. A large experience with non-coronary application of stents is currently available in iliac, femoro-popliteal and renal arteries, aorta, large veins.

  11. Influencia de la relación proteína de altramuz/tensioactivo en las propiedades de flujo y texturales de emulsiones aceite en agua

    Directory of Open Access Journals (Sweden)

    Franco, J. Mª.

    2001-08-01

    Full Text Available The influence of different surfactant/lupin protein ratio on the shear-flow and texture properties of oil-in-water emulsions was investigated in this work in order to find a synergistic effect between both types of emulsifiers. With this aim, texture, steady-shear flow and droplet size measurements were carried out. Different surfactants (Tween 20 and three sucrose esters showing different phase behaviour in water solution were studied. From the experimental results it can be concluded that emulsions stabilised by mixtures of both, low- and high-molecular-weight emulsifiers, show lower values of steady-state viscosity and textural parameters than those found when lupin protein was the only emulsifier used, in spite of a higher average droplet size. The evolution of emulsion textural and flow parameters with the composition of the mixture used as emulsifier can be explained on the basis of the phase behaviour of the low-molecular-weight emulsifier, modifications on the composition at the interface and hydrophobic interactions between both type of emulsifiers.En el presente trabajo se ha estudiado la influencia que ejerce la proporción proteína de altramuz/emulsionante de bajo peso molecular en el comportamiento viscoso y en las propiedades texturales de emulsiones alimentarias aceite en agua con el fin de investigar un posible efecto sinérgico entre ambos tipos de emulsionantes. Con este propósito, se efectuaron medidas de tamaño de gota, flujo viscoso y propiedades texturales en emulsiones estabilizadas por proteína de altramuz y tensioactivos de diferente HLB (Tween 20 y tres estearatos de sacarosa. De los resultados experimentales, se concluye que las emulsiones estabilizadas por ambos tipos de emulsionantes muestran valores de la viscosidad en estado estacionario y de las propiedades texturales estudiadas inferiores a los encontrados en la emulsión estabilizada únicamente con proteína de altramuz, a pesar de poseer esta última un

  12. Oxidative and inflammatory signals in obesity-associated vascular abnormalities.

    Science.gov (United States)

    Reho, John J; Rahmouni, Kamal

    2017-07-15

    Obesity is associated with increased cardiovascular morbidity and mortality in part due to vascular abnormalities such as endothelial dysfunction and arterial stiffening. The hypertension and other health complications that arise from these vascular defects increase the risk of heart diseases and stroke. Prooxidant and proinflammatory signaling pathways as well as adipocyte-derived factors have emerged as critical mediators of obesity-associated vascular abnormalities. Designing treatments aimed specifically at improving the vascular dysfunction caused by obesity may provide an effective therapeutic approach to prevent the cardiovascular sequelae associated with excessive adiposity. In this review, we discuss the recent evidence supporting the role of oxidative stress and cytokines and inflammatory signals within the vasculature as well as the impact of the surrounding perivascular adipose tissue (PVAT) on the regulation of vascular function and arterial stiffening in obesity. In particular, we focus on the highly plastic nature of the vasculature in response to altered oxidant and inflammatory signaling and highlight how weight management can be an effective therapeutic approach to reduce the oxidative stress and inflammatory signaling and improve vascular function. © 2017 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.

  13. Matrix ageing and vascular impacts: focus on elastin fragmentation.

    Science.gov (United States)

    Duca, Laurent; Blaise, Sébastien; Romier, Béatrice; Laffargue, Muriel; Gayral, Stéphanie; El Btaouri, Hassan; Kawecki, Charlotte; Guillot, Alexandre; Martiny, Laurent; Debelle, Laurent; Maurice, Pascal

    2016-06-01

    Cardiovascular diseases (CVDs) are the leading cause of death worldwide and represent a major problem of public health. Over the years, life expectancy has considerably increased throughout the world, and the prevalence of CVD is inevitably rising with the growing ageing of the population. The normal process of ageing is associated with progressive deterioration in structure and function of the vasculature, commonly called vascular ageing. At the vascular level, extracellular matrix (ECM) ageing leads to molecular alterations in long half-life proteins, such as elastin and collagen, and have critical effects on vascular diseases. This review highlights ECM alterations occurring during vascular ageing with a specific focus on elastin fragmentation and also the contribution of elastin-derived peptides (EDP) in age-related vascular complications. Moreover, current and new pharmacological strategies aiming at minimizing elastin degradation, EDP generation, and associated biological effects are discussed. These strategies may be of major relevance for preventing and/or delaying vascular ageing and its complications. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.

  14. Diverse Imaging characteristics of a mandibular intraosseous vascular lesion

    International Nuclear Information System (INIS)

    Handa, Hina; Naidu, Giridhar S.; Dara, Balaji Gandhi Babu; Deshpande, Ashwini; Raghavendra, Raju

    2014-01-01

    Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated with surgical excision. Diverse characteristics such as the 'honeycomb' and 'sunburst' radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.

  15. EUS-Guided Vascular Procedures: A Literature Review

    Directory of Open Access Journals (Sweden)

    Tomislav Bokun

    2013-01-01

    Full Text Available Endoscopic ultrasound (EUS is continuously stepping into the therapeutic arena, simultaneously evolving in different directions, such as the management of pancreatic and biliary diseases, celiac neurolysis, delivering local intratumoral therapy, and EUS-guided endosurgery. EUS-guided vascular procedures are also challenging, considering the variety of vascular pathology, proximity of the vascular structures to the GI tract wall, high resolution, and real-time guidance offering an attractive access route and precise delivery of the intervention. The literature on vascular therapeutic EUS demonstrates techniques for the management of upper GI variceal and nonvariceal bleeding, pseudoaneurysms, and coiling and embolization procedures, as well as the creation of intrahepatic portosystemic shunts. The paucity of studies, diversity of study designs, and the number of animal model studies hamper a systematic approach to the conclusion and decision making important to clinicians and healthcare policy makers. Nevertheless, theoretical benefits and findings up to date concerning technical feasibility, efficacy, and safety of the procedures drive further research and development in this rather young therapeutic arena.

  16. Evaluation of ultrasound-guided vascular access in dogs.

    Science.gov (United States)

    Chamberlin, Scott C; Sullivan, Lauren A; Morley, Paul S; Boscan, Pedro

    2013-01-01

    To describe the technique and determine the feasibility, success rate, perceived difficulty, and time to vascular access using ultrasound guidance for jugular vein catheterization in a cardiac arrest dog model. Prospective descriptive study. University teaching hospital. Nine Walker hounds. A total of 27 jugular catheterizations were performed postcardiac arrest using ultrasound guidance. Catheterizations were recorded based on the order in which they were performed and presence/absence of a hematoma around the vein. Time (minutes) until successful vascular access and perceived difficulty in achieving vascular access (scale of 1 = easy to 10 = difficult) were recorded for each catheterization. Mean time to vascular access was 1.9 minutes (95% confidence interval, 1.1-3.4 min) for catheterizations without hematoma, versus 4.3 minutes (1.8-10.1 min) for catheterizations with hematoma (P = 0.1). Median perceived difficulty was 2 of 10 (range 1-7) for catheterizations without hematoma, versus 2 of 10 (range 1-8) for catheterizations with hematoma (P = 0.3). A learning curve was evaluated by comparing mean time to vascular access and perceived difficulty in initial versus subsequent catheterizations. Mean time to vascular access was 2.5 minutes (1.0-6.4 min) in the initial 13 catheterizations versus 3.3 minutes (1.5-7.5 min) in the subsequent 14 catheterizations (P = 0.6). Median perceived difficulty in the first 13 catheterizations (3, range 1-8) was significantly greater (P = 0.049) than median perceived difficulty in the subsequent 14 catheterizations (2, range 1-6). Ultrasound-guided jugular catheterization is associated with a learning curve but is successful in obtaining rapid vascular access in dogs. Further prospective studies are warranted to confirm the utility of this technique in a clinical setting. © Veterinary Emergency and Critical Care Society 2013.

  17. Vascular pathology: Cause or effect in Alzheimer disease?

    Science.gov (United States)

    Rius-Pérez, S; Tormos, A M; Pérez, S; Taléns-Visconti, R

    2018-03-01

    Alzheimer disease (AD) is the main cortical neurodegenerative disease. The incidence of this disease increases with age, causing significant medical, social and economic problems, especially in countries with ageing populations. This review aims to highlight existing evidence of how vascular dysfunction may contribute to cognitive impairment in AD, as well as the therapeutic possibilities that might arise from this evidence. The vascular hypothesis emerged as an alternative to the amyloid cascade hypothesis as an explanation for the pathophysiology of AD. This hypothesis locates blood vessels as the origin for a variety of pathogenic pathways that lead to neuronal damage and dementia. Destruction of the organisation of the blood brain barrier, decreased cerebral blood flow, and the establishment of an inflammatory context would thus be responsible for any subsequent neuronal damage since these factors promote aggregation of β-amyloid peptide in the brain. The link between neurodegeneration and vascular dysfunction pathways has provided new drug targets and therapeutic approaches that will add to the treatments for AD. It is difficult to determine whether the vascular component in AD is the cause or the effect of the disease, but there is no doubt that vascular pathology has an important relationship with AD. Vascular dysfunction is likely to act synergistically with neurodegenerative changes in a cycle that exacerbates the cognitive impairment found in AD. Copyright © 2015 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Radiological findings and interventions for iatrogenic vascular injuries

    International Nuclear Information System (INIS)

    Lee, Kyoung Ho; Chung, Jin Wook; Kim, Tae Kyoung; Han, Sang Wook; Lee, Jong Seog; Park, Jae Hyung; Kim, Jong Hyo; Han, Man Chung

    1998-01-01

    The purpose of this study is to evaluate the radiological findings and effectiveness of radiological interventions in patients with iatrogenic vascular injuries. We analyzed 50 patients with iatrogenic vascular injuries treated with radiological intervention. The causes of injuries were surgery (n=20), cardiovascular intervention (n=15), non-cardiovascular radiological intervention (n=14), and endoscopic intervention (n=1). The injury had resulted in hemorrhage in 35 cases. The iliac and/or femoral, hepatic, and renal vessels were commonly injured. Angiography, ultrasonography with Doppler examination, CT, and CT angiography were performed to diagnose vascular injuries and guide the radiological intervention. The mean follow-up period was 23 months and in 16 cases was more than one year. the major radiological findings were extravasation, pseudoaneurysm, arteriovenous shunt, or vascular obstruction. To control these lesions, radiological interventions such as embolization (n=36), local urokinase administration, stent insertion, foreign body removal, ultrasonography-guided compression, or stent-graft insertion were performed. The clinical problems were immediately controlled by the single trials of radiological interventions and did not recur in 40 cases (80%). Radiological examinations and interventions are useful in cases with iatrogenic vascular injuries. (author). 14 refs., 4 figs

  19. 3D Multiscale Modelling of Angiogenesis and Vascular Tumour Growth

    KAUST Repository

    Perfahl, H.; Byrne, H. M.; Chen, T.; Estrella, V.; Alarcó n, T.; Lapin, A.; Gatenby, R. A.; Gillies, R. J.; Lloyd, M. C.; Maini, P. K.; Reuss, M.; Owen, M. R.

    2012-01-01

    We present a three-dimensional, multiscale model of vascular tumour growth, which couples nutrient/growth factor transport, blood flow, angiogenesis, vascular remodelling, movement of and interactions between normal and tumour cells, and nutrient-dependent cell cycle dynamics within each cell. We present computational simulations which show how a vascular network may evolve and interact with tumour and healthy cells. We also demonstrate how our model may be combined with experimental data, to predict the spatio-temporal evolution of a vascular tumour.

  20. 3D Multiscale Modelling of Angiogenesis and Vascular Tumour Growth

    KAUST Repository

    Perfahl, H.

    2012-11-01

    We present a three-dimensional, multiscale model of vascular tumour growth, which couples nutrient/growth factor transport, blood flow, angiogenesis, vascular remodelling, movement of and interactions between normal and tumour cells, and nutrient-dependent cell cycle dynamics within each cell. We present computational simulations which show how a vascular network may evolve and interact with tumour and healthy cells. We also demonstrate how our model may be combined with experimental data, to predict the spatio-temporal evolution of a vascular tumour.

  1. Review of gestational diabetes mellitus effects on vascular structure and function.

    Science.gov (United States)

    Jensen, Louise A; Chik, Constance L; Ryan, Edmond A

    2016-05-01

    Vascular dysfunction has been described in women with a history of gestational diabetes mellitus. Furthermore, previous gestational diabetes mellitus increases the risk of developing Type 2 diabetes mellitus, a risk factor for cardiovascular disease. Factors contributing to vascular changes remain uncertain. The aim of this review was to summarize vascular structure and function changes found to occur in women with previous gestational diabetes mellitus and to identify factors that contribute to vascular dysfunction. A systematic search of electronic databases yielded 15 publications from 1998 to March 2014 that met the inclusion criteria. Our review confirmed that previous gestational diabetes mellitus contributes to vascular dysfunction, and the most consistent risk factor associated with previous gestational diabetes mellitus and vascular dysfunction was elevated body mass index. Heterogeneity existed across studies in determining the relationship of glycaemic levels and insulin resistance to vascular dysfunction. © The Author(s) 2016.

  2. Patrones y flujos de la migración interna en la gran área metropolitana de Costa Rica, en el período 1995-2000

    Directory of Open Access Journals (Sweden)

    Molina-Varela, Wendy

    2009-01-01

    Full Text Available Los más recientes cambios en los patrones de migración interna en varios países de Latinoamérica, apuntan a los crecientes flujos de migración intrametropolitana desde los centros urbanos hacia la periferia, asociados a procesos de urbanización residencial de zonas rurales cercanas a la zona metropolitana. Este artículo analiza este fenómeno para Costa Rica, estimando los patrones de migración interna dentro del Gran Área Metropolitana (GAM, y tratando de determinar algunos factores de atracción y expulsión que posiblemente explican estos patrones, utilizando un modelo de Poisson para discriminar entre algunas variables seleccionadas en un modelo de regresión multivariable. Los resultados confirman algunas tendencias observadas para otras áreas metropolitanas de América Latina, y da algunas explicaciones al caso específico de la GAM.

  3. VALORACIÓN DE INMUEBLES COMERCIALES MEDIANTE LA APLICACIÓN DEL MÉTODO DE CAPITALIZACIÓN DIRECTA Y EL MÉTODO DE FLUJOS DE CAJA DESCONTADOS

    Directory of Open Access Journals (Sweden)

    Alejandro Vargas Sanchez

    2017-01-01

    Full Text Available En el presente documento se exponen los conceptos relacionados con la valoración de Inmuebles Comerciales. El objetivo principal fue la determinación del valor de este tipo de bienes raíces mediante la aplicación de dos métodos: el primero Capitalización Directa y el segundo Flujos de Caja Descontados, para ambos métodos fue necesario estimar la Utilidad Operativa Neta por concepto del arrendamiento que percibe el propietario del inmueble, un aspecto importante en la investigación fue la determinación de la tasa de capitalización la cual fue calculada a partir de información primaria recabada sobre el arrendamiento por metro cuadrado y el valor de mercado de inmuebles comparables en la ciudad de La Paz. Los resultados alcanzados mediante ambos métodos de valoración presentaron diferencias que se explican principalmente porque se utilizaron diferentes tasas de crecimiento en las utilidades esperadas.

  4. VEGF signaling inside vascular endothelial cells and beyond.

    Science.gov (United States)

    Eichmann, Anne; Simons, Michael

    2012-04-01

    Vascular endothelial growth factor-A (VEGF-A) has long been recognized as the key regulator of vascular development and function in health and disease. VEGF is a secreted polypeptide that binds to transmembrane tyrosine kinase VEGF receptors on the plasma membrane, inducing their dimerization, activation and assembly of a membrane-proximal signaling complex. Recent studies have revealed that many key events of VEGFR signaling occur inside the endothelial cell and are regulated by endosomal receptor trafficking. Plasma membrane VEGFR interacting molecules, including vascular guidance receptors Neuropilins and Ephrins also regulate VEGFR endocytosis and trafficking. VEGF signaling is increasingly recognized for its roles outside of the vascular system, notably during neural development, and blood vessels regulate epithelial branching morphogenesis. We review here recent advances in our understanding of VEGF signaling and its biological roles. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. Retinal artery occlusion and associated recurrent vascular risk with underlying etiologies.

    Directory of Open Access Journals (Sweden)

    Jeong-Ho Hong

    Full Text Available RAO is caused by various etiologies and subsequent vascular events may be associated with underlying etiologies. Our aim is to investigate the etiologies of RAO, the occurrence of subsequent vascular events and their association in patients with RAO.We analyzed data from 151 consecutive patients presenting with acute non-arteritic RAO between 2003 and 2013 in a single tertiary-care hospital. The primary outcome was the occurrence of a vascular event defined as stroke, myocardial infarction, and vascular death within 365 days of the RAO onset. The Kaplan-Meier survival analysis and Cox proportional hazard model were used to estimate the hazard ratio of the vascular events.Large artery atherosclerosis (LAA was the etiology more frequently associated with of RAO (41.1%, 62/151. During the one year follow-up, ischemic stroke and vascular events occurred in 8.6% and 9.9% of patients, respectively. Ten vascular events occurred in RAO patients attributed to LAA and 4 occurred in undetermined etiology. RAO patients with LAA had a nearly four times higher risk of vascular events compared to those without LAA (hazard ratio 3.94, 95% confidence interval 1.21-12.81. More than a half of all events occurred within one month and over three fourths of ischemic strokes occurred ipsilateral to the RAO.After occurrence of RAO, there is a high risk of a subsequent vascular event, particularly ipsilateral stroke, within one month. LAA is an independent factor for the occurrence of a subsequent vascular event. Management for the prevention of secondary vascular events is necessary in patients with RAO especially with LAA. Large clinical trials are needed to confirm these findings.

  6. Cutaneous vascular anomalies associated with neural tube defects: nomenclature and pathology revisited.

    Science.gov (United States)

    Maugans, Todd; Sheridan, Rachel M; Adams, Denise; Gupta, Anita

    2011-07-01

    Lumbosacral cutaneous vascular anomalies associated with neural tube defects are frequently described in the literature as "hemangiomas." The classification system for pediatric vascular anomalies developed by the International Society for the Study of Vascular Anomalies provides a framework to accurately diagnose these lesions. To apply this classification to vascular cutaneous anomalies overlying myelodysplasias. A retrospective analysis of patients with neural tube defects and lumbosacral cutaneous vascular lesions was performed. All eligible patients had detailed histopathologic analysis of skin and spinal cord/placode lesions. Clinical and radiologic features were analyzed. Conventional histology and GLUT-1 immunostaining were performed to differentiate infantile capillary hemangiomas from capillary vascular malformations. Ten cases with cutaneous lesions associated with neural tube defects were reviewed. Five lesions were diagnosed as infantile capillary hemangiomas based upon histology and positive GLUT-1 endothelial reactivity. These lesions had a strong association with dermal sinus tracts. No reoperations were required for residual intraspinal vascular lesions, and overlying cutaneous vascular anomalies involuted with time. The remaining 5 lesions were diagnosed as capillary malformations. These occurred with both open and closed neural tube defects, did not involute, and demonstrated enlargement and darkening due to vascular congestion. The International Society for the Study of Vascular Anomalies scheme should be used to describe the cutaneous vascular lesions associated with neural tube defects: infantile capillary hemangiomas and capillary malformations. We advocate that these lesions be described as "vascular anomalies" or "stains" pending accurate diagnosis by clinical, histological, and immunohistochemical evaluations.

  7. Influence of Waiting Time after Insertion of Base Chamber into Soil on Produced Greenhouse Gas Fluxes Influencia del Tiempo de Espera Después de la Inserción de la Base de la Cámara en el Suelo en los Flujos de Gases de Efecto Invernadero Producidos

    Directory of Open Access Journals (Sweden)

    Cristina Muñoz

    2011-12-01

    Full Text Available The soil chamber technique is most commonly used for measuring gas exchange between soil surfaces and the atmosphere, to understand regulatory processes relevant to determine the greenhouse gas (GHG emissions from soils and to improve the emissions inventory of agricultural systems. The chambers are inserted into the soil to avoid the lateral diffusion of the gases. However, soil disturbance caused by chamber insertion causes in degassing and can result in erroneous flux data from measurements made immediately following chamber insertion. Here we assess the effect of soil disturbance associated with the insertion of the chambers on nitrous oxide (N2O and methane (CH4 fluxes with and without N fertilization, from a New Zealand pasture soil. We collected gas samples from the chambers at 0, 2, 4, 24, 96 and 168 h after chambers insertion. Our results show elevated levels of N2O inside the chambers (1.7 fold those of atmospheric concentrations outside the chambers and greater fluxes within the first 4 h of installation compared to the values observed at 24 h and later; and negative CH4 flux in the same time period, but near to zero after 24 h. Our results suggest that for accurate measurement of gas fluxes, measurements should be taken after 24 h of chambers installation to avoid the degassing effect.La técnica de la cámara es la más comúnmente usada para medir el intercambio de gases entre la superficie del suelo y la atmósfera, entender los procesos regulatorios relevantes para determinar las emisiones de gases de efecto invernadero (GHG desde los suelos, y mejorar los inventarios de emisiones de sistemas agrícolas. Las cámaras se insertan en el suelo para evitar la difusión lateral de los gases. Sin embargo, la alteración en el suelo causada por la inserción de las cámaras causa pérdida de gases y puede resultar en datos de flujos erróneos desde las mediciones realizadas inmediatamente posteriores a la inserción de las c

  8. Comportamento do Consumidor On-line: a perspectiva da teoria do fluxoOn-line Consumer Behavior: the flow theory perspectiveComportamiento del consumidor On-line: la perspectiva de la teoría del flujo

    Directory of Open Access Journals (Sweden)

    FARIAS, Salomão Alencar de

    2008-03-01

    is its applicableness for achieving consumer satisfaction in the purchase by the Internet. It was used a descriptive methodology with the application of a survey to a sample of 237 electronic retail consumers. Collected data was analyzed by means of multivariate statistical techniques and results indicated that the on-line environment and the telepresence precede the flow, that in turn is associated to the exploratory behavior, positive effect of the navigation process, purchase and satisfaction with the purchase process.RESUMENEste artículo investiga el comportamiento del consumidor por Internet con base en el flujo, definido como la sensación holística que las personas sienten cuando realizan una actividad totalmente involucradas (CSIKSZENTMIHALYI, 1975. Esta teoría se utiliza para comprender mejor la conducta de compra por medio de la Internet, aunque este concepto todavía no esté muy claro en la literatura sobre el comportamiento del consumidor, puesto que no existe un consenso con respecto a los factores que preceden, caracterizan o son consecuencia del estado de flujo. De este modo, esta investigación buscó identificar los constructos relacionados con el estado de flujo que deben formar parte del esquema de comportamiento de la compra on line, además de indicar cuál es su aplicabilidad para obtención de la satisfacción del consumidor en la compra por la red. Fue utilizada una metodología del carácter descriptivo mediante aplicación de survey a una muestra de 237 consumidores de venta electrónica al por menor. Los datos recogidos se analizaron por medio de técnicas estadísticas multivariadas. Los resultados indicaron que el ambiente on line y la telepresencia preceden al flujo, que a su vez está asociado a la conducta exploratoria, un efecto positivo del proceso de navegación, compra y satisfacción con el proceso de compra.

  9. Major lipids, apolipoproteins, and risk of vascular disease

    DEFF Research Database (Denmark)

    Collaboration, Emerging Risk Factors; Di Angelantonio, Emanuele; Sarwar, Nadeem

    2009-01-01

    CONTEXT: Associations of major lipids and apolipoproteins with the risk of vascular disease have not been reliably quantified. OBJECTIVE: To assess major lipids and apolipoproteins in vascular risk. DESIGN, SETTING, AND PARTICIPANTS: Individual records were supplied on 302,430 people without...

  10. Individualized Vascular Disease Prevention in High-Risk Patients

    NARCIS (Netherlands)

    Kaasenbrood, L

    2016-01-01

    In the pharmacologic prevention of vascular events, clinicians need to translate average effects from a clinical trial to the individual patient. Prediction models can contribute to individualized vascular disease prevention by selecting patients for treatment based on estimated risk or expected

  11. Influence of thermosiphonic flow with the height tank relative to a flat solar collector; Influencia del flujo termosifonico con la altura del termotanque relativo a un colector solar plano

    Energy Technology Data Exchange (ETDEWEB)

    Barrera C, Enrique; Arias T, Jorge E; Lugo L, Raul; Cano M, Francisco J [Universidad Autonoma Metropolitana-Iztapalapa, Mexico, D.F. (Mexico)

    2000-07-01

    In this work the effect of the height of the storage tank, with respect to a solar collector is studied. In order to obtain an adequate operation of the thermosiphonic flow system, the storage tank must be located above the upper part of the solar collector, although the height it has not been specified. In order to study this aspect, we studied the operation of a flat solar collector, in thermosiphonic regime, heated with a source of artificial energy (solar simulator based on tungsten lamps). The temperature profiles of storage deposit (temperature stratification) were analyzed as a function of different storage tank heights, which influence the storage tank temperatures profile and the inlet and outlet water temperature of the solar collector. These experiments also affect the thermosiphonic flow and, therefore the efficiency of the solar collector. In each experiment the same solar radiation level was used, which let us make sensitive comparisons regarding just the parameters of interest. The results obtained are reported. [Spanish] En este trabajo, se estudia el efecto de la altura del deposito de almacenamiento, respecto de un colector solar. Se sabe que para que se obtenga un funcionamiento adecuado de un sistema de flujo termosifonico, el deposito debe situarse por encima del colector solar, aunque no se ha especificado, cual puede ser una mejor altura. Con el fin de estudiar esta problematica en el presente trabajo se investigo el funcionamiento de un colector solar plano, en regimen termosifonico, accionado con una fuente de energia artificial (simulador solar basado en lamparas de tungsteno); se analizan los perfiles de temperatura del deposito de almacenamiento como funcion de las diferentes alturas estudiadas, los cuales son claves en el perfil de temperatura del agua de entrada y salida del colector solar, del flujo termosifonico alcanzado y por tanto de la eficiencia del colector solar. En cada experimento realizado, se utilizo el mismo nivel de

  12. REDUCED THROMBOGENICITY OF VASCULAR PROSTHESES BY COATING WITH ADP-ASE

    NARCIS (Netherlands)

    VANDERLEI, B; ROBINSON, PH; BAKKER, WW; Bartels, H.

    1992-01-01

    In this pilot study ADP-ase coated polyurethane (PL) vascular prostheses and noncoated (control) PU vascular prostheses (all vascular prostheses: ID 1.5 mm, length 1,5 cm) were implanted into the carotid artery of the rabbit to test wheter ADP-ase might function as an adequate anti-thrombogenic

  13. Cell proliferation along vascular islands during microvascular network growth

    Directory of Open Access Journals (Sweden)

    Kelly-Goss Molly R

    2012-06-01

    Full Text Available Abstract Background Observations in our laboratory provide evidence of vascular islands, defined as disconnected endothelial cell segments, in the adult microcirculation. The objective of this study was to determine if vascular islands are involved in angiogenesis during microvascular network growth. Results Mesenteric tissues, which allow visualization of entire microvascular networks at a single cell level, were harvested from unstimulated adult male Wistar rats and Wistar rats 3 and 10 days post angiogenesis stimulation by mast cell degranulation with compound 48/80. Tissues were immunolabeled for PECAM and BRDU. Identification of vessel lumens via injection of FITC-dextran confirmed that endothelial cell segments were disconnected from nearby patent networks. Stimulated networks displayed increases in vascular area, length density, and capillary sprouting. On day 3, the percentage of islands with at least one BRDU-positive cell increased compared to the unstimulated level and was equal to the percentage of capillary sprouts with at least one BRDU-positive cell. At day 10, the number of vascular islands per vascular area dramatically decreased compared to unstimulated and day 3 levels. Conclusions These results show that vascular islands have the ability to proliferate and suggest that they are able to incorporate into the microcirculation during the initial stages of microvascular network growth.

  14. Nestin upregulation characterizes vascular remodeling secondary to hypertension in the rat.

    Science.gov (United States)

    Tardif, Kim; Hertig, Vanessa; Duquette, Natacha; Villeneuve, Louis; El-Hamamsy, Ismail; Tanguay, Jean-François; Calderone, Angelino

    2015-05-15

    Proliferation and hypertrophy of vascular smooth muscle cells represent hallmark features of vessel remodeling secondary to hypertension. The intermediate filament protein nestin was recently identified in vascular smooth muscle cells and in other cell types directly participated in proliferation. The present study tested the hypothesis that vessel remodeling secondary to hypertension was characterized by nestin upregulation in vascular smooth muscle cells. Two weeks after suprarenal abdominal aorta constriction of adult male Sprague-Dawley rats, elevated mean arterial pressure increased the media area and thickness of the carotid artery and aorta and concomitantly upregulated nestin protein levels. In the normal adult rat carotid artery, nestin immunoreactivity was observed in a subpopulation of vascular smooth muscle cells, and the density significantly increased following suprarenal abdominal aorta constriction. Filamentous nestin was detected in cultured rat carotid artery- and aorta-derived vascular smooth muscle cells and an analogous paradigm observed in human aorta-derived vascular smooth muscle cells. ANG II and EGF treatment of vascular smooth muscle cells stimulated DNA and protein synthesis and increased nestin protein levels. Lentiviral short-hairpin RNA-mediated nestin depletion of carotid artery-derived vascular smooth muscle cells inhibited peptide growth factor-stimulated DNA synthesis, whereas protein synthesis remained intact. These data have demonstrated that vessel remodeling secondary to hypertension was characterized in part by nestin upregulation in vascular smooth muscle cells. The selective role of nestin in peptide growth factor-stimulated DNA synthesis has revealed that the proliferative and hypertrophic responses of vascular smooth muscle cells were mediated by divergent signaling events. Copyright © 2015 the American Physiological Society.

  15. The impact of various scaffold components on vascularized bone constructs.

    Science.gov (United States)

    Eweida, Ahmad; Schulte, Matthias; Frisch, Oliver; Kneser, Ulrich; Harhaus, Leila

    2017-06-01

    Bone tissue engineering is gaining more interest in the field of craniofacial surgery where continuous efforts are being made to improve the outcomes via modulation of the scaffold components. In an in vitro three dimensional (3D) culture, the effect of bone morphogenic protein 2 (BMP2, 60 μg/ml) and the effect of different cell seeding densities (0.25, 0.5, and 1 × 104) of rat mesenchymal stem cells seeded on nanocrystalline hydroxyapatite in silica gel matrix (Nanobone ® ) on the cell viability and differentiation were studied. Alkaline phosphatase and viability assays were performed at day 7, day 14, and day 21 to assess the differentiation and the relative fraction of viable cells in the 3D cell cultures. In a subsequent in vivo study, we examined the effect of axial vascularization, the scaffold's particle size and the nature of the matrix (collagen type I vs. diluted fibrin) on vascularization and tissue generation in vascularized bone construct in rats. Regarding vascularization, we compared constructs vascularized randomly by extrinsic vascularization from the periphery of the implanted construct with others vascularized axially via an implanted arteriovenous loop (AVL). Regarding the particle size, we compared constructs having a scaffold particle size of 0.2 mm (powder) with other constructs having a particle size of 2 × 0.6 mm (granules). Regarding the matrix we compared constructs having a collagen matrix with others having a fibrin matrix. Various groups were compared regarding the amount of tissue generation, vascularization, and cellular proliferation. The initial seeding density had a temporary and minimal effect on the overall osteogenic differentiation of the cells. On the contrary, adding BMP2 in a concentration of 60 μg/ml over one week led to an overall enhanced osteogenic differentiation despite depressed cell viability. Axial vascularization was mandatory for efficient tissue formation and vascularization of the bone construct

  16. Permanent vascular access in patients with end-stage renal disease, Brazil Acceso vascular permanente en pacientes renales crónicos terminales en Brasil Acesso vascular permanente em pacientes renais crônicos terminais no Brasil

    Directory of Open Access Journals (Sweden)

    Gisele Macedo da Silva

    2011-04-01

    Full Text Available OBJECTIVE: To assess factors associated with the establishment of permanent vascular access for patients with end-stage renal disease. METHODS: Cross-sectional study conducted in a nationally representative sample of Brazilian end-stage renal disease patients in dialysis and transplant centers during 2007. The sample comprised only patients who received hemodialysis as a primary therapy modality and reported the type of vascular access for their primary hemodialysis treatment (N=2,276. Data were from the TRS Project - "Economic and Epidemiologic Evaluation of Modalities of Renal Replacement Therapy in Brazil". Multiple logistic regression analysis was used to assess factors associated with the establishment of permanent vascular access in these patients. RESULTS: About 30% of the patients studied had an arteriovenous vascular access. The following factors were associated with a lower likelihood of having an arteriovenous vascular access as a primary type of access: time of hemodialysis start since the diagnosis of chronic renal failure OBJETIVO: Analizar factores asociados a la provisión de acceso vascular arteriovenoso en Brasil. MÉTODOS: Estudio transversal, nacionalmente representativo, con pacientes con enfermedad renal crónica terminal acompañados en servicios de diálisis o en centros transplantadores en el año de 2007. La muestra incluyó pacientes que tuvieron la hemodiálisis como primera modalidad de tratamiento y que sabían con que tipo de acceso vascular habían iniciado el tratamiento (N=2.276. Los datos son oriundos del Proyecto TRS - "Evaluación económica-epidemiológica de las modalidades de Terapia renal Sustitutiva en Brasil". Fue utilizada la regresión logística múltiple. RESULTADOS: Aproximadamente 30% de los pacientes tenían acceso vascular arteriovenoso. Los factores asociados a la baja probabilidad de tener acceso vascular arteriovenoso como primer tipo de acceso fueron: tiempo de diagnóstico de enfermedad

  17. Radiological study of cerebro-vascular accidents

    International Nuclear Information System (INIS)

    Misri, H.T.; Kabawe, Bassam

    1991-01-01

    The role of computerized tomography scanner in studying the cerebro-vascular accidents has been discussed. One hundred fifty patients with cerebro-vascular accidents were studied at Aleppo University Hospital between 1989-1990. Clinical history and physical examination were recorded, as well as, computerized tomography scanning in all cases without using the contrast media mostly. Relationship between the density of the lesion (inforctionor hemorrhage) and the time has been found. This relationship can help in forensic medicine. (author). 29 refs., 5 tabs., 2 figs

  18. Vascular training and endovascular practice in Europe

    DEFF Research Database (Denmark)

    Liapis, C.D.; Avgerinos, E.D.; Sillesen, H.

    2009-01-01

    specialties was distributed to a VS educator within 14 European countries. European Vascular and Endovascular Monitor (EVEM) data also were processed to correlate endovascular practice with training models. RESULTS: Fourteen questionnaires were gathered. Vascular training in Europe appears in 3 models: 1....... Mono-specialty (independence): 7 countries, 2. Subspecialty: 5 countries, 3. An existing specialty within general surgery: 2 countries. Independent compared to non-independent certification shortens overall training length (5.9 vs 7.9 years, p=0.006), while increasing overall training devoted......% respectively. Countries with independent vascular certification, despite their lower average endovascular index (procedures per 100,000 population), reported a higher growth rate of aortic endovascular procedures (VS independent 132% vs VS non-independent 87%), within a four-year period (2003-2007). Peripheral...

  19. The adventitia: Essential role in pulmonary vascular remodeling.

    Science.gov (United States)

    Stenmark, Kurt R; Nozik-Grayck, Eva; Gerasimovskaya, Evgenia; Anwar, Adil; Li, Min; Riddle, Suzette; Frid, Maria

    2011-01-01

    A rapidly emerging concept is that the vascular adventitia acts as a biological processing center for the retrieval, integration, storage, and release of key regulators of vessel wall function. It is the most complex compartment of the vessel wall and comprises a variety of cells including fibroblasts, immunomodulatory cells, resident progenitor cells, vasa vasorum endothelial cells, and adrenergic nerves. In response to vascular stress or injury, resident adventitial cells are often the first to be activated and reprogrammed to then influence tone and structure of the vessel wall. Experimental data indicate that the adventitial fibroblast, the most abundant cellular constituent of adventitia, is a critical regulator of vascular wall function. In response to vascular stresses such as overdistension, hypoxia, or infection, the adventitial fibroblast is activated and undergoes phenotypic changes that include proliferation, differentiation, and production of extracellular matrix proteins and adhesion molecules, release of reactive oxygen species, chemokines, cytokines, growth factors, and metalloproteinases that, collectively, affect medial smooth muscle cell tone and growth directly and that stimulate recruitment and retention of circulating inflammatory and progenitor cells to the vessel wall. Resident dendritic cells also participate in "sensing" vascular stress and actively communicate with fibroblasts and progenitor cells to simulate repair processes that involve expansion of the vasa vasorum, which acts as a conduit for further delivery of inflammatory/progenitor cells. This review presents the current evidence demonstrating that the adventitia acts as a key regulator of pulmonary vascular wall function and structure from the "outside in." © 2011 American Physiological Society.

  20. Sensing of Vascular Permeability in Inflamed Vessel of Live Animal

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    Sang A Park

    2018-01-01

    Full Text Available Increase in vascular permeability is a conclusive response in the progress of inflammation. Under controlled conditions, leukocytes are known to migrate across the vascular barriers to the sites of inflammation without severe vascular rupture. However, when inflammatory state becomes excessive, the leakage of blood components may occur and can be lethal. Basically, vascular permeability can be analyzed based on the intensity of blood outflow. To evaluate the amount and rate of leakage in live mice, we performed cremaster muscle exteriorization to visualize blood flow and neutrophil migration. Using two-photon intravital microscopy of the exteriorized cremaster muscle venules, we found that vascular barrier function is transiently and locally disrupted in the early stage of inflammatory condition induced by N-formylmethionyl-leucyl-phenylalanine (fMLP. Measurement of the concentration of intravenously (i.v. injected Texas Red dextran inside and outside the vessels resulted in clear visualization of real-time increases in transient and local vascular permeability increase in real-time manner. We successfully demonstrated repeated leakage from a target site on a blood vessel in association with increasing severity of inflammation. Therefore, compared to other methods, two-photon intravital microscopy more accurately visualizes and quantifies vascular permeability even in a small part of blood vessels in live animals in real time.

  1. Critical Endothelial Regulation by LRP5 during Retinal Vascular Development

    Science.gov (United States)

    Huang, Wei; Li, Qing; Amiry-Moghaddam, Mahmood; Hokama, Madoka; Sardi, Sylvia H.; Nagao, Masashi; Warman, Matthew L.; Olsen, Bjorn R.

    2016-01-01

    Vascular abnormalities in the eye are the leading cause of many forms of inherited and acquired human blindness. Loss-of-function mutations in the Wnt-binding co-receptor LRP5 leads to aberrant ocular vascularization and loss of vision in genetic disorders such as osteoporosis-pseudoglioma syndrome. The canonical Wnt-β-catenin pathway is known to regulate retinal vascular development. However, it is unclear what precise role LPR5 plays in this process. Here, we show that loss of LRP5 function in mice causes retinal hypovascularization during development as well as retinal neovascularization in adulthood with disorganized and leaky vessels. Using a highly specific Flk1-CreBreier line for vascular endothelial cells, together with several genetic models, we demonstrate that loss of endothelium-derived LRP5 recapitulates the retinal vascular defects in Lrp5-/- mice. In addition, restoring LRP5 function only in endothelial cells in Lrp5-/- mice rescues their retinal vascular abnormalities. Furthermore, we show that retinal vascularization is regulated by LRP5 in a dosage dependent manner and does not depend on LRP6. Our study provides the first direct evidence that endothelium-derived LRP5 is both necessary and sufficient to mediate its critical role in the development and maintenance of retinal vasculature. PMID:27031698

  2. The evolution of development of vascular cambia and secondary growth

    Science.gov (United States)

    Andrew Groover; Rachel Spicer

    2010-01-01

    Secondary growth from vascular cambia results in radial, woody growth of stems. The innovation of secondary vascular development during plant evolution allowed the production of novel plant forms ranging from massive forest trees to flexible, woody lianas. We present examples of the extensive phylogenetic variation in secondary vascular growth and discuss current...

  3. Experience of vascular trauma in a tertiary care hospital

    International Nuclear Information System (INIS)

    Imtiaz, N.

    2010-01-01

    To highlight the presentation and management of various vascular injuries and their outcome. Thirty nine cases of vascular trauma were referred to vascular surgeon CMH Rawalpindi, in the above mentioned period. These cases were evaluated for mechanism of injury, age, gender and time of presentation. Out of these, only thirty cases were found suitable for surgical intervention. These thirty cases were evaluated for site of vascular injury, associated injuries, type of surgery performed and the outcome. Blunt trauma was the predominant cause of vascular injuries in our study 16/39 (41%). Fourteen cases (35.8%) had gun shot wounds. Only thirty patients (76.9 %) underwent various surgical procedures. Primary end to end anastomosis was possible in only 5/30 cases (16.6%) while reversed venous graft was used in 13/30 cases (43.3%). Wound infection occurred in 2/30(6.6%) cases out of which 1 case (3.3%) ultimately had an amputation. The time period between injury and surgical intervention ranged between 1 to 20 hours for most of the vascular injuries while delayed presentation in the form of traumatic arteriovenous fistula or pseudoaneurysm was between 48 hours to 3 months. There are reasonable numbers of vascular trauma cases being referred to a tertiary care hospital. Most of these cases reach us quite late due to unnecessary investigations, delayed referral and transportation. Early intervention and revascularization definitely reduces amputation and complication rate. All gunshot wounds not only require thorough surrounding soft tissue debridement but also liberal excision of traumatised vessel itself, resulting in interposition graft repair. (author)

  4. Neuropsychiatric symptoms in Vascular Cognitive Impairment: A systematic review

    Directory of Open Access Journals (Sweden)

    Chan Tiel

    Full Text Available Neuropsychiatric symptoms or Behavioral and Psychological Symptoms of Dementia (BPSD are common and invariably appear at some point during the course of the disease, mediated both by cerebrovascular disease and neurodegenerative processes. Few studies have compared the profiles of BPSD in Vascular Cognitive Impairment (VCI of different subtypes (subcortical or cortical and clinical stages (Vascular Cognitive Impairment No Dementia [VaCIND] and Vascular Dementia [VaD].Objective:To review the BPSD associated with different subtypes and stages of VCI using the Neuropsychiatric Inventory (NPI.Methods:Medline, Scielo and Lilacs databases were searched for the period January 2000 to December 2014, with the key words: "BPSD AND Vascular Dementia, "NPI AND Vascular Dementia" and "NPI AND VCI. Qualitative analysis was performed on studies evaluating BPSD in VCI, using the Neuropsychiatric Inventory (NPI.Results:A total of 82 studies were retrieved of which 13 were eligible and thus included. Among the articles selected, 4 compared BPSD in Subcortical Vascular Dementia (SVaD versus Cortical-Subcortical Vascular Dementia (CSVaD, 3 involved comparisons between SVaD and VaCIND, 1 study analyzed differences between CSVaD and VaCIND, while 5 studies assessed BPSD in CSVaD. Subcortical and Cortical-Subcortical VaD were associated predominantly with Apathy and Depression. VaCIND may present fewer behavioral symptoms than VaD.Conclusion:The profile of BPSD differs for different stages of VCI. Determining the most prevalent BPSD in VCI subtypes might be helpful for improving early diagnosis and management of these symptoms.

  5. Arborescent vascular dilatation mimicking Lichtenberg figures from lightning.

    Science.gov (United States)

    Tempark, Therdpong; Iwasaki, Julie; Shwayder, Tor

    2014-01-01

    The clinical presentation of arborizing vascular dilatation can resemble Lichtenberg figures from lightning. Both have a feather-like or ferning pattern. We report an interesting case of pressure-induced vasodilatation (PIV) caused by temporary vascular occlusion from jeans buttons. © 2014 Wiley Periodicals, Inc.

  6. Diagnosis and treatment of vascular damage in dementia

    NARCIS (Netherlands)

    Biessels, GJ

    2016-01-01

    This paper provides an overview of cognitive impairment due to vascular brain damage, which is referred to as vascular cognitive impairment (VCI). Over the past decades, we have seen marked progress in detecting VCI, both through maturation of diagnostic concepts and through advances in brain

  7. Vascular injuries after bear attacks: Incidence, surgical challenges and outcome.

    Science.gov (United States)

    Wani, Mohd Lateef; Ahangar, Abdul Gani; Lone, Gh Nabi; Lone, Reyaz Ahmad; Ashraf, Hakeem Zubair; Dar, Abdul Majeed; Bhat, M A; Singh, Shyam; Bijli, Akram Hussain; Irshad, Ifat

    2011-01-01

    Bear mauling is rarely reported in medical literature due to its rare occurrence. Present study was undertaken to describe the pattern and management of bear maul vascular injuries in Kashmir. Study of patients with bear maul vascular injury from 1(st) Jan 2004 to 31(st) Dec. 2008. Fifteen patients with bear maul vascular injury were studied. All patients of bear maul without vascular injury were excluded from the study. Most of the patients were treated by reverse saphenous vein graft or end to end anastomosis. Most common complication was wound infection (20%) followed by graft occlusion (13.33%). There was no operative death. Bear attacks are very common in Kashmir. Vascular injury due to bear maul needs prompt resuscitation and revascularization. Results are very good provided timely intervention for revascularization is done.

  8. VASCULAR REMODELING IN HYPERTENSION: ANGIOGENESIS FEATURES

    Directory of Open Access Journals (Sweden)

    L. A. Haisheva

    2014-07-01

    Full Text Available Aim — cross-sectional study of changes in various segments of the vascular bed in arterial hypertension (AH, defining the role of inducers and inhibitors of angiogenesis in these processes.Materials and methods. The study included 99 patients with arterial hypertension of I–II degree, average age of 63.2 ± 2.6 years, diseaseduration 9.2 ± 7.2 years.Results. It was found that patients with arterial hypertension have disorders in all segments of vascular bed: endothelial dysfunction (highvWF, microcirculatory disorders, and increased pulse wave velocity (PWV of elastic-type vessels. The level of angioginesis factors doesnot depend on such parameters as gender, age, body mass index. Smoking and duration of hypertension influence on vascular endothelialgrowth factor raise and endostatin levels are higher in patients with family history of cardiovascular diseases. Duration of disease is directlycorrelated with microcirculatory disorders and the PWV, correlation between microcirculatory disorders and pulse wave velocity indicatetheir common processes.

  9. Vascular nitric oxide: Beyond eNOS

    Directory of Open Access Journals (Sweden)

    Yingzi Zhao

    2015-10-01

    Full Text Available As the first discovered gaseous signaling molecule, nitric oxide (NO affects a number of cellular processes, including those involving vascular cells. This brief review summarizes the contribution of NO to the regulation of vascular tone and its sources in the blood vessel wall. NO regulates the degree of contraction of vascular smooth muscle cells mainly by stimulating soluble guanylyl cyclase (sGC to produce cyclic guanosine monophosphate (cGMP, although cGMP-independent signaling [S-nitrosylation of target proteins, activation of sarco/endoplasmic reticulum calcium ATPase (SERCA or production of cyclic inosine monophosphate (cIMP] also can be involved. In the blood vessel wall, NO is produced mainly from l-arginine by the enzyme endothelial nitric oxide synthase (eNOS but it can also be released non-enzymatically from S-nitrosothiols or from nitrate/nitrite. Dysfunction in the production and/or the bioavailability of NO characterizes endothelial dysfunction, which is associated with cardiovascular diseases such as hypertension and atherosclerosis.

  10. Vascular complications associated with transcatheter aortic valve replacement.

    Science.gov (United States)

    Sardar, M Rizwan; Goldsweig, Andrew M; Abbott, J Dawn; Sharaf, Barry L; Gordon, Paul C; Ehsan, Afshin; Aronow, Herbert D

    2017-06-01

    Transcatheter aortic valve replacement (TAVR) is now an accepted pathway for aortic valve replacement for patients who are at prohibitive, severe and intermediate risk for traditional aortic valve surgery. However, with this rising uptrend and adaptation of this new technology, vascular complications and their management remain an Achilles heel for percutaneous aortic valve replacement. The vascular complications are an independent predictor of mortality for patients undergoing TAVR. Early recognition of these complications and appropriate management is paramount. In this article, we review the most commonly encountered vascular complications associated with currently approved TAVR devices and their optimal percutaneous management techniques.

  11. Spontaneous Splenic Rupture in Vascular Ehlers-Danlos Syndrome.

    Science.gov (United States)

    Batagini, Nayara Cioffi; Gornik, Heather; Kirksey, Lee

    2015-01-01

    Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant collagen vascular disorder. Different from other Ehler-Danlos Syndrome subtypes, VEDS has poor prognosis due to severe fragility of connective tissues and association with life-threatening vascular and gastrointestinal complications. Spontaneous splenic rupture is a rare but hazardous complication related to this syndrome. To date, only 2 cases have been reported in the literature. Here we present another case of this uncommon complication, occurring in a 54-year-old woman in clinical follow-up for VEDS who presented with sudden onset of abdominal pain and hypotension. © The Author(s) 2015.

  12. Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging

    Directory of Open Access Journals (Sweden)

    Euicheol C. Jeong

    2017-05-01

    Full Text Available The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as ‘supercharging’ and ‘turbocharging,’ have been introduced to ensure vascular perfusion in the transferred flap. Supercharging uses a distant source of the vessels, while turbocharging uses vascular sources within the same flap territory. These technical concepts can also be applied in renal transplantation, and in this report, we describe 2 patients who underwent procedures using supercharging and turbocharging. In one case, the ipsilateral deep inferior epigastric artery was transposed to the accessory renal artery (supercharging, and in the other case, the accessory renal artery was anastomosed to the corresponding main renal artery with a vascular graft (turbocharging. The transplanted kidneys showed good perfusion and proper function. No cases of renal failure, hypertension, rejection, or urologic complications were observed. These microsurgical techniques can be safely utilized for renal transplantation with donor kidneys that have multiple arteries with a lower complication rate and better outcome.

  13. Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging.

    Science.gov (United States)

    Jeong, Euicheol C; Hwang, Seung Hwan; Eo, Su Rak

    2017-05-01

    The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as 'supercharging' and 'turbocharging,' have been introduced to ensure vascular perfusion in the transferred flap. Supercharging uses a distant source of the vessels, while turbocharging uses vascular sources within the same flap territory. These technical concepts can also be applied in renal transplantation, and in this report, we describe 2 patients who underwent procedures using supercharging and turbocharging. In one case, the ipsilateral deep inferior epigastric artery was transposed to the accessory renal artery (supercharging), and in the other case, the accessory renal artery was anastomosed to the corresponding main renal artery with a vascular graft (turbocharging). The transplanted kidneys showed good perfusion and proper function. No cases of renal failure, hypertension, rejection, or urologic complications were observed. These microsurgical techniques can be safely utilized for renal transplantation with donor kidneys that have multiple arteries with a lower complication rate and better outcome.

  14. Scintigraphic assessment of vascularity and blood-tissue barrier of human brain tumours

    International Nuclear Information System (INIS)

    Front, D.

    1978-01-01

    Assessment of vascularity and blood-tissue barrier was performed by sequential scintigraphy in 43 patients with brain tumours. The blood-tumour barrier was evaluated by use of sup(99m)Tc-pertechnetate, and vascularity using sup(99m)Tc-labelled red blood cells. Three groups of tumours were found: tumours with low vascularity and permeable barrier, tumours with high vascularity and permeable barrier, and tumours with low vascularity and relatively impermeable barrier. The first group indicates that when vessels are permeable, there may be a rapid penetration of large amounts of pertechnetate into the tumour even when vascularity is not increased. In the other two groups penetration of pertechnetate into the tumour is affected by vascularity, as it determines the total area where passage of the radiopharmaceutical takes place. It is suggested that the permeability of the blood-tumour barrier and the amount of vascularity may have an effect on the success of chemotherapy in brain tumours. (author)

  15. Vascular risk factors, cognitve decline, and dementia

    Directory of Open Access Journals (Sweden)

    E Duron

    2008-04-01

    Full Text Available E Duron, Olivier HanonBroca Hospital, Paris, FranceAbstract: Dementia is one of the most important neurological disorders in the elderly. Aging is associated with a large increase in the prevalence and incidence of degenerative (Alzheimer’s disease and vascular dementia, leading to a devastating loss of autonomy. In view of the increasing longevity of populations worldwide, prevention of dementia has turned into a major public health challenge. In the past decade, several vascular risk factors have been found to be associated with vascular dementia but also Alzheimer’s disease. Some longitudinal studies, have found significant associations between hypertension, diabetus mellitus, and metabolic syndrome, assessed at middle age, and dementia. Studies assessing the link between hypercholesterolemia, atrial fibrillation, smoking, and dementia have given more conflicting results. Furthermore, some studies have highlighted the possible protective effect of antihypertensive therapy on cognition and some trials are evaluating the effects of statins and treatments for insulin resistance. Vascular risk factors and their treatments are a promising avenue of research for prevention of dementia, and further long-term, placebo-controlled, randomized studies, need to be performed.Keywords: dementia, hypertension, diabetus mellitus, hypercholesterolemia, metabolic syndrome

  16. New options for vascularized bone reconstruction in the upper extremity.

    Science.gov (United States)

    Houdek, Matthew T; Wagner, Eric R; Wyles, Cody C; Nanos, George P; Moran, Steven L

    2015-02-01

    Originally described in the 1970s, vascularized bone grafting has become a critical component in the treatment of bony defects and non-unions. Although well established in the lower extremity, recent years have seen many novel techniques described to treat a variety of challenging upper extremity pathologies. Here the authors review the use of different techniques of vascularized bone grafts for the upper extremity bone pathologies. The vascularized fibula remains the gold standard for the treatment of large bone defects of the humerus and forearm, while also playing a role in carpal reconstruction; however, two other important options for larger defects include the vascularized scapula graft and the Capanna technique. Smaller upper extremity bone defects and non-unions can be treated with the medial femoral condyle (MFC) free flap or a vascularized rib transfer. In carpal non-unions, both pedicled distal radius flaps and free MFC flaps are viable options. Finally, in skeletally immature patients, vascularized fibular head epiphyseal transfer can provide growth potential in addition to skeletal reconstruction.

  17. Bone Marrow Vascular Niche: Home for Hematopoietic Stem Cells

    Directory of Open Access Journals (Sweden)

    Ningning He

    2014-01-01

    Full Text Available Though discovered later than osteoblastic niche, vascular niche has been regarded as an alternative indispensable niche operating regulation on hematopoietic stem cells (HSCs. As significant progresses gained on this type niche, it is gradually clear that the main work of vascular niche is undertaking to support hematopoiesis. However, compared to what have been defined in the mechanisms through which the osteoblastic niche regulates hematopoiesis, we know less in vascular niche. In this review, based on research data hitherto we will focus on component foundation and various functions of vascular niche that guarantee the normal hematopoiesis process within bone marrow microenvironments. And the possible pathways raised by various research results through which this environment undergoes its function will be discussed as well.

  18. [Fistulae or catheter for elderly who start hemodialysis without permanent vascular access?].

    Science.gov (United States)

    García Cortés, Ma J; Viedma, G; Sánchez Perales, M C; Borrego, F J; Borrego, J; Pérez del Barrio, P; Gil Cunquero, J M; Liébana, A; Pérez Bañasco, V

    2005-01-01

    Autologous access is the best vascular access for dialysis also in older patients and it should be mature when patient needs hemodialysis. It is not always possible. Surgeon availability and demographic characteristics of patients (age, diabetes, vascular disease...) are factors that determine primary vascular access. To analyse outcome and vascular access complications in elderly who start hemodialysis without vascular access. All patients older than 75 years who initiated hemodialysis without vascular access between January 2000 and June 2002 were included, They were divided en two groups depending on primary vascular access. GI: arterio-venous fistulae. GIIl: Tunnelled cuffed catheter. Epidemiological and analytical data, vascular access complications related, as well as patient and first permanent vascular access survival from their inclusion in dialysis up to December 2002 were analysed and compared in both groups. 32 patients were studied. GI: n = 17 (4 men) and GIIl: n =1 5 (8 men), age: 79.9 +/- 3.8 and 81.7 +/- 4 years respectively (ns). There were no differences in sex and comorbidity (diabetes, ischemic heart disease, peripheral vascular disease and hypertension). It took GI 3 months to get a permanent vascular access suitable for using, while it took GIIl 1.3 months (p catheters was higher in GI (3.35 vs 1.87 p central venous thrombosis happen in GI (I: 25 CVT/100 patients-year) vs 30% in GIIl (I = 14.4/100 patients-year) (ns). No significant differences neither in bleeding (66.7% vs 33.3%) nor ischemia (75% vs 25%) were found. Dialysis dose (Kt/V) as well as anaemia degree were similar in both groups. Permanent vascular access survival after 2 years was 45.8% in GI and 24% in GII (ns). Patient survival was similar in GI and GII (72% vs 51% ns). Elderly who start hemodialysis without vascular access took longer to get a suitable permanent vascular access when arterio-venous fistulae is placed than with a tunnelled cuffed hemodialysis catheter. As a

  19. Inter-arm systolic blood pressure differences, relations with future vascular events and mortality in patients with and without manifest vascular disease

    NARCIS (Netherlands)

    Kranenburg, Guido; Spiering, Wilko; de Jong, Pim A.; Kappelle, L. Jaap; de Borst, Gert Jan; Cramer, Maarten J.; Visseren, Frank L.J.; Aboyans, Victor; Westerink, Jan

    2017-01-01

    Background Inter-arm systolic blood pressure difference (SBPD) is an easily obtained patient characteristic which relates to vascular disease. We aimed to identify determinants of large inter-arm SBPD and to investigate the relation between inter-arm SBPD and vascular events in patients with and

  20. HMGB1 in vascular diseases : Its role in vascular inflammation and atherosclerosis

    NARCIS (Netherlands)

    de Souza, A. W. S.; Westra, J.; Limburg, P. C.; Bijl, M.; Kallenberg, C. G. M.

    2012-01-01

    The nuclear protein high mobility group box 1 (HMGB1) has been suggested to be involved in the pathogenesis of several vascular diseases such as systemic vasculitis and atherosclerosis. In systemic vasculitides including ANCA-associated vasculitis and Kawasaki disease, serum HMGB1 levels are higher

  1. Relational databases for rare disease study: application to vascular anomalies.

    Science.gov (United States)

    Perkins, Jonathan A; Coltrera, Marc D

    2008-01-01

    To design a relational database integrating clinical and basic science data needed for multidisciplinary treatment and research in the field of vascular anomalies. Based on data points agreed on by the American Society of Pediatric Otolaryngology (ASPO) Vascular Anomalies Task Force. The database design enables sharing of data subsets in a Health Insurance Portability and Accountability Act (HIPAA)-compliant manner for multisite collaborative trials. Vascular anomalies pose diagnostic and therapeutic challenges. Our understanding of these lesions and treatment improvement is limited by nonstandard terminology, severity assessment, and measures of treatment efficacy. The rarity of these lesions places a premium on coordinated studies among multiple participant sites. The relational database design is conceptually centered on subjects having 1 or more lesions. Each anomaly can be tracked individually along with their treatment outcomes. This design allows for differentiation between treatment responses and untreated lesions' natural course. The relational database design eliminates data entry redundancy and results in extremely flexible search and data export functionality. Vascular anomaly programs in the United States. A relational database correlating clinical findings and photographic, radiologic, histologic, and treatment data for vascular anomalies was created for stand-alone and multiuser networked systems. Proof of concept for independent site data gathering and HIPAA-compliant sharing of data subsets was demonstrated. The collaborative effort by the ASPO Vascular Anomalies Task Force to create the database helped define a common vascular anomaly data set. The resulting relational database software is a powerful tool to further the study of vascular anomalies and the development of evidence-based treatment innovation.

  2. Perioperative smoking cessation in vascular surgery

    DEFF Research Database (Denmark)

    Kehlet, M.; Heesemann, Sabine; Tonnesen, H.

    2015-01-01

    Background: The effect of intensive smoking cessation programs on postoperative complications has never before been assessed in soft tissue surgery when smoking cessation is initiated on the day of surgery. Methods: A single-blinded randomized clinical trial conducted at two vascular surgery...... departments in Denmark. The intervention group was offered the Gold Standard Program (GSP) for smoking cessation intervention. The control group was offered the departments' standard care. Inclusion criteria were patients with planned open peripheral vascular surgery and who were daily smokers. According...

  3. Biomaterial-mediated strategies targeting vascularization for bone repair.

    Science.gov (United States)

    García, José R; García, Andrés J

    2016-04-01

    Repair of non-healing bone defects through tissue engineering strategies remains a challenging feat in the clinic due to the aversive microenvironment surrounding the injured tissue. The vascular damage that occurs following a bone injury causes extreme ischemia and a loss of circulating cells that contribute to regeneration. Tissue-engineered constructs aimed at regenerating the injured bone suffer from complications based on the slow progression of endogenous vascular repair and often fail at bridging the bone defect. To that end, various strategies have been explored to increase blood vessel regeneration within defects to facilitate both tissue-engineered and natural repair processes. Developments that induce robust vascularization will need to consolidate various parameters including optimization of embedded therapeutics, scaffold characteristics, and successful integration between the construct and the biological tissue. This review provides an overview of current strategies as well as new developments in engineering biomaterials to induce reparation of a functional vascular supply in the context of bone repair.

  4. Vascular endothelial dysfunction in β-thalassemia occurs despite increased eNOS expression and preserved vascular smooth muscle cell reactivity to NO.

    Directory of Open Access Journals (Sweden)

    Ekatherina Stoyanova

    Full Text Available The hereditary β-thalassemia major condition requires regular lifelong blood transfusions. Transfusion-related iron overloading has been associated with the onset of cardiovascular complications, including cardiac dysfunction and vascular anomalies. By using an untransfused murine model of β-thalassemia major, we tested the hypothesis that vascular endothelial dysfunction, alterations of arterial structure and of its mechanical properties would occur despite the absence of treatments.Vascular function and structure were evaluated ex vivo. Compared to the controls, endothelium-dependent vasodilation with acetylcholine was blunted in mesenteric resistance arteries of β-thalassemic mice while the endothelium-independent vasodilator (sodium nitroprusside produced comparable vessel dilation, indicating endothelial cell impairment with preserved smooth muscle cell reactivity to nitric oxide (NO. While these findings suggest a decrease in NO bioavailability, Western blotting showed heightened expression of aortic endothelial NO synthase (eNOS in β-thalassemia. Vascular remodeling of the common carotid arteries revealed increased medial elastin content. Under isobaric conditions, the carotid arteries of β-thalassemic mice exhibited decreased wall stress and softening due to structural changes of the vessel wall.A complex vasculopathy was identified in untransfused β-thalassemic mice characterized by altered carotid artery structure and endothelial dysfunction of resistance arterioles, likely attributable to reduced NO bioavailability despite enhanced vascular eNOS expression.

  5. Vascular endothelial growth factor (VEGF), produced by feline infectious peritonitis (FIP) virus-infected monocytes and macrophages, induces vascular permeability and effusion in cats with FIP.

    Science.gov (United States)

    Takano, Tomomi; Ohyama, Taku; Kokumoto, Aiko; Satoh, Ryoichi; Hohdatsu, Tsutomu

    2011-06-01

    Feline infectious peritonitis virus (FIPV) causes a fatal disease called FIP in Felidae. The effusion in body cavity is commonly associated with FIP. However, the exact mechanism of accumulation of effusion remains unclear. We investigated vascular endothelial growth factor (VEGF) to examine the relationship between VEGF levels and the amounts of effusion in cats with FIP. Furthermore, we examined VEGF production in FIPV-infected monocytes/macrophages, and we used feline vascular endothelial cells to examine vascular permeability induced by the culture supernatant of FIPV-infected macrophages. In cats with FIP, the production of effusion was related with increasing plasma VEGF levels. In FIPV-infected monocytes/macrophages, the production of VEGF was associated with proliferation of virus. Furthermore, the culture supernatant of FIPV-infected macrophages induced hyperpermeability of feline vascular endothelial cells. It was suggested that vascular permeability factors, including VEGF, produced by FIPV-infected monocytes/macrophages might increase the vascular permeability and the amounts of effusion in cats with FIP. Copyright © 2011 Elsevier B.V. All rights reserved.

  6. Imaging findings and therapeutic alternatives for peripheral vascular malformations

    International Nuclear Information System (INIS)

    Monsignore, Lucas Moretti; Nakiri, Guilherme Seizem; Santos, Daniela dos; Abud, Thiago Giansante; Abud, Daniel Giansante

    2010-01-01

    Peripheral vascular malformations represent a spectrum of lesions that appear through the lifetime and can be found in the whole body. Such lesions are uncommon and are frequently confounded with infantile hemangioma, a common benign neoplastic lesion. In the presence of such lesions, the correlation between the clinical and radiological findings is extremely important to achieve a correct diagnosis, which will guide the best therapeutic approach. The most recent classifications for peripheral vascular malformations are based on the blood flow (low or high) and on the main vascular components (arterial, capillary, lymphatic or venous). Peripheral vascular malformations represent a diagnostic and therapeutic challenge, and complementary methods such as computed tomography, Doppler ultrasonography and magnetic resonance imaging, in association with clinical findings can provide information regarding blood flow characteristics and lesions extent. Arteriography and venography confirm the diagnosis, evaluate the lesions extent and guide the therapeutic decision making. Generally, low flow vascular malformations are percutaneously treated with sclerosing agents injection, while in high flow lesions the approach is endovascular, with permanent liquid or solid embolization agents. (author)

  7. LASER TREATMENT OF BENIGN CUTANEOUS VASCULAR LESIONS

    Directory of Open Access Journals (Sweden)

    Uroš Ahčan

    2004-07-01

    Full Text Available Background. Congenital and acquired vascular lesions of the skin and subcutis are a common health problem from aesthetic and also from psycho-social point of view. However, recent advances in laser technology have enabled an efficient and safe treatment. This study presents our experience with treatment of cutaneous vascular lesions using modern laser systems. Most common benign cutaneous vascular lesions are described.Patients and methods. In years 2002 and 2003, 109 patients, 4 to 80 (mean 39 years old, Fitzpatrick skin type 1–4, with 210 benign cutaneous vascular lesions were treated using the Dualis VP® laser system (Fotona, Slovenia which incorporates the KTP and Nd:YAG lasers. Vascular lesions in the upper layers of the skin with diameter up to 1 mm were treated with the KTP laser (wavelength 532 nm. For larger vessels in deeper layer we used the Nd:YAG laser (wavelength 1064 nm. Patients graded the pain during treatment on a scale of 1–10. Clinical outcomes were evaluated 1–3 months after the last treatment: according to the percentage of clearance of the lesion compared to the adjacent normal skin and for the presence of adverse effects. According to these criteria each lesion was assigned a score: poor (0–25%, fair (26–50%, good (51–75%, excellent (76–100%.Results. Immediate response after application of a laser beam with proper characteristics was whitish-grey discoloration of treated area. Treatment results after 1–3 months were excellent in 48.1%, good 40.9%, fair in 8.6% and poor in 2.4%. Patients without prior anaesthesia graded pain during treatment from 1 to 8 (mean 4.0 and patients with EMLA® anaesthesia from 1 to 6 (mean 2.6. Side effects were frequent but minimal and transient. Erythema disappeared in several days after treatment while crusting persisted for 14 days. 3 permanent hyperpigmentations, 2 permanent hypopigmentations, 2 hypertrophic scars and 1 beam sized atrophic scar were detected at last follow

  8. VALORACIÓN ECONÓMICA DE EMPRESAS MEDIANTE LA APLICACIÓN DE FLUJOS DESCONTADOS, MODELOS DE CREACIÓN DE VALOR Y MÚLTIPLOS DE MERCADO

    Directory of Open Access Journals (Sweden)

    Alejandro Vargas Sánchez

    2013-07-01

    Full Text Available En el presente documento se expone la teoría de valoración económica de empresas a través de la aplicación de tres modelos financieros. El objetivo principal es mostrar la interrelación que existe entre cada uno de estos modelos a partir de variables fundamentales que explican la situación financiera de una empresa. En principio se describe el modelo de descuento de flujos de efectivo libres, posteriormente se exponen los modelos de creación de valor, para finalmente complementar el análisis con los múltiplos de mercado. La aplicación fue realizada a una empresa en la industria del cemento, la valoración obtenida con los dos primeros modelos fue similar, aunque distinta a la valoración encontrada con el modelo de múltiplos de mercado; estos resultados permiten concluir que los supuestos que se aplican a los modelos de valoración condicionan los resultados finales por lo que es necesario equiparar estos supuestos con las expectativas del mercado.

  9. Cartilage oligomeric matrix protein enhances the vascularization of acellular nerves

    Directory of Open Access Journals (Sweden)

    Wei-ling Cui

    2016-01-01

    Full Text Available Vascularization of acellular nerves has been shown to contribute to nerve bridging. In this study, we used a 10-mm sciatic nerve defect model in rats to determine whether cartilage oligomeric matrix protein enhances the vascularization of injured acellular nerves. The rat nerve defects were treated with acellular nerve grafting (control group alone or acellular nerve grafting combined with intraperitoneal injection of cartilage oligomeric matrix protein (experimental group. As shown through two-dimensional imaging, the vessels began to invade into the acellular nerve graft from both anastomotic ends at day 7 post-operation, and gradually covered the entire graft at day 21. The vascular density, vascular area, and the velocity of revascularization in the experimental group were all higher than those in the control group. These results indicate that cartilage oligomeric matrix protein enhances the vascularization of acellular nerves.

  10. In vitro model of vascularized bone: synergizing vascular development and osteogenesis.

    Directory of Open Access Journals (Sweden)

    Cristina Correia

    Full Text Available Tissue engineering provides unique opportunities for regenerating diseased or damaged tissues using cells obtained from tissue biopsies. Tissue engineered grafts can also be used as high fidelity models to probe cellular and molecular interactions underlying developmental processes. In this study, we co-cultured human umbilical vein endothelial cells (HUVECs and human mesenchymal stem cells (MSCs under various environmental conditions to elicit synergistic interactions leading to the colocalized development of capillary-like and bone-like tissues. Cells were encapsulated at the 1:1 ratio in fibrin gel to screen compositions of endothelial growth medium (EGM and osteogenic medium (OM. It was determined that, to form both tissues, co-cultures should first be supplied with EGM followed by a 1:1 cocktail of the two media types containing bone morphogenetic protein-2. Subsequent studies of HUVECs and MSCs cultured in decellularized, trabecular bone scaffolds for 6 weeks assessed the effects on tissue construct of both temporal variations in growth-factor availability and addition of fresh cells. The resulting grafts were implanted subcutaneously into nude mice to determine the phenotype stability and functionality of engineered vessels. Two important findings resulted from these studies: (i vascular development needs to be induced prior to osteogenesis, and (ii the addition of additional hMSCs at the osteogenic induction stage improves both tissue outcomes, as shown by increased bone volume fraction, osteoid deposition, close proximity of bone proteins to vascular networks, and anastomosis of vascular networks with the host vasculature. Interestingly, these observations compare well with what has been described for native development. We propose that our cultivation system can mimic various aspects of endothelial cell-osteogenic precursor interactions in vivo, and could find utility as a model for studies of heterotypic cellular interactions that

  11. Arterial vascularization patterns of the splenium: An anatomical study.

    Science.gov (United States)

    Kahilogullari, G; Comert, A; Ozdemir, M; Brohi, R A; Ozgural, O; Esmer, A F; Egemen, N; Karahan, S T

    2013-09-01

    The aim of this study was to provide detailed information about the arterial vascularization of the splenium of the corpus callosum (CC). The splenium is unique in that it is part of the largest commissural tract in the brain and a region in which pathologies are seen frequently. An exact description of the arterial vascularization of this part of the CC remains under debate. Thirty adult human brains (60 hemispheres) were obtained from routine autopsies. Cerebral arteries were separately cannulated and injected with colored latex. Then, the brains were fixed in formaldehyde, and dissections were performed using a surgical microscope. The diameter of the arterial branches supplying the splenium of the CC at their origin was investigated, and the vascularization patterns of these branches were observed. Vascular supply to the splenium was provided by the anterior pericallosal artery (40%) from the anterior circulation and by the posterior pericallosal artery (88%) and posterior accessory pericallosal artery (50%) from the posterior circulation. The vascularization pattern of the splenium differs in each hemisphere and is usually supplied by multiple branches. The arterial vascularization of the splenium of the CC was studied comprehensively considering the ongoing debate and the inadequacy of the studies on this issue currently available in the literature. This anatomical knowledge is essential during the treatment of pathologies in this region and especially for splenial arteriovenous malformations.

  12. Usos comunes de Facebook en adolescentes de distintos sectores sociales en la Ciudad de Buenos Aires

    Directory of Open Access Journals (Sweden)

    Joaquín Linne

    2014-07-01

    Full Text Available En este artículo se abordan los usos comunes que realizan los adolescentes de la ciudad de Buenos Aires en la plataforma Facebook. A partir de la revisión del estado de la cuestión y de la evidencia empírica recogida en 30 entrevistas en profundidad, 24 meses de observaciones virtuales diarias y el análisis de contenido de 200 perfiles de Facebook, se muestra que para ambos grupos de adolescentes la red social es su entorno central de entretenimiento y comunicabilidad. A su vez, que sus principales usos dentro de este sitio son la autopresentación, el intercambio de contenidos personales entre amistades, la búsqueda de relaciones sexo-afectivas y la exploración de distintos aspectos de su sociabilidad e identidad. Se indaga en los tipos de publicaciones más «populares» entre los adolescentes (fotos y textos personales. Además, se describen los usos lúdico-comunicacionales más habituales: chat, actualizar estados, prosumo fotográfico y streaming. En este sentido, se observa que un recurso de uso cotidiano entre esta población es el intercambio de performances de intimidad con el objetivo de aumentar la sociabilidad entre pares y lograr una mayor visibilidad dentro y fuera del sitio. Asimismo, por medio del análisis de imágenes de los muros de los adolescentes, se aporta evidencia acerca de que las representaciones de género se encuentran en conflicto entre los modelos tradicionales y las nuevas formas de masculinidad y feminidad.

  13. Pituitary adenylate cyclase activating polypeptide induces vascular relaxation and inhibits non-vascular smooth muscle activity in the rabbit female genital tract

    DEFF Research Database (Denmark)

    Steenstrup, B R; Ottesen, B; Jørgensen, M

    1994-01-01

    In vitro effects of two bioactive forms of pituitary adenylate cyclase activating polypeptide (PACAP): PACAP-38 and PACAP-27 were studied on rabbit vascular and non-vascular smooth muscle. Segments of the ovarian artery and muscle strips from the fallopian tube were used. Two series of experiment...

  14. Cyclonic multiphase flow measurement system GLCC{copyright}1 for oil well capacity evaluation; Sistema de medicion de flujo multifasico mediante tecnologia ciclonica GLCC{copyright}1 para aforo de pozos petroleros

    Energy Technology Data Exchange (ETDEWEB)

    Godoy-Alcantar, J. M; Cervantes-Martinez, G; Cruz-Maya, J. A; Hernandez-Buenfil, M. A; Ramirez-Antonio, I [Instituto Mexicano del Petroleo, Mexico, D.F, (Mexico)]. E-mail: mgodoy@imp.mx

    2008-10-15

    This paper shows the development of a portable multiphase flow measurement system based in cyclonic separation technology GLCC{copyright}1. This system is aimed for oil well measurement and was developed in three phases; the first devoted to the geometric design of a cyclonic separator by means of designs sofware GLCCV7.8 and the selection of measurement instrumentation and flux control valves. In the second phase, the automatic control system was designed for the implementation of four control strategies each one related with a possible scenario of the well behavior. The third constitutes the integration of the measurement and control devices through a user interface aimed for visualization, information processing and system's operation and control. Experimental results in oil well measurements show the efficiency and workability of the integrated system. [Spanish] En el presente trabajo se muestra el desarrollo de un sistema portatil para la medicion de flujo multifasico, basado en la tecnologia de separacion ciclonica GLCC{copyright}1 y su utilizacion el aforo de pozos petroleros. El desarrollo del sistema se compone de tres fases, la primera se orienta hacia el diseno geometrico de un separador tipo ciclonico por medio del simulador GLCCV 7.8, asi como el dimensionamiento y la seleccion de los instrumentos de medicion y valvulas de control de flujo. En la segunda fase, se lleva a cabo la etapa de diseno del control automatico del sistema, el cual se fundamenta en el desarrollo e implantacion de cuatro estrategias de control basadas en el comportamiento dinamico de las variables de produccion del pozo; la tercera fase, la constituye el desarrollo de una interfaz para la integracion y operacion conjunta de los componentes de medicion y control del sistema, asi como de visualizacion, procesamiento y almacenamiento de la informacion. Se muestran los resultados experimentales de una prueba de medicion realizada en campo, las mediciones obtenidas muestran la

  15. Methane dynamics in Northern Wetlands: Significance of vascular plants

    Energy Technology Data Exchange (ETDEWEB)

    Joabsson, Anna

    2001-09-01

    The studies presented illustrate several different aspects of the impact of vascular plants on methane emissions from northern natural wetlands. The subject has been approached on different scales, ranging from the study of microbial substrates in the vicinity of a single plant root, to an attempt to extrapolate some of the results to the entire northern hemisphere north of 50 meridian. The main overall conclusions from the papers are that vascular plants affect net methane emissions 1) by offering an efficient route of transport to the atmosphere so that methane oxidation in oxic surface soils is avoided, and 2) by being sources of methanogenic substrate. The degree to which vascular wetland plants affect methane emissions seems to be dependent on species-specific differences in both the capacity to act as gas conduits and the exudation of labile carbon compounds to the soil. An intimate coupling between vascular plant production and methane emission was found in an Arctic tundra wetland, although other environmental variables (water table, temperature) also contributed significantly to the explained variation in methane exchange. Studies of vascular plant extidation of organic acids suggest that the available pool of methanogenic substrates is both qualitatively and quantitatively correlated to vascular plant production (photosynthetic rate). On global scales, vascular plant production as a single factor does not seem to be sufficient to explain the majority of variation in methane flux patterns. Based on comparable experiments at five different sites in the northwestern Eurasian and Greenlandic North, we suggest that mean seasonal soil temperature is the best predictor of methane exchange on broad spatial and temporal scales.

  16. Determination of the neutron spectrum at different locations in the Argentine RA-1 Reactor; Determinacion del espectro neutronico en distintas posiciones del reactor RA-1

    Energy Technology Data Exchange (ETDEWEB)

    Lerner, A M; Madariaga, M R [Autoridad Regulatoria Nuclear, Buenos Aires (Argentina)

    1999-12-31

    Radiodosimetria de la Autoridad Regulatoria Nuclear (ARN) utiliza la columna rapida del reactor para el disenio, calibracion y puesta a punto de dosimetros de criticidad asi como de los metodos de evaluacion rapida de las dosis absorbida por el personal en el caso de accidentes. Con este objeto se irradiaron hojuelas de Au(1), Au bajo Cd e In(2), para estimar los flujos neutronicos absolutos termico, epitermico y rapido respectivamente en la posicion de irradiacion. Esta estimacion es tanto mas precisa cuanto mejor se conocen las respuestas de los distintos materiales de los detectores al espectro de neutrones presente. Esto a su vez requiere el conocimiento previo de dicho espectro (dependencia detallada del flujo neutronico con la energia) en la posicion que se analiza. En este trabajo se presenta el calculo neutronico que fue oportunamente requerido al Grupo de Reactores de Investigacion y Conjuntos Criticos de la ARN, con el objeto de determinar el espectro neutronico en la posicion de irradiacion rapida del RA-1. Se ha evaluado el espectro neutronico en diferentes posiciones del reactor, utilizando dos lineas de calculo diferentes y considerando, a los fines de este analisis, una potencia de 40 kW. Se ha representado al reactor y al recinto que lo aloja con un modelo simplificado, unidimensional, como un conjunto de regiones circulares concentricas. Se muestran los graficos de los flujos rapido y termico (con corte en 0,4 eV) en funcion de la distancia al centro del reactor. Se muestra asimismo el grafico del flujo neutronico (en n/cm{sup 2}.seg.eV) en funcion de la energia en la posicion de irradiacion rapida. Se consignan tambien los valores del flujo (en n/cm{sup 2}.seg.eV) en funcion de la energia en otras posiciones tipicas, asi como los valores equivalentes de los flujos integrados (en n/cm{sup 2}.seg). ((1) De acuerdo con la reaccion Au{sup 197}(n, {gamma})Au{sup 198}, con una seccion eficaz de {sigma}{sub 0}=98.8b para neutrones termicos. (2) De acuerdo con la

  17. Magnetic resonance vascular imaging

    International Nuclear Information System (INIS)

    Axel, L

    1989-01-01

    The basis principles of MRI are reviewed in order to understand how blood flow effects arise in conventional imaging. Then some of the ways these effects have ben used in MRI techniques specifically designed for vascular imaging, are considered. (author)

  18. Vascularized bone transplant chimerism mediated by vascular endothelial growth factor.

    Science.gov (United States)

    Willems, Wouter F; Larsen, Mikko; Friedrich, Patricia F; Bishop, Allen T

    2015-01-01

    Vascular endothelial growth factor (VEGF) induces angiogenesis and osteogenesis in bone allotransplants. We aim to determine whether bone remodeling in VEGF-treated bone allotransplants results from repopulation with circulation-derived autogenous cells or survival of allogenic transplant-derived cells. Vascularized femoral bone transplants were transplanted from female Dark Agouti rats (DA;RT1(a) ) to male Piebald Viral Glaxo (PVG;RT1(c) ). Arteriovenous bundle implantation and short-term immunosuppression were used to maintain cellular viability. VEGF was encapsulated in biodegradable microspheres and delivered intramedullary in the experimental group (n = 22). In the control group (n = 22), no VEGF was delivered. Rats were sacrificed at 4 or 18 weeks. Laser capture microdissection of bone remodeling areas was performed at the inner and outer cortex. Sex-mismatched genes were quantified with reverse transcription-polymerase chain reaction to determine the amount of male cells to total cells, defined as the relative expression ratio (rER). At 4 weeks, rER was significantly higher at the inner cortex in VEGF-treated transplants as compared to untreated transplants (0.622 ± 0.225 vs. 0.362 ± 0.081, P = 0.043). At 4 weeks, the outer cortex in the control group had a significantly higher rER (P = 0.038), whereas in the VEGF group, the inner cortex had a higher rER (P = 0.015). Over time, in the outer cortex the rER significantly increased to 0.634 ± 0.106 at 18 weeks in VEGF-treated rats (P = 0.049). At 18 weeks, the rER was >0.5 at all cortical areas in both groups. These in vivo findings suggest a chemotactic effect of intramedullary applied VEGF on recipient-derived bone and could imply that more rapid angiogenesis of vascularized allotransplants can be established with microencapsulated VEGF. © 2014 Wiley Periodicals, Inc.

  19. Watermelon stomach: clinical aspects and treatment with argon plasma coagulation Ectasia vascular do antro gástrico ("watermelon stomach": aspectos clínicos e tratamento com coagulação com plasma de argônio

    Directory of Open Access Journals (Sweden)

    Dalton M. Chaves

    2006-09-01

    exibiam ectasia vascular do antro gástrico de aspecto difuso confluente ou estriado. Grupo II - 10 pacientes que apresentavam aspecto difuso pontilhado não-confluente. RESULTADOS: Todos os pacientes do grupo I apresentavam auto-anticorpos, exceto um paciente no qual não foi pesquisado. Três eram cirróticos, três tinham hipotireoidismo e todos apresentavam gastrite atrófica. No grupo II, todos tinham doença hepática não-autoimune, com plaquetas menores que 90.000. Dez pacientes foram submetidos a tratamento com coagulação com plasma de argônio, com 2 a 36 meses de seguimento. A ectasia vascular do antro gástrico recorreu em todos os pacientes que continuaram em acompanhamento e um paciente não respondeu ao tratamento para controle de sangramento agudo. CONCLUSÃO: Observou-se a existência de dois grupos distintos de pacientes com ectasia vascular do antro gástrico: um grupo associado a distúrbios imunológicos e outro com doença hepática não auto-imune e plaquetopenia. O tratamento com coagulação com plasma de argônio apresentou alta recurrência das ectasias vasculares.

  20. Vascular Complications of Pancreatitis: Role of Interventional Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Barge, Jaideep U.; Lopera, Jorge E. [University of Texas Health Science Center, San Antonio (United States)

    2012-02-15

    Major vascular complications related to pancreatitis can cause life-threatening hemorrhage and have to be dealt with as an emergency, utilizing a multidisciplinary approach of angiography, endoscopy or surgery. These may occur secondary to direct vascular injuries, which result in the formation of splanchnic pseudoaneurysms, gastrointestinal etiologies such as peptic ulcer disease and gastroesophageal varices, and post-operative bleeding related to pancreatic surgery. In this review article, we discuss the pathophysiologic mechanisms, diagnostic modalities, and treatment of pancreatic vascular complications, with a focus on the role of minimally-invasive interventional therapies such as angioembolization, endovascular stenting, and ultrasound-guided percutaneous thrombin injection in their management.

  1. Genealogy of training in vascular neurosurgery.

    Science.gov (United States)

    Chowdhry, Shakeel A; Spetzler, Robert F

    2014-02-01

    Remarkable advances and changes in the landscape of neurovascular disease have occurred recently. Concurrently, a paradigm shift in training and resident education is underway. This crossroad of unique opportunities and pressures necessitates creative change in the training of future vascular neurosurgeons to allow incorporation of surgical advances, new technology, and supplementary treatment modalities in a setting of reduced work hours and increased public scrutiny. This article discusses the changing landscape in neurovascular disease treatment, followed by the recent changes in resident training, and concludes with our view of the future of training in vascular neurosurgery.

  2. Vascular access complications and risk factors in hemodialysis ...

    African Journals Online (AJOL)

    Vascular access complications and risk factors in hemodialysis patients: A single center study. ... Stenosis was the most common risk factor for vascular failure as it occurred in (29%) of patients. ... Other risk factors for dialysis CRBSI include older age, low serum albumin, high BUN and decreasing the duration of dialysis.

  3. Obesity and risk of vascular disease: importance of endothelium-dependent vasoconstriction.

    Science.gov (United States)

    Barton, Matthias; Baretella, Oliver; Meyer, Matthias R

    2012-02-01

    Obesity has become a serious global health issue affecting both adults and children. Recent devolopments in world demographics and declining health status of the world's population indicate that the prevalence of obesity will continue to increase in the next decades. As a disease, obesity has deleterious effects on metabolic homeostasis, and affects numerous organ systems including heart, kidney and the vascular system. Thus, obesity is now regarded as an independent risk factor for atherosclerosis-related diseases such as coronary artery disease, myocardial infarction and stroke. In the arterial system, endothelial cells are both the source and target of factors contributing to atherosclerosis. Endothelial vasoactive factors regulate vascular homeostasis under physiological conditions and maintain basal vascular tone. Obesity results in an imbalance between endothelium-derived vasoactive factors favouring vasoconstriction, cell growth and inflammatory activation. Abnormal regulation of these factors due to endothelial cell dysfunction is both a consequence and a cause of vascular disease processes. Finally, because of the similarities of the vascular pathomechanisms activated, obesity can be considered to cause accelerated, 'premature' vascular aging. Here, we will review some of the pathomechanisms involved in obesity-related activation of endothelium-dependent vasoconstriction, the clinical relevance of obesity-associated vascular risk, and therapeutic interventions using 'endothelial therapy' aiming at maintaining or restoring vascular endothelial health. This article is part of a themed section on Fat and Vascular Responsiveness. To view the other articles in this section visit http://dx.doi.org/10.1111/bph.2012.165.issue-3. © 2011 The Authors. British Journal of Pharmacology © 2011 The British Pharmacological Society.

  4. The splenomegaly of myeloproliferative and lymphoproliferative disorders: splenic cellularity and vascularity

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, B (Capital Hospital, Peking University Medical College, Beijing (China)); Lewis, S.M. (Department of Haematology, Royal Postgraduate Medical School, London (UK))

    1989-01-01

    Employing radionuclide scanning, the volume of the spleen, its red cell pool and plasma pool have been measured in vivo, and the relative proportions of cellularity and vascularity of the spleen have been calcualted in 51 patients with myeloproliferactive and lymphoproliferative disorders. In primary proliferative polycythaemia (polycythaemia vera), the increase of spleen size was attributed mainly to the increase of splenic vascularity; in myelofibrosis and in hairy cell leukaemia, the increase of spleen size was associated with increase in both splenic vascularity and cellularity, whilst in size was associated with increase in both splenic vascularity and cellularity, whilst in CGL and CLL the increase was attributed more to cellularity than to vascularity. (author).

  5. Vascular Trauma Operative Experience is Inadequate in General Surgery Programs.

    Science.gov (United States)

    Yan, Huan; Maximus, Steven; Koopmann, Matthew; Keeley, Jessica; Smith, Brian; Virgilio, Christian de; Kim, Dennis Y

    2016-05-01

    Vascular injuries may be challenging, particularly for surgeons who have not received formal vascular surgery fellowship training. Lack of experience and improper technique can result in significant complications. The objective of this study was to examine changes in resident experience with operative vascular trauma over time. A retrospective review was performed using Accreditation Council for Graduate Medical Education (ACGME) case logs of general surgery residents graduating between 2004 and 2014 at 2 academic, university-affiliated institutions associated with level 1 trauma centers. The primary outcome was number of reported vascular trauma operations, stratified by year of graduation and institution. A total of 112 residents graduated in the study period with a median 7 (interquartile range 4.5-13.5) vascular trauma cases per resident. Fasciotomy and exposure and/or repair of peripheral vessels constituted the bulk of the operative volume. Linear regression showed no significant trend in cases with respect to year of graduation (P = 0.266). Residents from program A (n = 53) reported a significantly higher number of vascular trauma cases when compared with program B (n = 59): 12.0 vs. 5.0 cases, respectively (P < 0.001). Level 1 trauma center verification does not guarantee sufficient exposure to vascular trauma. The operative exposure in program B is reflective of the national average of 4.0 cases per resident as reported by the ACGME, and this trend is unlikely to change in the near future. Fellowship training may be critical for surgeons who plan to work in a trauma setting, particularly in areas lacking vascular surgeons. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Our vascular surgery experiences in Syrian civil war

    Directory of Open Access Journals (Sweden)

    İyad Fansa

    2014-12-01

    Full Text Available Objective: Due to the ongoing civil war in Syria, numerous vascular injured patients are admitted to our hospital with gunshot wounds. In this study, patients who admitted our hospital, diagnosed with vascular trauma due to gunshot were evaluated with the respect of injury site, additional injuries, surgical interventions and outcomes. Methods: The study included 58 patients wounded in Syrian war and admitted to our hospital between 01.01.2012 and 01.09.2014. Results= There were 5.1% (n=3 female and 94.9% (n=55 male patients. Age range is 5-75 years and the average of age was identified as 28.61. In 12.1% (n=7 of patients with extensive tissue defects of the muscle-nerve-bone injury has been identified, despite the vascular interventions in these patients, 8.6% (n=5 of patients, the limb has been amputated. Totally 15.5% (n=9 of 58 operated patients died. Two patients died because of major vascular injury with intra-abdominal organ injuries. In one patient; infection induced sepsis and multi organ failure was detected. Six patients were lost due to hypovolemic shock as a result of late arriving. Conclusion: In patients admitted with gunshot vascular injury arrival time, the presence of additional injuries and the location of injury affect mortality rates.

  7. Diagnosis and treatment of vascular damage in dementia.

    Science.gov (United States)

    Biessels, Geert Jan

    2016-05-01

    This paper provides an overview of cognitive impairment due to vascular brain damage, which is referred to as vascular cognitive impairment (VCI). Over the past decades, we have seen marked progress in detecting VCI, both through maturation of diagnostic concepts and through advances in brain imaging, especially MRI. Yet in daily practice, it is often challenging to establish the diagnosis, particularly in patients where there is no evident temporal relation between a cerebrovascular event and cognitive dysfunction. Because vascular damage is such a common cause of cognitive dysfunction, it provides an obvious target for treatment. In patients whose cognitive dysfunction follows directly after a stroke, the etiological classification of this stroke will direct treatment. In many patients however, VCI develops due to so-called "silent vascular damage," without evident cerebrovascular events. In these patients, small vessel diseases (SVDs) are the most common cause. Yet no SVD-specific treatments currently exist, which is due to incomplete understanding of the pathophysiology. This review addresses developments in this field. It offers a framework to translate diagnostic criteria to daily practice, addresses treatment, and highlights some future perspectives. This article is part of a Special Issue entitled: Vascular Contributions to Cognitive Impairment and Dementia, edited by M. Paul Murphy, Roderick A. Corriveau, and Donna M. Wilcock. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. Initial Clinical Experience Using the Amplatzer Vascular Plug

    International Nuclear Information System (INIS)

    Tuite, David J.; Kessel, David O.; Nicholson, Anthony A.; Patel, Jai V.; McPherson, Simon J.; Shaw, David R.

    2007-01-01

    Background and purpose. The Amplatzer Vascular Plug (AVP) is a self-expanding nitinol wire mesh vascular embolization device derived from the Amplatz septal occluder. We assessed the results of vascular embolization obtained using the AVP. Methods. A retrospective review was carried out of 23 consecutive cases of vascular embolization using the AVP in a variety of different clinical settings. The AVP was chosen to have a diameter approximately 30-50% greater than the target vessel. The device was delivered via an appropriately sized guide catheter and was released when satisfactorily positioned. Additional embolic agents were used in some cases. Results. All target vessels were successfully occluded with no device malpositioning or malfunction. In 14 (61%) patients the AVP was the sole embolic material. In the remaining patients additional agents were used, particularly in preoperative embolization of highly vascular renal tumors. The AVP does not cause instantaneous thrombosis and in high-flow situations thrombosis typically takes up to 15 min. Conclusion. The AVP is a safe, effective embolization device that provides a useful adjunct to the therapeutic armamentarium. It is particularly suited to the treatment of short high-flow vessels where coil migration and catheter dislodgment might occur. In the majority of cases no additional embolic agents are necessary but it may take up to 15 min for complete thrombosis to occur

  9. Transforming growth factor β family members in regulation of vascular function: in the light of vascular conditional knockouts.

    Science.gov (United States)

    Jakobsson, Lars; van Meeteren, Laurens A

    2013-05-15

    Blood vessels are composed of endothelial cells, mural cells (smooth muscle cells and pericytes) and their shared basement membrane. During embryonic development a multitude of signaling components orchestrate the formation of new vessels. The process is highly dependent on correct dosage, spacing and timing of these signaling molecules. As vessels mature some cascades remain active, albeit at very low levels, and may be reactivated upon demand. Members of the Transforming growth factor β (TGF-β) protein family are strongly engaged in developmental angiogenesis but are also regulators of vascular integrity in the adult. In humans various genetic alterations within this protein family cause vascular disorders, involving disintegration of vascular integrity. Here we summarize and discuss recent data gathered from conditional and endothelial cell specific genetic loss-of-function of members of the TGF-β family in the mouse. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. 99mTc-leukocyte scintigraphy in prosthetic vascular graft infections

    International Nuclear Information System (INIS)

    Vorne, M.; Laitinen, J.; Lehtonen, J.; Toivio, I.; Mokka, R.; Soini, I.

    1989-01-01

    The aim of this study was to determine the diagnostic value of scintigraphy with 99m Tc-HMPAO-labelled leukocytes for the detection of prosthetic vascular graft infection. 51 scans were recorded in 19 patients with suspected vascular graft infection and 8 control patients. Three-phase scanning was used at 0.5, 3-6 and 18-24 h. 13 vascular graft infections (10 early, 3 late) were found. 12 of these healed with antibiotics and only one patient with late infection had to be reoperated. None of them died during the follow-up period. The sensitivity was 100% and the specificity 96%. 99m Tc-leukocyte scintigraphy seems a useful tool to detect vascular graft infection and to differentiate it from infections elsewhere. The results suggest that the incidence of vascular graft infection may be greater, and the mortality rate lower, than supposed before. (orig.) [de

  11. Vascular surgery research in the Gulf Cooperation Council countries

    Directory of Open Access Journals (Sweden)

    Ali Jawas

    2014-04-01

    Conclusion: The quality and quantity of vascular surgery research in the GCC countries should be improved to answer important local questions related to vascular diseases. This needs better strategic planning and more collaboration between various institutions.

  12. Characterization of midrib vascular bundles of selected medicinal species in Rubiaceae

    Science.gov (United States)

    Nurul-Syahirah, M.; Noraini, T.; Latiff, A.

    2016-11-01

    An anatomical study was carried out on mature leaves of five selected medicinal species of Rubiaceae from Peninsular Malaysia. The chosen medicinal species were Aidia densiflora, Aidia racemosa, Chasallia chartacea, Hedyotis auricularia and Ixora grandifolia. The objective of this study is to determine the taxonomic value of midrib anatomical characteristics. Leaves samples were collected from Taman Paku Pakis, Universiti Kebangsaan Malaysia, Bangi, Selangor and Kledang Saiong Forest Reserve, Perak, Malaysia. Leaves samples then were fixed in spirit and acetic acid (3:1), the midrib parts then were sectioned using sliding microtome, cleared using Clorox, stained in Safranin and Alcian blue, mounted in Euparal and were observed under light microscope. Findings in this study have shown all species have collateral bundles. The midrib vascular bundles characteristics that can be used as tool to differentiate between species or genus are vascular bundles system (opened or closed), shape and arrangement of main vascular bundles, presence of both additional and medullary vascular bundles, position of additional vascular bundles, shape of medullary vascular bundles, presence of sclerenchyma cells ensheathed the vascular bundles. As a conclusion, midrib anatomical characteristics can be used to identify and discriminate medicinal plants species studied in the Rubiaceae.

  13. Inferior vena cava leiomyosarcoma: vascular reconstruction is not ...

    African Journals Online (AJOL)

    ... vena cava is a rare and aggressive tumor, arising from the smooth muscle cells in the vessel wall. A large complete surgical resection is the essential treatment. The need of vascular reconstruction is not always mandatory. It's above all to understand the place of the reconstruction with artificial vascular patch prosthetics of ...

  14. A biodegradable vascularizing membrane: a feasibility study.

    Science.gov (United States)

    Kaushiva, Anchal; Turzhitsky, Vladimir M; Darmoc, Marissa; Backman, Vadim; Ameer, Guillermo A

    2007-09-01

    Regenerative medicine and in vivo biosensor applications require the formation of mature vascular networks for long-term success. This study investigated whether biodegradable porous membranes could induce the formation of a vascularized fibrous capsule and, if so, the effect of degradation kinetics on neovascularization. Poly(l-lactic acid) (PLLA) and poly(dl-lactic-co-glycolic) acid (PLGA) membranes were created by a solvent casting/salt leaching method. Specifically, PLLA, PLGA 75:25 and PLGA 50:50 polymers were used to vary degradation kinetics. The membranes were designed to have an average 60mum pore diameter, as this pore size has been shown to be optimal for inducing blood vessel formation around nondegradable polymer materials. Membrane samples were imaged by scanning electron microscopy at several time points during in vitro degradation to assess any changes in pore structure. The in vivo performance of the membranes was assessed in Sprague-Dawley rats by measuring vascularization within the fibrous capsule that forms adjacent to implants. The vascular density within 100microm of the membranes was compared with that seen in normal tissue, and to that surrounding the commercially available vascularizing membrane TheraCyte. The hemoglobin content of tissue containing the membranes was measured by four-dimensional elastic light scattering as a novel method to assess tissue perfusion. Results from this study show that slow-degrading membranes induce greater amounts of neovascularization and a thinner fibrous capsule relative to fast degrading membranes. These results may be due both to an initially increased number of macrophages surrounding the slower degrading membranes and to the maintenance of their initial pore structure.

  15. The influence of perivascular adipose tissue on vascular homeostasis

    Directory of Open Access Journals (Sweden)

    Szasz T

    2013-03-01

    Full Text Available Theodora Szasz,1 Gisele Facholi Bomfim,2 R Clinton Webb1 1Department of Physiology, Georgia Regents University, Augusta, USA; 2Department of Pharmacology, University of São Paulo, São Paulo, Brazil Abstract: The perivascular adipose tissue (PVAT is now recognized as an active contributor to vascular function. Adipocytes and stromal cells contained within PVAT are a source of an ever-growing list of molecules with varied paracrine effects on the underlying smooth muscle and endothelial cells, including adipokines, cytokines, reactive oxygen species, and gaseous compounds. Their secretion is regulated by systemic or local cues and modulates complex processes, including vascular contraction and relaxation, smooth muscle cell proliferation and migration, and vascular inflammation. Recent evidence demonstrates that metabolic and cardiovascular diseases alter the morphological and secretory characteristics of PVAT, with notable consequences. In obesity and diabetes, the expanded PVAT contributes to vascular insulin resistance. PVAT-derived cytokines may influence key steps of atherogenesis. The physiological anticontractile effect of PVAT is severely diminished in hypertension. Above all, a common denominator of the PVAT dysfunction in all these conditions is the immune cell infiltration, which triggers the subsequent inflammation, oxidative stress, and hypoxic processes to promote vascular dysfunction. In this review, we discuss the currently known mechanisms by which the PVAT influences blood vessel function. The important discoveries in the study of PVAT that have been made in recent years need to be further advanced, to identify the mechanisms of the anticontractile effects of PVAT, to explore the vascular-bed and species differences in PVAT function, to understand the regulation of PVAT secretion of mediators, and finally, to uncover ways to ameliorate cardiovascular disease by targeting therapeutic approaches to PVAT. Keywords: adipokines

  16. Arterial vascularization of the pineal gland.

    Science.gov (United States)

    Kahilogullari, Gokmen; Ugur, Hasan Caglar; Comert, Ayhan; Brohi, Recep Ali; Ozgural, Onur; Ozdemir, Mevci; Karahan, Suleyman Tuna

    2013-10-01

    The arterial vascularization of the pineal gland (PG) remains a debatable subject. This study aims to provide detailed information about the arterial vascularization of the PG. Thirty adult human brains were obtained from routine autopsies. Cerebral arteries were separately cannulated and injected with colored latex. The dissections were carried out using a surgical microscope. The diameters of the branches supplying the PG at their origin and vascularization areas of the branches of the arteries were investigated. The main artery of the PG was the lateral pineal artery, and it originated from the posterior circulation. The other arteries included the medial pineal artery from the posterior circulation and the rostral pineal artery mainly from the anterior circulation. Posteromedial choroidal artery was an important artery that branched to the PG. The arterial supply to the PG was studied comprehensively considering the debate and inadequacy of previously published studies on this issue available in the literature. This anatomical knowledge may be helpful for surgical treatment of pathologies of the PG, especially in children who develop more pathology in this region than adults.

  17. Deleterious effects of tributyltin on porcine vascular stem cells physiology.

    Science.gov (United States)

    Bernardini, Chiara; Zannoni, Augusta; Bertocchi, Martina; Bianchi, Francesca; Salaroli, Roberta; Botelho, Giuliana; Bacci, Maria Laura; Ventrella, Vittoria; Forni, Monica

    2016-01-01

    The vascular functional and structural integrity is essential for the maintenance of the whole organism and it has been demonstrated that different types of vascular progenitor cells resident in the vessel wall play an important role in this process. The purpose of the present research was to observe the effect of tributyltin (TBT), a risk factor for vascular disorders, on porcine Aortic Vascular Precursor Cells (pAVPCs) in term of cytotoxicity, gene expression profile, functionality and differentiation potential. We have demonstrated that pAVPCs morphology deeply changed following TBT treatment. After 48h a cytotoxic effect has been detected and Annexin binding assay demonstrated that TBT induced apoptosis. The transcriptional profile of characteristic pericyte markers has been altered: TBT 10nM substantially induced alpha-SMA, while, TBT 500nM determined a significant reduction of all pericyte markers. IL-6 protein detected in the medium of pAVPCs treated with TBT at both doses studied and with a dose response. TBT has interfered with normal pAVPC functionality preventing their ability to support a capillary-like network. In addition TBT has determined an increase of pAVPC adipogenic differentiation. In conclusion in the present paper we have demonstrated that TBT alters the vascular stem cells in terms of structure, functionality and differentiating capability, therefore effects of TBT in blood should be deeply explored to understand the potential vascular risk associated with the alteration of vascular stem cell physiology. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Is Pseudoexfoliation Syndrome a Risk Factor for Cerebro Vascular Disease?

    Science.gov (United States)

    Kan, Emrah; Yılmaz, Ahmet; Demirağ, Mehmet Derya; Çalık, Murat

    2017-01-01

    To determine the relationship between cerebro vascular disease and pseudoexfoliation syndrome. This cross-sectional case control study consisted of 50 patients with ischemic-type cerebro vascular disease and 50 control subjects. All subjects were investigated for diabetes mellitus and hypertension status and underwent a detailed ophthalmic examination. A diagnosis of pseudoexfoliation syndrome was made if characteristic greyish particulate matter was found on the anterior lens capsule after pupillary dilatation by slit-lamp examination. All subjects were compared in terms of pseudoexfoliation syndrome, diabetes mellitus, and hypertension. Pearson Chi Square and Student's t test were used for statistical analysis. Logistic regression analyses of the risk factors between groups were also made. The presence of pseudoexfoliation syndrome was significantly higher in patients with cerebro vascular disease when compared to the control subjects (p = 0.02). The frequency of diabetes mellitus was similar between the two groups. Arterial hypertension was significantly more frequent in the patient group when compared to the control subjects (p cerebro vascular disease. In the present study, we found that pseudoexfoliation syndrome frequency was found to be higher in patients with cerebro vascular disease than in control subjects. A slit-lamp examination of the eye could be an important marker that indicates the risk of cerebro vascular disease. We recommend an evaluation of all subjects with pseudoexfoliation syndrome for the presence of cerebro vascular disease. Longitudinal studies with larger populations are needed to confirm this relationship.

  19. Disruptive technological advances in vascular access for dialysis: an overview.

    Science.gov (United States)

    Yeo, Wee-Song; Ng, Qin Xiang

    2017-11-29

    End-stage kidney disease (ESKD), one of the most prevalent diseases in the world and with increasing incidence, is associated with significant morbidity and mortality. Current available modes of renal replacement therapy (RRT) include dialysis and renal transplantation. Though renal transplantation is the preferred and ideal mode of RRT, this modality may not be available to all patients with ESKD. Moreover, renal transplant recipients are constantly at risk of complications associated with immunosuppression and immunosuppressant use, and posttransplant lymphoproliferative disorder. Dialysis may be the only available modality in certain patients. However, dialysis has its limitations, which include issues associated with lack of vascular access, risks of infections and vascular thrombosis, decreased quality of life, and absence of biosynthetic functions of the kidney. In particular, the creation and maintenance of hemodialysis vascular access in children poses a unique set of challenges to the pediatric nephrologist owing to the smaller vessel diameters and vascular hyperreactivity compared with adult patients. Vascular access issues continue to be one of the major limiting factors prohibiting the delivery of adequate dialysis in ESKD patients and is the Achilles' heel of hemodialysis. This review aims to provide a critical overview of disruptive technological advances and innovations for vascular access. Novel strategies in preventing neointimal hyperplasia, novel bioengineered products, grafts and devices for vascular access will be discussed. The potential impact of these solutions on improving the morbidity encountered by dialysis patients will also be examined.

  20. The influence of perivascular adipose tissue on vascular homeostasis.

    Science.gov (United States)

    Szasz, Theodora; Bomfim, Gisele Facholi; Webb, R Clinton

    2013-01-01

    The perivascular adipose tissue (PVAT) is now recognized as an active contributor to vascular function. Adipocytes and stromal cells contained within PVAT are a source of an ever-growing list of molecules with varied paracrine effects on the underlying smooth muscle and endothelial cells, including adipokines, cytokines, reactive oxygen species, and gaseous compounds. Their secretion is regulated by systemic or local cues and modulates complex processes, including vascular contraction and relaxation, smooth muscle cell proliferation and migration, and vascular inflammation. Recent evidence demonstrates that metabolic and cardiovascular diseases alter the morphological and secretory characteristics of PVAT, with notable consequences. In obesity and diabetes, the expanded PVAT contributes to vascular insulin resistance. PVAT-derived cytokines may influence key steps of atherogenesis. The physiological anticontractile effect of PVAT is severely diminished in hypertension. Above all, a common denominator of the PVAT dysfunction in all these conditions is the immune cell infiltration, which triggers the subsequent inflammation, oxidative stress, and hypoxic processes to promote vascular dysfunction. In this review, we discuss the currently known mechanisms by which the PVAT influences blood vessel function. The important discoveries in the study of PVAT that have been made in recent years need to be further advanced, to identify the mechanisms of the anticontractile effects of PVAT, to explore the vascular-bed and species differences in PVAT function, to understand the regulation of PVAT secretion of mediators, and finally, to uncover ways to ameliorate cardiovascular disease by targeting therapeutic approaches to PVAT.

  1. Risk stratification for the development of respiratory adverse events following vascular surgery using the Society of Vascular Surgery's Vascular Quality Initiative.

    Science.gov (United States)

    Genovese, Elizabeth A; Fish, Larry; Chaer, Rabih A; Makaroun, Michel S; Baril, Donald T

    2017-02-01

    Postoperative respiratory adverse events (RAEs) are associated with high rates of morbidity and mortality in general surgery, however, little is known about these complications in the vascular surgery population, a frail subset with multiple comorbidities. The objective of this study was to describe the contemporary incidence of RAEs in vascular surgery patients, the risk factors for this complication, and the overall impact of RAEs on patient outcomes. The Vascular Quality Initiative was queried (2003-2014) for patients who underwent endovascular abdominal aortic repair, open abdominal aortic aneurysm repair, thoracic endovascular aortic repair, suprainguinal bypass, or infrainguinal bypass. A mixed-effects logistic regression model determined the independent risk factors for RAEs. Using a random 85% of the cohort, a risk prediction score for RAEs was created, and the score was validated using the remaining 15% of the cohort, comparing the predicted to the actual incidence of RAE and determining the area under the receiver operating characteristic curve. The independent risk of in-hospital mortality and discharge to a nursing facility associated with RAEs was determined using a mixed-effects logistic regression to control for baseline patient characteristics, operative variables, and other postoperative adverse events. The cohort consisted of 52,562 patients, with a 5.4% incidence of RAEs. The highest rates of RAEs were seen in current smokers (6.1%), recent acute myocardial infarction (10.1%), symptomatic congestive heart failure (9.9%), chronic obstructive pulmonary disease requiring oxygen therapy (11.0%), urgent and emergent procedures (6.4% and 25.9%, respectively), open abdominal aortic aneurysm repairs (17.6%), in situ suprainguinal bypasses (9.68%), and thoracic endovascular aortic repairs (9.6%). The variables included in the risk prediction score were age, body mass index, smoking status, congestive heart failure severity, chronic obstructive pulmonary

  2. Subclinical hypothyroidism ups the risk of vascular complications in ...

    African Journals Online (AJOL)

    Subclinical hypothyroidism ups the risk of vascular complications in type 2 diabetes. ... hypothyroidism (SCH) and vascular complications of type 2 diabetes. ... However, gender (p = 0.076), BMI (p = 0.092), and smoking (P = 0.715) were not ...

  3. Relaxin as a natural agent for vascular health

    Directory of Open Access Journals (Sweden)

    Daniele Bani

    2008-06-01

    Full Text Available Daniele BaniDepartment of Anatomy, Histology and Forensic Medicine, Sect. Histology, University of Florence, ItalyAbstract: Hypertension, atherothrombosis, myocardial infarction, stroke, peripheral vascular disease, and renal failure are the main manifestations of cardiovascular disease (CVD, the leading cause of death and disability in developed countries. Continuing insight into the pathophysiology of CVD can allow identification of effective therapeutic strategies to reduce the occurrence of death and/or severe disabilities. In this context, a healthy endothelium is deemed crucial to proper functioning and maintenance of anatomical integrity of the vascular system in many organs. Of note, epidemiologic studies indicate that the incidence of CVD in women is very low until menopause and increases sharply thereafter. The loss of protection against CVD in post-menopausal women has been chiefly attributed to ovarian steroid deficiency. However, besides steroids, the ovary also produces the peptide hormone relaxin (RLX, which provides potent vasoactive effects which render it the most likely candidate as the elusive physiological shield against CVD in fertile women. In particular, RLX has a specific relaxant effect on peripheral and coronary vasculature, exerted by the stimulation of endogenous nitric oxide (NO generation by cells of the vascular wall, and can induce angiogenesis. Moreover, RLX inhibits the activation of inflammatory leukocytes and platelets, which play a key role in CVD. Experimental studies performed in vascular and blood cell in vitro and in animal models of vascular dysfunction, as well as pioneer clinical observations, have provided evidence that RLX can prevent and/or improve CVD, thus offering background to clinical trials aimed at exploring the broad therapeutic potential of human recombinant RLX as a new cardiovascular drug.Keywords: relaxin, blood vessels, endothelial cells, vascular smooth muscle, nitric oxide

  4. Vascular Stiffness and Increased Pulse Pressure in the Aging Cardiovascular System

    Directory of Open Access Journals (Sweden)

    Jochen Steppan

    2011-01-01

    Full Text Available Aging leads to a multitude of changes in the cardiovascular system, including systolic hypertension, increased central vascular stiffness, and increased pulse pressure. In this paper we will review the effects of age-associated increased vascular stiffness on systolic blood pressure, pulse pressure, augmentation index, and cardiac workload. Additionally we will describe pulse wave velocity as a method to measure vascular stiffness and review the impact of increased vascular stiffness as an index of vascular health and as a predictor of adverse cardiovascular outcomes. Furthermore, we will discuss the underlying mechanisms and how these may be modified in order to change the outcomes. A thorough understanding of these concepts is of paramount importance and has therapeutic implications for the increasingly elderly population.

  5. Initial evaluation of vascular ingrowth into superporous hydrogels.

    Science.gov (United States)

    Keskar, Vandana; Gandhi, Milind; Gemeinhart, Ernest J; Gemeinhart, Richard A

    2009-08-01

    There is a need for new materials and architectures for tissue engineering and regenerative medicine. Based upon our recent results developing novel scaffold architecture, we hypothesized that this new architecture would foster vascularization, a particular need for tissue engineering. We report on the potential of superporous hydrogel (SPH) scaffolds for in vivo cellular infiltration and vascularization. Poly(ethylene glycol) diacrylate (PEGDA) SPH scaffolds were implanted in the dorsum of severe combined immunodeficient (SCID) mice and harvested after 4 weeks of in vivo implantation. The SPHs were visibly red and vascularized, as apparent when compared to the non-porous hydrogel controls, which were macroscopically avascular. Host cell infiltration was observed throughout the SPHs. Blood cells and vascular structures, confirmed through staining for CD34 and smooth muscle alpha-actin, were observed throughout the scaffolds. This novel soft material may be utilized for cell transplantation, tissue engineering and in combination with cell therapies. The neovasularization and limited fibrotic response suggest that the architecture may be conducive to cell survival and rapid vessel development.

  6. Microfluidic Bioprinting for Engineering Vascularized Tissues and Organoids.

    Science.gov (United States)

    Zhang, Yu Shrike; Pi, Qingmeng; van Genderen, Anne Metje

    2017-08-11

    Engineering vascularized tissue constructs and organoids has been historically challenging. Here we describe a novel method based on microfluidic bioprinting to generate a scaffold with multilayer interlacing hydrogel microfibers. To achieve smooth bioprinting, a core-sheath microfluidic printhead containing a composite bioink formulation extruded from the core flow and the crosslinking solution carried by the sheath flow, was designed and fitted onto the bioprinter. By blending gelatin methacryloyl (GelMA) with alginate, a polysaccharide that undergoes instantaneous ionic crosslinking in the presence of select divalent ions, followed by a secondary photocrosslinking of the GelMA component to achieve permanent stabilization, a microfibrous scaffold could be obtained using this bioprinting strategy. Importantly, the endothelial cells encapsulated inside the bioprinted microfibers can form the lumen-like structures resembling the vasculature over the course of culture for 16 days. The endothelialized microfibrous scaffold may be further used as a vascular bed to construct a vascularized tissue through subsequent seeding of the secondary cell type into the interstitial space of the microfibers. Microfluidic bioprinting provides a generalized strategy in convenient engineering of vascularized tissues at high fidelity.

  7. Matrix Metalloproteinases: Inflammatory Regulators of Cell Behaviors in Vascular Formation and Remodeling

    Directory of Open Access Journals (Sweden)

    Qishan Chen

    2013-01-01

    Full Text Available Abnormal angiogenesis and vascular remodeling contribute to pathogenesis of a number of disorders such as tumor, arthritis, atherosclerosis, restenosis, hypertension, and neurodegeneration. During angiogenesis and vascular remodeling, behaviors of stem/progenitor cells, endothelial cells (ECs, and vascular smooth muscle cells (VSMCs and its interaction with extracellular matrix (ECM play a critical role in the processes. Matrix metalloproteinases (MMPs, well-known inflammatory mediators are a family of zinc-dependent proteolytic enzymes that degrade various components of ECM and non-ECM molecules mediating tissue remodeling in both physiological and pathological processes. MMPs including MMP-1, MMP-2, MMP-3, MMP-7, MMP-8, MMP-9, MMP-12, and MT1-MMP, are stimulated and activated by various stimuli in vascular tissues. Once activated, MMPs degrade ECM proteins or other related signal molecules to promote recruitment of stem/progenitor cells and facilitate migration and invasion of ECs and VSMCs. Moreover, vascular cell proliferation and apoptosis can also be regulated by MMPs via proteolytically cleaving and modulating bioactive molecules and relevant signaling pathways. Regarding the importance of vascular cells in abnormal angiogenesis and vascular remodeling, regulation of vascular cell behaviors through modulating expression and activation of MMPs shows therapeutic potential.

  8. Evaluación de un humedal artificial de flujo subsuperficial para el tratamiento de aguas residuales domésticas

    Directory of Open Access Journals (Sweden)

    Andrés Suárez

    2014-06-01

    Full Text Available Humedales artificiales de flujo subsuperficial fueron evaluados con el fin de establecer su aplicabilidad al tratamiento de aguas residuales domésticas de la Universidad Libre, sede Bosque Popular. Dos humedales a escala banco fueron construidos en acrílico transparente, uno plantado con especies típicas de humedales naturales en Bogotá, y una unidad control sin plantar. El seguimiento se realizó durante un período de 2 meses, ejecutando los respectivos análisis para determinar la disminución de materia orgánica, sólidos suspendidos totales, y fósforo y nitrógeno, entre otros parámetros físicos y químicos. Se encontró que si bien, no existe una diferencia significativa entre los parámetros físicos determinados para el humedal con y sin plantas, este tipo de sistemas son bastante efectivos para remover carga orgánica, puesto que más del 60% de ella fue removida y para nitrógeno amoniacal se llegó a remociones de más del 90%; además de que el movimiento del agua y el contacto de la superficie del humedal con el oxígeno del aire, permite el intercambio de gases de una manera sencilla y efectiva como se ve reflejado en el incremento de oxígeno disuelto

  9. Nucleotide Excision DNA Repair is Associated with Age-Related Vascular Dysfunction

    Science.gov (United States)

    Durik, Matej; Kavousi, Maryam; van der Pluijm, Ingrid; Isaacs, Aaron; Cheng, Caroline; Verdonk, Koen; Loot, Annemarieke E.; Oeseburg, Hisko; Musterd-Bhaggoe, Usha; Leijten, Frank; van Veghel, Richard; de Vries, Rene; Rudez, Goran; Brandt, Renata; Ridwan, Yanto R.; van Deel, Elza D.; de Boer, Martine; Tempel, Dennie; Fleming, Ingrid; Mitchell, Gary F.; Verwoert, Germaine C.; Tarasov, Kirill V.; Uitterlinden, Andre G.; Hofman, Albert; Duckers, Henricus J.; van Duijn, Cornelia M.; Oostra, Ben A.; Witteman, Jacqueline C.M.; Duncker, Dirk J.; Danser, A.H. Jan; Hoeijmakers, Jan H.; Roks, Anton J.M.

    2012-01-01

    Background Vascular dysfunction in atherosclerosis and diabetes, as observed in the aging population of developed societies, is associated with vascular DNA damage and cell senescence. We hypothesized that cumulative DNA damage during aging contributes to vascular dysfunction. Methods and Results In mice with genomic instability due to the defective nucleotide excision repair genes ERCC1 and XPD (Ercc1d/− and XpdTTD mice), we explored age-dependent vascular function as compared to wild-type mice. Ercc1d/− mice showed increased vascular cell senescence, accelerated development of vasodilator dysfunction, increased vascular stiffness and elevated blood pressure at very young age. The vasodilator dysfunction was due to decreased endothelial eNOS levels as well as impaired smooth muscle cell function, which involved phosphodiesterase (PDE) activity. Similar to Ercc1d/− mice, age-related endothelium-dependent vasodilator dysfunction in XpdTTD animals was increased. To investigate the implications for human vascular disease, we explored associations between single nucleotide polymorphisms (SNPs) of selected nucleotide excision repair genes and arterial stiffness within the AortaGen Consortium, and found a significant association of a SNP (rs2029298) in the putative promoter region of DDB2 gene with carotid-femoral pulse wave velocity. Conclusions Mice with genomic instability recapitulate age-dependent vascular dysfunction as observed in animal models and in humans, but with an accelerated progression, as compared to wild type mice. In addition, we found associations between variations in human DNA repair genes and markers for vascular stiffness which is associated with aging. Our study supports the concept that genomic instability contributes importantly to the development of cardiovascular disease. PMID:22705887

  10. Vascular Contributions to Cognitive Impairment and Dementia

    Science.gov (United States)

    Gorelick, Philip B.; Scuteri, Angelo; Black, Sandra E.; DeCarli, Charles; Greenberg, Steven M.; Iadecola, Costantino; Launer, Lenore J.; Laurent, Stephane; Lopez, Oscar L.; Nyenhuis, David; Petersen, Ronald C.; Schneider, Julie A.; Tzourio, Christophe; Arnett, Donna K.; Bennett, David A.; Chui, Helena C.; Higashida, Randall T.; Lindquist, Ruth; Nilsson, Peter M.; Roman, Gustavo C.; Sellke, Frank W.; Seshadri, Sudha

    2013-01-01

    Background and Purpose This scientific statement provides an overview of the evidence on vascular contributions to cognitive impairment and dementia. Vascular contributions to cognitive impairment and dementia of later life are common. Definitions of vascular cognitive impairment (VCI), neuropathology, basic science and pathophysiological aspects, role of neuroimaging and vascular and other associated risk factors, and potential opportunities for prevention and treatment are reviewed. This statement serves as an overall guide for practitioners to gain a better understanding of VCI and dementia, prevention, and treatment. Methods Writing group members were nominated by the writing group co-chairs on the basis of their previous work in relevant topic areas and were approved by the American Heart Association Stroke Council Scientific Statement Oversight Committee, the Council on Epidemiology and Prevention, and the Manuscript Oversight Committee. The writing group used systematic literature reviews (primarily covering publications from 1990 to May 1, 2010), previously published guidelines, personal files, and expert opinion to summarize existing evidence, indicate gaps in current knowledge, and, when appropriate, formulate recommendations using standard American Heart Association criteria. All members of the writing group had the opportunity to comment on the recommendations and approved the final version of this document. After peer review by the American Heart Association, as well as review by the Stroke Council leadership, Council on Epidemiology and Prevention Council, and Scientific Statements Oversight Committee, the statement was approved by the American Heart Association Science Advisory and Coordinating Committee. Results The construct of VCI has been introduced to capture the entire spectrum of cognitive disorders associated with all forms of cerebral vascular brain injury—not solely stroke—ranging from mild cognitive impairment through fully developed

  11. Radiation-induced vascular lesions of the skin: an overview

    NARCIS (Netherlands)

    Flucke, U.E.; Requena, L.; Mentzel, T.

    2013-01-01

    Radiation-induced cutaneous vascular neoplasms occur infrequently and comprise benign, so-called atypical vascular lesions (AVL) and angiosarcomas (AS), often being high-grade malignant tumors. Both arise most frequently within previously irradiated skin in breast-conserving-treated mammary cancer

  12. Validation of the Society for Vascular Surgery's objective performance goals for critical limb ischemia in everyday vascular surgery practice.

    Science.gov (United States)

    Goodney, Philip P; Schanzer, Andres; Demartino, Randall R; Nolan, Brian W; Hevelone, Nathanael D; Conte, Michael S; Powell, Richard J; Cronenwett, Jack L

    2011-07-01

    To develop standardized metrics for expected outcomes in lower extremity revascularization for critical limb ischemia (CLI), the Society for Vascular Surgery (SVS) has developed objective performance goals (OPGs) based on aggregate data from randomized trials of lower extremity bypass (LEB). It remains unknown, however, if these targets can be achieved in everyday vascular surgery practice. We applied SVS OPG criteria to 1039 patients undergoing 1039 LEB operations for CLI with autogenous vein (excluding patients on dialysis) within the Vascular Study Group of New England (VSGNE). Each of the individual OPGs was calculated within the VSGNE dataset, along with its surrounding 95% confidence intervals (CIs) and compared to published SVS OPGs using χ(2) comparisons and survival analysis. Across most risk strata, patients in the VSGNE and SVS OPG cohorts were similar (clinical high-risk [age >80 years and tissue loss]: 15.3% VSGNE; 16.2% SVS OPG; P = .58; anatomic high risk [infrapopliteal target artery]: 57.8% VSGNE; 60.2% SVS OPG; P = .32). However, the proportion of VSGNE patients designated as conduit high-risk (lack of single-segment great saphenous vein) was lower (10.2% VSGNE; 26.9% SVS OPG;P Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  13. The use of microtechnology and nanotechnology in fabricating vascularized tissues.

    Science.gov (United States)

    Obregón, Raquel; Ramón-Azcón, Javier; Ahadian, Samad; Shiku, Hitoshi; Bae, Hojae; Ramalingam, Murugan; Matsue, Tomokazu

    2014-01-01

    Tissue engineering (TE) is a multidisciplinary research area that combines medicine, biology, and material science. In recent decades, microtechnology and nanotechnology have also been gradually integrated into this field and have become essential components of TE research. Tissues and complex organs in the body depend on a branched blood vessel system. One of the main objectives for TE researchers is to replicate this vessel system and obtain functional vascularized structures within engineered tissues or organs. With the help of new nanotechnology and microtechnology, significant progress has been made. Achievements include the design of nanoscale-level scaffolds with new functionalities, development of integrated and rapid nanotechnology methods for biofabrication of vascular tissues, discovery of new composite materials to direct differentiation of stem and inducible pluripotent stem cells into the vascular phenotype. Although numerous challenges to replicating vascularized tissue for clinical uses remain, the combination of these new advances has yielded new tools for producing functional vascular tissues in the near future.

  14. [Vascular depression in the elderly. Does inflammation play a role?].

    Science.gov (United States)

    Viscogliosi, Giovanni; Andreozzi, Paola; Chiriac, Iulia Maria; Ettorre, Evaristo; Vulcano, Achiropita; Servello, Adriana; Marigliano, Benedetta; Marigliano, Vincenzo

    2011-06-01

    Vascular depression in the elderly. Does inflammation play a role?Depression is the most common comorbidity in the elderly, and it is a major determinant of disability. The late-onset depression in highly associated to cardiovascular disease. Depressive symptoms may follow vascular brain damage, especially when mood regulating areas are affected. However depression is strongly associated to vascular disease even when there is no manifest brain damage. Recently great attention has been given to chronic inflammation, both related to depression and vascular disease. Both experimental and clinical evidence shows that a rise in the concentrations of proinflammatory cytokines and glucocorticoids in depressed patients is associated with defect in serotonergic function. Chronic inflammation may underlie many forms of depression associated with vascular disease and metabolic syndrome. The importance of the inflammation hypothesis of depression lies is that psychotropic drugs may have central anti-inflammatory action, and that new generation of central anti-inflammatory drugs may be useful in depression treatment.

  15. Lifestyle and metabolic approaches to maximizing erectile and vascular health.

    Science.gov (United States)

    Meldrum, D R; Gambone, J C; Morris, M A; Esposito, K; Giugliano, D; Ignarro, L J

    2012-01-01

    Oxidative stress and inflammation, which disrupt nitric oxide (NO) production directly or by causing resistance to insulin, are central determinants of vascular diseases including ED. Decreased vascular NO has been linked to abdominal obesity, smoking and high intakes of fat and sugar, which all cause oxidative stress. Men with ED have decreased vascular NO and circulating and cellular antioxidants. Oxidative stress and inflammatory markers are increased in men with ED, and all increase with age. Exercise increases vascular NO, and more frequent erections are correlated with decreased ED, both in part due to stimulation of endothelial NO production by shear stress. Exercise and weight loss increase insulin sensitivity and endothelial NO production. Potent antioxidants or high doses of weaker antioxidants increase vascular NO and improve vascular and erectile function. Antioxidants may be particularly important in men with ED who smoke, are obese or have diabetes. Omega-3 fatty acids reduce inflammatory markers, decrease cardiac death and increase endothelial NO production, and are therefore critical for men with ED who are under age 60 years, and/or have diabetes, hypertension or coronary artery disease, who are at increased risk of serious or even fatal cardiac events. Phosphodiesterase inhibitors have recently been shown to improve antioxidant status and NO production and allow more frequent and sustained penile exercise. Some angiotensin II receptor blockers decrease oxidative stress and improve vascular and erectile function and are therefore preferred choices for lowering blood pressure in men with ED. Lifestyle modifications, including physical and penile-specific exercise, weight loss, omega-3 and folic acid supplements, reduced intakes of fat and sugar, and improved antioxidant status through diet and/or supplements should be integrated into any comprehensive approach to maximizing erectile function, resulting in greater overall success and patient

  16. A neurodegenerative vascular burden index and the impact on cognition

    Directory of Open Access Journals (Sweden)

    Sebastian eHeinzel

    2014-07-01

    Full Text Available A wide range of vascular burden factors have been identified to impact vascular function and structure as indicated by carotid intima-media thickness (IMT. On the basis of their impact on IMT, vascular factors may be selected and clustered in a vascular burden index (VBI. Since many vascular factors increase the risk of Alzheimer's disease (AD, a multifactorial neurodegenerative VBI may be related to early pathological processes in AD and cognitive decline in its preclinical stages.We investigated an elderly cohort at risk for neurodegeneration (TREND study, n = 1102 for the multifactorial influence of vascular burden factors on IMT measured by ultrasound. To create a VBI for this cohort, vascular factors and their definitions (considering medical history, medication and/or blood marker data were selected based on their statistical effects on IMT in multiple regressions including age and sex. The impact of the VBI on cognitive performance was assessed using the Trail-Making Test (TMT and the CERAD neuropsychological battery.IMT was significantly predicted by age (standardized β = .26, sex (.09; males > females and the factors included in the VBI: obesity (.18, hypertension (.14, smoking (.08, diabetes (.07, and atherosclerosis (.05, whereas other cardiovascular diseases or hypercholesterolemia were not significant. Individuals with 2 or more VBI factors compared to individuals without had an odds ratio of 3.17 regarding overly increased IMT (≥1.0 mm. The VBI showed an impact on executive control (log(TMT B-A, p = .047 and a trend towards decreased global cognitive function (CERAD total score, p = .057 independent of age, sex and education.A VBI established on the basis of IMT may help to identify individuals with overly increased vascular burden linked to decreased cognitive function indicating neurodegenerative processes. The longitudinal study of this risk cohort will reveal the value of the VBI as prodromal marker for cognitive decline and

  17. Juntos pero no revueltos: Procesos de integración social en fronteras residenciales entre hogares de distinto nivel socioeconómico

    Directory of Open Access Journals (Sweden)

    Alejandra Rasse

    2015-01-01

    Full Text Available Las secuelas negativas de la segregación residencial de los hogares más pobres han sido ampliamente descritas, pero poco se sabe sobre las consecuencias de la proximidad entre hogares de distinto estrato socioeconómico. Los estudios existentes no llegan a consenso: la proximidad es interpretada por algunos como una expresión distinta de exclusión; otros piensan que esta cercanía permite mejorar las oportunidades de integración de los hogares de menores ingresos. Este estudio busca aportar a esa discusión retrotrayéndose a las dinámicas subyacentes a las consecuencias de la proximidad residencial en términos de inclusión y cohesión social. Por medio de un estudio cualitativo de casos, se concluye que la proximidad se asocia a dinámicas de inclusión social de los vecinos de menores ingresos y al reforzamiento de la cohesión social, al hacer evidentes elementos transversales de pertenencia a un proyecto social común. Esto se debilita cuando la distancia social es demasiado grande, y en casos con historial de violencia.

  18. Neuroprotective effect of selective DPP-4 inhibitor in experimental vascular dementia.

    Science.gov (United States)

    Jain, Swati; Sharma, Bhupesh

    2015-12-01

    Vascular risk factors are associated with a higher incidence of dementia. Diabetes mellitus is considered as a main risk factor for Alzheimer's disease and vascular dementia. Both forms of dementia are posing greater risk to the world population and are increasing at a faster rate. In the past we have reported the induction of vascular dementia by experimental diabetes. This study investigates the role of vildagliptin, a dipeptidyl peptidase-4 inhibitor in the pharmacological interdiction of pancreatectomy diabetes induced vascular endothelial dysfunction and subsequent vascular dementia in rats. Attentional set shifting and Morris water-maze test were used for assessment of learning and memory. Vascular endothelial function, blood brain barrier permeability, serum glucose, serum nitrite/nitrate, oxidative stress (viz. aortic superoxide anion, brain thiobarbituric acid reactive species and brain glutathione), brain calcium and inflammation (myeloperoxidase) were also estimated. Pancreatectomy diabetes rats have shown impairment of endothelial function, blood brain barrier permeability, learning and memory along with increase in brain inflammation, oxidative stress and calcium. Administration of vildagliptin has significantly attenuated pancreatectomy induced impairment of learning, memory, endothelial function, blood brain barrier permeability and biochemical parameters. It may be concluded that vildagliptin, a dipeptidyl peptidase-4 inhibitor may be considered as potential pharmacological agents for the management of pancreatectomy induced endothelial dysfunction and subsequent vascular dementia. The selective modulators of dipeptidyl peptidase-4 may further be explored for their possible benefits in vascular dementia. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. How do bryophytes govern generative recruitment of vascular plants?

    NARCIS (Netherlands)

    Soudzilovskaia, N.A.; Graae, B.J.; Douma, J.C.; Grau, O.; Milbau, A.; Shevtsova, A.; Wolters, L.; Cornelissen, J.H.C.

    2011-01-01

    Interactions between vascular plants and bryophytes determine plant community composition in many ecosystems. Yet, little is known about the importance of interspecific differences between bryophytes with respect to their effects on vascular plants. We compared the extent to which species-specific

  20. Diffuse corpus callosum infarction - Rare vascular entity with differing etiology.

    Science.gov (United States)

    Mahale, Rohan; Mehta, Anish; Buddaraju, Kiran; John, Aju Abraham; Javali, Mahendra; Srinivasa, Rangasetty

    2016-01-15

    Infarctions of the corpus callosum are rare vascular events. It is relatively immune to vascular insult because of its rich vascular supply from anterior and posterior circulations of brain. Report of 3 patients with largely diffuse acute corpus callosum infarction. 3 patients with largely diffuse acute corpus callosum infarction were studied and each of these 3 patients had 3 different aetiologies. The 3 different aetiologies of largely diffuse acute corpus callosum infarction were cardioembolism, tuberculous arteritis and takayasu arteritis. Diffuse corpus callosum infarcts are rare events. This case series narrates the three different aetiologies of diffuse acute corpus callosum infarction which is a rare vascular event. Copyright © 2015 Elsevier B.V. All rights reserved.