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Sample records for las ramas medial

  1. APORTE DE LA MUJER RAMA AL DESARROLLO IDENTITARIO DE LAS COMUNIDADES DE RAMA CAY Y LA ZOMPOPERA, BLUEFIELDS

    Directory of Open Access Journals (Sweden)

    María Luisa Morales

    2012-02-01

    Full Text Available Históricamente el pueblo rama es el grupo indígena de la Costa Atlántica de menor población.El pueblo rama tiene una notable variedad de recursos naturales, entre ellos el recurso forestal y la pesca.Este estudio contribuye a un acercamiento sobre la realidad socioeconómica y cultural del pueblo rama, desde las voces de las mujeres y particularmente visibilizar el aporte de ellas, orientado al mejoramiento de las condiciones de vida de las familias y por ende de la comunidad a través del fortalecimiento de su identidad y cosmovisión.El estudio se desarrolló en las comunidades de Rama Cay y la Zompopera. En el ámbito social la mujer rama aporta signifi cativamente a las actividades de organización comunitaria, donde en los últimos años ha manifestado mayor participación y liderazgo. Su labor en la organización comunitaria, también le ha permitido posicionarse mejor en su entorno sociocultural.En relación a la educación, la mujer rama es quien custodia los valores y las tradiciones, por tanto desde la intimidad de su casa transmite en esencia la cultura rama.En lo que respecta a la dinámica económica, la mujer es la que siembra, cosecha y también comercializa todos los productos tanto de la agricultura como de la pesca.

  2. ESTIMACIÓN DE LOS COSTOS RELATIVOS DE LAS EMISIONES DE GASES DE EFECTO INVERNADERO EN LAS RAMAS DE LA ECONOMÍA MEXICANA

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    Pablo Ruiz Nápoles

    2011-01-01

    Full Text Available En este artículo se analiza mediante la matriz de insumo-producto de México, de2003, las consecuencias de las emisiones de gases de efecto invernadero en preciosy cantidades de la producción de cada una de las ramas económicas que la integran.Estas emisiones son vistas como externalidades negativas asociadas a la actividadproductiva. El estudio comprende el cálculo de emisiones de gases contaminantespor rama, la estimación del costo, en cantidad y en valor, de la emisión de estos ga-ses y la identificación de sectores estratégicos en la estructura actual de la economía.La conclusión es que las ramas del sector energético, y las que están muy vincu-ladas a él, son las que más contaminan y resultan importantes por su efecto en lasdemás. Estas ramas requieren supervisión para incrementar su eficiencia y reducirlas emisiones de gases contaminantes, en tanto se desarrollan y adoptan tecnologíaslimpias para producir energía.

  3. Rama, Prof.

    Indian Academy of Sciences (India)

    Home; Fellowship. Fellow Profile. Elected: 1969 Section: Earth & Planetary Sciences. Rama, Prof. Ph.D. (Mumbai), FNA, FNAAS. Date of birth: 16 March 1929. Specialization: Isotope Hydrology Address: Y-4, Sector 9, CBD, Navi Mumbai 400 614, Maharashtra Contact: Residence: (022) 2757 0081. Email: rama.506@yahoo.

  4. Rama Govindarajan

    Indian Academy of Sciences (India)

    ITDGUEST1

    2008-12-20

    Dec 20, 2008 ... SCIENCE AND TECHNOLOGY. 2007. CITATION. Dr Rama Govindarajan. The Shanti Swarup Bhatnagar Prize for the year 2007 in Engineering. Sciences has been awarded to Dr Rama Govindarajan of the Jawaharlal. Nehru Centre for Advanced Scientific Research, Bangalore. Dr Govindarajan has made ...

  5. La porosidad en las areniscas triásicas (Rama Aragonesa de la Cordillera Ibérica

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    Arribas, J.

    1984-12-01

    Full Text Available Triassic sandstone's porosity (Buntsandstein and Muschelkalk facies from the Aragonesa Branch of the Iberian Range are studied, firstly at the sediment primary porosity calculation and secondly the porosity-reducing processes are analyzed. Processes creating secondary sandstone porosity can be established (dissolution and fracturing by the textural and genetic caracterization of the sandstone's voids. The dissolution of potassium feldspar, carbonate cement and barite cement, is related with meteoric pore-water flow alloys to intramesozoic unconformities, Fracturing porosity is related to Iberian Range tertiary structuration. Finally, we concluded that the amount of the sandstone's secondary porosity depends mainly on the original composition of the sediments and also on the geochemical sedimentary environments that control the first diagenetic stages (eodiagenesis, This fact manifests itself in the amount and types of variating porosities along the stratigraphic section.

    Se estudia la porosidad en las areniscas triásicas (facies Buntsandstein y Muschelkalk de la Rama Aragonesa de la Cordillera Ibérica, partiendo del cálculo estimativo de la porosidad primaria del sedimento, para posteriormente analizar los distintos procesos diagenéticos que han intervenido en su destrucción (compactación mecánica, compactación química y cementación. La caracterización textural y genética de los poros en dichas areniscas permite establecer la existencia de procesos generadores de porosidad secundaria (disolución y fractura. La disolución del feldespato potásico, cemento carbonático y de baritina se relaciona con flujos de aguas meteóricas ligadas a discordancias intramesozoicas, mientras que la porosidad de fractura se asocia a la estructuración terciaria de la Cordillera Ibérica. Por ú1timo se concluye que la cantidad de porosidad secundaria en las areniscas estudiadas depende fundamentalmente de la composición original de los dep

  6. La arteriografía selectiva de las ramas de la aorta abdominal

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    Jorge Salazar S.

    1972-07-01

    Full Text Available Es unánime el consenso acerca de la dificultad que implica llegar al diagnóstico de enfermedades de los aparatos digestivo y urinario. Si bien es cierto que el empleo de la radiografía, especialmente desde la introducción de las técnicas de contraste, significó un gran avance, no es menos evidente que su mayor importancia actual radica en el hecho de ser punto de partida para el descubrimiento de nuevos y cada día más precisos métodos de diagnóstico, que sin embargo tienen sus limitaciones, contraindicaciones, complicaciones y riesgos.

  7. Identificación fitoquímica de las hojas y ramas de la Helietta cubensis Monach-Moldenke, especie endémica de Cuba

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    Sandra del Castillo Ochoa

    2004-04-01

    Full Text Available Se describe el tamizaje fitoquímico preliminar de las hojas y ramas de la Helietta cubensis Monach -Moldenke, especie endémica cubana que crece en la cima de los mogotes de Pinar del Río. La detección de los metabolitos secundarios se realizó mediante reactivos de identificación específicos para cada familia de compuestos. En ambas partes de la especie se identificaron en alta abundancia flavonoides y lactonas/coumarinas; en baja concentración se detectaron triterpenos/esteroides, lípidos/aceites esenciales, saponinas y carotenos y no la presencia de aminas y alcaloides. Mediante el análisis por cromatografía de capa fina se pudo corroborar los resultados obtenidos en la identificación de alcaloides, flavonoides y coumarinas. En general, los resultados obtenidos fueron homogéneos para ambas partes de la planta, y constituyen el primer reporte de la composición química para esta especie.The preliminary phytochemical screening of the leaves and branches of Helietta cubensis Monach-Moldenke, a Cuban endemic species that grows in the hummocks of Pinar del Río is described. The detection of the secondary metabolites was carried out by reagents of identification that are specific for each family of compounds. A great number of flavonoids and lactones/coumarines was identified in both parts of the species. A low concentration of triterpenes/steroids, lipids/essential oils, saponins and carotenes was observed, whereas amines and alkaloids were not detected. The results obtained in the identification of alkaloids, flavonoids and coumarines were corroborated by thin layer chromatography. In general, the results attained were homogeneous for both parts of the plant and they are the first report about the chemical composition of this species.

  8. Govindarajan, Prof. Rama

    Indian Academy of Sciences (India)

    Home; Fellowship. Fellow Profile. Elected: 2010 Section: Engineering & Technology. Govindarajan, Prof. Rama Ph.D. (IISc), FNASc. Date of birth: 26 August 1962. Specialization: Fluid Mechanics Address: International Centre for Theoretical Science, Shivakote, Hesaraghatta Post, Bengal;uru 560 089, Karnataka Contact:

  9. Kant, Prof. Rama

    Indian Academy of Sciences (India)

    Elected: 2015 Section: Chemistry. Kant, Prof. Rama Ph.D. (IISc). Date of birth: 18 January 1963. Specialization: Complex Systems in Electrochemistry & Polymers, Theoretical Chemistry, Nanoelectrochemistry Address: Department of Chemistry, University of Delhi, Delhi 110 007, U.T.. Contact: Office: (011) 2766 6646/188

  10. ANATOMÍA MACROSCÓPICA E IMAGENOLÓGICA DE LAS RAMAS PRECOCES DE LA ARTERIA CEREBRAL MEDIA. Macroscopic and radiological anatomy of early branches of the middle cerebral artery

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    Fernando Martínez

    2016-03-01

    Full Text Available Las ramas precoces de la arteria cerebral media son ramas corticales originadas del tronco de la citada arteria. Se trata de arterias que pueden nutrir importantes áreas de los lóbulos temporal, frontal o la ínsula. Por lo tanto, la oclusión de una de estas ramas producirá un área de isquemia con potenciales consecuencias. Se estudiaron 20 hemisferios cerebrales  de cadáveres adultos conservados en formol, y 20 angiografías silvianas realizando una comparación y correlación. En las piezas anatómicas, la arteria cerebral media terminó por bifurcación en el 100% de los casos y dicha bifurcación se sitúo en la porción esfenoidal (M1 en la mayoría de las piezas. Se encontraron ramas precoces en número de1 a4 en el 80%, totalizando 28 arterias, de las cuales 23 tenían destino temporal y 5 frontales. En el material angiográfico la cerebral media terminó por bifurcación en el 95% de los casos y la misma se ubicó en M1 en la mayoría de los casos. Se encontraron ramas precoces en el 70% de los estudios analizados, totalizando 19 ramos. De los mismos, 16 fueron temporales, 1 frontal y en 2 casos no se pudo determinar su destino. Consideramos que los datos anatómicos y angiográficos obtenidos por este y otros estudios son de utilidad en la planificación del clipado de  los aneurismas de la cerebral media. The early branches of the middle cerebral artery are cortical branches that arise from the trunk of this artery. These branches can supply significant areas in the temporal, frontal or insular lobes. Therefore, their occlusion may lead to ischemia and potential sequelae. We studied 20 cerebral hemispheres of formalin-fixed adult cadavers and 20 silvian angiographies in order to compare and correlate them. In the anatomical specimens, the middle cerebral artery ended bifurcating in 100% of the cases and such bifurcation occurred at the sphenoidal segment (M1 in most cases. Early branches ranging from 1 to 4 were found in 80

  11. Análisis de la trayectoria formativa de la mujer en las ramas industriales de Formación Profesional en Galicia y su inserción sociolaboral

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    Antonio RIAL SÁNCHEZ

    2011-04-01

    Full Text Available La persistencia de la discriminación de género en el panorama sociolaboral es una realidad que aún persiste en varios países desarrollados como España. Dicha discriminación se hace explícita tanto a nivel horizontal como a nivel vertical y se puede observar, con gran facilidad, en los indicadores estandarizados que trimestralmente nos ofrecen la epa o el ine o en indicadores más cualitativos que verifican la persistencia de dicha discriminación como son el reconocimiento social del trabajo o las oportunidades de promoción profesional. Así, al realizar un primer balance de las estadísticas de mujeres matriculadas en la Fp de Galicia en los últimos diez años, observamos que las alumnas de formación Profesional elegían familias profesionales que tradicionalmente habían sido desempeñadas por mujeres, mientras que los alumnos seleccionaban aquellas ejercidas por hombres. esta vinculación de profesiones con lo masculino o con lo femenino responde más a un proceso histórico de transmisión de estereotipos socioculturales que a un catálogo riguroso de competencias asociadas a un género o a otro. Por consiguiente, el objeto de este estudio consistió en analizar las trayectorias formativas y de inserción laboral de las mujeres que habían decidido formarse y trabajar en sectores profesionales de las ramas industriales en Galicia. Para ejecutar este estudio se ha recurrido a una metodología de triangulación de datos, combinando instrumentos de recogida de datos de carácter cualitativo y cuantitativo. Como conclusiones generales destacamos el poco interés que suscitan las problemáticas de igualdad –así como las escasas iniciativas que sobre igualdad se promueven en los centros formativos– y la reticencia del empresariado a modificar y/o erradicar los clichés y estereotipos que dificultan la consecución de una igualdad plena, tanto en el plano formativo como en el sociolaboral.

  12. RAMA Final report January 1985

    International Nuclear Information System (INIS)

    Johansson, K.

    1985-01-01

    The RAMA project deals with the development of methods and analytical tools for the analysis of severe accidents in Swedish nuclear power plants. The analytical tools used are the computer codes MAAP, FPRAT and RETAIN-S. MAAP provides the pressure, temperature and core concrete attack inside the containment. FPRAT provides the fission product rate of release rom the overheaing or melting core. RETAIN-S tracks the transport and retention of fission products in the reactor coolant and containment vessels. The use of the codes is demonstrated in a few calculational examples. Conclusions are drawn on the suitability ad applicability of the codes for their intended use and recommendations are given on further work. (author)

  13. Estudio anatómico de la rama superficial del nervio radial, implicaciones quirúrgicas

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    Enrique Vergara Amador

    2010-07-01

    Full Text Available Antecedentes. Conocer la anatomía de la rama superficial del nervio radial, es indispensable para la adecuada práctica de cirugías que involucran la mano y la muñeca. Objetivo. Determinar las relaciones del nervio radial y sus ramas con el tubérculo de Lister, la apófisis estiloides del radio y la distribución en el dorso de la mano. Material y métodos. Se disecaron 25 piezas de cadáveres frescos. Se identificó la rama superficial del nervio radial y se midió la distancia entre la salida del nervio y la apófisis estiloides del radio. Se identificaron las ramas del nervio en el antebrazo distal y en la muñeca y se midieron respecto a la apófisis estiloides y al tubérculo de Lister. Resultados. La rama superficial del nervio radial emergió en la región dorsal y radial del tercio distal del antebrazo entre el músculo braquiradialis y el extensor carpis radialis longus, a una distancia de 8,45 cm proximal a la apófisis estiloides. Su primera rama de división discurrió palmar a la apófisis estiloides radial a una distancia promedio de 0,74 cm respecto a la misma. El tronco principal se dividió en varias ramas terminales así: proximal a la apófisis estiloides del radio (28%, a nivel de la misma (12% y distal (60%. El patrón de distribución de las ramas nerviosas en la base de los dedos más frecuente fue el del primero, segundo y el lado radial del tercer dedo (56%. Discusión. Este estudio mostró la gran variabilidad de la rama superficial del nervio radial en el dorso de la mano y la alta probabilidad de daño del mismo durante los procedimientos abiertos, artroscópicos o procedimientos percutáneos en la muñeca.

  14. Seri Rama: converting a shadow play puppet to Street Fighter.

    Science.gov (United States)

    Ghani, D B A

    2012-01-01

    Shadow puppet plays, a traditional Malaysian theater art, is slowly losing its appeal to adolescents, who prefer computer games. To help reverse this decline, the authors incorporated the traditional Seri Rama character into the Street Fighter video game. Using modeling, texturing, and animation, they developed a 3D Seri Rama prototype. Users can control Seri Rama with a PlayStation game controller.

  15. La representatividad de lo latinoamericano en la generación crítica (Homenaje a Ángel Rama)

    OpenAIRE

    Yangali Vargas, Jorge Luis

    2014-01-01

    Situar el aporte de la Generación Crítica, nombre propuesto por Ángel Rama para sus coetáneos uruguayos, que nosotros extendemos a los críticos latinoamericanos de la segunda mitad del siglo XX diferenciándolos de los aglutinados en el Boom Latinoamericano. Asimismo comprender una de las principales categorías sugeridas por Rama: la transculturación.

  16. Three-dimensional RAMA fluence methodology benchmarking

    International Nuclear Information System (INIS)

    Baker, S. P.; Carter, R. G.; Watkins, K. E.; Jones, D. B.

    2004-01-01

    This paper describes the benchmarking of the RAMA Fluence Methodology software, that has been performed in accordance with U. S. Nuclear Regulatory Commission Regulatory Guide 1.190. The RAMA Fluence Methodology has been developed by TransWare Enterprises Inc. through funding provided by the Electric Power Research Inst., Inc. (EPRI) and the Boiling Water Reactor Vessel and Internals Project (BWRVIP). The purpose of the software is to provide an accurate method for calculating neutron fluence in BWR pressure vessels and internal components. The Methodology incorporates a three-dimensional deterministic transport solution with flexible arbitrary geometry representation of reactor system components, previously available only with Monte Carlo solution techniques. Benchmarking was performed on measurements obtained from three standard benchmark problems which include the Pool Criticality Assembly (PCA), VENUS-3, and H. B. Robinson Unit 2 benchmarks, and on flux wire measurements obtained from two BWR nuclear plants. The calculated to measured (C/M) ratios range from 0.93 to 1.04 demonstrating the accuracy of the RAMA Fluence Methodology in predicting neutron flux, fluence, and dosimetry activation. (authors)

  17. Project RAMA: Reconstructing Asteroids Into Mechanical Automata

    Science.gov (United States)

    Dunn, Jason; Fagin, Max; Snyder, Michael; Joyce, Eric

    2017-01-01

    Many interesting ideas have been conceived for building space-based infrastructure in cislunar space. From O'Neill's space colonies, to solar power satellite farms, and even prospecting retrieved near earth asteroids. In all the scenarios, one thing remained fixed - the need for space resources at the outpost. To satisfy this need, O'Neill suggested an electromagnetic railgun to deliver resources from the lunar surface, while NASA's Asteroid Redirect Mission called for a solar electric tug to deliver asteroid materials from interplanetary space. At Made In Space, we propose an entirely new concept. One which is scalable, cost effective, and ensures that the abundant material wealth of the inner solar system becomes readily available to humankind in a nearly automated fashion. We propose the RAMA architecture, which turns asteroids into self-contained spacecraft capable of moving themselves back to cislunar space. The RAMA architecture is just as capable of transporting conventional-sized asteroids on the 10-meter length scale as transporting asteroids 100 meters or larger, making it the most versatile asteroid retrieval architecture in terms of retrieved-mass capability. This report describes the results of the Phase I study funded by the NASA NIAC program for Made In Space to establish the concept feasibility of using space manufacturing to convert asteroids into autonomous, mechanical spacecraft. Project RAMA, Reconstituting Asteroids into Mechanical Automata, is designed to leverage the future advances of additive manufacturing (AM), in-situ resource utilization (ISRU) and in-situ manufacturing (ISM) to realize enormous efficiencies in repeated asteroid redirect missions. A team of engineers at Made In Space performed the study work with consultation from the asteroid mining industry, academia, and NASA. Previous studies for asteroid retrieval have been constrained to studying only asteroids that are both large enough to be discovered, and small enough to be

  18. Los contenidos de las ramas superiores del conocimiento académico: Medicina, Derecho y Teología. Lectura de los tratados empleados para su enseñanza (siglos XIII-XV

    Directory of Open Access Journals (Sweden)

    Josué Villa Prieto

    2016-12-01

    Full Text Available Este trabajo profundiza en el estudio de la enseñanza durante la Baja Edad Media a partir de la lectura atenta y detenida de los tratados empleados en las facultades superiores del currículo universitario. En primer lugar se presenta los textos destinados al aprendizaje de la Medicina, diferenciando entre obras clásicas utilizadas para fines didácticos y nuevas composiciones contemporáneas. A continuación se expone los dedicados al Derecho, tanto Canónico como Civil; y finalmente los utilizados para el estudio de la Teología. Gracias a estos tratados es posible concretar en detalle los contenidos integrados en cada disciplina. Asimismo se ofrece un contexto sobre el marco socio-político por el cual se inicia la enseñanza de cada una de estas materias en los studia generalia y, de un modo más particular, en la universidad hispánica.

  19. EL DERECHO ELECTRÓNICO, UNA RAMA AUTÓNOMA DEL DERECHO EN UNA REALIDAD SOCIO EMPRESARIAL CULTURAL

    OpenAIRE

    Yaipen Torres, Jorge; Universidad de Lambayeque.

    2017-01-01

    El presente artículo busca identificar las razones científicas de la ciencia del derecho en la autonomía del DERECHO ELECTRONICO para el Sistema Jurídico peruano, para el sistema Romano-germano; basándome en un informe del profesor Hiram R. Piña Libien, intitulado “EL DERECHO INFORMÁTICO Y SU AUTONOMÍA COMO NUEVA RAMA DEL DERECHO” que busca determinar la independencia del derecho informático en relación a las demás ramas de la ciencia del derecho, en virtud a su sistema jurídico, en las sigui...

  20. Rama in the royal title of the Hungarian kings

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    Živković Tibor D.

    2004-01-01

    Full Text Available The region (župa of Rama was enlisted in the official title of the Hungarian kings around 1138, as it is known from an official document. The exact answer to the question under which circumstances it happened has never been reached. It is most probable that Rama was not just other name for Bosnia as it was proposed in historiography, neither was a part of Bosnia conquered by military action of the Hungarian king around 1135. Having in mind that Rama was a part of the principality of Raška during the Early Middle Ages, it is quite possible that Rama became part of the official title of the Hungarian kings through some direct connections between ruling families of Hungary and Raška. The most probable answer could be reached through the examination of these relations. Namely, a daughter of Raška's župan, Uroš I, Helena, was married to the Hungarian crown prince Bela in 1129, when Rama was, most probably, part of Helena's dowry. When the crown prince became king of Hungary in 1131, Rama was included in his royal title. Later on during the Middle Ages Rama became part of Bosnia giving ground to the Hungarian kings to claim whole Bosnia as their heritage. .

  1. SIMBOL RAMA DAN EPOS RAMAYANA BAGI RAJA DAN MASYARAKAT JAWA

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    Wachid Eko Purwanto

    2015-06-01

    Full Text Available Epos Ramayana merupakan epos kuno yang ditulis dalam tujuh kanda terdiri atas 24.000 sloka. Di Jawa epos Ramayana pertama kali muncul secara lengkap dalam bentuk relief di Candi Lara Jonggrang yang dibangun sekitar tahun 782 hingga 872 M. Epos tua yang hidup di masyarakat Jawa ini pastilah mempunyai ajaran. Tokoh Rama sebagai tokoh utama merupakan simbol paling utama dalam epos ini. Berkait dengan simbol ajaran, tokoh Rama dalam epos Ramayana Jawa mempunyai fungsi bagi Raja Jawa dan masyarakat Jawa. Bagi raja simbol tokoh Rama memiliki tiga fungsi utama. Pertama sebagai fungsi spiritual. Kedua adalah fungsi legitimasi kekuasaan. Ketiga adalah fungsi pencitraan. Adapun bagi masyarakat Jawa, simbol tokoh Rama memiliki dua fungsi utama. Pertama adalah fungsi spiritual. Kedua adalah fungsi filosofis.

  2. OceanSITES RAMA daily in-situ data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — OceanSITES daily in-situ data. OceanSITES Global Tropical Moored Buoy Array Research Moored Array for African-Asian-Australian Monsoon Analysis and Prediction (RAMA)...

  3. Cualidades tecnológicas de uso de la madera de cinco especies forestales, basado en el conocimiento del tejido secundario de la rama, Loreto

    OpenAIRE

    Valderrama Freyre, Heiter; Universidad Nacional de la Amazonía Peruana

    2016-01-01

    Se determinó el comportamiento de la rama de cinco especies forestales del Jardín Botánico Arboretum El Huayo, ubicado en el Centro de Investigación y Enseñanza Forestal (Ciefor) Puerto Almendra en Loreto, Perú, basado en las características anatómicas de la madera de la rama y que se relacionan con la resistencia mecánica, secado, preservado, trabajabilidad, durabilidad natural y fabricación de pulpa para papel. La metodología para determinar el comportamiento tecnológico, basado en el conoc...

  4. RAMA: A file system for massively parallel computers

    Science.gov (United States)

    Miller, Ethan L.; Katz, Randy H.

    1993-01-01

    This paper describes a file system design for massively parallel computers which makes very efficient use of a few disks per processor. This overcomes the traditional I/O bottleneck of massively parallel machines by storing the data on disks within the high-speed interconnection network. In addition, the file system, called RAMA, requires little inter-node synchronization, removing another common bottleneck in parallel processor file systems. Support for a large tertiary storage system can easily be integrated in lo the file system; in fact, RAMA runs most efficiently when tertiary storage is used.

  5. Los primeros ensayos de Ángel Rama: inicios montevideanos de una crítica latinoamericana

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    Facundo Gomez

    2017-07-01

    Full Text Available Los estudios generales sobre el discurso crítico latinoamericano de la segunda mitad del siglo XX colocan al uruguayo Ángel Rama en un lugar central de su construcción y organización. A pesar de los numerosos enfoques ensayados acerca de su obra, repetidas veces su figura es concebida en términos cerrados que lo afilian a la sociología de la cultura, el compromiso político o la militancia latinoamericanista. El análisis de sus primeros artículos, publicados entre 1948 y 1955 en las revistas Clinamen, Marcha, Asir y Entregas de La Licorne, demuestra cómo su praxis crítica se entrecruza inicialmente con elementos propios del campo intelectual uruguayo de mitad de siglo y de qué manera el joven Rama empieza su exploración de la literatura a partir de posiciones, teorías y metodologías muy disímiles a las observadas en sus trabajos clásicos de las décadas posteriores.

  6. Una crítica de pobres. Inflexiones teóricas en dos ensayos de Ángel Rama

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    Facundo Gómez

    2013-11-01

    Full Text Available El discurso crítico de Ángel Rama experimenta a lo largo de su desarrollo una serie de complejas inflexiones, producto del diálogo permanente con nuevos vocabularios teóricos y la participación en debates acerca del estudio de la literatura latinoamericana. Este desplazamiento se puede reconstruir a partir de la comparación del sentido y del uso dado por Rama a tres conceptos centrales en su lectura: el público lector, la clase social y la cultura. Con el fin de analizar las implicancias de estas reformulaciones, se propone el abordaje de dos textos del autor: “Rodolfo Walsh: la narrativa en el conflicto de las culturas” (1976 y Transculturación narrativa en América Latina (1982. En ellos, la construcción prepositiva “de/para los pobres” permite reflexionar acerca de la serie de revisiones, adquisiciones y modulaciones que atraviesa su práctica crítica en tres instancias de su formulación.

  7. RAMA Methodology for the Calculation of Neutron Fluence

    International Nuclear Information System (INIS)

    Villescas, G.; Corchon, F.

    2013-01-01

    he neutron fluence plays an important role in the study of the structural integrity of the reactor vessel after a certain time of neutron irradiation. The NRC defined in the Regulatory Guide 1.190, the way must be estimated neutron fluence, including uncertainty analysis of the validation process (creep uncertainty is ? 20%). TRANSWARE Enterprises Inc. developed a methodology for calculating the neutron flux, 1,190 based guide, known as RAMA. Uncertainty values obtained with this methodology, for about 18 vessels, are less than 10%.

  8. Differential gene expression by RamA in ciprofloxacin-resistant Salmonella Typhimurium.

    Directory of Open Access Journals (Sweden)

    Jie Zheng

    Full Text Available Overexpression of ramA has been implicated in resistance to multiple drugs in several enterobacterial pathogens. In the present study, Salmonella Typhimurium strain LTL with constitutive expression of ramA was compared to its ramA-deletion mutant by employing both DNA microarrays and phenotype microarrays (PM. The mutant strain with the disruption of ramA showed differential expression of at least 33 genes involved in 11 functional groups. The study confirmed at the transcriptional level that the constitutive expression of ramA was directly associated with increased expression of multidrug efflux pump AcrAB-TolC and decreased expression of porin protein OmpF, thereby conferring multiple drug resistance phenotype. Compared to the parent strain constitutively expressing ramA, the ramA mutant had increased susceptibility to over 70 antimicrobials and toxic compounds. The PM analysis also uncovered that the ramA mutant was better in utilization of 10 carbon sources and 5 phosphorus sources. This study suggested that the constitutive expression of ramA locus regulate not only multidrug efflux pump and accessory genes but also genes involved in carbon metabolic pathways.

  9. RAMA Methodology for the Calculation of Neutron Fluence; Metodologia RAMA para el Calculo de la Fluencia Neutronica

    Energy Technology Data Exchange (ETDEWEB)

    Villescas, G.; Corchon, F.

    2013-07-01

    he neutron fluence plays an important role in the study of the structural integrity of the reactor vessel after a certain time of neutron irradiation. The NRC defined in the Regulatory Guide 1.190, the way must be estimated neutron fluence, including uncertainty analysis of the validation process (creep uncertainty is ? 20%). TRANSWARE Enterprises Inc. developed a methodology for calculating the neutron flux, 1,190 based guide, known as RAMA. Uncertainty values obtained with this methodology, for about 18 vessels, are less than 10%.

  10. PARTICIPACIÓN COMUNITARIA EN EL MODELO DE SALUD DEL PUEBLO INDÍGENA DE RAMA CAY, BLUEFIELDS

    Directory of Open Access Journals (Sweden)

    Mario Guillermo Mejía López

    2012-02-01

    Full Text Available La participación comunitaria aplicada al campo de la salud puedeentenderse como los diferentes alcances en los programas, referidos a la planificación, evaluación, control de acciones y servicios de salud hacia la comunidad. Es decir, la comunidad participa en la identificación del problema, en la toma de decisiones, co-gestión y autogestión de programas y servicios de salud.Este estudio tiene como propósito describir los niveles de participación de los comunitarios de Rama Cay en materia de salud pública, de tal forma que se revitalicen los aportes del pueblo indígena Rama a la práctica de la medicina tradicional desde su propia dinámica de vida. Es importante mencionar que el puebloRama es el pueblo menos numeroso en las regiones autónomas de la Costa Caribe nicaragüense..El presente trabajo fue de carácter participativo, en el mismo se estableció un dialogo de saberes entre funcionarios del Ministerio de Salud, hombres y mujeres comunitarios de Rama Cay, médicos tradicionales, líderes de la Junta Comunal y promotores de salud con presencia en la comunidad. Por tanto, para conocer la participación comunitaria en la construcción de un modelo de salud para los Rama se dimensionaron los planos de la salud individual y comunal.En el plano de la salud individual las enfermedades de tipo biológico y físico son una prioridad. La comunidad es consciente de las limitaciones del servicio de salud que ofrece el Centro de Salud y de las alternativas que existen en el campo de la etnomedicina, así mismo, de la coexistencia de dos modelos de atención a la salud que solucionan sus distintos problemas. Por otro lado, en relación a la salud comunitaria la comunidad de manera general asiste al centro de salud en donde los atiende personal del Ministerio de Salud; sin embargo, la comunidad también cuenta con parteras, curanderos, brigadistas, promotores.Los líderes y los comunitarios consideran que el trabajo de la Junta Comunal

  11. Injerto libre braquial medial Free medial arm graft

    Directory of Open Access Journals (Sweden)

    P. Martos Díaz

    2007-12-01

    Full Text Available Introducción. Entre las reconstrucciones de defectos titulares de cabeza y cuello, el injerto libre microvascularizado braquial medial no ha adquirido mucha popularidad debido a las variaciones anatómicas que se reflejan en la vascularización de éste. Nuestro objetivo es realizar una descripción de la anatomía y técnica quirúrgica, así como una revisión de la literatura describiendo las ventajas y desventajas de este tipo de injerto. Material y método. Presentamos el caso de una paciente con carcinoma epidermoide de mucosa yugal izquierda con afectación ganglionar ipsilateral. Se procedió a su resección con márgenes más disección cervical funcional. La reconstrucción del defecto se llevó a cabo mediante un injerto libre microvascularizado braquial medial de brazo izquierdo. Discusión. Pensamos que el injerto libre braquial medial de brazo se trata de una opción más segura a la hora de la reconstrucción de defectos cervicofaciales, aportando una serie de ventajas entre las que destacan: no sacrificio de una arteria terminal, cierre primario de la zona donante, mínimo defecto estético, y poseer una piel fina, elástica y sin vello.Introduction. Free medial microvascularized arm grafts have not become very popular for the reconstruction of head and neck defects due to anatomic variations in their vascularization. Our objective was to describe the anatomy and surgical technique and to review the literature on the advantages and disadvantages of free medial arm grafts. Material and methods. We report the case of a patient with squamous cell carcinoma of the left jugal mucosa with same-side lymph node involvement. The tumor was resected with margins and a functional cervical dissection was performed. The defect was reconstructed using a free medial microvascularized graft from the left arm. Discussion. We believe that free medial arm grafts are a safer option for the reconstruction of cervicofacial defects and that they offer

  12. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 2000-present, Buoyancy Flux

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Buoyancy Flux data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  13. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1987-present, Potential Density Anomaly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Potential Density Anomaly (sigma-theta) data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  14. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1989-present, Wind Stress

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Wind Stress data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  15. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1989-present, Wind Stress

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Wind Stress data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  16. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1987-present, Salinity

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Salinity data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  17. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1988-2015, ADCP

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Acoustic Doppler Current Profiler (ADCP) water currents data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA...

  18. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1988-2015, ADCP

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Acoustic Doppler Current Profiler (ADCP) water currents data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA...

  19. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1991-present, Downgoing Shortwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Downgoing Shortwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  20. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1997-present, Precipitation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Precipitation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  1. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 2000-present, Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Incoming Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  2. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 2000-present, Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Incoming Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  3. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 2000-present, Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Incoming Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  4. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1977-present, Temperature

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Temperature data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  5. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1977-present, Wind

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Wind data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  6. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 2000-present, Buoyancy Flux

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Buoyancy Flux data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  7. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 2000-present, Net Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Net Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  8. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1991-present, Net Shortwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Net Shortwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  9. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 2000-present, Net Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Net Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  10. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 2000-present, Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Incoming Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  11. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 2000-present, Net Longwave Radiation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Net Longwave Radiation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  12. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1977-present, Sea Surface Temperature

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Sea Surface Temperature (SST) data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  13. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1989-present, Wind Stress

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Wind Stress data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  14. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1980-present, Position

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Position data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  15. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1980-present, Position

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Position data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  16. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1980-present, Position

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Position data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  17. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1997-present, Evaporation Minus Precipitation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Evaporation Minus Precipitation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  18. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1989-present, Evaporation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Evaporation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  19. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1997-present, Evaporation Minus Precipitation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Evaporation Minus Precipitation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  20. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1997-present, Evaporation Minus Precipitation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Evaporation Minus Precipitation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  1. TAO/TRITON, RAMA, and PIRATA Buoys, Monthly, 1989-present, Evaporation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has monthly Evaporation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  2. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1997-present, Evaporation Minus Precipitation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Evaporation Minus Precipitation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  3. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1989-present, Evaporation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Evaporation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  4. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1989-present, Evaporation

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Evaporation data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  5. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1977-present, Temperature

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Temperature data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  6. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1980-present, Heat Content

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Heat Content data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  7. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1988-2015, ADCP

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Acoustic Doppler Current Profiler (ADCP) water currents data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA...

  8. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1988-2015, ADCP

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Acoustic Doppler Current Profiler (ADCP) water currents data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA...

  9. TAO/TRITON, RAMA, and PIRATA Buoys, 5-Day, 1980-present, Position

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has 5-day Position data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  10. TAO/TRITON, RAMA, and PIRATA Buoys, Daily, 1992-present, Sea Surface Salinity

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has daily Sea Surface Salinity data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  11. TAO/TRITON, RAMA, and PIRATA Buoys, Quarterly, 1992-present, Sigma-Theta

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset has quarterly Sigma-Theta (Potential Density Anomaly) data from the TAO/TRITON (Pacific Ocean, https://www.pmel.noaa.gov/gtmba/ ), RAMA (Indian Ocean,...

  12. Incidencia y factores asociados con las reacciones adversas del tratamiento antirretroviral inicial en pacientes con VIH

    Directory of Open Access Journals (Sweden)

    Juan Astuvilca

    2007-07-01

    Full Text Available La alta incidencia de reacciones adversas medicamentosas (RAMA al tratamiento antirretroviral de gran actividad (TARGA en pacientes con VIH/SIDA puede afectar la calidad de vida y adherencia al tratamiento. Objetivos: Determinar la incidencia de RAMA del TARGA inicial e identificar los factores asociados con la ocurrencia de RAMA al recibir dicha terapia. Materiales y métodos: Se realizó un estudio de cohorte histórica con todos los pacientes VIH (+ mayores de 18 años que recibieron TARGA por primera vez en el Hospital Nacional Arzobispo Loayza, con un seguimiento de 360 días desde la primera prescripción. Se recabó las RAMA de las historias clínicas y tarjetas de control. Resultados: Se incluyeron 353 pacientes, se encontró una incidencia acumulada de 66,7% de efectos adversos al TARGA inicial y una densidad de incidencia de 9,1 eventos de RAMA por 10 personas año de seguimiento (IC95%: 8,1-10,1. Anemia (23,4%, náuseas (20,6% y rash (17,2% fueron las RAMA más frecuentes. El uso de drogas (OR 2,40; IC95% 1,01-5,67; consumo de alcohol (OR 0.32; IC95%: 0,19-0,55 y estadio SIDA (OR 0,20; IC95%: 0,04-0,95 estuvieron asociadas con la presencia de RAMA. Conclusiones: Existe un alta incidencia de RAMA, siendo la anemia la más frecuente. El uso de drogas es un factor de riesgo para presentar RAMA.

  13. RELIGIUSITAS SISWA BERAGAMA BUDDHA PADA SEKOLAH MENENGAH PERTAMA TAMAN RAMA DENPASAR

    Directory of Open Access Journals (Sweden)

    Moh Rozi

    2013-02-01

    Buddhist students in SMP Taman Rama Denpasar in general there are similarities, such as by implementing the climbing chanting and meditation, perform puja in the dark (ceit and the moon light (capgo, Atthangasila, Pancasila Buddhist and implement in daily life. Second: the Buddha teachings as a spur to the religion practice and the power of self-religiosity. Third: the meaning of Buddhist students’ religiosity SMP Taman Rama Denpasar include the meaning of solidarity, harmony, and inner meaning of peace.

  14. Casino Rama hits the jackpot with energy-efficient lighting

    Energy Technology Data Exchange (ETDEWEB)

    Anon,

    2007-10-15

    A lighting retrofit program was conducted by Casino Rama in an effort to improve quality while reducing costs and environmental impacts. Casino Rama, Ontario's only commercial First Nation's casino, was opened in July 1996. With over 25,000 bulbs in use, the facility had a lot to gain by reducing energy costs. Toronto Hydro (TH) Energy Services evaluated the facility's current usage level and recommended ways to increase energy efficiency. The casino used mostly incandescent and fluorescent lights which provided adequate light, but which required a great deal of upkeep. The operators wanted to relamp the lighting package that consumed the most electricity with high-efficiency lighting systems that would maintain a consistent look with that of the warm-glow provided by incandescent light bulbs. In order to benefit from energy savings, an efficient, non-invasive system was needed with minimal construction costs to retrofit the lighting system. TH Energy concluded that high-quality, longer-lasting lamps were required. TCP Inc. provided energy-efficient compact fluorescent lamps (CFLs) that have an average life of 10,000 hours and use a quarter of the energy of standard incandescent bulbs, resulting in increased energy savings, lower utility costs and greenhouse gas reduction. The retrofit involved the replacement of more than 5,000 bulbs with over 4,000 CFLs being installed on the 3 massive canopies over the casino entrance. Long-life LED products lasting up to 50,000 hours were also used for the glass elevator shaft, which minimized maintenance costs. Cold-cathode lamps that last an average 25,000 hours were recommended for rapid cycle applications such as signage. The relamping process was completed in 7 working days with minimal disruption to business activity. The casino has saved $200,000 from its annual hydro bill and has freed up valuable manpower for other maintenance-related tasks. The relamping is reducing greenhouse gas emissions by 7 to 8 per cent, based

  15. Casino Rama hits the jackpot with energy-efficient lighting

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2007-10-15

    A lighting retrofit program was conducted by Casino Rama in an effort to improve quality while reducing costs and environmental impacts. Casino Rama, Ontario's only commercial First Nation's casino, was opened in July 1996. With over 25,000 bulbs in use, the facility had a lot to gain by reducing energy costs. Toronto Hydro (TH) Energy Services evaluated the facility's current usage level and recommended ways to increase energy efficiency. The casino used mostly incandescent and fluorescent lights which provided adequate light, but which required a great deal of upkeep. The operators wanted to relamp the lighting package that consumed the most electricity with high-efficiency lighting systems that would maintain a consistent look with that of the warm-glow provided by incandescent light bulbs. In order to benefit from energy savings, an efficient, non-invasive system was needed with minimal construction costs to retrofit the lighting system. TH Energy concluded that high-quality, longer-lasting lamps were required. TCP Inc. provided energy-efficient compact fluorescent lamps (CFLs) that have an average life of 10,000 hours and use a quarter of the energy of standard incandescent bulbs, resulting in increased energy savings, lower utility costs and greenhouse gas reduction. The retrofit involved the replacement of more than 5,000 bulbs with over 4,000 CFLs being installed on the 3 massive canopies over the casino entrance. Long-life LED products lasting up to 50,000 hours were also used for the glass elevator shaft, which minimized maintenance costs. Cold-cathode lamps that last an average 25,000 hours were recommended for rapid cycle applications such as signage. The relamping process was completed in 7 working days with minimal disruption to business activity. The casino has saved $200,000 from its annual hydro bill and has freed up valuable manpower for other maintenance-related tasks. The relamping is reducing greenhouse gas emissions by 7 to 8

  16. Monsoon signatures in trace gas records from Cape Rama, India

    International Nuclear Information System (INIS)

    Bhattacharya, S.K.; Jani, R.A.; Borole, D.V.; Francey, R.J.; Allison, C.E.; Masarie, K.A.

    2002-01-01

    Concentrations of trace gases CO 2 , CH 4 , CO, N 2 O and H 2 , and the stable carbon and oxygen isotopic composition of CO 2 have been measured in air samples collected from Cape Rama, a coastal station on the west coast of India, since 1993. The data show clear signatures of continental and oceanic air mass resulting in complex seasonal variation of trace gas characteristics. The regional atmospheric circulation in the Indian Ocean and Arabian Sea undergoes biannual reversal in low-level winds associated with the yearly migration of the inter-tropical convergence zone (ITCZ). From June to September, the wind is from the equatorial Indian Ocean to the Indian subcontinent (southwest monsoon) and brings in pristine marine air. From December to February, dry continental winds blow from the northeast and transport continental emissions to the ocean (northeast monsoon). Detailed transport and chemical modelling will be necessary to interpret these records, however the potential to identify and constrain the regional trace gas emissions appears to be high. (author)

  17. RAMAS: The RITL Automated Management System. Master Control and Periodicals Control Subsystems. Stockholm Papers in Library and Information Science.

    Science.gov (United States)

    Ya-chun, Lian

    An automated minicomputer-based library management system is being developed at the Swedish Royal Institute of Technology Library (RITL). RAMAS (the RITL Automated Management System) currently deals with periodical check-in, claiming, index-handling, and binding control. A RAMAS bibliographic record can be accessed from eight different points…

  18. Serine Protease Zymography: Low-Cost, Rapid, and Highly Sensitive RAMA Casein Zymography.

    Science.gov (United States)

    Yasumitsu, Hidetaro

    2017-01-01

    To detect serine protease activity by zymography, casein and CBB stain have been used as a substrate and a detection procedure, respectively. Casein zymography has been using substrate concentration at 1 mg/mL and employing conventional CBB stain. Although ordinary casein zymography provides reproducible results, it has several disadvantages including time-consuming and relative low sensitivity. Improved casein zymography, RAMA casein zymography, is rapid and highly sensitive. RAMA casein zymography completes the detection process within 1 h after incubation and increases the sensitivity at least by tenfold. In addition to serine protease, the method also detects metalloprotease 7 (MMP7, Matrilysin) with high sensitivity.

  19. Corrupción en la Rama Judicial: una reflexión

    Directory of Open Access Journals (Sweden)

    Horacio Escobar Luque

    2013-07-01

    Full Text Available ResumenUno de los más dañinos flagelos que azotan nuestrassociedades es la corrupción vista desde diversos ángulosy acciones. Vargas ( solo ve al Poder Judicial como objetode la corrupción, como ente corruptible, mas no comouna institución encargada precisamente de controlar lacorrupción. La única forma eficaz de superar los problemasendémicos de corrupción en nuestros sistemas judicialeses afrontar derechamente las profundas disfuncionesque estos manifiestan que constituyen las reales causasde los serios problemas de corrupción que los aquejan.Klitgaard ( formaliza el fenómeno de la corrupción dela siguiente manera: Corrupción = poder monopólico +arbitrio – responsabilidad. Villoria ( manifiesta que haycasos en que la judicatura no es un obstáculo contra la corrupción,sino un elemento esencial en su reproducción ydesarrollo, siendo un ejemplo de corrupción que contribuyea la deslegitimación del sistema político y corroe loscimientos de la gobernabilidad. Si se analizan, entonces,los problemas de los sistemas judiciales, con el objetivode buscar soluciones a sus altos niveles de corrupción administrativa,nos encontraríamos con: una organizaciónineficaz, la precariedad del empleo, desprecio de la ley,amiguismo, delegaciones, abogados corruptores, silencioy jerarquía judicial cooptada.Palabras clave: Corrupción, Rama Judicial, Monopolio,Amiguismo. AbstractOne of the most damaging scourges afflicting oursocieties corruption is viewed from different angles andactions. Vargas ( only sees the judiciary as an object ofcorruption as corruptible body, not as an institution toprecisely control corruption. The only effective way toovercome the endemic problems of corruption in ourjudicial system is straight addressing the root dysfunctionsthey say they are the real causes of serious corruptionproblems that afflict them. Klitgaard ( formalizesthe phenomenon of corruption as follows: Corruption =monopoly power + discretion

  20. TEACHING "MATH-LITE" CONSERVATION (BOOK REVIEW OF CONSERVATION BIOLOGY WITH RAMAS ECOLAB)

    Science.gov (United States)

    This book is designed to serve as a laboratory workbook for an undergraduate course in conservation biology, environmental science, or natural resource management. By integrating with RAMAS EcoLab software, the book provides instructors with hands-on computer exercises that can ...

  1. PODA DE RAMAS MIXTAS Y RALEO DE FRUTOS: PRÁCTICAS CULTURALES INDEPENDIENTES EN DURAZNO 'VICTORIA'

    Directory of Open Access Journals (Sweden)

    J. A. Zegbe-Domínguez

    2007-01-01

    Full Text Available El durazno requiere de la poda (en particular, el despunte de las ramas mixtas, DRM y el raleo de frutos (RF para una producción comercial de fruta. En la estación de crecimiento del 2004-05, se estudió la interacción entre DRM y RF en durazno cultivar 'Victoria' sobre el rendimiento, distribución de la fruta por tamaños, calidad del fruto, crecimiento de fruto y brote, además del peso especifico de la hoja. El experimento se llevó a cabo en el Campo Experimental Zacatecas con árboles de 20 años e injertados en patrones francos. Los factores estudiados fueron: el DRM y el RF, ambos factores con dos niveles; sin y con DRM y sin y con RF. El análisis estadístico no detectó interacción significativa (P 5.1 cm con relación a árboles testigo (sin DRM. El crecimiento del fruto y la longitud de brote fueron significativamente (P<0.05 mayores en comparación con los árboles testigo, pero tanto el rendimiento como la eficiencia productiva fueron reducidos (P<0.05 cuando se aplicó el DRM. El peso medio del fruto, el mesocarpio y el endocarpio fue significativamente mayor en frutos con DRM. Sin embargo, la firmeza, concentración de sólidos solubles totales, concentración de materia seca del fruto y el peso específico de hoja fue estadísticamente (P<0.05 igual entre frutos sin y con DRM. Los resultados sugieren que el durazno 'Victoria' puede prescindir del raleo de frutos, y por consiguiente, esto reduciría costos de producción. Ambos factores merecen ser estudiados en otros cultivares de durazno cuyas estructuras reproductivas tengan mayor habilidad en la utilización de foto asimilados.

  2. La rama ejecutiva del poder público

    Directory of Open Access Journals (Sweden)

    Wilson Herrera Llanos

    2004-01-01

    Full Text Available Con la Constituci6n de 1991 Colombia mantuvo un sistema de gobierno presidencial, caracterizado por un ejecutivo fuerte, no s610por su carácter monocrático, que radica en éste lasfunciones de jefe de Estado, jefe de gobierno, máxima autoridad administrativa y comandante en jefe de las Fuerzas Militares, sino además por su capacidad de orientar los destinos del país, elaborar y ejecutar los planes de desarrollo, al igual que el presupuesto público, manejar las relaciones internacionales, mantener el orden público, etc., lo que se afianza políticamente con su escogencia mediante el voto popular directo

  3. Ipsilateral Medial and Lateral Discoid Meniscus with Medial Meniscus Tear

    OpenAIRE

    Shimozaki, Kengo; Nakase, Junsuke; Ohashi, Yoshinori; Numata, Hitoaki; Oshima, Takeshi; Takata, Yasushi; Tsuchiya, Hiroyuki

    2016-01-01

    Introduction: Discoid meniscus is a well-documented knee pathology, and there are many cases of medial or lateral discoid meniscus reported in the literature. However, ipsilateral concurrent medial and lateral discoid meniscus is very rare, and only a few cases have been reported. Herein, we report a case of concurrent medial and lateral discoid meniscus. Case Report: A 27-year-old Japanese man complained of pain on medial joint space in his right knee that was diagnosed as a complete medial ...

  4. Autotrasplante de células madre adultas en defecto óseo de rama mandibular por quiste dentígero

    OpenAIRE

    Torres Rodríguez, Luís E; Marimón Torres, Maria E; Morejón Álvarez, Felicia C; Camacho Díaz, René; León Amado, Liseet

    2011-01-01

    Propósitos del estudio: indagar en la formación ósea de cavidades quísticas de los maxilares a partir de células madres adultas. Método: se realiza la presentación de un paciente que presentaba un quiste dentígero en rama mandibular izquierda y que había provocado gran destrucción ósea, lo cual se comprobó al examen físico y estudios complementarios, tomografía axial compuarizada (TAC) e imágenes gráficas (Fotos). Se decide colocar las células madres adultas, previa valoración y preparación d...

  5. Arthroscopic partial medial meniscectomy

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    Dašić Žarko

    2011-01-01

    Full Text Available Background/Aim. Meniscal injuries are common in professional or recreational sports as well as in daily activities. If meniscal lesions lead to physical impairment they usually require surgical treatment. Arthroscopic treatment of meniscal injuries is one of the most often performed orthopedic operative procedures. Methods. The study analyzed the results of arthroscopic partial medial meniscectomy in 213 patients in a 24-month period, from 2006, to 2008. Results. In our series of arthroscopically treated medial meniscus tears we noted 78 (36.62% vertical complete bucket handle lesions, 19 (8.92% vertical incomplete lesions, 18 (8.45% longitudinal tears, 35 (16.43% oblique tears, 18 (8.45% complex degenerative lesions, 17 (7.98% radial lesions and 28 (13.14% horisontal lesions. Mean preoperative International Knee Documentation Committee (IKDC score was 49.81%, 1 month after the arthroscopic partial medial meniscectomy the mean IKDC score was 84.08%, and 6 months after mean IKDC score was 90.36%. Six months after the procedure 197 (92.49% of patients had good or excellent subjective postoperative clinical outcomes, while 14 (6.57% patients subjectively did not notice a significant improvement after the intervention, and 2 (0.93% patients had no subjective improvement after the partial medial meniscectomy at all. Conclusion. Arthroscopic partial medial meniscetomy is minimally invasive diagnostic and therapeutic procedure and in well selected cases is a method of choice for treatment of medial meniscus injuries when repair techniques are not a viable option. It has small rate of complications, low morbidity and fast rehabilitation.

  6. Bunge y la didáctica de las ciencias humanas

    OpenAIRE

    Crivos, Marta; Denegri, Guillermo; Martínez, Gladys E.

    2000-01-01

    Estas líneas solo pretenden sumarse al homenaje a quien nos hizo posible acceder -a muchas generaciones de estudiantes y profesionales en nuestro país y el mundo- a una presentación clara y persuasiva de las raíces y alcance del quehacer científico y asomar a las intrincadas relaciones que unen y diferencian las distintas ramas de este quehacer a la filosofía.

  7. REGULACIÓN DE LA TECNOLOGÍA INFORMÁTICA AL SERVICIO DE LA RAMA JUDICIAL: NECESIDAD, REALIDAD O ILUSIÓN

    Directory of Open Access Journals (Sweden)

    Ana María Mesa Elneser

    2011-01-01

    Full Text Available El presente artículo da cuenta de la regulación en el ordenamiento jurídico colombiano sobre el funcionamiento de la rama judicial por medios electrónicos como una forma de hacer efectivo el cumplimiento de principios procesales como la gratuidad, garantismo y agilidad en la búsqueda efectiva del funcionamiento del aparato judicial. La necesidad de avance tecnológico informático al servicio de la Rama Judicial no ha sido soportado desde una política de gobierno generadora de proyectos e inversión que materialicen lainclusión del mundo tecnológico informático en la administración de justicia,más aún, no existe desarrollo legal que permita adelantar un proceso legal por medios electrónicos, salvo la modificación a los artículos 315 y 320 de la ley 794 de 2003, con la inclusión de la notificación electrónica, avance normativo que a la fecha no se tiene en funcionamiento, volviendo la disposición letra muerta, en contraste con el acelerado desarrollo del comercio y el creciente surgimiento de empresas virtuales del tipo de establecimientos de comercio y sociedades comerciales, las cuales tienen su domicilio deoperación comercial, no en una dirección física sino electrónica.

  8. Ceba a corral de vaquillas con ramas de eucaliptus, henos, grano de maíz y harina de girasol

    Directory of Open Access Journals (Sweden)

    A. E. Fernández

    2012-01-01

    Full Text Available Este trabajo se diseñó para evaluar dietas ante sequías, inundaciones u otras emergencias, se estudió la respuesta productiva y económica de doce vaquillas Angus en crecimiento, encerradas en un corral. Se establecieron tres tratamientos con dos repeticiones, bajo un diseño completamente aleatorizado y se replicaron en dos etapas: la primera, en el verano de 2007 y la segunda en el invierno de 2008. Las dietas estuvieron compuestas por: ramas de eucaliptus frescas (re a voluntad, heno de mijo (hm (1ª. etapa y de centeno (hc (2ª. etapa y un concentrado energético-proteico (c similar en ambas etapas y común a los tres tratamientos, compuesto por 1.6 kg ms grano de maíz (seco y molido cabeza.-1 día-1 y 0.9 kg ms harina de girasol, cabeza-1 día-1. T1: C + hm o hc a voluntad; T2: C + 3.5 kg tal cual de hm o hc + re a voluntad; T3: C + re a voluntad. La primera y segunda etapas duraron 61 y 62 días, respectivamente. Se midieron: el consumo de ms eucaliptus y henos (cms, eficiencia de conversión (efc, ganancias diarias de peso (gdp y el costo de producción de cada tratamiento (cp. Las efc, medios, fueron 7.98, 9.04 y 12.51 kg alimentos kg producido-1 y las gdp (verano fueron: 1.01, 0.83 y 0.53 e (invierno fueron: 0.95, 0.68 y 0.51 kg cab-1 día-1, respectivamente. Mientras que los cp, medios, fueron $0.79, 0.68 y 0.51 dólares/kilo producido-1, respectivamente. La inclusión de RE puede ser una alternativa posible ante emergencias climáticas.

  9. The medial patellofemoral complex.

    Science.gov (United States)

    Loeb, Alexander E; Tanaka, Miho J

    2018-06-01

    The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques. Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name "medial patellofemoral complex" to allow for the variability in its anatomy. In MPFC reconstruction, anatomic origin and insertion points and appropriate graft length are critical to prevent overconstraint of the patellofemoral joint. The MPFC is a crucial soft tissue checkrein to lateral patellar translation, and its repair or reconstruction results in good restoration of patellofemoral stability. As our understanding of MPFC anatomy evolves, further studies are needed to apply its relevance in kinematics and surgical applications to its role in maintaining patellar stability.

  10. Initial results with the Berkeley on-line mass separator-RAMA

    International Nuclear Information System (INIS)

    Cerny, J.; Moltz, D.M.; Evans, H.C.; Vieira, D.J.; Parry, R.F.; Wouters, J.M.; Gough, R.A.; Zisman, M.S.

    1977-11-01

    Initial performance is described for a reasonably fast and universal (having little or no chemical selectivity) on-line mass analysis system used to expand capabilities in studying nuclei far from stability. The system is termed RAMA, an acronym for Recoil Atom Mass Analyzer. Basically, this system utilizes the helium-jet method to transport activity to a Sidenius hollow-cathode ion source which is coupled to a mass spectrometer. Initial experiments and planned improvements are discussed. Transport efficiencies of between 10 and 60 percent have routinely been achieved, though the latter is much more typical when conditions are optimized

  11. Medial temporal lobe

    International Nuclear Information System (INIS)

    Silver, A.J.; Cross, D.T.; Friedman, D.P.; Bello, J.A.; Hilal, S.K.

    1989-01-01

    To better define the MR appearance of hippocampal sclerosis, the authors have reviewed over 500 MR coronal images of the temporal lobes. Many cysts were noted that analysis showed were of choroid-fissure (arachnoid) origin. Their association with seizures was low. A few nontumorous, static, medial temporal lesions, noted on T2-weighted coronal images, were poorly visualized on T1-weighted images and did not enhance with gadolinium. The margins were irregular, involved the hippocampus, and were often associated with focal atrophy. The lesions usually were associated with seizure disorders and specific electroencephalographic changes, and the authors believe they represented hippocampal sclerosis

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

    Directory of Open Access Journals (Sweden)

    Guillermo Rivera

    2015-06-01

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

  13. ANASTOMOSIS ENTRE LA RAMA PROFUNDA DEL NERVIO CUBITAL Y EL NERVIO MEDIANO EN LA MANO. Anastomosis between the deep branch of the ulnar nerve and the median nerve in the hand

    Directory of Open Access Journals (Sweden)

    Luis E Criado del Río

    2016-03-01

    Full Text Available Introducción: La anastomosis de Riche-Cannieu (ARC es una variación anatómica formada entre la rama tenar del nervio mediano (NM y la rama profunda del nervio cubital (NC. Debido a la importancia clínica y electromiográfica su descripción anatómica es de gran interés, ya que debido a esta variación anatómica existen distintas formas de inervación motora a nivel de la mano. Materiales y Métodos: Se realizaron disecciones cadavéricas en 38 manos (19 cadáveres de ambos sexos formolizados en solución al 5 %, de entre 50 y 70 años de edad. Se utilizó instrumental y técnicas convencionales de disección. Resultados: En la rama profunda del NC no se evidenciaron variaciones y finalizaba su recorrido en el músculo aductor del pulgar. En el 86,84%  de los casos emerge una rama que se anastomosa con el NM de diferentes formas. Esta rama anastomótica, en el 50% de las manos, era una arcada nerviosa de considerable calibre entre el NC y NM, que daba ramas motoras a los músculos de la eminencia tenar. Discusión: El conocimiento de esta anastomosis es muy importante ya que, en casos de lesión del nervio mediano o cubital, puede causar confusión clínica, quirúrgica y en los hallazgos electromiográficos. Debido a su alta frecuencia fue considerada un rasgo anatómico normal. Introduction: The Riche-Cannieu anastomosis (RCA is an anatomic variation formed between the thenar branch of the median nerve and the deep branch of the ulnar nerve. Its anatomical description is of great interest because of its clinical and electromyographic relevance. Due to the RCA, there are various types of hand motor innervation. Materials and Methods: Thirty eight hands from 19 corpses (formolized in a 5% solution whose ages ranged from 50 to 70 years old were dissected. Conventional instruments and techn-iques were used. Results: The pathway of the deep branch of the ulnar nerve did not show variations and ended at the adductor pollicis muscle. In 86

  14. Atraumatic medial collateral ligament oedema in medial compartment knee osteoarthritis

    International Nuclear Information System (INIS)

    Bergin, D.; Keogh, C.; O'Connell, M.; Zoga, A.; Rowe, D.; Shah, B.; Eustace, S.

    2002-01-01

    Objective: To describe and determine the prevalence of atraumatic medial collateral oedema identified in patients with medial compartment osteoarthritis. Design and patients: Sixty patients, 30 patients with medial compartment knee osteoarthritis (Kellgren and Lawrence grade 2 to 4) and 30 age-matched patients with atraumatic knee pain without osteoarthritis, referred for MR imaging over a 2 year period were included in the study. In each case, severity of osteoarthritis was recorded on radiographs and correlated with the presence or absence of medial collateral ligament oedema at MR imaging. Results: Medial collateral oedema was identified in 27 of the 30 patients with osteoarthritis, of whom 14 had grade 1 oedema and 13 had grade 2 oedema compared with the presence of medial collateral ligament oedema (grade 1) in only two of the 30 control patients without osteoarthritis (P<<0.0001). Conclusion: Medial collateral oedema is common in patients with osteoarthritis in the absence of trauma. When identified, medial collateral ligament oedema should be considered to be a feature of osteoarthritis and should not be incorrectly attributed to an acute traumatic injury. (orig.)

  15. La relación intelectual entre Ángel Rama y Antonio Candido: la constitución de un lenguaje crítico de cuño latinoamericano

    Directory of Open Access Journals (Sweden)

    Pía Paganelli

    2010-06-01

    Full Text Available El diálogo intelectual que llevan a cabo Antonio Cándido y Ángel Rama a partir de 1960 intenta revertir la larga tradición de intentos frustrados por unificar el pensamiento brasileño dentro de un pensamiento regional latinoamericano. El presente trabajo pretende dar cuenta de las instancias de este diálogo intelectual como intento por integrar la literatura brasileña en el marco de una literatura latinoamericana, a partir de la definición de un lenguaje crítico original y novedoso. Para ello se comparan los puntos en contacto que presentan ambas teorías a partir de la influencia de la obra Formação da literatura brasileira (1959 y utilizando también el libro de ensayos Literatura y Sociedad (1965 de Candido en el proyecto transculturador de Rama que se pone de manifiesto en su libro Transculturación narrativa en América Latina (1982.

  16. Retinoic acid morpholine amide (RAMA) inhibits expression of Fas ligand through EP1 receptor in colon cancer cells.

    Science.gov (United States)

    Chen, Shao-Xuan; Du, Shi-Yu; Wang, Yun-Ting; Zhao, Hong-Chuan; Zhang, Yan-Li; Yao, Li

    2016-01-01

    Among the members of tumour necrosis factor family Fas ligand on binding to its receptor strongly induces apoptosis of tumour-infiltrating lymphocytes (TIL). Thus, FasL acts as an inhibitor of anti-tumour immune response. The present study demonstrates that retinoic acid morpholine amide (RAMA) significantly suppresses FasL expression in colon cancer cells in a dose- and time-dependent manner. The suppression of FasL mRNA and proteins was significant at a concentration of 30 μM after 48 h in CLT85 and HT26 colon cancer cells. There was around 2.6- and 3.2-fold decrease in FasL mRNA after incubation with 30 μM of RAMA in CLT85 cells and HT26 cells, respectively. The results from Western blot showed a decrease in FasL mRNA and protein expression in both CLT85 and HT26 cells after suppression of cyclooxygenase (COX)-2 and COX-1 by RNAi. However, when COX-2-specific silencer RNA (siCOX-2)- and siCOX-1-treated CLT85 and HT26 cells were exposed to RAMA, inhibition of FasL expression was further suppressed. The siCOX-2-treated CLT85 and HT26 cells on exposure to RAMA showed ∼87 and ∼54 % reduction in FasL mRNA, respectively. Co-culture of Jurkat T cells with RAMA-treated HT26 and CLT85 cells decreased the viability of Jurkat T cells by only 2 and 4.3 %, respectively, compared to 19.5 and 37.3 % in control HT26 and CLT85 cells. The results from real-time reverse transcription polymerase chain reaction (RT-PCR) and immunoblotting showed that suppression of EP1 prevented RAMA-induced FasL suppression in CLT85 cells at both the mRNA and protein levels. Thus, RAMA can be a potent therapeutic agent for the treatment of colon tumours.

  17. Fragmented medial coronoid process

    International Nuclear Information System (INIS)

    Juhasz, Cs.; Juhasz, T.

    1997-01-01

    Fragmented medial coronoid process: (FCP) is often considered to be part of the osteochondrosis dissecans complex, but trauma and growth discrepancies between the radius and ulna are proposed as causes. There is little to clinically differentiate FCP, from osteochondrosis dissecans (OCD) of the elbow. Pain on, flexion-extension of the elbow and lateral rotation of the paw is a little more consistent in FCP. Radiographic examination of the elbow is important despite the, fact that radiographic signs of the FCP are often nonspecific. Excessive osteoarthrosis and superimposition of the radial head and coronoid process make identification of the FCP difficult. Craniocaudal, flexed mediolateral and 25 degree craniocaudal-lateromedial views are necessary for diagnosis. Osteophyte production is more dramatic with FCP than with OCD and suggests therefore the occurrence of OCP in many cases. Although the detached process may be seen on any view, the oblique projection offers the least obstructed view. Exposure of the joint is identical to that for OCD, that means a medial approach with osteotomy of the epicondyle. In most cases the process is loose enough to be readily apparent, but in some it is necessary to exert force on the process in order to find the cleavage plane. It is necessary to remove the osteophytes as well and to inspect and irrigate the joint carefully to remove cartilage fragments before closure. Confinement is advisable for 4 weeks before returning the dog to normal activity. The outlook for function is good if the FCP is removed before secondary degenerative joint disease is well established

  18. Analisis Strategi dan Taktik Pemasaran dalam Aktivitas E-Commerce untuk Meningkatkan Pertumbuhan PT Golden Rama Express

    Directory of Open Access Journals (Sweden)

    Annetta Gunawan

    2014-03-01

    Full Text Available Opportunities for tour & travel industry in Indonesia is increasing, thus attracting a lot of players to compete. PT Golden Rama Express as an industry leader in the tour industry wants to continue to grow the business. The development of information technology led to changes in consumer behavior, encouraging Golden Rama to take advantage of gaps that occur to become a leader in e-commerce activities. The purpose of this project consulting is to devise marketing strategies and tactics in order to improve the effectiveness of e-commerce activity for the Golden Rama. This study used questionnaire, interview, and literature study as a means to collect the data. Then the results of the data analysis of both quantitative and qualitative were used to plan growth based on the concept of Matrix Nine. The results of this study revealed that the existing customers of PT Golden Rama Express which can be expanded to the e-commerce market are upper middle families who have often gone abroad. Wife has significant role in filtering and selecting information and its potential customers are families who are beginners in terms of holidaying abroad are active in the virtual world with the characteristics as early adopters. This study is expected to be input to the PT Golden Rama Express in determining marketing strategies are needed in the market work is done by integrating the activities of online, offline, and mobile, based on the concept communitization, confirmation, and the clarification, which is equipped with the concept of Crossing the Chasm. Then the marketing tactics is based on the concept of communal activation and conversation, improve Web site content, as well as applying the principle of contextual marketing.

  19. The visibility of The lettered city Angel Rama in mainstream literature (WOS

    Directory of Open Access Journals (Sweden)

    Exequiel Aarón Fontans Alvarez

    2015-11-01

    Full Text Available Angel Rama (1926-1986 is noted by some specialized as one of the precursors of the current cultural studies in Latin authors; The lettered city is one of the most cited works and has written stating this influence. However it has not been approached from the Metric Information Studies. The aim of this paper is to highlight the visibility of the lettered city in mainstream literature collected by the Web based of Science (WOS, Thomson Reuters. A brief introduction to the British Cultural Studies (Birmingham School is performed, with the understanding that they represent a history of Latin American Cultural Studies, where this work is framed. Areas, institutions and sources where this work is cited and co-cited authors are presented. Finally low visibility reflected WOS noted in the Latin American production considering that "lettered city" is a theoretical concept coined in the region.

  20. RAMA casein zymography: Time-saving and highly sensitive casein zymography for MMP7 and trypsin.

    Science.gov (United States)

    Yasumitsu, Hidetaro; Ozeki, Yasuhiro; Kanaly, Robert A

    2016-11-01

    To detect metalloproteinase-7 (MMP7), zymography is conducted using a casein substrate and conventional CBB stain. It has disadvantages because it is time consuming and has low sensitivity. Previously, a sensitive method to detect MMP7 up to 30 pg was reported, however it required special substrates and complicated handlings. RAMA casein zymography described herein is rapid, sensitive, and reproducible. By applying high-sensitivity staining with low substrate conditions, the staining process is completed within 1 h and sensitivity was increased 100-fold. The method can detect 10 pg MMP7 by using commercially available casein without complicated handlings. Moreover, it increases detection sensitivity for trypsin. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  1. Advances in the helium-jet coupled on-line mass seperator RAMA

    International Nuclear Information System (INIS)

    Moltz, D.M.; Aeystoe, J.; Cable, M.D.; Parry, R.F.; Haustein, P.E.; Wouters, J.M.; Cerny, J.; California Univ., Berkeley

    1981-01-01

    General improvements to the on-line mass separator RAMA have yielded a greater reliability and efficiency for some elements. A new utilitarian helium-jet chamber has been installed to facilitate quick target and degrader foil changes in addition to a new ion source holder. A higher efficiency hollow-cathode, cathode-extraction ion source for lower melting point elements ( 0 C) has also been designed. Tests with the beta-delayed proton emitter 37 Ca showed a factor of five increase in yield over the old hollow-cathode, anode-extraction source. A differentially-pumped tape drive system compatible with both γ-γ and β-γ experiments has been incorporated into the general detection system. All major operating parameters will soon be monitored by a complete stand-alone microprocessor system which will eventually be upgraded to a closed-loop control system. (orig.)

  2. Advances in the helium-jet coupled on-line mass separator RAMA

    International Nuclear Information System (INIS)

    Moltz, D.M.; Aysto, J.; Cable, M.D.; Parry, R.F.; Haustein, P.E.; Wouters, J.M.; Cerny, J.

    1980-01-01

    General improvements to the on-line mass separator RAMA (Recoil Atom Mass Analyzer) have yielded a greater reliability and efficiency for some elements. A new utilitarian helium-jet chamber has been installed to facilitate quick target and degrader foil changes in addition to a new ion source holder. A higher efficiency hollow-cathode, cathode-extraction ion source, for lower melting point elements ( 0 C) has also been designed. Tests with the beta-delayed proton emitter 37 Ca showed a factor of five increase in yield over the old hollow-cathode, anode-extraction source. A differentially-pumped-tape drive system compatible with both γ-γ and β-γ experiments has been incorporated into the general detection system. All major operating parameters will soon be monitored by a complete stand-alone microprocessor system which will eventually be upgraded to a closed-loop control system

  3. Vocal fold injection medialization laryngoplasty.

    Science.gov (United States)

    Modi, Vikash K

    2012-01-01

    Unilateral vocal fold paralysis (UVFP) can cause glottic insufficiency that can result in hoarseness, chronic cough, dysphagia, and/or aspiration. In rare circumstances, UVFP can cause airway obstruction necessitating a tracheostomy. The treatment options for UVFP include observation, speech therapy, vocal fold injection medialization laryngoplasty, thyroplasty, and laryngeal reinnervation. In this chapter, the author will discuss the technique of vocal fold injection for medialization of a UVFP. Copyright © 2012 S. Karger AG, Basel.

  4. FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUTUSAN WISATAWAN NUSANTARA BERWISATA BELANJA DI RAMA KRISNA OLEH-OLEH KHAS BALI

    Directory of Open Access Journals (Sweden)

    I Kadek Adi Sumara Putra

    2017-07-01

    Full Text Available The activities of shopping trips into one of the attractions which is most favorite by domestic tourists. It can be seen from the percentage of domestic tourists who’s doing activity for shopping tour that is equal to 35 percent. The tourism shopping center that are currently being developed and are Frequently visited by domestic tourists is Rama Krishna Oleh-Oleh Khas Bali as a tourism shopping center of handicrafts from Bali with modern nuances. The purpose of this study was to determine the factors influencing the domestic tourists decision who’s doing activities for shopping trips and also determine the dominant factors that influence the domestic tourists decision for shopping trips in Rama Krishna Oleh-Oleh Khas Bali. This research using purposive sampling with distributing questionnaires to 374 respondents who traveled shopping at Rama Krishna Oleh-Oleh Khas Bali. The data were collection by observation, questionnaire interview, and library research. This research is being tested first for its validity and reliability before being by factor analysis. The results of this research showed that 18 variables were identified, 15 variables were selected into the three factors that influence the domestic tourists decision for shopping trips. Those factors consist of psychological factors with eigenvalue of 5.587, situational factors with eigenvalue of 1.594, and external factors with eigenvalue of 1.117. From the result of analysis factors well known that the most dominant factor were influencing domestic tourists decision for shopping trips in Rama Krishna Oleh-Oleh Khas Bali is a psychological factor because it has the highest eigenvalue of all factors that have been formed. The variables included in the psychological factors are: motivation, personality, learning, attitudes, and perceptions.

  5. El arte de irse por las ramas. La digresión en la novela latinoamericana contemporánea

    NARCIS (Netherlands)

    Oliver, M.

    2016-01-01

    This book carries out the first study of digression in contemporary Latin American literature. The book approaches the reflexive and political potentials of digression as discursive strategy by way of close readings of four novels by some of Latin America’s most outstanding contemporary writers:

  6. Las radiaciones ionizantes: una realidad cotidiana

    Directory of Open Access Journals (Sweden)

    Eduardo Gallego Díaz

    2010-12-01

    Full Text Available Este trabajo introduce la naturaleza de las sustancias radiactivas y de la radiación ionizante, los efectos que causa sobre la materia y los medios disponibles para su detección y medida, así como las fuentes de radiación naturales a las que los seres humanos estamos expuestos. Seguidamente, en el apartado más amplio del trabajo, se describen las múltiples aplicaciones de las radiaciones ionizantes en la medicina, la agricultura, la industria, las ciencias de la tierra, la biología y otras ramas, lo que permite poder poner su impacto en perspectiva frente al de las fuentes naturales. La tesis final del artículo es que para evitar sufrir daños resulta necesario protegerse adecuadamente de los efectos nocivos de la radiación y las sustancias radiactivas, pero sin limitar innecesariamente su utilización beneficiosa en los numerosos ámbitos descritos. Ese es el objetivo fundamental de la protección radiológica, cuyos principios básicos se presentan para terminar.

  7. The relationship between chondromalacia patella, medial meniscal tear and medial periarticular bursitis in patients with osteoarthritis

    Directory of Open Access Journals (Sweden)

    Resorlu Mustafa

    2017-11-01

    Full Text Available This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa in osteoarthritis, chondromalacia patella and medial meniscal tears.

  8. Large scale rooftop photovoltaics grid connected system at Charoenphol-Rama I green building

    Energy Technology Data Exchange (ETDEWEB)

    Ketjoy, N.; Rakwichian, W. [School of Renewable Energy Technology (SERT) (Thailand); Wongchupan, V. [Panya Consultants Co., Ltd (Thailand); Sankarat, T. [Tesco Lotus, Ek-Chai Distribution System Co., Ltd. (Thailand)

    2004-07-01

    This paper presents a technical feasibility study project for the large scale rooftop photovoltaics (PV) grid connected system at Charoenphol-Rama I green building super store of TESCO LOTUS (TL) in Thailand. The objective of this project is (i) to study the technical feasibility of installation 350 kWp PV systems on the top of the roof in this site (ii) and to determine the energy produce from this system. The technical factors are examined using a computerized PVS 2000 simulation and assessment tool. This super store building located in Bangkok, with latitude 14 N, longitude 100 E and the building direction is 16 from North direction. The building roof area is 14,000 m2; with 3 degree face East and 3 degree face West pitch. Average daily solar energy in this area is approximately 5.0 kWh. The study team for this project consists of educational institution as School of Renewable Energy Technology (SERT) and private institution as Panya Consultants (PC). TL is the project owner, PC is responsible for project management, and SERT is a third party and responsible for PV system study, conceptual design and all technical process. In this feasibility studies SERT will identify the most attractive scenarios of photovoltaic cell technology (mono, poly-crystalline or thin film amorphous), system design concepts for owners (TL) and determine possibility of the energy yield of the system from different module orientation and tilt angle. The result of this study is a guide to help TL to make decision to select proper rooftop PV system option for this store with proper technology view. The economic view will not be considered in this study. (orig.)

  9. Cuando esas nuevas ramas crezcan yo también habré sanado

    Directory of Open Access Journals (Sweden)

    Ruysen Flores

    2014-09-01

    Full Text Available Ruysen Flores narra sobre cómo superó una enfermedad espiritual que lo aquejaba, siguiendo el ejemplo de las plantas que le había enseñado su maestro Pablo Amaringo. Así como las plantas al podarlas se renuevan, así su espíritu se sanó. Su inspiración es la mitología, la costumbre y las plantas. En su pintura hay un espíritu femenino acuático, cuyos hijos son los delfines. Ruysen pinta a los espíritus protectores que aparecen en los rituales de los chamanes y los espíritus de las plantas y los elementos. Utiliza figuras que vienen en perspectiva, también muy utilizadas por Pablo Amaringo, a las que llamaba “tingunas”. 

  10. Medial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity

    Directory of Open Access Journals (Sweden)

    Hua Sun

    2017-01-01

    Conclusions: Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.

  11. Medial tibial “spackling” to lessen chronic medial tibial soft tissue irritation

    Directory of Open Access Journals (Sweden)

    J. Ryan Martin, MD

    2016-09-01

    Full Text Available We describe a unique, utilitarian reconstructive treatment option known as tibial “spackling” for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ligament from the prominent medial edge of the tibial component. In the setting of failed nonoperative treatment, our experience with utilizing bone cement to reconstruct the medial tibial bone defect and create a smooth medial tibial surface has been successful in eliminating chronic medial soft tissue irritation.

  12. Estudio experimental de la respuesta de la rama de café ante la aplicación de impacto mecánico.

    Directory of Open Access Journals (Sweden)

    García Galeano Eduard Alberto

    2001-09-01

    Full Text Available En CENICAFÉ se estudió el efecto de la aplicación de impacto mecánico sobre la rama, para lo cual se desarrolló y evaluó un prototipo a nivel de laboratorio que permita aplicar impacto en un punto de la rama para desprender mecánicamente el café. Se sometió la rama a la aplicación de impacto durante 6 segundos, probando distintos puntos, frecuencias y fuerzas de excitación, midiendo con la ayuda de sensores de desplazamiento y aceleración el efecto que el impacto genera sobre la rama. Encontrándose que la excitación por impacto genera un régimen de vibración transitorio y que al restringir el movimiento de una rama en su extremo libre e impactar en un punto medio, se obtiene una mejor transmisión de la vibración y un desprendimiento más efectivo de los frutos a lo largo de esta, alcanzando un desprendimiento del 90 % de los frutos maduros presentes en la rama con porcentajes de frutos verdes en la masa cosechada del 23% y tiempo óptimo de operación recomendado de 2,5 s en promedio para los mejores tratamientos observados. Adicionalmente con la ayuda de una cámara de video, se estudió el movimiento de los frutos cuando fueron sometidos a impacto, observándose los modos pendular y basculante a los cuales se les atribuye el desprendimiento de los frutos maduros, además que la mayor cantidad de frutos se desprenden en los primeros ciclos de aplicación del impacto.

  13. REGULACIÓN DE LA TECNOLOGÍA INFORMÁTICA AL SERVICIO DE LA RAMA JUDICIAL: NECESIDAD, REALIDAD O ILUSIÓN

    OpenAIRE

    Ana María Mesa Elneser

    2011-01-01

    El presente artículo da cuenta de la regulación en el ordenamiento jurídico colombiano sobre el funcionamiento de la rama judicial por medios electrónicos como una forma de hacer efectivo el cumplimiento de principios procesales como la gratuidad, garantismo y agilidad en la búsqueda efectiva del funcionamiento del aparato judicial. La necesidad de avance tecnológico informático al servicio de la rama judicial no ha sido soportado desde una política de gobierno generadora de proyectos e inver...

  14. Acute Medial Plantar Fascia Tear.

    Science.gov (United States)

    Pascoe, Stephanie C; Mazzola, Timothy J

    2016-06-01

    A 32-year-old man who participated in competitive soccer came to physical therapy via direct access for a chief complaint of plantar foot pain. The clinical examination findings and mechanism of injury raised a concern for a plantar fascia tear, so the patient was referred to the physician and magnetic resonance imaging was obtained. The magnetic resonance image confirmed a high-grade, partial-thickness, proximal plantar fascia tear with localized edema at the location of the medial band. J Orthop Sports Phys Ther 2016;46(6):495. doi:10.2519/jospt.2016.0409.

  15. Héroes y bestias: Rama, Sugriva y Valin en el Ramayana asiático

    OpenAIRE

    Noguera Mas, Roser

    2008-01-01

    He estructurado este trabajo en dos partes. En la primera, explico cómo surgen históricamente los diferentes ramayanas. En la segunda, analizo el combate entre Valin y Sugriva mostrando las relaciones intertextuales entre los ramayanas asiáticos.

  16. Snapping Knee Caused by Medial Meniscal Cyst

    Directory of Open Access Journals (Sweden)

    Tsuyoshi Ohishi

    2014-01-01

    Full Text Available Snapping phenomenon around the medial aspect of the knee is rare. We present this case of snapping knee caused by the sartorius muscle over a large medial meniscal cyst in a 66-year-old female. Magnetic resonance images demonstrated a large medial meniscal cyst with a horizontal tear of the medial meniscus. Arthroscopic cyst decompression with limited meniscectomy resulted in the disappearance of snapping, and no recurrence of the cyst was observed during a 2-year follow-up period.

  17. Tratamiento conservador de las fracturas del cóndilo: Evaluación radiológica y clínica Conservative treatment of condyle fractures: Radiological and clinical evaluation

    Directory of Open Access Journals (Sweden)

    A. Wassouf

    2005-04-01

    Full Text Available Las ventajas del tratamiento quirúrgico de las fracturas del proceso condilar hasta la fecha han despertado controversia en la literatura. El tratamiento conservador es el método de elección en nuestra clínica, por lo tanto, el propósito de este estudio es evaluar los resultados obtenidos en un grupo de nuestros pacientes, seleccionados y aleatorizados, que recibieron un tratamiento conservador de fracturas del proceso condilar. Se evaluaron las intervenciones terapéuticas entre 1997 y 2000 en 30 pacientes (18 varones, 12 mujeres, edad media de 25 años con fracturas del cóndilo y un tiempo de seguimiento medio de 12 meses. Se incluyó un total de 35 fracturas del cóndilo en este estudio. El tratamiento utilizado fue la fijación maxilomandibular (FMM, que se aplicó durante 2 semanas en las fracturas unilaterales y durante 3 a 4 semanas en las fracturas bilaterales. Se realizó una evaluación radiológica inicial del ángulo del proceso condilar fracturado y del acortamiento de la rama ascendente. Se evaluaron las exploraciones clínicas y radiológicas a intervalos regulares (6 semanas y 3, 6 y 12 meses. Cinco pacientes presentaron fracturas bilaterales; todos con luxación anterior. En el grupo de las fracturas unilaterales, 12 pacientes presentaron luxación anterior (valor medio 23° en la radiografía panorámica. Trece pacientes presentaron luxación posterior (valor medio 10°. En la proyección posteroanterior se observó la luxación medial en 12 fracturas (valor medio 14° y luxación lateral en 4 fracturas (valor medio 6°. El acortamiento de la rama ascendente alcanzó un valor medio de 5,40 mm. Se logró una funcionalidad y movilidad satisfactorias en todos los pacientes tratados. Las secuelas postraumáticas fueron el chasquido de la articulación temporomandibular (ATM (5 de 29, la desviación de la boca al abrirse (14 de 27, la reducción de los movimientos laterales y de la protrusión (15 de 29 y finalmente un rango

  18. Medial subtalar dislocation: Case report

    Directory of Open Access Journals (Sweden)

    Manojlović Radovan

    2010-01-01

    Full Text Available Introduction. Subtalar dislocation (SI is a term that refers to an injury in which there is dislocation of the talonavicular and talocalcanear joint, although the tibiotalar joint is intact. Case Outline. A case of medial subtalar dislocation as a result of basketball injury, so-called 'basketball foot', is presented. Closed reposition in i.v. anaesthesia was performed with the patient in supine position and a knee flexed at 90 degrees. Longitudinal manual traction in line of deformity was carried out in plantar flexion. The reposition continued with abduction and eversion simultaneously increasing dorsiflexion. It was made in the first attempt and completed instantly. Rehabilitation was initiated after 5 weeks of immobilization. One year after the injury, the functional outcome was excellent with full range of motion and the patient was symptom-free. For better interpretation of roentgenogram, bone model of subtalar dislocation was made using the cadaver bone. Conclusion. Although the treatment of such injury is usually successful, diagnosis can be difficult because it is a rare injury, and moreover, X-ray of the injury can be confusing due to superposition of bones. Radiograms revealed superposition of the calcaneus, tarsal and metatarsal bones which was radiographically visualized in the anterior-posterior projection as one osseous block inward from the talus, and on the lateral view as in an osteal block below the tibial bone. Prompt recognition of these injuries followed by proper, delicately closed reduction under anaesthesia is crucial for achieving a good functional result in case of medial subtalar dislocation.

  19. Experimento sobre Diversas Fórmulas para Tratar las Heridas en los Árboles.

    Directory of Open Access Journals (Sweden)

    Obregón Botero Rafael

    1940-03-01

    Full Text Available Sin duda una de las prácticas más delicadas y difíciles con que tropieza el agricultor consciente, es la adecuada y perfecta poda de sus árboles, abundando los diversos sistemas preconizados tanto para árboles frutales como para el café y el cacao. Todos o casi todos los sistemas tienden a abarcar dos puntos principales; la mayor producción en cantidad y calidad aceptable sin debilitamiento de la planta y la búsqueda de economía en su ejecución. Sus principios, normas, implementos, épocas y demás factores varían con la planta y los puntos de vista del preconizador de los diferentes sistemas, pero todos están acordes en cuanto a la necesidad de proteger los cortes hechos durante las prácticas. De la misma manera como los animales están sujetos a adquirir infecciones por las heridas o desgarramientos de su piel, las plantas también lo están por la infección al practicar cortes en sus ramas o simplemente al través de los desperfectos y desgarraduras en sus tejidos protectores, la corteza de las ramas, tallos y raíces.

  20. Outside-In Deep Medial Collateral Ligament Release During Arthroscopic Medial Meniscus Surgery.

    Science.gov (United States)

    Todor, Adrian; Caterev, Sergiu; Nistor, Dan Viorel

    2016-08-01

    Arthroscopic partial medial meniscectomy is a very common orthopaedic procedure performed for symptomatic, irreparable meniscus tears. It is usually associated with a very good outcome and minimal complications. In some patients with tight medial compartment, the posterior horn of the medial meniscus can be difficult to visualize, and access in this area with instruments may be challenging. To increase the opening of the medial compartment, after valgus-extension stress position of the knee, different techniques of deep medial collateral ligament release have been described. The outside-in pie-crusting technique shown in this technical note has documented effectiveness and good outcomes with minimal or no morbidity.

  1. EDUCANDO LA SEXUALIDAD DE LAS PERSONAS SORDAS

    Directory of Open Access Journals (Sweden)

    Jixy Martínez Galiano

    2014-06-01

    Full Text Available La presente investigación responde a la necesidad de continuar trabajando en función de educar la sexualidad de la población en general, y en especial, de las personas que presentan algún tipo de necesidad educativa especial, y fundamentalmente, a los que la presencia de factores discapacitantes le impiden recibir la información con una claridad que les permita ser responsables ante sus actos en todos los sentidos de la vida. La existencia de personas con sordera es un motivo importante para que especialistas de diversas ramas profundicen en las vías más efectivas para llevarles la información más acabada acerca de la educación de la sexualidad, por lo que se proponen una serie de talleres relacionados con diversos elementos que permitan una mejor comprensión de las principales problemáticas que están relacionadas con la posible adquisición de enfermedades que pueden ser evitadas a partir de su conocimiento y de las mejores maneras de prácticas de sexo seguro que promueva felicidad y responsabilidad. La valoración de los talleres en lengua de señas cubanas posibilitó comprobar que las temáticas propuestas son efectivas y los resultados alcanzados demuestran las posibilidades de esta población de apropiarse adecuadamente de las formas más adecuadas de comportarse en la vida sexual.

  2. Evaluación de la anatomía mandibular relacionada con la osteotomía sagital de rama: estudio realizado en mandíbulas humanas adultas secas de cráneos de raza mestiza pertenecientes al departamento de anatomía de la Facultad de Odontología: Universidad Central del Ecuador

    OpenAIRE

    Daniela Mayorga; Diego Patricio Maldonado Coloma

    2015-01-01

    En la actualidad la osteotomía sagital de la rama mandibular representa una de las técnicas quirúrgicas más frecuentes utilizada en cirugía ortognática. Sin embargo desde su aparición ha venido siendo modificada hasta lograr los niveles de estandarización que posee en la actualidad. Dicha técnica ha sido modificada en diseño, extensión e instrumentación. El presente trabajo investigativo ha sido llevado a cabo con la finalidad de prevenir problemas anatómicos y quirúrgicos a través del estudi...

  3. Metalogénesis de la veta Farallón Negro rama norte, Farallón Negro, provincia de Catamarca

    OpenAIRE

    Martínez, Facundo; Fogliata, Ana; Montenegro, Nicolás; Hagemann, Steffen

    2014-01-01

    La veta Farallón Negro Rama Norte forma parte del yacimiento Farallón Negro ubicado en Hualfín, Departamento Belén, Catamarca. Este yacimiento se encuentra dentro del Complejo Volcánico Farallón Negro de edad terciaria, que constituye la roca de caja de un sistema de vetas rico en oro. La veta Farallón Negro Rama Norte tiene rumbo general N40°O e inclinación de 65° NE, tiene una corrida de 600 m, y se extiende desde la superficie hasta unos 400 m en profundidad. La roca de caja es una monzoni...

  4. Endoscopic medial maxillectomy breaking new frontiers.

    Science.gov (United States)

    Mohanty, Sanjeev; Gopinath, M

    2013-07-01

    Endoscopy has changed the perspective of rhinologist towards the nose. It has revolutionised the surgical management of sinonasal disorders. Sinus surgeries were the first to get the benefit of endoscope. Gradually the domain of endoscopic surgery extended to the management of sino nasal tumours. Traditionally medial maxillectomy was performed through lateral rhinotomy or mid facial degloving approach. Endoscopic medial maxillectomy has been advocated by a number of authors in the management of benign sino-nasal tumours. We present our experience of endoscopic medial maxillectomy in the management of sinonasal pathologies.

  5. Complex Medial Meniscus Tears Are Associated With a Biconcave Medial Tibial Plateau.

    Science.gov (United States)

    Barber, F Alan; Getelman, Mark H; Berry, Kathy L

    2017-04-01

    To determine whether an association exists between a biconcave medial tibial plateau and complex medial meniscus tears. A consecutive series of stable knees undergoing arthroscopy were evaluated retrospectively with the use of preoperative magnetic resonance imaging (MRI), radiographs, and arthroscopy documented by intraoperative videos. Investigators independently performed blinded reviews of the MRI or videos. Based on the arthroscopy findings, medial tibial plateaus were classified as either biconcave or not biconcave. A transverse coronal plane ridge, separating the front of the tibial plateau from the back near the inner margin of the posterior body of the medial meniscus, was defined as biconcave. The medial plateau slope was calculated with MRI sagittal views. General demographic information, body mass index, and arthroscopically confirmed knee pathology were recorded. A total of 179 consecutive knees were studied from July 2014 through August 2015; 49 (27.2%) biconcave medial tibial plateaus and 130 (72.8%) controls were identified at arthroscopy. Complex medial meniscus tears were found in 103. Patients with a biconcave medial tibial plateau were found to have more complex medial meniscus tears (69.4%) than those without a biconcavity (53.1%) (P = .049) despite having lower body mass index (P = .020). No difference in medial tibial plateau slope was observed for biconcavities involving both cartilage and bone, bone only, or an indeterminate group (P = .47). Biconcave medial tibial plateaus were present in 27.4% of a consecutive series of patients undergoing knee arthroscopy. A biconcave medial tibial plateau was more frequently associated with a complex medial meniscus tear. Level III, case-control study. Copyright © 2016 Arthroscopy Association of North America. All rights reserved.

  6. Medicina regenerativa y células madre. Mecanismos de acción de las células madre adultas

    OpenAIRE

    Hernández Ramírez, Porfirio

    2009-01-01

    La medicina regenerativa es una rama de la medicina que se ha desarrollado considerablemente en los últimos años. Los avances en este campo se han vinculado estrechamente con los nuevos conocimientos adquiridos sobre las células madre y su capacidad de convertirse en células de diferentes tejidos. Esta medicina se sustenta en conductas adoptadas por el organismo para remplazar por células sanas a las dañadas por diversos procesos en determinados tejidos. Las medidas terapéuticas empleadas pue...

  7. Estructura y función de la ATP sintasa de las arqueas aeróbicas

    OpenAIRE

    Miranda-Astudillo, Héctor Vicente

    2012-01-01

    Desde el descubrimiento de las arqueas ha llamado la atención su capacidad para sobrevivir en ambientes difíciles. A través de los años, las arqueas han pasado de ser rarezas extremófilas a ser consideradas organismos de importancia universal que han sido utilizados para elucidar preguntas biológicas fundamentales. La filogenia del dominio Arquea se encuentra en constante cambio y cuenta hasta la fecha con 5 ramas principales: Crenarchaeota, Euryarchaeota, Thaumarchaeota, Korarchaeota y Nanoa...

  8. [Tibial periostitis ("medial tibial stress syndrome")].

    Science.gov (United States)

    Fournier, Pierre-Etienne

    2003-06-01

    Medial tibial stress syndrome is characterised by complaints along the posteromedial tibia. Runners and athletes involved in jumping activities may develop this syndrome. Increased stress to stabilize the foot especially when excessive pronation is present explain the occurrence this lesion.

  9. Endoscopic Medial Maxillectomy Breaking New Frontiers

    OpenAIRE

    Mohanty, Sanjeev; Gopinath, M.

    2011-01-01

    Endoscopy has changed the perspective of rhinologist towards the nose. It has revolutionised the surgical management of sinonasal disorders. Sinus surgeries were the first to get the benefit of endoscope. Gradually the domain of endoscopic surgery extended to the management of sino nasal tumours. Traditionally medial maxillectomy was performed through lateral rhinotomy or mid facial degloving approach. Endoscopic medial maxillectomy has been advocated by a number of authors in the management ...

  10. The relationship between chondromalacia patella, medial meniscal tear and medial periarticular bursitis in patients with osteoarthritis

    OpenAIRE

    Resorlu Mustafa; Doner Davut; Karatag Ozan; Toprak Canan Akgun

    2017-01-01

    Abstract Background This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears. Patients and methods Radiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed al...

  11. UMAPRM: Uniformly sampling the medial axis

    KAUST Repository

    Yeh, Hsin-Yi Cindy

    2014-05-01

    © 2014 IEEE. Maintaining clearance, or distance from obstacles, is a vital component of successful motion planning algorithms. Maintaining high clearance often creates safer paths for robots. Contemporary sampling-based planning algorithms That utilize The medial axis, or The set of all points equidistant To Two or more obstacles, produce higher clearance paths. However, They are biased heavily Toward certain portions of The medial axis, sometimes ignoring parts critical To planning, e.g., specific Types of narrow passages. We introduce Uniform Medial Axis Probabilistic RoadMap (UMAPRM), a novel planning variant That generates samples uniformly on The medial axis of The free portion of Cspace. We Theoretically analyze The distribution generated by UMAPRM and show its uniformity. Our results show That UMAPRM\\'s distribution of samples along The medial axis is not only uniform but also preferable To other medial axis samplers in certain planning problems. We demonstrate That UMAPRM has negligible computational overhead over other sampling Techniques and can solve problems The others could not, e.g., a bug Trap. Finally, we demonstrate UMAPRM successfully generates higher clearance paths in The examples.

  12. Quitosana no controle pós-colheita da podridão mole em caqui 'rama forte' Chitosan on the postharvest control of soft rot in 'rama forte' persimmon

    Directory of Open Access Journals (Sweden)

    Patrícia Cia

    2010-01-01

    Full Text Available Este trabalho objetivou avaliar o efeito da quitosana, aliada ao processo de destanização, no controle de Rhizopus stolonifer em caqui 'Rama Forte' e sobre o crescimento micelial do fungo in vitro. Caquis foram submetidos ao processo de destanização com CO2 (70% / 18 horas, em tambores herméticos, sendo em seguida submetidos à inoculação com suspensão de esporos de R. stolonifer (3x10(5 esporos mL-1. Após inoculação, os frutos permaneceram por 2 horas a 25 °C, quando foram imersos em quitosana (0; 0,5; 1,0; 1,5 e 2,0%, por 1 minuto. Os frutos foram mantidos a 25 °C / 80% UR e avaliados quanto à severidade e incidência da podridão mole, durante cinco dias. Após o período de armazenamento, avaliaram-se a coloração de casca, a firmeza e o índice de adstringência. In vitro, avaliou-se o crescimento micelial em placas contendo meio BDA incorporado com quitosana ou ácido cítrico. Os resultados mostraram que a quitosana, a 1,5%, reduz a severidade e a incidência da podridão mole em caquis e não influencia no processo de perda de adstringência, firmeza e na coloração de casca. In vitro, a quitosana inibe completamente o crescimento micelial de R. stolonifer, em concentração tão baixa quanto 0,5%.The objective of this research was to evaluate the effect of chitosan in addition to de-astringency process on the control of Rhizopus stolonifer in 'Rama Forte' persimmon and on in vitro mycelial growth. Persimmon were submitted to de-astringency process using CO2 (70% / 18 h, in hermetic chambers. Next, fruit were inoculated through subcuticular injections of a R. stolonifer spore suspension (3x10(5 spore mL-1 and 2 hours later at 25 °C immersed into chitosan (0, 0.5, 1.0, 1.5, and 2.0%, for 1 min. Fruit were stored at 25 °C / 80% RH, and checked for rot severity and incidence of soft rot, during 5-days of storage. After storage the skin color, firmness and astringency index were evaluated in persimmons. In vitro, mycelial

  13. The Relationship between Chondromalacia Patella, Medial Meniscal Tear and Medial Periarticular Bursitis in Patients with Osteoarthritis.

    Science.gov (United States)

    Resorlu, Mustafa; Doner, Davut; Karatag, Ozan; Toprak, Canan Akgun

    2017-12-01

    This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears. Radiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients. Mild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients. We observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear.

  14. The Relationship between Chondromalacia Patella, Medial Meniscal Tear and Medial Periarticular Bursitis in Patients with Osteoarthritis

    Science.gov (United States)

    Doner, Davut; Karatag, Ozan; Toprak, Canan Akgun

    2017-01-01

    Abstract Background This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears. Patients and methods Radiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients. Results Mild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients. Conclusions We observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear. PMID:29333118

  15. Ramas, familles, réseaux. Les supports sociaux de la diffusion de la santería cubaine (Cuba-Mexique)

    OpenAIRE

    Argyriadis, Kali

    2014-01-01

    Ramas, familles, réseaux. Les supports sociaux de la diffusion de la santería cubaine (Cuba-Mexique). La santería cubaine participe d’un processus de transnationalisation qui concerne l’ensemble des religions dites afro-américaines, présentes aujourd’hui en Afrique de l’Ouest, en Europe et sur tout le continent américain. Pour parvenir à cerner cet objet dans son ampleur, l’approche en termes de réseau semble a priori la plus opératoire. L’enquête ethnographique, quand elle concentre son atte...

  16. Evolución de la recuperación de la sensibilidad posterior a osteotomía sagital de rama mandibular bilateral

    OpenAIRE

    Erita Cordero; Roberto Pantoja; Cristóbal Pacheco; Sebastián Correa; Rolando Carrasco; Luis Carreño

    2017-01-01

    Introducción: La osteotomía sagital de rama mandibular bilateral es uno de los procedimientos quirúrgicos más comunes durante la cirugía ortognática. Con relación a ello se han descrito múltiples reportes que indican cambios a nivel neurosensitivo en el nervio alveolar inferior. Los rangos posquirúrgicos de parestesia han sido descritos entre un 12,5 y el 100%. El objetivo de este trabajo fue determinar el porcentaje de recuperación sensitiva del territorio inervado por el nervio alveolar inf...

  17. la influencia de la felicidad en las decisiones de inversión de activos de largo plazo para una muestra de siete gerentes financieros en la ciudad de Bogotá en el año 2016.

    OpenAIRE

    Poveda Achury, Juan Camilo

    2016-01-01

    El presente artículo contribuye con la investigación de las Finanzas Corporativas del Comportamiento, rama de las finanzas corporativas que considera que el individuo que toma decisiones financieras no es completamente racional y que por hecho existen sesgos psicológicos que influyen en sus decisiones. Este documento se enfoca, desde el punto de vista conceptual y también mediante el análisis de un estudio de campo, en la influencia de la felicidad en las decisiones de inversión en activos de...

  18. Diseño curricular para el proceso de enseñanza-aprendizaje acelerado del español como lengua extranjera en las ciencias biomédicas

    OpenAIRE

    Herrera Santana, Diana Josefa

    2009-01-01

    El prestigio alcanzado por la medicina cubana ha suscitado un gran incremento en la matrícula de estudiantes extranjeros que vienen a Cuba a cursar estudios en las ciencias biomédicas, tanto en el pregrado como en el postgrado. Antes tales demandas, el Ministerio de Salud Pública, en el año 1996, asumió la preparación idiomática en idioma español de los estudiantes extranjeros que decidían estudiar en Cuba alguna de las ramas de las ciencias biomédicas. En el presente informe se exponen los p...

  19. Medial structure generation for registration of anatomical structures

    DEFF Research Database (Denmark)

    Vera, Sergio; Gil, Debora; Kjer, Hans Martin

    2017-01-01

    structures. Methods for generation of medial structures, however, are prone to the generation of medial artifacts (spurious branches) that traditionally need to be pruned before the medial structure can be used for further computations. The act of pruning can affect main sections of the medial surface......Medial structures (skeletons and medial manifolds) have shown capacity to describe shape in a compact way. In the field of medical imaging, they have been employed to enrich the description of organ anatomy, to improve segmentation, or to describe the organ position in relation to surrounding...

  20. Las Sinapsis

    OpenAIRE

    Jorge Eduardo Duque Parra; Genaro Morales Parra; Carlos Alberto Duque Parra

    1997-01-01

    Introducción

    El estudio del sistema nervioso considera entre múltiples conexiones, aquéllas de carácter bioquímico que se median a través de sustancias elaboradas por las neuronas y que reciben la denominación de neurotransmisores’, dichas sustancias se vierten en las zonas de resquicio neuromuscular, neuroneuronal o neuroglandular, para modificar las condiciones de membrana y permitir la continuidad de los p...

  1. Medial branch neurotomy in low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Masala, Salvatore; Mammucari, Matteo; Simonetti, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); Nano, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); University ' ' Tor Vergata' ' , Department of Radiology, Rome (Italy); Marcia, Stefano [S. Giovanni di Dio Hospital, Department of Diagnostic and Molecular Imaging, Cagliari (Italy)

    2012-07-15

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  2. Medial branch neurotomy in low back pain

    International Nuclear Information System (INIS)

    Masala, Salvatore; Mammucari, Matteo; Simonetti, Giovanni; Nano, Giovanni; Marcia, Stefano

    2012-01-01

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  3. Medial tibial stress syndrome: a critical review

    NARCIS (Netherlands)

    Moen, Maarten H.; Tol, Johannes L.; Weir, Adam; Steunebrink, Miriam; de Winter, Theodorus C.

    2009-01-01

    Medial tibial stress syndrome (MTSS) is one of the most common leg injuries in athletes and soldiers. The incidence of MTSS is reported as being between 4% and 35% in military personnel and athletes. The name given to this condition refers to pain on the posteromedial tibial border during exercise,

  4. Acute compartment syndrome after medial gastrocnemius tear.

    Science.gov (United States)

    Sit, Yan Kit; Lui, Tun Hing

    2015-02-01

    Acute compartment syndrome after medial gastrocnemius tear is very rare. It can involve the superficial posterior compartment alone or progress to involve all the 4 compartments of the lower legs. Those patients with high pain tolerance and minor trauma can lead to delayed presentation. Immediate fasciotomy is the treatment of choice. Therapeutic Level IV, Case Study. © 2014 The Author(s).

  5. Rheo: Japanese Sound Art Interrogating Digital Mediality

    DEFF Research Database (Denmark)

    Vandsø, Anette

    2014-01-01

    THe article asks in what way the Japanese sound artist Ryoichi Kurokawa's audiovisual installation Rheo 5 Horisonz (2010) is 'digital'. Using Professor Lars Elleströms concept of 'mediality, the main claim in this article is that Rheo no only uses digital tehcnology, but also interrogates digital...

  6. Medial frontal cortex and response conflict: Evidence from human intracranial EEG and medial frontal cortex lesion

    NARCIS (Netherlands)

    Cohen, M.X.; Ridderinkhof, K.R.; Haupt, S.; Elger, C.E.; Fell, J.

    2008-01-01

    The medial frontal cortex (MFC) has been implicated in the monitoring and selection of actions in the face of competing alternatives, but much remains unknown about its functional properties, including electrophysiological oscillations, during response conflict tasks. Here, we recorded intracranial

  7. Stimulation of the medial amygdala enhances medial preoptic dopamine release: implications for male rat sexual behavior.

    Science.gov (United States)

    Dominguez, J M; Hull, E M

    2001-11-02

    Increased dopamine (DA) in the medial preoptic area (MPOA) facilitates male sexual behavior. A major source of innervation to the MPOA is the medial amygdala (MeA). We now report that chemical stimulation of the MeA enhanced levels of extracellular MPOA DA in anesthetized male rats. These results suggest that DA activity in the MPOA can be regulated by input from the MeA to the MPOA.

  8. Natural history of medial clavicle fractures.

    Science.gov (United States)

    Salipas, Andrew; Kimmel, Lara A; Edwards, Elton R; Rakhra, Sandeep; Moaveni, Afshin Kamali

    2016-10-01

    Fractures of the medial third of the clavicle comprise less than 3% of all clavicle fractures. The natural history and optimal management of these rare injuries are unknown. The aim of our study is to describe the demographics, management and outcomes of patients with medial clavicle fractures treated at a Level 1 Trauma Centre. A retrospective review was conducted of patients presenting to our institution between January 2008 and March 2013 with a medial third clavicle fracture. Clinical and radiographic data were recorded including mechanism of injury, fracture pattern and displacement, associated injuries, management and complications. Functional outcomes were assessed using the Glasgow Outcome Scale Extended (GOS-E) scores from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR). Shoulder outcomes were assessed using two patient reported outcomes scores, the American Shoulder and Elbow Society Score (ASES) and the Subjective Shoulder Value (SSV). Sixty eight medial clavicle fractures in 68 patients were evaluated. The majority of patients were male (n=53), with a median age of 53.5 years (interquartile range (IQR) 37.5-74.5 years). The most common mechanism of injury was motor vehicle accident (n=28). The in-hospital mortality rate was 4.4%. The fracture pattern was almost equally distributed between extra articular (n=35) and intra-articular (n=33). Fifty-five fractures (80.9%) had minimal or no displacement. Associated injuries were predominantly thoracic (n=31). All fractures were initially managed non-operatively, with a broad arm sling. Delayed operative fixation was performed for painful atrophic delayed union in two patients (2.9%). Both patients were under 65 years of age and had a severely displaced fracture of the medial clavicle. One intra-operative vascular complication was seen, with no adverse long-term outcome. Follow-up was obtained in 85.0% of the surviving cohort at an average of three years post injury (range 1-6 years). The mean ASES

  9. Pediatric Glial Heterotopia in the Medial Canthus.

    Science.gov (United States)

    Kim, Soung Min; Amponsah, Emmanuel Kofi; Eo, Mi Young; Cho, Yun Ju; Lee, Suk Keun

    2017-11-01

    Glial heterotopias are rare, benign, congenital, midline, and nonteratomatous extracranial glial tissue. They may be confused as encephalocele or dermoid cysts and are mostly present in the nose.An 8-month-old African female child presented with a slow growing paranasal mass. The mass had been present at the left upper medial canthus since birth and had slowly and progressively enlarged. There was no communication between the mass and the cranial cavity during the operational procedure. The mass was immunohistochemically positive for S-100 protein as well as for glial fibrillary acidic protein, but negative for proliferating cell nuclear antigen. This suggested that the mass was composed of benign glial tissues with many astrocytes.The purpose of this report is to demonstrate the first patient with pediatric glial heterotopic tissue in the medial canthus and to report the clinical importance of its immunohistochemical findings.

  10. Neuromuscular Exercise Post Partial Medial Meniscectomy

    DEFF Research Database (Denmark)

    Hall, Michelle; Hinman, Rana S; Wrigley, Tim V

    2015-01-01

    PURPOSE: To evaluate the effects of a 12-week, home-based, physiotherapist-guided neuromuscular exercise program on the knee adduction moment (an indicator of mediolateral knee load distribution) in people with a medial arthroscopic partial meniscectomy within the past 3-12 months. METHODS......: An assessor-blinded, randomised controlled trial including people aged 30-50 years with no to mild pain following medial arthroscopic partial meniscectomy was conducted. Participants were randomly allocated to either a 12-week neuromuscular exercise program that targeted neutral lower limb alignment...... or a control group with no exercise. The exercise program included eight individual sessions with one of seven physiotherapists in private clinics, together with home exercises. Primary outcomes were the peak external knee adduction moment during normal pace walking and during a one-leg sit-to-stand. Secondary...

  11. [SECOT consensus on medial femorotibial osteoarthritis].

    Science.gov (United States)

    Moreno, A; Silvestre, A; Carpintero, P

    2013-01-01

    A consensus, prepared by SECOT, is presented on the management of medial knee compartment osteoarthritis, in order to establish clinical criteria and recommendations directed at unifying the criteria in its management, dealing with the factors involved in the pathogenesis of medial femorotibial knee osteoarthritis, the usefulness of diagnostic imaging techniques, and the usefulness of arthroscopy. Conservative and surgical treatments are also analysed. The experts consulted showed a consensus (agreed or disagreed) in 65.8% of the items considered, leaving 14items where no consensus was found, which included the aetiopathogenesis of the osteoarthritis, the value of NMR in degenerative disease, the usefulness of COX-2 and the chondroprotective drugs, as well as on the ideal valgus tibial osteotomy technique. © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  12. Foot medial longitudinal-arch deformation during quiet standing and gait in subjects with medial tibial stress syndrome

    DEFF Research Database (Denmark)

    Bandholm, Thomas Quaade; Boysen, Lisbeth; Haugaard, Stine

    2008-01-01

    The objective of this study was to investigate (1) if subjects with medial tibial stress syndrome demonstrate increased navicular drop and medial longitudinal-arch deformation during quiet standing and gait compared with healthy subjects, and (2) the relationship between medial longitudinal-arch ...

  13. Unicameral Bone Cyst of the Medial Cuneiform.

    Science.gov (United States)

    Schick, Faith A; Daniel, Joseph N; Miller, Juliane S

    2016-09-02

    A unicameral bone cyst is a relatively uncommon, benign bone tumor found in the metaphysis of long bones, such as the humerus and the femur, in skeletally immature persons. In the foot, these benign, fluid-filled cavities are most commonly found within the os calcis. We present a case report of a 10-year-old female with a unicameral bone cyst of the medial cuneiform.

  14. Osteoligamentous injuries of the medial ankle joint.

    Science.gov (United States)

    Lötscher, P; Lang, T H; Zwicky, L; Hintermann, B; Knupp, M

    2015-12-01

    Injuries of the ankle joint have a high incidence in daily life and sports, thus, playing an important socioeconomic role. Therefore, proper diagnosis and adequate treatment are mandatory. While most of the ligament injuries around the ankle joint are treated conservatively, great controversy exists on how to treat deltoid ligament injuries in ankle fractures. Missed injuries and inadequate treatment of the medial ankle lead to inferior outcome with instability, progressive deformity, and ankle joint osteoarthritis.

  15. Contribución de fibras mielínicas provenientes de los nervios espinales lumbares L4, L5 y L6 al nervio ciático de rata adulta y sus ramas principales Contribution of myelunated fibers from spinal L4, L5 and L6 nerves to the sciatic nerve and its main branches in the adult rat

    Directory of Open Access Journals (Sweden)

    Hernán Hurtado

    2000-04-01

    Full Text Available El nervio ciático de la rata está formado por los nervios espinales (ne lumbares L4, L5 y L6. Sin embargo, aún no se ha definido el aporte en fibras mielínicas de estos nervios espinales a lo largo del tronco nervioso. En este estudio se transectaron selectivamente los NE L4, L5 y L4-L5. Luego de una semana se disecaron los nervios ciático, tibial, sural y peroneal. Estas muestras se fijaron y procesaron para microscopía óptica y a partir de cortes coloreados con azul de toluidina se contaron las fibras mielínicas degeneradas y normales. L4 contribuyó con fibras mielínicas principalmente al nervio peroneal y L5 a los nervios ciático, tibial y sural. En general, el aporte de L6 fue menor y variable a lo largo del tronco nervioso comparado con las otras dos ramas espinales. Nuestros resultados brindan información valiosa para posteriores estudios que busquen correlacionar la contribución de los nervios espinales que componen el ciático y sus ramas principales con la función de la extremidad inferior. The rat sciatic nerve is composed by the L4, L5 and L6 lumbar spinal nerves. However, the contribution in myelinated fibers originating from these nerves along this nervous trunk has not yet been defined. In the present study, the L4, L5 and L4-L5 spinal nerves were selectively transected. After one week the sciatic, tibial, sural and peroneal nerves were dissected. These samples were fixed and processed for optical microscopy, and both degenerated and normal myelinated fibers were counted in toluidine blue-stained semi-thin sections. L4 contributed with myelinated fibers mainly to the peroneal nerve, and L5 to the sciatic, tibial and sural nerves. In general, the contribution of L6 was smaller and variable along the nervous trunk in comparison to the other two spinal branches. Our results give key information for further studies looking to correlate the contribution of spinal nerves making part of the sciatic nerve and its main

  16. Las Sinapsis

    Directory of Open Access Journals (Sweden)

    Jorge Eduardo Duque Parra

    1997-12-01

    Full Text Available

    Introducción

    El estudio del sistema nervioso considera entre múltiples conexiones, aquéllas de carácter bioquímico que se median a través de sustancias elaboradas por las neuronas y que reciben la denominación de neurotransmisores’, dichas sustancias se vierten en las zonas de resquicio neuromuscular, neuroneuronal o neuroglandular, para modificar las condiciones de membrana y permitir la continuidad de los potenciales de acción (por creación de nuevos potenciales en las células subsiguientes, de la neurona hacia el órgano blanco.

    La integridad de los diversos elementos de la “zona de unión funcional” o sinapsis, asegura la adecuada comunicación entre el sistema nervioso y la mayoría de los elementos restantes del organismo humano.

    Las alteraciones de los elementos de las sinapsis, conllevan a la génesis de estados variables fisiológicos y patológicos somáticos, psicosomáticos o psíquicos, inconsecuentes con el estado de homeostasis.

    Las moléculas que se vierten en las hendiduras sinápticas, sirven, por tanto, de transductoras para efectos elementales (como los reflejos y en las estrategias complejas (como los de la actividad intelectual.

    Antecedentes

    Ya desde los tiempos de Galeno, se sabía que los nervios eran los responsables de la rápida comunicación entre el cuerpo y el cerebro; el estudio de las sinapsis nos remonta de manera indirecta a
    1791, fecha en la que Luigi Galvani, descubrió en sus experimentos con ancas de ranas, que entre los eventos eléctricos y los ocurridos en los nervios, existía una relación evidente (28,37,45’, los experimentos de Galvani se han refinado con el paso del tiempo, en nuestro siglo por ejemplo, el desarrollo del osciloscopio de rayos catódicos combinado con un amplificador potente, ha permitido medir las débiles y variables corrientes bioeléctricas de los

  17. Radiographic evaluation of the canine elbow joint with special reference to the medial humeral condyle and the medial coronoid process

    International Nuclear Information System (INIS)

    Voorhout, G.; Hazewinkel, H.A.W.

    1987-01-01

    The results of radiographic examination of clinically affected elbow joints in 14 young, large-breed dogs, including standard and oblique projections and linear tomography, were compared with the findings of medial arthrotomy. Radiographs revealed arthrosis (13 dogs), osteochondrosis of the medial humeral condyle (2 dogs), fragmentation of the medial coronoid process (5 dogs), and a combination of osteochondrosis of the medial humeral condyle and fragmentation of the medial coronoid process (2 dogs). In one dog fissures in the medial coronoid process and in another dog a linear radiopacity along the articular surface of the medial coronoid process were found. In three dogs both medial humeral condyle and medial coronoid process appeared normal. The radiographic findings were confirmed during surgery in 11 dogs. Cartilage erosion of the medial humeral condyle in two dogs and of the medial coronoid process in one dog had not resulted in radiographically visible abnormalities. Radiographic examination of the elbow joints in young, large-breed dogs should include standard mediolateral and craniocaudal projections, a mediolateral projection with the joint maximally extended and the leg supinated 15°, and a craniolateral-to-caudomedial projection

  18. Guías para el tratamiento de las parasitos intestinales frecuentes en Colombia

    Directory of Open Access Journals (Sweden)

    David Botero R.

    1983-12-01

    Full Text Available Si bien es cierto que no existe droga ideal en ninguna de las ramas de la medicina es necesario destacar que en los últimos años se han obtenido importantes avances en el tratamiento de las parasitosis intestinales (1,2. Es así como hoy se cuenta con antiparasitarios de dosis única, altos grados de efectividad y muy buena tolerancia. Para no citar sino un ejemplo, recordemos cómo los tricocéfalos, hasta hace poco tiempo de difícil tratamiento. hoy pueden ser controlados eficazmente con solo una dosis de medicamento. Tan importantes avances facilitan indudablemente los tratamientos antihelmínticos comunitarios como medida de salud pública. y se convierten en herramienta valiosísima en cualquier plan encaminado a mejorar efectivamente la salud de la comunidad (3.

  19. Alterations in the transcription factors GntR1 and RamA enhance the growth and central metabolism of Corynebacterium glutamicum

    DEFF Research Database (Denmark)

    Wang, Zhihao; Liu, Jianming; Chen, Lin

    2018-01-01

    confirmed that the two mutations lead to alteration rather than elimination of function, and their introduction in the wild-type background resulted in a specific growth rate of 0.62h-1. The glycolytic and pentose phosphate pathway fluxes had both increased significantly, and a transcriptomic analyses......% improvement is the highest reported for C. glutamicum to date. By genome resequencing and inverse metabolic engineering, we were able to pinpoint two mutations contributing to most of the growth improvement, and these resided in the transcriptional regulators GntR1 (gntR1-E70K) and RamA (ramA-A52V). We...... was already fast. We also found that the mutations could improve the performance of resting cells, under oxygen-deprived conditions, where an increase in sugar consumption rate of around 30% could be achieved. In conclusion, we have demonstrated that it is feasible to reprogram C. glutamicum into growing...

  20. Las denominaciones de las ocupaciones

    Directory of Open Access Journals (Sweden)

    Jesus Emilio Castañeda

    1990-04-01

    Full Text Available RESUMEN El propósito de este artículo, es mostrar al lector la forma como en nuestro ámbito existen diversos factores que han permitido la proliferación de maneras de llamar las ocupaciones. Aspectos regionales, la tradición, clases de organización, situaciones románticas, adjetivización de los cargos, peyorización  son entre otras razones que han generado  la creación de serie de sinónimos, de las ocupaciones, objeto de estudio de la sociologia del trabajo y de la administración de los recursos humanos.

  1. Rheo: Japanese sound art interrogating digital mediality

    Directory of Open Access Journals (Sweden)

    Vandsø Anette

    2014-12-01

    Full Text Available The article asks in what way the Japanese sound artist, Ryoichi Kurokawa’s audiovisual installation, Rheo: 5 Horisonz (2010, is “digital.” Using professor Lars Elleström’s concept of “mediality,” the main claim in this article is that Rheo not only uses digital technology but also interrogates digital mediality as such. This argument is pursued in an analysis of Rheo that draws in various descriptions of digital media by N. Catherine Hayles, Lev Manovic, Bolter, and Grusin among other. The article will show how the critical potential in Rheo is directed both towards digital media as a language (Meyrowitz (or a place for representation and towards the digital as a milieu (Meyrowitz or as our culture (Gere. The overall goal of the article is not just analyse this singular art work, but also to show how such a sound art work can contribute to our understanding of our own contemporary culture as a digital culture.

  2. Arthroscopic treatment of symptomatic type D medial plica

    OpenAIRE

    Uysal, Mustafa; Asik, Mehmet; Akpinar, Sercan; Ciftci, Feyyaz; Cesur, Necip; Tandogan, Reha N.

    2007-01-01

    We aimed to review the results of subtotal arthroscopic resection of symptomatic type D medial plica. We retrospectively evaluated 23 knees with symptomatic type D medial plica in 22 patients without other intra-articular pathology. All patients complained of chronic knee pain that had not been alleviated by medical treatment or physical therapy. In only three (13%) of the patients studied was the plica diagnosed pre-operatively with magnetic resonance imaging. The type D medial plicae in our...

  3. The medial tibial stress syndrome. A cause of shin splints.

    Science.gov (United States)

    Mubarak, S J; Gould, R N; Lee, Y F; Schmidt, D A; Hargens, A R

    1982-01-01

    The medial tibial stress syndrome is a symptom complex seen in athletes who complain of exercise-induced pain along the distal posterior-medial aspect of the tibia. Intramuscular pressures within the posterior compartments of the leg were measured in 12 patients with this disorder. These pressures were not elevated and therefore this syndrome is a not a compartment syndrome. Available information suggests that the medial tibial stress syndrome most likely represents a periostitis at this location of the leg.

  4. Functional results after external vocal fold medialization thyroplasty with the titanium vocal fold medialization implant.

    Science.gov (United States)

    Schneider, Berit; Denk, Doris-Maria; Bigenzahn, Wolfgang

    2003-04-01

    A persistent insufficiency of glottal closure is mostly a consequence of a unilateral vocal fold movement impairment. It can also be caused by vocal fold atrophy or scarring processes with regular bilateral respiratory vocal fold function. Because of consequential voice, breathing, and swallowing impairments, a functional surgical treatment is required. The goal of the study was to outline the functional results after medialization thyroplasty with the titanium vocal fold medialization implant according to Friedrich. In the period of 1999 to 2001, an external vocal fold medialization using the titanium implant was performed on 28 patients (12 women and 16 men). The patients were in the age range of 19 to 84 years. Twenty-two patients had a paralysis of the left-side vocal fold, and six patients, of the right-side vocal fold. Detailed functional examinations were executed on all patients before and after the surgery: perceptive voice sound analysis according to the "roughness, breathiness, and hoarseness" method, judgment of the s/z ratio and voice dysfunction index, voice range profile measurements, videostroboscopy, and pulmonary function tests. In case of dysphagia/aspiration, videofluoroscopy of swallowing was also performed. The respective data were statistically analyzed (paired t test, Wilcoxon-test). All patients reported on improvement of voice, swallowing, and breathing functions postoperatively. Videostroboscopy revealed an almost complete glottal closure after surgery in all of the patients. All voice-related parameters showed a significant improvement. An increase of the laryngeal resistance by the medialization procedure could be excluded by analysis of the pulmonary function test. The results confirm the external medialization of the vocal folds as an adequate method in the therapy of voice, swallowing, and breathing impairment attributable to an insufficient glottal closure. The titanium implant offers, apart from good tissue tolerability, the

  5. Los empresarios molineros argentinos ante los límites de las exportaciones harineras a principios de siglo XX

    Directory of Open Access Journals (Sweden)

    JUAN KORNBLIHTT

    2013-05-01

    Full Text Available Hacia 1890, la rama harinera experimenta en Argentina su primera crisis de sobreproducción. Ante el inevitable proceso de centralización de capital, las exportaciones aparecían para los empresarios harineros como una, sino la única, alternativa para superar sus problemas. Aunque en ciertos momentos se logra colocar harina en Brasil, las décadas siguientes a la crisis se caracterizan porque no se cumplen las expectativas por copar el mercado del país vecino. Las cámaras empresariales y el Ministerio de Agricultura buscaron explicaciones a la falta de competitividad internacional. Como consideraban que la rama harinera tenía “ventajas naturales”, la mayor parte de las respuestas al porqué de sus dificultades apuntaba a supuestas causas externas a su accionar, fruto de distorsiones políticas o monopólicas. En este artículo, analizamos una a una estas explicaciones y las contrastamos con información empírica de diferentes fuentes primarias. De esta forma, mostramos que los argumentos empresariales, antes que responder a causas, reales eran intentos por recibir apoyo estatal. Los problemas de la rama aparecen como el resultado del progresivo achicamiento del comercio exterior de harina y de la debilidad de la producción harinera argentina en el contexto internacional más a que a una artificial imposibilidad de competir como planteaban los empresarios en la época. Abstract Around 1890, the wheat flour industry in Argentina experienced its first overproduction crisis. For the wheat flour businessman, exports were one, if not the only, alternative to avoid the inevitable capital centralization process. Even in some periods they could sell some flour to Brazil, the following decades the expectations of an expanding new market were not realized. The commercial chambers and the Agriculture Ministry tried different explanations to this lack of international competitiveness. As they thought the wheat flour branch in Argentina has

  6. Las Farmacodependencias

    Directory of Open Access Journals (Sweden)

    José Francisco Socarrás

    1994-09-01

    Full Text Available

    Ahora, cuando la Corte Constitucional ha despenalizado al farmacodependiente por el consumo de drogas, conviene informar sobre las consecuencias perjudiciales de estas. A quienes deseen un conocimiento detallado al respecto, les recomiendo documentarse en “Enciclopedia de Psiquiatría”, publicada por “El Ateneo” en Buenos Aires.

    El Capítulo respectivo es del doctor Daniel L. Murguia. El denominador corriente de su abuso es sencillamente la dependencia, nombre propuesto por la Organización Mundial de la Salud, definido como el “estado psíquico y a veces físico causado por la interacción entre un organismo vivo y un fármaco”. Su carácter esencial es el impulso psicofísico a consumir el producto en forma continua o periódica, con el fin de experimentar los efectos que acarrea y evitar los malestares de su privación. Todas las drogas del respectivo género, consumidas a dosis altas, tienen efectos psicotóxicos que alteran la conducta y en algunos casos conducen a la muerte.

    Los expertos de la Organización Mundial califican las mencionadas sustancias en seis grupos, a saber:

    1. Morfina y opiáceas, los cuales crean dependencia física y psicológica, con tolerancia precoz, necesidad de aumentar las dosis y síndrome de abstinencia bastante peligroso. Entre los derivados se cuentan los siguientes: Hidromorfina (Dilaudid; oximorfina (Nurmophan; heroína,
    éter diacético de la morfina (Diacetilmorfina; codeína (Metilmorfina; hidrocodeína (Hicadan’ oxicodeína (Perdocan. Los efectos de los opiáceo~ son los siguientes: analgesia, depresión respiratoria y espasmo gastrointestinal. Las dosis tóxicas pueden provocar convulsiones.

    2. Barbitúricos, alcohol y sedantes como el fenobarbital, que provocan así mismo dependencia física.

    3. Anfetaminas, en particular la Bencedrina inhalante, que acarrea dependencia psicológica.

    4. Cocaína, cuya dependencia psíquica es tal que muchos

  7. Caracterización De Algunos Rasgos Psicosociales En Las Personas Con Discapacidad Física De Ibarra Miembros Del Conadis

    OpenAIRE

    Reyes, Líder

    2011-01-01

    Con ésta investigación se pretende concientizar a la sociedad, sobre un importante grupo de seres humanos, que por circunstancias fortuitas, en la mayoría de casos, presentan lo que se denomina por parte de las Instituciones de la rama, como personas con discapacidad física. Son ochenta personas que presentan distintas discapacidades físicas, que viven en la ciudad de Ibarra, los mismos que se agrupan y se afilian al CONADIS, que es el Consejo Nacional de Discapacidades del Ecuador. Por ot...

  8. Medialized repair for retracted rotator cuff tears.

    Science.gov (United States)

    Kim, Young-Kyu; Jung, Kyu-Hak; Won, Jun-Sung; Cho, Seung-Hyun

    2017-08-01

    The purpose of this study was to evaluate the functional outcomes of medialized rotator cuff repair and the continuity of repaired tendon in chronic retracted rotator cuff tears. Thirty-five consecutive patients were selected from 153 cases that underwent arthroscopic rotator cuff repair for more than medium-sized posterosuperior rotator cuff tears between July 2009 and July 2012 performed with the medialized repair. All cases were available for at least 2 years of postoperative follow-up. The visual analog scale of pain, muscle strength, Constant score, American Shoulder and Elbow Surgeons (ASES) score, and University of California-Los Angeles score were evaluated. At the final follow-up, all clinical outcomes were significantly improved. The visual analog scale score for pain improved from 6 ± 1 preoperatively to 2 ± 1 postoperatively. The range of motion increased from preoperatively to postoperatively: active forward elevation, from 134° ± 49° to 150° ± 16°; active external rotation at the side, from 47° ± 15° to 55° ± 10°; and active internal rotation, from L3 to L1. The shoulder score also improved: Constant score, from 53.5 ± 16.7 to 79 ± 10; American Shoulder and Elbow Surgeons score, from 51 ± 15 to 82 ± 8; and University of California-Los Angeles score, from 14 ± 4 to 28 ± 4. The retear cases at the final follow-up were 6 (17%). Medialized repair may be useful in cases in which anatomic bone-to-tendon repair would be difficult because of the excessive tension of the repaired tendon and a torn tendon that does not reach the anatomic insertion. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  9. Córdoba ¿capital nacional de las tecnologías de la información y la comunicación o paraíso fiscal y de mano de obra calificada barata?

    Directory of Open Access Journals (Sweden)

    Natalia Berti

    2007-01-01

    Full Text Available El discurso del gobierno de la provincia de Córdoba apuesta a una ciudad de las tecnologías. El modelo elegido privilegia el lugar de las empresas de software y los call centers, especialmente aquellos liderados por capitales extranjeros. A los fines de presentar algunos interrogantes sobre las políticas de promoción industrial, se tomarán como punto de partida los recientes anuncios del desembarco de Intel en Córdoba y se analizarán los beneficios ofrecidos por el gobierno. Además se indagará acerca de las ventajas y desventajas de favorecer la localización de estas empresas, y se ampliará el campo de estudio para incluir las empresas de capitales locales que participan en estas ramas productivas. De esta forma se busca iniciar un debate y reflexionar acerca del impacto del modelo adoptado por el gobierno provincial.

  10. Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction.

    Science.gov (United States)

    Fink, Christian; Steensen, Robert; Gföller, Peter; Lawton, Robert

    2018-06-01

    Critically evaluate the published literature related to quadriceps tendon (QT) medial patellofemoral ligament (MPFL) reconstruction. Hamstring tendon (HT) MPFL reconstruction techniques have been shown to successfully restore patella stability, but complications including patella fracture are reported. Quadriceps tendon (QT) reconstruction techniques with an intact graft pedicle on the patella side have the advantage that patella bone tunnel drilling and fixation are no longer needed, reducing risk of patella fracture. Several QT MPFL reconstruction techniques, including minimally invasive surgical (MIS) approaches, have been published with promising clinical results and fewer complications than with HT techniques. Parallel laboratory studies have shown macroscopic anatomy and biomechanical properties of QT are more similar to native MPFL than hamstring (HS) HT, suggesting QT may more accurately restore native joint kinematics. Quadriceps tendon MPFL reconstruction, via both open and MIS techniques, have promising clinical results and offer valuable alternatives to HS grafts for primary and revision MPFL reconstruction in both children and adults.

  11. Inteligencia emocional, calidad de las relaciones interpersonales y empatía en estudiantes universitarios

    Directory of Open Access Journals (Sweden)

    NATALIO EXTREMERA PACHECO

    2004-01-01

    Full Text Available El objetivo de este estudio fue examinar las conexiones entre inteligencia emocional, evaluada con medidas de auto-informe y de habilidad, la calidad de las relaciones interpersonales y la empatía en estudiantes universitarios. Además, se examinó la contribución de la inteligencia emocional como predictor de estas dimensiones. Ciento ochenta y cuatro estudiantes universitarios españoles completaron una batería de cuestionarios que incluía la versión española del Trait Meta-Mood Scale-24 (una escala auto-informada de inteligencia emocional, la rama de manejo emocional del MSCEIT (una subescala de una medida de habilidad de inteligencia emocional, el inventario de redes sociales (un inventario de la calidad de las relaciones interpersonales y el índice de reactividad interpersonal (un cuestionario de empatía. Para comprobar las hipótesis, se llevaron a cabo una serie de análisis de correlación y de regresión múltiple. Los resultados mostraron asociaciones significativas entre diferentes aspectos de la inteligencia emocional y las dimensiones de relaciones interpersonales y empatía. Por otra parte, los análisis de regresión múltiple mostraron que la rama de manejo emocional del MSCEIT mostraba mayores asociaciones con diferentes dimensiones de las relaciones interpersonales (intimidad, afecto y antagonismo, pero sólo con una dimensión de empatía (implicación empática. En cambio, las subescalas del TMMS mostraron mayor asociación con diferentes subescalas de empatía (toma de perspectiva, implicación empática y malestar personal, pero sólo con una de las dimensiones de relaciones interpersonales (antagonismo. Los hallazgos son discutidos a partir de la existencia de diferentes conceptualizaciones teóricas y medidas de la inteligencia emocional dentro de este reciente campo de investigación.

  12. Para un análisis epistemológico y lógico del campo de las Dificultades de Aprendizaje

    Directory of Open Access Journals (Sweden)

    Néstor Leal Ortiz

    2016-01-01

    Full Text Available Se aborda el tópico de las Dificultades de Aprendizaje (DA, en tanto área de conocimiento y definición, desde dos perspectivas: epistemológica y lógica. La primera, parte de la idea de que la filosofía de la ciencia o epistemología, con sus diferentes ramas, abre la posibilidad de reflexión, análisis y discusión de algunos problemas esenciales, inherentes a la estructura misma del conocimiento científico presente en dicha área, con sus implicaciones para la teoría y la práctica profesional. La segunda perspectiva considerada, centra su interés en el análisis del tipo de definiciones que se han generado en este espacio cognoscitivo. Cierra el texto, un conjunto de planteamientos que destacan las posibles contribuciones que, desde las dos ramas de la filosofía acá referidas, pudiesen hacerse para el desarrollo y la comprensión de este campo de estudio, ubicado dentro de la Educación Especial.

  13. Stress fracture of the medial clavicle secondary to nervous tic

    International Nuclear Information System (INIS)

    Yamada, K.; Sugiura, H.; Suzuki, Y.

    2004-01-01

    The clinical and radiological characteristics of swelling in the region of the medial clavicle may suggest the presence of a neoplastic or inflammatory lesion. This report describes a 27-year-old man with a painful tumor-like lesion over the medial clavicle, which was found to be a stress fracture caused by a nervous tic resulting from mental stress. (orig.)

  14. Anatomical and magnetic resonance imaging study of the medial ...

    African Journals Online (AJOL)

    Introduction: The medial collateral ligament of the ankle joint also known as the deltoid ligament, is a multifascicular group of ligaments. It can be divided into a superficial and deep group of fibers originating from the medial malleolus to insert in the talus, calcaneus, and navicular bones. Wide variations have been noted in ...

  15. Medial shoe-ground pressure and specific running injuries

    DEFF Research Database (Denmark)

    Brund, René B K; Rasmussen, Sten; Nielsen, Rasmus O

    2017-01-01

    pressure. Foot balance was categorized into those which presented a higher lateral shod pressure (LP) than medial pressure, and those which presented a higher medial shod pressure (MP) than lateral pressure during the stance phase. A time-to-event model was used to compare differences in incidence between...

  16. Trochleoplasty and medial patellofemoral ligament reconstruction for recurrent patellar dislocation

    Directory of Open Access Journals (Sweden)

    K Raghuveer Reddy

    2012-01-01

    Full Text Available We report a case of recurrent patellar dislocation with high-grade trochlear dysplasia which persisted despite two previous operations. We did a Dejour′s sulcus deepening trochleoplasty, medial patellofemoral ligament reconstruction, and lateral retinacular release. Trochleoplasty and medial patellofemoral ligament reconstruction is required in patients with high grade trochlear dysplasia.

  17. Low implant migration of the SIGMA® medial unicompartmental knee arthroplasty

    DEFF Research Database (Denmark)

    Koppens, Daan; Stilling, Maiken; Munk, Stig

    2017-01-01

    The purpose of this study was to evaluate implant migration of the fixed-bearing Sigma® medial unicompartmental knee arthroplasty (UKA). UKA is a regularly used treatment for patients with medial osteoarthritis (OA) of the knee. UKA has a higher revision rate than total knee arthroplasty. Implant...

  18. Intrinsic factors associated with medial tibial stress syndrome in ...

    African Journals Online (AJOL)

    Intrinsic factors associated with medial tibial stress syndrome in athletes: A large case-control study. ... Medial tibial stress syndrome (MTSS) is the most common lower-leg injury in athletes, and is thought to be caused by ... from 32 Countries:.

  19. Medial Amygdala and Aggressive Behavior : Interaction Between Testosterone and Vasopressin

    NARCIS (Netherlands)

    Koolhaas, J.M.; Roozendaal, B.; Boorsma, F.; Van Den Brink, T.H.C.

    1990-01-01

    This paper considers the functional significance of the testosterone-dependent vasopressinergic neurons of the medial amygdala (Ame) in intermale aggressive behavior of rats. Local microinfusion of vasopressin into the medial amygdala causes an increase in offensive behavior both in gonadally intact

  20. Traumatic posterior root tear of the medial meniscus in patients with severe medial instability of the knee.

    Science.gov (United States)

    Ra, Ho Jong; Ha, Jeong Ku; Jang, Ho Su; Kim, Jin Goo

    2015-10-01

    To examine the incidence and diagnostic rate of traumatic medial meniscus posterior root tear associated with severe medial instability and to evaluate the effectiveness of pullout repair. From 2007 to 2011, 51 patients who underwent operation due to multiple ligament injuries including medial collateral ligament rupture were reviewed retrospectively. The International Knee Documentation Committee (IKDC) subjective and Lysholm score were evaluated pre- and postoperatively. Postoperative magnetic resonance imaging (MRI) was performed, and if indicated, a second-look arthroscopic examination was conducted. Fourteen out of 51 patients were associated with severe medial instability. Seven patients were diagnosed with traumatic medial meniscus posterior root tear and underwent arthroscopic pullout repair. Five of them were missed at initial diagnosis using MRI. In seven patients, the mean Lysholm and IKDC subjective scores improved from 74.6 ± 10.3 and 47.6 ± 7.3 to 93.0 ± 3.7 and 91.6 ± 2.6, respectively. All showed complete healing of meniscus root on follow-up MRI and second-look arthroscopy. Medial meniscus posterior root tear may occur in severe medial instability from trauma. It is a common mistake that surgeons may not notice on the diagnosis of those injuries using MRI. Therefore, a high index of suspicion is required for the diagnosis of medial meniscus posterior root tear in this type of injuries. The traumatic medial meniscus posterior root tear could be healed successfully using arthroscopic pullout repair technique. The possibility of the medial meniscus posterior root tear should be considered in severe medial instability and arthroscopic pullout repair can be an effective option for treatment. Case series with no comparison group, Level IV.

  1. Improvements to the on-line mass separator, RAMA, and the beta-delayed charged-particle emission of proton-rich sd shell nuclei

    International Nuclear Information System (INIS)

    Ognibene, T.J.

    1996-03-01

    To overcome the extreme difficulties encountered in the experimental decay studies of proton drip line nuclei, several techniques have been utilized, including a helium-jet transport system, particle identification detectors and mass separation. Improvements to the ion source/extraction region of the He-jet coupled on-line Recoil Atom Mass Analyzer (RAMA) and its target/ion source coupling resulted in significant increases in RAMA efficiencies and its mass resolution, as well as reductions in the overall transit time. At the 88-Inch Cyclotron at LBNL, the decays of 31 Cl, 27 P and 28 P, with half-lives of 150 msec, 260 msec and 270.3 msec, respectively, were examined using a he-jet and low-energy gas ΔE-gas ΔE-silicon E detector telescopes. Total beta-delayed proton branches of 0.3% and 0.07% in 31 Cl and 27 P, respectively, were estimated. Several proton peaks that had been previously assigned to the decay of 31 Cl were shown to be from the decay of 25 Si. In 27 P, two proton groups at 459 ± 14 keV and 610 ± 11 keV, with intensities of 7 ± 3% and 92 ± 4% relative to the main (100%) group were discovered. The Gamow-Teller component of the preceding beta-decay of each observed proton transition was compared to results from shell model calculations. Finally, a new proton transition was identified, following the β-decay of 28 P, at 1,444 ± 12 keV with a 1.7 ± 0.5% relative intensity to the 100% group. Using similar low-energy detector telescopes and the mass separator TISOL at TRIUMF, the 109 msec and 173 msec activities, 17 Ne and 33 Ar, were studied. A new proton group with energy 729 ± 15 keV was observed following the beta-decay of 17 Ne. Several discrepancies between earlier works as to the energies, intensities and assignments of several proton transitions from 17 Ne and 33 Ar were resolved

  2. Qualidade de caqui 'Rama forte' após armazenamento refrigerado, influenciada pelos tratamentos 1-MCP e/ou CO2

    Directory of Open Access Journals (Sweden)

    João Peterson Pereira Gardin

    2012-12-01

    Full Text Available Avaliaram-se os efeitos dos tratamentos com CO2 e 1-MCP (1-metilciclopropeno sobre a adstringência (índice de tanino, firmeza da polpa e distúrbios da epiderme em caqui 'Rama Forte'. Frutos foram tratados com 1-MCP por 24 h, logo após a colheita e/ou com alto CO2 (70% por 24 ou 48 h, um dia após a colheita ou após o armazenamento refrigerado (AR. Os caquis foram armazenados sob atmosfera modificada a 0 ºC, por 45 dias, e a seguir mantidos a 23 ºC, por 9 dias. Frutos-controle (não tratados com 1-MCP nem com CO2 amoleceram em três dias e perderam aproximadamente 50% da adstringência em 6 dias após o AR. A exposição ao CO2 acelerou a redução da adstringência. Esse efeito do CO2 foi menor em frutos tratados com 1-MCP, especialmente quando o CO2 foi aplicado após o AR, por apenas 24 h. O tratamento com 1-MCP inibiu o amolecimento e a redução da adstringência, especialmente nos frutos não tratados com CO2. O amolecimento de frutos tratados com 1-MCP foi maior quando a exposição ao CO2 ocorreu antes do AR. A combinação dos tratamentos com 1-MCP e alto CO2 reduziu a incidência de podridões e manchas translúcidas, mas não alterou o desenvolvimento de pintas pretas ('estrias'. Os resultados indicam que é possível induzir perda da adstringência sem excessiva perda da firmeza da polpa de caquis 'Rama Forte' após o AR pela associação dos tratamentos com 1-MCP logo após a colheita e alto CO2 após o AR.

  3. Centralization of extruded medial meniscus delays cartilage degeneration in rats.

    Science.gov (United States)

    Ozeki, Nobutake; Muneta, Takeshi; Kawabata, Kenichi; Koga, Hideyuki; Nakagawa, Yusuke; Saito, Ryusuke; Udo, Mio; Yanagisawa, Katsuaki; Ohara, Toshiyuki; Mochizuki, Tomoyuki; Tsuji, Kunikazu; Saito, Tomoyuki; Sekiya, Ichiro

    2017-05-01

    Meniscus extrusion often observed in knee osteoarthritis has a strong correlation with the progression of cartilage degeneration and symptom in the patients. We recently reported a novel procedure "arthroscopic centralization" in which the capsule was sutured to the edge of the tibial plateau to reduce meniscus extrusion in the human knee. However, there is no animal model to study the efficacy of this procedure. The purposes of this study were [1] to establish a model of centralization for the extruded medial meniscus in a rat model; and [2] to investigate the chondroprotective effect of this procedure. Medial meniscus extrusion was induced by the release of the anterior synovial capsule and the transection of the meniscotibial ligament. Centralization was performed by the pulled-out suture technique. Alternatively, control rats had only the medial meniscus extrusion surgery. Medial meniscus extrusion was evaluated by micro-CT and macroscopic findings. Cartilage degeneration of the medial tibial plateau was evaluated macroscopically and histologically. By micro-CT analysis, the medial meniscus extrusion was significantly improved in the centralization group in comparison to the extrusion group throughout the study. Both macroscopically and histologically, the cartilage lesion of the medial tibial plateau was prevented in the centralization group but was apparent in the control group. We developed medial meniscus extrusion in a rat model, and centralization of the extruded medial meniscus by the pull-out suture technique improved the medial meniscus extrusion and delayed cartilage degeneration, though the effect was limited. Centralization is a promising treatment to prevent the progression of osteoarthritis. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  4. Presentación de las V Jornadas del Instituto de Inmunología Clínica

    Directory of Open Access Journals (Sweden)

    Guillermo Terán-Ángel

    2013-12-01

    Full Text Available La "V Jornada Científica del Instituto de Inmunología Clínica de la Universidad de los Andes" es un evento que se realiza en e l marco de la celebración de nuestro vigésimo aniversario de creación. En estas Jornadas se realizan actividades académicas de actualización (conferencias, presentación de trabajos libres, cursos y talleres prejornadas en el área de la inmunología y en general de las diferentes ramas de la biomedicina. Como eventos previos a las Jornadas se realizan dos cursos, el primero de clonación y producción de proteínas recombinantes seguido de un curso de inmunodiagnóstico . También se realiza un taller de manejo de infecciones recurrentes

  5. Fragmentation of the medial malleolus of dogs with and without tarsal osteochondrosis

    International Nuclear Information System (INIS)

    Newell, S.M.; Mahaffey, M.B.; Aron, D.N.

    1994-01-01

    Fragmentation of the medial malleolus of the tibia was found radiographically in 5 canine tarsi which did not have evidence of osteochondrosis of the medial trochlear ridge. An additional 5 tarsi were found where both medial malleolar fragmentation and osteochondrosis of the medial trochlear ridge were present. Radiographic evidence of degenerative joint disease was present in 3 of 5 dogs with medial malleolar fragmentation alone, and 5 of 5 dogs with medial malleolar fragmentation and medial trochlear ridge osteochondrosis. Eight of the 9 dogs were Rottweilers. Considering the sites of occurrence of osteochondrosis in other species, the authors propose that medial malleolar fragmentation could be secondary to osteochondrosis of the medial malleolus. Osteochondrosis of the medial malleolus has not been previously reported in dogs. Histological examination of the medial malleolar fragmentation was unavailable because surgery was not performed, therefore the hypothesis that the medial malleolar fragmentation is due to osteochondrosis was not proven

  6. Aprendiendo de las consecuencias de los actos: estudio electrofisiológico del hipocampo, corteza prefrontal y núcleo accumbens

    OpenAIRE

    Jurado Parras, María Teresa

    2012-01-01

    Programa de Doctorado en Neurociencias La presente Tesis Doctoral se ha centrado en el estudio del papel del hipocampo, la corteza prefrontal medial y el núcleo accumbens en la adquisición del condicionamiento instrumental, del aprendizaje por observación y de la ejecución de tareas instrumentales. Además, se ha estudiado la participación de las sinapsis CA3 ¿ CA1, CA1 ¿ corteza prefrontal medial, corteza prefrontal medial ¿ núcleo accumbens y núcleo accumbens ¿ corteza prefrontal medial e...

  7. Medial cortex activity, self-reflection and depression.

    Science.gov (United States)

    Johnson, Marcia K; Nolen-Hoeksema, Susan; Mitchell, Karen J; Levin, Yael

    2009-12-01

    Using functional magnetic resonance imaging, we investigated neural activity associated with self-reflection in depressed [current major depressive episode (MDE)] and healthy control participants, focusing on medial cortex areas previously shown to be associated with self-reflection. Both the MDE and healthy control groups showed greater activity in anterior medial cortex (medial frontal gyrus, anterior cingulate gyrus) when cued to think about hopes and aspirations compared with duties and obligations, and greater activity in posterior medial cortex (precuneus, posterior cingulate) when cued to think about duties and obligations (Experiment 1). However, the MDE group showed less activity than controls in the same area of medial frontal cortex when self-referential cues were more ambiguous with respect to valence (Experiment 2), and less deactivation in a non-self-referential condition in both experiments. Furthermore, individual differences in rumination were positively correlated with activity in both anterior and posterior medial cortex during non-self-referential conditions. These results provide converging evidence for a dissociation of anterior and posterior medial cortex depending on the focus of self-relevant thought. They also provide neural evidence consistent with behavioral findings that depression is associated with disruption of positively valenced thoughts in response to ambiguous cues, and difficulty disengaging from self-reflection when it is appropriate to do so.

  8. Episodic reinstatement in the medial temporal lobe.

    Science.gov (United States)

    Staresina, Bernhard P; Henson, Richard N A; Kriegeskorte, Nikolaus; Alink, Arjen

    2012-12-12

    The essence of episodic memory is our ability to reexperience past events in great detail, even in the absence of external stimulus cues. Does the phenomenological reinstatement of past experiences go along with reinstating unique neural representations in the brain? And if so, how is this accomplished by the medial temporal lobe (MTL), a brain region intimately linked to episodic memory? Computational models suggest that such reinstatement (also termed "pattern completion") in cortical regions is mediated by the hippocampus, a key region of the MTL. Although recent functional magnetic resonance imaging studies demonstrated reinstatement of coarse item properties like stimulus category or task context across different brain regions, it has not yet been shown whether reinstatement can be observed at the level of individual, discrete events-arguably the defining feature of episodic memory-nor whether MTL structures like the hippocampus support this "true episodic" reinstatement. Here we show that neural activity patterns for unique word-scene combinations encountered during encoding are reinstated in human parahippocampal cortex (PhC) during retrieval. Critically, this reinstatement occurs when word-scene combinations are successfully recollected (even though the original scene is not visually presented) and does not encompass other stimulus domains (such as word-color associations). Finally, the degree of PhC reinstatement across retrieval events correlated with hippocampal activity, consistent with a role of the hippocampus in coordinating pattern completion in cortical regions.

  9. Las redes sociales presentes en las bibliotecas

    Directory of Open Access Journals (Sweden)

    Magda Cecilia Sandí S.

    2012-01-01

    Full Text Available El presente artículo pretende evidenciar la importancia del uso de las redes sociales en las bibliotecas como una herramienta y un canal de comunicación entre el bibliotecólogo y la comunidad de usuarios. Las redes sociales son una nueva forma de comunicarnos entre las y los usuarios del Internet, su uso es irrestricto y cada vez aumenta la comunidad de usuarios de estas herramientas en la red.

  10. Las redes sociales presentes en las bibliotecas

    Directory of Open Access Journals (Sweden)

    Magda Cecilia Sandí Sandí

    2012-07-01

    Full Text Available El presente artículo pretende evidenciar la importancia del uso de las redes sociales en las bibliotecas como una herramienta y un canal de comunicación entre el bibliotecólogo y la comunidad de usuarios. Las redes sociales son una nueva forma de comunicarnos entre las y los usuarios del Internet, su uso es irrestricto y cada vez aumenta la comunidad de usuarios de estas herramientas en la red.

  11. Las redes sociales presentes en las bibliotecas

    OpenAIRE

    Magda Cecilia Sandí S.

    2012-01-01

    El presente artículo pretende evidenciar la importancia del uso de las redes sociales en las bibliotecas como una herramienta y un canal de comunicación entre el bibliotecólogo y la comunidad de usuarios. Las redes sociales son una nueva forma de comunicarnos entre las y los usuarios del Internet, su uso es irrestricto y cada vez aumenta la comunidad de usuarios de estas herramientas en la red.

  12. Appearance of medial plica of the knee on MR images

    International Nuclear Information System (INIS)

    Barton, J.; Pope, C.F.; Jokl, P.; Lynch, K.

    1989-01-01

    To assess the appearance of the abnormal plica, a rare but important cause of knee pain, the authors have reviewed 1.5-T MR images of 17 patients (mean age, 33 years) who had arthroscopically confirmed abnormal plicae involving the medial aspect of the patella pouch. Asymmetry in the medial wall of the patella pouch was seen in 17 of 17; 10 of 17 had a discernible edge, and four of 17 had sufficient fluid to surround the plica. When sufficient intraarticular fluid was present, the plica was easily detected. Asymmetry in the medial wall of the patella pouch was a helpful MR characteristic to account for unexplained knee pain

  13. Cartilage Delamination Flap Mimicking a Torn Medial Meniscus

    Directory of Open Access Journals (Sweden)

    Gan Zhi-Wei Jonathan

    2016-01-01

    Full Text Available We report a case of a chondral delamination lesion due to medial parapatellar plica friction syndrome involving the medial femoral condyle. This mimicked a torn medial meniscus in clinical and radiological presentation. Arthroscopy revealed a chondral delamination flap, which was debrided. Diagnosis of chondral lesions in the knee can be challenging. Clinical examination and MRI have good accuracy for diagnosis and should be used in tandem. Early diagnosis and treatment of chondral lesions are important to prevent progression to early osteoarthritis.

  14. Modified tension band wiring of medial malleolar ankle fractures.

    Science.gov (United States)

    Georgiadis, G M; White, D B

    1995-02-01

    Twenty-two displaced medial malleolar ankle fractures that were treated surgically using the modified tension band method of Cleak and Dawson were retrospectively reviewed at an average follow-up of 25 months. The technique involves the use of a screw to anchor a figure-of-eight wire. There were no malreductions and all fractures healed. Problems with the technique included technical errors with hardware placement, medial ankle pain, and asymptomatic wire migration. Despite this, modified tension band wiring remains an acceptable method for fixation of selected displaced medial malleolar fractures. It is especially suited for small fracture fragments and osteoporotic bone.

  15. Radiographic anatomy of the medial coronoid process of dogs

    International Nuclear Information System (INIS)

    Miyabayashi, T.; Takiguchi, M.; Schrader, S.C.; Biller, D.S.

    1995-01-01

    Mediolateral, flexed mediolateral, mediocaudal-laterocranial 15 degrees oblique (extended and supinated mediolateral), and craniolateral-caudomedial 20 degrees to 30 degrees oblique radiographs of 16 elbow-joint specimens were produced to study the radiographic anatomy of the medial coronoid process. On the mediolateral view, the cranial point of the coronoid process was at the level of the distal one-third of the radial epiphysis. Degree of superimposition of the proximal radius and ulna determined how the medial coronoid process was projected on the radiographs. Mediocaudal-laterocranial oblique radiographs best showed the cranial outline of the medial coronoid process with moderate superimposition of the proximal radius and ulna

  16. Isolated partial tear and partial avulsion of the medial head of gastrocnemius tendon presenting as posterior medial knee pain

    OpenAIRE

    Watura, Christopher; Ward, Anthony; Harries, William

    2010-01-01

    We present a case of medial head of gastrocnemius tendon tear. The type of injury widely reported in the literature is tear of the medial head of gastrocnemius muscle or ‘tennis leg’. We previously reported an isolated partial tear and longitudinal split of the tendon to the medial head of gastrocnemius at its musculotendinous junction. The case we now present has notable differences; the tear was interstitial and at the proximal (femoral attachment) part of the tendon, the patient’s symptoms...

  17. Isolated medial meniscal tear in a Border Collie.

    Science.gov (United States)

    Ridge, P A

    2006-01-01

    A three-year-old, female Border Collie was successfully treated for an isolated, torn, medial meniscus by arthroscopic meniscal tear resection. The dog returned to agility competition without recurrence of lameness.

  18. Medial tibial stress syndrome: a critical review.

    Science.gov (United States)

    Moen, Maarten H; Tol, Johannes L; Weir, Adam; Steunebrink, Miriam; De Winter, Theodorus C

    2009-01-01

    Medial tibial stress syndrome (MTSS) is one of the most common leg injuries in athletes and soldiers. The incidence of MTSS is reported as being between 4% and 35% in military personnel and athletes. The name given to this condition refers to pain on the posteromedial tibial border during exercise, with pain on palpation of the tibia over a length of at least 5 cm. Histological studies fail to provide evidence that MTSS is caused by periostitis as a result of traction. It is caused by bony resorption that outpaces bone formation of the tibial cortex. Evidence for this overloaded adaptation of the cortex is found in several studies describing MTSS findings on bone scan, magnetic resonance imaging (MRI), high-resolution computed tomography (CT) scan and dual energy x-ray absorptiometry. The diagnosis is made based on physical examination, although only one study has been conducted on this subject. Additional imaging such as bone, CT and MRI scans has been well studied but is of limited value. The prevalence of abnormal findings in asymptomatic subjects means that results should be interpreted with caution. Excessive pronation of the foot while standing and female sex were found to be intrinsic risk factors in multiple prospective studies. Other intrinsic risk factors found in single prospective studies are higher body mass index, greater internal and external ranges of hip motion, and calf girth. Previous history of MTSS was shown to be an extrinsic risk factor. The treatment of MTSS has been examined in three randomized controlled studies. In these studies rest is equal to any intervention. The use of neoprene or semi-rigid orthotics may help prevent MTSS, as evidenced by two large prospective studies.

  19. The ionising radiations: a daily reality Las radiaciones ionizantes: una realidad cotidiana

    Directory of Open Access Journals (Sweden)

    Eduardo Gallego Díaz

    2010-12-01

    Full Text Available This paper introduce the nature of the radioactive substances and of the ionising radiation, the effects that they cause on the matter and the available media for their detection and measure, as well as the sources of natural radiation, to which the human being are exposed. Next, in the more detailed part of this paper, it is described the wide range of ionising radiations uses in: medicine, agriculture, earth sciences, biology and in some other scientific fields, that allow to pose its impact in the perspective of facing the ones from natural sources. The article concludes that for avoiding damages it is necessary proper protection against the radioactive substances, but avoiding limitation their beneficial uses in the various ranges described. For finishing this paper, the basic principles of radiation protection are described, due to they are the its principal aim.Este trabajo introduce la naturaleza de las sustancias radiactivas y de la radiación ionizante, los efectos que causa sobre la materia y los medios disponibles para su detección y medida, así como las fuentes de radiación naturales a las que los seres humanos estamos expuestos. Seguidamente, en el apartado más amplio del trabajo, se describen las múltiples aplicaciones de las radiaciones ionizantes en la medicina, la agricultura, la industria, las ciencias de la tierra, la biología y otras ramas, lo que permite poder poner su impacto en perspectiva frente al de las fuentes naturales. La tesis final del artículo es que para evitar sufrir daños resulta necesario protegerse adecuadamente de los efectos nocivos de la radiación y las sustancias radiactivas, pero sin limitar innecesariamente su utilización beneficiosa en los numerosos ámbitos descritos. Ese es el objetivo fundamental de la protección radiológica, cuyos principios básicos se presentan para terminar.

  20. Hyperglycemia decreased medial amygdala projections to medial preoptic area in experimental model of Diabetes Mellitus.

    Directory of Open Access Journals (Sweden)

    Yousef Mohamadi

    2015-01-01

    Full Text Available In Wistar rats, reproductive behavior is controlled in a neural circuit of ventral forebrain including the medial amygdala (Me, bed nucleus of the stria terminalis (BNST and medial preoptic area (MPOA via perception of social odors. Diabetes Mellitus (DM is a widespread metabolic disease that affects many organs in a variety of levels. DM can cause central neuropathies such as neuronal apoptosis, dendritic atrophy, neurochemical alterations and also causes reproductive dysfunctions. So we hypothesized damage to the nuclei of this circuit can cause reproductive dysfunctions. Therefore in this project we assessed diabetic effect on these nuclei. For this purpose neuron tracing technique and TUNEL assay were used. We injected HRP in the MPOA and counted labeled cells in the Me and BNST to evaluate the reduction of neurons in diabetic animals. Also, coronal sections were analyzed with the TMB histochemistry method. Animals in this study were adult male Wistar rats (230 ± 8g divided to control and 10-week streptozotocin-induced diabetic groups. After data analysis by SPSS 16 software, a significant reduction of HRP-labeled neurons was shown in both Me and BNST nuclei in the diabetic group. Moreover, apoptotic cells were significantly observed in diabetic animals in contrast to control the group. In conclusion, these alterations of the circuit as a result of diabetes might be one of the reasons for reproductive dysfunctions.

  1. The medial collateral ligament of the elbow joint

    DEFF Research Database (Denmark)

    Floris, S; Olsen, Bo Sanderhoff; Dalstra, Michel

    1998-01-01

    Eighteen osteoligamentous elbow joint specimens were included in a study of the medial collateral ligament complex (MCL). The morphologic characteristics of the MCL were examined, and three-dimensional kinematic measurements were taken after selective ligament dissections were performed. On morph......Eighteen osteoligamentous elbow joint specimens were included in a study of the medial collateral ligament complex (MCL). The morphologic characteristics of the MCL were examined, and three-dimensional kinematic measurements were taken after selective ligament dissections were performed...

  2. Morfo-anatomía de las hojas de Celtis ehrenbergiana (Celtidaceae desarrolladas bajo condiciones naturales de sol y sombra

    Directory of Open Access Journals (Sweden)

    Leandro Nughes

    2013-07-01

    Full Text Available El objetivo del presente trabajo fue establecer las características de las hojas de Celtis ehrenbergiana (Klotzsch Liebm. (Celtidaceae, desarrolladas bajo condiciones naturales de sol y de sombra. Se estudiaron hojas maduras tomadas de ramas ubicadas en la parte media de la copa del árboly entre la quinta y séptima hoja desde el ápice. Las hojas de sombra son herbáceas, con lámina delgada de color verde claro; la estructura es bifacial, la epidermis presenta células con paredes anticlinales ondulado-sinuosas, el mesófilo está formado por parénquima en empalizada adaxial y esponjoso abaxial y el colénquima es angular-lagunar. Las hojas de sol son coriáceas, con lámina gruesa de color verde oscuro; la estructura es equifacial, la epidermis presenta células con paredes anticlinales rectas, el mesófilo es homogéneo en empalizada y el colénquima angular-masivo. En las hojas de sombra en la cara adaxial, no hay estomas o éstos son escasos, mientras que en las hojas de sol son numerosos. La variación de los caracteres morfo-anatómicos de la hoja evidenció la plasticidad fenotípica de esta especie.

  3. Análisis geoespacial de las elecciones presidenciales en México, 2012

    Directory of Open Access Journals (Sweden)

    Vladimir Hernández-Hernández

    2015-01-01

    Full Text Available La geografía electoral, en tanto rama de la geografía política, brinda la oportunidad de explicar las preferencias de voto en función de la organización territorial, esto es, de los lugares en que ocurren las elecciones. Los estudios electorales con un enfoque geográfico suponen que las preferencias políticas individuales que se dan un sitio no son independientes entre sí, sino que, por el contrario, están correlacionadas· Este artículo aborda la existencia de una geografía del voto Presidencial en las elecciones de 2012 en México. Luego de revisar la literatura y argumentar el uso del análisis exploratorio de datos espaciales, se propone el empleo de índices de autocorrelación espacial para el estudio de dichas elecciones. El esquema propuesto, que da cuenta de la polarización política territorial en México, permite valorar el poder explicativo del espacio geográfico en los procesos electorales.

  4. Calidad de las plantaciones de teca en la Peninsula de Nicoya, Rosta Rica

    Directory of Open Access Journals (Sweden)

    Odir Rojas

    2000-01-01

    Full Text Available Se evalu6 25 proyectos de reforestaci6n de Tectona grandis (6 afios de edad promedio en IDs cantones de Nicoya y Hojancha, Peninsula de Ni- coya, Guanacaste. Las plantaciones registraron un area real plantada promedio de 62.3% y de esta, un 80% estaba cubierta con arboles. Entre IDs principales defectos observados esm la presencia de ramas en reiteraci6n (26%, fustes inclinados (27% y fustes con torceduras leves (30%. Las bi- furcaciones no representan un problema importan- te (1.4% ni los problemas fitosanitarios severos (6.7%. EI promedio de las plantaciones registr6 843 trozas comerciales/ha y 254 arboles/ha de ca- lidad 1 y 2. Sin embargo, un 52% de IDs proyectos evaluados no registraron, al menDs, 250 indivi- duos/ha de calidad I y 2. Un 16% de IDs proyec- tos registraron mas de 1200 trozas comerciales/ha de calidad I y 2. EI incremento media anual del volumen comercial (dap con corteza >10 cm de arboles de calidad I y 2 rue de 6.76 m3/ha/afio y un 16% de los proyectos super610s 12 m3/ha/afio. EI indice de calidad general (ICG de plantaciones de teca sin raleos, en la Peninsula de Nicoya rue de 3.04. Se concluye que las plantaciones de teca en esta regi6n del pais presentan una calidad pro- media aceptable (un 48% de los proyectos registr6

  5. Aspectos destacados de las teorías cognitivas del aprendizaje, como estrategias didácticas para la enseñanza y aprendizaje de conceptos del cálculo vectorial

    OpenAIRE

    Costa, Viviana

    2013-01-01

    Este trabajo se centra en la problemática de la enseñanza y aprendizaje del Cálculo Vectorial. Se sitúa esta rama de la matemática en el contexto de la ingeniería y sus orígenes. Se exponen aspectos destacados de algunas teorías cognitivas del aprendizaje: la teoría de los modelos mentales de Johnson-Laird y la teoría del aprendizaje significativo subversivo. Proponemos considerar las mismas como marco referencial en el desarrollo de estrategias didácticas para la enseñanza y aprendizaje de l...

  6. Rol de las claudinas en el manejo renal del calcio

    Directory of Open Access Journals (Sweden)

    Armando Luis Negri

    2015-07-01

    Full Text Available Los canales paracelulares que se encuentran en las uniones estrechas tienen un papel fundamental en los flujos iónicos transepiteliales. Esta vía está formada por un gran número de proteínas, entre ellas, las claudinas. En el epitelio renal, las claudinas confieren selectividad iónica a la unión estrecha. La rama gruesa ascendente de Henle (RGAH es el segmento tubular renal más importante en la reabsorción tubular de calcio. Sus células forman una barrera impermeable al agua, transportan activamente sodio y cloro por la vía transcelular y proveen una vía paracelular para la reabsorción selectiva de calcio. Varios estudios han llevado a un modelo en el que distintas claudinas forman el canal paracelular, especialmente la claudina 16 y 19. La claudina 16 media la permeabilidad paracelular catiónica en la RGAH mientras que la claudina 19 incrementa la selectividad catiónica de la claudina 16 bloqueando la permeabilidad aniónica. Recientemente se ha encontrado que la actividad promotora de la claudina 14 está localizada exclusivamente en la RAGH. Cuando se coexpresa con la claudina 16, la claudina 14 inhibe la permeabilidad de la claudina 16, reduciendo la permeabilidad paracelular al calcio. El proceso de reabsorción de calcio en la RGAH está estrechamente regulado por el receptor sensor de calcio (CaSR que monitorea los niveles circulantes de Ca ajustando la tasa de excreción renal de forma acorde. Dos micro-ARN, los mir-9 y mir-374, son regulados directamente por el CaSR. Los miR-9 y miR-374 suprimen la traslación del ARNm de la claudina 14 e inducen su decaimiento.

  7. Differential roles for medial prefrontal and medial temporal cortices in schema-dependent encoding: From congruent to incongruent

    OpenAIRE

    Kesteren, M.T.R. van; Beul, S.F.; Takashima, A.; Henson, R.N.; Ruiter, D.J.

    2013-01-01

    Information that is congruent with prior knowledge is generally remembered better than incongruent information. This effect of congruency on memory has been attributed to a facilitatory influence of activated schemas on memory encoding and consolidation processes, and hypothesised to reflect a shift between processing in medial temporal lobes (MTL) towards processing in medial prefrontal cortex (mPFC). To investigate this shift, we used functional magnetic resonance imaging (fMRI) to compare ...

  8. Irrigación arterial del músculo interóseo y del ligamento accesorio del músculo flexor digital profundo en la mano del caballo Arterial blood supply to the interosseus muscle and accessory ligament of the deep digital flexor tendon in the horse hand

    OpenAIRE

    J. NATALI; R.M. MOINE; M.S. GIGENA; A.M. GALÁN; E. MARTÍN

    1999-01-01

    El objetivo de este trabajo es el estudio del origen y distribución de las ramas arteriales al músculo interóseo y al ligamento accesorio del músculo flexor digital profundo de la mano del caballo. Se disecaron 20 manos a las que les fue inyectada la arteria mediana con látex coloreado. Las ramas arteriales entran al músculo interóseo por la cara dorsal y palmar del cuerpo y por sus bordes medial y lateral. Cada tendón de inserción del músculo interóseo recibió importantes ramas arteriales po...

  9. Apnea obstructiva del sueño: un abordaje innovador mínimamente invasivo mediante distracción de rama mandibular

    Directory of Open Access Journals (Sweden)

    Pilar Rubio-Bueno

    2018-04-01

    Full Text Available Resumen: Presentamos un nuevo abordaje mínimamente invasivo mediante distracción intraoral de rama mandibular bilateral (bilateral internal ramus distraction para el tratamiento del síndrome de apnea obstructiva del sueño en el paciente adulto. Tras la planificación virtual 3 D, el paciente es intervenido bajo anestesia general y asistencia endoscópica, dentro de un protocolo de cirugía mayor ambulatoria, y es dado de alta el mismo día de la cirugía. Tras un periodo de 5 días, la rama mandibular se alarga verticalmente durante un periodo que oscila entre 10 y 50 días, a un ritmo de 0,5 a 1 mm diario, hasta que el índice de apnea hipopnea alcanza una cifra inferior a 5 pausas por hora (nivel de curación o el resalte negativo dentario (overjet se sitúa en valores que ya superan los 10 mm.La titulación del procedimiento mediante parámetros clínicos, poligráficos o polisomnográficos permite al cirujano personalizar el avance mandibular en cada caso. Tras un alargamiento que suele oscilar entre 10 y 25 mm, los distractores se mantienen durante 6 meses hasta que concluye el periodo de consolidación. La indicación de cirugía maxilar tras el avance mandibular se realizará en dependencia del índice de apnea hipopnea residual, de la oclusión y del análisis facial.La distracción intraoral de rama mandibular bilateral es una técnica altamente efectiva para la curación del síndrome de apnea obstructiva del sueño en pacientes adultos con o sin retrognatia, y podría estar indicada incluso en pacientes con morbilidades asociadas, como enfermedades cardiovasculares graves u obesidad mórbida, en los que un procedimiento quirúrgico de mayor envergadura, como el avance maxilomandibular clásico, se descarta como alternativa quirúrgica. Abstract: An innovative and minimally invasive approach for adult obstructive sleep apnoea by using

  10. [SPECIFIC DIAGNOSTIC SIGNIFICANCE OF "RIPPLE SIGN" OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS].

    Science.gov (United States)

    Ren Shiyou; Sun, Limang; Chen, Guofei; Jiang, Changqing; Zhang, Xintao; Zhang Wentao

    2015-01-01

    To investigate the reliability of the "ripple sign" on the upper surface of the medial femoral condyle in the diagnosis of medial longitudinal meniscal tears under arthroscope. Between June 2013 and June 2014, 56 patients with knee injuries were included. There were 35 males and 21 females with an average age of 22.2 years (range, 12-38 years). The causes of injury were sports in 40 cases, falling in 10 cases, and traffic accident in 6 cases. The injury was located at the left knee in 22 cases and at the right knee in 34 cases. The disease duration was 10-40 days (mean, 20.2 days). Of 56 patients, 15 cases had simple medial meniscal injury; 41 cases had combined injuries, including anterior cruciate ligament injury in 38 cases, posterior cruciate ligament injury in 2 cases, and patellar dislocation in 1 case. The "ripple sign" was observed under arthroscope before operation. Repair of medial meniscal injury and reconstruction of cruciate ligament were performed. The positive "ripple sign" was seen under arthroscope in all patients, who were diagnosed to have longitudinal meniscal tears, including 23 cases of mild "ripple sign" , 28 cases of moderate "ripple sign", and 5 cases of severe "ripple sign". The "ripple sign" on the upper surface of the medial femoral condyle is a reliable diagnostic evidence of medial longitudinal meniscal tears.

  11. Las creencias y las concepciones. Perspectivas complementarias

    Directory of Open Access Journals (Sweden)

    Fuensanta HERNÁNDEZ PINA

    2011-01-01

    Full Text Available Las creencias y las concepciones sobre la enseñanza y el aprendizaje que los profesores sostienen como docentes es una línea de investigación que está suponiendo un avance en el conocimiento sobre factores relevantes para la mejor de la educación. Desde hace más de dos décadas han sido numerosos los investigadores que han venido proporcionando resultados de investigación en torno a las creencias y las concepciones de la enseñanza y el aprendizaje lo que ha supuesto establecer nuevas e interesantes interpretaciones en dicha relación. En el trabajo que presentamos se abordan algunas de las aportaciones sobre dichas creencias y sobre las concepciones de la enseñanza y el aprendizaje.

  12. TCDD alters medial epithelial cell differentiation during palatogenesis

    International Nuclear Information System (INIS)

    Abbott, B.D.; Birnbaum, L.S.

    1989-01-01

    2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is a widely distributed, persistent environmental contaminant that is teratogenic in mice, where it induces hydronephrosis and cleft palate. The incidence of clefting has been shown to be dose dependent after exposure on either gestation Day (GD) 10 or 12, although the embryo is more susceptible on GD 12. TCDD-exposed palatal shelves meet but do not fuse, and programmed cell death of the medial epithelial cells is inhibited. The mechanism of action through which TCDD alters the program of medial cell development has not been examined in earlier studies, and it is not known whether the mechanism is the same regardless of the dose or developmental stage of exposure. In this study, C57BL/6N mice, a strain sensitive to TCDD, were dosed orally on GD 10 or 12 with 0, 6, 12, 24, or 30 micrograms/kg body wt, in 10 ml corn oil/kg. Embryonic palatal shelves were examined on GD 14, 15, or 16. The degree of palatal closure, epithelial surface morphology, and cellular ultrastructure, the incorporation of [3H]TdR, the expression of EGF receptors, and the binding of 125I-EGF were assessed. After exposure on GD 10 or 12, TCDD altered the differentiation pathway of the medial epithelial cells. The palatal shelves were of normal size and overall morphology, but fusion of the medial epithelia of the opposing shelves did not occur. TCDD prevented programmed cell death of the medial peridermal cells. The expression of EGF receptors by medial cells continued through Day 16 and the receptors were able to bind ligand. The medial cells differentiated into a stratified, squamous, keratinizing epithelium. The shift in phenotype to an oral-like epithelium occurred after exposure on either GD 10 or 12. At the lower dose (6 micrograms/kg), fewer cleft palates were produced, but those shelves which did respond had a fully expressed shift in differentiation

  13. Epidemiology of lateral and medial epicondylitis in a military population.

    Science.gov (United States)

    Wolf, Jennifer Moriatis; Mountcastle, Sally; Burks, Robert; Sturdivant, Rodney X; Owens, Brett D

    2010-05-01

    To determine the epidemiology of lateral and medial epicondylitis in the U.S. military. The Defense Medical Epidemiology Database was queried for ICD-9 codes 726.32 (lateral epicondylitis) and 726.33 (medial epicondylitis) for the years 1998-2006. Multivariate Poisson regression was used to calculate incidence rates (IR) and rate ratios (RR) among demographic groups. The IRs for lateral and medial epicondylitis were 2.98 and 0.81 per 1000 person-years. For lateral epicondylitis, women had a higher incidence (RR = 1.22, 95% CI 1.19-1.26). In both groups, analysis by age showed higher incidence in the > or = 40-year-old group. White compared with black race was a risk factor for both lateral (RR = 1.68, 95% CI, 1.63-1.74) and medial epicondylitis (RR = 1.11, 95% CI 1.05-1.17). Female gender was a risk factor for lateral but not medial epicondylitis. Age greater than 40 and white race were significant risk factors for both conditions.

  14. [Mirror movement due to the medial frontal lobe lesion].

    Science.gov (United States)

    Takahashi, N; Kawamura, M; Hirayama, K

    1995-01-01

    We reported a case with acquired mirror movement in upper limbs due to the lesion of right medial frontal lobe including supplementary motor area, and also discussed a possible mechanism underlying it. A 59-year-old right-handed woman developed left hemiparesis caused by cerebral hemorrhage in the right frontoparietal lobe, on April 5, 1981. She had right hemiparesis and right hemianopsia due to cerebral hemorrhage in the left parieto-occipital lobe, 13 days later. As the patient was recovering from paresis, mirror movement appeared on upper limbs. The features of the mirror movement of this case are summarized as follows: (1) it appeared when using both proximal and distal region of upper limbs; (2) it appeared on left upper limb when the patient intended to move right upper limb or on right upper limb when intended to move left upper limb, while it appeared predominantly in the former; and (3) it was more remarkably found in habitual movement using gesture and pantomimic movement for the use of objects, and it was found in lower degree when actual object was used or when the patient tried to imitate the gesture of the examiner. The lesions in MRI were found in medial region of right frontal lobe (supplementary motor area, medial region of motor area, and cingulate gyrus), right medial parietal lobe, posterior region of right occipital lobe, and medial regions of left parietal and occipital lobes. There was no apparent abnormality in corpus callosum.(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Morphometry of medial gaps of human brain artery branches.

    Science.gov (United States)

    Canham, Peter B; Finlay, Helen M

    2004-05-01

    The bifurcation regions of the major human cerebral arteries are vulnerable to the formation of saccular aneurysms. A consistent feature of these bifurcations is a discontinuity of the tunica media at the apex of the flow divider. The objective was to measure the 3-dimensional geometry of these medial gaps or "medial defects." Nineteen bifurcations and 2 junctions of human cerebral arteries branches (from 4 male and 2 female subjects) were formalin-fixed at physiological pressure and processed for longitudinal serial sectioning. The apex and adjacent regions were examined and measurements were made from high-magnification photomicrographs, or projection microscope images, of the gap dimensions at multiple levels through the bifurcation. Plots were made of the width of the media as a function of distance from the apex. The media at each edge of the medial gap widened over a short distance, reaching the full width of the media of the contiguous daughter vessel. Medial gap dimensions were compared with the planar angle of the bifurcation, and a strong negative correlation was found, ie, the acute angled branches have the more prominent medial gaps. A discontinuity of the media at the apex was seen in all the bifurcations examined and was also found in the junction regions of brain arteries. We determined that the gap width is continuous with well-defined dimensions throughout its length and average length-to-width ratio of 6.9. The gaps were generally centered on the prominence of the apical ridge.

  16. Bilateral Vocal Fold Medialization: A Treatment for Abductor Spasmodic Dysphonia.

    Science.gov (United States)

    Dewan, Karuna; Berke, Gerald S

    2017-11-10

    Abductor spasmodic dysphonia, a difficult-to-treat laryngologic condition, is characterized by spasms causing the vocal folds to remain abducted despite efforts to adduct them during phonation. Traditional treatment for abductor spasmodic dysphonia-botulinum toxin injection into the posterior cricoarytenoid muscle-can be both technically challenging and uncomfortable. Due to the difficulty of needle placement, it is often unsuccessful. The purpose of this investigation is to present a previously undescribed treatment for abductor spasmodic dysphonia-bilateral vocal fold medialization. A retrospective case review of all cases of abductor spasmodic dysphonia treated in a tertiary care laryngology practice with bilateral vocal fold medialization over a 10-year period was performed. The Voice Handicap Index and the Voice-Related Quality of Life surveys were utilized to assess patient satisfaction with voice outcome. Six patients with abductor spasmodic dysphonia treated with bilateral vocal fold medialization were identified. Disease severity ranged from mild to severe. All six patients reported statistically significant improvement in nearly all Voice Handicap Index and Voice-Related Quality of Life parameters. They reported fewer voice breaks and greater ease of communication. Results were noted immediately and symptoms continue to be well controlled for many years following medialization. Bilateral vocal fold medialization is a safe and effective treatment for abductor spasmodic dysphonia. It is performed under local anesthesia and provides phonation improvement in the short and long term. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  17. Ultrastructure of medial rectus muscles in patients with intermittent exotropia.

    Science.gov (United States)

    Yao, J; Wang, X; Ren, H; Liu, G; Lu, P

    2016-01-01

    PURPOSE To study the ultrastructure of the medial rectus in patients with intermittent exotropia at different ages.PATIENTS AND METHODS The medial recti were harvested surgically from 20 patients with intermittent exotropia. Patients were divided into adolescent (age18 years, n=10). The normal control group included five patients without strabismus and undergoing eye enucleation. Hematoxylin and eosin staining and transmission electron microscopy were used to visualize the medial recti. Western blot was used to determine the levels of myosin and actin.RESULTS Varying fiber thickness, atrophy, and misalignment of the medial recti were visualized under optical microscope in patients with exotropia. Electron microscopy revealed sarcomere destruction, myofilament disintegration, unclear dark and light bands, collagen proliferation, and fibrosis. The adolescent group manifested significantly higher levels of myosin and actin than the adult group (Pstronger contraction of the medial recti compared with older patients. Our findings suggest that childhood was the appropriate time for surgery as the benefit of the intervention was better than in adulthood.

  18. LAS INESTABILIDADES EN LA ORGANIZACIÓN DE LA ENERGÍA

    Directory of Open Access Journals (Sweden)

    Enrique Robert Ojeda

    2010-11-01

    Full Text Available Las inestabilidades producidas sobre la organización de la energía fósil son de orden global, sobre todo los factores geopolíticos, socioeconómicos, tecnológicos y ambientales de las sociedades contemporáneas industrializadas y emergentes, los cuales provocaran reajustes en los procesos productivos de la organización en grados diversos y dependerá de la adaptación social empresarial y de las  respuestas al cambio, dadas las transformaciones necesarias en su anatomía estratégica para responder y adaptarse a los cambios de los entornos, adaptando su interioridad sistémica para vincularse con las inestabilidades y desequilibrios dentro de una significativa complejidad social que va mucho más allá del “orden totalitario” o el “orden de lo sagrado”. Por ello, la dirección tradicional de determinados sistemas organizacionales, lleva a considerar la incertidumbre de manera binaria, debatiendo entre un mundo cierto, abierto al determinismo de las previsiones precisas sobre el futuro y otro donde es casi imposible realizar una previsión, abriendo paso al camino de las probabilidades, que implicaría apropiarse de un elemento de categoría estratégica cuando se asume un escenario de incertidumbres frente a las oportunidades geoestratégicas y globales, a pesar de las sorpresas que siempre existirán como producto del azar. Estamos entonces, dentro de una complejidad ambiental, y de allí la necesidad de que las organizaciones empresariales  busquen relaciones sinérgicas entre las funciones y las ramas de la  actividad, resultantes de fusiones, reorganizaciones y asociaciones estratégicas con empresas públicas y privadas de otros países, a medida que la globalización avanza. Solo las organizaciones ágiles y adaptables prosperarán en un futuro previsible de “aguas agitadas” y de eventos caóticos.

  19. An in vitro analysis of medial structures and a medial soft tissue reconstruction in a constrained condylar total knee arthroplasty.

    Science.gov (United States)

    Athwal, Kiron K; El Daou, Hadi; Inderhaug, Eivind; Manning, William; Davies, Andrew J; Deehan, David J; Amis, Andrew A

    2017-08-01

    The aim of this study was to quantify the medial soft tissue contributions to stability following constrained condylar (CC) total knee arthroplasty (TKA) and determine whether a medial reconstruction could restore stability to a soft tissue-deficient, CC-TKA knee. Eight cadaveric knees were mounted in a robotic system and tested at 0°, 30°, 60°, and 90° of flexion with ±50 N anterior-posterior force, ±8 Nm varus-valgus, and ±5 Nm internal-external torque. The deep and superficial medial collateral ligaments (dMCL, sMCL) and posteromedial capsule (PMC) were transected and their relative contributions to stabilising the applied loads were quantified. After complete medial soft tissue transection, a reconstruction using a semitendinosus tendon graft was performed, and the effect on kinematic behaviour under equivocal conditions was measured. In the CC-TKA knee, the sMCL was the major medial restraint in anterior drawer, internal-external, and valgus rotation. No significant differences were found between the rotational laxities of the reconstructed knee to the pre-deficient state for the arc of motion examined. The relative contribution of the reconstruction was higher in valgus rotation at 60° than the sMCL; otherwise, the contribution of the reconstruction was similar to that of the sMCL. There is contention whether a CC-TKA can function with medial deficiency or more constraint is required. This work has shown that a CC-TKA may not provide enough stability with an absent sMCL. However, in such cases, combining the CC-TKA with a medial soft tissue reconstruction may be considered as an alternative to a hinged implant.

  20. Estructura y función de la ATP sintasa de las arqueas aeróbicas

    Directory of Open Access Journals (Sweden)

    Héctor Vicente Miranda-Astudillo

    2012-01-01

    Full Text Available Desde el descubrimiento de las arqueas ha llamado la atención su capacidad para sobrevivir en ambientes difíciles. A través de los años, las arqueas han pasado de ser rarezas extremófilas a ser consideradas organismos de importancia universal que han sido utilizados para elucidar preguntas biológicas fundamentales. La filogenia del dominio Arquea se encuentra en constante cambio y cuenta hasta la fecha con 5 ramas principales: Crenarchaeota, Euryarchaeota, Thaumarchaeota, Korarchaeota y Nanoarchaeota. En el presente trabajo se enlistan las principales características estructurales de los complejos respiratorios de los géneros de arqueas aeróbicas más estudiados. Se presenta una comparación morfológica de la ATP sintasa de estos organismos con el resto de la familia de las ATPasas rotatorias (F- y V-ATPasas; así como un análisis topológico de este complejo enzimático (A1Ao-ATP sintasa tomando como base la función de cada una de las subunidades que lo conforman.

  1. Typing of MRI in medial meniscus degeneration in relation to radiological grade in medial compartmental osteoarthritis of the knee

    Energy Technology Data Exchange (ETDEWEB)

    Nagata, Nobuhito; Koshino, Tomihisa; Saito, Tomoyuki; Sakai, Naotaka; Takagi, Toshitaka; Takeuchi, Ryohei [Yokohama City Univ. (Japan). School of Medicine

    1998-10-01

    The advancement of degeneration of 50 medial menisci in patients with medial compartmental osteoarthritic knees (OA) were evaluated with magnetic resonance imaging (MRI). The average age of the patients was 66.6 years (range, 39 to 86). According to a radiographical grading system, 6 knees were classified as Grade 1, 24 as Grade 2, 16 as Grade 3, and 4 as Grade 4. The extent and the location of a high intensity region in MRI were observed in 3 parts of the meniscus, namely, the anterior, middle and posterior part. In Grade 1, no high intensity region was observed in 3 knees, and a high intensity region was observed only in the posterior part in 2 knees. A high intensity region was observed from the medial to the posterior part in 13 knees, and only in the posterior part in 10 knees of Grade 2; from the medial to the posterior part in 12 knees, and only in the posterior part in 3 knees of Grade 3, and from the anterior to the posterior part in 2 knees of Grade 4. The shape of the high intensity region in the medial meniscus was classified into 5 types, as follows: Type 1, there was no high intensity region; Type 2, the high intensity region was observed to be restricted within the meniscus; Type 3, the high intensity region resembled a horizontal tear; Type 4, the high intensity region was observed as all of the medial joint space without a marginal area; Type 5, the high intensity region was observed as all of the medial joint space. In Grade 1, 3 knees were classified as Type 1, and 2 knees as Type 2; in Grade 2, 7 knees as Type 2, and 13 knees as Type 3, and 4 knees into Type 4; in Grade 3, 6 knees as Type 3, and 7 knees as Type 4; and in Grade 4, 2 knees as Type 4, and 2 knees as Type 5. These findings might suggest that the degeneration of medial meniscus in the medial type of OA was accelerated by mechanical stress due to varus deformity. (author)

  2. Typing of MRI in medial meniscus degeneration in relation to radiological grade in medial compartmental osteoarthritis of the knee

    International Nuclear Information System (INIS)

    Nagata, Nobuhito; Koshino, Tomihisa; Saito, Tomoyuki; Sakai, Naotaka; Takagi, Toshitaka; Takeuchi, Ryohei

    1998-01-01

    The advancement of degeneration of 50 medial menisci in patients with medial compartmental osteoarthritic knees (OA) were evaluated with magnetic resonance imaging (MRI). The average age of the patients was 66.6 years (range, 39 to 86). According to a radiographical grading system, 6 knees were classified as Grade 1, 24 as Grade 2, 16 as Grade 3, and 4 as Grade 4. The extent and the location of a high intensity region in MRI were observed in 3 parts of the meniscus, namely, the anterior, middle and posterior part. In Grade 1, no high intensity region was observed in 3 knees, and a high intensity region was observed only in the posterior part in 2 knees. A high intensity region was observed from the medial to the posterior part in 13 knees, and only in the posterior part in 10 knees of Grade 2; from the medial to the posterior part in 12 knees, and only in the posterior part in 3 knees of Grade 3, and from the anterior to the posterior part in 2 knees of Grade 4. The shape of the high intensity region in the medial meniscus was classified into 5 types, as follows: Type 1, there was no high intensity region; Type 2, the high intensity region was observed to be restricted within the meniscus; Type 3, the high intensity region resembled a horizontal tear; Type 4, the high intensity region was observed as all of the medial joint space without a marginal area; Type 5, the high intensity region was observed as all of the medial joint space. In Grade 1, 3 knees were classified as Type 1, and 2 knees as Type 2; in Grade 2, 7 knees as Type 2, and 13 knees as Type 3, and 4 knees into Type 4; in Grade 3, 6 knees as Type 3, and 7 knees as Type 4; and in Grade 4, 2 knees as Type 4, and 2 knees as Type 5. These findings might suggest that the degeneration of medial meniscus in the medial type of OA was accelerated by mechanical stress due to varus deformity. (author)

  3. Subquadratic medial-axis approximation in $\\mathbb{R}^3$

    Directory of Open Access Journals (Sweden)

    Christian Scheffer

    2015-09-01

    Full Text Available We present an algorithm that approximates the medial axis of a smooth manifold in $\\mathbb{R}^3$ which is given by a sufficiently dense point sample. The resulting, non-discrete approximation is shown to converge to the medial axis as the sampling density approaches infinity. While all previous algorithms guaranteeing convergence have a running time quadratic in the size $n$ of the point sample, we achieve a running time of at most $\\mathcal{O}(n\\log^3 n$. While there is no subquadratic upper bound on the output complexity of previous algorithms for non-discrete medial axis approximation, the output of our algorithm is guaranteed to be of linear size.

  4. Optimización del sistema de control de las pequeñas centrales hidroeléctricas (primera parte: Factores que dificultan la regulación

    Directory of Open Access Journals (Sweden)

    Luis Jerónimo García Faure

    2011-02-01

    Full Text Available En ocasiones se aborda el problema de la regulación de la velocidad de las turbinas mediante el gasto deagua como un hecho especializado de determinada rama de la ingeniería, y se trata de aplicar a las microy minicentrales las mismas soluciones que para la regulación de otros procesos industriales en loscuales el comportamiento dinámico de los sistemas externos ejerce poca influencia sobre el sistema decontrol utilizado.  In some occasions the problem of the regulation of the speed of hydraulic turbines is approached bymeans of the flow of water as a specialized problem of certain branch of the engineering, and it is appliedto micro hydropower and mini hydropower the same solutions that are applied to the regulation of otherindustrial processes in which the dynamic behavior of the external systems exerts little influence on thecontrol system employed.

  5. Efficiency of Medial Rectus Advancement Surgery in Consecutive Exotropia

    Directory of Open Access Journals (Sweden)

    Kemal Yar

    2015-12-01

    Full Text Available Purpose: To evaluate the efficiency of medial rectus advancement surgery in consecutive exotropia. Material and Methods: The study group consisted of 20 cases, 10 male, 10 female, who were diagnosed as consecutive exotropia and underwent surgery between 2008-2013 at Cukurova University Medical Faculty Ophthalmology Department. Records of the patients were investigated retrospectively. We evaluated best corrected visual acuity, existence of ambliopia, postoperative duration following the first surgery and applied surgical procedures. Postoperative deviation lower than 10 PD were assesed as successful. Mean follow up period was 29,8 +/- 21,36 (8-80 months, patients with inadequate follow up period were dismissed from the study group. Results: We only applied bilateral medial rectus advancement surgery to 6 and unilateral medial rectus advancement surgery to 5 patients and obtained intended surgical result in these 11 cases. The other patients underwent lateral rectus recession or/and medial rectus resection operations inorder to reach projected deviation degrees. Deviation was found to be 46,4+/-9,24 (40-70 PD in cases who only underwent advancement surgery and was 65,56 +/- 18,78 (40-90 PD in cases who underwent additional surgical procedure. 16 (%80 of the cases had hypermetropi various dioptries and 7 (%35 had ambliopia. Discussion: Consecutive exotropia can appear years after surgery and is an important late period complication. In this study achievement of %55 success with medial rectus advancement surgery indicates that this is a preferable procedure. But in wide angle deviations additional lateral rectus recession or/and medial rectus resection operations can be applied inorder to reach intended adjustment. Accurrate prediction of the propotion of advancement surgery and adjustment is not always possible because of intensive fybrosis in operated muscles and enviroment tissue. [Cukurova Med J 2015; 40(4.000: 707-713

  6. Magnetic resonance imaging findings in patients with medial epicondylitis

    Energy Technology Data Exchange (ETDEWEB)

    Kijowski, Richard; Smet, Arthur A. De [University of Wisconsin Hospital, Department of Radiology, Madison (United States)

    2005-04-01

    To compare the MR imaging findings of 13 patients with clinically diagnosed medial epicondylitis with the MR imaging findings of 26 patients of similar age with no clinical evidence of medial epicondylitis. The study group consisted of 13 patients with clinically diagnosed medial epicondylitis. The control group consisted of 26 patients of similar age with no clinical evidence of medial epicondylitis. The medical records and MR imaging findings of these patients were retrospectively reviewed by two fellowship-trained musculoskeletal radiologists. Eleven of the 13 patients in the study group had thickening and increased signal intensity of the common flexor tendon on both T1-weighted and T2-weighted images. The remaining two patients in the study group had soft tissue edema around a normal-appearing common flexor tendon. Twenty-one of the 26 patients in the control group had a normal-appearing common flexor tendon on MR imaging. Three patients in the control group had a thickened common flexor tendon which was of intermediate signal intensity on T1-weighted images but of uniform low signal intensity on T2-weighted images. Two patients in the control group had a thickened common flexor tendon which was of intermediate signal intensity on both T1-weighted and T2-weighted images. None of the patients in the control group had soft tissue edema around the common flexor tendon. MR imaging findings of patients with clinically diagnosed medial epicondylitis included thickening and increased T1 and T2 signal intensity of the common flexor tendon and soft tissue edema around the common flexor tendon. The presence of intermediate to high T2 signal intensity or high T2 signal intensity within the common flexor tendon and the presence of paratendinous soft tissue edema were the most specific findings of medial epicondylitis on MR imaging. (orig.)

  7. Medial circumflex femoral artery flap for ischial pressure sore

    Directory of Open Access Journals (Sweden)

    Palanivelu S

    2009-01-01

    Full Text Available A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap.

  8. Communication between radial nerve and medial cutaneous nerve of forearm

    Directory of Open Access Journals (Sweden)

    R R Marathe

    2010-01-01

    Full Text Available Radial nerve is usually a branch of the posterior cord of the brachial plexus. It innervates triceps, anconeous, brachialis, brachioradialis, extensor carpi radialis longus muscles and gives the posterior cutaneous nerve of the arm, lower lateral cutaneous nerve of arm, posterior cutaneous nerve of forearm; without exhibiting any communication with the medial cutaneous nerve of forearm or any other nerve. We report communication between the radial nerve and medial cutaneous nerve of forearm on the left side in a 58-year-old male cadaver. The right sided structures were found to be normal. Neurosurgeons should keep such variations in mind while performing the surgeries of axilla and upper arm.

  9. Medial vs lateral unicompartmental knee arthrroplasty: clinical results.

    Science.gov (United States)

    Fiocchi, Andrea; Condello, Vincenzo; Madonna, Vincenzo; Bonomo, M; Zorzi, Claudio

    2017-06-07

    Unicompartmental Knee Arthroplasty (UKA) is a common procedure for the management of isolated osteoarthritis. UKA is considered less invasive compared to total knee arthroplasty, associated with less operative time, blood loss and faster recovery. Isolated lateral osteoarthritis is a relatively uncommon clinical problem, with an incidence about ten times lower than the medial compartment. In fact, lateral UKA are about 5-10% of the total amount of the UKAs. In addition, it's historically considered more challenging and with poorer results. The aim of this paper was to compare current indications, modes of failure, survivorship and clinical results of medial and lateral UKA by a narrative review of the latest literature.

  10. Medial patellofemoral ligament: Research progress in anatomy and injury imaging

    International Nuclear Information System (INIS)

    Zheng Lei; Zhao Bin

    2013-01-01

    The medial patellofemoral ligament (MPFL) is considered as the most important soft tissue restraint providing medial stability of the patellofemoral joint. During patellar dislocation, the MPFL is subjected to severe stretching forces, resulting in injuries of the ligament in the most patients. With the development of medical imaging technology, a variety of non-invasive diagnostic imaging methods have been becoming important means in diagnosis of MPFL injury. In this paper, MPFL anatomy, the applications of medical imaging technology in diagnosis of MPFL injury and the distributions of MPFL injury site were reviewed. (authors)

  11. PHYSIOLOGICAL RESPONSES OF PACU (Piaractus mesopotamicus, FED CASSAVA (Manihot esculenta FOLIAGE IN DIETS RESPOSTAS FISIOLÓGICAS DO PACU (Piaractus mesopotamicus, ALIMENTADO COM RAMA DE MANDIOCA (Manihot esculenta NA RAÇÃO

    Directory of Open Access Journals (Sweden)

    João Teodoro Padua

    2009-07-01

    Full Text Available Brazil is the largest world producer of cassava. Leafs and stem of cassava can be a alternative source of protein for omnivorous fish. However, the potential use is limited by the presence of high level of cyanide acid. The present study evaluated physiological responses of juvenile pacu submitted to increasing levels of the final third of the cassava foliage meal in diets. A completely randomized design was used in factorial scheme 4x2, four levels, 0, 12, 24 and 36 % of cassava foliage meal (CFM, and 2 levels of crude protein (CP, 24 % and 30 %, with three replicates. Three hundred twelve fish (55.33±6.19 g were distributed into 24 ponds of 13 m2. Results indicated that the levels of CFM inclusion affected the hemoglobin values (P<0.01, as well as the CP level (P<0.05, with interaction of these factors (P<0.01. Significant interaction among the CFM levels and CP was also observed for hematocrit, plasma protein (P<0.01 and plasma lipid (P<0.05. In the 24 % CP level was observed higher values of Hb in control and 36 % of CFM (3.51 g/dl and 3.25 g/dl respectively while with 30 % CP the control diet and 36 % CFM presented the smallest values (3.29 g/dl and 2.78 g/dl respectively. The higher level of CFM tested, inside of any protein level, had low influence on the pacu metabolism.

    KEY WORDS: Cassava leaf and stem fish metabolism, pacu, P. Mesopotamicus.
    O Brasil é o maior produtor mundial de mandioca, disponibilizando a rama de mandioca como fonte alternativa na alimentação de peixes onívoros. No entanto, o potencial de uso da rama é limitado pela toxidez do ácido cianídrico. Objetivou-se avaliar a resposta fisiológica do pacu alimentado com níveis crescentes da rama de mandioca. Utilizou-se delineamento inteiramente casualizado, em fatorial 4x2, quatro níveis de rama de mandioca (RM (0%, 12%, 24% e 36% e dois níveis de proteína bruta (PB (24% e 30% com três repetições. Trezentos e doze peixes (55,33±6,19 g foram

  12. Estudio de las Startups

    OpenAIRE

    Rodríguez Reina, Cristina

    2016-01-01

    Este trabajo trata de analizar las pautas a la hora de poner en marcha una startup. Se explica el método que hay que seguir (Lean Startup), se expone una breve biografía de su autor, se muestran las distintas fases por las que atraviesa, las formas de financiación, así como una serie de puntos que servirán de ayuda para adentrarse en este mundo tan novedoso y hasta entonces tan poco conocido, como es el de la startups. Dentro del ámbito de las startups, se explicará el tema ...

  13. Aborto en las adolescentes

    OpenAIRE

    Cedeño Donet, Marisel; García García, María T; Jímenez Mendeliú, Irene M

    2000-01-01

    Se realizó un estudio descriptivo y transversal sobre el comportamiento del aborto en la población adolescente del territorio occidental de la provincia de Camagüey, desde enero de 1997 hasta agosto de 1998. Se encontró que el 26, 2 % de las jóvenes se realizó un aborto, las regulaciones menstruales fueron el 47, 6 %, el 25 % de las sepsis posinterrupción correspondió a las adolescentes. Más de la cuarta parte de los abortos realizados en la Provincia corresponde a las menores de 20 años. Cas...

  14. Las versiones homericas Las versiones homericas

    Directory of Open Access Journals (Sweden)

    Jorge Luis Borges

    2008-04-01

    Full Text Available Ningún problema tan consustancial con las letras con su modesto misterio como el que propone una traducción. Un olvido animal por la vanidad, el tenor de confesar procesos mentales que adivinamos peligrosamente comunes, el conato de mantener intacta y central una reserve incalculable de sombre, velan las tales escrituras directas. La traducciOn, en cambio, parece destinada a ilustrar la discusión estitica. El modelo propuesto a su imitaciOn es un texto visible, no un labirint° inestimable de proyectos preteritos o la acatada tentaciOn momentanea de una facilidad. Bertrand Russell define un objeto extern( como un sistema circular, irradiante, de impresiones posibles; lo mismo puede aseverarse de un texto, dadas las repercusiones incalculables de lo verbal. Un parcial y precioso documento de las vicisitudes que sufre queda en sus traducciones.

  15. Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma.

    Science.gov (United States)

    Kamel, Reda H; Abdel Fattah, Ahmed F; Awad, Ayman G

    2014-12-01

    Maxillary sinus inverted papilloma entails medial maxillectomy and is associated with high incidence of recurrence. To study the impact of prior surgery on recurrence rate after transnasal endoscopic medial maxillectomy. Eighteen patients with primary and 33 with recurrent maxillary sinus inverted papilloma underwent transnasal endoscopic medial maxillectomy. Caldwell-Luc operation was the primary surgery in 12 patients, transnasal endoscopic resection in 20, and midfacial degloving technique in one. The follow-up period ranged between 2 to 19.5 years with an average of 8.8 years. Recurrence was detected in 8/51 maxillary sinus inverted papilloma patients (15.7 %), 1/18 of primary cases (5.5 %), 7/33 of recurrent cases (21.2 %); 3/20 of the transnasal endoscopic resection group (15%) and 4/12 of the Caldwell-Luc group (33.3%). Redo transnasal endoscopic medial maxillectomy was followed by a single recurrence in the Caldwell-Luc group (25%), and no recurrence in the other groups. Recurrence is more common in recurrent maxillary sinus inverted papilloma than primary lesions. Recurrent maxillary sinus inverted papilloma after Caldwell-Luc operation has higher incidence of recurrence than after transnasal endoscopic resection.

  16. Default network connectivity in medial temporal lobe amnesia.

    Science.gov (United States)

    Hayes, Scott M; Salat, David H; Verfaellie, Mieke

    2012-10-17

    There is substantial overlap between the brain regions supporting episodic memory and the default network. However, in humans, the impact of bilateral medial temporal lobe (MTL) damage on a large-scale neural network such as the default mode network is unknown. To examine this issue, resting fMRI was performed with amnesic patients and control participants. Seed-based functional connectivity analyses revealed robust default network connectivity in amnesia in cortical default network regions such as medial prefrontal cortex, posterior medial cortex, and lateral parietal cortex, as well as evidence of connectivity to residual MTL tissue. Relative to control participants, decreased posterior cingulate cortex connectivity to MTL and increased connectivity to cortical default network regions including lateral parietal and medial prefrontal cortex were observed in amnesic patients. In contrast, somatomotor network connectivity was intact in amnesic patients, indicating that bilateral MTL lesions may selectively impact the default network. Changes in default network connectivity in amnesia were largely restricted to the MTL subsystem, providing preliminary support from MTL amnesic patients that the default network can be fractionated into functionally and structurally distinct components. To our knowledge, this is the first examination of the default network in amnesia.

  17. Medial peritalar fracture dislocation of the talar body

    Directory of Open Access Journals (Sweden)

    Jacob B. Stirton

    2015-04-01

    Full Text Available Peritalar fracture dislocations typically involve the talar neck and are classified according to Hawkins. To our knowledge, peritalar fracture dislocation involving the talar body has not been formally reported. In this article, we describe a case of peritalar fracture dislocation of the talar body. Keywords: Peritalar dislocation, Talus fracture, Talar body fracture dislocation, Medial subtalar dislocation

  18. MR imaging findings of medial tibial crest friction

    International Nuclear Information System (INIS)

    Klontzas, Michail E.; Akoumianakis, Ioannis D.; Vagios, Ilias; Karantanas, Apostolos H.

    2013-01-01

    Objective: Medial tibial condyle bone marrow edema (BME), associated with soft tissue edema (STe) surrounding the medial collateral ligament, was incidentally observed in MRI examinations of young and athletic individuals. The aim of the present study was to 1. Prospectively investigate the association between these findings and coexistence of localized pain, and 2. Explore the possible contribution of the tibial morphology to its pathogenesis. Methods: The medial tibial condyle crest was evaluated in 632 knee MRI examinations. The angle and depth were measured by two separate evaluators. The presence of STe and BME was recorded. A third evaluator blindly assessed the presence of pain at this site. Results: BME associated with STe was found in 24 patients (with no history of previous trauma, osteoarthritis, tumor or pes anserine bursitis). The mean crest angle was 151.3° (95%CI 147.4–155.3°) compared to 159.4° (95%CI 158.8–160°) in controls (Mann–Whitney test, P < 0.0001). MRI findings were highly predictive of localized pain (sensitivity 92% specificity 99%, Fisher's exact test, P < 0.0001). Conclusion: Friction at the medial tibial condyle crest is a painful syndrome. MRI is a highly specific and sensitive imaging modality for its diagnosis

  19. Comparison of Medial and Posterior Surgical Approaches in ...

    African Journals Online (AJOL)

    2017-10-26

    Oct 26, 2017 ... extremity fractures in the pediatric population aged 3-10 years old. ... pins wire fixation was applied with either a medial or ... The grading system defined by Flynn et al.[15] .... control of both aspects of fracture site (anterior and.

  20. Medial Tibial Stress Syndrome : Diagnosis, Treatment and Outcome Assessment

    NARCIS (Netherlands)

    Winters, M.

    2017-01-01

    Medial tibial stress syndrome (MTSS), also known as shin splints, is one of the most common sports injuries. Although 20% of the jumping and running athletes have MTSS at some point while engaging in sporting activities, we know little about it. There is a lack of knowledge regarding making the

  1. Aetiology, imaging and treatment of medial tibial stress syndrome

    NARCIS (Netherlands)

    Moen, M.H.

    2012-01-01

    The work contained is this thesis discusses aetiology, imaging and treatment of a common leg injury: medial tibial stress syndrome (MTSS). Although a common injury, the number of scientific articles on this topic is relatively low as is explained in chapter 1. This chapter also highlights that the

  2. Anatomical segmentation of the human medial prefrontal cortex

    NARCIS (Netherlands)

    Corcoles-Parada, M.; Müller, N.C.J.; Ubero, M.; Serrano-Del-Pueblo, V.M.; Mansilla, F.; Marcos-Rabal, P.; Artacho-Perula, E.; Dresler, M.; Insausti, R.; Fernandez, G.; Munoz-Lopez, M.

    2017-01-01

    The medial prefrontal areas 32, 24, 14, and 25 (mPFC) form part of the limbic memory system, but little is known about their functional specialization in humans. To add anatomical precision to structural and functional magnetic resonance imaging (MRI) data, we aimed to identify these mPFC subareas

  3. [Medial unicompartmental knee prosthesis for patients with unicompartmental gonarthrosis

    NARCIS (Netherlands)

    Kort, N.P.; Deutman, R.; Raay, J.J. van; Horn, J.R. van

    2004-01-01

    The function and survival time of unicompartmental knee prostheses for patients with severe gonarthrosis have been improved the past few years by developments in their design, the instrumentarium and the surgical technique. A medial unicompartmental knee prosthesis may be indicated in patients with

  4. Ecological divergence and medial cuneiform morphology in gorillas.

    Science.gov (United States)

    Tocheri, Matthew W; Solhan, Christyna R; Orr, Caley M; Femiani, John; Frohlich, Bruno; Groves, Colin P; Harcourt-Smith, William E; Richmond, Brian G; Shoelson, Brett; Jungers, William L

    2011-02-01

    Gorillas are more closely related to each other than to any other extant primate and are all terrestrial knuckle-walkers, but taxa differ along a gradient of dietary strategies and the frequency of arboreality in their behavioral repertoire. In this study, we test the hypothesis that medial cuneiform morphology falls on a morphocline in gorillas that tracks function related to hallucial abduction ability and relative frequency of arboreality. This morphocline predicts that western gorillas, being the most arboreal, should display a medial cuneiform anatomy that reflects the greatest hallucial abduction ability, followed by grauer gorillas, and then by mountain gorillas. Using a three-dimensional methodology to measure angles between articular surfaces, relative articular and nonarticular areas, and the curvatures of the hallucial articular surface, the functional predictions are partially confirmed in separating western gorillas from both eastern gorillas. Western gorillas are characterized by a more medially oriented, proportionately larger, and more mediolaterally curved hallucial facet than are eastern gorillas. These characteristics follow the predictions for a more prehensile hallux in western gorillas relative to a more stable, plantigrade hallux in eastern gorillas. The characteristics that distinguish eastern gorilla taxa from one another appear unrelated to hallucial abduction ability or frequency of arboreality. In total, this reexamination of medial cuneiform morphology suggests differentiation between eastern and western gorillas due to a longstanding ecological divergence and more recent and possibly non-adaptive differences between eastern taxa. Published by Elsevier Ltd.

  5. Medial Malleolar Fractures: An Anatomic Survey Determining the ...

    African Journals Online (AJOL)

    However, the literature lacks a defined method for selecting lag screw length, relying more ... Aim: The aim of this study is to help define the ideal lag screw length for medial melleolar fracture fixation. .... Biometrics 1977;33:159‑74. 8. Ricci WM ...

  6. MR imaging findings of medial tibial crest friction

    Energy Technology Data Exchange (ETDEWEB)

    Klontzas, Michail E., E-mail: miklontzas@gmail.com; Akoumianakis, Ioannis D., E-mail: ioannis.akoumianakis@gmail.com; Vagios, Ilias, E-mail: iliasvagios@gmail.com; Karantanas, Apostolos H., E-mail: akarantanas@gmail.com

    2013-11-01

    Objective: Medial tibial condyle bone marrow edema (BME), associated with soft tissue edema (STe) surrounding the medial collateral ligament, was incidentally observed in MRI examinations of young and athletic individuals. The aim of the present study was to 1. Prospectively investigate the association between these findings and coexistence of localized pain, and 2. Explore the possible contribution of the tibial morphology to its pathogenesis. Methods: The medial tibial condyle crest was evaluated in 632 knee MRI examinations. The angle and depth were measured by two separate evaluators. The presence of STe and BME was recorded. A third evaluator blindly assessed the presence of pain at this site. Results: BME associated with STe was found in 24 patients (with no history of previous trauma, osteoarthritis, tumor or pes anserine bursitis). The mean crest angle was 151.3° (95%CI 147.4–155.3°) compared to 159.4° (95%CI 158.8–160°) in controls (Mann–Whitney test, P < 0.0001). MRI findings were highly predictive of localized pain (sensitivity 92% specificity 99%, Fisher's exact test, P < 0.0001). Conclusion: Friction at the medial tibial condyle crest is a painful syndrome. MRI is a highly specific and sensitive imaging modality for its diagnosis.

  7. Medial supracondylar stress fracture in an adolescent pitcher

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Eric Y.; Chung, Christine B. [VA San Diego Healthcare System, San Diego, CA (United States); University of California, San Diego Medical Center, San Diego, CA (United States); Fronek, Jan [Scripps Healthcare, La Jolla, CA (United States)

    2014-01-15

    We report the occurrence of a medial supracondylar stress fracture in an adolescent pitcher. To our knowledge, this fracture has not been described in the literature, and awareness of this entity allows initiation of therapy and precludes further unnecessary work-up. The radiographic, computed tomography, and magnetic resonance imaging appearances are reviewed and the mechanism of injury is discussed. (orig.)

  8. Las lenguas en las sociedades del conocimiento

    Directory of Open Access Journals (Sweden)

    Álvarez, J. Francisco

    2008-12-01

    Full Text Available Languages become a strategic resource for information and knowledge societies. By expressing and sharing knowledge by means of languages, every culture generates deposits of knowledge, which can be transferred and exchanged among different epistemic communities. The contemporary technologies of information and communication have changed the structure of knowledge flows. Globalization of knowledge poses a great challenge to every language, including the Spanish one. In order to survive in the digital world, they should develop technolanguages. The lemma “Thinking in Spanish” implies a new model of governance for the Ibero-American knowledge communities.En las sociedades de la información y el conocimiento las lenguas se convierten en un recurso estratégico. Al expresar y compartir conocimiento por medio de los idiomas, las culturas generan yacimientos de conocimiento, que pueden ser transferidos e intercambiados entre comunidades epistémicas diferentes. Las actuales tecnologías de la información y la comunicación han cambiado la estructura de los flujos de conocimiento. La globalización del conocimiento plantea un gran desafío a todas las lenguas, incluyendo la española. Para sobrevivir en el mundo digital, los lenguajes han de convertirse en tecnolenguajes. El lema “Pensar en español” aporta un nuevo modelo de gobernanza para las comunidades iberoamericanas del conocimiento.

  9. El régimen jurídico de las aguas para usos agrícolas: aguas subterráneas

    Directory of Open Access Journals (Sweden)

    Fernando Brebbia

    2015-01-01

    Full Text Available Como ha señalado el profesor Adolfo Gelsi Bidart la relación entre tierra yagua es alguno de los aspectos que el derecho agrario debe tener en cuenta y ello importa establecer si la regulación de las aguas compete al derecho agrario, constituye una disciplina autónoma, o bien si su estudio corresponde a diversas ramas del derecho cada una de las cuales debe ocuparse de examinar determinados aspectos, o mejor, de distintas formas de su uso y aprovechamientol (...Contenido: Derecho agrario y derecho de aguas. Algunos datos estadísticos acerca del agua. Los usos del agua. Aguas públicas y aguas privadas. La utilización del agua para la agricultura. El tratamiento legal de las aguas para la agricultura en los países del Mercosur: Argentina, Brasil, Paraguay, Uruguay. Evolución legislativa del régimen de las aguas subterráneas en el derecho agrario comparado. Modernas tendencias sobre el dominio de las aguas subterráneas. Las leyes de aguas de España e Italia

  10. The medial tibial stress syndrome score: Item generation for a new ...

    African Journals Online (AJOL)

    The medial tibial stress syndrome score: Item generation for a new patient reported outcome measure. ... instrument that evaluates injury severity and treatment effects for medial tibial stress syndrome (MTSS) patients. ... from 32 Countries:.

  11. Analiza uticaja armiranobetonskog rama od sopstvenog opterećenja i spoljašnjih sila/Structural analysis of a prestressed concrete

    Directory of Open Access Journals (Sweden)

    Miloš Z. Petrović

    2014-10-01

    Full Text Available U radu je prikazano delovanje sile prednaprezanja na armiranobetonski ram (u daljem tekstu AB ram. Posmatrani sistem je statički neodređen sa dva ukleštenja. Na njega deluje opterećenje prednaprezanje kablom silom Nk=600 kN, kao i sopstveno opterećenje. Visina rama je 6.00 m, a osovinski razmak 20.00 m. Opterećenje od sopstvene težine elemenata je od rigle i stuba. Opterećenje konstrukcije usled prednaprezanja spada u unutrašnja opterećenja, koja zamenjujemo ekvivalentnim opterećenjem koje predstavlja spoljašnje opterećenje. Proračun je izvršen metodom sila i metodom deformacija, kao i u softverskom programu 'Tower'. Metodom sila se uklanja ukleštenje i preseku se omogućava obrtanje. Statički neodređena veličina tada je moment ukleštenja. Kod metode deformacije sve statičke i deformacijske veličine izražavaju se putem izvesnog broja međusobno nezavisnih deformacijskih veličina, koje su određene iz uslova ravnoteže sistema. Broj nezavisnih deformacijskih neodređenih veličina predstavlja deformacijsku neodređenost nosača. Sve deformacijski neodređene veličine mogu se svrstati u dve grupe: prvu grupu čine uglovi obrtanja na krajevima kruto vezanih štapova, a drugu grupu komponente pomeranja čvorova. / The effects of prestressing forces on a reinforced concrete frame are shown in the paper. The structure is a statically indeterminate frame with two fixed supports. The load is due to tendon prestressing with Nk = 600 kN and due to self-weight of columns and beam. The columns height is 6.00 m and the beam span is 20.00 m. Effects of prestressing can be replaced by an external equivalent load. Calculations are performed by the force method, by the direct stiffness method and using the 'Tower' software. The rotational restraints are released at fixed supports and the restraint moments are calculated by the force method. The direct stiffness method uses the members' stiffness relations for computing member forces and

  12. Posterior horn medial meniscal root tear: the prequel

    Energy Technology Data Exchange (ETDEWEB)

    Umans, H. [Albert Einstein College of Medicine, Bronx, NY (United States); Lenox Hill Radiology and Imaging Associates, New York, NY (United States); Morrison, W. [Thomas Jefferson University Hospital, Philadelphia, PA (United States); DiFelice, G.S. [Hospital for Special Surgery, New York, NY (United States); Vaidya, N. [Crystal Run Healthcare, Middletown, NY (United States); Winalski, C.S. [Cleveland Clinic, Imaging Institute, Department of Biomedical Engineering, Lerner Research Institute, Cleveland, OH (United States)

    2014-06-15

    To determine whether subarticular marrow changes deep to the posterior horn medial meniscal root anchor might predict subsequent medial meniscal root tear. Fifteen patients with MR-diagnosed posterior horn medial meniscal root (PHMMR) tear and a knee MRI antecedent to the tear were identified at three imaging centers over a 7-year period. The pre- and post-tear MR images were evaluated for marrow signal changes deep to the root anchor, meniscal root signal intensity, medial compartment articular cartilage thinning, and meniscal body extrusion. Images of 29 age- and gender-matched individuals with two MRIs of the same knee were reviewed as a control group. MRI in 11 of 15 (73 %) cases with subsequent PHMMR tear demonstrated linear subcortical marrow edema deep to the meniscal root anchor on the antecedent MRI compared to only 1 of 29 (3 %) non-tear controls (p < 0.0001). The abnormal signal resolved on post-tear MRI in all but two patients. Cyst-like changes deep to the PHMMR were present on initial MRI in three of 15 (23 %) cases and three of 29 (10 %) controls, persisting in all but one case on follow-up imaging. The PHMMR was gray on the initial MRI in seven of 15 (47 %) of cases that developed tears compared to four of 29 (14 %) controls (p < 0.0001). There was medial meniscal extrusion (MME) prior to tear in two of 15 (13 %) patients and in ten of 15 (67 %) patients after PHMMR failure. In the control group, MME was present in one (3 %) and three (10 %) of 29 subjects on the initial and follow-up MRIs, respectively. Articular cartilage loss was noted in two of 15 (15 %) cases before tear and nine of 15 (69 %) on follow-up imaging, as compared to one (3 %) and four (14 %) of 29 subjects in the control group. Subcortical marrow edema deep to the PHMMR may result from abnormal stresses and thus be a harbinger of meniscal root failure. This hypothesis is supported by resolution of these marrow signal changes after root tear. Following tear, extrusion of the

  13. Diálogos latino-americanos. Correspondência entre Ángel Rama, Berta e Darcy Ribeiro. Organización, estudios y notas de Haydée Ribeiro Coelho y Pablo Rocca. São Paulo: Global Editora, 2015. 189 pp.

    Directory of Open Access Journals (Sweden)

    Facundo Gómez

    2017-01-01

    Full Text Available Reseña de Diálogos latino-americanos. Correspondência entre Ángel Rama, Berta e Darcy Ribeiro. Organización, estudios y notas de Haydée Ribeiro Coelho y Pablo Rocca. São Paulo: Global Editora, 2015. 189 pp.

  14. Las ondas en las universidades o las universidades en las ondas

    Directory of Open Access Journals (Sweden)

    Verónica Marín Díaz

    2014-01-01

    Full Text Available En las aulas y pasillos de las universidades vuelven a sonar las ondas hercianas que raen una variedad de programas a la anodina vida de la comunidad universitaria, inmersa en la implantación de títulos de Grado, nuevos programas de doctorado, legislación universitaria variable y un largo etcétera que afecta al devenir de la vida en el ámbito de la educación superior.

  15. Las incubadoras de las empresas de Quebec

    Directory of Open Access Journals (Sweden)

    Bernardo Parra Restrepo

    1993-01-01

    Full Text Available Este articulo contiene información de las incubadoras de empresas especialmente aquellas encontradas en Quebec. A través de los 80's, el concepto de incubadoras de empresas fue introducido en América por expertos en el desarrollo económico. Sus metas fueron el estudio de los efectos del desempleo resultante de la quiebra de plantas industriales o del uso del proceso de producción automático por parte de las grandes compañías. Además se esperaba crear empleo para los inmigrantes. El campo más prometedor de estas experiencias se encuentra en el desarrollo de alta tecnología industrial, especialmente en electrónica, microprocesadores y software para sistemas de computación. Esta área también cubre las industrias innovadoras.

  16. Las serpientes en colombia

    OpenAIRE

    Daniel, H.

    2012-01-01

    El estudio de las serpientes en Colombia no deja de tener su particular interés; existe una inmensa variedad de especies que se escalonan desde los valles ardientes hasta alturas relativamente considerables; en estos últimos puntos disminuye notablemente la variedad de formas y de modo especial las especies provistas de veneno. Hacer una distinción entre las especies venenosas y las inofensivas, resulta un tanto difícil; en algunos textos se dan unas cuántas reglas, pero la mayor parte d...

  17. Las quiebras de la identidad: La doble faz del espacio público

    Directory of Open Access Journals (Sweden)

    GABRIEL GATTI CASAL DE REY

    1997-01-01

    Full Text Available en el pais vasco, tanto las coordenadas que orientan los discursos sobre la identidad colectiva como los escenarios en los que estos discursos se producen y reelaboran han pasado y pasan, tras el proceso de institucionalizacion politica, por una seria redefinicion. la emergencia de estas nuevas formas de construir identidad hace necesaria la reelaboracion del modelo teorico-metodologico que la sociologia ha aplicado a su estudio. dos momentos estructuran nuestro recorrido: 1 identificar los postulados que soportan este modelo (la socializacion entendida como continuidad, los espacios de interaccion entendidos como lugares antropologicos, la identidad entendida como actualizacion de un codigo que preexiste al sujeto ; 2 edificar una optica alternativa, que encuentra en la imagen de la ruptura su centro orientador (la ruptura de los trayectos de socializacion, la crisis que esconde el acceso a los espacios publicos, las quiebras de la identidad. estos desarrollos se apoyan en el estudio de un caso de especial relevancia sociologica: la gestion que de su entrada a uno de estos escenarios institucionales -el de la universidad del pais vasco en sus ramas de euskera- hacen sujetos socializados en el posfranquismo.

  18. Multiple running speed signals in medial entorhinal cortex

    Science.gov (United States)

    Hinman, James R.; Brandon, Mark P.; Climer, Jason R.; Chapman, G. William; Hasselmo, Michael E.

    2016-01-01

    Grid cells in medial entorhinal cortex (MEC) can be modeled using oscillatory interference or attractor dynamic mechanisms that perform path integration, a computation requiring information about running direction and speed. The two classes of computational models often use either an oscillatory frequency or a firing rate that increases as a function of running speed. Yet it is currently not known whether these are two manifestations of the same speed signal or dissociable signals with potentially different anatomical substrates. We examined coding of running speed in MEC and identified these two speed signals to be independent of each other within individual neurons. The medial septum (MS) is strongly linked to locomotor behavior and removal of MS input resulted in strengthening of the firing rate speed signal, while decreasing the strength of the oscillatory speed signal. Thus two speed signals are present in MEC that are differentially affected by disrupted MS input. PMID:27427460

  19. Modified endoscopic medial maxillectomy for zygomatic implant salvage.

    Science.gov (United States)

    Schwartz, Joseph S; Tajudeen, Bobby A; Adappa, Nithin D; Palmer, James N

    2016-01-01

    Odontogenic chronic rhinosinusitis (CRS) is an epidemiologically important disease process due, in part, to the increasingly commonplace use of dental restorative procedures such as zygomatic implantation. Traditional management of this clinical entity typically entails extraction of the infected hardware via an open or endoscopic approach. We describe a novel management strategy of odontogenic CRS following bilateral zygomatic implantation for oral rehabilitation that we surgically salvaged via a modified endoscopic medial maxillectomy. We describe the presentation and management of a case of metachronous development of bilateral CRS subsequent to zygomatic implantation. The patient's postoperative course was characterized by marked endoscopic, radiologic, and symptomatic improvement as measured by the 22-item Sino-Nasal Outcome Test. We describe a novel treatment strategy for the management of odontogenic sinusitis resulting from erroneous zygomatic implant placement. Modified endoscopic medial maxillectomy in this clinical context facilitates mucosal normalization of the affected sinus, while permitting preservation of oral function through salvage of the displaced implant.

  20. Kinematic analysis of a televised medial ankle sprain

    Directory of Open Access Journals (Sweden)

    Francesca E. Wade

    2018-04-01

    Full Text Available Ankle sprains are one of the most prevalent athletic injuries. Prior work has investigated lateral ankle sprains, but research on generally more severe medial sprains is lacking. This case report performs a kinematic analysis using novel motion analysis methods on a non-contact medial ankle sprain. Peak eversion (50° occurred 0.2 seconds following ground contact, maximum velocity of 426°/s, while peak dorsiflexion (64° occurred with a greater maximum velocity (573°/s. The combination of dorsiflexion at ground contact and rapid eversion is associated with a non-contact eversion sprain. This study provides a quantitative analysis of the eversion ankle sprain injury mechanism. Keywords: Athletic injury, Biomechanics, Ankle injury, Kinematics

  1. Endoscopic modified medial maxillectomy for odontogenic cysts and tumours.

    Science.gov (United States)

    Nakayama, Tsugihama; Otori, Nobuyoshi; Asaka, Daiya; Okushi, Tetsushi; Haruna, Shin-ichi

    2014-12-01

    Odontogenic maxillary cysts and tumours originate from the tooth root and have traditionally been treated through an intraoral approach. Here, we report the efficacy and utility of endoscopic modified medial maxillectomy (EMMM) for the treatment of odontogenic maxillary cysts and a tumour. We undertook EMMM under general anaesthesia in six patients: four had radicular cysts, one had a dentigerous cyst, and one had a keratocystic odontogenic tumour. The cysts and tumours were completely excised and the inferior turbinate and nasolacrimal duct were preserved in all patients. There were no peri- or postoperative complications, and no incidences of recurrence. Endoscopic modified medial maxillectomy appears to be an effective and safe technique for treating odontogenic cysts and tumours.

  2. Anomalous Medial Branch of Radial Artery: A Rare Variant

    Directory of Open Access Journals (Sweden)

    Surbhi Wadhwa

    2016-10-01

    Full Text Available Radial artery is an important consistent vessel of the upper limb. It is a useful vascular access site for coronary procedures and its reliable anatomy has resulted in an elevation of radial forearm flaps for reconstructive surgeries of head and neck. Technical failures, in both the procedures, are mainly due to anatomical variations, such as radial loops, ectopic radial arteries or tortuosity in the vessel. We present a rare and a unique anomalous medial branch of the radial artery spiraling around the flexor carpi radialis muscle in the forearm with a high rising superficial palmar branch of radial artery. Developmentally it probably is a remanent of the normal pattern of capillary vessel maintenance and regression. Such a case is of importance for reconstructive surgeons and coronary interventionists, especially in view of its unique medial and deep course.

  3. Medial gastrocnemius myoelectric control of a robotic ankle exoskeleton.

    Science.gov (United States)

    Kinnaird, Catherine R; Ferris, Daniel P

    2009-02-01

    A previous study from our laboratory showed that when soleus electromyography was used to control the amount of plantar flexion assistance from a robotic ankle exoskeleton, subjects significantly reduced their soleus activity to quickly return to normal gait kinematics. We speculated that subjects were primarily responding to the local mechanical assistance of the exoskeleton rather than directly attempting to reduce exoskeleton mechanical power via decreases in soleus activity. To test this observation we studied ten healthy subjects walking on a treadmill at 1.25 m/s while wearing a robotic exoskeleton proportionally controlled by medial gastrocnemius activation. We hypothesized that subjects would primarily decrease soleus activity due to its synergistic mechanics with the exoskeleton. Subjects decreased medial gastrocnemius recruitment by 12% ( p exoskeleton (soleus). These findings indicate that anatomical morphology needs to be considered carefully when designing software and hardware for robotic exoskeletons.

  4. Preauricular full-thickness skin grafting in medial canthal reconstruction

    Directory of Open Access Journals (Sweden)

    Rafael Corredor-Osorio

    2018-02-01

    Full Text Available Basal cell carcinoma in medial canthal is a surgical challenge to oculoplastic surgeon. We report a case an 80 –year-old woman who presented with a vegetative tumor in the right inferior medial canthus that increased slowly in size over the past two years. An excisional biopsy from the tumor was suggestive of a basal cell carcinoma. A full-thickness excision of the tumor within the oncologic safety limits, was performed. A wide range of reconstruction techniques should be customized to the individual patient. In this case, the use of a preauricular full. Thickness skin graft was a favorable option, without complications, and with acceptable functional and cosmetic results. The aim of the treatment is to restore anatomy, functional and cosmetic of the patients.

  5. Medial patellofemoral ligament reconstruction: patient selection and perspectives

    Directory of Open Access Journals (Sweden)

    Baer MR

    2017-09-01

    Full Text Available Michael R. Baer, Jeffrey A. Macalena Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA Abstract: Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. After a period of failed nonoperative management, surgical intervention has been used to reduce the incidence of patellar subluxation and dislocations. Medial patellofemoral ligament (MPFL reconstruction successfully addresses patellofemoral instability by restoring the deficient primary medial patellar soft tissue restraint. When planning MPFL reconstruction for instability, it is imperative to consider the patient’s unique anatomy including the tibial tuberosity–trochlear groove (TT–TG distance, trochlear dysplasia, and patella alta. Additionally, it is important to individualize surgical treatment in the skeletally immature, hypermobile, and athletic populations. Keywords: MPFL, indications, considerations, contraindications

  6. Unicameral Bone Cyst of the Medial Cuneiform: A Case Report.

    Science.gov (United States)

    Schick, Faith A; Daniel, Joseph N; Miller, Juliane S

    2016-02-17

    A unicameral bone cyst is a relatively uncommon, benign bone tumor found in the metaphysis of long bones, such as the humerus and the femur, in skeletally immature persons. In the foot, these benign, fluid-filled cavities are most commonly found within the os calcis. We present a case report of a 10-year-old female with a unicameral bone cyst of the medial cuneiform.

  7. Aetiology, imaging and treatment of medial tibial stress syndrome

    OpenAIRE

    Moen, M.H.

    2012-01-01

    The work contained is this thesis discusses aetiology, imaging and treatment of a common leg injury: medial tibial stress syndrome (MTSS). Although a common injury, the number of scientific articles on this topic is relatively low as is explained in chapter 1. This chapter also highlights that the most probable cause of MTSS is bone overload and not traction induced periostitis. In chapter 2 a review of the literature on MTSS is provided until 2009. Chapters 3 and 4 discuss different common a...

  8. Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies

    OpenAIRE

    Sanchis-Alfonso, Vicente; Montesinos-Berry, Erik; Ramirez-Fuentes, Cristina; Leal Blanquet, Joan; Gelber, Pablo-Eduardo; Monllau García, Juan Carlos

    2017-01-01

    Patellar instability is a common clinical problem encountered by orthopedic surgeons specializing in the knee. For patients with chronic lateral patellar instability, the standard surgical approach is to stabilize the patella through a medial patellofemoral ligament (MPFL) reconstruction. Foreseeably, an increasing number of revision surgeries of the reconstructed MPFL will be seen in upcoming years. In this paper, the causes of failed MPFL reconstruction are analyzed: (1) incorrect surgical ...

  9. 'Cable-maker's clavicle': stress fracture of the medial clavicle

    International Nuclear Information System (INIS)

    Peebles, C.R.; Sulkin, T.; Sampson, M.A.

    2000-01-01

    A 50-year-old man presented with a non-traumatic painful swelling over the medial clavicle. Radiographs showed a poorly defined fracture and the possibility of an underlying pathology was raised. Computed tomography suggested a stress fracture. This prompted a further, more detailed occupational history to be obtained from the patient, which revealed a hitherto undescribed cause of clavicular stress fracture and obviated the need for further imaging or biopsy. (orig.)

  10. Medial temporal lobe damage impairs representation of simple stimuli

    Directory of Open Access Journals (Sweden)

    David E Warren

    2010-05-01

    Full Text Available Medial temporal lobe damage in humans is typically thought to produce a circumscribed impairment in the acquisition of new enduring memories, but recent reports have documented deficits even in short-term maintenance. We examined possible maintenance deficits in a population of medial temporal lobe amnesics, with the goal of characterizing their impairments as either representational drift or outright loss of representation over time. Patients and healthy comparisons performed a visual search task in which the similarity of various lures to a target was varied parametrically. Stimuli were simple shapes varying along one of several visual dimensions. The task was performed in two conditions, one presenting a sample target simultaneously with the search array and the other imposing a delay between sample and array. Eye-movement data collected during search revealed that the duration of fixations to items varied with lure-target similarity for all participants, i.e., fixations were longer for items more similar to the target. In the simultaneous condition, patients and comparisons exhibited an equivalent effect of similarity on fixation durations. However, imposing a delay modulated the effect differently for the two groups: in comparisons, fixation duration to similar items was exaggerated; in patients, the original effect was diminished. These findings indicate that medial temporal lobe lesions subtly impair short-term maintenance of even simple stimuli, with performance reflecting not the complete loss of the maintained representation but rather a degradation or progressive drift of the representation over time.

  11. Medial maxillectomy in recalcitrant sinusitis: when, why and how?

    Science.gov (United States)

    Konstantinidis, Iordanis; Constantinidis, Jannis

    2014-02-01

    We reviewed all journal articles relevant to endoscopic medial maxillectomy in patients with recalcitrant chronic maxillary sinusitis in order to present all indications, the underlying pathophysiology and the developed surgical techniques. Despite the high success rate of middle meatal antrostomy, cases with persistent maxillary sinus disease exist and often need a more extended endoscopic procedure for the better control of the disease. Such surgical option uses gravity for better sinus drainage and offers better saline irrigation, local application of medications and follow-up inspection. An endoscopic medial maxillectomy and its modified forms offer a wider surgical field and access to all 'difficult' areas of the maxillary sinus. Patients with previous limited endoscopic sinus surgery or extended open surgery, cystic fibrosis, extensive mucoceles, allergic fungal sinusitis, odontogenic infections, foreign bodies and so on may suffer from recurrent disease requiring an endoscopic medial maxillectomy. Depending on the disease, various modifications of the procedure can be performed preserving the anterior buttress, nasolacrimal duct and inferior turbinate if possible.

  12. Medial blepharosynechioplasty: a new surgical concept for severe dry eye

    Directory of Open Access Journals (Sweden)

    Sasaki T

    2012-06-01

    Full Text Available Tsugihisa Sasaki,1,2 Taeko Ota,3 Youko Ookura,4 Kazuhisa Sugiyama11Department of Ophthalmology, Kanazawa University School of Medicine, Kanazawa, Ishikawa; 2Department of Ophthalmology, Fukui Prefectural Hospital, Fukui; 3Department of Ophthalmology, Tonami General Hospital, Tonami-city, Toyama; 4Department of Ophthamology, Saiseikai Kanazawa Hospital, Kanazawa, Ishikawa, JapanBackground: The purpose of this work was to report on the performance of medial blepharosynechioplasty (MBSP, a newly devised technique for treating severe dry eye.Methods: In this retrospective, nonrandomized clinical trial, three cases with severe dry eye (Sjögren’s syndrome associated with repeated punctal plug loss were treated using MBSP to create a synechia between the upper and lower lid medial borders of the puncta to suppress the lacrimal pump.Results: Postoperative follow-up showed improvement in the corneal condition in all three cases that persisted for 12–35 months. None of the patients had visual impairment.Conclusion: MBSP is a promising treatment for severe dry eye and merits further study.Keywords: dry eye, lacrimal pump suppression, medial blepharosynechioplasty

  13. Medial vestibular connections with the hypocretin (orexin) system

    Science.gov (United States)

    Horowitz, Seth S.; Blanchard, Jane; Morin, Lawrence P.

    2005-01-01

    The mammalian medial vestibular nucleus (MVe) receives input from all vestibular endorgans and provides extensive projections to the central nervous system. Recent studies have demonstrated projections from the MVe to the circadian rhythm system. In addition, there are known projections from the MVe to regions considered to be involved in sleep and arousal. In this study, afferent and efferent subcortical connectivity of the medial vestibular nucleus of the golden hamster (Mesocricetus auratus) was evaluated using cholera toxin subunit-B (retrograde), Phaseolus vulgaris leucoagglutinin (anterograde), and pseudorabies virus (transneuronal retrograde) tract-tracing techniques. The results demonstrate MVe connections with regions mediating visuomotor and postural control, as previously observed in other mammals. The data also identify extensive projections from the MVe to regions mediating arousal and sleep-related functions, most of which receive immunohistochemically identified projections from the lateral hypothalamic hypocretin (orexin) neurons. These include the locus coeruleus, dorsal and pedunculopontine tegmental nuclei, dorsal raphe, and lateral preoptic area. The MVe itself receives a projection from hypocretin cells. CTB tracing demonstrated reciprocal connections between the MVe and most brain areas receiving MVe efferents. Virus tracing confirmed and extended the MVe afferent connections identified with CTB and additionally demonstrated transneuronal connectivity with the suprachiasmatic nucleus and the medial habenular nucleus. These anatomical data indicate that the vestibular system has access to a broad array of neural functions not typically associated with visuomotor, balance, or equilibrium, and that the MVe is likely to receive information from many of the same regions to which it projects.

  14. MARRT: Medial Axis biased rapidly-exploring random trees

    KAUST Repository

    Denny, Jory

    2014-05-01

    © 2014 IEEE. Motion planning is a difficult and widely studied problem in robotics. Current research aims not only to find feasible paths, but to ensure paths have certain properties, e.g., shortest or safest paths. This is difficult for current state-of-the-art sampling-based techniques as they typically focus on simply finding any path. Despite this difficulty, sampling-based techniques have shown great success in planning for a wide range of applications. Among such planners, Rapidly-Exploring Random Trees (RRTs) search the planning space by biasing exploration toward unexplored regions. This paper introduces a novel RRT variant, Medial Axis RRT (MARRT), which biases tree exploration to the medial axis of free space by pushing all configurations from expansion steps towards the medial axis. We prove that this biasing increases the tree\\'s clearance from obstacles. Improving obstacle clearance is useful where path safety is important, e.g., path planning for robots performing tasks in close proximity to the elderly. Finally, we experimentally analyze MARRT, emphasizing its ability to effectively map difficult passages while increasing obstacle clearance, and compare it to contemporary RRT techniques.

  15. Dopamine in the medial amygdala network mediates human bonding.

    Science.gov (United States)

    Atzil, Shir; Touroutoglou, Alexandra; Rudy, Tali; Salcedo, Stephanie; Feldman, Ruth; Hooker, Jacob M; Dickerson, Bradford C; Catana, Ciprian; Barrett, Lisa Feldman

    2017-02-28

    Research in humans and nonhuman animals indicates that social affiliation, and particularly maternal bonding, depends on reward circuitry. Although numerous mechanistic studies in rodents demonstrated that maternal bonding depends on striatal dopamine transmission, the neurochemistry supporting maternal behavior in humans has not been described so far. In this study, we tested the role of central dopamine in human bonding. We applied a combined functional MRI-PET scanner to simultaneously probe mothers' dopamine responses to their infants and the connectivity between the nucleus accumbens (NAcc), the amygdala, and the medial prefrontal cortex (mPFC), which form an intrinsic network (referred to as the "medial amygdala network") that supports social functioning. We also measured the mothers' behavioral synchrony with their infants and plasma oxytocin. The results of this study suggest that synchronous maternal behavior is associated with increased dopamine responses to the mother's infant and stronger intrinsic connectivity within the medial amygdala network. Moreover, stronger network connectivity is associated with increased dopamine responses within the network and decreased plasma oxytocin. Together, these data indicate that dopamine is involved in human bonding. Compared with other mammals, humans have an unusually complex social life. The complexity of human bonding cannot be fully captured in nonhuman animal models, particularly in pathological bonding, such as that in autistic spectrum disorder or postpartum depression. Thus, investigations of the neurochemistry of social bonding in humans, for which this study provides initial evidence, are warranted.

  16. An Isolated Medial Patellofemoral Ligament Reconstruction with Patellar Tendon Autograft

    Directory of Open Access Journals (Sweden)

    Dariusz Witoński

    2013-01-01

    Full Text Available The aim of the study was to evaluate the results of the medial patellofemoral ligament reconstruction with a medial strip of patellar tendon autograft after a minimum 2-year followup. Ten patients (10 knees were operated on by one surgeon, according to the modified technique, described by Camanho, without any bone plug at free graft end. The mean age of the patients was 27.2 years (ranging from 18 to 42 years. The mean follow-up period was 3 years and 7 months. All patients were reviewed prospectively. At the last follow-up visit, all the patients demonstrated a significant improvement in terms of patellofemoral joint stability, all aspects of the KOOS questionnaire, and Kujala et al.’s score (59.7 points preoperatively and 84.4 points at the last followup. No patient revealed recurrent dislocation. The SF-36 score revealed a significant improvement in bodily pain, general health, physical role functioning, social role functioning, and physical functioning domains. The described MPFL reconstruction with the use of the medial 1/3rd of patella tendon is an effective procedure that gives satisfactorily patellofemoral joint functions, improves the quality of life, and provides much pain relief. It is relatively simple, surgically not extensive, and economically cost-effective procedure.

  17. Incarcerated medial epicondyle fracture following pediatric elbow dislocation: 11 cases.

    Science.gov (United States)

    Dodds, Seth D; Flanagin, Brody A; Bohl, Daniel D; DeLuca, Peter A; Smith, Brian G

    2014-09-01

    To describe outcomes after surgical management of pediatric elbow dislocation with incarceration of the medial epicondyle. We conducted a retrospective case review of 11 consecutive children and adolescents with an incarcerated medial epicondyle fracture after elbow dislocation. All patients underwent open reduction internal fixation using a similar technique. We characterized outcomes at final follow-up. Average follow-up was 14 months (range, 4-56 mo). All patients had clinical and radiographic signs of healing at final follow-up. There was no radiographic evidence of loss of reduction at intervals or at final follow-up. There were no cases of residual deformity or valgus instability. Average final arc of elbow motion was 4° to 140°. All patients had forearm rotation from 90° supination to 90° pronation. Average Mayo elbow score was 99.5. Four of 11 patients had ulnar nerve symptoms postoperatively and 1 required a second operation for ulnar nerve symptoms. In addition, 1 required a second operation for flexion contracture release with excision of heterotopic ossification. Three patients had ulnar nerve symptoms at final follow-up. Two of these had mild paresthesia only and 1 had both mild paresthesia and weakness. Our results suggest that open reduction internal fixation of incarcerated medial epicondyle fractures after elbow dislocation leads to satisfactory motion and function; however, the injury carries a high risk for complications, particularly ulnar neuropathy. Therapeutic IV. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  18. Bilateral Medial Medullary Stroke: A Challenge in Early Diagnosis

    Directory of Open Access Journals (Sweden)

    Amir M. Torabi

    2013-01-01

    Full Text Available Bilateral medial medullary stroke is a very rare type of stroke, with catastrophic consequences. Early diagnosis is crucial. Here, I present a young patient with acute vertigo, progressive generalized weakness, dysarthria, and respiratory failure, who initially was misdiagnosed with acute vestibular syndrome. Initial brain magnetic resonance imaging (MRI that was done in the acute phase was read as normal. Other possibilities were excluded by lumbar puncture and MRI of cervical spine. MR of C-spine showed lesion at medial medulla; therefore a second MRI of brain was requested, showed characteristic “heart appearance” shape at diffusion weighted (DWI, and confirmed bilateral medial medullary stroke. Retrospectively, a vague-defined hyperintense linear DWI signal at midline was noted in the first brain MRI. Because of the symmetric and midline pattern of this abnormal signal and similarity to an artifact, some radiologists or neurologists may miss this type of stroke. Radiologists and neurologists must recognize clinical and MRI findings of this rare type of stroke, which early treatment could make a difference in patient outcome. The abnormal DWI signal in early stages of this type of stroke may not be a typical “heart appearance” shape, and other variants such as small dot or linear DWI signal at midline must be recognized as early signs of stroke. Also, MRI of cervical spine may be helpful if there is attention to brainstem as well.

  19. Magmatismo alcalino del Triásico Superior (Noriense) en el extremo NO de la Rama Aragonesa de la Cordillera Ibérica: Modelo de emplazamiento en relación con fallas sin-sedimentarias

    OpenAIRE

    Sanz, Tomás; Lago San José, Marceliano; Gil Imaz, Andrés; Pocoví Juan, Andrés; Galé, Carlos

    2012-01-01

    A través de un estudio lito-estratigráfico y tectónico se pretende deducir el contexto estructural en el que se desarrolló el magmatismo alcalino del Triásico Superior, para el margen nor-occidental de la Rama Aragonesa de la Cordillera Ibérica (Sierra del Moncayo). La reactivación del rift Ibérico y el emplazamiento de al menos dos sills en área estudiada, pudo tener lugar a través de la apertura de un número reducido de fallas normales, con orientación actual Ibérica (NO-S...

  20. Las ruinas y las sombras de Manderley

    Directory of Open Access Journals (Sweden)

    Donapetry Camacho, María

    2010-02-01

    Full Text Available The ruins and the shadows of Manderley explores possible reciprocal interpretative relations between Daphne du Maurier’s novel Rebecca and Alfred Hitchcock’s cinematic version. Some of the relevant aspects considered here are: the treatment of the Derridean “ruins of memory” within the novel and within Hitchcock himself, the differentiation and the confrontation of the protagonist as outsider vis á vis the world of Manderley’s insiders, the iconic and symbolic values of the literary text and its filmic visualization, and the ethical positions implied by the choice or rejection of certain narrative devices in both works.

    Las ruinas y las sombras de Manderley aborda posibles relaciones interpretativas recíprocas entre la novela de Daphne du Maurier Rebecca y la película homónima de Alfred Hitchcock. Algunos de los aspectos que se consideran relevantes en este estudio son: el tratamiento de las “ruinas de la memoria” derridianas dentro de la novela y del propio Hitchcock, la diferenciación y el enfrentamiento de la protagonista “externa” con el mundo de los “internos” de Manderley, los valores icónicos y simbólicos del texto literario y de la visualización fílmica, y las posiciones éticas que implican la elección o el rechazo de ciertos recursos narrativos en ambas obras.

  1. Haciendo resonar las voces

    DEFF Research Database (Denmark)

    Tufte, Thomas; Corrigan, Arran; Ekstrøm, Ylva

    2011-01-01

    sexualidad protegida y el VIH/SIDA”. FEMINA persigue sus objetivos por medio de la producción de dos de las revistas de mayor circulación en Tanzania: SiMchezo! y Fema, apuntando a la juventud rural y urbana mediante una estrategia de intervención comunicacional multimedia y participativa. Las dos revistas...

  2. LAS COMPETENCIAS TRANSVERSALES EN LA UNIVERSIDAD: PROPIEDADES PSICOMÉTRICAS DE UN CUESTIONARIO

    Directory of Open Access Journals (Sweden)

    Pilar Martínez Clares

    2018-01-01

    Full Text Available Una de las exigencias que plantea la sociedad a la universidad es potenciar y facilitar la inserción socio-laboral de los futuros egresados. Conscientes de esta realidad, este trabajo pretende elaborar un instrumento que permita calibrar la adecuación entre la formación universitaria y los requerimientos competencia- les del mercado laboral a través del estudio de la formación en Competencias Transversales (CT en las aulas universitarias. Para ello, se plantea analizar las características psicométricas del cuestionario CECTGRA diseñado ad hoc y dirigido a valorar el desarrollo y dominio de las CT, así como su relevancia para el desarrollo profesional del egresado. Tras el diseño y aplicación del instrumento de recogida de información a una muestra de 1062 estudiantes de último año de Grado de las distintas ramas de conocimiento, se analiza la ®abilidad y se obtienen las evidencias de validez basadas en el contenido y en la estructura interna del cuestionario mediante el método de agregados individua- les y los Modelos de Ecuaciones Estructurales con la aplicación del programa AMOS. Los análisis muestran unos resultados satisfactorios en relación a la ®abilidad de la escala global (desarrollo, α =.927; dominio, α =.881, y relevancia, α =.917 y de las subescalas resultantes (competencias instrumentales, α =.785, α =.718 y α =.819; competencias personales, α =.825, α =.774 y α =.743; compe-tencias sistémicas, α =.899, α =.881 y α =.864 respectivamente para desarrollo, dominio y relevancia. Asimismo, una vez obtenidas las evidencias de validez sobre la estructura interna del cuestionario a través del Análisis Factorial Con- ®rmatorio (CFI=.947; IFI=.947; NFI=.938 y RMSEA=.072 se constata que se trata de un instrumento que reúne las especi®caciones técnicas exigidas para ser considerado una herramienta válida y ®able.

  3. Bucket handle tears of the medial meniscus: meniscal intrusion rather than meniscal extrusion

    International Nuclear Information System (INIS)

    Schlossberg, S.; Umans, H.; Flusser, G.; DiFelice, G.S.; Lerer, D.B.

    2007-01-01

    To determine the frequency of medial meniscal extrusion (MME) versus ''medial meniscal intrusion'' in the setting of bucket handle tears. Images were evaluated for previously reported risk factors for MME, including: medial meniscal root tear, radial tear, degenerative joint disease and joint effusion. Forty-one consecutive cases of bucket handle tear of the medial meniscus were reviewed by consensus by two musculoskeletal radiologists. Imaging was performed using a 1.5 GE Signa MR unit. Patient age, gender, medial meniscal root integrity, MME, medial meniscal intrusion, degenerative joint disease, effusion and anterior cruciate ligament (ACL) tear were recorded. Thirteen females and 27 males (age 12-62 years, median=30 years) were affected; one had bucket handle tear of each knee. Effusion was small in 13, moderate in 9 and large in 18. Degenerative joint disease was mild in three, moderate in two and severe in one. 26 ACL tears included three partial and three chronic. Medial meniscal root tear was complete in one case and partial thickness in two. None of the 40 cases with an intact or partially torn medial meniscal root demonstrated MME. MME of 3.1 mm was seen in the only full-thickness medial meniscal root tear, along with chronic ACL tear, moderate degenerative joint disease and large effusion. Medial meniscal intrusion of the central bucket handle fragment into the intercondylar notch was present in all 41 cases. Given an intact medial meniscal root in the setting of a ''pure'' bucket handle tear, there is no MME. (orig.)

  4. Universalidad e intertextualidad en Gastón Baquero : (la raíz, el tronco y las ramas : España, Cuba e Hispanoamérica en el árbol de su poesía)

    OpenAIRE

    Aradas Blanco, Diana

    2014-01-01

    [ES]Esta tesis trata sobre la huella de la literatura española, cubana e hispanoamericana en la poesía de Gastón Baquero. La presencia de la literatura española se vertebra en torno a tres etapas: la literatura medieval, la renacentista y barroca (con autores como Garcilaso de la Vega, Fray Luis de León, San Juan de la Cruz, Santa Teresa de Jesús, Góngora, Calderón de la Barca, Quevedo, Lope de Vega, o Cervantes) y el periodo comprendido desde el Romanticismo (con alusiones a Bécquer o Espron...

  5. Los jóvenes universitarios madrileños del área de ciencias sociales y comunicación y el culto a las marcas: un estudio de caso

    Directory of Open Access Journals (Sweden)

    Giuliano Tardivo

    2017-10-01

    Full Text Available En el presente texto presentamos los resultados de una investigación multinivel-multimétodo realizada a través de una encuesta, con 539 estudiantes universitarios de la provincia de Madrid, y de 75 entrevistas semiestructuradas con una submuestra de los mismos. Se trata de alumnos de la rama de Ciencias Jurídicas y Sociales y de Ciencias de la Comunicación que estudian en la Universidad Rey Juan Carlos (URJC y, en menor medida, en la Universidad Complutense. Los resultados demuestran que los estudiantes universitarios prefieren el ocio digital y las marcas internacionales. A la vez crece la importancia de los discursos economicistas y la defensa del producto nacional. Los grupos musicales y los equipos de fútbol son, sin embargo, las marcas que generan más emociones y entrega.

  6. Medial joint space widening of the ankle in displaced Tillaux and Triplane fractures in children.

    Science.gov (United States)

    Gourineni, Prasad; Gupta, Asheesh

    2011-10-01

    Tillaux and Triplane fractures occur in children predominantly from external rotation mechanism. We hypothesized that in displaced fractures, the talus would shift laterally along with the distal fibula and the distal tibial epiphyseal fragment increasing the medial joint space. Consecutive cases evaluated retrospectively. Level I and Level II centers. Twenty-two skeletally immature patients with 14 displaced Triplane fractures and eight displaced Tillaux fractures were evaluated for medial joint space widening. Measurement of fracture displacement and medial joint space widening before and after intervention. Thirteen Triplane and six Tillaux fractures (86%) showed medial space widening of 1 to 9 mm and equal to the amount of fracture displacement. Reduction of the fracture reduced the medial space to normal. There were no known complications. Medial space widening of the ankle may be a sign of ankle fracture displacement. Anatomic reduction of the fracture reduces the medial space and may improve the results in Tillaux and Triplane fractures.

  7. en las relaciones entrenadas

    Directory of Open Access Journals (Sweden)

    Camilo Hurtado P.

    2005-01-01

    Full Text Available El presente estudio exploró los efectos en la adquisición y transferencia de discriminaciones condicionales debidos a las diferentes combinaciones de relaciones entrenadas (identidad-diferencia-semejanza en una tarea de igualación a la muestra de segundo orden. De manera complementaria, fueron además dispuestas en la tarea las características que en estudios relacionados habían sido reportadas como facilitadoras de ejecuciones efectivas, a saber: el uso de instrucciones inespecíficas, arreglos de estímulo de tres formas y dos colores y el entrenamiento concurrente de las relaciones. Ocho sujetos fueron distribuidos en cuatro grupos que variaron en la combinación de relaciones a entrenar. Los resultados mostraron que gran parte de los sujetos cumplieron con el criterio de efectividad en entrenamiento y en transferencia extramodal y extrarrelacional, siendo la relación de identidad la relación en la cual se presentaron ejecuciones perfectas, al margen de si ésta había sido entrenada o no. Se discuten los resultados en términos de velocidad de ajuste a las relaciones y de las configuraciones de la tarea que facilitaron mejores desempeños. Se proponen, además, posibles investigaciones que superen las limitaciones metodológicas encontradas en este estudio y que exploren posibles interacciones de las variables manipuladas con otras variables de interés.

  8. Medial collateral ligament healing one year after a concurrent medial collateral ligament and anterior cruciate ligament injury: an interdisciplinary study in rabbits.

    Science.gov (United States)

    Yamaji, T; Levine, R E; Woo, S L; Niyibizi, C; Kavalkovich, K W; Weaver-Green, C M

    1996-03-01

    The optimal treatment for concurrent injuries to the medial collateral and anterior cruciate ligaments has not been determined, despite numerous clinical and laboratory studies. The objective of this study was to examine the effect of surgical repair of the medial collateral ligament on its biomechanical and biochemical properties 52 weeks after such injuries. In the left knee of 12 skeletally mature New Zealand White rabbits, the medial collateral ligament was torn and the anterior cruciate ligament was transected and then reconstructed. This is an experimental model previously developed in our laboratory. In six rabbits, the torn ends of the medial collateral ligament were repaired, and in the remaining six rabbits, the ligament was not repaired. Fifty-two weeks after injury, we examined varus-valgus and anterior-posterior knee stability; structural properties of the femur-medial collateral ligament-tibia complex; and mechanical properties, collagen content, and mature collagen crosslinking of the medial collateral ligament. We could not detect significant differences between repair and nonrepair groups for any biomechanical or biochemical property. Our data support clinical findings that when the medial collateral and anterior cruciate ligaments are injured concurrently and the anterior cruciate ligament is reconstructed, conservative treatment of the ruptured medial collateral ligament can result in successful healing.

  9. Las neurosis actuales y las psicosis ordinarias

    OpenAIRE

    Aguirre, Javier

    2013-01-01

    El trabajo tiene por finalidad poner en tensión las categorías de psicosis ordinaria y neurosis actuales. En primer lugar, se procede a examinar ambas categorías para luego establecer sus puntos de coincidencia y disidencia. Se concluye que la categoría de neurosis actual propuesta por Freud, es una posible expresión de lo que en la actualidad se llama psicosis ordinaria.

  10. Historia de las series

    OpenAIRE

    Cascajosa Virino, Concepción

    2017-01-01

    Reseña: Historia de las series de Toni de la Torre: la gran impostura Durante mucho tiempo los profesores de cine en España se han quejado (amargamente y en privado) de la recurrencia en la bibliografía de los trabajos de sus estudiantes de los libros de un autor conocido por la escasa calidad de sus textos, cuyos vistosos títulos garantizan que acaben en las estanterías de las bibliotecas universitarias. Es muy propio de la cultura española hacer duras aseveraciones en foros irrelevantes y, ...

  11. Medial patellar ossification after patellar instability: a radiographic finding indicative of prior patella subluxation/dislocation

    Energy Technology Data Exchange (ETDEWEB)

    Jerabek, Seth A. [Harvard Combined Orthopaedic Surgery Residency Program, Boston, MA (United States); Asnis, Peter D.; Poon, Steven K.; Gill, Thomas J. [Massachusetts General Hospital, Department of Orthopaedic Surgery, Boston, MA (United States); Bredella, Miriam A.; Ouellette, Hugue A. [Massachusetts General Hospital, Department of Radiology, Boston, MA (United States)

    2009-08-15

    To describe the correlation between medial patellar ossification and prior patella subluxation and/or dislocation. A retrospective billing database search identified 544 patients who had been diagnosed with patellar instability over a 13-year period. One hundred twenty-eight patients met the inclusion criteria. After review by a staff orthopedic surgeon and two musculoskeletal radiologists, 28 patients were found to have medial patellar ossification. The size and location of medial patellar ossification was recorded. Of the 28 patients (20 males, eight females, age 13-66 years, mean 28 years) who were found to have medial patellar ossification, 22 had radiographs, 16 had magnetic resonance imaging, and ten had both. The medial patellar ossification ranged in size from 2 to 18 mm with an average of 6.8 mm. Twelve were located in the medial patellofemoral ligament (MPFL), 14 in the medial joint capsule, and two in both the MPFL and joint capsule. Twenty-seven of 28 patients had a single ossification, and one patient had two ossifications. The timing from injury to first imaging of the lesion ranged from 10 days to a chronic history ({>=}35 years) of patellar instability. Medial patellar ossification correlates with a history of prior patella subluxation and/or dislocation. The medial ossification can be seen within the MPFL or the medial joint capsule, suggesting remote injury to these structures. The presence of this lesion will prompt physicians to evaluate for patellar instability. (orig.)

  12. Medial patellar ossification after patellar instability: a radiographic finding indicative of prior patella subluxation/dislocation

    International Nuclear Information System (INIS)

    Jerabek, Seth A.; Asnis, Peter D.; Poon, Steven K.; Gill, Thomas J.; Bredella, Miriam A.; Ouellette, Hugue A.

    2009-01-01

    To describe the correlation between medial patellar ossification and prior patella subluxation and/or dislocation. A retrospective billing database search identified 544 patients who had been diagnosed with patellar instability over a 13-year period. One hundred twenty-eight patients met the inclusion criteria. After review by a staff orthopedic surgeon and two musculoskeletal radiologists, 28 patients were found to have medial patellar ossification. The size and location of medial patellar ossification was recorded. Of the 28 patients (20 males, eight females, age 13-66 years, mean 28 years) who were found to have medial patellar ossification, 22 had radiographs, 16 had magnetic resonance imaging, and ten had both. The medial patellar ossification ranged in size from 2 to 18 mm with an average of 6.8 mm. Twelve were located in the medial patellofemoral ligament (MPFL), 14 in the medial joint capsule, and two in both the MPFL and joint capsule. Twenty-seven of 28 patients had a single ossification, and one patient had two ossifications. The timing from injury to first imaging of the lesion ranged from 10 days to a chronic history (≥35 years) of patellar instability. Medial patellar ossification correlates with a history of prior patella subluxation and/or dislocation. The medial ossification can be seen within the MPFL or the medial joint capsule, suggesting remote injury to these structures. The presence of this lesion will prompt physicians to evaluate for patellar instability. (orig.)

  13. Fracture of an unossified humeral medial epicondyle: use of magnetic resonance imaging for diagnosis

    International Nuclear Information System (INIS)

    Tanabe, Katsuhisa; Miyamoto, Nao

    2016-01-01

    Fracture of the humeral medial epicondyle is a relatively common injury in children. Surgery is a good option for treatment, but correct diagnosis is important. Most fractures occur after the ossification of the medial epicondylar apophysis. If a fracture occurs before the ossification of the medial epicondyle, it is undetectable by radiographs. Here we report a case of an unossified medial epicondyle fracture of the humerus. A 9-year-old boy had persistent pain in the medial side of the right elbow after a fall. Despite his pain, he could move his injured elbow with a range from 60 to 90 . Radiographs and computed tomography showed neither fracture nor dislocation in the injured elbow, and soft tissue swelling was the only finding. Neither the trochlea nor the medial epicondyle was ossified. Magnetic resonance imaging showed that the medial epicondyle was separated from the medial metaphysis and displaced. This clear finding led us to surgical fixation. Under general anesthesia, valgus stress showed gross instability of the injured elbow. Two years after the operation, he had no complaints and could play sports with the same range of motion as the left elbow. It is important to keep in mind that medial epicondylar fractures may be hidden in a normal radiograph before the ossification of the medial epicondylar apophysis. (orig.)

  14. Fracture of an unossified humeral medial epicondyle: use of magnetic resonance imaging for diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Tanabe, Katsuhisa; Miyamoto, Nao [Nishinomiya Municipal Central Hospital, Department of Orthopaedic Surgery, Nishinomiya (Japan)

    2016-10-15

    Fracture of the humeral medial epicondyle is a relatively common injury in children. Surgery is a good option for treatment, but correct diagnosis is important. Most fractures occur after the ossification of the medial epicondylar apophysis. If a fracture occurs before the ossification of the medial epicondyle, it is undetectable by radiographs. Here we report a case of an unossified medial epicondyle fracture of the humerus. A 9-year-old boy had persistent pain in the medial side of the right elbow after a fall. Despite his pain, he could move his injured elbow with a range from 60 to 90 . Radiographs and computed tomography showed neither fracture nor dislocation in the injured elbow, and soft tissue swelling was the only finding. Neither the trochlea nor the medial epicondyle was ossified. Magnetic resonance imaging showed that the medial epicondyle was separated from the medial metaphysis and displaced. This clear finding led us to surgical fixation. Under general anesthesia, valgus stress showed gross instability of the injured elbow. Two years after the operation, he had no complaints and could play sports with the same range of motion as the left elbow. It is important to keep in mind that medial epicondylar fractures may be hidden in a normal radiograph before the ossification of the medial epicondylar apophysis. (orig.)

  15. The effect of different depths of medial heel skive on plantar pressures

    Directory of Open Access Journals (Sweden)

    Bonanno Daniel R

    2012-08-01

    Full Text Available Abstract Background Foot orthoses are often used to treat lower limb injuries associated with excessive pronation. There are many orthotic modifications available for this purpose, with one being the medial heel skive. However, empirical evidence for the mechanical effects of the medial heel skive modification is limited. This study aimed to evaluate the effect that different depths of medial heel skive have on plantar pressures. Methods Thirty healthy adults (mean age 24 years, range 18–46 with a flat-arched or pronated foot posture and no current foot pain or deformity participated in this study. Using the in-shoe pedar-X® system, plantar pressure data were collected for the rearfoot, midfoot and forefoot while participants walked along an 8 metre walkway wearing a standardised shoe. Experimental conditions included a customised foot orthosis with the following 4 orthotic modifications: (i no medial heel skive, (ii a 2 mm medial heel skive, (iii a 4 mm medial heel skive and (iv a 6 mm medial heel skive. Results Compared to the foot orthosis with no medial heel skive, statistically significant increases in peak pressure were observed at the medial rearfoot – there was a 15% increase (p = 0.001 with the 4 mm skive and a 29% increase (p  Conclusions This study found that a medial heel skive of 4 mm or 6 mm increases peak pressure under the medial rearfoot in asymptomatic adults with a flat-arched or pronated foot posture. Plantar pressures at the midfoot and forefoot were not altered by a medial heel skive of 2, 4 or 6 mm. These findings provide some evidence for the effects of the medial heel skive orthotic modification.

  16. Las Serpientes en Colombia

    Directory of Open Access Journals (Sweden)

    Daniel H.

    1949-12-01

    Full Text Available El estudio de las serpientes en Colombia no deja de tener su particular interés; existe una inmensa variedad de especies que se escalonan desde los valles ardientes hasta alturas relativamente considerables; en estos últimos puntos disminuye notablemente la variedad de formas y de modo especial las especies provistas de veneno. Hacer una distinción entre las especies venenosas y las inofensivas, resulta un tanto difícil; en algunos textos se dan unas cuántas reglas, pero la mayor parte de ellas sólo tienen aplicación con especies exóticas ya que la mayor parte de esas distinciones se han tomado de obras que hacen referencia a la fauna europea.

  17. Medial tibial pain: a dynamic contrast-enhanced MRI study.

    Science.gov (United States)

    Mattila, K T; Komu, M E; Dahlström, S; Koskinen, S K; Heikkilä, J

    1999-09-01

    The purpose of this study was to compare the sensitivity of different magnetic resonance imaging (MRI) sequences to depict periosteal edema in patients with medial tibial pain. Additionally, we evaluated the ability of dynamic contrast-enhanced imaging (DCES) to depict possible temporal alterations in muscular perfusion within compartments of the leg. Fifteen patients with medial tibial pain were examined with MRI. T1-, T2-weighted, proton density axial images and dynamic and static phase post-contrast images were compared in ability to depict periosteal edema. STIR was used in seven cases to depict bone marrow edema. Images were analyzed to detect signs of compartment edema. Region-of-interest measurements in compartments were performed during DCES and compared with controls. In detecting periosteal edema, post-contrast T1-weighted images were better than spin echo T2-weighted and proton density images or STIR images, but STIR depicted the bone marrow edema best. DCES best demonstrated the gradually enhancing periostitis. Four subjects with severe periosteal edema had visually detectable pathologic enhancement during DCES in the deep posterior compartment of the leg. Percentage enhancement in the deep posterior compartment of the leg was greater in patients than in controls. The fast enhancement phase in the deep posterior compartment began slightly slower in patients than in controls, but it continued longer. We believe that periosteal edema in bone stress reaction can cause impairment of venous flow in the deep posterior compartment. MRI can depict both these conditions. In patients with medial tibial pain, MR imaging protocol should include axial STIR images (to depict bone pathology) with T1-weighted axial pre and post-contrast images, and dynamic contrast enhanced imaging to show periosteal edema and abnormal contrast enhancement within a compartment.

  18. Modulating Phonation Through Alteration of Vocal Fold Medial Surface Contour

    Science.gov (United States)

    Mau, Ted; Muhlestein, Joseph; Callahan, Sean; Chan, Roger W.

    2012-01-01

    Objectives 1. To test whether alteration of the vocal fold medial surface contour can improve phonation. 2. To demonstrate that implant material properties affect vibration even when implant is deep to the vocal fold lamina propria. Study Design Induced phonation of excised human larynges. Methods Thirteen larynges were harvested within 24 hours post-mortem. Phonation threshold pressure (PTP) and flow (PTF) were measured before and after vocal fold injections using either calcium hydroxylapatite (CaHA) or hyaluronic acid (HA). Small-volume injections (median 0.0625 mL) were targeted to the infero-medial aspect of the thyroarytenoid (TA) muscle. Implant locations were assessed histologically. Results The effect of implantation on PTP was material-dependent. CaHA tended to increase PTP, whereas HA tended to decrease PTP (Wilcoxon test P = 0.00013 for onset). In contrast, the effect of implantation on PTF was similar, with both materials tending to decrease PTF (P = 0.16 for onset). Histology confirmed implant presence in the inferior half of the vocal fold vertical thickness. Conclusions Taken together, these data suggested the implants may have altered the vocal fold medial surface contour, potentially resulting in a less convergent or more rectangular glottal geometry as a means to improve phonation. An implant with a closer viscoelastic match to vocal fold cover is desirable for this purpose, as material properties can affect vibration even when the implant is not placed within the lamina propria. This result is consistent with theoretical predictions and implies greater need for surgical precision in implant placement and care in material selection. PMID:22865592

  19. Bilateral Endoscopic Medial Maxillectomy for Bilateral Inverted Papilloma

    Science.gov (United States)

    Kodama, Satoru; Kawano, Toshiaki; Suzuki, Masashi

    2012-01-01

    Inverted papilloma (IP) is a benign tumor of the nasal cavity and paranasal sinuses that is unilateral in most cases. Bilateral IP, involving both sides of the nasal cavity and sinuses, is extremely rare. This paper describes a large IP that filled in both sides of the nasal cavity and sinuses, mimicking association with malignancy. The tumor was successfully treated by bilateral endoscopic medial maxillectomy (EMM). The patient is without evidence of the disease 24 months after surgery. If preoperative diagnosis does not confirm the association with malignancy in IP, endoscopic sinus surgery (ESS) should be selected, and ESS, including EMM, is a good first choice of the treatment for IP. PMID:22953103

  20. Current advances in the treatment of medial and lateral epicondylitis.

    Science.gov (United States)

    Tarpada, Sandip P; Morris, Matthew T; Lian, Jayson; Rashidi, Sina

    2018-03-01

    Despite advances elucidating the causes of lateral and medial epicondylitis, the standard of care remains conservative management with NSAIDs, physical therapy, bracing, and rest. Scar tissue formation provoked by conservative management creates a tendon lacking the biomechanical properties and mechanical strength of normal tendon. The following review analyzes novel therapies to regenerate tendon and regain function in patients with epicondylitis. These treatments include PRP injection, BMAC, collagen-producing cell injection, and stem cell treatments. While these treatments are in early stages of investigation, they may warrant further consideration based on prospects of pain alleviation, function enhancement, and improved healing.

  1. Bilateral Medial Medullary Infarction with Nondominant Vertebral Artery Occlusion.

    Science.gov (United States)

    Zhang, Lei; Zhang, Gui-lian; Du, Ju-mei; Ma, Zhu-lin

    2015-09-01

    Bilateral medial medullary infarction (MMI) is a rare stroke subtype. Here, we report a case with bilateral MMI caused by nondominant vertebral artery occlusion confirmed by brain digital subtraction angiography and magnetic resonance imaging basi-parallel-anatomical-scanning. We highlight that anterior spinal arteries could originate from a unilateral vertebral artery (VA). Radiologists and neurologists should pay attention to the nondominant VA as bilateral MMI may be induced by occlusion of nondominant VA that supplies the bilateral anteromedial territories of the medulla. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  2. Arthroscopic meniscectomy in medial compartment osteoarthritis of the knee

    International Nuclear Information System (INIS)

    Noguchi, Joji; Shimoyama, Gishichiro; Shinozaki, Toshiro; Nagata, Kensei

    2007-01-01

    The purpose of this research is to evaluate the results of arthroscopic meniscectomy in medial compartment osteoarthritis of the knee. The operation was performed on 25 knee joints (8 male, 17 female) with the mean age of 67 years. The mean period of follow-up was 19 months. Clinical results were more or less excellent, but radiological assessment suggested slight osteoarthritic changes. In addition, two cases progressed to subchondral bone collapse. Of 12 cases which had no bone marrow edema on MRI before surgery, six (50%) cases showed it at follow-up. These findings suggest a possible relationship between arthroscopic meniscectomy and later appearance of osteonecrosis in some cases. (author)

  3. Evaluación y actuación podológica ante el síndrome de estrés tibial medial

    OpenAIRE

    Mazuelas Álvarez, Sergio; Lluch Fruns, Joan

    2016-01-01

    El síndrome de estrés tibial medial (SEMT) fue nombrado por primera vez en 1.982. El SEMT tiene la incidencia más alta de lesiones en corredores. Los posibles mecanismos de acción pueden ser desde una periostitis inducida por tracción muscular, hasta una disfun­ción muscular. Los objetivos de este trabajo son: 1) Revisar cuales son los factores de riesgo más susceptibles de provocar el SEMT. 2) Comprobar las tendencias actuales en cuanto al diagnóstico, la prevención y el pronóstico del SEMT....

  4. Correlación entre la memoria subjetiva y objetiva episódica en pacientes con epilepsia del lóbulo temporal medial intratable

    OpenAIRE

    Marilyn Zaldivar Bermúdez; Lilia María Morales Chacón; Otto Trápaga Quincoses; María García Navarro; Abel Sánchez Curuneaux

    2013-01-01

    Introducción. En la literatura científica revisada prevalece una discordancia en las investigaciones sobre la relación entre la memoria subjetiva y objetiva en pacientes con Epilepsia del Lóbulo Temporal medial intratable (ELTmi). Objetivo. Identificar la existencia o no de relación entre la memoria subjetiva y objetiva episódica en pacientes con ELTmi. Metodología. Se estudiaron 32 pacientes, con edades entre 15 y 60 años, empleándose el método clínico. Se aplicó una entrevista semiestructur...

  5. Análisis de las actitudes de los jóvenes universitarios hacia la discapacidad: un enfoque desde la teoría de la acción razonada

    Directory of Open Access Journals (Sweden)

    Novo-Corti, Isabel

    2011-12-01

    Full Text Available Los valores democráticos presentes mayoritariamente en occidente han impulsado normas sociales favorables a la inclusión de colectivos en riesgo de exclusión social. Esta investigación se centra en la inclusión de colectivos con discapacidad en el ámbito de la universidad, para lo cual se realizó una encuesta a jóvenes estudiantes universitarios matriculados en la Universidad de A Coruña, en diferentes estudios y niveles, pertenecientes a las ramas de Economía y Empresa. Posteriormente, se llevó a cabo un estudio descriptivo y un análisis factorial basado en la Teoría de la Acción Razonada. Los resultados alcanzados muestran que los valores sociales prevalentes se presentan como la variable más importante y con mayor influencia sobre la intención de ayudar a las personas con discapacidad, mientras que las actitudes personales, así como el control percibido, aunque predisponen de manera favorable a prestar ayuda la persona con discapacidad, no han mostrado una influencia significativa. Asimismo, las respuestas sobre la intención de ayudar a la inclusión de las personas con discapacidad indican que los estudiantes prefieren que esta labor recaiga sobre las instituciones.

  6. Kinematics of partial and total ruptures of the medial collateral ligament of the elbow

    DEFF Research Database (Denmark)

    Eygendaal, D; Olsen, Bo Sanderhoff; Jensen, Steen Lund

    2000-01-01

    In this study the kinematics of partial and total ruptures of the medial collateral ligament of the elbow are investigated. After selective transection of the medial collateral ligament of 8 osteoligamentous intact elbow preparations was performed, 3-dimensional measurements of angular displacement......, increase in medial joint opening, and translation of the radial head were examined during application of relevant stress. Increase in joint opening was significant only after complete transection of the anterior part of the medial collateral ligament was performed. The joint opening was detected during...... valgus and internal rotatory stress only. After partial transection of the anterior bundle of the medial collateral ligament was performed, there was an elbow laxity to valgus and internal rotatory force, which became significant after transection of 100% of the anterior bundle of the medial collateral...

  7. Reconstruction of medial patellofemoral ligament using quadriceps tendon combined with reconstruction of medial patellotibial ligament using patellar tendon: initial experience

    Directory of Open Access Journals (Sweden)

    Betina Bremer Hinckel

    2016-02-01

    Full Text Available ABSTRACT OBJECTIVE: To describe a surgical technique for anatomical reconstruction of the medial patellofemoral ligament using the quadriceps tendon, combined with reconstruction of the medial patellotibial ligament using the patellar tendon; and to present the initial results from a case series. METHOD: The proposed technique was used on a series of cases of patients with diagnoses of patellofemoral instability and indications for surgical treatment, who were attended by the Knee Group of HC-IOT, University of São Paulo. The following were evaluated before and after the operation: range of motion (ROM, apprehension test, lateral translation test, patellar inclination test, inverted J sign, subluxation upon extension, pain from compression of the patella and pain from contraction of the quadriceps. After the operation, the patients were asked whether any new episode of dislocation had occurred, what their degree of satisfaction with the surgery was (on a scale from 0 to 10 and whether they would be prepared to go through this operation again. RESULTS: Seven knees were operated, in seven patients, with a mean follow-up of 5.46 months (±2.07. Four patients who presented apprehension before the operation did not show this after the operation. The lateral translation test became normal for all the patients, while the patellar inclination test remained positive for two patients. The patients with an inverted J sign continued to be positive for this sign. Five patients were positive for subluxation upon extension before the operation, but all patients were negative for this after the operation. None of the patients presented any new episode of dislocation of the patella. All of them stated that they were satisfied: five gave a satisfaction score of 9 and two, a score of 10. All of them said that they would undergo the operation again. Only one patient presented a postoperative complication: dehiscence of the wound. CONCLUSION: Reconstruction of the

  8. Arterial injury promotes medial chondrogenesis in Sm22 knockout mice.

    Science.gov (United States)

    Shen, Jianbin; Yang, Maozhou; Jiang, Hong; Ju, Donghong; Zheng, Jian-Pu; Xu, Zhonghui; Liao, Tang-Dong; Li, Li

    2011-04-01

    Expression of SM22 (also known as SM22alpha and transgelin), a vascular smooth muscle cells (VSMCs) marker, is down-regulated in arterial diseases involving medial osteochondrogenesis. We investigated the effect of SM22 deficiency in a mouse artery injury model to determine the role of SM22 in arterial chondrogenesis. Sm22 knockout (Sm22(-/-)) mice developed prominent medial chondrogenesis 2 weeks after carotid denudation as evidenced by the enhanced expression of chondrogenic markers including type II collagen, aggrecan, osteopontin, bone morphogenetic protein 2, and SRY-box containing gene 9 (SOX9). This was concomitant with suppression of VSMC key transcription factor myocardin and of VSMC markers such as SM α-actin and myosin heavy chain. The conversion tendency from myogenesis to chondrogenesis was also observed in primary Sm22(-/-) VSMCs and in a VSMC line after Sm22 knockdown: SM22 deficiency altered VSMC morphology with compromised stress fibre formation and increased actin dynamics. Meanwhile, the expression level of Sox9 mRNA was up-regulated while the mRNA levels of myocardin and VSMC markers were down-regulated, indicating a pro-chondrogenic transcriptional switch in SM22-deficient VSMCs. Furthermore, the increased expression of SOX9 was mediated by enhanced reactive oxygen species production and nuclear factor-κB pathway activation. These findings suggest that disruption of SM22 alters the actin cytoskeleton and promotes chondrogenic conversion of VSMCs.

  9. Medial Orbitofrontal Cortex Is Associated with Fatigue Sensation

    Directory of Open Access Journals (Sweden)

    Seiki Tajima

    2010-01-01

    Full Text Available Fatigue is an indispensable bioalarm to avoid exhaustive state caused by overwork or stresses. It is necessary to elucidate the neural mechanism of fatigue sensation for managing fatigue properly. We performed H2O  15 positron emission tomography scans to indicate neural activations while subjects were performing 35-min fatigue-inducing task trials twice. During the positron emission tomography experiment, subjects performed advanced trail-making tests, touching the target circles in sequence located on the display of a touch-panel screen. In order to identify the brain regions associated with fatigue sensation, correlation analysis was performed using statistical parametric mapping method. The brain region exhibiting a positive correlation in activity with subjective sensation of fatigue, measured immediately after each positron emission tomography scan, was located in medial orbitofrontal cortex (Brodmann's area 10/11. Hence, the medial orbitofrontal cortex is a brain region associated with mental fatigue sensation. Our findings provide a new perspective on the neural basis of fatigue.

  10. Medial prefrontal cortex role in recognition memory in rodents.

    Science.gov (United States)

    Morici, Juan Facundo; Bekinschtein, Pedro; Weisstaub, Noelia V

    2015-10-01

    The study of the neurobiology of recognition memory, defined by the integration of the different components of experiences that support recollection of past experiences have been a challenge for memory researches for many years. In the last twenty years, with the development of the spontaneous novel object recognition task and all its variants this has started to change. The features of recognition memory include a particular object or person ("what"), the context in which the experience took place, which can be the arena itself or the location within a particular arena ("where") and the particular time at which the event occurred ("when"). This definition instead of the historical anthropocentric one allows the study of this type of episodic memory in animal models. Some forms of recognition memory that require integration of different features recruit the medial prefrontal cortex. Focusing on findings from spontaneous recognition memory tasks performed by rodents, this review concentrates on the description of previous works that have examined the role that the medial prefrontal cortex has on the different steps of recognition memory. We conclude that this structure, independently of the task used, is required at different memory stages when the task cannot be solved by a single item strategy. Copyright © 2015 Elsevier B.V. All rights reserved.

  11. MRI parcellation of ex vivo medial temporal lobe.

    Science.gov (United States)

    Augustinack, Jean C; Magnain, Caroline; Reuter, Martin; van der Kouwe, André J W; Boas, David; Fischl, Bruce

    2014-06-01

    Recent advancements in radio frequency coils, field strength and sophisticated pulse sequences have propelled modern brain mapping and have made validation to biological standards - histology and pathology - possible. The medial temporal lobe has long been established as a pivotal brain region for connectivity, function and unique structure in the human brain, and reveals disconnection in mild Alzheimer's disease. Specific brain mapping of mesocortical areas affected with neurofibrillary tangle pathology early in disease progression provides not only an accurate description for location of these areas but also supplies spherical coordinates that allow comparison between other ex vivo cases and larger in vivo datasets. We have identified several cytoarchitectonic features in the medial temporal lobe with high resolution ex vivo MRI, including gray matter structures such as the entorhinal layer II 'islands', perirhinal layer II-III columns, presubicular 'clouds', granule cell layer of the dentate gyrus as well as lamina of the hippocampus. Localization of Brodmann areas 28 and 35 (entorhinal and perirhinal, respectively) demonstrates MRI based area boundaries validated with multiple methods and histological stains. Based on our findings, both myelin and Nissl staining relate to contrast in ex vivo MRI. Precise brain mapping serves to create modern atlases for cortical areas, allowing accurate localization with important applications to detecting early disease processes. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. Simultaneous avascular necrosis of both medial and lateral femoral condyles

    International Nuclear Information System (INIS)

    Mansberg, R.

    2002-01-01

    Full text: Avascular necrosis (AVN) of a femoral condyle is a common orthopaedic condition. While both medial and lateral femoral condyles may be involved either singly or sequentially the simultaneous occurrence of AVN of both femoral condyles is extremely uncommon. A 57-year-old male is presented who developed the onset of severe left sided knee pain suddenly at rest. Plain and tomographic radiography was unremarkable and a bone scan was performed. Markedly increased vascularity was demonstrated in the left knee with intense osteoblastic activity in the left medial and femoral condyles more marked in the lateral femoral condyle. A diagnosis of AVN of both femoral condyles was made and a MRI exam was performed to confirm this unusual diagnosis. The MRI showed a diffuse increase in intensity bilaterally with subtle bony change in the subarticular bone consistent with AVN more marked in the left lateral femoral condyle. The patients' symptoms resolved with supportive treatment. Copyright (2002) The Australian and New Zealand Society of Nuclear Medicine Inc

  13. Medial-lateral organization of the orbitofrontal cortex.

    Science.gov (United States)

    Rich, Erin L; Wallis, Jonathan D

    2014-07-01

    Emerging evidence suggests that specific cognitive functions localize to different subregions of OFC, but the nature of these functional distinctions remains unclear. One prominent theory, derived from human neuroimaging, proposes that different stimulus valences are processed in separate orbital regions, with medial and lateral OFC processing positive and negative stimuli, respectively. Thus far, neurophysiology data have not supported this theory. We attempted to reconcile these accounts by recording neural activity from the full medial-lateral extent of the orbital surface in monkeys receiving rewards and punishments via gain or loss of secondary reinforcement. We found no convincing evidence for valence selectivity in any orbital region. Instead, we report differences between neurons in central OFC and those on the inferior-lateral orbital convexity, in that they encoded different sources of value information provided by the behavioral task. Neurons in inferior convexity encoded the value of external stimuli, whereas those in OFC encoded value information derived from the structure of the behavioral task. We interpret these results in light of recent theories of OFC function and propose that these distinctions, not valence selectivity, may shed light on a fundamental organizing principle for value processing in orbital cortex.

  14. Working memory for conjunctions relies on the medial temporal lobe.

    Science.gov (United States)

    Olson, Ingrid R; Page, Katie; Moore, Katherine Sledge; Chatterjee, Anjan; Verfaellie, Mieke

    2006-04-26

    A prominent theory of hippocampal function proposes that the hippocampus is importantly involved in relating or binding together separate pieces of information to form an episodic representation. This hypothesis has only been applied to studies of long-term memory because the paradigmatic view of the hippocampus is that it is not critical for short-term forms of memory. However, relational processing is important in many working memory tasks, especially tasks using visual stimuli. Here, we test the hypothesis that the medial temporal lobes are important for relational memory even over short delays. The task required patients with medial temporal lobe amnesia and controls to remember three objects, locations, or object-location conjunctions over 1 or 8 s delays. The results show that working memory for objects and locations was at normal levels, but that memory for conjunctions was severely impaired at 8 s delays. Additional analyses suggest that the hippocampus per se is critical for accurate conjunction working memory. We propose that the hippocampus is critically involved in memory for conjunctions at both short and long delays.

  15. Comparison Of Medial Arch-Supporting Insoles And Heel Pads In The Treatment Of Plantar Fasciitis

    Directory of Open Access Journals (Sweden)

    Malkoc Melih

    2015-03-01

    Full Text Available Plantar fasciitis is a disorder caused by inflammation of the insertion point of the plantar fascia over the medial tubercle of the calcaneus. Foot orthotics are used to treat plantar fasciitis. Heel pads medialise the centre of force, whereas medial arch supporting insoles lateralise the force. We assessed the clinical results of the treatment of plantar fasciitis with silicone heel pads and medial arch-supported silicone insoles.

  16. The Prevalence of Medial Epicondylitis Among Patients With C6 and C7 Radiculopathy

    Science.gov (United States)

    Lee, Aaron Taylor; Lee-Robinson, Ayse L.

    2010-01-01

    Background: Medial epicondylitis, or golfer’s/pitcher’s elbow, develops as a result of medial stress overload on the flexor muscles at the elbow and presents as pain at the medial epicondyle. Cervical radiculopathy has been associated with lateral epicondylitis, but few associations between the cervical spine and medial epicondylitis have been made. Researchers propose that there is an association, suggesting that the weakness and imbalance in the elbow flexor and extensor muscles from C6 and C7 radiculopathy allow for easy onset of medial epicondylitis. Hypothesis: Medial epicondylitis will present in over half the patients diagnosed with C6 and C7 radiculopathy. Methodology: A total of 102 patients initially presenting with upper extremity or neck symptoms were diagnosed with cervical radiculopathy. They were then examined for medial epicondylitis. Data were collected by referring to patient charts from February 2008 until June 2009. Results: Fifty-five patients were diagnosed with medial epicondylitis. Of these, 44 had C6 and C7 radiculopathy whereas 11 presented with just C6 radiculopathy. Conclusion: Medial epicondylitis presented with cervical radiculopathy in slightly more than half the patients. Weakening of the flexor carpi radialis and pronator teres and imbalance of the flexor and extensor muscles from the C6 and C7 radiculopathy allow for easy onset of medial epicondylitis. Patients with medial epicondylitis should be examined for C6 and C7 radiculopathy to ensure proper treatment. Physicians dealing with golfers, pitchers, or other patients with medial epicondylitis should be aware of the association between these 2 diagnoses to optimize care. PMID:23015956

  17. The mechanical benefit of medial support screws in locking plating of proximal humerus fractures.

    Directory of Open Access Journals (Sweden)

    Wen Zhang

    Full Text Available BACKGROUND: The purpose of this study was to evaluate the biomechanical advantages of medial support screws (MSSs in the locking proximal humeral plate for treating proximal humerus fractures. METHODS: Thirty synthetic left humeri were randomly divided into 3 subgroups to establish two-part surgical neck fracture models of proximal humerus. All fractures were fixed with a locking proximal humerus plate. Group A was fixed with medial cortical support and no MSSs; Group B was fixed with 3 MSSs but without medial cortical support; Group C was fixed with neither medial cortical support nor MSSs. Axial compression, torsional stiffness, shear stiffness, and failure tests were performed. RESULTS: Constructs with medial support from cortical bone showed statistically higher axial and shear stiffness than other subgroups examined (P<0.0001. When the proximal humerus was not supported by medial cortical bone, locking plating with medial support screws exhibited higher axial and torsional stiffness than locking plating without medial support screws (P ≤ 0.0207. Specimens with medial cortical bone failed primarily by fracture of the humeral shaft or humeral head. Specimens without medial cortical bone support failed primarily by significant plate bending at the fracture site followed by humeral head collapse or humeral head fracture. CONCLUSIONS: Anatomic reduction with medial cortical support was the stiffest construct after a simulated two-part fracture. Significant biomechanical benefits of MSSs in locking plating of proximal humerus fractures were identified. The reconstruction of the medial column support for proximal humerus fractures helps to enhance mechanical stability of the humeral head and prevent implant failure.

  18. TOPOGRAFÍA INTRANEURAL DE LA RAMA PROFUNDA DEL NERVIO ULNAR EN EL ANTEBRAZO DISTAL: ESTUDIO CADAVÉRICO. Intraneural topography of the deep branch of the ulnar nerve in the distal forearm: cadaveric study.

    Directory of Open Access Journals (Sweden)

    Joaquín García Pisón

    2016-07-01

    Full Text Available Objetivo: estudiar la topografía intraneural de la rama profunda del nervio ulnar (RPNU en el antebrazo distal en vistas a su identificación mediante disección intraneural mínima durante la transferencia del nervio del pronador cuadrado (NPC a la RPNU. Materiales y métodos: En 15 antebrazos cadavéricos se fijó el paquete vasculonervioso ulnar a los planos musculares profundos cada un centímetro tomando como referencia el hueso pisiforme. Se disecó en sentido proximal la RPNU bajo microscopio quirúrgico (Olympus OME, 4-20x y se registró su posición intraneural en base a una división en cuadrantes. Se midió la distancia desde el origen de la rama cutánea dorsal (RCD del nervio ulnar al pisiforme y se registró su relación intraneural con la RPNU. Resultados: La RPNU se individualizó hasta 69mm (41-94 proximal al hueso pisiforme, ubicándose en el cuadrante posteromedial del nervio ulnar en el 78% (67-87, el 93% (92-93 y el 100% de los casos entre los 0-2, 3-6 y 7-9 centímetros, respectivamente. La distancia pisiforme-RCD fue de 63mm (52-83. En 11 miembros la disección de la RPNU se extendió proximalmente al origen de la RCD, ubicándose siempre entre esta última y la rama superficial del nervio ulnar. Conclusiones: La topografía intraneural de la RPNU en el sitio óptimo para su sección en vistas a su anastomosis con el NPC es predecible en la mayoría de los casos, lo que confirma la viabilidad de su identificación precisa mediante disección intraneural mínima.  Objective: to assess the intraneural anatomy of the deep branch of the ulnar nerve (DBUN in the distal forearm in reference to its identification by means of minimal intraneural dissection during pronator quadratus nerve to DBUN transfers. Materials and methods: In 15 cadaveric forearms the ulnar neurovascular bundle was identified and attached to the subjacent muscles every one centimeter. Pisiform bone was used as reference. Intraneural proximal dissection of

  19. Early seizure propagation from the occipital lobe to medial temporal structures and its surgical implication.

    Science.gov (United States)

    Usui, Naotaka; Mihara, Tadahiro; Baba, Koichi; Matsuda, Kazumi; Tottori, Takayasu; Umeoka, Shuichi; Nakamura, Fumihiro; Terada, Kiyohito; Usui, Keiko; Inoue, Yushi

    2008-12-01

    Intracranial EEG documentation of seizure propagation from the occipital lobe to medial temporal structures is relatively rare. We retrospectively analyzed intracranial EEG recorded with electrodes implanted in the medial temporal lobe in patients who underwent occipital lobe surgery. Four patients with occipital lesions, who underwent intracranial EEG monitoring with intracerebral electrodes implanted in the medial temporal lobe prior to occipital lobe surgery, were studied. Subdural electrodes were placed over the occipital lobe and adjacent areas. Intracerebral electrodes were implanted into bilateral hippocampi and the amygdala in three patients, and in the hippocampus and amygdala ipsilateral to the lesion in one. In light of the intracranial EEG findings, the occipital lobe was resected but the medial temporal lobe was spared in all patients. The follow-up period ranged from six to 16 years, and seizure outcome was Engel Class I in all patients. Sixty six seizures were analyzed. The majority of the seizures originated from the occipital lobe. In complex partial seizures, ictal discharges propagated to the medial temporal lobe. No seizures originating from the temporal lobe were documented. In some seizures, the ictal-onset zone could not be identified. In these seizures, very early propagation to the medial temporal lobe was observed. Interictal spikes were recorded in the medial temporal lobe in all cases. Intracranial EEG revealed very early involvement of the medial temporal lobe in some seizures. Seizure control was achieved without resection of the medial temporal structures.

  20. Case report - curved femoral osteotomy for management of medial patellar luxation

    DEFF Research Database (Denmark)

    Allpass, Maja; Miles, James Edward

    2015-01-01

    Medial patellaluxation kan forårsages af femoral varus hos hund. Førhen har patienter med excessiv femoralvarus været korrigeret ved en lateralt placeret femoral kile-ostektomi. Her præsenteres en case, hvor en buet osteotomi blev anvendt til behandling af medial patellaluxation.......Medial patellaluxation kan forårsages af femoral varus hos hund. Førhen har patienter med excessiv femoralvarus været korrigeret ved en lateralt placeret femoral kile-ostektomi. Her præsenteres en case, hvor en buet osteotomi blev anvendt til behandling af medial patellaluxation....

  1. Simultaneous MPFL and LPFL reconstruction for recurrent lateral patellar dislocation with medial patellofemoral instability

    Directory of Open Access Journals (Sweden)

    Masashi Kusano

    2014-01-01

    Full Text Available We report an extremely rare case of both recurrent lateral patella dislocation and medial patellofemoral instability, following prior operations to correct patella maltracking. Manual translation of the patella revealed medial and lateral instability with a positive apprehension sign. 3-D computer modelling of kinematics based on MRI data demonstrated that the patella deviated laterally at full extension and translated medially with knee flexion. The medial and lateral patellofemoral ligaments were reconstructed simultaneously with hamstring tendons, alleviating peripatellar pain and patellar instability in both directions.

  2. Medial tibial pain. A prospective study of its cause among military recruits.

    Science.gov (United States)

    Milgrom, C; Giladi, M; Stein, M; Kashtan, H; Margulies, J; Chisin, R; Steinberg, R; Swissa, A; Aharonson, Z

    1986-12-01

    In a prospective study of 295 infantry recruits during 14 weeks of basic training, 41% had medial tibial pain. Routine scintigraphic evaluation in cases of medial tibial bone pain showed that 63% had abnormalities. A stress fracture was found in 46%. Only two patients had periostitis. None had ischemic medial compartment syndrome. Physical examination could not differentiate between cases with medial tibial bone pain secondary to stress fractures and those with scintigraphically normal tibias. When both pain and swelling were localized in the middle one-third of the tibia, the lesion most likely proved to be a stress fracture.

  3. First Metatarsal Head and Medial Eminence Widths with and Without Hallux Valgus.

    Science.gov (United States)

    Lenz, Robin C; Nagesh, Darshan; Park, Hannah K; Grady, John

    2016-09-02

    Resection of the medial eminence in hallux valgus surgery is common. True hypertrophy of the medial eminence in hallux valgus is debated. No studies have compared metatarsal head width in patients with hallux valgus and control patients. We reviewed 43 radiographs with hallux valgus and 27 without hallux valgus. We measured medial eminence width, first metatarsal head width, and first metatarsal shaft width in patients with and without radiographic hallux valgus. Medial eminence width was 1.12 mm larger in patients with hallux valgus (P hallux valgus (P hallux valgus. However, frontal plane rotation of the first metatarsal likely accounts for this difference.

  4. The effects of neuromuscular exercise on medial knee joint load post-arthroscopic partial medial meniscectomy: 'SCOPEX', a randomised control trial protocol

    DEFF Research Database (Denmark)

    Hall, Michelle; Hinman, Rana S; Wrigley, Tim V

    2012-01-01

    Meniscectomy is a risk factor for knee osteoarthritis, with increased medial joint loading a likely contributor to the development and progression of knee osteoarthritis in this group. Therefore, post-surgical rehabilitation or interventions that reduce medial knee joint loading have the potential...... to reduce the risk of developing or progressing osteoarthritis. The primary purpose of this randomised, assessor-blind controlled trial is to determine the effects of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee joint load during functional tasks in people who have...

  5. Internet de las cosas

    OpenAIRE

    Salazar Soler, Jorge; Silvestre Bergés, Santiago

    2016-01-01

    Este es un curso de introducción a la IoT (Internet de las cosas). En los capítulos primeros capítulos se introducen los conceptos básicos sobre la IoT. Seguidamente se presentan nociones básicas sobre el protocolo de internet IPv6 que es el más utilizado en el entorno de la IoT y se describen las principales aplicaciones, el estado actual del mercado y las tecnologías que permiten la existencia de la IoT. Finalmente se analizan los retos de futuro que se consideran más importa...

  6. Las sirenas de Sarhua

    Directory of Open Access Journals (Sweden)

    Luis Millones

    2011-05-01

    Full Text Available El presente artículo es producto de una investigación sobre uno de los motivos más llamativos y recurrentes en las Tablas de Sarhua: la sirena.Realizamos una aproximación a este motivo, que originalmente aparece en la literatura clásica occidental, con la finalidad de explicar las razones de su presencia en el arte andino. Para tal efecto transcribimos algunos testimoniosque, desde una cosmovisión netamente andina, dan cuenta de una serie de creencias vinculadas con el ámbito musical, en el que las sirenas juegan un papel central.Palabras claves: Tablas de Sarhua, sirena, arte andino, música andina.

  7. Tratamiento de las ictericias

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    Roberto de Zubiría

    1955-05-01

    Full Text Available En el tratamiento de los síndromes ictéricos no existe sistematización de criterios y en más de una ocasión se cometen serios errores terapéuticos. Tal sucede frecuentemente con las hepatitis a virus, por ejemplo las que tratadas con un régimen alimenticio inadecuado, constituído casi siempre por dietas de hambre, se va a complicar más la situación. Otras veces se utilizan sistemáticamente los antibióticos de amplio espectro, los cuales son inútiles e inclusive desaconsejados por la posibilidad de producir fibrosis hepática. Hemos querido hacer un resumen analizando someramente el pro y el contra de las principales medidas terapéuticas.

  8. Learning from las Cuencas

    DEFF Research Database (Denmark)

    2016-01-01

    Aprendiendo de las Cuencas (Learning from las Cuencas) research project, awarded with the EU Prize for Cultural Heritage / Europa Nostra Awards 2015, provides a new perspective of industrial cultural landscapes. Despite being focused on a local environment, the coal mining area of the Cuencas...... economic and social structures came to host busy urban agglomerations of unexpected density in their very heart. This heretical urban configuration is equally the result of the impact of economic interests in a specific space and in a relatively short lapse of time. Consequently, the co...

  9. Analizar las interacciones virtuales

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    Luis Gómez Encinas

    2003-11-01

    Full Text Available El propósito de este artículo es abordar una serie de cuestiones relacionadas con las interacciones virtuales. En concreto, nos centraremos en el IRC, los comúnmente llamados chats, para a partir de una crítica a ciertos posicionamientos analíticos, expresar la necesidad de indagar en esa faceta del ciberespacio desde el punto de vista de las relaciones sociales. Nuevas relaciones sociales, que acontecen en un espacio nuevo, y que por tanto se desarrollan bajo reglas y motivaciones que desbordan los viejos esquemas de observación.

  10. Las causas del desempleo

    OpenAIRE

    García Balbás, Salomé

    2014-01-01

    En este documento vamos a tratar de dar respuesta a la siguiente pregunta: ¿cuáles son las causas del desempleo? Para ello realizaremos un repaso de las principales teorías económicas del desempleo llegando a la conclusión de que existe una causa fundamental que lo genera: la rigidez de los salarios a la baja. Consideramos el desempleo como la existencia de un exceso de oferta en el mercado de trabajo y haremos alusión, únicamente, a la existencia de desempleo involuntario. La exposición de l...

  11. Aprendiendo de las Cuencas

    DEFF Research Database (Denmark)

    2016-01-01

    Aprendiendo de las Cuencas (Learning from las Cuencas) research project, awarded with the EU Prize for Cultural Heritage / Europa Nostra Awards 2015, provides a new perspective of industrial cultural landscapes. Despite being focused on a local environment, the coal mining area of the Cuencas....... This has given rise to incredibly heterodox building patterns that contain the conflict on which they are erected embedded in their genetic code. These are hybrid architectures, mutating artefacts which, despite the invisibility of their inevitable marginality, can offer really interesting lessons...

  12. Comparison of Medial and Lateral Meniscus Root Tears.

    Directory of Open Access Journals (Sweden)

    Ji Hyun Koo

    Full Text Available The meniscus root plays an essential role in maintaining the circumferential hoop tension and preventing meniscal displacement. Studies on meniscus root tears have investigated the relationship of osteoarthritis and an anterior cruciate ligament tear. However, few studies have directly compared the medial and lateral root tears. To assess the prevalence of meniscal extrusion and its relationship with clinical features in medial and lateral meniscus root tears, we performed a retrospective review of the magnetic resonance imaging (MRI results of 42 knee patients who had meniscus posterior horn root tears and who had undergone arthroscopic operations. The presence of meniscal extrusion was evaluated and the exact extent was measured from the tibial margin. The results were correlated with arthroscopic findings. Clinical features including patients' ages, joint abnormalities, and previous trauma histories were evaluated. Twenty-two patients had medial meniscus root tears (MMRTs and twenty patients had lateral meniscus root tears (LMRTs. Meniscal extrusion was present in 18 MMRT patients and one LMRT patient. The mean extent of extrusion was 4.2mm (range, 0.6 to 7.8 in the MMRT group and 0.9mm (range, -1.9 to 3.4 in the LMRT group. Five patients with MMRT had a history of trauma, while 19 patients with LMRT had a history of trauma. Three patients with MMRT had anterior cruciate ligament (ACL tears, while 19 patients with LMRT had ACL tears. The mean age of the patients was 52 years (range: 29-71 years and 30 years (range: 14-62 years in the MMRT and LMRT group, respectively. There was a significant correlation between a MMRT and meniscal extrusion (p<0.0001, and between an ACL tear and LMRT (p<0.0001. A history of trauma was significantly common in LMRT (p<0.0001. LMRT patients were significantly younger than MMRT patients (p<0.0001. Kellgren-Lawrence (K-L grade differed significantly between MMRT and LMRT group (p<0.0001. Meniscal extrusion is

  13. LAS TECNOLOGÍAS DE LA INFORMACIÓN Y LAS COMUNICACIONES COMO HERRAMIENTAS PARA LA GESTIÓN DEL PATRIMONIO CULTURAL CON UNA VISIÓN EMPRENDEDORA

    Directory of Open Access Journals (Sweden)

    Cecilia Valdespino Tamayo

    2016-01-01

    Full Text Available El patrimonio cultural no se limita a monumentos y colecciones de objetos, comprende también tradiciones o expresiones vivas heredadas de nuestros antepasados y transmitidas a nuestros descendientes. La importancia de este recurso inmaterial no radica solo en la manifestación cultural en sí, sino en el cúmulo de conocimientos y técnicas que se transmiten de generación en generación. Se basa en el reconocimiento por las comunidades, grupos o individuos que lo crean, mantienen y transmiten. La difusión es uno de los tres pilares de la gestión del patrimonio. Su definición merece una revisión a la luz de nuevas disciplinas y estrategias de comunicación incorporadas en los últimos diez años. El espíritu empresarial y la visión emprendedora junto al desarrollo tecnológico están generando un profundo impacto en todos los ámbitos de la vida diaria, desencadenando aspectos positivos en la gestión y conservación del patrimonio cultural. En este trabajo se da a conocer el papel que han desempeñado las Tecnologías de la Información y las Comunicaciones, como herramienta insustituible, en la difusión del patrimonio. Se describe el aporte de  tres de las principales líneas de desarrollo de software a este pilar fundamental (Realidad Virtual, Sistemas de Información Geográfica y Portales WEB, las herramientas y tecnologías más utilizadas en estas ramas, así como los sistemas informáticos desarrollados a partir de investigaciones científicas realizadas  en la Carrera de Ingeniería en Ciencias Informáticas de la Universidad de Granma, como resultado de un trabajo intencionado realizado con la dirección de Patrimonio y  Cultura en la provincia.

  14. Tendencia de las inversiones petroleras en la Argentina. Un caso más de las transformaciones del mercado petrolero mundial

    Directory of Open Access Journals (Sweden)

    MARÍA JIMENA SEGURA BORDENAVE-GASSEDAT

    2013-05-01

    Full Text Available El precio internacional del petróleo mostró, a partir del año 2003, una suba histórica comparable a la de fines de la década de 1970 por la que se consumara en ese entonces la llamada “crisis energética”. Sin embargo, a diferencia de ese período, el incremento del precio, señal típicamente utilizada por el capital para su movimiento entre las diferentes ramas productivas, no resultó en aumentos significativos de la capacidad productiva de la industria petrolera. Consideramos pertinente en el marco de la elaboración del presente trabajo, el desarrollo de las determinaciones de la inversión de capital en el sector energético a fines de presentar las características históricamente específicas de la producción actual. Es en este sentido en que aparece significativamente el rol del progresivo ingreso del capital financiero en torno a esta producción. Siendo históricamente la Argentina poseedora de un gran potencial en materia de energía, queda por resolver las cuestiones que llevan a que la situación energética local, sea presa de un debate que apunta a señalar las posibilidades de una crisis en un mediano o corto plazo, al enfrentar ciertas deficiencias en casi todos los aspectos que hacen al abastecimiento de energía. Abstract The international price of oil since 2003 showed a historical hike comparable to the end of the ' 70s when the socalled "energy crisis" emerged. However, in contrast to that period, the increase in the price, signal typically used by capital to their movement between the different production branches, not resulted in significant increases in productive capacity in the oil industry. We consider relevant in the context of the preparation of the present paper, the development of the determinations of the capital investment in the energy sector at the end of the historically specific features of the current production. It is in this sense that appears significantly the increasing role of financial

  15. Expression of the marA, soxS, acrB and ramA genes related to the AcrAB/TolC efflux pump in Salmonella entérica strains with and without quinolone resistance-determining regions gyrA gene mutations

    Directory of Open Access Journals (Sweden)

    Rafaela Gomes Ferrari

    2013-04-01

    Full Text Available Several studies have been conducted in recent years to elucidate the structure, function and significance of AcrB, MarA, SoxS and RamA in Salmonella enterica. In this study, the relative quantification of acrB, soxS, marA and ramA genes expression was evaluated in 14 strains of S. enterica, with or without accompanying mutations in the quinolone resistance-determining regions of the gyrA gene, that were exposed to ciprofloxacin during the exponential growth phase. The presence of ciprofloxacin during the log phase of bacterial growth activated the genes marA, soxS, ramA and acrB in all S. enterica strains analyzed in this study. The highest expression levels for acrB were observed in strains with gyrA mutation, and marA showed the highest expression in the strains without mutation. Considering only the strains with ciprofloxacin minimum inhibitory concentration values 0.125 [1]g/mL (low susceptibility, with and without mutations in gyrA, the most expressed gene was marA. In this study, we observed that strains resistant to nalidixic acid may express genes associated with the efflux pump and the expression of the AcrAB-TolC pump genes seems to occur independently of mutations in gyrA.

  16. Expression of the marA, soxS, acrB and ramA genes related to the AcrAB/TolC efflux pump in Salmonella entérica strains with and without quinolone resistance-determining regions gyrA gene mutations

    Directory of Open Access Journals (Sweden)

    Rafaela Gomes Ferrari

    Full Text Available Several studies have been conducted in recent years to elucidate the structure, function and significance of AcrB, MarA, SoxS and RamA in Salmonella enterica. In this study, the relative quantification of acrB, soxS, marA and ramA genes expression was evaluated in 14 strains of S. enterica, with or without accompanying mutations in the quinolone resistance-determining regions of the gyrA gene, that were exposed to ciprofloxacin during the exponential growth phase. The presence of ciprofloxacin during the log phase of bacterial growth activated the genes marA, soxS, ramA and acrB in all S. enterica strains analyzed in this study. The highest expression levels for acrB were observed in strains with gyrA mutation, and marA showed the highest expression in the strains without mutation. Considering only the strains with ciprofloxacin minimum inhibitory concentration values 0.125 [1]g/mL (low susceptibility, with and without mutations in gyrA, the most expressed gene was marA. In this study, we observed that strains resistant to nalidixic acid may express genes associated with the efflux pump and the expression of the AcrAB-TolC pump genes seems to occur independently of mutations in gyrA.

  17. Metalogenia de las mineralizaciones filonianas Pb-Sb de «Leonor» y «Aragon» (Ateca, Zaragoza

    Directory of Open Access Journals (Sweden)

    Benito García, R.

    1988-08-01

    Full Text Available The geological, geochemical and metallogenetic features of some Pb-Sb mineralizations, were studied in this paper. These ore deposits are located in thbe Ateca region (Zaragoza, Spain, in the west part of the Iberian Range.The parageneses include mainly heteromorphite, galena, sphalerite, boumonite and baryte. The geochemical analyses of the host rocks show the lack of anomalys of Pb, Zn, Cu and Ba. The hypothesis of an hydrothermal origin could be established for these mineralizations in relation with the permian calc-alkaline magmatism of the Iberian Range.En este trabajo se estudian los caracteres geológicos, geoquímicos y metalogénicos de algunas mineralizaciones Pb-Sb de la zona de Ateca (Zaragoza, en la Rama Occidental de la Cordillera Ibérica.La paragénesis incluye heteromorfita, galena, esfalerita, boumonita y baritina, principalmente. Los análisis geoquímicos de las rocas encajantes revelan la inexistencia de anomalías en elementos metalogénicos en las mismas. Por último, podría establecerse la hipótesis de un origen hidrotermal de la mineralización relacionado con el magmatismo calcoalcalino de edad pérmica de la Cordillera Ibérica.

  18. Bilateral Endoscopic Medial Maxillectomy for Bilateral Inverted Papilloma

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    Satoru Kodama

    2012-01-01

    Full Text Available Inverted papilloma (IP is a benign tumor of the nasal cavity and paranasal sinuses that is unilateral in most cases. Bilateral IP, involving both sides of the nasal cavity and sinuses, is extremely rare. This paper describes a large IP that filled in both sides of the nasal cavity and sinuses, mimicking association with malignancy. The tumor was successfully treated by bilateral endoscopic medial maxillectomy (EMM. The patient is without evidence of the disease 24 months after surgery. If preoperative diagnosis does not confirm the association with malignancy in IP, endoscopic sinus surgery (ESS should be selected, and ESS, including EMM, is a good first choice of the treatment for IP.

  19. Integrating what and when across the primate medial temporal lobe.

    Science.gov (United States)

    Naya, Yuji; Suzuki, Wendy A

    2011-08-05

    Episodic memory or memory for the detailed events in our lives is critically dependent on structures of the medial temporal lobe (MTL). A fundamental component of episodic memory is memory for the temporal order of items within an episode. To understand the contribution of individual MTL structures to temporal-order memory, we recorded single-unit activity and local field potential from three MTL areas (hippocampus and entorhinal and perirhinal cortex) and visual area TE as monkeys performed a temporal-order memory task. Hippocampus provided incremental timing signals from one item presentation to the next, whereas perirhinal cortex signaled the conjunction of items and their relative temporal order. Thus, perirhinal cortex appeared to integrate timing information from hippocampus with item information from visual sensory area TE.

  20. Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies

    Science.gov (United States)

    Sanchis-Alfonso, Vicente; Montesinos-Berry, Erik; Ramirez-Fuentes, Cristina; Leal-Blanquet, Joan; Gelber, Pablo E; Monllau, Joan Carles

    2017-01-01

    Patellar instability is a common clinical problem encountered by orthopedic surgeons specializing in the knee. For patients with chronic lateral patellar instability, the standard surgical approach is to stabilize the patella through a medial patellofemoral ligament (MPFL) reconstruction. Foreseeably, an increasing number of revision surgeries of the reconstructed MPFL will be seen in upcoming years. In this paper, the causes of failed MPFL reconstruction are analyzed: (1) incorrect surgical indication or inappropriate surgical technique/patient selection; (2) a technical error; and (3) an incorrect assessment of the concomitant risk factors for instability. An understanding of the anatomy and biomechanics of the MPFL and cautiousness with the imaging techniques while favoring clinical over radiological findings and the use of common sense to determine the adequate surgical technique for each particular case, are critical to minimizing MPFL surgery failure. Additionally, our approach to dealing with failure after primary MPFL reconstruction is also presented. PMID:28251062

  1. MORPHOMETRIC STUDY OF MEDIAL COLLATERAL LIGAMENTS OF ANKLE

    Directory of Open Access Journals (Sweden)

    Neelu Prasad

    2016-06-01

    Full Text Available BACKGROUND The ankle joint is one of the most frequently injured joint. A sprained ankle results due to tear of anterior talofibular and calcaneofibular ligaments when the foot is twisted in lateral direction. In forcible eversion of the foot, the deltoid ligament may be torn. At times, the deltoid ligament pulls the medial malleolus thereby causing avulsion fracture of the malleolus. The strong eversion pull on the deltoid ligament causes transverse fracture of medial malleolus. If the tibia is carried anteriorly, the posterior margin of the distal end of the tibia is also broken by the talus producing a trimalleolar fracture. The talocrural joint is a major weight bearing joint of the body. The weight of the body is transmitted from the tibia and fibula to the talus which distributes the weight anteriorly and posteriorly within the foot. One sixth of the static load of the leg is carried by the fibula at the tibiofibular joint. These require a high degree of stability which is determined by the passive and dynamic factors. A sprained ankle results due to tear of anterior talofibular and calcaneofibular ligaments when the foot is twisted in lateral direction. In forcible eversion of the foot, the deltoid ligament may be torn. At times, the deltoid ligament pulls the medial malleolus thereby causing avulsion fracture of the malleolus. The strong eversion pull on the deltoid ligament causes transverse fracture of medial malleolus. If the tibia is carried anteriorly, the posterior margin of the distal end of the tibia is also broken by the talus producing a trimalleolar fracture. Conventionally, X-ray techniques have been used to diagnose ligament injuries. Magnetic resonance (MR imaging has opened new horizons in the diagnosis and treatment of many musculoskeletal diseases of the ankle and foot. It demonstrates abnormalities in the bones and soft tissues before they become evident at other imaging modalities. The anatomy of the deltoid ligament

  2. Modified transnasal endoscopic medial maxillectomy through prelacrimal duct approach.

    Science.gov (United States)

    Suzuki, Motohiko; Nakamura, Yoshihisa; Yokota, Makoto; Ozaki, Shinya; Murakami, Shingo

    2017-10-01

    We previously reported a modified endoscopic medial maxillectomy (modified transnasal endoscopic medial maxillectomy through prelacrimal duct approach [MTEMMPDA]) to resect inverted papilloma (IP), for which the inferior turbinate (IT) and nasolacrimal duct (ND) can be preserved. MTEMMPDA is a safe and effective method to obtain wide, straight access to the maxillary sinus (MS). However, there are few reported cases of patients who underwent MTEMMPDA, and even fewer of patients who underwent partial osteotomy of the apertura piriformis and the anterior wall of the MS. In this study, we analyzed the outcomes of 51 patients who underwent MTEMMPDA. Retrospective review. All patients who underwent MTEMMPDA at our hospital between January 2004 and December 2015 were included in this study. Fifty-one patients with sinonasal IP in the MS underwent MTEMMPDA. Recurrence was seen in the MS of one patient (follow-up of 2-138 months). The IT remained unchanged in all 51 patients without atrophy. We have not observed epiphora, eye discharge, dry nose, or persistent crusting after this surgery. Although seven patients had numbness around the upper lip after surgery, this had disappeared by 1 year after surgery. Additional partial osteotomy of the apertura piriformis and the anterior wall of the MS were done in eight patients. Deformation of the external nose was not seen. This approach appears to be a safe and effective method to resect IP in the MS, even if there is additional partial osteotomy of the apertura piriformis and the anterior wall of the MS. 4. Laryngoscope, 127:2205-2209, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  3. Lateral and medial epicondylitis: role of occupational factors.

    Science.gov (United States)

    Shiri, Rahman; Viikari-Juntura, Eira

    2011-02-01

    Epicondylitis is a common upper-extremity musculoskeletal disorder. It is most common at the age of 40-60 years. Epicondylitis seems to affect women more frequently than men. Diagnosis of epicondylitis is clinical and based on symptoms and findings of physical examination. The prevalence of lateral epicondylitis in the general populations is approximately 1.0-1.3% in men and 1.1-4.0% in women and that of medial epicondylitis is nearly 0.3-0.6% in men and 0.3-1.1% in women. The incidence rate of medical consultations has been estimated at 0.3-1.1 for lateral and 0.1 for medial epicondylitis per year per 100 subjects of general practice populations. Of occupational risk factors, forceful activities, high force combined with high repetition or awkward posture and awkward postures are associated with epicondylitis. The number of studies is limited to work-related psychosocial factors and the effects are not as consistent as those of physical load factors. Topical non-steroidal anti-inflammatory drugs, corticosteroid injections and acupuncture provide short-term beneficial effects. Workload modification should be considered, especially in manually strenuous jobs. According to clinical case series, surgical treatment has shown fair to good results; however, the efficacy of surgical treatment has not been evaluated in randomised controlled trials. Poorer prognosis of epicondylitis has been reported for individuals with high level of physical strain at work, non-neutral wrist postures during work activity and for those with the condition on the dominant elbow. Modification of physical factors could reduce the risk or improve the prognosis of epicondylitis. Copyright © 2011 Elsevier Ltd. All rights reserved.

  4. Reversed Procrastination by Focal Disruption of Medial Frontal Cortex.

    Science.gov (United States)

    Jha, Ashwani; Diehl, Beate; Scott, Catherine; McEvoy, Andrew W; Nachev, Parashkev

    2016-11-07

    An enduring puzzle in the neuroscience of voluntary action is the origin of the remarkably wide dispersion of the reaction time distribution, an interval far greater than is explained by synaptic or signal transductive noise [1, 2]. That we are able to change our planned actions-a key criterion of volition [3]-so close to the time of their onset implies decision-making must reach deep into the execution of action itself [4-6]. It has been influentially suggested the reaction time distribution therefore reflects deliberate neural procrastination [7], giving alternative response tendencies sufficient time for fair competition in pursuing a decision threshold that determines which one is behaviorally manifest: a race model, where action selection and execution are closely interrelated [8-11]. Although the medial frontal cortex exhibits a sensitivity to reaction time on functional imaging that is consistent with such a mechanism [12-14], direct evidence from disruptive studies has hitherto been lacking. If movement-generating and movement-delaying neural substrates are closely co-localized here, a large-scale lesion will inevitably mask any acceleration, for the movement itself could be disrupted. Circumventing this problem, here we observed focal intracranial electrical disruption of the medial frontal wall in the context of the pre-surgical evaluation of two patients with epilepsy temporarily reversing such hypothesized procrastination. Effector-specific behavioral acceleration, time-locked to the period of electrical disruption, occurred exclusively at a specific locus at the ventral border of the pre-supplementary motor area. A cardinal prediction of race models of voluntary action is thereby substantiated in the human brain. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. de las mujeres

    Directory of Open Access Journals (Sweden)

    Elena Margarita Cacheux Pulido

    2003-01-01

    Full Text Available El feminismo chicano tiene múltiples venas que nutrieron el pensamiento ideológico, político y estratégico durante todo el siglo pasado. Una de ellas se forma por los encuentros locales, nacionales e internacionales que sirvieron de plataforma para comunicar, entre mujeres, las propias necesidades para el desarrollo y la liberación de la injusticia, intolerancia y desdén. Las mujeres han luchado por medio de sindicatos y movimientos sociales para plantear justas demandas, entre otras, educación, igual salario por igual trabajo, bienestar, permiso de maternidad, cuidado infantil, autodeterminación, información sexual, igualdad en la participación política y liderazgo. Con el avance teórico en las cuestiones de raza, clase, minorías étnicas y feminismo lésbico, se desarrolló la identidad de la nueva chicana a la luz de la emancipación de las mujeres.

  6. Las marcas no tradicionales

    Directory of Open Access Journals (Sweden)

    Juan David Castro

    2012-11-01

    Full Text Available Las transformaciones en el comercio tanto nacional como internacionalmente han hecho necesario el aparecimiento de nuevas formas de manifestación de los signos destinados a diferenciar los productos y servicios en el mercado. El artículo reseña algunos de ellos.

  7. Osteomielitis hematógena de la rama íleo-isquiopubiana: A propósito de un caso Hematogenous osteomyelitis of the ischiopubic ramus: Apropos of a case

    Directory of Open Access Journals (Sweden)

    Ana Videaux Tamayo

    2005-12-01

    Full Text Available Se presenta el caso del paciente Y. P. T., del sexo femenino, raza mestiza, 11 años de edad, quien ingresa en la Sala de Misceláneas por traumatismo en la región glútea, diagnosticado inicialmente como una miositis de los aductores del muslo derecho. Según la evolución clínica, humoral y radiológica, desarrolla signos y síntomas de osteomielitis aguda de la rama íleo-isquiopubiana derecha, comprobada por velocidad de sedimentación globular acelerada y alteraciones radiológicas en esa zona, así como por la presencia de un cuadro febril intermitente. Se aplica tratamiento con penicilinas, quinolonas y betalactámicos. La paciente se encuentra en estos momentos en franca recuperación. Se significa la cooperación entre distintas disciplinas para la solución de los problemas de salud.

  8. Analysis of medial deviation of center of pressure after initial heel contact in forefoot varus

    Directory of Open Access Journals (Sweden)

    Wei-Li Hsi

    2016-03-01

    Conclusion: The most medial CoP of the row and CoP% detected increased medial CoP deviation in FV ≥ 8°, and may be applied to other clinical conditions where rearfoot angle and CoP of the array after initial heel contact cannot detect significant differences.

  9. Relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index, and medial acetabular bone stock

    International Nuclear Information System (INIS)

    Werner, Clement M.L.; Copeland, Carol E.; Stromberg, Jeff; Turen, Clifford H.; Ruckstuhl, Thomas; Bouaicha, Samy

    2011-01-01

    Knowledge of acetabular anatomy is crucial for cup positioning in total hip replacement. Medial wall thickness of the acetabulum is known to correlate with the degree of developmental dysplasia of the hip (DDH). No data exist about the relationship of routinely used radiographic parameters such as Wiberg's lateral center edge angle (LCE-angle) or Lequesne's acetabular index (AI) with thickness of the medial acetabular wall in the general population. The aim of our study was to clarify the relationship between LCE, AI, and thickness of the medial acetabular wall. Measurements on plain radiographs (LCE and AI) and axial CT scans (quadrilateral plate acetabular distance QPAD) of 1,201 individuals (2,402 hips) were obtained using a PACS imaging program and statistical analyses were performed. The mean thickness of the medial acetabulum bone stock (QPAD) was 1.08 mm (95% CI: 1.05-1.10) with a range of 0.1 to 8.8 mm. For pathological values of either the LCE ( 12 ) the medial acetabular wall showed to be thicker than in radiological normal hips. The overall correlation between coxometric indices and medial acetabular was weak for LCE (r =-0.21. 95% CI [-0.25, -0.17]) and moderate for AI (r = 0.37, [0.33, 0.41]). We did not find a linear relationship between Wiberg's lateral center edge angle, Lequesne's acetabular index and medial acetabular bone stock in radiological normal hips but medial acetabular wall thickness increases with dysplastic indices. (orig.)

  10. Lateral trunk lean and medializing the knee as gait strategies for knee osteoarthritis

    NARCIS (Netherlands)

    Gerbrands, T. A.; Pisters, M. F.; Theeven, P. J R; Verschueren, S.; Vanwanseele, B.

    2017-01-01

    Objective To determine (1) if Medial Thrust or Trunk Lean reduces the knee adduction moment (EKAM) the most during gait in patients with medial knee osteoarthritis, (2) if the best overall strategy is the most effective for each patient and (3) if these strategies affect ankle and hip kinetics.

  11. Computed Tomographic Distinction of Intimal and Medial Calcification in the Intracranial Internal Carotid Artery.

    Science.gov (United States)

    Kockelkoren, Remko; Vos, Annelotte; Van Hecke, Wim; Vink, Aryan; Bleys, Ronald L A W; Verdoorn, Daphne; Mali, Willem P Th M; Hendrikse, Jeroen; Koek, Huiberdina L; de Jong, Pim A; De Vis, Jill B

    2017-01-01

    Intracranial internal carotid artery (iICA) calcification is associated with stroke and is often seen as a proxy of atherosclerosis of the intima. However, it was recently shown that these calcifications are predominantly located in the tunica media and internal elastic lamina (medial calcification). Intimal and medial calcifications are thought to have a different pathogenesis and clinical consequences and can only be distinguished through ex vivo histological analysis. Therefore, our aim was to develop CT scoring method to distinguish intimal and medial iICA calcification in vivo. First, in both iICAs of 16 cerebral autopsy patients the intimal and/or medial calcification area was histologically assessed (142 slides). Brain CT images of these patients were matched to the corresponding histological slides to develop a CT score that determines intimal or medial calcification dominance. Second, performance of the CT score was assessed in these 16 patients. Third, reproducibility was tested in a separate cohort. First, CT features of the score were circularity (absent, dot(s), medial and a lower sum intimal calcifications. Second, in the 16 patients the concordance between the CT score and the dominant calcification type was reasonable. Third, the score showed good reproducibility (kappa: 0.72 proportion of agreement: 0.82) between the categories intimal, medial or absent/indistinguishable. The developed CT score shows good reproducibility and can differentiate reasonably well between intimal and medial calcification dominance in the iICA, allowing for further (epidemiological) studies on iICA calcification.

  12. Altered medial temporal activation related to local glutamate levels in subjects with prodromal signs of psychosis.

    Science.gov (United States)

    Valli, Isabel; Stone, James; Mechelli, Andrea; Bhattacharyya, Sagnik; Raffin, Marie; Allen, Paul; Fusar-Poli, Paolo; Lythgoe, David; O'Gorman, Ruth; Seal, Marc; McGuire, Philip

    2011-01-01

    Both medial temporal cortical dysfunction and perturbed glutamatergic neurotransmission are regarded as fundamental pathophysiological features of psychosis. However, although animal models of psychosis suggest that these two abnormalities are interrelated, their relationship in humans has yet to be investigated. We used a combination of functional magnetic resonance imaging and magnetic resonance spectroscopy to investigate the relationship between medial temporal activation during an episodic memory task and local glutamate levels in 22 individuals with an at-risk mental state for psychosis and 14 healthy volunteers. We observed a significant between-group difference in the coupling of medial temporal activation with local glutamate levels. In control subjects, medial temporal activation during episodic encoding was positively associated with medial temporal glutamate. However, in the clinical population, medial temporal activation was reduced, and the relationship with glutamate was absent. In individuals at high risk of psychosis, medial temporal dysfunction seemed related to a loss of the normal relationship with local glutamate levels. This study provides the first evidence that links medial temporal dysfunction with the central glutamate system in humans and is consistent with evidence that drugs that modulate glutamatergic transmission might be useful in the treatment of psychosis. Copyright © 2011 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

  13. Altered medial temporal activation related to local glutamate levels in subjects with prodromal signs of psychosis.

    OpenAIRE

    Valli, I; Stone, J; Mechelli, A; Bhattacharyya, S; Raffin, M; Allen, P; Fusar-Poli, P; Lythgoe, D; O'Gorman, R; Seal, M; McGuire, P

    2011-01-01

    In individuals at high risk of psychosis, medial temporal dysfunction seemed related to a loss of the normal relationship with local glutamate levels. This study provides the first evidence that links medial temporal dysfunction with the central glutamate system in humans and is consistent with evidence that drugs that modulate glutamatergic transmission might be useful in the treatment of psychosis.

  14. Tibial avulsion fracture of the posterior root of the medial meniscus in children

    DEFF Research Database (Denmark)

    Iversen, Jonas Vestergård; Krogsgaard, Michael Rindom

    2012-01-01

    of displaced avulsion fractures of the posterior root of the medial meniscus in children are presented along with a concise report of the literature regarding avulsion fractures of the posterior root of the medial meniscus. Both avulsions were reattached arthroscopically by trans-tibial pull-out sutures...

  15. Impact of occupational mechanical exposures on risk of lateral and medial inguinal hernia requiring surgical repair

    DEFF Research Database (Denmark)

    Vad, Marie Vestergaard; Frost, Poul; Bay-Nielsen, Morten

    2012-01-01

    We undertook a register-based cohort study to evaluate exposure-response relations between cumulative occupational mechanical exposures, and risk of lateral and medial inguinal hernia repair.......We undertook a register-based cohort study to evaluate exposure-response relations between cumulative occupational mechanical exposures, and risk of lateral and medial inguinal hernia repair....

  16. MR appearance of anomalous insertion of the medial meniscus. A case report

    International Nuclear Information System (INIS)

    Arjun, S.; Takahashi, S.; Nakane, N.; Yonemitsu, H.; Tang, Y.

    1998-01-01

    We report on the MR imaging of an anomalous medial meniscus with a tear in a 41-year-old man. Anomaly of the medial meniscus is rare and difficult to diagnose clinically. The MR images contributed to the pre-arthroscopic diagnosis and arthroscopy confirmed the lesion. The anomalous meniscus was not related to the symptoms. (orig.)

  17. Increased medial foot loading during drop jump in subjects with patellofemoral pain

    DEFF Research Database (Denmark)

    Rathleff, Michael S; Richter, Camilla; Brushøj, Christoffer

    2014-01-01

    PURPOSE: To compare medial-to-lateral plantar forces during drop jump and single leg squat in individuals with and without patellofemoral pain. METHODS: This cross-sectional study compared 23 young adults with patellofemoral pain to 20 age- and sex-matched controls without knee pain. The plantar...... pressure distribution was collected during drop jump and single leg squat using pressure-sensitive Pedar insoles, inserted into a standard flat shoe. The primary outcome was the medial-to-lateral force, quantified as the peak force under the medial forefoot as the percentage of force under the total...... forefoot during drop jump. Secondary outcomes included peak medial-to-lateral force during single leg squat and mean forces during drop jump and single leg squat. RESULTS: The primary outcome showed that individuals with patellofemoral pain had a 22 % higher medial-to-lateral peak force during drop jump...

  18. Differential effects of unilateral lesions in the medial amygdala on spontaneous and induced ovulation.

    Science.gov (United States)

    Sanchez, M A; Dominguez, R

    1995-01-01

    The possible existence of asymmetry in the control of ovulation by the medial amygdala was explored. Unilateral lesions of the medial amygdala were performed on each day of the estrous cycle. The estral index diminished in almost all animals with a lesion in the right side of medial amygdala. Lesions of the right medial amygdala, when performed on diestrus-1, resulted in a significant decrease in the number of rats ovulating compared to controls (4/8 vs. 8/8, p rats with lesions of the right medial amygdala. However, sequential injections of PMSG-hCG did result in ovulation by all members of a group of lesioned animals. In this last condition a significant decrease in the number of ova shed by the right ovary was found compared to animals in the lesion-only condition (1.5 +/- 0.5 vs. 6.0 +/- 1.5, p cycle.

  19. Differential roles for medial prefrontal and medial temporal cortices in schema-dependent encoding: from congruent to incongruent.

    Science.gov (United States)

    van Kesteren, Marlieke T R; Beul, Sarah F; Takashima, Atsuko; Henson, Richard N; Ruiter, Dirk J; Fernández, Guillén

    2013-10-01

    Information that is congruent with prior knowledge is generally remembered better than incongruent information. This effect of congruency on memory has been attributed to a facilitatory influence of activated schemas on memory encoding and consolidation processes, and hypothesised to reflect a shift between processing in medial temporal lobes (MTL) towards processing in medial prefrontal cortex (mPFC). To investigate this shift, we used functional magnetic resonance imaging (fMRI) to compare brain activity during paired-associate encoding across three levels of subjective congruency of the association with prior knowledge. Participants indicated how congruent they found an object-scene pair during scanning, and were tested on item and associative recognition memory for these associations one day later. Behaviourally, we found a monotonic increase in memory performance with increasing congruency for both item and associative memory. Moreover, as hypothesised, encoding-related activity in mPFC increased linearly with increasing congruency, whereas MTL showed the opposite pattern of increasing encoding-related activity with decreasing congruency. Additionally, mPFC showed increased functional connectivity with a region in the ventral visual stream, presumably related to the binding of visual representations. These results support predictions made by a recent neuroscientific framework concerning the effects of schema on memory. Specifically, our findings show that enhanced memory for more congruent information is mediated by the mPFC, which is hypothesised to guide integration of new information into a pre-existing schema represented in cortical areas, while memory for more incongruent information relies instead on automatic encoding of arbitrary associations by the MTL. © 2013 Elsevier Ltd. All rights reserved.

  20. Feasibility of the Medial Temporal lobe Atrophy index (MTAi and derived methods for measuring atrophy of the medial temporal lobe

    Directory of Open Access Journals (Sweden)

    Francisco eConejo Bayón

    2014-11-01

    Full Text Available Introduction: the Medial Temporal-lobe Atrophy index (MTAi, 2D-Medial Temporal Atrophy (2D-MTA, yearly rate of MTA (yrRMTA and yearly rate of relative MTA (yrRMTA are simple protocols for measuring the relative extent of atrophy in the MTL in relation to the global brain atrophy. Albeit preliminary studies showed interest of these methods in the diagnosis of AD, FTLD and correlation with cognitive impairment in PD, formal feasibility and validity studies remained pending. As a first step, we aimed to assess the feasibility. Mainly, we aimed to assess the reproducibility of measuring the areas needed to compute these indices. We also aimed to assess the efforts needed to start using these methods correctly. Methods: a series of 290 1.5T-MRI studies from 230 subjects ranging 65-85 years old who had been studied for cognitive impairment were used in this study. Six inexperienced tracers (IT plus one experienced tracer (ET traced the three areas needed to compute the indices. Finally, tracers underwent a short survey on their experience learning to compute the MTAi and experience of usage, including items relative to training time needed to understand and apply the MTAi, time to perform a study after training and overall satisfaction. Results: learning to trace the areas needed to compute the MTAi and derived methods is quick and easy. Results indicate very good intrarater ICC for the MTAi, good intrarater ICC for the 2D-MTA, yrMTA and yrRMTA and also good interrater ICC for the MTAi, 2D-MTA, yrMTA and yrRMTA.Conclusion: our data support that MTAi and derived methods (2D-MTA, yrMTA and yrRTMA have good to very good intrarater and interrater reproducibility and may be easily implemented in clinical practice even if new users have no experience tracing the area of regions of interest.

  1. Characteristics and prognosis of medial epicondylar fragmentation of the humerus in male junior tennis players.

    Science.gov (United States)

    Harada, Mikio; Takahara, Masatoshi; Maruyama, Masahiro; Takagi, Michiaki

    2014-10-01

    Although medial epicondylar fragmentation of the humerus is a reported elbow injury in junior tennis players, there have been only a few studies on this entity, and none have investigated the characteristics and prognosis of medial epicondylar fragmentation. Forty-one male junior tennis players, aged 11 to 14 years (mean, 13 years), underwent elbow examination by ultrasonography. Elbow re-examination was performed in subjects with medial epicondylar fragmentation at an average of 20 months (12-30 months) after the initial examination. On examination, 9 subjects (22%) had elbow pain. Ultrasonography showed that 6 subjects (15%) had medial epicondylar fragmentation, all of whom had elbow pain. Medial epicondylar fragmentation was present in 5 (38%) of 13 subjects aged 11 to 12 years and in 1 (4%) of 28 aged 13 to 14 years. More subjects aged 11 to 12 years had medial epicondylar fragmentation (P = .0084). All 6 subjects with medial epicondylar fragmentation continued to play tennis between the initial elbow examination and the re-examination. At re-examination, although ultrasonography showed that 5 developed bone union and 1 had nonunion, 3 subjects (50%) reported elbow pain. Our results demonstrated that subjects aged 11 to 12 years had a high frequency (38%) of medial epicondylar fragmentation. Although medial epicondylar fragmentation was the main cause of elbow pain (67%) at the initial elbow examination, all 6 players with medial epicondylar fragmentation continued to play tennis between the initial elbow examination and the re-examination. At re-examination, 5 subjects presented spontaneous bone union (83%), but 3 subjects (50%) reported elbow pain. Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  2. A Systematic Review of Clinical Functional Outcomes After Medial Stabilized Versus Non-Medial Stabilized Total Knee Joint Replacement

    Directory of Open Access Journals (Sweden)

    Tony Young

    2018-04-01

    Full Text Available Background Medial stabilized total knee joint replacement (TKJR construct is designed to closely replicate the kinematics of the knee. Little is known regarding comparison of clinical functional outcomes of patients utilising validated patient reported outcome measures (PROM after medial stabilized TKJR and other construct designs.PurposeTo perform a systematic review of the available literature related to the assessment of clinical functional outcomes following a TKJR employing a medial stabilized construct design.MethodsThe review was performed with a Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA algorithm. The literature search was performed using variouscombinations of keywords. The statistical analysis was completed using Review Manager (RevMan, Version 5.3.ResultsIn the nineteen unique studies identified, there were 2,448 medial stabilized TKJRs implanted in 2,195 participants, there were 1,777 TKJRs with non-medial stabilized design constructs implanted in 1,734 subjects. The final mean Knee Society Score (KSS value in the medial stabilized group was 89.92 compared to 90.76 in the non-medial stabilized group, with the final KSS mean value difference between the two groups was statistically significant and favored the non-medial stabilized group (SMD 0.21; 95% CI: 0.01 to 0.41; p = 004. The mean difference in the final WOMAC values between the two groups was also statistically significant and favored the medial stabilized group (SMD: −0.27; 95% CI: −0.47 to −0.07; p = 0.009. Moderate to high values (I2 of heterogeneity were observed during the statistical comparison of these functional outcomes.ConclusionBased on the small number of studies with appropriate statistical analysis, we are unable to reach a clear conclusion in the clinical performance of medial stabilized knee replacement construct.Level of EvidenceLevel II

  3. EL ORIGEN DE LAS ESPECIES Y SU RELACION CON EL INICIO DE LA ACTUAL TEORIA DE LA HERENCIA.

    Directory of Open Access Journals (Sweden)

    William Usanquén

    2009-10-01

    Full Text Available En los 200 años del nacimiento de Charles Darwin se ha realizado un sinfín de discusiones y se han publicado cientos de artículos por todo el mundo haciendo referencia a los aportes de “El origen de las especies” en las diferentes ramas de la cultura occidental, Sin embargo, haciendo un mayor énfasis en las obras, como producto madurado de la mente humana, en este año más que ser el aniversario número doscientos del nacimiento de Darwin, es el 200 aniversario de la aparición de una obra fundamental dentro de la teoría biológica: La “Philosophie Zoologique” escrita por Jean-Baptiste Lamarck. Por otra parte, también celebramos los 150 años de la primera edicion de “The Origin of species by means of natural selection, or the preservation of favoured races in the struggle for life”. En la primera parte se mostraran algunos elementos históricos relacionados con la filosofía zoológica y el contexto político de su nacimiento. Posteriormente se revisaran los principales conceptos darwinianos relacionados con la herencia y sus consecuencias en la formación de la disciplina llamada genética, se estudiara el caso especial de Gregor Mendel y finalmente se mostraran las implicaciones actuales en nuestra interpretación de la teoría evolutiva.

  4. La Geografía en las enseñanzas universitarias de Grado en España: docencia y planes de estudios

    Directory of Open Access Journals (Sweden)

    Luis Carlos Martínez Fernández

    2017-01-01

    Full Text Available La adaptación del sistema universitario español al Espacio Europeo de Educación Superior [EEES] ha supuesto una nueva organización de las enseñanzas superiores en nuestro país. En este contexto, el artículo detalla la presencia de la Geografía en los diferentes planes de estudios de Grado existentes, en los propios de Geografía y Ordenación del Territorio, como denominación más frecuente, y en otros Grados de las distintas ramas de conocimiento en que se agrupan los grandes campos del saber: Artes y Humanidades, Ciencias Sociales y Jurídicas, Ciencias e Ingeniería y Arquitectura. Mención aparte, por la larga vinculación establecida, merece la docencia de Geografía en las Escuelas de Magisterio, ahora trans - formadas en Facultades de Educación.

  5. The climatic change and the new demands in dwelling design; El cambio climatico y las nuevas exigencias en el diseno de la vivienda

    Energy Technology Data Exchange (ETDEWEB)

    Tardan Waltz, Jenny [Asociacion de Empresas para el Ahorro de la Energia en la Edificacion, A.C. (Mexico)

    2007-10-15

    In Mexico, the culture of energy saving began more than one decade ago, but the benefits are not yet concrete. The Mexican society, requires new designs of dwellings adapted to its needs and in addition modifies the present systems of construction that do not include criteria of design for the thermal comfort, the energy saving and the sustainability. It is urgent to reconsider the urbanism of the cities, as well as the promotion of the concept of sustainable development in all the branches of human activity. The design of dwellings must significantly integrate the energy and environmental components to reduce to the power consumption and the CO{sub 2} emissions. [Spanish] En Mexico, la cultura de ahorro de energia se inicio hace mas de una decada, pero los beneficios aun no son palpables. La sociedad mexicana, requiere de nuevos disenos de viviendas que se adapten a sus necesidades y que ademas modifiquen los sistemas de construccion actuales que no incluyen criterios de diseno para el confort termico, el ahorro de energia y la sustentabilidad. Es urgente reconsiderar el urbanismo de las ciudades, asi como la promocion del concepto de desarrollo sustentable en todas las ramas de la actividad humana. El diseno de la vivienda debe integrar los componentes energeticos y medioambientales, para reducir significativamente el consumo de energia y las emisiones de CO{sub 2}.

  6. Historia de las Universidades.

    Directory of Open Access Journals (Sweden)

    Jaime Escobar Triana

    1999-04-01

    ínicos”

    La civilización medieval produjo los arquetipos y el impulso dinámico para las fuerzas principales del mundo moderno. Representa el período de gestación de la cultura moderna. La ciencia occidental se desarrolló en las redes de la erudición medieval que en el siglo XII eran las escuelas catedralicias. La catedral de Chartres, simboliza, históricamente los comienzos de nuestra era científica y tecnológica.

    En la escuela de Chartres se establecieron las bases filosóficas para el surgimiento de la ciencia medieval y la moderna. El estudio de la naturaleza se constituyó en disciplina por derecho propio. En Chartres, durante el siglo XII, el estudio de la ciencia obtuvo por primera vez una prioridad definitiva sobre la enseñanza de las artes liberales y los maestros lucharon por la instauración de osadas reformas en la educación superior general centrando el programa de estudios de ciencias naturales en el cuadrivio: aritmética, música (como matemáticas geometría y astronomía y no en las humanidades tradicionales del trivio: gramática, retórica y lógica.

    La escuela de Chartres desafiaba así a los 7 siglos de enseñanzas cristianas a cerca del lugar de la naturaleza en el esquema divino, contra todas las resistencias de las grandes escuelas catedralicias de Orleans, Saint Victor en París y Laon. El ser humano y el mundo eran una unidad en el pensamiento de Chartres; trivio y cuadrivio eran parte de un universo único. Pedro Abelardo En sus escritos (siglo XII se hallan las raíces históricas de la técnica, del método con el que las grandes escuelas universitarias del S XIII construyeron, organizaron y expresaron sus doctrinas, las síntesis teológicas más complejas y más completas de la edad media. Abelardo en la Escuela de Santa Genoveva en París y Cátedra de Notre-Dame, Busca huir de los condicionamientos de las estructuras culturales cerradas e inmóviles y de las rígidas concepciones tradicionales para abrirse a una vía de investigaci

  7. Historia de las Hormonas

    Directory of Open Access Journals (Sweden)

    Alfredo Jácome-Roca

    2009-01-01

    Full Text Available

    El historiador Garrison afirma en su libro Introducción a la Historia de la Medicina que… “la nueva ciencia de la endocrinología, aunque arraigada en el pasado prehistórico, es virtualmente una creación del siglo XX…”

    Eso es precisamente lo que se quiere mostrar en este libro: las raíces hundidas en el pasado y los sorprendentes hallazgos de la modernidad de la centuria precedente, con algunos hechos importantes acaecidos en el siglo XIX.

    Los primeros datos conocidos comenzaron por las observaciones sobre animales y humanos castrados, sobre gigantes y enanos, diabéticos, cotudos y cretinos, y luego sobre las descripciones incipientes de los órganos endocrinos más grandes como el cuerpo tiroides, las cápsulas suprarrenales, testículos, ovarios y la glándula pituitaria. Personajes que podrían perfectamente provenir del país de Lilliput o de un circo del vecindario, tal era su extraña apariencia.

    Una eventual relación entre los casos clínicos mencionados y las glándulas se ignoraba casi totalmente, casi porque sí se sabía lo que ocurría a un animal o a un hombre castrado, antes y después de la pubertad. Por eso nos detendremos en algunas anécdotas (imposible la historia completa de los eunucos (y por espacio de dos siglos, particularmente en Italia, de los hombres-soprano denominados los castrati.

    Persistía la incógnita sobre la función de ciertos órganos o tejidos –llamados por siglos glándulas sin conducto (incluídos órganos hematopoyéticos como el timo, el bazo o los ganglios linfáticos: una pituitaria productora de moco, que drenaba en las fosas nasales el moco excesivo que se producía en los catarros; o una tiroides que lubricaba la laringe, unas cápsulas suprarrenales que sostenían los riñones, unos ovarios que eran testículos femeninos, o unos testículos que –esos sí- regaban semilla en el útero de las mujeres. Y tambi

  8. Las organizaciones complejas

    Directory of Open Access Journals (Sweden)

    Julio Mario Rodríguez Devis

    2002-05-01

    Full Text Available El aproximarse a las organizaciones con la visión de la complejidad permite observar sus múltiples interrelaciones, la relación orden-desorden-relaciones-retroacciones que se desarrollan en su interior, la íntima influencia bi-direccional entre el entorno y la organización, la emergencia y la autoorganizacion, la importancia de la información-ruido; en fin, observar a la organización como un sistema dinámico, no lineal, abierto y complejo. En este artículo se presentan los fundamentos de la complejidad en las organizaciones, y se describen los principales elementos que la constituyen.

  9. Contribución al conocimiento de las interacciones entre plantas, hormigas y homópteros en bosques secos de Colombia

    Directory of Open Access Journals (Sweden)

    Ramírez Mónica

    2001-12-01

    Full Text Available Las interacciones entre plantas y hormigas y entre plantas, hormigas y homópteros se estudiaron en 248 estaciones de muestreo situadas en nueve fragmentos de bosque seco del valle geográfico del río Cauca, entre enero y junio de 1997. Se registraron 352 interacciones que involucran 91 especies vegetales, hormigas de 67 especies y homópteros pertenecientes a nueve familias. El 4 7% de las asociaciones registradas implica el uso por parte de las hormigas de diferentes estructuras de las plantas (p. e. raíces de las epífitas, domacios en los tallos, hojarasca acumulada entre ramas y hojas, brácteas y peciolos de Heliconia spp. como refugios temporales o sitios de anidamiento. El restante 53% involucra la recolección de miel de homópteros y de sustancias azucaradas en nectarios extraflorales. asmannia auropunctata (17%, Dolichoderus bispinosus (11% Y Brachymyrmex heeri (7% fueron las especies de hormigas registradas con mayor frecuencia. Las plantas más utilizadas fueron Heliconia stricta (8%, Philodendron sp. nov. (7% y Passiflora coriacea (5%. Entre las relaciones observadas, predominan las de tipo generalista, en que las hormigas explotan diferentes recursos aparentemente en forma oportunista y las plantas pueden encontrarse en buen estado a pesar de la ausencia de las hormigas.Interactions between ants and plants and those involving homopterans were studied in 248 sampling points located within nine tropical decidous forest fragments in the Cauca river Valley, between january and june, 1997. A total of 352 interactions were recorded involving 91 plant species, 67 ant species and Homoptera belonging to nine families. 47% ofthe interactions involved ants using different plant structures (such as epiphyte roots, domacia, litter collected in branches and leaves, bracts and petioles of Heliconia spp. as nesting sites or temporary refugia. The remaining 53% involved the collection of homopteran honeydew and sugary substances from extrafloral

  10. Humanismo en las universidades

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    Carlos Arturo Caparroso

    1963-08-01

    Full Text Available Algunas universidades del país, con encomiable acierto, han establecido, en los programas de sus ciclos de enseñanza profesional, el estudio de asignaturas de cultura general. Y para prestigiarlas, las han rotulado con una denominación ciertamente esclarecida y grata, término de rancia prosapia, de insigne lastre histórico: humanidades.

  11. Taxonomía y dinámica de las expectativas económicas de los empresarios industriales en Uruguay. Un análisis de conglomerados

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    Bibiana Lanzilotta Mernies

    2014-12-01

    Full Text Available Este artículo investiga los vínculos existentes entre los sectores industriales en Uruguay, con el fin de extraer señales acerca del proceso de formación de sus expectativas. El enfoque es predominantemente empírico, basado en la exploración de algoritmos de agrupación, mediante una única conexión con el vecino más cercano. Los resultados muestran que existe un grupo de industrias conectadas en expectativas, mayormente integrado por aquellas más expuestas a la competencia internacional. Estos ocupan los nodos centrales de la red de conexiones intersectoriales. Adicionalmente, se prueba que la cohesión entre las ramas industriales tiene una correlación positiva con el crecimiento manufacturero.

  12. Acciones para el uso del tiempo libre en niños adictos a la tecnología en las comunidades

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    Miguel Lourenco

    2011-12-01

    Full Text Available En pleno siglo XXI marcado por una situación que las naciones más poderosas y pobres, en que la informática, la biotecnología, la tecnología como nuevas energías y novedosos materiales del trabajo para la sociedad aumentando la producción y la productividad en las diversas ramas del saber. A pesar de los resultados agradables también traen consecuencias negativas en el proceso de formación integral del niño; la cuestión radica en que los niños por su mayoría ya no le prestan mucha atención las actividades naturales, sino las más modernas esto entorpece el desarrollo de la personalidad de los niños. Como consecuencia diariamente en el mundo se incrementa la cantidad de niños adictos a la tecnología según varias informaciones dadas por los especialistas de la salud, causándoles enfermedades, cardiovasculares, diabetes, problemas emocionales, mentales, distracciones, afectando así el proceso de formación de valores, por este propósito en este trabajo se reflejará como influye de forma negativa la adicción de la tecnología en las edades tempranas, donde proponemos acciones para el uso del tiempo libre en niños adictos al tecnología en las comunidades.

  13. Derrida en las pampas

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    Analía Gerbaudo

    2011-07-01

    Full Text Available http://dx.doi.org/10.5007/1984-784X.2011v11n16p16 En el año 2003 Mariano Ben Plotkin publica Freud en las pampas. Orígenes y desarrollo de una cultura psicoanalítica en la Argentina (1910-1983: un estudio minucioso de la recepción y difusión del psicoanálisis que recupero tanto en sus aspectos metodológicos como en sus conjeturas sobre la relación que los intelectuales argentinos suelen entablar con el pensamiento europeo (tesis que se refuerzan si se las lee en conjunción con las desarrolladas respecto de lo que ha acontecido en el campo de los estudios literarios en nuestro país entre la segunda mitad del siglo XX hasta la fecha –cf. Gerbaudo, 2006a, 2007a, 2007b-. Plotkin pone la descripción de la masiva difusión del psicoanálisis en Argentina en el corte temporal seleccionado al servicio del estudio de los factores culturales, sociales y políticos que hicieron lugar a esa acogida.

  14. Las juventudes falangistas

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    Ricardo L. CHUECA RODRÍGUEZ

    2010-03-01

    Full Text Available RESUMEN: Una de las servidumbres de cualquier intervención como la que me propongo realizar aquí es la de los prolegómenos, siempre inevitables. Cuando inicié la preparación de estas líneas pronto caí en la cuenta de que poco se podía entender sin clarificar una serie de cuestiones que yo creía previas. Al final no resultaron ser previas sino más bien contextúales. En todo caso necesarias. Por eso en primer lugar nos detendremos en intentar desentrañar las relaciones entre juventud y fascismo. Veremos después algunos datos contextúales de Falange como partido único en el régimen de Franco, y terminaremos analizando las causas del fracaso de la organización juvenil falangista como aparato del Partido, dirigido a obtener tanto una reprodución política interna como su implantación en la sociedad civil.

  15. Las telenovelas juveniles mexicanas y las adolescentas obesas

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    Tania Meza

    2006-01-01

    Full Text Available Esta investigación analiza la opresión por cuerpo (obesidad a la que las mujeres son sometidas dentro del sistema patriarcal durante la adolescencia, específicamente a través de la representación televisiva que de las jóvenes gordas se hace en la telenovela juvenil mexicana. Los enormes niveles de audiencia que poseen las telenovelas en nuestro país hace indispensable, para los estudios de género desde las ciencias dela comunicación, estudiar el papel de las mujeres en dichas teleseries. En este análisis se pretende mostrar la triple marginación a la que son sometidas las adolescentes obesas en las telenovelas juveniles mexicanas: por ser mujeres, por ser jóvenes y por ser gordas.

  16. Effects of the medial or basolateral amygdala upon social anxiety and social recognition in mice.

    Science.gov (United States)

    Wang, Yu; Zhao, Shanshan; Liu, Xu; Fu, Qunying

    2014-01-01

    Though social anxiety and social recognition have been studied extensively, the roles of the medial or basolateral amygdala in the control of social anxiety and social recognition remain to be determined. This study investigated the effects of excitotoxic bilateral medial or basolateral amygdala lesions upon social anxiety and social recognition in-mice. Animals at 9 weeks of age were given bilateral medial or basolateral amygdala lesions via infusion of N-methyl- D-aspartate and then were used for behavioral tests: anxiety-related tests (including open-field test, light-dark test, and elevated-plus maze test), social behavior test in a novel environment, social recognition test, and flavor recognition test. Medial or basolateral amygdala-lesioned mice showed lower levels of anxiety and increased social behaviors in a novel environment. Destruction of the medial or basolateral amygdala neurons impaired social recognition but not flavor recognition. The medial or basolateral amygdala is involved in the control of anxiety-related behavior (social anxiety and social behaviors) in mice. Moreover, both the medial and the basolateral amygdala are essential for social recognition but not flavor recognition in mice.

  17. Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures

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    Shih-Jie Lin

    2015-01-01

    Full Text Available Plate fixation remains one of the most popular surgical procedures for treating proximal humeral fractures (PHFx; however, substantial rates of complications have been reported in the literature. The objectives of the study were to examine how medial calcar support (MCS affects the radiographic outcomes and to determine the prognostic factors predicting treatment failure. We performed a retrospective cohort study of 89 adult patients who had PHFx and were treated with plate fixation at our institution in 2007–2011. The enrolled patients were separated into two groups according to disruption of medial calcar. Our results revealed an increased rate of poor radiographic outcomes in patients with disrupted medial calcar. Osteonecrosis of the humeral head and redisplacement were the two radiographic outcomes which had a positive causality with disruption of medial calcar (P=0.008 and 0.050, resp.. Deficient medial calcar, inadequate reduction, diabetes mellitus, chronic kidney disease, and chronic liver disease were all significant predictors for the development of osteonecrosis in patients after PHFx surgery. Inadequate reduction was also a predictor for redisplacement. We confirmed that the restoration of medial calcar as well as comorbid conditions plays key roles in treatment of patients having PHFx with disrupted medial calcar.

  18. Supinated forearm is correlated with the onset of medial epicondylitis in professional slalom water-skiers.

    Science.gov (United States)

    Rosa, Donato; Di Donato, Sigismondo Luca; Balato, Giovanni; D'Addona, Alessio; Schonauer, Fabrizio

    2016-01-01

    prolonged and laborious activities involving wrists and forearms has been long associated with the onset of epicondylitis. Slalom water-skiing can be included in this category. The purpose of the study is to analyse the correlation between the pronated or supinated position of forearms during water-skiing practice and the presence respectively of lateral and medial epicondylitis. sixty-six pro and semi-pro slalom water-skiers were enrolled in the study. A questionnaire was submitted to each athlete. Diagnosis of lateral or medial epicondylitis was made through anamnesis and clinical exam by an expert orthopaedic surgeon. Chi-squared were performed for categorical variables, and Mann-Whitney U test for continuous ones. from 116 upper limbs examined, we observed 15 (12.9%) cases of lateral epicondylitis, 30 (25.9%) cases of medial epicondylitis, 10 (8.6%) were affected by both lateral and medial epicondylitis. Lateral and medial epicondylitis were associated (95% C.I.=2,489-26,355; P=epicondylitis (95% C.I.=1,529-9,542; P=0.003). slalom water-skiing can be considered a high-risk sport for epicondylitis. In slalom water-skiers there is a correlation between development of lateral and medial epicondylitis in the same upper limb. Supinated position of forearms is strongly associated with the diagnosis of medial epicondylitis.

  19. [Application of pie-crusting the medial collateral ligament release in arthroscopic surgery for posterior horn of 
medial meniscus in knee joint].

    Science.gov (United States)

    Zhu, Weihong; Tang, Qi; Liao, Lele; Li, Ding; Yang, Yang; Chen, You

    2017-09-28

    To explore the effectiveness and safety of pie-crusting the medial collateral ligament release (MCL) in treating posterior horn of medial meniscus (PHMM) tear in tight medial tibiofemoral compartment of knee joint.
 Methods: Thirty-two consecutive patients with PHMM tear in tight medial tibiofemoral compartment of knee joint were admitted to our department from January, 2013 to December, 2014. All patients were performed pie-crusting the MCL release at its tibial insertion with 18-gauge intravenous needle. All patients were evaluated by valgus stress test and bilateral valgus stress radiograph at postoperative 1st day, 4th week and 12th week. Visual Analogue Scales (VAS), Lysholm scores, Tegner scores and International Knee Documentation Committee (IKDC) scores were recorded at the 1st, 3th, 6th month follow-up, then follow-up every 6 months.
 Results: The mean follow-up was 28 (24-36) months. All cases were negative in valgus stress test. MCL rupture, femoral fracture, articular cartilage lesion and neurovascular injury were not found at the last follow-up. The median medial joint space width of affected side and unaffected side for valgus stress radiographs were 6.8 mm and 4.3 mm (P0.05) at the 12th week, respectively. VAS scores was changed from 4.5±1.5 preoperatively to 1.7±1.0 at the final follow-up (t=16.561, Pjoint.

  20. The "moving valgus stress test" for medial collateral ligament tears of the elbow.

    Science.gov (United States)

    O'Driscoll, Shawn W M; Lawton, Richard L; Smith, Adam M

    2005-02-01

    The diagnosis of a painful partial tear of the medial collateral ligament in overhead-throwing athletes is challenging, even for experienced elbow surgeons and despite the use of sophisticated imaging techniques. The "moving valgus stress test" is an accurate physical examination technique for diagnosis of medial collateral ligament attenuation in the elbow. Cohort study (diagnosis); Level of evidence, 2. Twenty-one patients underwent surgical intervention for medial elbow pain due to medial collateral ligament insufficiency or other abnormality of chronic valgus overload, and they were assessed preoperatively with an examination called the moving valgus stress test. To perform the moving valgus stress test, the examiner applies and maintains a constant moderate valgus torque to the fully flexed elbow and then quickly extends the elbow. The test is positive if the medial elbow pain is reproduced at the medial collateral ligament and is at maximum between 120 degrees and 70 degrees. The moving valgus stress test was highly sensitive (100%, 17 of 17 patients) and specific (75%, 3 of 4 patients) when compared to assessment of the medial collateral ligament by surgical exploration or arthroscopic valgus stress testing. The mean shear range (ie, the arc within which pain was produced with the moving valgus stress test) was 120 degrees to 70 degrees. The mean angle at which pain was at a maximum was 90 degrees of elbow flexion. The moving valgus stress test is an accurate physical examination technique that, when performed and interpreted correctly, is highly sensitive for medial elbow pain arising from the medial collateral ligament.

  1. The Role of Medial Frontal Cortex in Action Anticipation in Professional Badminton Players.

    Science.gov (United States)

    Xu, Huan; Wang, Pin; Ye, Zhuo'er; Di, Xin; Xu, Guiping; Mo, Lei; Lin, Huiyan; Rao, Hengyi; Jin, Hua

    2016-01-01

    Some studies show that the medial frontal cortex is associated with more skilled action anticipation, while similar findings are not observed in some other studies, possibly due to the stimuli employed and the participants used as the control group. In addition, no studies have investigated whether there is any functional connectivity between the medial frontal cortex and other brain regions in more skilled action anticipation. Therefore, the present study aimed to re-investigate how the medial frontal cortex is involved in more skilled action anticipation by circumventing the limitations of previous research and to investigate that the medial frontal cortex functionally connected with other brain regions involved in action processing in more skilled action anticipation. To this end, professional badminton players and novices were asked to anticipate the landing position of the shuttlecock while watching badminton match videos or to judge the gender of the players in the matches. The video clips ended right at the point that the shuttlecock and the racket came into contact to reduce the effect of information about the trajectory of the shuttlecock. Novices who lacked training and watching experience were recruited for the control group to reduce the effect of sport-related experience on the medial frontal cortex. Blood oxygenation level-dependent activation was assessed by means of functional magnetic resonance imaging. Compared to novices, badminton players exhibited stronger activation in the left medial frontal cortex during action anticipation and greater functional connectivity between left medial frontal cortex and some other brain regions (e.g., right posterior cingulate cortex). Therefore, the present study supports the position that the medial frontal cortex plays a role in more skilled action anticipation and that there is a specific brain network for more skilled action anticipation that involves right posterior cingulate cortex, right fusiform gyrus

  2. A clinical evaluation of alternative fixation techniques for medial malleolus fractures.

    Science.gov (United States)

    Barnes, Hayley; Cannada, Lisa K; Watson, J Tracy

    2014-09-01

    Medial malleolus fractures have traditionally been managed using partially threaded screws and/or Kirschner wire fixation. Using these conventional techniques, a non-union rate of as high as 20% has been reported. In addition too many patients complaining of prominent hardware as a source of pain post-fixation. This study was designed to assess the outcomes of medial malleolar fixation using a headless compression screw in terms of union rate, the need for hardware removal, and pain over the hardware site. Saint Louis University and Mercy Medical Center, Level 1 Trauma Centers, St. Louis, MO. After IRB approval, we used billing records to identify all patients with ankle fractures involving the medial malleolus. Medical records and radiographs were reviewed to identify patients with medial malleolar fractures treated with headless compression screw fixation. Our inclusion criteria included follow-up until full weight bearing and a healed fracture. Follow-up clinical records and radiographs were reviewed to determine union, complication rate and perception of pain over the site of medial malleolus fixation. Sixty-four ankles were fixed via headless compression screws and 44 had adequate follow-up for additional evaluation. Seven patients had isolated medial malleolar fractures, 23 patients had bimalleolar fractures, and 14 patients had trimalleolar fractures. One patient (2%) required hardware removal due to cellulitis. One patient (2%) had a delayed union, which healed without additional intervention. Ten patients (23%) reported mild discomfort to palpation over the medial malleolus. The median follow-up was 35 weeks (range: 12-208 weeks). There were no screw removals for painful hardware and no cases of non-union. Headless compression screws provide effective compression of medial malleolus fractures and result in good clinical outcomes. The headless compression screw is a beneficial alternative to the conventional methods of medial malleolus fixation. Copyright

  3. The role of medial frontal gyrus in action anticipation in professional badminton players

    Directory of Open Access Journals (Sweden)

    Huan Xu

    2016-11-01

    Full Text Available Some studies show that the medial frontal cortex is associated with more skilled action anticipation, while similar findings are not observed in some other studies, possibly due to the stimuli employed and the participants used as the control group. In addition, no studies have investigated whether there is any functional connectivity between the medial frontal cortex and other brain regions in more skilled action anticipation. Therefore, the present study aimed to re-investigate how the medial frontal cortex is involved in more skilled action anticipation by circumventing the limitations of previous research and to investigate that the medial frontal cortex functionally connected with other brain regions involved in action processing in more skilled action anticipation. To this end, professional badminton players and novices were asked to anticipate the landing position of the shuttlecock while watching badminton match videos or to judge the gender of the players in the matches. The video clips ended right at the point that the shuttlecock and the racket came into contact to reduce the effect of information about the trajectory of the shuttlecock. Novices who lacked training and watching experience were recruited for the control group to reduce the effect of sport-related experience on the medial frontal cortex. Blood oxygenation level-dependent (BOLD activation was assessed by means of functional magnetic resonance imaging (fMRI. Compared to novices, badminton players exhibited stronger activation in the left medial frontal cortex during action anticipation and greater functional connectivity between left medial frontal cortex and some other brain regions (e.g., right posterior cingulate cortex. Therefore, the present study supports the position that the medial frontal cortex plays a role in more skilled action anticipation and that there is a specific brain network for more skilled action anticipation that involves right posterior cingulate

  4. The Role of Medial Frontal Cortex in Action Anticipation in Professional Badminton Players

    Science.gov (United States)

    Xu, Huan; Wang, Pin; Ye, Zhuo’er; Di, Xin; Xu, Guiping; Mo, Lei; Lin, Huiyan; Rao, Hengyi; Jin, Hua

    2016-01-01

    Some studies show that the medial frontal cortex is associated with more skilled action anticipation, while similar findings are not observed in some other studies, possibly due to the stimuli employed and the participants used as the control group. In addition, no studies have investigated whether there is any functional connectivity between the medial frontal cortex and other brain regions in more skilled action anticipation. Therefore, the present study aimed to re-investigate how the medial frontal cortex is involved in more skilled action anticipation by circumventing the limitations of previous research and to investigate that the medial frontal cortex functionally connected with other brain regions involved in action processing in more skilled action anticipation. To this end, professional badminton players and novices were asked to anticipate the landing position of the shuttlecock while watching badminton match videos or to judge the gender of the players in the matches. The video clips ended right at the point that the shuttlecock and the racket came into contact to reduce the effect of information about the trajectory of the shuttlecock. Novices who lacked training and watching experience were recruited for the control group to reduce the effect of sport-related experience on the medial frontal cortex. Blood oxygenation level-dependent activation was assessed by means of functional magnetic resonance imaging. Compared to novices, badminton players exhibited stronger activation in the left medial frontal cortex during action anticipation and greater functional connectivity between left medial frontal cortex and some other brain regions (e.g., right posterior cingulate cortex). Therefore, the present study supports the position that the medial frontal cortex plays a role in more skilled action anticipation and that there is a specific brain network for more skilled action anticipation that involves right posterior cingulate cortex, right fusiform gyrus

  5. Dopamine, the medial preoptic area, and male sexual behavior.

    Science.gov (United States)

    Dominguez, Juan M; Hull, Elaine M

    2005-10-15

    The medial preoptic area (MPOA), at the rostral end of the hypothalamus, is important for the regulation of male sexual behavior. Results showing that male sexual behavior is impaired following MPOA lesions and enhanced with MPOA stimulation support this conclusion. The neurotransmitter dopamine (DA) facilitates male sexual behavior in all studied species, including rodents and humans. Here, we review data indicating that the MPOA is one site where DA may act to regulate male sexual behavior. DA agonists microinjected into the MPOA facilitate sexual behavior, whereas DA antagonists impair copulation, genital reflexes, and sexual motivation. Moreover, microdialysis experiments showed increased release of DA in the MPOA as a result of precopulatory exposure to an estrous female and during copulation. DA may remove tonic inhibition in the MPOA, thereby enhancing sensorimotor integration, and also coordinate autonomic influences on genital reflexes. In addition to sensory stimulation, other factors influence the release of DA in the MPOA, including testosterone, nitric oxide, and glutamate. Here we summarize and interpret these data.

  6. The medial olivocochlear reflex in children during active listening.

    Science.gov (United States)

    Smith, Spencer B; Cone, Barbara

    2015-08-01

    To determine if active listening modulates the strength of the medial olivocochlear (MOC) reflex in children. Click-evoked otoacoustic emissions (CEOAEs) were recorded from the right ear in quiet and in four test conditions: one with contralateral broadband noise (BBN) only, and three with active listening tasks wherein attention was directed to speech embedded in contralateral BBN. Fifteen typically-developing children (ranging in age from 8 to14 years) with normal hearing. CEOAE levels were reduced in every condition with contralateral acoustic stimulus (CAS) when compared to preceding quiet conditions. There was an additional systematic decrease in CEOAE level with increased listening task difficulty, although this effect was very small. These CEOAE level differences were most apparent in the 8-18 ms region after click onset. Active listening may change the strength of the MOC reflex in children, although the effects reported here are very subtle. Further studies are needed to verify that task difficulty modulates the activity of the MOC reflex in children.

  7. Autonoetic Consciousness in Autobiographical Memories after Medial Temporal Lobe Resection

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    M. Noulhiane

    2008-01-01

    Full Text Available This study aims to investigate autonoetic consciousness associated with episodic autobiographical memory in patients who had undergone unilateral medial temporal lobe resection for intractable epilepsy. Autonoetic consciousness, defined as the conscious feeling of mentally travelling back in time to relive a specific event, was assessed using the Remember/Know (R/K paradigm across different time periods as proposed in the autobiographical memory task developed by Piolino et al. (TEMPau task. Results revealed that the two patient groups (left and right temporal resection gave reduced sense of reliving (R responses and more familiarity (K responses than healthy controls. This poor autonoetic consciousness was highlighted when patients were asked to justify their Remember responses by recalling sensory-perceptive, affective or spatiotemporal specific details across all life periods. These results support the bilateral MTL contribution to episodic autobiographical memory covering the entire lifespan, which is consistent with the multiple trace theory of MTL function [7,9]. This study also demonstrates the bilateral involvement of MTL structures in recalling specific details of personal events characterized by autonoetic consciousness.

  8. Autonoetic Consciousness in Autobiographical Memories after Medial Temporal Lobe Resection

    Science.gov (United States)

    Noulhiane, M.; Piolino, P.; Hasboun, D.; Clemenceau, S.; Baulac, M.; Samson, S.

    2008-01-01

    This study aims to investigate autonoetic consciousness associated with episodic autobiographical memory in patients who had undergone unilateral medial temporal lobe resection for intractable epilepsy. Autonoetic consciousness, defined as the conscious feeling of mentally travelling back in time to relive a specific event, was assessed using the Remember/Know (R/K) paradigm across different time periods as proposed in the autobiographical memory task developed by Piolino et al. (TEMPau task). Results revealed that the two patient groups (left and right temporal resection) gave reduced sense of reliving (R) responses and more familiarity (K) responses than healthy controls. This poor autonoetic consciousness was highlighted when patients were asked to justify their Remember responses by recalling sensory-perceptive, affective or spatiotemporal specific details across all life periods. These results support the bilateral MTL contribution to episodic autobiographical memory covering the entire lifespan, which is consistent with the multiple trace theory of MTL function [7,9]. This study also demonstrates the bilateral involvement of MTL structures in recalling specific details of personal events characterized by autonoetic consciousness. PMID:18413911

  9. Transient medial prefrontal perturbation reduces false memory formation.

    Science.gov (United States)

    Berkers, Ruud M W J; van der Linden, Marieke; de Almeida, Rafael F; Müller, Nils C J; Bovy, Leonore; Dresler, Martin; Morris, Richard G M; Fernández, Guillén

    2017-03-01

    Knowledge extracted across previous experiences, or schemas, benefit encoding and retention of congruent information. However, they can also reduce specificity and augment memory for semantically related, but false information. A demonstration of the latter is given by the Deese-Roediger-McDermott (DRM) paradigm, where the studying of words that fit a common semantic schema are found to induce false memories for words that are congruent with the given schema, but were not studied. The medial prefrontal cortex (mPFC) has been ascribed the function of leveraging prior knowledge to influence encoding and retrieval, based on imaging and patient studies. Here, we used transcranial magnetic stimulation (TMS) to transiently perturb ongoing mPFC processing immediately before participants performed the DRM-task. We observed the predicted reduction in false recall of critical lures after mPFC perturbation, compared to two control groups, whereas veridical recall and recognition memory performance remained similar across groups. These data provide initial causal evidence for a role of the mPFC in biasing the assimilation of new memories and their consolidation as a function of prior knowledge. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Medial prefrontal cortex subserves diverse forms of self-reflection.

    Science.gov (United States)

    Jenkins, Adrianna C; Mitchell, Jason P

    2011-01-01

    The ability to think about oneself--to self--reflect--is one of the defining features of the human mind. Recent research has suggested that this ability may be subserved by a particular brain region: the medial prefrontal cortex (MPFC). However, although humans can contemplate a variety of different aspects of themselves, including their stable personality traits, current feelings, and physical attributes, no research has directly examined the extent to which these different forms of self-reflection are subserved by common mechanisms. To address this question, participants were scanned using functional magnetic resonance imaging (fMRI) while making judgments about their own personality traits, current mental states, and physical attributes as well as those of another person. Whereas some brain regions responded preferentially during only one form of self-reflection, a robust region of MPFC was engaged preferentially during self-reflection across all three types of judgment. These results suggest that--although dissociable--diverse forms of self-referential thought draw on a shared cognitive process subserved by MPFC.

  11. The Medial Ventrothalamic Circuitry: Cells Implicated in a Bimodal Network

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    Tomas Vega-Zuniga

    2018-02-01

    Full Text Available Previous avian thalamic studies have shown that the medial ventral thalamus is composed of several nuclei located close to the lateral wall of the third ventricle. Although the general connectivity is known, detailed morphology and connectivity pattern in some regions are still elusive. Here, using the intracellular filling technique in the chicken, we focused on two neural structures, namely, the retinorecipient neuropil of the n. geniculatus lateralis pars ventralis (GLv, and the adjacent n. intercalatus thalami (ICT. We found that the GLv-ne cells showed two different neuronal types: projection cells and horizontal interneurons. The projection cells showed variable morphologies and dendritic arborizations with axons that targeted the n. lentiformis mesencephali (LM, griseum tectale (GT, ICT, n. principalis precommissuralis (PPC, and optic tectum (TeO. The horizontal cells showed a widespread mediolateral neural process throughout the retinorecipient GLv-ne. The ICT cells, on the other hand, had multipolar somata with wide dendritic fields that extended toward the lamina interna of the GLv, and a projection pattern that targeted the n. laminaris precommissuralis (LPC. Together, these results elucidate the rich complexity of the connectivity pattern so far described between the GLv, ICT, pretectum, and tectum. Interestingly, the implication of some of these neural structures in visuomotor and somatosensory roles strongly suggests that the GLv and ICT are part of a bimodal circuit that may be involved in the generation/modulation of saccades, gaze control, and space perception.

  12. Anterior medial prefrontal cortex implements social priming of mimicry.

    Science.gov (United States)

    Wang, Yin; Hamilton, Antonia F de C

    2015-04-01

    The neural and cognitive mechanisms by which primed constructs can impact on social behavior are poorly understood. In the present study, we used functional magnetic resonance imaging (fMRI) to explore how scrambled sentence priming can impact on mimicry behavior. Sentences involving pro/antisocial events from a first/third-person point of view were presented in short blocks, followed by a reaction-time assessment of mimicry. Behavioral results showed that both prosociality and viewpoint impact on mimicry, and fMRI analysis showed this effect is implemented by anterior medial prefrontal cortex (amPFC). We suggest that social primes may subtly modulate processing in amPFC in a manner linked to the later behavior, and that this same region also implements the top-down control of mimicry responses. This priming may be linked to processing of self-schemas in amPFC. Our findings demonstrate how social priming can be studied with fMRI, and have important implications for our understanding of the underlying mechanisms of prime-to-behavior effects as well as for current theories in social psychology. © The Author (2014). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

  13. Visual working memory capacity and the medial temporal lobe.

    Science.gov (United States)

    Jeneson, Annette; Wixted, John T; Hopkins, Ramona O; Squire, Larry R

    2012-03-07

    Patients with medial temporal lobe (MTL) damage are sometimes impaired at remembering visual information across delays as short as a few seconds. Such impairments could reflect either impaired visual working memory capacity or impaired long-term memory (because attention has been diverted or because working memory capacity has been exceeded). Using a standard change-detection task, we asked whether visual working memory capacity is intact or impaired after MTL damage. Five patients with hippocampal lesions and one patient with large MTL lesions saw an array of 1, 2, 3, 4, or 6 colored squares, followed after 3, 4, or 8 s by a second array where one of the colored squares was cued. The task was to decide whether the cued square had the same color as the corresponding square in the first array or a different color. At the 1 s delay typically used to assess working memory capacity, patients performed as well as controls at all array sizes. At the longer delays, patients performed as well as controls at small array sizes, thought to be within the capacity limit, and worse than controls at large array sizes, thought to exceed the capacity limit. The findings suggest that visual working memory capacity in humans is intact after damage to the MTL structures and that damage to these structures impairs performance only when visual working memory is insufficient to support performance.

  14. Correlating Function and Imaging Measures of the Medial Longitudinal Fasciculus.

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    Ken Sakaie

    Full Text Available To test the validity of diffusion tensor imaging (DTI measures of tissue injury by examining such measures in a white matter structure with well-defined function, the medial longitudinal fasciculus (MLF. Injury to the MLF underlies internuclear ophthalmoparesis (INO.40 MS patients with chronic INO and 15 healthy controls were examined under an IRB-approved protocol. Tissue integrity of the MLF was characterized by DTI parameters: longitudinal diffusivity (LD, transverse diffusivity (TD, mean diffusivity (MD and fractional anisotropy (FA. Severity of INO was quantified by infrared oculography to measure versional disconjugacy index (VDI.LD was significantly lower in patients than in controls in the medulla-pons region of the MLF (p < 0.03. FA was also lower in patients in the same region (p < 0.0004. LD of the medulla-pons region correlated with VDI (R = -0.28, p < 0.05 as did FA in the midbrain section (R = 0.31, p < 0.02.This study demonstrates that DTI measures of brain tissue injury can detect injury to a functionally relevant white matter pathway, and that such measures correlate with clinically accepted evaluation indices for INO. The results validate DTI as a useful imaging measure of tissue integrity.

  15. Medial temporal lobe roles in human path integration.

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    Naohide Yamamoto

    Full Text Available Path integration is a process in which observers derive their location by integrating self-motion signals along their locomotion trajectory. Although the medial temporal lobe (MTL is thought to take part in path integration, the scope of its role for path integration remains unclear. To address this issue, we administered a variety of tasks involving path integration and other related processes to a group of neurosurgical patients whose MTL was unilaterally resected as therapy for epilepsy. These patients were unimpaired relative to neurologically intact controls in many tasks that required integration of various kinds of sensory self-motion information. However, the same patients (especially those who had lesions in the right hemisphere walked farther than the controls when attempting to walk without vision to a previewed target. Importantly, this task was unique in our test battery in that it allowed participants to form a mental representation of the target location and anticipate their upcoming walking trajectory before they began moving. Thus, these results put forth a new idea that the role of MTL structures for human path integration may stem from their participation in predicting the consequences of one's locomotor actions. The strengths of this new theoretical viewpoint are discussed.

  16. Human medial frontal cortex activity predicts learning from errors.

    Science.gov (United States)

    Hester, Robert; Barre, Natalie; Murphy, Kevin; Silk, Tim J; Mattingley, Jason B

    2008-08-01

    Learning from errors is a critical feature of human cognition. It underlies our ability to adapt to changing environmental demands and to tune behavior for optimal performance. The posterior medial frontal cortex (pMFC) has been implicated in the evaluation of errors to control behavior, although it has not previously been shown that activity in this region predicts learning from errors. Using functional magnetic resonance imaging, we examined activity in the pMFC during an associative learning task in which participants had to recall the spatial locations of 2-digit targets and were provided with immediate feedback regarding accuracy. Activity within the pMFC was significantly greater for errors that were subsequently corrected than for errors that were repeated. Moreover, pMFC activity during recall errors predicted future responses (correct vs. incorrect), despite a sizeable interval (on average 70 s) between an error and the next presentation of the same recall probe. Activity within the hippocampus also predicted future performance and correlated with error-feedback-related pMFC activity. A relationship between performance expectations and pMFC activity, in the absence of differing reinforcement value for errors, is consistent with the idea that error-related pMFC activity reflects the extent to which an outcome is "worse than expected."

  17. Modulación de la actividad de las células ciliadas del órgano de Corti por el sistema eferente olivococlear

    OpenAIRE

    Ballestero, Jimena A.

    2011-01-01

    En el órgano de Corti, el epitelio sensorial del sistema auditivo de los mamíferos, las células ciliadas internas (CCIs) transducen los estímulos sonoros a señales eléctricas que son enviadas al sistema nervioso central, mientras que las células ciliadas externas (CCEs) participan del proceso de amplificación y sintonización fina de estos estímulos. La actividad de las CCEs es modulada por una inervación eferente que proviene del tallo cerebral, el sistema olivococlear medial (MOC). Durante e...

  18. Benefit of cup medialization in total hip arthroplasty is associated with femoral anatomy.

    Science.gov (United States)

    Terrier, Alexandre; Levrero Florencio, Francesc; Rüdiger, Hannes A

    2014-10-01

    Medialization of the cup with a respective increase in femoral offset has been proposed in THA to increase abductor moment arms. Insofar as there are potential disadvantages to cup medialization, it is important to ascertain whether the purported biomechanical benefits of cup medialization are large enough to warrant the downsides; to date, studies regarding this question have disagreed. The purpose of this study was to quantify the effect of cup medialization with a compensatory increase in femoral offset compared with anatomic reconstruction for patients undergoing THA. We tested the hypothesis that there is a (linear) correlation between preoperative anatomic parameters and muscle moment arm increase caused by cup medialization. Fifteen patients undergoing THA were selected, covering a typical range of preoperative femoral offsets. For each patient, a finite element model was built based on a preoperative CT scan. The model included the pelvis, femur, gluteus minimus, medius, and maximus. Two reconstructions were compared: (1) anatomic position of the acetabular center of rotation, and (2) cup medialization compensated by an increase in the femoral offset. Passive abduction-adduction and flexion-extension were simulated in the range of normal gait. Muscle moment arms were evaluated and correlated to preoperative femoral offset, acetabular offset, height of the greater trochanter (relative to femoral center of rotation), and femoral antetorsion angle. The increase of muscle moment arms caused by cup medialization varied among patients. Muscle moment arms increase by 10% to 85% of the amount of cup medialization for abduction-adduction and from -35% (decrease) to 50% for flexion-extension. The change in moment arm was inversely correlated (R(2) = 0.588, p = 0.001) to femoral antetorsion (anteversion), such that patients with less femoral antetorsion gained more in terms of hip muscle moments. No linear correlation was observed between changes in moment arm and

  19. Case report 483: Discoid lateral meniscus (DLM), medially displaced, with complex tear

    International Nuclear Information System (INIS)

    Howe, M.A.; Buckwalter, K.A.; Braunstein, E.M.; Wojtys, E.M.

    1988-01-01

    A case of a 9-year-old girl who presented with persistent pain in the left knee was demonstrated to have a discoid lateral meniscus (DLM). The sagittal MR images demonstrated the oval shape of the meniscus, consistent with the typical arthrographic appearance. The coronal images showed that the main substance of the meniscus was displaced medially, with overgrowth of the articular cartilage at the lateral aspect of the joint. The medial aspect of the lateral femoral condyle was concave to accommodate the abnormal meniscus. These findings are consistent with long-standing, medial displacement of the torn meniscus. The literature concerning DLM, an uncommon variant, was reviewed and discussed. (orig.)

  20. Las marcas propias en Colombia

    Directory of Open Access Journals (Sweden)

    Carlos Felipe Payán Rodríguez

    2013-11-01

    Full Text Available El artículo analiza la situación actual de las marcas propias en Colombia, teniendo en cuenta su creciente auge al interior de las grandes superficies. Mediante este tipo de marcas el mismo distribuidor vende productos y servicios con su nombre o recurriendo a una marca de su propiedad, compitiendo con las marcas ya posicionadas en el mercado de los fabricantes. El texto se articula, primero, en una contextualización con base en doctrina comparada respecto de las marcas propias. Luego, se aplican las reglas de dichos conceptos doctrinales a la situación actual colombiana. Por último, se plantean dos problemas jurídicos respecto de las marcas propias, uno, analizado desde la propiedad industrial, y el otro, desde las reglas del Estatuto del Consumidor.

  1. Las mujeres lacandonas: cambios recientes

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    Lucie Nečasová

    2010-08-01

    Full Text Available El artículo se enfoca en los cambios en la vida de las mujeres lacandonas contemporáneas. Analiza cómo se han modificado el modo de la vida, las costumbres y las relaciones de la mujer dentro de las propias familias pero también dentro de la sociedad y la comunidad. El objetivo es mostrar los cambios reflejados en la vida de las mujeres de tres generaciones. El estudio está basado en las etnografías disponibles combinadas con el propio trabajo de campo realizado en las comunidades Lacanjá y Nahá en los años 2008 y 2009.

  2. Las narcodemocracias andinas

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    Olivier DABÈNE

    2009-11-01

    Full Text Available RESUMEN: Los países de América Latina están afectados en diferentes aspectos por el tráfico de drogas. En especial, en los países andinos, esta actividad ha condicionado de manera decisiva el tipo de régimen democrático iniciado en algún caso en la década de 1980, como Perú o Bolivia, o el régimen colombiano. El autor califica a estos regímenes como narcodemocracias por los efectos del tráfico de drogas no sólo en el orden social y económico, que analiza de forma profunda, sino por la politización del narcotráfico. Las respuestas de las democracias han sido bien distintas en los tres casos analizados, afectando, sin embargo, en todos ellos, a la gobernabilidad de las mismas y a su legitimidad.ABSTRACT: Latin American countries are affected by narcotrafico in different aspects. Particularly, in Andean countries, this activity has deeply conditioned the type of democratic regime installed in some cases in the eighties, as Perou and Bolivia, or the colombian regimen. The author characterizes these regimes as narcodemocracias by effects of narcotrafico in them, not only in social and economic arenas, but also by the politization of narcotrafico. Responses of democracies have been very different in these cases analyzed in the article. Nevertheless, in all of them, governability and legitmity of democracy are affected.

  3. Las actividades de lucha

    OpenAIRE

    Villamón Herrera, Miguel; Gutiérrez García, Carlos; Espartero Casado, Julián

    2003-01-01

    La lucha, como práctica lúdica y agonística está vinculada a la historia de todos los pueblos y civilizaciones. Su origen se remonta a los albores de la humanidad, por la necesidad de defender la propia vida y la integridad física frente a situaciones de peligro para la supervivencia. Así, para someter violentamente al adversario, a lo largo de la historia y en las diversas civilizaciones, se desarrollaron en cada región del mundo distintas técnicas de combate que, en unos casos, utilizaba...

  4. El desigual impacto de la crisis económica de 2008-2009 en los mercados de trabajo de las regiones de México: la frontera norte frente a la región sur

    Directory of Open Access Journals (Sweden)

    Jorge López Arévalo

    2015-01-01

    Full Text Available La crisis económica de 2008-2009 afectó al mercado laboral mexicano en términos de cantidad, distribución por sectores y calidad de los empleos. En este artículo se estudian estos cambios desde una perspectiva regional, entendiendo que las áreas del país más vin - culadas a los mercados internacionales padecieron las consecuencias de la crisis de mane - ras y con intensidades distintas a las regiones más aisladas. Mediante el ajuste de modelos ARIMA se demuestra que las entidades de la región sur crearon puestos de trabajo durante la crisis, la mayor parte de ellos en condiciones precarias, pero sin destrucción de empleo formal. Lo contrario ocurrió en la frontera norte, donde la industria manufacturera, la rama más ligada al comercio internacional, soportó la mayor parte del ajuste en términos de em - pleo. El sector terciario y, especialmente, el primario actuaron a modo de refugio tanto en el sur como en el norte del país. Derechos Reservados © 2015 Universidad Nacional Autónoma de México, Facultad de Contaduría y Administración. Este es un artículo de acceso abierto distribuido bajo los términos de la Licencia Creative Commons CC BY-NC-ND 4.0.

  5. Did Failure Occur Because of Medial Column Instability That Was Not Recognized, or Did It Develop After Surgery?

    Science.gov (United States)

    Kadakia, Anish R; Kelikian, Armen S; Barbosa, Mauricio; Patel, Milap S

    2017-09-01

    Medial column instability is a primary deforming force in the setting of pes planovalgus deformity. Consideration for medial column stabilization only after correction of the hindfoot deformity may result in creating a rigid hindfoot, compromising clinical outcomes. Careful analysis of the lateral radiograph to determine whether the deformity is secondary to the medial column or true peritalar subluxation may allow superior outcomes. Iatrogenic creation of an excessively rigid medial column may lead to significant instability of the remaining joints in the short term and arthrosis in the long term. Medial column arthrodesis should be used selectively to correct gross instability. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Opening the medial tibiofemoral compartment by pie-crusting the superficial medial collateral ligament at its tibial insertion: a cadaver study.

    Science.gov (United States)

    Roussignol, X; Gauthe, R; Rahali, S; Mandereau, C; Courage, O; Duparc, F

    2015-09-01

    Arthroscopic treatment of tears in the middle and posterior parts of the medial meniscus can be difficult when the medial tibiofemoral compartment is tight. Passage of the instruments may damage the cartilage. The primary objective of this cadaver study was to perform an arthroscopic evaluation of medial tibiofemoral compartment opening after pie-crusting release (PCR) of the superficial medial collateral ligament (sMCL) at its distal insertion on the tibia. The secondary objective was to describe the anatomic relationships at the site of PCR (saphenous nerve, medial saphenous vein). We studied 10 cadaver knees with no history of invasive procedures. The femur was held in a vise with the knee flexed at 45°, and the medial aspect of the knee was dissected. PCR of the sMCL was performed under arthroscopic vision, in the anteroposterior direction, at the distal tibial insertion of the sMCL, along the lower edge of the tibial insertion of the semi-tendinosus tendon. Continuous 300-N valgus stress was applied to the ankle. Opening of the medial tibiofemoral compartment was measured arthroscopically using graduated palpation hooks after sequential PCR of the sMCL. The compartment opened by 1mm after release of the anterior third, 2.3mm after release of the anterior two-thirds, and 3.9mm after subtotal release. A femoral fracture occurred in 1 case, after completion of all measurements. Both the saphenous nerve and the medial saphenous vein were located at a distance from the PCR site in all 10 knees. PCR of the sMCL is chiefly described as a ligament-balancing method during total knee arthroplasty. This procedure is usually performed at the joint line, where it opens the compartment by 4-6mm at the most, with some degree of unpredictability. PCR of the sMCL at its distal tibial insertion provides gradual opening of the compartment, to a maximum value similar to that obtained with PCR at the joint space. The lower edge of the semi-tendinosus tendon is a valuable landmark

  7. las distintas organizaciones

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    A. Maldonado Ibáñez

    2006-01-01

    Full Text Available El presente artículo trata sobre la definición de un repositorio-catálogo de estilos aplicables a la representación cartográfica de los distintos fenómenos geográficos, basándose en la simbología normalizada de las distintas Organizaciones Cartográficas, tales como el Instituto Geográfico Nacional, el Ministerio de Medio Ambiente, el Instituto Nacional de Estadística, etc. El catálogo permitirá una elección rápida y sencilla de los diversos estilos utilizados por dichos organismos oficiales. Se trata de definir un repositorio en el que almacenar los estilos individualizados aplicables a los fenómenos geográficos, en el que se disponga de la capacidad de insertar, borrar y actualizar nuevos estilos. El repositorio debe responder como catálogo sobre el que buscar y descargar estilos. Una de las aplicaciones del repositorio-catálogo es la generación de estilos en el formato Style Layer Descriptor (SLD para ser visualizados mediante Servidores de Mapas en Red conformes con OGC.

  8. Las carreras del futuro

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    Luis Piscoya Hermoza

    2011-07-01

    Full Text Available La primera década del siglo XXI ha estado signada por un énfasis en los estudiosde prospectiva, los mismos que, a partir de procesos de complejizacióny articulación de la sociedad planetaria como son la digitalización, el progresivodeterioro del medio ambiente, la necesidad del cambio de la matriz energéticay la globalización del mercado, han ensayado hipótesis para identificar lastendencias que se fortalecerán y profundizarán durante las próximas décadas.Desde el punto de vista metodológico, existen muchas maneras de clasificarlaspara conceptualizarlas y entenderlas mejor. Sin embargo, considerando lanaturaleza de esta edición nos proponemos enfocar directamente aquellas queestán estrechamente ligadas a la formación universitaria.Naturalmente, no pensamos que estamos ante tendencias inevitables en lamedida que epistemológicamente la creencia en leyes históricas deterministases insostenible y la práctica social nos muestra que la construcción del futuroes nuestra responsabilidad y siempre rebasa las mejores previsiones.

  9. Las crisis familiares

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    Idarmis González Benítez

    2000-06-01

    Full Text Available Con este trabajo nos propusimos actualizar el tema de las crisis familiares. Se pone de manifiesto que tanto los eventos propios del desarrollo, como los accidentales, dan lugar a la aparición de crisis en la familia. Queda esclarecido, que no necesariamente han de tener implicaciones negativas para la familia. Se hace énfasis en la valoración del evento por la familia y su significación. Se destaca el papel de los recursos familiares como protectores y moduladores de las crisis. Por último se señalan algunos pasos a seguir en la intervención familiarWith this paper we intend to update the topic of the family crises. It is shown that the own events of development as well as the accidental ones bring about the appearance of crises in the family. It is made clear that they not always have negative implications for the family. Emphasis is made on the assessment of the event for the family and its significance. The role played by the family resources as protective and modulators of the crisis is stressed. Finally, some of the steps to be taken in family intervention are mentioned

  10. Las cruces del olvido

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    Carla Fernandes

    2012-08-01

    Full Text Available Les tragiques événements du « mars paraguayen » ont signifié la disparition de l’espoir en la transition démocratique dans laquelle le pays s’était engagé depuis presque une dizaine d’années. Renée Ferrer, poète, dramaturge, auteur de plusieurs recueils de contes et de deux romans, consigne alors le témoignage poétique de ce drame national dans le recueil Las cruces del olvido (2001. Elle a auparavant publié d’autres textes qui peuvent rentrer dans la catégorie de la poésie sociale : c’est le cas en particulier de Viaje a destiempo (1989 dédié aux victimes de la dictature. Las cruces del olvido, dès son paratexte, insiste sur la fonction de témoignage que l’auteur souhaite assigner à ses vers et sur le rôle que ceux-ci peuvent jouer dans la transmission d’une mémoire collective. La voix d’un jeune disparu de ce « mars paraguayen », le dédoublement qu’il subit et travers lequel il évoque son entrée dans la mort et son absence du monde des vivants, rendent possible l’écriture de cette expérience de l’indicible qu’est la disparition.Los trágicos acontecimientos del «marzo paraguayo» significaron la desaparición de la esperanza en la transición democrática que el país está viviendo desde unos diez años. Renée Ferrer, poeta, dramaturga, autora de varios libros de cuentos y de dos novelas, escribe entonces el testimonio poético de ese drama nacional en su poemario Las cruces del olvido (2001. Ya había publicado antes textos que se pueden considerar como poesía social: es el caso de Viaje a destiempo (1989 dedicado a las víctimas de la dictadura. Desde el texto apertural, Las cruces del olvido potencia la función de testimonio que la autora desea conceder a sus versos y el papel que éstos pueden desempeñar en la transmisión de una memoria colectiva. La voz de un joven desaparecido del «marzo paraguayo», el desdoblamiento que sufre y a través del cual evoca su entrada en la

  11. Las histiocitosis Histiocytosis

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    Eva Svarch

    2001-12-01

    Full Text Available El término histiocitosis identifica un grupo de alteraciones que tienen en común la proliferación de células dendríticas (CD y los macrófagos, y se diagnostican más frecuentemente en niños. Dentro de las relacionadas con las CD las fundamentales son las histiocitosis a células de Langerhans (HCL. Las HCL tienen un comportamiento clínico muy variable, que puede ir desde una lesión que involucra un solo sitio o sistema hasta una enfermedad multisistémica. El tratamiento depende de la extensión del proceso. Una lesión única tiende a desaparecer espontáneamente. También la biopsia diagnóstica con o sin inyección de un esteroide puede iniciar la curación. Los pacientes con enfermedad multisistémica pueden beneficiarse con el tratamiento esteroideo y citostático o inclusive con el trasplante de células progenitoras hematopoyéticas. La histiocitosis sinusal con linfoadenopatías masivas o enfermedad de Rosai Dorfman se debe a la proliferación de los macrófagos, es de naturaleza benigna y usualmente autolimitada. Afecta sobre todo a niños y adultos jóvenes. La linfohistiocitosis hemofagocítica también se produce por la proliferación de los macrófagos y es una enfermedad rara con una alta mortalidad. Puede ser familiar (autosómica recesiva o secundaria a infecciones virales. Esta última forma se presenta más frecuentemente en el lactante pequeño. En la actualidad, sobre todo en la variedad familiar, el trasplante alogénico de células progenitoras hematopoyéticas puede ser la única medida curativaThe term histiocytosis identifies a group of disorders that have in common the proliferation of dentritic cells (DC and macrophages and is frequently diagnosed in children. Among the fundamental variants of histiocytosis related with DC, we find Langerhans cell histiocytosis (LCH. Langerhans cell histiocytosis has very variable clinical behavior that ranges from a lesion involving only one site or system to a multisystem

  12. MR imaging of edematous anconeus epitrochlearis: another cause of medial elbow pain?

    International Nuclear Information System (INIS)

    Jeon, In-Ho; Neumann, Lars; Wallace, W. Angus; Fairbairn, K. Julia

    2005-01-01

    Two patients with unusual medial elbow pain had MRI scans performed that revealed edema of the aberrant muscle of the anconeus epitrochlearis. MRI of this anconeus epitrochlearis muscle are presented. (orig.)

  13. Impact of Partial and complete rupture of anterior cruciate ligament on medial meniscus: A cadavaric study

    Directory of Open Access Journals (Sweden)

    Wei Jiang

    2012-01-01

    Conclusions: Similar to complete rupture, partial rupture of ACL can also trigger strain concentration on medial meniscus, especially posterior horn, which may be a more critical reason for meniscus injury associated with chronic ACL deficiency.

  14. Noradrenergic and GABAergic systems in the medial hypothalamus are activated during hypoglycemia

    NARCIS (Netherlands)

    Beverly, JL; De Vries, MG; Bouman, SD; Arseneau, LM

    Noradrenergic and GABAergic systems in the medial hypothalamus influence plasma glucose and may be activated during glucoprivation. Microdialysis probes were placed into the ventromedial nucleus (VMH), lateral hypothalamus (LHA), and paraventricular nucleus (PVH) of male Sprague-Dawley rats to

  15. Medial frontal white and gray matter contributions to general intelligence.

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    Toshiyuki Ohtani

    Full Text Available The medial orbitofrontal cortex (mOFC and rostral anterior cingulate cortex (rACC are part of a wider neural network that plays an important role in general intelligence and executive function. We used structural brain imaging to quantify magnetic resonance gray matter volume and diffusion tensor white matter integrity of the mOFC-rACC network in 26 healthy participants who also completed neuropsychological tests of intellectual abilities and executive function. Stochastic tractography, the most effective Diffusion Tensor Imaging method for examining white matter connections between adjacent gray matter regions, was employed to assess the integrity of mOFC-rACC pathways. Fractional anisotropy (FA, which reflects the integrity of white matter connections, was calculated. Results indicated that higher intelligence correlated with greater gray matter volumes for both mOFC and rACC, as well as with increased FA for left posterior mOFC-rACC connectivity. Hierarchical regression analyses revealed that DTI-derived FA of left posterior mOFC-rACC uniquely accounted for 29%-34% of the variance in IQ, in comparison to 11%-16% uniquely explained by gray matter volume of the left rACC. Together, left rACC gray matter volume and white matter connectivity between left posterior mOFC and rACC accounted for up to 50% of the variance in general intelligence. This study is to our knowledge the first to examine white matter connectivity between OFC and ACC, two gray matter regions of interests that are very close in physical proximity, and underscores the important independent contributions of variations in rACC gray matter volume and mOFC-rACC white matter connectivity to individual differences in general intelligence.

  16. Fear Expression Suppresses Medial Prefrontal Cortical Firing in Rats.

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    Thomas F Giustino

    Full Text Available The medial prefrontal cortex (mPFC plays a crucial role in emotional learning and memory in rodents and humans. While many studies suggest a differential role for the prelimbic (PL and infralimbic (IL subdivisions of mPFC, few have considered the relationship between neural activity in these two brain regions recorded simultaneously in behaving animals. Importantly, how concurrent PL and IL activity relate to conditioned freezing behavior is largely unknown. Here we used single-unit recordings targeting PL and IL in awake, behaving rats during the acquisition and expression of conditioned fear. On Day 1, rats received either signaled or unsignaled footshocks in the recording chamber; an auditory conditioned stimulus (CS preceded signaled footshocks. Twenty-four hours later, animals were returned to the recording chamber (modified to create a novel context where they received 5 CS-alone trials. After fear conditioning, both signaled and unsignaled rats exhibited high levels of post-shock freezing that was associated with an enduring suppression of mPFC spontaneous firing, particularly in the IL of signaled rats. Twenty-four hours later, CS presentation produced differential conditioned freezing in signaled and unsignaled rats: freezing increased in rats that had received signaled shocks, but decreased in animals in the unsignaled condition (i.e., external inhibition. This group difference in CS-evoked freezing was mirrored in the spontaneous firing rate of neurons in both PL and IL. Interestingly, differences in PL and IL firing rate highly correlated with freezing levels. In other words, in the signaled group IL spontaneous rates were suppressed relative to PL, perhaps limiting IL-mediated suppression of fear and allowing PL activity to dominate performance, resulting in high levels of freezing. This was not observed in the unsignaled group, which exhibited low freezing. These data reveal that the activity of mPFC neurons is modulated by both

  17. Medial prefrontal cortex stimulation modulates the processing of conditioned fear

    Directory of Open Access Journals (Sweden)

    Anne eGuhn

    2014-02-01

    Full Text Available The extinction of conditioned fear is dependent on an efficient interplay between the amygdala and the medial prefrontal cortex (mPFC. In rats, high-frequency electrical mPFC stimulation was shown to improve extinction by a reduction of amygdala activity. However, so far it is unclear whether stimulation of homologues regions in humans might have similar beneficial effects.Healthy volunteers received one-session of either active or sham repetitive transcranial magnetic stimulation (rTMS covering the mPFC while undergoing a two-day fear conditioning and extinction paradigm. rTMS was applied offline after fear acquisition in which one of two faces (CS+ but not CS- was associated with an aversive scream (UCS. Immediate extinction learning (day 1 and extinction recall (day 2 were conducted without UCS delivery. Conditioned responses were assessed in a multimodal approach using fear-potentiated startle (FPS, skin conductance responses (SCR, functional near-infrared spectroscopy (fNIRS and self-report scales. Consistent with the hypothesis of a modulated processing of conditioned fear after high-frequency rTMS, the active group showed a reduced CS+/CS- discrimination during extinction learning as evident in FPS as well as in SCR and arousal ratings. FPS responses to CS+ further showed a linear decrement throughout both extinction sessions. This study describes the first experimental approach of influencing conditioned fear by using rTMS which can be a basis for future studies investigating a complementation of mPFC stimulation to cognitive behavioral therapy.

  18. Modeling Conflict and Error in the Medial Frontal Cortex

    Science.gov (United States)

    Mayer, Andrew R.; Teshiba, Terri M.; Franco, Alexandre R.; Ling, Josef; Shane, Matthew S.; Stephen, Julia M.; Jung, Rex E.

    2014-01-01

    Despite intensive study, the role of the dorsal medial frontal cortex (dMFC) in error monitoring and conflict processing remains actively debated. The current experiment manipulated conflict type (stimulus conflict only or stimulus and response selection conflict) and utilized a novel modeling approach to isolate error and conflict variance during a multimodal numeric Stroop task. Specifically, hemodynamic response functions resulting from two statistical models that either included or isolated variance arising from relatively few error trials were directly contrasted. Twenty-four participants completed the task while undergoing event-related functional magnetic resonance imaging on a 1.5-Tesla scanner. Response times monotonically increased based on the presence of pure stimulus or stimulus and response selection conflict. Functional results indicated that dMFC activity was present during trials requiring response selection and inhibition of competing motor responses, but absent during trials involving pure stimulus conflict. A comparison of the different statistical models suggested that relatively few error trials contributed to a disproportionate amount of variance (i.e., activity) throughout the dMFC, but particularly within the rostral anterior cingulate gyrus (rACC). Finally, functional connectivity analyses indicated that an empirically derived seed in the dorsal ACC/pre-SMA exhibited strong connectivity (i.e., positive correlation) with prefrontal and inferior parietal cortex but was anticorrelated with the default-mode network. An empirically derived seed from the rACC exhibited the opposite pattern, suggesting that sub-regions of the dMFC exhibit different connectivity patterns with other large scale networks implicated in internal mentations such as daydreaming (default-mode) versus the execution of top-down attentional control (fronto-parietal). PMID:21976411

  19. Morphology of the medial collateral ligament of the knee

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    Gill Thomas J

    2010-09-01

    Full Text Available Abstract Background Quantitative knowledge on the anatomy of the medial collateral ligament (MCL is important for treatment of MCL injury and for MCL release during total knee arthroplasty (TKA. The objective of this study was to quantitatively determine the morphology of the MCL of human knees. Methods 10 cadaveric human knees were dissected to investigate the MCL anatomy. The specimens were fixed in full extension and this position was maintained during the dissection and morphometric measurements. The outlines of the insertion sites of the superficial MCL (sMCL and deep MCL (dMCL were digitized using a 3D digitizing system. Results The insertion areas of the superficial MCL (sMCL were 348.6 ± 42.8 mm2 and 79.7 ± 17.6 mm2 on the tibia and femur, respectively. The insertion areas of the deep MCL (dMCL were 63.6 ± 13.4 mm2 and 71.9 ± 14.8 mm2 on the tibia and femur, respectively. The distances from the centroids of the tibial and femoral insertions of the sMCL to the tibial and femoral joint line were 62.4 ± 5.5 mm and 31.1 ± 4.6 mm, respectively. The distances from the centroids of dMCL in the tibial insertion and the femoral insertion to the tibial and femoral joint line were 6.5 ± 1.3 mm and 20.5 ± 4.2 mm, respectively. The distal portion of the dMCL (meniscotibial ligament - MTL was approximately 1.7 times wider than the proximal portion of the dMCL (meniscofemoral ligament - MFL, whereas the MFL was approximately 3 times longer than the MTL. Conclusions The morphologic data on the MCL may provide useful information for improving treatments of MCL-related pathology and performing MCL release during TKA.

  20. Modeling conflict and error in the medial frontal cortex.

    Science.gov (United States)

    Mayer, Andrew R; Teshiba, Terri M; Franco, Alexandre R; Ling, Josef; Shane, Matthew S; Stephen, Julia M; Jung, Rex E

    2012-12-01

    Despite intensive study, the role of the dorsal medial frontal cortex (dMFC) in error monitoring and conflict processing remains actively debated. The current experiment manipulated conflict type (stimulus conflict only or stimulus and response selection conflict) and utilized a novel modeling approach to isolate error and conflict variance during a multimodal numeric Stroop task. Specifically, hemodynamic response functions resulting from two statistical models that either included or isolated variance arising from relatively few error trials were directly contrasted. Twenty-four participants completed the task while undergoing event-related functional magnetic resonance imaging on a 1.5-Tesla scanner. Response times monotonically increased based on the presence of pure stimulus or stimulus and response selection conflict. Functional results indicated that dMFC activity was present during trials requiring response selection and inhibition of competing motor responses, but absent during trials involving pure stimulus conflict. A comparison of the different statistical models suggested that relatively few error trials contributed to a disproportionate amount of variance (i.e., activity) throughout the dMFC, but particularly within the rostral anterior cingulate gyrus (rACC). Finally, functional connectivity analyses indicated that an empirically derived seed in the dorsal ACC/pre-SMA exhibited strong connectivity (i.e., positive correlation) with prefrontal and inferior parietal cortex but was anti-correlated with the default-mode network. An empirically derived seed from the rACC exhibited the opposite pattern, suggesting that sub-regions of the dMFC exhibit different connectivity patterns with other large scale networks implicated in internal mentations such as daydreaming (default-mode) versus the execution of top-down attentional control (fronto-parietal). Copyright © 2011 Wiley Periodicals, Inc.

  1. Anatomical and Electrophysiological Clustering of Superficial Medial Entorhinal Cortex Interneurons

    Science.gov (United States)

    2017-01-01

    Abstract Local GABAergic interneurons regulate the activity of spatially-modulated principal cells in the medial entorhinal cortex (MEC), mediating stellate-to-stellate connectivity and possibly enabling grid formation via recurrent inhibitory circuitry. Despite the important role interneurons seem to play in the MEC cortical circuit, the combination of low cell counts and functional diversity has made systematic electrophysiological studies of these neurons difficult. For these reasons, there remains a paucity of knowledge on the electrophysiological profiles of superficial MEC interneuron populations. Taking advantage of glutamic acid decarboxylase 2 (GAD2)-IRES-tdTomato and PV-tdTomato transgenic mice, we targeted GABAergic interneurons for whole-cell patch-clamp recordings and characterized their passive membrane features, basic input/output properties and action potential (AP) shape. These electrophysiologically characterized cells were then anatomically reconstructed, with emphasis on axonal projections and pial depth. K-means clustering of interneuron anatomical and electrophysiological data optimally classified a population of 106 interneurons into four distinct clusters. The first cluster is comprised of layer 2- and 3-projecting, slow-firing interneurons. The second cluster is comprised largely of PV+ fast-firing interneurons that project mainly to layers 2 and 3. The third cluster contains layer 1- and 2-projecting interneurons, and the fourth cluster is made up of layer 1-projecting horizontal interneurons. These results, among others, will provide greater understanding of the electrophysiological characteristics of MEC interneurons, help guide future in vivo studies, and may aid in uncovering the mechanism of grid field formation. PMID:29085901

  2. Segregation of the human medial prefrontal cortex in social cognition

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    Danilo eBzdok

    2013-05-01

    Full Text Available While the human medial prefrontal cortex (mPFC is widely believed to be a key node of neural networks relevant for socio-emotional processing, its functional subspecialization is still poorly understood. We thus revisited the often assumed differentiation of the mPFC in social cognition along its ventral-dorsal axis. Our neuroinformatic analysis was based on a neuroimaging meta-analysis of perspective-taking that yielded two separate clusters in the ventral and dorsal mPFC, respectively. We determined each seed region’s brain-wide interaction pattern by two complementary measures of functional connectivity: co-activation across a wide range of neuroimaging studies archived in the BrainMap database and correlated signal fluctuations during unconstrained (resting cognition. Furthermore, we characterized the functions associated with these two regions using the BrainMap database. Across methods, the ventral mPFC was more strongly connected with the nucleus accumbens, hippocampus, posterior cingulate cortex, and retrosplenial cortex, while the dorsal mPFC was more strongly connected with the inferior frontal gyrus, temporo-parietal junction, and middle temporal gyrus. Further, the ventral mPFC was selectively associated with action execution, olfaction, and reward related tasks, while the dorsal mPFC was selectively associated with perspective-taking and episodic memory retrieval. The ventral mPFC is therefore predominantly involved in sensory-driven, approach/avoidance-modulating, and evaluation-related processing, whereas the dorsal mPFC is predominantly involved in internally driven, memory-informed, and metacognition-related processing in social cognition.

  3. Medial Orbitofrontal Cortex Mediates Effort-related Responding in Rats.

    Science.gov (United States)

    Münster, Alexandra; Hauber, Wolfgang

    2017-11-17

    The medial orbitofrontal cortex (mOFC) is known to support flexible control of goal-directed behavior. However, limited evidence suggests that the mOFC also mediates the ability of organisms to work with vigor towards a selected goal, a hypothesis that received little consideration to date. Here we show that excitotoxic mOFC lesion increased responding under a progressive ratio (PR) schedule of reinforcement, that is, the highest ratio achieved, and increased the preference for the high effort-high reward option in an effort-related decision-making task, but left intact outcome-selective Pavlovian-instrumental transfer and outcome-specific devaluation. Moreover, pharmacological inhibition of the mOFC increased, while pharmacological stimulation reduced PR responding. In addition, pharmacological mOFC stimulation attenuated methylphenidate-induced increase of PR responding. Intact rats tested for PR responding displayed higher numbers of c-Fos positive mOFC neurons than appropriate controls; however, mOFC neurons projecting to the nucleus accumbens did not show a selective increase in neuronal activation implying that they may not play a major role in regulating PR responding. Collectively, these results suggest that the mOFC plays a major role in mediating effort-related motivational functions. Moreover, our data demonstrate for the first time that the mOFC modulates effort-related effects of psychostimulant drugs. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  4. Preoperative Patellofemoral Chondromalacia is Not a Contraindication for Fixed-Bearing Medial Unicompartmental Knee Arthroplasty.

    Science.gov (United States)

    Adams, Alexander J; Kazarian, Gregory S; Lonner, Jess H

    2017-06-01

    Patellofemoral chondromalacia (PFCM) has historically been considered a contraindication for unicompartmental knee arthroplasty (UKA), but there is limited data assessing PFCM's impact on the results of fixed-bearing UKA. Our objective was to assess the impact of medial patellar and/or medial trochlear PFCM on overall and patellofemoral-specific 2-year outcomes after fixed-bearing medial UKA. Intraoperative notes defined the presence and location of PFCM during fixed bearing medial UKA. Outcome measures included the New Knee Society Score (NKSS), Kneeling Ability Score (KAS) and Forgotten Joint Score (FJS-12). Thirty-one knees with PFCM (PFCM group), and 52 knees without PFCM (N-PFCM group) were included for analysis. Mann-Whitney U tests assessed the statistical significance of observed differences, and a Bonferroni correction was applied, adjusting threshold for significance to P = .005. At minimum follow-up of 2 years, no statistical differences were detected between the N-PFCM and PFCM groups in the postoperative NKSS (159 vs 157, P = .731), preoperative to postoperative NKSS change (P = .447), FJS-12 (70.5 vs 67.6, P = .471), or KAS (71% vs 65%, P = .217). Patients with isolated patellar chondromalacia (n = 13) demonstrated trends toward worse outcomes according to NKSS (147, P = .198), FJS-12 (58, P = .094), and KAS (46%, P = .018), but were statistically insignificant. No failures occurred in either group. Functional outcomes of fixed-bearing medial UKA are not adversely impacted by the presence of PFCM involving the medial patellar facet and/or medial or central trochlea. Further follow-up is needed to determine longer-term implications of fixed-bearing medial UKA in patients with PFCM. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Medial tibial plateau morphology and stress fracture location: A magnetic resonance imaging study

    OpenAIRE

    Yukata, Kiminori; Yamanaka, Issei; Ueda, Yuzuru; Nakai, Sho; Ogasa, Hiroyoshi; Oishi, Yosuke; Hamawaki, Jun-ichi

    2017-01-01

    AIM To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging (MRI). METHODS A retrospective review of patients with a diagnosis of stress fracture of the medial tibial plateau was performed for a 5-year period. Fourteen patients [three female and 11 male, with an average age of 36.4 years (range, 15-50 years)], who underwent knee MRI, were included. The appearance of the tibial plateau stress fract...

  6. Lateral femoral traction pin entry: risk to the femoral artery and other medial neurovascular structures

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    Appleton Paul

    2010-01-01

    Full Text Available Abstract Background Femoral skeletal traction assists in the reduction and transient stabilization of pelvic, acetabular, hip, and femoral fractures when splinting is ineffective. Traditional teaching has recommended a medial entry site for insertion of the traction pin in order to minimize injury to the femoral artery as it passes through Hunter's canal. The present anatomical study evaluates the risk to the femoral artery and other medial neurovascular structures using a lateral entry approach. Methods Six embalmed cadavers (twelve femurs were obtained for dissection. Steinman pins were drilled from lateral to medial at the level of the superior pole of the patella, at 2 cm, and at 4 cm proximal to this point. Medial superficial dissection was then performed to identify the saphenous nerve, the superior medial geniculate artery, the adductor hiatus, the tendinous insertion of the adductor magnus and the femoral artery. Measurements localizing these anatomic structures relative to the pins were obtained. Results The femoral artery was relatively safe and was no closer than 29.6 mm (mean from any of the three Steinman pins. The superior medial geniculate artery was the medial structure at most risk. Conclusions Lateral femoral traction pin entry is a safe procedure with minimal risk to the saphenous nerve and femoral artery. Of the structures examined, only the superior medial geniculate artery is at a risk of iatrogenic injury due to its position. The incidence of such injury in clinical practice and its clinical significance is not known. Lateral insertion facilitates traction pin placement since it minimizes the need to move the contralateral extremity out of the way of the drilling equipment or the need to elevate or externally rotate the injured extremity relative to the contralateral extremity.

  7. Knee adduction moment and medial contact force--facts about their correlation during gait.

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    Ines Kutzner

    Full Text Available The external knee adduction moment is considered a surrogate measure for the medial tibiofemoral contact force and is commonly used to quantify the load reducing effect of orthopedic interventions. However, only limited and controversial data exist about the correlation between adduction moment and medial force. The objective of this study was to examine whether the adduction moment is indeed a strong predictor for the medial force by determining their correlation during gait. Instrumented knee implants with telemetric data transmission were used to measure tibiofemoral contact forces in nine subjects. Gait analyses were performed simultaneously to the joint load measurements. Skeletal kinematics, as well as the ground reaction forces and inertial parameters, were used as inputs in an inverse dynamics approach to calculate the external knee adduction moment. Linear regression analysis was used to analyze the correlation between adduction moment and medial force for the whole stance phase and separately for the early and late stance phase. Whereas only moderate correlations between adduction moment and medial force were observed throughout the whole stance phase (R(2 = 0.56 and during the late stance phase (R(2 = 0.51, a high correlation was observed at the early stance phase (R(2 = 0.76. Furthermore, the adduction moment was highly correlated to the medial force ratio throughout the whole stance phase (R(2 = 0.75. These results suggest that the adduction moment is a surrogate measure, well-suited to predicting the medial force ratio throughout the whole stance phase or medial force during the early stance phase. However, particularly during the late stance phase, moderate correlations and high inter-individual variations revealed that the predictive value of the adduction moment is limited. Further analyses are necessary to examine whether a combination of other kinematic, kinetic or neuromuscular factors may lead to a more

  8. Proximo-distal patellar position in three small dog breeds with medial patellar luxation.

    Science.gov (United States)

    Wangdee, C; Theyse, L F H; Hazewinkel, H A W

    2015-01-01

    Medial patellar luxation is thought to be associated with a high proximal position of the patella in the trochlear groove. To determine whether the ratio of patellar ligament length and patellar length (L:P) is influenced by the stifle angle (75°, 96°, 113°, 130°, and 148°) in small dog breeds and to compare the L:P ratio in dogs of three small dog breeds with and without medial patellar luxation. A mediolateral radiograph of the stifle joint was used to measure the L:P ratio in the stifle joints of dogs of three small breeds with and without medial patellar luxation. The L:P ratio was evaluated at five stifle angles (75°, 96°, 113°, 130°, and 148°) in 14 cadavers (26 stifle joints) of small dog breeds in order to identify the best stifle angle to measure the L:P ratio. Then the mean ± SD L:P ratio was calculated for normal stifles and stifles with medial patellar luxation grades 1, 2, and 3 in 194 Pomeranians, 74 Chihuahuas, and 41 Toy or Standard Poodles. The L:P ratio was the same for all five stifle angles in the cadavers (p = 0.195). It was also not significantly different in the three breeds (p = 0.135), in normal and medial patellar luxation-affected stifles overall (p = 0.354), and in normal and medial patellar luxation-affected joints within each breed (p = 0.19). We conclude that a proximo-distal patellar position is not associated with medial patellar luxation in Pomeranians, Chihuahuas, and Toy or Standard Poodles. Thus a longer patellar ligament length does not play a role in the pathophysiology of medial patellar luxation in these small dog breeds.

  9. Sonic hedgehog expressing and responding cells generate neuronal diversity in the medial amygdala

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    Machold Robert P

    2010-05-01

    Full Text Available Abstract Background The mammalian amygdala is composed of two primary functional subdivisions, classified according to whether the major output projection of each nucleus is excitatory or inhibitory. The posterior dorsal and ventral subdivisions of the medial amygdala, which primarily contain inhibitory output neurons, modulate specific aspects of innate socio-sexual and aggressive behaviors. However, the development of the neuronal diversity of this complex and important structure remains to be fully elucidated. Results Using a combination of genetic fate-mapping and loss-of-function analyses, we examined the contribution and function of Sonic hedgehog (Shh-expressing and Shh-responsive (Nkx2-1+ and Gli1+ neurons in the medial amygdala. Specifically, we found that Shh- and Nkx2-1-lineage cells contribute differentially to the dorsal and ventral subdivisions of the postnatal medial amygdala. These Shh- and Nkx2-1-lineage neurons express overlapping and non-overlapping inhibitory neuronal markers, such as Calbindin, FoxP2, nNOS and Somatostatin, revealing diverse fate contributions in discrete medial amygdala nuclear subdivisions. Electrophysiological analysis of the Shh-derived neurons additionally reveals an important functional diversity within this lineage in the medial amygdala. Moreover, inducible Gli1CreER(T2 temporal fate mapping shows that early-generated progenitors that respond to Shh signaling also contribute to medial amygdala neuronal diversity. Lastly, analysis of Nkx2-1 mutant mice demonstrates a genetic requirement for Nkx2-1 in inhibitory neuronal specification in the medial amygdala distinct from the requirement for Nkx2-1 in cerebral cortical development. Conclusions Taken together, these data reveal a differential contribution of Shh-expressing and Shh-responding cells to medial amygdala neuronal diversity as well as the function of Nkx2-1 in the development of this important limbic system structure.

  10. Computed Tomographic Distinction of Intimal and Medial Calcification in the Intracranial Internal Carotid Artery.

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    Remko Kockelkoren

    Full Text Available Intracranial internal carotid artery (iICA calcification is associated with stroke and is often seen as a proxy of atherosclerosis of the intima. However, it was recently shown that these calcifications are predominantly located in the tunica media and internal elastic lamina (medial calcification. Intimal and medial calcifications are thought to have a different pathogenesis and clinical consequences and can only be distinguished through ex vivo histological analysis. Therefore, our aim was to develop CT scoring method to distinguish intimal and medial iICA calcification in vivo.First, in both iICAs of 16 cerebral autopsy patients the intimal and/or medial calcification area was histologically assessed (142 slides. Brain CT images of these patients were matched to the corresponding histological slides to develop a CT score that determines intimal or medial calcification dominance. Second, performance of the CT score was assessed in these 16 patients. Third, reproducibility was tested in a separate cohort.First, CT features of the score were circularity (absent, dot(s, <90°, 90-270° or 270-360°, thickness (absent, ≥1.5mm, or <1.5mm, and morphology (indistinguishable, irregular/patchy or continuous. A high sum of features represented medial and a lower sum intimal calcifications. Second, in the 16 patients the concordance between the CT score and the dominant calcification type was reasonable. Third, the score showed good reproducibility (kappa: 0.72 proportion of agreement: 0.82 between the categories intimal, medial or absent/indistinguishable.The developed CT score shows good reproducibility and can differentiate reasonably well between intimal and medial calcification dominance in the iICA, allowing for further (epidemiological studies on iICA calcification.

  11. Computed Tomographic Distinction of Intimal and Medial Calcification in the Intracranial Internal Carotid Artery

    OpenAIRE

    Kockelkoren, Remko; Vos, Annelotte; Van Hecke, Wim; Vink, Aryan; Bleys, Ronald L. A. W.; Verdoorn, Daphne; Mali, Willem P. Th. M.; Hendrikse, Jeroen; Koek, Huiberdina L.; de Jong, Pim A.; De Vis, Jill B.

    2017-01-01

    BACKGROUND: Intracranial internal carotid artery (iICA) calcification is associated with stroke and is often seen as a proxy of atherosclerosis of the intima. However, it was recently shown that these calcifications are predominantly located in the tunica media and internal elastic lamina (medial calcification). Intimal and medial calcifications are thought to have a different pathogenesis and clinical consequences and can only be distinguished through ex vivo histological analysis. Therefore...

  12. Neuropsychiatric effects of neurodegeneration of the medial vs. lateral ventral prefrontal cortex in humans

    OpenAIRE

    Huey, Edward D.; Lee, Seonjoo; Brickman, Adam M.; Manoochehri, Masood; Griffith, Erica; Devanand, D.P.; Stern, Yaakov; Grafman, Jordan

    2015-01-01

    Animal evidence suggests that a brain network involving the medial and rostral ventral prefrontal cortex (PFC) is central for threat response and arousal and a network involving the lateral and caudal PFC plays an important role in reward learning and behavioral control. In this study, we contrasted the neuropsychiatric effects of degeneration of the medial versus lateral PFC in 43 patients with Frontotemporal dementia and 11 patients with Corticobasal Syndrome using MRI, the Neuropsychiatric...

  13. Medially Directed TRUS Biopsy of the Prostate: Clinical Utility and Optimal Protocol

    International Nuclear Information System (INIS)

    Park, Byung Kwan; Kim, Seung Hyup

    2012-01-01

    The objective of this study is to determine whether medially directed transrectal ultrasound (TRUS)-guided biopsy is necessary for detection of prostate cancer and for establishment of an optimal biopsy regimen that is equivalent to a systematic 12 core biopsy. A total of 302 patients underwent a TRUS-guided systematic 12 core biopsy consisting of both medial sextant biopsy obtained between the parasagittal line and midline and lateral sextant biopsy obtained between the parasagittal line and lateral border. We obtained cancer detection rates of various biopsy regimens that were produced from a systematic 12 core biopsy. Using a systematic 12 core biopsy, cancer was detected in 116 (38.4%) of 302 patients. No significant difference was observed between cancer detection rates of medial sextant biopsy and lateral sextant biopsy (33.8% versus 31.5%, p >.05). Biopsy regimens that were equivalent to the systematic 12 core regarding cancer detection rate included medially directed cores that were obtained from both medial portions of the apex. Both medially directed biopsy and laterally directed biopsy are necessary for detection of prostate cancer and for establishment of an optimal biopsy regimen.

  14. Intralaminar and medial thalamic influence on cortical synchrony, information transmission and cognition

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    Yuri B Saalmann

    2014-05-01

    Full Text Available The intralaminar and medial thalamic nuclei are part of the higher-order thalamus, which receives little sensory input, and instead forms extensive cortico-thalamo-cortical pathways. The large mediodorsal thalamic nucleus predominantly connects with the prefrontal cortex, the adjacent intralaminar nuclei connect with fronto-parietal cortex, and the midline thalamic nuclei connect with medial prefrontal cortex and medial temporal lobe. Taking into account this connectivity pattern, it is not surprising that the intralaminar and medial thalamus has been implicated in a variety of cognitive functions, including memory processing, attention and orienting, as well as reward-based behavior. This review addresses how the intralaminar and medial thalamus may regulate information transmission in cortical circuits. A key neural mechanism may involve intralaminar and medial thalamic neurons modulating the degree of synchrony between different groups of cortical neurons according to behavioral demands. Such a thalamic-mediated synchronization mechanism may give rise to large-scale integration of information across multiple cortical circuits, consequently influencing the level of arousal and consciousness. Overall, the growing evidence supports a general role for the higher-order thalamus in the control of cortical information transmission and cognitive processing.

  15. Medial tibial plateau morphology and stress fracture location: A magnetic resonance imaging study.

    Science.gov (United States)

    Yukata, Kiminori; Yamanaka, Issei; Ueda, Yuzuru; Nakai, Sho; Ogasa, Hiroyoshi; Oishi, Yosuke; Hamawaki, Jun-Ichi

    2017-06-18

    To determine the location of medial tibial plateau stress fractures and its relationship with tibial plateau morphology using magnetic resonance imaging (MRI). A retrospective review of patients with a diagnosis of stress fracture of the medial tibial plateau was performed for a 5-year period. Fourteen patients [three female and 11 male, with an average age of 36.4 years (range, 15-50 years)], who underwent knee MRI, were included. The appearance of the tibial plateau stress fracture and the geometry of the tibial plateau were reviewed and measured on MRI. Thirteen of 14 stress fractures were linear, and one of them stellated on MRI images. The location of fractures was classified into three types. Three fractures were located anteromedially (AM type), six posteromedially (PM type), and five posteriorly (P type) at the medial tibial plateau. In addition, tibial posterior slope at the medial tibial plateau tended to be larger when the fracture was located more posteriorly on MRI. We found that MRI showed three different localizations of medial tibial plateau stress fractures, which were associated with tibial posterior slope at the medial tibial plateau.

  16. Endoscopic partial medial maxillectomy with mucosal flap for maxillary sinus mucoceles.

    Science.gov (United States)

    Durr, Megan L; Goldberg, Andrew N

    2014-01-01

    To describe a technique of endoscopic medial maxillectomy with mucosal flap for postoperative maxillary sinus mucoceles and to present a case series of subjects who underwent this procedure. This case series includes four subjects with postoperative maxillary sinus mucoceles who underwent resection via endoscopic partial medial maxillectomy with a mucosal flap. We will discuss the clinical presentation, imaging characteristics, operative details, and outcomes. Four subjects are included in this study. The average age at the time of medial maxillectomy was 52 years (range 35-65 years). Three subjects (75%) were female. One subject (25%) had bilateral postoperative maxillary sinus mucoceles. Two subjects (50%) had unilateral right sided mucoceles, and the remaining subject had a unilateral left sided mucocele. All subjects had a history of multiple sinus procedures for chronic sinusitis including Caldwell-Luc procedures ipsilateral to the postoperative mucocele. All subjects underwent endoscopic medial maxillectomy without complication and were symptom free at the last follow up appointment, average 24 months (range 3-71 months) after medial maxillectomy. For postoperative maxillary sinus mucoceles in locations that are difficult to access via the middle meatus antrostomy, we recommend endoscopic medial maxillectomy with mucosal flap. Our preliminary experience with four subjects demonstrates complete resolution of symptoms after this procedure. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Anatomic variability of the vascularized composite osteomyocutaneous flap from the medial femoral condyle: an anatomical study

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    Trung-Hau Le Thua

    2014-12-01

    Full Text Available Aim: The anatomical study and clinical application for the vascularized corticoperiosteal flap from the medial femoral condyle have been performed and described previously. Although prior studies have described the composite osteomyocutaneous flap from the medial femoral condyle, a detailed analysis of the vascularity of this region has not yet been fully evaluated. Methods: This anatomical study described the variability of the arteries from the medial femoral condyle in 40 cadaveric specimens. Results: The descending genicular artery (DGA was found in 33 of 40 cases (82.5%. The  superomedial genicular artery (SGA was present in 10 cases (25%. All 33 cases (100% of the DGA had articular branches to the periosteum of the medial femoral condyle. Muscular branches and saphenous branches of the DGA were present in 25 cases (62.5% and 26 cases (70.3%, respectively. Conclusion: The current study demonstrates that the size and length of the vessels to the medial femoral condyle are sufficient for a vascularized bone flap. A careful preoperative vascular assessment is essential prior to use of the vascularized composite osteomyocutaneous flap from the medial femoral condyle, because of the considerable anatomical variations in different branches of the DGA.

  18. Medial epicondylitis in occupational settings: prevalence, incidence and associated risk factors

    Science.gov (United States)

    Descatha, Alexis; Leclerc, Annette; Chastang, Jean-François; Roquelaure, Yves

    2003-01-01

    As medial epicondylitis has not been studied alone, we investigated its links between personal and occupational factors in repetitive work, and its course. 1757 workers were examined by an occupational health physician in 1993–94. 598 of them were re-examined three years later. Prevalence was between 4 and 5%, with annual incidence estimated at 1.5%. Forceful work was a risk factor for medial epicondylitis (OR 1.95 CI [1.15–3.32]), but not exposure to repetitive work (OR 1.11, CI [0.59–2.10]). Workers with medial epicondylitis had a significantly higher prevalence of other work-related upper-limb musculoskeletal disorders (WRMD). Risk factors differed for medial and lateral epicondylitis. The prognosis for medial epicondylitis in this population was good with a three-year recovery rate at 81%. Medial epicondylitis was clearly associated with forceful work and other upper-limb WRMD, and its prognosis was good. PMID:14506342

  19. A Medial Malleolar "Fleck Sign" May Predict Ankle Instability in Ligamentous Supination External Rotation Ankle Fractures.

    Science.gov (United States)

    Nwosu, Kenneth; Schneiderman, Brian Andrew; Shymon, Stephen Joseph; Harris, Thomas

    2018-06-01

    Ankle joint stability dictates treatment in ligamentous supination external rotation ankle injuries (LSERAI). Investigation of the medial structures that support the ankle mortise is critical, and a small avulsion fracture, or "fleck", of the medial malleolus is occasionally encountered. This study aimed to assess the utility of this medial malleolus fleck sign (MMFS) in diagnosing instability requiring surgery in LSERAI. This retrospective observational study examined 166 LSERAI at a single level I trauma center. A standardized diagnostic and treatment protocol for ankle fractures was followed. LSERAI at presentation were reported as having a normal, dynamically wide, or statically wide medial clear space. Patient demographics, MMFS characteristics, and the use of operative management were recorded. MMFS incidence in the cohort was 16 (10%) of 166 and was present in 25% of patients with unstable LSERAI. Fifteen (94%) of 16 patients with a MMFS were deemed to have an unstable LSERAI (P < .005). MMFS had a 25% sensitivity and 99% specificity in diagnosing an unstable LSERAI. For the subgroup of patients without a statically wide medial clear space, MMFS had a 50% sensitivity and 99% specificity in determining instability. A MMFS may be indicative of an unstable LSERAI. With previous MRI studies demonstrating complete deltoid disruption in unstable LSERAI, we deduce the MMFS may be associated with extensive deltoid incompetence. The MMFS may help to diagnose a complete deltoid injury in LSERAI with a normal medial clear space, which could influence treatment and reduce patient morbidity, radiation exposure, and healthcare costs. Level III: Retrospective Cohort Study.

  20. Electrophysiological evidence during episodic prospection implicates medial prefrontal and bilateral middle temporal gyrus.

    Science.gov (United States)

    Hsu, Chia-Fen; Sonuga-Barke, Edmund J S

    2016-08-01

    fMRI studies have implicated the medial prefrontal cortex and medial temporal lobe, components of the default mode network (DMN), in episodic prospection. This study compared quantitative EEG localized to these DMN regions during prospection and during resting and while waiting for rewards. EEG was recorded in twenty-two adults while they were asked to (i) envision future monetary episodes; (ii) wait for rewards and (iii) rest. Activation sources were localized to core DMN regions. EEG power and phase coherence were compared across conditions. Prospection, compared to resting and waiting, was associated with reduced power in the medial prefrontal gyrus and increased power in the bilateral medial temporal gyrus across frequency bands as well as greater phase synchrony between these regions in the delta band. The current quantitative EEG analysis confirms prior fMRI research suggesting that medial prefrontal and medial temporal gyrus interactions are central to the capacity for episodic prospection. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. The JCR:LA-cp rat: a novel rodent model of cystic medial necrosis.

    Science.gov (United States)

    Pung, Yuh Fen; Chilian, William M; Bennett, Martin R; Figg, Nichola; Kamarulzaman, Mohd Hamzah

    2017-03-01

    Although there are multiple rodent models of the metabolic syndrome, very few develop vascular complications. In contrast, the JCR:LA-cp rat develops both metabolic syndrome and early atherosclerosis in predisposed areas. However, the pathology of the normal vessel wall has not been described. We examined JCR:LA control (+/+) or cp/cp rats fed normal chow diet for 6 or 18 mo. JCR:LA-cp rats developed multiple features of advanced cystic medial necrosis including "cysts," increased collagen formation and proteoglycan deposition around cysts, apoptosis of vascular smooth muscle cells, and spotty medial calcification. These appearances began within 6 mo and were extensive by 18 mo. JCR:LA-cp rats had reduced medial cellularity, increased medial thickness, and vessel hypoxia that was most marked in the adventitia. In conclusion, the normal chow-fed JCR:LA-cp rat represents a novel rodent model of cystic medial necrosis, associated with multiple metabolic abnormalities, vascular smooth muscle cell apoptosis, and vessel hypoxia. NEW & NOTEWORTHY Triggers for cystic medial necrosis (CMN) have been difficult to study due to lack of animal models to recapitulate the pathologies seen in humans. Our study is the first description of CMN in the rat. Thus the JCR:LA-cp rat represents a useful model to investigate the underlying molecular changes leading to the development of CMN. Copyright © 2017 the American Physiological Society.

  2. Radial tear of posterior horn of the medial meniscus and osteonecrosis of the knee

    International Nuclear Information System (INIS)

    Motoyama, Tatsuo; Ihara, Hidetoshi; Kawashima, Mahito

    2003-01-01

    We studied the relation between a radial tear of the posterior horn of the medial meniscus and osteonecrosis of the knee. Thirty-eight knees of 37 patients were diagnosed as medial meniscus tear and received arthroscopic knee surgery. We divided them into two groups: knees having radial tear of the posterior horn of the medial meniscus (posterior horn group) and knees containing radial tear except for posterior horn, horizontal tear, degenerative tear, and flap tear of the medial meniscus (non-posterior horn group). The posterior horn group consisted of 14 knees (average age: 65.1 years old) and the non-posterior horn group consisted of 24 knees (average age: 59.6 years old). All cases underwent MRI before arthroscopy. MRI findings were classified into three types (typical osteonecrosis, small osteonecrosis, and non-osteonecrosis). In the posterior horn group, typical osteonecrosis were five knees and small osteonecrosis were five knees, while in the non-posterior horn group only three knees were small osteonecrosis. These findings suggest the relevance between radial tear of the posterior horn of the medial meniscus and osteonecrosis of the knee (Mann-Whitney test p<0.01). The etiology of spontaneous osteonecrosis of the knee joint is unknown, however one etiology could be the radial tear of the posterior horn of the medial meniscus. (author)

  3. Ambiente psicologico en las organizaciones

    Directory of Open Access Journals (Sweden)

    Damarcy Cortés Baracaldo

    2002-01-01

    Full Text Available El talento humano en las organizaciones se ha convertido en las ultimas decadas en un recurso que se administra de acuerdo al estilo de liderazgo del jefe, lo que implica una marcada relación hacia la tarea, hacia las relaciones con el personal o una combinación de estas dos, que desencadenan en un ambiente psicológico exclusive en cada organización.

  4. Las industrias en hueso

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    Jorge Martinez-Moreno

    2005-01-01

    Full Text Available La elaboración de instrumentos en hueso con anterioridad a la aparición de Homo sapiens moderno ha sido descrita en numerosos yacimientos del Paleolítico Medio, entre ellos en Lezetxiki y Axlor. En este artículo se pretende evaluar si estos artefactos pueden considerarse el resultado de comportamientios tecnicos dirigidos a elaborar y/o utilizar esos soportes. Estas observaciones son extensibles a otros conjuntos en los que se mensionan estos óseos con atributos similares. Es esta revisión se describen los procesos y contextos que explican la presencia de esas modificaciones y a las que se les ha atribuido un significado tecnológico

  5. Las culturas no existen

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    Joel Feliu i Samuel-Lajeunesse

    2004-05-01

    Full Text Available Tras un somero recordatorio del hecho, a menudo olvidado, de que la cultura no es una realidad social sino tan solo un concepto, el artículo pretende argumentar en pro de la inexistencia de tal entidad (a pesar de las apariencias. La pregunta principal a la que se intenta responder es cual es el papel ideológico que tiene la idea de cultura, es decir ¿qué efectos de construcción de realidad genera? Para ello se realiza una crítica del concepto y de sus usos argumentando que tanto el concepto como su uso cotidiano entrañan prácticas de clasificación y segregación. Finalmente se aboga por la caída en desuso del concepto y por nuevas formas de pensar la diversidad humana más acordes con la posibilidad de una ética situada.

  6. OMC y las telecomunicaciones

    OpenAIRE

    Orbe Astudillo, Marcos

    2010-01-01

    El mercado mundial de las telecomunicaciones crece rápidamente convirtiéndose en un sector de mayor crecimiento en la economía mundial y en uno de los componentes más importantes de la actividad social, cultural y política del mundo, por ello, la tendencia mundial es la liberalización de los mercados de bienes y servicios de telecomunicaciones y tecnologías de la información y comunicación (TIC´s), volviéndose muy importante para éste propósito el actuar de la Organización Mundial del Comerci...

  7. Los impuestos al comercio exterior en México en la era de las exportaciones, 1872-1930

    Directory of Open Access Journals (Sweden)

    Luz María Uhthoff López

    2005-12-01

    Full Text Available Este trabajo analiza la relación entre la fiscalidad y el comportamiento del comercio exterior en los años de 1872 a 1930. Especial énfasis se hace en la normatividad de la política arancelaria y la relación entre la dinámica política, el sistema fiscal y los impuestos al comercio exterior. Durante este periodo se observa, por un lado, una continuidad entre el antiguo régimen y la etapa de la revolución: el comercio exterior se mantuvo, incluso algunas ramas experimentaron un gran desarrollo y, por lo tanto, los impuestos exteriores continuaron siendo importantes. No obstante, también se registró una tendencia a la baja en los impuestos provenientes de este sector, y una disminución de su importancia en el conjunto de los ingresos federales, lo que indica que existió entre los gobiernos de esos años, tanto de la primera como de la segunda etapa, la preocupación de no depender solamente de éstos, aumentando las fuentes alternativas de ingresos internos, como es el caso del impuesto del timbre y del impuesto sobre la renta.

  8. Dejar las lagrimas e ir hacia las acciones

    DEFF Research Database (Denmark)

    Jeppesen, Anne Marie Ejdesgaard

    2015-01-01

    Este artículo enfoca en la frontera entre México y los Estados Unidos, las condiciones especiales de la sociedad fronteriza, las economías interconectadas y la violencia, en especial la violencia ejercida contra mujeres y los feminicidios. El artículo discute diferentes perspectivas y maneras de...

  9. Violencia contra las mujeres: las dimensiones de la desigualdad

    OpenAIRE

    Ana Isabel Blanco García

    2008-01-01

    En este número entraremos directamente en el debate acerca de la "Violencia contra las mujeres: las dimensiones de a desigualdad", que desde hace unos años recorre todo el sustrato del pensamiento feminista y del que en buena medida es deudor el propio título de nuestra revista.

  10. Violencia contra las mujeres: las dimensiones de la desigualdad

    Directory of Open Access Journals (Sweden)

    Ana Isabel Blanco García

    2008-12-01

    Full Text Available En este número entraremos directamente en el debate acerca de la "Violencia contra las mujeres: las dimensiones de a desigualdad", que desde hace unos años recorre todo el sustrato del pensamiento feminista y del que en buena medida es deudor el propio título de nuestra revista.

  11. Las TIC como fuente de ventaja competitiva en las PYMES

    Directory of Open Access Journals (Sweden)

    Álvaro Fernando Moncada Niño

    2013-06-01

    Full Text Available Desde su aparición, las Tecnologías de la Información y las Comunicaciones (TIC se han convertido en un recurso fundamental de las empresas para competir en la mayoría de las industrias, generalizando el planteamiento de que son fuente de ventaja competitiva. Pero realmente, ¿cuándo las TIC son fuente potencial de ventaja competitiva para las pymes? ¿Bajo qué condiciones se logra que contribuyan a generar valor y mejorar su posición competitiva? ¿Qué características deben cumplir para alcanzar y sustentar la Ventaja Competitiva? Este documento basado en la Teoría de los Recursos y Capacidades (TRC responde estas preguntas y presenta al análisis de recurso Valioso, Raro, Inimitable y Organización (VRIO como herramienta para la determinación del potencial y valor que las TIC pueden alcanzar en las pymes y cómo pueden contribuir a que la empresa alcance ventajas competitivas sostenibles, en complemento de sus recursos y capacidades organizacionales.

  12. Las TIC como fuente de ventaja competitiva en las PYMES

    Directory of Open Access Journals (Sweden)

    Álvaro Fernando Moncada Niño

    2013-07-01

    Full Text Available Desde su aparición, las Tecnologías de la Información y las Comunicaciones (TIC se han convertido en un recurso fundamental de las empresas para competir en la mayoría de las industrias, generalizando el planteamiento de que son fuente de ventaja competitiva. Pero realmente, ¿cuándo las TIC son fuente potencial de ventaja competitiva para las pymes? ¿Bajo qué condiciones se logra que contribuyan a generar valor y mejorar su posición competitiva? ¿Qué características deben cumplir para alcanzar y sustentar la Ventaja Competitiva? Este documento basado en la Teoría de los Recursos y Capacidades (TRC responde estas preguntas y presenta al análisis de recurso Valioso, Raro, Inimitable y Organización (VRIO como herramienta para la determinación del potencial y valor que las TIC pueden alcanzar en las pymes y cómo pueden contribuir a que la empresa alcance ventajas competitivas sostenibles, en complemento de sus recursos y capacidades organizacionales.

  13. The effects of neuromuscular exercise on medial knee joint load post-arthroscopic partial medial meniscectomy: 'SCOPEX', a randomised control trial protocol.

    Science.gov (United States)

    Hall, Michelle; Hinman, Rana S; Wrigley, Tim V; Roos, Ewa M; Hodges, Paul W; Staples, Margaret; Bennell, Kim L

    2012-11-27

    Meniscectomy is a risk factor for knee osteoarthritis, with increased medial joint loading a likely contributor to the development and progression of knee osteoarthritis in this group. Therefore, post-surgical rehabilitation or interventions that reduce medial knee joint loading have the potential to reduce the risk of developing or progressing osteoarthritis. The primary purpose of this randomised, assessor-blind controlled trial is to determine the effects of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee joint load during functional tasks in people who have recently undergone a partial medial meniscectomy. 62 people aged 30-50 years who have undergone an arthroscopic partial medial meniscectomy within the previous 3 to 12 months will be recruited and randomly assigned to a neuromuscular exercise or control group using concealed allocation. The neuromuscular exercise group will attend 8 supervised exercise sessions with a physiotherapist and will perform 6 exercises at home, at least 3 times per week for 12 weeks. The control group will not receive the neuromuscular training program. Blinded assessment will be performed at baseline and immediately following the 12-week intervention. The primary outcomes are change in the peak external knee adduction moment measured by 3-dimensional analysis during normal paced walking and one-leg rise. Secondary outcomes include the change in peak external knee adduction moment during fast pace walking and one-leg hop and change in the knee adduction moment impulse during walking, one-leg rise and one-leg hop, knee and hip muscle strength, electromyographic muscle activation patterns, objective measures of physical function, as well as self-reported measures of physical function and symptoms and additional biomechanical parameters. The findings from this trial will provide evidence regarding the effect of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee

  14. The effects of neuromuscular exercise on medial knee joint load post-arthroscopic partial medial meniscectomy: ‘SCOPEX’ a randomised control trial protocol

    Science.gov (United States)

    2012-01-01

    Background Meniscectomy is a risk factor for knee osteoarthritis, with increased medial joint loading a likely contributor to the development and progression of knee osteoarthritis in this group. Therefore, post-surgical rehabilitation or interventions that reduce medial knee joint loading have the potential to reduce the risk of developing or progressing osteoarthritis. The primary purpose of this randomised, assessor-blind controlled trial is to determine the effects of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee joint load during functional tasks in people who have recently undergone a partial medial meniscectomy. Methods/design 62 people aged 30–50 years who have undergone an arthroscopic partial medial meniscectomy within the previous 3 to 12 months will be recruited and randomly assigned to a neuromuscular exercise or control group using concealed allocation. The neuromuscular exercise group will attend 8 supervised exercise sessions with a physiotherapist and will perform 6 exercises at home, at least 3 times per week for 12 weeks. The control group will not receive the neuromuscular training program. Blinded assessment will be performed at baseline and immediately following the 12-week intervention. The primary outcomes are change in the peak external knee adduction moment measured by 3-dimensional analysis during normal paced walking and one-leg rise. Secondary outcomes include the change in peak external knee adduction moment during fast pace walking and one-leg hop and change in the knee adduction moment impulse during walking, one-leg rise and one-leg hop, knee and hip muscle strength, electromyographic muscle activation patterns, objective measures of physical function, as well as self-reported measures of physical function and symptoms and additional biomechanical parameters. Discussion The findings from this trial will provide evidence regarding the effect of a home-based, physiotherapist

  15. The effects of neuromuscular exercise on medial knee joint load post-arthroscopic partial medial meniscectomy: ‘SCOPEX’ a randomised control trial protocol

    Directory of Open Access Journals (Sweden)

    Hall Michelle

    2012-11-01

    Full Text Available Abstract Background Meniscectomy is a risk factor for knee osteoarthritis, with increased medial joint loading a likely contributor to the development and progression of knee osteoarthritis in this group. Therefore, post-surgical rehabilitation or interventions that reduce medial knee joint loading have the potential to reduce the risk of developing or progressing osteoarthritis. The primary purpose of this randomised, assessor-blind controlled trial is to determine the effects of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee joint load during functional tasks in people who have recently undergone a partial medial meniscectomy. Methods/design 62 people aged 30–50 years who have undergone an arthroscopic partial medial meniscectomy within the previous 3 to 12 months will be recruited and randomly assigned to a neuromuscular exercise or control group using concealed allocation. The neuromuscular exercise group will attend 8 supervised exercise sessions with a physiotherapist and will perform 6 exercises at home, at least 3 times per week for 12 weeks. The control group will not receive the neuromuscular training program. Blinded assessment will be performed at baseline and immediately following the 12-week intervention. The primary outcomes are change in the peak external knee adduction moment measured by 3-dimensional analysis during normal paced walking and one-leg rise. Secondary outcomes include the change in peak external knee adduction moment during fast pace walking and one-leg hop and change in the knee adduction moment impulse during walking, one-leg rise and one-leg hop, knee and hip muscle strength, electromyographic muscle activation patterns, objective measures of physical function, as well as self-reported measures of physical function and symptoms and additional biomechanical parameters. Discussion The findings from this trial will provide evidence regarding the effect of a home

  16. Association of medial meniscal extrusion with medial tibial osteophyte distance detected by T2 mapping MRI in patients with early-stage knee osteoarthritis.

    Science.gov (United States)

    Hada, Shinnosuke; Ishijima, Muneaki; Kaneko, Haruka; Kinoshita, Mayuko; Liu, Lizu; Sadatsuki, Ryo; Futami, Ippei; Yusup, Anwajan; Takamura, Tomohiro; Arita, Hitoshi; Shiozawa, Jun; Aoki, Takako; Takazawa, Yuji; Ikeda, Hiroshi; Aoki, Shigeki; Kurosawa, Hisashi; Okada, Yasunori; Kaneko, Kazuo

    2017-09-12

    Medial meniscal extrusion (MME) is associated with progression of medial knee osteoarthritis (OA), but no or little information is available for relationships between MME and osteophytes, which are found in cartilage and bone parts. Because of the limitation in detectability of the cartilage part of osteophytes by radiography or conventional magnetic resonance imaging (MRI), the rate of development and size of osteophytes appear to have been underestimated. Because T2 mapping MRI may enable us to evaluate the cartilage part of osteophytes, we aimed to examine the association between MME and OA-related changes, including osteophytes, by using conventional and T2 mapping MRI. Patients with early-stage knee OA (n = 50) were examined. MRI-detected OA-related changes, in addition to MME, were evaluated according to the Whole-Organ Magnetic Resonance Imaging Score. T2 values of the medial meniscus and osteophytes were measured on T2 mapping images. Osteophytes surgically removed from patients with end-stage knee OA were histologically analyzed and compared with findings derived by radiography and MRI. Medial side osteophytes were detected by T2 mapping MRI in 98% of patients with early-stage knee OA, although the detection rate was 48% by conventional MRI and 40% by radiography. Among the OA-related changes, medial tibial osteophyte distance was most closely associated with MME, as determined by multiple logistic regression analysis, in the patients with early-stage knee OA (β = 0.711, p T2 values of the medial meniscus were directly correlated with MME in patients with early-stage knee OA, who showed ≥ 3 mm of MME (r = 0.58, p = 0.003). The accuracy of osteophyte evaluation by T2 mapping MRI was confirmed by histological analysis of the osteophytes removed from patients with end-stage knee OA. Our study demonstrates that medial tibial osteophyte evaluated by T2 mapping MRI is frequently observed in the patients with early-stage knee OA, showing

  17. Análisis tipológico de las estructuras de las construcciones rurales tradicionales de barro. La casa de corral en el Páramo de León (España

    Directory of Open Access Journals (Sweden)

    Rego Sanmartín, Teresa

    2000-08-01

    Full Text Available Traditional rural buildings reflect the building techniques inherited from ancestors, where materials mastery is proved. In this job we analyse the structure of one of the most relevant Spanish traditional agrarian building: the "casa de corral"(yard house. Thirty seven "corrales" (yards of the vernacular earthen construction in the "Páramo de León"(León, Spain were analysed. It was necessary think up an analysis method, which we called "round analysis method". Generally. radial cross sections of the yard have a main space between two earth walls bearing over stone foundation, which support floor framing, the roof framing, roof sheathing and arabic curved tiles. A gantry is usually built inward the yard, on a stone baseLas construcciones rurales tradicionales suelen reflejar el buen hacer de quienes han heredado las técnicas de sus antepasados, demostrando un dominio admirable de los materiales. En este trabajo nos centramos en el análisis estructural de uno de los edificios más emblemáticos de las construcciones agrarias tradicionales peninsulares: la casa de corral. Se analizaron 37 de estos edificios, uniformemente repartidos por la comarca del Páramo de León (España. pertenecientes a la denominada construcción de barro rural tradicional contemporánea. Para llevar a cabo el estudio fue necesario idear el denominado método giratorio de análisis. en virtud del cual se realizan sucesivos cortes radiales al corral. Esto nos permitió establecer las características constructivas más relevantes de dichos edificios. En general. las secciones radiales del corral suelen contar con un volumen principal de gruesos muros de carga a base de tapial sobre cimiento de piedra. sustentando los forjados y la estructura de cubierta, cuya impermeabilidad se logra mediante teja árabe. dispuesta sobre enlabiado de madera o sobre rama entretejida. Hacia el interior del corral se suele construir el corredor porticado, cuyos soportes transmiten las

  18. Geografía del turismo: análisis de las publicaciones científicas en revistas turísticas. El caso de Argentina

    Directory of Open Access Journals (Sweden)

    Andrés Pinassi

    2015-01-01

    Full Text Available La geografía del turismo, como rama de la geografía humana, centra su análisis en el turismo y sus múltiples vinculaciones con el territorio. En la dimensión temporal, las temáticas y abordajes del fenómeno turístico han variado; se ha pasado de una visión descriptiva a una analítica e integral. En este contexto, el presente trabajo analiza dichas cuestiones desde una perspectiva teórico-metodológica, para posteriormente determinar, en forma cuantitativa y cualitativa, temáticas y paradigmas de abordaje en las revistas científicas turísticas de Argentina. Como resultado, se evidencia una mayor proporción de artículos desarrollados desde una geografía tradicional del turismo, con estudios más bien descriptivos, que analíticos y críticos.

  19. The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex.

    Science.gov (United States)

    Tanaka, Miho J; Voss, Andreas; Fulkerson, John P

    2016-07-20

    The medial patellofemoral ligament varies in attachment of its fibers to the patella and vastus intermedius tendon. Our aim was to identify and describe its anatomic midpoint. To account for the variability of the attachment site, we refer to it as the medial patellofemoral complex. Using AutoCAD software, we identified the midpoint of the medial patellofemoral complex attachment on photographs of 31 cadaveric knee dissections. The midpoint was referenced relative to the superior articular surface of the patella (P1) and was described in terms of the percentage of the patellar articular length distal to this point. A second point, at the junction of the medial border of the vastus intermedius tendon with the superior articular border of the patella, was identified (P2). The distances of the midpoint to P1 and P2 were calculated and were compared using paired t tests. Twenty-five images had appropriate quality and landmarks for digital analysis. The midpoint of the medial patellofemoral complex was located a mean (and standard deviation) of 2.3% ± 15.8% of the patellar articular length distal to the superior pole and was at or proximal to P1 in 12 knees. In all knees, the midpoint was at or proximal to P2. After exclusion of 2 knees with vastus intermedius tendon attachments only, the medial patellofemoral complex midpoint was closer to P2 (5.3% ± 8.6% of the patellar articular length) than to P1 (9.3% ± 8.5% of the patellar articular length) (p = 0.06). The midpoint of the medial patellofemoral complex was 2.3% of the articular length distal to the superior pole of the patella. Additionally, we describe an anatomic landmark at the junction of the medial border of the vastus intermedius tendon and the articular border of the patella that approximates the midpoint of this complex. Our study shows that the anatomic midpoint of the attachment of the medial patellofemoral complex is proximal to the junction of the medial vastus intermedius tendon and the articular

  20. The relationship between prevalent medial meniscal intrasubstance signal changes and incident medial meniscal tears in women over a 1-year period assessed with 3.0 T MRI

    International Nuclear Information System (INIS)

    Crema, Michel D.; Hunter, David J.; Roemer, Frank W.; Li, Ling; Marra, Monica D.; Nogueira-Barbosa, Marcello H.; Hellio Le Graverand, Marie-Pierre; Wyman, Bradley T.; Guermazi, Ali

    2011-01-01

    Intrasubstance meniscal signal changes not reaching the articular surface on fast spin echo (FSE) sequences are considered to represent mucoid degeneration on MRI. The aim of this study was to evaluate the association of prevalent intrasubstance signal changes with incident tears of the medial meniscus detected on 3.0 T MRI over a 1-year period. A total of 161 women aged ≥40 years participated in a longitudinal 1-year observational study of knee osteoarthritis. MRI (3.0 T) was performed at baseline and 12-month follow-up. The anterior horn, body, and posterior horn of the medial meniscus were scored by two experienced musculoskeletal radiologists using the Boston-Leeds Osteoarthritis Knee Score (BLOKS) system. Four grades were used to describe the meniscal morphology: grade 0 (normal), grade 1 (intrasubstance signal changes not reaching the articular surface), grade 2 (single tears), and grade 3 (complex tears and maceration). Fisher's exact test and the Cochran-Armitage trend test were performed to evaluate whether baseline intrasubstance signal changes (grade 1) predict incident meniscal tears/maceration (grades 2 and/or 3) in the same subregion of the medial meniscus, when compared to subregions without pathology as the reference group (grade 0). Medial meniscal intrasubstance signal changes at baseline did not predict tears at follow-up when evaluating the anterior and posterior horns (left-sided p-values 0.06 and 0.59, respectively). No incident tears were detected in the body. We could not demonstrate an association between prevalent medial meniscal intrasubstance signal changes with incident tears over a 1-year period. (orig.)

  1. The relationship between prevalent medial meniscal intrasubstance signal changes and incident medial meniscal tears in women over a 1-year period assessed with 3.0 T MRI

    Energy Technology Data Exchange (ETDEWEB)

    Crema, Michel D. [Boston University School of Medicine, Department of Radiology, Quantitative Imaging Center, Boston, MA (United States); Ribeirao Preto School of Medicine, University of Sao Paulo (USP), Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, and Department of Internal Medicine, Radiology Division, Ribeirao Preto (Brazil); Institute of Diagnostic Imaging (IDI), Ribeirao Preto (Brazil); Hunter, David J. [The University of Sydney, Sydney School of Medicine, Sydney (Australia); Roemer, Frank W. [Boston University School of Medicine, Department of Radiology, Quantitative Imaging Center, Boston, MA (United States); Klinikum Augsburg, Department of Radiology, Augsburg (Germany); Li, Ling [New England Baptist Hospital, Division of Research, Boston, MA (United States); Marra, Monica D. [Boston University School of Medicine, Department of Radiology, Quantitative Imaging Center, Boston, MA (United States); Institute of Diagnostic Imaging (IDI), Ribeirao Preto (Brazil); Nogueira-Barbosa, Marcello H. [Ribeirao Preto School of Medicine, University of Sao Paulo (USP), Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, and Department of Internal Medicine, Radiology Division, Ribeirao Preto (Brazil); Hellio Le Graverand, Marie-Pierre; Wyman, Bradley T. [Pfizer Global Research and Development, New London, CT (United States); Guermazi, Ali [Boston University School of Medicine, Department of Radiology, Quantitative Imaging Center, Boston, MA (United States)

    2011-08-15

    Intrasubstance meniscal signal changes not reaching the articular surface on fast spin echo (FSE) sequences are considered to represent mucoid degeneration on MRI. The aim of this study was to evaluate the association of prevalent intrasubstance signal changes with incident tears of the medial meniscus detected on 3.0 T MRI over a 1-year period. A total of 161 women aged {>=}40 years participated in a longitudinal 1-year observational study of knee osteoarthritis. MRI (3.0 T) was performed at baseline and 12-month follow-up. The anterior horn, body, and posterior horn of the medial meniscus were scored by two experienced musculoskeletal radiologists using the Boston-Leeds Osteoarthritis Knee Score (BLOKS) system. Four grades were used to describe the meniscal morphology: grade 0 (normal), grade 1 (intrasubstance signal changes not reaching the articular surface), grade 2 (single tears), and grade 3 (complex tears and maceration). Fisher's exact test and the Cochran-Armitage trend test were performed to evaluate whether baseline intrasubstance signal changes (grade 1) predict incident meniscal tears/maceration (grades 2 and/or 3) in the same subregion of the medial meniscus, when compared to subregions without pathology as the reference group (grade 0). Medial meniscal intrasubstance signal changes at baseline did not predict tears at follow-up when evaluating the anterior and posterior horns (left-sided p-values 0.06 and 0.59, respectively). No incident tears were detected in the body. We could not demonstrate an association between prevalent medial meniscal intrasubstance signal changes with incident tears over a 1-year period. (orig.)

  2. Posterior-anterior weight-bearing radiograph in 15 knee flexion in medial osteoarthritis

    International Nuclear Information System (INIS)

    Yamanaka, Norio; Takahashi, Toshiaki; Yamamoto, Hiroshi; Ichikawa, Norikazu

    2003-01-01

    To evaluate the degree of knee flexion at which: (1) degenerative joint space narrowing is best seen, (2) the tibial plateau is best visualized and (3) the tibiofemoral angle is most correct, in order to assess the degree of flexion in the anteroposterior radiographic view that is most useful for assessing medial compartment osteoarthritis (OA) of the knee.Design and patients. We compared the conventional extended view of the knee and views at 15 , 30 , and 45 of flexion with respect to joint space narrowing, alignment of the medial tibial plateau (MTP), and tibiofemoral angles in 113 knees of 95 patients with medial osteoarthritis of the knee (22 men, 73 women; mean age 67 years).Results. At the midpoint and the narrowest point of the medial compartment, joint space narrowing values at 15 , 30 , and 45 of flexion of the knee were smaller than that of the conventional extended view. Superimposition of the margins of the tibial plateau was satisfactory in 12% of patients in the conventional extended view, in 36% at 15 of flexion, in 20% at 30 of flexion, and in 19% at 45 of flexion of the knee. When the knee was at 15 of flexion there was a smaller difference in the tibiofemoral angle, in comparison with the knee extended, than was the case at 30 and 45 of flexion in patients with medial OA.Conclusion. A posteroanterior view with 15 of flexion of the knee was able to detect joint space narrowing accurately, to achieve good alignment of the MTP in the medial compartment, and to reduce the difference in tibiofemoral angle compared with a view of the knee in conventional extension, and may be an alternative view in cases of medial OA of the knee. (orig.)

  3. Seguridad de las aplicaciones web

    OpenAIRE

    Luján Mora, Sergio

    2016-01-01

    Conferencia "Seguridad de las aplicaciones web" impartida en las III Jornadas Informáticas - UTE 2016 en la Facultad de Ciencias de la Ingeniería e Industrias de la Universidad Tecnológica Equinoccial (Quito, Ecuador) el 5 de julio de 2016.

  4. Las aventuras con el autoscopio

    Directory of Open Access Journals (Sweden)

    Víctor Florencio Ramírez Hernández

    2006-01-01

    Full Text Available El trabajo se inspira en el famoso personaje Harry Potter para hacer un análisis entre la filosofía y las neurociencias, específicamente sobre las condiciones funcionales que hacen posible filosofar.

  5. La convergencia de las telecomunicaciones

    OpenAIRE

    Galarza, D.

    2000-01-01

    Presenta la evolución de la electrónica y como esta ha influenciado en el desarrollo de las telecomunicaciones, en la creación de redes fijas y móviles. Además visualiza el futuro convergente de las telecomunicaciones.

  6. Revestimientos corrosibles de las obras

    Directory of Open Access Journals (Sweden)

    Jiménez Montoya, P.

    1958-02-01

    Full Text Available Not availableEstudio y descripción de los distintos tipos de revestimiento que requieren las obras industriales para protegerlas contra las acciones químicas desarrolladas por las substancias puestas en contacto con ellas. El amplio estado evolutivo actual de los procedimientos industriales exige, como es natural, que las construcciones modernas se proyecten con un conocimiento claro, no ya de su estabilidad estructural, sino de la de sus propios materiales, que, por fenómenos corrosivos, pueden causar la ruina de la construcción. En este trabajo se dan los procedimientos de revestir, las características más importantes de estas protecciones y materiales empleados y, finalmente, su comportamiento en contacto con los agentes agresivos normalmente manipulados en la industria.

  7. Neutron-Phonon Interaction Studies in Copper, Zinc and Magnesium Single Crystals; Etude des interactions neutron-phonon dans des monocristaux de cuivre, de zinc et de magnesium; Izuchenie vzaimodejstviya nejtronov i fononov v monokristallakh medi, ninki i magniya; Estudio de las interacciones neutron-fonon en monocristales de cobre, cinc y magnesio

    Energy Technology Data Exchange (ETDEWEB)

    Maliszewski, E.; Sosnowski, J.; Blinowski, K.; Kozubowski, J.; Padlo, L.; Sledziewska, D. [Institute of Nuclear Research, Warsaw (Poland)

    1963-01-15

    trouve nettement au-dessus de la courbe de Jacobsen et les points experimentaux signales dans le present memoire confirment les resultats de Cribier er de Jacrot. Les relations de dispersion des phonons dans des monocristaux de zinc et de magnesium ont ete etudiees a l'aide de la methode des neutrons froids et d'un spectrometre neutronique a cristal triaxe, Les auteurs ont trace les surfaces de diffusion dans le plan [1010], trouve les branches AT et AL ainsi que les relations de dispersion des phonons dans les directions [001] et [010] . Us ont compare ces resultats a ceux qu'a obtenus Johnson avec des rayons X . Dans la direction [001] , les resultats s'adaptent bien a la courbe de Johnson en ce qui concerne la branche AL. Dans la direction [010] , pour la branche AT, les auteurs observent un grand ecart entre leurs resultats et ceux de Johnson. 11s en donnent une explication. Ils decrivent des mesures semblables faites a l'heure actuelle dans les memes directions, dans des monocristaux de magnesium. (author) [Spanish] Los autores han estudiado las relaciones de dispersion de fonones en monocristales de cobre con ayuda de un espectrometro neutronico triaxial. En la direccion 100 han observado la rama transversal, no mencionada en las memorias de Cribier y Jacrot. Esta rama concuerda satisfactoriamente con los datos recientes relativos a la velocidad del sonido, pero difiere en parte de los resultados roentgenograncos obtenidos por Jacobsen. En cuanto a la rama longitudinal en la direccion 100, la curva de dispersion obtenida por Cribier y Jacrot se encuentra netamente por encima de la curva de Jacobsen y los puntos experimentales a que se refiere la presente memoria connrman los resultados de Cribier y Jacrot. Los autores han estudiado las relaciones de dispersion de fonones en monocristales de cinc y magnesio por el procedimiento de los neutrones frios, utilizando ademas un espectrometro neutronico triaxial. Han determinado las superficies de dispersion en el plano

  8. Una escuela de todas (las personas) para todas (las personas)

    OpenAIRE

    Montolio Pastor, Rosa; Cervellera Martínez, Luiso

    2008-01-01

    Escuela 2 representa una particular manera de entender la educación. Un proyecto educativo nacido de la cooperación entre las personas, concebido para albergar todo un universo de realidades y gestionado de manera colaborativa bajo los principios de la economía social y el movimiento cooperativo. Una escuela de todas, las personas, para todas, las personas. Una escuela decidida a hacer realidad los principios de la inclusión educativa desde el día a día, esforzada por resituar a cada paso su ...

  9. El Hombre de las Cavernas. Atapuerca y el Inicio de la Vida

    Directory of Open Access Journals (Sweden)

    Juan Mendoza-Vega

    2009-06-01

    Full Text Available

    Para llegar al estado actual, el mamífero bípedo a cuya especie pertenecemos con tanto orgullo, no siempre justificado, ha tenido que pasar muchos miles de años en un proceso de constante evolución durante el cual no sólo ha cambiado poco a poco sus caracteres anatómicos sino ha incrementado la complejidad de los procesos orgánicos que lo distinguen de otros seres vivos, con base en el desarrollo también progresivo del órgano donde se producen estos procesos, el encéfalo.

    Medicina

    En el camino hacia el Homo sapiens sapiens del siglo XXI, han quedado atrás y se han extinguido varias ramas de nuestra especie original. Los primeros homínidos, aquellos que hace cuatro o cinco millones de años se alzaron sobre sus extremidades posteriores y empezaron a utilizar las anteriores para agarrar y manipular objetos, al mismo tiempo que gozaban de inédita visión de sus alrededores desde la nueva altura de sus ojos, intentaron adaptarse a esas novedades y a los cambios de su ambiente con varia fortuna, de modo que algunos grupos viraron hacia la extinción progresiva mientras otros iban pasando sus genes, recombinándolos, logrando y asentando novedades cada vez más útiles para el esfuerzo general y prioritario de sobrevivir.

  10. Las repercusiones sociales y políticas de los nuevos medios

    Directory of Open Access Journals (Sweden)

    Claus Eurich

    2015-01-01

    Full Text Available Habría que cuidarse de una evaluación errónea y superficial. Los nuevos medios significan nuevas formas de transmisión y de intercambio de informaciones de todo tipo y calidad. Se trata, por consiguiente, de algo más importante que "sólo" una considerable ampliación de la oferta de la televisión y la radio. Se trata más que nada de la vida, del vivir cotidiano del hombre; se trata de todo aquello que se relaciona con la información, la interacción y la comunicación, y con ello, de lo que hasta ahora ha sucedido particularmente en el contacto directo entre los hombres. Si se aplicasen las nuevas tecnologías de información y comunicación en todo su potencial, éstas cambiarían la vida de los hombres por completo. La más amplia racionalización de nuestra vida cotidiana se desplaza al campo de lo probable. Esto resulta técnicamente factible mediante los enormes progresos, tanto en la rama de la técnica de microprocesadores como en la del desarrollo y la evolución continua de nuevas tecnologías de transmisión, principalmente a través de satélites y del cable de banda ancha. Los elementos centrales en este contexto, son la televisión vía satélite, el videotexto, el acceso al terminal video vía teléfono de bancos de datos computarizados y la televisión por cable (comunicación de banda ancha.

  11. Estado peronista y cooperativismo eléctrico: El caso de la Cooperativa Eléctrica de Las Flores entre 1946 y 1951

    Directory of Open Access Journals (Sweden)

    Luis Rodrigo La Scaleia

    2006-01-01

    Full Text Available El rubro de la electricidad fue uno de los sectores más dinámicos para la transformación económica que experimentó la Argentina en la década del 40. Al mismo tiempo fue una de las ramas en las que se desarrolló más fuertemente el cooperativismo, que jugó un papel esencial en la provisión de energía eléctrica, fuera de los grandes centros urbanos. En este trabajo se estudia el desenvolvimiento de la Cooperativa Eléctrica de Las Flores destinada al suministro de energía del partido homónimo, en el interior de la Provincia de Buenos Aires entre 1946 y 1951. Finalmente el trabajo analiza la política energética primero en la Provincia de Buenos Aires durante al Gobierno de Domingo Mercante y segundo en el ámbito nacional, durante la primera presidencia de Juan Perón.The sector of electricity was one of the more dynamics for the economic transformation, which Argentine had experimented in the 40ies. At the same time, it was a brnch in which the cooperativism was strongly developed, being extremely important for the provision of electric energy, out of the huge urben centres. In this work it is studied the development of the electric cooperative of Las Flores destinated to the suministry of energy of the similar district, in the inner of the Buenos Aires Province between 1946 and 1951. Finally the study analyses the energetic politic, firstly in the Province of Buenos Aires during Domingo Mercante's government and secondly in the national circuit, during Juan Perón's presidency.

  12. Incarceration of the medial collateral ligament in the intercondylar notch following proximal avulsion

    Energy Technology Data Exchange (ETDEWEB)

    Walton, Edward [Fiona Stanley Hospital, Department of Radiology, Perth, Western Australia (Australia); Williams, Martin [North Bristol NHS Trust, Department of Radiology, Bristol (United Kingdom); Robinson, James R. [Bristol Knee Group, Avon Orthopaedic Centre, Bristol (United Kingdom)

    2017-11-15

    Intra-articular entrapment of the medial collateral ligament (MCL) is a rare but recognised complication of traumatic injury to the posteromedial corner (PMC) of the knee. Considering the MCL is the most commonly injured ligament of the knee this complication is extremely rare with only a handful of cases describing MCL entrapment following distal avulsion of the MCL. We present the first known case of MCL entrapment following proximal avulsion of the MCL and posterior oblique ligament (POL) with the mid-substance of the MCL becoming entrapped in the joint, lying on the superior surface of the medial meniscus and extending up into the intercondylar notch. In addition, the medial patellar retinaculum was also entrapped in the medial aspect of the medial patellofemoral joint. MCL entrapment is best treated with expeditious surgical intervention and it is therefore crucial that the MRI findings are not overlooked. Details of the clinical assessment, MRI and operative findings are presented with a literature review of MCL entrapment. (orig.)

  13. Novel air-injection technique to locate the medial cut end of lacerated canaliculus.

    Science.gov (United States)

    Liu, Bingqian; Li, Yonghao; Long, Chongde; Wang, Zhonghao; Liang, Xuanwei; Ge, Jian; Wang, Zhichong

    2013-12-01

    Locating the medial cut end of the severed canaliculus is the most difficult aspect of canalicular repair, especially in patients with more medial laceration, severe oedema, persistent errhysis and a narrow canaliculus. Irrigation is a widely used technique to identify the cut end; however, we found that air injected through the intact canaliculus with a straight needle failed to reflux when the common canaliculus or lacrimal sac was not blocked. We describe a simple, safe and efficient air-injection technique to identify the medial cut edge of a lacerated canaliculus. In this method, we initially submersed the medial canthus under normal saline, then injected filtered air through the intact canaliculus using a side port stainless steel probe with a closed round tip. The tip was designed to block the common canaliculus to form a relatively closed system. The efficiency of this novel air-injection technique was equivalent to the traditional technique but does not require the cooperation of the patient to blow air. Using this technique, the medial cut end was successfully identified by locating the air-bubble exit within minutes in 19 cases of mono-canalicular laceration without any complication.

  14. Diverse cellular architecture of atherosclerotic plaque derives from clonal expansion of a few medial SMCs.

    Science.gov (United States)

    Jacobsen, Kevin; Lund, Marie Bek; Shim, Jeong; Gunnersen, Stine; Füchtbauer, Ernst-Martin; Kjolby, Mads; Carramolino, Laura; Bentzon, Jacob Fog

    2017-10-05

    Fibrous cap smooth muscle cells (SMCs) protect atherosclerotic lesions from rupturing and causing thrombosis, while other plaque SMCs may have detrimental roles in plaque development. To gain insight into recruitment of different plaque SMCs, we mapped their clonal architecture in aggregation chimeras of eGFP+Apoe-/- and Apoe-/- mouse embryos and in mice with a mosaic expression of fluorescent proteins in medial SMCs that were rendered atherosclerotic by PCSK9-induced hypercholesterolemia. Fibrous caps in aggregation chimeras were found constructed from large, endothelial-aligned layers of either eGFP+ or nonfluorescent SMCs, indicating substantial clonal expansion of a few cells. Similarly, plaques in mice with SMC-restricted Confetti expression showed oligoclonal SMC populations with little intermixing between the progeny of different medial SMCs. Phenotypes comprised both ACTA2+ SMCs in the cap and heterogeneous ACTA2- SMCs in the plaque interior, including chondrocyte-like cells and cells with intracellular lipid and crystalline material. Fibrous cap SMCs were invariably arranged in endothelium-aligned clonal sheets, confirming results in the aggregation chimeras. Analysis of the clonal structure showed that a low number of local medial SMCs partake in atherosclerosis and that single medial SMCs can produce several different SMC phenotypes in plaque. The combined results show that few medial SMCs proliferate to form the entire phenotypically heterogeneous plaque SMC population in murine atherosclerosis.

  15. Contributions of Medial Temporal Lobe and Striatal Memory Systems to Learning and Retrieving Overlapping Spatial Memories

    Science.gov (United States)

    Brown, Thackery I.; Stern, Chantal E.

    2014-01-01

    Many life experiences share information with other memories. In order to make decisions based on overlapping memories, we need to distinguish between experiences to determine the appropriate behavior for the current situation. Previous work suggests that the medial temporal lobe (MTL) and medial caudate interact to support the retrieval of overlapping navigational memories in different contexts. The present study used functional magnetic resonance imaging (fMRI) in humans to test the prediction that the MTL and medial caudate play complementary roles in learning novel mazes that cross paths with, and must be distinguished from, previously learned routes. During fMRI scanning, participants navigated virtual routes that were well learned from prior training while also learning new mazes. Critically, some routes learned during scanning shared hallways with those learned during pre-scan training. Overlap between mazes required participants to use contextual cues to select between alternative behaviors. Results demonstrated parahippocampal cortex activity specific for novel spatial cues that distinguish between overlapping routes. The hippocampus and medial caudate were active for learning overlapping spatial memories, and increased their activity for previously learned routes when they became context dependent. Our findings provide novel evidence that the MTL and medial caudate play complementary roles in the learning, updating, and execution of context-dependent navigational behaviors. PMID:23448868

  16. Dissociating medial frontal and posterior cingulate activity during self-reflection.

    Science.gov (United States)

    Johnson, Marcia K; Raye, Carol L; Mitchell, Karen J; Touryan, Sharon R; Greene, Erich J; Nolen-Hoeksema, Susan

    2006-06-01

    Motivationally significant agendas guide perception, thought and behaviour, helping one to define a 'self' and to regulate interactions with the environment. To investigate neural correlates of thinking about such agendas, we asked participants to think about their hopes and aspirations (promotion focus) or their duties and obligations (prevention focus) during functional magnetic resonance imaging and compared these self-reflection conditions with a distraction condition in which participants thought about non-self-relevant items. Self-reflection resulted in greater activity than distraction in dorsomedial frontal/anterior cingulate cortex and posterior cingulate cortex/precuneus, consistent with previous findings of activity in these areas during self-relevant thought. For additional medial areas, we report new evidence of a double dissociation of function between medial prefrontal/anterior cingulate cortex, which showed relatively greater activity to thinking about hopes and aspirations, and posterior cingulate cortex/precuneus, which showed relatively greater activity to thinking about duties and obligations. One possibility is that activity in medial prefrontal cortex is associated with instrumental or agentic self-reflection, whereas posterior medial cortex is associated with experiential self-reflection. Another, not necessarily mutually exclusive, possibility is that medial prefrontal cortex is associated with a more inward-directed focus, while posterior cingulate is associated with a more outward-directed, social or contextual focus.

  17. Incarceration of the medial collateral ligament in the intercondylar notch following proximal avulsion

    International Nuclear Information System (INIS)

    Walton, Edward; Williams, Martin; Robinson, James R.

    2017-01-01

    Intra-articular entrapment of the medial collateral ligament (MCL) is a rare but recognised complication of traumatic injury to the posteromedial corner (PMC) of the knee. Considering the MCL is the most commonly injured ligament of the knee this complication is extremely rare with only a handful of cases describing MCL entrapment following distal avulsion of the MCL. We present the first known case of MCL entrapment following proximal avulsion of the MCL and posterior oblique ligament (POL) with the mid-substance of the MCL becoming entrapped in the joint, lying on the superior surface of the medial meniscus and extending up into the intercondylar notch. In addition, the medial patellar retinaculum was also entrapped in the medial aspect of the medial patellofemoral joint. MCL entrapment is best treated with expeditious surgical intervention and it is therefore crucial that the MRI findings are not overlooked. Details of the clinical assessment, MRI and operative findings are presented with a literature review of MCL entrapment. (orig.)

  18. Congruence and joint space width alterations of the medial compartment following lateral unicompartmental knee arthroplasty.

    Science.gov (United States)

    Zuiderbaan, H A; Khamaisy, S; Thein, R; Nawabi, D H; Pearle, A D

    2015-01-01

    Progressive degenerative changes in the medial compartment of the knee following lateral unicompartmental arthroplasty (UKA) remains a leading indication for revision surgery. The purpose of this study is to evaluate changes in the congruence and joint space width (JSW) of the medial compartment following lateral UKA. The congruence of the medial compartment of 53 knees (24 men, 23 women, mean age 13.1 years; sd 62.1) following lateral UKA was evaluated pre-operatively and six weeks post-operatively, and compared with 41 normal knees (26 men, 15 women, mean age 33.7 years; sd 6.4), using an Interactive closest point algorithm which calculated the congruence index (CI) by performing a rigid transformation that best aligns the digitised tibial and femoral surfaces. Inner, middle and outer JSWs were measured by sub-dividing the medial compartment into four quarters on pre- and post-operative, weight bearing tunnel view radiographs. The mean CI of knees following lateral UKA significantly improved from 0.92 (sd 0.06) pre-operatively to 0.96 (sd 0.02) (p congruence and normalise the JSW of the medial compartment, potentially preventing progression of degenerative change. ©2015 The British Editorial Society of Bone & Joint Surgery.

  19. Radiographic Relevance of the Distal Medial Cuneiform Angle in Hallux Valgus Assessment.

    Science.gov (United States)

    Hatch, Daniel J; Smith, Abigail; Fowler, Troy

    2016-01-01

    The angle formed by the distal articular facet of the medial cuneiform has been evaluated and discussed by various investigators. However, no consistent method has been available to radiograph and measure this entity. The wide variability of the angle is not conducive to comparative analysis. Additionally, investigators have noted that the angles observed (obliquity) vary greatly because of changes in radiographic angle, foot position, rotation of the first ray, and declination of the first metatarsal. Recognizing that these variables exist, we propose a reproducible assessment using digital radiography and application of deformity of correction principles. Our results have indicated a mean distal medial cuneiform angle of 20.69° in normal feet, 23.51° with moderate hallux valgus, and 20.41° with severe hallux valgus deformity. The radiograph beam was kept at 15° from the coronal plane. An inverse relationship was found between the distal medial cuneiform angle and bunion severity. This was in contrast to our expected hypothesis. The overall angle of the first metatarsal-medial cuneiform did, however, correlate with the severity of the bunion deformity (p hallux valgus. A better indicator appears to be the first metatarsal-medial cuneiform angle. This pathologic entity is a 3-dimensional one that incorporates the joint morphology of the first ray, triplane osseous positioning, and soft tissue imbalances. Perhaps, 3-dimensional computed tomography imaging will provide better insight into this entity. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  20. Diagnosis of radial tear of posterior horn of medial meniscus by MR imaging. Prospective study

    International Nuclear Information System (INIS)

    Motoyama, Tatsuo; Ihara, Hidetoshi; Kawashima, Mahito

    2002-01-01

    It is not easy to detect radial tears of the posterior horn of the medial meniscus (torn posterior horn) under arthroscopy if the surgeon does not notice the tear before arthroscopy. Occasionally the tear goes undetected or is missed during arthroscopy. The sagittal view of MR imaging is very useful for diagnosing torn posterior horns. The normal posterior horn of the medial meniscus appears as an image of low intensity triangle of the sagittal MRI medial slice next to the PCL. On the contrary, the image of the torn posterior horn shows a high intensity triangle, so we refer to the feature as a white meniscus sign. We prospectively examined the accuracy of white meniscus sign of MRI. Forty-two knees in 41 patients were studied. They were over 40 years of age, diagnosed with medial meniscus tear and had undergone MRI before arthroscopy. Before arthroscopy, we predicted the existence of torn posterior horn by the white meniscus sign and examined the accuracy of the MRI after arthroscopy. Total accuracy rate was 90.5%, sensitivity was 94.1%, and specificity was 88.0%. We concluded that the white meniscus sign on MRI is very useful for defecting torn posterior horn of the medial meniscus. (author)

  1. Medial prefrontal aberrations in major depressive disorder revealed by cytoarchitectonically informed voxel-based morphometry

    Science.gov (United States)

    Bludau, Sebastian; Bzdok, Danilo; Gruber, Oliver; Kohn, Nils; Riedl, Valentin; Sorg, Christian; Palomero-Gallagher, Nicola; Müller, Veronika I.; Hoffstaedter, Felix; Amunts, Katrin; Eickhoff, Simon B.

    2017-01-01

    Objective The heterogeneous human frontal pole has been identified as a node in the dysfunctional network of major depressive disorder. The contribution of the medial (socio-affective) versus lateral (cognitive) frontal pole to major depression pathogenesis is currently unclear. The present study performs morphometric comparison of the microstructurally informed subdivisions of human frontal pole between depressed patients and controls using both uni- and multivariate statistics. Methods Multi-site voxel- and region-based morphometric MRI analysis of 73 depressed patients and 73 matched controls without psychiatric history. Frontal pole volume was first compared between depressed patients and controls by subdivision-wise classical morphometric analysis. In a second approach, frontal pole volume was compared by subdivision-naive multivariate searchlight analysis based on support vector machines. Results Subdivision-wise morphometric analysis found a significantly smaller medial frontal pole in depressed patients with a negative correlation of disease severity and duration. Histologically uninformed multivariate voxel-wise statistics provided converging evidence for structural aberrations specific to the microstructurally defined medial area of the frontal pole in depressed patients. Conclusions Across disparate methods, we demonstrated subregion specificity in the left medial frontal pole volume in depressed patients. Indeed, the frontal pole was shown to structurally and functionally connect to other key regions in major depression pathology like the anterior cingulate cortex and the amygdala via the uncinate fasciculus. Present and previous findings consolidate the left medial portion of the frontal pole as particularly altered in major depression. PMID:26621569

  2. PRODUCCIÓN DE HOJARASCA EN UN RODAL DE Pinus cembroides Zucc. EN ARTEAGA, COAHUILA, MÉXICO Y SU RELACIÓN CON LAS VARIABLES CLIMÁTICAS

    Directory of Open Access Journals (Sweden)

    Santiago A. Reyes-Carrera

    2013-01-01

    Full Text Available La caída de hojarasca constituye la fuente principal de materia orgánica en los ecosistemas terrestres. La evaluación de la caída de hojarasca es importante para entender la productividad forestal, pero también proporciona información relevante como indicador fenológico de los efectos del cambio climático. Este estudio se llevó a cabo en un rodal joven de Pinus cembroides Zucc. en la sierra de Arteaga, Coahuila, México. La hojarasca fue colectada mensualmente usando 40 colectores (1 m2 ubicados sistemáticamente dentro de una parcela de 1 ha. La prueba no paramétrica de Kruskal-Wallis se utilizó para detectar diferencias significativas entre fechas de colecta. Las relaciones de producción de hojarasca con las variables climáticas se evaluaron mediante análisis de componentes principales y modelos de regresión. La deposición total de hojarasca fue poco más de 1,000 kg·ha-1·año-1, la cual fue dependiente de la temperatura y el viento. Las acículas y ramas constituyeron cerca del 33 y 22 % de la deposición total, respectivamente.

  3. Code for the steam tables for pure water in visual basic 6.0.; Un codigo para las tablas de vapor para agua pura en visual basic 6.0

    Energy Technology Data Exchange (ETDEWEB)

    Verma, Mahendra P. [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2002-07-01

    The thermodynamic data of the water are of extreme importance in all of the branches of science and technology; the facilitate the understanding of the natural Earth processes. Nevertheless, for the electrical industry the water plays a very important role during the generation of electrical energy process. Different heat sources such as coal, oil, natural gas, nuclear fuel or the geothermal heat boil the water that forms the steam used to move the turbines. Consequently, the steam tables (the thermodynamic water data) are vital to model thermal and mass transference and physical-chemical processes during the generation of electrical energy. [Spanish] Los datos termodinamicos del agua son de suma importancia en todas las ramas de la ciencia y tecnologia, ellos facilitan el entendimiento de los procesos naturales de la Tierra. Sin embargo, para la industria electrica el agua juega un papel muy importante durante el proceso de generacion de energia electrica. Diferentes fuentes de calor tales como carbon, aceite, gas natural, combustible nuclear o el calor geotermico calientan el agua que forma el vapor utilizado para mover las turbinas. Luego entonces, las tablas de vapor (los datos termodinamicos de agua) son vitales para modelar transferencia termica y de masa y procesos fisico-quimico durante la generacion energia electrica.

  4. Contrasting medial moraine development at adjacent temperate, maritime glaciers: Fox and Franz Josef Glaciers, South Westland, New Zealand

    Science.gov (United States)

    Brook, Martin; Hagg, Wilfried; Winkler, Stefan

    2017-08-01

    Medial moraines form important pathways for sediment transportation in valley glaciers. Despite the existence of well-defined medial moraines on several glaciers in the New Zealand Southern Alps, medial moraines there have hitherto escaped attention. The evolving morphology and debris content of medial moraines on Franz Josef Glacier and Fox Glacier on the western flank of the Southern Alps is the focus of this study. These temperate maritime glaciers exhibit accumulation zones of multiple basins that feed narrow tongues flowing down steep valleys and terminate 400 m above sea level. The medial moraines at both glaciers become very prominent in the lower ablation zones, where the medial moraines widen, and develop steeper flanks coeval with an increase in relative relief. Medial moraine growth appears somewhat self-limiting in that relief and slope angle increase eventually lead to transport of debris away from the medial moraine by mass-movement-related processes. Despite similarities in overall morphologies, a key contrast in medial moraine formation exists between the two glaciers. At Fox Glacier, the medial moraine consists of angular rockfall-derived debris, folded to varying degrees along flow-parallel axes throughout the tongue. The debris originates above the ELA, coalesces at flow-unit boundaries, and takes a medium/high level transport pathway before subsequently emerging at point-sources aligned with gently dipping fold hinges near the snout. In contrast at Franz Josef Glacier, the medial moraine emerges farther down-glacier immediately below a prominent rock knob. Clasts show a mix of angular to rounded shapes representing high level transport and subglacially transported materials, the latter facies possibly also elevated by supraglacial routing of subglacial meltwater. Our observations confirm that a variety of different debris sources, transport pathways, and structural glaciological processes can interact to form medial moraines within New Zealand

  5. Familial Discoid Medial Meniscus Tear in Three Members of a Family: A Case Report and Review of Literature

    OpenAIRE

    Ahmed Ali, Raheel; McKay, Scott

    2014-01-01

    Background. A discoid meniscus is a thickened variant of the normal C-shaped meniscus prone to injury. Discoid medial meniscal tears have rarely been reported within families and may suggest familial or developmental origins. Methods. We report the cases of two Caucasian brothers with symptomatic discoid medial meniscus tears. A literature review was conducted addressing discoid medial meniscus and cases of familial meniscus tears. Case Presentation. Physically active brothers presented with ...

  6. RAMA Containment group final report January 1985

    International Nuclear Information System (INIS)

    Becker, K.

    1985-01-01

    In the present investigation the MAAP (Modular Accident Analysis Program) program, which was developed by FAI, has been employed to analyse the containment response to severe reactor accidents involving core meltdown and vessel failure. All of the twelve Swedish reactors, 9 BWRs and 3 PWRs, have been included in the study. In order to apply the MAAP code to the BWRs it was necessary to develop five new versions of the code. This development was carried out by FAI (Fauske and Associates Inc.). For the important cases of total blackout and LOCAs the MAAP code seems to give a reasonable description of the accident progressions, and the predicted times to containment failure were approximately 2 days for all of the plants. With regard to the more complicated cases, which for instance include starts and stops of emergency cooling systems, only a limited number of cases have been studied. The experience from this analysis is that certain sequences can be analysed with MAAP, but that further development of the code is necessary in order to cover all cases of interest for accident management analysis. Thus, our versions of the MAAP code still need improvements and very qualified personnel are, in fact, needed in order too interpret the results properly. It was found that the early design of Swedish BWRs with a wetwell below the reactor vessel was a favourable one from the severe accident point of view. With regard to the newer designs, F1, F2, F3 and O3, which have a dry pedestal compartment below the reactor vessel, it was suggested that before a possible reactor vessel failure this compartment should be flooded by water in order to avoid an early rupture of the containment. (author)

  7. Las aristas del racismo

    Directory of Open Access Journals (Sweden)

    Fredy Rivera Vélez

    2000-01-01

    Full Text Available En el presente trabajo se estudia un ámbito que normalmente se esquiva y se enmascara: Las prácticas racistas. Esta evasión del tema se da en diferentes planos discursivos, y es una práctica, cada vez más frecuente en América Latina, pues aquí se hace de la integración étnica uno de los ejes centrales de la construcción de sus relaciones identitarias y políticas. Se propone, entonces, este trabajo develar la naturaleza y el movimiento de prácticas racistas presentes no sólo discursivamente, en la práctica política, en la práctica laboral, sino que también están presente en nuestra vida cotidiana, bajo nuevas formas y contenidos que se distancian del racismo tradicional e incorpora una nueva gramática racista, una suerte de racismo moderno, no basado en el fenotipo o características físicas como elemento central, sino en un racismo basado en la diferencia cultural, lo cual plantea un plano más excluyente, pues en este planteamiento el “objeto de racismo” no es un objeto de racismo limitado, como en el racismo tradicional, en el cual siempre es utilizado por quien practica el racismo; en el racismo contemporáneo se pretende una ruptura completa y una exclusión total del otro.

  8. Las momias de las pirámides

    Directory of Open Access Journals (Sweden)

    José Miguel Parra

    2011-01-01

    Full Text Available El público general cree, como si fuera un dogma religioso, que las pirámides egipcias no fueron las tumbas de los faraones de los Reino Antiguo y Medio porque en ninguna de las cámaras funerarias se ha encontrado nunca una momia. Este estudio compila todos los datos relevantes al respecto y describe brevemente todos los restos humanos encontrados dentro de las pirámides, demostrando la falta de base de esa extendida creencia.As a religious dogma the general public believe that the Egyptian pyramids were not the tombs for the Old and Middle Kingdom pharaohs, because never was a mummy found inside the burial chamber of any of them. This study just compile all the relevant data on the subject and describe briefly all the human remains found in the pyramids, showing the nonsense of the general belief.

  9. Las multitudes y las revoluciones de nuestro tiempo

    Directory of Open Access Journals (Sweden)

    John Harold Biervliet

    2015-08-01

    Full Text Available Este artículo examina el motivo de las multitudes y las revoluciones de nuestro tiempo. Primeramente, se discuten las diferencias entre los conceptos de multitud y masa. Así, podemos considerar las revoluciones como acontecimientos de cambios sociales, económicos y políticos, provenientes de las clases baja y media de la sociedad. El meollo de este artículo refiere a la dignidad humana articulada a la contracción de los Estados de bienestar. Los ciudadanos están reflejando un desencanto hacia la clase política y una frustración con respecto al empeoramiento de las condiciones económicas y sociales. Podemos observar los casos de indignados en Grecia, España y Portugal pero también en los países árabes. De esta misma manera, las revoluciones de las multitudes siguen avanzando por medio de las demostraciones públicas y protestas sobre los espacios geográficos. Finalmente, las dinámicas de cambio a través de las revoluciones árabes son una cuestión compleja debido al círculo vicioso entre la tendencia autoritaria y la islámica. This article examines the reason of multitudes and revolutions in our time. First of all, it discusses the difference between the concept of multitude and mass. Consequently, revolutions can be considered as social, economic, and political events of changes, which come from the low and middle classes of the society. This article refers to the human dignity articulated with the contraction of Welfare states. Citizens are reflecting disenchantment towards the political class and frustration regarding the deterioration of social and economic conditions. We can observe angry people in Greece, Spain, and Portugal but also in Arabian countries. In this same way, revolutions of multitudes continue by means of public demonstrations and protests on geographical spaces. Finally, the dynamics of change through Arabian Revolutions are a complex matter due to the vicious circle between the authoritarian or Islamic

  10. Las "auctoritates" escolásticas en las Siete Partidas

    OpenAIRE

    Vázquez Janeiro, Isaac

    1992-01-01

    Examen de las fuentes utilizadas en los pasajes de las Siete Partidas relativos a la doctrina general de los sacramentos y en particular de los sacramentos del bautismo y del matrimonio. A base de los resultados obtenidos se sacan conclusiones sobre el carácter de la obra alfonsina. Examination of the sources used in the passages of the Siete Partidas relating to the general doctrine of the Sacraments and specially of the sacraments of Baptism and Marriage.

  11. Las desterradas hijas de Eva

    OpenAIRE

    Quiñonero Hernández, Llum

    2015-01-01

    Ocurrió en España, durante década, en tiempos de Franco y después de Franco. El estado franquista creo una tupida red de instituciones para el control social de las mujeres: para las rebeldes y descarriadas, el encierro; para las madres solteras también el estigma. Carentes de derechos, de garantías, miles, decenas de miles de mujeres, aún sin cuantificar, vieron desaparecer a sus recién nacidos en instituciones privadas y públicas de muy diversa índole: cárceles, reformatorios, maternidades ...

  12. Patagonia: tocando las fibras internas

    OpenAIRE

    Velasco Tafur, Ximena; Borrero Caldas, Silvio

    2013-01-01

    El presente caso, está enfocado en Patagonia, una compañía que desde sus inicios ha desarrollado una forma poco convencional en su estilo de hacer negocios. La gerencia de Patagonia considera que muchos errores administrativos obedecen a que las empresas formulan las mismas soluciones para todos los problemas que enfrentan. Además, desde la revolución industrial, tales soluciones han privilegiado las ganancias económicas sobre la sostenibilidad ambiental, y el planeta está pasando factura por...

  13. Unificar las ciencias del deporte

    Directory of Open Access Journals (Sweden)

    Natàlia Balagué Serre

    2013-12-01

    Full Text Available El deporte no es solo un fenómeno social de nuestro mundo, sino que también es un campo privilegiado para el estudio del comportamiento social y humano. Durante las últimas décadas, se ha producido un enorme crecimiento y especialización de las ciencias del deporte y el lema del 18º Congreso del European College of Sport Sciences (ECSS “Unificar las ciencias del deporte” representa desafiar este proceso de fragmentación. El lema conlleva un cambio de la especialización a la integración, de una concepción de los sistemas vivos basada en la teoría de la información y la ingeniería a una de base biológica, de la investigación multidisciplinaria a la transdisciplinaria. Pero aparece una pregunta: ¿es posible integrar las áreas fragmentadas y facilitar la transferencia de los principios explicativos teóricos, técnicas y perspectivas metodológicas entre disciplinas? En el marco de las contribuciones hechas en el congreso, este artículo tiene como objetivo introducir enfoques científicos ya extendidos en los ámbitos de la física, la química, la biología (incluyendo las ómicas y las ciencias sociales, y que centradas en las interacciones dinámicas complejas de los componentes sistémicos (proteínas, células, organismos, grupos, sociedades, revelan principios explicativos generales que contribuyen a la unificación del conocimiento. Intentamos animar a las personas interesadas en las ciencias del deporte a percibir nuevas formas de investigación y a complementar, sin sustituirlos, los enfoques dominantes, con la esperanza de que ir de las partes al todo y del todo a las partes ayudará a los científicos a reconocer los caminos más adecuados.

  14. Las nuevas formas de racismo

    OpenAIRE

    Gutiérrez López-Dóriga, Cristina

    2012-01-01

    El racismo tal y como lo conocíamos ha disminuido considerablemente ya que ha debido adaptarse a las nuevas exigencias sociales. Esta adaptación ha creado una nueva forma de expresión de este fenómeno, más larvada pero igual de dañina que las anteriores formas manifiestas. Y aunque las bases que sustentan esta nueva forma de racismo dependen de la historia cultural del lugar, siendo así diferentes en Europa y Estados Unidos, ambas aluden a los mismos procesos que crean y mantienen la desigual...

  15. Las escalas de la luz

    OpenAIRE

    Beckers, Benoit

    2009-01-01

    Variando con el paso del día y del año, la luz del Sol y del cielo modula, visual y energéticamente, los territorios, las ciudades y los edificios. ¿Cómo sintetizar y manejar en el proyecto estas informaciones donde se mezcla el azar de las nubes pasajeras con la regularidad astronómica de los trayectos solares? En cuanto a las herramientas de simulación, el mayor avance de estos últimos años se ha producido en los programas de renderización, con los cuales nos vemos forzados a construi...

  16. Efectividad en las redes empresariales

    OpenAIRE

    Álvarez Rey, Natalia; Correal López, Ana María; García Algarra, Laura Ximena

    2014-01-01

    Este estudio tiene como objetivo identificar cuáles son las variables que repercuten en la efectividad de las redes empresariales. Esto, con base en la búsqueda de literatura existente de la efectividad en equipos, en organizaciones y en las redes interorganizacionales, así como el análisis de modelos y estudios empíricos que permitieron el análisis. De acuerdo con la búsqueda, se encontró que variables como la estructura de la red, la estabilidad del sistema, el compromiso de los empleados e...

  17. La intangibilidad de las acciones privadas de las personas

    Directory of Open Access Journals (Sweden)

    Mauricio Maldonado Muñoz

    2014-03-01

    Full Text Available En este artículo pretendemos acercarnos a una garantía que —siguiendo cierta doctrina— hemos llamado: intangibilidad de las acciones privadas de las personas. Desde una visión que busca ser omnicomprensiva, se analizan las fuentes de las que mana la privacidad y, posteriormente, su contenido y alcances. Sobre todo, se analiza el problema de los límites de la injerencia y regulación estatal, partiendo de una posición que niega las visiones comunitaristas. En general, se trata de conceptualizar a la garantía planteada desde el punto de vista de la libertad, el derecho y las virtudes humanas, los derechos de terceros y la moral pública; concretando su vinculación con otros derechos relacionados con la privacidad. La idea central del presente trabajo consiste en demostrar la transversalidad de la garantía señalada, implicando —en ese proceso— cuestiones trascendentes para la filosofía del derecho, la teoría del derecho y, por supuesto, para el estudio del derecho de los derechos humanos.  

  18. The use of MRI in the investigation of lateral meniscal tear post medial unicompartmental knee replacement

    Directory of Open Access Journals (Sweden)

    Sanil H. Ajwani, MBChB, BSc (Hons, MRCS

    2015-06-01

    Full Text Available The evaluation of lateral knee pain in patients with a medial unicompartmental knee replacement (UKR is complex. The native lateral compartment structures are prone to the same injuries as patients with normal knees. Historical reports of lateral meniscal injury post medial UKR have argued MRI evaluation is obsolete due to artefact caused by the prosthesis. We report a case of lateral meniscal injury in a patient two years after successful medial UKR. We identified the offending pathology via utilization of MRI scanners adopting metal artefact reduction sequences (MARS. The MARS MRI protocol helps clinicians accurately and non-invasively evaluate soft tissue structures in knees with metal prostheses. It also allows surgeons to accurately counsel patients and provides a higher degree of certainty in treating the pathology.

  19. Surgical Stabilization of the Medial Capsulo-Ligamentous Envelope in Total Knee Arthroplasty

    Directory of Open Access Journals (Sweden)

    Brandon Green, DO

    2014-10-01

    Full Text Available This study will evaluate an alternative method in which a four prong bone staple was used to repair the medial collateral ligament following over-release or avulsion injuries in (#6 cases during a total knee arthroplasty. The use of a four prong bone staple to repair medial collateral ligament injuries status post total knee replacement will provide satisfactory results with respect to post-operative knee stability and range of motion. Our retrospective review revealed that all six patients improved with regards to range of motion following the total knee arthroplasty. We feel that repair of the medial collateral ligament with a four-prong bone staple is a viable option after an over-release or avulsion injury sustained during a total knee arthroplasty.

  20. Medial depression with bony dehiscence of lamina papyracea as an anatomic variation: CT evaluation

    International Nuclear Information System (INIS)

    Na, Sun Young; Lee, Young Uk; Youn, Eun Kyung; Suh, Sang Gyung; Kim, Dong Hyun

    1994-01-01

    To evaluate the incidence and CT findings of the medial depression and bony dehiscence of lamina papyracea as an anatomic variation. 1472 PNS CTs of the patients with symptoms of chronic sinusitis were retrospectively evaluated. The total incidence of depressed lamina papyracea as an anatomic variation was 3.5%(52/1472) on PNS CT. There was a statistically significant correlation between the increasing age and the incidence of depressed lamina papyracea. Depression of lamina papyracea anterior to the basal lamella were more common than those of the posterior depression. Associated findings were herniation of adjacent fatty tissue in all cases and the medial bowing and hypertrophied configuration of the medial rectus muscle without significant herniation in 19 cases(34%). Nontraumatic, asymptomatic depression with bony dehiscence of lamina papyracea as an anatomic variation is not uncommon with the incidence of 3.5%. Recognition of its existence and degree may be helpful in avoiding various ocular complication during ethmoid surgery