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accidente cerebrovascular

A R Díaz, P Z Navas
INTRODUCTION AND OBJECTIVES: The differences between the two main types of fracture of proximal end of the femur, trochanteric and cervical fractures, are still a subject of study, and could be the key to a better understanding of its pathophysiology and prevention. The aim of this study is to determine whether epidemiological differences in the distribution of risk factors associated with hip fracture exist between these two entities. PATIENTS AND METHOD: A descriptive cross-sectional study of 428 patients over the age of 65 admitted for trochanteric or cervical fractures in 2015, in which gender, age, previous diagnosis, external causes associated with fracture and place of the event were recorded...
March 2018: Revista Española de Cirugía Ortopédica y Traumatología
Maria Francisca Elgueta, Johanna Ortiz Jimenez, Nina Nan Wang, Almudena Pérez Lara, Jeffrey Chankowsky, Roshanak Charghi, De Q Tran, Roderick J Finlayson
BACKGROUND AND OBJECTIVES: Accidental breach of the vertebral artery (VA) during the performance of cervical pain blocks can result in significant morbidity. Whereas anatomical variations have been described for the foraminal (V2) segment of the VA, those involving its V3 portion (between the C2 transverse process and dura) have not been investigated and may be of importance for procedures targeting the third occipital nerve or the lateral atlantoaxial joint. METHODS: Five hundred computed tomography angiograms of the neck performed in patients older than 50 years for the management of cerebrovascular accident or cervical trauma (between January 2010 and May 2016) were retrospectively and independently reviewed by 2 neuroradiologists...
January 16, 2018: Regional Anesthesia and Pain Medicine
Meredith Pedde, Adam A Szpiro, Sara D Adar
Existing epidemiologic research on traffic largely neglects localized fluctuations. We leveraged finely resolved congestion data to investigate short-term associations with mortality in communities near roadways. We identified all nonaccidental, cardiovascular, cerebrovascular, and respiratory deaths (2009-2013) within 1 km of a highway in the Puget Sound region of Washington State. Using a case-crossover design, we examined the association of congestion 0-150 m, 151-300 m, and 301-1,000 m upwind of a decedent's home with mortality, adjusting for meteorology, holidays, and influenza activity...
September 1, 2017: American Journal of Epidemiology
Z H Wei, X Q Xie, F Liu, P Wang, J Wang, Y L Gao, J T Su, J Du, Q P Liu, X H Deng
OBJECTIVE: To fill up the absence of data on causes of death of urban residents in Beijing during 1965-1974 and provide evidence for the similar study in other areas. METHODS: All possible sources for death data during 1965-1974 were identified through expert consultations and record search. Stratified sampling was conducted to collect the death data of urban residents during this period in Beijing. The mortality rate, death cause constituent and rank of death causes were used in this descriptive analysis...
July 2016: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Andrzej Marcinkiewicz, Jolanta Walusiak-Skorupa
The classification of an acute vascular episode, both heart infarct and stroke, as an accident at work poses difficulties not only for post accidental teams, but also to occupational health professionals, experts and judges at labor and social insurance courts. This article presents the case of a 41-year-old office worker, whose job involved client services. While attending a very aggressive customer she developed solid stress that resulted in symptoms of the central nervous system (headache, speech disturbances)...
2015: Medycyna Pracy
Gaetano Fassini, Massimo Moltrasio, Sergio Conti, Viviana Biagioli, Claudio Tondo
Electrophysiology procedures involving left atrium navigation are becoming more frequent, mostly due to the increase of atrial fibrillation ablation. Mapping catheters of different shapes and size as well as dedicated sheaths are mandatory tools for the accomplishment of procedural end point. Therefore, technical issues are expected, usually unrelated to significant risk. However, any accidental intra-atrial device loss of integrity implies a risk of cerebrovascular embolization. The lack of clear evidence on how to manage these events and the need for a quick solution complicate the scenario...
June 2016: Canadian Journal of Cardiology
Leo Stockfelt, Eva M Andersson, Peter Molnár, Annika Rosengren, Lars Wilhelmsen, Gerd Sallsten, Lars Barregard
BACKGROUND AND AIMS: Exposure to air pollution has been linked to total and cardiopulmonary mortality. However, few studies have examined the effects of exposure over decades, or which time windows of long term exposure are most relevant. We investigated the long term effects of residential air pollution on total and cause-specific mortality and incidence of myocardial infarction in a well-characterized cohort of men in Sweden. METHODS: A cohort of 7494 men in Gothenburg was examined in 1970-1973 and followed subsequently to determine predictors of cardiovascular disease...
October 2015: Environmental Research
Julien Dumurgier, Alexis Elbaz
No abstract text is available yet for this article.
August 2015: Hypertension
Achille E Tchalla, Gregory A Wellenius, Thomas G Travison, Margaret Gagnon, Ikechukwu Iloputaife, Thierry Dantoine, Farzaneh A Sorond, Lewis A Lipsitz
Soluble vascular cell adhesion molecule-1 (sVCAM-1) is associated with hypertension, vascular inflammation, and systemic endothelial dysfunction. We evaluated whether elevated plasma sVCAM-1 is associated with impaired cerebrovascular function and mobility impairments in elderly people. We studied the cross-sectional relationships between plasma sVCAM-1 level, gait speed, and cerebrovascular hemodynamics, and its longitudinal relationship with falls in 680 community-dwelling participants aged ≥65 years in the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) Boston Study...
August 2015: Hypertension
N Ruiz López, B Cano Hernández, S Balbás Álvarez
Postpartum headache can be due to many causes. In a patient with previous epidural analgesia, the headache can be attributed to post-dural puncture headache, even if the symptoms are not typical of this clinical entity. We report a case of a post-partum with accidental dural tap during the insertion of an epidural catheter for labour analgesia, and who referred to headaches in the third post-partum day. Initially, a post-dural puncture headache was suspected, but the subsequent onset of seizures and visual impairment meant that the diagnosis had to be reconsidered...
February 2016: Revista Española de Anestesiología y Reanimación
Lewis A Lipsitz, Daniel Habtemariam, Margaret Gagnon, Ikechukwu Iloputaife, Farzaneh Sorond, Achille E Tchalla, Thierry F Dantoine, Thomas G Travison
Conflicting data on the relationship between antihypertensive medications and falls in elderly people may lead to inappropriate undertreatment of hypertension in an effort to prevent falls. We aimed to clarify the relationships between the chronic use of different classes of antihypertensive medications and different types of falls, to determine the effect of medication dose, and to assess whether the risk of falls is associated with differences in cerebral blood flow. We assessed demographics, clinical characteristics, and chronic antihypertensive medication use in 598 community-dwelling people with hypertension, aged 70 to 97 years, then followed them prospectively for self-reported falls using monthly calendar postcards and telephone interviews...
July 2015: Hypertension
Dan L Crouse, Paul A Peters, Paul J Villeneuve, Marc-Olivier Proux, Hwashin H Shin, Mark S Goldberg, Markey Johnson, Amanda J Wheeler, Ryan W Allen, Dominic Odwa Atari, Michael Jerrett, Michael Brauer, Jeffrey R Brook, Sabit Cakmak, Richard T Burnett
The independent and joint effects of within- and between-city contrasts in air pollution on mortality have been investigated rarely. To examine the differential effects of between- versus within-city contrasts in pollution exposure, we used both ambient measurements and land use regression models to assess associations with mortality and exposure to nitrogen dioxide (NO2) among ~735,600 adults in 10 of the largest Canadian cities. We estimated exposure contrasts partitioned into within- and between-city contrasts, and the sum of these as overall exposures, for every year from 1984 to 2006...
September 2015: Journal of Exposure Science & Environmental Epidemiology
Yohannes Adama Melaku, Berhe Weldearegawi Sahle, Fisaha Haile Tesfay, Afework Mulugeta Bezabih, Alemseged Aregay, Semaw Ferede Abera, Loko Abreha, Gordon Alexander Zello
BACKGROUND: In countries where registration of vital events is lacking and the proportion of people who die at home without medical care is high, verbal autopsy is used to determine and estimate causes of death. METHODS: We conducted 723 verbal autopsy interviews of adult (15 years of age and above) deaths from September 2009 to January 2013. Trained physicians interpreted the collected verbal autopsy data, and assigned causes of death according to the international classification of diseases (ICD-10)...
2014: PloS One
E Seyhan, I Cavdar
PURPOSE OF THE STUDY This study examines the risk of falling in elderly patients who underwent hip fracture surgery in the orthopaedic clinic during the postoperative period. MATERIALS AND METHODS This study was a cross-sectional study. The study sample consisted of 71 elderly patients aged more than 65 years undergoing hip fracture surgery. A questionnaire, the Tinetti balance test and the mini-mental state examination (MMSE) were used. RESULTS The analyses included 71 elderly patients with a mean age of 78...
2014: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Timothy Wen, Shuhan He, Frank Attenello, Steven Y Cen, May Kim-Tenser, Peter Adamczyk, Arun P Amar, Nerses Sanossian, William J Mack
OBJECT: As health care administrators focus on patient safety and cost-effectiveness, methodical assessment of quality outcome measures is critical. In 2008 the Centers for Medicare and Medicaid Services (CMS) published a series of "never events" that included 11 hospital-acquired conditions (HACs) for which related costs of treatment are not reimbursed. Cerebrovascular procedures (CVPs) are complex and are often performed in patients with significant medical comorbidities. METHODS: This study examines the impact of patient age and medical comorbidities on the occurrence of CMS-defined HACs, as well as the effect of these factors on the length of stay (LOS) and hospitalization charges in patients undergoing common CVPs...
September 2014: Journal of Neurosurgery
Anna Angelousi, Nicolas Girerd, Athanase Benetos, Luc Frimat, Sylvie Gautier, Georges Weryha, Jean-Marc Boivin
OBJECTIVE: Several studies have suggested that orthostatic hypotension may be an independent predictor of cardiovascular or cerebrovascular risk and all-cause mortality, particularly in a geriatric population. In 1996, a consensus defined orthostatic hypotension as a SBP fall at least 20 mmHg and/or a DBP fall at least 10 mmHg within 3 min of standing. METHODS: Pubmed and Cochrane database were searched up to October 2013 in order to identify prospective studies evaluating, in adult populations, the association between orthostatic hypotension as defined by the 1996 consensus and clinical outcome...
August 2014: Journal of Hypertension
Robert Briggs, Desmond O'Neill
No abstract text is available yet for this article.
April 2014: Clinical Medicine: Journal of the Royal College of Physicians of London
Michiya Igase
No abstract text is available yet for this article.
2013: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Cecilia Scarinzi, Ester Rita Alessandrini, Monica Chiusolo, Claudia Galassi, Marco Baldini, Maria Serinelli, Paolo Pandolfi, Antonella Bruni, Annibale Biggeri, Aldo De Togni, Giulia Carreras, Claudia Casella, Cristina Canova, Giorgia Randi, Andrea Ranzi, Caterina Morassuto, Achille Cernigliaro, Simone Giannini, Paolo Lauriola, Fabrizio Minichilli, Bianca Gherardi, Stefano Zauli-Sajani, Massimo Stafoggia, Patrizia Casale, Emilio Antonio Luca Gianicolo, Cinzia Piovesan, Riccardo Tominz, Loredana Porcaro, Ennio Cadum
OBJECTIVE: to evaluate the relationship between air pollution and hospital admissions in 25 Italian cities that took part in the EpiAir (Epidemiological surveillance of air pollution effects among Italian cities) project. DESIGN: study of time series with case-crossover methodology, with adjustment for meteorological and time-dependent variables. The association air pollution hospitalisation was analyzed in each of the 25 cities involved in the study; the overall estimates of effect were obtained subsequently by means of a meta-analysis...
July 2013: Epidemiologia e Prevenzione
Yang-Teng Fan, Chenyi Chen, Shih-Chuan Chen, Jean Decety, Yawei Cheng
Lack of empathy is a hallmark of social impairments in individuals with autism spectrum disorder (ASD). However, the concept empathy encompasses several socio-emotional and behavioral components underpinned by interacting brain circuits. This study examined empathic arousal and social understanding in individuals with ASD and matched controls by combining pressure pain thresholds (PPT) with functional magnetic resonance imaging (study 1) and electroencephalography/event-related potentials and eye-tracking responses (study 2) to empathy-eliciting stimuli depicting physical bodily injuries...
August 2014: Social Cognitive and Affective Neuroscience
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