Les idees pedagògiques de Ramon Llull i de Francesc Eiximenis:

Abstract not availabl

La "Fiesta Internacional" iniciada por la Reina Isabel de Aragón

Franciscan chroniclers and tradition state that Isabel of Aragon established the Holy Ghost feast in Alenquer, Portugal, in the Middle Ages. The feast became widespread in Portugal to the seventeenth century, but toda y only Tomar celebrates a modified version of it. Fifteenth-century Portuguese maritime expansion brought the feast to the Azores. Azoreans later extended the feast during the last three centuries to Brazil, the United States of America, Canada, and Bermuda, where it was modified beca use of geographic, social, economic, and cultural factors. lndigenous elements (flag of the adopted nation, military and social organizatíons non-existent in Portugal) take part in this most popular Portuguese festival in North America.Los cronistas y la tradición establecen que Isabel de Aragón inició la fiesta del Espíritu Santo en Alenquer, Portugal, en la Edad Media. Esta fiesta pasó a todo Portugal, pero hoy día se celebra en forma modificada sólo en Tomar. La expansión marítima portuguesa del s. XV llevó la fiesta a las Azores. Desde allí los azoreanos trajeron su fiesta consigo a Brasil, los Estados Unidos de América, Canadá y Bermudas, donde fue modificada por factores geográficos, sociales, económicos y culturales. Los elementos indígenas (bandera del país adoptivo, organizaciones militares y sociales que no existen en Portugal) entraron en esta fiesta, la más popular de origen portugués en América del Norte

Malaltia i salut en l'obra de Francesc Eiximenis

Diversos autors han analitzat els voluminosos tractats de Francesc Eiximenis, especialment pel que fa a matèries relacionades amb la teologia moral, però també sobre altres temes, com la guerra i la pau, l’astrologia, el govern, la cuina i el menjar, i d’altres. En aquest article ens proposem apropar-nos a com Eiximenis tracta el tema dels hospitals, medicina, salut i malaltia. Eiximenis es preocupava de les necessitats del poble que sofria tot tipus de malalties; a part d’haver viscut durant diverses epidèmies, que provocà moltes morts a la península, també suggerí als jurats de València un bon sistema d’hospitals i on s’haurien de construir, i també els cridà l’atenció respecte de les deficiències sanitàries de la ciutat

Diurnal blood pressure pattern and development of prehypertension or hypertension in young adults: the CARDIA study

Nondippers (people whose sleep systolic blood pressure [SBP] fails to decrease >10% from daytime SBP) have increased risk of cardiovascular disease. The prevalence of nondipping in younger adults has not been well studied, nor has its value for predicting hypertension. We examined the prevalence of nondipping in a substudy of the Coronary Artery Risk Development in Young Adults (CARDIA) Study. We used Cox regression to estimate the hazard ratio (HR) conferred by nondipping for incident prehypertension or hypertension (preHTN/HTN) over 15 years. Of the 264 nonhypertensive participants at baseline, 118 (45%) were nondippers. Blacks were more likely than whites to be nondippers (52% versus 33%, P = .004). The incidence rate of preHTN/HTN was 29.2/1000 person-years among dippers and 36.2/1000 person-years among nondippers. Compared with those in the lowest quartile of nighttime to daytime SBP, those in the highest quartile were more likely to develop preHTN/HTN (HR 1.61; P = .06), but this relationship was attenuated after adjustment (HR 1.34; P = .27). Our results demonstrate that nondipping is common in young, nonhypertensive adults, and is more common in blacks than whites. Nondipping might predate a meaningful clinically detected increase in BP in some people, but more research in larger study samples is needed

Endothelial Dysfunction and the Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis

Hypertension is associated with impaired endothelial function in cross-sectional studies. However, few longitudinal data exist on whether endothelial dysfunction precedes the development of hypertension. We examined the cross-sectional and longitudinal relationships between endothelial-dependent brachial artery flow-mediated dilation (FMD) and hypertension prevalence and incidence in 3500 participants from the Multi-Ethnic Study of Atherosclerosis, an ethnically diverse, community-based cohort study. At baseline, the prevalence ratios (95% CI) of hypertension from the highest to the lowest quartile of FMD were 1.00 (referent), 1.26 (1.12 to 1.40), 1.35 (1.21 to 1.52), and 1.68 (1.50 to 1.87; linear trend P<0.001). This association remained (P=0.017) after adjustment for demographics (age, sex, and ethnicity), Multi-Ethnic Study of Atherosclerosis site, and other risk factors. Of the 1869 participants without hypertension at baseline, 584 (31.3%) developed hypertension over a median follow-up of 4.8 years. The unadjusted relative risks (95% CI) of incident hypertension from the highest to the lowest quartile of FMD were 1.00 (referent), 1.38 (1.14 to 1.67), 1.44 (1.19 to 1.74), and 1.64 (1.36 to 1.97; linear trend P<0.001). However, after adjustment for demographics and Multi-Ethnic Study of Atherosclerosis site, the relationship between FMD and incident hypertension was attenuated and not statistically significant: 1.00 (referent), 1.26 (1.04 to 1.52), 1.19 (0.98 to 1.44), and 1.18 (0.97 to 1.44). The longitudinal results also did not appreciably change after adjustment for additional risk factors and baseline blood pressure levels. In this sample, reduced FMD was not an independent predictor of hypertension incidence, suggesting that impaired endothelial function does not play a major role in the development of hypertension

Racial Differences in Abnormal Ambulatory Blood Pressure Monitoring Measures: Results From the Coronary Artery Risk Development in Young Adults (CARDIA) Study

Background: Several ambulatory blood pressure monitoring (ABPM) measures have been associated with increased cardiovascular disease risk independent of clinic blood pressure (BP). African Americans have higher clinic BP compared with Whites but few data are available on racial differences in ABPM measures. Methods: We compared ABPM measures between African American (n = 178) and White (n = 103) participants at the Year 5 Coronary Artery Risk Development in Young Adults study visit. BP was measured during a study visit and the second and third measurements were averaged. ABPM was conducted over the following 24 hours. Results: Mean ± SD age of participants was 29.8±3.8 years and 30.8±3.5 years for African Americans and Whites, respectively. Mean daytime systolic BP (SBP) was 3.90 (SD 1.18) mm Hg higher among African Americans compared with Whites (P < 0.001) after age–gender adjustment and 1.71 (SD 1.03) mm Hg higher after multivariable adjustment including mean clinic SBP (P = 0.10). After multivariable adjustment including mean clinic SBP, nighttime SBP was 4.83 (SD 1.11) mm Hg higher among African Americans compared with Whites (P < 0.001). After multivariable adjustment, the African Americans were more likely than Whites to have nocturnal hypertension (prevalence ratio: 2.44, 95% CI: 0.99–6.05) and nondipping (prevalence ratio: 2.50, 95% CI: 1.39–4.48). The prevalence of masked hypertension among African Americans and Whites was 4.4% and 2.1%, respectively, (P = 0.49) and white coat hypertension was 3.3% and 3.9%, respectively (P = 0.99). Twenty-four hour BP variability on ABPM was higher among African Americans compared with Whites. Conclusions: These data suggest racial differences in several ABPM measures exist