14 research outputs found
Differential diagnosis of trigeminal autonomic cephalgias
Autonomne trigeminalne glavobolje (TAG) Äini grupa rijetkih primarnih glavobolja koje imaju karakteristiÄnu unilateralnu trigeminalnu distribuciju intenzivne boli popraÄene ipsilateralnim kranijalnim autonomnim simptomima (konjunktivalna injekcija, lakrimacija, edem vjeÄe, rinoreja, kongestija nosa, Hornerov sindrom ā ptoza i mioza). Klasificirane su zajedno na temelju sliÄne kliniÄke prezentacije trigeminalne boli i aktivacije autonomnog sustava, pretpostavljene zajedniÄke patofizioloÅ”ke osnove koja ukljuÄuje aktivaciju trigeminovaskularnog sustava i hipotalamiÄkih centara koji kontroliraju cirkadijane ritmove i moduliraju osjet boli. Autonomne trigeminalne glavobolje Äini cluster glavobolja, paroksizmalna hemikranija, kratkotrajni unilateralni neuralgiformni napadaji glavobolje (SUNCT i SUNA) i hemicrania continua. Postoji znaÄajna razina preklapanja u dijagnostiÄkim kriterijima ovih glavobolja. No unatoÄ tim sliÄnostima, ovi poremeÄaji mogu se razlikovati jedan od drugog na temelju nekih njihovih specifiÄnih individualnih kliniÄkih manifestacija, duljine, trajanja i uÄestalosti pojavljivanja napadaja, te na temelju njihovog relativno specifiÄnog odgovora na terapiju. Äesto se niz patoloÅ”kih procesa (osobito u podruÄju hipofizne regije) može prezentirati kliniÄkom slikom autonomne trigeminalne glavobolje i stoga bi svi bolesnici trebali imati odgovarajuÄu neuroradioloÅ”ku dijagnostiku. Cilj ovoga preglednog rada je dati pregled autonomnih trigeminalnih glavobolja, naglasiti njihove kliniÄke manifestacije i posebnosti i predstaviti nove diferencijalno-dijagnostiÄke kriterije (ICHD-3 2013).Trigeminal autonomic cephalgias (TACs) are a group of rare primary headache disorders characterised by unilateral trigeminal distribution of severe pain that occurs in association with ipsilateral cranial autonomic features (conjunctival injection, lacrimation, eyelid ptosis, nasal rhinorrhea or congestion, Hornerās syndrome - ptosis with miotic pupil). Trigeminal autonomic cephalgias are classified together based on a similar clinical presentation of trigeminal pain and autonomic activation, suspected common pathophysiology involving the trigeminovascular system and hypothalamic centres controlling circadian rhythms and modulating pain. This group of headache disorders includes cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA syndrome) and hemicrania continua. There is much overlap in the diagnostic features of individual TACs. Despite their similarities, these disorders can be distinguished from each other by their specific individual clinical features, attack length, duration, frequency of occurrence and their relatively specific response to therapy. TACs are often presentation of underlying pathology (especially pituitary region) and all patients should get proper neuroradiological examination. The aim of this review is to provide an overview of TACs, outline their clinical manifestations and introduce new differential diagnostic criteria (ICHD-3 2013)
Differential diagnosis of trigeminal autonomic cephalgias
Autonomne trigeminalne glavobolje (TAG) Äini grupa rijetkih primarnih glavobolja koje imaju karakteristiÄnu unilateralnu trigeminalnu distribuciju intenzivne boli popraÄene ipsilateralnim kranijalnim autonomnim simptomima (konjunktivalna injekcija, lakrimacija, edem vjeÄe, rinoreja, kongestija nosa, Hornerov sindrom ā ptoza i mioza). Klasificirane su zajedno na temelju sliÄne kliniÄke prezentacije trigeminalne boli i aktivacije autonomnog sustava, pretpostavljene zajedniÄke patofizioloÅ”ke osnove koja ukljuÄuje aktivaciju trigeminovaskularnog sustava i hipotalamiÄkih centara koji kontroliraju cirkadijane ritmove i moduliraju osjet boli. Autonomne trigeminalne glavobolje Äini cluster glavobolja, paroksizmalna hemikranija, kratkotrajni unilateralni neuralgiformni napadaji glavobolje (SUNCT i SUNA) i hemicrania continua. Postoji znaÄajna razina preklapanja u dijagnostiÄkim kriterijima ovih glavobolja. No unatoÄ tim sliÄnostima, ovi poremeÄaji mogu se razlikovati jedan od drugog na temelju nekih njihovih specifiÄnih individualnih kliniÄkih manifestacija, duljine, trajanja i uÄestalosti pojavljivanja napadaja, te na temelju njihovog relativno specifiÄnog odgovora na terapiju. Äesto se niz patoloÅ”kih procesa (osobito u podruÄju hipofizne regije) može prezentirati kliniÄkom slikom autonomne trigeminalne glavobolje i stoga bi svi bolesnici trebali imati odgovarajuÄu neuroradioloÅ”ku dijagnostiku. Cilj ovoga preglednog rada je dati pregled autonomnih trigeminalnih glavobolja, naglasiti njihove kliniÄke manifestacije i posebnosti i predstaviti nove diferencijalno-dijagnostiÄke kriterije (ICHD-3 2013).Trigeminal autonomic cephalgias (TACs) are a group of rare primary headache disorders characterised by unilateral trigeminal distribution of severe pain that occurs in association with ipsilateral cranial autonomic features (conjunctival injection, lacrimation, eyelid ptosis, nasal rhinorrhea or congestion, Hornerās syndrome - ptosis with miotic pupil). Trigeminal autonomic cephalgias are classified together based on a similar clinical presentation of trigeminal pain and autonomic activation, suspected common pathophysiology involving the trigeminovascular system and hypothalamic centres controlling circadian rhythms and modulating pain. This group of headache disorders includes cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA syndrome) and hemicrania continua. There is much overlap in the diagnostic features of individual TACs. Despite their similarities, these disorders can be distinguished from each other by their specific individual clinical features, attack length, duration, frequency of occurrence and their relatively specific response to therapy. TACs are often presentation of underlying pathology (especially pituitary region) and all patients should get proper neuroradiological examination. The aim of this review is to provide an overview of TACs, outline their clinical manifestations and introduce new differential diagnostic criteria (ICHD-3 2013)
The authority of law & ātopics of Carlos MarĆa FernĆ”ndezā
El presente trabajo reflexionarĆ” sobre la autoridad del derecho. En esta tarea, se recordarĆ”n, por un lado, las enseƱanzas de Carl Schmitt contenidas en La tiranĆa de los valores y El Leviathan en la teorĆa del Estado de Thomas Hobbes y, por otro, el margen de actuaciĆ³n que deberĆa reconocĆ©rsele al Congreso al tiempo de interpretar las clĆ”usulas constitucionales, particularmente en el marco de sociedades modernas en las que reina el āhecho del desacuerdoā. La elecciĆ³n de esos temas pretende, ademĆ”s, rendir un homenaje a la memoria del Profesor Carlos MarĆa FernĆ”ndez.This paper will reflect about the authority of law. In that purpose, it will remember, on the one hand, the teachings of Carl Schmitt contained in The Tyranny of Values and The Leviathan in the Theory of State of Thomas Hobbes and, on the other hand, the margin of action that ought to be recognized to the Parliament at the time of the interpreting the constitutionals clauses, particularly in the context of de modern societies in which reigns the ādisagreement factā. The choice of these topics aims, also, to pay tribute to the memory of Professor Carlos MarĆa FernĆ”ndez.Fil: Grbavac, Hernan Dario. Consejo Nacional de Investigaciones CientĆficas y TĆ©cnicas. Centro CientĆfico TecnolĆ³gico Conicet - Nordeste; Argentina. Universidad Nacional del Nordeste. Facultad de Derecho y Ciencias Sociales y Politicas. Departamento de Derecho Positivo; Argentin
There is not harm that lasts a hundred years old except the āharmā of art. 34 Inc. 3 penal code: A reflection on the authority of the Argentine Penal Code in its centenary
Este trabajo reflexiona sobre la relaciĆ³n entre el razonamiento jurĆdico y el razonamiento moral. Con el ejemplo del estado de necesidad justificante y su regulaciĆ³n en el CĆ³digo Penal argentino, se analiza la nota distintiva de todo derecho: su pretensiĆ³n de autoridad, esto es, ofrecer razones para la acciĆ³n cuya validez no estĆ© sujeta a otras razones.This paper reflects on the relationship between legal reasoning and moral reasoning. With the example of the necessity as permission and its regulation in the Argentine Penal Code, the distinctive note of all law is analyzed: its claim to authority, that is, to offer reasons for the action whose validity is not subject to other reasons.Fil: Grbavac, Hernan Dario. Consejo Nacional de Investigaciones CientĆficas y TĆ©cnicas. Centro CientĆfico TecnolĆ³gico Conicet - Nordeste; Argentina. Universidad Nacional del Nordeste. Facultad de Derecho y Ciencias Sociales y Politicas. Departamento de Derecho Positivo; Argentin
About the necessity of moral valoration in the criminal law: the problem in the application of some crimes against individual freedom
El presente trabajo propone reflexionar acerca de la necesidad de una valoraciĆ³n moral explĆ- cita en el Ć”mbito del Derecho Penal. Para ello se tomarĆ”n como ejemplos cuatro figuras penales vigentes en la legislaciĆ³n argentina y que, con sus caracterĆsticas especĆficas, afectan la libertad individual. Ellas son la privaciĆ³n ilegal de la libertad (CĆ³digo Penal argentino, artĆculo 141), el secuestro (CĆ³digo Penal argentino, artĆculo 142 bis), la sustracciĆ³n de menores de diez aƱos (CĆ³digo Penal argentino, artĆculo 146) y el rapto1 (CĆ³digo Penal argentino, artĆculo 130). A los fines citados, se analizarĆ”n las diferentes situaciones fĆ”cticas que pueden ser comprendidas por tales delitos, esto es, sus correspondientes āespacios tĆpicosā2.This paper is proposing to reflect the explicit moral valoration in the field of Criminal Law. To do this, there will be taken as examples four existing crimes in Argentine Criminal Law, and the specific characteristics that affect individual freedom. They are illegal deprivation of liberty (Argentine Penal Code, article 141); abduction (Argentine Penal Code, article 142 bis); abduction of ten years old minors (Argentine Penal Code, article 146); and kidnapping (Argentine Penal Code, article 130). For the purposes above, the different factual situations that can be comprehensives for such offenses, will be analyzed in their corresponding actus reus.Fil: Grbavac, Hernan Dario. Universidad de la Cuenca del Plata. Secretaria de Politicas del Conocimiento. Instituto de Investigaciones CientĆficas (sede Central); Argentina. Consejo Nacional de Investigaciones CientĆficas y TĆ©cnicas; Argentin
Jury trial and ājudicial integrityā: a reflection on the legal model of juries adopted in the State of Chaco
En la provincia del Chaco, de igual modo que en Buenos Aires o NeuquĆ©n, se ha implementado el modelo anglosajĆ³n de jurados legos para el juzgamiento de algunos delitos penales. Tales iniciativas se fundamentan en la necesidad de dar cumplimiento a un mandato constitucional de hace mĆ”s de 150 aƱos. Sin embargo, desde la sanciĆ³n de la ConstituciĆ³n Nacional de 1853-60, tribunales provinciales y la propia Corte Suprema de Justicia de la NaciĆ³n han consolidado una lĆnea jurisprudencial que sostiene que la ConstituciĆ³n argentina tambiĆ©n recoge entre sus garantĆas la de que las sentencias sean motivadas. Con el presente trabajo, sostendremos que una concepciĆ³n del derecho como prĆ”ctica convencional, intemporal, intergeneracional e inacabada permite conciliar la garantĆa del juicio por jurados con el deber de motivaciĆ³n judicial, preservando simultĆ”neamente la vigencia de una valiosa prĆ”ctica judicial consolidada y sostenida a travĆ©s del tiempo.In the State of Chaco, likewise Buenos Aires or NeuquĆ©n, the anglo-saxon model of jury trials has been implemented for the prosecution of some criminal offenses. Such initiatives are based on the need to comply with a constitutional mandate of more than 150 years. However, since the enactment of the Argentine Constitution of 1853-60, provincial courts and the Supreme Court of Justice of the Nation have consolidated the judicial construction of the Argentine Constitution according to which it guarantees that judgments are motivated. Upon the understanding of the law as a conventional, timeless, intergenerational and unfinished practice, it is argued that the guarantee of jury trial must proceed in accordance with the duty of judicial motivation, while preserving the validity of a valuable consolidated judicial practice sustained through time.Fil: Grbavac, Hernan Dario. Consejo Nacional de Investigaciones CientĆficas y TĆ©cnicas. Centro CientĆfico TecnolĆ³gico Conicet - Nordeste; Argentina. Universidad Nacional del Nordeste; Argentin
PSYCHOLOGICAL EFFECTS OF "DOUBLE CRISIS" (COVID-19 PANDEMIC AND EARTHQUAKES) ON CROATIAN MEDICAL STUDENTS
Introduction: In 2020. the COVID-19 pandemic presented an additional source of stress and anxiety not just to the general
population but also to medical students who are, even under normal circumstances, constantly under pressure due to demanding
student duties. In addition, they experienced a series of devastating earthquakes in and around the Zagreb region which altogether
could have had compromised their psychological well-being. The aim of this review was to evaluate the psychological effects of these
two natural disasters on the mental health of Croatian medical students.
Results: According to standardized questionnaires for depression and anxiety evaluation, 75.3% of students were anxious and
65.2% were depressive during to outcomes was observed regarding genders,
but it was found that first year students had a significantly higher anxiety score than older ones.
Conclusion: In such stressful situations, we should emphasize the importance of mental health not just of healthcare workers, but
also of medical students in order to prevent serious psychological consequences and to alleviate the negative
motivation and their educational process
PSYCHOLOGICAL EFFECTS OF "DOUBLE CRISIS" (COVID-19 PANDEMIC AND EARTHQUAKES) ON CROATIAN MEDICAL STUDENTS
Introduction: In 2020. the COVID-19 pandemic presented an additional source of stress and anxiety not just to the general
population but also to medical students who are, even under normal circumstances, constantly under pressure due to demanding
student duties. In addition, they experienced a series of devastating earthquakes in and around the Zagreb region which altogether
could have had compromised their psychological well-being. The aim of this review was to evaluate the psychological effects of these
two natural disasters on the mental health of Croatian medical students.
Results: According to standardized questionnaires for depression and anxiety evaluation, 75.3% of students were anxious and
65.2% were depressive during to outcomes was observed regarding genders,
but it was found that first year students had a significantly higher anxiety score than older ones.
Conclusion: In such stressful situations, we should emphasize the importance of mental health not just of healthcare workers, but
also of medical students in order to prevent serious psychological consequences and to alleviate the negative
motivation and their educational process
Differential diagnosis of trigeminal autonomic cephalgias
Autonomne trigeminalne glavobolje (TAG) Äini grupa rijetkih primarnih glavobolja koje imaju karakteristiÄnu unilateralnu trigeminalnu distribuciju intenzivne boli popraÄene ipsilateralnim kranijalnim autonomnim simptomima (konjunktivalna injekcija, lakrimacija, edem vjeÄe, rinoreja, kongestija nosa, Hornerov sindrom ā ptoza i mioza). Klasificirane su zajedno na temelju sliÄne kliniÄke prezentacije trigeminalne boli i aktivacije autonomnog sustava, pretpostavljene zajedniÄke patofizioloÅ”ke osnove koja ukljuÄuje aktivaciju trigeminovaskularnog sustava i hipotalamiÄkih centara koji kontroliraju cirkadijane ritmove i moduliraju osjet boli. Autonomne trigeminalne glavobolje Äini cluster glavobolja, paroksizmalna hemikranija, kratkotrajni unilateralni neuralgiformni napadaji glavobolje (SUNCT i SUNA) i hemicrania continua. Postoji znaÄajna razina preklapanja u dijagnostiÄkim kriterijima ovih glavobolja. No unatoÄ tim sliÄnostima, ovi poremeÄaji mogu se razlikovati jedan od drugog na temelju nekih njihovih specifiÄnih individualnih kliniÄkih manifestacija, duljine, trajanja i uÄestalosti pojavljivanja napadaja, te na temelju njihovog relativno specifiÄnog odgovora na terapiju. Äesto se niz patoloÅ”kih procesa (osobito u podruÄju hipofizne regije) može prezentirati kliniÄkom slikom autonomne trigeminalne glavobolje i stoga bi svi bolesnici trebali imati odgovarajuÄu neuroradioloÅ”ku dijagnostiku. Cilj ovoga preglednog rada je dati pregled autonomnih trigeminalnih glavobolja, naglasiti njihove kliniÄke manifestacije i posebnosti i predstaviti nove diferencijalno-dijagnostiÄke kriterije (ICHD-3 2013).Trigeminal autonomic cephalgias (TACs) are a group of rare primary headache disorders characterised by unilateral trigeminal distribution of severe pain that occurs in association with ipsilateral cranial autonomic features (conjunctival injection, lacrimation, eyelid ptosis, nasal rhinorrhea or congestion, Hornerās syndrome - ptosis with miotic pupil). Trigeminal autonomic cephalgias are classified together based on a similar clinical presentation of trigeminal pain and autonomic activation, suspected common pathophysiology involving the trigeminovascular system and hypothalamic centres controlling circadian rhythms and modulating pain. This group of headache disorders includes cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA syndrome) and hemicrania continua. There is much overlap in the diagnostic features of individual TACs. Despite their similarities, these disorders can be distinguished from each other by their specific individual clinical features, attack length, duration, frequency of occurrence and their relatively specific response to therapy. TACs are often presentation of underlying pathology (especially pituitary region) and all patients should get proper neuroradiological examination. The aim of this review is to provide an overview of TACs, outline their clinical manifestations and introduce new differential diagnostic criteria (ICHD-3 2013)
Differential diagnosis of trigeminal autonomic cephalgias
Autonomne trigeminalne glavobolje (TAG) Äini grupa rijetkih primarnih glavobolja koje imaju karakteristiÄnu unilateralnu trigeminalnu distribuciju intenzivne boli popraÄene ipsilateralnim kranijalnim autonomnim simptomima (konjunktivalna injekcija, lakrimacija, edem vjeÄe, rinoreja, kongestija nosa, Hornerov sindrom ā ptoza i mioza). Klasificirane su zajedno na temelju sliÄne kliniÄke prezentacije trigeminalne boli i aktivacije autonomnog sustava, pretpostavljene zajedniÄke patofizioloÅ”ke osnove koja ukljuÄuje aktivaciju trigeminovaskularnog sustava i hipotalamiÄkih centara koji kontroliraju cirkadijane ritmove i moduliraju osjet boli. Autonomne trigeminalne glavobolje Äini cluster glavobolja, paroksizmalna hemikranija, kratkotrajni unilateralni neuralgiformni napadaji glavobolje (SUNCT i SUNA) i hemicrania continua. Postoji znaÄajna razina preklapanja u dijagnostiÄkim kriterijima ovih glavobolja. No unatoÄ tim sliÄnostima, ovi poremeÄaji mogu se razlikovati jedan od drugog na temelju nekih njihovih specifiÄnih individualnih kliniÄkih manifestacija, duljine, trajanja i uÄestalosti pojavljivanja napadaja, te na temelju njihovog relativno specifiÄnog odgovora na terapiju. Äesto se niz patoloÅ”kih procesa (osobito u podruÄju hipofizne regije) može prezentirati kliniÄkom slikom autonomne trigeminalne glavobolje i stoga bi svi bolesnici trebali imati odgovarajuÄu neuroradioloÅ”ku dijagnostiku. Cilj ovoga preglednog rada je dati pregled autonomnih trigeminalnih glavobolja, naglasiti njihove kliniÄke manifestacije i posebnosti i predstaviti nove diferencijalno-dijagnostiÄke kriterije (ICHD-3 2013).Trigeminal autonomic cephalgias (TACs) are a group of rare primary headache disorders characterised by unilateral trigeminal distribution of severe pain that occurs in association with ipsilateral cranial autonomic features (conjunctival injection, lacrimation, eyelid ptosis, nasal rhinorrhea or congestion, Hornerās syndrome - ptosis with miotic pupil). Trigeminal autonomic cephalgias are classified together based on a similar clinical presentation of trigeminal pain and autonomic activation, suspected common pathophysiology involving the trigeminovascular system and hypothalamic centres controlling circadian rhythms and modulating pain. This group of headache disorders includes cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks (SUNCT and SUNA syndrome) and hemicrania continua. There is much overlap in the diagnostic features of individual TACs. Despite their similarities, these disorders can be distinguished from each other by their specific individual clinical features, attack length, duration, frequency of occurrence and their relatively specific response to therapy. TACs are often presentation of underlying pathology (especially pituitary region) and all patients should get proper neuroradiological examination. The aim of this review is to provide an overview of TACs, outline their clinical manifestations and introduce new differential diagnostic criteria (ICHD-3 2013)