2003 Annual Report Iowa Veterans Home

Annual report for the Iowa Veterans Home

Cruveilhier's legacy to skull base surgery: premise of an evidence-based neuropathology in the 19th century.

OBJECTIVES: Jean Cruveilhier has always been described as a pioneer in pathological anatomy. Almost nothing has been reported concerning his exceptional methodology allying pre-mortem clinical description and syndromic classification of neurological and neurosurgical diseases, and post-mortem meticulous dissections. Cruveilhier's methodology announced the birth of the anatomoclinical method built up by Jean-Martin Charcot and the neurological French school during the 19th century. The aim of our work is to extract the quintessence of Cruveilhier's contributions to skull base pathology through his cogent clinical descriptions coupled with exceptional lithographs of anterior skull base, suprasellar and cerebello-pontine angle tumors. METHODS: We reviewed the masterwork of Jean Cruveilhier on pathological anatomy and we selected the chapters dedicated to central nervous system pathologies, mainly skull base diseases. A systematic review was performed on Pubmed/Medline and Google Scholar using the keywords "Jean Cruveilhier", "Skull base pathology", "Anatomoclinical method". RESULTS: Among his descriptions, Cruveilhier dedicated large chapters to neurosurgical diseases including brain tumors, cerebrovascular pathologies, malformations of the central nervous system, hydrocephalus, brain infections and spinal cord compressions. CONCLUSION: This work emphasizes on the role of Jean Cruveilhier in the birth of the anatomoclinical method particularly in neuroscience during a 19th century rich of epistemological evolutions toward an evidence-based medicine, through the prism of Cruveilhier's contribution to skull base pathology.

Iowa Veterans Home Annual Report, FY2013

Annual report for the Iowa Veterans Home. To provide a continuum of care to Iowa’s veterans and their spouses in an environment focusing on individualized services to enhance their quality of life.

Addressing non-communicable diseases in the Seychelles: towards a comprehensive plan of action.

This article reviews the different steps taken during the past 20 years for the prevention and control of non-communicable diseases (NCDs) in the Seychelles. National surveys revealed high levels of several cardiovascular risk factors and prompted an organized response, starting with the creation of an NCD unit in the Ministry of Health. Information campaigns and nationwide activities raised awareness and rallied increasingly broad and high-level support. Significant policy was developed including comprehensive tobacco legislation and a School Nutrition Policy that bans soft drinks in schools. NCD guidelines were developed and specialized 'NCD nurses' were trained to complement doctors in district health centers. Decreasing smoking prevalence is evidence of success, but the raising so-called diabesity epidemic calls for an integrated multi-sector policy to mould an environment conducive to healthy behaviors. Essential components of these efforts include: effective surveillance mechanisms supplemented by focused research; generating broad interest and consensus; mobilizing leadership and commitment at all levels; involving local and international expertise; building on existing efforts; and seeking integrated, multi-disciplinary and multi-sector approaches.

Iowa Veterans Home Building A Future On The Foundation Of Our Past FY 2012 Annual,

Annual report for the Iowa Veterans Home. To provide a continuum of care to Iowa’s veterans and their spouses in an environment focusing on individualized services to enhance their quality of life.

Iowa Veterans Home Annual Report, FY2012

Annual report for the Iowa Veterans Home. To provide a continuum of care to Iowa’s veterans and their spouses in an environment focusing on individualized services to enhance their quality of life.

Iowa Veterans Home Annual Report, FY2014

Annual report for the Iowa Veterans Home. To provide a continuum of care to Iowa’s veterans and their spouses in an environment focusing on individualized services to enhance their quality of life.

Iowa Veterans Home Annual Report, FY2015

Annual report for the Iowa Veterans Home. To provide a continuum of care to Iowa’s veterans and their spouses in an environment focusing on individualized services to enhance their quality of life.

Salut i poder en la gènesi de l'home contemporani

Amb aquesta investigació, que s'emmarca dins l'àmbit de l'Antropologia Filosòfica, el que ens proposem és escriure un capítol per a una genealogia de l'home contemporani, intentant respondre a la pregunta: com hem arribat a ser el que som? No pretenem descriure els principals factors que han influït en la manera de ser de l'home contemporani, sinó que l'objectiu d'aquest treball és molt més limitat: dibuixar algunes de les principals relacions entre el saber i el poder que s'han donat en el si de la medicina contemporània, i més concretament en l'àmbit de la Salut Pública, i que han contribuït a subjectar els individus d'una determinada manera, creant un model: l'home saludable. Volem mostrar com el discurs i la pràctica mèdica que es van començar a perfilar entre el segle XVIII i el segle XIX moment en què es solidificaren els fonaments de l'art de guarir tal com ara l'entenem , a part d'aportar un conjunt de tècniques de curació, també van oferir una determinada visió de l'home, la qual va tenir importants repercussions en la manera de ser de l'individu contemporani. Ens interessa mostrar de quina manera la medicina, a partir de la Salut Pública, ha intervingut en la gestió de l'existència humana, prenent una postura normativa que l'ha autoritzat a governar la vida de les persones. L'objectiu de la nostra investigació és respondre les qüestions: quin tipus de subjectivació implica la medicina contemporània? Quin tipus de subjecte ha ajudat a crear, incitant l'home a establir unes determinades maneres de relacionar-se amb si mateix i amb els altres? En definitiva, desciure algunes de les principals estratègies dibuixades des de la Salut Pública que han actuat com a poders de normalització, en tant que han fomentat un determinat tipus d'home. Tal com veurem, la nostra medicina, almenys des del moment en què es va poder parlar d'una salut pública, ha anat lligada al projecte d'una determinada tecnologia de la població. Entre els segles XVIII i XIX, la medicina va anar desenvolupant una nova política de la salut en la qual les malalties van passar a ser considerades com un problema polític i econòmic que afectava les col.lectivitats i que demanava solucions globals. El que va aparèixer en el segle XVIII no es pot resumir només en el fet que l'estat va començar a intervenir d'una forma constant en la pràctica mèdica, sinó que el que va passar va ser que la salut i la malaltia, vistes com a problemes que exigien algun tipus de gestió col.lectiva, van ser considerades des de múltiples llocs del cos social. És a dir, la política de la salut que s'inaugura en el llindar de l'època contemporània, més que una iniciativa vertical, va prendre la forma d'un problema amb orígens i direccions múltiples. Pretenem mostrar aquesta política mèdica que es va posar en joc al voltant de l'origen de la nostra Salut Pública, fent sortir a la llum el que podríem anomenar l'«ètica de la bona salut» que es va potenciar i que va servir no solament per elaborar algunes indicacions per prevenir o curar les malalties, sinó que també fabricà prescripcions que feien referència a la forma de vida en general (des de l'alimentació i la vestimenta fins a la procreació, la sexualitat, el comportament, les relacions familiars, etc.). És a dir, es tractaria de veure com a l'interior del discurs i de les pràctiques de la nostra Salut Pública, s'ha anat contruint un cert espai de la normalitat, en el qual ha estat possible associar Salut i Raó, Malaltia i Desraó.

Narrativas do Brasil nas memórias de Pedro Nava

This thesis is a translation of work of the Brazilian doctor, Pedro da Silva Nava (1903-1984), in particular, his memoirs and chronicles, articulated with the writings of medicine history, aiming to defend that the autobiographical narratives are sources of research capable of promoting discussions on the expansion of the present at the confluence of complex and unequal society in constant changing process as the Brazilian. The theoretical and methodological support circulates around studies, proposals and thesis by Boaventura Santos about empowering past, destabilizing subjectivity, sociology of absences, cosmopolitan reason and translation work. The empirical support drawn from the literature produced by Nava were analyzed with reference this reasoning and studies that have facilitated the flow of translation among others, the studies of Antonio Candido, Arrigucci Jr., Boris Cyrulnik, Beatriz Sarlo, Ecléa Bosi, Ítalo Calvino, José Willington Germano, José Maria Cançado, Lev Vygotsky, Marilena Chauí, Paul Ricöeur and Walter Benjamim, without neglecting what we consider indispensable to scientific research, the production of relevant knowledge and prudent, in view of a decent life. The initial inflections reflect the subject of the Memoirs and its education/training, to then place the Memoir subject in the literary context, scientific, historical and Brazilian poetic (1972-2010), bringing great interpreters and discussing the rationale used by the Narrator that we defend stand closer to the cosmopolitan, showing the formation of narratives whose presence insert itself beforehand to modernist verve, linked to the discursive array against the literature as domination space, disseminated in Brazil in the early twentieth century. So, it articulate with those in which the concerns adjust the construction of the social formation of Brazil as a national heritage through literary narrative that focuses on a historical principle that becomes the past empowering, allowing his rereading, whose converge to memory, the lifestyles, the plurality of language and Brazilian culture, formed by several people, converging into a design not of culture but multiculturalism in Brazil. The memory issue was addressed in the space-time of experiences of being that narrates, shaped by a destabilizing subjectivity that sought to order the testimony of a time, a history and society, retelling them by creative imagination, almost fictional, to make circulate his knowledge about Brazil attached to his medical knowledge, as well as other subjects in his living group and other groups with whom they maintained contact. Thus, he portrayed both tangible and intangible cultural assets of the country as a form of preservation, giving them meanings and sense. It approaches, therefore, from the perspective of sociology of absences, the expansion of the present and by the logic inherent in his narratives of self and Brazil

Fragmentos da história da malária em São Paulo

Due to its great incidence in Brazil, malaria is one of the most important transmissible disease studied in the papers that deal with public health today. Although it is present in the Brazilian history since the colonial period, it has hardly been studied from its historic perspective. The present article intends to give a general view of the disease in Brazil, specially in the state of São Paulo. The research is based on historic papers of health and epidemies not only in Brazil but also in the world, found in the legislative documentation of São Paulo. Until 1930, malaria had spread through the country and the health authorities took no care in stablishing especific campaigns to face the disease. This negligence was mostly due to the fact that the mortality rate of malaria was lesser than variola, yellow fever or the many other endemic or epidemic diseases. Eradication seemed to be close to an end but the social and economic transformations after the 70's brought the disease in a proportion ten times worse.

Lineamientos para el mejoramiento del hábitat de una comunidad indígena de Tucumán : intervención en un proceso de reconstrucción histórica, cultural y social

El objetivo del proyecto es formular lineamientos base para propuestas de mejoramiento del hábitat en La Angostura en el Valle del Tafí, favoreciendo su actual proceso de desarrollo y fortalecimiento comunitario como pueblo indígena. La Comunidad se encuentra en un proceso de construcción y reafirmación de su identidad como pueblo originario, lo que involucra reivindicaciones ligadas a la preservación de su hábitat, la reconstrucción de su historia, su desarrollo económico, social y el fortalecimiento comunitario en un momento de ocupación descontrolada del territorio por sectores privados para explotar turísticamente la zona; dejando a la comunidad fuera de los procesos de explotación y producción, usando los recursos del área y condenándola a un estado de dominación y dependencia. El 22 de Mayo de 2006 la Convención Constituyente para la reforma de la Constitución de Tucumán incorporó la propuesta de 21 comunidades indígenas que reconoce los derechos como Pueblos Originarios. La Comunidad cuenta con personería jurídica desde el año 2004 y está organizada de acuerdo a las pautas de los pueblos originarios. Un equipo interdisciplinario integrado por profesionales y estudiantes de Arquitectura, Medicina, Historia, Psicología y Psicología Social estudia las condiciones concretas de existencia y el proceso histórico de la comunidad, la migración de jóvenes que no encuentran fuentes de trabajo o estudio, los adultos y viejos que regresan al valle desde la Capital de la Provincia o del País y vuelcan las influencias recibidas, instalando una idea de progreso situada fuera de su pago.

Student notes from medical lectures by Benjamin Rush, undated

The volumes contain student notes on a course of medical lectures given by Dr. Benjamin Rush (1746-1813) while he was Professor of the Institutes of Medicine and Clinical Practice at the University of Pennsylvania Medical School, likely in circa 1800-1813. The notes indicate Rush often referenced the works or teachings of contemporaries such as Scottish physicians William Cullen, John Brown, John Gregory, and Robert Whytt, and Dutch physician Herman Boerhaave. He frequently included anecdotes and case histories of his own patients, as well as those of other doctors, to illustrate his lecture topics. He also advised students to take notes on the lectures after they ended to allow them to focus on what they were hearing. Volume 1 includes notes on: physician conduct during visits to patients; human and animal physiology; voice and speech; the nervous system; the five senses; and faculties of the mind. Volume 2 includes notes on: food, the sources of appetite and thirst, and digestion; the lymphatic system; secretions; excretions; theories of nutrition; differences in the minds and bodies of women and men; reproduction; pathology; a table outlining the stages of disease production; “disease and the origin of moral and natural evil”; contagions; the role of food, drink, and clothing in producing disease; worms; hereditary diseases; predisposition to diseases; proximate causes of diseases; and pulmonary conditions. Volume 3 includes notes on: the pulse; therapeutics, such as emetics, sedatives, and digitalis, and treatment of various illnesses like pulmonary consumption, kidney disease, palsy, and rheumatism; diagnosis and prognosis of fever; treatment of intermitting fever; and epidemics including plague, smallpox, and yellow fever, with an emphasis on the yellow fever outbreaks in Philadelphia in 1793 and 1797.