939 resultados para Time since diagnosis
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Les processus de la mise en scène reposent nécessairement sur une réalité humaine complexe, faite de dialogues et de rapports de force en constante redéfinition. Afin de les théoriser, plusieurs travaux ont institué en corpus les documents produits en cours de réunion ou de répétition, pour leur appliquer les méthodes issues de la génétique des textes. Or le transfert s’avère problématique : vestiges lacunaires, ces supports ne sauraient témoigner à eux seuls de la vie organique et polyphonique de la mise en scène en gestation. Une première solution consiste à opter pour une approche radicalement intermédiale des archives d’un spectacle : dans la mesure où la mise en scène fait interagir plusieurs disciplines artistiques, pourquoi ne pas la penser en confrontant activement les différents media générés lors de son élaboration ? Complémentaire de la première, une seconde proposition suppose que le chercheur s’implique dans une observation in vivo de réunions et de répétitions afin de disposer d’une matière plus complète. À cette clarification épistémologique succède un essai de théorisation des processus de la création scénique. Il apparaît tout d’abord que l’espace de travail est aussi bien un contenant physique de la recherche des artistes qu’un catalyseur : c’est en se l’appropriant à plusieurs qu’un groupe de collaborateurs donne corps à la mise en scène. L’espace de création révèle par là même une dimension polyphonique que l’on retrouve sur le plan du temps : dans la mesure où il engage un ensemble d’artistes, un processus ne possède pas de linéarité chronologique homogène ; il se compose d’une multitude de temporalités propres à chacun des répétants, qu’il s’agit de faire converger pour élaborer un spectacle commun à tous. Les processus de la mise en scène se caractérisent ainsi par leur dimension fondamentalement sociale. Réunie dans un espace-temps donné, la petite société formée autour du metteur obéit à un mode de création dialogique, où les propositions des uns et des autres s’agrègent pour former un discours foisonnant dont la force et l’unité sont garanties par une instance surplombante.
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The study deals with structural and spectral investigations of transition metal complexes of di-2-pyridyl ketone N(4),N(4)-disubstituted thiosemicarbazones. The main objective and scope of the work deals with di-2-pyridyl ketone N(4),N(4)-disubstituted thiosemicarbazones are quardridentate NNNS donor ligands. To chosen this ligand for study because, the ligands are prepared and characterized for the first time, since there are two pyridyl nitorgens, dimmers and polymers of complexes may result leading to interesting structural aspects. The work includes the preparation of the thiosemicarbzones and their structural and spectral studies, synthesis and spectral characterization of complexes of copper(II),,nickel(II),manganese(II), dioxovanadium(V),cobalt(III),zinc(II),cadmium(II) of the ligand HL, synthesis and spectral characterization of complexes of copper(II),manganese(II), of the ligand HL and the development of X-ray quality crystals and its X-ray diffraction studies. The structural characterization techniques are elemental analysis, conductivity measurements, magnetic measurements, electronic spectroscopy, H NMR spectroscopy, Infrared spectroscopy and X-ray crystallography.
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This is self playing Powerpoint with sound, which was made by researchers in Learning Technology, in 2001, suggesting what the life of a student in 2006 might look like. It is interesting to see how far we have come (or not come) in the time since.
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Objetivos. Caracterizar el perfil neuropsicológico de una muestra de 22 pacientes diagnosticados con VIH/SIDA, de un hospital de 4to nivel de Bogotá. Materiales y métodos. Estudio descriptivo de tipo exploratorio. Se hizo una descripción de las características neuropsicológicas de las personas con VIH/SIDA. Los resultados de la evaluación neuropsicológica de los sujetos se analizaron con el programa SPSS. Las variables registradas fueron edad, genero, escolaridad, tiempo de diagnóstico y funciones cognitivas superiores. Se incluyeron en el estudio los sujetos con diagnóstico de VIH/SIDA y con reportes de quejas subjetivas de memoria. No se excluyeron aquellos sujetos con antecedentes o presencia de alteraciones psiquiátricas. Resultados. Se creó una base de datos de 22 sujetos, de los cuales predominaron participantes del sexo masculino (77.3%); edad promedio 53,5 años. Se encontró que las funciones con mayor compromiso, sin importar tiempo de diagnóstico, fueron la atención sostenida, la memoria declarativa y la función ejecutiva (control inhibitorio). Las funciones más preservadas fueron las visoespaciales. Conclusiones. Es fundamental que los sujetos con diagnóstico de VIH/SIDA, sean valorados desde un inicio por neuropsicología para incluirlos en un protocolo de prevención y rehabilitación cognitiva específico para dicha población. Se recomienda que el protocolo sea diseñado por un equipo multidisciplinar de diferentes profesionales de la salud.
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Introducción: La segunda endocrinopatía que complica el embarazo es la enfermedad tiroidea, con una prevalencia de 2.5-5% en Estados Unidos. El hipotiroidismo en el embarazo se ha relacionado con efectos deletéreos maternos y perinatales, con evidencia escasa y controversial. Es importante conocer las diferencias en estos desenlaces en mujeres con hipotiroidismo pregestacional (HPG) y gestacional (HG). Metodología: Cohorte retrospectiva en una institución prestadora de salud (IPS) con HPG y HG, con registro de TSH en la historia clínica prenatal. Desenlaces maternos y perinatales: Amenaza de aborto, aborto espontáneo, hipertensión inducida por el embarazo, preeclamsia, abrupcio placenta, amenaza de parto pretérmino, óbito fetal, presentación podálica, cesárea, hemorragia posparto y bajo peso al nacer. Se compararon desenlaces entre pacientes con HPG versus HG y el tipo de hipotiroidismo (clínico, sub-clínico y controlado). Resultados: 337 gestantes entre Junio de 2009 y Diciembre de 2011, 67 con HPG. La TSH disminuyó del primero al tercer trimestre de embarazo en ambos grupos. El IMC en pacientes con HPG es mayor significativamente que en HG (p=0,04). Existe diferencia estadísticamente significativa entre tipo de hipotiroidismo clínico, subclínico y controlado en pacientes con HG y HPG en el primero y segundo trimestre (p<0.05). Con relación a desenlaces maternos y perinatales ninguno mostró asociación estadísticamente significativa, p>0.05. Conclusión: No se observaron diferencias significativas en los desenlaces materno-perinatales de pacientes con HG versus HPG, ambos grupos con suplencia hormonal tiroidea. Esto sugiere que independientemente del momento del diagnóstico, lo importante es tratar la enfermedad tempranamente para disminuir o evitar complicaciones.
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Avaliou-se a qualidade de vida em 30 pacientes com paralisia de Bell e 30 controles são, pareados por idade e gênero, tendo como objetivo estimar as diferenças nesta entre os pacientes e as pessoas sem paralisia. Utilizou-se a enquete SF-36 para avaliar a qualidade de vida, a escala House Brackmann para estimar o nível de severidade da paralisia, e uma enquete para determinar a idade, o gênero, o lado afetado do rosto e o tempo de evolução. Aplicou-se a prova de rangos assinalados de Wilcoxon, com o fim de obter as diferenças nas dimensões da qualidade de vida entre os pacientes e os controles sãos. Esta análise mostrou diferenças significativas nas dimensões de limitações no rol: problemas físicos (p = .002), e funcionamento social (p = .002). Por meio do coeficiente de correlação de Spearman se observou um nível de relação significativo entre estas mesmas dimensões da qualidade de vida (p = .000 e p =.003 respectivamente) e a severidade da paralisia. Através da prova U de Mann Whitney comparou-se a qualidade de vida de acordo com o lado afetado. A análise permitiu ver uma pontuação significativamente menor na dimensão de saúde geral nos pacientes com afetação do lado direito do rosto (p = .024). Não se encontraram diferenças associadas à idade, ao gênero ou ao tempo de evolução. Os resultados permitem sugerir a inclusão de aspectos relacionados com as dimensões limitações no rol: problemas físicos e funcionamento social nos programas de intervenção dirigidos a estes pacientes.
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The objective of the investigation who gave as result this work was to investigate the effectiveness of kinaesthetic motor imagery in the activation of the hemiplegic hand muscles following stroke. The experiment consisted of two random groups. Movements were measured after treatment. The participants were ten patients with hemiplegic hands (men who mean age was 74.4 years; mean time since stroke 3.05 months). All patients received three sessions of physical treatment based on an identical treatment protocol. Five patients were randomly assigned to an experimental group practising kinaesthetic motor imagery of a grasp using the 'lumbrical action' (experimental group). The others five (control group) followed a relaxation script. All the patients were then asked to grasp an object using the 'lumbrical action'. The grasps were recorded using an optoelectronic motion capture system. The magnitude of the extension of the index finger and the correlation of the angular displacement of the proximal phalangeal joints and the metacarpophalangeal joints were calculated. The movement time for the whole grip was calculated. The experimental group demonstrated higher extension in the index finger (p = < 0.01) and they had a higher correlation coefficient (0.99) than the control group (0.77) for the displacement of the proximal interphalangeal joint and the metacarpophalangeal joints. The movement time for the experimental group was faster, although the difference was not significant.
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Los grandes aportes generados por las antiguas civilizaciones y los filósofos más destacados a lo largo del tiempo, permiten entender la procedencia de algunos términos de los que hoy en día se hace uso. Estas contribuciones comienzan a través de la concepción del término tiempo, desde la antigüedad hasta los tiempos modernos, las cuales conllevan a entender que el tiempo es aquel que define la durabilidad de las cosas. De acuerdo a esto, se propone un acercamiento sobre el origen del término perdurabilidad, el cual será la base de la presente investigación. Entender la procedencia del término y el uso que se le da a sí mismo, facilita la aplicación el ámbito empresarial; el cual, a partir de diferentes posturas de autores nacionales e internacionales y basados en los parámetros que ha establecido la Universidad del Rosario, se establece un marco teórico de apoyo para futuras investigaciones dedicadas a la perdurabilidad empresarial. Asimismo, se establecen o se plasman algunos principios o factores de éxito que ayudan a que una empresa logre traspasar fronteras en tiempo y en rentabilidad; es decir que no solo permanezca muchos años en el mercado, sino que además se mantenga en constante crecimiento y rentabilidad.
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Introducción: El cáncer de seno es la primera causa de cáncer entre las mujeres, además es la primera causa de muerte por cáncer entre las hispanas y la segunda entre otras razas, sin contar con el gran impacto social y económico que conlleva esta patología. Esto motiva la realización de estudios propios, que permitan ampliar nuestro conocimiento y aportar a la literatura colombiana, una publicación que refleje los factores asociados a la recaída en el cáncer de mama. Métodos: Estudio observacional analítico retrospectivo de casos y controles en el que se tomaron 267 historias clínicas de pacientes con diagnóstico de cáncer de seno, clasificadas según estadio clínico y expresión molecular del tumor, se analizaron los factores más fuertemente asociados a la recaída. Resultados: La población total consistió en 267 mujeres de las cuales 58 presentaron recaída, con un relación caso – control, 1:3. Al evaluar los grupos se evidencia homogeneidad en cuanto a edad, tipo de neoplasia, paridad e histología con lo que concluimos que estos grupos son comparables. Se presentó una tasa de mortalidad de 13,8 % en las pacientes que presentaron recaída tumoral vs un 0% de mortalidad en aquellas pacientes sin recaída. Adicionalmente se evidencia una relación entre la presencia del receptor HER 2 y recaída tumoral, que aunque no es estadísticamente significativa (p = 0.112) es importante tener en cuenta por su significancia clínica. Por su parte la presencia de receptor de estrógenos y progestágenos no es un predictor de recaída. La realización de cirugía se muestra como un factor de protección (OAR: 0.046 p = 0.008). Finalmente se encontró una asociación estadísticamente significativa como variables de asociación a recaída tumoral: la edad (p=0.009), el estadio clínico en el momento del diagnóstico (p= <0.001) y la clasificación molecular del tumor (p= 0.016). Conclusiones: Se identificaron como factores asociados a recaída tumoral en pacientes con cáncer de mama de una institución de Bogotá, Colombia a: la edad, el estadio clínico en el momento del diagnóstico y la clasificación molecular del tumor, confirmando la agresividad de los tumores triple negativos. Todos los hallazgos son compatibles a lo descrito en la literatura mundial. Esto permite definir la necesidad de generar en nuestro país estrategias de salud pública, que permitan la educación a todos los grupos etarios para el tamizaje en población joven que está siendo afectada, la detección en estadios tempranos del cáncer de mama, asociados a priorización del manejo y mejoras en la ruta de atención de las pacientes que permitan impactar positivamente en el desenlace y calidad de vida de las mujeres con esta patología. Adicionalmente estos resultados impulsan a la continua investigación de nuevas tecnologías y medicamentos que permitan combatir los tumores más agresivos molecularmente hablando.
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The aim of this thesis is to narrow the gap between two different control techniques: the continuous control and the discrete event control techniques DES. This gap can be reduced by the study of Hybrid systems, and by interpreting as Hybrid systems the majority of large-scale systems. In particular, when looking deeply into a process, it is often possible to identify interaction between discrete and continuous signals. Hybrid systems are systems that have both continuous, and discrete signals. Continuous signals are generally supposed continuous and differentiable in time, since discrete signals are neither continuous nor differentiable in time due to their abrupt changes in time. Continuous signals often represent the measure of natural physical magnitudes such as temperature, pressure etc. The discrete signals are normally artificial signals, operated by human artefacts as current, voltage, light etc. Typical processes modelled as Hybrid systems are production systems, chemical process, or continuos production when time and continuous measures interacts with the transport, and stock inventory system. Complex systems as manufacturing lines are hybrid in a global sense. They can be decomposed into several subsystems, and their links. Another motivation for the study of Hybrid systems is the tools developed by other research domains. These tools benefit from the use of temporal logic for the analysis of several properties of Hybrid systems model, and use it to design systems and controllers, which satisfies physical or imposed restrictions. This thesis is focused in particular types of systems with discrete and continuous signals in interaction. That can be modelled hard non-linealities, such as hysteresis, jumps in the state, limit cycles, etc. and their possible non-deterministic future behaviour expressed by an interpretable model description. The Hybrid systems treated in this work are systems with several discrete states, always less than thirty states (it can arrive to NP hard problem), and continuous dynamics evolving with expression: with Ki ¡ Rn constant vectors or matrices for X components vector. In several states the continuous evolution can be several of them Ki = 0. In this formulation, the mathematics can express Time invariant linear system. By the use of this expression for a local part, the combination of several local linear models is possible to represent non-linear systems. And with the interaction with discrete events of the system the model can compose non-linear Hybrid systems. Especially multistage processes with high continuous dynamics are well represented by the proposed methodology. Sate vectors with more than two components, as third order models or higher is well approximated by the proposed approximation. Flexible belt transmission, chemical reactions with initial start-up and mobile robots with important friction are several physical systems, which profits from the benefits of proposed methodology (accuracy). The motivation of this thesis is to obtain a solution that can control and drive the Hybrid systems from the origin or starting point to the goal. How to obtain this solution, and which is the best solution in terms of one cost function subject to the physical restrictions and control actions is analysed. Hybrid systems that have several possible states, different ways to drive the system to the goal and different continuous control signals are problems that motivate this research. The requirements of the system on which we work is: a model that can represent the behaviour of the non-linear systems, and that possibilities the prediction of possible future behaviour for the model, in order to apply an supervisor which decides the optimal and secure action to drive the system toward the goal. Specific problems can be determined by the use of this kind of hybrid models are: - The unity of order. - Control the system along a reachable path. - Control the system in a safe path. - Optimise the cost function. - Modularity of control The proposed model solves the specified problems in the switching models problem, the initial condition calculus and the unity of the order models. Continuous and discrete phenomena are represented in Linear hybrid models, defined with defined eighth-tuple parameters to model different types of hybrid phenomena. Applying a transformation over the state vector : for LTI system we obtain from a two-dimensional SS a single parameter, alpha, which still maintains the dynamical information. Combining this parameter with the system output, a complete description of the system is obtained in a form of a graph in polar representation. Using Tagaki-Sugeno type III is a fuzzy model which include linear time invariant LTI models for each local model, the fuzzyfication of different LTI local model gives as a result a non-linear time invariant model. In our case the output and the alpha measure govern the membership function. Hybrid systems control is a huge task, the processes need to be guided from the Starting point to the desired End point, passing a through of different specific states and points in the trajectory. The system can be structured in different levels of abstraction and the control in three layers for the Hybrid systems from planning the process to produce the actions, these are the planning, the process and control layer. In this case the algorithms will be applied to robotics ¡V a domain where improvements are well accepted ¡V it is expected to find a simple repetitive processes for which the extra effort in complexity can be compensated by some cost reductions. It may be also interesting to implement some control optimisation to processes such as fuel injection, DC-DC converters etc. In order to apply the RW theory of discrete event systems on a Hybrid system, we must abstract the continuous signals and to project the events generated for these signals, to obtain new sets of observable and controllable events. Ramadge & Wonham¡¦s theory along with the TCT software give a Controllable Sublanguage of the legal language generated for a Discrete Event System (DES). Continuous abstraction transforms predicates over continuous variables into controllable or uncontrollable events, and modifies the set of uncontrollable, controllable observable and unobservable events. Continuous signals produce into the system virtual events, when this crosses the bound limits. If this event is deterministic, they can be projected. It is necessary to determine the controllability of this event, in order to assign this to the corresponding set, , controllable, uncontrollable, observable and unobservable set of events. Find optimal trajectories in order to minimise some cost function is the goal of the modelling procedure. Mathematical model for the system allows the user to apply mathematical techniques over this expression. These possibilities are, to minimise a specific cost function, to obtain optimal controllers and to approximate a specific trajectory. The combination of the Dynamic Programming with Bellman Principle of optimality, give us the procedure to solve the minimum time trajectory for Hybrid systems. The problem is greater when there exists interaction between adjacent states. In Hybrid systems the problem is to determine the partial set points to be applied at the local models. Optimal controller can be implemented in each local model in order to assure the minimisation of the local costs. The solution of this problem needs to give us the trajectory to follow the system. Trajectory marked by a set of set points to force the system to passing over them. Several ways are possible to drive the system from the Starting point Xi to the End point Xf. Different ways are interesting in: dynamic sense, minimum states, approximation at set points, etc. These ways need to be safe and viable and RchW. And only one of them must to be applied, normally the best, which minimises the proposed cost function. A Reachable Way, this means the controllable way and safe, will be evaluated in order to obtain which one minimises the cost function. Contribution of this work is a complete framework to work with the majority Hybrid systems, the procedures to model, control and supervise are defined and explained and its use is demonstrated. Also explained is the procedure to model the systems to be analysed for automatic verification. Great improvements were obtained by using this methodology in comparison to using other piecewise linear approximations. It is demonstrated in particular cases this methodology can provide best approximation. The most important contribution of this work, is the Alpha approximation for non-linear systems with high dynamics While this kind of process is not typical, but in this case the Alpha approximation is the best linear approximation to use, and give a compact representation.
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The ability to predict the responses of ecological communities and individual species to human-induced environmental change remains a key issue for ecologists and conservation managers alike. Responses are often variable among species within groups making general predictions difficult. One option is to include ecological trait information that might help to disentangle patterns of response and also provide greater understanding of how particular traits link whole clades to their environment. Although this ‘‘trait-guild” approach has been used for single disturbances, the importance of particular traits on general responses to multiple disturbances has not been explored. We used a mixed model analysis of 19 data sets from throughout the world to test the effect of ecological and life-history traits on the responses of bee species to different types of anthropogenic environmental change. These changes included habitat loss, fragmentation, agricultural intensification, pesticides and fire. Individual traits significantly affected bee species responses to different disturbances and several traits were broadly predictive among multiple disturbances. The location of nests – above vs. below ground – significantly affected response to habitat loss, agricultural intensification, tillage regime (within agriculture) and fire. Species that nested above ground were on average more negatively affected by isolation from natural habitat and intensive agricultural land use than were species nesting below ground. In contrast below-ground-nesting species were more negatively affected by tilling than were above-ground nesters. The response of different nesting guilds to fire depended on the time since the burn. Social bee species were more strongly affected by isolation from natural habitat and pesticides than were solitary bee species. Surprisingly, body size did not consistently affect species responses, despite its importance in determining many aspects of individuals’ interaction with their environment. Although synergistic interactions among traits remain to be explored, individual traits can be useful in predicting and understanding responses of related species to global change.
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A study was conducted in the forest-steppe region of the Loess Plateau to provide insight into the factors affecting the process of vegetation establishment, and to provide recommendations for the selection of indigenous species in order to speed up the succession process and to allow the establishment of vegetation more resistant to soil erosion. Four distinctive vegetation types were identified, and their distribution was affected not only by the time since abandonment but also by other environmental factors, mainly soil water and total P in the upper soil layers. One of the vegetation types, dominated by Artemisia scoparia, formed the early successional stage after abandonment while the other three types formed later successional stages with their distribution determined by the soil water content and total P. It can be concluded that the selection of appropriate species for introduction to accelerate succession should be determined by the local conditions and especially the total P concentration and soil water content.
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In the Loess Plateau, China, arable cultivation of slope lands is common and associated with serious soil erosion. Planting trees or grass may control erosion, but planted species may consume more soil water and can threaten long-term ecosystem sustainability. Natural vegetation succession is an alternative ecological solution to restore degraded land, but there is a time cost, given that the establishment of natural vegetation, adequate to prevent soil erosion, is a longer process than planting. The aims of this study were to identify the environmental factors controlling the type of vegetation established on abandoned cropland and to identify candidate species that might be sown soon after abandonment to accelerate vegetation succession and establishment of natural vegetation to prevent soil erosion. A field survey of thirty-three 2 × 2–m plots was carried out in July 2003, recording age since abandonment, vegetation cover, and frequency of species together with major environmental and soil variables. Data were analyzed using correspondence analysis, classification tree analysis, and species response curves. Four vegetation types were identified and the data analysis confirmed the importance of time since abandonment, total P, and soil water in controlling the type of vegetation established. Among the dominant species in the three late-successional vegetation types, the most appropriate candidates for accelerating and directing vegetation succession were King Ranch bluestem (Bothriochloa ischaemum) and Lespedeza davurica (Leguminosae). These species possess combinations of the following characteristics: tolerance of low water and nutrient availability, fibrous root system and strong lateral vegetative spread, and a persistent seed bank.
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The well-known Quaternary section at Godrevy, west Cornwall has been often described during the past half century, however, a further section, about a kilometre to the south is considered for the first time since a brief mention at the beginning of the last century. This 200m long exposure rests upon a raised shore platform and consists of a basal raised beach and littoral sand, overlain by a local diamict revealing evidence of post-depositional frost disturbance and finally Holocene dune sand. It is proposed that this Strap Rock site be included within the general discussion of the Godrevy section.
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The winter climate of Europe and the Mediterranean is dominated by the weather systems of the mid-latitude storm tracks. The behaviour of the storm tracks is highly variable, particularly in the eastern North Atlantic, and has a profound impact on the hydroclimate of the Mediterranean region. A deeper understanding of the storm tracks and the factors that drive them is therefore crucial for interpreting past changes in Mediterranean climate and the civilizations it has supported over the last 12 000 years (broadly the Holocene period). This paper presents a discussion of how changes in climate forcing (e.g. orbital variations, greenhouse gases, ice sheet cover) may have impacted on the ‘basic ingredients’ controlling the mid-latitude storm tracks over the North Atlantic and the Mediterranean on intermillennial time scales. Idealized simulations using the HadAM3 atmospheric general circulation model (GCM) are used to explore the basic processes, while a series of timeslice simulations from a similar atmospheric GCM coupled to a thermodynamic slab ocean (HadSM3) are examined to identify the impact these drivers have on the storm track during the Holocene. The results suggest that the North Atlantic storm track has moved northward and strengthened with time since the Early to Mid-Holocene. In contrast, the Mediterranean storm track may have weakened over the same period. It is, however, emphasized that much remains still to be understood about the evolution of the North Atlantic and Mediterranean storm tracks during the Holocene period.