National implementation of the SIDS POA: a Caribbean perspective

Includes bibliography

Women as the recipients of services from resources allocated in the national budget of Trinidad and Tobago

Includes bibliography

Women as the recipients of services from resources allocated in the national budget of Saint Lucia

Includes bibliography

Women as the recipients of services from resources allocated in the national budget of St. Vincent and the Grenadines

Includes bibliography

Women as the recipients of services from resources allocated in the national budget of Dominica

Includes bibliography

Women as the recipients of services from resources allocated in the national budget of Jamaica

Includes bibliography

Women as recipients of services in the national budget of Saint Christopher and Nevis

Includes bibliography

An annotated list of the centipedes (Chilopoda) in the National Collection of Arachnids, Instituto de Biología, Universidad Nacional Autónoma de México

The National Collection of Arachnids, Instituto de Biología, Universidad Nacional Autónoma de México (México City) houses 476 chilopod samples, of which 197 are determined to genus and/or species. These are documented here and represent several new state records. Topotypes of eight species of centipedes described by R. V. Chamberlin also documented. Resumen. La Colección Nacional de Arácnidos, del Instituto de Biología de la Universidad Nacional Autónoma de México (Ciudad de México), resguarda 476 muestras de quilópodos, de los que 197 están determinadas a nivel de género y/o especie. Algunas de estas muestras corresponden a nuevos registros estatales. Se documentan los topotipos de ocho especies de ciempiés descritos por R. V. Chamberlin.

Using the National Institute of Health Stroke Scale to Predict Dysphagia in Acute Ischemic Stroke

Background and Purpose: Oropharyngeal dysphagia is a common manifestation in acute stroke. Aspiration resulting from difficulties in swallowing is a symptom that should be considered due to the frequent occurrence of aspiration pneumonia that could influence the patient's recovery as it causes clinical complications and could even lead to the patient's death. The early clinical evaluation of swallowing disorders can help define approaches and avoid oral feeding, which may be detrimental to the patient. This study aimed to create an algorithm to identify patients at risk of developing dysphagia following acute ischemic stroke in order to be able to decide on the safest way of feeding and minimize the complications of stroke using the National Institutes of Health Stroke Scale (NHISS). Methods: Clinical assessment of swallowing was performed in 50 patients admitted to the emergency unit of the University Hospital, Faculty of Medicine of Ribeirao Preto, Sao Paulo, Brazil, with a diagnosis of ischemic stroke, within 48 h after the beginning of symptoms. Patients, 25 females and 25 males with a mean age of 64.90 years (range 26-91 years), were evaluated consecutively. An anamnesis was taken before the patient's participation in the study in order to exclude a prior history of deglutition difficulties. For the functional assessment of swallowing, three food consistencies were used, i.e. pasty, liquid and solid. After clinical evaluation, we concluded whether there was dysphagia. For statistical analysis we used the Fisher exact test, verifying the association between the variables. To assess whether the NIHSS score characterizes a risk factor for dysphagia, a receiver operational characteristics curve was constructed to obtain characteristics for sensitivity and specificity. Results: Dysphagia was present in 32% of the patients. The clinical evaluation is a reliable method of detection of swallowing difficulties. However, the predictors of risk for the swallowing function must be balanced, and the level of consciousness and the presence of preexisting comorbidities should be considered. Gender, age and cerebral hemisphere involved were not significantly associated with the presence of dysphagia. NIHSS, Glasgow Coma Scale, and speech and language changes had a statistically significant predictive value for the presence of dysphagia. Conclusions: The NIHSS is highly sensitive (88%) and specific (85%) in detecting dysphagia; a score of 12 may be considered as the cutoff value. The creation of an algorithm to detect dysphagia in acute ischemic stroke appears to be useful in selecting the optimal feeding route while awaiting a specialized evaluation. Copyright (C) 2012 S. Karger AG, Basel

The education of the body for an "integral soldier", "physically strong, intelligent and soul superior"

This study examines the paramilitary training carried out by the Integralist Militia (Militia Integralista), unit of the Brazilian Integralist Action (Acao Integralista Brasileira, AIB) of the extreme right wing political party in Brazil in the 1930s. The training was aimed to create the "integral soldier", a "physically strong, intelligent and soul superior" one. The study analyzes issues of the newspaper "Monitor Integralista", a prescriptive and dogmatic journal of the movement, found in the Public and History Archives of the city of Rio Claro, State of Sao Paulo, and in the "A Offensiva" newspaper, microfilmed an archived at the National Library of Rio de Janeiro. It concludes that Plinio Salgado's goal, the National Head of the AIB, was to train, by using verbal persuasion, speeches, word of mouth and by vote, by force and physical combat, the integralists to defend the causes of the movement.