Kemihaaran allasalueen väestötutkimus

Engl. summary: Population study in the Kemihaara reservoir area

Panama City Fisheries Resources Office: FY 2009 Annual Report

HIGHLIGHTS FOR FY 2009 1. Completed the second of a two-year Gulf sturgeon population study on the Choctawhatchee River, Florida. The juvenile, sub adult and adult Gulf sturgeon population was estimated at 3,400 fish. 2. Three young of year Gulf sturgeon were collected by Corps of Engineers biologists in the upper Brothers Rivers. 3. Two YCC enrollees spent eight weeks assisting PCFO biologists and Tyndall AFB with various projects. 4. The Gulf Sturgeon 5-Year Summary and Evaluation was completed. 5. Karen Herrington co-authored a peer-reviewed journal article for a striped bass symposium at the annual American Fisheries Society meeting, which will be published in the symposium proceedings. The article reviews the past 25 years of striped bass restoration in the ACF and is titled “Restoration of Gulf Striped Bass: Lessons and Management Implications”. 6. We documented recent purple bankclimber recruitment in the Ochlockonee River for the first time in several years. 7. We provided over 200 genetic samples to Warm Springs Fish Technology Center to compare mussel populations and genetic diversity, rank populations by status, and facilitate recovery actions. 8. We established permanent mussel monitoring locations in Sawhatchee Creek and the Flint River to examine trends in population size, survival, and recruitment. 9. We provided a prioritized list to the Federal Emergency Management Agency of 197 stream crossings that occur near freshwater mussel populations in order to facilitate habitat restoration following major flooding in Alabama, Florida, and Georgia in the spring of 2009.

Panama City Fisheries Resources Office: FY 2008 Annual Report

HIGHLIGHTS FOR FY 2008 1. Completed the first of a two-year Gulf sturgeon population study on the Choctawhatchee River, Florida. The sub adult and adult Gulf sturgeon population was estimated at 2,800 fish. 2. Gulf sturgeon eggs were collected at three hard bottom sites in the Apalachicola River, Florida; two sites were previously confirmed spawning areas and one was a newly confirmed spawning area. 3. Documented 55 potential environmental threats to Gulf sturgeon spawning habitat in the Pea River, Florida and Alabama. 4. Assigned the Eglin AFB Road-Stream Crossing Working Group to guide the closure, repair and maintenance of roads and road stream crossings that impact threatened and endangered species. 5. Conducted 81 assessments of fish and stream invertebrates on and in watersheds surrounding Eglin AFB. 6. Provided technical support for the 5-year status review and reclassification proposed rule for the Okaloosa darter. 7. Initiated an intensive population genetic analysis of the Okaloosa darter throughout its range. Tissues from over 200 Okaloosa darters were collected and analyzed. 8. Established a GIS database to serve as a host for data from any sites sampled for mussels in Northeast Gulf of Mexico drainages. 9. Conducted habitat surveys at 115 locations in the Apalachicola River to assess the effects of drought-related mussel mortality and strandings, evaluate habitat conditions, and assess population demography. 10. A land use/aerial imagery threats assessment data analysis was completed for the Chipola River. A total of 266 impoundments/borrow pits and 471 unpaved road crossings were identified among the threats. 11. Okaloosa darters marked with elastomeric dyes were monitored in Mill Creek, Eglin AFB, to determine movement and habitat use following completion of a fish passage project. 3 12. Partners for Fish and Wildlife funded a streambank and riparian restoration project on Econfina Creek consisting of 3,900 feet of streambank fencing to exclude cattle access. One acre of riparian floodplain was planted with native trees. 13. We provided design and on-the-ground assistance for restoring surface hydrology at St. Vincent NWR. The project restored approximately 1.5 miles of tidal stream and 100 acres of wetlands. 14. A study was completed on 11 coastal streams to document large wood debris relationships with fluvial geomorphic characteristics. 15. We developed a Population Viability Analysis model for the fat threeridge mussel to determine current and future risk of extinction. 17. A Gulf Sturgeon Friends Group, “Gulf Sturgeon Preservation Society” was organized in FY 08. 18. Multiple outreach projects were completed to detail aquatic resource conservation needs and opportunities, including National Fishing Week, Earth Day, several festivals and school outreach.

Panama City Fisheries Resources Office: FY 2007 Annual Report

HIGHLIGHTS FOR FY 2007 1. Completed a three-year Gulf sturgeon population study on the Escambia River, Florida. The population was estimated at 451 fish. 2. Implemented the Gulf Striped Bass Restoration Plan by coordinating the 24th Annual Morone Workshop, leading the technical committee, transporting broodfish, coordinating stocking on the Apalachicola-Chattahoochee-Flint (ACF) river system, and evaluating post-stocking success. 3. Completed a survey to document the extent of aquatic resources, recreational fishing opportunities, and fishery management needs on Department of Defense (DoD) facilities located in Region 4. 4. Continued a project in the Apalachicola River to describe the effects of exceptional drought conditions on freshwater mussel recovery. 5. Initiated a study to locate extant populations of the federally endangered Ochlockonee moccasinshell in the Ochlockonee River Basin. We documented the first live individuals in 14 years. 6. Completed a five-year status review for seven threatened and endangered freshwater mussels in the NEG drainages. 7. Restored Mill Creek to improve habitat for the endangered Okaloosa darter by removing six fish passage barriers and creating approximately 3,000 linear feet of new and regenerated stream channel with floodplain and native vegetation. 8. Completed a fish passage project that connected about 5 miles of habitat in Little Rocky Creek, Eglin Air Force Base, to benefit the Okaloosa darter. 9. Completed a threats analysis to aquatic species in the Chipola River watershed using GIS stream data, aerial imagery, and land cover data. 10. Multiple outreach projects were completed to detail aquatic resource conservation needs and opportunities, including National Fishing Week, Earth Day, several festivals, and school outreach.

Panama City Fisheries Resources Office: FY 2002 Annual Report

HIGHLIGHTS FOR FY 2002 1. United States Senator Bob Graham assisted with a Gulf sturgeon survey. 2. Completed 3-year Gulf sturgeon population study in the Choctawhatchee River drainage. 3. Completed Gulf sturgeon potential spawning habitat survey for Northwest Florida and Southeast Alabama river systems. 4. Initiated Gulf sturgeon marine habitat and food resources study. 5. Completed Gulf sturgeon sentinel fish study. 6. Coordinated and conducted tagging of over 110,000 Phase II striped bass at Welaka and Warm Springs National Fish Hatchery. 7. Completed Okefenokee National Wildlife Refuge fishery sampling. 8. Developed a manuscript regarding the fishery of Banks Lake NWR. 9. Initiated development of a fish Index of Biotic Integrity for Florida panhandle streams. 10. Coordinated Okaloosa darter workshop. 11. Continued examining insect communities on Eglin AFB. 12. Sponsored and coordinated stream restoration workshop. 13. Provided technical assistance via Partners for Fish and Wildlife for stream restoration within the Northeast Gulf Ecosystem. 14. Finalized regional curve development in the Northern Region of Florida and secured significant funds for FY03 to expand to other regions in Florida. 15. Initiated freshwater mussel conservation in the Northeastern Gulf Ecosystem.

Finding needles in the haystack : a search for AM CVn systems using the Palomar Transient Factory

The AM CVn systems are a rare class of ultra-compact astrophysical binaries. With orbital periods of under an hour and as short as five minutes, they are among the closest known binary star systems and their evolution has direct relevance to the type Ia supernova rate and the white dwarf binary population. However, their faint and rare nature has made population studies of these systems difficult and several studies have found conflicting results.

I undertook a survey for AM CVn systems using the Palomar Transient Factory (PTF) astrophysical synoptic survey by exploiting the "outbursts" these systems undergo. Such events result in an increase in luminosity by a factor of up to two-hundred and are detectable in time-domain photometric data of AM CVn systems. My search resulted in the discovery of eight new systems, over 20% of the current known population. More importantly, this search was done in a systematic fashion, which allows for a population study properly accounting for biases.

Apart from the discovery of new systems, I used the time-domain data from the PTF and other synoptic surveys to better understand the long-term behavior of these systems. This analysis of the photometric behavior of the majority of known AM CVn systems has shown changes in their behavior at longer time scales than have previously been observed. This has allowed me to find relationships between the outburst properties of an individual system and its orbital period.

Even more importantly, the systematically selected sample together with these properties have allowed me to conduct a population study of the AM CVn systems. I have shown that the latest published estimates of the AM CVn system population, a factor of fifty below theoretical estimates, are consistent with the sample of systems presented here. This is particularly noteworthy since my population study is most sensitive to a different orbital period regime than earlier surveys. This confirmation of the population density will allow the AM CVn systems population to be used in the study of other areas of astrophysics.

Estudo do polimorfismo Ser49Gly do gene do receptor beta adrenérgico 1 (β-adr 1) na população do estado do Rio de Janeiro, Brasil estratificada por cor da pele e ancestralidade genômica

As doenças cardiovasculares possuem a maior taxa de óbitos no mundo, e notavelmente nos últimos anos as pesquisas genéticas sobre as mesmas estão baseadas em estudos de associação, no qual o gene suspeito que esteja em maior frequência entre os pacientes passa a ser considerado um possível fator causal. Os polimorfismos genéticos que ocorrem no receptor beta-adrenérgico podem resultar em mudanças significativas na função do receptor, podendo acarretar fisiopatologias. Neste trabalho, o objetivo foi estimar a diversidade e a frequência do polimorfismo Ser49Gly do gene do receptor beta-adrenérgico 1 a partir de uma amostra de 188 indivíduos da população do Estado do Rio de Janeiro. As frequências também foram analisadas a partir da estratificação da amostra por critério fenotípico em função do padrão de cor da pele em (negros e não negros) ou ancestralidade genética em (afrodescendente e não afrodescendente), definida através da informação dos marcadores de ancestralidade Indels e SNP de cromossomo Y, para avaliar se os padrões de ancestralidade ou cor da pele são fundamentais para a diferenciação e distanciamento genético. Fragmentos de interesse foram amplificados por PCR (reação de cadeia de polimerase) com primers específicos para o marcador Ser49Gly e as reações de genotipagem foram realizadas com enzimas de restrição Eco0109I. Os valores da heterozigosidade variaram entre 0,25-0,50 e 0,20-0,41 nos grupos estratificados por ancestralidade e cor da pele, respectivamente. No que diz respeito à análise do equilíbrio de Hardy-Weinberg, não houve um desvio significativo na distribuição do marcador nas amostras gerais do Estado do Rio de Janeiro, ou mesmo nas amostras estratificadas. A distribuição dos alelos na amostra dos 188 indivíduos da população geral do Rio de Janeiro (AC_RJ) mostrou uma frequência de 80,30% e 19,70% para o alelo selvagem e mutado Ser49Gly, respectivamente. A comparação das análises sobre a distribuição das frequências alélicas para este marcador mostrou a ocorrência de diferenças significativas na distribuição das frequências alélicas entre negros e não negros e afrodescendentes e não afrodescendentes. A diferença significativa observada entre os negros e afrodescendentes, foi em menor grau de distanciamento. A informação obtida em relação à ancestralidade foi crucial para a obtenção dos dados sobre o aumento da variável mutada do polimorfismo Ser49Gly nas populações negras e afrodescendentes do Estado Rio de Janeiro. Tal evidência, em combinação com estudos clínicos podem contribuir para uma análise pormenorizada do padrão de susceptibilidade à doença em questão, em falhas do mecanismo deste receptor.

银山种群生态学研究

银杉(Cathaya argyrophylla)是我国特有的珍贵植物，被认为处于濒危状态。本文结合前人的研究，通过大量的野外调查，弄清了银杉的种质资源现状，分析银杉的群落特征，在此基础上重点研究了银杉种群的主要特征。 研究表明，现存银杉间断分布于我国亚热带山地，形成4个集结地，资源总量（株高大于1米者）不占4000棵。现有银杉群落处于演替的早、中期阶段，到演替后期，银杉将被组成地带性植被的优势阔叶树种取代。 银杉种群的空间分布格局与银杉的生物学特性及微环境有关。在老龄种群内，容易产生林窗，银杉在林窗形成异龄群聚，以寻求充足的光照和营养支持，种群多表现为集群分布;在群落内微环境异质性较明显时，也导致集群分布。在各种银杉群落中，就银杉种群而言，光因子可能是影响其分布格局的主导因子。银杉种群集群分布的格局规模虽在和群落种群间有明显差异，但大多在面积小于16平方米的较小尺度下发生。 银杉各群落类型中银杉种群年龄化加剧的现象，有些种群在某些龄组出现断层。从年龄结构看，有些银杉种群处于被阔叶树种更替的境地。 林窗干扰对银杉种群的更新意义重大，在林窗内和非林窗银杉群落内，银杉种群的重要值均为最大;银杉幼树在林窗内的高生长量普遍大于荫蔽的林冠下，这些充分说明银杉是典型的林窗更新方式。 银杉结实有明显的大小年之分，一般在2-3个小年之后为1-2个大年，母树结实量不与树龄成正相关，在植株间差别很大。每个球果出种量平均为4.267粒，无种子的球果占比重达12.2%。饱满种子的平均重量仅为0.0197克，远远低于乔木树种种子的平均水平。林地内自然善状况下播种，种子发芽率仅为21%，松土后播种可使发芽率加倍。种子宜于湿沙贮藏，干藏导致种子发芽率大幅度下降。松鼠是长期危害球果的主要动物，其危害率可达15%。 对银杉生长规律的研究发现，幼龄银杉在全光照下和荫蔽林冠下比在林窗内高生长都要缓慢;成年银杉高生长盛期在130年前出现;银杉种群地上部分生物量在大部分群落类型间介于62000-91000千克/公顷之间。 第四纪冰川时期，强烈的气候变迁，造成银杉种群的大尺度减少，并导致其间断分布于我国亚热带山地;冰后期以来的气候波动及近代剧烈的人类活动使已经片断化的银杉种群数量进一步下降。从而导致银杉遗传多样性低和生殖障碍大，后者反过来又进一步引起种群数量下降和分布区缩小，形成恶性循环，造成银杉濒危。

Report of the marine work at Hopkins Marine Station, Pacific Grove, California during the six-week period from June 25 to August 5, 1938

The primary objective in doing this work was to become acquainted with as many forms as possible of the marine fauna of the intertidal zone and if possible to determine some of the environmental relationships which exist in as many different types of habitats as possible. Due to limited amount of time spent in this study no very intensive work could be done and only a general survey was made of the more conspicuous forms of life which were encountered. Most of the work consisted of collecting and observing animals in the tide pools during periods of low tides. The animals collected were then taken to the laboratory and observed and determined as to species. Notes were taken as to place, time, and situation under which the animals were found. As many different types of habitats as possible were visited which included rocky intertidal areas of Mussel Point, Point Pinos, Lighthouse Point, Pescadero Point and Carmel Point just east of Carmel Beach. Sandy beaches were visited at Monterey Beach, Carmel Beach and Asilomar Beach. A marine estuary habitat was visited at Elkhorn Slough. More than two hundred species were identified and observed during this six-week period. A rather hasty population study was made of the eelgrass, Phyllospadix, of the intertidal zone at Mussel Point and of an algae, Gigartina caniculata, which grows at the level just above the eelgrass.

The reappearance hypothesis revisited: recurrent involuntary memories after traumatic events and in everyday life.

Recurrent involuntary memories are autobiographical memories that come to mind with no preceding retrieval attempt and that are subjectively experienced as being repetitive. Clinically, they are classified as a symptom of posttraumatic stress disorder. The present work is the first to systematically examine recurrent involuntary memories outside clinical settings. Study 1 examines recurrent involuntary memories among survivors of the tsunami catastrophe in Southeast Asia in 2004. Study 2 examines recurrent involuntary memories in a large general population. Study 3 examines whether the contents of recurrent involuntary memories recorded in a diary study are duplicates of, or differ from, one another. We show that recurrent involuntary memories are not limited to clinical populations or to emotionally negative experiences; that they typically do not come to mind in a fixed and unchangeable form; and that they show the same pattern regarding accessibility as do autobiographical memories in general. We argue that recurrent involuntary memories after traumas and in everyday life can be explained in terms of general and well-established mechanisms of autobiographical memory.

Cigarette Smoking Increases Risk of Barrett’s Esophagus:An Analysis of the Barrett’s and Esophageal Adenocarcinoma Consortium

Background & Aims: Cigarette smoking has been implicated in the etiology of esophageal adenocarcinoma, but it is not clear if smoking is a risk factor for Barrett's esophagus. We investigated whether tobacco smoking and other factors increase risk for Barrett's esophagus.

Methods: We analyzed data from 5 case-control studies included in the international Barrett's and Esophageal Adenocarcinoma Consortium. We compared data from subjects with Barrett's esophagus (n = 1059) with those from subjects with gastroesophageal reflux disease (gastroesophageal reflux disease controls, n = 1332), and population-based controls (n = 1143), using multivariable logistic regression models to test associations with cigarette smoking. We also tested whether cigarette smoking has synergistic effects with other exposures, which might further increase risk for Barrett's esophagus.

Results: Subjects with Barrett's esophagus were significantly more likely to have ever smoked cigarettes than the population-based controls (odds ratio [OR] = 1.67; 95% confidence interval [CI]: 1.042.67) or gastroesophageal reflux disease controls (OR = 1.61; 95% CI: 1.331.96). Increasing pack-years of smoking increased the risk for Barrett's esophagus. There was evidence of a synergy between ever-smoking and heartburn or regurgitation; the attributable proportion of disease among individuals who ever smoked and had heartburn or regurgitation was estimated to be 0.39 (95% CI: 0.250.52).

Conclusions: Cigarette smoking is a risk factor for Barrett's esophagus. The association was strengthened with increased exposure to smoking until ~20 pack-years, when it began to plateau. Smoking has synergistic effects with heartburn or regurgitation, indicating that there are various pathways by which tobacco smoking might contribute to development of Barrett's esophagus.

Counterphase modulation flicker photometry: phenotypic and genotypic associations

The OSCAR test, a clinical device that uses counterphase flicker photometry, is believed to be sensitive to the relative numbers of long-wavelength and middle-wavelength cones in the retina, as well as to individual variations in the spectral positions of the photopigments. As part of a population study of individual variations in perception, we obtained OSCAR settings from 1058 participants. We report the distribution characteristics for this cohort. A randomly selected subset of participants was tested twice at an interval of at least one week: the test-retest reliability (Spearman's rho) was 0.80. In a whole-genome association analysis we found a provisional association with a single nucleotide polymorphism (rs16844995). This marker is close to the gene RXRG, which encodes a nuclear receptor, retinoid X receptor γ. This nuclear receptor is already known to have a role in the differentiation of cones during the development of the eye, and we suggest that polymorphisms in or close to RXRG influence the relative probability with which long-wave and middle-wave opsin genes are expressed in human cones.

Contribuição para o estudo da fibromialgia : análise de variáveis de aptidão física, de composição corporal e capacidade funcional

A presente dissertação pretendeu verificar o efeito de um programa de exercício supervisionado versus domiciliário, de intensidade moderada, com a duração de 16 semanas, na aptidão física de pessoas com fibromialgia. Houve necessidade de ajustamento dos objetivos e analisaram-se os dados obtidos no primeiro momento de avaliação, pretendendo-se analisar a relação entre variáveis de aptidão física, contribuindo para a compreensão da aptidão física de pessoas com fibromialgia. Apresentam-se e analisam-se variáveis de aptidão física e os resultados do efeito do exercício a nível de composição corporal, capacidade cardiorrespiratória e capacidade funcional. Neste âmbito realizaram-se 5 estudos. No estudo I analisou-se a precisão de diferentes equações preditivas de consumo de oxigénio, que utilizam a distância caminhada no teste de marcha de 6 minutos e propõe-se uma atualização para a equação específica para esta população. No estudo II observou-se a relação entre o consumo de oxigénio, composição corporal e força muscular. No estudo III avaliou-se a precisão de equações preditivas de composição corporal utilizando pregas adiposas e a densitometria de raio-X de dupla energia como método de referência. No estudo IV verificou-se qual o índice que melhor reflete a composição corporal destas mulheres. No estudo V analisou-se a associação entre a frequência cardíaca de recuperação, após um teste de esforço máximo e o consumo de oxigénio. Os principais resultados reforçam os resultados anteriores de que a população estudada apresenta diminuição da aptidão física, da capacidade funcional e valores de composição corporal indicativos de excesso de peso. Não apresentaram alterações autonómicas e verificou-se que a distância caminhada durante o teste de marcha de 6 minutos, a idade, percentagem de massa gorda e a massa magra apendicular são preditores do VO2 pico. Após a intervenção as participantes apresentaram alterações positivas a nível da aptidão física.

Parenting, self-regulation and childhood anxiety : A Self-Determination Theory perspective

Le contrôle psychologique parental est un facteur de risque réputé pour les problèmes intériorisés des enfants (p. ex., Affrunti & Ginsburg, 2011; McLeod, Wood & Weisz, 2007). Selon la Théorie de l'auto-détermination, le contrôle psychologique mène aux problèmes intériorisés (Ryan, Deci, Grolnick, & La Guardia, 2006) car il brime le besoin fondamental d'autonomie. En effet, recevoir de la pression afin de penser, se comporter et se sentir d’une certaine façon (Ryan, 1982) semble favoriser une régulation trop rigide et surcontrôlée (Ryan et al., 2006). Suite aux travaux de Soenens et Vansteenkiste (2010), la distinction conceptuelle entre deux formes de contrôle psychologique, soit manifestes (p. ex., les menaces, forcer physiquement) et dissimulées (p. ex., la surprotection, le marchandage), ont été utilisées pour évaluer le style parental (Étude 1) et les pratiques disciplinaires (Étude 2). Le contrôle psychologique parental et le soutien de l'autonomie (Étude 2) ont été mesurés durant la petite enfance puisque (1) les problèmes intériorisés émergent tôt, (2) le développement du sentiment d'autonomie est central au cours de cette période, et (3) attire probablement plus de contrôle psychologique parental. Avec ses deux articles, la présente thèse vise à clarifier la façon dont le contrôle psychologique manifeste et dissimulé est lié au développement précoce de problèmes intériorisés. L'étude 1 est une étude populationnelle examinant l'impact relatif du style parental sur des trajectoires développementales d'anxiété (N = 2 120 enfants; de 2,5 à 8 ans) avec de nombreux facteurs de risque potentiels provenant de l'enfant, de la mère et de la famille, tous mesurés au cours de la petite enfance. Les résultats ont montré qu'en plus de la timidité des enfants, de la dépression maternelle et du dysfonctionnement familial, le contrôle psychologique manifeste (c.-à-d., coercitif) et dissimulé (c.-à-d., la surprotection) augmentent le risque, pour les enfants, de suivre une trajectoire d'anxiété élevée. Une interaction entre la dépression maternelle et le contrôle dissimulé a été trouvée, ce qui indique que la surprotection augmente l'anxiété des enfants seulement lorsque la dépression maternelle est élevée. Enfin, le contrôle dissimulé prédit également l'anxiété telle que rapportée par les enseignants de deuxième année. Le deuxième article est une étude observationnelle qui examine comment l'autorégulation (AR) des bambins est liée au développement précoce des symptômes intériorisés, tout en explorant comment les pratiques disciplinaires parentales (contrôle et soutien de l'autonomie) y sont associées. Les pratiques parentales ont été codifiées lors d'une requête de rangement à 2 ans (contexte "Do", N = 102), tandis que l'AR des bambins a été codifiée à la fois durant la tâche de rangement ("Do") et durant une tâche d'interdiction (ne pas toucher à des jouets attrayants; contexte «Don't » ), à 2 ans puis à 3 ans. Les symptômes d'anxiété / dépression des enfants ont été évalués par leurs parents à 4,5 ans. Les résultats ont révélé que l'AR aux interdictions à 3 ans diminue la probabilité des enfants à manifester des taux élevés de symptômes d'anxiété / dépression. Les analyses ont aussi révélé que le parentage soutenant l'autonomie était lié à l'AR des enfants aux requêtes, un an plus tard. En revanche, le contrôle psychologique manifeste et dissimulé ont eu des effets délétères sur l'AR. Enfin, seul le contrôle dissimulé a augmenté les probabilités de présenter des niveaux plus élevés de problèmes intériorisés et ce, au-delà de l’effet protecteur de l'AR des bambins. Des résultats mitigés sont issus de cette thèse concernant les effets respectifs des deux formes de contrôle sur les problèmes intériorisés, dépendamment de l'informateur (mère c. enseignant) et de la méthodologie (questionnaires c. données observationnelles). Toutefois, le contrôle psychologique dissimulé était lié à ce problème affectif dans les deux études. Enfin, le soutien à l'autonomie s’est révélé être un facteur de protection potentiel et mériterait d'être étudié davantage.

Soluciones hipertónicas en trauma craneoencefálico: revisión sistemática de la literatura

El traumatismo craneoencefálico, es la epidemia silenciosa de nuestra época, que genera gastos en salud, en países como Estados Unidos, cercanos a los 60 billones de dólares anuales, y cerca de 400 billones en rehabilitación de los discapacitados. El pilar del manejo médico del trauma craneoencefálico moderado o severo, es la osmoterapia, principalmente con sustancias como el manitol y las soluciones hipertónicas. Se realizó la revisión de 14 bases de datos, encontrando 4657754 artículos, quedando al final 40 artículos después de un análisis exhaustivo, que se relacionaban con el manejo de la hipertensión endocraneana y terapia osmótica. Resultados: Se compararon diferentes estudios, encontrando gran variabilidad estos, sin homogenización en los análisis estadísticos, y la poca rigurosidad no permitieron, la recolección de datos y la comparación entre los diferentes estudios, no permitió realizar el meta-análisis y por esto se decidió la realización de una revisión sistemática de la literatura. Se evidenció principalmente tres cosas: la primera es la poca rigurosidad con la que se realizan los estudios clínicos; la segunda, es que aún falta mucha más investigación principalmente, la presencia de estudios clínicos aleatorizados multicéntricos, que logren dar una sólida evidencia y que genere validez científica que se requiere, a pesar de la evidencia clara en la práctica clínica; la tercera es la seguridad para su uso, con poca presencia de complicaciones para las soluciones salinas hipertónicas.