Determinants of Coronary and Carotid Atherosclerosis in Finnish Patients with Clinically Suspected Coronary Artery Disease. A Quantitative Angiography and Ultrasound Study

Background. Cardiovascular disease (CVD) remains the most serious threat to life and health in industrialized countries. Atherosclerosis is the main underlying pathology associated with CVD, in particular coronary artery disease (CAD), ischaemic stroke, and peripheral arterial disease. Risk factors play an important role in initiating and accelerating the complex process of atherosclerosis. Most studies of risk factors have focused on the presence or absence of clinically defined CVD. Less is known about the determinants of the severity and extent of atherosclerosis in symptomatic patients. Aims. To clarify the association between coronary and carotid artery atherosclerosis, and to study the determinants associated with these abnormalities with special regard to novel cardiovascular risk factors. Subjects and methods. Quantitative coronary angiography (QCA) and B-mode ultrasound were used to assess coronary and carotid artery atherosclerosis in 108 patients with clinically suspected CAD referred for elective coronary angiography. To evaluate anatomic severity and extent of CAD, several QCA parameters were incorporated into indexes. These measurements reflected CAD severity, extent, and overall atheroma burden and were calculated for the entire coronary tree and separately for different coronary segments (i.e., left main, proximal, mid, and distal segments). Maximum and mean intima-media thickness (IMT) values of carotid arteries were measured and expressed as mean aggregate values. Furthermore, the study design included extensive fasting blood samples, oral glucose tolerance test, and an oral fat-load test to be performed in each participant. Results. Maximum and mean IMT values were significantly correlated with CAD severity, extent, and atheroma burden. There was heterogeneity in associations between IMT and CAD indexes according to anatomical location of CAD. Maximum and mean IMT values, respectively, were correlated with QCA indexes for mid and distal segments but not with the proximal segments of coronary vessels. The values of paraoxonase-1 (PON1) activity and concentration, respectively, were lower in subjects with significant CAD and there was a significant relationship between PON1 activity and concentration and coronary atherosclerosis assessed by QCA. PON1 activity was a significant determinant of severity of CAD independently of HDL cholesterol. Neither PON1 activity nor concentration was associated with carotid IMT. The concentration of triglycerides (TGs), triglyceride-rich lipoproteins (TRLs), oxidized LDL (oxLDL), and the cholesterol content of remnant lipoprotein particle (RLP-C) were significantly increased at 6 hours after intake of an oral fatty meal as compared with fasting values. The mean peak size of LDL remained unchanged 6 hours after the test meal. The correlations between total TGs, TRLs, and RLP-C in fasting and postprandial state were highly significant. RLP-C correlated with oxLDL both in fasting and in fed state and inversely with LDL size. In multivariate analysis oxLDL was a determinant of severity and extent of CAD. Neither total TGs, TRLs, oxLDL, nor LDL size were linked to carotid atherosclerosis. Insulin resistance (IR) was associated with an increased severity and extent of coronary atherosclerosis and seemed to be a stronger predictor of coronary atherosclerosis in the distal parts of the coronary tree than in the proximal and mid parts. In the multivariate analysis IR was a significant predictor of the severity of CAD. IR did not correlate with carotid IMT. Maximum and mean carotid IMT were higher in patients with the apoE4 phenotype compared with subjects with the apoE3 phenotype. Likewise, patients with the apoE4 phenotype had a more severe and extensive CAD than individuals with the apoE3 phenotype. Conclusions. 1) There is an association between carotid IMT and the severity and extent of CAD. Carotid IMT seems to be a weaker predictor of coronary atherosclerosis in the proximal parts of the coronary tree than in the mid and distal parts. 2) PON1 activity has an important role in the pathogenesis of coronary atherosclerosis. More importantly, the study illustrates how the protective role of HDL could be modulated by its components such that equivalent serum concentrations of HDL cholesterol may not equate with an equivalent, potential protective capacity. 3) RLP-C in the fasting state is a good marker of postprandial TRLs. Circulating oxLDL increases in CAD patients postprandially. The highly significant positive correlation between postprandial TRLs and postprandial oxLDL suggests that the postprandial state creates oxidative stress. Our findings emphasize the fundamental role of LDL oxidation in the development of atherosclerosis even after inclusion of conventional CAD risk factors. 4) Disturbances in glucose metabolism are crucial in the pathogenesis of coronary atherosclerosis. In fact, subjects with IR are comparable with diabetic subjects in terms of severity and extent of CAD. 5) ApoE polymorphism is involved in the susceptibility to both carotid and coronary atherosclerosis.

Kulutus, tieto, hallinta : Kulutuksen tilastoinnin muutokset 1900-luvun Suomessa

The aim of the study was to find out how the consumption of the population in Finland became a target of social interest and production of statistical data in the early 20th century, and what efforts have been made to influence consumption with social policy measures at different times. Questions concerning consumption are examined through the practices employed in the compilation of statistics on it. The interpretation framework in the study is Michael Foucault s perspective of modern liberal government. This mode of government is typified by pursuit of efficiency and search of equilibrium between economic government and a government of the processes of life. It shows aspirations towards both integration and individualisation. The government is based on freedom practices. It also implies knowledge-based ways of conceptualising reality. Statistical data are of specific significance in this context. The connection between the government of consumption and the compilation of statistics on it is studied through the theoretical, socio-political and statistical conceptualisation of consumption. The research material consisted of Finnish and international documentation on the compilation of statistics on consumption, publications of social programmes, and reports of studies on consumption. The analysis of the material focused especially on the problematisations related to consumption found in these documents and on changes in them over history. There have been both clearly observable changes and as well as historical stratification and diversity in the rationalities and practices of consumption government during the 20th century. Consumption has been influenced by pluralistic government, based at different times and in varying ways on the logics of solidarity and markets. The difference between these is that in the former risks are prepared for collectively while in the latter risks are individualised. Despite the differences, the characteristic that is common to these logics is certain kind of contractuality. They are both permeated by the household logic which differs from them in that it is based on the normative and ethical demands imposed on an individual. There has been a clear interactive connection between statistical data and consumption government. Statistical practices have followed changes in the way consumption has been conceptualised in society. This has been reflected in the statistical phenomena of interest, concepts, classifications and indicators. New ways of compiling statistics have in their turn shaped perceptions of reality. Statistical data have also facilitated a variety of rational calculations with which the consequences of the population s consumption habits have been evaluated at the levels of economy at large and individuals.

Lähteiden lumoamat : Henry Biaudet, Liisi Karttunen ja suomalainen historiantutkimus Roomassa 1900-luvun alussa

Enchanted by Sources. Henry Biaudet, Liisi Karttunen and Finnish Historical Research in Rome in the Early Twentieth Century This study traces the scholarly endeavours of Henry Biaudet (1870 1915) and Liisi Karttunen (1880 1957) and "La mission historique finlandaise à Rome" which they founded in 1909. They are forgotten in Finnish historiography, but remain internationally renowned for their contribution to the nunciature studies. By investigating their historical work on the Counter- Reformation era, their roles in the scientific communities of Helsinki and Rome as well as the intersection of politics and science in their scholarly practices the study explores the nature of historical research in general at the turn of the twentieth century. The work covers fields such as historiography, university history and the political use of history. Methodologically the research is based on the analysis and contextualization of published and unpublished sources (e.g. correspondences, university records, scholarly publications and reviews in academic journals). Henry Biaudet criticized the previous research on the Nordic Counter-Reformation for its narrow national scope and sources. He sought out a new approach, including the use of sources in archives all over Europe and the inclusion of the Catholic viewpoint. Accordingly, Biaudet and Karttunen searched for records in archives in Southern Europe. Their unorthodox interpretations were denounced in Finland since the picture they gave of late sixteenth-century Sweden was too different from the national narrative. Moreover, Finnish national identity was firmly rooted in Protestantism, and questioning the benevolence of the Reformation and its main actors was considered as an attack not only against historical truth but also national values. The comparison between Biaudet s and Karttunen s arguments and the accepted narrative in Finland shows how traditional interpretations of the Nordic Reformation were influenced by the Lutheran ethos and European anticlerical rhetoric. Historians have recently paid substantial attention to the political use of history, usually focusing on politicized constructions of the national past. This study shows how research that met the criteria of modern historiography also served political purposes. Conducting research in an international community of historians and publishing ambitious scholarly studies that interested an international audience were ways to create a positive image of Finland abroad. These were not uniquely Finnish ideas but rather ideas shared by the international community of historians in Rome. In this context, scientific pursuits were given a clear political meaning. This enhances our understanding of nineteenth-century historiography being firmly rooted between science and politics.

Entre gauchos y gringos. Costumbres nacionales y extranjeras en Santa Fe (1880-1900)

La política de fomento inmigratorio impulsada en la Argentina a partir de mediados del siglo XIX incluyó, entre sus objetivos, el de generar un cambio de costumbres en la población nativa. En este artículo, además de describirse la realidad resultante como consecuencia de la incorporación de pautas culturales foráneas, se analizan –desde un recorte espacial santafesino centrado en las dos últimas décadas del siglo XIX– comportamientos puestos de manifiesto por las élites políticas e intelectuales de la provincia con respecto a las costumbres nacionales y extranjeras. Lo que se busca es evaluar si dichos comportamientos pudieron encontrarse condicionados por las diferentes adscripciones político-ideológicas y/o por las variantes circunstancias históricas.

El abastecimiento de agua corriente en la ciudad de Córdoba (1900-1910) : continuidad y cambio en la gestión

Resumen: Desde un punto de vista general el agua es definida en la actualidad como un recurso natural no renovable en cantidad, recuperable en calidad y con posibilidad de nuevo uso (re-uso) en continua mutación dentro del ciclo hidrológico. A la vez posee las categorías de bien común como elemento esencial para la vida humana y que como tal no tiene precio, y de recurso hídrico con dimensión económica como insumo, que supone un valor mensurable. Los recursos hídricos y su gestión forman parte de la administración pública, como pueden serlo la energía o la salud. La organización adecuada de un servicio, y las formas institucionales a través de las que se presta, varían de acuerdo a las épocas, los costes tecnológicos, los de distribución, organización y regulación, resultando un aspecto importante del análisis la implementación y funcionamiento del servicio público. Atendiendo a estos aspectos teóricos, este trabajo continua con la problemática del abastecimiento de agua corriente en la ciudad de Córdoba, ahora en la primera década del siglo XX, manteniendo el supuesto de que las dificultades para el abastecimiento de agua obedecen a razones de orden natural, a dificultades económicas y a enfrentamientos políticos, en el marco de un Estado que aún posee limitaciones de índole institucional y administrativo, por lo cual intervendrán el gobierno provincial y Nacional para la concreción de las obras de salubridad, en una ciudad y un país enrolados en el proceso de modernización impulsado por el deseo de adecuación al modelo de vida europeo. Seguimos analizando las fuentes inéditas del Archivo Histórico Municipal de Córdoba, fuentes oficiales editas, publicaciones periódicas y bibliografía tanto general como específica.

Estudios sobre población urbana en el siglo XX : nacer y morir en Rosario, 1900-1925

Resumen: El objetivo de este estudio es el de examinar las fuentes históricas que permitan conocer, además de la composición poblacional y la estructura ocupacional, las causas de enfermedad y muerte, que reflejen algunas alternativas del desenvolvimiento de la comunidad rosarina, de la vida corriente del habitante de la ciudad, en las primeras décadas del siglo XX, momento en que se inicia aquí el proceso denominado de transición demográfica.

La modernización urbana de Mondragón hacia 1900: la contribución de Pedro de Viteri

[ES] Pedro de Viteri (Mondragón, 1833-Biarritz, 1908) llegó a su villa natal en 1893, después de haber vivido en Francia desde que era un niño. Volvió con el ánimo de emprender una labor filantrópica que cambió la fisonomía urbana de Mondragón, imprimiendo un aire nuevo y moderno a una villa que a la sazón distaba mucho del ambiente en el que él se había movido.

Aproximación al pintor Epifanio Díaz de Arcaute (1845-1910)

[ES]Con este trabajo pretendemos aproximarnos a la figura de Epifanio Díaz de Arcaute (1845-1910), un pintor no demasiado conocido y con una producción artística, por el momento, escasa. Su formación fue tradicional y académica, vinculada a la Academia de Bellas Artes de Vitoria, de la que terminó siendo profesor.

P.v.b. virgillii maronis : bucolicorum, eclogaex., georgicorum, libri iii., aeneidos, libri xii. et in ea, mauri servii honorati : grammatici comentarii, ex antiquiss : exemplaribus longe meliores et auctiores : ex bibliotheca petri danielis i.c. : accessit fabij planciadis fulgentij liber de continentia virgiliana, auctior e mss. codd. item iunij philargyrij commentariolus in bucolica & georgica virgilij. : cum certissimo et copiosissimo indice

As Bucólicas são constituídas de dez éclogas, consideradas como traduzidas ou imitadas de Teócrito. As Geórgias são um poema didático no qual se acentua a predileção de Virgílio pela vida campestre. A Eneida é uma utopia política que o poeta não conseguiu acabar e foi publicada contra a sua vontade expressa.

Collecção das Leis do Imperio do Brasil de 1845

Parte 1 - Leis.

Collecção das Leis da Republica dos Estados Unidos do Brazil de 1900

Parte 1 - Atos do Poder Legislativo.

Pomponii Melae de orbis sitv libri tres, accuratissime emendati, una cum Commentariis Joachimi Vadiani Heluetii castigatioribus, & multis in locis auctioribus factis : id quod candidus lector obiter, & in transcursu facile deprehendet; adiecta sunt praeterea loca aliquot ex Vadiani comentarijs summatim repetita, & obiter explicata : in quibus aestimandis censendisq doctissimo uiro Ioanni Camerti ordinis minorum theologo, cum Joachimo Vadiano non admodum conuenit, rvrsvm, Epistola Vadiani, ab eo penè adulescente ad eo pene adulescente ad Rudolphum Agricolam iuniorem scripta, non indigna lectu, nec inutili ad ea capienda, quae aliubi in Commentarius suis libare magis, quàm longius explicare voluit

A obra De orbis sitv (descrição do mundo), também chamada De chorographia (corografia), foi escrita em três partes, por volta de 43 d.C. Situa a Terra no centro do universo e descreve regiões, costumes e artes da África, Europa e Ásia, sem contudo detalhar suas distâncias e sistemas administrativo. É o único tratado de geografia da Antiguidade escrito em latim clássico. Esta edição traz extensos comentários de Joaquim Vadiano e observações do teólogo João Camerti e de Rodolfo Agrícola.

Nueva documentación sobre el primer nacionalismo vasco: correspondencia inédita de Sabino Arana con Luis de Eleizalde (1900-1902)

[ES] En el Archivo General de la Universidad de Navarra, dentro del Fondo Luis de Eleizalde, se conservan un telegrama y ocho cartas de Sabino Arana Goiri al propio Eleizalde, fechadas entre el 3 de diciembre de 1900 y el 21 de agosto de 1902. Se trata de una documentación inédita, de gran interés para conocer diversos aspectos de la ideología y la acción política y cultural del fundador del nacionalismo vasco en los últimos años de su vida. Las cartas aportan nuevos datos sobre las difíciles relaciones de Arana con los fueristas del semanario Euskalduna, su participación en el Congreso de Hendaya para la unificación ortográfica del euskera, las publicaciones periódicas creadas por él (en especial la revista cultural Euzkadi), su controvertida evolución españolista de 1902, etc.