scholarly journals HIV Infection and Acute Stroke: A Case Report and a Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Hussein Assallum ◽  
Mohammad Alkayem ◽  
Nehad Shabarek

Background. In the United States, ischemic stroke in HIV-infected patients has increased by 60%. However, unexpected cardiovascular events in relatively young patients have been observed.Clinical Vignette.A 31-year-old male who presented with a 5-hour history of sudden onset slurred speech and left hemiplegia. He has medical history of HIV infection for 2 years taking ARTs. On exam, a significant left hemiparesis was noticed. Brain MRI showed right anterior corona radiata and basal ganglia acute infarction.Discussion.Several mechanisms have been proposed for the relationship between HIV infection and cardiovascular risk. (i) HIV-associated dyslipidemia: HIV-infected patients tend to develop decrease in HDL-c and LDL-c levels. ART was associated with an increase in LDL-c but little change in HDL-c. (ii) Endothelial dysfunction: certain antiretroviral agents may independently contribute to endothelial damage. (iii) Hypertension: systolic blood pressure is higher in those using ART for greater than five years. (iv) Insulin resistance and diabetes have been noticed with ART. (v) Chronic inflammation. (vi) Hypercoagulability: decrease in proteins C and S was associated with HIV infection.Conclusion.Poorly controlled HIV infection and/or the introduction of ATR might be risk factors for cardiovascular events. More studies needed to address this medical dilemma.

Author(s):  
Terence Young ◽  
Alan MacEachern ◽  
Lary Dilsaver

This essay explores the evolving international relationship of the two national park agencies that in 1968 began to offer joint training classes for protected-area managers from around the world. Within the British settler societies that dominated nineteenth century park-making, the United States’ National Park Service (NPS) and Canada’s National Parks Branch were the most closely linked and most frequently cooperative. Contrary to campfire myths and nationalist narratives, however, the relationship was not a one-way flow of information and motivation from the US to Canada. Indeed, the latter boasted a park bureaucracy before the NPS was established. The relationship of the two nations’ park leaders in the half century leading up to 1968 demonstrates the complexity of defining the influences on park management and its diffusion from one country to another.


1986 ◽  
Vol 30 ◽  
pp. 59-78 ◽  
Author(s):  
Bruce Nelson

Recent discussions of the history of American communism have generated a good deal of controversy. A youthful generation of “new social historians” has combined with veterans of the Communist party to produce a portrait of the Communist experience in the United States which posits a tension between the Byzantine pursuit of the “correct line” at the top and the impulses and needs of members at the base trying to cope with a complex reality. In the words of one of its most skillful practitioners, “the new Communist history begins with the assumption that … everyone brought to the movement expectations, traditions, patterns of behavior and thought that had little to do with the decisions made in the Kremlin or on the 9th floor of the Communist Party headquarters in New York.” The “new” historians have focused mainly on the lives of individuals, the relationship between communism and ethnic and racial subcultures, and the effort to build the party's influence within particular unions and working-class constituencies. Overall, the portrait has been critical but sympathetic and has served to highlight the party's “human face” and the integrity of its members.


2019 ◽  
Vol 9 (10) ◽  
pp. 1357 ◽  
Author(s):  
Jinxiu Jin

The relationship among China, the United States and North Korea has already been a focus of international politics. From June 19 to 20, North Korea leader Kim Jong-un ended his third visit to China within 100 days. This is also his three consecutive visits to China since he took office in December 2011. The high density and frequency are not only rare in the history of China-DPRK relations, but also seem to be unique in the history of international relations, indicating that China-DPRK relations are welcoming new era. This paper selects the New York Times’ report on China-DPRK relations as an example, which is based on an attitudinal perspective of the appraisal theory to analyze American attitudes toward China. Attitudes are positive and negative, explicit and implicit. Whether the attitude is good or not depends on the linguistic meaning of expressing attitude. The meaning of language is positive, and the attitude of expression is positive; the meaning of language is negative, and the attitude of expression is negative. The study found that most of the attitude resources are affect (which are always negative affect), which are mainly realized through such means as lexical, syntactical and rhetorical strategies implicitly or explicitly. All these negative evaluations not only help construct a discourse mode for building the bad image of China but also are not good to China-DPRK relations. The United States wants to tarnish image of China and destroy the relationship between China and North Korea by its political news discourse.


2008 ◽  
Vol 9 (03) ◽  
pp. 491-506 ◽  
Author(s):  
Robin L. Einhorn

The history of slavery cannot be separated from the history of business in the United States, especially in the context of the relationship between public power and individual property rights. This essay suggests that the American devotion to “sacred” property rights stemsmore from the vulnerability of slaveholding elites than to a political heritage of protection for the “common man.”


2021 ◽  
pp. 86-86
Author(s):  
Aziz Ahizoune ◽  
Ahmed Bourazza

Transcortical sensory aphasia is characterized by impaired auditory comprehension, with intact repetition and uent speech. A 44-year-old right-handed patient with a history of hypertension on amlodipine and ischemic heart disease on aspirin was admitted to the neurology department for sudden onset of language impairment that started 2 days ago. The patient had features of transcortical sensory aphasia. Brain MRI showed an infarct in the territory of the left middle cerebral artery involving the tempo-parietal region. An apical thrombus was observed in the left ventricle on transthoracic echocardiography. This language impairment is thought to be caused by a disconnection between sensory language processes and semantic knowledge of objects. The prognosis is generally guarded and depends on the etiology and severity of the presentation


Troublemakers ◽  
2019 ◽  
pp. 1-10
Author(s):  
Kathryn Schumaker

The introductionexplains how and why student protest became common in the United States in the late 1960s and places these protests in the context of shifts in the history of education and in broader social movements, including the civil rights movement, the Chicano Movement, and black power activism. The introduction also situates students’ rights within the context of children’s rights more broadly, explaining the legal principles that justified age discrimination and excluded children and students from the basic protections of American constitutional law. The introduction identifies the two decades between the 1960s and 1980s as a constitutional moment that revolutionized the relationship of students to the state. It also connects students’ rights litigation to the issue of school desegregation and the legacy of Brown v. Board of Education.


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Muhammad Umar Farooq ◽  
Kathie Thomas

Background and Objectives: Migraine is a common neurological disorder affecting 38 million people in the United States. Hemorrhagic stroke accounts for 13% of all stroke cases and the risk of having a hemorrhagic stroke is 94 in 100,000 or 0.94%. There are two types of hemorrhagic stroke; intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Previous research has investigated the association between migraine and vascular disease, with several studies demonstrating a possible link between migraines and ischemic stroke. The relationship between migraine and hemorrhagic stroke remains unclear. Methods: A retrospective review from January 2012-December 2014 of hemorrhagic stroke patients (n=3682) from 30 Michigan hospitals using a Get With the Guidelines (GWTG) database was conducted. Stroke subtypes and patient medical histories were examined. This sample set was comprised of 46.95% males and 53.05% females. Results: It was found that the risk for hemorrhagic stroke increased from 0.94% to 2.12% with a medical history of migraines. The risk of ICH with a history of migraine in this study was 1.41%, while the risk of SAH with a history of migraine was 3.11%. The median age for a hemorrhagic stroke in this sample set was 67 years. A patient with a medical history that included migraines, had a median hemorrhagic stroke age of 55 years. Of these patients with a history of migraine who developed a hemorrhagic stroke, 74.7% were female and 25.3% were male. Conclusions: This study demonstrated that a higher risk of hemorrhagic stroke is associated with a history of migraines. The median age for an individual with a hemorrhagic stroke and history of migraine was significantly lower (12 years) than the median age of the sample, which indicates that migraines as a risk factor for stroke might be more significant in middle age. Additionally, this risk seemed to impact females much more than males. A limitation of this study is that GWTG Stroke does not include whether the patient has a migraine with or without aura. Migraine with aura has been associated at a higher rate with ischemic stroke than migraine without aura. It would be beneficial for future studies regarding migraine and hemorrhagic stroke to include whether the migraine was associated with or without aura.


Author(s):  
Brian Neve

This chapter revisits and explores the production history of director King Vidor’s independently made movie, Our Daily Bread (1934), its ideological and aesthetic motifs, and its exhibition and reception in the United States and beyond, not least its apparent failure at the box office. It further considers the relationship between the film and contemporary advocacy of cooperative activity as a response to the Great Depression, notably by the California Cooperative League, Franklin D. Roosevelt’s New Deal, and Upton Sinclair’s End Poverty in California campaign for the state governorship. It also assesses the movie in relation to Vidor’s own cooperative vision through its emphasis on individuals and community as a solution to the Great Depression and the significant absence of the state in this agency.


Author(s):  
Damien Van Puyvelde

This chapter provides an in-depth account of the relationship between the U.S. intelligence apparatus and its private outriders, from the earliest days of the Republic to the end of the Cold War. Covering such a large period sheds light on the deep roots, the broad evolution, and the multiple opportunities and risks accompanying intelligence outsourcing. In the United States, the legitimacy of the federal government has always been entwined with the private sector and this is related to the values underpinning American political culture. As a result, the private intelligence industry continued to thrive, deepen and diversify its involvement in national security affairs when the federal government established itself more firmly in this realm. The institutionalization of intelligence in the twentieth century was accompanied by the diversification and formalisation of the ties between the intelligence community and its contractors. Contractors and their government sponsors share the responsibility for some of the greatest achievements and controversies in U.S. intelligence history, from the success of the U2 spy plane to the excesses of Project MKUltra. The history of U.S. intelligence is characterized by successive movements of expansion and regulation through which outsourcing and accountability have become increasingly intertwined.


Author(s):  
Jocelyn Szczepaniak-Gillece

Many moments in the history of American exhibition illuminate the entanglement of hearing and discipline. But few point as clearly at the intertwining of listening, class, architecture, language, taste, and technology—all of which culminate in a particular dispositif of institutional indoctrination via sensory discipline—as the art house theatre and its promise of aspirational uplift for the price of good audience behavior. This chapter considers the relationship between exhibition, subtitling, sense-making lingual sound, cinephilia, spectatorship, and discipline in the late-1950s and early-1960s art house cinemas across the United States. It argues that spectators were trained for import film watching by the practice of subtitling foreign, especially European, cinema. Listening, watching, and interpreting the balance between the two thus constituted a network of proper attention that helped indoctrinate post-war spectators into post-war American taste and leisure culture.


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