OBJECTIVE: To determine patterns of hyperglycemic (HG) control in acute stroke. METHODS: Anonymous survey through Internet questionnaire. Participants included Latin-American physicians specialized in neurocritical care. RESULTS: The response rate was 74%. HG definition varied widely. Fifty per cent considered it when values were >140 mg/dL (7.8 mmol/L). Intravenous (IV) regular insulin was the drug of choice for HG correction. One fifth of the respondents expressed adherence to a protocol. Intensive insulin therapy (IIT) was used by 23%. Glucose levels were measured in all participants at admission. Routine laboratory test was the preferred method for monitoring. Reactive strips were more frequently used when monitoring was intensive. Most practitioners (56.7%) monitored glucose more than two times daily throughout the Intensive Care Unit stay. CONCLUSIONS: There is considerable variability and heterogeneity in the management of elevated blood glucose during acute phase of stroke by the surveyed Latin-American physicians.
Bilateral thalamic ischemia and hemorrhages are unusual [1-5]. They almost exclusively affect the posterior paramedian thalamic region supplied by the artery of Percheron and rarely the anterior polar artery territory causing a variety of cognitive, arousal and personality deficits [6]. To our knowledge, we report the first patient who had the unusual presentation of a left paramedian hypertensive thalamic hemorrhage followed within three days by a right paramedian thalamic infarction.
<p>La asignatura “Diseño con Membranas Tensadas” es una materia electiva correspondiente al 2º ciclo de la carrera de Arquitectura en la UNT. El proceso de enseñanza – aprendizaje impartido en la asignatura consiste básicamente en aplicar las “ESTRATEGIAS DE DISEÑO” propias de las tipologías textiles que relacionan: “Forma – Material – Cargas – Estabilidad”, considerando, además, todas las características tecnológicas y funcionales que requiere el diseño de este tipo de estructura.</p>
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