This case report investigates the manifestation of cerebral amyloid angiopathy (CAA) through recurrent Transient Ischemic Attacks (TIAs) in an 82-year-old patient. Despite initial diagnostic complexities, cerebral ang...This case report investigates the manifestation of cerebral amyloid angiopathy (CAA) through recurrent Transient Ischemic Attacks (TIAs) in an 82-year-old patient. Despite initial diagnostic complexities, cerebral angiography-MRI revealed features indicative of CAA. Symptomatic treatment resulted in improvement, but the patient later developed a fatal hematoma. The discussion navigates the intricate therapeutic landscape of repetitive TIAs in the elderly with cardiovascular risk factors, emphasizing the pivotal role of cerebral MRI and meticulous bleeding risk management. The conclusion stresses the importance of incorporating SWI sequences, specifically when suspecting a cardioembolic TIA, as a diagnostic measure to explore and exclude CAA in the differential diagnosis. This case report provides valuable insights into these challenges, highlighting the need to consider CAA in relevant cases.展开更多
The paper articulates the need for a paradigm shift in defining the basis of what constitutes a disaster. This new framework must be sensitive to the need for a more theoretical approach to inform disaster and hazard ...The paper articulates the need for a paradigm shift in defining the basis of what constitutes a disaster. This new framework must be sensitive to the need for a more theoretical approach to inform disaster and hazard management. Central to this is that the resulting approach cannot be muddled in linear rational and procedural doctrines but appreciate the dynamics of complex nonlinearity of disaster events. By engaging in thought experiment and critical analysis of existing literature, the paper deconstructs the normative paradigm of defining disaster. The end is to inform disaster management and risk reduction intervention and mitigation programmes. The presented alternative approach is sensitive of the need to equally include;spatial, political, social, parameters. These are appreciated as being equally important as those dealing with ecological and economic. The resulting not only include other elements, but also expands the definition to the complex conditions inherent in the origin of phenomena to the interaction of the phenomena with multiple and complex socio-spatial and demographic dynamics, and then appreciating the complex results of this nonlinear interaction. The need for a more substantive definition of disaster underlines the pre-analysis that is necessary for implementation of mitigation and prevention strategies. That disasters are becoming more complex is synonymous with the complexities inherent in post-war development dynamics.展开更多
文摘This case report investigates the manifestation of cerebral amyloid angiopathy (CAA) through recurrent Transient Ischemic Attacks (TIAs) in an 82-year-old patient. Despite initial diagnostic complexities, cerebral angiography-MRI revealed features indicative of CAA. Symptomatic treatment resulted in improvement, but the patient later developed a fatal hematoma. The discussion navigates the intricate therapeutic landscape of repetitive TIAs in the elderly with cardiovascular risk factors, emphasizing the pivotal role of cerebral MRI and meticulous bleeding risk management. The conclusion stresses the importance of incorporating SWI sequences, specifically when suspecting a cardioembolic TIA, as a diagnostic measure to explore and exclude CAA in the differential diagnosis. This case report provides valuable insights into these challenges, highlighting the need to consider CAA in relevant cases.
文摘The paper articulates the need for a paradigm shift in defining the basis of what constitutes a disaster. This new framework must be sensitive to the need for a more theoretical approach to inform disaster and hazard management. Central to this is that the resulting approach cannot be muddled in linear rational and procedural doctrines but appreciate the dynamics of complex nonlinearity of disaster events. By engaging in thought experiment and critical analysis of existing literature, the paper deconstructs the normative paradigm of defining disaster. The end is to inform disaster management and risk reduction intervention and mitigation programmes. The presented alternative approach is sensitive of the need to equally include;spatial, political, social, parameters. These are appreciated as being equally important as those dealing with ecological and economic. The resulting not only include other elements, but also expands the definition to the complex conditions inherent in the origin of phenomena to the interaction of the phenomena with multiple and complex socio-spatial and demographic dynamics, and then appreciating the complex results of this nonlinear interaction. The need for a more substantive definition of disaster underlines the pre-analysis that is necessary for implementation of mitigation and prevention strategies. That disasters are becoming more complex is synonymous with the complexities inherent in post-war development dynamics.
