Constitutional factor in the pathogenesis of uterine bleeding

The constitutional factor in the pathogenesis of uterine bleeding, according to the observations of Seitz'a (Arch. F. Gyn., Bd. 120), affects as follows: in metrorrhagias of adolescent and preclimacteric ages, disorders of ovarian function come to the fore as a causal factor; with metrorrhagias of the age of puberty, constitutional anomalies have no effect.

Presidential Tenure and Constitutional Provisions: Recent Evidence from Central Africa

Constitutions around Africa have been repeatedly tested on the issue of presidential term limits. We explore the four most recent cases of African presidents facing the end of their constitutionally mandated limit, all of which developed in Central Africa. Burundi, Rwanda, the Republic of Congo, and the Democratic Republic of Congo all adopted constitutions limiting presidential tenure to two terms; yet, in 2015, when these limits were approaching, none of the sitting presidents simply stood down. Our analysis focuses on the constitutional provisions meant to protect the two-term limit, the strategies employed by each of the four presidents, and the difficulty they faced in pursuing extended tenure. We find that constitutional provisions do constrain, but not always to the expected degree. Our analysis adds a consideration of a foundational constitutional factor to the growing literature on term limits in Africa, with implications for other regions of newly developing democracies.

CONSTITUTIONAL FEATURES OF THE COURSE OF CHRONIC GASTRODODUDENITIS ASSOCIATED WITH H.PYLORI IN CHILDREN

As you know, from ancient times to the present day, an individual approach to the patient has been and remains the most relevant in the framework of diagnosis, treatment and prevention of disease. In the modern world, the use of this approach is called personalized medicine, that is, "a rapidly developing field of healthcare based on an integrated, coordinated and individual approach for each patient to analyze the occurrence and course of the disease." From the foregoing, it becomes apparent that taking into account the constitutional features of the patient in the framework of anthropological teaching is an integral component in the supervision of each specific patient. A considerable number of facts accumulated in modern literature, indicates the constitutional conditionality of the parameters of the human body at different levels. It is this approach in the study of a macroorganism that allows one to get a more complete picture of not only the whole variety of forms and factors of system variability, but also to reveal patterns between the individual somatic constitution of a person, that is, a somatotype, and its other systems, in particular the digestive system. In the development of chronic gastroduodenitis, the hereditary-constitutional factor is one of the most important.

THE LEGAL CERTAINTY OF CERTIFIED LAND WITHOUT OFFICIAL LAND DEED (PPAT) DOCUMENT IN PADANG JAYA SUB DISTRICT OF BENGKULU UTARA REGENCY

This study aims to analyze and indentify the causes and factors affecting as well as the effect of Sales and Purchase of certified Land without Official Land Deed (PPAT) document in Padang Jaya sub district of Bengkulu Utara Regency. The research method used in this study was qualitative descriptive. Data collecting technique was empirical data from interview that have been conducted on September 13th to 20th, 2016. Data analysis used qualitative descriptive. The result of this study showed that the registration of land is not effective yet. The effective law in land registration depends on legal factor, law enforcement factor, infrastructures and facilities factor, society factor and cultural factor. While the factors affecting in implementation of law effectivity are constitutional factor and infrastructures and facilities factor. Overall it can be concluded that there is not law effectivity in Sales and Purchases of certified Land without PPAT document in Padang Jaya sub district of Bengkulu Utara Regency which needs legal protection and legal certainty in land registration.

The nature of posttraumatic epilepsy

✓ The development, recession, and residua of posttraumatic epilepsy follow natural laws that are imperfectly defined. However, studies from World War I, World War II, the Korean conflict, and the Vietnam War demonstrate the following patterns: 1) The onset of seizures is significantly related to local brain destruction and its location, and to diffuse brain damage, reflected by alteration in consciousness. 2) The incidence of seizures has remained the same from one war to another, in spite of marked improvement in patient transport, surgical techniques, medical management, and the prophylactic use of anticonvulsants in Vietnam. 3) After injuries incurred in combat and support activities, the onset of new cases of epilepsy rises sharply, with approximately 5% having a seizure in the first week, 10% in the first 3 months, 16% in the first 6 months, 23% in the first year, 29% in the first 2 years; after that there is a low, but protracted rate of new cases of epilepsy. 4) Those cases that occur in the first week are less influenced by the agent of injury or local brain damage, thereafter there is a sharp divergence with the more extensive injuries providing the greater number of patients with seizures. 5) In the population at risk, 65% to 75% never have a seizure. In those that do, the development varies in degree, adjudged from frequency of seizures. The latter ranges from a single seizure to a number that defies an accurate count. 6) As new patients with seizures accumulate, earlier patients cease having seizures. Within 5 to 10 years, one-half of the patients have ceased having seizures, with or without therapy. Half of the remainder, about 8% of the injured, have intractable seizures. 7) While there is a clear correlation between severity of injury and onset of seizures, there is no correlation between severity of injury and cessation of attacks. However, there is a correlation between the attack frequency and persistence of seizures. 8) From the preceding, two principal determinants are evident: the constitutional tendency toward seizures (probably a multifactorial genetic trait), and the brain damage. In onset of seizures, both play a part, the constitutional factor apparently determining severity of attacks. In cessation or persistence of seizures, the constitutional factor plays the dominant role.

Aspects of the psychology and epidemiology of rheumatoid disease

SynopsisIn a prospective study of rheumatoid disease (RD) clinical, serological, radiological, and biochemical factors were assessed on 102 patients and scores obtained on the Middlesex Hospital Questionnaire (MHQ). Patients with early RD had MHQ scores closely resembling those in the normal population. Using a new clinical prognostic index, patients who develop severe RD tended to have low scores at initial testing on the MHQ. Patients whose serum was positive for rheumatoid factor also tended to have low scores on the MHQ. Together these findings suggest a possible subclassification of RD into a less severe form in which psychosocial factors may be important, and a more severe form in which heredity or some other constitutional factor (or factors) may be important, rheumatoid factor acting as a ‘marker’.

The Middle-Aged Pediatrician Syndrome; Its Recognition and Treatment

Hindsight suggests that the early years of practice are the best time for the pediatrician to begin immunizing himself (if that is possible) against the later onset of what might be called the Middle-Aged Pediatrician Syndrome (MAPS) . A treacherous feature of this condition is the well-known fact that, while the pathognomonic signs are known to all and readily observed in others, the victim may for some time be unaware of them in himself. Therefore, as an aid to estimating individual susceptibility, the following equation is suggested, where CF represents Constitutional Factor, EF Economic Factor, YP Years in Practice, QUART Quality and Amount of Residency Training, SMC Separation from Medical Center then, the tendency to develop MAPS is predictable, and proportional to CF+EF+YP/QUART x SMC3.

HYPERPLASIE LIPIDIQUE DIFFUSE DE L'ÉCORCE SURRÉNALIENNE

ABSTRACT The unsuspected discovery of a marked bilateral hyperplasia of the adrenal cortex in a young 22 year old epileptic patient led us to investigate the constitutional factor involved in this conditions. Its characteristic are: Complete absence of endocrine symptomatology. Lipoid clogging of the zona fasciculata. This layer is the site of »cellular renewal«: the lipoid cells tend to disappear and are replaced by numerous young cells derived from the interstitial tissue and which proliferate in the underlying layer. We believe that this hyperplasia is due to a localized disorder of the fat metabolism the mechanism of which is not understood.