850 resultados para FRACTURE-ZONES


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La conca del riu Quiroz, al nord del Perú, està influenciada per dues zones d’endemisme d’aus i conté quatre àrees importants per a la conservació d’aus. Malgrat això, la informació sobre l’avifauna present a la conca és poc coneguda ja que no s’ha realitzat, fins al moment, cap estudi avifaunístic del global de la conca. En aquest estudi s’han mostrejat nou zones de la conca. A cadascuna s’ha valorat el potencial per al desenvolupament de l’aviturisme i la seva importància per a la conservació de les aus. A més, s’ha calculat un índex que permet valorar l’aviturisme i la conservació conjuntament. Els mostrejos realitzats a la conca demostren la seva riquesa avifaunística doncs, en una superfície mostrejada de 684ha, s’hi han reportat 151 espècies de les quals 34 són endèmiques i 7 estan catalogades com a amenaçades. Al llarg de la conca s’han identificat tres zones amb una importància ornitològica per damunt de la resta. Suyo és la zona de la conca amb un potencial aviturístic més elevat. ChinChin, el lloc amb més importància i possibilitats de dur a terme actuacions encaminades a la conservació. Yanta, destaca en ambdós sentits sent el desenvolupament de l’aviturisme la millor alternativa per garantir la conservació de la zona i, en especial, la seva diversitat avifaunistica.

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Operative treatment of coronoid fracture often requires a large dissection of soft tissue, resulting in elbow stiffness and functional limitation. The authors present a minimal invasive, safe technique, useful in the case of isolated coronoid fracture associated with elbow dislocation. This technique does not require soft tissue dissection and allows an early unlimited resumption of sports activities.

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INTRODUCTION: Hip fractures are responsible for excessive mortality, decreasing the 5-year survival rate by about 20%. From an economic perspective, they represent a major source of expense, with direct costs in hospitalization, rehabilitation, and institutionalization. The incidence rate sharply increases after the age of 70, but it can be reduced in women aged 70-80 years by therapeutic interventions. Recent analyses suggest that the most efficient strategy is to implement such interventions in women at the age of 70 years. As several guidelines recommend bone mineral density (BMD) screening of postmenopausal women with clinical risk factors, our objective was to assess the cost-effectiveness of two screening strategies applied to elderly women aged 70 years and older. METHODS: A cost-effectiveness analysis was performed using decision-tree analysis and a Markov model. Two alternative strategies, one measuring BMD of all women, and one measuring BMD only of those having at least one risk factor, were compared with the reference strategy "no screening". Cost-effectiveness ratios were measured as cost per year gained without hip fracture. Most probabilities were based on data observed in EPIDOS, SEMOF and OFELY cohorts. RESULTS: In this model, which is mostly based on observed data, the strategy "screen all" was more cost effective than "screen women at risk." For one woman screened at the age of 70 and followed for 10 years, the incremental (additional) cost-effectiveness ratio of these two strategies compared with the reference was 4,235 euros and 8,290 euros, respectively. CONCLUSION: The results of this model, under the assumptions described in the paper, suggest that in women aged 70-80 years, screening all women with dual-energy X-ray absorptiometry (DXA) would be more effective than no screening or screening only women with at least one risk factor. Cost-effectiveness studies based on decision-analysis trees maybe useful tools for helping decision makers, and further models based on different assumptions should be performed to improve the level of evidence on cost-effectiveness ratios of the usual screening strategies for osteoporosis.

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Introduction: Osteoporosis presenting as low-impact fractures to traumatology units is often undiagnosed and under-treated. Results from the Osteocare study in Lausanne (a nurse based intervention, passive pathway) showed that only 19% of patients received management for osteoporosis, and in the literature [1], the rate is between 10-25%. We have evaluated a different management concept, based on the systematic assessment of patients with osteoporotic fractures during and after hospitalization (active pathway). Methods: Inpatients admitted to the Department of Musculoskeletal Medicine for a fragility fracture were identified by a nurse according to a predefined questionnaire and were then clinically evaluated by a doctor. Based on the results, a management plan was proposed to the patients. Patients could choose between follow up either by their GP or by the Centre of Bone Disease of the CHUV. For patients who chose follow-up in our Centre, we assessed their adherence to medical follow-up 1 year inclusion. The results of patients who had been evaluated in our cohort between the 1 November 2008 and the 1 December 2009 were analysed. Results: 573 inpatients received specific management of their osteoporotic fracture over 18 months. The mean age was 77 y (31-99), 81% were women (203 hip fractures, 40 pelvis fractures, 101 arm fractures, 57 vertebral fractures, 63 ankle fractures, and 25 others sites). During the study period, 303 patients received a proposition of a specific treatment. 39 (13%) chose a follow up with the GP, 19 (6%) dead and 245 (81%) preferred a follow up in our Centre. After 1 year, 166 (67%) patients are under follow up in our outpatient clinic. Conclusion: With an active clinical pathway that starts during the hospitalization, consisting on a nursing evaluation followed by a medical consultation by an expert in osteoporosis, the adherence increased from 19% to 67% in terms of follow up. These results lead us to propose a consultation with a doctor experienced in osteoporosis after all osteoporotic fractures.

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PURPOSE: Orbital wall fracture may occur during endoscopic sinus surgery, resulting in oculomotor disorders. We report the management of four cases presenting with this surgical complication. METHODS: A non-comparative observational retrospective study was carried out on four patients presenting with diplopia after endoscopic ethmoidal sinus surgery. All patients underwent full ophthalmologic and orthoptic examination as well as orbital imaging. RESULTS: All four patients presented with diplopia secondary to a medial rectus lesion confirmed by orbital imaging. A large horizontal deviation as well as limitation of adduction was present in all cases. Surgical management consisted of conventional recession-resection procedures in three cases and muscle transposition in one patient. A useful field of binocular single vision was restored in two of the four patients. CONCLUSION: Orbital injury may occur during endoscopic sinus surgery and cause diplopia, usually secondary to medial rectus involvement due to the proximity of this muscle to the lamina papyracea of the ethmoid bone. Surgical management is based on orbital imaging, duration of the lesion, evaluation of anterior segment vasculature, results of forced duction testing and intraoperative findings. In most cases, treatment is aimed at the symptoms rather than the cause, and the functional prognosis remains guarded.

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This paper provides a modelling framework for evaluating the exchange rate dynamics of a target zone regime with undisclosed bands. We generalize the literature to allow for asymmetric one-sided regimes. Market participants' beliefs concerning an undisclosed band change as they learn more about central bank intervention policy. We apply the model to Hong Kong's one-sided currency board mechanism. In autumn 2003, the Hong Kong dollar appreciated from close to 7.80 per US dollar to 7.70, as investors feared that the currency board would be abandoned. In the wake of this appreciation, the monetary authorities finally revamped the regime as a symmetric two-sided system with a narrow exchange rate band.

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The freeze-fracture technique was used to analyse the organization of the plasma membrane, as well as membranes of cytoplasmic organelles, of the pathogenic protozoan Trichomonas vaginalis. Rosettes formed by 4 to 14 intramembranous particles were seen on the fracture faces of the membrane lining the anterior flagella as well as in fracture faces of the plasma membrane enclosing the anterior region of the protozoan and in cytoplasmic organelles. Special organization of the membrane particles were also seen in the region of association of the recurrent flagellum to the cell body.

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In the present study, we analyzed 58 samples of the lesser white-toothed shrew group (Crocidura suaveolens) from eastern Europe and Turkey, where, according to previous publications, three different mitochondrial and nuclear lineages are present. We sequenced 799 bp of the nuclear BRCA1 gene and 400 bp of the mitochondrial cytochrome b gene to: (1) determine a potential contact zone between the lineages; (2) detect hybridizations and introgressions between them; and (3) comment on the level of reproductive isolation of the different lineages. We revealed two zones of hybridization in Turkey, of which the first occurred west of the Bosphorus Straits (three hybrids) and the second in Anatolia (twelve hybrids). In the latter, the nuclear markers revealed a large zone of hybridization, of approximately 600 km. It also revealed that hybrids of first, second, and later generations are present within the populations, and therefore that the reproductive isolation between the different lineages is weak.

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En aquest informe, fem una primera avaluació d'un sistema basat en un mini-UAV, operat per l'empresa CATUAV (www.catuav.com), sobre una zona a l'est del Parc Natural del Montseny (PNM) tot comparant amb imatges adquirides l'any anterior sobre la mateixa zona, amb sistemes i plataformes aèries de primer nivell per l'Institut Cartogràfic de Catalunya i que utilitzem com a referent de qualitat. Tot assumint que les imatges produïdes pels UAV són d'una qualitat inferior als sistemes convencionals de teledetecció aerotransportada, si la qualitat i operativitat són encara suficients, aquests sistemes, donat el seu cost, poden constituir una eina important per adquirir informació d'alta resolució pel control de l'evolució de camps abandonats, de l'estat de la vegetació de ribera, de l'estat fitosanitari de cobertes forestals i plagues, de la distribució d'espècies invasores, de les conseqüències d'actuacions de restauració o aclariment del bosc, de l'impacte dels visitants etc. En concret, en aquest informe avaluem el sistema de CATUAV pel que fa a: 1) Operativitat del vol i adquisició de les imatges sobre una zona prèviament assenyalada com objectiu; 2) Operativitat del producte en quant a la localització i orientació de les imatges sobre el terreny; i 3) Qualitat radiomètrica i geomètrica de les imatges.

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Aquest estudi es centra en l’anàlisi de l’aprofitament d’aigües pluvials en sistemes urbans, concretament al barri de LaPlana - Sta. Bàrbara - Vallpineda de Sitges, en base als escenaris proposats que contemplen diferents criteris i paràmetres. La metodologia utilitzada que conjuga els resultats potencials de l’oferta amb els de la demanda d’aigua al barri permet la determinació del nivell d’autosuficiència hídrica del sistema. Els resultats mostren una alta autosuficiència del 90% en quant es s’apliquen estratègies de gestió hídrica ecoeficients i mesures domèstiques per a reduir la demanda domèstica del sector. A més, la tipologia de coberta inclinada i un major règim pluviomètric anual, s’ha observat afavoreixen l’augment d’aquest índex. Per tant, es considera apropiat realitzar un eficient aprofitament de l’aigua de pluja, com a recurs endogen local, donats els beneficis econòmics, ambientals i socials que comporta en una situació de dèficit hídric com la del municipi de Sitges.

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As the evolutionary significance of hybridization is largely dictated by its extent beyond the first generation, we broadly surveyed patterns of introgression across a sympatric zone of two native poplars (Populus balsamifera, Populus deltoides) in Quebec, Canada within which European exotic Populus nigra and its hybrids have been extensively planted since the 1800s. Single nucleotide polymorphisms (SNPs) that appeared fixed within each species were characterized by DNA-sequencing pools of pure individuals. Thirty-five of these diagnostic SNPs were employed in a high-throughput assay that genotyped 635 trees of different age classes, sampled from 15 sites with various degrees of anthropogenic disturbance. The degree of admixture within sampled trees was then assessed through Bayesian clustering of genotypes. Hybrids were present in seven of the populations, with 2.4% of all sampled trees showing spontaneous admixture. Sites with hybrids were significantly more disturbed than pure stands, while hybrids comprised both immature juveniles and trees of reproductive age. All three possible F1s were detected. Advanced-generation hybrids were consistently biased towards P. balsamifera regardless of whether hybridization had occurred with P. deltoides or P. nigra. Gene exchange between P. deltoides and P. nigra was not detected beyond the F1 generation; however, detection of a trihybrid demonstrates that even this apparent reproductive isolation does not necessarily result in an evolutionary dead end. Collectively, results demonstrate the natural fertility of hybrid poplars and suggest that introduced genes could potentially affect the genetic integrity of native trees, similar to that arising from introgression between natives.