925 resultados para Implant-based breast reconstruction


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This essay recounts and illustrates the reconstruction and testing of tools, furniture and working methods for stencilling texts. The description on which the reconstruction is based, written by Gilles Filleau des Billettes in Paris in the 1690s, is supplied elsewhere in this volume, together with an English translation. From the reconstruction and tests conducted with it, observations and conclusions are drawn about its effectiveness and its likely relationship to (then) contemporary stencilling practices. Four appendices are also included dealing with Des Billettes's method of designing and spacing letters; the cutting of stencils; the engraving by Louis Simonneau that accompanies Des Billettes's text; and later stencil configurations and working methods that incorporate the same or similar features to those described by Des Billettes.

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Systemic inflammation after augmentation mammaplasty with modern silicone implants is not currently recognized. In a prospective controlled study, C-reactive protein and other variables were monitored, aiming to test this hypothesis in a young cohort of patients. Females (18-30 years old, BMI = 18.5-30 kg/m(2), N = 52) were consecutively recruited for breast implant (n = 24, Group I) and for abdominal liposuction (n = 28, Group II/Controls). Patients were interviewed at baseline and followed until 6 months after operation. Variables included demographic and clinical information, surgical outcome, inflammatory markers and autoantibodies. Operations were well tolerated, without surgical or infectious complications. Mean prosthesis size was 258 +/- A 21 ml (range = 220-280) and mean aspirate of liposuction was 1972 +/- A 499 ml (range = 1200-3000). Preoperative, 2-month, and 6-month C-reactive protein concentrations for breast implant patients were 1.3 +/- A 1.2, 4.8 +/- A 3.0, and 4.3 +/- A 6.4 mg/l and for liposuction 3.5 +/- A 2.7, 3.5 +/- A 2.1, and 2.2 +/- A 2.2 mg/l, respectively. Change at 2 months was significant (p = 0.001). Autoantibody investigation failed to reveal remarkable aberrations, except for anticardiolipin elevation, which was nearly symmetrical in the two groups. C-reactive protein levels increased after operation and correlated with proinflammatory and procoagulatory indices. A mild increase in anticardiolipin IgM occurred but differences between populations were lacking. Despite excellent cosmetic outcomes and lack of complications, acute phase reaction could signal ongoing immunogenicity of silicone and long-term monitoring is recommended.

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This paper presents the use of a multiprocessor architecture for the performance improvement of tomographic image reconstruction. Image reconstruction in computed tomography (CT) is an intensive task for single-processor systems. We investigate the filtered image reconstruction suitability based on DSPs organized for parallel processing and its comparison with the Message Passing Interface (MPI) library. The experimental results show that the speedups observed for both platforms were increased in the same direction of the image resolution. In addition, the execution time to communication time ratios (Rt/Rc) as a function of the sample size have shown a narrow variation for the DSP platform in comparison with the MPI platform, which indicates its better performance for parallel image reconstruction.

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Purpose: We present an iterative framework for CT reconstruction from transmission ultrasound data which accurately and efficiently models the strong refraction effects that occur in our target application: Imaging the female breast. Methods: Our refractive ray tracing framework has its foundation in the fast marching method (FNMM) and it allows an accurate as well as efficient modeling of curved rays. We also describe a novel regularization scheme that yields further significant reconstruction quality improvements. A final contribution is the development of a realistic anthropomorphic digital breast phantom based on the NIH Visible Female data set. Results: Our system is able to resolve very fine details even in the presence of significant noise, and it reconstructs both sound speed and attenuation data. Excellent correspondence with a traditional, but significantly more computationally expensive wave equation solver is achieved. Conclusions: Apart from the accurate modeling of curved rays, decisive factors have also been our regularization scheme and the high-quality interpolation filter we have used. An added benefit of our framework is that it accelerates well on GPUs where we have shown that clinical 3D reconstruction speeds on the order of minutes are possible.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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The Lagoa Dourada is a circular-shaped pond formed on the Furnas Formation (Devonian of the Paraná Basin), filled by late Pleistocene - Holocene sediments. It lies in the hydrographic basin of the Guabiroba River, a tributary of the Tibagi River situated in the Campos Gerais region of the State of Paraná, southern Brazil. The pond is about 200 m in diameter and the maximum water depth is 5.4 m. Geological, chemical, textural and mineralogical studies on a core sample of the sediments collected from the Lagoa Dourada, 12.2 m thick, was obtained for investigations of paleoenvironmental changes as well as to provide additional data to support previous reconstructions based on palynomorphs and diatoms. Within the period recorded in the core, the pond has been filled by sandy material introduced by springs at the northern edge of the pond as well as by muddy material brought in by floodwaters of the Guabiroba River. Thus, the sandy layers could be interpreted as evidence of drier climates with consequent diminution of fluvial overflow, but with maintenance of the sandy deposits coming from springs. The occurrence of euhedral pyrite in the sediments, locally associated with gypsum, may indicate periods of increase in the organic matter content or an increase in the water salinity, what could be related to greater evaporation under drier paleoclimate regimes. Three cycles defined by an increase in the total carbon content of the sediments of the pond were observed. These cycles seem to correspond to an increase in the isotope ratio 13C/12C (δ13C). Several hypotheses can be suggested to explain the presence of these cycles, including the alternation of wetter or drier climatic phases. The convergence of the sedimentological data obtained during this study with previous microfossil paleoclimatic (pollens and diatoms) indicators and radiocarbon dating suggests that a drier paleoclimatic phase occurred around 8720±150 years B.P. The evidence for a second drier phase in more recent times is less consistent. This subsequent phase could correspond to the drier phase in southern and southeastern Brazil between 5000 and 3000 years B.P. as suggested by other paleoclimatic studies.

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Microorganisms from the oral cavity may settle at the implant-abutment interface (IAI). As a result, tissue inflammation could occur around these structures. The databases MEDLINE/PubMed and PubMed Central were used to identify articles published from 1981 through 2012 related to the microbial colonization in the implant-abutment gap and its consequence in terms of crest bone loss and osseointegration. The following considerations could be put forward, with respect to the clinical importance of IAI: (a) the space present at the IAI seems to allow bacterial leakage to occur, in spite of the size of this space; (b) bacterial leakage seems to occur at the IAI, irrespective of the type of connection. More studies are necessary to clarify the relationship between leakage at IAI and abutment connection designs; (c) losses at the peri-implant bone crests cannot be related to the IAI size, since few studies have shown no relationship. Also, the microbial leakage at the IAI cannot be related to the bone crest loss, since there are no articles reporting this relationship; remains controversial the influence of the IAI position on the bone crest losses. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 101B: 1321-1328, 2013. Copyright © 2013 Wiley Periodicals, Inc.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)