Relationship Between the Development of the Spinal Canal and the Etiopathogenesis of Lumbar Spinal Stenosis

INTRODUCTION: The presence of a pre-existing narrow spinal canal may have an important place in the ethiopathogenesis of lumbar spinal stenosis. By consequence the study of the development of the spinal canal is crucial. The first goal of this work is to do a comprehensive literature search and to give an essential view on the development of spinal canal and its depending factors studied until now. The second goal is to give some considerations and hypothesize new leads for clinically useful researches. MATERIALS AND METHODS: A bibliographical research was executed using different search engines: PubMed, Google Schoolar ©, Ovid ® and Web Of Science ©. Free sources and avaible from the University of Lausanne (UNIL) and Centre Hospitalier Universitaire Vaudois (CHUV) were used. At the end of the bibliographic researches 114 references were found, 85 were free access and just 41 were cited in this work. Most of the found references are in English or in French. RESULTS AND DISCUSSION: The spinal canal is principally limited by the vertebrae which have a mesodermal origin. The nervous (ectodermal) tissue significantly influences the growth of the canal. The most important structure participating in the spinal canal growth is the neurocentral synchondrosis in almost the entire vertebral column. The fusion of the half posterior arches seems to have less importance for the canal size. The growth is not homogeneous but, depends on the vertebral level. Timing, rate and growth potentials differ by regions. Especially in the case of the lumbar segment, there is a craniocaudal tendency which entails a greater post-natal catch-up growth for distal vertebrae. Trefoil-shape of the L5 canal is the consequence of a sagittal growth deficiency. The spinal canal shares some developmental characteristics with different structures and systems, especially with the central nervous system. It may be the consequence of the embryological origin. It is supposed that not all the related structures would be affected by a growth impairment because of the different catch-up potentials. Studies found that narrower spinal canals might be related with cardiovascular and gastrointestinal symptoms, lower thymic function, bone mineral content, dental hypoplasia and Harris' lines. Anthropometric correlations found at birth disappear during the pediatric age. All factors which can affect bone and nervous growth might be relevant. Genetic predispositions are the only factors that can never be changed but the real impact is to ascertain. During the antenatal period, all the elements determining a good supply of blood and oxygen may influence the vertebral canal development, for example smoking during pregnancy. Diet is a crucial factor having an impact on both antenatal and postnatal growth. Proteins intake is the only proved dietetic relationship found in the bibliographic research of this work. The mechanical effects due to locomotion changes are unknown. Socioeconomic situation has an impact on several influencing factors and it is difficult to study it owing to numerous bias. CONCLUSIONS: A correct growth of spinal canal is evidently relevant to prevent not-degenerative stenotic conditions. But a "congenital" narrower canal may aggravate degenerative stenosis. This concerns specific groups of patient. If the size of the canal is highly involved in the pathogenesis of common back pains, a hypothetical measure to prevent developmental impairments could have a not- negligible impact on the society. It would be interesting to study more about dietetic necessities for a good spinal canal development. Understanding the relationship between nervous tissues and vertebra it might be useful in identifying what is needed for the ideal development. Genetic importance and the post-natal influences of upright standing on the canal growth remain unsolved questions. All these tracks may have a double purpose: knowing if it is possible to decrease the incidence of narrower spinal canal and consequently finding possible preventive measures. The development of vertebral canal is a complex subject which ranges over a wide variety of fields. The knowledge of this subject is an indispensable tool to understand and hypothesize the influencing factors that might lead to stenotic conditions. Unfortunately, a lack of information makes difficult to have a complete and satisfactory interdisciplinary vision.

A new species of Aristobrotica Bechynéand a checklist of the genus (Coleoptera, Chrysomelidae, Galerucinae)

A new species of Aristobrotica Bechynéand a checklist of the genus (Coleoptera, Chrysomelidae, Galerucinae). A new neotropical species of the Section Diabroticites (Luperini, Diabroticina) is described and illustrated. Aristobrotica capillosa sp. nov., from the state of Amazonas, northern Brazil, is the only species of the genus with elytra densely covered by erect hairs. The genus Aristobrotica Bechyné, 1956 now comprises 17 species, with only one occurring in Central America, Aristobrotica allardi (Jacoby, 1887) from Panama, and the remaining 16 are South American. A checklist of Aristobrotica species and their geographic distribution is also provided.

A new species of Adoxoplatys Breddin (Heteroptera, Pentatomidae, Discocephalinae) from Argentina

ABSTRACT The genus Adoxoplatys is distributed from Panama to Argentina. The eight included species are known from a few specimens. In this contribution, a new species from Misiones Province, Argentina, Adoxoplatys singularissp. nov., is described and illustrated; and a key to identify the species of the genus is provided.

Business Plan: Proyecto de creación de un nuevo canal publicitario a nivel nacional: Desarrollo del mercado y creación de empresa de venta de publicidad

El present Treball Final de Carrera pretén desenvolupar la viabilitat d’una empresa de serveis, que ofereix un nou suport publicitari basat en una red pròpia de tours turístics en patinets elèctrics distribuïts per les principals ciutats a nivell nacional.

Estudio de la edad, el crecimiento, la madurez sexual y el desove de la anchoveta (Cetengraulis Mysticetus) en el Golfo de Panamá (Conclusión)

Presenta los métodos utilizados en los laboratorios para determinar la madurez sexual y desove de la población de anchovetas, su época y frecuencia. Estos datos concluyen la edad con relación al tiempo del desove anual gracias al índice de gónadas recolectado en el Golfo de Panamá.

Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal

Five to ten percent of benign paroxysmal positional vertigo are caused by the horizontal semi-circular variant (h-BPPV). In this study, we reviewed the efficacy of the Barbecue repositioning manoeuvre in h-BPPV, and we assessed the possible effect of different factors on the outcome. Barbecue manoeuvre consists in turning the supine patient around his longitudinal axis toward the unaffected side until 360 degrees are accomplished. After every 90 degrees step the patient is maintained in the new position for 30 s. We reviewed 46 patients with h-BPPV, treated by barbecue rotation from 2003 to 2005. After the first Barbecue manoeuvre, the patients were followed-up at intervals of approximately 1 week and the rotation was repeated if h-BPPV persisted (up to three rotations). Factors assessed were age, gender, duration of symptoms before treatment and type of h-BPPV (canalolithiasis vs. cupulolithiasis). Fisher's exact test was used for the analysis. Results: 85% of patients (39/46) were cured after a maximum of 3 rotations. 74% (34/46) were cured after the first manoeuvre and 80% (37/46) after the second one. None of the evaluated factors did significantly affect the efficacy (P > 0.05). The Barbecue manoeuvre is an efficient treatment of h-BPPV demonstrating 85% cure rate after a maximum of three sessions. 74% of the patients are healed after one manoeuvre. The efficacy is not affected by the evaluated factors.

Mineralogia e físico-química dos solos de mangue do rio Iriri no canal de Bertioga (Santos, SP)

A influência de condições halomórficas, hidromórficas e sulfato redutoras na mineralogia da fração argila e na geoquímica de três solos de mangue foi estudada no manguezal do rio Iriri. A partir de uma transeção, foram escolhidos três perfis representativos dos solos de mangue da área nos quais foram descritas as condições geoquímicas e sua conseqüência sobre a mineralogia de seus respectivos solos. A análise mineralógica (DRX e EDS) e as condições físico-químicas encontradas revelam a ocorrência de processos de piritização na área de estudo. A assembléia mineralógica está composta tanto por argilominerais alóctones (caulinitas, micas e esmectitas) como por argilominerais autóctones (micas, esmectitas e pirita). A partir de evidências provenientes da DRX e EDS, especula-se a formação de glauconita nestes solos. As condições de halomorfia e hidromorfia determinam valores de Eh e pH sob os quais elementos como Fe2+ e SO encontram-se livres na solução do solo com tendência à estabilidade da pirita (FeS2), favorecendo, portanto, o processo da piritização.

[Illustrations de De Americaensche Zeerovers...] / [Non identifié] ; Alessandre Olivier Exquemelin dit Oexmelin, aut. du texte

Comprend : [Planche entre pp. 42-43. Portrait de Rock.] [Cote : BNF B11901] ; [Planche en regard du folio 3v ° paginé 46. Portrait de] François Lolonois. [Cote : BNF C39549] ; [Planche en regard de la p. 60. Scène de torture. Un soldat arrache le coeur d'un homme et le fait manger à un autre.] [Cote : BNF C54751] ; [Planche en regard de la p. 82. Scène de massacre.] [Cote : BNF C54752] ; [Planche en regard de la p. 88. Scène de bataille. Prise d'une ville.] [Cote : BNF C76835] ; [Planche en regard de la p. 98. Scène de tortures et de massacres.] [Cote : BNF C76836] ; [Planche dépliante en regard de la p. 102. Combat naval.] [Cote : BNF D4698] ; [Planche dépliante en regard de la p. 130. Carte de Panama.] [Cote : BNF C54753] ; [Planche dépliante en regard de la p. 132. La ville de] Panama. [Cote : BNF C30662]