Advances in post-mortem CT-angiography.

Performing a post-mortem multidetector CT (MDCT) scan has already become routine in some institutes of forensic medicine. To better visualize the vascular system, different techniques of post-mortem CT-angiography have been explored, which can essentially be divided into partial- and whole-body angiography techniques. Probably the most frequently applied technique today is the so-called multiphase post-mortem CT-angiography (MPMCTA) a standardized method for investigating the vessels of the head, thorax and abdomen. Different studies exist, describing its use for medicolegal investigations, and its advantages as well as its artefacts and pitfalls. With the aim to investigate the performance of PMCTA and to develop and validate techniques, an international working group was created in 2012 called the "Technical Working Group Post-mortem Angiography Methods" (TWGPAM). Beyond its primary perspective, the goals of this group include creating recommendations for the indication of the investigation and for the interpretation of the images and to distribute knowledge about PMCTA. This article provides an overview about the different approaches that have been developed and tested in recent years and an update about ongoing research in this field. It will explain the technique of MPMCTA in detail and give an outline of its indications, application, advantages and limitations.

The oxygen concentrator : an appropriate technology for treating hypoxaemic children in developing countries

RÉSUMÉ L'Organisation Mondiale de la Santé (OMS) recommande d'administrer l'oxygène par concentrateurs dans les pays en voie de développement (PVD), les cylindres posant des problèmes logistiques et financiers trop importants. Cette technologie a été proposée aux enfants d'un hôpital sénégalais (Ndioum) qui présentaient les critères d'oxygénation de l'OMS. Les bénéfices cliniques et financiers ont été majeurs. En revanche, les connaissances des soignants sur les diverses techniques d'administration d'oxygène ainsi que les prestations du service de maintenance étaient insuffisantes. L'implantation de concentrateurs doit être encouragée dans les PVD, mais doit respecter une stratégie englobant enseignement, maintenance et suivi de l'opération. Diverses actions correctrices ont été entreprises à Ndioum où plusieurs concentrateurs fonctionnent désormais régulièrement. Summary: The World Health Organisation (WHO) recommends supplying oxygen in developing countries by concentra¬tors because cylinders pose considerable logistic and financial problems. This technology was employed to treat children in a hospital in Ndioum, Senegal, who met the WHO oxygenation criteria. There were clear clinical and financial benefits, but neither the nurses' knowledge of the various techniques of oxygen supply nor the maintenance service were satisfactory. The use of concentra¬tors should be encouraged in developing countries. A strategy including technical training, maintenance and monitoring should be adopted. Corrective actions were undertaken in Ndioum, and several concentrators are now being used on a regular basis.

Asphalt Rubber Cement Concrete Webster County, HR-555, Construction Report, 1993

Discarded tires have become a major disposal problem in the U.S. Different techniques of recycling these discarded tires have been tried. The state of Iowa is currently evaluating the use of discarded tires ground into crumb rubber and blending it with asphalt to make asphalt rubber cement (ARC}. This was the sixth project this process has been used in. This project is located on US 169 from the east junction of IA 175 west and north to US 20. Only the binder course was placed this year with the surface course to be let at a later date. There are four test sections, two sections with conventional mixtures and two with ARC mixtures.

La construcció de tipologies: progrés i analisi de les dades

Aquest article recull un mateix procés metodològic en el qual s'emmarquen diverses investigacions presentades en aquest volum de la revista, amb un mateix objectiu: la construcció de tipologies en diferents àmbits temàtics. L'article especifica el marc general del disseny, descriu el seu procés metodològic i d'anàlisi de dades que pot caracteritzar-se per: (1) La font de dades prové d'una gran enquesta sobre hàbits i condicions de vida de la població, l'Enquesta Metropolitana de Barcelona 1990. (2) El plantejament d'un objecte d'estudi concret dins d'una realitat multivariable. (3) La utilització de tecniques d'anàlisi multivariables, en concret,l'Anàlisi de Correspondències Múltiples i les Tècniques de Classificació Automàtica.

A Note on Interviewer Performance Measures in centralised CATI Surveys

Interviewer performance with respect to convincing sample members to participate in surveys is an important dimension of survey quality. However, unlike in CAPI surveys where each sample case 'belongs' to one interviewer, there are hardly any good measures of interview performance for centralised CATI surveys, where even single contacts are assigned to interviewers at random. If more than one interviewer works one sample case, it is not clear how to attribute success or failure to the interviewers involved. In this article, we propose two correlated methods to measure interviewer contact performance in centralised CATI surveys. Their modelling must take complex multilevel clustering effects, which need not be hierarchical, into account. Results are consistent with findings from CAPI data modelling, and we find that when comparing effects with a direct ('naive') measure of interviewer contact results, interviewer random effects are largely underestimated using the naive measure.

Estudi de l'impacte de les activitats de moviment corporal en un infant amb TDA

Aquest treball consta d’una investigació amb una pràctica d’activitats basades en el moviment corporal amb un infant diagnosticat amb Trastorn de Dèficit D’Atenció (TDA), amb la intenció de tractar i treballar els problemes que pateix de concentració i atenció. Aquesta pràctica va tenir lloc a l’Escola Sant Jordi de Navàs. Es va analitzar a l’alumne/a en concret, però es van treballar totes les activitats amb tot el grup classe. Les activitats van ser dissenyades a partir dels aprenentatges a la universitat durant la carrera i també de diferents autors citats al marc teòric. Els instruments de recollida de dades que es van utilitzar són les tècniques d’observació i el diari de camp i la càmera de fotos i de vídeo per enregistrar moments en concret. Aquests instruments van donar lloc a l’anàlisi i a la valoració final de les sessions de la pràctica realitzada, en la que es va poder observar una millora en l’atenció, la concentració, l’ interès, la relació amb els companys, etc, aconseguint els objectius proposats al principi. Si el moviment corporal ajuda a millorar als infants que pateixen aquest trastorn i a tots els altres és aconsellable que a l’escola es busquin estratègies i formes de treballar-ho, en qualsevol àrea, per a motivar i fer créixer els aprenentatges de tots els alumnes.

Postmortem imaging: real or virtual?

Since the earliest years after the discovery of X-rays, radiological images have been used successfully for answering medico-legal and forensic questions. The possibility to evaluate the inside of a body without actually opening it has been appreciated and used in forensic pathology since then. However, the introduction of modern cross-sectional imaging techniques into post-mortem investigations has created controversial discussions among the medico-legal community. Terms like "Virtual Autopsy" and "Necro-Radiology" have led to confusion and controversy concerning the role of radiological techniques in forensic case work. Regardless, the use of those techniques in post-mortem investigations is increasing, especially the one of Muti-Detector Computed Tomography (MDCT). But also other imaging techniques such as Postmortem Angiography and Magnetic Resonance Imaging are increasingly applied. This presentation shall give an overview over the different techniques of postmortem imaging. It will critically explain their advantages and limitations in forensic death investigations compared to conventional autopsy. The role of postmortem imaging shall be discussed in order to distinguish between real state of the art and virtual reality.

Asphalt Rubber Cement Concrete Webster County, HR-555, Final Report, 2003

Discarded tires have become a major disposal problem in the U.S. Different techniques of recycling these discarded tires have been tried. The state of Iowa has evaluated the use of discarded tires ground into crumb rubber and blending it with asphalt to make asphalt rubber cement (ARC). This was the sixth project using this process. The project is located on US 169 from the east junction of IA 175 west and north to US 20. Only the binder course was placed during this research with the surface course to be let at a later date. There were four test sections, two sections with conventional mixtures and two with ARC mixtures. There were no significant differences in placement or performance between the two mix types. The cost of the ARC mixture was significantly higher.

Scour Around Bridge Piers and Abutments, HR-30 and Iowa Highway Research Board Bulletin No. 4, 1956

Man’s never-ending search for better materials and construction methods and for techniques of analysis and design has overcome most of the early difficulties of bridge building. Scour of the stream bed, however, has remained a major cause of bridge failures ever since man learned to place piers and abutments in the stream in order to cross wide rivers. Considering the overall complexity of field conditions, it is not surprising that no generally accepted principles (not even rules of thumb) for the prediction of scour around bridge piers and abutments have evolved from field experience alone. The flow of individual streams exhibits a manifold variation, and great disparity exists among different rivers. The alignment, cross section, discharge, and slope of a stream must all be correlated with the scour phenomenon, and this in turn must be correlated with the characteristics of the bed material ranging from clays and fine silts to gravels and boulders. Finally, the effect of the shape of the obstruction itself-the pier or abutment-must be assessed. Since several of these factors are likely to vary with time to some degree, and since the scour phenomenon as well is inherently unsteady, sorting out the influence of each of the various factors is virtually impossible from field evidence alone. The experimental approach was chosen as the investigative method for this study, but with due recognition of the importance of field measurements and with the realization that the results must be interpreted so as to be compatible with the present-day theories of fluid mechanics and sediment transportation. This approach was chosen because, on the one hand, the factors affecting the scour phenomenon can be controlled in the laboratory to an extent that is not possible in the field, and, on the other hand, the model technique can be used to circumvent the present inadequate understanding of the phenomenon of the movement of sediment by flowing water. In order to obtain optimum results from the laboratory study, the program was arranged at the outset to include a related set of variables in each of several phases into which the whole problem was divided. The phases thus selected were : 1. Geometry of piers and abutments, 2. Hydraulics of the stream, 3. Characteristics of the sediment, 4. Geometry of channel shape and alignment.

Enterocystoplasty using modified pedicled, detubularized, de-epithelialized sigmoid patches in the mini-pig model.

Enterocystoplasty and gastrocystoplasty have been developed to restore adequate bladder capacity but they still result in the undesired harmful contact of urine with the intestinal mucosa. In an attempt to prevent this nonphysiological interface we performed several modified enterocystoplasties in the mini-pig model using a pedicled, detubularized, de-epithelialized sigmoid patch. Five techniques of patch coverage were used to evaluate urothelial growth or survival on the sigmoid patch. All but 1 patch had intestinal mucosa remnants with mucocele formation. When no coverage was applied or a biodegradable polyglactin mesh was temporarily covering the pedicled, detubularized, de-epithelialized sigmoid patch, severe shrinkage occurred. Partial cover with autologous urothelium islets seemed to decrease shrinkage. Adequate urothelium survival and satisfactory elastic properties of the patch were observed when total cover of the sigmoid patch was achieved with a sheet of homologous urothelium recovering autologous urothelial islets or when the patch was applied to protruding urothelium obtained following sagittal posterior detrusor myotomy.

Konsernin yksiköiden välinen yhteistyö: erikoistumisen vaikutukset materiaalinkäyttöön

Diplomityö tehtiin Suomessa toimivaan metalliteollisuusalan konserniin. Tutkimuksen päämääränä oli selvittää yksiköiden tuotannollisen erikoistumisen avulla saavutettavia materiaali- ja kustannussäästöjä. Samalla haluttiin kartoittaa yksiköiden välisen yhteistyön nykytilaa, sen ongelmia ja mahdollisuuksia. Teoreettisena lähestymistapana yhteistyön osalta käytettiin yritysten välistä verkostoitumista. Erikoistumista käsittelevässä teoriaosuudessa asiaa tutkittiindifferoinnin näkökulmasta. Tietoja hankittiin haastattelemalla, tutkimalla toimintaprosesseja ja nykyistä materiaalinkäyttöä. Tutkimus näytti toteen johdon oletuksen siitä, että yksiköiden erikoistuessa saavutettaisiin mittavia kustannussäästöjä. Yksiköt eivät ole tällä hetkellä erikoistuneita, ja niiden välisen yhteistyön kehittäminen on vasta aluillaan. Yhteistyön suurimpana ongelmana on yksiköiden keskinäinen kilpailutilanne. Huomionarvoista on se, että tutkimuksen kohteena olleet yhteistyö ja erikoistuminen tukevat toisiaan.

TEP/TDM en radiothérapie : indications et perspectives [PET/CT and radiotherapy: indications and potential applications].

The implementation of new techniques of imaging in the daily practice of the radiation oncologist is a major advance in these last 10 years. This allows optimizing the therapeutic intervals and locoregional control of the disease while limiting side effects. Among them, positron emission tomography (PET) offers an opportunity to the clinician to obtain data relative to the tumoral biological mechanisms, while benefiting from the morphological images of the computed tomography (CT) scan. Recently hybrid PET/CT has been developed and numerous studies aimed at optimizing its use in the planning, the evaluation of the treatment response and the prognostic value. The choice of the radiotracer (according to the type of cancer and to the studied biological mechanism) and the various methods of tumoral delineation, require a regular update to optimize the practices. We propose throughout this article, an exhaustive review of the published researches (and in process of publication) until December 2011, as user guide of PET/CT in all the aspects of the modern radiotherapy (from the diagnosis to the follow-up): biopsy guiding, optimization of treatment planning and dosimetry, evaluation of tumor response and prognostic value, follow-up and early detection of recurrence versus tumoral necrosis. In a didactic purpose, each of these aspects is approached by primary tumoral location, and illustrated with representative iconographic examples. The current contribution of PET/CT and its perspectives of development are described to offer to the radiation oncologist a clear and up to date reading in this expanding domain.

La educación para la salud como objeto de estudio histórico : proyecto de investigación

Objetivo: El objetivo es presentar el proyecto de investigación cuyo propósito es conocer la evolución de la Educación para la salud (EpS) desde la antigüedad hasta la época contemporánea, con el fin de identificar y comprender la génesis y construcción de la disciplina. Método: Se trata de un estudio cualitativo histórico enmarcado en el paradigma interpretativo etnohistórico y hermenéutico. Los pilares básicos en que se enmarca conceptualmente, son la Educación, la Persona, grupo o comunidad y la Salud. El espacio social, es aquel en que los grupos sociales vivían y el estructural-temporal, las épocas históricas: prehistoria, antigüedad (culturas antiguas y clásicas), edad media, renacimiento y contemporánea hasta pasada la Guerra Civil española (1940). El sujeto de estudio es la EpS a partir de los elementos que la conforman: el concepto de salud, las creencias, los conocimientos sanitarios, las intervenciones y los recursos educativos para la salud de les personas y los grupos sociales en cada una de las épocas históricas a estudio. Las fuentes utilizadas son las indirectas, materiales-arqueológicas y culturales: verbales (escritas) y no verbales (semiológicas/audiovisuales) y las no seriadas. La recogida de información a través de técnicas de investigación histórica cualitativa: la observación y análisis documental bibliográfico, iconográfico de archivos, prensa, publicaciones oficiales, textos bibliográficos y técnicas textuales-filosóficas: análisis de contenido y crítica histórica. El análisis de la información será cronológico y mediante una clasificación por temáticas y periodos históricos.

Genetic dissimilarity among jabuticaba trees native to southwestern Paraná, Brazil

Knowledge on the genetic diversity within and between genotype groups is of great importance for breeding programs. The purpose of this study was to estimate the genetic dissimilarity among 36 native jabuticaba trees (Plinia cauliflora) from five sites in the southwestern region of Paraná, Brazil. Sixteen fruit traits were analyzed, based on multivariate techniques (canonical variables, Tocher and UPGMA), using Mahalanobis' distance as dissimilarity measure. By the techniques of clustering and graphic dispersion, together with the comparison of means, the genetic diversity among native jabuticaba trees was efficiently identified, indicating a high potential of these genotypes for breeding programs. The traits of greatest importance for dissimilarity were percentage of pulp and of skin, which are easily measured. The clustering structure is related to the collection sites and for breeding programs, genotypes from different sites should be crossed to generate progenies to be tested. Genotypes 'CV5' and 'VT3' should be conserved in genebanks, due to its important agronomic traits.

Eräällä pelkkahakkurilla tuotetun selluhakkeen laatujakauman hallinta

Tämän diplomityön tarkoituksena on selvittää eräällä pelkkahakkurilla tuotetun selluhakkeen laadun vaihtelua ja laadun hallinnan mahdollisuuksia. Tutkittu laite on Veisto Oy:n suunnittelema ja valmistama HewSaw R200 - pelkkahakkuri. Tutkimuksessa selvitetään sahauksen yhteydessä pelkkahakkurilla tuotettavaan selluhakkeeseen vaikuttavien parametrien: hakkurin pyörimisnopeuden, tukin syöttönopeuden, hakkurin terien vaihtovälin, selluhakkeen palakoon, tukkiluokan, puun lämpötilan ja puulajin välisiä korrelaatioita ja edellä mainittujen tekijöiden vaikutusta tuotettavan hakkeen palakokojakaumaan. Tämä palakokojakauma määrää selluhakkeen laadunmäärityksessä käytettävän, niin sanotun hintakertoimen. Kyseinen hintakerroin määritellään SCAN – CM 40 – standardin mukaisella seulonnalla. Tämä standardi on käytössä laadunmäärityksen perusteena kaikilla pohjoismaisilla sellutehtailla.Tutkimuksen kirjallisessa osuudessa esitellään sahateollisuuden merkittävimmät sahausmenetelmät ja sivuotteiden tuotanto . Seuraavassa osassa käsitellään erikseen selluhaketta sahateollisuuden sivutuotteena ja sen taloudellista merkitystä sahateollisuudessa. Jatkossa keskitytään selluhakkeen tuottamiseen pelkkahakkurilla ja puun työstämiseen liittyviin periaatteisiin.Tutkimuksen kokeellisessa osuudessa tutkittaan, eri sahalaitoksilta otettujen hakenäytteiden perusteella, tärkeimmiksi havaittujen tuotantoparametrien vaikutusta selluhakkeen laatuun ja saantoon. Näytteitä otettiin tutkimuksen kokeellisessa osuudessa yhteensä noin 250 kappaletta. Tutkimuksen tuloksia käsittelevässä osuudessa on annettu malli tutkitulla HewSaw R200 - pelkkahakkurilla tuotetun selluhakkeen laadun ja määrän arvioimiseen.