998 resultados para Skull base reconstruction


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Objetivando estudar a herança da tolerância à toxidez de alumínio (Al) em arroz (Oryza sativa L.) avaliaram-se três genótipos tolerantes (Guarani, Guaporé e IAC 25) e três sensíveis (CNA 5600, CNA 5615 e IAC 899) à toxidez de Al e seus respectivos cruzamentos F1 em um sistema de cruzamento dialélico, desconsiderando os recíprocos, na concentração de 20 mg/L de Al, em solução nutritiva. Os resultados encontrados evidenciaram que a herança da tolerância à toxidez de Al em arroz é oligogênica, com os alelos dominantes determinando essa tolerância. Os progenitores Guarani, Guaporé e IAC 25 apresentaram maior concentração de alelos dominantes, e CNA 5600, CNA 5615 e IAC 899 maior número de alelos recessivos.

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This research project looked at the economic benefits and costs associated with alternative strategies for abandoning low volume rural highways and bridges. Three test counties in Iowa were studied, each 100 square miles in size: Hamilton County having a high agricultural tax base and a high percentage of paved roads and few bridges; Shelby County having a relatively low agricultural tax base, hilly terrain and a low percentage of paved road and many bridges; and Linn County having a high agricultural tax base, a high percentage of paved roads and a large number of non-farm households. A questionnaire survey was undertaken to develop estimates of farm and household travel patterns. Benefits and costs associated with the abandonment of various segments of rural highway and bridge mileages in each county were calculated. "Benefits" calculated were reduced future reconstruction and maintenance costs, whereas "costs" were the added cost of travel resulting from the reduced mileage. Some of the findings suggest limited cost savings from abandonment of county roads with no property access in areas with large non-farm rural population; relatively high cost savings from the abandonment of roads with no property access in areas with small rural population; and the largest savings from the conversion of public dead-end gravel roads with property or residence accesses to private drives.

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Iowa counties have tried to rehabilitate deteriorating portland cement concrete (PCC) pavements with standard overlays, placement of engineering fabric, rock, open graded bituminous mixes and cracking and seating. While these methods prolong the life of the road, the cracks in the old pavement have eventually reflected to the surface. One possible alternative for rehabilitating severely deteriorated roads and preventing reflective cracking is the rubblization process. The objective of this research project was to rehabilitate and evaluate a severely deteriorated PCC roadway using a rubblization process. A 3.0 km (1.9 mi) section of L63 in Mills County was selected for this research. The road was divided into 16 sections. A resonate frequency vibration pavement breaker was used to rubblize the existing pavement. The variables of rubblization, drainage, and ACC overlay depths of 75 mm (3 in.), 100 mm (4 in.), and 125 mm (5 in.) were evaluated. The research on rubblized concrete pavement bases support the following conclusions: (1) The rubblization process prevents reflective cracking; (2) Edge drains improved the structural rating of the rubblized roadway; (3) An ACC overlay of 125 mm (5 in.) on a rubblized base provided an excellent roadway regardless of soil and drainage conditions; (4) An ACC overlay of 75 mm (3 in.) on a rubblized base can provide a good roadway if the soil structure below the rubblized base is stable and well drained; and (5) The Road Rater structural ratings of the rubblized test sections for this project are comparable to the nonrubblized test sections.

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À l'aide d'un exemple clinique, nous élaborons les différentes fonctions que peut avoir le silence dans les thérapies cognitives et comportementales de la dépression. Les silences d'une patiente déprimée, suivie en psychothérapie, sont documentés et analysés. Le silence peut, chez la même personne, tantôt produire un apaisement ou organiser la pensée, donc s'avérer productif, tantôt représenter une tentative d'échapper à du matériel douloureux, donc s'avérer peu productif. Ainsi, le thérapeute aura fondamentalement le choix, soit de respecter ces silences soit de les rompre et de parler. Pour l'aider dans ce choix, nous repérons différentes catégories de silences et les mettons en lien avec la littérature à ce sujet, afin d'introduire le silence comme outil thérapeutique à part entière dans le traitement cognitivo-comportemental de la dépression. © 2013 Association fran4aise de thérapie comportementale et cognitive. Publié par Elsevier Masson SAS. Tous droits réservés.

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Introduction: Primary bone sarcomas around the ankle are rare. Due to the proximity of neurovascular structures and limited soft tissue reserves, limb salvage is often not possible. Case report: A 19 yo male presented with pain and a progressive swelling of his ankle. X-rays revealed cortical erosions and an extensive periosteal reaction (sunburst) of the distal fibula. MRI showed a large mass of the fibula invading adjacent soft tissue. The lesion appeared close to the ankle joint, but with the articular cartilage as a barrier and without joint effusion. Core-needle biopsy revealed a high-grade chondroblastic osteosarcoma. No metastases were detected. After presentation at our multidisciplinary sarcoma board, the patient was subjected to neo-adjuvant chemotherapy (AOST 03-331). Without any sign of intra-articular contamination of the ankle joint, surgical treatment consisted of wide resection of the lateral malleolus including a large skin patch, the distal third of the fibula, the lateral surfaces of the tibia and talus as well as the insertion of the lateral ligament on the calcaneus. The distal parts of the anterior, peroneal, and posterior muscular compartments were resected en bloc with the tumor. The defect was reconstructed with tibio-talar and talo-calcanear fusion, bony allograft and a plate. Soft-tissue coverage was achieved with a free fascio-cutaneous flap from the controlateral thigh. Histological analysis revealed clear margins and 50% of tumor necrosis. The oncologic treatment was completed with adjuvant chemotherapy. Conclusion: Wide resection and reconstruction of the lateral malleolus is technically demanding but possible in selected cases. Despite some important functional loss, limb salvage is superior to an amputation.

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The objective of this research project was to evaluate the construction and service performance of ammonium phosphate/fly ash (APFA) treated base courses of crushed fines and/or unprocessed sand. Specific test results related to construction of the test sections were included in the 1987 construction report by Iowa State University. The performance of the experimental sections is dealt with in this final report. This 1986 project demonstrated that in all cases the control sections utilizing a Type B base experienced dramatically less cracking in the surface than the APFA treated base sections. The cost per mix and subsequent surface maintenance costs for the APFA base sections, especially those having a substantial amount of limestone, were higher than the Type B base control sections. This type of construction may prove to be economical only when petroleum product costs escalate.

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Con el fin de detectar los determinantes fundamentales que regulan la conducta moral de los niños, este trabajo pretende aportar bases que constituyan un fundamento válido para desarrollar materiales situacionales y motivacionales para los alumnos. El Cuestionario de Situaciones fue elaborado para describir aspectos contextuales, el contenido temático o argumento, protagonistas, reacciones o cursos de acción y la motivación subyacente. Esta información sirvió para extraer situaciones y componentes motivacionales, lo que permitió crear el Cuestionario sobre Razones. Así, era posible preguntar por qué actuaba de una manera específica el niño implicado en tales situaciones. Las razones aportadas por los alumnos quedaron reducidas a las siguientes: arbitrarias, autoritarias, aler céntricas, idealistas y personales. En consecuencia,las situaciones y las razones que explican los cursos de acción fueron utilizadas para elaborar el Test de Motivación Etica. Con 3.448 chicos y chicas, comprendidos entre los 10 Y los 15 años de edad, se han analizado los cambios motivacional es referidos a las diferencias en sexo y edad. Se apuntan implicaciones para la educación moral.

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Essentiellement centrée sur le développement de nouvelles techniques et instrumentations, ainsi que sur la structuration de moyens de preuve et leur quantification pour la justice, la communauté forensique tend à se renfermer sur la reproduction de ses propres formats. Elle en oublie les fondements de la police scientifique, elle qui dès ses prémices a prôné l'application d'une démarche scientifique pour l'exploitation des traces matérielles lors d'activités criminelles, mais également au-delà, comme vecteur de connaissance sur des problèmes de nature réglementaire, civile, sécuritaire, de santé publique, etc. Depuis quelques années, un mouvement s'est amorcé, tentant de se réapproprier les schémas de construction transdisciplinaire de connaissance mêlant la science forensique, entre autres, à la criminologie. L'exploitation des traces matérielles et de l'information qu'elles peuvent convoyer, peut dévoiler de nouvelles perspectives : cristalliser des indicateurs pour comprendre l'ampleur et la dynamique de certains phénomènes, ou servir de base à une étude phénoménologique par la reconstruction et la résolution de cas. Cet article traite de cette vision de la police scientifique, au-delà de ses frontières actuelles, et en propose des illustrations concrètes comme les travaux relatifs à l'utilisation de traces de stupéfiants dans les eaux usées en tant qu'indicateurs d'une tendance, ou les enseignements découlant d'investigations menées suite à des sinistres fatals dans des établissements carcéraux.

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This project was initiated in 1988 to study the effectiveness of four different construction techniques for establishing a stable base on a granular surfaced roadway. After base stabilization, the roadway was then seal coated, eliminating dust problems associated with granular surfaced roads. When monies become available, the roadway can be surfaced with a more permanent structure. A 2.8 mi (4.5 km) section of the Horseshoe Road in Dubuque County was divided into four divisions for this study. This report discusses the procedures used during construction of these different divisions. Problems and possible solutions have been analyzed to better understand the capabilities of the materials and construction techniques used on the project. The project had the following results: High structural ratings and soil K factors for the BIO CAT and Consolid bases did not translate to good roadway performance; the macadam base had the best overall performance; the tensar fabric had no noticeable effect on the macadam base; and the HFE-300 performed acceptably.