5 resultados para volumetrics


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"Study was conducted in cooperation with the U.S. Department of Transportation, Federal Highway Administration."

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Background: NF2 patients develop multiple nervous system tumors including bilateral vestibular schwannomas (VS). The tumors and their surgical treatment are associated with deafness, neurological disability, and mortality. Medical treatment with bevacizumab has been reported to reduce VS growth and to improve hearing. In addition to evaluating these effects, this study also aimed to determine other important consequences of treatment including patient-reported quality of life and the impact of treatment on surgical VS rates. Methods: Patients treated with bevacizumab underwent serial prospective MRI, audiology, clinical, CTCAE-4.0 adverse events, and NFTI-QOL quality-of-life assessments. Tumor volumetrics were classified according to the REiNs criteria and annual VS surgical rates reviewed. Results: Sixty-one patients (59% male), median age 25 years (range, 10–57), were reviewed. Median follow-up was 23 months (range, 3–53). Partial volumetric tumor response (all tumors) was seen in 39% and 51% had stabilization of previously growing tumors. Age and pretreatment growth rate were predictors of response. Hearing was maintained or improved in 86% of assessable patients. Mean NFTI-QOL scores improved from 12.0 to 10.7 (P < .05). Hypertension was observed in 30% and proteinuria in 16%. Twelve treatment breaks occurred due to adverse events. The rates of VS surgery decreased after the introduction of bevacizumab. Conclusion: Treatment with bevacizumab in this large, UK-wide cohort decreased VS growth rates and improved hearing and quality of life. The potential risk of surgical iatrogenic damage was also reduced due to an associated reduction in VS surgical rates. Ongoing follow-up of this cohort will determine the long-term benefits and risks of bevacizumab treatment.

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Sexpartite vaults constitute one of the most interesting chapters in European Gothic architecture. Originally, the use of the square cross-ribbed vault was limited to relatively small spaces, but when the need arose to cover spaces of considerable size, a new vault with very peculiar characteristics appeared. This new vault was a cross-ribbed vault that was reinforced in the centre by a rib that was parallel to the transverse ribs which effectively divided the vault in half. This configuration breaks the side arch into two fragments, creating a pair of windows on each side. The volumetrics of these vaults is extremely complex and the difficulties involved in their construction perhaps explain why they were abandoned in favour of the simple cross ribbed vault, now with rectangular sections. The existence of the sexpartite vault barely lasted more than fifty years, from the end of the XII century and the beginning of the XIII. Towards the end of the 19th century Viollet-le-Duc gave a succinct explanation of this type of vault. A. Choisy also, later, devotes some pages to the French sexpartite vault; since then, the subject has only been broached in a few references in later studies on Gothic architecture. However, despite its short period of existence, the sexpartite vault spread throughout Europe and was used to build important vaulting. Viollet-le-Duc's sexpartite vault could be considered to be the prototype of them all, while it is true that the studies that we have conducted so far lead us to affirm that there is a wide variety of vaults, with different volumetric spaces and different construction strategies. Therefore, we believe that this chapter of international Gothic deserves further study applying the knowledge and resources that are available today. This paper has been written to explore the most significant European sexpartite vaults. New measurement technology has led to a revolution in research into the history of construction, allowing studies to be conducted that were hitherto impossible. Thorough data collection using total station and photogrammetry has enabled us to identify the stereotomy of the voussoirs, tas-de-charges and keystones, as well as the bonding of the surfaces of the severies. A comparison of the construction techniques employed in the different vaults studied reveals common construction features and aspects that are specific to each country. Thus we are able to establish the relationship between sexpartite vaults in different European countries and their influence on each other.

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We would like to acknowledge and thank Frank Peel and Seb Turner for taking time to review this paper. Also thanks to Marguerite Fleming for perpetual encouragement. From: Richards, F. L., Richardson, N. J., Rippington, S. J., Wilson, R. W. & Bond, C. E. (eds) 2015. Industrial Structural Geology: Principles, Techniques and Integration. Geological Society, London,

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We would like to acknowledge and thank Frank Peel and Seb Turner for taking time to review this paper. Also thanks to Marguerite Fleming for perpetual encouragement. From: Richards, F. L., Richardson, N. J., Rippington, S. J., Wilson, R. W. & Bond, C. E. (eds) 2015. Industrial Structural Geology: Principles, Techniques and Integration. Geological Society, London,