Dissertations / Theses on the topic 'Invasive'
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James, Lindsey Taylor. "Invasive." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524231202288714.
Full textKindberg, Katarina. "Invasive and Non-Invasive Quantification of Cardiac Kinematics." Doctoral thesis, Linköpings universitet, Mekanisk värmeteori och strömningslära, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60202.
Full textHussain, Shazia Tanvir. "Invasive and non-invasive indices of myocardial ischemia." Thesis, King's College London (University of London), 2014. https://kclpure.kcl.ac.uk/portal/en/theses/invasive-and-noninvasive-indices-of-myocardial-ischemia(e8050a58-2a0e-4b05-804c-a2cd5d22e37b).html.
Full textHenriksson, Larsson Henny. "Kartläggning över spridning av silvergran, Abies alba." Thesis, Uppsala universitet, Institutionen för biologisk grundutbildning, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-451267.
Full textDolan, Corrine, and Bill Mannan. "Invasive Wildlife." College of Agriculture and Life Sciences, University of Arizona (Tucson, AZ), 2009. http://hdl.handle.net/10150/146739.
Full textTips for Arizona's Rural Landowners: Wildlife Unit
The Tips for Arizona's Rural Landowners Fact Sheet Series is intended to educate homeowners who have recently purchased small acreages in Arizona. The purpose of the series is to give homeowners information about living in rural settings. The Wildlife Unit includes fact sheets on wildlife habitat enhancement, the legal status of wildlife, venomous wildlife, wildlife transmitted diseases, aggressive wildlife and pet safety, wildlife-human conflicts, fencing, safe pesticide alternatives, and invasive wildlife.
Ahmed, Fahad. "Invasive and non-invasive detection of bias temperature instability." Diss., Georgia Institute of Technology, 2014. http://hdl.handle.net/1853/52227.
Full textMedvecz, Erin. "Resisting Invasion: Grassland Plant Responses to an Invasive Legume, Lespedeza cuneata." OpenSIUC, 2017. https://opensiuc.lib.siu.edu/theses/2123.
Full textKeuter, Stefan. "Invasive und nicht invasive Diagnostik im ersten Trimenon der Schwangerschaft." [S.l.] : [s.n.], 2001. http://deposit.ddb.de/cgi-bin/dokserv?idn=963157876.
Full textMiller, Nathaniel P. "Invasions of Secondary Forest by a Nonnative Grass Species: Microstegium vimineum {Nees}(Poaceae)." Ohio University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1307047314.
Full textBoldt, Martin. "Privacy-Invasive Software." Doctoral thesis, Karlskrona : Blekinge Institute of Technology, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00459.
Full textBell, Graeme Douglas Milton. "Regulation of gene expression in invasive and non-invasive Compositae weeds." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/26226.
Full textNati, Julie Jeanne Helene. "Invasion physiology : do physiological characteristics facilitate the spread of invasive fish species?" Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/8104/.
Full textPorter, Erica. "The roots of invasion: Belowground traits of invasive and native Australian grasses." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/134392/1/Erica_Porter_Thesis.pdf.
Full textClibbon, K. L. "3-D electromagnetic computational modelling of invasive and non-invasive hyperthermia techniques." Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.636269.
Full textOverton, Timothy Graeme. "Minimally invasive prenatal diagnosis." Thesis, Imperial College London, 2000. http://hdl.handle.net/10044/1/7869.
Full textBringman, Sven. "Minimally invasive hernia surgery /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-466-6/.
Full textBeunard, Virginie Laboux Olivier. "Odontologie conservatrice micro-invasive." [S.l.] : [s.n.], 2005. http://theses.univ-nantes.fr/thesemed/CDbeunard.pdf.
Full textMeswania, Jayantilal Mohanlal. "Non-invasive extending prosthesis." Thesis, University College London (University of London), 2006. http://discovery.ucl.ac.uk/1446454/.
Full textHabash, Riadh W. Y. "Non-Invasive Microwave Hyperthermia." Thesis, Indian Institute of Science, 1994. https://etd.iisc.ac.in/handle/2005/193.
Full textHabash, Riadh W. Y. "Non-Invasive Microwave Hyperthermia." Thesis, Indian Institute of Science, 1994. http://hdl.handle.net/2005/193.
Full textAntunes, Raquel Coelho Loyo Pequito. "Comparison of invasive and non-invasive blood pressure measurements in anaesthetised adult horses using an automated monitor." Master's thesis, Universidade de Lisboa, Faculdade de Medicina Veterinária, 2020. http://hdl.handle.net/10400.5/20192.
Full textBlood pressure is defined as the product of cardiac output (CO) and peripheral vascular resistance (PVR) and is an extremely useful haemodynamic parameter that allows an indirect way of assessing the cardiovascular performance which reflects the organ perfusion. Clinically, arterial blood pressure measurement can be useful for diagnosis, therapeutic monitoring and prognosis of different diseases. It can be obtained either invasively or non-invasively, with pro and cons for each of these. Nowadays, the invasive blood pressure measurement is considered to be the gold-standard in horses undergoing general anaesthesia providing its continuous monitoring. However, to extend its usefulness as a clinical parameter, a trustworthy non-invasive technique which is practical and easily applied to conscious and anaesthetized horses is required. This study aimed at determining the accuracy and precision of a non-invasive blood pressure measurement method when compared to the gold-standard method (invasive blood pressure). To do so, invasive and non-invasive blood pressure measurements were collected simultaneously using the EDAN iM8 VET multiparameter monitor, in eleven horses presented for elective surgical procedures at an equine referral hospital, between September of 2019 and April of 2020. We started by investigating the correlation between simultaneous invasive and non-invasive methods of blood pressure measurement. Furthermore, we intended to identify whether this correlation differed when conditions like the horse’s recumbency and blood pressure range (hypo-, normo-, and hypertension) varied. We showed that, despite being less accurate than the invasive (gold-standard) method, the non-invasive blood pressure measurement method, using the EDAN iM8 VET multiparameter monitor, is reliable for the use in healthy anaesthetized horses. Moreover, we showed that for the horses in left lateral recumbency a stronger correlation between methods was seen.
RESUMO - COMPARAÇÃO DA MEDIÇÃO DA PRESSÃO ARTERIAL INVASIVA E NÃO INVASIVA EM CAVALOS ADULTOS ANESTESIADOS USANDO UM MONITOR AUTOMÁTICO - A pressão arterial é definida como o produto do débito cardíaco (DC) pela resistência vascular periférica (RVP) e é um parâmetro hemodinâmico extremamente útil, que permite avaliar, indiretamente, o desempenho cardiovascular, refletindo a perfusão dos órgãos. Clinicamente, a medição da pressão arterial pode ser útil para diagnóstico, monitorização terapêutica e prognóstico de diferentes doenças, e pode ser obtida de forma invasiva ou não invasiva, com vantagens e desvantagens para cada um. Atualmente, a medição da pressão arterial invasiva é considerada a técnica padrão em cavalos submetidos a anestesia geral, proporcionando uma monitorização contínua da pressão arterial. No entanto, para alargar a utilidade deste parâmetro hemodinâmico, é necessário ter uma técnica não invasiva confiável, prática e de fácil aplicação, tanto em cavalos conscientes como em anestesiados. Este estudo teve como objetivo determinar a precisão do método não invasivo de medição da pressão arterial, quando comparado ao método padrão (medição invasiva da pressão arterial). Para tal, as medições da pressão arterial, tanto invasivas como não invasivas, foram recolhidas simultaneamente, usando o monitor multiparamétrico EDAN iM8 VET, em onze cavalos sujeitos a procedimentos cirúrgicos eletivos num hospital de referência, entre setembro de 2019 e abril de 2020. Começamos por investigar a correlação entre medições da pressão arterial efectuadas simultaneamente com os métodos invasivo e não invasivo. Além disso, pretendemos identificar se a correlação diferia quando condições como o decúbito do cavalo durante o procedimento cirúrgico e o intervalo de pressão arterial (hipo, normo e hipertensão) variavam. Os resultados obtidos sugerem que, apesar de ser menos preciso do que o método invasivo (padrão), o método não invasivo de medição da pressão arterial, usando o monitor multiparamétrico EDAN iM8 VET, é confiável para o uso em cavalos saudáveis anestesiados. Além disso, mostramos que para os cavalos em decúbito lateral esquerdo há uma correlação mais forte entre os métodos estudados.
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Liebig, Bernd. "Invasive and non-invasive diagnostics of High Power Impulse Magnetron Sputtering (HiPIMS) discharges." Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/10053/.
Full textIsmail, Sharif Ibrahim Muhammad Farag. "Non-invasive and minimally invasive techniques for urodynamic stress incontinence of urine in women." Thesis, University of Hull, 2006. http://hydra.hull.ac.uk/resources/hull:6995.
Full textBittaye, Mustapha. "Comparative proteomic analyses of clinical Streptococcus pneumoniae isolates from invasive and non-invasive sites." Thesis, University of Aberdeen, 2018. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=240152.
Full textParker, Ingrid Marie. "Ecological factors affecting rates of spread in Cytisus scoparius, an invasive exotic shrub /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/5218.
Full textSeyed, Sadr Mohamad. "SLIT proteins inhibit malignant brain tumour cell invasion via downregulation of pro-invasive genes." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110340.
Full textLa transformation d'une tumeur primaire en tumeur maligne et métastatique, s'éloignant du point d'origine, est souvent la principale cause de décès chez le patient. Les tumeurs cérébrales malignes tel les glioblastomes et les médulloblastomes sont parmi les plus invasives cancers humains. La voie de signalisation de Slit-Robo a été largement caractérisée et montre l'implication de Slit-Robo dans la répulsion des axones et cellules neuronales. Dans cette étude, nous avons étudié la possibilité que Slit-Robo pourraient repousser les cellules cancéreuses invasives cérébrales. Le premier chapitre de cette thèse présente une introduction approfondie du rôle de la famille des protéines Slit-Robo dans le contexte du cancer et de la biologie des tumeurs cérébrales. Le deuxième chapitre présente des preuves de l'implication des protéines Slit et leur rôle dans l'inhibition de l'invasion des cellules de tumeurs cérébrales. Aussi, la caractérisation de la voie de signalisation employée par les protéines Slit dans l'inhibitionde l'invasion des cellules cancéreuses a été montrée. De plus, cette étude présente des résultats qui suggèrent que les protéines Slit diminuent l'expression de la transcription degènes pro-angiogénique et pro-invasif des cellules tumorales. Nous avons aussi identifié MMP14 comme une protéase des protéines Robo et dont l'expression est influencée par les protéines Slit. Finalement, nous proposons un modèle démontrant qu'une diminution de l'expression de MMP14 induit une réduction de l'invasion des cellules tumorales du cerveau.
Munson, Jennifer Megan. "Novel nanocarriers for invasive glioma." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/41226.
Full textEagles, O. D. "Non-invasive blood glucose monitoring." Thesis, Swansea University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.636758.
Full textLiang, Yu. "EXOTIC INVASIVE PLANTS IN KENTUCKY." UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_theses/23.
Full textFung, Po-kei, and 馮寶基. "Invasive birds in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31255486.
Full textSzafir, Daniel J. "Non-Invasive BCI through EEG." Thesis, Boston College, 2010. http://hdl.handle.net/2345/1208.
Full textIt has long been known that as neurons fire within the brain they produce measurable electrical activity. Electroencephalography (EEG) is the measurement and recording of these electrical signals using sensors arrayed across the scalp. Though there is copious research in using EEG technology in the fields of neuroscience and cognitive psychology, it is only recently that the possibility of utilizing EEG measurements as inputs in the control of computers has emerged. The idea of Brain-Computer Interfaces (BCIs) which allow the control of devices using brain signals evolved from the realm of science fiction to simple devices that currently exist. BCIs naturally present themselves to many extremely useful applications including prosthetic devices, restoring or aiding in communication and hearing, military applications, video gaming and virtual reality, and robotic control, and have the possibility of significantly improving the quality of life of many disabled individuals. However, current BCIs suffer from many problems including inaccuracies, delays between thought, detection, and action, exorbitant costs, and invasive surgeries. The purpose of this research is to examine the Emotiv EPOC© System as a cost-effective gateway to non-invasive portable EEG measurements and utilize it to build a thought-based BCI to control the Parallax Scribbler® robot. This research furthers the analysis of the current pros and cons of EEG technology as it pertains to BCIs and offers a glimpse of the future potential capabilities of BCI systems
Thesis (BA) — Boston College, 2010
Submitted to: Boston College. College of Arts and Sciences
Discipline: Computer Science Honors Program
Discipline: Computer Science
Gujarathi, Chetan V. "Cardiac non-invasive diagnostic center." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10099858.
Full textHeart disease has been responsible for a significant number of morbidities and mortalities over the last century. As lifestyles and cultures change, so does the approach of management of the disease. With the advent of new technology over the last 6-7 decades the approach towards diagnosing heart diseases has changed a lot. Tools like electrocardiogram, two-dimensional echocardiography, cardiac stress test, Holter monitoring, etc. have become essential in the primary and secondary prevention of heart disease, and also in its management. This clinic is an effort to make these tests easily accessible, affordable and reliable to the patients and potential patients residing in the Orange County area who are at risk for heart diseases.
Spendel, K. D. "On non-invasive ultrasonic flowmeasurement." Thesis, Cranfield University, 1985. http://dspace.lib.cranfield.ac.uk/handle/1826/9932.
Full textFord-Thompson, Adriana E. S. "Conservation, society and invasive species." Thesis, University of York, 2011. http://etheses.whiterose.ac.uk/2356/.
Full textBrobäck, David. "Preventing the spread of the invasive plant Lupinus polyphyllus." Thesis, Uppsala universitet, Institutionen för biologisk grundutbildning, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-272024.
Full textRobak, Enbratt Emelie. "Utbredningen av den invasiva växten skunkkalla (Lysichiton americanus Hultén & St. John 1931) i Fylleån." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-40092.
Full textInvasiva främmande arter är ett av de största hoten mot biodiversiteten globalt. Gul skunkkalla (Lysichiton americanus) är en invasiv främmande växt från Nordamerika. Arten är naturaliserad och etablerad i flera europeiska länder, däribland Sverige. Skunkkalla har en förmåga att konkurrera ut andra arter genom skuggning. Den bildar täta och stora bestånd och tränger på så vis undan annan växtlighet. Sveriges största bestånd av skunkkalla förmodas finnas längs med Fylleån i Hallands län. I bevarandeplanen för Natura 2000-området Fylleån finns en punkt om att man behöver ta ställning till de stora bestånden av skunkkalla i ån. Den här rapporten behandlar både utbredning och kartläggning av skunkkalla i en utvald del av Fylleån, samt bekämpningsmetoder för arten. Kartläggning av utbredningen har skett genom en inventering längs med ån. Inventeringen utfördes mellan Ryaberg och Torsaberga (13km) mellan datumen 30/4 – 8/5 2019. 4157 plantor av skunkkalla hittades längs en sträcka av 6km mellan Ryaberg och Fröbökekvarn. Fyndplatserna delades in i 6 lokaler. Lokal 6 är den högsta fyndplatsen av skunkkalla i Fylleåns lopp. 3,4 mil av ån bedöms vara påverkad av invasionen. Den vanligaste växtplatsen längs med ån bedöms vara sumpmark. I bekämpning av skunkkalla använder sig av både mekanisk och kemisk bekämpning. Den vanligaste använda bekämpningsmetoden visade sig vara bortgrävning för hand. Det är också den metoden jag förespråkar vid en eventuell utrotning i Fylleån. På grund av brist på ekonomiska resurser kommer inte någon utrotning att ske i Fylleån 2019. Olika projekt är nu under konstruktion för framtida bekämpning i länet.
Saadi, Amel. "Barrett's oesophagus reveals distinctive role of stroma in transition from pre-invasive to invasive disease." Thesis, University of Cambridge, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.608520.
Full textLau, Edmund Man Tai. "Novel invasive and non-invasive techniques for the detection and assessment of pulmonary vascular disease." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/11667.
Full textAllen, Victoria. "Uncovering Pathways Regulating ILC Metastasis Through miRNA Expression Analysis and Generation of Novel Invasive ILC Models." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39616.
Full textPuigvehí, Badosa Marc. "Factors determinants de l’aplicabilitat i la fiabilitat diagnòstica dels mètodes no invasius en l’avaluació de la fibrosi hepàtica." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/405412.
Full textHepatic fibrosis is a common process in chronic liver diseases (CLD). This process is progressive, and can cause at last liver architecture alteration (cirrhosis) and increased pressure in the portal venous system (portal hypertension), with the consequent risk of decompensation. Therefore, the evaluation and monitoring of liver fibrosis are crucial for the diagnosis and treatment of patients with CLD. The classic way to assess liver fibrosis has been through liver biopsy, but it is an invasive method with significant complications, and provides limited information. These limitations have promoted the evaluation of noninvasive markers, both serological and radiological, to identify patients with liver fibrosis. Serological markers have very high applicability, and within the radiological transient elastography (TE) is the most evaluated. One of the biggest advantages of serological markers is that serum samples can be cryopreservated for its use in biomedical research, but its long-term stability had not been well evaluated. The first study of this thesis has demonstrated the stability of direct fibrosis markers in samples cryopreserved for more than 20 years, since its diagnostic accuracy and predictive capacity remained unchanged. On the other hand, TE has been the most significant progress in evaluating patients with CLD, but its applicability is limited (80% of patients) and depends on explorer’s experience and patient’s obesity. A new probe has been recently designed for obese patients (XL probe), showing better results in patients with a distance between the skin and the liver capsule (SCD) > 25 mm, but previous studies demonstrated that values with the XL probe are lower than with the M probe. Thus, new cutoffs should be validated in different CLD and patients who can be assessed with each probe must be identified. The second study of this thesis was the first to demonstrate the importance of re-evaluation of TE in patients with an inadequate first result, since a second assessment by expert operators not only showed a significant improvement of the applicability but also a better diagnostic accuracy to identify significant fibrosis. However, variables related to obesity (waist circumference (WC) and SCD) were related to inadequate measurements by expert operators. In the third study of this thesis we have shown that only a minority of patients with BMI > 28 kg/m2 have a SCD > 25 mm (13.6%), so the M probe is applicable to the majority of obese patients if it’s performed by expert operators. Since SCD is not routinely measured in clinical practice we developed a simple decision tree using BMI and WC, which can identify patients with SCD < 25 mm, and therefore candidates to be evaluated with the M probe. This decision tree showed that the M probe is applicable to almost 95% of patients with overweight and obesity grade I (BMI ≤ 35 kg/m2 and WC ≤ 117 cm), with very high diagnostic accuracy to identify fibrosis and steatosis. Furthermore, the XL probe showed excellent applicability with a rate of inadequate results of only 2%. Our study has shown that patients with grade II-III obesity evaluated with the XL probe presented similar values to those patients with overweight and obesity grade I evaluated with the M probe, confirming the need of using the XL probe in these patients.
Robinson, Todd Peter. "Application of advanced techniques for the remote detection, modelling and spatial analysis of mesquite (prosopis spp.) invasion in Western Australia." Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/620.
Full textTaylor, Nigel Gareth. "Why are invaders invasive? : development of tools to understand the success and impact of invasive species." Thesis, University of Leeds, 2016. http://etheses.whiterose.ac.uk/15633/.
Full textLeung, Mande Tak Man. "The measurement and the monitoring of the central hemodynamics using non-invasive and minimally-invasive data." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/35847.
Full textDrynan, Eleanor. "Comparison of blood pressure measurements obtained using non-invasive and invasive techniques, in anaesthetised companion animals." Thesis, Drynan, Eleanor (2013) Comparison of blood pressure measurements obtained using non-invasive and invasive techniques, in anaesthetised companion animals. Masters by Research thesis, Murdoch University, 2013. https://researchrepository.murdoch.edu.au/id/eprint/20554/.
Full textSoley, Nathan. "Reproductive Biology of the invasive plant Elaeagnus umbellata: breeding system, pollinators, and implications for invasive spread." OpenSIUC, 2013. https://opensiuc.lib.siu.edu/theses/1164.
Full textAlessandrini, Aurora Maria <1984>. "Applicazione e confronto tra metodiche non invasive e invasive nello studio delle malattie degli annessi cutanei." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2022. http://amsdottorato.unibo.it/10081/1/TESI%20DOTTORATO%20ALESSANDRINI.pdf.
Full textIntroduction The purpose of the study is to evaluate the diagnostic accuracy of non-invasive instrumental methods, in particular dermoscopy, optical coherence tomography (OCT) and confocal microscopy (RCM), in the skin appendages disorders, compared with invasive methods (biopsy and surgical excision). Materials and methods A prospective observational study was performed in patients belonging to the Outpatient Department of Skin Annexes Diseases, of the Dermatology Unit of the Hospital - University of Bologna IRCCS Policlinico di Sant’Orsola, Department of Specialized Diagnostic and Experimental Medicine (DIMES) of the University of Bologna, lasting three years. The OCT and RCM methods were carried out at the Policlinico di Modena, Dermatology Unit. Evaluated diseases included hair diseases and nail diseases. The first part of the study focused on the study of non-invasive methods, the second part was based on the histological confirmation of the initial diagnostic suspicion. In the third part of the study, a comparison was made between the different methods and an evaluation of their diagnostic accuracy in hair and nail diseases. Results 231 patients were evaluated (135 diagnosed with hair and scalp diseases; 96 with nail diseases). Specifically, we were able to establish a correspondence between the trichoscopic, histological and RCM parameters for frontal fibrosing alopecia, alopecia areata incognita, tinea capitis and chronic lichen simplex. In nail diseases, we evaluated the correlations between onychoscopy and OCT for nail lichen planus, nail psoriasis, onychomycosis and glomus tumor. Conclusions We believe that the study is very useful, as we believe that an even deeper knowledge of non-invasive tools for the early diagnosis of skin annexes diseases is important at various levels, such as for example on diagnosis times and reduction of management costs.
Repath, Charles Fitts. "Evaluating and monitoring invasive plant processes." Thesis, Montana State University, 2005. http://etd.lib.montana.edu/etd/2005/repath/RepathC0505.pdf.
Full textGong, Jian. "Non-invasive forecast for various diseases." Thesis, University of Macau, 2011. http://umaclib3.umac.mo/record=b2493234.
Full textHuff, Eva. "Chronisch nicht invasive Mykosen der Nasennebenhöhlen." Diss., lmu, 2008. http://nbn-resolving.de/urn:nbn:de:bvb:19-92155.
Full textLanternier, Fanny. "Invasive fungal infections and CARD9 deficiency." Thesis, Paris 5, 2013. http://www.theses.fr/2013PA05T082.
Full textInvasive fungal diseases are a major health problem as they are severe infections complicated with high mortality rates and with rising incidence. Invasive fungal diseases occur mainly in patients with acquired immunodeficiencies, but also with primary immunodeficiencies (chronic granulomatous disease, defect in IFN-ϒ/IL-12 axis, congenital neutropenia). However, few patients develop invasive fungal disease without known risk factor. We therefore hypothesized that these infections probably have an unidentified genetic etiology. I studied a cohort of patients who developed invasive fungal diseases without risk factors and searched for a genetic etiology to their infections. The first group of patients presented with deep dermatophytosis without known immunodeficiency. Deep dermatophytosis is a rare, invasive and severe infection where dermatophytes invade dermis, hypodermis, lymph nodes and sometimes deep organs. I could study clinical, immunological and genetic characteristics of 18 patients from nine families who presented deep dermatophytosis. I also studied patients who developed central nervous system (CNS) fungal infections; one patient with CNS Exophiala dermatitidis infection and three patients with CNS Candida spp. infection. Invasive E. dermatitidis infections are rare, with frequent CNS location, mainly reported in patients without known immunodeficiencies, suggesting a potential unknown genetic etiology in these patients. CNS candidiasis are also rare infections usually occuring in preterm neonates or following neurosurgery. Based on literature data previously reporting a large consanguineous Iranian family with CARD9 deficiency that developed chronic mucocutaneous and central nervous system candidiasis; according to candidate gene approach, I sequenced CARD9 in all patients. CARD9 is an adaptor protein expressed by myeloid cells that signals downstream Dectin-1 and Dectin2 that are the main Pattern Recognotion Receptor implicated in antifungal immunity. I identified in all studied patients homozygous CARD9 mutations. Among 18 patients with deep dermatophytosis, 16 had homozygous nonsense Q289X and two homozygous missense R101C mutation in CARD9. I identified R18W, R35Q and R70W homozygous missense mutations in the patients who developed E. dermatitidis and two patients who developed CNS candidiasis, respectively. Transmission was autosomal recessive for all patients, except for the one with E. dermatitidis infection who had an uniparental disomy. In contrast with controls, CARD9 expression is abolished in Q289X, reduced in R70W and normal in R18W patients’ myeloid cells. CARD9 deficient patients whole blood and dendritic cells display a selective response defect to Candida albicans and Saccharomyces cerevisiae ; with IL-6 and TNF-α production impairment after Candida albicans and Saccharomyces cerevisiae stimulation. This defect can explain elective fungal susceptibility of CARD9 deficient patients to invasive fungal infections. This work evidenced that CARD9 deficiency was the main genetic etiology of deep dermatophytosis. It also could evidence that CARD9 deficiency is associated with Exophiala dermatitidis and Candida spp. CNS infections. This susceptibility is associated with proinflammatory cytokines defect by dendritic cells and whole blood to fungal agents. Various fungal clinical phenotypes in CARD9 deficient patients assess CARD9 central role in skin and central nervous system antifungal immunity