Добірка наукової літератури з теми "Nasal defect"

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Статті в журналах з теми "Nasal defect"

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Brajesh, Vimalendu, Aditya Aggarwal, Sukhdeep Singh, Vishal Vora, and Kanika Rana. "Single Stage Nasal Reconstruction in a Near Total Nasal Defect." Indian Journal of Plastic Surgery 53, no. 03 (December 2020): 431–34. http://dx.doi.org/10.1055/s-0040-1721858.

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Abstract Reconstruction of nasal defect is difficult and challenging. A full-thickness defect of nose requires reconstruction of thin inner lining, middle skeletal (bony/cartilaginous) support, and outer skin layer cover. Large full-thickness defects of nose require complex multistage reconstruction to achieve good functional and aesthetic result. We present here a case of 12-year-old boy, a known case of xeroderma pigmentosa, who underwent wide local excision for squamous cell carcinoma of the nose, leaving a near total defect of the external nose. The reconstruction was done with a suprafascial, thin radial artery forearm free-flap for the external cover as well as the inner lining along with the septal cartilage graft for skeletal support in a single stage.
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Ionita, Sabina, and Ioan Lascar. "Clinical study regarding nasal reconstruction methods." Romanian Journal of Rhinology 5, no. 17 (March 1, 2015): 37–44. http://dx.doi.org/10.1515/rjr-2015-0005.

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Abstract BACKGROUND. In present days, there are described many reconstruction techniques for nasal post-traumatic and post-excision total defects, from simple suture to microsurgical free transfer in nasal reconstruction. It is important to follow the defect dimensions, its topography and also its etiology. The nasal aesthetic subunits principle is very important in aesthetic and functional reconstruction of a nasal defect. MATERIAL AND METHODS. The clinical study from this paper was realised on the patients admitted in the Department of Plastic and Reconstructive Surgery of the Emergency Clinical Hospital from Bucharest, between 2012 and 2013. Different determinant factors were studied for the success of nasal reconstruction. It was compared the difference between the reconstruction of the whole nasal subunit, based on aesthetic subunits principle, and the reconstruction of the defect. RESULTS. Although in our clinic the reconstruction of the defect is used in the majority of the cases and rarely the reconstruction based on aesthetic subunits principle, very good results were obtained, with a reduced number of complication and very few relapses. CONCLUSION. The success of the reconstruction depends on multiple factors regarding the type of the defect. The grafts can give very good results in all aesthetic subunits, while the nasogenian flap has good results for the reconstruction of the nasal wing and lobule defects. The frontal flap is the first option for reconstruction of the dorsum nasi with satisfactory results. This paper is supported by the Sectoral Operational Programme Human Resources Development (SOP HRD), financed from the European Social Fund and by the Romanian Government under the contract number POSDRU/159/1.5/137390
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Shelikhovskaia, Mariia A., Fedor A. Syroezhkin, Vasily P. Tipikin, Ksenia V. Vinichenko, Alexandra V. Kulish, and Sofya V. Kovtun. "Allografts for surgery in the closure of nasal septal intraoperative defects." Aspirantskiy Vestnik Povolzhiya 20, no. 1-2 (December 10, 2020): 37–43. http://dx.doi.org/10.17816/2072-2354.2020.20.1.44-48.

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Surgical correction of the deviation of nasal septum is the most frequently performed surgical interventions in Otorhinolaryngology departments. Sometimes such operations can be complicated by an intraoperative defect in the nasal septum, which is not always possible to close with autogenous tissue. Thats why it has become important to use new allogenic transplant materials in the treatment of these defects. The purpose of the study was to evaluate the effectiveness of allografts (allogeneic fascia and allogenic cartilage treated by Alloplant technology) in closure of intraoperative defects of the nasal septum. The treatment was performed to 40 patients aged 2455 who developed defect of the mucous membrane of the nasal septum during the operation for nasal spetum deviation. Patients were randomly divided into two groups of 20 people. The 1st group included patients whose allogenic transplantat materials were used in addition to their own tissues during the closure of the defect. The 2nd group consisted of patients whose autogenous tissues were used during the operation. The data of functional state of the nasal mucosa and the anatomical integrity of the nasal septum of all patients before treatment, one month and one year after the treatment were checked and compared. It was revealed that allografts (allogenic fascia and allogenic cartilage treated by Alloplant technology) demonstrated an anti-inflammatory effect, and their use in closing of intraoperative defects of the nasal septum is more effective. This procedure also accelerates improvement of the functional activity of the nasal mucosa in comparison with the use of autogenous tissues solely.
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Nagaraj, E., PrasadD Krishna, and Manoj Shetty. "Definitive magnetic nasal prosthesis for partial nasal defect." Indian Journal of Dental Research 22, no. 4 (2011): 597. http://dx.doi.org/10.4103/0970-9290.90309.

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Shelesko, E. V., N. A. Chernikova, Yu V. Strunina, S. D. Nikonova, V. A. Okhlopkov, A. D. Kravchuk та N. V. Malevanaya. "Анализ компьютерных томограмм для разработки дифференцированного подхода к пластике дефектов крыши решетчатого лабиринта". Russian Otorhinolaryngology 21, № 1 (2022): 74–84. http://dx.doi.org/10.18692/1810-4800-2022-1-74-84.

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Study of the images before surgery in order to analyze the individual characteristics of the anatomy is the key to a successful surgery. Materials and Methods: Analysis of computed tomography data of 43 patients with defects in the ethmoid roof operated from 2010 to 2020 at the Burdenko National Medical Research Center for Neurosurgery. Patients were divided into two groups according to the localization of the defect and relapses. Results. With anterior defects, the angle between the line drawn through the nasal dorsum and the perpendicular drawn through the center of the defect to the bottom of the cavity is sharper than with posterior ones, p < 0.001. The height from the bottom of the nasal cavity to the ethmoid roof was greater with anterior defects than with posterior defects (p = 0.011). The height from the bottom of the nasal cavity to the cribriform plate with anterior defects is greater than with posterior ones (p = 0.006). When analyzing the ratio of the height of the middle turbinate and the distance from the septum to the orbit and when determining the length of the lattice roof anteriorly or posteriorly from the basal lamella, depending on the location of the defect with the length of the middle turbinate, it was found that the differences were statistically significant (p < 0.05). Conclusions. The posterior parts of the ethmoid roof are more likely to develop iatrogenic defects due to their lower location in relation to the bottom of the nasal cavity. For the correct choice of optics and instruments, the angle between the line drawn through the nasal dorsum and the perpendicular drawn through the center of the defect to the bottom of the nasal cavity matters. A middle turbinate flap can be used to seal both anterior and posterior ethmoid roof defects. The anatomical features of the ethmoid roof do not affect the incidence of relapses.
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Shastri, Karthik S., Yufan Lin, Jessica Scordino, and Carlos D. Pinheiro-Neto. "Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy." Annals of Otology, Rhinology & Laryngology 130, no. 1 (June 24, 2020): 98–103. http://dx.doi.org/10.1177/0003489420935481.

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Background: Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection. Methods: A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Following full thickness resection, reconstruction was performed with a nasoseptal flap (NSF) with attached septal cartilage and vomer in conjunction with a paramedian forehead flap. Extended pedicle dissection into the pterygopalatine fossa allowed the NSF to fully cover the defect. Results: The nasal defect was fully corrected. There was no evidence of flap compromise or nasal valve stenosis at 1 month, 2 month, and 1 year follow-up visits. Conclusions: We present here the first successful application of a composite cartilage-osseous-mucosal NSF for multilayered nasal reconstruction. In appropriate patients, this technique may obviate the need for flaps or grafts from extranasal sources, limiting donor site morbidity.
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Herlong, J. R. "Cryopreservation of cystic fibrosis nasal epithelium." Proceedings, annual meeting, Electron Microscopy Society of America 46 (1988): 88–89. http://dx.doi.org/10.1017/s0424820100102523.

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Cystic fibrosis (CF) is the most common lethal genetic disease which affects Caucasians. The respiratory system is almost universally affected in CF patients, and the basic defect in this organ system as well as in others appears to be an abnormality of the regulation of chloride ion transport; the transport of other ions may also be either primarily or secondarily affected. Both the nasal mucosa and the lower respiratory tracts of CF patients exhibit this defect, but the nasal mucosa is free of the infectious complications common in the lower tract regions. Electron probe x ray microanalysis (EPXMA) promises to be a useful tool in the investigation, at the cellular and subcellular levels, of this ion transport defect as well as possible defects in the transport of other ions. This report documents the development of techniques for obtaining well-preserved cryosections of human nasal mucosa which are suitable for subsequent EPXMA.
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Başağaoğlu, Berkay, Kausar Ali, Pierce Hollier, and Renata Maricevich. "Approach to Reconstruction of Nasal Defects." Seminars in Plastic Surgery 32, no. 02 (May 2018): 075–83. http://dx.doi.org/10.1055/s-0038-1642639.

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AbstractThe nose is the most central and anterior projecting facial feature. Therefore, the presence of a defect is easily noticeable to the untrained eye. Return of the defect to the original form is an achievable end goal of reconstruction, necessitating appropriate reformation of three-dimensional geometry, proper establishment of symmetry, and excellent color and texture match to the adjacent structures. Regarding its physiological importance, disruption of the normal function may cause respiratory obstruction and contribute to patient distress. To achieve successful repair, preoperative preparation must consider the location, the layers involved, and the size of the defect. Prompt and well-organized repair minimizes the occurrence of progressive necrosis and severe late-stage deformity. Here the authors provide a framework to approach various nasal defects and provide a review of the novel ideologies and techniques. The workhorse of nasal repair, the forehead flap, is discussed independently due to the breadth of innovation.
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Lindsey, William H., David A. Franz, James S. Toung, Scott D. London, and Roy O. Ogle. "A Nasal Critical-Size Defect." Archives of Otolaryngology–Head & Neck Surgery 124, no. 8 (August 1, 1998): 912. http://dx.doi.org/10.1001/archotol.124.8.912.

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WAHID, FAZAL I., ADIL KHAN, and IFTIKHAR AHMAD KHAN. "RECONSTRUCTION OF NASAL ALAR DEFECT;." Professional Medical Journal 19, no. 05 (October 8, 2012): 730–34. http://dx.doi.org/10.29309/tpmj/2012.19.05.2332.

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Objective: To assess the outcome of nasolabial flap for ala plasty in patients with alar defect. Design: Descriptive study.Setting: Department of E.N.T, Head & Neck Surgery Postgraduate Medical Institute (PGMI) Lady Reading Hospital (LRH) Peshawar. Period:January 2006 to December 2007. Material & Methods: In this study we included 35 patients. A detailed history and thorough physicalexamination regarding general condition of the patient and specifically E.N.T of the patient with emphasis on the alar soft tissue deformity, bothfrom cosmetic and functional aspect was recorded on preformed proforma. Pre-operative and post-operative photographs were taken aftertaking written consent from all the patients. All procedures were carried out under local infiltrative anesthesia and were covered by intravenousprophylactic antibiotics. These patients were followed at one month, six month and one year intervals. Result: Our study included 35 patients ofnasal ala plasty with superiorly based nasolabial flap. Out of 35 patients 26 (74.29%) were males and 9 (25.71%) were female with female tomale ratio of 1:2.8. Males dominated nasal deformity as males are more exposed to trauma. Average age in males was 47 years (range 24-70years) and in females it was 48.5 years (range 27-70 years). The patients presented with nasal alar deformity in the age range from 25 to 70years, while 19 patients (54.28%) presented during 31 to 50 years of age. Trauma was dominated (n=28, 80%) among the causative factors foralar soft tissue loss in these 35 patients. Twenty-eight (80.00%) patients were fully satisfied both cosmetically and functionally, 04 patients(11.42%) were partially satisfied only cosmetically and 03 patients (8.57%) were not satisfied with their nasal cosmetic improvement andfunctional results. Conclusions: Nasal ala plasty with superiorly based nasolabial flap provide good cosmetic result with minimalcomplications.
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Дисертації з теми "Nasal defect"

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Mafamane, Mariem, О. Г. Аврунін, and M. Y. Tymkovych. "Patient-Specific Methods of Designing for Nasal Prosthetics." Thesis, Кременчуцький авіаційний коледж, 2018. http://openarchive.nure.ua/handle/document/5490.

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To create patient-specific implant it should use some medical imaging techniques, which represent anatomical structures. The implant design techniques are based on a patient's medical data especially imaging data such as X-Ray, CT, MRI, laser scanning,
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Núñez-Castañeda, José Miguel, and Silvana Lucia Chang-Grozo. "Surgical Treatment and Reconstruction of Nasal Defects According to the Aesthetic Subunits Principles." Springer, 2021. http://hdl.handle.net/10757/655882.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
The aim of this study was to determine the prevalence of nasal skin cancer, its location by facial aesthetic subunits and the type of reconstructive procedures performed for each nasal subunit after excision for nasal skin tumors. Observational cross-sectional study of all consecutive patients with the diagnosis of skin tumor located in the nasal unit, treated from 2018 to 2019 by the department of head and neck surgery of a general hospital. 60 patients were treated with nasal skin tumors excisions. A total of 52 patients (86,6%) had basal cell skin cancer, 7 (11,6%) had squamous cell skin cancer and 1 (1,6%) had melanoma. Fifty-nine patients (98.33%) presented a primary tumor and just 1 case (1,66%) recived a previous surgical treatment. Regardless of the type of tumor, the tip subunit was the most often involved with 29 (48,33%) cases in total. Despite of the nasal aesthetic subunit affected, the most frequent type of procedure used for reconstruction was the rotation or advancement flap, based on aesthetic nasal subunits, which was performed in 39 cases (65%). Nasal reconstruction after skin cancer can be very complex, especially since all patients have high expectations about the results. In order to achieve good results, there is a necessity for careful analysis of the defect, correct planning and excellent technical execution of the procedures Frequently, staged procedures will be needed to achieve an optimal result.
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Sun, Yan, and 孙彦. "Wound healing of osteotomy defects prepared with piezo- or conventional surgical instruments in the rabbit." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4961633X.

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Aims: To evaluate and compare the wound healing process following osteotomies performed with either conventional rotary burs or piezoelectric surgery in a rabbit model mimicking access to the maxillary sinus cavity for sinus floor augmentation. Materials and methods: On the nasal bone of 16 adult New Zealand white rabbits, two types of osteotomy window defects of nasal cavities were marked to critical size with a Trephine drill (ø 5 mm) and then prepared with either a conventional rotary bur or piezo-surgery (PIEZOSURGERY® Insert OT5 of PIEZOSURGERY® 3 unit, Mectron s.p.a., Genova, Italy). The defects were covered with a resorbable membrane (Bio-Gide®, Geistlich Pharma AG, Wohusen LU, Switzerland). Four animals were sacrificed at one, two, three and five weeks after surgical procedure, respectively. Histological and morphometric evaluations were performed to assess the volumetric density of various tissue components: the blood clot (BC), vascularized structures (VS), provisional matrix (PM), osteoid, mineralized bone (MB), bone debris (BD), residual tissue, old bone (OB). Results: at the 1 week, more BC detected after piezo- surgical preparation. However, the difference did not reach statistical significance. A tendency of higher proportions of osteoid in the conventional bur defects was noted, but not statistically significant. Significantly more BD was found in the conventionally compared to the piezo-surgically prepared defects. At two weeks, new bone formation was noted, and the process of modeling of the newly formed bone had started. More MB was detected in the defect prepared by piezo-surgery than by conventional bur, but without any statistically significant difference. In the marginal areas of defect, slightly more osteoblasts (Obl) were present in piezo-surgically prepared defect than in conventional prepared defect, although there is no significant difference. At 3 week, a newly formed hard tissue bridge mainly composed of woven bone was seen. A high volumetric density of mineralized bone (MB) presented in all the specimens, At the 5 week, the defects were completely filled with newly formed bone. Conclusion: the defect prepared by piezo-surgery showed a significantly decreased proportion of bone debris at one week compared to conventional rotary bur defect. Increased volumetric densities of mineralized bone were observed in the piezo-surgical compared to the conventional bur defect after two weeks, although not statistically significant. Irrespective of the preparation modality of the defect performed, the defect was almost filled with newly formed bone at three weeks. At five weeks, complete regeneration of the calvaria defects was achieved.
published_or_final_version
Dental Surgery
Master
Master of Dental Surgery
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Utiyama, Daniela Mitiyo Odagiri. "Efeitos do tabagismo e da cessação do tabagismo nos mecanismos de defesa de via aérea, propriedades do muco e inflamação nasal." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5170/tde-19062017-124945/.

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O tabagismo é um problema mundial de saúde pública e é considerado a principal causa de morte evitável no mundo associado com câncer de pulmão, doença pulmonar obstrutiva crônica e infarto agudo do miocárdio. O tabagismo induz alterações morfológicas e funcionais no sistema respiratório. O transporte mucociliar (TMC) é um dos principais mecanismos de defesa do sistema respiratório que pode ser alterado com a fumaça e outros produtos do cigarro. O objetivo desse estudo foi avaliar os efeitos do tabagismo e da cessação do tabagismo no TMC nasal, nas propriedades do muco e sobre marcadores inflamatórios. Trinta e três indivíduos tabagistas foram incluídos no estudo após concordância com o termo de consentimento livre e esclarecido. O recrutamento de voluntários foi realizado na Faculdade de Medicina da Universidade de São Paulo (FMUSP) e no Ambulatório de Cessação do Tabagismo da Disciplina de Pneumologia do Hospital das Clínicas da FMUSP. As variáveis desfecho foram o TMC nasal analisado por meio do teste de trânsito da sacarina, as propriedades do muco por meio do ângulo de contato e da transportabilidade da tosse por alto fluxo e a quantificação de células inflamatórias e concentração de interleucinas (IL)-6 e IL-8 em lavado nasal. Vinte cessadores (idade média: 51 anos, 9 do sexo masculino) foram avaliados no tempo basal do estudo, 1o mês, 3o mês e 12o mês de cessação do tabagismo e 13 tabagistas (média de idade: 52 anos, 6 do sexo masculino) foram avaliados no tempo basal e 12 meses após o basal. As características demográficas, hábito tabágico inicial e morbidades de tabagistas e de cessadores foram similares. No tempo basal do estudo, os tabagistas e cessadores apresentaram disfunção do TMC nasal (17,9 ± 10,1 min e 17,4 ± 7,7 min, respectivamente, p=0,880). A cessação do tabagismo induziu melhora significativa do TMC nasal no 1o mês, 3º mês e 12o mês em 63%, 76% e 85% dos indivíduos, respectivamente. Somente aos 12 meses, foi possível observar melhora na transportabilidade do muco por alto fluxo (~ 23%), porém com aumento do número de macrófagos (2x) em lavado nasal. Não observamos alterações no ângulo de contato do muco e nas concentrações de citocinas em lavado nasal. Concluímos que a cessação do tabagismo induz melhora rápida no TMC nasal, porém melhora nas propriedades do muco foi observada somente após 12 meses de cessação do tabagismo
Smoking is a health problem in the world. It is considered a main cause of preventable death and is associated with lung cancer, chronic obstructive pulmonary disease and myocardium infarction. Smoking induces morphological and functional changes in the respiratory system. Mucociliary clearance (MCC) is one of the main defense mechanisms of the respiratory system that can be affected by smoke and other cigarette products. The aim of this study was to assess the effects of smoking and smoking cessation on nasal MCC, mucus properties and inflammatory biomarkers. Thirty three smokers were included in this study after agreement with the written informed consent. Subject´s recruitment was performed at Faculdade de Medicina da Universidade de São Paulo (FMUSP) and Ambulatório de Cessação do Tabagismo da Disciplina de Pneumologia do Hospital das Clínicas da FMUSP. The outcome variables were nasal MCC evaluated by saccharin transit test, mucus properties using contact angle and mucus transportability by high airflow and quantification of inflammatory cells number and interleukin (IL)-6 and IL-8 in the nasal lavage fluid. Twenty volunteers in the smoking cessation program (mean age: 51 years, 9 male) were assessed at baseline, month 1, month 3 and month 12 after of the smoking cessation and 13 smokers (mean age: 52 years, 6 male) were assessed at baseline and 12 months after baseline. Demographic characteristics, smoking history and morbidities were similar between the two groups. At baseline, smokers showed impaired nasal MCC (17.9 ± 10.1 min and 17.4 ± 7.7 min, respectively, p=0.880). Smoking cessation significantly improved nasal MCC at 1 month, 3 months and 12 months in 63%, 76% and 85% of the subjects, respectively. Only after 12 months of smoking cessation, improvement in mucus transportability by high airflow (~ 23%) was observed, however, with increased number of macrophages (2-fold) in nasal lavage fluid. No changes were observed in mucus contact angle and cytokines concentrations in nasal lavage fluid. We concluded that smoking cessation induces rapid improvement in nasal MCC, however, improvement in mucus properties were observed only after 12 months of smoking cessation
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Rodrigues, Fernanda Maria Machado. "Tabagismo e mecanismos de defesa : resposta imune e transporte mucociliar /." Presidente Prudente, 2012. http://hdl.handle.net/11449/87308.

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Orientador: Ercy Mara Cipulo Ramos
Banca: Dionei Ramos
Banca: Renata Calciolari Rossi e Silva
Resumo: Introdução: O tabagismo é uma pandemia que causa inúmeros malefícios à saúde, dentre eles estão o aumento da inflamação sistêmica e o prejuízo do transporte mucociliar. Ambos colaboram para o aumento da frequência ou da severidade de infecções respiratórias em indivíduos com e sem doenças pulmonares crônicas tabaco relacionadas. A cessação tabagística é capaz de trazer benefícios, mas não se está bem estabelecido o comportamento dos marcadores inflamatórios nesta condição. Além disso, os efeitos da intensidade tabagística no prejuízo do transporte mucociliar também não foram completamente elucidados. Objetivo: Avaliar o comportamento sistêmico e local de marcadores inflamatórios em 30 dias de abstinência tabagística além dos efeitos das intensidades de consumo tabagístico no transporte mucociliar de tabagistas ativos. Métodos: Foram avaliados tabagistas participantes de um Programa de cessação... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Introduction: Smoking is a pandemic that causes numerous health hazards, including increased systemic inflammation, impaired mucociliary clearance and increased frequency or severity of respiratory infections in individuals with and without chronic lung diseases related to tobacco. Smoking cessation can bring benefits, but is not well established the inflammatory markers' behavior at such condition. Besides that, the effects of the cigarette consumption intensity on impairment of mucociliary clearance have not been fully investigated. Aim: To evaluate the systemic and local behavior of the inflammatory markers at 30 days of smoking abstinence besides the effects of tobacco consumption intensities on mucociliary clearance of active smokers. Methods: We evaluated smokers participating in a smoking cessation program, who were... (Complete abstract click electronic access below)
Mestre
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Rodrigues, Fernanda Maria Machado [UNESP]. "Tabagismo e mecanismos de defesa: resposta imune e transporte mucociliar." Universidade Estadual Paulista (UNESP), 2012. http://hdl.handle.net/11449/87308.

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Made available in DSpace on 2014-06-11T19:22:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-12-15Bitstream added on 2014-06-13T19:28:13Z : No. of bitstreams: 1 rodrigues_fmm_me_prud.pdf: 502287 bytes, checksum: 9bce003f664294f683d849f570abca71 (MD5)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Introdução: O tabagismo é uma pandemia que causa inúmeros malefícios à saúde, dentre eles estão o aumento da inflamação sistêmica e o prejuízo do transporte mucociliar. Ambos colaboram para o aumento da frequência ou da severidade de infecções respiratórias em indivíduos com e sem doenças pulmonares crônicas tabaco relacionadas. A cessação tabagística é capaz de trazer benefícios, mas não se está bem estabelecido o comportamento dos marcadores inflamatórios nesta condição. Além disso, os efeitos da intensidade tabagística no prejuízo do transporte mucociliar também não foram completamente elucidados. Objetivo: Avaliar o comportamento sistêmico e local de marcadores inflamatórios em 30 dias de abstinência tabagística além dos efeitos das intensidades de consumo tabagístico no transporte mucociliar de tabagistas ativos. Métodos: Foram avaliados tabagistas participantes de um Programa de cessação...
Introduction: Smoking is a pandemic that causes numerous health hazards, including increased systemic inflammation, impaired mucociliary clearance and increased frequency or severity of respiratory infections in individuals with and without chronic lung diseases related to tobacco. Smoking cessation can bring benefits, but is not well established the inflammatory markers' behavior at such condition. Besides that, the effects of the cigarette consumption intensity on impairment of mucociliary clearance have not been fully investigated. Aim: To evaluate the systemic and local behavior of the inflammatory markers at 30 days of smoking abstinence besides the effects of tobacco consumption intensities on mucociliary clearance of active smokers. Methods: We evaluated smokers participating in a smoking cessation program, who were... (Complete abstract click electronic access below)
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Lambert, Nicholas A. "The influence of the submarine on naval strategic thinking 1898-1914." Thesis, University of Oxford, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333187.

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Westphal, Raymond William. "Naval defence policy & the House of Commons : a study of parliamentary commentary over naval issues, 1919-1929." Thesis, University of Exeter, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.418811.

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Soomsalu, Gert. "Estonia in Baltic naval cooperation : business as usual?" Thesis, Försvarshögskolan, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:fhs:diva-9486.

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Since the re-establishment of Estonian navy, Baltic naval cooperation has played various roles for the Estonian navy. During different periods, Estonian involvement in cooperation has been fluctuating and in 2014, Estonia decided to withdraw from afloat cooperation, yet continuing with other forms of it. In 2018, Estonia proposed new concept and goals for Baltic Naval cooperation. To better understand the current state of affairs, the main motives behind Estonia’s acting in cooperation from establishing the cooperation until today are studied and presented. The main aim of this thesis is high-light which factors are favourable to carry out the ideas presented in the concept for future cooperation, Baltic Naval Vision 2030+. Results show that there are factors indicating favourable conditions to carry out the plans, nevertheless, there are also factors less favourable. The most salient favouring factor is the strategic culture which is similar in Baltic countries, the most salient hindering factor is lack of top-down political support.
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10

Munguengue, Suraia da Conceição. "Desafios de defesa nacional: o Mar angolano e os contributos do poder naval (2002-2016)." Master's thesis, Instituto Superior de Ciências Sociais e Políticas, 2018. http://hdl.handle.net/10400.5/15337.

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Анотація:
Tese de Mestrado em Estratégia
A dissertação tem como objectivo identificar e discutir os Desafios de Defesa Nacional no Mar Angolano, após o fim da guerra civil, e compreender de que forma o Poder Naval, enquanto principal instrumento de força do Estado naquele espaço, pode contribuir para garantia da Defesa Nacional. Analisamos os constrangimentos que se impõem ao mar, durante o período de 2002 a 2016, sendo identificados como principais e com impactos, negativos directos, a soberania nacional: a pirataria marítima, imigração e pesca ilegal, ameaças militares externas, delimitação das fronteiras marítimas e alargamento da Plataforma Continental. Durante o período de guerra civil (1975-2002), a estratégia de Defesa Nacional, esteve centrada na garantia de inviolabilidade das fronteiras terrestres onde o conflito foi mais latente influenciando maiores investimentos ao Exército e Força Aérea Nacional, ficando a Marinha de Guerra sem um Poder Naval desadequando à dimensão do mar (1650km de extensão), tornando-se este vulnerável a diversas ameaças há décadas. Garantia da defesa do Mar Angolano, tornou-se uma prioridade e um desafio contemporâneo para o Estado, visando a preservação da sua integridade física e sua acessibilidade, pelo o facto daquele espeço ser uma via de comunicação e de entrada directa e estratégica para o espaço terreste nacional. Para o alcance desses objectivos, fizemos a articulação entra vários conceitos como Estratégia, Segurança e Defesa Nacional e Poder Naval, interligado aos de Economia, Política Externa. Tal articulação, permitiu fazer uma análise evolutiva do Poder Naval Angolano, e de que forma este poderá contribuir para a Defesa Nacional e afirmação do país como potência militar regional em África.
This dissertation aims to identify and discuss the National Defense Challenges in the Angolan Sea, after the end of the civil war, and to understand how the Naval Power, as the main force of the State in that space, can contribute to the Defense the National. We analyze the constraints that are imposed on the sea during the period from 2002 to 2016, with national sovereignty identified as the principal and with direct negative impacts: maritime piracy, immigration and illegal fishing, external military threats, delimitation of maritime borders and enlargement of the Continental Shelf. During the period of civil war (1975-2002), the National Defense strategy focused on guaranteeing the inviolability of the land borders where the conflict was more latent, thus influencing greater investments in military force devices to the Army and National Air Force, leaving the Navy without a naval power that is inappropriate for the size of the sea (1650 km), making it vulnerable to several threats for decades. To achieve these objectives, we have articulated various concepts such as Strategy, Security and National Defense and Naval Power, complementing those of the Economy, Foreign Policy. This articulation allowed for an evolutionary analysis of the Angolan Naval Power, and how it could contribute to the National Defense and affirmation of the country as a regional military power in Africa.
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Книги з теми "Nasal defect"

1

Defeat of the wolf packs. Novato, CA: Presidio, 1987.

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2

Goodman, David C. Spanish naval power, 1589-1665: Reconstruction and defeat. Cambridge: Cambridge University Press, 1997.

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3

Sarty, Roger Flynn. The maritime defence of Canada. [Toronto]: Canadian Institute of Strategic Studies, 1996.

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4

Defeat of the wolf packs. London: Kimber, 1986.

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5

Syrett, David. The defeat of the German U-boats: The Battle of the Atlantic. Columbia, S.C: University of South Carolina Press, 1994.

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6

Convoy protection: The defence of seaborne trade. London: Arms and Armour, 1993.

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7

Lace, William W. Defeat of the Spanish Armada. San Diego, CA: Lucent Books, 1997.

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8

Chung, Ong Chit. The landward defence of Singapore, 1919-1938. Singapore: Centre for Advanced Studies, National University of Singapore, 1988.

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9

The defeat of the Spanish Armada. London: Penguin, 1990.

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10

Mattingly, Garrett. The defeat of the Spanish Armada. London: The Folio Society, 2002.

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Частини книг з теми "Nasal defect"

1

Wang, Zheng-cai, and Jian-min Yao. "Repair of Nasal Defect." In Atlas of Cleft Lip and Palate & Facial Deformity Surgery, 317–31. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-4419-4_20.

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2

Liu, Kai, and Choi Jong-Woo. "Reconstruction of Total Nasal Defect." In Atlas of Lip and Nose Plastic and Cosmetic Surgery, 197–206. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-1911-3_20.

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3

Ponte, Pedro, João Goulão, and José Rosa De Almeida. "Contralateral Nasolabial Flap for a Large Nasal Defect." In Reconstructive Conundrums in Dermatologic Surgery, 19–22. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch4.

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4

Behroozan, Daniel S., and Leonard H. Goldberg. "Combined Linear Closure and Burow's Graft for a Dorsal Nasal Defect." In Reconstructive Conundrums in Dermatologic Surgery, 1–8. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch1.

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Pontes, Luciana Takata, Leonard H. Goldberg, Adam J. Mamelak, and Arash Kimyai-Asadi. "Nasal Dorsum Transposition Flap for Closure of an Alar Rim Defect." In Reconstructive Conundrums in Dermatologic Surgery, 169–73. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch28.

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6

Redondo, Pedro. "Advancement Flap in the Reconstruction of a Lateral Nasal Sidewall Defect." In Reconstructive Conundrums in Dermatologic Surgery, 31–34. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch6.

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Kaufman, Andrew J. "Reconstruction of a Surgical Defect Involving the Nasal Ala and Alar Crease." In Reconstructive Conundrums in Dermatologic Surgery, 145–50. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch24.

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8

LoPiccolo, Matteo C., and David J. Kouba. "Single-Stage Reconstruction of a Combined Upper Lip and Nasal Ala Defect." In Reconstructive Conundrums in Dermatologic Surgery, 163–67. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch27.

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9

Cherpelis, Basil S., and J. Lauren Carls. "One-Stage Reconstruction of a Full-Thickness Nasal Defect Involving the Alar Rim." In Reconstructive Conundrums in Dermatologic Surgery, 151–56. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch25.

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Bickle, Kelly, and Richard G. Bennett. "Combined Hinge Flap Full-Thickness Skin Graft for a Through-and-Through Nasal Defect." In Reconstructive Conundrums in Dermatologic Surgery, 75–78. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118294956.ch13.

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Тези доповідей конференцій з теми "Nasal defect"

1

Harman, Katharine, Suzanne Crowley, Michael Waller, Eric Alton, and Jane Davies. "Is there a secondary defect in CFTR in the nasal epithelium of patients with primary ciliary dyskinesia?" In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa950.

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2

van Valkenburg-Haarst, Tanja Y. C., Wilbert L. van Norden, Hilderick A. van der Meiden, and Koen P. A. ten Holter. "Deployment optimization of electro-optical sensor systems for naval missions." In Security + Defence, edited by David A. Huckridge and Reinhard R. Ebert. SPIE, 2010. http://dx.doi.org/10.1117/12.864829.

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3

Adomavičius, R. "Klaipėda (Memel) naval fort – museum." In DEFENCE SITES: HERITAGE AND FUTURE 2012. Southampton, UK: WIT Press, 2012. http://dx.doi.org/10.2495/dshf120021.

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4

Petrić, Jean, David Bowes, Tracy Hall, Bruce Christianson, and Nathan Baddoo. "The jinx on the NASA software defect data sets." In EASE '16: 20th International Conference on Evaluation and Assessment in Software Engineering. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2915970.2916007.

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Barbero, Juan M. Revuelta, Roberto M. Soriano, Rima S. Rindler, David P. Bray, Eduardo J. Medina, Edoardo Porto, Emily Barrow, Clementino A. Solares, and Gustavo Pradilla. "Purely Nasal Floor Mucosa Free Graft for EEA Transellar Postoperative Defects." In 31st Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1743981.

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Stange, T. "Investigations on the subjective assessment of the size of nasal septal defects." In Abstract- und Posterband – 91. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Welche Qualität macht den Unterschied. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1711379.

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Davies, J. D. "The Naval Dockyards Society: the first fifteen years." In DEFENCE SITES: HERITAGE AND FUTURE 2012. Southampton, UK: WIT Press, 2012. http://dx.doi.org/10.2495/dshf120011.

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Bekers, W., R. De Meyer, and T. Strobbe. "Shape recognition for ships: World War I naval camouflage under the magnifying glass." In DEFENCE HERITAGE 2016. Southampton UK: WIT Press, 2016. http://dx.doi.org/10.2495/dshf160151.

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9

Gunn, J. B. "The history and legacy of the United States Naval Communication Station in Thurso, Scotland." In DEFENCE HERITAGE 2014. Southampton, UK: WIT Press, 2014. http://dx.doi.org/10.2495/dshf140281.

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10

Heley, D. "The Duqm Naval Dockyard - A Naval Yard for Oman." In International Conference on Marine Engineering and Technology Oman. London: IMarEST, 2019. http://dx.doi.org/10.24868/icmet.oman.2019.021.

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The creation of the Duqm Naval Dockyard (DND) Joint Venture between Babcock International Group and the Oman Drydock Company (ODC) in November 2016 was quickly followed by company incorporation in June 2017. DND combines the well-honed skill sets of ODC and Babcock to establish a focussed warship repair and maintenance facility within the broader commercial Port of Duqm. The latter serves as a secure logistics and supply hub in a deep water port adjacent to the dockyard. Thus, in one location, Duqm provides the facilities of both a naval base and a naval dockyard. This combination has been successfully tested through a number of contracts to date, and the UK-Omani bilateral defence exercise, Saif Sareea, in the autumn of 2018, successfully tested the UK’s concept of ‘Defence Hub Duqm’. In the last 6 months, both the UK , and the US Governments have signed Defence and Strategic agreements with the Sultanate which specifically mention the importance of a repair and logistics hub at Duqm. The dockyard has state of the art infrastructure, with two graving docks capable of docking Ultra Large Crude Carriers and Warships. Since June 2017, DND has completed a number of successful and complex repairs on warships and auxiliaries from both the USN and the RN, including the complex drydocking and repair of a US Military Sealift Command aluminium catamaran. DND is now being looked at by a number of navies as an ideal maintenance and repair hub for their operations in the Middle East and beyond. A deep-water, purpose built facility, Duqm sits astride the ‘Global Energy Interstate’ of the Indian Ocean and Gulf. Ships utilising Duqm can access the Straits of Hormuz, the Bab El Mendaab and Gulf of Aden, and the East African seaboard with ease. Equally, ships at Duqm have easy access to the Gulf of Arabia without being tied to maintenance and repair facilities within the Gulf itself. The location of the port also offers unrivalled force protection and security for visiting warships. Looking ahead, the intention for both ODC and DND is to embark on a shipbuilding programme at the repair yard, to include the construction of offshore support vessels and warships. This will be the first such facility in the Sultanate, and aligns with the latter’s Five Pillars of Economic Diversification , in which Duqm (and SEZAD) will play such an important part.
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Звіти організацій з теми "Nasal defect"

1

Caron, Roger. Improving Management of Pediatric Patients with Attention- Deficit/Hyperactivity Disorder at Naval Medical Center Portsmouth. Fort Belvoir, VA: Defense Technical Information Center, April 2004. http://dx.doi.org/10.21236/ada432228.

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