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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
121

L’innervation intra-pelvienne : étude anatomique et immuno-histochimique avec reconstruction tridimensionnelle / The intra-pelvic innervation : anatomical and immuno-histochemical study with three-dimensional reconstruction

Alsaid, Bayan 06 May 2011 (has links)
Introduction : L’utilisation des méthodes anatomiques classiques rend difficile la localisationprécise des micro-fibres nerveuses et ne permet pas de déterminer leur nature ni leur fonction.La chirurgie pelvienne est associée à des séquelles urinaires et sexuelles fréquentes causéespar lésion iatrogène des nerfs pelviens. La connaissance de l’anatomie et de la physiologie del’innervation intra-pelvienne est fondamentale pour tenter de réduire le taux de troublesfonctionnels postopératoires.Objectifs : i) étudier l’anatomie topographique et la nature de fibres nerveuses intrapelvienneen utilisant la reconstruction tridimensionnelle des coupes histologiques immunomarquéesii) standardiser la technique de Dissection Anatomique Assistée par Ordinateur(DAAO) et vérifier sa faisabilité sur des sujets adultes et iii) établir grâce à cette technique deDAAO des modèles pédagogiques tridimensionnels afin d’améliorer la compréhension desdysfonctions sphinctériennes et sexuelles survenant après la chirurgie (rectale et prostatique)et d’adapter éventuellement la technique opératoire.Matériel et méthodes : Des coupes histologiques sériées de pelvis ont été réalisées chez septfoetus masculins, sept foetus féminins et six cadavres adultes masculins. Les coupes ont ététraitées par des méthodes histologiques (Hématoxyline-Eosine et trichrome de Masson) etimmuno-histochimiques pour détecter les fibres nerveuses (anti-S100), les fibres somatiques(anti-PMP22), les fibres adrénergiques (anti-TH), cholinergiques (anti-VAChT), sensitives(anti-SP/CGRP) et nitrergiques (anti-nNOS) ainsi que l’actine lisse des sphincters. Les lamesont ensuite été numérisées par un scanner de haute résolution optique et les imagesbidimensionnelles ont été reconstruites en trois dimensions grâce au logiciel WinSurf.Résultats: La reconstruction tri-dimensionnelle des coupes histologiques immuno-marquéesa permis d'identifier l’anatomie topographique et structurelle de l’innervation intra-pelvienne.Les structures nerveuses afférentes du plexus hypogastrique inférieur (PHI) : nerfssplanchniques pelviens (NSP) et nerfs hypogastriques (NH) véhiculent de façon mixte l’influxsympathique et parasympathique pelvien.Les fibres nerveuses issues de la partie distale du PHI sont responsables de la continenceurinaire et de la fonction sexuelle. Elles sont regroupées et associées au pédicule vasculairepour former la bandelette neuro-vasculaire (BNV). Trois efférences principales sont issues decette BNV : i) des fibres antérieures destinées au sphincter urétral, ii) des fibres antérolatérales,par rapport à la prostate et au vagin, constituant le nerf caverneux destiné aux corpscaverneux du pénis/clitoris et iii) des fibres nerveuses postéro-latérales, par rapport à laprostate et au vagin, formant le « nerf spongieux » destiné aux corps spongieux/bulbesvestibulaires.Les communications autonomiques-somatiques entre le PHI supra-lévatorien et le nerfpudendal infra-lévatorien existent à trois niveaux ; proximal, intermédiaire et distal. Lacommunication distale caverno-pudendale est responsable de l’activité érectile segmentaireobservée au sein du nerf dorsal du pénis/clitoris.Conclusion: La DAAO est une méthode originale de recherche anatomique qui a étéprogressivement améliorée au sein de notre unité de recherche. Cette évolution illustre le faitque l'anatomie descriptive est encore une science dynamique. Notre étude a permis dedévelopper des modèles anatomo-physiologiques d’innervation pelvienne contribuant àaméliorer du point de vue morphologique, chirurgical et pédagogique la compréhension derégions anatomiques complexes comme le petit bassin. / Introduction: Classic anatomical methods have limitations in micro determination of nervefibre location. Furthermore, the precise detection of the nerve fibres nature is not possible bymeans of dissection. Pelvic surgery is associated with urinary and sexual consequence causedby iatrogenic damage of the pelvic nerves. Anatomic and physiologic knowledge of the intrapelvicinnervation is essential to reduce the rate of postoperative functional complication.Objectives: i) to study the topographic anatomy and the nature of intra-pelvic nerve fibersusing three-dimensional reconstruction of histological immuno-labeled sections ii)standardize the technique of Computer-Assisted Anatomic Dissection (CAAD) and check itsfeasibility on adult subjects iii) reconstructe three dimensional teaching models to improveunderstanding of urinary and sexual dysfunction occurring after surgery (of rectal and ofprostate) to ameliorate the operative technique.Materials and methods: serial histological sections of pelvic portion were performed inseven male foetuses, seven female foetuses and six adult male cadavers. The sections weretraited by histological methods (Hematoxylin-Eosin and Masson's trichrome) and immunohistochemicalmarker of the nerve fibers (anti-S100), the somatic fibers (anti-PMP22), theadrenergic (anti-TH), cholinergic (anti-VAChT), sensory (anti-SP/CGRP) and nitrergic (antinNOS)fibers and the actin smooth muscles. The slides were then digitized by a scanner ofhigh optical resolution and two-dimensional images were reconstructed in three dimensionsusing WinSurf software.Results: The three dimensional reconstruction of histological immuno-labelled sectionsidentified structural and topographic anatomy of intra-pelvic innervation. The afferencenerves of the inferior hypogastric plexus (IHP): pelvic splanchnic nerves (PSN) andhypogastric nerves (HN) contain both sympathetic and parasympathetic fibers.The nerve fibers from the distal part of the IHP is responsible for urinary continence andsexual function. They are grouped and associated with the vascular pedicle to form theneurovascular bundles (NVB). Efferences of this NVB are distributed in three maindirections: i) anterior fibers the urethral sphincter, ii) anterolateral fibers, compared withprostate / vagina, which constitute the cavernous nerve for the corpora cavernosa of the penis/ clitoris and iii) " spongious nerve”, which is the continuity of posterior-lateral nerve fibers,compared with prostate / vagina, for the corpus spongiosum / vestibular bulbs.Autonomic-somatic communications between supra-lavator IHP and infra-levator pudendalnerve are present at three levels; proximal, intermediate and distal communications. Cavernopudendaldistal communication provides segmental erectile activity of the dorsal nerve of thepenis / clitoris.Conclusion: The CAAD is an original method in anatomical research which has beenprogressively improved. This illustrates the fact that descriptive anatomy is still a dynamicscience. Our study has developed anatomico-physiological models of intra-pelvic innervationcontributing to a better understanding of complex anatomical
122

The impact of size and location of pool fires on compartment fire behaviour.

Parkes, Anthony Richard January 2009 (has links)
An understanding of compartment fire behaviour is important for fire protection engineers. For design purposes, whether to use a prescriptive code or performance based design, life safety and property protection issues are required to be assessed. The use of design fires in computer modelling is the general method to determine fire safety. However these computer models are generally limited to the input of one design fire, with consideration of the complex interaction between fuel packages and the compartment environment being simplified. Of particular interest is the Heat Release Rate, HRR, as this is the commonly prescribed design parameter for fire modelling. If the HRR is not accurate then it can be subsequently argued that the design scenario may be flawed. Therefore the selection of the most appropriate fire design scenario is critical, and an increased level of understanding of compartment behaviour is an invaluable aid to fire engineering assumptions. This thesis details an experimental study to enhance the understanding of the impact and interaction that the size and location of pool fires within an enclosure have upon the compartment fire behaviour. Thirty four experiments were conducted in a reduced scale compartment (½ height) with dimensions of 3.6m long by 2.4m wide by 1.2m high using five typical ventilation geometries (fully open, soffit, door, window and small window). Heptane pool fires were used, located in permutations of three evenly distributed locations within the compartment (rear, centre and front) as well as larger equivalent area pans located only in the centre. This thesis describes the experimental development, setup and results of the experimental study. To assist in the classification of compartment fire behaviour during the experiments, a ‘phi’ meter was developed to measure the time dependent equivalence ratio. The phi meter was developed and configured to measure O₂, CO₂ and CO. The background development, calibration, and experimental results are reported. A review of compartment fire modelling using Fire Dynamics Simulator, has also been completed and the results discussed. The results of this experimental study were found to have significant implications for Fire Safety Engineering in that the size of the fire is not as significant as the location of the fire. The effect of a fire near the vent opening was found to have a significant impact on compartment fire behaviour with the vent located fuel source increasing the total compartment heat release rate by a factor of 1.7 to that of a centrally placed pool fire of the same total fuel area. The assumption that a fire located in the centre of the room provides for the highest heat release rate is not valid for post-flashover compartment fires. The phi meter was found to provide good agreement with the equivalence ratio calculated from total compartment mass loss rates, and the results of FDS modelling indicate that the use of the model in its current form can not be applied to complex pool fire geometries.
123

Možnosti diskusní výukové metody a vliv na rozvoj osobnosti žáka / The possibilities arising from discussion as educational technique and its influence on the development of a pupil's personality

Šlehoferová, Klára January 2011 (has links)
Abstact: The overall objective of this thesis is to draw attention to discussion as a teaching technique. Discussion can be used to develop pupils' abilities, which are necessary for social life. The question: "How do teachers understand this technique and then apply it?", is closely linked to this problem. It is worth mentioning that discussion has very bad connotations in the Czech society. It is mainly due to its representation in media, where discussion is usually shown as a fight of arguments with an arrogant attitude, unethical and self-centred word-tiffs. The only goal is to state one's case very fast and to silence the rival. Where else can a different concept of discussion be seen? Where can we encounter discussion that resembles a dialogue? In my oppinion it is at school. I believe that if discussion is used in the right way at school it can help the society. I consider this as a very current issue and its solution very useful. This thesis is based on an assumption that teachers work with this educational technique in an intuitive way and they do not often take advantage of possibilities offered by the discussion that could develop pupils' personal abilities. The main objective of this thesis is to offer a more extensive theoretical background. It means to define the concept of a discussion with...
124

Poisson hyperplane tessellation: Asymptotic probabilities of the zero and typical cells

Bonnet, Gilles 17 February 2017 (has links)
We consider the distribution of the zero and typical cells of a (homogeneous) Poisson hyperplane tessellation. We give a direct proof adapted to our setting of the well known Complementary Theorem. We provide sharp bounds for the tail distribution of the number of facets. We also improve existing bounds for the tail distribution of size measurements of the cells, such as the volume or the mean width. We improve known results about the generalised D.G. Kendall's problem, which asks about the shape of large cells. We also show that cells with many facets cannot be close to a lower dimensional convex body. We tacle the much less study problem of the number of facets and the shape of small cells. In order to obtain the results above we also develop some purely geometric tools, in particular we give new results concerning the polytopal approximation of an elongated convex body.
125

Material Specific Load Combination Factors for Option 2 FAD Curves

Schaser, Matt Saxon 12 December 2013 (has links)
No description available.

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