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Rinoplastia estrutural com cartilagem costal em pacientes de hanseníaseNaves, Marcell de Melo 11 April 2013 (has links)
Introduction: Social reintegration is one of the most challenge for those affected by saddle nose deformity due to leprosy. The nasal reconstruction becomes extremely important in the rehabilitation of disfigured victims. This study aimed to describe the technique of structural rhinoplasty with autologous costal cartilage for nasal reconstruction in patients with saddle nose deformity due to leprosy and evaluate the aesthetic results, functional and patient.
Methods: A descriptive study was conducted evaluating 10 patients with lepromatous leprosy, who had saddle nose, followed at the National Reference Center for Sanitary Dermatology and Leprosy (CREDESH) / HC / UFU, who underwent structural rhinoplasty with costal cartilage graft, which had already been discharged from polychemotherapy and there were at least one year without leprosy reaction. Results: The preoperative symptoms were, more common, aesthetic complaints and nasal obstruction (100%), followed by nasal crusting (80%), epistaxis (70%) and nasal whistling (20%). After surgery, there was an improvement in nasal obstruction in 70% of patients, nasal crusts in 87.5%, and epistaxis in 85.7% of patients. Corrections of external nasal valve dysfunction were achieved in 100% of patients. Columellar retraction and asymmetry of the nasal tip were observed in 80% and 90% of patients. In total, 62.5% and 55.5% of patients showed improvement after surgery, respectively. The increase of the nasal dorsum was performed with en block graft of costal cartilage, and diced cartilage wrapped in fascia. The resorption and diversion of cartilage grafts were minimal and did not result in significant changes in patient satisfaction. Conclusion: structural rhinoplasty with costal cartilage grafts permits a good quantity of cartilage in the manufacture of allowing a safe nasal reconstruction of the saddle nose due to leprosy. The use of diced cartilage wrapped with temporal fascia increased the nasal dorsum in patients with saddle nose by leprosy and showed a lower risk of twisting and allowed a more natural appearance to the nasal dorsum with satisfactory result. The septal L-strut reconstruction was essential in structuring the nose leading to good functional outcome, improvement of nasal patency, as well as decreased postoperative scar retraction at the post-operative time. According to the degree of satisfaction, patients reported improvement in quality of life and greater social acceptance due to good functional and aesthetic results with increased nasal patency. / Introdução: A reintegração social é o maior desfio para aqueles afetados pela deformidade de nariz em sela devido a hanseníase. A reconstrução nasal torna-se extremamente importante na reabilitação dos doentes desfigurados. Este trabalho teve por objetivo descrever a aplicação da técnica de rinoplastia estrutural com enxerto autólogo de cartilagem costal para reconstrução nasal de pacientes com nariz em sela devido à hanseníase e avaliar os resultados estéticos, funcionais e de satisfação do paciente.
Casuística e Métodos: Um estudo descritivo foi realizado avaliando-se 10 pacientes com hanseníase virchowiana, que apresentavam nariz em sela, acompanhados no Centro de Referência Nacional em Dermatologia Sanitária e Hanseníase (CREDESH)/HC/UFU, e que foram submetidos a rinoplastia estrutural com enxerto de cartilagem costal, que já haviam recebido alta da poliquimioterapia e estavam há pelo menos um ano sem reação hansênica. Resultados: Os sintomas pré-operatórios mais comuns foram obstrução nasal e queixas estéticas (100%), seguidos por crostas nasais (80%), epistaxe (70%) e sibilos nasais (20%). Após a cirurgia, houve uma melhora da obstrução nasal em 70% dos pacientes, das crostas nasais em 87,5%, e da epistaxe em 85,7% dos pacientes. Correções das disfunções da valva nasal externa foram alcançadas em 100% dos pacientes. Retração columelar e assimetria da ponta nasal foram observados em 80% e 90% dos pacientes. No total, 62,5% e 55,5% dos pacientes mostraram melhora após a cirurgia, respectivamente. O aumento de dorso foi realizado com enxerto em bloco de cartilagem costal e o enxerto de cartilagem picada enrolado em fáscia. A reabsorção e desvio dos enxertos de cartilagem foram mínimos e não resultaram mudanças significantes na satisfação dos pacientes.
Conclusão: A rinoplastia estrutural com enxerto de cartilagem costal permitiu que houvesse uma quantidade suficiente de cartilagem para a confecção dos enxertos, permitindo uma estruturação de maneira segura com reconstrução das estruturas do nariz em sela devido à hanseníase. A utilização do enxerto de cartilagem costal picada coberta por fáscia temporal para aumento do dorso nasal nos pacientes com nariz em sela por hanseníase apresentou menor risco de torção da cartilagem e permitiu um aspecto mais natural ao dorso nasal com resultado estético satisfatório. A reconstrução do suporte em L septal foi fundamental para a estruturação do nariz levando a bom resultado funcional, pela melhora da permeabilidade nasal, assim como a diminuição da retração cicatricial no pós operatório.Quanto ao grau de satisfação, os pacientes referiram melhora da qualidade de vida e maior aceitação social devido ao bom resultado estético e funcional com aumento da permeabilidade nasal. / Mestre em Ciências da Saúde
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Návrh souboru průpravných cviků pro jezdce v jezdectví / A Proposal of a Training Exercise Set for Horseback Riders.KNOBOVÁ, Gabriela January 2009 (has links)
This thesis concentrates on compiling a set of exercises which should serve beginner riders as training, muscle-developing and stretching exercises. The work may be divided into three basic parts. Compilation of exercises with respect to the theoretical knowledge of a rider's movements on a horse. Choice of a suitable group of contenders for the experiment and testing their physical abilities with a set of motoric tests. Check-out measuring of changes in movement abilities after fourteen weeks of checking the efficiency of the proposed set of exercises. The project also contains the horseback riding theory and the theory of developing and stretching particular muscle groups. In the final part of the thesis the gathered data are presented in charts and their values, after their statistic evaluation, transfered into graphs.
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Effet de la posture sur la performance et la prévention des blessures en cyclisme. Apport de la modélisation musculo-squelettique / Effects of posture on performance and prevention of injury in cycling. Insights from a musculoskeletal modeling approachMénard, Mathieu 13 October 2016 (has links)
La performance sportive et la prévention des blessures en cyclisme sont étroitement liées à l'amélioration des capacités physiques, de la technique gestuelle ainsi qu'à l'optimisation du matériel utilisé.Dans ce contexte, nous avons étudié l'influence du recul de selle sur l'efficacité du mouvement de pédalage ainsi que sur les efforts internes au niveau du genou. Une approche de modélisation musculo-squelettique a été développée afin de quantifier indirectement les forces musculaires et articulaires exercées à partir de mesures externes cinématiques et dynamiques. Un intérêt tout particulier a été porté sur l'adéquation entre les mesures des efforts extérieurs, le modèle anthropométrique et les mesures cinématiques afin de diminuer les incohérences dynamiques associées à un système surdéterminé.A partir de ces mesures, les effets du recul de la selle sur la performance ont été évalués à travers l'indice d'efficacité de la force produite à la pédale et un nouvel indice, basé sur le travail mécanique externe. Les résultats ont montré qu'un positionnement de la selle plus reculé augmente l'efficacité du mouvement de pédalage.Concernant la prévention des blessures, notre analyse s'est portée sur l'effet du recul de selle sur deux troubles musculo-squelettiques (TMS) fréquents en cyclisme : le syndrome fémoro-patellaire et le syndrome de la bandelette ilio-tibiale. Nos résultats ont montré que le recul de selle ne modifie pas les forces fémoro-patellaires communément incriminées dans la survenue de ce syndrome. Par ailleurs, une position plus reculée augmente les forces fémoro-tibiales de compression par le biais notamment de la contraction excentrique des muscles ischio-jambiers. Bien que le syndrome de la bandelette ilia-tibiale soit classiquement décrit comme un syndrome de friction (syndrome de l'essuie-glace), le calcul de la force d'interaction entre la bandelette iliotibiale et l'épicondyle fémoral a montré que la compression est le facteur discriminant dans le pathoméchanisme. L'approche méthodologique de simulation développée dans ce cadre possède par ailleurs un fort potentiel afin de corriger les défauts techniques, d'optimiser les réglages matériels et améliorer la prise en charge thérapeutique des TMS.Plus généralement, les développements méthodologiques et implications cliniques issus de ces travaux trouvent des applications directes dans le milieu du cyclisme mais aussi dans l'étude de nombreuses activités sportives (notamment sur ergomètre) du point de vue de la performance, de la prévention des blessures et de la rééducation. / Performance and prevention of injuries in cycling are closely linked to the optimisation of individual's physical capacity and technique as weil as sport equipment.In this context, we have studied the influence of saddle setback on the effectiveness of pedalling and on knee joint loads. A musculoskeletal modelling was developed to estimate muscle and joint forces from experimental kinematic and dynamic measurements. We first focused on the adequacy between sensors data, anthropometrie model and kinematic measurements to obtain dynamically consistent input data.Then, the effect of sadd le setback on perforn1ance was evaluated through the index of pedal force effectiveness and a new index based on extemal mechanical work. Results have showed that a more backward sadd le position increases the effectiveness of pedalling.As regards to in jury prevention, our analysis focused on the effect of the saddle setback on two knee injuries commonly observed in cycling: the patellofemoral syndrome and iliotibial band syndrome. Our results showed that saddle setback do not influence patellofemoral joint forces that are usually linked to this syndrome. Moreover, a more backward saddle position increases tibiofemoral compression forces due to increasing eccentric contraction of the hamstrings.Commonly described as a friction syndrome, the computation of interaction force between iliotibial band and lateral femoral epicondyle have showed that the compression was the discriminating factor in the occurrence of the syndrome. The simulation approach developed here could be used as an additional tool to help correct potentially hartnful sport techniques, optimise equipment setup/design and improve the treatment of injuries.More generally, this thesis brings new methodological improvements and clinical implications that have broader applications on sport perfortnance, injury prevention and rehabilitation.
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Polyfunkčný dom / Mixed-use buildingHerceg, Jaroslav January 2018 (has links)
The subject of master thesis is new building of mixed-use building in the cadastral area Brno city part Černá Pole in a row of residential buildings. The building is designed with five storeys with one underground and 4 aboveground floors. The property is located in a sloping terrain. There are garages with a capacity of 18 parking spaces in underground floor and a technical room. On the first floor there are business premises and the background of the apartment building. From the second to fourth floor there are flats. The main entrance to the building is north-facing.
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Penzion ve Skalici / The family hotel in SkalicaMoronga, Jozef January 2019 (has links)
The diploma thesis deals with the elaboration of the project documentation of the construction of the accommodation facility. Thecapacity of theboardinghouse is 32 beds. Thebuildingisdividedinto 3 parts, accommodatedwiththree-storeyeddining, accommodatedtwo-storey, single-familyhouse. On the first floor there is a main entrance, reception, dining with backgrounds. On the first floor there is also a room for people with limited mobility. On the second and third floor there are guest rooms. The second floor is accommodation for staff. The building is bricked with a saddle and canopy roof. The project was processed using the AutoCAD software.
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Vícelodní průmyslová hala / Multibay industrial hallHrabovská, Kristýna January 2020 (has links)
The principal aim of this thesis is to design two possible options for the steel structure of a new multibay industrial hall located in Slavkov u Brna. An overhead crane with load capacity of 12.5 metric tons will by situated in one of the bays. The hall has a rectangular shape with dimensions of 63x48 meters, each of the two bays has dimensions of 63x24 meters, a height of 11.5 meters and a saddle roof with an angle of slope 10°. Both of the options have the same layout design, the only difference is that option 1 has columns with truss girders while option 2 has a transversal frame with a haunch. The first option was selected because it is more economical due to material savings and is design developed in a greater detail. The permanent load on the building is considered and includes the weight of the steel structure, panels and the weight of crane runway. The variable load is also considered due to the live load, snow load, wind load, the crane, and their combination. Steel S235 is used as the construction material.
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Motorest / Rest houseNovotná, Michala January 2013 (has links)
Master´s thesis topic is a rest house. The house is projected in a Porotherm system. The house has a basement and three floors. The basement is built from concrete form-pieces. The kind of the roof is the saddle foof with 12°ramp. All constructions correspond to ČSN 73 0540.
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Testování a optimalizace iontového zdroje / Testing and optimization of an ion sourceGlajc, Petr January 2014 (has links)
A thorough description of the testing of a saddle-field ion source is presented in the diploma thesis. The most important experimental results, such as Faraday cup measurements of the ion beam current profile and of the ion energy spectra, are included. Based on these results it is shown that the optimized ion source works correctly and according to the expectations. At the end of the thesis, the development of the ion-optical and construction design of the focusing optics is described. The manufactured optics assembly attached to the ion source is also shown.
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Penzion / GuesthousePetrlík, Daniel January 2017 (has links)
The subject of this diploma thesis is a project of guesthouse. The building is situated in moderate slope terrain in cadastral territory Hlinsko v Čechách. Guest house capacity is 46 beds. Guesthouse has three floors and is designed from the structural system Porotherm. The ceilings are made of reinforced concrete joined with stiffening reinforced concrete wreath. The roofs of the house are built as saddle roof. In the first floor there is located main entrance, reception desk and restaurant with facilities. In the second and third floor there are rooms for guests
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Horský hotel / Mountain hotelChrobočková, Nikola January 2017 (has links)
The topic of dissertation is project of two- storey mountain hotel in Horní Bečva. Mountain hotel will be used for accommodation and STRAVOVÁNÍ. In basement are four hotel rooms connected by corridor with access to clubroom, fitness room, lounge, sauna and staircase, which is connecting basement and ground floor. In the basement are also rooms for employees, which are office, laundry storage room and cleaning room. In ground floor are rooms for guests, as restaurant, bar, conference room, WC and bicycle and ski room. There are also rooms for employees with separate entrance, which are dressing rooms for men and women, kitchen with storage space. In first floor are hotel rooms, laundry storage room and cleaning room. Mountain hotel has rectangular plan. It has saddle grinder roof.
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