Bipolar Latissimus Dorsi Transfer through a Single Incision: First Key-Step in Poland Syndrome Chest Deformity.

Poland syndrome is a rare congenital anomaly characterized by a unilateral congenital absence of the sternocostal head of the pectoralis major muscle. The absence of the pectoralis major does not only result in chest asymmetry but also in a missing anterior axillary fold, which is essential for natural anatomical appearance in both male and female patients. In Poland syndrome patients, we perform bipolar latissimus dorsi flap transfer, which can be associated with a sublatissimus implant in women. All procedures are performed through a single short midaxillary incision, and tendon translocation in this technique allows the creation of the anterior axillary fold and thus a natural chest appearance. Moreover, this technique can be performed by any plastic surgeon operating under a basic operating room setting

MELODIE: A whole-farm model to study the dynamics of nutrients in dairy and pig farms with crops

In regions of intensive pig and dairy farming, nutrient losses to the environment at farm level are a source of concern for water and air quality. Dynamic models are useful tools to evaluate the effects of production strategies on nutrient flows and losses to the environment. This paper presents the development of a new whole-farm model upscaling dynamic models developed at the field or animal scale. The model, called MELODIE, is based on an original structure with interacting biotechnical and decisional modules. Indeed, it is supported by an ontology of production systems and the associated programming platform DIESE. The biotechnical module simulates the nutrient flows in the different animal, soil and crops and manure sub-models. The decision module relies on an annual optimization of cropping and spreading allocation plans, and on the flexible execution of activity plans for each simulated year. These plans are examined every day by an operational management sub-model and their application is context dependent. As a result, MELODIE dynamically simulates the flows of carbon, nitrogen, phosphorus, copper, zinc and water within the whole farm over the short and long-term considering both the farming system and its adaptation to climatic conditions. Therefore, it is possible to study both the spatial and temporal heterogeneity of the environmental risks, and to test changes of practices and innovative scenarios. This is illustrated with one example of simulation plan on dairy farms to interpret the Nitrogen farm-gate budget indicator. It shows that this indicator is able to reflect small differences in Nitrogen losses between different systems, but it can only be interpreted using a mobile average, not on a yearly basis. This example illustrates how MELODIE could be used to study the dynamic behaviour of the system and the dynamic of nutrient flows. Finally, MELODIE can also be used for comprehensive multi-criterion assessments, and it also constitutes a generic and evolving framework for virtual experimentation on animal farming systems. (Résumé d'auteur

Religious Education in the Prophetic Voice: The Pedagogy of Eileen Egan

This article offers an overview of the life and work of Eileen Egan, a contemporary and passionate Christian leader whose values can inform religious education today. Peace educators, social activists, service learning directors, and Catholic political leaders have much to learn from her example and zeal

When it’s time to shift resources to new technologies

Management pays a lot of attention to new ideas and cutting-edge technologies, but most of their resources are consumed by mature legacy technologies that are often not actively and rigorously managed. The reasons are often cultural and political. Hervé Baratte and Jonas Vetter have devised a visual matrix to help teams understand which technologies bring the most potential to businesses in the long run

SUSY Higgs at the LHC: Effects of light charginos and neutralinos

In view of the latest LEP data we consider the effects of charginos and neutralinos on the two-photon and bbbar signatures of the Higgs at the LHC. Assuming the usual GUT inspired relation between M_1 and M_2 we show that there are only small regions with moderate tanbeta and large stop mixings that may be dangerous. Pathological models not excluded by LEP which have degeneracy between the sneutrino and the chargino are however a real danger because of large branching fraction of the Higgs into invisibles. We have also studied models where the gaugino masses are not unified at the GUT scale. We take M_1=M_2/10 as an example where large reductions in the signal at the LHC can occur. However we argue that such models with a very light neutralino LSP may give a too large relic density unless the sleptons are light. We then combine this cosmological constraint with neutralino production with light sfermions to further reduce the parameter space that precludes observability of the Higgs at the LHC. We still find regions of parameter space where the drops in the usual Higgs signals at the LHC can be drastic. Nonetheless, in such scenarios where Higgs may escape detection we show that one should be able to produce all charginos and neutralinos. Although the heavier of these could cascade into the Higgs, the rates are not too high and the Higgs may not always be recovered this way.Comment: 37 pages, 17 figures, Latex file, Paper with high resolution figures can be found at http://wwwlapp.in2p3.fr/web/lapp/preplapp/psth/LAPTH774.ps.g

VENETO (Italia). Batallas. 18 (1796). 1:31452

Coloreadas a mano las posiciones de los ejércitosAdherido plano volante : 'Papillon pour les mouvemens de la 3 Journée'Al márgen inferior derecho figura : N 5

Glutamate-induced depression of EPSP–spike coupling in rat hippocampal CA1 neurons and modulation by adenosine receptors

The presence of high concentrations of glutamate in the extracellular fluid following brain trauma or ischaemia may contribute substantially to subsequent impairments of neuronal function. In this study, glutamate was applied to hippocampal slices for several minutes, producing over-depolarization, which was reflected in an initial loss of evoked population potential size in the CA1 region. Orthodromic population spikes recovered only partially over the following 60 min, whereas antidromic spikes and excitatory postsynaptic potentials (EPSPs) showed greater recovery, implying a change in EPSP–spike coupling (E–S coupling), which was confirmed by intracellular recording from CA1 pyramidal cells. The recovery of EPSPs was enhanced further by dizocilpine, suggesting that the long-lasting glutamate-induced change in E–S coupling involves NMDA receptors. This was supported by experiments showing that when isolated NMDA-receptor-mediated EPSPs were studied in isolation, there was only partial recovery following glutamate, unlike the composite EPSPs. The recovery of orthodromic population spikes and NMDA-receptor-mediated EPSPs following glutamate was enhanced by the adenosine A1 receptor blocker DPCPX, the A2A receptor antagonist SCH58261 or adenosine deaminase, associated with a loss of restoration to normal of the glutamate-induced E–S depression. The results indicate that the long-lasting depression of neuronal excitability following recovery from glutamate is associated with a depression of E–S coupling. This effect is partly dependent on activation of NMDA receptors, which modify adenosine release or the sensitivity of adenosine receptors. The results may have implications for the use of A1 and A2A receptor ligands as cognitive enhancers or neuroprotectants