7 research outputs found
A review of tertiary BIM education for advanced engineering communication with visualization
SPECT with Tc-99m-labeled agents is better able to detect viability after nitrate administration. Nitrates induce vasoclilation and may increase blood flow to severely hypoperfused but viable myocardium, thereby enhancing tracer delivery and improving the detection of viability. Quantitative data on the changes in blood flow are lacking in SPECT but can be provided by PET. The aim of the present study was to use PET to evaluate whether nitrate administration increases blood flow to chronically dysfunctional but viable myocardium. Methods: N-13-Ammonia PET was used to quantitatively assess blood flow, and F-18-FDG PET was used as the gold standard to detect viable myocardium. Twenty-five patients with chronic ischemic left ventricular dysfunction underwent N-13-ammonia PET at rest and after nitrate administration. Results: A significant increase in nitrate-enhanced blood flow was observed in viable segments (from 0.55 +/- 0.15 to 0.68 +/- 0.24 mL/min/g, P <0.05). No statistically significant change in blood flow was observed in nonviable segments (0.60 +/- 0.20 vs. 0.55 +/- 0.18 mL/min/g). A ratio of at least 1.1 for nitrate-enhanced flow to resting flow allowed optimal detection of viable myocardium, yielding a sensitivity of 82% with a specificity of 100%. Conclusion: N-13-Ammonia PET showed a significant increase in nitrate-enhanced blood flow in viable myocardium, whereas blood flow remained unchanged after nitrate administration in nonviable myocardium. Nitrate use during myocardial perfusion imaging will lead to improved assessment of myocardial viability
Propuesta guĂa para una planeaciĂłn y ejecuciĂłn en proyectos de vivienda unifamiliar con enfoque Lean Construction
Trabajo de investigaciĂłnEste trabajo contempla el desarrollo de una matriz enfocada en la metodologĂa Lean Construction para la planeaciĂłn y ejecuciĂłn en proyectos de vivienda unifamiliar. AsĂ mismo se evidencia un anĂĄlisis de manera cuantitativa y cualitativamente en la adopciĂłn de la filosofĂa Lean Construction en procesos de la gestiĂłn de la planeaciĂłn y ejecuciĂłn de proyectos, que permite establecer un orden de actividades y sub actividades que componen las fases de un proyecto de vivienda unifamiliar en la relaciĂłn del alcance exitoso en productividad y rendimiento.INTRODUCCIĂN
1. GENERALIDADES
2. METODOLOGĂAS EN EL MARCO DE LA PLANEACIĂN Y EJECUCIĂN DE PROYECTOS
3. LEAN CONSTRUCTION EN ACTIVIDADES DE CONSTRUCCIĂN
4. IMPLEMENTACIĂN DE LA MATRIZ EN CASO DE ESTUDIO
5. CONCLUSIONES
6. RECOMENDACIONES BIBLIOGRAFĂA
ANEXOSPregradoIngeniero Civi
International Consensus Statement on Rhinology and Allergy: Rhinosinusitis
Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICARâRS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICARâRSâ2021 as well as updates to the original 140 topics. This executive summary consolidates the evidenceâbased findings of the document. Methods: ICARâRS presents over 180 topics in the forms of evidenceâbased reviews with recommendations (EBRRs), evidenceâbased reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICARâRSâ2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidenceâbased management algorithm is provided. Conclusion: This ICARâRSâ2021 executive summary provides a compilation of the evidenceâbased recommendations for medical and surgical treatment of the most common forms of RS
Varieties of State Aid and Technological Development : Government Support to the Pulp and Paper Industry, the 1970s to the 1990s
Countries promote the development of pulp and paper industry through industrial, technology and innovation policy measures. Direct interventions and regional and environmental policies, together with more general governmental measures on trade negotiations, taxation, labour policies, and infrastructure development (e.g. roads, energy) have also had an impact on shaping the geographical location of and investments in the pulp and paper industry. This chapter presents an historical overview of government support on pulp and paper industry in the Organisation for Economic Co-operation and Development (OECD) countries from roughly the 1970s to the 1990s. As the earlier literature suggests, in countries where this industry was a dominant line of business, attention was paid to create a favourable regulatory environment, as the companies had bargaining power in influencing governmental policies. The Nordic countries (Finland, Sweden and Norway) are the primary examples of this kind of pattern. On the contrary, in countries in which the pulp and paper industry did not play a significant role, state aid played a less important role. State aid also influenced on the technologicalPeer reviewe