Acute Myocardial Infarction Associated with Anomalous Origin of Coronary Arteries (a Rare Case of Origin of the Left Coronary Artery From the Ostium of the Right Coronary Artery)

A origem da artéria coronária esquerda a partir do ostio ou do segmento proximal da artéria coronária direita é uma anomalia congénita rara (0,03 a 0,4%), e um achado angiográfico pouco comum (0,6 a 1,3%) (artéria coronária única). A anomalia congénita coronária mais frequente é a origem separada da artéria descendente anterior e da artéria circunflexa no seio coronário esquerdo. A segunda anomalia mais comum é a origem da artéria circunflexa no seio coronário direito. Descrevemos um caso de enfarte agudo do miocárdio com localização infero lateral, que evoluiu com choque cardiogénico e disfunção ventricular esquerda graves, após angioplastia primária de oclusão proximal da artéria coronária direita, e em que não foi possível cateterizar a artéria coronária esquerda por inexistência de ostio no seio coronário esquerdo. Destaca-se o papel importante das novas técnicas de imagem, nomeadamente da angio-TC das coronárias, na identificação das anomalias congénitas das artérias coronárias

Efeito da adubação NPK na produtividade, nutrição e sanidade da pimenteira-do-reino, em Castanhal, PA.

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Influence of EBR on the structural resistance of RC slabs under quasi-static and blast loading: Experimental testing and numerical analysis

Flexural strengthening of reinforced concrete (RC) structures with externally bonded reinforcement (EBR) using carbon fibre-reinforced polymers (CFRP) has in recent years received increased interest from specialists, particularly when dealing with protective structures against terrorist or accidental blast loading. Although a significant number of studies have been conducted on the failure modes of the bonded interface for quasi -static conditions, there is still limited published research on the effects of blast loading. In this paper, RC slabs externally strengthened with CFRP are tested in three-point bending as well as subjected to blast loading. The behaviour of the tested specimens under both loading regimes is evaluated with special focus on the mechanisms that lead to the disruption of the CFRP. It was found that the debonding of the CFRP was caused, in both cases, by the fracture and separation of a thin layer of concrete in the near vicinity of the bonded interface. However, the mechanisms that lead to this failure differ. A numerical model was developed and simulations performed using the finite element (FE) code LS-DYNA to investigate the validity of commonly used simplifications on the modelling of the interface in both cases. It was found that although the modelling technique used to represent the disruption of CFRP under quasi-static conditions provide accurate results, it does not return accurate predictions of the debonding of CFRP under blast loading