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One of the earliest studies to evaluate these two goal directed approachesenrolled severe TBI patients (21). Evaluation of the transient hyperemic response testin head-injured patients. An advancement flap of anterior abdominal wall skin and subcutaneous fat isthen raised superiorly from the anterior rectus sheath to facilitate incision closure. Note the cross-section ofthe stapedius muscle and facial nerve. Type IB defects involve the posterior wall of the vagina, and therectus abdominis flap provides well vascularized skin to cover the posterior vaginal walland good muscle bulk to obliterate the dead space between the abdominal and pelviccavities.29,30 Type IIA defects can also be reconstructed using the rectus abdominis flap.For type IB defects, it provides a good skin paddle and good muscle bulk. Mono-(2-ethylhexyl) phthalate (MEHP), the active metabolite of di-(2-ethylhexyl) phthalate, targets peri-pubertal Sertoli cells,resulting in a rapid induction of testicular germ cell apoptosis,with spermatocytes as the most sensitive population. This regionis rich in mitochondria and contains the Golgi apparatus, lipo-fuscinpigment granules, and glycogen. In case of vesicles which in additioncontain peptides like enkephalin or neuropeptideY (NPY), these cotransmitters are simultaneouslyreleased

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