Simulation of Logging While Drilling Tools Based on Amorphous Si:H and LaBr3:Ce Detectors

Bore hole logging data represent the properties of rocks, such as porosity, density and constitutiveelements of formation, as a function of depth in a well. Properties of rocks are obtained from thermal neutron counting and gamma ray radiation due to neutron activation. Transport of neutrons, from an Am-Be source situated in a bore-hole tool, through rock media to detectors, has been simulated using a GEANT4 radiation transport code. The high precision GEANT4 cross section library was used to gain better analyses about well formation. In this paper we present the results of simulation of logging tools based on boron coated amorphous silicon detector for thermal neutron detection and LaBr3:Ce detector for gamma spectroscopy. Key words: Well logging; Spectroscopy; GEANT

Multiple stones in neobladder: Case report and literature review

Introduction: Neobladder urolithiasis is a rare but important long-term complication of orthotopic urinary diversion. It may be asymptomatic and can be discovered as an incidental finding on a radiological investigation. However, when symptoms occur, they may include lower abdominal pain, dysuria, hematuria, and lower urinary tract symptoms. Case description: We report the case of a 63-year-old male patient with irritative lower urinary tract symptoms, lower abdominal fullness, urinary incontinence, fecaluria, and urinary loss from the left inguinal fold 12 years after a radical cystoprostatectomy with a orthotopic neobladder. Computed tomography scan and urethrocystography showed a distended pouch with multiple large stones, an enterovesical fistula, and neovesicocutaneous fistula. The fistulae were successfully managed conservatively with the placement of a Foley catheter. After 3 months, open cystolithotomy was performed and approximately 50 stones with dimensions varying from 5 mm to 5 cm, with a total weight of 890 g, were removed. After a 1-year follow-up, the patient did not report pain, urinary tract infections, or symptoms suggestive of fistula and imaging evaluation confirmed no recurrence of neobladder stones. Conclusion: Neobladder stones may present with various symptoms. Our patient had irritative lower urinary tract symptoms, lower abdominal fullness, urinary incontinence, fecaluria, and urinary loss from the left inguinal fold 12 years after a radical cystoprostatectomy with a orthotopic neobladder. Our experience demonstrates that open cystolithotomy is an effective intervention for the removal of large stones in neobladder

Timing, Patterns and Predictors of 90-Day Readmission Rate after Robotic Radical Cystectomy

Purpose: We examine the timing, patterns and predictors of 90-day readmission after robotic radical cystectomy. Materials and methods: From September 2009 to March 2017, 271 consecutive patients undergoing robotic radical cystectomy with intent to cure bladder cancer (intracorporeal diversion 253, 93%) were identified from our prospectively collated institutional database. Readmission was defined as any subsequent inpatient admission or unplanned visit occurring within 90 days from discharge after the index hospitalization. Multiple readmissions were defined as 2 or more readmissions within a 90-day period. Logistic regression analysis was used to identify independent factors related to single and multiple 90-day readmissions. Results: A total of 78 (28.8%) patients were readmitted at least once within 90 days after discharge, of whom 20 (25.6%) reported multiple readmissions. The cumulative duration of readmission was 6.2 (6.17) days with 6 (7.6%) patients having less than 24 hours readmission. Metabolic, infectious, genitourinary and gastrointestinal complications were identified as the primary cause of readmission in 39.5%, 23.5%, 22.3% and 17%, respectively. Fifty percent of readmissions occurred in the first 2 weeks after hospital discharge. On multivariable logistic regression analysis in-hospital infections (OR 2.85, p=0.001) were independent predictors for overall readmission. Male gender (OR 3.5, p=0.02) and in-hospital infections (OR 4.35, p=0.002) were independent predictors for multiple readmissions. Conclusions: The 90-day readmission rate following robotic radical cystectomy is significant. In-hospital infections and male gender were independent factors for readmission. Most readmissions occurred in the first 2 weeks following discharge, with metabolic derangements and infections being the most common causes

Characterization of <em>Capsicum annuum</em> Genetic Diversity and Population Structure Based on Parallel Polymorphism Discovery with a 30K Unigene Pepper GeneChip

<div><p>The widely cultivated pepper, <em>Capsicum spp</em>., important as a vegetable and spice crop world-wide, is one of the most diverse crops. To enhance breeding programs, a detailed characterization of <em>Capsicum</em> diversity including morphological, geographical and molecular data is required. Currently, molecular data characterizing <em>Capsicum</em> genetic diversity is limited. The development and application of high-throughput genome-wide markers in <em>Capsicum</em> will facilitate more detailed molecular characterization of germplasm collections, genetic relationships, and the generation of ultra-high density maps. We have developed the Pepper GeneChip® array from Affymetrix for polymorphism detection and expression analysis in <em>Capsicum</em>. Probes on the array were designed from 30,815 unigenes assembled from expressed sequence tags (ESTs). Our array design provides a maximum redundancy of 13 probes per base pair position allowing integration of multiple hybridization values per position to detect single position polymorphism (SPP). Hybridization of genomic DNA from 40 diverse <em>C. annuum</em> lines, used in breeding and research programs, and a representative from three additional cultivated species (<em>C. frutescens, C. chinense</em> and <em>C. pubescens</em>) detected 33,401 SPP markers within 13,323 unigenes. Among the <em>C. annuum</em> lines, 6,426 SPPs covering 3,818 unigenes were identified. An estimated three-fold reduction in diversity was detected in non-pungent compared with pungent lines, however, we were able to detect 251 highly informative markers across these <em>C. annuum</em> lines. In addition, an 8.7 cM region without polymorphism was detected around <em>Pun1</em> in non-pungent <em>C. annuum</em>. An analysis of genetic relatedness and diversity using the software Structure revealed clustering of the germplasm which was confirmed with statistical support by principle components analysis (PCA) and phylogenetic analysis. This research demonstrates the effectiveness of parallel high-throughput discovery and application of genome-wide transcript-based markers to assess genetic and genomic features among <em>Capsicum annuum</em>.</p> </div