200 research outputs found

    The Impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 Diabetes Mellitus: A Systematic Review.

    Get PDF
    To determine the impact of poor glycaemic control on the prevalence of erectile dysfunction among men with type 2 Diabetics aged 27 to 85 years.The databases Embase classic+Embase, Global health, Ovid Medline and PsychINFO, were searched for relevant studies in June 2014 using the keywords: (Diabetes Mellitus OR diabetes mellitus type2 OR DM2 OR T2DM OR insulin resistance) AND (erectile dysfunction OR sexual dysfunction OR impotence) AND glycaemic control.All study settings were considered (primary care, secondary care and tertiary care setting).Type 2 Diabetic Patients with erectile dysfunction.Included studies must include one of the following outcomes: (1) HBA1c for assess the level of glycaemic control; (2) Erectile dysfunction (any stage: IIEF-5 = 21 or less).Five cross-sectional studies involving 3299 patients were included. The findings pointed to a positive association between erectile dysfunction and glycaemic control. Three studies showed a significant positive association, while one study showed only a weak correlation and one study showed borderline significance. Patients age, diabetes mellitus duration, peripheral neuropathy and body mass index had positive association with erectile dysfunction. However, smoking and hypertension were not associated with erectile dysfunction in most included studies. Physical activity had a protective effect against erectile dysfunction.We may conclude that the risk of erectile dysfunction is higher in type 2 diabetic men with poor glycaemic control than those with good control

    Fatal Subacute Hepatic Failure in a Patient with AA-Type Amyloidosis: Case Report

    Get PDF
    Although systemic amyloidosis of amyloid-associated protein (AA) type (secondary or reactive amyloidosis) frequently involves the liver, it rarely causes clinically apparent liver disease. Mild elevation of alkaline phosphatase and hepatomegaly are the most common biochemical and clinical findings, respectively. We report a case of systemic amyloidosis of AA type, which clinically presented as subacute hepatic failure and resulted in a fatal clinical course in a 69-year-old man. To the best of our knowledge, this is the fifth case of hepatic amyloidosis of AA type that clinically presented as fatal subacute hepatic failure, an unusual clinical presentation for hepatic involvement by systemic AA-type amyloid

    Large Negative Poisson\u27s Ratio and Anisotropic Mechanics in New Penta-PBN Monolayer

    Get PDF
    The scarce negative Poisson\u27s ratio (NPR) in a two-dimensional (2D) material is an exceptional auxetic property that offers an opportunity to develop nanoscale futuristic multi-functional devices and has been drawing extensive research interest. Inspired by the buckled pentagonal iso-structures that often expose NPR, we employ state-of-the-art first-principles density functional theory calculations and analyses to predict a new 2D metallic ternary auxetic penta-phosphorus boron nitride (p-PBN) with a high value of NPR. The new p-PBN is stable structurally, mechanically, and dynamically and sustainable at room temperature, with experimental feasibility. The short and strong quasi sp3-hybridized B-N bond and unique bond variation and geometrical reconstruction with an applied strain allow p-PBN to inherit a high value of NPR (-0.236) along the (010) direction, the highest among any other ternary penta iso-structures reported to date. Despite having a small elastic strength, the highly asymmetric Young\u27s modulus and Poisson\u27s ratio along the (100) and (010) directions indicate large anisotropic mechanics, which are crucial for potential applications in nanomechanics and nanoauxetics

    Equine colic and coagulation disorders

    Get PDF
    The objective of this study was to investigate the coagulation disorders in drought horses suffering from colic. A total of (125) local drought male horse of different ages were investigated, among these animals (100) were suffering colicky sings and (25) clinically normal drought male horses served as control. Results indicated that colicky horses showed sings of pain which manifested by, restlessness, anxiety, sweating, lip curling, flank watching, pawing at the ground, kicking at the belly and rolling, more over body temperature, respiratory and heart rate, capillary refilling time were also increased, petechial hemorrhages were also detected on mucus membranes of the eyes. The statistical analysis appeared significant decrease (p<0.05) in the TRECs, Hb in horses suffering the recurrent type of colic compared with animals suffering the acute, mild type and control normal horses and PCV were significantly higher (p<0.05) in diseased horses than in normal control animals. Data concerning the indices of clotting factors of normal control and colicky horses showed that the platelet count and fibrinogen was lower significantly (p<0.05) in diseased horses than in control normal horses. This count was significantly lower in horses suffering the acute and recurrent type of colic than horses suffering the mild type. The platelet volume, platelet distribution width clotting time, prothrombin time and activated partial thromboplastin time values were significantly higher (p<0.05) in diseased horses suffering the acute and recurrent type of colic than in diseased horses suffering the mild type and normal control animals. Results of biochemical changes indicated significant decrease (p<0.05) in total protein and albumen in colicky horses showed the mild and recurrent type of colic where as significant increase (p<0.05) of same values were seen in animals suffering the acute type, further more significant decrease (p<0.05) in calcium values were encountered in horses suffering the acute and recurrent type of clic.K.M. Alsaad and Abid-albar A Nor

    Flavor decomposition of the nucleon electromagnetic form factors at low Q 2

    Get PDF
    Background The spatial distribution of charge and magnetization within the proton is encoded in the elastic form factors. These have been precisely measured in elastic electron scattering, and the combination of proton and neutron form factors allows for the separation of the up-and down-quark contributions. Purpose In this work, we extract the proton and neutron form factors from world&apos;s data with an emphasis on precise new data covering the low-momentum region, which is sensitive to the large-scale structure of the nucleon. From these, we separate the up-and down-quark contributions to the proton form factors. Method We combine cross section and polarization measurements of elastic electron-proton scattering to separate the proton form factors and two-photon exchange (TPE) contributions. We combine the proton form factors with parameterization of the neutron form factor data and uncertainties to separate the up-and down-quark contributions to the proton&apos;s charge and magnetic form factors. Results The extracted TPE corrections are compared to previous phenomenological extractions, TPE calculations, and direct measurements from the comparison of electron and positron scattering. The flavor-separated form factors are extracted and compared to models of the nucleon structure. Conclusions With the inclusion of the precise new data, the extracted TPE contributions show a clear change of sign at low Q 2 , necessary to explain the high-Q 2 form factor discrepancy while being consistent with the known Q 2 → 0 limit. We find that the new Mainz data yield a significantly different result for the proton magnetic form factor and its flavorseparated contributions. We also observe that the RMS radius of both the up-and down-quark distributions are smaller than the RMS charge radius of the proton

    Measurement and ab initio Investigation of Structural, Electronic, Optical, and Mechanical Properties of Sputtered Aluminum Nitride Thin Films

    Get PDF
    We report our results on highly textured aluminum nitride (AlN) thin films deposited on glass substrates, oriented along the c-axis, using DC-magnetron sputtering technique for different values of back pressure. The structural, electronic, optical, piezoelectric, dielectric, and elastic properties of sputtered AlN thin films are measured and characterized. In particular, X-ray powder diffraction (XRD) technique shows that AlN thin films exhibit a hexagonal structure. Moreover, we employed ab initio simulations of AlN using the Vienna Ab Initio Simulation Package (VASP) to investigate the structural and the electronic properties of hexagonal AlN structures. The experimental lattice parameters of the as-prepared thin films agree well with those calculated using the total energy minimization approach. The optical parameters of AlN thin films, such as transmittance and refractive index, were measured using UV–vis measurements. Our measurements of refractive index, n, of AlN thin films yield a value of 2.2. Furthermore, the elastic, piezoelectric, and dielectric tensors of AlN crystal are calculated using VASP. The dynamical Born effective charge tensor is reported for all atoms in the unit cell of AlN. Interestingly, ab initio simulations indicate that AlN has a static dielectric constant approximately equal to 4.68, which is in good agreement with the reported experimental value. In addition, the clamped-ion piezoelectric tensor is calculated. The diagonal components of the piezoelectric tensor are found to be e33=1.79 C/m2 and e31=−0.80 C/m2. The large values of the piezoelectric coefficients show that a polar AlN crystal exhibits a strong microwave piezoelectric effect. Additionally, the components of the elastic moduli tensor are calculated. The extraordinary electronic, optical, piezoelectric, and elastic properties make AlN thin films potential candidates for several optoelectronic, elastic, dielectric, and piezoelectric applications
    • 

    corecore