Fundamentals of bladder tissue engineering

A wide range of injuries could affect the bladder and lead to eventual loss of its integrity, with the need for replacement or repair. Augmentation ileocystoplasty is considered till now the gold standard option for bladder replacement, despite its associated complications. Bladder tissue engineering appears as an appealing alternative through development of biological substitutes, which could restore structural and functional aspects of damaged tissues and organs. Tissue engineering relies upon three essential pillars; the scaffold, the cells seeded on scaffolds and lastly the environmental conditions, including growth factors, cytokines and extracellular matrix (ECM) which promote angiogenesis and neurogenesis of the regenerated organs. The choice of the scaffold and the type of cells is a crucial and fundamental step in regenerative medicine. In this review article, we demonstrated these three crucial factors of bladder tissue engineering, with the pros and cons of each scaffold type and cell type used.Keywords: Scaffold; Stem cells; Bladder tissue engineering; Decellularization; Bladder acellular matrixAfrican Journal of Urology (2013) 19, 51–5

A simple model of mixing and chemical reaction in a turbulent shear layer

Arguments are presented to show that the concept of gradient diffusion is inapplicable to mixing in turbulent shear layers. A new model is proposed for treating molecular mixing and chemical reaction in such flows at high Reynolds number. It is based upon the experimental observations that revealed the presence of coherent structures and that showed that fluid elements from the two streams are distributed unmixed throughout the layer by large-scale inviscid motions. The model incorporates features of the strained flame model and makes use of the Kolmogorov cascade in scales. Several model predictions differ markedly from those of diffusion models and suggest experiments for testing the two approaches

Differences in pelvic floor morphology between continent, stress urinary incontinent, and mixed urinary incontinent elderly women : an MRI study

Aims To compare magnetic resonance imaging (MRI) of the pelvic floor musculature (PFM), bladder neck and urethral sphincter morphology under three conditions (rest, PFM maximal voluntary contraction (MVC), and straining) in older women with symptoms of stress (SUI) or mixed urinary incontinence (MUI) or without incontinence. Methods This 2008–2012 exploratory observational cohort study was conducted with community-dwelling women aged 60 and over. Sixty six women (22 per group), mean age of 67.7 ± 5.2 years, participated in the study. A 3 T MRI examination was conducted under three conditions: rest, PFM MVC, and straining. ANOVA or Kruskal–Wallis tests (data not normally distributed) were conducted, with Bonferroni correction, to compare anatomical measurements between groups. Results Women with MUI symptoms had a lower PFM resting position (M-Line P = 0.010 and PC/H-line angle P = 0.026) and lower pelvic organ support (urethrovesical junction height P = 0.013) than both continent and SUI women. Women with SUI symptoms were more likely to exhibit bladder neck funneling and a larger posterior urethrovesical angle at rest than both continent and MUI women (P = 0.026 and P = 0.008, respectively). There were no significant differences between groups on PFM MVC or straining. Conclusions Women with SUI and MUI symptoms present different morphological defects at rest. These observations emphasize the need to tailor UI interventions to specific pelvic floor defects and UI type in older women

Progressive Resistance Exercise and Parkinson's Disease: A Review of Potential Mechanisms

This paper reviews the therapeutically beneficial effects of progressive resistance exercise (PRE) on Parkinson's disease (PD). First, this paper discusses the rationale for PRE in PD. Within the first section, the review discusses the central mechanisms that underlie bradykinesia and muscle weakness, highlights findings related to the central changes that accompany PRE in healthy individuals, and extends these findings to individuals with PD. It then illustrates the hypothesized positive effects of PRE on nigro-striatal-thalamo-cortical activation and connectivity. Second, it reviews recent findings of the use of PRE in individuals with PD. Finally, knowledge gaps of using PRE on individuals with PD are discussed along with suggestions for future research

Perceptual and acoustic correlates of DBS of subthalamic nucleus versus globus pallidus interna for IPD : a comparative pilot study

Purpose: This study compared bilateral deep brain stimulation (DBS) in subthalamic nucleus (STN) versus globus pallidus interna (GPI) on perceived Speech Severity in Parkinson’s disease. Methods: 12 individuals with STN-DBS and 8 individuals with GPI-DBS were audio-recorded with DBS ON and OFF while reading an excerpt from the Rainbow Passage and producing a conversational monologue. Using a within-speaker, paired comparison paradigm, 10 listeners judged Speech Severity for pairs of stimulation ON-OFF (and OFF-ON) reading passages and monologues masked to stimulation status and speaker group. The proportion of trials for which ON versus OFF stimuli in a given pair was judged to be less severe was calculated. Results: There was a task effect, with significant results for Rainbow Passage but not conversational monologue. Perceived Speech Severity differed with stimulation status for GPI-DBS but not STN-DBS, with a greater proportion of ON stimulation speech samples judged to be less severe versus OFF samples. At the participant level, response to ON/OFF stimulation was highly variable in STN-DBS group. Discussion: DBS stimulation differentially impacts perceived speech severity for STN-DBS and GPI-DBS. Results further suggest the perceptual benefit of DBS stimulation may be task specific

European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia

Chronic mesenteric ischaemia is a severe and incapacitating disease, causing complaints of post-prandial pain, fear of eating and weight loss. Even though chronic mesenteric ischaemia may progress to acute mesenteric ischaemia, chronic mesenteric ischaemia remains an underappreciated and undertreated disease entity. Probable explanations are the lack of knowledge and awareness among physicians and the lack of a gold standard diagnostic test. The underappreciation of this disease results in diagnostic delays, underdiagnosis and undertreating of patients with chronic mesenteric ischaemia, potentially resulting in fatal acute mesenteric ischaemia. This guideline provides a comprehensive overview and repository of the current evidence and multidisciplinary expert agreement on pertinent issues regarding diagnosis and treatment, and provides guidance in the multidisciplinary field of chronic mesenteric ischaemia