Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes

Introduction and Objective. Iatrogenic male stress urinary incontinence (SUI) affects a percentage of men undergoing urologic procedures with a significant impact on quality of life. The treatment of male SUI has evolved significantly with multiple current options for treatment available. The current paper discusses preoperative evaluation of male SUI, available surgical options with reported outcomes, and postoperative complication management. Methods. A pubMed review of available literature was performed and summarized on articles reporting outcomes of placement of the artificial urinary sphincter (AUS) or male slings including the bone anchored sling (BAS), retrourethral transobturator sling (RTS), adjustable retropubic sling (ARS), and quadratic sling. Results. Reported rates of success (variably defined) for BAS, RTS, ARS, and AUS are 36–67%, 9–79%, 13–100%, and 59–91% respectively. Complications reported include infection, erosion, retention, explantation, and transient pain. Male slings are more commonly performed in cases of low-to-moderate SUI with decreasing success with higher degrees of preoperative incontinence. Conclusions. An increasing number of options continue to be developed for the management of male SUI. While the AUS remains the gold-standard therapy for SUI, male sling placement is a proven viable alternative therapy for low-to-moderate SUI

Phenology of the Diamondback moth (Plutella xylostella) in the UK and provision of decision support for brassica growers

In the UK, severe infestations by Plutella xylostella occur sporadically and are due mainly to the immigration of moths. The aim of this study was to develop a more detailed understanding of the phenology of P. xylostella in the UK and investigate methods of monitoring moth activity, with the aim of providing warnings to growers. Plutella xylostella was monitored using pheromone traps, by counting immature stages on plants, and by accessing citizen science data (records of sightings of moths) from websites and Twitter. The likely origin of migrant moths was investigated by analysing historical weather data. The study confirmed that P. xylostella is a sporadic but important pest, and that very large numbers of moths can arrive suddenly, most often in early summer. Their immediate sources are countries in the western part of continental Europe. A network of pheromone traps, each containing a small camera sending images to a website, to monitor P. xylostella remotely provided accessible and timely information, but the particular system tested did not appear to catch many moths. In another approach, sightings by citizen scientists were summarised on a web page. These were accessed regularly by growers and, at present, this approach appears to be the most effective way of providing timely warnings

Disposal Alternatives for Intermittent Sand Filter Scrapings Utilization and Sand Recovery

A three phase study is used to develop disposal alternatives and cost analysis for algae laden sand scrapings removed from intermittent sand filters used to polish wastewater lagoon effluent. Phase I, Irrigation Technique, explores the feasibility of supplying sufficient water to sand scrapings to leach out entrapped material. Details of removal with amount of water applied are presented. Phase II, Soil Application, tests with lysimeters soil response to application of the algae laden sand material. Physical and chemical parameters are not markedly altered where algae laden sand is applied to the soil surface. Phase III, Plant Bioassays, grew tall fescue on lysimeters which had algae laden sand scrapings applied and compared this growth response with lysimeters having no additives to a clay soil and lysimeters having ammonium nitrate added as fertilizer. Results indicate that all three disposal alternatives are viable recourses for sewage sand filter sand deposition and utilization. Cost analyses indicate that an irrigation technique may be less expensive

Speckle Patterns With Atomic And Molecular De Broglie Waves

We have developed a nozzle source that delivers a continuous beam of atomic helium or molecular hydrogen having a high degree of transverse coherence and with adequate optical brightness to enable new kinds of experiments. Using this source we have measured single slit diffraction patterns and the first ever speckle-diffraction patterns using atomic and molecular de Broglie waves. Our results suggest fruitful application of coherent matter beams in dynamic scattering and diffractive imaging at short wavelength and with extreme surface sensitivity

Metabolomic Characterization of Human Model of Liver Rejection Identifies Aberrancies Linked to Cyclooxygenase (COX) and Nitric Oxide Synthase (NOS)

BACKGROUND Acute liver rejection (ALR), a significant complication of liver transplantation, burdens patients, healthcare payers, and the healthcare providers due to an increase in morbidity, cost, and resources. Despite clinical resolution, ALR is associated with an increased risk of graft loss. A unique protocol of delayed immunosuppression used in our institute provided a model to characterize metabolomic profiles in human ALR. MATERIAL AND METHODS Twenty liver allograft biopsies obtained 48 hours after liver transplantation in the absence of immunosuppression were studied. Hepatic metabolites were quantitated in these biopsies by liquid chromatography and mass spectroscopy (LC/MS). Metabolite profiles were compared among: 1) biopsies with reperfusion injury but no histological evidence of rejection (n=7), 2) biopsies with histological evidence of moderate or severe rejection (n=5), and 3) biopsies with histological evidence of mild rejection (n=8). RESULTS There were 133 metabolites consistently detected by LC/MS and these were prioritized using variable importance to projection (VIP) analysis, comparing moderate or severe rejection vs. no rejection or mild rejection using partial least squares discriminant statistical analysis (PLS-DA). Twenty metabolites were identified as progressively different. Further PLS-DA using these metabolites identified 3 metabolites (linoleic acid, γ-linolenic acid, and citrulline) which are associated with either cyclooxygenase or nitric oxide synthase functionality. CONCLUSIONS Hepatic metabolic aberrancies associated with cyclooxygenase and nitric oxide synthase function occur contemporaneous with ALR. Additional studies are required to better characterize the role of these metabolic pathways to enhance utility of the metabolomics approach in diagnosis and outcomes of ALR

Multi-domain analysis and prediction of the light emitted by an inductively coupled plasma jet

Inductively coupled plasma wind tunnels are crucial for replicating hypersonic flight conditions in ground testing. Achieving the desired conditions (e.g., stagnation-point heat fluxes and enthalpies during atmospheric reentry) requires a careful selection of operating inputs, such as mass flow, gas composition, nozzle geometry, torch power, chamber pressure, and probing location along the plasma jet. The study presented herein focuses on the influence of the torch power and chamber pressure on the plasma jet dynamics within the 350 kW Plasmatron X ICP facility at the University of Illinois at Urbana-Champaign. A multi-domain analysis of the jet behavior under selected power-pressure conditions is presented in terms of emitted light measurements collected using high-speed imaging. We then use Gaussian Process Regression to develop a data-informed learning framework for predicting Plasmatron X jet profiles at unseen pressure and power test conditions. Understanding the physics behind the dynamics of high-enthalpy flows, particularly plasma jets, is the key to properly design material testing, perform diagnostics, and develop accurate simulation modelsComment: 22 pages (including figures, appendix, and references); 13 figure