Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy

Sacral neuromodulation (SNM) may be beneficial in the treatment of patients with chronic pelvic pain, although it is not an FDA-approved indication. We present a case of a 51-year-old patient that presented with symptoms of lower urinary tract dysfunction and clitoral pain after an abdominal hysterectomy. Electrophysiological evaluation suggested a pudendal nerve lesion. After failure of conservative treatment, she was offered SNM as a treatment for her voiding symptoms. During test stimulation, she experienced only moderate improvement in voiding symptoms, but a striking improvement in pain symptoms. She underwent a two-stage implantation of a neurostimulator with a successful outcome after 6 months’ follow-up. The results of this report suggest that SNM may be effective in patients with neuropathic pelvic pain

Influence of batch or fed-batch growth on Staphylococcus epidermidis biofilm formation

Aims: To make a quantitative evaluation of the differences in biofilm formation by Staphylococcus epidermidis using batch and fed-batch growth systems and to correlate this with production of the major biofilm polysaccharide, poly-N-acetyl glucosamine (PNAG). Methods and Results: Dry weight measurements of biofilms formed in batch and fed-batch conditions were compared with haemagglutination titres, which measure the amount of PNAG produced. Strains grown in batch systems developed less biofilm than when grown in fed-batch systems. A good correlation was found between the amount of biofilm formed in fed-batch systems and the haemagglutination titres. Conclusions: Differences in biofilm formation and PNAG production by S. epidermidis are dependent on the availability of nutrients, with higher availability correlating with more biofilm and PNAG production. Significance of and Impact of the Study: Comparisons of the formation of biofilms by S. epidermidis are dependent on choosing an appropriate biofilm growth system. Comparability or disparity of conclusions among different investigations will be strongly influenced by which mode S. epidermidis biofilms are formed.NIH - grant AI 46706.Fundação para a Ciência e a Tecnologia (FCT) – Programa Operacional “Ciência, Tecnologia, Inovação” (POCTI) - POCTI/ESP/42688/2001, SFRH/BD/8676/2002

Affective Bias without Hemispheric Competition: Evidence for Independent Processing Resources in Each Cortical Hemisphere

We assessed the extent of neural competition for attentional processing resources in early visual cortex between foveally presented task stimuli and peripheral emotional distracter images. Task-relevant and distracting stimuli were shown in rapid serial visual presentation (RSVP) streams to elicit the steady-state visual evoked potential, which serves as an electrophysiological marker of attentional resource allocation in early visual cortex. A taskrelated RSVP stream of symbolic letters was presented centrally at 15 Hz while distracting RSVP streams were displayed at 4 or 6 Hz in the left and right visual hemifields. These image streams always had neutral content in one visual field and would unpredictably switch from neutral to unpleasant content in the opposite visual field. We found that the steady-state visual evoked potential amplitude was consistently modulated as a function of change in emotional valence in peripheral RSVPs, indicating sensory gain in response to distracting affective content. Importantly, the facilitated processing for emotional content shown in one visual hemifield was not paralleled by any perceptual costs in response to the task-related processing in the center or the neutral image stream in the other visual hemifield. Together, our data provide further evidence for sustained sensory facilitation in favor of emotional distracters. Furthermore, these results are in line with previous reports of a “different hemifield advantage” with lowlevel visual stimuli and are suggestive of independent processing resources in each cortical hemisphere that operate beyond lowlevel visual cues, that is, with complex images that impact early stages of visual processing via reentrant feedback loops from higher order processing areas

The Belgian PCB and dioxin incident of January-June 1999: exposure data and potential impact on health.

In January 1999, 500 tons of feed contaminated with approximately 50 kg of polychlorinated biphenyls (PCBs) and 1 g of dioxins were distributed to animal farms in Belgium, and to a lesser extent in the Netherlands, France, and Germany. This study was based on 20,491 samples collected in the database of the Belgian federal ministries from animal feed, cattle, pork, poultry, eggs, milk, and various fat-containing food items analyzed for their PCB and/or dioxin content. Dioxin measurements showed a clear predominance of polychlorinated dibenzofuran over polychlorinated dibenzodioxin congeners, a dioxin/PCB ratio of approximately 1:50,000 and a PCB fingerprint resembling that of an Aroclor mixture, thus confirming contamination by transformer oil rather than by other environmental sources. In this case the PCBs contribute significantly more to toxic equivalents (TEQ) than dioxins. The respective means +/- SDs and the maximum concentrations of dioxin (expressed in TEQ) and PCB observed per gram of fat in contaminated food were 170.3 +/- 487.7 pg, 2613.4 pg, 240.7 +/- 2036.9 ng, and 51059.0 ng in chicken; 1.9 +/- 0.8 pg, 4.3 pg, 34.2 +/- 30.5 ng, and 314.0 ng in milk; and 32.0 +/- 104.4 pg, 713.3 pg, 392.7 +/- 2883.5 ng, and 46000.0 ng in eggs. Assuming that as a consequence of this incident between 10 and 15 kg PCBs and from 200 to 300 mg dioxins were ingested by 10 million Belgians, the mean intake per kilogram of body weight is calculated to maximally 25,000 ng PCBs and 500 pg international TEQ dioxins. Estimates of the total number of cancers resulting from this incident range between 40 and 8,000. Neurotoxic and behavioral effects in neonates are also to be expected but cannot be quantified. Because food items differed widely (more than 50-fold) in the ratio of PCBs to dioxins, other significant sources of contamination and a high background contamination are likely to contribute substantially to the exposure of the Belgian population

The application of predictive modelling for determining bio-environmental factors affecting the distribution of blackflies (Diptera: Simuliidae) in the Gilgel Gibe watershed in Southwest Ethiopia

Blackflies are important macroinvertebrate groups from a public health as well as ecological point of view. Determining the biological and environmental factors favouring or inhibiting the existence of blackflies could facilitate biomonitoring of rivers as well as control of disease vectors. The combined use of different predictive modelling techniques is known to improve identification of presence/absence and abundance of taxa in a given habitat. This approach enables better identification of the suitable habitat conditions or environmental constraints of a given taxon. Simuliidae larvae are important biological indicators as they are abundant in tropical aquatic ecosystems. Some of the blackfly groups are also important disease vectors in poor tropical countries. Our investigations aim to establish a combination of models able to identify the environmental factors and macroinvertebrate organisms that are favourable or inhibiting blackfly larvae existence in aquatic ecosystems. The models developed using macroinvertebrate predictors showed better performance than those based on environmental predictors. The identified environmental and macroinvertebrate parameters can be used to determine the distribution of blackflies, which in turn can help control river blindness in endemic tropical places. Through a combination of modelling techniques, a reliable method has been developed that explains environmental and biological relationships with the target organism, and, thus, can serve as a decision support tool for ecological management strategies

Mechanical performance and capillary water absorption of sewage sludge ash concrete (SSAC)

Disposal of sewage sludge from waste water treatment plants is a serious environmental problem of increasing magnitude. Waste water treatment generates as much as 70 g of dry solids per capita per day. Although one of the disposal solutions for this waste is through incineration, still almost 30% of sludge solids remain as ash. This paper presents results related to reuse of sewage sludge ash in concrete. The sludge was characterised for chemical composition (X-ray flourescence analysis), crystalline phases (X-ray diffraction analysis) and pozzolanic activity. The effects of incineration on crystal phases of the dry sludge were investigated. Two water/cement (W/C) ratios (0.55 and 0.45) and three sludge ash percentages (5%,10% and 20%) per cement mass were used as filler. The mechanical performance of sewage sludge ash concrete (SSAC) at different curing ages (3, 7, 28 and 90 days) was assessed by means of mechanical tests and capillary water absorption. Results show that sewage sludge ash leads to a reduction in density and mechanical strength and to an increase in capillary water absorption. Results also show that SSAC with 20% of sewage sludge ash and W/C=0.45 has a 28 day compressive strength of almost 30 MPa. SSAC with a sludge ash contents of 5% and 10% has the same capillary water absorption coefficient as the control concrete; as for the concrete mixtures with 20% sludge ash content, the capillary water absorption is higher but in line with C20/25 strength class concretes performance

Contrasting the Percutaneous Nerve Evaluation Versus Staged Implantation in Sacral Neuromodulation

Sacral neuromodulation is increasingly used for the treatment of voiding dysfunction, pelvic pain syndromes, and gastrointestinal disorders. While increased use of this technology has led to a greater understanding of its potential as well as its limitations, difficulty persists in identifying the patients that will benefit most. Either of two trial stimulation techniques is performed before placement of a permanent neuromodulator: the monopolar percutaneous nerve evaluation and the tined quadripolar staged trial. The preponderance of recent literature asserts the superior sensitivity of the staged trial over percutaneous nerve evaluation. However, the techniques offer disparate advantages, and other issues, such as cost-effectiveness, remain largely unexplored. The role of sacral neuromodulation will continue to expand as physicians and patients become increasingly aware of its therapeutic potential. Widespread adoption of this clinically superior technique will most rapidly help the greatest number of patients

Development of a Cradle-to-Grave Approach for Acetylated Acidic Sophorolipid Biosurfactants

International audienceMicrobial production of biosurfactants represents one of the most interesting alternatives to classical petrol-based compounds due to their low toxicity, high biodegradability, and biological production processes from renewable bioresources. However, some of the main drawbacks generally encountered are the low productivities and the small number of chemical structures available, which limit widespread application of biosurfactants. Although chemical derivatization of (microbial) biosurfactants offers opportunities to broaden the panel of available molecules, direct microbial synthesis is still the preferred option and the use of engineered strains is becoming a valid alternative. In this multidisciplinary work we show the entire process of conception, upscaling of fermentation (150 L) and sustainable purification (filtration), application (foaming, solubilization, antibacterial), and life cycle analysis of acetylated acidic sophorolipids, directly produced by the Starmerella bombicola esterase knock out yeast strain, rather than purified using chromatography from the classical, but complex, mixture of acidic and lactonic sophorolipids

A Model for Promoting Poultry Industry Development in Togo: Part 1. Management Practices and Incubation Conditions

In commercial poultry husbandry practice, the hatchery takes over the incubation of bird eggs in order to provide as many day-old chicks as needed at any time to farmers. The main bottleneck for poultry industry development in Togo is the lack of day-old chick supply. Indeed, there is no proficient hatchery which can cover the needs of the farmers because of lack of information about hatchery management or people trained as hatchery managers. Also, there is lack of information about management practice aspects, etc. With the aim to promote poultry industry in Togo, an interuniversity project [Catholic University of Leuven (KUL) and University of Lome (UL)] as a model of poultry industry development was implemented. Specific objectives of the current project are to implement research and development activities on better conditions of incubation and adapted management practices focusing mainly on (1) Effect of early transferring of layer breeders hatching eggs on embryo parameters and hatchability, (2) Comparison of different chicken genotypes in Embryo Physiology, (3) Effects of heat conditioning at d 16 to 18 of incubation or during early broiler rearing on embryo physiology, post-hatch growth performance and heat tolerance, (4) Effect of low albumen quantity on chick embryo and post-hatch parameters, (5) Effects of In ovo-administration of L-carnitine on hatching events and juvenile performance of layer-type chick, (6) Interaction effects of mixing hatching eggs of differential embryo growth trajectory and incubator CO2 concentration on embryo physiological parameters, (7) Effect of delayed feed access on production and blood parameters of layer-type chicks and (8) Induced moulting of layer chickens