Major Complications and Associated Risk Factors of Transrectal Ultrasound Guided Prostate Needle Biopsy: A Retrospective Study of 1875 Cases in Taiwan

Background/PurposeComplications from transrectal ultrasound (TRUS) guided prostate needle biopsy are occasionally encountered in the daily practice of urologists. We tried to determine the associated risk factors of patients who suffered from major complications that required hospitalization after TRUS guided prostate needle biopsies.MethodsWe did a retrospective review of 1875 TRUS guided prostate biopsies performed between January 2002 and December 2005. We defined major complications as patients with complications that needed hospitalization. We analyzed the association between biopsy complications and suspected factors, including age, prostate volume, patient's underlying disease, selection of prophylactic antibiotics, biopsy core numbers (6, 12, and 15 cores), and antiplatelet/anticoagulant usage.ResultsThere were 124 patients (6.6%) with major complication. These major complications were categorized as acute prostatitis (3.8%), acute urinary retention (2.1%), hematuria (1.9%), rectal bleeding (0.2%), epididymitis (0.2%), sepsis (0.05%), and vasovagal syncope (0.05%). Patients with larger prostate size were noted to have higher risk of developing transient acute prostatitis and acute urinary retention after prostate biopsy. In contrast, age, prophylactic antibiotics (levofloxacin and pipemidic acid), underlying diseases (diabetic mellitus, hypertension, hyperlipidemia, cerebrovascular accident, coronary artery disease), increased biopsy core numbers, and antiplatelet/anticoagulant usage were not associated with major complications after prostate biopsy.ConclusionTRUS guided prostate needle biopsy is a safe diagnostic tool in most elderly males with or without systemic underlying disease

Tidal Effects on Circulation in and near the East China Sea

We incorporate tidal currents into a previously validated, three-dimensional, subtidal circulation model to assess tidal effects on the circulation in and around the East China Sea. Of particular interest is the tide-enhanced Changjiang plume dispersal and circulation in the southern East China Sea. The modeling results show that without tides, the Changjiang plume in summer presents itself as a stagnant, expansive pool in regions bordering the northern East China Sea and Yellow Sea, too far north and too accumulating relative to observations. The winter plume dispersal pushed by the north-northeast monsoon follows the China coastline southeastward as a coastal current that matches more closely with observations with or without tides. Incorporating the effect of tides brings the model closer to observation, especially in summer. During summer the Taiwan Warm Current shifts to lower latitudes, enhances upwelling off southeast China and induces a southward tidal residual coastal flow off southeast China. Tides also induce the observed seaward detachment of the summer plume. In winter, the prevailing north-northeast monsoon suppresses the Taiwan Warm Current to the minimum. However, if the winter monsoon is weakened for a few weeks, the Taiwan Warm Current reappears and these three mechanisms begin to operate as in summer. CTD surveys and satellite observations south of the Changjiang River estuary contribute to a better understanding of the tidal effects on regional ocean currents

JOINT MOBILIZATION CHANGES ACTIVATIONS IN GLUTEUS AND VASTI MUSCLES DURING FUNCTIONAL ACTIVITIES IN PEOPLE WITHOUT AND WITH PATELLOFEMORAL PAIN SYNDROME

We aimed to examine whether patellofemoral joint mobilization altered the activation in vasti and gluteus muscles in people with and without PFPS during functional activities. A total of 40 young collegiate students with and without PFPS were recruited. After the intervention of patellofemoral joint mobilization, there were significant earlier activations of vasti muscles and delayed activation of gluteus muscles such as heel rise, step up and down and drop landing in people with PFPS compared to that of healthy controls (

Audio-video Synchronization with Arbitrary, Non-periodic Video Sources

The latency between audio and video streams of a device is usually measured using stock test videos. Although the use of stock test videos eases analysis, the test video differs materially from real-world videos, which tend to be far more diverse in content and encoding schemes, resulting in laborious experimental setup and inaccurate synchronization. This disclosure describes techniques to measure the latency between the audio and video streams of a given device using arbitrary, real-world, audio-visual footage (test video). Characteristic video and audio frames and their differences in timestamps (characteristic durations) are identified within the test video. The test video is played by the device-under-test while being recorded by a high-precision video camera. Characteristic durations of the recorded footage are determined. The differences in characteristic durations between the test and the recorded videos are statistically analyzed to determine the AV asynchrony of the device-under-test

Investigation of the Mechanical Properties of Nano-Scale Metallic Crystal Structural with Point Defects

It is difficult to know if a nano-structure has similar characteristics with bulk structure properties. Hence, this paper developed atomistic-continuum mechanics (ACM), and used the finite element method (FEM) to transfer an originally discrete atomic structure into an equilibrium continuum model. The purpose of this research is to study the Young's modulus of copper in nano-scale structure under tensile testing and vibration loading. In this approach, the face-centered-cubic (fcc) metal bonds might be able to describe the inter-atomic forces between adjacent atoms. In short, the bond of the atomic lattice could be replaced by the spring element. The mechanical properties are discussed in terms of change in the structural size and the percentage of point defects of copper

EBV-encoded small RNA1 and nonresolving inflammation in rheumatoid arthritis

AbstractRheumatoid arthritis (RA) is a chronic autoimmune disease characterized by perpetuated inflammation in multiple joints. To date, there is no cure for RA, and the causal factor for non-resolving inflammation in RA remains unclear. In this study, we initially observed expression of Epstein–Barr virus-encoded small RNA1 (EBER1) in the synovial tissue of all five patients who showed nonresolving RA inflammation. By contrast, EBER1 was detected in the synovial tissue of only one out of seven patients with advanced osteoarthritis (OA; p < 0.01, Fisher’s exact test). To confirm this finding, we conducted a second study on synovial tissue samples taken from 23 patients with nonresolving RA inflammation and 13 patients with OA. All synovial samples from patients with nonresolving inflammation of RA showed positive expression of EBER1 (23/23, 100%), whereas none of the synovial samples from patients with OA showed expression of EBER1 (0/13, 0%; p < 0.001, by Fisher’s exact test). In vitro, transfection of RA synovial fibroblasts with EBER1 induced the production of interleukin-6. Taken together, these data strongly suggest that nonresolving RA inflammation is strongly related to the presence of EBER1, which might be, at least partially, responsible for synovial fibroblast interleukin-6 production

Honokiol Blocks Store Operated Calcium Entry in CHO Cells Expressing the M3 Muscarinic Receptor: Honokiol and Muscarinic Signaling

Background: Honokiol, a cell-permeable phenolic compound derived from the bark of magnolia trees and present in Asian herbal teas, has a unique array of pharmacological actions, including the inhibition of multiple autonomic responses. We determined the effects of honokiol on calcium signaling underlying transmission mediated by human M3 muscarinic receptors expressed in Chinese hamster ovary (CHO) cells. Receptor binding was determined in radiolabelled ligand binding assays; changes in intracellular calcium concentrations were determined using a fura-2 ratiometric imaging protocol; cytotoxicity was determined using a dye reduction assay. Results: Honokiol had a potent (EC50 ≈ 5 μmol/l) inhibitory effect on store operated calcium entry (SOCE) that was induced by activation of the M3 receptors. This effect was specific, rapid and partially reversible, and was seen at concentrations not associated with cytotoxicity, inhibition of IP3 receptor-mediated calcium release, depletion of ER calcium stores, or disruption of M3 receptor binding. Conclusions: It is likely that an inhibition of SOCE contributes to honokiol disruption of parasympathetic motor functions, as well as many of its beneficial pharmacological properties

Precise Latency Calculation for Audio-Video Synchronization

Synchronization between the audio and video tracks in recording equipment is usually achieved using an audio-first approach. In this approach, the timestamp of a target video frame is compared to the timestamp of the sound emitted during that frame, timestamps being counted in units of video frames. Videos have a relatively low sampling rate, e.g., a 60 frame-per-sec video has frames separated by 16.67 milliseconds. Thus, the measurement of audio-video asynchrony is imprecise. This disclosure describes video-first techniques for audio-video synchronization. A target video frame is captured, and its timestamp is mapped to the audio track. The audio track has millisecond-level time resolution due to high audio-sampling rates. Using the audio track, the timestamp of the sound (pulse) emitted during the target video frame is determined to millisecond accuracy. Timestamps of the target video frame and of the audio pulse are differenced to obtain a high-precision estimate of audio-video asynchrony