Underactive bladder - an underestimated entity

Introduction. The concept of underactive bladder is relatively new. Currently there is no generally accepted definition of this pathology. Diagnosis depends on urodynamic findings, and symptoms are usually rare and intricated with the symptoms of other urinary pathology. Matherials and methods. This review examines the current literature on underactive bladder regarding pathology, definition, diagnosis, current guidelines, and any further potential medical developments. Conclusions. Underactive bladder is a poorly understood pathologic condition. Only since 2002 has there been any consensus regarding the definition. The diagnosis relies only on urodynamics; clinical diagnosis is a challenge even for a consultant; and treatment does not seem to alleviate much of the suffering. This disease remains underrecognized and undertreated. More research is needed to identify less invasive diagnosis tools and treatment for this pathology

Phase transition and dynamics of defects in the molecular piezoelectric TMCM-MnCl3 and the effect of partial substitutions of Mn

We present dielectric and anelastic spectroscopy measurements of the molecular piezoelectric TMCM-MnCl3 and TMCM-Mn0.95M0.05Cl3 (M = Cu, Fe, Ni; TMCM = trimethylchlorometylammonium), whose powders were pressed into discs and bars and deposited as films on Si by Matrix-Assisted Pulsed Laser Evaporation (MAPLE). As in other molecular ferroelectrics, the dielectric permittivity e0 drops at the structural transition temperature TC, below which the number of directions that the polar TMCM molecules visit is reduced, with the formation of ferroelectric domains. Concomitantly, the Young’s modulus E starts increasing and the elastic energy loss has a step-like increase, attributable to the motion of the domain walls. Both the dielectric and elastic anomalies indicate the improper character of the ferroelectric transition, where the ordering of the molecular orientations is not driven by the cooperative interaction of their electric dipoles. Below room temperature, at least two thermally activated relaxation processes appear both in the dielectric and anelastic spectra, whose real and imaginary parts measured at several frequencies can be fit with the Havriliak–Negami formula. The microscopic parameters so-obtained indicate that they are due to point defects, and it is argued that they are Cl vacancies and their complexes with TMCM vacancies. The considerable width of these relaxation maxima is explained by the geometry of the hexagonal perovskite structure. The partial substitution of Mn with 5% Ni has little effect on the anelastic and dielectric spectra, while Cu and, especially, Fe cause a large enhancement of the losses attributed to domain wall relaxation, with substantial contributions also above TC. The condensation of water from the humidity in the powders compacted by cold pressing was observed and discussed. The piezoelectric activity of the films was assessed by PFM

Atmospheric pressure plasma deposition of organosilicon thin films by direct current and radio-frequency plasma jets

Thin film deposition with atmospheric pressure plasmas is highly interesting for industrial demands and scientific interests in the field of biomaterials. However, the engineering of high-quality films by high-pressure plasmas with precise control over morphology and surface chemistry still poses a challenge. The two types of atmospheric-pressure plasma depositions of organosilicon films by the direct and indirect injection of hexamethyldisiloxane (HMDSO) precursor into a plasma region were chosen and compared in terms of the films chemical composition and morphology to address this. Although different methods of plasma excitation were used, the deposition of inorganic films with above 98% of SiO2 content was achieved for both cases. The chemical structure of the films was insignificantly dependent on the substrate type. The deposition in the afterglow of the DC discharge resulted in a soft film with high roughness, whereas RF plasma deposition led to a smoother film. In the case of the RF plasma deposition on polymeric materials resulted in films with delamination and cracks formation. Lastly, despite some material limitations, both deposition methods demonstrated significant potential for SiOx thin-films preparation for a variety of bio-related substrates, including glass, ceramics, metals, and polymers.This research was funded by EU H2020 M.Era-Net “PlasmaTex” project. Funding of the Romanian team was insured by the Romanian Ministry of Research and Innovation under the contract 31/2016/UEFISCDI. This work was funded by the Portuguese Foundation for Science and Technology FCT/MCTES (PIDDAC) and co-financed by European funds (FEDER) through the PT2020 program, research project M-ERA-NET/0006/2014. Slovenian team research was funded through the Ministry of Education, Science and Sport and Slovenian Research Agency (ARRS)

Underactive bladder - an underestimated entity

Introduction. The concept of underactive bladder is relatively new. Currently there is no generally accepted definition of this pathology. Diagnosis depends on urodynamic findings, and symptoms are usually rare and intricated with the symptoms of other urinary pathology. Matherials and methods. This review examines the current literature on underactive bladder regarding pathology, definition, diagnosis, current guidelines, and any further potential medical developments. Conclusions. Underactive bladder is a poorly understood pathologic condition. Only since 2002 has there been any consensus regarding the definition. The diagnosis relies only on urodynamics; clinical diagnosis is a challenge even for a consultant; and treatment does not seem to alleviate much of the suffering. This disease remains underrecognized and undertreated. More research is needed to identify less invasive diagnosis tools and treatment for this pathology

A COMPLEX NEURO – LOCOMOTOR REHABILITATION CASE OF A PATIENT WITH POLITRAUMA ASSOCIATED WITH MULTIPLE COMPLICATIONS/SEQUELA– CASE REPORT

This paper, approved by the bioethical commission no. 9181/11.04.2018, features o complex case of post polytrauma case; this is a severe condition entailing multiple anatomic lesioned structures – at least one of them life-threatening2 – that provoke morphofunctional and social disability1 and, we can assert this case as a politrauma. Materials and methods: 68 years-old female patient, admitted in multiple occasions in our Clinic’s Division for a quadriplegic type of motor dysfunction, sphincter disorders, numbness, tingling, and pricking sensations, sensitivity to touch, dysarthria and severe locomotor and self-grooming dysfunction. The functional incapability was caused by the multitrauma – multiple cranial fractures including the viscerocranium, partial focal seizures, C6 vertebra body and from T11 to L1 spine fractures, pelvic ring breach, and calf bones displacement-with multiple surgeries adjoined to a treated rheumatoid arthritis. At first admittance, the patient was bedridden with retention type neurogenic bladder and urinary catheterization and recently operated sacral bedsore. During the repeated hospitalizations, the patient suffered complications typical for her condition: multiple urinary tract infections, sacral bedsore and superficial venous thrombosis, all of them being successfully approached and treated by a multidisciplinary team. The clinical and functional evaluations were objectified through the assessment scales/scores: AIS, FIM, QoL (Quality of life), Asworth, FAC, and WISCI II3 . Results: The patients’ evolution was favorable with improved results in all the assessment scales/scores. She had an increased motor control and muscular strength growth on all levels, now she can perform sitting position without any help, standing and sitting exercises at trellis, achieve the initialization of few steps with support by the kinesio-therapist and perform between the parallel beams around 5 steps. Her dysarthria, mood – initially/organic depression – and related behavior, improved her motivation on continued rehabilitation is now positive. Conclusions: This case represents a suggestive example for the poly-traumatized patients admitted in our Clinics’ Division and the complex approach of each pathology in the wright time for the improvement of the specific neuro-locomotor impairment and the quality of life of our patients

The genetic architecture of membranous nephropathy and its potential to improve non-invasive diagnosis

Membranous Nephropathy (MN) is a rare autoimmune cause of kidney failure. Here we report a genome-wide association study (GWAS) for primary MN in 3,782 cases and 9,038 controls of East Asian and European ancestries. We discover two previously unreported loci, NFKB1 (rs230540, OR = 1.25, P = 3.4 × 10-12) and IRF4 (rs9405192, OR = 1.29, P = 1.4 × 10-14), fine-map the PLA2R1 locus (rs17831251, OR = 2.25, P = 4.7 × 10-103) and report ancestry-specific effects of three classical HLA alleles: DRB1*1501 in East Asians (OR = 3.81, P = 2.0 × 10-49), DQA1*0501 in Europeans (OR = 2.88, P = 5.7 × 10-93), and DRB1*0301 in both ethnicities (OR = 3.50, P = 9.2 × 10-23 and OR = 3.39, P = 5.2 × 10-82, respectively). GWAS loci explain 32% of disease risk in East Asians and 25% in Europeans, and correctly re-classify 20-37% of the cases in validation cohorts that are antibody-negative by the serum anti-PLA2R ELISA diagnostic test. Our findings highlight an unusual genetic architecture of MN, with four loci and their interactions accounting for nearly one-third of the disease risk

Graphene Oxide Enhances Chitosan-Based 3D Scaffold Properties for Bone Tissue Engineering

The main goal of bone tissue engineering (BTE) is to refine and repair major bone defects based on bioactive biomaterials with distinct properties that can induce and support bone tissue formation. Graphene and its derivatives, such as graphene oxide (GO), display optimal properties for BTE, being able to support cell growth and proliferation, cell attachment, and cytoskeleton development as well as the activation of osteogenesis and bone development pathways. Conversely, the presence of GO within a polymer matrix produces favorable changes to scaffold morphologies that facilitate cell attachment and migration i.e., more ordered morphologies, greater surface area, and higher total porosity. Therefore, there is a need to explore the potential of GO for tissue engineering applications and regenerative medicine. Here, we aim to promote one novel scaffold based on a natural compound of chitosan, improved with 3 wt.% GO, for BTE approaches, considering its good biocompatibility, remarkable 3D characteristics, and ability to support stem cell differentiation processes towards the bone lineage

Migraine without Aura and Subclinical Atherosclerosis in Young Females: Is Gut Microbiota to Blame?

Background and Objectives: Migraine with aura (MA) could be considered a risk factor for developing atherosclerosis and cardio-vascular events. However, less is known about the relation between migraine without aura (MWA) and atherosclerosis. Our study aimed to assess whether young female migraineurs, with alterations of gut microbiota could associate early atherosclerosis. Materials and Methods: We conducted an exploratory cross-sectional, pilot study concerning 105 consecutive young females having MWA, with recent normal brain scans, that were free of cardio-vascular risk factors, non-smokers, not on oral contraception, not pregnant, and without thyroid or parathyroid diseases, chronic organ failure, cancer, or on probiotic or antibiotic treatment. Consecutive to assessment of gut microbiota, patients were assigned to two groups: dysbiosis positive (n = 45) and dysbiosis negative (n = 60). All study participants underwent clinical examinations with an assessment of migraine severity, body mass index and carotid intima-media thickness (CIMT), as well as laboratory workups. Statistical analysis was performed using a chi-squared test (χ2), a two-tailed t-test and a nonparametric Spearman’s correlation test. Results: The dysbiosis positive migraineurs showed a significant increase in CIMT along with several anthropometrical, biological and clinical particularities. Significant positive correlations between dysbiosis and CIMT, glycosylated hemoglobin, migraine severity and duration, tumor necrosis factor-alpha, and body mass index were found. Conclusions: Young female migraineurs with significant alterations of gut microbiota experienced early signs of atherosclerosis and displayed severe migraine disability, as well as multiple biological and clinical particularities

Kaolinite Thin Films Grown by Pulsed Laser Deposition and Matrix Assisted Pulsed Laser Evaporation

In this work, thin films of lamellar clays were deposited by laser techniques (matrix assisted pulsed laser evaporation (MAPLE) and pulsed laser deposition (PLD)). The focus of this paper is the optimization of deposition parameters for the production of highly oriented crystalline films. The films were characterized by X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), atomic force microscopy (AFM), and scanning electron microscopy (SEM). Contact angle measurements were employed to identify the wetting properties of the deposited thin films. Hydrophobic to superhydrophilic films can be prepared by using different deposition techniques and deposition parameters. MAPLE led to superhydrophilic films with contact angles in the range 4°–8°, depending on the microstructure and surface roughness at micro and nano scale. The 1064 nm PLD had a high deposition rate and produced a textured film while at λ = 193 nm an extremely thin and amorphous layer was depicted. Oriented kaolinite films were obtained by MAPLE even at 5 wt.% kaolinite in the target

Second harmonic generation (SHG) in pentacene thin films grown by matrix assisted pulsed laser evaporation (MAPLE)

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